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3505 CADILLAC AVE - Building Permits (2)
Appneanl to fill in all spaces within heavy border lines and sign all appropriate declarations. lasel .rpr CITY OF COSTA MESA PER,yy++IJJ N0. TRgCT NO. LOT NO. BLDG. NO. I • - - - - CONSTRUCTION PERMIT �" (a' 3 a ��M ✓��r {� 8\— OZ. fJ "Y TYPE OF CONSTRUCTION - - oAD REPAIR OCONVERSION ❑DEMOLISH_ ❑OTHER - - - 540 I{e(Ovlwn ZONING REGULATIONS I Ze l Ad rm - - ;onner - - - Addles _ Adel License No. DES-CRIPTIONOF WORK Address I �Atldm- -' P- LN- ZAO.IPGN.EgyT PER. 9j 0 FCOnbeo•� P18 TYPE OF ❑GRADING ❑FOUNDA 11 TENANT _E1 ELECTRICAL OPLUMBING &(AAEHANIC SETBACK CIL T Y RO PG TaO9PpERiv--Nc Ie- E ' - LICENSED .CONTRACTOR DECLARATION_ -- I hereby affirmunit I licensed a under p Ulpns 1 Charter 91Co -L -- - 1 q IlM1-tl 700) of Clivill6ri. 3 Of 0 try Business d ❑'OTHER PoNaRonat Cod d,my license Is full 1 f t - t VARO(TCP/L) -class µ - PROJECTDESCRIPTION ,REAR License LicenseNO.PROJELTD - "•OCC VPANCV LONSTR L ION_E _ •'PKG.SPACERED STREET WIDTH PROVICEO 7 PgRK FEE'E WORKERS' COMPENSATION DECLARATION _ '1 hereby affirm that I ham a certificate Of Consent to Mlf-Insure,aga VALUATION ZONE ZONING APPROVED _'B V' - t ficrce.pL Workers CompensatlOO In�S YjepdW�r copy GRADING CU YDS ACRES -SPECIAL LONDITIONE: -- - •- or- cellHled 341ompany EO�MEA „I - - II No T-Sas�c'+r`er- OCar tifledCOPY11hereby fu _ rilli -' • REMARKS ^L _ - Y Secertlfled COPY le (fled with the CITY BulMing Dlulslon. _ _ _ ___ __ ___ - - EXEMPTION 'FROM WORKERS• LOMPENSATION DECLARATION _ __ _ _ _ _ .J IY1 •! section need not be completed If the permit Is for one nuntl ed �This 43u0? b less. r Carl ly tie try Cb 1 manta 01 the work for which this pelmlt IS callS'I shallW not Calito became k sploo any penptlO�nla_ws of murder 'PLUMBING ,PLANCHECK---' t •-ELECTRICAL --PLAN CHECK- - - BATHTUBS SHOWERS ' _ECL ET Dater Slgnatum NOTICE: 11 after making this doldiratlon, you should become�subluct TOILET$ „ .URINALS' - - -GENERATOR- - 0-1"KW'_130 KW-"- - ' the Workers' Compensation prooSlans Of the Labor Code, you must (TRANSFORMER forthwith Comply with such prournorn or this permit Shall be deemed LAVATORIES DOUBLE LAVE - - - APPLIANCE -1050 KW=50-w.KWLev - oked -KIT. -SINKS - -—DISHWASHERB - MOTORS--OPHP_a10 HP - - - _- CONSTRUCTION LENDING AGENCY 4 Inereeraffirmthattthereisaco truction lapel n9 apenCyfvr the Per- SERVICE SINKS ---+ _..I(INC.SOLAR) _30505fP_50 _ HP formances Of [ WOK fOl ICn WS Pull is IS (SeCtlOn 3091 .,�SVMPS'- '� 1 IFIXTURES Civ C) - IC" nL •"' FLOOR SINKS --'FLOOR DRAINS" --' — —OUTLETS SWIiCNEE- - Lentler's ulama �1g� Lendt%; Add �Yp'y��' IEL-- IVC , DRINKING FOUNTAINS GAS TUBE SIGNS- OWNERBUILDER,DECLARATION di a°- - S Y 'jNTEFGEPTORS' '. •,LLA RIPflil - ?OLE LIGHTS Ni affirmthat I afE'Ek¢mpl4 t11 Contractor's License LAW 1 he folium eased.(Section -7031 5 Business And Profession Code: SWIMMING POOL- -' P TRAP-- - Any, city a county which requiOi a permit t0 Construct, alter, lES' METERED' "SUB " ,"rota, controls' OnlBpelr any Str0cturgplloe to Its lossance,also re- WATER SERVICE ALTERATION' PANELS - MAIN - SUB Permit statement that aYPcen - ae'purs and m:tsuch ro ohne contractor -. _ __ _ GAS 'SERVICE -OUTLETS - ,SERVICE - - - - AMP - (Chaptec.9 (COMRgncinhillg with h 70001 OI Dinsion 3 Of in$ -WATER HEATERS' - 'BTU OUTPUT-- - - usiness-and NulRtlans Gets) or tfm-ns Is.eaempt Ihamfmm andthe ids for the alleged @"emotion. AOY Violation Of Mellon 7031.5 by _ -SEWER CONNECTIONSof Subjects the t0 a-CWIL.9eoalty 'fly applicant forore &I "serum"ed dollars 155t not, than, -SOLARTANK -- COLLECTORS-•-' Ell. a1"owner-of the-pmperty'Or-my'employees'wit in wages as their- Sole CempanMoon, will do the work, and the Structure IS not Intended Or Iferetlie: (SOCtlOn re: -7044, Business and Professions CodThe '10r LUcertl SOLAR'PIPING SVS. - - " --- s -ISSUE FEE' - - - -- - - - ContractorY Law Ones tapply to an owner f a properly _ ' who Eullill i Woms thereon, and Who 0005 Such work handful Or ISSUE FEE - - ' ' " - "' - �- APPLICATION APPROV EO BV- -. _ _ __ DATE - '�- tnroYgn Ms own employees, pro Iced that Such Improvements are not _ _her MECHANICAL - PLAN CHECK' _ - t SUMMARY OF FEE$ ad or offered for Sale If' M1owenG re bottom Or Improvement is Sold within One year Of completion, the Owner wlll bawe one burden of -proving he did -not -b Ulld OI Irmanwe for the purpose of salel. BEATING SYSTEM Od00,0006TU BV ILOING- - - (PERMIT :. 0_I,. as -owner Of_1he.prpertY. am xclusively . PentraCtmg wth AND DUCTING - ____ _ - f it SMIP1 ..,�S- liwnsed conbaztors to cans\rct tM1e Pro 7044, BuslVess 100,0001 BTU (PLAN CHECK E PERMLT anO.Raesooni. Castle, The-ContracrYl LI Law. does escaper t0_ -. _ ISSUANCE_ E an Owner f Property who dullds aro Impmms [hereon, and who Inn- REFRIGERATION 0-100,000 BTO . f - tracts horn-suCh_plalects_Wlth a oonlMetor(s).JlcAmed.Ourluanl to SYSTEM _ , __ _ 'BTU - IPLUMBINO yRgO1NG'f' the CamractorY Ucil Iaw). 100,000 ,PLAN CHECK E- 01'im¢%elotYn -B.A P. C. for this BOILERS BTU - - ELECTgICAL'6'• _ r SYSTEM REPAIR, ALTERATION PLAN CHECK f O. MICROFILM E'i" TOTAL FEE�f Date. I hereOy CeHlf lalll ¢had lhlsaCpOOTioUon and staletnal [heodam EXHAUST SYSTEM MULTIPLE - MECHANICAL f�- _'I LESSAO- InformrtlOn'I r IwStraw ply All City n0 c unty' )OHMnORa hereby -PLAN CHECK --E - - - . VANCE PC 'Ed -' le IS elating Cars[option, an a uthorize I Anneal Is T mer .upon me above entionevi WOOMo I In If on �s �• _aZ - Q� ;land a aid - Is.PUE.FEE_- FINAL FEE E14 Drimrs'L CMF 0465-46 WW?11ds : Plak-ACCOYnUOg: Goldenrod Assesmr CONSTRUCTION AND PLANNING (a s APPROVALS _ Permit #-J..L-1- Date Inspector ka- POOL & SPA - - APPROVALS Permit # Date r Inspector ' 1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location - 2. SoilPipe-Undrgrn _ 44. Steel Reinforcement 3. Electrical Conduit Utility -Un rgrn... 45. Forms - -- 4..-Electrical.Conduit-Undrgrn. - 46. Electrical Bonding - - -5. SteeLReintorce,_ 47. Rough Plumbing & Pressure Test " - - - -- 6.-. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE ' - _7. Footings _ _ 49. Electrical Conduit-Undr rn 8.- Foundation -- 50: Gas Pipe, El Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Trap.'Ej Unarqrn .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, - Plumbino System - Final 14. Rough Electric -Conduit - - - ' ' 56.- -Electrical-Final • •- 15. Rough Electric -Wiring - - - 57. Solar System -Final" 16. Rough Heating & Air Conditioning -- - - -- encing & Access Approval 17: -Ducts in Structure "' APPROVED FOR PLASTERING -18: 19. 20.' Ducts, Ventilating - Gas Pipe -Rough &Test - -- Roof Framing - 60. - POOL/SPA.SYSTEMS FINAL .. 21. 22. Roof Sheathing- - - - - Frameand Flashing - - NOTES:: -- - - - - - "' • 23. Insulation- - - - - - - - - - - - - - - 24. Lathing & Siding - - iP� - J/C- ' 25. Drywall Nailing -- - - - - - 26. Plaster Brown Coat - - - 27. Electrical Power Meter -Final '- - 28. Final Electric - - - - - - - - 29. Final Heating & Air Conditionin - 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. FI NAL STRUCTUR E & BUI LDI NG 39. Special Requirements Completed ' 40. Electric Release to Edison - - 41. Gas Release to:Southern California Gas Co. 42, CERTIFICATE OF OCCUPANCY - - No Date AapdOi to fill In anSpaces Within heavy pornerlMes and dg n all appropriate declarations, 6612 6/01/82 19.00 CITY OF COSTA MESAI PERMIT NO'' TRACT NO. LOT'NO. BLDG. NO. • - - _... CONSTRUCTION PERMIT / G—.Z TYPE OF CONSTRUCTION RKNEW ❑ ADD ❑ ALTERATION ❑REPAIK O.CONVERSION DOEMOLISX. 0OTHER ' .. •- .. .. T,7 _ = ZONING REGULATIONS " ' Project Address 1 3505 Cadi-3.1ac Avenue - "1. Gwna Phone -7Addle6 - - BArch/Eng. N&DROSI- Licanse No. DESCRIPTION OF WORK A.P. art i - _. .. Address - - - - - a• t _ _ _ _ PLNG. REF. � ZONE3 I _ COMfactor -" -inc- PM1OOe - MITA -BUILDING— I ❑GRADING - 'Cl FOUNDATION- OO STRUCTURAL 0 -TENANT 0' ELECTRICAL'OPLVMBING syg.EDfANIC ----- oOggpps��p SETBACK NOPERTVNIINE� IOF7VARp- - - - EpE IS +' AdtlresS""` - - - _--'TYPEOFiNG ' 1 LICENSED-CONTRACTOROEC DECLARATION 1 hneby affirm 1M1:.[ 1 am IlcenHe der pmvlslans of CM1arter 9•(wm- uO1WflOP rr - LATHER- I pIIGETA 1.� - ma0dng-wllh sOttlOm ]Oo0) f 3 f t00 Bu[Mess ane d flat Prpfa[nom toes, ane my u i m Tail mr[e an a Probe - - - 1 IREARYARO(TO'P/LI - LlanseClassr_- y PROJECT DESCRIPTION _ 'SQ. PKG.SPACE REO PROVIDED, - pal:-:-- SAO-/RO"/00 519netd //>,b ( �• - FT. . .. TYPE 3VAUATIONPANCY" gOr: I STREET WIDTH ,- PARK"FEES - e COMPENSgT10N DECLARATION 'I he Py af$rm that haviaeertl11Ut00e eOnb lot 41Nnsar¢ ri _ 'VALUATION ZOTION 20N_E _ 40NING'APPROV EO9V -..4 k DATE ^^ but III t YWorkH3''COmpenYllOn {nsaranCer r a erflfletl .copy _ - 1 '$PECIALOONDITIONSi - '- 40 Ir I(5¢Cl1an_GRADIII CV YDS.ACRES71 body No. WDR1l dOAO6'CbmpaOY 'FYmm�nf TnAnmmYv REMARKS! _ _ _ .mpy is hereby lufnl30e0 - . _ _ _ _ _ pp❑��C,�stib �Cartl Uetl copy is fi eta wtn me cltY BUIlOIn9 OlvlslOn. Or �.a n( EXEMPTION FgOM WORKERS"COMPENSATION-DECLARATION' _•— - {TM1Is.[ec[Ion.nee0 not Oa ComDIGliW.11 UO permlt 10 _ n tl tl- p 11 'J t [31100) or leu1^- -0 certifythat 1 pertOrmanca of [ne work to hl h [hl a O I< I _ _ O[ho SUSaed I SOall n ! em Ioy any p In any rye ,yyL,s \ b h1¢Cl futile WorkessPCompen9(IOp`Laws dllib la PLUMBING' . PLAN CHECK t) 1_ "l ELECTRICAL - - PLAN CHECK' ' - -'f _ - Rif pate c QQJ 9 Slgnaturo Y �1 5'f �"/// BATHTUBS SHOWERS 4� NOTICE If after making this declarations u [n le b bl t TOILETS- I„ URINg13• ;GENERATOR O 1 KW -110 KW the Workers' Compensa\len provlslonl rthe Labor Code, -YOU Must incomply with such A oviS[Ons or this p r It shall be deemed LAVATORIES DOUBLE LAYS"" }'�-- TRANSFORMER (APPLIANCE' 1050 KW�•50 a KW -- -- T -revoked. ___1 INK$- _•.. .DISHWASHERS _- KITJS'" "s'.^ _ _ MOTORS -- - �_��_- -0-1'XP_]-10'HP-- - _ LENDING GENCY_ CONSTRUCTION A clkd- �(INC..SOLAR).._.lOSO�NP�50 11 A hereby affirm that there IN a construction lending agency for the per- SERVICE SINKS �A;Ye;, SUMPS�'" �. _ a HP. "� Jormanc_e of the work Nor which this permit Is Issued Sruchon 3097 -'FCOUFSINKS--•---FCbORbRAINS--' -''FIXTURES-�-OVTLETS"$WITOH:zs--, - '1 '» - ILandars Name_ — _ _ -' Lender's Add - ' - l _ _ ___ RINKING FODNTAINS' .fO __ l __ - GAS TVBBSIGNS - bWNERBVILOEROECLARATION I herebyAbfllrm lhatsl amaxemptlM1am the fdnLactoi Lice^¢ Law f f INTERCEPTORS CLARIFIERS -- .. - I 'POLE L'IGHiS'---'�---- - + • ^_ ihe•lolbmng ree5on {Sect Oo 7031.5'Business ane-P[o1M[IOn3'CoeO:'- -SWIMMING POOL - -� P'TRAP" '---� ` -� - 1 ' 'POLES 'METERED - - �' Any city Or my which rekulrm a permit to construct. after WATER SERVICE' —-ALTERATION - - PANELS '- -'MAIN- SUB � - "- Improve; demolish or repair -any structure, prior to-Its'f3uance; also m" quires the ap[IiNm for Such permit 10 IIIe a signed statement that he _ . ... . 'GAS SERVICE --OUTLETS - -1 'SERVICE-- --- - AMP - IS provldons-of lhe"C'nlractorY License Law 'Chapletl9 Commencing with Sedi ]Oda of Dlvlslon 3 of the -WATER-HEATERS-'- BTUDUTPUT- - --- ---- - - - - heiress 'ane'HdesnODS-000)•orthat ne N 0iii lherelr0mantl the ASIS for the alleged BxempVon. Any violation of Sedlon 7031.5 by $EWER"CONNECTIONS •I _ - - anyapPlunni a perm[ s blects the o Ocanl to a clvii-painalty- 1 t than live rumored dollars as08i 'SOCAR.TANK"-""eOL.CCCTORS-- _ _ _ 01 - erollrvapmperty Y plyeeswithvi as their Ole Compensation, will do the O k, apo file structure Is not Intended ' -' '^ or offered for sale. ISatlIOn 7044, Business and Nofe551ons Coate: That __' -SOLAR-PIPING SYS. �- '• �-- - -- - - I r"' ISSUE'FEE'���'- - - - - - ----- ~ - -_- eontraC\oY- Law does not apply_toab, owner OI properly- _ _ _ �_ - ISSUE FEE APPLICATION APPROVED BY -GATE - -License. who bullus Impmws thereon, and who does h k himself or M[Gugh. isown employees, provided that such, p \ not MECHANICAL PLAN CHECK - ____ _ SUMMARY OF FEES Intended or offered for MIO Ithowever, the building I mens IS Sold within one year of completion. the owns III h theburden _ l -BUILC N E 1 I proving he did not build r improve for rho Purpose f le). HEATING SYSTEM 0- 300.00D 0'I - s owner o4 the ^raper[ exclusively contracting With yh am- BTU _ -qND DUCTING I 1 T �•g O (PERMIT $ y SMTP r a' -,V - - licensednPcont t [ construct the prOletl (SkedlAin Bulness 300,000 BTU 11 PL CHECK 3 PERM I r es no to tl R 1 to -C tl Th C haelor s Llunse Law does not apply to _ . ISSUANCE S an owner ofproperty ry builds or„mpmees [hereon and who Con- REFRIGERATION 0-100000 BTU PLUMBING $ iP t4 routs f h p I Ct m'a CO b0<lor(s) IIG[OBe pursuin\ la SYSTEM - 1 - -- /� Sin- tet[ GRAOING'J$ theCo t Ut SLI Low). 100,000) oTU AN CHECK 7 3 1 ❑ I am exempt under SNI - - - B. a P C for this - BOILERS BTU -- 1 111 - (ELECTRICAL b SYSTEM REPAIR, ALTERATION ! PLANCHECK—E 11• MILPpFILME I ri Da\ O r EXHAUST SYSTEM MULTIPLE QO FEE$ " 1MECHANICI E LESS AD+wI - Ih by lliyth \Ih d[h"Applicationand tale that the above _ Orr I d pre t -ply IIh ^II It Y ntl wu lY 'PLAN CNEC K- E VgNCE PC $ - dI d \ t ¢I g [ O \ Ion a d herehynaptnorUe -p s1 tatlsre' till \ us up the boas toned- b wnsl.r . inspactp)p s i ( R/2 FI NAL FEE $ Slgnatun 1 - ISSUE FEE - - - - 3 - - - - _ OdmR' LIGOsis Or 5S to �F 095$-46 White -Building; dRIPPRWIRNIPPRIIIk-Acmuntingl Goldenrod-gWssof 13.... Rough Plumbing . .._..- ystemnal 14. Rough Electric -Conduit - '56: Electrical -Final 15. Rough Electric -Wiring - --- --- - - - - -57: Solar System -Final 16. Rough Heating & Air Conditioning - - - -- - encing & Access Approval .17. Ducts, in Structure 59. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test - Roof'Framing- - -- - - - 60. POO USPA SYSTEMS FINAL ' - 21. 22. Roof Sheathin - ' --- Frame and -Flashing.- - - - - - NOTES:' '_ •_ _' _ - ` 23. Insulation - - = - •V � Z 24. Lathing & Siding - - - 25. Drywall NailingAL9& Am 26. Plaster Brown Coat - 27: Electrical Power Meter -Final '• - 28. Final Electric - ' Applicant to fill In all spaces Within heavy border ;foes and sign an appropriate CITY OF'COSTA MESA PERMIT NO. TRACT NO. LOT'NO. 'RLOG.NO. 1983 2/I 1/82 - 9125 CONSTRUCTION PERMIT E—.Z�i SrL� TYPE OF CONSTRUCTION I6 NEW ❑ ADD El ALTERATION ❑ REPAIR CONVERSION ODEMOLISH 'D OTHER >> "- - Ass is -� vAirl r _ ZONING REGULATIONS " Project Sell y05' LSI Aural Owner dash - PhoO jZ�S- eJ Atltlreu Q/QQYE ST- S E �]Al- Arch 009E ,ES License NO. - DESCRIPTION OF WORK A.P.ai AOdSeta E'_ L LOA/ A. ZONE PLNG.REF.* " '- Contractor / C/y00D EL C- Phonej2ary- TYPE OF PERMIT DEFACING ❑ FOUNDATION 0STRUCTURAL ❑TENANT J�ELECTAICAL OPLV MBING OMECHANIC SETBACK T YMRO SILO OBPykT0iNG NE 'PurchasesL -Z OS LICENSED CONTRACTOR DECLARATION 1 hereby airline u that 1 am licensed der provisions of Charter 9 (Cpm- R G T Minting With eC11Oo )000) OI CkVb1On 3 Of the Bbslpe0 and ❑ OTHER PrOlessions Code,a/E Y license Is In lull force and effect. a` REAR YARD ITO P/L) �/O 4S5' PROJECTOESCRIPTION License Cl LlcenseN PKG. SPACE REO; PROVIDED ' Date Z Z $I9mlure _ SO. FT. OCCVPANCY�CONSTRVCTION TYPE -STREET WIDTH . PARK FEES WORKERS COMPENSATION DECLARAPIps I hereby affirm that I he" a mrtlflnte Of %$hint to selHnwn ore VALUATION ZONE ZONING APPROVED BY DATE rtificate f Workers' Comagand n Insurance. Or CertHled COPY GRADING CU. YOG. ACRE$ SPECIAL CONDITIONS: thereofl$e�tt�ly 3800. Lad. C.). r P/ /NO. Prll. Pill No.C✓Z iii Company .FFHONi ❑ Emulled Copy Is hereby furnished. REMARKS: � Z Z 6 ❑ Certified copy Is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Sectionneed not be completed II the permit Is for one hundred / ((This 14L_ A00 Arm I rtlly In the performance of the work for wnicn permit Is ,dal ides IMU" any ersonlIW]Ol manner as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK tolde Work employ rSo BATHTUBS SHOWERSSO FT, SO FT Date Slgnalure NOTICE: It after making this declaration. yOil Si ISOCOme Sabi the o Worker mTi COpeneaon provisions al the Labor Cade. YOU must TOILETS; URINALS GENERATOR 0.1 KW_1-10 TRANSFORMER KW forthwith Comply with such Provisions Or this permit Shall be deemed LAVATORIES DOUBLE WVS APPLIANCE 30-50 KW_ 50 ♦ KW revoked. KIT. SINKS DISHWASHERS MOTORS 0-I HP_310 HP - CONSTRUCTION LENDING AGENCY Ihereby affirm that there Is a construction lending agency for the per SERVICE SINKS SUMPS (INC. SOLARI 10-50 XP_50. His formation Of the Work for Which this permit Issued ISectiols 3091 FLOOR•SINKS LOOR DRAINS FI%TURES OVTLET$ Z3 WITCHES y / Civ. C.L N ,Lenders hp Lendiii Address DRINKING FOUNTAINS GASTUBE SIGNS OWNER BUILDER DECLARATION' I bereby affirm that 1 am exempt from the ContractorY License Law for INTERCEPTORS 'CLARIFIERS POLE LIGHTS SWIMMING POOL PTRAP log reasony( IAhnyf permit do Professions Code; Jquire$ al city which a after. POLES METERED SUB WATER SERVICE - ALTERATION PANELS MAIN SUB Im roue eemtl6zh' Or repair any structure. prior to its issuance, also re- Ali MB apalGOt for Such permit to file a signed Statement that M1e Gg55ERVICE - SERVICE E E AMP Is ncensetl rsuani to the Provisions of the Contractor's License Lew (1=ndenona ,OUTLETS _ WATER HEATERS BTU OUTPUT - duein°eai and cpaetl of inai na Ii edamtl �nereimm and ins basis for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS - any applicant for a permit subjects ;M1e applicant to a civil penalty i not re than five hundred dollars (ss0o). SOLAR TANK' COLLECTORS - ❑ I. as owner of the property. or my employees with wages as their Soto COMpeOMIIOd. will OO rho Work. Ono the Structure Is not Intended _ r Offered for sale. (Section 7061, Business and Professions Code: The _ SOLAR PIPING SVA ISSUE FEE (bMractor's License law does not apply to an owner of property- _ _ ISSUE FEE - APPLICATION APPROVED BY DATE - Who b illdf Or Improves founded. and WOO does Such Work hlTiell Or through Ms.own employee; provided that suCh Jurprovemenls are not MECHANICAL v1.AN CHECK SUMMARY OF FEES is soldwithinl OC Sear of cololetion, owner win nave me burden trice f proving he did not Paid or mprove for the purpose of sale). HEATING SYSTEM e-]00,000 BTU UILDING - PERMIT �- Strip 'Q I. owner of xc Iuslwly contracting with nstruct AND DUCTING E - - E - t. pr d to setl' tam butt the project (5Lawd 100.000 BTU PLAN CHECK f PERMIT lionSors sena, apply Lro80M Law dust not ao tp aneOwner of cage. The-ContraIdS Or 'ISSUANCE $ I5 c of Property Imomve5 iM1 and who con- P REFRIGERATION 00 BTU PLUMBING E ccs with a cu reaseaa, such projects ' the La t0 a contnclpr(s) 1 a Pursuant to SYSTEM GRADING E Contractors IM1B Contractor's ome 100.Go 100.000 r BTU PLAN CHECK It rider S coon B: WP: C. for [M1li �I -tlm evemot under 5etllon-' - BTV ELECTRICAL E [P�n 1 --5� - E realsoBOILERS - SYSTEM REPAIR. ALTERATION PEAK CHECK -E MICROFILM f _ 'TOTAL FEES Ween Owner MECHANIC I hereby Certify that I the above agre this aCDmely-Dill EXHAUST SYSTEM MULTIPLE LESSgO- I l city : correct, 1 agree to pOmdly wXM1 all dly a y and - !PLAN CHECK _ K f VANCB PC EJ Ordinances to consb hereby a ze Op=rint5f tate laws crelati lVeog pan tan mentioned r¢pree¢Ala US 1 this <I(y 10 a 1¢r pen 't ! bOVO tlOnlO 'I Property �ayyp p,pn Pp.ppro ff/A_L pt. W[e FINAL FEE E� DividunarOps Drivers' u¢an:e or s ,� ISSUE FEE - ' CMF 0865-46 While-Buildtng,CanaryApplfront; Fink -Accounting; GOiddn10d-ASMSSOr CONSTRUCTION AND PLANNING APPROVALS Per . mit Date Inspector POO C, & SPA -APPROVALS Permit # Date Inspector, 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location '-.-2.- _Soil- ipe-Undrgrn 44. Steel Reinforcement -3.- Electrical. Conduit UtilityzUndrgirn 45. Forms 4. --Electrical Condbit-Undrgrn 46. - Electrical Bonding -5. -Steel Reinforce 47. Rough Plumbing & Pressure Test _6.._EIectricaF_UFERGrn_ 48. APPROVAL TO COVER-GUNITE 7., Footings49. Electrical Conduit-Undrgrn 8_ Foundation.-.-- 50:^ Gas Gas Pipe, EJ Undrgin, Test 9. -Water.P.ip 51. Backwash Lines, P-Traifi. El CJndr4rn V�1-- -10. StructurT 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.Rumbing 55, Plumbing S stem -Final 14. Rough Electric -Conduit 56: Electrical -Final 15. Rough Electric -Wiring -Solar System -Final 16. Rough Heating & Air Conditioning & Access Approval 1.7: - -Ducts, in Structure59-.- APPROVEDFOR-PLASTERING 18: Ducts, Ventilating 60.- POOL/SPA SYSTEMS FINAL 19. Gas Pipe:RbEigh & Test* 20. Roof Framing 21. Roof Sheathing NOTES: 22.- Frame and Flashing • 23. Insulation 24. Lathing & Siding <! 25. Di-ywall Wailing 26. Plaster Brown Coat 27. -Electrical Power Meter -Final - 28. - -Final Electric$1 - - T- -5 &1 -::: 29. FinarHeating &-Air Conditioning 301 Final,Gas Pipe -Test 311 Final Plumbing 32. Water Service -Final 33: .-Gas Service -Final - 34. Solar Dornestic-Finale 35. Landscai�e Sprinkling System 36. Sound A-.tehuation 37. Handicap Regulations 38. FINAL STRUC"tURE & BUILDING 39. Special Requirements Cornl5lefed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. 'CERTIFICATE OF OCCUPANCY N,).--- Date Applicant to fill In all Lse iWithin heavhostler flus and sign CMF065-46 White-BulklIng;Gihari:ApplIcalPlnk-ACCOunting:Goldenmd-ASmssor CITY OF COS AFMESA PERMIT NO.TRACT NO. LOT'NO. SLOG. NO. ' COPJ011h C,TION PERMIT B S _. — Z �J 6143. B/16/82 - 141¢90 Project Atltlros-'�� L ..Q TYPE OF CCOf1STRUCTION �Ir� ' - Owne , n¢4_4,, , ❑ NEW DD (] ALTERATION I`iry� 1s'�^ "Address{w� 'w16UQ: ❑REPAIR OCONVERSION DOEMOLISX OTHER ZONING REGULATIONS Arcb/En Lit¢aEe NO. .O A'P'# _ Addreaa - � W. _ DESCRIPTION OF WORK - ZONE PLNG. REF. # Contractor Phone =44O TYPED PERMITnii ❑GRADING ❑ FOUNDATION ❑STRUCTURAL- SETBACK I YARD a, 1 vT AOdl: sw Vd LICENSED CO R CTOR DECLARATION '. ❑ TENANT O ELECTRICAL OPLUMBINO OMECI ANlc altl/m em Ilunspo0 untlar prwislOpnS 01 Charter (<OrT. 5 p g11GXTA menceOY sett Ina with tin 70001 1 Division 3 f the Business d LI OTHER Sw halmslons Cale, and my license Is In full form and effect REAR YARDETD P/L) - PROJECT ESCRIPTION t Licence Class Llun4a Na. PKGSTREET CE PFOVIOEO Dale Slpretwe '� -SO. FT. _ WIDTH. STREET WIDTH PARK FEE$ WORKERS' COMPENSATION DECLARATION OCCUPANCY ONSTRUCTIONTYPE ZONING APPROVED BY OATF/ I hereby affirm that 1 haw a wrtiflGte of consent to.•wlf4rousrror ENATION !LONE V w•tilo(d10 1 Workers' Compensation Insurance Or a call Copy - GPACV. YDS. ' ACRES - - SPECIAL CONDITIONS:ass " e 1 (Section 3800, Lee. C.). p No. Wmp ny LI Certified Copy is hereby furnished. REMARK O Certlfbd copy Is filed with the City Oulldln9 DIVISIOn. a EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be Completed II the permit 15 for one M1untlretl S �r it Oo a falx _ PLUMBING PLAN CHECK ELECTRICAL PLAN [HECK' V waif I shat ate pploy any Pers n I work for re, so asst Corm¢ is issues, 1 snob not employ any person any mann r a become a ubje[Llothe Workers Compensation Laws OI Csllfomla. - BATHTUBS SHOWERS UW1,L[UNG GARAGE _ -- Date Signature NOTICE: If alter making this declaration. Y should become subject TOILETS " URINALS - GENERATOR '0-1 KW 110. KW 7- to the workers' Compensation provlslons of the "nor Code. You must � TRANSFORMER asiiiiaiiii; forthwith Comply with such provision[ or this Permit small be deemed LAVATORIES DOUBLE LAVS - APPLIANCE 10:50 KW -50 T KW r - - -- KIT. SINKS - DISHWASHERS ' MOTORS 0-1'XP�LIO HP - - CONSTRUCTION CTION LENDING AGENCY NSTR I ner0by am- [ L eii [ lon'1010 g agency for the pet, - SERVICE SINKS, SUMPS - l (INC.SDLAR) 1050Hru. �� 50i HP -- of tM1 k for Which thin- Permit 1 tl (Section. 309T 7CIV. FLOOR -SINKS FLOOR DRAINS ]FIXTU ftES OVTLETS SWITCHES - • Clrman[e O.). r�11 Lender's Name -LAndel Address S I n ORINKINGIF.OLPITAINS " - .GAS TUBE SIGNS " ' OWNE0. SWCOER OE<IARATION ~te' INTERCEPTORS CIARIFIERS_r••1 'IaOLE LIGHTS - - -"" " t 1 am exempt from the Contractor's um 1 here! farm mitor's nm Law far - SWIMMING POOL P TRAP -' -' - - - ,the 10 Offing reason (Section 7031.5 Business d Rini Cotler l Any city,or county vii requires- a,perTlt.to.cOnslmcl. alter, .. POLES METERED SUB WATEIMSERVICE ALTERATION PANELS - MAIN - SUB " (cep o demolish Or ressaB any Structure, prior to Its Issuance, alto re" r pulses Ili¢ ap411Unt for such permit to file a signed Statement that hes% GAS BERVICE4 OUTLETS SERVICE '" "qmP-- Is licensed pursuaat'Ia the provisions of the Contractor•srUcanseLaw, :- aplel 9 (commencing with Section )000) of Division 3 of (M1e - WATER HEATERS BTU OUTPUT reandor that he In Col therefrom and %no a rthe alleged ex mption. Any iolation i Section by SEWER CONNECTIONS -for a theapplcant to 0 Civil penalty plii0 ntinan of nap IIV¢ermiit ad dolts -SOLAR TANK - COLLECTORS' ❑ I., as owner of Ih0 property, or mY employees with wages AS their of e"Work. compensation. w111 do thand the structure Is not Intended or offered for ma. (Section 7044, Business and annus lana Code: The SOLAR PIPING SVS. - ISSUE FEE Contractor's LI[eao LOW does not apply t0 an Owner Of a property who bu11n or I re thereon, and who does such work himself ISSUE FEE APPLICATION APPROVED 8Y GATE i ownapro, rovements are not such ng sale. ,� - - " Intended Or Offered Ior l la howeveided r, the buildit O Improvement MECHANICAL PLAN CHECK SUMMARY OF FEES Is 1d within one yea of compo/ fan, the owner will nave burse _. - O�v g he old of build Improve toy rho purpose Of Salt). HEATINGSYSTEM 0-300,000STU BUILDING ������� PERMIT IS SMIP E /•//O 1;-aS owner W -the property, am %cluAwly contracting with .Ary. DU CTING" licensed contractors to construct the project (Section 7064• Business 100A00 <BTU PLANCHECK $ . PERMIT and Ralesstam' Cotler The Contraclo fe Ulcense Law does not apply to - ISSUANCE an owner of property who builde5 or mal thereon, and Who COm _ REFRIGERATION 0-100.000 BTU ':g r 1 l t PLUMBING a pa[Is-1rOm E h PrOja<IS WI[n trac 111Ceaned pursuant to SYSTEM - - -- GRADING E the Contractor} Loense Law). 100.0¢0 ♦ BTU -'.S Lr PLAN CHECK E ❑ dme%¢ pl UndOl $eCLIDn S.6 P. C. for this BOILERS BTU ELECTRICAL E E n/ SYSTEM REPAIR. ALTERATION PLAN CHECK S MICROFILMS Date Owner I headaycor fylmaf' a lhi• So lKsItion and state thattheabove EXHAUST SYSTEM MULTIPLE MECHANICAL b TOTAL FEE b dead Informa[la- IY c1 I gree 1 many ith all ity -tl a ty "PLANCHECK E DESS AO- VANCE PC -E_ artliiman[es nd stale 1(lalin9 'nst,uclon and hereby a0iorize - - re0rfAnn _ 'pl tp In Elimyf [L -a p00 the abov Honed tY - _ .pro pt 0oe.dc� L ..'as FINALTF E bpm ,- D nive", (cense Dr 55 'ISSUE FEE CMF065-46 White-BulklIng;Gihari:ApplIcalPlnk-ACCOunting:Goldenmd-ASmssor CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SQA;,-- - APPROVALS Permit # Date. .. '� Inspector - . 1. Temporary Electrical Service or Pole •- 43. Pool & Equipment Location 2. SoilPipe-Undrgrn 44. Steel Reinforcement - - 3. Electrical Conduit -Uti lily. Undrgrn _. 1 - - 45. Forms ' 4. Electrical Conduit-Undrgrn _ ti` -- I+_. • •�^;'y', 46.• Electrical Bonding - 5. tee; _em orce - 47. Rough Plumbing & Pressure Test - - - -_ - 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE Footings _ _ _ 49. Electrical Conduit-Undr rn 8. Foundation : _ 50. Gas Pipe, ❑ Undr rn, Test - 9. Water Pipe-Undrgrn', 51. Backwash Lines P -Tray.❑ Undrqrn 10. Structural Floor System 52._ APPROVAL TO DECK 11. -.Property Sewer Line .& House'Connection 53..: Rabkwash & Receptor -Final 12.. Street Sewer Connection .54. Heater & Vent -Final 13. Rough Plumbing 55, *Plumbino System - Final 14. Rough Electric -Conduit - •- - -• -56. Electrical -Final 15. Rough Electric -Wiring - - - - 57.' Solar System;Final 16. Rough Heating & Air Conditioning - • - Fencing & Access Approval ' 17. Ducts, in Structure 59. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test - Roof Framing 60. _ POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frameand Flashing /.j-$ NOTES: 7 $� 23. Insulation 24. Lathing & Siding r 8 0 25. Drywall Nailing //- _ $ /0-27- o 26. Plaster Brown Coat 27. Electrical Power Meter-Final67 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 S rinklin S stem 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE &BUILDING -,3 ), 39. Special Requirements Completed - •40. Electric Release to Edison 41. Gas Release to Southern California Gas'Co. 42. 1% - CERTIFICATE OF OCCUPANCY No 337 Z Date _ 1L% Applicant to fill in all [paces within heavy border lines INS Sign All appropriate declaration. _ CITY OF,COSTA'MESA PE ITNO� TRACT NO. LOT NO. BLDDG. NO. a� CONS"IJIG-TION PERMIT 66'""AIAI ,? -_CPC TyyE OF CONSTRUCTION NEW ❑ADD OALTERATION REPAIR Q<ONVERSION QDEMOLISH �"Q 2z - r 1 c r'= 6 - l 0993 /20/82 9.00 - - -- � - - Project Addras Own P G q r _ ❑OTHER, ZONING REGULATIONS ; Arch/ ng: - Liwnu No. DESCRIPTIONOFWO RK A.P. g - - AtlEr - TYPEOFPERNIR ❑ GRADING O FOUNDATION � O STRUCTURAL- O-TEMANT O ELECTRICAL Y30LUN ING OMECNANIC ZONE CIL ST. SCIDOY RD - PLNO.REF.¢ Tp V I"pING PRONPEIRTY LINE - F° AOOr9a - LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I a licensed under PrOvi ons of Charter 9,(Com. CCC YAND t T " encln9 with section- 7000) of Division 3 OI the Business and 13 OTHER hufps[IOna Core e, license Is In full fore p.]s pfl C /�� O�'�y/fJy/a:/�p DESCRIPTION REAR YARD ITO P/L) - n 'Lice Class `� JJ easier ^" PROJECT -- SO. FT. _ OCCUPANCYy CONSTRUCTION TYPE - PKG. SPACE RED.- STREET WIDTH -PROVIDED- - PARK FEE E" - Cut / - l WORKERS' COMPENSATION DECLARATION I by affirm that I haw a cert fl[alo a co mento t0 Ye insure or a VALUATION ZONE ZONING APPROVED BY DATE - pf Workers' Compensation each. r rClleO w rine ce _ . GRADING -CU. YOS. ACRES SPECIAL CONOITIONS.' -- r,00f (e r flab 0, Lab. Yr No. cemcan - - - - C dfuld Copy 1$ nNeoyferO15he6 _ "REMARKS _ L Antilles COPY IS flied with the city Building sten. _ I _ _ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION f (TSC 1050)5ecllom need not be Completed If the permit Is lar One nun0 erl 1 by that InotheerperfOlman f tI k f f WhiCch pefmlt tS PLUMBING' - PLAN CHECK - - .ELECTRICAL PLAN CHECK -- - MMS IssuM, 1 shall dot ploy any parson any ma s to become subject to the WorluMV.Drimpensicatioll of California. -EgTHTVBS SHOWERSUrarro - - Date $IgnaWfe NOTICE: It after making this declaration, yDo should become subject TQILETS' URINALS -- 'GENERATORS 'TRANSFORMER O.1-KW_1-10 HW -- to the Workers' Compensation proN51on5 Pf the Labor Code, you most forthwith Comply with such provisions or this Permit [hall be deemed LAV TORIES DOUBLE LAYS - APPLIANCE' 10-50 KW_ 50+Key _ revoked. KIT. fuNKS - DISHWASHERS I MOTORS --0.1 HP1.10 NO CONSTRUCTION LENDING AGENCY that k blurts hich mancis lisuedn(Section 3097 SERVICESINKS SUMPS - - r11N0.50LAR1 1030 H0 SO+AP fa Ofrrho worw thisction Permit is SINKS+- TOOOR DRAINS"-- - FIXTURES OUTLETS -SWITCHES- CIV -C.). Lendef'[ Name e e _FLOOR _ 'LentlerY Atltlresf - 'DRINKING FOUNTAINS- - - - -GASTUBESIGNS- DECLARATION Burm INTERCEPTORSCLARIFIERS POLE LIGHTS II hereby tthaatt IDamewempl COnlraclor's License Law for rn 7031.5 Ruslnand Prat[lans-Cato: trAT011ewlo re (Saturn tue m SWIMMING POOL -PTRAP - '['POLES Any city my which rca Ulrm a permit to COni[ruct, error, - M TEREO'" Ice roma demolish or repair any structure, prior to lrs l ssuen[e,al5o ro- WATER SERVICE —ALTERATION-- PANELS - MAIN --sue- OuFee the sap, (leant for [tithe Permit to file a signed statement that he _ -GAS'SERVICE OUTLETS ERVICE - -AMP- ls'Iacensed Marshall the MONalOns of the ConloodOrY'Wcenml Law pier 9 (commencing with Section 7000) off Division 3 o the WATER HEATERS" BTU OUTPUT -- -- -- - - _ _ I an teaAMINO ons OSSIA) UnA helas ex OftSMater al inn SEW ER{OGReECN91i5' S g- Ol ynO[PmO etfor A [M1an five permit [oma dull penalty ❑ 1, as OwOor of the property, or my'emplOyeeS'W1ID'wages as [bBlr' "SOLAR TANK -COLLECTORS SOle.connpansetlon, will do thew k, and the structure Is not Intended Or Offered for sale. (Section 7044, Bines and Professi ps Code! The SOLAR PIPING SYS. '- "-' -ISSUE FEE Connlector'S License law does [ apply to ow I ' Iomperly Improver work whoUbullds h eelf of _ ISSUE FEE - -' - "' - APPLICATION APPROVED BY GATE Ow empMyehereon, aand d incl sdoes-such w MECHANICAL PLAN <iIECK - Intended or offeree for ale If, nawewq rile bullmn r Improvement- have Is sold within one year of ConpMetlon, ua owner sell the burden •BUILDING SUMMA RV OF.FEES 1 proving he did of build Improve for tea purpose of lel. - - - -- - - - -E 01, the am evGusively_conlracting_wllh HEATING SYSTEM O -I Og,00a BTU ,PERMIT S � SMIP, - s-Owner.ol. pmpoNy, AND DUCTING Y Y( 1ttniee contractor, to mnitmd the project IEecliOn 7064, Business Io0•UOo,': BTU PLAN CHECK S PERMIT - and Professions Code; -The Contractor's License Law does not apply l0 ISSUANCE "S P. wr an owner f property who builds or Improves thereon, and who can. REFRIGERATION O -I Ol WfU PLUMBING Sy - tracts -from such Protects with a contnctor(SI I IGSOpd_puRuanl 10 SYSTEM L_ ^ GRADING il the Contractor% License Law). 100,000+BTU PLANCHECK 3 - - �' O 1 am G%empt ander Section B.-6 P. C. for this -BOILERS - ' S BTU ELECTRICAL a reason -PLAN SYSTEM REPAIR. ALTERATION CHECK 5 MICROFILM 5_ Oats Owner TOTALFEES- IberebyCerllfy that l have read this application and tate that the show EXHAUST SYSTEM MULTIPLE !MECHANICAL E -� LESS AO- IntarmaoscatVlro agretla PIY I[n all City and county PLAN CMECIt $ - - ygNCE-P< E O.einanslannOlhnpnDoueipn enan her yawnn°til _ lly orY il bo Imo -FINAL FEESSUE FEE CMF 0885N0 White-Buileil CONSTRUCTION AND PLANNING APPROVALS Permit # X347 Date Inspector POOL & SPA - - • _ APPROVALS �. Permit_#__ _^ -Date -Inspector 1. Temporary Electrical Service or Pole , 43. Pool & Equipment Location - "- '__ 2. Soilipe.Undrgrn ' ' f' - / 44. Steel Reinforcement " - - • •' '- - - --- --- - - - - ---.- - 3. -Electrical Conduit Utility-Undrgrn - 45: 'Forms - - - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding_. - - --- - - -S5. teel em orce _ _ - 47. Rough Plumbing & Pressure Test 6. - Electrical UFER Grn.. 48. APPROVAL TO COVER-GUNITE --- - %; - 7. - Footings - 49. Electrical Conduit-Undr rn 8. - Foundation - - - - - 50. Gas Pipe, ❑ Undr rn-,Test 9. ..-Water.Pi e-Undrgrn 51. Backwash Lines P -Trap. ❑ ndr rn 70. Structural Floor System .- 52. APPROVAUTO DECK 11. Property Sewer Line.& House Connection - 53. Backwash & Receptor. -Final " • 12.- Street Sewer -Connection - --- • • 54. Heater & Vent -Final = •'-' 13., -Rough Plumbing - 14. Rough Electric -Conduit - •-56.' Electrical -Final- - - 15. Rough Electric -Wiring - - - ---- - - - 57. Solar System -Final 16. ' Rough Heating &-Air Conditioning - - - - encing &Access Approval - 17. Ducts in Structure 59. APPROVED FOR PLASTERING ' 18. Ducts, Ventilating - 60. POOL/SPA SYSTEMS FINAL •_ ' ""' 19. Gas Pipe -Rough & Test- - 20. Roof Framing 21. - Roof -Sheathing - '• NOTES: - ' 22. Frame and Flashing - - - - 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 I Z- - 32. Water Service -Final - - i -33. Gas Service -Final 34. Solar Domestic -Final ' 35. Landscape Sprinkling System ' 36. Sound Attenuation - - ' 37. Handicap Regulations •�, - - I 38. FI NAL STRUCTUR E & BUI LDI NG 39. Special Requirements Completed i 40. Electric Release to Edison - - • 41. Gas Release to Southern California Gas Co. ' • - 42. CERTIFICATE OF OCCUPANCY No:_ - Date ^ " ' - Apoll= ndw till In all spaces within heavy bonds, Ifnot and sign all appropriate declarations. 7824 9717/82 9.00 CITY OF. COSTA MESA PERMIT NO. ]] TRACT NO. LOT NO.BLOG. rv0. -' .1CONWRUCT10N PERMIT �U '3 X102 • '��� ,• s�x •1 Prpjecl Atltlms di'llac gven a 3505 TYPE OF CONSTRUCTION '❑"NEW ❑ ADO ❑ ALTERATION OPEPAIR ❑CONY ER90N ODEMOLISN ❑ OTHER )_ _ - ZONING REGULATIONS . Owner . Caltbridigg. Pa2ic Pa=PYs: PhOne7S2'a5S' S Addrncri¢g 760 N B.92660 Address A,. License NO. DESCRIPTION OF, WORK AF, i ' 'Address _ • TYPE OF PERMIT `" O, 2PLNG. VILUINSe SETBACK REF.¢ ConContractor Air System, BTC plltine992-449 ACOIdi 92631 14C4 g Manhattan. Fullertion - 11 GRADING FOUNDATION -O STRUCTURAL 'O.TENANT�O ELECTRICAL OPLUMBING OMECHANICA YARD LICENSED CONTRACTOR DECLARATION I hereby affirm that Tarn lice under Provisions O f Cbirtier 9 (earn. pp o0 e Ing"with ction 7000) f Division 3 p[ the Business d ..O OTHER IG�ITA ROLsslons" Code, a Y Ilunu Is In fun oree3n7nd effect. REAR YARD (TO PILI PRpIECT DESCRIPTION Uoens clan _ .. SO. FT. OCCUPANCY_CONSTRUCTION TYPE .- PKG. SPACE REO. STREET WIDTH PROVIDED! PgRKFEEE " DeleJ -(j' SlgrlatumVHL +-'�� WORKERS' COMPENSATION DECLARATION nnt to sell -insure a thereby affirm that I have a Certificate of wu 'VALUATION ZONE ZONING APPROVED BY. DATE ^ 'focale Of Workers' Compensation Insurance, or cal DY GRADING CV. YDS. ACRES SPECIAL CONDITIONS: ll 1 t lSectlon 38000 Ub. C,), .cy No. ;l9in Company $ � ��. Q eeltIfkd COPY It hereby furnished. REM0.RIMS p1- ja� Gentlest copy li filed wI1F Me city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This Section need not be Completed K the permit Is for one hundred $100? .or lass . - Part IV that the of th work Lor which this permit Is , uea, hall not ploy any person in any n o as Toy become PLUMBINGr PLAN CHECK _ ELECTRICAL PLAN CHECK Subject to the Workers' Compensation Laws Of California. BATHTUBS' SHOWERS' ' SOIFT, SO FT Date Signature NOTICE: If after maklny this declaration, y Mould become Subject TOILETS r_. URINALS ` - - GENERATOR' 0-1 KW�_Y10 NW to the Workers' eonnum than provisions Of the labor Code, you most TRANSFORMER forthwith Comply with such Providing or this permit mall be Cayman LAVATORIES DOUBLE LAVS APPLIANCE 10-50KW_50 a KW^ ked. KIT. SINKS - -- DISHWASHERS' - MOTORS"0-1 Hci His CONSTRUCTION LENDING AGENCY- _ _ _ Ilusebyaflhry that there is a COostrucllan tatcrg agency for the pun SERVICE SINKb F $UMP$' "'-- - (INC, SOLARI" 10 50 HP�50 ♦ HP '- tOrmSnu of w0 Orl WhICh this permit Is Issued 3097 �'��\y r(Section Civ. C.)rS T' NJ. _ Ce )r 1' • 'FLOOR51fYK5 -'FLOOR DRAINS -' -� FIXTURES - Lender's Name OUTLETS SWITCHES Lender's AOwKe' - DRINKING FOUNTAINS--' GASTUBESIGNS' - OWNERBUILDERDECeARATION. ha= B= affirm that l am exempt from the Conrad Llcen Se Law for INTERCEPTORS " 'CLARIFIER$ POLE LIGHTS - SWIMMING POOL - PTRAP— - --- - the reason (Section 7031.5 Business and Ho^arlons. Code:. Any cityorCounty which requires a permito construct. alter, POLES METERED SUB r IM rove, demolish or repair any Structure. prior�o.it6 issuance, also red RYINs Ilio applicant for such permit t0 file a Slgnea statement that he WATER SERVICE' - ALTERATION- -' PANEL$ '- MAIN SUB Is licensed Wrfivant totne.PlOYSionS of the Contractor's.Ll¢nse.uaw SERVICE - GAS SERVICE' OUTLETS SERVICE -� - AMP lots, 9 (commencing with Section 7000) of UlvlsAn 3 Of rho - n andofillCodeLor that he IS exempt therefrom and the aR WATER HEATERS BTU U O n. Any Wolailon Of Section 7031.5 by for alleged exe i ilSill anyapplicantto a civil SEWER CONNECTIONS Of more localeh4 honored dollars (SSOo]iCent panany ❑ I."as -owner of -the property, or my am9lOees•wllh wages a$ quer- sale compensation, will an me work. and the Structure is not Intended SOLAR -TANK �' COLLECTORS `ISSUE "alfel for Sale. (Section 7044, Business g end ProfiOre Code: The - SOLAR PIPING SYS: FEE COn Vactwt License Say, does not apply to an Owner of a Property - IID builds of Improves thereon: an&who-does Such work himself or - -15SUE FEE `�-"" APPLICATION APPROVED BY -'DATE through his own employees. Provided that such ymonsoons are not MECHANICAL PLAN CHECK " SUMMARY 05 FEES" � Intended or offered for Sale, If. however, the buildl,l r mprovement is sold within one year of compleffon, the owner will orthe burden 1 Proving he did-not-bullthor Improve for the'purpwe of sale). - ttEATING SYSTEM 0-100.000 BTU BUILDING- ❑ owner of the properly, am xcluslvel cartoon i[h y AND DUCTING PERMIT b SMIP Ems*` licensed co iradof5"to YensUutl the project (Section 7004. BuslneA and Professions Code:- The Contractor's License Law does not apply to 100,000*BTU N PLACHECK. §- - - PERMIT ISSUANCE- E r ol"propertY Ind builds or Improves theream and who Can- REFRIGERATION 0-100.000 BTU PLUMRING E tracts from such projects with a contnctor(s) acro ed.purluant to .SYSTEM _ _ - -GRADING E' the CoNnOor's U1 nz law). 100,004, BTU PIAN CHECK $ - O l am exempt under bection 8.6 P. C. for this E BOILERS BTU ELECTRICAL E reason SYSTEM REPAIR. 'PCgN CHECK E MICROFILM E Owner ALTERATION OO TOTAL FEES I hereby amity thalIhave ead this application and Stae that the show EXHAUST SYSTEM MULTIPLE MECHANICALS DH Information Is correct. gree t0 ly with all City and county PLAN CHECK E VANS E rordinances state.W pto !454; Gi Ytl to'nnlanSruction, c pmsenla tlyo5tl I [,lenaboveOYaebt lOnlzis ed' Property far t on Dur000K eei� D Signature - FINAL FEE E . Onvers' l-Kense or SSS ISSUE FEE - - - - - - COST 080546 White-BWIdIn9; Ooary.Apoll"nU Pln Wgcwunling; Goldenrod -Assai CONSTRUCTION AND PLANNING p APPROVALS Permit # 0 d ,,-1 Date Inspector .. POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole .43. Pool & Equipment Location - - - 2. Soil Pipe-Undrgrn 1 • 44. Steel Reinforcement -' - - - 3. Electrical Conduit Utility-Undrgrn 45. Forms - - 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding - 5. Steel em orce 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn _ 48. APPROVAL TO COVER-GUNITE -- ' 7. Footings 49. Electrical Conduit-Undr rn -" - 8. Foundation _ _ 50. Gas Pipe ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap,❑ Uridrqrn 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 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. 19. 20. Ducts, Ventilating Gas Pipe -Rough &Test Roof Framing - 60._ POOL/SPA SYSTEMS FINAL - - - - - 21. 22. Roof Sheathing- Frameand-Flashin _ - - ' NOTES: - e _ 23. Insulation 24. Lathing & Siding - - - - -- -- - _i-- 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 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date CITY ` re h/NAAAssEsn 0/pAe% dr -- " Applied,,[ to fill In an Spaces within heavy border line: and sign all apprppnue deem a ll MESA PERMIT NO./ TRACT NO, LOT NO. BLDG.NO. ON PERMIT LL A- V I -j TYPE OF CONSTRUCTION r AVandshong ❑ NEW ❑ ADO ❑ ALTERATION - .(] REPAIR 000NVERSION 0DEMOLISH Licence Np. ❑ OTHER - DESCRIPTION OF WORK (Tins ctlon-need of be completed a the. permit Is mr One hundred sroprtifv,chic • national O GRADIN ❑ELEFOUNDATION' El STRUCTURAL TENANTCTRICALOPLUMBING OMECHANICA 1 l - OTHER - LICENSED CONTRA TOR OECIARATION I hereby affirm that I am licensed der Provisions of Charter 9 (cpm- ening with section 7000( of under 3o1 the- Business and PLUMBING, j''.;'t -" ROfevi Co k ?nt_) my license Is In full for feel U<ensppla - - ¢J({G l] DSO: Date l/ --Saipan. Oce i'1 y •REA PRG.IECT-OESCRIPTION FT. ". ..r-, 4 .1 PKC OCCUPANCY )y CONSTRUCTION TYPE •STRI ygLVATION ZONE �ZONI GRADING CU. YOS. ACRES SPEC WORKERS'COMPENSATION DECLARATION ,reby affirm that I have a Ceft111Ca1e OI Consent t0 1e1f-Indure.or a flcdte"of Workers' C p0 on In etl(Ied copy She (Sectiyln�300�Lap��,N /{ c-'�N A-- SHOWERS - - Policy No..SSVV F'ST'i R.'an nY ferny -, -- -.. L �Cort111edcopy lS'filedwthrthe - -- - - - �pEMARKE: 7 2 70 _URINALS copy IS cit. ththeed Building Division. "� - KIT. SINKS EXEMPTION FROM WOFIKERS' COMPENSATION DECLARATION (Tins ctlon-need of be completed a the. permit Is mr One hundred sroprtifv,chic , PLAN CHECK {noneme Performance of the Werk for which this perml I' Issueb I shall t e ploy n Person In any manner o OAS bee not PLUMBING, j''.;'t -" PEAN CHECK subject to the Comoselo pn Lawnof California OaN Slpnalure BATHTUBS SHOWERS - - NOTICE: If after ,masking then decimation, YOu should become. sugect t0 the Workers' Compensation DrOVISIOnS Oi tele FoOr C0,10, YOU mUO forthwith comply with such provisions or this permit shall be deemed TOILETS L _URINALS LAVATORIES DOUBLE LAVS-- " rvoked. KIT. SINKS DISHWASHERS " CONSTRUCTION LENDING AGENCY 1 hereby afllrm that them Is a conslrliction lending agency for the Pen fOrmante of the work for which lhit pmmlt It Issuetl (Saction 3097 GV.Cd.-PRme c -V D Cv.Lan)e - SERVICE SINKS' „� '. SUMPS" - -� . FL�CP SINKS s FOR DRAINS LO old within one yearof completion, the owner will haw lne b den MLLNANICAL PLAN CHECK Proving he end not guild or Improve for the purpose of lel. HEATINGSYSTE_M 0_IOO.000BTU_ Ead ' owner of -the prllperly: 'am xClueively`mntecting wit AND DUCTING - ns ed COnlrMtms to construct the project (Section 7044• BAIness Od KW_1'10 Kw - 100000+BTU _ PmfesslonS Code' The Contractor's License Law does not apply to REFRIGERATION 0-100,000 BTU_ owner of properly who builds or imomvet thereon• and who Mon. as from i Ch-prOje05Ith'a' Cpn\NCsmjS$ IlpaOell purovint t0 SYSTEM -" - Contractor} License Law). 100.000+BTU. I am comp( under Section - BC& V C. petits BOILERS BTU nn-' FIXTURES "OUTLETS SWITCHES- SYSTEM REPAIR, ALTERATION 1 -- - IGAS TVBEGIGNS' Owner - 'POLE LIGHTS vWYG that l Mvemad.thamMliratlonand State that the above EXHAUST SYSTEM MULTIPLE ISSUE FEE' - - nd-Assessor 0057 6/25/02 '153.00 .TL N fir^ ELECTRICAL' - PLAN CHECK - qn FT an FT ^ 'GENERATOR Od KW_1'10 Kw - TRANSFORMER ,APPLIANCE" 10 -SO KW_ 50+KW' - - (MOTORS '-' 0-1 HP=1'10"FIR - - - - - - -- -- .DNC. SOLARI 3030 HP_-50+HP - FIXTURES "OUTLETS SWITCHES- 1 -- - IGAS TVBEGIGNS' - "- - - 'POLE LIGHTS POLES METERED iUS l PANELS - MAIN -- SUB' SERVICE -AMP -- �- _ t 'ISSUE FEE " - APPLICATION' APPROVED BY 'DATE - SUMMARYOF FEES ..cl BUILDING - - ' PERMIT. f SMIP` E , _ _ - PLAN CHECK_ S .,PERMIT IPLUMBING _ f^ISSUANCE PLANCHECK f ����GaRADINGSI ELECTRICAL E /53` S MICRGFIIM'E ,PLANCHECK- S k- _ '•MECHANICAL E TOTAL FEE CHECKLESS AD- -VANCE PLAN PC,.E'�\�}� v - FINAL FEE fes— } CONSTRUCTION AND PLANNING APPROVALS Permit # Date inspector POOL & SPA - '- 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-Und_rgrn �& 46. Electrical Bonding - -5. Steel ein orce_ 47. Rough &Pressure Test + 6. Electrical UFER Grn _ - '48. APPROVA'UTO COVER-GUNITE 7. Footings _ _ _ _ _ - -_ 49. Electrical Conduit-Undr rn• + • - -8.. Foundation _ 50. .Gas Pipe, ❑.Undr rn, Test - _ 9. Water.Pipe-Undrgrn _ _ _ _" 51. Backwash Lines,.P-Tra - ❑•' ndr rn ' - 10. ,Struaural,Floor System 52. APPROVAL TO DECK - `-- -- - - - 11. PropertySewer-Line & House Connection- •" _ _ 53. Backwash,& Receptor -Final 12. .Street Sewer Connection _ _ 54.- Heater & Vent -Final I " 13. _ Rough.Plumbing _ _ _ _ - - - • - - 14. Rough Electric -Conduit--• -- - - - -56. -Electrical-Final - - - 15. -Rough Electric -Wiring - - -- - - - -• - - - 57. -Solar System -Final - - 16. Rough Heating& Air Conditioning -- - __ _ encing & Access Approval• 17. Ducts, in Structure ' ,; - APPROVED FOR PLASTERING •" _ 18. 19. 20. Ducts, Ventilating _ - Gas Pipe-Rough&Test _ Roof Framing 60. _ I - - POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frame and Flashing _ _ _ _ ,NOTES: ' 23. - Insulation-�eicri7�q - - - - 24. Lathing & Siding -' y _ ` . , �', _ /. .' 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 - - - - - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY _ -No. Date • _ City of Costa Mesa Building Safety Department CERTIFICATE O F OCCUPANCY 3 P.O. Box 1200 72 Costa Mesa, California The Building located at 3505 Cad:LI7 a Avenue, 60-102 hasbeen inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group i3—L •Occupancy. n Use of Building Int@ZiOr AlteXatiOI2S � Legal Description 139-662-11 (See reverse side for Metes and Bounds) B-4354 t if L•j3'0 Pi' -4636 Building Permit No 13-2286 Electrical Permit No. E-4011 Plumbing Permit No.-1—AAA0 1 Number of apartments• —h— and/or guest rooms —0— ISSUED TO: Building Official by C. Cim.d;ridge Parc Partners V. C. Newton, Bu.Udi.nq Divisicp Director Date /6 '7t&-/ M; A? This Certificate of Occupancy SHALL BE posted in a'conspicuous place on the premises and SHALL NOT. BE removed except by the _ Building Official of the City of Costa Mesa under Sec. -306 lel U.B.C. Form BU 34 R4V. 11170 c 38 xna,"r e3 } ao-,ice NOITIOMS: Applicant's $tilling Amies{ WOja^t AWrm sP; { �dso TYPE OF CONSTRUCTS NEW ADp ALTERATION REPAIR ❑CONVERSION LJ OEMOLISN 13OTHER - Qvnp'{NNOo �'Qy�-���-'�«�Ilorr DESCRIPTION OF nOR% T TYPE OF PERMIT U GRADING LJ FOUOUNpAT1ONSTRUCl10 TUML Metr,- ear 100smW Atltlrer � ArcM1/Eng. � r�M LYAnr NO. An - ❑-TENANT VIELECTRICAL ❑PLUMBING ❑MECHANICAL - Amro. ❑OTHER ' �.�.n.' Comr r -'s Nam hems SWIF-A& a PROJECT DESCRIPTION S k FT d,A;n/9 OEcuPANCY~' Issue Fen Amlarlmailing) / Ucenr No. CON STRUCTION TIRE `��� VALUATIONS=�CLG ZGN[ GRADINGCU.YDS.y ACRFe IACENSEO CONTRACTOR OECLI,R (ATIOI q•mn4: .�' D, IZ #714%k as 1 hereby •lnrm that I am ncenwe wasr Pr ISI s or c ( �3 MECHANICAL ram rdlen >dom er orwen 3 a <n. ed a fe r coda :ne my Ilam 1{ In lull torn and elfM. ane➢, PLUMBING unnN O a - V �� 13G,100p00BTU1311Aj,D00BTU Din S�Prvtw. - Bar Sink Server 6p WORK R'COMPENSATION DEC RATIO B{ckllow PlMntp - - Barney C9nn0.tion - hereby affirm that l.Mwa Mlllu of unwnl to rlHnwn ora�tlOcan..' I Workers Campenrlbn Mwn a urUfled, wPY tMnof ($action _ Backflow Initiation Go&O,llecfors ' _ .NS.GNIGed . 3500, tib. CJ lee 'p NODempsey ��—Bebs0- Owrsalary Is "Inlov for"Istows. SOW Pi.F. - COPY 1{ fiess wren the dtY Building Division. Dar Applicant - Clpitipi BOW Tank - EK£MIPTION Med not WORKERS' COMPENSATION DECLARATION Olfaction t be wrnObtim O the ppmn Is tram n hundred ($1001 or Dishwasher Swimmirq l!eol w/$pe $ S Drinking FOunti iM NTMI _ Structural System RepaidAlnretion INSMify 1hot in the mamm nu of the work for which this hermit l51e5W 1 shall nap nu emmay erns Person M any Trwlnm so as to weoru wbiMt to the Camunatlonvwi of GIIfoMN.; Fluor Drains - Water OeMt " Ventilating II I. Dare . �gname- NOTICE, 11, offe/el" Ink OMpa11M- you Should O O1 Milken t0 the - workers' ComnYtlon Provisions of the LJPbr Cope. You must fortnwlM p comply with such provisions r this Permit that be deemed invoked. CONSTROCTION LENDING AGENCY Fluor Sinks Water Hptp Gnurvice 'Outlets Water Shauna - Interceptors ' I hereby efOrlh that thew If a construction lending agency for theOrformenee of the work for entice this hermit D Issued (Section Sof?, Cly. C.) Kitchen Sink PLAN CHECK unurN Nana LenM's manor BUILDER DECLARATION GRADING Lavatories followingarnirenwo (Sechat lam tion T03l.55from BusinesseanContractors P ofes5lonel Code: Any cawo forro P—Trip , 1 em exempt ender H.a P. C. for this raison nv.%P(B2 White - Mildmic; UnaTY- ADOIIcanry Pink PLNG. qEp, V STN n K FEE S NOITIOMS: - _ _ - ELECTRICAL wash,' Metr,- ear 100smW on Pole Z Sub PaulIf An - Sub Pole - MotaN Cpl HP 0 i - Ges-OElatrk Inc.sOW 05-1511F ❑1&1E* Microwave Issue Fen Pale Light - - .050 4 KW _ _ _" 'Rain�esUon Is $15' - !to - Rainspadion Far $16 Meter fopn 100 amps law Fu $ 3 a Sink Issue Fen $ 3 Zoning AP1Rou0 Bypen A liation Apppwd BY Appliotipn Imre By as �3 MECHANICAL _ - Refrigeration System Under Ground 13G,100p00BTU1311Aj,D00BTU BUILDINGPERMIT PLAN CHECK PLUMBING - $ $ $ �//��S[UM��MARY [SQrr1Q OF FEES - BMIP PERMIT ISSUANCE $ S ��,�/-/ 07 ' Structural System RepaidAlnretion Ventilating II I. st System 13 Multiple ❑ PLAN CHECK $ GRADING i' /Fact. Bit. ICSO i ELECTRICAL - $ .00 $ g.MB UDuctingTU ❑100,00D 10.000 B - -PLAN CHECK $ /0-p0 MICROFILM $ MECHANICAL $ TOTALFEE $ =1Vv1 Or Type 1 RowsprctienFee $1B PLAN LESS S.7L Type ll Ll�'" CHECK $ ADVANCED PC E en Now For S 3 FINAL FEE $ Aswswr Applicant to nn In an rodeos ex4en labor within heavy border near and sign an appropriate declarations v CVFVbie COSTA MESA CONSTRUCTIONP RMIT !Pmiact Address 81/1'1 i/TOP / - �Q Applicant's Mailing ate s Owner'SNam¢ �i�A���r� PM1On Address �Elip 14V (S y(Q�' "`: UNI Nu. ---- •-•--'••.. reap IL - TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR CONVERSION CDEMOLISH DOTHER �`� - DESCRIPTION FWORK/USE OF BLDG. ' �— CONE N SJCg4.VSroyL qp+ Zone $ Main Building: Accessory Building'. Archding. License No. Address TYPE OF PERMIT GRADING FO DATION STRUCTURAL D TENANT ELECTRICAL D PLUMBING D MECHANICAL OTHER T Fronta O BA Rear - N Contractor a Nam one gtlereu lmailingl ONPC:1 City License No. LICENSED CONTRACTOR DECLARATION PROJECT DESCRIPTION Bp. FL,��OccUPArvCv CON STRUCTION TYPE VALUATION$ ZONE GRADINSCU.YOS. ACRES C Right N K $ Left G R ping, Ref. # ng Req.IProvieed E In marks : PbUOIM1J NOI¢i: O If rl hereby avium that 1 aDi licensed 3 under prowl' of Charts S e p with radion nfIt of a and of 3 Of the Bu and Pro s ad � end my licenm Is n r It lora an effect. T Loaner 1S Date wonatura Date PLUMBING FEES— Bar Sink $M1mwas ELECTRICAL FEES `y 1 "sUR COMPENSATION DE[ ATION mrsby ar Ron that I have a pull a of consent to 1 ns . workers' Compensation In c or a overfill 380o, Lab. C %(icy No Company ren p� ��rrtlrietl C PY by I Shed ✓GrtYlea ee with t no cby Seri Backflow Preventer Service Sink - Anionstic Washer Transformer O 15 ED KW Construction Pole Sub. ❑ 5U+ KW Backflowlarigalion sweer CLp - T Bathtubs Senior Connection n - Cooking Unit Meter Oup to lWamp3 Date Applicant Clarifiers Solar Collectors b Dishwasher Mater Dover top amps P EXEM O ROM WOR E ERS'COMP ION CLARATION {This section need not be come Nice U the rmB Is far one hundred ($1001 or h' rt^1e that in the performance al the ore fe uhicn became Sm 6 Bsto f I shall I 1 5 of California, r t0 baro bled to tFe Workers' employ Dale Slgnatura Dishwasher Solar Piping ping - Dryers 11Gas ❑ElecUic Sub Panel Drinking Fountains $pear Tank Fan Motors OPi HP 01'5- B Floor Drains Swimming ol Pow/ F -A'11' Inc_SONr 0945 HIS ❑1 G15+ 'NOTICE: 1f, after making this declaration, you should becomesubject to the Workers' Compensation provisions at the labor Code, you must forthwith amply with Such provisions Or this oat 11 shall be deemed ked. Floor Sinks Urinal Fixtures Microwave Gas Service Outlets water Closet Device Boxes Pole Light CONSTRUCTION LENDING AGENCY 1 hereby affirm that there Ise construction lending agency for the performance of the work for wi lch this permit Is Issue (Section 3097 Civ. C.1 ,omhoY Name lnler[eptors Water Harper rums Range Kitchen Sink Water Service Switches Sign - Lenders Address OWNER BUILDER DECLARATION ne.ehy afnrm mat am pt from the Contractors license caw for ins folldwlnW reason IXCUon ]0313 Buslnets antl prolesslonal CotlO: AnY city or county mcn epmms a permit t0 construct, alcor Improv. aemm6n ar Renoir any slm[(Ule, Rifer t0 I[3 ISSUanCB. also regube3 tFe apOn[an[ for SUCM1 permit o rale a slgne0 statement Ibat nehee Is Ilcensee pursuant to Ina pwvlsfoor of Y V yoniraclor's License liwa(Chapter 9 (Commsneinog wile $Delon ]000 1 of m Ion 3 01 [ne Business d prUlesslons Coael IM[ ne ane Is x*pt 0315 by ads napplicant rforea llpermli xsubpads [Oeyapl01tc�1^t % ection civil nal[y OI aOt mole Ihin Ilw nYntlretl dollars ($500} f a prownv pr v employee with ages their s Ie [�omnoimn resin eo ma work, ane ins shucturp3is not Imenaen Or onaea mr le (kc{con ]h44, Business dna Pr010ulOnsl [oda: Tno Conlmdu LICenX V^ doe[ hot dppun l0 an Owner of a property woo Eulltl3 er ImproWe momon, d who aces n work nimsau/nermllno corn 8n his or ser own for ploYea3. prBNeee that cn ImprowmenU are t Inten ad ar offeree r Ia. ll, ins aweretM1e bullCing ar Improvamont Is xoie wllnin ane year of Som- Oletloq n will M1ara the burden el proving M1O/SM10 the not Ou110 or lm- aOre1. rL re far ownernsea con- traders as to con of me property, Se tion lwW mnreal a with feral ems: ]has, to an ores ne Pf prole city too co to construct the protan Anal s there Law 1 Racy to r f proopib a con^ Too s 0, imposes Dulles 5511 former s thereon, and was pwantr acs for Such Prolecls wltM1 r con- I In ra on noun nn payinea areothat 0 vroof of theelr Worker's ComY the ❑Ism exempt under 'Sedlon —B. .C. for this reason Lavatories Aulo-Wash Garbage Drawee Standing Sections P_Trap Laundry Treys Generator 1165 KW 11515 KW Trash Compattor goof Drains L$3 flainspeation Fra $15 loos Fee $ 3 Reinweation Fee $15 Isue Fee MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved Sy ata Building APProwtl By Ddta Application Issued By Dal 2 8 By— Boller Hood or T Type 1 11 Canopy Type 11 ❑ ' DUCT - Under Ground Duct -Slmcroml Refrigeration System 11Pi00,0pp BTV 11100.000 BTU pact- Ventilating - SUMMARY OF FEES - BLIT N CHE PERMIT $ 2�' 2 $MIP $ �•S� PLAN CHECK $ 3. 3%. PERMIT , PLUMBING $ ISSUANCE $ PLAN CHECK Z5% $ ENERGY P.C. $ ELECTRICAL $ v•aC� GRADING $, PLAN CHECK 50% $MICROFILM $ MECHANICAL $ TOTALFEE $ Exhaust System ❑ Multiple ❑ System RepairlAttmation FINDI/Fat Bit. ICSO 0 Fire Dampers Date n Heating System &Dueling 11P10Q000 BTU 11100,000 Registers and to that me above. hereby mtlrn 'cot"no Information r Lly q"manly Oralnencasltte lows elnina i by umroI dI Pr e m{teas f thisantioned props ' inepettin purpce - Reinstallation Fail $15 IwoFee $ 3 signature Drir s'Licensea 55 PLAN CHECK 25% $ Goldenrod - Assessor CMF 0965-46, rev. 30/94 White - BUlldl i Pink-Aramuntln9; `.CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PO ' SPA APPROVALS Permit# Date Inspector O 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. B. 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 : r 63. Heater & Vent -Final 13. Roof Drains - 0 - 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 f7. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19: Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT_ APPROVALS Permit # 20r Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. .Ducts, Ventilating - 71. Product Piping 0Gas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Shpathing 74. Overhead Hydro 26., T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing &Siding 1 77. FIXED SYSTEM FINAL 29`. Insulation 78. FIRE PREY. FINAL 30. Drywall NailingHEALTH Y DEPT. REQUIREMENT _ 31. Plaster Brown Coat �' 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric b 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 70 66 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 nl agrees except those Within heavy border lines and sign all appropriate deal... Nan._ ' CITY CSF COSTA MESA CID RUCTION PERMIT PEflMIT NO. TRACT.ND. Ph 2-2 L TND. '� UNITN6, - 4997 1/04hai 9ae3'D �• 3s bSl�o�n a -ie3 _ D' lyp. _ 03 - q Project Address Applicant's Mailing Address SCp' 9101 d' Z TYPE OF CONSTRUCTION 0 1:1 LJ NEW ElOTH ADD U ALTERATION L REPAIR ' �,//Pyu'ty J/LJ f4a S Fy%C CONVERSION DEMOLISH A. SF Owners Name PM1ane SS-65 DESCRIPTION OF WORKIUSE OF BLDG. „' - Main Building:' 'Accessory BuiMing: nddre5s4 / S r" ArcNEng, RaV License No. TYPE OF PERMIT GRADING- FOUNDATION STRUCTURAL T Front 0 -'Ss ❑ TENANT ❑ ELECTRICAL O PLUMBING ❑ MECHANICAL R N Address ori �—U r A77� R¢ar Carte Yx Nam �+ �6�C-�L' PII er!-2L=JLxV OTHER Right '7v1ro d i PROJECT DESCRIPTION Sq. FT''1SBO OCCUPwrv�v IS G Addraxsl I'ngl CON STRUCTION TYPE VALUATION$ •� $ Lelt .p7 Cit Lice No. aZ CIQD•T Y ._ ZONE', GRADING CU. YDS. 'ACRE Pin, Ref.# _ Park' Req/Prp 'IEad \ R' LICE N SED CO NT RA_CTOR DECLARATION Q•' p I hereby affirm that I em IIPPSIW under provisions of Charter 9 (commencing Remarks: t S 5, —g r - Plaailing Notes , M with Section 7000) f Oi Nsion 3 of the Business and Professions Code, and T my license is in ful =fled J P 4/2 -drz Y $ Liamse Class W, nate/T 4 -Gs Signature - — •nvh PLUMBING FEES WORKERS' COMPENSATION DECLARATION ar Sick : $M1pW¢rs ELECTRICAL FEES 1 hereby affirm that i neve a certificate of consent to self -insure are certificate _ a of workers` Compensation Insurance, or Certuled copy mereof_(secnon o Bad wPreventer. Sol Sink - gmomatic Washer" Transform 0'1550 KW - — 3800, Lau. C.1" 6i4U"S1%'�l4 mP UR( a r Policy No. W Company Bxkflo Irriga(ian $ewer Cep -,—•' Co ct ru on Role Sub. 0'50+KW ❑ certified copy is he®by furnished. �� - bkcertllleyp by Is filed With the city Build, "n� tON Ba[utubs Sewer Connection Corkin nil Meter up to 100 amps Date Applicant. EXEMPTION FROM WORKERS` COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Eimer IOD am need not be Completed If the permit Is for One hundred ($100) or (T). leis pisbnesuer Solar Pipin Crnbsediorr yen OGeslectric Sub Panel 5cll ify the for which permit 1535$ued I Fountains not a y person In an mannat er r haw t pty v person in v to Become bleat m the become prinking Solar k. , Fen Mrirrx ❑ HP 01'6 8 Workers' Compensation Laws of California, ur . Ate Signature Floor Drains S ming Pool-.w15pe F.A:U. IneE r ❑9-15 HP ❑1615+ 'NOTICE: If, after making you ShouldCod 08Com0 Sol to Ino / orkery Co roi isions oflth, fine Labor Code, You mut lPr psions i Floor Sinks . Urinal Fixtures r such as ww Comply with' such r' this permit' mall b deemed r kM. n _ _ roweve _ CONSTRUCTION LENDINGAGENCYea Gas Service' Outlets et¢r Clout' Device Boxes Sac Pole Li9M1[ agency Ir Me performance thereby alarm shat there is chis _ LW r I of to work for which \M1ls permit Is issued (Section 3097 Clv. 'C.) permit Is Issue injerceptorai Heater Ouf le[s.t Laurens Name ee Lanae:. Kitchen Sink Water$ r Swi¢Fes r Sign BUILAddress OWNER BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law fpr lite "' AuIO-WashCO GarbagOrDlq`OS0 Standing $e ' following reason (Section 7031.5 Business and Professional de: Any city or county which requires a Permit to construct, alter, Improve, demolish or repair l Laundry Trays Generator ❑0.5 ❑ 6 1 KW 5 TriSn COmpddOr ny Structure, prior to is iemanc chat requires the atiouc9nt for such permit to file signed statement that he/she IS licensed pursuant to Me provisions of - the Contractors Purse Law (Chapter 9 hommenctneg with Section 7000)) of VW2 eU Division 3 o n Business d Professions Code) that he/she is exempt - - tnerefrom and the basis for the alleged exemption. Any violation of Seib in ' 7We1.5 by day dppllrvnl Ir a permitSUP)¢C[5 'heappllCaN to 0 civil - _ n Hy of not more man five 0ona'ad dollars 18500). $I85 Wneroftheonopertyormyampl0yee5WIM1 905 othpob Solf3 inn, ao to rk, dna ilia structure is not mishear r Hereb $15• Iowa Fee I " Re Fee $t5 Issue Fra; $ 3 ns ww inr`n sale alSeaion 7044, Business and P.pfe55ionai code: Tna contractor's MECHANICAL FEES I pedinn U Law does not apply two owner of a property Ano bawds or Improws Iretonn, d who does s n rk himself/nerseu o mnaa n his or her own IatenB¢a for BP Hood or Type I : ❑ DEVELOPMENT SERVICE$ T WUI EM�NTS: p10 V"i provided that Lich improvement] sean f Pr PN¢reIS m1e. 11, M1oweµne'nW but Ming or lm prove antis so I a wl tin on¢y¢ar of com- Canopy Typell ❑ ZAnrrIg APWd Wd By 'J to plelipn, the III have [he burden of praNnq he/she dM not builtl or Imp Dud- Un Grduntl s ' BYrMrrg APPrpvad•Byt glove f o r t e par po u of ul e). o trading nn licensee Con- O Ias owner of the property, am exdusivalycont Dud-$truclura Refrigeration System V- Appliwlion Iouetl By •' t �+ ate parlors tIISc mt n x044, IS ness and Rolesslons Cade:. to project 1Sectlnot Sae ❑61000DO BT 100,Oo08TU of 5L d pP Y to an Owner of properq Who Conpacmr's License law Oud-Ven[ilarin g .' SUMMARYFEES ,Gria uilds a mtar wit the a on. dntl Win etre Ct S, for 5UCn plOieGiS.wltn proWorker•a nacmr(s1 Il the Cont Law). 1 that _ _ BUILDING PERMIT RF _ O SMIP $ /• i $ cense PUrsuant'to Soctra Clc ynse am aware Ex'M1aud System ❑ Multiple Syne epeir/Alteration Si proof f the Cc mpen of len In Lir a ria uta be promeee 10 a' -Fro—PI/Fact. A. PLAN CHECKa-S-0S 47.71- PERMIT am ❑ exempt antler Section B. 6 P. C. for this reason Bit. ICBG # n mpera ' - ISSUANCE PLUMPING _ $ r$ Date Owner Heating System&Ducting Registers PLAN CHECK'25% $ ENERGY P.C. $ er ey certify that 1 nave fie application and ate t 'u e &IDg000BTU ❑100. 11 • ELECTRICAL' $ GRADING $ Informals on ert I agree t mply with all city and c unty ordinances oaut � are rite repro- chic tale laws �aieting t uhaing construction; a e pLPry+CHEC1C1-5046 $ MICROFILM $ Iarratiives purposOf e Sit ' enter p e y�pfp''r I r .MECHANICAL i $ TOTAL FEE $ Signature 1 ate Rein Pn Fee $15 Imo Filed $ 3 IPIAN.CHEC Tg5%' S Drivers` License on. S$ CMF 066546, rev. 10)64 WM1ite - Building; Unary - Applicant; Pink - Accounting; Goldenrod - Assessor • :\ ,"11 I r CONSTRUCTION AND PLANNINGPOOL / APPROVALS Permit Date. Impactor & SPA APPROVALS Permk$ Date Inspector 1. Temporary�Electrical Service or Pole 52. Pool & Equipment Location . . 2. Soil Pipe-,Undrgrnd. + 53. Steel Reinforcement -,_3.•ElectricalConduit'Utiliiy-Undrgrnd. .., 54. Forms. / 4 , ElectNOI Conduit-Undrgrnd. , 55." Electrical Bonding 5. Steel Reinforcement 'y 56. Rough Plumbing & Pressure Test �•' 6.?E1jectFi al UFER4Grnd.1 57. APPROVAL TOCOVER-GUNITE 71,Poolings 58. Electrical Conduit-Undrgrnd. ' e '`j . PFoundatioro ' 59. Gas Pipe, I] Undrgrnd., Test • 9�1Nater' Pipe-Undrgrnd. 60. Backwash Lines P -Trap, O Undrgrnd. n 10.^Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Lige & House Connection 62. Backwash & Receptor -Final . 1 jS6v Cap -1,r ✓ 63. Heater & Vent -Final - 13. Roof Drains 64. Plumbing System - Final 14 Rough Plumbing •r - 65. Electrical -Final 15. Rough Electrical!Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval. - - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit ' 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑ Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush i 24. Roof Framing 73, Undergrnd. Storage Tank ❑ Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Mono wat 76. Dry Chem'i®1- 27. rams and lasking t 6/ 76. Dry Standpipe 28: Lathing & Siding . _ 77. `FIXED SYSTEM FINAL. 29. Insulation 78. FIRE PREV. FINAL 30., Drywall Nailing 'f HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat , 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE JEUED 33: Final Electric , Notes: 34. Final Heating & Air Conditioning • _. �' 35. Final Gas Pipe -Test 36. Hood or Canopy i�� 37. Final factory Fireplace Ale 38. Final Plumbing _ / _ S li_ 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final - 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations / 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date i� /A City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. Building Safety Division O OA J - P. O. Box 1200 Costa Mesa, California The Building located at ��=�,._,,, �� � V has been inspected and found to comply wit tithe provisions of all City of Costa Mesa Ordinances applicable thereto for a Group__________B.3 Occupancy. Use of Building Legal Description 13Q_Fr7_17 (See reverse side for Metes and Bounds) Building Permit No rAl cnnc Electrical Permit No. MR1 FQg7 Plumbing Permit NoP17502 Mechanical Permit No. ISSUED TO: ME16992 Number of apartments and/or guest rooms Building Official L • 611' r FZ OIOONNFT. HRTri-mm by 3,D, (`ADTT.T.a(` An -1 IA lc rm_ nec c*rn�* Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/63 White -Owner; Canary - Numerical File; Pink - Bldg. Permit File wpdneam to Nn In all sp.eor except snore within nesar eomD ones and sign mavvrop•i.m a.aamdons. PERMIT INU I TRACT NO. I LOT NO. I IINITNO waseal crrvoFCOSTA ESA CO,MTRUC ION P.f,B MIT Project AddressS (�(�//! .6�. -103 Applicant's Applicant's Maiiiry Aearess 3S`OS L�oegi.'//oc ?- .?02- OwnersName OsOon•Plar//g /3t'=K4e.•e Phone£5�2931 Address sy '�C Amh/Eng.Ir License No. Address ``-1¢>S' �•%<KL. S'ear74%G/ /f1,au.f Contractor's Nam-tuUa _phone 6/SZ-]LPy Adorns Lai 1 4 i/G e - City License No. /-f2:7/2-z LICENSED CONTRACTOR DECLARATION I hereby affirm idol 1 am licensed under provisions Of CM1erler 9 (COmmendng with section robot at Division 3 of the Business and Proles:mos code. and my IlcenN b In IN oru nd efHO. ucenss oo%') ' g> 519naiura WOR 1 Khereby E Raffirm that I EAT ON DECLARATION `_ he" i C¢r[IIIGtO UI COPSCnt to sOlfAnsYre Ora WNIIIGIe (, of Workers' Compensation Insurance, or a certified copy thereof Isgcuon 3e00, It 1 Pohdy Nd. �tdy4 40593a140mpamy �. u eCamfi.it cop Ia nemey rurolsnea. cer I'ae cop mea wuh ma air Ia�am9IV O Pete Applicant. \-E%EMPT.IONF OMWOR NE RS' C OPPENSAT I ON DEC ARATION (This section need noRbe completed II the permit Is for one hundred ($IOU] or loss). small certify not that he nyaperison in any mof the anner foo which becothis mesmit Is Subjects to the the Performance 3099 Civ. C.1 Owner TYnOF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION IJ REPAIR LJ CONVERSION O DEMOLISH ❑ OTHER A.P. .p DESCRIPTION OF WORK/USE OF BLDG. S Main Bu TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL T Front ❑ TENANT ELECTRICAL ❑ PLUMBING MECHANICAL 8 Rear ❑ DTHER A PROJECTDESCRIPTION SO. FF. OCCUPANCY C Right CONSTRUCTION TYPE VALUATIONSS Left ZONE GRAOINGCU.YDS. ACRES Ping. Bid. 4. Remarks: {(//_ti_ Plonri No tar axis f 3eckfiow Preventer 3eckflow Irrigation 3etbtobs' Clarifiers Dishwasher,' Drinking Fountains Floor Drains- " Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Usionorles - P -Trap Roof Drains Reinspection Fop Boiler Duct - Under Ground Showiest ' Or Cap k Se Sewer Connection Sister Co118C10rs Swimming Pool w/Spa Water Hearer Water Service S15I I Issue Fee MECHANICAL Hootl or' TypeI ❑ CenopY Type II ❑ RelriBerat100 $yrtem ❑0.100,Oo08TU ❑11 -xhaust System ❑ Multiple ❑ System Repair/AI[erati Girepl/Fact.BILICBOSN.Fire Demplus ;Baling System 5 Ducting 21 Me Bislare 76100,000 BTU 0100,000 LDrlwrs' License or 55 #` I Runspeclion Fae S15 I Issue Fee CMF 0865-46, rev. 10/00 Willie - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Cooking Unit 5309 1/09/85 61060 Perking Transformer J 1550 KW ❑ 50+KW Meter ❑up to 100 amps Meter Dover 100 amps Sub Panel .Momrs 1161 HE Eh 'A - 8 Inc, SOW EIS 15 HE 016 - Microwave Pole Light Standing Sections Trash Compactor FEES S3 Roin tesotion Fee $15 issue Fee $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zom" Approver By Building Approved By Application Isswd By ' Data Date Dat ' - BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25%'$ ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ _ $ $ �O $ �a0' $ _CL'ar� $ di Go r$ (,Do ' ' SMIP '$ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING S MICROFILM $ � TOTALFEE S �' QC $ 3 CONSTRUCTION AND PLANNING APPROVALS . Permit # Date Inspector POUF & SPA APPROVALS Permit # Date Inspector - 1. Temporary;Electrical Service or Pole 52. Pool & Equipment Location 2. SoiJPipe-Undrgrnd. 53. Steel Reinforcement - `3. Electrical Conduit Utility-Undrgind. 54. Forms 4., Electrical Conduit-Undrgrnd. 55. Electrical Bonding �. 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test ' 6.� Electrical UFER Grh•d J- r w 57. APPROVAL TO COVER-GUNITE •� 7%,F6otings - .'��' - 58. Electrical Conduit-Undrgrnd. 0. ,Foundation' / `,i� 59. Gas Pipe, O Undrgrnd., Test Y^Water Pipe-Undrgrnd. �e 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System •J 61. APPROVAL TO DECK ,11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap '+ 63. Heater &Vent -Final 137 Roof brains 64. Plumbing System - Final 14. Rough Plumbing, 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final ' ..t 16. Rough Electric Wiring � f� �e 67. Fencing & Access Approval 17'. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling y (> 69. POOL/SPA SYSTEMS FINAL 19, Rough Heating & Air Conditioning 111646 FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas C3 Oil 23. Gas Pipe -Rough & Test 72. Underground Flush ; 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 11 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 Nntes: ,j/(�j'S� NOT lL�OY FSS �! iYl IE«. ✓rP 34. Final Heating& Air Conditioning aNi• eJ ,I-' 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace . 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No. Date _ / Applicant to fill n all [Pates exapunose within heavy border lines and shot all appropriate declaration J. s I COSTA MESA •CAN TR TIgqN PERMIT PERMIT NO. +TRACT NO. LOT NO. D IT103 - _ 79u4 2/ /85 - • , •bpf78 TL CITY'` �rr//a:e-hos S�� J - ,- Atldress 3YoS G-. act J.q n - 3505 '(-�d -Z' .0 p�C•%�4(ry� TYPE OF CONSTRUCTION- NEW ADO ALTERATION REPAIR Ma'I�n9 Atlltllr�es�s DCONVER610N O, SH ❑OTHER A.P.Appll p: Zones / Ownel'S Name CC- zs��v`rAK.�f /I fir.•c 'the eVl_IaGL3 Na _ o aro 5'G�` .. KjfUSF DESCRIPTION OF. WORK/USE - Of BLDG. S -Main Building-. Accnscry Building: �aareW. _. E _ z AICM1/Eng. License Np. TYPE OF PERMIT GRADING' FOUNDATION STRUCTURAL T front - _ 'O . ❑ TENANT. ❑ ELECTRICAL O PLUMBING 0 MECHANICAL B N Address 1:1 Rear Contractor'sNam GC - OTHER - C Right - N 32hone«-/7/� lmeilin8) .Sf6'i ��///@C 70.7 PROJECT DESCRIPTION 60. FT. OCCUPANCY - G Addren CC�4� a>?Q/�7 cOrvST RucTlOry TYPE -VALUATIONS g' Left City License NO_ + ZONE GRADINOCU.VDS. ACREpE Pine. Raf.# Parking Peq.IProvldad LICENSED DCONTRACTOR DECLARATION D' under monomer s lit charter g {commenting o hereby affirm that 1 am rasion Remarks! Planning Nptel: M 3 with auction ]Oful Dann of 3 01 tri¢ Business arab M1olerslOns Cotle, and T j <V� my license is' lull C<enD ailed. LL.• 712'7 - S A Due CIa55 [e NO. .Z Ode 9gnatm PLUMBING FEES WORKERS•OOMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES • hereby affirm that I have a Certificate of Consent to scrubbed ora certificate I I workers' Compensation Insurance. o certified copy thereof [se is It ' -' _ Backflow Preventer. Service Sink Automatic Washer Transferal 11 15-0 KW - ,800s tab. C.) - q� ` PolicyNo. Rq 8SHd 353ii9 COmpiny L%Up1IN' LiucDN BBCkiIOW Irrigation - $elder Cep CgnSlfudlOn P01<$116. ❑SO4KW Certified copy is hereby furnished. Dentin a r whn Ire dty B5Lml Dlezb,. Bathtubs Sewer Connection Dunking Unit Meter Dim to 100 amps -DaleM ApPllcanr 4%9S�SWOQ /� Clarifiers Solar Collectors Dishwasher Meter 11oyer 100 amps EXEMPT( N FROM WORKERS' COMPENSATION DECLARATION (TSIs wetlon need not be completed is the permit In for one hundred (S100I Or Dishwasher Solar Piping Dryers QGas &Electric Sub Panel I5 Certify that In the Dandiacal the work for this permit 15 hand I , a01 manner as halt -not employ any person y ant [o s t0 become subject b the Drinking Founaain5 Soler Tank Fan Motors 00.1 HP 01&-8 Workers' Compensation Laws of Calllorma . Data 99nature Floor Drains Swimming Pool Ali F.A.U. Inc. Soler 09-15 HE DIS -15+ 'NOTICE:.If, alter makln9 this declaration, you should become $ to the ' object .workers' Comcenutlon.provlslom, Of the Labor Code, you mut forthwith Fluor Sinks _ - r Urine Fixtures - - - - - - Microwave- i. Omp1y, with such provisions or."tnls-permit half be deaped ked. CONSTRUCTION LENDING AGENCY - Il Gas Service Outlets Water Closet _ Device Boxes Pole Light I hereby affirm that there is a Construction hearing agency for Me Performance of the work 101 Milch this permit Is Issued (Section 309]_Clu. C.) - Interceptors' Water Harper Outlets RBp9C Lender's Name- - Lendii Adores{_ ° - : - , kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION nareby afnrm that am pt from the' Contractor's License Law for the Lavatories - Auto -Wash - Garbage DispoAl ! Standing Sections fPeonowln9 I on (Sectlon ]031.5 goal noseantl ProfesslOnal Code: An cltey or - untYwhichregmresapermleto<OnrtrucL liter Improve, demolish rr pan any struotme, pilon to Its Issuance, a1W re0ulres the applicant for sato Deis P_Trap - laundry Trays Generator 00.5 KW 17515 KW Trash Compeclor of o file a I9ned rtatemen[ (bat is sheis ncanser pursuant to Ina OIOVISIOns of Root Drapho - - LI¢nse taw (Chapter 9 {eommendno9 wILM1 $rdion9000) of ;'B SOObaclOOl'z v n ] f to e I s na wofeshe lis Code) coat naF n 1 mat at rt0 - r m b foo It anagad 0noMof on. An viola r ad r _ '- - Al 9 b y PoF t for a soriR blectz lM1e aopho t) civil ' - costlyl t than flay hundrer dollars(bso0) l Ih Y o y emploved5 whn we gas h le Ro:RpeCLpn Fee E15 Issue F« S 3 - 1 cLJ 1 a5 Pio Con Wn fro the k, and the structure h t Imanaed o offered DOsat a(wcflon geinmedion Fee $15 Issue Fast is 3I eels ]o <d, Busmass ane Peoferslonab Code: Tne'ConrNacton's MECHANICAL FEES' ION Lien Id do tap of yc l O an Ow to f a+pp roperly who bulldsp or mergenc am sena sows h. werk nlmea / sen o Inr0Ugh M1 O her own '❑ DEVELOPMENT SERVICES REQUIREMENTS: ' ploy es, provided t n Int prrovpememz aresn0ol intend d r alUma for sand. H, however[lie building Orr r rement d Id wllM1ln Ode yen1 whir ;Boiler + - - Heard or Typal CeDOpy Type I .❑ 'Zoning Approved By Date station, the Owner.wI I nave Ibe buroen OI Ofoal n9 he/she 0 d no bnil1 or Int- Duct - Under Ground I Building Approved By me Ove Ior the purpose of sate 1. - az owner of me properIY, • exaudvely anDacun9 n n¢nser con. DuctStructuralRefrigeration System Application let and By De taI, �t,rstoconstruetheProjectaSectio]oaa,eusneeandr 0ldslenseode! The Contractor's License Law n apply to an f property who Duct- Ventilating ' 11&100,000 BTU 0100,000 BTU SUMMARY OF FEES -DWlds proved tM1ONOn, and who Contracts for such project[ with PERMIT $ SMIP tentarosl license pursuant to.fne-contrabrors License, Law). I am aware me Exhaust System ❑ Multiple 11 System Repair/Alteranon BUILDING $ proof (( their wmker4 Compensation Ins de shoved be presided to - PLAN CHECK $ PERMIT L1 l am exempt under Sector BI In P. C. for this Base, Fireil/Fact Bit. ICSO# Fire Dampers ISSUANCE PLUMBING $ .500 ,S Date ' Owner' + Heating System & Ducting Register PLAN CHECK 25% S ENERGY P.C. $ I hereby, uralomat.1'have read, tnis application and tate. that the above 11&100,000 BTU Dimuca - ELECTRICAL $ GRADING S information 'a correct. t. (.agree to comply with all city and county ordinances - MICROFILM •$ tate laws relating to building construction, and hereby authorize repay. PLAN CHECK 505, S 6 persuade f [N ly alit 'upon Ibe abo toned property for ,nspeNon - •/-si MECHANICAL $ TOTALFEE $ 9gnalun Deb flainspidion Fee $15 l Issue Fee S 3 PIAN CHECK 25% ,q ;Olivers• Linnx or 55 Y' 1 CMF 0665-06, rev(1+J/B6WMte - Bullring: Canary - gpPllGnti Plnk - ACCOYpting: GO10001Od - ASLSZOr ✓ CONSTRUCTION AND PLANNING r ' - - ` APPROVALS Permit #. 'Date Inspector - POC .!SPA APPROVALS ' Permit #_ Date _ Inspector _ . 1. Temporary Electrical Service or Pole ,. 52. Pool &.Equipment Location - 2. Soil Pipe-Undrgrnd. - 53.2Steel Reinforcement •-3. Electrical Conduit Utility-Undrgrnd. - 54. Forms - -4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement - - _ x. 56. Rough Plumbing & Pressure Test r6.'Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE -7. Footings - '. -58. Electrical-Conduit-Undrgrnd. - 8. Foundation 59. Gas Pipe, O Undrgrnd., Test r.9. Water Pipe-Undrgrrd. - - 60Backwash Backwash Lines, P-Trap, ❑Undrgrnd. . -10. Structural Floor System -' _ 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer. Cap,' 63.-Heater & Vent-Final 13 Roof rains ' - 64. Plumbing System - Final - 14. Rough Plumbing 65. Electrical-Final - -15. Rough Electrical-Conduit 66. Solar System-Final - -16.;Rough Electric Wiring 671 Fencing &Access Approval - S 17., Rough Wiring Sign _ - 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA,SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating •71. Product Piping ❑Gas• ❑Oil 23. Gas Pipe-Rough & Test 72: Underground Flush - 24.'Roof Framing -, 73. Undergrnd. Storage Tank ED Gas 0Oil 25. Roof Sheathing 74, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat75. 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. 1 Electrical Power Meter-Final 80. FOOD-CER I TIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test %S ffD 36. Hood or Canopy - - 37. Final Factory Fireplace 38. Final Plumbing r i 39. Water Service-Final - i 40. Gas Service-Final I ; 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation ' 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE&BUILDING- 48. Special Requirements Completed I 49. Electric Release to Edison _ _ 50. Gas Release to Southern Califorriia Gas,Co 51. CERTIFICATE OF OCCUPANCY- No._-Date r CITI7-0F QhtkMA/ CONSTRUCTICiIi PERMIT Appli[ant's Melbp Addrmlea3: Project Addrm O.vner 3 Name Addrm" /30/ LU✓S Application to lel In an [w s exwpt there within he0ey horde_ 0 �_ appraonM..aatw n - ITN _ T ACT Nas LOT r Soe 7*4 TVOEOFCONSTRUDTION UNENEv AON LITAILTERATION LJREPAIR - . - _ O CONVERSION'❑ DEMOLISH ❑ OTHER .- f DESCRIPTION OF WOR - /AJY` � aLTE2A77a '- .cuTIO �!• TYPEOFPERMIT LJORADING UFOUNDATioN LIT.STRUCTURAL A.P.ip -(fN&Z-:1Z ZONE I At A4`YiQLLCeIW N6 O'TENANT t1e'ELECTRICAL ❑PLUMBING ❑MECNANICAL BUILDING ' -pLNG. REF. 0, _ Addra6 - :❑i9TNEq �GCv�/!/e(11"Aka!'�th' �lJ�j S ,TO BUILDING REAR YARD ITO p/LI - 'Raves/ / J ��.� p' si Cdntrwroea sora• none J]2l6GfC PROJECT pE$C,RIPTIpN SG./� OCCUPANCY AddrenhNilln9l CONSTRUCTION TVFP TTTf%' VALUATIONS Pte' �4 en LEFTSIDEYARD RIGHT I ARD - _� • ' ZONE GRADINOCU.VDS. ACRcc . - PKG.SPACE REG. LicenseNo -STREET . LICENUE16CONTRACTOq OlCU1RATI0e F( q:narks: C' Z Q �2 z PF apa/.B T WIDTH ', - l KFEES I homey affl m that I'am Ihadwd nee Or ialone O1 with stile 7000) I Division 3 f the usl 6a a f to CMe, and n, EP[Clgl CONDITIONS: 1 1 Y II nse 1 1 full for" and.offact Ucensa Cl s ° LI 1 PLUMBING ✓- 1 t Dale Signature j 1 Der Sink Sealer Cep' ELECTRICAL WORK R ' COMPENSATION DEC RATIO '- nerebYaNVmthatLhaveawrtlllu Ol Consers self4murs of a cmtlflote_I --- -Sewer Automatic Washer er_100 amps.- WpikeW COmwnUilen InsYOn Urt)flwlcoPy thereof (Section ,ler - Backflow Prv'entW'-- - Connection' - _ - - _ _Meta_ _ - ." _ aee0, Lab. C.1 1 a Deekflow lNlpetidb Soler Cgseetors Construction Pole IZ Sub Pone iD Pace Na. ( Cumwny - ' - " _ Cooking Unit - Sub PON 1 � ACartlfled DY I hereby furnished. - - n Bathtubs ( SDI Piping Certified "DY Is 111¢0 With the CITY BUIIOIng OlWnon DShva a motors ❑O1HP❑1X3 Dat Appllunl Clar Lers 1 SOIa Tank E%EMRIDN FROM WORKERS'COMPEHSATIOH OELLARATION _ DISM1YAs11LT ' 1 SW n Post I$ '.9 w DIYm OGB" "❑EIXY IC c SDI ❑915 HE, 01E-I6f Mt Tnl no m t be completed lane permit) 1 Den ndred(ugo)O urt^loY Iwt In the paformsnu Df tnm pea ak to M n the p tt 1 I e la DHnklnp FOunte ns Urinal 1 ` Fan j Micronesians waif t employ any wrwn In t become subbct s the F.A.U. hi I POIeL Mt Lig ? ompenailonlLaws fCaliifornia.I � Floe Darin � I Wewr Ciosey I 1 ureQ NOTICE, If, after king-thi9 et 1 tiyoShouldb Subjectt the Flub Sinks - - (- Water Heew" �l Fixtures _ .Range- 6 - Workare•,Compensation PVOVI$i*M$.Of the Labor Code, You Must forthwith Ihls.permlt k J 'Outlets) d Device Dozed f ( 'Sign' I 1 omply With; Such pmvlslan shall be deemed el.a Gore Service, Wet¢ 5ervw P` t CONSTRUCTION LENDING AGENCY .a Outlets E7�-. $tend I Marshy affirm that IMre IS slmction lending i y for [help¢ r 1 of the k for sal tie permit Is Ins ed (S60on 3097 CI C.1, 1 ter tors: I 4 . gSeml Q $Wi1chW �--. I LanderS No _ ; 1 ? Kitchen Sink h 1 -1 .. Tran Com Pactor Le tl 'S. Add m - '. la. t C C5_, G OWNER BUILDER DECLARATION { -. "bege.D'$pwel 1 n by,elOrm that am'ew pt f to C t [ SLI L.a r In 1 - ' P T gip G nerator. ❑0-5 KW ❑5O 1 fll Ing reason (Section 7032.5 Business d Pr 1 l Code: Any City 1 1 I County which requires a permit to construct, alter Improve' demolish or result Structure; to Its issuance. also requires file applltiOt for M1 R f D Y 1 I - j • / T enefprmer ❑16-50 KW I , ' f y piles hilt I t fit Igned statement that Fujitsu Is IlCanwd pursuant to the Provisional f 1� ne , ' ( _ 1 r,l t KW- ' . to Contractor's tUmn a Lew Khasi er 9 (commencing with Seutld 7000) of 1 $ xlo 3' 1 me Buslneve antl ProfeMlons ceap'br, tnatl no he i 1 1 ShO ars s ( i R i >P ctlenlFea $15r •❑BU RemNetlion Fw $16' pt s'Y`al end the basis for the allegtO exemption. viola Io bf Ground ' { { / Meter -Oup to 100 amps 1 Itsw ' $ 3 told jV`"Ab any ppllunt b- P It b1 ns the appllwnt [ civil A Ity f not more than give notion tl d 11 ($500). 1 _ Se- S nk e _ 1 +- ( I Fess." I -S 3 Fw _ 0y. I 1I 2onmp APPwwo BY Doti 1 r he property v employees with allies their win °m ssticn win the me k O to t Is t Intended o Orrered MECHANICAL ' ApPI w¢an ppWUYad By em ..3 sstuse for to Isedlon 7044, Bu:ol e P r Innal cam, The Contractors - '' ' , Ucwn Law ado not apply t f Property who ¢atlas or Impwve[ B ler.' flelrl era ndn S stem g Y %t ApPI Uin IRud-BY tM1Crean• an tl sono daostud M1' work nimwll/neraell or through his or har own _ esu e ploy s Otdvloetl that h ImpEd ; are not Intended or .nand for la.If M1ovnver Duct- Under GiDund 1 I OU} W.Ooo BTU ❑100,01X1 BTU �1 `- -"- me bEllOIn ImOtowmant Is wIE within ane y far of Cem- 9M1e t- / _I SUMMARY OF FEES ( Eston. the owner Ell no bEnded of orovinD M1ahNo dist not bulla - Ira for the purpow ofsaim 1 r - I I ( lit Structu Dl ( - System Repa (Alteration I BUI LOING PERMIT ��[S�UM�M. $' Dist SMTP p E ' C�' . 1 as Owner Df the proper<y, am Cacluslrely contrac[Ing wltM1 Il[enwe cqn ' 1 i I tranonwnstrun tns OroleCl Ito ]044,Bmaneo enter Prolesslons Coon t D t Vent tat g- ,_ f ,� I_ -�_I .C•PLAN CHECK $• �2L' PERMIT 1 Tree CantractorNs License uw apply f p opertv ho w Contract f n p of Dello improves lMraon, with aeon- E haus, System ❑ Multiple ❑., 1 1 1 �. ' 1PLUMBING I $ I ' ISSUANCE E ' 1 L [ICLEO a s� penes pursuant w tacors ensu tawh - GOADING $' ❑ I'am enempt antler Sect a AP c for this reason I F'UPI/Fact Bit. ICBO♦ !; pLgN CHECK $'. ( H atng�Stand B Ducting ? ELECTRICAL $ $ Date '0`80-va f _ I n ebr. Erufyhe dmf WII to na-Here mel tN b ❑61 W,0000TU 0100,000 j 'PLAN CHECK.$ / n MICROFILM S l7•�(/ f atlon N Ct al sty and county m d state ttain le na nereey aumerlw raprES - Hood or ❑1 ' MECXANICAL TOTAL"FEE V w e u [ I tnter a m nnopetl Drown far Inspectionl e Typo I CBOD ❑ ' Rnrrmeolion Fw `i15 re . PLAN CHECK $' LESS p pO Slit i e { . T eII ,ADVANCEDPC ,E U ml rs' lie I Registers { lases Fw 1 3i ` / ( FINAL FEE f S CMFUe654Env.-2/e2 WMte-Buddingl Canary Applicam:Pink- Accounting: Goldenrod -Ambssor r. s t••� �,•.. ,-- CONSTRUCTION-AND•PLANNING, - - - - -. - POO( PA -=z .:_ - - _ -Date - •: .. -�, ° , mr- f 2Data_ _.,p7 -AP.RROVALS r Permit= _ 'Inspector APPROVALS. _ # Permit - Inspector,; 9 1 J n i , R• n t 1, t - �� '1': Tempoiary•Ekct cal Service orPole i • -' -; o o ' 52 ; Pool &Equipment Location or 2! ;Soil Pipe-Undrgrnd P- ' a ��: 1 I • `- j -'" :;; 51 Steel Reinforcement Electrical Conduit Utility-Undrgrnd; NT = r ° 54. Forms,- - I _ j LIZ 0 4. Electrical Conduit-Undrgrnd. j P •,55, Electrica48onding , 1 I , 1 io 1 n'. _ 5: Steel,Reinforcement .� ' I! j i L ° �? .' ``v ,• 3' ,' 'S6.• Rough Plumbing & Pressure Test r I 6. Electrical UFER,Grnd• ; w '-` 57., APPROVALTO'COVER-GUNITE II 7. Footings 58. Conduit-_Uncirarad_. _Electrical 8. Foundation 59. Gas Pipe; O:.Un_drgrnd., Test - 9. Water Pi a=Undr rnd. I P 9 0 = `. I - � 60. Backwash Lines; P-Trap, Undrgrnd.. I, 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line &',Hous bonnection 62. Backwash I& Receptor-Final . - 12. Sewer Cap I I ! 63. Heater &'Vent'Final 13. Roof. Drains lumbing System Final- '64. Plumbing-System- - 14. Rough Plumbing! 14. 65. Electrical=Final - .`151"Rough Electrical:Conduit ; - i - i - - -' 66., Solar,Systern-Final - - - -16.';RoughElectricWiringl ,.; ' .r ; -�m ���67. Fencing &Access Approval, 1 1 ( . _ - 17.1Rough Wiring'Sign`- i ' ' It I -' i j '- I `_ Q. APPROVED FOR PLASTERING �I 18. Rough ElectricaFT Ba-rr Ceiling I 69.' POOL/SPA SYSTEMS FINAL ,, 19. Rough Heating &I Air4CondiYioning 'FIRE DEPT•'REQUIREMENT: APPROVALSi Peimit# 120.'Rough Factory FireplaceI'fl !1 i j I 21. (Ducts, in'Siructuie,r •' I' ° ' 70 � Underground Hydro i ' 22. .Ducts, Veniileting _.,� t. j .j 1 ,{ i I r 71.' Product Piping OGas ❑Oil t 23: •Gas'Pipe`Rough & 7 aY a f . ? ii'. jl i j i I 72.1 Underground Flush, _ h -24: Roof Frarningi j •I �i�' jl,. 1 I g I j• j .,, - 73 � Undergrnd. Storage Tank O Gas ❑ Oil i 25. Roof Sheathing I I ' i... I r i i{� it j i - ". i' ` I. 1 .741 Overhead Hydro - - Ceiling IStructuralil & �Monocoa[- j j 1751 Dry Chemical.Fra .-26.,T--Bar Go - me meand'Flashingl(A/�,Q�',l '' 1-�p_b3 `.76.1 Dry Standpipe 28.!Lathing$Sidingj „ i, 1 I ` 77. FIXED SYSTEM-FINAL. I 9. Insulationtook >CAVA Pi r - li- 443 i✓I I i78. FIRE PREV. FINAL rs30. Drywall Nailing ; > . o'' j ji il l INotes:� 1 I :,d !� /k-43$ 31'. Plaster Brown Coat; ... 1 ,,32:r.ElectricahPower•Meier-Final.'; 1 1' �� I I t 1,ytsasJ 1 �i j I , r 131 ,Final Electric 34. Final Heating Conditloninvg- _&jAor 35. Final Gas Pipe=Test •: j ,� 1 , I _ j ' I - 38. Hood or�CanoPy'- V I % , - n• z 1 .. _ _ _or.I 37. Final 6actoryFireplace' i': o j; .Iq I: i 1 = 1 1 . A5LC-L ice✓l - �_�_ -/- '1-iS 38. Final Plumbing 1 j ; o� „ j = _ I L�So±w � ON RA 1.2$,41 39. Water Service-Final- r _ 40. Gas Service-Final , 41. Solar Domestic-Final I t I .� _,- _ -. --I - - - - �. � t:, ' I __ 1•!' t.i 42. Backflow Preventer 43. Backflow Irrigation' 44. Landscape Irrigation,Slystem '•a-• - j.' i - - :1 45. Sound4 Attenua{ion' 46. Handicap Regulations 47. FINALS TRUCTURE&BUILID INGh 48. Special Requirements Completed tI - ' , ' + I .49. Electric Release to Edison; I ;� _.�_t y L _ _ _- _ i_ _ _. .... - •• I , •-' 50. Gas Release 'to SouthernCalifornia GasCe 1 I ' ' ',, }I' IOFOCCUPANCY I 1 i- i 51. CERTIFICATE II ( No Date fi1WOFCOSTAfAESAi 1 ! 1 CONSTRUCTION PERMIT Pt �m a f .I"1' " I' /�Ste�. a i IrGYl.? i 'T GTr q,r _i. ._n.. _... Ir,1l�/ !', v t I'" ' (r� - _ ' 1'' --+ 7""7.' 2 atri' i I�r s;$'' yr q r' d 1 3q�'Jry "1 l y_ 4 !I'B/k7 A ;r i 11 M kyIBIY ACb-_ rte- F IV �' •t ' ES+I'�MM ny.i -.y Y i ,1• I 1 F�"^rc•t J `'t 7 OP GGI{T CONVRRaIO�lyl 1�O ID{Ek10LUI BaCR R1 dl?LFF t. nPl I 't-%IJT' IRA •TYPEIOF.PEpuIT�yI. OPADiNOfl Y �TeNAIIITIII ,TRICA 3PMlU[Gi O{WIIIIfIQ111 It No IDM 7VP DF < ou A TEPAY,ipN fREPAI ry g c h 1'.'ti! TERJTt:. I .J{ t; ..1 4f 1IP,tr% ,F wLl N R TUPAL 1 • N'1�,14UBINQ �tYECN) NI Nl 1 =Pil I OCC�IPMMV ::_t L TION �' ORADI 6� �VQ6� ...:'ACR I i sl M �••� £ I•'. -. •- �! s p Fid%+71� PLNO. PEF:O "I J r f -F x I 1 Yhs NB:. 1 N fl -a. L'EU DI ry 1; ' it •. A< ^Itt" Y wlb' �A�k9'Y ^• .1 C i4 }K'ft.' I L+C[[YFO CONTP' ROteIJlMT10 "IK`"" 7 lbN nNiuiM mWti i W /� kII11, � 91mmN ;md _ rm er aMmrl a a ul�r lyPl N,� .P�!+ap. Oltl, one /I / l� aoNP[NBPndN DseJIRPnD �. .+inbrbrfl.'btIN�IIN+•.pn1WWN�'ff obwvrt In f 38% l?b. 61 .; I m' I..` tMHor jr IBMNIPII r.9nlf d wphr MT+L MwRNn �M 'Y' 'e«tln.e lPr l�Rp?WtAw 4nivtNuepw. -•^ �..,�` �'-- NUN III J GP �I TAR 1�r7rt REPT &DE..YARD 4 RIR11T11 A , n ""h RKD BPgCE RE t y __OV 1 to r,iN 4: Yc; "� k" M I �Z z fYZI .. ...re I '.:� -.� s' t ^ [TREIiT "erdll:l - IIA N F . • LcoxDl IDROP l b I . BOY Cal_ . 1 f .: Cd � .. -- +� BMOh } IINIIIN -' -.;., .maiTak. ',t .r d Butt, 4 I r liE:i q n�... P.+.. %e : [K[Pt IO lTD RKlP9 COM NBATI M D[C RATIO M bn Mg1e1p.q.`NI,IPblptt mil Im pM unu��e( 1po� '� i Nllnrlm I '1" 1 1 FroOWN n t bN rrmN Mr M Pmmb N INtl 1 W rmplq In yIMnro u 11 fIN , _�NNllNI C?IN tell -_ erl IIIOrnb4 I + D - pink F kro 1 k1B PmIW�IP I Ur4ul' -" •. ✓ I a 4 fEn''.� IM.601N B/6 -' B•t N - Fbp OreW ' Wpr emtl > - FAL :t Y -IqT CCCxppp. febr'mWw'tnb NmNM' Cp xl;q �lFh b 1 t vl a NWt- DNv ucnlPnluNDiN"6rA0[NDYY� j-"�j or Www m t� ON III etimt 4 IIIb bO 1 I7ri 1 l - 1 fa-" I� 1 lMl Y GY art _ ONNBM 1PGm1ly D[ •�� d ) I r'I � 1 n..ma:.°rYl • 1 qn-P - I�m'rymbl� M conb.n b.11+ yN yr tnr M�bNI1y r�rIpIj ctPmV Oal3 CMN Sttl P/oMNiICuPA< Rm/ dtY b Y ryul�1orla 1Ppmltt IN�rNCt. ELut. Mpprr YY�i P mnlHnlarraPMl abut� PI r -t I[ �IgYPm. rN ba bN aPgNi �1 wN N fl flMi Pt MWI IMt ImAu b INaPUP ImIM t b IM eroNfef LNbwY u tap t�n yr i fees �c�P II�M gmbll.TaC�j m •9a1 tM rBUYIND A �iobW s toes) 01 Ili ,�s •gMPt m mtl IM bWf 1w� n �'blyryeMn 60 ,py't rY„OnPII t rPM Iml n = I.lu^r 1e Rtlw iatl� Mail"flgnn eaiwr aepla FmTrr 1' I 1• WMr ol'tM .ro rty wmlNOYmf WM.gPp tl m �mmtttNn` o alae M ryry F <le. �ftryrvgqUnits 1I etpI�mrneM n b 11(8nf.�l )l%4p Yrlf 1oPbM1W YMv rtl bul�m Pm YYtebuvM eoN sum wdy NmNll }uiWr p nroypn nori r'NIIP {M, Pn In�] M t 1 pIOMmtle n IN pt Mutlm mm oMlNe )Ori wN,'1 •: OWLYer ,II. b I. Iny fmm I M M MIp n+YPL 1 MMIn • MOW W II \M r of MN M P�N tM Pu DqM b�'NNI• �r' I .,� r• LI I: Wn� 01111�M MWNtY PN Im N mM tMInP WM IlwnMe �e�C nh II I°I.A�W as YO M oeb nv �b�uullllm 0 Immowi t Nne NM rot f Prof W mn• ❑_-m11 mMY0 rlWPl tO M MI Lim NY li IL (' ,II g p� -1 t! 1m1eM }CtbP -.. 1 a 1�.. •.•✓t INNn Fibs F -Y s Yt� z - B°t'b' i o i 'I DtivIM Bo..m n1. Y i J O O O R �: , j i Ou t 1 . 1 O , .Y Bioko �^ u A AS "iS 1 KI¢hNu! 4 rII .: � .. T1M P If M '< �.1 `f' ate l`M N w ': i "'^ 'R C O P. . IVPPI I � 1 �,' .,�' 1., P�TE"q 41 IN v C i.,' 4 I m.l r f P DI AE ; Y C Z -�i n- ry p C ��y�.� .,r. : 4 I Y `•'•""""'I X66 T n l 1 QI1Y L wtKW q , .,' - t5 . �S' [3 . r: }-: < E F e r m 'm $ �j t F� 6 pWl APpbtlbn i Ift v M /m I 1 1 ✓ t 1 1 [ I •. f J'' 1 Itl BUI IlRi PERMI ° IP 4 i ; P 'C!'ECKYq. v 2 e PEPkB 'a+ x,-0-,'* PL IIt6 y " t 1... PW CNECK r r 1'.r r :G AGI O 8 ELEjCfit;cAL n� e.� • IkINS PLAN CNECK,It � / A f.T AL FEE tht} 6 ME xA!{lCl1 i 1 � , i B IT PI C ECr;.� ;y'Ap(.YA DECfCi 1.: �1 , I '': .t I t FIMAor � t .5 4n - di '£ - a y. '•� .� Ly f-1 l 5 Y': S J Bm�e ll6"3 .14, 111 'IMiN FIa •a m �..: .ME G- 1 . 1 l fl y bt _ C •. MDO U 1LJ1pp BFIi + D I rm f I D _ . nlZIP -19gIr�AI s'. D ImR - j E Sylpm ❑ I O "` F Rfl4.BlC IGBG 'Ler �a. x}NIVBvR}maG maa r -:.: - BTUOI I���� 1 LerINH M a mTYM munMLy�m lutlw WIs1 11 �4 NNt 6o Irol Im tml latest LolWI tyro- vmgmf� e} INS Y M, t W INr M Orlwn• IJbmi a5 - , 'FYL 6 5 I . l: R . : ..� � ! I .8' , � �,A ' L/Prf'� /c,3-4L sle3 AV heart to fill In S!1.IPQc4S exempt mese within heavy border lines and signor appropriate declarakinns. �. 600 OF COSTA MESA _ { RMIT NO. TPACT NO ,LOT NO. B +- - CONSTRUCTION PERMIT - - ( G' - - - • o /p3 y / oa03 p •' ' 1pf,I1 1 p r. Applicant'a Melling AOtlreu -� Q .,TWE OF CONSTRUCTION NEW woo ALTERATION REPAIR19,Ign30 i i 0. Add aC'OWar IDAdHLiC b '}1111:3 1 ❑ CONVERSION DEMyL15H ❑OTHER --�— IeCt mss Pw s Na eL AeN'AQiifICn AQ$y eTN6B Sc� rO DrvTK C-.B 3ilLaxJ cZe 'p adalLlc T Ada eu. -3 _ 'TYPE OF RMIT: GRADING FOUNDATIrOTN1,�STRUCTLJ UR[LL p P.vP 4 ''ZONEu. A-k/Eng._-LicenseND, ❑TENANT ELECTRICAL E, PCUMBINO LTFAECNANICAL PLNG.REF.b BUILDING P, Li -flUIrEFITY ran C Irani- Nm gCllr Q one-/d-7� PRO{ECT OESCRIPTIDN S4; FT bCciIPANCY -1I BEAR YA RD ITO P/U 1 Atltlfas lrfaing) �p�"7E E-eoL9 dqF ST AIYJ• JUS CONSTRUCTION TYPE .VA WATION $r.!�eT.S LEFT SIDE YggO RIGHT SIDE YpRD'. 1 irY (e'�b - Clear" NO '� L ZONE GPADINGCU.YOS: -ACRE - PKG.SPACEREQL - PROVIDED �•- " - " LICENSED CONTRACTOR DECLARATION Remarks: _ 63 STREET WIDTH! PARK FEES I hereby affirm that 1 am Ilcensee Yntlar provlsl ICD t 9 ( m¢nCln9 - , , With'xtllon >000) 01 DIVN100 301 lM1e Business tl M le[[lon Cetla and SFECIALCONDITIONS: MY license1 II force and effect. .an ' Upon CIa ` 1enup j 1 PLUMBING OataFf/-97 Sl9ndfure' Bar Sink $ever Cep 1 •AummM¢W¢tr ELECTRICAL ! i YORKERS' COMPENSATION DECLARATION. ' nenny'aff rm tlutl na.e a.cemt oteoi copse ere iN urear Uilote. - W Bakflow Prry¢nter - -- - Sesim'Con YO F- -- - - _ - - -Merer_❑ 100 small 1 of Workers'COmOensatlon Insurance, or continue ai thereof (Section 30¢x00 c) 1 Backf ow Irn9bt on 1 Soler Collecto DO^91NC1 P le Sub Panel Polley N Co p Y 1 f 1 Cooking Unit y I 'S bPole .� Certified Pv I D nv f IIIc 1 { 1 B f Bathtubs 5 P - f 1 Cerlf ajpp)_I lII o with to city II DI I D Bhneshe 1 Motors ❑ml HP 01M-B itis gppll t Clarifiers-r I S01-T k 1 EXEMPLION^Fe FROM WORKERS COMPS SATIONI D6 LARA� TION I _1 �I DSM1rrar $wrmm nn Pool w/SPa 1 B DryeR-L1 Gas 10EI cVic j c.$ol4 915 fIP 01919 ITN Do tl t b completed f the permit f hundred ($]001 l - -II 1tifytht la aa^me •. Dik BF Fountains U 1 j Fa i - - 'M row i the performance work for hill thf Permitis Issued Strait t employ I [ b bN[t tIr pe yO� r / W k to - s la s f C ( W FI Driers!.Wan ClosM FA U * .IPI !L 9M i { Lynl I { NOTICEr'If It ml declaration you [DOAu1Za became euel I t Ih 1 W t r HBet - — �- �i F- �- I f a Range, � ._j-.. I 3...1 f FI Sinks 1 - rtg work . C Pe tl provi f 1M1 Upon Coad, you, u [ f th tM1 Comply rwlM) Such PrWI41en5` SM1I[:perm[[ SM1011 DB tle6mtl- revoked b Das 58rV Ce.; Call One 11 -Wet ly$Bf ~�_, DBVI@BOBS { !Sign- 1 I I I CONSTRUCTION LENDING AGENCY' - Outlies f IherebyoflmthtthereIsaCo 1 c1100lending akenci lM f IntemeptOfEl In 1 { I $[antl1PB$0[t Ons of me lwpk for. Whim-thi permit is'iss p (Similar 3089 n C.It k-{ $w mhos • 1 r ' 1 1 V d Name" -' K Ich $ k• Y a ( _ ;hash CPmPactOr LaDe Asa e 1 I -. 1 OWNER{BUILDER OECLAPATf ON 1 l - % LB t `t.'I 1 a r,- Garbage 1 { { 1 I 1 I M1 etay affi m tot I d t Cttt tM1 C t t LI raw,I to - ep IL i G ¢ etof OD 5 KW 05-15 KW f 11 Ing reason uSectlonJ03l 5'B I d P f 1 Came; ;Any City Or 1: P T I , ,y 1 'poorly Which ep 1 permit -construct,R G t Y Structure, 1 Its I su a also th t f demolish Traniprmr:r ❑15OKW Prior 9 e pPIMa y n[i R PO 1_ I 1 lift - signedstatement'that n / he licensed Pursuant 1 thepoll f n+�C tatt N tf (cn pt 91 1.9 1 se - 000] I 11 nf3' I the Business tl P 1 I tM1 he ' - $howtts ' i - I 1 1 R peel On Fee 1 $15 SSU+KWi 1 'R Fare ='R. 1 a 0 Cotler) 1 sn I Pt Ju+T IrOm' d the ' b f the - mu q y'' viola ]on f Saturn - _ - Meter ❑OP 16IN@mail 1 1 F¢e' —'s 101.3 W y ppll [ 10 pe L b) t In ppll t to dull - 5 Sink s - : $ S �e 1tr f: t 'ban o n4e.n d be a n Is5001 I I L IOU e Fe's }ynhrp Appe!led BY- I n..1 LII w II m p pe IY Y DI i -ve11 YM zW1D 9H 4 tneH 4010 MECHANICAL' 1 - .- { unor a the k e m t d e EI )0M m t d Prong ' for Ie•hBy 1 t n[arMeE or Offarea' IOonal Code The Contractors a 4 1 I App ton Approwed By � Date 1 Uwnsa Lawd l so ply1 p ceny wD bhas Proven I Bole - .'. Refr gOratian SVatam Ap141- ton ISe By ,/ - •ta �-•/Q �ff3 Bhereen,. dna, n Hom,Such k n1 q/n If m n na[ M1 n I mal MCD 1 o t - t I t ff dfor - 4 p10 oS, rrovldee p rietl r I D ct UntlerlG antl PP1DDpUU BTU ❑100:DDD BTU. Sale d t m g p t la Im1 y r - - I i SUMMARY OF FEES ; pl tl me Ill n theD d I p 1 9 n/ M1 d e orb ile I - rovefor thep p frole) I { { pO - 'i Structural -- I System Rep IAlte atron BUILDING PERMIT $ I. � SMIP r I $ V 1 - L f thep apartI Ir i t1 9 nn n a to hacmrsto� t dtn'P cSmake[I 'ZOaa,Buslnaoa a-wpfe Catl �_{ Duc[ Ventilet rap. _,_,-.-, _ [,T ,� - _ I PLAN CHECK E- } PERMIT 6 ' The 4 LIer 4 U tl I pplY t f p tY who builds - p M tl M1 t cls I n p oleos Ilh a con- { 1 Ek11euR Syrtem ❑ MUIDple ❑� [ { L/� I a' I I {PLUMBING $ ISSUANCE' 0 $ {, I tractlicense Pursuant IO the Contractor's '- 1 GRADING S i i - D Yam exempt unser secuan I Ii. a P, b. m tnl I Firepl/Facl.Blt ICBG# 4. s l r .'PLAN CHECK' 1 $'' j a I r 1 fELECTRICALr $ i $ T 1 Date p 1 1 I I I HeiMAi9VsRm&Ducting I 4 In ay myth ti-n -- emi applmahom all's-lata tn'at'tn n "^ stumpoDrBTU ❑100.DDUBT - — ---� Y, I t 'PLAN CHECK, $ MICflOFILM' 1 $ 1 n 1 f [I a 1 gree to coni with an city and county oralnancet i r Y t 4 4 ' MECHANICAL TOTAL FEE; $ a' t m laws- relating to thi construdlagpna nereby authorize repro 4tl O1 th ity, to enter LPO the abavementlonetl property for Hood Or T' L1 i Ype 1 Ra I Fnt - $ f ' r I LE55 1 .. ' 1 peFt1 a es I ) �I� 1 lana T e II ❑' I rtlpaPt e $15 PLAN CHECK E I 1 { 1 � g3 . ADVANCED PC $ { 1 Slpnatura Dabol 1 I aDdvers'LI®n4e err 55y Rei tors ' 9s I { 1 1 Inge Fee s r $ $ ! 1 a { 1 I FINAL _FEE; $ CMF 0855A6 ray. 12182 WM1Ite- Bu1101ng: Gnery-ApPllunt: Pink -Acwunting: - ---� Golaenrotl-ASSOMOf - - - � ' CONSTRUCTION AND PLANNING {Date APPROVALS Permit # �� Inspector - POC SPA APPROVALS Permit # Date Inspector - ,1: Temporary Electrical Service or Pole ,Soil �; ! 52. Pool & Equipment Location ` 2. 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. Elegtriciii LIFER Gind. L I 57. APPROVAL TO COVER-GUNITE 7. Footings t ' ; 58. Electrical Conduit•Undrarnrl. _ B. Foundation _ ': 59. Gas Pipe, O Undrgrnd., Test 9. Water. Pipe-Undrgrnd: 60. Backwash Lines, P -Trap, O Undrgrnd. ` 10. Structural Floor System '. k 61. APPROVAL TO DECK _ 11. Property Sewer Line & House Connection` i r 62. Backwash &Receptor -Final 12. Sewer -Cap '� 63. Heater & Vent -Final 13. Roof Drains -64. Plumbing System - Final ' 14. Rough Plumbing i'., 65. Electrical -Final - 15. Rough Electrical -Conduit' 66. Solar System -Final 16! Rough Electric Wiring 67. Fencing & Access Approval • 17! Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical=T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating &Air Conditioning FIRE DEPT. REQUIREMENT. APPROVALS Permit # �. 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro , ' 22.. Ducts, Ventilating 71. Product Piping O Gas ElOil 23.' Gas Pipe -Rough & Test 72. Underground Flush . 24. Roof Framing 73. Undergrnd. Storage Tank ❑ 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 Notes: i 31. Plaster.Brown Coat, ',,* ! 32. Electrical Power Meter -Final /. - 33. Final Electric _ 34. Final Heating & Air Conditioning 35'. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing -39.•'Water Service -Final - •i 40.' Gas Service -Final 41. Solar Domestic -Final 42: Backflow Preventer - 43_ Backflpw Irrigation 44i. 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 n all argues within heavy border lines and sign all ain ro nate declaration:. CITY OF COSTA MESAPEw MIT ND. TRACT NO. LOT NO: BLDG NO. CONSTRUCTION PERMIT LC e� (, 12 Project ACUraD .660S 4CJ4rD/O1-J¢ TYPE OF CONSTRUCTION X rjsE ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ODEMOI - Owner eAir PhOne y Addrm Cf SrV_ (pC ❑ OTHER DESCRIPTION OF WORK 2hlEng: Licence NO. ACCrQ54 G N an 0 property Contractor 'ifJ yCeuCOD j6jrEtZw. Prgihe'Z.J-SSrr TYPE OF PERMIT GRADING O�❑ FOUNDATION ❑STRUCTURAL EITENANTA ELECTRICAL OPLUMBING OMECHAI Addrm Z72.3 A5, f6tfi6049"—Ynar❑ LICENSED CONTRACTOR DECLARATION p onww by affirm that 1 am Ilnmal under provisions f Charter 91m- 11 maIn Ili Ion ]000) f Division 3 f the Bedlam, a Roftlllom Code. and my IIGned Is In lull force and offech. OTHER —/O Z4Y PROJECT DESCRIPTION .. License gylass License n 50 -FT' OCCUPANCY_ CONSTRUCTION TYPE Date LL L.k.Z_Signature. WORKERS' COMPENSATION DECI.ARTI 1 I herebyaffirmthat I have a certificate Of obre ro/f-Insu VALUATION ZONE a Compensation Imu nearOra copy SYSTEM of (Section 3800, Leb. C.). GRADING CU. YUS. ACRES I., _YNI tri JS94i/CompanyistuaM6M' JAJC. EO,. BTU ❑ Cartlflad copy H hereby furnished.-- REMARKS: �a.ZLZ ❑ CertIfIRd copy 15 filed with the city Building Division. § - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ation need hat be correlated if the pi is for One hundred i((((This IEce00?fY that In too performance of the Work for Which this permit Is not eermployComany Person n an mannerCaliforso as to become INbralsubbe PLUMBING PLA N CHECK IosLalll tionl BATHTUBS SHOWERS n.1, Signature I bass[ Date Orivers LICnO! CMF 086546 SERVICESINKS SUMPS hour r0 a cine primary SEWER CONNECTIONS Areas with wages as their SOLAR TANK COLLECTORS structure Is not Intended 'PERMIT E SOLAR PIPING SYS. PLANCHECK u1 RaM[slont Code; Tom an 0 property _ An, FT [SUCh or s If Or ISSUE FEE GENERATOR TRANSFORMER APPLIANCE onImwab eents are not MECHANICAL PLAIN CHECK EWIeI nIo oor improvementws rho vmentt har U 'don sr the Purpose of ale). l irely contracting With SeCti Bpplyusin HEATINGSYSTEM AND DUCTING - 0100.000 BTU_ ]00.000. BTU `00 se I-awodoef nal REFRIGERATION 0100.000 BTU— !anercon, and ral pursuant 10 SYSTEM 100.090+HTU— B.& P. C. for this BOILERS BTU t -JD -Sz ISSUE FEE ewccounting: GMOenmd-ANessor N 1994 ,2/11/82 .'22.32 TL dN/r OZ ZONE PLNG.REF.i PKG. SPACE REG. PROVIDED I SPECIAL CONDITIONS: DATE SUMMARY OF FEES BUILDING - 'PERMIT E SHIP E PLANCHECK ELECTRICAL PERMIT - - PLAN CHECK An, FT ISSUANCE § - 'W MBING P GENERATOR TRANSFORMER APPLIANCE 0.1 KW 1'10 KW. 10-50 KW-50+KW_ MOTORS HNC. SOLAR) 0-1 HP 10-50 Hp_ -1-10 HP _ 50+HP_ APPLICATION APPROVED BY DATE SUMMARY OF FEES BUILDING - 'PERMIT E SHIP E PLANCHECK i PERMIT - - ISSUANCE § - 'W MBING P § GRADING- § PLANCHECK S - ELECTRICAL §g2z�3�... i PLANCHECK S MICROFILM E - TOTAL FEE E MECHANICAL § PLAN CHECK § - LESS AD- _ VANCEPC i_ �� _FINAL FEE ice. CONSTRUCTIONAND'PL'ANNING� ����p APPROVALS Permit # -.-J._ Date Inspector POOL &SPA - ,__ �• `.APPROVALS Permit # - Date : Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - - -- - - ' _2. SoilPipe-Undrgrn• • ' ' J.- . _ 44. Steel Reinforcement - - - - - --- - - - -- _ 3._ Electrical Conduit Utility-Undrgrn _ 45. Forms - - 4_._ Electrical Conduit-Undryn _ _ _ _ 46. Electrical Bonding-. -- - - - 5._ Steel Reinforce 47. Rough Plumbing &Pressure Test = - .6. Electrical _UF_ER_Grn 48. APP_ROVALTOCOVER-GUNITE -- 7. Footings ,.r 49.' Electrical'Conduit-Undr rn _ B. Foundation _ _ _ _ _' '_ - - -50. „Gas Pipe,. ❑ Undr rn, Test - _ 9., _ Water Pipe-Undrgrn _ _ '_ 51. Backwash Lines P-Tra - ❑ Undrarh - --- -- - - 10. _ Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House'Connectiori'` _ _ _ _ 53. Backwash & Receptor -Final - 12. Street Sewer_ Connection "r•'" ' - - - - -- .. 54. Heater.&Vent-Final - 13. Rough Plumbing - ystem 14. Rough Electric -Conduit -- - - - - 56. Electrical -Final - 15. Rough Electric -Wiring _ "' --'- ' '- -- - - - - - - - 57. Solar System -Final - - -16. Rough Heating & Air Conditioning - - -_ encing & Access Approval 17.. -Ducts in Structure'_ APPROVED FOR PLASTERING- - - 16: _ 19. 20. Ducts, Ventilating _ _ - - _ __ - Gas Pipe-Rough'&Test _ _ . Roof'Framing_. t 60. _• - - _. - _ _ _ POOL/SPA SYSTEMSFINAL- 21. 22. Roof Sheathing Frame'an'd Flashing - NOTES: 29, -Insulation 24. Lathing_& Siding - - 25. Drywall Nailing 26.. Plaster Brown Coat. 27. .Electrical. Power Meter -Final 28. - Final Electric c- 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 - - -- -` 41. Gas Release to Southern California Gas Co.' 42. i' • CERTIFICATE OF OCCUPANCY " No.-_ Date - Applicant to fill in all R aele within heavy border lines and Lon all ,CITY OF COSTA MESA ' PERMIT NO. - TRACT NO. LOT NO.-' BLDG. NO. - _ - "- - -- ""- - L ABU ' (CONSTRUCTION PERMITIMe—raf7sSit I TYPE OF CONSTRUCTION t(• NEW ❑ ADD'- O ALTERATION - ❑REPgIq ❑CONVERSION ODEMOLISH ❑ OTHER I' I' - - _ I - ZONING REGULATIONS - j Project Address35119'CArliAsupi Owner Phone - Address 1301 noords q Fjjj ta, 760. ArcMEng. License No. - Ne HEdC}I DESCRIPTION OF W_ OR_K - - - IA'P"g0 .... - - - _ _ _ _ �� ".. 2ONE PLNGf0.EF.; CAOSf0CI0f :p]lEYM3 91Z. I3[C. -' --Phone, 283-959 -TYPE OF PERMITc •- - .i "' '- '-1"' "'" ,EBUILOINGETBAC C T. - -� gl1 -aQtJpE1R Y.LI R LINE' ` AddrMt -' -' - -_ l POlfir ,O GRADING '-FOUNDATION ClSTRUCTURAL—Y O -. I I ❑TENANT QELECTRICAL- IIPLUMBING �L'(1ECHANIC 1 LICENSED C0NTHACT0R-DECLq h011 I hereby affirmthat licensed - tl p o slon3 of Charter 9 (c tion ]000), I ❑OTHER 55p -- - RIG 1 - q g with 1 DIN( 3 f OR BUi tl Professions tl 1 11 REpR VY.RO P/LI - Cos y and f [ ITO - L _ LI Class L PROJECT DESCRIPTION "-.� _ l -'"� SO_FTI' :OCCUPHNCV�CONSTRUCTION TYPE, _ - PKG SPACEREO- ISTREET WIDTH - ,PROVIDEG� _ �, PARK FEE is. /- Oatr- >��RT Slider ure WORKERS' -COMPENSATION DECLARATIONS .1 M16leby a1111m thatMase a cerlllica[e of consent^(O self-insure.or a ':cote TVALUATION V_ ZONE '(ZONING APPROVED BY , 0f Wetud" Cc Mpensa[On Insurance or a cmllfea wpY If i5ett on Moo. Lab C 1 � :GRADING CU Yp3 ACRES SPECIAL CONDITIONS: _ ..pEMAR_KSe P., -v rvo. uroA'I dOd96-....M1 ❑CertllIN COPY Ii.h<rlby f WnlsryGa. _ Lertllled COpY IL 11100 with th021(y BYI1dIb9 DIVblOn. EXEMPTION FROM'W ORKER$' COMPENSATION OELLAp AT1ON - -'- - .. _ _L.. ... �•�- - (Tnis seo[`ii nssneetl not he, Compl¢(ed shoo 1 IslasI�IY]M1at [M1 p 1 n the aolk t M n Ihl perp tl (shall t� Ply y PLUMBING�07�, 3'PLANTHECK '-`RELECTRICAC-J'-- -'PLAN CHECK- - -Sublad to tna WorkeR Compere fl nLew5 o1 ___ _ _ BATHTUBS -SHOWERSUW1 _ _ _ - I - Date RNA/Rp Slgna(ule CE: II aflOC miklpg 1X15 dlChirallOb•YOY ShOYItl beCOmO'zubteL .•TOILETS- �,p -.URINALS'-" "-"(�, -""� IGENERATOR--0.1 KW_3-1 O1KW,' " "-- - TI t t f0lhe Workers' CCmpensatl on prpVlslpns Of th¢ Ldm O[r eetie beat .TRANSFORMER forthwlthcomply with such prOVlslon5 Or tM1ls per s M1a d em m LAVATORIES DOUBLE'CAVS-` ... A - PPIDANCE- -1050'KW_50'*KW "- - O 'a revoked -KIT. SINKS DISNWASHEpS' - ^-"�-"1M0T0R5�-' j O I'HP— Y 30'HP- .CON$TpUCTION LENDING AGENCY hereby affirm oagency follM1 eper- thattherekfo ISachnthis per SERVICE SINKS nT SUMPS--""- -I(INC.SOLAR) 3090 HP_$0-AHP 1- matio Ofth it IS of the work for which this pno1R HIR Uad ISectlon 3097 - .formation ',CIV: C:).-- - -- - -- - - -- - -' FLOOR SINKS FLOOR DRAINS `Fl%TV REST--OVTLETS SWITCHES' ' "Lentler'6 Name __ _ _ _ _ LenaePS Address -DRINKING FOUNTAINS' -- --- -- jGASTVBE SIGNS'�"'-- IOhereby WNER BUIfirmLDERDECLARATION from the Contractors License Law for INTERCEPTORS CLARIFIERS - - ' POLE LIGHTS - - "'-- - - - ` the following reason (Section -0031"5 Business'ane-Prol¢z01on5 Code: -SWIMMING POOL - PTRAP -- '- �PO city or county which requires a permit to consUucf• alter, ES METERED SUR .✓i 'WATER SERVICE- "-'ALTERATION" '" -- ' PANELS - --MAIN 1 .. .r. .. ....- . .Any 'Irep o demolish or repair any greenlet prior Write ISSURnC0• also A. Cubic the apllicanl for such Permit to file a signed statement that he to ctorY License Law Totten is licensed 9ursnanlming GAS SERVICE - OUTLET§ ��'� `----iSERVILE -' - --"--'--'�-AMP p - - 7000)he (cOmmenCln9 With of ]0001 OI ssir 3 CB Me - WATER HEATERS`-' STVOUTPVT. de) or essantlNdesdSonsCPkion. my s expansta m .S M¢ Ylolaionofsction7031om for the alleged Bntlmft-SUb Any of Sector ]031.5 by 'SEWER 'CONNECTIONS - ^" "� •" '-' �' - '" -- �- - - he-UPon applies a-CIVII-p0oalty- or fiive hundred dollars ($50o)ICBOI't0 a ore un of not ore than s -SOL'AR'TANK' " -COLLECTORS "" "� ---'- ----- -- ' -- - -- - - - Cl 177s ovine/oTtne pio yetis -wi[M1s o: mind they; So10 COmpOn the not intended will do iM10 walku BOtl iM10 SIV Profess i5 not ide- ^•� r OW, OI Otf¢retl for sale, ISICOOn ]Oda• Business and hO1e661oh5 Code: Tn0 Or The _ SOLAR PIPING SVS- - 'I _ __ __ _ ' ' 155CATION - _ ., 're License, taw ares not apply to an owner of a property ISSUE FEE - 'il - 4APPL'ICATI0NAPPp0V ED BY---- --'- DATE --'L- APP Who bUtor•s wb0 Or Improves or and vino does suer work is es.-Prn, provmed that such Improvements are not gh-h] are or._own"efor MECHANICAL PLAN CHECK _ _ _ __ I SUMMARY OF FEES I `.E inre de sale. intended Or donna for Osale. If• Arwevaq o building Or Improvement' hoyden Sold 0nln v i poet) owner will have [h hoyden hI - f I. g n did improv lel. Spend lpane for M p p Q HEATING SYSTEM 0-100_000 BTU -1'BUIUDING-- - E - - SMIP .I - M1 ID p eeclus V Icontractingwith. t AND DUCTING -- - ,PERMIT f rust ]ono BPSness licensed t t t construct the project Iseaw e p 1oo,oao+eTD STU PLAN CHECK § - PERMIT d -w I di a Cotl ' Th C Law tl a not c to _ _ _ -ISSUANCE $ an owner of wilds or I proves f property who Itls or Improves thereon, and who core , REFRIGERATION 0-100,000 BTU : }PW MBING E such it the Contrmtsbcbprnetls with a-contrac[Orlsl fceSNd puRuant to SYSTEM' - - -- - - ( - -� --- _ __ GRADING- $ the Conbactol's Liunie Law). 100.0001BTV - r ;PLAN CHECK S""' I ] J - :. If, y- Q Fam eiemint'bnder Section - B. &' P: C. f01 [013' - "- -- �� - 'ELECTRICAL E - ( �§ reason- - - - - - -- - BOILERS BT V• SYST EM REPAIR. ALTERATION E%HAUSTSVSTEM MULTIPLE _' iPLAN 'CHECK $-�r— '' _\MECHANICALS e MICROERM�§ TOTAL FEES +Cel f '- LESS AD ' Date O her I hereby ar111y In I lli dad of a_pp llfd It sl sMlethal lheaboVe ICn101maly�e�i OrApt I IR (O mmplY 911 nY Od county alai PLAN CHECK -'E _ 'VgNCE PC'E"'" rdlnin{es an state laws VUCUO soUL I repreu ve{j1-rl-'MIs ity t0 e e hove enHOn¢d 34[^a ft plp0orl )Ig5p0d10 our -5�20�82"' 519natura I -Eat0 -� ! • FINAL FEE B' /Da - Oilver6'LIiconu or 554 ASSUEFEE ----- - - -• - - CMF0O65-46 WhIRSUII01ngi CanaDAPPllcanta Nnk-ALCOntin9i Goldenrod spsenor pit CONSTRUCTION AND PLANNING � APPROVALS Permit # �L-+L11.� Date POOL & SPA Date Inspector Inspector APPROVALS Permit 4#_ 1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location - SoilPipe-Undrgrn 44. Steel Reinforcement - - . 3. -Electrical Conduit Utility-Undrgrn_- _ 45. Forms - 4.. Electrical Conduit-Undrgrn 46. Electrical Bonding- - - Stee'l Reinforce 47. Rough Plumbin` & Pressure Test _6. _. Electrical _UFER G_rn _ - - 48. - APPROVAL TO COVER-GUNITE - - - - _ 7. Footings _ - _ 49. Electrical Conduit-Undr rn - B. Foundation _ 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn. _ 51. Backwash Lines P-Trap.El Undrarn 10. Structural Floor System 52. APPROVAL TO DECK - 11._ Property Sewer Line & House Connection_ _ 53. Backwash & Receptor -Final ' 1,2. Street.Sewer Connection -.54. Heater & Vent -Final . 13. Rough Plumbing _ _ - - 14. Rough Electric -Conduit -- --56. Electrical -Final- - 15. Rough Electric -Wiring- - - - - - 57. Solar System -Final 16. Rough Heating & Air Conditioning - - - - _ encing & Access Approval •• -17. Ducts, inStructure_ _ _59. APPROVED FOR PLASTERING ' 18:- 19. 20: Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing- 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 1 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 1 - 40. Electric Release to Edison -t, II 41. Gas Release to Southern California Gas Co. - - 42. CERTIFICATE OF OCCUPANCY No? Date Applicant to RR in all spaces within heavy border lines and Man '. CITY OF COSTA MESA- '-- Pr MIzz NO. - TRACT NO- - LOT NO. BLD . NO. I I - --- . - CONSTRUCTION PERMIT V O{ 3 c2 TYPE OF CONSTRUCTION 0 ❑ B y2Gz— 0969 -"---- .11620/82 - • 24.00 ^ - Prolett Address cowDI LL 'Own - Phone 93 NEW ADD ALTERATION O REPAUA O'CONVERSION ODEMOLISHI. - ' Address - -. ... ) _ .. _ -�. - �•. ... OOTHEfl 'TONING REGULATIONS 'ArcNEng._ f License No. _ _ _ DESCRIPTION OF WORK -- A'P-i - - ZONE - -PLNG. REF. B�,NG Addres .I 6 e '3j TYPE' OF PERMIT,• '- "-' ° -' -- ❑'GRADING - 0. FOUNDATION --.O STRUCTURAL- - Y -- , O'TENANT�O)ECECTRICAL.K91-UM9ING-OMECHANICA a20PLORTT" LINE - - Addms LICENSED_CONTRACTOR C CLgRgTI N 1 hereby affirm that I a Ilronutl tler ptevl5i Of CM1eilei 9 {cord. - , 1 T- oris menOMing_wltn-sectlon ]000)- CUOIYIslon.3 L tna_Busin¢u and DOTHER " a a %OI dons Cc itmy)c4) In uY RB PROJECT DESCRIPTION { REAR YARD (TO PIL) -'- - -- -- - G 'J Y� Llcensp Cl�s�/ 'Nr. b - $0. FT. 'OCCUPANCY' CONSTRUCTION TYPE _I -�_- 'PKG. SPgCE'REO _ :STREETWIOTH" - PROVIDED Pq RK FEE E" /T " Dat 1 r ism_ WORKERS'COMPEN5ATION DECLFn ATION 67 0- - - ' •oby affirm that I hard a certificate Of consent to ealNnsure o - VALUATION ZONE - ZONING-APPROVEDB Y DATE �' - - IGte IW ki C p tl ra o IDISd.cdPM -. - GRADING CV YDS ACRES - "` $PECIq L'CONDITIONS sof I$ectl��3§9Qµ,O Lab C) ICY No ^ n1'Y'. pe Y �� � REMARKS ) .T, T. carries copy- hereby f- Ihrd Cel[IOea copy'[ f II wltM1 th IF Bulltling Division. %EMPTION FROM WORKERS -COMPENSATION DECLARATION - This SOttlaa need not bepleted If the Permit Is for one hu a Csl - r 1 -'! $1001 -or -I sl - "" - -. _- _ __ _ ._ _ . _ .. _ certify that m v f nn k for this permitis emho Issue4 1 hal t PI y v p v a to beco PLUMBING -, PLAN CHECK - '" -"' ` —,ELECTRICAL-- - 'PLAry [HECK -� - - -- subjecttotheWorkers Compensation Law[d OnIfolnla. ! in subject -'BATHTUBS '" SHOWERS '-SO, FT- -SO -(GENERATOR--- FT- - Ot 519 l NOTICE It king - y M1 h Subject, ETS URINALS'----- 1 - 01 Kill III - '-'- St lo the worker Como 0 1105 provisions either Labor Code, You must iTRANSFORMCIS 11 l•. forthi comply we A such prowillons Or this permit shall be deemed 'gTORIES OOUBLELAV$-- APPLIANCE -1050 KW__50 a KW - - - kl' If. - - - OI SHWASHERS - -- -MOTORS--_-. - '0 -1 -HPI H -10 -Hp CONSTRUCTION LENDING AGENCY I ttleby afllrm that there IS a construction lending agency for the Now T SERVICE SINKS - SUMPS... �. GNC,SDLAR)._- ]DSO XP�50 rance of the work for which this m IOm� 'pert iC issued (Section 3D97 -FLOOR51NKSI-" "'FLOOR DRAINS lFl%TURES---^ OUTLETS -SWITCHES-- -- - Gv-C-) - - -- - Lender's Name rI-____re55 - "- - - - DRINKING FOUNTAINS--.. -- _.-u� �)... �.��� GASTUBEEIGNS-Lenders - -INTERCEPTORS- -CLARIFIERS"' -��-�' 'POLE -LIGHTS--------- -- OWNENRUILDERDECLARATION- I hereby affirm that 1 am exempt from the Contractor's License Law tea -SWIMMING POOL - -- P TRAPUIN - - - POLES- -' --METERED- SUB- Use.fol Owing roa n ISeC[IodJ031.5 Ruslneal Pto asslo n5 Cotl0:. Any it or O county wruch reO Liber a permit to construct. alter, wmre. Imreas l a oushorrepalr any. structure prior to Rs issuancened , WATER SERVICE- ALTERATION-- - - -PANELS--- - MAIN - -SUB - rit for cP a Statement, oulrthat he h Permit to ithe -_ _ _ _ GAS 'OUTLETS -SERVICE- - - _ - AMP Cle eenHd Duane 10 - the ON[IOns of ontraactol [ License Law- .pier B (commencing with Section 7000) of Division 3 a the WATER HEATERS----BTU,OUTPUT---. . --- ".-..l". .. - dnys.antl. FTde[si Iha. IS exam t.thereooma dd the he ua515 for iM1a alleged a%empl101n.rgnYthal vl OlallOn Of -5EWER'OWMEC31pN5 5 - - _ _ y-ippmlo M-for_a Vap to -a. civil Penalty- C01Iafs oflot than ran uundretl led 0). -SOLAR TANK - -- -- COLLECTORS., •— - - - - -- - -- { - _ 0-17SY5 Owner of -the property, or my emylOyees' wriowage0-as their sole compensation, Will h0 the work. and Ibe structure Is not Imentlad SOLAR PIPING SYS. - v' -I' _ -_L_ '--r -ISSUEFEE - ------ - --- -- - - - p offered for'NJ(section-7044,Business'antl%afessi Caro: The W Lros antmc m's License Law does not apply to an owner r groper v Wlelf or WhObdSor-Improvesthereon. and who coes-sucn- work hl ms E ISSUE SON ' -APPLICATION gPPROVEO-BY _, _ �pgTE through his awn employees, provided that such Improvements are not '-MECHANICAC 'PCAN CHECK __ - -T--" - --""-'----' SUMMARY OF FEES,., intended or offered for'sal n-howewr, ine Sohmng r lmpfevem t hill within One year Of completion, theowner fall haw the do tl I praW ng n dd- t'build-or-improvef the purpose of 11 HEATING SYSTEM 0-1001.000 Sri BUILDING ��. I PERMIT E - �� SMTP .1 $ LI -1, aS Ow f th property.class- ely contracting Ito t AND DUCTING - - -l v I^censed contractors t tru thep 1 tt {Snct on 7099 Busln 104,000 BTU JIP gN CHECK E PERMIT te a d Wafesso Cod TheContractorsLICE eLiw does m a0plY l0 _ _ _ .ISSUANCE an of property who build 1 p merean, and who con REFRIGERATION 0-100.000 BTU PLUMBING $ -5 . % [acts-from.such projects with a, omraof Us) Imsned pursuant -to SYSTEM. _. _ -B - GRADIND the CanbaCmrS License Law) _. - IroSmdo -- PLAN CHECK Iii ,E - ' , Ql am exempt under section-- B. 6-P. C. for this -BOILER$ BTU '-� --'ELECTRICAL '$ reason- SYSTEM REPAIR -ALTERATION PLAN LHECN- E '- _ _ _MICROFILM •E in ^ TOTAL FEES nj'" 6GOOwner Ihi tYyt IIM1 tl this application and State that the above _ _ EXHAUST SYSTEM MULTIPLE ")MECHANICAL--§ - - - -_ AD- Inbrmalon- rreR. agree-[a-compy w hall-cty'md.cormty .1PLAN.CHECK-E - VANCE PC�'E continental to of III tJtonstuucticn and hereby authoi -. -a og moreuntau f - ter Pon rhe- bo t n -- --- - (• property [pe 1) Slgnatu -' _ _- . FI NAL FEE 3 Drivers' License m SS $ -ISSUE FEE CM F 096546 White-Building;Unary -Applicant;Fnk-ACCLntin Goldenrod -Assessor a CONSTRUCTION AND PLANNING APPROVALS - Permit # `3 � - Date Inspect or POOL & SPA' .. Date ' ^- ' Inspector APPROVALS � � Permit-wk 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-UndF rn _ _- .� ". -.-_ 46. Electrical Bonding--,-- onding-."- - _ _ ---- -5..� :. ._. -. .. tee Reinforce __ 47. � ' Rough Plumbing & Pressure Test"_ _ _-6.._Electrical.UFER Grn - - - - .-, 48.. APPROVALTO COVER-GUNITE- ,.-7. ... Footings -_ 49. Electrical Conduit-Undr rn " '--8: Foundation--- -----------=------.- -'..' 50: Gas Pipe, .❑-Undr rn;`Test -9. Water-Pipe-Undgg n_..--_-___ - Backwash LinesP-Tra ❑_ ndr-rn _ 10.- .Structural Floor System,- 52'. _•__ _--- _ __ APPROVAL TO DECK � ,, � �. ., ,�•.•, 1 1,--Property Sewer Line &House'Connection - - �� --- -- - 53. Backwash & Receptor-Final ' -12: Street Sewer_Connection-__--L"-_ -- "- _ - - - 54. Heater & VenYFinalr 1.3...._Rough.Plumbing �,¢ - Plumbing - �- -- �---'---'- �.-..-�--- --. -,i 14. Rough Electric-Conduit Electrical-Final -'"- -""' - "' '' "'r'••• "'� ''- 15. Rough Electric-Wiring ''' - -- - - - 57.- Solar System-Final 16.`-Rough Heating-&=Air Conditioning--=: = -' -.t = -'� - - - -- ' . -Fencing & Access-Approval 17-:- Ducts- in Structure- -. r r -- ------ ~. _- - _. - - APPROVED FOR PLASTERING -18.--Ducts, Ventilating --t - - -. - 19. Gas Pipe=Rough&Test' `- - _ 20. Roof-Framing % t---- -- 1 -- -- - '60. --po - /SPA-SYSTEMS FINAL,- 21. Roof'Sheatfiin�, t_ - -- r- 22. Frame and Flashing - � - - - - - - - - _- � -- - - - - ---'' "''' '1- '' '- - NOTES: .. ., . '-23. Insulation 24. - Lathing & Siding _ - -- - --- - - - - - -- - -- - ` -- - . _- - - - - - - - --- -- 25:- Drywall Nailing- --- --- - - - - - - --- - -- -- _ " _ - 26. Plastei Brown Coat - - - - - - _ - '• 27. Electrical Power Meter-Final - ----- 1 ---- -^• -- - - -- "• ' 28. -Final Electric- 29. Final Heating &Air Conditioning --- - - - -- ' 30. -Final Gas Pipe-Test -- - - -- --' '-- - - - - - - 31. -Final Plumbing ---- -- - -- - Z - - _; -• - 32. Water 'Service-Final - - - -- -- - - - --- ---- • ' - - - - 33.- Gas Service-Final - --- - - - --. - - - - - 34. Solar DomesticFinal 35. Landscape Sprinkling System- - 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE&BUILDING -- _- - - • 39. Special Requirements Completed i 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY . :No_- Date a I Applicant to Nu In aD i ful Within heavy border fern ant SI$n an s0 CMF009546-Whg&Ulltlln9: nary -nary- pptp can { ncan p n ccountlno;Ooldenmd-As ssor 7L CITY OF COSTA MESA I PERMIT NO -- - ' TRACT NO. LOONS." BLDG. NO. ,Ny CONSTRUCT ION PERMIT ai IooZ' � pM 81-380 1 2 ill:= Z, TYPE OF CONSTRUCTION ® NEW ❑ ADO" ❑ ALTERATION - Q773 t. i / 1.0!82 586.'69 - S{ Project Address 3505 Cadillac Ave.- Co to 9a: Erp Owner 2 Z Phon9 -O-REPAIR OCONVERSION ODEMDUSH - AddreS x .�O OTXEd ZONING REGULATIONS - ArchA o„_2 S' - - License NDa}28 DESCRIPTION OF WORK A'P'RJ40_l;M_jj Ir gill y Adarem119 E. Altcm, Santa' Ana, CA N ZONE ppj PLNG. REF. %' CDntrecturoltmari5 Ct t=tim PhdnF5% —8474. D -- TYPE,OF PERMIT .GRADING FOUNDATION ,G Ja STRUCTURAL S SIEF VARA O T gqt�Jz1�LLppI G P OPERTINE ri ildtlref[TQ HO% PAT CA LICENSED CONTRACTOR DECLARATION ❑ TENANT O ELECTRICAL OPLUMe NO OM ICHANIC ( hereby Affirmtreat 1 am liar ed der Oroomans of Charter 9l j+\ ` (�, { i - �"L RI HT y - Ingwith a tion 7080)- f DIvislon 3 I the Businessand OTHER Protesblon Code, and my 11 1s In full force and effect gEAq Yg0.D (TO PjU I Literals cl - -A- udenm Np. 86393 PRDJECTOESCRIPTION 589Q PKG, SPACE RED. 11i 592 PROVIDE D 610 _ Date Sigh.We 561. FT. _ OCCUPANCV7il CONSTRUCTION TYPE S STREET WIDTH, 20NING gPPROV EO BY f PARKFeEE- DATE WORKERS' COMPENSATION DECLARATION -ora 1 1 hereby affix that have a wNiflcate of consent t elM1lns ygLUATION " �/��j$20NE `„— rtificate o1 Workers' Comoens#Yon insurance, eotifletl'copy GRgDING GU. Y05i ACRES CONDITIONS: thereof (Sect on 3600 Lab CJSPECIAL cy NOMPRI 110KQA7” Company. l'TMmryNlf'TysrRbn _ .. - brutiadcoPYishe,ebYthtalhetl. -- _ _ REMARKS:'ia [3 /� _ ,...certdiedcopy OROMPENSg gOLD FOR SPECIAL REQ111TREMEN'1. O WAK[M1e EXEMPTION FROM TINDivision. S' COMPENSATION DECLARATION _ -" Lbe completed Ballon Ortl noLbe cornpletetl If JM1a Permit Is for one hundred jThis 'l r less. Lfy Mat n the performance OI !a^ SO is n I any ell! Osla bSCO Sibued 1 ball not emhl Y apy prtson Ia Y ma S to,become rpr D ubiec)[o Me Workers CompensationLaws of California. .. PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK BATHTUBS SHOWERS -qQ FT Data signature NOTICE: If after making this declaration, yo should become subject TOILETS URINAL$ - - - GENERATOR 0-I KW_1-30 KW to the Workers' Com pdn abort provisions of the labor Looe, you must TRANSFORMER TRANSNCE IarthWltn Comply Wtlh such Provisions or this permit $oIll be defined _ _ LAVATORIES DOUBLE LAVS 10-50 KW_50 +' KW - resolved. , . _ _ _ KIT, SINKS DISHWASHERS, j _ �' MOTORS'O-I HP_1t10 HP CONSTRUCTION LENDING AGENCY IhereOy aflllm[Mat 111ero 1sa cOnSbuction lenom9 agency for Chep SERVICESINKS [INC. SOLAR) JRSOHP_so+HP Iormanee, ot.[Oa wares Ior n1pF.ihis per IL IsslttUetl {SeetlOn .309] C ,SUMPS- AIe Gv. C.I. We11S FdLCJO BaSll' y '' _ FLOOR SINKS FLOOR DRAINS FIXTURES OUTCETS SWITCHES - LenOer'6 Name s � Lender's AtlOress Newport Center Dr., Ne�aawrt GRINNING FOUNTAINSv1%Ty ,.GAS TUBE SIGNS OWNER BUILOEP OECLpgnAT10N- p��,.{, C INTEREPTORS, CLARIFIERSN-i POLE CIGHTS '-- IMmbYaffirmjNtlamexe pt from [M1e ConVattor'z LlcensllSW fE' r r O SWIMMING POOL pTRgp — - - the Ip awing reason'ISWtllon J031.5 BUslpen apO�prOfmsl00s Code: Any Cty ty M[h p per t 1 t u<t It - E POLES METERED $VB - WATER SERVICE.r s ALTERATION PANELS' MAIN- -' SVB " Implove,OTllpp pnb ny bf t prl ![ IL51 1 - - -'i 4ub¢Bt[he pDll L f 5 II p IMt [ 1ST Ig d (de t IMI M1 _ y - _ Is I unsetl W t t the p I tM C t t YGcen Law ', GAS SERVICE MOOTLETS SERVICE AMP ' ICnapter 9 (commmeln9 IIn Secben 1000). oilGrvnlenl3 0l Na' WATER IfEATER$ . BT V OUTPUT T-'- Business and Prdesslons Cotlel�or Uel M1e IS ex0mp[ tlleretmm and the "o r lM1B d segea a p t gby la[lun[gG6eCNory T,031t5ibyr Pbjects SENERCONNEC 10_NSC - - �. - ' IyplioN Io1 Ge mltss the Vplicanl to Nil penalty at'rllOreallan !I've IlundreC tldllal6 (ESIWI$Q A:1\? l „2s gj,176 _ 'SOLAR TANK COLLECTORS U LdsowneTof lsle�plopeNY,-.ar my.amPloY3ei wVM1,wagex as their sole zn[io' willrbo the work. -antl 1Fe'sbu[tw¢ Is not•Intentletl r IferanTor Sale.(Section .7044, Business and Rofesfroo[. Code:.Thah, SOLAR PIPING_'SVS.^J,[. �' ISSUE FEE'- ContractarY UCenoll does'not apply -too an mlimel kfa'y OFerty� so hurlers O Improves thereon, and h0 o , woe blm'seR or a ISSUE FEE � / • ° 'APPLICATION APPROVED BY ' DATE throu9N Ms own am>lo provldetl tNt Sucsslmprovr-marls arenot ' ' - ' k'MECI-ANICAL _ PLAN eHECK :1 r SUMMARY OF FEES " Sees, Intended or offered f0 leo If. hoWtvil the bUildmg Improvement or is soler itnin,one year of -c mpletiorl owner Ill the'bmden. -die):, BUILDING[ - f proving Me bid not, build - Or fir prev6 for the purpose of 'mantra HEATING6YSTEM'`0-100,000BTU `PERMIT -E / 73— 73• [Sat �. $� ❑ I. ai Own¢i of [M1e aa'prOPertY. a xclu IVeIY Ctinp wKs'' AND DUCTING - _ <�i licensed motel to truct the pr )act hSectlo) 7044, Businem Contract 100000+Sri - PL'gN CHECK, E PERMIT and Prof6i COMA; µIle Or 6 LI ¢ Law does'not apply to ISSUANCE $ an owner of property who bunds or improws thereon, and who can. REFRIGERATION 0-100,004 BTU \ PLUMBING $ taints Imm such projects Th a ontracior(s) floss rid pursuant to SYSTEM GRADING S the Con tractor's Litems LAWS. 300.400+BTU /�M a\ C.J-tI V ALAN CHECK $ ❑lamexe tun error B.6 P. C. for this \.�, ,(♦ BOILERS BTU `yV r'.. '.\ ELECTRICAL $ $ - _ _.ls PLAN CHECK $ LM S MICRTOTAL Dame Odte SYSTEM REPAIR, ALTERATION - TOTAL FEE E LIM1a 'wn Ifor¢byttrt 1 Application and that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ LESS AO--' astate In(OlmdslOn Is C 'leer. gY4e ylyc ith [I city era ou ty 15 see co=ru PLAN CHECK $ VANCEPC E_ ordinancesa Caw atln tlon,.an herebyaaUinoriza repreeamN this enter upon Me hex Ironed /�/ PIOpaNy I117 - �$]� 3 V Sigma e 2 FINAL FEE E OrWrrs' Mo or 55 CMF009546-Whg&Ulltlln9: nary -nary- pptp can { ncan p n ccountlno;Ooldenmd-As ssor 7L CONSTRUCTION AND PLANNING APPROVALS Permit # i-J��`�'�O� Date Inspector' POOL & SPA - APPROVALS - Permit# - Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location- _ 2. SoilPipe-Undrgrn ' - 44. Steel Reinforcement - -- 3. Electrical Conduit Utility -Un rgrn 45. Forms - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding _5. SteelReinforce iq*„s 47. -Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48.' APPROVAL TO COVER-GUNITE 7. Footings o e13 49. Electrical Conduit-Undr rn _ 8. Foundation W. Gas Pipe, ❑ Undr rn, Test Water Pipe-Undrgrn - 51. Backwash Lines P -Trap,❑ Undrcirn - 10. _Structural Floor System s:,A_g . qq 52.. APPROVAL TO DECK 11.' Property Sewer Line &House Connection 53. Backwash & Receptor -Final 12. _ Street Sewer Connection 54. .Heater & Vent -Final 13. Rough Plumbing - _ - - - 14. Rough Electric -Conduit '56. • Electrical -Final - 15. Rough Electric -Wiring -- - - 57. Solar System -Final •- - - 16. Rough Heating & Air Conditioning _ - - encing & Access Approval 17. Ducts in Structure 9. APPROVED FOR PLASTERING ' 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough &Test 20. Roof Framing _ 21. Roof Sheathing _ NOTES: S/!PWa 22. Frame and Flashing _ r _ 23. Insulation v -,l Q s /J /h /- 24. Lathing & Siding -!a. '� e.a es '� '� J /-.2 -• 25. Drywall Nailing 2-3 9J. _¢e 26. Plaster Brown Coat 27. Electrical Power Meter -Final _ 28. Final Electric - Si ( / /Z i / er -,R,2 29. Final Heating & Air Conditioning _ .Q acc ,Q 30. Final Gas Pipe -Test- / e / 31. Final Plumbing a -,a - / e 32: Water Service -Final - S61 o 33. Gas Service -Final. -$-S 34. Solar Domestic -Final AN - 4 35.' Landscape Sprinkling System _ Ali 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed .Q 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY No Date (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.rdlJ1LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3505 CADILLAC AV Suite: Vicinity: F1, Primary Occ: B Eat<50/ Office/ Bar<50 Type of Construction: V -N Parcel Number: 13966125 Zoning: Applicant: GTW INVESTMENTS LLC Address: 3505 CADILLAC AVE F1 , Issued: COSTA MESA; CA'=. - Owner: GTW INVESTMENS LLC Address i O'DONNELLARMSTRONG IRVINE CAS. / ,2201 DUPONT DR#100-'�-- Contractor: OWNER -BUILDER Address: Zip: - Arch , Address: �Phone: Status: ISSUED Applied: 03/29/2005 Issued: 03/29/2005 -- ISSUED BY: Phone: 949-720-7072 Zip: 92626 Phone:, Zip 92612-7511 -� Phone: License: 000000 Eng: Address: Phone: Zip: License: License: SCOPE OF PERMIT CHAMGE FRONT DOOR WITH FRONT DOOR WINDOW. FEE SUMMARY Plan Check: $35.10 Calc Valuation: $1,500.00 Permit: $54.00 _ Claim Valuation: $1,500.00 SMTP Res. $0.00 SMIP Com: $0.50 Other: $0.00 Inspection: Total: $89.60 SETBACKS MAIN STRUCTURE Front 0-0 ACCESSORY " Front 0-0 - PARKING Existing: 0 NOTES: PLANNING & ZONING Rear, . 0-0 Left 0-0 Rear 0-0 Left 0-0 Required: 0 Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 160 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 'a 5 (aw) f DECLARATIONS WORKERS COMPENSATION DECLARATION: I hereby eMmlc r,peneV o1 pertry one d the Iollowing declaration: l 4 ❑ I have*land will Twintin a carnal d COlamnl to self Insure for wonder' compensation, as provided for by section 37M of len Labor Code. ler the panwmewp of XM permil IS issued. ❑ Ihwoarereand mmpensntl Unsudrohnin re cWnwillm Osue was And llry.09 rOWi0re: ltn lama3)OO d Me Labor Codd for M6 performance d to wOlN ter wHM Mh pamlitA house. Cmrear Plies Number: (TMs sewdn ended ren be eOmp If IM thereof t wfuBE at ole hundred rou9ws($ IM) w less.) ❑ I betty Mat In Me performance of the Wont let which this pal Is Issued, l aenN Not employ any person In any meal as as to bacomr subject to the wpnrele' wmpanetion [one Of California. and agree Incl If I sM1mld teeorne aubleq to the weakens' compensation provisions of Scroll 37W d Me Labor Codi I shall forlhwlln conph eaten tensa prevision. Apaliraln sgnave: Dale: WARNING FAILURE M SECURE N EW COAPEN3ATION COVERAM IS UNUWM AND SHALL SUBJECT AN EMPLPIER TO CRIMINAL PENALTIES CML FlM1£B IIP M ONE HUNDRED TIq.V^.Wp (SIM MIN AnNnWWt1EL TOPC PENSATIM.DA CS"PROYIOEO FOR MSELTIXJa OF THE mPBCq pJpE,INIEnESi, µpARIXiNEY$EEEB. LICENSED COMPACTORS DECLATIATN)N: I Me y affirm that I am Ikhmad under prwi s of Creamer 9 (commencing with Secllon o'M(p of Dendron 3 Of the Business and Prefin ons Cocon and my Ikrenu Is in full force and ened. Loc, It Class s C mmctws Sgnatum: Data CONSTRUCTION LENDING AGENCY: ❑ I hammy share mat More IS a mnaMKtlOn tending agency for the performance of the work for which Ina permit Is Issued. (See 30117, Civil CCEo), Lender's Name'. Lender's AWms: signature: Date: OWNER�UILDER DECLARATIONS: I hereby aM1mn that Under Wally d paqury that l can EXEMPT FROM THE CONTRACTORS LICENSE LAW for to l ng reason (Sec. 7031 Bdnnaa and Prdaaadn5 Cade: any pry c:ief which re Wl a omit to construct, Saw, IrNdNwA, demafen, or repair any Sinecure, prior m on I66uance, also regwrea the applicant for such pemxt t his a agree to;o tent he or See Is Ilcenaed pursuant Ie len preNskns OI the Contra len Upma Iew (Chapter P (commencing wIM Bewlon 7000) d OMtiwI 3 d Imp Bnlneu n0 Wgldrlq-Fin, 6'C&trAMal he w she le ewmpl Morehwn and len taste for the eeeged exemption. My Molal d Section 7031.5 by and applkanl ler a permit sublmis MB epplb toadvIl" anlryI��AIInpof�0yeoeRee than fire hundrnd dollars($500)): ❑ I,aswmerm MBpm ,dr with wages as their sols mmpllnq eveWILL DO ME WORK, and the$fracture is not intended or dkred for min (Set. 7066. B`uslhassand Prolonion COtl .Th B Contractors Ikons Law dogs rpt 31 M an Ower Of property who Wilds Or improves IM1erean, ane who dead doth wok Munsell Or heraadter thrmgh his as Ilpr Own employees, prwdBd Mel such improvement are ret Intended or offered for set. If, however. the Wilding or improvement A ode within cap year d completion, Ire ovenenbuilder will have the burden d Noting that he w As did and build w Improve for MrOOAe of Able,). er of the wmarly, em EXGLDSIVELY COMRACTING WITH LICENSED COMRACTORS to mleWcl the prgact (Sec 701 SuaineO and Pldeeeicna Cada: The mnedpre' eLaw doss not apply IO an owner of properly who bulds or bnproros mar and who contract for such prgeG with a conirecogq l ne pureuam let COI a se Laws. ❑ empou - Sources and Profession soda for this rescan: nolo 7 -6 Owner ID van6aebydrusi li se P❑No �wwuse NO m. Vedrimtim ofd mmhlp by d ument. l e.. pmperry tax Nil or down DIASION OF INDUS3AIAL SAFETY PERMIT CEPTIFICATION: ❑ Iherety mty Mel no excevaponpw(5)Amore leatin dpM lntOWhlMa penton U regldredhodesceM, wulbamadetmnnedgnw,MworkadhcnzWby Mt pmol and that no building souchure, sidiffi ng, falsowoM, Or Stenciller or Measuring thereof, will than more than thirty -sur (35) Inst high. (Chep. 3 2, Gm 2, Ad 2, Sec. 361, Tide S, Cel6wnt AdenNteallve CO W). ❑ As owner4twWar, I will ren employ anyone W W weak which would Require a poan t from the Wallet or Induslrial Salary, as nota shave, unless such person has A permit 10 do SUM work from the dMs on. Signature. Date: Division of InduMdel Salary Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CEMIFMATON: 1 Well applicant or press er mature building wrough l named flat and mnify a Busin Tan for emeg cy response to retua Or threatened mt a OI a h=MN (Section 25505 No ef Me CBlltmh Health And Safety COM requires, with of exceptions, that a drawn Plan be filed with the Cone Maes Fire Dspanment by every _ 2W cuMlc faeha s t any Ono Onod time string a rrtl tmper"at a end Dre of ha ardous materials equal ro or greater than a weight of 500 Munea, Or a valumB d 55 gaflms. w _ 2 Oaaz erwlll the apWunl ce prowl w future�building occupant red to file a �egistmd lam for acutely hazetlnusmateMla? ❑Ye -❑No (SO Alon 25533 d Me California Health and Safety Code, with sane ecceplion, requires registration Min the Cost Mau Fire Department by each Wslnss argue d any we time has on hard a quantity d acutely hemkous materials equal to w greater Man a weight of 500 pounds, or a vdume d n gallon, or RW cubic ful of Montreal gas at standard lampor6Wrin and pressure). �.�.......... .. ..�..�...�..... .......... .. _..._....... ..........._.. .......................... ....... ... 3 DeawMea plwnle pmentoraturebulWMg pntnonet prepare an RMPP(Rlsk Maegemenland Prevented Program for nartlme melwls) ❑Yu ❑NP the and Crude es that he Cicero esa re �e�Imnent of an RMPP bdWsinemssa which am req lu reU to rlegister acutely hazarddous mat rials Department th Me Firerequir nmenlrePerelion, cedilicelgn erq tiling with the Fire ......_... P° Y._....._._ _... ., _._......_ _ ._... .._.....__ ....._...__...... Itepa ................ ... ............_ ._..._..........._ 6 If an RMPP Is presently required, has Section 25536 of Me CddOmt Health and Safety Cade teen fully complied wilt? ❑ Yea ❑ No .._ ._..._... .._ _ ...._ .—_— __........ 5 DCasO Ill the aPpubmnt p 10 noun running reatrot I M workwhichM auti0len plc lions ,. from the She Coul A' OYBI Management Garet or from an Other Ir INnon control hl�i grAgency? pp tf NCM1 roaBINCIIMw OdHkaltn ry prnmen V e po � Y L] N (Sudden 65650,2 of MB California Government Ce]B IagWIB9 M01 MB regYed0rm0 led In1tlen n e t0lumisheE On nmiS for ren-rasidenliel building pa). B VIYI anY Pan of the fac6iry to to mvlrucled under Mt pOrmlt W vi t WO feel from theler bwrourn d CM1aal? ❑Vee CSN _... ..._.._._. (if yes,, Me tadpry Sure mut no regnremani of Real iona 25531 and 62303 of the CelllOmle Hai and Safely CW a). II e p t loom IM 3aIiM1 CeaM Air Quality Management DIH oder a9 Codepollutiontrot ibo r Agency a required ratl Iq the work wM1ICM1 b the fubleR d this eTNse1 ,have Ail diM tlluixureepreaNbM meewpor l0 Hhit poluntlbetty Code Section 62303 bean reed4 ❑Vn 0 N B CIIRTFICnU OF COMPLIANCE: at compflance the under pedeyofthrhurr wnirdeMwO. CERTIFICATE OF COMPLNs and cloth Iabl under penalty of per ury the IOfameilOn prv0n stews be mrreCl agree to comply with all flare IeWa BM clry ddlnentea regarding Meuddt Melatlale and Eml s. Signature: Gale: CERTIFICATE OF COMP ID NIIIIORPAl10N OF EMRY: I unity under penally d paqury tial I toes read this applicallon and slat that the Ialorreaaea given Is mrtecL agree 10 m y A, i all Nate tws and of ordinances relallig d building enndwctM, and emhWze represenpdves d the City of Cora Mesa to anter Under the abwreae$cdlpd tea in rasevtaw.11py or Allow o$wlpellpydany raiding adlxed by thus Found unMSM6MaNedlon. /,ngnat re gal Ownege "i Aulhohzetl Applicant pate ere it Xse ME logo IBIDWk Mom lBSPECMKUPE SSG M u 1616 Fixed System Final Fire Prewntlon 206 Final McMenkal _ 1288 Pod Spa Final 208 Final Plumb" _ 200 Final Re poor 210 Final Electrical _ 201 Final BbcWRel lnMg Well 212 Fine Fire Fewnton 202 Final Factory Fire Plan 220 Final Planning Approwl _ 203 Flow Sign 222 Final Site _ 204 Final Oemollttn 250 Final BuiltlinglOcwparcy avpnunt to nn In an avavn except mem wnma n«er b_o.e_.r nn.s and ugn all appropriate a«Iarauens. CITY OF COSTA MESA PIE RMIT N0. TRACT NO. LOT NO. CONSTRUCTION PERMIT t��t05 ' Gi'}i F.j - — 1 -- 865.g 5/12/63 ' 'TL - - .'.D:r Alipliunt's Mail Ad -T/IEOFNVERSIUCTION,_ NEW DD ALTEMTIOn REPAIR ,er Prpljm pddrg/.-rST K ir.ATIL 1 OYC_' \ - ,0 CONVERSION DEMOLISH OTHER ` An&Jr k ~ �- �M1Ona�•] �i \ DESCRIPTION OF WORK O1VMf f Nome AtldreR -- - TYPE OF PERMITGRADING FOUNDATION STRUCTURAL A.P:-vP - 'ZONE Arch/Eng� llcenY NO. _ .Q TENANT OELEfTRICAL PLUMBING, F1 MECHANICAL PLNG.REF.M BUILDING ❑,OTHER' !TO Addrm BUILDING' COn[i«rot's NOT M1Ona PRDIIECTOESCRIPTION %LFT. OCCUPANCY PROPERTYLINE REAR YARD (TO P/L): • Addr0S11r011ing) CONSTRUCTIONTVP - VALUATIONIf 'LEFT31YggO RIGHT SIDE YARD ZONE - - GRAOINOCU.YDS. ACRES PKG. SPACE REO. PROVIDED - LiCenR Na, LICENSEDCONTRACTOROECLARATION I- ROmerkle Cy C14 STREET WIDTH PARKFEE.$ 1 hereby affirm that lam licensed Under prOdSlOne e1 Chi 9 (COmYllenQnp with laugh 7000) of Division 3 of the Buslnm and Prefessim11 code, and SPECIAL CONDITIONS: 1s in Ilcensi a In lull force end eHeA. I udan3e Cleu• I Upown No. PLUMBING - Dale P III I I Slonalure' _ Bar SMk$eswr Cep ELECTRICAL I I 'NORKERS'COMPENSATION DECLARATION', - Mrebyaffirm that lhave anrntlote.of consent to self-Insure or a certificate -Backfl0'x Preventes- - -- -- SM<c Connection Automatic Washer '. _ Mele3❑oVH 100emp3 ,l WorkersCompensation Insuranu, ov a certified copy thereof (Section Construction Pais - Sub Penal 3800, cab. c,l Bapkflowlrriilation Roger DO Rectors Policy NO. Company Cooking Unit ( Sub Pole BOertllled Oylhereby furnished. r t Bathtubs Solar Piping Certified ovl flied with the city Building DIW31on. Dishwasher Malora 00-1 HP ❑1Mb l pale Applicant Clarifiers SOIet Tank - � Oat for Disbw«M1er Swimming Pool w/$pd l DIVen ❑GMS❑E wvic - n0.$OIet OQ-15 HP '018-15. TnhwellonNneed beccompMted It the permit Is OW hundred ($100) or --Warowave Rul. - for Whhuh this Permit Is Issued I I certify that In the Performance of thea Drinking Fountains Utlnet ; Fen hall• not Play y pawn In any as to, become sublecl to the tiro Workers' Co tl CIS fomle. r s FI Drains - Wa4r Clocat F.A.U. 'Pole LigM1( 1 p La of '. D t ' Sipnalure NOTICE: 11 ft kIng IM d«larallon, you fn Itl b til t to the you - Fluor Sinks - _ Wates Roger- Fixtures. 'flange . Workers p tl p i 1 [M Lao Coda YOUmug-forthwith.- o - Device BO%ea wmplY' h p ISIOas this M1lt b deemd ked, \t GW Servce I Gwldlsl we" lama '2 pctSign CONSTRUCTION LENDING AGENCY I i I tOUIBIS I hereby affirm that thereIse Construction loading agency for map f Interceptors - $IDnding$ nmol 1 the k f amth-tnl ti p 11 Is Ja d [$eCtlOn-3097 C C.)" - $wilChOa LAneer's Name - Kitchen Sink T2xh CAmPacbr Lender's Address Levabries e ' Garbage Dispospl I OWNERBW BUILDER DECLARATION I hereby affirm that 1 am exempt f Ih So l t Y. u - caw for the ; P-Trap f -' Generator 110;5 KW (35-15 KW following reawn (Section 70315 Budnessand PranDlonal COde, Anycl[yor I county which requires a Permit to construct, oiler Improve: demolish or.re0alr , any structure. prior to Its Issuance, also requires I a applicant for n - II p Trarisfanner ❑15-50 KW _ Raaf Drains. r. - t fit signed statement that he/she Is licensed Pursuant t the p 1 I ❑5U+KW. - pP nyepllOn Fee $16 Contractor's Uwnks law .#I i n 3 1 the Business and (Chapter g (commencing Ito Sectio 7000) 1 Professions 401110 that M1 he I pt 1 - SM1owan - I R gatl n. Pap $16 - Ei f and the balls for to n f e Ptlon. MV sung IC bf Se Go Mein ❑up to lmsent a Isue Fee' 'E 3 1 I 5 by y applicant l0 Permit sun acts the aDPlluni [ III Sink $ 3 reappear Or 1 than Rm M1 d d dollars $500).. � Sa I I Ins F« .1 Zoning Approved By � DoH Briefly s oCrk f Ina propinO'o- Y pl yees'wpn agesias lnetr sole r 1 ' offered compensation ( Ind Sea ry a H tut[ure Is not Thead a acted co Ie (68c(1 70<t Buil d Peructure Cot tendedo or l _ MECHANICAL Appli®hon Appwa.a By L`� i 1 re Ucerae La d t apply to f a property w110 bonds or Improves - Beller Y 1 'r flefrlgeretiOn System APpIiOI OO IDYed By I� -+ as•L 42 23 and 1 k hifMo 5 11 through his Or her own l -tIntended +� tmereone el0y ". Provided that Such improvements l r Cayman for Duct Under G nd ❑MlWA00STU 01M."VU If, ha In building Improvement blood withiny f SUMMARY OF FEES sa chat the III h thebe rtl f p I g M1 An dltl 16 Ile I. n, the purpose f 11' Duct StructuralI 'System Repa /Alteretgeri BUILDING PERMIT S SHIP " $ a3 owner t the properly a % 1 NeIYcontracting' tin If a �Oaa.B eY Duct tilos ng I IS o construct the proled Sactl I and Prof C d [ f .0 PLAN CHECK- $1 PERMIT I • The COnlraclOr's LI«on IA Wye Pea Ol merry n p IS n builds imwPass thereon•anen wineNHo project I a can- Exhaust System multiple I PLUMBING $' ISSUANCE S nations) Ilpensa pursuant l0 the c acro >£ Llc.ns / '❑I 'PLAN CHECK, $ GRADING ' $ p am er p neer Sectloii r is rumn Firepl/F,act. Bl[. ICBG, iP I i H«Cng$ystem&Ducting ( : ELECTRICAL $ $ Date t Owisa n ) told this `poli tlo n slate tMt fu b ❑0100; 000 BTU ❑100.OWBT - - - -- PLAN CHECK $ MICROFILM 1 $ l Infernac YHn U 5 l.rT gfe a pia wu Ia1 Iety ane co�n[W m 1 1 $ TOTAL FEE $ I e t Ietl 1 1 e la y-lo-Ou no fully allm 1 pro t or art for 1 Hood Of Type I ❑. m ion Fee ,MECHANICAL 1 ESS 1 peRlon p/ o 1 . Cana T e l ❑ q rope 1 E15 PLAN CHECK S I ppVANCED PC i$ litzria) 1 Givers`" nm or SD iF I ReglKen Ifsw Pia S3 FINAL FEE i $ CMF OB6 iS re V. 12/02 WtII( Bul nary -APPIICin[I Plnk q¢ount ngsGoldenrod -Ashosor "- - `-J 7CONSTRUCTION AND PL'ANNING' o % : 5 r- - _ =; i::,POO ;PA,: > SAPPROVALS -. Permit#' Inspector *APPROVALS -; Peimlt,# - - - Date Inspector. rr LE emporary-Electrical Serviceor Pole 'n r52'Poi) &•EuimntLo ecation> t7 iv2i 'Soil Pipe-Undigrnd:'. I s _ o ' j j " ° it '. 'Steel Reinforcement ,53. Electrical Conduit Utility-Undrg-di �`' " _ I -_ '547.1 Forms '.+• - - "' , R' I in d: Electrical Conduit-Undigr 55: EIectrica1.Bonding - ryG 1C,. 5: Steel,Re,inforcement ;+=,� 1 ' S: '== U;: �� - - 56. RougfiPlumbing &Pressure Test . 6: 'El'ectrical UFER.Grnd.l 57. APP•ROVALTO COVER-GUNITE 7. Footings i I ; I j - 58. Electrical'Coriduit-Undr,rnd. 8. Foundation j _s' _ `� ^ " I' <59. Gas'Pipe,E1 Undrgrnd., Test' _ I 9. Water Pipe -,Undrgrnd. ;60. Backwash Lines, P -Trap, OUndrgrnd. 10. Structural Floor System "a : i o - 61. APPROVAL TO DECK 11. Property, Sewer Line &:HcuseConnection'. - 1_ ,62. Backwash &-Receptor-Final 12. Sewer Cap I; _ t& Ve_nt-Final3. Heaer - 13. RooflDrains I ! 1 q t - { .,, ; , I. -: g` Y ,. 64. Plumbing S stein -Final -�- 14. Rough Plumbing; 1 cu ° '�65. 6ectrical-FinaI` - " �'• ^ - 'l" --"t1 �Tjr"--" 'il I; ' •- i ",-:" 66.1 Sola-r•S"tem-Final-`15=iRough-Electrical=Conduit- e -1 " Rough Elearic,Wir'Rig, a I-1 „ ,, - Fenc6. & Access -Approval - -. -- 67. inAccess - •;-- - .- ,17.1RoughW 68.' APPROVED FOR PLASTERING ; b 18. lFjougl.Eleetrical-T�,pa Ceiling; POOL/SPA SYSTEMS FINAL '_' �• .' .69 _ 1 19. IRoughJHeating &;Air�Conditioning 6 (`�._ ! ! ; { FIRE DEPT.' REQUIREMENT APPROVALS; Permit # - -- 4 20.IRou'h'-Factory Fireplace, �. 1 21. (Ducts; m Structure, 1 70.' Undergrdund Hydro .`22. 'Ducts, Ventilating 71.! Product Piping O Gas O Oil 9,23. 'Gas.Pipe-Rough & Test , 'j, I; ! l I T J 72,1 Underground Flush - I I ,1-24.iRoofFraming. ! I `'�j 'I `"1'• I,•� li `ao I,•II;,� .I. '7 3.: 9 9 i r b l , i + 25. Roof Sheathing Overhead Hydro ;�-26. T Ba} Ceiling (Structural)) & Monolcoat° : J , 4I - ;c ; t 75., Dry Chemical ; j 1 27: (Frame and'Flashiogi �, l,' fJ ' ; ' 1 1 76. Dry Stand I e I ' _ 28. :Gthing &Siding, i 1 I it I I J7., FIXED SYSTEM -FINAL I if 1 1 I I i 29_ Insulation j `- 1 I� ( I- ,, _ l I I I :78. FIRE PREV. FINAL + 14-30. Drywall Nailing,Notes:, 1 31. 'Plaster Brown Coati 32. (Electrical Power MetenFinal- I' 33. !Final Electric 34. Final Heating&(Air Conditioning '1 11 r ¢. m - 1 '- 1 35. Final (JaiiPipe=Test1 ^I `� ' In 4•I�� �; 01 r, I- 36. Hood or ,CanopV•-= r;j - 1 I � y -T 37. Final Factory Fieplace . , - ' c� ;. ' I - I _ f 38. Final Plumbing � - l „ 39. Water Seivice-Final' ii 1: + 40. Gas Service -Final i ! 41. Solar Domestic -Final 42. Backflow;Pre'venter'- ,u„�I 43. Backflovvi lingatlon', 44. Lands" p`e IrrigationSystemz _� 45. Sound'ttenuation :1' Imo• 46. Handicap•Regulations I j' i 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed) 49. Electric Release•to Edison 50. Gas Release to Southern California'Gas Co I i I J i I 51. CERTIFICATE OFjOCCUPANCY No it ' + Date I 1 Applicantt0 CITY OF COSTA MESA ' CONSTRUCTION PERMIT - fill In a1 usages except from within binary border lines And Spin all aooroDrl•t• dollars GOMS. 2300 - 7/15/83 - - 5.60 Y� - : PEflMIT NO. '/ TRACT NO. LOT NO. — Applicant's Wiling Address ROjectAddress x.50.5 .�I ),140. QLY., � TYP OFCGN6TRUCTI NEW ADD ALTERATION REPAIR LJ CONVERSION LDEMOLISH OTHF,i OWnvl No 1�A KI BSIIT L&A.Phone PryE DESCRIPTION OF WORK �TWA_ ! Z NTNG E TYPE OF PERMIT _GRADING FOUNDATION STRUCTURAL A.P.$ ZONE - - AddressAi ' PpC Arch/Eng.' _ License No. _ Atltlrmz - ❑TENANT LECTRICAL 0PLUMBI NO ElMECHANICALPLNG. .,'OTHER PROJECT DESCRIPTION SR FT. - OCCUPANCY CONSTRUCTIONTYPP VALUATION ZONE GRADINOCU.YD3. ACRES REF. rap BUILDING TO BUI LDING'PEAfl YARD (TO P/L) PROPERTY INE so 1 COntfactorsN m I e71 Anne 'I9�iL. I"[Lf, r,iQp 1)A, r'•nr Atltlf¢p lm 1 9) .�', License Ni. 4�a)/r� ` LEFT SIDE YARD RIGHT SIDE YARD 1 PKG. SPACE SEC. PROVIDED . - LICENSED CONTRACTOR OECI ARATION Remarkrt STREET WIDTH r :PARK FEE S , J_ 1 hereby affirm that Il am licensed under prOwSlOns Of CM1artep9 twm ncnUng with m 166 ]000) Of Division 3 Of the Business and w0fM{IOnS COCA, and _ SPECIAL CONDITIONS: : { fi m4 llcensets In full forWne effete , License Gass - is - Llume No. PLUMBING ' Ole signature t IRKERS' COMPENSATION DECLARATION - nebv affirm that 1 have a.maflote of content to telMnsure or a urunate_ d Worker$' COmOOMSel n Insurance.; Or • testified COPY thereof (S•C[IOO ! 3001, tab. C) ,y_ E�' Q ITII �� Bar Sink Sewer Cap -- - - ELECTRICAL - law Yi Backflow P:eventer Sewer Connection_ - - _ Automatic Washer s •Mmes Opyes 100amps ' Backflow Irngasi0n SOHr Coltec[ora - Construction Pole Sub Panel Polity Ne DompenY eCertified copy I hal furnished- ' Rrtf pvI I d Ills to ityB I Ill. .�1 U���� Oate--f�J/p�%�—/1- appll 1 (�/ ( ksgil EKEM IONePT FR0i ;iS CO TI N OECLO HRHTIONOSnw3aN¢r (This section need not be Completed If to permit 1 1 hundred (0100) or less). I o I1hat In Ina Performance f Ln k f0 which ihl Permit 1 I d1 I Inot chain n temploy n pef6on 1 y 1 0Subject[ the, Workers' Compensationlac9 ft California.,'1 ' 1 - - Bathtubs $OI Piping Cooking Unit :Sub Pole: Clarifiers Sch Took 0"sM1vreAler 1 ,Motors DO-0XP ]lSb Swimming Pool w/$pa j Dryers QGasj DElednc ' Inc. Solei 09--15HP 01615+ I Drinking - Fours ns Urinal Fan, Microwave i F16o Oralns , I ,NaNt fiOEBli F A U. _ Fixturesr_ -__ 'POIe L ni 9 I_-_Range ,_i._. J- - NOTICE: 1f, after making thisdeclaration, youshould9subjectt th'�--! mmWorkers' hmom' Ilan Provisions of,the Lab t Code, YOU.A forthwith Ply who .Provisions in l{n ;. Permit n b Calmed e - Imo. CONSTRUCTION LENDING AGENCY II hereby Afirm that [Mrs is a'[onstywasOn lending Agef they f 1 f the, work for waCh-.this permit Is leasing (Section3037CI C:}. antler s. Nam• Floc Sinks- .. _(..{ ... Water.Heeten ...., �. j_ '. '... G SiSe ice O [latae Water Sere a ,,,' Device Boxes Sign' s, ttrfROlOr3 _- Outlets 1 Standing senotIns Kitchen 5:n k - BwitcM1aa ,Trash Compactor 1 'landw's Addres -G OWNER BUILDER DECLARATION I bereby,afNin that I am exempt' from the -Contr tory-License law for she i (llowing reason' (Auction .7033.6,Busness and PYolesional'Code: Any city or 1 County which ret fres a permltto consouct,ann improve, demon h par 'any R cture, or or tO Its Issuance Iso requires the applicant forn o t LOVa[O!I¢S. L d� e1 er Iaap6ispogl I P-Trap i - r � Generator 005 KW 05-15 KW I ROo1.0or ' - Transformer 01550 KW nI signed statement that lie/she Is licensed Pursuant t the proven I f '-C t acinar c Ucenea Law (Cha Cter 9 (commencing ft Sett o 900) f 'V I 3 f iM1e Bushes and Profeslons Coo) .tM1 t M1e/Sh 11 exempt x f AnmB basis for sn 'l le'o ptl A r tl 1'31.5 a + y option[ fo permitbytt th pPN t 1 11 �a Ily Ynot more Man f Ve M1 tl tl tl 11 (SSOOj Ll mk her 1 [rye. prOoeRy OTm • pl Y 6 IM 9 6 th 1 I 1sesseasse, cor" et�an veld tlo iAe wok a t� t N t t tle0 N al for le IBa[tlon ]O<6, Bu5 a 1 lanai Coae 'TTel CanlfactoP3 F Ucense LaW w rpt aDPIY f 1t. DrOpaNY wT0 OYlltli Of Improves tt reon dna n d n NOrk nlmSan/liar I( [n n n 5 or M1er Own play , O e see that i chdmove vementf a f t Bee c r peered for It, na tM1 one g 0 ]More vement hi RnI year of wed pletlmon,Ma Inn Me bureen ei vrom p n I?n e a of culla fir Ire- 6°for lb purpose of sale). L as owner of the Property, am exclusively f lel IM Ila eo ren t dorsm construct me vroiect. o nbA 7OPa D a p r signs Code!. The Contractor's LIWnH Law s 1 poly t - - f bulltls fir Improves tnareon, antl who contracs f h p 1 cirw�ten a luno 0501 KW' RnnWN'en Fn Ins ' - q rap ct an Foe yY5 $11 _ Me20r 0 p t- 100 amps I ' )Dpp Pyr e : Estill S':i_k, I _ Issue Fee ' 1 $ 3 Zp rN Apppyatl By Dab APP( rarer APProvAtl By ale gppl uUon Ivwtl By Vr nalB race - .MECHANICAL " 801er Refrigeration System D' t'Unde.G ound. ; 11 1iwrp00 BTU ❑t00,000BTU, car SUMMARY OF FEES : {BUILDING PERMIT E, SMTP 3 6 E• f PLAN CHECK E PERMIT {PLUMBING E ISSUANCE $ CtI Structural ep S\•rtem R eu/Attest on Oum Ventilating 6 y "-- Exhaust System ❑ Multiple ❑: j tredi honed pursuant to the Contractors ucente Law]' a Be- B.KP c ro tnI ❑ lam exemptunder .PL4N CHECK ' g (ELECTRICAL $IllS'•Kr7 iPLANCHECK 8 MECHANICAL $ I 'PLAN CHECK' $ I - GRADING ' MICROFILM I TOTA LIFEE; + LESS ' ADVANCED PC ' FINALIFEE' $ $ $j I 1 $ ' E t $ fin, �aQ FIrepl/Fact. Blt.ICBO+ 1 1 Date i- Grand* r - Heating Systemffi Ducting ) I OD10G,090 BTU 01MA D - - - . - I herey c t ry tM1 1 1 M1 ad-this appl tion and State that M b Inform* Ion 1 1 I agree tO Comply with all Ciy sup manly al I«s andstabrelating'to building truCOOnodnd hereby au[ 1 e tafives 1 Shl [y; to neer upon the a Cloned p tv for Inswdlen PutOd V signature a Drivers' L® a n5$ ' Hood Or Type I ❑ Reimposition FAA Casio T 11 0' $15 I Regimen Isue Fee l $ 3 CMFOS6546A1V.12/e2 nk- gtteuntingl Goloanron- Assessor - -"' - - - - — t v C )C ! ONSTRUCTION AND�PLANNIN SPA , �j' ZAP?RoAL� Pernit -'Date 'C Inspectpr, -_'POC APPROVALS Permit 4 Data Inspector 1,. tempora'ryElectriciil Service 6rjoli0 52.3 Pool &'Eiluipment Locati6W� Lin d g r n -6 53.' Steel Reinforcement 3 Ele r' ynd ct i6l -Conduit,Utilitv Undrj 54 Forms S 4, Eiec"trica-l•Conduit-Ondigrnid'-', 55. Electrical Bonding Steel 1RqinibrcPment •,56.. Rough Plumbing & Ke-ssuremTest 1 I 6: tElectrical LIFER GrM , 57. APPROV;kL,TO COVER I -GU - NITE ' IX 7. Footingsi .'58. Electrical Conduit-Undrarnri. B. Fciufidat, lo n, I C_ z` -59. Gas 'Pi pe,'6[Hl ;Undrgrnd-, T6st 9. Water'0ipeTUrdirgrrid "fio- Backwash Lines, P-Trap,.0'Undqrnd. 10. Structurai'F'loor Syiser_' 61. APPROVAL TO DECK 11. Prop6rty Sdwer Line CHc;use Conne . ction' I/Ii J,62. Backwash'&.'Receptor+inal 12. Sewer Cii p '63. Heater &'Vent -Final 13. Roo'f Drains ' .64. Plumbing System :Final: 14. Rough Plumbing 3 Electrical -Final • JL5.iIRough'Electriral-Conduit----,--,;-- 766 Solai Sqstem-Fihal j 8.11Rough-Electric Wirihga . 67., Fencirig Access Approval FO -PLASTERING 68. APPROVED R .u?h,WiH'n'g_,Signr $.p Rough :Bar Ceiling 69 P. OUSPA SYSTEMS FINAL 0 i.Ij. Rod'g[iHeating&Air'Conditioning FIRE DEPT.'REQUIAEMENIT' Permit Rough Factory Fireplace �PPROVALS 21. b'u9ts,',in Stru'&'ure;. if Underground Hydro 22. Ducts, Ventilating i71. Product Piping O Gas 13 Oil ;,,23.Gas Pipe -Rough & Test , 72, Underground Flush -k Roof Framing, •73.Undergrnd. Stoia geTankLOGas 00il 25. Roof Sliaatfiin;q i74. Overhead OverAead HWr' 0 ;26. Y-Balr'ailing (Structural) & Monocoat i 175. Dry Chemical -27 Frame,and Flashing 76. Dry Standpipe 28. 'L lL�thin� & Si'ng' �! I I 2 1 77. FIXED SYSTEM.FINAL 29. 1�1 n,sulation 178 FIRE PliEV. FINAL Nailing 30..D�ywail ; N':Ii• Notes:' 31.'Plaster'Bro'w' n Coat: 32'�ElectricaI!Power Meter-Firial i 33. Final Electric 34. Final Heatinb & Air Conditioning 0 �1 35. Final Gas 6lieles� I j 36. Hood or:Canop y 37. Final Factory Fireplace- 38. Final Plumbing' 39. Water-Se'r'vic , e -Final 40. Gas Service -Final 41. Solar bomes I tic -Final l 42, Backfin Preventer I 43. Backfl'o'w' Irrigatiod 1 44. Landscape Irrigati6ri-Systeml ;7 'n I 45P Sound;. t .�tten.,ua.tion p. 46. Handi'c'ap Regulation's 47. FINAL STRUCTURE'& BIJILDiNG, j 48. Special Requirements Completed 49. Electric Release to lEdison 50. Gas Release to Southern California Gas Co t 51. CERTIFICATE OF OCCUPANCY 11j , - - - - -_ No, �at6 I I ; , 1 LL , le . .-. " 2 IL 1 L- , _� - Repulsions to fill n all:goes except than within busy border lines and sign an appropriate declarations- _ _ a CITY OF COSTA MESA J - CONSTRUq ION PERMIT _ _ 9403 S/O9/9J - 1$: y0 I T. pE I NO. Q �'- - TRACT ND.. LOT N . � g - -. - AppIG6n[s Meiling AddressIl SDTQY lrc a Project Address 3505 W: arlil a Rl1 F -I WP50F CONSTRUCTION NEW ADD ALTERATION' -REPAIR LJ CONVERSION 'D DEMOLISH OOTHER Ornmer'sName '012kalei MU2M fs E6KMV4 7Si-SS15 . DESC RIPTION OFWORK - ZONING REGULATIONS. Adarm 1301 DDae .Ne.7go C' - 'a 92660 - �.PEOFPERMIT U GRADING'LJ FOUNDATIf�• STRUCTU RAE, ❑TENANT ELECTRICAL OPLUMBING MECHANICAL -OpOTXER: - PRO.IECT DESCRIPTION SG. FT. OCCUPArvCY A.P.ys - ZONE _ Arch/Eng, Ldnp NO. AdtlrmS - - PLNG,REF.* - BUILDING BLAKE A/C & SERVICE 630-6412 , C6ntrecpi s Name M1pne TO BUILDING vR PE v LINE REAR YARD (TO P/L) Addy (mailing) 1175 N. 'Osprey Circle -.Anaheim 9280 Lifteran No 396-109 LE FT SIDE YARD RIGHT SIDE YARD ' CONSTRUCTION TYPE VALUATIONS- ZONE O RAOI NO CU. YDS._ ACRES_,PKG. SPACE RED. PROVIDED - LICENSED CONTRACTO.RDECLARATION I- I Parody affirm that I am indeed under PIWbIOns of'Chatter 9 (Commencing Raul Q STREET WIDTH ,PARK FEES _ / - SPECIAL CONDITIONS: ' _ 1 thl\ wlttf auction 7000) Of Division 3 Of the Business and Pmfesilens Code. and my liceisIn full force µµqq Ileal. unn'de �LV LI 396-109 I ] nate / ,,//� �kE R5' affirmCOMPENSATION D�CtRPTION 1fl apply er orkedtnatlhaw Certificate f N ICO or a (Section of 0. Lob.' Combination 1 u,l or a gNlfled Cepy thereof (Section Popo, Lob. ad 401052 r o PLUMBING _ Bar Sink Sewer Cap . . ELECTRICAL geckllpw Prwanler 1' Sevre_r Connection - AUlomollC WesM1er- 'Mater syr lOO amps Becknosv Rriganon Sol Collectors 1 Construction Pole Sub Penal Worry No. Company - ❑ certnleo Copy Is nerabv Immsnae. BathtubsSiP p ng i' Cooking Unit Sub Pol t ls X Ie flleO Colin lbs CltY IIp 9O l Nlea 5PBYa3, Apple^t _ EKEMPTION'FflOM WORKERS'C PENSATION OECLARA IDT N (Tills Option Ford not be Completed the permit f nUnapd (5100) O! last) tlfyy Ithel in toe PerformanceOI the work fo 1 hl htill Pornt Is issued shelf not employ any personn any 1 0 a blect to tka me Workers'. Compensation l taws of California. Nle ' - hgnelUle - ' Clarifiers Solari ilk _ Dishwasher Mpters Oo-1 HP EI1A8 Swimming Dldlygeher PPoI w/6 q Dyers []Gas Ern i[ ;Inc.solar OB -15 He QI&15f - Drinking Fountains Urinal y Fan, l iMicrowRM United r Floor Ona WOrer aoauq - F.A.U. Pole Light i NOTICEaf, after making this eaclarauonpyou moms become subject to the Workers' Compensation PrOvlslOns of the LWOr Cotler Yaou,must forthwith o ply 'with; such Conditions or U05 _persalt hall b eumetl- ked. ' CONSTRUCTION, LENDING AGENCY IMrebyalflm that than saconstruction lendingagenryfortion y YmarL of the work for, "for this permit Is DrInd,I5di 30CIC. under s Under .2 Address' OWNER BUILDER DECLARATION - - Foo!'Sinks - •--- Water Heepi —' - } _ - •. Fixeren l - _ Range - Gas Service 'OUilets, Warder Service - - Device Boxes Sign' Ins¢rc¢PtNS Outlets Standing Sections Kitchen Sink 1 Switches Truth Compactor Lavatories' - GarCege Divpoml 1 I I hereby affirm that I em pt I to Cot 1 LI La i the " following reason (Section )031 5 Sudden and Professional C d Any City county which rep Ims a permit to Construct, alter. Impove, demolish or raga any structure. prier to Its, Issuance, also requires to poll cant.for such permit T I I9d statement that Mpne Is 11Cenmd Pursuant t th Provisions Of t tor's Ucense Law ICh;Mr 9 (commencinglwith Section 7000) of 1 3 of the Salinas and Rolemlons Code) 'th i n /Sore Ys. exempt :Y.afrom add the basis for the alleged ex5jmpll Any I I tion Of Section 703L5 by y pd"Cans for grant n acts ro¢ applicant [o civil ' enal[Y of not more [Fan Ilw hundred dollars �e5001: .� - b 1, as ear 1 n pro ub"y O y onam"Oes art ges as thek sole wmPumnIIon will 0 tNo walk• and athe structure la not IO[eneeC or Contra for m (3ecFmn 7Baa, 8us'naor d P10fesspn81 code The•tonOe<mrs (cense IAw does notepsr><;o an ow�se. ol. p'ogrtr'wno e.uaa 0 la to vC [hereon, d who tices h work M1lmself/morsels or Ibmugi h1o; orher own i LmploYCos, promdad mat n Impmyements are,np[ tended lend for le. 11, no waver, the build such or Imorevement Is sold wlMln One year 01 rem- pletlaq [M owner will naw file ewtlan ai ploring M1ehne oitl not but lltl or Ifo- prove forme purpose of sale): L I• as re Owner of me for j of, Section it ad. Cotrotting Corm IICanYd con- tndors towmvum ms prolett ad^oon )Oda, guslness and HolaPan Me Code: rier tre IN ort Improves thereon and who chntnac611o� sued prgecie w°in i mn� t attop51 license pursuant to the CantpectorY Llcenan law). ❑ramexamet onBer Sectio i B.a P:0.f'r in re mon - -_ _ P Tpp Generator 00,5 KW 05.15 KW , , Roof Drains s TranSlOrme! O1S50 KW t 050 (KW. Rein" ion Fiat $15 - SM10 -e 1 , R nspamion'Fe $16 Minor Ourito t W amPi Ipue Fire 'S 3 Service Sink - law For $ 3 eter ApOpYed BY ^a[i Applicatorn ApgOsetl BY eau s Application landed By ,m Dap MECHANICAL Refrigeration s stem Boiler -I g Y - Duct Under Ground pD100,000BTU ❑100,DW BTU, - SUMM qV OF FEES ' BUILDING PERMIT $ Ship PLAN CHECK, $ PERMIT - ISSUANCE , $ ' PLUMBING $ GRADING ', $ PLAN CHECK $ d ELECTRICAL $. I $ MICROFILM $ 'PLAN CHECK' $ 16,50 MEOMANICAL $; �0 TOTAL FEE $ PLAN CHECK $ LES$ I ' I 1 ADVANCED PC $ ' ' FINAL FEE $� Duct - Structural System Repair/Alteration I Duct - Ventilating - 3, ii P ressor O Exhaust System ❑ Multiple ❑ UniC Heater 0 Firepil/Fact Bit. ICBOMs Vent FMS 0 Date owned' ' Heatin gspmS Ouc[ing as l 1st OG100,OODBTU❑1011,000 - - - - 5 Imereby cortfyo that I: haver B this`appilcmlen and state that the spoor Information is Conrad. I agree to co m with all ciy.and county omfoaances I d tate laws m [F building consir dler. and hereby authorlm pre Ientatives lit :cl to nter,upon t aeovo-aentioned property for , Mgction ourp sm. • slgnatura 1 Date 5/6/83 I Doren• uwnp:d - N Hood 6r TYPeI ❑' Reimpetti ^Fel e Ceno .T OI 516 I d RaAieten Ives Fee 5 3 DMF 086546 ref. 12182 ARPIRRIllreM-ApPnontl Pink -Accounting: Goldenmtl- Anderson ' CONSTRUC ' c " + TIONANDPLANNING'70 _ r ;. -, c ^ �• •• - PO( SPA r- t-' :`Date `APPROVALS Permit# Inspector, 'ec - _ 'APPROVALS :Permit Date -Inspector ; - .a - - , - - �' 17 Temporary Electrical Smiceor;Pole _ c-: ' o :'52., Pool & Equipment Location v_ 2_$'Soil Pipe-Undrgrnd. d i ci - " K9; `� '53. Steel Reinforcement• - -- 3} Electrical Conduit Utility-Undrgrnd.)=54:' Forms 4. Elect tical Conduit-Undrgrnd ' t _ r = ^" ;• i : 55e Electrical Bonding 5: Steel Reinforcement - . -, •, ` - . 56. Rough PI um Pressure:Test 6. Electrical UFER Grnd. -' •• ". - ` ' 57, APP,ROV 4L TO COVER-GUNITE 7. Footings' I �'� = "'" I ! 58.' ElectricaLConcluit-Undrgrnd- - t -,w' 8. Foundation y . 'S x!59. Gas Pipe,�0•Uridrgtnd.; Test - _ 9. Water Pipe-Undrgrnd.: 60. Backwash Lines; P -Trap, ❑Undrgrnd. 10. Structural Floor System 61. APPROVA'CT•O DECK 11. Property Sewer Line & Houser Connection 62. Backwash &Receptor -Final 1 12. Sewer Cap ! _ x'63. Heater &'Vent -Final - - , 13. Roof ' ; '64. PlumbingSystem = Final' iDrains z. 14. Rough Plumbing '.- - - `'65. Electrical -Final ,:15! Electrical -Conduit j '-" , " - '--- -66.' Solar Sysfem-Final - ,Rough .16.:Rou h Electric Wiring, 9 9� , - - ; n i .� -. I ^ •* �� -67., Fencing & Access Approval - "•' - - - 17. Rough Wiri`ng,Sign ! ' - I •- -- 68.' APPROVED FOR PLASTERING _= ; , - 18. Rough Electrical -T Bar' Ceiling, 69.1 POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning '� I ' FIRE DEPT. REQUIREMENT .c APPROVALS; - 20. Rough: Factory Fireplace '. 1 j ' r .Permit'# 21. Ducts, in Structure - ;j ` I { I 7O.' Underground Hydro - 22. Ducts, Ventilating' ' ' 71. Product Piping ❑Gas OOiI I }'{:23. Gas.Pipe-Rough,& Test 72.1 Underground Flush' , i 24. Roof Framing' I 73., Undeigrnd. Storage Tank''O Gas' O Oil 25. ,Roof Sheathing174.' Overhead Hydro .r 26. T -Bar Ceiling (Structural) & Monocoat' ` j ' ^' ; 75.1 Dry Chemical Imo" x,•27. Frame and Flashing _ I li •Cathing - ' 76.• Dry Standpipe - - 28. &Siding j j �'.' ; 77., FIXED SYS TEM•FINAL , i� I Insulation i 'I I i I 78. FI'RE PREV•. FINAL , 30. Drywall Nailing j �' j } 'Notes:R j 31. ,Plaster Brown Coat i- '32. Electrical Power Meter -Final � + j i i I I - •• i 33. Final Electric i' �', '_ I I ( _ � I i ,t.. 34. Final Heating &:Air Conditioning :P. 35. Final Gas Pipe=Test 36. Hood or Canopy. -r; , 37. Final Factory Fireplaces-' ,T 38. Final Plumbing; I- 39. Water Service -Final' ' : i i -' " ,• j I :, , 40. Gas Service -Final , I 41. Solar Domesiic-Final 42. Backflow�Preventer' - 43. Backflow Irrigation, 44. Landscape Irrigation%System i •' l ^ - = f' - 45. Sound Attenuation 46. Handicap Regulations' - 47. FINAL STRUCTURE & BUILDING, j 1 � I 48. Special Requirements Completed' 49. Electric Releaseto Edison. I F �_- _ _ �_.'__L ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF, OCCUPANCY 1' \ IQDate L I i � - lul Drivers' . �L'a� Drivers' U�`^ES�' CMG 0865<6 sew. 11/62 Generator 005 KW ❑5.15 KW Transformer 0155OKW 13509 KW; Reim anion Fee $16 Relnspwtion Fee' $15 Metro DuP to 1e0 amps - - .Issue Fee $ 3 I Page$3 with e9M as their Mie Applwm '.. CITY OF COSTA MESA I - 1 CONSTRUCTION PERMIT ' j' - " tifet in7;�$e�ptthose within nervy or an"ana_Mnall apvePrl•I0 declarations. ya r I .:39'92; /43/i:3 R T - TRACE NO. LOT NO.. - _ ��. JF,.-, (�'� h�O 1 I I ' Applicant's Melling Aderess ' Af "11"11AC Palppt AddraC' ?�n� r Owmr'a Neme M1oneZONING Will OF CONSTRUCTION U,New Ll ADO LJAUTERATioN. LJ REPAIR - O ❑ 'CONVERSION DEMOLISH 0OTHER - OF,WORK .ryPE Application APpra4Td BY ^ate 1 Address' /Zn/ dC IV.R• CA. C9 AaT OF PERMIT GRA61NO LJ FOUNDATION U'STRUCTURAL_ A. P. GO - ZONE. • Bailer. I _ _ i i Rehigarelion System ArthlEnp. - CcenSB No. Addrel$ \ 11 TENANT' �, ELECTRICAL C1 PLUMBING EIMECHANICAL D,OTXER PROJECTDESCRIPTION $O. FT. - OCCUPANCY 1 _ BUILDING. REF. M, 11 OT RO , �-' BU TOBUILDING1 REAR YARD (TO P/L) PROPERTY IN Conirector Ne M1una _ Atldrw lmeilinE) 'LEFT SIDE VgnD RIGHT SIDE YAflD _ E Duet Under Ground 136100,0(0 BTV 13100,000 $fU 71 CONSTgUCTIGN TYPF,VAWATIONS - PKG. SPACE REO. PROVIDED LikenM No; O ZONE GRAOI NO CU. VOS 'ACRES � -'Trs--io5 LICENSED CONTRACTOR DECLARATION ITerWy'affirm that am licensed under pwrlslan$ of Charter 9 (commencing' _ RemarkN _ I STREET WIDTH PARK FEE S -SUMMARY OF FEES i `g 1 U'A-f g L _ _ SPECIAL CONUIT1ONS: wIW saction 7000) of Division 3 of the Business and Rolesslom Code, and Y license Is In lull for end ellec6 - PLUMBING - PERMIT $ $MIP $. Ucqn,Class �'� 'ass n professions obn- l kryl,_t l Shensiu q KERS' COMPENSATION DECLARATIONcrety affirm that I MM a certificate of consent to selNnsure or a CN[Illute Workers' Compensation Insurance, O a Ortlflq copy thereof (Adlon 3600, Lab. C.) Na. �Unl� 7 Company Q[}TZ gai 111A copy b hereby furnished. I nrtifiey py sincewrenthecitymf Dla�s4 /S`ZL_llcant ryC@C{dlO •TaY, /J(L /J� Sere (ip' ELECTRICAL —Prayanler SBNIr COnnN.YIO Au[malicWashtt1 enPol DucLYen[ilating— r ---< -� -- CO -• _ Irrigation Solar CollectorsPaney SOIY Piping COagrpbtlen $Yb Penal PLAN CHECK $ PERMIT ,Cook'nig Unit I '$cab PoleCertified I who uchpr of Party eche . U wren aurn- jsrS�k Solo,TenkEXEMPTION D infa h4 Moon [3D1 HP 0IXEDM9i - Ezneufl $yshm ❑ Multiple 13', / -, ¢/Q 1 FROM WORKERS' COMPENSATION DECLARATIOR peed nal be thmpPlead II the Permit is Mr.one nurtured ($1001 Or sl.1 I I In the performance of the work for which this perp is Issued 1 nelpnot 9mplq any aenOo la an man0er toles t0 become Sublecl.t0the I workers'. Compensation Laws of CaiHovels. I - - 1 er I swimming Pool W/Spa' Dryers❑Gan 13ElectticIncSolar 139-15 HP 131615+TNotion _ (PIAN CHECK $ s GRADING §. FobnMins I Urinal Fen MicrowmInrtlfy[hat Firepl/Feet Bit. ICSO$ .2 - ina! (WarpoF.A.U. - ➢ole iii M1I1 . 9 Data Signature NOTlcel tt n M q iMs declaration, you Should oec[ime subject b the- WorkersCompensation pro dslOns f the Labor Coda, you mut forthwith Comply With h poN3lons-or this .permit shall be deemed ked: CONSTRUCTION LENDING AGENCY I ho,eby affil IM1; there is a construction 'lending agency for they f Of me k f Whlrn this permit is Issued (Section 3097 CI C'1; 1 Lender's N6 - FI r St a F -- - - Water He - ." Fixtures_ - I _ Range Gas SBNOe'I Outlela; :'ga a[$arV I DawCa Box" ' Sign tacept rs_ .' 1 Outlets $tendin pending Ona I ngS Kitchen Sank _ Switches Trash p actor Heading System & Ducting I 1 1361 Wood BTU' 0100,060 C 'L'l ......Lender's Address_ 1 warn, ro- • Garbage 6 Wood 1 ' lul Drivers' . �L'a� Drivers' U�`^ES�' CMG 0865<6 sew. 11/62 Generator 005 KW ❑5.15 KW Transformer 0155OKW 13509 KW; Reim anion Fee $16 Relnspwtion Fee' $15 Metro DuP to 1e0 amps - - .Issue Fee $ 3 I Page$3 with e9M as their Mie Issue Fee . o.I.w Zoning Approved By •Date i - 1 =^ MECHANICAL t Intended or offered I not Intended Application APpra4Td BY ^ate contractor's V won builds or Impmms I 1 ^ - qq 6 `�l I s • Bailer. I _ _ i i Rehigarelion System ' through his or her own , �-' Application (plod y' U raMa I Intended oroffemd Joe' Duet Under Ground 136100,0(0 BTV 13100,000 $fU wihione yearaf -SUMMARY OF FEES i rites di r IM.ne- Ane me not bwia prem- ; i I •'BUILDING Docs - Sttucmrel i Sypem Repeh/Altpelian PERMIT $ $MIP $. 'ass n professions obn- l anti NOMrolons .. DucLYen[ilating— r ---< -� -- CO -• _ PLAN CHECK $ PERMIT who uchpr of Party eche . U wren aurn- ISSUANCE , $ PLUMBING 1 S. - Ezneufl $yshm ❑ Multiple 13', / -, ¢/Q 1 ):oleo B. a P. c for this reason _ (PIAN CHECK $ s GRADING §. 1 Firepl/Feet Bit. ICSO$ .2 •(1/(/r ;ELECTRICAL $, I Heading System & Ducting I 1 1361 Wood BTU' 0100,060 C 'L'l 3 PLA CHECK $ I MICROFILM ' $ Fast to that the a cove au horize mo« MECHANICAL $ .$D' TOTAL FEE $ l t HosedOF TYpa 1 11 I I Reimp!cdon Feel $16 iyherreebycounty Cloned Property .far '�rj� : LESS I f I g 4 ALAN CHECK; $ 1 ADVANCED,PC $ Regisfeis l I i Icor Fn 1 r w_V Dale f 1 1 I FEE' I r I I 93 ! I I FINAL § epONunL Pink -Accounting; GOldenrad -Assessor •.Sc"sTRUCTION`ANDfPI=ANMNG '"+ \ ,�-� :.: - FO( SPA -' - �•- `� r c Per'- - c >. Date' r `APPROVALS 2;X&- Inspector - ' `- ' -•APPROVALS;-�Permlt# - Date - Inspector ,c _ , r 1:_ Temporary Electrical Service or Pole •.. ` ' J ' . c' _ ' ` C 52 'Pool & Equipment Location, ^ U P, Soil Pipe-Undrgrnd.�' .° I t - ' ° - - - = 53`- Steel Reinforcement F • - _ s 35 Electrical Conduit Utility Uiidrgind., `. 54 Forms . • ' 4. Electrical Conduit -'>; _ ` ' ° 551 Electri'dl onding _ _ '. 5? Steel Reinforcement, h ` `= _ E. ` 56., Rough Plumbing;& Pressure Test - 6. UFER Grnd. '. 57.; APPROVAL TO COVER-GUNITE ,Electrical 7. Footings { I ' o - „ m '• .58. ElectricallConduit-Undrarod.;' ' 8. Foundation, i 1, •'o : - y ' ', _ I X 59. Gas Pipe; OcUndrgrnd., Test,• �. 9. Water, Pipe=Undrgrnd.,i'60. Backwash; Lines; P -Trap, O Undigrnd. 10. Structural Floor System `- ; ; 61. APPROVAC'TO DECK 11. Property Sewer Line.& House Connection - -. 4, 62. Backwash-& Receptor -Final _ - - .. I - c, 12. Sewer, Cap IT o, ' - ``-'63. Heater,& Vent -Final, T n_ 13. Roof Or I ' •;� 64. Plombing•System -Final _ = 14. Rough Pluri bing i • i -- _ - - ` 65. Electrical -Final' - 15.'Rough-Electrical-Conduit i -i 7j 1 -1- - i' - ` - 66.E Solar System -Final,- I ' �16.�'Rough-ElectricWiring; ' I ll � y "�-"t-'"-- �. - --' c j _ ,' 6 - -67 Fencing &.Access.Appro,v --- . ^ ,; _ I 17. Rough'Wiring Sigh°' N I ': ! ' ,i -' I I o ; I ` ,68. APPROVED FOR PLASTERING v ` 18. RoughiElectriphT'Ba[ Ceiling) : I I. I i 69.' POOL/SPA SYSTEMS FINAL = I o 4 19: Rough'Heating &(Air Conditioning FIRE DEPT. REQUIREMENT' APPROVALS' (Permit# .1 20. 'Rough,Factory Fireplace)(' b " 21. Ducts; in Structure-+ `' ` I ' i� I I ' 70.! Underground Hydro h�22. Ducts, Ven[ lacing ' c I I is i ! 41.1 Product Piping 0 Gas []Oil ' ' i':23. G`as'Pipe-Rough &Test I. ` ' l , I 72.; Underground Flush x124. 'Roof Framing: i ' i • ' , I • v 7:3.i Undergrnd. Storage Tank, Gas -w; l .❑Oil 25. 25. ,Roof Sheathing 1 I� I - ; 1 i i `- I ' I 74.1 Overhead Hydro r i i - l� 26. ,T -Bar Ceillrig (Structural), &'Monocoat 1 i - I ' 75.; Dry Chemical 1n , f'27. 'Frame and Flashing � i � i I � I � ''� I I 76.1 Dry Standpipe i , I I ° Q 28. ;'Lathing & Siding,77. FIXED SYSTEMrFINAL ' • 29.; fnsulation " I 1 I I 178. FIRE PREV FINAL i , _� v- - n I •a I I , I f r 1 :1 1 ° Drywall Nailing'Notesa I ' 1 •! 11`-30:' _ , p�31. (Plaster Brown Coat- �' 32. rElectrinal Power Meter -Final r I n _I Electric I ' .�,.,_ I J �33.1Fina1 _.•;,_ _(- .I ,�_ _�•-_I - 34. Final Heating &lAi Conditioning Y �� cr � 35. Final Gas Pipe, 1 II - 1 N '•• ,, I ,` , 36. Hood or CanoPY'•'': n- 37. Final Factory Fireplace? , i 38. Final Plumbing 39. Water Service -Final I' 1 I I i-• -' i I I I I- I I 40. Gas Service -Final 41. Solar Domestic -Final - 42. Backflo�� Preventers I 43. Backflow Irrigation L r. 44. Landscape Irrigation;System.� 45. Soundi Attenuation 46. Handicap Regulation -s- 47. FINAL STRUCTURE&BUILDING 48. Special Requirements CoripleteJ 49. Electric Release to'IEdison� l h ;---c -- -. '-r 50. Gas Release to Southern California Gas Co u r 5 51. CERTIFIICATE'OF.000UPANCY - _ \ Y_.J.._! _ -j-r- 1_J.. No. No I Date 1� _ Applicant �C_Li'SF le ml in an scowues all appropmte eaalaranons. s except within heavy Penner linand sign O9tlp li/2 /f n, ALS. SJ i\ PE I O. E'- `76 5., TRACT N0. LOT N COSTA_ MESA I CONSTRUQc ON-kRMIT 1 - _ - - ApplimnYsMeilingAderess pjadcR gddreC i4 A 4 nod t LLA' __ 1 Owmr'a Name. .. t ho1N AmtMl - (vcNEng. /_ IxenY NO. gdtlrM y t TYMOFCONSTRUCTQN Ll NEW LJ ADD LJ ALTERATION LJ REPAIR LI CONVERSION LI DEMOLISH O OTHER 0 S;sU ION FWOp�� N - neo - - _ TYPE OF PERMIT G U FOUNDATION STRUCTURAL ❑TENANT WELECTRICAL ❑PLUMBING QMECNANICAL 'OTHER ' PROJECT DESCRIPTION. SO. FTS_ _ OCCUPANCY-. CONSTRUCTION TVPP J[ -N VgLUAT10N$�' ZONE GRADING CU.YC)S. 14 ACREZ'. � - GO A. P. red J? . �O ZONE PLNG. REF. +M BUILdo DING rf. AT TD BUILDING - y NE ITO P/LI ' Ddntractmfs No L holo LL 7"�[t ry 'LEFTSIGE VggD IG T51 EYAR v AtlLaaLicence i1o. I4 PKG.SPACE REG. PROV ' OCENSEDCONTRACTOR DECLARATION h M1aNPY 4111411 that I AM licensed under OUSvl$IOds OI Char4r 91COmnMncing Remarkh 1.1 STREET WIDTH PARKFEE.S � SPECIAL CONDITIONS: -y' with /e[Ilor 70001 Of Division 3 O the Business and Professions Care, and my 11 NbIs funf mSheathed, _ urenM Ess - ' ulepse no. �-q rycs//��s�s�� S7"evilyj� a �•--,-'- �N� N��. z z•+'�swY� PLUMBING 1. 1.: 1 Data Slgneiure' BarSMk Server Cap' EL R A -( Isa_l 'RKERS'COMPENB ATION OE LARA IDN' O00Y+ffirm that Ihaw .a certllluta of Consent to saf•ivuie Ora CNNllul!-1 .. Werke ' Compensation Insurance, or a cartlflAd'COPY thereof (Section 3800, LeP. -)` .' PoIICy No. rEAID/AJC CTI pony S!A7� F 902 fl copy ish AP With the G fl copy INd wI1M1 1M GIY B ng Dlvl _Dat APPII 1 E%EM IONF ROMWORKE RBC NBAION DECLARATION IThis McOan need not be Completed If the pomlt Is for one hundred (3300) r li urll^aY that In IM1a pMcrminGe Of the ever fOor'whldl thli Permit is Ivied 1 Mall t ploy y person In y a s las to become subject to this of any workers' employ resection Backflow Preventer' $BsverConnxTion---1'�' f Automatic Washer AutomCoreftrtii WPole Mater Ows 1008mpa Batkflaw IfrlbBNon Solar Collector Sub Panel -SA BetMuba Sol Piping .• + Cooking Unit $ bPol CIP Pers Sol Tank '- D;Mwacher motors HP ❑1Ya-B _ DMwasher Swmmmg PoOlw/Spa. prYEfa ❑Gas ❑Ii OCtrIC I $Deer ❑9d6HP❑161St prinking Fountains Urinal - Fan Microwave ' Floor Drains: Water Glaz_et' FA.U. Pole Light Date NOTICE, If, after king this declaration, YOUShould'bm e Subject to the provisions Of the LJPO CON YOUmpR forlg;WNM1 • orker$% BOmW Such ply with h provislons'B this ,permit hall a deemed ken: CONSTRUCTION LENDING AGENCY Ihereby aft that there ISa.COmlructlan lending agency for the - of int wok fo whiatl Is pa It Is less a ,(Section 309] Cl C.1- , lwntler3 come a'SS N"i. Floor Sinks - - Wa190 Xeatdx - - - Fixtures Range - � ' Gee $er<,CB 'GPtlets� WBte!$eNIM �'F 1. Device BO%eri �':Signf ' I :I p.:• lnter[pptalF - 2'outleb_ $undine $ermm�sij 'I J O - Kitchen bink Switches Imo' TraM Compactor+' ' 1 Unde.s Redrew 4OWNER GUILDER pECLPgATION,-" L vffcriss. - GarhageD sposal� ,V !•�, I here" affirm that I amexemptfrom the -Cb t t 3.0 Use for thep llwing reason(Sectloo-]031.5 Business and PofettbnalCOCA; Are CRY - county which 1 permit a construct, alt l p demolish l y structure; or t It l Inn requireI Applicant for Such permit o iN signed Statement met he/she Is licensed Pursuant to the provisions OI Cy:o t ac[ %LJ Law.(Cha ler 9 (Commencing wItWgiacleon ]000) of i%1 3 of the Bull ass and �rofesslon$ Code) ar teat na/she IL exempt Near antl the basis for Me albgee extmptlan. qnv NGa11on of 9ectlon YO3L5 Dy a y apglunl 'or ,a'permn oblates Me appnUm to a nmI �enally of nal more than Oe M1 O(II d dollars (SSOOI. LII as ear 1- n Property - Y employeesages as r Mir s0 compaenyieon wd the the wo-k d 'he h t tore is not mtaneee o Hared f ssbNl Code TM1e'COdhattar's for Ie 0cllon JOM, Bu51 J Professorial U0 "an saw it net ePWY t f p openly who Pullei or ImPraw$ IM1 Pon we B a IS who doo5 h w rk hlmself/herself m Mrau9M1 heal' 00r M1ar own AM pleat pmvlowl thatSuch Arenot Intanaed lferaa for h wltnln one near of Com ie. If, Ind owns' Proving w 11 have t or improvement burden mArloIn. IM Own<r will havethebmeen of provlrp ie/she mtl pOl Duller Or Inn for the so Soof Rio) . I , r I. as Owner of the pr0pHir, am aXcluRwly conbadlnp'wlll; Iicenfed con Vectaof to wnstrutt tns ptoJade(wctl^on ]000, 8uslnass and Profeuloha Cooa. 1 Tee Comractor's Uunw Law d t sop ly to an owner of prope.[y who a Ild inn prows tnmaon. and Who Const I for such Prefects with a con. t ct isj nwnsa pursuant to theContraLicense Laws: ❑ m xempt anther Section B. 6 P.0. for tnb reason a Tre - p ' 1' G s" ❑0 5 KW DB-15KW - ( R t Drains I 1i I Tre dormer Q1${sO NW = 1 -' 's! Q5U a KW, - r R Impctlon Fee ' - - - 1 - ' grounds r fl spcbon Fee '- - Metd�' up to 1pB amps .Imo Fx$^3 aw 50 eBink ; Issue Fn I -E 3 - SnninB APprovae 6y IMta AppllobonJAppeaed By " ZL A I utas Iu1iM J. , / f r"6 /Z2 pP l By Dace V 2 , MECHANICAL ' 1 Boiler Refrigeration System , ' - Duct Unbar Ground ❑D1pp,pDp BTU ❑lOb,0D0BfU- p f BUILDINGPERMIT $ 9 PLAN CHECK, +�$ f . PLUMBING I $ PLAN CHECKI $ y .ELECTRICAL E� plfiN CHECK $$ i,MECHA W CAL $ Vs ,PLAN CHECK $ 1 J y SUMMARY OF FEES -��''�q'`��-���-, L' p < I / $MIP/ 3'�C vise s JQi PERMIT j4 ` ISSUANCE $y 's GRADING r -E t' 'I E l DiO MICROFILM _ $ TOTAL• FEE $ ` r$ WSS 1 Ap VANCED PC - $^ FINAL FEE^ $ T� Duct Structural I System Rep']AltereYan 1 Duct Ventilating ng _ _ 1 ` - Exhaust System ❑ Multiple ❑ I ' Finpl/Fact Bit. ICB0 # • Date im ovmer4 -I Heating,Systam Be Ducting __ _ _ ' QP1 Dorm BTU 0100,000 ) / nerebY Part 1Iy 10rt 1 I;an; dad'Mls ppl tat on nn ^ ate that IM chow - anlformallon $ correct. I agree to Comply with all city and county ordinances e^ tate laws lalag to building coast ructlorriand hereby authorize pro- tative; f -tai city to enter;upon t now mentionee oro ny Cor negative; Pur I. smnature mat pricers' Ucen Or SS l r' j Hood ar TYPeI 1 I RP mperndn Fee Canopy Type ❑ i $16 + Reginers Imsv Fea I E 9 idenred-Asusmr - CMF 006546 rev -12/82 Will - Accounting;G / r .,I_iCONSTRUCTION AND PL?A (NGC? 'm c a r_• - - ', ^�.' _?POC SPA = U E'_ rj'. i o Date APPROVALS Permit# -a_ 3 inspector - V. gPPROVALS;, Permit # ' 1 - 'Date Inspector n _ ' Temp"oraryiElectrical SerGieaor P61e { '-' - �5�; r4 - :52;`, Podl &Equipment Location Pipe-Undr'grrid.c N .I.F:,�- ' 1 '' c` `: I 53'- SteelReinforcement , __ f. Y I I - 1 5.3; Electrlcat ConduitUtility Undrgrnrl. 5, T �.. Y. y _ 64: Forms Electrical Conduit Uncirgrnd r • ~ c `I % " a 55_ Electrical Bonding 'y rt: I , . 5 Steel Reinforcement 1 `? ` i .'�I ` _ a, ! �- .'56.. Rough Plumbi'ng_8t Pressure Test e ' • _ 6: IElect�ical_UFdR Grnd.` i ,� ' j• ^ -'' 57: APPROVAL'TO COVER-GUNITE ! ` • 7. FootinIgs'r .. 58. Electrical Conduit-Uri&or^d,-�- - 1 = �' ; 8. Fouridatiory ^ " - a ` '59. GasPipe;�0 l)ndrgrnd., Test - I ,� ^,, 9.' Wate PipeiUndrgind..f ! :, 'f ' - i :;60. Backwash' Lines,.P-.,Trap, 0 Undrgrnd.' ' _ 10. Structural Floor System 61. APPROVALTO DECK 11. Property. Sewer Line&-House�Connecton, f U. t: t� '-62. Backwash -.6`Fecep4or-Final--'--' .._�. 12. I G., I -O "-' „'63. Heater &,Vent -Final l i 1 .;; 13. Roof;Drains j , I e ^ I �, s -I ; ;-k Plumbing System inal - 1 r 14. Rough Plumbing 1 I I ' I•x'65. Electrical -Final° --15'Rough'ElecTrical-Co�riduit _'"�r"'TT11- r i I 66.- Solar:System-Final-T-- ' LL• t6:,p' ough-Electric Wiring-. Lt L I J I;�-F', r. �s�-� `;-,"-f �-} 67;i Fencing &Access Approval nC.'.... ii ".. 'r..�.n,_,,J=•1'.I Ic , Y17.' -'U'g'h Wi'ringtign� f� I" i'`c'.I `-I%'I mI�`I i 168. APPROVED FOR PLASTERING - ` "c U. I- J, 18. �RNughPElecyri`caI;TI6aa;Ceiling' �1 ! (� I : 1 POOL/SpA STEMS •• li I : 169.1 -FINAL Cditioning �� ! ,. 19:4ough`Heating &(Airon -� ! i `, I 'FIRE DEPT.IREQUIREMENT' ` - - -; APPROVAILS. Permit # - Fi ugh;Fctory Fplacei ' 210.,IRoa ve 0. . i •.D'ucFsipSiructure, X70.1 1 Underground Hydro _ 22. 'Ducts, Vennfating r c II i' l i I i '7t. Product Piping OGas 0Oil I 23. Gas PipeRough & Tzst` I '�� �'_ I I 1 ` r 72.1 Underground Flush I -_ I .-24. Roof Framing• fn ) ;. , •� -� , _ 1-� r. O ;7.3. Undergrnd. Storage Tank Gas 0.Oil I 6m- s I , I ISI �I o, .,• , , 25..Rdof Sheathing I ,' I 17', �' (17 ;_ 1 ' I i ` i I 174., Oye,6ead Hydro _ 1 l r , -• 26.T:Bar Ceiling (Structuraq� �, Monocoat' i •� c i I a ;' I I , i75.. Dry Chemical j c , 'f27. (Frame and •Flashing 1 I '� I ;7 176.' Dry Standpipe- ;. It 28. GLathing &"Siding; '; p 'I I� �(' `l I� i i i77.I FIXED SYSTEML_FIINAI_ Idnsulatiori j I`_ " �! I 11 I t i I 178.' FIRE PREY. FINAL `- "30. Drywall Nailing 7 _?-�j'3 !Notes: _ 31. •Brown Coat-�- ,Plaster ° 32. Meter -Final s GElectrical'Power , ,._3;ljinal Electric _ I 34. Final.Heating &lAir; Cgndi,tioning •,I�n, i I ! •%� 35. Final Gas Pipe -Test - I v i , ' r ' �% ,; i it, 1'� r 36. Hood or CanopV? i1a oI - `-.e ! 1 • - - 1 ' '' = t 37. Final Facto:ry Fireplacea 38. Final Plumbing 1 { • I o •,, jl I I I ISI 39. Water Se vice -Final `. I ' ! I rY 1 ; ! i 40. Gas Se�tiv-n_r �' IpFal I I II I •'�-` I -g'� 41. Solar DomeStic-Final ' I':_j �r "IYv .4' 644-'a a Ijb o7 / 42. Backflow Pre'veoten I I 1 „I_ -_ `4 ___- 1 ' I -f `-, � 43. Backflow ,- . �.-_ Irrigation t.- 44. Lands5c?,e'lrrigation System moi:: 45. SoundjiAttenuation ;� i m�I • � ��, j � 1 ` I ,+I iI 1 � c 46. HandicaP'fI'ulations I ! 1' F Ic 1'' "' I n •- •• d 47. FINAL STRUCTURE-& BLILDING it 11 q r I 48. Special Regdirernents Corgpleted 49. Electric Aele'aselto Edison' I �. �_-}. -� • , _t•. +.-�. _ i_ I '• I, I,I 1 50. Gas Release to Southern California'Gas Co74 51. CE R TI F I CATE'O F. OCCUPAN CY No II II 11 Date I AnplianLtatin matnpaen a'RaM thea Within heavy bane. Baallnann sign aappropriate deataratiom. - Errggly����ooF COSTA MESA. - " - 1 - ITN TRACT NO. " . I an r - FONSTRUCTIONPERMIT Q / - 'C'-1 `7952 4/29183 .I�B4.76TL -Applicants Mallin AMrea •L TYPEOFCONSTRUCTION LlNEW LJ ADO- ALTERATION LJ REPAIR - - - - p lect Address ' - _U CONVERSION 11 OC 0OT1iJJ�ER - - Ow pr's Name U r' 1SLO—IS BC RIPaIIONOFWORK YSV lRQ1�1 - AddressAt's`�1�U65 1�'`NPaxlasir HI'� TYPE RMI GRADINGLJFOUNDATION STRUCTURAL A. P. th �Q ZONE A chlEn ✓'U I Cs^^��-'� 914 LIanMND ❑ TENANT, 19 ELECTRICAL la PLUMBING MECHANICAL BUILDING' - B TO BUILDING Addrev' -❑ OTNER - QRTQInl&f. err I PROJICTDEWHIPTION, SG: FT. �r ` OCCUps' CY TO BUILDING - REAR YARD ITOP/LI - LODOaCM[iN _ M1Dha PROPERTY INE E YARD AEtlrMf h^a CON BTRUCTION TVPP VALUATION $� LEFT SIDE RIGH PROVIDED • : ZONE _ GRADING CU. YDS. 'ACRE PKG. SPACE REO. PROVIDED Dana No. LICENSED O Cm that I m licensed DECLARATION ION 1 gewarkn 3.5� 0.\C t � Z' STREET W107H 1 PARK FEES with Section affirm 001 o am Iision a under preelale s; and Prefes 9 (commencing- . my l eedlpn n full of a and of 3 of the Business and PrOlaalans Code, and SPECIAL CONDITIONS: my ncenpµm mu fora and effect. , Ucensa as., Uclines No. 1 PLUMBING 3KER4'COMPENSATION OECIARATION Bit Sink. Edwin Cap ELECTRICAL .rebyarllrm that l naw a cetlflate Of concent toalHmure pia adulate, Backfl" prevegmnir I'- $ewer COn aatl n - "' Automatic W«M1er 7. _ 'Meter b+er lOO emPs. _ of Workers COmpenallon Insurancea a ortVbd copy then of [Se Crop, - 3800, Lep. C.) r 1 B kfl w iget on $pier DOIIxtW Construction Polls,, . ,Sub Panel " PoIICY NO. f - Company < Cooking U '[ Sub Polev' O BCertified COPY Is hereby furnlmee. I I I I fig., Bathtub - i Solar Piping - Castilian COPY is Bled with the City Building Division. 1 _ Clarifiers 4y' _ Solar Tank Dishwasher MOWN 00 -1 HE O1KE I Date - Applicant _ _ EKEMPTIONIFROM WORKERS' COMPENSATION OEOe ARATION Dishwasher Swmmin PODi wIS 11 Oryai OG 0Elecbic 1 Inc $plan[3915 HP, 01S-159 �m;duMlon need nm b. Wmplet:d a ma wrmit n mr on hundred (i3n0) or>' 0 DB L Fan? I. IMicrpWRM I certify that m the perfwmenco of time nr6 for winch tyle perm t I I p L. Drinking FCundoins Urinal 00 Small t employ y peran In y as to Become sue! t te't6e: 1-�yatgr OloaL . 00 "/ F.A.U. Pole Light 3 Workers' Compenatlon Lawn of anmanner Floor Dre ml Date Signature fe "% - Fixtures _ NOTICE: If, after making this declaration, You should bei 'Subject to the Floor Sinks - Witter Hater, - b Range P. - YYWICI.Compensation provision, f the Labor Code, you `nu t forthwith Oevia Boxes - _ Comply with Provision Inls Permit shall p i w ked 1 Ges $cervica Ou[lan Wafer Serving Sign CONSTRUCTION 'LENDING AGENCY -' I hereby of firm that there is a, Construction lending agencyfer the Performance " terceptors! ` Outten Way O of the Work for.Which- this permit ($ectlan 3097 CI. C.I.C.) Standing isections SViitthai; paam Lander's Home Klrc4n Sink ;I -- J TrasM1 Cam Landers Address _ Iavatones (� r Garbage DIWOYI OWNERBWLOBROECLARA ON " Ihereby affirm that I am eke pt f the'C t [ Y U a La for the I - Generator DOb KW 0546 KW fallwing reason ISectlon47031.5 Business and professional Code. Any city or P Tiep ( I county Which mWNs a permit to construct, alter Improve, deoral n p TmniformN ❑1550 KW Y structure. prion t0 Its Inane, also requires IRa applicant for - h y mit 1 Roof G - - I 1 SBI signed statement that I /dna 1 Il d pursuant to (help I 1 ( _ �6Ut NW Contractor's UI U Law IChussb 9 (Co menCl g with Sectio 70000) f ns 1 - Remapanion Fw EtS -4y"TilI ] f Me Buslnas and Pr I Code) that he he i mpt SM1DdN s R I specti ts Pee 'E15 "N M1om and the basis for to alleged ptl Anv'v ola£a fSection I Meter ❑up to 1an amps 1 ,(gup Fy y 7e3+:5 p.any P bent Ip 'w II' -bl 1 to Dpllant t a"ci II ) I "W "Why 0%hat mare loan 110 M1 tl d d (S50e1 w `* ate Sink I IIw F �$ 3 Zo pp Approved By Dab 2 as av na. 01 Ine:pto ev o r pI yeas wird agMl s [beI sol 1 I 1 Hnaupn win: do me n dna s " I MECHANICAL' W, V .5 I Z toycartoon (SBC{Ion 7090- Bug - d P M C U The C t t Appl dhoti ApprovM By ate I Uana Law goes Apt apew t P party ren Ibwms ar improves BBJw - , Refrigeration System : APPbq<ion laved By S neM Ly' s' a d wed does such work nlmalf/INn 1/ th pn ills of net own 1 t - 1 employay provided that such Improvements a o[ Into detl e r mferca foe '- O111Dg000RTU 01000no6TU SUMMARY OF FEES le. n, hewewr, the bwmlm Br Inip.memenx m hap yw. er com Duct' VnOeyG ou d I I pleemn, the owner rem naw the burden pr prowl p n 7a ala a ealM or Im. j rrQefer me purpoa of diel. I I 1 I I Dust -Structural 1 I SVatem Rep )Abort BUI LOING PERMIT $ 4M.1, as Owner o1 file prop try . dmWelY t tl 9 Ifh llanMd con. A hors to. construct inn oroleC[,�o c 0 7049, B Ines ane g0fes ons Code _ Duct _Venj le[ ng �_ -; - , _ _ • (6 00 40L�AN CHECK $� I PERMIT 1 The h contractor. ntractor.a Christ law'E s not^DPI t0 a r�pmtY who ISSUANCE $ 1 holes IM Improves thereon, Mtl w co trac�z f n a DIN�� Ito a con. Exhaust system ❑ Multiple ❑ : %' - PLUMBING $ t e O license pursuant to license pursuant m t aen.ct a La�a ta� : 1 r i I PLAN LXELK• $ Off: I.GRADING ; 4 ❑ I❑ ae�untler 5ec[IatMSectlO' .Po thi I Firettl/Fant-Bit ICSO$ "% ; 1 I C i I , ELECTRICAL 1$ Det OwOw H t ng,3Ystbm 8 Ducting 1 I. -n e�u-mal i haveI haw tl t poll n tl [ t IiM tM1 b - 0.100,000 BTU X100,000 BT' - -- . LL PLAN CHECK: $ MICROFILM $ fllon 1 I[n en City D t dl ands l I- f 3 TOTAL FEE'! $ 1 a tidtt Ia s r i Ing a o to Ion no ne.eb n[nn I .ep.a MECHANICAL " - se Mtiyei _this Ic me apo wndaa D o v for HdoE or Type l ❑'' R mspaaiai Fa Et6' E. 00 ` LESB l i�pep[_Ip S I lino T 1 ❑ ; PLAN CHECK $ arston3 ADVANCED PC I E/� Ddren' or'S4? I ReplGers I 1 1 Imise Fa I 3 3 /� I I ' FINAL IFEE! E CMF OE -0BneV. lg/B2 Wp tlingl Canary AplulcaN: Pink -ACmunlln9: GOldrated-Asasem - CrONSTRUCTION AND PLA NG_' '° ` ' - r -- PO .SPA,- `•' ' - c Cr __r Date r „.•APPROVALS Permit: 'S•� _ Inspector .;, yAPP.ROYALS Permit - Date Inspeeto� _ n t1: T, :mporary,Electrical Service or_Pole i. �: - _� 152.' Pool & Equipment Location n al 2_;Soil Pipe-Undrgnid ' L i r � � _- � �_ - Z'." :5kSteel Reinforcement _ 3::Electrical Conduit Utilitv-Undrgrnd!,54:'. Forms N' Electrical Conduit-Undrgrnd� - :, ? �' ' > : R r• - `55: Electrical -Bonding. - 5: Steel ° L': r� Rough Plumbing & Pressure test ,Reinforcement 6: ;Electrical UFERiGrnd.i ' a ' °,• -' ^'�U - 57': APPROVAL>TO COVER -GU- �' 7. Footings j ! I - 5e Electrical'Conduit-Undrom�l- .i i 8. Fountlation I i e f'. '� t� i 59. Gas pe, r-Uridrgrnd.: Test' 9. Water Pipe-Undrgrnd. 41, 60. Backwash Lines,.P-Trap, O'Undrgrnd. • - - � � 10. Structural Floor System ,`- - ? � i _ ;r ' � 61. APPROVAL TO DECK' • _ 11. Property Sewer Line &Mous e�Connection' s 62. Backwash &-Receptor-Final ° ^ r _ `,• -. - J' :r ,'r 12. Sewer Cap I ' " I I �^ - 63. Heater & Vent -Final - -_• , ' i _ 13. Roof Drains +64. Plumbing:System'Einal-'.'- i .1 14. Rough Plumbing 65. Electrical -Final - - - - -• cf '` - r,'15: �Rough-Electrical:Conduiti ':-'- '--- f'-;- - "-66.�So"IariSyts4em-Final- 4^• `-- - ' ,., ;II17iRFiugh,Eleciric Wir'ag^ i = i li "-,. 6! -- _ CSC 1 67 �-Fencin g & AccgsSrApl5rOVal,' ' - _ i - C . r;- _ _ r; 17.4G ugh'Wi ririg,'Sign fn ,, `:' a I'�; i _ - ='' -'! �: 68. APPROVED EOR PLASTERING I. • � 1 - •1;:8.:;Ro ugh"Electrica!;,7;Ba��Ceiiing I' �i I ;F• °�C,`� X69. POOUSPASYSTEMS'F,INAL' y 19?IR=66MHeating &Air Conditioning i I FIRE DEPT. REQUIREMENT _ ! APPROVALS;; I Permit # '• + - � 20..R8ugh,tFactory Fireplace ! i ;i 1 ! i i - ' _ U 21. Ducts, -,In Structuctu re i i , JO.j Underground Hydro K�22. buc s, Ventilating : I, I 1 71.; Product Piping 0 Gas ❑ Oil ` g`.23Gas Pipe -Rough & Test j j ;. ( ; ? 72. Underground Flush' !r24.• Roof Framing= I ± I. j ; I - I 73. Undergr d. Storage Tank O Gas ❑Oil 25. 'Roof Sheathing il; (; - P ! ,74., Overhead Hydro - 26. T -Bar Ceiling (Structural) & Monocoat' ' ^ I : f ;s i 75.'i Dry Chemical 1 27. iFrame and Flashing; -r I (, 1 I `, i X76.1 Dry Standpipe A 28. tCathing & Siding' <. o ; ,i : I ; 177.' FIXED SYSTEM FINAL. '! 9. j7 ` �5+�-="' II 1 ; I j 78. FIRE PREV. FINAL 1 ;-30.iDrywall Nailing 5 t i I l 11 1Notes: I x`31. Brown Coat -- _,Plaster 1 Electrical Power Meter! -Final ii 33. l Final Electric I i it 1 _ 34. Final Heating 61Air C4nditioriing "3; `' •4 ,yv� 1 1 '' I•' Y 35. Final Gas11'Pipe-T-est,d I i _� Y [ 'C� In - ,\ , - �,�- - �' 36. Hood or Canopy -j 37. Final Factor Fireplace, o 1 38. Final Plumbing I I 39. Water Service -Final' _ , i T ! I •? I 'A .. 1 i 1 i �_-_ 40. Gas Service -Final n r l ( �1 + 41. Solar I56m' e_stic-Final 42. Backflow;Preventer, ' lel, 1 , •• -�_ 1 43. Backflo^Irrigation; 44. Landscepe�IrrigationeSystem 45. Soundtenuation Q'r ; 46. Handicap' Regulations : ' ��(' !I i� 1 �, , I . I - 'T' 47. FINAL STRUCTURE & BUILD.ING {� 48. Special 14egdire6nts Completed '! I I ml I 1 ! ' ; '•''="' - c o> 49. Electric Release to Edison" -r-?' I - j -' -'- �' Si . r -' -''-�-- • �'�' 50. Gas Release to Southern California Gas Co I ! I 1 ! ! I i ! .,✓ -_ ! ' `. -aA 51. CERTIFICATE OFiOCCUPANC:Y No I Date F- alai m_IMOil sp_aNl except me ed With In nadVy e_eraers 132 Nn all_approprlete_ declarations- _APPINItN CITV OF COSTA MESA rg 1 PERM NO.- T TRACT NO. L 'NO. B a13(j 1 - ' CONSTRUCTION PERMIT " F •- - 00 Aleplunt,s Wiling A dressp- - TYPE OF CONSTRUCTQl NEW ADO ALTERATION' REPAIR - prplapl AdCraf L M a2I '1Y9- 1:1 CONVERSION LJ_ DEMOLISH ❑ OTHER OwOarY Name NZ L G Irp01111=� DFSLRIp110N'OFrWOgKN n /2O/ 9a.ne, .Ail A �c:/{ ' ZONING REGULATIONS Address ''TYPE OF PEflM1T GRADING - FOUNDATION -STRUCTURAL A. P.:y* 'ZONE A . ArcNEn : - License has r l❑ TENANT- O ELECTRICAL El PLUMBING, ❑ MECHANICAL BUILDING I I Acerae, - ;OTHER P LNG. REF. _: T/e O P j' - _ TO BUILDING REAR YARD (TO %LI! Co ti for NO --bom PROJECT DESCRIPTION SO. FT. 'r OCCUPANCY - I Aaeren im ���� �'R CONSTRUCTION TYPE VALUATION —&97 av' LEFT SIDE YARD - RIGHT SIDE YARD tleenro No: -j�" - ZONE GRADING CU. YDS. 1 ACRES PKG. SPACE!REO. PROVIDED 1 I LICENSED CONTRACTOR DECLARATION , Remade: STREET WIDTH 1 c FEE $ _L OI hereby affirm filet I am licensed urian ProvlRonsol Charter.9 (carrmencing ,PAgK with faction 70001 at Division 3 Of IM Business and Profurejona Code, and SPECIAL CONDITIONS: ` lssm vin for a a efr.n- - - - umnfa til ¢37, i* A2 •� ®n- PLUMBING - i . v Signature p; :KERS' COMPENSATION DECCAp TION J,Bar Sink $ever Cap ELECTRICAL ,.raEy'affirm that l have Scintillate.of consent NsalMnsum or a collocate +Bskllow PNbanter--' "'- - Saxer Connection. Automatic W6M1er 'Maim ❑aver 100 empa of Works" ' Conemst an Insurance, or a call copy thereof ISechon I 3¢00, Leh. C.%)���� 1 [y Z -company F/d,ND 0acktlow Irrigation 1 Saler CollNlore ^ Construction Pole Sub Panel / 1 51, y NO.(L/ •Ayy!� AGratified coGDr Is hereby mrnlown. ' 8aihsubs - Salm Piping Cooking Unit Sub Pole^ ' 1 CerlHe w vlsl11pyywith lM1e dtvB1tUalny�0�[Ion. SYS oyK_f�/pl� Tank 1, DisM1xssher Molars 00 MP 13 I%_8 Dep AilpllNnt Cleritien Solar E%zMePrlpN'FROM WORKERS' COMPENBATION DECLARATION _. _ I DINNASIIBr $W TTIn PoOI OGas' ❑EleCliic -Inc. Solar 09.15 HP ❑16151 47hi motion need not be completed N the permit is for and hundred(9100)or _ B raisingDrywo 1 prt^fOY that In the Performance al the wolrk far'Which this permit Is issued r t Drinking Fountlins UriMI - Fan 'Microwave 1 r 50' Whall t employ Y Nosed In any a a[ la become Saba" to the F.A.U. I Pole Light g orkers' Compensation, Laws of Danis Fla. Fluor Drains WaNr Clasel' Date slanamre - _ Water Heater - Fixtures Ran Range _ NOTICE: It, after making this aNlaratlen: you should become subject totheFloor$ink[ Workers• Canaveral provision' of the Labor most forthwith be. - - - Device Boxes Omply.with,[ a provisions this Permit Fall shall deemed revoked.. - 1,1 Gen Service'^ .Outlet Water Service ,Sign CONSTRUCTION, LENDING AGENCY - Outlets - I Ihereby affirm that there bewnstructlonlanalrpagencyfor the g,0ormanu. Interceptors - .Shipping Sections of the work lar which this, Permit Is Issued 49ention `309)- Cie. C.fg Landers Na e'- Krichen $ink. - Switches 'Trash Compactor Lamer's Address i 'OWNER'BW LDER OECLA RATION ', Lavatories _ r Garbage DiR at racists atllrm tract am eke yI 1 M c t t s u LA 1 to _ Generator [:)0.5 KW ❑545KW - fellowing redden u9tllon )0323'0 sl tl hof la el Coda A Y Gly P T P _ co my wnlbn tea lresapermnt nmcLmt Improve, aemalln pi lneappllcant - Transformer ❑1550KW Y t aflare� 011or N Its Issw I dulNz for ra p It Roof O a - 1 rel IgnN stalamenrtnat Ce^tia s Ilwnu la ne/sna Is liunwa oursuem to Melo HI s f I 9 (commencing wi[M1 $Serle )000f ❑SU KW' I pcaFear Eu1 l oor 11 3 f Ma BuslnNs �nChaPter d hofeslone Cotlefbr Met ria ser I plI 9 omrs - R inspection Fn $15 in f Om'dna IhA nazis for tM alleged exzmpllon. My VIpN�IOp 1 $B civil _ '. faster B[er ❑ap to 1 W amps. 16W Feel E 3 >0na1Iry .3 oy a y ppllunt fe p It b 1 M pals t t" 1 II r k.' E 3 - - �T, al reel more roan fire nu aeda II 33001 es oar A Ma prop IY f Y e I YNs. I[n { to Isole 1 Service Sink. I Fee Zo p Approved BY Oali a wnsbUan wlll'dO Me wvk dtn [ ct stir .I li 9 I dN false -. MECHANICAL � opal ton APgoved RY- Fele Z �3 N (section )oda, Bun a P 1 Urense Law dost not apply to 1 1 I c a Tne'c p 1 op ry wh p Iles Improves 1 B I r Refr geration System 1 �✓ I/ 1 t r I {y 1 ape Ihnerevn la d conn dram such work nlrrisell/n rseu m MrougM1 M1ls ar M1ar awn alayNL p o Is. a toil s en Improvements are hat Intanaea o. onarea for + ❑C 100.000"U ❑100.0008TU APPbrBtipn ISs1Md BY All 4 O ale Il, now to a nal or Improvement Is sola ❑ n Under GFaund ^ ( p wltnln one near o1 Dam , • $UMMARY Of FEES ple[IOn, tM III n Me bmtlen Ot prONnp ne/YM1e did not bu M or lm phi tar In p pose offaNl. 1 ( ^Ilt Duct-St ructural System Rayer/Alteration -BUI LOING PERMIT $ /0'D O ! SMIP $ i •5[7 I, as owner of the properly, em ex I SIWIY contir Ing With in - I tractors - Duct Ventilating_ k ! I I 1 rPLAN I I �' �p 1 ' 1 to construct the project to ctlrovn 7040, Businma an tl Profs C da,.y - _ _ CHECK l $ �� PERMIT The Contractors License LOW d t pal to an owner of property who ponds Immayss thereon, and Ifo w pncYs for such projects IM Can. 1 E haust SVahim ❑ Multiple ❑ 1 1 'PLUMBING $ ISSUANCE $ tractor(s) license pursuant to the Contract Y License La WI: j 'i 1 GRADING $ Elpf a Section B 4 v C 1 tn1 F rfolFat Bit. ICBO il' 1 % (PLAN CHECK 1 $ I I 1 1 1 ELECTRICAL' $ $ 1 1 l - i Dole - Ow - H t gSyshim6Ducting MICROFILM E I -hereb e nay M o f d par 1 art [ that tire- o it —H ❑D1 W'000:BTU ❑1 W,00V -� PLAN CHECK $ n correct. gistt ply ith ll Its a' tY al I en^ ^ ^MECHANICAL $ ' • TOTALjFEEI 1 $ state lea tito building conatruRloan d hereby authorize repro- 1 Ltives 1'tM aOw for , HOOe or T Type ❑ I 1 o '. up me flunN Property Inspection p 'p Caro T e II ❑. :1 1 1 R sretl Feel i16 "'PLAN CHECK' $ i j I -1 Simaturi S y !3 f 1 1 i AN 1 ADVANCED PCI $ I R rets i ' IWM Fn $ 3 ' FEE• I FINAL LMF Defib-46 rev. 13/gY _ ;Pink-Attounting: Goldenrod -Assesaar `?nCONSTRUCTIONANDPL'ANNING;' -`W° I�' 'Inspector - 'o° d,'c: ,LSPA ! = "Date - ...:,,etc Inspector APPROVALS ` Permit.# m =•`Date •eAPPROVALS Permit # Vii temoorbrv,Electrica`l Service or -P' `'v; ;. ' f" I' 752. -Pool &:Equipment Location - i i ° So Pipe-Undr'grndl' ; f , s i a a' 4; ; .'53�Steel Reinforcement `� 3! Electrical Conduit Utility-U_ndrgrnrl.rt �' �,= I >C Forms.;01 ' `-• '-- ". - 1 .54: .- - 4• �' Electrical Conduit-Undrgr4. -`- _ , p'- r - °G. :55� ElectricahBonding <R° Y. Steel {Reinforcement I I ; s'? 56. Rough Plumbing_& Pressure -Test 6: jElectlical UFER Grnd: I ( ' ° I ` r ' �'_ 57: APPROVAL'TO COVER;GUNITE� :_ J. 7. Footings { i {�'c v:, 4, r.n 58Electrical'Conduit=Uhdrarol 8. FoundationI I '^ y' 1 - `'c oc ':59 GasPipe�O.-Undrgrnd Test•'° I , - - 9. Water Pi a-Undr 9drnd. I i _: i P j•'' ' -.. _- Ba^ckviash. 'Ltnes,P-Tr" O�Undrgap,�rg rnd." I � _"60. 10. Structural Flopr System v c ;' o S 61. APPROVAL TO DECK -- i l -I i. Propert"y Sewer Line" &`HouseC,Co_ndectIion 6.a Finl I I Cl _.L ,-' 1 12. Sewer Cap 1 I c s F'_ _ 63. Heater &,Vent,Final " _: o = - o I , 13. RoofDrains64 Plumbing:System -Final-:. • �1 14.Rough-Plumbing 1 'o �,t 1 - .; '65. Electrical=Finaf' •, �•"• 1 -1571Rough-Electrical-Conduit'1""'��, .6. h-- Ele, ctra, ic1,W1 ir0g' �;67:f; &ngccess A0p roaval - y, -nRron•u 17 :jRou9ti!Wii ing'Signf: rt ( ^ ii !!`O r i :, f68 APB�ROVED FOR 'PLASTERI�NG ,��, I :„! _� •'' ,�- �,18.i,RoudtCElectrical�T;Bar, Ceiling{ II I' { .I_ I - "( (' '' r' - 69 POOL/SPASYSTEMS,FINAL fl 1 ,ry 191;F ough�Heating WAir'Conditidning II i' (r; I i FIRE DEPT. REQUIREMENT _ , ; APPROVALS Permit P 20. lliough:'Factocy Fireplace {j 1' (� I I I j t u r ,. I r L21. Ducts, in Stiu�cture '1 ! {, , I I 70. Underground Hydro I I X22. ;Ducts, Ven�ilaung I �, ( t Product Piping 0 Gas 0Oil i' ( I 171. `23. & Test 172-I Underground Flush _ I <Gas70ipe-Rough =24. iR of Framing] I �+ i, I' �, ( • ' ;� ? j n ; j i ;, y .Z3.' Undergrnd. Storage Tank OGas ❑Oil. 125. oof Sheathing i ( ( ji' i.: (� I ' ` ;74! Overhead Hydro " -26.T--Bar Ceiling (Structuralh & Mondcoat' ! i .1 J� i x ,' I I x' !, �75.� Dry Chemical �_ ' ! I I lIZ ' � 7. ;Frame and"Flashingi i j �� I; i i X76.} Dry Standpipe f - ; "• _; n .' 28. i,Lathing & idingj ! II I i 77.; FIXEDSFINAL I r- 29J'lInsulat1ion1 178. FIRE PREY. FINAL , P,730. Drywall Nailing i ^ y ( { I I Notes: ' II I I I ', 31.=PlasterBrouJn Coat'- . 32.,Electrical.Power Meteri Final I I 1 i + I • ' , 33_;Final Electric 34. Final. Heating &!Air Conditlonmg - 35. Fi4l das' Pipe ,Test) l w : ;" 1 l u i : i - = i _ I c { ; i ; i ^ 1' . - -, - . •i I 36. Hood Or,Ca noPY1 i ! m n 37. Final Factory' ,n ,s :• sr 1 ory1 Pireplacem ,i �I - n 38. Final Plumbing , ! i c i, (� 1 j i 1 , 1 39. Water Service-Fiinall I I '�' i• ! I :" 1 { 1 ' 1 } 40. Gas Service -Final 41. Solar Domestic -Final I j ! 1 I I (_ '_ ��� =•" ,._ _ 42. Backflo-i; Pre'venter _ , A_ 1 I i i 43. Backflow.lrr :,I 44. Landscape Irrigation -System i I r I jvl 45. Sound,, ttenuation e .I 1 - r I �' , ' 1 �I i - 6 `y I "' '!' I r� ; 46. Handicap' Regulations iI �_ " I I ! I `, '• T I. 1 L- I , y 47.'FINAL STRUCTURE&BUILDING' n 11 1 1 ' 1 1 48. Special Requirements Completed I I 49. Electric Releaselto Edison) 50. Gas Release to Southern California Gas Co I 51. CERTI!FICATE OF OCCUPANCY I'. I No ' I , Date J i LT less, A "Auy,�1, 3505 CADILLAC AV NRIERS U I IDIOyIN: COPELAND /DONNER -ADDRESS: 4400 MACARTHUR BL #150 NEWPORT BEACH, CA 92660 251-1100 WK. MMUNG ADDRESS: MILwITLgTtNiENOMEFA: ��" RCIL OR M's ADDRESS: UNIT: F UC. MO, UNIT: owncToNs NAIL: EVANS ROOFING CO., INC. (714)285-1180 caNm croNsiI 1101 E. CHESTNUT ADDRESS: SANTA ANA CA uctio, 610549 92701 UNIT: LICENSED CONTRACTORS DECLARATION: 1 hereby aflkm under MakY or perjury that I an feerwed under provisions of Chaser 9 (commends, with Section 7000) of D'issan 3 of pre Business end Professions Code, end my laeme is in full force and eNas. CmLIC.110,059277 UC.CusS: C-39 LIC.NO.: 610549e7 EXP: 09/96 Cafe: O — zig ^4 � : cmiovdor� � ^WNER BUILDER DECLARATION: I hereby affirm under mmly of perjury that I an exempt from the commore Licene s Law for Her wring reason (Section 7031.5 Business and Professions Cade: Any city or coumy which requires a permit to mnslrus, eller. Improve, iolish, or repair any structure. prior to he ieeuanm, aero requires the applicant for such perm9 to file a signed statement that he wend licensed pursuant to the Provisions of the Comrwore License Lew [Chapter 9 (mmmendip with Swan 7000) of Division 3 or the Business end Profession. Code) or that he or she is exempt therefrom end the foams for the ellped exemption. Any violation of Section 7031.5 by any applicant for a Permil subjects the applaant to a civil penally or not more then two hundred dollen (5500D. ❑ I, as owner of the Property w my empfoyeas with wages as their ache mmpenaetion, will do the work, end the aYdum bora imendnd or offered for rob (Section 7044, Business and Professions Code: The Common Llmnse Law does not apply to w ownerd popery who builds or improves tMrs on. end who does sucts seek funesff or herself or thrwph his or her over employees, prevldad thal each imprwemws as ret intended or offered for gab. ff, howmer, the building or improvement b sold Mohs son Y. of compbMn, the owmr-buildw will have the burden of posing he or sM did not Wild or improve for the urpose of gab). ❑ I, as asinew of the Property. are edwiy y removing with liwbed m u.dws to conan+a the prod (Swims 7044. Business and Pmessro iacodmm s: The Coon w License Law does apply to sn oener d property Mho Wilds or treatments is thereon smd Mho cmincb for ads projects with a coramw(s) licensor pursuant to 144 Common Limine Law). ❑ I son aempt water Semon: B. a P.C., for this rasasn: Dae: I do hereby mend the I em awes or end undetabrm the requirements of Calforas N.sin sin safety Code Swims Visas. 85533, and EssSs, and the 1 or any Mure wildest, aocupem will / soil not (amts me) read to cwnpy wih eeN stove codes sod the aqui emertN for a mannIwmrulmctanwmotlilraionfromtM lir wupemam District. Reddential mMrwion appFatiwa aro exams from gree Provisioner. Data: Applicenl: WORKER'S COMPENSATION DECLARATION: I hereby of en under penaty of perjury one of the lollosisg dedeaions: ❑ IMa andhe rnalmawa of thewdmnswbs.n ieMue lee issued. ownmmatan. ere wwddnd rw yfswan 37aoatM Labor Cads, for iM prtormawa a 144 seek for wkeh this permit is issund. J I name end wM mantas wands a oommmation insurance, as required by Sectiort 37W of the Labor Code, for the mdarmanm of the work tee which this perms is issued. My wort ail compensation insurance roma ed pdioy number sre: Carver: STATE FUND EXPIRES Policy Number: 0 110 2 4 4 — q 6 07/01/97 (This arm. need not be completed # Me permit he Iso ore hundred dollars (51031 w lass.) ❑ I maty the in the m lops nce or the work for which this permit ts issued, I shell not employ arty person in any, manner es as to become sublw to IM wwkere compaaation sere of Ga#soma, end egret that ff I shout become subject to the Morken' cornwaatim7 p mwane and Sa/eyn 3700 a the labor Code, 1 shelf h ppm 'th Dae: 1 / IJ G L/ APPI Waming: Fapun b+esuro warkan'rorrpscustlon coveroPo l+ unbwhil, erW ahtll slbJecf en employe b wMrW pwseltla and dell flrss up Is ons hsasdred thousand dollen (AI00=1. In scanner; b lM pal of gory sirl"tbN dams9sa a Provided yon In 8.6. 3M of las Lebon Cods, internal, and effomsyY era. CONSTRUCTION LENDING AGENCY: 1 hereby of nn under mray of perjury the taws Is . oowmfom Iend'rg Wool, w the Pwormarsm d the work for Meiat this stank is osued (Swan 3097. CN. C). LENDER'S NAME LENDER'S ADDRESS: I cw* the I hew reed this application mrd awe the the oboes in onew ion is correct. I apse to orimpls' Mith an sly end ooumy wdlmrsue end were Iowa naming b Wildng cansauc4an sad Mreby asaarme repreaentativas of this dry to ester upon the popery for inspection mrpmae, BOB AWALT Pd q � / C Date: L•6 �fA6 Sigmbre s Owmr/Agent/Apsmn✓Contmw (515149.WP) White-Buildig A Safety: Ormn=Rb:Canary-Appicen4 Pink -Revenue: Oolcmn Heanor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 079291 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION T/OFF & REROOF W/BUILT—UP SQ FT: 21,000 CLAIM VALUE: 21,000.00 CALL—VALUE: 21,000.00 GROUP OCC: B / COMMENTS: REROOF 33500SF COMMERCIAL BUILDING REPLACE ANY DRYROT PLYWOOD Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING N TES> REVENUE DIVISION TOTALS--> COLLECTED: 304.16 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK iF 9E 9E RE RE lE iE RE * * 5E 9E 1F 9E 9E 9E 9E 9F RE dE 9E RE i69f RF * Rf 1E #EiE #E iE * 1E 9E RF RE RE RE Rh RE 5t it iE * #F * 1E * REiE 1E dE ih iE iF 1E RE 9E 9E1E iP dE i4 dP iE dE #i 9P.RF * RE 9E *!E * iE lE 1E D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY #E dE 1E iElk*#F 9k if d9 iF 9f it it dt*Rt Rh df ih Rik if*#F 999E RE dE if if it if#F di dE 1E*9E 1E ih dFkih d('7E df it iE RE9E it iE RE 9E 9i*it*if iE dE dErt9h 9E#E*df DATE: BUILDING APPROVED BY : APPLICATION ISSUED BY: *9i 9E 9F*9E #E**RE RE 1i'9i 9E RE RE DE 9E 9F iE*■ LEGALIZATIONiN F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 299.75 DATE: DATE: STRUCTURAL SEGMENT:Y FIRE SMIP/RES GRADING SMIP/NON—RES PLAN 4.41 ISSUE FEE /r.I BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 304.16 0.00 rn.. 0.00 304.16 304.16 .00 Y REVENUE DIVISION TOTALS--> COLLECTED: 304.16 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 299.75 4.41 #E dE 1E iElk*#F 9k if d9 iF 9f it it dt*Rt Rh df ih Rik if*#F 999E RE dE if if it if#F di dE 1E*9E 1E ih dFkih d('7E df it iE RE9E it iE RE 9E 9i*it*if iE dE dErt9h 9E#E*df ie it**dk 9E*ii*# I N D I V I D U A/L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFC 21000 REROOF BY VALUE COMMERCIAL NOZONE 1.00 21,000.00 END OF FEES •CONSTRUCTION AND PLANNING PC 1 SPAT ' APPROVALS Permit # Date -inspector ., APPROVALS Permit # Date Inspector _ L. Temporary Electrical Service or Odle 52. Poo! & Equipment Location' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement t. l - ;:3 �Eiecirical Cond uit U2ifitY-Un8_•rgrnd. • 54. Forms ..4:, Electrical Condu>curiirgrnd.'f - - 55. Electrical Bonding e;5; Steel Reinforcement - .56. Rough Plumbing & Pressure Test - - r Electrical UFERGrri_d. 57. APPROVAL TO COVER-GUN!TE ;7- Eoctings 58. Electrical ConduiVUndrgrnd. `-B; 'Foundation "' �•' 59. Gas Pipe, O Uyidygrnd., Test 1 9: ,Water Pipe-Undrgrnd... 60. Backwash Lines, P. -Trap, n Undrgrnd. 10. Structural Floor 5ysterri I .61. APPROVAL Tb' DECK _ 1 L. ,Property Sevier Line & House_Connection 62. Backwash, &Receptor -Fina! I 12. Sewer Cap - r ,a - 63. Heater & Vent -Final 13, Roof Drains .- 64. Plumbing System - Final S 14. Rough Plumbing 65. Electrical -Final (. 4, 15. Rough EleetricafCdoduit_. _ 66. Solar System -Final r _ _ �� 16. Rough Electric tNiring - 67. Fencing & Access ARprroval z 17. Rough Wiring Sign 68. APPROVED FOR_PLASTERING ,1 18. Rough Electrical -J Bar Ceiling 69. POOLlSPA SYSTEMS FINAL - 19: Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT - R ALS_i -- APPROVALSJL Permit--{� �' 20, Rou_h Factory Fireplace p r 9 Y O _ � � � � _ _ _ 21. Ducts in_Str u`cture: ,; r - _ - 70. �Under'gro nd Hydro r-• ., _ 22. Duc{ , Ventilating= '" 71. Prod uct=Piping-0:Gas L� Oil 23. '6as'Pi petRough &Tgst k '-" 72• Underground Rushy r�„,� r, „�,• 24. -Roof Framing. < i '� _ :".'p.. I >; ;� IT J. 73. Undergrnd. Stora e Tanks :21 Gas DOil 25. Roc'f'Sheathmg m verheaHy' 26. j -B*'_, Ceiling (StrUCxural) & Monocoat ,.., - CJ o = ^. _mak 75. Dry Chemical -_ r L 27,'Frame and F!ashmq C7 7S:'•Dry Standpipe:-'` ti T ID 28. Lath_ng &Sidingx r _< Z_ 7 7_h FIXED SYSTEM:FINAL ' 29. Insulation ''•- - "" > *'�' { f* 171 78. FIREPREV. FINAL 7- 30. Drywall Naii an �,v c ` I 4t ,-.HEALTtH DEPii'REQUIREMENT 31. Plaster Brown 79 FINAL 1N5PEC GON * C' -Coat;= s 32., Electrica[Povv�&r %let�er.F;nal `; t,,, ! E p 8p; FOOD CERTIFICATE iSSUED r 33. 'F;narl'Electnc `' C c Notes: ,� �. • •'�, t. 34. Fina( Hearing & Air Cohciiuon;nyS _ .T �35.rFina36asPipa-Tesr' C`y "= l i rt t' - tTtS t" 36. H000r`CanopY ,.!- . 37.'F.inallFadtbry Fireplace »r" =' .n m = 38. Final .Plumbing ,-r c- 4 _ Iz 39. Wates Service -Final 40. Gas Service-F`al C." _,�• �• 41. Solar Domestic -Final __ �: p, I I IY. - n -;-+ u " 42. -backflow Preventer r v v t 43. Backflow irrigation -= _44. Landscape Irrigation System,: •F n ` tJ �' yo r0 ;l: -_ •45. Sound Attenuation _r z: '-- IE"r C . = ' "r , •46. Handicap`•Re9ulations - _`. n •' .;. _ =- 47.- FINAL STRUCTURE&BUILDING <- 48.,FINALPLANNING - 49. -Electric Release to Edison '50. ,Gas Release to SouttZern Califoma,Gas CA ,51. CERTIFICATE OF OCCUPANCY- 1 _ No. Date �� a a (a / APPISCInt to 1111 In all apl within heavy border lines and sign all approll lale Ooalarallpns. CITV OrCOSTAMESA P RMIT NO.TRACT NO. LOT NO. SLOG. NO.L - ' CO STFW;;TION PERMIT PM 81-380 1 OF CONSTRUCTION SANEW ❑ ADO ❑ ALTERATION I'O REPAIR ❑CONVERSION ODEMOLISH ❑OTHER .0772 I/I8/82 784,34 _ ZONING REGULATIONS Project Address 3505 CddilldC Avenue -TYPE OW Phone 752-55 Address 13.01 DOVe St. 0760 Newport Bed ArcNEng.'Hinkes-Peters Afrh. License Na.¢2$p DESCRIPTION OFWORK TYPE OF PERMIT ❑ GRADING }%FOUNDATION �ASTRUCTURAL .O TENANT O ELECTRICAL'OPLUMBING OMECN,A �` f ❑ OTHER PROJECT DESCRIPTION 50. FT. 7030 - OCCUPANCY 7 CONSTRUCTION TYPE - ya YAWATIOPI ZONE4CI6& A.P. - - 2ONE PLNG. REF. ha r gr)—1 B5 pgV11�DING L _BAC RD T. r ROPERTV LINE 1pE f )GMT REAR YARD (TO PILI / p PKG. SPACE RED, PROVIDED _ STREETWIDTHPARK FEES ZONING APPROVED DATE 1 Adds Sl't 07 Contractor QMStrUCtiC Phone 576-8¢ Addf LICENSED CONTRACTOR DECLARATION I hereby affirm that I am IICen3o0 per PrOVISI0n3 Of Charter leom Mehta? With tion 3000) f Division 3 f the OUSlrless d Polessl^m Code, and MY license IS In lull farm�C d effect. License Class T Leen No.r.r.Z_93 Gets—Signature WORKERS'COMPENSATIONOECLARATION 1 hereby affirm that I have a Certificate of consent to we'-Imunk O0 i rtifiUle'of"WorkO$'COmee^HtIOn IOfUramm. f titled py therstof(Sell 0 C.1. Ile> (Befell ABN�9`& Company ��ront Jaden. /Qsi GRADING CU:VpS. ACRES SPECIAL CONDITIONS, . REMARKS: PX 21 217,7S_ 91OLD FOR SPECIAL REQU4 t1aClts I . 3C e"rllfledcopylShue yluml5hed. - J eruned copy IS filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION lonlegneed not be COMPlned a lne Permit Is tar one nuMmm - isbot o _ IsSmrC I I Stair nota Ploy any Performance rsonne work ln any rhassir sl se as to became s bled to the Workers Commnwtlon laws of calromW. _ PLUMBING r 'PLAN CHECK ELECTRICAL PLAN CHECK BATHTUBS SHOWERS _ SIT ULSo go ITT Date Slenalure NOTICE: If aster Making this declaration, yO Battle! become subject t0 the Worker' Compensation Provisions al the labor Code, you musk forthwith Comply with such MOVISlo^s or In15 Puraft shall be Cdkrued TOILETS URINALS LAVATORIES DOUBLE LAYS - GENERATOR TRANSFORMER APPLIANCE 0-1 KW -1-10 KW 1030 KW_50I KW evoked. CONSTRUCTION LENDING AGENCY KIT. SINKS OISNWASHERS MOTORS 0.1 HP 1-10 HE I hereby Storm that there is a Construction lending agency Lor the nor- lormance of the wank fpr which \nil permit IS Issued (Saction 3097 SERVICE SINKS SUMPS -s )INC. SOLAR) 1030 H1t50, HP Cie. Wells J'•dTOo BEI Cie. C )s Name FLOOR SINKS :. FLOOR DRAINS .��F,�i FIXTURES OUTLETS SWITCHES Lenders Address 66 "4$539' CPYItPY IJY'_ NE50CO2t__ DRINKING FOUNTAINS 1 GAS TUBE SIGNS OWNER BUILDER DECLARATION �'�� hereby affirm that l am exempt from the ContractarSLicense Law for IM1B IOIIOWIog rOBon ($0<DOn ]031.$ BU{InOR aneP/OfeS310ns'000O:- city linty which repulses a permit to construct, Age; INTERCEPTORS CEARIFIERSM .. POLE LIGHTS ' SWIMMING,POOL PTRAPiAny PO ES M T uB WATER SERVICE ALTERATION PANELS MAIN SUB Im raw demolish m repair any structure, prior tO its Issuance, also re aoPs trio appnuntnor men Parma �o RN a signed statement teat he, Is licensed Pufswnt.m tbe,Wrovhlpns Of the ConadOr's License Law,GASSERVICE i Chapter 9,(commencing ith Ydlon 3000): of Division 3 of'USEBu ine3s Intl Professions Code) or that h0 B pxamyt 1M1erehOm antl Ina ads for the alleged exempts n, Any vlohlloWlsf Sect on ]031.5 by for Permit blects the p IlOnl to a MI`I»rolty el`arore.t`ao five hweroa.eouarl (MO I. -]`-.• s❑ I, at Ownarof the Property, Or my employees with wages as their comp insatlod;,wlll tlo the work, and'the stiudre- ishot' intendeef or flered,fOlsale. (Seaton 3006, Buslnw5 and oleMap^S Code:,TM1O Contraetor•s3Lle^hse dboAr ta PPIY'tovn owner fa property WhoUCo ld% Or mucivees Ther mill andPwho does such work himself or his own amv yeto promdee that such im 'e encs are not Intended r offered for Via. If however, the Builthy yr Improvement' la sold Wnnm one year of core lau0n, me owner wit have thobuman ofprovinghe did r t bwie Improve for ino, Pumdse f Sae).; Q. contracting whit ❑-I, s owner al file property, am exelriiively eo licensed contractors to Construct the prate[[ (Section 7009, Business aan nd wn r of e tperty who build& of Improves thereon, and nottor's UCOnN Law does applylCas0 tracts %mm such Projects with a mntractirpl 1lcesned pursuant to the COOlfaCrOr'S nderRcLOWLion ❑ am exec pt under Sec[Ion B. L P.0.10r [his ^ OUTLETS a r SERVICE AMP ,WATER HEATERS BTU OUTPUT - ` Iy^apnloinl SEWER CONNECTIONS, Ji S SOLAR TANK COLLECTORSto SO ARPIMNG.SYS.p r e ISSVE FEE gpPLICATION APPROVED BY DATE ISSUE FEE ,t - ' MECHANICAL ' � PLAN [HECK -HEATING SYSTEM 0.100,000 BTU _ -�� % AND DUCTING \ 300,000 a BTU e r REFRIGERATION 0-100.000 BTU - - SYSTEM 100,0009 BTU r:, BOILERS BTU SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE _ ISSUE FEE 1 ' BUILDING' (PERMIT). f S PLAN CHECK 3 � t PLUMBING 3 PLAN CHECK f - ELECTRICAL 3 PLAN CHECK It MECHANICAL S PLAN CHECK 5 ..y \'�\ ^ - U ARY OF FEES (0. 3 (04 SOME f - PERMIT ISSUANCE 3 GRADING f 3 MICROFILM( TOTAL FEE 3 LESS EP VANCE PC f_ FINAL FEE Ela Data I hereby mrliry h read I application and slake that i rteabow Infarmatlan a [. agree o ply IM a "' and county repreente3 n [tltiV Idlln 000aYCllon an anCtabynenhori24 Pon t)r9 b0 mention pmpa to r Sign Grmera Or S CMF 0665-ee6 White-Building;Canary-APOlicunls PinWAccountimis Goldenrod -Assessor CONSTRUCTION AND PLANNIN APPROVALS Permit # �-��-ip Date Insp ctor POOL & SPA\ ? -,' APPROVALS Permit # Date JWI nspecfr 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location Soil Pipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce 5,?. 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. Footings . ,> Te A -.;), 3-S 49. Electrical Conduit-Undr rn B. Foundation - 50.. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap,❑ Undrcirn 10. Structural'Floor System $' _�,v,-3;l i' 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- Plurnhine System - Final 14. Rough Electric -Conduit 56. Electrical -Final 15. Rough Electric -Wiring 57.. Solar System -Final 16. Rough Heating & Air Conditioning _ encing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test 20. Roof Framing 21. Roof Sheathing NOTES: co S , 22. Frame and Flashing 3_ 23. Insulation o_ 1,7-q2, 'ta' < . > 24. Lathing & Siding -IO-S! s •n G 25. Drywall Nailing _ e/_ _ I._qk P S'Q AE3 26. Plaster Brown Coat W. A-3- 7;S, 27. Electrical Power Meter -Final Ire., toila¢ 28. Final Electric S a. ' N ( !'� d -I 3 -a1 -S 29. Final Heating & Air Conditioning Q r Co 30. Final Gas Pipe -Test ' /7 . 31. Final Plumbing _ i 32. Water Service -Final < / 21 33. Gas Service -Final 34. Solar Domestic -Final LI -q-106- 35. Landscape Sprinkling System' -got 36. Sound Attenuation Or 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed -8 O 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. ' CERTIFICATE OF OCCUPANCY No Eno Date v C CMF 0065.45 Write Building, Canary-Appleanl:Rnk-ACCounBn9: Goldenrod -Assessor '1 Applicant to fill In all SPacu within heavy parser limmand 5190 all adlrOWlrtO declarations. x1CITV OF COSTA MESA PEgMIT NO. TRACT NO. LOT NO: BL9� NO. COMTALItTION PERMIT L"— w �� 2/11/g�L 23.6k, Project Address 35 LP '�/L( V — Di L TYPE OF CONSTRUCTION QT�!.'�199p3� ✓�'ry Wee ~r ✓ A/ // wne ,Or _ TIOnO ,jZ� ,p NEW DADD ❑ALTERATION Addram G SU_ 60 Al_ Q FD REPAIR LJ DOEMOLISH Addrem . f License NO. ❑ OTHER ZONING REGULATIONS DESCRIPTION OF WORK A.. P.. p Addr¢55 i ZONE PLNTGp. Cpntredpr - / pJOC PhdrHj-Z)_CFITYPE OF PERMIT gR�EF�t.pN°�qc PROPERTY LInE Addrm �_ b TL' LF /RJf GGRADI NGrD FOUNDATION 0STRUCTURAL SET Ac c si. YA RB LICENSED CONTRACTOR DECLARATION under 9 OTENANT .ELECTRICAL OPLVMBING OMECH/ lC ,py Ip hereby affirm that I am IICenmd Provl51On5 of Charter (conn m7000) f DivII 3 of the Business d ❑OTHER IG Ing with SKtlon Profession Code. and my Meanie Is In lull form and affect. 'REARYAROITOP/LI C"CO PROJECT DESCRIPTION License Class LJ[ense N PKG. SPACE REG. PROVIDED T,r 1 SO. FT. _ Dale J/LZ +Ir2' S1 - STflEET WIDTH PARK FEES WORKERS' COMPENSATION DECLARIOi OCCUPANCY—CONSTRUCTION TYPE I hereby affirm that I Maus a AMTHICdte Of a Sent t0 W114nsure or a VALUATION ZONE ZONING APPROVED BY GATE NIfcate of Worries' Compensation Insurance, or a certified Copy SPECIAL CONDITIONS: thereof (Station 3800, Lab, C.).!. F.Cti.vn.vi /NZ7_e GRADING CU. YOS. ACRES Policy NoroA G: IiO JvJCpmmnv G Certified copy l5 hereby furnished. REMARKS: AT ZZ - D Certified copy Is filed with the City Building OINSIDn. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION " Morton need not be COmpleted 11 the Permit Is for one hundred �Thlg 3U001 leu). iffy that In the performance Of the work for wMCIS this oelmlt IS Issue I $ not In anv daemonChdifounp as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK alt tl Workers o:n�woonn BATHTUBS SHOWERS Dale Slpnature NOTICE: If after raking this declaration should become subject TOILETS URINALS GENERATOR- 0-1 KW_ 1.10 KW to the WOrkerP Compensation provisions aY the tabor Code, you must TRANSFORMER fOMMWltn Comply with such provisions or this permit snail be daemon LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW_50+KW revoked. KIT. SINKS DISHWASHERS MOTORS 01 XP—LIn MP CONSTRUCTION LENDING AGENCY 6 herebceeallrtnethatthat* lS aconstructionlendingwerey in for the SERVICE SINKS SUMPS FINE. SOLAR) 1060 HP_50+HP r which it IS Issued C Cid C.). C, eN FLOOR SINKS, nFLOOA DRAINS FIXTURES OUTLETS WITLHES- '[� /p LendersI, No S _ Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS I Meby, eflrm that 1 am exempt from the Contractor's License Law for SWIMMING POOL - P YRAP POLES METERED SUB the following re (Section 7031.5 BuSlnass and Ratmttbns' Code: aunty AMY City 00 which re0uko5 a p01mR to Construct. alter. WATER SERVICE ALTERATION PANELS MAIN SUB Iu v tlem011sh or repair any slructur. prior to Its lswancened statement,also re- I to file a no teslLaw for COlovlSlOns aliursiwnt OI the Cerm IUl0 iNGnt "'a led ontractpr'S License - GAS SERVICE OUTLETS SERVICE AMIrGe(.M ILhsptOa 9 (commencing with Section 7000) ao Division 3 a the WATER HEATERS BTU OUTPUT' Ur L F[lather ou rAny heoM And reamothsdons of SectioRelpfn basisforfor the 70315tbY SEWER CONNECTIONS 2 F Z anyfor a fru jecti the applubnt to a civil penalty yn applicant of hundred SOLAR TANK COLLECTORS of un property, Or my O%el eei with wages as mor Ole will compensation, du the work, and tnO. tructure is not Intended - Or Offered for sale. (Section 7044, Business and Professions Code The SOLAR PIPING SYS. ISSUE FEE " Contractor's LCOnvulaw deal not pply lG an Owner OI OmOmvY who builds; of ImpmRS thereon, and who does such work himself or ISSUE FEE APPLICATION APPROVED BY DATE through his own employees, provided that such Improvements are not MECHANICAL PLAN CHECK SUMMARY OF 4885 Intended or offered for Sale. If, however, rho bulkle or ImprovementIS within urden Foal atsOProvinld g he did nut bulla lm rove ora the purpose purposen of Sale). HEATING SYSTEM 0300,000 BTU BUILDING PERMIT 3 SMTP 3 ❑ I, as owner of the property, amexclusively co trading with AND DUCTING contractor to construct the project (Section d no iwho vco 100.000+BTV PLAN CHECK f add Ptl es apply an ownerSSMMS Code; The of property who builds or improvessthe eon. and n� REFRIGERATION 0300,0008TU PLUMBING 3 IPERMIT SSUANCE ISSUANCE 3 _ tracts from such ens with a Centra[tdf(5) IlmSned pYr5u00t 10 SYSTEM - GRADING 4 ner the Conlrador'S license Law]. 100,000 +OTU PLAN CHECK E D I am exam at under Section B. 6 P. C. (Ai this BOILERS BTU ELECTRICAL E 3 Pierc SYSTEM REPAIR. ALTERATION PLAN CHECK 3 TOMICROFILMFSE Al$ TOTAL FEES Owner- 11i10n MECHANICAL E (hereby Certify that Ihave rod[ MIS application and stab that the above EXHAUST SYSTEM MULTIPLE , LESS Information Is correct. I agree to comply with all any and County - PLAN CHECK "E PC 5_ - ordinances and state laws relating to construction and oneya authorize 1. - Npre dntefiRISbuym u pethabove mentioned property de FINAL FE( 89Y[4C_L 3lynature Date - Otivers' Lc nus o / 5 ISSUE FEE - - CMF 0065.45 Write Building, Canary-Appleanl:Rnk-ACCounBn9: Goldenrod -Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # �• � Date Inspector POOL & SPA •• •- v' Date Inspector APPROVALS Permit +-, 1. Temporary Electrical Service or Pole 43. Pool & Equipmerit Location -- _2. SoilPipe-Undrgrn 44. Steel Reinforcement • - • - - - - •`' - - 3. Electrical Conduit Utility-Undrgrn 45. Forms - 4. Eleetric_ahConduit-Undrgrn _ _ _ 46. Electrical Bonding ' - 5. Steel Reinforce _ , _ 47. Rough PILTimbing & Pressure Test - 6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE- - _ 7. Footings -_ 49. Elecfrical Conduit-Undr rn - - _.8. Foundation 50. Gas Pipe, ❑ Undr rn, Test ' 9. Water Pipe•Undrgrn h 51. Backwash Lines P-Trap.'0 dr rn - 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 - - 14. Rough Electric -Conduit - 56. Electrical -Final - 15. Rough Electric -Wiring - - - - - - 57. Solar System -Final 16. Rough Heating & Air Conditioning b13. Fencing & Access. Approval 17.: Ducts in Structure - • APPROVED -FOR PLASTERING - 18. 19: 20. Ducts, Ventilating Gas Pipe -Rough &Test _ Roof Framing - 60. POOL/SPA SYSTEMS FINAL 21. 22.' Roof Sheathing- - Framearid:Flashin - ` _NOTES: .23. Insulation _ _g A.L - C - 24.. Lathing & Siding .25. Drywall Nailing 26: Plaster -Brown Coat _ - 27: Electrical Power Meter -Final y I -28: Final Electric -9) A21 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 41. Gas Release to Southern California Gas Co. 42. t • CERTIFICATE OF OCCUPANCY ZVo._.� Date _ ^ Apmmam to 181 m all Spaces Within heavy border line: and sign all JAPOPaale'aemantien . X7968 1120/82 24.00 TL` CITY Crary MESA P MIT NO. TRACT NO. LOT NO. 6L G O- p z Z�1 - CONSTRUCTION 'PERMIT Gl ( . Project Adorns 555s5T�����,,Y,,�����PE OF CONSTRUCTION s " r Ow , Phone EYNEW ❑ ADD ❑ ALTERATION - - Mdrm -Jl .. [ REPAIR [ CONVERSION [DEMOLISH ZONING REGULATIONS ArCNEng. - License NO. -0 OTHER, A.P.s -Aeernt'- "ZONE - .TPLNG.AgpEF�.gf n YPE OF PERMIT "- - B 'RpOPE PYNQNE IAtldles 'CLA - 0,ORADING -,[ FOUNDATION - [STRUCTURAL- LICENSED CONTRACT[ OECAT10N [.TENANP-0 ELECTRICAL �UMBING [MECHANICA I hereby aHlrm lnbt 1 am 11Cenutl under provlslons Ol Charier g {Wm. BIGHT _ mention -wIth Section 7000 of -D I -3-of the.0ualness and [ OTHER- _ Rmessloni Cn�^an' Y In lull force r1p21 0 ,REgR YARD (TO P/L) - - - 7 PRO.IECT DESCRIPTION l _ - "ct aCzd - -umnse N- _� I - PKG. SPACE REO.',PROVIDED ,- Dela — I' Sionature sD. FT. - _ _ ,.. ._. _ WORKERS' COMPENSATION DECLARATION _ IOCCUPANCY— CONSTRUCTION TYPE STREET WIDTH _-PARK FEES I hereby aHl that l M1 a certificate of consent ) sur a 1ZONING APPROVED BY DATE Certificate of 1 W k Compensatlon-tests,, mal riffled. Y VALUATION ZONE I thereof (Se lab C) I GRADING CU YDS ACRES SPECIAL CONDITIONS-- ' I[Y No.l rllT CampanY Certillea pYl,h eby.lumisnad._ - REMARKS runes wpv a Rise with the city Bmlmn Iv on. MPTION FROM-WORKERS'-COMPENSATION DECLARATION ` (TMs section need not be corrlple al If the permlt Is for One no..... (it Opt tr Iaf I Cled. I shall In one Performance 1 tnin _ k f� M1I<n as pe BIS -r " "Ir Ssbed, 1 then not employ any w v L be[ me PLUMBING .16.1— 'mLnry CHECK �— -- -- ,ELECTRICAL '� � PLAN CHECK - Snblecl l0 me WOrkenPcampe almn.uws o1. o11f la _ _ 1 Oasts Slgnatu BATHTUBS - - - -SHOWERS --So OFT NOTICE' It after making this tl 1 t yShouldb Subject (LET - VRIM - .GENERATOR O1Kvv�I10KW- [o ltd Workers' Compenullon-ProvisionI lM1 Lab C O y must TRANSFORMER IorlM1wrtM1 Comply wltM1 Such p ov slbns or \M1 5 permit small be tle]med VgTORIE DOUBLE LAV[ - �• 1gpPLIgNCE 10.50 KW�50+KW _ revoked. _ _ _ - ;CONSTRUCTIONLENDING AGENCY 'KIT. SINK "' DISHWASHERS' - MOTORS .._0-1HP_3-IOHP - -j I hereby affirm that there is a construcCOnlendnp agent y tar the per SERVICESINKS. rv,SUMPS -'• - I(INC. SOLAR)- 10.30 HP 50 THP nor freneen)Ce Of the work for Which HIS Permit II 153 d ($eOtIon 3097 LeCiv.-C.).Neme _w-i}QOR SINKS FLOOR DRAINS -FIXTURES- OUTLETS- SWITCHESd'S - --�' ,Lenders gddress _ - DRI NKING' FOUNTAINS GAS-TUBE SIGNS-- - - - OWNERBUILDERDECLARATION - "INTERCEPTORS— CLHRIFIERS—"-'v --- --' POLE-LIGHTS - - --��- - -_�-J Orebro anir;Cr=n! ain exempt from the Contractors License law for _ - lmp•IOIIOWIngveas00-{Sectio„ -7031.5 Business and-Professions COee: SWIMMING'POOL --- ATRAP' - -- "- Any City o County w repuires a permit to construct, a POLES-' -METERED B Improve' demolish .