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HomeMy WebLinkAbout2569 ELDEN AVE - Building Permits - ELDEN AVENUE 2569 UNIT A-1 _ • C:-3925-„/p7P Conch w/att.gar. 64,800. Unit A-1 • i M-4255- MECH.( 3925-) ' I - it/4gi- Unit A-1 - M-4796- NEX7i. (C-3925) /,S/XY Unit A-1• - 2_5730- fkH'gb Patio Cover 200. • • (i 1 { ) 13 °1 CITY OF COSTA MESA BUILDING DIVISION :t.111"...._� .4, 77 FAIR DRIVE.COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www,ci.costa-mesa,ca.us l . FOR INSPECTIONS CALL: (714)754-5626 • e PERMIT NUMBER: B07-00783 PERMIT TYPE B_ROOF v Ll STATUS: ISSUED • DATE DATE ISSUED: 06/15/2007 ISSUED BY: RMD JOB ADDRESS: 2569 . ELDEN AV CM Suite/Unit: .A001 Vicinity: C001, C002 ROOF Const Type: ?? SO. FT: 4300 Valuation: $4,300.00 • SCOPE OF WORK: REROOF TOWN HOMES,UNITS C001 AND C002.TEAR(E)ROOF MATERIALS, INSTALL 1 LAYER OF 30#FELT ON A 6.5:12 PITCHED ROOF,REROOF WITH 50 YEAR PRESIDENTIAL COMP SHINGLES,APPROX 18 SQUARES. REPAIR AND REPLACE SHEATHING AS NEEDED. OWNER: ELDEN AVENUE HOME OWNERS ASSOCIATION •Address: 2569 ELDEN AVE Unit:A001 PHONE: 949-631-0266 City/State/Zip: COSTA MESA,CA APPLICANT: CARDENAS,LUIS Address: 15201 PIPELINE LN Unit:UNIT A PHONE: 714-379-8522 • City/State/zZip: HUNTINGTON BEACH, CA CONTRACTOR: CONSUMER SERVICES License No. 676090 Address: 15201 PIPELINE LNUnit: UNIT A _ PHONE: 714-379-8522 City/State: HUNTINGTON BEACH,CA ZipCode: 92649 • CELL: ARCHITECT: License No. PHONE:' • ENGINEER: License No. PHONE: • • FEE SUMMARY • Reroof Plan Check: $0.00 • Reroof Permit Fee: $111.25 Reinspection Fee: $0.00 TOTAL FEES $111.25 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No.92-28,§ 1, 12-21.92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. CODE INsincnoN TYPE PdIE INTmai LODEI INSPECTION TYPE pig INTmAL1 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof (12211hd7 HnrkZ\ 210 Final Electrical 201 Final Block/Retaining Wall J 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKER 'CO%�P ENSATION DECLARATION: Owner ID verified by driv• ism. 0 Yes ❑No ^ I hereby a rm uriGer penalty of perjury one of the tom..-wing declarations: Driver's License No. f Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. . ❑ I have and will maintain workers'compensation insurance, as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF'INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure.scaffolding,falsework,or demolition Carrier: 5217✓- * titre'-* n l t n or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This sesta]need not be completed the perma6 hied al one unarm!Wears(S100)a less) 2.Art 2,Sec.341,Title 8,California Administrative Code). Policy Number: � -ODO c /168 J �J 0 As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued.I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of Applicant's Signature Date the Labor Cod I shall forthwith comply with these provisions. Labor Q 6 -lS �On Division of Industrial Safety Permit Number: Applt nt Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000). IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST.AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is'n full force and effect. /� a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# 7609 0 Class# C 9 3 - (Section 25533 of the California Health and Safety Code, with some 9,.,, exceptions, requires registration with the Costa Mesa Fire Department by ; F _ O'a< /{_?�O 7 each business which at any one time has on hand a quantity of acutely /� ontrnaor•s S'ure - - Date hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby aff#m that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve. demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors (Section 65850.2 of the California Government Code requires that the requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on n applicationsnon-residential far building permits). Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No. thereon,and who does such work himself or herself or through his or her own 8 III"yes" attach certificate of compliance from the appropriate air pollution employees. provided that such improvements are not intended or offered for • sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of Signature Date properly who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of'Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature of Legal r(s) Date Signature Datesd� 's—2m a 3057-46(3/07) ntl/or Atmonzetl Applicant Date • • CITY OF COSTA MESA I ./ • r BUILDING DIVISION iµ • 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us .I FOR INSPECTIONS CALL: (714)754-5626 St1bonand's PERMIT NUMBER: B07-00781. PERMIT TYPE B_ROOF STATUS: ISSUED DATE ISSUED: 06/15/2007 •ISSUED BY: RMD • JOB ADDRESS: 2569 ' ELDEN AV CM Suite/Unit: :A001 Vicinity: A001,A002,A003 ROOF Const Type: ?? SQ. FT: 3800 Valuation:- $9,500.00 SCOPE OF WORK: REROOF TOWN HOMES,UNITS A001,A002 AND A003.TEAR(E)ROOF MATERIALS,INSTALL 1 LAYER OF 30#FELT ON A 6.5:12 PITCHED ROOF, REROOF WITH 50 YEAR PRESIDENTIAL COMP SHINGLES,APPROX 38 SQUARES. REPAIR AND REPLACE SHEATHING AS NEEDED. OWNER: ELDEN AVENUE HOME OWNERS ASSOCIATION Address: 2569 ELDEN AVE Unit:A001 PHONE: 949-631-0266 City/State/Zip: COSTA MESA,CA APPLICANT: CARDENAS, LUIS Address: 15201 PIPELINE LN Unit:UNITA PHONE: 714-379-8522 City/State/zZip: HUNTINGTON BEACH,CA CONTRACTOR: CONSUMER SERVICES License No. 676090 Address: 15201 PIPELINE LNUnit: UNITA - PHONE: 714-379-8522 City/State: HUNTINGTON BEACH, CA - ZipCode: 92649 CELL: ARCHITECT: License No. PHONE: • ENGINEER: - License No. PHONE: • FEE SUMMARY Reroof Plan Check: $0.00, . Reroof Permit Fee: $181.25 • Reinspection Fee: $0.00 - • TOTAL FEES $181.25 • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE A INSPECTION TYPE PAIL INTTML$ COIN! INSPECnQN TYPE MIE INTTAL$ 1818 Fixed System Final Fire Prevention 208 Final Mechanical 1288 Pool Spa Final ore- 208 Final Plumbing 200 Final Re-Roof yc''`"O7 o 1e 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval • 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS'COMPENSATIdN DECLARATION:\ Owner ID verified by drivt ase. ❑Yes 0 No I hereby afArm under benally of perjury one of the fon..wing declarations: Driver's License No. 1 Expirc%: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers'compensation insurance, as required by - section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: /� person is required to descend,will be made in connection with work authorized �� (2107,,cion O by this permit,and that no building structure.scaffolding.Idsework.or demolition Carrier: `Yo n or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2.Grp (Thss on need not be complete d:Me permit is valued al one hundrednddollars($ICC)orless.) 2,Art 2.Sec.341,Title 8,California Administrative Code). 9 S Policy.Number3 S — CDDo ny tl S / ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued.I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code I shall forth ah comply with these provisions. Applicant's Signature Date oI�/5� 2 7,, Division of Industrial Safety Permit Number: / Appbents Signature - - l Date - HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILUREI� TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST.AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one lime during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑ No Lic_#----i -0 e O Class_fiC " p (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by /7 /5'Q 007_ .each business which at any one time has on hand a quantity of acutely •ntractors Signature--- Date hazardous materials equal to or greater than a weight of 500 pounds, or a �— — volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Dd1e 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑ No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications fa non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No applicant for permit subjects the applicant to a civil penalty of not more than (If yes".the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars(5500).): of the Califomia Health and Safety Code). O I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No, thereon,and who does such work himself or herself or through his.or her own 8. (If yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I.certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to corimpty with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances'regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature of Le•.I Owners) Date Signature Date _ _ n�/5.200 And/or Authonz d Applicant _ _ Date--- - ` .11 - • CITY OF COSTA MESA BUILDING DIVISION Fv ;,(� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca. FOR INSPECTIONS CALL:(714)754-5626 Sttbumb- PERMIT NUMBER M08-00048 PERMIT TYPE MECH STATUS: ISSUED APN: 93775016 DATE ISSUED: 04/04/2008 ISSUED BY: JOB ADDRESS: 2569 A001 ELDEN AV CM Suite/Unit: A001 Vicinity: FRONT PATIO AREA SO. FT: 0 • SCOPE OF WORK: REPALCE FURNACE&ADD NEW NC UNIT AT FRONT PATIO AREA. OWNER: LOUGHRIDGE;ROBERT E Address: 2569-Al ELDEN AVE Unit:A-1 • PHONE: - ,. - City/State/Zip: COSTA MESA,CA APPLICANT: JACOBY,ERIC - Address: Unit: • PHONE: 818 735-0003 City/State/zZip: CONTRACTOR: ADD AIR INC - License No. 747643 'D u4'? Address: 957 N ELM STUnit: PHONE: 714-997-2969 City/State: ORANGE,CA ZipCode: 92867 CELL: MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: $53.00 PLAN CHECK FEE: $0.00 INVESTIGATION FEE: $0.00 REINSPECTION FEE: • $0.00 TOTAL FEES: $53.00 • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia Statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. CO161E t, INSPECTION pn�T IN1111A1S CODE/ INSMechanical D INTIIU� 1818 Fixed System Final Fire Prevention 208 Final Mechanical P/�} �8�8 1288 Pool Spa Final 208 Final Plumbing 200 Final Re-Root 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy c WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive en. J Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compe ation, as provided for by section 3700 of the Labor Code, for the ped Nance of the work for which this permit is issued. I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is iss`uCd. kly wort rs' compensation surance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: d(//If %(_/(y/f/ person is required to descend,will be made in connection with work authorized i 1 by His permit,and that no building structure,scaffolding,falsework,a demolition Carrier �G _ or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (nus seam neeo� or are hundred cbsars(Stoo)dress.) 2,Art 2,Sec.341,Title 8.California Administrative Code). Policy Number: �— ^0 7 0 As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless Issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date the bor CotlC,I s II forthwith cp,�f//mply with these prow OsV/ .✓l !// a r Division of Industrial Safety Permit Number: it's Signature �(e HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAIL E TO SECURE ()RICERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds.or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No 'Lie.# CIa35#' (Section 25533 of the California Health and Safety Code, with some •- � % /✓ - exceptions, requires registration with the Costa Mesa Fire Department by /. _a - w each business which at any one time has on handa quantity of acutely Contractor's Si'",lure _ s- hazardous materials equal to or greater than a weight of 500 pounds, or a 1,/ volume of 55 gallons. or 200 cubic feet of compressed gas at standard CONSTRUCTION LEN s G AGENCY: temperature and pressure). O I hereby affirm that them is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work fcr which this permit is issued.(Sec.3097.Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lenders Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors (Section 65850.2fu of the California Government Code requiresbuildingnt the requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the inlortnation be furnished on applications for non-residential permits). Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation. WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044.Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described properly for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.. /X1' res.Q Leg er(s) Aro Signature Date / 3057-46(3/07) MeV or Authpri Applicant. / c_ • Ie • CITY OF COSTA MESA �. BUILDING DIVISION FAI 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754.4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714)754-5626 PERMIT NUMBER: 08-00116 PERMIT TYPE ELEC STATUS: ISSUED APN: 93775016 DATE ISSUED: 04/04/2008 ISSUED BY: JOB ADDRESS: 2569 A001 ELDEN AV CM Suite/Unit: A001 Vicinity: FRONT PATIO AREA SCOPE OF WORK: ELECT. FOR NEW NC UNIT REF:M08-00048-REPALCE FURNACE&ADD NEW AC UNIT. OWNER: LOUGHRIDGE,ROBERT E Address: 2569-Al ELDEN AVE Unit:A-1 PHONE: City/State/Zip: COSTA MESA,CA APPLICANT: JACOBY,ERIC Address: Unit: ` `,!'J PHONE: 818 735-0003 City/State/zZip: CONTRACTOR: ADD AIR INC License No. 747643 Address: 957 N ELM STUnit: PHONE: 714-997-2969 City/State: ORANGE,CA ZipCode: 92867 CELL: ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $28.25 Reinspection Fee $0.00 TOTAL FEES $28.25 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. CODE INSPECTION TYPE DATE IN1nIAL5 CODES INSPECTION TYPE DATE INTII1ALS 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical ��//�y-/,{L'��J' 1266 Pool Spa Final 208 Final Plumbing '1 gn � 1 V 200 Final Re-Roof 210 Final Electrical P//1 �'1ilo6 1 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy �o Si , WORKERS'COMPENSATION DECLARATION: Owner ID verified by rima .. _. ❑Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ ,I have and will maintain workers'compensation insurance,as required by Csection 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is iss -. M workers' compe sation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized n , e� ,.��ra by this permit,and that no building structure,scaffolding.falsework,or demolition CCarrier: • , 4,• _ or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (Thu teach need not be completed!the permit a vah,etl at one handrail days(Ston)ar lesS I 2,M 2,Sec.341,Title 8,California Administrative Cade). Policy Number: / 8—/3 7 g �Z — 0 7 ❑ As owner builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the woe ers' mpensation provisions of Section 3700 of Applicant's Signature Date the Labor C..'7 shall forth 'th imply with t -se provisions. �` / il�/7� Division of Industrial Safety Permit Number: _Applicant's Signatur Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SE t RE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code,and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑No Lic.# • Class# C u) (Section 25533 of the California Health and Safety Code, with some 4111.414....4111.414.... If , '` 'q exceptions, requires registration with the Costa Mesa Fire Department by T�7/� each business which at any one time has on hand a quantity of acutely `cenuacloy gnature• ,v Date 1 hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENC : temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work fa which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the • Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No I hereby affirm that under penelty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Coge)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safely Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code:The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that 0 am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. f4-4-4) 1 Signat1tre of egad O.mer(sl to 3057.4613)07) Signature Date 7/L'• 4/ �A 9 / 11.y/dr c td!or Ayrry{�Z{c'oA Applicant 7 t Da P [� ,� t CITY OF COSTA MESA s y 4,� BUILDING DIVISION F C1-12, I., """� ' DEVELOPMENT SERVICES DEPARTMENT �•,yr �"arcPERMIT PERMIT NUMBER �m P98-00612 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT _ Job Address: 2569 ELDEN AV Status: ISSUED Suite No Arm Applied: 08/04/1998 Issued: 08/04/1998 Vicinity: Parcel Nunmber: 93775012 - • Applicant: NOCK, RON Address: Phone: 9,i Zip: / - Owner ,C\MP63„RICARD9G �CL��if&d 20.betr �eA/, Address�i 2569 ELDEN AVE �_� - - Phone: COSTA MESA,CA, Zip: 92627 . . - j • Contractors C. NOCK-PLUMBING i . ,Address:-,11612 KNOTT ST Its. ' - - •• Phone:: 714895-1246 - ‘„ GARDEN GROVE,CA - _ -, 'Zip: 92841 - /� ,� . - License: 707775- _ _ Arch/Eng: Address: , - . . - Phone:- - -` - - Zip: . License: - -_ '• SCOPE OEPERMIT'.1 ( " . • INST DISHWASHER. - _ - - // . � - FEE SUMMARY- -- - - •.AMT QTY AMT QTY AMT OTY ISSUE FEE - $22.00 Laundry Tub/Washer, $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00. 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00, , 0 P-Trap - . '$0.00 0 Trap Primer $0.00 0 Bathtub $0.00\:.;',p Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System. '-, ' $0.00 '-�0 - Process Piping(per 10 ft) $0.00 0- Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00- `0'" ., .'Receptors - $0.00 , 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0' Septic Tank• . $0.00 0 - - Wash Basin. $0.00 0 Dishwasher $8.75 ' 1- , Sewer Cap for Demo $0.00 0 Wash Basin Set - $0.00 0 Drain,Floor $0.00 0 Sewer Connect , . . $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 ' 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 0 - Shower $0.00 0 Water Heater/vent $0.00 0 Drinking Fountain $0.00 0 . Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 - 0 - Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $30.75 COMMENTS/SPECIAL CONDITIONS EXPIRATION: This permit shall automatically expire and become void If work is not commenced within 180 days,or If work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 DECLARATIONS • WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I hye and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the trdark for which this permit is issued. I have and wit maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued, My workers'corngenr3 p Insyrance carrierand Wog(number are: f ,74./ �O Cartier: C (`/"K/ • • cd/ Policy Number. L� �(. (This section need not be completed if me permit is wed at one hundred dollars($100)or fess.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these p • ` 'yL Applicant Signature: ' ' � Date: 8" t WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLIARE($100.090).IN AEOrTIDN TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed tinder rov si ns , hgploT 9(commencing with Section 7000)of DMslon 3 of the Business end Professions Code,and my license Is in full force and effect.tic.ft - CSS Class 4 Q Contractor's Signature: '�� Date: $ i�/ 8" ? CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,CMI Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safely,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file end certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes ❑No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which ere required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes ❑No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final Inspection. Sig eco a Of Legal Own: : 5. L7�7 ! i s? v Andre 'uthorized Applican Date CQQEA INSPECTIOK TYPE I» IIariAIS COOE/ INSPECT EfRI USE DMU S 1616 Fixed System Final Fire Prevention 206 Final Mechanical E� o(, 1266 Pool Spa Final 208 Final Plumbing r'1 -Il lO -eV — 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 2446-46 Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations- 3364 7�211�62 7.00 TL: CITY OF COSTA MESA PERMIT TRACT NO. LOT NO. BLD .NO. CONSTRUCTION PERMIT /�( - Na,S5- / • - Project Address • � • / 1./4' EL /' - TYPE OF CONSTRUCTION - _ Owner (id' ((OO'F# Z'. L*I Phone - ❑ NEW 0 ADD 0 ALTERATION Address (off teff' ' es4a' e Pe, ('M1 ❑ REPAIR 0 CONVERSION DDEMOLISH �� - 0 OTHERZONING'REGULATIONS Arch/Eng. - siz`t 660 License No. A.P.# Address '- _ DESCRIPTION OF WORK • , ZONE PLNG. REF.Yt' - ContractorAIAI)dJ 417 j ,I AAL Phone c9�j'l�69J7 TYPE OF PERMIT' - - BUI Lb'NG TO BUEi LDI NG •- - . - - Address ��/ • sI .!r7% rN?/ D / ;SETBACK C/L ST. PROPERTY LINE ✓3 S3 LO, j5 liar ear ,c!-4.- ❑.GRADING -0 FOUNDATION 0 STRUCTURAL -- SIDE-YARD LICENSED CONTRACTOR DECLARATION 0 TENANT El ELECTRICAL OPLUMBING gMECHANICAU LSIEDE VAR') - --- . - --- ' I hereby affirm that I am licensed under provisions of Charter 9(corn- RIGHT s,•.. mencingwith section -7000) of Division 3 -of the Business -and ' 0 OTHER - - _ _ _ - Professions Code, 'and y license is in full force and effect. REAR YARD (TO P/L) • PROJECT DESCRIPTION_ �1 _ License Cass —� sr Ll; nse I � � -- -' - PKG.SPACE REQ. - PROVIDED- - '- - Date i Signature'- . .Z_ i. _Ir+l X50:FT. - - _ -_ WORK RS' OMPENSATION DECLARATION OCCUPANCY._CONSTRUCTION TYPE STREET WIDTH . PARK FEE$ I hereby affirm that I have a certificate of consent to self-insure or a VALUATION ZONE .ZONING APPROVED BY ' ' DATE - certificate of Workers' Compensation Insurance, or--a certified copy . - -. - - - - _ _ - ' thereof(Section 3800, Lab.C.). ,G RADING'C V. YDS. ACRES f SPECIAL CONDITIONS: . - - ' y No. Co mpanY - _ _ _. - .. _. - _ - _ _ _., - _ _ _.. .t ratified copy is hereby furnished. . - ___ __ - .. .• i REMARKS: • -' Cy f - __ _ _ _r°_ - - "' La Certified copy is filed with the city Building Division. ��� �� _ - EXEMPTION FROM WORKERS' COMPENSATION-DECLARATION - -- 7 ' - - -- - - - - (This section need_not be completed if the permit Is for one hundred ($100) or less). I . - - , _ - .. - - - 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 e PLUMBING -. PLAN CHECK' ' ' - ,ELECTRICAL PLAN CHECK - ' subject to a Wo rs'Compensation of •forni _P _ • Datex_�Signature 4' BATHTUBS SHOWERS'-- _. - - 50 FT fNU, SO FT“ARAVE ... . - NOTIC . If after making this declaration, you should become subject TOILETS•., r r URINALS- ”- - - --' - GENERATOR0-1 KW=1-30 KW "" - to the Workers' Compensation provisions of the Labor Code,-you must - TRANSFORMER -r forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS -- APPLIANCE 10.50 KW_50 + KW - . -- - revoked. 1 - - __ _ _ CONSTRUCTION LENDING AGENCY KIT.SINKS - ---1DISHWASHERS ' - � -- - MOTORS - - 0-1 HP' 1-10 HP - I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS '1.7 'SUMPS - -- (INC.SOLAR) .' 10-50 HP 50.+.1-1P- _?'_ - 1 formance of the work for which this permit is issued (Section 3097 - • - Civ: C.). --' ' -'- ' -- - - '-- -- -FLOOR SINKS --- FLOOR'DRAINS - - FIXTURES OUTLETS - SWITCHES • . .. Lender's Name_ -- _ Lender's Address - DRINKING FOUNTAINS - '- i - • --GAS TUBE SIGNS --- - - --OWNER BUILDER DECLARATION "- -- INTERCEPTORS - CLARIFIERS- • - - - POLE LIGHTS • - - . - - I hereby affirm that I am exempt from the Contractor's License Law for - the-following reason (Section 7031:5 Business-and-Professions Code: SWIMMING POOL - P TRAP - - _ LUIS I mut-I1UN Any city or county which requires a permit to construct, alter, POLES METERED ' - SUB - improve, demolish or repair any structure, prior to its issuance;also-re- - WATER SERVICE - ALTERATION - ' - 'PANELS -' •- • MAIN - SUB -- - - - quires the apt licant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law - -- - 1 SERVICE- - -- - - AMP t (Chapter 9 (commencing with Section 7000) of Division 3 of the GAS SERVICE OUTLETS • Business-and Professions Code) or-that he is exempt therefrom and-the- WATER HEATERS - 'BTU OUTPUT, -: - - - -• - - - - - - --- - - ', for the alleged exemption. Any violation of Section 7031.5 by _ applicant for a permit subjects- the-applicant to a 'Civil-penalty SEWER CONNECTIONS" _-' - ----•-• •- -`\ -' `•- r 'N., - - _ - - - - - - - i at more than five hundred dollars ($500). - . Li I, as owner of the property,-or my employees With-vvages as their '-SOLAR TANK- _ -' COLLECTORS- •- -- ' -- - -- - - -- - - - - - - sole compensation, will do the work,and the structure is not intended _ ' - - or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. -- -- - ' -- ISSUE FEE- - - .. - -_ -_ - - - Contractor's License Law does not apply to an owner of a property •' I who builds or Improves thereon, and who does such work himself-or - ISSUE FEE - - -- - • "-'-- - ;APPLICATION-APPROVED-BY- . -- - - ' -DATE- ' through his own employees, provided that such improvements are not intended or offered for sale. If, however,the building or improvement _ __- MECHANICAL PLAN CHECK I SUMMARY OF FEES - - •1 is sold within one year of completion, the owner will have the burden - ,t of proving he did not build or improve for the purpose of-sale). - --- BUILDING - - - -. - - HEATING SYSTEM 0-100,000 BTU fe111 PERMIT ❑ I; as owner of-the property, .am exclusively contracting.with. AND DUCTING - - - I _ _ $ - _ e�,,SMIP �$ licensed contractors to construct the project (Section 7044, Business 100,000+BTU f OO PLAN CHECK $ PERMIT I and Professions Code: The Contractor's License Law does not apply to, LLL _ - - ISSUANCE $ sl''' an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU - PLUMBING $ tracts from-such projects with a contractor(s) licesned pursuant toSYSTEM -- - . - N- _ - 'GRADING' $ the Contractor's License Law). 100,000+BTU ;PLAN-CHECK- $ • •- ❑ I am exempt under Section B.& P.CI .for this- BOILERS BTU ELECTRICAL -$ - $ - reason - - - - - - - - 'PLAN CHECK $ - ' MICROFILM $ ' SYSTEM REPAIR,ALTERATION • Date Owner - -7_ Q U TOTAL FEE$ l hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ e - information is correct. I agree to comply-with'all city and-countys PLAN-CHECK $ VANCE PC - -- ordinances and state laws relating to construction,and hereby authorize • $- representatives of this cit` to enter upon the above'mentioned • - I property fo .i�/�/p(epQgn pQvposey!l, - ,y '//9/B� FINAL FEE $ l • D 0 Drivers' i�e e/1 (. Goldenrod-Assessor CONSTRUCTION AND PLANNING _ //�� (t�� POOL&SPA APPROVALS Permit# /'l /1 S Date Inspector APPROVALS Permit# • _- Date Inspector - _ 1. Temporary Electrical Service or Pole . . 43. Pool & Equipment Location - • -r - _e 2. Soil Pipe-Undrgrn - - , 44. Steel Reinforcement -- . - - • - - 3. Electrical Conduit Utility-Undrgrn . . 45. Forms - • 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding - - - 5. Steel Reinforce - 47. Rough-Plumbing & Pressure-Test --- - - - •-- - - - - • , 6. Electrical UFER Grn - - 48. APPROVAL TO COVER-GUN ITE - - - - •-- -• - • - 7.. Footings . - . . 49. Electrical Conduit-Undrgrn • • 8. Foundation . ... 50. Gas Pipe, D Undrgrn,Test 9. Water Pipe-Undrgrn.. _ - 51. Backwash Lines. P-Trap: El Undrorn - - ' 10. Structural Floor System - 52. APPROVAL TO DECK -- ' -11. Property Sewer Line& House Connection- . - 53. Backwash & Receptor-Final 12. Street Sewer Connection _ _ - 54. Heater & Vent-Final _ .1 13. Rough Plumbing - - - "55. Plumbino System - Final 14. Rough Electric-Conduit - - - - -•56. Electrical-Final • - 15. Rough Electric-Wring ' - 57. Solar System-Final ' ' ' 16. Rough Heating & Air Conditioning - 9/,c/82- �[/`t74� - - b8. Fencing &Access Approval 17. Ducts,-in Structure - -. .. 59. APPROVED FOR PLASTERING ' 18. Ducts, Ventilating - __ _ - . - - • 19. Gas Pipe-Rough &Test . 60. POOL/SPA SYSTEMS F INAL 20. Roof Framing - - 21. Roof Sheathing, - - - . - - 22. Frame and Flashing - - - NOTES: • . ' 23.- Insulation -- - - - • - - - - - - 24. Lathing & Siding - -- - - 25. Drywall Nailing - -- - • 26. Plaster Brown Coat - - - 27. Electrical Power Meter-Final - - • - - .• ' 28. Final'Electric -- - - - 29. FinalHeating & Air Conditioning inif elt. .0024C---' - ' -30. Final'Gas Pipe-Test - 31. Final Plumbing . - . . - .• - 32. Water Service-Final - - - - • ' 33. Gas Service-Final - - - - - -. 34. Solar Domestic-Final - . I 35. Landscape Sprinkling System - - - 36. Sound Attenuation - - • _ • 37. Handicap Regulations - 38. FINAL STRUCTURE& BUILDING - _- 39. Special Requirements Completed _ --�`- - - • - 40. Electric Release to Edison - - - - • 41. Gas Release to Southern California Gas Co. • . 42. CERTIFICATE OF OCCUPANCY - ' - No Date - - • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. 'CITY-OF COSTA MESA PERMIT NO. TRACT NO. - LOT NO. BLDG.NO. CONSTRUCTION PERMIT M-4794 ,4 - 1 • , Project Address S�1� 1� � �� e C M ` TYPE OF CONSTRUCTION - ! - 76Q2 9/13/82 - 7.00 TL Owner m � n 'rAIN &t pest 61. Phone 0 NEW 0 ADO 0 ALTERATION - Q • - L11M Address REPAIR 0 CONVERSION ❑DEMOLISH 1-D Arch/Eng. License No. 0 OTHER ZONING REGULATIONS Ito DESCRIPTION OF WORK A.P. Address .. - ZONE PLNG. REF. t ) contractora4ceeme J. Lipp1g, c Phon449wj. TYPE OF PERMIT " - . BUILDING TO BUEIkDING , 1`�` Address nI , 'S3iSETBACK C/L ST. PROP TV LINE lip; S oth et.,$)(a,Lr / LIC'{. ti -G. 0 GRADING O- FOUNDATION 0 STRUCTURAL - SLOEYARD LICENSED CONTRACTOR DEt LA RATION - ❑ TENANT ❑ ELECTRICAL ❑PLUMBING MECHANICAL/ LEFT SI/F ARU - I hereby affirm that I am licensed under provisions of Charter 9(cam- RIGHT mencing with section 7000) of Division 3 of the Business and' ❑ OTHER - - Professions Code, tcl my license is In full force rnd of ect. REAR YARD(TO P/L) License C .ss Lic e N. •• `L! PROJECT DESCRIPTION - _ _ - PKG.SPACE REQ. PROVIDED Date - Signature -/_A,. - SQ.FT. WORK RS' OMPENSATION DECL•f-ATION OCCUPANCV_CONSTRUCTION TYPE STREET WIDTH PARK FEE$ I hereby affirm that I have a certifica e of Consent to self-insure or a VALUATION ZONE ZONING APPROVED BY DATE certificate of Workecip rs' Compensation 4Compensa�s Insuranccee,,,rorr a certified COPY GRADING CU.YDS. ACRES X P thereof v N(.:40 . ANC�Co pxny Qrc"C 7-4 AAA - _, - SPECIAL CONDITIONS: I rtified copy is hereby furnished. . REMARKS: ' G' . `� S ' L _ertifled copy is filed with the city Building Division. , EXEMPTION FROM WORKERS' COMPENSATION DECLARATION • - ' - '- - - (This section need not be completed if the permit is for one hundred - • , - . ($100) or less). - . s c' . < . %s . '- - 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 PLUMBING PLAN CHECK ""' ELECTRICAL PLAN CHECK subject to the Workers Compensation Laws of California. _ UWtLLINto - GARAGE BATHTUBS SHOWERS Date Signature SQ FT SQ FT - NOTICE: If after making this declaration, you Should become subject TOILETS - URINALS - GENERATOR '0-1 KW_1-10 KW - to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER _ forthwith comply With such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS -- APPLIANCE - 10-50 KW_50+ KW - revoked. CONSTRUCTION LENDING AGENCY -- KIT.SINKS - DISHWASHERS" - MOTORS " ' 0-1 HP .1-10 HP - - I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS - (INC.SOLAR) 10-50 HP 50+HP - formance of the work for which this permit is Issued (Section 3097 - I . Civ. C.). - ..- - - -- - - ' FLOOR SINKS FLOOR DRAINS - FIXTURES OUTLETS SWITCHES Lender's Name Lender's Address - - DRINKING FOUNTAINS - ' ' GAS TUBE SIGNS- OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS I hereby affirm that I am exempt from the Contractor's License Law for the following reason-(Section_7031.5 Business and Professions Code: SWIMMING POOL - P TRAP-- - ' - 6UNSI-HUL I - - _ - Any city or county which requires a permit to construct, alter, POLES METERED SUB improve,demolish-Or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION - ' ' PANELS - MAIN SUB. ' quires the applicant for such permit to file a signed statement that he - _ is licensed pursuant to the provisions of_the Contractor's License.Law. GAS SERVICE OUTLETS .- SERVICE AMP (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS - BTU OUTPUT,•, . - - ' - - " ba-l• for the allege0 exemption. Any violation of Section 7031.5 by _ � - a oplicant for a permit subjects the applicant to a civil-penalty SEWER CONNECTIONS- - ' - •" • ' "- .. - c . more than five hundred dollars ($500). L ., as owner of.the property,or my employees with wages as their SOLAR TANK -"-COLLECTORS - - -- -• - sole compensation, will do the work,and the structure is not Intended or Offered for sale; (Section- _ _7044,-Business and Professions Code: The -'SOLAR PIPING SYS. ISSUE FEE } . Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself or ISSUE FEE - - _ APPLICATION APPROVED BY - DATE . -• . through his own employees, provided that such Improvements are not Intended or offered for-sale. If, however, the building or improvement MECHANICAL PLAN CHECK is sold within one year of completion, the owner will have the burden SUMMARY OF FEES. • of- proving he did-not build or improve for the purpose of sale).- HEATING SYSTEM 0-100,000 OTU BUILDING - ' - ❑ I, as owner of the property, am exclusively contracting with - • • - - - -. PERMIT $ SMIP� - $ • licensed'contractorsto construct the project (Section 7044, Business AND DUCTING 100,000+ BTU . PLAN CHECK $ PERMIT and Professions Code: The Contractor's License Law does not apply to - ISSUANCE $ an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such projects with a contractor(s) licesnetl pursuant to SYSTEM • - GRADING $ the Contractor's License Law). 100,000+BTU PLAN CHECK S ❑ I am exempt under Section B.&-P.C.for this BOILERS BTU ELECTRICAL $ $ . reason PLAN CHECK $ MICROFILM $ - Date Owner SYSTEM REPAIR,ALTERATION I ' ily that I have read this applicationMECHANICAL $ .' Co . TOTAL FEE$ and state that the above EXHAUST SYSTEM MULTIPLE I hereby cert 'LESS AD- Information-is-correct. -I agree to comply with all city and county {�1 •/} PLAN CHECK $ - VANCE PC 5 ordinances an ate laws relating to constru0tio and hereby authorize Eike PLAG2 Poe. �,e 1i41'a I/ tV - representati .of this city to ter upon e above enti ned Cr-3Qa{_ - 31 property I inspectlo pgrpo q✓-� `� r1 t'C 'S FA �s S18 FINAL-FEE $ /. Oa Signature Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING _ POOL&SPA • APPROVALS Permit# p t17 q So Date Inspector ' APPROVALS Permit# Date - Inspector 1. Temporary Electrical Service or Pole 43. - Pool & Equipment Location • • - V. . • 2. Soil Pipe-Undrgrn - 44. Steel Reinforcement - . . ' .t 3. Electrical Conduit Utility-Undrgrn -- - 45. Forms - - 4. Electrical Conduit-Undrgrn -- - 46. Electrical Bonding - . _ ' - ' - r 5. Steel Reinforce - 47. Rough Plumbing & Pressure Test - - - 6. Electrical UFER Grn • , 48.. APPROVAL TO COVER-GUNITE` - - . ' • -..- 7. Footings_ 49. Electrical Conduit-Undrgrn • 8. Foundation 50.. Gas Pipe, ❑Undrgrn,Test 9. Water Pipe-Undrgrn - _ 51. Backwash Lines, P-Trap, ❑ Undrgrn_ - - - 10. Structural Floor System 52. APPROVAL TO DECK , . - - - 11. Property Sewer Line & House'Connection - 53. Backwash& Receptor-Final 12. Street-Sewer Connection - 54. Heater & Vent-Final . ' - " - -, 13. Rough Plumbing '- - -- :55. Plumbing System -Final - 14. Rough Electric-Conduit --- '--56. Electrical-Final 15. Rough Electric-Wiring - 57. Solar System-Final 16. Rough Heating & Air Conditioning. 9�7/iz _Apr b8. Fencing & Access Approval 17. Ducts, in Structure - 59. APPROVED FOR PLASTERING - 18. Ducts, Ventilating - • - . 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL .. , 20. Roof Framing - - -- - 21. Roof Sheathing - - • ' 22. Frame and Flashing NOTES: - • 23. Insulation . - - - - 24. Lathing & Siding - - • ' 25. Drywall Nailing ' 26. Plaster Brown Coat .. - 27. Electrical Power Meter-Final - - - 28. Final Electric . . - • _ 29. Final Heating & Air Conditioning . . //js2/2-. ar 30. Final Gas Pipe-Test -- ' 31. Final Plumbing _ • - _ . . 