-repair any 6truccureyprior to its Issuance, also re. WATER SERVICE - ALTERATION- PANELS -- MAIN -S,UB - puVCS the ad. IIGm for such permit to file a signed Statement that he -'llRnsed' prruant to the CIMAIons Of the COnmaamflL 'GAS SERVICE- -'OUTLETS - -"- --SERVICE - - --AMP (CM1apter 9 {COmmenCinp wish Section 7000) of Dlvl6loo 3cel the Ba Nnesz in, alleged Codelor that he Is exempt therefrom and the WATER HEATERS BTU OUTPUT - - --- - b sis exemp Ion. My violation of Section 7031.5 Oy any nappmluenfor Posma-sublets-thea innocent a civil penalty SEWER CDIgffiiLM015 %'tJ/Uj " oof than Use hundred dollars Hiptaki)). ❑ I, as owner or the properly,-Or my"employees with wages as their '-SOLAR TANK - COLLECTORS - - --- -- - — Sole,compensauon, will do the work, and the Structure Is not Intended or offered for WOO. (Section, 700411I- d Professions Coal The -SOLAR PIPING SYS.-- " '• - -'ISSUE FEE - - COntarclorY License Law doe t pp9 [ n Owner O property _ Who builds o proves Merron, and M1O does Sucn work h MUST Of ISSUE-FEE i - � APPLICATION APPROVED-BY � OATE through his own employeA, Provided that Such Improvement[ are not _ _ - Intended Or tiered for sale, It, howerer,Yhe building or Improvement MECNANICAL ULAN CHECK SUMMARY OF FEES _ Is role wunm one year m completion, me owner will have (nob laden _ _ _ _ _ - { 1 proving he p10 OI oulltl Improve f01 tM19 purpose 1 le). HEATING SYSTEM 0-100,000 BTU PERMIT G Q-1,-ars-owner- OI the-plroperty,-am-exclusl NY-dentractin9 with. _ _ E � SMIPea, AND DUCTING almnseo tractors to a construct the Project (Section es not apply to tOO,000 a BTU PLAN CHECK E PERMIT DeoProfessions Chet: who builds or I's LrOvess .Law doessnd apply [O_ -_ _ _ _ _ - ISSUANCE S Of uchp pro s withl a or Impravr( [.etas, and WM1O Can. REFRIGERATION 0-100,000 BTU (PLUMBING E tracts-from such protects with a cantradogs).11¢snatl pursuant to. SYSTEM -�- - _ 1 __ _ G0.f4DI NG E the Conhactent License DINIC 100.000+BTU ,PLAN CHECK S - �'I➢m"0%empl UOtlBr Se<tlOn--- ---- B. P. L: }Or IM1l6 BOILERS BTU IECECTRICAC E reason'- - - ___ _ __ 1. MICROCOSM SYSTEM REPAIR, ALTERATION - PLAN CHECK S - Dal¢. Omnar 3 T§ .MECHANICAL E OTAL FEE' IherebYCertify" erllly sae pa tllmlS ippllUllOn and State that nthe about EXHAUST SYSTEM MULTIPLE l LESS ADL; e fIimpati n i oY L' 9me lo'comply wth all city d County- PLAN CHECK" E VANOEPC E- [In91or onstruction, and hereby authorize rOn epresent i reed hese. l0" a ted uponrlon nd b ve Monti vtl ��"� [[ I Rroped r 1� — FINALFEE GPj4 Sign u D W or SS a ISSUE FEE CMF0065-465G White-BuiltlMg;Canary-AppliranLPink-ACLOunting:GOidenmo'AMssar 34. Solar Domestic --Final' - t " ' 35. Landsca e 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 - - -• , Date i A" CONSTRUCTION AND PLANNING - APPROVALS Permit # 2'3 2-- Date Inspector - POOL & SPA APPROVALS '° Permit # Date - Inspector 1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location 2. Soil_ ipe-Undrgrn - - 44. Steel Reinforcement - - - - - -- - 3." Electrical.Conduit Utility-Undrgrn 45. Forms I-- • ----- - - - - - - - �4_ Electrical-Conduit-Undrgrn 46. Electrical Bonding _, - - - - - - - -- - - .. Steel Reintorce 47. Rough Plumbin& Pressure TesC� - - -- - - - 6.. Electrical UFER Grn- __ 48. APPROVAL TO COVER-GUNITE- - - - - - -- - - 7.__Footings- - _ _ 49. Electrical Conduit-Undr rn ''•�'' -8. _ Foundation - _ _ _ ___ - 50. . Gas Pipe, ❑ Undr rn; Test -9. Water Pipe-Undrgrn _ 51. Backwash Lines P-Tra' D' U ncl rn'- 10.. Structural F.Ioor,System - 52. APPROVAL TO DECK- -' •--11. .Property Sewer.-Line.&.House Connection 53. Backwash &.Rete tor -Final' . ' -- - ' • - - - •12. -Street-Sewer Connection.._ - i - - = - -__ 54.- Heater & Vent -Final: �� '"•'- 3. Rough Plumbing- _-.. System - al ' 14. Rough Hlectric-Conduit --- ----- 56.' -Electrical -Final - •- E- : '= 15. Rough 5lectric-Wiring - '-- -- ---'-- -5T..--Solar System -Final " --- - ` 16. Rough Heating &-Air Conditioning - - _ _" - - encing & Access Approval " 17: Ducts -in -Structure "- - ' ' -- ' APPROVED FOR PLASTERING - 18. Ducts, Ventilating •• -- - -- -" -- - - "60. -1, -POOL/SPA.SYSTEMS FINAL '; - - '• - - 19. Gas Pipe -Rough & Test - - - - " 20: Roof Framing - -- " • - - - = - - - - 21. Roof Sheathing= ' - - - --- _ - - - •`" ,- " NOTES: _ 22: Frame and Flashing - - 23. Insulation- - - - - - - - -- 24t Lathing & Siding- -- - - - - - - - •' -- -- "- - ' - 25. Drywall -Nailing -- - - ' - -• _ -26. Plaster Brown -Coat - - - •' 27. Electrical Power Meter -Final - -- `. •' - - - 28. Final Electric - - - - - - - - 1 -Final Heating &-Air Conditioning --- • - -- -"- - - - u. FinalGasPipe-Test 31. Final Plumbing-- ' 32. " Water Service -Final - - - ' 33 -Gas Service -Final 34. Solar Domestic --Final' - t " ' 35. Landsca e 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 - - -• , Date i [j,`- Applicant to fin in an spaces within heavy border lines and sign all appropriate declarations, I, as owner -of the-thooerty, am exc;Yslvaly cotncling with "AHD DUCTING Contractors;Cd m construct me Project ISeaw and CITY OF COSTA MESA - PERMIT NO. TRACT NO. LOT NO. BLDG. NO. - wrier of property Who hithtla Or of thereon, and rsua con- an of h plains Or I proves hoc ' CONSTRUCTION PERMIT dfwl 3776 FIJI ,. I I - f Project Address hicins r%Pdriiinit, Airpriur- TYPE OF CONSTRUCTION - 6596_ 6/01 i82 I I 'Tl LVteOWOer Owner (ITICII - Phony XS NEW D ADO ❑ ALTERATION EXHAUST SYSTEM MUC tQ0 (� 3 'D tB ❑REpgIR❑CONVERSION❑DEMOLISH O ZONING REGULATIONS ~ TOTAL EEE$ W 'ArcMEnS. D.OTHER Urlvers' Licema or S5; - - ISSUE FEE CMF 086546 White -Building; Unary-Applican ; PinkAccounting; Gdldenrod.As miler OYt HBBC License NO. qP � ,' " FINAL FEE f J,/� Address - _ _DESCRIPTION OFWORK ZONE PLNG. REF. SP, P) Connector - - -.' . PROn _QRRI TYPE OF,P,ERMIL % �Ri F�rvE Address inlro h1ro-M^I TRUCTURAL D GRADING,. D/FOUNDATION -0 STRUCTURAL- I 'YARD 1 LICENSED LICENSED CONTRACTOR DECLARATION D'TENANT D'ELEGTR:GAL EPLVMBING XXMECHANICA I. 1 hereby affirm Ihet I am licensed def Provisions f Charter?( 5 ncing with ec lon -➢0001 f Division -3 1 the Everettand E) OTHER - PO1e3310m C0d0 and Y 1 In full f tl lett I • REAR YARD(TOP/LI Ir -ON �y}a PROJECT DESCRIPTION- - "" '-i'�-'- __ -PROVIDED. " License Class PKG:SPACE REQ. Dale --5/20/82-S14natue "' sa FT.' '�' '' "' _- 1 STREET WIDTH ,.pgRK FEEb WORKERS'COMPENSATIONDECLARATION OCCUP%NCY_CONSTRUCTION TYPE �r 11 hereby affirm that I haw a cealncate of consent to self -insure or VALUATION + ZONE ' ZONING gPPROVEO BY GATE r Mlga Of W S' CompinSrtlOn Insurance, or- - ertlned Copy _ thereof(Sandon 3800 Lab. C.) GRADINGCV.YDS ACRE$ SPECIAL'CONOITIDRS ' Policy No. WA -1146494 Comwny FrOlftOnt indenjnity - - -- --- - _ D Certified cppylshereby lmnished... _ ._ - REMARKS:I-i-Z `'I _� 8kcertnled Copy Is filed with the City Building Division. EXEMPTION FROM WORKERS^COMPENSATION DECLARATION-- Tnls dlOn CMI not be,COmpletM- Lme permit Is for one hundred.or rt q eM1at the perlorma f 1M1e work M1I h thb pe t 1 Iauad.l M1all not employ anlQM1PPeerrS n y Stoi �' =PLUMBING ^_PLAN CHECK-" -- —,PLAN ELECTRICAL CHECK-- I Lal o f bjecLloS/1O .-PLAN /R2sPComcelLlat - Date....-,,iure IYYYYYx OATHTUBS - - l'- - J NOTICE: If alter making this declaration. Y should bOCoaubl0 Mmn - TOILETS • A -URIGALS '---^- -' -' "GENERATOR D.1 KWT YIO KW Workers' ensnon provisions Of to 1M1e Werke' CompB e Labor Code, you mus[" TRANSFORMER .. forthwith Comply with such provisions Or this permit Shall be deemed LAVATORIES COUBIL LAYS ' - 'APPLIANCE- '10.50 KW�'50 a KW ' - - CwNeT. CONSTRUCTION LENDING AGENCY - - c KIT. SINKS"' "-- DISHWASHERS '- -- 'MOTO ' S' fl '.lF1'HP�LIO.HP .I hereby affirm that there 15 a Construction lending agency for the per- formarde of the Wolk tali which this Is Issued 3097 SERVICESINKS 'u SUMPS'" 't JINC.S01.AR)'-'_]+�OH+HP Op=50 - _ - Permit (SeCion e:'s ---- -- - Lenders Name FLOOR SINKS FLOOR DRAINS - .FIXTURES '.OUTLETS^:SWITCHES- ^ - ___ _ DRINKING FOUNTAINS ---^""" ���"'-"GASTUBE'$IGN$�'- G _ _ _ _ _ OWNESUILD DECLARATION - INTERCEPTORS - CLARIFIERS - -- - •POLE LIGHTS " � '" I here%BVICDER I Irian that am exempt from tae actdr't License Law for . - eriol ng reason (which 7031.5 -Business iness Code: Ss oto Any SWIMMING -POOL PTRAP -' '- - - - ColMtlom city requires a P permit 10 Ounce. oiler, city or County wain 'PO ES - METERED SUB . ImOrovY tlamOIlSh a r ma a Permit ttur6 prior rat WATER SERVICE -ALTERATION'-'�- - 1 'PANELS 'MAIM '$V_B icant lAssts signedtatement:hat alryllont for soca permit to file a Contra statement that he quiresS-11ce -GAS SERVICE - -OUTLET$ - SERVICE"" - AMP ser to e provisions on the tor% IT lcensed9 lnC3 of ofist (COMMOMCInarrant Sect 0) Division the lCabwes:lois, Ju:°r:°e:: and code) os that he is exempt therrefrom and mo' WATER'HEATERS - "BTU OUTPUT hour for he alleged exemption. Any violation of Section 70315 by SEWER CONNECTIONSof for I Permitthe a civil penalty any appll®ntot Su Dollars Than 15500jbent SOLAR TANK '- COLLECTORS ❑ --r of'the property, or -my employes anthill as their [j,`- HEATING SYSTEM 0100.000 I, as owner -of the-thooerty, am exc;Yslvaly cotncling with "AHD DUCTING Contractors;Cd m construct me Project ISeaw and ]od,00q� Prtl ontCl ss not apply to and Lawon, a n01 [o REFRIGERATION 0100.000 wrier of property Who hithtla Or of thereon, and rsua con- an of h plains Or I proves hoc tracts uch-oj mntractor(sl Ilrasne0 pursuant to tecta 'SYSTEM Ilse Contractor's Sicens Law). 100.000 100.000.± ❑ I dm exsmOt Yndei Section.B. r P. C. for this I - f PLUMBING E BOILERS BTU rejam" .'SSUANCE GRADING f LVteOWOer SYSTEM REPAIR. ALTERATIC I hereby Cartuythat l haw read this Sidi OW andaStale fillettheshove EXHAUST SYSTEM MUC .n uon ls'cortec. Io wmpl� un II dta d' u ty- •'MICROFILMS OrdmancesaMhglnala�eaung hits tmnanahW bay authorize tepelHBntdif3n01- t 41s CJ t r Y on the hoveMentioned ~ TOTAL EEE$ slv�aw. i scenlnI�P a Dale - 5/20/82 4 Urlvers' Licema or S5; - - ISSUE FEE CMF 086546 White -Building; Unary-Applican ; PinkAccounting; Gdldenrod.As miler - TISSUE FEE "APPLCATION'APPROVED 'BY DATE -- SUMMARY OF FEES 'BUILDING - - f .•SMIP '! 'f _'PERMIT I PLAN CHECK 5 _ PERMIT P "I I - f PLUMBING E .'SSUANCE GRADING f PLAN:CHECK E ) ELECTRICAL $- 'f •'MICROFILMS 'PLAN CHECK $" ~ TOTAL EEE$ MECHANICALS '�G 4 PLAN'CHECK 'i .LCSSAP- FINAL FEE f J,/� CONSTRUCTION AND PLANNING APPROVALS Permit# /�-9'ly6 Date POOL & SPA , Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - 2._ SoilPipe-Un rgrn 44. Steel Reinforcement 3.. Electrical Conduit Utility-Undrgrn 45. - Forms -= - _ 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - - Steel em orce 47. Rough Plumbing & Pressure Test „ _6. __EI-ectrical UFER Grn _ _ _ _ 48. APPROVALTO COVER-GUNITE - 7. Footings _ 49. Electrical Conduit -Undo rn - 8. _Foundation. - 50... Gas Pipe, ❑Undr rn,Test - 9. . Water Pipe-Undrgrn - 51. Backwash Lines P -Trap.❑' ndr rn - 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 3.- .Rough Plumbing - - • - - - - 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. 19. 20. Ducts, Ventilating. Gas Pipe -Rough &Test Roof Framing - - - 60. - - POOL/SPA. SYSTEMS FINAL 21. 22. Roof Sheathing Frame and Flashing NOTES: 23. Insulation 24. Lathing & Siding - -- - 25. Drywall Nailing - 26. Plaster Brown Coat - - 27. Electrical Power Meter -Final _ 28. Final Electric �9. Final Heating & Air Conditioning •ZoQ' - J. 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 • Nc�` Date - City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. {1 Building Safety Division 00013 P. O. Box 1200 Costa Mesa, California The Building located at 3505 Cadillac Avenue #F-1 , has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group Vh2 Occupancy. Use of Building • Tnfarior Alterations — Office Legal Description 119-651-13 15, 28 (See reverse side for Metes and Boundsl Building Permit No t:i-2161 Electrical Permit No. E-2688 Plumbing Permit No. P-2372 Mechanical Permit,No. M1-3746 Number of apartments and/or guest tr115t '. rroo6ins —0 Y /� ISSUED TO: Building Official PK / IY�0 Cambridge Park Partners by � 1301 Dove St., NeWpOrt Beach, CA Data r q 3 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the pr miles and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. $07 (a) U.B.C. CMF 1015.46 rev. 1{83 White -Owner; Canary - Numerical File; Pink - Bldg. Permit File Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PER�JST NO. TRACT NO. LOT NO. CONSTRUCTION PERMIT ' / + Project AddressU Q - TYPE OF CONSTRUCTION i L' , . P OOP K NEW O ADD " D ALTERATION12.40 TU - -�- - -- _ - -. R-O.CONVERSION ODEM045H. r . . D OTHER- 1' LJOTHE - - --ZONING REGULATIONS Arch/Eng.ce ArcF_/Eng. - License No. DESCRIPTION OF WORK Pe O z - EF. ;. 'SONE PLNiGp. AOO - flytn 917 -TYPEOFPERMIT" - DI - - po EPEI�TYNLI 'Address •- .D GRAD1 NG -O FOVNOHTION ❑STRUCTURAL BUI GR NE VARO - - - tACENSEG.CANTRACTOR_ CLARATION_- /}]meq 'O TENANT_D.EL£CTRICAL�LUMBING OMECHPNIC I hereby affirm trot 1 am nr<n oldder provrsbn3 of lialfer4Tfo '. y Man req .wKM1 Section yoked) f Division 3. f theRolla d - El OTHER `F Or fessl My Lo s /pd my It In full f p tl eft 4.6 949 PROJECT DESCRIPTION-_ N , REAR YARD (TO P/L) ucens�p y N - -_ IPTG. PROVIDED J��a'L L// Date ����'�.,.... _ .__.. S0-FT. _ _ _. ET WI DCE TH STREET WIDTH "PHgK FEE§ _ WORKERS' COMFENSATION- ECLAR- ATIO� ON OCCUPANCY CONSTRUCTION TYPE: I hereby affirm that I haw a till t I co t t0 self Insulec ' ZONE - -- -(ZONING APPROVED EO BY - DATE rtificate f Workers' CPTPO VpppooJggfff yf a (abed VALUATION th<r.yf l�ep�pryy p.A.ayq r/f!/Z ate _ (�yL(!f]/y>('//I-�iCEl-p�� -GRADING CV YD$ -- ACRES "- SPECIAL CONDITIONS. artltEl'ee-�cop9Lli-1M1e(rFebyCfTurelprhnee - REMARKS r_ �:_ ' u. �. Certified Is filed MO City Building Division. _ to - • - _ _ ��� _ _ - - " ` copy with EXEMPTION-FROM WORKERS' COMPENSATIONDECLARATION 11TMs Nttlon. nota hot be COmPp lited if the Permit Is for Onehundred�;. p r ) - �{! IEMrtify that issued, I shall the performari Of the work f0 Which this pt IS not-employ any Perron in any manner so ast0"bowme 'PLUMBING -- •PCHNCHECK'�-'�t'--- - JELECTRICAL' suLpUtotheW000ns ra. ComlxnNUon Larry; Of CautaM 1. _ _ Date Signature BATHTUBS - - --" " -SHOWERS' -' - -'- - -- Fi-'-- - " -SO FT --- NOTICE It after nuking this explanation,Should became subject TOILETS- ..URINALS - �� • --- - - -GENERATOR- - 0-1 KW' "' 1-10 KW' ' to the Workers Compensation Provisions aYthe Labor Cope, you must TRANSFORMER ` QI lorohw+th comply with such provislon3 or this permit Shall be tlremed LAVATORIES DOUBLE LAVS- - --- - -APPLIANCE— 10-50 KW-50. KW- - revoked. 's -__ CONSTRUCTION LENDING AGENCY "- KIT. SINKS '-- ---DISHWASHERS-' -�'^-- -- "MOT ---0-3-HP=1-10'HP -, - I hereby afflfm that there is a construction lending agency for tee per- SERVICE SINKS. - ..--._ �In5VMP5 �' - - . JIINC..SOLAR) . _ 10- - - 50 Hip. HF' _ f fOlmaOCe of the work for which this Permit Is Issued (Section 3097 a_IT CIV°C')' FLOOR SINKS- FLOORDRAINS -)FIXTURES-- OUTLETS —SWITCHES � LentlerY Name -" - - - -" - LWNER Aaamrs DRINKING 'FOVNTAIN$- -�„ - - - - - "' -- ZGAE-TUBE51GN5 - OWNEWBUILDER IamexeDECLARATION- nse -- _... _ thereby Snat laSectim lllom and-Fr License Law forthe INTERCEPTORS'" ""CLARIFIERS: '" -r "'� -" ,POLE LIGHTS-- --- �- -- - winaffirm Business red mlSohIch nIn SWIMMING-POOL- 'P TIRAP- -- -�-- - - - - - '(POLES cofmzlom.Code: a Permit n city or wMch requires a perp construct. alter, Any o -"ME RED "-'- 1 I Mee- n or y Structure. It leap Signe Its also Or. In reos o, licnorrepan anyysbuto Clearsigned statement 8e WATER 'EERVICE ALTERATION - - "PANEL$-'- - MAIN 'SUB _�. aLPa :ee scent to`theppr permit s at thhe ICM1apier jcammendng _.._ GAS SERVICE' "OUTLETS - -' SERVICE'--- ---- - --- - AMP 9 wth Se<Ilon )000) OI Olvison 3 of the 9minMs a9d Rdess10n5 CmOJOr that he B eXempl lM1enfrom anbme. WATER HEATERS -'BTUOUTPUT -- - -- - - - �^ - - - - - - _ I for the alleged evempllon. Any violation of Section 7031.5 by eppllMm-for a-permit subjeGiz-\ne applicant 10-a-Civil penalty- at more than nw Property sonar: SEWER CONNECTIONS-"-'h— • -,- ---� .4 as owner Of the emDlo. who as lcompensa and SOLAR TANK -COLLECTORS - - - --' ----- - - ..) sole) ion, willdoOheywork, thee5buacture Is nota Intendetheir oroffered for ale. fSeomn yoked, BLsifini and Rof naloons Cade, The ... SOLAR PIPING SYS. -. ,- ...' -! "ISSUE FEE' - - - - -U. I-KersIXw does not applyto owner f a Property - Whosolids M10 buileYdr d Or. IrYmprowz [demo -0 does "sato work himself Or "ISSUE FEE APPLICATION APPROVED E - DATE through els own employees armilded that Such Improvements are MCI 1 t e e offer2e m! sale if M1 theb Ileing-or'Improyem nt. MECHANICAL PLAN C Ecli - -- - SUMMARY OF FEES - ' Is d wifelyyear of COMpWtlurn l the owner w have the burden -' + f playing n dnot muld Or IMP.... 1I. ther pulp... al ..I HEAT NG SYSTEM O 100,000 RTU BUILDING. - _, (PERMIT ❑ 1 1 In p6 tY I ly contracting Ith. )044. AND DUCTING § -- �- . f SMTP 1' § - HCmlS 1 Contractors t construct to P I t (Section Business 100000 DTV sPLAN CHECK E PERMIT aPr0f6uO Cd TheC t t U .Law does not apply [o ISSUANCE- E �I an of property 0 builds p thereon and Who con- REFRIGERATION 0-100,000STU PLVMBING §III facts feOm.aulth_pmpct3 with.(a)_11C reed. OUOWM to SV $TEM___ - - _- - _ GRADING E - ma ContracSmY IJCense §awl. 300,0001 BTU PLAN [HECK E - ❑-I'dm exempt under'Sed on B 6P C1Or'[ni3 E r gDR£RS BTU ELECTRICAL a -_ reasonpLgNCHECK _ SYSTEM R EPAI R, ALTERATION i_ -§ _ vMILROF11N 8 Owner - WteeaY MECHANICAL E - __ .TOTAL-FEC E- -j c<rtif ym,t I have read this application and slat that the above EXHAUST SYSTEM MULTIPLE 'LESSAD. r InlOnmatloll-Is'roretl. I-agree to ply With all-ply and county PLAN{HECK=E _ VANCEPC 8' -T orelmanRsan lawsr,OVngT construcllothana fie boebyaautM1otlie m representatl y to mer won mmd - .- 't.' i pi0per_t_ _ _ _st Stone( FINAL FEE 5 DhIrefs' LRense or 55 ¢ - ISSUE FEE- CMF 0865-46 White-BUlleing: Canary-Anallcanl: Plrk-Accounting: Goldenrod Assessor CONSTRUCTION AND PLANNING Date APPROVALS Permit Dat # g� POOL&SPA Inspector - ' Date Inspector .APPROVALS � Permit # -.1. Temporary Electrical Service or Pole_ _ - 43. Pool & Equipment Location - ocation2.__SoilPipe-Uncirgrn 2_ Soil_ _ 44. Steel Reinforcement 3. --Electrical.ConduitUtility-Undrgrn. 45. Forms --- - 4. Electrical Conduit-Undrgrn - 46. - Electrical Bonding -• - - - 5.. - Steel ein orce _ _ 47. Rou h'Plumbin & Pressure Test - - - - - 6. .Electrical U ER,Grn_.-� _ _ 48.. APPROVALTO COVER-GUNITE- - - - 7. Footings _ 49. Electrical Conduit-Undr rn 8. Foundation__ _ .. - 50. ,Gas Pipe, .❑Undr rn,Test -9. _ Water Pip e-Undrgrn) 51.. Backwash Lines P -Tragi ndFrn - -- - 10.. Structural Floor System. 52. APPROVAL TO DECK -- ,_7.1. _ Property Sewer -Line & House Connection. _' " 53. Backwash & Receptor -Final 12. _Street -Sewer Connection - - 54. Heater & Vent -Final. ' 13.. Rough Plumbing. _ . - -55. Plum , bing Svitern- - - - 14. Rough Electric -Conduit --' 56. Electrical, Final - 15. Rough Electric -Wiring - - -' - 57.- Solar System -Final - 16. Rough Heating & Air Conditioning - -_ - _ - encing & Access -Approval ' 17. -'Ducts in Structure - - APPROVED FOR PLASTERING. 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough &Test - - Roof Framing - 60. POO L/SPASYSTEMS'FINAL - 21. -22. Roof Sfieathin - - 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 r91 - - - 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 t 41. Gas Release to Southern California Gas Co. ' j 42. CERTIFICATE OF OCCUPANCY No-' ' - Date ' Ate MIL� 3505 Cadillac Avenue [NIT F55 CADn AC AV NM Unit F-3 3505 Lot 3 B-2263- a/jqyy Cc m. Bldg. 215,136. Unit F-3 _ P-2374- 7/i/8'-PIBG. (B-2263) Fr2664- EUr. (B-2263) House Meter Close to (flit F-3 E-2630- 71/3/di. ELF]C. (B-2263) Unit F-3 M-3748-j6(ZQ/dbMM. (B-2263) - Unit F-3 ra 3505 Cadillac Avenue WIT F3 �. _ G165,22 OFFICE $69,000. 3 /3/SS YC 597-M UM F3 I M169 9 , MISC ��jgs BIDG F3 y AOPIICent m Rn In all spaces within heavy homer lines and pen all aonreortete deNaratmr CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG. NO. 'CONSTRUCTION PERMIT Q 12 CR(v 3 81-380 Prole t Address 05 Cadillac Avenue TYPE OF CONSTRUCTION ' x OW Phone •Addrea NEI11 5g NEW O ADD ❑-ALTERATION REPAIR OC NVERSION EMO 51 a OOTHER ArcNEng' Iii"s—Peters License N0. 4285 ' OESCAI T OF WOR Addressllff E. Alton -Santa And !d "Central Oltimims Constxvction phine 576-84% 'TYPE OF PERMIT} through his own employees. provided [hat such ITPPovementVans not Addr 388 Cubs n Park CA 11 GRACING. FOUNDATION XST - LICENSED CONTRACTOR DECLARATION ❑TENANT O ELECT RICAU OPLUMBINS I hereby affirm that 1 am Haunted under provXlpn5 of Charier 9 (Cpm- ❑OTHER 11) St W oiIn IM tion 7000) f Dialect 3 Of the Rican d offool ns Code, e y Ilmme is m wI force d Infect. Llano Class '-A License N;,86393 - PRQIECT DESCRIPTION _ V 6840.'. bate - _ - Noel _. .sa. FT. " WORKERS' COMPENSATION DECLARATION o OCCUPANCY CONSTgUCTION TYPE I hereby ARIGH INS I have a Certificate 01 Consent t Ori VALUATION ATION ONE / a"194nsure Certificate 1 Workers' Compenstion Insurance, or rtlfiM copy •t• fop/pving, beg did\no[EUIM .rlmp;Ove ler llie,pu�p058`tOf, A'O). thereof (Section 3900. Lab. C.L GRADING'CU. YOS. ACRES _ U�_ -.y Np.- nm 03 DngocTDompzhY -S^avern yq'$ '$MIP 31�0(O artullen Copy lS heepy.fumlinen,. _ I'_REMARKS: ❑ 1, s .owner Of }h` property, ;AvexclusivelY Con ing with Certiflet Copy Is filed with the city Building OiviSim. - EXEMPTION -FROZA WORKERS' COMPENSATION DECLARATION $_/@e)= Thus section need not be completed N the permit Is for one hundred E100;fy that in 4 _ 100,000 ♦ BTU -__ cethe Performance of the.work for which this Permit is $ issued 1 shall of employ any person in any er o as to become Al SO the Workers Compensation Laws of California.' PLUMBING - PLAN CHECK BATHTUBS SHOWERS and transitions Cmde: The Contractor's Uterus Law dolls not apply to Date Signature E: Ital Making this declaration, you should become SUbleet NOT(to TOILETS i URINALS " - Com o provisions of the Labor Code, you must Comply All h such proylalOos or this permit Shall be deemed LAVATORIES DOUBLE Iforthwith 0-100,000 BTU eked. KIT, SINKS DISHWASHERSI 3 CONSTRUCTION LENDING AGENCY SERVICE 51 NKS - SUMPS 1 hereby affirm that there is n traction lending agency for the per- ;,h,=nca 1,I SYSTEM work ter wry1Cn thlar parmlt ISIs3uadrl SeCUop 309g - Cie. C.I. Fan71i Bank FLOOR SINKS DRAINS\ Lender's Name .Wells ,FLOOR Lender's Md... 667(7 NGRAOI)Tt CFl1tPY DL.: NEWGbrt DRINKING FOUNTAINS -' "K, 1 TRAP a 0774 1/18/82 738.06 Tl ZONE PKG.SPACE GENERATOR 0-1 KW -1-10 KW_ TRANSFORMER APPLIANCE - 10.50 KW�50 a KW MOTORS 0-1 HP -110 NP Gri MILAR) 30-50'1 50+HP FIXTURES OUTLETS - SWITCHES hall t anjowl or pope tiy, " - - M1 buildso p N and,Who tl h work II or SSUEFBEAPPLICATION ' ' APPROVED BY ud DATE through his own employees. provided [hat such ITPPovementVans not ' '• Intended or offered for sale. If, however, line bull r ImprovamenH have the MECHANICAL '; PLAN CHECK J _ V SUMMARY OF FEES Is sold within Ona year of emopnedon, the owner will burden -p / •t• fop/pving, beg did\no[EUIM .rlmp;Ove ler llie,pu�p058`tOf, A'O). •HEAT NG SYSTEM' 0400,000 BTU U�_ PERMIT BUILDING, yq'$ '$MIP 31�0(O ❑ 1, s .owner Of }h` property, ;AvexclusivelY Con ing with AND DUCTING I $_/@e)= licensed contractors t0 Construct the project (Section 7040, Summers 100,000 ♦ BTU -__ pIJ1N CHECK $ PERMIT and transitions Cmde: The Contractor's Uterus Law dolls not apply to _ - ISSUANCE E an Of property n0 bullas or Improves thereon, and who On- Owner REFRIGERATION 0-100,000 BTU C`rF• ' _ r•r .PLUMBING 3 tracts such Projects wltry con r [foto) Strategic pursuant to SYSTEM - GRADING $ the Contractor's License LAWS. 100.000 ♦ BTU - •t' n 1-f' f ( PI11N CHECK E ❑lam exempt under Section B.S R C. for this OOILERS BTU .A ELECTRICAL S $ reason if PLAN CHECK $ - MIC HOPI IME - -' SYSTEM REPAIR, ALTERATION TOTAL FEE E r neppliCstion MECHANICAL s IDate her and Kate that the above. I hereby ¢",trroctagr EXHAUST SYSTEM MULTIPLE LESS AV- l InfnrmatiO[amply ilr all City and u ty PLAN CHECK $ VANCEPC 3_OrtllydnRCgsUYpt^Or do ahereEYnaeY^nntl30.tar the eI conedSPro Y `%���%�'OFINAL .I Z n2 - FEE $738,0Dtl ign oersroISSUE FEECM F 099546 W lute -Building; Canary-APOIIUnC Fink-ACCOPnting: G idenrod-Amessor V ` CONSTRUCTION AND PLANNING APPROVALS Permit # a-� Date Inspector POOL & SPA - 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 em orce S�-�nctz r 47. -Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings _23_ 49. Electrical Conduit-Undr rn 8. Foundation - 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap, 0 n r rn - 10. Structural_Floor System SL/ I- l - ,;h 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 - - 14. Rough Electric -Conduit -56. Electrical -Final 15. Rough Electric.Wirin - 57. Solar System -Final 16. Rough Heating & Air Conditioning encing & Access Approval. 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frame and Flashing _ NOTES: Wall 23. Insulation fv-2y_y Z- c c 24. Lathing & Siding -to -$a. 7+� ;,,,. j . .p - 6?- . 25. Drywall Nailing -/y_ R -3-7A 26. Plaster Brown Coat s: z 27. Electrical Power Meter -Final 28. Final Electric eel i (4 fl,/ / Qi- 29. Final Heating & Air Conditioning 2- _g .ar'�..� Q 30. Final Gas Pipe -Test d2 0 31. Final Plumbing 2�. e 32. Water Service -Final ee(3 33. Gas Service -Final 34. Solar Domestic -Final 35. Landscape S rinklin System r - -62. a" � 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 - - - M City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. CG sG 9 P.O. Box 1200 Costa Mesa, California The Building located at 3505 Cadillac Ayeruic - 02-3 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of Building Warehottse only— no lntt?Si.Or alterations interl ied Legal Description 139-651-13, 139-651-15. 139-651-28 (See reverse side for Metes and Bounds) Building Permit No. 4-2261 Electrical Permit No.11,2630.1-:1664 Plumbing Permit No. P-2374 Mechanical Permit No. -�1-37414 Number of apartments I) �and/or guest rooms p 0 ISSUED TO: Building Official rC-mlhricicp Par',c Part-npra r 1301 Dove fit tr 4760. WPwr nrt P,parhr CA Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on thetpremises and SHALL'NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/93 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File Allotment to Rt In an swan within heavy border tnos aad Sign As aoprdoylae depuntien3. QI''y OF CO -WA MESA'PERMIT NO. TRACT NO. 'LOT NO." '-BLGG.NO. I700 Cr t I f Off Ue UU 'CONSTRUCTION PERMIT E-- �e(m E`3 , N�. HMA Project Address OS /LLAL TYPE OF CONSTRUCTION P'NEW ❑ ADD ❑ ALTERATION .O REPAIR .0 CONVERSION ODEMOLISH / . Owner /a/ C %J Phone.j"�r_ri� j _ AddreR D ✓ -'$, ❑OTHER ZONING REGULATIONS !Phi . If Q Lic use No, DESCRIPTION OF WOR K AP''fi A.G. /1 I E. le S -Ti ZONE PLNG.REF.3a Contractor asrZ, - Phot v`.9,LC TYPE OF PERMIT" - - ❑ BUILDING T. I I rvE 3&SPS PJ L7 Address - '� Gr / ❑GRADING FOUNDATION-O5TRUCTURAL ❑ TENANT qeELECTRICAL OPLUMBING OMECHAIIC ARD - A LICENSED CONTRACTOR OEd ION Silly that IaT00. under by I am IlCenieb Oe! pIOVIBDne Of Grist 191Com- se 15tlE - aIt[nil enc Ing I1R section )my 1 3 f"lne madness -fent ❑ OTHER Profess ons COOe and y IIdnL IS In lull f0![e tl 11etl. is • 'PROJECT HEAR YARD (TO P/L)� L�`/Q " Z r� DESCRIPTION - � — _ Llnn3e 0. Cl�as/L�� PKG.SPACEREO. PROVIDED Date , sal DateB Signature SO..FT. OCCUPANCY_ CONSTRUCTION TYPE" 'STREET WIDTH "PARK FEET WORKERS' COMPENSATION DECLA T 1 N I hereby affirm that I have a Certificate Of censers to sa114reun, Or a VALUATION ZONE ZONING APPROVED BY certificate 1 Workers' C moms tion Insurance, or carried done - - - SPECIAL CONDITIONS: _ thereof (Sal 3800, Lob. C.). %NL GRACING CU.VDS. ACRES r YSb4zJCompanvr�rFNtNT - rifled COPYAS hareby furnished. _ _ REMARKS-t,Z_6S - - --- " L damped COPYIS lues with Pe city Building Olvlslon. _ _ EXEMPTION -FROM WORKERS' COMPENSATIONDECLARATION 1 - - ((Thl3 sectioneed not be completed If the permit Is for one M1unOretl or less). 1$100) certify that In the,perlolmante of in* work 10 which thispermit Is Into I mak t employ any Person In any means,to become PLUMBING - 'PLAN CHECK rELECTRICAL "" 'PLAN CHECK - Subject t0 the Workers' Cr mpenHl lea taws O1 Callfrome. _ _ BATHTUBS -SHOWERS -Unrldi LINU - _ _ (Date Smature NOTICE: If alter "king this declaratIOn, yOu int Id bOCO ff SUNOCI TOILETS-: , URINALS - ,GENERATOR- ICI Pat 1-30 KW to lit$ WOrker3' Deep i tIOO PrOVISIOm O1 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 a KW - ewked. _ CONSTRUCTION LENDING AGENCY -KIT: SINK$' ""-" DISHWASHERS --- '- 'MOTOR$ - - 0-1XP—I-I0 XP " hereeby that there is C onsM3ctionrourn agencyfued or t SERVICESINKS SUMPS '- '- - 'NNC. SOLAR] 1050 Huy --sea He - lending I n[eartthaff 309J FLOOR SINKS - 'FLOOR DRAINS` - - -FIXTURES" OUTLETS 'SWITCHES Gw•COr - Lender's Name lAnderY AdtlrM3 - DRINKING FOUNTAINS - GAS TUBE SIGNS OWNER BUILDER DECLARATION' INTERCEPTORS -, CLARIFIERS CW POLE LIGHTS - I hereby affirm that I am exempt from the Contractor's License Law lar SWIMMING POOL' 'PTRAP the following reason '(Section-7031.5bilateral and Prafetslond Cotler Any City O County wMCn required a cal to Construct, alter. POLES METERED WATER SERVICE- ALTERATION - "PANELS MAN' SUB - imyr w demolsh or real structure, prior tr IIs Ksuance,alu re- quires the aq IIGnt far such Permit to Ills a ionOtl Statement that he GAS SERVICE - OUTLETS' - - - SERVICE' AMP CD II'licensed consent to -the -provisions -of Inc COnsmctor's LI¢nso-lfew 1 CM1ap\Sr 9 (Commencing with Strips 70001 of Division 3 of the dessiam WATER HEATERS 'BTU OUTPUT - - - -- - t Bug a Code) o n Is exempt therefrom and the �for r the alleged exemption. Any violation of Section 7031.5 by SEWER -CONNECTIONS Q vs IPPInt for ibjectsthe UOlont to a-cMI pvullY eTo than Iehundred ($Sl SOLAR TANK" -^ COLLECTORS - '• " -- - -' - [J 1. as owner of the puperty,-ar-my employees whit wager as their Sale compan3atill will do lite work, and the structure IS not Intended offeredor for Sale.(Section 7064. Business and rofes Cgdo:TM1e _ _ SOLAR PIPI NO SVS. �r- ISSUE FEE "� '} Os Cotractor's License law does not pally to an Owner I y Oerty no bonds Or Imomws Parson. and who pCVs Such work Mmself or _ ISSUE FEE- - �' - - APPLICATION APPROVED BY -- - DAI E- ' Prougn ifelws employees. provided that Such Improvements are not MECHANICAL PLAN CHECK SUMMARY OF,FEES or IntenOed or offered for vie. If, however, the buildlnr improvement Is sold within one oar of completion. the owner villi the burden Eui1J for the le).' BUILDING — - - - r r propurpose of I proving be dillyrw not 0'1, as Owner. Ol lM aro"fty..am- XCIUSIWly . ConlraCting with HEATING SYSTEM 0-100,000 BTU ,PERMIT i — SMIP fp -- licensed contractors to construct the prole[( (Section JS OCR Business AND DUCTING 300,0004 BTU (PLAN CHECK 3 - PERMIT (' and SIGNS n0 Code: The CbuildS .. _. IBSDANCE{ i r la provesLel here a who c n- wrierPirfef pr wM10 Or Improves) and who con- an OI TU REFRIGERATION 0-100,000 BTU— IPLVMBING f ' Unwn, UCULpty ith a iricld from sucm�prOlec[s.wlth a-conhadar131 II[e3ned. pursuant to tracts SYSTEM -- - - _ -.__ _ GRADING 3 the Contractor's IJcense law]. 300,0001 BTI( PLAN CHECK f O 1 am exempt under Section - - - -0.6 P. C. IOr PIS BOILERS BTU ELECTRICAL Sral $ - SYSTEM REPAIp, ALTERATION 'PLANCHECK 3 MICROFILMS - TOTAL FEE S Date Owner .ME[HANICAL-3LESS _ " I hereby Certify that l have this application and tOtO that the above EXHAUST SYSTEM MULTIPLE - sad belcorrect, 1 gree t0 comply Rm all Dy and county PLAN CHECK - VANCE PC $_- - VANCE ordinances [IOLi hereby [pit 'this - rophoncwandstalelawsrelating nN^noned City os em up The She" mentioned property I Of UP a properly ror i [I n purposes. �- _ _ Slgna[ure [e 2 IOC&Z FINAL FEE $ Oriw s' Licenic ar 5 ISSUE FEE - - - CMFOO65-46 White -Building; CanaLy-Applicant; PinkAcCOUOting: CONSTRUCTION AND PLANNING APPROVALS PermitE;-(o(D Date Inspector POOL & SPA ---Y, APPROVALS Permit#" Date Inspector 1. _ Temporary Electrical Service or Pole 43. Pool & Equipment Location'- ocation=2.. .2.. SoilPipe-Undrgrn _ 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn 45. Forms - • ' - - - • - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - - - _. Stee-I Reinforce _ 47. Rough Plumbing & Pressure Test - - - - - 6. _Electrical LIFER Grn _ _ 48. APPROVAL TO COVER-GUNITE-''- 7. ooungs _ _ _ _ _ 49. Electrical Conduit-Undr rn - _ 8. Foundation._ -- _ _ _- „ 50. Gas Pipe, ❑ Undr rn, Test _.9. Water Pipe-Undrgrn _ 51. Backwash Lines P-Tra "E]' ndr""rn" - 10. .Structural FloorSystem 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final -.72. Street Sewer Connection ' _ 54. Heater & Vent -Final. ' 13. _ Rough Plumbing _ _ _ _ - 55, - -- 14. Rough Electric -Conduit - - - •56. Electrical -Final 15. Rough Electric-Wiririg - , - - 57. Solar System -Final - - 16. Rough Hearin & Air Conditioning- =- - _ - -58. Fencing & Access Approval 'r 17:- Ducts in Structure i '_59. APPROVED FOR.PLASTERING 18. Ducts, Ventilating 60. ..POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test _ - 20. Roof:F.raming 21. Roof Sheathin - - - - NOTES: t •_ .! , "' 22.- Frame and Flashing r 23. - tnsulation� 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 DomesticFinal - 35. Landscape Sprinkling System -- - 36. Sound Attenuation 1 - 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Complefed - 40. Electric Release to Edison '- 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No .A Date - - - All Applicant In fill In an MARCH within heavy Bomar Imes and sign all appropriate declarations. F96 . , CITY OF COSTA MESA PERMIT NO♦ CONSTRUCTION PERMIT �'—a�b 130 TRACT NO. LOT NO.. -BCOG. NO. TYPE OF CONSTRUCTION KNEW ❑ ADO ❑ ALTERATION ❑REPAIR ❑'CONVERSION OOEMOI . OTHER a T U�'��•+' 1 9_95 2/ 1 1 /B2 21 a 40 -. > -. r Un/J> �• ' ZONING REGULATIONS, . ProleCt Address .3,5-pU..l 401 Owner 6 p PhOnsGrg2-jam Address -ej y, Aeh/EDB: f License No. DESCRIPTION - OF WORK 'A.M.$ - ZONE PLNiGp. RUEFL.p Addrna N s_ - b COnte[r ( ne /- o Pho'-TYPE OF PERMIT ❑GRADING 0 -FOUNDATION ❑STRUCTURAL ❑TENANT IVrELECTRICAL OPLUMBING LIMECHANICA ❑ OTHER B V RO SIpE YA RIGHT PROPEIRTY1_5 NE - " Addran rz E TN LICENSED CONTRACTOR DECLARATION I helNby afirm Hot I em licensed under provisions Of Charter 9 (com- Ing with tion 7000( t Division 3 f the BYslmHc a Proodslons Code, and y license Is In full forceand effect Uunse are UGnse r . 9S PROJECT OESCRIFTION . SQ. FT. REAR YARD (TO PKG. SPACE REO. P/y - _ - PROVIDED Z E y�� Gat Slgruture OCCUPANCY—CONSTRUCTION TYPE VALUATION ZONE STREET WIDTH PARK FETE ZONING APPROVED BY DATE WORKERS'COMPENSATION DECLAI TI 1 1 hereby affirm that I ham a Certificate al sent to enormous e a rertlflcate of Worrell' Compensation murance, or a certified copy Not(Setion 3800, 1eb. C.). YND.WP Sri isef/zea CamARny l�Q/.Eq CN! /KD el0 GRADING CU. YDS. ACRES SPCONDITIONS: ECIAL - LartI11M Copy Is hereby furnished. Q Certified Copy IS 11100 with the City Building Division. REMARKS: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the Sol Is for one hundred aID0 ,rhes. issued. f 1 shalt not ethe mploy any isporiormance Ofi n any for eat so asito becomle Subject to the Workers Compensation Laws of California. PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK BATHTUBS SHOWERSefal FT So FT Dab—.—Signature NOTICE: If after Mining this deClana len, Among accosts Subject to Perm coemply with Sucth provisionsatthis p ambit shall Ee demon TOILETS URINALS LAVATORIES GOUBLELAVS GENERATOR TRANSFORMER APPLIANCE Cad KW_1'10 KIN 3050 KW -50 10 caked. CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS MOTORS 0.1 HP.1-10 Hp Ihereby affirm that there is a construction lending agency for the per farmance of the work for which this permit if issued (Section 3097 Civ' C') - n, t,. e1 !� % ,% tanaer•s,rvame. SERVICE SINKS SUMPS UNC. SOLAR) 1050 HP 50+HP FLOOR SINKS' 'FLOOR DRAINS FIXTURES OUTLETS SWITCHES Z D _1. LotlePs Atltlfns DRINKING FOUNTAINS GAS TUBE SIGNS " OWNER BUILDER DECLARATION I M1erel affirm that I am awful from the Conteclar's License Law for the fell re (Section 7031.5 Business and ofenowd Code: n y whirequires a permit to construct, alter, Any city n county W INTERCEPTORS CLARIFIERS POLE LIGHTS " SWIMMING POOL - P TRAP PO ES METERED SUB ' WATER SERVICE ALTERATIONPANELS ' MAIN SUB Improse,demollsM1 br repair any Structure. pnarlolls anuanCq a00rN quires the aq llsom Or inch permlt to file a signed statement that he GAS SERVICE OUTLETS SERVICE AM s E� IS licensed pursuant to the provisions of the Contractor'S License Taw I,OM1so or 9 (ramal no dM1 Section 7000) off Dlvlsian 3 of the `s for ,nd the alleged exempons tion. Any Welalioor that n a lSe Ilethado ontand y031.S tho bY - WATER HEATERS BTU OUTPUT - Car A? li SEWER CONNECTIONS " Applicant for a permit subjects the applicant to a civil penally' an not ore than fivefivehundred dull (11500),E as owner of the sas Of nand aRuct SOLAR TANKCOLLECTORS " Safewill do theyWork,tit Intendel0 Safe•CompnutlOn, lireeal Isnot SOLAR PIPING SYS. ISSUE FEE - offered far sale. (Section JOoao Business and Professionse: CotlThe Contractor's License law does not apply to an Owner refro pperly. who IMUIWA or Improwa thereon, end Who does Such Work himself of ISSUE FEE APPLICATION APPROVED Bythrou- DATE histhat such ents are not, MECHANICAL PLAN CHECK HEATINGSYSTEM 0-100.0006TU 'AND DUCTING 100AOO+BTU REFRIGERATION 0-100.000 BTU SYSTEM - 1n,000+BTU PERMIT G a PLAN CHECK S PLUMBING E - PLAN CHECK S " SUMMARY OF FEES Soup E - PERMIT - ISSUANCE E - GRADING IS Intended offered for Sale. It. however, the I Ulldid nT or Improvement Is sold Within one ycar of temptation. the owner w111 haw the burden t proving fie did nm bulla Improve for the purpose of m). Ql, a5 Owner of the propey. am aHu9sely contoclinq with licensed wntracmrs toconstructhe protect (Section 7090, Busmen And PrOledi Code: The Contractor's License Low does not apply to an owner of property who botldss or Improves thereon• and who con- cts 1's ch protects with on rpchar([) II[al pursuant to tracts mm eContractor's License taw). Dl am e%pmOt under Section B. L P. C. for this BOILERS BTUE ELECTRICAL E Hara SYSTEM REPAIR. ALTERATION EXHAUST SYSTEM MULTIPLE PLAN CHECK S MECHANICAL $ PLAN CHECK E MICROFILM TOTAL FEE, LESS AO. VANCEPC E_ FINAL FEE S Da[pn "Ownv I nereby6etliM5 that l have read this applicaOlaP and state that the above Information correct. 1 agree to comply with all city p and county ordinances and state laws relating to canstruc[lana nerbynallthorize anlauvas f this Clty m n than above mentioned Property far' pure stand 1Ur¢ Date � f � -'FZ Drivers' Lii or ti ty "ISSUE FEE " CMF 0665-46 Whiff-Builatng;Canary-Appiil Rnk.A[COMMMAs GOldenred'AROnor •"° -'CONSTRUCTION'ANDPLANNING APPROVALS - Permit# £-°Z'`•3o Date Inspector POOL&SPA- APPROVALS- _ - Permit # - �• -�'�„, Date Inspector .- 1. Temporary Electrical Service or Pole 43. Pool & Equipmerit Location - - - - - -- - - • • - 2. SoilPipe-Undrgrn 44. Steel Reinforcement - ,.-3.__ Electrical Conduit Utility-Undrgrn_ - _ , __. -- 45. Forms• 4. _ Electrical Conduit-Undrgrn - _ 46. Electrical Bonding -- v 5. Steel ein orce, - 47. Rough Plumbin" & Pressure Test 6. Electrical UFE Grn 48:' APPROVAL TO COVER-GUNITE 7. Footings - - 49. Electrical Conduit-Undr rn .-8. Foundation _ _ _ _ 50..:,Gas-Pipe„0Undr rn,Test - ••'' -.9. - Water Pipe_Undrgrn _ _ 51. Backwash Lines P -Tara 6 ❑ Undrurh • - -- - 10. Structural Floor System _ 52. _ APPROVALTO DECK .11,_. Property Sewer _Line & House_Corinection`' ' _ _ _ 53. _ Backwash,& Receptor -Final, .12. Street Sewer Connection' - -- - - -_ - - - S4. Heater & Vent -Final!_ 13.- Rough Plumbing __- _ r 14. Rough Electric -Conduit t --- - - -- -- 56: -Electrical-Final 15. Rough Electric -Wiring -` - - _ ' - - - -- - 57. Solar System -Final 16. - Rough -Heating & Air'Conditioning b8. Fencing & Access Approval 1.7! Ducts in Structure - _ _ - _ - i 9. APPROVED FOR PLASTERING 18. Ducts', Ventilating. `60._ -POO L/S.PA SYSTEMS FINAL '•• - - - - 19. Gas Pipe -Rough & Test - ,•, ... - __. _ . 20. Roof Framing _ - 21: Roof Sheathin' .'. - _ 22. Frameand Flashin-NOTES _ _ - 23. _ - Insulation - - _ , _ - _ 1=5- _ ' 24: Lathing & Siding r 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power_Meter-Final 28. Final- Electric 29. -Final Heating & Air. Conditioning _ -' _ - " - •,- ' 30i . Final Gas Pipe -Test. 31; Final.Plumbing- 32. -Water Service -Final ' 33.. Gas Service -Final n 34. Solar Domestic -Final 35. Landscape Sprinkling System ' 36. Sound Attenuation 37. Handicap, Regulations 38. FI NAL STRUCTUR E & BUI LDI NG 39. Special Requirements Completed - 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY ' No.- Date APPlmant to fill In all Space%within heavy harder It,,, and cry, all appropriate declarations. ` EITV 00-1 MESAIT N M TRACT NO. LOT NBLD N p. O. - - 09,70 - /20/82 24.00 CONSTRUCTION PERMIT p' / TYPE OF CONSTRUCTION NEW El ADD -OALTERATION O REPAIR ❑ CONYERSIOrv, 101 DEVIOUS MOTHER - - ZONING REGULATIONS PIOjeCI Address 'Owner a Phone Address - - - - Arch/Eng. 1 Liceneeffe, DESCRIPTION OF WORK A.P. Sf "Atl eN -_ - TYPE OF PERMIT.- ' - - OGRADING _�❑ FOUNDATION' ❑'STRUCTURAL O TENANT O ELECTRICAL PLUMBING-OMECHIWICA ZONE PLNTGp: 'SETBACK ST' V D 51p y - REE. p��Iy, PROPEIRTY LGNEf - - -- - - t - 27 PBUILDING 'Atltlre9 - LICENSED CONTRACTOR D LARgT N I hereby affix Shaft I e licensed u der afpvi lOn3 Of Charter 9 na - tion 7000) f f.�the C3 1 RIG T ng wIM Division 3 Business and. profession; Code 819 y In fall force ff OTHER PROJECT DESCRIPTION REAR YARD (TO P/LI Ji Jon CNy Se Na _ OC F.T. - CONSTRONE TYPE PKG. SPACE RED- 'STREET WIDTH - PROVIDED PARK FEES ' _ 1 Date $Ignalu- - - WORKERS' CO OECLARATI ON� WOreb yaf that Ihawa IM1efeby 01//x0 1nawa ceation,teO ftified VALUATION VALUATION ZONE ZONING APPROVED BY GATE Workers' onG CertificateofOf Wofr,kefi' Compensation Ina I IC01\Ifled GRADINGXU. YOS ACRES SPECIAL CONDITION;: 1 Sv+e ifYee��l1��aO9µv�µJJ))/q--M�rS IJb. G). NO.Jr'i�CampanY GC/�/ - - ' ey IllleacopylsherebY iurnlshetl F)LIAGdt�C„` REMARKSL ``'-'• rBrtifled Co ar Iz 11100 with the city Building Civilian (�%EMPTION-FROM WORKERS' COMPENSATION DECLARATIONThis On ¢ed,not be completed 1 the permit " f one hundred uollless - I " E100 1 1 - .j_ - _ _ _ _- - 'ELECTRICAL' i e.tify that Inch if ffrformapce of the work 'or thisbol If issued 1 eau t employ any person y ma t tha PL'UMRING - y PLAN CHECK"-" - PLAN CHECK, passel t0 the. Workers' COmrs mallon ldws Of Cdllf Na BATHTUBS SHOWERS -- --- - - Date f Signature I NOTICE: If after riAking [M1lf tletlaratlOn, y should become subject - ETS VR INALS GENERATOR - 0-1 KW_1-lO KW '1 to the Worker Compensation provisions of the Lobar Code, you must TRANSFORMER forthwith comply with Such provinces Of this permit Shall be deemed ATORI $ DOUBLE LAV 5 _ - APPLIANCE lash KWi +'KW - Caro d. - • CONSTRUCTION LENDING AGENCY .$INK - DISHWASHERS - - MOTORS' '-' 0.1 HP_t-10 HP - IherMyafflrmthat\here iso construction lending agency for the per- SERVICESINKS^ "$UMP$ .(INC. SOLAR) -^10A0'HP 50+HP --- fareance of the Work for wMOh this pal IS Issued (Section 3097 FLOOR SINK6�y- GLOOR ORTINS- �' FIXTURES'- OUTLETS -"'SWITCHES-'-- GvfCd. - Ledders Name ___ _ _ _ ___ _ __ _ _ __ ' - - - ,— _ - -- JC' ° IANdQr% Addfns ____ % RINKING:FOUNTAINS "1` - -"-' 'GAS TUBE SIGNS •`�"� OWNER-BVILDER DECLARATION-- --------' INTERCEPTORS - CLARIFIERS - �, POLE LIGHTS- ---'-- -' - 1 h¢SeOy of1 am exempt from the Contractor LICen30Law for POOL - "'PTRAP - - - �' - rfhmlhat ch'e'f 011OwlnG as ISaction 7031.5 Business n0 posta lOm CodeSWIMMING Any city o county which.remere3 a Permit to construct. alter. POLES METERED U WATER SERVICE" ALTERATION- - OD PANELS " - MAIN SUB- ' [anp ve demolish or repair any Structure. prior to IG Issuance, also m- aulfm the a0311Un1 for Such permit to file a signed statement that he' - GA55ERV ICE OUTLETS SERVICE - AMP' k licensedrsuant'to the -provisions of the Contractor'a Llcenaae Law- Chapter 9 jorrina Gm9 IM Section 7000) 01 Division 3 f th0 thatny heis therefrom hen the Wq'TER HEATERS- ITU OUTPUTfor TJ - exempt final Me � mat one COM) or mpt from and by SEWER applicantt Car an fi-ppermiithundflu jectodollathe ( a 011cant to a civil penally no More DI, as owner of the property. jf my employees with' wages ea their SOLAR TANK' '- -' COLLECTORy.1 a -� y k --- - --"" -- --- - - s010compensation, AM di the Work, and the structure lIntended Ilered for sale XCN (on 7044, Business and P f - COOK: The _ _ SOLAR PIPING SYS. - T _ ISSUE FEE"Contractor's Booty t0 owner OI O PMIY Lleenie Law doth -not -GATE ISSUE APPLICATION APPROVED BV-- no bunImproves thereon, ar Improthereon, anWho does h k himself or mrougn M1i: own employees,provided that Such ve ants are- CAL PLAN CHECK - - SUMMARY OF FEE$ - lerej or offered for FileIf. however the said no rimrovemene Is nave the burden soltl within one year of completion, the owner All f Proving M1e did not bold r Improv for the Ourpose of sale). SVSTEM 0- 140.000 BTU ,BUILDING - - PERMIT E - --'- -- $MIP - `C; owner, of the -properly, am acluswly -co bac[b9 with AND ING __ - _ licensed contractors to construct loo protect !$action 7044 Business 100,000'3 BTU PLAN CHECK IS PERMIT 7, and Professions Cort The Contractors License Law Ooesnotapply to - r� ISSUANCE11 an owner of property who builds or Improve; thereon, and who cars- ATION 0-100,000 BTU PLUMBING E c t Tracts -from -Such projects with a contraC10H3) IkOSnod IfUrn to -- - -- - - - - - GRADING-' $1 the COnlraclOr'3 License Law). 100,000 a BTV PLAN CHECK E- ❑ 1 am exempt under Section - BI It l lar this BOILERSBTU iSYSEMRREPAIR,ALTERATION ELECTRICAL E - E EPAI R, ALTERATION SYSTEM MULTIPLE PLAN CHECK"E MECHANICAL E -'-PLAN MICROFILM$ TOTAL FEETI Date—OwnerOwe¢f hereby cert,fy[tht l have read this appT tion and slate that the above i rfed: 1 agree [O ly ish all aty and"county - CHECK SLE55'AOinformation VANCEPC Eordidancesa state laws relating toebnsimmion,and herebynallthodae.ao.e3ema -or rt m onto, upon mp"abov nuoned -�L[/,,se 00d FINAL FEE b`11SISSUEEE• Drivers' License Or SS or - - - - - CMF 0865.46 White -Building; Canafy`ApPOCanq P nk-ACCOunting: Goldenrod-Asseswr TL CONSTRUCT ION\AND PLANNING %. Date Inspector APPROVALS Permit # 31 POOL & SPAS . 1 _ ' -� - Date Inspector APPROVALS Permit # _ 1, Temporary Electrical Service or Pole "43. Pool & Equipment Location -- --- - - . SoilPipe-Undrgrh ' _ 44. Steel Reinforcement --- - - - -- - '-- - - 3. Electrical Conduit Utility--Undrgrn_. - _- -_ _ _ _ 45.- Forms - -• --- - - - - ----•- 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - -- 5. Steel einorce_ ._._ _ ,, 47. Rough Plumbin4 & Pressure Test-� --- - -- --• - - •- -•-•-- 6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE- -- ^- - -- - - -- - - - - - 7. Footings '- - - 49. Electrical Conduit-Undr rn- - . 8... Foundation _ _ _ 50..• Gas Pipe, ❑ Undr rn,-Test - .9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ndP rn 10. Structural Floor System _ _ "_ 52. ECK-- . APPROVAL TO DECK-- 11. 11. _.Property Sewer Line &-House Connection 53.- .Backwash & Receptor -Final -12. Street Sewer Connection 54.- Heater &-Vent-Final, • - 13. Rough -Plumbing _ _ _ G y ' - - 5.Plum_ Final 14. Rough Electric -Conduit - - - -- -- - -56.- -Electrical-Final -- - 15. -Rough_Electric-Wiring-- - -� - - -- 57- Solar System -Final 16. Rough Heating -& Air Conditioning- -- - - - - - _ _ - -Fencing-& Access.Approval - 17. Ducts in.Structure _ APPROVED FOR PLASTERING 18. 19. 20. Ducts', Ventilating Gas Pipe -Rough & Test "3 Roof Framing 60.., POOL/SP-A SYSTEMS FINAL 21. r 22... Roof Sheathin"' - `• 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 301 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 G Applicant to fill n all spess within heavy border une5 and Sign all appropriate declarations. CFTY'OF COSTA MESA PERMIT NO. TRACT NO. LOT'NO.LDGO PERMIT 375 3N FCONSTRUCTION TYPE OF CONSTRUCTION ENEW 'O ADD 0ALTERATION OREFAIR OCONVERSION MOLISH EAdtlr¢ ❑OTHER - ZONING REGULATIONS .PrajclAddrms g Cadillac Avenue Ownp Phone Hove $t. Suite %GO Arch/Eng:Ne Zt Beach LicLllse No. DESCRIPTIONOF WORK T ❑GADNG 'FOUNDATION❑STRUCTURAL- RI❑ OTENANT-[]ELECTRICAL 13PLUMBING.$IMECAANIC A'P'B - - T' 'ZONE FUND. REF sT, .. _ SETST.- �OR�BaDEIRLTDYIryLGINE YAHU gIIp A - -' - ' Address - -- _ Contractor TheMaSlair, Inc. 'Phone 283-9$" dtlrw D Ave.' $o: El inte 'LICENSED- CONTRACTOR DECLARATION u I hereby affirm last I am flandet r provisions 01 (Carter 9�Cam- -wIM , ! C O p Cr XT ncing section 7000) of DhUslon -3 Of the Business and Professions LpIn de.'and y license Is full l0 0 Sect. 0¢�L OTHER _ REAR YARD (TO EVIL) -- - - _,r PROJECT DESCRIPTION - U. 1 License Class R20 11 _ - - - - SO. FT. ,t I' -- -- - , - IPKG.SPACEREG."' --STREETWIDTH "' .PROVIDED.'- -- - PARK FEES. '- 'R y9ida` n iC) Data 'Slgnalufe WORKERS' COMPENSATION DECLARATION - OCCUcnNtYY°__ CONSTRi1CTION TYPE :I hereby affirm that I have a artlllwte OI consent to MIT Insure or a :r VALUATION ZONE rZONING-APPROVED ED BY DATE ' cafdnate of Worears 'CompenM+lon Insurance, or a certified conn. _ GRADING CU YDS. ACRES _ SPECIAL CONDITIONS: ' thereof (SBRo911 uO. C.) shin a NO. -WP t1494 Lomwny E. nr-Tnd2M itv aftlflOtl LOpylghereby.IUMBINeE. 6 It REMARKS: 3 P.XCertllled Copy IS riled with tho City Building Division. EXEMPTION FROM WORKERS' COMPENSATION DELCARATION - (This Section need not be COMD10@d lithe permit IS IDI One hundred _ E1a001 or less -_ _ _ _ _ _ - tlfY that In the p110lmanyq..ypI work 10 N [515 0 f It Is the suued,l shall not [emPlov anv(Dpfe In any ,lo C C ,-PEUMRING 6 - PLAN CHECK -' -')ELECTRICAL -"^ PLAN CHECK bjecl to lh�aotewrrkers Camps "^ a Lams cY I 1 _ _ BATHTUBS- -SHOWERSgm __ _ _ FT go -Date 5191"f ra'f Signature .l A,- _ _ - 'NOTICE: If after making this declaration, ou Should become subject a CO&Imit TOILETS, - URINALS GENERATOR— Oq KW�1-30 KW� - - -- ' � perabor forthwith comply with Such prensation ovISIms Or thisisions Shall be deemed LAVATORIES DOUBLE LAVS -- - - - -'�APPLA CEMER-10-50 KW�50 ♦$Y/-� - revoked.- 'KIT:SINKS '-' DISHWASHERS--' -- MOTORS- - -"' -0-1 MP 1-10 HP - 1-1 - CONSTRUCTION LENDING AGENCY Iherebyaffirmthat there Is a wnstructlon lending agency for the par- SERVICESINKS ySVMPS - (INC. SOLAR) -.1050 HP�50 HE e lorman4 0f to k for which this Permit IS Issued (Section 309) FLOOR SINKS -' —FLOOR DRAINS t' -" {FIXTURES '- 'OUTLETS--' SWITCHES -- - CIV. C.). - -- --- ,LerI Name ' - " --' - - TOWNER DRINKING FOUNTAINS """ "-- -GASTUBE-51GN5 ' INTERCEPTORS- -CLARIFIERS- - - - POLE LIGHTS - --- OWNERBV;mOnR'DION BUILDER amexa pT lfr mule Contractor's 4cense Lawfaf - SWIMMING'POOG""--PTRAP' -- - - --- -- - - - Ih0'followln9 mason -(St tion 7031.5 Bu51nass and PrOlassloni COtle: Any city o county which requires a permit l0 construct. alter, 'POLES METERSsue WATER SERVICE ALTERATION- - --- PANELS - MAIN - SUB-- Intr demolsh or repair any structure, prior to its issuance, also re- quP05 the aptllpnl lot Such permit to the a signed Detemenl that he Is licensed Wrtuant to the prON9ons o1 the Cmuractork-License-Law- - GAS SERVICE - OUTLETS - SERVICE- -- - AMP' - IChapter 9 (commencing Its Secllon )000) a1 Division 3 of the 2,de55 - WATER HEATERS BTU OUTPUT - and P ashouS OR Code) or )hot ae IS e%empl laeKM1Om and the 's for the alleged exemption. Any equation of Section 7031.5 by - SEWER CONNECTIONS �- - - �" --- ---' - — - alot a pplicantthe to a-ciWP penalty- Collars OOLcant .Io_tpmOre IlveceM1unidretl (ESects SOLARTANK----- -COLLECTORS -- --- -- - -- ---- _ _ - L)1. as owner Of the property.or -my OmpletweS with wages ez'thelt Sole COmpensatlon, will do the work, and the structure is not Intended _ _ "SOLAR PIPING SYS. - - - - - ' "� -'-ISSUE-FEE-- - - _ - - or altered for sale. (Section )044, Business anti"Nofession3 Once; COntroctor'S LlCense Law does not, appT to an Owner Of a property - ISSUE FEE - --- Y "' +" - - -APPLICATION "PROVEDBY -� -- - - DATE- M1a builds or Improves thereon, and w90 does such work andelf ar tic through his own employees. provided that Such Ontreatments are not Pg.6r - __ - Intended or offered for ale. M however, ma bulla royr :Sime t' MECHANICAL PLAN CHECK -'- I SUMM q flV OF FEES a Is sale within one veno of mpllatled, ins code, will nave tneO burden 1 -rap did I build r Improve for Via purpose f le]: '-' - - ,BUILDING -- -- I n ex contracting with QeI - owner of HEATING SYSTEM 0100000 BTU PERMIT E n SMTP f -E - (Surly licensed mO[tiCWR 10 O iruCl MB pfOjO<I (Se<IIOn )044 Business o construct e P B AND DUCTING - - 100.000 a BTU - - _ _ _ .PLAN CHECK E PERMIT, O P fa55i0nS COOe' The COnlractor'S License Law daes.not apply hin rPLUMBING ISSUANCE E an of property who builds or Improves thereon, and who c n- REFRIGERATION 0100,000 BTU E tOCts-1lOT 5 M1 PrOuGS with COOVactONS) Ilossoed PuNuant,t0 -SYSTEM I . • - "GRADItNG E the CmUNCtorS Leethe Lawl. ID0,0oQ ♦ BTU I PLAN CHECK 'S - I - ❑ l am exempt under Sect onB:6 P, C: fol Mrs BOILERS BTV ELECTRICAL 'E 'E reason - - SYSTEM REPAIR, ALTERATION - �PL'AN'CHECK f _"'MICROFILM $ Wt —owner TOTAL FEES-_ ) MECHANICAL - I hereby IT IM1 t I M1 d this apful cellon anti tato that the above f1' Y t gee to c mplY IM IIcity and u ty EXHAUST SYSTEM MULTIPLE I AT PLAN CHECK E LESS PC E C m I l °ypY g1 np°enst lion d herebymuinoriza p u., r m oa app n lF have endorsed a1 - f 5/2Q/82 EIUr<f�_ �. 1lOP-//pen /t FINAL FEE E / • aD $19 ' Q'\ OflvaM1' LIC0o10 m 5S gs ISSUE FEE CMF 0865-46 WNtP0uI1b Ing Cant;Ph Irfaccounting; GOldeelol-AStea5ol CONSTRUCTION AND PLANNING IPOOL APPROVALS Permit # M �7�0 Date & SPA Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location- - - _2. SoilPipe-'Un rgrn 44. Steel Reinforcement 3. - Electrical Conduit Utility-Undrgrn 45. Forms - 4. Electrical Conduit-Undrgrn 46. _ Electrical Bonding 5. Steel ein orce - 47. Rough Plumbing & Pressure Test ' 6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE - - 7. ootings 49. Electrical Conduit-Undr rn ' B. Foundation " --- _ - 50. Gas Pipe, ❑ Undr rn, Test " .-g.- Water Pipe-Undrgrn. 51. Backwash Lines P-Trap,El ndr rn ' 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 - - -'' 14. Rough Electric -Conduit -- -- -- 56. Electrical -Final - 15. Rough Electric -Wiring ` -- - - - 57.- Solar System -Final - - 16. Rough Heating & Air Conditioning-- - - - encing & Access Approval 17. Ducts in Structure" _ _ APPROVED FOR PLASTERING-- - 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough &Test - -_ Roof Framing - -- - 60. -- POOL/SPA SYSTEMS FINAL 21. _ 22. Roof Sheathing- - Frame and Flashing - - _ NOTES: _ 23. Insulation - 24. Lathing & Siding - - 25. Drywall Nailing - 26. Plaster Brown Coat 27. Electrical Power Meter -Final - - 28: - Final Electric - - - t 29. Final Heating &.AirConditioning O- - - 30. Final Gas Pipe -Test ' 31. Final Plumbing - 32'. Water Service -Final 33. Gas Service -Final 34. Solar Domestic -Ficial - 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 tractors to construct I The Contractor's Let o builds Improves to traCtor(el (demes puss o proof ( their Werke ❑ 1 am exempt under Date Ownar r handle Certify tify that 1 have re InfinemalUs is carrel 1 agree to an Ile a g to bmllin inspect ion oo��soi I to enter - - rtinea copy is hereby fur lnsnee. C tified copy Is filed with the city Bunning Division. _Water Service Bathtubs Sewer Connenvort �y ~''.. �.. • • Applicant cEtiUF costa FLgf. ' CONSTR ION P RMIT- - f�5--��1F ' F') to fill In all spaces except those within heavy border lines and sign all appropriate declaration%. PERMITNO. TRACT No. Lor Ni unit NO. Gr ( �� .• -`'v - �� '----_--'- '—= _ " _ ---" ' r a,1 -. '3614 1. LTt067.84- 1 k�E'u -� -Ti.; Clarinet Project Address" Appilranl's Ml ng Addreu m "�D'/= p-�17 Al, Owner s Nam •��Ba Phone - Acoreas 7c`OS G2 -i% arm / .. TYPE OF CONSTRUCTION NEW qOD ❑ CONVERSION ❑ DEMOLISH ❑OTHER ���"' .1m . - - DESCRIPTION OF WORKlUSE OF'B��ppGc FaPFtG . TYPE O'PERMIT � GRADING FOUNDATION STRUCTURAL ❑ TENANT RtE ✓LM ECTRICAL 07PLUOING FPciMECHANICAL ❑OTHER PROJECT DESCRIPTION' SD. FT. OCCUPANCY CONSTROCTIONTYPE VALUATION $ ,2420 ZONE GRADING CU. YDS. ACR /r,^. A P M �� lQo S Main Building T Front" B Rear C Ri9M K S Left Ref. OZ'- Zone' T% ccessbry Budtlllg -- - _ - _ _ Perking R¢R�IProvidetl p N N he R E Alch(Et�X �Mb L$q re Na. C"`rr6✓1�ac3 Address �;C /I7nI✓rPOVy'T RF✓C - /�/ ' -ContrumYS Poam-� �_- A �^' •+lNc oho c f�,f�Y.3 Addresimailingl JC `��60 .1f City Licence No. ci [LI ( LICENSED CONTRACTOR DECLARATION - -OF i 1 hereby affirm that 1 am isomen under provisions Of Charter 9 (Commencing nPInp. Remarks. '✓I rG'1 T% Planning NORe: ' M A -s who Section 7000) of Division 3 of IM Business and Professions Code, and my license is In 1011 for" and Stan L Fhanks CIS 5 sain Egg its,- Drinking Fountains Selar Tank. Any violation 01 Sl len 0 aPPOCan -to a civil T S. PLUMBING FEES - WORK COMPENSATION DECLARATIOI 1 hereby affirm that 1 have a certificate of Consent to self -Insure or a certificate BM Sink Bh"w2 2 r -p \ Floor Drains, ELECTRICAL FEES $ 3 - F.A.U. of workers' Compensation insurance or a certified copy thereof (section 3300, Lab- �C.1['.�' // - poll mz`y H903- 3J)y Company -42 d, UM/�--ivvfvK (I- Bskflow Prevemer Sery cis Sink Date Signature Automatic Washer _ Construction Pole Sub Transformer ❑ 15-50 KIN _ 1:150+KW Floor Sinks '. ' Backflow irrigation Sewer Cep tractors to construct I The Contractor's Let o builds Improves to traCtor(el (demes puss o proof ( their Werke ❑ 1 am exempt under Date Ownar r handle Certify tify that 1 have re InfinemalUs is carrel 1 agree to an Ile a g to bmllin inspect ion oo��soi I to enter - - rtinea copy is hereby fur lnsnee. C tified copy Is filed with the city Bunning Division. _Water Service Bathtubs Sewer Connenvort Distant; Upon - Meter ❑u — el - - Gale - Applicant E%EMPTION FROM WORKERS' COMPENSATION DECLARATION Gazbege Di3ppIDl + Clarinet Solar ColloaOrs- P=Tr=r l d0f - — Dishwasher Meier ❑o fess,! section need not be COMPlatea R the permit it for hundred (6100) or Il` tlyy that m the performance of me work far which this Per R Is Issued, I. r Shall not employ anperson n ma to became Subject to the - pitlsweaher ' - Solar Piping Units toehe Provisions 01 With ssion 7000) or1_ that hardolwHoPl 9 ' C Dr yers ❑Gas ❑Electric -Sub Panel Drinking Fountains Selar Tank. Any violation 01 Sl len 0 aPPOCan -to a civil Fan Mmors 01 Workers' Compensation Laws Of California. 1 Reinspection -Fes Floor Drains, Swimming Paul w/$pa(� $ 3 - F.A.U. InC.Sola�I Fn. Date Signature NOi Halt it king tots eaGarathot, you Should trapol unless W the Workers' Compensation provisions f the saber sCode, you mustfothwith Comply with Such provisions r this permit hall b deemed revoked. CONSTRUCTION LENDING 'AGENCY -' I hereby affirm that there Is a tonshuctlPn lending agency for too performance or won for Which this permit Is Issued (Section 3097 Clv. C.)__ Name DEVELOPMENT SERVICES RE Zoning Approved By�'L^ Bpiying Apprp.Ml eye ', Floor Sinks '. ' Urine) - Hood or Type ❑ Type I I ❑ J Fnmres Miatwava ' Gas ServiceOutlets Water Closet D"Ce Boxes PoIe Light Inrerceping Water Heater Outlets PacificUnder's tractors to construct I The Contractor's Let o builds Improves to traCtor(el (demes puss o proof ( their Werke ❑ 1 am exempt under Date Ownar r handle Certify tify that 1 have re InfinemalUs is carrel 1 agree to an Ile a g to bmllin inspect ion oo��soi I to enter - - . Kitchen Sink v _Water Service Switches s IClansa Law to, the ona ender Any city or LeveLOf10E' i �- v 1 — el - - (Q Gazbege Di3ppIDl + fdemolish CleeoortSuh s' P=Tr=r l d0f - — Generator ❑DS KW ❑315 Roof Como' its - Units toehe Provisions 01 With ssion 7000) or1_ that hardolwHoPl 9 ' C ... r .... _ - .. Any violation 01 Sl len 0 aPPOCan -to a civil Reinspection -Fes E15 Issue Fee $ 3 - with wages So their sole dheenetrsCoe:TConcto y sane Indicator Improves through his or naw own 1 within one year of core -'Canopy glass dna not Solid or lm-nder t Intended or offered for94$151 Fn. E MECHANICALRBinspemion FEES DEVELOPMENT SERVICES RE Zoning Approved By�'L^ Bpiying Apprp.Ml eye ', Hood or Type ❑ Type I I ❑ Grountl RMrigeratidn System 2i(10.000BTU 1S actingwith kOllicensecame:Structural hproiKlewlrawho USLow).lamaware thm 'cold be provided to me. s. G P. C. for this reasonFact. Applination Issued By' Ventilating 2170-t00,00DBTU - BUJ LOING PERMIT a- PIAN CHECK PLUMBING _- PLAN CHECK 25% 'ELECTRICAL a S S $ S S System❑ Multile P System Re 3 Pah/AltereliOn BIL ICBOOr-1 ifif System IS Ducting / BTU❑100.000 E lTilir V andsCouinity Ordinances0,000 - I hereby authorize repre- te Getea cet Tor zig! orb ° PLAN CHECK '5Q% MECHANICAL PLAN CHECK 25% E- S S ction fee 516 Issue Fee $ 3 applicant; Pink - Accounting: Goldenrod - Agri Sign Spending S Trash Com ES SMTP $ PERMIT ISSUANCE $ ENERGY P.C. S GRADING $ MICROFILM S TOTAL FEE $ 5 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PV L &SPA APPROVALS Permit# Date Inspector. 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - JZ/Z//J' Lr4) 53: Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms. 4.'Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK. 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing �Y c,rJ 65. Electrical -Final 15. Rough Electrical -Conduit 66.' Solar System -Final ' 16. Rough Elec � 67. Fencing & Access Approval { 17. Rough Wiring Sign- 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # - 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating-' 71. Product Piping El Gas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush ' 24. Roof Framing 73. Undergrnd. Storage Tank ❑ Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat �8 &r 75. Dry Chemical 27. Frame and Flashing a 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall NailingE/013/ HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: &I aa 34. Final Heating & Air Conditioning r 1%165 (,YP ARL.V 35. Final Gas Pipe -Test "A + 36. Hood orjCanopy Gar_ 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 tQ Southern California Gas Co 51. CERTIFICATE? OCCUPq}N No. / /i (a Date S / 0 • Applicant to hiller all spaces except those within heavy borderlines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTIONPERMIT PERMIT ND. TRACT NO. Project Address 3505' Cadillac, Bldg. F, S\aite 3. 1n 1 &939 Applicant's Meiling Address 1175 N. Osprey Circle. Ana. TYPE OF CONSTRUCTION NEW Aoo ALTERAT Owner's Name OslY1NNR(T BRTGRAM rS RAR'! MNSF BE$ CONVERSION DEMOLISH OTHER Address 419n rAdi11 ac, 411 tP 01 10 r Costa MPSd CESCfl IP ON OF ORK/USE OF LOG. COMMERCIAL. 2) new P S J§nRK U Re�Dc r E ArcnlEng.' License No. TYPE OF PERMIT 'LJ GRA FOUNDATI(O.NI STR Address TENANT 0 ELECTRICAL 0 PLUMBING 91 MECHAN Contractor's Nam ' ATAKE ATR rf1N 1DONTNfbhmm 64Q-6412 C OTHER Addresslmailing1117.5 NO Osprey Circle Artahellll PROJECT DES. RIPTION M..FT. OCCUP City License No, o26OG6 C O N STRUCTI ON TYPE VALUATION IS ZONE GRADING CU.YDS. .AI LICENSED CONTRACTOR DECLARATION btleredy affirm that I am licensed under provisions of Charter 9 (commencing Remarks With section 700)1 of Division 3 of the Business and professions Code, add my license is in full f4cCil effect dale `s Signature yFJORKERS' COMPENSATION OEC RATION emay affirm that I have a certificate of consent to selNnsum or a Certificate `il Workers' Compensation Insurance. or a Cavilled COPY thereof !Section 3800, Lae. C. TwTC pngay Ne. 4in1067 Company STAIR �r'1P-Loa.iZIDO Certified copy is y Furnished. Cer!121i5f IIICChwith the city Ing Iv sip' Data 1L 1 lO4 - r.� �.g• i notve be if the`pemit is ior`one `nunaiea('$1001 or theperformance 01 the hemanna,OTMOf which thls pelSR 1515sPdd I any person aws Oin I Anr, so as to become bject to the Signature ation9�mlvl 5nsdrit llM1¢ Lai I COOP become You mu tsubject rin WlfF ¢n OIOVISioos or this permit shall be deemed Iavoked. N. LENDINGIAGENCK , - - mt there Ise Construction lending agency for the parformanm or which this Permit Is Issued (Section. 3097 Clv. �C-.1 Data owner . acMlow Irrigation athrokus Aaritiers u5mahnner lrinking Founlain5 Four Drains 'loon Sinks - -- as Service Oullels nterceptor5' [itchen Sink vatories_ -Trap land Drains Relespestion Z. $15 Duet - Ventilating Exhaust System Cal Multiple Firepl/Fact BIL ICBG.# Heating System & Ducting 1111103,0015 BTU 1:11121DOOD Onvers' Lice' or 55 $ I I Reinspection FW I $18 CMF 006546. rev. 4184 White- Building: Canary- AOPiICsnl:Pink -Accounting: Goldenrod -Assessor Sewer Cap Sewer Connection Salm COIIectri Solar Piping Solar Tank Swimming Pool wl$pa Urinal - Waler Closet -' Water Healer - water Service Issue Fee IANICAL Hold or Type ❑ Canopy, Type 11 ❑ Refrigeration System El 1iw,000 BTU 0100,000 System Repair/Alteration Issue Fee 51.70 1/09/85 LJ REPAIR I Motors 001 HP 01 X - 8 F A.U. Inc. Soler, 0915 HP 016-15+ A.P. ri Zone DevicBoxes - Pole Light S Main Building: r Accesmory Building: Sign Garbage Disposal RAL j From p SUMMARY OF FEES $ SMIP $ $ PERMIT $ ISSUANCE $ $ ENERGY. P.C. $ . $ GRADING $ $' MICROFILM' $ $ — Of) F'A OTALFEE $ $ S -ZS 3 -.d -y PN Rear s C Right N 5 Left G R Ping. net. # Perking Rem./Provided - E Planning all G ' M T FEES ELECTRICAL FEEB -Amorna lc Washer - Construction Pole Sub. Transformer 0 15-50 KW 0 50+KW Cpakinp Unit Meter ❑up to 100 amps Dishwasher Meter Ower 100 amps Dryer as ❑Electric I Sub Panel s -ins I Motors 001 HP 01 X - 8 F A.U. Inc. Soler, 0915 HP 016-15+ Fixtures- Microwave— DevicBoxes - Pole Light Outlets Range Switches, Sign Garbage Disposal Standing Sections Generator 00-5 KW 15-15 KW Trash Compactor $3 Reinspection Fee $15 Issue FAA $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: • Zoning Approved By Building ApOmp By Application Feel By Date Data Data - - BUILDING PERMIT PUN CHECK PLUMBING PUN CHECK 25841 ELECTRICAL PUN CHECK 50% MECHANICAL PUN CHECK 25%, SUMMARY OF FEES $ SMIP $ $ PERMIT $ ISSUANCE $ $ ENERGY. P.C. $ . $ GRADING $ $' MICROFILM' $ $ — Of) F'A OTALFEE $ $ S -ZS 3 -.d -y ✓� •3 Zq zs 2 15 DO $ 3 CONSTRUCTION AND PLANNING APPROVALS -Permit # Date [Inspector .. POS • SPA APPROVALS Permit # Date Inspector .1. Temporary Electrical Service or Pole 52. Pool & Equipment. Location --2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. - 57 APPROVAL TO COVER-GUNITE - 7.. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation _ 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System' ', 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection r '62. Backwash & Receptor -Final 12.' Sewer Cap 63. Heater & Vent -Final =' 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit - - 66. Solar System -Final - 16. Rough Electric Wiring , , - 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 11 Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73.- Undergrnd. Storage Tank OGas 00il • 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 Pile- uco , 35. Final GasPipe-Test , 36• Hood or. Canopy ' 37. Final Factory Fireplace 38. Final Plumbing ' 39. Water Service -Final, - 40, Gas Service -Final 41, Solar Domestic -Final - 42- Backflow Preventer 43. Backflow Irrigation.. - - 44, ,Landscape Irrigation System ' 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison - - - -- 50. Gas Release to Southern Califprnia Gas Co 51. CERTIFICATE OF OCCUPANCY No. - Date' City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. ©�b Building Safety Division %.* P. O. Box 1200 Costa Mesa, California The Building located at 3505 CADIL1AC. AVFNTW. T1NTT SF -3 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of Building OFFICE Legal Description 139-661-02 (See reverse side for Metes and Bounds) Building Permit Nor 16%27 Electrical Permit No.r 1Ccoo Plumbing Permit No.r•_iccnn Mechanical Permit No.O-16522,M16929 Number of apartments �and/or guest rooms ISSUED TO: Building Official Date / L%--);4OK t This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White -Owner; Canary - Numerical File; Pink - Bldg. Permit File Applicant to nu in NI CITY OF COSTA MESA_ _P�MI'Np Co mracerser Signature 3 of he I lull force I. -Combe N A -Y NOA&(xUYsAvUy' - - - -ernned COPY IS hereby tnrnlmed. U Certified mby It filed with the City edition Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARA �This section need not be completed If the permit IS for one Or S100) or la'a USAOIO Certify Shall at n the Performance not era IOy any person In any for Which so as t rtes bjec) l0 the Workers Compensation LAWS Of Calif rnia. as to b Dale Signature - NOTICE' E' if after rl'eb king this declerallOn, OR should become s to theforthwith Comply with such probmiions or this the S ult Code, Vol wkad. CONSTRUCTION LENDING AGENCY hereby affirm there is Construction nfagency for I fomueofthe work for whiclhlipermit IIsued(SBC30n Civ. C.). Lender% Address CRUNFU RUILnER Plans ORATION OF CONSTRUCTION 6LUat Or bri thereon, and w6c, Care; such nim rTYYPE eu NEW ❑ ADD ❑ ALTERATION ISSUE FEE ❑REPAIR ❑CONVERSION ODEMOLISH APPLICATION APPROVED BY ❑ OTHER DESCRIPTION OF WORN et TYPE OF PERMIT O GRADING ❑ FOUNDATION ❑STRUCTURAL O TENANT PrCLCCTRICAL ❑PLUMBING OMECHAE O OTHER r Intended 0r dumas car sale. If, lev em{ the Pulp II or PROJECT DESCRIPTION MECHANICAL SG. F . OCCUPANCY—CONSTRUCTION TYPE OF FEES VALUATION ZONE is told within Ono year of corrobblon, the owner Wit theIf GRADING CU. YDS. ACRES REMARKS: PLUMBING PLAN CHECK BATHTUBS SHOWERS TDILETS URINALS FLOORSINKS FLOOR ORA, DRINKING FOUNTAINS INTERCEPTORS CLARIFIERS 1974 2/1,1/62 - 9-9.00 TL. ZONE SPECIAL ANSFORMER 1 W 0-]KW�10 K APPLIANCE 10.50 KW -50 a KW MOTORS Gd HP -1-10 HP IINC.SOLARI 30.50 He 50 a KP 6LUat Or bri thereon, and w6c, Care; such nim or ISSUE FEE APPLICATION APPROVED BY GATE Bork v through Ms Own employine. PrOvlded that socp intV chis ar ImnrO et r Intended 0r dumas car sale. If, lev em{ the Pulp II or m MECHANICAL PLAN CHECK SUMMARY OF FEES is told within Ono year of corrobblon, the owner Wit theIf I Proving he did et bulk! Improv for a eurpbse f M). BUILDIPERMITNG I'h HEATING SVSTEM 0-100,00( 11 SMIP E ❑ I, s Owner of rM1C monody. am exclusively Contracting gryG DUCTING _ licensed ce tractor$ l0 construct the proIact (Section 7044. Bu s 100,000 ♦ BTU PLAN CHECK E PERMIT n Pro1Msiorn COCA; The Contractor's Llcanto Law does not ars to ISSUANCE E an Owner Of Property who builds r ImadvIN thereon, and wM1 - REFRIGERATION 0-100.000 BTU PLUMBING E contractors) tracts from such projects with a on r tors) forinned pursue to SYSTEM GRADING E n the Cotractor%LICanso law). 100.000+GTU PLAN CHECK 5— ❑ B.6 P. C. It Is p' E l am exempt under 5ectlon BDILERS STU ELECTRICAL $ q PLAN CHECK 3— MICROFILMS ,rMSOn SYSTEM REPAIR, ALTERATION Oner Data w MECHANICALf TOTAL FEE E plltion and stale that the I hereby Certify that l have ad this apO r EXHAUST SYSTEM MULTIPLE 'PLAN LESS AD - information Is correct. 1 gree to Comply wltth If CRY and W CHECK E YANCE PC f_ ordlnanms and 51210 laws relating to CAnstmcliogand hereby aut mdkdz` MGWs OF this city to hien upen the above men As - property far S Ion Our Date = �' FINAL PEE E Signature ISSUE FEE - Orl Wrs'LKe nse or S CMF 0865 46 WNte.Bu lding: C nary-AOPlicanb PInk.A Assun : Goldenrod -A ussor CONSTRUCTION AND PLANNING q APPROVALS Permit # --�•�oyy Date Inspector POOL &- APPROVALjEquipmen� rmit # "Date In3pector' 1. Temporary Electrical Service or Pole 43. Pool &t Loco n� - - - SoilPipe-Un cgrn 44. Steel Rement - - l.-,3. lectrical Conduit Utility-Undrgrn_. 45. Forms - 4. Electrical Conduit-Undrgrn.- 46. Electridin .5.- .,tee__em orce , , __ _ _ •.: . _ _ 47. Rough PlumbiniI & Pres a Test t.. 6.- Electrical LIFER Grn - 48. APPROVAL TOCOVE UNITE- - . -7... Footings 49. Electrical Conduit•Undr -8. -Foundation-.- - - - - - 50. Gas Pipe, ❑ Undr m, t ' -9.- Water. Pipa.Undrgrn- _' 51. Bac wash Lines P-Tr5 -ndr fn .W...Struc-ural Floor System .52. APPROVAL TO DECK '- - - '"7. " . 11. Property Sewer Line & House tConnection:.-. J' 53. -Backwash & Rece for-Fi al 12. -Straw Sawer.Coanectien. -- t, - - - �54. Heater & Vent -Final ' 13... RougltRmbing.. _ -55. Plumbi; 14. RoughEectricdbnduit `- - -- '- 56. Electrical -Final -- 15. Rough E•ectric-Wring_ -57. Solar System -Final 16, F -ugh Heating -& Air Conditioning= -- Fencing & Access Appro il -17. Ducts,�n-Structure' 59. APPROVED FOR PLAS EKING 18. D'rcts Ventilating -;- 60. POO L/SPA SYSTEMS F -. 4AL _ 19. G,Plpe-Rough'&Test - 20, R.,of-.rr,:nin9 - -- - - - - 21, Roof. ih.athing NOTES: 22. Framt, and Flashin - } - 23: irsulnoo,. - - - ,• - 25. - D.y'A A ailing- 26. P';stg• 6,own Coat - _ - --- - - - 27. Etectt:cal Power Meter -Final 28. F,nal Elertric 0.- 29: 29 30; -Final He^tiny & Air Conditioning- - -- -- - F nal Gay Pipe -Test - 31. _ Plu nbing 32. - _Ftel Water Service-Fnal- - - - 33. Gas Service -Final 34. S. tar Do. iestio -inal 35.L�ndscaF -_5prjrklinq System 36. Sruntl A inuat'on - 37. Hdnd.cal Regulations 38. FINAL ST-RUC'URE & BUILDING - 39. Special F.quiretnents Completed - ' 40. Electric Release to Edison 41. G.Is Rele,se to Southern California "Gas Co. - 42. ,CERTIFICATE OF OCCUPANCY N,_ - Date- Appneam to ml in an SPI Within heavy border 11085 And sign All aPPmpnalt declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG. NO. '£ONSTRUCTION)AIERMIT as 40 PM -81-360 5 F 6L TYPE OF CONSTRUCTION ® NEW IO ADO ❑ ALTERATION ❑ REPAIR -❑CONVERSION ❑DEMOLISH C OTHER [0776 1/18/82 804.87_ ' ZONING REGULATIONS Project fuldirsist 3505 Cad"12tC Af7enUe Owner.ffi y,•Bi yC Phone 752-5511 AdtlreM1301 DOV2 ,Street Suite 760 N.B. Arch/Eng. IliM5—peters License No4285 DESC RIPTION OF WO RK A?'•P 139-651-13,1 Address 119 E: Alton Santa Ana - TYPE OF FERMI aR ❑TENANT FOUNDAT ION'pSTflUC..-ai QTENANT QELECTRICAL ❑PLV MBING '[]MECHPNIC ZONE PD1 PLNTG.. SET C T �� Y RO #'A / gP1E�F.9P ZE 80-160 TGSBLIILDING FN )FENTV LINE COnlraetor Olt]RanS COOStrUCtlOn Phone 576-847 Address - Box Non pack CA LICENSED CONTRACTOR DECLARATION I hereby affirm �M1tl I Iam under DrO B 1 ' Iny With [len ]m001 R I I 11 7100) of 3 t Bmin e 3 Of the Q OTHER REAR YARD P/L) ] or holasslOns CopO. O Y IIWn50 13 In lull IOrtO OSPy (feel. ce a IS &59SN"' PROJECT DESCRIPTION ITP License Class A License No SG. FT. 7260 OCCUPANCY_.B�=��Z�COpN�ST..RUCTION TYPE- PKG. SPACE REO. 592 STREET WIDTH PROVIDED 670 PARK FEES Dale - Signature - WORKERS' COMPENSATION DECLARATION have I hereby affirm that 1 e a certificate of consent to self-Imum or a -VALUATION 2�4V:; ¢ONE ZONING APPROVED BY DATE rtiflGle pr' WkControl' Insurance, Or a Chatlllep Copy - ✓ GRADING CU. YDS. ACRES 120tCIALOONOITIDNS: . thereof Section 3300,La0.C.). Imy No. WADI nOSOGO Company Fym^' Ttxi - I Certified Copy is herebyAwhiffed. gEMAPKR rC s kCertlaed COPY Is filed with the city Building Division' .2r' UPLD FOR SPECIAL REQUIRE6IE 1 - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ei 541 [TM1B need Ont beS MPIStW 11 Cha permit Is for phi M1unbre0 - ((,A1ction ISm.0ify Ihal In the performance of the work for which this Permit 15 _ Issued.subject shallnot emany perany mObrrn1e AS to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK atinnlIn employ to a. BATHTUBS SHOWERSSO PT SO ry Date Signature NOTICE: If after making this declaration, Y u Should becom0 subject TOILETS URMAILS - GENERATOR 011 KW- 1-]0 KW to the Workers' Compensation provision Pf the Labor Code. You must TRANSFORMER forthwith Carl With such provisions Or the permit shall be deemed LAVATORIES DOUBLE LAYS 30.50 KW -90 ' rOVOST. - - KIT. SINKS DISHWASHERS .MOTORS 0-1 NPS] -30 HE •CONSTR VCTIDN LENDING AGENCY YY 00 loreman[eao/I[M1e work trot wNCRlrlrltcparmit nlSllSsued�(Sactlonn 309] SERVICESINKS SUMPS IIN0.50LARj 1Or50 HP=50+HP Clv'C')'`' W011S FalY]O Bank, FLOOR FLOOR SINKS FLOOR DRAINSI FIXTURES OUTLETS SWITCHES Laneer•s Name 11 Lentler's Pal 660 Negamo t Center N.B. _ _ DRINKING FOUNTAINS GASTUSE SIGNS OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS, - % POLE.LIGH,TS. - I hereby affirm that I am exempt from the Contractor's LlconsU Law for SWIMMING POOL' PTRAP - - POLES METERE U the following IB (Section 7031.5 Business and Pr01eaSMnS Code: Any city o -county Which Hoping; a permit to construct, alter. WATER SERVICE _ ALTERATION . - PANELS MAIN - sue Improve, demolish or repair any structure, prior, to Its 'auahng iso m' for such permit to VIA 4 Signed Sateent that he• euuei the AppliOm m GAS SERVICE OUTLETS SERVICE . - AMP I(S licensed pursuant to the provisions ofction the Contractor% Licensee LAWthe Chapter ][a WATER HEATERS r.eTV OUTPUT .' exeDivisland the Buhl and [Rddishins Codes) Orthat heexempt therefrom ish1for the alleged exemption- Any violation of Section 7031.5 by ,SEWER CONNECTIONS - applicant -for pnrmd DXCU the p011cant lo'a civil penalty five IfYn than nundree'dollars (S500I. • 1 - SOLAR TANK COLLECTORS - r•" 0 I,o as own. of the propsa lyyR my employees, -Wilk Wages ai IM101r sole compensation, will de t^ Mork, an0'the' SVuculule Is not intended' -' - - `e' C ' or offered Por;sale. ISection7044, Business aqd R/essiwns Cade:, The SOLAR PIPING SYS.. ISSUE FEE Contractor's License l w'does not pVlylo Vn o id fxa`proverly: - Who builds or Improves thereon. and who does SUCll Work hlmgll or 1 . ISSUEFEEy a- ' APPLICATION APPROVED BY DATE through his own employees, pmWded-thal'such ImpmWmants ane'net - Intended P. offered br sale. If, however, the dulldinqq Improvement Is told within one yearof completion, TMdw4or�selll have the burden MECHANICAL �• t 1 .r PLAN CHECK � � -�-_ SUMMARY OF FEES I proving be did t`Ouild limprove for purpose 1 le). N •HEATING SYSTEM C-100.600 BTU ^ -� pp - pE0.MDIT O' S p SM to S' �/] ❑ I, s oWN/ of the BropaNY, a %dUslvely copHeilin9with SAND DUCTING �` s licensed cont to construct the Oroiecl,(SeC110h 7040,.BUI • a I" 100000+BTU PL!AN CHECK S PERMIT and Professions Coat: The CiamreROPt License Law does not apply to _ ISSUANCE S - an owner of.property,whp builds or Improves. thorennimnd who con- , REFRIGERATION •0-[00,000 BTU r1�' ". I PLUMBING $ tracts from such Projects with - ntractogs) IluSnad Pursuant to SYSTEM; f"' PLAN GRADING Is the Contractor's Ucense Law). 300.000+BTU y" CHECK 5 I am axan`pt under SediPn B'6 P. C. for this BOILERS BTU f' - ELECTRICAL S S reason SYSTEM REPAIR, ALTERATION PLAN CHECK 5 MICROFIINS TOTALFEEE Dalen 1 hereby Cartlfy a 1 hay road Rol pptc tion and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL 5 LESS AO- r mu county Inlormatien act. r i 1 mply An all ity and Comply "An PLAN CHECK S VANCE PC $_ orelnandsa I3Wt that dp[porlie sal alltlt0a rtpresentats this Ie/ upon the Oa" me tlonetl W '.\ `,\ gapeNY tion IPa ` d \\ ,s 'FINAL % FEE $JLV�i�J "ISSVE FEED --%\S'- O9lvars' or 55 CMF 006546 Wplle-Bullding:C,nary-AOpllunVRnk.Acrounting;Galdenrod-A4u?' •` - C I : b -f, CONSTRUCTION AND PLANNIN _ APPROVALS Permit # ,j Date Inspector POOL & SPA APPROVALS Permit # - Date`+ _.Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SodPipe-Un rgrn _ 44. Steel Reinforcement 3. Electrical Conduit Uti ity-Undrgrn. 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding- 5. Steel em orce y. ndie . - -- 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. Footings - --2 A 49. Electrical Conduit-Undr rn S. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Trari. ❑ Undrarn 10. Structural Floor System Si.. h N 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 ' 14. Rout Electric -Conduit - 56. Electrical -Final 15. Rout Electric -Wiring - 57. Solar System -Final 16. Rou h Heating & Air Conditioning 58. Fencing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas pipe -Rough & Test 20. Roof Framing 21. Roof 'Sheathing 1l-/Zga1 NOTES: ,ir4VA'Aill CIV17 22. Frame and Flashing _g 7..1 23. Insulation o-,tg= c c' ' /6i /- 24. Lathing & Siding S-/O-Sa ./ 25. Drywall Nailing p S -/7-7i a- 'Y`"1 26. Plaster Brown Coat 144S e -2-d 27. Electrical. Power Meter -Final .-S 28. 29. Final Electric Final Heating & Air Conditioning .A - - /0,/3.AC Sd I 6A4.R� - 30. Final Gas Pipe -Test ...-1 ' « d I M -9 31. Final Plumbing -4 - C 32. Water Service -Final.. J 33. Gas Service -Final -x 5 I - .- 34. Solar Domestic -Final - 3- 4- - 35. - Landscape S rinklin System 36. Sound Attenuation o 37. Handicap Regulations v- i ?- '--SR _ 38. FINAL STRUCTURE & BUILDING = } 39. Special Requirements Completed Z2 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. ' CERTIFICATE OF OCCUPANCY No �6� Date r APPlln:n to IRI in all spaces within heavy border lines and sign all apirroxlate deoeaue m. ICII COSTA MESA PERMIT NO. ICONSTRUCTIOWISERMIT TRACT NO, LOT NO. BLDG. NO- 6600 6/01/92 11.00 -3750 F-5 $ — /UJ TYPE OF CONSTRUCTION G SSNEW ❑ ADD ❑ ALTERATION179 ORBPAIR OCONVERSI ON ❑DEMOL15H V 0 OTHER ' b . ZONING REGULATIONS Project Address3505 Cadillac Avenue OwnerPws�trraarq DOIMona Addressnmara- - : ArchlEng. - nh License No. DESCRIPTION OF WORK .A.P,; - AddrW _ - _ _ ZONE PLNGp. ;Contractor' Ph6ne283-958 TYPE OF PERMIT - -' ❑GRADING O FOUNDATION 13 STRUCTURAL - ❑TENANT Q ELECTRICAL OPLUMSING MMECHANIO SETBACKRIIR"PliYuNE YARD 5 p Y gRlE3FL. pSF�ry ' - - Address AVE. -SO• ES MODCB 'LICENSED CONTRACTOR DECLARATION - 1 licensed Charter 9 (com- meereby affirm Hitt am under prevlSlens or tln9 WIIh tllaa ]000) of 3 I the 'Sol M- _• _ ❑OTHER gIIG T 1plWalon hOfeulOm GdO, and S a Is In full olive d L REARVARO ITOP/LJ Y p C-ZO LOZ b PROJECT DESCRIPTION - - Llcvnae Cla» SD. FT: 4_ .. ... .. CTIONTYPE _ PKC. SPACE REO. STREET WIDTH PROVIDED 'PARK PEE Dat' ' sv—�ryR2 sgnam.e WORKERS'COMPENSATION DECLARATION Ihereby affirm that l have a ur[Ificates of consent to seef4nsuaa•ygLVATON ' ZONE ZONING APPROVER BY PATE [ rtlflaf Workers" Communication Insurance, or rtified- Copy- lB '•hxe0f(fil llon 3400, Lab. CJ. G RADINO CU!YOS. ACRES SPECIAL CONDITIONS: I [Y TndArmar _ 6 6'1yCerleiW[opy IS hereby furnished. ... �. REMARKS: _ •�� "I _ CertlBM copy is (IIM WILD the City Building Division. -_ 'EXEMPTION FROM WORKERS COMPENSATION DECLARATIONThisauction need not be wmplxpd 11 the permit is for one hundred _ __ 't(%loo ICR ^ par tis I tify that I the performance rI work lo[ MCh Sits s _ _ _ _ _ _ ^De Issued l shall not employ any In any 1 s4 Bs to De'C Sol to the Worker$ Con, tlor {awlof ale 5�1 PLUMBING qc ,I PLgN CHECK ""' ELECTRICAL - PLAN'OHECK BATHTUBS SHOWERS - Date 5/20/82 Signature NOTICE: If after meklog this declaration, Y Should OeCPme subject to the Workers- Compenvtfon provisions pl Iue tabor Code, you muni _ TOILETS (r' URINALS - - _ GENERATOR - 0.1 KW � I40 KW 'TRANSFORMER forth Wlth COmlffy with such provisions or this permit died 1N deemed _ _ LAVATORIES- DOUBLE LAVS APPLIANCE 1050 KW -50 a KW " reacted. KIT -SINKS 'DISHWASHERS MOTORS 0•1 HP 1-10 His CONSTRUCTION LENDING AGENCY 1 hereby affirm that there IS a Const u[tlon lembIng agency for the per- fOrmaoCe 30_9]_ SERVICE SINKS .: 'r SUMPS •ZINC. SOLAR) 1050 HP=' W ♦ His - Of the Work far witch thU pxmit Is Issued (SSUCI .CIv. CX FLOOR SINKS FLOOR DRAINS .FIXTURES 'OUTL'ETS SWITCHES - LentlerY Name : _ UndeY AddressAOdre _ PRINKING FOUNTAINS 'I - - .GASTUBESIGNS' - OWNER OWNER BUILDER DECLARATION I ne.my mhrm that am exon 7 from the in ss an Profession ueedM Law dor Ihe log ]quiresa INTERCEPTORS CLARIFIERS - - - 'POLE LIGHTS - - AnyI city Cuntyl which Perstntoautrutt. ereq SWIMMING POOL PTRAP� PpLES METERED U WATER SERVICE ALTERATION - PANELS MAIN " SUB' ' InsPrrbve demolish Or repair any structure, prior to its issuance. also re. Oa statement fhe r lfe a suant tolhebrovl5ioni Of the CntrraactOr'a LICenm law' Is licensed puro GAS SERVICE OUTLETS ';SERVICE - - - RMP: Chapter 9 jmmmencin9 with Section ]000) of Olvlslon 3 of the �asf WATER HEATERS BTU OUTPUT, ' "' "-- -" "r -" '"- - - ioLr a`M1 Prdfa ions Code) or that no IS learn t therefrom and the exemption. Any vlodatlon of SoctlOn 9031.5 by SEWER CONNECTIONS '• -- my applicant for a mit s ejects t pliCSnt' l0 a CMI -penally JS5a801. f of ore than fire hundred donors _ __ _ _ SOLAR TANK- - COLLECTORS _ Ole1. at o the Wo111eywo/kmane employees Wets not asInttheir natloq offered for ale, (Section 7044, Business and ,of0 bon$ Code: The SOLAR PIPING SYS, 1 ISSUE FEE - - - - Centra<IorY UPON .law do" not apply to an per f a propertoy Soldiers: thereon. and such work rkOhi self _ 155UEFEE YE- " DATE' (APPLICATION APPROVED BY-- or Iwho h ouph and that sucks throughf own employees. MECHANICAL PLAN CHECK - SUMMARY OF FEES Lr Intended or offer" for vie. II, however, the bullamy r Improvement Is smd within on Year of compoetlOn, me owner wlll have too burden f proving he dinet build r Improve for the purpose 1 le). HEATINGSYSTEM BTU BUILDING- - - - - ' O'1, -as owner of the am -exclusively Contracting with .0100.000 AND DUCTING • - .PERMIT $ SMIP% I. $ property, licensed Contractors to construct trio project (Semon 7044, Business 100,000 ♦ BTU PLAN CHECK E 1 PERMIT".I " r and Prafxslons Good: The Contractor's License Law does not apply to .. ISSUANCE f an owner of property who builds or Improves thereon, and who CDM1 REFRIGERATION 0100,000 BTU PLUMBING $ tracer from SuCn'Welects with -a contractor(s) Iltlenetl pursuant to SYSTEM - - GI NO S .too Contractor's Upraise lase). 100,000 a BTV PLAN CHECK S - - - O 1 am esepl undo, Section 8.6 P. C. for this m BOILERS BTU ELECTRICAL S S reon as SYSTEM REPAIR, ALTERATION ' PLAN CHECK E .-MICROFHM'S e - - Data Gwner MECHANICAL f p• .TOTAL FEE $ •' ny.Cerliistal l have read this application and Oe that the above, EXHAUST SYSTEM MULTIPLE ).ESB AOS AD - Information Correct. gree to Ire with ell city and County Information ion, - ,PLAN CHECK Is d at4laws yyppppuMS to aom; r an arebym urn°orae Inpra:: B n to t1 e -y ler 1 n me above mentioned vP .. r lI Nocert nsgo ' s 5/20/82 FINAL FEE $ ��, p� Slgnatu So , Orlver5'Llconce or 55¢ ISSUE FEE - - - -- CMF OSSS 46 White-BYllding; CimlyApplicant. pink Accounting; Goldanmd-Asyssor - ` CONSTRUCTION AND PLANNING APPROVALS Permit # :J JrD Date - . POOL & SPA Inspector APPROVALS Permit # Date ' Inspector 1. Temporary Electrical Service or Pole '43. Pool & Equipment Location - •- - 2. SoilPipe-Undrgrn - 44. Steel Reinforcement - - - 3. lectrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding '5. Steelem orce - 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn _ - - 48. APPROVAL TO COVER-GUNITE - - 7. Footings 49. Electrical Conduit-Undr rn - _ 8. Foundation _ _ - _ 50. Gas Pipe, O Undr rn, Test . 9. Water Pipe-Undrgrn _ 51. Backwash Lines P-Trap.El 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 - - - -- - - - 14. Rough Electric -Conduit - 56. Electrical -Final 15. Rough Electric.Wiring _ _ 57. Solar System -Final _ .16. Rough Heating & Air Conditioning encing & Access Approval 17. Ducts in Structure _ APPROVED FOR PLASTERING _ 18. 19. • 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing _ 60. ' _ • POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing 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 1 - 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 wPPlill to ns In all spacer within heavy border liner and Sign aI appr0prlab •.CITVj OP COSTA MESA P ;MIT NO. TRACT NO. LOT NO. SLOG. NO O9I2 1/20/82 - 24,00 .-7- CONSTRUCTION PERMIT TYPE OF CONSTRUCTION X NEW O ADD O ALTERATION :O REPAIR ❑CONVERSION ❑DEMOLISH O OTHER - - - - - - - - - - ZONING REGULATIONS - ProletfYSEdr e PM1one Address Orgif ArohlEng. License hh _ DESCRIPTION OF WORK - A.P. $ ZONE - PLNiGU. Sc Address TYPE OF PERMIT ❑-ORADIryO ❑- FOUNDATION-- OSTRUCTURAL- - TENANT O ELECTRICq ,'$PLUMBING OMECHANIC BUILDING SE - YARD - SIDE -Y - gREF. PROPEIPTV LINE - Atltlrm LICENSED CONTRACTOR DECLARATION licensed der Charter 9 I hereby aNl that 1 Prwlclow OI (Co Its tl 7000) fiGhlislo 3 O ills BUSlnpss §n0 .' OTHER RIGHT Rnq. pMfslom Cop gad Y JJIyg9gPR I In full to�^�'' 11 t .O REAR YARD (TO P/LI In �a ��(/ PROJECT DESCRIPTION' SO. I I. PKG: SPq[E REO.- - PROVIDED; � /C/ Dal OCCUPANCY CONSTRUCTION TYPE _STREETWIDTH PARKFEES-_ WORKERS' DECLARATION //C/ -COMPENSATION I hereby affirm that I have a ®N (lute of consent to relf4roure ora yq LV ATION ZONE ZONING"APPROV EO'BV '" OATEN - rtlflote CI Workers Compensation In h tilled GRADINGCU YDS ACRES SPECIAL CONDITIONS: 'M1ere0115ett1 O Vb. C.I. /� ce,ryes•. ComOanY V!i REMARKS _ ... 1111th COPY 15 herebylurnlM1tl �iyT_w OIIIIed copy is filed With to city Suha III;° MPTIOX'PgOM WORNEgS COMPENSATION DECLARATION fee dlon eed not be comp) ted f tM1 p t Is for pre burr ws01 Or IoB�'n - ore Hly flu[ the Performance1 In k for wMCM1 this permitit f Image, 1 han'nOt employ any person In any manner'm aE to.bewme PLUMBING - --- PLAN'CHECK - ELECTRICAL- ^ 'PLAN CHECK - IubleC\tothe Workers CompenMtlon laws of Calllornla._'- BATHTUBS "SHOWERS"^- -�go _ Dale Signature _ rT Sid En NOTICE: If after making IMS declaration. you should become subject T ILCY5URINALS- -- GENERATORS to the Worker ' Compensation Ismaislons of the "bar Code, you must - TRANSFORMER forthwith comply with sucn pmvlstoM Or this permll Shall be darmar AVATOgI OOUBLE'LAVS - ' APPLIwNCE' -10-50 KW -50 KW - - evoked. 1 _ _ _ _ __ __ CONSTRUCTION LENDING AGENCY - UflCSIN — DISHWASHERS - - - -MOTORS - alHP _ HP' - — - I hereby affirm that there is a construction lending agerdl for the per- SERVICE SINKS o .SUMPS- -- `^ - - - DNC.SOLARI 10-50 HV 501 formal o1 ins Work fpr which this permit Is Issuer ($¢scion 3097 "FLODR,NKS "" FLOOR ORHIN$'-'-' SI -'� -FI%TUfl ES �' OUTLETS _ SWITCHES - CIv'C`-- ---- .-.------'-'-'--` -" LeodOrY Ndme s r LenderTAIl ss 1'. r' - DRINKINGSFOUNTAINS' j' '- '^ - T- - 'GAS-TUBESIGNS - INTERCEPTORS- - -CLARIFIERS ---- - - .. .. - "POLE LIGHTS - -' - - - - • • - OWNER BUILDERDECLARATION- h hereby that 1 am exempt from me Cpntbcrorl Llcema for SWIMMINO'POOL "--'PTRgP -- POLES' - MAIN EO SUB - CCOa: they wing Co which .1031.5. construct, county a permit tp omtmet. ager, city a Permit Tnyr te, or y wMCM1 WATER SERVICE- ALTERATION PANELS' -- MAIN SUB yraquiresstructure, das.BeinsforWbanYsbutofe a signedor to Statement that re- suers to rte a Statement that he for rocs Permit F-losiriC ap, ns arose License Mfldw of 77000) lencing GAS 'SERV ICE - 'OUTLETS" -'-� SERVICE---- --' - -•-PMP with dins practise 9 (commnd i is of the as Division IS WATER HEATERS STU,OUTPUT- - \Y Imsi an0.RdGslons Cadell or tthatt her exempt therefrom and rho asis for the alNged exemption. Any Wolatlon Of Settlor 7031.5 by -$EWERL�asBMS -a5 rmo --�-- - - - - - - icant to E civil-penalty °more ishan av"fareshundred lUbJ011ars (y applicant eiynol oj SOLAR TANK-'- - COLLECTORS ❑ L as owner Cl the property: or -my employerswithwaoCS'as their pall wall do the work, antl ills itrLCtbe h not Intender mo114ldfor - 'a Sate.(Skelpn 1044, Business anonrofessions Code:The '- SOLAR PIPING 5Y5. --�-' ISSUE FEE - - -- -- COptrappro 3 UCense Law does not apply to owner of a property s or Impressive thereoq-and Who does Such Wage: Mmul1 Or who builds ISSUE FEE -- -- "- APPLICATION APPROVED BY - -- - GATE -' m trial Is own employees, proceed that Such Iomvemeri are rpt MECHANICAL PLAN CHECK - SUMMARY OF FEES Intoned"or offered for sale, If. towards. the building Or Improvement B Said within one year al completion. the owner Will bath the b rden , f proving ne Ohl -not oulltl or Improve for the-Pu,Pose of Fuel. - - - - -I HEATING SYSTEM O-IOO.000BTV BUILDING- PERMIT S '_ SMIP, • S Q.I,. a3 owner of the plrooefty._am B%CluslvelY-conlracing with ANODUCTING fIWn30tl COo1riCSorS to hYCt the protect (Section 7046 Business 100.0001 BTU PLAN CHECK E PERMIT rid Pm(esons Cpde'.TM1<.Conlradors LlCooie lJW rOCs^Ot apply _ _ �/���. '.ISSUANCE_$ r of property who bu lia or Improves thereon d who con REFRIGERATION 0-100.000 BTU PLUMBING E aK¢too�.AOm sY h.pabetts. whe_ .CentrattOr(sj IlCCi<tl pursuant to. SYSTEM�NGills ContraclorY Uttnep Law(.100.000 f BTU-^ I PLAN CHECKO-1 am exempt under Section B. 6 P. C. for this' BOILERS BTU !ELECTRICALr n SYSTEM REPAfR,ALTERATION - - -PLAN CHECK' S MICROFIIMY -NOTAL FEE S.' Odle, Owner "MECHANICAL § - - IMrMsycertify thild bar this application and stele that rho above E%HAUSTSYSTEM MULTIPLE - I'LESSAD-•� Information 15 -I agree.[o-comply Ifs all tlty O'county 9LANCHECK E VgNCE PC -$-m -' ordinances antl e relating le construction and herebyauthorize sociaSenteu uy to ter upon' tlIe abp 1 ed property ton per o s - FINAL FEE S�DrivSimiers'Dryers' utense p CMF 050546 WhltFilUIl61n9:Canary- ppnarY- pp cant : u: a Ing: Goltenretl-Assessor CONSTRUCTION AND PLANNING APPROVALS Permit #L-1L_ - POOL & SPA ' ' "• : Date Inspector - Date -- dnspectgr 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 em orce 47. Rough Plumbing & Pressure Test=- - - - ----- - -- •- 6.. Electrical UFER Grn- _ _ - _ - 48. APPROVALTO COVER-GUNYTE-- _ 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation-� ._ 50: Gas Pipe, ❑Undr rn, Test - 9. Water Pipe-Undrgrn- 51. Backwash Lines P-Trap,❑ LLndrqrn 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 y'r- 14. Rough Electric-Conduit -"- 58" Electrical-Final ' 15. Rough Electric-Wiring - - -57- Solar System-Final - •- _ -- 16. Rough Heating & Air Conditioning -- - - - =- - -Fencing & Access Approval 17. Ducts in Structure - . APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating- Gas Pipe-Rough & Test Roof Framing - 60._ POOL/SPA.S.Y.STEMSFINAL' t 21. 22. Roof Sheathing Frame and FIashin - - - -- - - -- --- NOTES: ,L 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'' f 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. f 42. CERTIFICATE OF OCCUPANCY No_- Date ' Apolice lit to Nu In all space: within heavy border lines and Sign an appropriate assail F3 .CITlit F COSTA MESA PERMIT NO. TRACT NO. LOU NO. BLDG O. " ' COTUSTRITCTION'PERMIT—eZ.�e.3�. '-y" 19.9.7 2/I I/52 r ._ 25,56 B'L.-b.4." UN!L-j PrOjecf Atltlrea S��l C,+J>1Ct- t- Y TYPE OF CONSTRUCTION NEW ❑ ADO ❑ ALTERATION - LJ REPAIR OCONVERSION OOEMOLISH - - OWpH Z( _ l Phlfo rZ� ;Addrn J SD. , 7& 0 %V. if, ❑ ZONING REGULATIONS Ardh/Ene. p License N^O. - OTHER DESCRIPTION OFWORK A.P. Atldr¢ �_ , _ L K, 5 .ZONE PLNG. 0.EF 9' Confnctpr Cli—y, Phoney -t/•5 TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION - ❑ STRUCTURAL RAL ❑ TENANT ELECTRICAL ❑PLUMBING ❑MEOIANICA SETS VCARCD a BDILOING OFERTY LINE AddR9 %'L C. rre _ LICENSED CONTRACTOR DECLARATION - I hereby afVm fecal 1 am Ihampod under provisions I Cr 9 (Cam- 1 Division '❑ T Ing with tion 000) 3 I the Buslnasr, anal mal Code, Ind my license Is In full team and effect. OTHER REAR YARD (TO P/U PROJECT DESCRIPTION License an LIc0n50N SO. FT. OCCUPANCY CONSTRUCTION TYPE" PKG. SPACE RED. STREET WIDTH PROVIDED PARK FEES Oat SlgniWmJ _ WORKERS'COMPENSATION DELLnR 1 1 I MINDY affirm that l love a zartlllote of C WOOL to selR,nsure ora VALUATION ZONING APPROVED BY GATE tial Cate of Workers' Compensatlon InSarance, r Certified copy `hemi -ZONE GRADING CU. ACRES SPECIAL CONDITIONS: (Section 3900, Lnb. C.1. 6wyAvr er olley No keO G/ /SOYtyeompany /ND_ 1] Certified COOY IS leer<py IYrn SM1etI. e�If REMARKS: B _z2(p ❑ Certtllea coOY IS flle0 wltn aha Clty Bullging Division. vy EXEMPTION FROM WORKERS -COMPENSATION DECLARATION (TMs section need not be completed if the permit 15 for one hundred ., less 1Ecerf?fY that in the pCrlormante of the Work for wBICM1 flit Permit IS Issued, I shall not employ any person In any manner $O as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK cublect to the Workers' Compensation Lowdot LinUania. BATHTUBS SHOWERSrap FT Date Signature NOTICE: If after making INS MiClBe lOn. O should become subject TOILETS - URINALS GENERATOR 0-1 KW- Iso KW to the Workers' Compensation provisions 0 the Lobar Code.Y0u must TRANSFORMER fornwlth comply With Such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW_60+KW W ked - CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS 'MOTORS 0-1 HP_ 1.10 HP affirm that there is agissueency'rSecal she per- SERVICE SINKS SUMPS (INC. SOLARI 1"0 HF 50+HP forMC9tMSctIOn IPa:At lding manCe997 FLOOR SINKS FLOOR DRAINS FIXTURES OUTILETS1 SWITCHES if 14CI -rip I ,CIV. C.1:. _ .o-) Leader's blame t - Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS ' OWNER BUILDER DECLARATION ' INTERCEPTORS CLARIFIERS POLE LIGHTS ' hereby l am exempt ftd rPV CSS SWIMMING POOL PTRAP AV" IVIN POLES METERED SUB following reason 031.5 BUSN (Section SDom Code the followan Any City o county which acquires to a permit Construct, site,, WATER SERVICE ALTERATION PANELS MAIN B Improve. demolish Or repair any Structure, prior to Its issuance, also Ue- quires the apilicant for Such Permit to file a Slgnn Statement fast be GAS SERVICE OUTLETS SERVICE E AM OtLID Isprovisionstfa aw d9 sSedlpn fhe (comm nting 7000)n Divsione 3 Of lie WATER HEATERS BTU OUTPUT for(,I) Ginesso and Prolasians Code) or that he 15 exempt therefrom and the sls for the alleged exemption. Any radiation Of Section 7031.5 by SEWER CONNECTIONS yapplicant for Permit Subjects the applicant to a civil penalty of not more than file hundred dollars 0500)." - SOLAR TANK COLLECTORS ❑ I. as owner 0I the properly. of MY em0layees with wages ai their Sole COmpen9tlon, will do the work, and the Structure Isnot Intended ns The r altered for z5le. (Ycllon 7044, Buslne55 and No eSY-to SOLAR PIPING SYSoPertY. ISSUE FEE Fir Contractor'S License LOW data an /icoode: ISSUE FEE APPLICATION APPROVED BY DATE Who builds or Improves therreon, anot d who dogs such work himself M m[onah me own em lo5ea5, Provlaed that Such Improvements are not MECHANICAL PLAN CHECK SUMMARY OF FEES ed or offered Ie. If, however, the building or Improvement IS sold o within once year of completion, lie -owner will have the burden BUILDING f proving ale did not build Improve for the purpose Of le). HEATING SYSTEM 0-100,00013111 PERMIT 6 SMTP 'b Q I, as owner of the property. am kcluawily contracting With AND DUCTING licensed contractors 10 nnSbuct the plated ISoblon 7044, Business 100.000+BTU PLAN CHECK 9 PERMIT. and Professions Code: The Contractor's License Law does not apply to ISSUANCE E owneran of property who build5 or UnProves thereon, and who COM- REFRIGERATION 0100.000 BTU—PLUMBING s " tractorp) Loneness pursuant to tracts rom SUCM QfORCISwith a SYSTEM - GRADING L five COnUBCtOrY Ucenu Law). 100,000+BTU PLAN CHECK 5 r ❑ I am exempt under Sectiern B P.0. urtnis BOILERS BTU ELECTRICAL 9 .e y a ss� L reason SYSTEM REPAIR, ALTERATION PLAN CHEC0. is MICROFItM9 _TOTAL PEES DateOwnaa - MECHANICAL s IMr¢byurtify[a011 have zeal lM1ls a PpTICa1I-n antl stae ilial the above EXHAUST SYSTEM MULTIPLE LESS AD. ' InfOrma110nCorrect. I agree to Co ly with all City and county PLAN CHECK E VANCE PC $-- ordinances and statlaws relating to COMStUICtlon. hrebya Ithwize end represnuuvea f this sty to a Or n t above mentioned for 1 propene paroC _/0_ 7- FINAL FEE S Vona (uze Oats Orlvers'Llcpnse-r5 fi ISSUE FEE CMF 0865 J6 Wrylfe-Building:Canary-Ap011tanb Pink-Accounling: Gaidenrod-ASNSSOr • CONSTRUCTION AND PLANNING APPROVALS Permit # P,Date POOL & SPA - •. _ - r `• 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 em orce 47. RoughPlumbing& Pressure Test 6. Electrical U ER Grn _ 48. APPROVAL TO COVER-GUNITE ' 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation _ - 50.. Gas Pipe, ❑ Undr rn, Test _ 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra�Undr rn 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 -- - •- -- - - - 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. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing _ 60. POOL/SPA SYSTEMS FINAL - 21: 22. Roof Sheathing Frame and Flashing NOTES: 23. - Insulation _ _ _ -EL 64 LZ Lathing & Siding 25. Dryvnall Nailing 26. Plaster Brown Coat - - 27. Electrical Power Meter -Final hel' 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 Dome3tic-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 OWILrAC AVENUE 3505 Unit F-4 Lot 4 - Ij IZ7/le,\j B-2264- ro/a>jY} COUP- Bldg. Unit F-4 P-2375- 9/i/!l PLBG.(B-2264) E-2631- 7/,3/fJ-ELEC.(13-2264) Unit F-4 M-3749-Jo/44MECH.F(B-2264) Unit m� —M24254 .a?y..F 201,856 l//T7/ � B23991 m I 4 ' — 3505 Cadill.aac (Unit F7) = P58026 #F7(B58007) — _ E58014 #F7 (B58007) B58007 #F7 Mi %12- F58394 #F-7 (B58007)� M,i5?O5!5? _ F71844 (Unit F7) PC# 01236-95 L Lab T.I. 51�`�• I _P71913 q_61Unit F7 Lab T.I. lef:(B71904) B71904 (Unit F7) PC# 00766-95 A Lab T.I. M _P71927 Unit F. Ref:(B71904).c, n! _E71962 Unit F7 _ Ref:(B71904) M71983 Unit F7 Ref:(B71904) _ P72094 Unit F7 Ref:(B71904 & P71913) �6_ I m P 073062 RE:B73059 _ in M 073061 RE:B73059 I F 073060 RE:B73059 — N Applicant to RR In all Spaces ethical those within heavy border lines and sign Al appropriate" declarations. • `IT] CITYOFCOSTAMESA CON TRUCTI N E MT r''7 Project Address F— Applicant's Mailing'Addrm Q/"rOV q Owneis Name - L�Gr rypne%i%/9y� Address n�E PERNILL NO, ` a TRACT NO. 'LOT NO. UNIT NO. - Drinking Fountains TYPE OF CONSTRUCTION NEW J ADO U ALTERATION LJ REPAIR CONVERSION ❑'DEMOLISH ❑OTHER DESCR I PT ION O F WO R K/USE OF BLDG. A.P. $ T B "'D Main Building Arch/Eng: License No. Address TYPEOF PERMITp1 ORA DING FOUNDATION STRUCTURAL , TEN ANT CkaTq(CAL ❑PLUMBING ❑MECHANICAL ❑OTHER PROJECTOESCRIPTION SO. FL OCCUPANCY CONSTRUCTIONTYPP VALUATION ti ZONEGRADING CV. YpS. gCPES Front Rear - /v� (• Contractor's rimpt"Zl-r%� 9J'�l.y Phone 7 5 Addresslmailingl 4 City License No IA/ 7 7 K S Right Left PIngRef.# LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed Under provisions of Charter 9 (commencing With rection ]gao) of UIV[ n 3 of the Business and Professions Code, and my lhal l r mrcean-afe¢eflo, ei241 s Licen Remarks: Planning Notes: 050+KW Dae CYT/ Date, WORK HE aThr.. COMPENSATION RATION ,PLUMBING - -FEES Construction POIESub. v` aCerFRee cop Is here y furnI hed. der tl t a with the ell Id Dlrislon. �r 6728 6%U8%8fi 8U.40 Tl telae OaleW nt thereby a films that l nave a veli to Of consent to atf41nuhs or abest III eeto Bar Sink - Shower: (Thissectlon need not be camplele I ^e perm t Is for one hundred ($100) or less). I Certify that In the performance Of the work for which this permit Is Issued 1 manner Rau not employ y Person In y to become abject to the Dishkinsher _ Spler Piping - Drinking Fountains ELECTRICAL FEES workers' ompensation Laws of Callrornla of Workers' Compensation Insurance, or a certified copy thereof (5ectlon Backllozv PrN¢nter •Servire Sink . ` NOTICE: 11, after SOII declaration, You should become subject to the Fl000Sinks - Urinal Automatic Weather Transformer ❑ 15-50 KW �j 3800. tib, c.1 yaG Poncy Na. �ytv..3Company �&Cr / &eIC'e'� Gas Sefv¢e 'Outlets .Water Classic infomeptors P Outlets Range .Kitchen Sink 050+KW Backtlow Irrigation r Sewer Cap Garbage Digmal Sanding Sections try or repair aha Ithe ofReef ofctioncivilr Construction POIESub. v` aCerFRee cop Is here y furnI hed. der tl t a with the ell Id Dlrislon. Bathtubs SeweJCannecUDn and (uokirg Unit Meter ❑Up 1O 100 amps OaleW nt Clarifiers '$plat C011¢CIpR KERS'Applie EXE ION ROM WORKERS'C NEATION DECLARAT N (Thissectlon need not be camplele I ^e perm t Is for one hundred ($100) or less). I Certify that In the performance Of the work for which this permit Is Issued 1 manner Rau not employ y Person In y to become abject to the Dishkinsher _ Spler Piping - Drinking Fountains 3abr Tank workers' ompensation Laws of Callrornla Floor Cruise Swimming Pool WISPS Date agnamm NOTICE: 11, after SOII declaration, You should become subject to the Fl000Sinks - Urinal Workers' Compensation provisions of the Labor Code. You mut forthwith such provisions or ts Permit a moral r rakes. clamply withro CONSTRUCTION LENDING i AGENCY d P II hereby affUm tnal there Is Construction lending agency for the rformance of the Wok for Which this permit Is Isocal (section 30$7 Cm. C.) Landers NLenaen Gas Sefv¢e 'Outlets .Water Classic infomeptors P Outlets Range .Kitchen Sink Aeenss OWNER BUILDER DECLARATION pt from the Ce tractor's Uppinu Law for the Lavatories Garbage Digmal Sanding Sections try or repair aha Ithe ofReef ofctioncivilr Generator 1[1D5 K'N'❑515 KW Trash Compactor P-TreD Orcins and solo om�ns.nan wul do me antra in¢ zimcmre Is t I�indea er offered for le (4c{ion ]06d, Business end Profezzlonal CDtle: TM1e COntradaYt $3 RalnspoRbn Fao $15jnWmerHwer. initial FOR MECHANICAL LiGeOm Law OOes'n0t aOplY t0 i0 a of a pmper[y who builaz Dr ImOrows ' 1118re0^, and wM1p does sato w rk M1lmcell/her391f of iM1rouyh M1IS Of her own emvloyees, prnriaea tnae cnamprowments sae not Intenpea or on¢reit for sale. If, Ilowoverefryte bu„Ilf ng r Imvroveme'o[ is sola within on¢ y a 1 cam. pplet�p n, zM1e the nureen of p vin9 M1a% M1e tlltl not build rim. �pmr me parpoH orale). L rn owner o11M1e a Err t l' am tion 7044, a rash ng It^ 11¢nsea con- tract C,f0 construct m tet project I$sisooI i e ] DPIY Bo an n owner of Sandell Cede: builds or Improves Systemna nu who contractstfor such project rwith a ono Boiler " Hood or Type I CI Canopy Type I I ❑ Duct. Under Ground SUMMARYOFFEE$ BUILDING PERMIT- $ SMIP _ S PLAN CHECK S. PERMIT - PLUMBING $ ' ISSUANCE S ` PLAN CHECK25% S ENERGY P.C. $ ELECTRICAL $: GRADING S - ^ PLAN CHECK 5CPS $ MICROFILM $. _ MECHANICAL $ TOTAL FEE S 0S1-_'TJ'Vl PLAN'CHECK 2596' S Duct - Structural Refrigeration0System ❑0.100,000 BTU ❑11 Ouct. Ventilating Exhaust System O Multiple O System Repaif/Allemti tra LOOSnz Pursuant to the contractor's License Law). I am that proof Jtheir Wli orker's Compensation Insurance should be Provided la m ❑ I am exempt under5ectlon 5. A P. C. for this reason FirepllFat, BIL ICBG Fire Comped Date Owner Hit System & Dueling ' ❑D100,000BTU 0100.000OT Register$ 1 hereby certify that I read this pwucaaion and state that this atom ham information Correct. greto comply with all city and county Ordinances aland tate ding low elating to l dinons,r than, had hereby au0harlce repro-. - zematirez f :ty m eta, Pon S above-m¢mlonea prgo>rty ' nsveciion p lip se 'ISIgW[Ue Della `y`�tj"�z{/ Driver o'SS aR Reinslseclian'Fee $l6 few¢ Fee Galdomod - Assisi ' CMF oe6A4 v.10/60- W ppllCantl Pink.Accounting; Dishwasher Meter ❑over l OD amps - Dryers []Gas []Electric Sub Panel Fen Motors ❑0.1_HP &I'5-8 Sol F.A.U.' .- Inc. Saler X915 HP ❑1615+ Fixtures Microwave Device Boxes P Pole Light' P Outlets Range - switches Sign Garbage Digmal Sanding Sections Generator 1[1D5 K'N'❑515 KW Trash Compactor $3 initial FOR $15 hand Fan $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Apparel By Dat Application lauid By Dat•���i-.Q� SUMMARYOFFEE$ BUILDING PERMIT- $ SMIP _ S PLAN CHECK S. PERMIT - PLUMBING $ ' ISSUANCE S ` PLAN CHECK25% S ENERGY P.C. $ ELECTRICAL $: GRADING S - ^ PLAN CHECK 5CPS $ MICROFILM $. _ MECHANICAL $ TOTAL FEE S 0S1-_'TJ'Vl PLAN'CHECK 2596' S '$ 3 / CONSTRUCTION AND PLANNING r Date APPROVALS Permit Inspector POC SPA 'APPROVALS Permit ( Date Inspector U 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms C 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding r 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 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 (j 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # _ 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank OGas ❑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 0. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: G_yt 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 t 411 Solar Domestic -Final t 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 i r 51. CERTIFICATE OF OCCUPANCY No. Date Cite of to5ta 2M5a Development Services, Division of Building and Safety CERTIFICATE OF OCCUPANCY This certificate is issued pursuant toerequirements of�the,�Uniform Building Code, Section 308 adopted by the City of Costa Mesa certifies,that'at the time of -its issuance the building structure herein below described was inspected and'approved,for�occupancy_as,rolloigs:, Building Address 1505 eni4.6.e Use rnn Group E-2 Type,o,Cons Owner of Building CAMBRI= PA Address 97ni ntmom+r `r BUILDING OFFICIAL-tOn'? I BY G'lbe�aca ��' Date- REQUIRED Date REQUIRED TO BE q iPICOUS PLACE ion H _AT Fire '"InmmS" --Ter BY G'lbe�aca ��' Date- REQUIRED Date REQUIRED TO BE q iPICOUS PLACE AOOPFSS Oj SIRIODm: 3505 CADILLAC AV UNIT: F7 owraRsNAlVicliowN: CAMBRIDGE PARK PARTNERS FLOOD: AH -37 ADDRESS 2201 DUPONT DR #100 IRVINE,CA 92715 ADPL. MARINO ADDRESS ARcNDEctoRDmDm: GREGORY SIMINOFF uc.w.: C9082 APCIL 011 ENa's ADDPEss: 20101 S W BIRCH ST UNIT: 210 N.B. CA 92660 CONTRACTORS NAME CONTRACTORS MAILM ADDRESS: UC NO.: UNIT: LICENSED CONTRACTORS DECLARATION: I hereby affirm under pemAy of perjury Na I are Icaneed under previa cris of Chaplet e (commendM with Section ]000) of Dimon 3 of Ute Busirron and Prdeaalom Coda, and my lioenee is in fun farce and efw. CRY UC. NO.: LIC. CLASS: LIC. NO.: EXP Date: Ca tmoco, OWNER BUILDER DECLARATION: I hereby amrm u da peneky Of Parity that 1 am eaempl fmm the Contrepara License Law la Ne (dbwip radon ($amen 7,314 B Wilma and Professions Code: Any city or county aldch expanse a Parmh to tanalrom, Mer• imyrpw. damoleh, or repair ary structure: prior to ea uaatce, also exuirse the appeerd la mdi permit to fib a signed Implment mid M Or am e liarwed marital to tM prmasbm of the Cwmapaa Licen Lew IChaprer S Icomtnertmq with Section 7000) of D'weion a of the Btrimm and Pro.. Code) or that M or and Ill exempt therdm n wad IM bays tor Cts sUewd aaemplicn. Mry volatfon d SWM 7031.5 by any applicant for a Permit erNlacta Ihe applicant 10 a airf Penalty of ret mora Than two headed dollen Is5D0D. ❑ I, m oemer dem property m my amplowas with we0w m the wed compwWlak eB do Na soak. and Ne afmdtue 6 not wended or plated M elle (Seopon 7w Buaratse and Prdmuae Cade: The, Comedote Lbws Lew dose on, applyto an owner of property wed Wide a inpram tharem, and eyed fo male. 1 nark ItimsW «Mee! « Wauph M a her own ampbyme. p f comp IMt .del neran W wb wall nor idhe bur,lidl a Weed la sato. 0. her didItuarevthe Wilding imar for the u sob wlthin one year d completion. 0r a� owner�Mtld« will Mrs the twrden d Pros'irq M w she did rhe build a improv Iso the puryma d We). LpJ, I, as cart« of the property. am mdusirely contmpinR w'ilh licensed contractors to commial the plged (Section 7014, B nine end Prpseeiom Code: TM Commodore Lien Lew dose not apply 10 an owner of property who bunds or Imisovm thereon end sono Operator IOr euM poled. mh a opmeat W li paned pursuant to the Contractors Lioeme Lew). ❑ I am attempt under Section: B. A P.C., for flus reesm: / Data: �"13"�ri Ocrater;�s4reyS?c^N``a. 2tP_ e& VAL(1_16A I do hereby .* der I am aware of sod understand the nmdernarm d California )I.." and Safety Code Sediom 25505. 25533. and 15531. end Rea I or my Mus buildup oowpenl WI / w11 not (circle Or+) mad to comply with said awe copse and IM requirements Iso apanN lwadwwdiona mcdJ.atiwthomlMAiwanprrwt D'atnd.Rmbrualmmntlion app4etbm Naaempl hon Nam pro dww. Dae: App ioam: WORKER'S COMPENSATION DECLARATION: I hereby affirm under penalty of pantry me of IM fdbwutq depeat'vn: ❑ 1Mwendwiltmaintainaanfirwedcawntiosaym mbnwmkae'comprnsat ,mpravded IsobySwig3700dtMLabw Cade, la me pedamertce of IM soak for whim IN. Penn is imued. ❑ 1 hew ser aril ser. per workers' od. My rico imurerta, won inn d by Sedkn 3700 d the Labor Code. for the pedrniernca d the work far wkdt Ne permit a ward. MY wwkee' anttParneetiorn irourertea anise send pdky numbs aa: Caner: Powy Number. (T,t a .»plop need ser m or'apered f the peen or /or am hundred ddbrs 1$100/ «Ise.) ❑ I mnfy Ow in the Apar eagle d IM soak kat W. we b I rdup vol aloud t come s lied to Ilm ee ro Ii, bac«m eubled to the waken' canpemation laws d Cad tlm Y I ehadd becww rGw a IM wwkare' canPmentim t awi.ipN of Sadiron 3702 of IM Labor Code. h —* with thaw 1s�f7 rl Data: 4-l]-�k` APMi art: ' n �.P. !J w- ML6WW Waminp: FIMum b.scut wonrwi oomperaatlon roverape la whravU and slWl stbpct w employer to cdmlml P.M. and e/vll Ones Wl a one hudrld tlausand ddlan ($1020001 M edd/don to the cost of rompaustbn, danMPse m PrOv dad fo, In Se,don 3704 of are Lebo, God.. Imrast, and adomey's W.. CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of privy that Thee ie a oarectbn brtdvg epenoy w the pe to mane OF the wank br whim Ise permit is noted (Section 30$7, Cir. C). LENDER'S NAME LENDER'S ADDRESS: I omady UOO I nerd mad Nb appPCekon and data that the abmw Wo melon is oonw. l apree to comply with M dry and county ordinances ad ewe Was wnitp to Willi,; cmmvaion and hereby atnhaca repmenmliraa Of the pay to amen upon the above-mentioned property for inspection pmpoere. Punt Nemo L fT Date: Sic mlure of Q�nter/Apem/AppManLGmtreda Whhe-Buibnp A Slay: Green-Fle: Canary-Appfue: Pink-Nemom: Ooldmuod-Aavem CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 0719041 PERMIT NO; B 071904 PLAN CHECK NO: 00766-95 A GOVT: N SUPP; N CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : 5944SF LABORATORY T,I, SQ FT: 80,000 CLAIM VALUE: 80,000,00 CALC—VALUE: 80,000.00 GROUP OCC: B-2 / COMMENTS: "MCGAW" LAB T,I, ifafififjRyfiw3L4E**ItiFiciwi(-iwifiEiEic*4E 4fiFfyitififiwaKaFiFiFiFiR*iwiw{wiFilaFiFififiEe(aFiRa4*Y*a4 ieYifay3wi4i4iRifYnL+FiciFYi4ifiEiltY*aF44 Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT. IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ; PROV: PARCEL: 13966104 ZNE: PDI REF NO: PLANNING NOTES> T,I, FOR MCGAW LAB FACILITY > iE iE iE iE if- ip if if iF K {(-Y if 1w i1 iE R 4(-4w i41f'1F iE±k 1f'lfif * * 4p iF if is jf iE i(• if Iso lar 1F is iE iso 1p 4E i4 iE ak * 1F i1 ip of Y a( iR if Ir -if K 3E iF 1F i4 i1 yt is if iF of is iF iso iE iF is iso ip a4 D E V E L O P M E N•T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 549,50 PLAN 89,30 7 w. SMIP/NON—RES 16.80 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE- PLAN'=CHECK TOTAL PAID DUE TOTALS ---- > 566,30 0.00 11 89:30 655.60 655.60 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 566.30 OVER./SHORT: :00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING FLAN—CHECY, 599,50 16,80 iE ay tit 4+f tF iG * id V K aE Y s Y it -✓ tit >E ak * if k * * * * if ie 1f if jf-1F ih�4 iF+f'iFit iri1 ih �If if lf il1E tit 4f � if {c it at 1E x f1 ac ilis it iE iT Ac+t +!?f as it+f it dE iL If M if iF it I N D I V I D U At Lr 10 'F' E E B R E A K D O W N TYPE QTY D E S C R I P T I' O,"N• UNIT COST TOTAL 'COST SFr 80000 ALTER BY VALUE COMMERCIAL NOZONE 1,00 .80,000,00 END OF FEES CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # Date Inspector i V 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 Testi 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7:. Footings ,_ - 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10. Structural Floor System 61, APPROVAL TO DECK - - 11. Property Sewer Line & 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-TBar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace - 21, Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑ Gas ❑ Oil 25, Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 0t i 75. Dry Chemical 27. Frame and Flashing Y 7.- 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEMFINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailingt/ <� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 33. Final Electric 34. Final Heating & Air Conditioning! 35. Final Gas Pipe -Test 36. Hood or Canopy 80. FOOD CERTIFICAT - ISSUED Notes: q `� v� 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 /J ✓tlr '10 48. FINAL PLANNING 49. Electric Release to Edison 6�f c SC t ICK 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ADDn�.%A` BMLONO: .3505 CADILLAC AV UNIT: F7 OWNER�ME1FMgWN: CAMBRIDGE PARI: PARTNERS FLOOD: AH -37 Is ADDRESS: 2201 DUPONT DR #100 IRVINE,CA 92715 ADPL. INAING ADDRESS: A 1111 TORENWIEER: GREGORY SIMINOFF uc.Nl C9082 ARm on ERGS AWRESS: 20101 S W BIRCH ST T' 210 N.B. CA 92660 comnutu psl ill E AND M MECHANICAL INC (714)282-0165 CONMAMn HALING 1757 N BATAVIA ADDRESS: ORANGE CA memo: 548783 92665 UNIT: LICENSED CONTRACTORS DECLARATION: I herby W. under penalty of perjury tlw I am licrosad vender prwmu of Che ser 9 (commenan9 w,h Seclbn IOW) of Division D of he Busmen end Prdeesiws Cade. and my fioerue u in U hrce and effect. cmuc.NO, 04711.92uc.cLASS: C 36 UC. NO.: 54467833 EXP; 07/95 Date: (— /'fq,5—Cwvtlw: -e!//fdl/V(/AL OWNER BUILDER DECLARATION: I hereby dfinn uMer pwW y of perjury Ines I son exempt Irons the Contreaan License Lew ler the lobowiq reason (Section MIS BWWW; and Professions Code: Alry city or c.,m Mich racharee a perms to asntroW. a.. hnprae. dmid'sh, or repel any strtctwe, prior to b baumm, also naau'ves IM spolmin lar r pe cul to yds a sign ed sfeterwnt had he or she s licensed perwml to the wasaom of she Ca nada License Law (Chaplin 9 (mmmandp whh Section ]000) of DNleion D of the BWtlrreas end Prdewbns Cadel or 11W he or the is exempt tMrehwn end IM be,. lar the alleged exemption. Am yA.Adbn of Section 1W 1.S by any applicant fm a perm, subpes she appl' eM to a ctvi PwsM of not cepa Nm two le died doges ISSWp. I, as.. of CM propeny or my wndoyew w,h wepn as lhek sda coreperwnon. OR do the won, and the stnqun ls not imwded ordlend Inr sale (Seeuan 1044, Business end! Prolwsions Code: The Conoracton License Lewdow not apply to an owner of property who Imide p,npnmes IMrson. and Mho does such work Nmadl or hanaE or tomVih his or her own ernplgoss, provided that war impoyamMa we not Wended or offered Ip tab. b. howeme. IM buiMing w inprownan is sold within ors Yen of mWplelion, fins ownwbuiaer will Mee the xWen of prwirp he as aM did not build or ireprpa ler IM purpose of sale). I. as owner of IM popery, am exclusively oontnctirp with licensed conbaawe 10 mrwuct the project (Sactun'MM. Business and PMaesbm Code: TM Cartmsooe License Lew does not appy to an owner of popetty who broths w totxovw Ihraon and who morn se ler SWM peopeds with a mmnrfor(s) Horned pwtem to the Camractan L'mme Lew). I am esempl tower Section: B. B PC.. ler this romon: Date: Orwr: I do hereby ceody thin I ann aware of and Wdemtrw the rpuirements of Cdyomia health end safety Coda Sections 25505. TSSW. and 255Js, and Nat I or airy Mtn buibin, oovpam will / will not lamb ons) need to ocWply with avid Oma oodW end IM ta,Wv nwb for .,moil lwaruwctionwmadifrtlbn to ArMM-y anegemenl DWW. Residential corms on appiralbsamsexemp ham these povievu. Dona: Applicem: WORKER'S COMPENSATION DECLARATION: I hereby affirm uMw penalty of penury woe of the Idlordp declamations: I Mss and wits maintain os of th me d mnwnch tee lege M worker' mmpenwbn, w provided for by Section O1W d IM Labor Code, ler the pedormerca d the wak Iw winch this perm, is Issued. iii 1 have and wits meimaih wodrer n m, My Oorion imurmm. won seed ler sea e 5 and o the Labor r m: ler the prbrmance a 1M •ork Iw whiar this permR is cued. My workers' mmpeneation imurenca artier end poky numM aro: Coder: CNA INS EXPIRES Policy Number: 2 l 09/01/95 (This sxdbn nwd IM De mndeM t the gams b Aw one hunMW ddbys /sI Wl w Mssl O 1 ceniv ones in the pedormarce of the work he which this pelmi is seemed, I shell not employ" perwn in any manmr w w to bacoorneea�wbiW to Ihe stockers' mmpeosanion levee of CeMwne, and pow thin B 1 shmM b. subject ter the warlsrs' cpA jW ion 07W d the labor to hwh ply witlh APO ,141 P : Aw 0 ro ah.di iced thous ronryrsatlon carnage la ionto at mal aubJsl `rr/rryleyr ro cam as pmaltlw aM clwl Row nor roam eon,Co yeouwM dollen p1 n.ye I M abl/tbn ro fir rots of ronnpanaeWM1 dmrpas u Pray/dad ler In Sactlm DMd 01 Ns Labor Code, Inlens0 a� attomsys /Sas. CONSTRUCTION LENDING AGENCY: I hereby alFum under ..it, of perjuy Ines then b a prhmrplion lend, ayenry for the perbrmanos of the wmrk ler mnk h IM pmni u bated (Section 0097. CI,. C). LENDER'S NAME: LENDER'S ADDRESS: I cenitythin I haw road the appli wt and! stab Ihet the abwa Woneaoion Is correct. I Moe to comply with e0 city and county ordinanhcea and some taws rerlMm letmg to lwmg nstrua herWeby aixe repesentesiw of his aty 10 order upon the absvtrmemicnad PuWty Ins Iw wimyli n q m � nPi Prim S, et nos O%WwAOt1AppYwhuC msxor (5151da.WP) WM 8 Sefesy; Orem-Rb; Canary-App1osW; %k -R OOus; OaMmrod-Nsewor CITY OF COSTA MESA — BUI.LDING PERMIT PERM I.10: P07191? PERMIT NO: P 071913 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—H PERMIT TYPE: PLU PURPOSE: ALT JOB DESCRIPTION : 5944SF LABORATORY T.I. SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / COMMENTS: IIMCGAW" LAB T,I., RE:#B71904 1F if K * iE ii * lt-1F yF is �F it nc iF itar �f if * ;F ic+F if tr �R+c is if i� iF i� �(- iF * il-i4 i(ac �{ iE s is �t sR �t iE it i4 ac it is if ac u ac ac ac.1F jt 1E * �f +s x+f• -k ac r ar..K �t rt s * M Af +r. +c Z O N I N GS E R T E B Q A U C I K R S E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT; FT IPI REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ; PROV: PARCEL; 13966104 ZNE: REF NO: PLANNING NOTES> > iE 1E if iw if if 1f if it K iF ii?f * * iE dt iF jf aF iy K YiE is iF ii ii Y is iF iE i4 {i * 1f- il-+i iF if 1f iF iF iE if iF if if il'M is if if ii 1F?F iF iR IE iF if iF 3F If'N-iF Y iR iG i4 iF i4 if 1f 1F ill- M if Y D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE: i APPLICATION ISSUED BY: DATE; 1, oif iE•iF*�i+b�ab*iF�-+p it �r �i+f*ii*;F*ii+i �F:3F*iF��Pr�iFiF��T r;F3FrT�� �riacu*��r�rr*rt+c***�i rxYxasx;c+rrr ac->Fsar. LEGALIZATION:N F E E S U M M A.R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 42,00 PLAN — 25% SMIP/NON—RES ISSUE FEE 20,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK 'TOTAL PAID DUE TOTALS ---- > 42.00 20,00 0,00 62,00 62,00 .00 REVENUE DIVISION TOTALS--> COLLECTED; -62,00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK. 62,00 if if**#fY*sir ViE itxiF++•if lit if if if ih iE*di4sF of is**ip Ml4 if k1f if 7iM iF fit MSF if ih**stMVipY*Yif ii if it iso h*iE'Y iF if #'-iFkisY 7i if iE'lf {FVif fl I N D I V I D U A L F E E B R E A K D O W N TYPE QTY PLU D E S C R I P T I O N 6 SINKS, FLOOR END OF FEES l UNIT COST TOTAL COST 7,00 42,00 1 1 t1' 70z; CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector Px O & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pale 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - 4. Electrical Cond Uit•Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE - - 7. Footings 58. Electrical Conduit-Undrgrnd. ' 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap• 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK i 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains } ^` 64. Plumbing System - Final I ,14. Rough Plumbing5 = _�S 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 Conditioning FIRE DEPT, REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑ 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 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 D RAYAl 36. Hood or Canopy 37. Final,Factory Fireplace 38. Final Plumbing _ 0 •"� _t,L �,� •�) ! .q.- [y? 39. Water Service -Final 40. Gas Service -Final ✓',•` 41. Solar Domestic -Final ` .�v 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date y y y ADDRESS aI; SMIDINo: 3505 CADILLAC AV UNIT: OWNERS NAYEIf IlNOW1i CAMBRIDGE PARI: PARTNERS FLOOD: ,,,m 2201 DUPONT DR 5100 IRVINE,CA 92715 APPL. mum ADDRESS: MINTECT OR ENGINEER: UC. ND.: —37 MK OR ENG.'S ADDRESS: UNIT: CONTRACTORS NAME E1AND N MECHANICAL INC (714)282-0165 caxrRAcr �o eATAVIA ORANGE CA utwo 548783 92665 UM, LICENSED CONTRACTORS DECLARATION: I hereby Nim under penally of perjury that I ern Ikenaed undo prukons of Chaplin e (mmmancinp with Section TODD) d Ohnon 3 of the BuairheM ant Professors Code. and my licams is in full force end effect. CITY LIC. NO.:047192 LIC. CLASS: C 36 LIC. NC.: 548783 c' P: 07/95 Data: OWNER BUILDER DECLARATION: I hereby affirm under Penaly of perjury that I are exempt Iron the onlreet«s License law for the IdownS maso0 (Semen 7031.5 Suekwas ad Professions Code: Any cry or county whits reRaree a parmh to opuaucl• after• imprme• demolish, or repair any structure, prior to 03 wh h«• allo repdree the applicant for such Parcae Ica fib a eiprod -181-1 led he «eM is licensed pursuant 10 the provisions of the Contrectons License law [Cheater S (c«nmandnp with Section TODD) of Dfvkim 3 of Ib Bummes wellsh Profaons Cada] «that he or she 1. exempl therefrom ant the buns for the alleged esempton. My votation of Section 7031.5 by any applicant for a Pertnh subjects the spplicent to a civil penalty of cwt more than Iiia hwdmil toner. j5j). ❑ I, m o mia d the property or my employees with wages w their sole compensation, will eo the work• and the st w m k me intended «Maid for sale (Sectdn 7(1a, Busmew mrd Profession. Code: The Centimeters license law dome not appy to an bwPerof property who bunds a knproves thereon. and .tea does such weak Named or hash «tu«gh his or her own emple es, padded that each impraanaMs ars net yeari or eared for sale. I, however, IM Wikinp «ingwainam re sok v thin one year of completion , the owror-0uider will have tM burden d proving M or she did neat bulk or improve for the puryme of sale). ❑ 1. as awn« of the property. am estlusi ey onntractip eiN kw w contractors to coni the Project (Sapient TOM. Buirwv. ant Prdevoru coda: TM Cantractm Licenes Law epee car apply fo an owner d ProPartY echo bunks « impwo N«aon W iter mmmote M vXh poi with a mmrectoNel Iceneed yumuem to IM Contraction, Hearse law)/: ❑ I am azampt under Section: B. A P.C.. for Be. reason: �. Dale: Ovmer: I do harmer catty Net I am aware d ern udsst✓d Ne nRdmneras of California Naabh and Salary Code Sectiom 45505. 45533• aril 25536. ad that I orany Muer buff, omVpann win/" pet (circle(circle.) need w comply with eaid date meta. and tM reRa hdnnants for e oamk l«mmlaction«modirmion horn the Ai CURY Wananemend Disria.Reske«ol compaction applications are exempt from tMse Date: Applicant: WORKER'S COMPENSATION DECLARATION: I hereby afirre inter Penalty of PwOY me of the 1011mvi4 dderatom: ❑ Cheri arthe'd nacan ma seiimure forwokrs'mmlaerhvluh, es pruidod l«bySection 3T00a1M lab« cads. b the Pedomwce d the work Ipr which Nle Permit is kaPed. ❑ I hew rot W malntekh woMer+' mmpawaton imranoa. n nRqu�kpead.abyrtceSection 3700 d Ne labor Code. for the Performance a IM work 1« ehich No Perri k k.usd. My w«Fere' campereal rear end Peicy mvnba ata. EXPIRES Perrier i ID_!b`__' 09/01/95 Policy Number.ftttI5�122jmt (Thu esction road Neat Es awnplwe / Ns prmc N for err huMrM doiera R,DD) «ka.) ❑ I unit' that in tM pMormnrca a ca work for wfich Nis Pereft , ivied, I Men nal eI should airy penin v any manor eo m ro comms abject to IM where' woo of IM awe d Cadomia, mrd spree atop d I slhouk became subjw to IM oaten' meshypwm wn «ci+kiom a Sacton IgD d IM lab« Cods 1«N.ilh campy eeh twee Data: Appf ciwl the F . ro hwdi ed nia: mal Mi ($1 0000111 M a underr 1 and Ntll f ormil an layer ro Pte- PParatdq ant Stoll . JIM ro we Labor Ce rnaunre eland (I,ne re M add/tbn ro the cont al ronpmssrMM1 damspes u pmvWM roc In 9sctlan 3106 oy tlr+ labor Coda, Idae+4 and adromy'+rasa CONSTRUCTION LENDING AGENCY: I hereby afRmi under' Penehy of Perjury Nal than o a condrodion kndmil aperoy for the pedormams of IM work for which the Penni is ®wed (Semon 3 , Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I Perity that I hese mad No epplceoon am alma that the above information Is coned.I apres to comply wfth May art couay «diurese ant area twee Mtleq to i iv mmNdlgh an eraby authorizerepreserfstMe d th9my to mcer.,oi the aMva mauiard Property 1. res ion un Dees. "mNaim, «pa / Dela: ( n Sprowre of 0 r/AOmVAPePPemV eh r d« (5151,tamp) Whim ikkw A Soley: Oreii Cnwy-Appirenl: Rnk-Rm w: Oddenrod-Ansei CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: P 072094 PLAN CHECK NO: N PERM NO: P 072094 GOVT: N SUPP; Y CONSTRUCTION TYPE; V—N PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION ; 5944SF LABORATORY T.I. SQ FT: CLAIM VALUE; CALC—VALUE: GROUP OCC: B-2 / COMMENTS: "MCGATdrr LAB T,I„ RE:#B71904 6 P71913 %it iF iFxuxdExx-iris iF ip�xdRxx{cxx�F lE it-iM+E tE{E-IExiP is t(if+sxac i+x.pxx.F+tac{Fx+:#'-icxrx xxacxaE l;.xjP+cx at ac i(.x s.aacxxxN x+F �cx> Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ; PROV: PARCEL; 13966104 ZNE: REF NO; PLANNING NOTES> SMIP/NON—RES PLAN > ISSUE FEE 10,00 �fxiF if iE cfxdp if'K-'IF'If'N'xdl iE if M'Y'N-iFx IE*x*�lKwib if?'(--IE+h iExIf if iErxx Kitx ifDr•x*xxaExxxxiF'N'N*yE*xx YxxxxxxcE ypxdEx JL {4x D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY: DATE: L �9 xxifx«*xxlfei if df tE iE iFxxx+fxxif�y s��k c��d�iE iF 3F y�aTirTe d��rTiFx it��tx #'iF1Tlr.F��xxxifxxxx�e x+rxitx x - iE of LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:�N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING' PERMIT 28,00 251 SMIP/NON—RES PLAN ISSUE FEE 10,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 28,00 10,00 0,00 38.00 38.00 .00 REVENUE DIVISION TOTALS--> COLLECTED; 38,00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 38,00 ayaE iF if*IEi.x*'YxriE it chit**xx+esxfikx�*sy if*xxY'Mxxis YifxxMxrx rxxtExxdbxxxiFxx*1!'xxx4xxxxx:rtxxxif lE'Yxx I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 2 WATEP. CLOSET (TOILET) 700 14,00 PLU 1 WATERHEATER AND/OP. VENT 7.00 7,00 PLU 1 BACKFLOW PREVENTER ' 7.00 7,00 END OF FEES 1 O1 uO:=P 4 ;J120S4 T -S T 33.00 �'`' DATE: 03/01145 TI17E: 15:36 CONSTRUCTION AND PLANNINGPOS APPROVALS Permit # Date Inspector _ & SPA 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE - 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 1 _ 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor System 1 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 s c�-, e7 65. Electrical -Final 15. Rough Electrical -Conduit 66, Solar System -Final -•e /6. Rough Electric Wiring 1 67. Fencing & Access Approval I 17. Rough Wiring Signs 6B. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O 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 -!�y 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 Irriqation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ADDRMSOPBMLDINO: 3505 CADILLAC AV uMr: F7 SNAYili I010/lN CAMBRIDGE PARK -PARTNERS FLOOD; AH -37 Aowtim. 2201 DUPONT DR #100 IRVINE,CA 92715 APR. WILNG ADORERS ARCNRECT OR ENGINEER: ARCN.OR ENO'R ADDRESS: LLC N0. UNIT: cowmACTo7SumE.. E AND M MECHANICAL INC (714)282-0165 0O1rltM3ORl VALMG 1757 N BATAVIA AooREsx ORANGE CA mw. 548783 92665 UW.. LICENSED CONTRACTORS DECLARATION: I hereby affirm urge penalty d perjury that I em Nowmed under Movairw of Chapter 9 (mnmenctn9 ehh Sadbn 7090) of Diriaian 3 of Na Business aid Pml»euro Coda, W my license's in lull lore and affect. clrruc..LNO: 04719 uc.Mms: C 36 uc.No..- j 487833 /7EXP: 07/4 m Gale: T' r S Comctr : T m lilt i/hlum OWNER BUILDER OECLARATION: I hereby affirm uMer penalty of perjury, [hal I an attempt Mt IM Contractoe License Law for IM foluwaq reason (Section 7031.5 Business and Professions Cada: Any city or county which maim a pverh 10 oomm ud, eller, improve, demolish, or repair any ahtuum, prior to he esuarwn, also reauim the applicem for suM perms to fib a mgmel aluemnl thel he or she e liwmaxi pursuant to the prpviabna of the Cwrmra License Lew 1CMpler 9 (mnmwap with Sacion 7ODO) of Division 3 of Ds Business and Prdmum Codal or that M or she 6..pl therdmm and the Imu for the allped wearption. Airy viosum of Smicn 7031.5 by any appluad for a perms subpcta the eppliceM to a awl penalty of not mora than five hundred dd4n 135001). ❑ 1, m ovmer of the promly, r my empkyeea Mh wages as their sole conpenaelun, will do IM work, and IM alrudum is rol'enendad or dlsmll Ian vele (Section 7014, Business and Prolest ions Code: The Contratlon Liamse Law does rat appy w to an oerof property .1,obulls r improve Verson, and who dose ouch work Nmaeff or herself or Nncugh his or her own smpkyeaa, provided that eud unrwrnrm re m intended or d anxi Ir eels. O. however, the Wild'uq or knpmvww I. w 1 within ane year d completion. Ne owr-0ulksr vein helid laden d pmvq he r aha dol not Isdd or impmw kr the Propine of sale). ❑ I. ea orsr d the properly, we esdsiray crdmctnp wah Ocensed oproneara to erWrud the prated (sect. 7061, Bwinm serol Profiet om Code: The Coatradon Lacon» Lew does not apply to an owner d properly aho builds or bnprww thereon aid wds entracte ler aid propcta vmh a murmalel luenaed framers to lid Dwredcrs Liume Lew). ❑ 1 rn evwpt uMer Section: B. 8 PC., hw to. moron: Dine: Owe 1 do hereby amity Net I am aware of aryl rdenlsn l Ne nRUMmeme of California Ht a th ceryl Salary Cods Sedims 75505, ?5573, and 25531. and nut I or amy Mum WWip accopent, MR / will owl (oimb one) meed to crnpy atilt said stela coda end Me rwu'uamanb lar e prmh Irmstmdion r modiRwionhm the Ar�enpemem Dowid. RevkIWW cpnatraton eppioaiwuars eaempl I. thew pnovisgm. Dale: Applicant: WORKER'S COMPENSATION DECLARATION: I hereby alfam undo pensby, of perjury one of Ne following dedamum: ❑ Mw aid will malntein a cenBkele d COmm�l to seMinwn for woNera' mnpematbn, w provided for by Sactun 3700 d the Lobar Cods, for the part... of the wok Ir which this permit is issued. �1 I haw W alt maintain w"Im", mmPanarun imurrwa, at, muead by Sed'an 3700 of Na Labor Code, ler the pedormenu of the ��,xrk to wAid1 Nu parem is issued. My wrkas' wmpeneation imurance wnir aid policy number ars: Carrier: CNA INS EXPIRES policy Number: G�,l 09/01/95 (This sedion mad not be mjalafed f the parent M b win hundmd dollen /51001 or hm.) ❑ wnly Nat in the pedortams d the wok for laes this palma a. iawW, 1 atoll m wpuy cry pram in cry tonne sola to become aubjm ,n lid waken' aanw of the awe d Cold attract that I andM besmp � cormDe/^filen prowanm dgtld 3700 d the Labor Code, I 1 wh with thine eoK�rm Dere: "f / / �l S Applica a( Warning: Flpun to secun.4we eompersadon eovwpe m unlawful, arm ~ arCpef an employer to Mmlml Pmamw rhe elvff M. W no oro hundred fMuaxm dollen (SIOROMDJ In eddltlon m Ne cwt of cumpomaffoL dameDaa we provided for In Saedon 37M of Ne Labor Cods, Intem4 and marru y'a Ian. CONSTRUCRON LENDING AGENCY: I thereby affne under penalty of P.*M, that then u a camnudion Ierdkp agemcy Lor Ne a d penurmruthe wok ler wfadN the pmail a awed (Sm on 3097. Civ. C). LENDER'S NAME LENDER'S ADDRESS: 1 canuly that I hew ted dna application W elate that IM above Warrenton 1. comct, l epee to comply with all city and county maIrmaw end rale Was mwM to laking comanicomeld hereby templea/tmra�aµvu dthuory to war upon the ebo as ionod pmperry, for ins Purppasa� D / 1'C(/^//1 / // int Nem. µ r� Data: / J Sgmtura of Orwr/AgenVApplmnVCmtrecto (515146.WP) WAhsAuikaq 83dary; Gmn l:Cara"pplicanl: Pink-uenwue: 0okemod-Asemor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P 07192 PERMIT NO: P 071927 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE; V—N PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION : 5944SF LABORATORY T.I. SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / COMMENTS; "MCGAW" LAB T.I., RE:#B71904 & P71913 if if iE 4E 1P iF is 1E iE ♦<iF it i4 if is iF iE as.)F It {(• dF if iF iE iP * iE if K 4F if * 4f iP 4E iE iF 3f if iF 1P 4f if * iF 3F if if x i1 iF iw if iE if * if is 4s iE aE yF iw iP 4f 1E u is � it- iP iE iP * 4P iE if 1F Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 13966104 ZNE: REF NO: PLANNING NOTES> iE iE * 1E aE iF iE if iE iE K iE 1f 1f if if iF if * dF iw if * if 4E iF 1f if +! if iF * ie if 1f iE if if if 4E is iw it iP �F if iw 4f if *Y if M if M ie iP iF is 1E 4E 4E 4f +F iP iP 1f iE 1G iP 4E iw 4P iP k iF 1F 1f i4 D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY: DATE: c c r+r• �.+a*+lar. LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 14,00 258 SMIP/NON—RES PLAN ISSUE FEE 10.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 14,00 10,00 0.00 24.00 24,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 24,00 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 24,00 1f xf+f iE it i!*MiE*1f iF if iE 1F**4f if if*1F*%is*Y'If iFM if if*4E+f Mi4**Y4F ip if if eP ih*M+f ii*If Mjf if iE iEM ih lE of if ahV 1F *it ih Yie*aEs*kaf irk if I N D I V I D U A L. F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 2 SHOWER 7,00 14,00 END OF FEES OS 001601.142-00160042 TOT 24a I7() GATE' Q;/17.'95 TIPIE: G?:ss t CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PI .� SPA APPROVALS , Permit # Date Inspector ' 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location - • 2. Soil Pipe•Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE - '7. Footings 58. Electrical Conduit=Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 'Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final ; 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final •. 14. Rough Plumbing 65. Electrical -Final - .. 15. Rough Electrical -Conduit - 66. Solar System -Final - 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling- 69, POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit 20, Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O 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:�- 4 34. Final Heating & Air Conditioning r, . --i -P7t7tI 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 30 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. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ADDRESSmAILDN"I • 3505 CADILLAC AV DMT' F7 owNER'SKAMEIFKNOw16 CAMBRIDGE PARK PARTNERS FLOOD: AH -37 ADDRE59: 2201 DUPONT DR #100 IRVINE,CA 92715 Al 11111,11.1100 ADDRESS ARCHITECT OR ElIO1591; GREGORY SIMINOFF u Nl C9082 ARCH. OR M'S ADDRESS: 20101 S N BIRCH ST UNIT. 210 N.B. CA 92660 CONTRACTORS NAME THERMALAIR INCORPORATED (818)442-3341 COGRACTONSMAILINQ 1140 N RED GUM ST ADDRESS: ANAHEIM CA LICND, 102216 92806 DMT LICENSED CONTRACTORS DECLARATION: I Mraby affirm under pantry d penury IMI I Am Icerved undo provisions d Chapter 9 (commerrdng with Section ]000) of Division 3 of IM Budrree aha Pmleaeions Code, and my barna is in full Most and eNad. CITY UC. NO.: 0606 LIC. CLASS: C 20 uc Dae: S Combat.: OWNER BUILD R OECLAR ION: I hereby affirm under penalty dry Ihat n exemfA from the Contra ton Lioanae Lew hollowing Moment (Sadie n 7Wl S Dominate and Professors Coda: Any cit which mquima a permh to continue, ea. improve. "'damdah, or repair any mn,me, pear m he eeuenro. Meet requires IM applicant for such perms to fib a signor matamed, mis M a sine Is licensed pulweat to IM prosaism of Na CaMradon licenee Law [Chaplw 9 (commending with Section Tap) of Daoion 3 of IM Business end Protests. Code] orthat M a she is ..ml therehan earl IM besie for the Aired exemrty sorption. Avldalion of Section 7031.5 by any applicant far a perms wbiais the applicant to a end penalty of not mon than two hundred dollen 155000. ❑ I, a owner of the property or my employees with wage a Ih r sole canpaneaion, will do tM work, and me strudum e and intended a offered for side (Section ]aid. Burrs and Prdeasione Cods: The Conliadaa License Lew does not appy toes owner of Property, who W1ds or Morose the.. and win dome such work NmeeN. MreeN or through he. her own employee, provided tined each 'unprovemmla ore red intended or offered for see. N, however, he Wilkin, or knpraernent is said within one yea at complaw. the owmrLuikler sell have IM WNen of proving M or she did mI Will or improv fa me purpose of mle). ❑ 1. as owner of IM.apery, am exdusivey oonlra tiN wbh licensed controdas to construct the prMed (Section ]Gem, Smirs W Prdesdom Code: TM Conlmcton Lcmee Lew does not apply to an owner of property who Wilds or improve thereon and who comrade fa such proleda whh a contractor(e) licensed pursuer to the Cmtraeors License Lew). ❑ I an emmpl umw Sa ash: B. & P.C., M Nie reason: Date: 0.m.: I do hereby overly thio I an awae dud undenlend IM requirements of California Health a d Safety Code Saline 25505. 25533. end 25530, ad that I a any Mum Wiling mat,ar d Wil / will not (cine ore) need to comply with said mete codes And! IM requirements for Dole : Appliram: WORKER'S COMPENSATION DECLARATION: I Mreby alma undo penally of perjury ons of firs /dovvg dedenationa: ❑ hese end he meimee a c0 the e r corm h elk-inw t for waken' canpenmeMn. m prwlkm Iw by Swoon 3]00 d IM lobar Cale, lathe pertommce d dine work Iw which this perms is teem. ❑ I Mva end coil meimee workers' canpemeedom irrmm. a required by Sedan 3](p d tlw labor Code. for tM pertormer d tM wwk /a wfiicM1 Na pemk a mum. MY walere' oompematon inwrer carer Mrd pdiry numbs vis: Came: SAFFf'(1 EXPIRES Patty Number. T.T``1q"A Cd9n 03/31/96 I (This aelmn coed mar be competed y the permed re for ore hundred dol/ere 161021 or tus) ❑ I artly Nal in the pedamtnm d tM woe fm which this pemk Is issued. I me nal emphy any peram in any' manneroro a w became aub]ect to the ' oompemmen east d Calilanie. am agree should �. ,b+a,bpd to line sawlems, ggmpenetarlprovaona d on 37W d tM Labor Cale. I shell ply wdlh those AA'or / Date: L>D 5 Appl'ram: Planning Fedlun ro aecuro coo rail rompewtlon rovwepe le until d, m �IaH eub/ect m mp/oyw t MMrel pme ya cMf cons up ro one humanity thousand dollen fo$nl DDA en=11 o tin moat of compenumden, den ea sa provided for In Smctlm 3106 of the Lebo, Cods, Intent( end attorney's fee. CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perAvy Ihad IMM is e construction ending agway M Na pertommrce of the work fa which the pmnit a broad (Salon 3097, Civ. C). LENDER'S NAME LENDER'S ADDRESS: I candy tMI I haveram this tsehosion end arms That me above iMometion is cones. I agree Int campy whh all city end county arch me a rdidmeleaamlakgto Wilk' construction eM MrebY eulM¢e nryme`emmivea alba dylo enlx ypan the ebovtrmamonm pmpery �+ for inspece n purpose". P Deda Sgmture he Gwmad nVApplraaConlraaor 15151 d6MP) WhN"-Buildi g S Sday: G.Rks: Cenery-Appicamt; Rnk-Revenue; OaWanrod-Aaewr CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M 071983 PERMIT NO: M 071983 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: MEC PURPOSE: ALT JOB DESCRIPTION ; 5944SF LABORATORY T.I. SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: B-2 COMMENTS: "MCGAN" LAB T,I., RE:#B71904 Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 13966104 ZNE: REF NO: PLANNING NOTES> D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: 5 DATE: LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 63;00 PLAN 25% SMIP/NON-RES ISSUE FEE 15,00 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 63,00 15,00 0,00 78,00 78,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 78.00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 78.00 I N D I V I D U A L F E E B R E A K D O N N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST MEC 1 REPAIR/ALT COOLING UNIT/SYS N/CNTLS 9,00 9,00 MEC 1 REFRIGERATION SYSTEM <= 100.K BTU/H 9.00 9,00 MEC 10 VENTILATION FAN CONN TO SINGLE DUCT 4,50 45.00 END OF FEES 01 00180282-00190282 TE=A s 78.01} DATE: 06/20/9" TIME: 11:13 CONSTRUCTION AND PLANNING ' APPROVALS Permit # Date Inspector PO. - & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Locatiory . r 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement „ 3. Electrical Conduit Utility-Undrgrnd, 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement . 56. Rough Plumbing & Pressure'Test ` 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE i 7. Footings 58. Electrical Conduit-Undrgrnd. - 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. - i 60. Backwash Lines, PeTrap, ❑ Und_rgrnd. + 10. Structural Floor System I 61. APPROVAL TO DECK r 11. Property Sewer Line & House C6hi lection 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 F'INA'L 19. Rough Heating & Air Conditioning 4�`_15' S'K FIRE DEPT. REOUIRIJWENT APPROVALS _ Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning S - _ 35. Final Gas Pipe, -Test _ 07 _.91- ? r 36. Hood or Canopy - 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49, Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date 0DREMOF§MLD01G, •3505 CADILLAC AV UNIT. F7 oxNEBSWUIEIFIOKM CAMBRIDGE PARK PARTNERS FLOOD: AH -37 Amm' 2201 DUPONT DR #100 IRVINE,CA 92715 � I APPL. YMIDq ADOREs4 1 ARCNITBCT OR ENGREEB: GREGORY SIMINOFF uGND: C9082 UICN. OR ENDS A00RESS: 20101 S W BIRCH ST UNIT. 210 N.B. CA 92660 CONIRACTOR'S NAME: BRIGGS ELECTRIC INC (714)863-9901 cairn CTOnumm 16662 MILLIKEN aoltm IRVINE CA uc.NO.: 297836 92713 UMr. LICENSEO CONTRACTORS DECLARATION: I hereby affirm under Penalty of perjury that I am licensed under provisions d Chepter 9 (commeruip with Section 7090) of Division 3 of the Bus. end Pmlaviom Code, end my license ts in 1.11 1.. reel effect. clnuC.NyO.:0066C110 uaOLARS: C 10 LIC.N 9783 EXP: 12/95 Dere: / / f_ • 5- Contractor: k OWNER BUILDER DECLARATION: I hereby affirm uncles parody of perjury that I V..Pt IN1 Ip Comrtlon Lianas Law for the 'ollowcg ream (Section 70013 Busi. And PMeeebna Code: A" dY or county which nglwa a peme to omauct, Ner, bmnw.. m.n eh, or regi a0' ehucturs, prior to h eauence, rho mgdra the applicant for such permit to Me a speed Metaod the M Or She all gnnsed DlvatWa to the W.A.. of the Commitee; Limes taw LChprer 9 (oarmencinp with SWW 7000) of Dbecn 3 of the Bums" end Rdaa'ao Codel or that he or site is eo mpl Ihwebon And the Esse for do a0eged caption. AM violation of Section 7001.5 by any eppgrWNI for a Perone ahem the apppipem to a civil penalty of nit man than Fwe hwdred dellen PSOOD, ❑ I. as owner of IM property or my wnplo see with wages As their sole compametien, will do On work. And the sbuctun e w intended or offered to sale (Section 70U. Businece and Pmlaeione Code: The Cantrwan Liceaa taw Coca nit AP* 10 en owner of pnpedy who bolds or ee wwe themes, and who docs suds work wend or hersel or through his or her own emplgeea, pewead that v impewamenn Aro not inu dad or ollwed Ian sale. ff, however. IM le", or enpowenem I. sod within one year of o.'"hon, the owrwbdlder will have the boden d pmmq he w end did mI bold or improve for the puryae of and). ❑ I, As ow7or of the K p". Am adnvk.Iy mlremkq with licensed opnwanton b maw ted V iW (Bwfion 70te, l wince W Pmlaeiwe Cods: The Contractor Lianas taw clow, not apply to An ower of property who build m impewee 11,wnon And who contracts for ado projects with a contmdor(e) licensed Wnuent to the Cmtrecim Lienee taw). ❑ I em avwnpr under Section: B. 8 P.C., for W. raaon: Dec.: Ower: I do hereby certify thet I am aware of and understand the requirements d Gallons Health end Sandy Code Sections 25505, 25535, and 25530, end that I or my More building oraml will / well rot (circle me) need to comply with said able coda And the requieernente M a permN lormebuctim or modiHWionhom IMAiaueTiyliaeg... m gatrict. Raidentsl instruction appFmcaw aerept Icon these provisions. Det.: Applicant: WORKER'S COMPENSATION DECLARATION: I hereby affirm under panady of perjury arta of the fo0owsp dadawiore: ❑ hvs and el meinteh a ronAcate d want Nirela cat veccunpAnutlon, n provided Ian M Semwh 3700 d 1h labor la IM pdomume of IM wok Ian which IN. pemt is rented. W1 hen end will meimah waters' aanperwat on'turertoc. As nquind by Samlcn WOOD of the labor Code, for the pwbmwwe of ted work for which the permit is broad. My worts' compensation baeena malar and paley comber are: ceder: T T rt Title EXPIRES = Policy Number. L7r' AE Oa "' 0-D �' 10/01/96 (Title ceo, ncoed red McomW edt the Perot is/w one hundred ddlem(61001 w sit.) ❑ I centy Ron in the pedmnence of the work ler which the prem. a e. d. I Nag na empby eery pence s en)' meow a a to becorne abject to the workers' compeneaticn sans d CaNwne, /ha pea IAat ! JauM bacon eubptl to the worker' peweima of Sect/ion 3700 d the Leber Cods, I shell 6 /Nit �a/9 y h IMse pmveom. Data: /q '_ i l ADdiPwhL Le'aI Warning: Faun b ... wcdren' eompeaetlon roverpe s unL7wN( en all eub/ecf n employer b edMnsl peneltlee relit c/vll flocs Wr In one houdrW lhous.rW "Ism ($100,000A In eryd/tlon b led met of rompenafbrt damepA as pnvM ler In Soctlm 3706 of Me Labor COW, Indene, end attorney. I. CONSTRUCTION LENDING AGENCY: I hereby elfim under penalty of pm , that Mere is e maueion landlp perry for the pedmnatoc or the wok for which the perms a esued (Section 3097. Civ. C). LENDER'S NAME: LENDER'S ADDRESS: 1 eerily that I leve reed the epplcabon end et P.Lit. ebova infomatcn s correct, l pee to carry with dl city and ooumy wd"uonaae are eWeswe edinp coengemirn her anlobe nprebnbtba of he city b emer upon led eboo-mentced prop" fanire 1. I�1-11[y P m Nemo Dat^/y�e: �' r r toputum d0wnwlAp ppfam/Cmtrwo Ii (5151,a6.wP) Whbe-WIdip A Seley; Om lo; Corry-Appkam; Pink-levenoc; Gddenmd-#eaesar CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 071962 PERMIT NO: E 071962 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: ELE PURPOSE: ALT JOB DESCRIPTION 5944SF LABORATORY T.I. SQ FT.- CLAIM T:CLAIM VALUE: CALC-VALUE: GROUP OCC: B-2 / COMMENTS: "MCGAW" LAB T,I„ RE:#B71904 1F M iF iF 1F iF iF iF aF iF �E if 1f iF K iF 1F * 1F sir Y iF {F {F iF #F iF iF iF if # iF jE �F * iF iE {F iF it aF iF iE of iF M �F iE iF �F iE K iF iF if iF ih M iF iF dE jF aF ik iF.1F aF h � iF'IF a4 eF 4 if ik if � iF Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 13966104 ZNE: REF NO: PLANNING NOTES> PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 270.25 �F'lF iF fF*iE MiE4if dE if iF iF if iF;E{F*iFaF iF iE iF iF*iF iF aF if)F%iF iF iF*%****iF iF iF aF 9F dF-YiF*iF iFrF1FlF iF iF lE iF iF;F aFYiF iF*iFKaF iF iF iR iF iF iF YaF elk df D E V E L O P M E N T S E -R V I C E S R E Q U I R E M E N T S I N D I V I D U A L F E E B R E A 01 00180220-00180220 Y01- _70.2 ZONING APPROVED BY TYPE QTY DATE. D4/D-ATE:TIf1E: 11:42 BUILDING APPROVED BY - TOTAL COST DATE: APPLICATION ISSUED BY: FIXTURES, LIGHTING 1 ST 20 EA. DATE: / 9 iF iF iF iF if tF iF iF iE iE AF iF iE if iF iE iE *iF aF iF aF �F TC� �-��?��f TE�iF 1�;F��iR jC3(jFdF�F iF iF iF )F iE iF AR tFMaF F F FiF iF iF FiF iF nF LEGALIZATION:N F E E"� S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 255.25 41 RECEPT/OUTLET ADDITIONAL EA, 501 18,45 SMIP/NON-RES PLAN ISSUE FEE 15,00 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 255,25 15,00 0,00 270.25 270,25 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 270,25 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 270.25 *1F iF44iF*MiF dF if lF iF iF iFs{F jF iF eF iFMaF4*ViF if iE iE iF iFY*1E*iE*iFM)F iE iF aF*iF dF ik iF iF iF**aF*iFYiFy iF af-aF {F+k 4iF iF iF aF *iF iFk �**sF+FY I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 20 FIXTURES, LIGHTING 1 ST 20 EA. 75 15,00 ELE 15 FIXTURES, LIGHTING ADDITIONAL EA, 45 6,75 ELE 20 RECEPT/OUTLET 1 ST 20 EA, 75 15,00 ELE 41 RECEPT/OUTLET ADDITIONAL EA, ,45 18,45 ELE 20 RECEPT/SWITCH 1 ST 20 EA. ,75 15,00 ELE 9 RECEPT/SWITCH ADDITIONAL EA, ,45 4,05 ELE 1 SERVICES BEL014 600 V 5 201- 1000 AMP 37,50 37,50 ELE 2 SUB -PANEL 11,00 22,00 ELE 13 MOTOR/POWR APPARATUS 0,0 - 1,0 HP 3,00 39.00 ELE 7 MOTOR/POWR APPARATUS 1,1 - 10,0 HP 7,50 52,50 ELE 1 MOTOR/POWR APPARATUS 50,1 -100,0 HP 30,00 30,00 CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector PD y SPA APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location . 1 2. Soil Pipe-Undrgrnd, 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms •� 4. Electrical Conduit-Undrgrnd, 55. Electrical Bonding i 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6. Electrical UF ER, Grnd. 57. APPROVAL TO COVER-GUNITE t �= 7. Footings . 58. Electrical Conduit=Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines„P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO -DECK ' 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final - 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas OOil 23, Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 'u 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 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No Date 1 w r - ADDRESS OF BUUDWBr- - UNi: OWNERS NAME IF 1010AN, NWiE54 PERMIT NO; E 071962 PLAN CHECK, NO; 01390-95 N PAGE: 1 Af*1E iF>f iF ifaf if YiFV if iF 9E if iF ih iA if ii*iF it iF if i(i(le if if i(i(1f*il iF ih ft ie if iv Af♦Frif iP iE Y -ds ii ff ifk�ff+F*if if**u+Frih M•f if *if Kiri fEMK�*ft ` NPL. YMIJIO ADDRESS TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ARCHITECT OR ENG[NEER: M NO.: ARCH. ORE SADDRESS: UNT: END OF FEES COLGRACTORS NNIS: CONTRACTOR'S "UNG ADDRESS LIC. NO.: UNT: LICENSED CONTRACTORS DECLARATION: I hereby affirm under penalty d Perjury Rat I am licensed under arc mAons d Chager 9 (comm.., wish Section 7000) of Ciieion 3 of the Erases and PMaaeian Cade. and my, litems a in full form and afed. CRY UC. NO.: UO. CUSS: UC. NO.: Dose: Contract. OWNER BUILDER DECLARATION: 1 hereby elfiim under Penally of phury tet I am samp from the Conlradon Ucarae Law for the Code: improve. .+ owim reason (Sedan 7031.5 Business and Professions Any city or county which npuiMm a prose to mnsWd, alter, amdah. IX rami any structure, Piot to be eaence, ebo mpuime Me appllmrl for ouch pmat to fib a signed statement OW Im or end m Inahead pmunt to to Wmeisva of to Contract. license Lew (Chapter 9 (common i, wlth Section 7000) of Division 3 of the Bumnarm and Prdeesiau Codal IX that he IX end is eaempi therefrom and the been, MIX the alleged e,emplion. My viclelon of &action / 7031.5 by my applicant for a prmil subjects the applicent to a feel Penalty of not mea Then Inde hundred dollen 15500)1. f ❑ M, as oemer of the pbpny or my empoyese with wages as their vola comp as on, will do Ne work, and the structure a not intended or offereE ler este (Sactbn ]OIs, Buames and Prdeemons Code: The Contradore License law does not apply to an bwner of popery, we bride IX inlaovm Mh., and eh0 does ouch wonir Nmsetl or hema5 or through ha or her own whooyws. prwidad Nat such impovernads era nal intended or offered fIX aaN. 9, however, the building or rnpmvrnant m sold within aro year of ocempletion. the ..boddr vaU hove the baden of pro W M or aro dal not build or reprove for Ne pop se of salel. - ❑ 1, as owner or the propMy. am exrhnhely contrctop with licensed contractee to cons hood Lha Project (Section loss, Bus'vws and / Pmlenona Coda: The, Contract. license law dome nal apply to an owner of property who w de or improves Menson and who, �� -• contracts for such project, with a comactIX(s) Icemad punuam to the Contracmm Umnse law). t. ❑ I am ammpl erder Section: B. A P.C., for Nu l ~ Date: Cwnr. I do hereby cantly that I are aerate of end MvderaWd the requirements of California health and Safety Code Sections 25505. JS5Y1, and 95.531, and that I or My, Mur bugdag comment win / wR not (came one) need to campy with eeid autte coder, and to npwmneMs ler -y �. a pmMU la comtruc6onanmdifrabn From the A'a ue-B M aapermd Dmrkf. ReddereW wnmvaion appicatiomanaewnpt Item Mhme poviama. 1 Data: ApdraN: i{({ WORKER'S COMPENSATION DECLARATION: I hereby alfa, under pcoltY of perjury ons d the fol.wirm daduarnro: ❑ Ihave arMd wilt meintenamnKctledomaent to aatlimun ler waken'cmmenaation,a prorided for try bactim 3]OOdMM Lobar fr.. I Gude, la tM pMameaa d Ns wok la wNch this pmN b issued. ❑ I have end wilt maiden waken' mmperaman insaaroe, m corned by Sermon 3]00 d Ne LebIX Gods. fa to vedormerMoe d 1M ,_ r wM lar whkh deo permit a .sued. My waken' compenWcn imaerra caber and plkY Mwanber aro: Carrier: Poky Number: (Thus section need tea /b mampbtad I the prmd ie ler atm hundred ddlare /$1001 or Jess.) ❑ I randy that in the pdamanma d to wok ler whch this "mh is imsund, I shell MOM ampby any peon in any manner n m io become subject to Me, women' o mpentabon laws of Caldwnia. and sone that d I should become subject to the waken' compensation prwisiom of `suction 3700 of Me Leap Code, I when forthwith compy with Nom pwWwm. Data: Applicant: WamMg: FaNur to.. wonnem commmsdon coverage la unlawful, sndahell subject an employer M arhNMl penalties and civil Rea. W to one, hwdrd thnussrd dollar (J/0g0001, M add/tlon b Me cost of companuefbn, damages sa pmWdsd ler In S.dan 3]D$ at Ne Ispat/ Code, ImM.Lr Nd.Monmye /Na CONSTRt=ON LENDING AGENCY: 1 hereby aWnn under penalty of perjury that Mrs b a oxatnxebn I.rM&m apeaney W the /l pedorne. Of to wok for which INS print a awed (Section 3089, Civ. C). LENDER'S NAME: LENDER'S ADDRESS: i G Iceniry that I hosred and comathatthe aboveidamatiunbcones. Iromto campyNary end ternary ordinances buapploation Pon and sere fewm feuding b bdldim mtnudan end eraby aulharba rspeeentatrra of this mY a enter upon to ebovsmadiarod properly MIX impedsn Ia.Dmem. ( . I Pmt Name .i 'i fly: Data: f t. Spnsbn d Ower/ApeWAppicmwCmamma (S151se.WP) Whir-Bluldkm A Salary: Orma�l.; Caav-AppFent:Pink-Pease: Golder Aaaaaaa CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PL & SPA APPROVALS'""hermit # 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 LIFER Grnd. 57, APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation 59. Gas Pipe, 0 Undrgrnd„ Test 9. \•Vater 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 �L 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough 'Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough 81 Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0 Oil 25, Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80 . FOOD CERTIFICATE ISSUED 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test Notes: -Z .y- iG waK !� 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. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cc 51. CERTIFICATE OF OCCUPANCY No. Date ADgaFss of g)pLmto:. •3505 CADILLAC AV UNIT. F7 VONER's NAMEIFIODAM CAMBRIDGE PARK PARTNERS FLOOD: AH -37 awtEss 2201 DUPONT DR #100 IRVINE,CA 92715 IlAR7TTI TL"M ,;itaq ARCNRECroREfKpm: GREGORY SIMINOFF IKhim: C9082 ANCILofmwsADDRE55: 20101 S W BIRCH ST UNT: 210 N. B. CA 92660 CONIRACTOITs NAME FIRESHIELD INC (909)340-4377 CCNTRACTORS"UNG 1251 POMONA RD ADDRESS: CORONA CA uc.No.: 362599 91720 UNIT: 101 LICENSED CONTRACTORS DECLARATION: I hereby affirm under penety, of perjury that I den licensed under Praisions of Chaxw e (commending with Section 7000) of Ohdsion 3 of the Business end Pnhasnu ns, Code, and my Ikon is in fur force And effect. CrrrUC. NO.:063548 LICCLASS C 16 uC.NO.: 362599 EXP: 11/95 Dat.: 10/APK/9S Camedm: F�1 RE S1AI E'LJ:� OWNER BUILDER DECLARATION: I hereby affirm under penalty of perpry IW I An ma mpt Imes [he Comndm License Law for tlIe Mbwiq reason (Sedan 70.31.5 Business and Pmfmoima Coda: Any city « caumy w idl a qui ss a paint 10 oonaend, after, se now, omol'ah, or raper my, an,ou m. pilar to b hsumos, Also n Iuros the Applicant t« each pmmt o fib a egne i statement eIat M «she a hoemed wrsuAm to the W. of en C«mem«s limnse law (Chapter g (emmerbrq with Section Mott) of DNhion 3 of the Business end Professions Cade) «that he or she is esempl Ihxefmm and Ins basis for the afbgnd esampron. AIry vioW ion of Section 7001.5 by my, ADPlkent f« a Permit uAved, the APPfsam to a dwl Pe aby Of not mon then fm hmdned doges VMD. ❑ I, es owner d the properly or my empic vas with sal as thea sale compeassa n. vrw do the wale. And the emcmn hod imerleee or offered f« sola (Sediun 7044, Bueurss And Pmlessoos Cadmb Cads: TM Coe sat Loan law does mawd 1 apply to onsrPOOP" wic brdde uta anpmw therl and sic do euoh work himself or heeeal m Om h M or her own employees. provided that such impmwmems we not intended are dhnd Im sal.. I. however, the WiMtp ot anproaneM h sold within one year of completion. tlns osms,-0oikler will Mw IM burden of proviso M or she did not Wild or improve for the W,,ose of sab). ❑ I, a ow,w d Ins mop". am ssdesiwly coNreGop wN l ansae conbedms o co atrud the object (SeCbn 7044, Busvass and Professions Code: The Connect= License Lew does cad apply to an owns of properly who Wllds or improves linsean and vola comrade b suN pmiaos wiN a comadm(sl Ikensed Wnuam to the Cmlreams Uosme ❑ I scan aempl under Section: B. & P.C., to, this reason: Dole: Owner: I do hweby comity that I sm ewers d end undmetand the reauiramente of Cd/omia Heah and Safety Code Sedum M(15. 45533, and 25534, and Inns I m eery Mum Wioing m upant will / will not (dmb one) need to comply with sell more mdes and Ihe re,uiremenh M a penes f«oxawdion« mcsifice nmooms ARZ mapenenl D'aod. Resideetwoonmmdbneppf lshme e"empt hom Ness Data: Apprkant: WORKER'S COMPENSATION DECLARATION: I hereby affime underpsahy d perryry m d thefolmang derdarmons: ❑ I hew end W meiman a aatdrals d apraeeA Io saticmae lore ecrken' cornPermtian, os provided Int by Semen 3700 d the lab« cos. fa IM pMmmenu d Ne oak I« wlrh Nis Peered h wewd. ❑ Ihews swum s Panne is as'oanMyvnv* ba compensation mourbySalon 3700dtla Labor Coda.lorethe porlmmannwdthe work Int wtadt tlaa permit h issued. My worker• compansaton osurerrpe center end paltry rosnb« me: Cedw: CITATION EXPIRES Poky Number. wrM2?093 04/01/96 (M. esdon need eco M eom{tmed l the msmt h I« me hu dl dogma ISIM] «loss.) ❑ MN 1,w je Na the vex a d om work tar which this perms b bead, I Nell nal employ any posse su any manner so a o became abed to IM xo Bas Cml OO of I on laws d Ce I shall and eyrss Uw ff I hose MLans wlbj«s to IM waken' cpmperneatbn pmdeone d Sadion 3]m d IM Leber cine.. I shall IMnwAh aompky with 1hm. pnyawu. Dat.: 10 /APR 19 Apphoont: Ky7iru R 6E1,AR1TND Waming: Fallme o swum somran' compamadon coverage la unlawful, and shall alrb(apt an employes to crlm/Ml Penedos and AMI Rosa w lo ons hundred tMussrd al ($109 Ml In aadldon W the cost of compenadoM danmga As provided As, In Secdm 3705 of Ns Lebor Cob, Innesst and adumey's fess. CONSTRUCTION LENDING AGENCY: I hmaby affirm Boer Pealty of perjury thin then b A modn,mon lading egency lar Ne padomanw d the wink for whop this permit is bawd (Section 3041, Ck, C). LENDER'S NAME: LENDER'S ADDRESS: I cantly Ihol 1 Mw nM this application and atma that the eboys imarnation h coned. I agree to comply wile eA dty end county «dvvmm And slate see mial to buddM rmwuuim and hereby eAhm¢a nepretarttatiyes of this odY to enter upon the ebme idsssd properly f« impaction ptspona. K> In --A-1 R f'A4=WRT-4Q l PrimNems,(1 \ 1 Date: �$Vnetme aowrwi Mf+Nam/Cmum« (5151da W P) Whoa-Buiokq A Sally: Green -fib: Canary-Appicant; Pink-Rewnw: Gddanod-Norm CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: F 071844 PLAN CHECK NO: 01236-95 L PERM NO: F 071841, GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: FIR PURPOSE: ALT JOB DESCRIPTION ; 5944SF LABORATORY T.I. SQ FT: CLAIM VALUE: 2,100,00 CALC—VALUE: GROUP OCC: B-2 / COMMENTS; "MCGAWrr LAB T,I„ SPRINKLER SYSTEM ALTERATION, RE:#B Z 0 N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 13966104 ZNE; REF NO: PLANNING NOTES> > D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: +hind%%%if%1,E iE%%if if if lF itis%%iF iF iF iF3F iF;F SF;FiFisiF 3a:iFii aTiT iF �F;F iFiE'iF'1FiFit=SF'7f3F1f%%%%%%is%itis iE 4E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS ---- > 54.00 0,00 35,10 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 54,00 653 SMIP/NON—RES 35,10 TOTAL PAID DUE 89.10 89,10 ,00 54,00 OVER/SHORT; 00 FIRE SMIP/TOT GRADING PLAN—CHECK 54,00 I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST FIR 54 FIRE EQUIP FEE (FROM BLDG VAL TABLE) 1,00 54,00 END OF FEES , r ; 01 00179621-001.7962I TOT 54.00 DATE: 04/10/95 T11JE: 11:10 _ CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PC S SPA APPROVALS Permit # Date ' Inspector - 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location j 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test I I 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings ` 58. Electrical Conduit,Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16, Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Co�itioning FIRE DEPT. REQUIREMENT APPROVALS Permit #k- 20, Rough Factory Fir eplaEe - 21, 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, V,pntiiatmg 71. Product Piping OGas OOil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73., Undergrnd. Storage Tank OGas OOil 25. Roof Sheathing - 74. Overheads` =imp. �},��S�S W 26. T-Bat Ceiling (Structurall & Monocoat - 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe ' 28. Lathing & Siding 77.. FIXED SYSTEM FINAL f't'� 29. Insulation 78. FIRE PREV. FINAL 5.30As WZ 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 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date t,iit ur tA1J AI%UK,Lr.D UL'17tlt 1 mr1%1 Ur UUIU AIVU A1VU .yAP O11 f- ELECTRICAL TESTING LABORATORY 9319 Dorria Place Los Angeles. California 90031.1083 (213) 485.4377 - APPLICATION FOR TESTING OR EVALUATING ELECTRICAL EQUIPMENT COt1VMarr To Be Tz=CONtNlxl ""MoNATION Reach -In Incubator 3940 MANIIP NCM tilt MAeXITING NAMK !t-�e Mawr 4 Ay 1 Forma Scientifir.. Inc. 373-4763 AWMg1Y Kill Cr&Pk Road t]TT lrrAtt rIr Return this completed multi form to the Electrical Testing Laboratory with cheek payable to The lkpnrtment of Ruildinit and Safety. City of las Angeles. Receipts and laboratory correapandence will be sent to the opyllcnnt. FEE SAMPLE TO HE TESTED IN TILE: FIELD IN LAR p RESEARCH REPORT (RR) O "Apt or COMPANY PFRWN TU CONTA1.T TMIXnt(INA. / 141 McGaw Inc. Mary O'Grady 660-3046 AIU*= Mo. MOI( x NOT ACCLI TAald1CRY QTATt 7.Ir • ! 3505 Cadillac Ave., Suite F7 Costa Mesa CA 92626 OFT N SAMPtt MY: ( I NOTIMNO APPUCANT YOM TICK OP dAt TCFT WIWI UN1FSe OTIIY,NwICK NOnvaui. mummer wa11. ux I 1 U.re.. COLLCCT 12NMIrgU aY A co"VotgNr CAMKICR COURT OTHER INSTRUCTIONS: Please contact Mary O'Grady to schedule inspection. O SEND COPIES OF CORRESPONDENCE TO AUTHORIZED AGENT. APPLICANT'S AUIUOIU= AGENT FOR DEPARTMENTAL USE 3750.00 or 3800.00 for an initial examination (laboratory testing or RRI AVOM4 3560.00 for TO-0Mamlaal1011 btfer! AxpNnlion LA© _...... FIEU) ....._ Rlt � 3700.00 for r Xsfttinsdon aft" expiration NO RE-EXAM Supplements] fees. 375.00 per hour: _._hours Verified $75A0 for reopening a closed rile L)nu Field Mileage: trip miles (See reverse page) CASHIERS USE ONLY $400.00 technical madifiation STAY1: 3160.00 clerical modification INT UK war NAME OF AIM wr PEAV.N 335-0 multiple liedng each item Marietta Other Fen 45750 SUUTOTAL 95/06/02 loll SURCHARGE TOTAL FEE DUE SAMPLE TO HE TESTED IN TILE: FIELD IN LAR p RESEARCH REPORT (RR) O "Apt or COMPANY PFRWN TU CONTA1.T TMIXnt(INA. / 141 McGaw Inc. Mary O'Grady 660-3046 AIU*= Mo. MOI( x NOT ACCLI TAald1CRY QTATt 7.Ir • ! 3505 Cadillac Ave., Suite F7 Costa Mesa CA 92626 OFT N SAMPtt MY: ( I NOTIMNO APPUCANT YOM TICK OP dAt TCFT WIWI UN1FSe OTIIY,NwICK NOnvaui. mummer wa11. ux I 1 U.re.. COLLCCT 12NMIrgU aY A co"VotgNr CAMKICR COURT OTHER INSTRUCTIONS: Please contact Mary O'Grady to schedule inspection. O SEND COPIES OF CORRESPONDENCE TO AUTHORIZED AGENT. APPLICANT'S AUIUOIU= AGENT 13 TELFX11001C: 1 I AVOM4 Geri ATATY. xtl' THIS APPLICATION WILL EXPIRE 12 MONTHS AFTER THE FILING DATE IF THE EQUIPMENT IS NOT APPROVED. Note: The above fele may Change without prior notice. The applicant sprees to hold the laboratory herm4w from any legal ikaun between the applicant end the manafanursr. Testing cannot be eurted until ampleee maoired dealmeele are rteei..M. The undersigned does hereby agree to abide by the Rules and Regulatlona of the Electrical Testing Laboratory and gill other applicable provisions of the Los Angeles Municipnl Code. (See Reverse of Page) APPLICANT. PLEASE. FILL OUT. SIGN. AND RFTURN AL1, COPIFS OF TIIF APPLICATION FORM NAMx or t immxY 13 '95 07:58 Forma Scientific Inc. 6143741885 PAGE.002 AppheotionNo ............................. ........... AIW"M AI :M ATUMC 10.1:11IIUNK1 61 a1 Mill Creek Road L)nu CTrY STAY1: l./r INT UK war NAME OF AIM wr PEAV.N I'AM'1: Marietta OH 45750 Richard L. Miller 95/06/02 I as E•147 IA 4*11 Mn(—Alrtag T ,neTs-RST I" GLUE-0/r1CA 10.tpw—CASM4 1UN 13 '95 07:58 6143741885 PAGE.002 MT.nn rgrt7t'A)fit 1 P TF nl CA7f` Aqq Vl S')SH MHn.,)w ?J_i or.: SR 55.1£ L)nu A Yg:-feFITY-OPjLWANGEL'ESilDEPARTbEENT'OF,)BUJILDIKGI&IMI&k= �. 'wli IAVOi"4qM `iJM-dMELECTR'CAL-..T.E.ST'N(; -tow EVAEOW 15R Woul; tn M0brL UMGKAI%Om . JA1114430 .1 .,qm I '*tam zLjhq:ln'& Teh'u ..'M..'rid IMANUFACIUM-10 O'NAUCH"ITT a fillo. nt;vl"C It =10 r.lv , ft Ift" Liv:,514. -• TELEPHONE 'f+ )NA4 gba. '11faw Adt b... 7.-7— .j, :ADORE".-rnYihay:mubo: :1 At v.-Ir4."dAj t:11,;Ipj STAT -11i Gnu Infat in r.tnsm -,,. -A3i!! r. Ilaoy+ Ii :T&6g j;SleAotna;Defpia uien fit .,qm A 70 lol "cu RR_ MAD for ,.:• III:iRtion befam expimlDle FIELD 7.-7— .j, 'Ab%I'PX.9EAW- HoRZMRT-:(kR)' :1 At v.-Ir4."dAj tIAD STAT -11i Gnu Infat in r.tnsm -,,. -A3i!! ....... 11w Ll. . . 110(1 ryOUr:T. 1W Lgr r.M.Affl- 0 is b64Wdm u i imIlined mium i-ai fu &Q -AGI rAge-itawip h-imil Aifw IG DWiiftGA6HlERSiU8V ONLY-ob &IIJ j6jW A.".1MRA, Ill!t I "Inju. .r lu bn a I'll, , "_h .'vj)cJftvftlpl VIhodi!! 5 ft n i tA I b f (a lwj (114 lul �td:-a, T! -111. 3 I!Vwcu. d hpa;(W.Re noitp. if bqftb,- ma qlvq "ifil ai o bmqlql e.tol Tj T 4c. - ;R f1s;rN 691: lk.;rnq 'A kw�s ig "i., -b lli:i;' nnb Awl'..' lal p�TrtN7r --t c ol.al K1.44 ..)"iOwl,iid,tj FEE -DTM b _qjAL umi aAmPE9 a. 0 NOTWTOIG APPLICANT FOR PICK' UP (LAB TEffr ONLY) A;:', 4MLIMMTKIERRIMENOTIUDmump wal, I -IlICTORNEW111TA CIONVEKOLN7,C&RElikNLCCCP PTHER 'IN&Mq 1 7 1-1 .1, .0 I.- ..' Vol In APPLICANr8lAUTKORUZD*GRN T::dI .,qm floAaamplvoi,; Ir gnA i SAMPLE TO BE TESMD IN THE- FIELD LAB 13 'Ab%I'PX.9EAW- HoRZMRT-:(kR)' 71 4�nvijutl, a 0' STAT -11i - . : i� -,,. -A3i!! �"IJ -,d bjnp.rt 11w Ll. "' -if --t c _qjAL A umi aAmPE9 a. 0 NOTWTOIG APPLICANT FOR PICK' UP (LAB TEffr ONLY) A;:', 4MLIMMTKIERRIMENOTIUDmump wal, I -IlICTORNEW111TA CIONVEKOLN7,C&RElikNLCCCP PTHER 'IN&Mq 1 7 1-1 .1, .0 I.- ..' Vol In APPLICANr8lAUTKORUZD*GRN T::dI TURPROIM- . .... ........ ADDRIM' nl:16 1 6, . R - w . :: STAT -11i - . : i� -,,. -A3i!! �"IJ -,d bjnp.rt THIS Notc I THE III m'j; 77 —_ —777.7.77' t' -- _.-77�_:_._7Ac :Lvoi4qA III W APPLICANT " PLEASE lILL,-OUT.�SIGN, AND REWRN ALL COPIES OF T NAM (W COMPANY Awlication WI "nic I. A - X _1 , - jvj "d 4) APPUCANT'S SIONA M -N . :r7 Al CITY 6TA1L ZIP PRLNT OR TFPE NAME OF ABOVE'MIRSON' It 8 & 9 CAA? (0.A031 I AM -APPLICANT W141TE-TEST I" YELLOW -CASHIER I /cn , H ns cr';,P. mqq 1711 C')' -H MHt)')I.l N4 P�'!r(A Cr,lr' On" 9 ,n. rr AWITY4PUP4-4-NOELFS I P rUp ANDj!kAFETY a (,T�tICAL. TESTING LABORAMY JAW."41A e errei �AP ,,Pfp 4�#qM(j *nml EVALUAMG 'gl2CTRlC4,'T.Q .. WIRIZU. E -T—& DgBj_CRAf i�N EQUIPMENT It) RE MOOL UP ol r!il It. TELEMOiM (t L T APPUCANrS SIGNATURS7 , 1, !t� ."eq in wf 'r... ...... ADDAMS3 711W. - - S&W.00 for biform ampiration rrATE Z PRWT OR\TvPR NAME OF � '10. $700.00 for rommmination afteiext mintion afu . . . . . . 71—laas 4 1 r. d" -.06 J� -7. - , 5 r hair, �.P;e 7) e.lffs,,si boom hi nyirifiled&.74 1, %3 0 M YOli E.7. Or .1.1. yillfil. llft 1, On dw ,Ind yl F.WdiMiltut So bmaeT l -,9m Y: JILA T $lU IQ vqo" UUd r. "ll nob"Ins-'m All n" le, i mlimew 041 1.;, onk llil of -Ilddirmr abnm Sd iff,& Other rees wo lbj .r,:wl ,A! w.T0TAL,%FEEDUE' .• 0 SAMPLE TO BE TEMD IN 7HEq-:- FTELD'(�- LAB'd r ,3FWA-AEF9RT.: NAME OF COWANY1, . :. . ,:.. ;: f-!. - u '41 EM Cm stye PZTm R"MU:9Y:dJ I-V9-KOTUTWd kli"IC kM FOR PIM UP (LAB TRW ONLY) . , (YI-fm:.INST tucnoNsz . ..... j it.17 r 4`mQu,6F6;. APllLCA1f77R,AUMQR=D,AGEWr,:d; In ItATIl: =VL qnrf, li Isiald TELEMOiM (t yo- 11.1-11,1 APPUCANrS SIGNATURS7 COM "icer A ADDAMS3 ctl7r CITY rrATE Z PRWT OR\TvPR NAME OF � D=-"'- W THIS APPLIC:PMON�Vii-L"MITIE AFTER' . TH Nam 7`hm above fime ma change wi bftt n Ct: ilpyLdmt cannot be an 71c underaiffned Aaamhereirvingreetto -abide bv thgAnles and APPLICANT -.;PLEASE FILL-OLM SIGN.-AND-.AETURN in 74ivcprmim. u4: sWo:Sp. a j bedmaw FCAWIQK4?4"-i;wf4mo7 HAUE'OF COMPANY'; In ItATIl: =VL qnrf, li Isiald 4. Application NoO-Owd"Mor—MU1111- L�!Ajl_24_p Dr, APPUCANrS SIGNATURS7 COM "icer A Jm CITY rrATE Z PRWT OR\TvPR NAME OF � D=-"'- W I jU 0a9 E-147 CR IAJ) plw_AnPUGnT v*un_TEST FiL:e MVG--OFfFpE VEL.LLOW--rAGMER CII/qA',4 RqRVV91_01C16 Al qG?c n99 vl!_ g3sb muoow 8-A gc:so sG,ic onij AUG 31'95 69:40 FR MCGAW HSC5 714 660 3295 IQ 913107844969 P.07/10 1131NSV-N*TGA 3owo—anis I;L4 iFT a puB. 9oprS,qqj Aq apt aU i -,a bcou ou vwb q lot juj LZpWw - Wq�%p u WR � B III b&ki 4AW;p M; *Ab9• 4rUm;ON ;OWN :11111 111!2- L INZOV NaS, 13 its j!:i wa via SANWIamaboil A*M#MW MUM . ?a[:; I 'v"ARL 27dwya NRELM i =Z arag A= -PP'-N w 77-::Y` F ANYdKOD *0 311" 1 Imp --,.iL' 1 -..IU 1-H.p U&1JA-.1V,—jgij V -,mi bu azimu a$ oi 3'id31IVS ... ..... n ... qG .... .. Jy �.A PI. Vy W. I IL 314 11r.11,11.1 J*gg .. . ....... . Ls X3 IVIIINI IRT; RL F-11• Ir ... "-: � Wf udobj, IV s6naln 1114 P, UK I't, V. A� Yfl J*ws L'I'Lu-c: m p- -tip Lat-a c'.•'::`!! ILA -q. 1: �.'-A: "IV vt LA LTU11 P4 wqqQ PI !vo "In; tni ruo YxItnIasI Vr(j tj VA PC' rp.� IV ts"We qcG; of tsnpp.voq ix. 9 1 L IV Powir if 1P. -h jw?;; 6"1 zed np2ij Cjr.1 po s,m-mnqq it. 1w luisIMUM1. ok;tstuvt -ry CR�Aa; r .-W; it� t1 - WL I aps tlsba,-.n .11. :Mwauj !GNaHd:: geide I)mr. Lq mqoqvj auqU�Mu -01" ado", BUT PAIR"11� vtjf mmejo Wl: MWIIT�MDI 1'.11;9 1 I!jn�' JUS "UO1ffMI1 L�E�A� �tf UW 98 1) I!EqwL r 1,9 kmosau MORY do sw40 m u;m da r7. I I 8.111yorld" Q uo4voToctV �jj -D)I-1-= nN%j-!,%W lbt .1; NOLLYHolnu 13aow puB. 9oprS,qqj Aq apt aU i -,a bcou ou vwb q lot juj LZpWw - Wq�%p u WR � B III b&ki 4AW;p M; *Ab9• 4rUm;ON ;OWN :11111 111!2- L INZOV NaS, 13 its j!:i wa via SANWIamaboil A*M#MW MUM . ?a[:; I 'v"ARL 27dwya NRELM i =Z arag A= -PP'-N w 77-::Y` F ANYdKOD *0 311" 1 Imp --,.iL' 1 -..IU 1-H.p U&1JA-.1V,—jgij V -,mi bu azimu a$ oi 3'id31IVS ... ..... n ... qG .... .. Jy �.A PI. Vy W. I IL 314 11r.11,11.1 J*gg .. . ....... . Ls X3 IVIIINI IRT; RL F-11• Ir ... "-: � Wf udobj, IV s6naln 1114 P, UK I't, V. A� Yfl J*ws L'I'Lu-c: m p- -tip Lat-a c'.•'::`!! ILA -q. 1: �.'-A: "IV vt LA LTU11 P4 wqqQ PI !vo "In; tni ruo YxItnIasI Vr(j tj VA PC' rp.� IV ts"We qcG; of tsnpp.voq ix. 9 1 L IV Powir if 1P. -h jw?;; 6"1 zed np2ij Cjr.1 po s,m-mnqq it. 1w luisIMUM1. ok;tstuvt -ry CR�Aa; r .-W; it� t1 - WL I aps tlsba,-.n .11. :Mwauj !GNaHd:: geide I)mr. Lq mqoqvj auqU�Mu -01" ado", BUT PAIR"11� vtjf mmejo Wl: MWIIT�MDI 1'.11;9 1 I!jn�' JUS "UO1ffMI1 L�E�A� �tf UW 98 1) I I!EqwL r 1,9 r7. I I ... .......... VIM jy4ff LO)rA alit, A; It, f. T: _v -11 -DI;", NOLLYHolnu 13aow no .. .... caisuSe OL I 11 .1.a ILMI -.UV LAM 1JUXL7riLAriM- -1)ZrAXV1:MZN 1, JAWI tqA .,EL-ECTR1CALTEST1XG fav 2819 D 1"PLICAMICVO11.72 MG, ORJ EVAU Iwo— ZQUU" Itzr:jl� :wu L. MODW. D&MMATION. �Iv fin .4 ru. IL Q0 E ea� to tanbacio sib d r %ft .. �ht ... .. ' -if .31;4uo - it bm (11a&D vow. 41ti -4, 4L ..... ..... iiiij X, tat un this:maa~ imaidtit fbAwfa the ElectricalMecting TnbdW6r.p_wMmh ne-�' exib of Buildft. tDA ,Ad Safe iv :Cit# 40slts 100 lory 'Wh azidtlb" inT- FEE Jr4rl. CIL Silt V I. iffmi b Van th kr f #R[, I $560.00 for romminatim Wore ex,pis tiai� :••n .tact Iva X"Imad&l anwo Sri 'o"" I $700.00 for re�exazzaifmmtwn after eipkition- 11=191a q1.K tat'Urfil- al [ALI, aF�yp DI mn h. Me- _Q.1t.*-11OAAdduq vo J�_dg 30obaw, MY Wivi arb S�fdiwt.Mr rp se blik Is er ffo oil 7f. _Vil�v UP. .. giW 1. mm�, bet '61 sva doi (4 ni �Idnl*:: Jrtii,L�i 1, umb 'Al IS -6all dl 10 R,d er. . G Iii, ;L Ae arobIng ni b%Rimqo Iizi, a[ -R idim w !,:";L.)i owit HA fhl P 7, A I , I ;T -j -.416--f 2"'s. -,:j' to (I)OW am 2 $3&00 Ell INITIAL EX r41- aIlufth %�H' E :;�niwc( -Nit Aj t. in t.'.. iA;-.j wfT a El AE ITE UE - ni(f lic-Ap a0faiv,n", If3u. Ik ..; I.V)r nj SAMPLE TO BE TESTED IN THE.:' IAB�d "I NAMOF COMPANY- ; __: - PERSON 70 CONTACT TRUMONE, (,I, _,•- 1 nj APPUCANII811,17?'" 4 Irptymmm in lnrailyya SAT' _E -4' 4�![A RETUM�X .AMPU�A� i�P!CK IF (LAB TEST ONM ARREMIOTHEWMR *01MXE, SAMPLES Wmi/BM f % Vis I-�t :I 11 rit" PlIi-; I-MEMOO[DiUVA DONVOMERVICARRIEFOOdUk it. t,:p: nlff .11 7:;Z I09-0Py.J, li�, 1.:. bkb _NDF14CE TO AUTHORIZED' AGENT. APPUCANII811,17?'" 4 Irptymmm in lnrailyya SAT' ADDRESS tiffj tn i -I ... ... . ..... CM.,: -- ----- uplilmdue I it. THIS AppdM6i`Wdi E"Mi" E' 12 MONTH M -MR THE- FHJNG-:nI)ATF/vIF-THEXQUUWEW IS NOS:��- Y 1A. I e Npjprjb b�f ,cha f . ....... M. _�qre yn out priar notice. The c t appId an cannatbe IR . M P. w The Rmd�ies"�ae'�d $✓5er`"eby agree �o abide by the RulessaillWidifidm` bf -'6�; El -766jig LAry bbrato" ibdd',*dU: er pa so �;Ji ag . M. "PlICA".f-PLETAS!!OUT, SIGN, AND RETURN ALL CO 1:17115 ca"[BANr lumn 11. Application N ADDRESS u A 0 a 9 C-147 M.11411 PINK--APPLiCwr "fTE-,EST FILE MUE--OFFICZ YELLOW-IMMEA M T /RR' 4 rqrtItIRI 0I f. I r 0 1 Cr?P. 099 V I I qlqH mH93w m -i ?v:pn q6.ir. gnm izb Oe MODU DEMNATION iw, (91W . ..... 0Z CPHONE ADDRMI� loe% SWILI.: at 3d v 2c— n ban ve, 5660.00 far .To I 42ammation before "pirahkin 5700.00 for mezaminadV &tWnWHZb.z - ;A%I Ifft Iyan lu eii.-I 1104w . ; .. ".A04% J^ 1;4:1i, 'ou I* _.Loon;: I.) ""Un"X 1.110 . il I . "I Oda miudarn 51'r,a od fhtd. hju; Jii,naj;opsdl It, ;:,t tjoo5bit ai bailia,.qp mr. k,'A 60 tv a z A 0A oth"Few EI{„ T 1.1ry1 ip j Mede dct 9: r TOM- nFErDUE' SAMPLE TO BE TESTED IN THE. FIELD LAB [3* ..';:fir.RFSFAMH,:IMPORT,:(RR)- NAME OF COMPANY pEltaw TO CONTA= TE .ADDRM Pq_EO1,f N97:4.0pWrA,B J crry kidxin FOR ircE up O.An TEST OEM 4MESSIOTMERMBIC NO! :,qMTVww St YIk COXw A WE DTFIERENSMW '.11 &;,: i)n--- . ri L kc— n qpwbIh4 .6F..:.V-bwd§fbfti,46E.'TD'AUTHORIZED AGENT. :z�.aq w b,iiamy ed ,.u. Wit; APPU CAN" AU . THO!�rACAMJCW 31- - : - .'..,r . ,i7w box loe% APPLICANrB SIONATUR& �i: llojn,q% TO) aotwI 'Irm ZM 6� L n��kj ftq 2 crry THIS Note The above fees may chanze wittLoux i�,.tww : wit cannot Started until cbmplate nq�� ihe The nndereiEli& dc;da -hej69` by the Rules and Regulatiofis,of tb applicable provffi6mdbf *p (See Code: Reverse :6f Pake)ld:. APPUCANTI;PlrAgkiZv=OUT,+8IGN,-AND,-RETURN ALL COPIES kat=7 ind,.allm er.:, 0,;) --d . w ba:rovatn .. NAMOPCOMPANY •AnnRsw Application INd aeod awl APPLICANrB SIONATUR& In-EPT01 ::4 6� L n��kj ftq 2 crry rp- PIUNT en VM NAME OF ABOVE PERSON DATE 7Z a& S E_U? ((UAII PINK-,QVUCAW .WNitE_TCSTFn_e QL119-OFFJCi- --- - VELLOW-CASMOR - - .--. - i 01/60'a 696VVBLOICIG 01 G62C 099 VtL gDso mu93w ad cv:sn GG,ic gnu ' CITYOFCOSTAMESA //1C1ONS[RUCTION PERMIT Project Address K IT S !��•n'2�% t /lG EZ Applicant's Mailing Address Owners Name Oa ne- 4����,%/ LU6 Address ���LF60�/���r���e� Amh/Eny Li� Address Address O!'S Neme:.yr�• Y 7 M1one(L]f M6 Address (mailingL City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am Ilcensed undei provisions of Charter 9 (commencing with section 7000) of Division 3 Of the Business and Professions Code, and my license is In lull fa anetmct. �//yJ /J; License Class No:100'/ Date GG �'� Signature ,si WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a ramgcate Of consent to saffansu er Pr,a certifrom if Workers' Comeen3aton Insurance, Or a "Others cop���`ection •IB Pnh[y Nn. OG'J3 Company g �Cerfifla0 [opy Is here0y rumeh¢d. eeruned cow Is Bled won me city Rwlyyng Iyls�pp. Data i—ms'4/ WORKERS' tel: IONDECLARATION EXEMPTION need no WORKERS' COMPENSATION per TION Oone ARATIO N' meals •�ftlOn lie d not be completed it the permit Is for On hundred 15100) Or Ica I tno that In the performancePerson in any an marine, which become eemlt ISIssuedto t w Akers' Companies On "ws Of Lai fe nub.. so as m be[ome 51ect m the Dam signature NOTICE: If, after making this declaration, you mould become subject to me workers' Compensation tion pmvlamscad on5 On e Labor s, you mast forthwith amply with such provisions o w permit hall- be deemed a ked. CONSTRUCTION LENDING AGENCY pe Kerins work that hem which this permit n15e 65ued(Section for the 309yri Civ.roper C.) Lender's Name "tiers Address OWNER BUI LOER OECLA RATION I harbor affirm that I am grander from the Contractors License Law for the U I am ekempt under Late rovides to M. Buba no b P. C. for this reason' to flwn m $Pace$ ascent those within heavy border liner and sign an appropriate declarations %pix NO. S TflACT NO. LOT NO. UNIT N0. 3E OF. CONSTRUCTION NEw ADD ALTERATION REPAIR CONVERSION ❑ DEMOLISH ❑ OTHER A.P. B, DESCRIPTION OF WORKIUSE OF BLDG, B Main BL E OF PERMIT GRADING FOUNpATION, STRUOTURAL T From 7 {ENANT 0 ELECT Is CAV C PLUMBING MECHANICAL B Rear OTHER A MECT DESCRIPTION SD. FT. OCCUPANCY C Right CON51 RUCTION TYPE VALUATIONS S Left 20NE I GRAOINGCV.YDS. ACRES, pled,Raf.•e 3atkflow Irrigation 3athtubs :Imifiers JisM1wesM1er Drinking Fckm lot floor Drains =loor Sinks a Service Outlets nNrttPtms Kitchen Sink Lavatories a—Trap Roof Drains Reinspection Fm $15 Boiler Duct- Under Ground Duct Structural Duct Ventilating Exhaust System Multiple❑ Firepl/Fact. Bit. ICBG 4s Heating System 8 Ducting ReinsM ion Fee I ' •$IS rat: Ip/96 wte - EYIIOIng: hoary - gppllcantl Pink -giCOYnlIOq: GOIOBOIOd - g550150r Showers Service Sink Sewer Cap Sewer Connection Soler Collectors Solar Piping Soler Tank Swimming Pool wisps Urinal Water Clank Water Heater lane Fee 1ANICAL HobC Or Type l ❑ Canopy Type H ❑ InstigateIf System 1C0.000 BTU ❑10D,000 �p System Repair/Alteration I:bnstruchoA Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan 7952 6/20/66 14.25 TL 2 O N G R Parking Rep./Awided E M 5 Transformer IJ 1550 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100 drops Sub Panel Motors 0D1 HP ❑1K-8 Inc. Solar 09.15 HP ❑1615+ Microwave Pole Light Trash Compactor S'3 Homophones Fee $15 Issue FFiat$3 FEES DEVELOPMENT SERVICES REQUIREMENTS: , 2onirq Approved By n.m Building Approved By APPlimtidn 1%s BY pate Dat SUMMARY OF FEES BUILDING PERMIT S SMIP S PLAN CHECK $ PERMIT PLUMING g ISSUANCE $ PLAN CHECK 25% $ .ENERGY P:C. S ELECTRICAL 5 GRADING S PLAN CHECK SM $ MICROFILM S _ MECHANICAL S TOTALFEE $ $'3 PLAN CHECK 25%. S CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit Date Inspector c 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd, 54. Forms r� 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & 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. POO USPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # _ 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑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 j'42. Backflow Preventer ,43. Backflow Irrigation �I 44. Landscape Irrigation System I :45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison i 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. P. O. Box 1200 Costa Mesa, California ' The Building located at 3505 Cadillac Avenue, Unit F7 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B2 Occupancy. Use of Building Office/Warehouse Legal Description 139-661-04 (See reverse side for Metes and Bounds) Building Permit No B 58007 Electrical Permit No. E 58014 Plumbing Permit No. P 58026 Mechanical Permit No. M 580195 Number of apartments and/or guest rooms Fire Prevention Permit No. F 58394 ISSUED TO: bonus Pharmaceuticals 3505 Cadillac Ave., #F7 Costa Mesa, Ca 98627 Building Official Trmv WI)p RnrA by Date SpnrPtribor l n _ I Q97 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 101536 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File .RDUD e. ILS Layst. ease AODREss: SO)F.US :PHARMACEUTICALS uxrt: OWNERS NAME: SNE ADDRESS: 7♦ L AntxfEnmxEER: BO750 THEBCCITYNDR L1298 SOUTH REG.ND.; ISO ADDRESS: ORANGE CA 92668 UNIT: PERMmEE: M.A. NOURSE, INC. (714)750-5200 ADunes9: 1928 E DEERE 110 SANTA ANA CA 92705 LICENSED CONTRACTOR ONUMTIOx: Ilae4 amian w feeM wY mmN fAapler 5l[nmmemna'Mfn senipn TDOW of Dii gq� Zre�neee am vml�ITE)c�5 rlNeneq rseffMM efu. CITY LIC' SERE LIC.:O1 J C -0aIa'. ahNfue'. _ LyeRxERsD rvived p there7se lmlirelo.iob' �I%Iboim% nL�o senansme era cemfvmol wonarr fompeno n POLILYNO, STATE FUND Exv.DA MPANY: (dodfied seen lmnW M. ❑ CMiIA cosi 6 M the GO xuil6ng D' ' uErmmx United RKERs'mxPENSAmxOE UnM: Imo alien lrinu mmmpleln]il th celrlEl'¢Ipr brae nnarta SlaDi pr leul. subject to IN wonert �Wmpeiauon Lards; M Cvnoriea�enma Es i:ace, Isnw nofempley mD perm? mans manna sat azlaMmme Dae', signature: NOTICE: it, elect maj IM aeNmm, Yuu Shi become supxl m the WDrVj Corryert tiara pr ^ i is of the Labor Me. yM been hughwian CgngY keen San prowl or thm xlmiL card be Deemer reuolrea. CWSTROCIION LENDING AGENCY: MreEy a1Nm IM Here 6 a mirsltueim MMFg AertY la rhe peNwmaMo of rhe wnM1 ler Ash this p it E Dmw (Whom mi, OF. C). LENDER: ADDRESS: OWNER BUILDER BECUNnBN: I hereO/ Future MI I am exam$ lmm the ram2[mn' &aro License If w Or the IMAM meal (3ttMn 70315 Bcolom»] Promotional COO¢'. Artycity of County wltn requires a Permit to thwhi Farm. MIAMI.&made or ¢pair am structure. Vim to its Entrance. also Moment IN amount fw am persue an ate a sl9ned scamerenl telae home N lk nW purstant to lee MN ns if the Unrraelpl3 State License Law VC Wr 9(comern inp AmStiro OSCAR of Uu¢nn 3 of the 8ugress rad woiessons Cneel w Ina nd/sae is aMlryunaelrcm am tM Mss MrtM1e Neged enempllon AM vllo adon of Sxtun 803LR hY ary applieml for a Comet su%e[k the avo l to a mil pmalN nl ml mere DAN Me hundred dollars CES" I, BE owner of IM pr ly of my pweals Von WINES as their bele p M, AU To Ne Work, and the ❑ shumbela not iNi or offered for note (se[lim?C44 Bushes and RuhsNmal CWe. The f Mxbra' SUb Boase Law Were no so* to an man of a pmwrlo tried amandate "rem, And wN Does Rush worn FFMRffnerself or through had or her awn emgpypo. oro�'d himprpmmems are ml intended w offered list so*.IL Wei the )i Of mormal tis eqd whin me Yar d [O =radion. the owner AN have the burden of Waned hi Nd mN buld or imwove for me pumas at sell 1.azOwner glne pwweny. am ex[Nsnery eqmmcr gWim licensed wmragws to mnum[tlM wn'en bn'oaa. Nu9mexs ❑ WPrOIWMsMe: IIIC GWnrauprs'$Iae lkelu lawa[a MalpN 1p an avmer of pmpvy Lilo Mln lmpmres urelwn that oroM of trier Werkrfi Include mMnnlm nice anm rlaseoom xorvnned m me °clws'sate Lsena 1.1 am aware ❑ I am wempr union &cairn: 0. R P. 6. Am lus RML?: no Aare thaNN lace ufaware Mem Indnihew Inc rtywemme pled in no.ed; viand SSIHt "Mae ad IN requirtents.and. for a memo and that or am rmure ifi mrM wMM IN AR (Wa not Mende men need e . HMe with ram etre W ar and IM ream Baeme Nem memo gr med'niW Don tum Inc Cor agiN wwNemem aadn. Rnaemiq [marmron appimaupns are aumM tum Apl6ant,_ Ross read Ma WM Mnred sloe lMt 164146 WaM—Edwhim: Green—Cmde Enrw[emenf: Calory —Ppplignl'.Pink —semi Dckdonfd—Afntlol CITY OF COSTA MESA - BUILDING PERMIT , 881 PERMIT NO: B 058007 PLAN CHECK NO: 01568-92 L CONSTRUCTION TYPE: IF PERMIT TYPE: SIR PURPOSE: ALT JOB DESCRIPTION 2900SF OFFICE, 3044SP WAREHOUSE T.I. SQ FT; 11,888 CLAIM VALUE: 40,000.00 CALC-VALUE: 45,815.20 GROUP OCC; B-2 / COMMENTS: X aeM #iENNM##ep is of rtiek 3e lfM NeF Rand##NaF It afM#kitiFM k#Yit4lt iPk iFN 41EYfP 3t#MeEM 1FN#M.Be#ieW itMM##i(.#TEM#ie##it NiFM# Z O N I N GE E R I E B 0 A U CIKRSE M FJN T S ------------ MAIN BUILDING ---------- --------= ACCESSORY BUILDING--------- FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN D E V E L- O;P M E N/ ZONING APPROVED, BY !/ BUILDING APPROVED_BY `k)G t MMMMMMMMMMMMMMMM#MMM IkaFM L EGALIZRTION:N � BLDG PMT PL PERMIT 388.50 PLAN 252.53 ISSUE FEE BUILDING—DIV—> PERMIT TOTALS ---- > 398.12 ; 1 REF NO: LABORATORY IN EV I C E S R E Q U I R E M E WY T S ri DATE:--�7j- �.- DATE: F E E S U M M;A R Y STRUCTURAL SEGMENT:Y 111410' ELECTRIC.- MECHANIC FIRE SMIP/RES GRADING MIP/NON—R£S 17 9.62 ISSUE �PL•AN=CHECK ,� TOTAL PID DUE 0.00 \ -2$2.53 650,65 650.65 ,00 COLL\E D; f' 398,12 OVER/SHORT; 00 ECTRIC MEC HA ♦ ,FIRE SMIP/TOT GRADING PLAN—CHECK 9,62 MMM#MMMMMMMMMMM#MMMM#MMMM#MMMMMMMiF%M#MMMM#iE#MM##%##M########ef###M###########M## I N D I V I D U A L F'E E B R E A K D O W N TYPE QTY D E S C R I P T I !Q N' i S'7:% UNIT COST TaiCOST SFC 2900 OFF -INT. ALTER TYPE V -N. -"'_. -AVER 1 1012 29348,00 SFC 3044 WAR -INT, ALTER TYPE IT,V-N �..-AVER 4..16 12,,663,04 SFC 5944 EQU-ALT COMM, AIR GOND ' -AVER .64 3,804.16 END OF FEES` - II j. Fir IZZZ7.- O ;T. .. I.i CONSTRUCTION AND PLANNING-" APPRO%',kLS Permit # Date Inspector POOL _ SPA APPROVALS Permit # Date Inspector 1. T,, mporary ElectriCal Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •_4. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding t). Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO ,COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. - 8. Foundation i 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap - 63. Heater & Vent -Final 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR -PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace - 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas 0Oil 23. Gas Pipe -Rough & Test - 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 000 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 7 V& �/ 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding PI 77. FIXED SYSTEM FINAL 29. Insulation '�78. FIRE PREV. FINAL 30. Drywall Nailing l3L d¢�f-- 11 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat _ I 79. FINAL INSPECTION 32. Electrical Power Meter -Final 33. Final Electric - r 80. FOOD CERTIFICATE ISSUED Notes: t ' Z f�5 yti y ok \ 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 48. FINAL PLANNING WEe. x2_ 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co I I 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT, mBREsd: uxn: m"�'p5R3 NAME: 3505 SONUS PHARMACEUTICALS F7 a9oREUr SAME ARCM INEER: BOWMAN S BOWMAN FUROI C1 � 80 Ali 750 THE CITY DR SOUTH TI 150 ORANGE CA 92668 PEPSI ABBREaB CHRISTIE MECHANICAL INC, (714)455-0700 "7En nanrn¢unsnnD IICFNUO CONTRACTOR BECIPRATIBN: I MreAy affIonic II c sW vNer pm ima CI CWWF 9lmmmemin0 "h Sealbn )U]B nl BMHnn 3 nt Ian BYEInR6 AM Pr01eaY0n3 Cone. Mn If e N N [W= and effect. if CITY Sou: p araT uC.:516824 WU: C-36 ati sIBMMre: WBRNFRS'COMKNSATIONKWRATMN: Iherepy ilmm Dana Wtemlwrum muHsrueT mraanilFaxm waxrz' ammnsmlon Insurance. a a mrdial My MWW lSauon 39W.19. CI. Prater Nn: PC993936 EERBAEE: 01/01/93 Fj COMPANY: REPUBLIC ❑ Conow w is Mrea furnEAa, 0?CeNiow may IM n a CITY 9uilMB lkAsian. nbnt W Ile worms^ammemamn Lan: a wham. Date: Segni NOTICE: It, aberey'ialh.3 urs dayladm. That tWM femme smin to Me Wmas' Ura naaum(nao.6 $ of the Labor Come. San mard baa m mmory arm swr Xm m or am mmnl s l be deemed bowled. , CONSTRUCTION URI MEN" I hereby affirm IM there A a WllstnClm NMnp ap kr the Rdormamme d the Mrk la weal An mound a lowed 13etmn Mr. Gtr. Cl UNDER: ABOREU. CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 05802 PERMIT NO: P 058026 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: ALT JOB DESCRIPTION 2900SF OFFICE, 3044SF WAREHOUSE T.I. SQ FT: CLAIM VALUE: 5,000.00 CALL—VALUE: GROUP OCC: B-2 / COMMENTS: REF: 858007 Z O N I N G S TBAcxs R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RIGHT; FT IN PARKING REQ; PROV: PARCEL: 13966104 ZNE; REF NO: PLANNING NOTES> D E V E L O P M E N T S E R V I C E 5.: R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE; APPLICATION ISSUED BY: DATE; W,,wwwwwwwwwwwwww LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N WHERBUIWEno[CSARAnON: IhVe ati tut l am meow morn 1*[ MMM'Sme Li Uwror the ldmmB WSW BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/RES GRADING rcsemdn Dams msirre's and Wmres9wal [we. Any sydmunly wdm rmuiW acernil ro wnRrun. mer.Impram. demd'an, or PERMIT 22 00 PLAN—CHECK WSW Any mmmme, as mils mwo. also comes the apMmm a Wall l Al file a dorm un"a owl mase AS Nmmed '5% �, SMIP/NON-RES WSW[ 10 Of aW mofIhe CONraemrs' Slme mneme tda (Lhmer 9 lmlmllenM n1113etHm 7M 0 Madan 3 of the BuslMx and Pmlemtm Come) or mat none a exempt mnomwn and me um lathe ale e,errmxn Aw tum of Same Twos by I PLAN I N D I V I D U A'L F E any spoxam la a arm wgad the app Mto a calce q aw boort lose lee WSW a FS(s . ISSUE FEE 3.00 _ 1, as mud of the own or my w m Daae mi As IMir bole oaf ow. bop m Me mwi am ITN BUILDING -DIV-> PERMIT ISSUE ItAN-CHECK TOTAL PAID DUE ❑ structure m net rmemed or offered for We m enim 71044. I3m and AdexxnM Cede: The GamrdI Sum LNense❑w TOTALS ---- > 22.00 3.00 0,00 25.00 25.00 ,00 mm not away AS al weer m a pmmm n%na dads or immwes tmr , am MM ma suM nmL MndeuNtWi Sir Walsh hie W her bar enil s, provided that said Bwrmeereves am no Pmndm d WSW ror sax H. Wmr the builang W imprwemem 4"nmmin %t sw of mud w. me amer Slam the WSW of Worm rases dd Ild of a improve for the purmme or Soled. ❑ aa Mrn balMpGp ty muYrery tapaGxb an$ NeeMm iaMcmn la coni Me Pi lSedim drift Business nd Rdesv Cdde: TAe LmVatmli SmeLmdeLnpas mlappymaewsrer pl prpppry W WMser ingrwemermn red Mo mnnatls for eW POMIS WiN a =IfaMOrdsl IitWSe wnuant m IreC tMINie Sute LitmM Lawd.I am aware one wool of heir WgFer s fARyV too in9u WSW be g d m M. I am emnw user saran'. B.a P. G. law this Wsm: Bate: Chims Ire AerMy armyarm l am mom of am undemlam the ammemmm dtMlara Herne and Saxry Code Sci 25505.25533. and 25534 and that I or any Imure bw arm mcwwnl whyrd no (emk one] need to mmpfexim mid ase aces No me mummenrs for a pl[r�t for mprowl5imimw or m 4ioanm from Yea 4b �Mana9emtm dmw Da ftkt. Nented mn awlrwi= are examw from PMMIY Orion a nonce W &car &way a: - Ie41J8 Whhe—Ruigirp:Green—Code Enlorttmeml Comm—AwillkPlnk—Rwvnm: GtleemW—A sol REVENUE DIVISION TOTALS--> COLLECTED: 25,00 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC M 9HANIC -•FIRE SMIP/TOT GRADING PLAN—CHECK 25,00 I N D I V I D U A'L F E E B R E A K D O W N TYPE QTY D E S C R I P T ISO N UNIT COST TOTAL COST FLU 6 SINK, BAR I 200 12.00 PLU 2 WASH BASIN 'r 2,,00 4,00 PLU 2 WATER CLOSET (TOIL$T) 200 4,00 PLU 1 WATER HEATER AND/OR VENT 2,,00 2,00 EI OF FEES �CONSTRUCTION AND PLANNING '7APPROVALS Permit #_� J Date Inspector POOL . SPA 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. 10. Structural Floor System 60. Backwash Lines, P -Trap, 0 Undrgrnd. 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 �„ 7��1/RL (,,� 65. Electrical -Final 15. Rough Efectrica(-Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75- Dry Chemical 27. Frame and Flashing 76. Dry Standpipe - 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 i 35. Final Gas Pipe -Test 1 14 36. Hood or Canopy 37, Final Factory Fireplace ! 38. Final Plumbing 39. Water Service -Final 40. Gas Service-Fipal 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. FINAL PLANNING-" 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co i . 51. CERTIFICATE OF OCCUPANCY No. Date PRMECT ADDRESS. 3505 CADILLAC AV NRm' F7 pwxxxx NAME S SONUS PHARMACEUTICALS AooREss. SAME RRMIERDINEER: BOWMAN 6 BOWMAN RES.Nu'I C1 ?J80 ADDRESS: 750 THE CITY DR SOUTH 150 PERmIrtEE. ORANGE CA 92668 MURMS:BLARE AIR COND, S SERV, (7141630-6412 1175 N. OSPREY CIRCLE ANAHEIM CA 92807 LICENSED COxiRAciORDEcUUTION I Wendy aulrm that am licensee under prnvmlnne of emphr B eommerainp with Section 7Mo) of NES, 3 of the Business and hohasom Coale. aha my Nceme is in and lead and ellecl. mlY -026026"�g0''396109cuss —20 me: -7 — k — 92 Slgnadre: (S.LQASD WORAEM'CWAPENSA}Iox BECUUnoN: IMreby firm lNll trace eanAiuh of tonsam to WNInNNeaaUnRGud WOM1M' cwnpen5atim Insure C. of "Wm Con mer¢t 15eeIN SBM. read. On KLICYNO.: 73WC0058100005 EAP, INAn: 07/01/93 compmy: NATIONWIDE CO. ❑ eemnm tom h never bmiahee. R Cerrwh copy is filed with the cub Building Divhbn. Apmbrc P) -Ile i III FABIPIIAM IABM WORAFR{'MMPEX{AMIN NEpARAiIOX: RNs s¢1m neN r6 M[omfYeE Litre pnnYl B ler oneM1MM151Mj Wleul tuarem mule Mkders Um mTo LIVES CUfi Rea cermM1 rsisrvm,laluErwt emslpy am perwn tram mannermato kcome suN¢I N Iha WOMn' WrWemation Uws d GIbmM. State : Nraum NOTICE It All males tris Each: anon. eve SWUM NOW subject to the Wwkn'compmUmUD pr v I of the taper Chat. you Milan, mnp•vnr romp'vert San pro m CA IN "d sM k MB nub w. LBSIwhicSTMPN o ION LENDIerml is NG A�ECNp :S IIner`V) il affirm that Nue is a emstmmn hMing agency for Me rserl Wmmand of the nvrk lm UNDER: AUDKSS: OWNER euIMER OEeuwnoN: I Ml adiw that I am exempt from IN r traapri sande Li=m Low fm pe IPoowEM dwW Smund 10315 Busiress and Nolewonal DOM: Any city of Wahl regulate a llennft to wMlruel, alter, implouw demhn, or par any arrumwe, pMr m'nv'nDUE also regmree the DATE fish sl[h pMrol tin bre a signed statement Vat M/sm is licensed wmuinito IMproA"WIWGMraead if Slah LX%nae LYN(CAapler B1WmlmnvinA wile YCYWI }[�)pI U'Ivishn 301 Ne BYainda and Notusims CMBr or the hOSM A exempt Mee[MM and the barn ler the alleged ec mptim. Any violation d $ham ]M1,5 by an gin nt IN a paying s M IN apOuM IP a coil= sky of not more I= fere nundrea mllan R 1. I. a wear M the womnv or in a pMryie yntA Mm sa IMr h edn[muWn, veil do Ne woAl, antl tk ❑ alruchue el wieMd Ceoherpibr ah a3e 11M An BpeiMMand REhv malCMe: IAB ConaMaS'SINB LIMMB I tw d W1 TWIT to an Cwnpr Ed A NOWN'wM LuuM or ImWm IMmn. ane An Ma sum Ntld ni=WMOMI( ce llamgh his m has usher employees. pmvwm Nat wan impmvemena arc and kneed¢ or dlNM lar sale. Il. Madded w MMiM m iw 08 ocrpmme m l within one Tenor of mmPhfM. me Mal mg have me when d moving Meme did WI hula Cr immom I, as Ni the prune xclumeadI5yyy contraninA WIN lube 4 Mnu¢mn m amuruatl rhreryFDJi%t(Seal 71 &lzinen ❑ ma NO minlr¢pb IN 0 PMIKttS in ac ostrauorlsjwlicense W�anl iolAe Cmlldthra0'SMeO im sWWS e Laaxy wartmpor ma1ande I= and of their Nbrhr9 ComMnulim Insurance sMarh M prwlMl to me. ❑ l am pempt Audi Sel B. A P. C. Me thin deriver: OEM owner I do Nestor certify Nan am aware of and OccidenM me requirements of Glilomia Neagh and Safny CMN Savions SEEN 25513, and ssz]o aha NO l or any mmrz Mal Occupant didtMd I {hhde mel need to Worry wyh old state cases and ddAkmems Iota permit Iw conslmdlon o- mariaaWn hold IM VOwldy Mma¢nanl District. PoCME1Yl onMrEctbo apphbfiws are exempt Imm dam Prwskp, I pantry shay Nal I nave read INS armideflm and dam IM The abw2 mfumalum Or weld. I agree In comply wife ae cilr can cmnry wN ncv ane team bws relal mnuiWK =WMIM aha hamay amwae mpmuniafi d Mils city to who ape the awwv WnN wom yIm Mm iw PWM , 1641.46 Whna-emmil Or.uti-etre EnWMBWnl: a aqy MlmM Pink-RAvmue: Oddenme- nwr CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M 05808 PERMIT NO; M 058085 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION -TYPE: V -N PERMIT TYPE: MEC PURPOSE; ALT JOB DESCRIPTION 29009F OFFICE, 3044SF WAREHOUSE T.I. SQ FT: CLAIM VALUE: 1,000.00 CALC-VALUE: GROUP OCC: B-2 / COMMENTS: REF: 658007 kif kiF 1f kkYkk kiFiek kkkYkklklF aF IF iEMYaF}f Ykk klFk kiFkkkkiF iekkkkkkkkkkkkkkkkkk3f 4if kkif kkif kkkif#'iF kif Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------ ' ---- MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRN-; ✓ FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT:. FT IN RIGHTS FT IN LEFT: FT IN RIGHT: FT IN PARKINGGRNS7'ES> PROV: PARCEL: 13966104 2NE: REF NO: kkkkkk kkkkkkkkkkkkkkkkkkkkkkkkkkkkk klf'k kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk k3Ek D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING"APPROVED BY I DATE: BUILDING APPROVED BY DATE: 1; APPLICASZON ISSUED BY; DATEL' k kkkkk kiEk kkkkkkkkkkkkk FY R"iFii}7FY£�FlFifk Yid k 3E4 MiE9E iFiiRID YMk MiEM 34 ifMMMYkiE lFM kkieiF ie iEk YlaFkkkk kiE- in kk kifk kif if if iF%YifY lEifkMkYrt Mlfk kifMklE iFY4khkkb4kxR LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING PERMIT 5120Y SMIP/NON-RES PLAN ISSUE FEE 15.00 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 51.00 15,00 0,00 66,00 66.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 66.00 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 66.00 iFiFk if LEY klfkk kifkkMif iF#kkkkaFNkkketkkkk%kY kat kiEM kkMMIE SFk kkitM kM R1FkXkXkkiFk ifMkkiF iflFkMMrEN iEi4lfk I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST MEC 2 REPAIR/ALT COOLING UNIT/SYS W/CNTL5 9.00 18.00 MEC 2 INST/REL BOIL/COMPR 3.1 - 15,0 HP 16.50 33.00 END OF FEES 01 90117035-P91ia0337 DATE: O7Jiuipo Tt !;_: 7fa C- r CONSTRUCTION AND PLANNING APPROVALS Permit Date Inspector POO ;PA 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64, Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditidning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground _Hydro 22. Ducts, Ventilating -tbv_�i2v75 7712.47 4.W 71. Product Piping O -Gas 0Oil 23. Gas Pipe -Rough & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding - 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH'DEPT. REQUIREMENT 31. Plaster Brown Coat j 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric I j Notes: , 34. Final Heating & Air Conditioning 7/t j lelI p 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final l 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. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 1505 CADILLAC AV CHIT: F7 OWNER NAME: SONUS PHARMACEUTICALS ADDRESS: SAME MCMAGIREM: BOWMAN S BOWMAN NEN.NN.: C12980 ADDRESS: 750 THE CITY DR SOUTH CHIT' 150 ORANGE CA 92668 PERNIiIFE: RON OLSON ELECTRIC (213)493-1089 ADDRESS: 10391 LASSEN LOS ALAMITOS CA 90720 ICER of CCD 3orI DfLUMEIUN: nereny anirm Inst am AarmO in pRome act a (Auger 91[emmen[inp niN SSOnn il[q el DINwn ] of IM &nFui SSA Pml¢iuma Calle. all my A[enx bin IUA krta all ellen. CITY SSI:.: pS 834 MATE ape.: 366479 ear( IJS.�._ C -eNe: V)834 "Arm apremre: l WDRNENT COMPENSATION DECIAMTION: I hereby anirm tMtl Mae a peelXDate of cotnem to Gell-Inaumw amnm[ammW m wrrmewmn Immance, o- foal m thamol (Semen am, Lab, G. FAUCY NO.: EXP. RATE: MMPANY: ❑ Cbl cocar or hacp5r handful D wdaad Cray is rico with AN my GkewirD u Aiim. wfe: AvaEmm: ERMPIIONFMMRNEMMMF4 UMNMUMUGN'. (IDs utlnn Dan mtU umetln]IIIM pane Nlv one lNMw1 (flmlGrxml. I Cell lw n the penarme Of Inewmxlar amen ua Or is NAME, I man net empmy any ppm" in any manaeso as la Demme eobnw �to the /��/wor/per'e ryc��cw—pp/,,,erlaar n taws of capmmia. Signar NGUI:EE: N ax Inn: NN Al year invoked breams cull to Ile Wallis' Umpens=n donations Ed IM Eabpr . Cade. you must fun*ilh comply li w[M1 previsions w this permit sMll to cal ranked i CGNSTRUVION UNOING AGENCY: Iheretry affirm that there q a mosirrt lendiip apmry her the MHOF*Maxe NIM Dad IN watch this perm"Is'usmd (1 3097. tYv. CI. _ (ENDER: . 'p ADDRESS MAN BUlLMR DECUUTION: I NAY affirm that r am nempl from the contractors sae Luse Law far the federal reason sttlian]OJ1,5 Guinness and RDIW nal CWT: Any city of county which repuims a por lea=MruU. alter. imwwe, dead, or Rpm my UFMIUM, prior to fie IseuaKe, also FKOfeS the appnml for Both IAmD to me a Signal nverRm Than herons of DURen bimesh mog Coal il or mu MewINraimeeamyl IlWelmm nn meas iaInformational leed a amp�u.nAW *IaDM M avian MI5 W any $palm lw a wrme Yldfews the aspfCant to a rnil penany of net more Iden NO nunGmd Dulurz tSSlgt. I, as Omer of the prom r my rK0Ar In apes as )Mir mit components, will do Ne wall and N¢ ❑ structure is net intended or on and for u415eclim ]Doer Ousrrress mO Rolevunal fatle: The ntWm SWle Lna Lana does nor apply to an owmr of a propeny wait bi of impwes tMrmn.M who one such work I Wm eraen m Or reupb las or her own emgwees. crowded that such inmronmmm am net mreded w mored wt safe. If. however ma mudnp Of rmwoanmmlls sold wai one year of mmgeboul the "net wel nage the burden of offor "a not Dina or lmplove for are pnmmn of sale). roelMpro{en am exOlwwcl nbsttnp war licensed contractors to oramm t the Mock )SMion]WL Gummed; ❑ and Tnfv'mS DONT T Central]dale LNenu Law deals act apply to an purer at procem wM Mike or"FUM damn all who Cal for such pO*M Crim a wnoaeor(s) lift w mmua to Ile Contractors' Code 4mo Lar l I am arvee tort want a Not "air'a Campowim imumnce shorn De Pm w m M. ❑ I am eeamm under$mlim'. R. A P. C. far lake Bowl Date: Chr I do MreW nemiy slut am aware pl all undemaM Ik reokeremmW m Gkiomia Hekem and Seim Dade Se[INm 25505, 253, vat 25W and than or any ware Ii o WtMilano not (tide oval wee to mmPN with sand nae codex em me rmmrmi fora prmo mr=gFMOM or MS iCaliM Dam the ar wally Manawe nt "W. ReWmtaf SpnsWtom apONa us e.errmt lam mean owsiMs. Date: Apmwnd'. I hedAw cooly limit I have NO East apgmmom arl stare Thai me alone Mlnrmaim is toner. t Game to mmply will m m and mums rad we ware—emetine alk—R rue: Gdden Aea¢mr CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05801 P RMIT NO: E 058014 PLAN CHECK NO: N GOVT: N SUPP: N CO STRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: ALT 70 DESCRIPTION 2900SF OFFICE, 3044SF WAREHOUSE T,I, SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC; B-2. / COMMENTS: RE:4B58007 %kkkk%%kis%%kkk%k%%%kkkrtkk%rtrt%%%rtrtkrt%kis%kis%kkkk%iter%%%k%%%%kis%%%kkkkk%kis%kkk%kkkk Z O N I N G R E Q U I R E M E N T S S TBncxs ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REO; PROVE PARCEL: 13966104 ZNE; REF NO: PLANNING NOTES> k kkkkk%%kkkkkkkkkkkkkkkrtkkrt%%%%%k%%kkk%kkkkk%%kis%%rt%%k%k%k%%kkkkkkk%%%kkkrtk%%rt% D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : — DATE: APPLICATION ISSUED BY: tT 7 �� r2, DATE: A%kkYitATION%ISSUEDkMkk {E%kis%%kMY% kkkkk%kkk%kkM.%kis%kkkkk%k%k%%kkk%4%9k tik%ka fkkkkkkkk%kkkkkkYkk%iFk%kis%kisAMIf It LEGALIZATION:N F'E ,E1 5 A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 125 90 AOR SMIP/NON—AES PLAN ISSUE FEE15.00 BUILDING—DIV—> PERMIT I5PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 125.90 15,.0000 0.00 140,90 140.90 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 140.90 OVER/SHORT:00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 140.90 k kkkkM kkk%kis%%%k%kklkkkkkk%kkYk%kkkkkkk%kkkkkkkk%k%kkkrtk%%kis%kkk%kkk%kRkkkk%% I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 20 TURES, LIGHTING 1 ST 20 EA, 15,00 ELE 34 FI URES, LIGHTING ADDITIONAL EA, ,75 .45 15,30 ELE 20 RECEPT/OUTLET 1 ST 20 EA , 75 15,00 ELE 48 RECEPT/OUTLET ADDITIONAL EA,. ,45 21,60 ELE 16 RECEPT/SWITCH 1. ST 20 EA. ,75 1200 ELE 1 SUB—PANEL 11.00 11,,00 ELE 7 MOTOR/POWR APPARATUS \0.0 — 1,0 HP 3.00 21,00 ELE 2 MOTOR/POWR APPARATUS 1 — 10,0 HP 7.50 15.00 END OF ES CL.t' a. ILl J', e, . CONSTRUCTION AND PLANNING- ,APPROVALS Permit # - Date Inspector PO0 SPA APPROVALS Permit # Date Inspector • 1. Temporary Electrical Service'or Pole 52. --Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53.,Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5. Steel Reinforcement- 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. 8-. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P -Trap, ❑ Undrgrnd, 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & 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 Electrica6Conduit u a ll 16. Rough Electric Wiring 7 -?-Y" -7�3�„9Z [ RA 66. Solar System -Final 67. Fencing & Access Approval 17. Rough Wiring Sign 18. Rough Electrical -T Bar Ceiling ��31 •qZ. / C`_ 68. APPROVED FOR PLASTERING 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS -Permit # _ 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating _ 71. Product Piping ❑ Gas 00i] 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ElGa\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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT -31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter, -Final i• -B FOOD CERTIFICATE ISSUED 33. Final Electric )tJ AL { 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 48. FINAL PLANNING ' 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: UNIT WHEN'$NAME: 3505 CADILLAC AV F7 ADDREM: SONUS PHARMACEUTICALS SAME ARCNRNGINEER: RED.XO.: AuMR¢A: BOWSOE NTHBOIMMAANDR SOUTH C1 Jil050 steel ORANGE_ CA 92668 ADONEW UNNITEyDyEyFyIRE PROTECTION (714)550-0886 LICENSED CONTRACTOCHARD R OECCry UTRRTIUM:'Y1eAieev anirm tblt am Dcmua unmrosm'wa l7eNp�er 9lCpmmeMiry wen svMlm 7= of Dmmn 3 m LIN aMneas and Owl Cal am mw key is in hU Ione and OWI. a�m LIC.: pq6(,99 �A1EP0i 470399 cusB:C-16 'Sale: `-J-Za-92 9mabre: WUMERxCDMPEIIvnONUECumanaN: Al mail aDlmMemasMtanpnwaamMaumWwrr e emar n heritage w a ndn�M wow tate �Sslian B Lae. CI. """AD ESP. SNR: COMPANY: CCP17046 01/01/93 ❑ cemDkd doftpyFa ATt6i Veep appy Is Alae amp Me May odmmnD Deabn. ;=-2-3-C) Q Z wepanp I( FRIRINXFRO11WOMERS'MPEN&IMNGEWIAMLION: (Iah seOtll neon Veemmtlefm it Ve Lemalbbrpnelugim MtMIp1�M. I Cenilythil in the perlarmaMe of lm WN lael this vormad A leaned.I MUST mI Manor At Peron N am mannerm a to scone olyect to the Remain Compensation Lws PI GYlwnu, Dae. &Isnaun: NOTICE: n, alter Map Ina dee Mm, eon sM eaoln sudew to the WwNa% cpmpenutun prmhiom of the Labor Gra. Wh mer Impam CMner WN amp Wel or me MOM ma he dmred nand. [OXSTRUCTIG I LEXOING AGENCY: I Mnq all'rm Ilul Nen u a mmtluclim kmFlp apercy M tAe MrlalfeMe DI tAe awM Ian ,hatch this part a h M prop W Cie, CE. LENDER: MODREM: OWNER BUILDER DECUUTION. I hereon arc m Merl am eemM len IM GmlaCMW all Lame Lw tan t e IwbwaW reason repo a nRLS ureLlm ato as MC. apse: bon ran ap m t Its uo Perm to Fiat b mnwm MlW. im hapsheeIS BQHW epaDaid stheproe.wiw mie iRYarce. alaoryLiresseIm(C tlw wMmmv blas a9Dned sOMofDtlWn 3 of to OunsM pureuanlbb05 Code) Iat rnMapmrxnn Suuenmee Law Theptu9erina exe SMiw MOM of Dlvi5on3Pl be BusiMSs am amlicmfo Gdel w Iran Mhne rs exempt to apron am tM cam Ipr Mrs tan i aemwim nny w 1, M $mdpn )Ie11.5 ny aid aWli[am 1praMritel wpjaCts the w[aR'am 1pa dsil pmelry pl Ml more lAm lm lumred d>Ilpa 65GW1. f, as Darr of IIB w y w my am else xVn won u Intl sole MmMMatfm. tall 0 Ne N9M1, am Ne ❑ plvure b an[ bWndM or offered M We ISermn 7W,Buwemamftie I Me: Tho Uflmbm'SmaLimme ores nm amty to an owner a a w emy'MO bolds or imprm¢Unem, and Wq Me said fai nlmelNeREII M Nmugh his or Mr than mmbyam, Mo W that Si im MMIS ere Mr immdid or CNered for dale. R, mwaam Me Sri Improper IS anb Wa wr yon DI MOM ,the Palmer wa eve Ne mem of Memo Ilene de nm sped or perri mr the wmme DI shT I.ndwer Dl me Depen ❑ ye amemmuMD Wan uMmm Mnuauon mmnsllMllm wWoNdtmimm.Wsinm mhWmmwIIdsormiftrm amwho aectwsELDalp a [mnmrlsl tlWM ID NeWkeeLawlI am made I proof wpw omrm fmurMtt MMM an pored to me. ❑ l am enmpt WMA SEl o. A P. C. par this reason: Date: ismer: I M hertay Mdily Nat I am more M and Wets the IMueemems of Ul'fG UMIN and Safely Cade Mal 2651 ESUS,M 45SN and Met l or a" fpWtt Added onctoanl o��caimiq [k dMl Memin[pmely rrNh Sib 5li@mom min lle redPr¢mTla brd armanalot acdwn�vunbn of mdilalee nom Ins Airy MOMMMMI ONuf[1. 1NOMneI COMwnlm OMIdon¢ Me exempt from Dale. 4ount: IMreey today Met I Mrs mad this appaeom and ern mat IM dome iMarmo on bmrr . l SHIA In Mmgy won aI clry and cmMY urdmalmes and state Less rell b Added snwu[Im area hens/au eerewesmlaens W Me eny, b enter poor Ne aourcmemiend property lm Inspection purpnus. 3J- Z spnall T if 2(jap MimY Lange w sow Sauuty, 1RU<R Whin—Rum p', Grren unL PiM—Revmuu: GOlmenM—Axi CITY OF COSTA MESA — BUILDING PERMIT PERM N0: F 05839! PERMIT NO: F 058394 PLAN CHECK NO: 02783-92 L GOVT; N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: FIR PURPOSE: ALT JOB DESCRIPTION INSTALL 114 FIRE SPRINKLER HEADS SQ FT: CLAIM VALUE: 5,600.00 CALC—VALUE: GROUP OCC: B-2 / COMMENTS: AEF: 858007 sow%wwww%xwwwww%#wK%w%sow##w####%#%#%%######w%#%K#%#sow#sow#%%w %wwwwwwwwxwwwwxwwww# Z O N I N G S E T B A C K SR E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING RE • PROV: PARCEL: 13966104 ZNE; REF NO: PLANNING N TES> wwwwwiFww%wKwwwxwwMEFwwwkwwwwwwwx%eFwwwwwwwwwwwwwwiFwllwKww#sox#wxwwwwKw4%%%%%fwkwx%sow D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T 5 ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE: LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMEN^:N PERMIT BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING 81 PLAN 57. &65 SMIP/NON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 81.00 0.00 52.65 133.65 133.65 .00 REVENUE DIVISION TOTALS--> COLLECTED: 31.00 OVER/SHORT-.00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—HECK 81.00 K%%w#wblf K.w lEw%#sox-ifwwxwwwiEM#lwKw#Mwwwi!w#wan##x*####kKk##k#xK%K#wwwwK'N%%sow#fi#'K#%Y. aEx I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E 5 C R I P T 1 O N UNIT COST TOTAL COST FIR 81 FIRE EQUIP FEE (FROM BLDG VAL TABLE) 1.00 81.00 a a END OF FEES r CONSTRUCTION AND PLA. NINGPOO APPROVALS Permit # I Date Inspector 'PA APPROVALS Permit # Date Inspector r 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. . Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection - 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical:T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0OiI 23. Gas Pipe -Rough & Test 72, Underground Flush q_zy � LVIG - 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 000 25. Roof Sheathing 74. Overhead Hydro '�. )]�G]Z, Nip 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 C�,Z,gZ Wr 30. Drywall Nailing �7, HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat �•' 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric �, j, Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test I 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. FINAL PLANNING 49. Electric Release to Edison / 50. Gas Release to Southern California Gas Cc 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill In all spaces within heavy baraar linea and sign all appropriate declarations. . -CITY Sir COSTA MESA - -PERMIT NO. TRACT NO- LA NO. BLDG�./NO. XONSTRUCTIONPERMIT .81-380 ;t 1 I 0775 maafo2 702.13 Pdjett Adtlras 3505 Cadillac Avenue TYPE OF CONSTRUCTION NEW OADD CALTERATION .. r - Owned Phone 752-551 Address rt Beach ❑ REPAIR OCONVERSION ODEMOLISX O OTHER ZONING REGULATIONS Ascribing. HiRgCS_pBtJprS License No. 42855 OESCRIPTIONOFWORK APy ., - - ALEreea Ta ZONE PLNG. REF, ¢ — Contractor S tilsl Phohe57fi-84% TYPE OF PER ❑GRADING - ],FOUNDATION STRUCTURAL O TENANT O ELECTRICAL ❑PLUMBING. OMECH/WIC - I SET y RD —-PROPCRT tltyir SIpE Y Tp9V��p 1 G I AODress LICENSED CONTRACTOR DECLAR ION I hereby affirm that I am licensed under provisions of Garter 9 (wen. 1•� i\ 1 f L i - . RIGHT Ing' with lien ]000) I DIWsio 3 I the Blaisdell d' 11 OTHER Prolessloni Code, .and my license IS In full ford and H4ct. REAR YARD ITO P/L) License Class a Lldnse No. A6191PKC. PROJECT DESCRIPTION SOWORKERS' OCCVPornANCY_CO ST UCTIONTYPE"V—N SPACE REO. Ii 992 STREET WIDTH PROVIDED 670 PARK FEES Dail signature - DECLARATION that I haws o1 consent to ora '1 hereby aloft that M1ave a VALUATION ZONE ZONING APPROVED DATE I Insurance, or ertifled dM Certified GRADING CU. YOS. ACRES SPECIAL CONDITIONS. ' ,areas (So S1�,pWOyr�kQeQs'yCompensation 7C ,areas (So1.CompanyF � t �' ,y UrtifiM Copy Is hereby furnished. - - REMARKS: -' P.7 Q'k Certified copy 11 filed with the City Building Division. ' ttOLD FdR SPECIAL REQUIREMENTS " EXEMPTION FROM WORKERS' COMPENSATION DECLARATION •' (This Section need not be Completed It the permit Is for one nuncio, 1 Sbc.rt?fy Intn. performance 01 the work for whish this.permlLis - SM1et I hall noo ped t employ any person In any n er as to become PLUMBING PLAN CHECK ELECTRICAL., PLAN CHECK SOeject to mew^rker5 Compensation Lawsof California- DATHrues SHOWERS'SO 14T Date Slenalure FT q9 +p-1 NOTICE: If aflD "king this declaration, y Should became Subject TOILETS Il LS GENERATOR- KW_ 1-10 KW to the Workers' ComdntlOprovisions OI the Labor Code, yaw must Wb TRANSFORMER forthwith comply with such prwlslom or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 1040 KWi 50+KW revoked.KIT. SINKS DISHWASHERS - _MOTORS X0-1 XP -1-10 XP CONSTRUCTION LENDING AGENCY I hereby affirm lhtgthere is a Construction lending agency for the pot- SERVICESINKS SUMPS _ IIN0.5OLAR)' 11040 HP_ 50+HIP lormance of the work far whichthis permit is' issued (Section 3097 FLOORSINKS FLOORDRgINS• FlXTU`RE51' OUTLETS SWITCHES CV. C.). ,. LendCr's Name WP��S FATrn\ RNNk - LenneYS Address 6911 h3marretrak GEapi Tor orDRINKING FOUNTAINS GAS TUBE:SIGNS OWNERBUILDER DECLAR ION .INTERCEPTORS 111 LIGHTS , - I befoby" affirm that 1 am exempt from the Contractor's LieenX Law _ .CIARIFIERS_a( - '� SWIMMING POOL PTRAP - P E METERED UB e the lot owing season (Section 7031.5 Busb ss and holtlzlOm COtlI: Any city O county which requires a permit to Construct, alter, WATER SERVICE ALTERATION PANELS MAIN SUB - improve, demolish or repair any Structure, prior to Its issuance, also re, d,sla101that he$ quiies the applicant for SuCn-dfmlt Wo flle a}I9^emM Is licensed Pursuant to the provisions of the Contractor's License Law _ _GAS SERVICE , (OUTLETS " SERVICE. AMP CChdpmr 9 (cemmenchatwlN Section 7000) I -Division 3 f.the swgTER HEATERS KTU OUTPUT ess and W d9psdlens Cop11on r that he IS exem�t 1raretarn and (b0 ]IS theAny sloletlonte Bactfen 7031.5 by. SEWER CON, NECTIONS •' my applldnt for permits elects the pplicant [aa CIWI penalty f tamorenhan=lied hundred' dollart($500).`1\A\, SOLAR tCOLLECTORS - O 1, aj.ow of the properly, fir my employees. with wa9e3 as thou, yi O'SIufe'Is' not intended Sole COmdT_ lion, in mCO the work, and MND or OflerMdof aale.((Section 70O^o"BU imas and Professions Code: The -' 1.TANK 3 _A • SOLAR PIPING SYS.y C ISSUE FEE -. - Contractor Ucheyt'Law doh t - and to an w 1'a Property ,r who builds er INovs thereon. and, w110 does Snitch worlummseu or ISSUE REE _ - -' APPLICATION APPROVED BY DATE IOroY ! his Own employees. provided that such improvements are nOt' -.MECHANICAL t _ PLAN CHECK SUMMARY OF FEES Intend d Or offered for sale. If, however, the bmldir r improvement, t Id within one year Of Completion, one Owner n ll how one burden- "a -did• bund r e purpoee_of le).' PERMIT D p �ga of proving. et improve b .+ `.AND DUGSYSTEM 0-I OO.000 BTU PERMIT E SMIp ❑ I, a ntrac of the p sect contracting TM1 AND DUCTING nstr ct the [Se tI Business IlcensetlSwnomdars to construct the project (SLowd 1 - 1op,000+BTV PLAN CHECK b PERMIT and : reLaw dO, es not apply -x (SSV ANCE E anol owner Of property who builds or Improves thereon,nd who n- b1M1tla or REFRIGERATION 0-100,000 BTU PLUMBING tan acts I omfscnoadso Con [rtter(O i0 punuart to SYSTEM GRADING S the Contractar's Lined Law). 100,000+BTU�r PLAN CHECK f ❑Ia m e vemt"mo, amgm, B. d. P. C. for this BOILERS BTU A' r.� ELECTRICAL S E asa^ _ SYSTEM REPAIR, ALTERATION A PLAN CHECK E MICROFILM E TOTAL FEE E Dace a Vreadt sapDlidNon and stale that the above IM1arlb&SY EXHAUST SYSTEM MULTIPLE MECHANICAL S LESS AD - JIG gree Comply sin cell ItY nd Cola ty PLANCHECK E VANCEPC E_ µ pping ednSite on an aherehy aeenodze y�l a .... bon _ _ ..,�..:_,'h, , 1NALFE ',,,7o rl3 ISSVE FEE`Fgo CMF006546 V'hA.BUIIdin ACCounting; CONSTRUCTION AND PLANNING APPROVALS Permit 4# -�-� Date Inspector' POOL & SPA. APPROVALS Permit -` Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Un rgrn 44. Steel Reinforcement 3..- Electrical Conduit Utility-Undrgrn _ 45: Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding _5. Steelem orce ScR no� 47. - Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. "APPROVAL TO COVER-GUNITE - - 7. Footings --,Z3-y' 49. Electrical Conduit-Undr rn 8., Foundation - - 50. Gas Pipe, ❑ Undr rn Test ' 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ Undrqrn 10. Structural Floor System S -Y h 52.APPROVAL TO DECK 11. Property Sewer Line & House Conrwction 53. Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing 55 Plumb'no System - Final 14. Rough Electric -Conduit 56. Electrical -Final 15. Rough Electric -Wiring - 57. Solar System -Final 16. Rough Heating & Air Conditionin encing & Access Approval ' 17. "Ducts in Structure APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating NZk Gas Pipe -Rough & Test pp Roof Framing 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frame and Flashing `3 P,J3 _.g �yvl NOTES: -o S 23. Insulation v-.> - 24. Lathing & Siding f1wl sz�a5'1,9,6/-Zg.-g 25. Drywall Nailing:44''-�>CW A�4(_ - 26. Plaster Brown Coat A-3-- ' 27. Electrical Power Meter -Final o a -- 28. Final Electric ST a d- er -8 29. Final Heating & Air Conditioning e • ,Q r S n u,g 30. Final Gas Pipe -Test / / ,f V vAl 31- Final Plumbing _A -Y SL 32. Water Service -Final $ 6 33. Gas Service -Final - �/-`/-6_1 34. Solar Domestic -Final - -5�- 35. Landscape S rinklin System -SP, 36. Sound Attenuation _ 37. Handicap Regulations p_} - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 7 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICAT OF OCCUPANCY ' No 8r Date fAef� ADpRoa no to fill In all aweea wit con heavy border une5 and sign an appropriate declarations. ftil CITY OF COSTA MESAP MIT NO. TRACT NO. LOT NO. BLDG.N V�Y, IaCU/tlLa 2UsOO OONS-IRUCTION PERMIT A % TYPE OF CONSTRUCTION ❑ NEW ❑ ADO- ❑ ALTERATION O REPAIR O CONVERSION ❑DEMOLISH 'O - r ZONING -REGULATIONS Piapeld"ss JG' O n Phone Address - a - ' OTHER DESCRIPTION OF WORK A p , - AICbIEng. ' - - License Np: Addfe55 - - .,- - I TYPE OF PERMIT --. - - Q, GRADING ❑ FOUNDATION ��STRUCTURAL ❑ TENANT O ELECTRICAL OPLUMBING ❑MECHANIC ZONE "- - PLNiG. UILDING SETBACK- - me, 1,,i 9REF. Very: PROPEIS'PY IJ NE 1' ' O J) 9� Addref5 Q - "- -" LICENSED CONTRACTOR O CLARgT N I hereby affirm IOL\ 1 em RCri ed Under Provisions 1 Charter 9-fcom- .. ' 5IpE1 - ass- I y IyVPj)t tion 70001 t Division -3 f- B 1 n [].OTHER R 1 dens O m It n 1 I lull f d If e it - REAR YARD (TO P/LI _ - .. _ -6 • PROJECT DESCRIPTION LIfAOM Msl $O'FT. �PKG. SPACE REP. - - PROVIDED, _ - -_ Ob 519na[Vre - Y - " rOCCUPANCY_ CONSTRUCTION TYPE SrREET WIDTH ..PARKFEEE- WORKERS' COMPENSATION DECLARATION - '1 hareby affirm that I have a CertlfiCui Of conHnl to kUi or e, )-VALUATION ZONE - - ZONING APPROVED BYl - - -DATE -.. -tifomte f Workers CompenL\IOn Ins Men One tC titled. P _ _ _ _ _ GRADINGCU. VOS. I ACRE$ _ _ SPECIAL CONDITIONS: e1(Sectyl�nq�Bjppy Lab.C.I. _ _ - - -- cy NB Company - ry _ ' rt111ed CoDYis-hereby l urnlsbe0. - n '.-REMARKS., .. y', ' yiT»1 - - ergged copy B pled with the City Bpildi - - - ' --- - - - -- — - - - EXEMPTION FROM WORKERS"COMPENSATION-DECLARATION' _ IThis.seclron.1neetl nal bd U e completethe Perrot - f h nosy, _ : = 'r f°dN°7foulpn Ne Performance of -tile work to M1 M1 [M permit is issued, I shall not employ any Berson In any ma t -bec PLUMBING - I'rPLHN'CHECK" - ---- - --- . ELECTRICAL - - - PLAN CHECK.::. r •e sublevel RashWorWiS CampeilieaLa. ad_C:Illrnia.-.. _ BATHTUBS-' 'SHOWERS'"' I Date Signature NOTICE If after risking this declaration, YthShould become'sublecl TOILT -GENERAO_g'i"KW_ KW - , he Worker' Compensation provisions ofe Labor Codeyou mus q,ORINgL TRANSFORMER ,'Cr ' ,r\hwllM1 comply wl\M1 fu[M1 p10w9005 OI tp Is permit snail be deemed ATOORIE$ DOVBCELAVS•--- APPLIANCE 10-50 KW -56 aKW' BVONe-- CONSTRUCTION LENDING AGENCY 'KIT. SIN SH . 1-lO HC11 11 hereby affirm that there isaConstruction lending agency for the pery the for this 13 IYued 3097 SERVICESINKR. nnSVMPS--'-'- i' .. -- l(INClSOLARI .1050HP 50a HP ,formation of Work WMCh Permit {Sectlon ICI [ '- - FLOOR SINKS -" FLOOR DRAINS - "- - ES- - OUTLETS - SWITCHES LenpdereName( ,FIXTUR ______ Lender's Address 'DRINKING FOUNTAINS- Ij'" '-' - - - .GASTUBRSIGNS rOW NER'BUILDER'DEC L'ARATION -' --- --- - INTERCEPT❑ RS - CLARIFIERS ':POLE LIGHTS_ or'S License Law for l Pt from aflorm - �iPOLELS _ 'Sues the I011owln9'Ieasent coon 7031.5-OUsin mrianido Cnor, city county which requ miles Permitconstruct Any t e 'mpiovat WATER!$ERVOICE ALTERATION _ - a MAINRED __ r -I _ _ . Ydem01151f or-repilr-any structure. -prior t0' Its Issuance. ahp' reg 'quires the aP,11"nt for Such permit to Ille a signed statement that he GAS SERVICE-`� �OUTLET5"-"-"' - " �' 'SERVICE- �' '.' r' _-AMP'." 'a'•� Is licsed'puRupert to the provisions Of License Contractor% Llnse cow C`enhooter 9 (commencing with 50often 7000) OI Division 3 of Ne WATER HEATERS " 'BTV OUTPUT - - l,kness and ROIe5510nS Code) Or that he l5 archon therefrom and the A f the plon Any of Seemed 7031.5 by alleged violation :r SEWER CWMNEE'FFgfi� S - Y pPlln f Permit subjects the applicant t0"a'CIWI Penally t to f hundred dollars ($001 rN f tM1 property, Y or memployees with wages ai their Ipalk O SOLAR TANK Tsstl Ipenon, w ll online work, and Ne structure It not Intended z or o ffered for sale (Section 70440 Business andraft oonS SOLAR PIPING SYS 'i ISSUE FEE - -- aCode'Tha- Contractor's License Law Capr I apply. l0 1 property ISSUE FEE •APPLICATION APPROVED. BY DATE no builds or Improves thereon, and who does - h k himselfno �through.h s own amployon, provided that Such ITD OH t t _ __ MECHANICAL ULAN CMECR --SUMMARY OF FEES .Intended Or offered for sale. If. howeux., the building Ti p man Is soltl.w Ih n one y r f completion. the OwnerII M1 the burden snot - UILDING. , f pray n9 M1e did build or Improve for theV p- f le) IO'I' HEATING SYSTEM 0-1000000TU T" -BUILDING-._. PERMIT $ _ _ SMIP $ as o ner-o! he roperly, am o)(Cahl WIY contracting Iln. owner - AND D V CTING ' _. Ia ; licensed contractors to construct the Project (Section 7044, Business 100,000 a BTI: - PLAN CHECK' $ PERMIT "- - - License law does no to d`wner5Of _ (PLUMBING ISSUANCE $ who c an Of uC ppro ds- olth a ccr0lmpm Ws keno and Who COT Ownerpetty MOxe-buihr;or U Property IBasis 3 tLcenleds-wltR nbadGgs) Ikesnapursuant-b REFRIGERATION 0-100,00, BTU SYSTEM - - _ $ T GRAOI- $ i heC she Contractor's License Law), 3000004 BTU- PLAN CHECK' :f - - - rO lam exempt Under 5edllgn --'B.6 P. C. IortNS -- BOILERS SiTO a c - ELECTRICAL $ - _ 1$ _ _ PLAN CHECK f• rl,' MMIC ROFILNb Mten"- OivN SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE - MECHANICAL f TOTAL PEE$ ..- lLherebyRrllly that 1 -have thisappTlGtion and tate that the above lad Information is e L gree t0 ply with allcityd u tY 'orrdinance5an orf PLANCHECK f - �VgNCE PC law5ralaung<p nshuctmn, and hereby aautnodae I Irepr04ntatN thl YJ to enter upon the above mentioned 1 f property t c .} 519natm 7 FINAL FEE $ Drivers' pe or 55 UE FEE.__. CMP 0$65d6 White-BuildIng; Cumary-piIIIIIII oldenrod-ASI CONSTRUCTION AND PLANNIN _ APPROVALS Permit # �� Date Inspector POOL & SPA• ' APPROVALS - - Permit # Date - - Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -- - - -- - - - - - - -- 2. SoilPipe-Undrgrn _ _ 44. Steel Reinforcement - - - -3. Electrical•Conduit Utility-Undrgrn - 45.- Forms - - - 4. - Electrical Conduit-Undrgrn _ _ _ _ 46. Electrical Bonding -• - 5. Steel em orce' ' _ __. 47. Rough Plumbing & Pressure Test- 6, Electrical LIFER Grn. - .. 48. APPROVAL TO COVER•GUNITE- - -•- - -- - -- - 7, Footings _ _ - - - 49. Electrical Conduit-Undr rn 8; -Foundation- 50., Gas Pipe, ❑ Undr rn-,Test *•.