32. • Water Service-Final - - - -- 33. Gas Service-Final - / 34. Solar Domestic-Final / ' 35. Landscape Sprinkling System - -36. Sound Attenuation /- - / 37. Handicap Regulations 38.- FINAL STRUCTURE &BUI LDING -- - - - _ • _ .39. Special Requirements Completed - - 40. Electric Release to Edison - - - - • 41. Gas Release to Southern California Gas Co. - . 42. CERTIFICATE OF OCCUPANCY • . • ' - 'No Date - - , . •. . . ._ . k. y„CI Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA P MIT NO. - TRACT NO. 1T NO. BLDG.NO. . L 'CONSTRUCTION PERMIT /5 - C 7 Q it-7CoD I • I. Project Address.2.5‘7, of A.(«- 1 -7) TYPE OF CONSTRUCTION • Owner/yt0((Jj74j ditty .CQc(O Phonep�,f/� ❑ NEW ❑ ADD $,.ALTERATION �f ' .Addresb?srOa icatre7e( Q/Z.. cr&-'Soli 0 REPAIR 0 CONVERSION ❑DEMOLISH �r'^ '.I Arch/Eng./C/40 4#j#//4( License No. 0 OTHER ,/ ZONING REGULATIONS DESC RiPTIONOF WORK TAU/ GOdC� A.P. s"F• 9- /� -�� 1 43 Address - ZONE 2 PLNG.'rpREF.(E Contractor Ph9cq,9c53 TYPE OF PERMIT ' BUILDING fry10 n PROPEIRTYNLINE I51Urf 1', Addr¢SS y �•/ISETBACK C ST. W voo j I() & 1 Nl ILL 5e / A,.i s,' n/ 1% ❑.GRADING 0 FOUNDATION 0 STRUCTURAL SIDE YARD ';Q'O' (0 LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL ❑PLUMBING OMECHANICA S IDE E YARD �Ji/sJri I hereby affirm that I am licensed under provisions of Charter 9(tom- RIGHT 1 ' mencing with section 7000) of Division 3 of the Business and 0 OTHER �,�y "' Professions Cotl and my license Is in full force a d elf ct. I REAR YARD(TO P/L) QJ" ----7-- . _ sV - �� ♦ • PROJECT-DESCRIPTION 'LicenseC s Licene No PKG.SPACE REQ. PROVIDED Dat t'l_ I `2 Signature .---.0.. ...., AS,. SQ. FT. ...-- • WORK RS'COMPENSATION OECL•r-ATIONt OCCUPANCY• N"f' CONSTRUCTION TYPE ✓ STREET WIDTH PARK FEE$ MI hereby affirm that I have a certificate of consent to self-insure or a VALUATION—COO ZONE ZONING APPROVED BY h /I API DATE t / /O� certificate of Workers' Compensation Insurance, or a certified copy One r/� I 7 thereof.��fst11on 8 0, Lab.C.) STA7E FUND GRADING CU.;VDS. ACRES • SPECIAL CONDITIONS: I .y pio7J. VAJ/TG�e Wily ��p� ¢ - _ .ertlfied copy is hereby furnished. REMARKS: •• I J 13' •17L/._ 1. 1,.a1 Certified copy is filed with the city.Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - • • (This Section need not be completed if the permit is for one hundred - ' .($100) or less). 9 certify that in the performance of the work for which this permit Is - 'issuetl, I shall not employ any person in any manner so as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK - ' subject to the Workers'Compensation Laws of California. UWhLLING LaHHHtaE Date Signature BATHTUBS SHOWERS SO FT SO FT - NOTICE: If after making this declaration, you should become subject TOILETS URINALS ' -GENERATOR 0-1 KW_1-10 KW ' .to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER ' forthwith comply with such provisions or this permit shall be deemed LAVATORIES ' DOUBLE LAVS APPLIANCE 10.50 KW 50+KW revoked. 'CONSTRUCTION LENDING AGENCY• KIT.SINKS DISHWASHERS 'MOTORS. 0-1 HP 1-10 HP - 1 hereby of firm that there Is a construction lending agency for the per- SERVICE SINKS ' SUMPS (INC.SOLAR) 10-50 HP_50+ HP ' • formance of.the work for which this p&rmit is issued (Section 3097 - - Civ. C.). " FLOOR SINKS FLOOR DRAINS - FIXTURES OUTLETS SWITCHES • / :Lender's Nam¢ Q sc.�er A� [ f=tG 7C Lender's Address I.^77'"1 hl C.r pe,,,P1=-g.Y7 (2.M DRINKING FOUNTAINS GAS TUBE SIGNS , • OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS • .POLE LIGHTS • I'hereby affirm that 1 am exempt from.the Contractor's License Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL ' P TRAP LUNSI HUL IION - •- Any city or county which requires a permit to construct, alter, POLES METERED SUB improve, demolish or repair any structure, prior to its Issuance,also re- WATER SERVICE' - ALTERATION PANELS MAIN ' SUB , - . • 'quires the'ap,licant for such permit to file a signed statement that he - - -is licensed pursuant to the provisions of the Contractor's License taw GAS SERVICE OUTLETS • SERVICE AMP- - (Chapter 9 (commencing with Section 7000) of Division 3 of the - • . Business and Professions Code) or that he is exempt therefrom and the ' WATER HEATERS BTU OUTPUT - - • R for the alleged exemption. Any violation of Section 7031.5 by • ' applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS - ot more than five hundred dollars ($500). LJ I, as owner of the property, or my employees with wages as their SOLAR TANK • COLLECTORS sole compensation, will do the work,and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS. ISSUE FEE • //Q�� ' Contractor's License Law does not apply wh to an owher of a Propertyor APPLICATION APPROVED BY DATE/Z!_hsi who builds or Improves thereon, and who does such work himself or ISSUE FEE !!! ///��""!!!""" 7 through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES ' is sold within one year of completion, the owner will have the burden of proving, he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU PERMIT BUILDING S f0. So SMTP E �� ❑ 1, as owner of the property, am exclusively contracting with AND DUCTING licensed contractors to construct the project (Section 7044, Business 100,000 +BTU PLAN CHECK $ 6.Co PERMIT and Professions Code: The Contractor's License Law does not apply to ISSUANCE $ an owner of-property who builds or improves thereon,and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such projects with a contractor(s) licesned pursuant to SYSTEM ' GRADING S. the Contractor's license Law). 100,000+BTU ' • PLAN CHECK $ ' O 1 am exempt under Section - B.& P.C.for thisBOILERS BTU ELECTRICAL $ $ reason - PLAN CHECK $ MICROFILM $ SYSTEM REPAIR,ALTERATION Date Owner - TOTAL FEE E I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE - MECHANICAL E' • information Is correct. I agree to comply with all city and county . PLAN CHECK $ VANCE S PC $ ordinances and state laws relating to construction,and hereby authorize _ re0resenlativ 8f this City to Ater upon he above ment oned • Y • property fo Inspdpecction purpo .. /� 1� �] Signature �� '��� / ISSUE FEE • CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING - • POOL&SPA APPROVALS Permit# Date _ Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole • • - 43. Pool & Equipment Location ' ' - - ' ' .. -'-- 2. Soil Pipe-Undrgrn 44. Steel Reinforcement - - - - ' ' -" -- ' - • - - - 3. Electrical Conduit Utility-Undrgrn _ - - _ . .. 45. Forms - •.- . . ' 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel Reinforce 47. Rough Plumbing& Pressure Test--; - - 6. Electrical LIFER Grn - •' - 48. APPROVAL TO COVER-GUNITE' •• -- - • ' -- 7. Footings _ 49. Electrical Conduit-Undrgrn 8. Foundation - 50. Gas Pipe,.❑Undrgrn,Test 9. Water Pipe-Undrgrn - 51. Backwash Lines. P-Trap:fl Undrgrn - -• -• • • 10. Structural Floor System 52. APPROVAL TO DECK--' • • - . • • •.- 11. Property Sewer Line & House Connection 53.' Backwash & Receptor-Final 12. Street Sewer Connection .- 54. Heater& Vent-Final -- - 13. Rough Plumbing _ - _, 55 Plumbing System - Final J s• ' 14. Rough Electric-Conduit •56. Electrical-Final - '• 15. Rough Electric-Wiring - 57. Solar System-Final - 16. Rough Heating& Air Conditioning - _ b8. Fencing&Access Approval 17. Ducts, in Structure - 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating - . 19. Gas Pipe-Rough &Test - . - 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing . - 21. Roof Sheathing . • - • ' 22. Frame and Flashing - NOTES: _ 23. Insulation - . 24. Lathing & Siding - . .__ _.. - _ ._ _ . _ . . __ - - , 25. Drywall Nailing - __ 26. Plaster Brown Coat .- - - 27. Electrical Power Meter-Final _ _ - ' • 28. Final Electric - - - _ 29. Final Heating& Air Conditioning _ - 30. Final Gas Pipe-Test _ . . _ -'g. 31- ._ Final Plumbing • 32. Water Service-Final - - - ' ' 33; Gas Service-Final • 34. Solar Domestic-Final - - ' 35-- Landscape Sprinkling System _ - - 36. Sound Attenuation - , .. _ 37. Handicap Regulations - 38. FINAL STRUCTURE& BUILDING - 5D S. ITr-A • 14 • Q 39. Special Requirements Completed ' • - - - - -- 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY _ - _ . - •No Date . . ._ - __ - .__ . • v` — " • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA - P MIT NQ�.( TRACT NO. LOT NO. BL09,.NO/ • 0314 6!17/El2 . 357.27 T_ ' CONSTRUCtION-PERMIT C5 --d90,--d90,1,5- 1176,0 , 1 1 „g-- • Project Address n'67 /._./ apot fr.pE TYPE OF CONSTRUCTION / Owner/107, m/, e,,esr at/co/e, Phone9 6 x/74 NEW ❑•ADD 0 ALTERATION /p�/_ AddressA9 7oZC/n CE-�raxpe� •s e-ems 0 REPAIR 0 CONVERSION 0 DEMOLISH �/ - ,-1 jseR/Eng.h(sfl/C 46(c License No.t. ,0701_❑OTHER _ �.in ZONING REGULATIONS l Address DESCRIPTION OF WORK ms's C 7 A-P•* 1^/g -1'1I - 23 25 p (L _ • - ZONE pj2 PLUTGp.. REF.U�1LpSF (z-I Iaa03 I Contractor EUbfrlE 7 LIPPAIIK Phone 720-l�OZZ TYPE OF PERMIT SETBACKClLST. ASDUN PROPERTYLINE 'O" Address 2700 I-/b//TAo la LAME . • GAM - 0 GRADING 0 FOUNDATION 0 STRUCTURAL 51pE YARD / // LEFT -ifl110-r�-bIri.• .SI 60 - _ . LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL ❑PLUMBING ❑MECHANICAL • SIGE YARD '0/-‘,0 • _ - I I hereby affirm that I am licensed under provisions of Charter 9 (corn- _ RIGHT U monolog with section 7000) of Dlvis n 3o the Business and 0 OTHER , REAR YARD(TO P/L) ' . '^ - 1-^ w " Professions Code, and my license in full force ally erizr. (T {TIL,( kuvi 6G`/1///M�i4/ PROJECT DESCRIPTION- • iLicense Class ,w Ucen No: //� ��ii PKG.SPACE REQ. Z, " PROVIDED . Z,Kj (Date G'/7-RZ signature kC� ��� a-s-L// SQ.FT. ��S- - a f cal s _ - STREET WIDTH an/ /E(� PARK FEE $I,ZZ.1•_35 • WORKERS'COMPENSATION DELLA ATION •OCCUPANCN(3M,EpO NSTR UCTION TYPE U ZONING APPROVED BY jjj /+ W DATE- �T I o hereby affirm that I have a certifies a of consent to self-insure or a VALUATION (o<iff210 ZONE Ra - -- VI.s✓11 1d (O 11 I r. certificate of Workers' Compensation-Insurance, or a certified copy SPECIAL CONDITIONS: • ' 'Policy No.Z93380,ZLab. C.Company /TA s L FGAJD - • GRADING CU.VOS_ A•CRES BOLD FOR-SPECIAL CD� REQUIREMENTS, T`, "ertified copy is.hhhereby furnished. _ : - ' ' REMARKS: _ ' _ _ - _.' JI !sG lJ :edified copy Is filed with the city Building Division. n , 3a - /..27.0.3 riPd- - 6XEMPTION FROM WORKERS' COMPENSATION DECLARATION (, '(This section need not be completed if the permit is for one hundred .-s----}�- =n , ($100) or less). • �]73 ! (� `LLQ certify that in the performance of the work for which this permit is ',issued, iss eat to shallthe not Workers'employ any Compensation Laws In any California.nsoas to become' PLUMBING _ •'� - PLAN CHECK ELECTRICAL- -PLAN CHECK , BATHTUBS at - SHOWERS GQ .1)(1)1. W ELLINU - GAHAUL 11']75 _ -.271 TV 'Date Signature - 0.FT 1•��� Sll FT ``'tt'' 0(6 'NOTICE: If after making this declaration, you should become subject TOILETS' URINALS - GENERATOR ' 0.1 KW- 1-10 KW -_ to the Workers' Compensation provisions of the Labor Code,you must •TRANSFORMER ,forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS Q(� .APPLIANCE - 10-50 KW_50+.KW - revoked. ©G MOTORS 'CONSTRUCTION LENDING AGENCY KIT.SINKS- I• DISHWASHERS I. -- 0-I HP1-10 HP -- - il hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS - `• - -X - P(INC..SOLAR)_ 10-50 H50+.HP - . ) formance of the work for which this permit is issued (Section 3097 • - Civ. er' - - ?, PAC( M�/-st FLOOR SINKS -" ^FLOOR DRAINS FIXTURES- OUTLETS - SWITCHES Lender's:Name a"'f �e n (l �'nn • "Lender's7Addres6�n7-) k/erVrL4'^-Vs (3Lto• (palotAe4D PRINKING FOUNTAINS „ - ._ • - GAS TUBE SIGNS- - - - - OWNERBUILDERDECLARATION 1 ' f1rti�•s INTERCEPTORS - CLARIFIERS • I --POLE LIGHTS - - - - -I hereby affirm that.1 am exempt from the Contractor's License Law for the following'reason (Section 7031.5"Business-and Professions Code: ?SWIMMING:POOL' P TRAP (-LANs I Rut_ wag - • Any city or county which requires a, permit, to construct, alter, POLES METERED SUB. I improve; demolish or repair any structure, priorto its Issuance,also re- WATER SERVICE - ALTERATION - - oa PANELS MAIN SUB - quires the ap,licant for such permit to file a signed.statement that he . - is ilcensed pursuant to the provisions of the Contractor's License Law - GAS SERVICE - OUTLETS ' - Q /SERVICE • AMP ' 06 '(Chapter 9 (commencing with Section 7000) of.Division 3 of the • Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT - - ' basis for the alleged exemption. Any violation of Section 7031.5 by +I.;^,applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS I ; ' ♦ x 0 ��j, �r• /(�///(�� )� - 'Sean ,alt more than five hundred dollars ($500).. / Lr9 ear I /tee J -A.•:. as"owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS • - • - - '53Y¢ compensation, will do the work,and the structure is not intended - or offered Tor sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ' - ISSUE FEE - . . 3 CIO 'Contractor's License Law does not apply to an owner of a property g who builds or improves thereon, and who does such work'himself or ISSUE FEE .7 APPLICATION APPROVED BY //X.' (, /DATE 7/ >, through his own employees, provided that such improvements are not v�� iL !�/ / G.- intended or offeretl for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK , SUMMARY OF FEES ' is sold within one year of completion, the owner will have the burden - vJ ,of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING 9 / 0 7th PERMIT E�'C(Q J SMTP S T �❑ I, as owner of the property, exclusively contracting with AND DUCTING licensed contractors to construct the project (Section 7044.not Business 100,000 + BTU PLAN CHECK $ � / / PERMIT and Professions Code: The Contractor's License Law does not apply to `'7"/ 06 ISSUANCE`. $ an owner of. property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such projects with a .contractor(s) licesned.pursuant to SYSTEM GRADING $ the Contractor's License Law). 100,000+BTU PLAN CHECK $ �(5� ❑ I am exempt under Section- B.& P.C.for this BOILERS BTU s ELECTRICAL -$ a ' $ - - reason -, - .• I MICROFILM'$' - SYSTEM REPAIR,ALTERATION PLAN CHECK $ Date Owner .TOTAL FEE$ I hereby certify that I have read this application and state that the above EXHAUST SYSTEM , MULTIPLE a MECHANICAL $ r ®"d Information is correct. I agree to comply with all cit and county PLAN CHECK $ VESS'AD- 9 PY Y VANCE PC E_ - repres ordinances and ate laws relating to car uuctiorfr and hereby authorize representativ of this city to nter upon' he above/,santi nedprope �I Signatrty ure f i,j'(spedlon urpo - �/- 1550E FEE eTi. - . CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;.Goidenrod-Assessor CONSTRUCTION AND PLANNING - • POOL& SPA • +. • - + APPROVALS Permit # -39.2-5 9 _ Date Inspector APPROVALS Permit# Date Inspector - _ ._ _ __ 1. . Temporary Electrical Service or Pole 43. Pool & Equipment Location • - - - 2. . Soil Pipe-Undrgrn • tt y74z r" ' 44. Steel Reinforcements...-0. - 3. Electrical Conduit Utility-Undrgrn - 45. Forms 4. Electrical.Conduit-Undrgrn - (o-(%_%i_ t r _. 46. Electrical Bonding. 5. Steel Reinforce _ - 47. Rough Plumbing & Pressure Test 6. Electrical UFERGrn__ . (c.-Th_J5'Z Itt 48. APPROVAL TO COVER-GUNITE • . 7. Footings • V, 10• _y} noo • '4scs- /--/?.A.; 49. Electrical Conduit-Undrgrn.. 8. Foundation . V S c1 4,16(-9a pj50. Gas Pipe, ❑Undrqrn,Test ' 9. Water Pipe-Undrgrn _ _ .6-as-en- i�C 51. Backwash Lines, P-Trap. 0 Undrqrn - • 10. Structural Floor System . . _- _ . 1 52. , APPROVAL TO DECK 11. Property Sewer Line & House Connection - 53. - Backwash & Receptor-Final ' 12. Street Sewer Cgnnection _ ,-• 54. Heater & Vent-Final , 13. Rdt ii'Plilthbingn ar t,rs i %i:_: s�,±ut1. ��/�(� - . . ;:a. 9 8'a2 � iesee' S5 Plumbing System -Final ....`r 14. Rough Electric-Conduit - 56. :Electrical-Final • {:` 15. Rough Electric-Wring et_/y-cc 2._ e,L. 57: Solar System-Final 16. Rough Heating & Air Conditioning - - b8. Fencing& Access Approval .. 17. Ducts, in Structure - 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating - 19. Gas Pipe-Rough &Test I - - 60. POOL/SPA SYSTEMS FINAL 20: Root Framing - - - . . 21'. Roof Sheathing - 1_30-$a A - - 22: Frame and Flashing - 9-16.4z- f 2 NOTES: 23. Insulation QZ,o N-2-9- 2- c.SpLE Re/// $•oal4 -MS S,( - ,Q s73 3j , 6-176-1724. Lathing& Siding ' f2.4.0f2.4.03a-s" G1 • 9/ / o/ , / Any 1/1_ a/P. c a+s4t 7--/ 8'i2 25. Drywall Nailing . .ta-•c _3o--#s L 8_ .'t0-$a. ei.r...n o.7 --.%,7 n- -. 26. Plaster Brown Coat . - ,a -der - r7A___ 451 -'Y+l 27. Electrical Power Meter-Final - O . - 28. Final Electric - . . //-/7_Biz C °L 29. . Final Heating & Air Conditioning - . - _ ' - 30. Final Gas Pipe-Test - //-9-17 Z.,e' - 31. Final,Plumbing //72r-an_ 32. Water Service-Final. - - . - 33. Gas Service-Final' _ • 34. Solar Domestic-Final , 35. Landscape Sprinkling System • - - 36. Sound Attenuation . - - - -- • 37. Handicap Regulations - - - ' 38. FINAL STRUCTURE & BUILDING la_7..g2, Ste% - . 39. Special Requirements Completed /2-23 c ck . 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. ' 42. CERTIFICATE OF OCCUPANCY ' 1 . 1 No. ' Date . - - 8332 6/ 17/82 352.2/ IL Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA P MIT NRR TRACT NO. LOT NO. BLD N.2 . - - . 'iCONSTRUCI'ION PERMIT Cj 3 G - II'1(.OU I - . • Project AddressP57 /9•-•z, aOtf Y b / TT9(9E OF CONSTRUCTION ' - -- • • 'Owner j74q�• $ W� °' Phonne766-//74 N NEW 0 ADD ❑ ALTERATION /j'lJ , 14 Address//PS ran e�7br eZ Ste- to 0 0 REPAIR 0 CONVERSION ODEMOLISH ;� �"' ZONING REGULATIONS I A.cr7Eng. f��/(1..7�, License Noe 3 70¢. ❑ OTHER .•s �. s W DESCRIPTION OF WORK,P. ST/1/ty -r.i[PO ^ A.P.ItLf?R- lit - - 2-(j Address I. - - `-�' ��[[�� • ZONE 2, PLNG. REF. �, yp j- -[' L Contracto€U(rede J opine Pho'13XWa)` TYPE OF PERMIT - Y ' r BUILD, C TQ gw1ILpING ) - SETBACK C/L ST.f,I A.l.. PROrP-�E�.,R�TGY 1LINE 1� Address -7O�-70r) L-r L..flrNadSP I-Awe- CDM 0 GRADING 0 FOUNDATION 0 STRUCTURAL SIDE YARD 51 vl.,e Cl F♦ l4-h1 Ail 1 n - ` LICENSED-CONTRACTOR DECLARATION -❑ TENANT ❑ ELECTRICAL' ❑PLUMBING ❑MECNANICAL LSIDE YARD j sI to l d.l I hereby affirm thk[ I am licensed under provisions of Charter 9(corn- .` ` RIGHT _ . mending with section 7000) of ,Division 3 of the Business and .0 OTHER ,_' a Professions Code and my license s In full force an eff ct. s 1. ' ,REAR VARD(TOP%L) a- t y ' '-' - - - _ 3 CJY PROJECT DE CRIPTION' :� n License lass - License No! -' _ - _ ` PKG:SPAC E'R EQ.` Z-,g - 'PROVIDED b„� - Date Signature ^-v SQ.FT �6�� � ` - s !, gyp " p // -a ��' /N� �N ` STREET WIDTH-`' �" PARK FEE$ I '1 55 WORKER 'COMPENSATION DEC RATIO OCCUPANC ONSTR_UCTION TYPE Wel (�:`� .1 hereby affirm that I have a certif ate of consent to self-insure or a , VALUATION 4G' ZONE �'- - ZONING APPROVED BY ' I IAJLVI DATE• I'7-'C fl certificate of-Workers' Compensation Insurance, or a certified copy - • - - I iJl // C �l , thereof( 9y38Qp�b. C.). GRADING CU.YDS. ACRES - - `SPECIAL CONDITIONS: .. '" " ' Policy No f-'aa•L Company57✓+7e /C5/40 _ - _� HOLD FOR SPECIAL_ REQUIREMENTS - •• 'ert ified copy.is hereby furnished.. _ REMARKS: - '. -• - - _ ` :ertifietl copy is filed with the city Building Division. J 1 y ��� ��`. - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION p'IC7 JR - ' (This Section need_not be completed if the permit Is for_one hundred - / �9/y /7 -. • - • ($100) or'less). , - - e-.� �. �t�--✓ . . . 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' PLUMBING - - PLAN CHECK ELECTRICAL - PLAN CHECK +��J Subject to the Workers'Compensation Laws of California. BATHTUBS SHOWERS - ' �" ( SO FT INl.'1'(j4Q - tv A E. 438 GY6 tp ' Date Signature NOTICE: If after making this declaration, you should become subject ' TOILETS , 3 .URINALS - • - — GENERATOR --0-1KW- 1-10 KW - - - to the Workers' Compensation provisions of the Labor Code,you must _ TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES 3 DOUBLE LAYS i' APPLIANCE - 10-50 KW_50-+ KW _ _ revoked... ' —- - CONSTRUCTION LENDING AGENCY - - _ KIT.SINKS - I DISHWASHERS-1 Y, .4 Oa. ; MOTORS • - 0-1 HP 1-10 HP - I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS 0- •- SUMPS - ` • (INC.SOLAR) 10.50 HP_50.+ HP ' formance of the work for which this permit is Issued (Section 3097 - • Civ. C.). — -72 t2rrt.�L1/et,74 fl& -E FLOOR4SINKS• 0 : FLOOR DRAINS-- . r- - FIXTURES ' OUTLETS SWITCHES - Civ. cr's,Name, d� _ ' L.ender's-Address�L•777U19Q-e Z4--�JCUo WZ 7+9` DRINKING FOUNTAINS• - GAS TUBE SIGNS - - - _- OWNER BUILDER DECLARATION, - - •- ' NLCLS ' INTERCEPTORS - ' CLARIFIERS .- - - -' - POLE LIGHTS - - - - - -• (.hereby affirm that I am exempt from the Contractor's License Law for - , the-following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL • 'P TRAP- - r t- LUNO,Hut IJUry Any city or county which requires a permit to construct, alter, 'POLES METERED SUB - Improve,demolish or repair any structure, prior to its issuance,also re- WATER'SERVICE U -ALTERATION �� PANELS - MAIN 'SUB, - quires the ap,.11cant for such permit to file a signed statement that he T is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE 1' OUTLETS �pa /SERVICE - AMP- `Chapter 9 (commencing with Section 7000) of Division 3 of the q Business and Professions Code) or that he is exempt therefrom and the WATER-HEATERS - BTU OUTPUT dnl, - - -- - - basis for the alleged exemption. Any violation of Section 7031.5 by,..:-. applicant - i. for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS 1'--,, a - -w`'' wtmore than five hundred dollars (5500). .tyk-•, as owner`ol'the property,'or my-employees with wages as their SOLAR TANK - - - COLLEC_TORS` - -- - .. -Sole compensation, will do the work,and the structure is not Intendetl -or offered for sale. (Section 7044,'Business and Professions Code: The SOLAR PIPING SYS. . . . . ' - - - - + ' ' ISSUE FEE - - C .wootrautor's License Law doeo not dpwy td as owher of a prsvertr � APPLICATION APPROVED BY �G `/ /i"DATwho ghilhs or nemplos es, prn, ded that tich5 mpri wore t ascil or ISSUE FEE " '- " 'I- - ' - -' yGJ� through his own employees, if, ho a that such improvements aro not .� Intended or n oned for sale. If,'however, the building or improvement MECHANICAL PLAN CHECK - - is sold within year of completion, the owner will have the burden ,/ i SSUMMsMA�R�Y OF FEES of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU V ERMIIT BUILDING Ems_s��ScLy��SMIP $ ' ❑ I, as owner of the property, .am exclusively contracting with AND DUCTING- - r// ��ag licensed contractors to construct the project (Section 7044, Business 100,000 + BTU L W PLAN CHECK $ PERMIT - and Professions Code:.The Contractor's License Law does not apply to - C 1147fl� ' ISSUANCE $ ' an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts .from-such projects.with a contractor(s) licesned pursuant to SYSTEM _ _ 'GRADING' 5- ' the Contractor's License Law). 100,000.1' - - -PLAN CHECK -5 ;� .. - „ E SI _. ❑ lam exempt under Section - - --B.-& P.C;for this BOILERS BTU - - s .ELECTRICAL" S 3 - - _ MICROFILM 5. . reason - -- - - 'PLAN CHECK -5 •- Date - Owner SYSTEM REPAIR,ALTERATION D a TOTAL FEE$„R., -.MECHANICAL-M ECHANICAL S - I hereby maticertifyis that I have read this application and state that the above EXHAUST SYSTEM 1 MULTIPLE p�,r/sJ LESS AD- Information is correct. P agree to comply with all city and county I - PLAN CHECK $ VANCE PC -$_ - -- repres ordinances an le laws relating to construction,and hereby authorize • - _ - property fl of this city to grater upon the ab�e-,meng9onatl - '//- \ Signatur I inspection CuyurPo I / //O - - - -.5-`�! -7 •ryl' Signature pale a FINAL FEE Drivers'Lice or ISSUE-FEE 3 CO _ CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor p CONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit# 6- 3Ia(' Date Inspector APPROVALS Permit# -- Date • - Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Undrgrn • G r/7-S'I _Sir 44. Steel Reinforcement t.....,.,,,a., ' - 3. Electrical Conduit Utility-Undrgrn - - . . . _45. Forms 4. Electrical Conduit-Undrgrn to dif42- (1 C 46. Electrical Bonding 5. Steel Reinforce . 47. Rough Plumbing & Pressure Test . - 6. -ElectricalUF.ERGrn L,-1 it1 C C_. 48. APPROVAL TO COVER-GUNITE . - 7. .Footings- It A). S;toilr 6_ l7•!� r 49. Electrical Conduit-Undrqrn 8. Foundation- - - - t'JSAIL, _.. • Co-. -Jt� .�� 35L5� 50... Gas Pipe, 0 Undrgrn,Test • . 9. Water Pipe-Undrgrn - •. - - .. . ' 4-,ZT�L T r C 51, Backwash Lines.P-Trap. 0 Undrgrn • 10.- Structural Floor System . - 52.• _APP_ROVAL TO DECK -11. Property Sewer Line & House.Connection . . 53. Backwash & Receptor-Final • 1 12. .Street,Sewe;Connection - 54. Heater &Vent-Final 13.• Rough•hluinliingJh -ira.irtG 1141 tLiUitjr-i--/f2- /41411 55 Plumbina Svsteri - Final • , 14. Rough Electric-Conduit - .56., Electrical-Final 15. Rough Electric-Wiring 0/_/ _ L 4 . C-c. 571 Solar System-Final ' ' , 16. Rough Heating& Air Conditioning -- 58. Fencing & Access Approval , 1.7. Ducts, in Structure - . 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating - 19: Gas Pipe=Rough &Test - - - 60. POOL/SPA'SYSTEMS FINAL ' - 20. Roof Framing • - . • 21. Roof Sheathing j-30-g- - iQ 21.1 • - 22. Frame and Flashing q-/teJG 0 NOTES*. ' • A 23. Insulation • r-4o - 9r2�9i--& - $P•{ 'ftfs3a -)/*-ALd-(I•L?' fl,yj 4J 4 9J /O_ 24. Lathing & Siding - Ro - 9 e moi., II *Nee I IL. vWe,- .•.ea' -/li-X 2--.; 25. Drywall Nailing - • . " t' 26. Plaster Brown Coat - - ' - - • 27. Electrical Power Meter-Final - • - - 28. Final Electric - - • //- /7-in- , C- e - ' • 29. Final Heating & Air Conditioning - . 30. Final Gas Pipe-Test - //5- 31. -Final Plumbing �/7SirZ z 32. - Water Service•Final _ - 33- Gas Service-Final - - '34. Solar Domestic-Final 35. - Landscape Sprinkling System • v - • 36. Sound Attenuation - - ' 37. Handicap Regulations - 38. FINAL STRUCTURE & BUI LDING 1a.7- YL ' �S ' - - - _ ' 39. Special Requirements Completed /z-Z34. 01/4591 - 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. f ;' 42. CERTIFICATE OF OCCUPANCY No. Date • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF-COSTA MESA ' P ITN TRACT NO. - LOT NO. BLD�y N9� •CONSTRUCTION PERMIT 6— q a 7 1-7(00 I H C� 8331 6/1 7/82 352.27 TL ' Project Address y� r�,'�#3 rybean ,4_L/ • . TYPE OF CONSTRUCTION • • ' Owner/pall/WLR/tef e p.4 C0Afi Phone 5766 r((7,, C'NEW 0 ADD 0 ALTERATION '- - - ' ,Address(pf✓r,rc,7c9 centreca e S2D$oo 0 REPAIR 0 CONVERSION. ❑DEMOLISH - ZONING REGULATIONS N .Begt)Eng./e[f�Q ( License No.t ' Cel 0 OTHER t ` ^ A,P,it C�- j�I- 75 I Address • T DESCRIPTION OF WORK e- S >'�y - Oc .00- 3. e nr/ /, % t ) ; / .. ZONE P12• ' PLNG. REF.%f -r b-I'74-08 'v ContrectorEU{rel�P J LIQhM�/ Phon7?O/b ..2 TYPE OF PERMIT ,BUILDING ��yy,��� �/I L,pING i1 / SETBACK C/L ST. (a an/t7Z]y�t�g]s'Ef7TY LINE1��s����, 0,s'2N Addre55a707 1.14•147-1-Ice LIQ pee f co M ❑ GRADING (] FOUNDATION CI STRUCTURAL DE YARD (,7 1 foil...in C I�� 4•. (A t CA1 n�{ I LICENSED CONTRACTOR DECLARATIONLEFT -A 'l ll S J 0 TENANT 0ELECTRICAL ❑PLUMBING ❑MECHANICAL SIDE YARD ICY u 1` I herebycitI am licensedof under provisionsfof un 9(cam- - RIGHT la Cl " - 1 Profess s with section 7000)myof Division 3 the Business and 0 OTHER , ' 1 Professions Code and my license is In full force .n• _f ect. • a r I ; REAR YARD(TO P/L) I I " , • • PROJECT D SC IPTION r LlcerSse lass - - License N.. •' % � •-`s PKG:SPACE REQ. 2 . ✓ 'PROVIDED 2..,� Date - Signature .� • a __�� •• SO.FT. p���/ �� `' ,�yyy� y�aa • • OCCUPANCY7IL'EGONSTRUCTION,TQy PEE 14. \ STREET WIDTH •aOz CA__ PARK"FEE'S I L`I ;35 WORKERS_irm that I have a ii sf consentto self-Insure or a VALUATION�9�g� -1JI M1� Wei l r"1l certificate of Workers'-Compensation Insurance, or a certified_copy - SPECIAL CONDITIONS: thereof(Shu�tt' 800 b,C.). �7' GRADING CU. YDS. ACRES - Policy No•• • 'Company 5 r� (c- FG 140 ._ - - HOLD FOR SPECIAL. RF.RIIIRFMFNT$ 'eriified_copy is hereby furnished. _- ' REMARKS:: _ - _ - - .4C, - - - - :ertified copy is filed with the city Building Division- / - I �•t, EXEMPTION FROM WORKERS' COMPENSATION DECLARATION � • • /- . _ 3• i!// a- C (This section need not_be completed if the permit Is for one hundred - �.. �j 40 - Ws _ I ' ($100y-or leis). - - D - • - " I certify that In the performance of the work for which this permit is L. issued','I-shall"not employ any person in any manner so as to become PLUMBING -PLAN CHECK • - • - ELECTRICAL PLAN'CHECK . subject to the Workers'Compensation Laws of California. ' - - - UWbLLI NG VHHAGt oo /� Y!t/ (y�� ' Date - - Signature - BATHTUBS I. SHOWERS l ...... SO.FT Jial0 SO FT �J� 42.0 -11 -r NOTICE: If after making this declaration, you should become.subject TOILETS, -. 3 URINALS - • •41' r` GENERATOR 0_1 KW.=1-10 KW - - - i to the Workers' Compensation provisions of the Labor Code,you must - TRANSFORMER •• forthwith comply with such provisions or this permit shall be deemed LAVATORIES 3 DOUBLE LAVS -zD APPLIANCE 10-50 KW_50+ KW - - •• - - - revoketl. _ - - KIT.SINKS - I DISHWASHERS,I-,• !l i- MOTORS - - - • CONSTRUCTION LENDING AGENCY - 0-1 HP HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS 0 • SUMPS - - - lee IIINC.SOLAR) _ 10-50 HP 50+HP • _ ' • formance of the work for which this permit Is Issued (Section 3097 • ' ' Civ. CJS -DESERET Pacific:- • MORTGAGE ,.FLOOR SINKS D y FLOOR DRAINS FI%TURES OUTLETS SWITCHES - - Lender's Name ' Lender's Address 14777 -V RA .P7/. W/M7f11NO {{IIIc - •DRINKING FOUNTAINS D , . - GAS TUBE SIGNS - - - , OWNER BUILDER DECLARATION •'• - -' - INTERCEPTO}RS ' CLARIFIERS' • • POLE LIGHTS I hereby affirm that I am exempt from the Contractor's License Law for _ the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP LUNS I Hut.I LUN Any city or county which requires a permit to construct, alter, POLES METERED SUB • _ improve,-demolish or repair any structure, prior to its issuance,also re- WATER SERVICE j ALTERATION a a PANELS MAIN SUB • - quires the ap•licant for such permit to file a signed statement that he is licensed-pursuant to the provisions of the Contractor's License Law GAS SERVICE I OUTLETS- _ ,2_ -- SERVICE - • - - AMP - ((Chapter 9 (commencing with Section 7000) of Division 3 Or the � . Business and Professions Coda) or that he li exempt-therefrom and the WATER HEATERS -1- BTU OUTPUT- -a' - - - - - basis for the alleged exemption. Any violation of Section 7031.5 by • o applicant for a permit-subjects the applicant to a civil penalty- SEWER CONNECTIONS- I -' .& - ' - -- • - - 4 more than five hundred dollars ($500). 'as-owner'of the property, or my employees with wages as their ' SOLAR TANK- • COLLECTORS • . I - - • '- - ' Selo compensation, will do the work, and the structure is not Intended - - �'{ 1. or'dffered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. • r . ISSUE FEE - - - if ✓ . Contractor's License Law does not h toes owsuch of a s ty or APPLICATION APPROVED BY s ATE --,/ who builds ori oy thereon,roand who does mph wore thimself or ISSUE FEE - 3 ?— I �`" 7 through his own foremployees,le. provided that such improvements are not _ _ is sold tl or offered for sale. If, however,the ng or Improvement -MECHANICAL - -PLAN CHECK SUMMARY OF FEES Is sold within one year of completion, the owner will have the burden / - , - BUILDING /_ Q 75 - - ol proving -he did 'not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU ,PERMIT $ a 7 SKIP $ ' ❑ I, as-owner. of. the property, am exclusively contracting with AND-DUCTINGr licensed contractors to construct the project (Section 7044. Business 100,000 +BTU � PLAN CHECK $ PERMIT . and Professions- Code: The Contractor's License Law does not apply to , Ob ISSUANCE $ ' an owner of property who builds or improves thereon,and who con- REFRIGERATION 0-100,000 BTU PLUMBING.. $ tracts..from such projects with a contractor(s) licesned.pursuant to SYSTEM - 'GRADING E the Contractor's License Law). 100,000+OTU ,PLAN CHECK $ , I C1 I am exempt under Section ' B.& P.C.for this -BOILERS BTU • - - ELECTRICAL E 34 'V' $, reason - - -- PLAN CHECK $ MICROFILM $ Date • Owner SYSTEM REPAIR,ALTERATION �j TOTAL FEE$ I hereby certify that I have read this application and state that the above EXHAUST SYSTEM 1 MULTIPLE • R Q0' MECHANICAL S 7.O 0 0/ 00 CHECK $ LESS AD- informallon"is correct. I agree to comply with all city and countyVANCE PC $_ "' - ordinances and ate laws relating to construction and hereby authorizeI -- t representativ Of -this- city to ter upon a above en oned ' property f Inspection - ISSUE.FEE _ ' & A O - CMF 0865-46 White-Building;Canary-Applicant:Pink-Accounting;Goldeni-od-Assessor . CONSTRUCTION AND PLANNING POOL& SPA - - ' • APPROVALS . •3 l Permit# - p Date Inspector APPROVALS Permit# • Date - ''Inspector a'1 -- _ 1. Temporary Electrical Service or Pole - _ 43. Pool & Equipment Location - ' 2.. Soil Pipe-Undrgrn - - . Z-/7-n- £-' 44. Steel Reinforcement k...,-,"-....t - • 3. Electrical Conduit Utility-Undrgrn fI% - . _ 45. Forms -1--- ' 4. Electrical Conduit-Undrgrn - 46. Electrical Bonding • 5. Steel Reinforce •' , 47. Rough Plumbing & Pressure Test 6. Electrical.UFERGrn - - 61%-F7C•C 48. APPROVAL TOCOVER-GUNITE - 7. Footings tib N. S'.�. alarV-k-aleK G-f7...ps- 49. Electrical Conduit-Undrqrn ' 8. Foundation , dd jp.14-4-1 ) 50. Gas Pipe, ❑Undrgrn,Test , 9. Water.Pipe-Undrgrn G-¢7 f y C 51. Backwash Lines,P-Trap. ❑Undrgrn 10. Structural Floor System - 52. APPROVAL TO DECK • 11. Property Sewer Line & House Connection . - 53. Backwash & Receptor-Final 12. Street Sewer Connection '• 54. Heater & Vent-Final 13. iRoughlitliinibidg.,IPi)9;.. );l)1 (LAM - eA 4../l L2j 55 PlumbinoSystem -Final 14. Rough Electric-Conduit !-. 56.• Electrical-Final ' 15. Rough Electric-Wiring 9-111 42 -e,t 57.' Solar System-Final - 16. - Rough Heating & Air Conditioning - - -b8..- Fencing &Access Approval 17. Ducts, in Structure , 59. APPROVED FOR PLASTERING . 18. Ducts,-Ventilating • - • - - - - . 19. Gas Pipe-Rough &Test - 60. POOL/SPA.SYSTEMS FINAL - 20. Roof Framing - - - • - - • 21. Roof Sheathing t-3o-E).. R, 2s1 - • ' v 22. Frame and Flashing • ' \-4C„4t� D M - NOTES: 1. - • • 23. Insulation - - q. a.,_ P S-e< 4e1041S-ry A1-44,4 £X•47 .31 L)// s? `. 7' 24. Lathing & Siding - i ;�3" $'i - / O,, /l qu a, /Q, - (/lPri i . ce �7-/6-$�_ 25. Drywall Nailing - ( 1..`0 - A) �Y • - 26. Plaster Brown Coat _ 27,. Electrical Power Meter-Final 28. Final Electric rt-f-1-St de • 29: Final Heating & Air Conditioning - - - - - 30. Final Gas Pipe-Test //-% 7- mac' , 31. Final Plumbing - ///,j'�Z ' 32.. Water Service-Final - . - - - - - • 33. Gas Service-Final 34. Solar Domestic-Final . • • 35. " Landscape Sprinkling System • . . 36. Sound Attenuation ' 37. Handicap Regulations _ • ' 38. FINAL STRUCTURE& BUILDING IQ•1.8z > > • __ _ 39. Special Requirements Completed /Z-23-€7 pe-CIZO[/- 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. , ,,t 42., CERTIFICATE OF OCCUPANCY - ' 1' - • No. ' Date - , . • I • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PE5V IT NeaOq . ry TRACT NO. LOT NO. BLDG.N - - 8330 6/ 17/82 352.27 TL ' CONSTRUCTION PERMIT l�'1 /c 11700 i 13-v • Project Address 0.3-6y 4-/�pOl,Aye TYPE OF CONSTRUCTION . • c Owner ea, A vIw "hone'. -7/. NEW ❑ ADD ❑ ALTERATION i • - /// ❑ REPAIR ❑'CONVERSION ❑DEMO L(SH • f ZONING REGULATIONS g. - o. ❑OTHER —' - -/ ' / //_ DESCRIPTION OF WORK 9 SCO CO)ZCO" ZONE 4oq_ I'1I17 3d LNG. REF.$ -gl-03 k9.r.am4suayeg _s! a7 p,/.