- 9, Weter Pipe-Undrgrn- - 51. Backwash Lines P-Trap.E]ddr rn - - - 10r -Structural Floor System • 52. APPROVAL TO DECK 11, Property Sewer Line & House Connection 53. Backwash & Rece for -Final 12, Street Sewer Connection - - -- - - r - -54- Heater & Vent -Fina - 13. Rough Plumbing • PT --- '- -' '-'--'- -- - --• 14. Rough Electric -Conduit -- -'56. - Electrical -Final • " 15. Rough Electric -Wiring "' '- - - - 57-.- Solar System -Final 16. Rough Heating & Air Conditioning - - encing.& Access Approval 17• Ducts in Structure APPROVED FOR PLASTERING - 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test d- RoofFraming - •- '60. - - POOLLSPA_8XSTEMS FINAL' - - 21• 22. Roof Sheathing- - - Frame and Flashing- - - - _ - - . 'NOTES: 23. Insulation 24. Lathing & Siding - -- - - - - i 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 Z ' 32. Water Service -Final ` 33. Gas Service -Final - - 34. Solar Domestic -Final -' 35. Landscape Sprinkling System 38. 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 BR In an $weer within heavy border lino and sign NI appropriate demareti0%s. CIT -V OF COSTA MESA PERMIT NO. -- G. NO. TRACT NO. LOTNO. BL!No 65519 6IUIIB@ ,-CONSTRUCTION PERMIT TTYYPE OF CONSTRUCTIONOwnp ]9NEW ❑ ADD ❑ ALTERATIAddres O PmleCtAddfesbj 3505 Cadillac Avenue r Phone O - ❑ REPAIR ❑CONVERSION ❑DLISH- •O OTHER t ZONING REGULATIONS' I AfLM1IEng. LICCOM NO. A'p'p DESCRIPTION OF WORK Address - - - - - ZONE PLNGi REF.¢ s Contractor Thilzartilair Tnc. Phims 28399581 TYPE OF. PERMIT - • - -- ❑ GRADING ❑ FOUNDATION O STRUCTURAL O TENANT ❑ ELECTRICAL, OPLUMBING MAECHANIC SETBACKC BuoUsatrana - T. YARD - Tp gl�It�p1 PRCIPERTV LINE - 'AtldeeB _ LICENSED CONTRACTOR DECLARATION. by afirm that l am llWnSOL def Or"MO f Charter 9lw - f uCiWslo - '- I T ger Ina with tion -90001 3 1 to Bmines d -b-ctl B -- - Professions Code and my 11[ IS In f 1 O t _ (y��I,�t\ 10 6 PROJECT. DESCRIPTION- ! - - REAR YARD (TO PILI 1 _ LICBn50 Cass aJc]fyw PRO. SPACE REO. .PROVIDED --R/90/R9 'Slgwture` Y/ / I SD. Data .C' OCCUPANCY_ CONSTRUCTION TYPE r7 STREET WIDTH PARK FEES - "DATE - - WORKERS' COMPENSATION -DECLARATION _ t ure Or a I hereby alll[m that I have a Certificate OI consent to salin VALUATION V ZONING APPROVED BY ,Certificate " 1 Workers' Compensation Insur nce, an a ertlfle0 COPY - - SPECIAL CONDITIONS: - - f(Moton3a00,Lib. C.). -X8140494 Fremont-IndemRltV ,GRADING CU YDS. ACRES - - - -- -- - - - ]No. Company y� artitiM COPY 15 hereby fonillsied.. REMARKS: ; MSCandf rd Copy IS ityloa llh tenacity Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION section need 'not be completed If the Permit 1 f hundred 1This k10B fez or ur1�fY 10 [he perfOrrMnC< Ih0 work 10 01 h tbl Pq 11 Ie5 Issued, I Cell not employ any e InnOy e 1 y ca m PLUMBING :_ PLAN CHECK = - ELECTRICAL - - -PLAN CHECK .- sup10[Stothe Worker3 COmpen fl a 1 IC BATHTUBS SHOWERS - WAHIS 'GENERATORS Data RNA^]09 9pna[un f S NOTICE: N alder making this dediratlOn, OU SOo Id beCOme'SUONC[ TOILETS.. v URINALS- - 0:1 KW_ 1-16 KW CO Ol the fud! COI Yoe must len the Workers' mwnmilon ' TRANSFORMER provisions foHhwllh Comply With such provisions or this Permitshall 0e deemed LAVATORIES DOUBLE LAVs 'APPLIANCE'- -'10.50 KW_ 50 ¢ KW evoked..- ---- - CONSTRUCTION-- LENDING AGENCY KIT. SINKS- -' DISHWASHERS'-' MOTORS'Hp- -Od HP�3=10 '- - I hereby affirm that there Isa construction lending agency for the per SERVICEjONKSb" SUMPS - - - - - I IONIC. SOLAR)--g0.5DHV SO+HP -- hich this pert Is I u d [Section 309] Postal of the work for vmi FLOOR SINKS FLOOR DRAINS FIXTURES - OUTLETS -' SWITCHES Cly. 0.1:�'- '+ --" - - -_ -- -`F Lenders Name r ., _ _ _ _ _ Lender's AtltlraSs DRINKING FOUNTAINS ' '�, '� -' """"' GAS TVBE SIGNS - -- OWNER BUILDER DECLARATION INTERCEPTORS CIARIFIII - -POLE LIGHTS - - I hereby shirts that 1 emekempt from the C retractor's License Law for SWIMMING POOL PTRAP - ;POLES M - ' B the fallowing reason (Section 7031.5 Business and PrwMtlmd COI Amy IIty Ornt WM1ICfI requires a permit to construct. alter, WATER SERVICE ALTERATION - PANELS -MAIN SUB - Imp da alishorrepalr-any structure, prior 10 Its Issuance• a150 m qulres the ali'lloat ler such Par It to Idle a signed statement that he GFSSERVICE - - OUTLETS SERVICE - AMP " X lice it- she ant 'to -the rovisions of -the Contractor's Llcense Law' ILhooter 9 ICOmmeating with Orion$¢70001 of Division 3 of the a2^r5 -WATER HEATERS "BTU OUTPUT ntl- o[esMani C0nelor-that he lsexdmpf lwnfromantl the 'l for the alleged ayn orlon. qny Nolatbn of Action 7031.5 by SEWER CONNECTIONS' ' s� h't2 ads IntM1lo^ lt-subjects Ea applicant to a his "Why res ununlln011art tltl❑YY'fifI Ru SOLAR TANK ""-'COLCECTORS owner of the property, Or-my'emwOyeas with Webb as thelr sole COmpMSallon, wlll do ted work. and the structure Is not intended Or offered lar Cele. l5actlan 7044, Bushels and olessions Cade: The SOLAR PIPING SYS. I I _ _ _ _ ISSUE FEE _ Contract or 'a Ucense Law does not apply to Owner Of pproperly himself - ,'DATE Who builds or Improves theroon, and whodoessuch work or ISSUE FEE (APPLICATION APPROVED BY th O he own employees, provided that SuCh Improvements are not- MECHANICAL PLAN CHECK SUMMARY OF,'PEE&;., n ' F Intengad or offered err sale. G, however, the bu11 I Improvement pave inthe burden h sold Rhln one ye f ) 91oet1oin the owner KIP ha bulM Im the-pubalSe f lel. '.BUILDING - - l - -- -- 1 bmvind did not r HEATING SYSTEM O- 100,000 BTU PERMIT f "{MIP 5' ❑A,-a Owner oblM1e proprlY,-am exclusively Contracting ph _ AND OUCTI NG'-' �I IlcensaG canlratlo IS to Co Imcr the project (Swtion ]044, SUSMesl 100,000rt BTU PLAN CHECK S PERMIT - aM PrOltlsions Code: The COMNIROr'S Llwnre Law deed net apply len - - - - - ISSUANCE $- an owner of Properly who builds or Improves thereon, and who un- REFRICERATION 0-100,000 BTU f PLUMBING S " tracts Prom Such projects with.acontractor(5) ficesbd pursuant to SYSTEM' - - - - -- - GRADING S the ContraCtor's UCenm Last. 100,0001 BTU --- PLAN CHECK S " O 1 am exempt under Section - - B. 6 P. C. for his BOILERS BTU ELECTRICAL Y — - - S lesson SYSTEM REPAIR. ALTERATION .PLAN CHECK S pQ, MICROFILM s'TOTAL 'FEEa t Owner hereby certlthat 1have read this aconel Ionandstate that the above Ifo,mSatil EXHAUST SYSTEM MULTIPLE % MECHANICAL.{ 1•' LESSVAN informrecL f'ayree to mol with all eebya =Only nly AN CHECK 'S _ VANLE PC 5- EP oralnantolaws ne nstr tie% and neweymauthoplze r .u pegoeDpench y,pb : ntha'abave emmmed 'S/2O1B2 FINAL FEEr Date _t -ISSUE FEF- - 3 55 CMFOS6546 White-BuilinceUnary-ApOhmnl: Pink Accounting; CONSTRUCTION AND PLANNING APPROVALS Permit# y9 Date - Inspector POOL & SPA 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 - Steel ein orce 47. Rough Plumbing & Pressure Test - 6. Electrical UFER G_rn _ 48. APPROVALTO COVER-GUNITE- - 7. Footings _ 49. Electrical Conduit-Undr rn B. Foundation _ 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Trap.0 Undrqrn - 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 _ 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 APPROVED FOR PLASTERING ' 18. Ducts, Ventilating 60. - POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test- 20. Roof Framing 21. Roof Sheathing- NOTES: -/D -2p Z 22:- Frame and Flashing 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 r 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 - n all spaces within heavy border lines and Sign an aPPrOPHa to declarations. CITY OF COSTA MESAPsgyll`q��/ TRACT rvO LOT NO. BisG. NO. - 1996 2/11/82 23e 6 . .CONSTRUCTIONPERMIT �C eC r " "" '- ' TYPE OF CONSTRUCTION PCINEW ❑ ADO 0 ALTERATION ❑REPAIR OCONVERSION COEMOLISX p ZZ L13 �7 UYV firQ I. I Project Address 350 c DII&AC Ay - Owner ,1, - lei Phone - .Ajdres p/ V _ _ C OTHEfl zowwc REGULATIONS AKNEn9. License No. DESCRIPTION OF WORN _ A.P. C ZONE PLNTG. RnuEFrL.le / AddreR L l/ Contractor 41diaL G 49749c, PM1dn � TYPE OF PERMIT CGRADING 0 FOUNDATION CSTRUCTURAL 0 TENANT ELECTRICAL CPLUMBING CMECHANIO BUILDING SETBA L YAWL - yip o�NG pljOpeRTV LIrvE Addrion r Tisa ,/ LICENSED CONTRACTOR DECLARATION Pr 3 1 of arter I hereby affirm tM1:.t a h0nse0 unDOr DIONSIpOne Of Charter 9 (W^ illi tin ]000) f under tl POTHER RIG T Inp u POUSSons Code. and my license Is In m0 force and OffinCt. REAR YARD (TO P/L) � �sr PROJECT DESCRIPTION Leon II`ra License J0 Fi. PKG. SPACE REO. PROVIDED Z- pate S19rra[ure. _ "O. STREET WIDTH PARK FEE is WORKERE'COMPENSATION OECLARMTN OCCUPANCY—CONSTRUCTION TYPE I hereby affirm that l says d CrtifICIIe offmant to W1141nsure Or a VALUATION ZONE ZONING APPROVED BY DATE Certificate f Workers' Compensation Insurance, fir a certified copy SPECIAL CONDITIONS: of (Section 3800, Lab. C). GRADING CU. VOS, ACRES N (�O P/ /Sa t/i /cpmpanv�FIMV>•' /ND. C.d. mtlflet Copy is hereby furnished. REMARKS: �.Lz6 ❑ Cntlfled copy B filed with, the City GUIIOIng Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This Httien stand not be completed If the permit Is for one hundred _ $[e xi Inohe IlY Performance of the work which this permit IS Shat for ISSWd hall not employ any person In any n as to b0[Ome Workers' l2wS GIRor Ma. PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK BATHTUBS SHOWERSso uMeCI to the Compensation of Date 519na[ure FIT NOTICE: If after making this declaration, yOn Should beCOMa Subject Of Labor Code. YOU must wmmnUtth M -TOILETS URINALS GENERATOR TRANSFORMER 0.1 KW_ 1-10 Kae Provisions She forthwithto eWocomply permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 1010 KW -50 a KW caked. - CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS MOTORS 0.1 HP_1.10 HIS lending for lsWa winos I herby affirm thatort SERVICE SINKS SUMPS (INC. SOLAR) IOdO Hp_SG v Hp 1e perm URKIagency(S n 309- of the w0!F IOr I[M1 M1Is permit Is Lasmo (Section 309] FLOOR LINKS .FLOOR DRgINs FIXTURES �OUTLETS.rSY/ITCHES 'L Cie.fornmunce C.). - Lender's Nddr •0 - Uen DRINKING FOUNTAINS E CASPOLE INTERCEPTORS CLARIFIERS LI POLE LIGHTS' LINSGHTS' OWNER BUILDER OWNEYR BVILDER DECLARATION IherebyrrS Law loll 7031.5 t from the SWIMMING POOL PTRAP CONS Rua OR POLES METERED sue Businness and Plolrwnv0 owingmmsOtn (Section Sslon Coda Any City Or County yi ressulr0s a permit to construct. alter, Of WATER SERVICE ALTERATION PANELS MAIN SUB' Improve, or repair any structure, prior to its lssuancgaBO re. duties the ag IIGnt.fOr Such permit to Ole a Sl9ned Statement that he GAS SERVICE OUTLETS _ v SERV ICE - qM Is licensed pursuant to the Provisions Of the Contractor% License Law SEha pnerard (commencingOf lsion 3 Of Ibis or WATER HEATERS BTU OUTPUTIf o SSIOM (PoCR j that he Is exempt ttheMlrom and the for the alleged exemption. Any viONSitlon of S 7031.5 by SEWER CONNECTIONS ' GrT t applicantfora permit theto a Clyll penalty hundredsbjects more (f500)icant SOLAR TANK COLLECTORS " as owner Of the Property. Or my employees with wages as their ❑ tot sold Compensation. Will do IM work, and the structure is not Intended - or offend for Sec. ISenion 7044, Sessions and Code: The SOLAR PIPING SYS. ISSUE FEE oo^eeieOns Contractor's Ucemse Use dorsa not apply to an w f a property Who Ii Or Improvise Incision, and who does SUCM1 Work horsier sir ISSUE FEE gppLICATION"APPROV EO BY DATE through his own employees. ProWded that such improvements are not MECHANICAL PLAN CHECK SUMMARY OF FEES Intended or Offered for sate. It, however, the bUbtlsng or Improvement IS Sold Within one year of Cumploelbq the owner will have the burden BUILDING ild_ I proving he did not rudder improve for the purpose Of le). HEATING SYSTEM 0-300,000 BTU PERMIT f SMIP 3 [3I, a of -the pam exclusively Contracting With AND DUCTING (Sectionroperly, lormads contractors t construct the Project (Section 7044, Business 100,000 a BTU PLAN CHECK E PERMIT aan nd Cul The Contr's License Law does not Cbtr ISSUANCE S wnfessions err of property who uilds ooir improves thereon. Ono Who REFRIGERATION 0300,000 BTU PLUMBING E tracts from such prosi with 'a'wmreRmts) 'llcemCd pursuant to SYSTEM GRADING f the CorroactorY License Law). 100.000, BTU PLAN CHECK .E C l am exempt under Section B. B P. C. for this BOILERS BTU ELECTRICAL f " a reaSYSTEM REPAIR, ALTERATION PLANCHECK f MICROFILM e TOTg LFEE6 Dalen ' Owner - MECHANICAL S I hereby Certify that l hays mad this ap liibitlonane statethat the above EXHAUST SYSTEM MULTIPLE LESS AD - Information IS gree to comply with all City and County PLAN CHECK E VANCE PC S_ Correct. ordlnancesand tate l aws relating to construction, and herebynaauthorize rCprasantaliM OI this my to n the above tIOnad properly for I Ion Corp FINAL REE _ SgndtYN to ,ieE $83.14Z Orlyen' Limnsa Or 5 ISSUE FEE - CMF 0565-46 WhiN.SUlldings Canary.gOpicard; Pink -Accounting; Goldenrdd-AMNsor NN CONSTRUCTION AND PLANNING APPROVALS- Permit# £2�03� Date Inspector POOL & SPA, APPROVALS _ Permit # •.Date Inspecto., 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - 2. Soil ipg-Un, rgrh ' - 44. Steel Teinforcement - - - 3.. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn. _ _ 46. Electrical Bonding 5._ tee em orce - 47. Rough Plumbing & Pressure Test 6. Electrical U_F_ER Grn _ _ 48. APPROVAL TO COVER-GUNIT.E• 7. -___Footings _ - - 49. Electrical Conduit-Undr rn �• - 8. Foundation _ 50.. Gas.Pipe, ❑ Undr rn, Test 9-. -Water-Pipe-Undrgrn _ - 51. Backwash Lines P -Trap.=❑ ndr rd', 10. _ Structural Floor System 52. APPROVAL TO DECK -- - - - _ 1.1.-. Pi;operty-Sewer Line & House Connection 53. Backwash.&.Rece for -Final - ..1.2.,._StreeI_Sewer Connection _ "••_ _ 54.. .Heater &Vent -Final 13. Rough Plumbing . _ _ _ _ .' iSystem� - -- 14. Rough Electric -Conduit --- - - - -- 56. Electrical -Final ., 1 15. -Rough Electric -Wiring - -- """' --- - - 57. Solar System -Final 16: Rough Heating &-Air Conditioning encing & Access Approval 17:-.. Ducts, in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL - 19. Gas Pipe -Rough &Test - 20. Roof Framing 21: Roof SheathingI - NOTES: _ 22; -Frame and Flashing _ _ 23. - Insulation - _ 2 ` - L° t`°. 24. Lathing & Siding _ _• - 25. Drywall Nailing n 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 41. Gas Release to Southern California Gas Co. 42. _ CERTIFICATE OF OCCUPANCY No'-- Date - City of Costa Mesa Development Services Department (, J O `$ Building Safety Division CERTIFICATE OF OCCUPANCY No. v P. O. Box 1200 Costa Mesa, California The Building located at 3505 Cadillac Avenue #F7 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of Buirding ORIGINAL SHELL BUILDING Legal Description 139651-12,15,28 (See reverse side for Metes and Bounds) I r Building Permit No B2264 Electrical Permit No. E2631 Plumbing Permit No. P2375 Mechanical Permit No. M3749 Number of apartments 0 and/or guest rooms 0 ISSUED TO: Building by / /g Official A0, /� O'Dtmnell Bricthmn 1301 Dove Street, #760, Newport Beach, CA Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on thepremises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File J 3505 CADILLAC AVE F-9 /IMEMEEMS022= I:3& �J &7E16305 TEN IPS $1500. ` jr/7/B4/ PC 766-34A M23821 Unit F-9 B23727 _ _ B23727 Bldg. F-9 $3100.00 — ___j �Iyi9� PC 296-86 m — E23862 F-9 B23727 — •_24030 Unit F-7�Ull�/� B23 1 mm B239917. PC#314-86s $101000.00 -7/ �?7 /y- M 63417 UNIT F9 / 7 / r B 63415 UNIT F9 1ajj q3 m E 63416 UNIT F9 Am I y7 �U/ M —P 63419 UNIT F9 --r / /� — i City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. U U P. O. Box 1200 Costa Mesa, California The Building located at 3505 Cadillac Avanue #F9 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. ,Use of Building ORIGINAL SHELL BUILDING Legal Description 139-651-13,15,28 (See reverse side for Metes and Bounds) Building Permit No B2265 Electrical Permit No. E2632 Plumbing Permit No. P2376 Mechanical Permit No. M3750 Number of apartments 0 and/or guest rooms 0 ISSUED TO: Building Official / O' Dor=11 Brighmn by 1301 Dove Street, #760, Newport Beach, CA Date This Certificate of Occupancy SHALL BE posted in a conspicuousplaceon the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/93 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File (714)754.5273 - Fax(714)754-4856 CITY OF COSTA MESA -- -r BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT ELECTRICAL PERMIT Job Address: 3505 CADILLAC AV Suite No F009 Vicinity: Parcel Nunmber: 13966105 PERMIT NUMBER E99-00725 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 08/03/1999 Issued: 08/03/1999 Applicant: LONG, HUGH ISSUED BY: �� \ Address: - - , ' _ - �� - -Phone: 714-825-1040 ' Zip: Quantity ' FEE SUMMARY . Quantity Temp Dist System / Lighting_ �N \ISSUE '„ Owner LONG HUGH FEE ; _ ,Temp'service test Address ,,BUILDING F UNIT 9 .Res. a/c package ' $0.00 New Res (1;2 units) 1 �;-/COSTA MESACA Phone: $0.00 Poo" Spa %_ '\\ 3505 CADILLAC'AVE �� Zip: 92626 $15.00 Recept Outlets,) `� ,' $20.00 Switches I, , - -$3.00 Non Res'Appl,��$0.00 - Misc. Conduit Res Appl V`\� �'� - -$0.00 Service to 2003y\\ /. $0.00 Service to 10003, A / '$0.00 Service over 1000a jContractor:; Motors to 1 hp $0.00 Motors to 10hp Address Motors to 50hp Motors to 100hp $0.00 ..Phone:: ,�, •, Communication drops $0.00 _Zip: $0.00 Pole Light Pkg $0.00 _License: $0.00 Temp Pwr Pole $0.00 Intermed Pole $0.00 SCOPE OF PERMIT�� �\ LOWER ONE ROW OF FLUORESCENT FIXTURES ADD 2 ROWS IN A WAREHOUSE, 15FIXTURES; ' .2000TLETS, f; 3SWITCHES. NO OTHER WORK AUTHORIZED BY THIS PERMIT. r Quantity ' FEE SUMMARY . Quantity Temp Dist System / Lighting_ �N \ISSUE '„ Busway /1001ft / - FEE ; $22.00 ,Temp'service test $0.00 .Res. a/c package ' $0.00 New Res (1;2 units) 1 $0.00 New Res (3+units), $0.00 Poo" Spa %_ '\\ _ $0.00 Lighting Fixts, ", �- $15.00 Recept Outlets,) `� ,' $20.00 Switches I, , - -$3.00 Non Res'Appl,��$0.00 - Misc. Conduit Res Appl V`\� �'� - -$0.00 Service to 2003y\\ /. $0.00 Service to 10003, A / '$0.00 Service over 1000a $0.00 Motors to 1 hp $0.00 Motors to 10hp ; $0.00 Motors to 50hp $0.00 Motors to 100hp $0.00 Motors over 1 00h $0.00 Communication drops $0.00 Sub panel to 200a $0.00 Pole Light Pkg $0.00 Sign Circuits $0.00 Temp Pwr Pole $0.00 Intermed Pole $0.00 Quantity ' FEE SUMMARY . Quantity Temp Dist System / Lighting_ 0 - Busway /1001ft / - 0 Standing Section - 0 Misc Electrical Equipment 0 Transformers,up to 1 kva/kw 0 - . ._, ................up to 10 kva/kw 15 - '. .................up to 50 kva/kw 20 .................up to 100 kva/kw '' 3 " ..........'......:over 100 kva/kw . _ 0 - `- Low Voltage Equipment 0. . r. - ' ' Low Volt Wiring ,System / Ckt �0% - Misc. Conduit 0 - Misc!Conductor' 0 _ Circus ( gen or ride) 0 Circus (mech ride or lights) 0 . Christmas Tree Stand 0 Fireworks Stand 0 Other Electrical Fee 0. Quantity ' $0.00 0 ., $0.00 0 - $0.00 0 $0.00 0,�: , $0.00 0 $0.00 0 $0.00 ,!0: $60.00 $0.00 - 0 $0.00= ! 0 _ $0.00/ 0 _ $0.00" 0 -;$0.00 ; --4 y WORKERS' COMPENSATION DECLARATION: r IM" aMlrm under Wally d injury are d the fNbMrq p mad : ❑ I hev0 and will maintain 0 Will d cons0m tb sell-Inaure for appears' aanp atm . as proWdBd for M seem 3700 M Me Labor Code. for the Operational of Me woe for watch MIs omit M Issued. ❑ ay and wilmnmm I we ker' nler eat paltry . as re are by sediment 3]00 d to Labor Cada. Mrat pMmrl Ne ol5 r d work W sake parmt la ad ued. My Comer. Policy Nmlher: Onto soMPn noted net W mrpletad It Me owner Or verat are fradrend"am (S400f or apses,) ❑ compensation mpenmh n laws of CCamenmm, a Maagorwaa nMefot rX should Indiana s bIsslxuteIdp, IleNwell Mneont ecompensation lrom mpaprovisioprovisionsn oanraty pml baatulreonateWu0 of the aLonbs Coup, IrI road fwforewarnforewarncomPlY with Mesa fprdXkyrat. ' Applicant Slgr Blum: Dee: WMMNG: FAM1IME TO SECURE WOWSAff Cq.IP Ann COVERAGE IS UNLAWFUL AND MAL SUMLECTAY EMPLOYER TOEWABNPL M HUM-TIFS MDCML MU WTOME HUNDRED TYN$AVOD]t S 3100miti INIDp1MMTHEC CFCUAPFNBATIW, DNMDESA4 PFd'IIDEDFCR INSEC 3![90 EIAPPO]DE.INIFPF4T,ANOATTOIINEYSFEES. LICENSED CONTRACTORS DECWOITIONe I hereby aMle Oma I em Ilmmad under Marrows of Chapter g (cd wdng wf a Section 7000) d Division 3 Of he Buslnm and Prdesslons Cattle. and my Ocema M in full from and oxen. Lia. x ctso a Cont aces Slgnalme: DMS: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm Mel More is a opnslmdion landing agemY lar the gedoeanm of the woe for whom MU pemil is heame,(Sac. 3007, GIVX Codd, Lenders Name: Lenders Mal Signature: Dale: OWNER -BUILDER DECLARATIONS: I Femoral! into Mel under penalty of perjury test I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the felass ng reason (Sec. 7031.5, Realness and Pmt stets Coda: Mydy or mumy which repulres a pamll Id mnalmd, eller, Improve, dampish, or repair any Nuel um, prior to IM IaMrerlm, also requires IM eppg t for such pemdt b fila a a" alMemenl Met he orale N licensed pursusat to IN pro me Or to Lonmclde Llurme Lew(hepta3(cdnmendng wall Seplon 7000) of DIMMcn 3d to BueNma read Pmfimdl Coe) or that ha a eat Is exempt Mantrom and the Wall to Me allepsd mamptbn. My vkaedon d Seqldon 7031,5 by arty appointed W a Perm subjects Me appl l to a cel penalty0 not more Don MB hundred Mal (5500).): ❑ 1, in minor of to plc M. o my employees wife napes as Meir sale componsa on, WILL DO THE WORK, and IM stmnure is not Intended Or dismal lar sale (Sec. meta, B"nao and Prafessaam Godo: The Contractors llcenm Lew daae not apply to an owner of prme er wind builds or Improves Hereon, are who dors such woe Mal ar herself or through his Or her own BmPI%tae. damsel that a ch bnprowments am not Intended or offered for saN. It, however. to building a Improvement b soon within me year M mmpletie, to Dwner-bu0der Mil haw Me Wlen of pronvey Mat he m Me did not build or improve our purpose at sale.). ❑ 1, as owner d Me pre ,, am EXCLUSIVELY CONTRACTING WNH LICENSED CONYRAOTORS m construct the project (Sec. 7044, Business and Pmfos s Cade: TM contractors Ummm Law tlom ort apply M an owner d promdy, who MIMS w improves Mmkdt and won mntracds for such pralat with a cmlradaNs) hmea6 planned to 1M Conferral Uwaster LBWS 1. ❑ Iam 0Nemp1 oderResume and Profmworm Codnor Mis reason: Signewre: OwrmrlD vmiNed bytl allmnse. 43 Yea [I No fel,u me ft. ins: verMmilon of Ce namhip by (qye d document. Le. - property M hill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CENMRCATON: ❑ I hereby mMfy Mat no exmvafian five (5) or more tem in depth 10M which a imam Is required to Graduate. wD W moue 1n meedlon all woo rmM1obeE by els pamJL and that n0 Wilding southern. smffooding, fwow or ch mddldon or demnGng Mead. All be mala Mm Wrryab (W) fact high. (01mp.32. Gre 2. An 2. Sec, Sri. Title S. CMllanle AMn imllw Code). ❑ As mvnar-builder. I will sot empty ammo m do work whom wound rocurO a pamlt lawn Me Omenn d lndusNel Safety, per Wed above, mlen Bum mmon has pane W do such work from the division. Signature: Dere: Dlvloon of IMMstmi Safety Pemll Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will thin apMlmnt or wool nr futum bulMlrg ooupant reed to file and mrllfy a Business Plan to emergency rumors to release or Mrestened release of 0 hang m matwer? Clyne ❑NO Womanwackyn �phasatMyonellm duulrgerepoSet" 0 BM a agml]Wofwit houdmBmome waBI puef as. that a s terMenfiled evregMOf500mMtla,oawreFine me0semll nby s Or 200 cubic feat d danpre99eU pas al Handal IempBmlure antiterrorism). 2 Oates prods the applicant orpreserorfulure bulldlrgocnmenl rowed Jose a regismXmlpm kraoulelyhaolommMh? []Yea [3 No wecti( at any m has on40 Me hand Caledonia queH"M and llry d Ar eiy�saae�M me. ane sl sepal I� "forslrlm aawelOM p 500 poo nes, otchn arm Me Cancla Made Firo a voNme d 55 rtment gallons, as 200 cubic fast of armpm gas at sandal Mrrmemturs and aeroso B). 3 Coes Or will Me eppikanr or pmmnt Or future Wilding command mad to prepare m RMPP (Risk Management and Prevention Program four acurety harealous memdals)7 ❑ Yaa ❑ NO (Section DD nmentt of an 4 of FMPP Oy addresfforni slth and Safety ing which am required to mg1suar eculetrovess that the y hemgo Men lausFMaateneeMlh the Flre wment me Department.uire Me son, mnXimfion and king wind the Fire 4 If an RMPP Is find lly required, has notion 25534 of Me CeMDmla HmIM and Steady CbeJ Don May cren Huai Man? UYM ❑ No 5 Dose or will the appllC9m or preom a future bulldirg occtgaM require for the woo Anon M the sat l M Mie s post epan�b for sutlr conatmNon a modification from the South Crest M Coal Management Dated or from arWolaar air poluibn control Distinct or agency? BYo LJ No (Section Stil 2 d the Cdilpmda Govemmem Code reason Nal Me requested rnfomu0m be tumiaMtl m applications her non-resideneel Wrung permits). 6 decdmd] ❑Ym 13 No (It yell. the facility most meal the requirement d Seadons 25534 and 42301 M Me CBIMomle Heahh and Safety Code). 7 it a ppaa it form the Sound Coast Air Cul Ma Mmenl Do d or oma Mr pdIu mntrd o ids Or agency H regdred fpr the woe which Is the subject of IhM appllce6on, have eII d the MTlmrrms pmembnd by Cefdomie Healon eat Salary Cede Seadm 423030ean medal ❑ You ❑ No B (If ygr. aaach mrtillmn of mmplisnmIryhin Me Mrpnmio dr pollullcn cones OMmn. regaling CEIRTIFOATE OF COMPLIANCE- Maintain e I nntl;%lel under Mai of WLIT the Inimmtlm gumbo ave u carred. I agree ID comply with m state laws and City ordinances Hous SgneWre: no Dale: CERTIFICATE OF COMPLIANCE AND AUTHOR6A1ION OF ENQVY: I maty under Wally of paqury Met I two read MM app@Mla and sate MI Me Information glow is correct. I agree 10 campiy with w stale Hwa and city mainstream relating to Wilding summation. ed sed holm repmaenntivw d Me Cry d Cm1B Mase 0 anter upon the abov cdbed propend far maedil puMmm.I spree not n met an Blew occupancy of any building eudmpard by MIs pomlt ural (intoInspecton. Ar g hLayiy 'Ol Lager rfe) j Data hour Avinumno AppXmnt Del CODE lmONTYFa pd1E 5®G1g SSI NUEcnoeWE pA¢ will 1616 Fine System Fine? Rre ParwnlMn ME Red Meqaanmal 1266 Peal Spa Final 206 FIWPIumWW 2W Firm Rr-Rod 210 Final soca l 201 Final Bloc k wrning Wall 212 Final Fire PmvanOon 202 Fund Factory Fire Race 220 Finch Planning Apparel 203 Fired Sign 222 FInM Site 204 Final OemdXbn 250 Final m ngW pan rail City of Costa Mesa Development Services Department _Building Safety Division CERTIFICATE OF OCCUPANCY No. P. O. Box 1200 —Costa Mesa, California ' The Building located at 91Znr oAnrr r An Awrnrrrc has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group 13-2 Occupancy. Use of Building OFFICE Legal Description 139-661-05 (See reverse side for Metes and Bounds) Building Permit No 1363415 Electrical Permit No. 176141 A Plumbing Permit No. o,":n10 Mechanical Permit No. MA141 Number of apartments and/or guest rooms ISSUED TO: Building Official mnw,v nrnr. UAnA "THE SADDLEBACK EDUCATIONAL TNC." 3505 CADILLAC AVENUE UNIT F9 by COSTA MESA, CA 92626 Date nor•cMaov no 1 000 This Certificate of Occupancy SHALT_ BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White -Owner; Canary - Numerical File; Pink - Bldg. Permit File 9 1W PROJECT 4DMESS. unit: CYINER'9 RAISE: SADDLEBACH EDUCATIONAL F9 ADDRESS( 3505 CADILLAC AV #F-9 COSTA MESA CA 92626 ARcxrtx6lNEER: (714)650-4010 BEEZLEY DESIGNS 6 PROD. REG 1111 NO ADDRESS: 21972 BELLCROFT DR �' PERM$UEE: EL TORO CA 92630 ADDRESS: WHISTLER CONSTRUCTION (714)489-1653 18 BLUE HORISON LICENSED CONTRACTOR LAGUNA N Ieh'affurn UELM I am Eames Slav PrAovmom 016CNVN 9 N Ffirl wan SUVs 70ool of pvDiw ] of Int OUWIM am PmIMPM3 Gould and mY raceme B in w1 bora ane ellat, CITY uO' 0z 02q 4 STAR UC.: 380289 CLAIM Dale -9- 771 *name:_ MRKMSC NmaNnAeEC IOe. NDO TIONvi "eel gllwn sth'e161Commmvo0, Lma Cmnliale Plmmnmmsenmwrm waamfiaNm worms PDOCYND.: 04693UNIT2761 EFRICATE: 01/04/94 1Z twin mmPAn: STATE FUN ❑ cemMa/JwPy 9is n�erene mmisllee. LY in mw "N RNe Smit Ino WE MIQtID Q Win ✓' ' E� T MWpM: a '� fYMMUNER0mmRREW' WNEiM.m NEL WN: Tues se rmef id RmigbM it Vit mrNlSmaeMNmisl�wa$. I Wt AtelMMmamarn Wl La of tM cernms SS V.l snap Merrgw bon cersm maw rmnre Nxlo bomme sunjst m IM Wor4ri fMnom.VlOn Laws 01 CmOme, ONE ISSUE NOTICE: u. after Ilmino ms bommmn. Palo Wood Mfmw wdML m we workers' cormemelvn prwigms of IM Labor Cane. ym mmt fmWth mWwen mcn pmw No Ids Knit man M eeen%d mm d. ONUMCTION LENOIND AGENCY: Ihereb/alliim boat llrcrt b awMruUipi 4n5np apeMY 1w IAS pvlwmaar ofthe Situslw at Inn Fall S owed (Semim goal (Ni LI. (ENDER: ADDRESS WHER 601 WER DEeuMTIDN: I MrNy affirm that 12M SmAt or" Ne Camrawom slate Lemet my for the keowFa mason ISodISn al Bugmas and Pmhsgonal Come PM GIV LII wumY wMArepullwacermllmmmlrvn. alUlJmmrava. demgNA. or repair way Nmewre, prior o IN isswnce, ark renuir6 ire aopllGnt Far Bosh Permit 10 fie a slwlee autementtral Al N W%mM pursuant m 1M prdyisione of [me tonlreelm. Siam ubefin taw ChAter 9(CMMMCIn6 Nth$Koss 7=1 of Dlvtion a of IM business and Pmfeu,ms C e) or that Mme AT mempt tMrtimm ark IM nags for IM alNCO eaamMIN. Any vNlafbn of Selmo 1031.5 by any apq nt IS a Pi Amiens 1M aNgfam to a Ford density of That more Na Tae huMrela muars WR I. as lar Ne pppeM my rrglulew 4r wpm Nee boitle wm, wit Is the work, and To EIilmcmreNnW NIMdMW o1Me41w Lk 15Cfdon 7Deo, Omen arnme eSSiwfa e Profl Cue: The COMatws Sole Lkth Law doss not apply Id an owner m a OrMny wm SCS or lmprom tNrM. ad As Was sum wfrk Nmooffl en of through impel or emmol is Boa mirk LAG M alt lIeUM. lk Amer hit Mw lite WNW off proNngsaA htie � nm bibleee or mllpdtlmMn int IN Purpose N ale). ElI,x wm of this Proton m aVWWIMntF NM Bush Mmsed mutual to Nnmuet IN V*d(Sat 1041, Rommers and RmessmaCue, Tle fummctwi $Isle litt+eu lawmw Malgylom awnttM pmpa'M1 wM durldswlmpmvaprereon e wwnrms for SOJA prgects witha Mnvsw xmrbl hC= PPrm m Nr Wntran Shoe Lo erne Lar I am aware IAho es mm of IMF wp is Com utmn mwe m M MN 10 me. ❑ I am Cxmw will SecllN: B, G P. C, lot this maim. Dale D tF. I do hnew Curdy that I am aware of am uNwwand the immem" of Ca1Mmu Health and Easy Gok S t"n5 ,25433, ane 25501 ala 1Mt Iw any tNUn bi gm M � Imde Ne) MM 10(OIimY MN Y Shoe Cels ark MM IMiumeam 10 not for fmWMf or m df IM INS IM Nr N 4 NdN t Pslrin. REy] l O t=m aMimifom are merest 110111 Nese pm &M. Dare: M ll l: I hol wNly 1M I Mae rias IAS applialior and EWA WI Ne a WOMAM R mrlxl. I to comply, path all City au aUnry aenam6 am INS IAM tt int to NAdi%etl6n M and herebyaNlpr41rcpe.WmireB of IM WE As borer a 1% DATE mmllwm properly lopo inspmlmn ga = Dale: J-%riF1l sfgnama: Floors El fir social secwoy x: I ml Ae Who FrAwl Iranl: PMnF—Revenw: ouoevM ANmael CITY OF COSTA MESA - BUILDING PERMIT PERM NO; B 06341` PERMIT NO: B 063415 PLAN CHECK NO: 02189-93 L GOVT: N SUPP; N CONSTRUCTION TYPE: V -N PERMIT TYPE: SIR PURPOSE: ALT JOB DESCRIPTION COMMERCIAL T,Z. (OFFICES) SQ FT: 792 CLAIM VALUE: CALC-VALUE: 9,131.76 GROUP OCC: B-2 / COMMENTS: THE "SADDLEBACK EDUCATIOiNFAiLF INC MkkxBUILDINF {G#FE%{9fk%%%xxxkxk%kxkk%x%kxx Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING---------- FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN PARKING REO• PROV: PARC PLANNING NOPES> TENANT _IMPROVEMENT FO --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN D E V E L OP M E N T S E R VImo�., Citn E�S R E Q U I R E M E N'T S ZONING APPROVED BY; l.I�CYA DATE: Nn lg3 ; BUILDING APPROVED BY l d DATE: xxlEkkxx%%xkxxkxx%xkkx%xkxxxkMkxxxk%xxxxx%kxkxxxxxxkxx±Fx%kxx%kxkxk�lkl(jkk%klFxxxkxx LEGALIZATIOl F E E S.0 M/s Na A;R IfSTRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC;' ME63ANIC,�. FIRE SMIP/RES GRADING PERMIT 117.00 ) ! C of SMIP/NON-RES PLAN 76. D5 -I 1 -1 .^ 1,92 ISSUE FEE FI, BUILDING -DIV-> PERMIT ISSUE PLAN-CHE) I ,'TOTAL PAID DUE TOTALS ---- > 118.92 0.00 76.0.';/ E 194.97 194.97 ,00 REVENUE DIVISION TOTALS--> Y COLLECTiE`fi::: `118. 92 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC,FYRE SHIP/TOT GRADING PLAN -CHECK 117.00 v 1.92 kxxxxxxkxxkkxx%kkkxkxxxxxxxkkxxxxxxkxxxiEk'x%x�ikkiwexjFi4kx%kxkxkkkx%%xkkkxxxxxxk%kkxx I N D I V I D U A"L f -E ES- B-R.E A K D OWN TYPE QTY D E S C R I P T I O N '� ,� is UNIT COST TOTAL COST SFC 792 ALTER585 28 SFC 792 EQU-ALT COMM, AIRPCONDN N,' -ALTER 10:69 8,546:48 SEND 6% FETES 1 01 00144500-00144501 TOT 118,92 DATES 08/09/93 TIhEs 10:36 r •.CONSTRUCTION AND PLANNING rAPPROVALS Permit Date Inspector POOL & SPA 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, O Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61, APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains _ 64. Plumbing System . Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69- POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas OOit 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas it 25. Roof Sheathing 74. Overhead Hydro 26. T•Bar Ceiling {Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 67 76. Dry Standpipe 28. Lathing & Siding 77• FIXED SYSTEM FINAL 29. Insulation I 78. FIRE PREY. FINAL . 30. Drywall Nailing I HEALTH DEPT, REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 33. Final Electric i I 80. FOOD CERTIFICATE ISSUED Notes: 34. Final Heating & Air Conditioning , 35. Final Gas Pipe-Test ' 7 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40 Gas Service-Final 41• Solar Domestic-Final 42. Backflow Preventei ' 1 43• Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING I 46. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date I PxRADONEw: 3505 CADILLAC AV uxn: WxEn•a F9 owxwxE: SADDLEBACK EDUCATIONAL ADmttas: 'acnC , ATNTT1 rr All II ARCXIEXESS BEEZLEY DESIGNS 5 ux PROD, °EGM°'' NO"I�, ADDRESS 21972 BELLCROFT DR PERMIBFF: EL TORO CA 92630 won2ss: WHISTLER CONSTRUCTION (714)489-1653 18 BLUE MORISON FN50 LAGUNA : NNIG E wl I am Imm:m mMe CA 92677 9 immmellmm wan semen CRY Lee 0 02 4 STATE LIC l380289 41ASIS B Me. d.r%e' Spmnom:— }� r WOR"EIIS' MFEMPTON MMUTIOx; honey alCum mat l nbe a r dimle at Anent l00Xf um Cr a Mml'rah of Wm4Elti enmpemauw Insurance w A ceml =Y Moore ISemim M. LAM q. "Ll"Xol 04693UNIT2761 GAP.°EEE: 01/04/94 CGMPANY: STATE £UNI Bbl Apr carnal Mal is arrmrmrmtnm UC BA AS "A AM gqem eNuen9 Date . O—T' f2pNPROX fROY WpREFR1'OMIPENSAIgX RMIPAiION: (Rssv.OalxmmX MamaMNe4lfinelmlYleb MCM1Mrm ISlWlmlmy. SASCC 10 Me Wall nO Lom peessatdo M1IW wIiN We pelmA6CLm.l ylyl ma alma%Situ Wr%vl in alry rtNr4MaeMMtolle Lawa d CaMmNa. ' Dale ShOr IRI All alter maXIng her WMmwm NO ¢mala MWIM 599 to the WAM Cwnpelyuwr wmmium 01 the umr DATA per must IMAWIm comply Sam SAM We ns Or The Mrril Red iter EM11I011 FOW d. CONSTROUION UNDIN AGENCY: I MrOEy allirm llul Nere is a cmlVumim 4nan° apern'Y 1pt lite BmlornanM oI 1M1e vurk lGr wmcn tors Alain is named (SWIM aMr, co. C). UNDER: ADDRESS: OWNER NIIOER DECUMBON: InereW anmm OMlam aempl lam eR CMxaMls'9ale liwnse llw lw alk haovilp rasa ISMim)R11.5 RMinm aM Prolntinal WM: Any Ory M MMry"tell redeem a Wmi1 to tw61 alter. M=D, 0emM6n.a mua r are theatre. prim to Its ewanm. also rewires Pre O am tw Such Permit a he a JAW" CaAa t CA Where 4 Mensa Purauann0 the worttin souM CPmarat Slate L4 Law (Greater 9(Mmmentn0And SecmO EDGD1 of DIYN49 R of 1m 9uemees and Prnest Coal OF mT I Is Fargo to Imm and AS nags Iw the Alter eaerrow. Plry, Watton at Gordon 711131.5 by any asphalt tar pent out Ther adAmm to a tial menaM M not ImreM al lira nunerea Balers M+t01. I. as Omer of Ina canny or rm emMp¢�ryeA wnn waoMn9 as MW: sole wmpmmnm. nm m me won. ane me Q SONhad is Toanor SofaM Many thowhera IeRG MFP.MaliI al me Wn WMWISueg A through Somtutappy loan s. ofaWMet wm imr eMasto(reran,are o or sun witf, s wr ho building NOT or War own emolorN a pmYkm AS wm i . Me w WM xlleedm w hof IN AIC. R, had no me noild:q w pAM Pf aOf f. MC yMrM[regatta. me mmO WInew IM WrEm PIpMnp Mhne 11 no glib w'onpmre br rMWrAy Pl v"1. I. M Mmer pl me par gal. am BFMEwaIy AMrat610 wIN IiMrEN MNrWwB MOOFlSVY[I NT PtRaI (SWIW ]DM, BueiMeS Q MPmh.Ciwte GNC: Tree GMf=M SIMC LTd6a LM M nw Mary W A Niter Pl Pry N11g Mepapr lmprpMS 114e0n miegi no Mal of in* lot nehpeo m FIRM n nl wrmn 0Intends n prg a d a me °vnvanus�' uMe Iselw lawn. I am aware Q f an All maser SeO4n: D. d P, C. fur his neater Dem 1 Comfy that l am aware of are WM ft IM rAWmwnm m CLllume xealN and safety COST SeO4m CEREALS, and sa are that for any future WmAM ucupam wiNwal A1(mhe mel need to"* cmn said Cafe rade are1M mmlmmMM Ar a pqr= ym tmllruCIMa m W6Wtim ff"lWFxD Q MwpelMm Cu5N01. NV&n;Wl cm 7=[IIW Aydca(pne are eX m tfrom More pa.selts. Blau or GONmIW—AY F CITY OF COSTA MESA — BUILDING PERMIT PERM NO; M 0634] PERMIT NO: M 063417 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE; HEC PURPOSE; ALT JOB DESCRIPTION COMMERCIAL T.I. (OFFICES), RE:#B63415 SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / COMMENTS:THE "SADDLEEB«MM# EDUCATIONAL BUILDING #Fe#e9F##################### Eif#INC."# Z O N I N GS E 9 U I M E N T S ERI B A C KRSE ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN PANT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RIGHT; FT IN PARKING REO• PROV: PARCEL: 13966105 ZNE: REF NO; PLANNING N TES> D E V E L O P M E N T G APPROVED BY ING APPROVED BY S E R,V I C E S R E Q R E M E N T S DATE: DATE: LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N PERMIT BLDG PMT PLUMBING ELECTRIC MEC11.AAN0C FIRE SMIP/AES GRADING a 258 SMIP/NON—RES PLAN h ^ ISSUE FEE (' ! s .15.00 BUILDING—DIV—> PERMIT ISSUE PLANT CHECK 1 TOTAL PAID DIM TOTALS ---- > 9.00 15.00 0.00 24.00 24,00 00 REVENUE DIVISION TOTALS--> COLLECTED:'' 24.00 OVER/SHORT: 0 BLDG PMT PLUMBING ELECTRIC MECHANIC,' ,FIRE SMIP/TOT GRADING PLAN—C ECK '?'2:11.00 ###k##M####M#####%ere##Rf##ere############k###XHF xek**ASA 9ATNF#R###k###################ere# I N D I V I D U A11� F E E.% B R E A K D O W N (i TYPE QTY D E S C R I P T I'0 N. UNIT COST TOT A7Y COST MEC 1 INST FORC—AIR/GRAVLFURN <=''100 K BTU 9.00 9,00 END///SOF SEES' •i r :y L y �^ 01 00144499-00144499 TOT 24.00 DATE! 08/09/93 TIDE: 10:35 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PG S SPA 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 LIFER Grnd. 57, APPROVAL TO COVER-GUNITE 7, Footings 58. Electrical Conduit-Undrgrnd. 8, Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing - 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating &Air Conditioning {t/,J FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑Gas 00il 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 34. Final Heating & Air Conditioning 35. Final Gas Pipe,Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing I / I I Notes:9/�b�173 r IF V �C 39. Water Service -Final I ' 40. Gas Service -Final I 41. Solar Domestic -Final - 42. Backflow Preventer i 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison j 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date FROJECTE: °NQ' MNEF9 ADMMNAM owns -3 E. 3505 CADILLAC AV SADDLEBACK EDUCATIONAL ADOREss. 3505 CADILLAC AV #F-9 X .IP[NRNCIXFFR' 113410 JV -4 U1U us.Nd: ADUREAR- BEEZLEY DESIGNS S PROD. NOa�. 21972 BELLCROFT DR PERMInEE. EL TORO CA 92630 ADDRESS: WHISTLER CONSTRUCTION (714)489-1653 18 BLUE HORISON UCENStU MORADOLAGUNA DECuaANfml I hereby NIGUEm that I am Damm under omaean off Chimer S Mummer wan Syl )MAI o1 uwAm a of are Business and Pmimme fie. am m, Item is in lull force INC Anon. MW Do.: 0r 0244 STA79 LIC :380289 A �Sa: man,--�—=—q9 slwl: WORKERS' COMPENSA7WN DECLMALON: Imrcdapimiut lM] nilkate ermmem to selLirauremapedirkace dwemrz' eomoanafwn memarce. or a andied an IMem ISalan mR Lad. co. roup ND.: 04693UNIT2761 EXP.owl 01/04/94 AMPMIy: STATE FU NIL eemned way Is Wrmv wmimm. yf Car it A spin a fuse eewith me CITY BAurno bEale'. A�S��'; Apppam'. LA+SL r.,f Ate' XFM"IMFMMM WS' MMFFXSMnEKLARCEMXI RM1s u['VAn nem mth[ormklN it me [arrY lsM pw AundN R1011 erksl. Gale. Sall 'a. MOTU It or mating cols dMleratbn, you should A ND euolan to the WOMM Cpnryensallpn Prolsbm of IN Low fade. Yale mall brlwh comply with such morder¢ or this pnrN call be memo reweM. /N CONGTMUCTIOM LEXVIMG AGENCY: IAereAy alfirm mal lAo-e ie a AmeVUAIiM I¢Miiy a0en[y for lAe OerldmaliY pl lAe wVA IW with my perm A rsspo (section 301, Pe. C1. UNDER: ADDRESS: GINNER BUILDER MEUMTION: I hereby that I am exemm Ir the Cpmral $ale License Law for me NWMng in ISeeton ]Wl.s BueiM and RDI' llCo¢'. My[ilyM mrarywM1ian requ les' pemel mt[M191ue1. eller. MprMe. aemplSA. pl Nobel any struel prior m ae issuancealso requires the apN'rant fpr such pnmh to lite a siored dNaAdl than hercrc a IimsM and dPIOI olM poisons pllM cpnl6 eXe ableendorse law thhapttr for the emirs wild Seellm nym]O MMm3M1A¢Buei5 OR d Will Car a war IIMt MO W eaerrglstherefrom aortae Of a Im the EN pempllan Any malbn pl %tun ]0a1S b/ I awuwa Nor a Demo dgeAM am wdram Te a va4 pwdy a Not mese uMn flue amalm calms labor. 1, as aware' of the property my Ioym vnm memo a Ther Me compensation d do me wp F, and Ire ❑ Il net apply ills°°''p0 aprlar Yue rho bu l or immm thrampleed AND OM well h,mSdf =lfOr nee Lax Apes net apply to em ,aa Mvym mom mommimpeeas mmmn,em AND OM sumwensnitsffru0 m NiN by diem For Mor emdofwes. omaem tnan Nosh lnnlmemmn are mtmIN b de offered Nor WM.R. howAMbuil or:Impr ve ford theecwnume o lam. one your m cpmpWmn. me corner mom Aare rha lamm of um+ng rdshe did nm build or improve 1. as Mon Mme amA endo mmbpdnpMm AAnam wnlMwsmpmsum lm prpcen lSMiW7W.euerress ❑ and Role We. Tye ienMpeen�tge Li[emm dMnmawNloand O wmo S�ds or lmpeems vmMAd and who actions la Such prnl6Els with a calteclpl(s)license pursuant m the CdnedpmR'$tam LkMse Land. l am aware w proal of m® Workers Compaemion insurance amid m cmddm m me. ❑ lam "am your $ Spun: III P.C. ler Id%al one loi I do New artily, INt l am aware of and cpansbnd the repuiremares of GAromia.I IM and Safety Code Sections 254Y)i 25533. and 25531 aha tnl I or my allure al Gamm Will I [di Manisa ID comply wllnea4 state cal¢am IN ryUiI Kts fora IMsellp[OO�wAMmplyc Of m iliullon Seem me AnmM4 MmdMmMnt uorcl. RAMEMIO pw UMiM awamo are MMI hash I ball TUN his m,e read lois ap*alMn andslots mM me dose WromariMIs COMMI. I agree An MM*w CIE MY am wa115' ordiwws and stole Daniel IDbAMID; Conduction AN WrebYWWFUereWMnUt,ves of lhiiM b enter jpm1INnhovTmemiomd properly to, am ecgen purposes. _ /A �AWA&[Ol Urger. Liam or soul mi a: par 46 Wore—BulY g: Dean— upland P'me—Revenue: Grichal—Alial CITY OF COSTA MESA — BUILDING PERMIT PER NO: E 05341 PERMIT NO: E 063416 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: V—N PERMIT TYPE; ELE PURPOSE: AL'T JOB DESCRIPTION : COMMERCIAL T.I. (OFFICES), RE:#B63415 _a;Q FT: , CLAIM VALUE; CALC—VALUE: GROUP OCC: H-2 / COMMENTS; THE "SADDLEBACK EDUCATIONAL INC BUILDING #F-9 �} MMfi xMMxMMMMfi fiMfiMMMMxMMMMM MMMMMMxMMfi MMitM MMxlf pk xMxRM#MMMMMfi xxxMxRfi xRxxxMRMxRRMMxMM Z O N I N G S E T B A C K SR E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: ppFT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKKING REN TS: PROV: PARCEL: 13966105 ZHE: REF NO: LANNINfi MMMfifiMMxfi MMRfifixRfifiMRRMfiMfiMRMMRM4xxiF 3exx xltxxxxx %ie x iexxxx xif IExxlFxxxkMxxMMxlfxkeexxiF ¢tM D E V E L O P M E N T 5 F);R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE: APPLICATION ISSUED BY:�'(/"Si DATE:�Lv' M MMMMMMMMMMMMMMMMMMM#xiFFFAYGiFiFR3FY'WfFFlETFCIF 4iFiFW± xxMwwwwi{Fwwwwwwwwwwww if if k xM Y¢FiF%MxxrtMxiFif kif Mie wlf ffxMxif x¢ffi ifRfilP, fikMxx RiFflxxRik iFhiE%RkiF lFxkRkiF 3EiE#1E if iFiEx xlE eExx xifx LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT. PLUMBING- ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT -- - — 30.00 PLAN - 508 SMIP/NON—RES ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 30.00 15,00 0.00 45.00 45.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 45,00 OVER/SHORT: 00 \ BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 45.00 M RMMRfi Mfi MMxxMMRMMfi MMfiMM MR hatEMMMMMMMMMMMMM M1EMMxMMxMRMMMMMMMMMMMMMMMMKMxMMMMMMMxMM I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 14 FIXTURES LIGHTING 1 ST 20 EA, 1050 ELE 20 RECEPT/OGTLET 1 ST ,75 20 EA. .75 15,,00 ELE 6 RECEPT/SWITCH 1 ST 20 EA. .75 4,50 END OF FEES 0100144102-120144502 Tor 45.120 DATE: 08/09/93 TI%E: 10236 A. .t CONSTRUCTION AND PLANNING. APPROVALS Permit # _ Date Inspector PO... & SPA 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd, S. Foundation 59. Gas Pipe, D Undrgrnd., Test 9. Water Pipe-Undrgrnd, 60, Backwash Lines, P -Trap, 17 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 16. Rough Electric Wiring IF -10 .,q2 V Q m 66. Solar Syste_Final 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18, Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS . Permit# 20 Rough Factory Fireplace 21. Ducts, in Structurp 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑ Gas ❑ Oil 23. Gas Pipe -Rough & Test X72. Underground Flush 24, Roof Framing 73. Undergrnd. Storage Tank O 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 j 79. FINAL INSPECTION 32. Electrical Power Meter -Final /J 80. FOOD CERTIFICATE ISSUED 33. Final Electric _ 42'�'p�' Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe=Test I , 36. Hood or Canopy 1 37, Final Factory Fireplace l 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final , 42, Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47, FINAL STRUCTURE & BUILDING I 1 48. FINAL PLANNING' 49'. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY Na. � Date V. PROJECT ADDREM. 3505 CADILLAC AV UNIT: F9 OwxERS NAME: SADDLEBACK EDUCATIONAL MOREss: 3505 CAnILLAC AV 4F-9 ARMxNGINFER: 1 r a w d a'w - ' W1,., RFE.NO.: ADD Msa: BEEZLEY DESIGNS d PROD. NODI; 21972 BELLCROFT DR PERMITEL TORO CA 92630 AOMEaa: WHISTLER CONSTRUCTION (714)489-1653 18 BLUE HORISON LAGUNA NIGUEL CA 92677 :EMSEO CONTMIM OECuMMON: nerehr annm Inst am aemee mm proa®M m enapter a Immmelmap Dam sales Cl ac.: P 2�102 4 aTATE Ui 380289 Ddte: - 5giutwe:-��'/�'^''--/11a.mld! WRORRTCMPENUTIONDEMMMTLOMY Nlwn�'yarnm Wil llwwa� I�tale olWMem mselumswo ora uni@'ate alWwkws' MICCY No: 04693UNIT2761 CNP. DATE: 01/04/94 ❑ COMPANY: STATE FUNQ anOW mpv is wfrew Iwrmned. L`,C temra [op b rem yam Ise old Gunn Iq o � Pam. oa� � i Or J npplanc E IMMNMWW EWMKNMMNDELLAMTIIeI: Illuat�m mel IG Ee¢rt{tllWNW MrmlbbUM IomIe11110nw kul. I Ferry Wl N the PMlalmAlce 01 IN w Iw WAW INS cerrM- 6eeJ.ISNI for wrap anYL aewf` awl rtJMIX 50Mb btWlle euelttl to the wW Lw rye iM L NCiVerl®. 4• Date: Sre. NOTICE: n. at Mr OF AM amamm, that that Demme owlet m O. Worwa' ronpeeauon aimwom at me Labor Cae, we mum fMm M amok Wim mull ff N M Of No wtrm and bo diti ramped. V Coaamwt"U LEMI)i MENU: I nefwy arum that mere b a ewlwm ImanO apwwr for me pumrmaly of the won mr Whim the Pmnfl b bored ISewan MY. OF. Cl, LENDER: AMMU: to OWNER NILGER DEMM1 ON: I warm 9km that am exempt Imre IN Comracmer Sand CCMme Law for the tolmwno rusm sewun ]611.5 &2W6aM Pr01esa9nal C0]e'. kydtyWwwry Knreywaa aemsl Wt trun. alter, IMI .Den .ON span any svulure. wew mw eu e. atm marMa I% mlumlfw Fah aunt t0 hie a.imnd slag ntthat nwnw b renxe Wramnl to IN ora M of IN rAmrattat5' SM Limn Law lWwer 9 lmnmmWq Wlh Swlbn=I M Wi 3 a the Maroess and pmlm 6 Cnnel w me MIYe M went IhneLom m me OMb IM IN aINYeE er mW. My aioh4tn at Seton m 5 4 any mpxwnt lot a Vernon ml Moa the app Aoa l to a drop wai d nM MIM me hundra ddae MM. L as mmtt m De WWII or nn amto northwap5 M lWr milt td Ma N. tall do Ne wan, and the ❑ SIMCFAM b net Intended of Oh:red For way( tlpn NOW 8usLims and Profit Lode: The PamrxMa' State Lium Law dam bot awry m m owner of a PMam weu WMS OF Imwma neem. we Wham Ma mall went Mweeamamrel Of through me or her am enll o. pal that su�� ron tats Monet a tin: ewes of In area. u, numf me biding w imorMBmW is aidW iin we afar at wm or"l a eN nM blue w MPlwo for IN outeoa a vit owner of the woo .am eWu ply m raaad mm lwm mmawdM to mnsaod IN pmgw l5mim TM4. Busimss ❑ iAnd Ndaswofe. lnefmo with Law ewelW mW to IN Croloroptlry tale bmlmerlrpwOthwre And Weo of la tm sued WM wily a mare, that teeny µrsuam m IM twMtlw[' Stale li[mme Lawl. em aware IMt pal of IMR WMM¢r s CawpeMslnn IMumwx SMNd M gamhA m Or p 1 am Mand under Sewaw. R. a P. C. for M13 matter Date: UNIFF: I a NMby Penny that l am aware of and anwmarE the NWim ma of Laond Fiber and Safely fore Senate 35505.25535. and 251 and ata I of any Now w ifdna wwwnlm M i no pi arc) need to comply aim via sate ohs and the mpuiremenls fw a permit for mminKuon Or Alta Wl from me AY Pully ManaodmmlOF Re4dentm wnsifuf n apofmatlws are exempt nom mem proOMme. Data -ci Culture Doves Likei Of $41AW Sl:mnty 0 1641,46 While-Bmblmn: GMen-i tic l: lnum-Roi CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 063411 PERMIT NO: P 063419 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLO PURPOSE: ALT JOB DESCRIPTION COMMERCIAL T.I. (OFFICES), RE:BB63415 SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / COMMENTS: THE "SADDLEBACR EDaUaiCtIAMBTriIEOBNALL %INC BUILDING M uE-9 2 0 N I N GS ERI E B Q A U C I K R S E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- PRINT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING REO• PROVO PARCEL: 13966105 ZNE: REF NO; PLANNING N IRS> D E V E L O P M E N T S E R V I C E_` R E Q U I R E M E N T S 1, ZONING APPROVED BY J= DATE: BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: DATE: �9 %%xx%x%%%%%%%%%%%%it%%%'RIFRRYZRRiF3t"R'k�iCikR7FiFmFAFiF TriFkiFA'RTF%%%%%%%%%xli#�#'kzLRE�x LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 14,00 254 SMIP/NON-AES PLAN ISSUE FEE 20.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 14.00 20.00 0.00 34.00 34.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 34.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 34.00 I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 LAUNDRY TUB OR WASHER 700 700 PLU I SINK, KITCHEN 7,,00 7,,00 - END OF FEES 01 00144503-00144503 TOT 34.00 DATE: 08/09/93 TIME: 10:37 tl' l CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd, 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd, 10. Structural Floor System 61. APPROVAL TO DECK 11, Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 15. Rough Electrical -Conduit %iO� ! / 65. Electrical -Final 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. POOUSPASYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT, REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping GGas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd. Storage Tank GGas 0Oil 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 1 79. FINAL INSPECTION 32. Electrical Power Meter -Final 1 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning I l 35. Final Gas Pipe -Test I 36. Hood or Canopy � I 37. Final Factory Fireplace 38. Final Plumbing L 39. Water Service -Final ' 40. Gas Service -Final 41. Solar Domestic -Final ' 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ' 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cv 51. CERTIFICATE OF OCCUPANCY No. Date s with section 7000) Of Olvblen 3 Of tfe B Nss and as n Ode, and my license is In Iall IurgO antl etleCL Uradr w CIgi5 Llc rt. n '/y� Signaeum - PLUMBING FEES ,L WORK P SssOMPHNSATI ON DEC RATION Bar Sink Showers hereby arnrm that 1 have a ae.un a al consem to II-msY.a ar a < m Of Workers' COMMU YUon Inmrance, or 9 nrtl 0 wdv shoran (Is Backflow Preaentar Service Sink a80Q Lae. C.1 Policy No. dI 6,8� company Sal Irrigation Sewer Cap pkyl/_.ertlll do copy Is hereby I Umished. k( Grtified cc K fl Ito the rife B �VI ion. Bathtubs Seoul Connection I 'EXEMPTION Fno �� Kp011unt Clarifiers Sol Collectors R ERS'COMP NSATION EBLARATION I-thto m me performance Cnas not t employ any person in arae6' Compensation Laws at Cate signal NOTICE: If, after making this lie Workers' Componsellon provlslo comply with such provisions CONSTRUCTION LENDING A Ihellhe eby ]fork [for at lwhich` thin Lender's Name w Lande-S Address OWNER BUILDER OELLARAT I hereby affirm that 1 am wants following reason (Section 7031.' county vai Features a permit I lir structure. prior to its Issuan t°he°conttoctor't Loanze LAWJCr Division 3 of the Business and Y i airs by`ant the basis for the nalty of not more than live no IJ 1; as owner of the pro°ntf fo°(td�l04�or role. sm74, Bulhe l mo`don,tand who doesloaOPIY n vat hie°.I l% nowprovided or1°thelI Ino"or lull fothe t he P h rtoou of:aiet1hO noI a al the proPntly . mears t0 Const rest no object I u Con its Cie r.5 Licensor Law b lids or moment league, held neroir'S sproofotheiWeecmp ❑ I am exempt meet Sellon Dale fereby cattily that e: and state Fls dotal n 1 ala and state laws total count sentativo of tMs Ity o e to IpapeCtlrn pmPo Slgnatwe Drivers' License 9f SS ad _E CMF 086546,! .4/69 White Ufa Permit Is for one hundred 15300) or ' .. APPIII m fill In all spaces except mow within heavy border lines and sign all pproppaa declarations. SPIN Piping L}yy OFeOSTA MESA CONSTRUCTION PERMIT vER MIT_ 3� LA7Jm 0 TRACT NO. �' 0«T_I O. lT UN1�Nl� Swimming Pool ` P•°o _ ;'Tn_t— /iP.b/. �6' r 9 jell Atldress Applicant's WilingAd ass /T/8 Gl z�'/✓a9% ��/ Owner's Name �� �AiCs4� hone 4✓-• igie Address _lfnT /aA�ie�W_ l.TbN_ [Jti/O Floor Sinks TI OF CONSTRUCTION NEW ADO ALTERATION REPAIR CONVERSION OOEMOLIF OTHER DESCRIPTION OF WORK/USE OF BLDG. l9 vi Pl/®L'.JJ/�.Y A,p,M S T B A Mein Buildi Arch/Eng. License No. Addrsa ITr4ri TYPE OF PERMIT GRADING OFO-UNDATIOONf STRUCTURAL RAI ❑ TENANT RELECTRICAL O PLUMBING Ch MECHANICAL OTHER Front Rear q Kitchen Sink 'a 4(/ M YAa ('.°ntncmr s Nam M1onaQ�//-9/hili 12/ PROTECT DESCRIPTION SO. FT. —�nQ �occuPANCv CONSTRUCTION TYPEVALUATIONS f�/<<J ZONE GRADINGCU.YDS. ACRPe K S Right Address (me fell P�P� �� City License No. LICENSED CONTRACTOR DECLARATION I hereby bill that I am licensed under prow Or s at Cha losing Left Ping. Rol. Remarks: Plannl°g Notes; s with section 7000) Of Olvblen 3 Of tfe B Nss and as n Ode, and my license is In Iall IurgO antl etleCL Uradr w CIgi5 Llc rt. n '/y� Signaeum - PLUMBING FEES ,L WORK P SssOMPHNSATI ON DEC RATION Bar Sink Showers hereby arnrm that 1 have a ae.un a al consem to II-msY.a ar a < m Of Workers' COMMU YUon Inmrance, or 9 nrtl 0 wdv shoran (Is Backflow Preaentar Service Sink a80Q Lae. C.1 Policy No. dI 6,8� company Sal Irrigation Sewer Cap pkyl/_.ertlll do copy Is hereby I Umished. k( Grtified cc K fl Ito the rife B �VI ion. Bathtubs Seoul Connection I 'EXEMPTION Fno �� Kp011unt Clarifiers Sol Collectors R ERS'COMP NSATION EBLARATION I-thto m me performance Cnas not t employ any person in arae6' Compensation Laws at Cate signal NOTICE: If, after making this lie Workers' Componsellon provlslo comply with such provisions CONSTRUCTION LENDING A Ihellhe eby ]fork [for at lwhich` thin Lender's Name w Lande-S Address OWNER BUILDER OELLARAT I hereby affirm that 1 am wants following reason (Section 7031.' county vai Features a permit I lir structure. prior to its Issuan t°he°conttoctor't Loanze LAWJCr Division 3 of the Business and Y i airs by`ant the basis for the nalty of not more than live no IJ 1; as owner of the pro°ntf fo°(td�l04�or role. sm74, Bulhe l mo`don,tand who doesloaOPIY n vat hie°.I l% nowprovided or1°thelI Ino"or lull fothe t he P h rtoou of:aiet1hO noI a al the proPntly . mears t0 Const rest no object I u Con its Cie r.5 Licensor Law b lids or moment league, held neroir'S sproofotheiWeecmp ❑ I am exempt meet Sellon Dale fereby cattily that e: and state Fls dotal n 1 ala and state laws total count sentativo of tMs Ity o e to IpapeCtlrn pmPo Slgnatwe Drivers' License 9f SS ad _E CMF 086546,! .4/69 White Ufa Permit Is for one hundred 15300) or Dishwasher SPIN Piping Me liner Iso as to becomer subjetct to'the Drinking Fountains Solar Tank OUR. Floor Drains Swimming Pool Duct - Under Ground Subject to °o°oae °YOU tithe Floor Sinks Uripal iaoor must) els permit hall be deemed revoked. Gas Service Outlets Water Clout ICY '.flan lending agency for yerrosol nil it Issued ISeetlon 3097 Cid C.) Interceptors Water Healer B.& P. C. for this reason Kitchen Sink Water Service m the Contractor's Uconse Law for the Avalor e dnessand Professional Code: Any City or • ELECTRICAL $ y PLAN CHECK 50% $ Iunit a 1 ti n late that the above orew 1 ni and county ordinances P—Tf°p c ° Mm g Ca t hereby authorize p 8 t b e.mennoned properly (Or sa movies the aomIcant turn sucor Permit or my employees with Wages as their sem Reinspection Fee $15 Issue Foe and the structure if Mat Intended Or Offered and Professional owner at lIYCOWfnb Ids oolmpmws Automatic Washer Construction Pole Sub. Cooking Unit MECHANICAL Dishwasher Meter ❑over IN amps Bailer Hand or Type 1 ❑ Can°Py Type I I ❑ If Mmx11/heiself Or three it his Or bar Own Provements are net InlenOad or offered for ant Is sole within one vast of cam' improvement raon of proving he/she 014 not bund or 1m- Melon ❑D1 HP 01%-a Duct - Under Ground adustvly contracting with licensed Coro ction 7044. usinessss and womirines Com: wasnoom°:astioad Onwr OFF property o"„° can - Fixtures Duct - Structural Refrigeration System Oa1oo,NDBTu❑lm.ND .2 Duct Vendiating Range Exhaust System ❑ Multiple 0 System Repair/Alterallon Collector's iol Law). I am tune edition Immo should b4 provided to B.& P. C. for this reason Generator❑DS KW 05-15 KW Firepl/Fact. BIL ICBG# Heating System & Dueling OW WIND BTU ❑1 N.Om BT • ELECTRICAL $ y PLAN CHECK 50% $ Iunit a 1 ti n late that the above orew 1 ni and county ordinances c ° Mm g Ca t hereby authorize p 8 t b e.mennoned properly (Or MECHANICAL $ $ 3 Rainswnion Fee $15 lattice Fee Solution; Canary-APPIRAMC Pink - Accounting; Goldenrod - Assessor LL FEES 2645 11/20/84 bl T'L Zana .okEliessory Building: ro z O N N Or C' R Parking Req./Provided E M S. ELECTRICAL Automatic Washer Construction Pole Sub. Cooking Unit Transformer ❑ 15-50 KW 050+KW Meter ❑up to 100 amps Dishwasher Meter ❑over IN amps Dryers OGM ❑Electric Sub Panel - Fen Melon ❑D1 HP 01%-a F.A.U. Inc. Before 15 HP 1116 Fixtures Microwave Device Boxes Pole Light Outlets Range Switches Sign Garbage Disposal Standing Sections Generator❑DS KW 05-15 KW Trash Compactor ED SMTP $ Jy PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTALFEE $ qQ. / Zoning Approved BYE 81adding Approsea By Application Issued By ,•BUILDIFIG PERMIT �j$ I PLAN CHECK +jfO3 2 PLUMBING S 4 ' PLAN CHECK 264 $ • ELECTRICAL $ y PLAN CHECK 50% $ MECHANICAL $ $ 3 PLAN CHECK 25% $ ED SMTP $ Jy PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTALFEE $ qQ. / ,J-IVOONSTRUCTIONAND PLANNING APPROVALS Permit # - Date "'� Inspector POG'sSPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. ` 53. Steel Reinforcement 3. Eledtrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑ Oil 23. Gas Pipe -Rough & Test _ y r 72. Underground Flush 24. Roof Framing, 73. Undergrnd. Storage Tank O Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro '16: T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27,. Frame and Flashing 76. Dry Standpipe Lathing &Siding ( 77. FIXED SYSTEM FINAL 29y Insulation t' 78. FIRE PREV. FINAL 30. Drywall Nailing i ; � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final.. 80. FOOD CERTIFICATE ISSUED 33. Final Electric �, St{ �� Notes: ' 34. Final Heating & Air Conditioning w 35. Final Gas Pipe -Test 36. Hood,or Canopy 37. Final Factory Fireplace 38. Final Plumbing, 39. Water Service -Final 40. GaS7Service-Final 'q 41. Solar. Domestic -Final • 42. Backflow Preventer ' 1 .r 43. Backflow Irrigation ) ,,- 44. Landtcape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Ga` Release to Southern California Gas Co S 51. CERTIFICATE OF OCCUPANCY No. AV6 2- Date /'9 O i f ICity of Costa Mesa / Cevelopment Services Department 1. Building Safety Division P. O. Box 1200 1Costa Mesa, California CERTIFICATE OF OCCUPANCY No. 006GS2 The ng located at 3605 CADILLAC: AVL. UNIT OF -9 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for /a Group A-2 Occupancy. Use of Building OFFICE 'Legal Description 139-661-05 (See reverse side for Metes and Bounds) Building Permit No. P-M—F-1F705 Electrical Permit No. aw_irw; Plumbing Permit No Mechanical Permit No. 'X%w-1c,1n:; Number of apartments and/or guest rooms ISSUED TO: - Building Official o, Al, DONNELL SRICaEIAM 3505 CADILLAC, #0-110, COSI7>. MESA, CA. � Date /19 Dec— / /�j V Q[ 7 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 le) U.B.C. CMF 1015-46 rev. 1/83 White -Owner; Canary -Numerical File; Pink -Bldg, Permit File City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. O O 1916 P. O. Box 1200 Costa Mesa. California The Building located at 3505 Cadillac Avenue Building F9 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto fora Group B-2 Occupancy. Use of Building Office Legal Descriptio (See reverse side for Metes and Bounds) Building Permit No, H23727 Electrical Permit No.F23RA,2 Plumbing Permit No. Mechanical Permit No. 1.123821 Number of apartments and/or guest rooms � ISSUED TO: Building Official 'r•,�% Odonell, Brigham & Partners 3505 Cadillac Avenue Building U-110 by Costa Mesa, CA 92626 Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on thefpremises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File Applicant to fill ln all Sealer except there within heavy border lines and sign all appropriate detUn ons. -- - OST My CONSTRUCTIO/1N� �PERMIT Adarna �..r%� CAlIJI�A in /sPC. Fq PERMIT NO. �� TRACT NO. LOT NO. rYJ UNIT NO. Applicant's Mailing Address ¢CMG DWner s Name 0120MI �j-� Phone gdtlres3.3�f�BOzr/tl/Arlr_ Pyi9. A—//(J CA$TA II�ESA Andrei License NO, 9�k0 TYPE OF CONSTRUCTION LJ NEW LJ ADO JAZTERATION LJ REPAIR 11 CONVERSION O DEMOLISH 0 OTHER OF$$CRIpT10NOFWORI EOF BLDG. ZIt Ted/ OFs4'G'C' 2 A.P. I � v � L — - Zong _ E Main Building: Accessory Building: �+r- TYgE,OF PERMIT LJ GRADING FOUNpgTION STRUCTU0.AL khkTEPANT O ELECTRICAL O PLUMBING ❑ MECHANICAL ❑ OTHER T Front 2 O Address B Rear N I A COndjactors Nem, �i AKS- W Phone PROJECT DESORIPTION SO. F -r OCCUPANCY ///y CONSTRUCTION TYPE VALUATION .] $ llil�/� woe ZONE GRAOINGCU.YDS. ACRES C Right N Address Imailin9l City Llce0e N0. LICENSED CONTRACTOR DECLARATION R $ Left G Ping. Red. i' Parking Rep.lPrOVltlad E Remarks! Planning Planning No[e r D m licensed nater rowsm of charter 9 (Commencing 1 hereby affirm that I aar and P io s Cope, and with Section )Deo) of Division3 of the BusinessProfessions my license is In lull force and effeCL ' Cr '% T$ Leaves Class LlCense Ni_ral Date Signature - PLUMBING ,FEES Bar Sink Showers ELECTRICAL FEES vORKERS' COMPENSATION DECLARATION bdreby affirm that 1 have a outstanding of Consent to sennuggi a Or a Cartridge¢ Backflow Preventer Service Sink . Automatic Washer Transformer ❑ 15-50'KW Ell50Pole $u6 y at Workers' Compensation Insurance, Or a CertRiea copy gradient (Suchen 3960, lap. C.) Policy No. Company - Backilow Irrigation Sewer Cap - CerhBed copy Is hereby furnished. GrhfiadcopY 15111ed with theory Building Division. Bathtubs Sewer Coningl6o_n Conking Unit Meter ❑up toJWwnes Date ApplicanWORKERS' Dlardlers Smar ColleCrOR _ Dishwasher Meter Dover 1Bp amps P EXEMPTION FROM WORKERS' COMPENSATION DECLARATION dreg 1 (This section need not 6e comeleta0 it Ina permit H for on hundred IS300) or I urino IMC' the anperlormI ce of tM1e work forwMGh this per Tl[ ii i55ued,1 ane 1 e piper yperson r rev anntr so t/s 1 become bled to line workers' ypp Lines of Ce1110 / ryq// Cato Signature ��ould a_ Dishwasher Soler Piping Dryers ❑Gas ❑Elemrit Sub Panel '16i.�f"^' 'II prinking Fpunminz Solar Tank '- Fan Motors ❑Pl HP!❑18- $ Floor Grains Swimming Pool"w/Spa / F.A.U. Inc. Solar ❑9IBHP❑1615+ NOTICE.Compensation rnis tlons oil yP bound ma Su jell th the campers'ithACIprprovisions t Labor [ana, Ybu must l0)t�wltM1 comply with YCn ENDING or Ihl IC sM1ell be detm¢d r ketl. CONSTRUCTION LENDING AGENCY I'penalty affirm that there It construction, lending agency for the Performance OI tit work for warp Ihls permit I Issu d, CaCtlan 30W Cie. C.) Lender'S Name ..JI r _ Floor Sinks Urinal Fixtures Mivovgve Gas Sai :Outlets Water Closet Device Boxes Pole Light Interceptors Water Heater _ outlets Range Le aderS Address Ilt _ OWNER BUILDER DECLARATION I hereby affirm that l am exempt from the Contractor's License LAW for be followinreason (Se' 10315 Business and Profeuianal Code: Any city or . ction , eedn5n or repair ry which retsulmz a permit to Construct. alter. Improvem Coy structure. nor to Its tis ce, also requires the applicant for soon permit o Nle a signed statement that he/she licensed pursuant to the provisions of .9 Contractorb Upert a IdW (Genstar 9 (commencingnwith Section 1000) 01 r iiglon 3 of the Business Proteulnn3 odethat former Is exempt and the bane far the nage( exemption. Any vlaucion m section Jaeration 091.5 by any OPPICanr for a permit subjects theapplicantto a CMI �nalbrol not relations here hundred dollars ($500). . , a f IM Coca" or my em lido es with ages p is wle compensations! Ill do the work, and the structure Is' t Intended offered for ale (Section 1044, Bu51ne5s and Professional Cade: The Contractor's license LAW does not reply to an owner of a property WhO builds or Improves thereon, d Who does nwrk mmsff/nmsgti on throughis or her own provided that n Imorowments ale not , tl hared for mU. If, however, the Adaptng or improvement lis sold within one year of Com- pletlon, the owner will naw the harden of Provlag he/she did not build or im- the purpose 01 Sala1.Q$y1. as owner Of the proaYey, am exclusively contracting ith licensed con- ChOon; Construct the project(Section 7044, Business And ProfesslOas Code: .The Cohtractor•s License law sows r PPhn ro an w r of property no ImprOses P rson, and ho contracts for Such Projects with a Can- tractorosl license pursuant n the Connector's nUecesnse Lawl. I am aware that ff Abair Wo.kar's Compensation Insura hould be incWtles to me. l am' exempt under Section & P, C. for ens reason Kitchen SinkWater Service Switches Sign ' ge / / Lavatories Auto -Wash GarWge Disposal Standing Sections P_Trep Launy Trays dr Generator ❑0-5 KW El 5-15 KW Trash Com ctor Pa gyof Drains geirepeRion Fea. - $15 Issue Re $ 3 Reinapenlidn Fee $15 Issue Fuji $ 3 MECHANICAL FEES in If I J 5.ployees. Zoning Approved By Building Roper I^➢ afar t - Appiioion Isuad By'it DEVELOPMENT SERVICES REftl Boiler HneJ or Type I ❑ Canopy Type II ❑ - Duct- Under Ground Duct -Structural Rehigeralion System ❑0.1000008TU ❑100,1100 BTUbuild3 puce Ventilating BUILDING PERMIT $TP $ of.fi'yproof PLAN CHECK $RMIT11 SUANCE $PLUMBING 8Data PLAN CHECK 2596 $ERGY'PA. $informatiion ELECTflICAC $fl ADI NG $and PLAINICROFILM Spe MECHANI CK 5le $sMECHANICAL l $73. Zy__TAL FEE $ —�LI PLAN CHECK 25% $- Exhaust System ❑ Multiple ❑ System Repalli Iteration Firepl/Fact 81L ICB0 •! Fira Dampen Ow IIT<Wf/q@q• tis correct. 11 as ee to thply with all city and CounttyO dinance.❑D1o0,000 state laws relating to be mingConstruction, and hereby authorize repro- tatives o this City t0 nter upon Ina bo"e enlloned property for a s5S 3 Heating System&Ducting BTU ❑1(p,00o Registers Reirepaaidn Foe $15 IMua Fee S 3 CMF 0865-46, Tell]0/04 White . Bulming: Canary - Ambildi Pink -Accounting; Goldenrod - Assessor / T{ - STRUCTION AND PLANNING PROVALS Pefmit A' ie Date Inspector .,,, PC &SPA APPROVALS Permit# _ Date Inspector . 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test_ 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑ Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑Gas OOil 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 S 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 Y!t 47. FINAL STRUCTURE & BUILDING' 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - • ' Appncanf to fin In all forces except IIHGO within heavy bo, - e sign an appropriate declarations. deLOT - 5999- 5722%86 -- - .r 4 g, �p - CITY OF COSTA MESA COp�STRUCTION PEgMIT= JWoiectAddress 9SO- s°&Di (.�-A� H'f1IF r--9 APPlirant'SMailing CLDAddress rs"39 Itaw'O111N31�.B. } OWOGr'S Name 'JI�� �CIF�IY Pllone �3 7 �l $Z C- /iUE r•5 Address' PER NO. TRACT NO. NO. UN O TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR CONVERSION ❑DEMOLISH I]OTHER DESCRIPTION OF WORK/USE OF BLDG A,P,0 Zone G Main Building: Actual Building: - $ 3 ArcM1JEng. License No. Address - TVPE OF PERMIT GRADING POurvowTlory $TRuciu RAL ❑ TENANT ELELTRICAL'O PLUMBING ❑ MECHANICAL 'OTHER PROJECT DESCRIPTION 50. FT. 8 —OCCUPANCY—C . CONSTRVCTION,TYPE VALUATIONS ZONE GRADINGCU.VOS. ACRE E T Front - Z p B X Rear N Contractors Name 130DRLIIECI hOna Right N �a 1w.. L J� Address (mailing) r.^1'a'K�IBI/✓- $�•p` �Y� 5 Lvvefl D R �rLr City Llcenu No. 447 LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 am licensed under provisions of Charter 9lmmmencin9 with section 70001 of Division 3 of the Business and Profesdon[ Code, and Licensere1s 1st 5u111V5Fe_a raj jLlL feca«.7 �LO P4g. Red W Perks R /Provided ng yR E RemarkozPlanning Notes: M ' T _ rsowsigns PLUMBING FEES REPS' COMPENSATION DECLARATION Or hereby and that I maybe certificate of consent to Op4nSure O. a G.tifltate of Workers' Consolidation Insurance, or a studied copy theMal (Section 3900, lab. C.) Policy No. Company PRrli led copy Is hereby furnished, W Clothes copy Is filed with the of Bulid DI Wan. APon prion FROM WORKERS COMPENSATION NSATION r one hundred �TM1iS NGtipe need net de Completed i1 lh6 permit Iz for pct¢ hundred IS100) or 1 I cell Bo that in the performance of the work for which want a Issued l nest n t ploy v person on any m r e saJ�Rct to the Wprk¢R' CONp¢rJsaSbnaNvi f Calllp ✓( 9 Bar Sink Sharpens ELECTRICAL FEES Backflow Prevanter Service Sink Automatic Washer Transformer ❑ 15.50 KW Construction Pole Sub. ❑501 KW BackflOwlrrlgarion Sewer Cep Bathtubs Sewer Connection Cooking Unit Meter OUR to 100 amps Clarifiers Soler Collectors Dishwasher Meter ❑o 100 amps " Dishwasher Solar PIPln9 DlyeR ❑G8S ❑Ele[1riC Sub Panel Drinking Fountains Solar Tpnk Fan Motors ❑0.1 HP ❑1 A-8 Flmr Grains Swimming Pool w/$o+ F.A.U. Inc. Solar. 09-15 HP❑18-05+ NDate OT 'NOTICE: Compensation aper making IMs declaratlpn. You iM1 becomes `t Oct ta' he his declaration. a e. you em 1 feorappe n Workers'ithsuchprprowsmor Oe the Permit d! this permit hall be deemed ke0. limply with ON LENDING CONSTRUCTION LENDING AGENOV of they affirm inII there whic 11 a is Permit 18nr1In0 Gil for the y rl CiV. C..) f dee k for wM1ICM1 this Permit Is Issued (Section 3091 Lly. FI tcneM's Name Floor Sinks - Urinal - Fixtures Miu0W0Ve GBZ SaNi[0 Out as Water Clout DCVICC BON¢3 POB Light g Interarotor{ Wafer Hestar ry Outlets Range ' ' .I I Auto -wads Drains Reinsp0alistri $15 U I am exempt under Section B. & P. C. for this reason Firepllleact. Bit. If Cale I Owner Heating System & 1 nereb ceaby mat I nay. red anis indication and ante that the above 00,1041,Ow BTU mOrmaimn I' car L I agree to pl m an ciy and county ordinances and tate Ice ,mating to building cons den, And hereby llthorize pro. smanors of city upon ,the boyo tsonee property for smnlnn r e. Bate Signature Reinspeaion Fee CrlverT LIUnN or 55 if IF 0955-65. Ga. 30/6e White - Building: Unary - Assistant) Pink - ACcounting: Goldenrod - ALNEior S15 Issue Fee IANICAL Hood ar Typal ❑ Canopy Type II ❑ iehigention System 741000OOBTU 13103,000 System Repair/Alteration Garbage Unigni ; Standing Sections Generator ❑D5 KW 0515 KW Trash Compactor $3 Reinspection Fu $15 Issue Fee $ 3 Zoning Approved By Building Approved By Appliwrnn [Road By Date Date Dat BUILDING PERMIT PIAN CHECK PLUMBING PLAN CHECK 25%. ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% $ $ $ $ $ $ 3 $ SUMMARY OF FEES - $MIP $ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM S TOTALFEE $ $ 3 NSTRUCTION AND PLANNING 'APPROVALS Permit # Date Inspector P. _ & SPA 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE' 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final ' 13: Roof Drains 64. Plumbing System - Final 14: Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring sy 67. Fencing & Access Approval 17'. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling �(� 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21., Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 00i1 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank UGas 00il 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 G 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 4r3. -Backflow Irrigation L 44! Landscape Irrigation System v 41, Sound Attenuation 46? Handicap Regulations 47UJ FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co rn 51' CERTIFICATE OF OCCUPANCY No. Date • % ' APPIICa l 10 nu In an Intent ersmt mere within heavy border renes and sign an appropriate OeCISBOOOL wasew CITYOF COSTAR MESA CO/B/I T RU/CTION/�pELRMII Cp PER TN�eO� / TRAC1 Project Address SLS `/%� L�Pe a`FVG / / Applicsint'sMailing >octal���j /LJ/% LAS AS _ TYPE OF CONSTRUCTION NF OwnttY Name �%T�r(}rev(fj' ohone�yyl� • LI CONVERSION ❑ DEMOLISH Address _BASAL DESCRIPTION OF WORKIUSE OF Arch/Eng. License No. TYPE OF PERMIT GRADINGr Address Imo/ ❑ TENANT O ELECTRICAL L ContractoreNamar. AL y OTHER Address m" 1,PROJECTDESCRIPTION SQ. FT._ City License No THO CONSTRUCTION TYPE LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under Provlslons al Charter 9 (CammenCln9 with section 7000) of Division 3 Of the Business and professions Code. and my license es In l Wl o ne effect. Lice 0�yyII ^Z' LlCenze No.lp'Ir�� oat— /fag .L_ s eTd. - '90R Eg5'CO MPENSATION DECLARATION erebV affirm that 1 have a ontIfirate of Consent t0 ealf4mare Or A eart111Gq • Worke l' Compensation Insurance, Or a Certified copy thereof (Section 3800, Lab. C.) Policy No. Company 8 Certified Copy Is hereby fumlaM1ed. Cerlllled copy It filed with the city Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION IThULctlon need not be Completed If the Permit Is for Ona hundred (5100) or Ielts I certify that in the Performance of me work ran wh Ch me permit Is eased, I shall net employ y person m y r 50 as to become subject to me Worker' Ion Laws of DO 90mi Gate gnature AL �/ 'NOTIC : Il, after making tM1ls tledaratlan, you M1aul come subject to the Workers' CampensaOOn prDVlClons Of the Loa Code, you must b thwilh Comply with such, provisions Or this perms snap pe deemed rewked. CONSTRUCTION LENDING AGENCY I hereby alflrm that mem Is a Construction lending agency for the performance at the work for which this permit Is intend {SaNlon 3097 Cie. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor% License Law for the following reason (4ctlan 7031.5 Business and Professional Code: Any City er county which requires a bermR t0 Construct, alter. Improve. Carl or repair any Structure, prior to Its Issuance, also regaims he applicant for mm permit ,riss io foe a slgnmrtia ea.I thatrneah:. a Iirne m°n° i�abwiu Cannier`, 7adfla of The Contractor's Li enee sew Does not poly to a owner at Property who buflds a proer ves Ibeon. and who contracts fors Such projects with ttaclorpI license pursuant to the Contractors unions Lawl. I em ewer$ lucent proof Ir Worker's Compensation Insurance Should de provided to . Cl 1 am exempt under Sect ton 8. & P. 0.1or this reason Sink class Preventer Roof Drains Reinspection. Fee Bailer Duct - Under Ground Duct. structural Duct - Ventilating Exhaust System O e Firepl/Fact BIL ICBO Heating System & Due D0100a00 BTU 01 Drivers' Ueenm or 55 3 I I Reinspetian F¢a 'CMF 0865-¢6. rev. 10184 White - Building: Canary - APPIRCentr Pink - A¢aunting: Goldenrod - Assessor J ADD Ll ALTERATION U REPAIR OTHER J FOUNDATION LJ STRUCTURAL PLUMBING O MECHANICAL VALUATIONS G RAOI NG CU. VDS. A( Showers Service Sink A I Sewtt Connwhian Eager Collectors Water Closet Water Serving 54B"a 5/li/'1u E TFrom 2 0 ARear $15 N C Right N S xil $ 3 N Ping. Ref.W Parking Req.IProvidex DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved Ryale Building Approved By Application Issued By_ E Planning Notes: Hotels or Type ❑ Canopy Type II O 0 M Refrigeration System ODIDOODUBTU 010D,OBO1)TU - BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL- PLAN CHECK 25% T SMIP PERMIT ISSUANCE$ ENERGY P.C. GRADING MICROFILM TOTALFEE $ $ $ S op 7��1y $ ?-ab leo System Rebair/Alteration Fire Dampers ELECTRICAL FEES . Automatic Washer Construction Pale Sub. Transformer ❑ 1550 KW ❑50t KW $15 Issue Fee $ 3 Cooking Unit Meter Dup 10100 amps - Dishwasher Meter Dover )DO amps Dryers OGas DElegmc Sub Panel Fan Motors 10o-1 HP OIn B F.A.U. Inc. Solar O&15 HP 111615+ Fixtures Microwave Device Bakes Pole Light Outlets Rayne Switches Sign Garbage Disposal 1 Sbndlag Sections Generator O65 KW 13S1 KW 1 Trash Compactor $15 Issue Feu S 3 Reinspection Fee $15 latae Fn $ 3 MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved Ryale Building Approved By Application Issued By_ Dele Nate �—I T �$2 Hotels or Type ❑ Canopy Type II O Refrigeration System ODIDOODUBTU 010D,OBO1)TU - BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL- PLAN CHECK 25% SUMMARY OF FEESr= $ S $ S $ $ $ S SMIP PERMIT ISSUANCE$ ENERGY P.C. GRADING MICROFILM TOTALFEE $ $ $ S op 7��1y $ ?-ab leo System Rebair/Alteration Fire Dampers Registers Q $15 Issue Fee $ 3 CONSTRUCTION AND PLANNING .APPROVALS Permit # Date Inspector PO( SPA 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-Uridrgind. - 55. Electrical Bonding . 5. Steel Reinforcement, 56. Rough Plumbing & Pressure Test 6' Electrical LIFER G'rnd.. 57. APPROVAL TO COVER-GUNITE 7. Footings -' 58. Electrical Conduit-Undrgrnd. 8. ¢.oundation ; ,- 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd:* .r 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 ::,. 1; 63. Heater & Vent-Final 13.'Roof'Drains 64. Plumbing System - Final , 14."Rough'Plumbirig;. 65. Electrical-Final 15. RougWElectrical-Conduit 66. Solar System-Final 16: Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling, 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas 0Oil 23. Gas Pipe-Rough & Test ''� 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 2 Y(e 604 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co '51. CERTIFICATE OF OCCUPANCY No. Date n m — 3505 Cadillac Avenue Unit G1 CADrr•W AVENUE 3505 Unit G -1 Int 6 _ B-2266-,5/2-a7y} COM. Bldg208 463. Unit G-1 P-2377-9�i/8a PLBG, (B-2266) B-2633- EIEC. (13-2266) Unit G-1 -j NI-3751-/e/`,o/f1MECH• (B-2266) Unit G-1 P-4402 9//lyr PLBG. (goof Drain) Bldg. G _ M12527 mIISC r Applicant to Nn In all Speaks eked lease within heavy border Jinn And sign an appropriate declarations. RI Al 4/06134 CITY OF COSTA MESAn,/�`�1 CONSTRUCTION PERMIT of ®S/ PERMIT NO. TRACT NO. w LOT NO. BL Project Acknew Ul Applicant's WilingAaerea ... 1175 N. Osprey Circle. Apahe'CONVERSION MA—PARK PARIi °Sane 752-5515 Owner's Nae_p__' m Agana 1301 Dave, X260, Newport Deaciz. 92660 TVP OF, CONSTRUCTION J NEW M ADO LJ ALTERATION U 11 DEMOLISH 11 OTHER' OESCRIMIONOFWORK ITIC �� l� COR�7j itA (til gASIP7 REPAIR PCtTl A,P.0 Zone S Main Builpingo Accessary Building: Z TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL PLUMBING ® MECHANICAL ❑ OTHER OJ PROJECT DESCRIPTION SD. FT. ' OCCUPANCY CO N ST RUCTION TYPE VALUATIONS ZONE ORADINO CU.YDS. ACRES E T Front D N Arch/Eng. Lkense No. Address B A Rear N -• BLAKE C 6 SERVICE �e Sane - t.2 contractor'S Nem Adaresslmalling) 1175-N. Osprey Circle, Anaheim C Right G S Left E City License No. 026026 LICENSED CONTRACTOR DECLARATION ping, Ref, # Park.Fees $ 0 Remarks, Parking Rep.IProvidee U I Manby affirm that 1 am licensed under provisions of Charter 9 (Commencing with section 7000) °1 Division 3 of IN Business amp Professions CMO, And my license tun full for: deffect. 396-109 Late" CI s i'- N U9 of Budde p: R E PLUMBING FEES Meaning 9 Notes: M to signaturedi Bar Sink Showers E N A rRKERS' COMPENSATION D C RTION si ersbyalfrm that l have a Certificate of cont to self -Insure or a certificate of Workers' Compensation Insurance, or a certified COPY thereof ($action Batkflaw Previnter Service Sink S Backflow Irrigation Bathtubs Sewer Cep Sewer Connection " Aummetic Washer ELECTRICAL FEES Transformer O 1530 KW 3800, Lab. Cd C1062 STATE �i`� 1N5. Policy No. 4 Company 2 Ce tlfled COPY Is hereby furnished. G,(tf Is filed wun the alt lain Olrislas Pat= ApPllcan Censsructi°n Polar Sub . ��}KW Clarifiers $aqr C011ecton EKEM"ON PROM WO Phil 'C0 P k!ATION neLARATI N ! This Ileo nee° not be Campletea l the permit is fare hundred glom or Dishwasher SDIar Pepin g Cocking Unit Meter Oup in SOD amps II ass). that In the °efforni of mice r forwhich taco permit Is Issued I Wheli not ploy Say Person m to b Subject to the orkers' Compen"tion Laws of Cur, fornla. r Data ggnatur, Drinking Fountains - Enter Tank Dishwasher Meter Clover 100 ample Floor Drains- Swimming Pool Wising Dryers OGai OElectric Sub Panel WAll OMe�Y Camper making pthisdeclaration.iniashould becomeSubletst theFloor you mutt forthwith comply with such Provisions or this permit Shall be deemed evoked. CONSTRUCTION LENDING AGENCY - Slnki Urinal Fen Motors 001 HP 01 A, - B Gas Service Outlets Water Close[ F.A.U. Ire Solat OS15 His 01615+ Interceptors Water Heater Fixtures Microwave of the Work [for ["tell thin Permit IS Issued (Sectlun �309%f CIV sec 1 Kitchen Sink Water Service Device Bones Pole Light Landi Name sender's Address OWNER BUILDER DECLARATION I resolve affirm that I am examot from the Contractor's License sew for the following reason (anchor 7033.5 address and Professional Coda: Any city on County anduch toDei a permit to construct, alter Mpr°a, demolish or repair �r abuc[ore, or to ns Issuance, also requires the applicant IOr Such permit ole a signed statement chat he the N licensee pursuant no the provisions of tK vision 3 at ins Buinnuwnd oinsslon°5 COde) set that lie/sshe IS exe000) ep1 therefromt vlot at Section forion bawls 1°r rho iia On themar tCivil LNBtOri6i Outlets Range p_TreO Switch" Sign . Roof Drains Garbage Disamot 5[enalnA Sea[iani d Generator O05 KW 05.15KW Trnh Comp.aor Reimp Mior Fee $26 Issue Fare E 3 alllper m a fora hen. the to 7031.5 by tllshan moiNrseoften. Ile apallunt foe compeensationprwl l do the Property andthethe strructure is but Intend" or offs ed lar le (Section 7044, Business and Professional Cedar The Contractor's Lames Law dtoes not apply toanowner Of a property who bellds or Improves thereon, nes M10 Gass n war M1lm"If/ncoast or throue his Or her own pro Is are not InbnOep hereat for pto a, provided that such or role. IY however, the bulleiny ImPro wmanl is sola within one Year of cam- again q the owner will haw Ire burden et proving he/she did not build or Ins. ran for the purpose of sale). odd°a of me property. am exclusively contracting with licensed corn w ,fog trac,fog wnstruct the Perfect Section 704. Suelnms and Professions Coom The contractor's u<en" sew e s not appal to an owner f perty who builds or Imprmed thereon, and poo contracia for such Praise a with a can. total names pursuant to me Contractor's Licensed Laws. Olam exempt under 9eUan B. C. ler this reason i I Reinipegtion Fn $26 IsuN Fore $ 3 _ _ MECHANICAL FEE$ PUBLIC SERVICES REQUIREMENTS: Zoning Approved By nave Building Approved Bypate Application lava Br �/ I Dat Boller Hoop or Type 1 0 Canopy Type If ❑ Oubt-Unser Ground Duct- Structural . Refrigeration System Duct- Ventilating. 00100,OOD BTU ❑IOO,OOD BTU BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25%$ ELECTRICAL PLAN CHECK 60%'$ MECHANICAL PIAN CHECK 25%,$ SUMMARY OF FEES ,$ SMIP $ $ PERMIT IS ISSUANCE 'E ENERGY P.C. '$ $ GRADING $ MICROFILM $ TOTALFEE $ _ $ 24.00 1 24=*natun 2 Exhaust System 2 Multiple 0 System Repair/Allemtlon FlteplyFael. Bll. ICBO't L 7 0 Date - Owner L� Heatim,SYstem 9 Ducting Dinjn L 0 O41 o00BTU100,000 - I moved Y'ca certify -that I have -read [mi application nes tate that ne above endo state II correct. 1 agree to comply with all city and c° t ordinances n' tate laws relatsn o building cons ruction, and hereby authorp e- tauves 1 Ph a t g t e-mentmne° grape t for Imperial p°P°f 3/27%94e Slgeature Da" DLlcena ,5 • Ratml"aloh Fn •326 Iwo Fee E 3 CMF 086546 rev. 12/83 White - BrAldil lCanary-Applicant;Pink- Accounting; goldenrod -Awl CONSTRUCTION AND PLANNING fhl2ri27 Date .APPROVALS Permit#_�- Inspector PO i SPA APPROVALS :'Permit# -Date, i` Inspector - 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - - 1 Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - - - - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding - - 5. Steel Reinforcement 56. Rough Plumbing & Pressure'Test 6. Electrical UFER Grnd. ,� 57. APPROVAL TO COVER-GUNITE ' 7. Footings 58. Electrical Conduit-Undrgrnd. - 8. Foundation 59. Gas Pipe, 0-Undrgrnd., Test - 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. - 10. Structural Floor System } 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connection 62. Backwash &Receptor -Final 12. Sewer Cap, 63. Heater & Vent -Final - - 13. Roof Drains 64. Plumbing System• -,Final - 14. Rough Plumbing 65. Electrical -Final - 15.�Rough Electrical -Conduit 66. Solar -System -Final- 16./,Rough Electric Wiring - 67. Fencing & Access Approval- 17._'Rough Wiring Sign 68. APPROVED FOR PLASTERING r 18.- Rough Electrical -T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL - 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70.. Underground Hydro 21. Ducts, Ventilating 71. Product Piping LGas', 0Oil 2�. Gas Pipe -Rough & Test ., 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0Oil-- 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: ' 34. Final Heating & Air Conditioning t�l�U/I-f Cx0 35. Final Gas Pipe -Test - - - - 36. Hood or Canopy - 37. Final Factory Fireplace - 38. Final Plumbing 39. Water Service -Final - 40. Gas Service -Final ' ' - 1 41. Solar Domestic -Final - _ _•_ _ y 1' 42. Backflow Preventer i - 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation I - i 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed i 49. Electric Release to Edison " 50. Gas Release to Southern California Gas Co •, 51. CERTIFICATE OF OCCUPANCY No. Date - - - ADDRESS OF BIRLDINO: 3505 CADILLAC AV UNIT' G OWNER'S NAME IF KNOWN: CORELAND/DONNER FLOOD: AH -37 ADDRESS: 4400 MACARTHUR BL #150 NEWPORT BEACH,CA 92660 APPL MMUNG ADORESR 251-1100 ARCNRECT OR ENGINEER: LIC. NO, uNT: wNmAcrars NAME: EVANS ROOFING COMPANY INC (714)285-1180 CONTRACTORS MMUNG 1101 E CHESTNUT "DBMS' SANTA ANA CA DGN' 610549 92701 uNT' LICENSED CONTRACTORS DECLARATION: I hereby affirm under penalty of perjury that I an 4eeneed under pwieions of Chapter P (emoramcmhp with Saclion 7000) of D'msion 3 of the Busines and Profession Code, and my howase is in fun face And affw. CITY LIC. NO.: Loc. CLASS: LIC. NO.: 059277 C 39 61054E�CP: 409/97 m Date: A —/— 9 —7 Ceaao: fv s kno%� OWNER BUILDER DECLARATION: I hereby affirm under penalty of perjury that I we exempt from the Cwwdom Unamea Law for the 'olowkhp reason (Sedbn 7031.5 Bwmess and Professions Code: Any city or county which requires a pemA to ooreptiw, alter, improve, moleh. «repair any structure. poor W ft lesuance, asp requires the applimt for auch pemdt to fib a signed gatemem that he or licensed W rmanl to the proveion of Me Cmtrmars License Lew [Chanter S (oommen irp with Section 7000) of D'neion 3 of the Susinw d Sect and Professions Codej or Met M «she is exempt therefore athe basis for Me alleMcl exemptWion ion. Any vioion 7031.5 by any applicant for a perms subpds IM applicant to a chit penalty of M more than five hundred Iden (5500]). ❑ I, w ownr of Me Propery or M employees with ween as their ace campenealbn, will do the work. and IM stnnlure is not inamwed or offered to sale (Section 7044, Suelww and Prdesaions Code: The Conawanns Uomae Lew droll w apply, to an owrarof mop" who had. «inprom Maroon, and who don each wok Nmaet or MnM or Mrough he or her own wa Ww, mvided that ouch imwr amawe we std imerela l or offered for sale. N. howwwr. le bdoinp or inprmwned Is sets within one year of completion, the .nwrbuM., will have Ie burden of proving he or she did w huik or imMmm for Ie phmoae of eWe). ❑ I. n owner of the prepeny. are axdLm%mly mntradig wfM licensed ommomon to commict the project (Section 7004. &nines well pmleaaone Coda: The Codrwor. Iseme Law does not appy W an ovular of property we builds or improves Menem erhd we codrads 1« such prabda whh a coMncods) licensed Wnuant to the Cmtrwors Limnse Law). ❑ I am exempt under Section: B. 8 P.C. ler this nmaon: Data: Owner. I do hereby cents Mat I am aw«a of end undemarel IM requirements of Callomie h(eelth and Salary Code Sedan 25505, 25533, and 25534, and that 1 or any, Mure miding m vpcd will / wD not (drele one) need W comply with said etate codes and to rammemprts for aoernwctionor modit�anhomtMAk uaeliTyy�ane0emant 0idrid.Reskenlud conelmd'pn epgratbnen exemgfmmthw provisions.iona. Dale: ApplceN: WORKER'S COMPENSATION DECLARATION: I hereby Affimi under penalty of penury me of to bnowirg detlentons: ❑ 1 haw and coil meima:h a cef f. the d whit 10 asuman hw waken' emmpanmian, n provyled far by Sad"vh 3700 d to labor Cob, t« Me Md.. of Ma wank Io which Ihia permit is eaued. I haw and will maintain workers' cormosmaton inuranoe. as required by Swim 37x0 of Me Labor Code, ler Me performance of Ie wok for which Mi. parent a esuad. My workers' cpmpenation inurmge coder arc poky numberan: Caller: ESTATE FUNn EXPIRES Policy Number.07/01/98 (This wdbn need norM romfdelb/IM Permlz baa hu Nan Rf00)«lw.) ❑ I centy that in the Mdohmancs d IM wok ler which this pmmd ie esuM. 1 Moll w employ any perms in burry manner w n to Mcome aubiw to the worken' compne aim laws of Callonia, and spree that J I dealt becohro sobjw to Me worlan' Data: eompenetjJ sand 5� 700 d to l I Coefa l shall fa0hwilh aom xiN Mph pwiebns Wemine op W b hate, Men'eomyeraetlm00,M)ps awaildonl Me cowl fco en ertion, d�n es w ruv1do pentl/[�{end cowl ahb/acf/�en amploywn es w pmaltlurIn Stull 0rhoc M b oma Labor Co olaunree doles ttorne000), In eWltlon b Ms cwT of romperaefbn, dsmapac ac prov/ded ler In Ssetlm 3705 al Ms Labor Corb, /nfsrec0 erW efbmsyl len. CONSTRUCTION LENDING AGENCY: I hereby affirm meter penalty of perjury tet [hare le e mmmnwion lending apeacy ler the parlarmanca of Ie wok for which Me permit ie issued (Swion 3097, Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I certify that 1 have reed Me application and date Met Me abwa infarmetim is correct. I epee to comply with en dly end «huMy onfinmeen and We leve mlelig W buiMing eohmrason aryl hereby authorize reprewnretvm of the dry W mter upon the aboc medixad property for inspection Imposes, BOB AWALT Data: C J / ~ / 5 nature downer/ApenVA - nw« (5151dt.WP) Whh.-B iklig A Safety; G.RIA; Cary-APPleAat: Pink- amhha; Gddsmod-Mwn« CITY OF COSTA MESA — BUILDING PERMIT PERM NO• B 08401 PERMIT NO: B 084015 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : T/FF 6 REROOF W/BUILT—UP SQ FT: 20,100 CLAIM VALUE: 20,100.00 CALC—VALUE: 20,100.00 GROUP OCC: B / COMMENTS: REROOF 16300SF COMMERCIAL BUILDING Z O N I N G R E Q U I R E M E N T S S E T B A C.K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING-------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING REQ: PROV: PARCEL: 13966124 ZNE: REF NO: PLANNING NOTES> irk irk dE ih*iE*dE***tr.iE*,**#*dh irk oft iE iE iE iE dF*oft irk*iF*kiE*tk**irk***ipiEihiE iF iEk**irk irk ib iE ib ib*iE*ib it;E fE*iF*4E tF iF iE iE irk iEit iF if iE* D E V- E L 0 P M E N T S E R V I C E S R E Q U I R E M E ,N .T S ZONING APPROVED BY DATE:_ BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: FS *iE**dF 1E iE iF 1E iF*irk Rk iE ib ib**iE it*iE irk ip*4k iP iE iE 4F*iP iEk LEGALIZATION:N F E E S U M M A R Y STRUCTURALJ SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 299.75 PLAN SMIP4/NON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ^ DUE TOTALS ---- > 303.97 0.00 0.00 303.97 303.97 .00 REVENUE DIVISION TOTALS--> COLLECTED: 303.97 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 299.75 4.22 ihdEihirkiEiFiEitiEiFdhiE4F**dhdP**ikiEiEdb*itdt*iF�!**dh**dE*iF*oft*dhiliP4EdF***1PiEipirkdF3FiEiiiFit**it irkiEdEiEii**ieiEdFieiEih*iEi(*iE I N D I V I D U A -'L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFC 20100 REROOF BY VALUE COMMERCIAL NOZONE 1.00 20,100.00 END OF FEES � 1 4 08-01-1997/09:32 A0/9303.97 RCPT0:01-0310072 PERMIT:084015 CONSTRUCTION AND PLANNING - APPROVALS Permit# Date Inspector PO ..SPA 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 Electrical UFER_Grnd, 57. APPROVAL TO COVER•GUNITE r ',-7, Footings -' 58. Electrical Cond61t-)Jndrgrnd, `,8 .'Foundation -- 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P.7rap, 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-& Attest Approval 17. Rough Wiring Sign '. 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling- - 69. PObL/SPA-SYSTEMS FINAL -' 19. Rough Heating & Air Conditioning - 20. Rough Factory Fireplace - 7_ ' � 7't ' - FIRE DEPT. REQUIREMENT 1 T - r .. '1, .APPROVALS' Permit # ' 21. Ducts, in Structure' , _ 77 - . x y70. �Flndergro➢nd Hydro t 22. Ducts; Ventilating i - }�= •i; 71. Prod uc,{;�.ypingi30ias DOiI 23. Gas Pipe-Fougfi & TGst 72. Underground Flush- e C -- 24. Roof` Framing • - a - - - a -• • 73v Undergrnd. Storage Tank''J Gas ❑Oil 25. Roof Sheathing �% cC X .74' Overhead Hydro, 26. T -Bar -Ceiling (Structural) & Monocoat 75 Dry Chemical _ -- - r-�• 27. Frame and Flashing" cr 76. Dry Stan, e ' c dp p 28. Lathing & Siding I, V , y 77C FIXED SYSTEM`FINA4 29. Insulation - _ • :, r: 78; FIRE PREV, FINAL s [ r 30. Drywall Nailing HEALTH.DEPT. REQUIREMENT 31. Plaster Brown.Coat; •; „ ;. �; 79.• FINAL WgECTIbN 32. Electrical -Power Meter-binal 33. Final'Eleiitric ;'; ,y a -'34. Final�Heating& Air.Conditioning = r •` - / 1 80:., FOOD CERTIFICATE ISSUED Notes:/ � C - 35. Final Gas PipeTest- ,_ - - - " r+ ., -. * ` • . 36. Hood or Canopy a -3 - r - _ _ ;37. Final Factory Fireplace- •_ ' - �: ' ,; -. 38. Final Plumbing -. > i i a ' 39. Water Service -Final -40. Gas Service'Final 41. Solar Domestic -Final' -42. Backflow Preventer r --43. Backflow Irrigation - I 44. Landscape Irrigation System J:=,;' .r.; - - _ ,'• c 45. Sound Atten0tion 46. Handicap Regulationf _ ` �' ••' rj- ; 47. FINAL STRUCTURE & BUILDING ' ZZ 48. FINAL 49. Electric Release to Edison i r - . 50. Gas Release to Southern California -Gas Co - - - 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to nu In all space& Within heavy tomer Bneune Sign III ppropruse ilecunuon.. ' CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT O. BLDG. NO. 0777 I / B/g2 720.09 CONSTRUCTION PERMIT a (o (p I PM B1-360 Cr „_ y TYPE OF CONSTRUCTION Z NEW ❑ AbO ❑ ALTERATION , ' Project Address 3505 CadillEtC Avenue Owner Phonf 5 -5j Fj1 Poorest p[ �ilCl ❑REPAIR El CONVERSION DOEMOLISN ❑OTHER ZONING REGULATIONS AddriEng. S—PetPSS License No. 428$ DESCRIPTION OF WORK A.P. SO 139-651-13,15.28 ZONE PDI pLNG. REF.' 80-160 TYRE OFPERMI ) ,. 5 .e.BUILDING / WALE57 GU �GRgOINC FOVNpATION �STq UCTURAL - p ❑TENANT ❑ 'y FT (]PLUMBING OMECHPNICA Addr65 Alton SRnta a Contractor iGRe1T5 Construction Phome 576-84 AEEraN CONTRACTOR DECLARATION „LENSED afllrm tnat I am Ilcetu ee r PrONslOns OS Uatlo 9 (cam- - 5Ip q RIO 1 mentingy with section 7000) O1 OINRon 3 of the Business are' C1 OTHER r s�-, Prolesslons Coble, and y Seattle Is In lull force and effect. 'REARYARO(TOP/LI Or License Class A Llcanse No. 86393 PROJECT DESCRIPTION SQ. Fr. � 6279 PKG.SPACE RED. 592 PROVIDED 610 - - - Date SNnafun, OCCUPANOV -L CONSTRUCTION TYPE U -N k STREET WIpTN PARK FEES WORKERS' COMPENSATION DECLARATION -- ey elft! that I haw a cerillOste 01 eanNnt to variation ora VALUATION ar�,d.�6i ZONE 2OWING 7PPROVED B DAT _ _ tnM1 rfuctut of Workers-COm0taria 0 Ins�:uyra..n.�ce.,,.T�.r, a certified copy GRADING CU. YDS. ACRES SPECIAL CONDITIONS: thereol(SactbcaW0"6*/). Indw. LLWIWat "Icy No. W261V Company _ Certified -copy is hmeby f urnlsmad. REMARKS! ' WICeruged copy is Yum with the city Building Division. HOLD FOR SPECIAL REClUDtEMENT° EXEMPTION FROM WORKERS' COMPENSATION DECLARATION _ N ,f SY.� .y ,This Rlan ne net Oe camudam II the permit B for one hundred 1E300f ar teal^ work Ion rt fY [t a this _ PLUMBING -PLAN CHECK _ ELECTRICAL Plpry CHECK mal Dermot e performance p rs n I er so names L the not employ m any Person o any manner so as to become &abject to the WOrkOri GOmMnY110n Lows of CiIIfOInIY BATHTUBS SHOWERS UWLLLTNG _ Gale $Ignalum - NOTICE: 11 after making this declaration. yp sMNO become subject TOILETS URINALS GENERATOR 0.1 KW_ IAO KW to the Workers' Compensation Provisions 01 the labor Coda. You must TRANSFORMER forthwith comply with such Prevision[ or this permit shall be deemed LAVATORIES DOUBLE LAYS ,APPLIANCE - 10-50 KW_50I KW revoked. � .- KIT. SINKS DISHWASHERS MOTORS 01 HP -1.10 HP CONSTRUCTION LENDING AGENCY I hereby affirm that there 15 a Construction lendingagency for the per- SERVICESINKS SUMPS NHL -SOLAR) 10 50 HP tXP torments of the work for which this permit Is Issued (Section 3097 - -50 G'1• we11S Pam= �IjC FLOOR SINKS FLOOR DRAT 5 FIXTURES OUTLETS SWITCME51 LanCiv. Lenders rvam. 1 I Uender3 Address CAA W AT'VIr4 Oply-GT nY- a N R. DRINKING FOUNTAINS I v : aQAETURESIGNS II heeby BUILDER a am exempt lfrrom the Contractor's License lJw'lor INTERCEPTORS CLARIFIERS POLE LIGHTS - SWIMMING POOL P TRAP - - - the Rulowing w (Section 7031.5 Business and PrOORIOnS COCO: Any city 'Or county which rail a permit to CODStNCI, alter,. 'POLES METERED (SUB WATER SERVICE, ALTERATION PANELS MAIN SUB ire - prior to its issuance. also - improve,demolish Or repair any suCtwe,m the applicant for such permit t0 Ilia a Sign statement that no •Gp55E,� OUTLETS'' RVICE - SERVICE RMP Ilcensee pursuant -to the provisions of the C01104Cloh LI¢nu Law Csapnte r 9 (commencing .with Settlors 7000) ofs DWISIO0 3bf the 5Professio _ WATER HEATERS BTU OUTPUT ' 1Or m and the ache �Eallo1n 57031.5 B alleged emmpollon. Any violation oISQXOMf ler by SEWER CONNECTIONS for cermit subjects the applicant l0 a tell formally rise notpilo not . man hundred dollar[ (500). nPq LgR TANK ` t COLLECTORS "' ' ❑ I, aslownerlof. the prOgrly, or my am p105Ns with wages at thalr Safe cOTeentationn: WIII do Ins work, and t11e' nPICLUr01s not Intended Or offered for able. (Section 7040, Business and Rafesslons Code: The SOLAR PIPING SVS. ISSUE FEE Contractor% License law does notapply-to an -owner of a properly - mbuildS Or and Who CONrmWavuch as !provided ISSUE FEE APPLICATION APPROVED BY PATE eme is arerk amplo wrOWIS Ibou9M1 his own thatRuCWof MECHANICALS - PLAN CHECK SUMMARY OF FEES Intended or Offered for sale. If, however, the building or Improvement Is Sold within ane•ye.V Of mmOloetlOn, the Griner MIPMW the bublim f proving no did rel build mprow for one purpoie`ol What. - - IBVILDING ?� Sv HEATING SYSTEM 0 -Marga ] BTU _ ) PERMIT § J' SMIP S ❑ I s owner Of the pmpeNy, am thw uilvaly contracting w11M1 7044, gryO DUCTING ' (Menten WntraCLON to construct the project (Section Business 100.000 a BTU .PLAN CHECK E PERMIT and Publications Cotler The Contractors License Law does not apply to ISSUANCE E owner oft propertyor and who rty WhoCcelo REFRIGERATION 0-IOO.n00 BTU - PLUMBING E CO trop oaslurevems, an Wllhds I pY SYSTEM GRADING f the Cotractor's License Lawl. 100,000 ♦ BTU - F'>; PLAN CHECK S ❑lam ext tunder tion B.6 P. C. for this BOILERS BTU - ELECTflICAI E E SYSTEM REPAIR. ALTERATION PLANCXECK S MICROFILM § TOTAL FEE E Galen O r MECHANICAL S I hereby Cerlily tl eve In aplication and slate that the above EXHAUST SYSTEM MULTIPLE SS AD. InlOrmitlOar Is I. t Dmry with all Ily and COU PLAN CHECK § VANCE PC S uramame5I un bstruction, and heebyauinorup Ili orooe:iyta e&I o1 [I m ter•upon me ado;q cloned HILL '1 .2FINgL FEE E Slgnalme Drivers' Icon r 55 ISSUE FEE CMF OB65J6 Wnl ulMlnp:Canary-AppllonL Rnk-gcmunling: GOId4mO0gRessOr CONSTRUCTION AND PLANNINCI APPROVALS Permit #-:L-�W..0 Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Un rgrn 44. Steel Reinforcement - - 3. Electrical Conduit Utility-Undrgrn 45. Forms - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel Reinforce . e_y .i '�'�1 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE- 7. Footings 0 49. Electrical Conduit-Undr rn _ 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Trap.❑ Undrqrn 10. Structural Floor System S p g �_ ). 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 _ Final 14. Rough Electric•Conduit •56. Electrical-Final 15. Rough Electric,Wiring - ' ' `57`• Solar System-Fihal` 16. Rough Heating & Air-Conditioning encing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe-Rough & Test 20. Roof Framing 21. Roof Sheathin S-b-S'A NOTES: Z- 0- 22.- Frame and Flashin 6 -g.L 'YYj 23. 23. Insulation P /- -8 24. Lathing &Siding - i. C 25. Drywall Nailing 26. Plaster Brown Coag /01 27. Electrical Power Meter-Final 6dL - 28. Final Electric ii/vr'r%t v- s' r 29. Final Heating & Air Conditioning Z- _ A E s 30. Final Gas Pipe-Test VIP ( i / A 31. Final Plumbing 3 -8 e / .2 V 32. Water Service-Final 3- O• 6 33. Gas Service-Final A A /)A $a 34. Solar Domestic-Final h UV 35: Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations io_ 38. FINAL STRUCTURE & BUILDING 1o_ q_ Q 39. Special Requirements Completed 7 .D. 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. ' CERTIFICATE OF OCCUPANCY No Date City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. 000324 P. O. Box 1200 Costa Mesa, California The Building located at 3505 Cadillac• AVeMY--- #Gl has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of Building Cffi calcul Bild1ding Legal Description 139-651-13, 139-651-15, 139-651-28 (See reverse side for Metes and Bounds) Building Permit No B-2266 Electrical Permit No. E-2633 Plumbing Permit No. P-2377, P4483 Mechanical Permit No. M--3751 Number of apartments 0 and/or guest rooms 0 ISSUED TO: Cambridge Park Partner Building Official/ by / e ve 1301 DoStreet, x{760, Newport Beach, CA Date 61f/^� 1� .I This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White -Owner; Canary - Numerical File; Pink - Bldg. Permit File A Papua AS to IIf In all Spaces within heavy border linesand also all appropriate CITY OF COSTA MESA' PERMIT NO. TRACT NO. LOT NO, 81_2 ND. CONSTRUCTION PERMIT '% C —� TYPE OF CONSTRUCTION NEW 'JADD ❑ALTERATIG REPAIR ❑CONVERSION 0DEMOLISH 0973 . /�22 (0�+ _.. - /20/82 24¢88 ' Pr jest Addws OWn _ - PIMn@ .Ad r y ❑OTHEq :•r\•\• .'i1'!? ZONING -REGULATIONS ArchiEng, License No. Z/ DESCRIPTION OF WORK - A'P'¢ ZONE PLNG.RgVEFL.p♦', TYPE OF PERMIT - - BUILDING ET - OPEIRTv114rvE QGRADING O'FOUNDATI TqU TURA) YARD - 'Q TENANT OELECTRICALLVM ING IUECNANIC 5o V - r'AIIJreia - n 3 al 4M1°^ 'AOOrcss - LICENSED CONTRALTO DECLA TIO I hereby 1 houses d of Charter 9IC am Provisions aWnrm Seal Inp with tin 70001 f DI II -3- f the Business y Professions Look and y II full for ,,eap�[g -L _OOTHEq d PROIECT'OESCRIPTION '1 REA ft YARD ITC PILI - -" - U[e��II C ante Na .YY6�/ PKG. SPACE' RED. -- PROVIDED'_ g�g' Bill STREET WIDTH 'PARK FEES WORKERS' COMPENSATION DECLARATION .. OCQUPANCY�CON TYPE A hereby affirm that l haw a but111Cate of consent to 7elfansma _ION VALUATION' ZONE '30NING'APPROVEO BY '� DATE certificate of Workers- Companratl On Ins r Certified COO _ - 1C -"DING eGRADING W. YDS. ACRES - SPECIAL CONDITIONS.-- - I (See. j�O�I UID. C.) Cem no .Certified copy Is hereby furnish_ /��6Fv, �,I w REMARKS 3y�-rr Certified copy Is filed with IM1e CIIY BUII Ind 9 til i — @XEMPTION-FROM COMPENSATION DECLARATION .. ' ___ _ _ _ _ jai section need not Be completed if the peDrl[ IS IDI OnC nYntlr W- •.'! falrls ISAS I 1n - that the performance Of the Work f0 which this Permit HuOt�fy auer, 1 hall not employ -any person in any manner sal As torbeco . PLUMBING' - - ; PLAN CHECK - -' - 1 - ELECTRICAL - -- --ALAN [ E[ - SWCCLtOthe Workers Compensation Laura Of_ U2RbMla.- _ __ - BATHTUBS 'SHOWERS""'• go,.FT- Date Sl9nature - NOTICE: It after making this Corporation, Y should become Subject, ILET5-URINAI-5- - 1 'GENERATOR-'0-1'KW— Ir16 KW - - -- visions Of the Urban Code.tMuusl totheWorkers' Compensation p m TRANSFORMER forrli lln comply Who such Provisions Or this permit shall be deemed VATORIE5 COUBCE'L-AVS - APPLIANCE- .10-50 KWi 4.KWCyclops. _ OISHWASNERS - -MOTORS - 0-1 HP_110 He - - CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the pen SERVICE SINKS SUMPS - _ ) '(INC. SOLAR_lOhO HP 50 a MR:' forMnCLOt rhe Work for WM1iCh this permit Is SO (Section 30971 - -. >— - - '" '• - -- F 'LOOSINKS-_ --FLOOR DRAINS'' FIXTURES ---OUTLETS -SWITCHES LenCis Lendeer':r's Name -W - - _ _ _ _ _ _ _ _ _ Lender's Address D RINKING"FOUNTAINS �-- , ,GASTUBESIGNS OWNER BUILDER DECLARATION - �- - I WrObyafforn that l amexemPU from the Contractor Y LICOMW Law for the -fol wins reason (session 7031.5 Business anal PrOt6ibm Code:. - INTERCEPTORS- "CLA,RIFIERS J POLE LIGHTS ' -SWIMMINOPCOI- nnVyr city whichr a construct. r countdir PTRAP-- - - "'PO `METE RE - de orty Ames prlorlloo aonw, gUlr<3 [110 ap.11Gnt far such Permit tO file a signed statement that he WATER'SERVICE ALTERATION' 1PANELS- - MAIN - PSUBin - - Is-Honsed Purmant-to the -provisions of the'Conlraclor%-Llcane iaw GASSERVICE'ODTCETS-- - - 'SERVICE -- - ---AMP.-- - IChaSle 9 COMMOIClnp ith Secllon 7000) OI Division 3 Of the WATER HEATERS BTU OUTPUT- - - ns COdel- Or trust ale K'exemopl lhemfmmand Me. dness-and-Rmemlexemption. 1 for the alleged re pilon. Any violation f Si 7031.5 by - SEWER Q]MNEETIONS- - ' 3,. -- - - II 1 -lar Permit's ideCU-tN ppllGnt to i civil Penally, t [M1dn 1 se hundred dollars (e500) SOLAR TANK COULEC,TORS - -- - ----- ❑"a as ownerof-the property,ormy employees with wagesas their rolcompensation, will tlo the work, and the structure 6 not Intended offered for sale. (Section 7044, Business and°ROfmslons Code: The '-SOLAR PIPING SYSI _ ISSUE FEE 'APPLICATION ' Contractor's Ul law does not PPIY l0 an Owner Of a oroperly - ISSUE FEE - ' ` - APPROV EO BY -DATE - who bulld3 or impraws Ibereo-rwhodoes such work If mull Or inrough his Own amployeers. V itl d that h Imp Is are not - r Improvement Intended Or offered lar N. 11 M1 thebuildlny 'II paw MECHANICAL PLAN CHECK - -SUMMARY OF FEES' v Is sold within One y u, of completion. to the burden 1 Proving no did of duiitl r improve for the Purpose of Said): HEATING SV STEM 0-100,0008TV -BUILDING '(PERMIT E SMIP -S Q.1_. as owner' -Of the-phopartY. am. xci ty-contractingwith AND DUCTING - • Mourned Contractors to construct the Subject (Section 7004, Business 1O0p00 a BTU .PLAN CHECK S� PERMIT d-Profdol�N{OdO:� The Contractors Upends Law 0005 nol.aSply to -PLUMBING * ISSUANCE rr Improves thereon, and who Con. A, owner o property who Padua or REFRIGERATION 0-100,000 BTU IS - tracts -from such OrPOCAS IUM1 _ 1tUC30N3) Ilp3ned' pursuard Ari SYSTEM GRADING S e the Contractor%UPI Law) 100�000a BTU PLAN CHECK E - -' ❑ l am exempt' under Section B.6 P. C. for this - I S BOILERS BTU 'ELECTRICAL S - reason - - 'PLAN CHECK -3 _ MICROFILMS - OaL. Owner SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE MECHANICAL E TOTAL FEE E LESS AD - Ihereby Certify that INW read this application and slate that thea Ow InfoiMallOTls correct. t. 1'asMe to comply with 'a Il-ClOr and unty IateldvAmIaTt PLANCHECK- 3 "- "VANCE'PC $_ ordinance gto Constfuctlon,and NotiYauthwee represent a 0 cityto enter upon the -alas vo r ' Prona r[Y o n r pa S. Sig - FINAL FEE S Or License or W Licor 55 ISSUE FEE - -. _ _ _ _ CMF 0865A6 While-Ekilding:Canary-AONicanU Rnk-Accounting: CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # Date Inspector , 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - 2. ._ SoilPipe-Un rgrn - 9 pIL _ _ 44. Steel Reinforcement- - 3. Electrical Conduit Utility-Undrgrn 45. Forms- - 4. - Electrical Conduit-Undrgrn- - 46.- Electrical Bonding. •- - 5. Steel Reinforce 47. Rough Plumbing & Pressure Test- -- - --- - - -- - -- -- -- _6. Electrical UFER Grn ,i 48. APPROVALTOCOVER-GUNITE------ - -- -- -'- ---- 7. F.00tings_- _ 49. Electrical Conduit-Undr rn - - 8. -Foundation- • - - --- -_r- 50. Gas Pipe, •0 Undr rn; Test ' - 9. - Water Pipe-Undrgrn _ 51. Backwash Lines - P-Tra rdr rn 10.. Structural F107.System - 52. APPROVAL ?0DECK - `-'• -' '-� 11. Property Sewer Line & House. Connection - - 53. Backwash & Receptor-Final ' 12. -Street Sewer-Connection - - 54. Heater & Vent-Final 13. - Rough Plumbing - f1- - - J - • - •- ' ' ' 14. Rough Electric-Conduit - 56. Etectrical-Final - 15. Rough Electric-Wiring ' - - _ -- --57� Solar System-Final 16.- Rough'Heating & Air Conditioning - ' " - - encing & Access Approval 17. Ducts in Structure - - ;• APPROVED FOR PLASTERING 16. Ducts; Ventilating 19. Gas Pipe-Rough & Test- 20. Roof Framing - - - -- - - - - -- 60. --- POOL/SP.2'SYSTEMS FINAL - ' 21. Roof Sheathing- 22. Frame and Flashing - - - - -- - - - - - _ - - - - NOTES: .;, _y, 23: Insulation -- - -- -' - - - 24: - 'Lathing & Siding 25. Drywall Nailing - - - - - 26.- -Plaster Brown Coat - -- - 27. Electrical power Meter-Final- ` 28. Final Electric- 29: Final Heating & Air Conditioning - 30. Final Gas Pipe-Test - - - - - - - - - 31: Final-Plumbing - - -- j, - - 32. Water Service-Final - - -- ¢--$� 33. Gas Service-Final - 34. Solar Domestic-Final 35. Landsca e Sprinkling System 36. Sound Attenuation - - 37. Handicap Regulations- r ' 38. FINAL STRUCTURE&BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. i 42. CERTIFICATE OF OCCUPANCY No.- Date ` , Applicant to fill In all spaces within heavy border lines and sign so CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDGjNO. 1998 2/11/82 24000 CONSTRUCTION PERMITle �� TYPE OP CONSTRUCTION -IPW❑EW ❑ADD ALTERATIONAddress OREPAIR ❑CONVERSION DEM OOTHER 'Project ,7.�,1 , �N If %Owner ZONING REGULATIONS Address 36T.i C , LG G - _ ye; PM1Ontr T/l . O 6Y -SVs %G0 - B. DESCRIPTION OFWORK q,p.¢ g MF Liceval NO. Amh/Enl /PdF Atldr6s L N _ ZONE PLNG. REF.¢ Convector gill A/1K L Z Phdne F O TYPE OF PERMIT ❑GRADING O FOUNDATION ❑ETRUCTVRAL _ 0 TENANT ELECTRICAL OPLUMBING OMECHANIC BUILDINGTp 5 CRO gt��Lpl PROPERTY LINE Addr®s 'L7 L 1A T( _ $ r LICENSED CONTRACTOR DECLARATION I Moody affirm that 1 a IlunMunder der provisions of Charter B (oom- Will p16HT a cing with auction 7000) of Olvlsion 3 of the Buslneu and O OTHER Professions Code, and my Ilemem Is In full form d ffaC�(, REAR YARD (TO P/LI ZY Si PROJECT DESCRIPTION Licens�e LlcOnmN SG. FT. OCCUPANCY—CONSTRUCTION TYPE PKG. SPACE REQ. STREET WIDTH PROVIDED PARK FEES /fJ..ass -r ����C Date JLY_f�L1t R9ddtUr as WORKERS' COMPENSATION OECLAR I - 1 thereby affirm that I Mao a Certificate of lien to selfansure ora ygLUATION ZONE ZONING APPROVED BY DATE Certificate 1 Workers' Compensation Insurance, or testified copy GRADING CU. YDS. ACRES SPECIAL CONDITIONS: roof ISacelon 3800, Lah O.L y eIty Fy NA /ST JCOmpinY��^'�C'�/ND' ` Cert if let CO IS, is hereby f uTHM1eI. REMARKS: •4-Z/IVa ❑ Certified COPY Is filed with IM1e City Bulldlng Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This section need not be =repeated If IM permit Is for one hundred 1EmOo)fy that lin the calformince of IM Work for which this Permit Is ted, I snail of employ any person In any nner o as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers' Compensation Laws of California. BATHTUBS SHOWERS Dale Signature NOTICE; If after making this attenuation, you should thermal subject TOILETS URINALS GENERATOR 0.1 KW KW to e mationMovlslOm Of the Labor Code, you must fwempl -1-10 TRANSFORMER forthwith ywt lh prOWslons Or this permit shall be deemed n LAVATORIES DOUBLELAVS APPLIANCE 10-50 KW_60«Way revoked. KIT. SINKS DISHWASHERS MOTORS 0-1 HP_3-IO HE CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a Construction lending agency for the pep SERVICE SINKS 'BUMPS (INC. SOLAR) 10-50 HE 50 i HP formation of the work for which inls permit is ted (Section 309) SINKS FLOOR DRAINS FI%TURES S' OUTLETS SWITCHES OIW C.I.FLOOR lender's Name .' _9 LOndef9 Address DRINKING FOUNTAINS GAS TUBE SIGNS �ereby affirm that loam exempt lfrrom the Contractor% Ulcerous Law low INTERCEPTORS CLARIFIERS POLELIGHTS " SWIMMING POOL PTRAP the following reason (SOCt Ion 7031.5 Business and Prelesdem Code: unty Any Clty SO Cn nor as a move I t0 construct, alter. POLES METERED SUB WATER SERVICE ALTERATION PANELS MAIN SUB Impfpce damollih or 'a I, any structure, prior to its Issuance, also re- gerror II1G ap, IiUnl for Such pormIt to file a H9ned statement that he - - GAS SERVICE OUTLETS SERVICE AM IS IkenNd pufsuanl to the mOVl¢IOns of the CenlraclOr's License law (Chapter 9 IComlm"died with $pCtion 7000) of Division 3 Of the - D OE WATER HEATERS BTU OUTPUT - W nlosl andOns that nolallonmltSeerefromandtoo al 'a' Pdon.F tion 7031.5 SEWER CONNECTIONS E F IS pliant Ins nprmll sudlete the Should t0 a Civil Penalty 01 nmy ot more an ilw honored dollars DST . Cl I. as owner of t00 property. Of my Omnloyeas with wages as Isar SOLAR TANK COLLECTORS ' coni too tsaicISeC[On, will doO offered for foca BuSurgeadd Rasca ens Code; The SOLAR PIPING SYS. ISSUE FEE' Contractor's theme Lew COOS Oct spot to an Owner of .property who builds or Inammo s thereon, and No does such work Nmself or ISSUE FEE APPLICATION APPROVED BY DATE through his own mmF,myon, provided that such Improvements are net MECHANICAL PLAN CHECK SUMMARY OF FEES Is sold one year of owner) wlitll the burden hor aw Within Completiion, true o f proving he did not build Of Improve for the purpose O1 sale). IfEATING SV STEM 0-]00,000 BTU BUILDING ❑ I. s -Owner of the properly, am exclusively Co [ratting I[n _ AND DVCTING PERMIT E SMIP S nemm� temeaen m Can [fret me pro pct Iseamn 7044, etdneif Ipd,dd0 «esu PLAN CHECKS PERMIT and wnersolf property who nif Drum road buildss<or lmprOviddSmall adoes nd not apply )coo REFRIGERATION 0-I OO,000 BTU PLUMBING S ISSUANCE E track from such projects With mtraCtdr(sl NCdsned pursuant to SYSTEM GRADING f IM1e contractors Uwl. 100,000 BTU PLAN CHECK S _ ❑lamsur%emplundurSedlon B.L P. C. lnls BOILERS BTU �.s 'ELECTRICAL f�Lj=_ E reasonPLAN SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE CHECK E :MECHANICAL E MICROFILM f _ TOTAL FEES LESS AO- DaleCome -. Iner¢hy mpifylis �at l have rad Misapplication and state that the abort to so and ionOrdlnancersandstata - PLAN CHECK 2 VANCEPC f laws relating tecosree lactlpe�anne¢OyamnONza fepfesentatives of tis city IO POn n¢ above tion Property for action pop _ $Igpitoe teZ /O_ FINAL FEE E Drivers' Ll an W ors ¢ ISSUE FEE - CMF 0$65-i6 RnN-ACCOunthro Golden sod -Astral CONSTRUCTION AND PLANNINGC APPROVALS Permit LOj Date Inspector POOL & SPA ., Date Inspector , APPROVALS - Permit 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - _2. SoilPipe-Undrgrn •, 44. Steel Reinforcement- - - - - 3. _Electrical Conduit Utility-Undrgrn 45. Forms ' 4. Electrical Conduit-Undrgrn _ _ 46. Electrical Bonding = - - 5. Steel Reinforce - 47. Rough Plurribin - &-Pressure Test - _6. Electrical UF_ER Grn _ ' '48. APPROVAUTO COVER-GUNITE 7. Footings "49. Electrical Conduit-Undr rn -- - - 8. Foundation _ _ "50. Gas Pipe, ❑ Undr m,.Test _8., Water Pipe•Undrgrn 51. Backwash Lines P-Trap.0 Undrqrd' 10. Structural Floor System 52. APPROVAL TO DECK -- 11. _ Property Sewer Line & House Connection 53. Backwash & Receptor -Final 1-2, Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing - - - -55. Plumbino System- -- - • 14. Rough Electric -Conduit - - - - "56. -Electrical-Final 15. Rough Electric -Wiring` - - - - 57. Solar System -Final 1 16. Rough Heating &.Air -Conditioning bti. Fencing & Access Approval - 17: Ducts, in Structure " APPROVED FOR PLASTERING 18.- Ducts, Ventilating 60.- POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough &Test 20. Roof Framing - - - - - 21. - - Roof Sheathing- - , NOTES: 22. Frame and -Flashing 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. WateLService -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. I- 42. CERTIFICATE OF OCCUPANCY No- Date - - a,. Applicant to Gn In all spaces wit nb nee vy border line: and sign all appropriate declarations. • CITY OF COSTA" MESA PERMIT NO. TRACT NO. LOT NO. SLOG: NO. CONSTRUCTION PERMIT C —1 66O 6/OI/BZ I .QO Project Addres •3505 Cadillac Avenue TYPE OF CONSTRUCTION )UNEW ❑ POD ❑ ALTERATION /] ❑REPAIR CONVERSION OOEMOLISH CJ ❑OTHER I '- ZONING REGULATIONS - Owner PIro00 AIMIIS Dove St. Suite 760 AmM1IEngJ N 1* Beach -' Li[enM No. 1 OF WORM A P 3 AddressDESCRIPTION - - - r TYPE OF PERMIT ❑GRADING O FOUNDATION ❑STRUCTURAL ❑ TENANT C ELECTRICAL OPWMBING_ 5PECM/WIC ZONE - PLNG. SE qc VARO 5 p REF. W iOgp��p Iq PRpPERTY LINE ' Cbnrnotdr- Inc. - - Pano2E3-958 AOtlr¢» - - )^p AVB. Sp. ES MO110E � fS30 PO LICENSED CONTRACTOR DECLARATION - I hereby affirm that I am licensed under provlsioni OI Charter 9 (com. RIIGHT advancing-Withettlan' 7001 of Divillon 3 01 the Business and C OTHER- - HofeRlonS Code, and my IIGO» Is In full form and effect. REAR YARD (TO P/LI - - - PROJECT-DESCNIPTION' - lJje SG: FT. s l ""' iPKG. SPgCERED: r STREET WIOTX 'PROVIDED ' - - PARK FEET J Dun»Class - `myr'� 08t. ur¢ ✓ PE ATIO IWORKER$'COMPENSATIDN DECLARATION a OCCVPANCV�CONSTR VCTION TYPE_ it hereby affirm that I have a Certificate of Carl to sail-PrUp e a _ VALUATION 20NE ZONING APPROVED BY " "' DATE - - -- nu or ®r Ilo[dM Ywarears' Compensation insurance, e•cartllled copy _ _ _ _ GRADING CU: YOS. gCRES SPECIAL CONDITIONS: 'area[ e 1(Se tion 3800, Lab, C,), cy 111,)15911 dnd06 company Framnnt-Snamn tV Certlfiedeopy is hereby radia red ".REMARKS:!.' .?J. _ V[iCeftlfSW copy is filed with the city Building Division.-- EMPTION FROM WORKERS' COMPENSATION DECLARATION d. mol be [ople Permit Is for one hundred Thi$ sectIon eemea me _ _ IS1 0) or leas. I _. _ —If— certify that performance the work ler, which this p r' 1 1 •: not BSYed I Shall t employ I f IOµ ny ppppppuuuuuu p to biea to WorNers IQ PLUMRING PLAN CHECK ELECTRICAL - PL C ECK - - " the Cour �to(, J s,o l0 Date/B2 Slgnatu'^�tJ'NI _ _ BgTHTU05 -SHOWERS- - •-' FT "- -- 'NOTICE If after making this SeClara110n. YOU should become$Object TOILETS i '.URINALS �- - GENERATOR -0-1'KW_110 KW ' to the Workers CompenuNon provisions at the UMM Code, you must TRANSFORMER . � forthwith Comply with Such OrOvl$IOns Or this permit Ball be deemed LAVATORIES DOUBLE LAVS 'APPLIANCE -'1"0 Wall a KW-- navOlaid. KIT- DISHWASHER$ MOTORS OORS 0-1 Hpw�1-]O HP 1.SINKS CONSTRUCTION LENDING AGENCY l Nlebyalflrm that therel$a CXhQUUCtlOn Nlatriggen[ Iblhaden SERVICE61NK5 -' • "SUMPS"'--" "' 4HN10-450C.50A19) lotl HP_WVHP _ farmance of the work tar which this Permit Is Issued (&Ctlon 3097 FLOOR SINKS - FLOOR DRAINS - -- "' ;FIXTURE$ OUTLETS 'SWITCHES- -- C)'- ICIv LendI Name Lenderts Addr¢s _ ._ -DRINKING FOUNTAINS "i GAS TUBE SIGNS - INTERCEPTORS CLARIFIERS •PRI LIGHTS' - - -1 III hereby alllrmttha II amevemptDECLARATlHOM the Confaoar's Ll»n»Law for the'U"Owla Mason(Section 7031,5 Bu9ne" and "Uhadons Cede:' SWIMMING POOL -P TRAP' city Or Wrote which rpulre$ v pNmlt to anilr ar' after :M METERED I WATER SERVICE ALTERATION 'PANELS - MAIN - - SUB " ,Any Improve, tlemOlhh'or repair any structure, prbr 'a, "$us"he, ebo re- Gulres the apBllaint far sued parmlt le 1110 a sig led statement that he '1yg55ERVICE OUTLETS - SERVICE AMP 15 IIM"soE MUSUarat to INa WrOW$IOm 01 the Conoroctal5 Linenso Law Chooesr 9 Icommencing Ith Seclloo 70001 1 olvblon 3 I the WATER HEATERS'- "'BTU OUTPUT- .. :_.. - ' • Seem lyt therefrom and the e ne'Prmee$ long ea sol or t hat he Ila IMFIcs it Prodond Us 7031.$ hY llsubHGls :Went y '4�Ppll.0t oo Inca ih101ation lSe _ _ _ f, CMI penally permitSEWER_ Or &t m e than 11 of hunorea aaIlast1$500). COLLECTORS-- SOLAR TANK -" —COLLECTORS- I7 1, as owner :il the property, or my 0M P"'Y rad with wage$ as 1ralr »IO.cOmpen»IIOn,.will dO the Work, and IhC Sir act ore Is nOI Intended So ' offered for via. (Sort Mn 7044, Business and Professions Code: The _ SOLAR PIPING SYS. ISSUE PEE - - - - I iwmractor's. License Law. tloei not. p01y [o do O ne01 amperly himself - - ISSUE FEE - — - APPLICATION APPROVED BY - DATE - ho Mulles or Impmw$ lhepain, and wrap does such work or through. his own employees. Provided that such Improvements are not MECHANICAL PLAN CHECK - -- $UMMAgVOF FEES Intended or Offered for her. 11, however, the buUdby or Improvement Is sold within one year of camplainkarl the Owner will nasty the den eb f proving he did t build r Improve 18r the purpose f le). SV STEM 0400,000 BTV :GVILDIND ❑ 6. as O oV'ihB properly. i Nc1YSIwly contracting With '`IEATING AND DUCTING .PERMIT _3 SMTP! 5 'licensed Contractors to construct the oo t (Section 7044, Business 100.000 �t BTU -PLAN CHECK T PERMIT and WOadgl ra Code; The COTmenuM4 Ll[en»Law dxs nolapply l0 ISSUANCE. 3 an f properly h0 builds or Imo olds thereon, and who can- REFRIGERATION 0-100 000 BTU PLUMBING 3 acts from such projects it1n3 wmra tors) Ileesned•pmeua dt o SYSTEM GRADING 4 r the CAntraClOYs Lomas Low). 180.000 BTU ELAN CHECK 3 ❑ I am eaempl under S¢dlon - B.6 P: Cflor this 1 a BOILERS BTU ELECTRICAL $ - - ,Date^- SYSTEM REPAIR. ALTERATION PLAN CHECK E �L C MICROFILMf _ TOTv Avner 'I hereby certify that have read this app11g11on and stab that the above EXHAUST SYSTEM MULTIPLE Z MECHANICAL T LESS AFEES Information Is correct. 1 agree to [ mply yl If all City and county ,PLAN CHECK 3- VANCE PC 5_-' -" rdlnan astate laws 1191 code to ion, dei marbya thtirizoi. o ro0ese P o this h The w mentioned •-� Prorea i r In1P"ZdO rp s _ 5 20/BZj FINAL FEE 3 $Ignat YeB Odverv' Llnse or 55IS u ISSUE FEE - - - - - CMF 0865,16 WMb-BUIlding:Canary-AOpIWnU Pink-gC[OYpting: GltdontOd-As»Ssor CONSTRUCTION AND PLANNING APPROVALS Permit # M-3?hl Date _ Inspector POOL & SPA' APPROVALS Permit Date Inspector ' 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - 2. SoilPipe-Undrgrn 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn 45. . Forms 4. Electrical-Conduit-Undrgrn 46. Electrical Bonding 15. Steel ein orce 47. Rough Plumbing & Pressure Test - _6. Electrical LIFER Grn _ 48. APPROVALTO COVER-GUNITE . 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation. .- 50. Gas Pipe, 0 Undr rn, Test 9. Water pipe-Undrgrn 51. Backwash Lines P-Trao, Undrarn 10. Structural Floor System 52: APPROVALTO DECK 11. Property Sewer Line & House. Connection 53. Backwash & Receptor-Final 12. Street Sewer Connection - - 54. Heater & Vent-Final __13. Rough Plumbing 55, Plumbinu System- '-' 14. Rough Electric-Conduit- x-`56.-- Electricat-Final -- 15. Rough Electric-Wiring 57. Solar System-Final 16. Rough Heating & Air Conditioning W. Fencing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING•' ' _ 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe-Rough & Test 20. Roof Framing 21. Roof Sheathing- - - NOTES: 22. Frame and Flashing 23. Insulation' r ' 24. Lathing & Siding - - - - 25. Drywall Nailing - 26. Plaster Brown Coat ' 27. Electrical Power Meter-Final 28. Final Electric - 29. Final Heating & Air Conditioning - p 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 h... y border fine: and cs:r all appropriate declarations. ' CITU OF COSTA MESA- --' II NO - TRACT ND- LOT NO. BLD NO. - - - - — - - 1 CONSTRUCTION PERMIT - �/j (./..�' 5966 6/12/82 _ 6.00 TL RMIOM Addfeis f - - T E OF CONSTRUCTION !/ e' \t:/ , Own a-� "P PM1000EW ❑ADD ALTERATION // _- . Andrew ❑ REPAIR 11 CONVERSION. ❑DEMOLISH .. -V - - ZONING�REGUL-ATIONS Arch/i - - - License No. ❑ OTHER . / DESCRIPTION OF WORK 'o"P' fin Atltlress - _ - ZONE- - FUND. REF. In - r -i —Peet/74 TYPE OF PERMIT - V LINE Atltll¢M' "� - - - r , - U GRADING O-FOUNOATION O STRUCTURAL-- SET A VggO '- - - - . --- ... �- ,LICENSED CONTRACTOR DECLARATION - - r3 TENANT ❑ELECTRICAL UMBINC_QMECH/SNIC t 1 hereby affirm Leat I em pnmw der pco IAm p Charterdeal, If -. 5 ) .( R111G V R (i T 3. the end meeting wltn section 1 DI +3 Of Ihe. Bilin d. ❑OTHER Profiting Prof ting Clyde. y 11 In full for® yI - { PROJECT DESCRIPTION , REARVARDITO P/Lj 4-unSe N05^'• d. _ ¢ - � '" -' CO.�anO PKC. SPACE R- " 'PROVIDED' - - lOaten ' ` S sD Fr. ./_ilr �psy— WORKERS' COMPENSATION. DECLARATION. .,- ... 4'OCCUPHNCV=CONSTRVCTIOrLYPE _ _ _ _ STfl EET WIDTH — 4ARK'FEE;E I hardby, affirm that l have a urtitiute of expr enla too self-Insure ora VALUATION IpNE (ZONING APPROVEDBY rWlown f WorkersCompensation In r nrtllfea'copy o5eil _ - -- -r5PEL1AL Atrereal( C,/J GRABING CV ACRES I CONDITIONS. /�Idp ici•NXfidc_ 34aY mildpy _O5. - _ Certifietl copy is hereby furnished. REMARKS t_ _ _' COrtillad COPY G /fled with the CRY BYIIO p VI _ - _ _ -' %EMPTION FROM'WORKERS' COMPENSATION - - �- - permit IS need Ol b0 mmpl0lvtl it Ma-perm [ IS IOr one hundred or 0 151 Is ISn tily In that thePerformance Of the k fee Which this Permit l lwaved I shall not - employ a-y p ny ma l0 become PLUMBING '., PLAN CHECK-' - 'ELECTRICAL -"'�- "PLAN CHECK"''rl ubleck.tom wrkersPCompe Ira LAwspl(GIf 1 _ _ Date Signature '—BATHTUBS' -- SHOWERS' --�- -- CAR -"' - - NOTICE: I/ After making this declaration. Y Should btmMS SURE t I TOILETS - II-URINgLS'- - -- �-" GENERATOR O'-1' KW - -1-60.KW t0 the Walkers' Compensation provisions o1 the Labor COOS. You must - IT RANSFORMER forthwith Comply with such Positions or this Permit well be deemed LAVATORIES DOUBLE LAVS �- • - - -30-50'KW_ 50-+KW - - - VOlwd.^ -gPPLtANCE' _ _... NSTRUCTION L COENDING AGENCY -'KIT.SINKS - - 'DISHWASHER$ ,MOTORS - ori Hpyi1-30 NP 1 affirm that there Is a construction tendinis agency ler the Far- SERVICE SINKS -„/SUMPS - _ -- - ..UNC. SOLARj_ IOSO HP�51 T.HP' - -1 rm:by formance Of line work for which this Permit IS pound (Section 3097 1 -� - CIV.-Qtr---- -- - -- -- -- - - -'FLOOR'SINKS-r,-'FLDORDRAINS"-- - ',FI%TURES• --CUTLETS'---'SWITCHES---+ Lender's Name { _ _ _ Lenders Address s -- DRINKING FOVNTHINS- I' "' - - :GAS TUBE SIGNS - ---- - - { OWNER BUILDER DECLARATION - INTERCEPTORS' CLARIFIERS -'- -i "' ROLE LIGhfTS -- - --- - -- 1 haredY than Ihat I am eFor"m I lh^Contractor s L Genu Law for - In followln9 reason (5¢etlon )031.5 Buzln S dntl R0105510ns Cade: SWIMMINGPOOL PTflgP-- _ - `METERED -�.. - - Aly county wnich requires a permit to cansbud, alter, POLES SUB' ' mn roses demO"m or'eM'I any SVuctule,-pfior lo'i[i issuance; alz0 ro- ' WATER SERVICE' ALTERATION - - ,PANELS ' - - -MAIN- O WI05 'heso'" n, for such permit la (II¢ d signed OdLemOnl thdl h¢ 'a II d'pursuant-'a me provGlom Bi trve Cpntra[ierY Lunse Law -GAS SERVICE - -" OUTLETS"- -"- ',SERVICE - - - AMP- - pt ^ (Commenting Ile Sdctlon 0/ Oveon 3 of ine '0001 IA [Prow 0 of he h¢1;¢aNenIO11h01ehOm aOtl\ne WATER HEATERS" BTU OUTPUT - _ 1 ineT 1 Sed : Pilon MY a o Sec[Ien 0]] 5 by a for a cts fIp11 fG llhan lVednunitletlbtleolla¢h§500)CBOt 10 Iv11peOdlty SEWER CONNECTIONS' LJ I, as ownerof the properly, or my em loy¢es with wages as ih¢Ir • SOLAR TANK -' - --COLLECTORS-,- -COLLECT_ORS- - - -- an soiocompan Salic n, will do Ihe work, and Lite imakra is nbl mtaneea 11 ed f0 1 ($e 11 )044 B d pOh[SIOTS COOK ThB __ _ 'SOLAq'PIPING $V5, F _ _ _ 'ISSUE FEE -' -"!- - C 1 t0,S La d t 0p1Y I owner 01 pmperfoy ; M1O bu LOS p -Lh Ori d hO dO¢S a kB Ifn _ -ISSUE FEE -"- -�-' APPLICATION APPROVED BY - -DAT I Y Input it ad lhi[SYch IhrougeM1 M[ 010 Intentl d or N ee f l 'O however, ine bu M g' i p _men\' Is s0m wit hl 0 year of call peel Ion, the Owne lu n to b __ MECHANICAL RLgN CHECK - 1 SUMMARV OF FEE$ - Ma / Anne no he tll0'n0t build Improve'/or Ih 'p p 1" j" "BUILDING - --- - -� L. d of the. am xOuSently 1 ting ILh_ HEATING SYSTEM 0-100.000 BTU- PERMIT S -' '-- SHIP -3 profler[Y Coo to construct the project (Section BUsla¢Ss andOR AND DUCTING - - IDO,000a BTU - - - ---- �PLANCHECK S - - PERMIT r S` l-vid esmi n0 Bless) CotleTM1a Coniractort Llcenu law does not apply to feSeo - �_. - O ..ISSUANCES an of properly who builds Or Impown; thereon, And who con. REFRIGERATION 0-100,000 BTU PLUMBING is \lads born h projects with. a. contractors) Ilcesnetl Pursuant to- SYSTEM ^- - iL _ _ - GRADING' the Contractor S Umnso Law). - 100:01' BTU PLAN CHECK rr � .El am exempt 5ecton - B. A P. C. for'thls - - -• 'BOILERS BTU -S S w' ,' S "i -`'MICROFILM reason rELECTRICAL ' -r e _ PLAN CHECK--6 - S'_" T DataGwnOr SYSTEM R EPAIR, ALTERATION TOTAL I IM1efdOynrtilyt dt ndva'see llfis dppllfdll00 and State the abOVO EXHAUST SYSTEM MULTIPLE ,MECHANICAL l-- _ _ - LE55'AO-' In/armallan Is rap I agree`to complywithall Aly cod County' PLAN CHECK-E - - VANCE Pe —S' altlindrise An to laws rata\Ing tato Mlfudion. and hemby a¢u^heriie , rePmi¢nla[IV / I city 'to mor 'u00n [he bOve lone0 proPeriY C _ o _ FINAL FEE 6_Li_ Signal e • Driver s' Licea 55 ISSUE FEE CMF 086546 While-Building, - c unllng: Gnld¢On0-Assessor — CONSTRUCTION AND PLANNIN-- Date Inspector APPROVALS Permit # �'�y%3 POOL & SPA " APPROVALS. Permit ' # Date Inspector- 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -- - 2. - Soil- ipe-Un rgrn^,- 44. Steel Reinforcement - - - - -- - 3. --Electrical CZnduit.Utility-Undrgrn 45. Forms -- - - - 4. _Electrical Conduit--Undrgrn 46. .Electrical Bonding5. - - - - --- - Steel em orce 47. Rough Plumbing & Pressure Test - -- - - -- - -6... Electrical_UFER Grn _ _ -"- - _ -" 48.. APPROVAL TO COVER-GUNITE- - -- -,�..-.- - - - - --- - _7..- Footings _ _ _ _ _ i 49. Electrical Conduit-Undr rn - _ B. -Foundation_ 50: rGas Pipe, ❑ Undr rn, Test - -9. -Water -Pi pe:Undrgrn__.._ _ ` - 51. Backwash Lines P -Trap, -❑ ndr rn-- 10...Structural.Floor System 52. APPROVAL TO DECK _ --- 11. -. P.roperfy Sewer Line & House.Conriection' 53. Backwash & Receptor -Final 12. .Street.Sewer Connection_ _ - `J r -- - 54.- Heater & Vent -Final' - r_1.3.. -Rough. Plumbing __ _ . _ _ ' 14. Rough Electric -Conduit _-- ""-" 56.- Electrical -Final • - • - • - 15. Rough Electric -Wiring -- -- -- 57. Solar System -Final 16:" Rough -Heating & Air Conditioning - - - _ -- -- - _ Fencing & Access Approval '- 17.- Ducts; in Structure 59. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test - ' ' ' - - - - - - Roof Frarriin9 - -- -- -- -- - - - - - - -- 60. POO L/SPA SYSTEMS FINAL - - -1 - 21. • 22. Roof SheaIthin 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'GasPipe-Test ---- - - - - 31. Final,Plumbing ..- i b'J(o •�iL ' 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 3505 CADILLAC UNIT G4 & G5 M - m -M15471MIX ,�Vrll BPE15332 STE G5 m B24243 Md Wall -IL-gar $2,500.00 Unit G-5 IQ5260 Replacenent, 3 -bon B24243 Heat Pte; Unit G-5 Y/,//®6 — - B36131 / ; 13 unit: G5 P.C.#708-88s value: $2,350.00 AM in —E36244t: G5 — (B36131) 2x - I � — B67476 #GA r• rS pC#913-94A 82 RESTR4 ADD $12,375 PC58784A Unit G-5 - _ BME15539 — E67497 UNIT G4&5— _ PC666-84s [keit G5b (B67476) - 1155-39 RE INSPECT /G�j3 g _M67593 UNIT G4&5— (B67476)Am- B67918 UNIT G5 PC#913-94A — le I � — P67990 Unit G4&5 (B67476) _ A m _ E69019 Unit G4 & 5 _ (Office T.I) H. - s ,-- Duplicate Jacket 3505 Cad�.11ac 1 _ BEM10814 -Ljg6 G5 INT. ALT. $34,600. P.C. 15-84S G5 -BPE15 82 RESTR4 ADD $12,375 PC58784A Unit G-5 - _ BME15539 INT ALT /C�73�6s� _ PC666-84s [keit G5b m - 1155-39 RE INSPECT /G�j3 g _ BME15538 _ Applicant to fill In All MIAMI exMP11 those within has" border Imes and sign an appropriate declarations. Ax 2010 9/10!.86 9.50 TL CITY OF COSTA MESA CONSTRUCTION PEjiMI T ' Project Address _a?S[�T Col,/lco?, lLAt2 LAS Applicant's Mai ling Atltl\r �vp�/ Phon �y Owner's Nome ����,�// �L� Address 3�OS -4GIdl4.Ad42tas C/�i It-M� PEi MIT fes. G0 TRACT NO. /l%� �Lyy til LOT NO. UNCITTNpS TYPE OF CONSTRUCTION NEW LJAoD ALTERATION UREPAIR ❑CONVERSION OOEMOLISH QOTHER DESCRIPTION OF LYOfl K/USE OF BLDG. A.P. •% Zenith E Mein Building: - AcmmrV Building: Arc111Eng. Undrup No. Accuses TYPE pF PERMIT GRADING LJ FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL 0 PLUMBING MECHANICAL 1] OTHER - PROJECTOESCRIPTION SD.FT. OCCUPAMCV Ji-'1 CONSTRUCTION TVP �6 VALUATIONS- ZONE CRAOINOCU.YDS. ACRES T Front 2 p B Rear N I Character's Nam e rT pMnv Addr nslmailingl _ City License No. LICENSED CONTRACTOR DeCLAR0.TION / I hereby affirm that I am licensed undo provlyen of Charter r pl5an enc g with section 7000) of Division 3 of the Bu I and Prof 6 ado nb my license Isar full forces effect. — A C - _ Right N K $ Let[ G R Plrrg. Red. N Perking R¢q.(PrOV1Eptl E Remarks: j"' Planning Notes: M sor �O S C u is c s Date Signature PLUMBING FEES Bar Sink Showers - ELECTRICAL FEES •yOR •COMPENSATION DEC ATION lnby opium that I naw a certlflcal •01 consent to selHnsure or a certificate Workers' Compensation insurance. or a certinee c Iv there (Section x000, Lab. C /��/A! Pony No. 449E d1S company 4&2 9 ❑ �� need copy B nerabv mrmshed. �erU�d�py B alae conn me ciry Bu v Backflow Preventer Service Sink Automatic Washer Transformer ❑ 15 50 KW Construct ion Pole Sub. 050f KW Backflow Irrigation Sewer Cap Bathtubs Server Connection Cooking Unit- Meter ❑up m 40.0amps Date `T IOM APPIIun[ Clarifiers Spier Collectors Dishwasher Meter ❑aver 100am s P RATION E%EMPTION FROM WORRERged if t BATION one IThls action nese not be completes ii [ perm![ 1s mf on<nunere0 p1001 or I Lila [tat In the Person nee Of x wank for as to bechis ome ift itsubject to t Workers' Camp asetlon Laws ai California °r so to es' aoiecl tO IFA Date Signature Dishwasher WIBr Pi 'ngInst. Dryers ❑Gil _iElectric• Sub Panel Drinking Fountains Soler Tank Fan Motors 061 HE O1M-8 Floor Drains Swimming Pool wispe F.A.U. Inb.Solar 0415 HP 01615+ Worker• Coafter urtain gprovbl ons sol the undshould rC oo , You mai l forthwith omoly won peach provisions r this perms hall be deemed revoked. Floor Sinks Urines Fixtures Microwave Ga'Servite Outlets water Cl02t Device Box" Pole Light B CONSTRUCTION LENDING AGENCY II hereby affirm that there is ; construction lending agency for the 9erformanor I the work which Is permit Is Issued (Section 3097 Clv. C.) Unde is Name or jecrHarder aptpra Water H outlets Range Kitchen Sink - Water Service Swilchm " Sign Lendar-s AAom» - OWNER BUILDER DECLARATION I nerabv alflrm inat 1 am axmpl from me eo spur's Ucense Law for the lollowlnW r am u5aclIon 7031.5 euslntliano Pna45slPnal Code: Any clly or 70 3' mcn Ines a parboil t0 Con 5"after. improve, eemalia 0r upalr any niucture, p�i ar to Its Hsuance, Iso reIu"asthe do atIca nt far aucn permit lavatories Aum-Wash Garbage Disposal Standing $acholia P-Trap Laundry Trays Generator ❑65 KW ❑S15 KW TrasM1 Compactor e to Isle a smn ed statement Ihe. na/sne Is ll<an»e pursuant to the pro vsslons OI '9s' Coniractdr's UGenn Law (Cneptcr g lmmmenNn wixn go7000¢10/ Halon 3 of the Burne:s and professions code) teal lie lie Is et 31from an me bans mr the *I Agee 0NtM"'I'm Any mala(ion of es:ction s by any Boal Iwill far a Parma aJeets ane appnum to civil Ity of not morethan a"norad P011an 14500J, 1, a rweli toemer wgork and r'ne Attu lures15 not Inten;:a utolifvmla ca mpeusation� ter a Isect'an 1044, oils nau and Professional CPee: Tile Cc ad Factor's LlceaMI Law does' nal a00uY^a as Own ar of a aroperotg Wno bol ids or Imp rows t0f as Ade and a0 does rat hlmsell/nersCif through ills or her own e ploy provl0ed Ihet such IanpW Ve manse are notImmnda0 or Pltersd for Ad le. Il, nowever. IbW hullelne or Int 0rovameat Red ld veith In one Visaat com- pmuhn, me owner 111 nava the bgroen of proving lie/silo tlM note 11 orim- +� v for Ana pared » PI salol. IJ01. as owner of the Property, am axe usiwly conlnxtino wkh Ilunsad cam tractors to construct mo project 1S Section 7044. Bualneo annr Professions Code: TheContractors License law owe oat racism an n ofpropertywho builds [opposes thereon, and n for such projects Int pramoi,ot meals wa.Perk Coothe C o tar's License law). I provided aware that pen r insurance die be ❑ I am exempt under Section B.& P. C for she reason {goof Orcins geinMlwRien Foe $l5 Issue Fee S 3 Roimpection FAA $15 loos Fee $13 MECHANICAL FEES DEVELOPMENT SERVICES gEOUIPEMENTS: Zoning Approved By Dala Bul tlitq Approved By Data ApPli®tion I»mtl S'y Dais �-fh—M Boiler Hood or Type I ❑ Canopy Type I I ❑ Duct - Under Ground Duct -Structural Refrigeration System Duct- Ventilating ❑D100,000BTU ❑100,000BTU SUMMARY OF FEES _ �s BUILDING PERMIT $ SMIP $ �Cl PLAN CHECK $ PERMIT PLUMBING _ S ISSUANCE $ ENERGY.P.C. $ PLAN CHECK 25% $Information ELECTRICAL $ GRADING $ant PLAN CHECK 50% S MICROFILM $ MECHANICAL S b� TOTAL FEE $ PLAN CHECK 25% $ Exhaust System ❑ Multiple ❑ System Repair/Alteration FirepllFect. 911. CBO P Fire Dampers Date e Hea' System&Ducting Regarded (,000 BTU ❑100.000 V 1 nerepv MrOry Ina[ as mis d e [ml me above is w r L Io comp a al n ly d county orelnanus JO state Ia; s reiangding c cn Araby autnorUa rtpre. altauvn a mis by t no structures property mr Inspa0ionPuri &aSa Signature t Drivers' LIsdo m ; geimpeatien Fee $15 Iwo Faa $ $ Goldenrod - AI»»or =\; 0865-46. rev. 50/84 White BUlldingp C Mary - ApplliacU Pink - Accounting; CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2! Soil Pipe-Undrgrnd. 53. Steel Reinforcement i Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electriyl Bonding ' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test -•' 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. ' •8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64, Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # _ 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 00il 25. Roof Sheathing 74. Overhead.Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: - 34. Final Heating & Air Conditioning - 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final ' 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System ' 45. Sound Attenuation 46. Handicap Regulations. 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed , 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No. Date ' I EFill 1 py.lal�l" with rho City f1In O�ItI nate Y Y 8 EXEMPTION FROM WORKERS' COMPENSATION' tThO Mction need not be Completed if the permll is to `certify that In the 08larnal Of the work for wall shall not employ any person In any manner 50 a5 t IJ 1 am exempt under 5el Date I hereby certify that 1 t In d r tateolawss Correct. elating Its ental of a ty t levo"!len puro�f Sl9ndtum Drivers' License or SS er CMF 066546, rev. A/aA p n. 0y sewer Connection ECLARATION r One hundred LOOSO) or Clarifiers Applicant to fill In an maces except thVwf to u14r timer and a:gn MI appropriate declarations.- - Solei Piping ' become Subject to t a Drinking Folimains ;iTYOFGOSTA�v'fMESA CONSTR UCTIONal AIT ^ryzFle PE MIT NO. �eCCHH�-0Jee S TflA ND. LQw N� ..CZLL�E U N /-" aa� - („`(-A�f. B3Sp Iq�p3/84 BpDaie 'i 1, CWi�LLN!' w� 1A a 50 Gas Service Owlets Water Closet icy for performance - `7' Water Hinter section 3097 Cw. e.) Prelad Adtlrns �]S�l l'T-Li VEi Kitchen Sink Water Service $15 Issue Fu $ 3 LavaiOies ` r �Fvda- FEES Y License Law for the clonal Coat: Any City Or P -Trap '- Applicant's ht ilii4 AddrM - TYPE OF CONSTRUCTION NEW A00 ALTERATION REPAIR' ❑ ❑ D Roof Drains - Building Approved By Out Application imead For Dam that he/she Is exempt Any violation of Section he applicant l0 A crvll q VYKut lwrP S.MVS IDeDphpn¢ CONVERSION DEMOLISH OTHER Te.,wa.a4 'Mv A.P. - lane Reinspection Fee 515 Owner's Name 3sosCw�t�.ae''r.G-S--1B DESCRIpTIDNOFWORKNSEOFBLDG. %M S Main Building: AttessorvBuiltlin:. through his or her Own .'Intended or offered for within one year of cam- IV1116 did not build or ]m- acting with licensed wit- a tl Pr01¢sslons Cotlo: of propertywhoDuct-VenliefTP100,00in Address, Ducl- $Iructural E S 3 Exhaust System ❑ MultipJ(03System 1 U ee. I am o a aveded a tine _ Address LicenSON d. TYPE OF PERMIT LJ GRADING FOUNDATION T FidaysReal 'O -� EiRtN HANICTL / D TENANT L9 ELECTRICAL D PLUMBING LJ MECHANICAL � B r by authoorize home - Mentioned y for N Address � .D A Real - 1 C9nfr"mr'.s No 5 s£?Pd'�0 Cabl1ZT. Phdne ,� IS 1' 954 SO OTHER �2 1 JA Q C Rlent N ,A AmrnS(r.uigngJ%955 Sx'IP AJLK CVs. tel A �S[+tar PRQIECT DESCRIPTION' SO. Fr. OCCUPANCY ICO NSTRUCTIONTYPF� VALUATION $�5t7G" $ Lef[_41 J1 G No. ' R City License ZONE GRAOINGCU.YDS. .gCRE Plrg. Ref. - Parking Req./Provided LICENSED CONTRACTOR DECLARATION _ mer¢bY.aftlrm thel l aid licensed under provisions of Charter 9 (commencing Division parearks: PG. 6.6— S ¢ svn, Planning Noles' M with section 7000) Of a of the Business and Prdfemonz code. and T my license is in mu tproe d effect. w oe S. ubtnfe No, (D ucen CIFqq � � Daae-a�"dL'- sanmlma PLUMBING I FEES — Y' y RRERS'COMPEN$AT ION OECLARATIOp � • 6,06Y affirm that I have a certificate of consent to snlHnsure or a certificate Bar Sink SbOWMt p p pp IOp J( al AL U FEE$. Of workers' Comp ngrept�lro,�n Ins.uyrance, or a Certified! COPY thereof (Section - ' Backflow Provental Service Sink Automaiic.WazM1er. _ Transformer ❑ 15 50 KW 3000, Lan. C:1 `1 32 1, i /y„� �� Policy NO. ow VILE I Company V!' -f Backl low Irrigation Sewer Cap Construction Pole Sub. ❑ 50+KW stuff” copy is hereby fumished. _ _ EFill 1 py.lal�l" with rho City f1In O�ItI nate Y Y 8 EXEMPTION FROM WORKERS' COMPENSATION' tThO Mction need not be Completed if the permll is to `certify that In the 08larnal Of the work for wall shall not employ any person In any manner 50 a5 t IJ 1 am exempt under 5el Date I hereby certify that 1 t In d r tateolawss Correct. elating Its ental of a ty t levo"!len puro�f Sl9ndtum Drivers' License or SS er CMF 066546, rev. A/aA p n. Bathtubs-• sewer Connection ECLARATION r One hundred LOOSO) or Clarifiers Solar Collectors Disnvazher ,� - Solei Piping ' become Subject to t a Drinking Folimains Soler Tank Floor Drains Swimming Pool w/$pad I become subject 10 the 10, you must forthwith 1 be deemed revoked. Floor Sinks r Urinal w� 1A a 50 Gas Service Owlets Water Closet icy for performance - Intereeptors Water Hinter section 3097 Cw. e.) Kitchen Sink Water Service $15 Issue Fu $ 3 LavaiOies ` r �Fvda- FEES Y License Law for the clonal Coat: Any City Or P -Trap '- Ipro",demolish or repair odto the fortMit hns 01 a with section 7000) of Roof Drains - Building Approved By Out Application imead For Dam that he/she Is exempt Any violation of Section he applicant l0 A crvll $ MARYOF FEES BUILDING PERMIT $ 0•So SMIP $ wtlri wallet as their sola cod:.°The CConded ntracPor 7 who bulld5 or [enslaves Reinspection Fee 515 Ise Fee :MECHANICAL Boiler - Duct - Under Ground Hood or Type ❑ Canopy Type 11 ❑ through his or her Own .'Intended or offered for within one year of cam- IV1116 did not build or ]m- acting with licensed wit- a tl Pr01¢sslons Cotlo: of propertywhoDuct-VenliefTP100,00in Ducl- $Iructural Ref 'gelatiojSy5te yyowor S 3 Exhaust System ❑ MultipJ(03System Rg U ee. I am o a aveded a tine Flrepl/Pett BIL ICED i B. 6 P. C. for this rearon Healing System & Ducting Eloti OD BTU 0100,0 v . state that y malnznue r by authoorize home - Mentioned y for Reinspection Fee issue Fee .pink-Acco tinting: Capito loo-AWSOr Cook!! rg Unit Mehr Ore to 100 amps Dishwasher Meter ❑over 100 amps -" Dryers ❑Gas ❑Electric - Sub Panel -' Fan Motors ❑Ol HP ❑1'A-8 T0C) Device Boxes Pole Light ti Ig Outlets Range Switches SignzLC Garbage Disposal 'Scantling Sections Generator ❑65 KW 11615 KW Trash Compactor w� 1A a 50 a Do S3 Reinspection Fee $15 Issue Fu $ 3 �Fvda- FEES _ -DEVELOPMENT SERVICES REOUI EN a C• ZonirN Appro d By Date Building Approved By Out Application imead For Dam $ MARYOF FEES BUILDING PERMIT $ 0•So SMIP $ PLAN CHECK IS - sl - PERMIT PLUMBING S ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL S GRADING $ PLAN CHECK 50% $ �'�'SO MICROFILM IS MECHANICAL $ .TOTAL FEE IS PLAN CHECK 25% $ jr S 3 ' CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector- P� . & SPA 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 LIFER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings - ' 58. Electrical Conduit-Undrgrnd. . 8. Foundation - 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. t10. 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 e1 4. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit /O,414 v 66. Solar System -Final - 16. Rough Electric Wiring , /D 67. Fencing & Access Approval 17. Rough Wiring Sign' 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning �a/ ]ot [;ry9 FIRE DEPT. REQUIREMENT APPROVALS Permit # 20: Rough Factory Fireplace _ 21. Ducts, in Structure , 70. Underground Hydro 22. Ducts, Ventilating ,�- 71•. Product Piping ElGas CI Oil '23' Gas Pipe -Rough &.Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil 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 �8�9 Notes: 34. Final Heating & Air Conditioning�7 35.Final Gas Pipe -Test, c 36. Hood or Canopy G - E- 37. Final Factory Fireplace 38. Final Plumbing �•: 39. Water Service -Final 40. Gas Service -Final G' f 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 /0 ¢ C� 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co •51. CERTIFICATE OF OCCUPANCY No. -?D Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA � t_ CONSTRUCTION PERW_ LI Project Address S Cy.'.., y. o 5 L w f Applicant's Mailing Address Owner's Name Phone Address Arch/Eng. License No. Address Contractor's Nam C1Phone Address (mailing) City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code• and my license Is in fun force and effect. License Class License No. Date Signature WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Policy No. Company Certified copy is hereby furnished. Certified copy IS filed with the city Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed If the permit is for one hundred ($300) 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 s0 as to become subject to the Workers' Compensation Laws of California. Date —Signature NOTICE: If, after making this declaration, you should become subject t0 the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such brovi SionS or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby alflrm that there Is a construction lending agency for the performance Of the work for Which this permit Is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city Or county which requires a permit to construct, alter, Improve• demolish or repair any structure, Prior to its issuance, also requires the applicant for such pormll to file a signed Statement that he/she IS licensed pursuant to the Provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she Is exempt 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 rnalty of not more than five hundred dollars ($500). - I, as owner of the property or my employees with wages as their sole co in pensalion, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his Or her own employees, provided that such Improvements are not Intended or offered for sale. I/ however, the building Or improvement is Sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or Im I - rovee r the purpose of Sale). , 0-ifoowner Of the property, am exclusively contracting with licensed con- 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 buildS or Improves thereon, and who contracts for such projects with a con. tractor(s1 license Pursuant .to the Contractor's License Law). I am aware that proof off their Worker's Compensation Insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason r Date Owner I hereby certify that I have read this application and state that the above information is correct. I agree to comply wit all city antl county ordinances and state laws re Ing bujlding comp,. n, and hereby authorize repre- sentatives of t1h i[y O -rater upon t above.mentioned property, for Inspection purp Signal ure Cate �%•(g � Drivers' License or SS :a� ,t- 1 SS 3`d TYPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION LJ REPAIR FEES ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. qt6 DESCRIPTION OF WORK/USE OF BLDG. $15 Issue Fee $ 3 ELECTRICAL FEES Backflow Preventer Service Sink _ S Main Builtli Backflow Irrigation Sewer Cap E Bathtubs Sewer Connection TYPE OF PERMIT GRADING FOUNDATION M STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Dishwasher Solar Piping ❑ OTHER A Rear C Right PROJECT DESCRIPTION SQ. FT. OCCUPANCY F.A.U. Inc. Solar ❑B-15 HP 1316-15+ Floor Sinks Urinal CONSTRUCTION TYPE VALUATION$ S Left ZONE GRADINGCU.YDS. ACRES Ping. Ref.# Remarks: IM r! I Planning Notes: 0561 10/18/04 Accessory Building: Parking Req./Provided I N G R E D M T S. PLUMBING FEES Bar Sink Showers $15 Issue Fee $ 3 ELECTRICAL FEES Backflow Preventer Service Sink _ Automatic Washer Transformer ❑ 15-50 KW - Constructior Pole Sub. EJ 50 + KW Backflow Irrigation Sewer Cap Bathtubs Sewer Connection Refrigeration System 00.100,000BTU ❑100,000BTUrP.L�r.3 Cooking Unit Meter El up to 100 amps Clarifiers _ Solar Collectors r1o:•,� SUMMA OF FEES BUILDINE`-R'MIT $ /J�, SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% S MICROFILM S MECHANICAL $ TOT ALFEE $ SSL PLAN CHECK 25% $ Dishwasher Meter Dover 100amps Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Fan Motors 00.1 HP ❑1 h - 8 Floor Drains Swimming Pool w/Spa F.A.U. Inc. Solar ❑B-15 HP 1316-15+ Floor Sinks Urinal Fixtures Microwave Gas Service - Outlets Water Closet Device Boxes Pole Light Interceptors Water Heater Outlets Range Kitchen Sink Water Service Switches Sign Lavatories Garbage Disposal 9 p 'Standing Sections P -Trap Generator 00.5 KW ❑S-15 KW Trash Compactor Roof Drains Reinspection Fee I $15 Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ F irepl/Fact. Bit. ICBO + Heating System & Ducting 00-100,080 BTU 0100,000BTI Reinspection Fee 1 $15 CMF 0865-46, rev. 4/84 White - Building; Canary - Applicant; Pink - Accounting: Goldenrod - Assessor Issue Fee $ 3 Reinspection Fee $15 Issue Fee $ 3 iANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date Application Issued By Dat Hood or T Type ❑ Canopy Type 11 ❑. Refrigeration System 00.100,000BTU ❑100,000BTUrP.L�r.3 r1o:•,� SUMMA OF FEES BUILDINE`-R'MIT $ /J�, SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% S MICROFILM S MECHANICAL $ TOT ALFEE $ SSL PLAN CHECK 25% $ System Repair/Alteration Issue Fee $ 3 CONSTRUCTION AND PLANNING APPROVALS' Permit # Date Inspector POOL & SPA 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final - 15' Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring - 67. Fencing & Access Approval - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe -Rough & Test 72. Underground Flush -- 24. Roof Framing - 73. Undergrnd. Storage Tank 0 Gas 0Oil 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 - 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. 000704 P. O. Box 1200 Costa Mesa, California The Building located at 3505 CADILLAC UNIT $13-5 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B^2 Occupancy. Use of Building CJFFICE Legal Description 139-661-08 (See reverse side for Metes and Bounds) Building Permit No EPE-15382 Electrical Permit No. BPE15382r Plumbing Permit No BPE-15382 IkME-15539 &M-15539 Mechanical Permit No. f. 11471 .RW, -15539 Number of apartments and/or guest rooms ISSUED TO: 011114I I14P1,W1'A2I01L11 Building Official �r /�' uae,'— by 3505 CADUI.AC 4iG-5. COSTA MESA, CA. ���9X K Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File APolionl to fin In all Spaces eaeaol inov within heavy border lines and Sign mu ooreorlale declarations CITY OF COSTAeMESA--. CONST UCTION PERMIT Protect AOtlre99 p ��q 'Applitant'i Mailing�A¢tla i�.d OwnerY Name M1on Address a.�n_'f�%J>/G�A®_ /Q PERMI N . [] 598 - IHAUTT aNU LOT�N�/O�. PM IW -2 PMF6 UNIT NO. —s � � 8695 9/21/84 151.:j iL TYPE OF CONSTRUCTION LJ NEW ADO ALTERATION LJ REPAIR ❑CONVERSION ODEMOLISH [:]THER DESCRIPTION OF W RKIUSE FAIL . I p,p, M. ,ra Q Zone P� S Mein Builtling: ac pry Building: 1 Ili/_1 ArcM1/Eng. /✓�UL/�p�,�/// License No. Addren TYPE OF PERMIT EaRAOI NG- ❑ TENANT ❑ ELECTRICAL ❑OTHER FOU �qTI ON TRUCTU RAL PLUMBI G ❑ MECHANICAL T Front 0 B Hear N I ���/},� A ' _ I N Contractor's Nam Address Im/'nn /s/A l� ia5<-O� � G City Liconse NO. LICENSED CONTRACTOR DECLARATION I hereby affirm that I em IICNILa UnUer proof 3 of charter en 9 with Section ]OBof of Division 3 of the Bu a and Not mad and My maps; IS In full for and effect. Urger OC PROJECT RUC71ON ON 5p. FT. TICNeOCCUPG/Jv'� CON STRIICTION TYPE V LUATIONE ZONE GRACING CU. YOS. ACRES C Ripm N K $ L G H Plan Rego Perking Req./PSOYitleU E Remarks; 5 Planning NOI¢5: Q I M 3 ��' I T ucense 1 5 0 Date SignatureS. PLUMBING FEES WOR AS COMPENSATIONDEC RATION I hereby affirm that 1 nave a cemn a mconsentm un.Inowe era Certifime Bar Sink Shower �'L ELECTRICAL FEES of Workers' Compensation Insure ce, or a Certified Copy thereof (Section 3800, Lae. C.1 '/ Policy N.. Q�2%ii9Y Company d/�iS�A6i% Backflow Preverster Service Sink - Automatic Waebeq Construction Pole Sub. Transformer ❑ 1550 KW ❑50+KW Backflow.lrrigetion $ewer Cep -�' / Qf�dified copy Is narOby foilsman. Bf Certill Med with the City Bui1Mr59&y tory Bat11N09 y $elder COnllectie-II y (' king Ifni[ - Meter ❑up m 100 amps CN 1 MrIS� patAID Clarifiers ' Solas Collectors Mahanadi Meter hover 100 em PS i ' PERS'ApparCOMPENSATION (T FMPIR N F OM WORKERS' COMPE NSATIDry DECLARATION RM1ls mcupn neve not be Complatea i1 the permit Is for one hundred g]op) or leaf. permit IS t to t 1 Certify that In the performance In an She work ISO Which became shirkers' Ceompenui%n uvn of Calllorniz err a: m become subject to the WorDatee Dishwasher .. Solar piping Pi Dr ❑Gas ❑Electric Dryers Sub Panel Drinking Fountains Polartenk - �' Fen Motors ❑61 HP ❑1M -B Signature Floor Drains swimming Pool. Prism _ F.A.U. Inc. Solar❑9-15 HP❑1615+ NOTICE: II, eller making this declaration, you Should become Sublllcl to ane - Worcomkers' Colmpa llSuch pO pro,isons f or th Labor Codehall'eeou must dmm� f rthwireachet Floor Sinks Urinal Fixtures Microwave Z Gas Service DUIIeb Water Closet Z CO Device Boxes Pole Li ht e 5 20 CONSTRUCTION LENDING AGENCY rlermae I herebffirm that Dere Ise construction lending agency for the G n¢ y a of the work for hien this permit Is issu tl (Section 3097 Clv, C.I Lender's Name Interceptors Water Heater / Outlets - Range 0 3 "Fair's Adores Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION Ihereby affirm [hal am l Item [ria ConlraClar'i Llcensa Law fm the follewinW r on ISS'Cllan ]031.5 Business and Profaulonal CPem Any city or Cnu W nkd mannas a Parma m connrue, elm., Improve, aemeusn e. repair ty sbuc[um, prior m IH Issuancq also revulms the appllcanl fpr SucM1 permit o Ills a Signed Sbtemeat IM1at he/ane Is Ricans;; puRuent Ip the provlSloIS of NB COaUeCler's Llano Law ^CnaPMr 9 (commencinog wltM1 ycllon ]Oe000 of plvlsion 3 0l [ne BWlrleii e e Pralessian5 CaeBI that he/SM1a IS x pt tnerelfom and me pdils Ipr [M1e alleged exemptlon. Any vlelatlon of ;dawn Jwon±.$ OY my appll[int for a permit SYEIeCts tM1e apPlloM l0 INR lJ ors rwnemore man ore num.ea dmlars lasogl- y a of the Property e v emOloYees wen ages Onolr mm ns ifon, Cord ere me rx, cora ane Snuct u.e H npl Intended . faredpeinspenian fornsale ;(Section ]044, Bwinen and Proleuional Code: Tne Coniracmry LICenH ldrw ;spas oat apPu` m en Owner OI a properly wM1e bYIIC30r Improvers [�¢raon, a no ales n work nlmulf/new4 or tnrougn not o oar own e pipYN3, provldad mal itch Improvements are n 1 Intended r Ilerea ler If, hewevar, the bu^leing ar imomwment Is spiv within enc Ynr OI Had - plelloq [M1e owner whI a Ina burden of Pmving ne/Sna old npl bona or Ifo- e ror the purpose m oriel. I, as owner f the a projectSe unit Ively Caniraning wnh mm�3sa cern MII nU ] applyrrrrrrrrrrrrrrrrrrrrr t n o owner of property Coda: Thee Or Imore License Lewd "t;pairt w r Its with; ono The Cori COn3lmtl ease Law haat Improves thereon, .rid was COM aroar n �r ¢n pro/ens nn proof rtheir pursuant traitor's^imMC la be tam ward that .forted ea proof mob worker's Comp Ion four act MCA be P. ❑tam exempt unser Servo 8.8 p.0. for this reason r f8v0torie9 Q- asi- Gardge Di3pP91 Standing Sections P -Trap Generator ❑O.5KW ❑545 KW Train Com ocelot Roof Drains f Reinspection Fee $15 Issue Fed E B Fee. 815 Issue Fee S 3 MECHANICAL FEES SERVICES REQUIREMENTS: .EVE LOPMENT $EHa/ Zoning Approved By ;CLI C' �U d/ Dam - vim% II` Approved 8y L�DalO Application lauetl By pas 1 Boiler HeType I ❑ ed W GanPOY Type II ❑ Pum Untler GroundEuiltlirg Duct Structural Refrigeration Syrtem ❑6100,000 BTU ❑IOD OIJp BTU Duct .-Ventilating BUILDINEPE-MITI $ PLAIN CHECK. $ PLUMBING � ,r$ PLAN CHECK 25%� $ ELECTRICAL r $ PLAN CHECK 50% $ SUMMARY OF FEES Irk T �PERP $ I� � I PERMIT II7O� ISSUANCE $ Z-Oi� ENERGY P.C. S 2 �0 GRADING $ MICROFILM S Exhaust System❑ Multiple❑ System Repair/Alteration Firepl/FacLBh.ICBOM Date neroby u til o that I a w ad anis a k i no are that the above a^forma,lOn rIs f err il. all to eom01 nal Ily ria roomy o,, adopt n state lapws lel t umm�g ca coo ar av autnorl - reatatlyes 1 Nis enter to entlonetl r[ a for Heating System A Ducting . ❑610o,000BTU ❑100,000 Inspection Pure res. re pate r ucense r ss y. MECHANICAL $ - PLAN CHECK 25% $ TOTALFEE $ �. gaiMpenien Fee E15 Issue Faa S 3 CMF 0665-46. rev. 4184 White - Building:Canary. gOpIWnU Pink- Accounting: Goldenrod - Assessor - CONSTRUCTION AND PLANNING .APPROVALS Permit# Date Inspector POOL & SPA APPROVALS Permit# Date Inspector 1-, Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 0;10{ berp 53. Steel Reinforcement 3. Elec{rical'Conduit Utility-Undrgrnd, 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6Electrical• UFERGrnd: 57. APPROVALTOCOVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation - " 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11: Property -Sewer Line & House Connection62. Backwash &Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough'Plumbing 6 C 65. Electrical -Final 15."Rough Electrical -Conduit L,)A�-S _` y C� 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 D �/ 69.' POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ' LEp FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71,. Product Piping 0 Gas 00il 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 9,J,Irq B 247 75. Dry Chemical 27. Frame and Flashing -9 gN B 76. Dry Standpipe 28. Lathing &Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing' > SY B HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes, >s -d"/ 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy Sy cc���� 37. Final Factory Fireplace - 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final , 42. Backflow Preventer ' 43. Backflow)rrigation ,. 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations ' 47. FINAL STRUCTURE&BUILDING B 48. Special Requirements Completed 49. Electric Release to Edison r 50. Gas Release to Southern California Gas Co. 51. CERTIFICATE OF OCCUPANCY NO. Date r Applicant to nn In all 'Pace%should thew Within has" barbarians and smsI an.ppr.^phase a.garaeIons. CIT•V OF COSTA MESA 1 _ _ gMIT NO. - TRACT NO. LDT NO, i BLO _,' I 92576• � O�92VB4I • .13.j)�y IiI CONSTRUCTION PERMIT 'Z�pij _ i}Ni.l S i I ' Frclec[Address "« I 2,�.�C•� (_'S`7p .TYR OF CONSTRUCTIRN- NEVI A00 ALTERATION, gEPPIq- Ii. 1 —, agge AppliCpntYMailing Address �OR CONVERSION -U DEMOLISH OTHER — A.P,* -Zone !Y _ 'anner i M1one DwnTs N _ Addrds ➢ - . OESCRIPITION.OF.WORK - f' ucl- n at mu S, Main Building 'TYPE OF PERMIT GRADING. FOUNDATION 'STRUCTURAL^ ❑ TENANT ELECTRICAL O PLUMBING' MECHANICAL OTHER' ' PRWECTOESCRIPTION SG.FT. OCCUPANCV CONSTRUCTIONT_YPE VALUATION$ 1 Front ArtM1lEng. - License We. Address B A Ram ' Contracorrs NBmeHA2RFs�ti1 NTCr� phune' AddreMdmauingl •I R4L� RJG—CM C� G Right $. L!f[' City LicanYe No. CA ZS I'Z ZONE GRAOINGCU.YDSl ACRES ping. ReL i{'` , Remarks: F3C 45 Parking Ren./Provided LICENSED CONTRPCTOR OECLI1flAT10N I hereby affirm that I am )teamed under Provldom Of Charter 9 (dominanttlng I Live Of Building: •Planning with Mttlan 7000) at Divorce 3 of the Business and RofRilons Code, and my llcenseis In full force and effect � PLUMBING FEES Notes: License blain le t6MCOL.Cr 0 Date Bar Sink Showers ' ORKERS' COMPENSATION DECLARATION' r Backflow Preventer -'Service Sinkof erebyofflrm that l have a terthlcate of consent to selidnsure or a cartltloate Workers' Compensation Insurance, or a pertinent copy thereof (Actlon Backflow Irrigation Sewn Cep 3900, Lab,. �C�.1p ^^^^ 1.-�/�� Polley No.;5' AFJ44 Company hiIhiIACtrifled copy Is heraby fumlaheC. IAC pre flied wltn the dty a dl vldpy-7� � Dale Y iJCY APPlltint IYN^moi , Bathtubs Sewer Connection ' 'Aummetic washer Clerilieri Solar Ca lee[tIn Construction Pole EXEMPTION FROM WORKERS' COMPENSATION DECLARATION fsai section need net be completed H the permit Is for one hundred (slao) or Dlsh WdSM1er Solar PI ping Cooking Unit 1 unify that m the performance of the work foo which this Perm t Is Issued I sM1011 not employ any person In any manner as to become subject to IFC Workers' Compensation Laws of Canfornla. r Drinking Fountains Solar Tank • Dishwasher Floor Drains Shimming Pool w/Boa Dryers ❑Gas 13 Date Signature NOTICE: lf,lalter making this declaration. You should becomesub l Met to the - WOrrkers' Compenation provision$ Of the Lfficr Code, you moll art OwlID, .CONSTRUCTION LENDING ply with[ surds,S AGENCY or this permit hell be tleemetl ked. Fiber Sinks Unial Fan - G9s $lrvit0 - Outlets WIRr Clllilt , FAIL. InIDroaptors Water Heater ' - Fixture[ tforr tWrght this person Ilending d agency for olethe nine 130975 Clsm'.a C.) Kil:ban Sink Water Service Device Boxes lender's Name Under's Address OWNER BUILDER DECLARATION Lavatories Cutlets Data .0 s[ rev. Rein%peNlo^ Fw S25 )sue Fast MECHANICAL Boil', Hlwd Or Type I ❑ OU d G d Canopy Type 11 EI sin orim: ucl- n at mu Duct structural gafriger 'see con. 1111[ n Cdea: _- Armageddon Fee h Duct Ventilating th a un- Exhaust System ❑ Multiple ❑ System is reason FEES Final Bit. 10130'X• 10 Heeling System & Ducting O OG100,000 BTU OtO0,0W - lnanws� BUILDING PERMIT PLAN CHECK PLUMBING PIAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PIAN CHECK 25%'$ E S $ S $ $ $ iaetrepra $ ,$ IS $ $ F early r ' . .$3 Relnspenion Fee '$26 ' Accounting; Goldenrod .,Assessor Generator _J05 KW ELECTRICAL r Transformer ❑ 155OKW 50+ KW meter Out to 100ampa Motors ❑OI HP ❑' Inc. Solar 119 HP Microwave Pole Laid ,Range Sigal Standing Sections Trash Comusactor I G r R E' U 1 E S $ 3' Armageddon Fee S21i 1 Issue Fee $ 3 FEES PUBLIC SERVICES REQUIREMENTS: - Zoning Appaved By Dab Building Approved BY Dab . Applin ion INuW BY aH Data 10 BUILDING PERMIT PLAN CHECK PLUMBING PIAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PIAN CHECK 25%'$ E S $ S $ $ $ SUMMARY OF FEES I $MIP PERMIT ISSUANCE ENERGY P.C. GRADING - MICROFILM 11 TOTAL FEE z4 -0C\ $ ,$ IS $ $ F ' .$3 . �;CONSTRUCTION AND PLANNING • APPROVALS Permit Dater J Inspector - POC 'SPA APPROVALS Permit# Date ' Inspector' 1 Temporary Electrical Service or•Pole-'- : i -'� 52. Pool & Equipment Location -- t c 21Soil,Pipe-Undrgrnd: _.n,.r �� 53. Steel Reinforcement .31 Electrical Conduit UtilityJUndrgrnd. •54: Forms - - 4, Electrical Conduit -Undr r� d ` 55. Electricl Bonding- 5. Steel -Reinforcement :' I" r 56. Rough Plumbing & Pressure Test - - 6. Electrical LIFER Gr,nd.- � - �� •�' - - 57. APPROVAL TO. COVER-GUNITE -'�:rf 7...Footirigs 58. Electrical Conduit-Undrgrnd. ''- 1 8.'F6undation L 59. Gas Pipe,O Undrgrnd:, Test` '9:,Water Pipe-Undrgrnd. .. t _ 60. Backwash Lines, -P -Trap, 0 Undrgrnd. .a 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 J 13. R'oofDrains _ 64. Plumbing System - Final 14. Rough Plumbing • 65. Electrical -Final - 15. Rough'Electrical-Conduit " - 66. Solar System -Final - .- A6. Rough,Electric Wiring. - - 67! Fencing &-Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING,' 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ;19. Rough Heating & Air Conditioning 'FIRE DEPT. REQUIREMENT APPROVALS Permit # ' 20. 'Rough Factory Fireplace ' 21. Ducts,.in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil ' 23. Gas Pipe -Rough & Test - 72. Underground Flush " -24. Roof Framing - 73. Undergrnd. Storage Tank OGas 00i� - 25. 'Roof Sheathing -- 74. Overhead Hydro. - !1 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe • '• t 4 28. ,Lathing & Siding ' �, •77. FIXED SYSTEM FINAL I " 29. Insulation - I - 78. FIRE PREY. FINAL I 30. Or Nailing HEALTH DEPT. REQUIREMENT ' .31. Plaster Brown Coat 79.FINAL INSPECTION a 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED i 33. Final Electric _ Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test • c; " ` , 36. Hood or Canopy' - - - 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service. Final 40. Gas Service -Final 1 ' i I 41. Solar Domestic -Final t-- - -- I c 42. Backflow 1Preventer' 43. Backflow'lrrigation - - - 44. Landscape Irrigation System i 45. Sound Attenuation 46. Hand icap'Regulations 47. FINAL STRUCTURE & BUILDING. - 48. Special Requirements Completed. i n 49. Electric Release to Edison' is r - --i- ' --i I 50. Gas Release to Southern California Gas Co- ' 51. CERTIFICATE OF OCCUPANCY No. - Date t + - Applicant to fill n 211 Spaces except those within heavy border neer and Sign a1 aiduC ante declarator:. • 'CITY QF COSTA MESA PF.WIT NO. - TRACT N LOT NO. BL ''.xhaurt System ❑Multiple ❑ System Repair/Alttrelion .- CONITRUCTION PERM IT�p/4- I,i EM—ID �IiO ,�J Reinspemidn Fm $25 Issue Fee S35 Issue Fee Project Address TYPE OF CONSTRUCTION NEW ABC ALTERATION Ll REPAIR PUBLIC SERVICES E UREM EN " 0 CONVERSION ❑ DEMO'. Icu ❑OTHER q;P,+ Applicant's Mailing ddrev % j P, ITi.0av5 �T ��, Own �%—Phene.��./d�pra�.0 ,DESC RIPTION OF WORK S, Main Building Z Atltlrett TYPE OF PERMIT GRADIN STflUCTURAI• T Front Det / Arch/Eng. License No. d��� /pOUNDATION r� ❑ TENANT :ry ELECTRICALLIFPLUMBING MECHANICAL R Rggr $ Address ❑ OTHER C A 35•' PERMIT Contractor's Nam '/✓ �� PhonedS�T'�'Yp 'zG PROIECTDESCRIPTION SQ.FT OCCUPANC $ ISSUANCE $ ' Atldrev (mai1in919//7 ,Qs..I� Ste. CONSTRUCTIONTVPE�IL A/ VALUATION$ 5 Left ELECTRICAL ZONEGRAOINGCU.YGS. ACRES Ping, Red. 4- $ City Lignse No. %99MW -.PLAN CHECK 1 . MICROFILM LICENSED CONTRACTOR DECUSRATION Remarks: C• 8 Parking Rep./Prov $ I hereby affirm that I am licensed under provisions of Charter 9 Immmencing k kI - ' PLANCHECK with Section 7000) of olvlSlon 3 of the Business and Profession$ Code, and if -i Use of Blllltllp g: MY license is fry )force and effect. Uce Class license rvo.%y'�7 PLUMBING FEES Planning tholes: DatO"-S•9� SignatureOp v Bar Sink Showers 'NORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to senlnsum or a certificate 9ackfldw Prevemar Service Sink of Worker' Compensation insurance, or -a Certified COPY thereof (section 1 3800, Lan.0 /�"`f d's%j/ Cc Kfrrc. in . Backflow' Irrigation SewerCap- Policy NO. Company Certified copy is hereby IJMl d. Bathtub: Sewer Connection l - Amountic w: cayul y Is filed with mb city ByNdm .�[—/—�r e,,,, �,..,,. /.a/ �'�, _ Clarifiers Soler Collectan Conztrudien Is for One hundred ($100) or h0 become mblects a 1to Ike I hereby affirm that there is a constmctum lending agency for the performance of the work for whlcrp�hli nermll Is Issued (SaCHen 3091 CIY. C.) Lunger'c Name �/^' L�— CAnder's Address U lam Date _ n'55 N 7/83 D. for this reason -`i Pink Swimming Po Sinks avamriea nrOO - ASMseOr $3 Cooking Unit Dishwasher Dryers []Go Fan A.U. Fixtures Device Boxes 3438 2/EI/E4 e 'Transformer U'15.50 KW ❑5O*KW Meter ❑up to 100amps - Inc. Solar LJ945 HP Miuowa Pole Light Range Sign Standing $ecliem G D U R E M E T TI Generator 00-5 KW US -15 KW Trash Compactor Remelnetion-Fee E25 Issue Fee MECHANICAL oiler Hood or Type 1 ❑ luct - Under Ground Canopy Type 11 ❑ loci - Structural Refrigeration System Wit -Ventilating 0D100,000BTU ❑100,000 ''.xhaurt System ❑Multiple ❑ System Repair/Alttrelion =inpl/Fact. Bit. ICBD# 1 tin05Yztein Ducting alao.aao BTU❑100.000 _ Reinspemidn Fm $25 Issue Fee nrOO - ASMseOr $3 Cooking Unit Dishwasher Dryers []Go Fan A.U. Fixtures Device Boxes 3438 2/EI/E4 e 'Transformer U'15.50 KW ❑5O*KW Meter ❑up to 100amps - Inc. Solar LJ945 HP Miuowa Pole Light Range Sign Standing $ecliem G D U R E M E T TI Generator 00-5 KW US -15 KW Trash Compactor RoinNuction Fee S35 Issue Fee E 3 PUBLIC SERVICES E UREM EN " Zoning tion Ap ro Application Approved BY Date a a Z Application Issued By Det / RUILOING PERMIT $ SSlJ�1MAR$Y �OF FEES - "L/3$" SMTP $ 25%PIAN CHECK $ 35•' PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK S f ENERGY P.C. S ELECTRICAL $ GRADING $ -.PLAN CHECK 1 $ MICROFILM $ MECHANICAL $ TOTALFEE S ' PLANCHECK $ if -i i CONSTRUCTION AND PLANNING APPROVALS Permit# DataTinspectorPOv � SPA APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement r 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4' Electrical Conduit-Undrgrnd. 55. Electrical Bonding -5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6: Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7; -Footings 56. Electrical Conduit-Undrgrnd. t 8. Foundation 59. Gas Pipe, O Undrgrnd., Test '9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12: •Sewer Cap 63. Heater & Vent -Final 13: Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15: Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wir'ng qE£ ops Zl li 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning A/41?1/ �/ FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough -Factory Fireplace - 21. Ducts, in Structure 70. Underground Hydro '. '22. Ducts, Ventilating + 71. Product Piping O Gas O Oil -23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof.Framing 73. Undergrnd. Storage Tank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat JY/p, 75. Dry Chemical 27. Frame and Flashing ��$ _10� 76. Dry Standpipe 28. Lathing & Siding - 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing A P111 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 1 1. 80. FOOD CERTIFICATE ISSUED 33. Final Electric '. Notes: 34. Final Heating & Air Cond'tiong /� 31(( 35. Final Gas Pipe-Tette 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing .` 39. Water Service -Final 40. Gas Service -Final v 41. Solar Domestic -Final 42. Backflow Preventer - 43. Backflow Irrigation ' 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING iib 469-1 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co Y 51. CERTIFICATE OF OCCUPANCY No. 0.5 35Z Date 6 0 C 0 �/ City of Costa Mesa GEN Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. GEN352 P. O. Box 1200 Costa Mesa, California The Building located at 3505 CadLUZC Avenue — Bldg. G— 5A has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of Building Interior AlteratLOns— Warehouse/office Legal Description 139-661-08 (See reverse side for Metes and Bounds) Bu iId ing- Perm it-No—Bll+-18814 Electrical Permit No. BEM— 10814 Plumbing Permit No. - 0 q JJ t: i .. n � R'Y Mechanical Per No. BEM— 10814 Number of apartments and/or guest rooms 0 + ISSUED TO: Building Official Z. /C t Cambridge Park Partners 1301 Dove Street, 060, Newport Beach, CA /9�// Date 7 r This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numehcal File; Pink - Bldg. Permit File City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. 002306 P. O. Bon 1200 Costa Mesa. California The Building located at 3505 Cadillac Avenues, Uni a C:—F has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of Building Add wai i q, nnnrn Legal Description 139-661—OR (See reverse side for Metes and Bounds) Building Permit No. B 36131 Electrical Permit No. E 36244 Plumbing Permit No Mechanical Permit No. Number of apartments and/or guest rooms ISSUED TO: Building Official William T. Howard Cambridge Park Partners 1zU1 Dupon, Ste., 61110 by_ - Irvine,, CA 92714 Date December 154 1988 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White -Owner; r'mary - Numerical File; Pink - Bldg. Permit File z z,a�lDaals) 953= CITY Of COS - Project Address Applicant to 1111 in all mil —a -'Capt tnot. w thin neaey boomer roes ane sign a 1 apprnv late declarations. wasal \ QRMIT NO. r 4. SIR x. TRACT NO. UN Ng, A.P. # (TVIS need not De Completed n me permit N for One oumnd t$10o) Or NApplhaint's Monett Address �N6. i1A. Debi Ndm¢�Saltu NN ijim oone(TI iI'C)"I m Atltlres 2`101 D. WA*r SurrE IDD, ADM NE LA. 42714 TYPE OF CONSTRUCTION LJ NEW lhLAOD IJ ALTERATION L REPAIR 0 CONVERSION ❑OEMOLIEH OTHER DESCRIPTIONQQF WORKIUBE OF BLDG."GrMAHT IWPRO✓lplE$[T— Ill$Llfi Ova ¢S E T Front R A Rear E PL I �4. ' ..11.aaa,,J11ifCTJ i cImG4 Arch/Eng. Sm Lcenu No. address N /( I `4 in TYPY EpF PERMIT RADING FOUNDATION STRUOTURAL TENANT ❑ ELECTRICAL PLUMBING MECHANICAL '�L�CSI C Right K. $ Let DmIraelpr'a Nam' bene ''' ping. flet. Y# I hereby I the Isnder•s OTHER PROJECT DESCRIPTION SO. PT. OCCUPAN� CONSTRUCTION TYPE VALUATION$ a"iS' M. Atltlres lmeiling) �2r 11�Ka p Planning Notes: City License No. LICENSED CONTRACTOR DECLAItATION OWNER arab, ZONE GRAOINGCU.YDS.— ACRES Wastories m'rk'' %i O /a yg•_ {d 7000) of of heBisndPrsCode, n .1ineeiI7I'osistpusnesc'aDoesmnso,ae PLAN CHECK So% $ MICROFILM $ O mlecto� y license B In lull got" d elR UceMe A nate—/,/&,try signature(/a' PLUMBING FEES Automatic Washer ORKER$' COMPENSATION DECLARATIONrs modify affirm that I ham certificate of consent to selunsure or a certificate f Workers' Compensation Insurance, or a tie tlllea COPY thereof (SectlOn 3800, Lap. C.) Policy No. �03*roff i company Sr<%s FVA/�J Bar Sink - $M1owe COnftmtliOn Pole Backflow Pnventer Service Sink Conking Unit Backflow Irrigation Sewer Cap Dishwasher Certified copy is hereby furnished. Wrtlfie y ed with the city BUuIy8pyI qq pp115�1lIOn. Date_APPlicant PMT/ �/'N / Or E%EMPTI N OMWORKERS'CO MPENSATION DECD Bathtubs ,. a school Connection Dryers ❑Gas ❑ CIa/iliml5 �(�� $Olaf Co Fan (TVIS need not De Completed n me permit N for One oumnd t$10o) Or Dishwasher cerlifoy Shall not Workers' work So which this perm@ is issued that in the performance of inmanner employ y person i y a n as to become subject to the Component an Laws Of CaIIIOmIa B' Drinking Fountains Floor Drains Date signature NOTICE: If, after making this declaration, you should becomesubject to the Heating System & Ducting ❑0100,000 BTU 0100,0006 Workers' amply Compensation provisions of the Labor Code, you ust fortnwim with Such pmvltlont or this Permit than be deemed reoci Floor Sinks Gas Sionnu Outlets CONSTRUCTION LENDING AGENCY I hereby I the Isnder•s alfirrn that there Is a conSlructlon lending agency for the rformance k for hien this permit Is Issued (Section 307 Chi. C.) Name Intercepters Kitchen Sink Lender's Address OWNER arab, BUILOER DECLARATION affirm that 1 am exemot from the Contractor's Lfbai Lew for the Wastories am exempt ander Owner Drivers' License or 5S gn 0845555, nv. Sias - White Hoof Drains Reinsp¢tion Fee $15 Boiler Duct . Under Ground - uch °orroor ans uwitth a can se awn of I am Provided aware that Wild B. 6 P. C. for this reason DEVELOPMENT SERVICES REQUIREMENTS: to n/1/M Zoning Approved Byto �S�W Building l=u rad it pt. 119 on luwd By at Application Duct Ventilating FEES Exhaust System El Multiple E FirepUlisct. Bit. ICBG aF SUNINA19YOF FEES BUILDING PERMIT $ 00 SMIP $ •�� Heating System & Ducting ❑0100,000 BTU 0100,0006 and state that the move Of and coerebyunt9 ordinances (FrrGnron epro t Date d T.pvni in Fal Is Plaint; Pink - Accounting; Gmdenrod - ASsabor Urinal Warren Closet Auto -Wash Issue Fee tANICAL Header Typel ❑ Canopy Type 11 ❑ Refrigeration System ❑01000GUBTU 0101),000 System Repair/Alleration Fire Dampers laws Fee Device Boxes Generator _� � o ("H 1 Zol ELECTRICAL ❑ 50+Key Meter ❑upto lWamps Meter Omer 100 amps Sub Panel Motors ❑Ol His 1:11% - B Inc. Solar 13315 HP 016 Microwave Pole Light Standing Sections Trash Compactor FEES S $ DEVELOPMENT SERVICES REQUIREMENTS: to n/1/M Zoning Approved Byto �S�W Building l=u rad it pt. 119 on luwd By at Application FEES SUNINA19YOF FEES BUILDING PERMIT $ 00 SMIP $ •�� PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE S PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK So% $ MICROFILM $ c�C-Y3 MECHANICAL $ TOTALFEE $ PLAN CHECK 25% $ Kl 01 00019154-60019155 TOT DATE: 11/0918E TIME: 15:21 • ,1 CObSTRUCTION AND PLANNING " APPROVALS Permit # `^r Date Inspector f . L &SPA APPROVALS Permit # Date Inspector 1.j Ternporary..Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pip,-Undrgrnd. 53. Steel Reinforcement 3'l,Electrical Conduit•Utility-Undrgrnd. 54. Forms i _ 4JElectrical Conduit-Undrgrnd. 55. Electrical Bonding , 5.; Steel; Reinforcement .: 56. Rough Plumbing & Pressure Test i 6.; Electrical UFER•Grnd':.- 57. APPROVAL TO COVER-GUNITE , 7"Footings i .r 58. Electrical Conduit-Undrgrnd. 8:: Foundatiorl ( r. 59. Gas Pipe, 0 Undrgrnd., Test 9.' Water Pipe-Undrgrnif. 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'Diain''s �_ 64. Plumbing System - Final 14. Rough Plumbing '• 65. Electrical -Final ' 15. Rough Electrical -Conduit 66. Solar System -Final rf & Rough Electric Wiring 67. Fencing & Access Approval 77'. Rough Wiring Sign 68. APPROVED FOR PLASTERING 16. Rough Electrical -T Bar Ceiling- - 69. POOL/SPA SYSTEMS FINAL '19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 1 4r 21. Ducts, in Structure 1, 70. Underground Hydro 22. Ducts, Ventilating -+ •. 71. Product Piping 0Gas ❑Oil 23. Gas Pipe =Rough & Test ��" •• 72. Underground Flush 24. Roof Framing -' 73. Undergrnd. Storage Tank 0 Gas 0Oil 25: Roof Sheathing -=- 74. Overhead Hydro 26. T-Bar:Ceiling (Structural) &'Monocoat 75. Dry Chemical %27. Frame and Flashing 76. Dry Standpipe ,28. Lathing&Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing /t HEALTH DEPT. REQUIREMENT .31. Plaster Brown Coati' 79. FINAL INSPECTION Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric ,i Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory FireplAce., 38. Final Plumbing .1 "39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final n 42. Backflow Preventer 43. Backflow Irrigation A4. Landscape Irrigation System ' 45. Sound Attenuation •- 46. Handicap Regulations 47. FINAL STRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison _- n 50. Gas Release to Southern California Gas Co _. �9 •� 51. CERTIFICATE OF OCCUPANCY No, Date - Reinspection Fee Service Sink Sewer Cep Sewer Connection Soler Collectors Solar Piping Soler Tank Swimming Po01 W/: Uri I ater Clare[ Water Hamer Water Service Auto Wash Laundry Tray& $15 lane Falls ale. If, however, the building o Improvement Is amid WIMP one Vapor or cog Fiction, thea theburdenof proving hehhe did not build or Int w fur ThB owner raate).h IL as owner of the property, am exclusively contracting with licensed can. Vactorstp construct the project (Section 7046, Suainessand protrusions CPde: The Contractor's cense Laws does t apply to an owner of property who bolds improversthereon, d who contracts in, such molests with tonna tr oeorosl anse pursuant to Iter Centre tors License U ni a awareExhaust Crop f I their Worker's Compensation Insure Should b provided to LICENSED CONTRACTOR DECLARATION Duct- Under Ground Minors 00.1 HPOl%-8 1 hereby String that 1 am licensee under provisions of Charter 9 [commanding Applicant to Dn in all spaces except those within heavy border lineaane sign all appropriate declarations. Duct- Ventilating_ with section 70DW of Division 3 of the Business and Professions Coda and CITYOFCOSTAp COCONST UCTIONPERMIT 41�AIG' �¢� NO. 3(62 TRACT NO. waspewPERMIT LOT NO. UN N0. .S- A.R. Dae signature PrdXCtAddress pow _ ^ `O WORKERS'COMPENSATION DECI_ARATJON •ereby affirm that I hawed artincate m cnnaent b salunsure a Certificate Workers' Compensation Insurance, or a ortlfled copy thereat (Section Poli=r No. CC291G LgGE Company /u&1=/rs� Backflow Preventer Backflow lnlgaron s Maine Bathtubs Applicant's Mai ling Adtlr¢ eertiilea copv is fel with ine dtY Bol l(Iln0 DIVlslOhO Clarifiers TYPE OF CONSTRUCTION NEW ADD ALTERATION - REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER E T Favor [ins section need not be Completed R the Permit N for One hundred E100) or DisM1wasM1er Dow Name I f emthatploy any he epersonnIn afynmwork *W Dai to become Subject to isle i hone DESCR I PTION O F WOPK/USE O F B LOG. N pear. Address NOTICE: N, after making this declaration, You should beep sublect to the Floor Sinks Workers' Campensatian provi5ione OI the Labor Code, you must forthwith amply with such provisions or this Permit Shall be deemed revoked. G0E 5¢rVICe Right InRrtepiors ArcM1/Eng Licenx Na. TYPE OF PERMIT GRADING FOUry DATION STRULTU RAL K_ tender's Address OWNER BUILDER DECLARATION hereby affirm that 1 am exempt from the COnOnctar's License Law for the following reason (Section 7031.5 Business and ProfeselBnal Codas Any City ar county which requires a permit to construct, alter Improve, demolish or repair any uc u prior to Its Issuance, Int requires die applicant for such permit tae de a signed statement That he/She Is licensed pursuant to the provisions 01 + Contractor's License Law (Chapter 9(wmmencing with Section 7000) OI ayetdriea TENANT L^ a ELECT R ICAL.O PLUM 01 NO O MECHANICAL $' Left Address Contractor's Nam, � tr `e C'- Phone�W- OTHER Ping. Ref. Address Imadmi — '/»/per/>M'e• ✓2 PRQIECT DESCRIPTION 5 . Fri OCCUPANCY Planning P CON STRUCTION TYPE VALUATIONS City License No. if 70.6 ZONE GRAOINGCU.YDS. ACRES a Reinspection Fee Service Sink Sewer Cep Sewer Connection Soler Collectors Solar Piping Soler Tank Swimming Po01 W/: Uri I ater Clare[ Water Hamer Water Service Auto Wash Laundry Tray& $15 lane Falls ale. If, however, the building o Improvement Is amid WIMP one Vapor or cog Fiction, thea theburdenof proving hehhe did not build or Int w fur ThB owner raate).h IL as owner of the property, am exclusively contracting with licensed can. Vactorstp construct the project (Section 7046, Suainessand protrusions CPde: The Contractor's cense Laws does t apply to an owner of property who bolds improversthereon, d who contracts in, such molests with tonna tr oeorosl anse pursuant to Iter Centre tors License U ni a awareExhaust Crop f I their Worker's Compensation Insure Should b provided to LICENSED CONTRACTOR DECLARATION Duct- Under Ground Minors 00.1 HPOl%-8 1 hereby String that 1 am licensee under provisions of Charter 9 [commanding Remarks: Duct- Ventilating_ with section 70DW of Division 3 of the Business and Professions Coda and System ❑ Multiple pole Light Firepl/Face BIL ICSO her my license IS In full f r and affect.. a Date Owner uanse class uan r d: �4S1,✓72 Heating System & Ducting Dae signature Generator OOS KW E15-15 KW Bar Sink ^ `O WORKERS'COMPENSATION DECI_ARATJON •ereby affirm that I hawed artincate m cnnaent b salunsure a Certificate Workers' Compensation Insurance, or a ortlfled copy thereat (Section Poli=r No. CC291G LgGE Company /u&1=/rs� Backflow Preventer Backflow lnlgaron 3 i_ cedgie 'shermy furnished. Bathtubs eertiilea copv is fel with ine dtY Bol l(Iln0 DIVlslOhO Clarifiers ry Dated/: Applicant.<�--�ar,r EXEMPTION FROM WORKERS' COMP ATION DETTLARAT17N [ins section need not be Completed R the Permit N for One hundred E100) or DisM1wasM1er I f emthatploy any he epersonnIn afynmwork *W Dai to become Subject to isle i Drinking Fountains Workers' Compensation Laws Of Cauttintla.ol Floor Drains Date signature NOTICE: N, after making this declaration, You should beep sublect to the Floor Sinks Workers' Campensatian provi5ione OI the Labor Code, you must forthwith amply with such provisions or this Permit Shall be deemed revoked. G0E 5¢rVICe CONSTRUCTION LENDING AGENCY II hereby affirm that there is a Construction lending agency fon toe performance InRrtepiors Of the work for wnlcn this permit Is Issued ($ecilon 3097 Clip. C.) Lender's Name Kitcnan Snk tender's Address OWNER BUILDER DECLARATION hereby affirm that 1 am exempt from the COnOnctar's License Law for the following reason (Section 7031.5 Business and ProfeselBnal Codas Any City ar county which requires a permit to construct, alter Improve, demolish or repair any uc u prior to Its Issuance, Int requires die applicant for such permit tae de a signed statement That he/She Is licensed pursuant to the provisions 01 + Contractor's License Law (Chapter 9(wmmencing with Section 7000) OI ayetdriea p_Tr¢p Noof Drains Reinspection Fee Service Sink Sewer Cep Sewer Connection Soler Collectors Solar Piping Soler Tank Swimming Po01 W/: Uri I ater Clare[ Water Hamer Water Service Auto Wash Laundry Tray& $15 lane Falls ale. If, however, the building o Improvement Is amid WIMP one Vapor or cog Fiction, thea theburdenof proving hehhe did not build or Int w fur ThB owner raate).h IL as owner of the property, am exclusively contracting with licensed can. Vactorstp construct the project (Section 7046, Suainessand protrusions CPde: The Contractor's cense Laws does t apply to an owner of property who bolds improversthereon, d who contracts in, such molests with tonna tr oeorosl anse pursuant to Iter Centre tors License U ni a awareExhaust Crop f I their Worker's Compensation Insure Should b provided to Sub Panel Duct- Under Ground Minors 00.1 HPOl%-8 Duct - Structural mo Solar 091 HP 015-154 Duct- Ventilating_ Microwave System ❑ Multiple pole Light Firepl/Face BIL ICSO her ❑ Fam exempt under Semon B. s P. a for this reason Date Owner Sign Heating System & Ducting e ury that I have read this application and state that the above in o.m IdCaxs Daudet gree to comply ,m ciy and Poorly Ordinances and state laws rplating to building loans ppon, and hereby authorize /sere- lithe Generator OOS KW E15-15 KW 17/0100.000 BTU 0100,0100 OR BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 60% MECHANICAL PLAN CHECK 25% SUMMARYOFFEE $ $ S S $ 7,S' S $ If — sentadlon of the City to upon bove enUOned property for $ S $ S $ S 3 i_ rtes InsibSignature Rein ;onion Fee $15 ale Drivers' u 0065-46, rev. 5198 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Aeaeser Hood or Type l LJ Canopy Type 11 0 iefrigera i0n5ystem 70 o,000BTU ❑10O ystem Repair/Altebtion Fire Dampers Registers Issue Fn YOM ELECTRICAL Washer Transformer 01550 KW lin Pole Sub. 0 50+ KW tit Meter Cup to WDemps Meter ❑over 100amps FEES 2 N G Dryers UGes UElectri¢ Sub Panel Fan Minors 00.1 HPOl%-8 F.A.U. mo Solar 091 HP 015-154 Fixtures Microwave Device Boxes pole Light Outlets Range Switched Sign Garbage Disposal Standing Sections Generator OOS KW E15-15 KW Trash Compactor $3 01 OOD19721-00019721 TOT 33.25 DATE: 11/16/88 TIME: 16:23 gainspaction Fee 1 $16 1 1 Issue F« DEVELOPMENT SERVICES REQUIREMENTS: Zoning APProved By Builtlinp APPrpwd By Applintien Issped By Dam Deb $ 3 FEES BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 60% MECHANICAL PLAN CHECK 25% SUMMARYOFFEE $ $ S S $ 7,S' S $ If — SMIP PERMIT ISSUANCE ENERGY P.C. GRADING MICROFILM TOTALFEE $ S $ S $ S 3 i_ $3 01 OOD19721-00019721 TOT 33.25 DATE: 11/16/88 TIME: 16:23 1 CONSTRUCTION AND PLANNING POi SPA ' APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector- r 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location, 7_ 2. , Soil-Pipe-Undrgrnd. 53. Steel Reinforcement . 3.: Electcal Conduit Utility-Undrgrnd:' r. 54. Forms 4:.3Electrical Conduit-Uridr-grnd. 55. Electrical Bonding 5:)Stee4.Reinforcemen t 56. Rough Plumbing &Pressure Test 1 s i r 6. Electrical UFER Grn'dr' 57. APPROVAL TO COVER-GUNITE I J.,?Fopt rigs ' �, 58. Electrical Conduit-Undrgrnd. \ 8 -,foundation ' . 59. Gas Pipe, O Undrgrnd., Test 9u/ater,Pipe-Undrgrnd. --• 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10. Structural Floor System •i =r-�. 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection ��� 62. Backwash & Receptor -Final 12 ^ISevoer Cap �I 63. Heater & Vent -Final t - 13. Roof Drains ...i C 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 t� 18' Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 2). -Ducts, in Structure 70. Underground Hydro- - 22. Ducts, Ventilating 71. Product Piping 0Gas ❑Oil 23. Gas Pipe -Rough & Test u - 72. Underground Flush - 24. Roof Framing 73. Undergrnd. Storage Tank ❑ 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 -, 39). Plaster Brown Coat. 79. FINAL INSPECTION - 32. Electrical Power Meter -Final 40. FOOD CERTIFICATE ISSUED 33. Final Electric j� otes: 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 ' I( 41. Solar Domestic -Final ' r 42. Backflow Preventer� 43. Backflow Irrigation 2 t' 44. ,Landscape Irrigation System. I 45. Sound Attenuation ;•;-p 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed , 49. Electric Release to Edison l� 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY No, t Date ._� r ki (aEEr ADO MIT 3505 CADILLAC AV YNIC G5 OWNERSNAII CAMBRIDGE PARK PARTNERS ADDREW: 2201 DUPONT DR 71100 IRVINE,CA 92715 ARCNIENGINEER: 1110 Ni ADDRESS: YNR: PERINITTEE: CALIBER CONSTRUCTION INC (714)572-0700 ADDRESS: 511 CAMERON ST PLACENTIA CA 92670 LICENSED R 70081 at WYLOn3 od theBBUN Mi IOM PtotR na Par al and MlOnam is OFF Re atAT e effect ler BlttlnnaMmj with Ghana CRY G. 61673 STATE LIC.: 635842 C: B EXP: 03/95 ,9_UM Ukpi SNmmn kg,d WORKERSBOMPENSAIION DECLARATION I Aer6/aMYm than l Aarea nN[ale el ennsem To felllnauum a eanlcall wW m CCMPWSaron Inmrame. or a nnifM cit Mason 15xtbn NEW lab. Of IDuc'ND.. NWC-18048'94 EV.DATE: 01/01/95 comMpy. WESTERN 14ORLD 7 United ON 5 hereby anise . Q Geretiet mpy�liYO'xfi^Iro dry BUWInp pinaipn. ,�-y�SSSa/vw f-- 7�Ir 54 Apdiml: ampFMFMITIONEROMWMKERS' UMPENUnONUMUMEMN: MiIwEfn o ImeomplNmitlnap�IlNblu pe AUNM(EI[q orYa). that in lea meammance of me work for whim INS Warren is imuedrelamall nog WRIN ON aer O in any Former so as to Mcome Dare: aBnawre: NOTICE: It alter maxim this declaration , you Or necome puAicm a the Wpmms COmmapm Panama N the Lahm WE. you must lonrramn comply sixth well prawrirns in ON permit amu be deemed reyakap BONSMLCnoN LEKMNU AGENCY'. Tung arum that there IS a C=tMCWO iWArdd ai%ney lar the peMrrllerNe d tax rare per which Ms Thermr is issued (Section END, Cre, CI. LENDER: ADDRESS: OWNER BUILDER MCURA71ON: I henry affirm that l am exempt from IN Contraction We Creme Law for the lalleuiry reams rcSeGbn iW1,5 BpliMss anb Rolmbml Co]e: Any city of CN*WH leaeiresa pen 1p 00n$=I Mo. immpprt.@lisn, or pair any WM e, Nor n N IM2W. atm manna me SPhcxnt OF such p t b se a SNOW statement that WNnd is deemed wlwam b me Pmnsma of the cmuaNms' Stale Lcrose Law ICWter 0 (cammendrbw M SMim TEXACO WON D as We Nailmw and flelemeit CON) ar mal Nh ei Is exempt therellmn end the finis far the alYpM exemption My vblalnm m Sm ml.5 by any apoi fll fora permit subjects the sommalm to A(TA PmanV N not mote than Ove mMreb adlan (m) 1, as can of the ProWq or my m men rom res a mV fob ngerwti wW pro me iA. and the ❑ does asee an metofporak her Olson n or Bu4nere andPt,1 who data such Corr him s'SWB LIparM oh Roes nor redo enamel ala progeny Wp dmp 8mAnts V to NBrem,ded who data Bfar woo M1I horeaver thin br Mrwpn n¢ ro Mr wit San rathen we idN of thorn imprwemente are ret le the an of pr ven Site.ger Awmm thin OF IM m for Me purpose odd k). me year ul wmpletion.M owner nave Ine WNm 01 ProMlp nVene ma not hula anmprore tpl me WIPo50 O e1Ni. err of property, am amovely sennadinO wan licensed w trWas to pmsumnbe Protect (sealm art Customs ❑ Dw Pmla nsWe: MCmtwtws' State Incense Law Wes not WAVlo an Owner of plweny M butlSal iMmvas Instead nd was eomraets for wen mor Face asafel mlls)lima Pu10%m IP m0 GOnlmCAMF $I ale Limm" Law), l am all tml pmol of IMI( Walker S Gvmpmetten imuluae SWUM he prWldol 10 me. ❑ I am exempt under Si B. A P. C. for this nappy: Dan: r owner 1 du woo aniry mat I am aware M and undersand the rrdedea nn PI GfilPmla MAfh and WMV We Smlb1R piddi Zmat and 25514 and mal f or and burns bMin¢ l wiLNien t Indian mel NET to omN who safe slate copy and IW IealMeulNlts Ora On to, mnLmNOn an mWil[aYon bun IN At (finally Management Di RmdenNl mmtrumim ag&. %are emlryt from arm Plavnbns, praEd for Ins man wmmes. p�� DN 5" / Covets License m RC41 Secumy#: Shat Ln wnL—Mumnn: Gram—Cann enm,..mem: CMM AONilw.l, Park—Ft.: DOImnrM—Aa..aam COMMENTS: RE: PC#913-94A/SEPARATES THIS PORTION OF WORK FROM 0-4 2 0 N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRN-: FT IN REAR: FT IN FRNT: FT IN REAR: FT Ind LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 13966108 ZNE; PDI REF NO: PLANNING NOTES> REMODEL RESTROOMS TO HANDICAP STANDARDS D E V E L O P M E N S E R V I C E S R E¢ U I R E M E N t Z / ZONING APPROVED BY _ �—' DATE:. 7,g & BUILDING APPROVED BY ;�S —' DATE: _ yg APPLICATION ISSUED BY: DATE: 7 6 in in NK#%# kil'kkkkkk%kkk#k#k%%!F#k#M'k#k###### )fit N*M LEGALIZATION:N F E E !. U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 117,00 /NON—RES PLAN 76 .05 SMIP ISSUE FEE 2,10 BUILDING—DIV—> PERMIT ISEUE PLAN—CHECK TOTAL PAI❑ DUE TOTALS ---- > 119.10 0.00 76.05 195.15 195,15 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 195.15 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 117.00 2.10 76.05 #k#%%kk#kkkkkkkkkkkkkkkkkk#kkkkkkk######kk######%##kkkkkk k3E#kk#kk#k#kk#kk1FkA%k% I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SEC 10000 ALTER BY VALUE COMMERCIAL NOZONE 1,00 10,000,00 END OF FEES *DUPLICATE RECEIPT* 01 00163526-00163528 TOT 195.15 DATE: 07/06/94 TIME: 16:13 Oa OOaeJJ20—OOIGJPS6 TOT I45. 13 DATE: 07/06/94 TIME: 16:13 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B Ob'/5.6 PERMIT NO: B 067918 PLAN CHECK NO: 02484-94 L GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE: AL`1 JOB DESCRIPTION UPGRADE TWO RESTROOMS TO DA COMPLIANCE SQ FT: 10,000 CLAIM VALUE: 10,000.00 CALC—VALUE; 10,000,00 GROUP OCC: B-2 / COMMENTS: RE: PC#913-94A/SEPARATES THIS PORTION OF WORK FROM 0-4 2 0 N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRN-: FT IN REAR: FT IN FRNT: FT IN REAR: FT Ind LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 13966108 ZNE; PDI REF NO: PLANNING NOTES> REMODEL RESTROOMS TO HANDICAP STANDARDS D E V E L O P M E N S E R V I C E S R E¢ U I R E M E N t Z / ZONING APPROVED BY _ �—' DATE:. 7,g & BUILDING APPROVED BY ;�S —' DATE: _ yg APPLICATION ISSUED BY: DATE: 7 6 in in NK#%# kil'kkkkkk%kkk#k#k%%!F#k#M'k#k###### )fit N*M LEGALIZATION:N F E E !. U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 117,00 /NON—RES PLAN 76 .05 SMIP ISSUE FEE 2,10 BUILDING—DIV—> PERMIT ISEUE PLAN—CHECK TOTAL PAI❑ DUE TOTALS ---- > 119.10 0.00 76.05 195.15 195,15 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 195.15 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 117.00 2.10 76.05 #k#%%kk#kkkkkkkkkkkkkkkkkk#kkkkkkk######kk######%##kkkkkk k3E#kk#kk#k#kk#kk1FkA%k% I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SEC 10000 ALTER BY VALUE COMMERCIAL NOZONE 1,00 10,000,00 END OF FEES *DUPLICATE RECEIPT* 01 00163526-00163528 TOT 195.15 DATE: 07/06/94 TIME: 16:13 Oa OOaeJJ20—OOIGJPS6 TOT I45. 13 DATE: 07/06/94 TIME: 16:13 CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POC SPA APPROVALS Permit# Date Inspector i. Temporary Electrical Service; or Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. 53, Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit -Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrilmd. r 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 I 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas OOiI 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas ❑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 � I HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 33. Final Electric 34. Final Heating & Air Conditioning •i 80. FOOD CERTIFICATE ISSUED Notes: / 4? or 7 35. Final Gas Pipe-Test 36. Hood or Canopy -• A 37- Final Factory Fireplace 4 38. Final Plumbing • 39. Water Service-Final 40. Gas Service-Final 41. Soar Domestic-Final 42. Backflow Preventer 43. Backflow litigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date u cite of to5ta 21)esa Development Services, Division of Building and Safety CERTIFICATE OF OCCUPANCY This certificate is issued pursuant to the,requuements of _the Uniform Building,Code, Section 308 �� adopted by the City of Costa Mesa cernfies,that'at the time of-it!Nssuance the building structure herein below described was inspected and 'approved for:occupar?cy.as follows:\ Building Address 3505 I --GLA Use OFFICE /V l% rr Group x-2 Typeof Cons Owner of Building O'DONNELL GR Address 2201 t)UPONT BUILDING OFFICIAL-ZCOttp C -;1f REQUIREn TO BE Permit No. B67476 Use Zone PD1 JS PLACE r t Baca `_Date, -yam, 8: 10 REQUIREn TO BE Permit No. B67476 Use Zone PD1 JS PLACE PRYJEtT A9Uausha 3505 CADILLAC AV UNR: G465 A NK?RS NAME: 0NGROUP RoDREss: 22011 DUPONT4100 IRVINE, CA 92720 891-0111 ARCXrtNGIXEER; RENGEL d CO RED.ND: C14199 ADDRESS: 333 EL CAMINO REAL UNir: TUSTIN CA 92680 PENMEE: CALIBER CONSTRUCTION,INC. (714)572-0700 ADDRESS: 511 CAMERON ST PLACENTIA CA 92670 UCPNSEECOORACIORDECUMEIDX: nenEy a11Nm IKI am 4enxtl uNw eMieFm el glapl¢r9 bmvnentlrq vim 3alnn mom or rwi trooy� of n m am Pmlevimv Pore ma mmv Ii¢eme b m be forte arq ensu. clrr uG; I/�' nA7E uc:635842 ,ll uss:H D Date ate WDREEM UMPENSA➢DN DEGUM90N: Marypy dllirmpMlMedcemhamWwsenlloself im'urtwa RNlNaleal WOMera ummmeallm (/section M. I.R. PDUP No.: in i�l�IQ 1-.Vgm CAP. NOTE :•81/01/95 COMPANY: WESTERN WORLD ❑ cmmed mor N nwem brnidao, O owlim sum ayw�m Ire e, In BWlanlo dvlsuM one: 0213 9A( osairam: �. / \nAA.t�� ExUnnmx PgpNwoRlmm'mNPwvnor muuurox: (m'nemoomem mmwnpkpaane wensmrmenuelmlBlwiulessl. Internet tMm lmoedw IAeamexLeslnxam ua mrma blaslrm.I snas nm moW am oelpnmam mawer sambreewne suUjRl to IM WwNmfiWmMnsOim Lavrs at GaYfmmn. MAY: Sipnawn: NOTICE: 1f. after hadem this &dv m . vm deme Me made to N Wmun UMWW nmdbm of We fares Easeyou must mrUmfln win* Yeah wd; pmn or at MMLE elwlu dismiss m d, CONSTRUCTION LENDING AGENCY: I nertAy a am IMF nn NO a m mtry landing agency IN me m r=m of me wM Lor wN Ws set* is issma 6KIiw ]%I, ear. Q. LENDER: ADDRESS: DWNER BUILOER DECUU7WN IAereey al4m lMrlam demq hmnlAe Canln[mli Slam Eimve bwlw th l¢M'wnp ¢Ism ISmimaOJI,Iparsato Pml e. also Nry Tih Vm N whm rWlereaao Mea smmm orreenr.6nmmAftis khA.m reman any dmmm. wirer Ire ireMnt nce, also ale Un me pmMM ar sum oemm b Me a eamea smemem IMI 3 A l d Nsnzem ere am PlebIM harm) of mime Wnn 4 emdet mEicrose tax IEMwer glcmun urnmang ex mlm. my ml D'ry of essamea 's by ane PMeamn. Gap m IMI Almre R e.emol mdelmn w IN Vas fm me mmm eemwm. I vbladen el seeress rml.s nY any awdevn Lor a wrinl ae%eW IN ampEMm to a mea pwuv ml ret nese than lies numrag rolwe ICED%. uxmr of M property or an ptry n m S heir la omMnm. n do IM wall, am Ino ❑ tall as wl inh OF mined N sale l3scNYl 1pf<.BWNess em HehvlmN tree. efts Eolnrxbrs'SIM LiceW Lew edvs nd aopM 10 m wow of a womv xm ling w Ilmrmea IIWM. and aloe mu wan xarN IWmeffrnvmN or manor Na m her wn em UM5. Prevmm that sem Imom.elmns are ncI ml nem M ended Ire Mh. It. Onver me reefing Or �mrmini Mnt is anot d o within we War d Comdnim, me caner vin nen M&emeen at pMnO Mare db nm bW a iMrdve I,riveterdlnaomoeny ams'au"I mmammgrem o malaebn m¢ ma me poOh(s W7044, eumesa ❑ ren PmheVaS *: The tmnaudrz Sane LomauwamalW apmNamo-mnof grew xrewlmniTn tNmn mm rano ¢waram Its sold oral Man a Cmrpinly umme wrmam W Ire ren ratimmmh Lome Lwl. I M awde that "of of mw shorts CWMMIW aW ce wand by orodxd M ae. ❑ 1am eumml umcer section: B. a P.O. for remew: Dae: Diner: 10 hamar certify IMl I am amre of am mdemme Ire WarenWuof hEforda HeNih am sahry Lade smim 85505.25536, and PSSN am lMlldr mrimua m19ng IXEYdm1'MIIW�nIIn IGrge ml need he mnWymM Said Stale ides and We rmuir¢menls lora PI 10 emsnuemm OF mdNncabnImm me Nr by Mompemenl GSlwt NSWMlha CMUFM n MVr=Ilme aro exemm Irani mese ormamm. Daae. Aoomala: I Firms anlfv lNl l Mve rem fres awlicandn ones Vale that eamv[emrrmden isemest lagnemmmdy wNn elldry ane cmunry ordnrivbar daelws MmpmouEeingmlmmdrenanm amMr¢ermleMnmMsdua¢NyldmW mdnmeamvelrenumnIX oromnv lar ince�I re eumosd. mW 13 � ti Drivers Lbeme or Smlal 9mhry x Limbo W.lme-13 long, Garen—o Eny Amla%enr: PlN—Permw; GONanrptl—Avmmr CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; ALT JOB DESCRIPTION 2054SF OFFICE T.I. SQ FT: 2,054 CLAIM VPFLUE: 25,000.00 CALC—VALUE: 23,602.62 GROUP OCC; B-2 / COMMENTS: "RAD NETWORK DEVICES" OFFICE TI E DISABLED ACCESS UPGRADE •if x%#xx#x%#%##M 3F%%%aciFi:i{if%iF%%x%%%.y.#1F#%%%#%<%%#xfiE###%%la%##ar-if %x##x#%W%###xy-%x%y.## Z O N I N G R E Q U I R E M E N T S S E T B A C K S MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- .FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PARKING REQ: PROV: PARCEL: 13966108 ZNE: PDI REF NO: PLANNING NOTES> TENANT IMPROVEMENTS TO PARTITION OFF A LARGE OFFICE AREA > INTO SMALLER OFFICES. TITLE 24 (ADA) RE?S.`TO HE PERFORMED D E V E L O P M E N•II S E R V I C E S R E Q U I R E M E N'7 S/ ZONING APPROVED BY _ / Cs-E-�C DATE:/3'[aj BUILDING APPROVED BY 'S _ DATE: �p %�J17 APPLICATION ISSUED BY: DATE: �(1 ####%%#1F##%%%%%#%#%%iF# %r> i%fefn-. iEE�Eit �fi fi %' )tit- %•r'#iFY%%xx1F%%%%#x#Ts €IF'%,el3 %x%a LEGALIZATION:Y F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 486.00 SMIP/NON—RES PLAN 78.94 4.97 ISSUE FEE BUILDING—DIV—> PERMIT ' ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 490.97 0.00 39.49 530.46 530.46 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 490,97 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN—CHECK 486.00 4.97 I N D I CITY OF COSTA MESA — BUILDING PERMIT PERM NOr B 0674761 PERMIT NO: B 067476 PLAN CHECK NO: 00913-94 A GOVT; i4==UI A CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; ALT JOB DESCRIPTION 2054SF OFFICE T.I. SQ FT: 2,054 CLAIM VPFLUE: 25,000.00 CALC—VALUE: 23,602.62 GROUP OCC; B-2 / COMMENTS: "RAD NETWORK DEVICES" OFFICE TI E DISABLED ACCESS UPGRADE •if x%#xx#x%#%##M 3F%%%aciFi:i{if%iF%%x%%%.y.#1F#%%%#%<%%#xfiE###%%la%##ar-if %x##x#%W%###xy-%x%y.## Z O N I N G R E Q U I R E M E N T S S E T B A C K S MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- .FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PARKING REQ: PROV: PARCEL: 13966108 ZNE: PDI REF NO: PLANNING NOTES> TENANT IMPROVEMENTS TO PARTITION OFF A LARGE OFFICE AREA > INTO SMALLER OFFICES. TITLE 24 (ADA) RE?S.`TO HE PERFORMED D E V E L O P M E N•II S E R V I C E S R E Q U I R E M E N'7 S/ ZONING APPROVED BY _ / Cs-E-�C DATE:/3'[aj BUILDING APPROVED BY 'S _ DATE: �p %�J17 APPLICATION ISSUED BY: DATE: �(1 ####%%#1F##%%%%%#%#%%iF# %r> i%fefn-. iEE�Eit �fi fi %' )tit- %•r'#iFY%%xx1F%%%%#x#Ts €IF'%,el3 %x%a LEGALIZATION:Y F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 486.00 SMIP/NON—RES PLAN 78.94 4.97 ISSUE FEE BUILDING—DIV—> PERMIT ' ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 490.97 0.00 39.49 530.46 530.46 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 490,97 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN—CHECK 486.00 4.97 01 00161684-00161685 TOT 490.97 DATE: 06/06/94 TIME: 1611 I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFC 2054 OFF—INT, ALTER TYPE V—N —AVER 10,8422265.36 SFC 2054 EQU—ALT COMM. AIR COND —AVER ,69 1,,417.26 END OF FEES 01 00161684-00161685 TOT 490.97 DATE: 06/06/94 TIME: 1611 "CONSTRUCTION AND PLANNING APPROVALS Permit # • Date Inspector POOL & SPA APPROVALS Permit #_ Date , Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. • . 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55, Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines. P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 00il 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 00il 25. Roof Sheathing - 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat''�//J 27. Frame and Flashing ! /// �y �� 75. Dry Chernical 76. Dry Standpipe 28. Lathing& Siding '77. FIXEDSYSTEM FINAL 29. Insulation 30. Drywall Nailing y 78. FIRE PREV. FINAL 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'j� SJ Lr) 48. FINAL PLANNING 49. Electric Release to Edison �'• 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date v%o,BCT AoolMss: 3505 CADILLAC at °PQl G4E5 OWNER'B NAME: O'DONNELL CROUP ADDRESS: 2201 DUPONT #100 IRVINE, CA 92720 891-0111 MCRrENDINEER. RENGEL 6 CO MU'NO'0 C14199 ADDRESS: 333 EL CAMINO REAL ""' - UNrt TUSTIN CA 92680 vERMIUEE'LINKS MECAHNICAL, INC, (714)632-5535 ADDRESS: 1421 N. HUNDLEY ST ANAHEIM CA 92806 LICENSED CONTRACTOR DECLAMIION: 1 heresy allirm trial t am hewed trader pmubbme M LFagrt 9 lmmlm&g " Seaton ]PAI M P.i4M 3 Of IM mussiness wN Prphaip¢ f e, ant my hearse IF In IS Nor ane ended. CITYDC.: 057846 STATE Lia.: 515940 Cum* C-36 EXP -`22/95 Wln 7.70,001 spnalare:>:='ASsr `�� WORKERS MPEN BUNnce UMmlu Ted IaapY ureal(sziaoDreaoon'i'o'eCanihAeof aonaealroeeMimreora xnnl:aleadworyelr PoucYN,, PC9980006 E.xpi 04/01/95 mMPMY: REPUBLIC ❑ eeniNee CON bhereby WrniNea. Q Qnnlea ldy,I led With IN Ary Dade7-1/9ppvnn:w�&rW.i�ryOin4rn.�� /J EX@1MIDRFm WMUR6'MMM ATOMMK UMn', (Ihu sWtinr�lnNMtpn[IAM iI Ne p¢milobae M1udrtb131Wl w leul IceailYJMl in the DerlmmaMe A the map dor Mips this permit ie issued. I ShaIInto BmpITyany dgnpn I dant mNnerw azlit necome not to the WdF&5 Qrwu1bn Lam 4I Cadi mit: Slgrapled NOTICE ,days Most 10DMI[h hMamgvawue w n oml Of 013 oro n sshh.Iiehe adifferrrea�a ddid.Mlen prodslMM of me labor CONSTNUIONUNMNa AGMCY: II of affirm that lere sea mmlpcaon lending not OF me,PdOt auu or me wolf tied .Mon this pmmn is intend (Secdan 309? End. CL LENDER'. ADDRESS. OWNER BUILDER DECIMATIONIbereey allirm lM19 l am exempt lmm Sara Comma Old Slate Llaense Law for to ldbmgreason rYelim imlS Business ertl Pmlealipnal COpel MyoulYpf COMIYw CNrgUr a permtW(104i alter, impmm.dembi or dinner any Mrvppre, mit 10 by Imaral arse remdree Me depgrem br wan parent to file a PMMd statement Irol trend Is lirensw pwauamto PepmOneonspuhecomrulots'stale fear Low (Chapter 9(commenpry Will Se inn 70M d Division 3pnre Business and PMesaps¢ Corel or lit nensm is exesryl lnerelmm and IN amen for ADB Alleged Mempllon Any W IOM of Swnpn iN1S by any applecam Iw a Came all the applicant to a dint penalty of ml made than live hundred doland lodged. 1. as ifflet of 0e propend Or of Forysomes with apes as their Ole c War ion, will w the not and NB 13tructure is hat beemet or offered for sale Edi Business MidPmfeesbnal Code. The UM(MMM'SUMLiMlee Law ones wl appry to an "nor of a property who emlds OF rmpmves tnel and who Wes such wont nlmunmprsNlw mmugn nity or Nor own emplefel mp ommen 6 of within me year ofaSpi ManhattanpgOMi the Ownerawill have net llMdW OF Wrden of Ad lm WB. 11. Igwrverme or w for Ile Wrom el faNl. proving MIsnB tie nm build or isryswa L as Owner M me property. e¢Iusinly mnpomem with addended mmracm2 m col and protein llwlbn)Deo, Buoess ❑ and Rolessions CW e: ins Cmltanprs Siaea trianded Lawares ON apply to an nmvr of incei OFWsldi p lmprom llNmn and wad oMDacls lot sWl projects whoa Imperiia l Il Wrwml to IM Lm M1a[IPS $lap LNense Ib(. I am amm that proof of her Worker's Compensanun inwrance skald be emtiitlw W to ❑ f Am exempt III kabn: 0. a P. Ii. her Ins Of Mal r Ithe mend, comfy Man l em award of am unWmland the mqm enn W Ukl W Nedm ant Sandy SyseNms 25 .4Y31, and z55N ant that l or any nature Wareing em(unl wmMOt not bell one) reed to comply won um eWp atlw ane Me rtyurrments OF a oermn IAD fmsnu[nM or rNwiGliwr or me Nr OU04 Management UM*t hWmlWl enISIMMOn aRlIWMs are ewempl IMM Mem PNN m. mrd: ANIMMI. pmpenY for Driver's Licnrsew real -46 WMIe — Gadenrpe—A sWr CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P Oti /99C PERMIT NO; P 067990 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: ALT JOB DESCRIPTION 2054SF OFFICE T,I, SQ FT: CLAIM VALUE; CALL—VALUE: GROUP OCC; B-2 / COMMENTS; REF: B-67476 CS free. e' .._ 2 0 N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ; PROV; PARCEL: 13966108 ZNE: REF NO; PLANNING NOTES), D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE: LEGALIZATIONi F E E S U.M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 49.00 PLAN 25% SMIP/NON—RES IS90E FEE 20,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CITECK TOTAL PAID DUE 0.00 TOTALS ---- > 49.00 20.00 0.00 69,00 69.00 ,00 REVENUE DIVISION Ti COLLECTED: 69.00 OVER/SHORT; 00 BLDG PHT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAN—CHECK 69.00 I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 SINK, BAR 7.00 7.00 PLU 3 WASH BASIN 7.00 21.00 PLU 3 WATER CLOSET (TOILET) 7,00 21.00 END OF FEES 01 00163804-00163804 TOT 69.00 MATE, 07/11/94 TIME; 13:39 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # Date Inspector I 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 3. Electrical Conduit Utility-Undrgrnd. _ _crl Z`� 53. Steel Reinforcement 54. Forms 4. Electrical Conduit-Undrgrnd. 55, Electrical Bonding i 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 'r 59. Gas Pipe, O Undrgrnd., Test ' 9. Water Pipe-Undrgrnd, 60. Backwash Lines, P -Trap, El Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap, e 63. Heater & Vent -Final 13. Roof Drains 64, Plumbing System - Final , 14. Rough Plumbing 65. Electrical -Final j 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REOUIREMENT APPROVALS Permit 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71, Product Piping O Gas OOn 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 1 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79, FINAL INSPECTION I 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 - p 1 37. Final Factory Fireplace i 38. Final Plumbing _) I 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final I 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation I 46. Handicap Regulations 1 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING _ 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PillAOOmu: 3505 CADILLAC AV If - UNIT: G4L5 OWNER%NAME: O'DONNELL GROUP ARDREss: 2201 DUPONT #100 IRVINE, CA 92720 891-0111 - - - ANaNIENSINEER: RENGEL 6 CO REO.NO.: C14199 AOOREU 333 EL CAMINO REAL ul TUSTIN CA 92680 PEamarri: SELECT HEATING G A/C (714)432-1322 AOMEss 520 GOETZ AVENUE SANTA ANA CA 92707 STATE LB.: S aommendnp with sxlion 03/95 told W/o '/'I mal : WORKERS COMPENSATION OKWATION: Idefeat ahumTMl malr4me Ofmnem m aeuitmm or a mmnmleWWorkers Comoanaaoon PaSD2y� aw W any, Mall Isaepon O Lab b7 /2.1 J94 Po11tY AD:EAP. MR:-U REPUBLIC COMPANY: ❑ Chi amv is Mmoy lwnianee_ � c iea a" a Ried W Milftg Dm n. IX: E-�Y -'y aopnaam: EXEMRION PROM WORKERS' CBNRIEMnON OE[IYUINN: (In¢ nnaN mlM wmpelel it Ne mmNh Mr meAWIN 131 W1 ar MS5f. I poorly thato ltin am in Wm �? Lmnceoft a seek Laws of hate Lars NsuM.IZNll not .many any person In and manner so as to®me NOTE: 11. alter making Ibis mclaranon, you mmld he me subiML W the Wrodrao' Wnem ten prolate of Me For Gpee. you must lonnwlln amply Who Of producers or this memo Mall be mel dreeked. GNNATM CTION EENRINB AGENCY: I Ml Mira that lkm AT A anstrvemn lndiiq apenay for the MMrn Oce of That wait for when late permit a issued (S LM END, CK, C: UNDER: AOOREM: OWNER SMWER OECURATION: I Mmmy allvm that I am exempt Rom IM C traR Stale Lirenae law, Ia IM iNbdM rmwn Nairn 7031.5 Business and Professional Gone'. Any My of ammywal affaires a TOTAL to Pepsi alter Improve. mlmlisn, or most day strall pap to IB ruraa¢, area a Mee the Wvti nl for sum cermit to his a silPm stammanl Thal helahe Ia 11g Sed pursuanta lM Pmisinnam lMMntmclors spite l¢eme Saw OCIll 5 (mmmendng row Wton TOOT) of olmapn s of the Bumess and Prolessims CUM) For IM hely N exempt therefrom and law Oasis for me allry6 nem0w. My*IWon of smlbn 7031.5 Ey any appmam Its a p0rmll subtal Ne UPUUnl to a dol Toady of of more then lige hemmed dollars R50P1. 1, as as of OM TrMf or nN emgqWen th wagn as Their soh cwKoWion, R m to wort, and me ❑ struomre knm lmmdm or oil emdkuaMfSeaYdn7N4.RIMneuand PWo WWPxm', TMConeraators'sMle l+cenx Law dons not apply m an wner of a palm who nam or impmvm thlm es who temm late himsdfinemelr o through Ms a Am own en"es. pmoded Thai soon Rnprmemenfa Are mm intended m onemd for tab It, l ter the armlif or Bio°me vo ase M ianimn me rear a eommeum. the Manor MIT Aare the burden m proving her:he We not bum or iWrom ❑ I'ea of the pmWm aerl .am exelm rxdng with liMnsed amnow trs m comRuct the pmleet(SMim ITN ,Ii onmrsdoni TXetmp:uma me L[ew Lm tees na amMm mownea of oma who lute or implmes lnerMn m"alwho p mat as Workers Comoug war a co mmorill kener be Two to male UI:FW 'Slate Law Lax). I am aware f of❑ 1 am ertmm Under Sell B. C P. G. ITh this reason Dale: U.mer'. I do nemav amp that I am aware of and understand the m *emmis of Glifoma mMM am Santry Code Seniors 25505. 25533, am CUT and That l Of 30Y 1pmre tending omupml MllNAll ml ldr@ Not ANA to CUM* with Said State Dotes and to regulremts for a wand IS mmtruer n or UWhpMlm Item MefiWffugr� Managament Distrod Mslmnml mnslfwWU amuntiwM are exempt from Inure onexa ons. role: App nT: 164146 Wmm-Barmms: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M 067593 PERMIT NO: M 067593 PLAN CHECK NO; a N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: MEC PURPOSE; ALT JOB DESCRIPTION : 2054SF OFFICE T.I, SQ FT: CLAIM VALUE: CALC-VALUE; GROUP OCC: B-2 / COMMENTS: REF: B-67476 Z O N I N G S E T B A C K SR E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 13966108 ZNE: REF NO: PLANNING Ni > D E V E L O P M E N T S E R'V I C E 5 R E Q U I R E M E N T S ZONING APPROVED BY BUILDING APPROVED BY DATE; DATE: APPLICATION ISSUED BY: DATE; kkit%kit%k%%%kit%%%%%k%%k P YKC'FFP,F,. 4R:9+Tk. A"Rifk%k%%kkk%w fsAbw e%rt LEGALIZATION:N F E E ,S 11 M.•M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC 'MECHANIC FIRE SMIP/RES GRADING PERMIT 49.50 258 SMIP/NON-RES PLAN ISSUE FEE ~ 15.00 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 49.50 15.00 0.00 64.50 64.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 64.50 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC -: FIRE SMIP/TOT GRADING PLAN -CHECK 64.50 kkkk klfkkkkkkkkkk%%kkk%%%%%%%%%kit%k%k%%%%Ykkkkk%k%k%kkkkkkk%kit%%%%kkkkkkkkkkkkkk TYPE QTY D E S C R I P T I O N' ' UNIT COST TOTAL COStri NEC 2 REPAIR/ALT COOLING UNIT%SYS W/CNTLS 9.00 18.00 MEC 2 REPAIR/ALT HEATING UNIT/SYS W/CNTLS 9.00 18.00 NEC 3 FIRE DAMPERS4.50 13.50 END - OF,' FEES L r 1 1 - 02 E; 06/14/94 62253 TOT 64.50 DATE: Od/li/94 TIBEP 10:52 CONSTRUCTION AND PLANNING �- APPROVALS Permit # Date Inspector POS... &SPA APPROVALS Permit =0_ 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 S. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. • 10 Structural Floor System 60. Backwash Lines, P-Trap, 0 Undrgrnd. 61. APPROVAL TO DECK 8 Property Sewer Line & House Connection 62. Backwash & Receptor-Final .12. Sewer,Cap 63. Heater & Vent-Final ,13. Roof Drains 64. Plumbing System - Final 14. ,Roug`. Plumbing 65. Electrical-Final '15} Rough Electrical-Conduit L 16 Rough Electric Wiring 66. Solar System-Final 67. Fencing & Access Approval 17. Rough Wiring Sign 68, APPROVED FOR PLASTERING 18, Rough Electrical-T Bar Ceiling 69. POOL/SPASYSTEMS FINAL 19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit 4#- 20. Rough Factory Fireplace 21. Ducts, in Structure 21. 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 00il 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREY. FINAL 30, Drywall Nailing HEALTH DEPT. REOUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric 34. Final Heating & Air Conditioning 5 � Notes: G _�,� 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 1 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ---• 51. CERTIFICATE OF OCCUPANCY No. Date PRWU knOREss: VNIT: UNERS NAME: 3505 CADILLAC AV G465 ADnBEN: O'DONNELL GROUP 2201 DUPONT #100 IRVINE. CA 92720 AKHMNSIREER: 8 9 1 —0 1 11 RED NO.: ADDRESS: RENGEL S CO C1 nNII199 333 EL CAMINO REAL PERNRTEE: TUSTIN CA 92680 ADDRESS'. ARROW ELECTRIC (714)851-8601 2152 ALTON AV XCENofOwDMNTRACTOi6E"Aal@+:ed Prelnereev alCOV. tnaw alcor pe`uenu zpN CA forceX40and Mectp�rsaommmo.�wan senlm CITY LIC: HATE UC.: CUES: Date: 060644 §1A100 CIO WDREEREWMPENSAEIORDECURAEbR: IMel that l have a eal Of wneml laden lmmffi a urtlM[abM Wn M POLICY NOI Inmrarae_ ar a ceNlien ropy mereW IseQbFyear. r. DATE: MMPANT: Ct. CINIitO [pq N AeRSY Iulrclpe. [) skrlifiN May is IEee x1N Ne pity BIN1ip ph'19pn. ale: 4w nl: Whi &Vaoon Eaws of caemmm rewire: ce n, al moony Niz di yon show eeama s �to tN women'Compeavpim pR mof tee Lata you must lm Wlh exmpl Me sawn Brunei of flu permr amph tented rwpked. OICR UNYINO AGENCY, Ihereby affirm mat Nark is [Mspareifel Mndnp apemy AS MAY Castrucci the work Far' permb is issued Renin 3WL Car Ct. EENOER: I AppRUS'. OWNER BUILDER DEMANDED! Ihereby affirm that l am exempt tram me UmmNs'Clare License Law has the ffilownp mason Re[dm ?Ui Basins and Pmtmimal Cape: Any Dry at ewnry which moansa permit to¢onimot MINI. Im"e. demallsh or remk am Mrunweprior le its imams. also MCI Ne aPptmt fm auh Per"[ m the a sided statement mm Iershat A li Md NrStto the argl s oum ne Cbadar sap m their" Law s(mep pwin sttlien)t00% at Biwaren s at Ne Business e PMIMSans Sol Or 1% RAISED is exempt therefrom and me bask IN me aeey enmpfipn AM r+alarnn m Smm miS t, any appli[ant Mr a often ski the WIlUm raw a CA N"try dl am mote Irwin kre handful hopers (SYO), r m the mayday or my a ICY( nn wages M EMit suit compensation, II de We wan, and to ❑ Iskmmeisnotmmemaronereefname Fseor nrou. euamssana rmfesrma rme: me WMr w'safeuanml WAS nut appy to ad w.aer of a policy will boles or Impmres Nman, ane who does aught work Mmmlmenell an mmagh his or her own matted, Wwlb that such lmpprements are not intvW or onerea la SON. If. however the bu" Or mom n um a are of Irm am year of completion. IM owner MI Nye IN burden of "Ing hi Ne nal tuM or Imgou har the ❑ I. as owner or plbpeM1�yl, Seagram[ aaanbg«In BCemed oontenors to Carl the moien(sction 7044. Business And m and PrA�ms ler sy`a CMVMeIOA'S1me Loanse Law fires nal apply W M Mel of pmyeM ndlo bout dr l npmvM tMI that Proof n their worms �mfo With IIIISUIdMIP shoaeeetorovumis mhe aoNwmi sane EiCeme Iaee, am awme 1] I am exempt Fact s¢Von: B. A P. C. IV' true maws: Ido hereby remry that l am aware of am Fnee93M the requirements or Caiilanla Health and safety Code Ceniora 255o5. 25N3. and 15534 and IMI la any Work bulldog occupant wiiMeu rer(circle Mel Sm comply with Mm Sate Cotes and the requirements fora esetpfor oriou0m or modification from the Nr � Mwgemenl Chance Rememrial mnsuuron amli=iims are tamp from Appbnmi i and ante that cease minor is amen999yyyI agree to Cmay wind el City and County mrgam and hereto aalmdeefa city 10 enter few the aurae menNnee Surnal. meal CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 067497 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: ALT JOB DESCRIPTION 2054SF OFFICE T.I. SQ FT: CLAIM VALUE: CALC—VALUE; GROUP OCC: B-2 / COMMENTS: REF:BE7476 Z O N I N G S E T B A C K S R E Q U I R E M E N T S MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING RE8• PROV; PARCEL: 13966108 ZNE: REF NO; PLANNING N TES)r D E V E L O P M E N T S E•R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE; BUILDING APPROVED BY :_ DATE; APPLICATION ISSUED HY: ,' DATE• %%%iF%7 - %# LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 27.90 50% SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 27.90 15.00 0.00 42.90 42.90 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 42,90 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 42.90 I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 11 FIXTURES LIGHTING 1 ST 20 EA. ,75 8.25 ELE 20 RECEPT/ObTLET 1 ST 20 EA. .75 15,00 ELE 2 RECEPT/OUTLET ADDITIONAL EA. ,45 ,90 ELE 5 RECEPT/SWITCH 1 ST 20 EA. ,75 3,75 END OF FEES 01 00161905-00161905 TOT 42.90 DATES 06/0:/94 TFIE: 10511 CONSTRUCTION AND PLANNING APPROVALS Permit # Date j Inspector POL S SPA 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. Elecirical 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 l 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd.60. Backwash Lines, P -Trap• [I 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 E° Solar System -Final 16. Rough Electric Wiring G�n�j)t�J 17. Rough Wiring Sign yy��77�'GG 18. Rough Electrical -T Bar Ceiling fZ�(r!/ 19. Rough Heating & Air Conditioning 7 // N 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOLISPA SYSTEMS FINAL FIRE DEPT. REQUIREMENT APPROVALS Permit -F- 20. Rough Factory Fireplace 21. Ducts, in Structure 21. 70, Underground Hydro 22. Ducts, Ventilating 71. Product Piping []Gas 00il 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank GGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26, T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation - 78. FIRE PREY. FINAL 30, Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 33, Final Electric 34. Final Heating & Air Conditioning L- �' 8n FOOD CERTIFICATE ISSUED Notes: 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 46. FINAL PLANNING 49. Electric Release to Edison 't 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date --la vROR0rRNAME: 3505 CADILLAC Al UNIT: AD MSE: owxs 3 OaDONNELL GROUP FLOOD; AH -37 apoNEss: 2201 DUPONT #100 IRVINE, CA 92720 891-0111 ARcxmNclxEas: RENGEL S CO °F°'M0" C1Qx'�,99 aIANEss: 333 EL CAMINO REAL PfRNITTEEf TUSTIN CA 92680 ADDRESS: ARROW ELECTRIC (714)851-8601 2152 ALTON AV ACENSEO CaxTRUTOn IRVINE I hereby al that I am eemmd under pmw'po9re2of Wt4r 9 Immm mno wen serol 700 of Dersian3 of the Business and RWessiuns CMe. and my license is In lull large and eincit Cm LED STATE DID_ C 06 F�%YAa So 301,y` C�XO EXP: 11/99 Dale'.— SS/ sipnawre./�i�� cmn°ymszoI than Im°or rem mssarmedtniurl rlpa muldiff of comem to Ardwoure or acompired of workers PDrICY N0: EXP. DATE: DMPANY: _) Willed an is whady tumisM . ❑ Chtfkd may is Need who the city Building DiASIon. Dale: Applicant'. EX&MIONERGMIWBXERS'NMPENSMMN DMUMIIDx'. (cels mcdon need MIM mer(klM lure permlulmone hundred IS Will Ico teat in :R= pr1om3,m of the work lays Iis wrmllkiesued,l playa VMan in any manner m As 0 beWmm si to the Wa res G swill Laws of Mlharr id l Nle: ? la f Slgnmum: None ll her Mng this dasarmim, sou Shama become A Na the whereas Um Mzdon "iSimS m IN Labor We You most fo N Lh Welly tee men pm lisim5 a this pmmil Or be deemed nwkW. CoxaTRurn°N LENDING AGENCY', I eemPy anima that Mae is a mnsumrim Ie Wim ready No that pedmmame m the all IN wM1@ this All Is Issued (3eti el mans. Gy. Cf. ' LENDER: ADDRESS: OWNER BUILDER DECURATIM: 1 hereby all the I am ereagl rem the CmtrammsStala Ikeme Law for Ins NIIBwte town (Cooled ]W I S Business add Pmhss Tonal Code: AM tiro Dor county whish suppo res a permit is mns=t, After lmpmre demolish, of repair any sent e. prior to issuance, also reoNres the applicant for such Omar m Xx a Stene stall NO WOO N Merced pursuan is ine o.w odes sl ma fFlnoulsra'31Me Gcuric Law Cmar 9(mmmemng with Section 7= al DMsiW 3 of Its Bud and Noinvcns Code) m that hehhe is emmpl Nerefmm and the basis for Me allayed mndcn. MV full of 5etlim ]cols by any amumnt par a cermit MmgoM Its appeal to a dal penalty of AN more icon Idea WndW Wears (MC. as ran r of 1M mopnny w my pale M ages as mein safe mmmumn, MX ds the waA. alit IM ❑ armmre Rs nu intended Dor offered IN sale I&Non sd4.BINInewand Pmfe ooOOIOWe Tbelnnbulsrs' Sian Lanss Uro Does not apply .o Doo"nar or a property alto wits or iMpmoM msepu, and who aces spm warp himsdfinemN an mrougM1 NS of her own Me ones. pmaNd mal such IMPMOMGMS are ml intended Dor pfeal fpr sere, if, Mdww the M9MMg or prolot the for d w sae gymo No year or completion me ownerwul have me bumm p praying h ushe dm Me build mw b m Impr ❑ andsProle-s hese".ifopeTleaChnfeSlois�SrslenL OnMywith IICCn� LM'dxs nN ayglV 1p Doo vxoneuN piapeMYw odYUs mrd Ynpme[Bugoms hereon and who mntrass for sum fears Wm a aMtrephorm) learned mosuem to the Cerate is &I Li m La lam await Net proof of their warmer a Compen9liw Insomnia Shi be pallded to No ❑ 1 am exempt and r Seam: B. s P. e. fed thus reason: COAL Dimer: I do tpmhy W Nry or, I an male of and under we reduirwrol 01 CalllamID.Imalm and SSIWy Cr de Smnprs mol PEG4 Of g 3. vdl I 1 aq 1 1 not (circle ) dm comply throe rpt dM and the requirements lora p 1, r. r I A:DdnyM w tD lornall construction appy hat one am exempt ban I - p'oV yp��� On : Appu r: z r-OtL/r o I hereby i, N t M1a W in application a gate that h wV 'I dm I I t ttpy with all OV and county m' es he al wink e a g lrucka and hereby railroadnv m ad con IN BW ementioned property IN �nWruna puIDoms. Is,ol aro ZWle: simatum i 1 � ivn'st e m Soael4 Urdv it 1Bfl Afi Whee—II Green—Ced Enforcement Canary—APPI'¢nno Pink—Bewl GWN,wI—mwNmr 7 CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 06901 PERMIT NO: E 069019 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE; ALT JOB DESCRIPTION : 2054SF OFFICE T.I. SQ FT: CLAIM VALUE; CALC—VALUE; GROUP OCC: /B,-2 COMMENTS: REXfFlitR674al6 RELOCATE ELE+CTRICXfAL FIXTURES #E67497 2 0 N I N G S E T B A C K SR E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PARKING REQ; PROVE PARCEL; 13966108 ZNE: REF NO; PLANNING NOTES> > D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY BUILDING APPROVED BY By! DATE: DATE: LEGALIZATION:N F E E S U M M A R Y STRUCTURAL EEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 4,50 502 SMIP/NON—RES PLAN ISSUE FEE 4.50 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 4,50 4,50 0.00 9,00 9,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 9,00 OVER/SHORT:00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 9.00 I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 2 FIXTURES, LIGHTING 1 ST 20 EA, ,75 1,50 ELE 2 RECEPT/OUTLET 1 ST 20 EA. ���,,,jjj 1,50 ELE 2 RECEPT/SWITCH 1 ST 20 E 1,50 END OF FEES 11 SEP 2 Z 1994 4%TY, 0E COSTA MESA r CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PG & SPA 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58, Electrical Conduit-Undrgrnd. 8. Foundation 'i' 59. Gas Pipe, ❑ 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 Gap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 16. Rough Electric Wiring 9��jO !!!!