(/� PhonQ]O 1 TYPE OF PERMIT • - - .. • • • I. q _ TO BUILDING�.11,�,..,, / ' ,i SETBACK C _ T. I E IU���l�l� a.. Address i0 - ,/ / 0 GRADING O.FOUNDATION -❑ STRUCTURALJ I• YARD lel/ ' • • rLICENSED.CO NTR•CTOR DECLARATION- • - 0 TENANT 0 ELECTRICAL ❑PLUMBING ❑MECHANICA' SIDE Y• ••• /_ f I hereby affirm that I am licensed under provisions of Charter 9(corn- •1 + • RIGHT ' -I i Lill 0 ' � O i-S 71 �s Ina' . mefessi with section -7000) cofe •Division 3 the Business antl. 0 OTHER - REAR YARD(TO P/L) .� Professions Co and my license In full force an f eel. . n d/yam N3. ❑p� PROJECT DESCRIPTION, • + -_ n LitenTo las _f�7 License ryy/ 0 ! PKG.—SPACE REQ. [�, PROVIDED- s. 5 SQ.FT. /6,177 Dat Signature - STREET WIDTH ' L - PARK FEE $ TION � r� UN G IZ2�. 9 WOR ERS'COMPENSATIONttIhavaDELL ATION - 'VA UATION i 1�00N5TRU ZONE T]'PE ZONING APPROVED BY Oho!'in DATE (o I7 ©• I herebyicaffirm oke I have a nsati n Insurance,of consent oto Setor a VALUATION Ssi Y' . /�a� A7f 4 l 1'Il l 1 . 'certificate of Workers' Compensation or a.certified copy - - - - 'SPECIAL CONDITIONS: - thereof(Sf{Ug0,380p.}eb. C.). �47r rs_a_2 GRADING CU.YDS. •- ACRES )>olicy N 4 r7..L C°rp°a"' /'- HOLD FOR SPECIAL REQUIREMENTS • -.ertifietl copy is hereby furnished.- __ REMARKS: . _ . 'l,A .: :ertifietl copy is filed with the city Building Division. ff���� �/I� /�� - , jtXEMPTION FROM WORKERS' COMPENSATION DECLARATION alt. !..-!Cl p?4R. 3C 1'L / ,1 ie 1.O (This section need not be completed if the permit is for one hundred / - ($100) or less). - 72.)7-19"4—. Alc� - - - - • - 1'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 PLUMBING PLAN CHECK- ELECTRICAL- - •PLAN CHECK ,- -- subject to the Workers Compensation Laws of California. ^ U'tLLING 11 11?l t HH(at I-, ♦ �` Date Signature- BATHTUBS d' • SHOWERS - - s/o l-l/ NOTICE: If after making this declaration, you should become subject TOILETS 3 URINALS a GENERATOR- 0-1 KW -140-KW - - to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES 3 DOUBLE-LAVS --- APPLIANCE 10-50 KW_50-+ KW • revoked. • CONSTRUCTION LENDING AGENCY KIT.SINKS i - - 'DISHWASHERS I- , - - �- a MOTORS-- - ' 0.1 HP_1-10'HP I hereby affirm that there is a construction lending tgency for the per- SERVICE SINKS " •. SUMPS' \ - ' (INC.SOLAR) 10.50 HP50+HP formance of the work for which ts permit is issued (Section 3097 - - - - Civ. C.). -/1 e2G�^/!7Q(//CIr d,r�`�,; •, FLOQR SINKS -'FLOOR DRAINS FIXTURES-- - OUTLETS -SWITCHES LA. C.). Na mer J f.7 n/�•'fll ' • Lender s•Atltlress� 77 V/nl rcLt.L-�.yVQ /././Sam/) DRINKING FOUNTAINS - -- GAS TUBE SIGNS - OWNER BUILDER DECLARATION '- J . ' ' .1- . • INTERCEPTORS ' - CLARIFIERS- POLE LIGHTS - - - I hereby affirm that I am exempt from the Contractor's License La Ww for __ the.following reason (Section 7031.5 Business-and Professions Code: SWIMMING POOL P TRAP POLES METERED SUB - Any city or county which requires a permit to construct, alter, -. - improve,demolish or repair any structure, prior to Its Issuance,also re- WATER SERVICE i ' ALTERATION - e ) PANELS MAIN - SUB '• • • quires the ap,licant for such permit to file a signed statement that he - is licensed pursuant-to the provisions of the Contractor's License Law- GAS SERVICE 1 - OUTLETS - _ ae SERVICE- • - AMP - - - 0. 6 Chapter 9 (commencing with Section 7000) of Division 3 of the _ usiness and Pro/essions Code) or that-he is exempt therefrom and the WATER HEATERS'! - BTU OUTPUT • -p - - - - - - • - - I basis for the alleged exemption. Any violation of Section 70313 by _ z;N: applicant for a•Permit subjects the applicant-to a civil-penalty SEWER'CONNECTIONS i '.• -- I • - ----- - -- - - . . y�:Q,;;rlt more than five hundred dollars ($500). • ••:,"vi>"as owner of the property,or my'employees with wages as their- SOLAR TANK - COLLECTORS- ;- - - -- - so`ie Compensation, will do the work,and the structure is not intended _ _• _ • or offered for sale. (Section 7044, Business and Professions Code: The' SOLAR PIPING SYS. • ISSUE FEE .- - -tO Contractor's License Law does not apply to an owner of a property ��o /a • who builds or Improves thereon, and who does-such work himself-or- ISSUE FEE- APPLICATION APPROVED-BY WO( DATE " 1I through his own employees, provided that such improvements are not • - - - s� _ r I Intended or offered for sale. If,'however, the building or improvement MECHANICAL PLAN CHECK • SUMMARY OF FEE - I is sold within one year of completion, the owner will have the burden - .BUILDING• - of proving he did not build or improve for the purpose of Salo). 0�ss .7 S -• 'S- HEATING SYSTEM 0-100,000 BTU ,PERMIT E ��v+ /,5 SMTP .S L I, as owner of the.property, am exclusively contracting with AND DUCTING licensed contractors to construct the project (Section 7044, Business 100,000'+BTU _al PLAN CHECK $ PERMIT - . . and.Professions Code: The-Contractor's License Law does not apply to //Is ISSUANCE. $ • an owner of property who builds or Improves thereon,and who con• REFRIGERATION 0-100,000 BTU PLUMBING $ • © 1 tracts. from such. projects with.a contractor(s) licesnetl pursuant to SYSTEM- . " - ' GRADING $ ' the Contractor's License Law). 100,000 +BTU 'PLAN CHECK -E_���y..y{/ l - ❑'I•am'exempt under Section B.& P.C.for this- BOILERS BTU ,ELECTRICAL E y i�LiII $ reasonMICROFILM $ SYSTEM REPAIR,ALTERATION 'PLAN CHECK E Date Owner 17, Gt..f TOTAL FEE$ ' �S ,MECHANICAL $ I hereby certify that I have read'agree this a o ly and state that the above EXHAUST SYSTEM i MULTIPLE v�C a PLAN CHECK- $ LESS AC/- information-IS Correct, I agree t0 Comply with all city and county - VANCE PC E_ ordinances and to laws relating to Construction,and hereby authorize 1 represenlatly 1 this city 'to e t r upon ,,,yypllle above ,,,���nnnenpgonetl ill - ' property. fo msp, - -elion p °seL�_,.. / ISSUE FEE - �• i. CMF 0865-46 White-Building;Canary-Applicant;bink-Accounting;Goldenrotl-Assessor • CONSTRUCTION AND PLANNING - POOL& SPA :. APPROVALS Permit # -3 a-g Date Inspector � APPROVALS Permit# • Date Inspector 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location - • - - ' ' - - 2. Soil-Pipe-Undrgrn p9•/ 7 e- .44 r 44. Steel Reinforcement ..._.•.r- • - 3.. Electrical Conduit Utility-Undrgrn • . -.. ' . . . _ 45. Forms -V- '\- • - - - . 4. Electrical Conduit-Undrgrn - 15- t,-�5-.j2 Co 46.. Electrical Bonding - • .5._ Steel Reinforce • 47.. _ 47. Rough Plumbing & Pressure Test - . 6. Electrical UFER Grn _ ler1S42C 48. APPROVAL TO COVER-GUNITE . 7. .Footings . .. )4) • y��yy� cc (0_.114.-_ 49. Electrical Conduit-Undrgrn • 8. Foundation `� ' . (�-�r/:Ar...-<%� 4 50. Gas Pipe, ❑Undrgrn,Test 9. - Water Pipe-Undrgrn _ . ._. _ . . - l-,27 c - I 51. Backwash Lines,P-Trap, ❑Undrorn -•- 10,- Structural Floor System -. 52. • APPROVAL TO DECK 11. Property.Sewer Line& House Connection ._ .. . 53. -Backwash& Receptor-Final . . . ' 12. Street Sewer Connection - 54. Heater &Vent-Final 13. Rougli•PI'umhing:rtit .1/.1./.3 IC 1t)1 tl.kt:jrj-1P-cz ,Q.C/ , 55. Plumbing System -Final .i 14. Rough Electric-Conduit • - 56.• Electrical-Final 15. Rough Electric-Wiring 9=L-NZ • 4V 57. Solar System-Final , 16. Rough Heating& Air Conditioning - ' - • • b8. Fencing & Access Approval ' 17. Ducts, in Structure 59. APPROVED FOR PLASTERING • 18. Ducts, Ventilating - - - . 19. Gas Pipe-Rough &Test -- 60. POOL/SPA SYSTEMS FINAL - • 20. Roof Framing - - - • - , 21. Roof Sheathing $3O-t' 1(( / NOTES: 22. Frame and Flashing 9-)4.4t IJ S -c _ - - ' •_ 23. Insulation - p--0 "r 24-i -See RAO ///,$PS )I ii(/S csjt �j c , 24. Lathing & Siding - GP 24. /O/ a �4NtO L ift. J_-/ai 8' 25. Drywall Nailing - to--4- t_ • 26. Plaster Brown Coat - - - - _ 27. . Electrical Power Meter-Final - - 28. Final Electric - //_/14-2_ CC_ , 29. Final Heating & Air Conditioning - . - - - . - , 30. Final Gas Pipe-Test //-9-y1- Liefer • - - - - • i •31. _Final Plumbing ././-1,3-42-- _ .4?4,1-r 32. • Water Service-Final - ' • 33. Gas Service-Final . - - - . •34. Solar Domestic-Final. - • • ' 35. Landscape Sprinkling System • 36. Sound Attenuation • . • 37. Handicap Regulations - _ • 38. FINAL STRUCTURE & BUILDING jo. 7- $c S3 - - - ' 39. Special Requirements Completed /Q 23-&- cieut-o44- - - - - • 40. Electric Release to Edison - - _ - • 41. Gas Release to Southern California Gas Co. • : - 4.2. CERTIFICATE OF OCCUPANCY - -No: Date - - - - • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PE IT TRACT NO. LOT NO. BLpG.f•Jp, CONSTRUCTION PERMIT - 9:29 ' II 1�0 8329 6/17/82 352.27 TL Project Address 3.516;q 43-at 549 do- • TYPE OF CONSTRUCTION / . Ownerr. d'aarrcif (,�•r;a phone l EW 0 ADD 0 ALTERATION /i - .. _ i 0 REPAIR 0 CONVERSION ❑DEMOLISH ❑ oTHE R' • ZO • NING REGULATIONS- •. _ e , .•• ' DESCRIPTION OF WORK �- Xg�I Ce99• 0 A.P.t40q -1 1 7- Z.5:t3 • ••• ZONE e"L PLNG.REF.'it CZ-82-03 `Contractors ' TYPE OF PERMIT BUILD'GC ` , Tp B IL I G SETBAC _ ROPERT�LINE, 6 I ( (ll Addressr • 6- Cu e 1.-Age a.F - ❑GRADING •0 FOUNDATION 0 STRUCTURAL - - 51DE-YARD- .O.. i -LICENSED CONTRACTOR DECLARATION - -0 TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHANIC• l-EPT I� I hereby affirm Mt I am licensed under provisions of Charter 9(com- e 's SIIDE{TARD �7/-../_u - �/_ mencing_ with section- 7000) of Division 3 of- -the ..Business and ❑-OTHER ` - REARGYARD(TO P L .RIQI' - Professions Cod and my license Is In full force and -1 ecu - f n ; ,., ` L ) - D. PROJECT OE$$CRIPTION Ucense I ss Llcenr N. /G-swp 1, ' ' - :, // ,V• PKG.SPACE REQ. Z �5 PROVIDED Z.6- -.s� Date 6 ( Signature --a �v•�-. - SQ' �' !/ - I �wN STREET WIDTH es,_- - PARK-FEE 3 I ZZG•55- ':WORKERS'COMPENSATION DECL•.NATION -,, OCCUPANC`e �lICCONST_RUCTION T,VOPE••s I hereby affirm that I have a certificate of consent to self-insure ora VALUATION 6'T' o0 ZONE /1/-- ZONING APPROVED BY ,. 4 DATE f -' . , •certificate of Workers' Compensation Insurance, or a certified.copy - • SPECIAL CONDITIONS: - ' -'thereof(5�e5jt{gg38Qq Lab.C.). �1 � • GRADINGCV-YDS. • ACRES- BOLD FOR SPECIAL D�(� UCI.. 'policy NOOc7J Y,� Compan S'7j-17>° / s..�(�� - - - - - BOLD FOR SPECIA1.REQUIREMMIS Certified copy is hereby furnished. _ - REMARKS: •• •• ' • C _ - - _ : copy is Wed with the S' Cy Building Division. a e • �a C� /.7.0 3 , JtXEMPTION FROM WORKERS' COMPENSATION-DECLARATION permit N.for LAR ATION i (This section need not be completed if the permit is for one hundred ' ' Is1 or less). • " -77-21 T-<}L-• .37s�� - " - certify that n the performance of the work for which this permit Is -issued, I shall.not employ any person in any manner so as to become PLUMBING . . - ,PLAN CHECK - - - . ELECTRICAL - PLAN CHECK - - 'subjett to the Workers'Compensation Laws of California. • _ UW ELLIN GAHAbt Date Signature 'BATHTUBS - - "SHOWERS - - • • - •t O - - • - - _ • - 4 NOTICE: If after making this declaration, you should become subject TOILETS .URINALS • - GENERATOR 0-1 KW__1-10 KW 'to the Workers' Compensation provisions of the Labor Code.you must 'TRANSFORMER , forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS - j 'APPLIANCE - 10-50 KW_50 + KW '.revoked. 'CONSTRUCTION LENDING AGENCY - - KIT.SINKS DISHWASHERS I- -MOTORS- -- -0-1 HP_1-10-HP - '1 hereby affirm that there is a construction lending agency for the per- SERVICE SINKS - .,,, SUMPS - -1. - (INC.SOLAR) 10-50 HP 50 ±-HP • Formant¢ of the work for which this permit is Issued (Section 3097 Civ. C.).'- •�� p��.� - ' FLOOR-SINKS FLOOR-DRAINS 'FIXTURES OUTLETS SWITCHES- -Lender's Name Th!3�T ` hr ic-_ MOIL:. -Lendei5 Address 2/7T7 'j. 3 ls? q ,8Lk0. Not)bLD • DRINKING FOUNTAINS - GAS-TUBE SIGNS - - ;OWNER BUILDER DECLARATION KfLL$-a INTERCEPTORS 4 CLARIFIERS —- POLE-LIGHTS. - - I hereby affirm that 1 am exempt from the Contractor's License Law for _ • the-following reason (Section 70313 Business-and Professions-Code: -SWIMMING POOL • P TRAP • - ' Any city or county which requires a permit to construct, alter, 'POLES' 'METERED - SUB" ' - improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE I - ALTERATION - PANELS -- MAIN . SUB , quires the ap,licant for such permit to file a signed statement that he -- Is licensed-pursuant to the provisions of the Contractor's License Law - GAS SERVICE 'I OUTLETSSERVICE. - - _ -AMP r (Chapter 9 (commencing with Section 7000) of Division 3 of the : 'Business and Professions Code) or that he is exempt therefrom and the -WATER HEATERS I ! BTU OUTPUTS I. --- - -. - - _ . - basis for the alleged exemption. Any violation of Section 7031.5 by , %'z'e: applicant for a permit subjects the applicant-to a civil penalty SEWER CONNECTIONS-1— r• • - - - _ >t more than five hundred dollars ($i00). *{`.•as owner of the property,"or my-employees with-wages as their ' SOLAR TANK - - - --COLLECTORS - - --- - _ sole compensation, will do the work, and the structure is not Intended _ _ • - or offered for sale. (Section 7044, Business and Professions Code: The SOLAR-PIPING SYS: . s - ISSUE FEE - - - - -.CI 00 Contractor's Ucense Law does not apply to an owner of a property _ �" who builds or improves thereon, and who does such work himself or ISSUE FEE - - '- - ' 'APPLICATION.APPROVED BY `r, .•ATE ,. through his own employees, provided that such improvements are not intended or offered for sale.'If, however, the building or improvement " MECHANICAL' . PLAN CHECK '� is sold within one year of completion, the owner will have the burden of proving he did not build or Improve for the purpose of sale). - - - - r HEATING SYSTEM 0-100,000 BTV ,Q I, as owner of the property, am exclusively contracting with AND DUCTING - licensed Contractors to construct the project (Section 7044, Business 100,000+BTUPERMIT . and Professions Code: The Contractor's Ucense Law does not apply to _ rISSUANCE 4$ . an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU tracts from such. projects with a -contractors) licesned pursuant to SYSTEM .. the Contractor's Ucense Law). - ' -100,000+ BTU _ ❑ I am exempt under Section - -B.-G P.C.for this - - - - BOILERS BTU reason - - Date Owner PLAN CHECK S MICROFILM S SYSTEM REPAIR,ALTERATION +, TOTAL FEE S d hereby certify that I have read this application and state that the above EXHAUST SYSTEM I MULTIPLE a CS• information is rrect. I agree to comply with all city and county ordinances an to laws relating to construction,and hereby authorize represenlatly of this city to neer upon the above men coned property f ins eaten9r z },p/ / I •-1 I. Signature - ISSUE FEE CMF 0865.46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING - • . POOL&SPA - . ' • • APPROVALS Permit# Gays`q I Date Inspector APPROVALS Permit ' . Date - Inspector 1. Temporary Electrical Service or Pole • 43. Pool & Equipment Location - - ' - - - - J 2. - Soil.Pipe-Undrgrn • G,/7-yLfi:7 _ 44. Steel Reinforcementw 7cr�-a•.. - - - • • ' 3. Electrical Conduit Utility•Undrgrn • - ... . . _ - 45. Forms l � - • .. 4. Electrical Conduit-Undrgrn . - 6,1-Ili%1 ere - 46. Electrical Bonding 5. Steel_Reinforce ---- . _ 47. Rough Plumbing& Pressure Test - _ 6. Electrical UFER Grn ..-.1V-NZ- C-C , 48. . APPROVAL TO COVER-GUNITE - - - _ d,a, s ' 7. Footings . tp-4 49. Electrical Conduit-Undrgrn 8: -Foundation c• ,.� �+�i .,7t/.C e b 5 50. Gas Pipe, 0 Undrgrn,Test • 9. Water Pipe-Undrgrn - - 6.-zi`91- C 51. Backwash Lines. P-Trap. 0 Uniirern - r 10.- -Structural Floor System. -- .. -52. .APPROVAL TO DECK - • 11. Property Sewer Line & House Connection - 53.--Backwash & Receptor-Final - 12. - S;reet,Sevyer,,Coonectio . „„•, ,., -- - 54. Heater &Vent-Final 13. RoU- gr•' _t-'-' r.... ._,b�.c - rt1, 9 9 f /9-72- :��/ Plumbing System - Final - 14. Rough Electric-Conduit ".56. Electrical-Final ., . 15. Rough Electric-Wiring 2-ty" d - , - 57.- Solar System-Final- , 16. Rough Heating & Air Conditioning • _ - - - • - ' 58. Fencing & Access Approval 17. - Ducts, in Structure .. - . 59. APPROVED FOR PLASTERING • 18. Ducts; Ventilating - - • - . 19 Gas Pipe-Rough &Test - - 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing - .1 21. Roof Sheathing 5-3o-87, NOTES: 22. Frame and Flashing • 9 iL - t. b•� �/ p _ 23. Insulation - �'7-- .[ RQ (// .o ®lr¢�7/�, cS' P.eTS j 7� "� /� 24. Lathing & Siding E tt t /O/ ,/ 414 /'1 tat r 0..... _eir '7/li 3 25. Drywall Nailing . - [y-c4.2%- 26. Plaster Brown Coat - - - 27. Electrical Power Meter-Final - - - - _ 28. Final-Electric . -- ' ' '/1-I-J=6Z C C _ 29. Final Heating & Air Conditioning - - 30. Final Gas Pipe-Test //-f--51- n . 31. - Final Plumbing ..- //�-tL _ 32. Water Service-Final _ - - - _ 33. - Gas Service-Final - • - 34.. Solar Domestic-Final •'" 35. Landscape Sprinkling System _ 36. Sound Attenuation - - _ 37. Handicap Regulations - - - - 7'' 38. FINAL STRUCTURE& BUILDING - I9L.7-'• . .DS - - 39. Special Requirements Completed . /1.2$-67. Dice#441 - - 40. Electric Release to Edison • - - • 41. Gas Release to Southern California Gas Co. . - 42. CERTIFICATE OF OCCUPANCY - - • - No Date . . Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA P MIT TRACT NO. ' LOT NO. BLDG.NO. 8328 6/ 17/82 352.27 IL • CONSTRUCTION PERMIT - . I1 - 3© ( I000 I C l • •- . - 0 Project Address a5 9 e/ an,/ AL/'E . TYPE OF CONSTRUCTION Owner #702l�/,&f T s �/ Phongt..,q�� CgLNEW ❑ ADD 0 ALTERATION ,` • Address n7 CG�of €9reC.on• S' 0 REPAIR 0 CONVERSION ❑DEMOLISH ` ZONING REGULATIONS - - I i/Eng. „,e n4/4C • License No. - 0 OTHER �' DESCRIPTION OF WORK d' SZ0/�-r X700 . A'P'lt J-4.59-I I'7 - 23.25 Address .s ZONE q, PLNC. REF.yF ' - -05 Contractor E ubet1e J {_t�(O{r Phone7aoI Wil. TYPE OF PERMIT - =a •' ' - r N Tpgsll LOU NG - u `` SETBACK O PROPERTY LINE •rO Addre§57:700 •. - LAJ- - CM - 0 GRADING 0 FOUNDATION ❑ STRUCTURAL 51lI YARD ns�u . LICENSED CONTRACTOR DECLARATION ❑-TENANT 0ELECTRICAL ❑PLUM31NG ❑MECHANIC• 511DE{TARD�I i es 71 in-ejoOe�y h I.In- Ieating affirm that I am licensedf s provisions of un 9 (cam- ) R GG J IV CJI {.LT(.t`i7T meriting with section 7000) ce Division 3 of the Business and -❑OTHER - Professions Code, and my license is in full force and ell ct. ;. REAR YARD(TO P/_)i-n H-n- r a , II-T�� PROJECT DESCRIPTION License lass S!' A3— LicenseN Ry � //�.� v � 4 PKG.SPACE REQ. 2.5 PROVIDED 2 .t - Date SlgnatuFe J¢ SQ. FT. r GIS ,/ STREET PARK FEEZig'.58 WORK RS'COMPENSATION DEC LA AT10N . ' OCCUPANCY /M/6ONSTRUCTION TYRE UA/ `%�� �� I I hereby affirm that I have a certificate of consent to self-insure,or a VALUATION IO POO ZONE R� ZONING APPROVED BY N/./' 1� . m DATE to I-I� i certificate of Workers' Compensation Insurance, or a certified copy -- - SPECIAL CONDITIONS: J 1✓')Him '" / thereof (SeecttIo 38 Lab.C.). 57.1 F^ ,\ GRADING CU.YDS. - - ACRES n-,Iicy No -1-2 Company l CC,/C-7e G�-•t(`1V -- FOR has �L4(� �CllC�t c fortified copy is hereby furnished. . REMARKS: • ' • y - • _ tants YFrIALRFQUIR /GUTS ( Lertified copy is filed with the city Building Division. U �s j �/ /44 �J �yy EXEMPTION FROM WORKERS' COMPENSATION DECLARATION /t.4Ai C/ ice 0 / 3a) tr- - (This section need not be completed if the permit.is for one hundred aye. .J ��s ` y - . ($100) or less). o(y'O s •;6-I- sap I� 70) - ._ -_ -- _- 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 PLUMBING _ "',.PLAN CHECK ELECTRICAL -' V 1�'O PLAN CHECK _ - . subject to the Workers'Compensation Laws of California. - UW ELLIIV[� 's .GA HHtat • / ' ....r Date Signature BATHTUBS SHOWERS _ •-•' • NOTICE: If after making this declaration, you should become subject TOILETS . 3' URINALS - -GENERATOR 0-1 KW__1-10 KW to the Workers' Compensation provisions of the Labor Code,you must 'TRANSFORMER forthwith comply with such provisions or thispermit shall be deemed LAVATORIES DOUBLE'LAVS -APPLIANCE . 10-50 KW_SO+ KW revoked. . . - . _ _ _ CONSTRUCTION LENDING AGENCY KIT.SINKS ' ► . DISHWASHERS I - -I MOTORS- -- 0.1 HP_1-10 HP ,I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS 4 . SUMPS (INC.SOLAR) .10-50 HP 50 + HP formance of the work for which this permit Is issued (Section 3097 Civ. CJ. • 2ESc-/�L-7• � C �o t FLOOR SINKS -FLOOR DRAINS ' FIXTURES OUTLETS SWITCHES Lender's Name f/yyjG}����C.4--C i (�yam,/ jT� - • Lender's Address•!'apa7 VEJTLRr4 BLVD, wOOVID DRINKING FOUNTAINS ' • - GAS TUBE-SIGNS OWNER BUILDER DECLARATION . • Seta INTERCEPTORS CLARIFIERS POLE LIGHTS • - I hereby affirm that I am exempt from the Contractor's License Law for . The following reason•(Section 7031.5 Business and-Professions Code: SWIMMING POOL - P TRAP • - - Any city or county which requires a permit to construct, alter, POLES METERED SUB , Improve, demolish or repair any structure, prior to its'issuance,also re- WATER SERVICE ► ALTERATION - - it 'PANELS - MAIN SUB ' quires the ap..licant for such permit to file a signed statement that he is licensed'pursuant to the provisions of the Contractor's License Law --GAS SERVICE ( OUTLETS -, ♦,IISERVICE -- -- - AMP - ' ' 60 (Chapter 9 (commencing with Section 700(1) of Division 3 of the Business and Professions-Code) or that he Is exempt therefrom and-the WATER HEATERS ' BTU OUTPUT •' � - - - ' - . basis for the alleged exemption. Any violation of Section 7031.5 by _ - applicant for-a permit subjects the applicant to a civil penalty SEWER"CONNECTIONS'►' 4 4 l - - - - --- . - • ' ..`al more than five hundred dollars ($500). _ - - i, as owner of the property, or my employees with'wages as-their SOLAR TANK - COLLECTORS ' • - - - - sole-compensation,will.do the work, and the structure Is not intended _ _ .y OO Or Offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. • ISSUE FEE -- �7 (Contractor's License Law does not apply to.an owner of a-property- _ -_i- ._ -- - - '.APPLICATION APPROVED BY ' .ATE ,who builds or improves thereon, and who does such work himself or ISSUE FEE- • L• VY� through his own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK =MNSUMMARY OF Is sold within one year of completion, the owner will have the burden _ _ .of proving he did not build or Improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILeING $02(01015 '❑ l,-as 'owner of -the property, am exclusively contracting with AND DUCTING' licensed contractors to construct the project (Section 7044, Business 100,000+ BTU . g SI PLAN CHECK $ PERMIT . and'Professlons'Code: The Contractor's-License-Law does not apply to �, ISSUANCE $ -an owner of property who builds or improves thereon,and who con- REFRIGERATION 0-100,000 BTU 'tracts from such projects-with-a contractor(s) Ilcesned pursuant to SYSTEM - - 'the Contractor's License Law). 100,000i+BTU_ _ ;❑ I am exempt under Section - B.& P.C.for'this - -- BOILERS BTU reason - ,Date - - - - Owner SYSTEM REPAIR,-ALTERATION - MECHANICAL $ 91 ,• I hereby certify that I have read this application and state that the above EXHAUST SYSTEM i MULTIPLE .2 J • e information is correct. I agree to comply With all city and county 1 ordinances and state laws relating to construction,and hereby authorize .representative - of this city to enter upon the above entloned - property to nspectlon •urpos. _ - _ • -FINAL FEE S __��•-•A ii PLAN CHECK S Signature '1� _ - Date 1 ` • Drivers'Licen or Pink-Accounting;Goldenrod-Assessor • CONSTRUCTION AND PLANNING POOL& SPA - APPROVALS Permit# G 3936 Date Inspector APPROVALS • Permit# - Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location- - -,- - - •- - • •-_-• 2. Soil Pipe-Undrgrn G ,/7.4ts 44. Steel Reinforcement - • - - 3. Electrical Conduit Utility-Undrgrn. - _ _ 45. Forms - • - • - -- - 4. ElectricaLConduit-Undrgrn ...-%-EZ e-e , 46. Electrical Bonding - 5. . Steel Reinforce - 47. Rough Plumbing & Pressure Test • •. 6. . Electrical UREA Grn • • 6 _NI_SZ Ce 48. APPROVAL TO COVER-GUNITE 7. Footings _ r 49. Electrical Conduit-Undrgrn V- !� S��Nen.-� S (�17-�2 9 8.- Foundation '<Qp01s-'+ - - 1,-.-v2(1-9-c. D5> 50. Gas Pipe, ❑Undrgrn,Test , --9. -Water Pipe-Undrgrn. . _ _ c -2- -t/ • 51.' ' Backwash Lines. P-Trap: ❑Undrgrn 10.. Structural Floor System- _. 52. '•4 APPROVAL TO DECK 11. Property Sewer Line & House Connection • . - . . _53..... Backwash& Receptor-Final • . • 12. Street Sewer Connection _ . - ��p54. Heater & Vent-Final 13. Rough-Fluinl;tilig,l I I'Ji`iL OR (nett P-/(9--P Z ..0,-AC 55. Plumbing Svstpm - Final - 14. Rough Electric-Conduit •56._ Electrical-Final - • • 15. Rough Electric-Wiring q-;-S';QS. At. - ' ' 57. Solar System-Final - 16. Rough Heating & Air Conditioning - • -58: Fencing &'Access Approval • 17. - Ducts,-in Structure -- • _ -59. APPROVED FOR PLASTERING 18: Ducts, Ventilating - - - • _ - - 19. Gas Pipe-Rough &Test • 60._ POOL/SPA SYSTEMS FINAL ' • 20. Roof Framing - 21. Roof Sheathing $-301A. ,. '� NOTES: 22. Frame and Flashing -- - - Ci•lie z S c - • 23. Insulation si_g-:53a t� t�� to(/Seel 4 4-M_S r .3 (% S 4l 24. Lathing & Siding • f)"'P 4,,...430„, Y) in // g MQ4/1_ LaP1 r -'�6�82_ 25. Drywall Nailing iZ-^ - Co-4--5/` • 26. Plaster Brown Coat • 27. Electrical Power Meter-Final - . 28. Final Electric - - 4/47-15'z a- °L - 29. Final Heating & Air Conditioning - - - 30. Final'Gas Pipe-Test //-.7-91- � 4 7'S - 31. - Final Plumbing 4-1-/S--12.- . . • 32. Water Service-Final • - - • _ _ Is 33. Gas Service-Final ' . 34. Solar Domestic-Final .. ' 35. ' Landscape Sprinkling System ' 36. Sound Attenuation , • 37. Handicap Regulations • 38. FINAL STRUCTURE &BUILDING ' la. 2-. %2 - 39. Special Requirements Completed la-Z3 BL 4c#1- - • 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. - , 42. CERTIFICATE OF OCCUPANCY - NS'. Date i 1110S ' • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. • CITY OF COSTA MESA PERMIT NO TRACT NO. LOT NO. - BL G CONSTRUCtIONVERMIT 5 - 5731 17Lco I G Project Addresses%,•-' G�54Oj 9 /9'Dt� / TYPE OF CONSTRUCTION , 4- -- - 6/17/82- 352.27 IL Owner/// f7-4•(!f eel Ace,/.. coy-die Phone966-(/7(p -ANEW 0 ADD 0 ALTERATION - -- - . CIC Address 6Q,r rQ1(/)Q t!,(/'/(.Z6C- P/C- cre act 0 REPAIR 0 CONVERSION ❑DEMOLISH - Eng. 1/Ld 7/J� ❑ OTHER ZONING REGULATIONS ��I��\���------gsdSl /� K, Yf,�(K. License No.G� �' C�A.P. - 1 Address DESCRIPTION OF WORK ra/a Stacey C-GniI-✓\.Z III- Z.b7O. `\I / ZONE �2 • -PLNG. REF.St 7 -St�� Contractor Cu ue J 1,_ fPPt-Ii K Pho4ao tbaa TYPE OF PERMIT • BUILDING �} Wale INC ,µms�s���, AlSETBACK Ca.ST. CIL 1. PROPS RTV LINE L.jtb3. J rx{f Address X700 LIGHTtkt)t/C� L.ut e , C(�/"s ❑GRADING ' 0 FOUNDATION 0 STRUCTURAL- r I YARD ( p LICENSED CONTRACTOR DECLARATION. LI TENANT CD ELECTRICAL ❑PLV MBING ❑MECHAAIC - 1p V /CI rlorl- -to Geo �-1- J9I 1^ I hereby affirm that I amlicensed under provisions.ofthe Charter 9(corn- .• s. ' IGHT �J Iv f (A(Y{. mencing s with section 7000)my -of (e Is in 3 _the Buslneii and. 0 OTHER 'REAR YARD,(TO P/Lf f-Q 1( OW& I in'' Professions Code, tl my Ilcense s full force r�� I e<t. - _ �J-), PROJECT.DESCRIPTION a 1 License/leis/ •- License N�T.�- //do ;•" • PKG.SPACE REO. 'PROVIDED 2.� Date(41 WORKER / Signature 2-f e"'1-C • / -l•�.f SO.FT. 110 �v[ ^ _- �p WORKERS COMPENSATION DECLAAATION // OCCVPANC /y ONSTRUCTIDN TYPE 4 - STREET WIDTH -C�; PARK FEE$ I�z 7�/- 1 hereby affirm that I have a certificate of consent to self-Insure or a VALUATION �0 ZONE -a' ZONING APPROVED BY I ATE certificate-of -Workers' Compensation Insurance, or a certified copy - - t � I I 'thereof (Se i 800 Lab.C.). e-l• GRADING CU.YDS. _ ACRES - •SPECIAL CO NDITIONS: • •cy No.-"/ S—R-4 - Company / 1 R- ' F�.LU.1) - - _ _ •ROM pp!s �I' 11 pp������•.c '.'rertlfied copy Is,hereby furnished. _. _- REMARKS: _- EAR SP4CIAL REQUIREMENTS - • ertifietl copy Is filed with the city Building Division. EMPTION FROM WORKERS' COMPENSATION DECLARATION - - .- • - - - - - - - (This section need not be completed if the permit is for one hundred _. ($ 100)or less): - - 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 , PLUMBING , , PLAN CHECK • ' ' - ' 'jELECTRICAL PLAN CHECK'- _ - /a ' subject to the Workers_Compensation Laws of California. __ _ • - // UW tLLINb _ ,,++nn GR KHtat e Date Signature BATHTUBS "Z SHOWERS - in GQ SO FT InYV SO FT gig NOTICE: If after making this declaration, you should become subject TOILETS - ,.-3 , URINALS ' 4 00 'GENERATOR 0:1-KW=1-10 KW - •• - to the Workers' Compensation provisions of the Labor Code,you must _ - fJGQ(, - ' forthwith comply with such provisions or this permit shall be deemed LAVATORIES 3 DOUBLE LAVS - - -1 Og APPLIANCE- - 10-50 KW_50+KW - - - revoked, • _ CONSTRUCTION LENDING AGENCY - KIT-SINKS ' f' •-- DISHWASHERS-'- • MOTORS - - 0-1 HP_1-10 HP - - - I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS. SUMPS-- •--• - - -!(INC..$D LA R) .10.50 HP 50+ HP - - formance of the work for which this per t is issued (Section 3097 - ' .Civ.-C.). ;;yy ` .FLOOR-SINKS - -FLOOR DRAINS ' ' - AFI%TURES OUTLETS. ' SWITCHES - - ' - -Lender's Name D�$E1Q QQCIFIG-_l�I6p,'fYifY(aE 'F - _ • , lender's Address Z/777 �/E nute1- Bit- WAoDILLNA Ili DRINKING FOUNTAINS „ ,GAS TUBE SIGNS - OWNER BUILDER DECLARATION - INTERCEPTORS . CLARIFIERS ' • - -' ' -.POLE LIGHTS • - - -- I hereby affirm that Lam exempt from the Contractor's LICense Law for • the'following'reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP • .• . cons I Nut-I IUN _ Any city 'Or county, which-.requires‘a .permit to construct;-alter, - - POLES • METERED- SUB improve,demolish or repair any structure, prior to its issuance,also-re- WATER SERVICE '' I I . - ALTERATION 1 5� PANELS .. MAIN • SUB quires the.'ap,licant for such permit to-file a signed statement that he - • _ - - - 'Is licensed pursuant to the provisions of the Contractor's License Law' GAS SERV ICE �' - OUTLETS - - - a "ifs /SERV ICE AMP - - a .'Chapter'.9 (commgncing,with:Section 1/000)cof-Division..3'of the _ BusineSs and-Professions Code)'or that he is exempt therefrom-land the -WATER HEATERS l: '`BTU OUTPUT - . - a 7a - - •- - - - basis for the alleged exemption..,Any.violation of Section 7031.5 by arty applicant-for-a'permit subjects the•applicant tb a-civil penalty SEWER CONNECTIONS } - - ,-�' OO - - - •- - - - ";. trt more than five Hundred dollars ($500)..J a 'Z - _ - r "-�'"yr as owner-of-the-property;or-my employees with•wages'as their `SOLAR'TANK'., ----COLLECTORS - _ - - - • - - - -- SG:.' compensation, will do the work, and the structure is not intended - ' or offered for sale.-(Section 7044, Business and Professions Code:-The' SOLAR PIPING SYS. - - - - ' - ' -ISSUE FEE " -3- d' Contractor's License Law does not applywto an owner of a prspfrty cry .APPLICATION APPROVED BY-DATE who n builds or improves thereon, and who does-such work proper or ISSUE FEE - 3 UV- Fl.-t",`.-T2 throug9h his own employees, provided that such improvements are not Int-ended or offered for sale, If, however, the building or improvement- MECHANICAL PLAN CHECK _ - - - _ SUMMARY OF, FEES is sold within one year of completion, the owner will have the burden •. of proving he did not build or improve for-the purpose of sale). - - -- 'BUILDING • �1� �1 / • //• IDI, as owner of the, property, am exclusively contracting with HEATING SYSTEM 0-100,000 BTU PERMIT E�'CIO�r/S - $MIP - $ a7 ; AND DUCTING licensed contractors to construct the project (Section 7044, Business 100,000.+ BTU ad !PLAN CHECK $ PERMIT and Professions Code: The Contractor's License Law does not apply to ///' Da .. ISSUANCE E an owner of properly who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU l PLUMBING E -7 1 tracts from.Such projects"with a contractor(s) licesned pursuant to SYSTEMGRADING $ the Contractor's License Law). 100,000+BTU 'PLAN-CHECK $��`�� ❑ I am exempt under Section -B.6 P.C.for this BOILERS BTU - 'ELECTRICAL $ - $ reason MICROFILM $ SYSTEM REPAIR,ALTERATION PLAN CHECK- $ a� - Date • • haveread Owner MECHANICAL $ s�O TOTAL FEES - I hereby certify that I this application and state that the above EXHAUST SYSTEM MULTIPLE QQ 1 LESS AD- information is correct.-I agree to comply with all city and county ' PLAN CHECK S - VANCE PC $_ ordinances an to laws relating to ter. upon, And hereby authorize - , �►/' representatl of this ci to e ter. upon J t e above men ronatl _ - :'Y • • property f inspectio po `7 /4I� Signature / ISSUE FEE • m t CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING - . POOL& SPA APPROVALS Permit # -315 Date Inspector Al'/ Date • Inspector = , P 1. Temporary Electrical Service or Pole . 43. Pool & Equipment Location - - 2. Soil Pipe-Undrgrn - -6.')7-tU f _ 44. Steel Reinforcement siV. 1 - 3. Electrical Conduit Utility-Undrgrn . (3,,.Ig_(1Z -(y -(o.• _ . 45. Forms 3 • - 4. .Electrical Conduit-Undrgrn _ 46. Electrical Bonding , 5. Steel Reinforce - 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn . . t_/rK_ C-10 48. APPROVAL TO COVER-GUNITE - . - 7. Footings %/, A.1, Si4A.4A_�Cq�v -_ tn�l�- Sz 49. Electrical Conduit-Undrgrn 8. Foundation -. - 'D C7�CQ (•yi c(-Pz *b 50. Gas Pipe, ❑Undrgrn,Test 9. .Water Pipe-Undrgrn . __ -....._. G •X3-5`1.- _.. Oris 51. Backwash Lines, P-Trap, 0 Uridrern - • 10. . Structural Floor System . - : - 52. - APPROVAL TO DECK - . - - • 11. Property Sewer.Line & House Connection . _ - 53. Backwash & Receptor-Final " 12. - Street Sewer Connection 54. Heater & Vent-Final 13. Rppgb/PJtknbing? .iLl3:1'L_ tUi (L1.0CL Fy-Ag-gZ`C e 55. Plumbina System - Final 14. Rough Electric-Conduit - -56. Electrical:Final- ' 15. Rough Electric-Wiring T-2-C-• 4. 57. Solar System-Final .. 16. - Rough Heating& Air Conditioning • - 58. Fencing& Access Approval ' 17. Ducts, in Structure . . • - ' - 59. APPROVED FOR PLASTERING . , • 18. Ducts, Ventilating - - - - . • 19. Gas Pipe-Rough &Test , - - • 60. -POOL/SPA SYSTEMS FINAL - ' 20. Roof Framing - - • - - • 21. Roof'Sheathing 8-3o-XR -fi7v/ - - 22. Frame and Flashing -- 44_gam 1 ..:,- . �_ NOTES: C -�.p*�S&CQi 41y� A` !kg' fl ?ALA.., . 23. Insulation a-5,.'12. - D C C�M.StaJ- . /!n - _ V13/,( 67 - K-5 -)-1.,%--)--- __-. 24. Lathing & Siding -- • - Q� -fish i - - 25. Drywall Nailing . - 12.e A Red ( I¢zS l�2'' .3/ !J / G /26. Plaster Brown Coat - 9f /Of 1/ Aide fld 2_,- 27. Electrical Power Meter-Final - • d-3/ 8'a. / r 2>k/ m, FR wasp_ o-x'Qs.. q- “,:..,,,...4,..L, 28. -Final Electric X7,(7.82 ate Ult-0.042 o�.tid -......,�-. rJ.c. ,she.-� rt ft-A di , 29. Final Heating & Air Conditioning - - 0-172---1rl �ng-e- �7✓__ + �• 0s i� 30: Final Gas Pipe-Test • //- '-fy A f • o-Q1_ -arp_Q:.b_62_ ...aA....l... ti 7 . � 31. Final Plumbing - /j--/,r�2 ,c / - - 32. Water Service-Final ' - 33. Gas Service-Final 34. Solar Domestic-Final 35. Landscape Sprinkling System - - 36. Sound Attenuation • ' 37. Handicap Regulations - -- - ' 38. FINAL STRUCTURE& BUILDING ' ' is-7- g,, _ -_.,,s - - - _ _ 39. Special Requirements Completed ' - /2-73 •5Zt 41. kAtf _ , . 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. ' ,'- 42. CERTIFICATE OF OCCUPANCY V No. Date - I e . . ELDER AVENUE, 2564' . _-. • • • • • 40392 - County adc to rec 4'2,000 ; 68226 - 12-16-75 FIbc. NC (Gas System) • { 68256 - 12-16-75.. Plbg, NC (W.H.) j -BP-352j-SBiaCemo w/Att.Gar 1,000. 3617- ,/,(g3 Retaining Wall 4,765. E-3827-S flFr.(ikner Pole) .. - r 1 -5-4019 -140 Pi . (on site sewer) - t B-5426-� Blockwal- N�JZ Encl. . G-3925 _ - G-3931 ) A.- CITY OF COSTA MESA r ;- ., �rQ BUILDING DIVISION ' )J 'r1.v 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • wnvw.ci.costa-mesa.Ca. s te .. •• , �.h FOR INSPECTIONS CALL: (714)754-5626 °+own et PERMIT NUMBER B07-00782 PERMIT TYPE B_ROOF STATUS: ISSUED DATE ISSUED: 06/15/2007 • . - - ISSUED BY: RMD JOB ADDRESS: 2569 . ELDEN AV CM Suite/Unit: A001 Vicinity: B001, B002 ROOF Const Type: ?? SQ. FT: -1:-- 'a2.