/ �j. Solar System -Final Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rough Electrical -T Bar Ceiling 69, POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts. Ventilating 71. Product Piping 0Gas 000 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank DGas 00il 25. -Roof Sheathing 74. Overhead Hvdro i 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' '27. Frame and Flashing 76. Dry Standpipe - 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 33. Final Electrictes: / 4 e( FOOD CERTIFICATE ISSUED 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 _ 48. FINAL PLANNING -- 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date CADILLAC AVENUE Unit H B-2269-711r/D Comn.Bldg. Unit H P-2380- 8/4/3YPLBG. (B-2269) E-2636- 11131gY Er .(3-2269) Unit H 3505 Lot 21 - 117,050_ B-3610- Trash Enclosure :4 L- 7764 METER 800. i 3505 Cadillac Avenue [NIT H -,- ALT ' -ALT $36,000 PC111-85A H E17764 METER H m �. M18219albs #H go I17703 3 REINSP. (Unit H) _ -�i`,/ G17703 B-20304 �' 15,000 - ioI7Iff� GasiJ} ff„ E-20341Mi - / ft (B20304) s(#H) 9-i9-Ys- BPI"I-2z26336 . ALTER. (UNIT #H) E-22690 "ALTERATION (B --M-22636) � (Bldg. #H) 5(cR04 OF -ice- -r•"X . £Xloi2el, U-2l-gf- Apmlpm lO Nh In all Panel except these within heavy border lines and sign all appropriate declarations. 6459-'3/01/85 - - (USE@ TL CITY COSTA MESA CONSTHUCTION�ERMIT ..YrdVide dares _ QS'rcxi�i�.o !�/rr/�e.��=� PERMIT G ND. - TRACT NO. LOT NO. UNITNO- TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑corvvEaslarv, [DEMOLISH ElOTHER DESCRIPTION OF WORK/USE OF B LDS. Applivat'z Mailing Add ((�(,eee Owners Name r�%l ss.l.39i� /�id�96pi Phone p A.p.- _ 5 Mein Building: - Accessory Building:. _ ArchlEng. License No: Address TYPE OF PERMIT[ GRADING FOUNDATION STRUCTURAL 1-1TENANTW ELECTRICAL LJ PLUMBING ❑ MECHANICAL ❑ OTHER T Front - p B Rea! - - - - N . ry. Courtrai PRDJECTDESCHIPTION fill occuPANCv CO N STRUCTION TYPE VALUATION$ ZONE GRADING CU. YOS. ACRE C Right •- - AOd,os 11 ling /6/ /� O®. �� K S Left G' R .� 1. V City Licnse NO. Y LICENSED CONTRACTOR DEC LARATION nerehy affirm that am IiSIN, 3 under peropi I Charter(CU(co no With union n full of Division 3 of [n and NO 6slo [¢ mer licenseCl is In inn mine an euadt. an �, a PIlan 1F Parking Rep.lProvidMl E Remarks: ' O 3 Planning Planning Ntltas: O M' T If -came ads _ Ute s 519natUre PLUMBING FEES .. D I RK eOMPENSAT ION DpC RATION -1. . nerehvauirm matlnavea arun aoln sent to se .1 o1 Workers' one y Don Iny n tca, or a Certllla DY rtherea C o0 aeoD, ub. c.ly/ p pnucy No.. Company Bar Sink > Showers- - ELECTRICAL FEES S Backflow Nikkei 'Servide Sink I- -- Automatic Washer Transformer D 1550 KW Construction Pole Sub. ❑50+KW Backflow Irrigation Sewer Cap oert, iee.Cepy Is hereby men sped. k Ceram I� opy led wim the <ItY Dul I I n Bathtubs Sewer Connection Cooking Unit 'Meter OUP to 100 amp[ " - Date JY WORKERS' EXEMPTION FROM WORKEpS'COMP SATID OO eLARATIOry fThlssection need not he COmnleted If th permit o hundred (4100) 0 ess): r I Cerlllynhat in this performance Of t Work (Dor whiCh this permit 15 Issued I Rau. not employ any pe.un In v man as to beta O Subject m the manner Testworkers' compenMt;pn, uClientele cela0mla. NotadeclaFlbor Clarifiers Solar Collectors _ Dishwasher Meter. �urer 100.amps - - _ Dishwasher Solar Piping' Dryers ❑Gas ❑Electric Sub Panel ' Drinking Fourri Solar Tank _ Fan Motors ❑D1 HP ❑15.6 ' Drains Swimming PDdI wl$pe F.A.U.Inc. Solar 09-15 HP❑1&15+ he ' NOTICE: Co afterMakingredthiaecla of the you ShouldCod become subject to lth Code, you must frrNwitn Workers' Compensation Erovlsidns d1 the Permit complyNST with sato ENDINGS Or NC penmlt snail he tleemed revoked.. CONSTRUCTION LENDING AGENCY. I9 lending the Performance elinin (for meM he 'ut Floor Sink[ Urinal ` _ - r Fixtures' - Mivovreve - Gas Service OYII¢IStreater closet Device Boxes Poi¢, Light Interceptors Water Heater Outlets 'Range the permit l (Sec ionfor 'OI the work IO! which Illis Delmll IS,ISIWe (Section 3097 Clv. C.), tender's Name Kitchen Sink - Water Service Switches Sign _ Lentlea Aedres4 OWNER BUILDER DECLARATION - nerehy deem mat am amp(+nom the comracwr's Llunse Law tooth rouowmw reasDe Iseamn.in3ls Busmees ana'P.ofeszmna epos: Any any or . pn\y Rich noires a permit to construct, alar Improve, eemolDh or repair any sbRCmre, poor to Gs nDDanca, al:h regai.es the apoucant tar suen'perP t0 file a ai9nfa statement that nes/she Is Ilttnaad pursuant to \M1e provlsiaor of ' 'la COn[IeCtOYi !J[ense Law (ehiplCr 9lcammencine9 wltM1 SeG\bn ap01 Of fvlsion 3 of the BY51ne33 an ProltlalOOs Code) mar .Reline aFON (fpm and this bails Ion IM allegeO ex5mptioni.-Any violatlOn o� lion >031.5 OY any appliranl IOr a permit -elects Ina aDpllCanD t0 Ivil natty of nO5 more roan rive hundred ao11ar5155001. 1. a3 owner of [lie property o Y employees wnM1 wages their sole mMynsanon, will d0 the work, anC lM1e TruStura Is not intended or Ofrerea f r tee•(SeOlOen TOa4, Buzlmes d Pr fessmnal Wen ins or'sMECHANICAL Con[raaws LICen Ln tlO [appy` to an owner 018 prOMrty M1O OUII^ s or Imp row�s tFe.eon; lie wnonUoes nw rk nlmzelfMersetto through is or plD s provlaed loaf sucnompnrwements am n t intended lir phoned for said. IY nowewde^ este Duudiny provemem is Soso wumn oneo year Of Com- pletloq IM1a O III'nave'(he bYlden of proving M1e/ins die n [ bUlld 01'im- a p» of sale;, e n NOVO far owner LI 1, as lie thepropper Y. m dusivmv o Vacting Ito ucen5etic Lavaitories AUtu-Wash - Garbage Disposal Standing Sections P_Trap Laundry Trays - Generator 110-5 KW [35-15 KW Trash Compactor _ Roof Drains - - ' Rainsival Fee 515 - Issue Fee" - S 3 I Reinspadipn Fee $15 Imp Fee $ 3 FEES DEVELOPMENT SERVICES flEOUIgEMENT6: Zoning; Approval 8 Date y i Approved Building Approved y e Application Issued 8y Boiler H ❑ ood or Type l' Canopy Type 111 ❑ I Duct - limier GmUnd Duct . Structural Refrigeration System ` construct Super ((o Section 9044 Bushes a tl Professions Code: TOO Contractor's License Law U notavPlY to an owner of properly who TOO Contractor builds Improves thereon. and who CUP nnact3 for such Prof Us with theorist license pursuant t0 the 'COntmc o�h^ License Law]. I am aware that Proof s1 their WOfkaYs Lampe tie n hoYld be pDunded to m ❑ I am exempt under EndtiO'n B. a P. C. for this reason, 00100,000 BTU ❑100,000 BTU Duct ..Ven ilating I 1 SUMMARY OF FEES - - BUILDING PERMIT $ SMIP $ PLAN CHECK S PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25%$ ENERGY P.C. IS ELECTRICAL $ ` GRADING $ 1 PLAN CHECK 50% $ MICROFILM $ CV), �� MECHANICAL $ TOTALFEE $ �Lt PLAN CHECK 25% $ Exhaust System ❑ Multiple ❑ System flepair/gl\euRon Filepirract Bit. I CBO ek Fire Dampers Date er' - nam"Y de iifv that'1 a sae this p of state that the above anformatlOn rls c r d. ea tp does It y and County ordinances a tate law[ r lane nes buutllly en0^r Ion authorize proper repro- gn[a11 Ws I tNi enter lie tDat properly for sig atom Pur PO Date—.fit 5/ Drivers' Ucens r ss # Heating System i9 Ducting. ❑D1GO,ll00 BTU❑100,000 Registers ' Reirbpeouds Fee $15 Isua Fee IS 3 LMF Oa65-0a. rev-]n/a4 White-BWmingl hoary - APpludern Pink- Accounting; Goldenrod - Assessor • ZONSTRUCTION AND PLANNING, 'APPROVALS Permit# r Date Inspector PL . & SPA APPROVALS Permit# Date Inspectnr 1. Temporary Electrical Service or Pole 3� 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE - 7. Footings - 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test -9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains '. 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final ' 16. Rough Electric Wiring 67. Fencing & Access Approval - 17. -Rough Wiring Sign 68. APPROVED FOR PLASTERING - 1B. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas ❑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 EEL 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 48. Special Requirements Completed ' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - Apprrom 10 fill n all Spaces except bese within heavy border lines and sign all appropriate declarations. N CITYOF COSTA MESA CONSTRUCTION PERMIT PERMIT NQ TRACT NO. .LOT NO. UNIT NO, Project Address 3505 Cadillac Ave., Bld);.•H — D d5� 1 1 1 _ Applicant's Mulin9 Address 1441 S. Anaheim Blvd. TYPE OF CONSTRUCTION L& NEW TJ ADD ALTERATION Ll REPAIR Owner's Name T.I. Gi 111ytan Phone --- ❑ CONVERSION ❑ DEMOLISH ❑ OTHER HVAC. A'P.'B' O ESCR I PT ION OF WO R KIUSE OF BLDG. Address 2123 Granada Street, Balboa 92661 CCMNEgC[ALs Mai" Arch/Eng. License No. TYPE OF PE RM IT ❑GawDIND 1=a UNOATIOO�1 NSTRUCTURAL 1 Fran Address - ❑ TENANT ❑ ELECTRICAL 11 PLUMBING lel MECHANICAL - a Rear Contwctors Name Kinney 'Air Cond. Phone 772-1441 �'GTHER A PROJECT DESCRIPTION SO. FT. OCCUPgNCv C High Addrem(mail'in) 1441 S: Anaheim Blvd.. .Anaheim - K- Cl[ License NO OO6ZIR - C"NSIRUCTIONTYPE VALUATION$ $ Left Y _ ZONE GRAOING CU. YGS (ACRES PIng, R¢f. LICENSED CONTRACTOR OCCLARPTION I hereby affirm that I am licensee under provisions of Charter 9 (Commencing I Remarks: Planning �. with Section 7000) of Division 3 of the Business and Professions Code. and my license is In full force and effect. $ License CIS - Lksi No. mite Signature WORKERS' COMPENSATION DECLARATION - ` spay 'affirm that I nave a certificate of Coment t0 salbins'ure or a Certificate Workers' Compensation Insurance, or a mrGfied copy thereof (Section 3900. Lab. WDr plc 24300353 cpmp.nv Kicaner Air Cond. 8-Le"Oned copy Is terser with thecae. aline p g1 a whh meed. euomng D - Date A%7�eO%5 Applicant IENSATI�S1 DECLARATION Cond. EXEMPr10N FROM We RKERS' COMPENSATION OECLA ndred ( (Tine:ecuon neednetbe epmplawa B Me permit Is for one hnneme (sloe) or malty not that in loy a performance of the work for as to this Permit je it to e Worlkers' Comp nsatlon Laws Of California. Wealth in any Br is t0 h¢COrlq subject [O the Date Signature to the Workers' NOTICE; Comp nv[bter n making this sons ref l the you tl Code ould become you must forthwith comply with such provisions or this permit shall De deemed revoked. CONSTRUCTION LENDING'AGENCY- - a Ihereby affirm that there lea Construction I¢OUIn9 agency for the perlormenca of the Work for which this permit 15 Issued (SeCtlon 3097 Clv. C.1 I Under's Name' tentless Address • _ OWNER BUILDER DECLARATION- - 1 hereby affirm that I am pI Irom he^ ontrad0is Licenze Law for,[ha following n ($action 7031.5 Business e Professional Code: Any eBay or County Which requires a permit to contuct, alter. Improve, demolish Pair any structure, prior to Its Issuance, also requires the applicant for such permit to file a Signed statement that ne/me is licensed pursuant to the provisions of t:aaoi ul icer ; proof their ❑ I am exempt Date Y Owner Inlorm3tlon certify (correct. 1I have to, 1 Drivers' License c CMF 0885.46. rev. with Wages as lose sole in Backflow lrrigetia Shaver Pop Bathtubs Sewer Connection Clarifiers fw Soler Collectors Dishwasher Solar Piping ' Drinking Fountains Soler Tank • Floor Drains l Swimming Pool wri Floor Sinks - Urinal _ Gey Service Outlets Water Closet r Inter"ptors' Water Heater KiIc an Sink .WaterService- with Wages as lose sole I Reinspection Fee' 4 $l5 s not fronded or offeree IS . Code: The Contractors or I„ proses Zone FEES E Boiler rtwau9uiRn r Intended r or folr I Wit in one year or corn e not build or int- Duct - Under Ground acting withdisposal I Duct -Structural Professions Coen: Natass kowof property who project[ With RICAL j Duct - ventilating Transformer ❑ 15-50 KW . ' ❑ 50+KW ExhaustSystem LI Multiple ❑ so LawI am aware that be aed OUIB. Meter ❑over 100 amps Sub Panel FirepUFect Cut. ICSO R P. e. for ass reason Inc. Solar E19 15 HP 016 15+ Heating Seemed & Oucting BTU 0100,000BTI that the ❑6100,000 above nd oe ad Pole Light hereby authorize rani ntlOned r pert lot te5 Rainspeeeion Fr $15 pp (cant. Pink- ACCountln9: GO1,19 o -Assessor Ivue Fee. IL ICAL Hoed or Type ❑ Canopy Typell ❑ Refrigeration System 1161 OOU00 BTU XJ100,0000 System Repair/Alteration Issue Fee ..u.uu iern...e.ue1- r - - Construction Pole Sub. Coaking Unit Dishwasher Orders ❑Gas OElectric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disiwsal Generator ❑65 KW ❑St! 9106 8/26/85 I'e27. tt IS Reimpaction Fee $15 Isyaa Fast G R Zone FEES E 53 v IS Reimpaction Fee $15 Isyaa Fast G R Perking; Req./Provided. FEES E DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved BY Building Approved ByData��a Application Issued By / M T S. I SUMMARY OF FEES $ $ $ $ $ $ $ SMIP 'PERMIT ISSUANCE ENERGY PC. GRADING MICROFILM TOTAL FEE RICAL j ,FEES Transformer ❑ 15-50 KW . ' ❑ 50+KW Meter Cup to loo amps Meter ❑over 100 amps Sub Panel Motors 061 HP 01 Inc. Solar E19 15 HP 016 15+ Microwave - - - Pole Light Range I 53 Reimpaction Fee $15 Isyaa Fast FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved BY Building Approved ByData��a Application Issued By / MMLM$3 Dew Daw�LidoTn ]_ 7 0 BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 259% ELECTRICAL PLAN CHECK 50% MECHANICAL SUMMARY OF FEES $ $ $ $ $ $ $ SMIP 'PERMIT ISSUANCE ENERGY PC. GRADING MICROFILM TOTAL FEE $ $ $ $ $' $� S3 1 ksr__ CONSTRUCTION AND PLANNING i' APPROVALS Permit # Date Inspector _ PO. SPA 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. APPROVALTO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains _ 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final - 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough Wiring Sign, '. 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning Z%J� Gr/� FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas C1 Oil 23. Gas Pipe -Rough & Test - 72. Underground Flush 24. Roof Framing -. 73. Undergrnd. Storage Tank DGas 0Oil 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 Conditioninb q C60 , 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace , 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final , 42. Backflow Preventer 43. Backflow Irrigation 44..Landscape Irrigation System 45. Sound Attenuation ' 46. Handicap Regulations . 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed ' 49. Electric Release to. Edison 1- 50. Gas Release -to Southern California Gas Ce 51. CERTIFICATE OF OCCUPANCY No. - Date I, 1A a. _COF COSTA Project Addi _ Applicant's Setting Owner's N;nni Address 25l ArchlEng y�/a4�,ae��✓�� Address 11•J— 'Contractor's Name, Address (mi _C[ty License No. _ LICENSED corer I hereby affirm that a am licensed with section 10001 of Division 3 my license Is In full r$me and ever No. Workers' Complumoumn Insurance, or a cer4ned Copy 3800, Wb. C.] Policy No. - Company — HCertified COPY Is hereby furnished. veru red copy is pled wen the ci ly Build me Division. WI Applicant I Applicant to Ru In all spaces except most within heavy border entered syn all appropriate Cipy.auons. _ 8496 "8/12/85 IE5i TL 77—'T MIT NR. TRA � NO.' LOT NO. UNI- - O D oh TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR we PO ❑CONVERSION DDEMOLISH GOTH A.R. se -2 —I R I newPD p DESCH IPTION OF WOR KIUSE OF{g�ED. ��="'�' - $ Mein Building: Accessory Builtling:. 2 TYrPp�OF PERMIT cpgolNG FDurvogn DN STRUCTURAL T Front. O L\I TENANT Q ELECTRICAL 'Ll PLUMBING O MECHANICAL B Rear - N 01 �i ❑ OTHER A I PROJECT DESCRIPTION So. FT oCCU�ryC ` '� N RNM1t G CON STRUCTION TYPEIs VALUATION II a0. �.+• $ Lefl R ZONE GRADING CU. YOS. ACRFe Ping RLl Parking Req.IProvided E I PC wte owner Bar Sink Showers i 1 v V ELECTRICAL FEES Backflow Prevenur - Service Sink - Aum-WeLI Automatic WasM1er Transformer 0-155D KW Construction Pole Sub. �EO+KW Backflow Irrigation Sewer'Cap- P -Trap Laundry Trays Bathtubs Sewer Connection Generator❑65 KIN LIS 15 KW Traub Compactor Cooking Unit Meter ❑up to i W amps Clarifiers Solar Collectors Dishwasher Meter ❑over 100 amps Dishwasher Seem piping . ni Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Soler Tank Fan Motors ❑01 HP ❑1 %," 0 Floor Drains Swimming Pool w/Spa ii F.A.U. Inc. Solar ❑9-15HP❑1615e Floor Sinks - Urinal $15 1 laua Fee Fixtures Microwave - - - Gas Service.Guinan; Water Chad. ein $15 Issue Fee $ 3 ss' Rspection Fee:, Device BOxes Polo Light Interceptors - Water Heater ` Outlets Range - Kitchen Sink. Water Service Search" Sign Lavatories - Aum-WeLI ' y. Garbage Disposal. ;Startling Sections P -Trap Laundry Trays n Generator❑65 KIN LIS 15 KW Traub Compactor Real Drains Rainspectlon Fee. $15 1 laua Fee ein $15 Issue Fee $ 3 ss' Rspection Fee:, ` MECHANICAL I _ FEES / DEVELOPMENT SERVICES REQUIREMENTS: Bailer ❑ I Hootl ar Typal Canopy TYPe I ❑ ^ 2eninp Approved BY I it L ate Duc[ -Untler Ground Building Approved By ate Ir 'ApPlimtion lower! III '' at Duc[ - Structural Refrigeration System ❑0-100,00013TU 10100,OOOBTG /, Duct Ventilating $UMMAR OR FEES - �`-BUILDING PERMIT S V SMIP $ oS ?PLAN CHECK' $ PERMIT, Exhaust System El Mukiple❑ System.Repair/glteratipn '� - Firepl/Fa[s. Bis. ICBG# Fin Dampers,`; PLUMBING.: $ ISSUANCE $ Hooting System & Decline Registers I P"PLAN CHECK g5% $ ENERGY P.C. $ ❑P100.00O BTU❑100,0000 .p ^ELECTRICAL $ GRADING S :+ PLAN CHECK 50% $ 'MICROFILM $ - - • i MECHANICAL $ TOTAL FEE. $ Drivers -'s• License o s # Roin6lnatian Fee $15 Issue Fee S 3 PLAN CHECK 25% $ n OBaSdQ rev, la/00 W r w a ry - IImnF, Pink - Accounting) Goldenrod Assessor ' CONSTRUCTION AND PLANNING APPROVALS Permit # r Inspector PO 'SPA 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-Undryrnd. 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. B. Foundation �- - 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. - 10. Structural Floor System 61. APPROVAL TO DECK 1'I. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap"` 63. Heater & Vent -Final 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 1 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush - 24. Roof Framing - 73. Undergrnd. Storage Tank DGas 00il 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing g 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. Q f S OD 35. Final Gas Pipe -Test ) F 6 36. Hood or Canopy 37. Final Factory Fireplace /7 Q tJ% ak, C 38. Final Plumbing 39. Water Service -Final 1 40. Gas Service -Final ) i 41. Solar Domestic -Final ) r 42. Backflow Preventer 43. Backflow Irrigation 44. ,Landscape Irrigation System ' 45. Sound Attenuation 46. Handicap'Regulations r7�- 47. FINAL STRUCTURE &BUILDING 48. Special Requirements Completed 49. Electric Release to Edison .50. Gas Release to Southern California Gas Cc 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 3505 CADILLAC AV UNIT: H WHER S NAME: O' DONNELL GROUP ' ADOMU: 2201 DUPONT BL, IRVINE 851-0111 /f ARIMtENGINCER: RENGEL 6 CO ARCH/ nEG.xG.: C14199 ADDRESS: 333 EL CAMINO REAL uam TUSTIN CA 92680 PERMITTEE: LOGE CONSTRUCTION (714)964-4361 ADDRESS: 8521 AFTON CI HB CA 92646 tiONUO CONTRACTOR DECUMI11 I hereby anlrm that I am lieerseaw me of Chl s Iwmmentm with Sedlm nor of Dm n ] of IM & ced And %Oledbn Coag. end the kcl - - f Idle amend Ifa1. CITYDC.: 049886 SEagnotat 4A' 4867 a:B Date: 4-9^ 9Z Simardre: �I PENT: WpIX81 LEFT; CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: M 056906 PLAN CHECK NO: N GOV :TSN U��R_ CONSTRUCTION TYPE; PERMIT TYPE; MEC PURPOSE: ALT SOB DESCRIPTION OFFICE T•I„ RE:#B56904 SQ FT: CLAIM VALUE; CALC—VALUE: GROUP OCC; B-2 / COMMENTS; 'MISSION RESEARCH' OFFICE T.I. Z O N I N G R E Q U I R E M E N T S S E T B A C K S rpuirndtWP Xii°0'9'25'0'2`SBiY '('EN--DA _re 02/15/93 "❑ cannim may is *" Small L3 ninee mpy Ine. / 9Z Appicam: EXEMPTION�/ DI MWa MIRERSMRM1Aa work toy TCR 1p1 wHERRRch Date: Sagramum NOTICE: if, after malane PRS aafvaran, you a Wome subject m me warmrs mmamam prmmom m Me IabW Cade. you mull fW tis comply .wh vrtn Poiaima or lines NI slid be admea revand. COMMCTION LENDING AGENCY: I he aNilm Inst there is a CMS= n l¢Ninp Sale br Me perbrnmiw W IM wuk kr when IN pelma b'aayed Offer DDlT. Or. Of LENDER: ADDRESS: DWNER GUILDER DEGARAnON: I heresy Marco that l am exempt Dam IN Cmo-azlar5 Rale L s 5S Law OF Me IN"ng pawn fsarra TORTS G PFI a10ts Instance. cape: Anyp nZ came let wuh wreeaW its Mwmwm.alter. than is poseur repay my spuclme. pan 10181svall[e. am rzpuhes Ine aarvwrl IDD SUCH oetmn la ale a signed slalomed PRM nersne is n[ensee :FMPrnllpIre warabns al NO Ulla$ Staletireme taw rynapler Rlwmmenped wltn pumn. nyvid olYiama o COST Seby any aWh ant N lapel mi IM Intel e Mlimtkrelram and 1125 easy Id Ne Ill eandred Any riolaenn of 5cem 161tS by any a� am lora permit spats lap applipnt 1p a [ivI gmny pl nine nwrzlNnlirt hundred aplhn ltYSq. I, me owner I Ile p "ce OF my em Iytts Wm a wages theirauk [damn iW yang do Inc er. and the 11oeaure is noilmelwa or onvee In sme lgatbn IDM.kty and Plda UUa: ThoCrenpamn' sae Lbeme Law uses not may to we any of a propene wine Sums a lmp B Carla who PRM such work NMWTMCMCII d lmmpn his or her ever eMICe ,mmII IN suchm iMpMMMS are not IRA Mad of offered let Sale. It. hM"r the bunim w Imanampew� wild with one year at r lennn. the certainFri we Me burden But prmVe Wga db no bald of immde he IN ry N the wel ameWusivtly[hnllaelirp wish Seemed contractors b Ona tact IN pal ($%Iian]Ma Ousina5 11adPofessidrs Wde: no Cmlrxbrz'SIan Lrsrce mesa not OpptY lO in vnlr 0l pmd1ly DDM Wilco oroamK9MnEm ON who 4medeb lot such pointers with a wnlAebrld fier "MAIN As GC G t=M' $late UCM Law), l am OMM Mal or of three that a Comp WO irturaUl should to armNM 10 me. 0 1 am evempl unary Yeoon: 8. S P C. bar this mson: Dale: LYner: My herzhv Salary trya1,I am aware of am understand me era (C"41S of Uhlman NMhft ad SoUG, Ud Soul 25905. 25M. am 2!6 ano tnatlw Gly fame building oC=aM vidiiOn t Ileac oho need to campy Sm wily stale cods and AM dnuime is Tara perme fn evnstruchon Of imaiheatbn from the am C IIWI MMaglmml Oulatl. R lI IW Wnsteletbn appllaOOi me evempt From these Pae'ggns. Dale: -T / Orwer'a towner or SMUT Socmity e: 1641.46 Whib-9uhny: Grten—r PInM—Peach ere: GotlervoQ—Pveard ----- MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FT IN REAR: FT IN FRNT; FT IN REAR; FT IN IN RIGHTS FT IN LEFT; FT IN RGHT; FT IN QQFT RN PROV; PARCEL: 13966118 ZNE; REF NO; - IG D E V E L O P M E N T S E R„N I C E S R E Q U I R E M E N T S APPROVED BY DATE: IG APPROVED BY ., DATE: LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 9200 54 SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 9.00 15,00 0.00 24.00 24.00 •00 REVENUE DIVISION TOTALS--> COLLECTED: 24.00 OVER/SHOAT:00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 24.00 I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E E C R I P T I D N UNIT COST TOTAL COST MEC 1 REPAIR/ALT COOLING UNIT/SYS W/CNTLS 9.00 9.00 END OF FEES r awl CONSTRUCTION AND PLANNING -' - APPROVALS Permit DateTInspector _ POO_ -SPA - APPROVALS Permit# Date Inspector 1. Temporary Electrical Service'& Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE - 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line &.House Connection E ' 62. Backwash & Receptor -Final 12. Sewer Cap ' 63. Heater & Vent -Final r 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric,Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18, Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning( 20. Rough Factory Fireplace - 21/pL I Lj FIRE DEPT. REQUIREMENT APPROVALS . Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts; Ventilating 71. Product Piping 0 Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning./fZ [,Eft 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 d 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No. Date RRmEN ADDRESS: 3505 CADILLAC AV NNDf H owNERa MANE: O'DONNELL GROUP \i' hoDREsS: 2201 DUPONT BL, IRVINE 851-0111 AKHgNGINEER: RENGEL & CO ARCH ADDRESS: 333 EL CAMINO REAL TUSTIN PERMIUEE: LOGE CONSTRUCTION ADDRESS', 8521 AFTON Cl HE EMEO MTRUTOR DECLARATION I Nreey affirm lNl l am Sana] m 0 of UAsm 3 O the Rusin¢s and I'olessims Code, aM my litems B II Rrruo.: vyvoom RATE Eli NNE', CarnPANY. OHIO CASULTY P camped mppy, u kaby mrwkd. Cf� Dw s DAm Data: 1_ 9z Npploanl:� REG Ni C14199 UNIT: CA 92680 (714)964-4361 CA 92646 el pmvifims of chapter 9lcommencinp fifth Saeon CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 056905 PLAN CHECK NO; N CONSTRUCTION TYPE: PERMIT TYPE: ELE JOB DESCRIPTION :�FFICE T.I., RE:WB56904 CLAIM VALUE: CALL—VALUE; Z O N I N G S TBAcxs R E Q U T A E M E N la r PURPOSE: ALT SQ FT; GROUP OCC: B-2 / irk 3FMNFif lRe MMMBfif Y lfk Bd1E kk ------ MAIN BUILDING ---------- --------- ACCESSORY�RUAAi1I��LDING--------- °ale of omsm to wfdmme or ammrom ofvworkehs FENT: FT IN REAR: FT IN FENT: FT IN RE FT IN :\ 15/93 t LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT\FT IN PARKING REO PROV: PARCEL: 13966118 ZNE: AEF NOZ Naawsipn PLANNING N •IES> — iFeFYYMM%k keO YifMk4ieVfMkkkM MCFYkieMeE MiFYOEaFeE4MeFM3E4kM kef iF lEeEkYtEiFiE 4eEit YiFiF itrtif etMiF3ek iFeFie Mif+t 3EMiEif eFk Ins wnpmmmkpmNilmrenelWMimlllf alessl. D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S \ nm elmMy+m pvmnmam Fmrinmm nmbe[wne. ZONING APPROVED BY DATE; WIe' Sipnimrel at b cerew Crmmmtkm, you could emnw cogen to fie svmmea Umpmmmn pwiskm m the Labor •- Driver -a intense or social Security fW 46 wrote -Iii: croan-ema Empaeurni Ank—Revere: Gmperrical rzsam 01 0011:Ch:-ilEll rR7: 04:00.9. BUILDING ING APPROVED BY : DATE; NNxE:If, after ma Coon. lonhwm wtn this shelf ON deemed r+effal 1 // you must Damply dun preaamp As Conran CONSTRUCTION LENDING AGENCY: I hermy affirm mankre u a mmlmnnn �nkm aWq Dar IN peemmalla of me whi Dar APPLICATION ISSUED BY: DATE; g �ie winch Ms permit of Unit (section 3N), Civ. ch. Ir I 1F%'1f 14 N'k %if YeFYR1FIFE %aFiFlf eFMaf 31kie1Fi*Nx iF eE UNDER: r /, MkYYRk MIFY%ieRYeF#RBF3FR1F ilk kl MYif klFMlieRlf MlFeeefMRf Yk MNlklfk3FlFififYRif Eeif%Ylie RiFk MiFifif if *1F4 kif lFeF ifiF ADDREas: - .r LEGALIZATION:N F E"E S U M M A R Y STRUCTURAL SEGMENT:N DWNER BUILDER DEcwRTION: I hermy affirm that l am aaempt from the Comlumis' Gme Licade Law mi fnmwnp rersm BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING i5snim rails euaCress ane Pmfev:imal code: <nr ewtrot mlmrWleah rcolvesa cermNmunnnc�t. after; Improve, aemd'eh. ter Iifformeed PERMIT 29 25 tot repair any smemd, door m As foci also reouorm the apolkant tot such perm to fie a agnea NNmom may Woman SMIP /NON -AES pursummme pnmiomoflkeomrxws'Selina Limlssl.a.(cmpl«g(commerami Redeem aef m ads°n s m the WSIima PLAN am Pnmesaims Cram or lml hmlk a di memo=am the basis for the abed esemp9or. Awry wamm of Semmn 7031 by ISSUE FEE 15 any a°peeam Dar a perm sueNom the apdir+m to a Ideal Therapy of Net Dame than Are hundred dram (SENSE. .00 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE 1, as fearer or IN proanv Dar amgpI�a cam gas a thin we nperlvdm. me m the worn, am the ❑ cra: Tkeaerdtmla GONE Licenu Lou TOTALS ---- > 29.25 15.00 0.00 44.25 44.25 • 00 fumure4nptlnten@dorpOenedrotsle lSEN'w )Date, RusmeaendPnfevlrcui eon 10 m awnp of a propeny.ro canes or impmva usMem, am wk dead with Well: NMUIfimaaN Of mmpdh %apply der cam employees. owned that sem mprmemmm are ndunfinem or offeree lot aN. n. Roweyer the building Of REVENUE DIVISION TOTALS--> COLLECTED: 44.25 OVER/SHORT: 00 'Camp And within gp ymraamveum, me tamer wo asw the burden Of pm.oD Rask tee ml ouBe Or lmpme Iia° me oumbe BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK off 44.25 ❑ atgsnen of IN property, am emuvreryry ran anng with ucensm amrutors m cmmrum me proiw 1317041 Buvress gofessiCap Lkerpe Lawdasnm xnobudesplmpmvmfkrean [teas. De Conbazlohs'Gae apgymm awnNmpopelry and whearrourades forfAMra[Ifn $Ile Li[en6eL+WE. dm ewdrP MMMiFMYNFkeFkaFBF1FM EF4 kMieNFMrt1f REM Mk MkiF klf flk RfkMiEIf MBFMkMkMkMkMRf ifkMMM kifk3FMkklf if BEM kMEf BFM4MReiFMNFif that Cams ofll Weaker 9(uma penealiGtN3Mmerls~ as Optimal to mine I N D I V I D UAL FEE B R E A K D O W N ❑ 1 am eaempl under SRctien. R. B P. C. for this human'. TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST Dae: owner ELE 10 FIXTURES LIGHTING 1 ST 20 EA. 7 50 dy that l am Are of and meersane me raRuiamems of eanmrma Death and Gifear Code Gdppms 25505.251 and I do reby tena k ELE 19 RECEPT/Oi1TLET 1 ST 20 .75 EA. .75 14., 25 Elson and that l m anylmom kudmD omucent award tame mel need to considerably Ute vine uveas and me mhnimmema to- a ELE 10 RECEPT/SWITCH 1 ST 20 EA. .75 7.50 permit fair an or momdmem bora me andaliy umapement Dmnel. Reeuermal mmvuoeon ansimt1ons are exempt bora END OF FEES rumors pmphNns. Date: apparent. I krmv eenty, [bar Ilava read this aroticali and elate Tom prefixes nkmuepn is mme[L agesmddnptywtln aildry ane munry Driver -a intense or social Security fW 46 wrote -Iii: croan-ema Empaeurni Ank—Revere: Gmperrical rzsam 01 0011:Ch:-ilEll rR7: 04:00.9. CONSTRUCTION AND PLANNING APPROVALS Permit Date Date Inspector POO SPA 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, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Root Drains ° 64. Plumbing System - Final 14. Rough Plumbing 1 65. Electrical-Final 15. Rough Electrical-Conduit (,V CL d-�O 66. alar System-Final 16. Rough Electric Wiring0:n 17. Rough Wiring Sign G' ` �- Fencing & Access Approval 6fl. PPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 0 Z�'.G ��'s-s'I.'"" ' OOL/SPA SYSTEMS FINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas OOil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O 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 I 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 48. FINAL PLANNING - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ; 51. CERTIFICATE OF OCCUPANCY No. Date PPALIEO AOOREM: 3505 CADILLAC AV DNW:H A NNER'SNEME: O'DONNELL GROUP ;,i-Ailbmss: 2201 DUPONT BL, IRVINE 851-0111 ARCHMMOMEER: RENGEL 6 CO ARCH REaeO.: C14199 AODREN; 333 EL CAMINO REAL uwe: TUSTIN CA 92680 PERMIME: LOGE CONSTRUCTION (714)964-4361 ADORERS: 8521 AFTON CI HB CA 92646 am licensed Power PPwdw ns of Gager 9 fcolmmnom wilt S"m Any Item Is in fun loru]o6Qh Date: 4n ] — % ! amatum _ _K WORKERSCOMPEMSRIONDECURATION: mredyafllm OMlharoace eat mnmMl c penzawn m f L&ndpn sero, Lao. POLeYOD.: OHIO Yl ...OABE: 2/15/93 taraxy: OHIO CASUL yTY �� wen! a COPY b hereby mmisnee. ff (seasonal PC filed wtln me Wly org Dlvh Ole. 4 iT aAWkaM mlmemergee arum gerrmn in Either is am manner"ir Pepsi gin to or W I e Date: Slgwmre: ROTIDE: If. alley making this eeolaragrn,W should become Yemen to to Wm ors'Cotpem Om pmtlsdns of the lsbw sows. mark must fDM ith comply Yeah such pmmiswns star Parent "I be meted Mw d CaNSTRunroN LENDING AGENCY: I hereby ffium i own Is a Wnsngeser felling Agency rot IN peacm nm of the work for W i9h Nis Wrmll lS issued(smum 9097. Cm, C). LENDER: WORM ITNRER BUILDER RECMAEN I hereby affirm than am exempt from the Contractors Mme License Law for the lolMNno temn IRacNn 701 Busmom 1111 ftmdwmal Cor Any city of lWnly which reps Rs a termNW wnsWtl. alms, imawe, kmljCn, or repair any structure. pork to its ismante. An rewires the aMlicam for shot permit m to 9 signed sWtemenl thin aware Is NORM[! arm Pro to lfri mohor or afla Cantatlms'Mate L'rense Law the boom9lmmnaflgedmah$Aim ]GNIM sal of wimi Ne Rumen ad kpnsons Dmg nnNti a the sCumpt op that and 1m male for o few exemption Any M(MMA of &nim irof s by am appdwnl for a perms So4eplz me wp�nm m a tiw pewly m sol �mm Ulan fixe nnmree NIIMs (ssrof. I, owrrer I IM Pacety or MY emyloreez with wages as Nor sole cdmpTsonfil wall m Ne yvM1, me IN ❑ it WFe a winten4 Or offered fm Yale (Cgm?M. Business and PrOtsOmM CNe: The Wmrxmrs' MME LIMER Law Was not apply to an uwnei of prwEdy Wn huiata or imqures tared, and WN area such Work himsenherxll or lnmuDt Ms or nor oM elmbym Wwi tat Lott imKmmenls are am interrupt w Ouet lor said. N. hwieaF ME WEeln° a imprpveMntY mN within one year of OallNebOp. Ina PNnel'Fll Meme IN burden or promg also¢ tel not build or Improve Per IN ouroM of any. y� ryry ❑ I ERdasoli Came. In Cw��zlea�sxe'91eeLvnx°Lmdo me aooM ioan ndwllv`anot`o�eoa `m..e o lulus ail 'n ms'em and Me Contracts Pm own omieals wit a wnfrazragsa ntense worspaM In the CmlriM M sent wenn Love. l am aware last proof 0 that M"('.s tompenvw n mu(ame manner be groan more. ❑ a am exempt under summa B. a P. C. la MAW reams: I AD might may Icor P am aware of and uNersfand the rWimMeM of ONomu xWn and Sony Coo&cfun LSSDS,'L55213 am Mtn! and war l or any future Wilding occupwarn nand title on) nem to mWy Path saw Slate codes aN Ina reguremenb fora cermil lw to UMim an m it lqn from ME Air Omdry Management mmt. ReswemiA cwstrmid apltlkafnm are ev r fresh mese pbwions. Driver a Lwp or Sp l: 161146 Wne-6uldfng', Pink—I ""G: G anrw—Amenia CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 6 , PERMIT NO: B 056904 PLAN CHECK Ni 05141 L GU CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE; ALT JOB DESCRIPTION OFFICE T.I. SQ FT: 12,000 CLAIM VALUE: 12,000.00 CALC—VALUE: 12,000,00 GROUP OCC: B-2 re COMMENTS: 'MISSION RESEARCH' OFFICE T.I. xx##xx####x#a(k#k#x##kx#k##k####xk#kkxk#x#xxxxxxxxxxk#kxx#k##kkkkkkkk#kkkkk#kkkk Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------- MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN" FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ; PROV; PARCEL: 13966118 INE: PDI REF NO: ,PLANNING NOTES> TI TO AN EXISING INDUSTRIAL OFFICE COMPLEX, 5979 SQ, FT. > TOTAL ##kx###kk#k#kkkk kkkk%kk#kx##k###k##kk##k#k##xx#kxxk#xkk#xkxiF###k##x#kk##kkk#kk D E V E •L-'� P M E N T S E R V I C E S' R E Q U I R E M E N T S ZONING APPROVED BY QAan DATE:i.(,qEti la BUILDING APPROVED BY DATE: \ —7_ APPLICATION ISSUFU'BY; DATE: kkkkkkk#kkkkkkkkkkkxkkiF#iF FIF£#TKiF£LYkx######k# kk k kkkkkkkkkkkkkk eFk kkk#kkkkkkkkkk##k####k#k###k#xkxx##x#k##k######kkk kkkkk## kkk L EGALIZATION:N/ F E E S U M M A R Y STRUCTURAL SEGME :Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADI G PERMIT 135.00 SMIP/NON-RES PLAN 87,75 2..52 ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 137.52 0.00 87,75 225.27 225.27 .00 REVENUE DIVISION TOTALS--> COLLECTED: 137.52 OVER/SNORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 135.00 2.52 k kkk kkkkkkkk#kk#kkkkkkk kk#kkkkkkkk###kkk##k##k####kkkkkkkkk#kkkk##k#k########k# I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFC 12000 ALTER BY VALUE COMMERCIAL NOZONE 1.00 12,000.00 E X P I R E END OF FEES I.D.Grpfef IrZiPecl'Onc jow% 9 W �E j 4,� l < I -'CONSTRUCTION AND PLANNING PROVALS Permit # Date Inspector PO } SPA APPROVALS Permit # Date r Inspector � 17 Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd.,' 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection ' 62. Backwash & Receptor -Final ' 12. Sewer Cap /'-; 63. Heater & Vent -Final I 13. Roof Drains , I 64. Plumbing System - Final r 14. Rough Plumbing / • I 65. Electrical -Final 15. Rough Electrical -Conduit r' 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17, Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0 Oil , 25. Roof Sheathing 6. T -Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing /Ly 74. Overhead Hydro 75. Dry Chemical 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 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY Date Applicant to IID In all maces except more within ties" border lines and Sly, all appropriate declarations. '� 6616 2/05/66 I'L crtY OF COSTANIESA I ON,STRUCT10N PERMIT �ULL7/L•>ff PERMI N' TRACT NO. LOT NO. Imo- I UNIT NO. Project AddressG7tL//A/L /I BBI7-Z/O6/66 r- I *L TYE OF CONSTRUCTION LJ NEW AD LTERATION LJ REPAIR Applicant's Mailing Address El ❑OTHER CONVERSION DEMOLISH A. ql. ;one Owner's Name 401 Pbone '�/LGl/� ��/�� CESCRIPTIONOFWORK/USEOF BLDG. S Main Building: Accessory Building: Adtlresz ArcM1/Eng. License No. TYPfEIOF PERMIT GRADING FOUNDATION TRUeiURAI T Front p LJ TENANT ❑ ELECTRICAL [[��'' 19PLUMBING 0:10ECHANICAL BA Address Rear N Con[racloi -/� �s sl OTHER C FigM1r N /r//J ll% /_/ _ PROIELT DESCRIPTION 50. FT. OCCUPANCY , G Addem Im•ui^,I NPL CONSTRUCTION TYPE V'�'J VALUATIONS�irQOO $ Left City License Na, ZONE GRADINGCU.VDS. ACREa Ping. Ref, f Parking Req./praVdO"1 R E LICENSED CONTRACTOR DECLARATION O I hereby affirm that I am licenses under Finale Of charts mme no Remarks: Planning Notes: M wbM1 section ]0001 al Division 3 of the Bu res s ane Pro} s ns Co and my Stand. 141a full III a effect. s ucense cuss laced e Q Date 7�9wRh Signature PLUMBING FEES w KERg•COMPENBgiION DECAT'O Slnk _$M1owNs - ELECTRICAL FEES reby altirm that 1 nacre a cer[Illcyyt to insure or s Cpft GlaWorkers' CamVansatlan mauraA6E c py Ihems' BeekNow Prevents' ServiceSink C! - Automatic Weshei Translprmer ❑ 15-50 KW Bapkflow lrngetion Server Cap •, Conshuctbn Pole Sub.tiee ❑ 50 a KW copy R Mreby lurnlsned[he ci[ Batnwbs � � Sevrer Connection Cookirp Uni[ 'v ' Meter ❑p00ampADDIICinIn Gariliers. Bohr Lplltttars OiiM1wnxher M¢L¢f lO0amEXEMPTION pITOIS FROM WORKERS' COION ERA ATION soclloO nese w[ be camplotee ;IS for one hundred (81001 or OiNmanor OF $pier PiIesSi. Ping Dryers ❑Gus - Iec c $ panel tifyy that In The parlOrmanw of ar wM[M1 this Be S It Ix Issued I VI not employ any Person m y manner as to beep subject t0 tips 1p of Drinking Fountains Solar Tank Fan ti Mptors ❑Ol HP ❑1'h -8 Workers' Compensation Laws of Callfar Date -signature FtoorDrains Swimming Paol IWI F.A.U. Inc. Solar❑8-15 HP❑16154 'NOTICE: It. after making this OeUarallon, you should become Nblect to the - Workers' Com'er,Wlim provisions of the LaoorS ode, you mus forthwith Floor Sinks Urinal Fjxtures Microwave comply with such provisions or this permit hall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service GWIets Weler Closed L Devlea Boxes-Pale Li M g 1 hereby Initial that there is a construction lending agency far the performance of the 'w k for which this peYmlt i wg d (Section 3097 Civ. CJ Interceptors Water Hooter Gullets' Range Lender's W Lenders Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION nnreby affirm mot amxemot from the Contractor'S License Law for the Lavatories AuIO-WasM1 Gartage Disruladid Standing Sections foluowlnW n (Section 7031.5 Business and Pmfesslonal Cetlo: AMY City or p Mch�eouirgs a permB to wnRma, alar, Improre, tlam 011sn or repair P_Trap .Laundry Trap Generator EIC-5 KW ❑S15 KW Trash Comatimlpr any slru[turo. petal la IIs Ilsuanca, elm f¢qules Ne appll[an[ for sato Ve It • fila a signed stabmonl Inst lie/she Is llconsae pursuant to the orovplpan of s t Conlre<tOrt LIConSa Law ICM1apter 91Cammentl ag wlm $eCHon ]0001 of goof Drains e fislon 3 0l the BuslryOos dntl Professions Catlel that n0 li exempt Any al 7 mlmm and the azla for the alleged exemOtion. vlole�lon dellen ]0311�Y o�n of mOlatlnapnpyp pynorped dollars I18500)�ne appll[anl le civil _ a �^I. as o lie! 1 IM1a progrty o Y employees coni: wages a5 mhe Reinstallation Fee $15 Iaue Fee S G '' glnoah nruaura Is net ;mended oaredned em50nsanon will do tna rk, a�ad Reinspection Fes $15 Issue Fee $ 3 for le ISadion lose Bnslness 0 Pmfesppnal [oda: Tate fare MECHANICAL r FEES uaa°:< ave dwas npl apmv m an Owner of a prhpeem veno bwles or roves mneredn, d cap aces m n work Mmnell/herself tnrpugn his or nee awn wleyees, provided mat sato imprbwemenlz are not Imenaee or onereit for Boiler HOdd or Type I ❑ F DEVELOPMENT SERVICER RER$}U��I@I�DMENT$- Zeninp Approved By 1N rIy �-) ssle. If. nowpW 1. the byleln9 0l Improvement Ii iqe wlmin dna yeal of Com Canopy Type II ❑ DeeeZ�- Depen, late ew,or wm nave me burden of pmaing neRne ala not ewe or ;m- Duct Under Ground Building Approved By UDdIs zaw#— ror m. puraosd aI ulo1. I, as owner of the property, xclusively ca trading wia Il cam OpCt Structural Ref.iemdlion System /b Application Issued By ^ale tractfloor actor's L the Aral W 11a$masnon ]Oda. BUSIne33 dntl Rofa331p rt Cpde: m an a ❑0.100,000 BTU 01110,000 BTU The C or laatur's there Law tl o pDly her qI prpwIts aveno The detractor's tr Iles Imense p tnereon, and Con c ntm[ts to r SUCH projects m pursuant "[p the s License lawa l s are trial a kmman Dy[l. Ventilating k BUILDING PERMIT SUM ARV OF FEES - $ _S� BMIP $ Exhaust System ❑ 111 ❑ System Repair/ABeratien proof their npwd ba pramene to me proof their wwke.'s Comps MSIOn anon PLAN CHECK $ PERMIT ❑ l am exempt Under SectionB. A P. C. for this reason Firepl)FBet. Bit. ICBO IF Fife Dampers ISSUANCE - PLUMBING $ $ Date -' r Haling SVSWM&Cutting Registers ry PLAN CHECK 45% $ ENERGY P.C. $ hereby certify that i n said n a statethatice above' ❑0.100.000 BTU O100.OWBT ELECTRICAL $ GRADING $ o[misa r and county ordinances a^formatlon i r ct 1 gra to p w all hereby MICROFILM S n tate haws rale 9 o unlading cc tr ion, a imorize mpro- e n a m se tallves I Ilii 't -mentioned property for 1 • r PLAN CHECK 50% $ inspection pwp "per r�riverse at MECHANICAL TOTALFEE $ qe nmauTion Fee 516 Issue Fee $3 PIAN CHECK 25%� so/ OeveN' LlcOnsa 5E x1` CMF 0865-46, rev. 10194 White - Smid'mg; Canary - Penitent; Pink - Accounting: Bulgarian! - Ancestor / �� fil b.3, O/= w CONSTRUCTION AND PLANNING R. APPROVALS Permit# Date Inspector POi . SPA APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. Z.Z.��� (� 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms `4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding $. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test , 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 3 - 66. Solar System-Final 16: Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning �_��(e C+rO FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating �L ( 71. Product Piping O Gas 00il 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil 25. Roof Sheathing 74. Overhead Hydro 26. T(Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION •• 32. Electrical Power Meter-Final •80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning Si-6-4%-- d 35. Final Gas Pipe-Test r 36. Hood or Canopyfj 37. Final Factory Fireplace 38. Final Plumbing tq-e& 4" 39. Water Service-Final -• .' 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation'' 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date JCITY OF COSTA MESE Project acdrerxs ppl can At Mailing AP exemptI am d Southern rote - Ow I batch VI vv IIhave ^forma1l [ I agree and elate tows relating to but se tallvef laid; ,City r inspection put /� 15ignaturer',��i Drivers' License ov➢i37 CMF 085568,rev. 10/96 While Y aLlcense Law for the n n LCode: Any city or %j Lavatorusa` AmoiWmh l . I - Garbegia Disposal 1 I IStantling $eclipOs - e'demolish Orrepair for p -Trap J 'Laundry Trays APPIlhunt to rill In all Spaces except those withinnaw border lines and sign all appropriate disclarishow. Generator 70.5 KW❑sl$ Key (Track Doteacier JCTION PERMIT Efl IT NO - �. TRACT NO I I LOT NO ` UNIT O i - I I . t tl D8p Qr. `�,. I u ,u m I m 4. o m -lFI'0 : I t I j _appllwnt toa [IVO I is � 1 I y$I:r . " ' J TYPEEIOF CONSTRUCTION r EW ''ADD HLTERATIO '.RE PIR --I_ I, I l _ W W , 2 m N 1n n n O 4 CONVERSION TI7 DEMOLISX ❑ OTNER - I A.p �! j I - I0 ? I L n $elle ¢ ¢ - _ v phone; `DESCRIPTION �QL/G F1 I r Me builds Or Improves 1 't9h his o, her awn a - Y Fr 1141[1/N2!. OF WORK/USE OF M i B,LDG''q I S Maid Bu'Id' g = I Y, I a I o 3 g.OF, it i iu I¢ r -L se No. ; , ." T. 1 Front' I I v_ m ¢ O TYPEiOF PERMIT r3AAOING. �FOVNpOTIDN STRUCTURAL CTU RAL' r ''. ❑ TENON ELECTRICAL ❑ PLUMBING �MECH;ANICAL I I I I SUMMARY OF, PER natof taIII e.I aware that' 1 I I BUILDING PERMIT IS I I I 1SMIPj I$ 'Exhaust' tem ShiaLISSystemflp /Alteration I� N . I,eirj Q,37-/�y3.� i ,O OTHER -. 1 .. A R9al a• I j'- m I m a a (7 I 1 1 -a I r PM1one ' PROJECT DESCRIPTION. SGi FT - - OCCUpANCV - O '.RI9h,1 I e .' - I'` m 0 o f o N G 1 , t 1 r t CONST gUCTIDN'TYP VALUATIONS 1 I 1 'I S. Left, I a _It i I to m " L I ZONE GRADING CV.VOS! - .OGRES } pJ ' Rg1 Ret. $ I I Paik6�9 fleq. Pro Ozd 1 0 PC j r 'N: f lI 1 i Icanq Pink -ACCOYnting: visions of';or Cnart r 9lcommendn9 pemaika: : / , 2 0 1985 I i � I Plannin INOIes: s. j I- I = - a %oresslops awe. and , i i T I i I g n I No I r I 7�0LI Q 5yj _ v I i PLUMBING! l I FEES I I j I fd 'Intro Tonsure oleo I r 'rOtlCale Bei Sink I Showers ' ,IS r 1 I EL CYNICAL I wrtif10d col indoor _- - !ny=E/1�0 (Section �Y _ yBMk110N'Prevenlfir - --� I �! -$Wa'cP$ink -'�-- -� m- i i --_-_' WaTfierr---•-I ITra fur e , I I Baikllow lrfbution 1 Sewer Ce I 1 - CpnilructionP Sub. I 5 +KW 1 ole i Ing DBqSto Bathtubs 1 Sewer Connection I I ,.yoking bot { I Meter ❑6p 1 100 annuor Carrie Soler ColikeOrsSOTION _ Met¢r ❑ twer 00 i trips' DELLA umltIs for one -hundred '@1001 ori' OiiM1wesher I I Solar Piping ' 9 I _ _ reryera OGasj OEleco-id j I Sub Panell I efor which this permit is Issued so as to became sublea t0 the I Drinking FountainsjFamI IMOtors 00.1 I I `_ 1 ' HP 1'h-8 I Floor Drains' Sw ming Pool w/Spa. t im I F.AIU. j I IInc.Solml�& 5H ❑16-15} I 1 Labor Code, you must OF Should became l forthwith ect tl J deemedrevoked.1 FIG Sinks } .. .Urmal - J F xiures - T J� iMiaOwave''-�-r unit isM1311 be forthe G Sa vice '- Outlets' Waled 0* n : Device Boxes i I I IPalelL 9ht 1 1 1 edl 9 agency performance, Poland ISP tion 3091 CI IC 1 D , z . I I C [ - - P rel - I il terlH t t, I t Dm1e¢ t r I I Iflan9e I j ' K t nen Sink F`- WeteeS rv_ce - I Sw ichas I 1 I I Sign' j I I i I �, .11 1 Y aLlcense Law for the n n LCode: Any city or %j Lavatorusa` AmoiWmh l . I - Garbegia Disposal 1 I IStantling $eclipOs - e'demolish Orrepair for p -Trap J 'Laundry Trays Generator 70.5 KW❑sl$ Key (Track Doteacier ^Ilcent wcn Permit t to [ne pmOhlens of sacttan 7000s1'or• • Roof Digins 1 ' + I 1 i Tnh hat tabore'is pt Y victor ion. of thrion : I t I j _appllwnt toa [IVO 1' f.' j 1 I '.n wages as their 5010 Reimmmion'Fx+� ! '§IB (sue Falls I ' - $ 3 I I Reilps cion Fee I $115 I lssue_FwI dA Intended or offered - - IMECHANICAL FEE$ e: The contractor's r , DEVELOPMENT SERVICES REOUIREMENTS:i Me builds Or Improves 1 't9h his o, her awn - Boller Hood Type l ❑ - ensed or offered for Itnln One Year of com- or - CanopY TYp01II ] 1 ', t Zoning ApprOwtl BY j I ate to aid net build or im- Duct- Under•Grouna 1 r - I j Building Approved By Dift. I iog with llwrise0 ni I Apoliotlon lzzuetl By I Duct - Structural RilriWation System , petty no Duct Vent haling _,_: t X0.100000 BTU 0100,000 BTU I I I SUMMARY OF, PER natof taIII e.I aware that' 1 I I BUILDING PERMIT IS I I I 1SMIPj I$ 'Exhaust' tem ShiaLISSystemflp /Alteration I� 1 teat a c f this n PLAN CHECK j $ I BERMIT t Frapl/Fect. BU. ICBG qp I Fre Demp r I 1 PLUMBING' i SSIJANICE $ PLAN CHECK 35961 $ 1 NERGY IP.C. ( S I t �iRAOIN(i $ ELECTRICAL I S I r He'oung Sys em & Oucunp flegistps I 1 Y i -'_t 00,028TU 0100,000 BT t Lata [hat nd andnw.abow-: countylnance5 it oy autIII repre- dlaned for t I I IC t FILM S 1 PLAN CHECK EO%I$ 1✓1 1 , t 1 r t i property D61e7-/$-per r ; 1 I f MECHANICAL FOR �$ is I I Reinsp cion Fee §15 I I Issue Fa I § 3 PLAN CHECK 25% s .uL3 i i Icanq Pink -ACCOYnting: GOIOenIOtl - ASSOzier O CONSTRUCTION AND PLANNING APPROVALS - Permit # Date Inspector POu, & SPA APPROVALS Permit # Date Inspector 1.'Temporary Electrical Service or Pole 52. Pool & Equipment Location - 2. -Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding - 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. 8' Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connectign 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-Firial - 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 16. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS. Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping O Gas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd.Storage Tank OGas ❑oil 45. Roof Sheathing 74. Ovohsad 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' 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 these wltnln heavy border Mmes and sign +II appropriate dOClantlell. CITY OF COSTA MESA CONSTRUCTION PERAMIT IlMpC�, Project Address ar,-iqC� PERM IT NO. �" -3 / TRACT NO. LOT NO. UMT NO. , Sewer Connection qrd Mla �T����������//���asa Applicant's Wiling Address 1�0 E]OX IoW CrjK ByM�^1r Owntt's Name pM1on07 j'1 /QCJ$ TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR 000NVERSION DEMOLISH ED OTHER DESCRI Foll OF WOR K/USE CF BLDG. asher A.P. nth ng Fountains n errAdtlressArch/Eng. Drains Swimming Pool wisps Sinks License No TYPE OF PERMIT' GRADING FOUNDATIOry STRUCTURAL TENANTKELECTRICAL ❑ PLUMBING ❑ MECHANICAL 'OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCY CONSTRUCTION TYPE VALUATION$ ntAddreas JRR rcon pp r door's Nam P -JI Till M EKI T'"%a hone 737!%45 M1tAddreas(Fuel ingl— /} t7S7 City License No LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (Commencing ZONE GRAOINGCLLYD$. ACREB _ Plrrg, flet. zW T ,i earkru—li 0-0;V Planning No, With s0 tlan 7000B.of Division 3 of the Business anaPumusinns Code, and $ S. <%1J MICROFILM my license is In lull force and Off4i ew m Is resent to sN(hvure or a c a certified Copy thereof (This 501!111 mind net be completed If111 eanermlt Is for One nunaredsti100) Of bet shall to annular the ey person non aymwork tOl wept to becomes publectsto atire Workers' COMPinse lOn Laws of California. Date signature 'NOTICE: If. after making this declaration, you should become subject to the Workers' Compensation provisions Of the Labor Code, You must forthwith comply with such OPYISIcau or this Summit Snail be deemed revoked. CONSTRUCTION LENDING AGENCY II hereby affirm that there B a construction lending agency for the performance f the work w r this permit issued u (Section 3097 CIV., C.) Lender's Name o Lendar.:s Address OWNER BUILDER DECLARATION I hereby afllrm that I am exempt from the Cordriv Y License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or County Which opens permit construct, error, Improve. demolish repair any structure. prior to its Issuance, a OWms ma applicant for such or to Isle a signed tatemenitthat harem Is lecemmePursuant to rho Provl9ons of Mine Contractor the( Business +ad PPrroofessIons Coal ihat heethe ISexempt to from and me basis far me alleged exemption. Any viola the of Section o31.y aYnot any applicant nrw: hung ed dollars 015`oolae applicant to Civil Sn 1. as owner or IM1e property Or my employees with wages as their sale p tl On. the owner ilolhe" the burden of proving he/she old not hu or srthe m or ins Properly, am mi Contracting with 6wnsed can - tractors to Construct the protect I$�d ion 7044, Business and Poofei01an5 Code: The Contractor's License LOW d Ot apply t0 n O f property who builds or Improves thereon, and who contracts for such projects with a can- tractore) thermal puRuarit to the Contractors Ll Pa se Lawi, I i aware that Proof ( their Worker's COmpenY[lon Insurance should be Pi to Me. ❑ 1 am exempt under section B. &'P. C. tar this reason Date Owner I..,....nas n ; By that II "dupe ode atoorue v mita alll Mw and erevvno n ninanoea. It Showers w Preventer Service Sink ' pea Irrigation Sewer Cap IbY Sewer Connection air Solar Collectors asher Solar Piping ng Fountains Solar Tank Drains Swimming Pool wisps Sinks Urinal rvice Outlets Water Closet =Ptors Water Heater In SinkWater Service ]rtes Auto -Wash - Roof Carl Reins Shcdon Fee ` i I I Issue Fee I MECHANICAL Boiler - Hood or Type 1 ❑ Canopy Type 11 ❑ Duct, Under Ground Duct -Structural Refrigeration System 00-IM,000BTU ❑11 Duct Ventilating Exhaust System ❑ Multiple ❑ System RepairfAltemti Firepl/Fact BIL ICBO 0 Fire Dampers Heating System & Ducting' ❑6100,000 BTU 1 Cil 13Tr- Registers - Drive lire -�a =� I I Reimgaion Fe I $15 I Imre Fx Drivers' Lic err ss g CMF 0865-46, . 10/84 White - BW leing: Gnary - APOfGntl Pink -A 0untin9i Goldenrod - ASSOMr $3 $3 Automatic Washer Construction Pole', Cooking Unit Fan FATE lReinipemian Fee DEVELOPME NTSER Zoning Approved By_ Bu k inp Approved By 8719 3/16/185 Zone ELECTRICAL Transformer 111550 KV ❑ 50+KW N G 0 101S FEES I Motors❑O1 HP -R Ina. Solar 1:19 15 His 01515+ Microwave %le Light Range Sign d Standing Sections Trash Compactor Italie Fire S 3 SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $. ISSUANCE S PLAN CHECK 25% $ ENERGY P.C. $ r ELECTRICAL' $�� GRADING 1 $ PLAN CHECK 5O% $ S. <%1J MICROFILM $ MECHANICAL $' TOTALFEE $: PLAN CHECK , 25% S. CONSTRUCTION AND PLANNING APPROVALS Permit # - Date Inspector PC & SPA 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 ElectricalUFER,Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0" Undrgrnd. 10. Structural Floor Syster& 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 t 14. Rough Plumbing-' 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring RIG G 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# - - 20. Rough Factory. Fireplace 21. ,Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 00il -.23. Gas Pipe-Rough & Test 72. Underground Flush . 24. Roof Framing 73. Undergrnd.Storage Tank ,0Gas C3 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 9 Notes: - 34. Final Heating & Air Conditioning - - 35. Final Gas Pipe•Test 36. Hood or Canopy �l 37. Final Factory Fireplace- 38. Final Plumbing - 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final i 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47, FINAL STRUCTURE & BUILDING �I 48. Special Requirements Completed 49. Electric Release to Edison . 50. Gas Release to Southern California Gas Co =� f 51. CERTIFICATE OF OCCUPANCY No. Date `+ r- — • Applicant o fill to all spaces except those within heavy border likes and sign all appropriate declarations. eammba - _ CIT-YOF COSTA MESA TO�MIT PERMIT NO. ACT NO. LOT 0. UNIT NO. E%EMPTIONFROMWORKERS'COMB sATION ECLARATIONr (Thisesection need not be compmlra B m permlua m one hunana ($100) Cr 'C•.=U 03 I certifyy that In ins erformenca Of l ore for m6 permit Is Issued a Solar Tank^' which snaln t employ. any cars In an mann o a to be ome subject to tie workers Compensation Laws of California. , Project Adru Swimming Pool. Dae Signature NOTICE; D, agar making this daoaration, you should become subject to the Workers' Compensation Provisions Of the Labor Ode. yrthou moat forthwith with mply with such Provisions or this pit hall b deemed ked. Applicant's MailingAddressTYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR GHS Service Outlets /'AN'Ry/!S[Cr� ~J C �- O EJ CONVERSION 11 DEMOLISH OTHER Interceptors Owner's Name /' DESCRIOF 0 S EOF BL Lender's Address Kitchen Sink Address �r/JS�0/LL9f O -///J /� Mein Builtlii I hereby affirm ction m that I dm pt from the Contractor's License Law for the reason (Se7031.5 Business and Professional Code: Any City Or followinl linty which roan res a permit tisso construct, alter, improve, demolish OrrepairP-Trap any structure, prior to its uanc Iso requires the, applicant for Such permit to file a signed statement that he/she Is licensed 1pnnoant to ins Pro ions of Profeb i Code) of that he with SectionOf Division r3 ofd thei But ness Law (Chapter he Is exempt ldundry Trayx' Roof Drains Arch/Eng. License No TYPE OF PERMITLJ GRADING FOUNDATION TRUCTURAL T Front Ip El KELECTRICAL CKPLUMBING RMECHANICAL 7031.5 by any fur a Subject&. applicant to a civil Address TENANT B A Rear Contractor 3 Nam PhpnU!j l/ 712 'OTHER Right Address(mailinpl AesfUsp4e FRAMECTOESCRIPTION SOFT. iggfBi OCCUPANCY K GONSTRUCTGNTVPE VALUATIONIS�,.00H% $ left City License No. ZONE GRADINGCU.YOS. ACRES/ Ping Red. #' LICENSED CONTRACTOR DECLARATION hereby asTrm rine[ am licensee under Prove"f Cnaa[el no Remarks: 111 Planning Nmesrr Alin Section 10001 of Division 3 of Ice Seat a am pros and .Q my licensein tares an effect L ormser Claw Icons Dale - Signature PLUMBING FEES WORKERS' COMPENSATION DELLA ATION Ber Slnk ShOWers ' hereby affirm intlmvea ce.[IN.ai IkeBent to B -Insure or;c tl [B -� Of workers• COmpansallon Insure or a wrtit O copv inereo ctlOn Backflow Preventer Service Sink 3800, Lao. C.) _ Automatic' ���pp PoIIcy NO. QJrIlD Company 'I' Backflow l riglation $ryaw ca •-___.-_.._ pp ��,,tiliew copy is hereby (umidetl. 961ns"tion -Fee p eammba - _ sewer eonneciii �ertedilecwbn ma sty amt r Dale - Apmlcantii - Clarifiers $01st LOeC10rF E%EMPTIONFROMWORKERS'COMB sATION ECLARATIONr (Thisesection need not be compmlra B m permlua m one hunana ($100) Cr Dishwasher - Solar Piping I certifyy that In ins erformenca Of l ore for m6 permit Is Issued prinking Folintein3 Solar Tank^' which snaln t employ. any cars In an mann o a to be ome subject to tie workers Compensation Laws of California. , Floor pmims Swimming Pool. Dae Signature NOTICE; D, agar making this daoaration, you should become subject to the Workers' Compensation Provisions Of the Labor Ode. yrthou moat forthwith with mply with such Provisions or this pit hall b deemed ked. FIrSinks W Urinal GHS Service Outlets Water Closet CONSTRUCTION LENDING AGENCY I thereby affirm that there Ise mnetmctihn lenolng agency for the Performance Interceptors Water Hoariest of the work for or this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address Kitchen Sink Water Servide OWNER BUILDER DECLARATION Lavatories .Auto-Wesh I hereby affirm ction m that I dm pt from the Contractor's License Law for the reason (Se7031.5 Business and Professional Code: Any City Or followinl linty which roan res a permit tisso construct, alter, improve, demolish OrrepairP-Trap any structure, prior to its uanc Iso requires the, applicant for Such permit to file a signed statement that he/she Is licensed 1pnnoant to ins Pro ions of Profeb i Code) of that he with SectionOf Division r3 ofd thei But ness Law (Chapter he Is exempt ldundry Trayx' Roof Drains Any Violation at Section therefrom and the basis for The alleged exemptionermit 7031.5 by any fur a Subject&. applicant to a civil ally of not mom Chao fig hundrt ed dollars (35G0)tM1e" 1.1 I, as owner of the, property Or my employees With ages their sole do the and e Strodure Snot Intended 961ns"tion -Fee $15 Ia a Fee MECHANICAL " -for sale(Sectionil 044, Business and FindesslOnal Co The C ntact oY UCenY Law does not apply to an, Owner of a proparty. who I ids Or l asprdWa Boiler Hood o Type 1 ❑ Country Type H 0 thereon, and who work cel small moredi O if rough his or orown sµprrovided that Such improvements are not Intended Or Offered tar a'ep aY however. the bulloinggg[[ i -provement Issoid within one year of cpm- planar.w 111 havel.he burden Of proving ne/me did not butte fir im- tide owner Duct- Under Ground peinspec[ian Fee Duct -Structural Refrigeration Gysta m 04100.000 BTU 0100,000 atting with licensed Can ❑ I, as owner of the property am exclusively contracting tractors to rnstrom the project (Section 7044, Business and Prorourpre Code: The Contractor's License law does t apply to anownerof property who Duct- Ventilating bunds O improves hereon, and who contracts. for such projects with Exhaust $VStem O Multiple ❑ System ReaffiWAlteration _--_. __. tectorns license Pursuant to the'CCap1 traotoPandcensi Law). am ewers rine[ proof J their Worker's CompeMptlon insurance a should be provided [O me ❑ l a m exempt tined Section B. d P. C. for true reason Firepl/Fact. Bit. I C80 dk I Fire Dampers Date er I Healing System Sir Dueling ❑4100,000 BTU ytDD.OWe Registers 1 hereby certify rnar n rase mis Do a ztaeeuma me about rmatlon fadr -19 t th ad an Yhrainances '"'or I StdtS Idwi r 18[Ing ufltling [ j�tlM. M1eRby eutnarlxe reprC samanNbn Of this enter m �x so ernentlaned�proope�rt'yy " InspecSignature po / 15-50KW- - 50 g KW peinspec[ian Fee $15 luue Fee Date�g G� Drivers' Llpnx 55 # F 0865.46. revAe/64 while - Building: Canary - AppOontl Pink - AttOuntingl Goldenrod - AssesWr Cnking Unit Dishwasher Fixtures Dice Boxes Outlets . SWIM les Garbage Disposed Generator 065 KW $3 BUILDINGAEUMIT, $ PLAN CHECK. $ PLUMBING $, PLAN CHECK - 25% Is - ELECTRICALao-6$ PLAN CHECK '5D% $" MECHANICAL $ $ 3 y' PLANCHECK 25% $ 8146 2/25/85 -42=1160 TL. ELECTRICAL Meter Dover 10 Sub Panel Motors 0 1 He Inc. Solar 0315 MivowaW Pole Light Trash Compactor IMIIe Fee SMTP $ Z' SZ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTAL FEE $ Y.,7'l'A J Z O N G R E M 5 ovitletl FEES 15-50KW- - 50 g KW Trash Compactor IMIIe Fee SMTP $ Z' SZ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTAL FEE $ Y.,7'l'A J CONSTRUCTION AND PLANNING APPROVALS - Permit# Date Inspector POOL w SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 'j/ �S G�j 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 1 15. Steel Reinforcement 56. Rough Plumbing & Pressure Test �!6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE " 7.. Footings 58. Electrical Conduif-Undrgrnd. 8' Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10.. Structural Floor System 61. APPROVAL TO DECK 11.• Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap 63. Heater & Vent-Final 13.� Roof, Drains 64. Plumbing System - Final 14. Rough Plumbingj,% y �� 65. Electrical-Final - 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring �•j/fes 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceilirfg j7 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning/L �dY �,�p FIRE DEPT. REQUIREMENT APPROVALS Permit # - 20. Rough Factoiy Fireplace 21. Ducts, in Structure := 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 00il 23. Gas Pipe-Rough & Test ! i! 72. Underground Flush '24. Roof Framing Z 73. Undergrnd. Storage Tank 0 Gas 0 Oil 25. Roof Sheathing , 74. Overhead Hydro " 26. T-Bar Ceiling (Structural) & Monocoat�"AS 75. Dry Chemical 27. Frame and Flashing �"�' y� $. 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing S HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat f 79. FINAL INSPECTION 32. Electrical Power Meter-Final H 80. FOOD CERTIFICATE ISSUED 33. Final Electric 6 - Notes: 34. Final Heating & Air Conditioning (!-� 35. Final Gas Pipe-Test 36. Hood or aanopy_- 37. Final Factory Fireplace 38. Final, Plumbing , w4z ' 39. Water Service-Final r 40. Gas Service-Final _ $ 41. Solas Domestic-Final - 42. Backflow Preventer 1 43. Backflow Irrigation 7 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 Name: Adore% Drains ApmNa d to fill In an spaces except those within heavy border lines and sign all appropriate declarations. SinksI CITY OF COSTAMI COrrISTRUCTION PP IT/ PERMI NO. a' 03- TRACT NO. LOT NO. UNIT ND. - Water Service Motors 00.1 HP ❑1 PrcI Address �:G(,r �d�i/AN .GYO (.S�% Inc. Solar ❑g-15 HP Fixtures - Microwave Device Boxes Pole Light Outlets 'Range Switches 4pikenrsMai lingAddress TYPE OF CONSTRUCTION NEW LJ ADO LJ ALTERATION LJ REPAIRLJ CONVERSION DEMOLISH ❑OTHER ' Generator 00-5 KW❑S15 Kill I Trash Compactor Owneri Name- PM100¢ DESCRIPTION O,[.Y{O; BLDGt ' A.P. S Duct- Ventilating Address n'UUSEpF 1 G YJe.Cx� � I irese B FireplfFeN. Bit. ICBO$ Fire Dampers Arch/Eng. License No. TYPE OF PER GRA ING FOUNDATiG STROCTUR T Heating System & 00[ting 1 ❑6100,000 BTU ❑11AIA130 Register ❑ TENANT O ELECTRICAL O PLUMBING ❑ MECHANICAL B PLAN CHECK RS% S ENERGY P.C. $ ELECTRICAL GRADING $ $ PLAN CHECK 5M $ MICROFILM $ MECHANICAL PLAN CHECK 35% $ TOTAL FEE $ I SeGL� $ Address ❑ OTHER - A Contractor's Nem Ph0ng�T6F0 C $ 3 CMF PROJECT DESCRIPTION SQ_ FT. OOCUPANCv K Atldren (mailing) - CONSTRUCTION TYPE VALUATION$ S P/� LY City License Np. ZONE GRADING CV.VDS: ACRES - PIfIE LICENSED CONTRACTOP DECLARATION / O 1� I nareb Cpfflres that I am licensed notler prOVlslO /Charter 9 $p gemarkA -7D Flat with se Ron 70001 0l DivI310n 3 OI rhe Bus! fid Pmfe �s C and VA I my license Is In full for e spend sited / s Defense nesis Oslo - Signetum PLUMBING FEES WORKERS' COMPENSATION OECLA ATION Bar Sink Showers I M1BHby afflrm that I have a timeliest of consent t0 -insure c r }Irate s o/ Workers' eampenutlon m3unn .o erne) copy �e safe ar Backflow Preventer -Ser vice Sink - 3800, Lab, C e0. r �`r th�� company T`VLr PoIICY No. Beci Irrigation Sewer ('ap Ifiea Copy IS the Cit Cer11f pyds tl wApthe city B Islp ad �O�� Bathtubs Sewer Connection Dale ant - i KERS EXEMPTION FROM We RKERS'd NSATIO ECLARone Solar CollecPiping It hun he nese not ea completed li a permR Is for one hunarea 15100) or DishClarifes Dishwasher Solar Piping essjssection thathe the nOf a work fair this tt Is Iss In env manna so as to becoich shallin few Winson mes sobleat to ete Still Forontains Snlar Tan4 Name: Adore% Drains Swimming Ponl wl5pa SinksI - Ursine) J arvice Outlets Water Closet errors ' WaterHeater of Sink - Water Service Motors 00.1 HP ❑1 F.A.U. I 0927 "4/(0/85 ELECTRICAL Automatic Washer Construction Pole Sub. Transformer ❑ 155 ❑BD, Cooking Unit Meter Cup to 100 Be Dishwasher Meter Cover 100am Dryers'❑Gas ❑Electric Sub Panel' Fen Motors 00.1 HP ❑1 F.A.U. I Inc. Solar ❑g-15 HP Fixtures - Microwave Device Boxes Pole Light Outlets 'Range Switches Spn Garbage Disposal ; Standing Sections Generator 00-5 KW❑S15 Kill I Trash Compactor 5.07 TL Or rho Contractor's License law (Chapter 9 (commencing with Section 701 Of: Division's of the,0uslnes4 and Professions Code) s that he/she i pt therefrom and the basis for the alleged exemption. Any violation of Section ]O^a1.5 p a Y aplenders tar a permlf ublects rhe appllont [o a civil Ity o%not mare than five nundretl tlouars 1650111. I, d5 O dor f the Property O y e pI0Y085 wirM1, gess oneoh role mm eastern n, will eo [M1e work. dna [h¢ slrucrur¢ Is not In[endeE fiere a e OF lion ]fee, mess dna P.ele%lonal Cadc Tne Conba<lots LIfAnY Law does he01 aIfP y worawner of a props OfY Wno holies or improves hereon. aha who cos knlmselfMerseu through has or der own e OIoY e, IfrOvldad that se ImprevOmen[s are net ntenaad re a for R If, however, the bmidl ng or Impfnvement Is sold within one year oe Com- Oletlon, inn owner wl11 haM me burden Of p'nving M1e/sM1e Oio nor dYlld Or Ise e IOr Ina out 0OM of W le). �0I. az owner of the pr0partyam exit% Waly cdntractlne wRn Imense0 ion- ra Cars td Cc hearnetthe profear 10. SllrOon ][aa, BuSI fieso3 ins Prolesslans Code : ma can trII z Ucan sa Law 5 t apply m a caner f prorperta who hullo r Improves thereon: dna who caner Iz ser Sucn projects rM1 rreceorp5' Iiceoe IUrsuent to fns 2onba r Limnse Law]. I am car that 'proof ( Shit Worker's Comoen%Uo sGranw snoula a p+obaeo m ❑ I am exempt enaa r Section ep. c.f5r tnb sawn Z O N reinspection Fee $15 (sue Fee $ 0 N Beinspe tion Fee G MECHANICAL FEES DEVELOPMENT SERVICES pEOUIREMENTS: Zoning Apwovetl By note BYlltlinp, APProwd $y DatO Appliation IMmd 9y Dam 10 - Boil¢r Hootl or TYf101 ❑ Canopy Type H ❑ FEES rho Contractor's License law (Chapter 9 (commencing with Section 701 Of: Division's of the,0uslnes4 and Professions Code) s that he/she i pt therefrom and the basis for the alleged exemption. Any violation of Section ]O^a1.5 p a Y aplenders tar a permlf ublects rhe appllont [o a civil Ity o%not mare than five nundretl tlouars 1650111. I, d5 O dor f the Property O y e pI0Y085 wirM1, gess oneoh role mm eastern n, will eo [M1e work. dna [h¢ slrucrur¢ Is not In[endeE fiere a e OF lion ]fee, mess dna P.ele%lonal Cadc Tne Conba<lots LIfAnY Law does he01 aIfP y worawner of a props OfY Wno holies or improves hereon. aha who cos knlmselfMerseu through has or der own e OIoY e, IfrOvldad that se ImprevOmen[s are net ntenaad re a for R If, however, the bmidl ng or Impfnvement Is sold within one year oe Com- Oletlon, inn owner wl11 haM me burden Of p'nving M1e/sM1e Oio nor dYlld Or Ise e IOr Ina out 0OM of W le). �0I. az owner of the pr0partyam exit% Waly cdntractlne wRn Imense0 ion- ra Cars td Cc hearnetthe profear 10. SllrOon ][aa, BuSI fieso3 ins Prolesslans Code : ma can trII z Ucan sa Law 5 t apply m a caner f prorperta who hullo r Improves thereon: dna who caner Iz ser Sucn projects rM1 rreceorp5' Iiceoe IUrsuent to fns 2onba r Limnse Law]. I am car that 'proof ( Shit Worker's Comoen%Uo sGranw snoula a p+obaeo m ❑ I am exempt enaa r Section ep. c.f5r tnb sawn ' L - - - reinspection Fee $15 (sue Fee $ 0 Beinspe tion Fee $15 Issue Fee $ 3 MECHANICAL FEES DEVELOPMENT SERVICES pEOUIREMENTS: Zoning Apwovetl By note BYlltlinp, APProwd $y DatO Appliation IMmd 9y Dam 10 - Boil¢r Hootl or TYf101 ❑ Canopy Type H ❑ Duct - Under Ground Duct structural r Refrigeration System - ❑0.100.600 BTU ❑100,000 8TU _ Duct- Ventilating r - ' SUMMAflV OF FEE$ BUILDING PERMIT $ Ir9• a-% SMIP . $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ Exhaust System ❑ Multiple ❑ System Repeir/Alteration FireplfFeN. Bit. ICBO$ Fire Dampers Date Ow hereby certify that I save d this wells a t mat -fns, aboge- Information correct. gf Yo comply!r 11 ci n a cou ty ortllnanus sand tauve51aw3ine5a-cl to nemgaco stru a entianeOUtProperty°or Inspection purpose Signature Oats Drivers' License o gs Heating System & 00[ting 1 ❑6100,000 BTU ❑11AIA130 Register PLAN CHECK RS% S ENERGY P.C. $ ELECTRICAL GRADING $ $ PLAN CHECK 5M $ MICROFILM $ MECHANICAL PLAN CHECK 35% $ TOTAL FEE $ I SeGL� $ - paimpeaion Fee $15 1%ue Fee $ 3 CMF 0865-66, raw. 10184 While - Building; Canary - Appllcanq Pink - Accounting; Goldenrod - Assol or CONSTRUCTION AND PLANNING . APPROVALS Permit # I- Date Inspector POOL & SPA APPROVALS Permit # Date Inspector l. -Te mporary Electrical Service or Pole 52. Pool & Equipment Location �I 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 i 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 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 Syslem - Final 14. Rough Plumbing, 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18, Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit 4#- ' 20. Rough Factory Fireplace 21. 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 ❑Gas OOil 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. FINALSTRUCTURE & BUILDING 48. Special Requirements Completed, 49. Electric Release to Edison - - 50. Gas Release to Southern California Gas'Co 51. CERTIFICATE OF OCCUPANCY No. Date - Inn all Spaces within heavy borne, Imes and sun all Appropriate CITY OF COSTA MESA P MIIz NO. CONSTRUCTION PERMIT �f �jg TRACT NO. LOT NO. BL G fri TYPE OF CONSTRUCTION ❑ NEW O AOD -0 ALTERATION OTlEPAIR ❑CONVERSION OOEMOLISH. II DT �3yz.�yC - %F - 0976 1/20/92 13.00 _ Project Address Own phone .Address �- - -\ \ - ZONING REGULATIONS :Arch/Eng. ( 1 - LicenM-NO. . DESCRIPTION OF WORK - - TYPE OF PERMIT ¢ -- - - ,�GRADING ❑ FOUNDATION STRUCTURAL -OTENANT'OEIECTRICAL OPLUMBING OW MECH/ICA ♦ A.P. S ZONE SET UUILUING� ST. rGO. 9RVEF. yl - - "" PLNjih WORMY PROPEIn p?YNL NE AtltlreB' - - - - '/ A LICENSED CONTRACTOR DECLARATION- I heaffirm that I am licensed under Provisions of Charter 9 (com- NIDE YARD 51 H T G - - --- - - rreby Ines3 rN e Ing withtl 1000) f Division 3 -of theBusiness aTHER- Professions Cc; my In full 1 0 1f t r: REAR YARD (TO PILI - - PROJECT DESCRIPTION p IJCOnN/'hIAJ/�5./1 _ _ _ - - l - _ _ rPKG. SPACE REO. __ - PROVIDED", . Dal .. SQ. FT. OCCUPANCY CONSTRUCTION TYPE STREET WIDTH -i PARK"FEE E. f -. WORKERS- COMPENSATION DELLAR 1 hereby affirm that I hard a cert Rcam of cons¢ t Sd -VALUATION ZONE .ZONING APPROVED BY DATE- rtiflum of kers Corest lion In[ la btlllled fv A, nw or. GRADING CU YDS. ACRES - •••_ _ SPECIgL CONDITIONS; tY'•of li<c Lab L1. ^��}JVp�r� No JL�WmpdnY t rtlfCpy.Is t. REMARKSu. - ehaloO filed with the City ' �,- _ __ ,•`F YCEANPTION F WORKERS' COMPENSATIONDECLARATION- - Permit (The ¢coon,need ratablehundred completed If me cerin t r n ndred ne n) 0 1.33] - -'- - - 1 In the mance of for h thismi is S d I 'hal 1 hell of employ any per300 y f tO PeCb d in -any PLUMING,.•,PLAN CHECK ELECTRICAL - � - PLAN'CHECK ' Suuetl ploy Eled,[ollle WorkeNPCOmDensallon}dws Ol. CallfO na__ BATHTUBS �' 'SHOWERS - -'SOnl _"' Date Signature FT, •GENERATOR- NOTICE: If after Ticking this declaration, y Should ¢come subject TOILETS. : :-URINALS -- - � '0=1 KW=1=1➢KW to the Workers' Compensation provisions of the Labor COdi. muit TRANSFORMERdi, forthi Comply with Such Provision$ Of this Permit shall be deemed LAVATORIES DOVBLE'LAVS APPLIANCE '10.50 KW�So+KW --- - keT`.�-" KIT.SINKS-"- DISHWASHERS - -'MOTORS' '�--03-Hp 1-IOHP CONSTRUCTION N LENDING AGENCY hereby affirm thatthereBach this pernlendi nlupdn[Y1mlbs0ir SEgVICESINKS '. SUMPS-"" -- NNC'SOLAR) -10.50-HP=- 50 HE the Cote of lh<wP3N IOa wNCn tM3 permit Is Inuetl�($ectlon`309] -FLOOR'51NK5-- --- FLOOR DRAINS -FIXTURES- - OVTL'ETS- SWITCHES'-� Civ. -C:1=: � .. � ..�. _. Cly. Uno_er'3 : _Name "` LAndere Adme3S -DRINKING FOUNTAINS y. - GAS TUBE SIGNS -' - .. _ _" _ '- - - 1ryTERCEPTORS �CLAPI FIER$ -" "" POCELIGHTS-- --' -'--'' OWNER'BVILDER DECLARATION- ECLARATION affirmthatlaexe011TomtheContractor's License Law for 44M1erebyymm SWIMMING POOL" ""-'P'TRAP" �-� - - "' -METE the followingreason' ISectlon-7031.5 BY31nes and-Fvelesslans cads:- Any city o my which requires a permit nstruct. alto, FO E$ VB _ WATER SERVICE-"y-AETERATION" 1 •PANELS' -'--MAIN SUB --- mprows,Oemalhtr Or repair any'structure:prier l oltsusuance,abom- quires llCeoseenP'Oranl lmtnesuch P aNSlons rmit to file lfn trae[torYmLlcemetUw - GAS SERVICE - OUTLETS -' � "• SERVICE-' _ - AMP (commencingwith auction 7000 3 of the Chapter 9 (COmm¢onsl 1 OI WATER'NEATERS - BTU OUTPUT --for f and beir ro the ,C mption.ridlei edlpxe a qae ✓e orlon Any violation f Section 103L5 by alleged Any vio'BCxP opt Schon 7031. SEWER COaNIQETONS TLtf a c can to a drll Penalty for a eeM1 o nithan dollars f morefirhundredIE50011Cin1 SOLAR TANK- 'COLLECTORS - - -' - -' -- - - - - 0-I, Ss owlier of -the pioperly:6r-my employee5'with wages as them Id Compensation, will do the work Add the Structure Is not Intended - Or offered for Sale. (Sectlen 7046,. BUSln019 And Professions Cutle: Tne - - - '- ISSUE FEE- CpntractoC Law does n t apply to an owner of a er rserty - ISSUE FEE ' - - - - - - -ICIA APPLICATION' APPROVED By - DATE - oLlcmn3e, Ile builds prows thereon, and who does such work film R Of through his Own employtts. Dr Itl d that i p oaf MECHANICAL "PLAN CHECK SUMMARY OF FEES Intended ar a tl - 10 q Improvement soldIs Within y f Completion, the'II n theburden f R did- t 0110 - 1 p T P P f' le). - �BVILOING- - or - proving p OI' i[h HEATINGSYSTEM 0.100,000 BTU • PERMIT •• SMIP ;§ woof -til -the prOpeb I MI Contracting, y licensed contractors m tai t the project (Section 7066, Bush ass AND OUCTING - 100,6601' BTV y l _E 'PLAN PERMIT antl•RoeesSans Code The Contractor's Litenze Law ews not apDlY to- CHECK f �/ ISSUANCE -E krt . - an Owner of property who pages or Improves tragical and who Can REFAIG ENATION 0300,000 BTU 'PLUMBING a tracts from-such-OroNtls_wtth-a contractor(5L Ilcasned.purluant to SYSTEM- • - .I-- -. ___". _ GRAD14G' 3 the Contractor's Lirense Law). 100,000! BTU PLAN CHECK S l 11•' O Iambkem0["under YttlPn -- - -Ii P.•C.far this BOILERS BTU - 'ELECTRICAL -li S reason - - SYSTEM REPAIR, ALTERATION PLAN CHECKS ! '. MICROFI LNb - TOTAL_FZES ". N. I herehgwM1ifif Mat i have rad this application and tatethat theatio`e Ch read EXHAUST SYSTEM MULTIPLE 'MECHANICAL E' - - mformatian-Is redT agr¢e 1p ply Ith ill' CISY'and c un y AN CHECK- E VANCE PC E_ Oetlio00Ces dnO Iaw3 relalNgta con atruc lion and hereby Authorize pA ntaD.ee dr till Y ro-Omer upon the ba. lo d ' prop ,ty to �$ - Slgnaw� FINAL FEE Aa Drmerrr uear o: $S v ISSUE FEE -- -. - -- - - - - CMF 0865.46 White-Buildingl 6nary-Applicanp Pink -Accounting; Goidenrod-ASSessor CONSTRUCTION•AND PLANNING APPROVALS Permit # ��Zj$D Date I�' POOL & SPA - - �` :. Inspectof APPROVALS Permit # ` Date • - Inspector 1. Temporary Electrical Service or _Pole 43. _ Pool & Equipment Location - -- - -•- -- 2. Soil Pipe-Undrgrn' _ Z 44. Steel Reinforcement - - - - 3. Electrical Conduit.Utility-Undrgrn _ _ 45. Forms - - - - - - .4. Electrical Conduit-Undrgrn 46. Electrical Bonding - - -- - - - 5. Steel ein orce _ _ 47. Rough Plumbing & Pressure Test'- - - - 6. Electrical UFER Grn _ - - 48. APPROVAL TO COVER-GUNITE- - - - -- 7._ Footings _ . _ _ 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, 0 Undr An, Test .. 9. Water .Pipe-U6drgrn,- - _ 51. Backwash Lines P-Trap,D' U n -dr rn' 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 _ - 14. Rough Electric -Conduit - --- •56. Electrical -Final - - 15. Rough Electric -Wiring - - - - - - - 57. -Solar System -Final ' 16. Rough Heating & Air Conditioning bd. Fencing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING - 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test - - Roof Framing-- "60. POOL/SPA SYSTEMS FINAL' 21. '- 22. Roof Sheathing- --- Frame and Flashin - - - - - - - - NOTES: 23. Insulation - - - - - - - - - 24.- Lathing &Siding 25. Drywall Nailing - - - - 26. Plaster Brown Coat - - - - ' 27. Electrical Power-Mpter-Final - - -- -;. 28. Final Electric -- - -- - 29. -Final Heating & Air Conditioning - - - 30. FinalGasPipe-Test i 31! Final Plumbing.. -_- - --• - - 32. Water Service -Final _ �� yL ' p1O1"" ••-•-__ 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 an spaces wlenln heavy border fines aha Ago an appropriate declarations. tr IATY OF COSTA MESA PERN�,T NO. CONSTRUCTION PERMIT C ado 3� TRACT NO. - LOT NO. TYPE OF CONSTRUCTION ly-ryEW O ADD ❑ ALTERATION O REPAIR CONVERSION ❑DEMOLiSM O OTHER - .. 45461-2125,45461-2125,y5� 11200.1. ,2/1,1/92 9.425 ZONING REGULATIONS ProjecrAddress.15,O Q. L L OwnerH _ �(PhOM ..jv AQCrCO Q F SO O - � Are'lEnp. ' k P Lhourns No. DESCRIPTION OF WORK " A.P. SF ZONE PLNG. REF. es Addrew; ' 4J,7rD^f 45114. Conlmcmr / / Ae._.Z_ Pmm /- O TYPE OF PERMIT 11 GRADING ❑ FOUNDATION 11 STRUCTURAL O TENANT D(ELECTRICAL OPLUMBING OMECHANIC 51 C ST. aa66VV ��pp XPOPEIRTYNLI NE Addresses 2 Z3 _I&A rri 6E LICENSED CONTRACTOR DECLARATION 1 hereby affirm nsed uvovesielCO (COM. wlseclon000) of Diision3ofthBunss Rolesslons Onde, it my license Is In of lone and effect Lltens�e /Cl�as�s ���� yes License o ='Y O OTHER PROTECT DESCRIPTION OCCUPANCY _CONSTRUCTION TYPE VALUATION ZONE I REAR YARD ITO Pi :PKG.SPACEREO. STREET WIDTH ZONING APPROVED BY PROVIDED PARK FETE GATE WORKERS' COthat I hani DECLARATI a hereby flost allllm that niW a nation i OI sent l0 certified ora 't nor (S OI n 3800.' Cs. C-). Compensation insurance, or a cerlllletl ropy nor 3800, loo. Q). FiLE/YOA/r GRADING CLL YDS. ACRES SPECIAL CONDITIONS: nv D_!n leyCe NpdC R/ hs'nura_hed. ❑ Certified Copy Is hereby th t furnished. ❑ PYIs with he OlviN REMARKS:Certified �. OI WORKERS' EXEMPTION E%EMPTION CyMPENSg COMPENSATION DECLARATION D - sed n tbe Met10n nese not DO COmpletep If the permit is for one hundred �TIIII EIe00r less;. env pro»e in any winner So av tpermit Sesu E r II tlne hot thePerformance becamle eject to the Workers Comcenutlon Laws of California. PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK BATHTUBS SHOWERS Date 519nature NOTICE! 11 alter making this declaration. You Should become subject to the Workers' Compentatlon provisions of the Labor Cods you must forthwith Comply With such provisions Or this permit Shall be tleemed TOILETS URINALS LAVATORIES DOUBLE LAMS GENERATOR 0-1 KW_ TRANSFORMER APPLIANCE 10-50 KW�50 1-10 KW a KW yoked. CONSTRUCTION LENDING AGENCY KI T. SINKS DISHWASHERS MOTORS 0.1 HP_I-10 HP y w formalereby affirm that of the Worke(Orlshich thiscpermit 16 Issution lending edn(SaChat 3097 SERVICE SINKS SUMPS (INC. SOLAR) 1050 HP $OSXP Dr. C.). sender's Nome FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES t,e L2ndm'S Address DRINKING FOUNTAINS I'GAS TUBE SIGNS OWNER BUILDER DECLARATION 1 homer, affirm that 1 am exempt from the Contractors License Law for the folowing reason LSaC1I0n 9031.5 Business and PrOISsi Co00: Any city a county which requires a permit to construct, alter, Int prow demolish or repair any structure, prior to Its Issuance, quires the also re. op. hound for such permit t0 file a signed statement that Me INTERCEPTOR$ CLARIFIERS ROLE LI0MT5 SWIMMING POOL PTRAP PO E METERED SUB WATER SERVICE ALTERATION 't PANELS MAIN SUB Is licensed pursuant to the provisions of me Contractorni License LaW r the lRd6si0os GAS SERVICE OUTLETS SERVICE AMfagpw _ WATER HEATERS BTU OUTPUT - IYSI4ChaO Hsand Co elwitcor that nctlen B IS exempt tthersimlefrom and the wSis r the alleged a Gtlon. Any violation of Section 7031.5 by any es applicant for Farm lt subje ll the applicant to a cNII penalty f of more than IIW hundred dollars (251100). the Or as Mvo Ole SEWER CONNECTIONS _ SOLAR TANK COLLECTORS nd trice[ uncture Is not Intees Compensation,Will Gootheywork, a Or offered for Sale. Gaction 704Law does 4, Business and ROwfeSsloner oM Code: The Conwhot!bunds or mprows thereon, and whoto an tl es such work himlf Suddenly through his own employees, Provided that such Improwments are not SOLAR PIPING SYS. ISSUE FEE 1550.E FEE APPLICATION APPROVED BY DATE - MECHANICAL PLAN CHECK -HEATING SYSTEM 0 300,000 BTU ANO DUCTING 100.000 BTU REFRIGERATION 0-]00,000 BTU SYSTEM - 100,000 a BTU SUMMARY OF FEES" BUILDING - PERMIT - S SMIP Elike' PLAN CHECK E _ 'PERMIT PLUMBING If ISSUANCE S - GRADINGE PLAN CHECK E Intended Or offered 10r said. If, however, the buddlisr Impmyemem Is Sold within one year of completion petion, the owner will have the burden 1 Proving he did not build r urnrove for the PurpON Of 10). O I, a owner of the properly, am exclusively Contracting with and SeOMMIcatanon m construct the project License Law C es not Business to aan nd weer of property who buildssoor iurmvethereon. and twho mess- tans Imm Suchprojects with a mntractorls) Ilcelnetl pursuant to the Contractor's Ucenw Law). ❑ 1 am exempt under gaff B.4 P. C. for this BOILERS BTU SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE 1 ELECTRICAL E ,PLAN CHECK E - MECHANICAL E PLANCHECK s " E - MICROFILMS "TOTAL FEES LESSAO- VANCEPC E_ FINAL FEE E Daen GalteOwner "- I hereby certify that l how read this application. and slate that the abOw InformallOn Is correct. gree t0 11111 ith all city antl toll ty state laws sialine to ^Onslups, tantlhole mentioned representatives ap1nanci Ups to this my to ter Lipo t{w show Ili prOpgrly Idr ti00 Pur _ E Slgnatum Date Z %O TZ Unions License Offs ISSUE GEE CMF 0065-46 vvlite-Building:CaNry-Applleamr Pink-Accounthrel Goldenrod -Assessor CONSTRUCTION AND PLANNING 1 :t G. %. (GJ Date 'Inspector nAPPROVALS -' Permit # t POOL & SPA, - - -Date •- Inspector -APPROVALS, .. Permit # 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Undrgrn - - 44. Steel Reinforcement - - 3. Electrical Conduit Utility-Undrgrn 45. Forms - - 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding. - - - 5. Steel ein orce 47. Rough Plumbin& Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. Footings - -49. Electrical Conduit-Undr rn 8. Foundation _ "' 50.. - Gas Pipe„ 0 Undr rn; Test - ' 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap- ❑ Undr rri - -- - - 10. Structural Floor System ' - 52. APPROVAL TO DECK-- ---' -- -- -- - - 11. PropertySewerLine & House Connection - 53. Backwash & Receptor -Final - 12. Street Sewer Connection - r' - -_ _-- 54.- Heater & Vent -Final 13. Rough Plumbing - - - -- - - - - " '- 14. Rough Electric -Conduit - -- - ---- -- - - 56. Electrical -Final - -15.- 'Rough Electric -Wiring- - - - " -' - - 57. Solar. System -Final 16. _ Rough Heating -& Air Conditioning - - - - -50. Fencing & Access Approval 17. Ducts, in Structure 59. APPROVED FOR PLASTERING 18. 19: 20. Ducts, Ventilating _ _ Gas Pipe -Rough & Test , " ' _ - Roof Framing_ 60. POOL/SPA SYSTEMS FINAL ,• - - 21. 22. Roof.Sheathin Frame and Flashing NOTES: 23.. '.Insulation 24. Lathing &.Siding 25'. Drywall Nailing - - - _- - - •` 26. Plaster Brown Coat r -_ _ - ' - 27. Electrical _Power Meter -Final 28: -Final Electric '_ _ 29: Final.Heating & Air Conditioning- 30. Final Gas Pipe -Test 31. FinahPlumbing _ - 32. -Water Service -Final ! 33.. Gas Service:Final 34. Solar Domestic -Final .. 35. Landsca e 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 - - - - Appnanl ro Iles In all spaces within Meavy border Ilnes Bad sign all appropriate declarations. CITY`§F COSTA MESA PEST A CONSTRUCTION PERMIT ND. L3 /a TRACT ND. LOT NO. BLOy. O. f"/ - O�f1 cZ _ 0780 1/18/82 486019 Project Addles 35005 cadillw AV �y�ypE OF CONSTRUCTION 559T ❑ ROD ❑ ALTERATION - - Gw Phone _ Address ❑ REPAIR ❑CONVERSION ❑DEMOLISH ❑ ZONING REGULATIONS AICNEng. _ License No. 428q OTHER ON DF WORK O❑ESOCTRNIEP A p saft Accurate S N Z5RO PZL REFI SR Convector iR�B 'm Ph6ne p IIpOEHE TPG1 GI pR.NE Address C COOACOR nO N hereby affirmthat I am ed ander provisionsOI Charter 9 ((MIm mt.- T all Section 700) f e 3 Of the Ba nes mY R R01BsOM Cods, and Ilcatnsa Is In full forced 1<L REAR YARDITO �vN P/ PROJECT DESCRIPTION IJcaneClass T L<eme No. OA000 D SOFT. NZ77 - - � OCCUPANCY�CONSTRUCTION TYPE _ V—N PKG. SPACE REO. - STREET WIDTH ZONING APPROVED jjz PROVIDED (]Q PARK FEE E 0 PATE DataSignature Cm DECLARATION -- that I haven 1 M1¢reby a1Rrm Ma[ 1 nava a Certificate Of Consent to seltinsurs dr a //'J. OZO VA WATION ZONE ZY _herWORKERS' -IltOate 1 Workers' CAmpon Wtlon Insurance, o a Certified COPY GRADING CU. .V CE. ACRES SPECIAL CONDITIONS: 166"tIF-Company FLE'a=t InIm. :y No. keertllled copy is hereby furnished. - - - REMARKS: d. d CertlRed copy is flied with the my Building Oleieian. 13/ MOLD FOR SPECIAL.REQUtHe N i a EXEMPTION FROM WORKERS' COMPENSATION DECLARATION _ (This section need not be Completed if the permit It for one hundred the of work [Or 1uued not employ any "teance l snail m In any manner sse o asito become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK bioCl IO the Workers Compensation laws of Califarnla. BATHTUBS SHOWERS lot Er sin F Dale Signature NOTICE: If alter Making this declaration, Yvu should become sublaCt TOILETS URINALS GENERATOR 01 KW_ 1-10 KW to the Works"' COM rhn tion provisions G( the labor Code, you must TRANSFORMER - foNhWllhCOMPIyWIIM1Such pr0yI5MIKOrthis Permit Shall be tle6metl LAVATORIES DOUBLE LAYS APPLIANCE 10'50 KW -50 a Key evoketl. - - CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS MOTORS 0-1 HP -1-10 HE I hereby affirm that there Ia cemtluellIm lending agency for the liar- $ERVICEISINK$ SUMPS G (INC. SOLAR) 10-50 HE 50 t HP formal OI ills work for which this permit 15 Issued (SIXtbn.309] �T' - - Cie.C.I%.� s OLOOOV SINKS FLOOR DRAINS `-\ • s'S'. C•\' FIXTURES OUTLETS SWITCHES LBISISA name [ypjjq paj=-Bajnk. - f L ender rs Muscat _ ,DRINKING FOUNTAINS GAS TUBE SIGNS INTERCEPTORS CLARIFIERS - Q .�\ a POLE LIGHTS OWNER BUILDER DECLARATI N ' '. Iereby alllrm thatI am exempt from the COntractor-S Lbrody Law f00 - _ _ - SWIMMING POOL PTRAP r tuf"raPOLES METERED SUB [n0 f011OwIng M (Section 7031.5 Buslirss and Professional Goes; whichfaOall cltydeOIISM1 constructali05 WATER SERVICE ALTERATION PANELS MAIN SUB Orcounty toAny illYo3buClYre. prbrpermillo Its Issuance, re. far such to Ills a Signed M1B Permit itatem¢n11M1e1 IsUPeIihmD appuMnl is licensed pursuant to thye provisions of the Canifactor's Ucense law I GAS SERVICE OUTLETS SERVICE AMP on 3 of the Cl dheryfrimand �hlaasb gd(RdKSIOnis m` WATER HEATERS .BTU OUTPUT COdal tel he lSexempl the ails afofatae,allor hg ex m pll one Arry%vIOTallcmPel Of 3to's SEWER CONNECTIONS - ) y a pilo est a civil pon fi permit applleant'lo`a clod penanyi edPdolla s ( an Pi noP a Man tee hundred donors (SSPo). o SOLAR TANK COLLECTORS Ot Me property. of wages ❑le and comosvner, the sole cored will do -7 work, and the tore leads tender p The - d Rifuis for -Sten. 4.no Business andCarlo, The e58aw or otracto of,a $OLAR•PIpING SYS.' r ISSUE FEE - % License does Ower 0rom Cior'3 Llimpr Law does not belly l0 f 040 NOOeHY ISSUE FEE ' '' r • ' " L_ APPLICATION APPROVED BY DATE who I and Such Work himself or no bIf onmannems his ownred eS, rOv at Such IM1rougM o that Such ldin? are notent PI,QOWeyeA • - oweId0d for De; -or Did, OF Improvement' Is oldOwithn Owner wit have mthe burden nfor wglraye4Oeboi ..MECHANICAL a j' ?LAN CHECK' U t SUMMARY OF FEES prvinn onee year of d 101build t Improve he EIa m buop Crr �mm for NOvpurOOM t lith •ANDOUGSVSTEM�O.l00.o0oBTU BUILDING %F% w 9 1,avin9 ❑I, as owns OI the am O ( PERMIT E SMTP' E ^roeNy, eCIUS1etion-7044,B�iniss licensed Va to Co buCtctor'S OICCI( agry00VCTING - �. `]00,0000 BTU PLAIN CHECK f PERMIT Th Law does no,apneXsf and es LNOnse Law tides not ap or ISSUANCE 3 is who -builds ar improves tnicame ono who roes- weer of property con- an of REFRIGERATION.' 0-100,000 BTU PLUMBING E 1 uch WH DSWith d CDnlactogs) Ilasnetl)pdfsuan[ to SYSTEM GRADING $ A eonto IouS LIunING[�iw,ih 100.000+BTUr a PLAN CNECK1 $ ❑ 1 am ex m un often B.6 P. C. for Nli BOILERS BTU ELECTRICAL - IS 3 rea50 SYSTEM REPAIR, ALTERATION PLAIN CHECK 3 MICROFILM f TOTAL FEES Cut an MECHANICAL $ I erebycerll IttI Pact isaspllation and s[atethal NeabOW EXHAUST SYSTEM MULTIPLE LESS AD - mation ed ate to Comply Itn all city and county CHECK S VgNCE PC $_ eolOrrotation he roman da :la Ir tenterma the arm YTe NPng s Ito ly r �Pnn he nupn.d or more ny ' or 6 C Sign FIt NAL FEE 3 Orivers'L qF ISSUE FEE - CMFOp65-d6 WMlte-Bulltllnq; pdry- DD lcan:-nk-Accaunlinp; Goldenrod -Assessor CONSTRUCTION AND PLANNING ^ APPROVALS Permit# d-a� Date Inspector POOL & SPA A4RdVA1S 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 ein orce -�/_� 11" 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 3 Br '%✓f 48. APPROVAL TO COVER-GUNITE 7. Footings 16.0r .ra 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap. Elndr rn 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 Plumb*na System - Final 14. Rough Electric -Conduit :56. Electrical -Final 15. Rough Electric -Wiring 57. Solar System -Final 16. Rough Heating & Air Conditioning encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing _ ;L 6 211 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frame and Flashing -17-8;�- NOTES: 23. Insulation •-,ld �yL !•-.fAcyL.' ✓� .Sli-� W LL C 24. Lathing & Siding - 25. Drywall Nailing g -e6:: A121 26. Plaster Brown Coat 27. Electrical Power Meter -Final /- 3 28. Final Electric c1- - 29. Final Heating & Air Conditioning _g * o I7.4/s 30. Final Gas Pipe -Test 3,d. 31. 32. 33. Final Plumbing Water Service -Final Gas Service -Final k Q V dA16 -/�/- gaZ IV, io 6 14 1f.L 1A 34. Solar Domestic -Final ell, 6 ^ 1 - o 35. Landscap.2 S rinkl'rn System OAA All 36. Sound Attenuation G •r O 37. Handicap Regulations ni ANS ? 38. FINALSTRUCTURE&BUIL DING - 39. Special Requirements Completed 3 82 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date r' 7 CITY OF COSTA MESA BUILDING DIVISION � DEVELOPMENT SERVICES DEPARTMENT PERMIT PERMIT NUMBER B98-01498 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3505 CADILLAC AV Status: ISSUED Suite: H Applied: 08/19/1998 Vicinity: BLDG W �, Issued: 08/19/1998 Parcel Nunmber. 13966118 Zoning: Applicant: SANDOVL, CHARLES Address: _ - --"Phone:-'714-528-3073 - ;Zip: - Owner: CAMBRIDGE PARK PARTNERS Address CORELANDIDONNER 1 ), _ •� • - �� . \ \`� NEWPORT BEACH'CA Phone P;O BOX 9184 � �% _ ` Zip: 92668 Contractor;" EVANS ROOFING COMPANY INC Address. 01101 E CHESTNUT \� ��. .' � • Phone: %SANTA'ANA• CA Zip 92701 .ii License: 610549 "Arch IEng: Address. Phone •. l ,_t,'_ Zip: License: ' SCOPE OF PERMIT T/O EXIST AND INST PLY CAP SHEET. L FEE SUMMARY Plan Check: $0.00 r �,_� rl�, �,.� �'1.x�11:-Calc Valuation: $8,900.00Permit. ' $149.75 Claim Valuation $8,900.00 SMIP Res: $0.00 l SMIP Com: $1.87 / y Other:. .$0.00 Inspection:. `$0.00 � rn Total: $151:82 r �• - , f' PLANNING & ZONING - SETBACKS MAIN STRUCTURE,Front '0-0- _ Rear 0 Left ' 0-'0 - Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left _ 0.0 Right 0-"0 PARKING Existing: o Required: 0 Proposed:. 0 NOTES: 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) 7545626 DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 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' cam ensati Insurance writer and policy number are: '] /� / Center: 2 �r- Policy Number: f` :5 —( '7 — 2D (This section need not be completed I/ the permit is valued at one hundred dollars ($100) or less.) ❑ 1 certify that in he09imamnce. thework for hich this permit is issued, I shall n empoy any person In any manner so as to become subject to the workers' compensation ifolaa d agree that oultl become uhject to the work ' compensatlon proNslons of Section 3700 of the Labor Cotle, shell forthwith with lh sns. (cant Sig lure: Date: PILURE TO SECURE WORKERS' COMPENSATION ERAGE iS WFUL ANO SHALL SU PN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL.LARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: hereby affirm that I e 'ce nJJer�ro of Chapter ommencing With Section 7000) of DI si 3 of the Business and Professions Code, and my license is in full for ct. Lic. U KA Class 4 lv ontracto natur : Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued. (Sec. 3097, Civil Code). _ 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 ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who build$ 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.). ❑ 1, 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 10 the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ 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: ❑ 1 hereby certgy that no excavation live (5) or more teat 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? ❑ 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 compressetl 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? ❑ Yes ❑ 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). ................................. ..... ....................................................................................................._................................................. ...a .es . 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 are 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 ❑ No .............. .............................................................................................................................................................................................................................................. 5 Does or will the epplicent 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 Distinct or from any other air pollution control district or agency? LJ Yes LJ 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? ❑ Yes ❑ 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 Distinct 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? ❑ Yes ❑ No ............................................................................................................................o..........of-.-............ ................................................................... ................................................... .... 8 (If yes", adach 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 r 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 iltli construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection pu case. I agree not to occupy or alt w panty of any building authorized by this permit until final inspection. Signature Legal ner(s) A t ica Date� ODE INSPECTION TYPE PATE IIIIALS CODES INSPECTIONTYPE PATE INTMAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final / 208 Final Plumbing 200 Final Re -Roof "/ 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 244646 fill m an apace: within nasty border linea and sign all appro;rlale a cia"Ationz. CITY OF COSTA MESAPERMIT , CONSTRUCTION PERMIT NO, XT -S(0/0, TRACT NO. LOT NO. BLOG:NO." r - 5 PM 81-380 21 H TYPE OF CONSTRUCTION '� M NEW ❑ ADD ❑ ALTERATION REPAIR ❑CONVERSICN- ❑DEMOLISH ❑SCRIPT _ DESCRIPTION OF WORK t.,e ' 1 A.P. ff TONE 628I 5/54/82 24L42 '• - ZONING REGULATIONS _ - - - PLNG. REP. Prolea Address 3505 Cadill.aC AVe.- Bldg. H ownerRarkPhone 2-5515 'Addr¢a 1301 Owe St. .Star '/60 Newport BEgj] 'ArehJEn - '' Llcenze No. g' Hones—Peters _ IAdorMa - -, E A11 Santa Aild - . Wntracnpr � -'a - Ph6ne' - TYPE OF PERMIT.r h _ - ❑GRFD,NG' .'❑ FOUNDATION ❑STRVCTl1RAL- '❑TENANT D-ELECT,RICAL'OPLUMBINGE)MECHAI ' ❑OTHER "- - PROJECT DESCRIPTION y',- - --� %--- _ - g �� SsgTT. Al .. _ OCCUPANCY Y CON RUCTION TYPE I o oo �� VALUATION ZONE, ET A I0 VARO YAHU .RIGHT rgEAfl YggO1 PKG. SPACER O. STREET WIDTH '20NING APP aq8 ING V LINE - \ 1 ��• - ,rP0.0VIDED, PARK FEES Y.. OA _ �Atltlreu _, - - LICENSED CONTRACTOR- DECLARATION'-- I botany affirm seal I am tasseled der Provisions Of Charter 9 com- Ing lin tion 70001 01;O1vI51on 3 f the Buslness and' Professions Cade, and my noonse Is In full form and ell t. L sClass Uu N '.O t 5lgreture 1 WORKERS'COMPENSATION DECLARATION !I_M1¢reby aflnm that have a certificate of inn Nnl to YII Insure r a p ot1oM 1 Workers' Compensation Insurance, Or a COrtllle0 ropy lot (ligation ISOCIIon 3800. Lan. L.1. CU: V.OS. ACRES SPE CONDITION : _GRAOINO _ _ gEMAPNS: _ _ No. Co P Y �G Cee rtified copyy I filed w to 1 M1 ty Building - - - - ❑CertifiedPTIO ropyOfiled with M¢'COMPENSTlOND EXEMPTION FROM WORKERS' COMPENSATION for one gTION anon need not be completed It the Permit It for one hundred - -- $10' �EUGoi or In t11Y that d the ployanyperformance of inn work rove wnlrn this ,beco 1 Issued the t Piny any person in any r az to bet bled to the Workers Compensation Laws of Ullfoanle. _ PLUMBING t: -PLAN CHECK - ELECTRICAL - PLAN CHECK - .. BATHTUBS SHOWERSEQ F7, Data ' Seha\ues I NOTICE:If aster making this declaration bommas6hicl to the Worker Compensation Provisions of IDe len r Code, you must- forthwith comOlY With such provisions Or this permit Shall be declined -TOILETS q - -"URINALS- -- - - _ _ _ LAVATORIES DOUBLE LAVS GENERATOR 'TRANSFORMER 'APPLIANCE 0-1 KW_I 10KW - 10:50 KW=50 a KW volved. - - - 'CONSTRUCTION LENDING AGENCY _ _ KIT. SINKS DISHWASHERS -- MOTORS 0.1 HP -1.10 His I hereby afNlm test there 150 Construction lending agent fOl the per- formance_of the work Per which this Permlt is [Road IS¢CNOn_3097 SERVICE SINKS -, SUMPS �I'- - NNC.SOLAR)'- I"OHG S01'HO - _ _ _ DRAINS FLOORSINKS FLOOR DR IFIXTURES OUTLETS SWITCHES`-- - - 'n G1.Oer's Name Len. U Lender's Antitrust DRINKING FOUNTAINS - - GAS TUBE SIGNS OWNER BUILDER DECLARATION- I hereby affirm that I am exempt from the Contractor'$ License Law for INTERCEPTORS CLARIFIERS PROLE LIGHTS SWIMMING POOL - PTRAP '1 - PO ES - METERED' SUB - the following reason (Si 1031.5 Business antl - Professions Code: 'Any City Or OtY which requires. a permit to onstruct, alter, WATER SERVICE ALTERATION PANELS - - MAIN - - SUB- ( I Improve, demolish or rehab any structure. Prior to Its Issuance, also re- quires the aP'n11Gn[ fors n permit to file a signed statement of he GASSERVICE OUTLETS 'SERVICE - - - "' - --' AMP Is llcAnsed pursuantinstep rovisions of the Conlracorfs Licen a law Yathe 9 Kommendn9 with Section 7000) of Division 3 f the and RmhommS Cade) or that lie Is Oxem t InerMmm and the ii.lor the alleged e% motion. Any violation os Section 7031.5 by rml, WATER HEATERS BTU OUTPUT - '- - - SEWER CONNECTIONS anyapplicant for ubiekb theapplicantto a civil pen Ib Y fnot more than find hundred dollars ($500). ❑ 1, az owner of the Property, or my employees with wages as their or offered for compensation,will $ too 7044 rBusinessnd nandrROlessions Code! Thhee _ _ __ SOLAR TANK- COLLECTORS SOLAR PIPING SYS. - ISSUE FEE - - ;Cantmctor's License Law does notsellpally to.an owner of a properly or buiIhis dpro - - - -- - - - ISSUE FEE +gppp[gT10N APPROVED BY -"-' GATE ownmemployeprovinges.reonprovided-that such imdoes tbaugh improvements arehimsellnot MECHANICAL PLAN CHECK HEATING SYSTEM 0-100.000 BTU _ AND DUCTING - IG -0,000 a GTV - - - IPEPMIT BUILDING fJ1"l-�-iG - ,PLAN CHECK E - SUMMARY OF,FEES Lj SMIp ,E " q -� PERMIT -ISSUANCE S btanaea 0, offered far sale. Npha ever me bullmng or Improvement IS s010 within one vear.ef Com letloa, the owed, Will nave. the den 'rl�pmvinp he did not build or improve for lM1B pUr005e I N). .^ 1, as owner of the prroperty, am' x lu Italycontracting with licensed contractors to Gael 6 proIOal (Seal ton 7044, BusInns and Wofeuions Code: The Co c 's Llunse Law tlpes'nel apply to erimp[Q an _ r Of property who bai05 DiBaon, and no can- ItracH from s h Prolocl5" 'lh' on\IB OT(il IIc01o06 is fly [' [O IM1O COnbe C[oIY IJCeoSe yen. _ ❑ mpt under $ac r /tori Ms laM _ /r �� an, REFRIGERATION 0-100,000 BTU i -SYSTEM - - ]00.0004 BTV-•1 SR `A_; BOILERS BTU SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE _ s - ISSUEFEE , PLUMBING - - - - S PLANCHECK t' ELECTRICAL S PLAN'CHECK E "'MECHANICAL S_ ,PLAN CHECK t - _ GRADING S - - "- - - f MICROFIIM.S TOTAL FEES LESS AD- VANCEPC 5 •,C .. -92 FINALPEE E O O I !r1j'eraVf by 1'fy cmW haver this p n 4state th he above o¢tlla,matl Is RBCC_ of Ih all ty nd sly Illdmance and olaJa t In t �' and.M1Ne Yau1M1 clap, fdpref tit lCtniz' - \ [ha -abii a bled PrepeN 1 Ct)O� 51g\nd /I Dovers License or 5s gr CMF 0865.46 Whlta.SU lldm�l'UOa OrtApplicants Nn k -Accounting; Golden rod.Asutmr I ° CONSTRUCTION AND PLANNING APPROVALS Permit # 5-3 4/o Date Inspector POOL & SPA APPROVALS Permit # Date - Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - 2. SoilPipe-Undrgrn _ 44. Steel Reinforcement 3..., Electricalnduit�Utility-Undrgrn. '_ \ 45. Forms - -4. ElgctriW Conduit-Undrgrn _�_ �' '� 46. Electrical Bonding - 5. Steel ein orce • 47. Rough Plumbing & Pressure Test _ 6. Electrical UFER Grn ' --48. APPROVAL TO COVER-GUNITE - 7. Footings-,: t • ,,'" 49. Electrical Conduit-Undr rn 8. Foundation_ S _ _' 50. ✓Gas Pipe, -0 Undr rn,, Test 9. - Water Pipe. Undrgrn 51. Backwash Lines P-Trap,ndr rn 10. Structural Floor System - _ 52.. APPROVALTO.DECK - - - - -11.. :P-roperty Sewer Line & House-Corinection 53. Backwash & Receptor -Final. 12. ,Street Sewer Connection_-- - 54. Heater & Vent -Final 13.�,Bough Plumbing., - "_ •, ) - - - - Syrstern Final- - - - - 14. Rough Electric -Conduit - -- - - 56. Electrical -Final - I 15. Rough Elec$ic-Wiring - - - - - - 57. Solar.System-Final 16. Rough Heating& Air Conditioning -- - - •. Fencing & Access Approval- ., 17. Ducts in Structure _ - APPROVED FOR PLASTERING 18. Ducts, Ventilating - - _ _ 60. I POO L/SPA_SYSTEMS FINAL 19. Gas Pipe -Rough & Test - _ 20. Roof Framing _- 21. Roof Sheathing- NOTES: '- - 22. .Frame and Flashing - _ __ _ 23. Insulation 24. Lathing & Siding _ - 25. Drywall Nailing 26. - Plaster Brqwn Coat -- 27'. Electiical 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 • r 35..: -• Landscape Sprinkling S stem\ r _ 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 `�� i- �. :No: Date + -- . 3505 CADILLAC AVENUE UNIT Jl Applicant to fin in an .Paas within heavy border Imes and sign an apnropriale demrn ions. G CITY OF CPSTA MESA PERMIT NO. TRACT NO. LOT NO. - BLDG. NO. CONSTRUCTION PERMIT E= 3 J-1 TYPE OF CONSTRUCTION E.NL'W ❑ ADO E3 ALTERATION 0 REPAIR 000NVERSION ElDEMOLISH /{ Z%iSg�e� 23.5_2 Project Address 36'Di ,747 prig Owner 7�j,/ - Phone �- Addren SU. B. fQ/ A I _ At. ❑ OTHER OF WORK A p he ZONING REGULATIONS AreF/Elie'If Al LiCBnse NO. AddressSCRIPTION Ss AlE_ 04LMOV ZONE PU G.REF.yP .Contractor / C'luCeS olr4dl Phone h ' TYPE OF PERMIBUILDING T ❑GRADING ❑ FOUNDATION [3 STRUCTURAL ❑ TENANT X7ELECTRICAL []PLUMBING EIMECHAMQAL SETBACK CYL ST. FMYARD YARLI- N Addre55 gW 7 ai 4 R!_ SIT AorlissAirioll LICENSED CONTRACTOR DECLARATION I hereby affirm thhCt 1 am licensed der provli ons 01 Charter 91Can - f under f a ❑OTHER T mencing IN lion 70001 3 the Business Professlons lfcen Is In fun fora a IfecL REAR YARD (TO P/U Code, and y �'�/� ppy ��'...,,,ppp PROJECT DESCRIPTION Lltease LCC ryy e.5e�:y. 50. FT. PKG. SPACE REG. PROVIDED Y2s2 P7 Ay /Ji/-nd.I Signatureesew• 1sT signature,pate / OCCUPANCY CONSTRUCTION. TYPE STREET WIDTH PARK FEES WORKERS•COM PENSATIONDECI-4111 N' I hereby affirm that 1 now a certificate of consent to self -Insure Or a VALUATION ZONE ZONING APPROVED BY DATE r-•lfllwte Of Workers' Compensation Insurance, ora andbed COPY GRADING CU. YDS ACRES SPECIAL CONDITIONS: ♦I t5ean 3000, Lab. CJ. di .Y rvoAaO/g'nuaycCHOlE^/l/YA�O, LI Lertllletl copyyIS herebyy furnished. REMARKS: ❑ Certllled copy B filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION need not be completed if the permit Is for One hundredss I` 1This's 011on for osiio SSCWai 1 snail nut employ any ve son in any elaco reform PLUMPING PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers COmpenmtlon LO Ws of California. BATHTUBS SHOWERS GARAGIE an FT Date Signature NOTICE: If after making this declaration, yOut Should become subject TOILETS - URINALS GENERATOR TRANSFORMER 0-1 Kill— 1-10 KW to the WOrker' CCmpareallon provisions of the Labor Code. You must forthwith comply with such duyIdOnz Or this pnmlt [hall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW_50+KW favored. CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS MOTORS 0-1HP-1-10HP I herebyCONST frustapar- affirm that thereorIs aWhich SEflVICE SINKS SUMPS (INC. SOLAR( 30-30 HP -50 +HP ch this per it If Issued (y formalin Of tae war for Icn I: permit Is Issnae ISecnun 309> lOrManC FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS -' WITCHES Civ. C.). ' Celiac['. Name GRINNING FOUNTAINS GAS TUBE SIGNS OWNER OW NER BUILDER DECLARATION BUILDER INTERCEPTORS CLARIFIERS POLE LIGHTS 1 hereby If ling that I am exempt from the COntraCtorT LICOOee LAW for [ae 10110 WIng r0 (Section 7031.5 Business and Professions Cotler " Any o O my which reaulr¢s a permit t0 construct, alter, SWIMMING POOL PTRAP POLES METERED SUB WATER SERVICE ALTERATION ;� PANELS- MAIN SUB' r oily Inge demolish or repair any structure, prior to Its IS5uance.also re. pubes 1116 ap..pant Or such permit t0 file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License taw _ GAS SERVICE OUTLETS = SERVICE AMP 191;_ of ter ntl tFdmsloniCode) lls WATER HEATERS BTU OUTPUT or that heion atUuess andexempt therefrom and and tha {^s for alleged ¢xemptlon. Any Iolation of Section 7031.5 by SEWER CONNECTIONS f Subj ct$ AppiCant to a Civil penalty appml0 than flwehunit Ofrroor Btl ollt Ie SOLAR TANK COLLECTORS ' ❑ I, as Of the property, Or my employees with Wages as their III tlO the work. sole compenselen, and the Structure Is not intended SOLAR mvIrvG SVS. ISSUE FEE roffered Busmesiandoa Professions Casten The ctor's Isalo CenSOSeaw does f .properly ttnm Law noes 1 zoply [O APPLICATION APPROVED BY "PATE Who builds r es Or who Or improves thereon, and who does Such work ISSUE FEE S is are gh his thatsuchcn Improvements are not IMOupn Ms Own em users, MECHANICAL PLAIN CHECK SUMMARY OF FEES ent Or sle. 11, however. Or Improvement ar sale. N, apwneh the buiOwner Is Sold will en so10 within one year of n one on, the owner will uapo eM1of o alo Of build Improvese f build Sir for the Purpose f sale).HEATING EM BTV BUILDING PERMIT $ SHIP E ecY(Secti n with I, AS n or 0 L Owner of the property, AND DUCTING o to protect n 7D44.IB In¢'sLf 100.0,000 100.000'+BTV CHECK E PERMIT d heConstructContr a Law doesnot and PrOfe sfons Code:apply aan nd f Who lWO ,PLAN ISSUANCE $ bu lM or Improvesataproom. ono wrier pr who REFRIGERATION o-100,000 BTV PLUMBING 11 tUCD fromSuchprojects with a contractor(s) Scosnetl pursuant to SYSTEM - GRADING E the Contractor's License Law). 100,000+BTU PLAN CHECK E - ❑lame%emptUnder SetllOn B. S P.0. for tnli If $ eason BOILERS BTV SYSTEM REPAIR, ALTERATION ,ELECTRICAL b PLANHECK 8 :MICROFILM E TOTAL FEE E 0.118 - Owner - - - MECHANICAL S IOareby IXllilythat l have read this Al llCdtlOn and tate that the above EXHAUST SYSTEM MULTIPLE LESS ADL rest I agree to comply with all city and county Information is for c0E_ .PLAN CHECK" $ VANCE VC -' tlinm Cas and stale laws relating to construction and herebyauthorZe ' I ' representatives pl this City[ to enter Pon t e cove Monti real • "' perlY for' ac[on Z -/o Z - - FINAL FEE E �' $Ignalwe Date Orivers'Lery ISSUE FEE '- - - ' CMF 0865-46 white -Budding; Glnery-Appllmnti Pink-Awountmgi Goldenrod Assessor - CONSTRUCTION AND PLANNING APPROVALS ' Permit # Date Inspector POOL & SPX - i Date APPROVALS, Permit # 4 Inspector . 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location= 2. _ SoilPipe-Undrgrn • - 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn _ 45...- Forms ' 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding- 5. Steel em orce - 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn _ _ 48. APPROVAL-TO COVER-GUNITE- -•.=- 7. Footings r�i. 49. Electrical Conduit-Undr rn I J. - -8. -Foundation . - - - - _"' - •"�-_ _ "� - - - - -' 50.. Gas .Pip e,. ❑ Undr rn, Test � 9., _Water Pipe-Undrgrn -- 51. Backwash Lines P-TrapEl Undrqrn 10. _StructuralTFloor System 52. APPROVAL TO. DECK' 11. Property Sewer Line & House Connection' 53. Backwash & Receptor-Final 12, S_treet Sewer Connection - - _ - -- _ 54._ Heater &Vent-Final 13. Rough Plumbing_ - - 14. Rough Electric-Conduit "" - - ! "56. Electrical-Final 15.- -Rough-Electric-Wiring 57. Solar System-Final " 16; Rough Heating &Air Conditioning - -b8._Fencing & Access Approval ..17:_ Ducts,in.5tructure "' _" 5 . APPROVED FOR PLASTERING 18. Ducts, Ventilating.__ 60. _ POOL/SPA SYSTEMS FINAL 19. Gas Pipe-Rough & Test 20. Roof.Framing _ 21: Roof Sheathing NOTES: 22. Frame and Flashing = _ 23. Insulatiob_ - i c= o 1e- 6-2- ifZ 24. Lathing & Siding- -25. Drywall Nailing 26.. Plaster Brown Coat _ 27. _ Electrical Power Meter-Final �f%$Ti •• 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 Domestiw 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 no ell In ah spaces within heavy border lines and sign all appropriate denizen In m. CITY OF COSTA MESA I 'PE IT NO. TRACT NO. LOT NO. BLQQO. NO. �n'� CONSTRUCTION PERMIT 3g J—� TYPE OF CONSTRUCTION NEW ❑ ADO ❑ ALTERATION ONEPAIR QCONVEPSION QDEMOLISH OTHER U227 0977. 1/20/92 24900 ��• 1 y _ _ - _ _ -'- ZONING REGULATIONS ROjeci Address Owned PMpe Add / • -ArcM1/Eng. - � Li[enM No. DESCRIPTION OF WORK _ "A'P'B - -- Address -- - TYPE OF PERMIT LI GRADING 0 FOUNDATION -Q STRUCTURAL- - ❑ TENANT] 0 ELECTRICAL LUMBING OMECH is ZONE--'--- - PLNTGp. SET q - IDE YANG. .. RgVEF¢�NG PROPEFTY LINE P21_P Addres - - LICENSED 'CONTRACTOR DECLARATION 11[rceEY atfhm IM1ut dm licensed under pr0v151005 OI CNrtOr 9,(com- SEOg V PIGMY-- Ing'wltll CROP 7000) 1 Division 3- 1 -Ino Business d IJ OTHER I� - Prolesslons Code an y I a Is 1 lull force Il c. ', REARYARDLTO PIQ - - PROJECT DESCRIPTION ucenNClass u=. Sp OCCUPANCY�CGNSTRVCTION - _ - '- TYPE ,' - - PKG. SPACE REP. STPEET'WIOTH - PROVIDED PgRK FEES yy Nte / G /nom-J�� WORKERS'' COMPENSATION CECLARAT1OM t/ �. I M1ereby aflbm IM[ 1 b e certificate of consent to sll-Insure ora VALUATION ^^ ZONE` . ZONING -APPROVED BY - - - -DAT.E - -'IItau f Workers'-Campensul Ins ,-eartlfle6 ropy GRADING CV. YDS. ACRES SPECIAL CONDITIONS: - ads (Sal '�s/'�§9BPLab. C.). ( -74r paOY - ast111etlwpYllM1erWYlurnlslletl.. _ REMARKS: _ _ _ _ _ _ _ _• _ _ Eedified Many is tiled wi[O Ills CItY BWlO 9 vis p _ _ PTION FROM WORKERS' COMPENSATIONDECLARATION _ _a _ ... _ ^ t .• (TRIS.YCtIOn need not be completed II lM1¢ permit 1 M1 d O P EI00 Or lest. r- 1 molly that In the performance al the work forWhite thispermit Is .- n n e issued. I shall of employ any person any ma 'as to be[ m PLUMBING � Pit CHECK - - - ELECTRICAL- - � PLAN CHECK _. .. iWied to the WOrkerl'Lompeasdt1o01awl Ol Glllornla._. subject BATHTUBS 'SHOWERS - _ GARAGE 1 _ _ _ Cate wignslure r NOTICE: It Altar making this tle LUrbHon.Y 1hold become sUbfeCl LLE .•vURINI �-= I ENERATOR- 0-1KvS KW to the Workers' Compensation provlsern of lie Labor Cada, you must TRANSFORMER IOtlhwllh Comply with such Provisions Or this Permit Shall be daemon F) OOBLE EAVS- A -APPL1ANLE -.1850 KW�50 AIKW KIT. aN_V V- DISHWASHERS— - MOTORS - -_0-1 HP�1.10 He CONSTRUCTION LENDING AGENCY erebyalprmtbattherelsa mnstructlan lending agency her the pe ldrmanu of ins`. work for ;w111chdM1ls permlP I£Bsued 1'+actio-n 309 Tv- SERVICESINKS• SVMPS----- - - 1(11,MtSOLAR)_lOdO.HP - Clv. C.) `PLOD P'SINKS�" FLOOR'ORAINS- - FIXTURES ----OUTLETS- -SWITCHES- ,LendaIN Nam. _ Lender%Address a OPINKING-FOUNTAINS �' �' -- - - - - --GAS-TUBE SIGNS- OWNER BUILDER' DECLARATION'---- INTERCEPTORS-- --CWRIFIEPS -' - - —POLE LIGHTS-- - - - Iba =affirm that exempt from the Contractor%License Law for SWIMMING POOL - 'P TRAP - - - - - - - the'lollowing reason (Section -7031.5 Business and -Professions Coder 'Any city o county which requires a permit to c n trod• alter, TPOLES—� -METERED' UB - - - WATER SERVICE- ALTERATION - -.PANELS--- _.MAIN '.SUB"'- ISO prove demolish or maker any structure, prior to'its 'Isuance, also re- the as:runt for such Permit to file a signed statement that he -GAS SERVICE - -OUTLETS •SERV ICE _ ._ _ _ -_ ',.AMP. ` Ibes sulicensed Pursuant 10 the pmvlslOns Of the Contractor'ss Wdme law' -C solar 9 (commencing with Secpon ]000) Of Division 3 of the WATER HEATERS- BTU OUTPUT- - - - - s 'aml Rotasonss Deal or that he Isexempt therefrom andthe- y� f r the alleged 1 violation at Section 70315 by T' 'SEWER ^n-._"�_ -- - _ ___ "' ' - - " - �= .YY far a. IR -SU eGts the eppl uM f0 A CIN( penalty- t more t hmll 1 not more it ar Lee PundTy dollars ($5001. - ' SOLAR TANK ' ^ COLLECTORS- -- __ - _ - _ - -- - SSO 1, a o of twi property, o mels of Ins ndelr' or b llework. dna t a b 1 1 oN an. and sstru ' Lrr offered for NIB.e-umv(Sellers 7 for_ Business spanProfessionso-a - ertC -SOLAR PIPING $Y5. = - - �ISSV EFEF- - -- - _ es n ICOnlraCiOrs License LaW dO¢S not apply to 1 property ISSUE FEE- '-'- -' �' '- - !APPLICATION -APPROVED BY _ __ DATE - who bit Im Or r proves thereon, and who does such WON hIMSSIl-dr 1tM1 M1 his own emulations ar Id d th t h Improvements aro Pot - I t a4 d offered for sale If, however. thebuilding or Improvement Itl TM1 n One yeaootcompletion,'tM1 owner III have the burden MECHANICAL PLAN CHECK j _ ^ - -SUMMARY OF FEES -- 1 1 Proving no did t sold Improve 1 the purpose I I¢L �O HEATING SYSTEM -' - 0100.000 BTU -- -BOILOING. - _ - 1 Property, lial contracting with 1' wirer- of-theconstruct AND DUCTING - - -�- ) PERMIT - $ 1 ISMIP tl $ l - I_- I licensed contractors to o Im t TM1 Project (Section ]Oda Business 100,000' BTU _• PLAN CHECK E _ PERMIT PERMITCE a Prafislom-Nae. Tha-Cantra[tor's License Law dO 6 not apply to _ - 'e OI property howb UIRISS Or Imptives thereon d who com REFRIGERATION 0'100,000 BTU PLUMBING g ; '$ IteCls bum-sUCfl-prOletls with --camratlar(s) Ilcesneo pursuant to SYSTEM• - - _ _ ]GRADING 1 theCharacter's License Law). ;I]IamexemptUnder3etlon` -Bt Is P. C. for this - BOILERS IOa.000t�BTU �.. BTO (` .- - PLAN CHECK ,$---" - l_i - ELECTRICAL' $ Y - .- 'y - - - - - - - - SYSTEM REPAIR. ALTERATION _ _ -- artz- f PLAN CHECK $ -' ., f MECHANICAL MICROFILM E )C TOTPL FEE E i11reason Date - Owner II hereby certifythat 1 have read this application and sate that the above I EXHAUST SYSTEM MULTIPLE 1 a PLAN CHECKCj -LESS Ho - Information orr L agree to comply wit M1'all dty'and "only Is let too hereby I 1 - -' VANCEPC $_ Ordinances and State ng mnstrucnpn and authorize reprzsentatives' m 1 tar the ls G — or upon ea property tor- impe d 1 q 'Signature - ;( __ - FINAL FEE $3 DrNen' LI[a r 5 * ISSUE FEE •- - ... _ - CMF 0965-46 while-Building;Unary-ApoicanL pick -Accounting; CONSTRUCTION AND PLANNING 1POOL APPROVALS Permit # �d.3� Date & SPA Inspector APPROVALS Permit 2# Date, Inspector 1. -.-Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Undrgrn.: _ _ _ - ' _ _ _ 44. Steel Reinforcement - �- - - - - 3. Electrical Conduit Utility-Undrgrn - " - -. 45. Forms - 4. -Electrical Conduit-Undrgrn _ - _ t._ _ _ _ 46.- Electrical Bonding -- - - -5. Steelem orce.- : � _ t 47. Rough Plui�nbing &Pressure -Test--- est---6.- 6.- Electrical UFER-Grn _ _ __ _ _ 48. APPROVAL TO COVER-GUNITE-"• - - - - -- - 7.. Footings .. .... _ - 49. Electrical Conduit-Undr rn - 8. -Foundation •- -- -- '- 1 50. Gas Pipe,, Undr n, Test•` - 9. - Water Pipe-Undrgrn - - ---- - -' 51. Backwash Lines P-Tra" ridrcirn 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 5'5. Plumbina Sy tem - _ 14. Rough Electric -Conduit 56:" -Electrical-Final .y 15. Rough Electric -Wiring ! "- " - -" ' --57-- Solar System -Final- - 16: Rough Heating &`Air_ Conditioning - •. Fencing & Access Approval "17. Ducts -in Structure 59. . APPROVED FOR PLASTERING' 18. 19. 20. Ducts, -Ventilating -_ - -- Gas Pipe -Rough & Test -Roof Framing - - - - - -- - -60. •- - - ._ ._ - _ - _ POOL/SP.A.S.YSTEMS FINAL 21. 22'.' Roof Sheathing-- Frame'and Flashing- -- ---- ' _- - NOTES: zi4i 'eq_ - - 23. Insulation 24. Lathing & Siding - -- - - -- - - - - - 25. Drywall Nailing - -- - - - 26. Plaster Brown Coat- - - - -27: Electrical Power Meter -Final 287 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 I- -- ' 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY No.--- Date ti CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT L-</ PERMIT PERMIT NUMBER 898-01499 (714) 754.5273 • Fax (714) 7544856 - 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3505 CADILLAC AV Suite: J001 Vicinity: BLDG'J' Parcel Nunmber: 13966109 Applicant: SANDOVAL, CHARLES Address: Owner: Address Contractor: EVANS, Address: 01101 E C BUILDING PERMIT Zoning: _ Phone: r Zip: ,C#J1„ Phone._ .CA"Zip: DFING COMPANY INC 714=52&3073 Status: ISSUED Applied: 08/19/1998 Issued: 08/19/1998 . - Phone: s; �• - - 'SANTA ANA CA Zip:: 92701 - ',vi- License =t` 92626�'��C�� - Arch / Eng ,! / • • �. • I Address . - Phone: s; �• - - 'SANTA ANA CA Zip:: 92701 - ',vi- License =t` ,610549 - �%' I. - Arch / Eng ,! / • • �. • I Address FEE SUMMARY pi . - one: % - - License: s; �• - - SCOPE OF PERMIT; ,T/O EXIST AND INST ROSEN PLY CAPSHEET. FEE SUMMARY pi Plan Check: $0.00 -Calc Valuation: $20,250.00 Permit: '$299.75 Claim Valuation: ', : - $20,250.00 SMIP Res' $0.00 , SMIP Com: $4.25 1% Other `, =� Inspection: x$0.00 $0 _ Total: .$304.00 .$.304.00 SETBACKS MAIN STRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existing: o NOTES: PLANNING &ZONING r , Rear - 0-0 - Left 0 0 ` Rear 0-0 - Left - -0. 0 Required: 0 - Proposed: 0 ` i Right 00�. Right :0-0, 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) 7545626 I �a I 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 sell -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the wo which this permit is issued. 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' com`peensatio urence carver and policy number are: Carder: . Policy Number. LJ // VY— 2 (This section need not be completed if the permit Is valued atone hundred dollars ($f00) or less.) ❑ 1 certify that in the performance of the work for w is permit is issued, I shall not e I any person in any manner so as to become subject to the workers' compensation la alifomia, agree that If shout become sub) to the workers' Pensation provisions of Section 3700 of the Labor Code, I shall forthwith ih thes r v io s. plicant Sign tura: Date: LURE TO SECURE WORKERS' COMP GE IS U AND SU AN EMPLOYER TO CRIMINAL PENALTIES AND /CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100.000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby afflrn that I Ic sed u or r senna(off a (commencing with Section 70 of Division 3 of the Business and Professions Code, and my license is in full force t. Li a `� TA Class a ontractor's Sign to: Date: i CONSTRUCTION LENDING AGENCY: ❑ I hereby affiml that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: 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 fallowing 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).): ❑ 1, 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-bullder 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 drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 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 authodzed 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 certity a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Cade 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 o1 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? []Yes ❑ No (Section 25533 of the California Health and Safety Cade, 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, cortification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ................................................................................ ............................................................................................................................................................................................ I....... 4 If an RMPP is presently required, hes Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No .................................................................................................................................................................................................................................................................................... 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication agermit 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 pen of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? Ely" ❑ 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 reqGuired 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? ❑Vas ❑ 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. Sign tura el Own e 'cent Date G4LE6 INSPECTIONTYPE PATE ILOITIEL$ CODE? INSPECTION TYPE DSI$ 1BTITIA 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 9 / 210 Final Electrical 201 Final BlockfRetaining Wall 212 Final Fre Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 2Ma A9 •` gppllo t to fill-in an amaCm except the wltm n x5'b hear lines a sign all appropriate declare oru. pooa e/ut/N.5 3502 1'L �CI,TWDF COSTA MESA(' - 1 - PERMIT NO._ TRACT NO - ,1 LOT O BLDG 1 , - _�,•. i - I �- �� l- I q - i CONSTRUCTION PERMIT D' 15M1� .`38S :• p �✓ j o r, 1 1, 1 I;a a 9868 .I'35ti:02 TL Applicant handlingAtltlres ATF Iav O• IELs y�.0 MA" - TYPE OF CONSTRUCTION' AeW Apo ALTERATION ,REPAIR f Prp]Oe\naerw. 35tf5. (GAD I a. LAL �`fl f r -1 -1 CONVERSION ❑DEMOL33N DESCRIPTIONOFWORK or µFILES• Ow ssNpma fryi�ry .:.�I[a Ra^.4 NRsK 'YA dl- III J-1 1 gIL�-�^ RINI HEPLI Aatl /"30I 1�,✓E S SViIE' % 1 TYPE OF PERMITr/ 0R.401NG - FOUNDATION STRUCTV RAL A P"y,. '� ZONE 0 A h/Eg LII N - ❑TENANT -W ELECTRICAL �PLUMBI NO OMECHANICAL PLNG RaI OINO I edition,c - ❑ OTHER e - '•Y. TO BUILDING {1 410 1 'PRWECT DESCRIPTION( SO. PT 500 OCCUPAjiC PR PER YLINE 'RD ITO P/LI L'L JJ Con\ractgr's Nem hone JJ Address ll:.. 7C � ITE�jn �aT LFI MgAM44II CONSTRUCTION TYP ! VALUATION LEFTSIDE YARD SIDE YARD 1 LSC¢nM NU �' ��z�"'0'�q/ upl- ' 20NF l ORAD(NO CU YOS. (qCp V PKG. SPACE'flEO. Pq ED LICENSED CONTRACTOR DEC tARFT10N ^ t Remarks: y �� 1 _ 1 a - _STREET WIDTH' iP KFEE"$ I LM1 eby,afll M [ 1' IICBNetl under provisi sof Chamomile (commencing With- do ]000) of Division 3' 1 to Business e professions Coq¢, Bn0 I A 1 1 SPECIAtL CONDITIONS: ' 5 ylicenseI 11 had a 0011 '. 1 _ V Uas 1 n .; a CT% - _ PLUMBING' - 15,. 1 t .', �t�a gar Sink I Sewer Cad ' ry,"RKERi COMPENSATION DECLARATION( I I J r 1 All LOm0\I ELECTRICAL 1 u p bY'aifl tMt l-0 am t111 to"I- 'k to "selMns "ora CBrtilluta...<i-' BeckfloWPwwnuW 1 -' Sawar'Conn¢UIoP j -"'.""j',' cWaher 'I.... I_. -i, 'Metrt. er llAl amps T„ ;7.. f Of Workers Compensationinsurance, or a ca tlfha copy thereof (Section Construction Poled .Sub Panel I 3900 Lib. C) tea.,, ` g kfle Iripeticn Soler CnlleMpn a" - j Plicyl No.gg.aC2'1361'% COmpam YC( ISORETY (/ 1 �, Cooking Unit Sub Pole gCe [Itletl CopyI nerenv fu IneO. r ' I gihth J Sal PPrig_ y- °�,✓ , � rtxrtlfldd fOdyl fIM]with, on BRveu In O 1�r� 1 Dishwasher Ma\Ors X0.1 HP 01X-8 1 `Det S-. S/ A3 ApOy nt/L�. hl Clarifiers .,lq Sol_ Tank_ - 5 EXEM rrlON EOM WORKERS COMPENSATION DECLARATION D M1 EIIM 1 S mm0 POO( /S ' - Dryers El I DEI triC r IT nC.I I -I -- 1815+ 11 1TSR fictionneed et be Completed If the permit 1 hundred (4 �^ .� , g Pa i 6 1 I holee,that In the performance of the work forM n t I as \ uea I" At Drinking Fountains 1 Urinal 1 f' I 1 I ;� 1 F 1 (Microwave I .. n n t mploy s v Bargan in y man t' b c BooleClsto Ila L -' FA U. apple Li M W 4 rs' Compenvtlen•Laws OI GIIIOmIa CI I I Floor Drains 'y pit. Water Chrad' Lig hi Deb 99nature 1 1 - I y Fixtures. NOTICE: If It kl9thl50ec1aratlon, You'n Mab¢ SYbla[[IOlth '; FOOf Slhki' ; -WGIBr Heat¢ ",-'L • - "C ... .._ v .Range. WorkOrs' 0 p YttOR prov151 3 OI ba Lallo! COOe, you mart f IrowltM1 Device Boxes L PIY Iln - h p O MI p II n 11 be SO em00 kw I G Se 0 lIN Wda Sery y y(;' S gn, I G CONSTRUCTION ILErypIN6 AOENCV I' O tl [s' by aYffel [nt[M1 a gg t 1tlln99a YI rtb¢PI ';I 1tle Cegl9 '" I's p l t.- .� 5 15 'StandingSections? 1 ` IN In k } / Wnl b tltlLljer It Issue (3e P1 309] CI C.] r. (VLenedaerr ss'NHee O - KitchenlSk l haj 1 l 5 i !,J!' TIaM1 Com pacor j 1 ; 20: 1 OWNCR'BUILDER OECT;ARATION ". -. I Le \ t ' 1 f .. �, "YS Gefbage 0iry0 I ' !� e Ina by",affl tM1\I pt'\ tM1 C t [ LI' La r \n' y i _ Generet0i005 KW 0515 KW f II q r0ison (SeCllen ]031 5 B I d PmofeaslonaLCotle q ytry P T Bp. 2 t I "r- �^ ( 1 1 ty width regWmS i permit f t \ ISCr ImpIOW, OBmols M1 pal _ Y rt tt rt( prior to I[s Issu 1 q the apallcant to. h p I[ Roof ❑ h 1 I U >'• I y T f me ❑1550 KW •' fll "Ignee statement tnat n / h 11 a Pursuant to the P vi f. _ ' 1 - y ❑501 KW' I' - J C t tlor'sDrenze Law (CM1 p[ 9 ( 9 wIN $ee[I ]000) f - 1 Ra apaetion Fa $'15' it^'yl l '3'of [ria BuSlness antl'P f I ,Coe 1 •\n t n / M1 pt I 1 ShowedI' ^ t I R spectl iFee' 615- " A ry (ram aril the t basis for \n ikg d - ptl pnY lolatton of 5IIOn _ - MCI¢r 10up t 100amps a `1 Issue Fee. I. $ 3. ]031'5 Y pP1 t fe ,M it be [ IM1 pll t 1 IIIp I altY �,OfM etnOn llvBn d Otl II (5500) I "s p Se 4S k 'V i - r Igw F I'"— L�eJ p pe [y" y pl y I[M1 g- tlMlsole r Zoning APWONtl By Dp10 W Ip0 Mnon IIf En b k OItM1 rt tt I t - t sea a red' 4 ;f MECHANICAL I I 1 (Secil idea B A a P r 1 I Cod "Tne connector's I Appl tl �prowtl'BH 1` I spy[¢ LI La tl of pplY t0 - 01 a property M1 b Iltl o mprows 1 Bailer : Refrigeration Svsl T pppl t O 16getl By I = De[e ih rid M1 GOdif CM1 werk nlnikll/ne15 If IM1 gh h o Mf Own I r pI y Np' la a inat M1 Improwmems ar t t d 0 r offered for I O t Under Ground II ! OG )08000 BTU 0100 ooI l II n in bulMlnq onmprowmene Ia en1 year of wm F " m" SUMMARY OVFEES " -pl O iM1e III nava the bwden of provl g n /an tl10 O[ b Iltlrim. I an p v (sale). Duct St C Structural I SyR pa /Arc non BUILDING PERMIT $ SMIP nem r the erepeay, am exciuslvely t u g" iM1 l a I - �?}tr '1 t ^o conzFud [ne prolOc[ISeOtthoen Z099,B s1 uW e1O f 1 C a D t V \rlili g _, .. ..i PLAN CHECK • §: ✓I';ERMIT - Tn c ria \ L; ,Law J t ppiy [ 1 pr p inwn : 11II,. o\Osuiglild• tI lI yImup vt p ain Se\ctt l -in a c n I t tasttusf Bu ri6p1P aj tt rtttnlh Co ❑ I v eg '/% U 111 ' a in IIIIi ISSUANCE I$ Eh \System❑ Multiple NO $ ; GRADING MB HEf1 L pIe(PPLANyCICK ELECTRICAL H\DSI IA Dutt9 NilOwner 6pet PAN CHECK R IMICROFILM$ 1f Oct. It n ad thisapplication E st t that to by TU 0100,00Oo t Campwith all city.and ty aI $1gTOTALFEE$a t t ting t0 building RI d h by authorize more., MECHANICAL Modelling Of thI Ity to entersupon above t ed for Hood O• tr , LESS Fe;hb15 p1- le❑$PC � Drivers Liceueo Datehone FgeRl ADVANCED, $$ Y 1 § Z •1. j 7% 1 FINAL FEE J $ CMF 0065-e6 raw. 12/82 Wh¢- u nmw nary pplign\; Pink - Accounting;G IE roe-ASuuor .. � .. .,. CONSTRUCTIONAND`:PLA NINGt °a`_�;f.:'%XrR<L-;;i';F� �, °<<°�;� :SPA- i cr -, c u /y g� ;:Date : '_APPROVALS ,Permit#1J11L--L.+[- Inspector - ;oAPPROVALS Permit# 'Date -• Inspector _ Temporary Electrical Service or'Pole i ; ` ;''� t ''52:', Pool &!Equi pment, Location'= - - Sdil Pip-Uindrgrnd 2. e: _ ` - o , ° > ✓ ii ` I 53° Steel Reinforcement - .. < 3: Electrical Conduit.Utility-Uiidrgrrid. `y = rti Q r 54:i Forms°- ;, 4. Electrical Conduit-Undrgrnd. - � � - r. - _ :_ 55:-ElectricaI Bonding , M r i I �c 'S3•. 5. Steel Reinforcement ? - 'I 5' -`_='- - 56. Rough Piumbing,& Pressure Test - • _ •El . 6. ectrical UFER Grnd. e =" 4 • -. cz 57! APPROVAL TO'•COVER-GUNITE - r z 7. Footings t - - s g I - -- '58. Electrical-Conduit-Undrarnd. B. Foundation_ - i ''I __ ` 59. GasPipe,Q:Undrgrnd., Test - _ _ I 9. Water Pipe-Undrg'rnd. I -',60, Backwash: Lines,'P-Trap, Q Undrgrnd. - 10. Structural Floor System 61. APPROVAL TO DECK - - - 11. Property Sewer Line &;House Connection - t x;62. Backwash &;Receptor -Final--_ , 12. Sewer Cap ' 1 83. Heater & Vent -Final - - _ - 13. Roof ;Drains64. r-, Plumbing:System',Einal 14. Rough Plumbing' - I - - "65. Electrical' -Final= - --- `- • ` ' '"15i`. Rough- Electrical -Conduit ; �'?-- ;I j .15: ' 1 -41Z -t-6671 Solar Sysiem-Final Rough Electric Wiring,Access•A`pproval' T x,16 ,. _ ,F17. 'Rough Wiring,Slgn'? •.. i j I �. i I , I - i_ - ? I x , : I I . , r , ,. ,.- 68.E APPROVED FOR PLASTERING - - II / - , ' ' ' 18� h Eleetrical;T'Bar Ceilin 8 9I 'I II ' - ' 3 69., POOL/SPA SYSTEMS -FINAL - ;Rou II 19. Rough; Heating & Air Conditioning j - ! FIRE DEPT. REQUIREMENT - I I I , APPROVA'LSl Peimit;� ' 20. Rough Factor Fireplace �� 9 Y P l � I' Il i ! I 1'��1; ,. i „ilii II Structure 21. Ducts,.in Structure, V g.nerround' Hydro i _ - -- - , -22. Ducts, Ventilating w �', l� ,it I I I 1 i j ,71.1 Product Piping ❑ Gas 00 . il .: -. ,. - .. - .23.,Gas.Pipe-Rough 8i Test I I • ;, ' t -1 I T-- f .- -- - - -'--' -'- - - - -, 72.E Underground Flush - -� -- 24::Roof Framing, I._I ' 1 �• �� irt" �.;,,:,73.!Uriderigrnd.StorageTanit GasO,OiI 25. 'Roof Sheathing ' J i �I i ,- , I "� -T-Bar i -,� , I E ' l - t `` I _. T4.j Overhead Hydro l-26. Ceiling (Structural -& Mon ocoat" 1 `1y7`- • ��° • 95.' Dry Chemical - _ I `• ! - ,; ,•27 Frame and Flashing �- 17 -?3 I� I 76.1 Dry Standpipe 28. Lathing & Siding - , i 1 I j,` ( I i 77.; FIXED SYSTEM --FINAL , .� 29. Insulation i i I I 178.; FIRE PREV. FINAL _ I i '30.; Drywall Nailing$ 11 $^I I .8")41 • ;Notes: ' 31' Plaster Brown Coat 32. Electrical Power Meier!Final ' 33. Final Electric 34. Final Heating &Air Conditioning 35. Final Gas Pipe=Test ^• F ' _ 36. Hood or CanoPYi,; l «, I t I , • : , I i ' '' l I : ' i " 7 ,.I - :. 37. Final F.actBry Fireplace,- I li 38. Final Plui'nbing I _ - Cl {�. 39. Water Service-Fi6alf^� 40. GasSeivice'-Final -� .!� -,,,, 1%• I j i 3 41. Solar Domestic -Final 42. BackflovJPreventer, M1' 43. Backflow iIrrigation' 44. Landscape Irrigation -System fi- 45. Sound Attenuation 46. HandicapRegulations _i 47.'FINALSTRUCTURE&BUILDING L���31Y1 j ! 1- 48. Special Requirements Completed B3 O � i `• 49. Electric Release to Edison) 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF'OCCUPANCYh- 7 , No Date 1 , I' �'--- , _---r'- I r --i''-'f -`- -- - ' I- t �. .,. fi .i City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. O U J l 11,1 P. O. Box 1200 Costa Mesa, California The Building located at 3505 CadiL ac Avenue #J-1 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group--3=2—occupancy. Use of Building Intnsior Alterations - Office Legal Description 139-661-08 (See reverse side for Metes and Bounds) E-7488 Building Permit No. BW -7385 _ _Electrical Permit No. BW7385 Plumbing Pertm it No. P-4485 Mechanical Permit No. uw_ 4R S- t Number of apartments ISSUED TO: Building O'DrmnPll. AtFiahrmt rntr] Pat -t:. by—)/J' 1301 Dow. St. 47. NEkV ± Beach. r/ Date o? i This Certificate of Occupancy SHALL BE posted in a conspicuous place on the p Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White . Owner; Canary - Numerical File; Pink - Bldg. Permit File t - I" /y0 and SHALL NOT BE removed except by the VI • _ APPIInm to fill lnall%"me except thea within heavy m:aN lines and Stan all appropriate aecbra110ns. CITY. OF COSTA MESA PERMIT NO.. TRACT NO. LOT S '. a CONSTRUCTION PERMIT Q 3 1 'JUN M AppliuntS Meilirm AEtlross -PA4,hHA AOIi[I AUOreOA 3Slh P —S 1 CAiTIONS O.vnRaNameaJ� A ANP41�S 74mR7SL ams` TYPE OF CONSTRUCTION LJ ❑ CONVERSION 11 DEMOLISH DESCRIP IONOFWORK NEW LJ ADD LJ ALTERATION LJ ❑ OTHER REPAIR � 'I Q U /. U �83. AV�f Address �' / LZf VE irUaYE7 TYPE OF PERMIT LJ GRADING LJFOUNOATIoN LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL O PLUMBING ❑ MECHANICAL ❑OTHER PROJECTOESCRIPTION sal. FT OCeuPANc CON STRUCTION TYPE VALUATIONS ZONE ORADINO CU. VDS. ACREe A. P. qP ZONE I 1{--I Amb/grog. Limm No. Address PLNO.flEF.♦ BUILDING G TO PROPERTY gggq YARD (TO'P/Ll" " -' ^.�' '1' 1�• / Contractors Nam Ilona 1 LEFT SIDE YARD RIGHT SIDE YARD JI P Q •a Amred Ilxilinpl Limited No. �' ��� �' 17 PKC. SPACE RED. PROVIDED LICENSED CONTRACTOR DECWgAT1ON 1 nmedY alllrm Shot-) am Ilcon a under pr wlsions OI CllartN 91[Ornmandn9 Remann: 38EET STREET WIDTH PARK FEES SPECIAL CONDITIONS: - with al 7000) of Division 3 of the SUSInm and Refmlon& Coon. and n Is m Ibn rp.w aha max. PLUMBING unnv s n Nn Z��7a gAto Y' -rt 1 -C i�Y Bar Sink Server Cap LECTRICAL RKERS' COMPENSATION DECLARATION reby atlbm lnatl Nveaurtl}Into of consent to withholds or a nrtlfimw bb'�1 Mother' Compentatlon Insurance, or a confirm COPY thereof (Section Stop, Lab. C.) I Ip Nog/•( -27i7 ComlanY Q£IAWE+Sal sw? py Certified coIs ffeby furhlshed, 9GNIIIOd Backflow prevention Sower Connectloro AulOmalic WesM1Or MaNr Uprose IOD amps Backflow Irrigation Saler fgll¢$ors (:one000IiOR P018 Sub Panel Bathtubs Saint Piping Cooking Unit Sub Pole uDY f fllOd wltR the dty B f�In Dlvkly % / Oele '%rla.'.� P _ APDllnnt !V al 0 �"-'+ - 6witiers Seim Tank DisbMGler MOmrs ❑0.1 MP 1%E EXEMPTION IFROM WORKERS' COMPENSATION DECLARATION I(a{tlsi io ed not" COm010tW If the permit Is for one hundred ($100) er MARY ARYY Inst In the Parfmmano of the work for which this wrmit b WUed l nab t plan y neon In v n a to become Subject to the Workers' Compensation,UwS or California.manner Date signature Dishwasher -' Swimming Pool write Dryers ❑Geo ❑Electric In[.Solm 09-15 HP ❑15-15+ Drinking Fountaifk Urinal Fen Microwave Floor Drains Wath CJewt F.q.U. ' Pole Light $ NOTICE: II, alter king this declaration. YOU should become subject to the Workers' Compensation provisions of the labor Code, you mut forthwith amsure" ply with such movlHonS"m tots N:MI 10511 the ONW vOked. Floor Sinks Water Heater Fixtures Pan ge - Ga sinvin' Closes Wagner seence OBVIce Boxes Site CONSTRUCTION LENDING AGENCY' I I hereby affirm that there Is a wnaHUE\Ion leWln9 d90nCY lar to rrformalln Of the work for wan this permit Is Isslmd (Saatlon 3097 Clv. 0.I sander's home' • Interceptors DVIIB[i Smnding$eCtjolle Kitchen Sink _ $witcM1tl T!"h Competitor Lancer's Address - OWNER BUILDER DECLARATION Urge _ Garbage Disposal I hereby, affirm text I am pl from tna'Co IrectcrY-LJo nse saw for the lonowinreason uSeObn 7031.5 Business and meth sslonal Coach Any [IW or county which mV lees a permK to construct, alter (moron, demolish o. rental any structure, prier to Its Issuance, aim requires I�aa applicant for sun o It r? fila a signed statement that nehho Is licensed pursuant to tha!provjilp rf f E" Contractor's Lewtor law (Chapter 9 (commOncj og witn'Section 70001 ei 'glslan.3 1 the Builn"S and Protestant Code) that he ?sl is exempt 'v.•Mer from and me basis far the alleged exemption. -Any Nola<ion or Section ' 70n :5 py onY a0pllunt for pelmll bjlog the'eDPI1Nn\ to civil man ib 0 n t met* lnan "we nU a ad dollars ($500)-' L`J I m nar f roe Pre party or my 6m 010Yns wltn Wages [heir fele panzatlon will do Ile work, and' toofracture Is nal\ Ioned or offered for yN (S ode 7now Business and Professional CodeContractor's does Lnmenet non an who af5�s00UchoWOrg n m»Iyproperty rnell O'7[AM1oug�llLdls or tlfter awn am ploy s. pfOVlOed IDil SUCM1 ImOlowmemi arOTOt Ietentl0d Or ollenad for e II, �oweW^ the bull"n r IMPlommem is sold wlNln ane yeaf of cpm- Isan, theo will haw the burden al Orovino he/she alit not batM or In,- forroe DUrpcw of xlal. - �ol, atowner or the pmpe:ty, am axnwSYS contiac I a wbn nnnsW con- tracters\a wnvruct Ma protect 5"tllon 7Daa, eunas aner Prelesslons Code: TM ContractorIJ®nm law notapply 10 an o f OrOOefty who batto5 oo Improv" railroad end Who co Tracts nor sac t 0rejects wltn a con- tracmr(G Ilunw Pursuant to the cdnvact LicensorV ). ❑1 am exempt unser Section e. a p. C far this reason _ P -Trap Generator ❑D $ KW C35-15KW - Roof Drains - Transformer ❑1550 KW ❑SU+KW �pijpp FYe Rein S16 - Showers --- Homosexual Fn S15 Meter ❑up to IUD amp law Fn' $ 3 Service Sink (Nue Fee $ 3 Zoning APyawd By pax - Application Apprawd By xe 1 Application Is By \e _ I MECHANICAL - Boiler . Refrigeration System DIICt- UWar GmuW ❑6100,000 BTU ❑100,11008TU - 'BUILDING PERMIT E 1 (PLAN CHECK $ a PLUMBING $ -DLgN CXECK $ ELECTRICAL S PLAN CHECK $' MECHANICAL $1 PLAN CHECK I $ SUMMARY OF FEES ' SMTP $ , PERMIT ISSUANCE $ . GRADING $ - $' 1 MICROFILM $ 1 TOTAL f EE. $ LES$ ' ADVANCEDPC $ FINAL FEE, $ r Du[t-Stru[Llre $ Wail/Alteration ritelnn . Dukt-Ventilating _- _ Exhaust System ❑ Multiple ❑ - FiieplfFect. 9l\.I CROSP Date Owner ' t l L I from certify that I nam ad this application nal nate that me snow - InformaNin is correct. I agree to COMP( its an cliy and county ordinance a tate laws latmg to burial ngu ns section. anden spy aumonae Pre- noraif t this it t enter po Ina be - tioned Property for inspection pure signemra - Do -1ea10 Ddmm urine clean♦ �' Hexing5ystem&Ducting j ' ❑6100,000 BTU ❑100,000 Hood or T Type I ❑ Reklqdamkn Fiat Canopy T II ❑ $15 ReBiNn I jaws For S 3 Goldenrod-gssesmr CMF 0B65i6 rev. l2/Bi pPllunq Plnk-gCCOUntIng: CONSTRUCTION AND PLANNING fir .,� • -' . ' fit. ,SPA s� S; 'APPROVALS Permit"#- E 7Y��'` Date lnspectoi _ - "APPROVALS Permit# `-° - Date Inspector _ A 1{ Temp'or`ary Electrical Service or Poli �•+' <. o_ .;52 Pool &_tmerit Location- ev 2. Soil Pipe-Undrgrnd` =� I y. •. -53_, Steel Reinf_oicement , �._ , - s 31 Electrical Conduit Utility-Undrgrnd:'$4:' Forms i Ont Electrical Conduit-Undrgrnd. .55. Electrical Bonding - _ 5e Steel Reinforcement; _ ''' Ro Plum 56.• ugh' bing &Pressure Test 6. Electrical UFER Grnd. .1 _ >' o `-' 577 APPROVAL TO COVER-GUNITE - - 7. Footings'-58: Electrical Conduit_-Undrornd."- - C 8. Foundation ;i ` � ° ' ' i +59. Gas Pipe, 13 Undrgrnd., Test 9. Water, Pipe-Undrgrnd. i '' ! 60. B_ -U Lines',•P-Trap, O Undrgrnd. - 10. Wluctur,al Floor System ' i ' ' 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection - '_ `. , 62. Backwash & Receptor-Final - 12. Sewer Cap r ., 63. Heater &-Vent-Final 13. R 'of'Drains I `- ! '64. Plumbing -System.- Final 14. Rough Plumbing' 65. Electrical-Final' • • - 15fyp!ugh'Electrical:Conduit-F I - I -T I i I (66.1 Solar System-Final- 616. Rough Electric Wir�9' � � � � b ' � ' *�'-'.- F`C, .-+' 6Z. Fen`cin`g & Access Approval C;17. Rough Wiring,Sig"nj• ;� `! , : ! ` _ i. 68 ,APPROVED FR OPLASTERING - 18. RoughfElectrical-,,T I - :1 c 69.,POOL/SPA SYSTEMS-FINAL - ,119. RougWHeating &-Air Conditioning I ' ! FIRE DEPT. REQUIREMENT - APPROVALS, I Permit,# 20. Factory Fireplace (f I I I i ,Rough 21. Ducts,;in $tructure` '' i .- J i I I 70. Underground Hydro Ducis, Ventilating ; r i I I I I 71.' Product Piping 0Gas OOil -22. r ' "23. G`as Pipe-Rough & Test c ( I t I 72.1 Underground Flush ' ':k Roof Framing'; ! 1,t ��, :: I .� ,k �c� ' _r 1. 73., Uridergrnd. Storage Tank O Gas ❑ Oil IJ 25. Roof Sheathing I i ;''I ' - i I _ i ' ' : 74.', Overhead Hydro - ^ ! 26. T 6afr Ceiling (Structural)! & Monocoat- I'�. T I„ 1 - 75.E Dray Chemical , 27. Frame and Flashing � � '1 1 I i •- � I � - j I ! j6.' Dray Standpipe I ! 28. Lathing &Siding 1 ij ! i 1 + ! J ! I FIXED SYSTEM FINAL '- •i I ' I 177.1 29_. 11,nsulation x_ z ' !I �! i 1 j 1 j 78.E FARE PREV. FINAL i j b`30.tDryHiall Nailing !; l i I 'Notes: � I b1 : Plaster Brown Coat I i' ; ! 132. Electrical Power Meter-Final i 33. Final Electric 34. Final Heating & Conditioning ,IAir n ,.tire. I� 35. Final Gas'Ppe'--Test' L �• i J =,; ,i I L� I: ..c i T ;.; i P I i ; ,' I,. - ,_ . 36. Hood Sr Canopyco I 1 37. Final Ptadtory Fireplace":-. .J 38. Final Plumbing I ' V I J , '� i I - r , 1 I • = I'' - 39. Water Seivice-Final!- ' I 40. Gas Service-Final rill Ifi ,,,I:ilil �. 41. Solar DOmesim-final ' I !i i_ : i�_i '__ Lam_ !' , _� 42. BackflowiPreventerl „It ]/ 43. Backflow Irrigation! �R - ' I •� _ ` ' sv -�' _ , _ 44. Landscape IrrigationiSystem 45. Sound"Attediiatiori 46. HandicapiR`egulations• I 47. FINAL STRUCTURE & BUILDING 48. Special' Requirements Completed! : k j •• 49. Electric Release to Edison' I I ' i _ ' _ __ . 50. Gas Release L Southern California Gas 51. CERTIFICATE OF OCCU ANCY No � r, I Date Applicant to Rn In an spaces within heavy border linea and $]on all epprolNute declare No no. 'CITY OF COSTA MESA PERMIT NO. - TRACT NO.- LOT NO. BLDG. NO. " CONSTRUCTION PERMIT - 110 � ' PM 81-38D 9 _ TYPE OF CONSTRUCTION Wr NEW O ADO ❑ ALTERATION � 07.81 1 / 18_/8.2 ' 4.3.6_.9_2 Project Address Cz&llac Avenue Owner Phone Address ❑ REPAIR ❑CONVERSION ODEMOLISH 1:1 OTHER ZONING REGULATIONS ArcMEn9, _ Lions. NO. DESCRIPTION OF WORK n.P,fi _ - Address' ZONE PLNG. REF.g _ Contractor - Phone - TYPE PERMIT ❑GPACT NG 1J-T��'FOUNDATION �,STRV CTVflAL ❑TENANT O ELECTRICAL OPLUMBING OMECHANICq SETS C i SLI YARD 11��pNG aY ERTYLINE ey! ea At101tss LICENSED -CONTRACTOR OECLARA ION . I hereby affirm that uuu t I am IlnO der provisions of Charter 9 (cum. Is Tribal np- with tion ]000) of 0ivlslan 3 Of the Business and O OTHER' Fofesslons Code, rand my llwnsa I5 In full fare and affect. REAR YARD(TO P/L) e r LI[enu Class A License Nb. RFiA7 PRD,IELT DESCRIPTION � SO. FT. OCCUPANC TYPE V� PKG. SPACE REO. STREET WIDTH- PROVIDED! FOCUS FEES Date Signature - !WORKERS' COMPENSATION DECLARATION - I heroy affix that l haw a certHiCater Of Consent to sell -Insure ora //RUCTION VALUATION ZONE ZONING APPROVED9 DAT certificate l Workers' Compensation Insurance, o callcopy GRADING CU. YDS ACRES SPECIAL CONDITIONS: thereof I dims 3800, lab. C.I. APICy'NdWRII Company- - -RREEMARKSG:entitled -ertlfled Copy l3 hereby furnished. - ~^�^v~ j^A� COPYIS with the OulidIfy! •-� SPECIAL REQUfREb1ENT, - .aMPTION FROMIed WORKERS City COMPENSATIOSN DECLARATION F.. J.LGe FJ �Y z r �r N9LP FOR (This section need not be Completed if the. Permit Is for one hundr¢0 - — ) 1ECan fy tti t in the perlormanw Of the work fdr which has Permit Is. - Issued, I shall not employ any person In any manner s0 as t0 become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK wr leR to the Workers' CompensationLawsof Callfornla. . BATHTUBS SHOWERS -we Date Signature T NOTILE: If after making this declaration, you should became subject TOILETS, 'URINALS GENERATOR 03 KW�L10 KW 10 His Workers' COmpedsathoo prOVI510O5 Of the Labor Code. YOU must _ TRANSFORMER forlhwlth Comply with Such provisions or this Permit Shall be deemed LAVATORIES DOUBLELAVS APPLIANCE IPSO KW_50+Prior _ yoked. _ _ KIT. SINKS DISHWASHERS ASHERS.' _ _ MOTORS _ 0-1 HP_1-IO HP CONSTRUCTION LENDING AGENCY I hereby affirm that there IS a CdlAryglOn lending agency for the Per. SERVICE SINKS. SUMPS _ (INC. SOLARI" IPSO HP 50+HP - fornce of the for wh1ch this permit Is Issued 309] mawork' FLOOR SINKS FLOOR DRAINS- ^ FIXTURES OUTLETS SWITCHES CIV' C'I' Wells Fargo Bank Lender's Name s Lendal'S.Addresz ���N�p����or�Y��NEI BZ%PKING FOUNTAINS • GASTUBESIGNS OWNER BUILDER DECLARATION \ INTERCEPTORS CLARIFIERSn- L' 0 POLE LIGHTS - I hereby affirm that l am ekemptu rom the Conlracrtor's License Lew for SWIMMING POOL -PTRAP Afollowing ea (Sell 90315 Business Professions Code:1 ny -city o county which requires a-perdid-l0. construct,'alter, POLES METERED SUB _ IWATER SERVICE ALTERATION PANELS - MAIN SUB Improve, demolish or repair any structure. prior to its issuance, also As quires the applla of, for such p8, 1 to f to a, Enter statement tlut he.. rGA55ERVILE [OUTLETS.\ ,. r SERVICE AMP 151ICBn -pursuant tort M1e,WrOVI51OM Of the COmrdctor's Ucenw Law chapter 91 too mmen21n9 tin $ec[Ibn J,000).Of DIVISIOn 3/df the. WATER HEATERS -BTU OUTPUT . B siness and P, ASiOns Cotl0) or that be Is exempt therefrom an0 Le base for the alleged a mshim. Any Acted n OI Seprice 1031.5 by _' SECTIONS EWER CONNt U ' - lodefor Perini[ Uble[ts the pP11 ist to civil Ponally op - - E. y , I k - at t not a than f ver fund red, not Sats Dal SOLAR TANK .,COLLECTORS t. - 'I,,as'owner Of the properly, or my amp Sol with wages a5.thelr aule CompenMlion'(will on the work, antl the StfUC[Um IS not'IOtended Or Offered for Lll¢: (S¢CtIOn')044. Sude 5z and %OlesSlona Code: The SOLAR PIPING SVS. -' _ ` � ISSUE FEE Ocense•Law does nos pot to an Owner of'a property .ISSUE FEE .e1 � 1 ^ APPLICATION APPROVED BY GATE Wontactor'S M1o. builds o Improving thereon, ntl h0 does such Work hlTs¢If or through his wn'ampl ySai, y Ided that such Improvements are not Intended I. the building Improvement or offered for le. however, MECHANICAL PLAN CHECK r SUMMA RV OF FEES h one year of build onion, the owner a ease rho oburden O Sold Proving Of prOVln9 ho`tlld 01 bulltl VImpIOV¢ for .[be pmpase lksale). - ,. r -BUILDING-_. I` _ 9z p� HEATING SYSTEM- PI00900 BTU ` PERMIT E _LL! SMIP E ❑ I; az owrial the nrOibil y, aM xcluslvelV FOM1tiacurrg wit M1 ` AND OUCTING licensed contractors to o tm[t the Protect ISuctlon ]O96• eusinau •' Y yay, ^ 100900+BTU V PLAN CHECK E PERMIT and Prof¢sslons coca The Contachul Uninse Law does not apply t0" ISSUANCE 'E an of pt Party who bulldl Or ImOroven thereon. and who cam REFRIGERATION 0-100,000 BTU C +_ e r, `t PWMBING E tracts from sup projects with a conla Ror(s) Iic¢Sned pursuant l0 SYSTEM - GRADING E the Contractors (cal Law). 100,000+BTU • h ty - PLAN CHECK E - ❑ 1 am asOmpt a dar�0on B.6 P. C. for thli BOILERS BTU „ ELECTRICAL S E " _ reason SYSTEM REPAIR, ALTERATION "- PLAN CHECK E MICROFILMS TOTAL EEEE Date OW Ow MECHANICAL E (hereby uHIT t r aShia Tetuan and slate that the above EXHAUST SYSTEM _ MULTIPLE AD ' Information is I a l0 simply with all city and unty PLAN CHECK E _LESS - YANCE pC 5_ or anwa an me Ica rl t nstruclmn and hereby authoress - Is , coal I tho dei Uppn the above .minded' n signature - FINAL FEE $436- Driven' LICC 5# ISSUE FEE - - CMF 086566 White-Buildind8mrod-Assessor CONSTRUCTION AND PLANNING APPROVALSPermit # -� 0 Date _ Inspector POOL & SPA _ APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil ipe-Un rgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce 47.. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE - 7. Footings 5, o s A- 22 49. Electrical Conduit-Undr rn 8. Foundation 5. a �'�w- - 50. Gas Pipe, ❑ Undr rn Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ ndr rn 10. Structural Floor System 51126 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 _ encing & Access Approval 17. Ducts in Structure M. APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough &Test 20. Roof Framing 21. Roof Sheathing 11 _ NOTES: ^ S, 22. Frame and Flashing 23. Insulation /0_2 _g 6t5�'i 24. _ Lathing & Siding (o- (- $7, B ¢ weP /+ 25. Drywall Nailing _2 ,e C 26. Plaster Brown Coat - 1-a s,' r:.-.+ dr. r, 2,Y zk -5 27. Electrical Power Meter -Final d d 28. Final Electric s' e e e k T' 29. Final Heating & Air Conditioning v, A- -6a LZ/ / e 30. Final Gas Pipe -Test .2 -;t -nL q-0 31. Final Plumbing 32. Water Service -Final y 33. Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System ' 36. Sound Attenuation -� 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING to-}yti gt 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date 3505 Cadillac Avenue LNIT J3 - m _ BE25133 Int. Alterations $3,000_ 9/sl8 G CADIZ AC AVENUE 3505 _ Unit J-3 Lot 10 - B-227-�a�to7d1 corn. Bldg. 98,846. unit J-3 _ P-2382- 9IiISX PLBG. (B2270) E-2638- q �i3r8Y ELEC. (B-2270) - Unit J-3 - - f+-37557 _ a�io�d} NIDCEf. (8-2270) Unit J-3 - City of Costa Mesa a Development Services Department Building Safety Oivigion u CE R T I F I C A T E OF OCCUPANCY No. 0 Q 19 g S P. 0, Box 1200 Il Costa Mesa, California I The Building located at -____3505_ Cadillac_Avenue J-3_ has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R�r Occupancy. Use of Building WAYp7101)1Rp Legal Description 1 3A—FK1—b10 (See reverse side for Metes and Bounds) Building Permit No. $E25133 ' Electrical Permit No.BE25133 Plumbing Permit No Mechanical Permit No, " Number of apartments --� and/or guest` rooms ISSUED TO: Building Official -- 3505 Cadillac Avenue 'J-3 by Conta Mesa. CA �� ry Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (el U.B.C. CMe 1415-45 rev- 1/83 White - Owner, Canary - Numerical File; Pink - Bldg. Permit File Citv Oeye/nnment f Costa BUilPi O S�a�e�V D De art'n has rhe Bunsd Mesa, Califon a n ent f been l , loedted of or a Group and to � i Use 'g e °f BuldlnpCQul �e9al r, _ Bulldtn9 Per mit N McChanica/ Per Mt t N°. /ssu f ('..an.t O Tp. S.q6 rev � BrilnOf 0C O/f/c oal Lipaney city Of white . , EgT�F1C4 TE OF O w f 1�a CCUPAIVC r e pr°v,s3 No 00026 s pf al/ C/ry ° f C hq npgt� °sta Mesa Ordl noncar a Ap//Cable / 3j//\E/ectri cat P (S"rever�siyej [honor° S ermirNO E-263rMetesa°dee"nusl Numb \ P/ u er °f apartlhents O tnb/nB Par ` Build;\ m`f NO. P, C BE by n9Off;�ial and/,Or9uesir 2.i$2 °p Cana q'' Ne SAAAle Posted c. 30?nsA1C(i Date �\ tnerical 1 e) is lac -�- File. V.B, a Oq he Pink eja9. Permit File Pr miss andSlgALL NOT BE rem . °yed exCeAt by the Applicant to B11 m all paces within heavy borderlines and Sign all appropriate CITY OF COSTA MESA -PERMIT NO.' TRACT NO. LOT'NO. BLOG.ND. CONSTRUCTION PERMIT TYPE OF CONSTRUCTION - ,Q' NEW ❑ ADD ❑ ALTERATIONUp sis; O REPAIR Q CONVERSION ❑DEMOLISH ❑OTHER 6604 6/01 /BR 1 110 -y _ rt - - -- ZONING REGULATIONS - Project Address 3505 Cadillac AVenue. Owns is PhOrM - • Addrw 1301 pGaice St. Suite 760 - n ArCNEnS.- O t BeaCh License No. - DESCRIPT IONOF WORK •Address - TYPE,OF PERMIT "' ❑GRADING - 0 FOUNDATION OSTRUCC�T'U'RAL 11 TERMINI ELECTRICAL OPLUMRING aryvcCHgNIC ZONEPUNS. A IMKU 5 ARD NIGXT - gEF��.,pg�q. XROOgUPEWMNESETB. ra Cantclor - aiY Inc. '-Phone 2838958 AtltlaaO O El Monte LICENSED CONTRACTOR DECLARATION hereby Ih 1 Ilcensap f Charter 9 1 affirm at am under provisions (com. coming with_wx )000) 3.01 the Business d C3 OTHER ^Division .Professions Coca,-VnO y Is In lull it CU ct: REARVARD(TOP/LI - - -. r_�n -E I r / PROJECT DESCRIPTION,. _ �- Lim ie u'4 . Lll N;k - - PKG. SPACE REQ. ' ' PROVIDED GID. s/2O/e2 signat Yra ° V -/ .A SG. •OCCUPANCY CONSTRUCTION TYPE _ STREETWIDTH - PARK FEE$ - WORKERS' COMPENSATION DECLARATION- I hereby affirm that l have a certificate of Consent to sof-Insure ora, VALUATION-' ZONING APPgOVEOBV' DATE ra certificate of Workers' Compensation. Issuance, or ertlflarl COPY- _ZONE _ ,OggO1NG CU. LDS. ACRES SPECIACCONOITIOlif- "-poi (Se[IIen 3500o C.h WFR1 x40`4°89 Fremont IndelmlitY. V NO- Company - _ 4RIfloo COPy is hereby furnished. .�-. _ REMARKS:.- 2a 10 XXCCRIf100 appy D filed with the City Building Division. _ - - - - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - (TMs she Ion need not be completed it the permit is ler One hundred �E10o1 legal I MrifllY pnlOrmsn¢ the work for which this pas it IS - sMl aM1e 6smd, 1 nau n tom y any In any rPa 4g to ti '. PLUMBING' , - - PLAN CHECK - - ,ELECTRICAL - PLAIN CHECK - Yple[I m Ino werkersPcomven tiro lawsar pli r ! L - _ - BATHTUBS-- - SHOWERS _ -- Dale 5490/89 Signature J' I NOTICE: II alter making this declaration, you should become cubla TOILETS ,V URINALS 'GENERATOR 0-I KW�1.10 KW to the Workers' Compensation WaNslpm of the Labor Code. you must TRANSFORMER forthwith Comply with Such groaslOR or this permit Mri be deemed LAVATORIES DOUBLE LAVS APPLIANCE -1050 KW�50 y KW -- evoked. KIT. SINKS ' - DI554WASHERS - - MOTORS 0-I HP_1-IO HP - 'CONSTRUCTION LENDING AGENCYy - ldOerebyaplirmtthehwOat tkereforIsaCM1nstruthiscpVmlttion anding uednl'+fortactio309) SERVICESINKS .BUMPS ' )IINC..SOIARI IOdO MC_ --50,4 H P , Ov, C.L' --- '- -" "" - - FLOOR -SINKS - FL-OOR'DRAINS FIXTURES - OUTLETS'" SWITCHES ' Landers Name Lendc'N All _ DRINKING FOUNTAINS GASTUBESIGNS - -- - INTERCEPTORS - CLP.RIFIERS - 'ROLE LIGHTS -' -- -- - - - - IOM1 eb aflirmOER that loam exempTk m the ConlractorY License Lew for SWIMMING POOL '-PTRAP -MAT - - the 'far 1pwind reason (Section 7031.5 BY¢Iness-and RO16slOns-CO6H at which requires a VOLES D UB WATER SERVICE -ALTERATION-" - PANELS -MAIN SUB 9VB' mFytrove, demolish or repair any Suralure; priorttollU Issuance, also re. qulfeste ap4hcant for such permit to file a signed statement that he Is licensed the Idoncat tna-Contractor's Licenselaw transient Wmv GAS SERVICE OUTLETS -iSERVICE - AM! - - Iene^tm 9 ICommsions ' )OW) BI Division 3 of the arthat _ WATER HEATERS BTU "OUTPUT ^ - - Cade))1 eis h therefrom and the ligation P alio RlOgOd appli al Section al owe of )03].5 by for the bored Campio n. Any a io . Any SEWER WNNECTIONS�- -a �'a� asa- ects 10 i CMI penalty he a c for a e ehuntl dollars more llhan +t fived ($50011On[ ; SOLAR TANK -• COLLECTORS - - - - or my eas their 1, as owns of the propertwill with wageIs andmployees 0 dohey, nots Io1(e 4- _- O fo�issoN m.(SwnlOe)044Bworkusinesshandructure Professions Caen The SOLAR PIPING SYS.--- -- - -- - ISSUE FEE- �� _ - - 'a t apply to n owner OI a Casualty Contractor's license Law does no a _ __ _ ISSUE FEE - '.APPLICATION APPROVED BY -- - DATE - whthroubM1 buildsa,and da rk hi tCs man, ase neor t own ¢proves twhohat Improvements MECHANICAL PLAN CHECK _ SUMMARY OF FEES (' Intended or offered fox Sale. u, however, me building or improvement It sold within one yp r 1 completion„the owner will have the burden f Waving n0 did not bUIUSImproveOImpror he ruddso-of lel. BUILDING' - ❑ I, s owner -of-ths) a xcludwly wniraclln9- Illi HEATINGSYSTEM 0.100.000131 PERMIT E rSMIP S emprty, licensed Contractors to construct IM1e protect (Section 7044. Business - AND DUCTING 4poAD0 a Bit; PLAN CHECK $ PERMIT and Professions Code: The Cenlraclor'S LRAM40-law does not apply 10- ISSUANCE E an 1 property who builds or ImprOVes thereon. and who earn- REFRIGERATION O 100.000 BTU 'PLUMBING S facts Isom such projects -with a-wnt"001(s) truisned pursuant -lo SYSTEM -• - --- GFACING-.S IM1e Contractor's Litems Unit. IOQooO a BTU _ .PLAN [HELI( E' O -lard exempt under Section u. B P. O. Mr Safe901LER5 BTU .ELECTRICAL -S - -” E SYSTEM REPAIR. ALTERATION P PANCHECK' f MICROFILMf _ Dates Omer TOTAL FEES I hereby certify that l have read this application and state that above EXHAUST SYSTEM MULTIPLE _ jMECHANICA.L IS -OQ" - p LESSAD- information Is a 1. I agree to Comp ItM1 511 Aly 0 [Y rPLANCHECK' $ LANCE PC "E ' ordlnan ORatO laws tin to const tion ansl herebynautnotlae 'lFe-above nau or a 1 ober n mentioned p openly 1 r IrIs09);t _ __ 'Qr% 519nel the Y / 'J to 5�20�82 I FINAL FEE $ Drivers' Se or SSW -" ISSUE FEE �i _- _ CMF 0865 46 White -Building; Unary-Applitan[; lu k-ACmunllng: Goldenrod -Assessor CONSTRUCTION AND PLANNIN�Gy����- APPROVALS Permit 4A rte' J�Date Inspector POOL & SPA APPROVALS Permit 4# Date Inspector 1. Temporary Electrical Service or Pole ;��, 43. Pool & Equipment Location 2. SoilPipe-Un rgrn -- 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms - 4. Electrical Conduit-Undrgrn - 46. Electrical Bonding - - - - 5. Steel em orce 47. Rough Plumbing & Pressure Test - 6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE - 7. Footings 49. Electrical Conduit-Undr rn 8.. Foundation 50. Gas Pipe, ❑ Undr gin, Test 9.. Water Pipe-Undrgrn 51. Backwash Lines P -Trap' 0 Undrilm 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, PlumbFna System - Final 14. Rough Electric -Conduit - 56. 'Electrical -Final 15. Rough Electric -Wiring - - 57. Solar System -Final -• - 16. Rough Heating & Air Conditioning btS. Fencing & Access Approval ' 17. Ducts, in Structure _ APPROVED FOR PLASTERING. 18. Ducts, Ventilating _ 60. POOL/SPA SYSTEMS FINAL -. - 19. Gas Pipe -Rough & Test - - 20. Roof Framing - 21. Roof Sheathing- - - - NOTES: ' 22. Frame and Flashing- 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 1 - 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 APPliont 10 fill In all spaces within heavy bolder lines and sign all appropriate declarations. CITY OF COSTA MESA PIT NO. TRACT NO. LOT NO. BLD - - CONSTRUCTION PERMIT 5970- l •N L 8/12/112 ' 9.00 Project Address _ �� YPE OF CONSTRUCTION LJ NEW ' ❑ ADD ❑ ALTERATION ❑REPAIR O CONVERSION 0 DEMOUSH_- 1 _ -Own - hone Adtlrem __ __ C ' 11 1- ZONING REGULATIONS - -Arch/Eng. License No. OTHER _ _ - - DESCRIPTION OF WORK ''1 A'P';f AOOrea. - -� r .. ZONE ' PLNG. REF: ¢�N P;JALAllTYPE �Addl r OFPERMIT 's - OGRADING' O' -FOUNDATION ❑STRUCTURAL 111 TENANT 0ELECTRICFL�BING LUMOMECHANIC - --SETBACK VARD , 5 �RO A�V LGNE - _ ' LICENSED CONTRACTOR ECLAR TI N - I hereby affirm Met I a IICe0E00 Under provisions of Charter 9 (COM' tion )0001- al, DlviYo-3 f. tne_Elpineu.nd RI T Iny Iib 'hofeRIGne Cep a Runge B i fill a If- _O.OTHER REAR YARD (TO /) - + y A��cyL LICenSe v 1 LI[e J SQ. FT.TOESLRIPTION FT. ^_ IPKG: SPgCERED'-"' PROVIDED. _ j'��T IRS ;Date —�PpolUre� -._ ♦STREET WIDTH _ PARK FEES - WORKERS' COMPENSATION DECLARATION OCCVPANCV�GONSTRVCTION TYPE OC ZONING APPROVED BY -DATE d hereby affirm that 1 Lave a certificate of conunFto wit Insure r a VALUATION - ZONE Nfiot s Confederation he ,lJee/1/R100 - 'SPECT ACCONOITIONS: p(I1pWpojrkQ '1 GRADING CV YDS. ACRE$ yfl(feCIWM135fn3ubany LY 6dififlled copyIshereby furnished. REMARKS _ certified COPY IS ]ileo with the city Building Division.. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - (ThI['mellon need not be COMPmitl if the permit Is for one LundrM (E100) or less) �' • certify fy that In thatperhormance Of the work for hich this pe ll I Issued I -shall t - 1 y ny Porso^ In Any 1 hoc c PLUMBING PLAN'CHECK - 1__ ELECTRICAL- - PLAN CHECK ' ubjecl troth Worker_sP_COm"nsallon Uwtof� Calf _ _ BATHTUBS'SHOWER$'-- "}SO __ FT SO FT [ 1111__ _ Date Signature •- ' NOTICE: 11 after prolmo this Cecil You should be once lubNCl TOILETS - • URINALS- - -_"-- - GENERATOR - 0-3'KW�l-10 KW" - to the Workers' Compensation provisions Uf the Labor Code, YOU mus[ forthwith comply with Such fro loo[ of this permit shall he deemed _ LAVATORIES OOUBhE LAVE -- _A .- TRANSFORMER .APPLIANCE-' -10-50 KW -50 - r a KW caked. CONSTRUCTION LENDING AGENCY KIT -SINKS ^OISNWASXERS�^ 'MOTORS•. -- 0-1 HP -1 -IO HP - - 6nerebYal[Irm thatthere IS a wnsirucllon lending Spoo for the PA- e SUMPS- - - SERVICESINKS" I _I{INC. SOLARL_.IOIiO HP 50aHV f formance Of thewt rk for hlch [MS Parent Is Issued ISectlon 3D97 FLOOR SINKS --- FLOOR DRAINS -- - -'FIXTURES OUTLETS-- SWITCHES Civ. CJ. - - -- - - - - Lender's Name - '_ Lenders Address ORI NKI NG FOUNTAINS '•, "� "^�'- IGAS'TUBE SIGNS OWNER BUILDER DECLARATION - - -- -- - -- INTERCEPTORS 'CLARIFIERS - - - 1POLELIGHTS - - - - -- - - I hereby err I'm that I am exempt from the Contractor's License Law for - SWIMMING POOL PTRAP' - -- - - 'POLES METERED 'SUB Ihe following reason (Section 7031.5 Business and Robeson GOde: Any [city a county which squires n permit to construct. alter. WATER SERVICE ALTERATION ,PANELS - MAIN --SUB Imy O demolish or no3lr any Structure. prior to Its esuance,also re- thereq IINnt for such permit 10 f110 Signed statement that he Ad a K II bpureW nl to the provislons of lha{entactor% License Law GAS SERVICE - OUTLETS- SERVICE - AMP chapter 9 (cOmmenun9- with Sill )000) Of Division 3 Of the WATER HEATERS-- 'BTU OUTPUT' and hal iom Or,thlo ibaxe TO 1tharefrOns aha IOb loops o`:°�l i°wnzuy- -SEWER CONNECTIONS -T- -- -- _ = - - T - - - Reaanta'foren permt-SURI.3 the Gagt .sip y ..l Ore than five hundred dollars ($ST the property,their - as owner ropert ,orkor ma -wages as �le'[omplll SOLAR -TANK- - - -COLLECTORS- tl(ryeosederwi sof not Srr offered for s (Sexcition 7090, Business and Profess°ns Code 7111 V -SOLAR PIPING SVS.-' Q ;- ISSUE FEE _ Wntraclor'S Uel LAW do" not apply to an owner of pro, Who Conde Or Impales thereon. and who does such work Wool or _D - ISSUE FEE �' -- �J ' APPLICATION APPROVED BVI` .O ATI through his own em Ioyeas, r lded shat h improvements are not Intended or offered for le. l'i. however. the bundinq Improvement _ -h1ECHANICAL - " - - - Is-� Is sold Prime one year of completion. the Owner will have the burden PLAN CHECK SUMMARY OF FEE_ -1 t build 'Improve "purpose -saw). -' provingAl or of SYS 100.000 BTU HEATING SYSTEM 0 PERMIT $ SMIP.. E C.1, as.oweor of -the properly,..am.excluslvely contracting. With ANO9VG - _. ' IING lcenmO contractors 1° Construct the Pro act (Section 7040. BUSInC $ 100.00o 1 BTU (PLAN CHECK E .PERMIT And Prof sooty Cade: .The Compactor's License Lw does.notap019 to - � ISSUANCE' E, an owner of property who biding; OOr Improves thereon, and who Pon. REFRIGERATION e-100,000 BTU •PLUMBING $ GRAOI 61 tracts Irom.SUCh pmletti by laGtor(U.IIGsne0.0uauant .[o the Contractors Uwnw LAW).. SVSTEM.. _ 100,000+BTU _ IPLANCHECK E'- NG E ., I 1MICROFILM I]' I am exempt untler Setll°n - - S.6 P. C. for this BOILERS BTU SYSTEM REPAIR, '- ELECTRICAL E fPLANtHECK E - SN.S reason Date - w net O , )'TOTAL FEE$; - MECHANICAL $ - I hereby certify that l haw lead this application and tate that theabore ExXq VST SYSTEM Ml/LTIPLE LESS AD. InfOlmi[I0p'I5 WIIICI. I a9ree't0 ply with all City andCounty'PLAN CHECK. J VANCE PC S: - OldlnaOusantl wsrlatingto constructon, and herebyallthurize al .f rental nlallwi -city to enter 'Upon the -ab t Ned - - - - pfopel to p _ 00 Slgnaiure FINAL REE $ Otiven' License or Si ISSUE FEE CMF 0865-46 While-Building;Canary-Appllcont: Pink -Accounting; Goldenrod -Assessor r, CONSTRUCTION AND PLANNING APPROVALS Permit # �y"�+ Date Inspector POOL & SPA : ^ � � Date Inspector .APPROVALS • ' � � Permit y 1. _Temporary Electrical Service or Pole _ 43. , Pool & Equipment Lodati6n - - SoilPipe-Un rgrn. _ _ _ 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn - 45: Forms - - 4.- Electrical Conduit-Undrgrn 46. Electrical Bonding-' - 5. Steel em orce 47. Rough Plunibing & Pressure Test - - 6. _ Electrical UFER Grn- _ .. 48. APPROVAL TO COVER:GUNITE - - ~" . _7. -Footings 49. Electrical Conduit-Undr rn • " B. Foundation - - - - '- -- 50. • Gas Pipe, ❑ Undr rn, Test -- 9. - --Water Pipe-Undrgrn-51. Backwash Lines P-Trap0 Uhdiqrn - 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 - _ 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 - - - -•�-' - -60. -- -_ _ __ _ •• . POOL/SPA SYSTEMS FINAL ' - 19. Gas Pipe -Rough & Test •' - - 20. Roof Framing - - - - - '- - -- 21. Roof Sheathing- - - - - ' NOTES: 22. Frameand Flashing - _ 23. Insulation - - - - - - - - 24: Lathing & Siding - - - - - -- - - - -- - - - - - - 25. Drywall Nailing - - - - 26. Plaster Brown Coat' '• 27. Electrical Power Meter -Final - -- _ i• -- -- - - -• - 28. Final'Electric - -- - -- - - - - - -- - _ 29. Final -Heating & Air Conditioning ---- - - - ' 30r- -Final'Gas Pipe -Test - -• 31. Final Plumbing - r 32. . Water Service -Final -- - - _ - 33. Gas Service -Final - t 34. Solar DomesticFinal 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison t 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY No.__ Date nbe6ceintdfhTrn an'eb+ces wAwithin dnyy burets" lines and ems" all soot lasearaelPr. CITYOFCOSTA MESA vF,RM1r No TRACT NO. LOT NO. ' g4L �N7q.� - 1970 2/'11/82 8,00 TL .CONSTRUCTION PERMIT jT `ProjeR Atltlress 9JOS i L t TYPE OF CONSTRUCTION 1/f..I! P�,e-- ////{�' .OWIIer- _ - Ph008 .Si KNEW 11 ADO 11 ALTERATION - - FddreM Q ❑REPAIR []CONVERSION I]DEMOLI SH ❑OTHER ZONING REGULATIONS•. ' Amh/En8' E J 'License No, - DESCRIPTION OF WORK A.P. So AOtlrp9 ZONE �PLNG.REF.yk " COntraCqui `( Wp . FG - Prip -S c TYPE OF PERMIT SOLOING•O SET 9�s� G PROPS INE ,Address 'IN: - _ Q GRADING ❑ FOUNDATION "-O STRUCTURAL E YARD - - , _- LICENSED CONTRACTOR DECLARATION - - ❑ TENANT.ELECTRICAL QPLUMBING OMECMANIC � under hereby Stilton thc\ I a Ilnnseetl der should.... f Charter 9-Imm- IGHTA Tanning "With- mttan 170001 f 3 of the Shanghai and Q OTHER- mffect. ROf05slons Code and y license Is In full e and REAR YARD LTO NO _ _ - , -d - . t _ PROJECT DESCRIPTION- t _ - - - u- pNaa. LJcenu PKG.SPACEREO. - PAOVIDEE - Y/ZY' Y•C Y Date SQ. FT.i " I=1, -' p WORKERS' Cm DEELAR T N .. __ _ •OCCUPANCY-' CONSTRUCTION TYPE ISTREET WIDTH ,PARK FEES - of that I Maw of consenC to ulfimumare Iherehyaoirm 'yqW HT10N ZONE •ZONING APPROVED BV-" "DATE' rovers pandat11cate urtlfluN f Workers' pC) satlon Insuranw, ar-a erllRea Capv -- - fib 'act ($e[11on38dQLab.C.1.61ECIALCONDITIONS! GRADING CU. YDS. gCgES - :Y NoItIS Ya'lSV/sl oampanY�i`a`�B�YNb'"PO• _ . Deal copy is therapy furnisher. .REMARKS Q Z.7� ❑ Certified O ropy tiled with the cl[v Building Division. OJ EXEMPTIONFROMn WORKERS` COMPENSATION OECLq RATION O - {Tnis tllon_neea not he.complelod If me permit is for one hundred , ',' orhatIar - - __ .certify of the wny which z Shat Ladd employ Nj _ any mere as becomit INueet 1 Shan I employ any pawn In a any IO become I Yubi[CI to N<Work<rs Compdnsatlon Law, at California. PLUMBING (PLAN CHECK -- _ , "ELECTRICAL' "PLAN CHECK. .. pate 9maturs _ _ __ _ _ BATHTUBS SHOWERS __ - _ NOTICE! 11 attar rwkisy this declination, y U should become subject TOILETS , -URINALS -- - 'GENERATOR "'0.1 KW_ 1_40,KII "- '- to the Workers' Grmpdnhighl provisions o! the Labor Code, you mus. TRANSFORMER forthwith comply with such Provisions or this permit $11i be deemed LAVATORIES DOUBLE LAYS - �APPIAANCE - 10-50 KW_ 50+ KW revalued-- _ ._ -- _-_ -. _... _ -. -- CONSTRUCTION LENDING AGENCY -KIT: BINKS -_-DISHWASHER$"' - - �'- - MOTORS' ' b+l'HP_5.10 HP" - - lending igen Cyctin Mn 1rmhereby that .M1em 15 Sch Cper SERVICE$INKS i' tSVMYa-' ��"-- �'� --'fI1NC. SOLAR) -30-50 Hpy. .50a HF - -- nciofththis iti ldV:C.). of Ina work far welch iniz permit is ssuetl (Sect- 4091 FLOOR SINKS FLOOR DRAINS - 1FIXTURES--' OUTLETS' SWITCHES Lender's Name I OWNERBUILDS -DRINKING-FOUNTAINS '--'"" ". - -- -GAS TUBE 81CN5 '-- - -- - -' t OWNER that O ECLARATION— nnpbYStilt affirm that aScHoon tryom [BUCOntrattdh Lawter INTERCEPTORS 'C LNRIFIERS_ - I PGCE LIGHTS' i rHson ( JOSL'S$ Professions antl Pronstruct, SWIMMING POOL -P TRgP' - - -- - City Or Which a permit to cOn{M1UCL slier, Any Or lis alter, Any per waira 'PO S METERED 5Vfi or anyStructure,lOToo l 5"psanmal re.' Improve, Gemalhb Or repairayt i pi Improve. WATER SERVICE ALTE0.gTION -t PANE" MAIN" - $VH'-� tile ns statement theoup,thigent rthe¢prOvls.Ons \t .,�,- Islicensed"WrSuant loires Of tne'Contracldro LlcOnsa low �. GHS SERVICE `OUTLETS h 'SERVICE" AMP-y� - (rhaptss ^ (commencing with Section 7000) of Olvlslpn 3 of the and Reveal Code) drinat he Is Seem t Iherelmm and Ne -WATER HEATERS--BTU OUTPUT' - for the alleged a Mpti n. AMY IOlaapdn O9 Section 7031.5 by ) aventua t Or-a permla subjects the OPiicant lo- NII cenaltY SEWER CONNECTIONS -_ dr not m re than five hundredollars ($500). of the property or ma employees with pagS esS WEIr SOLAR-TANK - COLLECTORS -I - is t ln\erskin mlot s❑olO Copervation, w111Ao\ire WOrk. d the souctumro f Or OHO¢tl for sale(Section 7046, Business and Professions Coded .he 1 .. - -1� SOLAR PIPING SYS. 'ISSUE FEE - _ Contractor's License Law does out apply, to an owner a1 a.y o p - _ _ - -- - - wnd police Or Improves maroon and Who does such work nlrnself ISSUE FEE - 1 �" :NPPDILATIONAPPROVED BY - - DATE _- though hit Owe eT0o0ysMe.. Orov.de0 that tach Improvements aref s Intended ar offered r I howemr, too bulletin improvementMECHANICAL PLAN CHECK SUMMARY OF FEES Becht within one year of completion, me owner will have heed buden 7 f Pmv{ng he Ola of bwm prove her the purpose 1 coal. HEA(BUILDING- SYSTEM a-I OO,000 BTU - -- - -- - - --- LI j-Df-\M1C property, am eXClusively nontrading- with � AND DUO - _ANO DUCTING ,PERMIT E - --- - SMist�-, •. E --.I _ - -.- Ilnensed wnlradars to construct the project 100.000rt BTU CHECK E _ PERMIT •yyj 1 The La do*$ not apply to, Lawdn. and adwner - -ISSUANCE- dr Improves Mer Owner of property who Cohrs Of Improves was ton- of preen who con hems REFRIGERATION 0-ID0�000 BTU IPLAN 1pLUMBING S .1 with a we s pr or such projects th a cdnllactolls)'llr4sned purtWnl to badr SYSTEM' '- - ----- SYSTEM _ _ _- the COntracibEs Upon" Law). 100400 18TU ALAN CHECK Is I 0.1 am ¢%¢mpl under Sectlim _ B. 6 P-C. for this BOILERS BTU ELECTRICAL S ' reason -' - -- - - -PLAN SYSTEM REPAIR. ALTERATION CHECK f MICROFIINy pilo Owner MECHANICALS - _-TOTAL FEES - in¢rebywr[IN[wa[I nave lead trail tl Otthat iheaG^ve EXHAUST SYSTEM MULTIPLE LESBAD- t n(creep 0, Is over gree o ply with all city and Apply comply PLAN CHECK E - --VANCE PG S mdMancesand State law$ vital do tooritcur uctlon and pembyauthouse ssq sly thisioe t r on t above mentioned .. v papertYatives on a_ 1D 7 J t Slgna[me alS FINAL FEE E Drivers' Limnse r CMF 0865 46 White- W mW nary- pp ican . Pink-Accounting; Golde^md-AtseSor CONSTRUCTION AND PLANNING APPROVALS Pe mit �-x`g Date Inspector POOL & SPA. - APPROVALS Permit # Date Inspector 1._ Temporary Electrical Service or Pole _ 43. Pool & Equipmerit Location - - ---- -2. Soil ipe.Undrgrn" . r 44. Steel Reinforcement - - - - - - -- - - - - - 3.. ..Electrical Conduit Utility.Undrgrn _ _ 45. Forms -- - -- - -- 4.. Electrical Conduit-Undrgrn _ _. 46. Electrical Bonding -- - - -- - - -- 5. Steel em orce_ 47. Rough Plumbing & Pressure Test- - - _ 6. -Electrical U_FERGrn _ _ _ - - 48. APPROVALTOCOVER-GUNITE - 7. Footings- _ - 49. Electrical Conduit-Undr rn _ - - - 8.. _ Foundation _ _ _ 50. -.Gas Pipe,. L) Undr rn;Test "• 9. -Water Pipe'Uhdrgrn- 51. Backwash Lines P -Trap, '0 U ndr'rn' - ' -- ' 10._ _ Structural Floor System 52. APPROVALTO.DECK ""_- - 11 _ _Property Sewer.Line &. House- Connection "_ � _ _ - 53. . Backwash & Receptor -Final �' -• . _12.._ Street.Sewer Connection_ - - ' ,� _ 54.- Heater & Vent -Final 13., Rough Plumbing 55, Plumbiria Systerd- ' 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- . '_ _ _ _ _ APPROVED FOR PLASTERING - 18. Ducts, Ventilating 60. - POOL/SPA SYSTEMS FINAL 19: Gas Pipe -Rough & Test- - - I - 20. Roof Framing 21. Roof Sheathing- - - _ _ �',-• •• NOTES: •• "' 22!. -Frame and Flashing _ .. __ 23! -Insulation • 24. Lathing & Siding 4 - - - - - - 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: _ FinakPlumbing_ _ _,•- - .' '- 32. Water Service -Final 33. -:Gas Service -Final.--_ _ 34. Solar Domestic -Final - 35. Landscape Sprinkling System - i 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 - - - APPllunl to nit In all spews except them within heavy Sommer lines and eqn MI appeoPTIME declarml CITY OF COSTA MESA— CONSTRUCTION PERMIT ff NO. ,p TRACT NO. LOT N . OBI11 ['1.j e/kf It 1 TL Applica l'e Mali Add RaIY.'1 AtldreO N Ct O$ ,d AB TYIP�pIDP CON$TRDCTIIl NEW ADO ALTERATION REPAIR IJ CONVERSION UDEMOLISH ❑OTHER Owners Ne/�rle none / Address/3o/ AVPs CLb [tT Self � DESCRIPTION OF WORK TYPE OF PERMIT pRADINO U FOUNDATION STRUCTURAL Q TENANT ❑ ELECTRICAL ❑ PLUMBING Q MECHANICAL ❑OTHER PROIECTDE$CRIPTION SOFT.OCCUP Y�c� CONSTRUCTIONTVPF VALUATION Srs_2 ZONA GRADIN000.YOS. ACRFS A.P.0 ZONE Arch/Eng. License NO. AdtlrBW • PLNG. REF. kL BUILDING TO PROPS TyLINE Np REAR YARD (TO P/L) L•pntr r Ne I� LEFT SIDE YARD - RIGHT SIDE YARD ^phone�G%a%�TF IS, D• /Fh Adrhen lrnalling) 'u' x Ili PKG. SPACE REO. PROVIDED CONTRACTOR DECLARATION Remarks, STREET WIDTH . PARK FEE S MLICENSED 1 hereby ofliTm tout 1 am licensed under provisions of Charter 9lwmmancing SPECIAL CONDITIONS [\_ with Section 7000) a Division 3 O1 the Busing" and Profession Code, and jl my license Is In mu corn and affect. I Ooro Uwnm • PLUMBING Date Bar Siok Sewer Cap - - ELE NRKfiRS' COMPfiN6AT10N OECUIRATION COMPENSATION or"rslrmtlupoidlo• ns4rnra Down mnibdnp a rtmwte Late Cam n Ilvn Insunnw, or • wrtlfle0 oris Inereol $edlo 3800, Lair. -TI/- p., �a'�Y � BOCk11ow PRventer $Bwdr Connection AUlametic.WWllef 'M¢IW ay¢r 100 amps _ .- Beakllow Irrigation Soler Collectors Construction Pale Sub Panel PoIICy No. 'ished. mpanY Certified woes e GMM1Wbs Sister Piping Cooking Unit Sub Pole Cierl(len $OIar Tank pinwesner Mpmn ❑04 NP ❑1X00 amp p Ir file y¢n the utr_Bu file with the CRY Dot s/^T''+Appllwnt v w IThIEsse�lonNneednotbe completed IIt Ths pe,mlt Is for one hundr ($100) or lea). 5 Certlloy that In the YPerformance 61the trek for ahlch IMume t Is Issued 1 warkonl cempml a Laws of Ca If rml•. r s to bac sub)wLlo Ilse Dishwasher Swimming Pool wisps Dryers ❑Gas ❑Elwtric- lar E39-15HP ❑1515+ Drinking Fountain[ Urinal Fen Microwave Mier - Flom Drains Water Gm_ t F.A.U. Palo Light Dale Signature - NOTICE: 1f, altar kIM this declaration, you should became Subject to one Floor Sinks - Waw Hater, Fixtures Range _ Workers' Compensation provision[ of me "bar Code, your must forthwith, amply wltM1 un provision D Is Permit snail M revealed. Gas Service -Outle" Device Boxes $�p000NSTRUCTION LENDING AGENCY wroby affirm lnaltMn is a Construction lending agancyfr31OP"Ormian for whlchahls per I sea (Section 36191Ov. C.1" 1M pdnnder's Name - Al' / InIDnep[n•'Sttnding OutletsageI $actionswork Kitthan SiOk Trazn COm �--OI $wi1CM1n' PyTtprLea 'S A a - - OWNER BUILDER OEC ARATION_ - "-- -LWatoda G hope DishoWI followingrmWnt(Seclam tion i031S Butlnsn and Prohnlonal Code; l Useful Piny City hr P -Trap Mftm:�:ion Generator ❑P5KPY ❑6.16KW county which requires a permit to construct, alter Improv, demolish or deah ny structure, prior to Os Issuance, also noulrm the appllnnt ser soono u Ii IRoof rite a npnW Ragment Shit neryne b nwnwd pursumt to fns prpvlMe i f Conlractais Uran s Law (Chapter 9 (commencing with Section 7000) of Ion 3 Of the Business and Aofe"lons CoaD or that lie sM Is pt end thea. basis far the alleged exemption. Any ote Ion of Sactlon a1,5 hYa y ppllnnt for- a Permit ubfecls the applicant to C all pally of not more than (Iva hundred dollars (1500). I 1. is o nor f int penny n y etrulOyns Colin wages a tr heir role ' Compensation (Sen will 0 the wank, and my structure Is rot ! The, C unonerad Tor License Law atom not sooty Business owner of as property ATO builds of Impoovns marwnand who doer such work nlmseIt or or tmouAn cels or nen own NO s prodded thasuch Improve his are not In endaa or Nares for "l I. It, however, the oil In or ImOrove mant IS Sol within one year of COm- platoon, the ownorlwIII he Ih• burden OI proving he ho EIC not bulla or Ise- 1�r farina purpose of a le). - U 1, as pwner of the prOPeriy, am Soft rival contractlher IIh I race wn- 'eraemrstocOn"run.msProject �1often ]door, Business aMmClassical code: True Contractor's I,lMnm Law tl t apvly to an owner v1 property who bolds of Improves maroon, dna wno Co if 9 for such projects with a oro- IractorIO Inner pursuant to the CantractorN Uwnm "w). ❑ i am exempt under often B.N P. e. forthisruson DreiMio Transformer ❑15-W KWf ❑50+KIN - Reinpwtlen Fee $yg - Sharrcrs $isdram - Metas ❑up 10100 amps IOug Fn' '$ 3 1 Service Sink $ $ Zoning APpontl By Dale Applintldn Appmytl By ate ' Appllatlpn lauad 6Y u ,MECHANICAL - " - Refrigeration System Beilar - _ DIicN Untler Grountl ❑6100,000 BTU ❑100,OODBTU - I SUMMARY OF FEES P BUILDING PERMIT $ �r • $MIP $�� PLAN CHECK $'. PERMIT ISSUANCE $ . PLUMBING $ PLAN CHECK $ GRADING $ $l ELECTRICAL' $ ' PLAN CHECK $ MICROFILM S. •MECHANICAL $ TOTAL FEE' $ -PLAN CHECK $ LESS ADVANCED PL $ FINAL FEE $ !f-, Y-7 Duct -Structural System RepairlA Wielion .Oust - Ventilating - - _ Exhaust System ❑ Multiple ❑ FirepllFect. Bit. ICED 4 Data Owner- - 1 Heating5ystemG Ducting ❑61m,000BTU ❑1100,000 r I- ore sortlfY at hero •d this application and tate that the allow informal Ion is co r L I agree to comply with an city and county ordinances and 0 state awa ro11109 t ding enRruCNon�and hereby authorize isms I of th try y the have-mentoned ty f0. Impemen purvesn. oro 3 Shinsture Drivers' Unnu Or 55 as Hood or Type I ❑ geirlspw<Ian Fn Ceno T II ❑ $16 Registers )safe Flu - $9 CMF 0865-46 rev. 2 W82 W-Accounlln9: Golticrime- Assessor NSTR�UQ-T19INI,A�1137^ANNI�J13 ---'T-- -�iector POO ;PA -APPROVALS 2. tq�'. > PerinW+LL� s s APPROVALS, P6rmh+,* Date Inspector i or �C7Temporary - �l Ser�ic 6 �P61e t: -,152 Pool & Eq4ipment Location r. ,Electric 2: Soil Pipe -Un, kcl�grrid" 53 Steel Reinforcement Electrical Conduit Utilitv-U'ncTrgr-nd., "s-' 54. Forms 4: n Electrical Cbduii;Undrgrj(P. 'j fiV Electrical..Bonding' 0 rn I r I I Steel 'Reinforcement E�6 Rough' I 0.1'umbing.& Piessure Test. : 6: El6ctricah LIFER Grqd-Lr APPROVAL TO COVER-GUNITE .57.t 7. Footing '58. Electrical Conduit-Undrarni. 8. FoundationG�s z • 59 9 Pipe, 0,Undr"rnd., Test 9. Water Pipe-Ur;drgrnd. 1 :_60. backwash Lines, P- I Tr ap, 0 Undrgrnd. 10. Wuclur'a I Floor System. 61. APPROVAL"TO'DECK 11. Proparty Sewer Line & Ho!use'CZnndction 62. BackvVashl& Receptor -Final 12. Sewer,' Cap 63. He'ater'&'Ven't-Final 13. hoof:Drhins 't I CA. rlumbing-Systein -,Final 14. 1 Rough Plum'binlg ! * I 65. Eie'ctrical-F�m'al ,',15 -Rough Electrical'Condult I r:Syitem-Final P6 .",-So C .1 �Fj6)Touqhflectjric Wiring, U7, t-,'6 o'val Fencing & Access Approval 68. APPROVED FOR PLASTERING ic'aI:,T,bACeiiingi P69.'POOL/SPA SYSTEMS FINAL &'Zirgonditioning 1 DEPT.REQUIREMENT' JkLK-,Heating P IFIRE APPROVALS, Permit'+__°'_ "20: Rough'Factory Fireplace in Structures •70.' Underground Hydro Ventilating 71.1 Product Piping 0 Gas 00il ,:�22.-'Ducis, :!'!.23. Gas Pipe-Aough & Test Aj Ii i ?2. Underground Fius , ck 'Roof Framing :1 C ::c- i:., -73.1 Uridergmd. Storage Tank 0 Gas 0 Oil , .2_5' Roof She 74.! Overhead Hydro Ceiling (Structural). & Mono'coat �'-26. T'B�r (St b i 75.: Dry Chemical 27. �I Frame nd ashing' rr! p 76.1 Dry Standpipe 28. 1 Ca t h i n g,&" cli'n g I FIXED SYSTEM FINAL 11 1 29. �'Ins,latlon '78.! FIRE PREY. FINAL y`30 -Drywall Nailing Notes:' 31. Plast6r Brown Coat 77 1 jEiectriqatfow,, Nleter:Final 11'32. 33..Final Electric 34. Final &IAieConditioning Heating 35. Final 6as''Pi6e_'I;e t' 36. Hood or Canopy' -y f 37. Final Factory Fireplace-' a 38. Final Plumbing lumbing 39. Water Se'. vio6-Fihal; i 40. Gas Service -Final 41. Solar 1) estic*n;I 42. BackflWter O,Pr�ven 4t!- I 43. Backflow, Irrigation . 44. Landsr�ap;e lrrigatibnl,-_Sy''jtam 45. Soundi;'Attenuation 'Q I 46. Handi da"p,lRegu iatYns' 47. FINALSTRU&LIhE & BUALDI'NG 48. Special kequireriients Completed :i 49. Electric Releaserto tcliion' T -f _7_ 50. Gas Release to Southerin California Gas CD 51 CEITIFIIATE OF OCCUPANCY No bate' Applicant to nnn alnwms Wit hit heavy herder lines and $194 all 1 P NORRIN le docian. •.CITY.OP COSTAMESA- PERMIT NO. TRACT ND. LOTBLDG. NO. 'CONSTRUCTION PERMIT e2s 7 / PN 81-380 10 1 0782 " I / I B/82 583,80 Project Addressi- TYPE OF CONSTRUCTION MEW ❑ AOD ❑ ALTERATION - ❑ REPAIR EI CONVERSION ❑DEMOLISH ❑OTHER •- -- - - ZONING REGULATIONS Owotl Pr�h�osrn�e1- - �-��, Address' 1301 Dove St., 4760 `ewpo-" Reach Archl [[Z]OE:S-Peters License NO. 4285 _OFWORK -" - A'P' ir 139-1- AtltlIPJs 11-9 E. AAlton,.SdRtd Ana,DESCRIPTION TYPE OF PERMIT �8 ❑GRADING �. FOUNDATION �o STRUCTURAL ❑ TENANT 0 ELECTRICAL OPLUMBING ❑MECHANIC ZONE PDI PLNG. BV �� T VARD IpE VP FI '7E 60-160 g I�pIryG OP RTV LINE - Contractor Oltnions Omstxuctiml phi 57 - AtltlrRs PD B'ox I`Ion PdL a LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I em licensed der provisions f Charter 9 (BGm. 3 the \:v ej xf• i } ' RIGHT RIng with tion )000] Iu�lvlslon f Busir d OOTHEfl REARYARD(TOPI Ofessions Code, andmyy license IS In lull form EIIg3jl(!•BCO PROJECT OE TION $ B '. .License Class UCense No. 23D i4 9ga� SD. FT. �' 8-G VI ,< OLCUPANCY�LONSTRVCTION TYPE PEG. SPACE REO. 592 _ STflEET WIDTH 50s PROVIDED .670 PARK FEE S' Date Signal ire - WORKERS' COMPENSATION DECLARATION I hereby affirm that I haw a C rtiflcate of consent to selHnsure or a VALUATION ZONE ZONING APPROV EO B DATE CertifiicatB f Workers' CompansatlOn Insurance, Or a Certified Copy GRADING CU. VICE. ACRES SPECIgL CONDITION$: e ef($el 3800. UD. CU. -/Company yNa. TADFI nn SGA FY/xsy t Ttridel - _ Ittihad COPY Is hereby furnished. REMARKS: C y(Cen fled Copy IS filed with the CRY Building Division. - HOLD FOR SPECIAL REQUIREMENT! FROM WORKERS' COMPENSATION DECLARATION This section fed not be completed if the permit Is for one. hundred El r less1l^ thehe for aany Person in any so asitPOSTS Issued,ljI Shell not become PLUMBING PLAN CHECK ,ELECTRICAL - PLAN CHECK bject to,the Workers' Compensation laws of Cl. BATHTUBS SHOWERSUvu UAr_ FT _ - Dale Sister ME NOTICE: If after making this declaration you mould become suaject TOILETS URINALS' GENERATOR 0-1 KW 1-10 KW m t0 the Wbrksa' Copensallon provisions of the Lader Cope. You must rTRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW_50+KW CONSTRUCTION LENDING AGENCY KIT. SINKS OISHWASHEflSMOTORS 0-1 HP -1-10 HE I hereby affirm that there is a Construction lending agency ler the per. SERVICE SINKS - SUMPS .(INC. SOLAR) 11i HP 50+HPC - formance of the work. far which -this Off issued [1'Is Issued J&wtl n 3097 FLOOR SINKS FLOOR DRAINS n FIXTURES OUTLETS SWITCHES - Llv. C.)> wellsPazgo gyysst Under%Name - LenderY Addie55660 Negi CC DRI LAKING FOUNTAINS5 GASTUBE SIGNS INTERCEPTORS CLARIFIER5,\ .. - C / POLE LIGHTS -'- '- - - OWNER BUILDER DECLARATION I hereby, affirm thatl Lpt from the Contrctor% license Law tori SWIMMING POOL PTRAP -' - -" - the fallowing reason (Section ) 031.5 Business and Professions Col Any it rCountyyeWhited requires a permit t0- construct, alter, '� POLES METERED SUB WATER SERVICE ALTERATION - PANELS - MAIN SUB improve, par any structure. prior to its Issuance, also re- Quires thVapplleanlb[ such. permll.Id fie ,Sig"d statement roar he 'GASSERVICE'-I Y" bOUTLETS- - - - SERVICE - - AMP Iisraxion pursuant Yo ins prevI510O(O/ MB COOIOYiC10 r'6'LlCeno Look (CommenClnAwith Section 7000) f Division 3 f,the Cn_aptes(anM WATER HEATERS BTU OUTPUT - d Pressrons Cadet or that he Is exempt tberebom and the rh for the alleged ex rnfi n. Any violation Of SecNOn 7031.5 by _ .SEWER CONNECTIONS applicant folia Calbiects the y011cent to a Ivll penalty ,at m than Rw hundred dollais (§s001 ^�•. ` 'Tl Ir.N< ' SOLAR TANK - COLLECTORS " ❑ 1, as'Owner Of the., properly, or my employee; with wages a3 their sole compensation, will do the work, and the structure Is not Intended " "" .. r or offered for sale. ($Ctlan 7044, Business ant PrONSSICIR Code: The SO_ LAR PIPING SVS.- ISSUE FEE fo Moll License Law does not apply to an owner of S property _ ;ISSUE FEE ( t. ' APPLICATION APPROVED BY GATE who but Ids or Improves tnermn: and, who does Such work Mcoal I Or ry'his Own employees, provided floor Such Improvements are not MECHANICAL PLAN CHECK , SUMMARY OF FEES aBUILDING In meed or offered for sale. r, however. the bukmng m mum.emant Is sold within one year of Completion, the,owner WIII have thei6 Sa en f prbdlop heydld t bWltl improve Or`t0¢ purpose 1 le). w Pte. - - 1 )y Y me�qq•p] ,Q - -. t ❑ I. as`o her aP Ino propuify, am xclUbyely wntECtmg with HHEATING'.SYSTEM r0-100,000 BTU _ , RERMIT E SMTP E almnsetl contractors to Construct the Dialect (Section 7044, Business gryD DVGTING j .,v , .., �.100,000+BTU PLAN CHECK 8 PERMIT tl Proession Cade: The Contractor's-LICenY'Low does not apply to. builds th¢mOn, who Cl REFRIGERATION 0-100,000 BTUr •I " n - PLUMBING ISSUANCE- E owneran of property who and ef^mproves ;yr_ d c § tracts Items h projects with tractorDl Ilwsned pursuant to SYSTEM GRADING E the COntactorY Ucl Law). _ ^ D 100.000+BTU - ,t PLAN CHECK E ❑ I am xempt under Sector. S. & P. C. for this BOILERS BTU S• �\- l'"3\' �' ELECTRICAL § § reason - SYSTEM REPAIR, ALTERATION PLAN CHECK E MICROPILM S TOTAL FEE § Dale Owne MECHANICAL E a an )heady Ce y hat ae ea this aepli Call on and Stale that the above EXHAUST SYSTEM MULTIPLE 1p1}Otmetl 'o r I aglB 10 amply all City and u Oy PLAN CHECK E VAN EPC E_ ' ad Olean n lite rlallg nslmctloq and hCr¢oY aulnOrize ply rApr as rims o! t to upon the adore mentioned Drop ly for I p ��) f��7 ..,4,TnP .+ "I •�- l 1 l.� .\t �-- '`• 0.� ^FINAL FEES 583 8 $Igo lure fe �l.LeyL Orlve 55 IF ISSUE FEE - - CMF 066546 White -Building: CaoarY'ApplIcants CONSTRUCTION AND PLANNIN APPROVALS Permit# i-% Date f' Inspector POOL & SPA APPROVALS Permit# Date Inspector- 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Undrgrn 44. Steel Reinforcement 3. Electrical ConduitUtility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel Rei n orce - 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn - ' 48. APPROVALTO COVER-GUNITE 7. Footings �r.Rno 3 Z-A3-ak ?In 49. Electrical Conduit-Undr rn 8. Foundation SQ�-nofc s 50. Gas Pipe, ❑ Undr rn, Test _ 9. Water Pipe-Undrgrn 51. Backwash Lines P-Trap.❑ Undrqrn - 10. Structural Floor System g j 0.-a-5' 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 -- - 14. Rough Electric-Conduit - - 56. Electrical-Final r 15. Rough Electric-Wiring - 57. - Solar System-Final 16. Rough Heating & Air Conditioning -- _ encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe-Rough &Test Roof Framing _ 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frame and Flashin r-lo-C3 6 -:t,88- NOTES: , 23. Insulation = 4 24. Lathing & Siding 6_/_ 25. Drywall Nailing _,Z- cy,- -d _ - 26. Plaster Brown Coat S:Pia _ 2i -;k -3 ' 27. Electrical Power Meter-Final 2 -8 - /o 28. • Final Electric A-1-52L We 29. Final Heating & Air Conditioning a c,./ / 30. Final Gas Pipe-Test ?-.R3-8;'L kp,'�.or 31. Final Plumbing 3-%- SZ ' (SAS-. 1IS 8 d-/ P13 d"_ F7417 32. Water Service-Final 3-3o r3 6 rl 33. Gas Service-Final / 34. Solar Domestic-Final 35. Landscape S rinklin System / / o 36. Sound Attenuation 37. Handicap Regulations o_ 38. FINALSTRUCTURE & BUILDING p,.�A W1- 39. Special Requirements Completed 7 40. Electric Release to Edison - - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE Or OCCUPANCY No 6VO2,_61 Date Applicant to nn in an spaces within heavy border lines and Sign All appropriate declarations. G 'CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT -1401, - -OG NO CONSTRUCTION PERMIT9) flit p ' �J�"n. Z�•. 23a04 Project A�d/d�ras.33Z4r e v/LL C• ✓ TYPE OF CONSTRUCTION 'µ-NEW 11 ADD ❑ALTERATION ❑ REPAIA O CONVERSION ODEMO LI SH ❑ OTHER J-00�`���'��!�" ZONING REGULATIONS Owner CAss _Pallial PXmedjyy� / AdtlreM ,30! _ , S(7. ArcM1/En8- Lcensa No. DESCRIPTION OF WORK q P / LF Miff C AddrpT s ZONE PLNG.REF.* ,Contractor le e [ job A54,5e% PhorreSrtj -FZ ofTYPE OF PERMIT, STRUCTURAL ❑GRADING ❑FOUNDATION ❑STRUCTURAL ❑TENANT ELECTRICAL OPLUMBING OMEOHANIC TOACKCisST.gpI it YARD IrvG - LINE Address ^L]Z _ /(n6YF_ de a S' LICENSED CONTRACTOR DECLARATION I hereby affirm tmt 1 am Iican der provision[ 1 Charter seem - qR 1 T otl m e0cln9 With tion 7000) f Division 3 1 the Bouness d OOTHER - Professional Code. tl y license Is In full force d eneet. REAR YARD (TO P/y C'aC Z� PROJECT DESCRIPTION Llcenu Class Ukiah O R PKG. SPACE EO. PROVIDED �2' s SD. FT. Date//2Z slgnataree J OCCUPANCY—CONSTRUCTION TYPE STREET WIDTH PARK FEES WORKERS'COMPENSATION DECIAq TIttaaN IgNiont I h'r'¢Dlealf;r to1f4naurdcor a sCertified VALUATION ZONE 20NING APPROVED BY GATE wr WOt;keH' Comp¢ns'ECI-Alon na ora e' GRADING CU. YDS. ACRES SPECIAL CONDITIONS: and I=ctlon 3900, Lao. C.1. CO. y Ni PJ /e'Jy/R.y Umpany)ax—&—e /ND. CertllllE Copy Is hereby furnished. REMARKS: is ❑ Certified Copy 6 filed with the city Building DIVISIOn. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION TMs [eocSuch oel not be Persuaded If the permit Is for One hundred $1001 less). Certify Inthe Sucnl employ anycpersonnin any manner so asltPermit issued become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK b)eCl to the W wa r5' Compensation Laws of Calllornla.- BATHTUBS SHOWERS50 FT SO FT DateSignature this declaration, should became subject NOTICE: If after maorkers' TOILETS URINALS GENERATOR 0.1 KW.1.10 KW COMSking to the provisionstheCoca you forthwith Comply Alin such prectIon ovisions this Shelf deemed LAVATORIES DOUBLE LAVS APPLIANCE 10 1030 KW_50 a KW revoked. KIT. SINKS DISHWASHERS MOTORS 0-1 HP -1-10 HP CONSTRUCTION LENDING AGENCY I hereby affirmy the"at there iswhichanstruction lending aid"(Sefor t 3091 coon SERVICESINKS SUMPS (INC: SOLAR) 1050 HP_50 s HP Cis. C.). FLOOR SINKS - FLOOR DRAINS FIXTURES OUTLETS/6SWITCHES/T% Q Lenders Name Lender's Address _ DRINKING FOUNTAINS - GASTUBE SIGNS - INTERCEPTORS CLARIFIERS POLE LIGHTS OWNERBUILOEROECLARATION I "ereby afurri tb l 1 pt frombe Contractors License Law for SWIMMING POOL PTRAP POLES METERED SUB the follown (Section 7031.5 Business and Profession Code. Pty -O or- hI n_redulrOS a permlt t0-eOnSbuCl, alter, WATERSERVICE ALTERATION . .-PAN EES-- MAIN— -SUR Im r- ove, dem011h- pa any structureorlon to Its l ssuanceaInt-C to illiC 4 GAS SERVICE OUTLETS SERVICEyreCCy AMP� tsuch rovisions of nieactoii Licknse Law Is half w:uanl ✓'Mpler 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU OUTPUT ' h'7?p n a wwessmns Code) or that he Caexemrt t 0 anr0 and the for the alleged exempbon._ Any NOMtlan OIall SEWER CONNECTIONS - It applicant for permit Subjects theapplicant to a civil penalty five 3f not a than hunared dollars (E50. SOLAR TANK COLLECTORS - - ❑ I, as owner of the propvty, or my employees wlth wages as their sole compensation, 00 the work, and Iha KrUCIWO IS n0t Intended _ Or Offered IOr Sale. ([action 7044. BUSIA onand firelessIons Code: The SOLAR PIPING SYS. ISSUE FEE camewill nut pply mracWho ISSUE FEE APPLICATION APPROVED EV GATE bulldS Or improves thereon. anOruns Whod 0005 SucheWO k himself or through his Own employees, Presided that such Improvements are net MECHANICAL PLAN CHECK SUMMARY OF FEES Intended a,offeredsale. f Completion.. the Ownerwol lows npider'r the Of proving no did not build Or improve for the purpose of ale). HEATING SYSTEM 100,0008TV BUILDING - PERMIT E - - - - SMIp, $ ❑ 1, a owner Of the Property, am exclusively Contacting with _0- AND DUCTING c"nVaman tom somas she (Saab On Business 100.000 t BTV PLAN CHECK b PERMIT ananmdf not to and rner Coat: TN C t Lice[ es not LImnM Law On, - 153UANCE d odds oris 05 )finish, 0n0 who fun- of Property h0 builds Or a ho C an of 0300,000 BTU -PLUMBING E - I[n a cansractor(s) Owsnetl Puissant m chProj a tract from s's the SYSTEMREFRIGERATION SYSTEM - GRADING 3 ce0le L the Contractor's Law). C IDg000 BTU PLAN CHECK ricenst ❑ I dm eaemOt YnOer 50C[IOn B.6 P. C. for this BOILERS BTU ELECTRICAL ecossin SYSTEM REPAIR, ALTERATION PLAN CHECK- S - MICROFILM E TOTAL FEES Date --+ -Owner - Ihemby Gr[i 15 corse redo Tho.ac Pmply OWthOstate EXHAUST SYSTEM MULTIPLE MECHANICAL $ - ^1 '. ' LE59AO- ity a d county correct- agree to comply with all n0 county oe PLAN CHECK'S VgNCE PC ordinances and date A 0v ordinances btve .. nconstruction 0 mee"aneil t o ante( d mpreMntarves of dmi5ofiv ld a ter pP the dhow Honed representatives ler In n.pWpOsei. �/G •a' Z IN FINAL FEE E_ SignluY Signs lure Drivers' Licznse or 95 - -" ISSUE FEE CMFO965-16 White-Building:Unary-Applicant; Pink -Accounting: CONSTRUCTION AND PLANNING ,' APPROVALS ry Permit # `�`�3� Date 'Inspector POOL & SPA •� _ APPROVALS - Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - - 2. SoilPipe-Undrgrn 44. Steel Reinforcement ' -3. -Electrical Conduit Utility_ ndrgrn _ _ _ 45. Forms - 4. Electrical Conduit-Undrgrn _ _ _ _ 46. Electrical Bonding 5._ Steel Reintorce _ - 47. Rough Plumbirig & Pressure Test - _ 6__ Electrical U_FERGrn48. APPROVAL TO COVER-GUNITE-- 7. Footings_ 49. Electrical Conduit-Undr rn ' _-B.,Foundation_ __ _ _ -_ ^" - - 50. Gas Pi e,.0Undr rn,Test 9..._Water.P.ipe-Undrgrn _ _ 51. Backwash Lines P -Trap, EIndr rn _ 10. Structural Floor System 52. APPROVAL TO DECK - - -- '-- -� _- - - - -- - - - - 11-._ Property Sewer Line -& House Connection _ - 53. Backwash &,Rece for -Final •'-- - 12.__S1reet.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 -_ _ __ __ -bd._ Fencing & Access Approval 17! -Ducts in Structure 9. APPROVED FOR PLASTERING -18. -Ducts, Ventilating ' _ _ 60._ _ POOL/SPA SYST_ EMS,FINAL - - 19. Gas Pipe -Rough & Test �- _ _ 20. Roof Framing.._ 21; Roof ,Sheathing NOTES: 22.. Frame and Flashing- -- - -' 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. I 32: -Water Service -Final .33. - Gas Service -Final - - - - - 34. Solar Domestic -Final' ,t• 35. Landscape Sprinkling System 36. Sound Attenuation - 37. Handicap Regulations t 38. FINAL STRUCTURE & BUILDING - - 39. Special. Requirements Completed 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. - - - I 42. CERTIFICATE OF OCCUPANCY No Date _- Applicant to fill in all apace$ within heavy border fines and sign all aPPrb Prdte neCaNUORS. . dTY'OF COSTA MESA P MIT NO. TRACT NO. myD LOT NC. BLgqG. NO. - D - - G` vcuY sac .. - CONSTRUCTION PERMIT g TYPE OF CONSTRUCTION -NEW ❑ADO ❑ALTERATION ❑ REPAIR C1 CONVERSION DOEMOLISH - .. ' Project Atltlress Ow PM1OrI¢ 'AddrM �/ I _ , \ t' ' ZONING REGULATIONS ArcM1IEng. License N OTHER OESCRIPTI ON OFWORK _ .. 1.. An ' ZONE PLNTGp.RlE1FL.p$.. Address. - _. t 1 hon a TYPE OF -PERMIT - -- - ---' --- ❑ FOUNDATION ❑STRUCTURAL ,O/TENANT D. ELECTRICAL LUMBINO OMECNANIC p sEiBA[K T. YARD PRO911yPYNNINE' •Atldf❑GRADING LICENSED CONTRACTO .DECLARATION I hereby afllrm. all I am licensed der provision$ 01 Charior9 (CO^- 1 T Ing -with tido 70001 f -Division- 3 f the .Orulness tl ' Q OTHER_ REAR YARD P/L) Produ low Cod Y barren Is In lull for t so e�_.�d_��_ PROJECT DESCRIPTION �l ITO Lure 5 p LICEnspp Chas��s sG,tc -_ -" - - _ 1 PKG: SPACE REQ. - PROVIDED Ja ���" DnlnC1Y_?L� Signal a �,e4.'z ' OCCUPANCY_ _ ..."_ CONSTRUCTION TYPE STREET WIDTH _ - PARK FEE WORKERS'COMPENSATION DECLARATION_ !/-V 1 hereby affirm that 1 have d Gf1I110te o1 Consent too selfAnsun e e ILLATION - _ ZONE ZONING APPROVED 1. BY GATE n pubachis o1 Workers=_COmpenaHon res ran". cedilla c y, j _ RADING CU. YDS. _ _" .. _ _ ' Pr ACRES 'SPECIAL CONDITIONS: -' .. • - ' I ISed1px380Alah. C.G r / /�4,/ .dr[sfiedt Oy 1111erebYfurnI3NY /y� REMARKS 5 1 a .i7 Certified copy Is filed with thecity Bulldlo711 Ibr%'1" - _ EX EMMry ION FROM WORKERS' COMPENSATION -DECLARATION _ ThisSectorses dad not be completed 11 the permit Is for one Iluntlr¢tl §certifyc°r Iasi that !not a Ilk k f0 So aM1l P mil It ' any er ploy any any ma t 'sbew a ISSWd.Abled I' tall t employ PLUMBING - - r,- v1.cgry CHECK - - ELECTRICAL - -- PLAN CHECK . Co a ubleCl to the Workers' Cpmpenullon Laws of California-- 'BATHTUBS SHOWERS'- - -' -- - GARACIl- — - r Date Shas lura NOTICE: 11 alter nuking this declaration, You Should became SubleCl; to lM1e Workers'Compensation provlilOni p(<he Labor Code. YOU Must T LET RINAL$-- - .GENERATOR ---py KW_1-10 TRANSFORMER KW - forthwith Comply with such Provisions or this Re halt SM1all be rumored VATORIE UBLE LAYS - '� -APPLIANCE' - ]0.50 KW_50'+KW pkok. IT.Sh - DISHWASHERS - - i MOTORS- - 0-1 HP -1-10 HE CONSTRUCTION LENDINGADENCV ' - Ihereby affirm that there IS a construction lending agency for the per- SERVICE SINKS _ GMPS-- -- - NNL'SOAR)-10.50 HP 50+HE -- formance of the work tar which this permit is issued [Section 3097 -FLOOR 31NK3" """-F'pOR-DRAINS -- j -' -- -FIXTURES - OUTLETS - -SWITCHES -' Civ. CJ '--- Lewers Name_ .. Lentler'i Hdtlras �--DRINKING ;FON INS 1"�•�-"'- - GASTUBESIGNS - _ --' - - - - OWNER - BUILDER DECLARATION '"INTERCEPTO LARIFIERS'POLE ' LIGHTS- -' - - I hereby affirm that l am exempt from the Contractor's License Law for �SWIMMING9.O_ _L_--_' PTRAP ___ � :_ �- s±±POLES -'- --METERED -'-----' - the.tallowar rmson-(Sdctlon-7031.5-BUSlne"-and k0fifi ons Code:. Any City lY Nch 1 t t t c[, alter. WATER SERVIC -ALTERATION' - - "PANELS-- - -MAIN' - --SUB - Improve, demolish. palmy"t t q -1 ftI Bon- crash aovlIt to filethat GA55ERVICE OUTLETS'-' "SERVICE- - AMP- -" 4 IleeoswWNwnL t0deprovlsons.oftheoModel LceeLw J /Chapter 9 (commencing Ith Cuba 7000) of division 3 Of the WATER HEATERS BTY,OUTPUT T - -- Ffielantl-0/MNsiOa3 C00III Or -t M1at no l sexem Pt therefrom and the for the alleged axe mptlon. Any citation of $salon 7031.5 by -SEWER COLpNG05 Sf- _ t0 9.cral penalty- Plio nti forthan a j subjectsthe n0l hunitllsubed 5pp)iGnt OC'll'a5own¢ -SOL'ARTANK • COLLECTORS _. " ...,. - --- - --- -- - of the property,Oh r MY With Weal their SOId COm"nmticn will do the rk, and the structure Is not Intended " ,, ,' or Offered IoCaale. (Section 7044, Bu9n055 and Prof aSloni Cnne: The -SOLAR PIPING SYS. - . ISSUE FEE --- - - Contractor's Ucame Law does not p01y to an Owner OI Property -"gppLICATION who builds or Improves' toeveonn, and wire does such work ni r himself not - ISSUE'FEE - "' " APPROVED BY -- GATE hrough n: own employees, p 'dad that such lmpro.emems - MECHANICAL _ PLAN CHECK - - _ _ _ _ T SUMMARY OF FEES '- Intended ar'oNered for sale If, how0ygq the building or Improvement B sold within one year of complletion me owner w-1 base the dutanon r proving -he did -not h ld Impose for the ourocal -o1 ph. - - HEATING SYSTEM - - 0-100,000 BTV BUILDING- .. PERMIT ❑ 1 s_awner oLIM1e Property, am x to wIy eo tmCTng Bh_ ANDOUCTINGpLAN - - _ to Constructontr me Lice es 100,'000'. BTI( CHECK E PERMIT a Lawn and pro Miccontractors s out to a d Prv^CNsiOn3 COtle: The Contractor's License Law does not apply to _ _ _ _ "� _- ISSUANCE E an 1 properly who builds Or Improves thereon, add who win REFRIGERATION 0-100,000 BTU - PLUMBING E - tactsJmmSum.projects 'th.a. CObiratlpgs)_Il=n*d Steno L.to _SYSTEM__ ._. _ -r _- - 1 -E' - GRADING';'E the Contractor's 4cOnse Latah - 100.000 ✓BTI( PLAN CHECK - - 1,_ rr ' LI am exempt under Suction - -- E Is P:r'this © S 6 ro 'BOILERS BTII� -(ELECTRICAL' f E - " re n _ _ _ _ _ _ _ SYSTEM REPAIR.ALTERATION I PLAN CHECK E - ""MIC ROFIIN, E TOTAL FEE Date Owner 'MECHANICAL E- .$ 1. hereby certify that l haw react this application and stale that the above EXHAUST SYSTEM MULTIPLE LESS AD - information correct. 1 ogres to comply with all City and County -PLAN CHECK $ VANCEPC '$- -' ordlnanusanO al to relalln9 to wnslruction.and herebYnauthorl7O 1' mpmxntah [ - y r upon (M1e antl0 tl- '-- r property foOwe FINALFEE $� Sigm[u _ J55UE FEE - DIIVBR' LIce05[ or 53 ¢ CMF 086546 While -Building; On�- 91Goldenmtl-Ase Sor CONSTRUCTION AND PLANNIN APPROVALS Permit # �0 C.., Date Inspector - POOL & SPA APPROVALS" Permit # Date - Inspector 1. Temporary Electrical _Service or Pole 43.- Pool & Equipment Location 2.- -Soil .'Pi pe- Undrgrn _' ^- 44. Steel Reinforcement - -- 3- Electr.icaLConduit.Utility-Undrgrn 45. Forms - A._ Electrical Conduit-Undrgrn - - 46.- Electrical Bonding Steel ein_ orce - _� _ _ -6. 47. Rough Plumbing &Pressure Test -Electrical UF ERGrn _ 48. APPROVALTOCOVER-GUNITE-' - - . 7. Footings _ _ 49. Electrical Conduit-Undr rn ..8.__ Foundation - - - 50. ,.Gas Pipe, ❑ Undr rn,-Test .9. Water Pipe-Undrgrn-- 51. Backwash Lines P-Tra "❑*' n_dr-_rn_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.- --- -' _--`--- -- 14. Rough Electric -Conduit -` - -` -- -56:-Electrical-Final ' "' "' - 15. Rough Electric -Wiring 57. -Solar System -Final J' 16:: Rough Heating & Air Conditioning _ - -- - t -- - - - - - - _ -encing &Access Approval - 17, Ducts inStructure- - - - ..APPROVED FOR PLASTERING -, - 18.- Ducts, Ventilating ' 19. Gas Pipe,Rough &Test-- 20. Roof Framing- - - - - - 60. "_-_ _ _ "-POOL/SPkSYSTEMSFINAL 21. Roof Sheathing 22S Frame and Flashing - - - ! ' - - - - - - NOTES: 23. -Insulation- 24.- Lathing & Siding - - -- 25. Drywall Nailing -• - - - - 26. Plaster Brown Coat - - - - - - .. 27. Electrical Power Meter -Final - - - - - -4- '" -- - - --- - - - - -' 28. Final Electric 293 Final Heating & Air Conditioning - - - " - - -- -- - - - - 3W Final Gas Pipe -Test - - 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 '- i Applicant to flu in all Spaces within heavy border tins and sign alnllobv au declarations. - CITY OF COSTA MESA PERMIT NO. - TRACT NO. LOT NO. SLOG. NO. CONSTRUCTION PERMIT _S TYPE OF CONSTRUCTION $}MEW ❑ ADD O ALTERATION ❑ REPAIR El CONVERSION OOCMO LI SH LM 6605 • • - - 6/01/82 - I x.00 - • Reject AddressrcuelillaicAvenjua 0W11R Conowni yinInfrai PBOOe AOdrM - - Dove St. Suite- 760 ❑ OTHER ZONING REGULATIONS s Arcldena=Ne rt Heath LICeDSB NO. DESCRIPTION OF WORK _ - A'P'}t ..- I ZONE -PLNG. - - - - TYPE OF PERMIT SETBACK T, ❑GRADING ❑ FOUNDATION ❑STRUCCTUURAL - F YARD - ❑TENANT ELECTRICAL �OPLUMBING ' tECHPNIC .SIp* - - - - REF.$ - aw v LINE CantmmdF Thei=alair' Inc. plrrine 283-958 I'AddrMS " $ t0 LrCENSED.CONTRACTOR DECLARATION 1 hereby affirm that I am IlwnUd per OrOWslo s 1 Cnerter 931COm- - 1 RIGXT with 11 ]000) IUOIv on 3 1 IM1e us as d ❑OTHER. - PrIng ofessions Coe rw Bin Ie In f I f d(y3a. f1Oct. 1 REAR YARD (TO P/LI - PROJECT DESCRIPTION' f icenseClasf rGTO / \ - a��q, pp/cd� 1D2J16 --' -- SQ. FT. - �PKG. SPACEREQ. *STREETWIDTH- WIDTH "- PROVIDED ' Date!Si 'Signal um . r /' airs. I. it [' + WORKERS' COMPENSATION. DECLARATION _ �OCCVPANCV_CONSTflIICTIONTYPE — ..,DARK""FEES GATE - 1 hereby alllrm Beer 1 have a cartlflCab ro of consent to pall Insur e . VALUATION ZONE ZONING SV' cprtifimte of WorkersCornommatlOn Insurance, -or-d eortllled .COPY CU. SGS. I' ACRES I SPECIAL CONDITIONS' •e r(Section 3800 Lab CI 1 p,GRADING -- - - - - — - - - _ _ . __ V No. WPR11.4h4C94 Eri Fremont Indemnity- cal hereby lurnlShOl � _ _ _ .L - - - XEMARKS:1'iAt '')L 1. �.a'Arclllad AgCertlned copy Issued with the city Buildings Division. ._ _ , JJ..•- - lN. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (TMs section -need of be completed if the Permit is for One hundred 1 thee nnbe petlorman jtn work b M M1 Ih P r"Il p 1 COr- Y1 PLUMBING , PLAN I'-_ ELECTRICAL ^ _ mal shah t emalov any o� i noynl5 ylo b co 6sswtl. •e YbNclm the vrorkars.compa 11 u f llq CHECK _ PLAN CHECK- BATHTUBS SHOWERS - -'"FT_ _ _ , Dare d L2a/A9 S1gnat I. �•' I LI NOTICE: If ]Iter making this InCltraOOn, yu SnOVId become Subject TOILETS o -nq -,URINALS-" \ - 'GENERATOR -0110I Kry l - ComCeallon pNslans o1 the Labor Code, you musk to the Workers mm rTARANSFORMER I/ forthwith comply with Such Provisions Or this permit Shall be deemed LAVATORIES DOUBLE'CAVS- }� - �� PPLIAl - 10-50 Kysi IMOTOR$ ♦ KW- rewskard � _ f CONSTRUCTION LENDING AGENCY 'KIT. SINKS-OISXWASHERS'-' 1 0-1 HP�1-10-HP -+ ' , for ac 9 agecy r IM1e per. 1 hereby a111rm that there is a construction ager SERVICE SINKS - SUMPS ��'�'- - 1__ . I INC SOLAR), - 10-so.Hp_ 50 a H,1 1 t, -- fronambe• Ins walk for which this Pi IS Issued ($e3097 FLOORSINKS -----FEDOR DRAINS FIXTURES— OUTLETS-' SWITCHES-= - CIvCC.). Lender's Name Lender's "Brass DRINKING FOUNTAINS'- j- --"' -'f-- - --GASTUBESIGNS - - - - -- -- - - INTERCEPTORS `CL'ARIFIER$ -1 — ROLE LIGHTS --_- --- - —+/-•-- 14 OWNER 'BUILDER DECLARATION IberebV a, lamexempt from the Conl aCtolY VicenM lJw for SWIMMING'POOL - PTRAP^"+" - - ' OLES METERED U - - LM10 IOI10wing Iea5Ony5ection ]031.5 Bu51nes3 Q�R016sll CWer Any city o my which mail a. permit IO construct. alter, WATER SERVICE PLTERATION '- - PANELS -'MgIN _ ;SUB' _ • Ins O damOish-O remir any structure. prior to Its b3Vance.alsO re- l statementthat SVPianun puri int' too` the`proovisions ofile e'coasta<os OLaw - GABSERVICE '-OUiTLETS-''`--" - --� ".SERVrCE----AMP'-•- - - - (commencing with 7000) of Division ] of the ICnreal -WATER HEATERS ' --BTU 'OUSTPUT"--'- - -_ - "-"' f - - -� '• •I �- , � • n r that- Iseaemptectiono031. the P'nen and hlegedomntact -or Any c >l by Any blan Of Sto for tna allor - ='c 'Y- -SEWER 1 �S e he a for a permit sub )M1e Pen Sf bilateral l0 a civil Penalty ddollS few hundred 0. ..of mom man live nuntlretl t1011arz 1E5001� more 001. -SOLAR TANK'- -"" COLLECTORS' o3 owner of-lwil pro they: of my pees verM1-wages as their d the i5 n01 Intended Sole Compensation, will do the work, and IM1e Sole - d Professions r offered Ins ole. Business and Fwner 0f Code: The' SOLAR PIPING SVS - - ' _ v ISSUE FEE- aLOW[Section es n LOW not dPwlY to en owner o final -ISSUE '" " �1 +' '-- - - APPLICATIONAPPROVED BY - .-- - DATE -- es be does Such work Mmael! or WhoteW01'i r Improves this FEE tmoueh Own mploy"$. provided that Such Improvements are not Intended orbflered ra' sale. It, however, the buildmy Improvement the colli or Is the MECHANICAL PLPN CHECK . ' SUMMA RV OF EEE$ sold within one ye of completion. owner eb `den ('Proving he did not bulla r Improve IBr Inc arrestee 1 Cecil. HEATING SYSTEM O- IOOCOO BTU 1— 1BUILOINO PERMIT 3 •:.SMIP 3 .-aelmlwly WartmCIIN with r0protym or ❑ I, 5-mvrvsl-of-tho nm -ANOOUCTING - - J - - - - - - licensed CO tractors t0 construct IM1e project (Section 7044, Business 0I+ 160.6 BTU 1 (PLAN CHECK $ PERMIT and Fro esslons Code: Tbe.ContraCtor'S LieenN LOW Ones not apply to . _ _ _ _ ISSUANCE -3 an'owner of pmphlY who builds or Improves thereon, and who Con- REFRIGERATION 0-100,000 STO 1 .PLUMBING b ' s r.E tracts from. such pro)ectswelm a conlractues) Ilgmed pursuant to SYSTEM-- --- - _ GRADING "S IM ConbacNe'S UCense Law). ]00,000.+BTU IPWNCXECK 3 f• 111• '-'E I am -exempt undN Section- "- - ---a.6 P. C. b!this"BOILERS BTU 'ELECTRICAL" $ -- n ' SYSTEM REPAI R, ALTERATION EXHAUST SYSTEM MULTIPLE :PLAN CHECK-'E_MICROFILM !a -n MECXANICAr:E sPLANCXECK $` '`TOTAL FEE$ -- - LESS AD-. Oatenr Owner I hereby partly that l haw read this application and nate that the above -Correct' Informal 5" 1'"ag/M It DIY u'i[M1 all CI[y and County $' VANCEPC-E- - ordlnan d4ab laws 1 R 9f0 and met 'nmrolls- 1 - I - ' 1 mel rri6e bow honed reeresenen CI a mentioned nerro-e aecho a a It !- 1 FINALFEE fri Sir¢ Dale 5/?O/82 ISSUE FEE -- - -- p tri $ Oilrers' Len se or 55 g V - _ _ _�_ ._ - _. CMF OB6546 white- Bulldingl Canary -Applicant; Hnk-ACCOYntill GOltlenmd-Assessor ..o. CONSTRUCTION AND PLANNING APPROVALS Permit #M 37,SS Date POOL & SPA.11 Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location - 2. SoilPipe-Undrgrn 44. Steel Reinforcement - 3. Electrical Conduit Utility -Un rgrn. 45.. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding Steel ein orce 47. Rough Plumbing & Pressure Test - _ 6. __Electrical LIFER Grn - - 48. APPROVAL TO COVER-GUNITE - - 7. Footings 49. Electrical Conduit-Undr rn - 8. Foundation - ' 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑' ndr rn - 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 _ �' - - 14. Rough Electric -Conduit - -- - - •56. Electrical -Final 15. Rough Electric -Wiring - 57-. Solar System -Final - 16. - Rough Heating & Air Conditioning - encing & Access Approval - 17. - Ducts in Structure 99. APPROVED FOR PLASTERING ' 18. 19. 20: Ducts, Ventilating Gas Pipe -Rough & Test - Roof Framing 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing- 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-, 41. Gas Release to Southern California Ga -s Co. 42. CERTIFICATE OF OCCUPANCY No: - Dates -. K APplicanl to fill in all spaces except hose within heavy border lines and sign an appropriate declarations. Z �11"T COSTA MESA COfySTR ill PERMIT Pte^^ NO. '�33 TRAC/NO. LOT76 ' :UNIT NO. Y,,rN[ .b Parking Req./Provided E Motors ODI HE 01%.:R O Project Address Z SSS c b .hex ;r—� c�A7ts F.A.U. 5 Inc. Solar 0915 HP 01515f 1' Y Appllcent'd Meiling Address /29A(s Msa :�Tl 2oI (,'d,.,,�y6ws'w TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR Tremformer D 1550KW ❑SD♦KW _ Meter Oup to 1N amps ❑CONVERSION OOEMOLISH ❑OTHER A.P.? / 3wnW's Name 7 �- �- �O/1Q PM1ane OE$CR��J'I�,l��F Wpp K/US FB 2 w W4AAA nvga, Jt— Device Boxes Pole Light ktlmess ZSOS [w.JT /1aan. [p.A}� 3� CA7 mfSA /I(J%E�/Oaf. .'9L- NS S Main Building i Outlets Range ^- ircM1lEng. License No. TYPE OF PERMITII���` GRADING FOUNOA7I H STRUCTURAL 1 Front ❑ TENANT I—ELECTRICAL 0 PLUMBING O MECHANICAL B Sign P- \ddsess A Rear :Ontractori Nam �•b1 (pY.Tlu'ci dl: PrypnpSsy-J{Y6d! OTHER �S- C Right 6 K'1s+W 5% PROJECT DESCRI SO. FT. OCCUPANCY Laundry This ktltlran (mailing) T+]7sH CON STRVCTI E VALUATION$.. OCo $ Left :fly Licenee No. - ZONE GPPUING CU.VpS. ACRES PIIIg. Ref. to _ICENSED CONTRACTOR DECLARATION hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Noted Vith Section 70001of Division 3 of the Business and Professions Cade, and ' fly license is in lulldy ll and affect. L7 $15 Jtinse Class IX LCens ' late$-Ztl-Vs, Signature I k PLUMBING FEES Reimpactiun Fee $15 ORKERS' COMPENSATION DECLARATION Bar Sink P d 1 'Sroeeni MECHANICAL eraby affirm Dlat I NVB a urtifimte of ConOnl td Mlf{nsure or a CertlfiGte DEVELOPMENT By VICES REDUIq EME a Zoning Apprnvatl BY to BYiNin9 Approwtl By Date Application Issued By Oa Hoodor Typal 0 Canopy Type I I ❑ if Workers' Compensauan Insurance, or a certified copy thereof (Section Baikflow Presenter r Service Sink Refrigeration System 00-100,ODOBTU 0100.00013TU Automatic W: 1800, Lab. C.) I BUILDING PER MIT PLAN CHECK ' PLUMBING '"$ PLAN CHECK 2E% ELECTRICAL PLAN CHECK 5ly%_ MECHANICAL PLAN CHECK ZS% S -$ $ENERGY $ $' S $ SU ARYV�(F FEES �. CLi SMIP ZS oZ PERMIT ISSUANCE P.C. GRADING .%SO MICROFILM TOTALFEE S 0•�z S $ : S S �-J/ S 1 Sandy NO. Company BaelllOw lrrigalfhn - Sewer Cap Construction 3 Certified copy is hereby pilothouse. 108TIL Reginers Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Sate _%EMPTion PROM WORKERSCO TION DECLARATION WORKERS' Clacfffarc Solar Collectors DieMiasher the per This section need not he completed if the permit Is for one hundred ISlool or _.. - I cortily that In than performance of the work for which this permit Is issued. I shall not employ y person In any to become subject to me Drinking Feuntail } Gripe tion Laws o1 ure 2z — q�� F OOr Dfale6 Date Signature �� Signaturef —lL/ NOTICE: II, after Making this declaration. you Should become subject to the Workcomply with ith Such provisiontraissl Por O:shpermit r shall be deemedforthwith r invoked. Flpor Sinks CONSTRUCTION LENDING AGENCY Gas SBrvica I hereby affirm that there N a construction lending agency for the o rformanee of the work for Which thisparmR Is Issue (Section 3097 Cly. C.) Inlafcep[eN Lender Name I ....lie. Is 111..1. XJCKimken Sln4 LJ' I am exempt Under Dat Drivers' Loops F 0865-66. rev. Refnspectian Fee acs, projects wnn a Con- _ Dula t provided rtotMe Exhaust System ❑ h B. a P. Cr for misnomer Fireel/Fact RD. ICSO — - I • RainP ion Fee GardN9: Canary - Applicant. %nk-AccounOngl Goldenrod - Assessor V 2242 8%28%96 71.52 Tl :.. . Z O unit N I N G R Parking Req./Provided E Motors ODI HE 01%.:R O M F.A.U. 5 Inc. Solar 0915 HP 01515f : ELECTRICAL FEES C Tremformer D 1550KW ❑SD♦KW _ Meter Oup to 1N amps Soler Piping Dryers OGas IJEINI .- Sub Panel Solar Tank Fan Motors ODI HE 01%.:R Swimming Pool vi F.A.U. Inc. Solar 0915 HP 01515f Urinal Fixtures Microwave 'Water Closet Jt— Device Boxes Pole Light Water Heater i Outlets Range Water Services Switches'- -I- Sign P- - 'AutaWestf Garbage Dispgsal Standing Sections Laundry This GeneiatOr 005 KW 0515 KW Trash Compactor $15 Isua Fee S'3 Reimpactiun Fee $15 Issue Fee S 3 MECHANICAL FEES. DEVELOPMENT By VICES REDUIq EME a Zoning Apprnvatl BY to BYiNin9 Approwtl By Date Application Issued By Oa Hoodor Typal 0 Canopy Type I I ❑ sawas Refrigeration System 00-100,ODOBTU 0100.00013TU I BUILDING PER MIT PLAN CHECK ' PLUMBING '"$ PLAN CHECK 2E% ELECTRICAL PLAN CHECK 5ly%_ MECHANICAL PLAN CHECK ZS% S -$ $ENERGY $ $' S $ SU ARYV�(F FEES �. CLi SMIP ZS oZ PERMIT ISSUANCE P.C. GRADING .%SO MICROFILM TOTALFEE S 0•�z S $ : S S �-J/ S 1 ileo System Repair/Alteration Fire Dampers 108TIL Reginers $t5 Isus Fee - S 3 CONSTRUCTION AND PLANNING APPROVALS .Permit # 'Date 1 ••. InspectorDate POOL &SPA APPROVALS Permit # 01 Inspe• ctor � 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. APPROVALTO COVER-GUNITE is 7. Footings '• 58. Electrical Conduit-Undrgrnd. - w 8. Foundation 59. Gas Pipe, D 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 -Con ui 66: Solar System -Final - 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # _ 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping D Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank DGas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat QG 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL , 29. Insulation 78. FIRE PREV. FINAL - r 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION - 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED V 33. Final Electric "1 3- gjp `L" Notes:Zt�7 101 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 - 48. Special Requirements Completed 49. Electric Release to Edison •• 50. Gas Release to Southern California Gas Co �. 51. CERTIFICATE OF OCCUPANCY No. Date m _ F24808 Install Fire Pr. $750.00 — Unit J-5 CADILIAC AVENUE 3505 Unit J-}� Lot 11 B-2272-;o/,`y Comm. Bldg. 116,162. unit J-5 P-2JI83- 7/1/0y PLBG. (B-2272) F-2639- 9//3/dYEIF3C.(B-2272) Unit J -S 1-3756-10/:oltrMECH• (B-2272) Unit J-5 _ K7074 Heater - G 7861 Tenant Luprov. $27,800.00 Q -/3-A 3 17861 Reinspection i s ' 71-2,9 13 P 7861 -� JE7978 misc. _ b"J7-y/' (G7861) J-5 B8064 Alteration/wall $3,672.00 - f i-73' y 3 (G7861) - F-8234 FIRE SPKLRS. $6,200. ii -13-8'r �J-5 eEt � BE 4441 Bldg J-5 Inter. Alt. $2,00" CMF 0865-46 rev. 12/62 White -BUIIdIn9;Canary-APPManRPink - Acwunting; Goldenrod - Assessor Aopt cent to NR IRAll IN COS GXWPI than With In navy border IInal Sign al aDOroodals deaanuona. _ 26d2 . 7/^u"/E3r 73.92 TL, CITY OF COSTA MESA r PERMIT NO. TRA NO. LOTNO. B , _ CONSTRUCTION PERMIT. - U (e - - - - Applicant's Wiling Address '^- u TYpMOFCONSTRUCTION NEW ADD, ALTERATION' REPAIR - i1- PIOjeE1 Address 7 T,6 L_ Of //Y[ ; rf c o;"% /f1rS'L LJ CONVERSION ❑ DEMOLISH C OTHER - - - OWnOiNa a ,Q/H tAl S' ITe y,cTV -PhOna"N"-SG rfp DESCRIIKION OF WORK NI Andres- IE 'a" TYPE OF PERMIT LJ GRADING'- 0 FOUNDATION JUSTRUCTURAL A. P. ML ZONE " Arch/Eng.Licens NO. - ❑TENANT QELECTRICAL 11, PLUMBING El MECHANICAL BUILDING 0,'OTHER 1 PLNG.REF.rF �' Addles ..�r�'�y p� W tr11 edpr's Na HIAJa-2 C 'w I hOOay 96, ' PROJECT DESCRIPTION SD. FT. 9/N OC[UPANCV TO BVILOING PROPERTY - NEAR YARD (TO P/L) 1 Addes lmaling) CiOi2 SzbAe /aAJ' IQPaIMWS Gad CONST RUCTION TYPE VALUATION $' a, : .LEFT$IDE YARD RIGHT SIPE YARD 1 JJ" I sNo. ZONE GRADING CU. YDS._ ACR PKG. SPACE REG. 1 PROVIDED - 1 LICENSED CONTRACTOR DECLARATION I Remarks: . STREET WIDTH PARK FEES - Irseredy affirm that LaMOCARTWO11 under pmylsions Of ChWtec9(commencing _ Mtn,varefflon 7000) of Division 3 of the Guinness and PrOleMlons CON, And - 1 •SPECIAL CONDITIONS: y11 sIsinlulWrce OdarhCL I if - 1 127 PLUMBINGMr� License Class Ul NO. 7/i9'/kT 319net I 1 s - Sewer Cap 1 BerSnk - R y,.KERS' COMPENSATION DECLARATION 1 o snl.l l use CAR Carl � Ecoy .afl rm InaLl nam a Certificaten Rackf kery P renter Sews Chancellorn - A tometic Wnher • - _ Meter ❑ Iou amps - P Workers' Compensation Certlllee copy thereof (Section - Construction Pole - l - Sub Pa l 1 '-r 1 ) 3800 tab. C.) 90-6312 5o Tale. �aarl" 3 R kfl Irrigation Solar CollectOty — wpcy No. Company 1 - 1 Bathtub Sol r Piping " Cooking Unit l .Bub Pole I ✓ I ; BGr111160 py Is Mrxyfu furnished. l P ; Cer11f1e0 py 1 Mee with th It Imng 11OSG,y ]q�� 7-� 2 �!T ariuiia7�l Clarifiers Solar Tank D-SNwRShar IM fors DLit HP ❑IRS 1 pat Applicant _ EXEMPTION FROM WORKERS COMPENSATION DECLARATION 1 _ Dryers ❑Gas ❑Electric - c.SOI ❑915 HP 01615+ ' 1 Dishwasher I Swir m n Poolw/ gBPs' - Thisdo need not be completed If the permit l I hundred ($1001 or I ca iffy' hat �In the performance of the work m hin thl ce t Is Issued ' Drinking Faunta ns t O net - al F ' I Microwave n n t employ any person in anyY ane s to became subinct. to the 'Worker' Compenst onlaws of ORllfornla.�sa 1 , 1 Floor Drains ( -Walter past F A.U. I Rale Lipht ' u ! - ' 1 I Date lovable - - - Fixtures .... 'flange FluorSnkL I- -.; -WeenHeats _ NOTICE: 11. it king this declaration. you should "come subject tthe 'Workers' C w O ProviSIODS of the Labor Cool must.,torthwith, ' '. 3 Device BoxesSign. r Comply With such provisions' this POVMlt,Shall b0 N•mx revoked.. Gx SeIy CB Dmlati' water sary CONSTRUCTION! LENDING AGENCY „ DutIBIe 1 he by affl Ih t the I rt tl I dl g e9 y.fof the PertO nce I to ceptors ) Stantling $xllORe - a1 [M1e .wa k I Which thisPermit IS issued (4 [Ion 3097 Fill. c.) _ ; Uender'e Na _ _ - KechemSnk Sw'lmh.s 1 Tash Compactor Lender's .Add s '- - Lahtbries- - r Garbage bisPoal ' _ OWNER BUILDER OE am 1 hereby affirm that am eke bl from ss t N. UC se Law for or Generator ❑04 KW L1 5-15 KW - r following on Tn315 BULnnsandt I and ProfessionalAnydryai IS Tia 11 - de - ry Mw ny Tref a permit to construct al[ Intimate - a rsuM1 or repair lure, a rel R 1. Dn - Transformer ❑1550 KW y e d p011 the ovi Permit pstat mentfonat haos"s I a C ac tl [ t t /M1licensede t[ rn provisions aC Contractor La yt 9( I9 Hh'se tlo 7000) i of - -]Sol Key, and 11 T i the'a 1 e P I' I Coe) Lh Ln / n 1 pt s Sh '. R Rsect F 815 -_ Eay�ry reopen a d thebath fortheAlleged e ptl PnY.violafl f Section - - Meter ❑uP to lel amw lme' Far - $ 3 ]0315 by yApplicant fo dial. ble t to applicant t lyn '� - Se S k: -3 } Iso Fee $ 3 nalty o1 not re man Ove hundred dollars ($500): 1 . ! .' 1 - r Zonag APTowtl By l0.te 1 f theProperty v employees w - ti will d thek d, to t for 'r le Ase f1 Yoaa a t R d Pfaproperty with 9 in.1r sole t tintended offered cad I Code: .msor Im i ", MECHANICAL 1 Application APP red By - Oax Lara d I poly Ip f umis builds or Impravxs _ g Y - 1 ' t 1 Refrigeration Sy Sem ' { 1 Application lmW By Gam 1 thereon, a a Who does such work tomselfiners O'ar through his or her own - _ - employees, Provided that Such improvements are not Intended offered for Duct Under Ground t l7a•,t00pO0 BTU 01D(J,OW HTU dor b. 1, MwMr the bu Improvement c pletlaon the owner will ham �he burden Of Proving harshe did not build Of Ian- . -s , I SUMMARY OF FEES � � s ! ova for the Purpose or sale). -- ' Duct - Strucmrl System flepmr/Alterafion IOUILD NO PERMIT $ LI4. S0 � I $MIP U I, as PWne. of <11e prawrly. am ex 2luslmly contrading'wlth Hmmed ran I ,PLAN 1 z8.4z,, t . , tractors to construct the proled,((octlon 70". Business and - Professions Code; _ Duct Ve TIa4 g - b - s ! CHECK $ l PERMIT ' The ConVaclor's Ucenie Law O t sadly to an r yr party who The Improves thereon, antl no contracts for such prdsecns with a con LAW). - 7 Exhaust System 0 Multiple ❑1 j 'PLUMBING $� ISSUANCE: 1 § l tractogsiH pursuant to,�the Contactors Lomas 1 GRADING $ ❑'t am exempt tar vcHon a.&P c for this rection ! Fnpl/Fact 011. GOO ka I 1 PLAN CHECK' $ I HxtinglSysem&Dueling ELECTRICAL $ Date Owner' -I Imminyl unify -that l nave -read this aPwHutlarrana-tdte•tuat the abovw - i 01010U,o000TU-0100;000 _ _ _ PLAN CHECK $ � I MICROFILM � § r mformalloa D Correct. 1 gree to compo with all city and county ordinances 1 MECHANICAL $ 1 j TOTAL FEE $ ano.state relating to building Congtrudlan, and hereby authorize mora- Hood or Type I ❑ • r Rental of W dtv t nter, upon the aS antlOnx properly for o ! s Canopy.T e 0 Re nspxds Fea, $15 ',PLAN CHECK $ LEW spac[lon -22-b/ - gpVgNCEO PC $ ignalu:e liars i Regirtorl Isle Fx 53 Ddmrs''umns ar';ssg ; FINAL FEE; $'�.1= CMF 0865-46 rev. 12/62 White -BUIIdIn9;Canary-APPManRPink - Acwunting; Goldenrod - Assessor z C-1 nc' C�NST�U�TION'AND;P�"A- -1 POC SPA .=_ �-APPRQYALS It, Permif ter. pl nsp Factor Penrniv.+ • 'Date, I rispector. : ;,;.--APPROYALS1�- i empoiarylElictricjl Service qrjol - 6Li 52., Pool &Equilamint Location js8il Oipe-6ndrgrncl-n : � 53.: Steel RiFinic'r6am' ant J! ba,triCall Conduit Utility-Un;iir9r:nd: Z; , 54 Forms 4-. Electrical Conduit-Undrgrnl& 'V t '55�� Electrical Bonding rh I §te'el'RIiInforcement c k Rough Plu r rri-bing_& Prdssbr a 'T;est 6: !Electrical UFER Grnd.; APPROVAL TO COVER-GUiNITE 57-.1 7. Footings ['58. E?e6triral:Conduit-Undrornef. B. Foundationw Gas Pipe, E], U ncfrgrnd. Test - 9. Mter,Pipe-,Un6grnd..'l 0,60. Backwash Lines, P-Trap,'O-'Undrg'rnd.--' 10. Structural Floor System' I' 'I o S fil. APPROVAL ,TQDEql< 11. Property Sewiir Lini &,House, -Connection 62. Backwash &-Receptor-Finlal 12. Sewer Cap�Jeater &-�ent-Final: I '! ilum 13. RooflDr6ins 4 Z j 64 P"I bing-.Systam'-.: Final--' 14. !Rou6h,Plu mbing -65. ElectricahFinal I ;z r--1 57� ko-uglC Ele-eiricaPCond uit- T T Solar Syite�rv-Fiiral I ,4b.`R6ugh ,Electric Wirihg T -i+- Fencing §t '�cciiss Approval '67' -Fe w I � I n_ X68! APPROVED FOR PLASTERING ,'17:;RouFqh-Wirifig1SI.g'n 18." A' ulgh:Ee i' I -TJ8 Ceiling atr ca ar 69.' POO L/SPA SYSTEMS FINAL 4.-,R6ugh Heating &, Air Conditioning ;FIRE DEPT. REQUIREMENT ' , Permit +- 20. wq6uqh.Factorq Firiplace I •APPROVALS' 21, iDuctsrin Sfructura �70.i Underground Hydro I t22. ts, IF/enPlaiing !71. Product Piping DGas ❑6011 �2 3. S`Pipe-Rough 6 Test F !72.1 Underground-�Ius Fram' in�� F U 'Z3.; nde.rgr,d. Stoiage Tank OGas Doil :-24.1rloof 25. Sheathinga i74., Ov rhead Hydro;Roof , -26. K-Bar.Ceiling (Structural) & Monocoaf- 75., Dry Chemical 1,27. rratrie'.and -Flashing'76. Dry Standpipe' 28. - GtHing &7siding' I to: .77. FIXED SYSTEM FINAL q 29. 1hsu!atio , n 'T 178. FIRE PREV. FINAL ,3O. P �ywall Nailing Vi43 Notes! '31. j Plaster Brown Coat 1 �r-F!r�al Y'32. I,Eiectri I I;Pow,r Wt 4 34. Final Heating &' !�ir Conditionin I 35. Final Gas pipe-Tesy r 36. Hood or'Canopy:;; nopy--,; 1 01 37 Final gactory Fireplace-, 38. Final Plumbing ,mbing, 39. WaterIsei vide-F:nai 40. Gas Service -Final 41. Solar Domestiefinal 42. Backf4U] Preventer j 43. Backflow Irrigation aF.I =2 �l 44. Landscape a Irrigp�Idn:SXstern r 45. Sound! teiuStion V 1 46. Handicap: Regulations* I 47. FINAL §TRU,&UiRE& 601 LDiNG, IF I i -z 13 b -21 P, 48. Special Requirements irements Completed Release toc Edison 49. Electric 50. Gas Release 'to Southerl n California Gas Cb 1 01, 51. CERTIFICATEJOF OCCUPANCY No Date Appllcam to fill in all swore except thou within suss brown lines And 340 all opprinnials declarations CITY OF COSTA MESA, I R NO. TRACTNO. LOTNO. - - 31jT'-_ t/8'4/H"_ IL:y. Gam" i. CONSTRUCTION PERMIT 1 r .. gppRnnt'a MEIIiOB Adtlatlt ^ 'TYPE OF CONSTRU T NEW ADO ALTERATION- REPAIR I - ,�pp�� �rII e�' Rpj9cl.AddroO O Lr1N.LP� al 540 SS LJCONVEpSION DEMOLISH O XEja ' I Owner's gwine r I:One ' DESCRIPl1ONOFWORK Atldrea VLicense Dell TY PE OF PER�RADING FOUNDATION STRUCTURAL A.P.W' �-!p ZONE9 SD` - ' Arch/Eng No. QTENANT OELECTRICAL PLUMBING QMECHANICAL BUILOINO - OTHER - - _ PLNG. REF. N• - _ fly Addrq-s� t Sf� ADD - - l0 BUILDING .. PROPERTYREAR YARD ITO PILI - Contractor s Nem ,-pori TNQ by PROJECT DESCRIPTION sq. PT. OCCUPANCY - �h'i i7 C n� ]Ti]:TiAv--- t/LG( IIIq - CONSTRUCTION TYPF . VALUATIONS I ZI "LEPT SIDE YARD RIGHT SI DE YAflD - . Addrq line bn9) �A , ZONE, GRADINOCU.YOS. ACRE% PKG. SPACE RED. PROVIDED - Liell N LICENSED COMrRACTOR DECLARATION Remarks: - - STREET WIDTH PARK FEE S ' I nareby affirm Alit 1'alm licensed under provisions Of Charter S Iwmn9 mwtl - - e With -ion )doe] of Division 9 OI Busing and ROrglong Cow, and P 1, 1 d 1 SPECIAL CONDITIONS, myllcam lsintullJ p fbtt. / G —r If and %Zr0 - - IOumaCbrs ` U D PLUMBING , pate 7116.r_1Pa Signaatture / •RKERS'COMPSNSATION DECLARATION Bai Sink $e- Cap ELECTRICAL Any affirm that 1 fie a ortlnwte of Semm t to salf-miure or a actificate 1 Ba leflow Presenter $BN9.CdnfleClb Automatic Washer ' 'Meter clover IBB artrpf WbrkWS' C M"pANtiOn Insurance, Or a prtljlw'wpy \001001 (Sattlon -- - Construction Pole - - - - r - - I 9900, Ins. CC^Oq(I A-H� (`wL policy, NO. I Onto --`^T' Backflow IrrigationJ SOY C iimws i , Sub Pawl \, If IIyl Cya�mad copy Y nerony fwmzned BathtubsSola lipping Cooking Unit 1 'Sub Fair I L•fGel I dl y Is filed with the cltY ByIIOIn9 Dlvlyl���q� 1�,. 4;�rx'LyFI-rte j Clarifiers SBYr Tenk Disn'v<zM1a Motors 00.1 HP 01X$ D.t EXEMPT Apvllwntz//�L� ION FROM WORKERS'COMPENSATION DECLARATION - -Dryers OG z-OElecvic--c Inc - Sal r;O9-15 MP 01615+ DlsM1wedtef Swimming Pool w/Soho (f {mtissacllon need not We mpletee If the Pat Y for one hundred (63001 or . 115). llwt In t1q parfolmenw of then Work for whlcn IMs Permit Is Isswd I Drinking Fountains Uriwl - Fen 1 I Microwave j o snall,not employ an Person In y as l0 Oacorw subject to the GIIfOrnla.•r s - F.A.U. I Pole Li hi Lighi wearan' comwnut%n Lows Ot Floor Dieinsl Weser QOMI: 1 sinatura - FloorSinks, - - Witter Heated -� . _ -- Fixtures 1 0 1 Range NOTICE: If. after this declaration., you should bacon a sublact tot" Making. Wurkers' Compensation tion provisionsf theLap Cod must forthwith Comply -with' s h everything thisPermit shot] be d d kap O �hrs Water Starrett Devoe Boxes ' Sign - CONSTRUCTION ILENDING AGENCY I - In by allvofrf:n that were is e t ttl 1Spendagencyler the oaf 1 �CJ _ Outlets �6tend'n9Sactlons ' - I Of Ise k for which this wrmll Is Tss d ISnion' 3097 CI s SsvilMm Loner's, Name " n Trash Compactor Landar'a Address ..• - 1 : GerllageD 5p001 1 OWNER BUILDER OECLARATI ON I hereby norm that am awmpe vain me ce t e v u Law Tinton following R - Ganeomer OB -5 KW O5ISKW ' rwson.(SacUaro 7031.3 Business and -0 OfMIC &oC000 Any city Or ty worst re Wres a permit to construct, est 1 p demolish or repair Trannormar 015$0 KW a Y structure. or or to Its Guano, alta reeulfn <h ppil t f n pe It 1 - [ rll signed statement that he/she Is (least - t to the. Isl f Contractor's Umnm Low (chapter 9 (commencing with Settle 7000) f r - - RIs a n Fee $15emm 0501 KW Rem wenlon Fn '. $16 vision 3'of the Buslnaa and. Pr f Cecil) that boons I pt me balls mr ClINgea 1 1 �I I ' �" - Mater and pN Any Section /0^x1.5 Vooy applicant f0 a OB Mt mcclata Lha ppis t to a civil ply n t than five n 0 d d II 16us F $ 3 ptOlmemm �e of more 155001 r^wNr ]q inp Approved By bO I!as f Wl tY Y pl y q twit sole MECHANICAL ) wmmmostion will do the work d thestructure t Intended or offer" fpr GIP f to (Ion I IlmOon APPI APP ONy By " Dne 04 Carl Contraction's Cad builds nota,lyt Ie Law License law don not apply to f property Who builds pr lmpmws Bdpr Refrigeration System ( ' ,.rp 'Dab land no does such work mmmif/barse0 o through his or her own 1 - 1 Avpll®tla^ Issued BY >B thereon n ase, provided mal Improvement$ are not Intended nese for II however the building r Improvement rapid within one Year of sem- O U tl 'G d 0O100p00 sI 0130,000 are - ( l SUMMARY OF FEES pinion,the Owner will have the burden OI proving hehhe em not emm Or Ins - - I' 1 I l �z erow 1 the purpose 01sale). owner Duct Structural System RepeB/Alteration I BUI LUING PERMIT '$ �• "SHIP $ Y 7 f the property, am exCluetvaiv ConlractMg Im3iwnSWO con- Professsion; Dor Ventilating - PLAN �' ' t d- to construct the protect (Section spat, Business and Com: 5 I- - -' CHECK' $, � PERMIT 1 1 The Contractors Ul law t pply tla an corner of p parte one' forms or Improves thereon, anO no ¢ontreda for such 0 0lat's calm con E haust' System ❑ Mult le ❑ p• - ' 1 PLUMBING $' ISSUANCE j $ 1 t mond license pursuant to to C t CtorY License Low]., i GRADING I $ ❑ I am exempt under SecllO B. S P: C, for tors reason I Firepl/Fact BIL ICBG M I :• ry ' ,PLAN CHECK' $ I I , I - - H ting Sysb & Ducting '. :ELECTRICAL S. • I MICROFILM $ oat _ Ow I. device certify that have tl test [Ian and tate that the above • rb OGIWIOW BTU 0160,00311l_ L jPLAN CHECK $- $ y poli afo alloe or I. laprea t comply in an c ty and county Ordinances - 1TOTAL-FEE _ _ MECHANICAL $ ., $ d t to ung to building construction, and nereny mons thine-Hourd Set ti ext I he the abhor-mamlonod t mr Or. - Fm $15 I UE� Icuv'tp pOn ora I p.m It o 1 3 i Type ll ❑l Gno R mpacUon .PLAN CHECK' $ ' ADVANCED PC 1$' Si tod Ne I Orlwrs' Lloose or SS P Registen I 1 . Iwua Fel' $ 3 1 FINAL FEE" S � CMF 0064-46 fell. 12/92 -Wilke -Building; Carierr7t AP011wril;"Pink. Acwuntlni:Goldenrod +Asussoi f' CONSTRUCTION AND PLA ' -.. - - b< < ti. -.Date i� • , 'Inspector, _ ; - POC SPCA: - -, -` Date- - - Inspector APPROVALS-Permit�p ,3 Permit's -. _APPROVALS y ti I Sn ,1.I- emporary Electrical Service -or.Pole,52. Pool &-.Equipmeni.Locetioh - - ~ ''2.1 %il-Pipe-Undrgrnd; . _ ; ` z -o._ - 53; Steel Reinforcement `, ,r ; - - (33.,Electricel Conduit Utility-Undrgrnd. ''�i ., �_" P 054. Forms- ." r4.IElectrical Conduit-Undrgrn8.n� 55. Electrical bonding'- r*: - .. .. 