°40 Valuation:- : $7,400.00 SCOPE OF WORK: REROOF TOWN HOMES,UNITS B001 AND B002.TEAR(E)ROOF MATERIALS, INSTALL 1 LAYER OF 30#FELT ON A 6.5:12 PITCHED ROOF, REROOF WITH 50 YEAR PRESIDENTIAL COMP SHINGLES,APPROX 32 SQUARES REPAIR AND REPLACE SHEATHING AS NEEDED: , OWNER: ELDEN AVENUE HOME OWNERS ASSOCIATION -•-Address: ' 2569 ELDEN AVE Unit:A001 PHONE: 949-631-0266 City/State/Zip: COSTA MESA,CA - : APPLICANT: CARDENAS,LUIS - - Address: 15201 PIPELINE LN Unit:UNIT.A PHONE: 714-379-8522 7 ' - :City/State/zZip: • .HUNTINGTON BEACH;CA CONTRACTOR: CONSUMER SERVICES License No. 676090 Address: 15201 PIPELINE LNUnit: UNIT A- _ PHONE: .714-379.8522 ' City/State: HUNTINGTON BEACH,CA - _ _ - __ •ZipCode: 92649 •CELL: • ARCHITECT: License No. . . • PHONE: ENGINEER: - +- License No. ' PHONE: FEE SUMMARY Reroof Plan Check: $0.00 • - -L . - - ' ' - Reroof Permit Fee: $153.25- • • • • -- Reinspection Fee: $0.00 - • TOTAL FEES $153.25 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) ' EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. CODE If INSPECTION TYPE BLE IN1111AL$ CODEA INSPECPON TYPE pA_ET INTTAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 5-07 /' 208 Final Plumbing •�/ 200 Final Re-Roof 61 - 210 Final Electrical _ 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS'COMPENSlION DECLARATION: Owner ID verified by tlriw 'se. ❑Ves ❑ No f I I hereby aVirm under penalty of perjury one of the 1u,—wing declarations: Driver's License No. Expire 1 ❑ I have and will Maintain a certificate of consent to self-Insure for workers'' Verification of Ownership by(type of document.i.e.•property tax bill Ly deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance, as required by - section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized nth' ��OPEC o by this permit,and that no building structure,scaffolding,falsework,cc demolition Cartier: 7'fi/� b ( e� �-ie ..� or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This ion need no(de completed? perme is valued at are huldreddo/ars(S1ma)pr less.) 2 Art 2Sec.341,Title B,Califomia Administrative Code). Policy Number: Z c—0600 G J 619 0 As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of Applicant's Signature Date the Labor Cod I shall forthwith comply with these provisioonns. �t7 �.c 2007 Division of Industrial Safety Permit Number: appli nfs lgnature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS (Section 25505 of the Califomia Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST.AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my licenis in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No 9 / 7 Lic.# £' dog C Class# C I ] p . (Section 25533 of the California Health and Safety Code, with some / exceptions, requires registration with the Costa Mesa Fire Department by _ " /�42,� �'6.{S—/luo7, each business which at any one time has on hand a quantity of acutely (/ �!/ l`amraftw's Sign a Date hazardous materials equal to or greater than a weight of 500 pounds, or a �� volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the Califomia OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors (Section 65850.2 of the Califomia Government Code requires that the requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits). Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I. as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by Califomia License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No, thereon,and who does such work himself or herself or through his or her own 8. (If'yes",attach certificate of compliance from the appropriate air pollution• employees, provided that such improvements are not intended or offered for sale. If. however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden ol.proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of • Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature of of yLegal Ovmer(s) Date Signature • Date r / 4 J fir`./�2OO 3057-46(3/07) �tdAp'licant�� 6 2� And/or Authorized Applicant (e Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY.O.E COSTA MESA PER T N TRACT NO. LOT NO. BLDG.NO. CONSTRUCTION PERMIT J 1,08/ 0341 6/30/82 54. 12 TL Project Address G2570ei e 0n'L/ TYPE OF CONSTRUCTION ' Owner 4oe1f/T /n�J, Phhol -/f y a NEW ❑ ADD 0 ALTERATION n M Address I' ;9S meati tJ ( &>.inyt "CU.., 0 REPAIR 0 CONVERSION ❑DEMOLISH /f ZONING REGULATIONS �1 Arch/Eng. �/ e.tS License No. /'�'LC,j ❑ OTHER A.P.$ /L /J 4L3y- l7/ — .m,� .2-S-- 1 ^ .7j ���III DESCRIPTION OF WORK / 1 • - j iv m/2;s • •ZONE PLNG. REF. I I Contractor 6./d„-�•s.�L ni 2Phone S'407'LL T PERMIT BUILDING ��� IRTOv LINE Address �a SETBACK CIL ST. god' L/S-yy' ,4I t+J - 0 GRADING 0 FOUNDATION 0 STRUCTURAL - SI DFE YARD Oa' LICENSED CONTRACTOR 6ECLARATION - 0 TENANT ❑ ELECT RICALJ&PLUMBI G ❑MECHANICAL -r SIDE YARD - - I hereby affirm that I am licensed under provisions of Charter 9 (corn- �,f CL��y M,� /p�RR GHT • s moncing with section 7000) of Division 3 of the Business and 0 OTHER �� f A2h 7 ... 'Professions Code, and my license Is in full force nq_ gije t._ REAR YARD(TO P/L) �n tCW ^ � /J Y a•/- _ PROJECT DESCRIPTION - — - _ License Class TT 11//c �[''o i PKG.SPACE REQ. PROVIDED - - Date A-3'0 Signature SQ.FT. - WORKERS'COMPENSATION DECLARATION OCCUPANC 7• CQtdISTRUCTION TYPE STREET WIDTH PARK FEE$ 4 hereby affirm that I have a certificate of consent to self-Insure or a ZONING •APPROVED BY DATE certificate of Workers' Compensation Insurance, or a certified copy VALV ATIf �+�'d• ZONE thereof(Section 38Qp Lab.C.). ,1 ,� GRADING CU.:VDS. ACRES ,SPECIAL CONDITIONS: - y No• . -/b -/-O L-40 Wompany /7AK/ FOQ� _ - , _ .._ • artifled copy is hereby furnished. REMARKS: ' - , _ _ .. .. - 'L i Certified copy is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION . - - - — - (Thls section need not be completed-if the permit is for,one hundred - _ - i -- ($100) or less). -._ - - ' I certify that in the performance of the work for which this permit is l issued, I shall not employ any person in any manner so as to become . PLUMBING ' PLAN CHECK -' ELECTRICAL PLAN CHECK - " subject.to the Workers'Compensation Laws of California. UW LLLIN4 - - VHRRbt 'Date -- Signature BATHTUBS - SHOWERS 50.FT SO FT • . - NOTICE: If after making this declaration, you should become subject 'TOILETS • • l URINALS - GENERATOR 0-1 KW_1-10 KW " to the Workers' Compensation provisions of the Labor Code,you mustTRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS .APPLIANCE' - 10-50 KW-50+ KW _ revoked. CONSTRUCTION LENDING AGENCY KIT.SINKS - DISHWASHERS MOTORS • 0-1 HP 1.10 HP- - I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS - (INC.SOLAR) 10-50 HP 50+ HP - - f formance of the work for,which ?his permit is issued (Section. 3097 - • _ • FLOOR SINKS FLOOR DRAINS - FIXTURES - OUTLETS SWITCHES ,Lender's Name - - _ ' 'Lentler'S;Address ^` DRINKING FOUNTAINS" -- • s -(GAS TUBE SIGNS ' ' -- • OWNER-BUILDER DECLARATION •INTERCEPTORS CLARIFIERS - ,POLE LIGHTS • - - I hereby affirm that I am exempt from the Contractor's License Law for ' the following reason (Section 7031.5-Business and Professions Code: SWIMMING POOL P TRAP - LUNb I HUL I IUN _ - Any city or county which requires a permit to construct, alter, POLES METERED SUB - Improve; demolish or repair any structure, prior to its Issuance,also re- WATER SERVICE ALTERATION • PANELS - ' MAIN SUB quires the apilicant for such permit to file a signed statement that he • • • Is licensed pursuant to the provisions of the Contractor's License Law -GAS SERVICE OUTLETS SERVICE - AMP • (Chapter 9 (commencing with Section 7000) of Division 3 of the - . Bpss)ness and Professions Code) or that he Is exempt therefrom and the WATER HEATERS BTU OUTPUT B ¢cjf.plor the alleged exemption. Any violation of Section 7031.5 by , ?<ipplicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS - - - u„..'31 more than five hundred dollars ($500). - • Ul, as owner of the property, or my employees With wages as their- SOLAR TANK COLLECTORS sole compensation, will do the work, and the structure is not Intended __ ' or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. - ' ISSUE FEE Contractor's License Law does not apply to an owner of a property DATE ED BY A. �S - p� who builds or improves thereon, and who does such work himself'or ISSUE FEE APPLICATION APPROVED- J A 3/ through his.own employees, provided that such improvements are not - intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES •. Is Sold within one year of completion, the owner will have the burden_ of proving he did not build or Improve for the purpose of sale). BUILDING - - - HND SYSTEM 0-100,000 BTU PERMIT SMIP•' .$ y 0 I, as ownerof the properly, am exclusively contracting with. AND DUCTING - qq -- licensed contractors to construct the project (Section 7044, Business 100,000+ BTU PLAN CHECK �. 'p[/ PERMIT. ' and Professions Code:The Contractor's•License Law does not apply to - ISSUANCE $ • an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ 1„ tracts from such projects with a contractor(s) licesned pursuant to - SYSTEM - - • - GRADING S • V' the Contractor's License Law). 100,000+BTU 'PLAN CHECK E” 0 I am exempt under Section - - B.& P.C.for this BOILERS BTU ELECTRICAL E - - - $ reason PLAN CHECK S' • MICROFILM $ \ Date. Owner SYSTEM REPAIR,ALTERATION TOTAL FEE S MECHANICAL $ - l I hereby • ma Conti that I have e this application on and state that the above ty EX HAVST SYSTEM MULTIPLE LESS'AD- ordinaaces is correct.tI agree to comply with all cityand th rize PLAN CHECK $ VAN- . . S- O representatives and state rel J g f on Ruction,and hereby authorize _ _ - prorertyfives this ci to if/ upon the above menti etl /Z Property for /�.cti�• •irpo _ ISSUE FEE _ CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL&SPA - - APPROVALS Permit # Date Inspector APPROVALS Permit# . Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location • • • • - 2. Soil Pipe-Undrgrn 44. Steel Reinforcement 3. _Electrical Conduit Utility-Undrgrn 45. Forms . 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - - 5. Steel Reinforce 47. Rough Plumbing & Pressure Test - - - - 6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE - 7. Footings . 49. Electrical Conduit-Undrgrn 8. Foundation 50. Gas Pipe, ❑Undrgrn,Test 9. Mater Pipe-Undrgrn _ 51. Backwash Lines. P-Trap. 0 Undrgrn' - • .10. Structural loom System _ 52. APPROVAL TO DECK l 11. Property Sewer Line & House,Cdnnection _53. Backwash & Receptor-Final • 1 '- 12. Street Sewer Connection - 54. Heater & Vent-Final 13. Rough Plumbing 55 Plumbing System -Final 14. Rough Electric-Conduit •56. Electrical-Final 15. Rough Electric-Wiring 57. Solar System-Final • 16. Rough Heating & Air Conditioning. • 58. Fencing & Access Approval 17. Ducts, in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL • 20. Roof Framing 21. Roof Sheathing 22. Frame and Flashing - NOTES: Q j( r e�N Po ro /.1 7/94'1 23. Insulation - - - no ret-r-7 .-, //,C.-1 r° r,'/ 7 i'.- /Y 9//'•-n .yiter • 24. Lathing & Siding _ - ( ),V Q,c r o.... .. lei ,,/t€\ O/C 9-/S-a L - 25. Drywall Nailing . . - �l - 26. Plaster Brown Coat - - 27. Electrical Power Meter-Final 28. Final Electric - 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final - . . 31' Gas Service-Final -34. Solar Domestic-Final '`-. - - 35. Landscape Sprinkling System - - - 36. Sound Attenuation 37. Handicap Regulations , 38. FINAL STRUCTURE & BUILDING - 39. Special Requirements Completed 40. Electric Release to Edison " 41. Gas Release to Southern California Gas Co. . 42. CERTIFICATE OF OCCUPANCY No Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA - PERMIT NO. TRACT NO. LOT NO. BLDG.. O,N - CONSTRUCTION PERMIT Es 6 / 7 . • 3 76 /b , a? 28 6023 5/18/82 83182 TU Project Address 3-01 EL/7E/1 "-• • TYPE OF CONSTRUCTION ' " • Owner M pU NTA-nye IJ Ef _UE!/Li Phonew • CE NEW 0 ADD 0 ALTERATION Address 69 ' 7;54,,,- ( en net gei✓L° ee,f ' o REPAIR 0 CONVERSION .❑DEMOLISH VVVV���, Arch/Eng. License No. 0 OTHER ��J) ,{ ZONING REGLI CATIONS ��«� " f ly DESCRIPTIONOFWORK IC,6T/4/K/.VA /✓J1-�L He AP'# T5 /p— /7/— 2523 . - Address _ L :i D i OE ; f; , - - - r n - �u • 2 ZONE RQ PLNG;RE,.9F Z - Contractor EA,- /Ce. ec `a///, 'Phone99/-33 - - :UILOING TO Bs11Lp INC d- e s TYPE OF PERMIT - SETBACK CP_ST. PROPS I3TV�C.I NE ' _ . Address /1 3'r 0lOC/A/ - 4r/-m9'pi _-D:GRADING 0 FOUNDATION STRUCTURAL ,' ' SILP YARD - ,.(�,- LICENSED CONTRACTOR .DECLARATION ❑TENANT ❑.ELECTRICAL PLUMBING 0 MECHANICAL LSI DE YARD }�'1I / 1IlAVdV , .1 hereby affirm that I am licensed under provisions of Charter 9(corn- - \ RIGHT / !/r • mencing with section 7000) -of ,Divislon--3 -of the Business- and 0 OTHER-� - - __ Professions Code, and my license is in full fort a d effect. - REAR YARD(TO P/L) „ License Class - LI ¢ „0eref.7,,11 - ' PROJECT DESCCJIPTION r - S �• _ e+- No. 'T nt,I( 9 3S,fT'. PKG.SPACER EQ.'4 _ ,4- '• - PROVIDED " Da{AS'Or-p Z Signature "�/�i f! r- Ste'�T. • . -, _ _ _ WORKERS'COMPENSATION D CLARATION _ OCCUPANCY (�4O NSTRUCTION TVPE - S '-Q' ' - STREETsW IDTH / PARK FEES 'I hereby affirm that I have a certificate of consent to self-insure or a VALUATION 7 •‘rZONE ZONING APPROVED BY tote *tI DATE6�S9� certificate of Workers' Compensation Insurance, or a certified copy '- SPECIAL CONDITIONS: /v/---/ !!! thereof (Section 3800, Lab.C.). GRADING CU. YDS. ACRES Policy No. - ' 'Company - .- _ _ - • . . Certified Copy.is hereby furnished.. _ . REMARKS: -• Certified copy is filed with the city Building Division. - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - -- '- - - - - - - (This section need not be completed if the,permit is for one hundred, - - . ($100) or less). - I certify that In the performance of the work for wNth this permit is Issued, I shall not employ any person in any manner so as to become PLUMBING""- - • PLAN CHECK _ ELECTRICAL - - PLAN CHECK " - • subject to the Worker', Compensation ws OyJ7a 11fjolAid.•' _ _ • - - UW tLLINb 6HHHbt Date signature BATHTUBS SHOWERS 5Q FT. SO FT ' NOTICE: If after making this declaration, you should become'subject TOILETS -r , ,. URINALS - -' GENERATOR 0.1 KW_1-10 KW ." to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER . forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE '10-50 KW--50+ KW ' • revoked.. . _ _ _ CONSTRUCTION LENDING AGENCY KIT.SINKS- DISHWASHERS - - ' ' -MOTORS 0-1 HP=1-10 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS . SUMPS-- --- (INC.SOLAR) 10-50 HP•- • .-50+ HP - --- - ' formance of the work for which this permit Is Issued (Section 3097 - - ' • .Civ. C.). - - -- - ' ' - ' "' FLOOR SINKS - FLOOR DRAINS '- FIXTURES - OUTLETS" SWITCHES- ' - Lender's Name _ - - . DRINKING-FOV NTAINS- - - GAS TUBE SIGNS - • { Lender's Address - 1 - - , OWNER'BUILDER DECLARATION - -- INTERCEPTORS CLARIFIERS -- '•'jPOLE LIGHTS' ' -- --'• - ' ' ' I hereby affirm that I am exempt from the Contractor's License Law for ' the following reason (Section 7031:5-Business and Professions Code: SWIMMING POOL - P TRAP- - -- - - LOINS I KUL rION - - - .-. - Any City Or county which requires a permit to construct, alter, POLES METERED SUB - - Improve, demolish-or repair any structure, prior to its-issuance,-also re- WATER'SERVICE " --ALTERATION - ' ' ' - PANELS" - MAIN - 1- SUB - ' ' -1 quires the ap4licant for such permit to file a signed statement that he - - - -Is litensetl pursuant to the provisions of the Contractor's-License-Law- GAS SERVICE OUTLETS - - -' ' ',SERVICE '-- "" - 'AMP - - • (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and-Pro-fessions Code) or that-he is exempt therefrom and-the- WATER HEATERS "'BTU OUTPUT _ _ basis for the alleged exemption. Any violation of Section 7031.5 by - - , - - -'ft-applicant for a permit subjects the -applicant to a civil penalty - SEWER CONNECTIONS ' --- - - _-. - - • ' - p"— - -fot more than five hundred dollars ($500). - • 'j -i, as owner of the property, or my employees with wages as their' SOLAR TANK -- - COLLECTORS' - - -- -- -i s&Se compensation, will do the work, and the structure is not Intended , or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. - - _ - "ISSUE FEE ' - e, i Contractor's License Law does not apply to an owner of a property __ _ _ j I who.bullds or improves thereon, and who does such work himself or ISSUE FEE ---' ;APPLICATION APPROVED BY - - - DATES7/�(/ek_ through his ownemployees, provided that such improvements are not -- _ t , Intended or offered for sale. If, however, the blinding or improvement MECHANICAL PLAN CHECK • _ _ /SUMMARY OF FEES is sold within one year of completion, the owner will have the burden • ' •`. I of proving he did not build or improve for the purpose of-sale). HEATING SYSTEM 0-100,000 BTU • . —BUILDING - - -- ❑ 1,-as-owner of the -property, am -exclusively contracting-with __ __. •PERMIT $ �s Or�l7 SMIP _ •fr 00-S-0.. ANO DUCTING - and-Professions contractors Code: ce rncsr Licet (Section e0 not Business 100,000 +BTU PLAN CHECK $ 3?.87 PERMIT - - antl-wnersof roper, Theor Contractor's License Law does a not apply to • - -. _ ISSUANCE S. • an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU !PLUMBING $ tracts from-such projects-with a-contractor(s) licesned-pursuant to +- SYSTEM -- - - .- -- - - _ _ GRADING . S - the Contractor's License Law). - 100,000 LITU PLAN CHECK $ - - I ❑-I am exempt under Section - - ' - B.& P.C.for this- BOILERS BTU ELECTRICAL $ - ," --$ , reason • - - - • MICROFILM • -$ - • SYSTEM REPAIR,ALTERATION PLAN CHECK' $" - ., Date Owner - - 'TOTAL FEE'S I herebycertifythat I have read this applicationEXHAUST SYSTEM MULTIPLE • MECHANICAL 'S' ' y and state that the abovety - VAN %E D- - - _ ordina • nces is tatrela I agreeito comply all cityherebyantlCounty" -PLAN CHECK $ - - - VANCE PC $_ representativespreand state his relating to construction,anand veauthorize f this city toos ter po; the above mentioned - ' property for spettion poz Q 3.tfe2 Signature rv�-�-�� Date •(.-/r-.71-- - (-/T p L FINAL FEE $ Drivers' License or - -ISSUE FEE- - - -- - .. _ - CMF 0865.46 White-Building;Canary-Applicant: Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING j r POOL&SPA - - - APPROVALS Permit •A-(36 0 Date Inspector APPROVALS Permit# Date - Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - , - - • - - 2. Soil Pipe-Undrgrn 44. Steel Reinforcemeni - - - - 3. Electrical Conduit-Utility,Undrgrn . . . 45. Forms - • -- 4. Electrical Conduit-Undrgrn - 46. Electrical Bonding .. - - - - - - 5. Steel Reinforce _ • $1/t/'Fz_ cute:%6i� 47. Rbugh Plumbing & Pressure Test - - - -- - 6. Electrical UFER.Grn _ _ _ 48. APPROVAL TO COVER-GUNITE - - - 7. Footings 37/y/'ct C,'Cpt oe.c' 49. Electrical Conduit-Undrgrn • . B. Foundation _ �7_� 50. Gas Pipe,-0 Undrgrn,-Test 9. . Water Pipe-Undrgrn . ftT/fi-. S .?rL ' - - - 51>. Backwash Lines, P-Trap, ❑Undrgrn - 10. Structural Floor System ur•5/20A,- LtJCLYint-/ • 52. APPROVAL TO DECK - --' -7,- -- - - -• - -_ 11. . Property Sewer'Line&.Hogse Connection - _53. . Backwash & Receptor-Final -/ 12.. Street Sewer Connection 54. Heater & Vent-Final 13.. Rough Plumbing , - 55. Plumbing System - Final 14. Rough Electric-Conduit _ - -56. - Electrical-Final 15. Rough Electric-Wiring 57. - Solar System-Final - ' , ' 16. Rough Heating & Air Conditioning • - - 58. Fencing &Access Approval . • 17. Ducts, in Structure _- . 59. APPROVED FOR PLASTERING . i 18. Ducts, Ventilating .- - , - _-_ -- • . _ - _- - 19. Gas Pipe-Rough &Test - - . 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing ' 21. Roof Sheathing - - . 22. Frame and Flashing - - NOTES: - 23. Insulation , • - - . . - . _ • 24. Lathing &Siding - - - - - ' 25. Drywall Nailing . - _ _ _ - • - 26: Plaster Brown Coat - - - • . • 27. Electrical Power Meter-Final - 28. Final,Electric - _ 29. Final Heating & Air Conditioning - - 30. Final Gas Pipe-Test 31. Final Plumbing - . - - ' . 32. Water Service-Final . - - • • 33. Gas Service-Final - - 34. Solar Domestic-Final ' 35. Landscape Sprinkling System - - •- ' 36. Sound Attenuation • .. . • 37. Handicap Regulations ' ,. 38. FINAL STRUCTURE & BUILDING 12-74t N S _ _ 39. Special-Requirements Completed --- - - - - 40. Electric Release to Edison - - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY • ' No. Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY C. .COSTA MESA P MIT NO. TRACT NO. LOT NO: BLDG.NO.- pp63 I LOP/OP ii CONSTRUCTION PERMIT � � I •e5b TL ' Project Address 'r q� � AS� �_ �"(JP„ ...TyyyYPE OF CONSTRUCTION aQj�" Owner MO114J7/7 , J `�Q6 Phone po NEW ❑ ADD ❑ ALTERATION 't�j Address ❑ REPAIR D'CONVERSION ❑DEMOLISH V t Arch/Eng. • - License No. - 0 OTHER ZONING REGULATIONS Address - DESC RIPTI�RK 6..• . Ale %s A.P. ` W,'— y E � es: 4 ZONE �7` PLNG. Rf±! .,T e - Contractor i Phone • -2 J TYPE OF PERM - - BUILDING Tpp ILDING / 1 - SETBACK L ST. PROPERTY LINT: 7 . J . • Address / e lI �_ Malafil ❑ GRADING "0 FOUNDATION' ❑ STRUCTURAL AIDE YARD •l• LICENS D CONTRACTOR DECLARATIONELT - ❑ TENANT 0ELECTRICAL ❑PLV MBING ❑MECHANICA SIDEYARD•RD 0 I hereby affirm s section am licensedof Under provisionsfof n 9 (cam- RIGHT .I mofessi with rection 7000) ce,Division 3 the Business and ❑ OTHER - - - f I/ Professions Co and my licen s In' full force antl effect. REAR YARD(TO P/L) (�' d/�' PROJECT DESCRIPTION • Llc¢nse rias - Lic=;_e No 94/ $Q. FT. PKG.SPACE REQ. • PROVIDED Date f Signature -D---- - _ - - - WOR •ER-'COMPENSATION DECLARATION ' OCCUPANCY CONSWTION TYPE STREET WIDTH • PARK FEE$ I hereby affirm that I have a certificate of consent to self-insure or a ZONING APPROVED By (� DATE / �s 'certificate of Workers' Compensation Insy rance r a certified copy VALUATIO ZONE J Z 'Y thereof (SeSHon 3800 Lab-C: /�,� :ADING CU.,YDS. ACRES - SPECIAL CONDITIONS: ' Pr No./9:(-'7 -/OQf7t.UTh pang "-S-r�O. OTTf/(_G(/i 3' � q •p ' - _ C :ifietl copy Is hereby furnished. REMARKS: R_ 3 ? < S`�• "- �yp�certifietl copy Is"filetl'with the city Building Division. 'EA EMPTION FROM WORKERS' COMPENSATION DECLARATION - '- • - - • ' ' - - (This section need not be completed if the permit is for one hundred - _ - - . _. _ ' ($100) on less). . , . , . 1 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 PLUMBING . • . PLAN CHECK . ELECTRICAL ,PLAN CHECK -' , . . • subject to the Workers'Compensation Laws of California. UWtLLINC. (aH HA(at Date Signature BATHTUBS SHOWERS NOTICE: If after making this on, u become subject • TOILETS -to it comply with sucthon provisio5 s or ofthe permit should shallll be deemed ou must LAVATORIES 'DOUBLE LAYS_ • APPLIANCE •10-50 KW 50+-KW ®� revoked. CONSTRUCTION LENDING AGENCY DISHWASHERSKITSINKS ' .MOTORS r r H7 _, ' •.. . ,, 'I hereby affirm that there is a construction lending agency for the per- • 10-50 • s ‘p formance of the work for which this permit is Issued (Section 3097 ^�11 Civ. C.). . . . 'FLOOR SINKS , ' FLOOR DRAINS "' '' . ' " FIXTURES • - OUTLETS SWITCHES- • . `e 'Lender's Name - - - ' YY Lender's Address - • - OWNER BUILDER DECLARATIONINTERCEPTORS -• I hereby affirm that I am exempt from the Contractor's License Law for _ the following reason (Section 7031.5 Business and Professions Code: .•• Any 've, or dap or which ra y requiresr 'r permit to construct,-uane, alter,- POLES • • , METERED SUB ®, improve,demolish or repair any structure, prior to its issuance,also re 'WATER SERVICE ALTERATION • • PANELS — MAIN •SUB .-- s quires the ap,.l hart for such permit to file a signed statement that he ,. licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE . OUTLETS ' • SERVICE ' AMP"' hapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he Is exempt therefrom and the WATER HEATERS : BTU OUTPUT - k• has r the alleged exemption: Any violation of Section 7031.5 by m Ione for a permit subjects the applicant to a civil penaltyCONNECTIONS ®' ®® if more than five tl dollars ($500). - I ❑ I, as owner of the property, or my employees with wages-as their sole compensation, will do the work,and the structure is not intended - 44 or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. • --- , ISSUE FEE ' ®® iv Contractor's License Law does not apply to an owner of a property LI s(�I who builds or improves thereon, and who does such work himself or a • - APPLICATION APPROVED BYthit, y DATE//©Q],Z. n- through his own employees, provided that such improvements are not a•• intended or offered for sale. If, however, the building or improvement is sold within one year of completion,the owner will have the burden _ vi of proving he did not. build or improve for the purpose of sale). • _ HEATING SYSTEM CI-100,000 a i�-' ❑ 1, s owner of the property, am exfor y purpose ng with • DUCTING." ` licensed contractors to construct the project (Section 7044, Businesssr sss and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 tracts from such projects with a contractor(s) licesned pursuant to - 'S the Contractor's License Law). - - r s srr I . 0 I am exempt under Section ' B.& P.C.for this �'` ' ' SYSTEM REPAIR,ALTERATION• . PLAN CHECK $ ' • -reason • - D+ 'Date Owner MECHANICAL $ TOTAL FEE$ -I hereby certify that I hive read this application and state that the above EXHAUST SYSTEM - MULTIPLE .. r{� information • correct. I,agree to comply with all city and county \ ordinance an tate law elating to construction,and hereby . t orize �\ represent t' es ,f this tt y, to enter upon the above 'en toned FINAL FEE _ property r in,pectio urposes.^. / Signature CA,. CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNIN � POOL&SPA APPROVALS Permit# -�f�"�"�-� Date Inspector APPROVALS Permit#- _ - Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - - - - - - --.. -- - 2. Soil Pipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility,Undrgrn-- _ -_ - _ : -__- _, •____ _ 45. ' Forms • i 4. Electrical Conduit-Undrgrn --_ 4.. __ _. _ _ - 46„. Electrical Bonding ' -- - - - 5. Steel Reinforce D S rt.- ;4.j 47. Rough Plumbing& pressure Test 6. Electrical UFER Grn __ _ _ - 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undrqrn 8. Foundation . ' 50. Gas Pipe, ❑Undrgrn,Test .- 9- Water Pipe-Undrgrn 51. Backwash Lines,P-Trap. ❑Undrorn . . - - 10. Structural Floor System 52. APPROVAL TO DECK .. . - -'- - -• - • '11._.Property Sewer Line& House Connection - 53. -Backivash & Receptor-Final 12. Street Sewer Connection - 54. Heater& Vent-FinaL - 13. Rough Plumbing - u.'„ -•.,•- '.: - - - - - - - --• - - - - - --- 14. Rough Electric-Conduit - .56. Electrical-Final _ 15. Rough Electric-Wiring - 57. Solar System-Final - .. _ ' 16. Rough Heating&Air Conditioning - bb. Fencing &Access Approval , 17. Ducts,in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing - 21. Roof.Sheathing - • 22. Frame and Flashing NOTES: . - 23. Insulation 24. Lathing&Siding - . 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final _ 28. Final Electric - • 29. Final Heating &Air Conditioning 30. Final Gas Pipe-Test . 31: Final Plumbing . , 32. Water-Service-Final -33. • Gas Service-Final - 34. Solar Domestic-Final - 35. Landscape Sprinkling System _ - • - - . _ ' 36. Sound Attenuation -. _ . - .- 37. Handicap Regulations ' 38. FINAL STRUCTURE &BUILDING • /2.77^§t D•7 39. Special Requirements Completed . 40. Electric Release to Edison - - - - 41. Gas Release to Southern California Gas Co. • - 42. CERTIFICATE OF OCCUPANCY No - Date - • - -• _' - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF tOSTA MESA P IT Nl)tQ .. TRACT NO. LOT NO. BLDG.NO. I • CONS-RUCTION PERMIT P—.3 Project Address �S� .Le�J D ,Uf TYPE OF CONSTRUCTION • ' ' 6995 6/0 /8 8.00 IL • Owner 'J I ry PPL_tA C4 - Phone 0 NEW 0 ADD 0 ALTERATION I� Address ❑ REPAIR CONVERSION ❑DEMOLISH ��[ - ZONING REGULATIONS N Arch/Eng. License NO. 0 OTHER QD Address DESCRIPTION OF WORK A.P. ' • ZONE PLNG. REF., Contractor \F_ - 1 1- on YI .L p.aI�I\ Ph \1 qTbQ -A, TYPE OF PERMIT — BUILDING C/L ST. TBUILDING PROPERTY LINE A Address �'�c 01 D t\IPW``ls A1...in, NA. ❑ GRADINCa - 0 FOUNDATION 0 STRUCTURAL $ SIDE YARD -' • LICENSED CONTRACTOR DECLARATION-- 0-TENANT ELECTRICAL ❑PLUMBING OMECHANICAL LEFT YARD -- — I hereby affirm that I am licensed under provisions of Charter 9 (corn- RIGHT . mencing with section 7000) of Division 3-of the Business and 0 OTHER - . Professions Code, and my license Is In full force and effe t. • REAR YARD(TO P/L) License C .ss _ License N. S try PROJECT DESCRIPTION _ , SQ. FT. PKG.SPACE REQ. PROVIDED Date b -- Signature ._ . WORK'RS' OMPENSATION DECLA,AT ION � - OCCUPANCY_CONSTRUCTION.TYPE STREET WIDTH PARK FEE$ - I hereby affirm that I have a certificate of consent to self-Insure or a. VALUATION' ZONE ZONING APPROVED BY DATE certificate of Workers' Compensation Insurance, or a certified copy thereof(Sect r,Lag000t4. C.). StA� �u /Q GRADING CU.YDS. ' - ACRES SPECIAL CONDITIONS: Policy No. Y1 004- Company /V - - -3 Certified copy is hereby furnished. . - 'REMARKS: Certified copy is filed with the city Building Division. E MPTION FROM WORKERS' COMPENSATION DECLARATION - ' (This section need not be completed if the permit is for one hundred ($100) or less). - I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to:become PLUMBING , PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers'Compensation Laws of California.. - UW ELLING GARAGE Date Signature BATHTUBS SHOWERS SO FT So FT NOTICE: If after making this declaration, you should become subject TOILETS r URINALS - GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code,you must - TRANSFORMER - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS - - APPLIANCE 10-50 KWEON W _ - revoked. . _. . _ - CONSTRUCTION LENDING AGENCY KIT.SINKS `DISHWASHERS MOTORS- 0-1 HP_1-30"HP • - I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS - - - (INC.SOLAR)- 10-50 HP 50 + HP- - formance of the work for which this permit is issued (Section 3097 - -` - -- FLOOR SINKS FLOOR DRAINS • FIXTURES - OUTLETS SWITCHES ' -. Lender's Name _ _ • •Lender's Address DRINKING FOUNTAINS - GAS TUBE SIGNS' ' ' "' OWNER BUILDER DECLARATION - INTERCEPTORS CLARIFIERS ' POLE LIGHTS - - I hereby affirm that I am exempt from the Contractor's License Law for _ the following reason-(Section 7031.5-Business and Professions Code: SWIMMING POOL P TRAP -' (.UNSINULlIUry - ,eO Any city or county which requires a permit to construct, alter, POLES METERED SUB J y improve,demolish-br repair any structure, prior to its issuance;also re- WATER SERVICE ALTERATION - PANELS MAIN - SUB' ."- quires the api licant for such permit to file a signed statement that he , - - .. -is licensed'pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS - SERVICE - •' ' ' AMP ' (Chapter 9 (commencing with Section 7000) of Division 3 of the . Business and Professions Code) or that'he Is exempt therefrom and the WATER HEATERS BTU OUTPUT - -- -- -' basis for the alleged exemption. Any violation of Section 7031.5 by - • --'v 'applicant for a permit subjects the applicanttoa civil penalty SEWER CONNECTIONS ... - • - "-- ' not more than five hundred dollars ($500). I - - ' I, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS - - - - .ole compensation, will do the work, and the structure is not intended _ __ _' ' '' or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE ' ...foe - Contractor's License Law does not apply.to an owner of a property who builds or improves thereon, and who does such work himself or ISSUE FEE . - "APPLICATION APPROVED BY DATE through his own employees, provided that such improvements are not -- - intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES is sold within one year of completion, the owner.will have the burden of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING -- - - - - '❑ I, as' owner of the property, am-exclusively contracting with PERMIT $ - ';SMTP ' $ licensed contractors to construct the project (Section 7044, Business AND DUCTING 100,000 + BTU PLAN CHECK 5 PERMIT and Professions Code: The Contractor's License Law does-not apply to ISSUANCE $ an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts- from such projects-with a contractor(s) licesned pursuant'to SYSTEM -- - - - - -GRADING $ the Contractor's License Law). 100,000+BTU PLAN CHECK FS ' ❑ I am exempt under Section B.& P.C.for thisBOILERS BTU ELECTRICAL $ 6•A Q' $ reason - - - - _ ' MICROFILM S SYSTEM REPAIR,ALTERATION �' "PLAN CHECK -$ Date- Owner - - - MECHANICAL $ - TOTAL FEE$ Lhereby.certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE LESS AD- ' - • Information is correct. I agree to comply with all city and county '' PLAN CHECK $ VANCE PC $- ordinances and state laws relating to construction,and hereby authorize " - _ I representatives f this city to gnter upon the above men oned - ' property Jo spection urp C/ Signature A/4e141eh) Accounting;Goldenrod-Assessor t CONSTRUCTION AND PLANNI 3 POOL& SPA • _ APPROVALS Permit# Date Inspector APPROVALS Permit# --. Date Inspector • 1. Temporary Electrical Service or Pole /��� � 43. Pool & Equipment Location - - • - 3. Soil Pipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel Reinforce 47. Rough Plumbing &Pressure-Test . . . - - 6. Electrical UFER Grn _ 48. APPROVAL TO COVER-GUNITE - • - - - • - • 7. Footings 49. Electrical Conduit-Undrgrn 8. Foundation 50. Gas Pipe, ❑Undrgrn,Test 9. Water Pipe-Undrgrn 51. Backwash Lines, P-Trap. ❑'Undrgrn •- . - 10. Structural Floor System 52. APPROVAL TO DECK -"- - . 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing 55. Plumbing System - Final -. -• -- 14. Rough Electric-Conduit 56. Electrical-Final 15. Rough Electric-Wiring - 57. Solar System-Final 16. Rough Heating & Air Conditioning 58. Fencing &Access Approval 17. Ducts, in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathing 22. Frame and Flashing NOTES: 23. Insulation 24. Lathing & Siding 25, Drywall Nailing 26/ Plaster Brown Coat 27. Electrical Power Meter•Final 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test - 31. Final Plumbing 32. Water Service-Final 33. Gas Service-Final _ 34. Solar Domestic-Final 35. Landscape Sprinkling System 36. Sound Attenuation _ 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39.. Special Requirements Completed ' • 40. Electric Release to Edison - - - b/$?) - Into -pfreftifi / 41. Gas Release to Southern California Gas Co. / - -- - 42. CERTIFICATE OF OCCUPANCY • No. Date Applicant to fill in all spaces within heavy border fines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG.NO. CONSTRUCTION PERMIT S cj0 /q 02147 6/28/82 25.50 TL' MProject Address )1). 1 ,g7 OeA" `yyy.....T---YYPE OF CONSTRUCTION • Owner /UO%Nr_ iN •T lnVT/. Phone 56/6//ZNEW ❑ ADD 0 ALTERATION 00 Address5 77.a•vN Cent/'- OR_ , 0 REPAIR 0 CONVERSION ❑DEMOLISH ' ArchlEng. /j7�s. -A/Neye j License No.'7/']LO ❑OTHER ZONING REGULATIONS - • DESCRIPTION OF WORK A.P.S¢ ' Hill Address — 6 ZONE PLNTGOp.•g REF.��opy ( Contractor' / dhe t- 8� ,tpne TYPE OF PERMIT BUILDING XROPEIRTV LINE AddressSETBACK C/L ST. @LT 6,-ti L.E)-a�-c • ,( 0 GRADING 0 FOUNDATION 0 STRUCTURAL �yS$I�EDp��7 YARD - LICENSED CONTRACTOR'DECLARATION ( 0 TENANT ❑ ELECTRICAL C 'LUMBING ❑MECHANICA 5 D ($D •I hereby affirm thLt I am licensed under provisions of Charter 9 (com- ". RIGHT - mencing with section 7000) of Division 3 of the Business and ❑ OTHER - Professlons Code, and my license is In full for f REAR YARD(TO P/L) - �.. � � •,�. PROJECT DESCRIPTION • License Class - O\' S/ - PKG.SPACE REQ. "PROVIDED , Date Cs c)`f • Signature SO.'FT. - STREET WIDTH • PARK FEE$ WORKERS'COMPENSATION DECLARATION OCCUPANCY ei .--- CTION TYPE I hereby affirm that I have a certificate of consent to self-Insure ora VALUATIONf ZONE - v ,- _ ZONING APPROVED BY DATE - certificate of Workers' Compensation Insurance, or a certified.copy SPECIAL CONDITIONS: thereof (Sect n 3800, Lab. C.). •1�•6rr17/�?1 GRADING CU. YDS. ACRES No. 7D i'OLL Company 1- - - - -- _ _ :ertified copy is hereby furnishetl. REMARKS: v _ __ _ Cartified copy Is fi with the ity Building on. ed EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - 0/7 5 / TE Sim /61a ,�J- - - (This section need not be completed if the permit Is for one hundred - • ' (5100) or less). - - - - - • I certify_,that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become PLUMBING , - PLAN CHECK -, ELECTRICAL - PLAN CHECK subject to the Workers'Compensation Laws of California. - UW tLLIN(a VAHH6L BATHTUBS SHOWERS Date Signature SO FT. SO FT NOTICE: If after making this declaration, you should become subject 1 TOILETS : URINALS " - GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code,you must - TRANSFORMER ' • forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE"LAVS - - - - APPLIANCE 10.50 KW + KW revoked. . CONSTRUCTION LENDING AGENCY KIT.SINKS - DISHWASHERS - MOTORS • 0-1 HP_1-30 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS - - (INC..SOLAR) 10.50 HP 50 +HP formance of the work for which this permit is issued (Section 3097 Civ. C.). FLOOR SINKS FLOOR DRAINS -- -PIXTURES OUT SWITCHES • Lender's Name - 'Lender's Address DRINKING FOUNTAINS - ! CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit # 59o( 9 Date Inspector Date Inspector APPROVALS Permit# 1. Temporary Electrical,Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn _ 45. Forms • 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - 5. Steel Reinforce 47. Rough Plumbing& Pressure Test 6.. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings . - 49. Electrical Conduit-Undrgrn 8. Foundation 50. Gas Pipe, 0 Undrgrn,Test • 9. Water Pipe-Undrgrn 51. Backwash Lines. P-Trap. ❑Undrgrn 10. Structural Floor System .52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash& Receptor-Final 12. Street Sewer Connection . . 54: Heater & Vent-Final • 13. Rough Plumbing - _ - 55. Plumbina System - Final 14. Rough Electric-Conduit - •56. . Electrical-Final 15. Rough Electric-Wiring '57. Solar System-Final 16. Rough Heating & Air Conditioning 68. Fencing & Access Approval 17. Ducts, in Structure ' 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathing 22. Frame and Flashing - NOTES: 23. Insulation 24. Lathing & Siding - �%% i � 25. Drywall Nailing Q L 26. Plaster Brown Coat Q 7 jt 27. Electrical Power Meter-Final • Q" 28. Final Electric - 29. Final Heating & Air Conditioning - • 30. Final Gas Pipe-Test - 31. Final Plumbing 32. Water Service-Final _ . - 33. Gas Service-Final 34. Solar Domestic-Final _ , �.- 35. - Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations - - 38. FINALSTRUCTURE& BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. _ 42. CERTIFICATE OF OCCUPANCY • No Date Ilr Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PEL vv1 0. _ � TRACT NO. LOT NO. BLDG.NO. -w 5730 5/ 11/82 23.00-41; 1' CONSTRUCTION PERMIT ji,rev ` ' Project Address _ - (-l` �__ p TYPE OF CONSTRUCTION ir ll�� • Owner �1 f Ph0(y��(//�Cfz Fj�P'JL^0 NEW 0 ADD 0 ALTERATION r ' Address - 0OO / j�j..ct/-i<QJ//L - �//7 `❑ REPAIR 0 CONVERSION �OLISH . l Arch/Eng. • License No. r 0 OTHER / ZONING- REGULATIONS SCRI• ON OF WORK .� aa--,_ L--- - Address . Is. ....-/-/ '/ /'L�-WIM` O NE PLNG. REF.yF Contractor �T — Phon6Y>?�?Y= ' TYPE OF PER IT :5 ' To gl1 Lp� _ -K�v A • SETBACK C!L ST• PIEOPEIRTY LINE - Addres 2'7 S� ^� /�-/f , 0 GRADING 0 FOUNDATION ❑STRUCTURAL 5I YARD LICENSED CONACTOR DECLARATION '0 TENANT 0 ELECTRICAL ❑PLUMBING ❑MECHANICAI�S IpF ET YARD I hereby affirm that I am licensed under provisions of Charter 9 (corn- RIGHT mencing with section 7000) of Division 3- of the Business and 0 OTHER REAR YARD(TO P/L) - ProfessIons Code And my license is In full force and effect. PROJECT DESCRIPTION _ - __ _ License Class �ppL I (cense - - ' PKG.SPACE REQ. • PROVIDED ' '- .Date 3 '-3 p Signature SO. FT. _ .A. - !O ENSATION DECARATION OCCUPANCY CONSTRUCTION TYPE STREET WIDTH PARK FEE E WORKERS'COMP ,�.n�U I hereby affirm that I have a certificate of consent to self-insure or a VALUATION- llsr -"***--_ ZONE • ZONING APPROVED BY 'DATE - 'certificate of Workers' Compensation Insurance, or-a'certified copy ' " - SPECIAL CONDITIONS: ' - ,[hereof(Section 3800,Lab.C.). A GRADING CU.-YDS. ACRES '''' ' • - -Com Pant Al - - - --- - Lbiz(F 1 y..e etl ropy Is hereby furnlihatl. REMARKS: _ _ _ • - C led copy Is filed with the city Building Division. ' 'EXEMPTION _ FROM WORKERS' COMPENSATION DECLARATION' - - - ' ' \ (This section need not be completed if the permit is for one hundred - - _ _" _ • ,.1 ($100 or les). 1 '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 eat() _,become PLUMBING - ,.PLAN CHECK - ELECTRICAL ' " PLAN CHECK - - mg subject to the.Workers'Compensation Laws of California." DWELLING (.H ANNUL IN Date Signature BATHTUBS SHOWERS- - SO FT SO FT NOTICE: If after making this declaration, you should become subject TOILETS. .b URINALS- " - - 'GENERATOR - 0-1 KW=1-10 KW • - Q to the Workers' Compensation provisions of the Labor Code,you must 'TRANSFORMER Qforthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS - ,APPLIANCE -10-50 KW_50 + KW revoked. - - - 'CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1-10 HP I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS SUMPS- ' ((INC.SOLAR) 10-50 HP 50+ HP - formance of the work for which this permit is issued (Section 3097 - - - Civ. C.). • t FLOOR SINKS FLOOR DRAINS -' FIXTURES OUTLETS SWITCHES ._ • Lender's Name - _ Lender's Address DRINKING FOUNTAINS- ,GAS TUBE SIGNS - - -- OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS - I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business-and Professions Code: SWIMMING POOL -P TRAP - -- ' - .- - LUNS Ulla.nuN • Any city or county which requires a permit to construct, alter, 'POLES METERED SUB • improve, demolish or repair any structure, prior to Its Issuance,also re- WATER SERVICE ALTERATION - - PANELS MAIN SUB' • - quires the api.licant for such permit to file a signed statement that he - , is'Ilcensed pursuant'to the provisions of'tho Contractor's License Law GAS SERVICE OUTLETS • - SERVICE - • AMP - - BChapter 9 (commencing with Section 7000) of Division 3 of the -' usiness and Professions Code) or that he IS exempt'thorefrom and-the WATER HEATERS - BTU OUTPUT " ' ' • - - - - - -- .sls for the alleged exemption. Any violation of Section 7031.5 by ' >.";applicant for-a permit subjects the applicant to a civil penalty SEWER O13NP4ECTIO"F /� - - /� ... ' • "='rot more than live hundred dollars ($500). �'" � 'r 4 I, as owner of the property,or my employees with wages as their SOLAR TANK - COLLECTORS---1- •- • ' Sole compensation, will do the work, and the structure is not intended or offered for sale. (Section '7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE - - -• Contractor's-License Law does not apply to an owner of a property - - A 0n 'APPLICATION APPROVED BY DATE who builds or improves thereon, and who does such work himself or ISSUE FEE • through his own employees, provided that such Improvements are not - Intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK• SUMMARY OF FEES is C urden .ofsold proving within he did sar not ibuildport Improve for the owner the will purpose of ve the of sale). HEATING SYSTEM 0-100,000 BTU ,BUILDTG EI 7'+3 COL� SMTP E •� J7� ❑ 1, as owner of the property, am exclusively contracting with AND DUCTING licensed contractors to construct the project (Section 7044, Business 100,000.+BTU PLAN CHECK E PERMIT. 'and Professions Professions Code: The Contractor's License Law does not apply to - ISSUANCE "E ' an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING EsSt 0 0 tracts from such projects with•a"contractor(s) licesned pursuant to SYSTEM - • GRADING $. the Contractor's License Law). 100,0001+BTU PLAN CHECK $ • - ❑ 1 am exempt under Section - B.& P.C.for this BOILERS BTU ELECTRICAL E • - $ reason - PLAN CHECK E • MICROFILM $ Date Owner SYSTEM REPAIR,ALTERATION - TOTAL FEE$ I.hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL E -' - PLAN-CHECK $ LESS E P ordinances is tateela I agree to comply with all cityand county - VANCE PC E_ ' • Ordinances ndes state laws relating to construction,upon and hereby authorize - ^ representat es • thlily • ,rater upon the above mentioned • rx��0a property f r i pecti• •u� ' . FINAL FEE E Drivers' icense or SS ir- ---•• ISSUE FEE CMF 0865-46 White-Building:Canary-Applicant;Pink-Accounting;Goldenrod-Assessor 4. . CONSTRUCTION AND PLANNI G _ POOL& SPA' . > APPROVALS Permit#n 4,3Date Inspector APPROVALS Permit# - Date Inspector 1. Temporaryr� Electrical Service or Pole _ o 43. Pool & Equipment Location • - - .. . - -• - 2. Soifl,ipe-Undrgrn _ 44. Steel Reinforcement - - - - - 3. Electrical Conduit Utility-Undrgrn ` - _ . - _-_ ... 45. Forms �•. .4. Electrical Conduit-Undrgrn _ • ._ _ 46: Electrical Bonding_., - - - . 5. Steel Reinforce 47. Rough Plumbing & Pressure Test - . 6. Electrical UFER Grn - 48. APPROVAL TO COVER-GUNITE • - - -- - - • - 7. Footings - 49. Electrical Conduit-Undrgrn B. Foundation _ 50. .:Gas Pipe, ❑Undrgrn,Test 9. Water Pipe-Undrgrn _. 51. Backwash Lines. P-Trap.±flUndrern • - - 10. Structural Floor System . 52. APPROVAL TO DECK - ' " '• - . _ -' 11. Property Sewer Line & House Connection - 53. Backwash & Receptor-Final 12. Street Sewer Connection - 54. Heater & Vent-Final 13. Rough.Plumbing _ - 55 Plumbing'System-Final - - 14. Rough Electric-Conduit - - .56. Electrical-Final - 15. Rough Electric-Wiring 57. Solar System-Final . 16. Rough Heating & Air Conditioning58. Fencing & Access Approval 17. Ducts, in Structure - 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating • 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL - , 20. Roof Framing ' 21. Roof Sheathing - - 22. Frame and Flashing NOTES: 23. Insulation - - 24. Lathing & Siding . 25. Drywall Nailing 26.- Plaster Brown Coat _ - - 27. ._Electrical Power Meter-Final - _ . _ 28. Final Electric - - _ 29. Final Heating & Air Conditioning - ' - 30. Final Gas Pipe-Test _ """•' " 31. Final Plumbing 1.)-1---0 S- i E'Era.-- 32. Water Service-Final .• 33. Gas Service-Final - • - 34. Solar Domestic-Final 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations - - - 38. FINAL STRUCTURE & BUILDING 4 - - _- - _ 39. Special Requirements Completed 40. Electric Release to Edison - . 41. Gas Release to Southern California Gas Co. . 42. CERTIFICATE OF OCCUPANCY No Date COUNTY OF ORANGE BUILDING DEPT. • Permit No 410 636 No.Broadway Santa Ana,California Application for Building Permit Phone:KI 2-6211 AND FOR A Certificate of Use and Occupancy '* i 93Z. 1. OWNER'S NAME....T08,4/ tette.72..E PHONE:fiEAc.N SWAN' MAILING ADDRESS...2 lc L.9 bEN A id 1 CITY CO rijfl Name Tdrid rtentr-ren Name (Architect or Engineer). (Contractor) Address Address A.Ito 11 City City /1.6 A Bo Ve State State Lin No Phone Lic. No...ff OM $ PhoneRCA t 3 77-ki PROPOSED USE• fii,"se Of A bb' r,oAj 2. JOB LOCATION 6-4 ELDENAye • C a niM1ESJ4 (House No.) (Name of Street) (Town or School District) 3. LEGAL DESCRIPTION: Lot.s 'etfl' Block Tract.374 (Metes and Bounds Description—Use reverse side of form) 4. CORNER LOT ( ) INTERIOR LOT ( ) ) THROUGH LOT ( ) SLOPE OF LOT ( ) 5. SIZE OF BLDG.:*.t 3 0 AREA APP god ekierSizE OF LOThi. X 334 AREAAPP ikalalefro• 6. HEIGHT OF BLDG • /' 14 a CEILING HEIGHT e • NO. OF STORIES... 4g4 7. NO. FAMILIES ON C Size of Smallest Bedroom../410 #24#11 # Size of Kitchen S. EXTERIOR WALL CONSTRUCTION:C.W.C.84.0AN INTERIOR WALL COVERING...Coble.$4 cir (Frame, Stucco, Etc.) (Plaster-Drywall, Etc.) 9. SETBACKS: Front Yard From Center Line of Street / Sao te 7 Nearest Side Yard./ ter Rear Yard /CO OTI r Distance in Feet Between Bldgs. on Same Lot.N.6..inittg4aft... 10. A COMPLETE PLOT PLAN IS REQUIRED,.SHOWING ALL STRUCTURES AND USE OF EACH. " -etad el aa 11. For (a) Footing; Width..../to Depth in Ground 1 tel Width of Wall if, Accessory Bldgs. and Similar (b) Size of Studs• 72 Spacing.. 1— "CC Material of Floor Ca"OlfE.T4 Structures: - (c) Size of Floor Joists- Spacing "CC (d) Size of Rafterc• 2. X 4. Spacing 14s "CC 12. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and sewage disposal $...3000 13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. Signe"' (Owner) (Owner) Plans Filed- 2 — Jr • ••• By• (Authorized Agent) FOR DEPARTMENTAL USE ONLY FEES: CHECKING BY Bldg. Permit - $ GROUP APPLICATION... HEALTH Plan Check - $ / ° TYPE ZONING FIRE Total - - - $ 7 DIST. MARSHAL Receipt No. - MAP 4 PLANS AND SPEC'S STATE Paid to. SHEET NO j,) CORRECTIONS ENGINEER Date —/P --e>15 VERIFIED CAL - _ rbr mg narypoupay BUILDING Li, 1' ; I/2 !AUL', INSPTOri DATE 2 / —5;2 / cialltnat 5 M-8-51 . METES.AND BOUNDS DESCRIP7 4: . I I I O 210 310 4,0 510 610 _LI.) ' I L_ i 1 L I - - • • • :__-11:11911111111-11's ' :izn:i1r119: • :66 � r :: noir :::::':111::1•::..: •o " '.. .. ..:■I■ I■■■■.: •■■G■. :....g:..■I■. • : _ _1 I•: I::•:::1 ::....■i■....::•1•J•■:G::••inuu•■'■.1 -- - - : I::: :::::I:: ..........I:•::1:�:::•i1�::l::�Gg_ ....... . . . . • •• • ••1• :I 111111111111111111111111111111111111- 0 :ui111111111111ri:G::■in. •■.u■:- 11 11 1"1111 II1111i11111 1 I -�_ 111111111 111H11IIIIIf � I ' - 71-.191111. 1 II�iNiIlAnl n1�.:� � , -�_� � . i i• 11111111111111111111 ; i � � 111111111 11 1 1 UI ■ _ .■■■. 11■■■■■■■■ II.■.. ..■■■■■■.. 1.1' • 11111 111 1 PIMP 11111111111 111 . I - _G - . .Mil O.. L.. ..1. .■..■....■. uuunn ' -rt 1 1 11r 0 111 1111 1111/111/ ibi 1 E - - Li ' 111 1 11 1111II111111111d 1 ' i � L illl 111 1 11�1 11111111111111111 :1�I 1 _ � 1111:1111111111111111111111111111 ' 1 : ...11111111111111111111111111'11 11111111 1 _ _1 • ••:•:: ..• : u...0:::::::::I::uunuu::u:ui•=8= -_ :: •:• ::• : ::•:::u:::111:.::1::: :::. : :II::I . :.:I. GI■ ..:■■ ............... I. I IG: 1- _ iai1 • ii i iii 11111111111iii 111111�ln111111i I_ I- - :: .: •■::� :. :.:::�::.:::::::::::::: -- :::::.:� . - .. ■. . ....■.. .... .■......... . ... . .. : .:■:■......:.n. .■■■■■ .■. _-' min '::: :..•.1.91111:181111:111i8.1111111?111�!°Ii 1_ ■ _ ' 1 1 •NUUU .■...............GG..... ..I :� : - ■ p_ :ion flpUUU•G:G' ::::::G::::::::::::::::_•:.:: . .- 1 • ■••11�NMUM. ••••••••:•:•G::::::G::G 1111 : ■ M. ■ ■■ ■...■■.. ■ ■ - -- "Irbil ■ .■..■....■. ■.....■.■. ■ .. ■ .■.■ G ■ ...........::... .....■ ■ - I I ■■ . ■....l....� n..: .n.. :G trEfl ,1IGIuiiIiIinrniuuiiuiiiIIiHiIiIIIiiMalm ' MMI� ■ ... .■ ■...■. ■I .: : :L..u... ■ . .... ..:. :1 - -- -. :. 111 : : . :5.1.1: I:I :•u ' ::� • _ _�- :11111111111.1119•91 G - _� ____`_ _- , 1111 _ �- L • , 01_H::::::::: n..'n 'i'n■ U.•.UU.1.� : .U... 1:. •:� . _; IM M I- iOIiIOiui:::iu::::::r:I::::i: :JII1i p IN 11111 11 : 1 1 iI� --r b;-- - I� 1II A I- ,y .� ELDEN AVENUE 2569UNZT A-2 ' - G-3926-. Condow/att. ?„f 9/0710 Unit A-2 gar. 64.800. ht-4256-/a� , (G-3926) - ua Unit A-2 II-4797' - i 4p. MEM. (G-3926) - shit A-2 - •fi • ,tib si. Mt rJ: . i el v T I r..1 i 1 V' 1�I :.4 fl, •I Applicant to fill in all spaces within heavy border lines antl&sign all appropriate declarations. CITY OF COSTA MESA PE IT NO. TRACT NO. LOT NO. 'BLDG.NO. 'CONSTRUCTION PERMIT / - eZ oZ Project Address ) / >>> 7 a FL Dr TYPE OF CONSTRUCTION - Owner ` �/ Z /�f j�1S� 'hone 0 NEW 0 ADD 0 ALTERATION /f.�R 3361 7�2��92 7.00 It. ,Address 6019 ,ti cud NrFQ ,pQ, S • ❑ REPAIR ❑ CONVERSION ❑DEMOLISH L."'"" ,- • 0 OTHER ZONING REGULATIONS .Arch/Eng. License No. - "Address - DESCRIPTION OF WORK l n ��� ZONE - PLNG. REF. # , _ _ Contractor CLQ Au 4w - �' 11,: "/'" Phone 5994/ f7 TYPE OF PERMIT. - '- BUILDING TO BUILDING - 1 Address �y/"7'" ! _ -SETBACK C/L ST. PROPERTY LINE 353 k2 ni ,pJA/ e a6,ePg T4�; _ . ❑ GRADING , 0 FOUNDATION 0 STR1J�C/TURAL -,SID FT YARD - - • - LICENSED CONTRACTOR DELL' RATION - - - . ❑TENANT-0 ELECTRICAL ❑PLUMBING J6j MECHANICAL/ SIEDE YARD - . .. - I hereby affirm that I am licensed under provisions of Charter 9(com- , ` RIGHT r mencing with section •70001 of Division 3 of the Business and 0 OTHER — ' Professions Code, -nd my license is in full force and effect. - • I REAR YARD(TO P/L) , • .PROJECT DESCRIPTION License Cla s • icense .rd'S8� - -- PKG.SPACE REQ. - •- PROVIDED. - r9� d i _ SQ. FT. Date - Signature -= • - - •STREET WIDTH - PARK FEE V - WORKE-S' OMPENSATION DECLARATION OCCUPANCY_CONSTRUCTION TYPE - ' I hereby affirm that I have a certificate of consent to self-insure or a .VALUATION ZONE ZONING APPROVED BY - - DATE - -- • certificate of Workers' Compensation-Insurance, or a certified'copy - - -- __ - .. . . - _ thereof(Section 3800, Lab.C" • J- GRADING CU.YDS- ACRES ' SPECIAL CONDITIONS: "- cY No. Company - - ._e. - - - . _ _ - ' ertified copy is hereby furnished. - _ - - -_ . REMARKS: • is ��� ! _ • - - _ • .:ertif ietl copy is filed with the city Building Division. (T cC EXEMPTION FROM WORKERS"COMPENSATION DECLARATION - - -' - ' -- -- (This section need not be Completed if the permit Is for one hundred _ (5100) or less)- . . . - - _ - - - - - - - - _ -. . I certify. that in the'performance of the work for which this permit is s _issued, I shall not employ any person in any manner so as to- ecome PLUMBING , „PLAN CHECK - •ELECTRICAL -- - PLAN CHECK - - subject t the orkers'Compen5ati0flw5� Calif la./'.' �7/bt - DWELLING _ LHPLAN Date Signature / LSC '�`•W BATHTUBS - SHOWERS -_ I _. _ SO FT Sri FT " ' .. NOTI E: If after making this declaration, you should become subject TOILETS • -URINALS- ' - - ' - GENERATOR 0-1 KW_1-10 KW ----- - -- to the Workers' Compensation provisions of the Labor Code,you must - - TRANSFORMER .. l • y forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS' - - 'APPLIANCE - 10-50 KW-L-50 + KW - -- CONSTRUCTION LENDING AGENCY DISHWASHERS - -- - - MOTORS. - 0-1 HP- - -1-10-HP -I - - - I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS i SUMPS ^ -'- ' -- - -(INC.SOLAR) .. 10-50 HP50.+ HP. - formance of the workfor which this permit is Issued (Section 3097 CiCJ. - _ FLOOR SINKS— FLOOR DRAINS ' - FIXTURES- OUTLETS - SWITCHES - --- 'Lender's Name _ _ _ ' 'Lender's • Lender's Address '- - `DRINKING'FOUNTAINS- '- - - ' -' 'GAS TUBE SIGNS - • - - OWNER BUILDER DECLARATION - -- INTERCEPTORS -- CLARIFIERS - - - ' - ' POLE LIGHTS • - - -- -- --- - - _ -- I I hereby affirm that I am exempt from the Contractor's License Law for i the-following-reason (Section 7031.5 Business and-Professions Code: 'SWIMMING POOL - - -18'TRAP -- - - - 'LUNO I Hut-I IDN • Any city or county which requires a permit to construct, alter, POLES METERED ' "SUB - _ improve,-demolish or repair any'structure;prior to its issuance,also re- WATER SERVICE -- ALTERATION' -- ---- - - ;PANELS - MAIN - -SUB 1 quires the apt licant for such permit to file a signed statement that he Is licensed-pursuant to the-provisions of the-Contractor's-License Law GAS SERV ICE —OUTLETS' - SERVICE-- - - - - • AMP . - (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions'Code) or that he is exempt therefrom and the - WATER HEATERS 'BTU OUTPUT 'c--- - - -. - ---- _ - ` -- _ basis for the alleged exemption. Any violation of Section 7031.5 by - applicant for-a'permit subjects the applicant to a-civil penalty SEWER CONNECTIONS -........--7,--. t = C. _ -- - __ _ _— 3 more than five hundred dollars ($500). - - • - L ., as-owner of the property,or my employees with wages-as their SOLAR TANK -- --COLLECTORS - - -- - - - -_ - __ _-.- , sole compensation,_will do the work, and the structure is not Intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING-SVS. I -' - -- - ISSUE FEE -- - - - - . - - Contractor's License Law does,not apply to an owner of a property 'APPLICATION APPROVED BY _. _ who builds or improves thereon, and who does such work himself or ISSUE FEE - - - -' - ' --' ---- - -- ' - .- " DATE - through.his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or ImprovementMECHANICAL PLAN CHECK- - -CITECK -- ' ' ' OF FEE is-sold within one year of completion, the owner will have the burden • SUMMARY S of proving he did not build or improve for the purpose of sale). -- - /1 .�a,v - - BUILDING - - - -- - _ ' _ _ ! HEATING SYST 100,000 BTU T[NCW PERMIT $ ,,, SMIP., $ '❑•I-as owner -of the property, am exclusively contracting with AND DUCTI - - - - - _ - _ licensed contractors to construct the project (Section 7044, Business .- 100,000 +BTU • - PLAN CHECK $ • PERMIT and Professions Code:-The Contractor's License Lawdoesnot apply to _ _ _ - -__ _ - ____ . ISSUANCE $ - an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU •PLUMBING $ tracts from such- projects with a contractor(s) Ilcesned-pursuant to SYSTEM - - __. __ _ GRADING- $ - - " 1 .the Contractor's License Law). 100,000+BTU PCAN-CHECK-$ ' ' '- ❑ I am exempt'undOr Section - - - B.& P. for this BOILERS BTU ,- • - 'ELECTRICAL $ -- - -$ - reason - - • - - _. MICROFILM'S - SYSTEM REPAIR, PLAN CHECK $ - - Date Owner - i TOTAL FEE$ ' I hereby certify that I_have read this application and state that the above EXHAUST SYSTEM MULTIPLE - MECHANICAL $ LESS AD- information is correct. I agree to comply with-all city and county PLAN CHECK $ VANCE PC $_- - - ordinances and state laws relating to construction,and hereby authorize representatives of this city to enter up n the above mentioned - L �— Sigpronarurey fori$ie"/V Pu ses� // Date 9/20/ -. CC - Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL&SPA . . APPROVALS � Permit# *gal., Date Inspector APPROVALS Permit# Date_ Inspector 1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location - - . -• 2. Soil Pipe-Undrgrn _ 44. Steel Reinforcement - • 3. Electrical Conduit Utility-Undrgrn _ 45. Forms • 4. Electrical Conduit-Undrgrn .' . . .. 46. Electrical Bonding 5. Steel Reinforce - 47. Rough Plumbing & Pressure Test • - - - • ' 6. Electrical UFER Grn - , . 48. APPROVAL TO COVER-GUNITE - .- 7. Footings _ ' - 49. Electrical Conduit-Undrgrn - 8.- Foundation - - _ - - -. - _ 50. Gas Pipe, ❑ Undrgrn,Test • 9. -Water Pipe-Undrgrn .- _ 51. Backwash Lines,P-Trap. ❑Undrarn 10. Structural Floor System . . . , - 52. APPROVAL TO DECK .. - ' - 11. Property Sewer Line & House Connection. - -. _ 53. Backwash & Receptor-Final 12. Street Sewer-Connection . ' _ _ - - . . - 54. Heater & Vent-Final . _13. Rough Plumbing - - - 55Plumbina Svsteni -Final - - - • 14. Rough Electric-Conduit - - - - - -56._ Electrical-Final . 15. Rough Electric-Wiring - 57. Solar System-Final - 16.- Rough Heating& Air Conditioning - - 7/'J-/g j -j 9 58. Fencing&Access Approval r 17. Ducts,in Structure - - - - 59. APPROVED FOR PLASTERING • ' 18: Ducts, Ventilating _ - - - _ , . , . 19. Gas Pipe-Rough &Test - - = - 60. POOL/SPA SYSTEMS FINAL ' 20. Roof Framing - - - - - ` 21. Roof Sheathing - - • • 22. Frame and Flashing - NOTES: - 23. Insulation - - - - • 24. Lathing & Siding - - - - - ' 25. Drywall Nailing - - • 26. Plaster Brown Coat • . . 27. Electrical'Power Meter-Final - . • 28. Final Electric - - - - - - 29. Final Heating &-Air Conditioning - - ,hfrici , 30. Final Gas Pipe-Test - 31. Final Plumbing .- . • 32. Water Service-Final - - - - - - - 33. Gas Service-Final -: • - • ' 34. Solar Domestic-Final "' - - - - - ' 35. Landscape Sprinkling System • - - - ' 36. Sound Attenuation - - 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING . - 39. Special Requirements Completed ' - 40. -Electric Release-toEdison -- - - - - - -- ---- --- - - - - -- - - 41. Gas Release to Southern California Gas Co. • • 42. CERTIFICATE OF OCCUPANCY -: j No. • Date - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. • Ej DG.NO. - - - - - ' CONSTRUCTION PERMIT jt — 777 r '-a 7601 9/13/82 Project Address-- $'' 69 E (_ of f M TYPE OF CONSTRUCTION 7.00 T1 OWnerMn tta'tA'b� IUe cr Phone ❑ NEW 0 ADD ❑ ALTERATION - - Address El REPAIR 0 CONVERSION ❑DEMOLISH • -- ZONING REGULATIONS - Arch/Eng. License No. _ 0 OTHER ' ' DESCRIPTION OF WORK A.P.* ' Address f't ,- - ZONE - PLNG. REF.la Contractor Tr- J L.L Pfp ASC Phd% cJ)_9.f.'O� TYPE OF PERMIT - • BUILDING T2 B} ILpING — Addr is r /-s SETBACK C/L$T. PRO PERTV LINE 7Q �/ 4� NCpyA/yam D�s/(� {y, 0 GRADING 0 FOUNDATION 0 STRUCT RAL SID_ ETYARD LICENSED CONTRACTOR D6CLARATfON 0 TENANT 0 ELECTRICAL DPLUMBING MECHANICA 51EDE YA RDA I hereby affirm that I am licensed under provisions of Charter 9(corn- RIGHT mencing with section 7000) of Division 3 Of the Business and 0 OTHER • Professions Code, nd my license Is In full for e a • eff.ct. REAR YARD(TO P/L) License las L •ense - Ar e I PROJECT DESCRIPTION _ Sv''-."- SQ.FT. EP PKG.SPACE REQ. PROVIDED Date Signature ----- - WO-KER 'COMPENSATIONDECLRATI• OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEE $ I hereby affirm that I have a certif cafe of consent to self-Insure or a VZONING APPROVED BY I DATE certificate of Workers' Compensation Insurance, or a certified copy VALUATION ZONE thereof laktion s-�rry�,Lab.C.). �+�- I' GRADING Cu.YDS. ACRES SPECIAL CONDITIONS: r , Policy 3'11^• Company STA-IC FutJ( - - .. vtifietl copy is hereby furnished. REMARKS: /'� �9 �'1 / _ rtified copy is filed with the city Building Division. �T /mob , - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - -- - (This section need not be completed If the permit is for one hundred ($100) or less). - - - I certify that In the performance of the work for which this permit is Issued, I shall not employ any person in any manner so es to become PLUMBING PLAN CHECK _ ' - ELECTRICAL - PLAN CHECK Subject to the Workers Compensation Laws of California. U BATHTUBS SHOWERS - UWELLIN - LLAHAGE - - Date _Signature 50.FT SO FT - NOTICE: If after making this declaration, you should become subject TOILETS URINALS GENERATOR' 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW_50+ KW • - - ' - - revoketl. KIT.SINKS - • DISHWASHERS • - - MOTORS '- " CONSTRUCTION LENDING AGENCY 0-1 HP HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS . SUMPS - - - (INC.SOLAR) -30-50 HP 50 +HP - _' formance of the work for which this permit is Issued (Section 3097 , ' Civ. C.). • - - FLOOR SINKS-- FLOOR DRAINS - . -FIXTURES - - OUTLETS SWITCHES Lender's Name - ' Lender's Address' • -- DRINKING FOUNTAINS - - ' GAS'TUBE SIGNS -- - - - OWNER BUILDER DECLARATIONINTERCEPTORS CLARIFIERS •- ' - -' POLE LIGHTS - ' - I hereby affirm that I am exempt from the Contractor's License Law for . the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP _ LuNS I Hut-truly . . - - Any city or county which requires a permit to construct, alter, POLES METERED SUB- - , Improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION- - PANELS ' MAIN • SOB • quires the applicant for such permit to file a signed statement that he .- is licensed pursuant to the.provisions of the Contractor4_License Law GAS SERVICE -- -OUTLETS - - SERVICE ` "- - 'AMP -_ _ (Chapter 9 (commencing with Section 7000) of Division 3 of the - Business and Processions Code),or that he Is exempt therefrom and the WATER HEATERS BTU OUTPUT • -- - basis for•the alleged exemption. Any violation of Section 7031.5 by - , ar' 'oplicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS —v=� "I ° ` - - o more than five hundred dollars ($500). L as owner.of the-Property, or-my-employees with wages as their -SOLAR TANK- - COLLECTORS t - '- sole compensation, will do the work, and the structure is not Intended - or'offered for sale. (Section 7044,-Business and Professions Code: The SOLAR PIPING SYS. - , ISSUE FEE - - Contractor's License Law does not apply to an owner of a property - ' who builds or improves thereon, and who does such work-himself or ISSUE FEE APPLICATION APPROVED BY -- - DATE- - . through his own employees, provided that such improvements are not - intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK - - is sold within one year of completion, the owner will have the burden SUMMARY OF FEES • of proving he did -not build or improve for the purpose of sale). - - - - 'BUILDING - - -' - -- - ' ❑ I, as owner of the property, am exclusively contracting with HEATING SYSTEM 0-100,000 BTU PERMIT $ SMIP . $ licensed contractors to construct the project (Section 7044, Business AND DUCTING 100,000 + BTU PLAN CHECK $ PERMIT and Professions Code: The Contractor's License Law does not apply to - ISSUANCE $ an owner of property who buiids'or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ • tracts from such projects with a contractor(s) Iicesnetl pursuant to SYSTEM GRADING $ • the Contractor's License Law). ' ' 100,000 +BTU PLAN CHECK $ ' ❑ I am exempt under.Section B.-& P.C.for this BOILERS • BTU ELECTRICAL $ $ • reason - . - .. MICROFILM $ "r Date _Owner SYSTEM REPAIR,ALTERATION PLAN CHECK $ MECHANICAL S 7-0 0 TOTAL FEE$ I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE LESS AD- • ' information Is correct. I agree to comply with all city and county r`Qe N C P Le co PLAN CHECK $ VANCE PC S ordinances and state laws relating to constru on,and hereby auth rile !� /G. representativ �qpf this ! y to dnter •u•/n the above ���hhhen tined - Property I rr+7]�{qpect Pur �. �// L -&O 2c77 SiSiglvatsrLice ��Yor Accounting;Goldenrod-Assessor . CONSTRUCTION AND PLANNING . POOL& SPA . L - ' APPROVALS Permit# Pt n r 7 Date Inspector APPROVALS Permitt# • Date Inspector 1. Temporary Electrical Service or Pole .. 43. , Pool & Equipment Location - 2. Soil Pipe-Undrgrn . . i - • - __• 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn . 45: Forms - - - • - - ,• 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding . - . 5. Steel Reinforce - 47.. Rough Plumbing & Pressure Test ' - - - . . . . - 6. Electrical UFER Grn48. APPROVALTO COVER-G UNITE - - -- 7. Footings _ 49. Electrical Conduit-Undrgrn , 8. Foundation 50.. Gas Pipe, O Undrgrn,Test •• 9. Water Pipe-Undrgrn 51. Backwash Lines, P-Trap. 0 Undrgrn 10. Structural Floor System _ 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection - . . 53. Backwash & Receptor-Final - • 12. Street Sewer Connection _ - _ . 54. Heater& Vent-Final - . . . . . - . . . 13. Rough Plumbing 55. Plumbing System-Final 14. Rough Electric-Conduit • f. .56`" Electrical-Final' . 15. Rough Electric-Wiring 57. Solar System-Final • 16. Rough Heating& Air Conditioning • 9/B-79,- 4 /7j' S8. Fencing & Access Approval _17. Ducts, in Structure 59. APPROVED FOR PLASTERING _ __ ___- 18. _ _18. Ducts, Ventilating - 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL . 20. Roof Framing _. - 21. Roof Sheathing . . . • - . 22. Frame and Flashing NOTES: 23. Insulation - - . . - ' 24. Lathing & Siding - - -. - 25. Drywall Nailing 26. Plaster Brown Coat ' 27. Electrical Power Meter-Final . - - 28. Final Electric - - - 29. Final Heating &Air Conditioning //q5- fL- &4 4C , 30. Final Gas Pipe-Test - 31. Final Plumbing - , 32. _Water.Service-Final . •- 33. Gas Service-Final 34. Solar Domestic-Final - . . - 35. Landscape Sprinkling System - 36. Sound Attenuation ' _ 37. Handicap Regulations _ 38. FINAL STRUCTURE & BUILDING _ 39. Special Requirements Completed • 40. Electric Release to Edison - - - - --- ----- • -- 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY - • • No -- Date - _ - - - -- ELDEN AVENUE 2569 UNIT A-3 _ • • G-3927-1,4ar Cando w/att. gar. 64,800. Unit A-3 M-4257- MECH. (G-3927) . ,. nl 45/1)- Unit A-3 • M-4798-„R.5713.. MECH.(G-3927) Unit A-3 • • f � 1 � 1 Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PEMT`NO4/ _ TRACT NO. -LOT NO. BLp=.Nj1. - - • -- -' - ' - - • CONSTRUCTION PERMIT . I ,,LL//FF 3 ; Project Addresp" ? �t/)e/V GIN 3` TYPE OF CONSTRUCTION •- ownerM�lAITALra4f (/-de5t 5�{ - Pho 0 NEW- 0 ADD ❑ ALTERATION'- - - 76OC1 9/19/82 7.00 TL Address 0 REPAIR 0 CONVERSION ❑DEMOLISH • la OTHER ZONING REGULATIONS Arch/Eng. License No. DESCRIPTION OF WORK A.P. Address _ - ggq��',mow. ZONE PLNG. REF.* Contractor�J L IPPIv1< • Ph .,7/ TYPE OF PERMIT BUILDING - - Tp ¶t� p ��• /// • SETBACK C/L ST. PROPEIRT VNLINE Address Li�S'O(..{� ��t✓�( .% �uo ❑ GRADING • ❑ FOUNDATION 0 STRUCTURAL- SIDErYARD - 'LICENSED CONTRACTOR DELL Ala./del 0 TENANT 0 ELECTRICAL ❑PLUMBING.❑MECHANICAL, SIDE YARD ',1.hereby affirm that I am licensed under provisions-of Charter 9 (corn- - ' RIGHT mencing with section 7000) of Division 3 of the Business and 0 OTHER Professions Code, nd my license is. in full -force ap elft t. REAR YARD(TO P/L) . . -NDS'yY-fI1 PROJECT DESCRIPTION • License lass Lit se - ,PKG.SPACE REQ. PROVIDED .• ' Dat Signature SQ. FT. WOR ER COMPENSATION DEC ATION OCCUPANCY- CONSTRUCTION TYPE .STREET WIDTH 'PARK FEE$ • I.hereby_af firm that I have a certificate-of consent to self-insure or a VALUATION - ZONE ZONING APPROVED BY • DATE certificate of Workers' Compensation Insurance, or a certified cop•y _ thereof(Section 380000y...69b.CJ. ,t }� GRADING CU.YDS. ACRES SPECIAL CONDITIONS: , Policy No.e f 3^ �"' Company /•-t€ CCLL�� ._.. -_. Afertified copy is hereby furnished. REMARKS: ,- - edified copy is filed with the city Building Division. f�� '.- _. - . ::i MPTION FROM WORKERS' COMPENSATION DECLARATION - - - _ (This-section need'not be bdmpleted If the permit Is for one hundred - _ ' - • • ($100)$100) or lessl. ..certify that in the performance of the work for which this permit is _ issued. • - ssued, I shall not employ any person in any manner so as to become PLUMBING-. PLAN CHECK ELECTRICAL PLAN CHECK subject to the-Workers'Compensation Laws of California. - • uw ELLiNC• UARApt 0 _ - - - BATHTUBS - ' SHOWERS ' n3. Signature"' SO FT SO FT NOTICE: If after making this declaration, you should become subject TOILETS URINALS - --- __ GENERATOR 0-1 KW 1-113 KW to the Workers' Compensation provisions of the Labor Code,you must - TRANSFORMER - _ _ forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVs APPLIANCE 10-50 KW 50 + KW revoked. CONSKIT.SINKS -- - -DISHWASHERS' - - - MOTORS CONSTRUCTION L&NDING AGENCY • - 0-1 HP 1-10 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS - -- UNC.SOLAR) 10-50 HP 50+HP - - formance of the work for which this permit is issued (Section 3097 _ • - Civ. C.). - - - , - FLOOR SINKS ' FLOOR DRAINS - FIXTURES OUTLETS SWITCHES - Lender's Name' - - ' - Lender's Address - - DRINKING FOUNTAINS ' ' -- ' - - - 'GAS TUBE SIGNS . OWNER BUILDER DECLARATION —INTERCEPTORS CLARIFIERS - POLE LIGHTS . I hereby affirm that I am exempt from the Contractor's License Law for • the following reason (Section 7031.5 Business and Professions Code: -SWIMMING POOL P TRAP - ._ SUNS I Hui.I IUN Any city •or county-which requires 'a permit to"construct, alter, POLES METERED SUB ' - improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ' - - ALTERATION - - PANELS - - MAIN SUB quires the applicant for'such-permit'to file a signedstatementthat he is licensed pursuant to the provisions of the Contractor's License Law - - - - - ' (Chapter 9 (commencing' with Section 7000) of Division 3 of the GAS SERVICE '-' OUTLETS SERVICE AMP Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT - - . - - - ' basis for the alleged exemption. Any violation of Section 7031.5 by _ ^.,., • an. applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS - - - - _- . - . .. - - o more than-five hundred dollars-($500). L is owner of the property,or my employees with wages as their SOLAR TANK- - •- COLLECTORS ' - • - so._ .:ompensation, will do the work, and the structure is not intended - or offered for sale,.