6.ISteel Reinforcement = '_ ` '. < _ 56 Rough'Plumbing & Pressure Test :6.Ele5rical UFER:Grnd: r. �« '' ' ' - - •57: .APPROVAL TO.COVER-GUNITE: - 7.tFootings`' 59.'ElectricalConduit-Undrardd. 8. jFoundation - _ c - - 59. -Gas Pipe, 0 Undrgrnd., Test 9.,Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑Undrgrnd. 10.'Structurlal'Floor System ' - : ' - 61. APPROVAL TO DECK• - - 11.iPioperty Sewer U66 & House'Connectiori - . • ,62. -Backwash & Receptor -Final 12.ISewer Cap,""! 63. 'Heater & Verit-Final- 13JRoof Drains j 64. Plumbing System - Final 14.: Rough Plumbing -65. •Electrical -Final :15. Rough Electrical -Conduit --r T---- -- -- - -, - - T- _ - 66 -Solar System -Final' - - - - '=16.' Rough,Elertr.•tricWiAng _' i' _ :- -' ;,- - _y; �-- T 67; Fencing& Access Approval '•17 Rough;Wiring Sign) 68: FOR PLASTERING J185 ,APPROVED Rou11 �gh Electrics -fB.' Ceiling 'I II I , `- o' 69. POOL/SPA SYSTEMS FINAL 19:,R'ough Heating & AirConditionirigj FIRE DEPT.'REQUIREMENT APPROVALS ' Permits _ �0:'Rough Factory Fireplace 21.,,Ducts�,inl.Structure' •" h 'I i I I j '70: Underground Hydro r..22.'Ducts,,Ventilating, ' T I ! 17 'I. Product'Piping.OGas 00 i I ;'23." GasQPipe Rough & Test-" j' ' i __i T72. Underground Flush ".24!.Roof Framing _ 1 �;= "rr', j +lor v'- 73: Undergrnd.Storage,Tank,0Gas, 0Oil 25. Roof Sheathing ,- j . j,- = Overhead Hydro I' r74. .•26.'T -Bar Ceiling(Structural)l & Monocoaf i . ^ I j + 75. Dry Chemical 27.j;F.rame.and' Flashing ' ' j l i I �' Dry Standpipe, - , 176 28.'''Lathirig & Siding I, j 177! FIXED SYSTEM FINAL-� 29.1 Insulaiionr ' ! it I j 78. FIRE PREY. FINAL c+ '-30. `Drywall Nailing l ..• '+ , li i I I Notes: I ' "31 i irPlaster Brown Coat 32 ' Electrical Power Meter -Final 33.+ Final Electric I i _I' _ i 34. FinaliHeating.&>Air6nditidning II i i 35. Final Gas Pipe -Test - I t 36. Hood o�,:CanopY>I c. 37. Final Factory Fiioeplace 38. FinallPlumbing, 39. Water�Servioe-Final 40. Gas Service -Final 41. Solar`DomesticFinal 42. Backflow Preventer I I 43. Backflow Irrigation _ 44. Landsrape'Irrigation System •' I i ' - - - " 45. Sound. AttenuationA 46. Handicap Regulations ' I � ;?- I 47. FINAL STRUCTURE,& BUILDING,, v i r, , 48. Special Requirements Completed 49. ElectAc'Release to, Edison 50. Gas Release to Southern California GasCo I I' 51. CERTIF,ICATEOFOCCUPANCY _ - No I, 1 'Data 1 �' -ti„ AP plwnna IT• FCOSTA ME �pk ONXR'MIT -run rm In all arwaaxnpl m•M Wumn nw.y somer lines and Man all appropriate e._elarauona. _[TWO.-� . TRACT NO. LOT yG.. I — {�i�l J`� ,RUCi . ...1 - - - 'I ��p 7�Q8/It3 2�2�94' T ApClicanitsi(aeliAddress M1OjaR Addreai , TYPE OF COWrRUCTIQN NEW ADD ALTERATION- REPAIR' CONVERSION LJ DEMOLISH 11 OTHER OWTf's Name /]s i•`!'a 1• $ %'1'E Pbor Q DESCRIPTION OF WORK ZONING REGULATIONS_ naarwl _ TYPE DF PEflMIir GRADING OUNOATION STRUCTURAL ❑TENANT ELECTRICAL PLUMBING MECXANICAL - ❑ OTHER' -' PRWECTOESCRIPTION aq. FT.' - OCCUPANY 'CONSTRUCTIONTYPE. VALUATION§ JOa� TONE GRADING CU.VDS.r ACRES-- _ A.P:♦ 1 ZONE p Arch/Erq.. _ LIEe00 NO. Andres - PLNG.REP.sh - "" `BUILDING,. TO BUILDING - - _ PEAR VAP PIL) - - - 1 \JL_. q COntalNalLBG dka IY2 Z. - 'PneneGG9—OIS( AUdrm roiling) W12- U1. I ffirglafEAry F} I -y ^ L IxNiw No. LEFT SIDE VAAp T VAPp - PKG.SPACE AEG. DIVIDED _ - LICENSED CONTRACTOR DECLARATION M1eraEr'elflrm that I am IlwnVd under prarlRans a1 Charter 9lcomboncing Rt ku - /%O• STREET WIDTH PARK FEE§ Et E 1 SPECIAL CONDITIONS: 11 With all 70001 of O reg on 3 of the Buslnm and Professions Cede, and my license is In f ell force a elle . `' PLUMBING n� LlpRnsa no pans a I' h ORK $-COMPENSATION DECLARATI N: erebya/firm.lNtlhareLwrtllloteofwmnllostldnsuruoracerunuta of Workers' COmwni tlon Insuranm or a wrtllbd copy tnere0f IS+cllon-; 3900, Lan. yy1. i5b, L 112. 5- S44l glit Bar Sulk Sewer G'P - - a ' 2 RCA 1 — Backflow Preventer Sewer Connection Automatic Wavier 'Morn ttlODempa Backflow Irrigation $plat Colleptors � - - j" Construction Pole - Sub Pdwlw s-.- _ Pollty no. Company Certified copy hereby e GrIIB p' fl ed with tna sty But 9 DI VI Date y%gppOwnt EEEMP ION RO ORKERS'COMPENSATION DEECLARATION - (This section mod not be wmpletea II the Permit Is for hundred 15100)� Meeh1 certify that In the DerformanM or the work for which this permit Is ground I �- wNII t employ any person In y n as to became subject. to thee, orkers' cempnsatiov taws of California.. Date - SignatureFixtures BatM1tube $bier Piping -,' ' Cooking Unit. Sub Pole CleriNers' S01m Tenk DishwasherMoron 00-1 HP 0114% / D ehwashtt Swimming %at w/5pa' 1 - DryeN 13Gal 0EI¢cM1ic Inn BOler 09I5HP 01&15f - - - Drinking Founmiriz Urinal - Floor Drains Water Odvt' 1. Fen' Mivawme e PA—U, -' Pole Light NOTICE: If. afterMakingthis detiaraflon, You Should become Subject f the - Comtlon proNilef the Nbor Code. You mu I f rthwitn Workers wnsam e Ply with such Previsions or this -pnmlt shall 0 deemed oketl. Fluor Sinks - water Hrtp --k _ Range (.F 60 Gas Sol 'Outlet Wete65ervice �' �- Device Boxes ' f SIgO '. CONSTRUCTION: LENDING AGENCY I hereby affirm that tuns is a' Construction lending agency for they fr ante of the Work for which, Inls permit Is 'Isswtl [Sectio 303T Clv. C.). LAndars Name, _ - inmmwtors Outlets, �• I' -, 11 SfAndi gS CbOn9/ rei KinM1on Sink - ay / switches TrasA Compec{or D landaYs Add '. OWNEp'BUILDER DECLARATION - - - M1 Wby alfl tot 1 Lfiom IM1e,Co I t Y LI La I theP I II Ing u$a 11 ]031 S Ruzlness ane P I I 1 C d q y Ity ty which r Ins a permrz to Conibutt, alt Improve; demon n repair v I mre, p'r`ior ro In Issuance. also reoulres iFe mmmant rot h a R y r m nnetl slelement mat napne D Ilcensee pursuant to Ire e 1 f e C 1 ctorYLlwnu law [chaplet 9 (Commoncino9 with Settle )000j f q�,I I 3 I tip Budness aro Pro/anions Catle) Met nphM1 I et l'fi-from ane melbasis rot the anevep ek51mDO -Any violaflari of, 5tttiot ]031.3 0 ony appllcam for: a permit foie t the epPllwnl to acivil naliy eYn t mon man floe hunerea eonars 155001_ 1 1 s' her 1 the prorty or v dmptov Itn p onelr sole pa tion will do Ma kn novena svu<t t t OOO offeree f ISee4on inns, „ae. +red Profassl - G a Tn oonarettdrn ' u Law aces not apply to an owner e1 a pr pe )y wM1 E pe improves m d who apes uch work nlmself/nenell th qtr tri a her own iplo s Provided that sudn lmProremen[s a t l t 8 tl r oftred for oe li powerer, the buuaing or Imerovement i - m wmnm one roar of Pens l.ewon, the pwnenwm nave ran barren e1 atom g Ronne am nm braid ar Ins Cr, for me purpose of sal0. . 1 LD1, is owner of the preptrtY, am extluslvely conuse g Wb Ilwn]ne ran tractors to wnstruct$e protect CS¢Stlea >Oae,.Bunness ana Prof Oro MI. ml The Contratter s uce•e law doe n l apply to on owner f Property ono builds or Improves thereon, ana war co Mir forsuch and I wins t[ Is) II p t to iM1 con t t s Uca IJ ❑ I. exempt d Settle B A P [ I mU - kava[ 1 - _ eS GalEepa-D pOSal •` - VI T ep 1 L i /.F W Generator O&5 KW O515KW j _ S Four Drains _ -t' Transformer Ul&W KW ✓ - •_ -- • .2050+KW T--- T Ra aPanlen F I _ 1 I_ i$15' Showers m' R swcbun Fr Meter'0up to 100amps jl IVIx Fr' �'$-3 - r - `Mannar 1 Se Sink _ v Ise• Fee - $ 3, b- it gpprord BY a A gppl [ on App rA'-' - 1 - MECHANICAL • - ' sailer 1 Refng¢reba Syvem � � la ' Dec[ Under Ground �P1W.000 BTU uiw.W BTU - � J R Udn IvuM B T- y � APP .Y �' m ]e ' - -- SUMMARY OF FEES , 'BUILDING PERM T� $ 17J �� -r SMTP • $ PLAN.CMECK -$ ` .j, PERMIT I .. / IS$UANCE $- ,PLUMBING S /�"OQ T PLAN CHECK S 'GRADING ,1 $ ELECTRICAL $ v Y s- .5^ S ,, PLAN CHECK S ., MICROFILM .. S MECHANICAL �g 1400 TOTAL FEE $ — LEW � PLAN CHECK ^$ -v 0� ADVANCED PCr E - 1 F ' , FINAL.FEil'E' $ Z' y 11 Duct SOuctunl System Rep )Alterstion 0c[ Venllabng .c .>.-} - - ExM1auA System ❑ multiple ❑ I F epI/FOatlit. BR ICBOI - Date I O t - - 1 n ey- ufy m t n read mU. ppii u a state eaarm bo enf matl0 b Correct. I g [O PI ith ll ItY d tY dl a state In s tang m me@ to c Cons irumtn ane hereby supports, apra- e tatws oh,1Ms ty to error pan m bormentioned Property for Inspection purge _om,., •Shmi Data'/�_/SZ Driven' 4w orss Heat rg System &Ducting I- OD100,Dp0 BTU EMD 100.00) BT - o - H dor Type I p Mpa'n7od Fail Ce T e II ❑ '. 515 Rp Mels 1 Man Fri <� S 9 Goldenrod - Asessor CMF 006546 rev. 12/32 White - Building;Canary- Applhanq Pink- AcmunHng; I' NSTRUCTION,AND<PLA NTNG, u "='z` i :�: ! a •+ '' POL . SPA - -' '• . - , t` r l •+ Date •' PP ROVALS ,- Pe mi Inspector - APPROVALS Permit Date Inspector u m. , if, Tefporary Electrical Service or�Pole f '52� Pool &Equipment Location 2': Soil Pipe-Undrgrrid.-� '53;' Steel Reinforcement -, - 3: Electrical Conduit Utility Undrgrnd. i y : 547 Forms v _ 4a4` Electrical Conduit-Undrgrnd. _ . ' `t '55:' Electrical Bonding _- 5C Steel Reinforcement 56.- Rougli Plumbing.& Pressure Test 6: Electrical LIFER Grnd,'' ' : ' ` _ - �r , _ 57' APPROVAL. TO COVER-GUNITE 7. Footings ; r ` c ' ' - __56. Electrical Conduit-Undramd-'- i B. Foundation, rb -_�59. Gas Pipe„O Undrgrnd., Test _ 9. Water Pipe-Undrgrnd. •-1 _ _ : rJ - - V. Backwash Lines,,P-Trap, 0 Undrgrnd. 10. Structural Floor System , 61. APPROVAL TO DECK 11. Property Sewer Line & House Conn'e'ction; ' . 62. Backwash. & Receptor -Final 12. Sewer Cap I i - - _ , `_ 63. Heater & Vent -Final, _ - 13. RoofDrains-'64. Plumbing -System -.Final - 14. Rough- Plumbing i 465. Electrical -Final - ,15: `Rough Electrical -Conduit RT- ;-' " -- 1'_ t '� - -66. Solar System -Final - - - 16. Rough Elec[nic Wiring,/RS --_ C _ 67. Fencing & Access,Approval ---- ,- = - -- 7417: Rough'Wiring Sign ' ;; ':4 f = I-68.1 APPROVED FOR PLASTERING_ ' J18'. 'Rougl Electrical=T'Ba�;Ceiling] { �y,_JI �� CC; ' 69.' POOL'/SPA SYSTEMS FINAL •'Y 19. Rough Heating &Air,Conditionirig �.� I _ FIRE DEPT• REQUIREMENT . i, APPROVALS ' Permit # 20. iRough;Factor'y Fireplace , �': I I ' f' 21. ;Ducts, in.Struaure-, I 11 70. Underground Hydro Ventilating :_ c i i + - 71., Product Piping 0 Gas 00il 1 .22.',Ducis, ` rI 23. Gas.Pi a-Rou h & Test . ush -24. Framing j '� •' icy + ; i �. ; .! I ,• i i -; I . :: 73.0 Undergrn'd. Storage Tank 0 Gas'O.OiI ,Roof _, 25. _Roof Sheathing ' t ;� I- ! ' - ; ' ' " t •' j jq,' Overhead Hydro '-26: T -Bar ili g (Structura0. ,Monocoat- -JI JS'� i ` b i 75, Dry Chemical -- ' - 27. Frame and Flashing 2e Hafer ,,, 76,. Dry Standpipe :I 28- i6thing &'Siding ; I - !� it j ' X77. FIXED SYSTEM FINAL161Pi DT ' 29 .I i a a i li L. 1 i I 78. FIRE PREY. FINAL Ste, na •s; ;. --30.�Diywall Nailing • ?'-2.6-g) i' I pff��'' S4v .�. J S Ah; /I C� /'OYv� 31. ,Plaster Brown Coat 1, 1 t !` - -+-�_--i -! --__ - - dde rrm Ar. "art ' 32. ]Electrical Power Meter -Final - , ' S0 W p ? 33, Final Electric ' ' j q _ :({ems _aT •r t. ^ (r' 00 S . tr 0 I'v C ore 34. Final Heating &]Air, Conditioning 35. Final Gas,Pipe-Test / 0 d C[e m 4, 36. Hood or Canopy -'7/1 37. Final Factory Fireplace`, j ) j rry' !ffj .G�:% CI 'O{'f e.y?Y 38. Final Plumbing ,*'?Cl¢ CP" 39. WaterService-Final B •1d .P QPn 40. Gas Service -Final ' f I ! -! C- 41. Solar Domestic -Final 42. Backflow'Preveriter. r - �' ( 'jD Pdrti0li G'e f - Back flow'Irrigationl '," '. - N43. �' Z; sr i i N t orth�'✓Yla' 44. Landscape•Icrigation System - d - I rs ,S vive 45. Soundf, Atten'uaiionr WI r O �"''tCn 46. Handic'xap Regulations I- ; I j 1'h 47. FINAL' STRUCTURE&BUILDING 48. Special Requiremerits Corripletedi 49. Electric Release;to Edison: j 1 f_ 4_.1-,_I . I / O 50. Gas Release to Southern California Gal's Co ! i I_ ! ' i ' F,' itra. . , ,. 51. 51. CERTIFICATE OF OCCUPANCY _ . • _ No U Date I "' APpnum to NB M an °wcx except thou within heavy border nnx and sign an appropriate eacrautmx. CITLOFOOSTA MESA!rIT NO TRACT NO. LOT NO, ULDQ. CMSTRUCTION PERMIT Applicant's Meiling AckraM TYPE OF CONSTRUCTION LJ NEW Ll ADD LALTE0.ATION REPAIR'- Prolert Address t 000NVERSION OColoss H El OTHER OWONf Neese h' r f' hong GESCRIPFION OF WORKweves Address TYPE OF PERMIT —LJ GRADING' NDATION LJ STRUCTURAL A. ArchoTor License No. ' ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL PL Address .OTHER T( Contractor's Nem hone PROJECT DESCRIPTION SG.FT.�OCCUPANCY Policy No. IData 2294 7/15/83 ISeUU, TL' RIGHTSIDE YARD PROVIDED 'PARK FEE $ is of consent to wlunsure or a drbviute. Aside And imailing) �Q�'%• '�J%• YI%QI'1Y M•b LAIr '% CO N STRUCTION TYPO VALUATION S' Automatic Washer LEFT SIDE YARD - 4Q% —G EONE GRADINGCU.VOS. ACRES PKG.SPACEREO. License No �� Backflow Irrigation Solar Collectors _ LICENSED CONT AR CTOR DECLARATION gemarkN HM ComtenvL STREET WIDTH Cooking Unit Sub Pole' I hereby affirm not 1 am Ilcxwtl under provisions of curter 9 (COmmend"9for Bathtubs Solar Piping with section 7000) of DFlann 3 0l he Business and depressions Cope, and �/ ye Dbb"' ch"Clarifiers 9PEc1AL cONDIT Solar Tank r my license is In fall fdeas ang cited. - - _J IMPENSATI NDECLARATION DiYtwosher Swimming Pdol w/$pe - Policy No. IData 2294 7/15/83 ISeUU, TL' RIGHTSIDE YARD PROVIDED 'PARK FEE $ is of consent to wlunsure or a drbviute. ' Backflow Preventer Sewer Connection's - - Automatic Washer -Meter Over 1 W amps - e, ora dr tlfleeicopy thereof Construction Pole Sub Panel' Tt Backflow Irrigation Solar Collectors HM ComtenvL Cooking Unit Sub Pole' Bathtubs Solar Piping ye Dbb"' ch"Clarifiers Solar Tank r Dishwxher - Motors ❑D1 HP ❑ly - IMPENSATI NDECLARATION DiYtwosher Swimming Pdol w/$pe - DryM ❑Ga3❑Elxvie 'Inc -Solar 09-ISHP 018-15+- the permit is for one hundred (51901 or Drinking Fountain's — Uri a Fan 'Microwave be work for which this permit Is Issued I manner so as to become sublect. to the ' F.A.U. Light fornla. Floor DrainsI Water dOwt ' ,Pole Stock; you should becomesubject to the _ Floor Sinke j - Water Hewer _ _ Fixtures _ �Ranga__t tf the ubof cede, YOU ust,fortnwun his ,permit �snell o asamee revoNae. ' , Gx Sarvke -Outlets 'Wathnservice - Device Bakes Sign i I Asian lending agency for me y f Interwptors ! D°t1eN Standing Sections L It iz Issued .(Section 300a Cis. C.1 1 _ Kitchen Sink - Switchx - Topics Compactor laVMoriaeGarbage 0Seoul - . dmtheCemradogsLlunwl:aw.forthe ' P-Tix' a .. _ - _ _ - Generator ❑05KW❑5-15KW slneu antl ProfessionalCoder Any city or JwsieQulies°Theaoo�idmeforsucn or repair R^o£'Orains Transformer U15-SOKW A Is Runwo pursuant to the prpmsmnsd r ir 9 (commencing with Section 70001 T ❑5U a KW Rvinexetian Falls SY6 — - iNixpeetlon Fors Et5 tc xslpns Cade) final nc shat Is exempt qny wob�Ion"of 6how'Aid 1 Meter ❑upm lOOampe legit Section lessee For subjects mD subjects the a eallxnt to a civil limit nxrvic¢Sink S - dhalars (Fdo). sew ea Zoning; Approved By ^^tat sola Y employees With wages or th structure Is not mtenTinee0 offered gpplixbon gppwvatl By ( to -[ MECHANICAL sat of a 31onat Who hi COnmprov s r of a pralf or (her was bIS —j�f-/�/ APpI i 0y !�Dd ✓_ r �' pate Boiler. - • Refrigeration System ' or his own wromen nurse for mapISnot, dor her own m Wthin oe offered for - ❑0-10p,000 BTU ❑100.000 STUB ana1enot rINkoIewRMn one year -of rpm- n of Dact�Undar Ground , , 1 1 SUMMARY OF FEES Ian d proving neryne ale not bulla or Ice- BUILDING PERMIT $ SMIP '. $ - Duct -Structural I 1 Sy peirlAlterelion stem Re ClusIWIY Contracting with licensed Con. 1 (PLAN - �Il ]Odd.. Business and Professions Coffee Duerr Vemileting . '.' .. _ _ CHECK' $' PERMIT ' I on 1 apply le and net f property veno . C Contracts for such projects with a con. PLUMBING $ %S� ISSUANCE - S . Expauit System ❑ Multiple ❑; tractor's License lapel: I PLAN $ I GRADING $ B,. a P; C. for this reason I FireplEaki Bis. ICED+ I CHECK ELECTRICAL $ PLAN CHECK, $ MICROFILM $; $ -Reefing System& Ducting ❑Ot00.000,BTU ❑t00,OW toi apvuxtien vat tate that the above - of wleh all <Ily ono wont k alnanxs o MECHANICAL $ TOTAL FEE' $ Hood or T RainsllaC[i0n Fee. -° E16 si. tion, nmeer lar autiloriw .avre- sen me e e donee pm rty ter - LESS _ Gho Type II ❑ PLAN CHECKS $ � ADVANCEDYC $ 1 Registers ' (six Fare to _\ FINAL FEE Iltlingl Canary - gppllOntl Pink - Accounting; Goldenrod - Awzsor i r}1nsP paectOr .POS TOW te -E'APPRpVALs .I r^en{ . . - - .:Date ••T^sP � Po°\ & EGuiP' AND,pI'A.NN�N• j(oI •F" ' '52 `"Re}nforcemef% t� TION 0 53 . Stee1 n ' COPROVAES Permit vtce or•POIe �'; ..1 ` 54 .Forms ^ rfin9 E1ectSer Qca� �7p, lectrlce\ Boassure Test •.. �. TemP°tory , nd.: ° - 55> E• h pWmbin9 8 Pr G041 itE. > U^dr9uit Undr9r^d _ - F >. 56.,Fori9 A`TO DOVER- wty, - V 3 57. ApPRO -Undv0f rnd.; d }Electnce - : - \odut- - ^duR-V^dr9 E\ectr}ca d- Test . :v 4y E{?°trial 1 - - 58• - �ndr9rnd.. - ent r 59. GasPIPe.O.Und�9rn �u_ reel Rg\nfbrcertr c _ • v. �q ` 'p Trap. 5l S R Grnd3 } ash Gues. -gackW t 6 'tElectricil UFE a i t ° = ppPRGV.ALTO DECK \ F t^a\ '° Ings t n ;� 61. RecePtor- _ 7 Fotundation }- °, i �, 62. Backwash& mal 8' F° -` U�dr9rnd 1 w �-,,,.. Heater.&Vent,-F \ . Pipe' 63. Ft^a 9. Wyte%_ 1 Floor System se Co^^action - ryq pWmbin9aSVster^. ' ' truct�ra a &,Hou _ �• "p\nay 10 proPertV,Sewer btn z '65 Electrl°a\- t1.. '.S_ So1ir,Sysier^" rdval 12. Sevver cap i - - 66: :& Access APP ER\NG o{°Dra !. r t1- 67 Fedcin9 FOR PIAST ins _ 13. Fo bin9 ' • - -- l t ; 1 � '' - r ' PPP.OV,ED p�NAE ' `Rou9 Ldp \t T t h plum 14.. 1-�,-, '.1 , } � �, c.`. `�. • POOI.ISPASYS� MUIREMENT i Electri°al-CA �� 1,• _ Ep 15. aRau9hElecr(toWrtiFIRE Permit# POV A,LS1 _t7 1Rbo9 1' APR dro 7Uod nd Hy { - er9rOu ,O GQ Oi1 .. d h E\act 1 T ndltiontn9 t- t `� as - "c' t product Piping ,ti19.Rjo9h-H 1 .ceOrypNePlace-�t K ,�'Flus i V�der9rpOndh Tank�Gas C3 0,11 t nt20•.`Rou9hFa_Structu�e•Under9rnd.$tora9e Ductin , w r; tl t73. d HVdrO ' 21" D ' R• X,2�22. { .09. T -t.776.O. vDe(rVl,ea et74. Ducts.ut, &Test C em,c-o1 3GasPtpe FoTI StanSYSFramin i - c24. RpO'' &Monocoat ', ` 1 FIXED 1 25 .Roof Sheath\n9lSttuctura0 7, �'t t 1 �7'I FRE PF,EV FINAI- , '--� 'flat Ce'tGn9 '.t t ,1 1 ' ,Js. � 6 T. p9 �, p Y3 -2V. me.and Flash 1` INoces:, n� - u 7 Fra 1 2 9& Stdin9 29 i tti ^ r 1nsulatio .1 .1 , - 29' ihn9t ; - ua0 piY,Na1\ Na at It t r•B�oWn C° - r32..Electnca y c Electr`d}i�onin9 33,,F na\.. &t Ar Con e F 34. '^a\ 'Test 35. al s GaPi Pe" 1 a. ' pia .�_. nopY. °od or tCa . ce : } `� 36. "0 00 Flrepla- I ` t, y Factory 37. plumbing 38. Final t,,ry}cI F}nal, '.1 39. Water y 1 xs $ervtce.Fina 1 t\ t _` � t t G lar OP^'estic•Fina1 41. So Preventer 8ackf\oW. r. 42• 8ackf\off Irri9at,°n' F"System 43. Eandsca4e Irr\9at\od.. ,t 44. ; 1 nua?ton \-�_ d 1 45. SOUO Re9u\axons. gUlt - RE�&-D1NC'" 46. HandtcaP UOTu \NAlated F 47. '- { ReQ�iremenis CornPt.,- 48, Spec", t Edison, t Co- Re\ease ti° b Ifor^}a Gas t 49. Electric , �uther,n ;.- 50. Gas Release to _.�tcATE,OFIO��UeANCY ,"� ' I hereby affirm that 1 am licensed uncle, p owalon l Of CnaNOr 9 (commencing with SMmn 7000) of Division 3 of the Business and PralesIIons Cane, and my license is in full ford and effect. NO. U G Applicant to fill In an limits except those within now border Imes and sign all appropriate declarations. Planning Dish weshor Solar Piping was I PLUMBING - FEES NTIQF COSTA MESA ;Ploiect Adorns 2505 Applicant's Mailing Address- Owners Name n`Wp=l[maJ Address -t me r CONSTKUCT18N PERMIT Car1j(�aa� kbJ3' RkDu 7-1; r ����rrrr������pp��������N .l f PhOPPJ_"Ggw+ X19Ar god3 S -S PERMIT NO. '��—Z f TRACT NOLTNO. li Z//sax UNIT NO. Backflow Peventar TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR ECONVERSION ❑DEMOLISH OTHER DESCRIPTION OF WORK/USE OF BLDG (N'TE/2(o!� ALTE72AT(O�j,S OFFICES A.P. ya shOr ArchlEng. LicenM Ne. Acadian TYPE OF PERMITrrtLJ / GRADING FOUNDATION IJSTRUCTURAL ❑ TENANT L'J ELECTRICAL ❑ PLUMBING O MECHANICAL OOTHER PROJECT DESCRIPTION SQ. F 6D_ OCCUPANCY 1 CONSTRUCTIONTYPE N VALUATION$ J126 ZONE GRAOINGCU.YDS. ACRES I p Contractors Nem X)M C IFr 0041 pbone5'.14-�eS65 Address l mailing) TIXTeb IN 70 T N 2O/ City Liwnu NO. ICENSED CONTRACTOR DECIARATION Ping. Ref. I hereby affirm that 1 am licensed uncle, p owalon l Of CnaNOr 9 (commencing with SMmn 7000) of Division 3 of the Business and PralesIIons Cane, and my license is in full ford and effect. NO. U G Ramarkl: Planning Dish weshor Solar Piping Lirann Claes License Date' —<T^FICC9gneture .,ORKERS' COMPENSATION DECLARATION ereby affirm that 1 Owed certificate of consent to HINMurear a Cortllldte workers' Compensation Insurance, or a certified Copy thereof (section aeoo, Lab. C.) %troy Na company I PLUMBING - FEES d9 Bar Sink Showers elifornk2l= �( s Her. you should bah subject to the must Backflow Peventar Service Sink - is 1 the Libor Cede, you forthwith this permit shell be deemdls at rONed. shOr Backflow Irrigation Sewer Cap InterCeplOR Pole TCw0ktMuqC7U eCerb6etl copy is hereby furnished. Certified ca is filed with the city Building Division. its Applicant Bathtubs - Sewer Connection JN from the Contractor's Cleanse Law for rho CRY Of constrruct, hour, and rmprove. deessional molish or drift construct, tpeappbcam for such r 11 {he Is llcanud pursuant to the Pn=ns Of roussions Coca) or Thai Ila/she IiOaaomol HAVatpries - P—Trap Lpuntlry Trays OWNEF I hereby fallowin county U i am exempt under Date I" Drivers' License or SS 8 CMF 0865-46, rev. 10/84 1 COMPENSATION DECLARATION d If the permit Is for one hundred (SlaO) or ClarlfNR Solar Collectors Dish weshor Solar Piping n the work for which this pnm:t is Issueq My ma as t° become so b) cl to me Drinking Fashioning Soler Tank d9 Floor Oraim Swimming Pool wl5pa elifornk2l= �( s Her. you should bah subject to the must Floor Sinks Urinal is 1 the Libor Cede, you forthwith this permit shell be deemdls at rONed. Gas Service Outlets i water Closet ENCU - Action lending Agency for the performance Breit Is Hoping Hospitals 3097 Car. C.) InterCeplOR Wafer Healer - - Kitchen Sink Water Service - JN from the Contractor's Cleanse Law for rho CRY Of constrruct, hour, and rmprove. deessional molish or drift construct, tpeappbcam for such r 11 {he Is llcanud pursuant to the Pn=ns Of roussions Coca) or Thai Ila/she IiOaaomol HAVatpries Auno-Wash P—Trap Lpuntlry Trays Roof Drains - ' Ileged @"option. AMY violation Of Section free Goalan subjects he UPP11"nt to Iva y So loyads wth w gee as their sole mains Star I a Is not intended or Mining Reimmmian Fw $15 Issue Fee MECHANICAL ° y of a4oro'oarty w s bullJS Sur Improoves Bailer Hood or Typal ❑ K IYmsel^/naRalf or thy au9a his or her own is aro not letea ad r 1hMd for m pfoWmant 15 sold within onefcoe of proving Ii did not build Or per G"°py T� ypell 11ura.n DYCI Under Ground aelusively contrasting with licensed Con- ction 3044, eusmees and Prop pons Chap ,as not apply to an owner of y Who no contracts for such Projects With a c Duct -Structural Refrigeration System ❑0100,0011 BTU OiciDow Duct - Ventilating Exhaun Synee 11 Multiple 13 System Repair/Alteration Canhacmr's cocense Law). I amaware but tion Insure Should be Provided t° Me Firepl/Fact BIL ICBGIS Fira Dael3Ns B. as P. C. for this happen Heating System &Ducting ❑O10gODO BTU 0100,0005T Reipurrt this ionization and tate that the above = of with all city and county ordinances I consifusion, �� aa�n�d hereby authorize repro- Aponnproperty for A Date te"limned y_a= Rainspectien Fee $15 Issue Fee piling; Canary - Applicant; Pink . Accounting; Goldenrod - Assessor ner Dryerss ❑Gas ❑El9c Fan F.A.U. Disposal if 005 KW 05-15 T 6068' 7%4;69 ELECTRICAL Transformer ❑ 1S60 KW 0 50+KW Meter ❑u'pm 100 amps Meyer ❑over lo-nmps Sub Panel' 5 HP Pole Light Range Sign Standing Section: Trash Compehtdr E D M S FEES $3 Reinspection Fee Sts Issue Fee 1 $ 3 FEES DEVELOPMENT SERVICES REOUIREMEN Approved BoApproved iltlirg APPr°BY Application Issued E OMa Dat a--` ? real weas ' BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL - PLAN CHECK 25% SygABL�-V�.OF FEES $ �. $ Z/r (Z $ $ $ .00 -GRADING $ _(•So S S SMIP PERMIT ISSUANCE ENERGY P.C. MICROFILM TOTAL FEE S. $ $ ,$ S S �•� , $ 3 CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POOL & SPA APPROVALS Permit # Date �% Inspector, 11. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 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. x 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System.- Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring '-Cl. $ �?-.0 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling " 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # _ 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOiI. -25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat .- -,75. Dry Chemical 27. Frame and Flashing % y 6 r 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 1 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing /7 G 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 4& -Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co y 51. CERTIFICATE OF OCCUPANCY I; No. Date i� J Applicant to nn In all stems eawpl those within heavy border lino_ and Nan all appropriate denitration. CITY OF COSTA MESwas AP T NO. TRACT NO. LOT O. B . CONSTRUCTION PERMIT E1 ' — Lender's' Name Lances Padres OWNER BUILDER DECUIRATP I hereby affirm that I am eneMPt IrounWln9 rwwn-Samtlon 7031.5 ry which rep tits a permit in y structural prior to Its IOueno Ilea sign statement that he, inductor's Ucome Law (Cha on a mlromya d the basis foriness and I te a an31.5 nalty 01 not any applicant film hun, LIa1. as owner f'the 'property compensation wall 0o the work,: for le Refer Ion 7046', Buslnan License Law aatl net apple to an tanaerepyn zna who don n wor Ie III, hparowever. to bovided uilding gn om elatlen, the Owner war have the t tv for the purmse of ale). act is co�ai the Ocerty, The Contractor's Uwnse Laaw St trae%r(s) Dennie ounce"to tiro L ❑'I am exempt under section— Data y' Owner Inferrmatotatlon Is correct. 11 agree to an^'State lam relating to blldin intativo f t city: to enter on specti0 Signature Drivers' uwnse or a MF (3665-46 ov. 1R/6r' cryhe is ugmpt lollcard of Section �pnwnt to a dyn m:c:nd rroirsfill Coes! an owner lKt with a con - Me Such B. i P. C. ler this reason Levndries Applicant's Meiling Address y1 J1 Subject Address ,1y?�u�l r ,•'L Owns Name _ 14M.¢MILI A.NrIGL' Plxlne I aJ TYPEOFCONSTRUCTQN, nNEW UAoo ALTERATION LJREPAIR 000NVERSION, LJ DEMOLISH ❑OT ER DESCRIPTION OF WORK ���C, �- i Andrew, TYPE OF PERMIT ORADINO FOUNDATION STRUCTURAL Arch/Eng- LicanM No. TENANT ELECTRICAL ❑ PLVMBINQ Q MECHANICAL ' Hood Upla Address r❑ -I LI BOTHER ' Showers I Continic ar's Nem bIhone L&Zm1t7 PROJECT DESCRIPTIONSO FT. OCCUPANCY Service Sink - Address(piling)�-lA 7.l Y/b MPill)rwl zywe. License No. CON STRUCTION Type VALUATIONS ZONE GRADING CU.VDS. ACRFR LICENSED CONTRACTOR DECLARATION samorka: +can 1 IfeDivision e3 ReRigentbn System lin Section 7000) ohne Business and professions Cool and Duct - Under Ground my 1, els m fun+or and mfan. PLUMBING I t - V1 - Udensan5 — ' Uc a No ^•b�_ sign to I BV BMk Sander Cap - - R Rs -COMPENSATION DE RATI N SUMMARY OF FEES nepYallbmine111uvaamr1111m1eof mnanYto slHneureere nitlllwb of Worker' Compensation Insurance, p utlllbd copy thereof I+ectlon r a' BCktlow Preacher Sewer Conned ior1 _ Backflow Irrigation SclarC iiwtwi - - -- - SMIP 3800, Lib. Fq Poo=r na. �-��e?/j i CpmPenY ?�*l e9mtuha Soler piping ' Certified W is means formrnen. l 8 Clarifier Enter Tank . - .—_ PLUMBING $yew Gr Is filed with the city Bully Divlann�. /_ /IQT-y Date Applicant ' eTQ l' EKEM IO�FROMWORKERS'COM SATIO DECLARATION ssls Option amid not be eompmtea O me Permit Hfar pea bond Me UTDO) lir Irt 1 certlfo that In foe Pellaminw of the work IOf ionlcn ices Permit Is issmG 1 to non notemployY mrwn In y maori as to became Subject ro tFe Workers' Com onnSetlon. "we of G1110 nla.'r s I Dishwasher P Swlmming Pool w(Spa PLAN CHECK - $ Drinking Fountains UriNl 1 - Fiber Dwins - water CIOOt - Date SI nature Floor Sinks Water Hater NOnGei 11,-alOr m king Inas declerallon, you snauld bacam6 sv` I6ct Io foe-- El C, a no Mtlan visions of the Doer Cad dote must Waited come pmvtsians O! Nis pOrmlt b des Mee _mooed ply with: Suit Gas Service Outlets Watef S¢rvrw - CONSTRUCTION LENDING AGENCY lintert ntme 1 hereby affirm that there IS construction lending agency for the performance Lender's' Name Lances Padres OWNER BUILDER DECUIRATP I hereby affirm that I am eneMPt IrounWln9 rwwn-Samtlon 7031.5 ry which rep tits a permit in y structural prior to Its IOueno Ilea sign statement that he, inductor's Ucome Law (Cha on a mlromya d the basis foriness and I te a an31.5 nalty 01 not any applicant film hun, LIa1. as owner f'the 'property compensation wall 0o the work,: for le Refer Ion 7046', Buslnan License Law aatl net apple to an tanaerepyn zna who don n wor Ie III, hparowever. to bovided uilding gn om elatlen, the Owner war have the t tv for the purmse of ale). act is co�ai the Ocerty, The Contractor's Uwnse Laaw St trae%r(s) Dennie ounce"to tiro L ❑'I am exempt under section— Data y' Owner Inferrmatotatlon Is correct. 11 agree to an^'State lam relating to blldin intativo f t city: to enter on specti0 Signature Drivers' uwnse or a MF (3665-46 ov. 1R/6r' cryhe is ugmpt lollcard of Section �pnwnt to a dyn m:c:nd rroirsfill Coes! an owner lKt with a con - Me Such B. i P. C. ler this reason Levndries : r i Generator ❑05 KW ❑5-15 KIN Transformer 1115-SOKW— Hood Upla Showers r F 6 Service Sink - Issue Fee 5 3 I$ 3 MECHANICAL +can Boiler "- ReRigentbn System Duct - Under Ground 11LL1UU,OBOB1U ❑1o0,000BTU / APPlimfim Ivuad 6y Sy Duct - Structural 1 'System Repair/Alteration SUMMARY OF FEES Duct - Ventilating_ BUILDING PERMIT $ SMIP $' Evhaua Srstem ❑ Multiple❑ PERMIT I - PLUMBING $yew Fir6pl/Fact BIL ICBO # $� PLAN CHECK - $ GRADING Heating System ® Dublin .ELECTRICAL S O $ . 00100,G00 BTU 0100,000 - MICROFILM S .MECHANICAL IS TOTAL FEE $ PLAN CHECK $ Htwd of Type l 0 Reimmaion Fee' 615 AOVANCEDPC Gno ._Typsy II ❑ FINAL FEE' $ Registers a Issue Feb k IS 3 . Almafor drvu IIIDIO.d be4u n. PLNG. flEF, sp TOBUILDINGPERTLINE .REAR YARD (TO P. TO L LEFT SIDE YARD RIGHT SIDE YARD PKG. SPACE REO. PROVIDED STREET WIDTH PARK I 'Inc .S0lar.❑9-15 HP Microwave Pa16 Light _ )erxwres I Device Boxes : 1 I Rlnn�I Listings Ulaposel r Generator ❑05 KW ❑5-15 KIN Transformer 1115-SOKW— ❑59+ KW' -Rain a mion Fla 516 Meter ❑up to 1Wamp. Issue Fee I$ 3 Zoning Approved By +can Applimtiml Ap her / APPlimfim Ivuad 6y Sy SUMMARY OF FEES BUILDING PERMIT $ SMIP $' PLAN CHECK. - $i PERMIT I - PLUMBING $yew ISSUANCE r $� PLAN CHECK - $ GRADING $. .ELECTRICAL S O $ . PLAN CHECK d $ ,SSU MICROFILM S .MECHANICAL IS TOTAL FEE $ PLAN CHECK $ ' LESS I S.Ifo AOVANCEDPC S FINAL FEE' $ CONSTRUCTION.AND'PLANN NG }� • `•-• ' i G+ t - { `'Date 1 ' x:: Inspector, ;s:. �• -POI SPA �'- - - i "' Date l nspegt F -. >- `_"APPROVALS Permit;#' - i ---APPROVALS c= `Permit.#, .I C4 Ur Temporary Electrical Service or Pole ' °• �R•� ?52.� Pool & Equipment Loc11 1ation-, Soil Pipe-Undrgrnd Steel Reinforcement t- I_ + , r� .53;' - - 3� Electrical Conduit Ut'ilitJ-Undrgrnd: ' 7r 4' r ' "�_ .: 54 Forms ` 4: Electrical Conduit-Undrgrnd - I ' _ '.:� c_ 55:- Electrical -Bonding l mG J J -, 5c Steel Reinforcement I .; n c ,; - ; -- 1'56., Rough Plumbing'& Pfess6re-Test ' ?-= •. G' �Electjical LIFER Grnd.1 '. '�.- '~ 57: APPROVAL TO COVER-GUNITE ' r 7. Footings I., •, ,� - :5 `58.> ElectricahConduit-Undrornd. i'� B. Foundation _ '� x',59. Gas•Pipe,_O:Undrgrnd:,Test:`, •_ _ 9. Water, .Pipe-Undrgrnd.- _ - •':60. Backwash'Lines,.P-Trap, ❑Undrgrnd. - 10. Structural FloorSystein + - �.A. '" i.61. APPIROVALTO.DECK' -_ - 11. Property. Sewed Line & House Conne"coon c a i 's 62. Backwash Receptor -Fina!- . ' - ° .& 12. Sewer Ca P + .i - ''•- 63. Heater & Vent -Final 13. Roof;Drains '64. Plumbing,System- Final' - - rt 14. Rough Plumbing' !'65. Electrical -Final 15. Rough Electrical=Conduit"_I"'•" I"' ' i . ', ' '65, Solar System -Final P 16.1'Rough-Electric Wiring i C '? ! ' - q -_ -'+� "'? -'.67. Fencing & Access.APProval !: y77.'Rough WiringSign" +68: APPROVED FOR PLASTERING r Ceilingi18."Rogh:E!etrical;T'Bani .I MS FINAL I .. _ 19. Rough•Heating & kir'Cohditioning FIRE DEPT. REQUIREMENT. APPROVALS Permit # 20.'.Rnou hsFactory Fire lace I, Ducts; in Structure I I 1 170 Underground Hydro ! r 22. budts, Ventila't'ing .` ! ;71.1 Product Piping O Gas ❑ Oil ,T23. Gas Pipe -Rough & Test j1 72: Underground Flush `24. Roof Framing' 73! Undergrnd. Storage Tank ❑Gas ❑Oil I 25. rRoof Sheathing i � 1 I.: '. - ! ' I,�,' �. ' � I � ;7q: Overhead Hydro 1 .� , '-26.'T-Bar Ceiling (Structural).& Monocoat •- '' '75! Dry Chemical - - 27. ,Frame and Flashing; , I i76: Dry Standpipe 28. !Lathing & Sidingl ^ ;771 FIXED SYSTEM FINAL 29.,I-nsulation � -. � I 1 I I 1 h8. FIRE PREV. FINAL - 30. (,Drywall Nailing(Notes: I ' 31. Plaster Brown Coat' - 1 32. Electrical Power Meter -Final - .i 33. Final Electric 8-1 7-fi 34. Final Heating '.&, Aii Conditioning , ,LRI , , _ _I • 35. Final Gas Pipe -.Test ,. i .'! '.! J i " ' I • I . ._ I - _. _ _ 36. Hood or CanoPY . -• I I I 1 I I ` _ 37. Final Factory Fireplace•! I' -3+ 38. Fina! Plumbing 1 39. Water;Service-Final 40. Gas Service -Final , 41. Solar Domestic -Final 42. Backflow Pmventei 43. Backflow Irrigation ; - I ° = •+ ,. l - i 44. Landscape I�rigatiori System) 45. Sound -Atten' i "rid 46. Handicap Regulatilinsl 47. FINA+L STRUCTURE+&BUILDING'' 48. Special Requirements Completed Electric Releasetol o Edison49. I + II I 1 (_ 50. Gas Release .to Southern California Gas Cb 51. CERTIFICATE OF OCCUPANCY „ No t! Date 1 _i I I { I� µJ Ha Apply IIE}+q{I CITY TY aF COWA MEbA CONSTRUCTION PERMIT border lines a no sign all approwlate duc laq tip nl TRACT NO. LOT NO. BLDG. �h�'iD PM 81-380 11 :3 3L l TYPE OF CONSTRUCTION IkNEW ❑ ADD ❑ ALTERATION REPAIR D CONVERSION (]DEMOLISH ❑ OTHER DESCRIPTION OF WORK 1 Penally liars`(§500). - .: a Ik, and theSt ructure is net ias- te their Bushels end RDIOMIOne Code: The Ind wino does such woork himself ov IWC w that Such mwm Improvements are not p building o.jmpma n the owner will neve me burden Improve I r.tne purpose Of Ole). fie e:ae`ciu`fsKil ra°ioa`dating . Business :tor'. LIC net He does net apply t0 or Improves . and who Pon. contractor(s)rublonllmsneb pursuant to B. B P. C. 10, this eemn Dale _ -CMF 0763 I•/18/E2 483.63 TI / PKG. SPACE REO. r]92 PROVIDED C70 I ELECTRICAL PLAN CHECK SO -FT. SS FT GENERATOR 01 KW_ 1-l0 KW_ TRANSFORMER APPLIANCE 3050 KW�50+KW� MOTORS 0-1 HP—I-10 HP (INC. SOI -AR) 1040 HP 50+HP_ ISSUEFEE - "'-' ` """ Months W 388 bbintexeiv Pazk I1Ship Oe PtNMIT •\ ❑GRADING [FOUNDATION XSYRUCTURAL LIENSED CONTRACTOR DECLARATION mhereby affirm that 1 am licensed under proNnpns of Charter 9 (Cpm- e inq with section ]000) of Division 3 f Be Business and ROYWSQns code, and my Hansa Is In full form and affect. UCOVSO Clow A ua.nve No. 86393 MECHANICAL PLAIN CHECK O TENANT 0 ELECTRICAL OPLUMBING OMECHANII O OTHER PROJECT DESCRIPTION - Cale Signature ISUMMARY S(. FT. rd>7q ,000 '0-1f)(0,000 WORKERS' COMPENSATION DECLARATION OCCUPANCY...B.,'a CONSTRUCTION TYPE V Zl cerereby affirm a of fill 61�2ONE HEATING -SYSTEM BTU ANOOUCTING�_, tificate of Workers'rave Compensationase er insurance. onsent r aa` milled copy VALUATION i thereof (Session 3800, lab. C.). GRADING CU, YDS. ACRES .4 00,000+BTU— p-licY NO. L1DDl RC4Ofi9 COmpanY�� _ If erNlled WRY is hereby furnished. JeHlfied COPY IS filed with the City Building Division. 'REMARKS: ko. IIIO 15,54 3 % P23 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION jTld::anon need not be completed B the Permit B for One hunprw. f$1 or len. 1 tflY trdt in the Performance of the work for wMcl: ells permit is issued I sthel not Workers ompeni rsonion Ln any Turner so Californiato become SURIPOats _. 15 _ PLUMBING � PLANCHECK BATHTUBS SHOWERS PLUMBING Signature NOTICE: If after making this declaration, you Should become subject to the WOfkere- Compensation provisions 01 the Labor Code, you must Comply with such proNHOthis so mit shall be rked. M W rimmed TOILETS URINALS _ LAVATORIES DOUBLE LAYS 1 edu keo, KIT. SINKS DISHWASHERS CONSTRUCTION N LENDING AGENCY 100.WO+BTU fermande affirm work `fort whicchhnthin Permit sl issued (Section 309] Civ. L). N211S P Bank an Lders Name SERVICE SINKS SUMPS FLOOR SINKS FLOORDRAINS Hando i Andrew 660 NcwDOr+ .aD a r, Newl DRINKING FOUNTAINS 1 Penally liars`(§500). - .: a Ik, and theSt ructure is net ias- te their Bushels end RDIOMIOne Code: The Ind wino does such woork himself ov IWC w that Such mwm Improvements are not p building o.jmpma n the owner will neve me burden Improve I r.tne purpose Of Ole). fie e:ae`ciu`fsKil ra°ioa`dating . Business :tor'. LIC net He does net apply t0 or Improves . and who Pon. contractor(s)rublonllmsneb pursuant to B. B P. C. 10, this eemn Dale _ -CMF 0763 I•/18/E2 483.63 TI / PKG. SPACE REO. r]92 PROVIDED C70 I ELECTRICAL PLAN CHECK SO -FT. SS FT GENERATOR 01 KW_ 1-l0 KW_ TRANSFORMER APPLIANCE 3050 KW�50+KW� MOTORS 0-1 HP—I-10 HP (INC. SOI -AR) 1040 HP 50+HP_ ISSUEFEE APPLICATION APPROVED BY IJAADATE MECHANICAL PLAIN CHECK ISUMMARY OF FEES. ,000 '0-1f)(0,000 NG �75� � 8a 1 HEATING -SYSTEM BTU ANOOUCTING�_, PERMI PERMT i Shinji, b .4 00,000+BTU— PLAIN CHECK If PERMIT ISSUANCE E REFRIGERATION 0100,000 BTU - PLUMBING E SYSTEM GRADING $ 100.WO+BTU fy PLANCHECK § BOILERS BTU ELECTRICAL E i MICROFILMS SYSTEM REPAIR, ALTERATION PLAIN CHECK E TOTAL FEE§ EXHAUST SYSTEM MULTIPLE MECHANICAL E LESS AD - PLAIN CHECK E VANCEPC E_ FINAL FEE SJR 3 - ISSVEFEE W CONSTRUCTION AND PLANNING- APPROVALS Permit # -a J:� '- Date Inspector POOL & SPA - APPROVALS Permit # C `-- . - Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - _2. Soil Pipe -Un rgrn 44. Steel Reinforcement 3. lectrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce o Q - o_ - 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7, Footings .SSR A -:t3-72, 49. Electrical Conduit-Undr rn 8. Foundation .Sale fto 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap,❑ UndrQrn 10. Structural Floor System sG �: 2 - 2+ 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, Plumbona System - Final 14. Rough Electric -Conduit '56. Electrical -Final 15. Rough Electric -Wiring 57, Solar System -Final 16. Rough Heating & Air Conditioning bd. Fencing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL - 19. Gas Pipe -Rough & Test 20. Roof Framing 21. Roof Sheathing -(0_$'7. NOTES: Ws „, e 0,CAIQ 22. Frame and Flashing .1 G_�_ p,, 23. Insulation - QS d-esr' " /-/ *7-- g 24. Lathing & Siding 6 - - fie. wee �a a C S 25. Drywall Nailing _� _ QM 26. Plaster Brown Coat 27. Electrical Power Meter -Final / p 28. Final Electric _ y 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test 31. Final Plumbing 32. Water Service -Final 33. Gas Service -Final c5-.16- 1 34. Solar Domestic -Final 35. Landscape S rinklin System 6- - o'L 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING (o_ 39. Special Requirements Completed / -83 Ce5- 40. Electric Release to Edison ' 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No. D0O/�i� Date / • G City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. 0001kk P. O. Box 1200 Costa Mesa, California The Building located at 3505 Cadillac Avenue #J-5 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto .tor a Group --P=2 Occupancy. Use of Building Office Legal Description 139-651-13 15 28 (See reverse side for Metes and Bounds) Building Permit No B-2272 Electrical Permit No. E-2639 Plumbing Permit No. P-2383 Mechanical Permit No. M-3756 Number of apartments - —0— and/or guest rooms —0— ISSUED TO: Building Official Cantthridge Park Partners -�1 �/ y by Yi /lam / :�Gi�� 1301 Dove St. $760, Newport Beach, CA Date %3' ere2 tcY This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the Citv of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File • Applicant to fill In all spates Within heavy borderlines and sign all a ppowrlate declarations. G "CITY bF CGSTA MESA PERM NO. C TRACT NO. LOT NO, BLDG. NO. CONSTRUCTION PERMIT be -A43 ,/ J -N 5 .E _ From Adtlress /fLJJ �. .J UNJr .'JS LG C ✓ TYPE OF CONSTRUCTION ❑PDD ❑ALTERATION Owner - PM1ppC 6V N - IgNEW ULGOII J1 11/82 B4e I2 Addraa' / DQ(YIC u� 60 /V L`IREPAIR OCONVERSION EDEMOLISN ❑ OTHER ZONING REGULATIONS J ArCM1/Eng. /J(r License NO. DESCRIPTION OF WORK A p Addrtle q _ A_ Al 5!_ ZONE PLNG. REF,g Contractor / [[400 L'� PM1dnej'z/-SSD' TYPE OF PERMIT ❑OflAO1NG ❑ FOUNDATION C) STRUCTURAL ❑ TENANT .ELECTRICAL OPLUMBING [IMECHANIC SET y App 5 p A KU MRT TO gl�1 LNG vROPERTV LINE Address 'Z F_ 6f. I &A (!/OS LICENSED CONTRACTOR DECLARATION I hereby that 1 am licensed under Charter 9 affirm provisions of (COM. ening with section 90001 of Division 3 OI the Business and L1OTHER Nofeulom Lurie, and y license Is In full force effect- REAR YARD (TO P/Id 3 L9S� PROJECT DESCRIPTION Llcenu Lau •� ucenN Na, 50 OCCUPANCY—CONSTRUCTIONTYPE PNG. SPACE REO. STREET WIDTH PROVIDED PARK FEE S 9T T PL—ee rite e/ Data T % WOrebyaf COMPENSATION OECLARr T{o�sen I how{ as ALUATION ZONE VALUATION—ZONE— TONING APPROVED BY DATE Insurances, or certified certificatee of Workers- Compensation) Inst or certified copy GRADI NG CU. YOS. ACRES SPECIAL CONDITIONS: thereof(Sectin 3800, U2b. C.l. thereof /9•DOP : d�'�6KOJYY 7NQ t n KKOrtiNOd COPY Is n0100Y furnished. 'L pEMARKSe - = Z •J Cal IRS city Division. OrtifledCali MOCit RK PENSg Ek EMPT10N FROM WORKERS' COMPENSATION DECLARATION EXEMPTION suction red not be completed It the permit U for one hundred �This Eu00J Or less In that the mannelrl issued. I not any possm in any so aslto become PLUMBING PLAN CHECK "ELECTRICAL PLAN CHECK subject to the Workers' Compensation Laws Of California. BATHTUBS SHOWERS Date Signal YrO NOTICE: If after mind this declaration, OF Should become Subject TOILETS URINALS GENERATOR 0.1 Kyl 1.10 KIN e Workers'Compensation onovlilons Of the IAOor Code. you must ocomply TRANSFORMER to witsuch provisions or this Permit Shall be deemed forthwith LAVATORIES DOUBLE LAVS APPLIANCE 10A0 KW -50 i KIN mWketl. KIT. SINKS DISHWASHERS MOTORS 0-1 HP_1.10 HP CONSTRUCTION LENDING AGENCY nakedlys lending dgdnVor the Mr- ofthehwork SERVICE SINKS SUMPS (INC. SOLARI 10.50 HP $OTHP MShn this[son fo mdince forwhich permll Is issued((Section 3097 FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS WITCHES /6 •t Lender''s Name : LinberY Address DRINKING FOUNTAINS GAS TUBE SIGNS " OWNER II hereby affirm DECLARATION byiatDannopG fam Lha Contractor's License Lawlor INTERCEPTORS CLARIFIERS POLE LIGHTS SWIMMING POOL PTRAP the fallowing m (Section 7031.5 Business and Conscious Code; Any city o my which requires a permit tO construct, alter, POLES METERED SVB LATER SERVICE ALTERATION ( PANELS MAIN sue Inn Vmw demolish or repair any structure. prior IO tS'usuance. also m- )Lew GASSERVICE OUTLETS SERVICE AMP /� It licensee odnuant to theeproisions of the Contrraacttoi s uulnie IOansaMer 9 (commencing with Section 70001 of Division 3 of the WATER HEATERS OTU OVTPUT Wis and exemption..that he 0m and the 99'sisn V for the alleged Ally Wolallon Section7031.5 by SEWER CONNECTIONS f Z Amore [ for a the 00j�ten1 to a avis penally not than fivehundredbdollars IE5ects - SOLAR TANK COLLECTORSsole -- J h as owner of the property. Or my employees with wages as Ihelr r nThe oroflered bIDLW I<.1protioo 7044 Businessnand Professions Code SOLAR PIPING SYS. ISSUE FEE - Conlractor% License Law does not apply to an own of a propedy- uildS or Improves tnW eeon, and who odes Cn work himself or ISSUE FEE APPLICATION APPROVED BY DATE thIrough his own employees. provided that such improvements are not MECHANICAL PLAN CHECK - SUMMARY OF FEES intended or offered for Salo. N, nowaver, the building or Improvement B $010 within one year of Completion. the Owner Will haw the burden I ving he did of build r improve for the purpose Of Cost. BUILDING - ❑ I, i of Ino properly, d %tlYilvely wnlac[In9 With Pollinators HEATING SYSTEM 0-IOO.000 BTU AND OVCTING PERMIT E SMIP It licensed to construct the inject Section 7044, Business ( ]00.0004BTU IpIJIry CHECK $ and ns The Contractor Larose law does to IPERMIT ISSUANCE 3 SSUANCE and[ who Son- owner of propertyullicsfI pert: hl oto nth oa or itraclor REFRIGERATION 0-le0,o0o BTU PLUMBING S tan racts From Such such te_n ( S1l leennedd pursuant SYSTEM GRADING E Lha. order 100.000+BTU PLAN CHECK E SLaw), am exempt ❑lam exempt antler 5etllOn B.6 P. C. for lNi BOILERS BTU ELECTRICAL E a`k/2 E rear SYSTEM REPAIR, R, ALTERATION _ _ PLAN CHECK E MICROFILM E' TOTAL FEE E. Dalen" Owner MECHANICAL E 1herebygrtlfy thAt agre this applicationandRate that Ineaboveounty EXHAUST SYSTEM MULTIPLE LESS AD - correct. Is carr 1. gree n hely ILO all hely and COUOIY PLAN LHECK S EP VANCE PC $- Ordinances and slats laws relating t Ordinances Construction, t — tOnobovebymntioned r roreamauvOs Of Ina div to enter me above Honed o propmty for tion apo t\ ' Signature 16 Zw/SOL FINAL FEE E Drivers' License or ISSUE FEE - CMF 086E-16 White-Building;Canary-APPllcanC Nnk-Arcounling: Goldenrod Pentagon CONSTRUCTION AND PLANNING •- T • - APPROVALS - Permit # �-'Z Date Inspector POOL & SPA - '' APPROVALS Permit # - Date Inspector 1, Temporary Electrical Service or Pole 43. Pool & Equipment Location - - - - 2. SoilPipe-Undrgrn � I 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. _ Electrical Conduit-Undrgrn 46. Electrical Bonding5. Steel em orce 47. Rough Plumbirig & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn " 8. Foundation -_ 50.. Gas Pipe, ❑ Undr in, Test 9. _Water Pipe-Undrgrn , 51. Backwash Lines P-Trap.-Elndr rn 1 10. Structural Floor System 52. APPROVAL TO DECK -- - . - - - 11. Property Sewer Line & House Connectiori 53. Backwash & Receptor -Final - 12. Street Sewer Connection "' _ 54. Heater & Vent -Final - - 13. Rough Plumbing = _ystem-Final 14. Rough Electric -Conduit -- - 56. Electrical -Final 15. Rough Electric -Wiring - - ---- .57. Solar System -Final - 16. Rough Heating &-Air Conditioning-- _ _ - encing &Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 1B. 19. 20:. Ducts, Ventilating. - _ Gas Pipe -Rough & Test Roof Framing - 60. I POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing- - 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 Co.nditioning- - - - 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 M an Spaces Within nearly border lines and 00 all appropriate demeramm. '.CITY OF COSTA MEGA P�+M/,T ND ' S �J TRACT NO. Ir LOT NO. BLDF� N9, - CONSTRUCTION PERMIT Y d.3 J- TYPE OF CONSTRUCTION NEW ❑ ADD ❑ ALTERATION REPAIR QCONVERSIDN DEMOLISH DZZ%Y� ' :L�s.\. 0979 1/20182 ZONING REGULATIONS 24.00 Plojecl Atltlrme Gwn Phone Address - - 'Arclf Lienee No. OTHER DESCRIPTION OF WORK q'P' if 'Atl - ZONE TYPE OF PERMIT' -BUILDING L 13 GRADING ❑ FOUNDATION -Q STRUCTURAL - SIDE YARD' ❑TENANT O ELECTRICA,Y �j�jLVMBING OMECHANIO 1] - PNG. REF. So L pSo OPERTY LINE - f - Contlreu P - -AEdr- Q 3 9=faj2z�- - - - _ LICENrSE D CONTRACTS MECLARATION headed 9 1 hereby I lost am under Provisions Of Charter alit COM (- I 1 IG n a e mencling with section 70°01 I Divisio3 O/ the BUOnaO ID' OTHER Nme Is In lull for a o I °fsl°F C° ynY °� REgR YARD ITS P/LI - - -Rs /I 'YRD.IECT OESCRIVTION-- //J Llronu la las N � OCCVPANCVCONSTfl VCTIDN TYPE PKG. SPACE REO. STREETWIDTH PROVIDED, PAgK FEES Ps I WORKERS' COMPENSATION � hawaceDECLARATION rOHby attire that I haw a to radiation r r sV.yLUATION ZONE _ ZONING APPROVED ING BY - DATE Compensation °/ WarkaY'COmpeOsatl°n In anus or urllllae"[°p certificate I Fu anal GRADING CU. UOS. ACRES 'SFECIgL CONDITIONS: tnemel (Stride Lab. C.]. Cr n -'IW NO.Compi-Y - NfIM SPY is MrebYthrnlzM1etl.. �. ftslgt� -- REMARKS:" -'- - ' .ertiflerl Build Wwird RS"C EXEMPTION FROM WORKERS"COMPENSATION DECLARATION (TMs Section need -not be completed ll [M1e Remelt Is for one M1Yn(Ire° Lss. - fu°a1 Cer11ryl5Mt rl0rmana of Ire Werk far which NOR Permit Is nor employ em luwe,lnall 1 yany person y eroas to�be[ome Pcomaemadon fin any PLUMBING - 'PIAN CHECK 'ELECTRICAL- PLANCHECK -- . bion te.me Workers ON Ifernia. ' _ _ B Turas --' - seraweas — - - -- Dole Signal signature NOTICE: II after making [els declaration. Yo should "Come zabiOCt -0IL F URINALS -GENERATOR 0.1 KW_ 1.10 KW m to the Worker( C°mpl:nsatbn provisions or the Lab r C°da. You ust' - TRANSFORMER - forthwith comely with Sucn provisions or this Permit shall be doomed VATS 5 DOUBLE LAVS - APPLIANCE 10-50 Heil +KW evokes. Q KIT:SIN -- DISHWASHERS i MOTORS OQ HPy]-IO HP- _ _ CONSTRUCTION LENDING AGENCY - Ihereby affirm that there lsaconstruction len°ingagen[y for the per- IOrmanor Of the Work for Which inl5 Permit IS Issued (Saetten 3097 SERVICE SI NKOJ SUMPS"' ---DNC.5OLAR), 10-50 NV 50J HE - - - - FLOOR OINKS FC60R DRAINS - 'FIXTURES OUTLETS SWITCHES - Lender's Nd Lender's mB_ _ _ _ Lenders 'ORINKINGFOVNTAINS�Y" "� � �- - �GA$TUBE-SIGN$ BUILD OWNER BUILDER DECLARATION 1 hirethateaso am.Nerd law forCUNINI Continess and INTERCEPTORS -- -CLARIFIERS'- -"'- - 'POLECIG1iT5' - --- SW IMMING POOC -- "PTRAP - '� - - - - - e for wing -reason 7 31.5i a Pr fessio Professions COD', requires a Res iantl coy or county which a permit °Retreat Ser, Any city 'POLES METERED SUE- WATER SERVICE' ALTERATION-" PANELS 'MAIN SVB Imp Mira yStrees 11sl5suanCtthat he quires ID¢ ahurmm�t for such perms l° Ill. a signed stalem¢nl fie quirese.,DapTica10raeeucany5[ to file a sign Gg55ERVICE - - OUTLETS "- - SERVICE -- - - AMP -- - iso 4uw (Chanter (Commeint a Unwise -°lino-C°Rha tor'sDivision ng with St IChaptor 9 (Commencing Ile rthion ]000) of 3 0/ the o WATER HEATERS' BTU OUTPUT - - -- -- 6In¢ss-atntl'Prdm@"mode) or therefrom the B Mr he allpilon. Any violation °I Section "no tion-\na[M1eation of Section 7031. by ]l SEWER FSIBWEGTIDRS" - - - - -- - - - a -C Pen ,?apPl oonl fora grmB sublOclz \M1e'aa°Ilpm t0 O-clvll penalty .; of m m roan doe hundred deur! ($500). SOLAR TANK - -COLLECT RSa l �- - - ,-".j - - - ------ - - _ - - ofthe prolierty, or my emliloyeus with wages as their sole.compensstion, will.do the work. and \M1e structure Is not Intoned _- Code: The oroffered for File. (Sefllen]044, DUsnms-and Ror1ms10ner - SOLAR PIPING SYS:-' -: -ISSUE FEE -- - - om who cl 1°s or improver thereon, and Whotdeal Such work hinme°ellror ISSUE FEE - APPLICATION APPROVED - BY -. DATE _ through ms own ormil°veres, provided that sum Improvements aro no\ _ MECHANICAL PLAN CHECK " r - "' SUMMARY OF FEES Intended or offered For sale. U, nowevar, me building or Improvement' B fold within ane year of c pletion, the owner will paid toom� en I DrOVIeg be did t bUlld ImpiOve fat the purpose I le).' - - ( '- "BUILDING- , QYp as'owner -of the am-exclu¢Ively contracting with. HEATINGSVSTEM 0�100.000DTV s- �100,CUC. (PERMIT IN -� •' SMIP f. nrOpVty, Ilunsed contractors to cosbut theproject (Section 7044 Busness ANDDUCTINC BTO tPLAN CHECK E PERMIT+ _•__ and Pr fferamns-Cif The Cont [ b e Law pope not apply to- .. y _ ISSUANCE. $ �F p thereon d who con An owner of property Who bY1M ¢ 'tM1 REFRIGERATION -100.000 BTU 0 'PLUMBING $ (- s tracts from Such �pralects a cord ct (s) Ilcefned pursuant to SYSTEM - - - _ GRADINGS$ the Contractor's Unit Law). 100,00(1+BTU (PLANCHECK It ' O l arMetwout under Sr[tlon D.6 P. CI 1°r thisBOILERS BTV 1 IELECTRICAC i -5 reactor- - SYSTEM REPAIR, ALTERATION --' PLANCHECK $ MICRO FILM _IN .TOTACFEES .Date Dgmer MECHANICAL f hereby certify that ICawused thisepmlonlon and tate thartnthearuwe EXHAUST SYSTEM MULTIPLE LESS AD - Igrace on Is t.'I agrce Ir- mply wlth all itY D ty of 'PLAN CHECK E VgNCEPC f_ Oposannatiy°e°sir •i°Litt°terftraon°the and library DroPorty, ler plies �i FINAL FEE $J'3'Iiz DNwrS're Onrlen' u<enu or ss IF ISSUE FEE as CMF 066546 While -Building; pmry-AppliunU Rnk-AcG upting: GOMenrod-ASMSSOr CONSTRUCTION AND PLANNING APPROVALS Permit # ij ', i1 Date Inspector POOL &SPA APPROVALS Permit 4# Date - Inspector 1, Temporary Electrical Service or Pole 1 - 43. Pool & Equipment Location - - - -- - -- 2. Soil Pipe -Un rgrn rye / $ �. 44. Steel Reinforcement - • -- 3. .Electrical Conduit Utility-.Undrgrn 45. Forms - - - 4. -Electrical Conduit-Undrgrn 46. Electrical Bonding - - - - - 5. Steel em orce_47. Rough Plumbing& Pressure Test= '- _ 6.- -Electrical UF ER Grn 48. APPROVAL TO COVER-GUNITE- - -- -- -- - - .7. Footings- 49. Electrical Conduit-Undr rn - - 8. -Foundation- - - - 50. Gas Pipe,.[1,Undr m: -Test ••�'•' '� - 9.- Water Pipe-Undrgrn. 51. Backwash Lines P -Tr - -E3 Undfrien - - - - - - - - 10. Structural Floor System 52. APPROVAL TO DECK -- _11, Property Sewer Line & House Connection 53. Backwash & Rece tor -Final - 12. Street Sewer Connection, - 54. Heater & Vent -Final 1.3. . Rough. Plumbing _ _ _ gy -" -' ' ^ '-•• 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 APPROVED FOR PLASTERING '- 1&. 19. 20. Ducts, Ventilating Gas Pipe --Rough & Test -Roof Framing t - -_+ _ 60.. PO.OLLSE&S_YSTEMS FINAL' 21. - 22. Roof Sheathing- Frame and Flashing - - - - •• NOTES: 23t 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 ' 311 Final Plumbing 32. Water Service -Final - - • .l? -/f •8z ' .33. Gas Service -Final - - 34. Solar Domestic -Final - 35. Landscape Sprinkling System 36. Sound Attenuation - 37. Handicap Regulations - - t -- 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 - - 41 APOINUIM to fill In all Spaces within heavy borderIreland sign all appropriate obliterations. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLOO.yy , _- ;CONSTRUCTION PERMIT' M — 3'7 S - T— M "' 6/01/B2 Project Address 350$ Cadillac Avenue TYPE OF CONSTRUCTION . �'IJEW ❑ ADO ❑ ALTERATION tl _r . - - 11(.00 - IUdmer Phone ,Addrev OREPAIR- OCONVERSION ODEMOLISH ❑ OTHER 9 ZONING REGULATIONS S ArchlEng. Licence No. DESCRIPTION OF WORK _ A.p. ge - ' Atld1¢sz ZONE PLNG.REF.gE Contractor Thnxtrualatir. 'I1C.- - PM1une 2$3-95$ TYPE OF - -BUILDING PERMIT. -- T qt ❑ GRADING ,.O FOUNDATION ❑STRUCTURAL 51 YARD' - -O TENANT -L:) ELECTRICALS EIPLUMBINGXXIVOCHAHICAL 1. RD'A'PJ'LRNE -- -- - Address. "- - LICENSED CONTRACTOR DECLgRgT10N. 1 hereby affirm thO 1 am Ilynre0 der pmVlzlonz of Charter %(Cum- ., _ T mancing- tion 7000) of !Division 3 f the Business o ❑OTHER Pmlesslons Cotle, and my I arta Is In tuft ler Nano e(le[L REAR YARD (TO P)L) - -_ .• I A' PROJECT DESCRIPTION ucense'Class IY% No - -- -- I PKOCSPACE RED. - -STREET "PROVIDED " -PARKFEE3 Data -- S'�20/R2 Signature 1 �. / �1 �{5O_FT: WIDTH WORKERS' COMPENSATION DECLARATION __ I-�CCCUOANCV"_IA CONSTRUCTION TYPE - ' -'- - at I have a Nifiente of Consent to pelt aging ora 1 hereby affix Mp 'VALUATION ZONE E %Y ZONING APPROVED BY— ,'"f DATE - , Rlflrats of Workers' Compenutlorrinsufanm, Or-nrllflW py . _- . _ I -- - -- - thereof (Section 3900, Lan. C). GRADING'COS. ACRES U. SPECT UCO NOITIONSf "fCYNa.190R77A06t16-Company FrPMMt TndP-Ifr511tV �'_'•' artiffed COPY IS hereby furnished. _,REMARKS: " n 'ertifiedCOPY Is IOnd with the city Burkina Division. _ _ _ _ ___ __ _ �XEMPTION FROM WORKERS' COMPENSATION DECLARATION T- jThISectlo eed nal be wmisleted I1 the Permit Is for One hundred ss J fCeNIfY shat InoheNormancppyy..000efo[he work for which Iti S p rm t Inued I shall S t employ any n In any be 6 PLUMBING - '.:PLAN CHECK l- - '�ELECTRILAL -' PLAN CHECK unPtt trarV ormpen tin Law Sd C I to late Oete A�.Q�R2 Signature BATHTUBS SHOWER$- NOTICE: f after making Its z O me suONct ' TOILETS-_ _ •URINg15 - - GENERATOR 0-1 KW'- 1.10'KW to the workers. Com pemotion D 11 Yine labor CORI mule TRANSFORMER forthwith Comply M such provisions or this permit shall be deemed LAVATORIES DOUBLE -LAVs - APPLIANCE 10.50 Nal50♦ KW CONSTRUCTION LENDING AGENCY - KIT:SINKS- - - -DISHWASHERS ' - - MOTORS -- 0+1'HP_ 1-lO H - - - Ihereby affirm that there Is construction lending agency for the pen SERVICE SINKS�n n•SUMPS`w _� IINC.SDLAR)� 1pdOHP�50-+HP-� r - lOrrrence of the work for which this permit Is Issued (Section 3097 FLOOR SINKS ---FLOOR-DRAINS- -(-'- (FIXTURES -OUTLETS- SWITCHES^-•-' -- Lan_dar_'s Name sander's Address DRINKING FOUNTAINS Tom" �GA$TUBE SIGNS - - - - OWNER'BUILOERDECLARATION INTERCEPTORS CLARIFIERS --"tPDLELIGHTS-' - -- --- -- 1_ �• I affirmthatam eaempf from the Contractor's LlCemo love for �'-- -. '"'ALTERA - ' P E METERED _ - _ - SUB- e fol n 7 P Any leveln9 -Moss I B and %OfR ruct. Cede: whit quire a patron to mumbo[;• Ilea Any county which per WATER SERVICE I WpTE0. SERVICE ALTERATION' -- PANELS MAIN SUB ' ae, rs any Im roue Oemol6n or r auto Pe structure. a Signe Its Itement.that re- BUPes (IIB for tech perm;; t0 filer RgnM flabmenl that he pormont Lim 4w Is IICOns¢0 plcomnYnchne GASSERVICE - OUTLETS SERVICE- - —- - - -PMP - with factlan 70 0) of Davis 3 0l the o (B (comment q with r t"t-n 70001 of therefrom Ibe- B' andCOtlej Heron [MY he (!ion Raalleg pier - -BTU dloot Sec 70315 by Ism e vrmitSub Any allpli of 70!1. . WATER HEATERS OUTPUT- -. :..: - .. .. ��" - - '---- -- - - - for a p Permiteubbrn y -to a c he ar loadWl penalty-'SEWER'CONNECTION$ pllranlMore Ol Man llYdollars [5500)!mnl 'SOLAR TANK '— ' COLLECTORS- I, ai owner Of the Property. Or my OMP10yeas wltK wages as their sproeompon5allpq will do the workand the Structure Is not Intended - -' offered for sale. ISeClion 704^• BusiMM and ROfes5iam; Code; The _ _ _ SOLAR PIPING SYS 1 "ISSUE FEEContractor 'I License law does o[ apply w aniowner , I Oelly_ ISSUE FEE - ', APPLICATION -gppCICATION-APPROVED-BV - - - - DATE - ' ho bUlldm Or Immmars thereon. and who does Such work h mself or h hls.own employees• provided that Inch Irn[rovements aro net P?have _ - - - -- - ' IMendedorpffnreour of if. Mowwae. the build n or Improvement sold n one your me owner wi to, burden MECHANICAL PLAN CHECK SUMMARY OF FEES. n t 1 prWlnp IIB tlltl OI Dues I Improve IOr MB Gur00s0 Of Wlel. O Proving Improve rIBUItUQNG' - C �-- r-. O I as Owner of Ina cIM I, 0-100.000 BTU qNO OIaCTING" - �" �' - 'PERMIT 3 - - - SMIP 3 -- + L (Section 7049• construct ins project (Secti n 7044, Bu IICeO500 CO IIdC1015 IO teOContr Me 100,000 BTU I (PLAN CHECK $ rPERMLT, •( (: 1 ic and Rplerslons•Cptla: The Gpntra[lpr's Limnselaw does no[ apply le apply - - ISSUANCE' !' On owner Of properly who buddy; Orr imprOWS thereon, and Who Pop- REFRIGERATION 0-100.000 BTU 3 IT H tract$ from i th projects with bdClOr151. Ilcasnatl pursuant to. the Contractor% License Lew). SYSTEM --- -- - �- -- 100,000, BTU r � ,PLUMBING o PLHN CNE[K 3 _ q _3"r - 'IT —BOILERS . ❑' l am exmMX under Sztlen- -- ' -- B. 6 P.C. ler this -- - BTU -' -- ELECTRICAL 'St - _ - - 6 - rerso - � - - -- � SYSTEM REPAIR, ALTERATIDN EXHAUST SYSTEM MULTIPLE -;PIAN [HECK Y _ MECHANICAL'3-, "�� "� MICROFILM 3' TOTALFEES LESS AD Oaten Owner I hereby Prtlfytmt l Mare read MIS application and a that the above • Inform IS [O I[[L-99tH t0'COTp1Y Itll all NIY Intl county 'PLAN CHECK 5' - - VANCE'PC- St ortllna c nd zlata Mwsr Ing [o most [clog andh[mbyna u^MOIILB -d ' reO.ese tauw5' of ml{ y b Ke. ne now oohed P mrt ped 16 r - _r _ 5/20/82 Signal / FINAL FEE 5 ort Date - ISSUE FEE - - - _49 Olin- '- Others' License dr S5 S - CMF 086546 White-Building:Unary-Applicant: Pink Accounting; CONSTRUCTION AND PLANNING ' %:-,V '"'-. r�, APPROVALS Permit 4h ':;S - POOL &.SPA ' Date Inspector Date Inspector APPROVALS Permit# 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Un rgrn 44. Steel Reinforcement - - 3. Electrical Conduit Utility-Undrgrn 45. Forms ' 4. Electrical Conduit-Undrgrn 46. Electrical Bonding- 5. Steel ein orce 47. Rough Plumbing & Pressure Test ' 6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE - -- - - 7. Footings . 49. Electrical Conduit-Undr rn 8. Foundation 50.• Gas Pipe, O Undr rn, Test - 9. Water Pipe-Undrgrn 51, Backwash Lines P -Trap, Undrcirn ' 10. Structural Floor System 52. APPROVALTO DECK- 11. .Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. - Street Sewer Connection 54.• Heater & Vent -Final 13. Rough Plumbing - - - 14. Rough Electric -Conduit - -- ' .56.' Electrical -Final 15. Rough Electric -Wiring 57. Solar System -Final 16. Rough Heating & Air Conditioning encing & Access Approval - 17. Ducts in Structure ff. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing - 60. _ _ -• : _ , �. - , POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing- 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 i - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed -- 40. Electric Release to Edison - 41. . Gas Release to Southern California Gas Co. t 42. CERTIFICATE OF OCCUPANCY No Date v —. Or OU / Applicant to 1111 In all spaces Within heavy border linea and sign all a pproprlab decimation, Orris 0a. CITY OF FOSTIikMESA PERMIT NO. TRACT NO. LOT NO. SLOG. NOS 07"J",'�- / d CONSTRUCTION PERMIT N] 1 TYPE OF CONSTRUCTION ' ❑ ryEW NAGS ❑ALTERATION Project Address 3505 W. Cadillac. #J-51 Owna rPM1000 Address 1301 Dbyge. Newport Beach, 92660❑REPAIR ❑CONVERSION ❑DEMOLISH E) OTHER ZONING REGULATIONS pESC RIPTION OF WORK A.P.¢ ZONE PLNG.REF.'- ArchlEng." Licensee NO. Aldress ContractorBlaAKE (]R COM, S $QZ C11bone 630-64 7TYPE OF, PERMIT Q GRADING ❑ FOUNDATION O STRUCTURAL ❑TENANT Q ELECTRICALOPLUMBING ®MECHANICA BUILDING C YARD SIpEY R�'R-MNE Address ft LICeN5EO CONTRACTS -0 CLAR - 1 damages der 1 saraoY affirm H a Ordvlsloans of Charter 9 Ki Ing with section 7TOO)-of Division 3 1 the SuslneSS o OOTHER RIG XT ROlesslans Code, y IICan Is In lull ford I fact. M1{� y 0 Llwns ) C-` license Ny 3 D-1 . PROJECT DESCRIPTION REAR YARD (TO YLI PKG. SPACE REO. PROVIDED �I�30 SG. FT. _/Y%Af Sale gnat s i�� ., STREET WIDTH PARK FEE E WORKERS' COMPENSATION OEC RATION OCCUPANCY—CONSTRUCTION TYPE I hereby SWIM that I haw a certificate of consent to sellansure ora VALUATION ZONE ZONING APPROVED By SATE --1ficate of Workers' Compensation insurance, Or certified copy GRADING CU. YDS. ACRES SPECIAL CONDITIONS: Y N(p. dl g g JBQJI,J,ab. CCornpanY MTE OOMP, INS. .lot IJ Certified COOPYY115Uhherreeby furnished, -- REMARKS: I$Certhoso copy 15 filed with the City Building Division. - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ((This Ian need not be completed 11 the permit Is for one hundred 1 O IEcertl yy Ihel 14theperformance of the work for whichthis permit Is -PLAN Issued. 1 She I t employ any person In any mann IO become PLUMBING - CHECK ELECTRICAL PLAN CHECK subject to the WarkON COmpenLtldn Laws of California. BATHTUBS SHOWERS DWELLING UARIvul, Dale ' clgnalure NOTICE: Il after INMng 1X11 OeCNntlOn, yOV oho 10 StructureWAOCt TOILETS URINALS GENERATOR 0 KW_ 1-10 KW to the Workers' Compensation provisions al the Labor Code, you must TRANSFORMER forthwith comply with such Products Or this permit Shall be deemed LAVATORIES DOUBLELAVS - -APPLIANCE 30-50 KW_50 a KW avoiding. KIT. SINKS DISHWASHERS MOTORS 03 XP�LlO HP-— CONSTRUCTION LENDING AGENCY CONSTRUCTION there Is a Y the co- `SERVICE SINKS SUMPS (IN0.50LARI ZOAO HP 50+HP Of ChnsnNcti mlenidilnuidnj Seftr FLOOR SINKS FLOOR DRAINS - FIXTURES OUTLETS SWITCHES - CIV. C.). LenOer'e Name Lenders Address DRINKING FOUNTAINS - GAS TUBE SIGNS OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS - y arrirm mat 1 am«dmal from the Comractor% License Law for rlollowing SWIMMING POOL' PTRAP the rca3on (Action 7031.5 BUSInez3 and %olesslom Code: Any City OF unmy which reptiles a permit to Construct, alter, POLES METERED WATER SERVICE ALTERATION - PANELS MAIN SUB Ise row demellth Or repair any structure, prior to Its lathered, aim re. ou has cone apalpm for Such Parma t0 file a Signed Statement that he GAS SERVICE OUTLETS SERVICE AMP Is Ilwn3ed pursuant to the prpvlNOm Of the COWNCWVr LlCsno Lou' 9 (COmmenein9 with ctlom 7000) OI Division 3 I the I^'"•cies y ' WATER HEATERS STU OUTPUT ass O Por lona Cayde) or that he l3evempt therefrom and the for the tlari 7031.5 Stot SEWER CONNECTIONS STS, I aon eves Permlit Subjects INSviolationllium civil penalty oappliicantalforeA of not re Iban live hundred dollars (55x0)- SOLAR TANK - COLLECTORS' - - ❑ 1, a5 owner Of me Property. Or my employees with Wages as theh ole compensation, will dO IM work, antl toe structure Is not Intended. _ _ _ - Or offered for ale. (SaMdn 7044, Business and Prafesploons Code: The SOLAR PIPING SYS, ISSUE FEE - - Coundpor's License Ladoes.nol apply to I a Noperty w - who builds or Improves thereon, and wno does Such work himself Or ISSUE FEE APPLICATION APPROVED BY DATE " Inr mg MmmImprovements Own epyeea,. Oave. that Such Imprdments are net. MECHANICAL PLAN CHECK SUMMARY OF SUES ` Intended or offered For sale. N, however, the building d Improvement U.Soldmithin One Year 01 complletion,. the Owner will have the Doreen Of Proving Me die not build or Improve for the purpose of uslei. BUILDING _. ❑ 1, -as Owner '01 IO am RClu$lwly Compensate with HEANGSYSTEM 0-100,000 BTU _PERMIT S GMIP _ S_ `'property. et the project Direction 7044, Business IICIMMWW Contractors to construct 'OND DUCTING 100,000.+BTV 'PLAN CHECK E PERMIT and Pro1R9ons Code: The Contractor% License Law does not sooty m ISSUANCE E an owner OI properly Whobuilds m Impmve3 thereon, antl who Con- REFRIGERATION 0-100,000 BTU PLUMBING E ( 3 v aCiImar such projects lin ontraetOrbi banned pursuant to SYSTEM-- - GRADING 3 the Contractor% License Law). Imotio'+STU PLAN CHECK E O l am exempt under Mellon - B. L P. C. fpr this BOILERS BTU ELECTRICAL b areasos SYSTEM REPAIR, ALTERATION PLAN CHECK E MICROFILM E-�C� FEES V"YV Dater Cwner - MECHANICAL 4 .SO.TOTAL I hereby Cerins that l have read true SpaaTial and State that IDB above EXHAUST SYSTEM MULTIPLE LESS AO. information r correct. gree to ply with all City and c [y _ PLAN CHECK a _ VANCEPC a'_ Ordlbancee and slate (laws relating to Construction and hereby uthnrice - repreeenot City to enter pan the -above Boned fc i Oifp Nan Incidental Pl 1 50 Property ip 5 6 $ j __ Signature FINAL FEE a-0+� t°� Drivers'SS ge -ISSUE FEE - - ' CMF 0865'46 White-Building;Carboy-Applicant:Rnk-ACCOUnIIng: GOMCnrad.Asmaor CONSTRUCTION AND PLANNING - APPROVALS Permit # - Date Inspector POOL & SPA - •• APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - - 2. Soil ipe-Undrgrn - 44. Steel Reinforcement - -- - 3. Electrical Conduit Utility-Undrgrn 45. Forms - 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding - - 5. Steel ein orce 47. Rough Plumbing & Pressure Test- �_ 6. _ Electrical UF_ER_Grn _ _ 48. APPROVAL TO COVER-GUNITE 7. Footings _ 49. Electrical Conduit-Undr rn B. Foundation 50. Gas Pipe, .❑ Undr rn, 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 _ - - - - - - 14. Rough Electric -Conduit ----- - - - 56. Electrical -Final 15. Rough Electric -Wiring - - - - - 57. Solar System -Final 16. Rough Heating & Air Conditioning encing & Access Approval 17.'- Ducts' in Structure 59. APPROVED FOR PLASTERING 18.' 19. .- 20. Ducts; Ventilating Gas Pipe -Rough & Test Roof Framing .. _ - _ 60. - POOL/SPA SYSTEMS FINAL _ 21. 22. Roof .Sheathing '- ---s--- 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 I 30. Final 'Gas Pipe -Test -�3 - 31. Final Plumbing - 32: Water Service, -Final - 33. Gas Service -Final - 1 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 Califoinia Gas Co. - 42. CERTIFICATE OF OCCUPANCY _ No.- Date IL 3505 Cadillac Avenue 'T K1 j _BPM172 A 1 INP ALT $80,000. - sl5� PC 18-85A _ E17J16 _ 14I9C _ E17480 MISC Mj��80 K1&2 ' M17562 WIG SYS - K1&2 CADILIAC AVENUE 3505 Uriit K-1 Lot 12 B-2273- 1/1 y/Yd- Corm. Bldg. 210, 787. Unit K-1 P-2384- S/j[/KY Pte. (B-2273) E-2640- 7/13/&- =. -2273) UnItP-44861- y�,�JJ PLBG. (3-ibof Drains) Bldg. K .-dt' S-�S -w�tisY.§ - �?a��imc��CTrsVk-e^i::.Mw:.a% 'h. (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3505 CADILLAC AV Status: ISSUED Suite: K001 Applied: 12/18/2001 Vicinity: Issued: 12/18/2001 Parcel Number: 13966112 Zoning: Applicant: PIXLEY, ANDREA ISSUED BY: Address: `5002 CADILLAC AV�.-'.Phone'714-641-9002 COSTA MESA; CA 92626 S. Zip: 92626 Owner: MTS HOLDINGS // A Address 3505 CADILLAC K002 Phone: 714-641-9007, ,COSTA MESA, CAi Zip: 92626 Contractor �� //: j � �� V� /. ;• Address:, X� Phone:;-, Zip:, License: = Arch Eng Address:- i ��. ' _ _ Address:- Phone,: ddress-Phone: - Phone: `Zip: / License: - `License: _ SCOPE OF PERMIT - REMOVE INTERIOR NON-BEARING'PARTITION WALLS. ELIMINATE 3 OFFICE SPACES NOT PREVIOUSLY PERMITTED. �FEE SUMMARY Plan Check: MOO ,_��,_ � � Calc Valuation: $2,000.00 Permit: $69.25 Claim Valuation: $2,000.00 SMIP Res: $0.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 \� "Total $69:25 S X -PLANNING&'ZONING Right _ �� 0-0, / Right 0-0 SETBACKS,, MAIN STRUCTURE Front,0=0 - Rear= 0-0 Left 0-0 - r ACCESSORY Front 0-:0' Rear 0-0 Left 0-0 PARKING Existing: 0:Required: 0 / Proposed: 0 NOTES: $ .a Y "' 1'I _' 1>*;t� DATE 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) 7545626 X Right _ �� 0-0, / Right 0-0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 DECLARATIONS WORKERS' COMPENSATION DECLARATION: 1 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and Will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 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' compensatlon Insurance canner and policy number are: w Carrier: 1%Policy Number: (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 Celifortyaand a e that if me subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisi n Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UN FUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000), IN ADDITION TO THE COST OF OOMPENSATIPM, 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. M Class a Contractor's Signature: Data: CONSTRUCTION LENDING AGENCY: ❑ 1 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: 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 (hat he or she is exempt therefrom and the basis for the alleged exemption. Any violation o1 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500).): ❑ 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. ❑ Yes ❑ 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: ❑ 1 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, talsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 6, 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? ❑ 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? ❑ Yes ❑ No (Section 25533 of the Califomia 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 apartment of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ...._...............�....................._.._..................._....d.................................._................................_..__.................... Safe_...................... n fully_..........................................................._...................__............___............._.........- 4 if an RMPP is presently required, has Section 25534 0l the California Health and Safety Code been fully complied with? ❑Yes ❑ No ._._....................._..............o-r-............____.................................__....................work ....................hesubj..........................____..................._......................._............._.................___.......... 5 Does or will the applicant u present or future h District occupant require for the work which Is the subject age c this a plication apermil for such construction or modification from the South Coes) Air Quality Management District or from any other air pollution control district or agency? � Yes LJ No (Section 65850.2 of the California Govemment 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? ❑ Yes ❑ No (if'yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ............................................................................................................................................................................................................................................................................................................................................................................................ 7 Iia 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? ❑ Yes ❑ No ............................................................... ........... .............................................................. .......................................... ..................... ...................................... ............ .................. ................................ ............................... ... ................. I ......................... ... e (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�1.t�3EE'tA7 Signature.tel^ a CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF'ENTRY:,I certify,undej, Ialty;of (perjury tf have ;read this application and state that the Information given is correct. I a ea, to comply with all sidle lawa•end°city ordinances-relaBngto building a�Astr6cbon, and aulh'onze representatives of the City of Costa Mesa to enter upon the abov need perty f' action u sqsjlsqjieI to occupy or allow occupancy aany bbuildinq awthorbred by this permit until final inspection. ° � 1 e Signature tN Legal ! r(s) _ .:.. , - - .T,:r• �$ Date i And/or Authorized Applicant -- `-- - .1 r `•�'" ) Date CODE I. INSPECTIONWPE PAIS INTITA64 CODE r INSPECTION TYPE ?MIF, Ill1TTIA� 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 206 Final Plumbing -. 200 Final Re -Roof 210 Final Electrical 201 Final Block/Retaining Well 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 (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: 3505 CADILLAC AV Suite No K001 Vicinity: FRONT PORTION OF BLDG BEHIND EXISTING OF;7'cG Parcel Nunmber: 13966112 Applicant: PIXLEY, JERRY FEE SUMMARY Address: - - Quantity -' Phone: 714-596-6770 $23.50 Zip: $0.00 0 , $0.00 Busway 1100 it $0.00 0 $0.00 Standing Section $0.00 0 Owner.- MTS HOLDINGS ' ,' Misc Electrical Equipment Address' %3505 CADILLAC AV' $0.00 0 ,STE K002 ; : i.-�i� Phone: . COSTA MESA, CA Zip: 92646 ` .up to 10 kva/kw $0.00 ,, "" 0 , .$0.00.. 0 = .................up to 50 kva/kw . $0.00" ' 0 $8.80' Contractor: ,' OWNER -BUILDER - $0.00" Address: ✓Phone: - - - Zip' - - - License: 0 ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool/Spa, Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to 50hp Motors to 1 00h Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Status: ISSUED Applied: 04/30/2002 Issued: 04/30/2002 ISSUED BY: SCOPE OF PERMIT LEGALIZATION OF AN INTERIOR OFFICE AREA IN AN EXISTING INDUSTRIAL BLDG. BRECEPT . OUTLETS, 4 SWITCHES. - REF: B02-00420 COMMENTS / SPECIAL CONDITIONS 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) 7545626 244&16(6100) FEE SUMMARY Quantity j Quantity $23.50 Temp Dist System / Lighting $0.00 0 , $0.00 Busway 1100 it $0.00 0 $0.00 Standing Section $0.00 0 $0.00 0 ,' Misc Electrical Equipment $0.00 0, $0.00 0 7 Transformers up to 1 kva/kw $0.00 ,0 - $0.00 0' ` .up to 10 kva/kw $0.00 ,, "" 0 , .$0.00.. 0 = .................up to 50 kva/kw . $0.00" ' 0 $8.80' - 8 .................up to 100 kva%kiv - $0.00" 0 �i-$4.40 4 ..................over 100 kva/kw : $0.00: 0 - $0.00 _ .0 Low Voltage Equipment - $0.00 - , 0 �- $0.00, - - 0 Low Volt Wiring System I Ckt $0.00 " 0 $0.00 -0 Misc. Conduit $0.00. 0 - $0.00, 0 Misc. Conductor $0.00 " 0 i $0.00 ,-/ 0 Circus ( gen or ride) $0.00. 0 $0.00 - - ;' 6 - Circus (meth ride or lights) $0.00 < -- 0 --$0.00- 0 Christmas Tree Stand $0.00. ' 0 $0.00 0Fireworks Stand 1, $0.00 0 $0.00 0 _ I v 'Other Electrical Fee/- `$0.00 $0.00 -' 0- . , - - - $0.00 0 _-- - ' Investigatidn'Fee -- $0.00 $0.00 0 Plan Check Fee $0.00 $0.00 0 Reinspection Fee $0.00 $0.00 0 $0.00 0 TOTAL CALCULATED FEES $36.70 $0.00 0 COMMENTS / SPECIAL CONDITIONS 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) 7545626 244&16(6100) WORKERS' COMPENSATION OECLMATON: I hereby of under penalty of perjury one d Ne fdl^wing tletlaredl ❑' [have andwal malnwn B oeNleaseaf fdatanl temll-Inwurefwworners'wmpenmdw. mpmuidM(al by sactlon 3700 etrN lahorCMe, los rM pedamanwdNe worn for whits this Permit b Wuetl. ❑ IMweM osis mvnleln wwkea'carllpereeMnlraurence,m aegWeO bys@cdon 3700tl Ne LaWr Coale, brW peMmanw o(Ne work br wfikh Nb pematbissRnM. MY wM 'oatnpghml Irwrremw Tamer add pmicy nUm Fere: Carrier Policy Nu v.. (Ras seabn need not Ann cwnprebd if me permit Us wised at MS hurtlretl dollars (J10)) wbsa.) ❑ Ice^Iydalinlha @dorman Othe"*Wwhich NIBpom tl lmued,IShellnolamployenypownlnaMmennermesto a wbjedlolhewoAsr- wmpenAwcn laws of CBlfforni anal affair@Mel 111 aMultl become subject to the woMers' wrrgrmed gOVIIIII Of SBHIO^ 3700 d Me LaWr L^tle, I EIWI ImIMAth comply with these proubbp. Applbent SlgnI WAS: WAY'll FAILURE TO SECURE WORIQN4'tl`N. AFN591N]V W/pNOE IS UNIAWFlL.BM $IWC 6U&ER.W EM°LDYFA TOCRIrN.W1 PENaLl1E8 MO WIL F WES W TO CNE HMDMD TICb&UDC EMIMMLIN AWnN WT ECWTRCIXAFNSaiIQ'R, OML4OES AS PTMOEOrLY11NSECIIW Tfe CFT1ElAB[a1CCOE, WTEAESy.ANOATlCRNEVS FEES. LICENSED CONTRACTORS DECIARATION: I hereby eMrm that I Am Ilwwetl under Prowslwa of Chapter 8 (wmmencing with Saf l^n JNO) d Division 3 d the BUsiOSS And Professions Code, and my Ilwnsa Is In lull Raw and @vied. I10. A class p C^nlrecwra Slgnaare: Dere: CONSTRUCTION LENDING AGENCY: ❑ I hereby MNrm that NeroA a coulrunbn lending a6ency(or the padermMce d the work be March thin permit Is lawad.(Sec. 3397, Civil Calle). Lenders Name: Iarldera Addrem: Signature: DOW', OWNEIFBUILDER DECLARATIONS. I hereby affirm that under penalty of perjury Nat I em EXEMPT FROM TIE CONTRACTORS LICENSE LAW be the fdbwlrg reason (Sea ?Mi 5, SusNem end Profemlws CMe: Any dry or couny, which meuirm a Formal 10 CarwlrUCl alma. Improve, Mmdbq Or repair any srrucbre, prow to Ib Issuance, a Requires the appjbant for such pri to XN a signed statement Nal NB For sM Is IlwnOed Wmuan110 NB pa cions At Ne Co nectars umnm Law (Chapler B (wmrrendng wtM Seoul 70W) d DMakn 3 of Ne Budnass and Forms ords Cade) or Inst he or she is exempt therefrom and the basis for the alleged exemptbn. Ary vidaera d SSctbn 7031.5 by May apFliwnt for a wrmil rm-inlays Neapph tmecivilpenalryofnmrrore Nansurehundmdmmrs(5 ).): I, as owner of the Uwwy, or my Amplitudes weal wages AS Law Sala w nmlldn, WILL 00 ME WORK, ern Ne aWcbre b ml Interned or M@red(or date (Sed. 7014, Business ad Pra hods Code: no CMVmtwe ticenae law data res apply to M owner Of WW ray wM builds or fmprowas NareM, and who aloes such water himself or herself Or through her or her own empbyees, provided that each Improvements; are not intended or offered for Sala. ff. Ilmveva, the Wilding or Improvement U add within we year d compleXon, its Owner holder a0 have the burden or pranrg that he or she dal not build or Improve for wgwe At Sad.). ❑ I, as border of Ne propend, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS N cenwucuhe project (Sec. 7044, Business anal Pr eHms Code: The contractors License Law does wt appy to An owner of property who bulltls or hnaoves Marson, and who Ar l5(or inch Project with a contracard) I'e:erae pursuant an Na Conbe m Iiwnm taws.). ❑ lamaxe Pl� ,der`5 Business and Prolaasianafinelw this reflaon: Slgnaare/ �/en — O Owner1l) wd(d by tlmera law ❑ Y. No End try Unarsw N ExdRoa', Sr Vel lion d Ownership by (We d d manU.e.- propertyW bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMD CERTIFICATION: ❑ Thereby Co Nal no axpevation five(5)cur more feel b depth ink, which a Carter Is required to danced, will be made In cadrecrlon with work authorized by this permit, and that no build all anueturs, awdddidg, lalmawd. or damditlon or diemaMing rhered, will M more than dims (M) feet high. (Chep. 32, Grp 2, Ad 2. Sec. 341, Tale 8, California Administrative CArm). ❑ As owner-WlMeq 1 will rwl emplar anywo to alis work winch would require a Dermli Imes Ne Donald of Industrial Seby, As noted @bow, unlem auN pr hes e penmlt to do such work Ira.^ IM dlAson. Sgnedre: Dela: Dlvislon d IMusrW Safety Permit Number. HAZMOOIAS MATERIALS AND EMISSIONS CERTIFICATION: I WIII Ne mplkent or present w future building o col now to fits and camy a Business Plan for em Wcy response to rromse or threatened release of B hRBral werlel2 ❑ Yea ❑ No (^ Ion 25505 d Ne California Health Md Safety WAS Rapuiri what Some RCDP a, Net a Business Plan be tiled with the ('tate Mme Flra Department by every business which hes at any we time during a r dM sear a quantity AS hemndqua malwals equal b w greater Nen a "ght of 800 pounds, or a volume d 55 Majora, ar20D orbic leer olcompres gnat sandartl lma emtumandpremum).____ 2 0. smwill Nee Iw ro tarWlurebuMI ..—•—.•__••—..•—••—••—•••—••• •• pp0mn p regcbb,wth nets 10lilaa .aryallpn legis Tot m0eth^embow Mass ❑Yee NO (Section 25533 d Ne Ce Mandity At am Safety Coda, MN sons aqua 8ms, reeator hen registration with the Cesle Mem Fa olume At Icy each. At 200 whrch A of m Ilene ties M tern a rd le rnis d away pe uto)a meoreb pwPlp w erector Ilan a walMhl d 500 pwMa, w a values@ d 55 geXam, a 200 wdc Icor el CPmDresEM IlaE at amdad Mmparewra ern premum). 3 Dees or will Me ep lldanl or premnloNrure bulM4lM ttGuwnl weE bprePera an RMPP HisF Mane—--------- ❑ Yes ❑ NoP I gement and Formation Program for mptey hauMau matwi (SRe shon 255M Of IM Glifp HWIh and Safety COOe p AA1j that line Cwla Mise Fire Depalmenl may require Ne peperatlon, cenlXMllan and filing cola Na Flre peMtem^I an RMPP by !Amendments;which ate regWmd l^ register curdy auxua a troubled with Ne Flre Depamnenl. 4 It en RMPP AN presentlyr wM Ma Sundon 25534 W Ne Callonnie Health@T�� SalaryWAS o nfully comDl'atlwilh4 ❑Yas -0 Wo 5 Oona he Siff South e t Airr ne ntryproven!Mane Mum building o or lawn a require for iW www whorl d its subject of tda a pllwirca .pe II far mash wnaWafbn w modiecatlon from Sourh Coes lArOWityMMag@ment Deal to r bop MiMwOtmldANaonegeana Yes LJ Na (Sacllon B585e.2 d the CelXomia GOremmem (:wIB requires MarciNt Ne rallaatM vllarmellon be (umiahM w eppllwllwa for nonres Jenliel dnMing pmmRa). 6 W je any ped W Ne faclllry to be wnMruned uMer gib permX De wiNln 10001eer Iran the aver bourdedes d a ecMdi ❑ Yea ❑ No (If'Real Me Iedliry, must most the requirement d SBdUro 25530 and 42303 d Ne California Heats ON Safety CWe). J If a Demul from the South CAmI Air prowry Meneq@mem DiaNd or oda eh Coold S contest Mabe a made? b required for Ne worn which b Ne subtest of Nb erPliwdoe hew all of da d complain from me by Iffienis Health anal Seay Cada 5m11on 41303 been made? ❑ Yes ❑ NO ..5—(It }eE bah nfkele I complaint from de DGeptlale all Pv1Iorlon coed ^Nam .h ................. ......... ....—..._ .—.....--...--..--... C id OF COMPLIANCE: w That under penalty of perjury the Information given shove b correct. agree to campy with all elle laws add Any ontlinenrm RageMinain0 HaHemmow MabMb and Embs'm15. Signature: Was: CERTIFICATE OF COMRIANCE AND AUTIOIit nM OF ENTRY: 1 badly uMer Penalty d perjury Nal I haw read NOS application ON Sala that Ne IMormaliM ywenl Is cormo, f agree b compy wad all este laws ern city wdmr relating to building construction, and mundane napresenaliws of Me City At Costs Mora to enter upon the eMve4emnbedprp MMinspWimpu"es Iagrw nenmwcupyor slow pwlgency of any WiMingautWmd hY INS pertnit and final Inspection. 51 neare gal OFAI Ceb AndjU tAUNa' ret Data MIKE aSRCi MsPATE armnu MMEf MPEG mC g�jE MSM 1616 Funds!Funds!SyaemFl^el Flre PFOMtl 200 Final MwhWddI _ 1269 Penal Sore Final 208 Final Pluming 200 Final Rwi 210 Final Eoarlcsl S l 201 Final BIWWRetaidrg Wall 212 Final Flre Preventim 2D2 Final Factory Fire Place 220 Final Pannirg Amrowl _ 203 Flral Sign 222 Fina Sao _ 204 Fired midw 250 Final BUlldnglOw WW _ (714) 754-5273 • Fax (714) 754-4856 • www.d.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3505 CADILLAC AV Status: ISSUED Suite: K001 Applied: 12/11/2001 Vicinity: UNIT K001 Issued: 12/11/2001 Parcel Number: 13966112 Zoning: Applicant: PIXLEY, ANDREA _ -- -_ . _- - _ ISSUED BY: Address: 3505 CADILLAC AVE UNIT K002/!!�'-- Phone: (714) 641.9007 \ COSTA MESA; CA Zip: 92626 Owner: LESTER :JOSEPH P Address 21841 SEACREST LN 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) 7545626 ,/% i A \ ,r - -. one. _ _ _ ' •� 1 `. ' i iHUNTINGTON BEACH; -CA" Zip: 92646 .. - _ Eng: _ • - Address: - � Contractor: -h _ Address, MAIN STRUCTURE, Front , 'Address: Phone: Right -. � 0- 0 , � / Phone: - - Phone:' Zip: Zip: ' License..=' - - 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) 7545626 PLANNING & ZONING . Arch : _ .. - _ Eng: _ • - Address: - � , -h _ Address, MAIN STRUCTURE, Front , 0-' 0 Rear- 0-0 Phone: Right -. � 0- 0 , � / Phone: - - ACCESSORY Zip: j -�� ��License: Right - 0-0 'License: PARKING Existing: 0"', Required: ' 0 - SCOPE OF PERMIT INSPECTION FOR CERTIFICATE OF -OCCUPANCY FOR NEW TENANT. NO CONSTRUCTION TO BE OONE.� NOTES:" - FEE SUMMARY Plan Check:. $0.00 Calc Valuation: ; $0 00 :—� Permits $0.00 --= - Claim Valuation: ,� � ; - ; $0.90' SMIP Res: .. $0.00 , SMIP Com: $0.50 ' Other. $0.00 Inspection: $0.00 V -Total: $47:00. -� 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) 7545626 PLANNING & ZONING SETBACKS � MAIN STRUCTURE, Front , 0-' 0 Rear- 0-0 Left " 0-0 - Right -. � 0- 0 , � / ACCESSORY Front 0-0 ., Rear._ 0-0 Left 0-0 Right - 0-0 PARKING Existing: 0"', Required: ' 0 Proposed: -0' NOTES:" - 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) 7545626 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. ❑ 1 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: Cartier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars ($100) or 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 subject to the workers' compensation laws of California, and agree that it I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDmON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION a/(la 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. N Class x Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 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: 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. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or dead): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation Two (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? ❑ 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? ❑ Yes ❑ 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 then a weight of S00 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ....................___will.................._._--....._....._......._—....._..............................._.._.....................___........................._..........................................__._._.......___................_.__............_.)-?- ... 3 Does or will the aappplicant 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 are required to register acutely hazardous materials with the Fire Department. ............................................................................................................................................................................................................................................................................................................................................................................................ 4 If an RMPP is presently required, has Section 25534 of the Califomia Health and SafetyCode been fully complied with? ❑ Yes ❑ No ............................................................................................................................................................................................................................................................................................................................................................................................ 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this a plication appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes L_I No (Section 65850.2 of the California Government Cade requires that the requested information be furnished on applications for non- .................... ............ 6 Will any par of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? Cl Yes ❑ No (it "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ............................................................................................................................................................................................................................................................................................................................................................................................ 7 It 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? ❑ Yes ❑ 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 property, for ins �/J�/errp�� a s. I a//gr$$o�not to occupy or allow occupancy of any building authorized by thiss pormlt uglil final inspection. Ignature Of Legal 07 Date And/Or Authorized Applicant Date CODE I. INSPECTIONTYPE gAIE INTmAIB CODE INSPECipNTYPE 2AM INImAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing -. _.200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy M T , Applicant to fill in art spaces within heavy border Remand Sign all appropriate declarations, y? CITY OF COSTA MESAPERMIT NO. TRAJT N Lp O. BLDG. O. PM BS -Nb 'I� 7 - - - -- - CONSTRUCTION PERMIT . yk TYPE OF CONSTRUCTION 21 NEW ❑ ADD ❑ ALTERATION ❑ REPAIR El CONVERSION ❑DEMOLISH L' : ' b784 I/I'8/8P 7$5.26 - " , Project Address 3505 Cadillac Avenue Owner PIxm 752-5515 Address 1301 Tb VE $t. "' 4760 Newport Beach ❑ OTHER • ZONING REGULATIONS sKi Arch/Eng. HimalB jlel License No. 4285 ON Of WORK P"P'; — — Ny Address 119 E. AltO}I $aIIfi3 AMOESCRIP - ZONE RiEsCiflig MTPILNG. RE _ v COmracri Phdm 576-847 OLT&'UM CONS=JCN TYPE OF PERMIT . ,j ...a C- 11 GRADING ❑ FOUNDATION X5TRUCTVR.AL ❑ TENANT ❑ ELECTRICAL ❑PLUMBI ❑MECH/WIC ,SEP ¢u 16 ST. SIGE YARD ING Address PO Bm 388 MOIL Paul A LICENSED CONTRACTOR DECLARATION 1 M1llepy affirm that 1 dm Ilw 6atl antler prOW310on6 0/ LM1BKar9 l WrT' \G „T �� R Gay c ng with lion 000) b Division 3 1 the Businessd ❑OTHER -Q$Cq Profe#lon3 Cotle• and my license is In full form a effect. REARVARDjTOP/LI Charles Class ALicense No. 86393 vROJECTD IPTION ffi5 SD. FT..�. PRG. SPACE REP. PROVIDED Date signalure yV—P . OCCUPANCYPLCONSTRUCTION TYPE STREET WIDTH PARK FEE$ WORKERS' COMPENSATION' DECLARATION 3 I hereby affirm(ilei l have a certificate of consent to #If-insuraCOOr a -VALUATION��LONE ZONING APPROVED BY DATE 7 certifinte f Workers' Compensation Insurance. O ertliked Dy ther00115eCtlM5�trn or GRADING CU. YDS. ACRES SPECIAL CONDITIONS: r any FYP'_ceA.tRt Tnriam - - - - - Cert1/Icicopyl5filedwtumlihea. - - REMARKS: �' /, 3 Ge.BRm caps k with the city Building ' HULA FOR SPECIAL'REQUIREMENT` W E%EMTION FROM WORKERS COMPENSATION DECLARATION TIGN D " ITM1B Section -need not be Completed K the Permit B for one hundred $01000 or hats . d�f that in Of wank ter wM Ch [hlz perch Iz I mploy any person Bouetl I shall t e PCC any sationany manner o as to become i elect to lM1e Workers Compensation ion {Jwi of California. PLUMBING PLAN CHECK ELECTRICAL -- PLAN CHECK BATHTUBS SHOWERS5Q.FT , gid FT Dile 9gnaf are NOTICE: If after making this declaration, y ShO Itl bewnfe-subject TOILETS URINALS JOOUBLE GENERATOR' 0-1 KW_1-30 KW to the Workers' Compensation provisions of the Labor Code, you must - TRANSFORMER forthwith marep y with such PrOvalOm Or this Permit Shall DO deemetl LAVATORIES LAVS APPLIANCE 10-50 KW -50 a KW revoked. - - _ _ KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1-]OHP CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the per- fermance of the work for wi this permit ISI d {Section 30 I V ICEi51NK5 SUMPS sl -- UN `_ SOLAR)\ .` bO NP s - - 50 ♦ HP ON, C) , - n FLOOR•SINKS Imo• ELDEN DRAINS FIXTURES. OUTLETS SWITCHES , • Lenderrrvame • q _ - y- - — Under'SAadress _ __ DRINKING FOUNTAINS -� ry l7 GAS TUBESIGN5\ ,Sv - AW 10WNER Fares aft re, hat^IER Ddm ea0m0 fromthe Contractor's License Law for INTERCEPTORS - CLARIFIERS¢A • j ( _ POLE LIGHTS - ' SWIMMING POOL - PTRAP - ��if 9 .POLES : .METERED - SUB the fOcloy Ing reason(Section7031.5Business and Professions Code: r res Any or countya permit to.construct, alter, WATER SERVICE ALTERATION - 'PANELS MAIN I / -' SUB Im Frro demolish or really any structure. Prior to Its issuance, also re- PUlres the applicant for such permit to file d signed statement that be is learnsad prasuanLto.rM1a.provisions of the Conulctol License Law. GASSERVICE OUTLETS t - SERVICE - AMP 31of �CM1a rl9sjcommendni3lwitM1,vSectlOn,)000LOt Olvisior the Sss WATER HEATERS e. BTU OUTPUT - -' Slsnea and Prot¢5l COdOFettt00t m 6 o0i Ol t IhOrelrOm and the, alleged- Any vaulatiowo Section. 74331.5 by- - SEWER CONNECTIONS ...f It b' t thepPI< t [ I Penalty tPPII ¢ST' five Pehundred deli Uji 0). 1 , 90L" TANK COLLECTORS ` L - - ee tM1 wa9ei.ay Hall ❑ I. as Own sol IhC propOty r my emplostructure- olecompen tiII tl tM1 k tl tD Ir t t 1 dee• 'NC Ol'O(fere f0 _ ISe t 7044 B d Prf Coo : The - _ SOLAR PIPINO SYS. ISSUE FEE - Contraclo(s 1- La d [ PPIY t f D peNy _N who hu Ids O improverDeeper and lwho does suenzwork himself seta - lv ISSUE.FEE 4 t w 1 N, APPLICATION APPROVED BY DATE through his o n employees, provided that h- t t Pnq '.MECHANICAL > PLAN CHECK ':�C - - SUMMARY OF FEES Intended offered for Safe. H h the build 1 t 'thin I Itl one year of Campl t theII M1 b tl -. f no it not ISuiid% f tM1 purpose, f I I If " HEATING SYSTEM�0100,000 BTU BUILDING $ -e /or SO PERMIT SMTP' $ '76 ❑as% ow IM1e property, am xc u' y. mnbacYnq. wnM1 AND LOOTING IlCeni¢tl CO traciDrs to,con uU the Project r(Seamn 1044, Bmmel y„ ,yy d C-2100,000 ♦BTU PLAN CHECK $ PERMIT and professions Code: The Vnba6tor's License Law does not apply to - ISSUANCE $ - a, owner o property who w mandate; thereon w - builds REFRIGERATION 0-100,000 BTU .PLUMBING $ trams Im such projectswith contractor(s) Imeneda Pursuant to SYSTEM - -GRADING '.$ the Cony lot% Ll LAW) 100.000 a BTU r3 LH,� Li r PLANCHECK S ❑lam ex mptU tler ¢clan B.6 P.C. forthis BOILERS BTU ELECTRICAL $ $ y0awn PLAN CHECK S _ MICROFILMS Date y - SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE MECHANICAL $' TOTAL FEE E' LESS AD. IM1Brh CONI! t mae aWarntationth slate Matd aboveounty IOfor rre c gr¢¢ mole With all my and county Ote -PLAN CHECK'S VANCE PC $- arms arms Is Ing O cons real Cn thentlboebynPr UrAie rOpreienta m By ,`ter upon me above q. nuonea ^^�Jqq�� r+roP¢r In our 1 q qq�� $I9Oat e L FINAL FEE_§�14.i_1'1�G OrNerz' L or 5 5i ISSUE FEE - CMF 0065-46 Whlte-Bulltlln91 Land Iy-APPIIwnt. Rnk-Accounting: Goldenrod -Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # Z% Date Inspector POOL & SPA -_ APPROVALS Permit # - Date Inspector - 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - 2. SoilPipe-Un rgrn 44. Steel Reinforcement 3.lectrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . teiel Reinforce ,,« �o a1 -Arm 47. Rough Plumbing & Pressure Test 6. _Electrical UFER Grn_ 48. APPROVAL TO COVER-GUNITE - _ 7. Footings a-dy_ a R 49. Electrical Conduit-Undr rn 8. Foundation 50., Gas Pipe, ❑ Undr rn, Test 9. . Water Pipe-Undrgrn 51. Backwash Lines P -Trap❑ Undr rn 10. Structural Floor System ka -y-qb1 B 52.APPROVAL TO DECK 1.1. Property SewerLine &'House Connection _• 53. .-Backwash & Receptor -Final - . 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing - --- 14. Rough Electric -Conduit - 56. -Electrical-Final 15. Rough Electric -Wiring - - - - - - - 57. Solar System -Final - 16. Rough Heating & Air Conditioning - _ .encing-& Access Approval 17. Ducts in Structure - - APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing 60. _ POOL/SPA SYSTEMS FINAL - 21. 22. Roof Sheathing Frame andFlashing T� g NOTES: �uK 23. Insulation (_ _qz. f�-2U- / vj//.�,- �' ..� Ps+•+ ,•�_e .r 44,r7,-7( /! GLGdi 24. Lathing & Siding - , 0r Cu o 25. Drywall Nailing ($_ 'a ,__ - i "-` t ;,' q- C 014 26. Plaster Brown Coat _� _ ,$ 27. Electrical Power Meter- al -28. --Final Electric Q NQI9 a 3+ S 6 8 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test ,�-� ":to /.n r -a02--- T1 31. Final Plumbing 2.- �- 32. Water Service -Final _4Sl 33. Gas Service -Final 34. Solar Domestic -Final C, 35. Landsca eSprinkling System 6- + c& 36. Sound Attenuation 6 37. Handicap Regulations 14 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 .. , FAI APPRGnt to fill In all seats exwoune" within now border lines and Ren all appropriate eeeNnHom. :ITrY OF COSTAMESA' CONSTRUCTIO PER��//MIT,/ Proia$t,Atltlress S�Ai; ee e0 i9 PEflMIT N; T Pyl I %RACT NQ p( }.(jWJO./IQ `(Itll` / UNIT NO�7 ' Reinspanien Fee S15 Ise Fee S 3 u MECHANICAL FEE AppRmnt' s Meiling/A�tla����/ GOT Nam[ � P �L / � PM1One'i�ISTJI/ Aatlrers TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR CONVERSION El DEMOLISH Ll OTHER OESCRIPTIO�l��E,OLD Llcenu Lara saes not appoa t0 a0 owner OP prppertr vino bmms or imp roves M1areOn• .who Oa05 n k blms¢N%ryClsell O tnroue0 nls or her own e ploree[. pmvltlea mai such Improvements a.e n i intenaea ar olroreit for Diaries',[n Wewriatnwlli navenlne OwJenvolry0�oving a%she EIO no[rbull0 or Im- A.P. �. $ E Main Bu Duct -Under Ground ArcNEng. License No. Address TYPE OF PERMIT GRADING�JI FOUNDATION STRUCTURAL IRTENANT O ELECTRICAL d PLUMBING 0MECHANICAL OTHER PROJECT pE$CRIPTION Sp. FT. OCCUPANCY— CONSTRUCTION TYPE VAL'UATION$��� ZONE—GRADING CI.I ACRES_PIN, T B Ernst RBBr ��.'','/��MM Contractor s Nam Phone6 (mailing) r !% ei a _ %�/J�y�/� AddressK '/ G�� � City License No. !/ 1�?D I% LICENSED CON TRACTOR DECLARATION ❑ I, as owner Of ine pmce'ty. am oa¢luslveh contracting wins nwn[ee can. tea[tors to construct the projo[t 11 o s[Iaan 7044, Buslne Oss a^o PmIM05101;[ Code; Tnp cemrector•s LMense Law O t pPly [o an r OI y verty who Ouilp[ O Improves mmeoq dna who coptnc[5 for su[n prajec[[ wllM1 a can. C Right $ Left Ref. {} I hereby affirm that I am licensed under prevls of Cna oran rains with Mellon 70001 of Division 3 of ins Bu and P $I s de, and my license is in lull lorcean effect. Remarks Plani NO FirepllFan. Bh. ICBO # Fin Damper Uce_ Class - Uc t '❑ I am Damp( under section B. A P. 0.101 Inb reams PLUMBING FEES Date/-R'f signature WORKERS' COMPENSATION DEC L RATIO L I hereby affirm that I have a CeHBic41 m consent to -rom till le Bar Sink Showers Cj 'JJ of Workers' Compensation Insure CO, Or a a iii copy 3500, Lab. C.) � - BPCkfiod, Pr0u0mpr Servu Sink AWOIm company is hereby furnished. [Silted with the dry But Ohio in Applicant eM WORKERS-COMPE SATIO DECLARATION not be Completed It I'll greenly r one hundred islINn or le perforrmnCd Of IM1 work far which this permit Is Issued 1 any, person In any mans er so as to become s but to IIM 1 hereby affirm that of the Work Par lender( Name — LOnae� 5 Address . OWNER BUILDEF Service Outlets Sewer I Sewer Soler Piping" Solar Tank SwimmingPodl'wisps Urinal Water Clout Water Healer Water Service Auto -Wash rile ConVaylor's UJ nu Low (Chapter P.(cumoenclp9 with Section 70001 of � Division 3 of the Business and Professions Code) that fie/she Is examot `nerenOm i0a Ina ba3is for the alleged exemption. My vlONtlon OI ¢cGlan Root Drains j 03a1.5 by of bony applicant for a rea00tlliu sects the applicant to -vii LJmI. a[ who of tlee property o v"ympmuaes with wages as thBlI sole aBYslneis iCoOe�n eCanlmfwavelea Reinspanien Fee S15 Ise Fee S 3 u MECHANICAL FEE antln Pr IeulOnil [lorr !or iileMlSa[tlanIIIJ044, Tne 's Llcenu Lara saes not appoa t0 a0 owner OP prppertr vino bmms or imp roves M1areOn• .who Oa05 n k blms¢N%ryClsell O tnroue0 nls or her own e ploree[. pmvltlea mai such Improvements a.e n i intenaea ar olroreit for Diaries',[n Wewriatnwlli navenlne OwJenvolry0�oving a%she EIO no[rbull0 or Im- Boiler _ HOOF 01 T Type I ❑ CenOOY Type I-❑ " Duct -Under Ground pane fur the oyrwM m MIe1. Duct Structural Refrigeration System 130-100,0011 ❑100,000 BTU ❑ I, as owner Of ine pmce'ty. am oa¢luslveh contracting wins nwn[ee can. tea[tors to construct the projo[t 11 o s[Iaan 7044, Buslne Oss a^o PmIM05101;[ Code; Tnp cemrector•s LMense Law O t pPly [o an r OI y verty who Ouilp[ O Improves mmeoq dna who coptnc[5 for su[n prajec[[ wllM1 a can. OYCI- Ventilating Exhaust System ❑ Multiple ❑ System Repair/Alteration [•adaro[1 Manse pursuanYto rnc'Contractor'[ Llun o uw). o am w ro that proof fihelr WorMeYs Campen Ian Inayronce ultl Oe eavlaea ea me FirepllFan. Bh. ICBO # Fin Damper '❑ I am Damp( under section B. A P. 0.101 Inb reams Dale er Hating System&Ducting Registers 'JJ 9100,000 BTU D1ODO ne.eby ce wy, hart n read this aP Id na ate that Ina above a�mrmeuon tis c [. oto <ompl I al ° ay a caynty arms ones e talo laws at ftng o Film 9 o to a by amnorize pro- on(i11Yes Of this anter entlan0a prape•ty far In[P¢C[IOn purpm 3lgnal Ure pal¢ privets' LJcenM 5S he Reinspection Fad $15 lune Fee _ S 3 CM7 0865 46, rev.10/84 Wrylte . Building; Canary - Applicant; Pink Appositive; Goldsmith - Assessor woem8 unit Dishwasher Dryers ❑Gas LIElec' Fan F A.U. Fixtures Owing Forms Dollars .. 6151 1/21/85 . 43lli TL ELECTRICAL 71 50+KW Meier Lind to IOU amps Meter ❑over 100 amps Sub Panel Motors 0Ol HP•❑Iii, -8 Inc. Soler IJSI MP 0 1 Microwave Pole Light - - Trash 0 N R ' E he M S FEES It Reinspection Fee 1 $15 1 _1 Issue Few Y -.$3 SUMMARY OF FEES ' 'r' BUILDING.PERMIT* S A 7i SMTP $. S-60 PLAN CHECK . $ / PERMIT: , �'• .PLUMBING $ d3.00 ISSUANCETV $ - PLAN CHECK X25% 8 S•60 ENERGY Ii $ ELECTRICAL $' '-GRADING $r PLANCHECK 501F $MICROFILM ^$ 'MECHANICAL $ Ila' -]O TOTALFEE $ TO -PLAN CHECK 25% $ a. r ' ' CONSTRUCTION AND PLANNING J APPROVALS - Permit # Date Inspector POOH 'SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool '& Equipment Location 2. Soil Pipe-Undrgrnd. ', .� G 53. Steel Reinforcement 3.. Electrical Conduit Utility-Undrgrnd. 54. Forms '•; . 4. Electrical Conduit-Undigrnd. 55. Electrical Bonding ' 5. Stekl Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. F otings 58. Electrical Conduif-Undrgrnd. 8:'Foundation 59. Gas Pipe, O Undrgrnd., Test i .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 E���I (,(f/) 65. Electrical -Final 15, Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval ri 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping D Gas D Oil 23. Gas Pipe -Rough & Test ' 72.. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank D Gas D Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat yr 75. Dry Chemical 27. Frame and Flashing. »t �� 6S �- 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation fO4' «�- 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32: Electrical Power Meter -Final 80. 6EIFO'CE TIFI A I STJE6---- 33. Final Electric Notes, O 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test -- 36. Hood or Canopy •. •t`b Q. n 37. Final Factory Fireplace - 38. Final Plumbing O 39. WatW Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation - , / ti t• 44. Landscape Irrigation System 45. Sound Attenuation F 46. Handicap Regulations _ 47. FINAL STRUCTURE&BUILDING. O 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co a - 51. CERTI F.ICATE OF OCCUPANCY No. Date L / CITY OF COSTA Project Address Appluffnt's Mailing Owner's Name A Address _1012 Arth/Eng. Address Contractor's Name_ Address lmailingl— City License No: _ LICENSED CONTI I hereby affirm the Nr I affirm that l have a cart Vi sail con Xnt foul jure ora kers' Compensation Incur onNllled [ y tiefec LOU. C.) arR�ce or a No. Company tified copy l5 hereby lurnlmed. tltietl lea wlln the city Builel I n. ADPlltin[ P O FgOMwO RNEgS'COMP TION ECLARATIt Sctlon need not be completed If the .mit ism ee hundred 'y that In lM1e ay YpYeftormance ofYlne ark for wnleM1 [M1li Permit YCbmDMeltla Lson inaws al CalllOrnla.ef so as to ae[Oma sub Signature :E: It, after making this declaration. you should became Sub s' Combination tion a vislans o1 the Labor Code. You ust / with Such prOvAions Or this Permit SM1all be de m" rRUCTION LENDING, AGENCY , work lfor 1pi nn°sa Permit 15 Issueda°obaccitrou Togo°i I am exempt under R'grlatera Drivers' Lica ric _ CMF 0865-46, revs III White APPIibald to fill n all spaces except them within heavy border lines and Sign all appropriate aeelaonons or the Backflow Irrigation Sewer Cap P1� EHyO,.��U TRACT NO. ve LOT NO. UNIT NO, fir F� TYGTYPEE OF CONSTRUCTION NEW AGO ALTERATION U REPAIR ❑CONVERSION ❑DEMOLISH ❑OTHER DESCRIPTION OF WORK/USE OF BLDG. AP. IF Zone $ Main Build; Q ' TYPE OF PERMITGRADING FOUNDATION LJ STRUCTURAL -O TENANT OfELECTRICAL O PLUMBING Q MECHANICAL ❑ OTHER - PROJECTOESCRIPTION SO. FT. OCCUPANCY CONSTRUCTION TYPE VALUATION ZONE GRAOINGCU.YOS. ACRE. T B C $ Front Rear - Right Left Ping. Ref. do I Remarks: Planning Notes: DEVELOPMENT SERVICES REOUIR EMENTS: Zoning APProwd By Date Building Approved 8Ylino Better PLUMBING FEES JBar Sink Showers Duct Structural Refrigeration System i�0100,000BTU 11100,OBOSTU Rectifier Presenter Service5ink aexclusively contracting with licensed can- ction 044, address and PromSSmn: Coder whnot apply to ant r f property who o contracts far such Projects with a con- Application helped By '2'? ��� Data or the Backflow Irrigation Sewer Cap 2/07/85 Bathtubs Sewer Connection TL Clarifiers Solar Collxtent Dishwasher Soler Piping Ileged exemption. My Situation of Section Permit sublets the applicant t0 civil Drinking Fountains Solar Tank Zone Floor Drains Swimming Pool w/Spa .mal dollars psgm. my'ampmyaes with wages as their sale Floor Sinks Urinal Rainspae[ieri Fee Gm $arVICO OutletsWnC! CIOSet Issue Fall $3 Imercaptora Water Heater - "Automatic Washer Construction Pole Cooking Unit Dishwasher Dryers ❑Gas ❑ Fan F.A.U. Fixtures Device Boxes Duties Switches 7229 2/07/85 EPO, TL - Ileged exemption. My Situation of Section Permit sublets the applicant t0 civil - Zone N N G R Parking Rep./Provided E ELECTRICAL .FEES Transformer ❑ 15-50KW ❑ 50+ KW Meter Oup to 100anni Meier Dover 100 amps Sub Panel Motors 0O1 HE ❑ 1 % B nc.Solar 0915 He ❑I&IS+ Microwave Pole Light Berge sign J! Standing Sections 1 I I Trash Compactor Isms lmer g d Pursuant to trio m 4olesslans Codellng or tha[SC 5 a sis geaorrip Roof Grains - Ileged exemption. My Situation of Section Permit sublets the applicant t0 civil - .mal dollars psgm. my'ampmyaes with wages as their sale Rainspae[ieri Fee S15 Issue Fall $3 Reinspection Fw $15 Issue Fee $ 3 mU the Strutture Iz of Intend.. ar oReree andowner Professional as property who bonds oe improves k' almrAfyher elf or through his or her own Trowmems are not Intended or offered for Provement Is sold within one year of cam- esteem of proving he/She did not build or lm. MECHANICAL FEES DEVELOPMENT SERVICES REOUIR EMENTS: Zoning APProwd By Date Building Approved 8Ylino Better Hood or Type 1 ❑ Canopy Type 11 ❑ Duct- Under Gran nd Duct Structural Refrigeration System i�0100,000BTU 11100,OBOSTU aexclusively contracting with licensed can- ction 044, address and PromSSmn: Coder whnot apply to ant r f property who o contracts far such Projects with a con- Application helped By '2'? ��� Data Duct- Ventilating SUMMARY OF FEES EeM1eurt System ❑ Multiple ❑ System Repair/Alteration saa Ian urhocethSM1aum i I am awareed tore R a P. C. for this "Ivan BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE ;$ PLAN CHECK 25% $ ENERGY PC. '$ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ g O MECHANICAL $ TOTAL FEE $ PLAN CHECK 25% $ ax FirepliTact Bit. ICROis Fire Damn pe Heating System & Cutting ❑OlOg000 BTU 0.10o,000BT Registers this appi e s a that the above atmpl�r all y 'county oralnan gpco Ion nig r by autnadze re a ov annaanea prop t r to Reinvestigation Fee ME haus FAA IS 3 didual Canary . Applicant; Pink - Accounting: GOldanra0 Assessor CONSTRUCTION. AND PLANNING APPROVALS Permit # Date Inspector .PO. ',SPA APPROVALS Permit # ".Date - Inspector ..1. Temporary Electrical Service or Pole - •Z 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 16.' Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical-TBarCeiling - 69. POOL/SPA SYSTEMS FINAL 19! Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit I#- 20. Rough Factory Fireplace 21. 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping O Gas ❑ Oil -� 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank ❑Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T=Bar Ceiling (Structural) & Mori 75. Dry Chemieal . 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 48. Special Requirements Completed - 49. Electric Release to Edison. - - - - -- - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY, No. Date _ _ / _ _� _ Appllum CITYOF COSTAMESA, \GWN'G c6e>K l CONSTRUCTION PERMIT21 tO nlnn al %peaks Indian throe with) heavy border lines and sign all appropriate ate declareom /645 2/ 15/95 1 540 TL u I _ t l i - PERMIT-.NO ,.,1 _. TRACT NO : LDT,NO.r a BLDG ProNctAtld e e 3 O� Applicant's Me lirg Address Owner's Name 'l.']—wi�N� 'Phone o. TYPE OF CONSTRUCTION '1 NEW AOC - ALTERATION REPAIR 0 CONVER31pN 0 DEMOLISH 0 OTHER OESCRIPT ION OF WORK' - I p,p..�' _ I ZOOe- Ss - Main Building; Accessory Building:.. , 2 l • 1 - - gtltlrett �'•'Yn�� TYPEOFPERMIT IORRUDING FOUNDATION STRUCTURAL: , TENANT 1-1 ELECTRICAL C:PLUMBING`'Re" MECHANICAL OTHER • PROJECT DESCRIPTION' SQ. FT. OCCUPANCv C O N STRUCT,I ON TYPE VALUATION$ I ZONEGRADING CU.YOS. 'ACReS T Front 1 .H _ Ach/Eng. License N0. : Address BReer A N I- Cont actor a N H 1,f�� phone . C _ Right' - G 5��+��Rr�C�i�1 Atldl6tl Jme lingll �rc' r R� �'� r C'ty License NO IZS 2 LICENSED CONTRACTOR DECLARATION $ left 1 _E PInB: PeP# - Park .Fees $ P. Remarks: - Perking Rep JProvded U I \.V\' I M1 by Olfirm that land licensed under Provisions of Charter 9 Icommencing nn Section POC) of Division Sof the Bu Iness Professions Code, and my license Is In full fare and while /�r{�d q'j ��� Lica ISO Cl as Clair fe Use of Building' R E PLUMBING FEE$ Planning Notes: 9 E oate2_1 �- LYn Ber Sink i Showers N V�tl' WORKERS'COMPENSATION DECLARATION, I hereby'afflrm.Mat l new a certificate of consent to nlHhaurs Or a ontiflaeta Of Workers' Compensation Insurance, of a pertlfled Copy thereof (seelon , r Backflow Pfawnter Service Sink - _ - T $ Beekflow Irrigation $emr Cern l ELECTRICAL FEES 3500, Lab. C.)�Qa` � pin � Policy Ne. 1 CompanyMn i wed copy B herebyfernlShed, 1AWK NI e0B filed with the city UI In Ilaid vy Oats Appllcant� / Bathtubs Sawer Connection Automatic Washer Tranifarmer 1115-50 KW Conarocfion Pole Skis. ED IF KW Clarifiers $OInr Collectors 1 EXEMPTION F ROM WORKERS' COMPENSATION DECLARATION !sup taction need not be completed If the permit l for one hundred IS300) or Disnswdrer r $ae(P Ping Cooking Unit meter cup to IOU amps I wlrtlly Ihet 1n the performance or in* work for which this permit Is Issued I whill'. rept employany person In Y manner to become subject to Ira orkers' Ompanaction Laws of callfernls sir Date $Ignatme Drinking Fountains Solar Tank Dish:aaeher Meter Dover 100 amps Floor Drains' Swimming POOL w/Spa I Dryers Gas DElecvic Sub Penal You must workerrss'' Comtthr penation makingUITS declions ofthel.abol Code,ld eYoou must forthwitlai Floor Sinks Urinal Fan Motors OG1 His O1%-B Gas Service Outlets Water Closet, F.A.U. Inc. Solar 119-f5 HIS 01515* omply with such provisions or this permit man be revoked. CONSTRUCTION LENDING AGENCY'- Interceptors Water Heater Fixtures :MiPOYRve struPertti nl le ding agencytfor lon he erformartod I herebyaffirthe wrrk that there forw lent llc constructiony 7 Cly. CA Kitchen Sink Water Service Device Boxes pole light under•s Rome unasr•e dddrett- OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's Llcenll Law for its feluowing reasonepcSeC[lOn ]031.5 Buslnoss onProfess'Code: Any dty or env ttrualure, Door to If I[msnw'also reauiresstRe ePpllcenteforlmc� parmll to Rl0 a slened statement that "I she Is licensee pursuant to 1h0 proYlslons of me COnerac' r'5 UcenN uw nChadter 9lcommenel og wRn SectlOn 10Oaj of m:refromyend Ors doth ter them sea :demo haan. Adv viola Ion•of eseatie°n lavatories - Duties Range p_.1fep Switches Bigg pool Drains Garbage Disposal Spending Sections Generaror 065 KW OS15 KW Trash Cam Compactor geirapeRlon Fea $$6 lase Pea ' S 3 FF iyO31 of hat mora[bannllve nurareE EotllacsD�f500j �¢ aDDllcant to a Clvn 1, es D` her f the propalY Or y am ployam wan weeks a$ their sole comHeapon win d0 the work, and the structure It not Intended or 0ffared U ISOCIII n 7044, Buslne» and professional Cotle: TO0 Contractor's red Law dover not apply to an owner el a props sty MO bullet or Improws UM enarwn, en0 ho dos such work hImself/herself Ihrouyn lits or her own plover. provided that men Improvements Pro not Intandea or offered for le. If, wn the ny r Impmvemenl Is told within one year Of Com- he/she Reimmaidn Fee $25 IssW Fee - r$ 31 MECHANICAL FFES, PUBLIC SERVICES REQUIREMENTS: Zoning Approved By nate Building Bulltlirp Appmwtl 6y Boiler NOW or Type I ❑ Type II ❑ Duct -Under Ground Ducl- $Imcturel Refrigeration System 06100,000 BTU ❑IOQOOO BTU the he ownerI Moo tlld not hUlld Or Im. p101„Oq me aur ose Sale Lha bUrtlen OI DrOVln9 Of salert 1 fs owe t of the I, as owner tr [he Property, am a cluslwly cusiness nq OlaUwnae can- tractomd construct the proles Isecnon SOaa, Business and Vrdfesslem cede: build&o r Improves tnereo ln. and was contracts[for such prolects with a can trectorpj Ilona Ounuant to ins Contra ctor4 Uwna LA ❑'Lam exempt under Motion B. 6 P. C. for this reason I Application Issued Ou[t- Ventlleting SUMMARY OF FEES BUILDING PERMIT $ SM P j " $ PLAN CHECK $ PERMIT i 1 PLUMBING $ 1 ISSUANCE I$ Exhaust SYmm ❑ Multiple ❑ System RepairI Alteration - Firepl/Fact. BIL I CBO iP Date owner' Heeling System& Ducting 11)11,000 BTU OIIJB.ODD PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ 1 MICROFILM j$ MECHANICAL s$ L�6�' PLAN CHECK 25% $ ,;j. Tr to EE %$ I_hereby.prtlfy `ha1,I have rasa amts apWIIWtion and tate that the above enformatidn is c act Is ply with all ciy and county crc nancas nd[5tatO laws ralating ull Ingo omlructlon. and hereby authorize wore- entatlVes m CItY �ygP' Upon the above-mentloned Ordea o1 an Impectlon a r17 Signature o B � I onwrr keno% dr u # - - - __r CJ : : potMpaaidn Fee $25 - Ittue Fee S 3 cMF0965-06 iev. 12/63 WM1lle-Bulldingl Canary .APIPicamlPink TAccountlnpl GoldenrodsActlssm "' - - -- '- -" """ '✓ �ggll � r. ^CONSTRUCTION AND PLANNING; - �•� " ,. �-'.Date APPROVALS Permit-# - - .� Inspector. _ .POOL & SPAa- - - APPROVALS. Permit# - ate • Il nspector� - 1. Temporary Electrical Service or Pole- _ 52. Pool & Equipment Location ^� 2. Soil Pipe-Undrgrnd.. 53 Steel Reinforcement .. 3. Electrical Conduit Utility-Undrgrnd: - 54. Forms - _ - ' 71 4. Electrical Conduit-Undrgrnd. 55- Electrical Bonding 5. Steel Reinforcement r' -- - -� 56. Rough,Plumbing & Pressure Test :} 6. EllectricalUFERGrcid�' '" 57. APPROVAL TO COVER-GUNITE. 0� I' •`• 7,. Footings -' •; - .� . _ 58. Electrical Coriduit-Undrgrnd. • §.--Foundation 59. Gas Pipe, 0 Undrgrnd., Test ^ .� 9: Water Pipe-Undrgr d. 1j ,-" - 60. Backwash Lines, P -Trap, 0 Undrgrnd. X10. Structural Floor System f.; , >. 61. APPROVAL TO DECK 1 -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_Elec[ric Wiring ,. 67. Fencing &Access Approval - - ' 17. Rough Wiring Sign; _ - 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar, Ceiling 69. POOL/SPA SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT. APPROVALS Permit # 20.'Rough Factory Fireplace 21. Ducts, in Structure' 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 00il -23. Gas Pipe -Rough & Test 1 72! Underground Flush ' 24. Roof Framing 73. Undergrnd. Storage Tank 0Gas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling; Structural) & Monocoat 75. Dry Chemical - ':27. Frame and Flashing 76. Dry Standpipe I ; 28. 'Lathing & Siding ) 77. FIXED SYSTEM FINAL -29. Insulation - '78. FIRE PREV. FINAL 30. Drywall Nailing I HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final =•'I 80. FOOD CERTIFICATE ISSUED .33. Final Electric Notes: _ 34. Final Heating & Air Conditioning - 35. Final Gas Pipe -Test 36. Hood or Canopy, - - 37. Final Factory, Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final ' 41. Solar Domestic -Final -- - --< 42. Backflow,Preventerl ' 43. Backflow Irrigation ..i 44. ,Landscape Irrigation System v 45. Sounds Attenuation 46. Handicap Regulations ! 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed- : 49. Electric Release to Edison' 50. Gas Release tb Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No - -.Date -. ;- - (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3505 CADILLACAV Suite: K001 Vicinity: UNIT K001 ( OFFICE FRONT OF AN IND BLDQr' 7 Parcel Number: 13966112 Zoning: Applicant: PIXLEY, JERRY SMIP Com: Address: Other: $0.00 Inspection:' Phone: 714-596,6770 Total: $184.51 Owner: MTS HOLDINGS Address - 3505 CADILLAC AV - - - STE K002 - Phone: .'COSTA MESA, CA ' - Zip: 92646 Contractor: 'OWNER -BUILDER Phone: Zip: ' License: 0 'Arch ,-� - Eng: Address: Address:' y, ISSUED BY: Status: ISSUED Applied: 03/26/2002 Issued: 04/30/2002 Phone: Phone: , Zip: - License: , - License: /7_ SCOPE OF PERMIT _ LEGALIZE INTERIOR OFFICE AREA IN AN EXISTING- INDUSTRIAL�BLDG-: WORK TO INCLUDE CREATION OF PARTITION WALLS TO CREATE 3 NEW OFFICE AND MINOR -ELECTRICAL AT THE FRONT OF THE -BUILDING, p - J I' C - � FEE SUMMARY Plan Check: $72.31 _ _; ! Calc Valuation: 54,500.00 Permit: $111.25 j� ' Claim Valuation: $4,500.00 SMTP Res. $0.00 SMIP Com: $0.95 Other: $0.00 Inspection:' Total: $184.51 SETBACKS.'`. MAIN STRUCTURE -Front ACCESSORY Front PARKING Existing: NOTES: PLANNING & ZONING 0-0 -Rear - '0- 0 Left 0-0 0-0 \' Rear; 0-10 Leff - 0-0 i 0_ Required: -0 - Proposed: 0 Right 0-0"% Right- 10- 0.�'� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12.21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7845626 Moo) DECLARATIONS Am WDPKERS'COMPEN$AAON OECLARATON: S I herebyeSlrm under parrMya Parkry one of the following dodaraga : ❑ I nava and wla mall a ceegcere of consent as sell Insure for waldrov pemalian, as prevol for by section 3700 Of to Laser Cape, lot Ute pedom worthe wand for whishi Mmol U issued. ❑ I have and will mahlaln worsen' mrrmansadon Insurance, as whilretl by anal 370001 aW Leba Cape, for Me WO ante of he work lot wdidrhM parol IS issued. MY BW minor Implement malar and poky number am: Cerner.Pd Pd VNumE r: (Illi9 section nand not be m n MW it Me perm Is wwedat one Wnem whew (SIM) alma.) ❑ I codify mean Ina Mftmanm at work lot whit this senior 4swed, I shell not employ any pmson In any manner oro as to become subject to Ins wwj cnmmna lim laws M Glifie la and agr0e that If I Shi benne Subject r0 Ne wake er mWnsalbn provisions Of $ ion 370 Of the Lacer Cooke. I OIIeA ton Wth canpM with then provblms. Appl'Icenl Signature', pate: WMNIrp: FNWPE TO SE E WCHNEPa fOSPFNUa NhAapE WN WM1 Nor Ul SUWI MI ENFLOYEP TO COMtWl PEN.All AND Of Mn UP M ME M OMD 111UU6WD CUlARE tStm,mJi, W aWnl W 711E Deal WMF1r5ATICN. OAWOES M P IMD FOR IN SECTCN WISOF THE IAB]NOTIE. IMEM.MDRTTLY4V FEES. UCENSEO COMPACTORS DECLARATION: I hereby norm that l Wn licnnap under prorboom a Chapter B (commencing with Section 7000) of Madon 3 Or the Suerross and Pmlessbns Code, and my limnu is In NII force end BKet. I.C. S Clean a C Uctors signature: pate: CONSTRUCTION LENDING AGENCY: ❑ thereby ON" Mat there H amnatmtim lending agency for 0e porlcrmence d She press for which MIS permll U IMM. (Sao 3097, Civil Coda,. Lena' Name'. Lowals Amren: Signature: Data: OWNER -BUILDER DECLAPATONS: I hereby allirm that under pari of mdury mal I Am EXEMPT FROM TIE CONTNACSORS MCMSE LAW for the fO ing r on (Sec. 7031.5, Bminw and PmtenlaW Code: Any city or county which requires a mmil to conslrva, alter, improve, Monalish, a repair any simcture, prior wits issuance, also requires the spplUWdI fes sI permit to f0a a signed statement Mat M or As N Itmnaad pursuant to Ne provisions Of Ne Contractors L ikensa law (Chapter B (confine g MN Se tion 70001 W OIWdon 3 d Ne Busman and Praeaeat Cal or Nat he or she is atumpt McMrom and Me hada for re alleged nemption. Any vibletbn a Seton 7031S by arry applicant fa a Perot VISthe sppllmnt to a civil Penalty of not more than rive hundred "am (8501: a9 barertrhe propam7, or myamplo Mh wags as GWb Sdammpaaewn, WILL DOME WORK,end the srructur0 is not Inrendapat alerapfor sale(Sec. 7044, Mainland and Professions Cade: The Conlraclors Uceme Law does mi apply to an owner of property Who Wilds or Mprows thereon, and who More such work himself or hemif or through hie or her on employen. WWthat impm=Ms em had Intended or oNOreO Ion sale.11, hersaver, the Wilding or Mprovemem0 sold wllhln one year of mmptamn, the owner -Wilder M9 have No When of prOving rat he or sire did not baso or Improve for prapme of salt ❑ I, as owner a the pia M, am EXCLUSIVELY CONTRACTNG WR41 LICENSED CON7AACTORS 10 "$net the project (Sea 70x4, Bueres9 and Prolesslons Code: The contractors l me Law does Me apply wan owners Monett ho bullet or Improves thermn, and who mneracts for such project wbh acbnlretoN9) license pursuant b the Contractors licerue Lawes.). ❑ I am BNB abler C. -t-;&191mA9 am PIpIm91aU Code 10r that Nelson: Sgremre? � ' OvmerlO Sud dby tldwre llmme. ❑V ❑No �d Zi Venlimlim of Oweemhlp by (type or dmumant I e.- prapary las bill or deed): OMSION OF INDUSTIIIAL SAFETY PERMT CERnMATON: ❑ I Wmby cesify dal an eNmval five (5) or mom lent In depth Into whit a Fair is resulted r de�M, will W mem In mnnectton with work amalaap by Nu prionst and that a buddbrp structure, =00", f dowmak, or demo or indicating Iheraa, will W mare Nan Wntreal (36) teat high. (Chap. 3.2, Grp 2, Ad 2, Sec. 341, Tile B, Celltomla Adm trawa Cabe. ❑ As owner -bulkier, I will her employ anyone to do Wars Whit Wald require a pomp Tram the Obis0n a Induatel Safety, as WW andom. UM0a4 own pereal has a W"il to ap spot work iron Ne divlsbn. Signa : was: Giowth of lM M601 Mary Pormtl Number HA ROOUS MATERIALS AND EMISSIONS CERTFICATON: 1 WIII the applicant or present or tuW* Wlding omucanl need to Poo BM cady a Bwenesa Plan for emergency response to mie a or threatened mi aso Of a hmy s maUrW1 ❑ Ven ❑ NO I$eNa 25W5 of the California HBBIN and Safety Code requires, with sane exceptions, trial a Business Plan W Rod with the GAIN Masa Fire DepONnent by every slnau whit Me at arry ane GmB duMg a premed year a qual a h Mous matorlele equal to or greater Nan a weight of 5W pmnW, or a volume a 55 gallons, _ a Zed pubic feet a compressed Baa at each M=W pressors). 2 Don, or Sulo the appioni or present or future building acapant need to fit arp4Vafoto" Ion ecWety hezerUouemebrieb9 �,}'Vea �No (ISc 25533 Of Ne Wt WHealer and Safety (Cape. with soma esmrri, requires regisuM w1N Cal the CaFire Department by each Waana which at any e Side has an hand a quenoty c1 Batey a ftMOua =106010 equal Or sur greemr than a weight of 50fir pounds, or a vdume d 55 gallons, a 200 a let as mmpresad gas at arvltland Mmpersture and ensure). 3 .0 or will l0 epptlmmdr ppresent or future buddling omumnl need W proms an RMPP(Pnsk Management and Prevention Program for Sri N rE smatemn)7 /1Samoan 25534 a iW Calibi Heelh and ap Safety Ce promote Met re Casts Masa Flre Oapenmem they require Ne preparation, mMimtlon end SRI wit to Fire Oepenment a an PAIPP by bison whbh are required to regbi9r ecutey hamrdous matelots wit to Fires Depmment. i II an DMPP hi presenty repuireq has Section 25534 a re GlibmM H9911X and Sahry CMe been wiy compliM wino ❑ Ya6 ❑ Ne SOwn sur will the — ntof—•--__ .—. thas .wo e $ Tramthe SouthCOmmArl llry MenegamernlftiHuortrepanyMher�pluUn=cowl Elatltoragacyit Byes effNoforat mnslnsllOn or mod'Imtiwp (Seita 135550.20o the Cairene GwarnmBnl Com required that rho "UMW Inbrmadm be wml6Wtl on applications for nmreelmmar hulkil genets). 6 WIII any —pan -of thefat`ryrbewmiWctId --rNb "It bnwilnm IND feet Iran the Mier bmndtas of e schgm! ❑Vas 0 N (if yal Uw feoliry cont met the rMulremem a SaGMs 25534 and 42303 a ore Calimmia Header and Salery Code). 7 It a hermit Inn Me SMIh Canl Ar OUMIN Media t Opatncl or Orer Sir pollvtion nWl district or agony a required for to we& whit Is the subject a this aPeka n all 01 the die town phase bad byL Illooa Heair and Safety Code Section 42303 Won mnd09 ❑ Year ❑ No .._._.......__._.._..._._.._..._..._..._..._.._.._.............._..__._..__..__..._..__..._.._._..._...—.__ e BI yon', draw cedhmd a aanplial lly Uthe rider land airf po lion mnbd a6aO. CERTIFICATEOFWMPrialsA :I lul flat uneergentrya pequry NO'udormallgn given aOOve4mmct. spree to mmpN With all stela Mws asci dy atlirtWKea regeding HareMaa Materials old Emissions. SlB cal Dere: CERNMATE OF COMPLIANCE AND AUSHOR nM OF EK1j I mefy mer penalty d perjury tel I haw reed his apglml end amid tel Bis Nigmra Bhren W mrrecl. l Ogres to comply Met all sale Iowa and tly adNm !Wades to btudi g mmlmttm. and affil a raprownWGw6 a Me City of Casa Mau to anter Upon rhe aW a.dmdbed property for bespecaon purymes. I agree nor m aarpyer allow BauDaney of any bulklirg authorized by Nb p riond wool final lmpWion. 07 LA mire r.Au —.. .AllpLk9Ma ImGLL MSM=NmE PA6 ISM NOEd INBKCnPE gAjE NiThli 1616 Flaed System Few Foe Prevenllon 206 FIWI Mehenkel 1269 PMI Spa Ahmed 206 Flre) Plumbing 200 Final lk Rl f 210 Flre)ElMdcal 201 Found BIodUPMeinbg Wish 212 Heat Fire Pravendon 202 Final Fan Fire %ace 220 FIWI Planning Approve _ 203 Final Sign 222 Final She 204. Final Otim 250 Final$ ulldinglIXntpenry <IU Applicant No nu M an spacer within heavy harder Inver and sign all appropriate Oeeurationt. R7 CITU OF COSTA MESA PFPIT TRACT NO. LOT ND. - -BLO . NO. PERMIT L•w CONSTRUCTION PE� k TYPE OF CONSTRUCTION T s!CNEW 11 ADD El ALTERATION 0REPAIR 000NVER91ON ODEMOLISH BL A' Zj� d-4 2OO5I 9e50 /CU2%IA762 Project Address — 5— CgD]LL C al owner e. Asill ol K PM1ona j[. y Atl" s _ aL p' ❑ OTHER DESCRIPTION OF WORN A.P.,P ZONING REGULATIONS ArcNEng SLicense No. AddressL Y S. ZONE pLNG. REF. i Contractor WOO L L_ Phone_/- fog TYPE OF PERMIT ❑ GRADING ry ❑ FOUNDATION ❑ STRUCTURAL ❑TENANT p.ELEOTRICAL OPLVMBING OMEC-Ifil' SBUILDING ETA YARD 51pEY TRr�Itlk?YNUNE Adan ",']_, Ji -C610,41NIPFIVS LICENSED CONTRACTOR DECLARATION 9(ron I hereby alllrm that I em licensed under provisions Or Charter - flan ]000) f Division 3 Of the BudnOi d OOTHER - pIGHT TIng`Wlm S oletslons Codeandd y Ikena Is In full for 0 affect. REAR YARD (TO P/LI o PROJECT DESCRIPTION - LICensa less C UcenuN 39�%s -lyra sa Fr. OCCUPANCY—CONSTRUCTION TYPE Iii SPACE RED. STREET WI OTH PROVIDED PARK FEES Date /fez k z i�l..7 WORKERS' COMPENSATION DECUIRA 10 I hereby afllrm anal y have a Certificate of CO sent t0 w h4nsure� a VALUATION ZONE ZONING APPROVED BY DATE Illletl cerOticdte 01 Worker' Compensation Insurance. Or a C PY GRADING CU. YDS, ACRES SPECIAL CONDITIONS: thereof [Section 3800. 4th. C.). / REMARKS: -7.7,723 Ability Nogwe Y! a 5-O•/Z]Oompany GaF.vc+yv. sNQ Cn I] CertlllM copy Is hereby furnished. ❑ Cest1IIM Copy Is filed with the City Building Division. g� EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed it the permit I5 for one hundred `EIOO�ly llratsSn the Performance of the work for which this permit Is shallemploy any so as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK shused Persontion Laws of Griner Wotkem BATHTUBS SHOWERSso PT Date —Signature NOTICE: II after making INS declaration. you Should become subject TOILETS URINALS GENERATOR 01 KW_ 1-10 KW to the Workers' Compensation provisions of the Ube, Code, you must TRANSFORMER forthwith Comply Who Such Proi 0r lhll parmp shall be dlemed LAVATORIES DOUBLE LAVS APPLIANCE 1050 KW 50 v Key avoided. KIT. SINKS DISHWASHERS MOTORS 01 HP_1-10 HE CONSTRUCTION LENDING AGENCYyy I hermtWork tthere ha lwMcb tnuethipermlending rhsuln3P9] SERVICE SINKS SUMPS (INC. SOLAR) 10 HP 5o+Hp 05 hmebyalfgancisfagen[Sefor igi FLOORSINKS ^FLOOR DRAINS FIXTURES OUTLETS 7_§WITCHES p unaC.). name _ _ Under's _ _ Lendar(s-Address _ � - -DRINKING FOUNTAINS GASTUBESIGNS INTERCEPTORS CLARIFIERS LIGHTS -OWNER Alli LDER DECLARATIONPOLE I hehy Illrm that l amexemm fromtne Contractors LlCenY Law ler m SWIMMING POOL PTRAP - POLES METERED SUB the following reason ISecllon 7031.5 Business and Refoolom Code: Anyy O county which requires a Permit construct. alter, WATER SERVICE ALTERATION PANELS MAIN SUB city Im Saudi IIPnl f Saudis anyprior to Be hatance. also re- ml[ to rIS IIID a re. Signed statement that M1e GAS SERVICE OUTLETS SERV ICEtaxesAMP E taxes 5 Is IlwnsW pursuant to the provisions Of the Contractors LICenw Uw Chapter 9 (commenting With Section ]0001 OI Division 3 of the �' WATER HEATERS BTU OUTPUT r In os ah and Mdaslons Coe) or that he exempt Iherelrom and the Is t the nageo exemption. Any violation o1 Session 7031.5 by SEWER CONNECTIONS ynot ppmmmntl for a 3001wnt t0 a CIWI penally Permithune0 dollarsa SOLAR TANK - COLLECTORS ❑1. a5 of the property, or my employees with wages as than, sole Compensation, will tle the work, and rho SlruCture Ie nal Intended offered for sole. ISe<tlon 7044. Business and recessions Cri The SOLAR PIPING SYS, ISSUE FEE f� Contractor's Ucpnso Lew does not apply to an owner of yfatherly ISSUE FEE APPLICATION APPROVED BY DATE who builds or Impwves thereo, add h0 does Such work AITs011 Or through his wn emOlOnei yresident that such imments proveare not MECHANICAL PLAN CHECK SUMMA RV OF FEES Intended Or offered for Sala. 1 1, M1owemr, the building or Improvement Is sold within one year Of Completion. the owno, will have the burden 1 preens he silo 1 OUlld Of Improve far the purpose of hii HEATING SYSTEM 0-300,000 BTV YS PERMIT G E Smiv f O I t owner Of the Proal am ¢xclUslvie contracting With HEATINGND - llcensed contractors to construct the project (Secllon 7004, Business 300,000 1 BTU PLAN CHECK f PERMIT and Rolesslons Cade: The Contractor's LIwnN Law does not apply IO ISSUANCE 3 an owner of properly whobuilds thereon, and Who Con- REFRIGERATION 0-100.000 BTU PLUMBING f siUrir lmor*W$ tracts from such projects with ntracloNs) Hounded pursuant to w SYSTEM GRADING f the texempt 100.000v BTU PLAN CHECK f 71 `amunder Section- B.6 P. C. for this - BOILERS BTU ELECTRICAL S S REPAIR. PLAN CHECK E MICROFICHE Wiereason Owner SYSTEM ALTERATION TOTAL FEET MECHANICAL i I frareOYu,tifylOal l nave read mlS apPmlpUOn and state that the above EXHAUST SYSTEM MULTIPLE Information N r ct. gree to Comply with all city and County .PLANCHECK E VANCE PC f _ ordinances and stale laws relates to construction, and ereby amhedaa representauwf or me City t0 on er - Pon I abi Mentened- prOperty for don purposes 9 S -o _ C Z��-0 7" _ FINAL FEE f $Igna\ure le diwrS'License or ; ISSUE FEE - CMFOB65-16 White-Building:Canary-ADOliznt:Rnk-ACCOntingl Gotaenr00-A eswr CONSTRUCTION AND PLANNING APPROVAL ' ',' Permit #' z4Y° Date POOL & SPA- Inspector APPROVALS Permit# Date Inspector / 1. _ Temporary Electrical Service or-Pole -43. Pool & Equipment Location - - - 2. Soi ipe,Urt rgrn ._ _ _ _ 44. Steel Reinforcement - - - •- - - - - - --- - r 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 Grin ._- _ - _• - 48.• APPROVALTO COVER-GUNITE '- - - - .. - , . •--. Z. _ ..00tipgs ._ _ _ ' �' 49. Electrical Conduit-Undr rn ' -8.--Foundation _ _. _ -' 50.,. Gas Pipe, ❑•Undr rn,Test - 9. _. Water Pipe-Undrgrn _ 51. Backwash Lines P-Tra ' LlfidFqm _10.- Struclurai.Flo0r SYstem 52. _❑ .APPROVAL TO DECK -I!- Property Sewer Line & House Connection 53. Backwash & Rece tbi-Ficial -12.-- Sueet-Saver Co.mection -- - 54. Heater &Vent-Final •'> 13. .Ruugl; Plumbing_ __ _ _ _ - _ - nal 14. Rough Electric-Conduit - ' - -- - '' 56. -Electrical-Final • ^ ' 15. Rough Electric-Wrinq - - - - - 57. Solar System-Final 16. F. ugh Heating &Air Conditioning - - Fencing & Access Approval 17; Ducts in Strtictare }- APP-ROVED FORPLASTERING r -48: Ducts Ventilating - . , _ - _. 19. Gas Pipe•Rough &Test - - � -- - 20. Roof Framing L .. 60. - POOL/SPA SYSTEMS FINAL ' 21 • Roof .;heathin - - - '- 22. Frame and Flashiu _- - - - - r -- • - - - " '' - _ . _ _ NOTES: 23. insulatica - L4* L ;h4Ij F•Sdin9 - 25. -Di yvt,.;I :ailing 26. Pl; ste, Bl own Coat - - - - • • - ' 27. ElectncalTowe M- Meter-Final- - - - - '•' 28. Final,Eler•tric - - - - -- -- - - - - - 29,- Final Heating -& Air Conditioning - -- - - -- - - - - - - - 30. F,naI Gas Pipe-Test 31: Final,Plu.nbing - - I 32. Water Se; vice-Final- 33. Gas Service-Fina! 34. Solar Do-wetic-'inat 35. LandsEal t Sprinklin System ' 36. Sound A .enuat•on - - - - - - 37. Hand,cal Regulations ' 38. FINALSfRUCTURE&BUILDING _ t 39. Special FequirementsCompleted - - ' 40. Electric Release to Edison_ - - - - ' 41. Gas Rele, se to Southern California Gas Co. 42.- CERTIFICATE OF OCCUPANCY Nu_. - Date applicants m fill In all Hans Within heavy border lines and Sign all a apro prim No deelaralions. CITY OF COSTA MESA- ER IT� ryryDD // PER IT A'a°Y�Y� " - TRACT NO, LOT NO. BLO I / - - CONSTRUCTION — K 5971 BH 2182 12.00 TL Prolan AddlMs =,0-- J E OF CONSTRUCTION her NEW ❑ ADD -I] ALTERATION Address ❑ REPAIR E) CONVERSION- ❑DEMOLISH- ZONING REGULATIONS ArchiEn9• - Licensed No. 0 OTHER ' - � � DESCRIPTONOF -WORK , wP} - . . - ' •Address - - - ZONE PLNG.'REF. W r ph° 3 IT TYPE OF PERMIT+ - "" - - �v"i�H& Address - f QGRAOING 'O FOUNDAT.pIO�N-O'STRUCTV AAL- SETBACK t> LICENSED CONTRACTOR DECLARATION OTENANT-0 ELECTRICAL APLUMBING. EIMECHANIC ° Y °el provisios 1 charter 9,jcpm- 1 hereby affirm USA 1 am licensed 70001 f the ❑ ' Starting -with action f Division- 3 n Business and ROfessio:d Code, and license IS In IUll ford O fl myy OTXER - REARYARD(TOPJL) -�"+ PROJECT DESCRIPTION' •.. LICBnmCisi IJBOH NO. _ _ _ _ - PKG. SPACE REQ:' PROVIDED 50. FT. Date Signature L��� _ - _ _ _ �. __ BTREET'WIOTN '- PARK -FEE WORK RS: OMPENSATION DECLARATION OCCUPANCY__ CONSTRUCTION TYPE _ I hereby affirm that I have a COLIIICate Of consent to YlHnsure r "Lep VALUATION ZONE ZONING' APPROVED BY -' -DATE I not or. a tope rope tion In cur cert[Fer1e380p. �ACRES SPECIAL CONDITIONS. Lap GPADING LU YDS. - - �z TVPDDfiT Company - CertllledLnpy l3 hereby fYfO15118tl. , (�.,,,. p, - ' ,REMARKS. erlillOd Copy Is filed with the City B°ll°Ina 61vlsYon- IXEMPTION FROM WORKERS' COMPENSATION DECLARATION -I` V TMs seorllessl need not be completed II the permit is for one M1untlrM_ "•• C - E Issued. I that In employ any P rs the work low ne, so as t Dern Is IssuaQ t cennn In y mann r s to become PLOWING - - -I -- - L y ELECTRICAL - �� ' 'PLAN CHECK-- - OrS'der subject [O the WOIMR'CompenHllOn Lawf 01 to the "'___ -r - UAH -Cal � --'� sgpamre _ _ _ _ "BATHTUBS "SHOWERSUYU ---SHOWERS _ --"--- - - - NO y Should °edema NOTICE: I1 aster and Mnq this ?DfLETS URINALS - - - - TRANSFORMGENERATOR --p,pgW_]'-lit TRANSFORMER KW - - - - tf previsions Goor u must IOthe WOIke!'GOmpenNLIOn DIOVI3I0°5 °I the lith COOC: YOY must forthwith Comply With such prowslOns or this permit shall be deemed IJ V ATOPIES DOUBLE LAYS- -- - - ApPLIgNCE 1pSo KW_50w1KW' '• revoked.- I ______ __ KIT, SINKS- - DISHWASHERS' - .. .. .. _ MOTORS -- 0-1 HP- 1-1 O'HP •• - - CONSTRUCTION LENDING AGENCY arilm work for re lshichconstruction sorman[a SERVICE SINKS .a +p•SVMPS - M " dIN0.50LARl -1050 NP 50.+HE,t - e w this Permit Nl issued 3097 of the "FCOOR"SINKS" -'FLOORDRAINS"' -"'^' FIXTURES^ OUTLETS SWITCHESs.. Day.'0.1• - "" "'- "-" -"" "' """ Len_d_e_r'a Namo '- DRINKING' FOUNTAINS -- '' - 1 IGNS- 'GA$TUBE SIGNS-- --' OWNER UILHS OWNER OWNERBUILOEflDECexemptON INTERCEPTORS"_ CLHRIFIEPS�-�- POLE LIGHTS-- - - - - - Illrmeasn(Se exempt from 1he YLiessio Law for ..5yy1MMINO'POOL - -PTRAP - ' thereby the fOl 701.5tudnnlrand co (Section requires Rut in N and Pconstruc, ty or which SAW, Strucs a permit to construct, altar, ve: o LE METERED UB"_ WATER SERVICE'" - gITERATION --^ - bgNELg- -- --MwIN SVB t IAnymp n Dr- any structure, prior Improve: y for ne Statement,alHia. pulros ap.lisa for to tile a SIgtra StatementIlhe . Cyg55ERVICE OUTLETS SERVICE - - - � � -AMP , - sed NODUant he -p ovislo of the Conlracto Of 70001 of Division 3 1 the (commencing ISIon 3 the ChaDler (come ncing with Section WATERHEATERS - --BTU OUTPUT RCIltensed9 6 n e) r that- sfo and pdett oro da) or that -Me It enemy[ therefrom add the basis for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS ---1 _- s applicntmore far iitllSdSubjects the to a -CNA Penalty O( queer s (f 50011pnt SOLAR TANK------COLLECTOflS " - - , _ - —_ I I 11 wowner of the proul Or My One Ployeet'wllh wages a§'Irelr' tlp Ins d tbI B not intend" Sole Cmit Hl)On, will work structure Or (4q-7pea Business and Fofmal Cetle'Tini "$OCAR PIPING SYS.` Q' ISSUE FEE='•f0.zv- - Conlratlers Li La d not pplY to an owner OI property who 6URIA or Improves' thereon, nd ho QOM such work himself Of issue FEE " "" •- -- "' ;APPLICATION APPROVED BYE: -DATE - tbiough his own loyees, Provided that Such ImV vement5 are not MECHANICAL--' PLAH ellEeii - Y FEE - SUMMARY OF 5 - Intended or peered for Sale It However the bUltdrrgn or Improvement Is sold within one ye r f Completion. the owner will nava the burden _ -' BUILDING ip `f f Proving he rid eat build Improve tow the purpose 1 le). HEATING SYSTEM 0- 100000 BTU f PERMIT E SMTP Q.I! 5-OWmU.Of the Ompirb.-am exclusively Cotrading with. ANDOUCTING - - 4 I mnifadon to the project (SU"nUection 7040, Businav 160,600,+ BTU ipLAN CHECK f and Prtl antl n3 he Compound's le Law tln. CDmds j�� a ,PERMIT ISSUANCE ' -1 or I proves or Improves [hereon, and rsua DI party who and whowon- caner of property os REFRIGERATION 0-]00,000 BTU ePLUMBING b . t as with nine[or15) IleeSned pursuant to- from projects with t 10 trach Ilam sues Deo tracts uch SYSTEM I _ 'PLAN GRADING fir the Contractor's L Hction lOp,WpU ETU [HECK under reason CXemD['under XOlOn- - B.6 P. C; this gO1LEfl5 BTU - ELECTRICAL §' $ I -- E- '- _ _ SYSTEM REPAIq, ALTERATION 1 ' PLAN ,$ ]MECHANICAL MICROFFEE TOTAL FEE§ $ Cuts Own*r IPOFOY certhythat l havve read this aPPRICSIOn and State that the above EXHAUST SYSTEM MULTIPLE MECHANICAL-,$ -f - - LESS AD- InlOfmatlOn Is r a&, 'I agr(� to Comply with all city and wu lIf o ala to hereby 'PLANCNELK"E --VANCE PC Ordlnan[ese - Is atlllg construction, and nth rise ISOIMematl City'tO-Sntel upon 'th0So=[ tl If property r Ifo P � I _ $Ignal _ I FINAL GEE §/�_�!.LL Drivers' Licenie piss 8 ISSUE FEE- -_ _ .. - . . _ CMF 0865 46 White Building; Canar - coun[Inq: Goldemod-AMANI J CONSTRUCTION AND PLANNINGPOOL& APPROVALS Permit #L° Date - SPA Inspector APPROVALS - Permit # Date Inspector _ 1. _ Temporary Electrical Service or Pole 43. Pool &Equipment Location -- -- - _ SoilPipe-Undrgrn ". - - - 44. Steel Reinforcement - - - - - - - - 3.-- Electrical.Conduit Utility-Undrgrn. _ _ _ 45! Forms- - 4. -Electrical Conduit-Undrgrn _ - - - _ 46. Electrical Bonding_. - -- - - . _ tee Reinforce 47. Rough Plumbin' & Pressure Test - - - - --• - - _ 6. Electrical USER Grn - - _ - 48. APPROVALTO COVER-GUNITE --' _ 7. _ Footings. 49. Electrical Conduit -Undr rn, 8. - Foundation - --- _ - . _ 50. •. Gas Pipe, ❑ Undr rn, Test -' - 9. -Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ ndr_ rn - - - - 10.. -Structural Floor System 52. APPROVALTO DECK ,. 11. Property Sewer Line & House -Connection - 53.- -Backwash& Receptor -Final -12. Street Sewer Connection- - -- - - - 54r Heater &Vent -Final s •, 13. Rough Plumbing 55, Plumbingstem- - - - 14. Rough Electric -Conduit - - -- 56. Electrical -Final - 15. Rough Electric -Wiring - - - 57. Solar System -Final - - - - - - 16. Rough Heating & Air Conditioning - - - -encing•& Access Approval - - 17. Ducts in Structure- - - - APPROVED FOR PLASTERING ' 18. 19. -20- Ducts, Ventilating Gas Pipe -Rough &Test - - - -Roof Framing - - -- - - - -- - - 60.- - - -� POOL/SPA.SYSTEMS_F,INAL• . - - - 21. 22. Roof Sheattiin Frame and Flashing - - - - NOTES: 23. Insulation - - - - -- - - - - " - 24. Lathing & Siding -- - - - - -- - - - - - -- - - - -- - ' 25. Drywall Nailing - - - - - -- - _ 1 26: - -Plaster Brown Coat 27. Electrical Power Meter -Final - -- - -- - - - - -- - 28. Final Electric -- - - - - -- - - - - - - - - - - - 29. FinalHeating & Air Conditioning -- - - - - -- -- -- 30. Final Gas Pipe -Test - - - -- -- - .-31. - Finals Plumbing 32... Water Service -Final 33.• Gas Service -Final- - - - -- - ' 1 34. Solar Domestic -Final _ 35. stem --1 Landscape Sprinkling System -- 1 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 nn In All spaces except those within heavy border lines and sign all appropriate declaration: CITY, OF COSTA MESA COASTFATION PERMIT , .. - PERMIT Nqq11 - 'oE) I 'TRACT NO. LOT NO. BLDG. NO. - - - -. - - - - Project Arldreu ,M ADPIi®ht's Myiling Atltlru -"�/ Top�Q'IOFCONSTRUCTION- LJ NEW 2Y ADO ALTERATION LJREPAIR LJ CONV ERSION'D DEMOLISH El OTHER- p,p;#, - Zone" - S Main Building:: Accessory Building: Z Owneis Nama gatIL�PM1ene Address- ArtM1iEng. / _ Licence NO. Address .. DESCRIPTIONOF WORK i - TYPE OF PERMIT cRADlrvc'I"kqqO FOUNDATION $TR VCTV RAL ❑ TENANT 0 ELECTRICAL ay, PLUMBING ❑ MECHANICAL ❑ OTHER - - PROJECT DESCRIPTION 50. FT.' OCCUPANCY— CONSTRUCTION TYPE-VAWATION$ ZONE GRADING LIL YDS. 'ACRE E T _ Front' O N B A Bear I N C Right 1 - G pry¢" i+- $ S Contrac'a Na M1 / Addrea (m - ��.PQ L11 9 Tale CJ Moa. 9a $d4 City Lican � A K $ r - L=et R E Ping gee �,! Park Fears $ u Remarks: Parking RNI.IProvided ' - I LICENSED CONTRACTOR DECLARATION I hereby6 afflrm the m licensed under provisions Of charter 9 (Commencing With Se¢ tion 7000) o1 Division 3 of the Business and Proscalom Code, and Use Oi Building: g: R E y license Is In fel force and 'Affect u Class -3N LI eme Na •55 Q PLUMBING FEES I _ Planning Notes: M E Signature -¢yM�s`�y^. YORKERS COMPENSATION DECLARATION any art tot I haven certificate of Consent to self Insure are certificate f Worker C penaron-1 tined COPY tin f {SeCtIliml z Bar Sink Showers : N T Backflow Preventer _I Service Sink { S S k0o Irrigation - BarCap = ELECTRICAL FEES 3e9D, Lab c .�r - poFcy No bih.j-4i3.7Sgip- L pn• -kp. ,tMnJl� 11:, ❑ Fortified COPY is hereby furnished. f ¢1 Certff�e yyy tl with theTy @@yyyy 99,, Ivlz�lVR�� �' lt1 Date�13: Apl n1J]n'z�-L�w dh'W� l' Bathtubs - sewer Connedon A Somatic Washer 'Transformer ❑ 15750 KW '.(u uruct on pale Sub.❑50+KW Clarifiers Solar Collectors p[nss0sher -' Soler piping - -- -' Causing U t Med ❑up to 100 amp - -i `EXEMPTION FROMWORKERS COMPENSATION DECI-eldiATIDN ) fezhls Section need not be completed lithe permit Is furl One nand d SIDO) I Ell n im[ III, o / c( perm ' a d- Performance an manner f4YwhiC bac nark e I ampleri Y parson y ma n pe bl c[ tar tine shall comve orlon aces of Oa111ornle ear prink Fountains n9 SolarTank Dishwasher Meter Dover 100 amps p " Floor Drains' Swimming Pool w/5pe pryers ElGds ❑E1eRric Sub Panel note $...... Floor Sinks Urilal - _ Fun _ Moiors❑61 UP C31 - - -- - - - NOTICE: IfJaIlR making this dociaration. You would become subject to. the CWorkers Compensation provisions f the Labor scode; you must forthwith e ply- th' such provisions r this Permit nH1 be deemed revoked. Gas Serving Outlets- .Water Closet, , � _' - F.A.U. i Inc. Solar ❑9.15 HP 1116-15+ ' CONSTRUCTION LENDING.:AGENCY - ptOra: Water Heale � Fixtures ''MicrOV2ve ' Iherebya111 tolfrom sia construction 1nd19agency for theperformancef of the w0 k f - which' thispermit [ s a (Yt"a, 3097 Dr. O.)" uneers ry / Kitchen Si—E - - Water Service Oavkce Boxes Pole.Ligm Lenders Aee a♦ OWNER BUIIOE R DECLARATION 7 - M1ereby ani zm roar 1 ampt lrom Ina Contractor's U eine pw l otto Colun Wlpg ($¢ [I J031.5 Bu[10955 ind PrOlesslonal C ee• Any u [y of [y nIn p pemt^o GanstNct,al[Br Improve, aemallsM1 or repair ny strut p t ¢ - sz IZO redulres rite appllcanl lrr such permit 10 1118 d-51g0ea slatem0m Im[ M1¢/6n¢ le Ilc¢nRa puiSUant to ibe piny slops YI -e Contractors ucenx uw {¢hooter 9 {commennnoq with sedmn vDe1 of vislOn'3.Oe Ih¢ Basin¢u d, FY011szlon5 COO¢) tne['ne/she Is p1 turadmries. l _ j Outlets Range P -Trap - Stitches - Bign 1 hoof Drains _ - - Garbage OLSO al Sdntling Sections -- Generator ❑05 KW 13&15 KW Tough Compactor <r¢hOfil dad tna ba515 bY[ne allegetl eiempNon. My'v101atlnn:of 58Cliff )0315 y ppRrant for a permG'auoleees the appucant to civil �emny elinin more man nye nunerep dolga psool. Ll 1„as owner a1 tna pro etSy ;Or v e payees Conn w jeI pnoor sa m�enadon Cool do the k, andiba stmc[ur¢ iz OI 'mtondcJ Oer¢p far le tSecl;On yDtt, Business ane wofasslOnei Coae:' Tne' Contractor's LiCOOa LBW d085 001 appuC 1080 OWO¢r Of a properly WIIO brllas or Impmuxs Ih¢pBOn,� d'WIIO goes h work himsBlf/M1erull dp through M1is or M1er own ampley proviaea that sucnl Provemenls are ort InlanOeO or oMerea for s 1e. 1f, however, the buOOm rnimprrvemenl 1s sola wlNln one year of coin- vlet�On, the ow ear Cola nave zine burden of proving ne/she aid not euiie or i - �o mane Purpox of sael. _ m 1, as Owner Of the a roj car xdualvely contracting Rn 1lurise0 con- had toont mmtruL tee paroled IaRstlnon spot anesos ane P Resin tlion Fre w .$25 Issue Fee $ 3 1 fleinspeaion Fee $25 laud Fa 1 $'3 - r MECHANICAL FEES Sells PUBLIC SERVICES REQUIREMENTS: Zoning Approved By out Applimtien ApProvetl By -`� Data Application 1 ued B - e T Det ApPi a Y BplOp= HOOd or Typ¢ ❑ ” - Canopy Type II' ❑ Duct -Under Ground Duct Structural rNa V Refrigeration B sdm ❑0100,000BTU ❑100000 RT{I Duct- Ventilann 9 ,SUMMARY OF FEES Cr to M. pro ert who MI Contractor's Cher uw a t apps to n oar Lprwith a who dwms lir improves thereon, and who ontrac[ for h projects with a con- tractorys)1lcenu pursuant to the COntrpdor's lice Law). ❑Tem exempt antler Section 0.6 P. O. mrtmsreason Exhaust SVstem ❑ Multiple ❑ - System RapairlAlieration BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK $ I MICROFILM $ MECHANICAL $ TOTAL FEE $ PLAN CHECK $ FireDliFect. Bit. ICBG# Date Owner - I 1 norm AY' cerNY that i sem r as this pplicattioc na tate teat the above InlYr tion correct, q to comply with II city and; Ou tyordl nances and tate laws r taring to agree wng ruction. and pere6V alltholl" repro- aptatives of this city'to enter, n the bove-mardlowd property for nspection pulpdus. to l3 ,F9 Signatua Drivers' uchow lir 55; Heating Syrtem& Ducting ❑0100,000 BTU ❑100,000 BT - Hohossect IIS Fee $g5 ]Baud Foo $ 3 'CMF0865-t6 rev.]/03• White - Building!Canary - Applicant Pink- Accounting; Goldenrod - Assessor - 01 UDU3VZi 830Z3Z1'C•TOT .--•=-do •- CONSTRUCTION AND PLANNINGPO, APPROVALS Permit# Data Inspector SPA APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Poler. _ 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. _ ':�{CAW 53. Steel Reinforcement - . 3.,Electricallco'nduit:Utility-Undrgrnd, 54. _Forms ,.. 4., Electrical Conduit-Undrgrnd. <, �� 55. Electrical Bonding. 5 -Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. ;Electrical UFER Grnd._j.. 57. APPROVAL TO COVER-GUNITE 7..Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation -. ,' 59. Gas Pipe, O,Undrgrnd„ Test 9., at Pipe-Undrgrnd. �I ,1 �' 60. Backwash Lines, P -Trap, O Undrgrnd. } 10. Structural Floor System t 61. 'APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash &Receptor -Final 12. Sewer'Cap - 63. Heater &Vent -Final 13. Roof Drains=' 64. Plumbing System -Final - - 14. Rough Plumbing' ;•,;; 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar'System-Final 116. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 78. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL -19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# .20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas El Oil 23. Gas Pipe-Rtolp'gh & Test - 72. --Underground Flush 24.. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 000 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 �,i 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 48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY. No, - Date F 1 Appilure to fill In ag Spaces aveept those wbmo heavy border lines and sign all appropriate declarations. :Ifi'O F COSTA MESA CO ST U NP MITJ Project Adtlress d S / vERMIr�Nro. E 1 TRACTNO. LOT No. UNiT O. J water Service TYPE OF CONSTRUCTION NEw ADD ALTERATION REPAIR 0 CONVERSION ❑ DEMOLISH 0 OTHER DESCR IPTION OF WORKfUSE OF BLDG. Applicant's Mail! a i Name /• M10 y Switches Sign O A.P. 0Owner Addressy'- - $ 1 B A C K $ Main Bvildi ArcMFlg. License No. Address` TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL ❑ TENANT O ELECTRICAL O PLUMBING ❑ MECHANICAL ❑ OTHER PROIECTOESCHIPTION Sul FT.NOCCUPANCY CONSTRUCTION TYPE VALUATIONS- Front Raar 'f r 1y Contractor's N J'/ Right ' /Q AEdrcs l,mw ivill. nN Lett Fire Dampers City License No_ N LICENSED CONTRACTOR DECLARATION ZONE GRADINGCU.YDS.' ACRES Ping. get. Is Remarks: Planning Notm: 1 hereby affirm that I'am licensed Under Provisions of Charter 9 (commencing with section 70001 of Division 3 Of the Business and ProfOcSiona Cape, and - - car license Is in (P and effect. or wa�7 95929. Issue Fee $ 3 uan Jrise Dale /�-'- f{ i—��—�� PLUMBING FEES' WORKERS' COMPENSATION DECLARATION I hereby affirm that I case a cerurirata or consent to senanmre or a Certificate gar Sink SMOwVs gackllow Revenuer Service Sink Automatic Of w rkmg' Compensation Insunnn, o certified copy thereof (Section 3600, Lab.- C.1- - - -- - Backflow Irrigation Sewer Cap Constructer Policy No. Company Ecanned copy is hereby furnished.. Bathtubs r Sewer Conn n Cooking W Certified COPY is filed With the City Building DIVISiO11. Or APPiKERS' fit Clarifiers Satyr Collectors Dishwasher EXEMPTION FROM WORKERS'COMPENSATION DECLARATION [This wctlOn need not be completes If the permit IS for one hundred (2100] or IecerPerformance- 1 \ileo that In me Persoan the far WDlth iota per//Tyyggject too 1 non not am��ploeevgqssee�1yy�lw�rsas of Ca a9T9mi. s0.ey m Djed to the Dae FYI@" to/i-�� Dishwasher - . Soler Pi PIn9 Dryers ❑f - - 'Drinking Fountains Solar Tank Fan Floor Drains Swimming Pool w/Spa F.A.U. NOTIC : It, after king this declaration, you should became subject to the making this Workers' Compensation proviSiOm of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures rife Seen PrOvISbN ar this permit shall be deemed revoked. 1CT10N LENDING AGENCY Ifbm that tare If a Construction lending agency for the i p m ork far which this Parmlt Ia Issued (Section 3097 Cie. a G.) Name I Date Owner - 6947 2/04/95 7Zian TL Zone Accessory Buildiig: C N R Parking Req./Provided E O M all ELECTRICAL Transformer ❑ 15-50 KIN El 51 KW I Meter ❑up 10100ampz Meter over 100 amps Sub Panel rvMtoiz ❑Ol HP ❑1X.8 Inc. $oMr ❑9-15 HP ❑1G Miuowan Polo LigM1<' FEE II IntercePtore Wter aHeater - outlets Range 13 Kitchen Sink water Service 1gNICAL FEES Switches Sign O Lavatories Auto -Wash I Hood or Type ❑ Canopy Type II ❑ I Garbage Disposal Standing Sections P -Trap Laundry Trays SUMMARY OF FEES BUILDING PERMIT S SMTP IS PLAN CHECK $ PERMIT PLUMBING $ CE E PLAN CHECK 25% $ ENERGY P.C. $ _ 'ELECTRICAL $ S31.SO GRADING S PLAN CHECK 5D% $ LT. ZC_ MICROFILM $ MECHANICAL S TOTALFEE S PLAN CHECK 25% '$ - Generator ❑0.5 KW ❑5.15 KW Trash Corllpaaor tool Drains Reinspection Fee S15 oiler fuel- Under Ground Incl - Structural luct- Ventilating xhaust System ❑ Multiple ❑ =impl&act.BII. ICBOO ]¢sling System B Ducting 7P1O0,000 BTU 0 10.0.000. BT intallve[I Ily t0 pots mper��-i $$$ for b6va meOtl ed p 1 opectlOn pu72 Ignature hive s' U4- ReinepaetianFea $15 0865-46. rely. 10184 White - BUltdingl Canary - Appllontl Pink - AccaunllnV Goldenrod - ASYSSar Issue Fee S 3 - geinsnction Fee 215 Issue Fn $ 3 1gNICAL FEES DEVE LOPMENT SERVICES R EOUIREMENTS: Zoning Approved By Data Building Approved By Date Applicalion Issued By Data Hood or Type ❑ Canopy Type II ❑ Refrigeration System ❑0-100,000BTU 1-1106,00ORTU SUMMARY OF FEES BUILDING PERMIT S SMTP IS PLAN CHECK $ PERMIT PLUMBING $ CE E PLAN CHECK 25% $ ENERGY P.C. $ _ 'ELECTRICAL $ S31.SO GRADING S PLAN CHECK 5D% $ LT. ZC_ MICROFILM $ MECHANICAL S TOTALFEE S PLAN CHECK 25% '$ - System Repair/Alteration Fire Dampers Registers r Issue Fee $ 3 fCONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL .& SPA APPROVALS Permit # � Date - - Inspector i 1. Temporary Electrical Service or Pole '52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. 53. 53. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd. 54. Forms , 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel- Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9.. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final - 13. Roof Drains 64. Plumbing System - Final " 14. Rough Plumbing 65. Electrical -Final' 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring t'V67. Fencing & Access Approval 17. Rough Wiring Sign /I t f5 68. APPROVED FOR PLASTERING - 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas ❑oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final ,3� 80. FOOD CERTIFICATE ISSUED 33, Final Electric 'vr/gam ��j 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 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cc ' 51. CERTIFICATE OF OCCUPANCY No. Date - B-2274- �, Coacm. Bldg. 107,522. 9 /2 K-2 P-2385- ij,jjjYPLBG. (B-2274) Fr2641- 9//6/p- EIEC. (2274) - Unit K-2 _ 3505 Cadillac Avenue UNIT K2 _® B19735INP ALT�� 0, 0 0 - ^ E19793 MISC. S�iv�kS' (K2) - B19735 - P197/52 MIBc. _ m _ M20140 FRIG SYS F/�/�'�- _ K2 CADILIAC AVENUE 3505 ^ Unit K-2 lot 13 B-2274- �, Coacm. Bldg. 107,522. 9 /2 K-2 P-2385- ij,jjjYPLBG. (B-2274) Fr2641- 9//6/p- EIEC. (2274) - Unit K-2 ADPIKA"t to fill In all Spaces within heavy border Ii nag antl sign all approwlale CITY OF COSTA MESA PERM IT NO. "] TRACT NO. LOT NO. BLDG. NO, CONSTRUCTION PERMIT a,'j PN 61-380 13 TYPE OF CONSTRUCTION ❑NEw OAOD ❑ALTERATION OREPAIR 000NVERSION 0DEMOLISH UOTHER DESC R�SP11Q FVORK 0785 I1I801 060+53 ZONING REGULATIONS A'P"3r - 651-13,19,28 Project Address O yp AVE �� Owner C nPelfl a P31" P Phone - Atldrm" 1301 Dove Street 4760 N BCh. ArcmEn9, RivneS-Peters License No. 4285 Address; 109 E. Alton/ Santa Ana (jJ({tJ �- ZONE PLNG. flEF. r A11-1 60 Contractoroltn COTIStLl3C't1CY1 Phon(576-8474 TYPE OF PERMIT \ i ( r' " 13GRADING O FOUNDATION (XTPULTU RAL 0TENANT Q ELECTRICAL OPLUMOING-OMECHANIC YARp EF rill 1 / Address PO Bcoc 388 IgIonterey Park, CA 91754 LICENSED CONTRACTOR' DECLARATION I hereby +Blm tat I am famous under pmwslonz of Charter9 Icon - ❑OTHER RIIGHT " I no with Section JOOO) f DIVISIOn 3 I the Business d R Of OSIIOM and O my license IS In full (Peer8pgy p�1psL, a063Y5 REARYARD(TOP]L) pROJECTO CRIMIDN Johneo Class -'0' License No, SO' FT' 5812 OCCUPANCV�BUCTION TYPE -V-N PKG. SPACE RED. Fj '2 STREETWIDTH ' PROVIDE PARK FEES Dale Signature - WORKERS' COMPENSATION DECLARATION - I hereby affirm that 1 have a Nr4ficale of content to YIfaneue Ore VALUATION 0 J ONE ZONING gPPROV Ep PATE IBGe of Works e" Compen5itlpn insuence, or a Ratified copy GRADINGCU.YDS. ACRES SPECIAL CONFIT ION: II�rO/ISetllOn 3800 Ub, C.1. _ - -T>-vm.Nn. WR1 nn�Of,'! comwny FYmrnJtt Tnsi/=m_ 'IIIledcepYisnefe0yfurnlsnetl. _ REMARKS: GB a[t won me' HOLD FOR SPECIAL REQUIREMENT` TION DECLARATION EXEMPTION FROMCOMPENSATION E%EMpT10N FROM WORKERS' C W - if the PATION forne oaf ae cample[+a if tae permit IS foe ane nuntlrM -� - �SThi 1001 Or11055>.etl [1IIV that n [h:m elOemanc¢ 0/ the work for which t`Is Permit Is Issued i isfiewotkemplooanymembCaliforn iia to became FoodLegalInany fueDate PLUMBING "PLAN CHECK ELECTRICAL PLAN CHECK BATHTUBS SHOWERSSO FT an PT Signature subject NOTICE: If after making this federation. you should berovahms TOILETS - URINALS GENERATOR 0-1 KW Kw of the "barcome W the Workers' ou must -1-10 M deemed /OIwithCOMPl with Such prnsating OWSIOn50r this permit Shallll Ue LAVATORIES DOUBLE LAVE LA " APPLIAEMER C 3050 Kw_ SO+KW 0. KIT. SINKS DISHWASHERS MOTORS OH HP -1-10 HP CONSTRUCTION LENDING AGENCY lendingy Io emanuaofirmthat iianliaC t rkrs is a WMtrch -SERVICESINKS •SUMPS IIN0.SOLARI 'lOdOHP 50¢HP SCt)Ormlt is the 309- f.I•Sr - •FI%TURES. FLOORSINKS '.FLOOR DRAINS., OUTLETS. SWITCHES' Civ. C.). N211$ Fparrcp'Ell - Yander'sName �• Lender's AtltlrCs 60 NC41DDr't C.P.TSYRS DZ'.. N.B. _ DRINKING FOUNTAINS GAS TUBE SIGNS OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS - POLE LIGHTS - I near affirm met I am exempt Bm the Contractors License Law for POOL PTRAP -' nl P Professions Code - the following a (Section 7031.3 0usnt Any Any city o my which requires a Permit to construct. alter, r v POLES !. METERED sue WATER SERVICE - ALTERATION PANELS MAIN - Sue IMFr0 demolish Or repair any illusion, prior ter its 155uenML also e' goes the applicant for such permit to file a signed Statement that he GAS,SERVICE I .OUTLETS SERVICE AMP k licemetl pursuant m the Orovltlons o1 the Contrac[orY LI<Onse law 1Cnapi 9Itdmmentlng wI11P Yctlon J000) of Division l3Of Ynv� HEATERS. _ V OUTPUT WATERJB•T •- sr B^" d Prgessbm CpOv) Or mal M.It exempt Inerelrom antl In➢ /or the allegetl exe pilon: My, viOlallOp of SeCtlon ]031.5 by SEW ER CONNECTIONS - n .t roan nW.nunf.ge non+e tfsorr: ... -U�] I, d5 Owoer Olt[PerprOpErtY. Oe mytOrrlDlOye05 wIl[I wd90e eS,Ih01! SOLAR TANK COLLECTORS ' _ ' s❑ ale compenza[ian� will'Oo ins viork,'antlrthe StruCl0ie I5 naNntanaetl- - '- - •olf¢ied.foridle.(Sec[Ion JOa^o BusinB55 +nP RgotB511oni COO e: T00 iS0lAR PIPING 5Y5. 3 I$$UE FEE " LNante LJw UOn [ DWI tlol a'peOpeOy � ISSUE FEE' - s APPLICATION APPROVED BY DATE Wonllac[ort oto en ho bulltls or imposes (hereon, antl ao s wcn work himself or� lbougn M1IS Own emyylOy�eS, y O ItleP Inel Y O ImpIOWTvati ie not v i.PLAN CHECK OF FEES IntenaW or oHereO to le. Ib However, t O bulltling or Improvement-R-ECNgNICAL Iz sola wu Mn aha yeHr oI <ompaefion, cert wool ww naveune rumen .. -.f p 1 peeving he tlltl. OI Ouiltly r ImOm_va !or IM1e Ourppse o/ Ylel. HEATING°SYSTEM 0100,000 BTU UILINSUMMARY PERMIT G /.SJ SMTP ❑ 1, ai owner of Ins propetly, am xUuslwl 'INcfln ISM1 )04a, A,NO DUCTING SSy1Z ' II Iicenutl ca tra[tofs to wnslrutt [M1e proleCl (SKIIpT, BUSIn¢ss, _ y 100,000 ♦ BTU pLgN CHECK E PERMIT nntl RvOeissoll iwnO lCOtn ISSUANCE E an o props tY who OU Itla o�lim0lOveS IMfBOn �iOtl REFRIGERATION 0300,000 RTU PLUMBING E Irom s Fn prOletts itn a cpnlreslorl5l Ilconetl pursuant to SYSTEM GRADING E sLlcerSe Lawn. 100,000 aeTU--� -•( T PLAN CHECK is 11', am boom ❑ I am exemp under 5estibn B.6 P. G for fM1isBOILERS BTU ELECTRICAL E E SYSTEM REPAIR, �ALTERATION PE NCHECK IS MIC0.0FILNf TOTAL FEES hoten MECHANICAL E herehy cellil In hav, wealth Y ppliOlion and Slat` that the above EXHAUSTSYSTEM MULTIPLE LESS AD- InlGrmallOn IS cL C 1 OmplY Kn all ly and=on[y tP511uCtl PLAN CHECK S -- VANCE PC b_ prtllnanc¢sapa long- on enP M1Bleby Ou[hOtla¢ filer eorasenta I'd f upon the shove enuon¢d pePpertY I I Pat o DP Dasa Sl9na[um FINAL FEE E Drivers' Llcenu ISSUE FEE - LMFOP65.a6 Wnira,nmimnn. r'anarw,an lddne. Nn0.A,d,mm nm Goldenrod-ASNSSOr CONSTRUCTION AND PLANNING�t, APPROVALS Permit # g;L Date Inspector POOL & SPA APPROVALS Permit # Date - Inspector 1. Temporary Electrical Service'or Pole 43. Pool & Equipment Location SoilPipe-Un rgrn -- 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - - >' tee ein orce �A _ _Z _g 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn - - 48. APPROVAL TO COVER-GUNITE _ 7. Footings a_ _ ,.i 49. Electrical Conduit-Undr rn 8. Foundation ,, - 50. Gas Pipe, ❑ Undr rn, Test 9... Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ Undrqrn 10. Structural Floor System s4&6 2- -qa H 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, Plumbona System - Final 14. Rough Electric -Conduit 56. Electrical -Final 15. Rough Electric -Wiring - - 57. Solar System -Final 16. Rough Heating & Air Conditioning bu. Fencing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frame and FlashingG-8-4� ��� `[ ��� NOTES:' 04 e---� ,\ 23. Insulation G -I -Y� / -,30.2 24. Lathing & Sidingwo - /S971, 25. Drywall Nailing q --a:� 'r. S-= �: L.;.,r -c 26. Plaster Brown Coat -18- rJ -u- -' JY 27. Electrical Power Meter -Final s; 1-4 e.¢, eo /e /+J-�- -8 28. Final Electric S s .t d• 3AIX-/6-5A 29. Final Heating & Air Conditioning F 30. Final Gat Pipe -Test -41e a e 31. Final Plumbing al al d 32. Water Service -Final //_ Adw&/y- /6 /o / 33. Gas Service -Final // 34. Solar Domestic=Final S- 0-6L-41 - O 35. Landsca e Sprinkling System G -B- 7, 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed f� 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. -42. -CERTIFICATE OF OCCUPANCY No Date AV City of Costa Mesa �7� Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No.M337 6D� 3o37 P. O. Box 1200 Costa Mesa, California The Building located at 3505 CADILLAC UNIT AK -2 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of Building OFFICE — aMfEiCLAL PHOPOGRAPHY STUDIO Legal Description 139-661-13 (See reverse side for Metes and Bounds) Building Permit No. 1419735 Electrical Permit No. E-19793 Plumbing Permit No. P19752 Mechanical Permit No. 401`11 Art Number of apartments %- and/or guest rooms ISSUED TO: Building Official A61 kr n1TYTN;4F',T.T. ART(IAM PARTVF:RR by iv �/7 (r_ 350x. (`A1)TYTA('. i0-11(1. CY)RM 1vifLRz.F - CA.n � /�, � Date O( /�, This Certificate of Occupancy SHALL BE ported in a conspicuous place on the premise and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White -Owner; Canary . Numerical File; Pink- Bldg. Permit File 1. Applicant t0 fill In all Spaces except than within heavy border Imes and elan alturnh Arte declarations. CITY OF COSTA MESA CO/NSTR IT PERMIT NO, TRACT NO. LOT NO. UNITN Project Address 'TJD�J s-/'rOI�:•s•aft... 1'ayt Z'� �� Applichntb Mailinngg/A�ddir a - TYPE OF CONSTRUCTION 0 NEW 0 ADD LJ ALTERATION U REPAIR Owner's Name L-a'TM]MALA•JG CONY ERSION ❑ DEMOLISH ❑ OTHER A.P. .,6 hone DESCRIPTIO 19 ORK/USE OF BLO. i�LA w7 Q 0 Address 1� P EA Arch/Eng. License No. TYPE DFPERMIT GggOING FOUNDATION STRUCTURAL ddress ❑TENANT ELECTRICAL OPLUMBING MECHANICAL ContractorsNam M1❑OTHER 4ddrimis ' 1 8 a -II'7� PROJECT DESCRIPTION Sa. ET. GccupANcv' Cit License No I CONSTRUCTIONTVPE VALUATIONS City ZONE GRADING CU.VOS. ACRE LICENSED CONTRACTOR OECLARATION IPing. Rel. M 1 hereby affirm that I am licensed under managers of Charter 9 (commencing 1 Remark, I Planninb Name: `insrurance, or asclernned Shape ^� Comp B dt. n the City Bwldr/ 1 J 1W n or Ccontrast en.Dl ildon au f Intl labor_600 must forthwith with u h previsions or of permit ball br deemed revoked, tucnaN LENDING AGENCY - r affirm k t' o m more 1a a construction lending agency for the Performance Which this Permit Is Issued (Section 3097 Clv. C.) Name Address I BUILDER DECLARATION 7894 9/01/85 - - (Bate" P_ 'IDM Accessory Building: Z N I N G • R Parking Req./ProWded - E D M T ex PLUMBING FEES ermit often for 7�epnallY Dl nos Moro O nnflW honored dal tars (35001`ne apPBOnI to a Dol IJ I, ns her I the Vraperb ar my 0hemyeea wire dem theelr s N Omsanyll00 WIII da lM1e rk, a jd Ino SlNctulf Iz ool IOIe000a Iferptl revle Isamnn 7044, Bud loss sae pro'sred a' toad: The cd Imto etry Who ball pr or'5 Lltenr LarW dales net apply to an owner of a pred tlIs or Improves toereon, d ho does 5USh rk 4lmsell 'Ho realOFmroach Ala or oar own w piaY ; Pro load that such Improve mantz are not Intended er olNraa for sato. If, thea , Inc building ter Imorevement IS Sole within oneyear of cam- he we Netlan, In¢ awry will hd'A tna bYrDCO of did ving M1e/She dltl heal bYlld or Im- prove for l ha p W pen Of so 161. - ❑ I, as Pwin al the pre 0orty. am exdusl vela co tracting itIs Ilunsetl con. itsI a 50 ca nR rust l sae A mets Sactincn 7044,BY it near a ne as fmslom Cre: ThC Croacmr 5 License Law Goes t apply to an owner f property deo_ Dui Ids D ImDmvas lbereon, and cane tonlydstz_ fear aY[n plolOsti Wltn e t ' S 3 Bar Sink - showersd ELECTRICAL FEES Backflow Preventer - Service Sink _ Autommic Washer Transformer 155OKW - - Construction Pole Sub. ❑So+Key BackHowirrhation Sewer Cap Bathtubs Sewer Connection Cooking Unit Meter Cup to IN amps Clarifiers ' Solar Collectors Dishwasher Meter Elmer 100 amps _ Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Fan Motors 1201 HP❑1% 8 Floor Drains Swimming Paul w/Spa F.A,U. Inc. Salm ❑g is He ❑1016+ Floor Sinks - Urinal Fixtures M"mrawam Gas Service I Outlets Water Cloaet Device Boxes Pole Light interceptors Water Home Outlets Rmlge Kitchen Sink' Water Service Switches Sign .- - LavatoriesEl Auto -Wash Garbage Disposal I ',Standing Sections P -Trap Laundry Treys Generator 1105 KW 135, 15 KW I I Truth Compactor RelnspeMlon'Fee ermit often for 7�epnallY Dl nos Moro O nnflW honored dal tars (35001`ne apPBOnI to a Dol IJ I, ns her I the Vraperb ar my 0hemyeea wire dem theelr s N Omsanyll00 WIII da lM1e rk, a jd Ino SlNctulf Iz ool IOIe000a Iferptl revle Isamnn 7044, Bud loss sae pro'sred a' toad: The cd Imto etry Who ball pr or'5 Lltenr LarW dales net apply to an owner of a pred tlIs or Improves toereon, d ho does 5USh rk 4lmsell 'Ho realOFmroach Ala or oar own w piaY ; Pro load that such Improve mantz are not Intended er olNraa for sato. If, thea , Inc building ter Imorevement IS Sole within oneyear of cam- he we Netlan, In¢ awry will hd'A tna bYrDCO of did ving M1e/She dltl heal bYlld or Im- prove for l ha p W pen Of so 161. - ❑ I, as Pwin al the pre 0orty. am exdusl vela co tracting itIs Ilunsetl con. itsI a 50 ca nR rust l sae A mets Sactincn 7044,BY it near a ne as fmslom Cre: ThC Croacmr 5 License Law Goes t apply to an owner f property deo_ Dui Ids D ImDmvas lbereon, and cane tonlydstz_ fear aY[n plolOsti Wltn e t ' S 3 ReinzpeRion Fee $15 Imae Fee S 3 MECHANICAL FEE Boiler Hood or Type 1 ❑ Canopy Type I I ❑ �A3�, Duct - Under Glaund Duct- Structural Refrigeration System ❑0100,000 BTU ❑10,000 BTU BUILDING PERMIT Duct -Ventilating $ Exhaust System ❑ Multiple ❑ System R 6pairlAheralion - Dactefos IlanN asISuseI to't he Cont rSador 5 Ucanas La�1. I am a n that pIPOf spec Worker's Compeatatlon Inmrann Would provldCe [O m $I ISSUANCE ❑ 1 am exempt under Section B. d A C" for inns Indian PLAN CHECK 25% - Flmpl/Fact. Bit. ICBO ex Fire Damping ELECTRICAL' Date Owner 1 hereby certify t I'1 cave ms application and state that theBoom anformaton IlsCart l tie ro Ito an sur dna wumv otlnenwa vd nem laws 1 In 1 e I a eucnon•ane Artery authorize pro- Inta[Iwz o t lain ryt0e abov66nenllonee property for spatllen Nam C` 4 Z Heating System S Ducting mQ1BB,B0o BTU ❑100,BBOBT Ragisles .a CLP.9 S IS•OO tn± IOflO MECHANICAL Reiuepetllop Fr $16 Iron Fr $ 3 PLAN CHECK 25% Dgnat Yr° Drivers LlseOse Or SS ¢ CMF 0865-446, rev. 10/84 White . Building: nary - Ap fang Pink - Accounting: Goldenrod - Assessor RelnspeMlon'Fee $15 1 1 INw Fr S 3 DEVELOPMENT SERVICES REQUIREMENTS: Zunirg A"mre By D -•e Building Approved By((yy�� Date Application labeled By— �A3�, p nate T]� SUMMATIY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK - $ PERMIT - PLUMBING $I ISSUANCE $ PLAN CHECK 25% S' ENERGY P.C. $ ELECTRICAL' $ GRADING $ PLAN CHECK SO%$ MICROFILM $. IS•OO tn± IOflO MECHANICAL S TOTALFEE S PLAN CHECK 25% S✓ 0 CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POO V& SPA 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE . 7.. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. *Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19..Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush '- 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil 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 : iy 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations , 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date Applicant to RR m all spaces except thaw within heavy herder line: and syn an 3PPrOw ate aeclargi ar PERMIT NO. T9�cT ND. ND. ural" o. 5807 . 7/01/85 279oh7 TI CITY OF COSTA MESA CON R TI N I ERMITI Z _ 3 FW�dQ.1 f� 7�a- Z Project Address - Applicant' sMailingAddresz TYPE OF CONSTRUCTION NEW AD ALTERATION REPAIR TT OW n¢i S Name hone S `�'�/�` � LONV ERSION ❑ DEMOLISH ❑ OTH=ft q p, rN, �, Zone V y DESCRIPTION OF VYOfl K/USE OF BLDG'. / ;7 Address3AZI ' ^ - $ Main Budding: Accessory Building: - Z Arch/Eng. Licenv NdC TYrrrPrrTIIOFPERMIT GRADwG FOUNDATION STRUCTURAL T Font O' Ad `5 ?Ire O TENANT ELECTRICAL PLUMBING ❑MECHANICAL' B Rear - .he 'OTHER A I Commdor''S Nam bone C Right — - .N Address lma lmgl '�y C� w�v pp�� PROJECT DESCRIPTION SD. FT. OCCUPANCY' K G C[ Lice Not �31Ly[> ; CONSTRUCTICNTVPc .S VAC=ATIONE ZF'D.DOO $ Left Y r 20NE GNADINGCII.YDS. ACREG— fl LICENSED CONTRACTOR DECLARATION q Pn9. ROf. Perking"RGg /PfOVIdOd I n by[,ell"rm that I am licensed Under PrpvlooMS of Chartist 9 (COmm@nding Remarks; Q� 5 , ` I Planni Notes: it Ito tion ]000) Of Division,3 of the B Ines and Prafesslo code, ant - 'T, YI a IS In IOilf d feet 1 Lla/ Iuni•S73 _ . Date � ss 9 PLUMBING' FEES WORNEPS COMPENEAT ;ON DECLARATION Bar Sink Showers ELEC 'FEES' 1 hereby affirm that 1 nave a certificate Of consent to sa f -Insure Or a certificate o1 Workers' Compensation Insurance; or a , errhad copy thereof ISectlor Backflow Preenter " i - Service Bink'" - '- _ - 'Automatic Wdfier Transformer x'15:50 KW -- � Polio, ub. a) _ c V 115O+KW Policy N - Company - BeckflOw lir qat on r $ewer Cep" Construction Pole Sub. .e- 1 eCerlil copy l hereby furnished. Cer[Uretl copy is load with the city Building Division. Bathtubs j Bever Cpnnecedn / Cooking llnllMeter ❑up to tOJamps pate Applitint 1 Clariflen�, r Solar C011¢C[Ors Dishwasher Meter Qwer 100imps EXEMPTION FROM WORKERS' COMPENSATID i DECLARATION _ _ - _ (This r on lied not be tom Plated d \lie permll for nand d (Stop) or Dishwasher $Olen Pip 91 Dryers OG ❑Electric- Sub Panel tlfy that sM1e performance o^ [he I tb a1�)t (( E, I 5WIF not employ n person y n j� Orbe ! I F \ the I Drinking Fo me ns Solar Teak Fan r I Motors ❑Ol He 11 A' 8 r W kis! o ur ldws Of Cillo Ia. 's .D le sgnature s Floor Drains swimming pbervire a F,A.U. tlnc. Sol X915 HP �1515t NOT WE It, after making this declaration you ultl become susbjed [D IhD Workers' Compensation vrovmons. Of the Labe Coda, you mut forthwith . Flour Sinks Fixtures" - Microwave "- amply win u n Pare lona or this permll shall be tlefineo H¢d. .� CONSTRUCTION LENDING AGENCY- G2s$ervice Outlets Water Closet ' DervICe80X0Pole Lotus 1 hereby arlD,m Inst [Went Iy a conlhucNon I¢ntlin9 agency for ln¢ p¢ilOrmance - S I Of tn0 We N IOr nlcn. tnli permll is ssuetl _�Sec[iOn, 300] Clv, C.) Interceptors Water Heater Ou11eU 1 Range - } Lender's Name Leneer•s Adtlnss Kitchen Sink - Water Service , Swilchei Sign OWNEN BUILDER DECLARATION hereby afnrm that am pt from the Co tndur's Lmmsa La:ry fur or Lavatories f - Auto Wash - Garbage Disposal ;Standing Sections rOYOwi W reason ISectlOn )031.5 Buslnes5 and Prafesslonal LOtle: AOy Clre or - Structure hien wgu:ws a pe.mu m construct, alter Implore, demolish De repair P—Trap Laundry Trays Generator 065 KW 11515 KW Trash Compactor truclure, viler m ns luuance. also reeulms the applicant wr wet vermn - ao file a signed slatemont that M1e/slid Is Itonsea purzuanl to Ina provlslans o1 .Root Drains - _ 1 no C0ntractat S Licenx La g^[napter 9 (eommen<Ing wryln Seeellon ]0001 0l — nvlsfon a. ar me euslnan a Pmmulans catle) a lie H pt . adsnerefrom�and Ina bails for tM1a alleged exemptlan. AnY vlola�lOn Of $¢cion 1]031.5 by any pphcant bi 0 o0/mit SVbjeCts Ih¢appllcant [D tell - - nilly DI not mon than Ilw nunENd dollars IES001. $ 3 r d� y as water DI olid orowrly O Y.amploYeH wltM1 wa9ns as fneir Sale Reiespecabon,1" $15 i Issua FOB-- r'," msansa°lian win ao olid ru, and anastrucmre Ismm m aaa O offered _ Reinspection Fee $15 MN FOa $ 3 for le IGabflen ]dao, Busnme an Prevsslonal Code: Tate Contractors MECHANICAL - FEES thereon as saes do eOSU h Won an owner of a property through os ar lher own DEVELOPMENT SEH Vlfa6$ REGUI$EMEPJ75: emereene O' woo does n rk ni nowifeMenhaare D Inmu9n nI5 o/ lire Boiler " HOOd Or Type l' 0 r 1ifC //C-i9�IlsJ plo s ev eltlrh that an immerovemes am not itepdet a offered own 1 - Zenin9 gpprered By F' sum' plat, n' the o eq m0 it have t or usl8n Of IS g he/She di one year Of [tem .. Canopy Tyre 11 ❑ y l 1 proven, the perp WIII have the burOen DI pmvin9 he/She tlld not build Priam.Duct Under Ground r r Building ApprBPod BY L M uoi I(1rOI as owner oPOw of Sale). ttrrlacl{orstu construct therprojec exclusively contracting With licensed con "Duet S[rucWrel Refrigeration System Apprivtion lsslMdlBy ���e1L1.J__�_ project Suras no ]aaa, Businessane Bensons who 130,100,000BTU 0100,000BTU s Tato [Dntnaor's License Law L s not poly to an owner 1 is with a M1e � Duct - Ventilating ' " 'SUMMARY OF FEES 1 builds Improves-Marean, and who contracts for such protects with c - t torn, noose pursuant to the Contractor's um5 u awl. am want meet 'BUILDING PERMIT $ 7TsA SMTP $ Z'a�ra proof sl their Worker's Compensation insurance wUld be OfOVlded tom Exhaust $yetem ❑ Multiple ❑ System Repair/A [¢nliOn fc% ❑'lam away under section B. 6 P. O for Nas reason Fimpl/Fact. Sit, l CBO tis Fire Dampers PLAIN CHECK $ PERMIT 1 .PLUMBING $ ISSUANCE $ Cate owner - "eating SystemISD cong Regulars •' PIAN CHECK 25% $ ENERGY P.C.$ -Thereby \fy IPere-re it hp11C.�11On-antl Slate that to boyo OG100,000'BTU❑100,ODOBT - ' ELECTRICAL $ GRADING $ - a^fOlTatl 1 / �§ ply %7 II city and county ordinances r a tat I / but and ready authorize pre r MICROFILM $ ama0w$ n ci y yp above -mentioned ce t GPLAN'CHELK 50% $ inscealoputs ¢ fav ,�. i MECHANICAL $ TOTALFEE 1$ sgnatur Randall ri Fee $f6' Issue Fee $ 3 PLAN CHECK 25%, S Drivers' Litems Or S CMF 0665-66, rev. 10184 While - 0uildinu Canary - Applicant; Fink - Accounting: Goldenrod - ASHSSOr ,4 CONSTRUCTION AND PLANNING APPROVALS Permit# r Date I Inspector P. , & SPA APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool &-Equipment Location 2. Soil Pipe-Undrgrnd. - - r- 53. Steel Reinforcement ,. 3. Electrical unduit•fhility-Undrqrnd. 54. Forms - 4. Electri'cal?l6nduit-Undrgrnd. 55. Electrical Bonding -.5. Steel Reinforcement - ; 56. Rbugh Plumbing & Pressure Test _ 6. Electrical UFER Grnd. • 57. APPROVALTOCOVER-GUNITE 7. Footings :i ', 58. Electrical Conduit-Undrgrnd. ; 8.' Foundation 59. Gas Pipe, 0 Undrgrnd.,. Test ; 9. Water Pipe-Undrgrnd'.- - 60. Backwash Lines, P -Trap, ❑Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12: Sewer-tapI - 63. Heater &Vent -Final - 13. Roof Drains'" '`� 64. Plumbing System - Final ' 14. RbugH Plumbing I 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. 'Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. lRough Factory Fireplace 21. •Ducts, in Structure 70. Underground Hydro 22. Ducts„Ventilating I 71. Product Piping 0 Gas 0 Oil , 23. Gas Pipe -Rough &,Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank. 0 Gas, 00il 25. Roof Sheathing - 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat r 75. Dry Chemical 27. Frame and Flashing 3r 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. •Insulation 78. FIRE PR EV. FINAL 30. Drywall Nailing f- 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 5 �•�./ S 3 �s- 37. Final Factory Fireplace' 38. Final Plumbing l 39. Water Service -Final i - 40. Gas Service -Final 41. Solar Domestic -Final - 42, Backflow Preventer'- ' 43. Backflow Irrigation 44. ,Landscape Irrigation System , 45. Sound Attenuation - 46. Handicap Regulations 8 17/8, 47. FINAL STRUCTURE & BUILDING s1tRlPr 48. Special Requirements Completed 49. Electric Release to Edison i - - ,50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANC No, 337' Date a - Applicant to rill In an shits except those within heavy border tines and sign an appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT OF y Mn N . C1 NTLI NU. LUI ND. urvl D. IITY �S/,NNR� f�1�-s/f LLQG % /� 3 FEES TYPE OF CONSTRUCTION �kL'aEW ADO ALTERATION REPAIR Applipn['s Mailing Address P•OaA9!A Dfo �XO.@1A�f1 (A. MMgLMS Date Date Dat CONVERSION ❑ DEMOLISH Q OTHER Gwnoi Name Ale YfC%FC CJIL/GNANs plane DESCRI PTION OF WORKIUSE OF BLDG. Address SMIP $ PERMIT ISSUANCE $ ENERGY P.C. S GRADING S MICROFILM $ TOTAL FEE $7.t7r2 —$3 Arch/Eng. License NO. TYPE OF PERMITGRADING 11 FOUNDATION LJ STRUCTURAL Address ❑ rq TENANT Id ELECTRICAL 0OTHER PROJECT DESCRIPTION SG. FT. O PLUMBING O MECHANICAL OCCUPANCY ,, 11 //'' ��-- Contrac101s Nam Fw�Phone 237-Iq-Y OIt Address(mailing) A'�TaX C-Npal4 Cq. CONSTRUCTION TYPE VALUATIONS - Ci LiCPOH No. 3S7 S7 City ZONEGRADINGCU.YOS. ACRES LICENSED CONTRACTOR DECLARATION marks: L3 1`7215"1 1 hereby affirm that 1 am licensed under provisions of Charter 9 (communicate was al 7000) of Distillers 3 Of the Business and PoShoulcu s Code. and my raceme D in lull fares and a do. Ucenre Claf Ce No. Date�ty� Signature PLUMBING FEES WORKERS'COMPENSATION D TION Bar Sink Showers 1 hereby affirm that 1 he,&a path off ff roman t Nodded or a indicate o1 Workers' Compensation InsWara. or a, cert left COPY thereof (Section BBCkfIOW Provender ' Service Sink - 3000. Ua. C.)r Wed 863D37: 3 QLTY P IJµ rvo.1l Company - Becktlow IFrigernon Sewer fro red copy is hereby furnished. LCenfl ❑T eerdfied copy Is filed with the city Building Division.- Bathtubs' Sewer Connection Date Applicant Clarilien - Spiv Collectors EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Trisection need not be completes it the Parrett is for one hundred 15100) or Diih Washer Solar Piping ICertifythe nine hma so to become e Drinking Fountains Sohn Tank tsemplloy nyaPerson any ner as subject to thvel Workers' Compensation Laws of California mmy youn soon Provisions or pull Permits a Canyon around]. CONSTRUCTION LENDING AGENCY - - Gas Service 'Outlets nneby a111rm teat laero Is a Construction lending agency for the performance e1 the work for wnicb this permit is issued (4etion 3097 Clv. CT Intercepters In der's Name Langer's Aedree5 Kitchen Sink OWNER BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's UN nm baw for the L stories following reason (Section 7031.5 Business and Professional care: Any city or county which requires a permit to construct. alter. Improve. demolish or repair P -Trap Is any Structure, pior to Its Issuance, o requires the applicant for sack y l to the a signed Statement that eRM1e Is licensed purWanl to the pmvlslom of Roof Drains the Caniracter's LlcenL law Chapter 9 (commencing with Section 7000) of tthhemlro'm and the basa for the allegedlong exemption. Any violaf that tion of Section - '7031.5 by any applicant for a permit subjects the applicant to a Civil E5of ot more man five hundred dollars ($500). with s t IJ 1. as ownerof the Properly ar MY employees w wages a heir rale ReirepepliOn hep Boiler Duct - Under Ground burin or Improves thereon. and Who contracts,or auto proper with a Dcon ---- - actorOs Ilcens i pursuant to the-Contnaets 'a License Lawl. I am w re that Exhaust Syrians 7their Worker's Compensation insurance should be provldeda to me ❑ J am exempt under Section E. S P, C. tea reason FirepVFect. Bit Date Owner Heating System stem I hereby ulti(Y that I have Rad this application and slate that the above ❑aIDD.DDO BI Swimming How w/Spa Urinal Water Closet Water Heater Water Service Auto Wash S15 Ivue Fea MECHANICAL Hootl ar Typal Canopy Type 11 Refrigeration Sydem oaloD.000 cru ❑ a ❑ Syatem Repair(Alten Fire Oempers Regittvs sgnamre y la'= Drivers' Cin 55 K Reinspection Fee $15 Imre Foe CMF 0865-46. rev. 10/69 WMIe . Bulsoman Canary . Appllgntl Pink - Accounting; Goldenrod - Asseswr S I Left Ping. Ref. sh Automatic Washer Construction Pole Cooking Unit Dishwasher Dryers DGLK ❑ Fen F.A.U. Switches 6317 7/09/05 ELECTRICAL Transformer ❑ 1550 K1 ❑ 50*KW Meter yup fa 100 amps Meter ♦]over loo amps sub Panol /QUA Motors❑D1 HP ii]% -i Inc. Soler 0915 HP ❑ t f Pole Light Standing sections KW Trash Compactor iii TL G R E D M T FEES I S3 painspeclion Fee $15 law Fed 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Inuatl By /111.4 MMgLMS Date Date Dat ' BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 5o% MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ $ s $ S -00 $ /$.OU $ $ SMIP $ PERMIT ISSUANCE $ ENERGY P.C. S GRADING S MICROFILM $ TOTAL FEE $7.t7r2 —$3 ,a ' CONSTRUCTION AND PLANNING APPROVALS Permit;* - Inspector - POOL 6 SPA APPROVALS ,APPROVALS Permit# Date Inspector q • 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 LIFER Grnd. - 57. APPROVAL TO COVER-GUNITE , 7. Footings I 58. Electrical Conduit-Undrgrnd. " 8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System -61. APPROVAL TO DECK 11. Property Sewer Line & House Connection '. 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final .13. Roof Drains 64. Plumbing System - Final ' 14. Rough Plumbing - 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final - 16.' Rough Electric Wiringt �(a.V, 9 7,1R -'� 67. Fencing &Access Approval 17. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceilingb gs .0 `� 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # . 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating .. 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe -Rough & Test - "� 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0Oil ' 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76.• Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing ,HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning ;y - 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace ' 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. bectric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date , ._ I sal licuy DC /e UU Applicant he fill In all spaces within heavy bpreer lines and Iron all CITY OF COSTA MESA P MIT NT RACT NO. LOT NO. BLDG. NO. - CONSTRUCTION PERMIT - :Z /j2Z7y TYPE OF CONSTRUCTION •7e/'A NEW E) ADO EI ALTERATION ❑REPAIR O CONYERSION.J0 DEMOLISH 0987. 7.00 - Project Address 'C GWntt f PII iAddy UOTHER ,A.P. ZONING REGULATIONS Arh ng. License No. DESCRIPTION OF WORK I( ,TYPE OF,PERMIT - - - 'O GRADING ❑-FOUNDATION -I] STRUCTURAL - Q TENANT O ELECTRICAL4ipLUMBING OMECHANIC ZONE BUISETLDING c T. _ IPLNGa. gRpEF�`.o#"�qG - "1 - - gDPEHTYLI NE '• /Wtlres[ a nn ddress - • - LICENSED -CONTRACTOR DECLARATION 1 hereby Affirm tnCLl 1 am licensed der provisions OI OMHOP 9 (Com- - - -Willi ' ❑ mencing- IM Iron- 1000)- of Division 3 - f the Business and OTKER- - - - -YARD NOIBSSIYM COJe. O If c I5 In lull forte n7 �gls �SeC (PROJECT NEAR LTO P/LI DESCRIPTION _ _ U4n Clas UCes N J 90. FT. I r _ -PKC: SPACE REO STREET WIOTN PROVIDED PARK FEES I a //J/' WORKERS'COMPENSATION DELLA ATION OCCUPANCY -CONSTRUCTIONTYPE "DATE certificate a I hereby atoll tM1 t I n of consent t uj14 o VAINATION - ZONE ZO N I NG APP ROVED BY UN11eGte h WI Compensation. In c G dlfl•d-Go y. -_ - ofSeR 0.Le C) GRAOING CU (YDS ACRES •EPEtlgL[ONDITION$ y No.�i%TCampanY - ` _ rtilled Copy is n rebY.fumIOdFREMARN5.6 Lerthhod copy 15 stied with the City Building O a _ I • _ XEMPTIDN"FRDrA WORKERS' COMPENSATION DECLARATION (This Section need gnat be CampleleO_Il the Permit Is for one hundred v -nt - f 1$100] or leo)^ L5C01111Y.tnat I perbrminCe 01 the work to M h t51s corm t IS ahe Issued. 1 Shall n t employ any Person In any ma a to oecd PLUMBING Pi CHECK ' • I '"� - ELECTRICAL - - PLAN'CHECK ' S Ole[t to the Workeri_C mMnUtlon Uws Of LII[ Ie - _ _F_ _ _ BATHTUBS - SHOWERS i _ __ -' _ _ _ _ qQ FT ' I I Date 4gnature d become-sublect NOTICE: If aster Frisking this deClaratl0n. Y on should .TOILETS d c URINALS- -" -- - -GENERATOR 'TRANSFORER M 0d KW_1-10 KW - LI to the Worker' Compensation provisions al the Labor Code. you must - • .• forthwith M1 comply with Such o6vidl a! this pelmit Shall DO de3med LAVATORIES DODBCE'LAVS _ _ 'iAp L1ANCE" - '1050 KW 50 s KW' CONSTRUCTION LENDING AGENCY "KIT'$INK$- "�"DISHWASHERS - MOTO q$ -0-1 HP_ld0"HP " I- hereby affirm that there is a construction Fending agency for the lel- lormance of the work for Which 1Mt permit Is Issued {Section 3097 SERVICE SINKS SUMPS- ArSi ' - JIINC-SOLARI 1050NP50-a-Who - =1- Cher CA- '•' - FLOORSINKS'- FLOOR -DRAINS' "j- 'FIXTURES-" OUTLETS - SWITCHES'-- Lan_der's Name ___ _ _ __ _ __ _ _ Lenders Address ' " DRINKING FOUNTAINS ' "-' " GASTVBESIONS --`- INTERCEPTORS' INTERCEPTORS - -CLARIFIERS - - -POLE LIGHTS -' '--- - O HERR BUILDEECLARATIhemthe affirm thdt(Dameapmpt CON License Law for SWIMMING POOL- PTRAP -' - -' - POLES METERED SUB - - the -following reason I5acton 7031.5 Buslnessa d Rol¢sslom CWm Any city or d[Y which requires a permit to construct. alter. -WATER SERVICE- ALTERATION- - "PANELS MAIN' Sun p ssuence. also - Improver;demOlbh'Or repair any structure. prior' to lla9m the mr.11Gat far such permit to file a Signed statement that he -licensed GAS SERVICE— -- OUTLETS - SERVICE - --- - - - -- -AMP - IFes s -pursuant to the provisions Of the Con[ractorb UpOme L w FChapplcommencing ommencing Im o Section 70001 f Division 3 f the WATER HEATERS '- BTU OUTPUTfor _ - aer or that he beautiful thmefromand the and saoaasions Caleged the yyda) ny appTleCiat Ifor' a Farm tt subjects the -applicant of tO-a sIv110-wrialY -SEWER'CD06�RCN5"- -' -"- - - o.nol r than live hundred dollars ($500). SOLAR TANK- COLLECTORS' - ❑ I. as Owner OF the Properly. or my employees with wages dt thirty Sole COmpensatlnn„will do the work. and the Structure IS net Intended ” Or offered for sale. (Section 7044, Buslness Intl Profession% Code: The 'SOLAR PIPING SYS - - "j^ ` :\ ISSUE PEE ' -- - -- r f a Property Contractor's conse does out apply [ w o LJ ,Law Who bulls or Improves thereon, antl Who does such work himself or ISSUE FEE -APPLICATION APPLICATION APPROVED BY DATE' - - through his own employee[., provided that such Improvements are not MECHANICAL PLAIN CHECK. -BUILDING- SUMMA qY OF FEES •( Impment' Intended r for sale. IY. Iwwover, the Dulldin9 rove offered 15 told within One avif completion, the owner will have the b on -be -the -purpose 1 pang did nal build r improve tar of ale). HEATING SYSTEM o•IOO.00D BTU ol.the- m MdYsl•nly. wn[ncllnq. with ❑ 1 -a5 Owner property, i - t PERMIT - - - licensed contractors taconstruct the Project I5echon 7044. Business AND OUCTING- IOOA00 r BTU ) 'PLANCHECK S PERMIT d-Mof6Qons-CotlO: The Contractor's 1.140110 Law 6009 not BpOIY to p ISSUANCE-• 3 an Owner f OFOXDY who builds Or Improves thereon, and who run- REFRIGERATION 0-100.000 BTV (PLUMBING i 1I 14 haclsmfrom such-Projectsit h� a contractor(sunc•sned Pursuant to SYSTEM-- - - - - -E - GRADING'[.' the Caracter'S License law). iBo,000li BTU- ;PLANCHECK ❑ I'am exempt under Section B.6 P. C. for 1015BOILERS BTU i ELECTRICAL 'S r n SYSTEM REPAIR. ALTERATION - PLAN CHECK i MICROFILM E - TOTAL FEE b- Date Owner' Ihereby "it ifylhllhwas this application and state FN[ the above EXHAUST SYSTEM MULTIPLE MECHArvFCAL; LESS AD - ead In IS confess: I - agree to spry Ili all city and county PLAN CHECK -E- - - - -VANLE pC 2_ - 1 3itiOn elw OrdnenttsaO statelaws relal1 aboveby eOtnollc0 I' I, , the ROr¢xnfall P city f0 ler u the above met neo t o enter 'upon - •' ortY 1 F c o his. 1 SlgoatY .. FINAL FEE S� Dllver5' ¢me Or S$ # -ISSUE FEE CMF 086546 White -Building; CanartiAPPlitan4 punk-Aeashiling: GoldenrodAssessor CONSTRUCTION AND,PLANNING APPROVALS Permit# �Date POOL & SPA t- 1 , Inspector APPROVALS Permit_# l Date Inspector 1. __ Temporary Electrical Service or Pole _ 43. Pool & Equipment Location - -- - - -- - - SoilPipe-Undfgm _ _ 44. Steel Reinforcement - - - -- --- - - - - - ---• --- _ 3._ Electrical Conduit Utility:Undrgrn, 45. Forms - - •- - 4. Electrical Conduit-Undrgrn- _ 46." Electrical Bonding5. -- - - -- - Steel einorce 47. Rough Plumb in & Pressure Test- - . 6. Electrical- LIFER Grn _ _ _ _ _ •48. _ APPROVAL TO COVER-GUNITE---- - -- - - -- - 7.- _Footings_ _ _ _-_ I 49. Electrical Conduit-Undr rn _ 8. Foundation _". _ 50.,, Gas Pipe, ❑ Undr rn, Test -9...Water_Pipe-Undrgrn. 51. Backwash Lines P-Trap.Q rTd-rrn - - ---'- ' 10.. Structural'Floor System, 52. APPROVAL TO DECK • 11. Property Sewer. Line &.House Connection_. 53. Backwash & Receptor -Final' - 12. _Street Sewer Connection- - .f_- _ 54.. Heater & Vent -Final. J3. ,Rough Plumbing - _ djg, - -- '- -- - 14. Rough Electric -Conduit `' -- - -- - - - - -56. - Electrical -Final 15.' Rough Electric -Wiring - -- - - - - -- - - 57-- -Solar System -Final 16. Rough Heating & Air Conditioning btl. - Fencing & Access Approval 17. Ducts in Structure I APPROVED FOR PLASTERING ' 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test _ Roof Framing- _ _.60. POOL/SPA SYSTEMS FINAL 21. 22> Roof Sheathing- - - 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 ' '- r 1 35. Landsca e 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 11 Applicant 10 fill In all spaces within heavy border liner and nE n all HiPmOrlatoaeclaaliom. 1DTI of I l ion CITY OF COSTA MESA PEfLWIT NO. / CONSTRUCTION PERMIT TRACT NO. LOT NO. BLDG. NO, TYPE OF CONSTRUCTION WNEW ❑ADD ❑ALTERATION 11 REPAIR OCONVERSION ❑DEMOLISH ❑OTHER -" P. 901a1.1 8'cbg_ /� VAII ZONING REGULATIONS Project Address 9i0 S CRD/LLAC d0ye, GWnX egirill jCIA JI jJ /j PM1Oae -fi/ Addren O VSr- SU. %e(f _ B- 'AICWEnq. Liceme Na. DESCRIPTION OF WORK A.P.g ZONE PLNG.REF.yp AtltlreW L S- CAnlaelor W O94,d7C. Phone. O TYPE OF PERMIT 0GRADING EI FOUNDATION ❑STRUCTURAL ❑ TENANT ].ELECTRICAL OPLUMBING OMECHANIC B OTHER PROJECT DESCRIPTION 50. FT. OCCUPANCY—CONSTRUCTION TYPE VALUATION ZONE L SETS YARD 55Ip [[ yA RIGHT REAR YARD TO P(L) PKG, SPACE REO. STREET WIDTH ZONING gPPgOVED BY TO 9611 1 PROPENTY LINE PROVIDED PARK FEES GATE AEtlress Z, & /(p TN E6, 1 S LICENSED CONTRACTOR DECLARATION at 1 am Lesotho der provisions Of Charter 9 team- m fast a 1 hormy albu menelnq with section 70001 f Division 3 1 the S uslneesand Prolesggns Cgtle, and my license IS In full faro and sulact. Llrense 7t -+l lassUcena g i:LQW IT. s WORKERS' COMPENSATION OECLAR i n py alfuno that l haw a uNilleala al nunataselHnsum�a rertificate of Workers' Compensation Insurance, r Certified py St Needon �y80/fCa� .Comp!nYr���ANr GRADINGCU.YOS. ACRES SPECIAL CONDITIONS: Certified copy is hereby minister O Certified copy Is RLW with the City Building Dlvlelo^. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION REMARKS: 4%-7,27Y .� - This section need not be completed If the permit Is for one hundred (ECB oily tM1a151n the m performance of the work for whits this permlt IS suujeel I Shelf the not employ any perso uveas y manner so as to became PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK BATHTUBS SHOWERS SO.FIL go FT_ Date Signature NOTICE: If after ma- Cars king this deClaration, Ou Should become subject to in& forthwith comply wH M1 Sucture h PrProvisionsMust viSkssm Or this permit Shuabor t be deemed Oked. CONSTRUCTION LENDING AGENCY TOILETS URINALS LAVATORIES OOUBLELAV$ GENERATOR 0-1 KW_ 1-10 KW APPLIANCEOU 10-5n Kei+KW 10-50 KIT. SINKS DISHWASHERS MOTORS 0-1 HP -1-10 HP I hereby affirm that ththe workere is aC^nlMictiopern lending Issuedagency w 34g] SERVICE SINKS SUMPS (INC. SOLAR) 10.50 HP 50+HP FLOOR SINKS FLOOR DRAINS Ir FIXTURES 'L OVTLET$ &SWITCHES Cie. C.). p. 1nds Name - I 2er _ _ .f rme l/S Addres �^ -, - ^ - DRINKING IOUNTAIII GAS TUBE SIGNS IOWNEVp BUILDER UIL that IDam exempt ECLAARAT!Orem the ConladorY License Law for the following red (Section 7031.5 Business and ProlessloR Cvel Any city o county which requires a permit to Construct, alter. Improw, demso.olish at repair any structure, prior to iSignedts lasmome, alsthato re- is liceuires nsed magrat nl torShe P permitno NSIOns of It* 0t the Contrra ttory Ucame Law Iapter 9 (Commencing with Sectfan 9000) of Division a Of the M INTERCEPTORS CLARIFIERS POLE LIGHTS SWIMMING POOL PTRAP POLES METERED WATER SERV ICE ALTERATION - PANELS MAIN SUB -' GAS SERVICE OUTLETS _ SERVICE E AM WATER HEATERS BTU OUTPUT Penn 1 d prufesanss ode) or that no IS aria aYt therefrom and the r0lne alleged adsorption. Any Nolatlon 1 Section 1031.5 by B00�10 fit for Permit subjects the applicant to civil penally not a than nw hundrdonate (Ssoo). O 1, as owner of the Woperty. Or my em hands With wager as their sale Cemmnau0n, Wm do me Work, and til structure Is not Intended or offered for sale. (Section 7044. Business and msims Code: The SEWER CONNECTIONS SOLAR TANK COLLECTORS SOLAR PIPING SYS. ISSUE FEE Contractor's rbulldS ofJomas Law dond l riprorksS thereon, end wdato an ams ued work Of himseelf oe ISSUE FEE APPLICATION APPROVED BY GATE envent& are not idlonCed Or Offered h his Own lour. ySale. If, however, (M1e buildinProvided that Such g Ur ImmoWmlot IS paid WLLeln ane year of completion, the owner VI Of the burden or proving he did no build r ImOmw for the purpose 1 lob Iy Cotractinq with O 1, as owner Of the .properly, am exclusively Iceland contractors to Const fact the Oro Ott (Section )044. Business and %Ofe SiOns COeo: The CenbaCtorY Licana Law Oaks not apply to owner of property who builds or Improves thereon, and who con tracts from Such projects with a Wntractor(s1 Rwanda pdrsWnl l0 the CoriVwnSe Low). MECHANICAL PL0.ry CHECK H EATING SYSTEM 0-100.000 BTV gEATINO ING !00,000+BTU REFRIGERATION 0-100.000 BTU SYSTEMGRADING 100,000'+BTU SUMMARY OF FEES BUILDING y SMTP y PLAN CHECK 3 PERMIT ISSUANCE S PLUMBING y $ PLAN CHECK $ O l am exempt under Settlon B. IS, P. C. far this reason BOILERS BTU SYSTEM REPAIRALTERATION , EXHAUST SYSTEM MULTIPLE (ELECTRICAL' IS IA PN CHECK y MECHANICAL E PLAN CHECK y 3 MICROFILM S 'TOTAL FEE 3 LESS AD. vANCE VC E_ Dale Owner I hereby Certify that l haw read this appllation and Stale that the above information is ordinances and Slate laws(NIatingree lto construttl0n. awith ntl hereby author) aand coup e representallms or this "city l0'enler u n the above mentioned Property for Mir n Ourpo Signal We ate Zkri Crlears' LlCanse or s ISSUE FEE _ FINALFEE S CMF 006546 White-Bullding:Canary-Appllcany Pink-ACCOUr n9: Goldenrod -Assessor CONSTRUCTION AND PLANNING I APPROVALS Permit # `- 4.7.441 Date Inspector' POOL & SPA APPROVALS Permit # Date Inspector _ 1. Temporary Electrical Service or Pole _ _ 43. Pool & Equipment Location - - 2.. _Soil. ipe-Undrgrb'-;; _" _ _ _ _ _ 44. Steel Reinforcement - ' - - 3. Electrical Conduit.Utility-Undrgrn 45. Forms - - - - A. -Electrical-Conduit-Undrgrn.. 46. Electrical Bonding tee em orce 47. Rough Plumbing & Pressure Test -- - - --- - -_-6._. Electrical UFERGrn-___ _-- •48. APP.ROVALT000VER-GUNITE 7. _. Footings _ 49. Electrical Conduit-Undr rn B. -Foundation _ - _. _ . 50. • Gas Pipe, C3 Undr rn, Test 9. Water Pipe-Undrgrn - . 51.. Backwasb Lines P-Tra' -❑ n' rn 10.. Structural Floor System 52. APPROVAL TO DECK- ECK11. 1-1. - Property Sewer Line.& House Connection ' '• .53. Backwash & Receptor -Final 12. ---Straw Sewer Coanectioa_ - - - - - 54. Heater & Vent -Final ' .13... Rough Plumbing - 14. Rough Electric -Conduit - - -''- - 56. Electrical -Final -- 15. Rouph Electric -Wiring _ - 57.- Solar System -Final - ' 16: R ugh Heating & Air Conditioning bU. Fencing & Access Approval 17. Ducts, in Structure 9. APPROVED FOR PLASTERING 18: Ducts Ventilating 60. - .POOL/SPA SYSTEMS FINAL "" - 19. Gas Pfoe•R60gh &Test - ' 20. ,01' Framing _ - -- - - - - - 21 • Roof':heatfiing NOTES: ' 22: Frarr, and Flashing - - - - - - - - - 23• •ir-wldtiorr i c4. t th;l..P& Siding - - C _0 3 _22- 25. DrVA: It . failing 26: Pfuste' B,own Coat - - - - - - 27-'. Etectr.cal Power Meter -Final - - - - -moi G - - • - - 28! -FinaLFleetric 29. Final Heating &"Air Conditioning - - - - - I 30: F nat!Gas Pilte-Test 31. Fnal Plu.nbing - ' - ' 32. -Water Service -Final - - - - - - 33. Gas Service -Final 34. Solar Oo,nestic-'inal 35. landscat i Sprinkling System 36. Sound A,,enuat:on _ 37. Hand�Cap Regulations --- - 38. FINAL STRUC--URE & BUILDING 39. Special Requirements Completed ' ' 40. Electric Release to Edison - 41 . Gas Rele.•se-to Southern California Gas Co. 42, CERTIFICATE OF OCCUPANCY - Nn_ __ Date - Z Applicant to fill n all spaces except those within heavy border lines and sign all appropriate aeglaraaen MIT O, TRACT NO. LOT NO. UNIT NO._ti PV a . ,''y a 6037 7/g3/85 2Gp30 TU CITY.OF,POSTA MESA CONST9UCTIONPERMIT Project Address ��05 C.41) ( LLAa K Z AWlicanl's Mailing Address ore AM %H C(PL /IP. G, /S. Owners Name n 1), 214101 Phone Address TYPE OF CONSTRUCTION NEW ADO ALTERATION El CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORKIUSE OF BLDG. REPAIR A, Zone ya�ae,'�g (1$ing.• Accessory Building. ' AICh/Eng.C License NO.�`/4OQK Address;C t • � �� TYPE OENCINT GRADING FOUNDATION STRUCTURAL ❑TENgNT 11ELECTRICAL 2ILLUUMBING 13 MECHANICAL" O'OTHER PROJECT DESCRIPTION Sq. FT.OCCUPANCv CONSTRUCTION TVPE VALUATIONS ZONE GRADINGCU.YDS. ACRE yA E T. Z p B Rear N ConlSecroriNam PhoO Right I G Addrodabro 'nj A&. L:5 City License NoL a A LICENSED CONTRACTOR DEC" RATION . K $e R PIIg. Ref. •M Palkirg Rlq./Plovidttl E pemaIX3: PIBOOInA NOTA: G M provisions of Charter I ns Code. and 1 With with cane is n lull Of sund on 3 01 tM1e Builnexs cosi Professlon3 Coa4 sine Me cillon 7 that 1 am licensed 3 Of the r ncenx B In Iw}Iorc a crud, A... J1ZZ"rV - Cr. ^ T $ License F' f Lluns .(.5 Dae Off�a aenm .. t»O.fL%��JLdF'U�A(�� PLUMBING FEES For Sink Showing ELECTRICAL FEES INC Rp¢ IS 'COMPENSATION RATO I hereby affirm that I have cart fatale o1 fit to sen -insure or a certificate nackflow Preventer Service Sink Automatic Washer LOndroCSPa P07Suh, Transformer ❑ 15-50KW ' ❑50+Key Of Warkoa' Comprd ration Insurance, or a certified Copy thereof (Section 3800, Lab. C.I entity No. Company - Backflow Irrigation Sewer Cap lad Copies hereby mrniiShi Cerullo Copy II filed wltb me Cltr Building Division. i ., BathWbg $Mer Connection Cooking Unit Meter ❑up to 100 amps Dale ApsellidanWORKERS' EXEMPTctlon FROM WORKER$' COMPENSgTION DECLARATION Clarifiers T 1 �.} �,_ SOkrC warned; Dishwasher Meter Cover l00amps' fTM1lssealon need not be complemd n ma ce•mn Is eon one nuna.ea I$tool or 1 laser. I all no That In,rhoany Performance of manner for as to a(blS�fmSN is t to INued Shall t piny any person n any m as sicca bila m fFe Workers' Ctmpnia[Itn Laws of Gli101pli. , . Dae Signature Dishivesher ¢F F ! J' �(� ' SeWr Piping Dryers []Gag; ❑Electric Sub Panel Drinking Fouvans- Solar Tank a Fen Mesa HP ❑IDiB dqa ins• p ` Swimming Pool w/Spa V lDDI F.A.U. Inc. Soler ❑415 HP ❑11;15+ to the oope making this vi ions f theon. you , Cod . You must 'NOTICE: Compensation workers' Cam pen ileo Provisions al the Labor Code. You must trevoke n comply NST wlCM1 such provisions or [MS Permit Shall a aeem0tl revoked. CONSTRUCTION LEND IN G'AGENCV I f the worm that there iia is Permit s issueding agency forion I30 8BrlCMenG tl the work for wnlGn tM113 DOfmlt Is issued (Xdlen 309J Civ. C.1 Lender's Name , FI$draSinkf' vL^k '" Urinal '(. Fixtures Microwave `dxp'rse'ryice. ,'j1Oul1¢[s Wtt¢fCOiet - - •: Device Boxes Pole Light g Intefcl leis Water HAter ". Outlets flange Water Service Switches Sign Local Address OWNER BUILDER DECLARATION Murray affirm that 1 am pt from Ire Control Llcansr Law for the follawing r andISeCUon']031.5 Business ane In In Coae: An otlIS o Uwnlcn reauiresapermO toconrtrucganer Improve, damoOSM1 repair any aro 5turp, prior tt IB lauan[e, Iso regWr05 tFa apDllcant Ion sato Ver It to Iile a ignOa ilalOment Inat n0/aha IS Ilcenad pw5udnt t0 ono prtvBieez Of need" of with caney in Dw slop n3Cm Incl Buiinisw nOhR01lssfor 1[Otisco Carl the Is hu i000e therefrom and the basis raw She alleged SeempUoe. Any vialanaa 13pCflan Sets SU P Ica any of net morethy nnfiveahund red dOT oll an $50011ho applicant to civil LJmI. afly s owner aI the pr wcerh 0 v a PlOyee3 w110 w totmor solo pensation, w o the rit ananihe stsu'to Is t IniendoC or o9erea im sad ($acllonll]o4a, Bu9ness ane ProfaBional Code: The Contractors Liana aw dots not aPCIV 10 an owner of a property who be nI orImprova3 pbesgo na' Wnd tops 0 work Mm relf/hnonn or tnrougn Dols aar her own OloYas. play ltl ad thatbe Ito prowe menta arenotIntaaoad Spr tl far' saie. IL'naweve r, once bulIddir r Improvvmem Is sola wpis n ane yea r of Com- plot loq tn0 CWna! IIInava tna burden o1 prPhiog Oe/she did not Oil Or im- pro ve I0r tia punpo5e p1 sale 1. ❑ I, a5 owner of the property, am exclusively Contracting with hicansed con- to construct the project Sees llaol]044. Business and Professions Code: The Contractor's LImnSO Lawn apply to an Owner f property wwho builai means thereon, and who Contracts for Such projects With Iaactori1 license pursuant'to the.Contractor's Llmme "i l am ware than LBve1d�R=a � � Aut0�Wa5h Gerona Disposal ; Stabling Sections P—Trp Laundry Trays :'1" Generator E10-5 KW 05l KW Trash compactor paC of Roof Drains fleinelsamion Fee $15 Ia a Fast u S $ geinspedien Fee $15 Isua Fee S 3 MECHANICAL FEES Sign OE VE LOPMENT SERVICE$ REOUIR EMENTS: Zoning APPrwatl By Date Building Approved By DetO Application hareal By.— Det;:D= Boiler HOdd Or Type ❑ Canopy Type H ❑ Duct - Under Ground Duet - Structural Refrigeration System ❑D1ouna BTU ❑100.00 BTU pact � Ventilating SUMMARY OF FEES BUILDING PERMIT $ SMIP $ Exhaust System ❑ Multiple ❑. System RepaifiAlleration proof I their worker's Compensation Insurance Would be PrOv1dl to ❑ lamexempt Under Section S. 4 P. O.Im this reason PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50$ MECHANICAL PLAN CHECK 25% $ PERMIT $ 11,00 ISSUANCE $ S 3 SD ENERGY P.C. S $ GRADING $ $ MICROFILM .$ $ TOTALFEE $ FindAfFact Bit. IC50# Fire Campers Date Owner Heating System & Ducting ❑DIGO.o00 BTU 0100,000101 Regletert 1 hereby Certify that 1 have read this application and state that the above info,S atlon es carr et I agree to ca til I city an county orafnanus andtate peers r g to or. 'a fir Cllon, and hereby aulnorlxe rgpre and g a r; city to Mr t° above-mhereby a p. - mr inspealonp Signature Data odors• er ss � Reinspection Fee �. $15 Issue Fee $ 3 ]MF Oafi& ,rev. 10/84 Whi e - u mg: naryr n4 Pink - Accounting; Goldenrod - ASASSOr / CONSTRUCTION AND PLANNING •APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit# Date Inspector V. Temporary Electrical Service or Pole" -� 52. Pool &Equipment Location 2. Soil Pipe1Undr6rnd. r. [.EQ 53. ,Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms n 4. Electrical Conduit-Undrornd. �, 55. Electrical Bonding 5. Steel Reinfor rcement : 56. Rough Plumbing & Pressure Test r •• 6.'iEle'cthcal LIFER Grnd. `- 57. APPROVAL TO COVER-GUNITE 7'Footings '1- I i 58. Electrical Conduit-Undrgrnd. iq%Ji 8. foundation „ 59. Gas Pipe, 0 Undrgrnd., Test �7 •� 9i Waler,Pipe-Undrgrnd' 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 'i 61. APPROVAL TO DECK I OProperty Sewer Line & House Connection 62. Backwash & Receptor -Final 12..Sewer Ca �, ••� 63. Heater & Vent -Final •'. i� 13. Roof Drains. •'.. r 64. Plumbing System - Final 14. Rough Plumbing ' r () 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final r J6. Rough Electric Wiring F" '67. Fencing & Access Approval 17. Rough Wiring Sign .'::68:"APPROVED FOR PLASTERING 18. 'Rough Electrical -T Bar Ceiling ", 069'�: POOLZSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ',�� t FIRE DEPT. REQUIREMENT APPROVALS Permit# 20. Rough Factory Fireplace' � 21. Ducts, in Structure .` 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe -Rough & Test 72'. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat X75.1 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 .33.1 Final Electric Notes: 3 '� I Heating & Air Conditioning a . _33 't -� I -Test ),r36.r, o Ea nopy 37..F,pa (+Factory Fireplace 38.` Final Plumbing' (,�U 39. Water Service -Final 40. Gas Service -Final - 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison '50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date CADnIAC AVENUE 3505 [hit Irl Lot 17 - B-2275- 9/ia/83- Calm. Bldg. 115,995. Unit L-1 P-2386- g/18/p} PLBG. (B-2275) E-2642- 1 (B-2275) Unit Irl P -448p- 5/,/8j- PLBG. (2 -Roof Drians) Bldg. L _ 3505 Cadillac Avenue UNIT Ll AmG17875 INT ALT $68,000 _ PC15485A Ll -M18216 4 t-grbS HTG #Ll Applicant to fill in an Space$ Within heavy border Bn a ane sign an appropriate declaration. CITY OF COSTA MESA I P MIT - TRACT NO. LOT NO: -BLDj•`-NO. - - - - - - CONSTRUCTION PERMIT I/�.^ / 1 Project Address YPE OF CONSTRUCTION r/�JC//.5:/�/�- L_ 59i2� 8/ 2/82 19 1, DO 11: Dmf 110n¢ ❑ NEW O AOO 0 ALTERATION [� �. - O.REPAIR LI -CONVERSION COEMOLISH �' "• COTHER • _ ZONING REGO LA TIONS- - `AICM1/Elie: - Licensed NO. .. . DESL RIPTION OF WO RK A.R.q{ ' IAdllfi§ -'� _ _ _ - _ - -ZONE- - PLNTG_,RRUEFF. O AM1cn 03/7 TYPE OF PERMIT- - '" '- -^ I "- pi�_g1,Gr - "' 1ROWII ACOrpS - - - - OO'GRADING- - ❑' FDVNOATION •� STRUCTURAL RAL SETBACK LINE Yq RD+•-- - - - LICENSED CONTRACTOR DECLARATION - . O TENANT -O EL ECT RICAL.OPLUMBING. CMECHANIC II hereby illbm tM1a 1 am II¢nse0 ntler pmvlsl ens a1 Chart¢r 91com-. uOIN310 .q • 'T Irq-wnh [Ien.J000)_oi .3 I _the. eralness'anp-' OIOTHER Pfale ION COgt� mY IIC<me IS In lull lone antl 1< 'REAR YARD HTO P/LI-- - I� PROJECT DESCRIPTION `- -L1 Clhs A '-PKC. SPACE REQ. - --" PROVIDED, De[-!� 519nature� 1 - $Q FT- -"PARK WORKEKS:COMPENSATION DECLARATION �'• OCCUPANCYIy:'- CONSTRUCTIONTYPE �STREET'WIDTH FEET I h by a111 tn't baW d [BNr11Gi[0 Ol I YlfimYN Or 0 DATE ZONING'APPROV EDB - - rae USBm [ IIon a OI W k f COTpenSa[IOn In erlllletl w VALUATION -" LONE ... I( 0 b p�'jgct�a �9Q ys NiVVw l!?'i/n [1SLF%a�i GRADING CU YDS I ACRES -- __ .SPECIACCONOITIONSY paLreV any tide hlRby lur "SneO - - _ 1 St.,i, ..erti py _ _ REMARK$'Pat- _ _ _- _�• 3Cer0111etl copy Ii f'IBE w(M1 lira lily Builtlinq IVR - 3C EXEMPTION RgOM WOq KERS' COMPENEATION'DECLARATION '• 1 •I1 TNs sOC[Ign n¢eg �0t be cpmple[ep II me Vermll IS tof _ nunUrep '" ' • •'• -- �' 1_ S' �S100f le - _ _ _ a. _ _ _ _ _ _ t1 mall eh 'p 1 an feM1 rk la M1I M1tn pe III lHou f[nall of ampmv nY pe so anv and a So aEt .became 'PLUMBING PLAN CHECK' -"- •- -- PLANCHECR - bubledtothe Workers Compensation universal C_lifornia_y__ ,;',- 'ELECTRICAL -f ___ a - ________ ___ - BATHTUBS SHOWERS _ - _ - 'do Gate Signature FT .NOTICE: It after Asking this dedication, you Sm Uld becomes subject . ?OILETSU,, ..URINALS'-- - - - - — -GENERATOR---�Oi-1-10 KW' _ -.p% to the Worker' Compensation provisions at the "her Lode: you must' 1 TRANSFORMER :-. i NuthWI1M1 Variety With Such provisions Of this permit shall be deemed LAVATORIES DOUBLE -LAVs - --- APPLIANCE 10.50 KW=50-+Asks? -- revoked •� _ _ _f __ ' - -' �'- - -- '� - CONSTq UCT AGENCY ___ _ KIT. -$INK$ - DISHWASHERS' -'�" - -`MOTORS HP=3d-0HP=-_---- that there Is that Is ch this permit sued alien Per- l hereby c aof the Is tolmance of the wprN for which this p¢rmll Is Issued (Seaton 3O9] SERVICE SINKS. :SUMPS '^ ^ - R), ,ON0.50LAR1. _-IO SO.HP SO +41B. ---FLOOR SINKS ""-'FLOOR GRAINS FIXTURES "-OUTLETS SWITCH" ,Lenspi Name -- ' -DRINKING FOUNTAINS^' -" - � - ]GAS TUBE SIGNS - - , OWNER BUILDER OWNER BUILDER DECLARATION - " -- -� ----�- INTERCEPTORS- CLARIFIER$ �' "' :POLE- - _ _ _ - mtnallamexem from M1Oiness CIOI'S LICaOSe LiW 101 Iherdersri owing 7031.5 ➢quire Business 6 antl iuct, . SWIMMING POOL- -PTRAP - -- iPANE" �'- const alter, Any city Or county Any Ory ty whish d palmi[ construct, alter, MAIN.. Imy W tlem011sn l upia any to It ipe fit WgTERSERV CE' - ' -ALTERAT ON - - PANELS -MAIN..$UB y mit to a Signeor statement that he [ocn perm t to file a signed statement that he t to, Such the ap, Om for 1[1[en5ed•Ow3uanl tO4M1eWIOVI510n50fAM1e COn101dt[OIY LIGenoldw GASSERVICE '"'OUTLETS -� - SERVICE -- -- AMP 1 Chapter 9 HCommendng Ith $ed10n ]000) 1 Dlvl$lon 3 1 the - { tl antl-F doss on[ m a[I ortnat lie i x boot tnerelmm aha tea¢ WATER HEATERS- - OTU OUTPUT _ ✓1 lne e110900 "Fapl son AnY IOIBIIOn Of SBCtIOn ]031.5 UY In PPII lM1for a per ml[ bl¢[ts_tn¢ PPIIC t t II -Po ilfY $EW ER'CONNECTIONS- - `R I I,ve nune rae Oo tars (E500) ❑ I nafbl'the-oroPortg Cr ma employe Ilh g 'shed' $OLARTANK- - �- COLLECTOR$'iM _ -- - -- _ Ole C Ponwill d the work 0 the Slr Ct I [ I netl \ fl E Ior MIC ($edlOn >094, Gwiness a0C M1 f C e -The SOLAR PIPING'SY$'. ISSUE FEE LD 1 ~" - - - CmpaPlan 5 IJorNe taw Gam atapPIY tO do OwO Of d plOpefty nor"ulltl5 Or Im010 Ws lM16repn, antl"collo OOR such Wofk filmset! Or ISSUE FEE 'Q APPLICATION APPROVED BY_ _ GATE iMpygn lits Owq employees _provmed ua BYm imprpvem¢m$ are nm "O! _ _ - _ -"MECHANICAL Intended Or offered !Or 5alU. II, however, [he bu0tlln ImOfOV0men1- cold within Ono Year OI completion, me owner wu� nave Ina burden PLAN.CHECK r SUMMARY OF FEES - ' L p N 'of proving ne did" not'build p. •improve roc m¢'Pn•Pa[e m^SaI¢I - - '-' --'- HEATINGSYSTEM O-100,000BTU - ,4 --� 'BUILDING_ --' PERMIT § Ml _-' Drip as .OI .they Property. am exclusively contracting vi project gNDDUCTING- .E Ilwnseesmmnc m construct the (Section 7044, Business licensed 100,000+BTU PLANCHECK S RERMIT 0 and. Wrofws!ion[ Cope: The COMaC10f:5 LIKeni IOW d)eS.00L apPIY to- _ _ .L. .I$$UPNCE S ' anI property who buillds or Improves thereon, and who can REFRIGERATION Od 00A00 BTU PLVM9ING E tral]s.nomsucn_pmlens _._contranorfs) ilce5ned-pursuant to SYSTEM __ _ e Contractor's Leaned LOW). 100,000i�BTU ,^�GRADING'-E•'^•1 PLAN CHECK $- O-1 am exempt under Section- - - B.6 IN C. for this - 'IELECTgICAL 'E - BOILERS BTU PLACHECK E MIC ROFIIM E N i Datrease Owner SYSTEM REPAIR, gLTEgATION 'TOTHL FE E E. ::. _+ yMECHANICAL-S -- t hereby mail that I unsaved this application and state that thabove EXHAUST SYSTEM MULTIPLE "LESS AO- IndinamsOn IS Cn[ 1 withlanStrUCCOn, all Otl county (N PLAN CHECK' ti VANCE PC S_ o-compli OrtllOnaenas aM retailere [ latl g [o wn[bu[t^on antl hereby e too e -his ad 'FINAL I Presenter of 1yah[ ler n -the above nn or PIN Il0 P - I Q a, b _ _ .. - _ PEE Is /519naIu OHveR' CicanYB Or $$ ISS V EFEE `COBS$n6 Whlle-BUlltlinq; Unary'Applaunti Pink -Accounting: Goldenrod -Assessor CONSTRUCTION AND PLANNING APPROVALS Permit Date - \ 1� POOL & SPA' .- . - - 4 , . .. . . .1 ' Inspector APPROVALS -Permit#- Date Inspector . ctor Temporary Electrical Service or Pole 43. Pool & Equipment Location .2. Soil Pipe-undrgrn: 44. -Steel Reinforcement . 3. Electrical �nduit Ut�ifityUndrgrn_ 45; Forms �.4.- Electrical. ConduitUndrgrn.,-- 46. Electrical Bonding L 5.. Stee lflejntorce .47. Rough Plumbing & Pressure Test _6._E1ectrica1.UFER Grn48. APPROVALTO COVER-GUNITEE ,--Z.,-Footings 49. Electrical Conduit-Undrgrn -8., Foundation----- 50. Gas-Pipe,,� Undrgrn, Test -.9. Water -Pi pe- Undrgrn 51. Backwash Lines, P-Tra6, 0 UndFqrn JO. Structural Floor'Systern 52. APPROVAL-TO DECK .191. -Properiy.Sewer-Line & House"Conne&iorv..___ 53. Backwash & Receptor-Final -12. -Street Sewer-Connection54. Heater & Vent-Final 13. Rough Plumbing 55, Plumb*no System - Final 14. Rough Electric-Conduit '56. Electrical-Final 1 15. Rough Electric-Wiring 57. Solar System-Final Rough Heating & Air Conditioning- _bH. Fencing.& Access Approval _16; 17. Ducts, in StructureAPPROVED FOR PLASTERING 18' Ducts, Ventilating 19: Gas Pipe-Rough & Test .20. -Roof Framing 60. POOL/SPA.SYSTEMS FINAL' 21. Roof Sheathing 22; Frame and Flashing - --NOTES: 23. Insulation- 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat 27t Electrical Power Meter-Final - -28. -Final'Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test 31. FinalPlumbing ,&ftfrA��jr 32. Water Service-Final 33. Gas Service-Final 34. Solar Domestic'Final 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations P .4, 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 I I CITY OF COSTA MESA PERMIT NO. TRACT NO. 'LOT NO. 'SLOG. NO. li/E d/II/FfLi 9a 25 1 C NST$l1I PERMIT TYPE OF CONSTRUCTION ^ �(];ryEW ❑ HDD ❑ALTERATION ❑ REPAIRO CON VERSION El DEMOLISH ❑OTHER 6tbxs �'•" A. VA/!T #� , ZONING REGULATIONS Pmjes AddreM y'CArAd AC Asits Owner eogstroA,PM1one yp j AddreR p_ 7 (on ii ArCNER9. License No. OESC RIPTION OF WORK ZONE PLNTGp. Adams _bftN Contractor'(/ aYW00 L G Ph6ne�/•jm TYPE OF PERMIT ❑GRADING ❑ FOUNDATION ❑STRUCTURAL ❑ TENANT ELECTRICAL ❑PLUMBING OrvECHANIC - SETBACK ST SHI YARD gRlE�F�. pqs� q,G PROPEIRTY LINE "all Z 'Y ! fa/ EEIQL LICENSED. CONTRACTOR DECLARATION afirm 1 am licensed "under provisions of Charter 9 boom T maneby SeCt Ing with tion 7000) of Division 3 of the Business and ❑ OTHER Professions Code, and Y license IS In full for d affect. REAR YARD (TO Pj G—/O L9Ss— PROJECT DESCRIPTION 01700,lass L.Cense Ni9 PKG: REO. -PROVIDED ,/r Date Z Sgntlme r SY-�9 SO Err.SPACE - OCCUPANCY—CONSTRUCTION TYPE STREETWIDTH PARK FEE§ WORKERS' COMPENSATION DECLARA IO !hereby affirm that 1 have a Certificate Of co Sent to self-Insure or a VALUATION ZONE ZONING APPROVED RY DATE ^-•tlflcate 1 Workers' ComperkohOn Insurance, or a certified copy eof (Section 3800 Lab. C). Se NOWA f_i /.$002/LpinpanyF'EHKO/u lw& Lap_ GRADING CU. YOS. ACRES SPECIAL CONDITIONS: U Certified copy IS hereby furnished. - pgMgRKge .0 ZZ 51 �J LICertified copy IS filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION not be completed if the permit Is for one hundr¢tl `(This ,section rthatless I§fArt(f y lo lM1e performance of [h¢ Work for Which this Permit IS In Spored I shall not employ any person m any er so as to become PLUMBING PLAN CHECK ELECTRICAL 'PLAN CHECK. uw l to the Competlon Laws Of California. BATHTUBS SHOWERS '-On End In VT- _ Date different NOTICE: If after making this declaration, you Should become subject TOILETS URINALS - GENERATOR 0-1 KW 1-10 KIN to the Workers Compensation provisions of the Labor Code, you must TRANSFORMER forthwith comply with such pro"[ highs Or this permit shall be deemed LAVATORIES DOUBLE LAOS APPLIANCE 10-50 KW— 501 KW evoked. KIT. SINKS - DISHWASHERS MOTORS Gd HP_1-10 HP CONSTRUCTION LENDING AGENCY I hereby affirm that there IS d Construction lensing agency for the per. SERVICE SINKS - SUMPS (INC. SOLAR) 1050 HP 50 a HP - formance of the work for which this permit issued (Section 3097 FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS^f _SWITCHES r Clv.CJ. 'Land¢✓s Name Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS OWNER BUILDER DECLARATION I Mreby affirm that I am exempt from the Contractor's License Law for wing res (Section 7031.5 Business and Professions Code: the fol owing "INTERCEPTORS CLARIFIERS - POLE LIGHTS - CU fig. NVC UQN CO Any City O linty which requires a permit to construct, alter. SWIMMING POOL P TRAP POLES METERE $V0 WATER SERVICE ALTERATION',-,a 'PANELS MAIN SUB or repair any structure, prior to Its Issuance, also re. co US fie aulnrark for mon permit to file a signed statement that he Is Ilcen rad pursuant to the provisions or the Centradpr's License Law -lapter AS SERVICE 'OUTLETS G- SERVICE H AM RT4er 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU OUTPUT ' mostand Ndne eSSioCode) Or that fie l5 exempt therefrom and too afor the alleged exemption. Any violation o Section 7031.5 by SEWER CONNECTIONS - - root omORt for .1 permitSu jestsdollathe to d civil. penalty of 5001.cent SOLAR TANK - COLLECTORS - orNmy a witha their S ❑Iehcampenullon,as owner 01 the rot hi wagenot bey, Llpl foes s SOLAR PIPING SYS. ISSUE FEE or (SecBusinessRoMsslons COOdooTOO esions Lawotl 0044 to rarcof a Lomferedlorli ISSUE FEE APPLICATION APPROVED BY DATE who builds or improves thereon, nti who does Suchework himself or through his own em to provided that such Improvements are not MECHANICAL PLAN CHECK Sees, intended offered �or Ie, If, however. the building Or Improvement is sold within o o1 completion, the owner will have the burden yea, SUMMARY OF FEES of Proving he did build or improve ler the purpose Of Sale). SYSTEM 0-100.000 BTV BUILDING a D.i, as owner of the property.m XCIuevely contracting with, HEATING NDDUCTIN6 PERMIT § SMIP $ licensed contractors Ins Ori to butt project O 7044, B 10or000 x BTU PLAN CHECK § PERMIT ctheto LiO"Se Law apes not apply l0 he e Cuir ply to Code: The Cmuddi, and Proweer ISSUANCE E On of pr r In Who COn- 6100.000 BTU PLUMBING § tracts from}Such projectsp with a contractor(s) lttsMC.0UPUl to SYSTEnd M $VSTEM GRADING E the Contractors Course Law). 300.000 a BTU PLAN CHECK ❑tam exempt under 5acuon R.6 P. Ginu BOILERS eTU afpr ELECTRICAL " recon SYSTEM REPAIR. ALTERATION PLAN CHECK § MICROFILM is Date Owner IMECHANILAL $ If TOTAE TOTAL FEE I hVMy parllfy1hat I have read this application and State trial the above EXHAUST SYSTEM MULTIPLE LESS AD- 15 ply with all city andcounty,PLAN CHECK'§ VANCEPC E_ ' 'It elaws missing and authorize ieancaa and sial. laws reran ng mconstruction,tera OR f lms e¢Oy i over'- elver p On �th above �memloned I-Dr,ers'Llicense moe:rivtatoex_ pude Signature n le ZYO'SF 2- FINAL FEE $ or 5 $ ISSUE FEE /' `0855-46 While-BWIdlngl Canaly�Applleantl qnk-Accounting; GoldenlOd-AsseNdr CONSTRUCTION AND PLANNING �.Y• APPROVALS � � � Permit # ^ Date Inspector POOL & SPA.'-. APPROVALS � Permit.#' _ - -Date - Inspector 1-_ jernporary Electrical Service or Pole _ _ 43. .Pool & Equipment Location* 2.. SoilPipe-Undrgrn; ,' _ _ _ _ 44. Steel Reinforcement's -- - __ -' --- - 3. ..Electrical Conduit. Utility-•Undrgrn__ _ 45. "Forms--- -A. Electrical_Conduit-Undrgrn _ _ _. _ 46.. - Electrical Bonding _5.._Steel Rein orce 47. .Rough-Plumding &' ressure Test- 6. Electrical UFER Grr_ 48. APPROVALTO COVER-GUNITE. _ - _77 FOoftm _,- ._. - : 49. Electrical Conduit-Undr rn r." _ - -8. _.Foundation.._ _.__ _ _ 50: i '.Gas Pipe; ❑ Undr rn, Test __-_9. - Water. P-ipeUndegrn__ _J U. _ Sizucturai Floor System '' _ _ _ _ „- • r .51. -52-,.APPROVAL _Backwash. Lines.,P ' ❑ Undr Tri T&DECK - - - •- -- ---' -- - -�- - " ,_1.1.-_.Property_Sewer.Line&_House. Connection_-___ _.-_. ___ ___ -• ._53.- Backwash &'Retetor•Final': '"" "' "' - '•- �1.2.- :- _reetSesver.Connection _�__ "' ------ - - - -54r Heater&Vent-Final «-_ :.-_• 13._ . Rouyi F'umbiny--- �. -. . _ - _- --,- -, 14. Rough Electric-Conduit i - -- ' - -- 56. 'Electrical-Final- 15. Rough Electric-Wiring -- - _'_-" - 57. - Solar System-Final- 16. `= F-+ugh Heating &Air Conditioning _ -'' ='_ _ - ---- � Fencing &.Access Approval , 17: Ducts, in"Structure APPROVED FOR PLASTERING.. , , 18' Ducts, Ventilating I 19. Gas Pipe-Rough & Test 20. Ruof; Framing - - - - - "-60.._ POOL/SPA SYSTEMS FINAL 21, Roof: ihFathi�, 22: F: � and Flashing '23'. - `tnsulanc•, - - - - - - - -- t4. 1, -thin 0 8I-Siding "- - i - 25'. D•yro}.II_..ailin9- - -` - - i 26. PFast&-8'own Coat ' 27-- Elytca-Power Meier-Final 28. -Frrel Electric- 29!•- Final Heating &Air Conditioning -- - - %- - - - --- " M' 30i - F.,W-Gas Pile-Test- 31. F,aallu nbing- _ 32, -urate? Se'vice-F6tal- }- 33.- Gas Service-Final--_- -- _-- - -- _ 34. Sclarpo^testic'inal 'A'"^- ` 35. Landscad , S rinklin System 36. Sound A :enuation 37. Hand,cal .Regulations 38. FINAL STRUC-fURE&S;UILD,fNG-- - - - - - - -- - 39. Special•Fequirements Completed - - - -- - i 40. Electric Release, to Edison 41. Gas Rele• se to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY - No.-- ___ _ Date t _ AOPIICan110 fill In all spaces within heavy border lines and M9n all pproprltle OOCIm110n5. CITY OF COSTA MESA PERMIT �� CONSTRUCTION PERMIT TN 0 Lo1T.�•O. BLD. O. OF CONSTRUCTION NEW ❑ ADD ❑ ALTERATION OREPAIR OCONVERSION OOEMOLISH 17 OTHER 0786 1/18/82 481,12 "" - - • ZONING REGULATIONS Project Addresscadillpu AffronlipTYPE OWnef Phone ^-` Add 00� $t. 760 N T't W, 'ArchlEnB. Rimes Peters License No. 428$ Address' 119 E'. Alton Santa AnEt DESCRIP1 ON OF WORK' I TYPE OF PERMIT ,y/ OGRADING - 11 FOUNDATION XTRUCTURAL El TENANT ELECTRICAL OPLUMBING-OMECHANIC P^ �\ ❑ OTHER A P 139-651-13.15.28 ZONE PD1 PLNG. REF. $ ZE8 S I 1 G for, n p LIG T 'y Control 011Onti7ns CMStrUCtion Phone 576-847 Address PO Box 388 Monter Park. (A LICENSED CONTRACTOR DECLARATION I hereby Affirm that 1 am licensed under provisions of Charter 9 (Com- pressure"with Mellon 30001 f OINSIOn 3 Of the BIOIOSSS and Postal Code, ndY license IS In full torp d effect. License Class A Ucene No. 8633 PROJECT DESCRIPTION - 50. FT. • 6270 _ OGCVPANCY -9 CONSTRUCTION TYPE VALUATION //S, q9 ; ZONE REAR YARD (TO P/L) PKG-SPACE REO. 592 PROVIDED 670 STREET WIDTH qnq PARK FEES ZONING APPROVED B DATE Data Signature WORKERS' COMPENSATION DECLARATION - 1 hereby affirm that 1 have a certificate Of Consent to All Or a rlificam Of Workers' Compensation Insurance. Or a Certilled Copy thereof (Section 3000. 116. C.). GRADING CU..YDS. ACRES SPECIAL CONDTI IONS: ' y NO. GR3Rl nnsi Company Rrolea l TnA= - edified Copy i5 hereby fumish e. p-e.rcmep copy Is RISd with mealy Building Division. , (S •] AQL9 FOR SPECIAL REQUIREIVLENT5 HOLD EXEMPTION FROM WORKERS' COMPENSATION DECLARATION earnedneed not be completed If the Permit 15 for one hundred the for wmcn ase of inin / PLUMBING PLAN CHECK - ELECTRICAL PLAN CHECK Marcos i &hallllnot any portion any as become Comperva Laws of manner to sY61ed to the not BATHTUBS SHOWERS Date Signature NOTICE: If after Makin this OICMrabsoMp You SFOUld become subject to the Workers' compensation provisions of the Labor Code, you must forthwith Comply With Such provision$ Or this permit Shall be deemed TOILETS - URINALS LAVATORIES DOUBLE LAYS alaEL GENERATOR 0-1 KW_ KW TRANSFORMER ,APPCIANCE 10-5o KW_50♦KW revoked. - CONSTRUCTION LENDING AGENCY -KIT. SINKS OISHWASHCRS I, MOTORS 0 -IH l-lO HP I hereby affirm that then is a construction lending agency ler the per- brmM[e of [he work for which CM3 permit IS issued (Section3097 Civ. LI. ).jell' Fargo Bank Lmddf1 Name ' - SERVICE $INK$ $VMPS II NC. SOLAR) 10b0 HP y 50+HP •••� " � FLOOR SINKS _ FLOOR DRAINS - FIXTURES OUTLETS SWITCHES - - Lender's Address- 66U Neh-AYtTP_ CPl1t Y. Djg=lbBh DRINKING FOUNTAINS GASTUBE SIGNS - OWNER BVILDER DECLARATION { IhemiYAffirm hal l am exempt f1sm.Me Canna^OrY License La for following reason (YOlon 7031.5 Businesl o Nofestlon5 Cosa: 'city o unty which riaulres a Permit -to construct. alter, improve, demolknor repair any structure. prior to Its Issuance, also to. p uvas me applIcam for such parmiarto file a signed Statement that he' . INTERCEPTORS ,CLARIFIERS 4. .^I [Ire POLE LIGHTS SWIMMING POOL PTRAP '1Any Mp �� st E ED SVB WATER SERVICE -ALTERATION - PANELS MAIN SUB GAS SERVICE r - i •�- .OUTLETS SERVICE AMP is licensed ODUSU 1t to the provisions 0l site Contractor's Llunse Law (Chapter 9 (COmmamEmS wIdh)SaC[IQr 7000) of. OIvISIaP,3'of seep E^Nneo and,PYolessionss Code) or that he bassoon n n thOlYOrd and the lot 111Valle9etl p11l _lAny NOlallsm o f Section. by S WATER HEATERS _. a BTU OUTPUT SEWER CONNECTIONS ( - c en Spplint for permit Subjects the' Applicant to a Civil pally .of a than ilw hundred deicers -(150). cO I• as owner. -Of Ire Property, Or my empleypes with wegeS.as their sole mmpensaturip Will do me work, and Cher Structure Is not Intended rffered for Sale.,70440 Business and Professions Codex The SOW R TANK C,•+ - COLLECTORS SOLAR PIPING SYS. I 1 - ISSUE FEE Al cul(Section License cene 1 apply to. an owner of a'sr0p4ty' M1O Fui Ms O ImOrOws thVeon, and P soes'Such -Work himself or through his owmeployeas,'prbvIded that Such Improvements are not m Intended Or offered for NIeCIf, noYnwr, the ballets Improvement Is sold Within ono ye Aof Companion, me sawn u,sall have the burden I proving he did not build r Improve Lor trust purpose of le). 01. as Owner of the properly. am %clu rely Contracting with licensed contractors to construct the project (Section 3044, BUSlnesi and Pmf cul Code: The COn LraClOrT Ll Coned LAW does 10l Booty to an Owner of properly Who bullas or Improves abortion, and who Can- Such Projectsna0a,$) ilsned Purmil to tracts fromh a CObn Law). t eOrc 1 am can Ot under Secalan S. 8 P. C. for this 0 r - * , 3155UE FEE C _'- 1 '.. 