(section 7044, Business and Professions Code:-The - SOLAR PIPING SYS. . ISSUE FEE • . . Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does Such work himself or ISSUE FEE- - - _ ' ' APPLICATION APPROVED BY DATE through his own employees, provided that such improvements are not , intended or offered for sale. If, however, the building or improvement - -MECHANICAL - PLAN CHECKSUMMARY OF FEES ' is sold within one year of completion, the owner will have the burden of _proving he did not build or improve .for the purpose of sate). HEATING SYSTEM 0-100,000 BTU BUILDING , 0 I, as owner of the property, am exclusively contracting with AND DUCTING PERMIT $ _SMIP $ . licensed contractors-to construct the project (Section 7044, Business 100,000 + BTU PLAN CHECK $ PERMIT and Professions Coder The Contractor's License Law does not apply to _ISSUANCE $ an owner-of property who builds or Improves thereon, and Who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from Such protects with a contractor(s) licesned pursuant to SYSTEM - ' the Contractor's License Law): 100,000 +BTU PLAN CHECK $ GRADING -$ ❑ I am exempt under Section B.& P.C.for-this BOILERS BTU ELECTRICAL $ $ , reason MICROFILM $ • SYSTEM REPAIR,ALTERATION PLAN CHECK $ Date _Owner /MECHANICAL $ -c0 TOTAL FEE$ ' I hereby certify that I nave read this application and state that the above EXHAUST nSYSTEM MULTIPLE " . ... LESS AD-information is correct. I agree to comply with all .city re and county Ci E, - aT PLAN CHECK $ VANCE PC..$ ordinances an. to law Plating to cons uctiothand hereby au home L GA �Oa representati �. r city to enfer 'upon the,abo m tionetl �t t [ . property"f•�•i ect •n -,i e . c A �S . Signature 0 �' - ' ' _ Accounting;Goldenrod-Assessor . CONSTRUCTION AND PLANNING POOL&SPA -• • ,^,AA� q Date Inspector " `' '� "Date ^,Inspector _ APPROVALS Permit# 11( in ` APPROVALS 'Permit" 1. Temporary Electrical Service or Pole . .43. Pool & Equipment Location _ _ - .. - . - 2: Soil Pipe-Undrgrn . - .. - - 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn _ , - _ _ 45. Forms 4. Electrical Conduit-Undrgrn - _ ' _ - - 46. Electrical Bonding - ' ` . '. , - 5. Steel Heinforce' 47. Rough Plumbing& Pressure Test ' ' " " " . - - . ' 6. Electrical UFER Grn _ 48. APPROVAL TO COVER-GUNITE _ - -7. Footings ' - . �-+ 49. Electrical Conduit-Undrgrn " . - •. " 81 Foundation , - ' _ 50. •• Gas Pipe, ❑ Undrgrn,Test •• ' " . - . . 9. Water Pipe-Undrgrn _. _ 51.. Backwash Lines.P-Trap, ❑ Undrgrn.. .. -_ • - - - '- 10. Structural Floor System 52.1 APPROVAL TO DECK 11. Property Sewer Line & House Connection . . - 53. Backwash & Receptor-Final • ' 12. Street Sewer Connection _- . - 54. Heater & Vent-Final - _ . . - - _ 13. Rough Plumbing 55 Plumbi g System -Final ,- 14. Rough Electric-Conduit - - -. ' - '56. -Electrical-Final . 15. Rough Electric-Wiring - - • - - 57.. Solar System-Final 16. Rough Heating& Air Conditioning 945/sR- 4:j'f b8. Fencing &Access Approval • 17. Ducts,in Structure 59. APPROVED FOR PLASTERING ' 18. Ducts, Ventilating - _ - - - 19. Gas Pipe-Rough &Test . . 60. POOL/SPA SYSTEMS FINAL t 20. Roof Framing - • 21. Roof Sheathing - - 22. Frame and Flashing . - i NOTES: .. . . 23. Insulation - • ., . . - .-- - • -- - 24. Lathing & Siding - • - 25. Drywall Nailing . - - - - _ - . . c _ ' 26. Plaster Brown Coat - _ • 27. Electrical Power Meter-Final , _ . - . _ 28. Final Electric - - - 29. - Final Heating& Air Conditioning - //ji-3.��j _ � 30. Final Gas Pipe-Test _ ' - • - 31. ' Final Plumbing - - 32, Water Service-Final .- .-- - . - - 33, Gas Service-Final .. - - - - - . - 34, Solar Domestic-Final . , - ' 35. Landscape Sprinkling System - '36. Sound Attenuation - - . -. • ' - 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING - .. 39. Special Requirements Completed '40. Electric Release to Edison - - , 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY • ' • No Date - ... - 4 • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. ' BL+G.gYf]. 3362 7/20/82 7e00. TL •CONSTRUCTION PERMIT a -r .• Project Addressc2s-6�Cjj Dee: TYPE OF CONSTRUCTION • - . Owner�vUAjf-�..�y/v & r Q,J Phone 0 NEW ❑ ADD 0 ALTERATION n Address 69S %jaw C'�'✓ le, Sep 5.4d-676o REPAIR 0 CONVERSION ❑DEMOLISH D ' Arch/Eng: - - • License No. 0 OTHER A P• ZONING REGULATIONS DESCRIPTION OF WORK - - Address - • - - ZONE PLNG- REF.yf, - Contractorp1IvQ, ,�/jj/G, )c-:fjG Phan ef79�lr9, TYPE OF PERMIT BUILDING TTp gt�It plrvG - ��! /� N"' �/ n / y 'SETBACK C/LST. P ROPERTYLINE Address/35.3 W. Oefitic&77fa,en - lofleR"ro// 0 GRADING 0 FOUNDATION 0 STRUCTTURAL- • EFA YARD - - - - - - • LICENSED CONTRACTOR^V •DECLARATION 0-TENANT ❑-ELECTRICAL- ❑PLUMBING 1kTMECHANICAL SIDE- ARD- - - - ' I hereby affirm that I am licensed under provisions of Charter 9(com- �t RIGHT mencing with section-7000) of Division 3 of the Business and O'OTHER REAR YARD(TO P/L) - . Professions Code, a d my license is In full force and of -ct. 1 •License ass 'rS PROJECT DESCRIPTION.' _ - _ -- • 'cense iPKG.SPACE REQ. ' PROVIDED ' Date • fa----- Signature' .dr, - - . . .-n7 SQ. FT. - STREET WIDTH - PARK FEE$,. WORK'RS' OMPENSATION DECLARATION _ OCCUPANCY-CONSTRUCTION TYPE 1 hereby affirm that I have a certificate of consent to self-insure,or a VALUATION ZONE ' ZONING APPROVED BY -( DATE - 'certificate of Workers'-Compensation Insurance, or- a certified copy - -- - - -thereof(Section 3800, Lab. C.). GRADING CU. YDS. '1 • ACRES SPECIAL CONDITIONS: n , licY'No. .- -- Company' - - • - .- - - . _ " ,:ertlfied copy is hereby furnished. - -- - _ _. REMARKS: (Y R a 7 " , - - ..:8•1?-certified copy Is filed with the city Building Division. - . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - ' - - - (This section.need not,becompleted If the permit is for one hundred _ _ - ' ($100) or less). • .,• - - - - 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 -PLUMBING' f - - PLAN CHECK _ - 'ELECTRICAL . PLAN CHECK . ._ . , subje t�th Workers'Co mpenzatlOp�ws_p} Calitorf .� - UWELLINL. -LARAUE . C�^ 1W'yt 99 1• &KA 5t BATHTUBS SHOWERS- Date.�}1i/..•iL-Signature v -SD FT SO FT NOTIC EE: Il*e after making this declaration, you should become subject TOILETS URINALS '- -- GENERATOR 0-1-KW__ 10 KW - --to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER - forthwith comply with such provisions or this permit shall be deemed LAVATORIES •DO UBLE'LAVS '- APPLIANCE - 10-50 KW_50+KW. - - revoked. • _ _ ,) CONSTRUCTION LENDING AGENCY KIT.SINKS' " - DISHWASHERS -'MOTORS - 0-1 HP_1-10 HP - _ ' - - I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS. • •SUMPS • - (INC.SOLAR) 10-50.HP 50 + HP - - • - formance of the work for which this permit is issued (Section 3097 - - ' • Lender's Ndm¢_ - - FLOOR SINKS FLOOR-DRAINS" - ; ' ' " ' FIXTURES" ' OUTLETS "SWITCHES '. Lender's Address • DRINKING FOUNTAINS 'GAS TUBE SIGNS - - - I OWNER BUILDER DECLARATION - - INTERCEPTORS CLARIFIERS - - POLE LIGHTS - - - -- -• - i I hereby affirm that 1 am exempt from the Contractor's License Law for - - the following reason-(Section 7031-.5 Business and Professions Code: SWIMMING POOL - P TRAP- r LUNS I RUL I tUN r - Any city or county which requires a permit to construct, alter, POLES METERED SUB - Improve,-demolish or-repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION . PANELS MAIN - SUB- -- - quires the apt iicant for such permit to file a signed statement that he - - Is licensed pursuant to the provisions of the-Contractor's-License Law GAS SERVICE OUTLETS - SERVICE - - - AMP - - (Chapter 9 (commencing with Section 7000) of Division 3 of the - ' Business and Professions Code).or that he is exempt therefrom and the WATER-HEATERS - BTU OUTPUT � _ --- - - - - basis for the alleged exemption. Any violation of Section 7031.5 by - - - - - ) • applicant for a permit- subjects-the-applicant to a civil'penalty -SEWER CONNECTIONS -- ' •' _• -1'•a."s-' s • . . . . - - - - - d more than five hundred dollars ($500). - I L ., as owner of the property, or my employees with wages as their "SOLAR TANK 'COLLECTORS - - - - sole compensation, will do the work, and the structure is not Intended _ - • -1 - or offered for sale. (Section 7044, Business and Professions Code: The -SOLAR PIPING SYS. - ' - - ISSUE FEE - - - --- • Contractor's License Law does not apply to an,owner of a property - APPLICATION APPROVED BY - DATE who builds or improves thereon, and who does such work himself or ISSUE FEE , through his own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK - SUMMARY OF FEES ' Is sold within one year of completion, the owner will have the burden BUILDING - of proving he did not build or improve for the purpose of sdl¢). HEATING SYSTEM 0-100,000 BTU 5C8 feo 'PERMIT $ - SMTP $ - • - ' ❑ I, as owner -of the-property, am exclusively contracting with AND DUCTING - - /�msas - - - " licensed contractors to construct the project (Section 7044, Business 100,000 + BTU Y0 PLAN CHECK $ PERMIT r and Professions Code: The Contractor's License Law does-not apply to - -ISSUANCE- $ an owner of.property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ • s 1 tracts from such projects•with a contractor(s) licesned pursuant to _SYSTEM - - GRADING' $ the Contractor's License Law). 100,000+BTU PLAN-CHECK $ IDI am exempt'under Section' - - B.& P:C.-for this BOILERS BTU - ELECTRICAL $ $ reason - - _ - MICROFILM $ ; SYSTEM REPAIR,ALTERATION PLAN CHECK -$' `'7 •. Date Owner - MECHANICAL $ (• O0-' TOTAL FEE$: i hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE LESS AD- ' information is correct. I-agree to comply with all city and county ' PLAN CHECK -$ - -- VANCE PC $ ordinances and state laws relating to construction,and hereby authorize . . representatives •f this city to enter up the above mention^d - . property frit qnID Signature J 9 � • pur ses. Date / M FINAL FEE $ O Drivers' License •r SS# ISSUE FEE - 3 -�(:! CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING . POOL&SPA ' APPROVALS Permit # al-4->A 7 Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - 2. _Soil Pipe-Undrgrn - _ 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - - - _ 5. Steel Reinforce- 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn _ . .- .. 48. APPROVAL TO COVER-GUNITE . 7. Footings _ - _ 49. Electrical Conduit-Undrgrn 8. Foundation _.. 50: Gas Pipe, ❑Undrgrn,Test • 9. Water Pipe-Undrgrn- __ 51. Backwash Lines. P-Trap- 0 Undrgrn 10. Structural Floor System 52. APPROVAL TO DECK •" - - - - 11. Property_Sewer Line & House Connection -- . 53. . Backwash & Receptor-Final • • 12. Street Sewer Connection - 54. Heater& Vent•Final 13. Rough Plumbing - . - 55:' Plumbing System -Final 14. Rough Electric-Conduit •56. Electrical-Final - - 15. Rough Electric-Wiring • - - 57. Solar System-Final - . . 16. Rough-Heating & Air Conditioning gar b.X ner - -b8. Fencing&Access Approval • 17. Ducts, in Structure 59. APPROVED FOR PLASTERING ' 18. Ducts, Ventilating - 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL • 20. Roof-Framing - - ' 21. Roof Sheathing - 22. Frame and Flashing - :NOTES: 23. Insulation - - - - - 24. Lathing & Siding - • - • - 25. Drywall Nailing • 26. Plaster Brown Coat ' 27. Electrical Power Meter-Final 28. Final Electric 29. Final Heating & Air Conditioning "--411067- %.41-5,-,e-....-. 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final. • 33. Gas Service-Final . - - 34. Solar Domestic-Final - • • 35. Landscape Sprinkling System - - 36. Sound Attenuation I - • 37. Handicap Regulations 38. FINAL STRUCTURE&-BUILDING - - __ _ - __ 39. Special Requirements Completed - - - - - - - - ' 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY ' No Date • • _ ELDEN AVENUE 2569 UNIT B-1 _ • 6-3928-11/ -q Condo w/att, gar. 64,800. Unit B-1 M-4258- MECH. (G-3928) • °P - Unit B-1 M-4799-„/„.57(;... MESH.(G-3928) • - - Unit B-1 _ • • • • 6-.i ' - CITY OF COSTA MESA < . ► BUILDING DIVISION Fi ;,irear `, DEVELOPMENT SERVICES DEPARTMENT PER T NUMBER Trelpr t PERMIT P05-00510 Rare (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 2569 ELDEN AV Status: ISSUED Suite No 61 Applied: 06/30/2005 Issued: 06/30/201. Vicinity: Parcel Nunmber: 9377501ISSUED BY: • /a 3 Applicant: KEVIN SZABO Address: 17390 MT CLIFFWOOD - Phone: (714)241-1414 FOUNTAIN VALLEY Zip:n92708 ' Owner: L•UGHRIDGE, RO:- - E (C -GJi//J,bi Address 2569-• LDE - E �✓�bgg9p.E[X�L., Z -. B-j A-1 `-'(Yy(-Ll� 1 -�-Grq 9a6a2 COS - MESA,CA Zip: 92627 Contractor: COAST ROOTER PLUMBING I'ITG•&NC Address: 17390 MT CLIFFWOOD Phone: (714)241-1414 FOUNTAIN VALLEY Zip: 92708 ' License: 529127 • SCOPE OF PERMIT I CHANGE OF WATER HEATER. • FEE SUMMARY AMT QTY AMT - QTY AMT QTY • ISSUE FEE $23.50 - Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation ' $0110 0- Swimming Pool- $0.00 0 Backflow Preventer $0.00 0 P-Trap - $0.00 0 Trap Primer . $0.00 0 i Bathtub $0.00 0 Pressure Regulator ' . $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0- Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 . . 0 , _ - .; Septic Tank $0.00 0 ,_ - • . Wash Basin $0.00 0 Dishwasher $0.00 ` 0 Sewer Captor Demo . $0.00 0 • Wash Basin Set $0.00 0 Drain, Floor . '$0.00 '0 Sewer Connect ' $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater\' $0.00'.' 0 - . '' -,Sewer Private Line $0.00 ' 0 ' -Water Closet(Toilet) $0.00 0 Drain, Roof $0.00 - ,-0 _ - ' :Shower - - - $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain N, - '$0.00` i 0, 'Sink,bar - - $0.00 0 - Water Piping(Inst or Rep.) $0.00 0 Expansion Tank N v $0.00 - ',0, Sink,comniercial - $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve 1$0.00: 0 Sink, Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 -• 0 Sink,kitchen. $0.00 0 • Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 -0 . Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) - $0.00 0 'VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 - PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $35.80 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 244646(WOO) Ps' 4 DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued. My workers'compensation Insurance carrier and policy number are: pp pp SD "� Carrier: STATtL TL) 1 Q Policy Number: 1'l &O() `[moi V (This section need not be completed If the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is Issued,I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. 1 4( Applicant Signature: I Date: 63 V 0 S WARNING:FAILURE TO SECURE WORKER ENSATI COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDITI TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full force and effect.Lic.# S Lq I Z'""1 Class# C 7j [a Contractor's Signature: t , a... _i Date: l0 ' ays.1 0 S CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own.employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of properly who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No • (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feel of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the Calif omia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No (Section 65850.2 of the California Government Code requires that the requested information be fumished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this application,have all of the disclosures prescnbed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. S' rfdt"Je Of gal Owner(s) Mate et45,00 Anthorized Applicant Date CODEC INSPECTIONTYPF, DUE #rmALs CODE# INSPECTION mg PATE 21:0,51$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical t1 �r / 1266 Pool Spa Final 208 Final Plumbing "Zi '/ 'O rP l"1!V 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy Ilir l It -- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - CITY Or s'^.OSTI[1V1ESA 2PE MIT NO. TRACT NO. LOT NO. BLDG.NO. CONSTI-i' UCTION PERMIT G�T� I Lit-1-93, '7 /,O / 8624 4/13/84 67.27 TL d Project Address 5'6 - �! - n � _"C C t Oct s TYPE OF CONSTRUCTION U NEW Ute„it- U ALTERATION U REPAIR Applicant's Mail'ng •dd�r�-esss-s� .A/ ❑ CONVERSION ❑ DEMQ\b1SF—'OTHER A.P.46 Q7_ 750—/g Pone Q,z ' / //de lJP t DESCRIPTION OF WORK ``,O-i4 .Ci p Owner's Name 9 :r �' •� it.' 'hone - S Main Building: Accessory Building: 5/ Z Address 102,c4 - E - g r .,,� / re N _ TYPE OF PERMIT ❑ GRADING U FOUNDATION STRUCTURAL Front (O _ Arch/Eng. I r o / icense�/fyo. re- S ❑ TENANT ❑ ELECTRICAL 0 PLUMBING 0 MECHANICAL B Rear 5/—O r, N Address .S '/ (' ,'n4-t4 / C0 OTHER A • �j"104,17. /� / a . r G - C Right • X f104,NQ IU07' P�) •G Contractor's Nam- a _.n"a -l- /P'o�ne faf,`a7�y PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing) as(9 `� / 1C--4'//s��"`� CONSTRUCTION TYPE VALUATIONS �`clnOi $' Left • s�t c Q • E ZONE GRADING CU.YIDS. ACRES Ping. Ref. # Park.Fees $ O City License No. /�� !-1 t I - LICENSED CONTRACTOR DECLARATION Remarks: , H • _ 2 20 - 59- Parking Req./Provided U I hereby affirm that I am licensed under provisions of Charter 9(commencing ' 1 �/ r--, j l/ V 1 R with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: - E my license'is in II t e_nd effect. p ` ./ /0S0 PLUMBING FEES Planning Notes: - M License ass L en No. ✓• E Date's/ ate Signature / -✓A -i.,, - Bar Sink Showers _ T WORKERS'COMPENSATION DECLARATION •ereby affirm that I have a certificate of consent to self4nsure or a certificate Backflow Preventer Service Sink - - S Workers' Compensate n Insurance, or a certified Copy thereof (Section - _e00, Lab. C.) • 1 Backflow Irrigation Sewer Cap ELECTRICAL FEES Policy No. m Company -- ---- - - 8 Certified copy is e y furnished. Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW Certified copy is fit d with the city Building Division. ❑ 50+KW Date Applicant Clarifiers Solar Collectors Construction Pole Sub. - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher Solar Piping Cooking Unit Meter ❑up to 100 amps (This section need not be completed if the permit is for one hundred ($100)or P less). DrinkingFountains • I certify that in the performance of the work for which this permit Is issued, I Solar Tank Dishwasher Meter Dover 100 amps shall not employ any person in any manner so as to eco subject to te Worker Comp¢,^yt o Laws of Calij�rplgFloor Drains ..`�'-u-t" w/Spa 3 00 Dryers ❑Gas ❑Electric Sub Panel Oate /`(,1a t r rn k ideclaration, notr 1- - ///���.,, 4, Workers' NOTI If,oa ter rts5 king this declaration, you shoo d become subject to the Floor Sinks Urinal Fan * Motors 00-1 HP,W1 A-6 C ' WorkerCompensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet F.A.U. Inc.Solar 09-15 HP 016-15-1;CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance Interco tors Water Heater Fixtures of the work for which this p r is issued (Section 3097 Civ. C.) p Microwave Lender's Name II'jJ ft- Kitchen Sink Water Service Device Boxes Pole Light Lender's Address /• Lavatories - OWNER BUILDER DECLARATION Outlets Range I hereby affirm that I am exempt/from the Contractor's License Law for the P-Trap reason (Section 7031.5 Business and Professional Code: Any city or p Switches Sign county which requires a permit to construct,alter,Improve,demolish or repair ' any structure, prior to its issuance, also requires the applicant for such permit Roof Drains Garbage Disposal Standing Sections to file a signed statement that he/she Is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9(commencing with Section 7000) of y,islon 3 of the Business and Professions Code) or that ho/she is exempt Generator 00.5 KW 05-15 KW Trash Compactor /.... ¢from and the basis for the alleged exemption. Any violation of Section Q 1 1 S by any applicant for-a permit subjects the applicant to a civil Reinspection Fee I $25 Issue Fee $ 3 4P� 1 OD USalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole MECHANICAL Reinspection Fee $25 Issue Fee $ 3 compensation, will'do the work, and the structure is not intended or offered FEES for sale (Section 7044, Business and Professional Code: The Contractor's PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 _ _ thereon, and who does such work himself/herself or through his or her own Zoning Approved By O. a 7 Date employees, provided that such improvements are not Intended or offered for Canopy Type II ❑ y Duct-Under Ground '�.�.__ Z.sale. If, however, the building or improvement Is sold within ono year of com- Building Approved By �����` "' Date prove , the owner will have the burden of proving he/she did not build or Im- rove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By is.,..,- Date P C) 0 I, as owner of the property, am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU / tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who .•-.00 3a9so builds or improves thereon,and who contracts for such projects with a con• Exhaust System 0 Multiple 0 System Repair/Alteration $ tractor(s) license pursuant to the Contr ctor's License Law). PLAN CHECK $ cQS 6"=1- PERMIT 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact Blt. ICBG tik PLUMBING $ (4500 ISSUANCE $ Date Own Heating System& Ducting _ PLAN CHECK 25% $ I '7��i ENERGY P.C. $ I hereby certify that I have read his application and state that the above ❑o-i 00,000 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- sentatives of this city to enter on t above-mentioned pr pert for PLAN CHECK 50% $ Inspection p ¢s. 27-1 Signature C22/I..�!9'"Y _= / Applicant;Pink-Accounting:Goldenrod -Assessor • CONSTRUCTION AND PLANNING POOL 'A • •-' APPROVALS Permit# Date Inspector APPROVALS Permit# Date' Inspector ` " it1. temporary Electrical Service or Pole 52. Pool & Equipment Location k2 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement /1 3' Electrical Conduit Utility-Undrgrnd. 54. Forms • 1/4.N11/ 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5 Steel Reinforcement 56. Rough Plumbing & Pressure Test J 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE /j/�y , ,p 7. Footings 58. Electrical Conduit-Undrgrnd. ." 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test ,q,4t( PNCC 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 It�, 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 Clitile at- 18. _� 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ']/19 �( CC 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT f 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • 23. GasesPipe-Rough&Test 72. Underground Flush 24. Rolf Framing, 73. Undergrnd.Storage Tank 0Gas 0 Oil 25. Fir 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 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer1 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 within heavy border lines and sign all appropriate declarations. CITY-OF COSTA MESA PERfy11T NO, TRACT.NO. LOT NO. -BLDjd.NQ. • CONSTRUCTION PERMIT �'�((] ^ it 7 CeS/3J Project Address�S6e� �e _ �` TYPE OF CONSTRUCTION Own -iw 1 rill.: (,(�.i7- Phone ❑ NEIN 0 ADD 0 ALTERATION - - 7599 9/13/82 7.00 IL. Address ^I 0 REPAIR 0 CONVERSION ❑DEMOLISH- 7 ZONING REGULATIONS Arch/Eng. License No. _ 0 OTHER - ' DESCRIPTION OF WORK A.P.If Address ( ^ ✓ ,J ` - . - ZONE PLNG. REF.t� p9? Contractor SU I (Y otc - P6%-.`c1,60c�/ TYPE OF PERMIT - - r BUILDING CIL ST. PfEOPEIRTV LGNE Address�J,C OLD )4°Art $tai /V 6 0 GRADING 0 FOUNDATION 0 STRUCTURAL r SIDE YARD - LICENSE ONTRACTOR DEC ARATION 0 TENANT 0 ELECTRICAL [(PLUMBING ❑MECHANICAL SIDE YARD I hereby affirm that I am licensed under provisions of Charter 9 (comb RIGHT mencing with section 7000) of Division 3 of the Business and 0 OTHER Professions Code and my license 'Is in full f e f t. REAR YARD(TO Pt LI ' PROJECT DESCRIPTION Licen� �i{ LI nse N - PKG.SPACE REQ. PROVIDED Date ss Signatur SQ. FT. - WOR RS'COMPENSATION DE ARATIOOCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEE$ I•hereby affirm that I have a certi Icate of consent to self-Insure ora VALUATION ZONE ZONING APPROVED BY• I DATE certificate of Workers' Compensation Insurance, or a certified copy _ Of(S�4� 80 C.). - SPECIAL CONDITIONS: • NoQ`` s'i" CompanYY �1 eN13 GRADING CU.YDS. ACRES L certified copy is hereby furnished. REMARKS: - ❑ Certified copy is filed with the city Building Division. /� Qa ,/ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - . t .3 ! a 6 (This section need not be completed if the permit Is for one hundred - - ($100) or less). - '- - -- I certify that In the performance of the work for which this permit is . issued, I shall not employ any person in any manner so as-to become PLUMBING - ' PLAN CHECK - ELECTRICAL PLAN CHECK subject to the Workers'Compensation Laws of California. IJWtLLIN(a - taHRA(a E- • '" ' Date Signature BATHTUBS SHOWERS SQ.FT SQ FT - NOTICE: If after making this declaration, you should become subject TOILETS URINALS - - GENERATOR 0-1 KW_1-10 KW' to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS - APPLIANCE 10-50 KW�50+KW revoked. - - _ CONSTRUCTION LENDING AGENCY • KIT.SINKS ' -' -DISHWASHERS MOTORS - 0-1 NP 1-10 HP I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS , SUMPS ' - (INC.SOLAR) 10-50 HP +HP - . formance of the work for which this permit Is issued (Section 3097 - G°- CJ. . --- FLOOR-SINKS FLOOR DRAINS - FIXTURES ' OUTLETS SWITCHES Lenders Name ' Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS ' ' OWNER BUILDER DECLARATION. INTERCEPTORS ' CLARIFIERS - 'POLE LIGHTS - - I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP- - LOINS I stULI Ury - • Any city or county which requires a permit to construct, alter, POLES METERED SUB improve,demolish or repair any.structure,,prior,to Its issuance,also re- WATER SERVICE ` - ALTERATION - PANELS • MAIN - -SUB qulres'the applicant for such permit to file a signed statement that he ' is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS - - SERV ICE'- -" -- AMP • (chapter -9 (commencing with Section 7000) of Division 3 of the - P,,,t+7fgss and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT-- - - L• •-'•;t7-or the alleged exemption. Any violation of Section 7031.5 by -�- - - ars`1..i9plicant for a permit subjects_the applicant to a civil penalty SEWER CONNECTIONS - .". " " ` --- - . - - of,not more than five hundred dollars ($500). ❑ I, as.owner_of.the property, or my employees with wages as their SOLAR TANK - COLLECTORS - '- • - - - - .- sole compensation, will do the work, and the structure is not intended _ or offered for sale. (Section 7044, Business and Professions Code:-The SOLAR PIPING SYS. - l - . ISSUE FEE Contractor's License Law does not apply to an owner of a property ' who builds or improves thereon,-and who-does such work himself or- ISSUE FEE ' -- ""' APPLICATION"APPROVED BY --' DATE through his own employees, provided that such improvements are not - ' intended or offered for sale. If, however, the building or improvement -MECHANICAL PLAN CHECK - r' is sold within one year of completion, the owner will have the burden SUMMARY OF FEES of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU - BUILDING' - - • ❑ I, as owner of the property, am exclusively contracting with PERMIT $ SMIP $ •- licensed contractors to construct the project (Section 7044, Business AND DUCTING 100,000 +BTU and Professions Code: The Contractor's License Law does not apply to PLAN CHECK $ PERMIT an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING ISSUANCE $" tracts from such projects with a contractor(s) Iicesned pursuant to SYSTEM $ - GRADING, -$ - the Contractor's license Law). 100,000 +BTU PLAN CHECK $ , ❑.l am exempt under Section B.& P.C.for this. BOILERS BTU ELECTRICAL S $ • reason - MICROFILM $ Date Owner SYSTEM REPAIR,ALTERATION PLAN CHECK $ , MECHANICAL $ 7.00 TOTAL FEE$ I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE LESS AD- ' information is correct. I agree to comply witn all city and county v �C nOa PLAN CHECK $ ' - VANCE PC $ ordinances an ate laws elating to cons uction,and hereby authorize r f representati f this/ity ,to epter upon the above ment/onetl cg_o .S [ /y� property f l ect' r.- es. �s�� /y� , eJ eCJ L Signature / — Date? L L - FINAL FEE $ 7-a A Drivers' Lice Accounting;Goldenrod-Assessor • CONSTRUCTION AND PLANNING - . POOL& SPA - - ' Date Inspector - Date Inspector APPROVALS Permit# PI-L1795APPROVALS Permit# .. . 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - J 2. Soil Pipe-Undrgrn 44. Steel Reinforcement - •, 3. Electrical Conduit Utility-Undrgrn - 45. Forms - c 4. Electrical Conduit-Undrgrn 46.. Electrical Bonding - ' ... 5. Steel Reinforce 47. Rough Plumbing & Pressure Test -- . - - - 6. Electrical UFER Grn_ • 48. .APPROVAL TO COVER-GUNITE- - - - - 7. Footings 49. Electrical Conduit-Uridrgrn 8. Foundation - 50. Gas Pipe, ❑Undrgrn,Test -. 9. Water Pipe-Undrgrn - - 51. Backwash Lines, P-Trap, EUndrgrn . 10. Structural Floor System - _ 52. APPROVAL TO DECK •. 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final - 12. Street Sewer Connection . • -- 54. Heater & Vent-Final - - -• 13. Rough Plumbing 55. Plumbina System - Final . 14. Rough Electric-Conduit - - 56. - Electrical-Final 15. Rough Electric-Wiring 57. - Solar System-Final 16. Rough Heating & Air Conditioning 9//c/p2 e 58. Fencing & Access Approval 17. Ducts, in Structure . - - - _ - -. 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL . 20. Roof Framing - - • 21. Roof Sheathing - 22. Frame and Flashing NOTES: ' • 23. Insulation - - 24. Lathing & Siding - • 25. Drywall Nailing . , 26. Plaster Brown Coat -. - - 27. Electrical Power Meter-Final - --- - - . 28. Final Electric - • - - - 29. Final Heating &Air Conditioning //.",s--af'-7.L. Li/7170 30. Final Gas Pipe-Test - - - • 31. Final Plumbing . 32. Water Service-Final - • 33. Gas Service-Final - 34. Solar Domestic-Final 35. Landscape Sprinkling System - 36. Sound Attenuation _ 37. Handicap Regulations • - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - • . 40. Electric Release to Edison s 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY - . - No Date ` - - - . , Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PE•MIT N 10 TRACT NO. LOT NO. SLOE NO/ 3863- 7/20/82 7.00 Tl.' CONSTRUCTION PERMIT `/ /LL/!1 •/ Project Address 's/.9 Fa r Cq TYPE OF CONSTRUCTION ' Owner Mo AM life P 4 a Phone0 NEW 0 ADD 0 ALTERATION 11 Q Address &4 Ta to Al 6# E,Q ppea Mi 0 REPAIR 0 CONVERSION ODEMOLISH d7 Arch/Eng. Sag fi co License No. 0 OTHER A P ZONING REGULATIONS Address DESCRIPTION OF WORK • ZONE PLNTG.. eRVEF..o Contractor e41-4 J4, i It AA Phone 99 fit?" TYPE OF PERMIT , BUILDINGACK L ST. PROPEIRTVNIJNE Address i3,�.a£14 nt1 'It piogre Fu LL- .0 GRADING 0 FOUNDATION 0 STR CTURAL SIDE YARD . LICENSED CONTRACTOR DECLARATION ❑ TENANT ❑ ELECTRICAL ❑PLUMBINGIECHANICAL siDE YARD - I hereby affirm that I am licensed under provisions of Charter 9(com- RIGHT mencing with section 7000) of Division 3 of the.Business and 0 OTHER - - . . - Professions Code, .nd my license is In full force and effect. ,PROJECT DESCRIPTION REAR YARD(TO P/L) • License CI ss - •- ')r ense LSO - • • - PKG.SPACE REQ. PROVIDED ' Date = Signature r . ,. .. s SQ.FT. - - •STREET WIDTH PARK'FEE$ WORK:-5' OMPENSATION DECLARATION OCCUPANCY_CONSTRUCTION TYPE _ • I hereby affirm that I have a certificate of consent to self-Insure or a . VALUATION ZONE ZONING-APPROVED BY I DATE • --silicate of Workers' Compensation Insurance, or a certified copy - - SPECIAL CONDITIONS: ' sof(Section 3800,Lab.C.). GRADING CU.YDS. ACRES _y No. . Company - - - • - U-Certified copy is hereby furnished. • - REMARKS: ' CS -39,2� _ _ __ _ • o Certified copy is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - - (This section need not be completed if the permit is for one hundred ($100) or less). . - . . - • • -- • - • ' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become -PLUMBING , PLAN CHECK + - ELECTRICAL - -- PLAN CHECK . subject t0 he Workers CO mpenSaf iOdCal1f0 id. _ UWt.LLIN“ - LMRAU ' Date Signature I 7 ^r P/t y/s BATHTUBS 'SHOWERS - 4 SO FT SQ FT NOTI : If after making this declaration, you should become-subject -TOILETS-j - „-URINALS - GENERATOR 0-1 KW___. '1-10 KW - - to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER , forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS - - APPLIANCE -10-50 KW_50+KW - - revoked. . CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS, I - MOTORS 0-1 HP - - 1-10 HP I hereby of firm that there is a construction lending agency for the per- SERVICE SINKS.. SUMPS • - (INC.SOLAR) 10-50 HP 50+ HP 1 - - - tormanCe of the work for which this permit is issued (Section 3097 . . . . Civ. C.). -- 'FLOOR SINKS -' FLOOR DRAINS - FIXTURES - -'OUTLETS SWITCHES Lender's Name -- - Lender's Address DRINKING FOUNTAINS ' ' ' - • '- {/ GAS TUBE SIGNS - OWNER-BUILDER DECLARATION INTERCEPTORS - CLARIFIERS \ POLE LIGHTS - - ' I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 70313 Business and Professions Code: SWIMMING POOL P TRAP - - s. LOINS NUL)ION Any city or county which requires a permit to construct, alter, POLES METERED SUB • improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION PANELS . MAIN SUB quires the api.licant for such permit to file a signed statement that he • Is licensed pursuant.to the provisions of the Contractor's License Law GAS SERVICE OUTLETS - SERVICE - -AMP - 1,^ pier 9 (commencing with Section 7000) of Division 3 of the • ' scajAyaess and Professions Code) or that he is exempt therefrom and the WATER HEATERS ,OUTPUT - - - for the alleged exemption. Any violation of Section 7031.5 by • - - • I d: '•applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS'- �. - . . - ^ - - of not more than live hundred dollars ($500). - ' ❑ I,as owner of the"property, Or my employees with wages as their SOLAR TANK COLLECTORS- - - - sole compensation, will do the work, and the structure is not intended - ' or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS- • l ISSUE FEE ' - - Contractor's License Law tloes not apply to an owner of a property .. APPLICATION APPROVED BY - - DATE who builds or improves thereon, and who does such work himself or ISSUE FEE through his own employees, provided that such Improvements are not intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES. is sold within one year of completion, the owner will have the burden ' of proving he did not build or Improve for the purpose of sale). OC.0 'BUILDING HEATING SYSTEM 0-100.000 BTV PERMIT $ SMTP $. ❑ I, as ownor of the property, am exclusively contracting with AND DUCTING -' - - - licensed contractors to construct the project (Section 7044, Business 100,000 + BTU 4 00 PLAN CHECK $ PERMIT and Professions Code: The Contractor's License Law does not apply to ISSUANCE' $ • an owner of property who builds or improves thereon,and who con- REFRIGERATION 0-100,000 BTU PLUMBING E • tracts from such projects with a contractor(s) licesned pursuant to SYSTEM GRADING- E� the Contractor's License Law). 100,0001+BTU ,PLAN CHECK $ • ❑ I am exempt under Section B.& P.C.for this BOILERS BTU - ELECTRICAL $ $ reason - • - MICROFILM $ - SYSTEM REPAIR,ALTERATION PLAN CHECK E - Date Owner 0�•j TOTAL FEE$ ' • I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ c AD- information Is correct. I agree to comply with all city and county PLAN CHECK $ - VAN EPC $_ordinances and state laws relating to construction,and hereby authorize - representatives of this city to enter upon the above men coned -' O property fo�r pOy pecjiOn p Pose//i. J Signature tl�� ., ([ !!7 ISSUE FEE •- 1 3 M - . �L/ CMF 0865-46 White-Building; Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit # M La}o.cr Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Undrgrn _ 44. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrn 45. Forms ' 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . •5. Steel Reinforce 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE • - • 7. Footings 49. Electrical Conduit-Undrgrn _ 8. Foundation _ . 50.- Gas Pipe, ❑Undrgrn,Test - 9. Water Pipe-Undrgrn 51. Backwash Lines. P-Trap. ❑Undrgrn 10.. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection - 53. Backwash & Receptor-Final 12. Street Sewer Connection - 54. Heater & Vent-Final 13. Rough Plumbing _ _ . '55. Plumbing System-Final 14. Rough Electric-Conduit • .56. Electrical-Final 15. Rough Electric-Wiring - 57. Solar System-Final 16. Rough Heating & Air Conditioning - .91//r/n_,.14-RC bd. Fencing&Access Approval 17. Ducts, in Structure 59. APPROVED FOR PLASTERING • 18. Ducts, Ventilating . . _ . . 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL • 20.. Roof Framing - 21. Roof Sheathing 22: Frame and Flashing NOTES: 23. Insulation 24. Lathing & Siding 25. Drywall Nailing - • 26. Plaster Brown Coat 27. Electrical Power Meter-Final ' 28. Final Electric - - 29. Final Heating & Air Conditioning - f/.q$1 _ 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final . 33. Gas Service-Final 34. Solar Domestic-Final . ' 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed '• 40. Electric Release to Edison • 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date • 4 ELDEN AVENUE 2569 UNIT B-2 G-3929-'�/v1..Cando w/att. gar. 64,800. y • Unit 8-2 M-4259- MECH.(G-3929) i'//,51d} Unit B-2 • M-4800- MEC1. (G-3929) • _ „Ir,/g} Unit B-2 - • • • • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. 3364 7/20/92 7.00 TL' CITY OF COSTA MESA PE-MIT Ni. TRACT NO. LOT NO. BLDG.NO. ! CONSTRUCTION PERMIT -- 1-o2- Project Address _,26-‘9 C/OE/ - TYPE OF CONSTRUCTION .• • Owner47fl,Ant-xLi / hiA-'t DA/, Phone 0 NEW 0 ADD 0 ALTERATION Q - • Address l , 9s clad (FNrg Q S agnv 0 REPAIR 0 CONVERSION ❑DEMOLISH 1/411A ❑ OTHER ZONING REGULATIONS - Arch/Eng. - License No. Address - DESCRIPTION OF WORK - • ZONE PLNG. REF. ContractoraJyfs/yiA. 4r ,. AA Phone(7q e7 TYPE OF,PERMIT" - . - 'BUILDING To gt�I�pING -. �/ J y�,u'� lope Q y �//I 'SETBACK C!L ST. PfEOPERTY LINE ' Address/35l1J• De ntert 7M,,ei' - 7U//e Kiln 0 GRADING -❑ FOUNDATION 0 STRUCTURAL SIDEE YARD - - - - - LICENSED. CONTRACTOR DECLARATION .0 TENANT 0 ELECTRICAL OPLUMBING IECHANICAL LSIEpFE YARD - - • I hereby affirm that I am licensed under provisions of Charter 9 (corn• RIGHT mencing-with section 7000)--of Division 3 of the Business and 0 OTHER . REAR YARD(TO Professions Codes and my license is In full force and effect. - P/L) License lass C� • • -- 4.Lia nse N...•0-:' PROJECT DESCRIPTION , - • . P _SO _ PKG.SPACE REO.' PROVIDED Date it Signature ' • - . • •� ••! - , - STREET WIDTH - PARK FEE$ , WORKER' COMPENSATION DECLARATION . OCCUPANCY—CONSTRUCTION TYPE - ZONING APPROVED BY DATE' 1 hereby affirm that I have a certificate of consent to self-Insure or a ZONE ' ?certificate of Workers' Compensation Insurance, or a-certified copy -VALUATION _- . _ -- thereof(Section 3800,Lab.C.). GRADING CU.YDS. ACRES SPECIAL CONDITIONS: • P-?icy No. - - - Company - .. - -. - - - • ertified copy is hereby furnished. - . REMARKS: - �' •.3 9�9 _ - _ - - - ' _ _ertifled copy is filed with the city Building Division. _ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - - (This section need not be completed if the permit is for_one hundred_ _ -- - • I ' • 1 • ($100) or less). .. t. _ . . . - - - 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 PLUMBING , - PLAN CHECK -- . .• ,ELECTRICAL - - - - PLAN CHECK 'subject the orkersLCompensatlon,1.awsof Calllrnia. UWILLINca -- - [,AHA6c - /�/ a� BATHTUBS SHOWERS Date )91!1 b - Signature et �• r _ SO.FT. SR FT NOTICE: If after making this declaration, you should become subject TOILETS • URINALS - - - ' GENERATOR '0-1 KW_1-30 KW "" to the Wor ers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS - - APPLIANCE 10-50 KW 50+ KW - revoked.. _ _ __ - CONSTRUCTION LENDING AGENCY KIT.SINKS - DISHWASHERS - MOTORS 0-1 HP 1-10 HP - , I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS .; -SUMPS - - -- - (INC.SOLAR) 10-50 HP 50+HP • ' ' formance of the work for which this permit is Issued (Section 3097 ' CCiv. e.). Name FLOOR SINKS - FLOOR DRAINS - " / FIXTURES - OUTLETS -SWITCHES' Lender's Address DRINKING FOUNTAINS - - --- - ' GAS TUBE SIGNS ' • - - -- f • OWNER BUILDER DECLARATION - - - INTERCEPTORS - - - CLARIFIERS ' " "- - POLE LIGHTS ' _ I hereby affirm that I am exempt from the Contractor's License Law for the-following reason (Section 7031.5-Business and Professions Code: - SWIMMING POOL P TRAP 'LUNO I HUt-I SUN • _ . Any city or county which requires a permit to construct, alter, POLES METERED SUB , Improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION " ' _ PANELS MAIN SUB - - . quires the apilicant for such permit to file a signed statement that he - - is-licensed pursuant to the provisions of-the Contractor's License Law GAS SERVICE OUTLETS ' - ' SERVICE- -R-A -- - - - - AMP (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions-Code) or that he Is exempt therefrom and the WATER HEATERS BTU OUTPUT ..... . '-' - - 1 t•,� - . - basis for the alleged exemption. Any violation of Section 7031.5 by - - applicant for a permit subjects the applicant to a civil-penalty' SEWER CONNECTIONS `ter -. •• -'•' - \ w-- - t more than five hundred dollars ($500). - ., as-owner of the property, or my employees with wages as their' SOLAR TANK - COLLECTORS' - - -- - - - - - - - --- - - -- - - -- sole compensation, will do the work,and the structure Is not intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. _ ISSUE FEE - • - - - - Contractor's.License Law does not apply toanowner of a property _ _ - - _- - APPLICATION APPROVED BY - -DATE who builds or improves thereon, and who does such work himself or -- ISSUE FEE • through his own employees, provided that such improvements are not -intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK - i - SUMMARY OF,FEES is sold within one year of completion, the owner will have the burden - I of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU ASL? BUILDING $ -, SMIP a $ j 0 I; as owner of the properly,-am•exclusively contracting with. ", PERMIT . 3• AND DUCTINGlicensed contractors to construct the project (Section 7044, Business 100,000''tBTU �' �- iPLAN CHECK $ •PERMIT and Professions Code: The Contractor's License Law does not apply to - • ISSUANCE $ •` an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ - tracts from- such projects with a contractor(s) Iicesnetl pursuant to SYSTEM- - - - - - - GRADING $ the Contractor's License Law). 100,000+ BTU PLAN CHECK $ ' ❑'I am exempt under Section — - B.& P.C.for this - ELECTRICAL $ $ BOILERS BTU reason - - - MICROFILM $ - l PLAN CHECK $ - - Date Owner SYSTEM REPAIR,ALTERATION I TOTAL FEE$ 1 hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ LESS AD- Information is correct. I agree to comply with all city and county' PLAN CHECK $ • VANCE PC $ordinances and state laws relating to construction,and hereby authorize . representatives o this city to enter upon the above me tinned "' ' property for ect ISSUE FEE ,� CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL&SPA if - APPROVALS Permit# • /� V2�q Date Inspector APPROVALS Permit# - Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - • 2. Soil Pipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms .. 4. Electrical Conduit-Undrgrn 46. Electrical Bonding -- . 5. Steel Reinforce 47. Rough Plumbing& Pressure Test • 6. Electrical UFER Grn - 48. APPROVAL TO COVER-GUNITE - . 7. Footings 49. Electrical Conduit-Undrgrn • 8. Foundation 50. Gas Pipe, ❑Undrgrn,Test 9. Water Pipe-Undrgrn 51. Backwash Lines. P-Trap. ❑ Undrorn ' 10. Structural Floor System 52. APPROVAL TO DECK '" ' 11. Property Sewer Line & House Connection 53. Backwash& Receptor-Final - 12. Street Sewer Connection ;.. - 54. Heater & Vent-Final • 13. Rough Plumbing - - 55. Plumbina System-Final - 14. Rough Electric-Conduit - • .56. Electrical-Final 15. Rough Electric-Wiring - - - 57. Solar System-Final 16. Rough Heating & Air Conditioning Vigil-- '' S8• Fencing &Access Approval . 17. Ducts, in Structure59. APPROVED FOR PLASTERING 18. Ducts, Ventilating - 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathing 22. Frame and Flashing - NOTES: 23. Insulation - . . . - . • 24. Lathing& Siding - - - 25. Drywall Nailing 26. Plaster Brown Coat - 27. Electrical Power Meter-Final - - ' 28. Final Electric ���� 29. Final Heating &Air Conditioning //•xr 2 30. Final Gas Pipe-Test • - 31. Final Plumbing . • 32. Water Service•Final - .. 33. Gas Service-Final 34. Solar Domestic-Final 35. Landscape Sprinkling System . . ' 36. Sound Attenuation - • 37. Handicap Regulations - • 38. FINAL STRUCTURE & BUILDING • 39. Special Requirements Completed • 40. Electric Release to Edison ' 41. Gas Release to Southern California Gas Co. - . 42. CERTIFICATE OF OCCUPANCY No. Date . Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA . PERMIT NO. TRACT NO. LOT NO. BLDG,NO. • ' • . - CONSTRUCTION PERMIT Af - ide_co 46.....i. . • . • •H . , '' 700 TI. Project Address,25-6C, gi..44--EL) TYPE OF CONSTRUCTION 7598 9/13/82 aWneAtinti rrA4A1 4..esr pot/ a Phone 0 NEW 0 ADD 0 ALTERATION Address 0 REPAIR 0 CONVERSION 0 DEMOLISH l' Arch/Eng. License No. 0 OTHER . ZONING REGULATIONS DESCRIPTION OF WORK AP.yi$ Address - . . ' ZONE PLNG.REF.git contractorEJ Li ,A2 I Ph-•• a. .• As TYPE OF PERMIT • we BUILDING • ' SETBACK C/t,ST. ROPY kikilla N E Addressq25- este poce,?Oa , VI) N 0 GRADING 0 FOUNDATION 0 STRUCTURAL SIDE YARD _, LICENSED CONTRACTOR DECL•RATIONLEFT 0 TENANT 0 ELECTRICAL OPLUMBING OMECHANiCALI stl3E YARD I hereby affirm that I am licensed under provisions of Charter 9 (corn- RIGHT menCing with section 7000) of Division 3 Of the Business and 0 OTHER . professions Coda and my license is in fu d ef ect. REAR YARD(TO P/L) . PROJECT DESCRIPTION License lass Li • "PKG.SPACE REQ. PROVIDED SQ.FT Oat Signature STREET WIDTH PARK FEE$ WoR ER COMPENSATION DEC RATIO OCCUPANCY CONSTRUCTION TYPE I hereby affirm that I have a certificate of consent to self-insure or a VALUATION ZONE ZONING APPROVED BY I DATE certificate of Workers' Compensation insurance, or a certified copy . SPECIAL CONDITIONS: thereof(cir-" 380n 'eat.C.). GRADING CU.YDS. ACRES t1/2„_., policy N COMpan57A-Te Fu IQ 0 — • ertified copy is hereby furnished. REMARKS: - - ertified copy is filed with•the city Building Division. -- EXEMPTION FROM WORKERS' COMPENSATION DECLARATION G- 3c,A.9 . • . . _ (ThIS section need not be completed it the permit is for one hundred ' .. - - ($100) or less). . I certify that in the performance of the work for which this permit is . . . . . Issued. I shall not employ any person In any manner so as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject to the WorkersCompensation Laws of California. . BATHTUBS SHOWERS uWELLiN“ L.,AfrAL, . . . Date -Signature SQ.FT 80 FT • NOTICE: If after making this declaration, you should become subject TOILETS URINALS - • GENERATOR 0-1 KW-1-10 KW - _ to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER - - forthwith comply with Such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW 50+ KW - revoked. - KIT.SINKS • DISHWASHERS MOTORS . 0-1 HP 1-10 HP CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS SUMPS - (INC.SOLAR) 10.50 HP - 50+HP - formance of the work for which this permit Is issued (Section 3097 Civ. C.). - - . FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES , 1 Lender's Name . - - Lender's Address . DRINKING FOUNTAINS ' .. - ' GAS TUBE SIGNS .. . . OWNER BUILDER DECLARATION INTERCEPTORS - CLARIFIERS . POLE LIGHTS I hereby affirm that lam exempt from the Contractor's License Law for . . . the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP " ‘Uhls I NUL I IUN Any city or county which requires a permit to construct, alter. POLES METERED SUB ' Improve, demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION - PANELS MAIN SUB ' quires the applicant for such permit to filo a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS SERVICE AMP (chapter•9 (commencing with Section 7000) of Division 3 of the Business and Pro4essions Code) or that he is exempt therefrom and the WATER HEATERS • BTU OUTP,..U.T.. c.. , basis for the alleged exemption. Any violation of Section 7031.5 by de' applicant for a permit subjects the applicant JO a civil penalty SEWER CONNECTIONS . _ . r t more than five hundred dollars ($500). a L as owner of the property, or my employees with wages as their' SOLAR TANK COLLECTORS ' . . sole Compensation, will do the work, and the structure is not intended or offered for Sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS. .. ISSUE FEE Contractor's License Law does not apply to an owner of a property . • who builds or improves.-thereon, and who does such work himself or ISSUE FEE' " I - APPLICATION APPROVED BY DATE • through his own employees, provided that such improvements are not ' Intended or offered for sale. If, however, the building or improvement - mECHANICAL .. PLAN CHECK SUMMARY OE FEES - . is sold within one year of completion, the owner will have the burden - _ of proving he did not build or improve for-the purpose of sale). BUILDING r • HEATING SYSTEM 0-100.000,BTU CI I, as owner of the property, am exclusively contracting with AND DUCTING - PERMIT $ SMIP 'S • . licensed contractors to construct the project (Section 7044, Business 100,000 +BTU PLAN CHECK $ PERMIT ' " _ . . -. and Professions Code: The Contractor's License Law does not apply to ISSUANCE. $ ' an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such projects with a contractor(s) licesned pursuant to sys-rEjd , _ GRADING $ the Contractor's License Law). 100,000 +BTU PLAN CHECK $ . 0 lam exempt under Section B.& P.C.for this . $ BOILERS BTU ELECTRICAL $ . reasonMICROFILM $ SYSTEM REPAIR,ALTERATION PLAN CHECK $ - Date Owner MECHANICAL $7-4)6 TOTAL FEE$ " I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE LESS AD- ' . - • Information IS Correct. I agree to comply with all city and county - -- PLAN CHECK $ ordinances and te laws r- •tigg to construc ion,and hereauthorize PiRe Pi•-p-ct *DO VANCE PC $ repreSentefl this ft to enter_iu v n the above/mentioned to.. doi ril • FINAL FEE $ property f in ecti- pur•ose-s. -0 a Signature a - --- ISSUE FEE SIOe ` CMF 0865.46 White-Budding;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING - POOL&SPA APPROVALS Permit# ni-Ygo O Date Inspector APPROVALSPermit# Date - Inspector • - 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -• . 2. Soil Pipe-Undrgrn 44. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn - 46. Electrical Bonding 5. Steel Reinforce • • 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER=GUNITE ' •• 7. Footings 49. Electrical Conduit-Undrgrn 8. Foundation 50. Gas Pipe, ❑Undrgrn,Test , • 9. Water Pipe-Undrgrn 51. Backwash Lines, P-Trap. E Undrgrn • , 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line& House Connection 53. Backwash& Receptor-Final 12. Street Sewer Connection 54. Heater & Vent-Final - 13. Rough Plumbing 55. Plumbing System -Final 14. Rough Electric-Conduit - -56. Electrical-Final 15. Rough Electric-Wiring 57.• Solar System-Final 16. Rough Heating & Air Conditioning 9/js74,- AYP 58. Fencing &Access Approval 17. Ducts, in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathing - 22. Frame and Flashing NOTES: 23. Insulation - ' __ - - - - • 24. Lathing &Siding • 25. Drywall Nailing - - 26. Plaster Brown Coat - ' 27. Electrical Power Meter-Final ' 28. Final Electric - - 29. Final Heating & Air Conditioning /J'/S1rL - - 30. Final Gas Pipe-Test - 31. Final Plumbing . 32. Water Service-Final 33. Gas Service-Final 34. Solar Domestic-Final - _ 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations _ 38. FINAL STRUCTURE & BUILDING ' 39. Special Requirements Completed - 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY • -• • • No Date •- " - ELDEN AVENUE 2569 UNIT C-1 - • G-3930-qN78Y Unit Concb C-1 w/att. gar. 64,800. - I M-4260-non:MunCifl.(G1"") Un1 M-4801- i-4 S)- MIKE.(G-3930) 1 Unit C-1 _ • BPE11492 SPA $3,000. 7A _ 78. G I _ BPE127 8 SPA $3000.00 - ' PC 230-84 _ CtilB #736 - { • B-164344 / ' 2I0 COVER $520. _ /N34`, , #806-84 — s • I � I j - ELDEN AVENUE 2569 UNIT C-2 • • G-3931- p..-4Condo w/att. gar. 64,800. •- Unlit C-2 M-4261- MECH.(G-3931) _ ../u/lY Unit C-2 • M-4802- 1, ,�7`. MECH. (63931) ( Unit c-2 - a BPE136768 x',80 SPA $3,000. - PC 376-845 s' CMB #785 CleriaP /s44/4e, • 13-1634a PATIO " 4430. /S�io(/P{ • P.C. J1:i-J4s • i ( 1 ' ft� } 4 • R APPlica nt to fill in all spaces except t�ls�wit hilklr�yporder lines and sign all appropriate declarations. 'CITY OF COSTA AnES!�, C• k ST' UCTIOI PERMIT QPERMIT N 7 TRACT N JI LOT NO. UNIT NO. Project .J A, ge � z�' Al l • e-�/ Vpe1.3140-7f0 Z 2P13 6/14/84 87.27 Tl. Applicant's AddressMai • •ddress /� /.' TYPE OF CONSTRUCTION 0 NEW ❑ ADD ALTERATION U REPAIR - �A! • - ❑ CONVERSION ❑ DEMOLISH Cl OTHER A.P.#439—171—4U Zone R -7..... ` Owner's Name ��- ;441��'//rini. .i Phone Address ,/ ". %/,If " ..2.J DESCRIPTION OF WORK/USE OF BLDG. S Main Building: Accessory Building: Arch/Eng. V ra-� ii. TYPE OF PERMIT 0 GRADING ❑ FOUNDATION 0 STRUCTURAL T Front 8's 6°'k &d 0 Address ,✓ y /+--L.�,A1 i ❑ LUMBIt4G 0 MECHANICAL B Rear N J �y/�/�t/ 4' S.. / • ❑ TENANT 0 ELE TRICAL 1p /7��r-® �.-S p/�yJ / Contractor's Nam•Asci �%.irr/-• 'ho••G�d S,19 ❑ 'OTHER / - ' ICa-(±a C Right • / �1�'it,IL/ •oLK� N Address(mailing) _�_., L _ - %� - //,� PROJECT DESCRIPTION SQ. FT. OCCUPANCY K 2 g�� G CONSTRUCTION TYPE VALUATION$ 31oaa.-60 S Left 41 .j q. City License No. R ZONE GRADING CU.YDS. ACRES CI E LICENSED CONTRACTOR DECLARATION �s Ping. Ref.# Parking Req./Provided 0 I hereby affirm tht I am licensed under provisions of Charter 9 (commencing Remarks: 0 �� co-" Planning Notes: 5�� �� �G� �5�./ ?ByL��„QQ M with section 7000) of Division 3 of the Business and Professions Code,and / T my license is inetuff fcirg and effect. �r /1 v_e- b,��ern,_ Asset-eankr1 6i _ 7,_ "� Liceny Claris C----- ''.7 1 may- Lice e N V - V/e's��iir S. Date = _4 Signature . .-it° PLUMBING • FEES WORKERS' COMPENSATION DECLARATION Bar Sink . Showers ELECTRICAL FEES lereby affirm that I have a certificate of consent,to self-insure or a certificatei ' . 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. 050+ KW Certified copy Is hereby furnished. _ Certified copy Is filed with the city Iluilding 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 wemit i 'ssued I shall not employ any person in any -ner so as to •ec-' a sub'- t to the Drinking Fountains Solar Tank Fan Worker} Corgsy§n sa±+otV Laws of Cali •-- Motors 00-1 HP 01%-8 Date CO-/y --Q% Signature LL/Ato , '/ ki/�I i4/01. Floor Drains Swimming Pool w/Spa F.A.U. Ina Solar ❑g-15 HP 016-15+ NOTICE: If,after making this declaration,you sho • •-come 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 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 Lender's Address _ • Kitchen Sink Water Service Switches Sign • N OWNER BUILDER DECLARATIO3 I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories too 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 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 ci aa the Contractor's License Law (Chapter 9(commencing with Section 7000) ofApay livision 3 of the Business and Professions Code) or that he/she is exempt - ierefrom and the basis for the alleged exemption. Any violation of Section ./031.5 by any applicant for a permit subjects the applicant, to a civil p salty of not more than five hundred dollars($500). $ 3 LJ I, as owner of the property or my employees with wages as their sole • Reinspection Fee $15 Issue Fee compensation, will do the work,and the structure is not intended or offered - -- - - Reinspection Fee $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 SERVICC SS'REOUIiEIM NTS: /' /��(�� employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 Zoning Approved By D/�}.-- ��/'f� Dat�+7`/` V / sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 pp pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By 'e-- grove Date (-1 J -U for the purpose of sale). //,,// / /�• I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 6/ Date F .�q 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 SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con-. tractors license pursuant to the Contrdctor's License Law). I am aware thatI BUI LDI NG'PER MIT $ -W SMTP $ 1 Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK $ 2S•D ' PERMIT proof of their Worker's Compensation insurance should be provided--to me: ❑ I am exempt under Section B.;g.p.C.for this reason Firepl/Fact.Bit. ICBO# PLUMBING $ (O.0O ISSUANCE $ Date Owner "" V' - Heating System& Ducting PLAN CHECK 25% $ 17 S ENERGY P.C. $ 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 ELECTRICAL $ 12_00 GRADING $ and state laws relating to building onstruction, and hereby authorize repre- sentatives of this city to e ter pen,.t - above-mentioned property ,f� Q^^77 inspection •r• ..ses /_/il8-G MECHANICAL $ TOTAL FEE $ 6 ! . z7 Signature ..41/....4.4/•11 _ Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ s CMF 0865.46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor . CONSTRUCTION AND PLANNING PO. & SPA I 1 APPROVALS Permit# . . Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 6/UC 8'4 Ce 2. 2. Soil Pipe-Undrgrnd. • ' 53. Steel Reinforcement � \ 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 1 T. 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test .11 • L. 6..Electrical UFER Grind. 57. APPROVAL TO COVER-GUNITE 4 51/4(.7..'Footings r .. r 58. Electrical Conduit-Undrgrnd. //42//42 ,/s- CC 8. ,Foundation r I 59. • Gas Pipe, O Undrgrnd., Test " t I, 9. Water Pipe-Undrdrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. /\` 10: Structural Floor Sy"stem r'' 61. APPROVAL TO DECK '1 9 e C- 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final t�2• ftf y - 12. Sewer Cap 4, . "•t 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 l/J . 17. Rough Wiring Sign , 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 4 o t,E 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT J 20. Rough Factory Fireplace APPROVALS Permit# 11, 21. Ducts, in Strdcture 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 O Oil - '25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27: Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation - 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric . Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy • 37. Final•Factory Fireplace 38. Final.Plumbing 39. Water Service-Final . 40. Gas'Service-Final • 41. Solar'Domestic-Final 42. Backflow Preventer. Tr 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 ' . 1 I1' No. Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PER •IT NO. TRACT NO. LOT NO. BLDG.N• 3366 7/20/82 7.00 TL CONSTRUCTION PERMIT �� "'�: - / - > i C - Project�Ay-d�dressss-69 e ! ' Owner- bu/l/p id /1441-- y il. Phone n Address 6O /.�,7 J4orefket S' pdo DEMOLISH ' ZONING REGULATIONS Arch/Eng. - - License No.• Address 'Contractors ,[- IL-.A- Phon»; 0 , I► TYPE OF PERMIT -" B• • - Tp p ING - n • ` SETBAC _ PROPE RTV LINE Addr¢ss • �rla - 0 GRADING 0 FOUNDATION -❑ STR C URAL 5ppYARD --- LICENSED CONTRACTOR DECLARATION ❑ TENANT 0 ELECTRICAL ❑PLUMBING�ECHANICA 51.10E YARD YARD - I hereby affirm th:.t I am licensed under provisions of Charter 9(com- RIGHT mencing with section- 7000) of Division 3 of the •Business and 0 OTHER Professions Code, •.nd my license is In full force and ect. REAR YARD(TO P/L) • License C .ss a te se Nos_ PROJECT DESCRIPTION • -- -_ PKG.SPACE REQ. PROVIDED - } Date • - Signature t • - :gra SQ.FT. - WORKE-S' OMPENSATION DECLARATION - ••OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEE $ I hereby affirm that I have a certificate of consent to self-Insure or.a ,.VALUATION ZONE ZONING APPROVED BY • I' DATE - -' certificate of Workers' •CompensatIon Insurance, or a certified copy - - -- ... - - -'- 1SPECIAL CONDITIONS: - - ereof(Section 3800, Lab.C.). I GRADING CU..YOS. ACRES ( cy No. -' Company • _- - - .. .. - Certified copy.is.hereby furnished. . _ ._ __ REMARKS:• v _3-515/ .- - - _ - - . LJ - Certified copy Is filed with the city Building Division. , - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION "' - - - (This section need not-be completed If the permit Is for-one hundred - _ -- - . . ' ($100) or less). - ' ' - -• - .. - - - . 'I certify that In the performance of the work for which this permit is - _ Issued, I shall not employ any person any manner so as lob ome , PLUMBING - .PLAN CHECK ELECTRICAL- PLAN CHECK " -" - ' Dated[ the Ork¢f5'Cgnatur atlgp �SRf Cdlltprylia� UWELLINb 6HKR6E Date Signature C� �(d• //l• BATHTUBS SHOWERS I. • NOTIC : If after making this declaration, you should become subject TOILETS • -' -URINALS - - - GENERATOR 0-1 KW_1-10.KW - to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER - •. forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVE - APPLIANCE 10-50-KW..50+KW 7- revoked. - revOk¢d. _ - ' ' KIT.SINKS "DISHWASHERS MOTORS - •- CONSTRUCTION LENDING AGENCY 0-1 HP • 1-30 HP • , I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS•- • SUMPS- '(INC.SOLAR) ' 10-50-HP -50 + HP - formance of the work for which this permit is issued (Section 3097 - .- Civ:CJ. - ' - --- ' -- -- - - - FLOOR SINKS - FLOOR DRAINS `FIXTURES - OUTLETS ' SWITCHES Lender's Name - ' Lender's Address • DRINKING-FOUNTAINS - -- ' GAS TUBE SIGNS • _ - - OWNERBUILDERDECLARATION • - - INTERCEPTORS- - CLARIFIERS 'POLE LIGHTS - - ' I hereby affirm that I am exempt from the Contractor's License Law for the'following reason-(Section 7031:5 Business and Professions Code: SWIMMING POOL ' P TRAP "'-- '^- LUNS I Hut-IWN - • - - Any city or county which requires a permit to construct, alter, • POLES METERED SUB Improve,demolish'or-repair any structure, prior to its issuance;also re- WATER SERVICE - ALTERATION - PANELS - -MAIN - SUB quires the apLlicant for such permit to file a signed statement that he Is-licensed pursuant-to pursuant-to the provisions of the Contractor's-License Law GAS SERVICE - OUTLETS 'SERVICE AMP - • - (Chapter 9 (commencing with Section 7000) of Division 3 of the Rosiness and Professions Code) or that he is exempt therefrom and-the - WATER HEATERS BTU OUTPUT _ .» • - is for the alleged exemption. Any violation of Section 7031.5 by _ - - - • . - . applicant for a permit-subjects the applicant to a-civil penalty SEWER CONNECTIONS - "- Y ✓ "- •- - - • - • -- - - • not more than five hundred dollars ($500). ' • - ❑.I, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS ' • ' • - - - - - - - - sole compensation, will do the work, and the structure is not Intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. - - ISSUE FEE - - ' - Contractor's License Law does not apply to an owner of a property 'APPLICATION APPROVED BY- DATE who builds or improves thereon, and who does such work himself or - ISSUE FEE - - " through his own employees, provided that Such improvements are not . Intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK --- _' SUMMARY OF FEES ' Is sold within one year of completion, the owner will have the burden _ of proving he did not build or Improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU OOU BUILDING-- $ SMTP -$ AND DUCTING ❑ 1, as- owner of--the property, am exclusively contracting -with - - .PERMIT - and ssionscontractors Code: rnthe sr Licet (Section e044t lness 100,000.+ BTU il• /b PLAN CHECK $ PERMIT ntl Prof esof The Contractor's License Law does not apply to - _ .. ISSUANCE $ an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU 'PLUMBING $ . tracts from such projects with-a contractor(s) licesned pursuant to SYSTEM • - -. - - _ GRADING $ the Contractor's License Law). 100,000 + BTU PLAA•CHECK $ ; ❑ I am exempt-under'Section B.& P.C.for this --- - ' t; . •$ BOILERS BTU I - (ELECTRICAL $- _ ) reason- - - - ,PLAN-CHECK• $ - MICROFILM $ SYSTEM REPAIR,ALTERATION ,rte Date Owner / �- TOTAL FEE$ I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE .MECHANICAL $ ! - Information is correct. I agree to comply with all city and county PLAN CHECK $ V . ordinances and state laws relating to construction,and hereby authorize VAN CE P PC $_ representatives of this city to enter upon the above mggqnnntloped ,, ' • property for • ..y'ctlo_, •urpo�. �1 /,n •/�J 7— Signature 1- - -- - 1 ISSUE FEE - - ©� CMF 0865-46 White-Building; Canary-Applicant;Pink-Accourlting;Goldenrod-Assessor Ir• CONSTRUCTION AND PLANNING r POOL:&SP\ ,r" . , APPROVALS Permit# /rlife Inspector APPROVALS Permit 4 /�t Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location • 2. Soil Pipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn . • 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - 5. Steel Reinforce _ 47. Rough Plumbing & Pressure Test • _ 6. Electrical UFER Grn _ 48. APPROVAL TO COVER-GUNITE 7. Footings . 49. Electrical Conduit-Undrgrn • 8. Foundation _ .. 50.. Gas Pipe,-❑Undrgrn;Test - 9. Water Pipe-Undrgrn, - - 51. Backwash Lines,P-Trap, ❑Undrgrn ' • 10. Structural Floor System _ - 52. APPROVAL TO DECK - - - 11. - Property Sewer Line, & House Connection - . •_ . 53. Backwash & Receptor-Final ' 12. Street Sewer Connection .' -' . . 54. Heater & Vent-Final 13. Rough Plumbing 55: Plumbing System- Final 14. Rough Electric-Conduit -- - -56. Electrical-Final 15. Rough Electric-Wiring - 57. Solar System-Final • 16. Rough Heating &Air Conditioning - - ?/(17' ,,--er 58. , Fencing &Access Approval 17. Ducts, in Structure 59. APPROVED FOR PLASTERING •• 18. Ducts, Ventilating - _ 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing - - 21. Roof Sheathing - - " 22. Frame and Flashing - - _ NOTES: , • 23. Insulation - _ • 24. Lathing & Siding 25. Drywall Nailing . • 26. Plaster Brown Coat - -- 27. Electrical Power Meter-Final 28. Final Electric 29. Final Heating &Air Conditioning - fr-A -et .,40,446. 30. •Final Gas Pipe-Test 31. Final Plumbing - 32. Water Service,Final 33. Gas Service-Final 34. Solar Domestic-Firial ' 35. Landscape Sprinkling System - - • 36. Sound Attenuation . 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING • - 39. Special Requirements Completed ' 40. Electric Release to Edison • 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY - - No Date / Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PgjMIT NO TRACT NO. LOT NO. B DG.NO. • CONSTRUCTION PERMIT )3 —II POZ � '� 7596 9/13/02 7.00 �4 Project Addressa5 9. �Cbe �r.D TYPE OF CONSTRUCTION • OwnetArt4 f l,- Phone - ❑ NEW ❑ ADO ❑ ALTERATION . Address ' 0 REPAIR 0 CONVERSION ['DEMOLISH ZONING REGULATIONS Arch/Eng. License No. 0 OTHER DESCRIPTION OF WORK A.P.t Address ZONE PLNG.TTQgRg ttE11F�..ppbv Contracto/r� J Li PPNIK a26� TYPE OF PERMIT • BUILDING ST. P RcOPEIRTVNLINE Address T). a(!,? FL 64.1001,-/ �i) /`Jv 0 GRADING 0 FOUNDATION ' 0 STRUCTURAL ID YARD LICENSED CONTRACTOR DECL ATION 0 TENANT 0 ELECTRICAL OPLUMBING ❑MECHANIC SEAjpE'J I hereby affirm that I am licensed under provisions of Charter 9 (corn- RIGHT mencllig with section 7000) of Division 3 of the Business and 0 OTHER' Professions Cod and my license In full f and eftfct. REAR YARD(TO PAL) �gc�, PROJECT DESCRIPTION License ss�(,^/ ansa PKG.SPACE REQ. PROVIDED I Date j �`Pq/ Signature SQ. FT. . WOR RS COMPENSATION DEC ATID OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEES I hereby affirm that I have a certificate of consent to self-insure or a VALUATION ZONE ZONING APPROVED BY I ,OATS certificate of Workers' Compensation Insurance, or a certified-copy thereof(5.94.1,1m,381.-if b.C.). �, Q,{� GRADING CU. YDS. ACRES SPECIAL CONDITIONS: ' PPoolicy NakfI I-- Company"S/'�4 /7 c'ND 'entified copy is hereby furnished. REMARKS: - - ;rtified copy is filed with the city Building Division. • • . - E..cMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred . ($100) or less). . . - • s ` , 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 PLUMBING , PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers Compensation Laws of California. uwt LLlrvc GARAGE Date_ Signature - - B� ATHTVBS SHOWERS SO FT. SO FT NOTICE: If after making this declaration, you should become subject TOILETS . - URINALS GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW 50+ KW revoked. CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS I MOTORS 0-1 HP 1-10 HP I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS • SUMPS' - - • "' (INC.SOLAR) "'10-50 HP_50+HP , formance of the work for which this permit is Issued (Section 3097 - Lender's Name - - - FLOOR SINKS -' - FLOOR DRAINS FIXTURES OUTLETS SWITCHES II Lender's Address - - - • DRINKING FOUNTAINS - GAS TUBE SIGNS - OWNER BUILDER DECLARATIONINTERCEPTORS • • CLARIFIERS POLE LIGHTS I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP TUNS I RUL I IUN Any city or county which requires a permit to construct, alter, POLES METERED SUB Improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION PANELS MAINSUB quires the applicant for such permit to file a signed statement that he ' is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE -• OUTLETS • SERVICE AMP (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS - ' BTU OUTPUT`• •, _ - basis fdr the alleged exemption. Any violation of Section 7031.5 by +- `-- am- applicant for a permit subjects the applicant to a civil penalty SEWER-CONNECTIONS ' c more'than live hundred dollars ($500). • as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS • . so, compensation, will do the work, and the structure is not intended or offered for.sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. • ' ' • - - • • ISSUE FEE Contractor's License Law dons not apply to an owner of a property who builds or improves thereon, and who does such work himself or ISSUE FEE • - APPLICATION APPROVED BY DATE through his own employees, provided that such improvements are not - intended.or *tiered for sale. If, however. the building or'improvement MECHANICAL PLAN,CHECK is sold within one year of completion, the owner will have the burden • SUMMARY OF FEES of proving he did not build or improve for the purpose-of sale). HEATING SYSTEM 0-100,000 BTU BUILDING . I PERMIT $- SMTP - $ ❑ I, as owner of the property, am exclusively contracting with AND DUCTING - - licensed contractors to construct the project (Section 7044, Business 100,000+ BTU - PLAN CHECK $_ PERMIT - and Professions Code: The Contractor's License Law does not apply to - ISSUANCE $ an-owner of property-who buildS'or improves thereon, and who con- REFRIGERATION 0-100,000 BTUPLUMBING $ tracts from such prolects with a contractor(s) Ilcesned pursuant to . SYSTEM GRADING- $ the Contractor's Ucense Law). 