1 S 1 " APPLICATION APPROVED BV DATE 1 •MECHANICAL r�� .J,:PLAN CHECic' - HEATINGSYSTEM 0-104000BTV AND DUCTING 100,000 , BTU REFRIGERATION 0-100,000 BTU_PLUMBING SYSTEM -� 100+000+0BTV ' i1+' \ C BOILERS BTU � - SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE UMMARY OF FEES p VERMIT G EZiJ— SMIP 4 6 /� PLAN CHECK f PERMIT ISSUANCE S f GRADING a PLAN CHECK E ELECTRICAL f 1 PLAN CHECK $ MICROFILM$ TOTAL FEES MECHANICAL 4 155 AO PLAN CHECK $ VANCE PC 1_ q. /h FINAL FEE Isr r Dater no' I herehycedifyt lin a t1 Is a�papliiwllon and tare that the above ooformatl0n Is t ,agr Ito ply Inn ell City and county ifantela PWII to Construction ,.above m of rnpresennal nir [S uraupon iha above propCtlY 1 O Jpu ses. _amnm Sl9nature $ Drivers• _ice 55 ISSUE FEE - CMF 0665-46 Waite Buldiig)Onary-AOOI1GnV, Wnk-ACCOYmin9: Goldenrod-ARessor &e- '4 CONSTRUCTION AND PLANNING APPROVALS Permit •� Date Inspector POOL & SPA APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location SoilPipe-Undrgrn - 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce 9 ofi�s - -�'� 47. Rough Plumbing & Pressure Test 6. Electrical LIFER Grn - -r 48. APPROVAL'TO COVER-GUNITE 7. Footings 5q, lj 49. Electrical Conduit-Undr rn 8. Foundation - - _ 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ Undrqrn 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 - ' 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 APPROVED FOR PLASTERING - 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough &Test Roof Framing - - 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frame and Flashin :.5/%-81- _fig -gam B"A'1 NOTES: e((� 23. - Insulation n,• _�,q_41 2n-/-,7.Q=T;L �• sf`c y' % 24. Lathing & Siding 6 .6z % 5� r - 25. Drywall Nailing%IB /� C BXYLLI S, 26. Plaster Brown Coat - 1i -;$--y•2 27. Electrical Power Meter -Final - - ea 3 6 - 9t a- 8 28: Final Electric - r 2r as' -S 29. Final Heating & Air Conditioning j 3=q/p a 30. Final Gas Pipe -Test -S-yi1 d 1 t 31. Final Plumbing --r- 9' f 32. Water Service -Final 33. Gas Service -Final - 1- 34. Solar Domestic -Final e(C 35. Landsca e Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 2 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. ` CERTIFICATE OF OCCUPANCY • No Date - r' / CITY OF COSTA MESA CO Z Project Address -r ll Backflow Prevenler irg Applicant's Nailrg Atltlr r Service Sink _ Owner's me ./ Name Ba[k110W Iniga[iOn Amresi -Pr.. :r ii. $e War Cap' Arch/Eng. ati �f Addl Bathtubs Contractor's Nem, Cz-evy sewer Connection Exhaust System ❑ Multiple ❑ Clarifiers - Address(mlling) $oHI COIIIC[or City License _No. ITM1If section ODed not be cc Rais ed If the rm, Is ter On nmbma Is4Oo) ell less). one Dell so i3lCr tKlamert is IUwOC 1 I Partly fret In the [Se ior�inCe an mall net employ Person In y ansa to b subject to the LICENSED CONTRACTOR OECL - Dishwasher . _ 1 hereby affirm that 1 am licensed - Solar Piping wins section 7000) of Division 3 Drinking Fountains my license is in 1,11 force and Offen Solar Tank Uce ese '9aMing Sections Dat Sl9ndtule . Applicant to fill in all .paces except those within heavy border Imes and sign anapDrepda4 declarations. PERMIT IPER ITN TRACT NO. LOT NO. UNIT NO. P�_� 1 �-6 A-1 17I L� I TYPE OF CONSTRUCTION I NEW KJ.ADD LJ ALTERATION Ll REPAIR 6honEI CONVERSION LJ DEMOLISH 0OTHER A.P. r&131 OE$CRIN OF WORK �E�y ylq,G�/ S Mein Bu DN O� L� E No. TYPEOF PERMIT GRADINGry FOUNDATI OONy UIU STRUCTURAL T Front ❑TENANT ELECTRICAL RPLUMBINO OMECHANICAL R RCar �a2 ❑ OTHER A PhoneQ3.ir-I-LED C Ri911t �`/ PflQIECT DESCRIPTION BO. PT. - OCCUPANCY CON STRUCTION TYPE VALUATION $_y firms Left ZONE gGRADINGCU.YOS. ACRE$ ping, Rol.# :nertvJ 9�(<orZr flelnp Reks Die/�:-{—Y1�Q /Ir�:o :1 n..n i�L/L1 PIOnPIE marNpl a bbv anl�m lmi i n'.. a nrui�` of wnu�t to neva 'rO or to : Y Worker' compensation Imui3nee, or a cartllled py transfer l%e/ n 3800, cab. C.1 LJ i s a her f me Drow alter o: y emP�Oyees wit qes eneb / ear sinx Z showers Backflow Prevenler / Service Sink _ Boiler Ba[k110W Iniga[iOn $ 3 $e War Cap' Policy No. �re_.IIC3'l Companyt -pn FN-sICentile copy; hereby tarnished, Centric' L9. enlri - Illi me city Bull r '` - Wm_ � sal C� - RefriWa[iaa $ya[Bm ❑o-IoDWO BTU 0100.000 Bathtubs t Duct Ventilating sewer Connection Exhaust System ❑ Multiple ❑ Clarifiers - tracmros license purswliYto ma Cont acmes LIunM Law). 1 am deem tme proal 1 their w0rkerY CampensaOO� InsuranCO moulD ba provlaetl to ❑ I em exempt Untler Sec[lon B.6 p. C.IOr mis reason $oHI COIIIC[or '... E%EMPrI N MWORRERS'COMPEN TIONO CBARATION ITM1If section ODed not be cc Rais ed If the rm, Is ter On nmbma Is4Oo) ell less). one Dell so i3lCr tKlamert is IUwOC 1 I Partly fret In the [Se ior�inCe an mall net employ Person In y ansa to b subject to the Dasa Ow lr - Dishwasher . _ Heating System &Ducting QD100.000 BTU 0100.000ST - Solar Piping ea Drinking Fountains sign Solar Tank Workers' Compensation laws Of Celllornia. '9aMing Sections Floor Drains I $15 Swimming Pool wiSpa Data - Signature - NOTICE: N, alter making this deClaratlon, you moola become so led t [O [re Workers' COmoenNllOn Provisions of the'-AOfCOde, YOU must forthwith Comply With $Well pravislohm fos rs permit shall b deemedked, Floor Sinks / Unnal Gas service Outlets p J 'Wafer Qoset CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a connuttiol, lending agency for the p formance of the w r for which this Permit Is Issued ISectlan 3097 Civ. C.) Longer's Name Interceptors / Water Healer Lender's Aadress - Kitchen Sink Water Service OWNER BUILDER DECLARATION-' I hereby affirm that 1 am exempt from the Contractor's ucense caw for the n (ction 9031.5,slneows! countyPrdfm towonal Code: Any city or follo Ing reason A8n which rectifies a permit to Can strui alter. t pr, demolish or repair any Eructu e. Prior to its issuance. also requires the applicant forSUCA;permit t91 Lavatories P—Trap sole cation. win ao me k, amine slrgnWre a nei miendee o. oeerea Iornzaie ISectien )044, Buslnexs dna ProroOlonal Code: Tne Canbacter's LirAOSe law doe[ nal apply [o an defies OI -i ptoperlY who builds or Improves NOr00 no dna who tloe[ ucM1 w rk mmselt/M1ertell or tNOU9M1 nos Or OwnI for e le l l�, M1O lrv4r.e[NlbUlitlln9 orn�mplOvenlent Is so 100 w�thln One Yea1 0l earn-; Dlel�om �IO:o purpose lalnYleJ,ne Ourtlen al pmvinp n0/[na Oltl n0[ bYlla or Im- I, as owner 01 ln0 proud/[y, am BxcIU6l Wly COo[faCting wIN IlunwO can. vaa0rs to wnsnuct ma vroleR t Xstmtln dead, Business dna Waesslons cede: Tne cemre�tpr. ucense caw do n 1 pay m an owner of orepary nP bmlas or proves memos, and who cpnnagz loosucn protects with a fon- I Reinspenion Fee I 815 laue Fee _ 1 MECHANICAL Boiler Head O TVOa El CanopyType II ❑ $ 3 Duct � Under Ground Sub Panel Duct -Structural RefriWa[iaa $ya[Bm ❑o-IoDWO BTU 0100.000 Motors 00.1 HP -01 t Duct Ventilating FALL Exhaust System ❑ Multiple ❑ System Repair/Alteration tracmros license purswliYto ma Cont acmes LIunM Law). 1 am deem tme proal 1 their w0rkerY CampensaOO� InsuranCO moulD ba provlaetl to ❑ I em exempt Untler Sec[lon B.6 p. C.IOr mis reason Fireplillect. Bit. ICBG $ DevicaBoxes Dasa Ow lr Heating System &Ducting QD100.000 BTU 0100.000ST I Oer00y 'T"It that I have y this pe 1 a0 0 Te that the above intorma[IoA b correct. I her 1Q earn ly I�all ty a cOMly al mmunes Ona Late lows relating to cal WIng cons id n areaV aCloture ore- xmmwes I Iris B I ter U� n fan mooed proll for nspealDn purposes. 151gnetun �� ales Drmen• ucense Ors i Switched sign 3 0 Garbage Disposal '9aMing Sections Reinspection Fee $15 Issue Fed :MF 0865-46. rev. 4184 WOlte-Building; CanarY-Applinntl PlnkACCOunting:G ldanr]a-Aabsor S3 8804 -3/07/85 E0c,F7 Ti. Parking Z O N I N R E ELECTRICAL FEES Automatic Washer Construct ion Pole Sub. Transformer ❑ 1550 KW ❑504 -KW _ Cooking Unit I Meter ❑up ro 100amps DisM1wasner Meter iLOver 100 amp% $ 3 Dryers ❑Gas ❑Electric Sub Panel S Fern Motors 00.1 HP -01 IS FALL Inc. Soler 09.15 HP 01615+ $ Fixtures Microwave Z ZC. DevicaBoxes Pole Light outletsRange b Switched sign 3 0 Garbage Disposal '9aMing Sections Generator ❑65 KW 05-15 KWI I Trash,ompanor Zoning Approved By II, iOredo Building Approved By Application Issued By— SMTP BUILDING PERMIT $ .IIq P` PLAN CHECK S PLUMBING $ PLAN CHECK 25% S ELECTRICAL S PLAN CHECK 50% $ MECHANICAL S PLAN CHECK 25% $ 10 PERMIT ISSUANCE $ 3 _ ENERGY P.C. II, iOredo SMTP 10 PERMIT ISSUANCE $ _ ENERGY P.C. S _ GRADING IS F MICROFILM $ TOTAL FEE CONSTRUCTION AND PLANNING APPROVALS Permit# ' Date Inspector P( & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. i / af/��l (� 53. Steel Reinforcement 3! Eletitfical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE . 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water. Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System =' 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final , 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System • Final 14. Rough Plumbing - 'f ,Z� �S Li'C.� 65. Electrical-Final 15. Rough Electrical-Conduit - - 66. Solar System-Final 16. Rough Electric Wiring A LLS 3 dv �� L C 67. Fencing & Access Approval 17. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling] ,�.9 4 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning 3 660 FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72.. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank OGas OOil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat g �/ 75. Dry Chemical 27. Frame and Flashing S ) y�c 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 'n -3b f c s'- ala l.(! 36. Hood or Canopy 37. Final Factory Fireplace _ • 38. Final Plumbing y LCD f i1' 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System: ti 45. Sound Attenuation 46. Handicap Regulations 121st lam 47. FINAL STRUCTURE & BUILDING �� s 48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPAUCY No. 10 M Date iv ••c.� City of Costs Mesa t Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. 001292 P. O. Boz 1200 costa Mesa, California The Building located at 3565 Cadillac Avenin #Ll has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of Building Legal Desc Office 139-661-14 (See reverse side for Metes and Bounds) Building Permit No G17875 Electrical Permit No,1317875 Plumbing Permit No. 617875 Mechanical Permit No. G17875,M18216 Number of apartments 6 and/or guest rooms 0 ISSUED TO: Building Official Vot le O'Donnell, Brighara and Parts. 7— by 3505 Cadillac, i1o110, Costa Mesa, CA 92626 Date r rti This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/63 White - owner; Canary - Numerical File; Pink - Bldg. Permit File -applu,t to fill In all border lines and sign all appropriate declarations. CIT`(OF COSTA MESA CONSTRUCTION PERMIT ren I1 NO �/ I KALI NU. -01 NG. unit N . '350 Cha1L.Lel C L I Dryers []Gas ❑Electric Sub Panel Fan L/ Project Address OF CONSTRUCTION NEW U ADO LJ ALTERATION REPAIR 111 CONVERSION El DEMOLISH EI OTHER Applicant's Meiling AddressTYPE Owner's Name�s4Gv�1EZLr gPI� ~p`t- Phone DESCRIPTION OF MR MISS OF BLDG. �cGiGC Address fi ,SAO LL.hZ-�� (TZ BUILDING PERMIT $ SMIP Address - License Na. TYPE OFPENT GRADING FOUNDATION $TRUC Address [CAL I] TENANT I] ELECTRICAL 0 PLUMBINGMECHANICAL OTHER PLUMBING Contractor's Nam, I{ge.ZtS0al 1-4TLR Pnone7'-321193 PROJECT DESCRIPTION SO. FT: OCCUPANCY— l/i3�`)SJ' LiGTIKOP I_(l_R `ZOOCONSTRUCTION S ENERGY P.C. $ ELECTRICAL TVPF VALUATIONS— A WATION$ City NO. ef�2'�/z ZONE GRADING CU. YDS. ACRES LICENSEDDECLARATION DCO LiC NSED :$ pemarki: that I a licensed I hereby affirm that am licensed under prosiness of Charter g (<ommendnd hereby with section 70001 of 3 of the Business alio Professions Coda, and a and effect my ll<emPa m, ntor<e p BC(. ice n3� y_R 3056 ua.na. Z ar e= flair •I _'//�. Date.�.f..i�J - ' '�% PLUMBING FEES WORKS Be COMPS NSATONGE RATIOry BBf Sink SM1owers hereby atlirm that I have a Cmtlllute Of consent to XI,Ans WC or a certificate o, Workers' CamIkopeti00 Insurance. Or a parliffid CODY thereof (Skulus BackloW Provender $eriled Sink 3600. Lab. CI i ' Policy NO. P 0.4144-45 Company x�RE1V-,ONT Bacterial lrriyation Sewer Gp that employthe any personperformance in anYthe manne for so iwhich to becomePermit ubial issued td t6c Compensation Laws of California. t S9natwo 11, after making this declaration, you should became susbjetl to the Compensation such llomvisions cns of os tnsn permit sot hade bed deemedloehwith ked. al 0of 0theirsrs W rke ❑l am exempt ander Cate Owner intherebo araYten is ic0fy rhat correct. 1bale lea 1 agree to lending agency for the performance Issued (Section 3097 Civ. C.) cold be' Provided to `m B. a P. C. for this vi Fountains Outlets Reinapdion Fee I $15 System IW Multiple act Bit. ICBO # System 3l Ducting ,Boa BTU 0100,000 slynuur.� Data 3—//—FS Drl.ers• License d� Rainswction Fee $15 CMF 0955 44 rev, 16184 --White Building; Canary - Applicant' Pink - Accounting: Caltlenrod - Ali Sewer Contradict Solar Collectors Solar Piping Solar Tank Swimming Pool Urinal Water Closet Water Heater Water Service Auto Wash Issue Fee IANICAL Hood or Type I ❑ Canopy Type 11 ❑ Refrigeration System ❑0.I00.000BTU ❑11 $3 S3 Main Front Left Raf. aY 0285 3/29/85 Z 1380 0285 Zone Parking Req./Proyid cl Switches I I', Standing Sections KW ❑5-15 KW I I Trash Co;r ad u Z O IN G E M T S FEES I Reinspection Fad ELECTRICAL Automatic Washer Construction Pole Sub. Cooking Unit Transformer ❑ 15.50 KW ❑50+KIN Meter ❑up to l00 amps Dishwasher Meter Dover loo amps Dryers []Gas ❑Electric Sub Panel Fan Motors ❑0.1 HP ❑1 %- S F.A.U. Inc Solar❑945 HP ❑16 Fixtures Mittowpve Device Boxes Pale Light Switches I I', Standing Sections KW ❑5-15 KW I I Trash Co;r ad u Z O IN G E M T S FEES I Reinspection Fad I S15 I I labor Fee $ 3 DEVELOPMENT SERVICES REOUIREMENTS: Zoning Approved By nam BuiWMg Approved By Date Application Issued By Ra is i �i SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE -$ PLAN CHECK 25% S ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% S MICROFILM :$ MECHANICAL $�=��TOTALFEE $ _� -CONSTRUCTION AND PLANNING APPROVALS - Permit# Date Inspector PL_ _ &SPA 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 Conduif-Undrgrnd. 8.- Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10, Structural Floor System 61. APPROVAL TO DECK ' 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap ' 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68, APPROVED FOR PLASTERING 18. Rough Electrical -T Bar CeilingEx 69, POOL/SPA SYSTEMS FINAL 19, Rough Heating &Air Conditionng FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace -'- 21. Ducts, in Structured 70. Underground Hydra 22. Ducts, Ventilating ;:- 71. Product Piping 0 Gas 0Oil 23. Gas Pipe -Rough &Test 72. Underground Flush 24. Roof Framing 71 Undergrnd. Storage Tank 0 Gas ❑ Oil 25. Hoof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & 4&ocoat 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 ylQW L . 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Fina( 40. Gas Service -Final 41, Solar Domestic -Final 42. Backflow Pr&venter - 43. Backflow Irrigation 44. Landscape Irrigation System 45, Sound Attenuation 46. Handicap Regulations _ y 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison t 50. Gas Release to Southern California Gas Co t 51. CERTIFICATE OF OCCUPANCY No. 'Date Y� I IV, y ADOREW OF WILING: 3505 CADILLAC AV UMT' L ONNERSNAMEIFIGIONIM: CORELAND/DONNER FLOOD: AH -37 AUURm' 4400 MACARTHUR BL #150 NEWPORT BEACH,CA 92660 251-1100 ARCNRECTOREN DIM ARCH. OR ENG'S /OGRESS: UN : ODN17IACTOR'SNA1iE: EVANS ROOFING COMPANY INC (714)285-1180 CORMACTORSMNIOIO 1101 E CHESTNUT ADDRESS: SANTA ANA CA ucm-- 610549 92701 UNIT: LICENSED CONTRACTORS DECLARATION: I Mreby ag'rm under pelaly of perjury that 1 am heaped under piovls4s of Chao. S (colnmenLiN ahh Salion 70W) d Drinion 3 of Us IIs. and PMasione Cade. and my nolle a io lug lone and affect. Cmuc.NO: 0592/7�7^� uc.cLAW: C 39uC.NO.: 61099 /54EXP: 09/97 Data: C% __4y'—Z / Canract. /✓/Y�— L�G1.✓ti/��V— OWNER BUILDER DECLARATION: I hereby affirm under psrWy of perjury Ilial 1 em aaaapl Imre IM CaNracim U.. Law for Ilia !oho raaaon (Section 70313 Bustew and Prdeeagna Cods: AM cry or oourdy whoa neapirae a paint tp cpn incl, aper, improv. f pmdeh, or repel try caudae, prior to de ewance, ase reglures IM Applicant to vale parol to Me a silt s sw~ Ula he or end .i Itonaetl Waerra t to IM prweima d Ilia Coratados Uoia ae Lew IChapler 9 (cammenvN with Sedon 700(1) of DwWm 3 of tM 7MI.5n and RabsaotI Copal a that M a end p scant t is r p end of beats la Ms We Mt was Boli Arty v D. d Section 031.5 by aty epdirent la a pemd albjads tM aPMirwn to a Divi penehy d ria mere Nen Ma hlmdrad daOele �S500D. ❑ I. w awns d tM I perya my aroplgaes ash wags, as thew Ade canpecsdon, wig do tM ark. and Me ahuclun a real olerde l a offeal for swat (SecUm 700x, Buvrsea and Pmfaauma Cade: The Caaactm Lkema Lew clow not apply to m oro dpropMy wM boils a hnlrpva, thereon. aha wW clads sunt work Nmself m hersM m tMaugh he or her own eroploysea, provided the nloh ioi re elite as Mt wendacl or dferad to sak. 0, Mwevr. tM Wiwi, or ing imtt at eaW %ilhht ons yea of ramplalbn. Ns o..Wikw win have IM burden of previn M a aha dW not build a improv to IM aeposa of de). ❑ 1, w owrar of dM property. ern aedtmely conlreaog whh lioaneed oantredors m taMrud Ile project (Section 7000. Busirms and Piotweias Cab: TM Colaractm Lsaws Lew does not apply to m owner of property %hlo WiW or Impmvw IMnon and who 000trade la axil prgeas cath A mrmaotor(s) Ikamad yureualY 1p the CaMradora Joense Lew). ❑ 1 ....pt order S lion: B. 8 P.C., for W. reason: Data: Owner: I do hereby artily Rat Ian a. of ad underesnd Ota raeademanta of Caftanb Haehh end Safety Cads Sallow 25505.25533. mall 2553e, ad That I m am Mus WiW'up oocut mot will I sail int (wcb oro) wed to oompy with said dada cod. ail tM isiMismms for a penia lorwnseuction or modiDulon h IMAr=y enepemem Oblrid. RasWWial mwtrWon appici onam eaempt lmndmaa prwiaimA. Data: Applicant: WORKER'S COMPENSATION DECLARATION: 1 MrsW alfa, under per aly of parlay aro of Me bgowhN deowaoro: ❑ 1 hsv ad all ottaNeut aoM1'rat. dmewl tp sahiasaa fix %or4ars' compinsai . as ptaiclecl la by Section 3Mt of IM Lobar cods, to tM Wameme d Na •odr to wtdda the Patna is muad. n I Iva ad all m Dieu w ' canpasmion Lawraaa, as rew'vad by Section 370D of Ne Labor Cont, for IM psdotasnw d IM i� wok Its whwA Mia Period b ususd. My waken' carpi mtlion i.. aom ad poky rwmbr aa: Caller STATE FUND EXPIRES Pdiy Number: ZS 07/01/98 (This aedion meed rat M mmptamof I int parent ie for oro hundred ddlera KIWI or bre) ❑ I carliy Iliad in Ne pedormwee d IM wok for wlloh Ihia pelmh ie bsued, I Jug int empty arty paean in try manner w n Io became wbpa Ip IM aolkare' commnwio,, bw d Cal a its. and saw 6w t 1 af.W baWms arbOd to IM worksrs' mmpe(,n�pw(tian pmveom W Sect^io'n� 37M d tM Leber Cont. I "1 lath'allh cam/PP-V bb Ovoile�pmvi/vow./� DMA: _(/ ^ ^� / Applcanl: -/`//i✓f'/�-- A /!!_A-1/ Waminp: FWun to ascus wort,n'rompaastlon croven9a 1s .1aa hoA aha anal aab/act err employer to c yal panaltlp and dol Onw W to oro haMred tMuwrd optima ($1040WA M sddidbn W the post at witipsrtsii di nsW as pvylaad Aa In S.N. 3706 of Ma Labor Cods, IoIWW4 Md atmmaya law. CONSTRUCTION LENDING AGENCY: I hereby affirm under pemW d perj y, Lha there is a rnwngon Wn&V aYsnoy W Me padona. d IM wM Its %nidi IM paint b sascl (Salon 3097. Cl'. C). LENDER'S NAME: LENDER'S ADDRESS: 1 gaily Ilia 1 had n id Mia appGrwiaa and "a dna ger above hdametion is calect. I Arae to campy whh eo pay aha coonry oMmalow and ewe Was mwog to bWdiq mmbudon end hereby anhodte reprewnta dThis cily W eta upon IM abon memoned property for Inspection paaPaaa,. BOB AWALT PMN /�{�Gq�[W/ Stglwure of O ffAgenNApp5cen Mrador (5151,A9.WP) WM.-B. Min 8 Safely: Gteer,Fib: Ca "Ppicanl; Pink-Rwwv; (bldanrod-Mwaw CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 084021 PERMIT NO: B 084029 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION T/FF 6 REROOF W/BUILT—UP SQ FT: 25,600 CLAIM VALUE: 25,600.00 CALL—VALUE: 25,600,00 GROUP OCC: B / COMMENTS: REROOF 16500SF COMMERCIAL BUILDING tt dr ti ih di di di aft aft di tt de di jg jt dr ii aft dE aft ji diktb aft df jt SU�e+r�r*�r�E�r**�r�E���*�***�r*�r*��E*****��**�***+r+r �E �r �N**�E AE *+r �E Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: 7 PROV: PARCEL: 13966124 ZNE: REF NO: PLANNING NOTES;> 5.38 ISPLAN SUE FEE ittE*jEti****jEM*ii%'di*tt*didtti>>Ejidtdi%dtrtiEMiE*dtdididhiiii*ti*di*iE*ii di**dP*iP*ii iitE**ti***ti*di%jEiE'ig:itihtEtidh***ditg D E V kL 0 P M E N T S E R V I C E S R E Q U I R E M E N 7T S PERMIT ISSUE PLAN—CHECK ---- ZONING APPROVED. BY TOTALS ---- > 364.13 DATE: 0.00 364.13 364.13 .00 REVENUE DIVISION TOTALS--> BUILDING APPROVED BY COLLECTED: 364.13 OVER/SHORT: DATE: .: I BLDG PMT PLUMBING ELECTRIC MECHANIC APPLICATION ISSUED BY: PLAN—CHECK 358.75 DATE:`- tE*tF iFti*tE ih tE if*MiF ti3E ii if iE ih aft dE* 5.38 iFdi ti lE ii*tf iE i('iEiF ji* LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 358.75 B R E A K D O W N TYPE QTY 08-94-1997/10,43 AM/$364.13 PERP1I T : 084029 SMIP/NON—RES 5.38 ISPLAN SUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 364.13 0.00 0.00 364.13 364.13 .00 REVENUE DIVISION TOTALS--> COLLECTED: 364.13 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 358.75 5.38 iE if iFiF dFii ii tF****ji ii***jE*SE***di*iE ii dE jf tE ii*Mai ih*iE iE tE if iF ii dE jidiii***paha**iE ii tf tit%iE*ji iF jFttii tf iF iF ii iF tE*tF dh**Kik* I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFC 25600 REROOF BY VALUE COMMERCIAL NOZONE 1.00 25,600.00 END OF FEES 08-94-1997/10,43 AM/$364.13 PERP1I T : 084029 or CONSTRUCTION AND PLANNING - -- - POI .SPA _ • APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temoorary,Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. v 53. Steel Reinforcement - 3- -Electrical Conduit Utility-Undrgrnd: 54. Forms. ; -4 Electrical ConduittUridrgrnd. 55. Electrical Bonding ' 5 'Steel Reinforcement �. 56. Rough Plumbing & Pressure Test - �6'Electrical UFER'Grnd. 57. APPROVAL TO COVER-GUNITE _ = .7.- Footings "n . • 58. Electrical Cond6if-Undrgrnd. $.j Foundation _, ''' 59. Gas Pipe, 0 Ur d6; nd., Test r 9n,Water Pipe-Undigrnd. 60. Backwash Lines, p.Trap, 0 Undrgrnd. 10, Structural Flop 17 _ 61. APPROVAL TO�DECK 11 Property Sewer -Line & Housa.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;-Codduiis ' r.' - - 66. Solar System•Final ' 16. Rough Electric Wiri 9g -67. Fencing`& Access Approval ' 17. Rough Wiring Sign °'_ - `68. APPROVED FOR -PLASTERING - 78. Rough Electrical -T Bar Ceiling' 69. POOL/SPA SYST.£MB FINAL 19. Rough Heating &Air Conditioning - - FIRE DEPT. REQUIREMENT # i 20, Rough Factory Fireplace -:APPROVALS--r,Peemit .'.t i-t.r, .1.;.•. +tom- 21. Ducts; in.Structurei :,. „,. -� -, A. - t -, " -t .. 70.-Undergrtzund Hydro d: :. - - 22. Ventil,ating,.; r S S.4 c 71. product Piping E]^�as C3 Oil _Ousts, 23. Gas Pi erf2ou h &'Tyst P l2 'tS - '' 72. .� ' ' r, `•'-' t Underground Flush„ X #' r^ i ^+ - 1 H 24. Roof Framing. :.j t > :� _ d a z 71 Undergrnd. Stora, T_anl� 0 Gas 0 Oil 25. Roof Sheathing C, �,� 4`Overheacr Hydro," 26. T -Ba ;Ceiling (Structural) & Monocoat t: x ... y.1' 75 Dry Chemical - _• :y 27. and Fla Fra a 'shiri x 7�� Dry StarSii plPe F r '7 C� .t F .v vg> T1- ^_ , 28. -Lathing &Siding �= * -1< - i' S. 7T.1 FIXED _SYSTEM�:FINAt " 29. Insulation �' i =t _�•" •' ,., - m t: + I (�, 78 't FIRE PREV. FINAL < ^, 'W >• •30.Drywall Nailing ,,t t. #J t* �+ - HEALTHDEPT-REQUIREMENT 31. Plaster B7own,Coat 79' FINAL INSPECTION ;• Ly s -' IV . 32. _ElectricarPower Meter'_FinaI r; !c , 80a FOOD CERTIF.'ICATE ISSUED 33. final'Eleeiricl `'y= .- ' "' I'' • Notes 34. FinaF Heating1& A;r C nditiorli g S = ; ''' ! f, 'rx, _ •' rrl 17 35. Final-Gas.Pipe'Test-•+ , -'_' 36. HOo(f,or Canopy -37, FinalFactoryFireplace' "'T i _ I k y . 38. Final Plumbing y y '• �H ` r_ i. _ _ .t .� -, --- 39. Water Service -Final a ! 1K t', t ,-r 40. Gas Service -Final 41. Solar DomestioFinaF lIlk + , . ' 42. Backflow Preventer '' ` - -43. Backflow Irrigation S5 44. Landscape Irrigatiori.System 45. Sound AftenU_ation •- 'n 46. Handicap;Regulations 47. FINAL STRUCTURE & BUILDING -.-. t - 48. FINAL PLANNING' •r 49'Electric Release to Edison 5d. Gas Releaie to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY'- r = No. Date CADnJAC AVENUE 3505 [flit L-2 wt 18 - B-2276- Ccam. Bldg. 151,326. Unit L-2 P-2387- 41,J/dr- PUG. (8..2276) _ 5-2643- 1/16/0- ELEC. (B-2276) .. Unit L-2 Applicant to rift in all speeds within heayr border Imes and don CITY OF COSTA MESA I a ml ry TRACT no. LOT No. GLEI;.. 0983 I/20/B2 4IV.00 CONSTRUCTION PERMIT e P7 TY E OF CONSTRUCTION NEW ❑ADD ❑ALTERATION- 0REPAIR ❑CONVERSION DOEMOLISH_ ❑OTHER /�-Z7,•7� r• _ ZONING REGULATIONS - - Project Atltlreu Owner Phone AddrAtt - ARh - nw Na. - ..- DESCRIPTION OF WORK - - A.P. ; - Ad rose TYPE OF PERMIT, ZONE PLNTGp. SETBwC 9REF. � - PROPEIRT�V LINE - 'Addrm ❑GRADING ❑-FOUNDATION O'STRUCTURAL-- QTENANT ELECTRICAL UZQ LUMBING ❑MECHgNIC I 10 LICENSED CONTRACTOR DECLARATION 1 aWIV em licensed tler oro lslons el CShelter 9lcoin IC- - BanOY Hn`L! InpO Illi Imn-]000) t.01%ISI 3.01 the Business and O'OTHER. PrOM1ssl n[ O , e11A y I ep -12 full force f I. PROJECT DESCRIPTION iREAR YARD (TO P/LI'• .J (/ . LlIV- 50 FTs' - OCCUPANCY6 CONSTRUCTION TYPE -. "- '. PKG. SPACE RED.' iSTREET WIDTH PROVIDED., PARK FEE i-, Dtenslt 77;Jhf_e Data /- C WORKERS' COMPENSATIONAECLARATION .1 hereby affirmthat l acertificate of Insure Ore ygLVAT10N ZONE ZONING APPROVED BY - DATE - - - \illob of Workers' Come On In rince, Or i. Ce11111111ied WpY _ GRADING CU YDS ACRE$ __ SPECIAL' CONDITIONS: ' f (Seal .Lab. c.1 yelp' Wmpar, c 1 f itllletl cePY Is hereby turnbhad-_ - _ - REMARKS. - a!- _ ___ Certified Copy Is tiled with the c ty Bu 10 i _ _ iiiiii%EMPTION PROM WORKERS' COMPENSATION DECLARATION (THIS Stollen need not be completed If the Permit IS for One female, t j OrIeYI^ _- _ S:1dp1 ceRfIIY 1 1 aha Performancet thek i which the an i 15 4 Isswtl not employ any parson I any to became PLUMBING �- ;PL'AN CHECK - -- - ELECTRICAL - PLANCHE<K- SUI to the Workers Compen ratan Laws of California. - BATHTUBS -- - �' SHOWERS - - - _- _ Dile Signature NOTICE: If after making this 0eclanlian, you Should became Subiec\ TOILETS URINALS - -- - +GENERATOR .. C-I'KW=1-10%w - to the Worker' Com 6toutlOn PrOVI51On5 Of the LabO1 COM, you must TRANSFORMER forthwith Comply with such proWsmns or this Permit $Mah be deemed LAVATORIES DOUBLE LAYS -s APPLIANCE 10-50 KW -50 I. KW _ eVONeT - KIT. SINKS - DISHWASHERS - MOTORS 1 - 0-1 His -1.10 NP --- - _ - _. --- CTION LENDING AGENCY ,CONSTRUCTION a ey for the ter. 1 hereby eflllm that IMIO IS a construction leading Same - SERVICE SINKS .n5UMP5 - - _ _ _ TNC' SQL?R)- 10-50 HP 50; HP- _ �- larmence of the work for which this Permit Is Issued ISecllat 3097 '�--' FLOORDRAINS-� -- OUTLETS- SWITCHES CIS:C:I." -�' •�- ��------ --'FLOOR'SINKS' Name ,FIXTURES+- _Lender's _ "- OWER 'DRINKINGFDUNTAINS Ti'- --- { - - - IGAS TUBE -SIGNS. _ "' r BUIL OWNER BUILDER OECexempt ON^ -- C --- -- • U -- fo I allbm tel emf3am \n0 Contractor's LICCnu Use for INTERCEPTORS -'-- CLARIFIERS '"'� "'� 'I POLE LIGHTS-- POOL - - - - - - 'BOLES - e far Direction 7 Business \rte ng reason ]quire Busier and Pconstruct. Coad: City construct. Dilor, why city o unto which requires a permit to METERED" Uelorma- WATER SERVICE— ALTERATION - - WATER SE ALTERATION -- %PgNElS - - MAIN SUB - - re- recut anystructure.to file e. dem01tuart ed a Signor l statement that eulres the apr !lent for [ucn permit to lila a Signed slatemenl lnat M1e GAS SERVICE' - -"--OUTLETS - -- - :SERVICE---- -.. AMP - - r1res k'llwnsea Punuant \o lne-p!oWdans of "a Con lraCldr's LicenseLaw IChapbr 9 (commencing dh roohfn 70001 of Dlvlsian 3 f IM WATER HEATERS • - BTU 'OUTPUT ' - - - P oN Sions Coda) 0 that he is exampt t 9 andheOM also Sao t or the lleged exemption Any allSOC 7031 �1on SEWER cczameTMms - L 'Is- pile nt for �ivep¢null ameeed nersm applicanttoa toll Penalty of „o[ - 501 -AR -TANK- --COLLECTORS ❑ 1, 3s owner Of the property or"my emplayCel-with'waget as thorn Sale compensation, will 00 thework. and the StructWO IS not Intended ' -orciffened for'Sale. (Section 7044. Business and Professions Cope: The - I- ♦ ISSUE FEE - - - - - -- - a COntractor's License Law does not asPIY to an owner of yroperrY - O builds Or Interests thereon. and Wllo does Such work himself On _ ISSUE FEE' - - - - ted' - .APPLICATION APPROVED BYDATE.J - through his employees, p!ovlded that such Impmvemen(S are not -MECHANICAL - PLAN CHECK } "-�. - SUMMARY OF FEES - - fatwn Intended or offered r le. If, however, the'buRalnI- r Ito@aVement- have Is sold within One Year of completion, the owner wilthe burden '• - 1 pmvinq-hC did not build r improve ref \M1e pUrpOH 1 IB): - - - - HEATING SYSTEM 0-100,000 BTU - }OUILOING. ❑..I. wner.of—tho property, am xcluakely contracting IIN - ANDOUCTINGpULN PERMIT E SMIP., E' contractors \poo lout! !M prom\ 1-e not IOO,000+BTI( CHECK 6 - - - PERMIT anemetllcon cad es a d TofKs01005 CAOO: TM1e COnlNG10r.'i LIUOS¢.Id W -docs n01 apply 1p. apply o an ( property who builds or Improves thereon. and who spa- - REFRIGERATION Od00.o00 BTU ///OJ ,.�� +PLDMBING SL_ :ISSUANCE S traCU from -such projects_with. a. contratlar(s),IICNaad.OUM1UNI 10. -SYSTEM - 'GRADING S the OnamClo r; Ucense Law). 100,000 t'BTG - ;PLAN CHECK E - -- Qlamexemptsued,racoon B. 6 P. C. for this - BOILERS - BTU - ELECTRICAL -E I E -MICROFILMS' ieas0n - SYSTEM REPAIR. ALTERATION A PLAN PLAN CHECK E _ TOTAL FEE E " Data Owner n IM1ar¢by cer(If allhave reatl this application and state that the above re"y sth . EXHAUST SYSTEM MULTIPLE _ - - IMECHANICAL -S - _ 'LESSAO- Int ttl.l ' 0-tO Comply IIh ill citycountyu ly Comply PLAN CHECK- S VANCE PC -S_ Ordinancesan elewsr ting to and herebyaaWMdZe ' lean ntat s '1 y to ter -upon the bo V tl - - ' property _I I $IgM( FINAL FEE 3,/O Ori 'Lcuns¢or SS3 .165UEFEE -_ CMF 006546 White-BUOding;Unary.Apolieantp Rnk-ACcouMing: Goldenrod -Assessor o_.. s -t ; f; t CONSTRUCTION AND PLANNING �1 APPROVALS Permit # . - Date Inspector POOL &SPA' �: , _ , APPROVALS • Permit # - Date - Inspector 1.•_ Temporary Electrical Service or Pole 43. Pool & Equipment Location -- - - - 2. -SoiPipe-Un rgrn 44. Steel Reinforcement - - •-- -- _ 3. Electrical Conduit Utility-Undrgrn_ 45. Forms -• -- - - - •-- - - 4. Electrical Conduit-Undrgrn - - - 46. Electrical Bonding - - - _5. - tee em orce.. 47. Rough Plumbing & Pressure Tes{= - - - - -- - 6.-- Electrical LIFER Grn, . _ - 48. APPROVAL TO COVE R;GUNITE - - - - _ 7. .Footings _ _ 49. Electrical Conduit-Undr rn 8. _ Foundation- - ----- - - - _ _. 50. Gas Pipe, 0-Undr rn,•Test- -9: -Water Pipe-Undrgrn _ _ - - 51.- Backwash Lines P-Tra ' nH rn ' 10. Structural Floor System • 52. APPROVALTO<DECK ' 11. Property Sewer Line & House Connection.-_ 53. --Backwash & Receptor -Final ' i 12: Street Sewer Connection - -=-- - 54. Heater & Vent -Final 13. Rough Plumbing 55, Plumli6n" 14. Rough Electric -Conduit r-- - - - ' - -'56. Electrical -Final -- - n 15. Rough Electric -Wiring - -- - --'- - 57. Solar System -Final- -- 16. Rough Heating & Air Conditioning - - - - - - - ',bd. Fencing & Access Approval 17. Ducts in -Structure - APPROVED FOR PLASTERING 18. 19: 20. Ducts, Ventilating Gas Pipe -Rough & Test - - Roof Framing - - - 60. POOL/SPA SYSTEMS FINAL - - 21. 22. Roof'Sheathin 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 - - Q-.ly-TZ 33. -Gas Service -Final - - - - 34. Solar Domestic -Final 35. Landscape SprinklinQ 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 In form all spacer within heavy border line: and sign all M CITY OF COSTA MESAPER IT NG: TRACT NO. LOT NO. -- -BLOG. NO. - - I.97-� 2/ I /02 r 9,00 CONSTPUCTION PERMIT — TYPE OF CONSTRUCTION Va NEW ❑ ADO ❑ ALTERATION ❑REPAIR OCONVERSION ODEMO Ll ❑ OTHER ee 44,,,� Silt AI_ )i - 1 q 4 Un//7- *1aL. ZONING REGULATIONS Project Addrea T r C ba -i p -✓E. Owner Q.i�i/ _ ,Q t Phon y^j. /f' Adtlress 0/ Q p_ /pQ _ 6- Arch/Eng. y s fi f License No. DESCRIPTION OF WORK P' P'So Ad base M - ZONE PLNTGQ.gREFtt..�ppE Central el t[L�[lfl 6G -G Phone Zal- TYPE OF PERMIT - ❑GRADING ❑FOUNDATION 1-1 STRUCTURAL ❑ TENANT ELECTRICAL OPLUMBING OMECHANICA ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCVPANCY�LONSTRUCTION TYPE VALUATION ZONE C PPOPERTVNU NE YARD SIDEY RIGHT REAR YARD (TO P/L( PKG. SPACE REG. PROVIDED STREET WIDTH PARK FEE $ ZONING APPROVED BY DATE Address /¢7z3 6� 611d0 LF .igTTD LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 am licensed Under provisions Of Charter 9 (corn- Ing with Section 7000) of Division 3 f the Business d Pretensions Code, no yy license Is In full farce and effect, C—/O 3ni<jy Date ¢��License lo. WO Z ATIO urs. - - WORKERS' COMPENSATION DECLARr TIO1V J I hereby affirm that I have a Certificate of consent to salf-Insure or a certificate I Workers' Compensation Insur rl or certified copy thereof (Section 3800, Lab. C.). /Q E y py(✓O h /nevi: cempany/HeJir /NA GRADING CV. UOS. ACRES SPECIAL CONDITIONS: - _ Crt1(Ied carry is hereby furnished. L, Certified copy Is Bled with the City Building Division. REMARKS: PZ,710 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This�ction need not be completed if the permit IS for One hundred EJaO) or IeSsllthat ^ Issued f I shall not < the ploy any cpersoe Of n In any e Work man erlso a5ch 1to become bjec)to the Workers Compensation Laws Of California. PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK Date signature BATHTUBS SHOWERS NOTiC£: H atter Mafs king this dindoWi axi YOU behind become subject must to the forthwith comsply wl(b such prMotion ovisions or IM1B Permit of the rshi Oe deemed TOILETS" URINALS LAVATORIES DOUBLE LAVS GENERATOR Aea EEMER PPLIANCE 0-1 KW_ 1-10 KW 10.50 KW-50+KW resonant. CONSTRUCTION LENDING AGENCY 'KIT. SINKS DISHWASHERS MOTORS p1 NP=I-lo HP I hereby affirm that there is a Construction lending agency for the per- IOMII of the work for which this Permit IS Issued (Section 3097 SERVICESINKS SUMPS NN0.5CLAR). 1040 His 50+HP FLOOR SINKS FLOOR DRAINS FIXTURES Z_ OUTLETS'4..Pal HE$ CIV. C.). - Lender's Naair LudI Address DRINKING FOUNTAINS GAS TUBE SIGNS OWNLDER DECLARATION I parody allbm thatII arae%emp f rrOMthe Contractor's License Law for the following reason (Section 7031.5 Businessnd RadialCodi Any city or county which requires a permit to construct. alter, signed) statement that he USMI re- puinesve, demolish or the aq even for sooairn parnitu tofileprior INTERCEPTORS CLARIFIERS POLEL GHTS SWIMMING POOL PTRAP POLES METERED sup WATER SERVICE - ALTERATION PANELS MAIN SVB GAS SERV ICE'OUTLETS' - SERVICE H Ah $' Is licensed -Pursuant to the provisions of the Contractor% License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and PrdesslOns mode) or that he is exempt therefrom and the V for the alleged exe tion. Any situation of Section 7031.5 by WATER HEATERS BTU OUTPUT SEWER CONNECTIONSit Vp0lica t f oe e a permiit stl subjects z e &T(UIQMt to -a civil Penalty MY employees with wages as Meir Li I. as own. of tea property, Or lo SOLAR TANK COLLECTORS - sole mcensatioq will do the work, and the structure is not intended c or offered for safe. (Section 044, Business and Professions Code: The Cantfacor'S License Law does not apple t0 O owner of a property SOLAR PIPING SYS. ISSUE FEE who builds or Improves traders and Who does such work himself Or ISSUE FEE - APPLICATION APPROVED BY DATE ougM1 his own employees, provided that Such Improvements or not Inte0d0tl Offered for sell. If, however, the building r Improvement N sold within prBe Year of completion. me owner will or the blmen f proving rtl not build prove for the Purpose of ale). actua am exclusively contracting with ❑ 1..,% owner Of the.n licensed contractors t0 construct a project (Section 7044, Supreme and Professions Code The Contractor's License Law does not apply to. tan racts ermll rM1 Projects with whoand Who ha Otcan. btaldl orlookin (b)thereon, the Contraclor's Demser Law). a n _ MECHANICAL PLAN CHECK HEATING SYSTEM 0.100,000 BTU AND DUCTING 100,000+BTU REFRIGERATION 0-100,000 BTU SYSTEM '100,000+BTU BUILDING PERMIT $ PLAN CHECK 3 PLUMBING Ir PLAN CHECK $ SUMMARY OF FEES - SMTP S PERMIT ISSUANCE $ GRADING $ ❑ I am exemrp,rder Section 'B.&P. C. -for this BOILERS BTU ELECTRICAL fa $ reaso SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE GLAN'CHECK § MECHANICALS K PLAN CHECK, '§ MICROFILM $ TOTA4FEE$ LESS AO- VANCEPC $_ - Date- Owner Ihereby certifytM1har Ihave lead this application and State that the above t unty Information Is- e L rI agree tp mply with all city and MmirancEsand sta[ a lid WS relating to construction, and erey authorize a ter pen he "above toned representatives 1 '[ cry O e Property for ur p Signature O 2 - FINAL FEE $ privese rs' Licenor 59nik f ISSUE FEE _ ,- CMF 0865-J6 Whlte-Bulldin9:Canary-Applicant; Pink-Aaounlin9: CONSTRUCTION AND PLANNING q APPROVALS - ` Permit # G /��tl.l Date Inspector- POO L'& SPA APPROVALS. - �' Permit Date- - ,Inspector - _ 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location _ 2.- SoilPipe-Undrgr0, '_ • • _ _ 44. Steel Reinforcement-- 3.-.ElectricalnduitUtility-Uncirgrn. ,_ 45. Forms - - - - -- - - 4.. -Electrical Conduit:Undrgrn --� _ - ...-. 46.. Electrical Bonding_- - - -•- - - - 5. Steel. Reintorce _ _ _ 47. Rough Plumbing & Pressure Test - - - - - - - - 6. _ Electrical UFER Grn- _ 48. APP.ROVALTO COVER-GUNITE' 7. Footings _ _ _ _ •• 49. Electrical Conduit-Undr rh - _ 8. -- Foundations 50:, Gas Pipe, OJndr rn, Test - . 9.-_ Water Pipe-Uniirgr.n. - 51. Backwash Lines P-T.ra -'[D Undr rn '' -- • - - 1.0. Struc;ural plooLSYstem., "' _ _ � 52: , APPROVAbTO DECK-•- - ;__Lt.. .Property-Sewer.Line.&..Ho.use Conne'ctio'n_ _- • '' 53. Backwash & Receptor -Final _1.2-_ Street Sc�,ver.Connection __ "' --- - -54. Heater& -Vent -Final, 13.... _a rn ng -- _ -. . .--Final 14. Rough Elettric-Conduit '- - - - -' - --- ' '56.- Electrical -Final- - 15. Rough Electric-YYring - - - ' - - -'- ' '-- - 57. Solar System -Final- 16r F +ugh Heating &Air Conditioning _ -- - - - - -- - -- _ - • Fencing & Access Approval- - 17:- Ducts in Structure. -779F APPROVED FOR PLASTERING 18. D-rcts Ventilating- - - - - - 60._ - -POO L/SPA'SYSTEMS FINAL - .. .. .. 19. Ges Pipe -Rough & Test- 4- '• 20: - Ruof i re.ming- - -- -- - - - - -- - --- - 21- Roof ,:)h -Cathing -22.- FfamPand Flashing -_-- - - - - - i - - -- - - - - NOTES: - e4. L thliSiding 25r D.Vwt:l :+ailing 26. - Ptastei B' -Own Coat2.• ' ' 2.7. Elect;,cal Power Meter -Final 28: -At • 29, FinakHerting & Air Conditioning - - - - - - •- - - '- 30., Final �a� Pipe -Test- 31. - F..ial Plu nbing - - - - - - - - 32. Water Service -Final- - `' 33. Gas Service -Final- - --- 1 34. Solar Do- )estic23irial "" '• _ _ _ 'd 35. Landscal +. S rinkling System - 36. Sound _A:enuat:on ' 37. Hand,cap Regulations - - - 38. FINAL STRJCTURE&BUILDING 39. Special Requirements Completed ' 40. Electiic,Release 4o Edison 41. Gas Rele-w to Southern Califomia Gas Co. 42. CERTIF!CATE OF OCCUPANCY Nt- - Date. - Applicant to nn In all spans within heavy border lines and train all CITY OF COSTA MESA PERMIT NO. TRgCT NO. LOT NO. BLDG. NO. ' . CONSTRUCTION PERMIT a7 i0 PM 81-360 18 ,C.. TYPE OF CONSTRUCTION 5MCNEW C ADD ❑ ALTERATION ❑REPAIR ❑CONVERSION ❑DEMOLISH Yl OTHER sOJBJ I/I,8/82 573,59 -' ZONING REGULATIONS Project AEdress JOUD UAXUl rsvcni Owner Phone Address 1301 Dove St.r #760 blebi Roach 4285 DESCRIPTI ON OF WORK ApOF 11Q.9q1.1101r' Arch/Eng. Hi7m5—PetPSe License No. Address 119 E. Alt= Santa Am TYPE OF PERMIT ❑ORAOINO C FOUNDATION MHING. CTORAL []'TENANT ELECTRICAL OPLUMBING .O IrECX/WIC ZONE PLIN G :.s I VARD� 5 pg y • Contractor Oltmans ConsitrUCt1OD Phone 576-84 Address - FC Box 308 DECLARA PdII( CA LICENSED CONTRACTOR DECLARATION , handed I ham"ervin stain) that am Charter w and f pfovldlof the Unq Ilnsection. 70001 Is 3 I ane BYSIne and \ - ❑ OTHER PIIGHT ce se I profess;Code. a my license Is In lull IOrtl .Ncl. REAR YARD (TO P/L) ' Bg�9°3 PROJECT Ugera Costs A unme Nr Cos 45sRIPTION SQ. FIT. 44 NN PKG. SPACE RED. PROVIDED Date data SlpnalYrO p OCCUPANCY�'CONSTRUCTION TYPE`V_N STREETWIDTH PARK FEES ' DECLARATION WORKERS' COMPENSATION 1 hereby affirm that 1 have a certificate of consent to selNnsure or a VALUATION LE%4.,aaeONE ZOMNC APPROV E0 DATE bartlllple Of Workers' Compensation Insurance Or certified copy GRADING CU. YDS. ACRES SPECIAL eONDITIONS: thereof (RrSlon 3800, tan. C.). REMARKS: ' �s 3/n.5. - - policy NbM8j0a59h3 Cpmd ny IYMIlYtDi- Tn(IM .Certified copy isnerWyfurnished. - •C=mhed copy B filed with the city Building Division, le r tj0PD FOR SPECIAL:REQUMEMENTC. FROM WORKERS' COMPENSATION DECLARATION (EXEMPTION need pat be Completed If the Permit is lot one hundred $1001 ofcertify 1ThISection that Ina the Performance of the work for which Permit IS this ISSUSd) not anymotherSO to become l�mpnvtrsonion PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK Iolnel em La Of subleData BATHTUBS• SHOWERSan Slpnature FT SO FT_ NOTICE: If alter "king this declaration, Oil Should become SubjeCt TOILETS URINALS GENERATOR 0-1 KW1-10 KW OU Must to the Workers' COM forthwith Comply with such provisimotion ons oa0 rho Labor r this Permit Shall bca e deemed LAVATORIES DOUBLE LAVS- �\ • TRANSFORMER TRANS R IPSO KW_ 50 KW awked. CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS- MOTORS 0-1 HP -1-30 NP I hereby= 011rm thatthere ISy t hen tMSCtIOM l[ IS agdn($ecll Seer (SERVICE SINKS SUMPS ONE. SOLAR) 10.60 HP Lip p Civ. C.I.,., . . Wells Fargo FLOOR SINKS. DRAINS- FIXTURES OUTLETS SWITCHES ,BiJll)C _ Lenders wine .. - `r - .(FLOOR Ubndr.'9mlr,jss660NeWPOrL CETI Di• N•B• DRINKING FOUNTAINS GA$TUBE SIGNS OWNER BUILDER DECLARATION Cpl from the COOtraCtorY License Law lar. 1 hor=ny affirmahaUl am e%m INTERCEPTORS, CLARIFIE S• _ .� i'lf r: _' POLE LIGHTS SW_ IMMI NG POOL ) P TRAP' ,u v'` L•, — PO ES METERED SUB me following reason ISectlon 7031.5 Business and prolnslom Cotln city a, which Ilio l3lssYaln[e ge- WATER SERVICE 'ALTERATION - ' 'PANELS MAIN .SUB - improve. de b r Or repair any StruCtu10, Drla also, quVe3ID0 a0pit hit for sucM1`permit to file a signetl statement that he GAS SERV ICE OUTLETS ' SERVICE AMP Is licensedpu¢udnito tea pmvlslam of the COntnetar3 LlCenO Law I hartei in min IIh :if 70001 OI OFill 3 I the WATER HEATERS•',) BTU OUTPUT '^ - - fi Ine3S,and PrWess•onaCoda)ortnal he lsexempt thoreham and the bads for•Ine allegetl ex mptlOn. qnY met of than 7 31.SbY' \ ' appllont for-permll blects the ppllnnl 10 civil Penalty rt more than`llre minoreC dollars ($500):' SEWER CONNECTIONS. - SOLAR TANK • ' es with wa9as as their a$ Owner of the WoDei1Y.•or my employcoact ., sets compensation, will do the work, and the sbu[[ure Is not Inlen0e0 ,COLLECTORS r ollered for Sale.e(SeClien )Ode, BuhlnlSS a00'ROlessions Code: Tha SOLARtP,PING SYS. _ -' ISSUE FEE EDI tori Llttfts! Iiw tlaes nota Yply 10 ao�'Owner of a prODcity h0 dYIIOS Or Improves tM1enon, add ho,naMuu[h work nimsell.Or' we 11 - ISSUE FEE - \ I r �➢ t \• APPLICATION APPROVED ED gV DATE own"empl0yees,'pron that WCn Im-p ova eats are not - a r intendetl'or oiler for sale.Il}M1Owewf. Ne Ooilg ogialmowrrwit Allan, the 'awlNr WIII OBW IthebSrd en- MECHANICAL r � ,PtqANCHi Ck: �J r' SUMMARY OF FEES I[s01tl WIIM1II ono,year of comI of- 'I \na_oltl. nol it �Imp(Ov0 sol-me',purposa sol ,talc 100.000 OYU 1 HEATING SYSTEM 0-100.000 BUILDING PERMIT f 563— SM,p E �G"�� C I, as 'af the property, am xclu �vely Co trAlingtwlah AND OUGTING Ilceese0 CO N to'[On9ruC use protect (Dec Ion 7044, Bmine[5 100,000 a BTU PLAN CHECK f PERMIT and Open: The Contractors Lican•2 Idw d 0 not,daily la ISSUANCE $ Wrofewons[ an of who builds menace, and who cam REFRIGERATION 0.100,000 OTU PLUMBING f _ property <rO^morOW5 tracts Ur such pfoje0 with lraC[Orlsi llcems, pursuant to SYSTEM GRADING S the Cont dors Llcenue Lawl. 100,000 BTU ._ �. • PLAN CHECK f C lame mat on Section B.6 P. C. for thisgOILERi BTU ELECTRICAL f S ..Son - SYSTEM REPAIR, ALTERATION PLAN CHECK $ MICROFILMS TOTAL FEE $ Date" MECHANICAL hereAlLtAndaeleadI application and Stets that the above EXHAUST SYSTEM MULTIPLE ,f LESS, AD- nfor1 lgtee p DIy Wllh all OlY ane COYnze PLAN CHECK f VAN EP VANCEPC $_repremOlelaalto M1Cv o M1ev laaing ocer mentionim FOOlagand er FO M tomo mentionedpropeeo lir vppon me bovp NonmFINAL FEE $Propepit.Slgnd Q 25Z,Drive ISSUE FEE" -- CMFOB6546 White-Bullring:Canary-AOPIIcanl: lank -Accounting: Goldenm0-Asesmr CONSTRUCTION AND PLANNING APPROVALS Permit Q�'''��,, � •' #�1J/� Date L� Inspector POOL & SPA - ' Date• APPROVALS Permit Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Un rgrn Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5.- Steel Reinforce SQ�w 3 $-82 9,741 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 3- 2- g2 .�.�7 49. Electrical Conduit-Undr rn 8. Foundation 50. • Gas Pipe, ❑ Undr rn, Test 9. . Water Pip e-Undrgrn 51. Backwash Lines P-Trap. ❑ n r n 10. Structural Floor System L4 -2-5--5,2 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, Plumbona System - Final 14. Rough Electric-Conduit �56. Electrical-Final 15. Rough Electric-Wiring 57, Solar System-Final 16. Rough Heating & Air Conditioning encing & Access Approval 17: Ducts in Structure APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe-Rough &Test Roof Framing 3-_17-g';x 91-7 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frame and Flashing 5-.17-VA, NOTES: 23. Insulation j,, ,1.C(� 24. Lathing & Siding 25. Drywall Nailing Q- -S' 8 6B e ' os C 26. Plaster Brown Coat -d 27. Electrical Power Meter-Final R -5--$� 28. Final Electric ST e -XZ- R 29. Final Heating & Air Conditioning n - $ 30. Final Gas Pipe-Test ; -g2 S/.- <j DR 13e&g d / d r 31. Final Plumbing -S-3.l -I 32. Water Service-Final 6 - - 33. Gas Service-Final � 34. Solar Domestic-Final 6 11- 35. Landscape Sprinkling System • o 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 M i 3505 CADILLAC AVENUE UNIT L3 Unit L G22j $26,500 CADILLAC AVENUE 3505_ Unit L-3 Lot 19 B-2277- Conn' Bldg. 116 051. Unit L-3 P-2388- d/tx/SY PLBG. (B-2277) E-2667- 9/.1J)D-EIEC.(B-2277) Buse Meter Close to Unit L-3 E-2644-7'G3/Pl- EIEC. (B-2277) _! Unit L-3 B-3611- Trash Enclosure 800. 7 13. w M 7267 Refrig. Systems (B2277) 3 4�q5� M 4q CITY OF COSTA MESA BUILDING DIVISION p RMIT NUMBER DEVELOPMENT SERVICES DEPARTMENT "• �;� PERMIT 100-00134 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3505 CADILLACAV Suite: LOOS 3 Vicinity: Parcel Number: 13965113 Zoning: Status: ISSUED Applied: 01/31/2000 Issued: 02/23/2000 Applicant: ALI REZAEI ISSUED BY:cl''/ Address: $163.31 - _ Calc Valuation: $15,000.00 - $251.25 - / Claim Valuation: $15,000.00 SMIP Res: $0.00 .Phone: 949-975.1328 Other: $0.00 Zip: $0.00 Owner: JAM INVESTMENTS Address Phone: _ - - /' Zip: Contractor: Address: ' - Phone: ' Zip: License: Arch - ' Eng: Address: Address:- " - Phone: Phone: ' L• ' . Zip: License: License: "BRUCK LIGHTING SYSTEMS' OFFICE TI, UNIT 3., 2 EXISTING UNITS 3,4 & 5, RAISE REFLECTED CEILING IN SETBACKS ACCESSORY PARKING Front 0-0 Front 0-0 Existing: 0 Rear 0-0 Rear 0-0 Required: _0 PLANNING & ZONING Left 0-0 Left 0-0 Proposed: 0 Right 0-0 Right 0-0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754.5626 -FEE SUMMARY Plan Check: - $163.31 - _ Calc Valuation: $15,000.00 Permit: ' $251.25 - / Claim Valuation: $15,000.00 SMIP Res: $0.00 SMIP Com: $3.15 Other: $0.00 Inspection:, $0.00 Total: $417.71 SETBACKS ACCESSORY PARKING Front 0-0 Front 0-0 Existing: 0 Rear 0-0 Rear 0-0 Required: _0 PLANNING & ZONING Left 0-0 Left 0-0 Proposed: 0 Right 0-0 Right 0-0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754.5626 DECLARATiONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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. ,0- 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 Ods permit is Issued. My workers' compensation Insurance carrier and polity number are: Carrier: Policy Number: (This section need not be completed 11 the permit is valued at one hundred dollars ($10)) or less.) ❑ I certify that in the parfo once of the work for which this permit is Issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of ill mia, and agree that should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these pr Bions. r Applicant Signature: Date: =V23 f D WARNING: FAILURE TO SECURE WORKERS' C ZENSATION COVERAGE IS UNLAWFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE (St00,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busings and Professions Code, and my license is In full force and effect. Llc. q Class a .f5 Contractor's Signature: Data: _n:L 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: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirn 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. It, 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.). ❑ 1 em exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Diver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certity 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 thlrty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, California Administrative Code). ❑ As owner-bullder, 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 Pormll Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certity a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be tiled with the Costa Mesa Fire Department by every business which has at any one time during a reported year aquantity 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 gag 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? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, With some exceptions. requires registration with the Costs 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 SS 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 are 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 ❑ No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application epereit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? UYOS U 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? ❑ Yes ❑ No (it -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? ❑ Yes ❑ No 8 (II 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 penury 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 abovo-described property for inspection purposes. l agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Sign f Legal Owner(s) Date ccu� i�3n .113 fdci pkcant Date CODE r, INSPECTION TYPE DATE IINTMA CODE E INSPECTION TYPE DATE gjTTMAAL 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Well 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 2"646 (714) 754-5273 • Fax (714) 754-4856 ... 4 - '-" CITY OF COSTA MESA ` BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Job Address: 3505 CADILLAC AV Suite No L008'3 Vicinity: Parcel Number: 13965113 Applicant: BRIAN CURE Address: 515 9TH ST HUNINGTON BEACH, CAS Owner: JAM INVESTMENTS- Address:. - Contractor: CURECOINC Address: 515 9TH ST HUNINGTON BEACH, CA � r Arch / Eng : - - Address: , RERB00-00134 MECHANICAL PERMIT Phone: (714)536-8839 Zip: 92648 Phone: Zip: ... Phone: (714)536-8839 . -'Zip: ' 92648 License: 747567 Phone: Zip: - --' ,License: SCOPE OF PERMIT 1 REPAIR/ALT COOLING/HTG SYSTEM FOR BRUCK LIGHTING SYSTEMS TI. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair I Alt Cooling/Heat - Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping - Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers> 10000cfm NUMBER M00-00079 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 02123/2000 Issued: 02/23/2000 ISSUED BY: 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 - FEE SUMMARY Quantity - Quantity $23.50 - - Repair / Alt Absorbtion Unit $0.00 0 $0.00. 0 - Repair / Alt Refrigeration Unit $0.00 0 $0.00 0 Ventillation System $0.00 0 $13.70 1 .- Evaporative Cooler $0.00 0 $0.00 0 Commercial Incinerator $0.00 0 $0.00 _ - 0 - Domestic Incinerator $0.00 0 $0.00 0 Compressors / Absorption Systems $0.00 , 0 Up to 3 hp / 100k BTU $0.00 0 $0.00 0 3 To 15 hp / 500 k BTU $0.00 0 $0.00 0 15 To 30 hp / 1,000 k BTU $0.00 0 $0.00 0 30 To 50 hp 11,750 k BTU $0.00 0 $0.00 0 - Over 50 hp / Over 1,750 BTU $0.00 0 $0.00 0 Boilers $0.00 0 Up to 3 hp $0.00 0 $0.00 0 3 To 15 hp $0.00 0 $0.00 0 _ 15 to 30 hp $0.00 0 $0.00 0 30 to 50 hp $0.00 0 $0.00 0 Over 50 hp $0.00 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754.5626 DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the fallowing declarations: ❑ 1 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. L3 I have and will maintain workers' compensa on insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier: Polity Number: (This section need not be cOMP10tod if the permit Is valued at one hundred dollars ($100) or less.) ❑ I certify that in the panic once 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 Ifomia, and ag e t if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these pr ns. Applicant Signature: �('/ Date:�--3/Ck0 WARNING: FAILURE TO SECURE WOW(ERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION 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 em license nder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the BusinW and Professions Cade, and my license is in full force and effect. Lic. a Class k ? Contractors Signature: r Date: )/—17 CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty Of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he Or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) for 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. It, 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 contractors) 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 drivers license. ❑ Yes ❑ No Drivers 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? ❑ 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? ❑ Yes ❑ 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 tiling with the Fire Department of an RMPP by businesses which are 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 ❑ No 5 Does or will the applicant or present or future building Occupant require for the work which is the subject of this �Rplicauon apEermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LU Yes LJ 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? ❑ Yes ❑ 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? ❑ Yes ❑ 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. 41 �Signetur t L Owners) �f13/ , Date Rd/ r Auth ize Applicant Date 101E r, INSPEFixed TION System PE �g INTRIALS COOED FinalINSPECTION ani - QATU Emu 1616 � Fixed System Final Fire prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final BIocWRetaining 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 2aa6d6 44 `'tp fSq CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT +1� PERMIT (714)754-5273 • Fax(714)754-4856 Job Address: 3505 CADILLAC AV Suite No LAO B3 Vicinity: Parcel Nunmbec Applicant: Address: 13965113 BRIAN CURE 515 9TH ST HUNINGTON BEACH, CA Owner:' , JAM INVESTMENTS - - Address $23.50 Contractor: CURECOINC Address: 515 9TH ST RERB00-00134 HUNINGTON BEACH; CA ELECTRICAL PERMIT Phone: (714)536-8839 Zip: 92648 Phone: Zip: Phone: (714)536-8839 Zip: 92648 License: 747567 SCOPE OF PERMIT 30 LIGHTS, 6 OUTLETS 8 6 SWITCHES FOR BRUCK LIGHTING SYSTEMS TI. . Quantity FEE SUMMARY ISSUE FEE $23.50 Temp Dist System / Lighting Temp service test $0.00 Busway /100 ft Res. a/c package $0.00 - Standing Section New Res (1-2 units) $0.00 0 Misc Electrical Equipment New Res (3+units) $0.00 0 Transformers up to 1 kva/kw Pool / Spa $0.00 0 ................up to 10 kva/kw Lighting Fixts $27.30 30 - .................up to 50 kva/kw Recept Outlets $6.60 6 .................up to 100 kva/kw Switches $6.60 6 ..................over 100 kva/kw Non Res Appl $0.00 0 Low Voltage Equipment Res Appl $0.00 0 Low Volt Wiring System / Ckt Service to 200a $0.00 0 Misc. Conduit Service to 1000a $0.00 0 Misc. Conductor Service over 1000a $0.00 0 Circus ( gen or ride) Motors to 1 hp $0.00 0 Circus (mech ride or lights) Motors to 10hp $0.00 0 Christmas Tree Stand Motors to 50hp $0.00 0 Fireworks Stand Motors to 1 00h $0.00 0 Other Electrical Fee Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee Sub panel to 200a $0.00 0 Plan Check Fee PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 0 2/2312 000 Issued: 02/23/2000 ISSUED BY: Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 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) 7545626 DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a cartificate 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. Fj 1 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 carder and policy number are: Carrier: Policy Number: (This section need not be completed it the permit is valued a1 one hundred dollars ($100) or less.) ❑ 1 certify that in the perfoJIJAnete of thework 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 rfosm�'la, end r at if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Cotle, I shall forthwith comply with these pr 1 Ions, Applicant Signature: 11-1 Dater ;A0 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARE ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 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. Lit. x 2W2 Class x Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty Of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the 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 appy 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. ❑ Yes ❑ 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? ❑ 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? ❑ Yes ❑ 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 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 are 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 ❑ No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject this a plication a ermit 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 10 be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ 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 Calitomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No B (If yes", allach 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. Signature IOwner(s) ate And/Or Authorized Applicant Date CODE r, INSPECTION TYPE PATE INTITIAL CODES INSPECTION TYPE P&H INTITALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing Q 200 Final Re-Roof 210 Final Electrical ✓ S 201 Final Block/Retaining Well 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 Ia ^ L ApnHl rpeeer except \naso within heavy OOIOeI Ilna3 and Sign all appropriate aadantlont. PERMIT as a TR C NO. LOT O. rip'. ire 4NTN - 759" I/1nf/ter. Ar STA MESA CONS RUCTION PE MIT erryer z/ �p Jas 'Plaid ..8dass .,a- Qil///9� P V gppvnl's Mailing gtltl 5 TYPE OF CONSTRUCTION El NEW ADD ALTERATION REPAII OOTHER M.a ApriName M1ona ��'�'F-2n CONVERSION DEMOLISH — Ay,0PDT _ Zone •'ArchlEnA. �42,'f i�OA/lLAR �—//D - DESCRIPCIONOFWORK/USE OF SLOG. S Mein Building. Accessory Building: address License No. TYPEOFPERMIT, GRADING FOUNDATIO1P RUCTURAL T Front - 0 AddIMS ❑TENANT y LECTRILAL LUMBING �-M ECHANICAL' BA Rear N pTHER N COniractor'S Nam Pbon - C Right PROJECT DESCRIPTION S0. FT. OCCUPANCY K G Address mailing CON STRUCTION TYPE VALUATION $ 2�SQ� S Left City License No. ZONE GRADINGCU.YDS. ACRES Ping. gel. � Parking Req.(PrOvided E LICENSED CONTRACTOR DECLARATION O I Irwin0)1 am licensed of Charter a nand Ramark5: 4S Planning NOteS: ^ ^ / pN M withsec ion 7 Oln Of In B wlln section ]0001 3 Of iM1e B and Plof Od g2 T fe of my license is In full /Or effect. s $ Lau no cla3 I para - Signature PLUMBING FEES IRRERS' COMPENSATION OEC gT1ON Bar Sink Shomrs ELECTRICAL FEES a reOY affirm that 1 have a [ertifica BI conxn[ to HniUM Or r finale workers' compensation insur of a certlfl cove cher Backflow Prevenner Service Sink Automatic Washer Transformer ❑ 1550 KW p 3900, Lab. C y�T� qq G - 13 NIT KW26 \7 witty o���JJ�OvS any Backflow Into tion ,Be Sewer Ci "� p Cons[mdion Pele Sub. LS• ��.f,CFfif filled copy Is hereby furnished. LJ Cerfillea cgRB�y Iy gad with the city Bull Bathtubs Sewer Cennew ion - Cooking Unit - Meter ❑up to IN amps Data /-//TpV Appll[ant Cldflflels SOIaI LOIICIOf6 DhbWaaM1Br Meter Winer IODamp3 - y ('� / � EXEMPTION FROM WORKERS 'COMPEN ATIOND -A TION - leszjs xctlOn need o[ be completed 11 the rmlt b for one hundred (2100) Or OishwazM1er Solar Piping Dryers I]Gas '❑Elecvic Sub Panel D I certify that In the ryPerformance of dre W di for Shall notPersianas to this Pee subject IS noted 1 Lai iforniz to bac hied fe lire Drinking Fountains Soler Tank Fen Motors ❑Ol HP 0 K- 8 Q Comlxnmta in Laws Ct pate Signature Floor Drains Swimming Pool wisps F.A.U. Inc-Polar 0e-15 HP 01615+ NOTICE: If, after making this declaration, you should become sublet to the Workers' Compensation provisions of ine Labors ode. YOU must forthwith Floor Sinks urinal Fixtures Microwave Omply with Such CIOv151ers r this permit hall Op deei revoked. CONSTRUCTION LENDING AGENCY Gas Service outlets Water CloMt O Device Boxes Pole Light Insider affirm that triple Ise Construction lending agency for the pe ry C.) - _ f the Work low whiCh this Permit Is Issued (Section 30g]rtcb.a IntefRpbrs Witter Heater 017 outlets Range 5, tenders Name Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION M1ervOY affirm trial 1 ampt from the Contrano Y Licorice Law for the Intel Auto-WaSh Garbage Di3poml Standing Section. following reason 7031.5 Ruainpss and holpsfl00el Code: hny clty or - u5ocllon untywhich VInn acermit to construct,abegimpmw,demonsn or=it any 5[ru'ture, prlOf io Its Isimnce, also wvqubes the apPllunt for 3ucM1 permit P-Trap Laundry Trays - Generator 01),5 KIN 0215 KW Trash compactor ' Us tie/Conch aoYssLl[vnso ]Opo) of 1 Root Drains I / tc LawalCniOterl9lcommenCing w�m Section vision 3 df me Buslnass am pmessmns eeap thin nosne 1� axe pt tram and IM1ae basis for thea IlepeO'exSoPllon. AnY Iola Ion O $Ocltno , /03e1.5 by any Pollcinl for Permit Oletls Ih0 applicant to'a civil n Lay of not more Irian llvv M1una.ea amlars 125001. $ B '� I, a 1 IIM property o! mY emulouees w11M1 ages Ohab SOIe mpensailon ronin tlo tri° work, a the su c re Is net IntvndeE Ifemd Reinswdmn Fee 215 Issue Fee - Reinagetion F00 $15 label Fee , _ S 0 u 10! Salo ISeC(lan )pad, BuslneH d Prole331pnal Coda: TM1< Canim Claris MECHANICAL FEES uanx Law odes not apPeL td an Owner of a prdpeny vena blains of improves DEVELOPMENT SERVI� S 1 EO IREM ITS; d who does n worx lmxd/nonoil or thieugn rib err nor awn Boiler Header T Ype I ❑ 17-QDC7 emare0n, elone3, proelded has momproeemenl5 ave not mteneee o anergia for Is - Canopy Type ❑ Zoning Approved By J aUl� oieu, nowpw�oirivo. buiimnq aur°ronm.m sale wimm one ywr of rim [lan. rive nl o he den dl Proving Nryne dltl not build o. Duct- Untle! Ground u Ruildin °proved By l..v Del omv6 /or ine purpose of sale). on- I ❑ as owner of tna pmceI am exclusively tonnes nq wmb gSIOAS ode- Oun - structural Refrigeration System Appliwti n Issued By CIO ine lett Rection sopa, Busan owner theCOl4 calntl who The no' N, f10 BTU OIOO,000 BTU j Li a as property to je is With a s Or nd ave burden. e . a does rico contracts such un COT tracts prows r a who conmi's Duct- Ventilating $UMh1 Y DF FEES w),Ia3 ani I ntra fors ice Lowe I amawaret a insurance Exhaust System ❑ Multiple ❑ System Rgpeir/Alteration P x R BUILDING PERMIT $ i : SMTP $ snavm Provided tom . their worker ce should Prow ff their vender a Come im proof Cor S/ DPLAN $ PERMrt P. ❑lamexempt antler Yctlp B.6 v.G for this reason Firepl/Fac[.BIt.ICBOgF Fire Dampen 0118 OS ISSUANCE $ If '14 . PWMBNG 1NG $ Date W r ing System All Dm[Ing Regis I CHECK 25% $ ENEHGV P.C. S hereby Certify that I live Is I. ad this p n0 tate that the above to !r Iln Icy I 9100,000"1 J ❑100,000 acewilwal ELECTRICAL S GRADING $ a^/ r [len [ agr e state lows r lall to COUP and county ordinances dicing 1 rrll//and hereby authorize Pro °0 :I PLAN CHECK 5011 $ 5 MICROFILM S sentatives f this aye-mentioned property Inspection pn.pnr ME6�IANICAL S TOTALFEE $ Signature ate Agin3lNdidn Fee $18 z3ua Fee E 3 PLAN CHECK ZS% $ ' Drivers' Licenol0 55 8 ,!CMF 0665-AS. rev. l84 White - Budckwil Canary - Applicant; Pink - Accounting; Goldenrod - ASASSOr , -- ' -PO CONSTR VaT10N AND PLANNING - ✓ALS Permit# Date R APPR! Inspector - , . SPA APPROVALS Permit# Date Inspector t,. mporary Electrical Service or Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. �` Lfi 53. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding _ 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7'. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation .. _ 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. . , 60. Backwash Lines, P -Trap, ❑ Undrgrnd. ' 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final , 13. Roof Drains - 64. Plumbing System - Final 14: Rough Plumbing r a, alb (gyp 65. Electrical -Final 15. Rough Electrical -Conduit I�UA/jeo, 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING •18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19.1 Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20: Rough Factory Fireplace 21. Ducts, in Structure - 70. Underground Hydro 22: Ducts, Ventilating 71. Product Piping 0Gas El Oil 23. Gas Pipe -Rough & Test 72., Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑ Gas O Oil i � 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing .`r 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing -3C. HEALTH DEPT. REQUIREMENT 31.E Plaster Brown Coat 79. FINAL INSPECTION 32l Electrical Power Meter -Final 80.• FOOD.CERTIFICATE ISSUED 33. Final Electric �(7 .y - Notes: A ro 34. Final Heating & Air Conditioning - 35. Final Gas Pipe -Test ' 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing Q C100 39. Water. Service -Final ' 40. Gas Service -Final 41. Solar Domestic -Final , 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System r i 45. Sound Attenuation t ? 46. Handicap Regulations Incomplete Inspections 47. FINAL STRUCTURE & BUILDING Date 48. Special Requirements Completed 49. Electric Release to Edison t t 50. Gas Release to Southern California Gas Co B 51. CERTIFICATE OF OCCUPANCY No. Date tell III CITVOFCOSTAMESA OONSTRI PE,Iecl Address -i���� Applicant's MAIkgin9 AddreA Owner's Name Address C!l�L6Cl Arcb/Eog. Address ��% Contractor'sr's Name= Address Imailingl City License No. 3i/i7 LICENSED CONTRACTOR OECLARATIOI I hereby a11Vm that 1 am licensed under pro with epsilon 70061 of Division 3 or me B my inane Is Junior and a feet. u«rase — Date Signature WOR RS MMPENSATION DEC RAT tereby affirm that 1 have certlfl a of cot workers' Campanil n in a .06, lib. c.l.n/J��i �f or IfIrm that there 15 Work tar whim, Name Applicant to fin in all spates except those within heavy better Area and syn all appropriate declarations PEryp� L.� 4 PE MI �. TRACT NO. LOT Iyp. CIALTERATION VNII NO. ENRON Drinking Founar 9 .,. TYPE OF CONSTRUCTION LI NEW Ann, I I REPAIR ❑ CONVERSION ❑ OEIE ISH OTHER DESCRIPTION OF WORK/USE OF SLOG. pod ATE. S E T B A C S N TYPE OF PEflMIT GRADING FOUNDATION STRUCTURAL ❑ TENANT ELECTRICAL 0 PLUMBING ..or ❑OTHER - _ PROJECT DESCRIPTION sO.FT. OCCUFANCv� �� CONSTRUCTION TYPE VALUATION$ rill!& ZONE rGRgOING CU. YDS. ACRES Swilcnes - —PM1d y agency for the rfprmance ad.}(Section 30�] Cfv. C.) Interceptors, —�—, I Pi OCILOECLARATION Clarifier _ Is for are hundred ($100 or D'esnwame. I "1 as to become subject to the Drinking Founar 9 .,. Fixtures Floor Drains' bauld become subject to the Floor Sinks f Coca, YOU must f frtnwltn • shall be deemed revoked. Swilcnes - Get Seri ice y agency for the rfprmance ad.}(Section 30�] Cfv. C.) Interceptors, - Kitchen Sink - Duct- Under Ground Urinal _ Du eta water Closet Water Heater Water Service 2857 4/101 - 17'-',71 Left Ret. ! ELECTRICAL Automatic Washer Transformer ❑ 15 Construction Pale Sub. ❑50 Cooking Unit Meter Club To 100 Dishwasher - - - Meter Closer 1001 Dryers ❑Gas ❑Electric Sub Panel Fan d Motors 00-1 HP C F,A.U. Inc. Solnr 09.15 H, Fixtures Microwave Device Boxes Pole Light Outlets - Range Swilcnes - Sp9n Garbage Disposal ;Standing Sections Generator ❑05 KW 05-15 KW Than Compactor N 1 N E Q M T E FEES ••,chum aznrl_ __.._... _.. .._..._._ _ .._._._ he basis for the alleged ex5mptan'. Any youltppn f $ectlYn anally al Mat More thaoiive hurndred dollars USDO)[ne applicant to n 11 .0 1, as owner f me property or y emloms with wages sander sopa fomcensaton Will do then k, and the structure Is not intended r offered r le (Grellon ]pea, usiness an Professional CCde: TAB Contractor's License w coca not apply town owner of a property who bullosoor improves thereon, and wPn does M1 ork Mms¢I!/M1ersell o [M1mugA es M181 pW0 ploveCa, provided that such Improvements are not Intended or offeree far sale. If, MowOoµr, the building or Improvement is sold within one year of Com- aw the burden of proving he/the ala not build or Imp Pro" for ine ower win haw .. - Reinspection Few $15 Issue Fee E 3 Reinspection Few $15 Issu Fast $ 3 MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTqg� y� & ��` Zenilp Approval By - ate 'Building Approved S Dame - Dne Boiler a I Hpotl o1 TVpe ❑4-11111 Canopy' Type I I ❑ . - Duct- Under Ground Duct- Structural Refrigeration System ❑0.180,000 BTU ❑NGN BTU - ❑ as owner of the properly, m exclusively contracting IIA Ilcensed con- tractors to construct the project (swctlon 644, easiness and A passions Cada: The conuacloos a icense Law saes nal apply to an own f property who builds improves thereon, d Who molrame lot Such projects with lractnras7 license Pmmadl'm the 'ContractLicense Law). F oma that proof weir Workers Som sauo insurance home be Ileo aware Me ❑ham exempt reser seal R. a P. C.mr misaason Applimian Issu00 By Dmn Duct- Ventilating- SU Y EE S �. a 3 'BUILDING PERMIT $ SMTP $ a o1+/RLAN CHECK $ PERMIT - ISSUANCE $ PLUMBING $ / 'I PLAN CHECK 25% $ ENERGY P.C.' $ ELECTRICAL $ I GRADING $ PLAN CHECK 50% $ MICROFILM $ e TOTAL FEE S 'MECHANICAL $ ���1 PLAN CHECK 25% $ Exhaust System ❑ Multiple ❑ System Repo pr/Altarai ion v .t Firepl/FaC1511. L600 Fire Dampers I Date er inhereby wilily mat ria me this n e tate that the above nmrmaaion*i ptrsic Ice e6 to core iia 11 and County ordinances and to lows rel tI g mmm c e hi authod e� amames 1 t t lobem n vemenllonee pro rtra fro, Inspection our $ignalure to Drivers' Ucen err ss 3 Hea system &Ducting 100,000 BTU ❑1 BOOOOB Regiseis • Reinspection Fee $1S laud Few $ 3 F 086546. rev. 10184 White L Fink AmOmUng; Goldenrod - AMOSTO Z' 'CONSTRUCTION AND PLANNING Date APPROVALS Permit # Inspector POO ;PA APPROVALS Permit # Date Inspector %temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.,,E1ectrical Conduit Utility-Undrgrnd. 54. Forms 4. E6ectrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6.: Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. ,Footings 58. Electrical Conduit-Undrgrnd. 8.,F oundaiion 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 13400f Drains 64. Plumbing System - Final 14.` Rough Plumbing 65."Electrical-Final 15. Rough Electrical-Conduit�j_S 1 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling �/ 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning� _ FIRE DEPT. REQUIREMENT APPROVALS Permit# 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating ', 71. Product Piping El Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑ Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. 'Frame and Flashing ,�js-' 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing g67 HEALTH DEPT. REQUIREMENT 31.,Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric 3o C1 DCD Notes: �I c 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 V 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 APPnca t to flnn all Spacer while heavy bond,, Ii nos ane [Ign All CITY OF COSTA MESA I PERMIT NO. ' TRACT NO. LOT NO. BLyyG, N - CONSTRUCTION PERMIT z38$ L_ TYPE OF CONSTRUCTION �gNEW ❑ AOO ❑ ALTERATION REPAIR ❑CONVERSION ODEMOOLISH 4rj227T 09.94_. - 1/20/9_2 10.00 Project Atldreu O OwnV Addr ❑ OTHER ZONING REGULATIONS ArcNEng'- Licelne�NO _ DESCRIPTION OF WORK - A P, # - - ZONE PLNTGp.Rg\ESF1.pNS�ryG drops- - rL TYPE OF PERMIT - - ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT O.ELECTPICAL PLUMBING OMEOIANIC BUILDING SETBACK CA ST.PRDPEIRTY S LINE - - Addr65 LICENSED CONTRACTOR ECLAR TION licenses der I hereby affirm that e prodsns o1 Charier9(core-pl tlt I am l 7000) f -0lo 1vlRtM1.. OM 3.of ButlN and O O.OTHER T ng -with PrONSSIOn5 Code, d Y Ilu lull for" d e+lttt FEAR YARD (TO P/LI - _ -- - .. - - � PROJECT DESCRIPTION' '_ Llcenre Ins Cense No. 4 f SQ, ET, t _ `PKG. SPgCE REO. � -PROVIDED ���—�, r Data � GG319rsture - 1 - - • OCCUPANCY CONSTRUCTION TYPE - .STREET WIDTH' 'ZONING PARKFEE3 WO RKERS' COMPENSATION OECLA0.ATION (� O I hereby affirm that I have a ceNI110n \e of cOnunt t0 tall, use of VALUATION ZONE gPPgOV ED,BY • - GATE Or rtifiOtlte 1 kN' DO In Ianbe. or Certified cap _ _. _ GRADINGrICU.. YDS. ACRES r - SPEC IACCONDITIONS: �• - 1lSed b. C.l- 'COmpa0 .ertlfled COPY Is nesebYtYmIShed. .._. REMARKS: Certified copy is lilies with the city Building E%EMMtOn WO0.KER5' COMPENSATION ATION - ' d - t b rom01[\Cp I1 toe permU IS for one hundred- 11TM1 3 need n for one undyed 1SeaCtlO I3ce 1(IY ses th IPe 1 ano Of Ine wank for this - _ - PLUMBING — PLAN CHECK '•� .." . - 'ELECTRICAL -- -PLAN CHECK " which Permij Buued' 1 Sul p1oY Y persel any manner so as to become bled to me workersmmWgyllon"ws of_Canlorlda. BATHTUBS' - SHOWERS - - '" - - _ __ Data signature NOTICE: If alter making this declaratlbn YOY Should become subject V014ETS .URINALS - GENERATOR- O.1 KW� 1dO KW -" ' to the Workers' COTCenSaliOn Sinaloa el the rah r Code, you must hurtful Comply with such provlslens as IM1Is parmp Shall ee deemed LAVATORIES DOUBLE LAV& - - (TRANSFORMER 'gpPLIANCE- - A030 KW_ 50 F -NW- - _ - CONSTRUCTION ENDING AGENCY - KIT. SINKS '"- - -'DISHWASHERS � - - - MOTORS � � -0-1 HP�3-LO XPI -t- hereby y fo man[a oilrm that the work for which thisttlon PermLL lending was w ISfIpC IXAsiann 3097 SERVICESINKS -.O-. r L5UMP5 -' IIINF SOIARL loEo HP 50 F HE _ - - ON.L.I. FLOOR SINKS FLOOR DRAINS - -FIXTURES - OUTLETS --SWITCHES L.ender's Name LendeP3 AdoIMe - DRINKING FOUNTAINS ---- , - - GAS TUBE SIGNS. - - OWNER BUILDER DECLARATION INTERCEPTORS'CLARIFIERS - «. - ,POLE LIGHTS - ^- - - - - 1 a1inmmalignant fromthe Contractor's LicenseLaw for SWIMMING POOL"- PTRAP - - POLES METERE -- LnM1ealI0deY low niSOOnn 7031.5. Bulnoerentl Profession, g t CWe: AnyCountyafter.y' y4slliconstruct, WATER SERVICE' -'ALTERATION - 'PANELS MAIN SUB Trovedemolih orrepaany structure, Prior Itsele re tubes the so. heard for Sum parmlt to fife a signed statement that he SERVICE OUTLETS- SERVICE -- AMR - Ii -lid Sed'eurslranLto the Provisions of the Contracar'S.Sua MLaw [commencing ith of Dl 3 of theGAS `Chane WATER HEATERS-- BTO OUTPUT- s andRa1631o3 dl that ne IS ekction em tAtheresmm and the for the alleged exemption. Any violation of Ships 7031.5 by $E ER-Coe"geeTFdNS- 'nhi pmio nt\ for a-perml+ subjects e armlcem-\o.a-sml.Penalty a,flat SOLAR -A R'TANK"'- - '-COLLECTORS --� '••- - - - - -- - - - --- -. ..'_ _ _ 1 --, with snots O 1; a3 ownerMnot Of—so proethe work. a d the structure Intended tlOn, will do the work, and the wV YC[u!B IS not IONntletl _ Or o fered Tor eal[.IYctiOn-7044. Business and Prleduans Code'The' - - _ ISSUE FEE - - C-OI}eretl ontracldr'S IJnnse Law dos not apply 10 an owner of a Iflyrdpertywho -"-- - - APPLICATION ApPROV ED.BY_ - _ -OATE- rk tbauglrllhis own sinsmempoye s. mr Nded that sucwho h ImprovSuch e0ments areitsenot ISEVE FEE MECHANICAL -PLAN CHECK • SUMMARY OF FEES Intended Intended br offered for Sale. If, however, the 'building -lar li n1- omvema o Sold wlMlh One Year Of build Or la nfi owner e e o f sets' OI Prov n9 na did not build Os IMplOve IOr the pwpd50 0l - 0.100,000 BTV - . BUILDING— __. _._ - _ PERMIT 1 p - _ f (3-1. as owner of the pmpm\y,.am. exclusively contracting with ANDHEADUCTING AND OVCTING -' _3 - SMIP�-. - licensed licensed contractors to construct the Call Section 7004, Routines ( 100,00004 BTU PLAN CHECK 3 PERMIT ThlwhoContractor'sorimproving apply 10. ny hereon,a notwho adoowner _ ISSUANCEa 3 anof property builds or i thereon, and who tom I property whowith REFRIGERATION 0-100.000 BTU l PLUMBING 3 /n,. 1 Isom such projects Ith ontract011sl ,,¢shed pursuant to. raborl SYSTEM -- - - - ORNDING E iM1e Contractors Uw1. 100000 BTU ;LpNCHECK E - - - 1 am exampt'untler Section B. d P. C. for \M1Ia - - BOILERS BTU 'ELECTRICAL E �- 3 r SYSTEM REPAIR, ALTERATION PLANCHECK i _ _ MICROFILM S _ TOTAL FEES Date OwOer -Owner 1hembymrtl that 1 have read this application and State that the so*" EXHAUST SYSTEM MULTIPLE MECHANICAL -3 IM -- AD - LESS agree Yo comply I10 all city n only Information correct.- e re tetrel[ Iselating � PLANCHECK 3 VANCE PC E_ E ordinance- no to roni[mtt1e2 an' M1e ebY a d'Holl 4 - is represent city +o upon '\he d R - propert Or PCs S. - FZ •. FINAL FEE b ora or s'Licenso oT55 E FEE .. CMF 0855-46 White-Bulail 9lCanary-gOSlcants Hnk-pec0untingi GoIn Onrod-Asseor �.` CONSTRUCTION AND PLAN NIN v APPROVALS Permit # �d'j� 0 - Date Inspector POOL & SPA APPROVALS Permit # Date - - Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location-- 2. SoilPipe-U- Si 44• Steel Reinforcement •-' • ' ' • ' - - -- - 3. Eectrical CiaUndrgrn 45. Forms - - - 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding- .. _tee ein orce47. Rough Plumbing& PressureTest 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE - 7. Footings _ _ 49. Electrical Conduit-Undr rn --8. _ Foundation _ _ _ 50r Gas Pipe, 0 Undr rn, Test 9.- Water Pipe-Undrgrn_ _ 51. Backwash Lines P -Trap, ❑ J ndr rn' - 10. -Structural Fl. r System 52. APPROVALTO DECK - ' 11,_ Property -Sewer Line & House.Connection _ 53. -Backwash & Receptor -Final 12. Street Sewer Connection 54 -. Heater & Vent -Final. 13. __,Rough Plumbing. _ _ - .,_ - - nal 14. Rough Electric -Conduit --- "" - - - 56.- Electricat-Final 15. Rough Electric -Wiring 57. Solar System -Final - - - 16. Rough Heating & Air Conditioning- - encing & Access Approval ' 17' Ducts in Structure 59. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing - - 60. POOL/SPA SYSTEMS FINAL - 21. -22. Roof Sheathing Frame and Flashing - - - _ NOTES: - - 23. - Insulation - - - - - 24. Lathing & Siding 25. Drywall Nailing t- 26. Plaster Brown Coat - •' 27: Electrical Power Meter -Final - - - - - - - 2B. Final Electric 29. Final Heating & Air Conditioning - - 30. Final Gas Pipe -Test - - - - - - - - - - 31. Final Plumbing - - - - - 32. Water Service -Final - - d•/�-�y - •�" "•'-•` ' 33. Gas Service -Final 1 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. ' i 42. CERTIFICATE OF OCCUPANCY No_- OW f III In all spaces within heavy border IineS and Sign all . CITY OF COSTA MESA Ta TRACT LGTBLDG. NO. 3DB CONSTRUCTION PERMIT J77 i - 0788- 1/18%82 483.62 Project Adorns 3505 Cadillac Avenue TYPE OF CONSTRUCTION O NEW ❑ ADD ❑ ALTERATION - 1-1 REPAIR ❑CONVERSION ❑DEMOLISH BOTHER ZONING REGULATIONS. Owner Phone 752-551 Address 1301 Dave St. #760 N Yt Wh eeye.. Anna No. 9285 Arch/Eng, 1y(E. OES<gIPT10N OF WORK A.P.IF rd Atltlreas 119 E. iilt011d $]Rt3 Aild' Al m, ZONE G. REF, iF —16 576-69 Phone EIGRADTYPE OF PERMIT �f ❑GRADING O FOUNDATION MBING ElT CHL OTENANT 0 ELECTRICAL OPLUMBINO OMEOHPNIOA BUILDING $E Y qO TE V-l'A NoNG-.:E Address PO B=$ 88 V=l1erelir PaiiC CA 1C � 388 LICENSED ECL LO[NSED CONTRACTOR DECLARATION ION that I am licensed tln provisions Charter hereby under seiv15lDI - II - s(cand with of 3 Ire BU[Iness and nessi with section m - ❑OTHER RDense Cpde, my ce ll my IlnnSa iS In lull f REARVARO(TO P/L) tanD A'iosL No.formapp class CO i License Clau LlCense No. PROJECT OESpRN/gIDN OL /} -- SQ. CUP _ 'CONST RUCTIONTYPEr'V—N' - PKG. SPACE REO. BORING WIDTHS 59Q PROVIDED 670 PARKFEES Cartel signature WORKERS' Cm that I have 1 nOreby dlflf lndt I tldVe a cerllflUlB of COn[Bnl 10 MII-Insure ora of consent .00CUPANCY VALUATION '/ �/ ZONE ZONING APPROVED By DATE of Workers' CDmpenmtion Insurance, or a erllfied copy GRADING CO. VOS. ACRES SPECIAL CONDITIONS: thrlRlwte ereof fSa[tlDn 3000 tete. CL pocy No. all0&041 company TnAam. li REMARKS: kCertlfled COPY IS hereby furnished. -- c.Funed Copy Is filed with the city BO1mMg DvISIOn. HOLD FOR SPECIAL REQUIREMENT` EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - ' Theteflon Berl. ubt be Completed If the permit IS (Or One hundred. 51001 or I'sol.I . . - Ufy that In the performance of the work for which lni5 Permit LL issued I [hall not employ any person In any manner So as to become PLUMBING' PLAN CHECK ELECTRICAL PLAN CHECK ubjed to the Workers Compenwilon laws of Calilarnla. BATHTUBS SHOWERS Date Signature NOTICE: If after making this declaration. you Should became subject TOILETS rrURINALS GENERATOR 0-1 KW_ 110 KW to the Worker' Compensation provisions Gf the tabor Codd YOU P u TRANSFORMER forthwith comply with Such Provisions of this Permit Shelf be deemed LAVATORIES DOUBLE CHVS APPLIANCE 104O'KW SO+KIN ' revoked.1. CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS. �' t _ MOTORS D11 HPI to HP I hereby affirm that there IS a COnstructlon lending agency for the pen. SERVICE SINKS- SUMPS (INC SOLAR) 10S0HP50+HP formanee of. the work for which this permit Is Issued (Section 3097 FLOOR SINKS l ` .FLOOR ORAINB .- FIXTURES' OUTLETS. SWITCHES - Dr. C').. LenceP[:N1 sHh�l b"'d}'Y,10^g]rjjd Y v Lender'5/Worei 6AN NwlyarF ('anter OY -a N -R- _ -DRINKING FOUNTAINS GASTUBE SIGNS _ OWNER BUILDER DECLARATION - -'INTERCEPTORS \ CLARIFIEFISir -;[ POLE LIGHTS - - 's nom m�t game rot from the Contractors License Laf5-r - SWIMMING POOL .r P TRAP IUJIN Ne lollowine res n IS,i t1On 7031.5 Buslaess and Prafouslons 90"1 Any city Dmty all r Ouiros permit t 4cfarr trYetp Iteq ... r sA POLES METERED SUB IMOw, demolish oneself any structure, Prior t0 its Issuance, also re WATER SERVICE., �_ ALTERATION PANELS MAIN - SUB - auPer the aDphum-for Such'rwrmlt m life a signed Statement that he - GASISERVICE Imo, 1, OUTLETS SERVICE _ " - - AMP' Is l somsed.pursuantito the provi sions of the Contractor's License taws B (Commar ingS with Section 4000) 01 DIvNim_3.Ofdbe- that he lsexempi therefromand the .'WATER HEATERS+. BTU OUTPUT BU[Inns and 0%desslon�Codel 9r hMis faralleged a mption; Any/ H,Dlat 1pmoUSectlan 7031.5 hp - - - any applicant 101 permlt,5Ybj0Ctr the PIIUnt t0 a cliv penally i n than five honored denial 0). '.' SEWER CONNECTIONS Y .. as owner OI the property. Or hr employee3 with wages a5 their SOLAR TANK ,COLLECTORS - sole compen WHOA III do Lisle work) and the Structure is not Informed - -ISSUE Or offered for ale. (function 7044, Buitnei and Professions Cede: The SOLAR PIPING SYS.,- _ I 5 FEE COnhaetor'S License Law does not pally to an Owner 01 a property. - 'RI$$UE FEE yl 1' j I)y APPLICATION APPROV EO BY DATE -' Who buildsOWlmpmves thereon;d- n thant kf_ Ifaf 1 e o Pl y provided th t n Improvements d 04 t U tl.or offered for I n n to building Improvement - - hMECHANl PCAN CHECK -_ s; N OF FEES 1- IO the Y of -completion, the Illi tl1 burden f p g h cleaner h IID O 'Improve f0 the DUD 1 I) -1' BUILDING �SUMMA0._V HEATINGBVSTEM. 0100,000 BTUis } `A'. 'IPERMIT s Y%S'S� SMTP It 1 IM1 ^ p ty x elineY contractors, with the Ion 7004 Business AND DUCTING 1 •I I - Iloensed contractorsto construct prolact (See Proleszlons Code: The Comrador s Lie se Law does not apply to ]00,000+BTU r I ptAN CHECK 1 PERMIT - - - and 1 property who builds Or ImPUwvw Ihemnoantl who Son. REFRIGERATION 0.100,000 BTI: 1'�` s PLUMBING E ISSUANCE 3 tracts Isom Such Projects with a contatlpr([) IICBSi4d Pursuant to SYSTEM - 'PLAN GRADING S the Contract fY4censalaw). 100,000+BTU- p� CHECK IS _ ❑1ameae under Section B. B P. C. for this BOILERS BTU ELECTRICAL s s reaso SYSTEM REPAIR, ALTERATION PLANCHECK Is MICROFILMS TOTALFEES Osten _ MECHANICALS I herebymrtlfy aled coact sppliation and state that lheabove EXHAUST SYSTEM MULTIPLE LESS gO- Ianlo1mition IS a t. wm ly IIh all CIand County law eC nerelvauthri 1. PLANCHECK S VANCE PC 3_ runan Sa to n$ ustlen and represeniatl this emer Pon Ina hoer uonea 483 crop D Sp tl 1 ..0 FINAL FEE SignsWr s Drivers'LICr orair ISSVE FEE -- - CMF Otill TiIIIIIIIke-Sullding;Canary-Appllcany Pink-ACcol ling: Goldenrod-ASSOSSor V CONSTRUCTION AND PLANNING APPROVALS Permit #' i-1 Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe- ndrgrn " 1 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn 45. Forms - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding b. Steel ein orce. .S„ ." Cof _ _ -q 47. Rough Plumbing & Pressure Test 6. Electrical UFER Gr.n 48. APPROVAL TO COVER-GUNITE 7. Footings -- T.5-153 49. Electrical Conduit-Undrrn 8. Foundation , I ' _ 50. Gas Pipe, ❑ Undr in, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Trap.Cl Undrqrn 10. Structural Floor System 4-.r6 'A _r5 Z 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 ' - 14. Rough Electric -Conduit - 56. Electrical -Final 15. Rough Electric -Wiring - - - 57. Solar System -Final 16. Rough Heating & Air Conditioning _797encing &-Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test 20. Roof Framing�- 21. Roof Sheathing- - 7- 4,) NOTES: 22. Frame and Flashing_ (�. _73, 23. Insulation 24. Lathing & Siding 25. Drywall Nailing _fig- •✓v1 ,6 j` ¢ ,, C41 26. Plaster Brown Coat _ 27. Electrical Power Meter -Final - .7 --5-- T 28. Final Electric 29. Final Heating & Air Conditioning qjj_3•- -Sa 30. Final Gas Pipe -Test o d.des�k& R9111 31. Final Plumbing l 32. Water Service -Final -A y Q 33. Gas Service -Final t 1 6- eit B 34. Solar Domestic -Final 35. 'Landscape Sprinkling System 36. 37. Sound Attenuation 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 - �.. t Apmleand to fill In au Spaces within heavy border pass and Stan ah appropriate `ITV OF CO3TA'MESAPERMIT NO-- TRACT NO. 1969 2/ 1 /82 8100CONSTRUCTION PERMIT E r/B A- TYPE OF CONSTRUCTION ANEW ❑ POO, ❑ALTERATION .O REPAIR ❑CONVERSION ODEMOUSH ❑OTKER '" -• ZONING REGULATIONS ' Project rtdtlreseS D.� OAD146 ✓6 Owner CAed_ CPA4oe v PAOm - r 'Addressal3in! Z a yv- S, SO_ - Ia0 M - / A Arab/En9- / /. Licerae NO. OEBCRIPTION OF WORN 'A.P.M - - -ZONE - PLNG. REF. W Nod eye /' - Contractor ZIrdar NJa0 - _ __ - Phone /-!e^ TYPE OF PERMIT, •' - -- ❑GRADING ❑ FOUNDATION '-1] STRUCTURAL BUILDING T FYR0.O gll��plrvG - F OPERTY LINE' .- ' Address L Z _ ✓L .TN' - yg'/rO LICENSED CONTRACTOR DECLARATION 9, ❑ TENANT ELECTRICAL QPLUMBING QMEGiANIC 5 pF - -- - underIcom- I hereby affirm that I am Ilcen ort her provisions of Charter RIIGIEyT Inq' -with 'section 70001- f 3 I the Building and wIS - (J OTHER 'Poomi1h05 Cape, add my Hands In full lora and Offset - REAR YARD (TO P/U -_ ' 90'5' PROJECT-0ESCRIPTION- aonzeG S -'�/ License No - SG -FT. - OLCUPANCY�CONSTRUCTION TYPE _ "J" _ PKG. SPACE REO. STREET MIOTH PROVIDED= PARN'FEEi - LZ 'Z ACp - - Data 5TION 09 OECLAR Im - - - _ WORKERS'lm that 4 hams 1 M1ereby affirm [M1al'1 a [nrllfiCaN at c Lot to NIIJnsma era VALUATION ZONE ZONING APPROVED BY -GATE f Working' Insurance, of certified appy rteol _ YDS. ACRES _ SPECIAL CONDITIONS: - -- - Og' n V"•eTNWF 11en 3800, Ue C.L %ZyPorepanyl- /TC i Nond _GRAOING.CLL copy/ NtBSeO COpY is hereby tumisned. REMARKS: {l is w ivlfioM1 - ECaNtIforst MPTIOwFY OIWw1IM1MBU0YMPENSTping E%EMMION WORKERS' COMPENSATION DECLARATION 5 1„ This dl sed n e_- [ b completed f me perm t 6 br one hundred - 11sa xis 1 IP �$Cer(Ify _ - thator ! mane¢ of the work for Which this PB It is, PLUMBING - - PLAN CHECK - - - -ELECTRICAL '-- PLAN CHECK f- ell KONG I Shelf t employ any person In any manner so as m -n came sableCktothe Work0r5.COnature on Laws Of Calif drops. __ _ BATHTUBS- SHOWERS _ _ _... _ . an FT _.. - - I Data I Signature I NOTICE: N after laking this Orientation, you should he<Om¢'SYbfOtl TOILETS, I,P,1 I'URINALS'�— - GENERATOR--V-1'KW1-30'KW ` to the Workers' Compensation prpYlAons of to Labor Code. you must (TRANSFORMER Imtnwlln campiY With Inch provisions or this permit Shall 0e deemed SAV RTORIES DOUBLE (AVS - APPLIANCE 1"08W_50t KW revoked.___ ..1.. -KIT, SINKS ""' DISHWASHERS - ` - MOTORS' 0-1"Hp—�1y0 HE CONSTRUCTION LENDING AGENCY sreby affirm that there Is a construction earning agency for the per- IOYmante of the Werk for Which this permit U issued (Ldtion 3097 SERVICE SINKS" �• SUIWPS - -- SIINC.50LAR6 �1060HP 50+HP-- ClvPC.). - - -FLOOR SINKS -FLOOR DRAINS -rFIXTURES CUTCETS SWITCHES'- IAnUer'$ Name '. _ _ _ _ _ _ _ _ ILentlerY Atldres `DRINKING FOUNTAINS iGAS TUBE SIGNS - -- OWNER BUILDER -DECLARATION INTERCEPTORS CLARIFIERS- POLE LIGHTS - I hereby, affirm that I am exempt from the Contractor's License Law far ., I SWIMMINGPOOL- - PTR;Z J 'POLES METERED - -- - .SU trisilowing reason (Section 7031.5 Business and Wofesskim Cisco Any city o county which 'Antilles a permit to Construct, alter, Is, tlam tiount f repair to Its ment to a WATER SERVICE `- ALTERATION ;r,_h PANELS MAIN - -sue uhanP¢yrrmlt Ilia Signed Statehyr os the that he -GASSERVICE OUTLETS -"- SERVICE•� - AMPa IS licensed pursuant to the [tradition f n Cmdlmt1% Urania, Chapter n (tommenterp tM1 Section 7000) of Division 3 1 the 11 /YO WATER HEATERS"'-' BTU'GUTPUT-' -- r and profentons Coda) 1M1 e h I' opt therefrom Ono Ino 1 lot the alleged e p Any 1 Pon Sectio` OWL5 by fornajecB-ttE50011cant to'a ivil penalty-' sit sued SEWER CONNECTIONS OF-b[dilmntt Iluemr ❑ 1. as owner Of the WOY+tN, orr s,9 empmyeei filitn wageTds tneli SOLAR YANK " -' -'COLLECTORS 1 - - -- '-' - - - - sole compenLtion.-wile do the work..and.the structure is nm.mteniletl wl efi o s Coh¢: The or athared lot sale. (Section 7064. Business anon Professions _ _ SOLAR PIPING SYS. - ISSUE FEE�- " COntractorS_License LaW does not apply .to _ La Property- _ __ ISSUE FEE - --" -' "APPLICATION APPROV ED`BY - DATE - - who bulltls or improves (hereon, and who does such worn himself or NINS ry8-ms awn emplOy9ez, prOvltled-1M1at sato Jm ! ents are not Noted0 bulldn o or Improvement d or Offered for Sale. If. howmar, the the MECHANICAL PLANCHECK SUMMARY OF FEES - ' - •BUILOINO' issold.within.ane year of completion, the owner will Nave bolds, f proving he Old of build Improve for he purpose of sale).' HEATING SYSTEM P IOO.00D BTV - ---- -- - _._ A y:-dm-eeCIJAH1y contracting Ito -1� i^o rev OP lh0 propertAND DUCTING" PERMIT b _ - Grain '$L '$, licensed contractors to Construct the pro eel (Section 044, BUhnesi licensed IOo,000+BTU IpLANCHECK $ PERMIT �> and 'Rofesylons-Great The ConanctorY LI Law dam hot apply to -- - .ISSUANCE ' -SI' n owner of property who builds er ImprOws thereon, and Who chat REFRIGERATION Od00,000 BTU 'PLVMBING $ LrdCtS from- such -projects with COntraclOrlsj Pursuant.OSd pursuanto, SYSTEM- - 'e - �. 160.000 BTU -L _ _ GRAOING'.S the Com aetorix License Law). iv PLAN CHECK 0 p - ❑'I am mi under Section - "B. A P. C. for this "$— 'E Y BOILERS BTU ELECTRICAL ' reason -PLAN SYSTEM REPAIR. ALTERATION EXHAUST SYSTEM MULTIPLE CHECK E' MECHANICAL .E 'PLAN MICROFILM $ _ TOTAL FEE E -- - Dab Owner In ratypertilythal i hills lead this application and dat9thi the above kAfrmation IS Correct. I gree to it ply ith all city zoo county CHECK' $ VANCELESS VANCE PC E_' mtllnanCes and slate lawasnipoing to constructed, And herebyaaethorize •• Nor anred I f cinS Ity'to ppn n Shore n6pnBd prOpeY[y IoY NOn pWpo _ 519na Wre ale 0-/O�FL .. FINAL FEE s OtlYers' I me- ISSUE FEEof - -- -- - - -. - CMF 086546 WYIfeiMM�Wnk-AOcommin9i Golhnrod-Assessor TL r CONSTRUCTION AND PLANNING APPROVALS Permit # POOL & SPA Date Inspector APPROVALS Permit # Date Inspector _ 1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location'' - - - - _2._ SoilPipe-Undrgrn 44. Steel Reinforcement .3..- Electrical Conduit Utility-Undrgrn _. _ _ 45. Forms - - - - _4.. Electrical Conduit:Undrgrn_. 46. Electrical Bonding5. - - - -- - - _tee ein . -- _ 47. Rough Plumbing & Pressure Test - A Electrical UFER Grn _ 48. APPROVAL TO COVER-GUNITE - - _ 7, Footings-_ _ _ _ 49. Electrical Conduit-Undr rn .8.. ..Foundation _ 50. ; Gas Pipe, ❑ Undr rn, Test 9. -Water..P.ipe-Undrgrn. _ _ _ 51. Backwash Lines P -Trap,❑ Uhdrcirn'- 10. Structural Floor -System - - 52. APPROVAL TO DECK.11. _P.roperty.Sewer-Line & House Connection- 53. Backwash & Receptor -Final _.12. -Street. Sewer Connection._ _ - 54. Heater &Vent -Final 13._ Rough -Plumbing- _ _ - --- - -- -- • __ .. Plumbina System _ -al 14. Rough Electric -Conduit -- -- 56. -Eiectrical-Final- - 15. Rough Electric -Wiring` - - 57. Solar System -Final - 16. Rough Heating:&:Air=Conditioning - - - - encing & Access Approval ' -17 Ducts in Structure'.-- - - _ -- APPROVED_ FOR PLASTERING - 18.- 19. 20: Ducts, Ventilating - -_ ,.. _ _ . Gas Pipe -Rough & Test- Roof Framing - _ _ 60. _ _ _ _ __ �• _ _ _ _ _ _- -.. POOL/SPA SYSTEMS FINAL ' - _ 21. t 22. Roof Sheathing - - Frame and Flashing - _ _ - .-.. t' _ _ _ _ NOTES_ 23.- Insulation 24: - Lathing & Siding-- -- -- -_ -- - ' 25. Drywall Nailing.. ._-_ - _ _ _' - "• 26. Plaster Brown Coat 27. Electrical Power Meter -Final 28. - Final Electric - -- -- - - 29: FinalaHeating & 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 1 36. Sound Attenuation t ' " • - ' 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 !IP in an spacing Within heavy borderlines and Sign ail appropriate declarations - CITY OF COSTA MESANO. PERMIT TRACT NO. LOT NO.:' BLOG. NO- 1' ; - - CONSTRUCTION PERMIT — /1 - �=J+ - _ I TYPE OF CONSTRUCTION 03 NEW 11 ADD (71ALTERATION IOREPAIR 000NVERSI ON ODEMOLISH '•/rC7 " O dTHEa 1' �' - --- 6280. 5/24/82 _ •24i 42 ZONING REGULATIONS UU Ti ProiectAddress- Ave,d $ r GWner- Phoma Addrert 130T'Dove St. 'Ste. '760 Newport Beac OESC RIPTION OF WORK A'P"; — I . ArchlEng. I ims-Peters License N0,' Address 119 E. Alton, ZiSY1 -- .Santa r I, 1 .ZONE PLNG..REF. _ / Cards *C- PM1One - .TYPE OF PERMIT -i ❑GRADING �FTRICAL ION MBINRU eEcOc ❑TENANT O ELECTRICAL'OPLUMBINO OMECHPNI[A SETBACK C 5T. YARD 5 pVAR �li'�J'tyNE L, _ _ AOdr:S - ,LICENSED CONTRACTOR DECLARATION ON-- s (cpm: (hereby with t11N 1 am I00) of under prpNSlof the OI 3 Business ofC Business and w_ se lion ]indy _ _ _ ❑OTHER RIG T ve Is i IIOn3e Is In lull lone and affect. ProtK510n5 CDpe, .ane_ le ll are i c RFA0. VARO IT / _my PROJECTDESCRIPTION -- - - - -L- .IJrse3e Class_ License No. 1 - SQ, Fh 'PBG. SPgCE RE 'PROVIDED _ - Date signature . •, OCCUPANCY �'_ CONSTRUCTION TYPE STWIDTH _ .pgpK FEE$ (WORKERS' COMPENSATION DECLARATION - 51 -hereby, affirm that I baud a certlNcate of consent to belt -Insure or a VALUATION' a�.0 � L ,ZONE ZONING APPROV DATE +'t -, Ilgt¢ of Workers' Compensation Insurance or a CertifiedCOPY'EPECIA -CU. syVisOl L5ect1on 3e00. Lao. L.I. '_ GRADING YDS. ITIONS. -_-_ :fa'y No. Co in pent _ _ACRES !G C¢Rlfled Copy Is M1¢r¢by Consisted. - •'- - REMARKS: 8.227x7. ' o O Certllled COPY Is IIIM with 011e cltY_BullCing OIv190n. _ - - Ir' .EXEMPTION FROM WORKERS' COMPENSATION DECLARATION _ -(This ectlon need n PLIm completed if the permit is for one M1Yndred 'PLUMBING l$lOOtfy lhetslo IM1a performance pf-the work -for which this Permit Is -. ._ _ -'PLgrv.CHECK* iss� . l shall not employ any person m any manner So a to Became 'PLAN eFECK 'ELECTRICAL subleclto'the Workers' Compen5e110n Unry Of California. --- BATHTUBS SHOWERS SO GAN _ _ �1 Date e 519 NOTICE; It liter Takln9 thli deClaratlOn,y Should OeCOrdPSYoleCt TOILETS - _ URINALS - GENERATOR- - 'TRANSFORMER 0-1 KW�I-ID''KW fa Ina Workers' Compensation provisions of the LaborCode. You must - _ _ ._ _ 1Octnwlih comply with Such Previsions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 30-50 Cori +PON - Vpked.- CONSTRUCTIONLENDINGAGBNCY 1 KIT. SINKS DISHWASHERS (MOTORS 0-1 He _-1-10 HP - ([INC: I herebyaffirm that there is A Construction lending agency for the per- SERVICE$INKS -..!SUMP$- - SOLAR('-'-10-50'HP-50+'HP �� terminate Of the anark,for wMCM1 this pmmN IS Issued (Sectlan. 3097 - _ FLOOR SINKS FLOOR DRAINS __ IFIXTURE$ OUTLETS, SWITCHES - - PIP. C.)_ um lneer'S Nae e 'Lender's Address DRINKING FOUNTAINS - .GASTUBE SIGNS - - - INTERCEPTORS CLARIFIERS 'POLE LIGHTS - - - OWNERBUILDERDECLARmTION lherabY fC that pt from the Centractor'3 License Law tar - r SWIMMING POOL PTRAP _ POLES - - METERED UB the follow! g ! (Section 9031.5 Buses ss and Pfolessslons Cede Any City a county which requires a peril construct alter I WATER SERVICE ALTERATION PANELS MAIN. SUB _ - - improve, demolish Of repair dSey SV UCLYfe, prior l0 its Issuance. a150're- - uite$ the apkilGaLfor Such permit -tit file a signed statement that he GAS SERVICE OUTLETS SERVICE - AMP _ licensedpursuanttothep Contractors LlUn o-livi Chapter, 9,(commenc ng Th 5e tl 7000) Of DIVISAn 3 1 the 'and WATER HEATERS BTU OUTPUT - d / $Ine55 antl PfdKs ons Code) Drat-theexempt therefrom the is. for- the allegetl examfatloO Any violation 1 addition 7031.5 by _ _ _ SEWER CONNECTIONS - - applicant for permit Subjects Me Ppll t to a Civil Penalty y or of more man five hunddollars ($500) - _ _ SOLAR TANK COLLECTORS _ _ _ :Di as Owner Of the Properly, Or my employ a wtlM1 wages a3 tkelr Sale Compensation. Wall do the work, and the structure IS nut Interned. or offered lar Said (Section 70440 Business and RoleBlons COOe: The SOI -AR PIPING SYS. ISSUE FEE Contractor's License Law does 'n t apply -to an owner of a Property thereon, does himself APPLICATION APPROVED BY-- ISSUE FEE I, - DATE' -' ,whO builds Or Improves and who Such work or through ISS awn am oyes, o limal l such Improvements are hist - Pp however, I intended or offered or le. the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES l B sold -within- Y 1 completion, the awnenwi have [he. tl Of proving h dO build Improve for the Purpose of I- 0-100,000 • BUILDING - _ �, a ❑ on - I -the Property, am exclusively contracting With HEATING SYSTEM BTU _' PERMIT E SMIP - -- licensed Contractors [ (SP the protect (S 7044 business All OUOTINO 100.000+ -BTU— ; -- " T PLANCHECK E PERMIT - I and Professions Code. The Cc G for z-L¢pPIY ense Law does not ato - ISSUANCE E oan f who lid o improves thor it a tl Who Con- REFRIGERATION 0.100,000 BTU PLUMBING 4 property t al from such patients- Ian c free II_uends tl, P span[ to SYSTEM l ? GRADIrvG-- E - theCONnebfYLlc¢nselu )l. _ _ _ �- /_ _ 100,000a BTW S C_.a PLANCHECK E I. it. - I. - ❑lamexempt under 5e for this BTU ELECTRICAL E ..-y.. _BOILERS PLAN CHECK g -MICROFILM$ L WI� y r� - SYSTEM_REPAIR ALTERATION_ '! EXHAUST SYSTEM, MULTIPLE J MECHANICAL$ TOTAL FEES "" ce 111, by UytbBLl {lo OSll $M1a rat er tlihis appli above lory9 mdtio S O a f. o c m 11y m all pd C YnIY PLAN CHECK'- $ SA LES O- VAN PC E_ hard ortllnan and star laws.r le .tap^ n n and M1ere vau[horize.. _ �� I 1 _ represent s [Is e abeW mentioned ,L pf f[y O Yf0 MS. ( Z FINAL $Ignit Yr - FEE $ Drivers' (Genu of $$fi ISSUE FEE CMF 0165.46 Whlte.Bullding:Cand APPIIwnL Pink -Accounting: CONSTRUCTION AND PLANNING '� �- -•s � Q-34 Date APPROVALS t Permit# % Inspector POOL & SPAN. , ' '' • .� Date Inspector APPROVALS Permit# , 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Undrgrn 44. Steel Reinforcement 3.' 0ectrical Conduit Utility=Undrgrn'' \ 45. Forms 4.-„ Electrical,Cohduit-Undrgrn _ 46. Electrical Bonding 5. Steel ein orce 47. Rough Plumbing & Pressure Test 6. Electrical UFER_Grn _ - - - 48, APPROVAL'TO COVER-GUNITE _ 7. Footings , 49. Electrical Conduit-Undr rn 8. Foundation '• j 50. Gas Pipe, -EJ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ ndr rn 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 - - - ystem- -. 14. Rough Electric -Conduit - 56. Electrical -Final 15.' Rough'Electric-Wiring - -- - - - 57. Solar System -Final 16.. -Rough. Heating & Air Conditioning W. Fencing & Access Approval 17. Ducts, in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating _ •60. POWSPA SYSTEMS FINAL - - 19. Gas Pipe -Rough & Test -- _ 20. Roof Framing 21. Roof Sheathing •NOTES: 22. Frameand Flashing 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 _ s 32. Water Service -Final _ ' -33. Gas Service -Final - - 34. Solar Domestic -Final ' 35: •Landscape Srinklin System N'--. - - 36. Sound Attenuation 37. Handicap Regulations - - - - 38. FINAL STRUCTURE & BUILDING _5 ; 39. Special Requirements Completed - - 40. Electric Release to Edison - - - - - -- - 41. Gas Release to Southern California Gas Co.- ' 42. - �.'No. CERTIFICATE OF OCCUPANCY Date - - W. CITY OF COSTA MESA BUILDING DIVISION t77 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: SB08-00016 PERMIT TYPE B_SIGNy D x(1/1 STATUS: ISSUED DATE ISSUED: 02/08/2008 ISSUED BY: SOK JOB ADDRESS: 3505 L005 CADILLAC AV CM Suite/Unit: L005 Vicinity: SQ. FT: 0`.`..Valuation: $2,500.00 f — , SCOPE OF WORK: 17 SQ.,FT. NON -ILLUMINATED CHANNEL LETTERS "SEQUETOR" IN BLDG. L005. OWNER: JAM INVESTMENT % 'Address: 3505 CADILLAC STE L5 Unit: PHONE: !- City/State/Zip: COSTA MESA, CA APPLICANT: MYERS, DENISE ,. "Address: Unit: PHONE: 714-540-7054 : °`City/State/zZip: CONTRACTOR: LANDMARK SIGNS License No: 507915 Address: 1515 MACARTHURUinit: PHONE: 714-540-7054 City/State: COSTA MESA, CA ' . ZipCode: 92626 _ CELL: ARCHITECT: - License No. PHONE: . ENGINEER: - License No. PHONE:, SIGN PERMIT FEE.SUMMARY PLAN CHECK FEE: . ' '$54.11 _..-,.. HOURLY PC FEE: $0:00 PERMIT FEE: $83.25 Ir ;` ELECTRICAL FEE: $0 00" .. SMTP FEE: '°9$0.53 OTHER: .,,-$0.00 INSPECTION: '$0.00.. . TOTAL FEE: $137.89'' '.:. 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 I. INSPECTION TYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re -Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition DATE INTmALS © CODER INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical uQ e- 212 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy DATE INTITIALS WORKERS' COMPENSATION DECLARATIO,. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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: Carrier: (This section need not be completed d the permd u value0 at one hundred Collars (8160) orless) Policy Number: wdlE�Pcertify that in the performance of the work for which this permit is is ued, 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. DQ_ _ _. e�Z zk%ICS Apbiiafit'rSlgnator Date �`— WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION 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. GMi��T-J �CaaraMorbSignalure °Date ---� CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Date OWNER -BUILDER DECLARATIONS: I hereby affirm that under penally 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. 7144, 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 contracta(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature 305746 (3/07) Date Ower ID vediied by driver's lice,.-_. ❑ Yes []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 per lit, and that no building structure, scaffolding, falsework, a 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. Applicant's Signature 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? ❑ 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? ❑ Yes ❑ 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 are 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 ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit 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 fa 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? ❑ Yes ❑ 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? ❑ Yes ❑ 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. Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and slate 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. Signature of Legal Ownerfs) Date m.S �z 1�1a� /or' AriE uutonzen Api !' 4'-3 3/4" New Exterior Individual Wall Display (Sign A) Color & Material Schedule 7 2'-10 3/4" ETC I'-19/16" Scale: 3/4" = I'-0" OA ''/z' Water jet cut aluminum letter with 23 '/2 carat gold leaf finish, installed ''/2" from "logo" surface O3/4" clear acrylic with beveled and polished edges and second surface 1200 dpi digital printed graphics, installed 1/2" from wall surface. Iminum letters installed '/2" from wall surface. 1515 MacArthur Blvd. # 16 Costa Mesa, CA 92626 . W Ww.landmarksigns.net Cal. Cont. Lic. #507915 Fax: 714.540.9443 Call: 714.540.7054 This is an original, unpublished drawing created by Landmark Signs in conjunction with a project being planned for a specific client. It is not to be copied, reproduced or exhibited in any fashion, to or by anyone outside of that client's . organization, in whole or in part, without the express written authorization of Landmark Signs. 2 3/8" 1/2" i l DIVISION OF.BUILDI C;T,*-)F Co n AI'I'kto O(� This set of cw...7 ..�n. ..3ame wr make any crap,;_:.' ,n�,..• . >n q® awSatety ; CoS:2me>a _ , The stamping • tris pian ane sceA6cat10rn. SA., of the vitiation of any prarislons o' int• any of These plans and perms shat! expire by, kmaatwn wm%isrot wmarencedand ntanljk ilactiveIle APPROVED 'ITN OF COSTA MESA SUBJLL.I ,U 0'.'L 1k, T REG. NOTE: ADDITIONS, DELL i r, OR CORRECTIONS SHALL BE APPROVED 13Y TILE PLANNING DIV. SBm—CDo Ib DATE:2. B d F. C.O. ALUMINUM PL. LETTER 2-3"X 3/16' THREADED ROD TAPPED INTO LETTER BACK (4-6 EA) PLASTIC SPACER WITH I' FLANGE SILICON FILL IN WALL & COMPRESSED BETWEEN WALL SURFACE & SPACER 30 4nE° 7 I�x: nr,arwoeanapplwal oq,nanCe an�_'Or Stdill IM null ana v; o A the buliftrif (d)wftINdaysol=uX e. WALL (SEE SPECIFICATIONS ON A LEFT) TYPICAL INSTALLATION SECTION SCALE: 3' = 1'-0' Project name Seauetor, Inc. Address 3SOS Cadillac Ave., LS City, State, Zip Costa Mesa, CA Approved by Signature Date Representing Rev. I 02.07.09/IM/For Permit Rev. 2 Rev. 3 Rev. 4 Rev. 5 Rev. 6 Rev.7 - job # Designer IMY Salesperson MYRES Scale NOTED Date 01.28.08 Design # 08.1002 Page .1 OF 3 c a.' ll' -O"(+ O. A. H Partial South Elevation with New Sign A Note: This illustration is simulated and colors and effects will vary depending upon lighting conditions, shadowing, etc. DIVISIONDo BCOSDI GS AFM CIT,X1'PR0%1FD aeC� ,x ;Ns In av mes gnC d is t ; UnsiondBl�9 •- ffam airy ------ c De an and and saleh :' .. S.. • :F C?: :ro, - 'IE :N" eR: 5:2�12a1gn' :"'••' MPSt Ji7�'a -e i'+9'Or �' The starom ' Dios ns c: am ty o' ansa ,t the bu*04 m 018te vio allor :: any G nut ane u; . it m 0" ane M ne 6.0 etwro D' hm"A (� ano 1** 180 days 016see0' UBC §3031d) rodtbrolootnnatredandmairanad 1515 MacArthur Blvd. # 16 This b an original, unpublished drawing created' Project name I Seauetor. Inc. Rev. I 02.07.09/IM/For Permit job # Costa Mesa, CA 92626 by Landmark Signs in conjunction with a project Address 3505 Cadillac Ave., LS Rev. 2 Designer IMY www.landmarksigns.net being planned for a specific client. It is riot to City, State, Zip Costa Mesa CA Rev. 3 Salesperson WIRES Cal. Cont. Lic. #507915 be copied, reproduced or exhibited in any Approved by Rev. 4 Scale NOTED Fax: 714.540.9443 fashion, to or by anyone outside of that client's Signature Rev. 5 Date 01.28.08 organization, in whole or in part, without the Date . Rev. 6 Design # -08.1002 Call: 714.540.7054 express written authorization of Landmark Signs Representing Rev. 7 Page 2 OF 3 f4'l ) Att w j /,".• �,s �i'' na`a�4� d /r a `e 7<yyM'�PA ..Mu'e.%h a '"t _'h3`. �} !'�" /. Yr is V � r 3505 CADILLAC AVE. �. r \. _ `�,. #"s> „"5, ' r#e q I a" `"rL�rM-•.�.� , - PIle �.. .... T �,t µi , e. ` ..+t � •'^•� e f ` :� •,y a to k x ,b,. r w? .,'•`.. 4 �r. SCC�uetor InC q�} I D� 'P AJ a t dfa %a s lw is� m x 1 d d tp s F�h� i v.r� a fD } J 4 r p "U a? .,,+�v°;.. ice. t '.; y�l ",�'.i. " -y6i`,e rJ * .) ➢ f`GSAFETY Cp RL�Iti[)tMESk� 4 ( S `•,,w'�)5 ij n -%hi 1`aI +4mdl 1Vrv" a,k - x rStQ•. ., O *'gj'+a� h° n t 4 �^�44a MIy,P'a cNy '7jlla�^3>",+g,�"% '� a ° ➢iyr Ww':'e y V J y"" 4hn15 IE^ M, a ^eye•+' it is Lmb '- a -'' r '` ;'Ff � rr �? �ti,•-ck""'� j ti 1h550IC J•" " �xme »d`kulWnJ ' � � �' j N . ♦ < �r"'�s �" �- _ .,.�, � ., r,_-�: rM� r: � _..•. .� � �' oply .. ,i�y�,. y. ,i+fid 5dI0P ,, `F _ } . ruStdJ{}25 u�dn r j. 5ta1dG t ♦ if£-.Ei Li} ' ' "i1t the violdlror at a �`�. nt ,.[nvfr�ls 0 a r:. m .yiu �nd.t• : 8 is l kk laps a a pen" m. a §30314) i n nsnapexonen:' w hmt80 >d i �0< bt ^•'. - r` E `fci/-`, ' '4t vy :x.. ...1.( , CS,yE3' E $v iFbEt '8$IR"f".84St 1 6 tcI t "s e ` '♦ _ Sunflower Ave. e Site Plan / Aerial View Scale: V = 60'-0" x, J3L - ago V1�l�Ul� HWG qW Lll°t°W 1515 MacArthur Blvd. # 16 .Costa Mesa, CA 92626 www.landmarksigns.net Cal. Cont. Lic. #507915 Fax: 714.540.9443 Call: 714.S40.70S4 This is an original, unpublished drawing created by Landmark Signs in conjunction with a project being planned for a specific client. It is not to be copied, reproduced or exhibited in any fashion, to or by anyone outside of that client's . organization, in whole or in part, without the express written authorization of Landmark Signs. to law. Mot Project name Seauetor. Inc. Rev. I _ r 02.07.09/IM/For Permit -Job # Address 3505 Cadillac Ave.. L5 Rev. 2 Designer IMY City, State, Zip Costa Mesa, CA Rev. 3 Salesperson MYRES Approved by Rev. 4 Scale NOTED Signature Rev.5 Date 01.28.08 Date Rev. 6 Design # 08.1002 Representing Rev 7 Page 3 OF 3 City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. Q 00 2.Q 9 P. O. Boz 1200 Costa Mesa, California The Building located at 3505 Cadillac Avenue #L-5 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of Building Interior Alterations – Office Legal Description 139-652-03 (See reverse side for Metes and Bounds) B-7848 E-7010, E-8304 Building Permit No B-6942 Electrical Permit No, E–R273 Plumbing Permit No. P-7051 Mechanical Permit No. M-7267, I-7267 Number of apartments —O and/orguueest rooms s —0 ,ISSUED TO-. v Building Of�ficiiaa�l.-A/C r (j'.({�/l—�l/C Himes–Peters Associates 119 E. Alton Street, Santa Ata, CA Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises aqd SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/93 White -Owner; Canary -Numerical File; Pink -Bldg. Permit File Avpll<ent to rim In an apasea except tnnu Within neary border lines and can all avorpptlate declarations. we Q -CII COSTA MESAE IT NO.b/ TRACT NO. LOT CONSTRUCTION PERMIT f Z Applicant's Wiling A ss AM#&C NV TYPE OF CONSTRUCTION LJ NEW LJ ADD UdALTERASTION LJ REPAIR Project Adtlreu- 'i4]6 GAPiLLAG 4-4 ❑ CONVERSION ❑ DEMOLISH'-® OTHER e certify tart In the grigmenca of the Q,n 'SName A/sUF$ - TOARl AiSUL �hoOeat2Lq-AQyH DESCRIPTION OF WORK /A1T/�2 TEPsYrIa�]51 Address _ TYPEfTF PERMIT GRADING FOUNDATION RUCTU RAL ®TENANT C3 ELECT ❑PLUMBING (]MECHANICAL NOTICE, If, after -making this declaration, you should tocorno Subject -to the Arch/Ens. AlAGS 0•GIA-RS dSKLlpnq NO. BUILDING,. Atltlran //S xF, AL]u✓ sr-- ❑ OTHER Cgmrector's NO Fria Ln TC/drg, M Pholn_hY4-aOu7 InarwptOr5' - PRDJECTOESCRIPTION sO.FT OCCUPA Inemny affirm Shortness Ise mmlruction lenaingagency for they rformanCe O of the work for Icn tnlLpermit Is himself Section 3a9]' this. C Innder's Home (GMr CONSTRUCTION TYPE VALUATIONS AlMfess(me ilingl _ 4z7/0 AL)2TI /&VSWH 412IC/ Lavatories- �� LicmC No. - AqG 703 ZONE GRRADINGCU.YOS: ACRES LICENSED CONTRACTOR DECLARATION /. CARATION Remarkf-/. WEG sZ ZZZ• sw , - MECHANICAL 1 hereby affirm that I am licensed under Provinces OI Charter 9 (commencing with Section ]000) of Division 3 Of the BUrinen and PrONwlana Code, and my license Is In lull gets and effect. � - ' p, 2 /o PLUMBING �' I �. Utsn6 Lcznu yo.Ltiilai Date fj�J_) p'1Signature_ •,/.u�� BV Sink SenderCur - IKERS' OMPENSATION DECD RATION ✓✓ any affirm that I have a Confi cote Of compact to wNJnsure.or a certificate NOrkeR' Compensation Insurance, ar-a certified COPY thereof (section BBCkflow PrevenNr &a r f nnM ion - - - --_ Backflow Irrigation I Solef COINI.M , - 1 3800, Lan. Cd Policy No. 7; UCi V4Slip Ar p•Omvany l"llyE�y C' [] Certified copy 1s hereby furnished I caren 1S road won n 1 v `dmq DI I I� Gate APPn t RMnmba + - $glee Piping _ Clarifiers SOter Tllnk i E%EM IUB FROM WO RKERS CO PENSATION DECeL ^TION (TM1ISwC110n neon net be Completed If the Permit for an d area 15]00) or DsM1 sett 6wlmmin POIW(6 B Pe ' -7656 4/2(4193 W.p7 'T IWork for wM1lcn this permit Is Izslwe 1 sm, mplOY any Person In -any a n ei to become Subject to tRe Workers' Orion; Uses OI Callbmla lir Date Signature z0 Drinking Fountains Urinal F^ Floor Drains' - WoNr Qpspt - J ZONE NOTICE, If, after -making this declaration, you should tocorno Subject -to the Floor Sinks , Wards Heater BUILDING,. Worker$'Com Compensation Provlalans Of the Labor Cede, you must IOrlhwilb Oply ,vSuch n provisions'or this permit shall be doomed revoked. CONSTRUCTION' LENDING AGENCY' Gra Servile Outlets �Watei Service InarwptOr5' - LEFTSIDE YARD Inemny affirm Shortness Ise mmlruction lenaingagency for they rformanCe O of the work for Icn tnlLpermit Is himself Section 3a9]' this. C Innder's Home (GMr Kitchen Sink r Lander's Address ECIRATION OWNER BUILOERDA 1 hereby plural that l am exempt from the Camr -tory Ucenw LJw fm the (ceol'awlnq r0aSon (Section ]031.5 BUS' ass and Professional Cotlm Any city or rag Construe any Structure, p ar so ('Shy Permit im R4ubes l{;atavr�llcemelOazuoh psrmlir [O 111 n Rgnod rtotomonl met ne/5he Is IlCenwd Pursuant to the v 1 z t adds irador's Ucenre Law (Cnapt0' B (Commancln0g wlln Sebtlo ]o00j o1 n 3 OI Ice e 3 nau ane Professlens Cae) to t n n 1 1 and tt00 balls for Ino a110god exsu Pt1 i Any. I 1 (I - I, sa Ilan " A35 E. y p1Won1 fora Permit Pub 01t the ppll cat 1 dull �e by oYno[ more than 11W hundred Sonars IE500) Lim, as a- ne. of me "ran . wPertr or y e pl0rees vnm ages.as met sale venrdInn para ao tee ru, and ane fit C r what intended offered for le So `1an 70M, 0Qslnea end( ProlendOneI Code: The ConVattWe Lica Law as asnot aPofy t Van fawner et a pro Party paha but ids or Ianps In can he I tnher00n,�aano ono sou urn Irk Sanrsef or in.0u9n his dr nor own e P10Y P,ovlaed Ilfzt such 1mp.evemenis a.aInOf I tantlad Or offered for le. Il, now*WI, the Isull,llny i Improvement B IOItl wllnln one year 0 the 0 nor:wl11 heve Ice bupon OI proving he/5he ale not SUlll Or Im- far the purpose of Gin). 6 1, as owner of me grope if y, am likable I W1y cc St aetleg with Ilogn San con LnttOfs 11) COnzttuN]ne projeCL 5eCO0D]OK,BUSInew end Rotm[Ion4 LOda; a or me$ build$ of imcio5'es theore comer . n d Who COntiattitlor such projects 0 an Owner o w tI a rano tncnr0) license pursuant to the Contractor's License Lew). 1 ' ❑ i'em exempt under S ct on D. A P. C. for this model Lavatories- �� P Tlip• � t _ Raaf Diaire y - F : ' 6t lir - RelnRwttlon Pao x$15 - Se ce Sink Issue Fee - MECHANICAL Boiler Refrigeration System - ' ' Duci-under Ground DatOp,OW Bru ❑11)0.000 BTI( SPECIAL CONOITIONSS Duct - Structural- System Reper/Alteratian ELEC RICAL Duct Vei ng _ Automatic Weehn 1 .`.) Exhaust Syebm ❑ Multiple ❑ Sub Parol 1 r i FirepllEeCL Bit.'ICBO'Y• Cooking Unit 1 Sub Pole I Dale Owner Dishwasher Heating System & Ducting ❑a1 DQDGD BTU 0 W,011 ' ' "^ v . I MNb Certify 1 have IMa ppllCation and Ino that the so*" Pan M Cmwavo 1- shat lnformeilan is e a comply with all City and county ordinances and state lows relating lIQ building Or Sectin, and hereby + throe ore. a tauws f Inis'c m n[er the above mentioned or mr nsp.gien vurvvse C �� Date 2 r r 3 Lslgnatura - oHwrr License or ss s - F.A.U. Pole Light IA Fixtures _ Range Hood ar TyPe ❑ Railapacnon Fad CanopyT o II ❑ $15 Sign ' Registers Issue Fee $3 r Switched _ CMF 0065<6fev. 12/82 n1; Plnk-Accountingi Goldenrod-A[sessor \ 1 -7656 4/2(4193 W.p7 'T ZONING REGULATIONS A. P. W J ZONE PLNG.REF.W. BUILDING,. TO BUILDINGPROPERTY L NE REAR YARD(TOP/L) - LEFTSIDE YARD RIGHTSIDE YARD - '- PKG. SPACE REO. PROVIDED r STREET WIDTH PARK FEES - SPECIAL CONOITIONSS ELEC RICAL Automatic Weehn Motu DoorTIODampe .`.) Construction Pale Sub Parol i Cooking Unit 1 Sub Pole I Dishwasher Motors ❑al HP 01X8 ' "^ Dryers ❑Gas ❑Electric Inc.Solar 1184511901'645+ Pan M Cmwavo 1- f F.A.U. Pole Light IA Fixtures _ Range Device Boxes Sign t out : Standing Sections ' r Switched _ Trash Compactor j callings oispo®I 0 i t Gennrnlor D0.5 KW 05-15 KW ' Trendormerr0155GKIN - ❑e'0;KW - a Rainipeetion Fee b15 Meter ❑up i0100emps Issue Fee .8 3 Winner Z ning APprawtl BY ' Wt0 Appjiotiln ApMr BY•/'l me ( Applitstion IawO'BY / nne ZZ' ` e SUMMARY OF FEES x.90 y BUILD("NG PERMIT $� i SMIP $ 1. PLAN CHECK /$ PERMIT l - r v RLUMBING $ ISSUANCE. $ , PLAN CHECK �y $ _' ^ GRADING $ ' -,ELECTRICAL $1 $ iPLAN CHECK $ MICROFILM $ rMECHANICAI '$ "`TOTAL FEE, E PLAN CHECK ' S LESS . ADVANCED PC $' ^�' {. i FINAL FEE $ r�C:ONS'fRUCTION,AND:PLANNI G. r' > •' . �� "%z -� a ' -, ,-'z POO' SPA _ - ± r t- ' -. -0ate �� ^.APPROVALS ` Perjnit#rya_ "Inspector < �IAPPROVALS� Permit# Date - Inspector - ,.,- �7_ Temporary,Electrical Service orPole •_% ` :, : - i� -52.- Pool & Equipment Location' • - - n' _ 2? 'Soil Pipe-Undrgrnd:tj-•53' Steel Reinforcement' 31 Electhca'l Conduit Utility-Undrgrnd. 64: Forms •y - '. •:° , 4. Electrical Condu,t-Undrgrnd? r s "` - .- zz '55- Electrical Bonding - _r_ b; Steel Reinforcement -� ", r ! ' S_ 3 .B• ' 56. Rough Plumbing & Pressure Test41 6. Electric'IUFERGrnd.' 'O^ 1 `9' u= ^L _ 57,''-APPROVAL'TOCOVER -GUNITE1 ' 7. Footings •! " •' :' - - f• i' • 58' Electrical Conduit-Undramri. _ ,d 8. Foundation I 1 7 o _ , • .59. GasPipe, O:Undrgrnd., Test, 9. Water Pipq-Undrgrnd. ' _ •! ' x'_60. Backwash Lines, P -Trap, ❑ Undrgrnd., - 10. Struetural:Floor System 61. APPROVAL TO DECK 11. Property Sewer Line &Mouse Connection: - 1 62. Backwash &Receptor -Final ' r 12. Sewer Cap i c - ` '-63. Heater &Vent -Final 13. Roof'Drains.64. Plumbing:SYstem -Final - - 14. Rough Plumbing' - - •165. Electrical -Final - ;,'15:: R6ugh-Ea duitT' ` -• T-1 r- " j 66. Sola: Sysfem-Final ! -16. Rough Electric Wiring I c 4 J -; �� : t- _ -' -C " 67 ,Fencing & Access Approval 17. Rough_Wiring Sign:^_ > I !", 1 ± I F ° 68. APPROVED FOR PLASTERING 18., Rough Electrical=T'Bar Ceiling, ; i ; I : ? c X69.' POOL/SPA SYSTEMS FINAL - MI� 19. -Rougli Heating &;Air.Conditioning 1 ( i ^ I _• I FIRE DEPT.1REOUIREMENT APPROVALS, ,Permit Y#- 21j.1 Rough Factory Fireplace i .i �. i' j, i t 1 1 2 1. 121. Ducts: in, ISfrueture, `, , Y(i-i .i h i70. Underground Hydro ' �,'�22. Durts, Ventilating ". a i'' I , 71. Product Piping ❑ Gas ❑Oil I >23. tGaQPipe!Rough & Tiesi c, r ; it I i 72.1 Underground Flush '. 24. •RoJf Framing', ' ,d " �' ', •' !�;� �,� j , , + ,v } , I ,, _, t �: •73., Undergrnd. Storage Tank O Gas ❑ Oil . 25. Roof Sheathing _ 74.' Overhead Hydro • 26. T -Bar Ceiling (Structural). $: Monocoat- �' - 75. Dry Chemical r - 27. Frame and Flashing, 1; :-30 76.' Dry Standpipe . 28. Lathing&Siding '?3 !Y, P 77. FIXED SYSTEM FINAL 29.!Insulation r 6 7-1 1 78. FIRE PREV. FINAL „-`30. Drywall Nailing d� �' i 117 t _ 1�3 Notes - otes-31.:Plaster 31. :PlasterBrown Coat, i '; 'f 16 163. n 32' 'Electrical Power Meter -Final' 33. Final Electric ;.i ) ,?__ _ .t., _•,_ •(_ j � ii 34. Final Heating &,Air Conditioning 35. Final Gas.Pipe-Test'' 36. Hood or'Canopy - 37. Final Factory Fireplace: 38. Final Plumbing •Service-FinallI �I 39. Water �, I 1 �! i 76-� 40. Gas Service -Final { I ! l , 41. Solar Domestic -Final 42. Backflow Pr venter, Ir 43. Backflows Irrigation 7 i a• zPA, 44. Landscape Irrigation' System 'A' i -i. 45. Sound Attenuation^ - i 46. Handicap Regulations (' _ 2 ,y 47. FINAL STRUCTURE & BUILDING 3 ! 48. Special Requirements Completed ' 1 49. Electric Release!to Edison+ _'. 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. 6.209 Date �,¢,�y w r1 F 7 '� .•^ apmtunt - to titan all space exeepe those wumn neer be.asr Imo and sign an appropriate e.alamupna. - - ` - CITVAFCOSTAINESAI I - , C.ONSTHUCTION PERMIT. 1" - " ' _ - • - - - - _. I. •B2H2 5/0�/83 '%, . 1 T. E IT O. %�,�' TRACT NO. .� LOT NO. - • B S - > - '- .: Racketeers WilingOOA�ckirea llGG : S %ElectAdtleM 1�a Larl1J OwnaT NkmB't'r�snn rj/, PT¢YS /LLYCI's PM1One TYP�OF CONSTRULTMN NEW , qDD ALTERATION REPAIR CONVERSION UDEMO/L�ISN DOTHEP DESCRIPTION OF WORK' a/V U'YN�lrizf T Addiea 36-- _ CarP wi, L 2", , evil' ; , TYPE OF PERMIT ORAOINOI�I FOUNDATIOry 3T0.VCTV RAL ❑ TENANT O ELECTRICAL yLPLVM91N0 ❑MECHANICAL - QPOTHER PpDESCRIPTION SO. FT. OCCUPANCY AA: es 'ZpNE -' ' - I+BJ VH S' Pa..fTGfS I i % Ergs LiCenW NO.. Addrm '' PLNG. REF,.f, BUILDING - TO BUILDING ?flEAR.YARD ITO PIU ContrsciwS Nem -,, ' hone '76-R1PFIQ - LEFTSIDEYARD RIGHTSIDEVARO - Address(msiiinel'�;n(J .041aK L0601N44; 11 r CONSTRUCIONTYPF VALUATION$' LicanMNO. PKG.SPACE SEC. PROVIDED _ ZONE GRADING CU.YOS, 'ACRES LICENSEOCOWRACTORDECLARATIONpemnkr: I'hareby affirm that I am licensed under provisions of Charter.9 (commenelna with prolan 7000) of Dlvlzl 3 of the Business an*, Protection[ Cand MY Items* is In full for" nsUf 1.ede, api4tse Can}Iounce No. -7 STnEETWIDTH' PARK FEES ' - 1 SPECIAL CONDONS: ITI PLUMBING _ ta_s S' sigAT '� Bar Sink ' Sewer Cap ELECTRICAL N DEC" RAT 1 iKERs' m that I e" a certificate rabyafllrmmatlnewe usurante. dor a amt Ie ora (Station._ i Workers' .) -;., Compensation Inzu.Snw, a e mrtlllea copy meno1(5eDlon' 3p00, Iib. Cd .. r 1 1 Polley _ UmmnY - .- Bxklloiv'PrpR'nter Soto( COftiortari` - _- Automatic Washer �Meu[. beer fact amps: - - Bxkllow lrtigetian Solar Cnlixrora Construction Pole: ,Sub Panel ' - No. BCertified coq b nerabY furnlslied. ; j ClrtlOOOa PY lit nleawah the city Building Division. Dale 1 HOPIItint 1 ' ! ' BelnNbs Bola( Piping Cooking Unit Sub Pole i Clarifiers Baler Tdnk DishWdsher 'Mtlmrs ❑D-1 HP ❑1XA ' (This notion nem nut see completed 1f the permit 6 for On hundred ($100) oN lost. 0ION FROM WORKERS' COMPENSATION DECLARATION ' rte)' ` 1 certify that In the performance OI Me work far aMc° this Permit Is Issu I' Dpall net employ w m any s to become Subject [ toe' ate ' tlo Igna Gllfo{yha � ��v/ Cate - 11]you I _ _ __ _ Di95v¢Sler Swimming POO1 w/$pct • I 9 Oryere ❑Gas' PElxlriE Inc Solar 09-15 HP ❑1&15h ' Drinking Fountains Urirel .� 9 � Floor Ord'ns WMar Closes — Fen - Microwave F A U. 9 Pole Light ' is deco youer Cod . tome suet o 1 ine' NOTICE: I� M�vi dons Of Workers' With Such Pr psaadom i til. r .Cad.. you et forthwith n 'pr oNC permit nen ne eeemad re user. /• FIOM Smks I- ` Water HHMr - - - Fixtue it Range Gas Senice outlen Waui.ServKe Device Boxes Sign CONSTRUCTION ENDI G lhthat LENDING Is a AGENCY If the a�bm that nisthas Permit s issuedingd f the k for wn1 hthis cermll Is issu a ($teflon 3097 Clv. C.] (Sia fort es p7 Cis. lendar4 Names I/ I�su - Interceptors - Outlets 'Standing Sections _ Kiwhin Sink �"'tct'ct' Trill Cempxmr -lender's Address' OWNER BUILDER DECLARATION i ' I herebY,afflrm that I am exempt from the Contractor's License uw tar me following so (Section 7031.5 Buslnesr+nd Prfessional Cade Any city of county whin Permit to construct alter Improve, demolish or door Y Structure, or t It I ceIse ndulns the ap°Ilcant lot such It %p S ed t t t that he/she Is ncanpea Pursuant to me Shaa[%et of f }ylgContractor's U La(Ch ter 9 (ummencenng with Section 7000) of a•^&3W 3' I theBuenos d Tefealuns CaaeJ that. nes she' Is exempt ' iii Irom and the earls for the alleged exemvUon, Any-Aida�Ian of Section + ]0^1.5 pv onY dpP heanl for -a permit su°]eel'he apolicedt Wo civil : Ity fn_lmore thanflw nunOred dollarslf500{: 1 nor f [ne prowrtY o y e psoyw[ I h ages.az anti( sole m tion with US the k, a ea mystructure Is not Imanaea narea 1 -D Cited 7044, Butoa d Prr a Pronal,Code. Theear's lve U 14w does not apply to an and Uof a prpwrw who builds or Impmws to a d who doe5.iuch rk himself/herself a( inrougn els or M1¢r own onto a peovond that soon improvement$ are not mtendee or oaerea for le. t. however, ine building or Imprdame" is said with In an0'vear,al core- platinn, the owner will hat. me onraen of prowng be/[he die not baud or Im- - owformOPpMoldiel: rose 4 u owner r m p a H, am examlwly contrscun9 wan lunrm can. [racmrsm ro t" ct th :i ttg ctonn ]044. Buslnez and Prafamam Cage Tile cpntratt Y LI M u d t apply to an owner i pracerty who traeo i P [n o no c nirad IAor n pmjxtz wen a cam tracmr(sj acted pursuant to the Contractors u nze Law). ❑ 1 am exempt under $edlon _ B, $ P. C. IDr tel res i ' Cryptotias' _ Garbage Disposal P -Tr - ep Generator 00.5 KW [35-15 KW pact Drains - - - Transformer. KW ' ❑5U+KW' Remwnjon Fw 1 $16 f She e a - Remslsedlon Fw' '. E16 - r - Mete ❑up to lO] amps law Fee E 3 -_ Sa aS ilk 1 Issue Fx.y. E3e Zoning'Approved By paM Amo y l Application vada I al Application Issutl 8y see 5 i S I - MECHANICAL "' r Bo ler Refrigeration System 1 purr Under Giwntl ❑O1O0XXK RTU ❑TOgWpBTU _ - SUMMARY OF FEES BUILDING PERMITS SMIP1 !g, ; 'PLAN CHECK $ •, PERMIT t ISSUANCE E " PLUMBING $I IpLgry CHECK- $ GRADING j E I $ ELECTRICAL $I : - f , PLAN CHECK' $ MICROFILM $ t I I 1 ! TOTAL;FEE $ , �MEDHAN CAL $ 1 1 1 LE55 1 ,PLAN CHECK i $ ADVANCEDPC $i j i I � FINAL FEE! $ ,� I Duct Strucmnl System Repan/Allaratrn pact, Vent let ng, i _ _ _I _ _ _ Exhaust System ❑ Multiple ❑ - 1 F iepUFxt BIO. ICSO #L i Date Ow -' Hating Systeme&Ducting ' t ❑U1OO.00OIBTII'�1OO.o0o : 1 M1ervby' certify Correct. that i nava o fm Pall Non and -state teat 1H b . teloematkin Is 1 agree tO caly With all G`y and wuntY di O gala laws ating to buildinglc Ira lien• andhereby nut ll I pre- Mmauvn 1 oris, U m aur pan one hers-emlpnea ser mr Inswctlonp Poses sNwmre DN. 3 Orwers' llcena a' i I . Hwd Ef TVprl ❑ 1 Prat a"Fu. Cee° T II ❑ °� .,EIB pegiaten I 1®la Pae $ 3 CMFO865<6dv.15/63 White-BWldlngl Canary-App11on11 Pink-Accounting;Goldemod-Assessor '' -;� - P L: N 11 C � 1, - AND (S� : r ; � "� ': c � _., - PO( SPA q - 1 . - _,qq�ISTR�IJ15TION � ,Date >. :APPROVALS Permit I I � nspecto, ;APPROVALSDate Permit* Inipactor, r y i E 1'e'ctr i caul Service 6r.` P616 :(52' rn 0 ol &'E�uipienVl_dcatiion 0 n.Ll, 'T11'e-pp-ora Ft -2aL 0- S80 Oipe-Uindrgrnd.� `53. Steel Reinforcement _ -Y. Etactrical Conduitl dtifliv-Undrgmd: 54. Forms r 4. Electrical Conduit-Undrgrq. e55 Electrical Bonding n 9: Steel ReInforcemen I t 66. Rough Plu-mbing-& Pmsure -fast 6: iElectrical UFERbrnd. M I APPROVAL TO'.COVER-GUNITE, _57-'.- 7. - Footings 68! Electrical Conclijit-Undrarnrl. 4 B. Foundation 0 59. Gas Pipe,-I]Undrimcl., Test 9. Water Pipe-Undrgrnd 60. Backwash'Li 'Ej Undr9'rnd. nes,- -Trap, 10. 'Structural Floor §Ysieffi' •61. APPROVAL TO, DECK 11. Property Se%A/e'r Lind &jHouse CZnn4ction 62Backwash _&=Receptor-Finiil 12. Sewer Ca p-Final 63. Heater,&Xeq F n 13. RooflDrains :"64. PIumbinCfSVstem,--FihaI 14. Rough Plumbing I /a -lip-ey '85. bbctrical-FmaC �15- Rough'ElectricakGoncluit-r----r '66. Sz)Ia-r System-Finil ouqh,.!IedricWirj'ng-, ! , j 1. �i A6cess Approval 67. inga L ,F 17. !RcLigh Wiridg`Sign, 68., APPROVED FOR PLASTERING 18. RQgh "Elect'ric'a I'VBJr Ceiling, '69.. P06L/SPA tYS'TEMS,FINAL 19. :Rogh,,,Heating & Air'Conjiti king 0 FIRE 'DEPT. REQUIREMENT- t t C � APPROVALS( Permit 20 ugh�-Factory Firjplaces : lf� tl 21. ibucts,'in Sfru'ture, -70., Underground Hydro 71. Product Piping ❑Gas 00il li,23_ (fas Pipe-Rough & Test 72.1 Underground Flush s,24$�Ro"of F . ra m - ingi -a U6dergrnd. Storage Tank, EI.Gas 00il 17-3.; 25.fRoof Sheathing Oyerhead Hydro :'-26. IYBar Ceiling (Structurali, & Monocoat 175. Dry Chemical r� d'27. aIr!e and �IashFlashing.76. Dry Standpipe % 2 - 28. ' I I-, Lathing & Siding• 77. FIXED SYSTEM�FINAL 1,Insulation : 178.- FIRE PREV. FINAL 'y 30 Or wall Nailing Notes:' 'I L 31. iPlaster Brown oat 32. rETectrical Power Metler,�Final or X33. ;Final Electric_ 34. Final Heating &jAirConditioning l 35. Final Gag* p'. e"Y, as 36. Hood or Canlbi. �;t x 37. Final Factory Fireplaces 38. Final Plumbing 1 I s 4 i 39. Water Service-Finall 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow! Preveriter; 43. Backflo'wl lArigat'idln! I 44. Landscape Ir ion.,S t I•;Y .�Iq �t g a Sound, -At,teni]1k;I , : ; o; I ' I r � . . , - I F IJ 1 7 46. Handialp, Regula'tionl'l 1 1 7; 47. FINAL STRUCTURE & BUILDING 48. Special Reqdireriients Corriple'ted: son 49. Electric Aelease,to 'Edi' L 50. Gas Release to Southern California Gas OD 51. CERT(Fl ATEDFiOCCUPANCY No Date A I W�7� ApYllcaut lD ml In an Agrees except mow within near Border lines and Sign an apprapriste declarations 1306 '6/23/J3 16ao1 TL YARD DEO PARK FEES CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. 7 6 7 TRACT NO. 1 LOT NO. 1 1 4 S - EXEMPTION FROM WORK E RS -CO PENSATIONOECLARATION 11TI non need not be completed N Ina pafmu Is for one hundred 141001 or f I. I certify that m theperformance of the work roar which this Permit N Rsts; I nab not employ y penin m Y manner at to bewma subject to the .Workers'. Companvtlon,Laws of Callfomla.lrs Date . Applicant's MaINlp AdtlreM e Project Address • M Ownx't Nema kens Atltlres .a•t c5 -elf, In*11NITTRUCTION LJ NEW1—LJ , ADD LJ ALTERATION LJ REPAIR CONVERSION 0 DEMOLISN�11/�.a`, OT/1E-R ' DESCRIPf IONOFWORK t rate Drinking Fountains Urinal TYPE OF PERMIT LJ ORAoeng LJ FOUNDATION � STRUCTURAL ❑ TENANT ❑ ELECTRICAL O PLUMBING L`YRIECNANICAL D.OTNER pRUAECTDESCRIPTION SO.FT. OCCUPANCv CONSTRUCTIONTYPE VALUATION$ ZONEGRADINGCU.YDS. ACRES A.P.y ' Arc'n� -gid h/Ery. ` lib No. AddraY TO BUILDING PROPERTY LINE Comrampis Nam.^`O Ay'S • /%/1' C- Phone IJ 353/0 LEFT SIDE YARD AddreRhMllingl/-2.L1 Z_ ��!r�%�-��.�-y�/� LleenM N0. 4-7-b'U.2 J' O'y2O PKG. SPACE REO. y`r'"�= CICENSEO CONTRACTOR DECLARATION 1 Many alflrm that am licensed under provisions of Chahar 9 (commandos with auction 70001 or Division 3 o1 the Buslnen and Raleulom Cede, and my ncaea nIs In full form and effect. I1brod Own C O -&P Ucter; 2. f SignetYn- RemarkN_ e%�` 6 STREET WIDTH SPECIAL CONDITI PLUMBING - iter $ink Should 6p Kitchen Sink - 1 - - RKERS-COMMMN TION DECLARATION Araby affirm that l have a cartNlrae of anent to seluntmi or a carunub of Workers' ComgnMllon Insurance, or a wrtlrled'cepy tnerwf (Sedlon Backflow Preventer SeMr CannplOn Automatic Wmh 1306 '6/23/J3 16ao1 TL YARD DEO PARK FEES W' -v2 - �'�wre raO 41r•�Y " WI APPun[Lg:= � ll •Soler TenkClrilim I .Usnwaber MamN l0.l HP Ulf EXEMPTION FROM WORK E RS -CO PENSATIONOECLARATION 11TI non need not be completed N Ina pafmu Is for one hundred 141001 or f I. I certify that m theperformance of the work roar which this Permit N Rsts; I nab not employ y penin m Y manner at to bewma subject to the .Workers'. Companvtlon,Laws of Callfomla.lrs Date . DlSnvaillx Swimming Peal w/$pe Oryars❑G ❑Bleitiic c.$Olm❑g-15 MP X18-150 Drinking Fountains Urinal Fan" I M'cmwwe Fluor Collins, Water audit' • F. q.U. ' Pole Light A. g Signature- NOTICE: if. after making this declaration. you should becomesubject to the Floor Sinks <-. - - - - Water Hester . - - - Fixtures 'Range ' Workers'. compensationy ,uhnns forthwithof the labor code, you must forthwith Comply With' Such prdYlYom ,x this pxmlt .Shall be'eeemee yokes.; 1 Gx 6eNies Outlets Water Seryice �d Dayite Boxes f Sign CONSTRUCTION LENDING AGENCY I hereby afirm that there is a' construction lending agency for the'parl0/mance of the work for which this Permll Is Issuetl ISeC[lOn 309] Clv. C.) Lender's Nerve' _ InMSxptorf Outlets Standing $B[t10n5 I Kitchen Sink - 1 - - $witchx Trash Compactor LdnoerY Address OWNERBUILOER DECLARATION - Ldyejxl8e r " Garbage Disposal 1 Genemmr ❑65 KW ❑5-05KW ' I hereby affirm that I am ewmpt loom the Con AOOi's Unman live for tM fallowing Mason (Section 7031.3 Business and Professional Code Any city or - P -Trap nhy wntbn a pubes A Permit m construct, altar Improv, demansn or repair v 1 u Slum, ptlor to Its Issuance. at" r"llues the applicant for Steen permll . 111 laded slatament iM1el heKhe Is licensed pursuant to the provlslona of V.., lsi l3 of the Buslnew n0 wplessions Coea1 of that he elI pOxe Of < y+ f and the basis far the alleged exemption Any, viola Ion Ion f ycnon ]031.5 C a y pph"Ant for a Permit sub"co' m0 ap"'Pon to civil dally oYnoi Bows men lige nYnar.a emNrs [55001, oT. of owns f IM Othad" y o my employeeswtn We' as pNlr {DIC o AS win Ad me woik, and les Pruclu 0 Is not mtendad ReM.d SAO ane profenldnal Ceae: The connandra .Mer lASGonflan 7044, Bud License Law oda not epMY la an owner of a property lwno builds or Im style ' LM1endn, a d bO deYYUCn wo/M M1lmHlf/narm I mlough Ins a her Ow" e PIOY orealA 0 that mcnlmarowmems are not IManssee r florae for he ia. II, na'Wawr, the AU o Improvement Is sold wlthln one year or coni- , f tion, Lha owner wuI ane burden o1 pro,tlng neA A did nm bphe or Im. . pis SO fart M purpose of USA) Pool Drams Transformer 015-WKW ❑61] i KW peivgRian F $16 $M1owers _ peincaanlan FM $15 Wier ❑up m 100 amps IRue Fab 'E 3 ServiODSink IRua FM $ 3 lnnirry Approved 8y—Dane Application Approved By to o (� Application Iviuetl BY N�f Is Le Sao •' , - MECHANICAL Bailer l Refrigeration System ❑D100p00 BTU ❑t00.0W BTU Dun untlor Giaunp I , SUMMAR OF FEES " BUI LOING PERMIT S SMTP $ Dun SUutfurel System Repair/Allernion 1, as owner of the property. am exclusively Contracting WIm SKIM d COd- j bwlorsto Cc prucl toproject ECcbloon 7044. Bushums and ASSUCYbm Coup:- PLAN CHECKt 5 PERMIT Duel. Ventilating _ _ _ Toil con Metbr•a ucens caw t poly to an owner Of property veno Oullas or Improves thereon, ano who ou otncla for SU SO proleClS with a Con. va<torizl Imense m the canlmd y uwnM owl., ❑ am exempt under Section_ ection B. a P. C. for this reason ISSUANCE - S PLUMBING S I PLAN CHECK S GRADING I S l $ ' 'ELECTRICAL S PLAN CHECK S •' MICROFILM S f MECHANICAL S TOTAL FEE" $ I LES$ I .PLAN CHECK, S ADVANCED PC S FINAL FEE. Exhaust System ❑ Multiple ❑ Flrepl/Fact Bit. ICBO •i 1;' Gets Owner tl/w-the PM1av M ad Inti apWhrall In nd tale Inst aloe above 1'M1 b11' mf 11 b t I axed io comps un all tliy end Arum emenn5 n nate laws total to bYpieinqu ons uctlsn, and hereby autXonm pre- tanwa f t cityt notM ndvemanbonSo props ty tar Inspection p u Signature ata G'2➢- &.il 'Orlwrs' flans ors55 O HxtinBSyelem B Ousting ', I ❑P10o,000 TU 1:1100,000 -. - - HoOtl of Typa I i pnimpmion Fae Cann Tyne II ❑ S16 1 , Registers Issue Fan S 3/L INF 0885-86 re%. ]2/82 p11unU Pink-AcwunllMl Goldenrod -Assessor "I*' IdO�NSTR�UCTION ANQ�PVANNINdl -:-P - ok SPA- . mif -_2N ',Date' LS Per2 4; �_E 7 Inspector 0*� ��_ � � 4# - PP y RO ALS Parmit Date Inspector C', Servllc� or --P616 m•i1" :remporaryn. 62.- 6 P ol & Equipmefit Location y:El'gctric�l 2! iSpil Pipe-Undrgrnd:-. v 1 53? Steel Reinforcement 3! Elf ca Utilitk,• ectri I Conduit -U�d�Or;d� 5 4 .-Forms car 4: Electrical Conclui -Undr9md..�.., '55' Electrical -Bonding I C. 7 Steel ;Reinforcement C.; 56.1 Rough Plu bing & Pie'ssure Test 6: tElectrica�l IJFEFlGrnd. 57 APPROVAL " TO 6OViR-GUNITE 7. Footings lectricalCoricluit-Unclrorncl, e 1z •L 8. Foun6tiod r - I I I F 5.9. Gas Pi pe;. 0 UndFgrnd., Test 9. Water Pipe-Urfdrgrnd. ',60. Backwash Lines, P7Trap, 0 Undrgrnd. 10. Structural Floor System y� am APPROVAL TOPECK :61. 11. Property Sewer Line &JI-iousetorm4ction. 62 Backwash'... Receptor -Final 12. Sewer Cap C) ~Heater Vant-Final I63. 13. Roof Drain.§ f64. 1 u mbi nj:Svrste rn':'Final 14. i R6ugh Plumbing cc .66. Electrical -Final _7_ Q5.-Fough Electirical-Conddit "66 Solar SVstem-Fin-al t Tc - �67:, FeWci�n_ff-Aacass ApOr6val i L :rl 'T17 7. !F[oqghWirinlg Si- gnI 168.; APPROVED FOR PLASTERING s' 16. rRough ElectriplTiBai Ceiling' jPOOL/SPA SYSTEMS FINAL 169 19.,Rough,Hetipj &;Air'Con•• ditio'nin 9 FIRE DEPT.AEQUIREMENT APPIR6VALSI t Pe'rmit �0. i4o'u -,Fa6tory Fireplace I 21. D6cts in Stiuctu�ev 79. Underground Hydro �M. Ducts, Ventilating j71.1 Product Piping P Gas 0 Oil Test 0�asA p e- R, 1z r -T I - -I --v - 72.1 Underground Flush 1..23. ,gugh 1'-24. 1 Roof I F . raming U nIdelrgrnd. Storage Tank I CGas I ;73) .00il 25. 'Rodf Sh6tAi Ag 13 174_! Ov'erh'ead Hydro 26. T -Bar Ceiiing (StructuraC), & Mondcoat 7 X751 Dr v Chemical 27. Franieancl'Fla.shihg !76.1 Dry Standpipe' 28. 1 I�athin� 9 giclin n :77.1 FIXED SYST EM' -FINAL 29. �Insulation 7 - 78�1 FiFl� PREY. FINAL ,_30. ;Drywall Nai.fing f > :Notes:, i!r3l. Plaster Brown Coat !y32.,bectrical,Power Meier-Fin'al 33. ',Final Electric 34. Final Heating & Air Condition'ing 35. Final Gas Pipel;fist L 36. Hood br,�anoy 1. :1 37. Final �,actory'lFirep qpe, I I- , al h i0 I P umbing 38. FinalI 39. Waterservicb-Final, 40. Gas Seiv:ce-Final 41. Solar e*nestic- , Final L I L! 42. Backflow Pr Ieven It aI ic 43. Backflow ' I r'r'l i o' n I Landscape Ifr! tlo' t, m 44. Lands' ga n.SY.-s a I I 45. Soundi i:gtten'uatGn' 7 46. Handi" Regulations PP J) 7 47. FINAL STRUCTukE & 1461 LONG 1 48. Special Requirements Completed 49. Electric c keldaselto Edison) 50. Gas Rele'aseto iouihern California Ga's CATEjOFOCCLjPANCY 51. CERT�1Fi1j 4- t No Date if AS Emit to fm in all spacer except Inose within heavy border lines and nqn all appropriate declaration.. - - _ RCEY OF, COSTA MESA C.Sa �kl'Q� IT Np.' TRACT NO. LOTN1- B ! ' CONSTRUCTION PERMIT - LS ' 7 L -(•JL5 � 9p92 7%gib/JJ • u2�B7 Ti. - '7y i Apyllydn('s Meiling Address'10Zqdy f TYPEOFCONSTRUCTION LTNEIN LJADD LJALTERUATION LJREP41R nddreMeAWj J1C10CgE PAIZIC td iIYTL C'X G•Ol. - El CONVERSION ❑DEMO45N- I III Project OwnersNeese 42tZA •'�ETFi%,15C' pIl[Ine DESCRIPTION OF WORK {'f• L.[) Uli\•n-n addr:M'y/'9. G". AC>aV ArNf Ill aJlMG•� P,BTfJsS TYPE OF PERMIT GRADING' FOUNDATION" "STRUCTURAL A. P: SW ZONE ,I ' j Arcb/En B-/' License No. ❑ TENANT O ELECTRICAL GK O PLUMBING IfI MECHANICAL ", BUILDINGnd SA!1�9_ 1 ❑aTHER PLNG. flEF. Mz a Is gtldfgs 5' // ✓•ASC aG3z �' PRQIECT 'TO RVILDING. NM .REAR YARD [TO P/Lit " - ? Contnpad 3 Nama-1PON -pho��n3Ye , DESCRIPTION SO: FT. OCCUPANCY ACerm Emiliflgl /ZIC6 ZAZgEl~ C/Ie�C CONSTRUCTION TYPE � � VALUATION $ LEFTSIOE YARD _ RIGHT SIRE YARD _ !V +1 ��a. Z�' G"'�e CI7•Y ZONE GRADING CU.YOSI ACRES 7 PKG. SPACE, Sea. 4 PROVIDED LiceNe NO: ,4-;R4 _14-4e f� �I LICENSED CONTRACTOR DECLARATION 1, hereby Relief that 1 am IIwmW under proNdens Ol Charter 9 (<OmmOnclnq RemaMn STREET WIDTH PARK FEE $ Wth Mellon 7000) Of DIVlslon 3 Of the Buslnela and WOfeulans Code, andSPECIAL Cr CONDITIONS: 1 fir license is in full force and effect. Q"7+. - " ucan' cuss I u se,no. PLUMBING -•te ^ Sign niIng 1 Bar Sink Sevier Cep ' I ELECTRICAL ' RKERS-COMPENSATION E.WRATION , eby.afirm that L hi a into of manse Lt IH r xrllflxle 01 Workers' COmpenRllOn t x Or a 1111 a thereof -1 BabkIIDW PreVanti ! $BWBr COnnMion - Automatic Washer.. •Mates. OKr 1OV amps u Copy (Section apo, Lab. �e9 3 ! sy`/vY 'Li• Beekflowlrrgeto Soler Coll t sSubP C Mruc[ On Pole r nal 1 FIICY NO. c mpany I eCertllled they Is hereby furnisher.i Ba hosts Saim Piping I CookingU it 'Sub Pole' [erlltled ctrev Is filed with !M1 city Building OlNslon. 1 oat ' ADOIIcant ' s I CI f rs 'I Sa Tank I Dishwasher Motors ❑D-0 HP ❑IYnR ' E%;MePTIDN^�. (Thi ROM WORKERS' COMPENSATION DECLARATION el0 W not b l xmDleMe II the xrmll Is far one nunow (ElOO) or _,� D hma er { 1 - -" $W morin POOI W/$pa I g Dryers ❑G e. ❑E BEttIE line Solmr 13915 HP ❑15-15y I COMPY 1 • � t that In the m"OrMAM" Of the Work for Which this Is Iss:wO 1 • Drinking Fount UNnal Fen, - Micrm we permit shall t ploy y Person In y as t0 become staled to the 1 so Workers Compenutmn Laws of California. • 1 I Floor Digins - Water fro:t F.A.U. ;Pela;Light 1 1 Doti Sighis F mrSink3 - - WabrHeater. - - .' Fixtures .,Range - - - 7 i declaration, you opt tt T `WoneEr 11, aper Making this eons of the Labor Cod ,YOU Workers' COmpuc lPr Provisions at I the .mitshall he revokith n5 r palmi[ inti E dxmetl kM.:l comply daemoned_ Gao EerViG OY[IMs� - Walar Service - - Device Boxes Sign' NC CONSTROCmthat LENDING AGENCY TRUC, N'LENDIN onefeby e�faltm that there 19 tonatru[tlon lending agency for they rltirma rea Ouldom Standing $eclians . Interceptof3 1 the k for which IBIS permit B Issuoe (Section 3097 Cly. C.) sander-S! mama _ _ Kitchen"Sink! $WitChOo Trash Commencer . . Lancer's Address OWNER BUILDER DECLARATION' . . LaiatOrieA Gurbaga DiR'oal 1 . I hereby affirm that 1 am exempt from the Cons Imt License Law for the Winning maem:i$ectlon 7031.5 Business Bud WGfCWOnal Code: Any City or, : - Genem[or, ❑D+$ KW 05.15 KW 1 P-Trop Iy which rxutres a permit to construct, alter improve, demoll n o Ir " " TrenatOfmar ❑1550 KW I ' - the amm cart m, h y t aura; FAIR to Its Issuance, elm too""" p a 1 Roof ore ns NI Ignee patemxt that no/xe b unnad Pursuant to map 1 1 _ ❑6J1 KW; " Co t actor s Licenm Lew (CIn e 9 (commend og with Sectio .70001 of 1010 '3 of the Busine0 a d A0'0"'o l ssloln0 Ceael that nem pe Showery 1 A i spa n'Fx ,516, RaiNpeeti0n Fx Ems 'S Motor ❑up "Emil er from ane me bass 'orto usea exemption MV guar 1 SeIon - 70315 to looampn Fin ' 3 by' y applicant'orp h maleds the a00, hem1 civil nmyol notmor a In go 11".n ded d0bn ($Sx0), a •ag6zas 5g ICB $Ink . Issue Fan ,' $ 3"waver ammmmmmm,manner IgMIM Approved By Data mma 1, a5' liar %the proPortY or my amployxs matin the l. sale MECHANICAL Com with do the Work, ane Ina Rructute is nat Intended ISeflemd ' for la 4ion 70x6, DrobalOnor ! Application Approxd By Data spenalla" ISr GO51na" ano Cod O: The Con lnctork : uronm �n nom not apeOYto an bwner ofd prapeoty who bones or ImOre"a Boiler Soft Raft Exration System J Application laude By11 V. i ame emareonke o was eons h k nlmxlf/nerall Inrou M1 his Or net Own pmY s pro' dad mai Sure Improvements are not n on Or aHr.ed for ' - ❑1000OOBRI. : 00 DIe. II, he tM bullOlny r Improvement IS Sole wltNn one yaar.el nom- : 9Me Ovci-Under Ground yl $UMMgRY OF FEES ' in tlpq Ina owner will have burden o1 proVIng M1ehnr 4id not bulla ar Im- wforthepurposaofsale). Duct- StrucWrel System flepeir/Alteration - SUI LDING PERMIT S am IF $ �.1. a3 Ownar al tna property, am aactuzl BEly tomracang malth Jug need con 1 - tractosto construct the protea 1section 7044, Auslnnf andaolessmnr Code, ' IyW .3 Duct - Ventilating PLAN CHECK $ PERMIT The Contractor's Urt nm tlam hat auvb to an owner al GropertY who on its or Improves inemon, and who co tracts for men protects with a con Exhaust system ❑ MUIti01e ❑ l ".999� PLUMBING $ ISSUANCE S license pursuant to the Contract S LICenM Law).. - 1 "GRADING $ ❑ 1 them of Under Seeuon I B/ 6 P. C. forIN so F epI/FceL Bit ICSO i PLAN CHECKI $ `[recmNe) ; ELECTRICAL 5 E Hint g�System&Cutting ! 1 Date Owner 1 - { 1 lie e e of u that I•hem nae rob aPPIk on and tae that to b % is ❑D10U,OD0 BTU ❑104LON _ ,. I PLAN CHECKI E MICROFILM S t a rr t 1 agree to COMPIY With an city and count di rt 1 MECHANICAL E' �jL (7c)r TOTAL FEE $ to s *fail to Imam 9 mutation,and he by auto I D a i ^ Ity ' Hood Or T I ❑" Type T 1 - 1 1 e tatiws I iter the ab a ed proprtv for Inspection s. D / Ceno 1 T II ❑: Relrupatllon Fin $15 "PLAN CHECK $ /A S� I �� sig viturs 1 DStc �2G S :I ADVANCEUPC r $ i 1 1 ! Rgiaan Imre phe s $ 3 1 1 Orlwrs' 'ss ¢ �� 1 FINAL FEE' $1ji CMPe1165416mv.12/$2 WMR- BUBding; Cli- Appllcant;Pink - Accounting: Goldenrod- ASMSSOr - f` - q ' CONSTRUCTION AND PLANNING'' ( ''--: "� PO, :SPA'. APPROVALS ', Permit# Dater •'Inspector- :`APPROVALS -Permit# Date Inspector ' • 1. Temporarq�^Electrical Service or`Pole 1 i52, Pool &.Equipment Location :L 2. Soil Pipe-Ondrgrnd.' ti -'- - - _ - ° 53, Steel Reinforcement • . '*- - - '% .. 3.•Electrical'ConduitUtiltv,U6drgrnd' (',�- ., - cn i - , '-54. Forms Y-- _ ' 4. Electrical Conduit-lJncirgmd-. "a - - j 55P Electrical Bonding ' �} 5. Stl?el•FtelnfcrCerent - � '2" 56. Rough Plumbing &Pressure Test 6. Electrfcal•UFER�Gind, r �_ 57. APPROVAL'TO.COVER-GUNITE 7. Footings r- .f ,{' �.�' ,+ 58.` Electrical Conduit.Undrornrl. _ _ .•� 8. Foundation ' t I =' i' ' - ' 59. Gas Pipe,.❑ Undrgrntl:; Test - •; x',60. 0 9. Water Pipe-Undrgrnd; .' °^' ( �' i Backwash Lines; P•Trap, O Undrgrnd. v. 10. StruEtural Floor System 61. APPROVAL TO DECK r11. Property Sewer Line 9C House Connection, _ ",-62. Backwash &.Receptor -Final 12. Sewer Cap}63. Heaterl&Vent-Final - 13.,Roof Drains Y, _ n I ''64. P.Iumbing,Systern • Final 14. Rough Plumbing I'. , - `65. Electrical'-FinaF - • �I f r:15. Rough -Electrical -Conduit' --T "! - -"+-- �' I-"� - -66.. Solar System -Final •- - - f 116_. -Rough Electric Wiring - -'- ''_ f = {�-� -, wt 67. Fencing &?AccessApproval , 17.: Rough Wiring Signr 68.' APPROVED FOR,PLASTERING ,i - 18;:Rough Electrical -T Bar Ceiling, i. 69., POOL/SPA SYSTEMSFINAL ' _ .19. Rough Heating & Air Conditioning' , ! i FIRE DEPT. REQUIREMENT APPROVALS Permit # ' 20. Rough Factory Fireplace I i 21. Ducts, in Structure, 1 I i r i ! 70.1 Underground Hydro 22. Ventilating 1 !1 i 1 j t 71.Product Piping O Gas ❑ oil ,Ducts, 23. Gas Pipe -Rough & Test'- i j -r 72., Underground Flush -24. Roof Flaming` }' �._ " v :. !, 73.i Undergrnd. Storage Tank 0Gas 'D Oil 25. Roof Sheathing I j 74. Overhead, Hydro 26. T_WCeiling(Structural).&,'M ocoat I _ - l.. 75. Dry Chemical -- 27. Frame -and Flashing _ ',I I , j i 76.E Dry Standpipe 28..Lathind &Siding 97.: FIXED SYSTEM -FINAL 29. Insulation ` _ _•N I I i 178.E FIRE PREV. FINAL ' 30. Drywall Nailing Notes:j 31: Plaster Brown Coat i �I - i.l _1 __ •32:'Electrical Power Meter -Final jj I j 1 i 3§. Final Electric tt 34. Final Heating &'Air Condiiiohing2.543 i - 35. Final Gas•Pipe-Tes`t1'-i,. i yj - I; !" I•= '� j -a r!� I' j• ` - '. 36. Hood or Canopy--';I� n, ..I• `! '-.1•I..I..r- moi= i - 37. Final Factory Fireplace- ! 38. Final Plumbing I� 1 39. Water Service -Final, 40. Gas Service -Final '- 41. Solar Domestic -Final I _ ! �_, __' _ �'•� 42. Backflow'Preventen r- 43. Backflow --,Irrigation •� ' _ - - • ? - -� 44. Landscape Irrigation System ' ; i. ' ' ° { , 45. Sound Attenuation 46. Hand ica`p,'.Regulations 47. FINAL STRUCTURE&BUILDING 48. Special', Requirements Completed! , 49. Electric Release to Edison' 50. Gas Release to Southern California Gas Co I I 51. CERTIFICATE OFOCCUPANCY No L Date • AppNaanf to nu m all spacas acme ensu wnnm navy eo.der nnu and nen aI sperooame a.ma.: Aaeasee CITY OF COSTA MESA - 9 ERMIT NO. '/ TRACT NO. LOT NO- BLO . bONSTRUCTION PERMIT Q'y�- x" Kitchen Sink Applicant's Mailing Address 11 6-kD.LFDJ-�n,aon Ad ctI ROjett Addral y'KOS" CAOr LLAC tI S 04 L -1j -Orvntlb Nemp )�FgaJ'Tsk '1-Z LI ^S bone G4�s�' " TYPE OF CONSTRUCT4N LJ NEW -LJ ADD Ll ALTERATION"LJ REPAIR ❑CONVERSION LI DEMOLISH Ll OTHER DESCRIPTION OF WORK TnaTFH aM1 I lna r n,G w FN eS. REARYARD TO P/LIT Addledy It L.' P=Tdw,- SA.-, Av^ 9raici TYPE OF PERMIT .GRADING' FOUNDATION 71 STRUCTURAL ❑ TENANT 9_. ELECTRICAL Q PLUMBING ❑.MECHANICAL Arch/Eng. Ht -S- 42-rngI LicanM No. 0471 PROVIDED Addleae E. ALTwl- SAJ 14 Aien 4210' 0. CITHER "F CMy IT acrOLIC' LUITI( (=I FCT ' LOMrdcm RA/ �. F Ph 3L90 ala _ PROTECT DESCRIPTION SO. F , 4 Z R4- OCCUPANCY A-1- 5' Address Im %till �{$ rrC .0� LIcenR Np � 1'•-' r' Y'rLI 04 CONSTRUCTION TYPE -) A] VALUATIONS ZONE ,PA -I GRADINGCU.VDS.ACRE LICENSED CONTRACTOR DECLARATION Remarks: - ionine Appeased BY ., P I hereby affirm that 1 am Ilwmp under pr Widens of Charter 9 (cummuncing with Sli 70001 a Division 3 of the Business and Professlons Code, and ate ate my license is In full force and effect. PLUMBING - $ 3 License Class h 1-homw No. ' Date Signature Bar Sink Sewer Cap ' WORKERE',COMPENSATION DECLARATION Rickshaw PreVenler -$avrel Connection PLAN CHECK $ I hereby affirm that l have a certlllcatn of consent to self -hi or a certificate of Workers' Compensation Insurance, or a cartIflea copy thereof (Setllon Solar Lolla_ttars" PLUMBING $, 3000, USE. C.)Backilow'Irri9etion $ Policy No. CompanY Bathtubs Solar Piping ' ADer<Ined COPY IS hereby furnimed. ELECTRICAL $ Carload copy is flled with the city Building DNlsion. $ if. of CONSTRUCTION. LENDING AGENCY d o i f the worIts Construction k for whichthis permit is Issueagency t d So9J Civ. C., Lender's Name 'Lender's Address Fountains Interceptors - Kitchen Sink ' Lalatones REARYARD TO P/LIT P -Trap H MT51 DEYERD ,i Roof-0rains PROVIDED Showers Rainspamion Fee $IS Service Sink' - Issue FW . It 3 $15 MECHANICAL - 9 -�- ..-..-.I I R,fr rmmn SMoem' '$ 3 ionine Appeased BY ., Duct -Structural - ,I System Repair/Alteration Duct- Vensigninp .. - .... - ,PL owner - --..,..e . I ', , ». �. % „va.,,:yaya.���a.,,,.....a GarbNMDlsOosel ' that Phew read this aouptl n and rate that the shove REARYARD TO P/LIT ❑Dt1,000BTU 0100,00DBT - " - H MT51 DEYERD ,i I aura to comply with all city and co ty ordinances to building d hereby alltllariza repre- PROVIDED STREET WIDTHd -PARK FEE Transformer 01560 KW HoM or Type 1 ❑ Rein�ect100 FN $15 ilL constructlgn. a9ng city to ter upon the bnve-mentioned propel' for - 9 -�- Meter ❑uptollampe - CanopyT e II ❑ '$ 3 ionine Appeased BY ., ^'te - ate ate Registers Issue Fee $ 3 ns' ss g SUMMARY OF FEES BUILDING PERMIT $ 12/02 White- Y np: - an[{Pink- Accountingi Golan mrod - Assessor f $ 9726 8/11/83 PLNG.REFSF % TO BUILDING. GarbNMDlsOosel ' PROPERTY LINE REARYARD TO P/LIT LEFT SIDE YARD H MT51 DEYERD ,i PKG. SPACE REO. PROVIDED STREET WIDTHd -PARK FEE Unit Motors LJ0-1 HP L mC.Solar 119 15 HP 28e9C TL Swltcnos Trash Compactor GarbNMDlsOosel ' Generator 00.5 KW 0545 KW u Transformer 01560 KW 750+KW 0 Reinspection Fee $1E' Meter ❑uptollampe - IOUs Fes, '$ 3 ionine Appeased BY ., ^'te - Applicatian Appcayed ByV — ate ApplicKidn Htuad By 4 DDera SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $, ISSUANCE' $ PLAN CHECK $ 11 GRADING $' ELECTRICAL $ $ PLAN CHECK $ MICROFILM $ - -MECHANICAL $ TOTALFEE $ PLAN CHECK $ LESS ADVANCEDPC $ , FINAL FEE $'_ra i ' CONSTRUCTION AND PLANNING APPROVALS Permit # Date - Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utilitv-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrrid. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrararl- ' 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit - 66. Solar System -Final 16. Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ,18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT, REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 00il 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑ Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling )Structural)i & 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 Notes: 31: Plaster Brown Coat 32. Electrical Power Meter -Final 33. Final Electric 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 48. Special Requirements Completed, 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date App_mmnt to fill In all Barren exempt them within heavy border doer and Stan all a undulate declarations, . - • 1782 7/0 /E3 b - CITU Of COSTA MESA PER T N TRAL"T NO. LOT NO. , 8 - 1 - 7:00 - TL CONSTRUCTION PERMIT - L --S ApplinntS Meiling Ackhrow-11 1tC O O. LV tee, ryP� OF DON$TRUDTION NEW ADD ALTERATION REPAIR - 3505 Ca4illac, Bldg -L, Unit 5 ' - CONVERSION ODEMDLISH DOTHER e Pro16tAddrm Nimes -Peters & AssoG, 549-0644 DESC RIPrON OF WORK TPnAnt Tmnrovement in exiStins 'Owl Name Pnode BEGULA Andress -119 E Alton, Santa Ane, CA Ll C-8764 TAPE OF PERMIT G GRADINFOUNDATION STRUCTURAL A. P. In ZONE Arch/Eng- Himes-Peters & Assq{'¢en3e No. 0TENANT DELECTRICAL OPLUMBING 11MECHANICAL BUILDING - 119 E. Alton, Santa Ana. CA ®9TNER tlB gtldrOR Cormanorl Nam• Pii 710 & Pri210 Pbpne 549-'3007 PROJECT DESCRIPTION SAL FT. 14 on Ydg OCCUPANCY TO BUILDING TO BUILDING PAQPERTY LINE REwR YARD ITO P/L) - Andrew firth ingl 17711 Mitchell No. Irvine. CA CONSTRUCTION TYPP X18 eVALUATIONY 280.00 LEFTSIDE YARD RIGHTSIDE YARD Lienar No. 21582 (City of Costa Mesa) ZONE GRADINGCU.YDS. ACRES PKG.SPACERED. PROVIDED L LICENSED CONSRACTOR DECLARATION Remarks: _ STREET WIDTH PARK FEE AS 1 hareby affirm that 1 am licensed under provisions at charter 9 (commencing with section 7000) al Division ] Of the Business and Profession Cow. and SPECIAL CONOITION5: my dcense is in lull for S AMNm. 2 - Ucerw -��_uunse No. ^Ste PLUMBING slaneture Bar Sink Sever Cep ELECTRICAL >RKIRS'COMPINSATIONOECLAnAT10N C eroby affirm that l nen a cerlMln 6 of Cansenl to NJA mora [Ilion - BeckRow Presenter $Owu Cannmtion - AuNnwtk WmM1ar Won OWer IQDvmps of Workers! Compensation Insurance, or a Certified cap y -t reol (Smction Pole Bub Panel 3800, lab. C. F�C204989EV Safeco Ing. Backflow lRigaOon Solar CollectorsConstruction - -" ' Ilona Na. Company Girdling Unit Sub Pole ® Cernflod COPY IS hereby fuml5M10d. Bathtubs Solar Piping GrN9edI47onIS filed with ineuty Sul DlWslan '. pin'wnM1er Motors DO-1HP ❑1%8 Date 431 APpllnnt ' Clarifiers Satin Tank - E%EM"ION 'FROM WORKE RS' COM PENSATION DECLARA ION piahwshtt POO! wiSta Dryer OGes (]ElecPic Inc. D9-06 HP 016464 1Th!SMGian need nor be completed It ins permit is for on h dd d p300) os _Avimming ,III 1eS )' In the perrm„mace of the work for wmcn t pe n Is Isnwe 1 prinkin FOYdnln9 g Urinal Fan Microweys " WorkeN'. Compmwton slaws of CA BornN ar So'as [o b0 su0lect [o the Pale Light Fluor Drains Witter Onset _ Dale Signature FIOOI Sinks r - -Went Heater FiFAILres xtu Range NOTICE: If, after Making this declaration. you should became subject to the Workers' Compensation pmyl'Ion3 f the "hot COCA, you mut forthwith this - Device Boxes Comply with nKl1 PrOvalon Or Permit halt b0 dormed r bd. Gn5onote. Outlets Weter Service, 'Sign I CONSTRUCTION LENDING AGENCY Outlets I hereby auum that them is a: construction landing agency for the performance Interaction Staining 9$anrOOq 01 the work !or Ich this, permit Is Iuu d (Schon 3D97 Civ. C.)- - Switches "mhar'3 Name one Kitchen, Sink Trash Compactor !antler's Address '- - - lavatories ' - Garbage Disposal OWNER BUILDER DECLARATION I hereby off Ism that I am exampt tram the Contractor'. License Law for the - - Generator DD5 KW 05-15 KW - follawlnq reason (S<Ilon 7031.b Businessand %alesslonal Code'Any city or P -Trap, - mum, wtlll<n ryOuiros aoermN[o <OnG.0<Lauar lmaroW,mmollsn or C1 to lb Issuance, foraucopvrmll goof preina, - - e Transformer ❑16b0 KW any prior -also requirest{,o vpplkent fl Ipnee tea wand that hehhe B Ilcen3 d PuraAm m the prarlibns of ❑5U } KW q ,nipepllpn Fee $16 10001 of Co < ttoor's Linnm law ICnepter 9 (Commareply elth IS IS 1 3 f lite Business AndProfesions eel. gnat hesite IS exempt , COPronalonn fihbwen RBlapedrOn Fee Ef5 tram ono IIs buts far thea IS ad0xomptIOn. Any vlola�I an of Section Meter Dup tp 1BG amps law Fx '$ 3 ]a31.5 O Y ppllnnt l0 pe It blade Me apPllnnl t III - u se yin Slrik Ines Fiat *7 ' $ 3Saw 'peg wziZM new nalry arnaemora titan ora n e a a Iisom. Zoning Approved By sole �n1, 4 OwnOrwOf the LY ploYaas with 9n fn I ! P pro Y O tM1 t lure ¢ ted mThA C U O o oda I n III tla 1M1e BWork UM icer l (cedmn Toga, d cpa0 me contracwrs MECHANICAL Application Appmwd By Den _ten Lonlyto n own e. Prat p.ot ty.who hmim P. rmp.ay.: , nm taw does n of a pp to an mom, M1lmNll/harN f th ISIS her Bailer - C 1 ' Refrigeration System Application Ivued By emereoneasnd who Sucn work Or rOYyn Or own Ola pro video gnat 9Ich Improwmants aremof inlenaeo or offered for Duct - Und¢r�GfOand. Du-IDo,uuUbIU ❑i110,G06w1U; 1 / ire. IY rypwenq [ter OurNlnqq r Imprpvamen[ IB Sole wltnln oneyMO01 Com- - SUMMARY OF FEES station, the owner WIII naw the burden of Pmyl nq he/she did not ou lid or Im- 'BUILDING /O.fs-n 1 ave for tee purpose of mtel - Duct Structural systemRepe /Alta at PERMIT E $MIP $' I, i5 Owner Of ire proper[Y. em eadu5lvalY [Onbadin9 wltM1 IlCensatl inn r andare 0 construct the mo)ect ISctllonn 70aa,.9usinan dna Prafaminns cede. 1 Duct Ventilating - •' - _ PLAN CHECK' $ 1 b%� PERMIT TheConlrac[ar s Clarity IJw Ona t pplY to an owner of yroserb who p IId Impro s thereon, and who co atr4CIS 1 h p j 1 Wit a con t pursuant Exhaust System ❑ Multiple ❑ 'PLUMBING $ ISSUANCE' $ 1,1 tractor(s) license to the ContractorN Lim se ha j 'PLAN CHECK E GRADING S ' 7 O s axamPS unser aclmn B s P c r r lnH .melon FNpl/Fact Sit.CBO.0 ' Heating System &Dotting ELECTRICAL S MICROFILM S DateOw I r N\t I b u Uy !nal 'naw a- salt eppitcatl 'AMC tete that -Ihe ream DDfCO,DIlO.BTU 0100.0006 — PLAN CHECK E informaiIon correct. If agree t with an city and County ordinances 'MECHANICAL $ TOTAL FEF $ nrIs amply a tate Una building Construction, and hereby authon5a pr> to Hind or T fanye5 oi;tlns,,pdy' enter ,upon I ate �lonvd property for Cane TYPe II O' Roim e¢ nFee $ib PLAN CHECK - E LESS Inspection o 7-5-83' ADVANCED PC S Signature Date - _ DrimN'Linnm or g5$ ` Regdtero I¢w Fee E9 FI FINAL FEE 3{ CMF 086546 rev. 12182 While!I1tlln- Gimpy -AppllUnh Pink- ACCOunlingl Goldenrod- Asuuar CONSTRUCTION'AND-PLA M -11W POt SPA 731D.,te, i-TAPPROVAC§ Per�itAA Flilsp�ect or -LAPPROV AILS -Permit4w'' Date; .1-rispector: 7 Iry ElectricWl Service dr�P61' e 52.'Pool & Equipmerii, Location' ii 'Soil Pipe-Undrgrnd_' " k I - 4 Ste M i3., 61 Reinforcement �j Electrical Conduit Utility-Undrgrnd., -54:, Forms, 4' Electrical Conduit r l:P uit-Uhd n rg 552: iiliactricadlic;nd'ing Steel Reinforcement M , 6., Rough Plurribit ng-& Pressure Test 6: 'Elictrlical LIFER Grnld.: .57 APPROVAL TO COVER-GoNITE 7. Footingsr, 1. a 58. Electrical Conduit-Undramel.. 8. Foundation 0 •'59. 65s Pipe,'0-Unidrgrnd., Test 9. tel Pi pe-Uridrgrnd '%b. Backwash Lines, P-TralS,0 Undr . g . rnd. 10. Structural Floor SYsteT Ic n r 61. APPROW11Y6 DECK 11. Oroperty�.Sevver Line'& - House Connection cl62. Backw,ash,:&, Receptor -Final 12. Sewer Ca pur 63. He'aier &*nt-Final 13. k8of Drains .64. RIurnbingF.SVstem - Final 14. Rough 6umbin'g 65. Elelctriral'FinaC 15'=Rough Electrical:ConduitT� ;.-T -it 66. -So -i -a -r Sys-tETm_-Fina I J , ,j6.'!R6ugh.EIec icWiring-) I Er 67_`Fe616 ng FAccessAppr6val j .- . 17.,R6ugh Wiring Si gn 68. APPROVED FOR PLASTERING : 18. Rough Eldetrical7,T.bar-Ceiling, ;i - Ij TEMSFINAL §9.,POOL POOL'/SPA 1 1 z I 19. I`Gugh,Heafmg & ArboAcfitionin6 l; I FIRE DEPT. REQUIREMENT . APPhOVALS Permit,Y# -, 20. RoughFactory F(riillace 21. P-u'cts,'t in stiucturey I 76.j Underground Hydro �22. 'Ducts, Ventilating o 71.1 product Piping 0 Gas tOil 23. Gas Pipe -Rough &Test 72.- Undergro , und Flush - 24. Rob� Framing 7.3.: Underlgrnd. Storage Tank' El Gas Oil .0 25. Roof Sheathing t 74J Overhead Hydro deilin' (Struciural Mono'coa't ;F� 7 5 Dry Chemical ;26. T:Ba'r 27. Frarrie and Flashing 76.! Dry Standpipe 28. Lathlng 8i'Sidjng, T 771 FIXED SYSTEVFIN AL 178.: FI'REPREV. FINAL _29:)Insulatiori P -30 -!Drywall Nailing 1,N,tes:l o 11-il'. haste:r Brown Coat frx� 32. E!eqrical Power Meter -Final i 33. Final Electric .- __ - --- - - - ) , •J_ 34. Final Heating tin�g & j�ir, Conditioning35. Final Ga '1P1pe;`Y_', I ro I % .2 q c ,est 36. Hood or Cano'-"I PY L I'- 37. Final ltailtoryl FiheplaZelr_ 38. Final Plumbing i zj 39. Water SerService-Final ,vice- ina 40. Gas Service -Final 41. Solar bo'M"estic-Final J_ 42. Backf l6w'Prevelitiar 1.4 e 1 'iga on 43. Backf lbw Irr I 4 11, ._ , , C - , ' A , 1 44. Landscape I r rig�tib �System 1 45. Sound Qltenu'dtion 46. Handi6p' Reguiatio' n 47. FINAL STRUCTURE & BUILDING - ' ents itbnlplked 48. Special Requirern 49. Electric Oieleaseto Edison j 1e I4-' California50. Gas Ralea"se to Southern Gas 51. CERTIFICATtE OF,OCCUPANCY f No II it t Date I 7,7777�- Applicant CITY OF COSTA MESA _ - - • 'CONSTRUCT.ION PERMIT - - f- to all In all so aces eeaal ase within heavy border Iron and sign du appropriate declarations. - '_ k I_ .3§35T::3.5C, T! - - - PERMIT NO. '- =S'2? 3 TRACT NO. LOT - - B 'L' Appllum's Waling Address E / -• PojN4Addr¢a kas�i�S C/F%O ILLAC_,Lz�_.p�s/' -pWn9ra Name _(f/iY/FS P6r ;P PM1One a"1. ^sl _� , t/9 E. ALToat) 'S1A.v.—A Q Address TYPE OF CONSTRUCTION'- ,NEW ADD ALTERATION REPAIR 1:1 CONVERSION 1:1 DEMOLISH ❑OTHEP- OESCRIFTIONOFWORK TENfII1Jl //JyP�pUF/f1IT . -... - ' _ I G' GU I ONS , TYPE OF PEflMIT .GRADING= FOVNDATION STRUCTURAL TENANT 54 ELECTRICAL D. PLUMBING ❑,MECHANICAL' ❑ OTHER - - _ x PROJECT DESCRIPTION' 30: FT. - • ' OCCUPANCY A.P.# - ZONE - Antibes- �/42 des PG%EdCS License NO. PLNG. gEF.M �', 'BUILDING..• j AtldrBss 9,4 ma- '. '. ' _Ry TO BUILDING gEAq Vgg01TO P/L) PROPERTY ,p, E .16 / 45 P - <''%S•GGo CVpt utprs Ne PM1one- AtldOn(Titingl -IS/nO 6- ET®% CONSTRUCTION AND PLANNING ' APPROVALS Permit# F79,�-73 Date Inspector POt SPA APPROVALS Permit 46 Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utilitv-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement j 56. Rough Plumbing & Pressure Test 6: Electrical UFER Grnd.' 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrarnd. B. Foundation 59. Gas Pipe, O Undrgrrid., Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System .. 61. APPROVAL TO DECK 11. Property Sewer Line & HouseConnection62. 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:TBar, Ceiling 69. POOL/SPA SYSTEMS FINAL 19! Rough Heating. & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace ` 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 00il 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)i& 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 Notes: 31. Plaster Brown Coat 32. Electrical Power Meter-Final 33r-Final.Electric `- 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 ' 48. Special Requirements Completed 49. Electric Release to Edison - - 50. as Release to Southern California Gas Cc 51. CERTIFICATE OF OCCUPANCY No Date APpllont t0 fill In all maeN exwN thou within hayed person lean and sign an appropriate aaclaratlena CMF 0865-46 My. IV84- White -Building; C[nVy. AnDucen4 Pink- Accounting; Goldenrod -Assessor CITU QF COSTA MESA, ER T,NO. TRA LT NO. LOTNO. BL I ' CONSTRUCTION PERMIT. - .D ,'JO { Applicant's Meiling Address TYF OFCONSTRUCTION NEW ADD ALTERATION- REPAIR C - ^4o-43 S��s(8.� pfplKy ADD eer -3.Fj O,tj CLIOGiL AC .L_S"- LJ CONVERSION:O DEMOLISH OTHER -� I'Ibe2:' TL O;vner s Name .%//fit S OETE.QS phone -5 DESCRIPTION OF WORK ' -' TFA)A.JY /M ' ZDAI1 REGULATIONS !NG gddI055 /9 AF A-Li'bikl - SANTM A.t//J ' - F�/MC� �GT2F.S TYPE OF PERMIT 'GRAOINO FOUNDATION .STBUCT,URAL A. PI•f ZONE Aicl/Eng. Lceinp No.. ❑ TENANT 0 ELECTRICAL O PLUMBI HO, O MECHANICAL _ r BUILDING �/% ' 1_ ' OIOTHER Il ' PLNG. REF, W AtltlfOf - Cbntncb• N .G -- ELt CTiB/C m.....e ri T-9eL0 PRWER DEMRIPTION. SO FT-- OCCUPANCY TO BUILDING -REAR YARD LTO P/L) _ M ' s Andrew;lmtilmplr/5GE1 L•�b/I✓C,sU-e .%A -I CONSTRUCTION TYPEVALUATION$ LEFTSIDE YARD RICHT 510E VgRO (� /J� LicenM NO, 1 ION£ - aRACING CU. YDS. ,ACRVe PKG. SPACE, REO. PROVIDED - LICENSEDCONTRACTORDECLARATION R kf: ,e L. STREETWIDTH, PARK FEE Is Ip4eby affirm that 1 am IICenMd under provl[lontof'Charter.9 (wmmBnCing - I wIID section ]000) f OIVI51on 3 of the Business and P•oNSlons CODs, and - ' SPECIAL CONDITIONS: ; mY Licenseis In full DplLct ` _7A Leaned Cls a 'a; PLUMBING , •hate d3-2 _' • Ban Sink r SBXIf Lip ELECTRICAL ORKERS' COMPENSATION DECLARATIONI _ unruly.affbm that l naw a[eNlllateof Consent to Ylfrnsuieor a urtlflute. ._. B_YkNew'PreienM"1 -t'- -' Sewer Connection ----- - -� s -� Automatic Washe[[_, o/ WOrkaA' Compensation Insurance„ or a artload COPY thereof (Section 3g00. Lab. [ B kit wlrtlgatlan ' - - So4r Colleeton Construction Pa10 Sub Panel Policed ]O/27d/I Company F/'eFIY/A/II? fY/at%Di 1 ❑D Cvtifletl pedI nme0v furnished. 1 - -Batht bs I - Sola Piping Cooking Unit Sub Pole' 1 drtllletl Wpy lg,pya with to Ity Iv 1 - - I Tank Dishwasher 1 ' 'Motors 001 HP❑1%-B 9 L—D.5 Appll t-:, CI fere Sole _IDN EXEMPtIONIF ROM WORKERSCOMPENSATTN DE QLARATION Dishwasher POI W/$ - Pa Dryers (2GIC; OE" tric c.$Olar ]g-15 HP-01L P 01616+ T,s Nctho O t O pl lee If the IU H If fere hundred ({1001 or rGUSSwimming 1 tHy that In IM gaarriY a OI ileo work for Wnlcn mb Perm t 1 'Issued, pi nkn Founuma - - g j Urinal Fan Microwave u not molov a y anon in v ms n as to become mbPo to the Shall CgmwnsailOn Gnbrnia.e1 1 ` - - - 4 F.A.U. P018 Light w kers Laws of Floor Chains I Water Qmet. Dote e s declaration, NOTICE, ecl you to IM1a- this eons Flea Sinks - Water Heeler - - Fixtures Range Cooper on Provisions of the r COUG, YOU ustfo OIis LAbOr Cade, eou must forthwith Comply wlC Such or comply" With pr permit shall b Oamatl NW. ENDIN s' Ga Servrca Outlet - water Servile Device Boxes Elgn ON. NC CONSTRUCTION, LENDING AGENCY .a Outlets IM1emby lending 1309performanceInterceptors ;Standing $!¢Hone (]�� work for selBli ttaleSlm[tlt (Section of IM1B work /Or which this armlt IS Issued (6e[IIOn 309] Fly. C.) Lender Y! Name - Kitchen Sink ' - switch"Trash ` //Is O Address OWNER t OWNER - - IHJTWiM .: _ ' Garbage P meal affImtaDECLARATIONmexem 1 hereby affirm that 1 am exempt rrom the Comractor'!i unease caw for MO- follawlnW Lesion ]031.5 Business dna MOfBsslOOil Cheat Any P Tm - - Generator 00-5 KW 0615 KW (L[tlan [Ire oorr unty M1lcn requiresapermll t0 consirud alter Improve, aemo111M1 sir repair I . y t euro; pilar to Its Issuane ,also raqulres fila aopllcan4Or foto pel rm goof Claim. _ Transformer X15.50KW nl Ignee• taeemem ma /ane It II[eniee Pursmm to ter. Prose:mm of _ O51H' KN'1 1 y nCM1apter 9lcommenclnoe with Sattlen ]000) el 11 tl9 t ;gainspPaid F $16' . 1 mule a Proysslons Coaq ma[ lee/ana.ls exempt Remspection FOG E16 vom e d in e H fo )IN elpgea examDHon.-Mv vloNtlon OI SacROn �03I5 '"dead MCMr Oup to 100'empi :IOUY res$ $ ' hY'a y sip Ilunt IWr a IG iublacts IM1a vppllant to civil then ednars Service Sink - I=QFN IS 3 �enelty of ndi mors nus nuncios (as00L : },doing Approved By 'gab "IJ oar f IM1B prosily omy emplOyas w11M1 wages as tnalr sole MECHANICAL 0 lien wln'tlO me wdik, en'd. tnestrutturo B not mtnnaea or ofmind f prohMloual. IApplication APpovtl By nMi I ISec{Ion ]006 Business d Code: TnB COnInttOM1 u Law aWx.not apP1Y to an owner el a prosily wnO hulltls or Imoapr Boiler Refrigeration System �S z tehnereonNmO no Dow tach worse nlmsell/naralf o INougqn nos or own Application ssu d BY Dale pm , prwlaa that spcM1 improvements are'not Imenea orteraD for ` Duct c' Under Ground 00100,gOD BTU ❑100.0gpBN le. lY ryowgwq the bWlemg or lmpmvemeRo is fpm wnnln oletlon, dna yeadof Com- . SUMMARY OF FEES! tnB Owner will naw the burOan of q ving ryeNne tlID not eullO or Ica- 1 prow torts purpose oe Alp'. I Duct Structural System nB y pair/Altrration BUILDING PERMIT $ SMIP $ LJ I, l5 Owner a/ in0 prop0rty, am axeluslwly Cantra[Iing with Ilansa con- traC[Onto.mmnuce lneproject wstnn 4,euslnessane.Prot¢rosiuns Coa0: o — '_Dust -Ventilating 1 PLAN CHECK' $ • PERMIT ' The ConbadoYs canons. Uw t applr t0 an owner of y oerty wn0 'PLUMBING ISSUANCE S ' Who Can buleai Imprmes thereon, and no Commas far s n p•ofa[ts with a law). con Exhaust System ❑ Multiple O; g t ace Is) Mona pursuant to the liana .. GRADING 1i ram opt O Seal - e6p C. /or SnHruion FNpIIFxLBIt.ILBO•F ,PIAN CHECK $ 1 f- Date o leer - r - - Heating System @ ing ' ,ELECTRICAL Ii E m t-1 n s Coe tMs applrutle� lee tate teal me above 1 babI his i 00100,000 BTU 0100000 - -.,1 PLAN CHECK i $ 3 5• MICROFILM $ c 1 i tl I L I a9reB t0 cownsY wlm an lied dna aunty or0lnenas MECHANICAL S• 1 TOTAL. FEE $' a, t t to lat�ng Io bullOlnp truttlon; dna nareby auto Ize Prr Hood or T Ypa D: must,pal -n o t q 1 Y. I star upon Cleo ebowmsnllOnaa p arty for era I Gap ❑ RHMOea on Fa: E16 PIAN CHECK $ : LESS I 3' .T a II AUVANCEDPC E signal . r D iwrs Lica org[ Regrsten Idme Fes $3 _ I FINAL FEE 4 E 'Q•Z� CMF 0865-46 My. IV84- White -Building; C[nVy. AnDucen4 Pink- Accounting; Goldenrod -Assessor 0NSTRUCTIONIANO PLANNING, : -' .- -• ' _ •POS . SPA 2' i C3 - . tDate a s'_ APPROVALS m Permit:# _ _ ,'. Inspector; - �- ;' - - APP.ROVALS>Permit# Date' Inspector. - ..> ,, - • ti. Temporary Electrical Service or Polev- -Q7' Pool &'Equipment Location - - .0 2! 'Soil Pipe-Uridigrrid.. r 537? Steel Reinforcement _ -, 3. Electrical Conduit UtilitvdUndrgrnrI '54. Forms' - - "1 4-. Electrical Conduit-Undrgrnd. - i, t d /Sry ;� 55. Electrical Bonding - ;M 5: Steel Reinforcement',,�.,_� _''"� - - 56. Rough Plumbing & Pressure Test 6: Electrical LIFER Grnd: 57: APPROVAL TO COVER-GUNITE - 7. Footings �..• =" ^ .58. ,Electrical Conduit•Undror.d. 8. Foundation' r. A � - " � _ � . 59. Gas Pipe, 0 Undrgrnd., Test � ! - 9. Water Pipe-Undrgrnd.,' 60. Backwash Lines, P-Trap, ❑ Undrgrnd., . 10. Structural Floor System.,` - 61. APPROVALTO�DECK - 11. Property Sewer Line & House Connection - 62.Backwasti & Receptor-Final ' " 12. Sewer.Cap' .� y'J-63. - Heater &"Vent-Final 13. ,Roof Drains • 64. Plumbing System •Final -: - 14. Rough Plumbing', 65. Electrical-Final _ 7F15:',Rough"Electrical-Conduit i--"- ' `66. 'Solar System-Final"' '.i6.':Rough_Elec[ric Wiring -67. _Fencing & Access Approval - - i'17.'Rough^Wiring�Sign'" APPROVED FOR PLASTERING _ X68. 18. R' h_EldctricahT;Bai, Ceiling ' ' - I ] "" 1 - 69.E POOL/SPA SYSTEMS:FINAL I' - 19. Rough Heating'&!Air Conditioning !� ! - ' ' j FIRE DEPT.REOUIREMENT' APPROVALS Permit +k - 20. Rough Factory Fireplace - I t 1; 21. ]Ducts, in Structure` i t •i ! i 70. Underground Hydro 1 22. ,Ducts, Ventilating'_ I r '{ 1 I 71.; Product Piping 13 Gas ❑ Oil ' •-23. Gas Pipe-Rough & Test ' j� ,I ' I 72. Uridergrouna Flush' ' '-24. Roof Framing, , T , I i • + I _ - 73.' Undergrnd. Storage Tank El Gas ❑ Oil' 25. 'Roof Sheathing '. 74. Overhead Hydro - -26. T-Bar Ceiling (Structural). & Monocoat ' - 1 75: Dry Chemical - t 4.27. Frame and Flashing I t 76.- Dry Standpipe ,] 28. Lathing & Siding 177.. FIXED SYSTEM FINAL - - J.29. Insu ation , 78. FIRE PREY. FINAL- - v'30: Drywall Nailing I Notes: '31.'Plaster,Brown Coat _ r ,_ _ -• _ r 32. Electrical Power Meter-Final 33. Final Electric j •_ ' 34. Final Meating &Air, Conditioning I '• .; ' y , 35. Final Gas Pipe-Test = I .'! ] - -• _ p"'' 36. Hood or Canoy I' j a h 37. Final Factory Fireplace'- 38. Final Plumbing , 39. Water Service-Final+ 40. Gas Service-Final r 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Origation 1i 44. Landscape Irrigation'System- 45. Sound Attenuation ' I„ 1 I 46. Handicap Regulations 47. FINAL STRUCTURE&BUJ LDING 48. Special Requirements Completed i ' • ' - 49. Electric Release to Edison , _ +" - _� . _ _r. _ .) i 50. Gas Release to Southern California Gas Co + ( - , 51. CERTIFICATE OFIOCCUPANCY _ No i Date Apo III to 110 In all _ «PI t_npx wltnl Mavy bO�do n -_es in Ypn all approorlaupenaratlens. CITU OF COSTA MESA( 1 —$ -- - - PERMIT - 'TRACT NO. LOTN BL ' ! 'CON5YRU&10N PERMIT - - C7. - ` r T - _ ^ i • ''37n5.2Ee9J r _• JTV App,ICBIG•s Mailing Rtklrrss' G" b A - MgOFCON$TRUCTION' NEW ADD- ALTERATION REPAIR- Ia' Project Address 3S C - la 16L:0 1 >5 CONVERSION '❑ DEMOLISH Q OTHER -6 banne'r's Name PIiFNJBf4i_ 111 91 atrs 6i"phOrypa5l aril - `DESCRIP'TION OF WORK_�'VT�N-1 A 1 Ir� 6YT5 ZONING REGULATIONSI P.ddreal ''111 E' ����_� SNe.IRA 'Au(11 Qi1e� -' Arch/Ei$ a �TQU-e'- Llcentt NO. 04Y.'C TYPE'OF PERMIT GRgOMO ❑TENANT ®ELECTRICAL FOUNDATION' STRUCTURAL. Q'. A P. sY. -ZONE' pE A_Icll - _DIOTHEa ° _riiP t PLUMBING MECHANICAL A.K {(i 6C.E^T PLNG-REF.vh Crgr LDING 1 .TO BUILDING' ` 1 p�,�q,v,,�a� Cq tmem'r,'s Na "hone%IS�eU PRg1ECTDESCRIPTIONI SG.FT. Grt89 PCCUPANCygti P PE v 1 REAR YARD1TO P/LI r e-4 Address lr}a lingloil f - "CONSTRUCTION TYPE QaJ 1 VALUATION $- •. LEFT SIDE Yggp RIGHT 510E YARD ' 1, ' Lrcerise No. - Qi�II{• I 1 ZONE HAT GRADI NG CU. YD& ACRES PKG.SPACEiAEO. PROVIDED LICENSE O CONTRACTOR DECLARATION in gemarkn STREET WIDTH <'PARKFEE,Is >r I hared affirm [M1at I am licensed antler prw01 f Charter 9 (commencing r I - with iMlon 70001 Of Division 3 Of the Businessd Pr f selorts Code, and _ SPECIAL CONDITIONS: 1 L -y postage is In lull force and 11DL u siva ' License No. PLUMBING 1 Date ' S19nalura 1 I Bar Sink Seven Cap ELECTRICAL 1RKER5' COMPENSATION DECLARATION TION I j er0oyarnrm.matlnarea OLconssntt IN tiara rtlllute Ba&flow Prevanter'--'- •- J; -Slower 'Con ecNon'-- t- - - Automatic Washer' - rMehr- er_l 00 amps ' u1 WarkeN Compensation insurance, a a o [flerlwpy thereof (Section insurance I - ', Construction Pale (Sub Panel:W j- 3000, tib. C.) I 1 a ( B kllow lrrigatl0n Sol C..- j . Polley NO. ' Company - w nanny furhisned. 1 Bathtubs - Sol r piping I -' I Cooking Unit Sub pole I r eCOMMcl Certllletl copy Is flat wlln theItYBuilding Division. Gate AOPII t Clalltlple I_ : solar Tank ' j - 'F Dish.miher 1 Motors "B -i HP Ol%-B r EXEMPTION Silo WORNE RS COMPENSATION OECEARATION __. -/'—� DlShwatlle! �, i _ s Swimming PO01 w/spa- - Dryers nG ❑Elects O c 1 Ind 5018 1 915 HP ❑1615+ ' (Tm c0omedical be Prot d H the permit I( hundred GDOO) 1 r II )OfY [n [ 1 thep mm 1 the Ik for ' Which this permit 1 Isles I i Drinking Founts a U al i I I Fan • , M mw e shall- h employ an Person I a y ma s0 s ! become eubleet to the s W ker9'C,fdPaOsdtic0Ildwf of Caure Fiber DIOinsj - t P'A'U. l li Ple Light I I I I I 1 NOCraITICE: Ir,altermaking-this declaration.lyoushould'b subject tome!' Wat¢r Closet: Fixtures .-1�-.,F _ _ Ranga� Floor5nks-•-; 1--1-- Water Heete6' -- — • 1 - I Workers i Compensation p aNslOCS Of thLabor Code, y must f tM1 Im ply Its h p lorni or this; permit shall be 'postal ked, ' Gas SeN 1 th16I - Wrter $ery 2 t v s Cannes Boxes 1 I 'sign I I 1 a% LO 1 CONSTRUCTION LENDING AGENCY( �G O tlets 1 ' 1 l 1 hereby affirmthat to a N,e Onrt tl lending -M1lch agency r the f r Y I I h RP[O s Cl _ r .J I I j Stentlin9s tions of [M1e k 1 IM1If pe 11 Issued (Ee tl a :,-909] CI C,- I lender sl Na I t ' I , ( Kltcnenl5nk� � I. , Swr4ha' C ' Trash Campacsbr 1 I unUer'ai Add ass " -� - = T 1 - l r Gerliaga OiWoal 1 -1 1 1 _ OWNER�BUILOER DECLARATION ( 1 Le t, f_ O I _ I r _ I r I nariby alll m that I a a pt 1 thenC t t Y'Llp La f theG following -De 5 Business a P ! 1 p T aP, t a tOr �0-5 KW �b-15 KIN I r 1 reason 11 1031 C tl Any city county men rop 1 Put to ort Ct all I P demolish a repair1 - r structure, ptlo to Its Iss 1 0 1 th pp11 I for such It ,Transformer O15b0 KW 'L1 Roof o I 1 1 I,x file signedstatementth [[n/h 1 licensed pursuant t tM1.p vii s r E I 1' ❑50 r•. KWr( 1 'ReinWemlan Fw - C t 1 u Law;(Ch t 9 ( mmen Ing wIN Se tl 20001 of - 1 3" f and'Glandslides,Code) th t. n w Sha RB spell $15 r $15 ,QA to Business n pt 95 f a o m D for M1 IIBp d exemption MY- 1 �I - f Sl Ilon 1 wars (Fee - 'Met r O'uv to too in Issue Fx $ 3 ]031 5 D '- y PPN t forp It - tel t lh ppllt ! t civil ItY f R to fl n a a a R 1®5001 - I' t I S S k, .- I_ - e fee rt i$ Zoning Approved BY 'Osie r_ 1 1 th 'p party Y PI Y tM1 9 z oh Gtr sol¢ 1 p -[l0 Ilia iM1 a Pts t t 'I of t eb 11ereO s -, MECHANICAL' I l 1- APPIIMIon App BY i- I 1 r 1 qSe b t0aa e I tlrpo r 1 1 Cos Tn Cooninctor's wd eb V en e t IstoOwnerI a props ty wn Dna mpreves - Soil Refrigeration System I' ftplimtion bawd BY '!TV ` now to O n e n work himself/nasal] o m gh n' oar her own l ype, Pro that sUzn Im Pratte an ar [ I t 0ea ff¢rea for am PLO _ �GiDD,CGa BTU OtOD,000 BTU rare If however, ma IS to or ImprareMerit I la wnnin one of mm D ct Under Ground 1 . ! j n9 year tha nave Me burtleli of nO/sn tll0 build or Im - • 1 SUMMARY OF FEES pletton, owner web provl 9 not for the pavans al alai. i • Duct Structural - 1 Syrtem Repe r/AlteranO^ (BUILDING PERMIT. $. � I SMIP ;' $ r as OWnOI Of thepropeftY. am eadusllRly t tl g IIM1'llcensea con t to construct me pralear ISecIon 20aa,.e 1 d P dons toes• - h Co Irectbr'z u[enze Law tlass notwho noapply t f fi Duct Ventdating__ _„_. - PLAN CHECK $r ' `PERMIT I ' µparty our to Improves thereon, end who on tracts I n p ole Rn m t t nesse u to f + E ha st Syshm ❑ Multiple ❑ - ", PLUMBING t $ ISSUANCE $ ' O Pursuant to the Cont rector's 1 1 '' :GRADING $ I I. amPlunder d Sell B Ap c i rtn -- l F epi/Fact Bit C608 t; t PLAN CHECK( $. I Date 1 . I 1 O ' I 1 wner zqwv"Heating SYshm & Dueling ''ELECTRICAL' $�I 1 $ MICROF,ILM.; $ 1- 1 1 1 n n e Nly tht h e thiYapplication-and' tet en t tli p i DO1000BOrBTU 0101;000 s—' - -" PLAN CHECK 1 $'. _ 1 1 tl I ct I' greet pl Its all uY a CountyOrdinancesI Internee tate le t epro [ building consi Non, and hereby autho - repro- - I MECHANICAL $. TOTAL FEE' I. $ ! g eanlIUVIS or Imis 'City to Wierp the above-menllonad property mr ' I I . Hod or T ype I- ❑/' Cmo r T 11 ❑1 I I'Re pealpnl Fee - $15 PLAN'CHECK' $ 1 I- LESS r I Inspection purpasps. 1 I i g'$$%. ADVANCEOPC sgnature • ala r onJers' r Registers 1 l I I I ua Fee ' $ 3 1 j ( I r I$ I $ Ltcense'or 55 S 1 FINAL FEE ,CMF pg6s46 rar.l2/d2 WM1ileash Plnk-Accauntlnp:OolaevM-gssessor - - CONSTRUCTION AND PLANNING . APP.ROVALS � Permit # � Date Inspector PO( SPA � APPROVALS - Permit # Date . Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Und.rgrrid. 53. Steel Reinforcement ,3. Elect ficel.Conauil_Util itv-Undrgrnd. 54. Forms 4. EIeCt'rical Coniluil-Undrgrnd. 55. Electrical Bonding 5. Steel, Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd: - 57. APPROVAL TO COVER-GUNITE t 7. Footing$ 58. Electrical Conduit-Undrorod. '+ 8. Foundalion 59. Gas Pipe, 0 Undrgrnd., Test 9. Water P pe'Undr�nd. - _ 60. Backwash Lines, P -Trap, 0 Undrgrnd. f 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer �I ine & House Connection 62.- Backwash &Receptor -Final - 12. Sewer6IS': _ 63. Heater & Vent -Final _ 13. Roof Drains:` - 64. Plumbing System - Final 14. Rough Plumbing r 65. Electrical -Final 15. Rough'Electrical-Conduit - 66. Solar System -Final ,161 Rough Electric Wiring + � - 67. Fencing 9 & Access Approval - 1,7..;Rough Wiping Sign` ; 68. APPROVED FOR PLASTERING 6, Rough Electrical -T Bar Ceiling' 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test - 72. Underground Flush .. 24. Roof Framing^ 73. Undergrnd. Storage Tank 0Gas 0Oil 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 ` 30.1'Drywa(I Nailing Notes: 31t)PlastWBrown Coat' ' 32. Electrical Power Meter -Final 33. Final Electric 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 -r 42. Backflow Preventer .r 43. Backflow Irrigation j 44. Landscape Irrigation System { 45. Sound Attenuation •, - - - 46. Handicap -Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed i 49. Electric Release to Edison' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF•OCCUPANCY No Date _ �� 3505 Cadillac Avenue [gym K CITY OF COSTA MESA _ BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER •��d; PERMIT B98-01685 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3505 CADILLAC AV Status: ISSUED Suite: M Applied: 09/21/1998 Vicinity: REAR OF THE BUILDING Issued: 05/27/1999 Parcel Nunmber: 13966206 Zoning: ISSUED BY:T_ Applicant: BARNETTE, MIKEL Address: Phone:- _ - /�_ Zi Owner: CADILLAC FAIRVIEW INVESTORS LTD. Address 1301'DOVE - - -� i //SUITE 920. -� �� - - Phone: j ,r NEWPORT BEACH CA - Zip: 92660 i Contractor \CODY/CONSTRUCTION \��.��` //' \\\• /Addres/s;: 842 MAGELLAN�ST �i�%� Phoned -(714)662-2639 COSTAMESA, CA 'f N�Zip� 92626 License. ; 753298 Arch : ' PULASKI ARITA OLSSON , Eng:': .Address; - 3620 BIRCH ST Address:. NEWPORT BEACH, CA Phone: " - ''- 222-1200 - - ', Phone :� 4250 ',r .t � Zip 92628"' \-Z-`License Zip: `_ License: . SCOPE OF.PERMIT . T. 1. INSTALL AN OVERHEAD DOOR IN AN EXIST. IND. SUITE: �. 3 PKG SPACES WILL BE LOST TO PROVIDE ( ACCESS TO THE OVERHEAD DOOR.,HOWEVER 667 SPACES WOULD REMAIN; 592 SPACES RED. --� 3 TREESt' ST TO PROVIDE ACCESS REQ. TO BE PROVIDED ELSEWHERE (MIN 24" BOX IN SIZE). "HOLD FOR SPECIAL REQUIREMENTS - FROM PLANNING. FEE SUMMARY P.Ian,Check: $121.71 Calc Valuation E1,2,000.00 \`Permit $187:25 Claim Valuation. 812,000.00 SMIPRes $000�� �, SMIP,Com v�`� ,- 4', �,Z. r� $252�.A Other: $0'00��� Inspection � $0-00" Total: X $311.48- % PLANNING 8 ZONING i SETBACKS MAIN STRUCTURE Front 0-0 Rear 0=0- - .- ,Left 0=0" Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 q PARKING Existing: 670 Required: 592 Proposed: 667 -y'D� NOTES: IV l J or', 10 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 DECLARATIONS I^VORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: - 4 ❑ 1 have and will maintain a certificate of consent to self -Insure fors 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 worklers' mens n InsurgRce carrier and policy number are: —c(7 ' (/ Caner. �rF ✓N C Policy Number: I \ `(7 �J / (This sear need not be completed if the permit is valued at one hundred dollars ($100) or 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 became subject to the workers' compensation laws of Celifoml , d a ee hat If I should b me subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these o 'sl ns /�/R�� ,� ,/,' '7 Applicant Signature: / �%,yy'1' Date: �,2 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (SI 00,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu i Less and Professions Code, and my license is in full force and effect. Lic. p 7 Class N Contractors Signature: �444ydai JZIIV Date: 1;, _2&, —S.' CONSTRUCTION LENDING AGENCY: ❑ 1 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 DIvlslon 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. It, 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 drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Cwnershlp by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 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 Tile and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ 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? ❑ Yes ❑ 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 Cade 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 an RMPP Is presently required, has Section 25534 of the California Health and Safety Code been Cully complied with? ❑Yes ❑ No 5 Does or will the applicant or present or future building Occupant require for the work which is the subject of this application aaPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? UYes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residentlal building permits). 6 WIII any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ 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? ❑ Yes ❑ No 8 (I1 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 slate 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. n Date And/Or Authorized Applicant Date CODE 4. INSPECTION TYPE j».' INTMALS COL ( INSPECTIONTYPE 120 INMA 1616 Fixed System Final Fire Prevention 206 - Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final BlocklRetalning Well 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 2"6,16 CITY OF COSTA MESA ' BUILDING DMSION DEVELOPMENT SERVICES DEPARTMENT v PERMIT PERMIT NUMBER B98-01500 (714) 754-5273 • Fax (714) 754-4656 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3505 CADILLAC AV Status: ISSUED Suite: M101 Applied: 08/19/1998 Vicinity: BLDG'M' Issued: 08/19/1998 Parcel Nunmber: 13966204 Zoning: Applicant: SANDOVAL, CHARLES Address: Phone: 714-528-3073 NOTES 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) 7546626 Zip: Owner: CADILLAC,FAIRVIEW INVESTORS LTD _\ Address 1301 DOVE SUITE -920 � \"--" Phone -� - NEWPORT BEACH CA - - Zip: 92660 Contractor:: EVANS.ROOF 114610 MPANY INC A �- Address: 01101 E CHESTNUT �,��. V� - � Phone: SANTA ANA CA Zip::. 92701 License Arch/ Eng : :610549 :; i- �� - • • ' \', Address: ,-Phone:,_ - - Zip' License: SCOPE OF PERMIT ` -TIO EXIST AND INST ROSEN PLY CAPSHEETr; FEE SUMMARY Plan Check: -$0.00 _'�, `,, - �..�/;;. -Calc Valuation: $24,000.00 Permit: ,._ $337.25 , Claim Valuation: , • $24,000.00 SMIP Res: $0.00 1/ SMIP Com: $5.04 Other: $0.00 Inspection; $0.00 - Total: $342.29 PLANNING B ZONING; SETBACKS - � MAIN STRUCTURE Front 0-0 `- Rear ' 0- 0 � Left 0-0 Right � 0- 0 � ACCESSORY Fronk � 0-0 - - Rear 0-0 , Left 0.0 Right 0-0 - PARKING Existing: 0 Required: 0 Proposed: 0 „ NOTES 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) 7546626 L_ M WORKERS' COMPENSATION DECLARATION: I hereby all firm under penalty of perjury one of the following declarations: ❑ 1 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 w 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' tpenssfj on Insurance carrier and policy number are: Carrier. •'1` Policy Number. (This section need not be completed It the permit Is valued atone hundred dollars (S 100) or less.) ❑ I certify that i40s raeOn he work for ich is permit is Issued, I shall not em loy any person In any manner so as to become subject to the workers' compensationmla, agree that if shou ecome subj t to me workers' pensatlon provisions of Section 3700 of me Labor Code, I shall forthwith th /plicant Sign e:,Z) Date: _ ( AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTOR DECLARATION: I hereby affirm that I nitns under pr ion of Chapter 9 m icing with Section 7000) of DM on 3 of the Business a Professions Code, and my license is In full force It Nect. Lic, 6 Class 4 ontractor'sS atu Date: CONSTRUCTION LENDING AGENCY: ❑ 1 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: Lender's Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby aHirn 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 dry 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 mora than five hundred dollars (5500).): ❑ 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. ❑ Yes ❑ No Drtvefs License No. Expires: Verification of Ownership by (type of document. Le. • property tax bill or dead): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby onolty, 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, Califomia 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? ❑ Yes ❑ No (Section 25505 o1 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 o1 hazardous materials equal to or greater than a weight of 5DO 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 Nture building owNpent neetl to Ole a registrellon lortn for acutely hazardous metedals? ❑Ves ❑ No (Section 25533 of the Califomla 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 Daes or will the applicant or present or future building occupant need to prepare an RMPP (Risk Manegemenl end Prevention Program for acutely hazardous materials)? ❑ Yes o ND (Zion 25534 of the California Health and Salary Code provides that the Costa Mesa Fire Department me y require the preparation, certification and filing with the Fire rtment of an RMPP by businesses which are required to register acutely hazardous materials with the Fre Department. .................................................................................................................................................................................................................................................................................... 4 If an RMPP is presenity required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No .................................................................................................................................................................................................................................................................................... 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plicatlon aermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes a No (Section 65850.2 of the Celiftimia Government Code requires that the requested Information be furnished on applications for non-residential building permits). ............................cw-t.-..............................................._............................................................tih.......I;r...................................................................................................................... 8 Will any part of the factliry to be constructed under this permit be within 101X1 feet from Ire outer boundaries at a school? ❑Yes ❑ 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 Ouafiry Management District or other air pollution control district or agency Is reGwired for the work which Is the subject of this application, have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made ❑Ves ❑ No .................................................................................................................................................................................................................................................................................... 8 (If yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I ceriity 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 Emiss(ons. Signature: Dale: CERTIFICATE OF COMPLIANCE AND AUTHOR17ATION OF ENTRY: I cerlity under penalty of jury that I have read this application and state that the infornation given is corect. I agree to comply with all state laws enje ordinances relating to building constru o and authorize representatives of the City of Costa Mese to enter upon the above -tie ri e property for inspection purpo �s. I a e not to occupy or allow occupancy a building authorized by this permit until final Inspection. Slgneture O al Owne p�� /1 n `7�`� Or Author nt Date CODE 1, INnpECTIoNNP4 DAIS lbmn B CODE i INSPECTIONTYPE DAIE INMIAL6 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final • � 206 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final Block/Retaining Well 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Bullding/Occupancy 2""01 Applicant to fill In an spaces e3aePt those Within heavy border lines and sign an appropriate eaelaralmns. Unit' ..T _,Meter (]up to IN amps , CITY OF COSTA MESA - — CONSTRUCTION PERMIT PERMIT N0. TRACT N0. LOT N0. — O/f8 M — :)Gas ❑Electric I I Sub Panel 1Project Adlren 3bob 01111 TYPE OF CONSTRUCT(C)IN LJ, NEW XJ ADO 11 ALTERATION LJ REPAIR (nue Fee $ 3 ApIF Retnspanion Fee $5 linea Fr $ 3 Applicant's Mailing Address F-1 CONVERSION . DEMOLISH OTHER Owner's Name Phone DESCRIPTION OFWORK Bailer t S Mair Atldre3s T B A K $ TYPE OF PERMIT LJ GRADING LJ FOUNDATION STRUCTURAL C1 TENANT 0ELECTRICAL 13 PLUMBING MMECHANICAL El OTHER PROJECTOESCRIPTION SQ.PT. OCCUPANCY B CONSTRUCTION TYPE VALUATIONS Four ArCMEng.Onnn Gilmore Licenm No.M17407 Address 1200 N_ ,]Pffprgnn $}'_ And%IPim, fd_ Contractors Name Davi s Airrnndi Yin �_nin0 phlosn,(i.i4-1605 N f'71 P ran f Addrear mailingl]5(1 State o eg e O pins a Rear Rlgh Left Ping, Ref Systems Repair/Alnration B: Oily LiRnSe No. 2g541 20NE GRADING CU.YpS. 'ACREc Remarks: Parking Heating Systema Ducting 5 00-100,04)(0STU❑INION LICENSED CONTRACTOR DECLARATION '1 `o LM1ere�c affirm Inst I am licensed under envisions of Charter 9 (commencing with tido .pool Of Division 3 of the Bminess and Panes ions Code, and O We of Or \ \ my license is In f n nn affect. Uomse Class u Lmewepda zz Reinspection Fee PLUMBING - FEES Planning Data'- 4R]_4.._=4 Slenatumn��L (� Bar Sink Shorvdrs ORKERS' COMPENSATION DEC RATION � Backflow PmventM Screw Sink ' M mostly affirm that 1 he" a certificate of consent to self -insure or a certlflub Of 3 Workers' Compensation insurance, or a Certified copy thereof (section - 3800, Lab. CJ Policy No.O.-471-41)) compa,,-& Vianm'd I Certifies CODY 15 herehyfurmsnad. Back! low Irrigation Sewer Cap Bathtubs Servor Connection Auto Carting y IS tl d With the Clty Building DlvIaI 1 Date 9�Appll[enl Clarifiers Bo1er Collec[of3 _' Cqn'. E%EMPTI need WORKpleted NSATION LARATIp (Thb Yttlon need net be Completed II a parmlt Is fo/ one dundred EIo01 or DIEM1wesM1¢e' Solar Piping, - Ie els' 1 tilt that lo me peHmma in an toms work ter as ton maces Permit is Issues soon Pt employ person m li to become mnpGt to the Work..:', epmpenssiYn Lawn Csnlp.nia. Drinking Fountains g Solar Tank Floor Om Sw ing Pool w/Spa a Dade his fierceNOTICE: n,after m king rnii SIOMS f In, you r Cod become sutllfo th the pronsloor of sM1e Yn u.nideeme frevoktm01T F Oor $Ink3e (Jri:ul ID Gain Sarvica Odllets WMBf CIdut ComplygrifturkanWomSuch pr rmitr all IC a ENDING NIS permit Shall be•e<emed Iv ked. CONSTRUCTION them isC AGENCYI hereby allium that there tz this gra mllon S. brine agency for the perlormanw of Ino rk IOr wlllGn mb par i[ Ie.lSStl (Se[tion 3,Lender's mt¢re¢ptors WarHeeier Kitchen SinkWaierService Name - LendeYs Address U 1 am exempt under Date Cann' the S. 6 P. C. for this ounce rev. Dreg White - Sending: Unary-Appludint:Plnk- Building Permit NkSjrrj711/06/B4 76.79 T4 Zona ..u.... - drve<vnrv.Rntldinn] Notes: Ic Washer tion Poole Sub.050f Transformer U 1550 KW KW Unit' ..T _,Meter (]up to IN amps , ter I Meter ❑over IN amps :)Gas ❑Electric I I Sub Panel HP Microwave Pole Light E 111 = not Goldenrod -Assessor swI as Sign Roof Drains- - Garbage Disposal Standing Sections Generator ❑65 KW 05-15 KW Trash Compactor Rainipembn Fee $5 (nue Fee $ 3 Retnspanion Fee $5 linea Fr $ 3 _ MECHANICAL FEES PUBLIC SERVICES REOUI REMENTS: Zoning Approved BY nate Application APPey BY a n�,L Application huedBBy / Oatg� Bailer t Hood or T ypeI ❑ Century Type 11 ❑ Duct - Under Ground Duct - Structural gefrigetion System n ❑6100,000 BTU 13/00,000 BTU Duct - Ventilating -SUMMARV OF FEES ' BUI LDING PERMIT $ SMIP § PIAN•CHECK S PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK IS id -i4- ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK $ MICROFILM $ MECHANICAL $ OT OTALFEE $ 76 75 PIAN CHECK $ /ll.7s ExhaustSynem ❑'Multiple'❑ Systems Repair/Alnration B: O Firepl/Fact 81[. ICBG# X S1U5 any Heating Systema Ducting 5 00-100,04)(0STU❑INION Registers 45, O Reinspection Fee $5 (due Fast 31 not Goldenrod -Assessor [-NNAP► CONSTRUCTION AND PLANNING - - APPROVALS Permit# MID'N4 Date Inspector PC ; SPA 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, O Undrgrnd., Test - 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap - 63: Heater & Vent -Final �- 13. Roof Drains - - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑ Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O 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 , 7c��ayAV , 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation . 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ,'CITY OF COSTA MESA - CONSTRUCTION PERMIT Project Address ' V Applicant's Wiling Address Aa Owner's Name O I�PIu,Advil, Address i3yJ AVE Sc Arch/Eng PsTLd SKI FFA' AddrMS Contractor's Name SA/JrA'VM1 Atldres lads irri 14O "i G City Llci•me No. (> a LICENSED CONTRACTOR DECLAI 1 hereby affirm that 1 am llcensed on with section 7000) of Division 3 of my license Is In full farce and effect. Applicant to nn In an adiams nos those within naaq border lines and sign an appropriate declarations P IT N TRACT NO. LOT NO. B L wY� TYPE OF CONSTRUCTION IJ NEW LJ ADO LYALTERATION ICAFWMA 11 CONVERSION ❑ DEMOLISH ❑ OTHER 41hone016r2-4565' DESCRIPTION OF WO RK .�M .I�lfGR>"D?ha+d TYPE PERMIT OR ❑FOVNOATIDN LJ STflUCTI TENANT 0 ELECTRICAL PLUMnING ❑MECHANICAL ✓!JP"rY ❑ OTHER ononln3OJi PROJECT DESCRIPTION SD.FT. OCCUPALNC,v Aassi'A gA(6irili CON57RUCTIONTYPP VALUATION IS —� ZONE GRADINGCU.VDS. ACRES Remarks: P. 1 of Charter 9 (commencing and Profits s Cope. emit Unrest Signature tir 4 r'yenow Cins.Solappe, now WORKERSCOMPENSATION DECLARATION I hereby airs lm that 1 have a certificate of Consent to USITIM ure or a Certificate of Worker$' CompenMlion Insurance. Or a prlllletl Copy thereof Rection Polio. Lab. G_}3;ivyy830 Rtr77yA Policy No. Company r Ce tired COOy I5 hereby formation. /t )eH r wan c a I n with the city Gmbli �Ivislan y/ Gale /2- 2 A Appnwnt B 6F� EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This section need not be completed If the permit b for one hunbraa ($1001 Or ass shall neifyt that employ a y perroanloe anyhmweer m as to become topics to the Wanders' COmcenMllon Laws of Callla nla. Date gagnatura NOTICE: It. after making this declaration. you should became subject to the Workers Compensation pmelsmi at the Labor Cal YOU must IOrthi comply with Such provisions or this. permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY of the wo,k affirm too, there athisn permit nice Issued 9Calabfor ar. 307fCie.ance C.) Drivers' Licarthe Or SS SO :MF 086546¢V. 7183 Donets, ReinaMaibn Fee $25 • Under Ground • Structural Heating System & no state that the above 01),l 00,000 BTU W and county ori manus hereby authorize reply. tortured Property for Date /2-2T-$$ Reinspection Far Ipp (cant: pink - Acmun[Ingl Goldenrod- gsussor Issue Fast IANICAL Hood or Type I ❑ CenaPY TYPa It Showers Services Sink Sower Cap-_ Sewer Connection Solar Collectors Swimming Pool vi • Urinal Water Closet System $2511 I Iswe Fee ❑ Refrigeration System in S Left Ping. Fell. 916 Perking Rep./Provitletl Use of Building: FEE$ Planning Noses: Automatic Washer Canatrudipn Po_ le: Cooking Unit PIs11M5her DIYerS ❑Gas ❑I Fen _ F.A.U. Fixtures Dei saxes EG IS 3 53 ELECTRICAL - Transfarmer ❑ 16-50 KN ❑ 50+Kill Meter Oup to ISO amps' Meer Mover 100 amps Sub Panel MpIO6 00.1 HP 01 K - 8 Inc. Soler 119 15 HP 0 16 Microwave Pole LiOM1t EIIE_= 4 111 Emm MMIM Zonirp Approved BY = ca-' _ Bate Appnwtlon.ApprovM Ay -�-s✓ —Date Da Application Isuatl BY Z ZT ' SUMMARY �,O•p�FEES s BUILDINGPERMIT $ � SMTP $ PLAN CHECK , jy-g'GS .5J1'7G PERMIT ' ' PLUMBING $ ISSUANCE $ .PLAN CHECK $ ENERGY P.C. $ LECTRICAL $ GRADING S I~: PLAN CHECK $ MICROFILM $ ' MECHANICAL $ TOTAL FEE $ sL�L _ PLAN CHECK $ CONSTRUCTION AND PLANNING �. APPROVALS Permit #b(CI-71 DateInspector_ POuL & SPA 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 1/1-7 56. Rough Plumbing & Pressure Test -6- Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - _ _s $9gi 58. Electrical Conduit-Undrgrnd. B. Foundation Y 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. " 10: Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. - Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15, Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # - 20: Rough Factory Fireplace L,•• 21. Ducts, in Structure w 70. Underground Hydro 22. Ducts,-Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0Gas 0Oil 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 PQWgrMeter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: , s- 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test a .ZSR% 36. Hood or Canopy /979_ -4. 46- A 2n 37. Final Factory Fireplace .21;, Z 38. Final Plumbing 39. Water Service-Final t 40. Gag Service-Final 41. Solar Domestic-Final - 42.'Backflow Preventer •� 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations l 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed - 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPA/N�C�,Y L/'/� No.�0k?e Date � y� d7 I City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. O O U 3 3 8 P. O. Box 1200 Costa Mesa, California The Building located at 3505 Cadillac Avenue M101-7201 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of Building Interior Alteration- Office Legal Description (See reverse.side for Metes I -I- Building E10269,E11074 P10216,P11373 Building Permit No Electrical Permit No. Plumbing Permit No. Mechanical Permit No. M-10AAA Number of apartments fl and/or guest rooms O ISSUED TO: Building Official O'Donnell, Briahaln, and Pazt b � 1301 Dove Street, 0760, Newoort Beach, OA Date Z%���u /2,61 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. j CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg- Permit File 9 ' Appllonl 101111 In all spaces Stages those within heavy harder lines and Sign all appropriate deelaratlen5. CITY OF COSTA MESAERMIT ND. TRACT NO. 1-0`101,10, BL . Head Or TV" 1 ❑ CanapY Type 11 ❑ CONSTRUCTION PERMIT P —/ pA 1(o Refrigeration System ❑O-100,DODBTU 13100,0006T ' n ❑ Multiple ❑ f Garbage Disposal Standing Sections Generator ❑65 KW ❑545 KW Trash Compactor Project Address 0 D I TYPE OF CONbTRUCTION NEW LJ ADD 0 ALTERATION LJ REPAIR ISSISSISSI Reinspection Fee $25 Issue Fee $ 3 ❑ ❑ O OTHER- wNeve FEES Applicant's Mailing Address.I onto PUBLIC SERVICES REQUIREMENTS: Zoning Approved BY ala Application Approved By ate AppliOetion Inlled El CONVERSION DEMOLISH A.P.g wee O ON,v LIS DESCRIPTION OF WORK Owner's Name st" b, h ACdress Q f a 01ji JP/ TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL E T F ArchlEng. 1 �S ( Li nor No. ❑ TENANT ❑ ELECTRICAL O PLUMBING ❑ MECHANICAL B / -Q F A Address V r/M ' `—'a1 OTHER C F to > d I Nam h PROJECT DESCRIPTION 50. FT OCCUPANCY K AddreContrImoor's Atltlres lmai ling)l�,l'�! A' CONSTRUCTION TYPE VALUATION$ $ L ZONE GRAOINGCU.YOS: ACRES ping. "Ci[V License No. LICENSED CONTRACTOR DECLARATION Remarks -O - 71 Parkll I hereby affirm fast I am licensed under provisions of charter 9 (commando; With Section 7000) Of Division 3 of the Business and Nucle 10ns Cade, and ' Units my license Ism 1 for a eller[. O (4 —%� P ann License class �/w N I O`Z�y " PLUMBING FEES D td3,a9 ,...... Bar Sink Showers' WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a cedffunic of consent to sect -Insure or a certificate Backflow Preventer, Service Sink_ mpnN110P1 Ih6UgnCq "BeCkflpW �OJ �G�/a" ln:gation S¢wer Cep CoY,ls ner¢DY IUrnlsaetl.BatM1fubs 90& SCW¢r Conntt[ipnv Is Iyep wltn the dtY -CEJ EJn1�/W Clarifiers Solar ors f NF C EXEMPTION EXE MPTIONFROM WORKERS' COMhe COMPENSATION DECLARATION [f ssls saRlOn need n01 be COmOleted If ice permit Isfor one hundred 18100) or Dishwasher Pipingcollac $plat Piping lI certify that in the Performance Of tom foor this permit Is issued i Drinking Fountains _ Solar Tank - [ Work anymanneras s to become subleet to the Workers' Compensation Laws of I Floor Drains Swimming Pool w/Spa. [ I hereby affirm that there IS of the work 'for which Date owner, I Drivers' Uceneve or 55 Zf CMF 0865-06 rev. 7183 Drains Outlets' Water Heater Water Service ., Fee - I USI I Issue Fee - MECHANICAL Wadi to 100amps let Head Or TV" 1 ❑ CanapY Type 11 ❑ ounJ at Refrigeration System ❑O-100,DODBTU 13100,0006T Ing n ❑ Multiple ❑ System Repair/Alteratum Sl property far 1 ,JR.a3 Pain: ztn Fee Pink- Accounting: Goldenrod Assessor L EiS I - Isae Fae ..., Zone IJ = Notes: is Washer tion Pole Sub. Transformer U 1550 KW ❑SO+KW Unit Wadi to 100amps let Mater ❑over 100 amps Dees ❑Electric Sub Panel Motors ❑Oa HP 131M-8 Switches Sign I nc.Soler 0415 HP 01615+ Fixtures Microwave Device Boxes . Pale Light Sort pullets I Range Switches Sign Garbage Disposal Standing Sections Generator ❑65 KW ❑545 KW Trash Compactor $3 Reinspection Fee $25 Issue Fee $ 3 wNeve FEES onto PUBLIC SERVICES REQUIREMENTS: Zoning Approved BY ala Application Approved By ate AppliOetion Inlled El weewe wee SUMMARY OF FEES BUILDING PERMIT $ - SMIP $ PLAN CHECK $ PERMIT P - PLUMBING $ R I'eP ISSUANCE $ PLAN CHECK $ .¢..So ENERGY P.C. - $ ELECTRICAL $ GRADING "$ PLAN CHECK $ MICROFILM $ S� MECHANICAL $ ' TOTAL EEE $ PLAN CHECK $ ' $ 3 CONSTRUCTION AND PLANNING APPROVALS Permit -_1 0Z( Date Inspector POOL & SPA APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe=Undrg?nd. 53. Steel Reinforcement 3.,Electrical Conduit Utility-Undrgrnd. 54. Forms 4JElectrical ConduivUndrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. ElectricaliUFERGrnd. 57: APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation , 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd.- 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection _ 62. Backwash & Receptor -Final 12.'SeweP Cap 63. Heater & Vent -Final 13. Roofl rains 64. Plumbing System - Final 14. Roughr Plumbing 65. Electrical -Final , 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 1.7. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe -Rough & Test `7,2.,.Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas OOil 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: 64FS pyq•M,T 4 F 437 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test )"gl 36. Hood or,Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - %CITY OF COSTA MESA rCONSTRUCTION PERMIT Applicant m fill m all spaces except than within heavy border lines and sign 81130oreorlate decorations. Efl MIT NO. TRACT N0. LOT N0. BLDG, NO. L C ProiII:I Address -3504 Call line M -%OI -701, AFOlicant's Mailing Adorns 34u(3� Y[Si COCp^ OWONf Name VOI « Q S�a hone Address I I Oe Qz st Arch/Eng. License No, Address Contractor's Nem, S C T f Lac.�lCr I, Phone (714163391 Adaresalmairing) 3Y4 II Grp Se A Gen Jz CRYLicmFa No, 15i52b LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Cnerter 9lcommGcIng with section 70001 Of DIVlslon 3 of the Business and Professions Cities. and my lice," is in lull force and elfact. Uren 17 -ate Na. a/Sil Cen Data /•4�-signature III I ,� ORKERS' COMPENSATION DECLARATION ereby affirm that 1 nave a cerOflcate of Consent to Mllmi urbor a Certificate Of Workers' Compensation Insurance. or a certified copy thereof (Section 3800. Lim. C.) Policy No Company eCertilled copy Is hereby furnished. Cartlfled copy Is filed With the City Building Division. as APaticam nil is for one hundred ($tea) or for as to become mnj:ct to`at6: the performance 3097 Clv. C.1 ❑ I am exempt under Section B. 4 P. C. for this reason Data Owner hereby certify that I have read this application and stale that the above nlormatlon its correct. I agree In Comply with all city and County ordinances and tate laws laking to building cons factor. and heredb^ authorize repau Inniatiws f this It: l0 onto, upon rho aboveTentl ed property for spection our signature rl.kk fq.4blI Driverswnse or 5S g CMF OB65-46 rev. 7/e3 White -Building: Conry ADO LJ ALTERATION 13 REPAIR LJ CONVERSION 11 DEMOLISH--1OTHER OESC RIPTION OF WORK ay t TYPE OF PERMIT I—] GRADING U FOUNDATION U STRUCTURAL ED TENANT 11G ELECTRICAL ❑ PLUMBING Q MECHANICAL ❑ OTHER PRWECTOESCRIPTION SO. PT. OCCUPANCY_ CONSTRVCTIONTYPE VALUATION$ ZONE GRAGINGC^0.Y05e.ACRES— RemarkL — / 19 / �s -Ralnpnlon Fee I $25 I 1 Issue far I IS 3 Showers Preventer Service Sink Irrigation Sewer Cep • Sewer Connection • Solar Collectort B Solar Piping courtesies Soler Tank ins Swimming Paol w/Spa (a Urinl Outlets Water Closet ell Weer Hitter ink Water Service -Ralnpnlon Fee I $25 I 1 Issue far I IS 3 Rainspemian Fee Abundant; Pink - Accounting: Goldenrod - ASnslOr MI I Issue $3 15711 I✓':C/T_ '°or: I.P. Sp Boiler Hood or Typal ❑ Canopy Type It ❑ Main Building: AccmBuilding: Duct Under Ground E Duct - Structural Refrigeration System 00-100,000 BTU 010o.000 BTU O T Duet Ventilating Exhaust System ❑ Multiple❑ System Repair/Alteration A Rem Issue Fn Firepl/Fact BIt ICSO SL $ 3 PUBLIC SERVICES REQUIREMENTS: Heating System & Ducting ❑4100,000 BTU 13100,000BT nN Rlrr, G Rainspemian Fee Abundant; Pink - Accounting: Goldenrod - ASnslOr MI I Issue $3 15711 I✓':C/T_ '°or: I.P. Sp ZOry one IS Main Building: AccmBuilding: 2 E Meter ❑dor 100 amps AGas ❑Electric O T Front N B Rem Issue Fn $ 3 PUBLIC SERVICES REQUIREMENTS: nN Rlrr, G Ref. is Washer Transformer U 1450 KN III Pole Sub. ❑504 KW Unit Me[er�uplo100amps- Trnh Compactor , Meter ❑dor 100 amps AGas ❑Electric ,Sub Panel Motors❑41 HP 011A 8 F.A.U. Inc. Soler L Fixtures "Miaowan Device Boxes pro, Ilnhe Garbage Disposal Standing Sections Generator ODS KW 135-15 KW Trnh Compactor , Reinspection Fee 1 $251 Issue Fn $ 3 PUBLIC SERVICES REQUIREMENTS: Zoning Approved By nine Application Approved By Date Application Issued BY /dry Qateis/3o/a.3 ' SUMMARY OF FEES BUILDING PERMIT $ SMIP $ 'PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE IS PLAN CHECK $ ENERGY P.C. S ELECTRICAL IS GOADING $ PLAN CHECK $ MICROFILM $ MECHANICAL $ TOTALFEE $ PLAN CHECK IS i r CONSTRUCTION TRUCTION AND PLANNING ,ArPROVALS Permit q# E(nn� Date Inspector PO. & SPA 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 Concluit-Uncirgrnd. 55. Electrical Bonding 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVE R-GUNITE 7. Footings _ 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test -, 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 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 Electricat-Conduit - ' 66. Solar System -Final 16. Rough Electric Wiring �� RG 67. Fencing & Access Approval 17. Rough Wiring Sign i 68. -APPROVED FOR PLASTERING B. Rough Electrics! -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# '20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing a 73. Undergrnd. Storage Tank O 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 5 l[�L 80. FOOD CERTIFICATE ISSUED 33. Final Electric � U Notes: 1 e _ 34. Final Heating & Air Conditioning G o .� U� 35. Final Gas Pipe -Test f� 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing i 39. Water Servile -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. -Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed ' 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY -No. Date .. . _ Applin l Gu In an spaces except those within heavy border liner and Npn.all appropriate declarations._ 1 OF COSTA MESA, PERMITNO. TRACT NO. LOT NO. "BL - - a'Ciry CONSTRUCTION PERMIT '- E- -'' PM 81-380' 27- M-101-e e3 4151 2/10/54 84.00 TL ever PrOlect Atltlrpf - - - EOF CON$TRUCI N + NEW ADD ALTERATION' REPa1R Applitent's Mailing Address •: SZDi'nn..c C+......,+ 000NVERSION LJDEMOLISH ❑OTHEN q.p.$ Zone CAMBRI OGE PARK V ARTNFRCp�fyF Owners Name bone l-DG=-aJ-Fa DESCRIPTION Or WORK 5 Main ealmiry: Accessory Building: - AddriR - 1301 OOVP strPAt - NpD 92550 - TYPE OF PERMIT{/- GggDINO FOUNDATION STRUCTUflAL Er T' Front N Pulaski E QYltq Arch/Eng. License No. 1-1 TENANT :µ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL, a Address. 5120 Birch sat - NPR 07650 2,OTHER °Wer% Rear N c—. Wj tii'� Permit C High G Os'+.�+' Contractors Nam- }.® e'924N PRO.IECT OE$CRIPTI°N Sp. PT. OCCUPANCY K R Address levelling CONSTRUCTION TYPE VALUATION $ If Left E City License No. --trel ♦-- ZONE GRADINGCU.YDS. ACRES Ping. Rai.$ Park. Fees$ O U LICENSED DCO TOR DEC I N Remarkn Parking Rant./Provided! I that I smith that 1 am licensed under pBusiness at charter S (commencing Under 1 RIP R coded I 3 of the Business dna Professlem cede, and with section 70001 of lla of Building: E BandOlYlAsolf my noose u b mu mice and effect. M ciao License No.—PLUMBING FEES Planning Notes: M - E Gain °ata Signature . Bar Sink Showers N GO RKERS' COMPENSATION DECLARATION T . hereby affirm that l Rave a ceaubate of Conant to savansure or a certificate Backflow Praventer Servica Sink $ at Workers' Compensation insurance or a certified wpy thereof (Section 3800, Lap. Ll Backflawrinigation Sewer Cap ELECTRICAL FEES Polity NO. Company nea. Certified copy Is hereby furnished. CertifiedCertified e $pwtt ConnectionON Automatic Washer Transformer ❑ 15-50 copy Is filed with the city Building Division. ❑ 50+KW Ito Appllwm Cl Solar Collectors C+snstruction Pole Sub. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Dishwasher $alar Piping Cooking Unit Meter Oup to IN amps' Mfladx tlan nit d not he completed It the permit Is for ON hundred ($100) or g . �Il cartlfay the SitPerformance of thwork for which this pe rmn is issued I manner so as to become sublect to the workers' of Drinking Fountains Solar Tank y' Chanel Meter over IN amps s Comp nUt�On taws Ch Ifo Floor Orcins Swimming P601 SalD ryers EGas OElecffic Sub Panel 'vete Signature- NTICE: 1f,Hfter making this declaration, you should becomesubject to the Floor Sally Urinal Fan Mmars 061 HP El K-8- Compensation provisions of tLabor Cede, you must forthwith ,Workers' pn at Comply With Such Prorlslons-or this permit small be deemed, r Yoked. Gas Service outlets Water Clever F.A.U. Inc.Soiar E3e5 HP 01615+. CONSTRUCTIONLENDING AGENCY I he ebthe affirmle ndingG agencyace acsnspermti constructionlendingforth perfor097 Licit there If Interceptors Water Heater Fixtures : Microwave Under's Name - Kitchen Sink Witter Service I,Device Boxes Pole Light OWNERS BUILDoccurredER OWNER BUILDthat la oaries outlets Range I a excecep from hereby silicon that an, exempt from thei Contractor's License Law for the t, P_Tre P - Switches nAo31 .t Eons Or Cem Any Sign Colunty w ich re uiretla Countyru a ter Impress its appplicant r re far such permit any Structure, pmorrro Issp1ance°eieos:am�ire the Roof Drains Garbage Disposal Standing Sections to a signed Statement that he/she Is nwnstsd Pursuant to the mCViSIOns of I - ]bl a o� me 9usine i e eh oiess ons Coeej o inet Station 7000)of- Generator O°5 KW 05-15 KW Trash Compactor Division therefrom and the oasis for the allayed exOmptlon, qnY yldatlen"of Section of morrnitlhannfive hundred dollars II SOD] he applicant to a civil peimwdion Fw $R5' Issue Fee $ 313 5neib not Solidification Fee $35 leads Fw S 3 I, as nor f the property or y employees with ages as their sale m will do the work, and the structure it not Intended Or Offered MECHANICAL FEES Nenvtion for IG (SeChan 7044, Buiness and PorGISIOrill Code: The Contractor's PUBLIC SERVICES REQUIREMENTS: - License Low does not apply to an owner of a pmprty Who bunds or improves Boller Hood or Type 1 E hereon,, d who deal h work himulf/nurser} or though his of her awn s, that such Improvements are not Intended or Differed for Canopy Type II E Zoning Approved By Date aPloy provided le. If, however. the bunamy r Im Prevenient N mid within one year of com- Dun Under Ground Building Approved By Data pletioon, she owner, will have ins burden of proving behhe did not build or Im-' p., lm the purpou of sola). Duct Structural Refrigeration System Application ISilma By ar LJ 1, sa owwr of the property, am exclusively contracting wun uransed con- eranemd donstrum the project ` 1044, euainerst Pr0lesslons code; f Duet- Ventilating . 00100,P00 BTU ❑100,000 BTU SUMMARY OF FEES The Contractor's License Law E n pplY Oo an sporty who buttes or Improves thereon, ane no tracts for such Plate S ith a con. I to' Exhl System E Multiple E System Repair/Alteration BUILDING PERMIT $ SAW S trade Ronnie Pursuant to the Conti Law. - - PLAN CHECK $ PERMIT a xm under section rthis reason FirepllFacr. Bit. ICBG# ISSUANCE $ PLUMBING $ , cab Owna Hinting System &Coating PLAN CHECK 25% IS ENERGY P.C. IS ' I harsh cit IS that I have an th s a 11 If and stat t [the above E01w.dhdl E1Oo'Na - ELECTRICAL $ GRADING, $ r lamrma o Is meet. man It an ciy and co v ordinances lee - o 11 p t n herep h e d ate s tram offer PLAN CHECK 5011 '$ MICROFILM ,S nbn f mea or y Inswc ono I MECHANICAL $ TOTAL FEE $ 75yr� Signet a Reinspection One $25 leads Fare F S 3 PLAN CHECK 25% $ ' i� Drivers' LI OI SS 6 `F 0165 6nray. EM Whlto anary-Appllpnt:Pink-Amounting; Goldenrod. Athol ' "CONSTRUCTION AND PLANNING 1' IFUL- 4 Date ,APPROVALS Permit # � � Inspector -POOH.SPA - - - APPROVALS= Permit46 - - Date . - Inspector ' 1 ; Temporary Electrical Service or Pole 52.' Pool & Equipment' Location - i; 2. Soil Pipe-Undrgrnd. f- 53.- Steel Reinforcement 3: Electrical Conduit Utility-Undrgrnd. 54. Forms '- - ''' "� •' ' ' 4. Electrical Conduit-Undrgrnd. - v ,. 55.E Electrical*Bonding- 5i7' Steel Reinforcement - 56. Rough Plumbing & Pressure Test : =• ' 6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE - - - 7. Footings, - 58: Electrical Conduit-Undrgrnd. 8. Foundation , 59. Gas Pipe, 0 Undrgrnd'.; Test - • •- 9. Water Pipe-Undrgrnd. 60. Backwash Lines,:P-Trap, 0 Undrgrnd. I 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 'I 12. Sewer Cap 63. Heater &Vent -Final +• - ' I 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 - 118. Rough Electrical -T Bar Ceiling I 69.. POOL/SPA SYSTEMS FINAL - Q19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # - 1 Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas • 00il 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank .ElGas El i& - 25. Roof:Sheathing 74. Overhead Hydro - - 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical „ i 27. Frame and Flashing 76. Dry Standpipe - , 28. .Lathing & Siding - 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL ' '30. Drywall Nailing HEALTH DEPT. REQUIREMENT •-31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final •t'� 80. FOOD CERTIFICATE ISSUED 14 33. Final Electric L y Notes: 34. Final,Heating & Air Conditioning - - 35. Final Gas Pipe Test 36. Hood or Canopy' I .- 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 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. FINALSTRUCTURE & BUILDING 48. Special Requirements Completed ' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF -OCCUPANCY - No. Date -- - - - , - - - APPRbnt to nn b all spaces except within heavy border lines and den all appmpded declarations. 'CITY /OSTA MESA )FMIT N0. N TRACT NO. LOT NO. BL . CO¢+TRUCTION PERMIT j01-oTJ I. — - 1 Prod Adorns y TYPE OF CONSTRUCTION NEW LJ ADO LJ ALTERATION Ll REPAIR /pppant 3 Me11ii" Address. ❑CONVERSION El DEMOLISH C1 OTHER A.P..I 'Own eia Nemo v+r '1 APM1ana%� `S`T�r DESCRIPTION OF WORK $ Ma Addl i3ol nouff TYPE OF PE Rally LJ GRADING JJ FOUNDATION USTRUCTURAL 1 Fn Archl I LILYOY No. O TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Ra Address /�fti—SLJ OTHER A. Centoctor'a Nam hon.6-11-22 PROJECTDESCRIPTION SO. FT. OCCUPANCY C Ril K Le Andres (mailing) 0 Q CONSTRUCTIONTYPE VALUATIONS $ City License No. ' In ZONE GRADING CV.VOS. ACRF5Z pinn R. LICENSED CONTRACTOR DECLARATION I hereaffirm that I am licensed under provisions of Charter 9 (commencing with section vois ]COCl Of Division 3 of the Business and Ro1e551on5 code, and my Line" Of Is In 1dRRor ga erten' 3q &I a'RKERS' COMPENSATION DECLARATION cense neby affIM that I naves certificate of consent to mR-Insure ora certificate \ of Workers' Compensation Insurance, or a certified copy thereof (Settled send, Leh. (r��3 /� Policy N6t 6511�� IZ Ompany/MIIIIIb / JCertIflad Copy IS hereby fMouthed. Ceftbleit cp v Is Iliad With rite dry Ba1ltlUY� Dat APPIWIrrit EXEMPTION FROM WOKKERS' COMPENSATION DECLARATION (Tmssectmn need not be completed If the permit Is for one hundred (Slop) or Ii aidby that In the Performance of the work for which this permit Is Issued I ploy shall not emany Person In any m to became Subject to the OIXmS' WCompensation Laws of California. r Dale Signature Nl Workers' C m"nutloln gPmW lonsoSocial the YOU code become must forthwith amply with such provisions or this Permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY pe If erdby the dwork that for there he lens thisP ermitdisc I sued ndingl5eetlen or the 309JreCIT C.3 Dain Owner Elgnatba - � Dat4 OrlveOV -lcansa or SS as CMFOB65-06 rev.l3/a3 White- BWbingi Canary- Applicant; FEES I Planning Noes: 4410 2/16/94 be�J TI u� I1 � 3ackflow Prelventer - Service Sink backflow Irrigation Sewer Cap - ELECTRICAL FEES 3mhtubs Sewer Connection Automatic Washer Construction Pale Sub, Transformer ❑ 15-50 KW 050+KW aariliers Beer Collectors gisbyMsher I Soler Piping Cooking Unit Meter ❑up to 100 amps Drinking Founders - Solar Tank Dishwasher Mater Dover 100 amps 'lour Oiains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel ' sloor Sinks urinal Fan F.A.U. Motors 00-I HP 111 Va-8 Inc. Solar ❑915 HP 1&151 Gas Seal Outlets Water Close; nterceptors Water Heater Fixtures Microwave kitchen Sink Water Service Device Boxes Pole Light ' Levatorles Outlets Range a—Trap Switches Sign Roof Drains Garbage Dosal Standing Sections _ Generator ❑6bp5 KW ❑615 KW Touch Compactor RetrospectionFoe $]5 Issue Fra $ 3 Reinayactian Fad $25 low Fa $3 MECHANICAL FEES PUBLIC SERVICES REQUIREMENTS: 2oning Approved By Building Apprada d ByNa Application luded By 1G nab / hat % 6 Boiler Hood or Types ❑ Canopy Type II ❑ Duct DucUnder Ground Duct - Structural Refrigeration System 110100,00OBTU 0100,000BTU Duct -Ventilating BUILDING PERMIT PIAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 5016 MECHANICAL PLAN CHECK 25% SUMMARY $ IS $ $ �� 'S $ $ - $ OF FEES SMTP $ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ ' MICROFILM $ TOTALFEE .$ I - Exhaust System❑ Multiple 13 System RepefirfAtera[ion FINPIIFapLBIt. CBO• Haetirg System Ducting 110-100,000 BTU.❑100,000 - Rolnsyeatlon Fee $25 Inhibitors $ 3 su od - Another .(<'srRUCTION AND PLANNING . f�CON._ I .. Date *, �.rPROVALS - Permit-# flo73 Inspector- POi SPA _ APPROVALS Permit# Date- ; - . Ins ector P - l. Temporary Electrical Service or Pole - 52. Pool &-Equipment Location , 4: 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. I B. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. - 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash &Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains .64. Plumbing System - Final 14. Rough Plumbing' 65. Electrical-Final 15: Rough Electrical-Conduit- 66., Solar System-Final i 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 Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # i 20. Rough Factory Fireplace . 21-. Ducts, in Structure 70. Underground Hydro - '22. Ducts, Ventilating 71. Product Piping 0 Gas OOil ,23. Gas Pipe-Rough & Test 72. Underground Flush. ' 24. Roof Framing 73. Undergrnd. Storage Tank CGas 00il 25. Roof Sheathing 74. Overhead Hydro 26. T_-Bar Ceiling (Structural( & Monocoat 75. Dry Chemical - - 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding - 77. FIXED SYSTEM FINAL 29. Insulation - - 78. FIRE PREY. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31.-Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. 'Final Electric Notes: 34. Final Heating & Air Conditioning - 35. Final Gas �Pipe-Test _-I_ ��/ 9s•� 36. Hood or-Canopy 37. Final Factory Fireplace , 38. Final Plumbing 39. Water Service-Final- I 40. Gas Service-Final - 41. Solar Domestic-Final 42. BackflowPreventer t 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 Applicant to RII m aR spaces within heavy Iasi lines and Sign all appropriate declarations. CITY OF COSTA MESA"P5R�MIT NO.' TRACT NO. LOT NO. BLDG. NO. -' ,CONSTRUCTION PERMIT M—.3 %S" Y1'1 -j TYPE OF CONSTRUCTION HBNEW ❑ADD ❑ALTERATION REPAIR ❑CONYERSION'OOEMOLISH I-0 OTHER' "It9 F/ .. r6607 6/81/82-- 21.00 - 1 _ ZONING REGULATIONS' Projed Address 3505 Cadillac AVenlle _ Owner-O'Donnel Partnel Phone 'Address 301 -BOVE St-. Suite 760 - Archy EnpNe Yt Beach Licenx No.--� BE SCRIPTIONOFWORK A'P'B - - - .Address- - _. - ZONE PLNG. TYPE OF PERMIT_� S T A K - 1�GRHD `NO. ❑ FOUNDATION YARD 0 TENANT El ELECTRICAL ❑PLUMBING BhIINCHANIC REF,$ RTO gVLlhL+p G - PRppEgT.�INEI='n ,'Contractor-TheIllalail; Inc. - Phdne 263-958 IAddress .. ero'AVe SO. El MOIstB-l" LICENSED -CONTRACTOR .DECION.. Under swarm sKtL am licensed01of dinar provisions of -nausea 9 sand . � .. 5 Ey - PI�HT - meeNby IM Ilan ]my 1 DI I Ion- 3 1 'easiness ritl ❑OTHER �I or Pr I Iom CaE and my 1 In ful f and ell - I REAR VgRD ITO P/L1 - - N _� J PROJECT DESCRIPTION "" L1 Cla¢ b a j' SQ. FT. " �._ OCCUPANCY CONSTRUCTION TYPE - -PKG-SPgCE REG.- _ _ -, _ STREET WIDTH PROVIDED. ,t _ PARK FEE Data R�DO/A9 519natu -/ / - WORKERS' COMPENSATION DECLARATIDX _ - 1 hereby affirm that 1 how a cert to to of consent to self4risure or avygLUP.TION ZONE 'ZONING APPROVED'BY"' T DATE - IP - rtlflpte'al simpers' Compensation In Sunnc titli COPY hereof 1' - - \SPEC - Section 3900, Lab C) GRADING CU -YDS. ACRES AL CONDITIONS: - 11gy No. =91140494 CANrIPinY FTPmn t T dP n'�-tV -._ .�Cratified COPY IS.hereby l urnl6hed. REMARKS r'gt_- ^� _ -:4 i Attertlllad COPYISfiled with shadily Building DWI610M1 r^1 EXEMPTION FROM'WORKERS COMPENSATIOX OECLARAT O _ - (TMs 5ectlon-neCd-nol be Completed If the Permit 15 for One n nP e0 IJ, II $CIeOO�lassl. 1 tfY IIlal the pe f I aaatttllllll�������� f Ins work ( which thispar' II I O. 1 ball [ pl y msrn Iri any m to be _ _ •'PIAN _ _ _ _ _4% ' PLUMBING( rj f CHECK-" -ELECTRICAL --PLAN CHECK bpae m+n5%20/BOwmve ti nuvn e1(I r -BATHTUBS —SHOWERS _ _- _ Date �Slgnatulel a'•�' � "`"'-` NOTICE. 1f after nil ing this declaration, You Should b (t_mle -y I TOIb( ETST.. V IZURINAITS -� - I 'GENERATOR 0-KW 1 " TRANSFORMER 110 KW ) '?( to the Worker Comcensatl0n PloNslons Of lM1e Lab Code. u5t [ forthwith Comply with sucM1 provinord or thus Spruill Shall beticemed LAVATORIESDOUBLE'LAVS' -- �-'fAPPL-IANCE— 1030 KW_50 r KWevokle- - CONSd. -_ _ _ 1_ _ ..�.� QONSTfl UCTION LErvO1NO AGENCY 'KIT. SINKS --"-- "DISHWASHERS --" "MOTORS—i 1HP-- 110 HP 0" _ )hereby aid that there Is construction for �� SERVICE SINKS j3+Ly SUMPS --^' —•'�"I '(INC. SOLAR) lOLO.HP- X50 m. HP _ 11 _ - - IssuedPer- IOrmdnta OI In k f Which [RI Permit IS I65YeO LSeCrIOn 3091 itlending IS ""'FLOOR SINKS; .'-'FLOOR DRAINS— j --;FIXTURES '---OUTLETS- SWITCHES Clv Cr-, ---'---- - s LB_nd_er'i_Namf "•- _ _ __ _ ' - `- - - -- - _ DRINKING'FOLNTAINS --- 'OASTUSESIGNS'�' _ - - - GINder's It Or OWNE0.0UILOE0.0ECLot RT10N - 'r - PI NTE RCECTORS CLARIFIERS -'- ' 'rPOLE LIGHTS- - - -- 1 hurab o0 that 12 PI 1 th C _I I Y l rd f r , PTRAp - - I --", ES METERED p0 SUB the for owing reason (^ li .7031'5 B d Professions Goes;SyyIMMING'POOL'�- Any city o county which 111 a Pi to ilsounl, aIle, -MATER SERVICE ALTERATION -j 'PANELS- MgIN - Sl'IB-" - Improve, demollsd or repairanyStructure,-PebY'f0"Itslssuance. also re. quires she apolo nt for such permit to IIIe a signed sNlement that be -DAS SERVICE OUTLETS' i -SERVICE �'- - --'-- 'AMP - -77 Is licensed pursuant to the+p!ovlslons of-the-Cantactor's License Law- `(U;= 9 (Commencing with Section 70001 Of Division 3 Of the - WATER HEATERS "BTU OUTPUT u In¢ss and PrOhri ons Code) Or that be Is exempt therefrom end the itis for the alleged exemption. Any Halation al Section 7031.5 by SEWER CONNECTIONS ": '�' j '-- -' '- - - '-� - Yapfulwad for Permit Subjects the'eppllunr to a civil "natty Ay fire or- than hundred dollars ($500). 'SOLAR TANK - -COLLECTORS- [D1 _ El OwI af'Ihe PrOpeNY. er mY imp sweet with Wages a5 their Ole compensation. will doi work and the structux Is not Intended ' Or offered for ale (Section 7044, Business and Professions Code. The -SOI-AR PIPING SYS. - _ - -' - ISSUE FEE - -' -- - ConVdCtor't Usseme. Law does not apply lO an O O1 property __ _ _ _ _ 'IBSUE FEE YI '" �- _ ___ _ "APPLICATION' APPROVED BY _ Oti who builds or Improves thereon. and who does such work himself o rhrou9l MS,owniC Oymet. y O Itletl that SucM1 Into( ve BMS are not Ior however. Improvement ' " _ _ _ _ le. Illi, Intended or offered the building or MECHANICAL PLAN CHECK- I SIIMMARV OF'FEES Is Sold within ono Year Of COMPoetion, lite owner will Nave the burden 1 1 proving d did 1 build Immove for the Purpose I lel HEATING SYSTEM 0 -]OO OOO BTU j BUILDING-- � PERMIT - ❑ I, -as ow of -the Property. am exclutvely lin tracking itR IlnenSed contractors t construct the O101ecr I$eCrIOP ]004. BU61ne55 _ AND DUCTING' -_100,000 t BTU T 1- _ _ _ $ I _� SHIP S Professions r/ PLAN CHECK $ r� and Cod The CoMniclal's Llwnsa Lawdoo6 notapply Oo �pLUMBING SUA[ ISSUANCE. S owneran of property M1 builds oor0^mproves thereon and who con REFRIGERATION 0-100000 BTU a s 1i tracts -from strut -projects ewith - tractOrO)-AlGdmSrd PUNwnt to -SYSTEM - -} -GRADING .3 'lI the Conbacror's license Law). lOO,000'iF 3TU OO PLAN CHECK $ l " O'1 ]m exem0l Yoder Suction- -- "B:8 -P. C. for this - - - - - BOILERS BTU - - - ELECTRICAL E _ _ - - �'� -1 $ r - reason - SYSTEM REPAIR, ALTERATION - _ 1 "lis PLAN'CHECK 3 �I , MICROFILM'S - TOTAL FEE Date O )hereby mrrlis [IM1 tl[hl PO And sta_Ie that isle Curve EXHAUST SYSTEM MULTIPLE I MECHANICAL $�zL_ - LESS AD'• o:einar't 9 ea r IY It M1'all dLY nd mu lY i tl I -R L'AN CHECM al LANCE PC $ - and t r a ,c, prize Lng r tion, and hereoymentioned- 1 epre5e bye r lTI t i t Pon the above bonen- WIT., Pm Perf Y- r Copy -5/20/82 Signature ate p _ FINAL FEE $ Drivers' Gconse or ss s - _ __ _ .. _ ..1556E FEE--�I-- -_ _ . _ _ LMF 0065-0fi WNIte-Building: Gnary-AOOIIGn Rnk-Acmunting: G OldenrodAssessor „t_; CONSTRUCTION AND PLANNING I ' APPROVALS Permit # Date Inspector POOL &SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole t 43. Pool & Equipment Location 27 Soil ipe;Undrgrn 44. Steel Reinforcement 3, Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce 47. Rough Plumbing & Pressure Test _6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE - 7. -Footings__ _ 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn; Test - 9. Water Pipe-Undrgrn - 51. Backwash Lines P-Trap.