100,000+BTU PLAN CHECK $_ - ❑ I am exempt under Section B.& P.C.for this BOILERS BTU ELECTRICAL $ $ • reason - MICROFILM-5 Date Owner SYSTEM REPAIR,ALTERATION PLAN CHECK $ TOTAL FEE$ I hereby certify that I have road this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ `. information is •rrect. I a•ree to comply with all cityand county - PLAN CHECK $ LESS AD- P Y Q' T )/ D VANCE PC $ ordinances a / e I' ting to PLAN• this n the above me oned /•---c3 ` ^��� d property •ectl. p, es. !s eft - `�. Q Signaluf / . ISSUE,FEE - -- • e 0 CMF 0065-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNINGPOOL&SPA - ' APPROVALS Permit# / -y2--Lige Date Inspector - 'I Date Inspector APPROVALS _Permit# 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location , 2. Soil Pipe-Undrgrn . 44. Steel Reinforcement 3- Electrical Conduit Utility-Undrgrn 45. Forms - - 4. Electrical Conduit-Undrgrn - - - - 46. Electrical Bonding , - . 5. Steel Reinforce., '- 47. RoUgh Plumbing & PressurbTest" • . . 6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE -- 7. Footings 49. Etectrical.Conduit-UndLgrn 8. Foundation 50. Gas Pipe, ❑Undrgrn,Test • • • 9. Water Pipe-Undrgrn 51. Backwash Lines. P-Trap, QUndrgrn • 10. Structural Floor System 52. APPROVAL TO DECK • 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final - 12. Street Sewer Connection - 54. Heater & Vent-Final - . 13. Rough Plumbing 55 Plumbing Svatrm - Final 14. Rough Electric-Conduit • -56. Electrical-Final 15. Rough Electric-Wiring 57. Solar System-Anal 16. Rough Heating & Air Conditioning ,i- I?: 9,//T/d'Z 68. Fencing &Access Approval 17. Ducts, in Structure 59. APPROVED FOR PLASTERING. 18. Ducts, Ventilating -, 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing • 21. Roof Sheathing - 22. . Frame and Flashing - . NOTES: • 23. Insulation -- - - 24. Lathing &Siding - 25. Drywall Nailing . . ' 26. Plaster Brown Coat . . - 27. _ Electrical Power Meter-Final _ 28. Final Electric - - .- - 29. , Final Heating & Air Conditioning Lyes i7 heberC. ' • 30. Final Gas Pipe-Test 31. Final Plumbing - '32, Water Service-Final 33. Gas Service-Final , 34. Solar Domestic-Final, • 35. Landscape Sprinkling System 36. Sound Attenuation • 37. Handicap Regulations . - 38. FINAL STRUCTURE & BUILDING - _ - 39. Special Requirements Completed 40. Electric Release to Edison _ 41. • Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY - No Date • - , • . , Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ria P IT NO. ,��/ TRACT NO. LO NO. UNIT NO. CITY OF 2O 9C01 CTI.--a IT j - %G ! �(; / , 2? //,� G0 3702 12/07/84 e7.0i7 TI. Project Address �% Applicant's Mailin• 'ddress ,��/Ii TYPE OF CONSTRUCTION NEW U ADO U ALTERATION ❑ REPAIR '' I rryryr��� Mit._ , El CONVERSION ❑ DEMOLISH 0 OTHE _ A.P. // Owner's Name l,�/a_eice. //�--.�.� Phon DESCRIPTION OF WORK/USE OF BLDG. 0-4-' n -y� -. /...n...v(..� Zone ar Address - .d fns/ -i"--/ S Main-B-'uiillding: 1 Accessory Building: Arch/Eng. License No. TYPE OF PERMIT GRADING FOUNDATION IJ STRUCTURAL T Front &3f(# 6meat) - O Address _ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear --- (IT] � N ❑ OTHER A ^�,, ^ I Contractor's Name Phone - C Right .O-CMJ , N Address(mailing) PROJECT DESCRIPTION SQ: F +/f� OCCUPy(,,,I��• CD3/n �� CON$T RUCTION TYPE VALUATION$ Y+ ��is s Left 9 G City License No. .zi ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref.# .�. c(,{-� 1�,I Parking Req./Provided E a I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: 1 I M with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. d.s----a)( � f • S. License Class License No. T V Date Signature PLUMBING L I FEES WORKERS'COMPENSATION DECLARATION Bar Sink Showers hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES • I Workers' Compensation Insurance, or a certified copy thereof (Section ' .,800, Lab. C.) Backflow Preventer Service Sink 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 Duo 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 OGas 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 be me s jest to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%-8 Worker Compgns Iio Laws of Cali n�a. - Date .2 - Z"/ - Signature .�` Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09.15 HP 016-15+ NOTICE:If,after making this declaration, you should become subject to the - Workers' Compensation provisions Of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet I hereby affirm thet there is a construction lending agency for the performance Device Boxes Pole Light of the work far which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name _ Lender's Address �N� 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 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 any structure, prior to its Issuance, also requires the applicant for such permit 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 1<refrom 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). I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 - compensation, will do the work, and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES - License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type 1 ❑ DEVELOPMENT SERVICES RiQUIREMENTS: employees,t, provided that such improvement are not to or offereoftl for Canopy Type 11 ❑ -�igr... '/Y�� 7Nrati- 4_ sale. If, however,the buildingor improvement Is sold within ono year com- Zoning Approved By Date pletlon, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By Datele ./ rove as forowner the purpose of sale). /y- 1, 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: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑O-100,000 BTU 0100,000 BTU $ ARV OF FEES Lu � builds or improves thereon,and who contracts for such projects with a con- O.tractors license pursuant'to the Contractor's License Law). I am aware that. Exhaust System 0 Multiple 0 System Repair/Alteration Deh.BUILDING PERMIT $ SMTP $ J proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ e PERMIT ❑ I am exempt finder Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducting - PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL, ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws relating to building struction,and hereby authorize repre- sentatives of this city to e ter n t above-mentioned�7property yff/orr $ 27r o0 inspection p(-- es.�" ! CMF 0865.46,rev.4/84 White-Building;Canary-Applicant:Pink-Accounting;Goldenrod-Assessor I CONSTRUCTION AND PLANNING POG .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 3. Footings • 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, E 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 719: 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. 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 1 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 <j - 42. Backflow Preventer 43. Backflow Irrigation - 44. Landscape Irrigation System • 45. Sound Attenuation • 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING /L�fo /'S'� C-- 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 IT ° ' 35� / .°�TN°D Lo O. UNIT NO. Project Address �„ f,// 6 3193 11 /30/84 N.57 TL Applicant's Mallin ddress TYPE OF CONSTRUCTION f10 NEW 0 ADD U ALTERATION LI REPAIR 0 �lo."yy 0 CONVERSION 0 DEMOLISH ❑ OTHji A,P,# 29 7/_44 IZone Ea_ • Owner's Name 9 Phone DESCRIPTION OF WORK/USE OF BLDG. 01�n I�a.'l� � J• / `� Address a E J-->Lv raj// S Main Building:il / �l Accessory Building: Z Arch/Eng. .lQ/ License No. TYPE OF PERMIT ❑ GRADING U FOUNDATION E STRUCTURAL T Front pk 31 avow. /O{[,d[Qn' o Address /y / ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING 0 MECHANICAL 6 `Y r �/� �s N "4 eLtr ' 6 '0.7149 ❑ OTHER A Rear �yl( 'O CQfACA/ In- VoZ 1 Contractor's Nam Phone , J/J C Right !' UU N Address(mailing) PROJECT DESCRIPTION SQ.�T.!.15- OCCUPA cK 03��75" CON ST RUCTION TYPE j[, VALUATION$ �s 00 $ Left 32 G u R City License No. L ZONE GRADING CU.YDS. ACRES Ping. Ref. # '"c-4- g4.--" v Parking Req./Provided E LICENSED CONTRACTOR DECLARATIONQ I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: M with section 7000) of Division 3 of the Business and Professions Cotle,and at Pct A.s _ '� / g T my license is in Lull force and effect. �l/��^ LT1_ License Class License No. S. Date Signature PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES , I hereby affirm that I have a certificate Of consent to self-Insure or a certificate ' I Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink ,800, Lab. C.) Automatic Washer Transformer ❑ 15-50 KW • Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. ❑ 50+ KW_ I 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 I Meter Clover 100amps (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 t is permit Is Issued, I shall not employ any person in any manner so as to com subject to the Drinking Fountains Solar Tank Fan Motors❑0.1 HP ❑1'/h-8 Date'f_2os1l per�i��iOn Laws of Caure (j 7/ ❑ Date!!'' ''!! /i , Signature ��/f/lG1T� Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 9.15 HP 016.15+ NOTICE:If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures 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 Chi. C.) Interceptors Water Heater Outlets Range Lender's Name kA'w'rr ttC Lender's Address ( NG - 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 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 any structure, prior to Its issuance, also requires the applicant for such permit 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 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 LIenalty of not more than five hundred dollars ($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered Reinspection Fee $15 Issue Fee $ 3 for sale, (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own Hood or Type I ❑ DEVELOPMENT SERVICES 1'RyEEQ��UIREMENTS: employees, ever, ed that Such Imprproments are not intended or offered for Boiler Zoning Approved ByJ / I Y� Data?/ Z,f sale. if, however, the building or improvement is sold within One year of com- Canopy Type II ❑ _ g 11 ,�//�� I Cett prove , the owner will have the burden of proving he/She did not build or im- Duct- Under Ground Building Approved By Date Drove for the purpose of sale). 1,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: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTUSU ARV OF FEES builds or Improves thereon,and who contracts for such projects with a con- �7_, r tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT G$7 t SMTP $ ' a JO proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ 7. ai-7 PERMIT 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# PLUMBING $ ISSUANCE $ Date Owner • Heating System 8( Ducting I PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00100,000 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- sentatives of this city to enter on a above-mentioned property for inspection purD s. -.` .7 _�.J fJ[� MECHANICAL S TOTAL FEE $ ' Signature DDate Drivers' License or SS Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.4/84 While-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor r 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. 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 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 1'6. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING .18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL +19: Rough Heating & Air Conditiohing 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 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 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 (7t/ ' 48. Special Requirements Completed �E ` 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 within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. •BL G.Np. - • CONSTRUCTION PERMIT �/1 !�f¢a �/ 7597 9/ 13/82 7.00 TL Project Address_fz &Loci✓ G�—1 ` TYPE OF CONSTRUCTION ' OwnHta11 /T^r,,d /Lec; \�'�� Phone 0 NEW 0 ADD -❑ ALTERATION AddrAddress 0 REPAIR El CONVERSION ❑DEMOLISH Arch/Eng. License No. 0 OTHER ZONING REGULATIONS . DESCRIPTION OF WORK A.P.* ' Address �yl,�.,,�� 9 b ZONE PLNG. REF.$ COntractora- P 3 _ pA�Ig P,€) 60/ TYPE OF PERMIT BUILDING d��pl ��INE 'fly / g91 SETBACK DC5T. Addfess OL() /(Jeo,vUe V 0 GRADING 0 FOUNDATION 0 STRUCTURAL • I YARD LICENSED CONTRACTOR DECL ATION 0 TENANT 0 ELECTRICAL OPLUMBING ❑MECHANIC5I yq I hereby affirm that I am licensed under provisions of Charter 9(com- RIGHT mencing with section 7000) of Division 3 of the Business and 0 OTHER Professions Co antl my Ilcense is In full 1 ct. REAR YARD(TO P/L) PROJECT DESCRIPTION _ License aass Uc se PKG.SPACE REO. PROVIDED Date ij/ 2 Sig nat ur SD. FT. _ WOR ERS COMPENSATION DE RATI OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEE$ I hereby affirm that I have a certi tate of consent to self-Insure or a VALUATION ZONEZONING APPROVED BY I DATE c••'ificate of WorkerS' Compensation Insurance, or a certified copy of(�Sectl�}I 80 .C.). -mss GRADING CU.YDS. ACRES SPECIAL CONDITIONS: y N`� V Company 57A-!e ' `"e N0 - Li Certified copy is hereby furnished. REMARKS: 0 Certified copy is filed with the city Building Division. �� O EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - (This section need not be completed if the permit is for one hundred ($100) or les). - 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 - PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers Compensation Laws of California. • BATHTUBS SHOWERS UWtLLIN(. - UMNM(a - Date Signature SO FT. SO FT • NOTICE: If after making this declaration, you should become subject TOILETS URINALS GENERATOR -0-1 KW1-10 KW to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW=50 + KW , revoked. CONSTRUCTION LENDING AGENCY - KIT.SINKS - DISHWASHERS • - MOTORS 0-1 HP_1-10 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS . SUMPS - (INC.SOLAR) 10-50 HP +HP' formance of the work for which this permit is issued (Section 3097 ' Civ. C.). FLOOR SINKS - FLOOR DRAINS ' - FIXTURES - - OUTLETS - SWITCHES Lender's Name Lender's Address - DRINKING FOUNTAINS ' GAS TUBE SIGNS ' OWNER BUILDER DECLARATIONINTERCEPTORS CLARIFIERS - - POLE LIGHTS - I hereby affirm that 1 am exempt from the Contractor's License Law for i the following reason (Section 7031.5 Business and Professions Code: - SWIMMING POOL P TRAP LOINS I RUL I IUN _ - - Any city or county which requires a permit to construct, alter, POLES METERED SUB Improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION - PANELS MAIN SUB quires the applicant for such permit to file a signed statement that he - is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS - - SERVICE ' - AMP ' - - - ((Cn'spter 9 (commencing with Section 7000) of Division 3 of the - - yyss and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT �`'1or the alleged exemption. Any violation of Section 7031.5 by _ j . . a ,applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS '-` " ~ .- - ' ' - "' of not more than five hundred dollars ($500). - ❑ I, as owner of the Property,or my-employees with wages as their SOLAR TANK - COLLECTORS - - - - - -- - sole compensation, will do the work, and the structure is not intended or offered for sale. (Section 7044, Business-and Professions Code:The SOLAR PIPING SYS. - ISSUEFEE - Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself or ISSUE FEE APPLICATION APPROVED BY • - DATE_, through his own employees, provided that such improvements are not ` intended or offered for sale. If, however, the building or improvement MECHANICAL — PLAN CHECK is sold within one year of completion, the owner will have the burden SUMMARY OF FEES - of proving he did not build or Improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU PERM IT BUILDING $ SMTP $ 0 1, as owner of the property, am exclusively contracting .with AND DUCTING - • - - • licensed contractors to construct the project (Section 7044, Business 100,000 +BTU PLAN CHECK $ PERMIT and Professions Code: The Contractor's License Law does not apply to - ISSUANCE E ' an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ • tracts from such projects with a contractor(s) licesned pursuant to SYSTEM GRADING $ the Contractor's License Law). 100,000+ BTU PLAN CHECK E ❑ I am exempt under Section B.& P.C.for this BOILERS BTU ELECTRICAL $ - $ reasonSYSTEM REPAIR,ALTERATION PLAN CHECK E, MICROFILMS Date _Owner MECHANICAL E' /'GD TOTAL FEE E I hereby certify that I nave read this application and state that the above EXHAUST SYSTEM MULTIPLE LESS AD- information is correct. I agree to comply with all city and county p-;n ' - Oa PLAN CHECK E VANCE PC $ ordinances an ate laws r lating to constru�ion,and hereb authorize ,P7ie-G representat this it y to,enter utpn the above mentioned .p ref 1 property f I t ec t pub.-s. y� L L/.9 Q QS 7 7 I��/rf • - FINAL FEE S /t O Drivers' /t}/(qor — Dat ISSUE FEE � O6 Drivers' Licerhfi or — � " CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNINGPOOL& SPA_ _ \ APPROVALS Permit# /'M At?O1 Date Inspector APPROVALS , _Permit# Date Inspector . 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location • ` • - 2. Soil Pipe-Undrgrn - 44. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrn 45. Forms • 4. Electrical Conduit-Undrgrn 46. Electrical Bonding , 5. Steel Reinforce 47. Rough Plumbing & Pressure Test ' - • 6. Electrical UFER Grn - - 48. APPROVAL TO COVER-GUNITE - • 7. Footings 49. Electrical Conduit-Undrgrn 8. Foundation _ - - _ _ 50. Gas Pipe, 0 Undrgrn,Test 9. Water Pipe-Undrgrn _ . 51. Backwash Lines,P-Trap, 0 Undrgrn ‘ - - 10. Structural Floor System - 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection _ . .53. Backwash & Receptor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing - ' 55. Plumbing System - Final 14. Rough Electric-Conduit .56. Electrical-Final 15. Rough Electric-Wiring 57. Solar System-Final ' 16. Rough Heating & Air Conditioning • Vain -, 7?[ 58. Fencing&Access Approval 17. Ducts, in Structure • 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating • . 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing . 21. Roof Sheathing 22. Frame and Flashing NOTES: - 23. Insulation - - 24. Lathing &Siding - - 25. Drywall Nailing ' 26. Plaster Brown Coat 27. Electrical Power Meter-Final - ' 28. Final Electric - -- • - 29. Final Heating & Air Conditioning 4/if7L AselfcCC • 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final • - 33. Gas Service-Final - - - 34. Solar Domestic-Final ' 35. Landscape Sprinkling System 36. Sound Attenuation , . • . 37. Handicap Regulations 38. FINALSTRUCTURE& BUILDING 39. Special Requirements Completed 40. Electric Release to Edison . 41. Gas Release to Southern California'Gas Co. . 42. CERTIFICATE OF OCCUPANCY - - - - - - • No Date -.. _ . - G - _ Applicant to fill In allspaces except those within heavy border lines and sign all appropriate declarations. 48(34 272784 H2.0 '.OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG. NO. NO., "TRUCTION PERMIT �Jl��� WERMIT tl,(p0( Project Address -. -• '- .1,-", -C-/ TYPE OF CONSTRUCTION NEW U ADD Li ALTERATION ❑ REPAIR . Applicant's Mailin. 'ddress . tarn_ O ❑ CONVERSION ❑ DEMOLISH 0 OTHER A.P. '. 41� '- 17 l —et e Zone '�� Owners Name — at g.y � ..- 'hone G`4/a-2097 DESCRIPTION OF WORK :- .070e.—_ r,,� S Main Building: ( Accessory Building: Z Address - - �J E - 0 �/��z '// TYPE OF PERMIT LI GRADING U OUNDATION STRUCTURAL T Front Arch/Eng. '�� LJ. ,ice NOSE'9S SE230 Rear N ❑ TENANT FJ ELECTRICAL LS PLUM GING ❑ MECHANICAL B N Address qsJ d.' � . 7_— ! '4 ' ❑ .OTHER A 9 I��/-� �.gi_ PROJECT DESCRIPTION SD. FT. OCCUPA V C Right GR Contractor's Nam: . �• 'hone - E /� G' S CONSTRUCTION TYPED)`- pl VALUATIONS_ CW 6 Left Address(mailing) V ZONE GRADING CU.YDS. ACR/ESPing. Ref.# Park.Fees $ O City License No. U LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided I I hereby affirm that I am licensed under provisions of charter 9 (commencing Use of BUlldln R with section 7000) of Division 3 of the Business and Professions Code,and g: R my license Is In full force and effect. Ucense Class License No. PLUMBING FEES Planning Notes: M E Date Signature WORKERS'COMPENSATION DECLARATION Bar Sink Showers T ereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer 'Service Sink S Workers' Compensation Insurance, or a certified copy thereof (Section ,,800, Lab. C.) Backflow Irrigation Sewer Cap ELECTRICAL FEES Policy No. Company '� 8 Certified copy is hereby furnished. Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW Certified copy is filed with the city Building Division. 0 50+KW Date '-- Applicant Clarifiers Solar Collectors Construction Pole Sub. EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher Solar Piping (This section need not be completed if the permit is for one hundred ($100) or Cooking Unit Meter pup to 100 amps less). DrinkingFountains I certify that In the performance of the work for which this permit Is issued,I Solar Tank • Dishwasher Meter Clover 100 amps shall not employ any person in any manner so as to eco subject to te - - WorkeJs' moanyjl n Laws of Calinniia.�p.., [rJ/� Floor Drains ` ' m:.4 P „1 ./Spa ok)C'/ 3 DO Dryers ❑Gas ❑Electric Sub Panel Date/ - 1 i a 7 declaration, •n a---gen, NOTICE:If planer rfi eking this declaration, you shouh] become subject to the Floor Sinks Urinal • Fan Motors 00.1 HP 01'A-8 Workers' Compensation provisions of the Labor Code, you must forthwith • comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet F.A.U. Inc.Solar 09-15 HP 016-15+ CONSTRUCTION LENDING AGENCY - - I hereby affirm that there is a construction lending agency for the performance Interceptors Water Heater Fixtures Microwave ' of the work for which this permit Is Issued (Section 3097 Civ. C.) Lender's Name s y)' / Kitchen Sink Water Service Device Boxes Pole Light Lender's Address I V Lavatories OWNER BUILDER DECLARATION Outlets Range I hereby affirm that I am exempt from the Contractor's License Law for the P_Tra following reason (Section 7031.5 Business and Professional Code: Any city or _ p Switches Sign county which requires a permit to construct,alter,Improve,demolish or repair • - - - - any structure, prior to its issuance, also requires the applicant for such permit Roof Drains . . • 4 Garbage Disposal Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of - the Contractor's License Law(Chapter 9(commencing with Section 7000)of Generator ❑0.5 KW❑5-15 KW vision 3 of the Business and' Professions Code) or that ho/she Is exempt Trash Compactor rofrom and the basis for the alleged exemption. Any violation of Section w .31.5 by. any applicant fora permit-subjects the applicant to a civil $ 3 SPA o0 '\' pgnaity of not more than five hundred dollars($500). Reinspection Fee $25 Issue Fee ^ "� s Reinspection Fee $25 Issue Fee $ 3 I, as owner of the property or my employees.with wages as their sole compensation will do the work,and the structure is not intended or offered MECHANICAL FEES for sale (Section 7044, Business and Professional Code: The Contractor's PUBLIC SERVICES REQUIREM NTS: License Law does not apply to an owner of a property who builds or Improves Boiler . Hood or Type I 0 thereon, end who does such work himself/herself or through his or her own Zoning Approved By t---�-IS GL nate _/� employees, provided that such Improvements are not Intended or offered for Canopy Type II ❑ _yl 'Fria G Duct-Under Ground 11 •?- sale.pieti If, however, the hav or Improvement is sold within one year of com- - Building Approved By 'Sr'Sro r Date prove , the owner will have the burden of proving he/she did not build or Im- prove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By Date �- L. I, as owner of the property, am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SLAIMARY OF FEES The Contractor's License Law does not apply to an owner of property who SO SMTP $ I O•Sb builds or improves thereon,and who contracts for such-projects with a con- Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ a tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK .$ 2S.02 PERMIT El am exempt under Section -- - B. P.C.for this reason Firepl/Facto Ellt. ICBG# 1PLUMBING $ 6.60 ISSUANCE $ Date -4-7--zr " Owner !. _ _ Heating System& Ducting _ - PLAN CHECK 25% $ - ENERGY P.C. $ I hereby certify that I have rea• this applicatl.n land state that the above 00.100,000 BTU ❑100,000BTLELECTRICAL $ �2 •OD GRADING $ Information Is correct. I agree to comply with all city and county ordinances and state laws relating to building onstructlon, and hereby authorize repre- MICROFILM $ sentatives of this city to e er pen t above-mentioned property for , i PLAN CHECK 50% $ pn inspection ptlsyoses. /_3./- PI . - MECHANICAL $ TOTAL FEE $ a ` •02 • Signature l'se or .e'YL r i .a Date � / _ a CMF 0865-46 rev.12/83 White-Building;Canary•Applicant;Pink-Accounting;Goldenrod-Assessor 1 ItIkONSTRUCTION AND PLANNING - POOL 'A, - • • PROVALS Permit# Date Inspector APPROVALS Permit Date Inspector ' __ 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - 3 20-et pp 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement . i 3. Electrical Conduit,,Jiility-Undrgrnd. 54. Forms _ 4. Electrical Cgnduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement] 56. Rough Plumbing & Pressure Test 3 -Zp_gy .4e •6. Electrical UFER Grnd. 5O 1 ern DVAI T�Q Cf�V�� nrlE Funp , 1 7. Footings , • 58. Electrical Conduit-Undrgrnd. - ^�+ ..-----......_....7.---• 8. Foundation 59. Gas Pipe,.4 Undrgrnd.,Test 3 .o-g d,(? ' 9. Water Pipe-Undrgfnd. , 60. Backwash Lines, P-Trap, 0 Undrgrnd. - 10. Structural Floor System r . 61. APPROVAL TO DECK Ye Ltsgy 'JP 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final eniet WI CC 13. Roof Drains 64. Plumbing.System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final • ti 16. Rough Electric Wiring 67. Fencing & Access Approval . 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ). - L+�tARough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL Op 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ._ _4 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 I i 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat i 75. Dry Chemical 27. Frame and Flashing i 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 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: S- y„' COPPER ON ov-rPutI.lnrf= 34. Final Heating & Air Conditioning 4-&-&'i GONPV1T FOR Ii am TS WIT f{IN S ' 35. Final Gas Pipe-Test OF SPA WAS R 'Mf7 Ve s .jn 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 1, ' • ,- I51. CERTIFICATE OF OCCUPANCY - ., i No. Date • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. / • TRACT NO. LOT NO. BLDG.NO. CONSTRUCTION PERMIT /�4 -4o24-o C- ! 3365 7/20/62 7.00 TL Project AddressaS' �� )�LIi- F - TYPE OF CONSTRUCTION • - , `n Owner •1 nil ll//yg7ll /UtG lybe.(42& Phone' ❑ NEW ❑ ADD ❑ ALTERATION (it/ 6 "-- Address 4,95- town/ es.pita g_ S'4,174A 0 REPAIR 0 CONVERSION ❑DEMOLISH Arch/Eng. . . ' License No. 0• OTHER ZONING REGULATIONS DESCRIPTION OF WORK , A'P' '-- ' 'Address - - ZONE PWG. REF. • 'Contractoag41/NQ. $1.-/-6..- v. ,g./ Phonfig 497 TYPE OF.PERMIT BUI Lb!NG - - TO BUILDING y.+�- •1SETBACK C/L ST. PROPERTY LINE , _ Address/3 '/1/. c11 13Cot doef - `�u/1QQ-`rad CI, 0 FOUNDATION 0 STRUCTURAL • F •SIDE YARD -- I - • LICENSED CONTRACTOR DECLARATION - 0 TENANT ❑ ELECTRICAL ❑PLUMBING AECHANICAL. SIDE YARD I hereby affirm that I am licensed under provisions of Charter 9(com- ' RIGHT .1 mencing with section 7000) of Division- 3- of the Business and. 0 OTHER REAR YARD(TOR/C)- . Professions Code, ,and y license is in full fort_ and eff ct /L) . ,. - • .'••04-C=. r''d ' PROJECT DESCRIPTION _ _ License lass icense No ' :PKG.SPACE REQ. • PROVIDED" . Date /9 s�L• ' Sig not ure • __ - .'.SQ. .. _• _. . _ - _ . _ - � OCCUPANCY_CONSTRUCTION_TVPE ,STREET WIDTH PARK FEE $ WORK RS'COMPENSATION DECLARATION - - ZONING-APPROVED BY 'I hereby affirm that I have a certificate of consent to self-Insure or a ,•VALUATION' ZONE • certificate of Workers' Compensation Insurance, or a certified:copy • - - • -- - --- --t. . _ -- - . - SPECIAL CONDITIONS:-'• • - thereof(Section 3800, Lab.C.). GRADING'CU. YDS. ACRES •• • 'icy No - - Company - _ ' _ . - .. .. . . . _ __ _•. lJeri ified.Copy is hereby.furnishetl. - - -_- REMARKS: .� 9 Re" _ _ - - _ _ _ . . . Certified copy is filed with the city Building Division. s . EXEMPTION.FROM WORKERS' COMPENSATION DECLARATION - . - - - (This section. need.not be completed if,the permit Is for one hundred • 4 1. ✓n. - ($100) or less). I.certify that in the-performance of the work for which,this permit is - . issued, I shall not employ any person In any mariner so as to becom .,PLUMBING s, 7 , ,PLAN CHECK' ') ELECTRICAL - ' - 'PLAN CHECK-. subject toJJJthe/�Nnorkers:Compensation ll��'(vI$O{,��l iifornid�/, C DWELLING - -__ GARAGE Date) �1g5 Pt- Signature /l, S.l t/�[•( BATHTUBS- SHOWERS 50 FT SO FT , NOTIC : If fter making this declaration, you should become subject ,;TOILETS URINALS" - - ' GENERATOR -' 0-1 KW —1-10 KW - - . ' to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER • forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE'LAVS - ' - ' - APPLIANCE 10-50•KW=50+ KW - - revoked... .. 1 _ _ _ _ CONSTRUCTION LENDING AGENCY -KIT.SINKS""'- "" DISHWASHERS -MOTORS -- - 0-1 HP 1-10 HP ' I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS-- - - • - --. - -'(INC.SOLAR) 10-50 HP_50-+ HP- formance of the work for which this permit is issued (Section 3097 - -' Civ.'C:): - ' —' - ' '- -- -FLOOR SINKS - FLOOR'DRAINS - ( - " - -•FIXTURES' OUTLETS -SWITCHES ' ' ' Lender's Name _ _ _ _ __ _ _ - Lender's Address - DRINKING FOUNTAINS--- I--- ' ' - ' -T"" ' ' -GAS TUBE SIGNS--- - - - - I OWNER BUILDERATION - • -- I am I INTERCEPTORS CLARIFIERS I hereby affirm that I am exempt from the Contractor's License Law for - the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP - - '- ' - - _ HI Ut- UN_ _ - POLES Any city or county which requires a permit to construct, alter, POLES METERED - SUB improve, demolish or'repu,'any structure, prior to its-issuance,also re- WATER SERVICE • ALTERATION - -' ,PANELS - "MAIN SUB - - quires the applicant for such permit to file a signed statement that he - - • Is licensed pursuant to the'provisio Section the Contractor's-License Law GAS SERVICE- - OUTLETS - ' I - - SERVICE- - - - AMP - er 9 (commencing with Section 7000) of Division 3 of the _ _ Business and Professions Code) or that he is exempt echo rom by- -WATER-HEATERS BTU OVT`UT, '�'� j • `-cis for the alleged exemption. Any violation of Section 7031.5 - ` applicant for a permit subjects the applicant to a-civil-penalty" SEWER CONNECTIONS • - ' lot more than five hundred dollars ($500). - ' I, as owner of the property,or my employees with wages as their -'SOLAR'TANK ' - COLLECTORS •' " •- ' - '' - -- - - • - _ -- sole.compensation, will do the work,and the structure is not intended _ ____ _ _'_ • or offered for sale. (Section 7044, Business and Professions Code: The- SOLAR PIPING SYS_ - __ ISSUE FEE - _ '- - - ContractoCs_License Law.does not apply to an owner of a property_ ^ who builds or improves thereon, and who does such work himself or ISSUE FEE• APPLICATION APPROVED BY- through_his own employees, provided that such improvements are not - - - - I _ Intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK I SUMMARY OF:FEES , Is sold,within one year of completion, the owner will have the burden_ �)u of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU 70 600 I • -.BUILDING - - -- - - - - -- -- - • ❑ I, -as owner of the property,-am exclusively-contracting with J PERMIT $ n SMTP,.' $, AND DUCTING - // - - - licensed contractors to construct the project (Section 7044, Business 100,000 +BTU 7 PLAN CHECK $ ISSUAT- antl'Professions Code: The Contractor's License Law does not apply to �ISSU-ISSUANCE $ an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts' from-such projects with a contractor(s) licesned pursuant to -SYSTEM- - - - - - - -- - _ __GRADING $ the Contractor's License Law). 100,000+BTU 'PLANCHECK $ . - ❑ I am-exempt under•Section" -- - B.& P.C.for'this BOILERS BTU (ELECTRICAL $ - -' $• reason • ' - - ' ' -- -- - PLAN CHECK- $ MICROFILM $ Dale - Owner SYSTEM REPAIR,ALTERATION _ �J U TOTAL FEE$ I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE - MECHANICAL $ ( • - -- Information is correct. I agree to comply' with all city and county" - PLAN CHECK $ _ .- ' LESS 'VANCE P PC $_- ordinances and state laws relating to construction,and hereby authorize representatives of this city to enter upon the above enti ned • •• - •.-r , property fo ect n p os /p - / L....,/-/-AC.,‘ �/9' - - FINAL FEE $ O (Signature se Ltw Date ' Drivers' Licenser SS ) ISSUE-FEE 3 tY - _ CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor Yl� CONSTRUCTION AND PLANNINGPOOL& SPA - . n,, APPROVALS Permit /" y14Gd Date Inspector - Date Inspector APPROVALS Permit# _ 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - . - - - 2. Soil Pipe-Undrgrn •- 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding 5. Steel Reinforce 47. Rough Plumbing & Pressure Test- - 6. _Electrical UFER Grn __ 48. APPROVAL TO COVER-GUNITE - - - 7. _Footings _ _. 49. Electrical Conduit-Undrgrn ' 8. Foundation . . - 50. Gas Pipe, ❑Undrgrn,Test .9. -Water Pipe-Undrgrn _ 51. Backwash Lines, P-Trap,-❑Undrgrn 10. Structural Floor System52. APPROVAL TO DECK .-' " * - --"" - - - ' 11. Property.Sewer Line & House Connection. 53. Backwash & Receptor-Final 12. Street Sewer Connection . '_ _ ' _ - 54. Heater & Vent-Final 13. Rough Plumbing _ 55. Plumbing System -Final • 14. Rough Electric-Conduit - .56. Electrical-Final . 15. Rough Electric-Wiring 57. Solar System-Final • ' 16. Rough Heating& Air Conditioning-- 9241Tfl- l/�T lA- 58. Fencing &Access Approval ' 17. Ducts, in Structure - - 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating ,_ • . . , . . , . 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS.FINAL ' 20. -Roof Framing . - . _ - 21. Roof Sheathing , 22. Frame and Flashing - . _NOTES: . .. 23. Insulation - . - _ 24. Lathing & Siding - - - - . 25. Drywall Nailing _ 26. Plaster Brown Coat 27. Electrical Power Meter-Final . . _ 28. Final Electric 29. Final Heating & Air Conditioning //7S42- , 30. Final Gas Pipe-Test . . . • , 31. Final Plumbing ' 32. Water Service-Final - • 33. Gas Service-Final - 34. Solar Domestic-Final 35. Landscape Sprinkling System - - 36. Sound Attenuation - 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING ' •39. Special Requirements Completed - 40. Electric Release to Edison • - 41. Gas Release to Southern California Gas Co. ' • 42. CERTIFICATE OF OCCUPANCY ' No Date