❑ Undrqrn 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 - _ - - - - 14. Rough Electric-Conduit 56. Electrical-Final 15. Rough Electric-Wiring - - 57.- Solar System-Final 16. Rough Heating & Air Conditioning encing & Access Approval 17.. Ducts' in Structure APPROVED FOR PLASTERING 18. 19. 20. Ducts; Ventilating Gas Pipe-Rough &Test Roof Framing -- - - - 60. .. . POOL/SPA SYSTEMS FINAL ' 21. 22. Roof Sheathing 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 04&rAffr ' 30. Final Gas Pipe-Test ' 31. Final Plumbing ' 32. Water Service-Final - 33. Gas Service-Final 34. Solar Domestic-Final 35. Landsca e 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 IiCLIaRATIOMI "I' -I: A It i 4 1-11 , :—:, i � i ! -- PI I A 91 �R �f# ��Jj � I N Cap 1 1: 11. 4 77C(�mWuOola ub --- — 11 In 61+kA r ar ponnalcu Coukint; UnitMeWrA[)P 19.10qamps. 1 1, 1 U I r r shor Wortlllover ii W am :1 r Pip Dryprt 21(loal llelkctrlc�- Sub Panel r Tank- T A T - Fan; I Motors ❑[7 -18 e r779 Zol vopa �17 I F.A:.U. T7 + uares Kld,6*0 Lln I U I I f ol� 150, 7— uavlco Scam I 'I d 4 1 Fake Liglit -1 1.1 1 i f P,I a U .0 5 1%-,n IF Paint -*Naih• —,�i If Trutt Coin 'Gr\: it_ I I ':j I{- RaiwwRlanNo 1 $15 r low Pat! 1 3 i 11 FEES DEVELOPMENTSER ICESRE UIREMMTSj 4� i 'P� I k� TV :,e, T T at Zoning J�Ppro tP 4 NO I artiirui ern �-jApel whoa at rh OBTU ❑10D,000 TFY 1 SUNMARY,0j; FEES - mrism Aflkimwfidn 2 AWING PER IT $ 6""$ 1e PLAN CHECKOER41T plan Pf-UMBING , rISSUANCE IS Illes I F I FNE�GY PLAN 2 P.0 ELECTRICAL, LEC' N:. q m,P �11 CHECK ": $3 p 1: =F JYI MECHANICAL $ LF- 00jr- '�t+v Fle S. Pi -AN CHECK dn%; $ I roT 11 E $ 'NSTRUCT ' _:- • = z. rk l�. OOION AND PLANNING -` APPROVALSTPermt$ �O`, a.: APROVA tip >, _ if I 1 emPorary Electrical Servlce;oYPole 1 <' r '._ ; 62 Pool:&'Equipment Location'^� n,21"Soil Pi -Undr f'd' .c .- r 4. Pe, g o '.r' -s t r G ,'_ �.�� - t_' - •-.. - 53: SteehReinforcement „ T_ g3. ,Electrical Conduit Utility:Undrgrnd ".. 64.4o s x t 3 S4. Electrical Conduit-Undrgrnd. 1 '' ? ;> 55. Electrical Bonding,- ^ ' r - ? 5. Steel Reinforcement ; r ! ' M 'A _ 66:'Rotigh Plumbing'& Pressure Test ,I �• S6. iEl AA�% { na istt ,. _ . -TOOVER-GNITE' = i• :,. _ t-7.;Footings-.56.;Electrica Gondultnd _,Undi c,8. Foundation 1 t F s 'Y; o _= 19 5 Gas Pipe, ❑ Undrgrnd Test ' o s.%3• i + 3 p9. Pipe-Undrgrnd, { .'.'.I G j s ; 60..Backwash Lines P -Trap a Undrgrnd iWater - ; 10. Structural Floor System < - "; ; n - ` ' 61 APPROVALTO DECK25>,�rS : P Sw 11. roprty eer. Line' & House Connection ' e ,i - 62 Backwash & Receptor.Final _ s, 12. Sewer Cap 63 Heater & VeM F 'Roof 13. Drains -;<''';.�:�•_I, j '�.i PlumbuigSYsteml•:Fin'a1=�F=� n��-,., �, -;.J`� i,�`.'I'l _'64 14. Rough Plumbing ,`�'!'^? @,a,--' I. 1 A � I - _- - ' +: _: 65:-Etectricat Final' O 1 z'±2 's45:rRough -Electrical-Conduit--I,-1, '-,-7-;; ; 65'SolarSYstem=Flinal�'-' 1 ,�7 ,:. •, , 16."Rough, Electric Wiring' I j '. it - s r �"67� Access"Approval I if 71 c,'y- t.�-'-r.,y tFencing�& m m'r 17.Rough;Wiring Sign i ` { j , , t 68 APPROVED FOR PLASTERING, 'j 18 ;Rough Electrical r 68f j �- - ;:r , : `69' POOUSPA'SYSTEMS FINAL{ Ceiling jl c 19.tRough Heating & f4r.'.Condruonitig i FIRE DEPT. REQUIREMENT I APPROVALS � Pernit 20." Rough Factory FrrePlace 21:fDucU_, in Structure,'' (' i s i. 1 .a :) 1 �. '70. Underground Hydro u . { 22..Duots. Verrtlladiniq _ i j i71. Product,PiPing �Ges I 23.:Gas Pipe Rotigh & Test ;'r 4 - + 42,.Underground Fluid t l t ! ; 1 y' `24.': Roof Framfrg L `' t :" + ' "{ Z3.. Unclergrnd. Soorope,Tank O Gas' 0 011 , { 7_ -96,yRoof Sheathing ^t t ' 74. Ovarheaif 11vcho "I.. ' 2B T 6iir Ceitirtg (Struettcal) & Mortocoat `/gam. 76 Dry QUI 27.;Frameand Flashirq _; i { /i 78 Dry .Standpipe' 28.` Lathing & Sidirps n 77' .FI)ED SYSTEM FINAL `:3 i.' { = i _ 4 f r .- 28. Insulation i n }. l: k ' t ° i . «. - ' 78 FIRE PREV. FINAL k:, , :• ! i . „ 30.`Drywall 1611611 ' HEALTH DEPT. REQUIREMENT: `31 Plaster Brown Coat,`79. FINAL INSPECTION ti - j ' ; -; lPowereter-Iial I.. BFO OD CERTIFICATE Dr }32aEIectrip . -_ .' Electric j Nots331Fina'l 34. Final 'HeatingAu:,Co'nditioiin' & ',� .. s 9 35. Final Gas, Pipe; Testi: ' Lkn 36. Hood n_-CaPYno •�'•..� 2 k f i I ! i j i ) 4 = a < m c '�.'H,a.-'�.n� .' '•A?._i jL I'.. I.c I.�. 37. FnalFactory` Fireplace j `'1, -�'�.,, i c �T i �: y» i.p '.Ir 1 u c'. c �1' 5 ,Y `.i:-f'-'.{�`�`' I._-�. I x' ;�'�{ -1 "(,.'�"'a. n r iF m' 38. Final Plumbin j f - 1' _ ^ -A e- fia s % 9 :� vc 39. Water !Se rie•Final r?H-r 1^+:. i"� .-•., 1 7 40. Gas Service-F,irial -+ 1: I. °, .� 3 .� �s.,� aC}} N.jd N A:.M Cl• td 1- .._ i �" t'' ,- .' '�.. _ t _. ''' -I ! fl,%V n,.+ i . 41. Solar Domestic -Pinel a-! 1 • ��' -:, n'' __ 4 `I +"? "t-^- +�• jl:,:°�� 1 t ,�j 1 I ,I,� , ..._L -:1__.i_ -'-� .,-i: 42. Backflow Preventeq . �� •.'j 'j _3 a I I t 1 :�_ �. -•� Wlrrl 43.BCkfIOgatlOni �;-1Q1/..j j n' �'. .�;�i- t -i°�luiij�'t, :� 1i., j I t �,�'. �J .•j 7 K�i 44..andscape Irrigation m •� Syste �, 1. 9 t� :� b i --� . !r'• 1; , { _. - 1 `"'• ,. yl c ! 1 ' F ,'r I I m = . 45. Sound Attenuationt `� j ` a ' = 1+D.I �� j F; ! . j st 46. Hg'ndicaP Regulations! cj "'i j 'i 1 -- I 1'. ., 1{RL'e ult , 47. FINAL STRUCTURE &'BUILDIN I �..- 46. SP641l Req uireme its Com leted e p - ! '•� • ', `!7 1 4• I I m I ( i i C .,. R 49. Ejectric Releaselto Edifonj ' � i ' �if i r r I f {- I 'i i t '.I{{ { "• i 50. Gas Release to Southern Glifornia Gas CLb ! 4} -� - { 1 N "� � .j , .1"'11% •f Y 51. CER CATE OF`0 DatePANCY � N ' No _ ' ? ! �-^-� 1 .u.,-ar.�eµrn•.a••_arrx.^..t;ir�skrh-.,- 6ty of Costa Mesa _ Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. DO . L, J b . P. O. Box 1200 Costa Mesa, California The Building located at 3505 CAT)TT.T,AC UNIT 40-104 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group p-9 Occupancy. Use of Building 0FPTr..R Legal Description 139-66,2-17 (See reverse side for Metes and Bounds) Building Permit No rt-1rgn7 Electrical Permit No. PMb:1F990 Plumbing Permit No. PI Mechanical Permit No.. =AVVI_rQ°n Number of apartments and/or guest rooms ISSUED TO: Building Official��• O'DOfV EL tiRIGHAIA by V �r Q /v�•- �� 3505 CADIU AC 110-110, COSTA MSA. CA. Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/63 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File Date • Owner Inlorrt'oistestify r correct. ag eetor rm and state laws laling to Rubin re taches of t enter inspection in in o Sign tUr Drivers' License or SS $ CMF 0965-a 6, ren. 10/80 Wh - Acemm"t to fill n aluaees pExcept Islaw within heavy herder lines and sign an appropriate declarations. P -Trap Laundry Trays 5308 1/09/85 oGs:17 TL 1 Reinspection Fee $15 Issue Fee KW Trash Compactor CITY OFI`WSTA JMESA CON TR CTION Pjp MIT Protect Address JSO //{ /J Vq /O PERMITT NO. PERMIT C /�%%O TRACT NO. LOT NO. UNIT Nb. TYPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION LJ ❑ CONVERSION ❑ DEMOLISH 0 OTHER DESCRIPTION OF WORK/USE OF BLDG. REPAIR r �J Applicants Mailing Address 2ia:S �4C'i" lade- / ...���--�� OO Addr shame para pr M1oney C� AOOress O�-ai! i �p' -// Exhaust System ❑ Multiple ❑ 'System Repalr/Alteetion " $ 3 A.P. 46 - Zone Fire Dampers S Main Building: Attessory Builtling:. Registers - - Arth/Eng.p _ Qf5 Later.f.Ngp Atldfess asJ I �4*,TdI -TYPEOFPERMIT GGRADING El FOUNDATIOry STRUCTURAL TENANT D ELECTRICAL O PLUMBING 0 MECHANICAL — I] OTHER r f OTHER PRQIECT DE$Cfl IPTION SO. FT. OCCUPANCv C ON STRUCTION TYPE VALUATION$ ZONE GRADINGCLLYDS. ACR T Front Reinspection Pae 0 B A Rear N I �1 CUatral Name P --n a:0(7 phos / -� K Right BUILDING PERMIT PLAN CHECK PLUMBING O' PLACHECK 25% N ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 35% G / Address Imailingly ' `mss— �Prli.r / S Left R r�r.� City Lianx No. aY)CIV _ LICENSED CONTRACTOR DECLARATION 9 (commend, provisions of Professions with Mo affirm that 1 am licensed of the with ucnan ypoo) M Division 3 or me Business and Professions Csvle, antl is in full eary etlec[. (/2-"Z,` Gnse Cla Lice /o. Plry. flet. # PBfkipg fleq./ProViEetl - E gemarka: Planning Notes: 1 M T S mnsiene Oale� Signature PLUMBING FEES ,S YORKERS' COMPENSATION DECI-ARA N hereby affirm that l have a certificate of wntent to relpinsure or a pertllicate of Workers' Compensation Insurance. or a certified, copy thereof (Saco 3800, Ub. 9 policyNo if p}ASHO S9937�mwnv eoM/h Lr-vU/O,✓n ❑uruned cd, vis hereby fgrmmm. thickIs filed nun the city coli scows Bar Sink Showers de'100 ELECTRICAL FEES `b . 1 I p Beekflow Preventer ServiceSinkTransformer- - - Automatic Washer. ❑ 15-50 KW Construction Pole,Sub. 05G KW - Backflow Irrigation Sewer Caip s - Bathtubs Sewer Connection li - _ Cooking Unit Meter OUR to 100 Erupt Date Aoplicant� EXEMPTIO ROM WORKEgS'[OMPENSATION DE LARATION e e iThis ukilo d no[ ba wmpleteO l(tne Mrmlt Is for one M1untlred (5100) of ' esaL Clarifiers Bonar Collectors Oishwasher Meter Dover massa ps _ _ DisbuwsM1er Bonar piping - Dryers ❑Gas ❑Electric Sub Panel e bIVV in In the performance of ilio work far wroth this perm;t is Bsuee mallnot t mplov any cerwn m y mann so as tg Oecoma sublect to tFe Workers' Compensation Laws of California,er Drinking Fountains Solar Tank Fan Motors ❑DI HP ❑1%-8 Floor Onains Swimming Pool w/Spa F.A.U. Inc. Soler 09-15 HE 01615+ . Date Moisture -NOTICE If, alter making this declaration, you should become subject to the omoly with peen tipWVlsionislaor thism Pemdlir hall be deemed forthwith s revoked. Floor Sinks 'L Urinal - Q Q Fixtures' Microwave ' Gas Service Outlets a water ClosetlD Device Boxes Pole Light � CONSTRUCTION LENDING AGENCY 1 hereby affirm that there Is a construction lending agency for the performanceDs of the work for abich this permit Is .Issued (Section 3097 Civ. C.)_ Liberal Name Interceptors Water Mester a 60/4 Outlets flange v; Date • Owner Inlorrt'oistestify r correct. ag eetor rm and state laws laling to Rubin re taches of t enter inspection in in o Sign tUr Drivers' License or SS $ CMF 0965-a 6, ren. 10/80 Wh - Ing; Goldenrod - Assessor Kitchen Sink! Water Service (/ Switches Lavatories Auto Wash P -Trap Laundry Trays Roaf Drains - Standing Sections 1 Reinspection Fee $15 Issue Fee KW Trash Compactor MECHANICAL Boilerl Hood or Type I ElDuct-UnderGrounE Canopy Type 11 ❑ Duct -Structural _ Duct Ventilating Refrigeration Byrtem 1]OTO0,o00BTU 010g00DBT Exhaust System ❑ Multiple ❑ 'System Repalr/Alteetion " $ 3 Firespl/Fact BIL ICBO he Fire Dampers Heating System & Oucting -061 DQ0o0 BTU O100,0008TI.- Registers - - Reinsce ion Fa S15 Inas FEE $ 3 1 Reinspection Pae $15 lam Fee Ing; Goldenrod - Assessor (/ Switches Sign Garbage Cerebral Standing Sections 1 Generator 0D6KW❑5.15 KW Trash Compactor $ 3 Reinsce ion Fa S15 Inas FEE $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS:. Zoning Approved By Building Approved By Application Island By Date Date Dat BUILDING PERMIT PLAN CHECK PLUMBING O' PLACHECK 25% N ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 35% SUMMARY OF FEES $ Sel S,O.�,PERMIT $ v T �sp ISSUANCE :S � O ENERGY P.C. $ C/O GRADING S 1-329MICROFILM $ % %' OO TOTAL FEE $ 3 So $ ' $ $ $ $ �r��� $ _L'L ' S 3 CONSTRUCTION AND PLANNING APPROVALS Permit 4h i Dai Inspector Pt'_` & SPA , APPROVALS - Permit# Date Inspector 1. Temporary, Electrical Service or Pole 52. Pool & Equipment Location , 2. Soil.Pipe-Undrgrnd. I.�7dd+S- L�'� 53. Steel Reinforcement 3? Electrical Conduit Utility-Undrgrnd. 54. Forms 4:. Electrical'Conduit•Undrgrnd. �- 55. Electrical Bonding •�.^ 5r'Steel'Reinforcement 56. Rough Plumbing & Pressure Test -6:' Electrical•UFER,G�rnd. / .71 57. APPROVAL TO COVER-GUNITE Footing's / ^ i = 58. Electrical Conduit-Undrgrnd. ' 8f- 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!IRoof'Drains"' �� ' 64. Plumbing System - Final W_Rou'gh PlumbingA 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, Roygh Electrical -T Bar Ceilingf () 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning �,O FIRE DEPT. REQUIREMENT APPROVALS Permit # 20..Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 2'/. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test �- 72. -Underground Flush ...- 24. Roof Framing 73. Undergrnd. Storage Tank 0Gas 0Oil 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 ISSUEDI 33. Final Electric Notes: 34. Final Heating & Air Conditioning t 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final r , 42. Backflow Preventef 43. Backflow'Irrigatioo 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 HR In all spaces except thou within Dea VY border lines and sign all appropriate declarations PER ND, :TRACT NO. LOT NO. .UNIT NO. CITY of COSTA ialESA 'r0y TR onICTI�N PERMIT .. _ , Protect Address ?.'ro S3 C�ieCJiG.(/e.e O' -i I �D . , , - 734'2 2/ %E5 �..e(IT TL A. rsnten Mailing Address TYPE OF CONSTRUCTION NEw ADo ALTERATIOry REPAIR ' P M1pneSs6^911a El CONVERSION ❑ DEMOLISH ❑ OTHER 'Carrier's Name N�// t 1 Z- DESCRIPTION OF WORK/USE OF BLDG.' - A.P.AP1P ' Zone Atldress ..a' CLQ a✓.'G7! f_ �p 1 S Main'Building' Accessory Building: . ArcM1/Eng. License No. - 'TYPE OF PERMIT GFHOING FOUNDATION STRUCTURAL T Firm p :, p ACOress V' 2 ❑ TENANT 0 ELECTRICAL 0 PLUMBING ❑MECHANICAL B pear N COnlreCta Nam S' WO /O Pnono' JZ 7Z 9c OTHER p Right - N 1 PROJECTOESCRIPTION SQ. Fr. OCCUPANCY -9 - ly' Andrus( I' gl 3 n;E �L GG¢ /fa t5 Left - G is�!]�-7 CONSTRUCTION TYPE VALUATIONR /., CIty License CO A T -ONE 0RADI NG CU. YDS. ACRO PI Ref.ah- Park's Re LL LICENSED O NTRACTOX DEL under PON c - g 9 _ q (PmvitlEC a' CID .I hereby 1£ that am a e Positions of Professions (commencing Remarks: I Planning Notes: M I, 1 with lemon Jooay of, Division 3 or me eozlnesa dna Prmenlons epee, dna License full IyBE apfact.�/2 y - !- 5 Q Date 2.-i/ CSignature��� PLUMBING FEES .. . IORKEPS COMPENSATION DECLARATION Bar Sink Snawers ELECTRICAL FEES V hereby am mats v ernrcam mf workers' Compensation Insurance, or Cetified COPY rthereof 15enlon gackflow.Prewnter ..i_ 1 Bery ce Bink - Automatic WasM1er Transformer ❑ 15-50 KW -- '3800, Lab, C.)' �r- POIICY N' f1ii `•.ik 6S9<j/9 pally C -d con an us.; 104, Backflow litigation : ' SewerCap ' Construction Pole Sub. a ❑Sot KW eced-r a er- n eyfurnished. Cerl 1 tl py Is f lee witn ti 'ty 8ry�al g plvlslon Bathtubs ! Server Connecticut , Car ng Unit Meter ❑up to 100 amps' -Dale—/a r�� APpll t1.S4 S3 �'�'4peLa EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors I Dishwasher Meter Cover 100amp3 1 . IThissuctian need not be completed it the permit is ter one hundred 151001 or Dishwasher Nzz). Solar Piping Dryers ❑Gas ❑Electric Sub Panel 1 certify that In that performance of Inmaw o k for m which this permit IS Issued I shall not employ y Person 'in y mlbecpme subject to lire Drinking Fountains Solar Tank 1 Fan Motors ❑0-1 HP 171h-$ Workers' Compensation Laws of California. 1 Cale Signature Floor Drains Swimming Pool w/Spa F.A.U. r Inc. Solar ❑945 HP ❑16-154 NOTICE: 11, after making this declaration, You should become subject to the ' Workers' Compensation provisions OI the LabOr'sCDde, You must IortnwllM1 a Floor Sinks _ Urine'.., Fixtures -M{[rOvs2v¢ comply with en, provisions or this permit hall he deemed revoked.- "' ' ' ' - "- - " I '� CONSTRUCTION LENDING AGENCY, Gas Service Civilian, Water Closet �� Device Boxes - Pole Light, 'to hereby affirm mat there Is a construction lending agency for the rhormance' 1 the k for wo this permit Is Issued (Sactlon 3097 Civ. C.) Interceptors 1 Water Heater Outlets flan I Lentler's Name ge Lender s Address. - r Kitchen Sink WaterServitt SwitcM1ez Sign _ OWNER BUILDER DECLARATION _ ' 1 M1erebY tf IM1 [ 'pt IIOm me COO[rdCtar 9 LICBO La f the L tOries _ Auto Wash rplunwin9 reason IYctlon 7031 5 BOslness antl Profess anal Cetle Any repair or. _ - Gerbege Disposal Standing Sections antv n n p .m t to construct ager, -marrow, aemollsn or repel. P Trap .r Laundry Trays - - Generator ❑65 KW ❑5 y st,d - v - t t Iszuanw Iso revulro ma appRcam mi sato pe.o of 15 KW Trmn Compactor p file a signed natement that lie/slid Is Ilcensee pursuant to Me provrs no f Roof Downs ' to 5ontmc[ori Litense`Law ^CM1apter 9lmmmencin0g I[h SeciSonJo001e - n,3'ol•[he 9uslneM tl Prdesslons Cotle1 mat be/ lie is �exemps or _ M1BIMmm drill iM1a b015 IOr ine'allegee exemption. Any niolatlon 1 Section >031.5 Dy any ppbcant f p -t Dlects ma apDlk t 1 acivil ' �endltY of t [M1 lift n artla II SISSOb). -• r L f tM1 prevpne^v o y employees Wtn ge ill 1Role Reonspeaction Fad E15 Issue Fan S 3, mhoeozat' 'n a the rk dna [lip nructure ix no[ Intens a ftmed Reinstallation Fee $15 issue Fn r 3 1 r la ISdcflon 7040; Buan¢es and r as Onal code ih. camractor'soves ._ MECHANICAL - FEES License Vow does net apply o Ow r f a pmceNY wnp bullas ^r Improves io , thereon, a woo apes such - rk nimselfplerzeU pr tM1rougn lits or ser own DEVELOPMENT SERVICES REQUIREMENTS: 1 empley¢6. provided in3t n Improvements ase n [ tended Or pifesed for BOIBf' Hood Or TVpe L1 sale. Ir, npwaveq me bull0lnq ar Improvemem h soltl wlinln oneyeer of sne �Gnopy - Tylae ❑ Zoning ildi g Approved d ^ate a I pleilon, lM1¢ Ownts will nave [lie bween o£ proving lie/sne ala not bulla pr In � Duct- Under Ground , I. Building Approwa By Date—/—� !S�rove BS rtpnedpurpose or saleL e�5' ' tractors to construct thePuts , xnusrvely o iratling Ith Professions Code! Ouet- Structural Refrigeration System .Application Issued By p AW Wes nu Jp40, to am o ane Wf property COEe' ^ t The contractor's Liconse uw d of apply to a woe 1 pr witty cWhoon- pact - Ventilating ❑0.100,W06TU ❑1']0,000 BTU SUMMARY OEFEES ' I balms o IMP pursuant olid who Centripetal License seen protects Ian •troof Of eprker's Compensation insraceshool a OMawarethat Exhaust System Multiple System Repair/Alteration BUILDING PERMIT $ SMIP� '$ proal r Had worker's comvenzauon in urn noulE De provided to " PLAN CHECK •$ PERMIT ' ❑1St exempt under Section a: a P. c mr this reason Firael/Fact. BN. ICBO aP Fire Dampxs PLUMBING '$ SOU ISSUANCE $ Date Owner I I I Heating System& Ducting •Registers - PLAN CHECK 25%I$ ENERGY P,.C. S _._ I hereby certify correct. that I haw 'read t m is applmat Inc and tate that the above . ❑D100,0W BTU ❑100AOOBT _ - GRADING $ •imor motion is I agree to comply with all city and county ordinances - ELECTRICAL '$ and tate. laws armto bul-ng construction, and hereby authorize repro- - PLAN CHECK 50% :$ MICROFILM $ zenaailve3 f iniS 't Aop ne bo honed Property mr inspection purpos MECHANICAL $ Signature; ?�/I��L' TOTAL FEE '$ i Drivers' bcarea or SS 3 Reinspection Fee $15 I IMue Fee - E 3 PLAN CHECK 25% $ CMF 0865.66, rev. 10184 Pink : ACCOUntingl Goidiumo i . Assessor - ` - h- - 'CONSTRrLIC TION AND PLANNING APPROVALS Permit # .Date Inspector P, _, &_SPA _ APPROVALS - Permit# Date Inspector' 1. temporary Electrical Service or Pole 52. Pool & Equipment Location �2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement r:3. Electrical Conduit Utility-Undrgrnd.,:. - - 54.: Forms - - 4. Electrical Conduit-Undrgrnd. _ 55. Electrical Bonding - -4ti. 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,-0rUndrgrnd., Test '• 9.' Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap,,❑ Undrgrnd. ! 10. Structural Floor System 61. ;APPROVAL TO DECK _ = 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final - 12. Sewer Cap 63. Heater &,-Vent-Final - 13. Roof Drains _ 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final - 15. Rough Electrical=Conduit ": 66: Solar System -Final 18 'Rough Electric Wiring 67. Fencing & Access Approval 17: Rough Wiring Sign 68. APPROVED -FOR PLASTERING '1 18. Rough Electrical -T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # i 20. Rough Factory Fireplace 21. Ducts, in Structure -70. Underground Hydro ' 22. Ducts, Veritilating ,71 . Product Piping ❑Gas boil 23. Gas Pipe -Rough & Test - 72. Underground Flush '24. Roof Framing _ - • - 73. Undergrnd. Storage Tank O 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 "' f 44. Landscape Irrigation System I - 45. Sound -Attenuation _ I 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison I � - 50. Gas Release to Southern CalifIorriia Gas Co 51. CERTIFICATE_ OF OCCUPANCY - CCUPANCY No.Date No. Date -----s-- - - .- _ -. Applicant lotill in all imam within heavy border liner and sign an appropriate aeNavOams. CFrYOFCOSTAMESA CONSTRUCTION PERMIT;' .Project Addrees 4505 Cadillac wregnal Bldg 0 10 (0 "'- m 114 2S Swimming Pa �"�'" 0$ Apiwassnt's Mailing Addressll 75 N. QWX 3TC1e Anah1 jIl Ownari Name CAMRRTiYS'' PARR P 129TdP'R6 >r hone TYPE OF CONSTRUCTION NEW rill AL 71 ALTERATION s D CONVERSION 0 DEMOLISH ❑ OTHER DESCRIPTION OF WORKUSE�OF' BLD no@'�RCLAT metal Address Icn rArlillac Ave. r Ste 0110, Cnata Mena 4 ton Heat L hxllaustr'Fnins TYPE OF PERMIT LJ GRADING FOUNDATION STRUCTURAL PLUMBING [JiMECHANICAL ❑ TENANT D ELECTRICAL D I O,.OTHER' PROJECT DESCRIPTION SQ. ET- -OCCUPANCY— C ONSTgUCTION TV PE VALUATIONS 20NE GRADING COS. ACRES At:MEng. License Np. ACOres Contractors Name ffiAlIE ALR CMITIONIIJG phon,630-6412 AEdrea lmeilingl 1175N. O!JA a Circle .anaheim.92807 GIIyLIC20aN0.'�"YNl �[' as LICENSED CONTRACTOR DECLARATION System RepairlAlteration Remark$: 1-04eby affirm that I am licensed under provisions of Charter 9 (Commencing with section 70001 of Division 3 of the Buslnees and Professions Cade, and Pole LigFL MY license Ism fm force ane Affect. Range BUILDING PERMIT -)ath 0o1 /RS t� -w.nw PLUMBING - $ 'ORKERS'COMPENSATION O RATION hereby affirm trial I haw a certificate of convert to and -Insure or a Certificate Bar Sink Showers $ Backllow Antimatter - Service Sink of Workers Compensation Insummee, or a certified copy thereof [Section 3000. alb. C.1- Po11<Y Nb. WLLnil Comp MY STA'TI' �' TNS• BapkHo lrtige[i0n Sewers Dap s Cdrtlfied copy is hereby furnished. carti a cy a filed with the city e g Dly/nl� � Bathtubs sever Connection PLAN CHECK " �^u----^^ApOOCant� M a 7x Clarifies" polar Collectors ENERGY P.C., $ mu in for one hundred (e100) or nso or as to b thisme subie 1, to tka there is a construction lending agency for the perhor"AnCe which this moult Is Issue d -(Section '3097Clv. C.) DECLARATION - J I Am Axomot from the Contractor's Llo nse Law for the The Contractor's license taw does not Apply L ownerl property wma busses Im admis person. and who contracts ser Such Process With Com traCto/o$im Ites¢ pursuant le the Contractor's License Law). I am aware that proof their WWNBr'e Compensation Insurance should be Wovided to m ❑ 1 am exempt under auction 6. A, P. C. for this reason Date owner I hereby certify that I haVe read this application and state that the shove Information Is correct. I agree to comply with all city and county O di rumors d late laws relating t pbulldinp Construction, and hereby authorizepre- ntetlPos or this renter upon the a UOA,7 p�peScor inspection purposes.L 1 Signature Oale cut Mfg' Llcena m $ ; As CMF 066566, An. 6/66 White - But ng; anary- PPIMaMi Pink - Account Fountains Solar Tank ling' Swimming Pa As ' ' Urinal Of Outlets Water Closet CIA -Water Heater Water I Water Service Refrigeration System ' ❑MlW,DWBTU 0100,100 Exhaust System ❑ Multiple ❑ System RepairlAlteration Microwave - Roof (Doing ELECTRICAL FEES and Washer Imior• Pale Sub. . Transformer 015-50KW-" 0 50+ SAY Reinspettion Fae ' • $15 lass. Fees i - "MECHANICAL DOas ❑Elecoic golfer a Duct - Under Ground Hood or Type I ❑ Canopy Type 1) DuCI Structural Duct -Ventilating Refrigeration System ' ❑MlW,DWBTU 0100,100 Exhaust System ❑ Multiple ❑ System RepairlAlteration S3 F irell/Tact. Sit. ICBO'I Z Millaust tMS, Sing Heating System 8 Ducting' 00100,000 BTU 11100BUDETAL 1 4 tom 6napressorS7. 0 Reinapection Fee '$16 bale Fee E 3 I Goldenrod - Assal 7267 2/08/95 A.P.# I Zone $ Main aaddin. Accessory Buill E T Front A Rear C Right K Left 7179. Ref. IF Parking ReOJProvided Planning Notes: Ibe50 TI, 5 KWI I Truth Fee Z N N G R O M Zoning Approved BY—Dl ELECTRICAL FEES and Washer Imior• Pale Sub. . Transformer 015-50KW-" 0 50+ SAY glimit Meter ❑upto100amps skier Meter Down 100 amps DOas ❑Elecoic Sub Panel ' Motors 00-1 HP❑1X-B Inc. Soler 09-15 HP 016-15f rs Microwave - Boxes Pole LigFL SUMMARY OF FEES Range 5 KWI I Truth Fee Z N N G R O M Zoning Approved BY—Dl ' SoIilding Approved By Date Application hued By—Dams SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING s ISSUANCE $ PLAN CHECK 26% $ ENERGY P.C., $ ELECTRICAL S 'GRADING $ PLAN CHECK 60% $ MICROFILM IT MECHANICAL $ 14.50 TOTAL FEE $ - 14.50 PLAN CHECK 25% $ • CONSTRUCTION AND PLANNING APPROVALS Permit # - Date Inspector P & SPA 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 i 5. Steel Reinforcement 56. Rough Plumbing &-Pressure Test ' 6. Electrical UFER Grnd. 57.. APPROVAL TO COVER-GUNITE 7. Footings . a 58. Electrical Conduit-Undrgrnd. ' 8. Foundation _ r 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines', P -Trap, O Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection '62. Backwash & Receptor -Final 12. Sewer Cap 63.- Heater & Vent -Final 13. Roof Drains 64-- Plumbing System - Final 14. Rough Plumbing - 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final i 16. Rough Electric Wiring 67. Fencing & Access Approval ' 17, Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT. APPROVALS .Permit# 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating Z�cr/ ( � 71. Product Piping C Gas .%0 Oil 23. Gas Pipe -Rough & Test 72. Underground FI'ush 24. Roof Framing 73. Undergrnd. Storage Tank ❑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 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: I 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 r 43. Backflow irrigation .. i 44. Landscape Irrigation System 45. Sound Attenuation I 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 i 3505 CADILLAC AVE UNIT 0106 — (B552372 UNIT 0106 — ii 9 ( B35237 PC#4651-91 S — UNIT 0106 /aA- /f/ 505 Cadillac Avenue [FLIT 0106 RNEI9543 INP. ALT.- 7'5-,Pj` (02*06A) CADILLAC AVENUE 3505 Unit 0-6 Lot 38 - B-2290- 4/1/0- CMM. Bldg. 86,506. [lit 0-6 P-2401- PLBG.(B-2290) E-2657- 91Lo18? FL.Er. (B-2290) Unit 0-6 M-3766-9(gy/r}MECH. (B-2290) Unit 0-6 a -EP13986 � TEN IMP $22,0 . PC 441-84A UNIT 0106 ■ 1413990 8� MISC % a BP13986 - E14016 MISC _ BP13986 STE1106 i _ 113986 AE INSPEXT _ 7311s'l BP13986 E16688 MISC y5'$S BP16663 I E16690 MISC - BP16687 - BP16663 TEN IMP $51,000. _ 43/PSS PC 791-84A 0-206 ..M16783 DUCT %// l/S 0206 Applicant to fill in an Spaces except those within heavy sower lines and sign all appropriate Concoctions. =CITVOF to3CA MESA CANSTRUCTIbN PERMIT Project Addl - v MIT NO. 2 TflACT NO. m w�-z OT NO. �ar 38 NIT NO. 4D- ' AppM1cant'sWilin,�9a/�A�,1dtle" �T/%� i (Tuner's Name ff a/ it B�raGI/�Phone Address—3SQ��+4�i/LL•Q� !��/�6 TYPE OF CONSTRUCTION NEw ADD ALTERATION REPAIR 0 CONVERSION Q DEMOLISH EJ1PTHEN DESCR IPfI WOR SE9E�6 DG. AP go $ Ma'In Building' Arch/Eng. License No. Address ��� TYPE OF PERMIT OF PERMIT GRAD1ry FOUNDATION STRUCTURAL STRUC� 91FENANT ❑ ELECTRICAL YS' PLUMBING ❑ MECHANICAL OTHER T Front RA Rear Contractor's (ma AddreR (mailing) ������������� PROJECT DESCRIPTION SD. FT. ��Ij�� OCCUPANCY y�a/�J�� CONSTRUCTION TYPE VALUATION$�� C Right S Left V`u City Licari LICENSED CONTNACTOR DECLARATION Nosin 1 hereby affirm that I am hennaed under or 151 5 of Char r { g ss with tlOn ]000) Of Division 3 of the 31 and Pr 310 Lm ind ZONE�GRADING CU.YDS. ACFES PMg, gCf.'Y Remarks: 8 Planning Nates[ V 1 �r my license ism fulliorceantl effect l License Class Lim Wte signature a WORKERS' L OMP E NS AT IO N O E C RATION' hereby affirm that 1 have a urtlfl a of co scat to tinsu rtllirate PLUMBING FEES /Bar Sink Showers 'L - of workers' Compensation Insure e, Or an Coi copy there a to 3300, Lea. C.) Policy No. P -,:f P 41 company Backllow PreVenter Service Sink Automatic Washer Belllow Irrigation Seaver Cap, -- • Construction Pole Sub. co hereby furnished. �CCNl11ed Certlfleq egpYLlgedwlth the City Bu Dat �/!i FJfi Applicant Bathtubs Sewer Connection Dunking Unit GlKiiiKS SkdUr pollecl0n Dishwasher EXEMPTION FROMWORKERS' COMP SATIO ECLARATION I"a;ve[tlOn need not be mmvletaa If t Permit H for One hundred {51001 or, certify that In thperfaf mance of t e work for which this Permit IS Issued Il, 'nofl not employ any Person i y manner so to become SubleCl to the Dishwasher Soler Piping Dryers ❑Gaa ❑Electric — Drinking Fountains Solar Tank Per Nets' ompensation Lawf OI Gllbrna. Floor Drains Swimming Pool w/Spa F A.U. OFF Signature -. NOTICE! H, after king ole decla dtion, you should becomeSubject to the Workers ' Comensation Provisions f the Labors ode, YOU ust forthwith Comply With such provisions Or this permit hall be deemed ked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there iz a Construction lending agency for the performance of the work for which this permit i5 Issued (Section 3097 Civ. C.) Under's Name Floor Sinks Urinal Fixtures - Gas Service Outlets Water CIORt '1 T O Device Boxes Interceptors Water Heater Z Outlets _ Kitchen Sink Water service Switches - Lender Address _ OWNER BUILDER DECLARATION 1 harebY aflBm that 1 am mol from the ContadOrN Licence Law far the epllawing reams Recllon ]031.5 Business and hofesslonal Code: AnY city or munty hien sceptres a Permitm CenstrOct , Har. Improve, semollsn or repair AV SIfY SiUre. prior 10 Its ISSYinGe. ilio requiresSUGh permit [M1e applimn[ 'or to moa tinea 5m.mene that he t am See pursuant to me Dromswns of the Div.. nlradar'c license Law ^Chapter 9 (Co 1 pg 10 R ts10n ]0000 of ision 3 ai tore Business a a Pmtesslons Ooaej site's be he Is ex mot l Ole�iO 1 Section ln¢r¢Irom asp t e batli for Ineaallegetl exemption. Any viol ]031ly b At Rlareel�mnliVeonu nal etl dollar:($csoo)tn¢ aPplican[ eo Iv11 arm let �l, as nen f the prpvpaanY o V e PIOYeelwith ages a5 tlloolr sola ml3e 11 n WIII ao the k, anrtl Ne structure is at In toO off for IeMlSection 7o aa, Bustneis ane Prof a Fal onaI Code: Toa C0ofacmr's umnse Ue awes not apPIV wo owner a1 a property whit ewltls ar 1 prover taeredn, a d na does k calm:elf/neeseI1 o tnroll h hH or per m InYY 5 oro via ed that Such Im pro vemaa is r¢ n 1 Intandatl or ofbr10 for sale D. However. tits aulmin r Im Oroaement i5 find witnln one year pf cpm DIet�O; thM1B P urDOIDl1pthsle) he to n of prOviOg tie/sl5o tlid pot bYlld ar Im- ia1, as owner oft property, m exclusively onto no th Ilcensed can cl Og to construct Drged senlon]ooa, Business and rOfessigns Code: The Contractor's tlmma law Doe not appy to a w f Property who duties Improve PROOF. asp who Contra S for such pro ed5 tM1 a can - track arp1limncepursuant tothe eContractois ncmnse Low) l am that proof 31 their worker's Co Pen thin i braid to Provided to ❑ l am IVunder sect 1 B. & P. C. for this reason Lavatories Gtlbag¢ Di3poill - p_Trap Generator ❑D5 KW ❑5-15 K gdbt Drains _ _ Rejnapenion Fee $15 Ise Fee u $ 3'- Reim soaks Fee $1! - MECHANICAL FEES - DEVELOPMENT SERVICES RED $gninD ApproWtl By `I Building Approved By Application ISsued'By t Boiler Hood or Type 1 ❑ Canopy Type II ❑ Duct - Under Ground Duct -Structural Refrig tf n System Duct- Ventilating ❑0,100,OGO BTU ❑1GG000 BTU BUILDING PERMIT PLAN CHECK $L PLUMBING $ _ PLAN CHECK 25% $ _ ELECTRICAL S _ PLAN CHECK 5036 E _ MECHANICAL S _ Exhaust System Multiple System Repair/Altardion Firepl/Fa BIL ICBG Data Witter Hearing System & Ducting ❑0.100,0130 BTU ❑1o0,00p BT I herds certify that h ver th Part to and tate that the above Informa{lon is mr IT I grea to yyy ..y��dddf hal Iy and Courcy or naances d tate lows latl bulldl ns[rd tl and hereby authorize pW Ruder mauves f thl to ant po/!SII no ovemantlane0 property for cuon perp i i Reimpadion Fee $15 Issue Fee $ 3 Signa Dan Drivers' Likens !Ess # PLAN CHECK 35% $ - Goldenrod - AsxSsor CMFOe65d3,rv.6/36 White-BUIIOInb: CanafY Ap0limnry vink ALCaunting: 3,547 MG/81, GF. ELECTRICAL FEES Transformer ❑ 15.50 KW 050+ KIN Meter ❑up to 1 G amq Meter Dover 100 amps Sub Panel Motors 0O1 His 01 %- 8 Inc. Satyr 09-15 HE C3 16.15+ Microwave Pole Light Range Sign Standing Sections / Trash Compactor ISwe Fast $ 3 FEES SMIP $ � 4 PERMIT ISSUANCE If ENERGY P.C. $ GRADING $ MICROFILM $ TOTALFEE S CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �2 Soil Pipe-Undrgrnd. 719(d"i L 53. Steel Reinforcement 1.3. 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 1 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection - 62. Backwash & Receptor -Final 12. Sewer Cap - 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing -�N 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval i 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 00il 23. Gas Pipe:Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 7 & L 76. Dry Standpipe ' 28. Lathing & Siding - 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing 8 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: '1//2/fIf MD'F )3Zegpy, Lf 34. Final Heating & Air Conditioning y�JL�Tt, N/ AjOT �Iti V �� 35. Final Gas Pipe -Test 36. Hood or Canopy , 37. Final Factory Fireplace 12, 38. Final Plumbing (��'� (,�041' AJf Al 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer " I 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF 0CCUPANCY, No. Date City of Costa Mesa /� Development SatDepartment Building Safety Division CERTIFICATE OF OCCUPANCY No. 00C 533 P. O. Box 1200 Costa Mesa, California The Building located at 3505 Cadillac 0-106 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group Occupancy. Use of Building Print Shop Legal Description 139-662-15 (See reverse side for Metes and Bounds) Building Permit No BP13986 Electrical Permit No.E14016 Plumbing Permit No. BP13986 Mechanical Permit No. M13990 Number of apartments —0//jj /and/or guest rooms —0 ISSUED TO* Building �Official 41 f� i l� O'Donnell Brigham by lde -�5 3505 Cadillac 0-106 C.M. Calif. Date �2 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premfaes and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File Applicant to fill in all spaces except mase within heavy bolder Imes and Sign ad appropriate eeclaralmne CITY OPCOSTA.MBSA' CONSTRUCTION PERMIT PERMIT NO. TOl �S� LOT No. - uwlr ND�G 4571- 7/20/84 151110 it �DiOGG.Ie _ 7,oie=t atla,ess ��/JS OOA11Ll� 4J0ed(Ir Z�xxr TYPE OF CONSTRUCTION NEW LJ ADO Al ALTERATION LJ^REPAIR P Applinni'sM iImg AE yt�/✓LF6 ❑ CONVERSION El DEMOLISH ❑ OTHER - �e A.P.+ r Zone Owner's Name ��®J- - e DESCRIPTION OF WORK/USE OF SLOG. Address '� ��� - $ Main Building: Accessory Building- }� E Z Arch/Eng. Licens No. TYPE OF GRADING - PPONDAn ON STRUCTURAL T Front O ❑ TENANT 0 ELECTRICAL TENANT O PLllM81NG 0 MECHANICAL BA N Address Rear - - Nam )I none ��Q OTHER C Right -- N PROJEN ON 50. FT. OCCUPANCY K' G AtltlreaalmsningldI AddConress(ms STRVCRION TYPE VALUATIONS- $ Left City NC¢nse NO. ZONSTRVCTION ZONE GOADING CU. YDS. ACRES - Ping. Rtf. $ Parking Req,/Provided R F LICENSED CONTRACTOR DECLARATION / C m I hereby affirm that I am licensed under Prold DOyO' Charter fid Remarks Planning Ski - M with sechon ]Poo) m Division 3 of ma Ba Prof ire fie my IIcian%Ice In full force and effect. 3 4' �/ 5. uwnse$In — Linens Dattel/ld signature PLUMBING FEES ORK(RS'SEOMPENSATb N BBCR ATIOs Bar Sink Showers ELECTRICAL_ ;FEES hereby affirm that I have a Corti naeyy6 if COm ent a R114nsure or a wrnneate s of workers' Com lansaoaa Insurer 0. _ Certified Copy thereof (Section geckOow Preventer Service Sink Aubmatic Washer -Transformer EI-15-50 3000, Lae. C.) // KW policy No. Company Backflow l Digation Sewer Cap Construction Pole Sub. El SO HCertified copy is hereby furnished. - Confined ropy is filed with the city Roileing Division. Bathtubs Sewer Connection Cooking Unit Meter Qup t0I OOamps its Clarifiers Solar Collectors Dishwasher Meter ❑Over IOD aT 5 D KER'Applicant TION DECLARATION EXEMPTION FROM WORKERS' COMPENSATION (This section need not be completed If IDs permit is for hundred @100) -pr Per 105). DimMsher Solar Piping Pi Dryers ❑Gas ElEIectric I that in this Issued, 1 fish Sub Panel a y person In an yiM1work all noifyt shallme Su je Manner a5 to become subled to the as to lueR laws of of Drinking Fountains Soler Tank' Fen Motors ❑0.1 HE 01'S' -B COmpen;adOn Retl. Date signature Floor Drains Swimming Pool w/Spa F.A.U. Inc Solar OR 15 HE C316 15+ NOTICE: If, after making tN5 declaration, you all Oil le become subject to that Workers' Compensation provincially of the tabors ode, you must forthwith Fluor Sinks Unusual Fixtures Microwave - oply with such provisions or this permit hall be deemed r YOk". m - CONSTRUCTION LENDING AGENCY I Gas Service .Outlets Water Closet Device Boxes Pole I hereby affirm that Maine Ise Construction lending agency for the performance Light Of the work for w151Ch this permit Is Issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name 9e Leader's Andress _ Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's Uterine Law for the Lavatories Garbage Disposal r Standing Sections following r son (Settled 7031.5 Business and Professional Code: Any City or County which requires a permit to its Issuance, to construct, alter Improve, demolish or repair also rail thg applicant for such permit P_Trap Generator ❑P5 KW 115 15 KW Trash COm t pec m any Structure, prior to NIa a signed statement that he/She Is licensed pursuant to the in,wiaons of ROOF Drains the Contractor's License Law (Chapter 9 (commencing with Seetson ]OOO) oBusinessR Division 3 of the Business d OIeSSIOns Code) r that he/she IS exempt mption. Any yr tion of Section therefrom and the bails far the alleged exSubjects ]03al byanymoirapplicant O) the applicant to IWI WYfor umdrpermit c Collars (555 $ 3 �m1. as owner of the or my employees with wages as their Sole Rolnspeclion Fee $15 Issue Fall w do work, and the structure b t intended or offeree the Code: Rainspec[ien Fee $15 levee Fan $ 3 mI�nsaflon, r le (Section ]040, Bmness d Professional The Contractor's MECHANICAL FEES LicenseLawLaw does not apply to an owner of a property who builds or improwS and who does work MmseO/her tiff through his o her Boller Hood or - Type 1 ❑ DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are n Intended or offered for tie Improvement Is of team- Canopy C3 _ Zoning Approved By note sets. If, however. the bonding or sold within one year Type 11 ation, the owner will haw the burden Of proving he/she dM not build Or Int- Duet- Under Ground Building Approved By Diane ve for the purpose of sale). f the property, am exduslvely contracting with feel Com Oupr- Structural Refrigeration System Application Issued By i r hat Dacliea.: io co�reiraat the project Section 7044, Business And Professlons Code: La! Sale to a awn of who ❑0100,000BTU 0100,000BTU tie contractor's license on apply property y bell Improves tM1ereon, and who contracts for such Pmj"i with License that Duet- Ventilating PERMIT SUMMAR$OF FEES C/ - tractcro5 license Pursuant to the Contractor's Law). I am aware int insurance Evheum $ t ❑ Multiple ❑ Ye °T Syatem Repair/glmretion BUILDING $ xis. SMTP $ proof ! uncir wa.ker s Camp cute be provided to me PLAN CHECK $ PERMIT ' ❑ I am exempt under SacVo S. 6 P. C. for this reason Fir¢pl/Fact Bit. ICBG+ ISSUANCE PLUMBING S $ Date6w or ill Heating System &Ducting PLAN CHECK 25% $ ENERGY P.C. $ certify that county ordinances ❑0100,0110 BTU❑100,000 ELECTRICAL $ GRADING $ nmimation artonanls Y WI sit tv and and state IeYIS reset n tea 1rdm , Four fid hereby authorize testa- PLAN CHECK 5096 $ MICROFILM $ ntatives f this Inspection pw 10 pod ennone pr to MECHANICAL �Ti0d $ TOTAL FEE $ Signal re Ruseepxtian Fee $15 Issued Fee S3H PLAN CHECK 25% $ Sievers'titch r55f CMFBB65-b6. mv.4/e4 White - Building:Canary- AppnOnL Pink- Accounting; Goldenrod Assessor P o O CONSTRUCTION AND PLANNING '-'APPROVALS Permit # Date Inspector POLL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement .3. Electrical Conduit, Utility-Undrgrnd. 54. Forms . 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding . 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. - 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection r 62. Backwash & Receptor -Final 12' Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final ' 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # . 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas COR 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) &'Monocoat 7a�8� 75. Dry Chemical 27. 'Frame and Flashing 76. Dry Standpipe 28. Lathing &Siding 77. FIXED SYSTEM FINAL 29. Insulation y 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 7/zM c,92 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 7 3/ M 62-1 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 III Sml except those within heavy border Imes and :Ian all appropriate declarations. wase CITYOFCOSTAMESA CONSTRUCT ION PER MIT Project Address 7TCC GDIUMC,✓L Applicant's Mailing Atltlress _ Owpttl Neme' OI�('1J')/Je>r% L' ✓/(� Address ? m/CL%ZS1�7 leS Ane /L/,EY/J� PERMIT NO O TRACT NO. LOTNO. UN1TN . all passawn Automatic Washer - - Transformer El,lt oKW Construction Pole Sub. ❑sot KW TYPE OF CONSTRUCTION LJ New'LJ ADO LJ ALTERATION LJ REPAIR 000NVERSION 1:1 DEMOLISH El OTHER DESCRIFIN ON OF VIORKIUSE OF BLDG. illillilligg A.P. he $ IS O K $ Me ArcNEng. _ License No. Addre40 TYPE OF PERMIT GRAOI NG U FOUNDATION LJ STRUCTURAL TENANT O ELECTRICAL O PLUMBING F-1MECHANICALB 'OTHER, PROJECTDESCRIPTION 50. FT. OCCUPANCY CONSTRUCTION TYPE VALUATION S— ZONE - GRAOINGCU.YOS. ACRES Fri R¢ Competitor Nem 94one Q Ril 'Address lmdilingl _ Ad License No. I IO Z / V LICENSED CONTRACTOR DECLARATION Le Plan R Remarks! Pldn I hereby affirm that I -am licensed under provisions of Charter 9 (commencing with se tion 7000) of Division 3 01 the BUN 0 dans Cotle, a _ _ Floor Sinks _ Urinal my licenseIs 1 lull tl elfaat /g/g� /y ^ ends/L or a .�.tr 0. I e" p % JAI I Wt.PLUMBING I FEES $ S $. IS $ $ U.2 -S— No. that In the per Compensation Lenders Name. Certificate of consent to 91Hnsure or a Insurance, or a Oil copy then[ 1. ad B the permit Is for one hundred Steal or (he work for withis Permit is s to ue become publics rte t any California manner so a Date Drivers' uaenu or 55 ; :MF 086546, rev. 4/84 3504 7/06/84 4425 TL }one Accessory building: O N I G R Parkins Reo./Providal E Bar Sink Showers ELECTRICAL FEES Backflow Preventer Service Sink Duct-Ssrvctural Automatic Washer - - Transformer El,lt oKW Construction Pole Sub. ❑sot KW Backflow Irrigation Sewer Cep Bathtubs Sevrer Connection $15 Issue Fee Cooking Unit Meter ❑up to 1 G amps Clarifiers Solar Collectors FEES Dishwasher Meter ❑pvel amps Disposal - Soler Piping DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approval By Application lesuvd BY Dryers ❑Gas❑Electric Sub Panel Drinking Fountains Solar Tank Rainspe0ion Fee Fen Motors ❑61 HP 011A 8 Floor Drains Swimming Pool w/Spa, F.A.U. Inc. Solar,[19,15 He 01&15+ _ Floor Sinks _ Urinal BUILDING PERMIT PIAN CHECK PLUMBING PIAN CHECK 25%$ ELECTRICAL PLAN CHECK 50% MECHANICAL PIAN CHECK 25% Fixtures Microwave I Gas Service Outlets Water Close[ $ S $. IS $ $ U.2 -S— Device Boxes Pole Light Interttptors - Water Heater Outlets RBrge KRchen Snk Water Service' Switches $Igo Lavatories Garbage Disposal Standing Sections P—Trap Generator 005 KW 05.15 KW Trash Compactor loot Drains ReinslsectioIs Fee at build or Iml h licensed ede. )fessionsproperty who as with a con- can - e trust am see ware for this reason Duct - Under Ground Duct-Ssrvctural Duct Ventilating Exhaust System ❑ $15 Issue Fee Flreil/Fact. Bit-ICB( $ 3 FEES Heating System & On 1)6100.000 BTU 11ty ,hat the aboe ordinanc wino 1 J7,/"G�/"G//'���rP��rP DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approval By Application lesuvd BY nate D:e� Dote.CC JSP Rainspe0ion Fee Pink - Accounting: Goldenrod - Assessor $16I I Issue Fee MECHANICAL Hood ar Type I ❑ CenopY TYPe II ❑ Rafrigerefion System ❑01(70006TU ❑100,0(q ¢ ❑ System RepeirlAlteration $15 I I Issnd Fee $3 fleinslsectien Fee $15 Issue Fee $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approval By Application lesuvd BY nate D:e� Dote.CC JSP L� BUILDING PERMIT PIAN CHECK PLUMBING PIAN CHECK 25%$ ELECTRICAL PLAN CHECK 50% MECHANICAL PIAN CHECK 25% SUMMARY OF FEES $ $ $ $ $ $ $ . LS SMIP PERMIT ISSUANCE ENERGY P.C. GRADING MICROFILM TOTAL FEE $ S $. IS $ $ U.2 -S— $ 3 CONSTRUCTION. AND PLANNING 'APPROVALS Permit # Date Inspector PUuL & SPA - APPROVALS Permit 46 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd.,.Test 9. Water Pipe-Undrgrnd. 60.- Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECk 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final .� 13. Roof Drains 64. Plumbing System - Final - 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final ' 16. Rough Electric Wiring - 67. Fencing & Access Approval - 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical:T Bar Ceiling 69. POO USPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning 40y/H 4,5,0 FIRE DEPT. REQUIREMENT APPROVALS Permit # ' 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ElGas El Oil ' 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑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 Irrigation44. 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 APmlum to M1II in all :pares except tno+e within heavy border tines and Sign all appropriate declarations. CITVOF CO$'[A Mf,Xq C NST,gU IO E IT (, err �06 Pmi�dtAmrua 33 �� �6— PERMIT NO. C- TRACT NO. LOT NO. UNIT Nq O %0 le Outlets TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR l.J CONVERSION O DEMOLISH ❑ OTHER 'OESCRIPTION-OF WORK/USE OF BLOC. - Applicant's Marlin dr¢R / i/e r Owner's clamp O poop Atltlress I within ane year of Pope. p"We did not build or Im- A.P. fie S E T 0 A O KLeft S Main Building AICWEng. _ L Licen eNO, Addle6 v / O TYPE OF PERMIT GRADING FDUNDAnoN STflUCTV RAL ❑TENANT ELECTRICAL O PLUMBING ❑MECHANICAL gTHER pgOJECT DESCRIPTION SG. FT. OCCUPANCY TYPE VALUATION$ Front Rear llrt❑ Cddreeser's Neme. PM1one 3_ Right AtltlreR lmailingl T City Liberman No. �er� Y/' LICENSED CONTRACTOR DECLARATION ZONST0.UCTION ZONE- GRADING CV. YDS. ACRES Ping, Ref. PP Remarks: Planning Notes: I hereby affirm that I am licensed under provisions of Charter 9 fco tieing with auction 7000] o1 Division 3 of the Business and PmfeRlons Code, and Transformer ❑ 15-50 ON - ❑50tKW myllicenC1 is in run ferccand oAD, 3 F�929. m Data/�./'a`��//l1��//�� PLUMBING FEES Goldenrod IORICERS' COMPENSATION DEC LAR ATION r hereby affirm that I have castlereal@ of consent to self Insure or a certificate Bar $Incl Simmers Eackflow f!erwnmr Service Sink Automatic We of WorkersCom"n illon Insurance, o ortlfl0d COPY thereof (Section 39GD, Lab. CJ BDCkfIOW Ifriptixn $eWg Cap ConSIIVCIWP Policy No- company eCen11iN Copy Is hereby furnished. FEES CerUlleu copy Is filed with the city Building Division. RotMubs'H: - $ewer, Connection Lbpking Unit Oete Applicant Clarifiersy $alar G011ectOrs Diahvvshcr IDEMPTION F ROM WORKER$'COMPENSATION DECLARATION 1fTnlsseQlesn need not Oe completed B the permit Is for Ono hundred ($1001 Or IeOilfv that In the Mlformance of the work for which AN wrmIUFISWe0.1 DitM1N65pCf $GIBS Pi PInP Oryels❑Gel Comply VALP. Sol provisions Or fila pe CONSTRUCTION LENDING AGENCY thereby affirm that there 15 tmc,'Ones of the work for ch permit Is Lender's Name MOOer'a Address OWNER BUILDER DECL RATION r 1 he'nby affirm that I am exempt from the oynmeacmi tOsf county muts mo cRtrel ior to s Alto to anystructure, signed stat meat thatabe/She It ll[ the Crentractof's License Law (Chapter H Ice Division 3 of the Eutlnnss and Profession, therefrom and the basis sof the alleged axe 7031.5 b y a000cant for a permit I �enedr+oinot more len five heered oolla I the prope.ty o y e lop0ehRHOaarwill dbnot too n, dna tie all ar N (semm�OCRs 7D6g. Business E ownerPro of thereon nm and who deePolar men work pimselp am pip Dos pIOVIOW that sued Improvamen Pl lion. the owns will he" lee burden of FT" Dur me purpose of sale). I. as owner 01 the property. am extlush trAesOfStO Contractor's the LicenserojectotaOn O$efhon 70 not Th at bulletin a Improves thOmon, d Who tocol tractorOsl IIwN npursuant to the Conbads proof I leIn tests Worker'+ Compensation ❑ I am axemot under Section Dote Owned Inlorrma\loo Partly sllcorrect. I apt I me tp Cod tmap pw and Stale lows relating to dYllding wns,rur x tapyes f this to to Pan gaturn puepose T`s 3lecti Sigx Drivers' Lipned or 55 sp CMF 0065-06. rev. 0169 WhRIPOSIRRRM, Drains Outlets with weaker o1wir N code; The contractors Vthrouy Rmi owe I Reinapectien Fee I $15 N Outlets Boiler n oriher head ad o offered for I within ane year of Pope. p"We did not build or Im- Duct- Under Ground acting with licensee con- Sol e Pr' property who owner uch with Sign Duct - Structural Ouct Ventilating M Exhaust System ❑ Muhiple ❑ •oum Dobe' Provided losmae T Firepl/Fact. BIL (CBO i B. 6 P. C. for tuts reason , ELECTRICALFEES Heating Svsrem a Ducting ❑DHD UDo BTU ❑10o,ow BT anstate a cothat wama ovee n.rmy amnarize reprm nentlpped DIPpe ty Ips Daze % _ d 9% Transformer ❑ 15-50 ON - ❑50tKW Rainspenien Fw S10 IIonR Pink - Acbrunllne; Goldenrod - Assessor Solar Tank Swimming Pt Urinal Water Clppet Water Heater Issue Fee MUSICAL Hoodor Typel ❑ Canopy Type N ❑ Refrigeration System ❑OIOD,DOD BTU 0100,000 System Repair/Alteration lean Fee 3739 7/10/94. 61.65 TLj Zen 1 74 Device Boxes Z O Pole Light N Outlets RangecKlo G R Parking Req.farovidel Sign E Garbage Dinkiest M ' Sheldon) Sections - T Generator ❑05 KW 05.15 KW Trial Compactor , ELECTRICALFEES Transformer ❑ 15-50 ON - ❑50tKW Meter El m I Do amps Meter Over W mamps 7 Sub Panel Motors❑DI HP❑1%-B 2 Issue Fee 74 Device Boxes Pole Light Outlets RangecKlo / SWRchea Sign Z EQ Garbage Dinkiest ' Sheldon) Sections - Generator ❑05 KW 05.15 KW Trial Compactor S3 j geirNpenion Fee $16 Issue Fee $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Nepal ZBnirptgpprowd By Date Building Approved By Application Issued By e:;X� Date Dat 1\ ' SUMMARY OF FEES BUILDING PERMIT S SNIP $ e [PLAN CHECK S PERMIT GPLUMBING $ ISSUANCE S .PLAN CHECK 25% $ ENERGY P.C. $ j -dELECTRICAL S Z. O GRADING $ ./ PLAN CHECK 50% $ Iq-5T MICROFILM $ MECHANICAL S TOTAL FEE $ (b S 3 PLAN CHECK 25% $ CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POUF & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole r 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation r 59. Gas Pipe, 0 Undrgrnd., Test 9. Water pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 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 ?y 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 00il 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0Gas 0Oil 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 M tFQV C.iL- 7 a S 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44..Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48: Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date bl CR AOPfiuni to fill In all spaces except those within heavy border linea and sign all appropriate declarations CITY Cin COSTA MESA CONSTRUCTION PERMIT . Project Add.ea �.Sa T' L'g� .QyG //J/Jll��' PER IT rvo. � J - �ncr LOT NO. LIV+ 2�' UNIT pyj� - 4222 12/16/54 247.2E it TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑CONVERSION ❑DEMOLISH ❑OTHER Applidgl:Ys Mai ling Add _/T/A�%. �YP.P 'OWOHS Neale O/ S�x'b/ L�Li.�A DryOng yaYG /�� f of 4e applicant to Ivll 77003epy A.P. i¢ 1 — 6L 14 Zone S 3 Address DESCRIPTION OF WORK/USE OF BLDG. Q gpinepvetian Fee Main Building: Accounts, Building: FEES DEVELOPMENT SERVICESR EOUIREMENTS: OKC /Pl4P Zoning APProved By_-_� Dat B011tling ApProWd BY i �1 ^ Dale i ApPlint on Iaued Dy asst Arch/Eng. Licence No. Andrew; TYPEOFPERMIT GRADING* "FOVNOATIOry TRUCTURHL TENANT 0 ELECTRICAL p-PLVMBING ❑MECHANICAL 'OTHER" PROJECT DESCRIPTION SO, FT. OCCVPANC O CONSTRUCTIONTYP VALUATIONS ZONE GRADING CU.YDS, ACRES j FrGllt Due[ -Under Grountls-� ZD B A R¢Br '- N Contractors Nom M1Olse fO K flight Exhaust System ❑ Multiple ❑ G Address(ma (mailing) lSlB 1, /MDG d .%/i�� / No, LICECity NSED ¢EO CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under pit V15 of •Chart (w m d wlln Section 7000) Of Division 3 of the Bu "S and Pm Coe and my license is in lull force antl t hect. $ Left Firepliect. Bit. ICBO qP Fire Dampen Pm qeG# Perking Req./Provided g' Date E Heating System N Dueling ❑6100,000 BTU 11100,000 Remarks: C _r fi4+ Planning Notes: ' ! G M T License Cia itch $15 lace Fae S 3 Goldenrod- Asaaor F 0955-45. rev. POISO While - Bu t:Pink- Accounting: g Us9vnature PLUMBING FEES ' WOR% sc0hl'AT'ONDE[ Agn1ON 1 hinder anl.re that nay. a mmfl Pr t la auansure or a cetinuu Bar Sink Shawas - ELECTRICAL FEE of workers' Compenmtion Insure),a, or a certified carry thereof [section Satin, Lab- C] Backflow Prevemer Service Sink - -I Automatic Washer Trgneformer ❑ 15-50KW " Backflow Irrigation Swyer Cap PotyJayy No. �5�"41 Company L��/O1/(a/r - Construction Pole Sub.' ❑50+KW �Certified copy Is hereby furnished. Bathtubs _ Sevear Connechdn J (poking UnitAPPIo MptFr ❑up l0 IOp amps ONIHI D IS filed with Ine city BUII��h� Divispq. ��9 Odle 5+ fit �eSATI IEC E%EMPIION FROM KERS' COMPENSATION O ATiON Clarifiers Solar Collectors _ Dlfiwawdhm Meter ❑over 1008mpz be CKERS'COMPS One hu Ciisudmn need not be mmOletea lnnv POS hums ane hundred lu0ol ors s 1. certify that em in Ina y Pampa In e^ylnmanra forpermit is issued. P' asnicn become Worikers' Compensation nLaws of Calilomia. ` m DeCOTv SYDleet 10 In6 Wte Signature Oiahwefher Soler Pi piny pryers OGaz DElecnic Sub Panel Drinking FOUn10105 $plat Tank Fan ' Motors ❑OI HE ❑1X 8 Floor Drains Swimming Pool w/Spa F.A.U. Inc. Solar D9-15 HE ❑16150 NOTICE: If, alter making this declamUlm, you should been subject to the Floor Sinks UrIMI - Fixtures - MlCfpv2v¢ Watkins' Compensation . provisions f the Labor aCoda, you must forthwith comply with such provNions or this Corml[ pall D deemed r v kid. CONSTRUCTION LENDING AGENCY I hereby affirm that there N lending agency for the Performance Gas Service Oull¢ti Water Close[ Device Boxes POI. Light 'rconstruction of the work for which Is permit Is Issue Jamie, 3097 Civ. C.) Lender's Name IOt¢rCQp10N Water Healer CO Outlets Range Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's Ucensw Law for the Kitchen Sink - Water Service Switches Sign Lar lieriea `Auno Wadh Daring a DIS call St d' Se nowinW reason 'Sic "on70]15 Business ane Protestlonal Cnee: Any tlty or Linty nich ranulraS a cerm11 to cc areC , br.I reprove, ' 07 sue Or remalr pOy slfuclurq p51or to Its Issuances also reaulres me applicant lar sit y I[ signed latement mat lip/ fie : Ilmnud pursuant to the are Vlsipns o1 the C0 heclarb Llwnu Lz ICnRpoar 91<Ommenel a9 w^[e See[Ina 7000801- DlvlslOn 3 0l Inc Business d lessipn5 Coae] 1 Is ps [narosrpm and the be or tar the alNgetl exempt Ion. Any vl On�IonOI go' [IOn P_Trep - Leuntlry Trays g P an mg cbam Generemr ❑0.5 KW ❑5-15 KW Trash Com pastor gaol Dra - f of 4e applicant to Ivll 77003epy Reinspedion Fx vis la a Fee u S 3 O/ynot mprelnannllve Hund eC tlotllazs 1]55001 LJ 1 as tn0 0roaenY o my a w th w s than sale rit a rn inti siracturesis not Ibadnded ar of force tompaersa[lon,rse do thewar {Se ton 7040, Sulland a pmloubnal Coae: Tae Con Clown can uw`ewes not apob la as owner t a praveolr who bwlas or rovess the d ho door h work alich"O if mmugis his net awn Cloy provloed Thal s holm0rovements ate not : lenpeo or altered tar as II,eaOwaWr, \ se Dullping r ImDrovemenl is suA wltnin oneo year ai core- plet�en, Ine aur .coin( air �hn auraen Ol proving fie%fie tllo tbulld Ol lm fortoo 0 a 1 I, as awner al the oro asrty, am CIUshadY antnchno wllh licensedcon- �ct Ito canal fuel lfie projectS(S cliron 7044, Susan ass a no Pr of son s Corte: The Cpnnad my li, once Law tl of pact tt n own r Iwithproperty wan The O Imto,'5 ens. p, tae wrap tracts Ips such erofprojects IID gpinepvetian Fee $15 luw Fee $ 3 MECHANICAL FEES DEVELOPMENT SERVICESR EOUIREMENTS: OKC /Pl4P Zoning APProved By_-_� Dat B011tling ApProWd BY i �1 ^ Dale i ApPlint on Iaued Dy asst Boiler i Hood or Type 1 ❑ Canopy Type II ❑ - Due[ -Under Grountls-� Duct - Structural Refrigeration System ❑6100 U00 BTV ❑100,000 BTU Dac[-Ventilating 1� (� 5.1)�N1ABy )FF FEES 2, 1 % Exhaust System ❑ Multiple ❑ Byatem flepair/Altemtien tracOrOsl liwna pursuant m tlwb tr 'tm's Llwnsa wL am aware since Proof ( deb Worker's Common tan tiIZI lce n Id oe proviPon as ❑ I am exempt under Ydlon B. a P. a Mr this reason ss'1ce� C'w^` BUILDING PERMIT § SMIP' S PLAN CHECK $2. PERMIT PLUMBING S 13 Cal ERMITSSRJANCE S PLAN CHECK 25% $ 2. SO ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 5UA $ MICROFILM $ ���r r� MECHANICAL $ TOTAL FEE E PIAN CHECK 25% $ Firepliect. Bit. ICBO qP Fire Dampen Date Heating System N Dueling ❑6100,000 BTU 11100,000 Regigers 1nmermarioseialiromarm 1 lin 0 to comply p nal nod awun°y ordinances and state laawe al g o ilding CHIP ray authorize rear , e lathes I this enter 3 fie entionea proce Y InSPBtllpn pmpas 519 actio to Drivers• License ss S ! Reinepvttipn Fn $15 lace Fae S 3 Goldenrod- Asaaor F 0955-45. rev. POISO While - Bu t:Pink- Accounting: CONVV RUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit# Date Inspec*nr 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings' 58. Electrical Conduit-Undrgrnd. B.. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. .' 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13(LRoof Drains ', 64. Plumbing System - Final 14 JRough Plumbing ( G j� 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21-. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0Oil 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 �bN'6781 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation r ��3 78. FIRE PREV. FINAL 30. Drywall Nailing 5- - 92 HEALTH DEPT. REQUIREMENT 31cj Plaster Brown Coat r 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: alp 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood orCanopy 37. Final Factory Fireplace 38. Final Plumbing / �, e (yfl 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. ,Landscape Irrigation System 45. SoundAttenuation 46. Handicap Regulations " 47. FINAL STRUCTURE & BUILDING ,2 48. Special Requirements Completed 49. Electric Release to Edison - -- - -f 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPA COY- Nn.Date r/ City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. U u % • .37 P. O, Box 1200 Costa Mesa, California The Building located at 3505 CADILLAC UNIT #0-206 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group S-2 Occupancy. Use of Building OFFICE Legal Description 139-662-14 (See reverse side for Metes and Bounds) Building Permit No BP16663 Electrical Permit No. )e�r Plumbing Permit No. BP16663 Mechanical Permit No. 8116783 Number of apartments and/or guest rooms ISSUED TO: Building Official 4el �,1 r O' DONZ11 LL BRIGLWI by �1! 3505 CADIISAC 0-110. COSTA MESA, CA. (/ q Date a'i/ This Certificate of Occupancy SHALL BE posted in a conspicuous place on the pt'emises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White - owner; Canary - Numerical File; Pink - Bldg. Permit File Applicant to Illi In all rpaci5 except masa Within heavy behalf Imes ane sign all appropriate one era lions. 4723 12/28/84 6.50 tL' STY OFCOSTA MESA �pNSTRUCTION PERMIT Project Address 3503 !i97oi[Ls.'TC_ !Jy-2ilJ. PERMIT NO. 1n11(a7� TRACT NO. LOT NO. UNIT NO. 2.-0 to TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR CONVERSION C1 DEMOLISH 1-1 OTHER OESCR IPTION OF WOR KIUSE OF BLDG. `— ,��1//� '. lJ 1a Applicant's Mailing Address �,�r r Owner's Name �� (+imine r Address �.5 v' /{4 /�( {�/@ iL1I�s/0' A.P. jr, Zone E Main Building: AcceHory, Building: Poll License NO. Address1:1TENANT TYPE OF PERMIT EIGRADING El FOUNDATION 11 STRUCTURAL 0 ELECTRICAL O PLUMBING L3 MECHANICAL OTHER P J CT DESCRIPTION sO. FT. OCCUPANCY NBTq UCTION TYPE VALUATION$ ZONE GRADING CII. VDS. ACRES T Front Z 0 aA Rear N Comosic riNems w hone 192 a Z� Addres lmailingl p �j License NO. .j IOR DECLARATION LICENSED CONTACTOR DECLARATION LICENSED affirm that 1 am titmice under provisions n Profen 9 (commencing With Section 3 0l Inc Builn d Professions Code, and With Hellon 7000) 1 Olvalon no my license i5 in 10(_CeajOo B1}eCL / � a (, � ,/jyI IuenH cis oat ell 9gnature signature C Right N R. §. Left G R Ping. Ref. 5p Parking R¢p,/PIOVIdad E Remarks. Planning NOletl - O M � - T . PLUMBING FEES r Rar $ink Shawnee ELECTRICAL FEES WORKS` COMpEN5AT10N DECLARATI N hereby affirm that 1 nave a certificate of consent[, sslbin5ure or a tarufirata 3 workers' Compensation insurance. ora ti d copy thereof (Section A W Lae. pf) J�}"}s vdncy N,.0?'�7nd company affil BCerfillea c pt's her It lornisned. ujlleex11� Inc ma city elf n.� v 9bn. L LT Backflow Preventer _ Service Sink - Automatic Washer Transformer 15 -SII KW - Construction, Pale Sub. 050+KW Backflow Irrigation Semr Cap Bathtubs Sewer Connection Cooking Unix Meter Dup m iCG amps Dale C Appn<ant E%EMp V ON ROM WO RKERS'COMPENSATION DECLARATION (This section need nal be completed if the permit Is for One hundred ($100) or uss1, I aertlffi ltnzl in the performance of the w rk so which this permit is iss Wa I of California. z to become subject to the Worlkers, employ any Clariflera Soia. Couecmrs Dishwasher Meter Ocmr 100 amps OisM1nszM1er Solar Piping g Dr OGas DEI¢nric tete Sub Panel Drinking Fountains Solar Tank Fen Motors 004 HP 111%-8 Floor Drains Swimming Pdol w6pe z in imming p F.A.U. Inc Bolar 119 15 HE ❑16-15+ Dale ignature NOTICE: Il. after making this declaration, you should become subject to the mpo ion Provisions f the laeor Code, you must forthwith Workers charpoon, comply witrl such provisions or this parmlt'anall" be deemed revoked. Floor Sinks Urinal _ Fixtures _ IMicrowave Gas Service outlets Water Close\ Device Boxes Pole Light 9 CONSTRUCTION LENDING AGENCY 1 hereby affirm that there Ise Construction lending agency for the performance Interceptors Water Heater Outlets • Range Of the Work for "ten this permit is Issued (Section 3097 Civ. CJ tinder's Name _ Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's L¢ensa Law for the following reason (Section 7031.5 Business and Prolesslonal Cade: Any City Or cooly which requires a permit to construct. alter Improve. demolish or reprair my structure, prior to Its Issuance, also requires the apucant for such y D \O file a igned tatement that he/she Is licensed pursuant to the provlslons Of the Contractor's Lmorce Law ^Chapter 9 (commencing with Section 7000She a )) Df baslisafor the Professions nerelronl.and theBusiness menhaden. Any vlolatl On.of Section 70 31Sir `0yn a'more[If anflue nun, retl dol'ais"m001IDe}ppllcaM toIWI barrel 5 n sale LI I, as wner at the. impor ty o y employees Witt' Wages'beoff tompensai l,n well eo 1na k, and A0 Iture Is ' Ienea or RIres I (ilea 7044, Bue9)naH ands rofesslenaI Code: Toe [onbac'ar•s LI n la does hat appuy ow r of a pro meetY who bulltls or Improves iM1areon, fid who does nwork nlmseN/neruK 'through ms or her own e ala SON, Provlit ed to al h Inc pnro wemen is are n In ten a ador 0f Whofor Ie. If, however, the b rylEIg or r pravemantIs solo within one Year of com- o n an', the owner will ave the burden of pro VIno he/she did not build or im- ran for the purpose of atof- 1, as owner of the properly. am a clu5iSOIf co trading it n'kanted con- traciOrsto canstruor the project $So n 7a 44, Business ane Pmlessloin tock n r al property who The CGnnaaor•r uunse taw Sae of apply to n owner huiltl5 Improves thereon, and whq contrdRS for sYCh pleject 5 with aCOO- tractorozl Ilcen$a Pursuant to the Con tmotor '5 L'CanSo Laaw) I am aware that or!! tneb workers compen ban iasumnce a provleeit m m ❑ l am exempt under section B. b P. C. for this reason + Kitchen Sink "" water Service - Switches Sign Lavatories - Garbage Disposal Standing Sections P—Trip — Generator 00.5 KW 115.15 KW Trash Compactor ROpf Drains' ' " Reinspection Fac $15 lame Fe) - $ 3 Rainspection Fx $15 IDX Fp $ 3 MECHANICAL FEES DEVELOPMENT REOUIREMENTB: Zoning Approved By Datt g �r Building Approved Rv Data Application IHued By pa , 1 Boiler Hood or T Type Canopy Type l l ❑ DVct- Under Ground Duct Structural _ Refrigeration System 1101000x0 BTU 171100,00DBTU b , Duch Ventilating SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 5096 $ MICROFILM § MECHANICAL$ s.� TOTAL FEE $ PLAN CHECK 25% $ B� Exhaust System ❑ Multiple ❑' System Repair/AltemOon Fi repllFact. Bit. ICED # Date - - Heating System & Ducting ❑0100,000BTU❑100,DDORT ter format cel s that ad coli ppm pion and Rate that the ab Ge 'mormabon r c a. diad to cMBv1 I all city d count Ordinances andtate lows ret I g a bu`tlIn mfr ctlon, and hereby tnYPrice p e tati'M f thi3' of to )nte isoM-mentioned, prop rty or Inspectiona SI9n.. Drivers' ucenH or 55 $ - Reimpmction Fee $15. IHde Fee § 3 GMF OBbSAb, ray.4/@4 Plnk Accoonting; Goldenrod -Assessor - - ONSTRUCTION AND PLANNING PPROVALS Permit # PA aeInspector - POUF & SPA APPROVALS Permit #Date _ Inspector Temporary Electrical Service or Pole 52. Pool & Equipment Location. Soil Pipe-Undrgrnd. -' 53. Steel Reinforcement 3.'Electrical Conduit Utility-Undrgrnd. 54. Forms 4: Electrical Conduit-Undrgind. - 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7.. Footings - 58. Electrical-Conduit-Undrgrnd. 8., Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash_ Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating fly1 jes &co 71. Product Piping O Gas E Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas G 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 ' 48. Special Requirements Completed 49. Electric Release to Edison '50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No. Date ��DD C/1,1/tlG 9125 fill In all spaces Within heavy border Imes and Sign all appaOpriate declarations. ,CITY OF COSTA MESA - PERMIT NO. TRACT NO. OOT NO. - BLDG. NO.,CONSTRUCTION PERMIT E- S ' ii a&&P4-- O UN/r 3 6 Protect Address_ji Zr- e.*D/L l$ hWE. TIeY�PE OF CONSTRUCTION yr NEW ❑ ADO C ALTERATION - ' .1 .959 - 9925 DwOC 1 I_ r[ Phone _,{wrj gtltlr09Art d C OTHER ZONING REGULATIONS Arch/EnB, License No. - R'/ Q Y DESCRIPTION OF WORN A.P. g ZONE PING. REF. W AEGre33 L /! S- A-_ -COnt1oDlOr jZ/ (/d6 .[FC. Ph°^a't!—S'/ TYPE OF PERMIT C GRADING O FOUNDATION C STRUCTURAL C TENANT XELECTRICAL CPLUMBING CMECHANICA SBUILDING ET wcK T. YARD 5I ppggI�11�L�OpI GGNE ROPERT1 Atltlrau 9_ j GTN 1YD5. LICENSED CONTRACTOR DECLARATION ns of Charter 9 (mm. I hereby affirm MAP I am licensed bet Provisions G UOlvblon RI HT 3 f the, BuseO mapping with tion 7000) f olnss ❑ OTHER Professions Castle. and Y license Is 1n tun force And nett REAR YARD (TO PM U z rt PROJECT DESCRIPTION UcenkSC 32, IJunle No PKG. SPACE REQ. PROVIDED r Z SQ. FT. - Dat Sight ... OCCUPANCY�CONSTRUCTION TYPE STREET WIDTH PARK FEE$ DATE WORKER$'COMPENSATIONOECIARAl OA 1 herMy affirm that I have a cartlncap Of consent to SelrJoi or a VALUATION ZONE ZONING APPROVED BY certificate of Workers' Compensation Insurance, or a certified COPY SPECIAL CONDITIONS: -act(Sactlan 3800, Lab. 0.). %ND_ C.0.. GRADING CO. VD5. ACRES y N°.A1Y Di Pt2'fR! ompanYF+NfNT Lertltled Copy 5 hereby furnished. - - REMARKS: � 2 ices 0 - ❑ Certified copy IS filed won the City Building DIVISIOn. k. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Tn S oC need not be completed If the permit Is for one hundred - $IODled for Ib15 PLUMBING PLAN CHECK ELECTRICAL vtgry CHECK not am uy any Person I, work caro so bbecolme I 0Certify any manner so as to bjecttothe Work rI Compewski Laws of Cillornia. BATHTUBS SHOWERS - SO FT note $igbat Ure NOTICE: 1f after making this d8daradOn, YOU shOuld become subject TOILETS URINALS GENERATOR- Od KW_ 1-10 KIN to the Commutation PhowiI of the Label, You musk tonwlh comply with Such pfavISIOOS Or this Permit Sorkers' ill be tlttmed LAVATORIES DOUBLE LAVS Ae, PPLIANCE ID-50 KW_50+Fly season. KIT. SINKS DISHWASHERS MOTORS 0-I HPI -IO HP CONSTRUCTION LENDING AGENCY at there s r for n ffirm hwork SERVICE SINKS SUMPS - (IN0.50LARI ]p -SO HP 50+NP hichnthis posts IISstructlan Issuedn(Sectiocy forams aary of the for 309] FLOOR SINKS '. pFLOOR DRAINS FIXTURES OUTLETS QvSWITCXES Civ. C.).-- rod Lenders Name `� • _ tAn0ar1•gUdrp3 ^ DRINKINGFOUNTAINS GASTURESIGNS OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS' 1 hereby attire that 1 am exempt from the CO°V aRchr'S LIcei Law for SWIMMING POOL P TRAP ANGLES METERED SUB the following reason (Section 7031.5 Buelned and Profuslons Cade: Any city or county which requires a permit to construct, filter, WATER SERVICE ALTERATION PANELS MAIN SUB Improve, demolish Or repair any Structure, pr10f IG Its Issuance, also to- for ermit to lle a d statement the apes GASSERVICE OUTLETS .as 'SERVICE sl _ AMP)!pp _ meant to thepost liners at the Contractors License counters LdW Izu llCeosee Pr°v l3 (commencingof the is exempt WATER HEATER$ 'BTU OUTPUT 'ties ntl Cade) Or that he therefromandion anti per for the Alleged exemption, Any violation of Secta nd 7031.5 by CONNECTIONSo. ' for aRPermit theuppreent t0 civilPenaltySEWER not more hundred - SOLAR TANK COLLECTORS - ❑ I, a5 owner Of the properly, or my amp lavees with wages as (heir sole compensation, will do the work, and n0 Structure is not Intended - Offered for sale. ISection 7004, Business and Polelslons Code: The SOLAR PIPING SYS. - ISSUE FEE COOlraetors License Law does not apply to an owner of a property ISSUE FEE APPLICATION APPROVED OV DATE who builds Or Improves thereon, and who dead SUCK work himself Or thous employees. provided that Such to pnvementc are not MECHANICAL PLAN CHECK _ $UMM/IRV OF FEES ' ahis.own Intends r uttered for sale. It, how evoq the building or improvement within one years of Completion, the owner will have the burden - oBole f proems he °la t bund Improve for the purpose or A). HEATINGSYSTEM 9,100.000 BTU BUILDING ,PERMIT IS _ SMTP E C 1, a owner of the °mcerty. am exclusively contracting with _ AND DUCTING _ lM1e PIC Oct (Section7044Pnot Business 100.000+BTU (PLAN CHECK E PERMIT andlicensedsContractors otoc°nucl and Professions Codas The CoCntractor's L�cense Law does not apply to .- .ISSUANCE. S u11d5 or Improves thereon, and who con- an owner OF properly hawith REFRIGERATION 0300,000 BTU r : PLUMBING E facts from such projects ith'a con r or(&) partners pursuant t 0 SYSTEM S -.GRADING a the Contractor's Learn,Laws. 100. BTU PLAN CHECK E ❑lam exemptu^°Or Section B.&P. C. for this BOILERS BTU ELECTRICAL E S SYSTEM REPAIR, ALTERATION . PLAN CHECK E .MICROFILMS TOTAL FEE E' Datereasom - Owner - MECHANICAL ELESS ' Ithereby certify that l have read this application and stale that the above EXHAUST SYSTEM MULTIPLE - inlarmalian is correct- to comply In, all city and county PLAN CHECK s VANLE PC $_ VANCE elaactin and bereb Salo his relating le cOnslf UCln 3 representatives a i and ^(honed my m n lhabove Lwow _ - in mr mom purr an property I FINAL FEE if Slgna[me Signs DriversLicense or Sffsp ISSUE FEE - CMF 086546 White-SuileinglCanary-A°plicanLPink-ACCountag: GOldenretl-ASMPOr CONSTRUCTION AND PLANNING 1 APPROVALS Permit # /.�lJ Date POOL & SPA - , Inspector APPROVALS _ Permit # Date Inspector:- 1. Temporary Electrical Service or Pole 43. Pool & Equipmdn't Location' - - -- - - - - - + 2 Soil- ipe-Ua .rgrn - • - _ _ _ 44. Steel Reinforcement- - - - - - 3. -.Electrical Conduit Utility-Undrgrn _ _ 45. Forms _ 4.- Electrical Conduit-Undrgrn. _ 46.- Electrical Bonding - - - __ Steel Reinft')-rce, 47. Rough Plumbing & Pressure Test--'. ' . 6. Electrical UFER Grn _ _ r 48. - APPROVAL TO COVER-GUNITE- - 7. Footings- _ _ _ '_ _ 49. Electrical Conduit-Undr rn - 8.- _' Foundation _ - " 50. Gas Pipe, ❑ Undr rn, Test ._9. _Water Pipe-Undrgrn _ �_ _ _ _ ;- ''"' 51. Backwash Lines P-Trap,ndr rn' -- 10. _ StructuralI Floor_System _ 52. APPROVAL TO DECK" - ' - , A l _ Property Sewi r.Line.& House Connection' " 53. Backwash & Receptor -Final _12._. Street -Sewer Connection 54. Heater &'Vent -Final 13.- Rough Plumbing.. _ _ _ _ - - - - '-- - - 14, Rough Electric -Conduit ; -- - 56. Electrical -Final- - •• _ _ 15. Rough Electric -Wiring -` , - -57. Solar System -Final 16. Rough -Heating & Air Conditioning - bd._Fencing & Access.Approval ' 17; .-Ducts in Structure', . 59. APPROVED FOR PLASTERING -18. 19. 20. Ducts, Ventilating Gas Pipe-Rough"&Test - Roof Framing ' __ - 60_ r •POOL/SPASYSTEMSFINAL 21. .- 22. Roof Sheathing- Frame and Flashing _ _ _ _ -- + NOTES: _ 28=' Insulation - - -�� 24. Lathing-& Siding ..� a2 $ d° 25. Dtywa!I Nailing 26: Plaster Brown Coat - - ' 27. Electrical Power Meter -Final 28. -Final Electric - 0- Z C. C_ 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 I ' 36. Sound Attenuation ` 37.. Handicap Regulations •• - ! 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison - i 41. Gas Release•to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No.- Date - - . APPlicant to (III in all spaces within heavy border lines and sign all approprlab declarations. _ CITY OF COSTA MESA RM IT NO TRACT NO. LOT NO. BLDG. NO. " ' CONSTRUCTION PERMIT I d� �Z29a' if the Permit i5 for one bond,. Project Address a TT E OF CONSTRUCTION SUMMARYOF FEES. Owner P n -(IINEW ❑ADD CI ALTERATION - REFRIGERATION Addr s- r LI REPAIR OLONVERSION I]OEMOLISH SMlpa-L $ - ' Arch?: - License fit e _ L7 OTHER - " I --PLV M tWork for which this, peri Is ,' AddressA'P"- --'-"' - _- DESCRIPTION OF WORK' BOILERS BTU E ZONE - PLUMRING j.:- '- ' TYPEOF PERMIT, ISUILDIN - s El GRADING [-I FOUNDATION 11 STRUCTURAL SET AC SID YA LICENSE - CONTRACTOR R OEC ARATION llcenXO 9 11 TENANT CI ELECTRICALi�9LUMBING ❑MECHANICA ', IIBH I hereby affirm that I a rider pno from of Charter {cem- Ing with section JOOO) fUOw sio-3-f the Business and �.�OTHER -- - -- - TOTAL FEES me Pmfesicns COda rid ) y IlcenM Is In foil fo I t :-.TOILETS-p. IREAR Y: - Ja- -. Q. ' PROJECT DESCRIPTION. _ - KW' License -as <¢nie No � ' � SG' FT' PKG. SP/ om6 e - - STREET WORKERS' TI ON COMhat I to '1 OCCUPANCYI�CONSTRUCTION TYPE 'ZONING' ,EmilDECLARATION of I ham iiicat consent sel�insure.or a hereby affirm that have a VALUATION` "' = ZONE (APPLIANCE nsa `Hfrate-O We ke Compensation If IB Op- - fISBCt GRADING CU. YDS. ACRES SPECIAL .MOTORS 0.1 HE 1.10 HE r--rur In.n .nn.r IS M1BYeb fuYnI5hSM1B0 aL ICEe51NK5 - UCTIOI affirm t the Name Address 0997 (/20/82 Y - - _ REMARKS. _ _ _ - .. _ 15 fretl wIn SM1e CI[Y BYIIOIng Dlvls - 9.00 TLI MPENSATION' DECLARATION _ 7. " I55UE"FEE- � Ion 7044. Business if the Permit i5 for one bond,. 100,00 aw does nut apply to- SUMMARYOF FEES. 1. green, and WMO COn REFRIGERATION 0-100,000 STU $ SMlpa-L $ - ' IPLANCHECK E PERMIT I --PLV M tWork for which this, peri Is ,' `- 'PLAN $ BOILERS BTU E in any manner so as l0 become - PLUMRING j.:- '- ' PLAN CHECK- "' ' -' - - - - ,ELECTRICAL " CHECK. taws,of California. _` _ BATHTUBS _ ___ _ SHOWER$ _ -UAPLAN E - TOTAL FEES :Ion. y SM1OUId become sUbleC[ :-.TOILETS-p. -rURINALS - " GENERATOR 01 KW_1-1p KW' _ _ sof Me Labor Code, you must FINAL FEE $� (TRANSFORMER I Or this Permit shall be deemed LAVATORIES DOUBLE LAYS - - -'- (APPLIANCE '30.50 KW�50'+KW. - t. --- --- -- -- - -KIT. SINKS --DISHWASHERS' .MOTORS 0.1 HE 1.10 HE trips landing agency m0tins par -SERO "permll ICEe51NK5 - SUMPS' - :UN0. SOLAR) --.1060 HP Sp+HE - - -j ISUruetlal5ection 30s91v - '- FLOORSINFS FLOOR DRAIN$-' FIXTURES- 'OUTLETS "SWITCHES'--' - - DRINKING FOUNTAINS' 40` '- '-' - ';GAS TUBE SIGNS INTERCEPTORS CLARIFIERS ^ - POLE LIGHTS License Lawmr Business Pr BY5Pe and %01651006 Cit 'SWIMMING POOL -'PTRAP -- -- ' a permllns (POLES METERED UB LosI arlsigned WATER SERVICE - -ALTERATION-" SPANELS" --- MAIN SVB - - file statement that he Df e Cam,ac4 License -law 1tr GAS SERV ICE OUTLETS- ;SERVICE— - - — - AMP )n 70001 of Olvabn 3 of the He is exempt inere ood and the o "imiat,ri, of Seef�0313 y - WATER HEATERS "-BTU OUTPUT ` to Ivil-penaRY' th¢VPPIIni a O SEWER COCIWEETRfI¢5 IDriv_r LIL;P. or 55 I' -ISSUE FEE--------- -- - Crop 0865-46 WhiteBul7dingl Canar - , olden rod -Assessor 7. " I55UE"FEE- � Ion 7044. Business - 100,00 aw does nut apply to- SUMMARYOF FEES. 1. green, and WMO COn REFRIGERATION 0-100,000 STU $ SMlpa-L $ - ' IPLANCHECK E PERMIT I --PLV M =B;& P. C.fOrthin - ISSUANCE-$-, `- 'PLAN $ BOILERS BTU E SYSTEM REPAIR. ALTERATION IDriv_r LIL;P. or 55 I' -ISSUE FEE--------- -- - Crop 0865-46 WhiteBul7dingl Canar - , olden rod -Assessor 7. " I55UE"FEE- PPLICATIONAPPROVEDOY.'DATE - ' SUMMARYOF FEES. (BUILDING - "' '- ,PERMIT $ SMlpa-L $ - ' IPLANCHECK E PERMIT I --PLV M - ISSUANCE-$-, `- 'PLAN $ GRADING CHECK E -'E' lk p .. ,ELECTRICAL -S _ .E. I MICROFILM'E ELAN CHECK. is .MECHANICAL E - TOTAL FEES ,PLAN CHECK~"LESS AV-. -' .. VANCE PC EC P 1,t - _ _ _ FINAL FEE $� ! .� 'b\ i\I \_?G CONSTRUCTION AND PLANNING APPROVALS Permit # p Z`iO Date POOL' &SPA Inspector APPROVALS- .. Permit # Date - Inspector 1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location -- - - -- --- 2. Soil ipe.Undrgrnj , y.; -j, 44. Steel Reinforcement - - - - - - - - - - - t- 3. -Electrical Conduit Utility-Undrgrn _ _ _ 45. Forms - -•• - -- - - - _ 4._. -Electrical Conduit-Undrgrn 46. Electrical Bonding -; - ---- - - - 5. Steel einorce r 47. Rough Plumbing &Pressure Test-•-=- "''•" -,6.- Electrical_UFER Grn _ _ •' 48. APPROVAL TO COVER-GUNITE- • - - -- - -- -- - -_-_- - - 7. Footings 49. Electrical Conduit-Undr rn _.8.__Foundation. _. _. _ _ _- _._-._.___ .- �'-..a 50. Gas Pipe, ❑Undrrn;Test `•• _9. Water -Pi peUndrgrn 51. Backwash Lines P-Tra -❑ UndMrn ' 10. Structural Floor.System _ - 52. APPROVAL TO DECK 1.1.' .Property. Sewer Line &.House_Connection-". 53. Backwash & Receptor -Final -12._ .Street Sewer -Connection', 'T" ' r - '• _54. -Heater &Vent-Finall ' • '- n - 13. _ Rough Plumbing. - - - 14. Rough Electric -Conduit ---- --- - - - - 56:-- Electrical -Final - ---: '••� ` 15. Rough Electric -%666 'i - - - - --'- -- 57: Solar System -Final - 1'6." -=-Rough Heating & Air Conditioning -__-'-' t : - -- - -_ _ _ Fencing-&. Accessi Approval ' 17: Ducts, in Structure 9. APPROVED FOR PLASTERING" -_ _. -` . - .. - - 16.-- Ducts, -Ventilating.- - --'-, 19. Gas Pipe -Rough &Test •r 20: RoofFraming '•-... F -- -- _ - - ' 60. "'- POOL/SPA SYSTEMS FINAL . __ _ _ . ... ,. 21. Roof Sheathing - 22. Flashing Framnd - -- NOTES ' '' -' ,c'-'Nl-!" ', i.J...•. Y 23. - Insulation -- -- - - - - - - - - - _ - -_ - -- r 24. Lathing & Siding- • _ -- -- -- - ...... - -- - 25:- Drywall Nailing - • • '� - +� - ' 26'. Plaster Brown Coat 27: Electrical Power Meter -Final -- ---.' '-'..`_ • • - .� •: 26: FinaNElectric 29. Final!Heating & Air Conditioning -_ - - --. - - -"""'- 30. Final Gas Pipe -Test - _ - " • - - 31i Final Plumbing -_ - - - •' - - ' 32. - Water Service -Final - - - _ -_ _ - `"'i"- - - "'' 33.-. Gas-Service-Einal _ - _ '_ •- 1 '- _ -, 34. Solar Domestic-'Firial i " "• ° - 35. Landscape Sprinkling System i ' -'•' - -' ''- ' 36. Sound Attenuation 37. Handicap Regulations- ' 38. FINAL STRUCTURE & BUILDING '- -" 4, 39. Special Requirements Completed '' - -• 'A 40. Electric Release ,to Edison - 41. Gas Release to Southern California Gals Co. 42. CERTIFICATE OF OCCUPANCY No-_ Date _ City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. P. O. Box 1200 Costa Mesa, California The Building located at 3505 Cadillac Ave. Suite #106 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B2 Occupancy. Use of Building Offices Legal Description 139-662-15 (See reverse side for Metes and Bounds) Building Permit No B55237 Electrical Permit No. 855238 Plumbing Permit No. Mechanical Permit No. ISSUED TO: Odonnell Armstrong 2201 Dupont Dr. Irvine CA 92715 Number of apartments and/or guest rooms Building Official Tonv C' De Baca by Date Dpramhar 1-2. 1991 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa.Mesa under Sec. 307 lel U.B.C.: CMF 1015-46 rev. 1/63 White -Owner; Canary - Numerical File; Pink - Bldg. Permit File SEcr RESS RR UNER'S ELI 3505 CADILLAC AV UN°` 0106 UNER'S ODONNELL ARMSTRONG noGGFtt: 2201 DUPONT DR IRVINE CA ARCH2NGIXEER: 851-0111 REGANO, AGGRESS: Uxn: PfREEE : LOGE CONSTRUCTION (714)964-4361 ADDRDRESSSS. 8521 AFTON CI 4 k LICENSED CONTRACTCLRRRLION: IAGeAy dllirm lhall dm hoping CA 92powi shoRsO A peg r 9l[pml cine faun Shim 7M; of WSlm d of the Emmen and ProlessiMs Cpk, and mor lA On fpr[e alk onY IIL.: STAR "1 SS: 049886 494867 B Dale: // — ?—�4/ thereb a _ _ WORKERS 'fAMPFxunpn RFtuMTiGN: thereby affirm IREAR [drifpl6 Of mlrem la stlHnrvre waCaY4ale of wolMers Compansamen lnmrance. ora Cewiged body mer lIse[' M. Lab C1. P01111 10 X1109250261712 Exp, Off" 02/15/92 OMPANy: OHIO CASULTY Lam'm!ed mgr is hereby mmietlen yI Cecil copy is Rhea wnA Ire Cry RnumnR 01 L n. ..,de://—Z/-4/ Applicant4 r%o.✓ fMMOM FROM WGRXFRs' CONKNUVrlx DEtuRAppN: IIAksM on nnf l4 lel¢p ille CA klw pm Aon ��yyppppp� IF Wl. n nlry that In the performance of the worXf nlrMiIs perrml is lsswE hpl not 7p anon In eny m• 6NDAecpme supplied to the wpdels ^mcensalion La I IIL Na _ Date. Sipmtuhe xmmc U. alter making raid eemranan. ym domed m swRn to me wdrNrrs mmpennlbn o . ns Dole LaAw Core, you mus wrist comply fom sura oloveio r Ibis m"I sM1ml be domed ramped. - CONSTRUCnox LExoixG AGENCY. I nervy afirm mal them n a mnxrlNtlwl lending agency ranee mnwmaee Oft* ww mr whim lees pulmo is issued lseomn 3097. Cie q- lExeEIR ADDRESS: OWNER BUILDER BECWAIION: I 011eby alarm trial am mempl from the Contmtlms Sea% License law or the bled DIII (Sawn fool 5 ksims and Orlof bndl Carl: Any COY at WUAIy wMA rgl acalmil A tfUCL eller SectmY. dWm .o1 that any structure. sur to 45 usmnCe also Mom the Mod Iran[ lot suN pnlnl to Nle a signed statement lM hand As llmmee puralxm Io ma plovulons of IAe CGIIraGb s' Slate L[ense Law ICUPM 9 lcpmmm[ing win Seelun 7=W Sweden 3 o the Susness and wideaponc Code) or'ieal Ao/she d e+erp lNrelrom and the Aes¢br the alkgee oeempemen. Any octal of Section I0315 by any epncenl fora p,rnil sub acid ne con door of a mail penalty of ml mom that Ilve hundred doIWs NSOGI. I, as panel pl the progeny I my a IWew with ages as thR Spee wmcenalion, II do the work, elk Me ❑ structure is nor remain of offered her sale( Code Pwq Bunn ran Pmfenbna' Cave. rR Cpmpebrs smeLiu Law Faces nor nppy al ar rare,pr u'oa F,y,k who hdbs or lmprown thermn, and Mm Nes such walk hi s f/hnsen or thrWph Own New herO rnnrpyees. peened Ilial such metronomic Us Fool nlmepl OF UnDeee far ole. Il. Igwever the biMmp or fimprovement a sold whom one year Of mnlelon. the oxTar will Rave Iter burden of Ne g Mesbe Did nM Con of lmpl or IM pwsuce of salts. Ila Cwnw Of me worny. am exdwyd Irammg wmm licansn mnbacmw m Cmmhol me wrmen lsnmo Two.Badness D oNufn Code RM1eC tratpi shareh emeu.x Nes and MY 10 an manerof pm homrmsminmmro me,nn Ford who mnuaus for sato wrimm with a wmmrmNsl draw poxfmm m me emo-anopuz'x�time License Innal I am aware INI pmol of IAeif Workei s Camptuaalipn nmodif should be gar he ore. ❑ I am exempt under Senior: B. S P, C. Iw IRs morn'. wee Donn: eG hereby nearly IMI l am aware of and understand this repuitemems of CaliMrmalinth and afehy Come Sector 111 2503, and zev. arc real of any future bonding ocewmm wiwwal rat made met Reed m awnpM farm and slate men and the remi«mems for a Of IN aonsfuClim or moxliralim Irpm IM Air CwNy Mal t Distinct. ROPdniml m vo 'm aWf[atims we exempt from those portable;. came end mire, Is recover or Social Sourly n— ISom 46 whew—Bwmry: Green— ado Eareforci nary—Aper m: Puna—Reaemeel Gonoemo—Asuam CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05523/ PERMIT NO: B 055237 PLAN CHECK NO: 04651-91 S GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION ; T.I. OFFICES SQ FT: 51000 CLAIM VALUE: 51000,00 CALC—VALUE: 5,000.00 GROUP OCC: B-2 / COMMENTS: T.I. OFFICES k##k%k%%kk##kkkk%########k##kk#k%%k%%%k%k%k%kkkkk%kkkkkkk%kkk##%k###kkk##kkk##k ZO N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RIGHT: FT IN PARKING REQ: PROV: PARCEL: 13966215 ZNE: PDI REF NO: PLANNING NOTES> TI TO AN EXISING OFFICE TO ADD PARTITIONS FOR OFFICES.. kkkk%kkkkkkkk%k%%k%%k%kk%kk%kkkk%#k#kk###kk%#k%k%###kkk#kk%#kkkkkk%%Nkk%kkkkkkk D E V E L O P M E N T S E R V I C E S R E Q U I R E M E NIT S ZONING APPROVED BY SCC DATE: 11 %(1 13Pz BUILDING APPROVED BY DATE: /i/SvOf kkkkk%#%kkkkkkkkkkkkk%k%%k%k%kk%kkk%k%kk%kkkk%%k%%%#%%#%%%%%%%%kkkk %kkk%kk%k%%k LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y PERMIT BLD72PM00T PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PLAN 46.80 SMIP/NON—RES - q 1.05 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 73,05 0,00 '`46.80 119.85 119,85 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 119,85 OVER/SNORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 72.00 ,/ 1.05 46.80 I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N,UNIT COST TOTAL COST SFC 5000 ALTER BY VALUE COMMERCIAL NOZONE 1.00 5,000,00 ENV 'OF FEES r :•far d %,.r as t/. T PCw'A- CONSTRUCTION AND PLANNfNG Date APPROVALS Permit # Inspector r APPROVALS Permit # Date Inspector .r 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2, Soil Pipe-Undrgrnd. _f ! �% 53. Steel Reinforcement ' 3: Electrical Conduit Utility-Undrgrnd; �, i 54. Forms F �; "4> Electrical ConduiYUndrgrnd' 55. Electrical Bonding .� '.5.' Steel Reinforcement %s 56. Rough Plumbing &Pressure Test - -6r Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE ,.T. Footings 58. Electrical Conduit-Undrgrnd. • 8., Foundation � J'1 // i F1 7^, / 59. Gas Pipe, 0 Undrgrnd., Test 9:• Water Pipe-Undrgrnd. t fr ii 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System/ � '" 1• �' ,' �/ 61. APPROVAL TO DECK i 11. Property Sewer Line & House.• nnection 7'1 i % ,� 62. Backwash & Receptor -Final V 12. Sewer Cap Af 63. Heater & Vent -Final 13. Roof Drains ra f• ,! 'fJ 64. Plumbing System - Final.i I 14. PlumbinJ Rough ` 9 t :�. � 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign - V i 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS' Permit # 20. Rough Factor Fireplace - - = ^ ' s 21. 'Ducts, in Structural. .- - 70. Underground }{ydro f 22. Duces, Ventilating •- 71. Product Piping ❑•G'as C Oil 23. Gas Pipe -Rough & TEst - - . 72. Underground Flush= _ 24. Roof Framing - _ + 73., Undergrnd. Storage Jank O Gas 0 OR 25. Roof,Sheathing 74. Overhead Hydro �- •` 26. T -Bar. Ceiling (Structural) & Monocoat �' 75.-D`ry Chemical 27.' Frame and Flashing* �• 76. Dry Standpipe 28. Lathing &Siding.' _ x1- r s, 77•-FIXEDSYSTEMFfNAL, '29. Insulation '. ' ''` 78,sFIRE PREY. FINAL -30. Drywall Nailing + t HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 1, 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 ' - �'r'- •' 36. Rood or Canopy 37. Final Factory Fireplace ! •` ' ° ` '• •�. 38. FinahPlumbing- - 39. Water'Service-Final 40. Gas Service -Final 41.:Solar Domestic -Final • : ^ 42. Backflow Preventer.• 43. Backflow Irrigation, ,44. Landscape Irrigation System` ,- ,;•1�' - - } -45. Sound Attenuation z 46. Handicap Regulations '47.,FINALSTRUCTURE &BUILDING 6_I/; , 48. FINAL PLANNING. _49.Electric'Release toEdison ^•�' �- -. - 50. Gas Release to Southern California, Gas Co 51. CERTIFICATE OF OCCUPANCY' No. Date PMEU ADDRESS: 3505 CADILLAC AV AUNIT' 0106 DwxE D SS: ODONNELL ARMSTRONG ADDRESS: 2201 DUPONT DR IRVINE CA AwxrtNSMEER: 851-0111 REG.ND.: RMESS: UNIT: PERTREES` LOGE CONSTRUCTION (714)964-4361 ADDRESS: LOGE AFTON CI p CZ24 OCENSED LDNTRRLIN LNRPiIOX: (Ane ativm llal lam llcemeD unEer 9[ommm[i with S¢[eim 7= ofUCENSE CONT Aellne Busiess and Proheriby LAe.aeA my f[mu uln ce CITY tit; 04 886 STATE u0:494867 �Cre -B Dea:.��./— �� sgnamrr WORXEfl3'CDMPFXpiIpX pF CIARGTIOX; thereby aXlrm Gave a Maili[at al avvenue 6PNinwre ma[arNkaleM WdlnrS' CumewwoEm Irsurance, ora mrdhed army NereOf Inc' am Ian q. PDUncyru.: X1409250268712 UP. DATE: 02/15/92 DMPAXr: OHIO CASULTY eenirNo row N nercev Nlrnaned y( Anna Copy IS mm each the she euilb.q Dominion. / re »— 2/—!%/ AC h m: -'/tea UEMPDONFMMYpRKRSUMKNMTIMDMUUIIGX'. Elvis serum vend we nemnpelm one perm) B Aa menunhm ShOQ dleaer t[ediry TIM ie Workers MiMLBCorwhen Inx mfmn is Msued, snap wf ermlpP Sm sownMany manner so ism cecoow Sunil field m the 'to upeMMiM Laws of talilamla. as Sigmal NOTICE: If. mer feel me repair, your moue b Me a41ECt m Ne wmrm' crmwsalbn preas'irwrs of the Labor Pd e. yw met fart mmol wen wen Dimensions or INS MI ANI be deemed rMOW. [OXSTRUBTIOX LENDING AGENCY: I hereby aXiM Let Nero b a eonatFUdIM knOnq Newry Id the PEOOF ar 01 Ne wok car which Ills permit 0 i um ISEntim NBT. Ov. Cl. (ENDER: ADDRESS: OWNER BUILDER DECLARATION: I Mreby axirm that I am exempt from Me rCoMmmprs Stifle Limp Law for Na low M rwpn i5echm NGIS Busirrni and PrdfadpNl Cada: Any city of county wnah Omirma Nobl to construct. Seer. ilmrme, demel'mh, or sou any suamre. plot 10 in i oUl also ryuires the appi[am for such cermA m fire a scrrM Aatamem thin normals limned Sam RolOthepr Oor pllAe Dmbatme'Suh Lein Law(Chapter 9( Aftedme Section yapation0 301Ne Business »]apt no us (LIXIm INbjects Nor eeempl lnerelydn and Ne Aazk brUR than hUR bn.Pny Nohtbn W Sxlkn )0315 by Som appEMm Id a person welems uR amlemX to a ppol mnalry Of sot more Nan ]No hundred dorus (sMq. I, u owner If the prpmthe myN vem trapes as as Nmm three de n=lm. e m Ins h, cod for re u INImdM dplhlN mrannl mim 110. BMnesaaNPmfcsiwvl COe'. The Cot m'stale Lkmu Law ears ml aycolt m an owner N a pmpmy w+n bui p Id Ari Wrap, add who don such work AimsNlmdull or IMmgh his or her own emp9Ren. pro Md that sum Improvements de sot intended or olfercd for pie If. Aowevm IN building or Iosprolow pout Is SmmlalLm one Year of wmgelim. the owner vol No the bowl 0protons smi dor rel build ofimpmm ❑ feProinWisCo2°`i�eaCortrctorps taeii's`u�seahrepo`c5nma4pMaomnerolruolpfyNrywoaiaasorimamsthS. a[m and who [omncas for such pgnls Am a Gnuanmlg license pot cont m Ne PAnU6tws' Slane LSer60 Lew). I am aware INT pmol Of Mir WvFra Cwper iW Msurance should be Ano ed lar me. ❑ I am exempt Supper 3mli0n'. 9. 6 P. L. for OTS teasm' Dare: wirer: I do hereby amp that I am drop of and unneraund the dpmemems or CmInrllo Naim and Sash Code Sanms Enron, 2553, and x6534 and mall or any mmr9 eundlnq p[Inmm wuvmun [SEE amt need m comply with sob all and bran the repulremems fma mrmit for mmorlson or modilicanbr Vom N¢Ar uallly MMagmMt District, RMidentfal abmGuclim not Ws am eeempl from mese pr"mom, Date: AgonnC reaeW ophy Nal l Nee read MIS coastal add date that foe Mwwa inIMmtO nfag` mm pry with 9l Call Lod ch WWEIVl[di more cibn purr ling to bYlSnA m'3NmliMand heteW au M1E9 pfN erMrupm th aWVTrrNntbned OFMadvlm immerdn/pmarruch%.� The �ZI_(J all DrEeara Leaned by Baal Sewriry e: mot e6 Whist—Bu4ding; Prnk—Rewnuel GOldenrW—g usaDr CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05523 PERMIT NO: E 055238 PLAN CHECK NO; N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE; ELE PURPOSE: OTH JOB DESCRIPTION : COMMERCIAL T.I. (OFFICES) SQ FT: CLAIM VALUE: CALC—VALUE; GROUP OCC: B-2 / COMMENTS: RE: B55237 PRIMARY BLDG, PERMIT, kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk Mkkkkkkkkkkkkkkkkkkkkkkkkkk Z O N I N G S E T B A C K SR E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RIGHT: FT IN PARKING REO• PROV: PARCEL: 13966215 ZNE: REF NO: PLANNING N TES> > kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk klkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkNkkkkkkkkkkkkkk D E V E L O P M E N T S E,R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE; APPLICATION ISSUED BY: ''i DATE; kkkkkkkkkkkkkkkkkkkkkk kkkkkkkkkkRi YGRFYYAY Nk kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkklFkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk LEGALIZATION:N F E•Ei S U M M A R Y STRUCTURAL SEGMENT:N PERMIT BLDG PMT PLUMBING SINE C6RI000 MECHANIC FIRE SNIP/RES GRADING PLAN SOL SMIP/NON—RES ISSUE FEE 15,00 PLAN—CHECK BUILDING—DIV—> PERMIT 6.00 ISBUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 6,00 15.00 0,00 21,00 21.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 21,00 OVER/SHORT•00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 21,00 kk kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk4kkkkkkkkkk I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 6 RECEPT/OUTLET 1 ST 20 - EA, •75 4,50 ELE 2 RECEPT/SWITCH 1 ST 20 EA. .75 1,50 END OF FEES 1h.'Il2'Zoe �a3 '0 I- PCw'A CONSTRUCTION AND PLANNING APPROVALS Permit - - Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service br Pole, - _ j 52. Pool & Equipment Location ' J 2, Soil Pipe-Undrgrnd.�� / 53. Steel Reinforcement pr i 3: Electrical Conduit Utility-Undrgrnd.`'•- 1 54. Forms 4. Electrical Conduit-Undrgrndi �- 55. Electrical Bonding i - _ j5..3teel keinforceme t 56. Rough Plumbing & Pressure Test 6: `Electrical UFER'Gfnd. i 57. APPROVAL TO COVER-GUNITE ,7`.: Footings 58. Electrical Conduit-Undrgrnd. ^�, ti• 'toundation 59. Gas Pipe, O Undrgrnd., Test � • `9 Water Pipe-Undrgrnd. j!�J 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System ' �., i:J 61. APPROVAL TO DECK 11. Property Sewer Line'& H6use Connection 62. Backwash & Receptor-Final 12. Sewer Cap L �' r '� 63. Heater & Vent-Final V 13. Roof Drains 1 q'' 64. Plumbing System - Final - _ , 14. Rough Plumbing, "n 65. Electrical-Final 15. Rough Elec0ca4Conduit 66. Solar System-Final -16. Rough Electric Wiring I r11 67. Fencing &Access Approval -17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electric91-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS'- "Permit # 20. 'Rough Factory Fi�eplace t " ' _ • . 21. 1�ucts, in Structure'. ' ' 70. UndergroptldiiYdro 22. Ducts, Ventilating + i. ^' 31. Product Piping O'Gas ❑Oil 23. Gas,pipe-Rough & Test 72. Undergrobnd Flush= ' 24. RoofiFraming - - • 73. -Undergrnd. Storage Tank III Gas El 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': ' +I L • >- -' 77.; FIXED SYSTEM FINAL t 29. Insulatio n ,:, - 78.-,FIREPREV FINAL ' -30. Drywall Nailing i E- + HEALTH DEPT.-REQUIREMENT .31. Plaster Brown Coat ; I 79. FINAL INSPECTION- 32.-Electrical Power Meier:FinaI FOOD CERTIFICATE ISSUED 33.: Final Electric ". �t //% r n�-•'}; - _. J tl 34. -Final Heating & Air Conditioning (. 4. 35. final Gas Pip&=Test 36. Hoof! or:CanopY >' - 37. Final Factory Fireplace h -38- Final Plumbing 39. Water Service-Final - ,t ,40. Gas Service-Final- .41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation i1• - - , ;44. Landscape Irrigation System o r•;. =45. Attenuation _Sound 46. Handicap Regulations -47. FINAL STRUCTURE & BUILDING 48-'FINAL PLANNING 49. Electric Release to Edison 50. -Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY` n c No. Date any affirm thatm dioxide! m under prnvlslonS of Charter 9lmmencing with section 70003 e/ Division 3 of the Business and Protess10n3 COOe, dn0 my license IS in 1plllO XMI eNect ass G' /,J� Applicant o fin In all .Paces except mem within heavy border linos and sign all appropriate declarations. Planning Notes: CITYOFCOSTAMESA CONSTA�RR 10 ER,MIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. rvice Outlets Water Closet Service Sink gUto tIO Wfi3M1er tinn Sewer Cap ConSOuctiOn Pole 8 Certified copy is hereby furnished. certified copy B filed with me city Building Dblsian. Sewer Connection Cooking Unit Project Address -71-45�iyIA— BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 5D$ MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ $ $ $ENERGY $ -� $40 10 S $ SMIP PERMIT ISSUANCE P.C. GRADING MICROFILM TOTALFEE d $ $ $ $ .$ $I(] , AppllGnlSMalling dd TYPE OF CONSTRUCTION LJ NEW U ADO LJ ALTERATION LJ REPAIR El CONVERSION ❑DEMOLISH LJ OTHER Owners Name- SE hone gpgE S - DESCRI PTION OF WOR K/USE OF BLDG. 7 Atldreu Main BL ET ArcM1/Eng. " License NO. TYPE OF PERMIT U GRADING LJ FOUNDATION L STRUCTURAL Front ❑ TENANT ❑ ELECTRICAL 0 PLUMBING O MECHANICAL B Address ❑OTHER A Rear Contractor's Namr Ph° aa� C Right Address (m'lie r (/is KC' PROJECT DESCRIPTION 5G. FT. OCCUPANCY K 31 CONSTRUCTION TYPE VALUATIONS Left City License No LICENSED CONTRACTOR ZONE GRADING CU.VOS. ACRES Ping. Ref.:; DECLARATION any affirm thatm dioxide! m under prnvlslonS of Charter 9lmmencing with section 70003 e/ Division 3 of the Business and Protess10n3 COOe, dn0 my license IS in 1plllO XMI eNect ass G' /,J� Remarks: Planning Notes: Either piping ng Fountains �p Data License -r�Z r' /liembe d WORKERS' COMPENSATION D CLARATION Ihereby affirm that cartincam of consent m mu.lnmre or a coni firam workers' compensation Insurance, or a certified copy thereof (Sectionmer 380Q Lid. CJ Policy NO. Company PLUMBING FEES Swimming Pool Sink ggathtuhs Showers rvice Outlets Water Closet Service Sink gUto tIO Wfi3M1er tinn Sewer Cap ConSOuctiOn Pole 8 Certified copy is hereby furnished. certified copy B filed with me city Building Dblsian. Sewer Connection Cooking Unit that In the performance of the work for which this perm It Is Idiom1 employ y person on any mix as 10 Out the co p w 1 Out oro �[�g lgna[ura If. alter making IMs OSCNratl °, YOU mOWO b6COM6 Subject t0 the Compensation provisions of the Labor Code. you must forthwith with such pmvis Ions or this Permit shall be dammed bracket. UCTION LENDING AGENCY affirm that there IS a construction lending agency for the periormance work for which this permit Issued Istation 3091 Ce. C.) Nam Address BUILDER DECLARATION affirm that 1 am exempt from the Contractor's License taw for the 3 reason (Action 1031.5 Su51nee3 end Professional Cotler Any City or ,titos re, Prior orres ala I[i demolish or goal [menu, also reOYonstruct Vat3 the appllcar dnt (Or Such permit signed statement mat na/she Is ncen3m pursuant to the provisions of r 01 3 of Thai Busing s e(Chapter solons Code)orwithSectionhe/shhe ispexempt bye any the basis far allegedexemption. Subjects they dolens to active if not more than Her hundred dollars (S500). e owner of the Property or my amoloyns with wages at their sate aact roof rot their WoCompenvllon1O t to sin ainsurance Should be provided CGKk License LawI am aware Trial pMe, O 1 am exempt under section -6 m B. P. C. for this reason Date Owner 1 eeaby certify that I have a IN Solar C011tt ors saber. Either piping ng Fountains Solar Tank Drains Swimming Pool Sinks Urinal rvice Outlets Water Closet eptofs Water Heater In Sink Water Service Ines Auto -Wash Reinepeedon Fres I $151 1 lane Fee MECHANICAL loiter Hoag w TyOe I ❑ "°Py Type 11 ❑ Wct - Under Ground )uct- Structural Relripemtion Syrtem DO100,000 BTU �I00,1 wcu- Ventilating xhaurt system ❑ Multiple ❑ $VRam Repair/glferalion system B: Ducti .coo BTU D 10 1 DrlverS- Unna or 5$.Y I I Raimpedidn Fn I $15 I Issue Faa CMF 0865N6, rev. 10/64 White - building: Unary - Applicant: pink - Accounting; Gouenrod - Real Dish ether Dryer DC Fan F.A.U. 4404 12/20/04 25910 % Zone ELECTRICAL FEES Transformer O 15.50KW C3 W t- KW Meter Dup to 100amps Meter Dover 100emps Sub Panel S Motors DOI HP 111 A - e Inc. Solar D9-15 HE 0 16 Microwave N_ Standing Sections Trash Compactor Z O N G $3 _ Reinspection Fw $15 Isar Fee S 3 FEE '_ DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved ByDau Appli®tion lnl By—Doug Data • BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 5D$ MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ $ $ $ENERGY $ -� $40 10 S $ SMIP PERMIT ISSUANCE P.C. GRADING MICROFILM TOTALFEE d $ $ $ $ .$ $I(] , IS 3 CONSTRUCTION AND PLANNING APPROVALS Permit# Date - Inspector POOL & SPA 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, O Undrgrnd., Test 9. Water. Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK - -11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit / y/ 66. Solar System -Final - 16. Rough Electric Wiring ///y 67. Fencing & Access Approval ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas•Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27., Frame and Flashing 76. Dry Standpipe .. 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final*Electric / /5�yfj /� 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 & BUI LDING 48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51.CERTLFICATE OFOCCUPANCY No. Date t _ , Applicant e fill In All SPaces within M1aavy border liner and sign CITY OF COSTA MESA PERMIT NO. CONSTRUCTION PERMIT a nag o TRACTNO. IAT NO, BLDG. NO. PM 81-380 38 Ia TYPE OF CONSTRUCTION 0 NEW ❑ ADD ❑ ALTERATION El REPAIR 000NVERSION EIOEMOUSH ❑ OTHER OBOI IIIBIBP IIOB aO6 ' ZONING REGULATIONS Project Address 3505 Cadillac Am w owner Phone 52-59 Address 1301 Coil St. #760 Newport Beach Archl Hims-Peters License No. 4285 OESC RIPTI ON OF WORK A D 1" 139-651-13,15.28 ZONE PLNiGp.RgElIF�L.p3�q _ 160 Address 119 E. Alton .Salltd Final Contractor Oltrltv)$ CAngtELWtM Phone 176-84T.TYPE OF PERMIT ❑GRAOING ❑ FOUNDATION ^TRUCTURAL ❑ TENANT ❑ ELECTRICAL OPLUMBING QhECHANICq ❑OiHEk PROJECT DESCRIPTION SO' FT. rs 7�5 p OCCUPANCY-]Y-IONSTRUCTION TYPE yN VALUATION RiT ZONE SET q IO VARO Y EFE y 1 HT REAR YARD (TO P/L) PKG. SPACE RED. 592 STREETWIOTH :9111 ZONING APPROVED BY GgOPERTY LIrvE PROVIDED 670 PARK FEE$ DATE Aldrgy PO Brno 388 Nuri PaE]( Cis LICEN59D CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under Provisions OI Charter S IOom- menclnV tin Ilon 700 f OIVISIOn 3 1 the Business tl Rolcssi0n[ God and My license Is In full forty and glLecl. Ucen5e class % Lathe No, B63Y3 Date Signature WORKERS' COMPENSATION DECLARATION I hereby affirm tot l hares a certlfkatO Of consent to COPYselNnsuro or a ow IlaylO Of Workers' COmgnw mtlon Ineuran, or Certified COPY ' f 1EeRIOn 3000, Led. C.). GRAOING CU. YOS, ACRES SPECIAL CONDITIONS: REMARKS: Pro,. 1 O - Hgyg FOR SPECIAL REgUlli€M€N10 / No. S"IPA1 flllSDA1 Company RYaortryl TnrgmW nnoCOPY lshereby furnished. Certifies Copy Rea with thecity 9 Division, EXEMOTION FROM WORKERS' COMPENSATION DECLARATION (TM1l[ auction need not be completed if the permit 15 to, one M1Vnprpo ' �$cerl7fyp I that U:C performance Of the Work for whichthis perm,, a Issued.I shall not emploo an pilon Lain any Ol a Turner r 50 as to become addDale PLUMBING ' PLAN CHECK ELECTRICAL PLAN CHECK BATHTUBS SHOWERSgo FT Slgnatba NOTICE; 11 aftto the Workers'er entire IOts d0C(aratom, Ou should become subject o the abor Must TOILETS URINALS GENERATOR 0A KW_ ME 1-10 KW IOrthwlllr comply with such provCompensation isions oxr this permit shall be aeemeD LAVATORIES DOUBLE LAYS APPLIANCEou 1040 KW -50 a KW practices, 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 Air. Rura ce of ins Work for which this permit Is Issued [Section 3097 CIV.C). 11g.L'ra r-w•B3njC r y ,Anel ry �`-�`J" SEflVICE LINKS SUMPS - r- (INC. SOLAR) 1"0 HP 50 a HP _FLOORSINKS• h. FLOOR DRAINS FIXTURES OUTLETS SWITCHES LenderyrgtldOns 660 NEWps7E-- Center DE,.. N.B. DRINKING FOUNTAINS,, _ GASTUBE SIGNS ' OWNER BUILDER DECLARATION A •' I118no'affllm that Iame%Cmphlrom the COn(raOor.,UCemq Lee fdl• the lelmw,ng red (Section 7031.5 Business n0 -Pr permit to Ofes Ions Code, Info YMrs Ydomnlor hb or repair any structure. unty which requires prior to Its Issuance, ISOIIO? Duces lase appllont,for wort -permit to fila.a•Ogned statement that no Is licensed "Agent to the P lona Of the ConVectorrs Llwnse Law Lrfhs pmvr 9a(commeacln9 Nh SeglOn.7COPLOf. Dlvo1On.3'OCwe. INTERCEPTORB• - S, -CLARIFIERS ROLE LIGHTS SWIMMING POOL \ PTRAP HUNS I HUH I one RULES METERED WATER SERVICE ALTERATION PANELS MAIN SUB GgS¢ERVICE �r - OUTLETS SERVICE • -+ AMP .n an yRoleeiions Cl that h0 B exempt therefrom and the fer,lhe lllepetl.0eempllOu :.Any dOlatiOn.p1 SOCTOM ]03L5.by ehnotmoethanNWpermit arrooOolWrs(ESODJ Iar[IOa )VII pCMIIY ❑ 1. As ownr of of My employees with es as their WATER HEATERS s BTU OUTPUT - \$EWER CONNECTIONS SOLAR TANK COLLECTORS - IC COTRIM54 Ino, Will do the work, and the structure I$ nut intended O offer" for mull (Section 7044. Business and ROhnlOo[ Code: The WOntraclorY License taw does not apply to m owner f a property Mmugb his blel own employees, rPr Provided that sooho n ImproveSeder ments arc, fnor SOLAR PIPING SVS. ISSUE FEE644 ISSUE FEE APPLICATION APPROV ED BY GATE MECHANICAL PLAN CHECK HEATING SYSTEM 0100.000 BTV AND OUCTI NO 100,000 V BTV REFRIGERATION 0-100.000 BTU SYSTEM IdO,oOO�BTV • BOILERS BTU SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE SUMMARY OF FEES - BUILDING PERMIT $ -3951• SOUP E PLAN CHECK S PERMIT ISSUANCE $ PLUMBING $ GRADING $ PLANCHECK $ ELECTRICAL $ 1. MICROFILM S PLAN CHECK S TOTAL F EB MECHANICAL $ ERNS AD. PLAN CHECK S CEPC'$_ O FINALFEE S q o'0 Intended or finish Ver sale. Itt,, however. the building or Improvement Is Veld within one year Of Complaeins, the owner will have theD uan f proving he did of build Improve for the purpose f Mich. El 1. a[ owner of the property. am exclusively COntrac[inq with ticense0 Contractors to construct e project (Section 7044. Business R0 and 163iOMS Ends; The COntraclar' License Law does not apply to an caner OI Of Party ho DUIIOS Or IMProas lhmme, and who an. 1 al from Sue Projects with a onbactor(s) licensed Warden( 10 the COMactorY Cowl. 13 lase exempt der Ecce n.6 P. O. lar this ,caus Dater IM1erefy arliytba erne es D tattoo and state [ha[[h�boa atio CRY and YlY MoRMeasa 1a !O OIY With alland refusaryas did C ria r is to o 5lPenn the ahereby .i ntionee eepr0up[a[1 til City r u11dn the dire IlOnad property f in IID P Signature Z Drivers' Urfuma—ftell it ISSUE FEE CME 0005-46 While-BuIlding:Canary-APPI[car4 Fink-AccoilOO: GOIOenrod-ARCnor V\ ' - CONSTRUCTION AND PLANNING d APPROVALS Permit # Date Inspector POOL & SPA Date Inspector APPROVALS Permit # 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Un_rgrn - 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce gA B 47. Rough Plumbing & Pressure Test 6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings r _ 0_ 49. Electrical Conduit-Undr rn S. Foundation 50.. Gas Pipe, ❑ Undr rn Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ UndrQrn 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 - ystem- 14. Rough Electric -Conduit '56. Electrical -Final > 15. RoughElectric-Wiring57. SolarSystem-Final. 16. Rough Heating & Air Conditioning encing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test 20. Roof Framing 21. Roof Sheathing NOTES: •o o1• >ad v 0 -er-c>'e .2 8 22. Frame and Flashing 23. Insulation S.._ G -/S -g -7t -4 A Va-ujf 1 ALQS 24. Lathing & Siding _ /yki _.ig.- 25. Drywall Nailing 7-11S.- _g aip 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 CompletedL.bYy- 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date AppllerM to fill In all spaces within heavy border liner and tlgn all appropriate declarations. CITY OF COSTA MESA P RMIT - TRACT NO, - LOT NO. BLDG. NO. -- CONSTRUCTION PERMIT 'TYPE OF CONRTRUCTION 1XNEW ❑ADD CALTERATION N C ❑REPAIR OCONVERSIOOEMOLISH EI OTHER LP P/O O ZONING REGULATIONS Project Addreas 3505 Cadillac Avenue- Owner O• DI Partners Phone � fg Afghan, 1301 DOYe•St., Spite "IED - -AfCMENI.Ne Yt Beach License No. DESCRIPTION OFWORK AP of .�.. • _ I Address - TYPE OF PERMIT CGRAOING ❑ -FOUND r FOUNDATION -'C STRUCTURAL' "" C TENANT O ELECTRICAL $I61ECHANIG ZONE ', ', ,ST. sETeA T �aO19VILD1Nc 1YAIVU p q REF. ¢ F �PENTY'LINE - Contractor s Thermalair, Inc. PNIina2S3-958 I330'Pbtrexo Ave.,SO. E1 MOOie LICENSED CONTRACTOR DECLARATION - 1 hereby that I IICOn300 under Charter 9,(curm-' effluent am p OHElons of menClny with ' on ]ODD) 1 -0IM 1 oei 3 f -the BWnt d - U OTHEl _ - IGHT. - d. Roletdons Code, ond my II I n full-farm'aan02 s11aad ;REAR YARD (TO PN PRCUECTOESCRIPTION - _ IJ cenY Clads U , '^ ` SQ. FT. .. I _ _ PKGAPAC.REO- PROVIDED Odie S/9A /0.Qlgnalme -.v '-set _ WOflKER3 COMPENSATION'OECLARATION - - _ OCCUPANCY CONSTRUCTION TYPE STREETWIDTH .'PARK FEES '1 hereby offilhin that I haul a Certificate of Consent to self -Insures ora•VALUATION' ZONE ZONINGAPPROVED BY � DATE melf1Ute-Of Workers' Compensation Insurance. -or a certified COPY - GRADING CU: YDS. ACRES - '5PECI'AL-CONOITIO115:'• wl(Sucllon3800,Ldh.C.). 1 ICY No. •RBIYnDAOA Company"Srmmitv - %-- JCarriedCopyisherebylumiSM1Otl. �. Certlfledcopy It read with the City Building Division,- ESIEMPTION FROM WORKERS' COMPENSATION DECLARATION • - ITMs section need. not -be mpl ted ll O ce mil 15 far. One.IfUnI ^ _ _ _, _ _ _ __ .- - (aloDt or less [Mf n In . rel n to r IL i cut Iv to ce k fo - PLUMBING ,;PLAN CHECK:- -- ELECTRICAL' PLAN CHECK - " Issu,issues.shalt l 1 1Y Y Co .ubwmtorho WorkeOCompare N Le, BATHTUBS, SHOWERS _ ' ' .,go _' PT T Data 5` 2Q a2 skkkuu CU should Oecoesu jecl NOTICE: If alter making this declaration,m - TOILETS-, . j[ ,(,'URINALS' - GENERATOR' 0.1 KWr-110 W KIII TRANSFORMER to the Workers' Compnullon provisions oY the Labor Code, you must forthwith comply win such previsions or this Permit shall be deemed LAVATORIES DOUBLE IAVS- ,APPLIANCES- - 1050 ICWF" V 50 1 K - _ revoked. -.1.'' KIT: SINKS •' -- DISHWASHERS MOTORS `-0.1 MP_�1dOf1p - CONSTRUCTION AGENCYIherthyaNlrm[real[M•e Is construction lending agency lorthe pen IherthyaNlrm[real[M•eG SERVICESINKS P2, j' a SUMPS - IINGSOLAR)- 1060AP_30 HP _ lormance_of the work for when this permit Is -Slued (_Section 309] FLOOR SINKS- FLOOR ORAINS� FIXTURES OUTLETS„ -SWITCHES GIv'C')' "nems Niiwe - , S"p _ _ Lentlarfs:Addrei[` __ DRINKING-FOUNT41NS - --T-"-' INTERCEPTORS CLARIFIERS - '-'GAS'TUBE SIG NS' -' 1 e POLE 001 -TS - - - - OWNER BUILDERDECLARATION' - affirm La 1 1 RaabY ff r ,tri 1 I. of I theContractor's LI I .' 'SWI M M I NG POOL PTRAP --' - - - Ow follOWing Bal- (6eClon 70315 Signals are marathons Code' Any CITY O my which requires a permit t construct. alter,- �� POLES METER D l U WATER SERV ICE - ALTERATION - PANELS MAIN SUB f' Improve. demoulter or hepar any fired turn, pilar to its l55uance: also re- qubei the apricot lot such permit to Fit a Signed Statement that h0 GASSERVICE OUTLETS SERVICE - RMP -- -- 15-Ilunsed"Ourswnl to the-praviSkns of the'Contractorrs License Law '•'M1epla, 9 Immmen inp with Section 7000) of District 3 of the WATER HEATERS'— BTU OUTPUT - - and Psrcu"Sioddl no IS man gre and the 07031.5 Is for lire a bred exemption. Any violation of Se dean by Ii R SEWER CONNECTIONS - yi apPmlo nt for a permit Subjects the ppllaant'to a Ovil Penalty More cop of not rive hundred dollars (ESOOI .. _ _ _ SOLAR TANK - COLLECTORS - '" T, _ --' -' ❑ a3 owned or the property. Or TY empoyeei with wages as tMb wmMaotion,.Wlll do the. Work, and IR Sfreeme Is not Intended os offered brle (Section 7044, BUYneShadow;and Profeaons Code. The _ SOLAR PIPING SYS. - 1 _ L 'ISSUE -FEE - [Bs law does not apply to an owner of property. ContMClor 3 LlM who beim: or Imports thereon, and wind does such work himself _ ISSUE FEE ' - 7 'APPLICATION APPROVED BY' - - DATE lbrdwh his Ov n.empr that tuce imps are MECHANICAL PLAN [HECK 1 - ”' '- ' SUMMARY OF FEES sale. If. howl or Improvement Intended Or atiered for sale. If. however, me have ma Burden ner will, athbuden Is mltl within one.year rel Poetlon, me.owner w II "wed Off f puwing he I'd nor "wed improse For the purpose pl Salo). 1 BUILDING . - 0'1 5 owner of heprnperfy, am acluisely-Contracting' Bh IfEATINO 5V5TEM Od011,00D BTU .1 1...� PERMIT E SMTP .,.S Pwnse0 cdnlnchose to the prosect (Secllon 7094. BUSInOss /IND DUCTING 100.000; BTU pIgN CHECK b 'PERMIT and RnlonVOISCOrim The ConVadorty License Law does not apply to - , ISSUANCE $ of property who bums or improves thereon, and who can- t from REFRIGERATION 0-100,000 BTU PLUMBING a les Such Prohibit 'with a-COntraCtruff insured puRwnt l0 -SYSTEM - - - - '- - -GRADING —3 Inc Contractor's IICMse Law) 100,000Ia BTU I Q .PLAN:CHECK S P. ❑ 1 am exempt unifi7r Seth on Bea P. C`far IfiIS 3 BOILERS BTU ELECTRICAL a SYSTEM REPAIR, ALTERATIONby CHECK E,MICflOFILM.EOdle pW r mNfy h adt I, ppll ti and staCe l nal the above EXHAUST SYSTEM MULTIPLEMECHANIG.1 -PLAN f •0� 11SSADTOTAL I.ESSAD- Inlorma[ipwLi 1 I GGGBru t p1Y 1^h Su Ity and coca y jL4PCAN CHE[K 3 VANCEPc fOrdlnarY4µ`` I t l ll�g� W, t an a nerebvTeu^npaaa , , 've lactl Iy dl pP LEe reps. lat.d s0pate5120/82 tw 55 ISSUE FEE - FINAL FEE S o or m CMF 086946 W1110 -Ill Conayr-APPOICUSErs: Pink-fluccurflingi Goldenrod -Assessor CONSTRUCTION AND PLANNING Date APPROVALS Permit�r # POOL & SPA, _ Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Undrgrn 4T. Steel Reinforcement - - 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - 5. Steel ein orce - 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE - - 7. ootings 49. ' Electrical Conduit-Undr rn - 8. Foundation - - 50. Gas Pipe, ❑ Undr rn, Test 9. _ Water Pipe-Undrgrn 51. Backwash Lines P-Trap,El Undrar6 ' 10. Structural Floor Syste 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 = _ -- -' - -- -- 14. Rough Electric-Conduit - -- -- - - �56. Electrical-Final 15. Rough Electric-Wiring - -- 57. Solar System-Final " •- 16. Rough Heating & Air Conditioning. • - - - encing &Access Approval 1.7. Ducts in Structure - APPROVED FOR PLASTERING 18. 19. .20. Ducts, Ventilating -• Gas Pipe-Rough & Test Roof Framing 60. _ -_ _ _ _ _ , POOL/SPA SYSTEMS FINAL - 21. 22. Roof Sheathing- Frame and Flashing NOTES: 23. Insulation _ +j 9P - 4000w 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 - - - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date P fill M an spaces WBkln heavy horde, lines and sign all approprlated0claraNans. CITY OF COSTA MESA, - PERMIT NO. i� TRACT NO. LOT NO.. BLDG. NO. CONSTRUCTION PERMIT '1'MBI—?#i Tp(YPE.OF CONSTRUCTION .' 5406 9/05/52 11'.00 --project gtltlress7 06 ` I'OWner PMne ( y]j.I EW ❑ PDD ❑ ALTERATION ❑CONVERSION CDEMOLISH 'OTHER'' - r - _ -ZONING REGULgT10NS •, - I.Address 30i sar M7 IfIlLayliftwel Rmilf..1REPAIR r.Arch/Eng. .- Gcenm No. 81 , DESCRIPTION OF WORK ATnsr 'AddreL9 it - 'ZONE ' -' PI RgLEsF�: -- jContrrr ,- -Phone TVPE OF PERMIT. - - ❑'GRADING-' ❑FOUNDATION- ❑STRUCTURAL 'slcT Ac .- --- pMIry.,G-, Tp PROPEIfdTVLI NE `• Addres5- ILICENSEO CONTRACTOR DEC ARAT10N - U TENANT LJ ELECTRICAL: OPLUMBINGt4MECHANIC V nO _.- Y 1 hereby affirm Int 11 0 b y wslo f C t r 9 (COT' - T '- -- - - Inqq if tl 7000( f OI 1 3. Of the.Business' d d' Q OTHE0." -- �PfOlesrlOnS Cdn my II full 1 E,¢f�` '1 ""'- REAR YARD O {TP/L) -' - - PROJECT OE (PTI N ] _ Ucen[e class - L+ N T -' - - --- p OCCVPANCV �CONSTRULTION TYPE PKG. SPACE REO.--- `STREET"WIDTH' --PROVIDED- PARK FEE S- Date '� - 519 alu I WORKERS'COMPENSATION DECLARATION I hereby affirm that I nave a Certlflaste at ocneent 10 sell -ml Of a , VALUATION ZONE --' ZONING APPROVED' BY " DATE "t of Workers' (bmpenSaLOn ed_ opy GRADING CU VDS ACRES YECIAL CONDITIONS: - 31( 'fI( 3800 e, N Cn V 1 CIS 'CJ Certified copy shereby furnished. gEMHN KS Q - MUtkk[ copy t city ID -- - _ XEPTIO FROM WRKRS'COMPENSTON DECLARATION EXEMPTION 0. sf omp (tl'f the Permit IS for one hundred This mrnfon need not be completed . If for cn tali permit I t Iy Shat ( the performance nn W which Issues- hal toyanyp In - any mannaralto yDecme YDIeCIIOthe WCOmpenxllon LaNy of Glllomiala _y PLUMBING -PLAN CHECK - ELECTRICAL- --rALANCHEEKS - BATHTUBS--SHOWERS- ' - ,- }�' 59. So FT agnatuR Dte _T $I NOTICE If after Inaklng this declaration, You Should become,sublec[ .-TOILETS URINALS -- - - - 1.. GENERATOR. 0-IKW 1 -lo KW tothe Worker Compensation provisions Of the tabor Code, you'mus[ iTflANSFORM ER - IfoltnWIT Comply with such Provisions Or l NS permit shell De deOmCb LAVATORIES DOUBLE LAVS--��-. - APPLIANCE --_10.50 KW_ f'KW�' C fliond ..KIT.SINKS-- DISHWASHER$ - 'MOTORS. - -O-1-HP=1-10 HP` CONSTRUCTION LENCING AGENCY - - NST 'I hereby alfbm[hat Inde lsa construction lending apendjfm the par. 'fbrmance SERVICESINKS SUMPS--- �_ _I,(INGSOLAP) _10-S O.HP 50+HP'S7=I�� DI that1 work for wya b�M1 this perPIIt�I5 ISSuetl (SeCllon 309] - FLOOR SINKS -- -'FLOOR'ORAINS -- - !FIXTURES-.--OUTLETS---.SWITCHEST'f - {Cl,er - Tl '210 -�RUIC - - _ _- U.`u Lunars Name U.� - LenderYAdtlres� R'oRS" - DRINKING FOUNTAINS--' _ ;GAS TUBE SIGNS_ _ _ - am vRmpf INTERCEPTtiRS'r' -CLARIFIERS -- -- 'PoLELIGHTS— V 10MmbYNERBUfmD^RDat I from the [on[ra_q 's License Law lOf '-,PTRAP-_ the.following-reaxn_($ aloo-7033.5 BYSIneez-antl.Ro1 salons Caoe: 'Any SWIMMINGPOOL - '- TPOL `" _�- METERED SUB county b1c0 requires PMmB to construct, Iter, WATER SERVICE --ALTERATION .,PANELS' MAIN- -SOB.` -- - city -denrl Or_reav any structure, Prior to its Issuance, also le-. coffee Its aal.Peam for Such permit to file a Signed statement that he GAS SERVICE - - OUTLETS-" - )SERVICE J._gMP is etl pursusnt.to.Me.pavitlans of the COn fa tOr%.LICdOx,Law `ripter 9 (Ce ling wRM1 Section ]000) Of Dlvlshm 3 of the -- -- ' WATER HEATERS BTU OUTPUT - - 5 antl Prdi orR.Code).ar. [fiatfie li,axempt.thenfmmawlthe. for thea egad eeemJ»Son. Any violation O! ShOlOn 7031.5 by alleged _ SEWER' CONNECTIONS-- - - ���--aL � \ .Permit bIPC[LIDe applicant to a. (VII -penalty. _apffiael of not than film hundred dollars ($500). SOLAR -TANK- - - -COLLECTORS 0 1; as-awner of the property. or -my emPlOyeer'with wages a39neb SOLcommsmatiOq will do the work, and the structure IS not Intended .. offeredor for xle-(Sect1On-7044. Business and-WofosiioOns' Code: The SOLAR PIPING SVS:' ISSUE -FEE .. .. - Contractors UrchiOren [ dO10 f aimsef ISSUETEE '- - ^ - -' - -- 'APPLICATION APPROV EO BY ._ _ )..DATE Impe m thereon, and WY es such on uprovework this art noo, 'through own employees, plded that suchsi ments 'MECHANICAL' --PLAN CHECK - -- - - SUMMARY OF FEES- intended or'Oflered for sale R•'howemr the bulletin rImprovement ' have isSold Within One year of completion, the owner Wit the burden 'BUILDING proving he did'nOTbulld Improve forthepurpose 1 sale). HEATING - :EI -1, 3 -owner of [FO Properly. am XCIusIw1Y contracting wHIS SVSTEM 0-100.000 BTU -AND DUCTING - PERMIT S SHIPS licensed contractors to construct the project (Section 7044, Business 100,000 BTV PLAN CHECK Is - - PERMIT '3' Lie and Professions Code: -The Contractor's n a LdW dordhot apply to �'� --0-100.000 "PLUMBING ('ISSUANCE' ' an owner Of Property Who builds or ImprOws thereon• and who urn- REFRIGERATION BTU _ -S --- - _ Cts Iro.sh.pmgSned- tracts rsuc (ects with a.COntractost hall to SYSTEM- _ tPLAN GRADING Is 1' the Contractor's License Law). 100:000! BTU ""; CHECK -$ - -' _ PI -am axe pt unser se at on -a,& P. C.rthis - m -- _ _. _ _ BOILERS -BTU r'ELECTPICAL-E --r--- P' ---, _is -- rear nOnr SYSTEM REPAIR, ALTERATION (PLANCHECK-is �3� _-- MICROFILM $' patA12110 -� - MECHANICAL El TOTAL FEE S_' nae'edCetn i,dpaPrlOiCsllOn anda51ale 1hal me aDdve EXHAUST SYSTEM MULTIPLE �PLAN.CHECN _1- "+LESS AD- Infagll Iu<wi[n 11-dlY and coo ty - E VANCE PC' E_NdofnetlILWRFT ardI!r'ng [onsP ItOn, and M1ereby authorize m .I FINAL FEE $ Dri- - ISSUE FEE CMF 08554fi �111Re-BUlming: Gnary-ApPlicantl Rnk-Acauntingi GoldenrodAssessor CONSTRUCTION AND PLANNING APPROVALS - Permit# M'y59/ Date Inspector AVPgOVqI POOL & SPA'. -O - ` Date Inspector . APPROVALS Permit # 1. Temporary Electrical- Service pr Pole _ - 43. Pool & Equipment Location - 2. Sod Pipe-Undrgrn - _ 44. Steel Reinforcement 3.- Electrical Conduit Utility-Undrgrn - -- _ 45. Forms - - - 4. Electrical Conduit-Undrgrn-.. - _ - 46. Electrical Bonding,5.- -Steel Reinforce _ _ 47. Rouqh'Plumbing & Pressure Test - - 6.- Electrical UFER.Grn_ _ _ _- _ - 48. APPROVALTO COVER-GUNITE _7. -.Footings - _. _ - 49. Electrical Conduit-Undr rn --B. --Foundation - -- - - -- - - - - 50. , Gas Pipe, ❑ Undr rn, Test'' - 9- Water Pipe-Undrgrn -- - --- - -- - 51.. Backwash Lines P-Trgp. ❑ Undrgrn . 10.- Structural Floor System 52. _ APPROVAL TO DECK - - 11.- Property Sewer-Line &House Connection - -- - 53. Backwash & Receptor-Final. " Street-Sewer Connection - - - - ---- -- - - - -- - 54-.- Heater & Vent-Final �• - .13.•-• Rough Plumbing em-- - 14. Rough Electric-Conduit `` _ _ 156. Electrical-Final- 15. Rough Electric-Wiring - - - 57. Solar System-Final ' 16. Rough Heating'& Air Conditioning _ - - -b8. Fencing & Access Approval - 17.- Ducts, in Structure-- - - -- - APPROVED FOR PLASTERING 1B.' Ducts, Ventilating --- -• t - 60. - - -- - . _ - - - POOL/SPA SYSTEMS FINAL i. ,• , - 19: Gas Pipe-Rough &Test- - - 20. Roof'Framing - - - - - 21. Roof Sheathing- - - - 'NOTES: 22. Frame'and Flashing - 23. Insulation -- - - - - - - - ' 24. Lathing & Siding -- r L ;9ak,_Fz, 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-Fina{ - - - - ' 34. Solar Domestic-Final''' - • 35. Landscape Sprinkling System - - - - - 36. Sound Attenuation r 37.. Handicap Regulations - I 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 I " CADILIAC AVENUE 3505 Unit 0-7 Lot 39 - B-2291- ulf1p Co m• Bldg. 72,594. Unit o-7 P-2402- PLBG.(B-2291) E-2958-- tlsulpr ELE)CC. x72291) — .24.7-8 M-3767-7/Aflj -0-72291) _ BP14017jQ MISC $19,000. ��� PC 440-84A � 0 - st O7 7 E14018 -1 biISC �(g1�5 BP14017 ste 207 11401 7/:?�//5. RE INSPECT BPA017 M14181 MISC BLDG 0207 A _ B16186 TIN II4P $14,000. _ /;I- PC 720-84A 0-107 A � 3505 CADILLAC AVENUE Unit O 107/07 34 l MISC �Y sA, II16186 O �r1 M16321 MISC ;► BE166/61 TIN LMP o-io00. /�ic(6S PC 833-84A (714) 754-5273 • Fax (714) 754-4656 • www.ci.costa-mesa.%VSILDING PERMIT Job Address: 3505 CADILLACAV Suite: 0107 Vicinity: Parcel Number: 13966216 Applicant: MIKE KAMIMOTO Address: 515 S FLOWER ST SUITE 4320 Plan Check: LOS ANGELES, CA Owner: RSJ LIMITED LP Address %SANDRAJ EWING SMIP Com: SAN JUAN CAPISTRANO, CA Other: 27760 SOMERSET LN Contractor: Address: Zip: Arch Address Zip Phone: License: 0 Zoning: Phone: 213-622-6260 Zip: 90071 ' Phone: Zip: 926755402 Phone: License: Eng: Address: 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 10/08/2003 Issued: 11/26/2003 ISSUED BY: _ Phone: License: Total: $1,073.51 SETBACKS MAIN STRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existing: 0 PLANNING & ZONING Rear 0-0 Left 0-0 Right 01-A. i Rear 0-0 , Left 0-0 Right 0-0 Required: 0 Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12.21.92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or If work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 26x8-48 (8=) . , , SCOPE OF PERMIT 720 S.F. INTERIOR TENANT IMPROVEMENT FOR "WAMILES'COSMETICS AMERICA" SUITE 0107. WORK TO INCLUDE: INSTALL 1 NEW WATER CLOSET, 4 WASH BASINS, & ADD NEW INTERIOR WALLS. FEE SUMMARY Plan Check: $418.76 Calc Valuation: $50,000.00 Permit: $644.25 Claim Valuation: $50,000.00 SMIP Res: $0.00 SMIP Com: $10.50 Other: $0.00 Inspection: $0.00 Total: $1,073.51 SETBACKS MAIN STRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existing: 0 PLANNING & ZONING Rear 0-0 Left 0-0 Right 01-A. i Rear 0-0 , Left 0-0 Right 0-0 Required: 0 Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12.21.92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or If work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 26x8-48 (8=) ME DECLARATIONS WORKERS' COMPENSATION DECLARATION: - 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a cortlficate o1 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. PI ve antl will maintain workers'oanpensatlon Insurance, as required by section 3700 of the Labor Code, for Ne performance of the work for which this pemat Ls Issued. workers'oompensatlon Insurance carrier antl policy number are:STATE tUNU P icy Nu r:tion need not be completed H the permit Is valued atone hundred dollars ($100) or 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 subject to the workers' g nation laws of California, and agree that If I should become subject to the workers'compensation revisions of Section 3700 of the Labor Code, I shall forthwith these provisions.Rn re: gym— Dat "—�— LURE TO SECURE RKERS' COMPENSATION COV OE IS UNLAWFUL AND SHALL SUBJECT ANE RTO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED LLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, OAM4GE5 AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I h rm m licensed under provisions of Chapter 9 (commencing with Sectlon 7000) of DivisloBusiness and Professions Code, and my license is In full rce an L Lic. a U CIO a A MC Contr s Slgnat e: 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: 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 Sectlon 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 Lew does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractors) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Drivers 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 conity that no excavation two (5) or rare 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, talsework, 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 hese permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 WIII the applicant or present or future building occupant need to lila and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ 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). ........................................................................_.._...._..............__.......................................__..._......................._................................................................................................................ ..........._.......... .._..—.................. W............"' 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Masa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materiels equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic loot o1 compressed gas at standard temperature and pressure). ....................................................................................................... ........................................................................... ............................................................................................................................................................... _...................................... 3 Dces ar will the aGGplicant or present or future building =upon[ need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ Ido (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 are required to register acutely hazardous materials with the Fire ()apartment. ............._..........................._..................equire......._...... ection.._.._......_............_.._.____.............__................._........................................................wit.h............. ..a.. ...... _..... ....N.o...... __................._..._.............__. 4 If en RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑ No ..................__..................._......................._.__.._...._......._._.__....__..........._—_..............._..........._..__.........................................._.................._.............................._...................._._.._.................._............._.._. 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication aemit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes a No (Section 66850.2 of the California Government Code requires that the requested information be furnished on applicatims for non-residential building permits). 8 WIII any pen of the fecllity to co constructed under This permit be within 1000 feet from the outer bountlaries of a school? ❑Yes ❑ 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 applic.. ..............__._._._ _._._....—__..._...__._.........................................___.........................._—._........_....._ 8 (Ii 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 comfy 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. Signa IOwner(s) Date -2 X03 And/Or on 0 Applica Date CODE f. INSPECTION TYPE 2M INTIVA CODE r INSPECTION TYPE gITRALi 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Root 210 Final Electrical 201 Final Block/Retaining Well 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 Z Zq LWA (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us - 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 3505 CADILLAC AV Status: ISSUED Suite No 0107 Applied: 12/02/2003 Issued: 12/02/2003 Vicinity: Parcel Nunmber: 13966216 - - ISSUED BY: Applicant: ALAN GRAHAM'� Address: 404 WEST. BL'UERIDGE AVENUE - �; Phone: -714-282-5700 ,ORANGE, CA Zip: 92865-4204 Owner: RSJ LIMITED LP' =' 'Address '%SANDRAJ EWING -� SAN JUAN CAPISTRANO, CA Phone: i 27760 SOMERSET LN Zip: 92675-5402 - Contractor: , AMERICAN CONTRACTORS, Address: 404 WEST BLUERIDGE AVENUE - . - Phone: 714-282-5700 ' ORANGE, CA. Zip: 92865-4204 - ` License: 309863 Arch / Eng Address: Phone r - Zip:,;' License. SCOPE OF PERMIT 720 S.F. INTERIOR TENANT IMPROVEMENT FOR "WAMILES COSMETICS AMERICA" SUITE 0107., WORK TO INCLUDE: INSTALL 1 NEW WATER CLOSET, 4 WASH BASINS, & ADD NEW INTERIOR WALLS. REF.: B03-01754 - - PLUMBING TO INCLUDE: 4 WASH BASINS, 1 WATER CLOSET;.AND 4. WATER HEATERS. " QTY AMT FEE SUMMARY 0 - AMT - QTY 0 AMT ISSUE FEE $23.50, 0 - Laundry Tub / Washer $0.00 Backflow irrigation �\ „$0.00 0 . Landscape Irrigation $0.00 Backflow Preventer %"$0.00 0' P,Trap $0.00 Bathtub �$0.oc�- 0 _ Pressure Regulator $0.00 Clarifier System $0.00 0, Process Piping (per 10 ft) $0.00 Connect (Ice,Soda,etc) $0.00 _0 - Receptors $0.00 Dental Units $0.00 0--. Septic Tank - $0.00 Dishwasher $0.00 0 _ ,"Sewer Cap for Demo - $0.00,. Drain, Floor $0.00 0 Sewer Connect ' ' ' ' $0.00.. Drain, Rainwater $0.00 0 Sewer Private Line — - $0.00 QTY AMT QTY 0 - Sump Pump $0.00 0 0 Swimming Pool '-' $0.00 0 0 : Trap Primer $0.00 0 0 Urinal $0.00 0 0 Vacuum Brkr Bkflow(1-4) $0.00 0 0 _Vacuum Brkr Bkflow(5+) $0.00 0 0 - Wash Basin $39.20 4 0"_" i' Wash Basin Set $0.00 0 0 Waste and Vent System $0.00 0 0 Water Closet (Toilet) $9.80 1 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) 7645626 2aa6a6 (aroo) DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to sell-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' pen 0qn insurance, M required by section 37(X1 of the Labor Code, for the performance of the work for which this pernit is issued. My we tion Ins a der andIcy number are: , /? Policy Number; �r7 _ 7'Y'J n (This secs need not o nompiated if the p(mtit is Valued atone hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit Is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. Applicant Signature: Date: I z - e7 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 DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR OODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that i am licegd undergrislIT of Chapter 9 (commencing with Section 7000) of Division 3 of the Business Arid Professions Code, and my license Is in full force and effect. Uc DC3 Class N Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structuro, 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 appllcent to a civil penalty of not more than two 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. It, 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.). ❑ f, as owner of rhe 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 drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, I.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 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, falsawork, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, 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 WIII the applicant or present or future building occupent need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some oxceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reposed 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? ❑Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Coate 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 cubk feet of compressed gas at standard temperature and pressure). 3 Does will lh❑e applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ((Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, codification 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 an RMPP Is presently required, hes Section 25534 of the California Health and Safety Code been fully compIt . a d with? ❑Yes ❑ No ..................................................................._..__.___._.................... _._......._. ._.........__._.........s thes.....................h.'L'...............at'I......a........__.___..................__._.......__ " 5 Does or will the applicant or present or future building Occupant a require for the work which di Ua subject of this Bypit es epertnit for such consWNon or modification from the South Goes( Air Quality Management District or from any other air pollution control district or agency! � Ves S No (Section 65650.2 of the California Govemmem Code requires that the requested Information be fumished on applications for non-residential building permits). ...........................................__.................._..._.._.........................._.............___.........................._._.........._....._................_..................................................... 6 Will an.........................___....._._—.._ _ y pert of the fadliry to be constructed under this permit be within 1000 feel from the outer boundaries of a school? El Yes ❑ No (it '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 Celifomia Health and Safety Code Section 42303 been made? ❑Ves ❑ No 6 (If yes", attach certificate of compliance tram 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 dry 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. bonature 01 Legal Owner(s) k Dal ndfOr Authorized A rpkant Data CODE„). INSPECTION TYPE gJ1¢ IL{ITTIAL$ CODE If INSPECTION TYPE gAIE 941IML5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing I�•�Y-c�3 200 Final Re-Roof 210 Final Electrical 201 Final BlocK/Retaining Well 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition - - 250 Final Bullding/Occupancy (714) 754-5273 • Fax (714) 754.4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: 3505 CADILLAC AV Suite No 0107 Vicinity: BLDG O STE 107 (WAMILES COSMETICS) Parcel Nunmber: 13966216 Applicant: GEORGE PEDERSEN Address: 1805 FITZGERALD RD SIMI VALLEY, CA Phone: 805-581-3257 Zip: 93065 Owner: RSJ LIMITED LP Address %SANDRA J EWING- SAN JUAN CAPISTRANO, CA Phone: 27760 SOMERSET LN Zip: 92675-5402 Contractor: GEORGE PEDERSEN ELECTRICAL Address: 1805 FITZGERALD RD "Phone: 805-581-3257 SIMI VALLEY, CA Zip: 93065 License: 440863 Status: ISSUED Applied: 12/09/2003 Issued: 12/11/2003 ISSUED BY: SCOPE OF. PERMIT . 720 S.F. INTERIOR TENANT IMPROVEMENT FOR -WAMILES COSMETICS AMERICA- SUITE 0107. WORK TO INCLUDE: INSTALL 1 NEW WATER CLOSET, -4 WASH BASINS, & ADD NEW INTERIOR WALLS. REF.: B03-01754 ELECTRICAL TO INCLUDE: 5 LIGHT FIXTURES, 1 OUTLET, 8 SWITCHES, AND 4 RESIDENTIAL APPLIANCES Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0, - $0.00 0' $0.00 �0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 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) 7545626 2446-48 IBM) FEE SUMMARY_ Quantity ISSUE FEE - $23.50 .. TempDistSystem / Lighting Temp service test $0.00 ,, Busway /100 ft Res. a/c package -$0.00 - - Standing Section -. New Res (1-2 units) $0.00 -. 0 Misc Electrical Equipment .= New Res (3+units) $0.00 0 Transformers up to 1 kva/kw Pool / Spa $0.00 0 ................up to 10 kva/kw Lighting Fixts $5.50 5 _ .................up to 50 kva/kw Recept Outlets $1.10 1 .................up to 100 kva/kw Switches $8.80 8 ..................over 100 kva/kw Non Res Appl $0.00 0- . Low Voltage Equipment Res Appl $19.00 4 Low Volt Wiring System / Ckt Service to 200a $0.00. 0 Misc. Conduit Service to 1000a $0.00 0 - Misc. Conductor Service over 1000a $0.00 -. 0 - Circus ( gen or ride) Motors to 1hp $0.00 0 Circus (meth ride or lights)'- ights),Motors Motorsto 10hp $0.00 0 - _ Christmas Tree Stand' Motors to 50hp $0.00 0 Fireworks Stand Motors to 1 00h $0.00 0 Other Electrical Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0, - $0.00 0' $0.00 �0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 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) 7545626 2446-48 IBM) DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the fallowing 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. ❑ 1 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 1s issued. My workers' compensation Insurance carder and policy number are: Carder: Policy Number: (This sactfon need not be completed if the permit /s valued at one hundred dollars ($100) crime) �j 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 lomia, and e t at It I should become subject to the workers' compensation provisions of Section 3700 of the tabor Code, I shall forthwith comply with these pro ons. /J '1 Applicant Signature: .Q ,, Data: 1 Z - 11 0 > WARNING: FAILURE TO SECURE WORT RS' OOMIPENSATICN COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE (5100,000). IN ADDITION TO THE COST OF OWPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under rovisions o1 Chapter B (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. Uc. q ® Class N C^ 10 Contractor's Signature: Date: 12.- it -es } CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirn that there is a construction lending agency for the performance of the work for which this Permit is Issued. (Sec. 3097, CMI Cade). Lenders Name: Lenders Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): . ❑ I, as Owner of the 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 I-Icense 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 I-Icense 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.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, Le. - 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 then thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 6, California Administrative Code). ❑ As ownar-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 frau the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 WIII 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? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires. with some exceptions, that a Business Plan be filed with the Costa Mese Fire Department by every business which has at any one time during a reported year a quantity of hazardous matorals 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). ...................................................__............_..__._........................_.__._....................__......file............istrat...................._.................................................. I-ei......-s-7. ....._.. .a..............._.. ....._....... -. -._._.....__.... 2 Does or will the applicant or present or Futuro building occupant need to filo a registration forth for acutely hazardous metedals7 ❑Ves ❑ 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 o t hand a quantity of mutely hazardous materials aqua to or greater then 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 appplicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Sectlon 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and tiling with the Fire Department Of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. .............._.a.................-is...................__........................._...ection....._...................California ith,_.......... ..........__............... _._......... __......�_....._._ 4 If en RMPP is presently required, has Section 25534 of the CelifHealth and Safety Code been fully complied with? ❑ Ves ❑ No 5 Does or will the applicant Air or present or future building occupant require for the work which Is the subject c ? a plication appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control tllstdd or agency? � Yes LJ 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? ❑ Yes ❑ No (If yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ................. -... __.............. ....._.._............__._............._._._._.................. .... _.......... _.......... __............ _..... _._................ _.................................................. "'—........ ...__._._.._._ 7 If appemrit 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 applicatlon, have all of the disclosures prescribed by Celifomia Health and Safety Code Section 42303 been made? ❑ Ves ❑ No ............................... ........................ ......... ......._................................................_.................................................................................................... ........................................................................................._................._..............___.......... 6 (If yes", adach cerificato 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. 0Ig lura Of Legal Owners) Date a 6A&1kJ Z (� ' O 3 Anci/Or Authorized Applicant Data CODE f. INSPECTONTYPE gSTI; INTITLAL6 CODE INSPECTION TYPE 2AU fit$ 1616 Fixed System Final Fire Prevention 206 Final Mechanlcal 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Rcof 210 Final Electrical 201 Final Block/Retaining Well 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 I Applicant to all in.E spaces except those within heavy border Sinn and Sign all appropriate declarations. CITV OF COSTA MESA CONSTRUCTION PERMIT Address 0 Q PERMIT N0. �.� 0 ��PSbS-zt LO NO p,9y Possess U NIT NO. 0-10-7Project s / Applicant's Mailing Ad/d/OeEE5 Owners Name ��, / / 0� obop "���a Address dV- TYPE OF CONSTRUCTION NEW O ALTERATION REPAIR �CONV ERSION 1:1 DEMOLISH OTHER DESCR IPTION OF WOR K/ OF oG. T�•z/.91r /�6E®yP - 's. Ses A,P_�5 1qJ( S T B C K $ Maj®r Ruildi _ ArchdEng. Licrrs¢No, Address TYPE OF FERMI Tat LJ GRADING FOUNDATION STRUCTURAL ❑ TENANT 19 ELECTRICAL ❑ PLUMBING ❑ MECHANICAL 1-1 OTHER I PRQIECT OESORIPTION 51]. FT. OCCUPANCY C O N ST RUCTION TYPE VALUATIONS :J�� � ZONE GRADING CU. YDS. ACRES— Front Ree! �.,� J ,rte Contractor's Nam M1one fa3^�6£1. Right Atlmea lm• -• /6/-� '/�f ��1 Vii^--�Q/.4 Address City No. 3/Gi LICENSED CONTRACTOR DECLARATION CM1Vte COo men hereby a11bm that 1 am IiCMSetl andel OrOv O /01Remarxe wile eeaion good) a Diylaon B a+ me B n s dna wo res , and my IiCen%li M IY11101c0 ind tlleC0. Left plrg. Rel. $ �3 G J $ '• Plennir;g Notes - ' ucense hay _ � LI gn� Dale Sampling amak e e WORK R3 COMPENSATION OEC RATION hereby affirm that I have a cgmne I consem to sin -insure o certificate of Workers' Compensation Poore or a certified copy theme[ (Section Policy Lab. C.1n?z�4 Company L1PolicyNO. ertdied copy E - hereby CerlNetl copy isliver with the Cit y Building Dlvlzion.Aptic lit EXEMPTION FROM WORKERS' COMPENSATION DECLARATION lIggs ion need not be completed If the permit IS for one hundred (E1e0) or logs). of Shell matthat employ any Penson in any work for a which to become subject to Lite Workers' Compensation Lewis of California,er o u Date Signature 'NOTICE: IL anter making this declaration. you should becomesublecl to the Workers' CompenaliOn provisions of the Labor Code, you most forthwith ply with such provisions or this permit hall be deemed r vOkeq. CONSTRUCTION LENDING AGENCY linear affirthat there It a Construction lending agency for the performance' m of the work for wfil¢M1 this permit Is Issued (Section 3099 Cie. C.) Lender's Name - Lenaer'snddrass OWNER BUILDER DECLARATION I hereby affirm that l am exempt from the Contractor's License Law for the following reason (Section 9031.15 Business and Professional Code: Any city or tiny which quires a Permit to construct, alter, Improve, compilers r repair any strutttme, prior to its issuance.Iso require; the applicant far such permit 10 file a signed statement that he/he Is licensed, pursuant t0 provisions Of `he Contractors License Law (Chapter 9 (commencing with Section ]0000) of 1 model a of the Business d Professions Code) r that he/she i pt rl O and the basis forthealleged "motion. Any violation Of Section 9^a. as oy any applicant for f not ore than five h a permit 6uDIISC iM1a appago lit to (VII ' I.5 or not r than lire hundred dollars Iect$ t own m Property or my employees with w s their sole u Iam exempt Dae 6 P. 0. forth Is reasan Irrigation at 1 FOuntims Interceptors Kitchen Sink Lavatories P—Trap Roof Drams ReinspectionFee Under GR: Structural Oct. Bu. I[ System III .000 BTU Drivers' Uc y 8 a_ I I Aning lion Fee CMF 0865.d6, real I died White - BUlltling; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Service Sink ' Sewer Cap Sewer Connection Solar Collectors Solar Piping r Solar Tank swimming Pool w/Spa. Urinal Outlets Water Closet Water Heater _ Waler Service 15� I Issue Fee MECHANICAL Hood or Typal CanOpY TYPe II Refngerelion Syaem _ ❑0100,000 BTU ❑ ❑ SyRem RePeirlAlter. Fire Dampers Regions S1$ I I Issue Fee Automatic Washer Consirucii in %le Cooking Unit Fixtures . Device Boxes outlets Switches Garbage Disposal Generator 00-5 4224 12/18/04 Hne85 TL Lane DZ Accessory Buildng: z D' N I N R Parking Beq./Provided E D i11 ICAL . Transformer 11.15 -50 -KY ❑ 504 KW Meter Dun to 100 drabs Trash Coastal FEES $3 Reinspection Fee $15 Issue Fiat S 3 FEES DEVELOPMENT By 1.2 SERVICES Lapl�APpprov By DKC�y0.p Building Approved By _Application lzw By ;aVore NTS: LID; ;megiyl`� ' net Dat Date ra/n/ Z I I1 . BUILUINGPERMIT S PLAN CHECK $ ' PLUMBING $ PLAN CH ECK 25% $ ELECTRICAL 'S "PLAN CHECK 50% $ MECHANICAL 'S 1 PLAN CHECK 25% $ StilNy!RY OF �T. Sit 1 2-3 S .LO 1.10 FEES 1 SMIP PERMIT ISSUANCE ENE ROY 1P C. GRADING MICROFILM TOTALFEE S r $ $ $ $ S 5 'S S 3 CONSTRUCTION AND PLANNING APPROVALS Permit # Date -Inspector PO, & SPA APPROVALS Permit # Date Inspectnr 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2, Soil Pipe'-Undrgrnd. 53. Steel•Reinforcement 3' Electrical Conduit Utility-Undrgrnd. - 54. Forms t4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement, 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. ' 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test ' 9. Water,Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash &Receptor -Final . 12.. Sewer Cap - 63. Heater & Vent -Final - 13. Roof,Drains 64. Plumbing System - Final -. 14. Rough Plumbing, 65. Electrical -Final 15, Rough Electrical -Conduit 66. Solar System -Final 16- Rough Electric Wiring /% 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 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 ElGas 0Oil 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 3 g 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 / 9 Notes: l R L - t S� �p r 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 tela - 47. FINAL STRUCTURE & BUILDING 111g,0- 0_48. 48. Special Requirements Completed - 49. Electric Release to Edison - - - - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. - a / Date ` City of Costa Mesa Development Services Department O C J Building Safety Division CERTIFICATE OF OCCUPANCY No. 00 P. O. Box 1200 Costa Mesa, California The Building located at 3505 CADILLAC UNIT #0-107 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R-2 Occupancy. Use of Buildin Legal Description 139-662-16 (See reverse side for Metes and Bounds) Building Permit No }7FF115661 ' Electrical Permit No. BE -16661 Plumbing Permit No. Mechanical Permit No. Number of apartments — ISSUED TO: - Building Official 0'rx-y,m1F:T,t. xi2rrtmht bYv i". 0/�. / C/ 3303 CADILIAC, 0-110, COSTA MESA, CA. Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premise Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev, 1/83 White - Owner; Canary - Numerical File: Pink - Bldg. Permit File and/or guest rooms and SHALL NOT BE removed except by the day'"' Appl aril to fill n m Sweet *asset those within heavy border lines and Sign all appropriate declarations. CITY OF COSTA MESA CAN Tfj UCTI07 P ER MIT [U7 PER TNO. py �O � TRACT NO. W LOT NO. UNIT ND. "Profen 3�S �o '�/ra iis.d_. G —4Y07 r 1 2Z nC T'� a- O 7 Adam$ 1999 11/09/84 Tl, Applicant's Mallin dtlre55 -SOY[_ AppN TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR .I2Ce45 UI-Bt�l �/ CONVERSION O DEMOLISH' O OTHER A.P. 13 y' 'Zone' Owner's Name doss. /n.lx..,..r/-Phone 'TTL-acro 11i ssDsr�l: flu .fir �' TdM Cm OE$CRIP (ONO WORK/USE OF G OEM i S Win Building- Accessory Building: Atltlrea /a JT/0I% 1 ArchlEng. IieewesMo. /�O PERMIT GRADING FOUNDATWN STRUCTURAL Q 0 _J9-MECHANICAL T Fran[ •y p Address ! _JTENANT ELECTRICAL PLUMBING B N ���/T��'PM1One POTHER A Pe9f CnntreclOr's Nam �Ll� Atltlrea Imai local �' g%�.P `Irl PROJECT s¢s¢POCCUPANC K Larry Larry G ONSTRDESCRIPTION CONSTRUCTION TYPEVALVATIONS $_ R 1 Cit License Np_ _ Y ZONE GRAOINO CU.VOS. ACRES PIOg�Ref,# Parking R¢q./PlOvidetl E LICENSED CONTRACTOR DECLARATION *Otos 1 heresy aflirm Inst 1 am Ildenud unser Drov ofChart cin9 Remarks: C 'D�, - Planning Notes: Al with Section ]000j of Division 3 or iM1e B and Pr and nUse T My license IS in full force and effect. p Poems Cla - $ Date signature e= �' IF FEE$JA WORK R COMPENSATION OEC RATION Bar Sink Showers ELECTRICAL FEES hOreoy affirm that I have cilli of consent to ulf4nz car IIIat2 ca of Workers' Compal lTOn IdeaaI , or a cert d.copy there Ott Backflow Preventer Service Sink ` Automatic Transformer ❑ gado, Lab. c.1zzr Washer 15-50 KW POLICY No. Company i BeCkflOw Irrigation $ewer Cap, Construction Pole Sub. 0 50 P KW ' urdned co v narabr mml3nea. Certified c f led whir the City B Ivisla Bathtubs Sewer Com rCctlon Cocking Unit Mater ❑up m 1 W Amps _ f bbb le AODIICant - EXEMPTI R NSATI DEECLARATION• Clarifiers lI Solder Collection;— Dishwasher_ Metercover l00amps: - " ((This motion need not be completedPermit IS for handled (S100) or MWORKERS/&mi fOs31. - Dishnesher Solar Piping. - Dryers ❑Gas ❑Eltuf is I certify that in the performanceork for whIch tills permit IN Issued I - Sub Panel' - naR not employ permn.in so aS to become subject to the Drinking Fountains SolarTank FanMotors ❑0.1 HP ❑1% $ Worker$' COmPenatYn LBWS al.Date Signal 'NOTICE: Floor Drains Swimming PooLw/Spa F.A.U. - Inc. Soler❑915 HP 01 Fi5e 11, after making this declaration. you should become subject to the Workers' Compensationn , provisio1 the bor'Code, you mut forthwith Floor Sinks - '1 -'- Urinal' - Fixtures ' Micrewaw" - e a comply with such provhslons or this Permit shall be deemed avoided. CONSTRUCTION LENDING AGENCY ,CONSTRUCTION for Gas Service Gullets Water Clow Device Boxes Pole Light 9 affirm that there Its constmctlon Sending agency the p rformance of the work for which this Permit Issued.(Section 309Jp Liv. C.) Interceptors Water Heater - DU[BS9 - Range ' 1-fir 6.Name _ enders Address OWNER BUT LDER bECLARATI ON Kitchen Sink Water Service Switches Sign' 1 hereby afflthat I am exempt from the Contractor's_ License Law for the reason (Section 1031.5 Business and PrOfealonat Coder Any City or Lavatories Auto Wash Garbage Disposal f Standing Shadow ry which requires a permlt-to cnstruct, alter, Improve. demolish or repair' any structure, prior to Its Issuance, also quires the applicant for SUCK ermll P-Trap . - - Laundry Trays l Generator ❑65 KW ❑8-15 KW imsM1 Compactor Te(ContractorYstatement test Lii'ense L yr (Chapter 9dly, IS 1(commencing wlhy Section ]O Oja ft opt " ' Roof Drains- dablon 3-of the Business and Prof er lPnZ Code) Or that hands IS a I4r Ins all0i exemGdan. Any.w lmlon oPSecIBn herefrom and the basis 70315 byanyapplicant for a permit subject$ the appllcant to civil , �naliY of nm more than Rw hundred dohlar5 ($s0o). MY 1. as owner f the certainty or v employees with wages as male cold ReiMPSCtion Feb $15 Issue Fee $ 3_ a pention, will do the work, and Structure is t Intended or offered a Code: Reinswctibn Fed $/5 lane FN S 3. or ale (5ectlan 7044, Business and Professional The Contractor's f to a who baths Or IRIDIOOW S - MECHANICAL FEES - License Law does not apply mepeoneCsnp who does an owner Of property ch fly mdruld henceB a Inrougn Ia or her Hood ❑ DEVELOPMENT SERVICES REG I EM NTS: provided that IL M1pP r In In Web topavorchad are n01 to no ad 9r of Iound for to In Improvement iS he a WItM1in 0ne'Yeal Ol Com- Boiler Or Type Canopy Type ll'❑ Zonin y OAVPrpv026 _ Oaro oIB. ledon, IOe Owner w1II have the burtlen of Oroving lie/she did hat bwld or Im- Duct Under Ground ° 1 Buildinp'Apprevad 0y Ogle +ova s me P of ISS of IPC INS 1, as own* f property, am exclm ve1y ccM Mac Ing In Ilwnsed wit Duct Structural Refrigeration system ' APpbo[lan honed BY Dale e oto 0fi fire noISUL the prelect pas11n0 ad0 p4 BUSInO53 ind POIOIeSSI0O5 Code S to Tn0 CBnbactors LooLaw tIr to an owner 1property no Duct V¢Ot18[ n y ' __ ❑D100,000BTU ❑100,000 BTU SUMMARY OF FEES solos Improve$ merean, and wnp contacts for IuCh Profen$ win a c -Irecmrol Ilan$* OursuanYto ine "Comracror's Licenm Law)am aware Imai proof then War ker'5 Ccmpenmtton Ins 'awe should be proeieed to ExM1eust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SIM $ ❑ lam exempt under section_ B. b P, C, for this reason '; FmepliTioL BIL ICBO # � • Fire Drs Dampers PIAN CHECK $ PERMIT - s PLUMBING - $ ISSUANCE $ Date Ow/nerI - I Heating System &Ducting Registers pCAN CHECK 35X $ ENERGY P.C. $ I hereby urrhy teat l have readtitis application and state -that the above ' ❑6109,000 BTU ❑10g000HT - GRADING( $ wily all Ciy anoe county ominanus information c r t. I agree to CO MaryWhy ELECTRICAL $ o struction, and her by authadze r pro- a d'rolehaws lasing to bubdIng construction I L 1 PLAN CHECK 50X $ MICROFILM $ uandwz f ON3 cl to to n abovemenVonetl OloOerty PoI Iimpectldn - /��,/� purprea. $ TOTAL FEE $ Jz'�"TSL . Sl,netsore net Drl sore Llcan a a• rte x Reinspection fee $15 (sue Fr E 3 PLAN CHECK 25% PLAN CHECK r$ CMF OS65-46, rev. 10/04 Whips -BUIIOIng: Canary -Appllcantl Pink- Accounting: Goldenrod -Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # - Date Inspector Pot,- & SPA APPROVALS Permit # - Date In 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. , . 55. Electrical, Bonding 5. Steel Reinforcement 56. Rough Plumbing& Pressure Test 6. Electrical UFER Grnd- 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. ' 8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test 9. -Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & HouseConnection - 62. Backwash & Receptor -Final - 12. Sewer;Cap - 63. Heater & Vent -Final 13.eRoof, Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final - 15. Rough Electrical -Conduit 66. Solar System -Final 16., Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19: Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 000 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing �r 76. Dry Standpipe 28. Lathing &Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing r�� ,�j 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 48. Special Requirements Completed 49. Electric Release to Edison - - 50. Gas Release to Southern California Gas Co - - 51. CERTIFICATE OF OCCUPANCY No. 96D Date 110 City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. G G U U G G P. O. Box 1200 Costa Mesa, California The Building located at 3505 CADIUAC AVENUE UNIT #0-107 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of Building OFFICE Legal Description 139-662-16 (See reverse side for Metes and Bounds) Building Permit No B-16166 Electrical Permit No. E-16234 Plumbing Permit No Mechanical Permit No. t4-1 6Z21 Number of apartments nn and/or guest rooms ISSUED TO: Building Official Afl /C r /,) ue_Z'-"tz O'DOie&M 6RIGHAM 3500 CADILLAC.' u0-110, COSTA MFSX. CA,r Date //4� -ai- 19wl This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White -Owner; Canary - Numerical File; Pink - Bldg. Permit File All `v _ Applicant to lin in all spaces except these within heavy border lines and sign an appropriate declarations. 27.27 II/21/B4 I � 5e 50 TU CITY OF COSTA MESA CONSTRUCTION PERMIT D Project Address 35C9� CF}Pla 4qL �, /®% PERMIT NO. 3�' TRACT NO. LOT NO. UNIT NO. Applicant's Mailing Address I�Z32-'�' `�Pf9"SK 1 TYPE OF CONSTRUCTION LJ NEW ADD LJ ALTERATION LJ REPAIR i-, CONVERSION ❑ DEMOLISH O OTHER A.P. .y Zone Owner's Name 0A,hone Address 3\L� C79JJ/4/K rL}Yas /Li.�SIt DESCR I PT ION O F WOR Kll1SE OF B LDG. E Mein Building : ApparelBuilding: A¢M1/Eng. License No. Addreas t A TYPE OF PERMIT LJ GRACING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT Q ELECTRICAL O PLUMBING O MECHANICAL 'OTHER qa ECTOESCRIPTION Sp. FT. OCCUPANCY CONSTRUCTION TYPE VALUATIONS -S ZONE GRAOINGCU.YD3. ACRE T Front Z O B Rear N I Contractors NS e' J%/b /0 n- L/l "e �i 2.040 Address lm m)OZ � - 1) y� 1h �dAO Cit Licedre No. i/may/ / Y LICENSED CONTRACTOR DECLARATION C fligM1l N K" mit G R PIn9. Ret $ Parking Req.fProvid H E Remarks: n Planning Notes: M 1 1 I nerebyfalnrm thst I am licensed under provisions at Charter 9 (commencing with Mellon ]00() of Division 3 t the Business and Professions Class. MNI Dan my Usage 15S10 fY1. i IIOQ. L! 1 T S. De e N Dale Vinglus PLUMBING FEES WORK RS' COMPENSATION DELLA RATION 1 hereby snbm that I RISC a certificate of Consent m selamxme or a cerrncaro Bei Sink ShowNe I ELECTRICAL FEES Backflow Preventer - Service Sink _ Aulomalic Washer Construction Pele Sub. Transformer ❑ 15 50.KW (750+KW _ of workers' Compensation insurance or a cert) el copy thereof (actio, 3800, Last. �'1 Policy Ni. � iJ� / Comp" Backflow lmigesion Sewer Cep 8 Certified copy is hereby furnished. DerW tic (lad with me city Bion BetM1mbs Sewer Connection Cooking Unit . Meter 0up to 100 amps Oma WORKERS' EXE FROM WORKERS'COMPE COMPENSATION DECLARATION on 1ee ZZ!Ttlls sectio tl not be completed i1 the permit Is for on hundred IEIOo) or ' natlnot lemplloy nanpePersonnIn arrhma al for as to become subject to the � workers•, Compensauan laws of California. Date Signature Clarifiers Solar CollBi D'whwasher -•Meter-[]over_100 am APs: Dishwasher Solar Piping s 9' Dr _ Dryers OGas ❑Electric Sub Panel Drinking Fountains Solar Tank ' Fan Motors 00-1 HP ❑1'h -B Floor Drains Swimming Pool edged F.A.U. Inc. Solar 09-15 HP 016 15+ NOTICE: If, after m king this depletion, YOU ShOUlp become Subject t0 the Workers' Compensation provlsmns Of the Labor Code. you must forthwith t mply with Such P be deemed ked. Comply m omsions or this prime. nm CONSTRUCTION LENDING AGENCY I hereby alllrm that there Is a Construction len,tling agency for the performance Or the Work for which 1M10 permit Is $Sued (Section 3097 Cle. C.) Umber'S Name Fluor Sinks Urinal Fixtures Miaoweve - - Gas Service Outlets Water Closet - - Device Boxes Palo Light - 9 Interceptor. Water Heater Outlets Range uneer's Address OWNER BUILDER DECLARATION I hereby SHUT that I am exempt from the Contractor's License Law for the following reason ($action 7031.5 Business and Professional Code- Any city or y which wubes a permit to construct, alter, improve. Carl Or repair county any SVucture, Pi t0 Its Ishumde, also requires the applicant IOr such permit .jto Idle a signed statement that he/She IS licensed Pursuant to the provisions of he Sylorttenesat(comon mencing with 3o the (Chapter reses Cod) othat e sxempt " c.from and me basis for the alleged exemption. Any. violation at Section -0031.5 It any appgGm for a permit anPCH the. applies at to civil na1tY oYnat more [non rive nunered cont$ (a500)." as her of me Pro 00 reY or myemployees with ages as their sole . and'hdoolt o ix not Intended a offeree m�nHlloa willdo theware US for le (section saga, Basins" and Plaless1Onal code: Tne Coal uwnse uw does not Pop an owner ofeprppenb Mlo oull0sor imurOws lbelw no Sntl M10 does h work h m5811/helSell mrouah lits or M1er Own o With .motify provide. that ch Improvements are not Immo it or olfereO for setsI IIM1owmer, the dulleing m Improeement Is pato within one Year of cum- the owner Com naw the burden pr Pmmng nehne ale not bele or im- ose - C7 0ownerthe f the pf Sale). econtractingwith licensed pan- 1, I owner of o theeagerly, exclusively TdoOtoconsled he project 11Se Cron 7048 Business antl R018tIons Coda: he Contractor's license use dw of poly to an own 01 property who Color: Improves mere ono d sen0 conbxcls for men Projects ltd Con- prooirn� ton rsWoorkerSO Oman sauonfaI sora cle ilia ala be I amides a that pro. ❑ l am exempt under Section B. d P. C. for this reason Kitchen Sink Water Service Switches Sign Lavatories Garbage Oispoul ' Standing Sections P -Trap Generator 0 K 05 KW ❑S15 W Trash Compactor Roof Drains geinspdbn Fee $l5 tylia Fee 3 3 gainWeelion Fee $15 ISRr Fm $ 3 MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: ' Zoning Approved By Date Building Approved By Deta a Application lesuetl By D t - 1 4iJ—LI— Boiler Hood or Type ❑ Canopy Type l l ❑ Duct- Under Ground ' Duct - $Iructural Re(ligeretion System Duct Ventilating 170100,000 BTU ❑t00,00p BTU BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 5Vb MECHANICAL PLAN CHECK 15%'g SUMMARY OF FEES $ SMIP $ $ PERMIT $. ISSUANCE $ $ ENERGY P.C. $ $ GRADING $ $ MICROFILM $ $ TOTAL FEE $ S� 'ALL Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICBO his Date Owner - Heating System & Ducting X0.100,000 BTU ❑t00,0o08T -" Y app ell cloy ane to my pdinances In foorrmatlonalllly [hal Il nave rt0ad IMP and state laws re fine ulla co ver anUnn^reby authorize fore- mtatives I 1 cl up ns above a honed pr per fo Inspection r wz Signature Dat ell Drivers' Lleense or$SS0 Reinspection Fee $15 Iswe Fee $3 CMF 088546, rev. 4/Ba anq Plnk . Accounting: Gmdenrod Assessor CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector PO. S SPA 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-Undr.nd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test i 6- Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - • . 58. -Electrical Conduit-Undrgrnd. ' •-8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd, 10. Structural Floor System - -'`' 61. APPROVAL TO DECK 11. Property Sewer Line& House Connection 62. Backwash &Receptor -Final 12. Sewer Cap '" - 63. Heater & Vent -Final 13. Roof Drains- 64. Plumbing System - Final 14: Rough Plumbing , 65. Electrical -Final 15. Rough Electrical -Conduit - - ' 66. Solar System -Final - - - 16. Rough Electric Wiring - - 67. Fencing & Access Approval 17. Rough Wiring Sign' 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning tj/,746Xi LSO FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts,, Ventilating 71. Product Piping 0Gas El Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24., Roof Framing 73. Undergrnd. Storage Tank 0Gas ❑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 1a/71YY &60 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing - - 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final - 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System ' 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date E/6a3 APPllcam to nn In an spaces ardal Inose within Meter border lines and sign an appropriate di (� �J ® CITYRF COSTA MESA CONST 'U ON P M© Project Address S O C - • ApplicanYSMpilin tl s Owner's Name Qe' r• II nes�fsr'-h P ITN ACT NO. ' T NO. P' / UNIT N5 - TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR 11 CONVERSION ❑ DEMOLISH D OTHER CESCflIK101POR WOR KfUS FG. IF sole Address A¢esSny Building: Arch[Eng. License No. Address - TYPE DF PERMIT/DING F UNOATION U STRUCTURAL El TENANT ❑ ELECTRICAL O PLUMBING ❑ MECHANICAL L) OTHER PROJECTD. FT.ESCRIPTION SOOCCUPANCY CON STRUCTION TYPE VALUATION IS - ZONE GRADING CU.YOS. ACRES - Conbactori Nam - 1".3 Audi IF s -_ _ _ _ ity'LiCense NK �� �� LICENSED CONTRACTOR DECLARATION RemdrMT. p I hereby affirm that 1 am liCaMSe under proelslons of Charter 9 (commencing �1 ` a with secllon 70001 of Division 3 of the Business and professions Code, and MY license is In full Crean e I ° y. j° Llc a Upgrade a,i)� FEES Date r�Jr/1/1 9 �� gl4n PLUMBING FEES r' WORKERS COMPENSATION OECLA ATIO4 1 hereby affirm that I nava a Certificate of Consent to selfans°'Certificate Bar Sink Showers Left Backflow Preventer - Service Sink - G B. zing. net. 5ls a rtifled copy thereof'Su 1pn of Workeri Compensalion Insurance, ran, o m $800, Lab. C.) Brackfighor Irrigation Sewer Cap Planning Notes: pull No. COmpanv HceTfled copy Is hereby luouland. Certified copy Is filed with the ity Building Division. 'Bathtubs • - Sewer Connection Building Approved By Application Itawtl BY Oat Applicant Clarifiers Solar C011ecmrs EXEMPTION FROM WORKERS dO TIDN DECLARATION Refrigeration System Oat W,000 BTU 0100,0110 BTI( Per n u (Til -s section nee nal Completed thee permit 1s for °ratl (aldol or L5 - FEES $ S I ai aflbm that Of the work for Lander4 Name to ctoF(psl license ours proof ( their Works ❑ I am exempt tracer Date Owner 1 ter certify that 1 haw r a mformarIon_s correct, I -agree ro Signature Drivers' Uc se or 5' CMF 036546, 11110/64 Drains Sinks the ermm rmre' 30$7 Civ. C.) Ions )0¢011 ins !Roof Ic.00 1 1' Firepl/Fal Bit. It aamat Zona Reimm&iun Fee IF sole Under Ground Structural out, p provlaeE to m S. & P. C. lot IMt reason croon Exhaust System L Ic.00 1 1' Firepl/Fal Bit. It Zona Heating System & 0a1 oB,00D snit Y andcoounty the ordla;�ce hereby authatlae mpre. mentioned gr0p�(l tOr ata ' Main Building: A¢esSny Building: $16 Iswe Fee But Fee at; Pink - Accounting: Goldenrod - Ashei Solar Piping Soler Tank Swimming Pool nidi Urinal water Closet Water Heater Water Service Auto-Wash 815 2181 11/14/84 Ic.00 1 1' I.P.♦ Zona B Main Building: A¢esSny Building: $16 Iswe Fee TFront 3 p 8 Bear FEES N C RightN SCLICISS Hood Or Type l.0 K S Left Carl Type ll 0 G B. zing. net. 5ls Parking Ree./Provided - E. Planning Notes: Building Approved By Application Itawtl BY T 5 Dan Be Refrigeration System Oat W,000 BTU 0100,0110 BTI( ELECTRICAL FEES $ S Automatic Washer ConstructionFoleSub. Transformer 015-5OKW 0 50+KIN - Cooking Unit Meter Oup to 100 amps Dishwasher Dryers 'Gas ❑Electric Meter Ogden 100 amps Sub Panel Fan Motors ODI HP 111 M- B PLUMBING PLAN CHECK 25% $ $ F A.U. Inc Bolen [19 15 HP 01615+ $ S Fixtures Microwave - _ pp 10 BT Device Boxes Fole Light ELECTRICAL PLAN CHECK 50% Outlets pangs Q $ $ Switches Sign Garbage Disposal Scantling Sections' _ 1 Generator OD5 KW 135.15 KWI I Trash Compactor 815 issue Fee $ 3 Reinspacli0n fee $16 Iswe Fee 3 MECHANICAL FEES DEVELOPMENT SERVICES R EGUI R EMENTS MMLM$ SCLICISS Hood Or Type l.0 Carl Type ll 0 Zoning Appmy BY Dam Building Approved By Application Itawtl BY Dan Be Refrigeration System Oat W,000 BTU 0100,0110 BTI( BUILDING PERMIT PLAN CHECK $ S SUMMARY OF FEES SMIP, PERMIT S to Ll System Repair/Alteration - Fire Dampers PLUMBING PLAN CHECK 25% $ $ 'ISSUANCE ENERGY P.C. $ S Registers 10 BT ELECTRICAL PLAN CHECK 50% $ $ /Q, OO SOD GRADING MICROFILM $ $ 1. MECHANICAL $ TOTAL FEE S [7Q E15 baud Fee $ S PLAN CHECK 25% $ " CONSTRUCTION AND PLANNING APPROVALS - Permit# Date Inspector POu, &SPA APPROVALS Permit # Date - Inspector 1: Temporary Electrical Service or Pol�; 52. Pool & Equipment Location i 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 GrAd. 57.-APPROVALTO COVER-GUNITE ..J. Footings - 58. Electrical Conduif-Undrgrnd. _ 8- Foundation. - 59. Gas Pipe, 0 Undrgrnd.; Test - �9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. 10. 'Structural Floor Sysiem 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connectign - 62. Backwash & Receptor -Final - 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. ,;Rough Plumbing 65. Electrical -Final - t5. Rough Electrical-Conduit i/� 66. Solar System -Final _ 16.; Rough Electric Wiring ( 67. Fencing & Access Approval - 17. Rough Wiring Sign i i 68. APPROVED FOR PLASTERING - 18.' Rough Electrical -T Bar Ceiling 6 69. POOL/SPA SYSTEMS FINAL 19.E Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS. Permit# 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22."Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test . 72. Underground Flush 24.'.Roof Framing 73. Undergrnd.StorageTank OGas 0Oil 25.rRoof 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 29.1 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 / G 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 , 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51' CERTIFICATEOF•OCCUPANCY No. Date _ - Applicant to nU In an Spatia WBMn heavy border lines and sign all appropriate deNanuons. CITY OF COSTA MESA P MI NO. PM� f�5y0 LOTA01. B� . CONSTRUCTION PERMIT I 3tl TYPE OF CONSTRUCTION N NEW ❑ ADO ❑ ALTERATION 0 REPAIR L1 CONVERSION OOEMOLISH U OTHER DBO2 1./18/62 357.08 ZONING REGULATIONS Rojeci Address JDVD Lauutlldc sel Owner Phone 752-5515 Address 1301 Dove St. #760 Newport :each Arm/Eng. Hiles -Peters License NO. 428115 OEEC RIPTI ONOF WORN- A.P. - Address 119 E. Alton Ave. f sSdN}d .AM 1 TYPE OF PERMIT til - - '� X ZONE PLNG. REF. eP _ SETS C ST. NE Criminal 'Oltm S CORStrUCCIM Phune 576-847 Address PD EX 388 MMIC Park CA ❑GRADING FOUNDATION y15TRUCTV RAL ❑TENANT ELECTRICAL'PLUMBING QMECHPNICA 1, Y Rp 42 / 5 p pp T LICENSED CONTRACTOR DECLARATION under �ee`by ai'flrm IM1aI am IlcnnSep der prpNpOon{ OI ClrirlOr 9 (Com- RIIG L� mapping With Section 7000) Of 0 f the Sul d ❑ OTHER DEAR YARD TO P/L Profession Code, Aanb Y license Is In full fern /gg91fact. D PROJECT DESCRIPTION ( License Gess uunn NO. CCUUdd $Q. FT. 3p9�2.4a _ OCCUPANCY RM-JCON$ RUCTION TYPEc PKG. SPACE REQ. PROVIDED _ STREET WIDTH PARK FEES Own -' sgnaturm COMPENSATION DECLARATION WORKERS' 1 hereby affirm that I have a caroted a 01 comenl to W 114mune o a VALUATION Y2i 5R�?ONE ZONING APPROV EO B44 OAT r certificate f Workers' GmpBniall00 Insurance, a a edified oY - GRADING CU. YDS. - ACRES SPECIAL CONDITION I. a f(S`OWP3000 1(TI5 977". - 1 rvo. Company „'T�r1^+ Tnr1NIR - - REMARKS. AA L.. 6 CertlRedcopyiSherebyfurnlshed. t fled Copy is filed with the city enticing Division. r ' BOLD POR SPEC AL REO C EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ' ITM11s lon-,need not be completM it the Permit Is for one hundred —' ,s1ed IECO llfY rless (Pat In the Performance of the work for which lhiS permit Is not any manner as to become issued. PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK per n lInany ms all em loo subjCate BATHTUBS SHOWERS Slgnatwe NOTICE: If after making this tlaCNwOOn. Y should become subject to the Workers' Compensation pronnons a1 the labor CON. You must TOILETS URINALS GENERATOR O-1 KW -1 -ler KW ' TRANSFORMER forthwith comply with Such Provisions Or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10.50 KW -50 a KW - oked. KIT. SINKS DISHWASHeRSr MOTORS 0-1 HP -1-10 HP CONSTRUCTION LENDING AGENCY lIhorebytalflrmthat there IS a construction lending hill for the per- ormance of the work IOgwhith this Is Issued hill 3097 SERVICE SINKS SUMPS - - - GNC.SOLAR) -1050 Ha SO+HP Yermll We115. PargO, HR}lIC ' 1 FLOOR SINKS FLOOR DRAINS r, FIXTURES OUTLETS SWITCHES LenOer'S Name Lendi Address c660 Newoort-CPS1tP`L DI'.,r. N. H. DRINKING FOUNTAINS GAS TUBE SIGNS ' OWNER BUILDER DECLARATION I.. I I hereby, affirm UmW am exempt from the Cnntril LICvnu Law for. INTERCEPTORS CLARIFIERS . - POLE LIGHTS SWIMMING POOL PTRAP the Sol owing reason (S tiOn 7031.5 Business and ROfnslom Coda: Any city Or County which requires a permit t0onstruct, mord,P L METERED U WATER SERVICE ALTERATION 5 - PANELS MAIN SUB Improve, demolish or repair. any structure, prior to Its Issuance, olosm- the applicant for such permit to file a opened statement that no) 'c GAS.SERVICE:p OUTLETS SERVICE AMP Ititres S licensed WNWntto tne'prONslom of the Conlncorl IJCSnie Law 'wRkr SeCtIdn.,]000I-,O11DIvision. cnaoter cmmmancing Zeal-IheN (®�W - a9. ys d.PrM murm; Condi that ne is esem t trokefions 'ihec x+3or til WATER HCl ERS BTU OUTPUT the ]IlegoO'.axem�tlen> Any, llon uLSa lee 7031.5 by, 8G'!!��'.'bPnllo lit ler sublects the 6 llont to Ivlf permit a pellltif f (sb a than fin hundred dollars 1:500). SEWER CONNECTION$ SOLAR TANK COLLECTORS 6, as owner of twill he as ld sole compensation,do rhoyWoork, and theosl uctees o a is nth ot Intendees Or Offered for Mie. (Section 7044, Business and Roffel Code, Tha SOI -AR PIPING SYS. ISSUE FEE Contractor-5COnlraCr'S License Law does not apply o owner f property ISSUE FEE APPLICATION APPROVED BY DATE ��� and ho does such work himself or Illi his own.or Ioylle5. OnCy tl Ch t thhrbo In hat such that are not Ior MECHANICAL PLAN CHECK SUMMARY OF FEES mall or offered Calls. If, however, the building or Improwmem Iofsold fn one ear fbulld pOffl will burden ooving hb did not lmpmveO lot rhe p arsOld Of Sae). HEATING SYSTEM O-10Op0G BTV BUILDING G �4 qAQQ ssa_ SMTP s (3s Owner Of the property, am excm Iwty ontrattln9with AND DUCTING E licensed contractors 10 construct the project (Becllon 7044, Business 100.000+BTU PLAN CHECK § PERMIT and Nolaslons Code: The Contractor's Llnnes Use does not apply to ISSUANCE E an owner 1 property who aside or thereon, and who Com- REFRIGERATION 0.100,000 BTU PLUMBING E Improves trecls from sr h artifacts With tnctorpl literature pursuant to SYSTEM GRADING f the Comedicrl Ucense Law). 100.000+BTU PLAN CHECK 'E ❑ I am exam o under Sc tan 0.6 P. C. for this BOILERS BTU ELECTRICAL $ § reamn SYSTEM REPAIR. ALTERATION PLAN CHECK E TOTAL RM § TOTAL FEE E Dau Owna MECHANICAL E hoWynrfIg Irl llde d hl Plln nand 5 alethalthfabO,e EXHAUST SYSTEM MULTIPLE LESS AO. informal .vl 10 CO ly I[h al city lie COu y `v PLAN CHECK E VANCEPC $_ minancer and 10 itnsirdmion.ana termraUmorIOe - reprfasmNif f , ter ubyn the bovel toned AQ property In cll FINAL FEE 357. $lonalure § Drhvers'Licens ISSUE FEE ' CMF 086546 White-Bullding:Unary-Appliunf.Pink-Accounting, Golden rod-AsaMor CONSTRUCTION AND PLANNING APPROVALS I Permit # '�a Date Inspector POOL & SPA -- Date Inspector APPROVALS Permit # 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Undrgrn 4T. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn _ 45.. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce a -/C)-- 7'4 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn _ 0_gzt ,a 48. APPROVAL TO COVER-GUNITE 7. Footings _ ro-$s 1J 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap,❑ Undrqrn 10. Structural Floor System S A 11 SA 13 ^1 52. APPROVAL TO DECK - 1.1. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing - 14. Rough Electric -Conduit 56. Electrical -Final - 15. Rough Electric -Wiring 57. Solar System -Final ' 16. Rough Heating & Air Conditioning encing & Access Approval 17. Ducts in Structure -APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough &Test 20. Roof Framing 21. Roof Sheathing NOTES:H D aQr 00 22. Frame and Flashing f =gam 23. Insulation -;L q -IX 5 e 24. Lathing & Siding 25. Drywall Nailing IR - 26. Plaster Brown Coat rhi 0,n� '3✓1 27. Electrical Power Meter -Final l le Y_ 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 Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date /1 Applicant to fin In an spaces with heavy border lines and Ren all appropriate declarations. CITY OF COSTA MESA v IT ry TRACT NO. LOT No. BLDG. NO CONSTRUCTION PER � bei. I — t5 221,,491 ' PRE OF CONSTRUCTION rLJ NEW ❑ADO ❑ALTERATION REPAIR 000NVERSION ODEMOLISH 0996 1/20/82 9e00 Project gtltlrg5 Owner It,Fl a Addr 7 ❑ OTHER DESCRIPTION OF WORK Alp. Sir ZONING REGULATIONS , A¢hlEng. License NO tltlRls ' PE OF PERMIT" - ❑0FAOI NG ❑ FOUNDATyI�p/q 0STRVCTORAL ❑ TENANT O SLED TRIC LJpLUMBING OME(HANICA ZONE N SET 51 VHRD 51pE VA - PLUG. REF. i ��I I NG Y LINE - J Z Ph> Address tg9LICENSED CONTRACTOR D LARA 1 tout I licensed Ions 9 I hereby affirm am under pro Of Charter COM- 10y with Section 7000] fDivision 3s of the Bu cess and 0OTHER- 1 pIGHT REAR YARD (TO PIL) - NOfealOR Y IIC¢nrd IS In full force O elan �^03� PROJECT DESCRIPTION LicenseCI;5/", LJ NO. ED. FT. :.. OCCUPANCY_CONSTRUCTION TYPE PKC. SPACE REO. STREET WIDTH P0.0VIOL'O PARK FEE Orta I .Z / � /.Cee' -' WORKERS' COMPENSATION DECLgRAT1ON. I Handy affirm that I have a Certificate 51 Consent to yli{naw0 ora VALUATION - ZONE ZONING APPROVED BY DATE CerifoGte f We Compensation In evil led _ - so b. C.I. GRADINGCV. YDS. AGREE SPECIAL CONDITICNS : Company r Iilied Copy Is 111 furnished. REMARKS: _ Certified copy Is filed with the City Bulleled 0 . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION s eGllOn need not be Completed If the Permit Is for One managed �ETNmlfi or Nn 1 In lily that the performance Of the for which this plrMt is Certify work Issued, I Shall not employ any person In y "hear so as to become PLOWING - PLAN CHECK ELECTRICAL PLAN CHECK - stmi t0 the Workers' Compensation Laws of Gllfomia. BATHTUBS - SHOWERS -go Date Signature - FT- NOTICE: If alter making this declaration, you should become subject TOILETS. URINALS GENERATOR 0-1 KW— I -IO KW to the Workers' Compensation provisions of the LAOm Code, you must TRANSFORMER forthwith Comply with such provisions or this Permit shall be deemed LAVATORIES DOUBLE -AVS - APPLIANCE 1050 KWUrrrrr50 r KW KIT. SINK$ "' DISHWASHER$ - MOTORS- - 0-1 HP_3-10 HP CONSTRUCTION LENDING AGENCY 1 hereby afllrm that lherd45 a construction 'lending agency for the per+ - SEflV�CE SINKS SUMPS '- '(INC. SOLAR) :(IN 10.50 HIS 50., HP formance of the work for .mm tnie.Permit Issnea Isectipn o9z Clic C.). e� ��: `�'^";.-- - -FL60h'WWSrr`S -FLOOR DRAINS - OUTLETS SWITCHES- - - Lerl A Name U if O's Address V DRINKING FOUNTAINS' II "' GAS TUBE SIGNS - - OWNER BUILDER DECLARATION l ---- INTERCEPTORS CLARIFIERS POLE LIGHTS - IhereOy affirm that l amexampt from the Contractor's Llrense Law for SWIMMING POOL PTPAP - - Iha followlOg reason (Section -7031S Business and PrOfeSSleOa Code: Any city O county which houlles A permit to construct, A POLES METE ED 5 -WATER SERVICE ALTERATION PANELS MAIN SUB demolish or repair any structure, prior l0 its Issuance, asm or, tef the do. Bent for such permit to file a signed statement that he quoe GAS SERVICE OUTLETS - SERVICE AMP IS Ilan said Pursuant to the provisions of the Contractor's Unless Law h pter 9 Imnncing with Section 1000] of Division 3 of the r wm WATER HEATERS - — BTU OUTPUT ens mass and'iarcur Code) Or he hexemat mereump aha the for the alleged exemption. Any viol tion O Section 031.5 by SEWER '(LpW1iGT®IB�" -- - Subject$dollatheamj iGnt-to- civil penalty nntl for a permitver rrd Of nappmioa SOLAR TANK- - - COLLECTORS--' - - - --" ❑I,asoof the property, or my employees with wages as their sole.ccmpenwtlon, will de the Work, and the structure is not intended offered for ASIA. (Section 7044, Business and Protestors C Ma: The _ SOLAR PIPING SYS. ' - - ISSUE FEE' _ OVactOr's UemsO Law does not apply t0 an owner of a property ISSUE FEE - -" - -APPLICATION' APPROVED BY DATE who bullas or Improves income, and who does such work himself or Ois own employees, throuOvIded Such n9 orlmpmvemeents age n[eburden MECHANICAL PLAN CHECK '- - SUMMARY OF FEES Intended Of Offered Is. however, the OullOIat Is sold within One year of completlon, the owner will haw the b Widen at proving n0 did not bulltl r ImOrow for the Purpose f le). - - 'BUILDING' O -,-as owner or the property, d - xclusivelY-Conteclleg with project HEATING SYSTEM 0100,000 BTU -A ,PERMIT E SHIP a licensed contractors to butt the ISActidn 7044, Business AND DUCTING _]00,000., ETU 'PLAN CHECK E PERMIT and Professions Code: The Contractor$ License Law does not apply to ISSUANCE $ It owner ! property who builds or Improves thereon, and who COT REFRIGERATION 0300,000 BTU—;PLUMBING E t otS from such projects. with. ontractoF(s) Rehired pursuant t0 SYSTEM- - - - GRADING $ the Contractor's Lei Law). 100,000 s BTU PLAN CHECK $ 0'I am exempt under 50Olon - - B. L P. C. for tris BOILERS BTU ELECTRICAL $ - $ mawn SYSTEM REPAIR, ALTERATION ,PLAN CHECK E' "MICROFICHE _ -TOTAL DaleOwner l' FEE S , MECHANICAL 4 - herebA tlnaw this ppllullon and tate that thea ave EXHAUST SYSTEM MULTIPLE 'LESS AD- Inioimare L yje 1 d ply with rill Ity'ana c unity PLAN CHECK E _ VApICEPC f1.tm Ala l slruc[lona e nalior i, em p re FINAL FEE f I 55 ge ISSUE FEE .. .. -_ CMFOgfi5Afi WN(¢.BYIIOIng: Canary- , IOev00�Assesmr CONSTRUCTION AND PLANNING e1 .N' :'••-U APPROVALS Permit # PL' Date Ifynspector POOL & SPA '• APPROVALS Permit#_�, •� Date Inspector _ 1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location - •' -- - - - - - - 2... Soil Pipe- Undrgrn, J',r - & 44. Steel Reinforcement - -- - - --- - 3. -Electrical-Conduit Utility-Undrgrn 45. Forms - - -4. Electrical-Conduit-Undrgrn .. _ . - _ ..__ _ _ _.. _ _ 46. Electrical Bonding _; - - •- - --- -- - -- - - - 5. Steel em orce• 47. Rough Plu'mbin"& Pressure -Test- - - -- _ 6.. Electrical_UFER Grn _ _ _ - ' ` '- 48. _ APPROVAL TO COVER-GUNITE - - - - - - -- - -- _ 7. Footings _ _ _ _ _ _ 49. Electrical Conduit-Undr rn '- 8.. -Foundation _ _ 50. Gas Pipe, ❑ Undr ln,Test - - 9.. -Water Pipe-Undrgrn 51. Backwash Lines P -Trap,❑ Undrorn • 10. Structural: Floor System - , _ _ 52. APPROVAL TO DECK -- ECK--11.._ 1 I_ Property.Sewer Line &.House Connection- _ 53. .Backwash.& Receptor -Final' -12. Street Sewer Connection. _._ _ ".._ _" - - 54. Heater& Vent -Final _13_ ..Rough -Plumbing- _ _ - - - - - -55. Plumbin System - Final 14. Rough Electric -Conduit - - - - - -56. -Electrical-Final -- 15. Rough Electric -Wring - - -' - 57. Solar System -Final - 16. -Rough Heating & Air Conditioning encing & Access Approval, 17: Ducts; in Structure - -795. -APPROVED-FOR PLASTERING 18. Ducts, Ventilating -- - •_ ! -- -60. ._.1 POOL/SPA.SYSTEMS.FINAL 19. Gas Pipe -Rough &Test - - _ 20. Roof Franiin`g- 21. Roof,Sheathin - - -- --- - - -" NOTES: _ 22. Frame and Flashing -- - -- - - - --- - 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 -- - ---t _ - - - - - 30. Final Gas -Pipe -Test- - - - - -�-- - •""•"'•' - - - - - 31. Final Plumbing 32. Water Service -Final 33. Gas Service -Final I 34. Solar Domestic -Final i 35. Landsca pe 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. i CERTIFICATE OF OCCUPANCY No Date - - -' " :• ,' ppprcant to Rq m an spans within heavy border lessees sign all appropriate declarations. CITYOF COSTA MESA PE MIT TRACT NO. - LOT NO. BLDG. NO. - - -6617 6/0'1 IN CONSTRUCTION PERMIT n-_1-9:00 TYPE OF CONSTRUCTION NEW -O ADD O ALTERATION -❑ REPAIR' O CONVERSION ❑DEMOLISH 'OTHER"""_- I ' t/J ,/C� _ _- IN 20NING REGULATIONS IN '- %a act Address 15 5 ails ac v GWnv Phone Addressner -ris ;Arch/Eng."iffigport 4icenie Na. DE_SCRIPTI_ON OF WORK - Ap - ZONEIN I IG"REEI„;I_ Atltlr¢ss - 'Contractor TOO- - PhOne 9INNi TYPE OF, PERMIT "" - SETBACK N. T E) GRADING ;..O`FOUND?TION OST0.UCTURpL" YAR11 IND ❑TENANT'OELEOTRICAL I]PLUMBIN I CHANIC IO 1 208PPI1LDING O RTV UNE - - ;'Addi;m C 't pird-TiviItATEN nor, VI .LICENSED CONTRACTOR DECLARATION _. il ereby affirm till 1 licensed under provisions of CoTI¢r 9 (Comm; ❑ ICr T: - - i affected with section 7000) of • Division 3 of the Ominen d license Is In lull force a OTHER RE?R `) R /1 D {TO P7, - ,Profersems Code, Mand my effect.. �_20 �� n. PROJECT. DESCRIPTION'.' _ - - PKG'SPACE.REO PROVIDED' _ .LJGns¢CIMS Ogg E,00,/al 519nature Z• I. - FEE a. E (WORKERS' COMPENSATION DECLARATION C OCC VFHNCY_CONSTfl UCTION TYPENo STREET WIDTH ARK S• 9 hereby aNlrm that I have a certificate of Consent to seltansun or a' VALUATION ^ ZONE 'ZONINGgPPROVEO SY - - 'n_ - DATE - 1 Rlflcate 1 Workers'Compensation-Insunnm ar -a certified Copy _ _ _ _ 1' _ ___ __ _ $PEC A4CONO ITIONS Indoor lSeOn 3000. Lad C.). s - R GRADING CN YDS. ACRES # ,I On No. 4IDR11 dn4g4 DoTWny Fvmm�nh-TnAo nih < - -'- - REMARKS" _ 2 -- ' -1 erNfletl. py 'n byfLTl[hed.- W fiCertVatl copy Is•f led with the city Building Division. _ f .) .EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This nee0 notAe wmpl¢le0 ILlha permit I f hundred ``$10) or la $100)or that SI them rfolman f thek 1 which this p 1 I[ ,PLAN ' k tl 1 Mail m employ any vO I y r b PLUMBING r CHECK -' - ;ELECTRICAL—', _ .PLAN CHECK 1 b e4 t the Workers' Coming La 1 11- I - BATHTUBS SHOWERS - I ','C=T ir ` r )Oa c`aa R9 Slgnatu / �•w aac NONl If alter making this mucheration.YDo ShOuld become subject •rr TOILETSf URINALS-' GENERATOR tri NOW TgANSFOgMEq -I 10`14W WilOn[ f ede. you Must orkers' Compensation gl othe Lab c IorlhwlN epmply wIN each provrslons ar this permit iM1all be tleeme0 LAVATORIES OOUOLE (AVS' "- '- ,gPPLIANCEc- '1o3b$W50 ✓KW - wtral iCONST R U CTION LEN OI NG AGENCY KIT.SINKS _ - DISHWASHERS' MOTORS '� "', M1l HP_1-]6HP -�- -- ifhereby I..rM,he' [her¢ISa ConslrYC110n 1¢p0lnq igencY lOrlM1e pen SERVICE SINKS) ,SUMPS - - - '�'(INC'SOLAKI 30501gP-�ino HP - 'f of thek ' r wM1l[M1 [M1Is permt Is Issuetl (Section 309] - • -• - ' FLOOR.SINKS, - FLOOR DRAINS - - -"- .FIXTURES' OUTLETS-p�SWiTCHENE C C) ' '3 'yam - A•e a . ; .. _ ' I kLa ._ FOUNTAINS - 'GAS TUBE SIGNS—' ' fled aAtlE -a' •. s. r DRINKING CLARIFIERS, tPOLES If.HT9 I -e 1i OE EF ARATION n 1 Il pP Illr In VI pt 1 Sfl Cp t dor s Lla se Law f lm (egaleV/IIICM1 COnsVpd. Clteq SWIMMING POOL PTgpp 'METER Dw _7 ontyreargen Anyf illy IBOUIIes a Dttmllnta a WATER SERVICE -ALTERATION PANELS MAIN - , SUB =� I m prove. demolish o, eWlr any'struc[ure; prior to its Issuance; also re such no"Dom 0 ulicenisetl In spurs �Ihe tL.aw GAS SERVICE OUTLETS - (SERVICE "- of - AMP' - Wnt to in oNslDn[ of COn VaC[Or'["LlCense wrN Section 7000) al Olvlslan 3 of [M1e La CM pier 9 Commerciale WATER HEATERS - 'BTU OUTPUT"-' '., 1 - SI I nd Int mord Coop or IhaYM1e Is examGt IM1enfmm and [na' - I f the alleged selllOn Any vlolatlon of Yctlon ]031.5 by SEWER CONNECTIONS__ - - applicant not [o a civil penalty- a titian enders IY ry rvundreu IE500j SOLAR TANH- "- COLLECTORS-" -• t -. '0�1 a owner 01 the drugr my eniOloyees witty wages as [lielr Ole mpenation,willdotM1e r If a Sir YH ur015 n01 In ntleO _ -p,- for offeree for sea. ISNUOn ]06a Ba sines and ofesslons Code. The SOLAR PIPING SYS.Cont- ! i55VE'FEE " - - xho[bultls oor r enche Law improves [neIes BOO�d Odpel'Oto an0085 SYCM1 Owner-of0 k hIMr S011rOf ISSUE FEE ( l� I APPLICATIDN' APPROVED BYf'-' ^�-DATE tnrouyyh his own employees provided theaism Improvement$ are not MECHANICAL PLHN CHECK ' - _ SUMMARY OF FEES ingers Of or offered for sale If, however, the building or Improvement - ld within one year of corrosion, the owner will have the burden f Proving he 0G of build prove for the Purpose f lel. HEATINGSYSTEM P 100,000 BTU flILO( C PERMIT f .' - SMIP S ❑ - nor -of IM19re0erty. am exduslvely-ronlnding swim _ _ AND DUCTI NG ^' _ _ licensed tractors to Construct the project(Sedlon 7060. Businea IOOAOOa BTU PLAN CHECK'S PERMIT-- d R t ans Cade. The Contractor's LInnX Law eons not apply le - 1 - -- - ISSUANCE- S - an of Property who butters or Iingoces thereon, and who win- REFRIGERATION 0-100,000 BTU -I PLUMBING S \dC[5 from such projects IN contracbN 'tarn d -pursuant to SYSTEM '- 1 g -' - - OD r .GRADING- S the Conhactor's License Law) 100.000 a BTU PLANCHE¢K f , }H' f OT am eexempt under Section '- - E. 6 P. C. lar moil BOILERS BTU L + f' _ Is ' " reason- SYSTEM REPAIR, ALTERATION ,ELECTRICAL PLAN CHECK 5 f MIC ROFILME' - l 0:' TOTAL'FEES Dat —Groner MEC ANI S-/-� an hereby tllytortlnave react lMsapapTlwllo antl stele Nath EXHAUST SYSTEM MULTIPLE JqL LESSAl �bnve red 1 g e to ply all city antl [y PLAN [HECK'f VANCEPC E dl ala rIR(ng con tbn• and herebyauthorize tip of up p e tall mil ty a here he bane mentioned IN I_fl - s l rp a �Q 0 519 urn r [e 5/ZG/B2 FINAL FEE S�s Drivers urbane or 55* "- ISSUE FEE --- ... .. CMF 0865-46 White-BLllding; Coni -Appliunp Yl ACw Lnting; Goldenrod-Asasom CONSTRUCTION AND PLANNING APPROVALS Permit #M.3?4� Date Inspector POOL & SPA , APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location - - 2. SoilPipe-Undrgrn 44. Steel Reinforcement - -- -- 3. .Electrical Conduit Utility-Undrgrn 45. Forms - - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - _ -5. SteelReinforce 47. Rough Plumbing & Pressure Test 6. _Electrical LIFER Grn _ - -'48. APPROVAL TO COVER-GUNITE •- -- - - -- - _ 7. Footings _ _ _ .49. Electrical Conduit-Undr rn - _ B. _ Foundation - 50. Gas Pipe, 0 Undr rn, Test .9.. Water -Pi pe-Undrgrn -. 51. Backwash Lines P-Trap,ndr rn' '- 10. _Structural Floor System 52. APPROVALTO DECK 1. Property Sewer Line &_House Connection ' _ 53.. Backwash & Receptor-Final •� 12.. _ Street Sewer Connection - - 54. Heater-& Vent-Final 13. Rough Plumbing _ _ ' -- _ _55. Plumbina System •.- _ _- --' - _ _... _. .--- - 14. Rough Electric-Conduit - -- -- '56: Electrical-Final- 15. Rough Electric-Wiring 57. Solar System-Final - --16. Rough Heating & Air Conditioning - - - a _ encing & Access Approval - 17. Ducts in Structure Iff. APPROVED-FOR PLASTERING "' \ 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe-Rough & Test- " - I _ _ _ 20. Roof, Framing 21. Roof Sheathing- - -- NOTES: - 22. Frame and Flashing 23. Insulation z gyp I G ATL Io 24. Lathing & Siding 25. Drywall Nailing - 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final Electric 29.. .Finalr 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 1 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 IBI In all orae" wlmin heavy border Ire: ane sign an appropriate declarations, CITY OF COSTA MESA REj'�ITNO. _ TRACT NO. LOT NO. .SLOG. NO. CONSTRUCTION PERMIT /1'[ 3 �— C� __ _ - . TYPE OF CONSTRUCTION KNEW ❑ qD0 �O.ALTERATION- [-]-REPAIR ❑CONVERSION DOEMOLISM21� -' \ 5407 _r- . r' a/05 02 ' .I I•OQ0 - .. ' I Project Andorra � • ' l0wna ! - . PM1one �p6a ``' AdtlraR�y, ❑ OTHER '' --" -ZONING REGULATIONS. Arch/Eng. License No. OESCRIPTION OF WORK A.P. qB - - _ Address . _ " -ZONE- PLNTGO. TYPE OF PERMIT- ,- . - --i- - E BUILDING C - D GRADING 0' EDONDATION ❑ STRUaTURAL YARD. D TENANT ❑ ELECTfl ICAL ❑PLUMBING IYN,IECHANIC REP. SO q,G pgpPE'gTV.LINE'-'.ff '- CArIraCIO pCQpfroardi Address - - LICENSED CONTRACTOR OE LARATION 1 M1ertby elft Int 0 Ilunsetl unser prov EOK atCM1arler - SIDE VY RIGHT - - - _ -� BnCln9 WIIM1 cnOn.2pp01 1, OlvislOn-3 f the BY610eu Bna ❑OTHER, tlf'" Pro/esslens Catle la Q[ my Ilunse is In full Llmnse•Clasz }� L:cen N �= PROJECT DESCRITION f sq,FT. "- •, O[<UPANG CONSTRUCTION TYPE N REAR YARD ITO P/y - - - - . `PKG,.SPACE REO - "STREET WIDTH ---, PROVIpEO-- - PARK FEEf IOate - -Signature WORKERS.-'COMPENEgT10N DECLARATION ( hereby for that 1 he" a tl/Ipte 01coolant LO RIf{ re- d - - ..ZONING APPROVED BY - .-DATE - lO I�of WorkersCompensation Illea'e pY VALUATION 20NE Ile an �[ GRgOING CU YDS- r�1�-DCII - SPECIAL CONDITIONS"- - - - ^ Certifies courris hereby furnished._ gEMARKE I �Certl Oetl mpY-s Med wl[II iM1e tltY BUII011l9 DHi61en.- 'EXEMPTION FROMWORKERI'COMPENSATIO WOECLgggTION. -�_ 'S t' 1" _ _ __ �~ r �'1' rJ -rt •. " 61 (This Section not he cumpleled if the permit IS for one hundred need _ -- - - - - �! C$100) -or Iexl.:"-'L 1 [.rely that n t -e Performance at work vont this percB 1 I any person m any manner za as to bac a, I Orkem marine, As PCOmpOnYt1O0 PLUMBING r PLAN.CHECK - -ELECTRICAL ------ PL I 1. the CO Ldw3 DI California. la b, _ m Workers ^RA4NTV B5` --`- SHOWERS _LwInFT _ SSI, r. _I -0dle $19nature t - - - 'NOTICE. If after making this Declaration, y u Sh IO WCOmgzubject -TOILETS URINALS -_� __ 4GENERATOR O.3 KW_110 KW ' to the WOfken COmPOn6atan provisions 011he Labor Con-. youmu3\ _ TRANSFORMER sf forthwith comply with Such prov5ane of this Pennt Snail be deemed LAVgTOR1ES DOVBLE.LAVS�_ -_ lgpPL1ANCE .. 30-5p KW�50 KW caked. CO NSTR UGTION'LENOING gGENLV --- -'��� -'-" 11 -KIT..SINKS DISHWASHERS 1 -:MOTOR$•_- ILLHP.—I3OHP. _ hereby affirm that (here Is a conetru[tlon leading agency for the per. SERV ICE SINKS (IN0. SOLARI l0 -SO XP 50 Hp formance of \M1 ork IOr Ch \his Remit -s a (Section 3097 a5UM0$_ - -- _ FLOOR SINKS--FLOORARAINSA OUTLETS. SWITCHES. Cly. C.) YF4TA-•Y•r ILOntler2 Nma- - - _!FIXTURES._ - -- 1LnderYAdd - ORINKING:FOUNTAINS-" 1�_ -._ __-� GAsiUBE SIGNS_ , v OWNERBUILOERDECLARATION-DA tee- _\ ll cfV10 -La ••IryT�RZEPTOAS'xF S�CLARIFIER$• POLE LIGHTS IM1ereb affirm that l amexemp\ from the Coemv[ License for ... —�_- SWIMMING -POOL_... TRAP the 1010 wing Ndzon. tXctic .Z031.5,Busin Ss d P 15351 3 Code: qny city O county which requires a permit[o construct. alter. .F - .. -'- - -- - ^.POLE$ - - METERED - - - --- - Imps a damDlln or re00lr any structure prion It Iso re- WATER SERVICE.. -ALTERATION _ _ - vANELS MAIN,- 1 DUlresethe aplllcam for such Pi t0 Isle a Sign" Statement tM1 t no - .SGB -- is.11een680 clusters t0 She _ provisions s L Law _GAS SERVICE-- - OUTLETS-- _ _ rSERVICE _ - 'AMP' ICM1I^lm9 700)o R IProhn � np Once) r tMt 7000) I ONi rr 3 0! me ibe Of lnyLhBation d alleged 115 ventlo f Section 031 C 70315 by forthe-Astra Even Any violation O1. $to WgTER.HEATERS _BTLLOVTPUL - $EWER CONNECTION$_^ I. _- '�' v} a pmo nt an bdolla [M Applicant t0 d IWI•Pena l[Y a no live hundred e man Rhe npmrn douan SMPISO. wpn.wagnis their- owner of the Pro _SOLAR-TgNK. _ .... .COLLECTORSs the rk, and me strSomal is and Intended sr10 fOmdBf W[IOm III the work. a d the Structure sole or - - - - - - Or offered for sale.'( is CWo: -arch no SOLAR PIPING 5V5: - _ _ _ ISSVEF,EE _ - I IF Owner Property Law does [ 0W1y 10 Owner I pfOpar[y WOntlaiLaw does Anne '", r Imps orrantl such work bon nogbuilds Orn ISSUEFEE- -__^�� _ I APPLICATIONAPPROVED BYE DATE amplTS-ibere ts are through MS Own em pop Yale, y O that Such impYO are not at Such MECHANICAL. -_--Pi CHE[K-- -- - p - ' - - -' ' "SUMMARY OF FEES' - far sale. TOwe or lmpr Intended or Im pro burden the buildingwill within one t: Le so r vingh one year of Completion ld-*r, me owner.: a nave a theburdenhale). 1 proving n' dd [ p Ila-Or-ImprOVB IOr Ino PWPO6B f sole). -0=100,000 - - - BUILDING _ -S • ID I• as ow 1 theSolvents, a xdu21NIY pOn Vdtim9 calm HEATING SYSTEM BTV- _ _ PERMIT $MIP- g -- licensed Contractors -to construct the Project (Section 7064, Business ANOOUCTING _irk, --'100.000 pBTU' - - PLANOHECK''S I ERMIT� '�� -' PERMITISSUANC and Rn1621on2 Code: The Contractor's License Law does not apply to E. IS"In'y 1F an owe o1 properly what builds or hinfa M thereon, and who n- REFRIGERATION 0-100400 BTU --- " ' PLUMBING- - -� - f -- - - -- tracts from such Projects with a torractoNsl Ilcesnetl pursuant m SYSTEM '-� 1PLANCHECK' -'ry GRADING.^.S the Contra lOrY'Uttn@Lawh- - -"-: - — -'- -Li .. -100.000f s'BTV----• --- E' •- - - - Q-Larn ex oft .B.&P..G. forth15. HOLLERS •BTU ' .. I �''-_' d .ELECTRICAL - -.•-. IF,,.I14 �I IS SYSTEM REPAIR,ALTERATION -MULTIPLE"' ELANCHECK _E MECHANICALf -\• MICROFILM ,% 1 TOTH V.FEE{ - Gain DalenA _0 _ 's 1M1ere✓erd appliutipn and eNtelnasiM1eabove E%NgU5TSV5TEM - 1 _ LESS AD- Inmr[ a sa Ompl¢wltn all Icy p_COtnly fires In to nereb _ ' y' PLHN CNELK 'E s .�VANCE PC S_ artlinonsiru[Iloq and ^monEe -[% t0 ent0�- u0on the bOVB [toned e�YY9 ,FINAL FEE Se, ISSUE FEE J O CMF 086546 mph e.Dauding; Canary -Applicant; %nk-Accounting; Goldenrod Arr 30r CONSTRUCTION AND PLANNING APPROVALS Permit # .3 Date Inspector POOL & SPA APPROVALS Permit # Date •- Inspector . _1.. Temporary Electrical Service or Pole 43. Pool & Equipment Location - 2. SoilPipe-Undrgrn - - _...- _ 44., Steel Reinforcement - - 3. lectrical-Conduit Utility-Undrgrn 45. Forms - 4.--ElectricahConduit- Undrgrn - - 46. Electrical Bonding - r . - Mel Rejntorce _ - - - . - 47. Rough Plumbing & Pressure Test - - - -6. - ElectricalUFERGrn -- %I 48.. APPROVAL TO COVER-GUNITE .7. - Pootings - - - - - 49. Electrical Conduit-Undr rn - •' 8. -Foundation- -- - 50., Gas Pipe ❑ Undr in, Test " '-- 9. • Water Pipe-Undrgrn -- - -- - - - 51. Backwash Lines P -Trap.❑ Undiqrn 7 10- Structural Floor System 52. " APPROVAL TO DECK '- 11. - Property Sewer Line &-House Connection- - - - - 53. Backwash &Receptor -Final • 12. -Street Sewer Connection -- - -- '- - - 54." Heatei & Vent -Final •� - " 13.- Rough Plumbing 55, Plum hFna Systern- Final 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 - 20: Roof'Framing, . '- - -- 60: - - - - - - POOL/SPA SYSTEMS FINAL .. 21. Roof Sheathing 22.- Frame and Flashing - NOTES: 23. Insulatiori - - -- - ' -24. Lathing & Siding - - - - - ' - 25. Drywall Nailing' 26. Plaster Brown Coat - - - 27. Electrical Power Meter -Final - 28. Finah Electric ' 29. Final Heating & Air Conditioning - 1 30. Final;Gas Pipe -Test 1 - 31. Final Plumbing - - -- - - - 32. Water Service -Final 33. Gas Service -Final 34. Solar Domestic -Final -- - 0 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 an swces within heavy border lines and sign all apo loo ale CITY OF COSTA MESA CONSTRUCTION PERMIT PFjLyIT NO. TRACT NO. LOT NO: "SLOG. NO. - IT�rY'PE OF CONSTRUCTION f+NEW ❑ AOD ❑ALTERATION ❑REPAIR OCONV ERSION ❑OEMOLI SH OTHER 119611 2/11/82 9s25 /[ VLAZ„s D �U/✓fl. 7 - ZONING REGULATIONS Project Adareas SDS' EADlGL G kOwner�./t( - aQj( PM1pnp S2 Y AtltlrBS p/ _ sy- A _ - Archl6ng.' /� Licenu Np. DESCRIPTION OF WORN 1 AP ge ZONE PI -Ni REF.$ Addreaa - y( 00 FG C_ PM1dne /-S D' TYPE OF PERMIT - QGRADING ❑ FOUNDATION ❑ING 0MICHL ❑TENANT ELECTRICAL OpLUMBING ❑MECHANIC CIOTHER _ PROJECT DESCRIPTION' SQ. FT. OCCUPANCY_ CONSTRUCTION?VPE VALUATION ZONE GRADING CU. YDS. gCRES SETBACK SLID VARO FlII HT REAR YARD (TO P/y PKC. SPACE REO, ,STREET WI DTH ZONING APPROVED BY SPECIAL CONDITIONS: WCUROIIYG PNOPE RTY LINE PROVIDED PARK PEE IS DATE Addreclor TA /> IIGENy o rose I I am ll DECLARATION LICENSED EC 1 hereby dlith IDCI em Ilcensep under provlslOm of Charter 9(COm- In withse Dan 70001 or Division 3 of the Businessand HOfeszionS Cetle, nD Y liwnse in lull rola and affect. ucence -(a 1-10ooa No SS' Date 25 2 signature WORKERS' COMPENSATION OECLAR IDI 1 heresy affirm that 1 MW a certifiene or Conant to selNnauNCOpf a cor11N4[ 1 Worktts' Compensation insurance. or cer1111ed copy thereof (Section 3800, Las. C.). Polley N.6V_E_P! L Mz1!kOmpanyT�END.eA' (NQ Cts ❑ Certified copy la hereby furnished, ❑ Certified copy Is filed With the city Pulsing OivlslOn. REMARKS: 73 Z Z .� EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed If.the Permit Is far one hundred ior ten �� N 6f n i work f05 former rd. I hal note performance any Issued. StheI t employ y any person y manner s0 as to become So as beco a WOSNeIEeOnature ion LEWS of Cdllldrnla. PLUMBING plgry CHECK ELECTRICAL PLAN CHECK BATHTUBS SHOWERSSO FT_ SO FT Data[tithe Date Sl9nature NOTICE: If after making this Cad station,y U Should became subject to the WOnf rkerS' CBmOeall0n prOVSI0o5 01 tM1B Labor Code, YOU must ertnWlth Comply with such provklom Or this Permit shall be deemed TOILETS, URINALS LAVATORIES DOUBLE LAVS GENERATOR 03 KW_ TRANSFORMER APPLIANCE 10-50 KW_�50+PON 1-10 KW CO revoked. KIT. SINKS OISHWASHERS MOTORS 0-1 HP_3 10 HP CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the pan f sm ance of the work for which this is Issued ISectlon 3091 sERVICE SINK$ SUMPS - (Nd SOLARI 1030 HP 50+HP permit CJ' ` Or. Cres Name S + Un t . \'� FLOOR SINKS 'y FLOOR DRAINS FIXTURES OUTLETS -L SWITCHES Lender•s.Admen DRINKING FOUNTAINS CASTLES SIGNS ON affir BUILDER DECLARATION ere ey nlrm that 1 am b:emm num the Contractor': License Law for SWIMMING POOL P TRAP LundI PO METERE SUB W lDe I011ping myon (5ectlOn 9031.5 Busin snd Professions Code: PnnY city of Oty w Ic IeanyO And a parfait to Construct, alter, or shorr pa rcture also ro- pules �M1e ap,lllcs nl f r AC permit to lite arlsignN tstatement that he WATER SERVICE ALTERATION PANELS MAIN SUB GAS SERVICE X s, OUTLETS jN'-' SERVICE flan E AMP�j,Rp IS IlCenud purSAMI t0 the po vislOns of the Contractor'5 License Law ICI t 9 Icommencing Colin E¢ctlon 9000) of Division 3 of e B us and Prdeserins e0tla) Or that he Iiekempt lherefrOmand thet all IOr the alleged a piton. qny violation of Section 7031.5 bY- WATER HEATERS BTU OUTPUT SEWER CONNECTIONS _ anynol PmONtl Im flyaor It feu lefts t e ams lGht to a ccivil Penalty off❑ Lr of the property. or my employees with wages ei their SOLAR TANK COLLECTORS sole compensation, will do the work, and IM1e structure is not Informal - 'or offered for Aske. (Section 7044, Business and ProfessioOns Code: The 'who bunds or improoni Leaned v s then or, atnapply who does such ownerOf hlPmself or SOLAR PIPING SYS. ISSUE FEE ISSUEFEE ;APPLICATION APPROVED BY DATE troll his own employees, provided that Such improvements are not MECHANICAL PLAN CHECK - HEATING SYSTEM. 0-100,000 BTU _ ANDOUCTING 100.000+ BTU "- REFRIGERATION 0-100.000 STU _ SYSTEM I00.000d BTU _ _SUMMARY OF FEES PERMIT. G 3 SMTP § - PLAN CHECK aL PERMIT ISSUANCE E PLUMBING § 'GRADING' E PLAN CHECK ' § mien Or offered for ole. If, however, the building Improvement IS sod within One Year Of Completion. the owner welll have the burden f Proving he Old not balm Impose for purpose t ) 71 1, as Owner of the property, am exclusively contracting with IICOnuO contractors to construct the proIact (Settsan 7044, Business And projections;projections;0000: ryminnowshe COnbaclory LCame Lew does not pply t0 an Ownerf property Who builds r inows thereon, antl ho win- tracts from such projects with a contractor(s) Ilwinid pursuant to the Contractor's License Law). ❑ I am exempt under Section S. 6 P. C. for this BOILERS BTU ELECTRICAL b § . _ reason - _ SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM- MULTIPLE - PLAN CHECK E MECHANICAL § PLANCHECK IS MICROFILM -TOTAL FEE is LESS AD. VANCEPC $- s FINAL FEEE Date -' Avner -"- I hereby cell illy that l hammed this application and Stale that the above Information Correct. I agree IO ply with all city and county OroIna Ocesand state laws relating to conStuuction, and herebyna othaNae )epreseMaliues f thi it y to n OM1 above honed Woperly-lar- eGtlOn cul O%s - Signature ate. Z�/O -If Drivers' ucensP Or s 'ISSUE FEE - - CMF 086546 While -Building: nary- in con , nth -Accounting; Goldenrod-Assess0f CONSTRUCTION AND PLANNING APPROVALS Permit �ZLeDate Inspector POOL & SPA•- APPROVALS Permit Date., Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipmerit'Location - - - _2. Soil Pipe-Undrgrn „ • - _ _ 44. Steel Reinforcement- - - - _3. __Electrical Conduit Utility-Undrgrn _ -- _ 45. Forms - - " 4. Electrical Conduit-Undrgrn _ '•' 46..- Electrical Bonding -- I teeReinforce ,:,-',' , - _ _ 47. Rough Plumbin & ressure Test- - _ 6. Electrical UFE_R Grn _ -' 48. APPROVAL TO COVER-GUNITE - -- - - - -' 7. Footings 491 Electrical Conduit-Undr rn --j-, •• 8. Foundation 50. Gas -Pipe, ❑ Undr rn, Test _ 9. Water Pipe-Undrgrn_ 51. Backwash Lines P -Trap- , Undrrrrn __ _ .•_ - - 10. _Structural Floor System 52. APPROVALTO DECK - 11. Property Sewer Line & House Conneciioh _ 53. Backwash & Receptor -Final 12. Street Sewer Connection "- - - - _ - - -- - - 54. Heater & Vent -Final 13. _ Rough Plumbing - em- - •" • - - - 14. Rough Electric -Conduit -- - - - ----- - 56.- Electrical -Final " 1'5. Rough -Electric -Wiring" 57. Solar System -Final _ Rough Heating & Air.Conditioning - - -'- _ _ Fencing &.AccessApproval 9 --' 17, Ducts, in Structure _' APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL - •- - - 19. Gas Pipe -Rough & Test - -20. Roof Framing _ _ - - _ 21, Roof Sheathin' -- - NOTES: - -.,r- - 22. Frame and Flashing - ,21 Insulation ;9Sr72001z- 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat 27. -Electfical 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 I ' 35. Landscape Sprinkling System 36. Sound Attenuation_- 37. Handicap Regulations - - - 38. FINAL STRUCTURE & BUILDINGS • _ - 39. Special Requirements Completed - - - - 40. Electric Release to Edison - - - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY - . ,No. Date -_- -. act consent to selfiisure or a certificate a, or a certified COPY thereof (section Company T G X 7 O fBulWlneAN6tm. .Z -mit MPENSATION DECLARATION ' 1 thn ParmR Is for one hundred E100) or I nenpyafflrm that there is a construction lending sell for tie gerthmance of the work for watch this permit Is Uued (Section 307 Cly. C') Date Owner irl"Knul rounrams bium Tank ' Applicant to fill in all aWoes except these within heavy border lines and sign all appropriate dedaratlena. e10or Drains Swimming Pool wlSpo CITY OF COSTAMESA T NO. TRACT NO. LOT NO. Bit _ .. CONSTRUCTION PERMIT GO- • Lavatories ,$ '—Trap ' Project Ader¢ss r OF CONSTRUCTION NEW ADO ALTERATION "l PAIRApplipnl'a 0' PERMIT ea—A3 t!d�t LA' - 545 Irma Fee $ 3 Meiling Address f7%/ ALMA7.nCONVERSION .O DEMOLISH OTHER A,Is opOwnps ELECTRICAL H1(3 Cit ��l oM1on¢7�L�0/ateSCRIPTION DE WORK Exhaust System ❑ Multiple System RepairlAltemtion PLAN CHECK $ Name -O - j� Me In Building:AddrKs TOTALFEE Tw fyc+ LL$�J�C�.L4J±�i a' J�erE,)1S�JO PERMIT GRACIN FOUNDATIOry STflULTU RAL rPRWECT E FmntArchlEM lla(�t-aT •/ LIC¢Otl Nda("-ai'I2/TENANT ELECTRICAL PLUMBING ❑MECHANICAL B -r/ZOO STi/TGJJ-ST.Y�''f[%/yOTHER. AContrec[or P"'r as Aeer¢n iName Sw4T^" v, M1oneQm+ 3" DESCRIPTION SG. FT.' OCCUPANCY C RigM1t4O%1 Adtlitls lmeilingl ScN:Q G.LAI? anA AlSaliNWNSTRUCTION TYPE VALUATION$- O. OBD— P 5 Left - a City License No. -Q C7- % NE GRADING CU. YES. 'AC RES Ping. Ret. # LICENSED CONTRACTOR DECLARATION Remarks: ''�. — Parking Req.IPrdvid \ I hereby affirm trial I am licensed under provislonsol Charter 9 (commencing f with section 70001 of, Dlrlslon 3 of the Business and Professions Code, and Use of Building: V• license Is In full form ane effect B cerraw Oa/•s No�s.9 y/S97L PLUMBING FEES Planning Notes: Date Li ismature.dJF�qrya `p1•a e�j >e Bar Sink SM1owers act consent to selfiisure or a certificate a, or a certified COPY thereof (section Company T G X 7 O fBulWlneAN6tm. .Z -mit MPENSATION DECLARATION ' 1 thn ParmR Is for one hundred E100) or I nenpyafflrm that there is a construction lending sell for tie gerthmance of the work for watch this permit Is Uued (Section 307 Cly. C') Date Owner irl"Knul rounrams bium Tank ' le/IG/93 e10or Drains Swimming Pool wlSpo Tl. sloor Sinks Urinal & Ounin Heating Syste;%1 Dos Service. ,Outlets WMer Closet _ �nterceptars' Water Heater _ CeS <hchen Sink Water Service • Lavatories ,$ '—Trap ' party for Roof Drains - 0' PERMIT ea—A3 PLUMBING Reinpection Fee 545 Irma Fee $ 3 MECHANICAL FEES Bailer Hood or Type Duct - Under Ginned Canopy Type 11 ❑ ELECTRICAL Duct -Structural Refrigeration System Duct - Ventilating EW0,000BTU 0100,000 BTU GRADING Exhaust System ❑ Multiple System RepairlAltemtion PLAN CHECK his reason le/IG/93 Firepl/Fact BIL ICBO •N Tl. APPlication lMlNd BY & Ounin Heating Syste;%1 emabove Det D0IC W BTU 0100 CeS SUMMARY O FEES • to reap. ,$ SMIP party for , MlIAPLAN LHECKal.5%; 0' PERMIT ea—A3 PLUMBING $ ISSUANCE $ PLAN CHECK If Reinspecion Fae - Amouningl Goldenrod -Assessor $4611 I Itlu9 Fee I $ 3 Automatic Washer Construction Poles Cooking Unit Dishwasher Dryers 0Gas ❑E Fan - F Fizturas- Device Bpxtl Oudne Switches Garbage Disposal Generator ❑05 KN x711 le/IG/93 ?Aped= Tl. APPlication lMlNd BY �� Det Transformer L'JIll ❑ 50'* KW Menr yup to 100 amps Meter Dever IDOamps Suit Panel Motors ❑Dl HIS ❑ IY,- R Pole Light Range Sign Standing Sections Trash Compactor Issue Fee u � Application Apprawd BY Date APPlication lMlNd BY �� Det SUMMARY O FEES • t,,nn--rBUILDING PERMIT ,$ SMIP $ , MlIAPLAN LHECKal.5%; 0' PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK If ENERGY P.C. $ ELECTRICAL S GRADING $ PLAN CHECK $ MICROFILM If MECHANICAL $ TOTALFEE is SUEZ i PLAN CHECK $ CONSTRUCTION AND PLANNI,.� APPROVALS Permit # Date Inspector .,OOL & SPA 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. B. Fdundation 59. Gas Pipe, 0 Undrgrnd., Test . 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap • 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final - 15. Rough Electrical -Conduit - 66. Solar System -Final - 16. Rough Electric Wiring 67. Fencing & Access Approval " 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing ; 3 4"t 76. Dry Standpipe '28. Lathing &-Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing 3 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 7 v� 34. Final Heating & Air Conditioning ro 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final cM u- 40. Gas Service-FinalA4Uj Q -61,6W 27 2�Z 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison- - ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. ' (L60 3 SR Date 254 City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. 000358 P. O. Box 1200 Costa Mesa, California The Building located at 3505 Cadillac Avenue Bldg. O Suite 108/208 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use -of Building office L'eg I Description 139-662-17 �(See reverse side for Metes and Bounds) y , 3-F� ��nn��7711 ` .- yyl-f7u,P10t1� Building'Perm it No 10006 Electrical Permit No. Plumbing Permit No. Mechanical Permit No. f+-10539 Number of apartments 0 and/or guest rooms 0 ISSUED TO: Building Official O'Donnell, Brigham and Pazt by 1301 Dove Street, Suite 760, Newport Beach, CA Date�Q'/�I/�LI//C./%�Y This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 white - Owner; Canary - Numerical File; Pink - Bldg. Permit File ' Applicant to Rd In all spaces except those within heavy border lines and Sign all appropriate declarations. CI.LY'OF COSTA MESA I PERMIT N0. TRACT NO. LOT NO. ve BLUU. iii CONSTRUCTION PERMIT - /O d J FanMemn exempt JNUM lne Contractor's Llcen: law for She 7031.5 Business and Professional Code: Any city or Issuance also rNotice rhe applicantdforsuch permitt P -TIBC LD—l't Project Addr®s 15 ' JVsdqtZ03 Applicant's ing Address 3W J-A0ffil.Y.lOd(id CYIArjjwl Mop TYPE OF CONSTRUCTIONNEWIIII------ ❑CONVERSION ❑DEMOLISH Ll IIIIII ADD BRAIN R POTHER o If Owneis Name 1 N hone DESCRIPTI ON OF WORN taheing Ing with Sashed 7000of and Rrofesslonsmeost or that reline Isexempt Address "fie ST AIEaJ ii2T /dspi CabF TYPE,OFPERMITI-ILJ / GRADING FOUNDATION STRUCTURAL ❑TENANT Gl ELECTRICAL Ll PLUMBING MECHANICAL AfCLicense No. M1/Eng. Address _ ❑'OTHER PROIECTOESCRIPTION 50. FT. OCCUPANCY_ CONSTRUCTION TYPE - VALUATION$ ZONE' GRADINGCU.YDS. ACRES— ContreclPis Nam hone 33 naigOgl y �`�aa-'sLvQ�P e0e Address h 3 City License No. 25740 Boiler ❑ucl Under Ground Hpptl Or Type ❑ Canopy Type 11 ❑ Remarks: �QOD LICENSEDCONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (w ndng Refrigeration BVrtem per::' anei°ynvacting 0.Rn learned mrrosi with section 7000) Of Olvlslon 3 O(the Business and plesslons Coed, and ❑OIDO,GODBTU ❑I • INen" Is In full f99( e it effect. se bass 4 - se No. AIAW Dii PLUMBING Zoning Approved By Late 17-"40 Signature leadvers BarSink Showers WORKERS' ON DECLARATION Ba[kflow Pravanter Service Sink Application Approved By Application issued By affirm that I he" f Wor ersC dope saws wSurarr eofr a Ceroidal copy t ereOr l (Seccatetion of Compensation InsmaOw. Ord Grllliw [COY [nere0l ISetllOn Backflow Irrigation Sewer Cap / Lab. C) 0, Suit% POIICY Np. Company Policy No. LBW LDING PERMIT Certified copy Is hereby furnished.ity H '. Bathtubs. - Sewer Connection Certified copy is liked withnpthe lit putting Division. Dale lit Clarifiers - Soler Collectors $ KERS', EXEMPTION We RMPISteCOMPE NSmit Isone IeT$nsec[lan need not he compNletl If the permit Is for On hundred (2100) Or R1 Dishwasher. '- - $plat Piping - /r Drinking' Fountains Soler Tank $ $ $ S sCertNdy that In the n Performance Of the work for Which this permit N Inuad l WHall no! ploy Y Canyon In Y as to become subject to the orkers' Com�pp mntion. lur IN Ca111oWa of 4% O as..- Date 4 LSD Signature K-�.- Floor Drains Swimming Pool w/SPa. NOTICE: II, after making this declaration. you Should become subject to the FIOOr Sinks LOHM WorkersCOm enLldn tprovRion% OI the Labor Code, you mug forthwith provisions r this Permit hall be deemed ked, comply ,with, such n Gaz 5¢rvic¢ Outlets Water Closet CONSTRUCTION LENDING AGENCY nIQrtQPlOf3 Water HQdIN TOTALFEE of the, work that which this permit Is Issued 9(SecHfor on lhe 3097ri Cly.nCe C.I Kitchen Sink Water Service $ 3 Lender's Name ARATION LdvdtOfrei FanMemn exempt JNUM lne Contractor's Llcen: law for She 7031.5 Business and Professional Code: Any city or Issuance also rNotice rhe applicantdforsuch permitt P -TIBC Inc.Solar ❑9x15 HP floof Drains Microverse licensed rsuant to the provisions r thatih Pole Licht taheing Ing with Sashed 7000of and Rrofesslonsmeost or that reline Isexempt Or thealleged exemption. Any violation Of Seeel00 Reinspection Fee $35 Isua Fee t for oermlt lit bjects the gPPIk to Civil a live hundred dollars 3SOO). ioerly or y e ployees with wages as their sale work, and the structure is t Intended o offeree e P Cwho� MECHANICAL Boiler ❑ucl Under Ground Hpptl Or Type ❑ Canopy Type 11 ❑ ooars woe f a0Ulonal propert builles or improving u h work nimegt/herself o threuyh his O her n diecce Improvements are not Indent ad .here. ler ng or Improvement is Sold within nine yea Of COM. rYetol. he burden of proving he/She bid not bYllO Or Ido pUC4 $Vu[lu!¢I Refrigeration BVrtem per::' anei°ynvacting 0.Rn learned mrrosi ❑OIDO,GODBTU ❑I builds or Improves rteem[;oxine worcermra License such projects wltn a can- EwM1aust Systam U Multiple IL System Repair/Altersri ❑ Lam exempt under section B.6 P. C. dor this reason Fir pllFaCa. 611. C80 Data Owner Heating System & Ducting Inio hereby ortefr.11 have to Comply Withaall city and County onelnano ❑0100 dao BTU ❑100,0000T and state laws relating to building co tion• and hereby autnonre livor.. - entatiws Of thiscity to enter Uponthebovennenlloned pmperty'lor znspecure p poses. Date I2./ inspection RehypeetioO Fo $36 lesus Fee Drivers' License or 55 # MF.006546 rev. 7/B3- Whits-BuildingCanary -Applicant;Pink - Accounting; Goldenrod -Arrestor C RI9M G K Left _ E Ping. Ref. # Paik.Fees S O U Perking Rep./Provided d I Planning Notes: ELECTRICAL - AutomaticWasher Transformer L,1 5-50 KW r ................ o_,_ n_. El501 KW Dryers IJGes LJEleclric Sub Panel FanMemn ❑0.1 HP Of F.A.U. Inc.Solar ❑9x15 HP Fixtures i Microverse Device Boxes Pole Licht 'Generator ❑0-5 KW 115-15 KW Trash Compactor $ 3 ROinspadlion Fee BOB Issue Fee S 3 FEE$ PUBLIC SERVICES REQUIREMENTS: Zoning Approved By nate Application Approved By Application issued By v !s/ / mite nn / LBW LDING PERMIT $ SUMMARYQF FEES SMIP $ ,PLAN CHECK $ PERMIT 'PLUMBING PLAN CHECK .ELECTRICAL 'PLAN CHECK $ $ $ S - ISSUANCE ENERGY P.C.:$ GRADING t MICROFILM $ $ S ,,MECHANICAL' $ TOTALFEE $ __ JJ / $ 3 PLAN CHECK S -' CONSTRUCTION AND PLANN. APPROVALS Permit Date Inspector OOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole- 52. Pool & Equipment Location i 2. Soil dipe Undrgrnd. ' 53. Steel Reinforcement '3..Electrical'Conduit%,Utility•Undrgrnd. t 54. Forms 4.'Electrica1*Conduit-UnHrgmd. �+ 6 55. Electrical Bonding 5. Steel Reinforcementt,.� 56. Rough Plumbing & Pressure Test 6. Electrical' UFER Grnd. ' 57. APPROVAL TO COVER-GUNITE 7. '.Footings 58. Electrical Conduit-Undrgrnd. 8. -Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Wate6_Pipe-Undrgrnd7 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 '_ t 63. Heater & Vent -Final 13, Roof Drains 64. Plumbing System - Final 14. Rough Plumbing,. 65. Electrical -Final 15.' Rough Electrical-ConduitI w.t w.5 i 7 RSG 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 3/.j, 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas ❑Oil 23.7GaslPiipe-Rough & Test- 72. Underground Flush 24. Rocf.+Framing - 73. Undergrnd.StorageTank 0Gas ❑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 3 ri I �► e� Notes: 34. Final Heating & Air Conditioning " tit 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 46. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. - Date APPIll to RR In 'CITY OF COSTA MESA - PERMIT NL CONSTRUCTION PERMIT Prolacu Addres o a s L O Applirnnt's Mailing !== /66 JIV' S a>h'CO I! g/ud. Owner's Name Phone Address AmhlEng, License No.' Address - Contractor'sNem q 1f- ConSrr .Pryor 63Y -/69S Admeulmailingl /G6 Al- Sin Ce /a�TL PA cad, City License No. 7,1 SS// r M LICENSED CONTRACTOR DECLARATION I hereby affirm that I am Ilcemed under OrOvNlOns of Charter 9 (commencing with 'section ]000) of DIVISIUM 3 of the Business and Profession[ Code, and my license Is In full force and effect. ; slow class uccnpi Diu.'Y3ysz,z ate e�/2—gLj Signature as'^ L_ WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate Of Consent to self -Insure Or a carUNwN -of Workers' Compensation Insurance,•Or a Certified Copy tin aof (Section 3800, Lab. C.) I / Po11w No. 43N9 Company /•Vg4r� L+ Ilunified Copy Is hereby furnished. ^Cart2l cepr is with Uhl R ubwg 4mIII I Cote /—/—F[Yed Applicant �a✓r'S A3/G 2e[G. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Th bad ion geed not be completed it the Permit Is for one hundred ($too) or certlloy that In IM1e Performance O^ [M1mwprN for wM1ICM1 Ihls permit 1[ 1[sueE workers! Complaentrat on°,L:aws of CIS fornia.ar as to become wbku to the Date Signature NOTICE: it. after making this declaration, you should become subject to the Workers'. Compensation- drooping Of Use Labor Code, YOU mutt fOrmaelth- ompty with. such provisions Or this, Permll mall be deemed revoked. CONSTRUCTION LENDING AGENCY- I ' I hereby affirm that there Is a Construction lending agency for the Performance OI the work for. w ich this permit Is leered ($suction .3091 Civ. Lj Lender'$ Name Liner'$ Atulabi OWNER BUILDER DECLARATION . ' under u Inger and P[Oleblonal Code: TM1O ContOCtOr'r , t0 an owner Of a property who ruling or Improves :C Work h nualf/h If^ through bollofferedo her n u nt provemente are t Intended offered for o Ing or Improvement is sold within one year of com. a the Omden 01 Proving he/sho did not pulp Or Cl el. arty, am exclusively camsecting Win licensed con- n"Oct[Section 7 pea, Business andr P, sslons Cope: andE°who ontrac stoor such ardied with a con- �o the Contractor's License caw). onB.& P. C. for this reason Cohen so read this rubrication and state that the above t border lines and Ren all appropriate declaration[. LDTNO. BLDG GN- 231.3_ 1/12/64 �ol. /3Z- Zi�9 TYPE OF CONSTRUCTION LJ NEWl LJ ALTERATION LJ REPAIR ❑ CONVERSION 1] DEMOLISH uu OTHER ALP, OESLRIPTION OF WORK �T'Fur-n/C I�MV!Z�'rc:Jn///Y.UR• On. en an%StPr x'OV JBA TYPE OF PERMIT GRADING FOUNDATION STflUCTURAL ❑ TENANT O ELECTRICAL ❑ PLUMBING MECHANICAL ❑ OTHER - - PROJECT DESCRIPTION SO. FT. OCCUPANCY 6-2 CONSTRUCTION TYPE 6Y,Yd" Zlk%- VALUATION$ ZONE GRADING CU. YOS. ACRE pL.d Rel Sar Sink Iackf1 y0- Prevemer 3ackflow Incision 3affitubs Dlarifiers Dishwasher - — Drinking Fountain =1oor Grains =mor Sinks 'ae Service outlets' I merceptors _ Kitchen Sink - Lavatories ' P -Trap Roof Drains Boiler Duct- Under Ground Duct structural Duct - Ventilating Exhaust System 0 Multiple Fire ill BIL ICBG 0 Mry system & 0}' dank 110,000 BTU 151100,000E Drive s' uce o.554 'I Reinspection Fw CMF 006546 rev. 7/113 White - Building;Canary- ApplicanR Pink- Accounting; Goldenrod - Assessor r ' 'Parking ReA./Pl Use of Building FEEB Planning Notes: Sawer Cap Solar Connection' Solar C011ecturs Solar Piping— SolarTank Swimming Pool w/Spa' Urinal ' Water Closet- water bervlce 1�. Reinspection Fee Issue Fee. ! $ 3 3ANICAL PUBLIC SERVICES REQUIREMENTS: Hood or Type If 0 ' Canopy; Type II ❑ ^ R rTigewtion System ' 00-100,001) BTU gIOD,306 BTU 7 System Repair/Alteration new Pxx >Lti Coal S Re 15-}�s 5L 110 Issue Fea S 3 Washer m Pole Sub, Fan F.A.U. Fixtures Device Boxes Outlets Switches) Garbage Disposal Transformer IJ 15.50 KIN 0 50 t KW Meter 'obp to 100 amps Meter 11over 103 amps' Sub Panel Motors 0O1 HE 01% - B 95013 TL M= Generator 00-5 KW 05-15 Coll 1 Trash Compactor Reinspection Fee $25 Issue Fee $' $ PUBLIC SERVICES REQUIREMENTS: Zoning Approved By - new Application Approved! By Onto A'1i"^I2' APRliation laued-ey SUMMARY OF FEES , BUILDING PERMIT $ SMIP $ PLAN CHECK - IS PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK IS MICROFILM $ ' MECHANICAL $ 75'0-' TOTALFEE $ /3 • PLAN CHECK $ Jam_ CONSTRUCTION AND PLANNII. _ APPROVALS Permit# mIQS3q Date Inspector OL &SPA 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.;tElectrical Conduit-U6drgmd. - 55. Electrical Bonding 5.r Steel Reinforcement 56. Rough Plumbing & Pressure Test ' 6.�EI&ctrical UFER-Grnd. 57. APPROVAL TO COVER-GUNITE 7.IFo6tings 58. Electrical Conduit-Undrgrnd,, 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9.,LWater 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 r 13. Roof Drains 64. Plumbing System - Final 14.,Rough Plumbing - 65. Electrical -Final 15: Rough Electrical -Conduit 66. Solar System -Final _ 16. 'Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough- Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace - 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas El Oil 23. Gas Pipe -Rough & Test 72. Underground Flush '- 24.�Roof Framing 73. Undergrnd. Storage Tank OGas OOil 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`S 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 01. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED i �33. Final'Electric Notes: •I 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 •lrrigationSystem 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 - " _ F _Applicant CITYOCOSTA MESA 'CONSTRUCTION PERMIT - to filln an spacer except thew within man bora II i and nen allappropriate declarations. ' , fJ - rb iI gMIT NO - — / 3 x* TRACT NO. -LOT NO. - B t P'rolecl Address - a O APRIEents Wiling Address '314..4 � (-d A,FEiJtlsedN/(JORvL�P OwnersName fL&WWOC 1444AH Phone TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR CONVERSION 0DEMOLIS. ❑nTHE0. DESCRIPTION OF WORK T—1 Ap* _ zone ' - B Main ' irg��- Accessory Building: A..� Address �rvi ii/ /bpi 57 g C'n!%�" TYPE OFPERMITGRADING FOUNDATION STRUCTURAL ❑ TENANT ELECTRICAL El PLUMBING 0 MECHANICAL ❑OTHER - DESCRIPTION SQ. FT. OCCUPANCY CONSTRUCTION TYPE VALUATION$ ZONE ORAGINGCU.YOS: ACRES E T O`1 -_ FF ranU Address LiEenBe NO. Address - B A Hear -- Rear Contractor's Nam, - 5 0 in eZeC7PROJECT C Right U. Address (mailing) 4 5�l'p°2�1i6.�ar-K Q�'dwQ� City license No. 297 TV LICENSED affirm CONTRACTOR DECLARATION provisions i ns Codondnd I hereby affbm 00) a Ilpmed under pBusiness nn Professions withl anon is n full f ama .the Business and Profasslonr Coda, end my manna Ia m mn for a a n t. in tiara a Llcg� Na.y%y'y- 0 K B eft ; PI Ref.$ Park.FeasS n9 gemarks: /Qac � Parking geq.IprovidM - the of Building: ' PLUMBING _ FEES Planning Notes: Signature NURKERS' COMPENSATION DECLARATION I hereby affirm that l have a certificate of Consent to 9611-Insureor aCertifiat¢ o1 Workers' Compensation Insurance, or a certified copy thereof (Section 3boo,UP. C.) Policy No. Company Bar Sink Showen - - - Backflow Assembler Service $Ink - - Backflow Irrigation Sewer Cap - - ELECTRICAL ecerunee copy is hereby furnished. Certified coot' is filed with the city Building Division. Dale Applicant Trisection need not WORKERS' completed COMPENSATION the permit 3ator one hundred ( $]001 or 10ce� I certify that an Performance On Pr an k101'Wnlch inlsp imlf Is to Wort employ an person In y n 1° bBC9 uhlec[to the bN' tr n uws a ure- e y a/ Nate fp�er/r� d.e Bathtubs Server Connection - Aummatic WazM1er Transformer ❑ 15.50 KW Consir uefi on Po le ❑50+KW Su b, _ Clarifiers _ _ _ Solar_ Collectors - Dishwasher Solar Piping ' ft Cooking Unit Meter ❑up to 100 amps Drinking Fountains g Bolan Tenk pisM1r`RZM1er Meter Omer 100 amps Floor Orcins Swimming pool W/Spa pryers ❑Gas ❑Electric Sub Panel No CE 1 ,af/ ler maklnq iMrmnl°r°tion; yhu zdouM become sable t to tM1e CE I , n Is dean ora su s of the Labor COCA, you must forthwith Workers'Compensatlon provisionmi with ith Such provisions or this permit Shall be deemed ked,- CONSTRUCTION LENDING AGENCY p f the ahY work lar there IS Inisn permit °Ise Issued (Section 3°gei fC ° Cj MndarY Name_ FIOOr Sinks ' - Urinal Fen - Motors ❑P1 HP ❑1N -B Gas Service Outlets Water Clowt F.A.U. Inc. Solar 09.15 His Ell 61! Interceptors Water Heater Fixtures : Microwave Kitchen Sink - Water ServiceDevice Boxes Pole Light .. �Is Z finga Sign Drains Garbage Disposal Standino Sections as Reintegration Fee I =5 ferea Reinspection Faa rotor 1 $ZS limitslimitsFiat $'3 prowl Boller PUBLIC SERVICES REQUIREMENTS: itching Approved By Building Approved By Application Issued BY . / / Carta - Date Oat� Hood or Typal ❑ Canopy TYPs I I ❑ ;Dcore- um- Duct Ground -Under $ $ $ $ $ $ $ $ SUMMARY OF FEES SMIP $ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING IS MICROFILM IS TOTALFEE If System ReWir/Alteretion Pun anntto the who contracts UOYSSi LA orol.cs Conn a con - under SeCtlnn B. 6 P. C. for VIA NaWn Dale Owner 1 pNeby, Certify that A. have rest Exhaust Systam ❑ Multiple Firepl/Fact. BIC ICBG Heating System & Opening OrI ars' Ucenm or 5s d' I I Rain pdion Fee MF 0665-46 rev. 12183 White- Building; Canary- Applicant; Pink Accounting; Goldenrod - Assessor Issue Fee $ 3 Reinspection Faa 1 $ZS limitslimitsFiat $'3 IAN ICACFEE$ PUBLIC SERVICES REQUIREMENTS: itching Approved By Building Approved By Application Issued BY . / / Carta - Date Oat� Hood or Typal ❑ Canopy TYPs I I ❑ iefrigeration System 7p100,000BTU 1:1100,000BTU BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK SD% MECHANICAL PLAN CHECK 25% $ $ $ $ $ $ $ $ SUMMARY OF FEES SMIP $ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING IS MICROFILM IS TOTALFEE If System ReWir/Alteretion - Issue Fen Is 3 CONSTRUCTION'AND,PLANNINC 1 - f . & SPA APPROVALS - Permit �(l� Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole "' 52.. Pool & Equipment Location •. 2! Soil Pipe-Undrgrnd.- 51 Steel Reinforcement _ 3.• Electrical Conduit Utility-Undrgrnd. - 54. Forms - - 4. Electrical Conduit -Undrgrnd: - • 55. Electrical Bonding - 57 Steel Reinforcement �I - 56. Rough Plumbing & Pressure Test - - 6: Electrical UFER Grnd., - - 57.- APPROVAL TO COVER-GUNITE. 7. Footings, -.r .58. Electrical Conduit-Undrgrnd.- -- _ 8. Foundation' " - _ 59. Gas Pipe, ❑ 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.iRough Electric Wiring . - 67. Fencing & Access Approval,17'. Rough Wiring Sign �. - 68. APPROVED FOR PLASTERING 18. Rough Electrical,, -T Bar Ceiling '' , - 69. POOL/SPA SYSTEMS FINAL , 19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT APPROVALS' Permit# 20. Rough -Factory Fireplace 21. Ducts, in Structure: - 70. Underground Hydro X22. Ducts, Ventilating i r 71. Product Piping 0 Gas ❑ 0il 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof;Framing` 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing i - ,7,4. Overhead Hydro 26. T -Bay Ceiling (Structural)' & Monocoat 75. Dry Chemical �27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 'i „ 77. FIXED SYSTEM.FINAL i 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' i 35. Final Gas Pipe -Test - T _ 36. H66d 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 i ! 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Co ` 51. CERTIFICATE OF OCCUPANCY No. " - a. ,-bate' '.� J CADUTAr AVENUE 3505 Unit 0-9 Lot 41 - 3505 CADILLAC AVE. Units 0109--- 209 B-2293- it/ y/ p- Conn. Bldg. 81,326. Unit 0-9 P-2404- 7-(�-6Z-PLBG. (2293) E-2660- 9%3olj, FSC. (B-2293) Unit 0-4 Nr3769-7j,t7/jy MECH. (B-2293) Unit 0-9 M10538 EXKNUST FAN (B10151) (Unit #109) B13511 INT ALT $28,000. PC 315-84A 0109-209 E13525 „a.ti1 MISC 1513522 MiSC t413523 Sc EME15708 INP. ALT. $3,000. PC 680-84A�4�d! ME -16190 TEN IMP $16,000. PC 721-84A 0-.109B CITY OF COSTA MESA r BUILDING DIVISION � DEVELOPMENT SERVICES DEPARTMENT 698-01002 PERMIT PERMIT NUMBER (714) 754-5273 Fax(714)754-4856 BUILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address Suite Vicinity Parcel Nunmber Applicant Address Owner: Address 3505 CADILLAC AV L005 13966116 HIMES,.KENNETH R TR 3505 CADILLAC AVE BLDG L5 L5 Phone: COSTA MESA CA Zip[„_ 92626_ -- Phone:. Zip: - 92626 'ION Phone: 714-963-5642 ,CA Zip: 92648 Zoning: HIMES, 3505 CA[ L5 /, - Status: ISSUED Applied: 06/10/1998 Issued: 06/23/1998 INTERIOR Al. Ucense:738508 •,*Phone:, - SCOPE OF PERMIT -0 MODIFY INTERIOR WALLS .FOR _AN ARCHITECTURAL BUSINESS:.ADD 6 WORK STATIONS, CHANGE 2 DOOR INGS IN STUD WALL/h �_ 00 lvJI'' I1�Ll Plan Check $6.54 Permit i��'$40'2,1 SMIP Res)$0.00 SMIPCom: ��$0.50 \`"'Other:`,` $000 Inspection: / $0,00 n- T�o�tal: <�$472i _ ttt. SUMMAKY tom, Calc Valuation $1,200.00 t , - - "Claimed Valuation: $1,200.00 LANNING'&LONING o� SETBACKS MAIN STRUCTURE Front- -'�O- 6- (O .Rear 0- 0 ' -- Left 0-0 " Right 0.0.E ACCESSORY Front-O-Oo_, Reao. 0-0Left 0-0' Right; :'0;0 PARKING Existing: 0 \\ Reouired:, 0 \ Proposed: , 01.” NOTES: _ 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 0 -71 DECLARATIONS WORKERS' COMPEA$ATiOFI DECLARATION: I hereb Inn under penalty of perjury one of the following declarations: Er'l have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation insurance, as required by section 3700 of the labor Cade, for the performance of the work for which this permit ls' ad. My workers' Compensatl n Insuren� mer antl policy number are: p Caller: (' U %l Policy Number: l a �I 9 (This sect/on�ot be 6OMPIO16441 the permit Is vel ed er one hundred dollars ($100) orlass.) i ❑ I certify that In the performance Co of the work for which this permit Is issued, I shall workers' not employ any person in any manner so 0 to became subject to the workers' comply with h we of Cellla le e6lRlli-t hould became subject to the workers' Compensetlon provisions o1 Section 37110 of the Labor Cod q I shell forthwith comply with Ih b Applicant Slone rto Date: WARNING: FAIL E TO SECT RE WORKERS' OMPENSATION O IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND NES UP TO ONE HUNDRED THOUSAND Rt , IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37090E THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby acorn that I am Ilce sed under pr Ions of Chapter 9 (commencing with SeWon.7000) of DMslon 3 of the Businesnd Professions Code, r1rt� my license is in tall torte and effect. Lic. 4 (/ Class Contractors Signa e. Date: _4 CONSTRUCTION L LNG AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for Which this permit is Issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address; Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I em 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 appy 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 o1 sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Cade: The contractors License Law does not appy 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 drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property lax 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 permlt from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Dlvlslon of Industrial Safety Permit Number. HAZARDOUS MATERIALS AND EMI NS CERTIFICATION: 1 Will the applicant or presen uture building occupant need to file and cer ity a Business Plan for emergency response to release or threatened release of a hazardous metedal9 ❑Vas.0 o (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 Ne a registration form for acutely hannicus materials? ❑ Yes o (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 thea_ ppjcant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes WAie (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and tiling 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? ❑ Yes ONO .................................................................................................................................................................................................................................................................................... 5 Does or will the applicant or present or future building Occupant require for the work which is the subject of this a plication a pert for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes are (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 pen of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes (It yes', the facility must meet the requirement of Sections 25534 and 42303 of me California Health and Safety Code). .......................................................................................................................................................................................................................... 7 s a permit from Nll Scum Cowl Air Ouanry Management District or other air pollution control district Or agency Is required for the wgd�Qhich is the subject of cols spiel cation, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made ❑ Yes Q1fIf ......... ..................................................................................................................................................................................................................................... _.................................... 8 (It yes', attach Conificete 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 HannJous 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. Ign Owners) / DYI7 plica (v Data 299 INTITAL§ CODE INSPECTION TYPE DATE QMAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final - 208 Final Plumbing " 200 Final Re -Roof 210 Final Electrical' 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Bulli ing/Occupancy / �J 2448-49 We. E(C., CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT E98-00606 PERMIT PERMIT NUMBER (714) 754-5273 • Fax (714) 754-4856 ELECTRICAL PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3505 CADILLAC AV Suite No LOOS Vicinity: Parcel Nunmber: 13966116 Applicant: JOHN FINDLAY Address: Status: ISSUED Applied: 06/23/1998 Issued: 06/23/1998 Phone:_ Owner: HIMES, KENNETH;R Address 3505 CADILxLAC'AVE BLDG L5 L6 hone ,COSTA MESA, CA j " `.Zip:-` 92626'=''; 'G Contractor:' C:S. CONSTRUCTION �r Addrerrss: 10271-MAKAIf h� >/ ���� Phone:(r714-983-5842 GHUNTINGTON BEACH,CA �Zip:92646 License 738508..1.. 7-.._ 14, „r h 7d l -_� / Fes. R L,'"� "SCOPE OF PERMIT i 130 FIXTURESt!DbUTLETS & 10 SWITCHES, RE:B98-01002 FEE SUMMARY. �)07 \,, { Quantity -- - -� --`- - - ' -- _- - - -- Quantity ISSUE FEE I fl�ll $22.00 \ Temp Dist System -/Lighting J $0.00 0', i Temp servicetest ('11 i $0.00 y Busway /100 ft J I $0.00 0 Res; a/c package) li`*�'i, $0.00 I�,J' Standing Sectionf��� $0.00 0 New Res (1 m2 units) 'f;`�y { $0.00 u Om__`.._.. - _ �MiscEleclrioaifEquipment '- I $0.00 0 r New Res (3+units) -� f `?1'' $0.00 0 �- -' Transfortners up to 1'kvalkw ' $0.00 0� - Pool/Spa ('- _�\u\ $0.00 0 ......... .up to,l0 kva/kw " $0.00 0�; Lighting Fixts \\qui $26.50 / 30 ....... ^�updo 50 kva/kw t-.$0.00 /0�,. Recept Outlets l\`)� $9.00 I 9 ..........=-up to„100 kva/kw $0.00 ,0 ;� Switches, �� r� Ax$10.00 10 ..................over 100 kva/kw $0.00 r'Zol Non Res Appl\ \1��� l x$0.00 0 L Voltage Equipment I$0.00 ���0 Res Appl • �� �� \ \� \$0.o0 I '0Low.,Volt Wiring System / Ckt:$0.00 ' 0 Service to 2006\ \ $0.00 I 0 M'c Misol Conduit x$000/ 0 Service to 1 000a `, $0 00, 1 0 �� � r OMisE b6nductor $0-00� 0� Service over I boos $0 00 < Oi" r �� �� `�}J <` `` - � �--. 0 �,,,� , rircus (gen or riag)' y4 i / $0-00 ,- 0 . . Motors to ihp A �.- i i$0 00���0 !Fy ` �� Grcus�(mech ride or lig his) $0 00%>� 0 t' ' Motors to 10hp ` \_ $0 00 ��0 - o� 1 x -Christmas Tree.Stand '"'j�$0 00 0 Motors to SOhp `, ��$0.00�: �0��� "!� Fireworks Stand- �- $0 00 �0/ Motors to 1 00h $0.00 �0 ���.--<OthWElectnwl Eee Motors over 100hp x$0.00) l� 0�.,, Communication drops $0.00 Investis a_t_i_on Fee `$0.00, Sub panel to 2006 $0.00,- r-'- Plan:Cfieck Fee t Pole Light Pkg $0.00' = �.�,. 0 ! i Reinspecti6n Fe --e,,_ F "$0.00 , Sign Circuits $0.00 �.;. Temp Pwr Pole $0.00TOTAL CALCULATEDTEES $67.50 Intermed Pole $0.00 0 COMMENTS / SPECIAL CONDITIONS I 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 perod 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) 7545626 DECLARAVONS WO COMPENSATION DECLARATION: I here fflrm under penally 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 worker`s' cath,@- Lensatlonn Insur ce ca Ili r and policy number are: rti Caer. "r1 1 A I �e J t1� Policy Number: (This section noacTnot be completed If the permit is valued atone hundred dollars ($100) Or less.) ❑ I certify that in the parto lance of the work for whis permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation I TO 1; do re should a subject to the workers' compensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with t e Applicant Signetre: Dale; WARNING: FAILU E TO SECURE W RKE COM RAGE IS UNLAWFUL AND SMALL SUBIEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND E (s100,o00), ADDmON TO THE OF OOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3MS OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirn that I am licensed under provislo i Chapter 9 (commencing with Sect1prr7000) of Division 3 of the Businas4 and Professions , and my license is in full force and effect. Lic. a .3 (C Class a Contractor's Signatur . Date: — CONSTRUCTION L&DIdG AGENCY: ❑ 1 hereby affirn 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 Coda) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation o1 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).): ❑ 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 o1 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 o1 the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not appty to an Owner of property who builds or Improves thereon, and who contracts for such project with a contractors) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by ddvees Iloenss. ,❑ Yes ' ❑ No Drivers License No. Expires: Verification of Ownership by (type of dowment, Le. - property in bill or dead): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 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 ANISSIONS CERTIFICATION: 1 Will the applicant or prase or future building occupant need to file and certity, a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes In No (Section 25505 of the Califomla Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mese 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 bulltling ocapant need to file a registration forth for acutely hazeMous materials? ❑Yes o (Section 25533 of the Celifomle Health and Safety Code, with some exceptions, requires registration with the Costa Mese 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). ...................................................................................................................................................................................................... ...... .. .......... ...-.. . ...... .... .. ..... .. ..... ..... .......a.............. 3 Does or will the scant or present or future building occupant need to prepare en RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes o (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department mrequire the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register aculety hazardous materials with the me re Department. ................................................................................................................................................................................................. ............................................ 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Cade been fumy complied with? ❑ Yes o /}q ...................................applic applicant futu........ild-............pan-.-equ-....for-.............whi-...................ject....this.....plic.tion....p-.-.-....o-.........constru.tion. or m-....cattl n 5 Does or will the applicant u present Or future building occupant require for the work which is the subject c this a plication a pemytfor such construction or modificallon from the South Coast Air Quality Management District or from any other air pollution control district or agency? � Yes 0117o (Section 65050.2 of the California Government Cede requires that the requested infornadon be furnished on applications for non-residential bull ' g permits). ................................................................................................................................................................................................................ 8 Will any part of the facility to be canstmcted under this permit be within 1000 feet from the outer boundaries of a school? [3y as o (If yes', the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). .................................................................................................................................................................................................................................................................................... 7 If apermit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the WOM-which is the subject of this application, have all 01 the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes Bqqo .................................................................................................................................................................................................................................................................................... 8 (If yes', attach certificate of compllance from the appropriate air pollutlon 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: Data: CERTIFICATE OF COMPLIANCE AND AUTHORIZAT10N 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. to Legal Owner(s) � � _ - D Applicant Dole— CODE 8. toCODEJ, NSPECTION TYPE SASE INTI➢ALS CODE INSPECTION TYPE 11M 1LQmALB 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Poo15De Final - - - - -208 Final Plumbing 2DO Final Re -Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention I 202 Final Factory Fire Place - _ 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 244&4e Applicant as, nn In all maces within heavy border Imes and Sly all appropriate declarations. 'CITY OF COSTA MESA PERMIT NO. - TRACT NOT LOT NO. BLDG NO.- -" ,CONSTRUCTION PERMIT /'B cl Aq3 "PN 81-380 TYPE OF CONSTRUCTION 29NEW 11 ADD ❑ALTERATION - 0804 1/1811 384_.6_9 Project Address3509 rad Gwdel Phone 7ei Addrea OREPAIR OCONVER510N ODEMOLISH OOTHER ZONING REGULATIONS ArchlEn9_ Nims -Peri --Licens¢No. 42885 DESA F%' I ON OF WORK AE. go - - Address '119 Santa E. Alton Atria TYPE OF PERMIT e vl r - r ❑GRADING ❑ FOUNDATION ;4TRUCTUh L c O TENANT O ELECTRICAL OPLUM BING-OMECHANICA ZONE pLNG! SETBACK C L ST. RO I 7,21 REF. SF ' Tp gVI 1 PROPERTY LINE Contractor 01tRECTS CORSI -Phone 576-847 _ Address 88 kjMtPS Park LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9(mm- ERD 1 HT % QA% with tion 7000) 1 3 I the Business d '0 OTHER ProfIng ,Division essions Code, and my license Is In full tars and erten REAR YARD (TO Pi License Class 'A I.Icanse N0. 8Fi9i uPROJECT DESCRIPTION - . 4396 -SO" %T' v�5 _ VALUATION JCi_CONSTRUCTIONTVPE17N - PKG. SPACE RED. 559'2 - STREET WIDTH:. _ PROV 16ED 670 PARK FEE $' Data s Signature - - -" - - WORKERS' Cm that I have a DECLARATION hereby affirm that have a certificate Of / VALUATION 1 •3a�zDrvE ZONING APPROVED B DAT I Insurance, Aft d cartifled cora r[:flydle 1 Works, CompCompan IOSW¢OCe, titled DY - GRADING CU. YDS. ACRES SPECIALCONDITION. thereof(SecllorL8aN4b.S.). "I -'Icvrvo. WPH�RR'S`4f. Company Fromnnt'T»AFH_ irtlfied wpyis hereby furnished. - - REMARKS: `$�� _.Certified cope lsfiled with the City Building Division. q�f ri FOR C �p55�5��1T REQUIREMENTS EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - `SPECIAL (This SeRion need not be completed II the parmiL.is for one bond ad- `EC001 0 less,^ City 1 Of work for wNch this - - Shat Inuetl tall t employ any I any manner so az to become not ploy any proton become PLUMBING PLAN CHEEK ELECTRICAL PLAN CHECK - anonIn Subiec{ to Ma Workers Compensation Lew[ of Calif ornot. BATHTUBS SHOWERS ' 1117 Date Signature NOTICE: If after making this declaration. You should become subject TOILETS URINALS GENERATOR 0[1 KW KW to the Workers' of the Labor Code,Must -1-10 forthwith comply Such pronal av11onsns wi or fids permit shall deemed LAVATORIES DOUBLELAVS APPLIANOU 10-50 KW�lm+KW CE 10-50 CO - - - KIT. SINKS DISHWASHERS MOTORS1-10 Od HE CONSTRUCTION LENDING A AGENCY I hereby affirm that there is o constfutllan lenoin'agency •$pfl VILE SINKS : SUMPS - (INC. SOLAR) 10.50 MP No 50+HP SO+HP formance of the work for hichrihB.permibi5 uea'(Sac[ion 309J From 3097 _ t' CIV. Cd. Wells F FLOORSINKS FLCOR DRAINS-�l � FIXTURES OUTLETS SWITCHES Leneers rvame - ,t Lentlef(5`AdtlfKe 660 NeW= t -Center DY N.B. DRINKINGFOVNTAINS .R tl•,, GAS TUBE SIGNS - - OWNERBUILOERDECLARATIONL. INTERCEPTORS' CLARIFIERS. POLE LIGHTS - Lte.eby affirm that Lam exempt from,tne CpnlraCmr: urenu.law mr _ . _ - . SWIMMING POOL' - P TRAP POLES METERED - SNB the following reason(Section 7031.5 Business and Professions Code: AMY. City nty Which recall a permit to construct. alter. WATERSERVICE .ALTERATION I PANELS MAIN - "SUB Improvil,dembi pgrepairanystrucom, prior to its.issuancgall re- quires the applicant, for SUN, permit to file a signed sta(ement,that he, , - • • - ISIIGASIAPattensfitto t h e pro V' dore 01 me COnVdCIOr_'LLlCense Gw, GAS SERVICE OUTLETS SERVICE AMP 1CM1dpteu 9:( a Ing -.wins iSetlio e)OOOe,'narf OlNslan_3nof•thej "'cal Chap Ar-4nd az. Coael ocinal x pt ttarafrom dna tta. _WATER HEATER51 OUTPUT " Ij:'e;"mralnesalle9etl. examp "On. Any_HONaUc0 oL Sec[loli ]031.S.bY b' IOf to a IVII yBTU -` - •SEW - - 0Pll Cant aBelfmlt sYbtlolls She ppli[ari( penalty 4'at re man 0 u retl ar IS5001\ ♦.+la r;n ` ER.CONNECTIONS. • SOLAR TANK COLLECTORS L`I, as of the proarty or m amploy..$ wI[M1 wages as tM1etr in pared it solaHa tad 17044 r le. (Seof 0 ndo d to Bu51 n So antl % leaslons Cotle'nTM1e SOLAR PIPING SYS. ISSUE FEE Conf ac[or5 Llanse Law tloei not apply to an owner of a propeM1y ISSUE FEE APPLICATION APPROVED 8Y DATE who builtl5 Of IFpro reI to 0a 0n, antl who does sUGll work Olm[BII Or through m¢ own emPlayers , provided mat sour ins encs are not MECHANICAL PLAN CHECK SUMMARY OF FEES Intamed On of mrea lar AMSo II however, the building arimprovennn[ In one year of cc m plee[l onthe owner will new the bmtlen Is proVina fie did net bus id r in rove 10, tM1e p rppze Oi ale). o gTING SV STEM OIDD,000 BTV BUILDING PERMIT �� �' p SMTP S 69 ❑ f, as owner of the property, am' exclusively contracting with ANDFEA DUCTING $ E tl contractors to construct this, project (Section 7046, Business 100.000. BTU PLAN CHECK s PERMIT and Professions Code: The Contra tOrc License Law does not apply to . ISSUANCE -E an Of property who builds Of ImarOvu thereon, and who Con- REFRIGERATION 0100,000 BTU_PLUMBING $ tracts from h Prot t a Contf dags) licesned pursuant to SYSTEM GRADING S =with the Conrado 4 Lirzve ). I00.000. BTU PLAN CHECK S ❑lam a under Secllon S.6 P. C. for this BOILERS BTV$ ELECTRICAL S SYSTEM REPAIR. ALTERATION PLAN CHECK g MICROFILMS TOTAL Dalen ry1 - - MECHANICAL S Iherebyortl5yt havlr dID p IiComn an d state tar"stabave EXHAUST SYSTEM MULTIPLE - InPormatlon Is rL I ¢ t Holy with all City n0 county PLAN CHECK E VgNCE PC E_ aralnances an ate ass t 'onslruc[ion, and berdip authorise represemat OI d t0 ter UPOIF me Abov� ma Cloned I Cr SI ec 1 l po p FINAL FEE lurepOZ $ Dav MV LiC¢nK ISSUE FEE - - - CMF 086546 White-Bullbing:Canary-AppllcanL Plnk-Accounting: GoldenrodAssessor CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POOL & SPA -APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool•& Equipment Location - 2. Soil ipe-Undrgrn - 44. Steel Reinforcement - - 3. Electrical Conduit Utility-Undrgrn 45. Forms- orms4. 4. Electrical Conduit-Undrgrn 46. Electrical Bonding Sfe-el Reinforce ;Z )-%;L B 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn - _ 2_ t_ a 1324 48.- APPROVAL TO COVER-GUNITE 7. Footings a_// 49. Electrical Conduit-Undr rn 8. Foundation - -50. ,- Gas Pipe, ❑.Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ Undrorn 10. Structural Floor System sCu 2- -$z 52. APPROVALTODECK 11. Property Sewer Line & House Connection 53. .Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 13. _ Rough Plumbing - 14. Rough Electric -Conduit - - X56. Electrical -Final 15. Rough Electric -Wring - 57. Solar System -Final - 16. Rough Heating & Air Conditioning encing & Access Approval 1.7. Ducts in Structure APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frame and Flashing - Co Ods 13r _ 23. Insulation ?1/ _A .gX _ S 24. Lathing & Siding _ 14- 25. Drywall Nailing B 16 71 / er PLOC 26. Plaster Brown Coat ,$ e 27. Electrical Power Meter -Final 6-r - 5WAo 28. Final Electric 29. Final Heating & Air Conditioning s^. 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 ¢2 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date Applicant to Rn Inlall spans within heavy border lines and sign an appropriate CITY OF COSTA MESA"' - PEgMIT NQ. -- /F/(�C - TRACT NO. LOT NO. BINJ-CONSTRUCTIONPERMIT ,32Zf3 . 1000 :1./20/82 -• •:J. 9e00 ProjectAddress i O TYPE OF CONSTRUCTIONPhone NEW qOD ❑ gLTERATAC ❑ REPAIR (]CONVERSION-E1O DOTHER _- _ 1 ` .' ZONING R2_GULATIONS - r !� -� -- � � -"-i '- Archy License Nd DESCRIPTION OF WORK A.P.B r7 _ _ _ Address _ _ ZONE ALN TYPE OF PERMIT. :. _ - _ -O - SE C ST. ❑ GRADING.. -0 FOUNDATION- 0 STRUCTURAL' IDE VARO ❑TENANT 0 ELECTNICHL�WMBING OMECHANIC eel - y D EF"♦ 0�1rvE - - Zli- _ _ -. P - - Addrm - LICENSED CONTRACTOR ECLARATI hereby affirm that am licensed under prOVlslOns o1 Cbavtez.9, (Coco-' ,r BIGHT Mariana WRM1 ]0001 at OIVIVOmI3 theBu9ners d Q OTHER - -� - Professional Code, tl�� g. my l�lull for Lyleµ �t r PROJECTDESCRIPTION. REAR YARD ITC P/y - C�. LICBnr CIM I<e1 N _ _ _ _ PKC. SPACE REG. PROVIDED, Datei-WORKERS' -OCCUPANCY � CONSTRUCTION TYPE STREETWIDTH {pARKFEE3, COMPENSATION -DECLARATION - I hereby affirm that I have a certificate Of consent to ffiIHnsure r VALUATION ZONE ZONING APPROVED BY-. - DATE' 'certificate of Compensation car III COP -. GRADING CU YDS. ACRES .. SPECIAL CONDITIONS. - tnereo115eC0 b.0) I.1. cY NoCamdan + Certlfled Copy Is -hereby furnished .REMARKS" - !. -1 .. _ _. Ceftilled copy is filed with EXEMPTION FROM KERS' COMPENSATION - - ' ' - - " - "- �. - +•-" - .-' " •' t be _(.TM1is. sec[l0n Bed. not be completeditme_nrmlt IB 10r one nuntlretl parr t i for one hundred f$ce tlfy MICIs L 1 PLUMBING.. ,-PLANCHECK" ... ."" - .. " - - ELECTRICAL- "' PLAN N CHECK_ that'ln.the,performanm;of.the work for which this p lin mann s ISSMd, 1 shall not employ any person' any manner o as to.become' -Pblatt[pthe .Wwkers COmpensallOn Laws Ol.Cal110rn1a(Ll._.- BATHTUBS SHOWERS - r ` ' Date Signature; NOTICE! rlmakl Pg thIS s6OYId become subject' 'TOILETS) r �' ,. URINALS-— -' ' GENERATOR -' 0-I KW KIN err' provision r1 th to the Workers' Compensation provisions iM1e Labor must TRANSFORMER •"' forthwith Com- WRM1_rI,Such o t hall be de ns Or tM1l9 permit sM1all be d, LAVATORIES DOUBLELAVS --",- - - -�' APPLIANCE'- 3050 KW�50+KIN "-' -r_I9 . _ _ _ i. _ _ _ _ _ - __ _ KITs51NK5 -DISHWASHERS 1 MOTORS ' "" O1 NPS ]=30 HP - �- CONSTRUCTION AGENCY that there15 Ihereby dlflrmtlwork lwhicht reSpirobt-Ring agency 10r fnerper- \g RVICESINKS"r � SUMPS" -�" € "- -- INC.SOLAR)- IOSO HP��50v HP+ IOrmdnG of [M1e work for wbl<M1 iM1195permlt-is•Is9Ye IS$GIp n. 309]t o i ". '.`C: CIA. C.).-' - '--"' -+�'+iy'T'� FLOOfliIfTKSFL'OOR OIiAINS` _ FIXTURES -OUTLETS 'SWITCHES Lender': Name_ _ _ _ Land er}Address �ORINKING FOUNTAINS GqS TUBE'SIGNS" - "'"- -OWNE ' ILDER INTERCEPTORS CLARIFIERS �POCELIGHTS-- - - -'- - II hBebyaelfirmthat IDamexembit IQrOmthe Contractor's License LdWf0! Thai foll0wing"rieson(Section ]031.5- Business and Prof esionScod: SWIMMING POOL'. PTRAP- --- '"' -- Any city a county which requires a permit t0'construct, alter, POLES METERED - SUB b' Y ' ImproOe(tlemollsh or repair any Structure, Puerto Its I9suance,l190're- WATER SERVICE ALTERATION-'"� - PANELS-" -"'Mr, IN'," $UB quires farsuch Permit to file signed statement that he SERVICE OUTLETS I SERVICE"AMP'- ice sed pursuant 19licensedp(commencing to ' tor Is withprovSectlong ion ofa 9 (commencing with >GOO) 0f Division ofthe-'GPS t 3 of ". •�� WATER HEATERS O----- • or Phase 0r my therefrom me s and alleged ns ine'BTU Bion 0and tode)tlo a Sweden 5atls for Me alleges a mpN51n" Any vl0latlOn o1 Sec[I0n ]031.5 by 'cif violation SEW ERSLaNIS.:®NS'- 'r'U ' - - , 1. r IY-app llean$ for permit Meets IDB PPIIGnt t0 a clarl penalty 1 0I than five hundred dollars (5500). SOLAR TANK C - OLLECTO RS "" " ' '�" - _re - toy ei with w ❑ 1, as p - Y. or Bei as their owner p e w a � - 1 the Pro ins work, a is not (mantled. compsnir Me. will.tla ins nd M1and P 44.usines Professions Or ISeaw Business Oroffered SOLAR PIPING SVS. EE -ISSQE FEE- mmoluor, U... ones man ownei a property Contractor's-Llanse_La tloez. not apply t0 an owner of a __ _ _ ISSUEFEE r _ �'APPCILATIONAPPROV ED BY" �- - TORTE ` andmself or whoYAllotsorligh his own empl0ye¢9rpr0Nded that sucb55mprpe0ments arenot MECHANICAL vtaN CHECK SUMMARY OF.FEES intended or offered ear sale. If, however, the Building or improvement is Sold ;thin One Yror Of cOmpllatlOm,.the owner will have [M1e burden 1 proving he 00 of bulls improve r e purpose 0 ale) HEATING SYSTEM 0-100000 BTU_ BUILDING— _ ❑ Ir s o ! to -property, exclusively ng wlM1 - 'ANO"DUCTING' -' ERMIIT E - - - - -- $MIP �. $ - n 7044, II[Cnsed contractorsI construct the pmjOC[ (Section ]094 Business 100.000+BTU PLAN CHECK $ PERMIT( an Profess) C0tl .� T e-COntramOrY LlCenx Law couR not-ell0ly tr -ISSUANCE $ - an Of property h0 bullds 0r mprov thereon, and who can ownr REFRIGERATION 0-100,000 BTU M f PLUBING E ' •� [actsfrom n -Projects Im ra cont radicals) Icezned pursuant- t0 '-SYSTEM' - - - _ - - - - -GRADING' the Contract LI LAW). 100,000+BTU PLAN CHECK _ir $ 7 'Dl am exempt -under Sadler; - B: &P.0 for this BOILERS BTU ELECTRICAL $ - $ •. i reason" • _ .. . _. I "_ SYSTEM REPAIR, ALTERATION r •[_•r• PLAN CHECK $ ": MICROFILM $r '' !TOTgL'F 11 Date -Ownersmossom MECHANICAL $ - I, hereby Diet at I no"readthis Application Plication and Stale that the above EXHAUST SYSTEM �. .., SS AD Informati n rrect I lgreF--to comply with II city and county _ _MULTIPLE 'PL'AN'CHECK '$" '�" -- - ygNCE P $_ ' ortllnan at a relatln9 to cOnsVuctlon and hereby autnonze -t ," -;��- repress iI of t city t0 atupon the eB V¢ tl ,.+ ' r(9 S. prope Y r i a P 1 _ r - 519Alot FINAL FEE S" - Drie9'LicenseorSsie ISSUE FEE '1' - CMF Oh6546 Wi rte -E Admi91 Disney -Applicant; Pink-ACCOOotin9: Goldenrod -ASusor CONSTRUCTION'AND PLANNING APPROVALS Permit # Z`�� Date - - POOL & SPA Inspector - Date Inspector APPROVALS Permit# 1. Temporary Electrical Service or Pole 43. _ Pool & Equipment Location • - • - - ' 2. SoilPipe-Undrgrn --57'4/6 & 44- Steel Reinforcement - - - - - - 3. Electrical Conduit Utility-Undrgrn 45. Forms - - - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding, - 5. Steel ein orce 47. Rough Plumbing & Pressure Test'- "'•__ 6. Electrical UFER Grn _ 48. APPROVAL TO COVER-GUNIT& -- -- --- 7, Footings _ 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test - 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ ndr rn ' 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 14. Rough Electric -Conduit - -56. Electrical -Final ' 15. Rough Electric -Wiring - - 57. Solar System -Final f. 16. Rough Heating & Air Conditioning encing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating ' Gas Pipe -Rough & Test Roof Framing 60. POWSPA SYSTEMS FINAL 21. 22. Roof Sheathing Frame and FlashingNOTES: j 23. Insulation ' 24. Lathing & Siding ' 25. Drywall Nailing 26. Plaster Brown Coat ' 27. Electrical Power Meter --Final ..L 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 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date Applicant to Rti tom spaces within heavy border Bre, dna aisn ad appropriate declarations. CITY OF COSTA MESA PERMIT/ yq TRACT NO. LOT NO. BLDG. NO. .CONSTRUCTION PERMIT 3 / TYPE OF CONSTRUCTION '1 1XNhw ` O ADO 11 ALTERATION 000NVERSION IC%1+Y1IN //✓ N''x"6_6_19.1 _6/01/8& .. I Pr°lec[A�ress '3505 Ced111BC AVENUE- ' . ]thea 3 Phone Addrm 1301 HOVE St.; Suite 760 _❑REPAIR ElDEMOLISH. O'OTHER/.. ZONING REGULATIONS Arch/Eng.N Beach License No. DESCRIPTION OF WORK - Audi 4 : `•' _ OYt _ _ __ . Address " - - - - TVPE.OF,pERMIT "" "„ GRADING- FOUNDATION '(]STR VLTV RAC - [-ELECTRICAL OPLUMBING-CMEWI ICA - ZONE PLNG. REF, ;, "��pP e SETBACKV"COL T ERTY'L'INE DE YARD - - Connector ThEYIDdldlia Inc. - Phone 283-958 ._ 1330 SO. EI.Monte KENS CTOR DECLARATION 410ENSEO'CONTRACTOR-DECUARATION - -- -- -'—TENANT 'I hereby that I beosad 9 affirm am Under r royslon3 of Charter 1C 700th 3 the Buelnesi-nd IN - r U-. ❑OTHER --- - IDHT: ntencin9 with Section OI,Olvlalon Of Probations CAae,'and MY license Is In IUII form and effect. • "" REAR V/]RD {TO PILI CXss Ir -ZD LJmn No -102u216 PROJECT.DESCRIPTION' bs ^33 "- s0'FT. ._._ T 1Jr1! 'OCCVPgNCV' CONSTRUCTION TYPE "" ._. ,P✓rG:$PACE'.Rgp IPROV,IDED ' 1 STREET WIDTN p PA RK EEeEi e L Oil¢ Si2n�B2 Signature _ SWORKERS'COMPENSATIONDECLARATION- it hereby affirm that have a certificate of consent to Ifl rVALUATION''R F'-_ ZONE _ ZONING;AVPROVEDBY DATE •�' '. ourtlfcate'of W«ken" Compensation Insurance, or a certified cont -- .'a " X045ecllo aaen 1' ] GflAOING CU. YDS ACRES SPECIAL CONDITION$ !', . _. _ .. ._ __.. _ .. _ _ _ _.-. _ _ -_ _ _"_ IT No. ➢PP%11°4CMb�Pumfuny Fremont Indemnity erl f W4npYrs he,eby furs M1 tl - ♦ -REMARKS 1 bra titled Copy is Rl¢a with to U city Building Dwalon " WORRS' COMPENSATION DECLARATION EXEMPTION FROM KE - , 4! ot be comped it lM1 permit l] fordo a herpes, .11This smctlory need no t -_ _ _ __ - of _ - - . IECOtttfY that -n the performanor ^he; work for -white this.perm Bsuea snap not employ any pyr gta asJ bet PLUMBING H .-PLAN CHECK- ELECTRICAL'" PLAN [HECK - -one vbled to the w«kerzPwmpen ayon'Lnwi lrcplii]°/r�n at�P BATHTUBS sMowERs -. - mati i ,SO FIT Date J...nature _7L'W'CY ,E/ d-CLl NOTICE: N after Making this declination, You should beCO.ne subl ct ".TOILETS' i.Aq f� URINALS - 'GENERATOR 0.1 KWr�I l0 KW (TRANSFORMER, '9 to the Workers CompensatlUP provisions Of the Labor Code, you must ..... ..,. 4oNnwitn [amply w_ItM1 such provlslon5 or IM1Is permll snail be beamed LAVATORIES DOUeLE'LAV S� ., '- 'INRPPLIANCE' - 40.501CW"50'+'KW- - .. - -- revokeU. ._ CONSTRUCTION LENDING AGENCY KIT. SINKS '' - OISXWASHERS - "" MOTORS : 0 --Hp I I 4 ' ip .I hereby affirm that there "sa nib otion lending agency for Me Per- IOrmance of thek f whlCh this permit IS Issues ISectlMI 3097 SERVICESINK$' VN�j0'SOMPS' (INC SOLAR)-' 105OTIN-1 50 HP- 'CII C] ..f - y. _ FLOOW SINKS FLOOR DRAINS _1. FIXTORES-'- OUTLETS'-. !SWITCHES -� x�'' u a rs nam '^ - 'L "tlei5`Atld 'k _ _ _ _ Dip � - -'iGASTUSEMMNS ". - OWNER BUILDER DECLARATION a' s CLARIFIERS } •. ;POLELIGNTS1 • ' Ibraby affirm, th t pt r -th c° t t LiLafor ,.INTERCEPTORS ... SWIMMING POOL — - P TRAP " the -following reason- -UseCtism )03] 5 Business and 'Professions' Code • Anyor county construct, altar, .PO ES "' METERED SUB' O wyaem I'M1 r -Ohl.any51 -1 priortoits ISSUanCe also ON _ __'' WATER SERVICE n ALTERATION --- T " .PANEL$ MAIN SUB :'' - MJ s the a"ll t f such permit to file a signed statement that he - GAS SERVICE 'OUTLETS - I $ERVIQE AMP is II ed pounui1 tM1-p ftH C [ C LI els IjCh pts 9 (Commenting with ll 7000e"f Divi3 f the -he -WATER HEATERS : - BTU OUTPUT' � Y _ Y Se an f4IX Core)—or that I mpt to T frOand 'the' for alleged pl Any violation of Section )031.5 by SEWER CO NEC O"5 �`'F�" 1' applicant f pa t bled. iM1¢ pp11mM to'a dull penalty o [ thann h tl 0 dollars (ESWL___ 1 cr S' ' SOLARTA'NK `I -COLLECTOR" -' -"^- 'E propertyor my ephoy9esaz eeswl[M1 wathsai er Ol\M1em Sole COmpenytbn,.wl11 ao th Vick and the structure. is not Intended. ,'J' or offered for sae (Station 7009 Hu51ne]] dna EToleMlonz Code; The SOLAR PIPING SI":" _ i >'ISSUEFEE �' ��. "� Contractor's L canse.Law doe3 not BOOZY t0 ao Owoee-ol d Oro PertY improves SAPPUICATIONAPPROVED BY- who solids or thereon, and who does Such work Woman or ISSUE FEE. DATE through -ha own employees, revised that such mprommenX arenOL orOffered building MECHANICAL PLAN CHECK SUMMARY OF FEES' _ Intended for le. ihowever. the or Improvement " Id ivthen oneywacof completion, the.owner will have the burden_ 1 P J -n9 he Oof build r Improve for the ourpO3e Of Sahel. SV.T_EM_0-100,000 BTU BUILDING' - PERMIT S SHIP - ❑'1, az owner b!-tne' promertri exclusively contracting -With " _HEATING - .. AND DUCTING ;' _'_ .'.yE a contractors [o project (Section Business ID0,°Od4 BTU" QQ PLAN CHECK $ PERMIT. 1 and he-Contl ctheto Law ao, es nor tO- and COUSIN Cod - ISSUANCE E and who C an of property who OrrImpro Improves owner fproperty who )-rash, a00 W10 mil co REFRIGERATION 0-1 O(,W0 BTU ,PLUMBING $ traboes tmc[6v from such pmlettz I[n oVaC[orls)-Ilceined-pYRuant to with as 'SYSTEM "- --H Q - G AGING E the Contractor's License Law). 100.000+BTU PLAN CHECK $ ❑ am edempt under Section B. 6 P C for this"S_ _ BOILERS HTV ELECTRICAL S - _ _ _ r SYSTEM REPAIR, ALTERATION 'PLAN CHECKS' '� MICROFILM$ GO.. FEE'5 _ Date - -Owner - --- [hal M1am read this applicationcoand State.that the above EXHAUST SYSTEM _M_ULTI_PLE _ _ MECHANICAL i -"-_TOTAL AO 'f I therebyEly I i tl correct. B to ply with a511 It Y and county tIn9 �erebYna ,LE55 PLAN CHECK $_ - `q NCE PC $IN _ ill$ nstr Ion• an dl d tt laT� btn°rixa "P 1 3 p t t re 1 th¢W/ ty 1 ter n the above boned rl Y 3 for do f 519ndtUre 5/20/82 - FINAL FEE Is •'O� ate __ _ __ .__ _ ._.. -.-.- oNYem u[e�xe nr sss ISSUEFEE 3 _. __ __.. Whtte-8uilding; Canary-ApPli[ent; Rnk-ACC4pnting; _ CONSTRUCTION AND PLANNING I - _) ��f� tyI'�7&�_1O� Date Inspector APPROVALS Permit # POOL & SPA ' Date Inspector APPROVALS Permit - 1. Temporary Electrical Service or Pole _ t 43. Pool & Equipment Location - - - -- - - - - - 2. SoilPipe-Undrgrn 1, .144. Steel Reinforcement - 3. Electrical Conduit Utility- ndrgrn _ 45. Forms 4. Electrical Conduit-Undrgrn _ - _ 46. Electrical Bonding _ - - Steel Raunt.orce _ + 47. Rough Plumbind & Pressure Test - 6. Electrical UFERG_rn_ _ 48. APPROVA'LTOCOVER-GUNITE --. --- - 7. Footings 49. Electrical Conduit-Undr rn- • - 8. Foundation.__50.,. Gas Pipe,. ❑Undr rn; Test - 9. Water Pipe-Undrgrn_, _ 51. Backwash Lines P-Trap.'E] Undrqrn- - - - 10. Structural Floor System 52. APPROVAL TO DECK ' _1 1. Property_Se'wer Line & House Connection '' _ 53. Backwash & Receptor -Final 12. .Street Sewer Connection_ "' 54. Heater &'Vent -Final 13. Rough Plumbing - - - - - - - - - - - - - - 14. Rough Electric -Conduit - - - ---- -- -•56.7 Electrical -Final - - 15. Rough Electric -Wiring - 57. Solar System -Final 16. Rough Heating & Air Conditioning encing & Access.Approval 17. Ducts, in..Structure: - _ - - - APPROVED FOR PLASTERING 18. Ducts, Ventilating '•60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough &Test 20.- -Roof Framing 21. Roof Sheathing' - NOTES: 22: Frame and Flashing 23. Insulation L 4VVAv.OJ 24. Lathing & Siding p 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. Landsca e Sprinkling System ' i 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 OCCUPANY - C No Date Applicant to Shim all spaces Within heavy border Final and sign all appropriate aemamtmm. CITY OF COSTA MESA RE�33MIT NO �yT�RACT NO. CONSTRUCTION PERI. PI — q g r ev-S8p TYPE OF CONSTRUCTION KNEW OADD ❑ALTERATION Project Addr Owner - Phone I ❑.REPAIR [)CONVERSION OOEMOLISR ' " 20NING REGULATIONS Arch/EnB. License No.❑OTHER DESCRIPTION OFWCRN - A.P. i ••• Ad risks•ZONE PLNG. REF. IF Contractor - Phon TYPE OF PERMIT - - --BUILDING- ❑GRADING ❑ FOUNDATION ❑STH V�CFT 11RgL ❑TENANT O ELECTR GAY ❑PLVMBING C IEGHgNIC Bq ILSEpF AR PROPERTVLINE 'LICENSKENS ED CONTRACTOR DECLARATION.. 1 hereby affirm lh.l I am licensee O p vi f Charter 9lc m . RIIGMT m ciC with sedl n 7000)- of DI II _3- f B mess. O ROfassiOn[ Code. Ed my Ilse e h I lull 1 yyy��, e t _OOTNER ;REARVAROITOP/LI -- - PROJECT TION +-"-' LkenH Class LI N s¢'.Fa.' 'PKC. SPACE RED - - _ STREET WIDTH ,PROVIDED, - _ , PARK FEES .I Date" . - 4 agnam - WORKERSLCOMPIRSATION DECLARATION. OCCUPANC CONSTRUCTIONTYPE l hereby affirm that l Nva a ttrCRots Of COnsenl0 to selHnsure ' VALUATIONZONE -- ZONING APPROVED BY -- DATE - ,titled COPY certificate OI Workers Comp HtIO - 1 Y r GRADIb YO5 ACRES SPECIAL CONDITIONS 11�1- t - Y NOYII [ mP Y LN NJ _ a ed copy Is O _._ ' 'REMARKE _ _ _ _ ; It f 'u' •7_ unifiso IIIeO to Il Behind Division. filed�heebyWith the Certlllee Copy p , - RK N' O WORKERS' COMPENSATION DECLARATION Ih - .I - 'I (Tnls seOc[1o01 Cad not be cOmplaloE If Ilre parrot[ Is for one hundred This need n - 1 d E3 _ _ _ _ _ isdfY that 1 thePo f ce of the Work forwhich this- . -ed 1 sbe [ I person a any " l becomePLUMBING PCOmpenzallpn PLAN CHECK • ELECTRICAL ' `PLA CHECK - - ubl0ct)olne Workers Lawa al CallfOlnli. -`SHOWERS- Uj,-" - - .-..--_-BATHTUBS Date I 519natu NOTICE: If after making 1Ms declaration. y should b ublect t )TOILETS � -do „nURINg6• " -i' --- `DOUBLE'L'AVS- GENERATOR' 0 -1 -KW'- - 110 KW - to the Worker CompenvtlOO provisions of the Labor COtle,-you mu5l TRANSFORMER —. t forthwith Comply Wish each or, War' OI this Permit shall be Seemed LAVATORIES _ -- - - APPLIANCE-" -10.50 KW�SO ♦ KW k0 -- -KIT CONSTRUCTION LENDING AGENCY . '--'-- DISHWASHERS- - SINKSI nMOTORS'^-- 0-1 HP'_310 HP f 1 hereby affirmthat there Iso Construction lending agency for the Our . SERVICE SINK6SUMpS "' - JIN[SOLgRI .3050 _50 HP To f to k 1 , thisp f leaned [Section 3097 V (1V. SINKS -FLOOR DRAINS' - FIXTVPES OUTLETS' SWITCHES C 1 LFLOOR led Nam Le Oer9 qOO - ri, - r DR I NKI NO FOINTAII-NS --• IGNS -- GAS -TUBE SIGNS- - OWNE0.BUILOE0.OECLHRATION- OWNER INTERCEPTORS CLARIFIERS POLE LIGHTS 1 hereby aha rm that 1 amexempt irom the Contractors License law far I t lhe'ICIIOWIO91M (EeeO0m7031.5 Business and-Pmfewslons.000e, -SWIMMING-PsEi-PTRAP'-' 'allPILL - f -POLES �METEFED - SUB. - Any city a county which reduires a permR to on tract, alteq WATER'SERVICII -ALTERATION '"- -!PANELS- - -`MAIN-- SUB - - In Po demelisn Or rePoirany sbu<Ion, 011oftO lteiseuanCe. 1130'10 'the f"Ilcen'seC.G :suar� t goo [ soot Of the Gorla[[m f License Laew - - - GAS'SERVICE OUTLETS '"" -i`-' - SERVICE--- - - - - - - -AMP _ (Chapter 9 (Commencing with Section 7000) Of Division 3 of Me -WATER-HEATERS -'--'BTU OUTPUT, dr1 11 jl,JmAUand ROWSIOnS Cotler of that bels exempt therefrom and the s for the alleged exemption. AMY WOlii Of Section 7031 5 by SEWER CONNECTIONS _ y. PmlOretihan PlPermit SpO Kant l0 a Civil Penalty. n0� COliars IESUO� -' COLLECTOR$' -- - --'-'---- - ---- ---- - 01'as^wnerOl the'Popi OY mrermak es with-wages'as their'"SOLARTANK- PonUjtjdn, WIII d0 the Olk, dmf the Structure ie nOL Intended Orb-fieied 1p a e. I5wric, 7040. Bsiness and FkOf0RI003 Code. The _ SDLAR PIPING SYS: I - - 'ISSUE FEE--- -� - - - t - r Contractor's Uteme law does not apply to an owner of property ,1 M1O builds -a,I provesthereeonn•Iand Who doesSuch IS' oesch _ �- ISSUEFEE - 'APPLICATION APPROVED BY -- - DAT,E-- Int send hisl vemenliaKl ofi ed fown r employees. mi the building or lmpraxement -' - Ia 'thin I G the o III nave and lumen MECHANICAL PLAN CHEOM-� SUMMARY DF FEES, • .. Of Pureeing M1 bid - 1 buildon-Improve-f the 'purpose 'at -sale). _ HEATING IPERMI NO —le - -- h O.I,-as.wownerCentraClinl-will SYSTEM 0100.000 BTU PERMIT____ S SMIP -at .1M1e.phmerlY.-am.exdUSIWIY licensed tractors to Construct the project (Sieben 7044, Business AND DUCTING - -- .i 100,o0o.+BTV I _ jpLAN CHECK E _E PERMIT ane-MONSISIC S-Ccde: Ted Contractor' LIGOse Use does net apply t0 HE ._ 'ISSUANCE o property who Hones or Improves thereon, and who Pon- n,Om Scesned-pursuant to. REFRIGERATION 0-100,000 BTU • ;PLUMBING E - bdtAlen, su htprDvdbowith o.conbaCtor([) 1MContrac r5_1 law). SYSTEM - - I 100.000,1 BTU •PLANCHECK $'- G0.ADIN S -!EI ).., �:, O'I'amee Pt a Scion B. A P. C. for this ' x r BOILERS BTU '!ELECTRICAL- $ - - SYSTEM REPAI PLANCHECK g _ _ MICROFILM Ii_f' _ -,)• _ Date Dale n R. ALTERATION EXHAUST SYSTEM MULTIPLE MECHANICAL UB; TOTAL FEE jI. f -- 1 herabYCert� at lir rear this APpllontlOn and State that the above s L I r to COMPIV with all Pty and County i ''PLANCHECK -§ - VESSAD- - 8_ - - Orfolmab oma e e Pae pm to construction 4n enArehy avoriae 'o this ter - ' In mall Ilty' upon the bdv onions 'Ci - - . pr _arty for 1 pu _ �` 51 IYIC 51is .. FINAL FEES -m0 -or 55 - - ISSUEFEE CMF 0665-46 White Building; -AOCounfingl Goldenrod-Aemesor CONSTRUCTION AND PLANNING APPROVALS Permit# _ Date b POOL & SPA. - Inspector APPROVALS t Per - ° Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Locatidn 2. SoilPipe-Undrgrn _ _ 44. Steel Reinforcement 3. _ Etectrical Conduit Utility: Undrgrn . 45. Forms ' 4._- Electrical. Conduit-Undrgrn -� __.. _ ,.,._ - _ _ ._ 46. Electrical Bonding -' '------- --- --• _5. _Steel Reintorce 47. Rough Plumbing & Pressure Test - - - - - - 6. Electrical UFER-Grn _ _ - 48. APPROVAL TO COVER-GUNITE- - - - - 7. Footings _ _ 49. Electrical Conduit-Undr r'n - _ 8.,- -Foundation 50., Gas Pipe, ❑ Undr gin; Test .. 9.. Water Pipe-Undrgrn. 51. Backwash Lines P -Trap.❑ Unciftiin 10.. - Structural Floor System _ _ .52. APPROVALTO DECK J 11.. Property Sewer.Line &-House'Counection 53. Backwash & Receptor -Final 12._ Street Sewer. Connection__ - 54: Heater &Vent -Final 13. .Rough Plumbing _ _ _ _ - Svsiem-Final- - -- - - - - 14. Rough Electric -Conduit -56. Electrical -Final -- 15. Rough Electric -Wiring - - -- 57. Solar System -Final `• " ' ' ' - - 16. Rough Heating & Air Conditioning -- - encing & Access Approval 17.- Ducts, in Structure _ 9.__APPROVED FOR.PLASTERING 18. 19. ' 20: -Ducts, Ventilating Gas Pipe -Rough &Test` - - Roof Framing - 60. POOL/SPA SYSTEMS FINAL- 211 . 22. Roof,Sheathin Frame and Flashin- _ - - - -- -' - ` 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 - - _• _ -' -• 1 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 CaliforniaGasCo. - 42. CERTIFICATE OFOCCUPANCY No. Date - ' Applicant to fill in all space: within heavy border lines and sign ill apPoll to CITY OF COSTA MESA PERMIT �.p TRACT NO. LOT NO. BLDG. NO. - - I y_br` W j 1/82 9,25 CONSTRUCTION PERMIT E1 -e( 640 TT�IYPE OF CONSTRUCTION p3 NEW ❑ ADO ❑ ALTERATION REPAIR CONVERSION DOEMOUSH p " ULDZ�"O' aWl7, 9 - Projett Alfress�i-�:� a Lr 4/elr ONn> I PM -S Addrea u_ LO _ -U D OTHER - - ZONING REGULATIONS ' Aleh/EnpQ License No. H 5 Y DESCRIPTION OF WORK _ A'P'gf ZONE PLNG: REF. $, Address _ � E N - .'Contreair'GG/00 na O TYPE OF PERMIT O TENANT X ELECTRICAL OPLV MBING OMECXgNICq - ST VAddress gO 51pE VP d NE EPM1 F Ty LICENSED CONTRACTOR DECLARATION-- '1 hereby affirm that 1 am licensed der provisions of Charter 9 (co - RIGXT mericinal Hn-seCtlon-]m00) f.Dlylslen 3 1 the Business d BOTHER - -" - ROlesdons Code,'and y license Is In full form and fled. REAR YARD (TO P/W _ _ �7 S6� "-E-/�C PROJECT DESCRIPTION' .I Uunse Cpas o. - - SQ. FT. _ - OCCUPANCY_ CONSTRUCTION TYPE PKG. SPACE REQ. STREETWIDTH PROVIDED " PARK FEE"f-', ��Licsnspy'� W/.Ch'dl iT- WORKERS'COMPENSATION DECLq T N hereby alflr that I have a wddiable Of consent to self -Insure or a r VALUATION" ZONE ZONING' APPROVED BY - DATE - 11 WrIIfIWN of WOlkersrCOmpenN[Ipn Insurance. or a certified copy - - - I - - - - GRADING LV YDS. ACRES SPECIAL CONDITION§: -- "-reof (Secllon 3500, Lab. C vrva.N/ P//SOv2%nmwnlF•eBNc.✓r run. LI'e_ .' Aggggggggg rtlfied capY ls_nerebY lurnlAea., _ _ _'REMARKS:.' Onlfied copy it film with the city Building Dimtlbn, C: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - (TM1b SOettlan e0d not -be comDletid If in*Permit Is for one hundred -- (SID0lfy that) thePerformance of the work for Which this permit l I1 Paid hall t III y Y person In any manner so as -to -bac a subi¢dlo1M1 Workers Co mMnsalion Laws of C:It h nla PLUMBING. „" PLAN CHECK' - -' " ' ' ELECTRICAL" -- 'PLAN CHECK - - - - BATHTUBS' ` SHOWERS- - - - --- _ _ Dau Signature NOTICE: II after making this declaration, Y u should became subject TOILETSq_ n URINALS �- - - GENERATOR iGENERATOR - - 0.1-KW 1-10 KW to the Workers' Compensation provisions 0l the Labor Code. you must' TRANSFORMER I forthwith Comply with such Provisions or this Permit Shall be deemed LAVATORIES DOUBLE SAVE 3 ;APPLIANCE -300 KW_ 50. KW - - e km. "KIT. SINKS' "DISHWASHERS-------- MOTORS - 0 -1 -HP 1,10 Hp_ CONSTRUCTION LENDING AGENCY Ithereby affirm that there Is a construction lending agency for the pm- SERVICE SINKS - SUMPS - - - - - "' " - -"" IINC..SOLARI -303o NP 5sa NP ' ar is province of the work for which this permit is sued (Section 309] -FI`OOR SINKSLong- -; FLOOR DRAINS— jFIXTURES -'j- OUTLETS ' Z$WIH]HES - LN. -- -'-------� - -- ;' - me r` er's Na' lenders ddress-.. DRINKING'FOVNTAIN5' 'r -�" ---"';-- �' "GAS TVSESIGN$----- - -- - OWNHRBVILOERDECLARATION - BUILDER I nerebv affirm that l am exempt from me W mra P License uw for 'INTERCEPTORS- CLARIFIERS" -- - - POLE LIGHTS - -- - - - $W IMMING'POO L' -" PTftgp -� - - - POLES - - METERED SUB nd B and W sslone Came, p O ret n-(Sectch Any City required per permit Any city County Wair er,re- �nstrucIssuance, WATER SERVICE - 'gLTEflgT1ON""'-� PANELS------MgIN -, --SUB ImprOV¢'. demolish a y structure. r It so re- araymitt for arc fit a SignedStatementthat geode to epi Mont for arch permit to file a Cigne NO GAS SERVILE"- '" OUTLETS -AMPyrA to of the nOf 9n of Lthe g wlllhlSions ICnaDteld9 (commencinSe[tlon ]OOOI Division r WATER HEATERS- ' "� BTU OUTPUT -�� � "P - - - -- P-'•nex-dnd RdxsionC Cars, or that he 150x0mpt therefrom andthe ror the alleged exemption. Any violation of Si 1pe 7031.5 by SEWER CONNECTIONS -. applicant for-a-fammit sublects-the applicant to -a CIN; penalty n file hundred dollars [§Eco). more Ili¢ cafe " SOLAR TANK -- -'COLLECTORSor 0.1, as owner on, pmperty[or employees with ine6' compensation, will do walk, and the s not Int sole will , a Is not Inlet - sale. 7 d professions The' OI Offetd's sale. (Section ow d Business and Downer 'SOLAR PIPING -SYS: ',)' - ' "" - -' -- -i' ISSUE FEEContractor' es no owner of property License Law apply in at a property ISSUEFEE - - - --- �� tAPPLICATIDN APPROVED "BY- --- -DATE- r corn ores_, a who does SuchWork himself h0gh-hi a Improvees providedrantl Sboogh Msemployees,,1 t Such'mp are notvement _ MECHANICAL PLAN CHECK I SUMMARY OF FEES. or imps mtendeethofferedf -I.Dn heli derldin rwill improvement I Ie y f cal t can nl the buten - --not-build T( purpose f COPIL of proving n b 0 r the pnrPose ar let - - - HEATINGUCTtN TEM 6'00.0 OO BTU Ne- PERMIT § PERMIT - $MIV ! § exclusively contracting stn De 3 ow ( m p Duct yr a ¢ AND -DUCTING "- G 1; ' licensed contractors [ construct the Project (Sedlon 7044, Business 100.000. BTU PLANCHECK 3— PERMIT a an -Cod TheContractors est L]wdpesndt tO ISSUANCE. § canerProfire of property or pro who P b heeds or improves Iner¢on, and who wit REFRIGERATION 0.100.000 BTU ;PLl1MBING § thele aninclar(5) Ilc¢sn¢d Pursuant to SYSTEM - I - -3 -G RAGING" f ntrac or's Lomas theContractor's lJ erase Law) 300.000 BTU pLgN CHECK ❑ I a exemot her 5etllon' S. III CI for tNs' "' - - - BOILER$ BTU ELECTRICAL t SYSTEM REPAI A. ALTERATION 1 "PLAN CHECK $ ` MICROFIfh1E ,Is' 'TOTAL FEE f " Ratasearcn Owner MECHANICAL i - - - MROYCertify that l hard read this appophostlbn and Slate that the above EXHAUST SYSTEM MULTIPLE LESS HU- Infdramew IS na YRY la Ir agree b ply with 1. 'PLAN CHECK § 'MANCE PC f_ mdinancesand 30 laws relating to tate construction, and hereby m " { .. f n iandboveh .OoresentatwB3-o "this '¢Ity to enc r -u n -m above uonea menti s PlOpertY Ipr ec[i n Purpp� 9 aS y' FINAL FEE § Drivers' LlRns or 55 ,V Driver ISSUE FEE CMF 0865-46 White-Building:Unary-Applicsnll Pan Accounting; Goideorod-ASOor CONSTRUCTION AND PLANNING APPROVALS. Permit# ''246°' Date POOL & SPA , Date, Inspector Inspector APPROVALS Permit 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location L_ 2. Soil. ipe-Undrgrn - 44. Steel Reinforcement - - - -- - - -- -' - -- •- - 3.--Electrical Conduit Utility.-Undrgrn 45. Forms 4. - Electrical Conduit-Undrgrn_ 46. Electrical Bonding -- - - - --- - - - 5. Steel ein orce '_ _ _ _ •_ 47. Rough Plumbing &Pressure Test- - - - -- - - 6. _Electrical UF.ER Grn - 48.. APPROVAL TO COVER-GUNITE- - - - - _ 7.- Footings _ _ 49. Electrical Conduit-Undr rn'• 8. Foundation. _ _ _. _ _ 50. Gas Pipe, El Undr rn, Test 9. Water Pipe-Undrgrn r 51. Backwash Lines P-Trap,ETUndFqrn -10. _ Structural Floor System 52. APPROVAL TO DECK - - - - - - 1.1,..- Property Sewer Line.& House Connection_ �' .53. Backwash& Receptor-Final." - --12. --Street Sewer_Connection- - - - - - - 54: Heater & Vent-Final 13. Rough Plumbing _ _ 4 14. Rough Electric-Conduit - - - - - -'- - 56. Electrical-Final -• - 15. Rough Electric-Wiring -- " - 57.. Solar System-Final- 16. - -Rough-Heating & Air Conditioning -- _ " - - . Fencing & Access Approval 17. -Ducts,-in Structure 59. APPROVED FOR PLASTERING 18. Ducts-,-Ventilating - •-_- 19. Gas Pipe-Rough &Test-• - 40: Roof Framing -- - - - - --- 60. - -- POOL/SPA SYSTEMS FINAL" -- ' 21. Roof Sheathin "- ' - 22: - Frame and Flashin - - - - -- - -- ^• - _ - NOTES: -23'.---Insulation -- - - - - - -- u-�r-� 24. Lathing & Siding 25. Drywall Nailing- 26: Plaster Brown Coat --- - 27. Electrical Power -Meter-Final - - - - - - • 28. Final Electric - - - - L. /VC- 29. -Final Heating & Air Conditioning - - - I -30. Final Gas Pipe-Test - - - - - - - - - - - - - 31. Final,Plumbing - -- - -32. -Water Service-Final - - -'- 33- Gas-Service-Final - - 34. Solar DomestioFinal.35. Landscape Sprinkling System- - '• ' + 36. Sound Attenuation 37. Handicap Regulations -- 38. FINAL STRUCTURE & BUILDING ' 39. Special Requirements Completed _ _ • - 40. Electric Release to Edison i 41. Gas Release to Southern California Gas Co. ' 42. CERTIFICATE OF OCCUPANCY No. Date - - - U CMF 0665-46, rev. 10184 White - Bullding; Unary - Applicant; Pink -Accounting; Goldenrod - Annual - Applloant to RII In all Ur shaped those within heavy border lines and sign all appropriate declarations. �-- -, 1TY FCOS COSTAM clTv of cosTa MESAQONSTRUCTI NPERMIT - ERMITN TRACTNO. PM TN . LDTNG. 4� waxes uN1T No O-1tf1 $ 2000 11/09/84 87.61 'TL' Dl j (Qpy3 AppUeent'S MullinlIAddressJ4ora �- TYPE OF CONSTRUCTION CONVERSION ❑DEMOLISH NEW ADD ALTERATION REPAIR OTHER Dy Ap �'. Ia Zona' 'Owner'sNameQlAIgOCQ��N LPbYne ssz-`lyra ,±�/,_ JL Address 3saT �l•!I'„e .� a e,.ak.... OE$CRIMIgg��tt DF WORKfU��DF �76ri3O,!//".--.0/11f��/l✓.� BLDG. '$ Ma in Builtlirp: Aatemay Building Arch/Eng. G7/n Licens No. .TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL T From sill z p Address ❑'TENANT ELECTRICAL ❑ PLUMBING MECHANICAL B Rear �g N OTHER _ A 1 Contractor's Nam honegla 6w _ C Ri ht g 'N. T Address(mailingl dll U- '� �� '��I'➢/if PRCMECTDESCRIPTION SO. FT. OCCUPANCY - K. G CON STRVCTION TYPE' VALUATION$�aAo $ lRf[ R City LiaEnY NO: 3�G�7 _ -� --. ZONE GRADINGCU.YDS. ACRES Plrg. flet 3Y Perking Rep./Provitletl .. 'E =G. J LICENSED CONTRACTOR DECLARATION m M1OrepY affirm that am licensed under stow sol CM1er r 9 mencing arks: �, Planning Nates: wish Section 2000) Of Division 3 of the BU n ane P !¢ ae, ane 35oft my license Is In lull Imre antl ffect. OF $ U cane CI" - Llee I FEES u5eS Date SignaturePLUMBING I WORK COMPENSATlO NDEC oAnoe Bar Sink Shower ELECTRICAL FEES I botchy dlflTo that 1 h a Urofit f COnfenI IO g1/Anf Yres or a certificate of War kers•. Cempenfatipn Insure u a sett ee copy thereof (Section Backflow Forwarder Service Sink - - - Au[ortanc 4Yashr Tmnsicamer ❑ 1550 KW 1800, ub. C.1 lolicy No R31BRfl Compan .. 9 ktl wIrrgation Sower Cap _ X50+KIN -Construction %le Sub. ��AaeO led copy s M1BrOby Turn I5ne0. L�Grtlfled Ilea with the <I[ye IVIS. - 1 oat IE Applloant BMl bs Sewer Connecfionj Cooking Unit Meter 0up t0100ampi 'EXEMP! O FROM WORKERS' CO EN3ATION OOne Clarifiers _ sister Collectors Dishwasher Mater, Dower 100am PS IITM1lf less). 4-_ ucllon rasa noPpe completOtll M1a earmll lz lord 0hunaro, [5300]or hundred (41"] n ' Dishwashw _ Solar Piping '• - Dryers OGes DElectric Sub Panel certify [rat b the p¢rmrmanu en hma work for comer this Permit IS Isiwtl I n II not •employ any verso I r s s t0 become select to the oma I O - lk9 Fountains - Scher Tank G Fan - Motors Ob -1 HP 11135' %6 -. •� 1 W kers' Compensation sew I C 11! 1 1 I Often sig t I r I I _ Phaur Dain Swimming Pool-4wlBpa F.A.U. • Inc Soler ❑9-15 HP 0161 - NOTICE-iIf, after m king [Ns dada at'o you should become subject to the WO k rs •COMP nUtlen{praaslons I the UsborlCide-you must forthwith- - 1 Fiber '5nkz5 - " r Urinal - - -'S Fixtures Xtures '" - M¢rowave "' - ' olY with h. p visio 5 lbs Permit shall be deemed revoked, :- -Se •' LC CONSTRUCTION L@NOING AGENCY•- 1 hereby doll M I tin' Is t t Iene' el ge mi to p f - Gas Outlets - 1 • Weser Clout Device sox" Pole Light I J I the k for' which thispermit Is issued (Section 309] OI C) Name - ace lois 1 P. Waier H¢at¢r - - _ DNIBtz /QQ Range Lenders - _ Lards isAa 1 - I 1KIF S kl _ Water$ vi ' switches Sig OWNER BUILDER DECLARATION 1 - - l - 1 n ioreasonIf tht 1 t I Th Contractor's L LaI m - ls• lO l 1 Amo Wish ' Garbage Disposal ;Ste E' g $e t o following t500 (Sec(Sectionctn 7031 5 Business -and Prfess I Code: Any city - _ Iy which Ta lreS a Penicillinconstruct 11 1 p tl 11 n pair I P Tap - t Laundry Trays Generator 065 KW 05-15 KW Trash Compa ny iLucture phot lolls bsuanax, 1 gwrsf toe appllCeOt'1011Y<M1 eerml[ - t01 a 'g d Sf le ant that M1s/fn¢ Is licensed pYrSYOO[ [O In¢ pmvtvous of- fBln9 T fl1 De a ' Ire Lont t LI 0 'sew ^Chapter 9 [commenclnOg IM Section ]0001 Of- pIv 51On 3 til lh BY a e PmM1551005 LOdO) �Ih>I ne Sne (Iz ¢Xempt ' -_ - ; 1�3LS YaPIPIIc�Int'Io 1 - by•an➢�aPPelcan[rlO��aalpvmlt Ksublads�[Xe civil nasty OI not mon than flue hundred dollars (x500]:- I - 'ReinspeRion 1 - - - $ $ I, az owndr'pd lrye'provpo ruv of my empldyeer wrm.viages ps tlielti sole Fee E15 laua Fee cpmlaaensition win INP me r ane.lne structure Is not Intentletl or tiered ! I - ' Reinsgnion Fea $15 law Fair $ 3 OurS mr Ie y5edlon lode Business ane ArOlesslOnm Code: The jeantraoves : s MECHANICAL _FF4EPU •❑ UCenu Low Oµes not a0ply t0 an a nner of a praper5y who oulitla or Improves Merron, -ane np ode .mcMwork ImSpV/neiseu or mmugn nls or her own ' _ _ Boller. HOW or Type DEVELOPMENT SERVICES REDO��yp8�ppMpf J71$:',(( �IA11g I v pIO S, prwldaE that s 1 D en is nminot Intentlep or flared for however - m , 1 ❑ burned Approved By 47�IL Dob 1 yle. I#, ne bYllal g p ant la sold wllnin one Year al cam p ardor, Me owner w naw M b d oI stowing na/she eld nod bu II or Im, Duct •Urea G antl Canopy Type I I -• APProPotl By 1'/- 5 I. 1'h' Oate Im Me I Building ppp�ppye propose 011Y1e1. 1 Pl I, as owner o1 IM1a eroparly, am shotes voly cen[racting,wlln licensee con j j DVCS structural Refrigeration System / Application Issued By Oat /1 [Ors^o can9met the proleQ 1$ecPan ]044, BYilneu and PrOleSslons Code: Co tractors U¢ense sew ri not apply t her p party who I Duff _Ventidal g—' 00.100,000 BTU ❑100,000 BTU SU ARY jLF FEES bVlltls n 1 prow LnCrtOn and ho contreCli ice seCll rd. I 11 WHM1 a con' be cos r s c trador(sl license pursuznTto the OOnna&or'i License Lard. d a a that , 1 Extiaurt,System ❑ Mi 11 - 'System Hepalr/Alteration BUILDING PERMIT 1$ jC% $MIP' •$ SD proof OII, their Workers Compensadom In one should be pr Vlded t0 chili 1 am ekemot under $eRlon 1 B:6 PSC. tar Mli reason I PLAN CHECK '$ PERMIT l Flre IIFacL 91L ICBD # Fire Demperz' j 1 I I 4 p . PLUMBING $ ISSUANCE 8 IDate I 1 Owner I II Il Heat ng 5ysem&Duchies 'Registers 1 FLAN CHECK 25% $ ENERGY P.C.$ I nareeY IIIY'tn t Imverezd tnl ! pplica11 n a' ti t tot the she"-- QPIOO,OODBTU'o1oD000 GRADING $ Information I t llag t comply IM II ItY d county ordinances - 1 ELECTRICAL $ �1 •CJ1'aV� e state 1 ting to building t uctl e n by a M Pe, ' PLAN CHECK 50% $ MICROFILM $ lfenbtlw 1 this City Inspection purbo Ito enter U Ire; b0 O mOnt orad Property for dI 1 t I I I - MECHANICAL �'I qq���� \ signature Vito 1 libimpeetion Fee $15 laud Fee $3 .g PLAN CHECK 25%'�$ .5� TOTAL FEE $ L!_ L_ Drivers'Llunsa or 53y CMF 0665-46, rev. 10184 White - Bullding; Unary - Applicant; Pink -Accounting; Goldenrod - Annual CONSTRUCTION AND PLANNING APPROVALS Permit# Date " I'ns ,r Fiom the Desk of ... - DOLORES MADRID i I J J. r I � - + - •i L--- ArrKUVALs rerm it 9P 1. Temporary Electrical Service or Pole •' / �., 2. Soil Pipe-Undrgrnd. r' 3. Electrical Conduit Utility-Undrgrnd. 4: ElectricahConduit-Undrgrnd. - �5. Steel Reinforcement 6; Electrical' UFER Grnd: 7. Footings B. Foundation 9.`Water, Pipe-Undrgrnd. 10. Structural Floor System 11. Property Sewer Line &House Connection 12. Sewer.Cap 13. Roof,Drains 14. Rough Plumbing 15. 1 Rough Electrical -Conduit 16. Rough Electric Wiring 17. Rough Wiring Sign 18. Rough Electrical -T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace ' , 21. Ducts, in Structure -70.i Underground Hydro 22. Ducts, Ventilating 71. Product Piping D Gas ❑ Oil 23. Gas Pipe -Rough & Test - 72. Underground Flush 24. Roof Framing - 73. Undergrnd.Storage Tank ❑Gas ❑Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing r 76. Dry Standpipe 28. Lathing &Siding 77. FIXED SYSTEM FINAL 29. Insulation _ 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat's :' 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED .33. Final Electric _ /� G Notes: 34. Final Heating & Air Conditioning' - it 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace - 38. Final Plumbing I 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final I -- 42. Backflow Preventer 43. Backflow Irrigation 1 f' 44. Landscape Irrigation System 45. Sound Attenuation I i j - r 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING ' 48. Special Requirements Completed' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCYA No. lZ3-2-pate U City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. 9 9 1 G 3 2 P. O. Box 1200 Costa Mesa, California The Building located at 3505 CADILTAC UNIT 4W -109B has been inspected and found to comply with. the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group--la--l—Occupancy. Use of Building OFFICE Legal Description 139-662-18 (See reverse side for Metes and Bounds) Building Permit No PIKE]6120 Electrical Permit No. AMR1AlQ0 Plumbing Permit No. Mechanical Permit No. EW1 G1 on Number of apartments and/or guest iuest rooms ISSUED TO: Building Official �/ /'/� I /l- 0–DO1�Il�IIWWS BRI'GJAM by Y, C wOL/L/el,l 3505 CADILLAC_ $0-110- MSTA MRSA- r.A_ Date This Certificate of Occupancy SHALL BE posted in a conspicuous place ori the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/83 white -Owner; Canary - Numerical File: Pink - Bldg. Permit File ' Apolmam to rill In all CAMS exCOPI tootn within heavy border tiler ane nen all ppropriate dwrin tkrrr. I O_ CITY Qi COSTAMESA CONSTRUCTIONPERMIT Protect address 4S�! �yd/iiw2 A109-L{y Applicant's Meiling AOtlr ✓S✓.�A-J fl0/✓ffalA4!/may /�.� DWnOS Name DTlr ✓) `�'✓��' `elle / Address �>� - PERMITyNO, BMe f�-j�o TRACT NO. TN�O. ?01 _41 UNIT NO. O_0i 9983 10/i'l/84 M07 TL - TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR 000NVCfl El DEMOLISH El OTHER DESCRIPLIONOFYJORKAJSEOF CDG. /. iT ///j�l/�� 1 A.P. * 9 �� ZoneVD I , S Mein Building: Acres yBuilding: ArchlEng. Limnw No. Address Q 8j �� _ TYPE OF PERMIT GRADING - FOUNDATION STRUCTURAL ❑ TENANT 1;5; ELECTRICAL O PLUMBING MECHANICAL -� Z ❑OTHER PROJECT DESCRIPTION SO. FT. • OCCUPANCY COrv6TgUCT10N TYPE VALUATION ZONE GRPOINGCO.VOS. ,ACRE T Front 2 O 6 peer N C n[recwr'sNem, y':!✓ / j p ndneQ3f_Gq?L� A c Right If 'N Addren (mailing) ✓S✓� AO -G — Z4f Ar W City Liceme No. 7jas ✓% LICENSED ATION K $ Leh G R PIng.Rel.•F Parking Rep./Provided E pemads: Planning Notes: D Its fCONTRACTORensed n np.ov hereby affirm that 1 em Ilmnse3 under pr n Cnar er 9 . and Alin Action ,full Of a old on 3 0l too BY ,a and Pr I m de. en0 with my Rcenwiz in mit force and ene<L - T T s - unnw Class uce Date - Signal ure / _ � PLUMBING I FEES 'YORKERS' COMPENSATION DEC ATION n nembyafgrmthat lhaw a pull ii bfn sent to calunsme or a cemfical Bal Sink $M1OWIR ELECTRICAL 1 FEES. of -Workers' compensa0on Evans or a certified copy thereof (Sectlen 3800, Lab. C.I R It No. 21 C"g-dPe Company lO662✓!2 ✓T Backflow Previn[er" Service Sink -' Automatic Washer Tradsformer ❑ 15-50 KW Consvuctior Pole Sub. ❑ 5D } KW Backflow lNi xidn Ba Server Ce P a (%rutted Copy li hereby th t ivied. Al gad Alto Ina City Building OlvUlon. Bathtubs $¢zver Connection Cooking Unit • Mawr ❑uP to 100 amps tOerno��y� U y/ Dail $pbr COIIkACtCg Dishwasher Meter Owner leo amps _ _ p KERS C EKEMItion We KERS' COMPENSATION DECLARATION need C 1�nls section neetl not be completed 11 me permit is for Dna hundred (EIOUI or no I it I tno that In tea cerwrwann an the wore for as to secs Der n to Issued Worlkers' Compensation iaaa in Caiuornia. was to become subied to the Date Ssansture Dis:washer Soler Piping Dryers ❑Gas OElectric Sub Panel Drinking Fountains Solar Tank Fan Motors ❑D1 HE 01 %'-8 Floor Drains Swimmim Pool mall F A.U. Inc Enter 119 15 HP 1116-15t NOTICE' If, alter making this declaration, you Should become subject to Ina worCOMptys• Compensation prvlslo�s Dor this Permit shall be averaged /ortnrovoiva Floor Sinks Urinal Fixtures Microwave Gas Service Outlets Water Closer — Device Boxes PoI¢Li hi S O CONSTRUCTION LENDING AGENCY 1 hereby Affirm that there Is a construction lending agency lar the performann o1 the work For which sols permit is Issued (Section 3097 Cie. Cd Lendi Name Interceptors We[¢r Heater IT Outlets Range Lenders Aedes OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's unnse Law for the following reason (Section 7031.5 Business And Professional Cade: Any city or rty which rey Ims dermis to deto construct, alter. Improve• demolish or repair county any structure, orr or to Its issuance, also requires the applicant for Such permit Kitchen Sink water Service Switches Sign Gp Lowlands Garbage Dime l Standing Sections P—Trap 1 Generator ❑05 KW ❑B-15 KW Trash Campec[dr toe cantraaoerd'ssUJ nu LAW Chap er 9 (wmmeneing .vadith Section 9000)5 i I vision 3 of me Business and Poressims COCA) that he an$ IE of SSection Roof Drains .from and the FEES fair me alleged exemption. tAny violation of 7Onaliy oYnoimole�In:�niiv: nu°oama aonan �s<saol.. apPhleant to LII Las iter of tura pr 'a sole or my employees wun gas as inalr wlv mlwnaiioM win>do site .k, din mo strvaum S oat Intended or one.aa or le ISectian lea, Businest d Proleulpnal Code: Tha Contractor's (cams Law doesdol apple tovan owner oI a properotf Ano F^Ilgs of Mproves [mere0IF aha n0 does h rk nimseu/neneu tnrouq bar own pro z, provmed INC n Improvements ora n t Intended o offered for n le. 1 9 wewq EIn bu 11Eing m lmprwoment Iz tale wllnln ong Year or COM- lelloq the owner will inaw [N lamed r proving M1oRne tlld t build pl Iso- orm1' ror me r at the or I,'as owner f Int a p It' m azdusively contracting Alin Ilcensaa Sun- par ieetpIS to oactor L re Oroeleei 10 ams >daa, eanness ane Rmesslans rode: Toe aantrac srs Chess Lewd op pmr m an owner of raomty no nmlds Improves memOP, +tib Ano c m.PC}; w. sncn prmecis Anna w bactnras license pursuant to t�e'contra [ors LI<5nsi Law1. I am swam that Proof 1 mev War kere compo Leo insuranC omd ba pmvlaea o me ❑lam exempt under section dp.0.lortmneason - Fisca ction Fee $15 Issue Fee - $ 3 ReinzlwmiOn Fee $15 (sue Fee S 3 MECHANICAL FEES DEVELOPMENT SERV CESR OUIf1E$1ENT$' / FS_� Zoning Approval By `nOam BYINIng Approved By (p]I De[e r.at. Application leaned By -TJ ��' Boiler Header a Typa I ❑ T ¢ II O nopy Type DYCS- Under Ground Duct Structural Refrigeration $vz[¢m ❑P100,000 BTU ❑100,p000TU I Duct- Ventiloting _ SUMMARY F FEES BUILDING PERMIT $ 5� SMIP S PLAN CHECK $ ZS -D Z PERMIT PLUMBING $ ISSUANCE 5 PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ i0•ZO GRADING $ PLAN CHECK 50:6 $ 1 (p L� MICROFILM § PLAIN ' MECHANICAL $ DDTOTAL FEE $ PLAN CHECK 25% $ ZS Exhaurt System ❑ Multiple ❑ System Repair/Altewtinn FireplEacc Bit. ICBG Date IntamayionceitifollmlIzg eeaa ones wlthtinn vanellouoiy aminenve dna tate swzc aetln to IIIiEing c [nuc d tie by autnorlao neon.- ematiitvoz or this 1 e m. .neniinned ;ape inspe r nparpo Yf/ Slgnatur¢ et°/ Orlwrs' Lkenu s5 at Heating System & Oucting ❑0100,000 BTU ❑10o.000BT Panamanian Fee $15 (ave FeFiat88 LMF UB65J6. r. .4f94 WFI[¢�BUiwlpq:Canary-AppIIGnU PmkAe[ounling: GOltlemnd Assefeor CONSTRUCTION AND PLANNING ` 'APPROVALS Permit# Data IL Inspector PO i SPA APPROVALS Permit# .Date Inspector 1. Temporary Electrical Service or Pole. 7 52. Pool & Equipment Location , 2. Soil Pipe-Uhdrgrnd. - •, 53. Steel Reinforcement 3. Electrical Conduit Uti.lity-Undrgrnd. 54. Forms 4. Electrical Cdnduit-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 - 16. Rough Electric Wiring /O �j 67, Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling �D b (j 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure- 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas OOil 23. Gas Pipe;Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 0Oil 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 /g HEALTH DEPT. REQUIREMENT 31.. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric 7$V 4q, INotes:Alp 34. Final Heating & Air Conditioning lo�Z9i,�y 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing , - - 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING [. 48. Special Requirements Completed 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas,Co 51. CERTIFICATE OF OCCUPAIyC,X No. Date - City of Costa Mesa Development Services Department Building Safety Division `�CERTIFICATE OF OCCUPANCY No. Ica" "' P. O. Box 1200 Costa Meso, California The Building located at 3505 CADILLAC AVEM UNIT 00-209 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R-2 Occupancy. Use of Building 01710E Legal Description 139-662-18 (See reverse side for Metes and Bounds) Building Permit No. WTF.-1K7R0 Electrical Permit No. RNTE-1 ,708 Plumbing Permit N Mechanical Permit No. Hti —1 ;;702 Number of apartments and/or guest rooms ISSUED TO: 0' WNFT T, R T AM Building Official. by 3- Q5 CAQTr_T_Ar. AVF. _ «0 `I M r'(1CTA MESA. CA. /q J;V Date /JfiY This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 101546 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT Project Address Apptie is Mailing Ped. ess"/ J.. p,� Owner's Name r/.y__P 6Phone Address C Arch/Eng. License No. Address ' 6ritracto s N n 'J/ �•5rZAV iho elm +`— Z Address (mailing) ����!' d0,� City License No. LICENSED CONTRACTOR DECLARATION _ I hereby affirm that'I am licensed under provi hs of C r 9 co encing with section 7000) of Division 3 of the B ess antl es ns Ode, and my license is In full fore nd effect. Lice nse las — Li N Date Slgnature WORKERS' COMPENSATION DECL ATIO I hereby affirm that 1 have a cord/Ica of consent to self4nsure or a certificate of Workers' Compensation Insure e, or a certified copy thereof (Section 3800, Lab. C.) Policy No. - Company eCertified copy is hereby furnished. ' Certified copy is filed with the city Building Division. Date - Applicant EXEMPTION FROM WORKERS' COMPENSAT DECLAR 10 (This section need not be completed if the per I for one h dr 00 r less). I certify that in the performance of the wor4 for hick thi m' Is 1 d, I shall not employ an person in any man r s as totb'e 0 the Worker o p on Laws of Californ' Date * 0— Signature NOTICE: If, after making this declarat sho E Oma so lett to the Workers' Compensation pro vl slons of a Labor Code, you must forthwith comply with such provisions or th' permit shall be deemed revoked. CONSTRUCTION LENDING AGE Y I hereby affirm that there Is a construction'lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) )antler's Name Lender's Address _ OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the to file a signed statement -that ne/Snl the Contractor's License Law (Chapte Division 3 of the Business and Prot therefrom and the basis for the aIle( 7031.5 by, any applicant for a pe eenalty of not more than five hundrei LJ I, as owner of the property or compensation, will do the work, and for sale' (Section 7044, Business ar License Law does not apply to an ow thereon, and who does such wolk.h employees, provided that such imprc sale. If, however, the building or Imr pletion, the owner will have the burs rove for the purpose of sale). I, asowner of the property, am r tractors to construct the project (Sect The Contractor's License Law does 'builds or improves thereon, and why tractor(s) license pursuant to the Cc proof of their Worker's Compensati ❑ 1 am exempt under Section— ubjeCts the applicant to a civil Is ($$00). tployees with wages as their sole ruct4re is not intended or offered fessional Code: The Contractor's a property who bullus or improves 'herself or through his or her own IS are not intended or offered for ant is Sold within one year of com- aroving he/she did not build or im- rely Contracting with licensed Con - 44, Business and Professions Code: ply to an owner of property who 'acts for such projects with a con- e's License Law). I am aware that uranee should be provided to me. B. & P. C. for this reason Date Owner I hereby certify _that I have read this application and state that the above Information Is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre- sentatives of this city to enter, upon the above-mentioned property for Inspection purposes. Signature Dale Drivers' License or SS # X351 PLUMBING _ .4i Bar Sink Showers Duct -Structural Refrigeration System Duct - Ventilating 00-100,00OBTU ❑ 100,000 BTU TYPE OF CONSTRUCTION LJ NEW ADD ALTERAT14tO REPAIR Backflow Preventer I,qO e1ni Tor. _1i. ❑ CONVERSION ❑ DEMOLISH LJ OTHER p A.P. # '?� ! d ._ - - Zone121>z- OF WORK/USE OF BLDG. DESCRIPTION^ Firepl/Fact. Bit. ICBO # Bathtubs Sewer Connection - S Main Building: Accessory Building: 0. E Solar Piping Z: TYPE OF PERMIT El GRADING EJ FOUND STRUCTURAL T Front r - - - 0 ❑ELECTRICAL ❑ PLUMBI G ❑MECHANICAL BA Floor Sinks N FTENANT OTHER - Rear Water Closet 11. C Right Water Heater N PROJECT DESCRIPTION SO. FT. OCCUPANCY Kitchen Sink Water Service G CONSTRUCTION TYPE VALUATIONS �FL��sY..✓/ g Left P—Trap Roof Drains ZONE GRADING CU.YDS. ACRES Ping. Ref. # Parking Req./Provided E �^s Remarks: QJ•!• -I- - Planning Notes: Reinspection Fee O M Automat)c.Washer Construction Pole Sub. Cooking Unit ; Dishwasher Dryers ❑Gas ❑Electri Fan F.A.U. Fixtures Device Boxes Switches Garbage Disposal Generator 00-5 KW 05.15 ELECTRICAL FEES J Transformer ❑ 15-50 KW 50+ RW Meter ❑up to 100 amps .Meter Clover 100 amps, , Sub Panel Motors ❑ 0-1 HP Ell 'h -'8 Inc.Solar 09-15 His 016-15+ Microwave Pole Light Range Standing Sections Trash Compactor 1. 1 1 Reinspection Fee 1 $15 1 1 Issue Fee 1 $ 3 1 1 PLUMBING FEES Bar Sink Showers Duct -Structural Refrigeration System Duct - Ventilating 00-100,00OBTU ❑ 100,000 BTU Backflow Preventer Service Sink Exhaust System ❑ Multiple ❑ System Repair/Alteration Backflow Irrigation Sewer Cap Firepl/Fact. Bit. ICBO # Bathtubs Sewer Connection _ i Heating System & Ducting , 00.100,000 BTU 0100,000BTI. Clarifiers Solar Collectors'. 0. Dishwasher Solar Piping Drinking Fountains Solar Tank v -' Floor Drains Swimming•Poohw/Spa Floor Sinks Urinal Gas Service Outlets Water Closet _ Interceptors' Water Heater Kitchen Sink Water Service Lavatories - P—Trap Roof Drains Reinspection Fee , $15 Issue Fee $ 3 Automat)c.Washer Construction Pole Sub. Cooking Unit ; Dishwasher Dryers ❑Gas ❑Electri Fan F.A.U. Fixtures Device Boxes Switches Garbage Disposal Generator 00-5 KW 05.15 ELECTRICAL FEES J Transformer ❑ 15-50 KW 50+ RW Meter ❑up to 100 amps .Meter Clover 100 amps, , Sub Panel Motors ❑ 0-1 HP Ell 'h -'8 Inc.Solar 09-15 His 016-15+ Microwave Pole Light Range Standing Sections Trash Compactor 1. 1 1 Reinspection Fee 1 $15 1 1 Issue Fee 1 $ 3 1 1 Reinspection Fee I $15 I I Issue Fee I $ 3 CMF 0865-46, rev. 4/84 White - Builtling:Canary - Applicant;Pink - Accounting; Goldenrod - Assessor DEVELOPMENT SER Zoning Approved BY .I Building Approved By BUILDING PERMIT- $ PLAN CHECK ZOO $' PLUMBING $ PLAN CHECK 25% $.� ELECTRICAL $ PLAN CHECK 50%�$ MECHANICAL $ PLAN CHECK 25% $ FEES , SMIP $ �(p PERMIT' ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM , $ TOTAL FEE $ Boiler Hood or Type I ❑ Duct - Under Ground Canopy Type II ❑ , Duct -Structural Refrigeration System Duct - Ventilating 00-100,00OBTU ❑ 100,000 BTU Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICBO # Heating System & Ducting , 00.100,000 BTU 0100,000BTI. Reinspection Fee I $15 I I Issue Fee I $ 3 CMF 0865-46, rev. 4/84 White - Builtling:Canary - Applicant;Pink - Accounting; Goldenrod - Assessor DEVELOPMENT SER Zoning Approved BY .I Building Approved By BUILDING PERMIT- $ PLAN CHECK ZOO $' PLUMBING $ PLAN CHECK 25% $.� ELECTRICAL $ PLAN CHECK 50%�$ MECHANICAL $ PLAN CHECK 25% $ FEES , SMIP $ �(p PERMIT' ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM , $ TOTAL FEE $ -CONSTRUCTION AND PLANNING APPROVALS Permit # I Date Inspector - POuL & SPA 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. i 55. Electrical Bonding 5. Steel Reinforcement ri - 56. Rough Plumbing & Pressure Test '.6.. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE -'7. Footings + + 58. Electrical Conduit-Undrgrnd. 8: Foundation 59. Gas Pipe, 0 Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. f 60. Backwash Lines, P -Trap, Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Dine & House Co9nection 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 G 66. Solar System -Final - 16: Rough Electric Wiring 67. Fencing & Access Approval •`17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL .19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # -20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro - .22: Ducts, Ventilating 71. Product Piping 0 Gas 00il 23' Gas Pipe -Rough $r 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) 8iMonocoat 6'jg�� 75. Dry Chemical 27. Frame and Flashing • B 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation b d 78. FIRE PREY. FINAL 301 Drywall Nailing v+ 8 HEALTH DEPT. REQUIREMENT 31! Plaster Brown Coat •: 79. FINAL INSPECTION 32I Electrical Power Meter -Final - 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final.Heating & Air Conditioning 61 35. Final Gas Pipe -Test 36. Hood or Canopy v,�.• 37. Final Factory Fireplace - 38. Final.Plumbing - 39. Water Service -Final l� 40. Gas.Service-Final , 41. Solar. Domestic -Final 42. Backflow Prev-enter r- - 43. Backflow,lrrigation - 44.:Landscape Irrigation System 45. SoundAttenuation 46. Handicap Regulations , 47. FINAL STRUCTURE & BUILDING 48. Special Requirements. Completed 49. Electric Release,to Edison - 50. GasrRelease to Southern California Gas Co - .. 51. CERTIFICATE O�F� OCCUP No. -Date F/ ' City of Costa Mesa n rt. p Development Services Department CERTIFICATE OF OCCUPANCY No. V4CAS5 Building Safety Division P. O. Box 1200 Costa Mesa. California The Building located at 3505 CADILLAC UNIT 109 & 209 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group ij2 Occupancy. Use of Building OFFICE Legal Description 139-662-18 (See reverse side for Metes and Bounds) Building Permit No. A-1.3511 Electrical Permit No. V,1 '4 -;?r Plumbing Permit No Mechanical Permit No. 1-11ml -462 2, vi_t -2503 Number of apartments and/orrr guest room ISSUED TO: Bui/J�1 /Official _�` O'DONVEC,L, HRIGf31L"I by^ / '%/n \ 3505 CADIISAC #0-110, COSTA I4ESA, Q. I?/J f�G�" /� f Date /� Y This Certificate of Occupancy SHALL BE posted in a conspicuous placeon3f(� s and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/93 White - Owner; Canary - Numerical File: Pink - Bldg. Permit File IA Applicant to fill In all spaces exceed those wit Mn heavy baser (Ines and sign all appropriate declarations. CITYOF COSTA MESA CONSTRUCTION PERMIT Project Address 3S'0 /A(/i� 6_Q. O - fog """"' "' 3SZ2— -- --' ---- --- ---- -"" O Rear e� A Applicant's Mailing dress jo? RA -� TY!}!%MO(' [Y. U• /_ AD ALTERATION LJ REPAIR TYPE OF CONSTRUCTION NEw D CICCNVENSION ❑ DEMOLISH ❑ OTHER Owner's Name Aaf/�«� �� Y�/ylWNPhpne Address 7\Ai ClQfI/L( � Di^yEr1Y9 /L�//J OESCflIPTION OF WORKIUBE OF BLDG. Left G R Ping. Rel. $ Perking Req iTrovldetl ArchiEng. License No. Atltlrenar TYPE OF PERMIT LJ GRADING 1:1 TENANT 1-1ELECTRICAL0 13 OTHER LJ FOUNDATION STRUCTURAL PLUMBING O MECHANICAL � pp I9 clor's -�Chome 09 ContraName ��fid Address Ica -" g r O L R L -U rMl /s a�g I/1nUO 11 a City License NO. if -7 11 �/o 310-7 a ROAECT DESCRIPTION So. FT. OCCUPANCY CONSTRUCTION TYPE VALUATION$ ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION I CID Remarks:/S SUMMARY OF FEES $ $ $ $ $ $ $ $ •ZS I hereby affirm that I am licensed under pro Charter 9 (Commencing with section 000) of Division 3 of I e professions C and L{. System Repair/Alteration r myllcanselslnln and,effeat. Y 4Ce ISO Clap C�ua se No. y/7 Dale Sig as PLUMBING FEES WORKERS' COMPENSATION O C RA ON I hereby affirm that I naso a Certificate of consent to salf4rusure or a Certificate. Bar Sink Showers Backflow Preventer Service Sink Issue Fw of Workers' Compensbt" Insurance, or a Card f ea copy l eof (Section 3600, Lab.l.tG� n81 Backflow irrigation _ Sewer Cep O ?J Z Pdlicv No. CCii l Company Certified COPY IS hereby furnished. filed wltM1 tM1e city Itli Ivl Ce[tlfipd cyp n Bathtubs Server Connection Dale `• 1 T Appllcan Clarifiers Solar Callecturs EXEMPTION FROM WORKERS' COMPENSATION DECLARATION less] section need not be completed if the permit is for one hundred (9100) or Shelf certifyperformance mtploy in therain afythe s n r so as to become subject to the OiY1V✓a¢her Soler Plying Drinking Fountains ' Solar Tank workers' Compensation Laws of GO Ifornla. Floor Orcins Swimming Pool WISpa Date Signature Fullaftermaking this to the srilhLo become subject Wokerrs'Compensatlon,proviansothe Larson Ccae You must forthwith FICOr BinkB Urinal amply w such provisions Or this permlt shall be deemed revoked. Gas Service Outlets Water Closet CONSTRUCTION LENDING AGENCY i nertiay ]WIOhm that there Ise Construction Sending agency for the performance G.) f the :k for whicM1 this permlt i Issued (Section Sag] Clv. C.) LemNr's Name a, Water H¢attt l Per, prof Dai their Wake O am exempt untlar Date _: e. Drivers' LION CMF 086546, Immurfettion Fee I $16 - Under Ground w a Ind, Exhaust System ❑ Multiple ld be be I amprovaware to m S. ¢ P. C. for this reason FirepllFact. Bit. ICBG # Heating System & Ducting no state that the above 0&101 BTU 0100,000 "�— I Reimpeclion Fee I $16 Pink- Accounting; Goldenrod -Assessor 1540 6/04/84 - 4.25 TI A.P. Na 1 Zone S Main Building: ADssmry Building: " Auternal Washer Construction Pole Sub. T' Front 0 B A Rear N I C Right N K S Left G R Ping. Rel. $ Perking Req iTrovldetl E - Planning 'Kohl M Hood or Type ❑ Canopy TYpell ❑ T Garbage Disposal(•Startling Section. Generator 11&5 KW Nis KW Trash Compactor Issue Fee ELECTRICAL FEES Auternal Washer Construction Pole Sub. Transformer ❑ 1550 KW 1)50+KW Cooking Unit Memr DUp to IN amps Dishwasher Meter 0over1130arl Dryers DGase DElectric Sub Panel Fen - hbtors 11P1 HP 01%-B F.A.U. Inc.Soler ❑915 HP 01515+ Fixtures Microwave Device Boxes Pole Light Garbage Disposal(•Startling Section. Generator 11&5 KW Nis KW Trash Compactor Issue Fee $ 3 Reinspection Fee $15 Issue Fee $ 3 IANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building ApprovedBy uetl By Application Issued nate na e re---1/(l_/e•��— Hood or Type ❑ Canopy TYpell ❑ Refrigeration System 00-100,000BTU 0100.000STU I CID BW LDING PERMIT PLAN CHECK PLUMBING PLAN CHECK . 25% ELECTRICAL PLAN CHECK Ebb MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ $ $ $ $ $ $ $ •ZS SMIP PERMIT ISSUANCE ENERGY P.C. GRADING MICROFILM TOTALFEE S $ $ $ $ $ L{. System Repair/Alteration Issue Fw $ 3 1 " CONSTRUCTION AND PLANNING APPROVALS Permit#' ' Date Inspector POOL & SPA APPROVALS Permit# Date Inspector ' 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6•' Electrical UFER Grnd. ; 57. APPROVAL TO COVER-GUNITE 7. Footings 58- Electrical Conduit•Undrgrnd. 8. Foundation - ` 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water'Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 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.E Roof Drains - 64. Plumbing System • Final 14. Rough Plumbing 65. Electrical -Final ' 15. Rough Electrical -Conduit 66. Solar System -Final 16.'Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning e%[J7y (Z9 FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating t� (16D 71. Product Piping O Gas ❑ Oil 23. Gas Pipe -Rough & Test - 72. Underground Flush 24. Roof Framing - 73. Undergrnd. Storage Tank ❑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 i . 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 Project Address G i Applicants Mail call Owner's Name 11i7U (lre Address; ArchlEng. License Address Contractors Name D Addres(mailing) City License No. LICENEEDCONTRACTOR OECLAnATION I I perhaps,perhaps,affirm test I am licensed under provisions Of I with section 7000) of Division 3 of the Business and my license is in full force and effect. ucen:e elg5 Ll A, Date G•[• a 1/ Signature y,a) WORKERS' COMPENSATION DECLAR ION I hereby affirm that 1 have a certifirab of consent to At awards. or a r Company nlsheq- the city Add, me rom Applicant to filen all spaces except those within heavy border lines ane nen all appropriate declarations l PERMIT N0. 135'Z3 TRACT NO. LOT N0, UNIT NO. Clarifiers OF CONSTRUCTION NEW ADO ALTERATION REPAIR ❑CONVERSION C1 DEMOLISH C1 OTHER DESCRIPTION OF WORKIUSE OF. BLDG. Ads. se 5 Maim %0 VG - TYPE OF PERMIT LJ GRADING 0 FOUNDATION U STRUCTURAL ❑ TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL OTHER PROJECT DESCRIPTION SO. PT. OCCUPANCv CONSTRUCTION TYPE VALUATION$ 20NE GRADING CU. YDS. ACRES E T. g A C KLeft S Front Rear Right Dryer DOW Didactic Sub Panel Pi, net. 3 Remarks: 8—/AJ t^ r planning ora certificate arialf Io�n A` H itTION miosis Dol or subject to the Bar Sink BaCkflow, Previnter BackflewIrrigation Bathtubs Clarifiers Disdwas Sher - Drinking Fountains Floor Drains subject to the that forthwith Floor Sinks 1 r hereby thawls k frarr doorre s this permit nice sued 3(Re[ran or t 3097 Civ.nce C.) Lander's Name Lenders Address _ _ - OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the followinreason (Section 7031.5 Business and Professional Code, Any city or county which requires permit to construct, alter. besides, dermad Or pan to 8structure, pide to Its Issuances ISO require the applicant for such permit 10 signed statement that he/she Is licensed pursuant to the Provisions Of DiviiContractor's thea License sewlawtfessions Codejl or that Section Isoboe list . therefrom and the basis for the Will exemption. any violation f erection 7031.5 a rnattty df not more than five hundred dollars Ugoo)for a permit Subject$ �he applicant to nw l 1.as owner of the pe00Brly or my empmykl with wages as their sole U I am exempt under ShAdOn Date owner Reinspectren.Fee one yea. of Com- $ 3 ELECTRICAL FEES i%within shedid Ot hullo ar Ise- Duct- Under Ground acting with l lensed con- OUR-StNctural IR Code: i Cooking Unit Meter ❑up to 100 amps Solar Col lectors eProtections Official who Dishwasher Meter ❑war 100 amps Duct ventilating panrof projects with a can- Dryer DOW Didactic Sub Panel Solar Tank e Law). 1 am award that Fan Motors 00.1 HP ❑1 R - 8 Exhaust System El But Ould be Provided to F.A.U. Inc. Solar ❑g 15 HP 1716-15+ Urinal E.6 P. C. for this reason I IFirepllFact 1541 6�/04/84� I Zana. Z O N O Showers $ 3 ELECTRICAL FEES Servicesink .Automatic Washer - Transformer 111550 KW t Construction Pole Sub. 11 50+KIN Sewer Cap Sesser Connection $15 ,Issue Fee i Cooking Unit Meter ❑up to 100 amps Solar Col lectors $ 3 Dishwasher Meter ❑war 100 amps - Solar Piping Dryer DOW Didactic Sub Panel Solar Tank nab eta Fan Motors 00.1 HP ❑1 R - 8 Swimming Pool w/Spa ' F.A.U. Inc. Solar ❑g 15 HP 1716-15+ Urinal Fixtures. _ Microwave Water Closet I Device Boxes Pole Light Water Healer i. Outlets Range Water Service $witches $igR Garbage Disposal 'Standing Sections Generator 00-5 Ker O1ir15 Key I I Trash Compactor Drive s' Lica or 53 I I Rainy ion Fen I $15 CMF 0 06546, ri 4184uldnq: Canary - APPlicant;Flnk- Accounting; Goldenrod- Audi -_ Issue Palo $ 3 Reinstallation Fee $15 ,Issue Fee $ 3 IANICAL FEES SERVICES REQUIREMENTS: Zoning Approved By Building ApProwd By Application Issued lay _Gly rsab nab eta Hood or Typal ElDEVELOPMENT Canopy Type 11 ❑ ' iefrlgemtion System 7D10QOOa BTU 11100,01I BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY OF FEES is $ $ $ $ $ $ -f)d $ • ZJ SMIP PERMIT ISSUANCE ENERGY P.C. GRADING MICROFILM TOTALFEE $ $ $ $ $ is i. SyRem RepeirlABeration Issue Fee $ 3. CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL &SPA APPROVALS Permit # Date Inspector l 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7.-Foot i ngs' - 58. Electrical Conduit-Undrgrnd. 8., Foundation.4 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. �- 60.- Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System - , �• 61. APPROVAL TO DECK i'.1 ,,Property Sewer Line & House Connection 62. Backwash &Receptor-Final 12. Sewer Cap ,- 63.- Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final ' 14. Rough Plumbing 65. Electrical-Final " 15. Rough-Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough Wiring Sign, 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning 2d'y (�� FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas G Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd. Storage Tank OGas GOil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28: Lathing & Siding . 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air. Conditioning J'lzq�- 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final . 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE.&BUILDING 48. Special Req u ire ments• Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No. Date _ Applicant to rlmn all Spaces except muse within heavy vomer linea am:ish all appropriate declarations. CITY Of COSTA`J�`jjyy11 SA CO/NST'{/j���CT NP����JJjj MI/�.Tr,, xtp r1 Project Address U r9S-( G.-/ ��C T�'C//U/�.-i09 Applicants Mal/in'rggsA/yyJSI Owners Name {�L 6t r ne PERMITNO. �1 TRACT NO. LOT NO. UNIT NO. Reinspection Fee TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR L1 CONVERSION El DEMOLISH [3 OTHER DESCRIPTION OF WORKIUSEOF BLDG. A.P. 0. t/{L'.�pi, Address RS OS' /P� Y S E T B A C K $ Main Buildi ArcNEng, PO e J -LicenceNa. TVPE OF PERMITGRADING 0 FOUNDATION ❑ TENANT )qp ELECTRICAL 0 PLUMBING ❑ MECHANICAL ❑ OTHER PRQIECTDESCRIPTION Sp. FT. OCCUPANCY C ON STR OCT ION TYPE VALUATIONS Intent ront Addm9 Rear ps y Contramor's N8FI T 1 ^ Yi c P �13/ . Right Address (mailing) fS�� 4+ ad d/•e.x Left City License No, DL LICENSED CONTRACTOR DECLARATION LONE GRADING CO.YDI ACRES -,all, Rel. SY Remarks: Plan g Nm6: hili I her affirin that I am mmmYd under provisions of Charter 9 (commencing oo 70001 of Olvlslon 3 of lM Business sons Code, and with R and Pro my Bc in mR rprae slid er ecL .nse L' e�3�J�ii Mn C ��T P lilt is for one hundred latool or Dithwazhar . r forwhich this perms Is ksued, I HYD ecory ;act m the Drinking Fountains Floor Drains alllrm that there is i construction lending Agency for me performance work his permit IS Issued (Se Ilan 3097 Cie. C.) Name ri Dab Owner Inspection purposes. Slgna[w0 Olivers' Llcene or SS CMF O3e54fi, rev. 4184 Citchen Sink Lavatories '-Trap Roof Drains ReimMmion Fee Service Sink Sewn Cap Sewer Conlin Solar Collect: Solar Piping Solar Tank Swimming Po Urinal outlets Water Closet Water Heater Water Service $15 Exhaust System 0 Multiple L FirepOFam, Sit. ICBO # Heating System & Duoung ❑D100,000 BTU 0100.0008' Date_: Xy Reiaspaclian Fee $15 -APPIcant Pink - Accounting: Goldenrod - Assessor lathe Fee IANICAL Founder Typal ❑ Canopy Type II ❑ Refrigeration System 00100,001 BTU 0100,000 System Repair/Alteration Issue Fee Automatic WI (.'dns[ruction Drinking Unit Dienwasnar Dryers ❑Gay. Device Boxes Outlets Switches Garbage Disp, Generator OI 1544 6/04/94 ELECTRICAL Transformer 015.50 KW 0 5DT KW Meter ❑up to 100 amps Mater Dover 100 its cmc Sub Panel Motors 061 HP 171 X - B Inc. Solan E19 15 HE 111 S, I Kill 1 Than 42[75 TL ZI 0 N IN G T FEE$ $3 Reinspection Fee S15 lade Fee 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By ApplicAtion Ieoed BY9FI MIMMS Date Deb na:� BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ $ S $ $ 'A 2 ,DOD $ $ s SMIP $ PERMIT -ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM IS TOTAL FEE $Z.%� S 3 CONSTRUCTION AND PLANNING ,- APPROVALS Permit # Date Inspector Pi ,,L & SPA 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 LIFER Grnd. 57. APPROVALTO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. WatertPipe-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 - 6 44sct B'}y 66. Solar System -Final 16. Rough Electric Airing � 9 C 67. Fencing & Access Approval 17. Rough Wiring Sign �cre� tCt 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 4 G 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 00il 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas ❑oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling lStructural) & 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 G 80. FOOD CERTIFICATE ISSUED 33. Final Electric G G Notes: MA 34. Final Heating &'Air Conditioning l- A Las 35. Final Gas Pipe -Test - 36. Hood or Canopy 37. Final Factory Fireplace - 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation _ 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE.OF OCCUPANCY No. Date AS part to Innn amencept use within beady border lines and sign al appropriate dedaratl°m. '- CITY OF COSTA MESA ".LD—fid CJ/�Q� PERMIT NO. Ce mTRACT NO. LOT NO. BLD.NO. - OONStRUCTION PERMIT- _) p ,t" f'�-( , LJ _ p� q 11 ff S1alztllag Sec lions Pro' lick Addrss° yG G Gil AppliUn['S M1biline Atltlreis Dc - TYPE OF CONSTRUDTII N NEW ADO ALTERATION REPAIR ❑CONVERSION LJ DEMOLISH OOTHER OLtp" O qP.eS 1� W ISG Halvr�f l�lp Owner's Name O AG tk!0 phone 74Z-.i'JY.S OESC RIPTION OF WORK CRrGrd S E T B A K S Main Building: Address /�p� AdVE UE'IJhJrG r3iiC s/ y TYPE OENANTPERMIT GRADING PLUMBING E] STRUCTURAL ❑TENANT Q ELECTRICAL O PLUMPING 0 MECHANICAL' 0OTHER PROJECTDESCRIPTION SOFT. OCCL rvev p CON STRUCTION TVPE]2_ VALUATIONS Ipa[sflr/ Front P,fChlEng. �jra{�Y IhS'v 1 E oAIB%L�i/cense�.N1�o. Address 57 Z T,51 CSs 5F Nar[f/'/TJ✓740001N Rear Conlractoh Name SAN RIeiFF ]1EV L -i- r Phone Right .� Addrerslmailingl'q 07�.r,r Er "JOA A`Fill YakCqIA - Left Ping. Ref. -F g- sets Q�A--��, IOL// City License No. �Ge' / LICEN6EDCOthaACTOPOE[underION hereby affirm that 1 am licensed 3 Under Business n Charter 9 n$ Code, and ]gall of 3 OI the Business and hOlaOons Code, and ZONE GRADING CU.VDS. ACRES Remarks; -' Perking fleq.iPCOaided " - Duct Under Ground Use of Building: Duct - Structural my II Is myald� Cels In lull force and cited. G a andI of Ucena mess 41dnze rve. "s'S( - PLUMBING FEES Planning Notes: YORKERS' CO PE Signature f YORKERS' DECLARATION Bar Sink Service - ' Bakllow Preventer - .Service Bink ' FlYepl/FBaL RL C$O iF $ m that I have Ce M1embv ers' C mp nave a artirance of consent to Self -insure t er a f (Se tdateion OI Compensation Insurance, Ori CBrt�l/lio�d -copy 1nakBOf (Section BeCk(IOW Irrigation Sawa Cap '`- Heating System&Ducting -• $ i1'3') Z PERMIT 0. Lab.' 3elg, Lah.��ppaa 1yy1 /s rT PaIICYNa.?J7��V� /tGT Company Certified copy Is hereby with the ed. n On urNnod copy Is sled wlm m° city Pmminq Division. V Dte •IONFRO3 Appllnnt �yt�1EN1A a� Bathtubs Sever COnne°re. I �, $ AUWmatii Washer Clarifiers Solar Collectors r ENERGY P.C. Construction Pole EXEMPTION eFeROM WOPRERet CD�NSATION DECLARATION r �eTSSI!LCtIO d°°IbeOOmplCbd If the permit Is for one hundred ($100) or Dishwasher Solar PI PIIN - GRADING Corking Unit _ I wrtify mat In the Performance OI the work °par which this permit is issued a manner hall not employ any person In y man l0 become subject to INC - Workers' ompensation Laws of any Drinking Compite Solar Tank �• S Dishwasher Floor Drains m Swimming Pp°I w/Spa, TOTAL FEE Dryers 1 ❑ Gl Date gnatureNOTI - Workers' Compensatiter on gthis PrOvi °na declarationsubject lthe lapOou rr Code. become you must forthwith this Floor Sinks - Urinal _ Fan_ Gas Service Outlets Water Closet, F.A.U. - amply with such Provisions or permit •Shall be deemed revoked. CONSTRUCTION, LENDING "AGENCY Interceptors _ Water Heater 'Fixtures' Ifethe sok tfor them isy tell°5permit else Issued agency ectiont 309] Civ a C.) Kitchen Sink Water ServiCa -Device BOxes LendO's Nam' under'i Address OWNE R SU I LDE R DEG I BATT ON - Lavatories - . _Outlets I hereby affirm that I i romp[ from the Contra[tor's License Law for the following reason IYctlgn 7031.5 Business and Pmfessbnal Cone: Any city or P—Tral) - S1alztllag Sec lions County Which requires BPermit '10 Construct, BIHV ImprOwl, demolish Or r -'r. tluredPrior tTents issu a requires toe applicant for such Permit - Roof Drains 'iaii e a be iM1e s9 ) pursuant to the pr1wrims ofhe _ dnP Pretensions Code) with or that he/tsihe s axe of Nelson `3Ct f the pruners (Chapter percepts and the basis for,tho alleged oxamp110n. Any viol°tIon or Section Haiti DaC1bn.Fea $.j5 Issue Fee $.3 ]03x1.5 by any applicant for, a permit' subje[Ys the 'applicant to a civil n ite of no'more than nee hundred dollars (swell. 05 uon°fwI tie°trip°w °r NY ane ma°drr°u Cam lx not Intended their �mNe nereae ror ilse50dlon ]oda, Butiness so d prohssl°nal Code: The ConlraRorY MECHANICAL - FEE �'1'0(ry Boiler Hood Or Type I ❑ Canopy Type II ❑ ' License Law does not apyuC to owner of a pmpartY am bulids or improves Iherebne and who does M1 M Inlmselt/nersaif Or IIS Ir Ns or her own a ploy Drovlded roar mcrr Improvemems are nqt Intanp0 or offered for oleiion', ilia owneiM1wlo navenih0 uuraen of orevlzna fie%zee po[ eaim arid- ave for t ae PUhouse of So 10) ��1 eY�E.- - Duct Under Ground Duct - Structural Refrigeration System F�-ai"1 p3 Witie owner IS licensed Ion. Rmsl combu[t lnp0 operty, oma Car ISBulconl it no Proiersums Cedar erato lI Ct on ]0aa, Tho 5o r Ire0rr'rs tthra Law e t pect to een en C her e y witheps a who tra las Icon Se pit usnI t01 hd °ha ac trS Lj em sucM1 prOlects with- 1ldCtame am Or p r tto1M1e Con[ri<lOr Llcens° Lawl. [Pn ❑ Lam exempt under 5edlon B.6 P. C. for tM1ls reason OD100,1100 BTU ❑100,OOD BTU ate Duet-VBntllatln 9 Exhaust system ❑ Multiple ❑ System Repal%Alteration ' FlYepl/FBaL RL C$O iF $ - Date Owner, .. / ,1G Heating System&Ducting -• $ i1'3') Z PERMIT Drivers' Ucenee or SS g CMF 086546 rav,'>/83 iabove - ❑D100,00a BTU 0100.000BT nxurel_ . umorim reDre- 'property for i L -L E7� Rainspec[lon Fee ' $25 Ivue Tea S 3 Pink - Accountgg; GOldaorOtl -Assessor I I 59 12/" YF': I' Zone Accessary Building: 2 O N I N _ O . E . Psrk.Fsee It 0 U I E E 'Transformer U 15-50 KW O50+ KW Meter Opp to 100 amps - - Meter Either IN amps Sub Panel t.. Motors 001 He 131%-8 Inc. Solar ❑9-15 HP 011"x15+ Microwave Pole Light ' Range Sign Garbage Dislwsal S1alztllag Sec lions Generator ❑D5 KW ❑S15 KW Trash Compactgr Rainspadidn Fee $g6 Issue Fr, - S 3 PUBLIC SERVICES AEG I MEN.: �'1'0(ry Zoning Approved BY a_4aS' ��1 eY�E.- APplirationAPprovedBy Date F�-ai"1 p3 Application lisued BY ate I¢ -11 -*3 SUMMARY OF FEES ' BUILDING PERMIT $ 119.50 SMIP . Ig .. / ,1G PLAN CHECK $ i1'3') Z PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK S r ENERGY P.C. S ELECTRICAL B - GRADING $ _ PLAN CHECK $ MICROFILM S MECHANICAL $ TOTAL FEE $'�f3i8 PLAN CHECK S z. CONSTRUCTION AND PLANNING APPROVALS Permit# �� S Date Inspector POI,_ 6, SPA 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. t. 54. Forms 4. Electrical Conduit-Undrgfnd. 55. Electrical Bonding 5. Steel Reinforcement .• 56. -Rough Plumbing & Pressure Test '6. Electrical LIFER Grnd. • 57..APPROVALTO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation 59. Gas Pipe, O Undrgrnd., Test _ 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor System - 4 61. APPROVAL TO DECK 11. Prdperty Sewer Line & House Connection- 62. Backwash &Receptor -Final 12. Sewer Cap A 63. Heater & Vent•Final 13.'Rogf Drains 64. Plumbing System - Final 14.;RoughPlumbing - 65. Electrical -Final - 15. Rough Electrical -Conduit 66. Solar System -Final 16.; Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19., Rough Heating & Air Conditioning FIRE DEPT, REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure''- 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑Gas 00i1 Gas Pipe -Rough & Test 72. Underground Flusli 24. Roof Framing 73. Undergrnd. Storage Tank O Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26: T -Bar Ceiling (Structural)'& Monocoat 75. Dry Chemical 27. Frame and Flashing in/� B 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 Coate ,• 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: If 34. Final Heating & Air Conditioning R 35 Final Gas Pipe -Test 36. Hdod or'Canopy 37"- 'Final Factory Fireplace r. , 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final •'-i-;' 41. Solar Domestic -Final }' 42. Backflow Preventer �• i <<.. 43. Backflow Irrigation 44. Landscape lirigation System' 45. Sound ,Attenuation 46. Handicap Regulations, 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 4y 50. Gas Release to Southern California Gas Cc 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to Nn In •R space: except those within hears' bonier linea and sign all appropriate declaration I hereby :affirm that there is a Construction tending agency for the performance Cf the pre for Which this permit IS ISSUBtl Section 3097 Civ. C.) CITY OF COSTA MESAPERMIT NO. TRACT NO. LOT N0. I hereby affirm that I am e m t from the CEntr ici License taw for the following mason Isettlon ]031.5 9u51n sand Professional Coda: Any city or p_T/ap - - - ,CON7iTRUCTIONPERMIT - _ —Ian -.fid rReisppembn Fee .$5 Renga - oth ae1Bsaiion win m the wo.k, ane n. n wra Is not olr grated .tsedlan Taw, Ban nes5 ane Proo'proml Code: The cpm en Licen¢ IIw tlaas not cope` to an esene/ al a property who bulld pr Improves InOraan, d,WM1O'daBs 5 n se rN she beer /r;ands o IM1mugh M1Is a/ nen aWn .. Boiler • Sign - .. __ -. ......... pletlon, Ina owned will nrve Ina burA! al p/ovlog M1epno did nit putltl of Im- av0.forinapnmosseolSalel. 1 Prola[IAsMfess O - O 6 7 Applicant's Mailing Address 344 S. Carse. a. -(a rb Jaa TYPE OF CONSTRUCTION NEW UADo UALICRATION U REPAIR CONVERSION ❑ GE!3ls.7,0 OTMEE A.P. IF Zeno Duct - Venljle[ing CubeCc 0r Ingpoves meeeenq antl no Cc ntractslion wan projects w°arty n a clip M1iC[pr(5) IlCensO pUnuan[ t0 ins COobDelalie 1J[BOW Iawf. ��Q'f sl (YIN._1Jf1 itOT P Owners Name C� hon,: DESCRIPTION OF WORK 1ll� an pity �"—T $ Main Building Amesbury Building: - Healing System IS Ducting Z ❑0100,000 BTU OIOO,D NBTI Adar¢s5 5;X01 �t TYPE OF PERMIT,,_�,�// GRADING FOUNDATION STRUCTURAL El TENANT LI�J ELECTRICAL PLUMBING O MECHANICAL El OTHER PROJECT DESCRIPTION SO. FT. OCCUPANCY—" CONSTRUCTION TVP : VALVATION$ ZONE GRADING CURDS. ACRFc TFSpOt' - Ruinapeelibn Fee $25 0 N CMF -0965-a6 rev, )/83 Iham;Pink - ACCouniln9; Archi License No. Address - IS A Reor I N _ Right G Application Approvetl By Contramor's Name 5 � T -F hPhonaLL4A• ifi'1S:Si Address lmailingl �°%J S- Gnenr+ VlOJG City-LieRNa No. -tri $ Lef\ R E .111 Ping, Ref. A Park. Flight S - O U Remarks: Q S— Perking Req./Provided - - I SMIP S LICENSED CONTRACTOR DECLARATION PLAN CHECK Irnereby affirm Snot 1 am licensed under provisions pl Charter 9 [commencing with section 7000) of Division 3 of the Business and Professions Code, and my 11 Cense is In lull force and eflecL useWOR Cass ^l' �pnM rve.VJ J-024 PERMIT - Ike al Building: - S R E S PLUMBING' FEES - _ Planning Notes: - $ M E S Bar Sink 1 ELECTRICAL Showers GRADING - N $ 3-4eo MICROFILM Cute;nTL'3 5loname s'COMPENSATIDN OECLA RATION T - Ba[kflaw.Praren[er S Service $ink Ca - S ereeyanlrminaunaWaCer[Ificate of cbnzem to mttansure ora¢.ranre° pher 'a1 Worker5'"CumpBnyNpn'InSumnu/-aye carllll¢df CppY lnereol-(Sedloo" PLAN CHECK S $ Backflow Irrigation $¢suer Cep "V ELECTRICAL FEES Ito. c.1 Polity rvie Company Policy - HDominion copy Is nafdv th cit, Bathtubs ' Sewer Connection _ Automatic Washer Transformer ❑ 1530 KW the DoNnied copy is fuse wdhmcant Building Glennon. Da[ AOPliun\ Ca mtrucf ion Pale Sub. ❑50+KW - Clarifiers I • Soler Collectors 1 EXEMPTION 'FROM 'WORKERS' COMPENSATION DECLARATION (This section need not be Completed it the permit is for one hundred (51(1 or DIaIIVIaNar - BOIar Piino g , - - Cooking Unit " - `- Meter Oup [o IDOamps- 1 certlly !OT m the Performance of the work IPS which this permit is issued, l Icer• M1a1L not ploy na^ version In any manner sous to becomeSubject to the Workers' C P a laws na uCash la. Ll aal-•i - Dale Z D $I9natljle ACeWn re Drinking Fountains Solar Tank Dish Washer Meter Dover IN amps ' Floor Drains Swimming Pont wJSpa Dryers ❑Gas ❑Electric -Sub Panel 1 ' _ N- CE: if: of er making this declaration, you Should become subject to the Yo emuit forthwith Workers' ComienM[lon provisions of the Labor Shall be comply with Such or"Slom-or this. Permit hall Ue deemed Soybean. CONSTRUCTION' LENDING' AGENCY Floor $inks - " - '- Urimul ' Fen Momrs OOl HP 01X 8 - - - - ' Gm Service -Outlets Muter Clowt a F,A,U. Inc.5for 0315 His 111&15+ I hereby :affirm that there is a Construction tending agency for the performance Cf the pre for Which this permit IS ISSUBtl Section 3097 Civ. C.) Intercepi ' Sink Lender's Name: -Kitchen Lender's Addmis - - - OWNER BUILDER DECLARATION 7 si f. I hereby affirm that I am e m t from the CEntr ici License taw for the following mason Isettlon ]031.5 9u51n sand Professional Coda: Any city or p_T/ap - 1 Roof Drains annvnsi:ucture, Pmor`to ItsIssuance. also reumuirels the sV011cent for such Permit :to Nle a signed statement that he/she Is ncenmb pursuant m the Provisions Of tivlslanl act f the Buss es andOForessiens 13 Code) or lel thetplllne exempt ]0319 o DanylBapollcantoro Baal permit'Subjecls the heyIola to sae <lall n\Y oYnat more than ave hand/ea daluq (65001. � I as Def f ins pro net 1Y p mY emueoyaei withages Orr Toto mwndee rReisppembn Fee .$5 Renga - oth ae1Bsaiion win m the wo.k, ane n. n wra Is not olr grated .tsedlan Taw, Ban nes5 ane Proo'proml Code: The cpm en Licen¢ IIw tlaas not cope` to an esene/ al a property who bulld pr Improves InOraan, d,WM1O'daBs 5 n se rN she beer /r;ands o IM1mugh M1Is a/ nen aWn g Boiler ple Y -CS pmvltlee Ihat such Improvama els are nat Imentlea nl ollered. for ample, sale. If, however, the building Of Imp/o ASmenl Is sold wlibin ani Yea/ o/ cpm Sign Duct - Under Ground pletlon, Ina owned will nrve Ina burA! al p/ovlog M1epno did nit putltl of Im- av0.forinapnmosseolSalel. 1 Duct - Structural I, as 0Wner of Ina property. am excluSIva ly Wptrdtllnp IID IlclnSao can- tnc[ors la consLuct tae prnlec\tlf(s�ecshopg0ae, euslwon a nd Prafus5ions code: standing Sec[iom Duct - Venljle[ing CubeCc 0r Ingpoves meeeenq antl no Cc ntractslion wan projects w°arty n a clip M1iC[pr(5) IlCensO pUnuan[ t0 ins COobDelalie 1J[BOW Iawf. Einausi Systems ❑ Multiple ❑ ❑ lam exempf un act 5emlon B. A P. C for lnls reason i FirepVFacLBII. I CRO# Date owner Healing System IS Ducting 1 hereby' Certify correct. at I have read this phrateband state that the above Information Is l agree to c Cmpar with II City and county oftllnances and?tate laws relating to building cons n, and ti authorize fepre. e tmi"S L this city. to enter, upon the Bove-mBntha ed property dor ❑0100,000 BTU OIOO,D NBTI - ' nspecllen on Issue Fee Ruinapeelibn Fee $25 A0505. Sigpa[ure Dabl/r�Tij_ Ddrers•ILlcense arsss q CMF -0965-a6 rev, )/83 Iham;Pink - ACCouniln9; Goltlemad- Asussot ' ]sue Fee. - S 3 IANICAL FEE Hand o1 Type ❑ Canopy Type I I ❑ I leads Fee - S 3 Fixtures 'Microwave 'Z Device Boxes Pole Light l/ Outlets Renga - g .Switches Sign g d Garbage Disposal standing Sec[iom Caperton 065 KW 05.15 KW Trash Compactor Reimposition Fee SZS Issue Fee IS 3 'PUBLIC SERVICES REQUIREMENTS: Zoning Approved By nate Application Approvetl By Date Application Issuetl By .111 net }- SO SUMMARY OF FEES BUILDING PERMIT S SMIP S PLAN CHECK S PERMIT - PLUMBING S ISSUANCE S PLAN CHECK $ ENERGY P.C. S ELECTRICAL S sf GRADING S PLAN CHECK $ 3-4eo MICROFILM S MECHANICAL S TOTALFEE S PLAN CHECK S CONSTRUCTION AND PLANNING ,- APPROVALS # _ - Date Inspector POS t SPA APPROVALS Permit # Date Inspector 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. 1 55. Electrical Bonding 5.• Steel Reinforcement 56. Rough Plumbing & Pressure Test ' 6. Electrical LIFER Grnd. - - 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final 13., Roof Drains 64..Plumbing•System - Final 14., Rough Plumbing 65. Electrical-Final ' 15. Rough Electrical-Conduit ��L 66' Solar System-Final 16. Rough Electric Wiring . 67. Fencing & Access Approval - 17. Rough Wiring Sign. 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling - - 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT , APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 00il 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing , . 73. Undergrnd. Storage Tank OGas 0Oil 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 �(e b Notes: ace 34. Final Heating & Air Conditioning r ea nfz 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 I - 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed j 49. Electric Release to Edison - 50. Gas Release to Southern California Gal Co ' 51. CERTIFICATE OF OCCUPANCY No. - Date ' liiii�' Applicant to rill In an SPICAS exuvt thew within bean border lines and Sign all appropriate CeCholtlens. CITY OF COSTA MESAPERMIT NO. TRACT NO. I LOT NO. I BL _ CONSTRUCTION PERMIT. Project -Address. C9al o APPlicentY Maiblg Adtlress 6 N• Owners Name Phone Address Arch/Eng'. License No. Adoring Cpntpmor. NameLvl's' k4.r �J- r.' none G.c4-/69 J Address(mailmol / G n/• S{+ cnL/exp _ R/Lid• s� City Licenxt No. 295 I 1 LICENSED CONTRACTOR DECLARATION 1 -hereby affirm that I am licensed under provisions of Charter 9 (commencing i with Mellon 7000( of Division 3 of the Business and Professions Code. and (YJ Li"Y license is in full force and effect. cense Class C—� Lhome No. 6.,3 2-;;= Gate�_� sign U GN'l WORKERS' COMPENSATION DECLARATION I hereby affirm that l have a certificate of consent to seliMsme or a Certificate of Worker' Compensation Insurance; or a certmedcopy thereof (section' 3800, Lab. C.1 pmicy No tj3- r'9 Company n' r9/5^°`' I eCertified Copy Is hereby furnished. I Carlfl a C fey IS Ile With the CItY B ding k'1flon 1"pJApplicant %�IS G FAt CXEMPTION FROM ORKERB COMPENSATION DECLARATION i�blspotlon neap not be completed I1 the Permit Is for one hand ed ($IDoj or certiio'mmt in the performance of work for Which this Permit IS issued, 1 M1all t ploy y person In y to become subject tonne Workers' Compematicn. Laws of Confounds. Get* Signature NOTICE' If. after Making this declaration, you mould become subject t0 the Workers' Compensation Provisions of the Labor Code, You must forthwith - comply ly witn' such provlsioruforlh N -named shall be deemed revoker. CONSTRUCTION LENDING •AGENCY I hereby afllrm that hurdled construction lending agency for the p rformance Of the work for whlCh LMS permit 'IS. Issued (30CHoo 3093. Cie. 'C:1 Lender's Nam, Lender's Address OWNER BUILDERDECLARATION _ Ti. 13. )3 23112/84 -_.R:+ y,. ,SS TYPE OF CONSTRUCTION LJ NEWADD LJ ALTERATION L REPAIR A,P, yl. Zone - ❑ CONV Efl310N ❑ DEMOLISH OTHR e/ - TO FGe•13.gr. SI'$ �/ [jr' S _ . Main Building: Accessary Building: Z OESCRIPTIONOF��vvORK FXLetSy r. s W ✓PM r✓sR Ducr: Under Ground l EFront Duct- Structural Duct 1 I, as 0Ofer O( Ino orOper ly. exclus Wely conbading ad licensed con - Ino prosect laQ ctlan 7044, Buslne s aha Orlean ani Coda: rracraonoee TYPE OF PERMIT LJ.GRADING FOUNDATrigh LJ STRUCTURAL T QAmd own or not mends rrl mor Gass thmean�atl nD contractstfor such pmsactsroper se It Ila Oo tractor(at Ileanso pursuantLIC"Sa ra the Contractor's Liwnp saw). ° - N ❑ TENANT ❑ ELECTkILAL 0 PLOMBINO ❑ MECHANICAL B Firepl/Fact BIL ICBONa I OTHER, A gCAr N C Right - - O .0 - S PROJECTDESCRIPTIDN SO. FT. OCCUPANCY of this, City to - enter Upon rite above-mentioned -for BUILDING PERMIT PLAN CHECK PLUMBING - PLAN CHECK ELECTRICAL PLAN CHECK MECHANICAL PLAN CHECK IS IS $ IS IS S $ IS CONSTRUCTION TYPE VALUATIONS B Left E Ping. Ref.$ Park.Flea$ D U ZONE GRADI NGCU-YOI ACRES Remarks: Wdej, aPeo,-Hi # S-- /9/$ / _ Parking Pep./Provided ' I ' One of Building: ' R E M - E PLUMBING FEE$ Planning Notes: Bar Sink Showers $ 3 DO N T Backflow Preventer"_ _ Service Sink _ _ _ _ S Backflow Irrigation - Sewer Cap i• ELECTRICAL FEES 1 I B tht b's 1 1 Sewer Convention I ', Automat Wa M1 - Transf 0 15:5OKW ❑ 50+KW Coosmuce n Pole Sub. 1 CI f s i Solar Collectors - DiShweilierSoler Piping - 1 Cook ng U t Meter Elute p 10D amps - -" : r Drinking Fountains Solar Tank' I I P Dishwasher roaster Elouer 100 amps_ Floor Diainti Swimming Pool wrsps: Dryers gGas UElechic Sub Panel ' FI_oorSinks, r Fan Motors ClO1HP 01 'A • _Urinal _ _ _ -a. Gas Service .Outlets Water Closet - F A.U. Inc. Solar 119-15 HIS 016-154 Interceptors _ Water Heaver Fixtures iMicrpvmve Kitchen Sink - - Water Servicerpevice saxes' Pole Ligh Outlets 4 Range Lapatoriez P -Trap Switches Sign r Roof Drains Garbage Disposed Standing Sections vision 3 of the Business and Professions Code) that he she Is pt the bails for rho alleged assumption. Any viola len f Section ayl, from and RefinspORion Fee S. J031 .5 by any applicant for a permit Suspects the applicant to a civil napy of not more man net hunpred dollars (s50o). 1, as owner of the Property or my employees with wages as their sole compensation will do the Work, anti the structure Is not intended O Offered for Ie (Secflon 7044, Australiad Professional Code: The Contractor's ticense ereon.�o Whow doe, not 4CanaCRpanOwner of a k hlms011/Re"es ror inrr0Van ho tds Or 'IS OfherrOWS 0Wn oaie°IiY ne\vef eer�tlene euillime Ornimo�emmeOf'a sniu wiinin Line year or comb p1ede for he OW nord11 ese)tna wtur0ur00n of Of 'a hephe old not ad or Ile- 1Lper p Issue Fee' BOII9r Ducr: Under Ground l Duct- Structural Duct 1 I, as 0Ofer O( Ino orOper ly. exclus Wely conbading ad licensed con - Ino prosect laQ ctlan 7044, Buslne s aha Orlean ani Coda: rracraonoee Duct- Ventilating 1 QAmd own or not mends rrl mor Gass thmean�atl nD contractstfor such pmsactsroper se It Ila Oo tractor(at Ileanso pursuantLIC"Sa ra the Contractor's Liwnp saw). ° - P $16 Issue Fee Exhaust System ❑ multiple ❑ IS 3 Firepl/Fact BIL ICBONa ❑•I am exempt untier andfirn B. 6 P. C for inns red Son Date Owner PUBLIC SERVICES REQUIREMENTS: Zoning Approved By Application Approved By Application liaued'By Heating System & Ducting DO -.t 00,000,BTU 0100,0006T that read �nforrmetIonnrIscurrc.Il agreeto omplypwl0 ell city and coontat yamelnabOra' and Sidle laws relating to building onstruction, and hereby authorize repro. r iefrigerarion System -10100,00013TU 0100,0006TU 1 of this, City to - enter Upon rite above-mentioned -for BUILDING PERMIT PLAN CHECK PLUMBING - PLAN CHECK ELECTRICAL PLAN CHECK MECHANICAL PLAN CHECK IS IS $ IS IS S $ IS Ipalliatives nspection Signature 4•YO-1-12 p Drivers' Drivers'UcenseGrsS$ $ $ $ I$ $ IS - /moi•00 System Repair/Alteration Raimpetion Fee SES CMF 086546 rev. -7/93 signs Building;Gnary- P 1 a f: Pink �ACCCuntmg: Goddenrod'-Assessor Generator X05 KW ME 15 KW Trash Compactor ' Issue Fee' S•3 Reinspection Fee P $16 Issue Fee IS 3 IANICAL FEES PUBLIC SERVICES REQUIREMENTS: Zoning Approved By Application Approved By Application liaued'By nap Bab Hoodor Typed ❑, Canopy Type It ❑ r iefrigerarion System -10100,00013TU 0100,0006TU BUILDING PERMIT PLAN CHECK PLUMBING - PLAN CHECK ELECTRICAL PLAN CHECK MECHANICAL PLAN CHECK IS IS $ IS IS S $ IS SUMMARY OF FEES SMIP PERMIT - ISSUANCE ENERGY P.C. GRADING MICROFILM //•OO TOTAL FEE `L'Oa $ $ $ I$ $ IS - /moi•00 System Repair/Alteration �� O -' - Issue Fee $ 3 DO CONSTRUCTION AND PLANNING APPROVALS Permit # M 10f Date Inspector Pok < SPA APPROVALS Permit,#_ Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. i " 53. Steel Reinforcement ' ;3. Electrical Conduit Utility-Undrgrnd:- - 54. Forms l 4. Electrical Conduit;Undrgind. 55. Electrical Bonding 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE , 7. -Footings ,� �' 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test ty 9., Water Pipe-Undrgrnd: 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 1 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection t 62. Backwash & Receptor-Final 12."Sewer Cap ; 63. Heater & Vent-Final ' 13. Roof Drains - 64. Plumbing System - Final 14, RoughPlumbing 65. Electrical-Final ' 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough Wiring Sigri 68..APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT, REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace ` 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 00il 23. Gas Pipe-Rough & Test 72. Underground Flush 24., Roof Framing 73. Undergrnd. Storage Tank ❑Gas OOil 25. Roof Sheathing P 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 �71 35. Final Gas Pipe-Test all 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 i 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 _ pnwm to fill in all to+wa Circuit those weenie n.a.v bora.. It, CIT)COF$4STA MESA' 1 ^ P RMIT NO. TRACT NO. Lno Ol CONSTRUCTION PERMIT /pg ,' -//,3 Clarifiers Project AddressP /-' Applicant) MeililN Atltlress wY r 1 TYPE OF CONSTRUCTION NEW ADD - 0 CONVERSION DEMOLISH OTREg1 R PgIR" OwnASNeme D$7Phcirw h.S /'S"' • DESCRIPTION OF WORK - 'x ,{t`k'p�` `+ {lam W \ AOaresal '' ' - ' I..TYPE Floor Drains OF PERMIT GRADING '�q1 FOUNDATIO El TENANT 13I12 ELECTRICAL PLUMBING E - ❑ OTHER ' .PRWECTOESCRIPTION SQ.FT. CONSTRUCTION TYPE VAI ZONE GRAOING CU.YDS.— r Atldress ✓' u-�� Contractor N �`'- '�Ny�,sp.f^',PI hone SlL•� AtldfMs ITelb9 rn • rI I N City License No,.��%S 3 6 LICENSED CONTRACTOR DECLARATION l • _ Lhereby affirm tnaPl am Iicomed undar provldom of Charter,9 Iwmmencino gemam Rear - \ who Mellon ]000) of Division 3 of the Brujil and Pmeesslons Code, and If; my license Is In fulyyas rwy}yy offs I. uwve Glay !�'•3ha f,� SSV K S PLUMBING Date Signature Bar Sink Showers WORKERS' COMPENSATION DECLARATION WORKERS' Backflow Pro enter - Service Sink (P I hereby affirm that I have a certificate of consent to self -Insure or a certificate of Workers' Compensation Insurance, ora tilled copy thereof (Section Backllow Irrigation Seaver Cap 4 1 3B0q y,4y°[Gla�c�V1L A._,W y Policy No (! cdm Peny'LO/ .V f ❑ Certltied copy is hereby furnished. 1 Bathtubs Sewer Conner :city Buil / fit _ .. Clarifiers Solar Calls 'COMPENSATION DECLARATION aone H100) or of ma work for which this permR is Issued I y to become subject to the Gllfonls°f ° R PgIR" Disnwesher Solar Pipit Drinking Fountains Solar Tank Floor Drains Swimming Water Clowt all appropriate declarations 4413 2/16/34 5. I Fees $ 1 _ .. s, TION, R PgIR" A.P. hs A6tcurnal wafter Transformer ❑ 15-50 KW Construction Pole Sub. ❑ 50+KIN 5 Main Building: RUCTURAL NICAL T F fit B A Rear - vANCv $ Dryer ❑Gee ❑Electric Sub Panel If; Right - K S Left 1CRES F A.U. Inc.Soler ❑8-15 HP 1-11615+ Ping' Ref.# I (P Parking Reg /Provided! A 111 4 1 Use of BuildingI 4413 2/16/34 5. I Fees $ 1 geilnWmion Fee I S25 .. Ictus Fee $ 3 MECHANICAL ReinspaCtlOn Faa $25 Issue Fee $'3 ' FEES Boller Canopy YPdr Type PUBLIC SERVICES REQUIREMENTS: Duct - Under Ground Ca ❑ noTe Iani ❑ dAprove^aBuilding Approved ct ne APPIp, By ' Duct Structural Refrigeration System APPliption )sued OY / Duct Ventilating 110100,00013TU0100,000BTU - SUMMARY OF FEES Exhaust System❑ Multiple❑ Sy Rem Repair/ANembon BUILDING PERMIT If SMTP ,$ Firepl/Fact BIL ICBGgk PLAN CHECK $ PERMIT PLUMBING $ V ✓ ISSUANCE $ Dote Owner , Heat i no System&Ducting - PLANCHECK 25% $ S ENERGYP.C. $ mcation and Kate that the above -. ❑01 Gal BTU ❑l OO,OIW - - - � GRADING ,$ ' run an city and county ordinances ELECTRICAL $ Minn, antl hereby authorize repro.MICROFILM $ Is Gbow+nentlpned property for PIAN CHECK 5096 $ MECHANICAL $ TOTAL FEE $ Date ReimMOian Fut - $25 [me Fee - S 3 PLAN CHECK 25% $ Canary - Applicant; Pink - Amounting; Goldenrod-Asessor Culture' UMnM or SS St .MF 0665-46 rev. 13/83 _ .. s, ELECTRICAL FEE$ A6tcurnal wafter Transformer ❑ 15-50 KW Construction Pole Sub. ❑ 50+KIN Cooking Unit I Meter Oup to 100amps Dishwasher Meter ❑over 1W amps Dryer ❑Gee ❑Electric Sub Panel Fan Motors Dol HP❑1'/.-a F A.U. Inc.Soler ❑8-15 HP 1-11615+ Fixtures 'Microwave Device Boxes Pole Light Outlets Range Switches Sign Garbage Disposal Standing Sections Generator ❑OS KW ❑S15 KW Truth Compactor geilnWmion Fee I S25 .. Ictus Fee $ 3 MECHANICAL ReinspaCtlOn Faa $25 Issue Fee $'3 ' FEES Boller Canopy YPdr Type PUBLIC SERVICES REQUIREMENTS: Duct - Under Ground Ca ❑ noTe Iani ❑ dAprove^aBuilding Approved ct ne APPIp, By ' Duct Structural Refrigeration System APPliption )sued OY / Duct Ventilating 110100,00013TU0100,000BTU - SUMMARY OF FEES Exhaust System❑ Multiple❑ Sy Rem Repair/ANembon BUILDING PERMIT If SMTP ,$ Firepl/Fact BIL ICBGgk PLAN CHECK $ PERMIT PLUMBING $ V ✓ ISSUANCE $ Dote Owner , Heat i no System&Ducting - PLANCHECK 25% $ S ENERGYP.C. $ mcation and Kate that the above -. ❑01 Gal BTU ❑l OO,OIW - - - � GRADING ,$ ' run an city and county ordinances ELECTRICAL $ Minn, antl hereby authorize repro.MICROFILM $ Is Gbow+nentlpned property for PIAN CHECK 5096 $ MECHANICAL $ TOTAL FEE $ Date ReimMOian Fut - $25 [me Fee - S 3 PLAN CHECK 25% $ Canary - Applicant; Pink - Amounting; Goldenrod-Asessor Culture' UMnM or SS St .MF 0665-46 rev. 13/83 AND.PL_ANIN_ G: ' - POG_ .. SPA _ -- .P I I3"Ih �1.'1PPROVALS - Permit # _ Date Inspector APPROVALS Permit # Date "! Inspectoi' _Nr I("CONSTRUCTION_ ` 1. Temporary Electrical Service orPole 52. Pool & Equipment Location - -1 2.1 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. WaterPipe-Undrgrnd. - 60. Backwash Lines, P-Trap,'0 Undrgrnd.- 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line& House Connection 62. Backwash & Receptor -Final-' = 12. Sewer, Cap i- 63. Heater & Vent -Final ; , 13TR0"of Drains - 64. Plumbing System - Final i 14. Rough Plumbing - '65. Electrical -Final ' "15'.'Hough Electrical -Conduit"-', -- 66. SolarSystem-Final - "- - - 16. Rough,Electr is Wiring. 67. Fencing & Access Approval - `- 17. Rough Wiring Sign' ` 68. APPROVED FOR PLASTERING 18. Rough Electricel.`-T Ban Ceiling 69. POOL/SPA SYSTEMS FINAL - t_ 19. Rough Heating & Air Conditioning FIRE DEPT.. REQUIREMENT. APPROVALSPermit # 20. Rough Factory Fireplace " 1 21. Ducts,.in Structured .I 70. Underground Hydro _ 22. Ducts, Ventilating _ 71. Product Piping 0 Gas 0 Oil ;23. Gas Pipe -Rough &Test " I 72. Underground Flush j 24. Roof Framing. J - - -' _ 73. Undergrnd. Storage Tank ElGas0Oil 25. Roof Sheathing , 74. Overhead Hydro - 26. T -Bar Ceiling (Structural) & M,onocoat 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. Electiical Power Meter -Final 80.. FOOD CERTIFICATE ISSUED 33. Final Electric _' Notes: 34. Final. Heating & Aif :Conditioning `�• 35. Final2Gas Pipe -Test i , 4�1R' �%( 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- I 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 nn In all spaces Except those Clean heavy border lines and sign all appropriate declarations. \\1 • _ CITY OF COSTA MESA - CONSTRUCTION PERMIT jpa-. - - 15D5 IE/'a/j:: `,Do-'\ \ PEPMIT N0. —/D�/S TRACT 10. — LOT NO. ( 81j� � Project Adtlrese CI A • / Applicant's Nbilirg Ad I I Owner's Name © sib M1o�~ Address D R6 h' TYPE OF CONSTRUCTION Ll NEW LJ ADO LJ ALTERATION ❑ CONVERSION.O DEMOLISH 1:3 OTHER DESCRIPTION OF WORK - PAIR' A.P. 116 Zone - - - $ Main Building: Acceaory Building: TYPE OF PERMIT GRADING- FOUNDATION STRUCTURAL ❑TENANT 1:1 ELECTRICAL PLUMBING 1-3 MECHANICAL ❑OTHER PROJECTOESCRIPTION SO.FT. OCCUPANCY' CONSTRUCTION TYPE VALUATION§ ZONE GRADINOCU.YDS. ACRES T Front O 0 N Sir Arch/Eng. '\ � LiCen No. Address B A Rear I N K PIBM1I G ,I ay.. W 1 1k1 �""yy>> Contractor's Nam '� �Ya'1 M1onee}a_r_z_.al S Left R f AtlEraes(mallingl O g City License No. Ping. Ref. Sit Park.Feez$ O U Remark$! Parking RegJProvided 1 LICENSED CONTRACTOR DECLARATION = ` U I hereby affirm that 1 am licensed under provisions Of Charter 9 Icommennp wHM1'secllan 1000t of Division 3 of the Business and Professions Code, and license lcensa 1 In I for d a11ecL ']''� / mycjePn�s -� - ti! ...•% yi�`L f e UPS of Building: g _ R E PLUMBING FEES Planning Notes'. M E JDatd�the Bef Sink Bhow¢rs T WORKERS' COMPENSATION DECLARATION eby affirm that l have a certificate of Consent to self-Insure or a certificate of workers' Compensation Insurance, or a certified copy thereof (Sectbv Backflow Preventer. Service;ink S BaCkHGw Irrigation Sewer Cap ELECTRICAL FEES 3800, Lab. Cj ( yNI1A+•GJ"J I�I�ComPany/s-rMVvl� re/G/ rtif' a copy Is her by furnished Bathtubs Sarver Connection qulOmafe Washer" Transformer ❑ 15-50 KW PP 'I'd yisn with the city*end ra' Df� ApPfcant!�r/-' V ^�- —' v Clarifiers SOIer Cpl lectors Construction Pole Sub. ❑to'<KW EKEMMION FROM WORKERS' COMPENSATION DECLARATION - (This section need not be completed It the permit Is for one bond retl (111001 an . Dishwasher Solar Piping Cooking Unit - Meer ❑Up to 100 amps' - g Fountains Solar Tank Dishwasher `• - Meter ❑over IOD amps. i` ss). y llut In the performance Of the for wM1ICM1 iM1ls permit is Issued I.olDrinking Hall not ploy an(, r manner to as to become Sookwt to the Laws of vier, Workers' employ _ Date Signature Floor Drains, Sol Pool ii Dryers ❑Ga5'❑Electric Sub Panel NOTICE: Ii.after making this declaration, You should become sublect to the Workers'µ Compensation provisions of the Labor Code, you must forthwith ch'vrovido s or this permit hell be deemed revoked. coply her + Floor Sinks ' - Urinal Fen Motors 0D1 HE ❑aka 8 _ - Gas Service Outlets swr Closet F.A.U. - Inc. golds 0915 HP 01615* CONSTRUCTION LENDING AGENCY Interceptors, Water Harder - Q. Fixtures 'Microwave I hereby affirmor the 3eperforma ce than lwrle Is construction ll Issueeagency of his arm Kiachen Sink Water Service Device Boxes File Light 1 tinder's Name Landers Andreasstories OWNER BUILDER DECLARATION I hereby affirm that I am exempt from tee Contractor's LIGnu 1LAw for the id Business and countynwhichregY$eesl (Section alter, Improve Code-Any or` repair to files signed statement that heMeIs licensed pursapplicant ant to therprov provisions all - S �- O� outlets Range P-Trap - - Swimtres Sign Roof Drains - Gafbege DispOsel Blending Sections Zen— DO-5 KW ❑5-15 KW Tough Compactor the Contractor's LJ¢nse Law (Chapter 9 (commencing with SeCtlon )0001 of Division 3 of the Business and Pretensions Codel'or that he/she -i exempt therefrom and the, basis ler the alleged exemption. Any violation of Section J 031.5 by, any appecant far a OBlmit blects the aped 'Can't0 civil an of nit mora than llw hundred dollars ($5001. •a�, as a her f theproceOy o y e ployees with Wages as or dont setlon Col" do the work, an `ane sirucmre Is of eneed Nered -tor saeie ISecOon poaa, Bueness ane wdfesslina' COae: me Contractors Ior not tJw does nor apple toan owner of a proIXrOH wnO bullas it Iraq t mer Ions and who does M1 work hlmse'f/herSoll thmugn M1dt Orherown i vaoYa provioW that such Improvements are not Intended }feted for tile. If, However, the bull0ing or Improvement iSeeIJ wi[M1in cane year o! cam- Omer le c bunion if Provno he/she did not bulb Or Int- the weer IIII he �O I, as owner of Ina f salerty, am exclusively cimracting wrzn'Icenseo Con- tiadtors to cinRruct the protea 1�atioe ygao, Bus'ness ane Professions cave: The Contractor+ Ucense Law d notapply to an own at OI Dtooarty-Who nWes or Imvmves Ingn, and who contracts for such proleds with a en tract restlicense pursuant (e the comnctorY License Law]. n ❑loam exempt under Svdlon B.S a, O. for rola reason fleinipeetidn Fee $25 - Ivue Ffe $ 3 Reinspection Fee $y5 learn Fee S 3 MECHANICAL FEE$ PUBLIC $ERVICE$PEOUIREMENT$: Zoning Approved! By reale g Ppro Application Approved By —Date— APP itllIOA IswaE By 4 - - Data /-2 Boiler Hood or Type I ❑ Canopy Type II 1:1 Duel - Under Ground pYtl-SIfUCtUral Refrigeration System ❑61110.OD0 BTU ❑100,000 BTU Duct Ventilating BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK MECHANICAL PLAN CHECK S S $ S $ $ $ $ SUMMARY OF FEES 3MIP $ PERMIT oNst ISSUANCE $ ` � Li ENERGY P.C.'$ rff p-- GRADING ,$ MICROFILM $ TOTAL FEE $ s�eOd Exhaust System ❑ Multiple ❑ System Repair/Alteration Firep /Fact. BIL ICBO# Date aOwner dHeating - system &Ducting ❑o1pQW0 BTU 0100.000611. - l hereby Certifcorrect. that I have ad this application and tate that the above 'informations ' gree read this with all city and county Ordinances era state laws reang•to building Stru flan, and hereby authorize repro- Ir,tatives df this cit enter) eon the boWYnentldned property for nspection v pp e ! C Drivers' Datg 'a.3 Olivers' Ucense it 55 ; - peinspealen Fee $25, l Issra Fee $3 CMF0065-46rev. 7/83 White -Che ing;Canary-Adherent; Pink- ACCOunting: Goldenrod-Assessor - ' - - - - -- - or I CONSTRUCTION AND PLANNING • . APPROVALS Permit # Q IO2(5 jrr= �'. Date J Inspector T POOH & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �. 2. Soil Pipe-Undrgrnd. f 53. Steel Reinforcement `. 3. ,Electrical Conduit• Utility-Undrgr6d•." 1 54. Forms 1 4.,Electrical Conduit-Undrgrnd. ' ,•� 55. Electrical Bonding,r� 5.'Steel Reinforcement a 56. Rough Plumbing & Pressure Test r• • 6. Electrical UFER Grnd..� 57. APPROVAL TO COVER-GUNITE 7. Footings •`r 58. Electrical Conduit-Undrgrnd. y 8. Foundation - .i: 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. •10. 'Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line'& House Connection ,,' . 62. Backwash &Receptor -Final 1-2:4ewef Cap S i .- 63. Heater & Vent -Final t1t 13., Roof'Drains r 64. Plumbing System - Final f 14:,Rough,Plumbing 65. Electrical -Final .� 15. Rough Electrirai-Conduit - 66.- Solar System -Final r 16. Rough Electric Wiring 67. FenR9 & Access Approval ' 17. Rough Wiring Sign • 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro .�2. Ducts, Ventilating 71. Product Piping 0 Gas 0Oil 23. Gas Pipe -Rough & Test _7,�;yUndecgr�und Flush 24. Roof Framing 73. Undergrhd.Storage Tank OGas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical 27. Frame arid 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-TestQ �+{ 36. Hood or Canopy ' 37. Final Factory Fireplace 38. Final Plumbing +3/9-0 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final rt 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 51r. CERTIFICATE OF OCCUPANCY n No. Date l CADIISAC AVENUE Unit o-5 B-2289- ,/1/81 Com. Bldg. — Unit o-5 j P-2400- PiBG. (B-2289) E-2665- '/.3°/dY ELEC. (B-2289) Close to Unit 0-5 E-2656-'/; ,/a} ECSC- (B-2289) Unit 0-5 M-3765-7/,"/Il MECH. (B-2289) 3505 Int 37 100,196. House Meter_ - Unit 0-5 - ■ B166f2 _ INP ALT $15,000. //t3/85 0-205.—e ._M16 82 INE ALT I �J/d�gs 0205 �E16689 DIISC �8ti BP16662 i _ B16908 TEN IMP $25,000. PC 10-85A 0105 _ PME16991 MIX - B16908 0-105 _ E17415 �S ME= - -5 0-205 _ P17432 -,-GAS SERV 0205 l CADIISAC AVENUE Unit o-5 B-2289- ,/1/81 Com. Bldg. — Unit o-5 j P-2400- PiBG. (B-2289) E-2665- '/.3°/dY ELEC. (B-2289) Close to Unit 0-5 E-2656-'/; ,/a} ECSC- (B-2289) Unit 0-5 M-3765-7/,"/Il MECH. (B-2289) 3505 Int 37 100,196. House Meter_ - Unit 0-5 - ■ B166f2 _ INP ALT $15,000. //t3/85 0-205.—e ._M16 82 INE ALT I �J/d�gs 0205 Applicant to nu In all Spaces within heavy border LOSS and sign all appropriate peplarations. CITY OF COSTA MESAPERM) "No. TRACT NO. LOT NO. BLDG, NO. CONSTRUCTION PERMIT �— (ps Project Address 3Cr , 0DK.La4AA'VE_ TTYYPE OF CONSTRUCTION (fNEW ❑ADO 0ALTERATION DREPAIR QCONVERSION ODEMOLIGH ❑ OTHER DESCRIPTION OF WORK Owner GJ4'H K /I.0 PhOn e, SLS Addraa,QQ! sa sgft_-74 p Arch Iting.wmewS, E lCengE NO. L AtldrMi Li' Jt_ Contracbry,(F(JM60 EL C. PNoneTLr-f7o' TYPE OF PERMIT ❑GRADING ❑ FOUNDATION ❑STRUCTURAL QTENANT KELECTRICAL OPLUMBING ❑MECHAI AddrR JZ7Z3 TM LICENSED CONTRACTOR DECLARATION 1 hereby affirm lM1Y I a under neer provisions of Charter 91com- ❑ Rncing with Section 7000] of Diahlon 3 OI the BuSinK and pfersslons Code.a !� a ll"nm Is In full forelf2 O effect. 9SS OTXER PROJECT DESCRIPTION uunse c N . uconb SD" FL OOCUPANCV�CONSTRUCTION TYPE Data =rz Z Slgnalaro WORKERS' COMPENSATION OECLARA14ON I hereby affirm that I haw a certificate Of cimstient to or a VALUATION ZONE sel0.lnmm carllpipta of Workers' WmpenMtlOn Insurance, Or Certified COPY DateOwner ' 115ec11on 3800. Lab. Cl y NO rus Pi / t, C l Pan F/ZENAVY /NO. Lp_ GRADING CU. YOS. ACRES _ortllle l copy Is hereby furnished. REMARKS: Z Z eel I] Certlfled copy 15 filed with the City Building DeWisn. 73 - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thit section need not Oe completed If the permit IS for one hundred fEc Ooifor L I the Performance Of the work for which this permit Is thatles I1Rued, nail net employ any Parton In any manner SO as to become PLUMBING PLAN CHECK IN LENDING AGENCYthat hee ecy tar e Our. a wortk frorl whichn nthis permit Is Issuedn(Sectlion -1 97 SERVICESINKS SUMPS FI -COR SINKS sFLOOR pPhu im TO' a postal ad Onclis the (8500, cent t0 a civil Cama: y ,Q 1, as owner of the property, or my employees with wages as their SEWER CONNECTIONS ' SOLAR TANK COLLECTORS sON.CMNdM Ilan, will do the work, and the hoping 15 not Intended or offered for sale. Isoclinal 7044, Butaxas and Professions Cade: The SOLAR PIPING SYS.' ' Contractor's bialldi or Improve& th! eon. nand whotdoes uch0Work himselfrty or ISSUE FEE his own employees.provided such ents are not throuIntande MECHANICAL PIAN CHECK 0,h offered ar 11.. news",, the b Wldit ny at Improvement IS sold WOM1ln one year of wmpletlon, the owner will have the burden t proving be did not build Or ImprOw for tont purpose of Seth). ❑ 1, as owner of the property, am ekciblwly contracting with licenseddPrOfcontractors construct the protect 7044, BusinessOnce HEATINGSYSTEM 0.100.00OBTU� AND DUCTING 100.000 BTU The COMNC1m S Lail& LaNOn iOnri Codesonot apply lo. an Of properly Who Chips or Improves thereon, and who con- REFRIGERATION 0.100.000 BTU— TU_ t acts Isom such procure with a conlmcho,S) lltesnedpursuant t0 tracts the Contractor's Licenses lawl. SYSTEM 100.000 .a BTU_ ❑ 1 am exempt under SecBon - - ' B. Y P. C. for this BOILERS BTU reason DateOwner SYSTEM REPAIR. ALTERATION I Whimsicality that l have$ago this aCOTiGllon and stab thatalt EXHAUSTSYSTEM MULTIPLE Information Is Correct. I agree to ply wllh all City d ly and Ordlnan Ws and SId1e Iawa mlaling b wnstroban and hemdy autnorla0 representatives Or ,his City 10 OWer u On 1 0 above mOM10ndp prOOerlY for a Ian purpos i' 519notura to Drivers' Ucenu or - ISSUE FEE - CMF0065-16 Wblte-Bullningl OendrY-ADPLcdnl;Pink-Accoundngl Goldenrod -An SSor BLDG_ D INIrT bfJ 9925 TL ZONING REGULATIONS AV.; ZONE 'PLNTGa. FgI11EF�11.g BUILDING SET ALK T. �gOPEgTYNIINE ARO 1 T REAR YARD ITO P/L) PKG. SPACE REO. PROVIDED STREET WIDTH PARK FEES ZONING APPROVED BY GATE - SPECIAL CONDITIONS: 'r ELECTRICAL PLAN CHECK 50_FT SO FT GENERATOR 0-1 KW- 1-10 KW TRANSFORMER APPLIANCE 10-50 KW_SO+KW MOTORS fid XP�1.10 XP BNC.SOLAR) 1050 HE P. a HP APPLICATION APPROVED BY DATE SUMMARY OF FEES BUILDING PERMIT S SMTP S PLAN CHECK 5 PERMIT S PLUMBING S PLAN CHECK $ GRADING 3 - ELECTRICAL S S PLAN CHECK $- IMICROFNM S MECHANICAL S TOTAL FEES PLAN CHECK E LESSAD- ANCEPC S_ 'FINAL FEE $ Z.zd— CONSTRUCTION, AND .PLANNING APPROVALS Permit # Date Inspector POOL & SPA APPROVALS . .. Permit # Date Inspector Temporary Electrical Service or Pole_ 43. Pool &Equipment Location- ocation_ -2. Soil Pipe7Undrgrry _ 44. Steel Reinforcement - - - - - 3. ...Electrical.Conduit Utility.Undrgrn - 45. Forms. - -- - - -4.-. Electrical Conduit-Undrgrn• _ r__. 46. ElectricaLBon"ng5. -- -- • • - - • - ' Steel Reinforce. _ 47. Rough Plumbing & Oresure Test 6._ ElectricalUFER_Grn 48. APPROVAL TOCO,VER-GUNITE - - - - 7.-_ Footings 49. Electrical Conduit-Undr rn -8.- Foundation - 50. Gas Pipe, ❑Undr rn; Test . - 9. •- Water Pipe•Undrgrn - 51. Backwash Lines P-Tra- ndr I•n 70. Snructural Floor System . - 52. APPROVAL TO DECK 41.. Property Sewer Line & House.Connection _ -_ 53.. Backwash & Receptor -Final --12.- - Street Sewer -Connection - - - - -- - - - 54. Heater &-Vent-Final RouglLPlumbing . -. - - " - 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 - - APPROVED FOR PLASTERING " 18, 19, - 20. Ducts, Ventilating Gas Pipe -Rough & Test - - Roof Framing - - 60. POOL/SPA SYSTEMS FINAL - 21, '• 22: Roof Sheathing- Frame and Flashing - - - - - - - _ NOTES: 23; Insulation 24, Lithing & Siding 42..J:7 -c. - _ IV 25, Djywall Nailing - 26, Plaster Brown Coat -f - ' 27, Electrical Power Meter -Final - - - - - ' 28. Final -Electric - , O� 29, - Final Heating & Air Conditioning - - - - _ 30: Final'Gas Pipe -Test - - - - - 31, Final Plumbing - - - i 32. Water Service -Final - - ' 33, Gas Service -Final - -- - - - 34, Solar Domestic -Final ' 35, Landscape Sprinkling System •r - 36. Sound A*tenuation - 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 spacer within heavy burden line.ane sign all appropriate declarations. B 00 CITY OF COSTNIVIESA PERMIT NO. TRACT NO. "COT'NO:--�OG.NOO.. 1.967 2/11/82 9 CONSTRUCTION PERMIT _ PML. /•aL /�/,i/. project Address 3SOaS AD/Z6r4L A'✓E. TYPE OF CONSTRUCTION WNEW D ADD ❑ ALTERATION OREPAIR 000NVERSION 0DEMOLISH D OTHER - - ZONING REGULATIONS Owner VI ay _ Q Plwnff Aadres'30/ V S IPO W. Ar hrIEng. p Lnu iceNo. - DESCRIPTION OF WORK A.P. ¢ . -.PLNCp. f - Atltlre55 -ZONE ebmfenbr 'KuP =GLj _ Phone-Zy _TYPE OF PERMITI - - ❑GOADING ❑'FOUNDATION --O STRUCTURAL - O TENANT RSELECTRICAL OPLUMBING OMECHANIC -5E -PROPERTY IO YARD ' SIEp T - qRUEF�L,�y�IV�• LINE Address; Z-7 'Z3 '%N'. QE jl LICENSED CONTRACTOR DECLARATION -- 1 hereby that 1 Iceland r of Charter aibm a provisions (core. lion 7000) f under Iny 3 1 the BuInm qIG- with Aiffera oOs Code, and y final Is In full force and effect. , REAR YARD (TO P/U _ 'Juno glees- Lian5e N0.3 Z PROJECT DESCRIPTION _ Sq. FT. .. .. -. PKG. SPACE REP. _ WIDTH PROVIDED - _ - PARK FEET Date 7 $Ipmm.e .RAi _ ' RS' MPE OECLAR 1cc OCCUPANCY CONSTRUCTION TYPE WOflKERS'COMPE:NSATION ons J hereby affirm that have a COORIcale OIC em to LII-In5m0 O! 0 M1COmpansellOn VALUATION ZONE ZONEETING 'ZONING APPROVED BY- DATE c rtlflute OI Workers' a Imuranm, Or testified copy - - GRADING CU. YDS. ACRES SPECIAL CONDITIONS: 'e01(Section3000•Ia0-CJ. . - yNinfdAk/ r!"I ComYanyieR6.VlAaT u•Ar1111ed copy In hereby furnished. REMARKS: '• _ _ __ ❑ Certified copy Is fllad wile the city Building Olvisson. EXEMPTION FROM WORKERS' COMPENSATION -DECLARATION - - - - - - - - `This Section need Dol be Completed if the.permit-BjOr, One hundretl _ 1$3001 Or 1456). _ _ - — - 'IeNlfy that In theperformance of the work for which this Permit I5 Miura Isnap e 1 Ploy any parent In any as to become - bleclto the Workers Compensation laws of California.' PLUMBING .`PLAN CHECK ELECTRICAL --'- PLAN CHECK' BATHTUBS SHOWERS - - - -' - Date$Ipnilure NOOnIaCE: If after making this distinction• you should become subject TOILETS - URINALS '" `GENERATOR o-1 KW_1-10 KW Workers' CAmpa a Ion proAtlons of the LabOr Code, y0U must lerml comply of Is Such Provisions OI the permit snail ted deemed LAVATORIES DOUELE LAYS - - TRANSFORMER APPLIANCE ' 10.50 KW=50+KW KIT. SINKS" - DISHWASHERS - - MOTORS god HP -1-10 HP ' Cyoked. ONSTRUCTION LENDING AGENCY I hereby e111rmthat there is a wmlrMthin lending agency for the Far. SERVIOESINKS SUMPS '- - �' -IIN0.5DLAR1- 10dO HP_50+HP' - fOrltunee OI the WOM for which title permit 15 Indeed (Section 30971. -FLOOR SINKS FLOOR'DRAINS -- --- FIXTURES- - OUTLETS "SWITCHES - _tiv'GL --' ' - - -- ---- -- ' -' Lender's Name- prentles'sAddress - -- DRINKING FOUNTAINS-- - - GAS TUBE SIGNS INTERCEPTOR$ CLARIFIERS Y - - 'POLE LIGHTS OWNER BUILDER DECLARATION 1neraby lilm Incl 4th eaemD[IfOm the Contractor's License /Or SWIMMING POCC' � PTRAP - -" - �- - [he follpIwing reason(Season 7OOIr5-Rusin as nd'Rp16s1ons Cade, Any city o h county which reques a Permit l0 construct. alter, PD METER$D sue ItsPFdemOIBM1 Or raper any 5triative prior forts l SaIl Sean 10 quhan the SF tonal for such Permit to file a signed statement that he WATER SERVICE ALTERATION_ -- - 1PANELS- "MAIN" SUB - IlG d Pursuant to the ProWSSON-Df'Ihe Contractor% license Law GAS SERVICE" OUTLETS- t'0:l .SERVICE P`-( - AM r ssesr9 Itommencing IlM1 SOCIIOn 7000) of Division 3 OI IM14Ones no Professions that Is exempt theRbom'and the mode) or he f thealleged a lion Any violation Of Section 7031.5 by Dpll tar Subjects e0 a -Civil -penalty' WATER HEATERS BTU OUTPUT 1 - - "-'-' Fveermit eeti te135001rant SEWER CONNECTIONS- SOLAR TANK' '- COLLECTORS- 0-1,"A Of the peOVCrtY. or my employers'wIth wages'as their mand the SruCtureU not intended or offered for wale. (Se do 7044, Business and Professions Code: The _ __ _ _ __ _ SOLAR PIPING SYS. ISSUE'FEE'- u' Cmlra IOr's UcanSe Use does n [.apply to an owner of property _ _ _ _ ISSUE FEE i APPLICATION APPROVED BY DATE--_ " or Improves thereon. Who do" such work himself Of Ihnbuilds ou n be Gown employees, yreside t that Such improvements art not mien�ed for however, the bmMmg Improvement _ offered sale. lI. or Is [old the owner will have the burden MECHANICAL PLAN CHECK SUMMARY OF FEES within One yen, Of completion, Of pmving he did of build or Improve for the purpose of 01e). 'BUILDING - - - - - El t7 -a5 Owner -of -the Drmairly.-mrs exclusively CONRCtin9 with HEATING SYSTEM O-1010,000 BTU - PERMIT f 3MIP' 3 liceANDDUCTING esions ims m construct the pr led (Section isnot 100,000 BTU '• ;PLAN CHECK_ 3 'PERMIT and Purl Code: heCon es'sLlmnsethere does appiness apply to an Owner times -- ISSUANCE 3 of Who or and of Pr ctt0 eunoia ocor ImprOW5 Ih4r00n• and WM10 c0T REFRIGERATION 0-100.000 BTU (PLUMBING f n J theC such Projects rR ntrad0Ns)-Ilcesmd pursuant -to SYSTEM-- -- -- -- -- - - - -aGRADING S ectad is cense_ the Contractor's 100.000+BTU PLAN CHECK 5 -4. -1_ 1 - s3, nderfuteal. P1]m`eeim0[-undei SeOibn ---- - -B.6 P. C. for this BOILERS BTU 'ELECTRICAL as _ -- reason SYSTEM REPAIR, ALTERATION PLAN CHECK "t MICROFILN-S "- TOTALFEEf Atte Owner - Iharoby CertilylM1oesl have had this apcopTlutidn and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL S LESS AD- InlOrmatlOn Is reel. 1 agree 10 PlY ith all city n020unty .PLANCHECK Is VANCEPC 3_ rrdinances and slate laws relating to cones incl len, and herebyauthorize- repre5mtanws of �nlsn aty to mer Pon t above mentioned ' properly Id. 0 Dw DD Signature t4 "'�-/n-b'2 _ FINAL FEES Drivers' License or ^ - ISSUE FEE - _ - _ - CMF 096546 White-BWItlIng; UOOry-ADPlkant Pink -Accounting; GOldenrOUASVSOF CONSTRUCTION AND PLANNING r APPROVALS Permit # Date Inspector POOL & SPA �- APPROVALS. Permit # Date Inspector 1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location - - - 2. _ S.o.il ipe _Undrgrn -7-If . Steel Reinforcement - " - •- - - - - . 3. Eiectrical Conduit Utility-Undrgrn _ 45. Forms, -- - - 4. Electrical Conduit-Undrgrn _ _ 46. Electrical Bonding - -- - - _5. Steelem orce _ '_ 47. Rough Plumbing & Pressure -Test 6. Electrical LIFER Gr_n _ 48. APPROVAL TO COVER-GUNITE -- " 7. Pootings _ _ 49. Electrical Conduit-Undr rn _B. -Foundation _ 50. Gas Pipe, ❑ Undr m, Test 9. _ Water Pipe-Undrgrn _ _ 51. Backwash Lines P•Tra D' nd rn- - - _, 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 Fin3l- 14. Rough Electric -Conduit - - - -- -56. Electrical -Final - - 15. Rough Electric -Wiring - -57. Solar System -Final - 16. Rough Heating & Air Conditioning bd. Fencing &-Access Approval 17. Ducts, in Structure _ _ APPROVED FOR PLASTERING ' 18. 19. 20. _ Ducts, Ventilating Gas Pipe -Rough & Test - _ _ _ Roof Framing • 60. POOL/SPA SYSTEMS FINAL - 21. 22. Roof Sheathing Frame and FlashingNOTES: - 23. Insulation 24. Cathing & Siding - - - 25. Drywall Nailing - _- - - 26. Plaster Brown Coat 1- -_ -- - 27. Electrical Power- Meter -Final 2B. 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 a 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - 1 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - - 42. CERTIFICATE OF OCCUPANCY _ No. Date CITY OF.CQSTA MESA ,CONSTRUCTION. j0A Prol Ail4ress %-rar0 - Applicant's Mailing Add Owner's Name Address 'Cl Arch/Eng, License Address Contractor i Nam Address(me ingl s� City License No_ -3/l✓% _ ' LICENS ED CONTRACTOR DECLARATION 1 hereby affirm that 1 am licensed under pmvlsl of with section 70001 Of Division 3 Of the Bull and my license Is in full forces d effect. n ucunw cu s — Theme V -Data Signature COMPENSATION DELL iAT10N hereby affirm that I have a canines or consent a s at Western' CoOn"whi Incur ca, Or a slide 3000, Ln. C.)� all Policy ie .3t. �/ Company IIIed copy Is hereby furnished. Da Wa )flea f with the adv But to Applicant )hereby affirm that of the work for to Len's Name U I am exempt ADPlltent to fill In an Imees except mase within has" border Imes and sign all appropriate mcbmaens. T PEPT TRACT NO. LOT NO.U Li L1 u UNIT N0. P�3 TYOFCONSTRUCTION NEW ADD ALTERATION REPAIR E5 CONVERSION ❑ DEMOLISH 0 OTHER Pb°ne OESCRIPTIONOFWORK/USEOF BLDG. No. TYPE OF PERMIT LJ GRADING U FOUNDATION U STRUCTURAL 0 TENANT I ELECTRICAL 0 PLUMBING 0 MECHANICAL bone 0 OTHER ll PROUECT DESCRUPTION SOFT. OCCUPANCYAll CONSTRUCTION TYPE VALUATION$ ZONE GRADING CU.YOS. ACRCS Charter O�emjl Remarks: - Pi IOC r.li1.A or a Is far one hundred (9100) Or antobeclorpresubit jecttoe tNe for the Performance On 3097 Col. C.) nit Showers ow Preventer Sem ce Sink ow, Irrigation Sewer rip ,bit Sewer Conrail are Spier Optica rs ester Soler Piping he Fountains Solar Tank Grains Swimming Pool Sinks Urinal orifice J outlets water Corset epmrswater Healer in Sink Water Service Dries Auto Wash lame Is licensed °Oroonl to the PrOdSlans of napier 9 (commencing with Section 70001 Of PIOnsl Code) that Is she x pt allegedexemption. Any viola�lO° I Sncllon a dermll subjects the applicant 10 civil mIr y edrohoy wS Valor y Mltos not en snob colo undine OfWoQ a Is Code: : The c or Immo and wf aorowrty veno o Iles or Improves Wk Llmsell/nersel Or through his or her own mprovements are snot Intended or offered for Improvement urden of ploving na/she ale not build ear for Ito- goof Drains - n -CDh Reinspection Fee $15 Mie Fee MECHANICAL Boiler HOOD or Type 1 O Canopy Type 11 (Refrigeration Duct - Under Ground am exclusively contracting with Ilcensea sen- Section not applyBusiness aowner of (property who I Who contracts for such projects with a can- Duct - Strvctural System 001 Wpoo BTU 0100,000 2 O Duct- Ventilating Rear Exhaust System O Multiple O System Repair/AltMalion ile C 1 oalntun ce f seul0 CSS 11 am provided aware that N Firepl/Fact. Bit. ICBG Is Fire Dampers ' fi�a.A P: C. for this reason Healing System IS Dueling UD1 W,OW BTU 0100,0100 _ Registers ad'this cep I tae mat 'no sea re camp h cl °anoC un ly erdeances Ing of if aE-mherebyIrdl aautdoproriz r re- D R Det f Reinspection Fee $15 Isms Fee Building; Canary - APPICI Pink - ACCOunNn9; GOldamod . Assessor FEES S3 6992 2J64/25 -' ciru' % A.P.# I solve S Main Bbildini Accessory Building: E T Front 2 O B A Rear N C Right N K $ Left D R Ping, Rel.$ Parking RP dell E' Planning Notes: NO1 T S ELECTRICAL 'FEES AutonMRC Washer Construction %le Sub. Tran9(prmer .0-15-5OKW_ . 0 50 i KID Cocking Unit Meter Oup TO 100 amps Dishwasher Meter Omer 100 amps Dryers OGM OElwtric Sub Panel ' Fan Motors 0D1 HE 01%-R FA.G Ina Solar 09.15 HE 018-15a Fixtures Microwave. Device Boxes %le Light I Outlets Range adverse Sign Garbage Disposal - ;Standing Sections Generator DDS Kw 06.15 KW Trash Compactor Reinspection Fee $15 Issue Fee $ 3 DEVELOPMENT SEAVICESREGUIREMENTS: 1 , Zpnin g Approved By "Big Building Approved By at ApPlimtion Issued BY nae - R r BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK SOS MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ SMIP S - $ PERMIT $ 45' -Co ISSUANCE $ $ 'SO ENE RGYI C, $ is iGRADING S $ MICROFILM $ S TOTAL FEE $ $ CONSTRUCTION AND PLANNING APPROVALS Permit # TDate Inspector POOL .& SPA APPROVALS Permit # Date Inspector . 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. ' B. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK - - - 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13.E Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final - 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping DGas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank DGas 0Oil 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 - 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 MI spaces except npu within heavy border Imes and sign an appropriate declarations. - -UNIT - - 6948 2/04/85 -—lissPa —Th _ CITY OF COSTA' MESA C NST U ON ERMI - PERMITNO TRACT NO LOT NO. NO. P`r01ec'ti�dress - Oily or, t AppLC0nY5 Mallin Ad C, i ` TYPE OF CONSTRUCTIONLJ NEw ADD ALTERATION REPAIR res 0,CONVERSION O DEMOLISH ❑ OTHER A.P. _ OwnefsNe ¢ r' -l. DESCR IPTION OF WD R OUSE OF B LDS. Accessory Building: r-_ Address je - -S' Main Building: B Address . —License N0. ' -TY PE OF PERMIT GRADINGS FOUNDATION STRUCTURAL RAL T Front ;D 0 L I TENANT, Q ELECTRICAL PLUMBING- MECHHNICAL 8A r Atldl¢4 � Nam. offer u ❑,OTHER Reer .. 1/'f Contractor .y//�- PM1one SfiYL�L C. Right - 9 - N S PgQIECT DESCRIPTION SG. FT. OCNPANCv KLek G AddressIm ^ r e-_.,� CONSTRUCTION CONSTRUCTION TYPE VALUATIONS ,$' R City SEDi No. ZONE GRAOI NG CU. VDS: ACRE Ping. Rel. * Parking Req,/Provided E' LICENNSED DECLARATION D I-hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks, Planning Nates: - ,M with section ]000) of OINSIon 3 Of the Business and' Profteenthss Code, and T my lice lSMfY fare dafle<I. a13 - U[enze GGlass /�q49- Se N¢v 'S _ 'Onto /%i PLUMBING FEES _ WORKERS'COMPENSATION DE LARATION .Bar Sink. Showers ELECTRICAL FEES I hereby affirm that I have a certificate Of persons to bilti mfe or a Certificate of Workers' CUmpv,saeon Insurance, or a mrtlfied copy thereof (Section t Backflow Prevener, Service Sink Automatic Transbrnal.❑ KW 3800, such. C.) Washer. 1550 _ _ Policy No. Company - Backflow Irrigation 'Sewer Cup Construction Pole Sub. ❑50+KW 8 Certified Copy IS hereby furnished. Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection, Cooking Unit Meter Cup to 1DO amps, 1 ,to APPIk'anl Clarifiers Solar Pnlledcara Dishwasher Meter ver 100 amps EXEMPTION FROMWORKERS' COMPENSATION DECLARATION' (This section need not be Completed it the summut IS for On hundred [$300) Or bee Dish vashot - _ _ Solar Piping - pryers ❑Gas ❑Electric _ _ huh Panel • I certify that in the Performance of the fa, which this cep,: 51em e t 1 -Drinking Fountains Barr nub^ employ v barren of nv r. assm4oco sed to the a ploy Solar Tank Fan , Mal^rs OO-1 HE Ol%-8 Werkeot Ly 1 Calsoyfor // jiz !wa J-'T dJ Sip^at Floor Drains Swimming Pool wlSpe F.A.U. Inc. Solar 11915 No olg 5* NOTICE: II, alter making this declaration, you should become subject to the Workerso os thisn Ueenid'arvokee lin provisionsl Fiber Sinks Wirul Fixtures Microwave such or permit shalll0'SO CONSTRUCTION LENDING AGENCY Gas Service Ol Water ClOY[ DOVICB Boxes POI¢Li M1[ I hereby shim that there Is a construction lending agency for the performance g of the work for which this permit is Issued [Section 3097 Clv. C.) Interceptors ` Water Hester \ outlets flange Lenders Name - Lender'sAaa,ess : Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION 1 neraby'a19rm teal 1 am mp[ tram me Conte trots License uw for the Lavemries Auto-Wash Garbage Disposal; in95¢na Standing c4o rq orlindoo colunlYnwhiCM1 tenYb Sre perm3lt IOCan51 uSGitdlt ImpeOVB. delval zn P-Trap Laundry Treys - Generator 00.5 KW 0515 KW Compactor TrasM1 " anv sVueure, prior [o Its lauance, am requtres me avPficam for sato It a Slx¢ment ma f[ a Is u[enaa p rsua s IO Ire eromS�as of - thrue D9n¢d e eontracmr•x Li<en5e La 9 ICommenel^g wkn Sectio^ ]000) of Ann(Drainsmt - aeC�apbr tme toxo vlolasl �lerelfrom dna easlls far [fie �Ileetl pilon, Any Unn of than ]03 .5 by Ony applicant lo, U p r It sunje[ts ire epPll[anl tUcivil - Ity dl not more [ran five hundred Dollars IE5001. E 3 • �n as owner I NB provpesb or my employae5 with ages Ihelr sale Reinipegipn Fee E15 - Issue Fee T, wig do the k, dna the uruclura Is not Imende0 or oNL geirepectian Fee $15 Issre Fee E 3 m�nvtion, 's r le [section ]Ola Buslnessand Professional COO¢: Tne Contractoarrn MECHANICAL FEES u<enze Law aces fiat poly tp an own.. of a vropoab who balms improves a. eTerepne a won aces n w rk mmsell/nenev through ms r Boiler Hooor Type e ❑ DEVELOPMENT SERVICES REQUIREMENTS: ' fereturn /Of looIn�, peorVoImr ihd1e nthsoC9In ndinelann Canopy Type ❑ L^bq Approved By Datacom SgnohwInM1itteahOot'rYbeoualriflhadoer Mplleaph. ew¢vfi�iedtehdwe iIlbnl uanslaldswuinbIDmYrroptlVmeCnmmqem1npe[snrotavmIisntleo N or IM DYCI - Untle, Ground e b, the pUrpoSe Of Sal¢I. Building ApprovedBY fiats � I the Prpoet�y, lam a du504 it trading emn I ionsb con. the Code! Thellors snot DVCI - Structural — Refrigeration System Applirati0n Issued By—pat to Libel project Contractor'sct *as apply to an owner Of property who who not Such DVCI - Ventilating ❑61I)D,DOO BTU ❑100,000 BTU SUMMARY OF FEES Solids Improve thereon, and for projects With tom _ tmcmroel hearing Pursuant to the"COntractor'i License, Lawl. I am aware than Exhaust System ❑ Multiple ❑ System Repair/AlteraliOp BUILDING PERMIT $ $MIP $ proal ff their Worker's Compensation insure Should be provided tom PI:dN CHECK $ PERMIT L1 am exempt under Section B. S P. C. for this reason Firepl/Fact. BIL CBOsk Fire Dampers IERMIT $ PLUMBING $ Onto Owner Heating System gl Ducting Registers Ill CHECK 25% $ ENERGY R.C. E I herebymeHeo that nave read this ap It cation and tate that the stake ❑61.00,1100 BTU ❑100,000BT $ IObZ'1 GRADING $ information Is car ea. m cgmoly rti all city and County Ordinances - _ - ELECTRICAL and tate a g to ding Iry Ion, and hereby authorize ,core- PIAN CHECK GIN E 3.T5 MICROFILM $ rI ntaives o this p0 a a0ovemeneonae prolMrt lar ! l C •.20 InsPCCtIOn PY S� Y MECHANICAL $ TOTAL FEE E 9gnaW,e am Rein$Raio^ Fae $15 Hauer Fee $ 3 PLAN CHECK 25% $ ' Drivers' Licenu err 55;( CMF 9865.16, rev. 10/80 White - Building: Canary - Applicant; Pink . Accounting: Goldenrod . gaeasor CONSTRUCTION AND PLANNING APPROVALS Permit # Date Ir nspecto POOL & SPA APPROVALS Permit # Date Inspector_i ?'."'T'emporary Electrical Service or Pole' _ 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd., 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding ' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test' 9. Water Pipe;Undrgrnd. - 60. Backwash Liries, P -Trap, ❑ Undrgrnd. - 10. Structural Floor System 61: APPROVAL TO DECK _ 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final - - 12.!Sewer Cap 63. Heater & Vent -Final ' 13., Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 1 67. Fencing & Access Approval , 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O 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 G 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 48. Special Requirements Completed 49. ElectricRelease to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to Rn in are malls except those within heavy border lines and sign an appropriate aecbrMlam. :ITV OF cOSiAESA C Sys TIO PERMIT Proiecd Aqdress FS563 1/' �- r�i'' . (]agf App bound aMellinv Aad a Owner's Name vnpne Address mp3rinbes,♦ n /'� — /O Arch/Eng. license No. Address ASI Addresctur's Nam ys /xG k Address (mailing) �r City License No �31 LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 am licensed under provisions of Charter 9(commencine with eon 90001 of Division 3 of the Business and frefemm"s Code, and my license is in la mrce and effect X93'9.19. Lcen�g class Date/�-.8'� I s7mfi r WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to ulfansure or a Certlflote I Workers' Compensation Insurance, or a certified copy thereof (Section 3600, Lab. C.1 Policy Na. Company Eeerpped Copy IS hereby furnished. Certified COPY is filed with the city Building Division. [Ion need not be Completed It the "emit Is lot one hundred ($100( or that in the performance of the w�e!rRk�for which this petmi Issued employ any eve of Califo ��y �o s inn ace to tFe n PrOnSione or Put permit $hell be ftedi revoked. N LENDING AGENCY hat there Ise construction lending agency for the performance or which this permit Is issued (Section 3097 Cly. C.) Name Date Owner 1 Griwn' License or SS CMF 0865.46, rev. 10/84 TYPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH O OTHER DESCRIPTION OF WORK/USE OF BLDG. TYPE OF PERMIT U GRADING 0 FOUNDATION LJ STRUCTURAL ❑ TENANT 0 ELECTRICAL ❑ PLUMBING 11 MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCY— CON STRUCT60ki CCUPANCYCONSTRUCTION TYPE VALUATIONS ZONE GRADING CU.VDS. ACRES Remarks: / .42 /.4 Al M Ping, Rel. IF ' 4403 12/20/84 27e40 TL Ba Sink I I Showers -I I I I ELECTRICAL I FEES I Backflow Irrigation Duct -VentilatingEOIO0,000BTU - Sewer Cap balnlubs•'' DEVELOPMENT SERVICES REQUIREMENTS: - Sewer Connection Clarifiers Exhaurt System 11 Multiple 11System Solar Collecmrs Dishwasher, mm Solar Piping Drinking Fourmiw Firepl/Fact Bit. ICRO qs Solar Tank Floor Credit; Swimming Pool Yeli Floor Sinks Helping System & Ducting ❑0100.000 BTU 11100 000 R L Urinal Gas Service Outlets BUILDING PERMIT Water Closer Interceptors $ Water Hitter Kitchen Sink PERMIT Water Service Lavatories $ Auto Wasb Reingmaidn doe 1 $151 1 INYe Foe 1 S3 Hood or Type U Lime. cmpnd Canopy Type D o Accounting: GOldemod Fee 1 $15 1 1 Issue Fail I S 3 Unit Dryers JG11 Fan F.A.U. Fixtures Device Boxes Transformer U 15-50 KW ❑ 50+KW Meter ❑up to 1 W amps Meter Cover 100amps Sub Panel Motors 001 He Ot% 8 Inc. Solar 119 15 HP U 1645+ Microwave Pole Licht Standing Sections Trash Compactor Reinspection Fee Duct -VentilatingEOIO0,000BTU ❑10o,000BTU DEVELOPMENT SERVICES REQUIREMENTS: - Exhaurt System 11 Multiple 11System RepairlAlUlation mm Building Approved By Firepl/Fact Bit. ICRO qs Date Fire Dampers nate Helping System & Ducting ❑0100.000 BTU 11100 000 R L SUMMARY OF FEES Registers BUILDING PERMIT $ SMIP $ PLAN CHECK $ Accounting: GOldemod Fee 1 $15 1 1 Issue Fail I S 3 Unit Dryers JG11 Fan F.A.U. Fixtures Device Boxes Transformer U 15-50 KW ❑ 50+KW Meter ❑up to 1 W amps Meter Cover 100amps Sub Panel Motors 001 He Ot% 8 Inc. Solar 119 15 HP U 1645+ Microwave Pole Licht Standing Sections Trash Compactor Reinspection Fee I $15 lawn Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: - Zoning Approved By mm Building Approved By Date Application lso By nate SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ ZO bD GRADING '$ _ PLAN CHECK SO% $ q ®i MICROFILM $ MECHANICAL $ TOTALFEE $ PLAN CHECK 25% $ ' , CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector - Pou. & SPA - 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE =, 7. Footings 58. Electrical Conduit-Undrgrnd. .8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60., Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final ,12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final - 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit �, 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval ' 17. Rough•Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling i 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # ' 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping []Gas ElOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank DGas 00il 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: &24 IA 34. Final Heating & Air Conditioning rz 35. Final Gas Pipe -Test ' 36. Hood or Canopy - 37. Final Factory Fireplace 38. Final Plumbing ' 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation - 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special RequirementsCompleted 49. Electric Release to Edison - -- - - - �- 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY INn. Date Ll Applicant to Ru In MI spaces except nuse within heavy border lines and Sign all appropriate :NsuNtlPer clrYOF dress MESA CONSTR UCTJON P MIT Ralut AddrnS lam PERMIT N0. TRACT NO QNI �� LOT.1�O. POr 1'B/L y-]3 UNIT N0. �p S 4223 12/18/84 129,51 7', AppliranYs Mm i1sxj Adtlre itTYPE Owner's Name 'l M1one AddressDESCRIPTION G OF CONSTRUCTION NEW ADD ALTERATION REPAIR EICONVERSION 0 DEMOLISH OOTHER OF WORK/USE OF BLDG. 1 A,P.$ 2gre S - Main Building Accessory Building: Address. License No. AtlEIeR �� TYPE DFPE�GRACAG LJFOUNIN IOry STRUCTURAL TENANT O ELECTRICAL 0 PLUMBING 0 MECHANICAL OTHER T Frani 2 O B AI Rear/ N C Right G' J7 1 1 Q Conaactari Nam Ph a PRO CT DESCRIPTION s¢ PT.' - Occupancy CO N STRUCTION TYPE VALUATIONS 1' y5 00n GRADING CU. VpS. ACREt Atltlre61m0i1in91 �. City License No. 7 LICENSED CONTRACTOR DECLARATION / hereby a5firm that am license: under pmvis}} /al Conte 9 ong with Section )000) 0\ Division 3 0l the Bu M1� and Pro and rnr rmma Is in Iwl ran method. S Left - RZONE Ping. Ref. ill Perking Req,lpmv{tletl- - - P Remarks: Planning NOteS: M - - - T 5 UNnm Cla LiCon Date 5lgnaluro PLUMBING FEES Bar Sink Showers ELECTRICAL ,FEES . WON KV S• OMPCONSN p C Anon I hereby Shia that l have a cerutira of consent to sel5anzure or: carunr:te Of Work IS' COMONISS n Insure , or a certified COPY thereof (Section 3aa0, Lab. c.Zsc?�B� a �a0/lX/�!%f No, company Backflow PrewnSer - Service Sink - gwome[ic WaaBer Tremlormer ❑ 15i0'KW Construction Pole Sub. ❑50+KW Backflow Irrigation Sewer Cap. - Qxe mom copy Is hereIts" W th theme. Fr\Med coot Is 111e0 Dn me CI[Y Building DIVINpn. Bathtubs Sewer Connection' Drinking Unit motor ❑up to 100 amps pate Clarifiers Solar Collectors _ _Oislswesh_er Meter❑over 100 amps _ _ EXEMPTION FROM WONKENS' COMPENSATION DECLARATION WORKERS' (TNS UCfIOn need n0[ be completed if the perm{[ Is for on hundred ($100) or I certify 1 al tno teml In INC y proof in of theWorkanner for Chian rale permitSta to 1 wall t ploy y person In any manner pas to become subjet\ tp ti:e Compensation Laws California. r Dishwasher Solar Piping 1 Dryers OGas ❑Eletnit Sub Panel e prinking Fountains $plat Tank fen MUSOrs ❑Dl MP ❑1.%t,B Floor Ordinal Swimming Paul w/Spa' F A.U. Inc. Saler 09-05 His 0IF15t Dateworkers' oa . Date hisnalum 'NOTICE: 51, atter this declaration.he you Paco sur mo Flogr Sinks Urinal Fixtures - Microwave Labor Cod th Compensation forthwith Code. you must Imlroad- the Permit Compels' Cth such Ipr provisions this a pea Comply with such p s PurmN be tleemetl rev Gas ServicO 'Outlets Water Closet Device Boxes Pola Light •/ ENDING CONSTRUCTION LENDING AGENCY, II hereby affirm that there is conSFuction lending agency for \he rfprmanee 5 the work for water this permit Is Issued fraction 3097 CIV. C.) Lender's Name Interceptors Water Heats! 1 Ou11e15 Range Kitchen Sink Water Service - Switches Sign Landers Add,OSS OWNER BUILDER DECCARATION Brom th C Counselor's nemby anirm mal i am p[ from Ina Cdn\aector's License Law for the exempt IoluewinB lNson (Secpon L c ase Any cityhe n[y wnkn epuirps a permit b construct, alter Improve, demolish or repair y shucture, prior m lea ¢suanro, elm requires tea epOReant for men permit ra file a Rgnod ilammant mat ropna B Rcansp O'pursuam to me v.ovlsioa of O va untl3Co11weI Bu3� Slw OdnROle610n5 Codelim Naf ne�1w¢ Isoexplof mat r \wOrehbm inU ma h8515 fqr m¢ allegetl p,'mp6pn. qny r101a ion of SeCtlon 9031.5 pr' Y appllcanl Ipr a permit ub e[Ii [rd„appllcam [O acivil p❑en.rzy m n:'t more man Ny. nthnB.w delete rasool. T, as owns o; the 'prpper[y o my employees with ages pf M1¢plr able fomensatipn, wu ne rx, a ap me structure Is n t Imm�tle0 flared r �a {vection i0iap Business a Pmiesslon» code: me Contractors LI [n Lan goes not p \pnNaa O noel al pl Deity vR10 bUlds or Improws ne.ean, e'wno does then k InseN/n soli O mrougn hiss or her ownOEVE OldYe6. pravltletl \hal sucM1 Imprewmenis a n t9nUnded or olfara0 fdf vie.IS. noweveq top bullaing arlmprovamenila afro within Dna year of cam- ple[lan, the awnor wllPnaw Ire burtlan o5 praWn9 np/swa old no[ build Ser {m.. plow for Inc pmppsp of salol. ❑ 1, i5 of properly, ly b traC11e8 wHw Lavatories Auto sissin Garbage DiepoMl Standing Sections _ P_Trop, Laundry Trays - "Ganeralor 00l5 KW 0515 KW Trash Compactor Roof Drains - Relnspe- c[{pn Fu .- $15 Imus Fee_ - $ 3 ' Reinspectian Fu S15 Issue Fu S 3 MECHANICAL FEES LOPMENT SERVICES REOUIR ZPninBApprowd If ata Building APPraved 8y `^' "' Vele air Z �, ry 2 Appl{otidn ImYM By J'\'d• Isal 1 Boil” I Hand or Type I ❑ -CanaryType 11 ❑ Duet - Under Ground DYCI-$ImcWral Relrig0mtidn Byn¢m Se tion 7l odm ct t Qualities freeThe ori t actor's Ct Ino Li1w Section apply to n owner end P fpr opert Cpde: o con Twa a of Impros s there uw d not apply \or S ch 5 property veno bathes Improves rsu nt and who ntor'5 for svrn w). I a with aeon- Pon b Insura Does S o a aware that pr e e temp vender 5 compact Iq r ala Oe provided ea proof o theirlicense Workers ❑lam exempt unser seeion R .c.mr this reason '. ❑0.100,0008TU ❑1a0,000 BTU pact- Ventilating - SUMMARY OF FEES L U ey BUILDING PERMIT $ (117' SL) SMTP $ is CHECK S 17 .!a PERMIT PLUMBING '$ ISSUANCE S PLAN CHECK 25% S ENERGY P.C. S ELECTRICAL $ GRADING s PLAN CHECK 50% S MICROFILM $ MECHANICAL $ TOTALFEE S PLAN CHECK 25% S EzM1autt System ❑ Multiple ❑', - System Repair/ARmation - FirepVFac\. BIL ICBG# Fire Dampers Date . Heating Syssem & Gathering ❑OIO0,000 BTU ❑100.0votil Registers 1 here ay NStiff that I Az red this aIS Ilan d to [bat to above ion is rrec\. 1 re a C rs ly Ind all ty It COu ty Jr`I a t a tate laws worst! a m.rg c elf ane er by authorize pr - and santa[Iws 1 Inls t "ter to entlonatl pm Ir' Inspection puRoms spner DDrivers'rs'eLicense avis 8 t - Reinap,nign Fee $15 r Issue Tea S 3 Goldenrod - Assessor CMF 0865-46, rev. /84 Whitt . Building: Canary - Applicant Pink - Accountings CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POO, & SPA - APPROVALS Permit # Date Inspector J. 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 Conduii-Undrgrnd. 55. Electrical Bonding 5: Steel Reinforcement.. 56. Rough Plumbing & Pressure Test 6. Electrical UFER7Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings' '� 58. Electrical Conduit-Undrgrnd. B. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd'. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. 'Structural Floor System 61. APPROVAL TO DECK - 11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains i ", 64. Plumbing System - Final 14. Rough Plumbing,.; 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping []Gas 0Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas ❑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 3 Sy HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: r1, 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 123 48. Special Requirements Completed, 49. Electric Release to Edison - - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OGCUPAN No. Date / ` C City of Costa Mesa Development Services Department33 Building Safety Division CERTIFICATE OF OCCUPANCY No. U U L' P. O. Box 1200 Costa Mesa, California The Building located at 'irynr: OAnTrrhn rrlTrr f`rL?(li has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group g2 Occupancy. Use of Building OFFICE Legal Description 1 TQ—rF7-14 (See reverse side for Metes and Bounds) Building Permit No p-14499 Electrical Permit No. IE -5 Plumbing Permit No. 4mf+"' Mechanical Permit No. M-16,789 Number of apartments ISSUED TO: Building Official O'D01NTg.T,L BRIGHAM by ----) /� 3505 CADILLAC 41-110. COSTA PW -9A. CA. _ .1 A This Certificate of Occupancy SHALL BE ported in a conspicuous place on the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/E3 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File and/or guest rooms W and SHALL NOT BE removed except by the Applicant to fit i,, all Spaces except those within heavy border lines and Ilan alupprODrlae gemantlone CITY OF COST A CO,N�S/T�RUCTION PE RM L� Project Address SS ®�a;,/��� PERMIT NO. TRACT NO. LOT NO. UNIT NO. 4724_ 12/28/84 ?.BO -1'l j TYPE OF CONSTRUCTION LJ NEW LJ ABO ALTERATION CICONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORKIUSE OF BLDG. REvglq 1 .. IYIN Applicant's MailingAddress BZ SII � � eC' Owner t Name O'Air ap Address 3S�S �/J's0/[a.r? (i3l'�/a A.P. SO Zone " S Main Building: Accessory Building. Arch/Eng. -?ice se No.. Add= n TYPE OF PERMIT GRAOwc FOUNDATION STRUCTURAL ❑ TENANT Q ELECTRICAL O PLUMBING El MECHANICAL OTHER PROJECT DESCRIPTION 56 FT. OCCUPANCY CONSTRUCTION TYPE VALUATIONS ZONE GRADINGCU.YDS. ACRE T Front p B Rear N Con Vector i Nam V w bLf n D '�d9�T Address lm.;'ng)�0 ZS3Z A TiJdi .f C�IiHLC4 %J+/J✓ A K Right G S Left R J Cit License No. �{ Is'� 7 Y LICENSED CONTRACTOR DECLARATION Ping. Rel, $ Parking ReD.IPIOVIded E' Remarks:, Planning NOt¢f. M 1 hereby affirm Nut 1 m Ilcenuo VOOM prOV1 10ps of Car! lei 9 commencing with Mellon 70001 of Division 3 OI the Busl s ane �classl Code, ane my license Is In lull ler t effect, a^ �% / O T S' IJu IN Cl Llcan NO. wte _ Signs f PLUMBING FEE$ Sink Showers ELECTNICAL FEES j WGRKIi COMPENSATION DECLARATIOryBar to palL3are or a certificate of contact m hereby alam rthat I M1 caruflram n Of Workers' Compensation Insurance, or acertiflell copy thereof /(ISed PS Po101[rNa. S,.cso �1-company +2 lined copy is hereby mrmmea. C l�flIeqq� Y II 1 athe Chjy I� OVISIO gackllow Prevented Service5ink Automatic Washer Construction Pole Sub. Transformer ❑ 1550 KW ❑50+KW Backflowlrrigestion Sewer Can Bathtubs Sewer Connection Cooking Unit Meter ❑up to l00amp¢ DatayCaJ Applicant l�^•..A EXEM rTfFONFRNMWO RK ER$' CO MPEN3ATION OAA TION B'i1 ser Ion need not be c MPletep if me permit 15 for One hundred 151001 0! la. - nail enrollemolloy any¢ person nine all,, ma work for Workers' employfto as to became subject toothe Laws of Calllorms. Clarifiers Solar Collectors " Dishwasher Meter Dower 100amps, Dishwasher Solar Piping pryers ❑Gas ❑Electric Sub Panel - Drinking Fountains Solar Tank g Fan Motors ❑Ol His ❑IX B Floor Brains Swimming Pool W/SPa F.A.U. Inc. Solar,❑015 HP 1615+ Date 9gnature NOTICE: it, after making this deli YOU Should become Suspect IO the Floor Sinks Urinal Fixtured Microwave Workers' C(mpelmlOOns nsation pf tee Labor ode, YOU must forthwith limply with such Provisions r this permit hall b deemed revoked. Gap Service Outlets - - Water Closet Device Boxes Pole Light CONSTRUCTION LENDING AGENCY Iam mm hereby n3that ere is a construction agency for e performance Interceptors Water Heater Outlets Range sending ol the work fon wn1Cn it this permi issued (Section 30517 ON. C.) Lender's Name Landers Admers _ _ OWNER BUILDER DECLARATION 1 neranY alllrm that am pt }ro - me Conb Clo 's Liceme Law or the Iror IpllowinW son (Sectlonv]031.5 BuSlnesi dna pro}e9s11OWl eOOe: AOY Ce e caumy Hien req Nrel a Ogrmll �ncenstrucq aver Improve, eempnzn or nethr ttry 9rut\me, p510r b its s lien ISO r¢gUlres [he appncanl lar Sucn It o cele a s:gnee tatement tnal M1e/iM1e Iz licensee pursuant to Me provlsP ns Of me CamRC[Or'd LIc0n5a LdW nCniptar 91<OTmenCle9 W1(n Stollen ]000) of JIVIdIOn 3 Of Ne SUSineds d PCOlessionz Code1 trial he SM1e iin se .nere4am and [na bd31z for mea II¢gee exempliOn. AnY v101a�lon Ot Section ]031.5 b Y pplicant Por Dermp suDlects the applla'ant t0 dvll o❑enalty pYno'emore man bre nunerm pplmrl Issgel. m as 1 [tie properev car my a ploYees wile wages as Other whe satlon, wall d tneB r e tap structure is na .n neva freree I r wle ISectiOn 70aao usCmv ono r lesslonal Cade: Tne con's au°aonN a w owes Hol . vwn hwner tri a pmcertr who owlas O. imvrown M1dreon� tl no a0es w rN mmseu/nersml a tnrougn tics nr her own mpl0y s pmvleee tM1et cn Improvements aro noL Intended Herta for Mle. It, nowaveA the burylbing Br Improvement Is spm wlmin one poor o1 Coma pletlon�ttaeewner wl l a e tie bvmen Of proving nepne did npl build or 1m- of 5aiel. na t�roru s owner LJ I a 01 me propertY. m exn uslv0 eomracting with licensed c tmeiorsto construct m¢ Proles (Section 70aa, Business aha praleszions eµne: Tee Contractor's License Law does not poly to owner Of orcipeirtC ha Iles Imp. thereon, and,WhO contacts for dYCn projectp In con- tractorn; license pursuant' to She Contractors License Law). I am r that 1 their Worker's Compensation Insurance hould be provided to me ❑I am exempt under section a. A P.C. for this reason' Kitchen Sink Water Service Switches Sign ' Leveler¢d .. Garbage Disposal Standing Sections ' Is Trap _ ❑915 KW Generator ❑OE KW Trash Compactor Rp01 Drains Reinspection Fee u $15 hard Fee $ 3 Reinspection Fee $15 Issue Fan $ 3 MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS. Zoning g prpr v d Dan Building Approved By pate Appliuti0n lewd BY B t - Boiler It Duct -Moder Ground Duct Structural BTU Duct Ventilating00,000 BUI LDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PIAN CHECK 25% SUMMARY OF FEESb $ SMIP $proof $ PERMIT $ ISSUANCE $ S ENERGY P.C. S ItGRADING $ S MICROFILM $se TOTAL FEE $ r $ l <7OSignature S 50 5 Exhaust6stem❑ MuNi Y pl0n jSy FIrepl/FacCBIt. ICBO$ f[DISYMM Date Offer Healing System&Ducting I nereb etlfv0_'nm `•;red nis,jyoalplicationnaddowthat theabove❑6100,000BTU❑100.00 Informs Ion iz a cctt 1 gbfCa ioc�3np(O ca an clay dna caunb o.amncez tate laws rasa Tag uch" a friction hereby aura reore- tatlwz 1 cel I♦• uoneu Sur per t inspection pit��7 f a d Drivers' License or SS; "^ Reimpection Fee laud Fee $ 3 CMF 0065-46. rev, 4194 White- BUIIding: Canary-Applicant;Pink - ACCOVotura: Goldenmtl-Assessor ' CONSTRUCTION AND PLANNING APPROVALS Permit -# - Date Inspector PG_ _ & SPA APPROVALS Permit Date Inspector • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement• 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical, Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test =6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - - 58. Electrical Conduit-Undrgrnd.' 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. - - 60. Backwash Lines, P -Trap, 0 Undrgrnd. - 110. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection .62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater& Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit - 66. Solar System -Final 16. Rough Electric Wiring - 67: Fencing & Access Approval - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating L-Fr7 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy• - 37. Final Factory Fireplace 38. Final Plumbing ' 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer , 43. Backflow Irrigation 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date Appn[am to fill in an spaces within heavy border lines and Stan an aPPtOPrISa declarations. CITY OF COSTA MESA MESA MIT CONSTRUCTIONOF COSTA `h OO .RACY NO. LOT no. BLDG. Nor 22�/ CJ ✓ TYPE OF CONSTRUCTION NEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑CONVERSION CIDEMO_ISH ' /❑OTHER 0996 1/20/82 9.00 ZONING REGULATIONS Project Address Owner sai PM10 dtdp�Afl ¢SY .ArcM1 Eng. Limn¢Na, _ DESCRIPTION OF WORK A.R. di ' - - ZONE - PLNG. REF. ¢". �� I YPE OF PERMIT. ❑GRADING ❑ FOUNDATION ❑STRUCTURAL ❑ TENANT ❑ ELECTRICAL CIPLUMBING ❑MECHANIC ❑OTHER Ip VARO 5Ep IyIIGI " d&pOLCirvE .AtlAres - LICENSED -CONTRACTOR CLARATION I he`Dy affirm tRt I em licensed der monslOOnS OI Charter 9 hown Ing with tion 000) f Opeden 3 1 the Buslne¢ NOloblons COVf% license i m lull torn nJ� E p p u«nse Class Li sa NO. ////'. - PROJECT DESCRIPTION SO. FT. -OCCUPANCY_ CONSTRUCTION TYPE REAR YARD ITO Pi PRO. SPACE REO. _ STREETWIOTH PROVIDED PARKFEE§ Oat Signals r WORKERS' COMPENSATION OECLARA ION hereby affirm that I have a cert ty�}1 ante nt b set ns Or a certificates 1 WINk is Dean nsainto en , Or C if d COPY v- et(Se[tl b. LaC.l. LN " ' - VALUATION ZONE ZONING APPROVED BY DATE GRADING OLL YOS. ACRES SPECIAL CONDITIONS! - REMARKS: Ir No. Comps r rtilied cay it hereby furnished. q _ �Fyy�`.-�rtltlp copy 6 filed With the site BOIIO oT? e EXEMPTION-FROMLWORKERS'COMPENSATION DECLARATION (This temlonead not be Completed R the permit 15 for one hundred - - (§100) or less). Iscertify that l-malll not employ.manice Of any person I, any manner for 'ch this sO at to Permitis subject t0 the WOrkeriPCOMOMia00n Laws_ Of Callf rrOIa.LUVI PLUMBING - � PLAN CHECK - ELECTRICAL PLAN CHECK - BATHTUBS SHOWERS- - FT - Dale Signature NOTICE: If after making this declaration. Y u Should became subject to the WOrkarT CtErp nsatiml PrwelGm 0[ the Under Cape. you Tell forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY - TOILETS .URINALS - -- - LAVATORIES DOUBLE LAVS- - GENERATOR 0-I KW_ 1-10 KW - TRANSFORMER APPLIANCE- 3050 KW-50+KW KIT.SINKS - - DISHWASHERS - MOTORS 0 HP_1'A0 HP I hereby affirm that there Is aviontruction lending agency for Me Mr- formance of the work for Which IhiS"permit i�i d (Section 309,1 Civ. C.). _ .-- -I N. y� r ^'4 fd 1jT' Lampert Name e SERVICESINKS, SUMPS - (I NO. SOLAR). 1050 HE 50+He FCOOR'SINAS FLOOR DRAINS FIXTURES- - OUTLETS SWITCHES - Lender'[ Address DRINKING FOUNTAINS- GA57UBE SIGNS - OWNEYRBUILDERDECLARATION If"o lollowinemeason ISesias 7031.5 Business actl Professionsobalt Any dty O county which requires a permit oto construct. alter, Pane demo l6h or repair any Structure, min, to lit Issuance, also P. OYPeS ilio aq.,team for such permit l0 file a signed Statement that he INTERCEPTORS - CLARIFIER$ - - POLE LIGHTS SWIMMING POOL-- PTRAP -- - - POLES METERED _ SUB WATER SERVICE ALTERATION PANELS MAIN SUB Is licensed pursuant 10 the provisions of the our. ctorY License Law !Chapter 9 (Commencing ILN Sectlon 7000) 1 Divisum 3 of the GAS SERVICE OUTLETS SERVICE- - - - - AMP - pions CON) Or that no IS decamps iheVoand s 9Pd RMndecampsmm m b or the alleged exam rttion. Any Satiation of Section 7D31.5 by WATER HEATERS BTU OUTPUT - SEWER 01 ..vi PliOle llhan liufor a 6 hUntlrCdOUOIIaR If5y the 00)Inni to a drll penalty ❑'I, as owner of the Property, or myemodYee[ with wages a3 their sole CompCmi 1,1gn, Will do the work, and the structure is not Intended Cooffered for sale: (Section 7044, Business and Pr01ess100N Code: The ntractor's UCMAO Haw a assay to a f aperty SOLAR TANK - COLLECTORS -- SOLAR PIPING SYS, - - - - - - ISSUE FEE - ISSUE FEE ix APPLICATION APPROVED BY DATE - who builds or Improves thereon, and who does Such work himself or through his own employee$. provided that Such Improvements and not mtendOd-Or offered -for sale. 11. however, the buildingr Improvement is std within one year of completion, the owner will nave the burden Of Proving ge-didnot build' Intended for the purpose Of le).- ❑ _ caner of the Property. am exclusively contracting IIneOSedScO tractors to ronsbun the project (Section 7044. Business tl,Frofa OlOns. Code: The Contractor's License Law does not apply l0 an owner I ts from property who build[ Or Improves thereon, and w n- is with a can ractor(s) ILesned pursuanl,to the Contractor's projects ❑ I am Oxempl under Sedlon - B. & P. C. for this MECHANICAL PLAN CHECK - HEATING SYSTEM 0-1 OSLmQ BTU AND DUCTING- 100,000 � BTU . REFRIGERATION 0-100,000 BTU 1 SYSTEM 100.000 a STU - - - BOILERS - BTU - I EM SYSTEM REPAIR. ALTERATION -- EXHAUST SYSTEM MULTIPLE SUMMARY BUILDING .. 'PERMIT 5 PLAN CHECK § PLUMBING f PLAN CH ECK tl - ELECTRICAL I PLA § -MECHANICAE-E PLANLHECK § - OF FEES, ,. $MIP § ,PERMIT ISSUANCE .§ GRADING 2 § MICROF.ILMa TOTAL FEE §" VANCE PC f_ Oaten Owner Lherebrn fy that I MW lead this acpOpinintion and stale that the above Informal! Is I VA -ogre( -l0 ply with all City end county ordinan stat slaw nla[inq ie consbucllOn.a doer ya n011Ee ordman w B YY a our roan m ned prapor In DO a 10 P aI FINAL FEE as Drivers me-por 5S 9f ISSUE FEE - ._ - _ CMF 0865-4h WhIte-Building; Idomod-Assessor CONSTRUCTION AND PLANNIN,�r,•.� APPROVALS Permit #---�- Date Inspector POOL&SPA APPROVALS _ Permit # 'Date Inspector Temporary Electrical Service or Pole 43. Pool & Equipment Location--- `- - - ' - - - _1. 2. Soil ipe-Undrgrn % 44. Steel Reinforcement_77- 3.- Electrical Conduit. Utility-Undrgrn 45. Forms - A. Electrical Conddit-Undrgrn 46. Electrical Bonding" - Steel Reinforce _ 47. Rough Plumbin - & Pressure -Tat - ressure-Test'6.-ElectricalUF,ERGrn 6. -Electrical UF,ER:Grn 48. APPROVALTOCOVER-GUNITE - : Z. Footings _ _ 49. Electrical Conduit-Undr rn _ B. Foundation _ 50.. .Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn, 51. Backwash Lines P -Trap=, -tel U ndr qrn 10. Structural Floor System 52. APPROVAL TO DECK - Al. Property Sewer Line & House Connection 53. Backwash & Receptor -Final ' 12. . Street Sewer Connection 54. Heater & Vent -Final 13. _Rough Plumbing -" 14. Rough Electric -Conduit - ' '" - 56. -'Electrical -Final 15. Rough Electric -Wiring '- 57. -'Solar System -Final ' 16. Rough Heating & Air Conditioning - - - - - Fencing & Access Approval 17.- Ducts in Structure 59. APPROVEDFOR PLASTERING - 18.' Ducts, Ventilating - - - - 60. - POOL/SPA SYSTEMS FINAL' - - • 19. Gas Pipe -Rough &Test - -- - 20. Roof Framing - - - - - - - - 21. Roof Sheathing- - ' NOTES: 22: Frame and Flashing 23: • Insulation - - - - - - - 24. Lathing & Siding V - 25. - Drywall Nailing 26. -Plaster Brown Coat 27. Electrical Power Meter -Final 26. 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' t 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 RR in all Seared Within heavy border linea and thin All ppropriate declarations. . -CITY OF COSTA MESA PERMIT N .' CONSTRUCTION PERMIT /N— RACT NO. LOT NO. BLDG.Q/,� fM81-380 3 ',` © •" TYPE OF CONSTRUCTION KOEW 'O ADD DALTERATION ❑REPAIR E3GONVERSION: 0 DEMOLISH. `' "'O r,_ I IF f$?,.,$t. b rlf 1 _ {- ZONING REGULATIONS 1 eUO 1I\y- Project Addrm _ ♦.r �T 1 N'kLAddnm 'OWntt ^ - PM1OO¢ r! t•aq �Addrb l� - FArcNEnP. HALil !License No. DESCRIPTION F WORK O _ K hit ' 'ZONE r� PLNG.REF.$f, - V) COrdrselor - :Phone -• - - - ;TYPE OF PERMIT a. ISErapcK "`- ❑ GRADIP I ❑ FOUNUGN ❑ STRUCTURAL--- o YARD-_. ❑ TENANT 0 ELECTRICALITO PLUMBING-^otpIECHANIC l EF Tp BUI LOING WO FIFTY urvE i 'f i. Address ' LICENSEDIn CONTRACTOR DEC ARATION I di eWf'r that I am licensed 0 Provisions f Cn 1 9s( q dM1 tlopppppp ]000] d rf I05 Code, Ja mY II S 1 1 full / cc���� I C[ Profess IJ -Llama -- LI N d -I .l _ ❑OTHER PROJECTO ow,. jiPKG. SO FT.' _ _ OCCUPANCY CONSTRUCTION TYPE VALUATION ZONE 1 T _ REAP YARDTO P/L� SPACE RED \ _ _ N TSTREET WIDTH 'ZONING APPROVED -BY BV' _ - -J PROV DED, PARK FEEE I DAT» S19 nature WORKERS' CO PENSDate DN ECLARATION If hereby affirm that I have a CII [ t fJ a suranu .or a c llfole of Workers' Comparratlon 1 ef1111ed.wpY fI t 0 b I.C j _-y 1 'NO. - _ .._�_ _. - __ - r ,SPEC ACCONDITIONS GRADING CU YDS. ACRE$ ^r <YCompany 5 ICef1111e0 COPY IS hereby furnished. �,': '- gEMA0.K5 L '- '- ' - -" ""- _ _ _ _ .., r' ".,n cernnea codv Is hied with me city Building Division- EMPTION FROM WORKERS' -COMPENSATION "DECLARATION (Tms 11seofon eetl pot be comp) t6a I M p m t I h 1ECe00IlY'Shat SnohC Performance I to k / which tM1l p It l- issueSUbhd Id,Mel noamtoy n etlo La )�ol Cilli lila t 'bec _ '� --' - Pit] 9 Is PLUMBING I" - - ;PLAry CHECK^ — 1' (ELECTRICAL' -- -PLAN CHECK-;, - BATHTUBS - SHOWERS'-' �'- UVELLINIta-' UAHA `- -" - Date I Slgna[ure I NOTICE; If after milking this dand [Ion, y SM1O Id pot 6 UML tO the Workers' Compensation pmvlslons al the Labor Cade, you must forthwith comply with such proomans Or this permit Shall be deemed ' TDILETS - � �URINAtS -" .1 ^. IJIVATORIFS DOUBLE'LAVS - _ 1-" GENERATOR-- 'FI_KW -' 'TRANSFORMER - - - `--APPLIANCE ---10410 KWr 1 10 KW - _- ♦'KW - Wked""' CONSTRUCTION LENDING AGENCYIf I by aH that tn a is a construction �la!nd5�!9-9 (eforth309] e Of to� k for Which this Per II. d d Na 36 - -'--FLOOR-SINKS-"'""� KIT: SINKS --DISHWASHERS SERVICESINKS etl It. SUMPS - �� MOTORS'-" 'a 1 HP-' 1-10'111P JOR IIINC. SOLARI, .lOsd`Ha 50 HP C. - FLOOR DRAINS----'lFIXTURES � OUTLETS •—SWITCHES '- LOnderY Atltl e. •. C�QY,iQYLT _DRINKING' FOUNTAIOLS"' P'—'--�'- "I'^' "'�' GASTUBE'SIGNS OWNER BUILDER DECLARATION+Wkp Iha affirm that nI am exempt from the CaniractorY License Law for therolowing reaSo (Section 7031.5-BUsin R. nd-PI0f6sION Code' Any City a =only which rpti Permit to construct. Iter, or-' k INTERCEPTORS CLPRIFIERS- -�� --- (POLE LIGHTS ^" SWIMM NG POOL' - P' RAP - --" - — - 'POLES 'METERED' SUB - 1 WATER SERVICE"-"' 'ALTERATION ' J- - - ,PANELS' MAIN'-- - SVB - pf demolish or ander any Rrvctun p(or to�(s'suan ".BO to. GYIIeSvllla apifllGnt for SUCK permit to file a signed Statement (hat he Is -(cared pursuant to'tte'p=vlate,& oi,the Contractor. License Law- FCl leer 9 (commencing with SecllOn ]000) of Division 3 of the GAS SERVICE "OUTLETS "- (SERVICE - AMP - WATER HEATERS "BTU OUTPUT' -t - -'- --- 1 here0•PrNm ons-Cde)Or that he is exempt ih¢refrom andme atFn alleged x pton Any v Iatlon f Section 7031.5 by dpllo enO�fOM1a per=il Subjects the applicant to -a civil Penally t m than five hundred dollars (E50o) �'1 aS owner of -the proper' or -myremployess- with wages—as—the SEWER CONNECTIONS" f -•'-•"- ap-014- ' u '•-� - - _ -SOLAR TANK -COLLECTORS Sole compensation. lt do the work.d the Structure 1" intended me offered for (Se 11 ]044 B d FT 1 I - Code: The _ SOLAR P NG SVS "- �( - ''ISSUE FEE'—' j Carr Laura, Law does not apply to an owner of a property Is builds a d the- tl u d M1 workhl Sel^oor through his employees, provided tM1 [ 0 Improvements t mien a ,*offered for 1 If, however, the building -or -Improvement Is Itl Within Y I Completion. 'nee ill n tooburden 1 p OVing h tlltl' t hold or improv far lh p p a1 sole) OJ S owner -of the -property, aril excluSIVSIY CotraCtlng with Ilunsetl wntrac[ors is construct the project (Section 7044, Business dna Professor Code; The -Contractor's AtcOn9 Iawi not apply.l0.. aS �ractorImproved licesn, and who COO an of Property wn0 with ttractsheC ntrcbush. panic Itn. ntractorlsl'Imesne0 pursuant l0 the Contract r L ..k Law) Olam oxen lander 1 n - —B.A v. aro. anis " sea n "-ISSUE FEE- - '� 1- "' - vAPPLICATIONAPPROVED-BY ��DATE ' _ _ � �� SUMMANYOF FEES MECHANICAL PLANCHECK '- " BUILOIryO -- + - HEATING SYSTEM 0-100000 BTU- j 'PERMIT $ r ,SMIP�9 S "ANP DUCTING'" - - -- -- - ----- -- - - -' - --- L- " — 100.000j!BTU S .PLAN CHECK E PERMIT, , ($$VAI - § REFRIGERATION 0-100,800 BTU 1 PLUMBING E- SYSTEM-- _ _ § OGRADING' 6 { 300000' BTU �'�' FLAN CHECK - - - - - - - - _ _ _ JLR ._.E ✓If LERS BTI( ! .ELECTRICAL § '" - - -' LAN'CHECK § _ MIC ROFIIM § TEM REPAIRLALTERAMON 1 I B TOTAL FEET kEXHAUSTSYSTEM MULTIPLE MECHANICAL §' - AD- I PLANCHECK § 1 LESS AD- VANCE PC -E— - ".AN f' J- _ FINAL FEE §14Po l SSUEFEE .. .... 'L. -. -- � 516 ,_____ _ J - J - J I d +I - -• - d " ' �✓/5{ ' Dela O r Ihereby Certify at hav r tl SaCpopTtlllon and Slate that the above Iniprmatlon is r ct l ply with all city nd" UOI ordinances an s e construction and hereby authorize reoresem it of a els' 18t o ter "upon the--abO a .01.41 r rl a s. pragrtY _ e ` Sipnalure S$ Daven'LJoe r55 CMF 085535 White-'Building;Cana ry-APPhcants Pink Accounting;Goldenrod-Assessor ° CONSTRUCTION AND PLANNING APPROVALS Permit# A1.590 Date " POOL & SPA - IrisPector 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_--, T. ' -45. :Forms - - - - _- 4._ ElectricaLConduit,Undrgrn, _ � - ' . --_ 46. _ Electrical Bonding ---'�- .._....._. ... .. . _Steel Reinforce _ _ 47. Rough Plumbin 6 & Pressure'Test - -- - - - -.6. Electrical UFER Grn 48. APPROVAL TO COVER-GONITE - Z. Footings _ _ _ _ _ _ _ _ 49. Electrical Conduit-Undr rn..- _ --_ 8.- Foundation- - . 50. Gas Pipe, -0 Undr in, Test .-9._.Water Pipe-Undrgrn _ 51. Backwash Lines P-Trap`E]Uhdr6rn -"--- 10... Structural.F.loor System 52. APPROVAL TO DECK 11. Property Sewer Line.&.House-Connection- 53.. Backwash &flece for -Final ` - ..12.- -Street Sewer.Connection - 54. Heater &Vent -Final - -• -_13. - Rough Plumbing - _-_ _ - " 14. Rough Electric -Conduit - - --- - - - 56. Electrical -Final 15. Rough Electric -Wiring - - '- --' - 57. Solar System -Final- - T6. Rough Heating & Air Conditioning -- - - Fencing & Access Approval 17- Ducts in Structure-_-.- - APPROVED FOR PLASTERING • -18r Ducts, Ventilating - - --- -- -• - - - - 19. Gas Pipe=Rough & Test- - --- - 20:-RoofvFramiFig' - - - - - -' 60.- - . POOL/SPA SYSTEMS FINAL 21. Roof.Sheathin -------- 22.- Frame and Flashing - - - - - - i -- - -- - - ' "'^- '' NOTES:'_ , " •• - -21 Insulation - 24: - Lathing & Siding - - - - - 25. Drywall Nailing - - - - - - - - 26' Plaster Brown Coat - 27i -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 Y, I •- 35. Landscape Sprinkling System - • 36. Sound Attenuation I 37. Handicap Regulations - - -- - - 38. FINAL STRUCTURE & BUILDING ''- _• 39. Special Requirements Completed 40. Electric Release to Edison i 41. Gas Release.'to.Southern California Gas Co. r.. 42. CERTIFICATE OF OCCUPANCY- ' No Date - - -- wvntl=ant to min all sw=ese.[apu`nin heavy border line oa sign all appropriate Card stations. CITY PF COSTA MESA' -0 - -, -- PE MIT NO.' - TRargACT NO.-. LOT NO: BLD .. _ . . .. ... _ 4999 _1/04/85 .19456_TL CONSTRUCTION PERMIT /(c �� k ,. M; Ib0-22.Y�Rf2 /{O:. I', .0- S . .. , Project Address % O- U.y ' TYPE OF CONSTRUCTION- I rLJNEw LJ ADD LT R TI9N REPAIR Appfcant Wiling Ad/tly., �I1,��3' J iD 5 r'il G✓l � CONVERSION -0 DEMOLISH ❑ OTHE / q R. # '3 OprialN � ""^"-`� ljii t44 eryone sSb-9�'30 DESC RIPTION OF WORK - _ - $ ManBulltl 0 Ac Ory Bu ld ng- - 2 Address -1: 7-1151C' (L E _ O TYPE OF PERMIT GRAo1NG FOUNDATION .STRUCTURAL T Front N A M1IEng. �' L anti NO. _ j Q TENANT ❑ ELECTRICAL D. PLUMBING ❑ MECHANICAL B q¢gr \Adtl g 39sS� ct !IG ❑OTHERI - - C Right 1 r G Co az o N S - u [IBA l� PIlJJ.�rrs��s e4S7 7ApS PROJECT DESCRIPTION SO.' FT •2 S O O OCCUPANCY _ 1. 1Adtlr¢st ma hn9l Zsbs �C L/IV4 !rt✓l' �6q']J CONSTRUCTIONTYPE 1 VALUATION$$'�S--MDU C7 $ Left C[y L ansa No C1% C' GO % LONE - OflADING CU. Y05 ACRE Park.es $ DPlng, Ref LICENSED CONTRACTOR DECLARATIONpemaiks e S I Parking Rep.lproviod, l O nhemm affirm that Lam licensed under provisions Of Charten9 [commencing r R with Section 7000) OI D 'vision 3 0l the Busmen and ProeeSSOMS cope, and 'fl Use of Building: E my license Is In 1 ane effect. Owme lass u No. 712 - - PLUMBING FEES Planning N01es: M lei•—'� f CSlgnature - - N '-'-ORKERS'COMPENSATION DECLARATION 68r Sink BM1mvers T "ereby affirm that l have a certificate of consent to selflmUre Or a Certificate Backflow Preve^ter Service Sink $ of Workers' Compensation) n certified COPY thereof (Section 3800 v N^ CA'hA5hi0�'1j31� p py C6011M1 1 Ba kflowl ri tion SewG er P _ r -- ELECTRICAL - �i I`FEESCar, ❑ certified copy Is therapy t Ina Becht as Sewer Combo n Auaomat W Mr+ Transformer ❑ 15-557KW 1d CerV}I lied w Ih tb -fY Building GI l0 ` 1 Dat t' T A I t 14!551 WF 0� Clarifiers 1 j 1 Soler Colla u Con'strun P Su . 1 ❑ KW b EXE IONFROMWORKERS. COMPENSATION DECLARATION. - Drrywpgry �. t - GOIBrP 9 �:- - ignk U L J. M¢h ® pia 1D0 -'This sects d t b corn plated f thep IIB for One hundred OUGD) Or ^$ - A . _ Coa)only that In me cerbrm rnh e o wnlcn this wrm t is Bsuee i Drinking Fount S r Tenk ?t I D-sM1pwsh ] M¢t¢ ❑ e amD �. realwan not employ any portion - any manner as to become subject to(he Swimmiri P I w , compensation Laws Off alifornia.'r .I I Floor Orainsj i B_, oC, ,'/Spay �'. j Dlyers QGBsI ❑Elec4ic Gub' el tI r'�'' Date signature z0 , ' 'NOTICE C It this declaration, vasehlab e sbjt to the FI'Sks I Urinal IN - 1 MO[O ❑0.1 HP ❑1$ S WOIN¢r -p togn- Protestant of the Lad C YOU t 1 In Ith - _ ompiy'w np"liO ml permit; hll beltl marevoked.,'! G. Servicesl Cutting_L rClamt ( ty FALL --_r-- -Inc Solar 0915 HP❑Tfi-15+-"`- CONSTRUCTION LENDING AGENCY _ _ _ - nereby affirm shat [Were iso s[ tl ale 9 Y l r the performen¢ Interceptors _ Water ter - Flxaurez ) of the Wok /Or hlch Ibl permit .n Is tl 1=cbana 3097 CIv C ] 1 - •L'[f want wnder•z N - - KitcM1en Sink palatal cry Deice Be I Pob ght 1 - Unaer's Hpa - - 1 - - OWNER BUILDERDECLARATION - 1 J lavatories, G : % ^ Gytl¢S 1�: Ranpe s 1 1 hereby. affirm i p f the Ca t aCtOY g LICenc La facing _ "• , follwing (Se tl 7031 518- a Professional Cadet Any t P T p 'I I - ,T Svullchn �'I Sign county whin response ce tl -t 1 her, Improve demolishrepair y n ucl p t Its Is I y I es the applicant f0 h permit ! D _ - Ger If signed statement that he/she Is licensed Pursuant to the Prov shows fl 1 -' I� L - baye O ep `zel ! Stantli^g SBpIIO s3 ' Contractor's lJor se Law (CM1 pt 91 g with sects 70001 f , 1 Z I 1 - 1 G 'ereta ❑D5 KW ❑5-15 KW Train C m ctor vlsil 3 f the. Business a PrI 1 Code) , that he/she pt j l y j I ( Pa wherefrom and the basis for thealleged pts AnyViolationf 5 l _ ,therefrom by Say' applicant f Permit. appliedt 1 11 1 1`qB Cir4n F 1 w 3' s�nary bl;npt more roan fiv hundred a II - ($5001 - 1 W , $$5h Ix F e� I S 3 LJ ner t me vrop ty R p1 Y IN 9a' [n RnnipeR $13 on tl win a0 thew k a N t cture B t Intenaetl or ouerea 1 MECHANICAL FEES k t pl'al5ecdla 70a4 Bu d P f I -1 C tl Tna Contractors .- PUBLIC SERVICES REQUIREMENTS: I L' ave aides not aDo Y t 1 p pertY n bullda or Improves B 1 H tl or. Type II ❑ 1 m tl h d h k.hl 1//M1 1} lh gn nls or M1or own - 7 Zq g. Approved By to if 5 employee a a m t n' p t t0 t pee :car offered for - Canopy Type 11 ❑ 1 pprovetl ByOR Sir to U n to b Ilal ¢ 'I p o t 6 sola W in n one near of wm D t U deli Ground 1 7 r q I Gtipp q plotlBe..ih III h ih b tl f p ving he/she d10 n01 hu Itl ver hm PA PS _ fort a purpose o/ Mlel Duct Slruciu I I fl f' 9 ration $Vita - 1, Application lsal By' /AUi / / IV ff.lne property ' ly t dl p 'th IlGensed COM En-sm 0nStruct lnO prof ifs tl 70aO Bsl pian tlPofe oslOns Code D f Ventlating ❑0100.0 U.❑to0,0oo BTU 7�� 'SUMMARY OF FEES _ The n eonl IM pr •s ucense la [ ppry 1 f p v - Exhaurt System ❑�-Minn le❑ - 'S m'Re -BUI LUING PERMIT $ � � .SMIP $'iA %.5 bales or Impise P tnemfn, e K t t f n p (nti - Itn p pp r/AlterMlan ,.ry Op 7 SradOr(A Ilcenze pursuant tome COntraaor s V a yeti 1 , PLAN CFIECK 3n]p $ . PERMIT; ❑'I am exempt a^tler Setllonreason r Firspoill BIL ICBG # 'r I 1 - I 'PLUMBING $; ISSUANCE - $' Date I Owner L ' - / Heat ng system &Ducting ,(PLAN CHELK $ IENERGV P.C.: $ hereb a tIlya that I have Y ad this applicattion and State twit 0[pe aUOV¢, ❑OI W,DGD BTU ❑1 BB h Inferma ton cattily r ag.0 a cap o atony[ elnaeces _ 1 ECECn-RICAL $ GRADING $' and state IawS retailing toor IML g c rucU a a h cal 1 moral Pio ) i .PLAN CHECK $ !MICROFILM ` $ 1 boadn U'S of obs Il lO 1 b t pecuon pur s>s. ' �MECHANICALar I $ - :TOTAL FEE $ 5p;? S6 I Sgnature -9 Ota Y �5 { 1 I w Odvers• LICenseor SST i Rinspection Fee 535 1 Ibw Fee I I$3, a -PLANCHECK - $'I I I 1 ' tint: Pink,' -Accounting; Gold¢motl Assessor I ' t _ _ - _ .j - _I .CMF 0865N6.rev. 7/e3 lV. . _ _ CONSTRUCTION AND PLANNING APPROVALS Permit#' _' +'- Date "`-"�"' Ihspeator- -- ":P &SPA" .-?APPRO VA CS-Peimi[# Date Inspector 1. Temporary Electrical Service or Pole` - - 62.. Poolr& Equipment Location 2. Soil Pipe-Undr ,grnd. I- - •f :- �ell - - ' 53. Steel Reinforcement ri -"3•Electtical ConifuiYUtilrty-Undrgrnd. -_ 54. Forms '4. Electrical Cond•uitjUndrgrnd. ., 55.-Electrical Bonding.- - •-"+ 5•,Steel Reinforcement�'1 i 6` c '56.= Rough Plumbing & Pressure Test `6i 'Electrical UFA Grn`d."� 57 APPROVAL TO COVER-GUNITE f n i, 7. ,FootirTg •ti' ''� -.- I% r �` - _ 58. Electrical-Conduit-Undrgrnd.'; , '`' •� & Foundation 59. Gas Pipe, El Undrgrnd., Test 9..WaterPipe-Undrgrnd' '60;-. Backwash Linei, P-Trap, 0 Undrgrnd.' _ 10. Structural Floor System C - •61.-APPROVAL TO DECK 11. rproperty Sewer Line & House Cornection 62 Backwash & Receptor-Final 12; (Sewer Cap - 'r i ., ,•;� 1 r - - _63.,Heater & Vent-Final 13.' Ro'of,Drains 1'. ( 1 - � - 64. Plumbing•System - Final ' u 14. Rough Plumbing. - .. 65.."Electrical-Final... 1 " ' 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 -� i ` 69:' POOL/SPASYSTEMS FINAL l • - " 19. Rough Heating &.Air Conditioning ! f FIRE DEPT. REQUIREMENT APPROVALS Permit-# -20. Rough Factory Fireplace i' 21. Ducts, in Structure .70. Underground Hydro '22. Ducts, Ventilating 71. Product Piping 0Gas`O'Oil .23. Gas Pipe-Rough & Test , 72. Underground'Flush-- 24. Roof Framing ` .73. Undergrnd. Storage Tank O Gas O Oil 25. Roof Sheathing 74. Overhead Hydro .26. T-Bar Ceiling (Structural) & Monocoat (� $ 75. Dry Chemical 27. Frame and Flashing r WW- O,3/�S - 76. Dry Standpipe _ 28. Lathing & Siding 77, FIXED SYSTEM FINAL " 29. Insulation 78. FIRE PREV. FINAL ,30. Drywall Nailing ' �5- . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat, 79. FINAL INSPECTION - 32. Electrical Power Meter-Final I 80. FOOD CERTIFICATE-ISSUED 33. Final Electric i Notes: g ;� 34. Final Heating& Air Conditioning i 35. Final Gas Pipe-Test ' �''' 36. Hood or Canopy' 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service=Final ' 40. Gas Service-Final , 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations- i 47. FINAL STRUCTURE & BUILDING it 48. Special Requirements,Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ' 51. CERTIFICAT,EOF OCCUPANCY No, Date - - ` - City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. 001055 P. O. Box 1200 Costa Mesa, California The Building located at 3505 rAT)TTTX7 UNIT *0-105 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group P-? Occupancy. Use of Building (WIRTf'P. Legal Description 1.39—Kf,2-17 (See reverse side for Metes and Bounds) Building Permit No%+-1rQnk Electrical Permit No. PMVlAQQ1 Plumbing Permit No, PMP.1fC)g1.P1.750 Mechanical Permit No. Number of apartments and/or guest rooms ISSUED TO: i111VlTi X7.T. RATr'�InM - Building Official a --AL by 9-'�r47: -Arnr f'nr1TT.T2! ftrl_lln r n4�nn MRCS r•'A. Date 2//'9/8S This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File -' Applicant to fill in III spaces except those wilhin heavy bolder lines and sign a1 appropriate aeelaratmns. - 5307. 1!-09185 h5e55 TL CITY OF COSTAwtESA COAST TION PER PmjedtAddlean j-S77 e�e+GCG/re[ O—/O — PERMITN% p1,'1499 TRACT NO. / LOT NO. UN1TN0. - ' - • / AppIICB11YS Ma111ngArea ��bJ G`/aeA as t•L �p3 Owner's Nanta I bone's;�� ¢ 12!DESCRIPTION Address AG TYPE OF CONSTRUCTIOIN/ r NEW ADD ALTERATION REPAIR —i CONVERSION �� OEMOLISN ❑OTHER OF WORKJUBE OF BLDG. A.P.$ I Zona S Mein Building: Accessory Building: ArcNEng.'�Q • Licensa No. Adore= .L V g! % TYPE OF PERMIT G� GRADING �T FOUNDATION STRUCTURAL TENANT & ELECTRICAL •Q PLUMBING MECHANICAL — UOTHER PROJECT DESCRIPTION SD.FT. OCCVPANCV CONSTRUCTION TYPE VALUATION$ _ ZONE GRADING OU. VCS. - ACRES T Front p B A Rear - N I Contractors NamS hone612`72V K Right G Atleress imailing) �a J 6 $ 'Left I - R City LhonsL' No_ _ _ _ LICEN$EDCONTRACTOROECLARATION I reedy affirm that I am licensee under provisions of Charter 9 (Commencing mwithy anion 7000) f Dunstan 3 Of Inc Bull 800 Proferslons Code, and my license Is In lu n0 effect. z %l q Cla i a 4 1 Rog. Raf. ryW Parking Req /Provided E Remarks: Planning Notes: - D M - T s Dtena p Date 9�—�aignature PLUMBING I FEES 4 WOR%ERS mthatICOMPENSATION I ONDECle ofco ON have Ineraov RI m1ln awsurmrte Ofmnan[toauOPYtherof Bar Sink Showers d _ ELECTRICAL FEES I J a \ of work Compensation lnzdrann. Or certlned copy thereof ISedtlpn isction polio L.o, ca policy No. A'Q SFFOa'f Idea company Tw's+. L.�.w.--✓ ❑ Certlfle0 Clip Is M1efebv f d rtlfled CO stied With to City Bu In901 ion.014% Da[e KER Sit' a�/P /49r•L. E%EMPTIONP M ORKEq$ COMPENSATION DECD (This section nee net be completed if thepermit Is for one hundred {81001 or tasef " Shall t Ire that inrtha parfnrm a f m k for Whlch this Permit Is Issued n t employ yy person1 as to become Subject t0 INC WorkerSrCOmpar= n Laws of California. manner .One Signature -NOTICE: 11, after making this declaration, you uould:become subject to too workers' Compensation pionmOns f the Labor sCode, you must forthwith mply with such provisions no this permit hall be deemed racked. Backflow Preventer - - Service Sink Automatic WMhm Transformer El 1550 KW - ❑ 50+KW CanstiucUon Pole Sub Backflow Gri tion e Sewer Cap _ t Btbtubs Sewer Connection a• Cocking Unit Mete ❑up to 100 am amps - Clarifiers Sola! Cole[[0r5 , Dishwasher Meter Opener (DD 8mp5 Dishwasher - Solar Piping 'Dryers ❑Gas ❑Electic Sub Panel Drinking Founts s Solar Tank r Fan Motors DO-1 HP ❑1X 8 ' Floor DrainsSw ming Pool w/See int F.A.U. Inc. Solar ❑415 HP❑1fi-151 . Floor Sinks Urinal - - - - -- Fixtures MIC! owave O Gdz $ervi[Q Dutl¢Is Water Clonal DBViCI Boxes %Is Light I CONSTRUCTION LENDING AGENCY I Marshy affirm that mere Is a construction lending agency ler the performance of the work for which. this permit I1 Issued (Seitton 3097 Cie. C.) LAnder-S Name' Interceptors. Weler.Heate1 3 Outlets Range 966 . Kitchen SinkWater Service Switches Sign' Lender'sAddress - _ _ _ OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the, following reason (Sactlen 70315 Business and Professional'Code: Any city or county a Lure. pQprres a to Ili issuance. alsormit to trrol let the pplican `molish or for Such permit air 1 111 signed statement that nephe Is licensed pursuant to Ine'provlslons 01 omenn og.vnm So m eon 7000) Of the Carls the Caruterine law tCnapter 9 Km DivBlOn 3 Of the usiness and Professions Cod*) that no/she-la Pt ctio berefroand the basis forthe Mason exemption.. Any ViOb len of an m 703..5 by any applicant for a permit subjeCls the aPPIkon t0 civil 6n Ily pl no1 more than live hundred dollars (75001. - m, a n r of me properly e y e oloyen with wages dnor sole for °ale�a�seciio II7O`44 `Business arae vroi conal Code! TheeContrafctoei License law does not apply t5 as owner of a property vera builds Or Improves thereon e and who does such wok himself/naseh or through his Or her own employ n Provided mal Such Improvements are n Intended or offeree for Site, li, howeever, the building Or Improvement ISSOld within one year Of COM- station, Inc owner will nave the burden of proving nephe did not bund Or mm- ve for the purpose of sale). of the properly. am exclusively contracting With.liCenSee Post hatters to construct the project Ssectionn 044, Bel and Professions Code: The CGntwctprz e w Ge not apply t0 an owner of property who bunds or Improves thereon, and who contracts for such projects with a c5 Lavatories AUIO'Wnh Garbage Diapsonal ! Standing Sections P—Trap Laundry Trays . Generator QO-5 KW ❑5-15 KW Trash Compactor Drain " ' geinspeclion Fn St6 laud Fea $ S Rainspenfon Fee $15 Ian Fn 3 3. MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: . Zoning; Approved By Dale building AppwVed By n rsate�(/�� Applicat lYYad Boiler Hood or Type I ❑ Canopy Type II, ❑ ` Duct - UnOar Grwnd Duct- Structural Refrigeration System ❑0-100,000BTU 71100,000BTU Duct- Ventilating SUMMARYOF FEES Exhaust System❑Multiple❑ System Repair/Alteration laocoirol nangepeir ursuanttofro Contractor's Lia .neuLawl.Ild be I orvlaetlrmlme ❑ 1a exempt under Section E. A P. C. for this reason BUILDING PERMIT $ SMIPt $ PLAN CHECK '$ ISS MIT PLUMBING $ � '� ENERGY P.C.$ PLAN CHECK 35% E O ENERGY P.$ ELECTRICAL g /,3 P�0_ GRADING E Fimpl/Fact. Bit. ICBG # Fire Campers r Dau Owner Hereby w tiryOmal 1: have, rete this application and rata that m show arimrs auenris t.l a area tocmply with an city and county ordinances in Heating System &Ducting ❑0100,000 BTU ❑100,0000T Registers O ^ tate laws Ireiai to fou Idmg SO trundle and hereby utnoaz euro- of t rz c' IO dal u IOe - toned PrOpe y for inspec9on purpo /�J slgnalo.e Date Drivers' Llcenm Or 55 iP PLAN CHECK 50% g �� a7r[['�Q MICROFILM E MECHANICAL $_ TOTALFEE $ PLAN CHECK Reinspection Fee $36 lane Poe S 3 OMs 0965.46, rev. 10/84 WM1pe - Building: Canary - Applicant: Pink - Accounting; Goldenrod - Assessor /' CONSTRUCTION AND PLANNING ` APPROVALS Permit # _ ✓ Date Inspector POO` & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil;Pipe-Undr6rnd. _ ///d��'S Lg% 53. Steel Reinforcement -_; 3 -'Electrical Conduit Utility-Undrgrnd. 54. Forms _ 4. Electricel Conduit:Undrgrnd. 55. Electrical Bonding 5: Steel Reinforcement 56. Rough Plumbing & Pressure Test �lr' 6 ;Electrical'UFER.Grnd. - - 57. APPROVAL TO COVER-GUNITE 7-7Footings�`', / !r 58. Electrical Conduit-Undrgrnd.".� 8. Foundation'-' i� �,-° 59. Gas Pipe, El Undrgrnd., Test 9.' Wet4 Pi a-Undr rnd'. - P g „ - 60. Backwash Lines, P -Trap, ❑Undrgrnd. 10,Svuctural Floor System ° /, 61. APPROVAL TO DECK 11. Property Sewer Line & House Con- nection 62. Backwash & Receptor -Final 12� Sewers Cap 63. Heater & Vent -Final 13.' Roof;Drains r 64. Plumbing System - Final 14. Rough Plumbing', ''/5 �5 C�(� 65. Electrical -Final rel 15. Rough Electrical=Conduit i �/L 66. Solar System -Final 16. Rough Electric Wiring G 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling opl 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ��� aA FIRE DEPT. REQUIREMENT APPROVALS Permit # 20 , Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O 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 217 1,450 39. Water Service -Final' 40. Gas Service -Final 41. Solar Domestic -Final - 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING - 48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to Ru In all Spaces except those within home border Rnesana sign all appropriate declarations. 3800,-12 !�' Policy No.M� V•rfrf85 953/company L-�^^'r as-(/hsOLJ CITWOFCOST ESA 'COa^�1cTR CT AN'PERMIT - Project Address U (_q(ca. J(.e C �D'� PERMIT NO. TRACT NO. LOT NO.. UNITNO. , i asso TYPE OF CONSTRUCTION NEW' Ano ALTERATION REPAIR SION 0 O CONVEP:DEMOLISH 0 OTHER OESCR I PTION O F WORKIUSE OF 8 LDG. ` l/GC P-2- Applicant's Mailing Actress 3SO5 CAM�M :o 0 Z hone Vi .SL' wOneds Name ��� V 1- �-aE 4 G � - Address Water Heater A.P. Bathtubs Sewer Connection AfCM1IEng. License N2 Address - TYPE OF PERMIT GRADING OFOUNDATION OSTRUCTURAL ❑ TENANT 0 ELECTRICAL OPLUMBING..0 MECHANICAL - ETOTHER PROJECT DESCRIPTION SQ.'FT. OCCUPANCY CONSTRUCTION TYPE VALUATION$ ZONE GRAOINGCU.YOS. ACRES Clarifiers I EA Contractor's Nam 4C V)OOr� Phone j4 z izi1 'DEVELOPMENT SEN VICES REDUIREMENTS:' Address (mailing) j_r0 SG vC It, C Cly License N 2 O - r LICENSED CONTRACTOR DECLARATION Pflg' Raf' Remarks! I Planning P Boiler I hereby affirm that I am licensed Under provisions or Charter 9 (commanding with mi yuodl of Division a of the ensmeM and Prmeed0 s code d Hoodor, Typal '❑ Canopy Type 11 ❑ Duct -Under Ground `I ideate tens n /uII anletfect '7 i z� UarrS Clam Datar/— !r SiBnaiere _ _ - J�[G� PLUMBING FEES nUl WORKERS' COMPENSATION OECL/1RATION Ihereby affirm l havea certificate of consentto salt-Insure.or certificate Bar Sink' $hoWafe ' . Building Appmwa By Application bought ey \ of workers' Compensation Insurance or a certified copy mefe0l ($actton Dab '.� 3800,-12 !�' Policy No.M� V•rfrf85 953/company L-�^^'r as-(/hsOLJ Backflow Preventer Si.Sink Floor Drains Aummatic Washer 'Backflow Irrigation Sewer Cep- Con¢rudion Pola RCertified copy is hereby Droll Water Heater Ce Lfled copy Is tlle¢wlih the city Bullpag OI Isl Cate_ - y y -4b Applicant :A g � - E)OD Cd Bathtubs Sewer Connection IDishwasher (poking Unil Clarifiers I SOIer Lb118Ru" - 'DEVELOPMENT SEN VICES REDUIREMENTS:' EXEMPTION FROM WOK KERS' COMPENSATION DEC LARATION_ A6inspamion Fee This section need not be completed It the permit Is for gine hundred 761001 or - MECHANICALi Boiler I thatplInn the' loy yerfnrmanGe OI the work for wlanPerson in any manner so as ❑ I am exempt under 5[• Date I Drivers' License or 55 CMF 0865-06, rev: 16/94 .Ane did not build or 1m. going camel:csmtse cone: eb 0o f Orderly Who such mo;eci with 'sd. Law). I am aware that ouid be provided tom . B. d P. C. tar this reason Applrana Dishwasher Solar Plpmg Drinking FOunteins Solar Tank Floor Drains Swimming Pool w/$p: Floor Sinks Urinal Sao Service Outlers Water Clasli[' Interceptors - _ Water Heater Kitdian Sink- - Water Service L-avatmies 0 Auto -Wee P -Trap Ledni Travel HOOF Drains - - 'DEVELOPMENT SEN VICES REDUIREMENTS:' A6inspamion Fee $15 Issue Fee - MECHANICALi Boiler I Hoodor, Typal '❑ Canopy Type 11 ❑ Duct -Under Ground 2bnme Approved By DuctStructuralRefrigeration System IedtinA Sysfem &Ducting Hegieters ]o-nDa,Boo Bru ❑noo,DDo er _ . . _ _ + I Ralnspemion Fair $15 Issue Fee rmtl - Assessor 7343. a/11/05 _ 5.00 JL G■ ral mecTirrovinern ELECTRICAL .FEES 'Translermer 015-50 Kpe ' ❑ 50 t KW, Fan' Motors ❑01 HE 018.8 F.A.U.Inc. Solar 09 15 HE ❑16-15+ Fixtures- ' Micram® ' Device Boxes s pole Light Outlets genge t Switdhas sign. . Garbage Disposal ; Standing Sections r '$ i0IL Rainsfaemion ism $15 ISRw Fw i 3 FEES 'DEVELOPMENT SEN VICES REDUIREMENTS:' - + - - 2bnme Approved By Daft . Building Appmwa By Application bought ey Dab '.� fUk BUILDING PERMIT SUMMARY OR F '$ EES SMIP, I / S .. PLAN CHECK $ PERMIT PLUMBING' PLAN CHECK 25% ELECTRICAL - PLAN CHECK 50% .$ ,p0 $ $ •$ I I ISSUANCE1!;_00 ENERGY P.C. GRADING' MICROFILM i$ .$ ;$ $ i ' - ' MECHANICAL $ TGTALFEE $ S 3 PLAN CHECK 25% .$ `CONSTRUCTION AND PLANNING APPROVALS - Permit # Date - Inspector - POOi_ & SPA APPROVALS Permit # Date' _ Inspector -1. Temporary Electrical Service or Pole 52. Pool.& Equipment Location _ 2. Soil Pipe-Undrgrnd. ' .•I • 53. Steel Reinforcement - d3. Electrical Conduit Utility-Undrgrnd. -I 54. Form's -4. Electrical Conduit-Undrgrnd. - 55. - Electrical Bonding- '5. Steel Reinforcements - 56. Rough Plumbing & Pressure Test `i 6. Electrical UFER Grnd. • - - 57..APPROVAL TO COVER=GUNITE 7. Footings - _ '• ° 58. Electrical-Conduit-Undrgrnd.. _ ',•• B. Foundation 59.' Gas Pipe, O Undrgrnd'., Test - 9. Wate _ ' e-Undrgrnd. - .� - - 60: Backwash Lines, P -Trap, O Undrgrnd. ' 10. Structural Floor System ' - 61'. APPROVAL TO DECK- _ - 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63: Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing, 65. Electrical -Final - 15. Rough Electrical=Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17: •RougnlNiring Sign 68. APPROVED FOR PLASTERING . 18. Rough. Electrical-T.Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT APPROVALS Permit# '. I " 20. Rough Factory Fireplace 21. Ducts, in Structure.• 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas.: El Oil 23. Gas Pipe -Rough & Test - 72. Underground Flush ' 24. Roof Framing 73. Undergrnd. Storage Tank O 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 I. 30. Drywall Nailing HEALTH DEPT. REQUIREMENT ' 31. Plaster Brown Coat i 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80: FOOD CERTI_F_ IC_ATE ISSUED 1 33. Final Electric r Notes: + 34. Final Heating &Air Conditioning - -. _. _ _ i 35. Final Gas Pipe -Test; 36. Hood or Canopy - - - 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final - 41. Solar Domestic -Final - -• 42. Backflow Preventer 43. Backflow Irrigation. i 44..Landscd6e Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING S 48. Special Requirements Completed ' 49. Electric Release to Edison 50. Gas Release to Southern CaliforniaGas'C40 e. 51. CERTIFICATE OFOCCUPANCY � No. - -Date -- '-- - - --I---, -�-- ! Applicant to nu In all somas within heavy border lines and sign all appropriate eeelaratlaro. CITY OF COSTA MESA P MIT Ny, -' TRACT NO: LOT'NO. OG. NO. CONSTRUCTION PERMIT X3 rias' 'f+' 'I U-5 TYPE OF CONSTRUCTION E$NEW =U ADD - ❑ ALTERATION -'� REPAIR 1) CONVERSION ❑DEMDLI$H 0OTHEN ' 66_15-.'6_/0.!/82 '„ 19_.00 ` REGULATIONS •�A:P:#- • Project Address 3505 Cadillac AVBDUB � GYmM - Phone' Address '! - `Aich/EDB. N Yt BeaCh License No: DESCRIPTION OF WORK _-ZONING Address - _-- - ZONE-- PLNiGU.RgpEELp9�N ' -Cpmrecmr Them81a1Y nC. "Phnne'283-58 TYPE OF PERMIT.- -" -�-- - SBUILDING - ETBACK[LST. OGRADING lire"FOUNDATION' ❑STRUCTURAL- SI Yg R.11I '❑ TENANT O ELECTRICAL 13PLUMBJNG M&ECHANICA LIp VNOGEIRTY urvE - - AE(IrGa " LICENSED 'CONTRACTOR DECLARATION I hereby affirm IM1ct I a licensee der provisions of Charter 9 team uDIWOe with -section )0001 1 3 f-thel OuElnuu a tl -0 OTHER 'RIng' omsslons Code, land my Manse Is In full force and effect REARYARD(TO P/IJ_PROJECT _ DESCRIPTION IJCenH Cldi6 V n o sq: Fr. TI - OCCUPANCY • CONSTRUCTION TYPE _ _ •i PKG:SPACEREO "" "Q STREST WIDTH _ -PROVIDED _ _ Da10 5/20/&2- �' '" WORKERS' COATION- .. OELLate Jhereby that I Kama ofcN a M1aManmtioai Of-cOle,o[ VALUATION ZONE _ --IZONING'APPROVEp BY -' - - 'GATE - -of-SM1dt aNIHn6ur0 Ireof a 1'W3so(s) Com pensatlon-Insurance Or a [ertlfled. _ ,GRADINGCU.VDS. ACRES `SPECIAL CONpITIONS - polictibli. Ron3B00 Lab C1 SbncyNO.- DSPRTTh069A6mmnyF Am n Tndrmni Y - -- - - .REMARKS s C ❑ Cenlfle0 Colharraby.furrillosed. ]d CaNlfletl COPYl flld with the City Building Division.t 'EXEMPT -EXEMPTION FROM WORKERS-COMPENSAT ON -DECLARATION -r ' n roled.nolcompleted if thir-pernot 11 for one hundred I Il n• a 1a100) o least I '-'.I-' - _ _ _ f _ -- _ _ _ _ _- _ I zd atlfl shat In 'he performance the work to nl M1 [M1ISOpeI 'PCVMBINO -' O,I hen nut amany ra In any Sy -De �" l .PLAN CHECK -"'ELECTRICAL - 'PLAry CHECK-• - nil _ SubIOCitOth his Compen Lawi of 11f �I _ _ __ BATHTUBS SHOWERS - __ 'F- ISO FLTL qui Det¢ R/']O�R'J 519natule �" NOTICE: If a to eking ihls tle[leratlon, YOu n Ido 'sublec< TOILETS ,�y 1V 0.1NAL$- - -� ,GENERATOR O1Kw--- SIOKW '- to1n0 W rk0at do heplOYI61On6 011M1e ly=bOr Code, Y0U must 'TRANSFORMER u J toIM1With [amply syltM1 suCM1 ProvI510n5 Or iM115 par T Shall De tleemetl _ LAVATORIES DOUBLE LAV$'-' - APPLIANCE- '10'50 KW_50 F KW-- - - - VOkOtl.. ..1_ j__..-_..._ -KIT. SINKS--""--•' DISHWASHERS'- - 9MOTORS'----'O�1'XP�l-to XP -- - - - _ _ _ _ �CONSTRV COON LENDING ADENCV ,I hereby a rflrm that tM1ere tae conatruglon lending agency briM1e per- SERVICESINKS nq-- SUMPS--""�- -IANC. SOLAR) __10.50NP= s 50.v;jp naLu'r'10']" ri sOreal of the work for wMCM1 IM1Is Permit Is Issued (SecfiOn 309] -� 1 ... - Cly'C-" - - `FLOOR"SINKS----FLOOR-ORAINS - ----'�'iFfXTURES----OUTLETS-SWITCHES-`-' in or red 1Len0er3Add e3 '- - - - - DRINKING FOUNTAINS -"f` -' - _ t '-•• :GASl SIGNS --- }NfERLEVPO fl$ ri — ':Ii LIGHTS-'���-- OW NE R'B U EdER- DECLARATION 'I rrerebv athree that am exemm r om.tn¢=tonvactorN ucen5e use mr CLARIFIERS Y-'-- thefmlowln9"Seaspd Isemnn ]Dols cosiness aha-atofMdnns cone: Any City Or County WMth repulrA a permit to construct. II¢q SWIMMING POOL -P'TRAP - --%� - -POLES "" - METERED -- U m Ise a• raper any Structure prior' to Its Issuance. else re the apJlont WATER SERVICE -ALTERATION- ?- '- -- PANELS --- - MAIN" - I - SUB - tl� tea for such Cil to file a Signed Statement that be Is licensed pursuant to the provisional the COnVatler s-Llttnu rise- GASSEFV¢E" - -OUT -' LETS l - 1 SERVICE- - - -- - AMP ([motes 9 (Commandingith Section ]000) of Division 3 Of the 'suSlnessantl -WATER HEATERS -' BTU OUTPUT- - -' -- — �----------^ - ' Rola5i erS Code) or thatheIsomer therefrom and the UIs for the alleged exemOtlon, Any NOlaibn Of Sectors 7031.5 by SEWER CONNECTIONS 1'�^ � V l - t --'+- -77 . the 0��Un1-\O'd•dvll-penalty" of not more man film hundredOdollars USUal O more n SOLAR TANK' COLLECTORS' ---' - {- -�- --- --- -_ --- - _ - - _ - � 1�as owners ai the WO -Party, o1 I. my am with wages sOk.como nMBon, will d0 the mark. and t11e tfuCture Is hot Intended r offered for Sold (Eaction 7044Business and Proferalchs Code: The oContractor SOLAR PIPING SYS. "" �� - --�- - -- - - --'I -ISSUE FEB ------- � - - - - �- - s License Law does net napply to owner o property 'wh0 tulles Improves iuCM1 _ �ISSVE '- - -� - -' APPROVED �- - Or thereon, d who dOei bOrR M1lmHlf OI FEE�'� (APPLICATION BV- DATE through -his own employees. provided that such Improvements not _ PLAN CHECK �- � ' j - SUMMARY OF FEES. Intended or offered nor sale q no"",, the Dund-improvement-MECHANICAL year, f Completion. the owner_Inn In burden b so a wltmn1B a 1 proving 1 build or improve to, purpose of -sate): 1 --- "'BUILDING- - ---- 01; as -ow f-th oparly, are exclusively conlrucbn0. ith. IIMnbO t IruC[ the 7099, Bu3ness HEATING SYSTEM 0 -]OO DOO BTV AND DUCTING "" """ F - - - __ ,PERMIT E (/ SMTP E contractors pIOIOC[ (SOCbOn -an0'Proloald 100,0004 BTV O (PLAN CHECK E PERMIT ' Coe -TheContactors Los n6e Law does not apcly to ISSUANCE' SI an owner f property M1 builds or Imps vithereon and who con REFRIGERATION 0-100000 BTU PLUMBING E tracts froh p I I tM1 a- ntrdctdris) IiGsned pursuant t0. m SYSTEMS- __ _ '. GRADING f. the Contract LI Law). 100.0011! BTU g O ,PLANCHECK E'. _ J I em a ex mPl de Section' B 4'P. C for this- - - -) BOILERS BTU ELECTRICAL -46-- -- $ _ reason - _ _ SYSTEM REPAIR, ALTERATION _ - 1'." l_• MICFOMI-Ml$ ' r PLAN CHECK _ E Q. -TOTAL 'FEE $ !Rate O 'IMECMANICAL $ Iheneby cern tM1tlh read this application And stae tM1a^Meabove [ I to mPly II II dcounty EXHAUST SYSTEM MULTIPLE CHECK S - ESS AD-qrl Or101met City clean t t �ead hereby authorizeeI DY r tyy fto dt r t above Ito m tir IPLAN d J VANCEPC $ -• ' a upon upon mentioned- l�pp Prppert P cliTf FINAL FEE / �Q 519ndiure ' S Drivers' LlcOnx or 55 yf -ISSUE FEE - r .�• �- _ _... •- i CONSTRUCTIONAND PLANNING� ,- APPROVALS Permit# M7(o_ Date Inspector POOL' & SPA - APPROVALS, Permit# Date Inspector 1. Temporary Electrical Service or Pole No • 43. Pool & Equipment Location 2. Soil. ipe;Undrgrn 44. Steel Reinforcement- - 3. Electrical Conduit Utility-Undrgrn 45. Forms - - 4._ Electrical Conduit-Undrgrn 46. Electrical Bonding _5. Steelein orce_ 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn. 48. APPROVAL TO COVER-GUNITE 7. ootings _ _ 49. Electrical Conduit-Undr rn 8. _Foundation _ 50. Gas Pipe, O Undr rn, Test 9. Water .pipe-Undrgrn 51. Backwash Lines P-Trap.Dnor rn 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 _ - - - - 14. Rough Electric -Conduit - --- - - - :56. Electrical --Final ' 15. Rough Electric -Wring _ - - 57. Solar System -Final 16. Rough Heating & Air Conditioning 58. Fencing & Access Approval ' '- 17. Ducts in -Structure - APPROVED, FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough &Test _ Roof Framing - - - - - 60. .POOL/SPA SYSTEMS FINAL 21. 22. Roof 'Sheathing - ' - Frame and -Flashing- - - _ - NOTES: 23: Insulation - - 24. Lathing & Siding - - - -- - - - - - Ao 25. Drywall Nailing -Admill' '"00 26. Plaster Brown Coat - 27. Electrical Power Meter -Final - - - •- 28. Final Electric - - - - - 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test 31. FinaGPlumbing 32. Water Service -Final 33. Gas Service -Final - 34. Solar Domestic -Final 35. Landsca e 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 - - will Applicant to nn In an spaces within heavy bonds, lines and sign an appropriate declarations. CMF 0865 46 V -Building; Canary-Applial An k -Accounting; Goldenrod-ABOSSor CITY OF COSTA MESA PERMIT NO. TIRgCi r a.O 1.0370. e .Np. ' ,CONSTRUCTION PERMIT 9;11 tltlll tltl, '• Project Address C AV ue TYPE OF CONSTRUCTION 51JWEW ❑ ADO ❑ ALTERATION0$BB O REPAIR OCONVERSION ❑DEMOLISH UOTXER B�$2 44_2.51 ZONING REGULATIONS Owner Phone - Acidic" 1301 Dove St.— #760 N H63Ch pa 'Ar2M1lEn9. H11025-PBTELS Lirense No. 42$5 OE5CRIPTIONOFWORK pP # - 13,15.28 Y Address 119 E. Altm Sarit3 lvrzi _ TYPE OF PERMIT ❑GRADING ❑ ZONELNG. SETBACK L T. REF.¢ aR1 IFFA9 NE • Contractor 01tITEIDS OOtlStCUCtlOtl Phone — 1 Address "PO 388 o Box Miriterey PciLIC CA FOUNDATION .STRUCTURALRD O TENANT 0 ELECTRICAL OPLUMBINO. O MECHANIC f LICENSED CONTRACTOR DECLARATION O 1 hereby aitlrm that 1 am licensed under proVISIORS 01 ChaNer 9Icahn- gIGH WIWF `Q Hefei with a lien 70ht00) 01 Divides 3 of the Rejunee-ad O OTHER Roicacn$ Cope. p Y ligen I5 In lull force d effect. 7+ 86393 PROJECT DESCRIPTION REARYAROITORIL) ucense oast ughnse No. SQ' Fri. 5416 PKG. SPACE REP. fjC) PROVIDED 670 J Date Signature OCCUPANCY 111-1 TYPE STREET WIOTX r PARK FEE _ WORKERS' Cm DECLARATION that I have Ighher¢by affirm that 1 toed i Cer011Uto al Consent to Sellan5ure Ore "ifN$TR ONECTI VALUATION FGO ICF ONE ZONING APPROVED 8 DAT {{ r a Certificate f Workers' CompanYtlon Informed, O Certified COPY - GRADING CU. UOS. ACRES SPECIAL CO NOITIONS: I peof (Section 3800, IJP. C.I. - "ICY NO. Company Rvmmmaf Tnriem r Certified copy is hereby furnished. REMARKS:. cV111161 COPY Is thou with me city Building Olvismn- fjOLg FOR SPECIAL REQWF UEM— EXEMPTION FROM WORKERS' COMPENSATION DECLARATION section need not he complated II the permit Is for one hundred (((This or IssCwrtl�Ir of the work for which this Permit Is shall not emerformance log any any manner so aS to become PLUMBING PLAN CHECK _ ELECTRICAL PLAN CHECK , Subject to the WOrkem utlon lIn BATHTUBS -SHOWERS pate almanacs NOTICE: If aster making this declaration. you Should Pascal Subject TOILETS URINALS GENERATOR-' Q-1KW-1-10KW to the Worker Compensation proVliums of the Upor Code. you must TRANSFORMER forthwith Comply with such provisions or this permit Shall be deemed LAVATORIES DOUBLE LAVS' APPLIANCE 10,50 KW -50 s Key rovoked. KIT. SINKS DISHWASHERS, MOTORS 0- 1 XP_ld0 XP " CONSTRUCTION LENDING AGENCY I hereby affirm that there is a Construction lending agency for the per- SERVICESINKS SUMPS'I - INC.SOLAR) 10-50 HP 60. HP formance of the work lar which this permit is d:(Mjctlon•309] . FLOOR SINKS FLOOR DRAINS • FIXTURES - -OUTLETS SWITCHES Cly' C'I' Ne113\Fdrigo 1I311IS -V`. Lender's Name "mortis Accepts 660 Nae7mYR iYY. rs]PyRYOYh Tdl.h DRINKING FOUNTAINS GAS-TUBESIGNS " _ OWNER BUILDER DECLARATION INTERCEPTORS'- CLARIFIERS , - POLELIGHTS ( am a empt Iromtlie ConLact,i LicenseHa for POOL PTRAP the following, vNSon (Section 7031.5 Business and Proleyloril Code: Any-clty^os my:whlch requires "e permlt"o-construct.. alter,. ,SWIMMING I - POLES METERED UB. WATER SERVICE ALTERATION PANELS MAIN SUB improve, demolish or arab any structure,. prior to its ssuance also re. quires me applicant for SI permit 50 RN a signed statement that he S.GAS SER ICE _ OUTLETS SERVICE AMP IS IiCmrwd pursuant to the provisions of the Conlrri License IoW [Chapter '9 (commencing, with Section 70001 of Division 3 01 they WATER HEATERS BTUOVTPUT and Ralecarms Code) or that no is exempt therefrom and ih e- �„r fihMhi IabtlOnol $eetlom7031.5`bY- } alleged eempt Son. AnY S Plsmanr. for p Tait bjeCts the IiGnt `o'd civil Penalty '*.'oP re Rehashed-huncrw.emxlss(Esecrlp^ v, SEWER CONNECTIONS S ,; jL ❑ 1• as ownei(of the property, or my employees with wages as their SOLAR TANK COLLECTORS solLCompenYNOn. will do Ins work, and the structure Is not Intended Or offered for sale. (SectiLawon 70des00, Business and professowns,ions Cade: Throperte SOLAR PIPING SYS. ISSUE FEE ISSUE FEE APPLICATION APPROVED BY DATE' what,builds or Impmve5 thereon,. atnd who does such wok himself or pvements are not through his own employing. Provided that such. lmm MECHANICAL PLAN CHECK SUMMARY OF FEES Intended or catered for ll. 11, however, the painting or impmvemem tSa IS Sold within one Year Of completion. the owner will have the burden 1 he did not build r prove for the purpose of Ie). ,�`�� ' proving HEATING SYSTEM 0-100,000 BTU .BUILpING PERMIT If •[f SMIP E ❑ I. d of the property. a exclusively contracting with AND DUCTING IICCnudS contractors to construct the project (Section offend, Business 100,000 ♦ BTU 'PLAN CHECK $ PERMIT and Roi5ions Codi The Contractor's Licens®r Law does not sooty to 6 ISSUANCE E owneran Of property Who builds or Improves thereon, and who con- REFRIGERATION 0-100.000 BTU PLUMBING E from Iw)[h a contrectio,O) formed Pursuant to SYSTEM GRADING S thtracts Co from caSuchr's Ll OeVe 100,000 t BTU PLAN CHECK E ❑ Ism exel of under gargion B.6 P. C. for this BOILERS BTU ELECTRICAL E S PLAN CHECK E MICRCFILMS - O r SYSTEM REPAIR, ALTERATION TOTAL FEE E It - E 1 I nOreby terll(Y aril read 58ppIIGUOn entl srn[e that the nbOVO EXHAUST SYSTEM MULTIPLE LESS LESSAD- Informalion is agree Comply with all city and Coup ry nese PLAN CHECK S VANCE PC $_ normanghsa tin construction, and her byR10tariae °nle. ' upon the ae y nuonet popar matt lel in I pit. FINAL FEE E Signet r Drivers'e ars 8 ISSUE FEE - - CMF 0865 46 V -Building; Canary-Applial An k -Accounting; Goldenrod-ABOSSor CONSTRUCTION AND PLANNIN APPROVALS Permit 4# ',� Date Inspector POOL & SPA APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe-Undrgrn 44. Steel Reinforcement - - 3. Electrical Conduit Utility-Undrgrn 45. Forms - - 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding 5. Steel ein orce 2_ _12 _g 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn _ SN 48. APPROVAL TO COVER-GUNITE 7. Footings 01. -SAI 49. Electrical Conduit-Undr rn B. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51, Backwash Lines P -Trap. 1:1ndr rn 10. Structural Floor System. !r. z- -Sd $ 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. Pfurnb*na System - Final 14. Rough Electric -Conduit •56. Electrical -Final 15. Rough Electric -Wiring 57. Solar System -Final - - 16. Rough Heatin & Air Conditioning btS. Fencing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test 20. Roof Framing 21. Roof Sheathing S- -8Alm NOTES: c a r 22. Frame and Flashing _ 23. Insulation sot -15- _� -Q as S 24. Lathing & Siding 25. Drywall Nailing 9VI 2 26. Plaster Brown Coat 6 - a 27. Electrical Power Meter -Final 28. Final Electric EX ok RAI 29. Final Heating & Air Conditioning _ 6_ a 2 46f 30. Final Gas Pipe -Test 31. Final Plumbing 32. Water Service,Final 33. Gas Service -Final. 34. Solar Domestic -Final 35. Landscape Sp rinkling System 36. Sound Attenuation 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING _ 39. Special Requirements Completed ,14ASAA 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date 117 3EP1303II7 Unit 207 $4250.03 33033E Unit 0-207 (PC614-37 $1,OOJ.On-- . — 3505 CADILLAC AVE. 0110 2nd JACKET APPllcrnl to Ra In all mater CITY OF COSTA MESA 'CONSTRUCTION PERMIT Project Address Applicant's Meiling Address . �l✓U 5 �OFEAI(a e4 Owner's Name .11 Qy 69Vbf R"k4Vd h`f P Address /30/ 11LXJ-d 4 i rV fS, Anchu ' Liense No. Address Contractor's Names 1117" r/FC p Aadrem(meiling) iuu S. efQRrsa) MCI- City At - City License No. atm LICENSED CONTRACTOR DECLARATION I hereby affirm mat %m licensed under provisions of charter q (commencing with section 700(n ofDivision 3 of the Business and Pmfesnons Coda. and my nunse n m fuseLf- C1T.-: no effect. Solar Collectors may' �9 Udenie cussT plT ubensa NO. ^eta �/. /_ / lsl ernnarnre WBiV y� )/L �r� armor affirm that I lease owtillcate of consent to HOansure or a Certificate of Workers' Compensation Insurance, Or a certified copy thereof )SSCtlon 3800, Lou. C.) Policy No. Company 8 Certined copy Is hereby furnished. CertlflBO copy is fled with the city Building Olvlslon. Crile Applicant IThlsulon none n of be CROrllpRlotS0 it too Permit COMPENSATION for one h ndreldON {S1o0)or less). I Certify that In the gRormanwaf the work for which IM1N permit le Blood I nen not employ y person m any manner to hep m/ mon to the - Workers' C@rJ�position. Laws Of California. IAi Cate _1LlcSignature -y NOTICEr Compensation moo in role dons off the you Mould , YOU ust f0 to Ihm Comply with such pr psions or Of 100 permit Cede, you deemed franked ONST UC such ENDING dr NCs pa.me then be %deme% mwuee. CONSTRUCTION LENDING AGENCY pe be of the work work that thereIs this construction lila% Issuedag(Sectlion the 3091r1Clma C.) Lender's Meme w Data Owner all appropriate declarations. TVIS OF CONSTRUCTION U NEW U ADD U ALTERATION U REPAIR CONVERSION ❑ DEMOLISH ❑ OTHER A. DESCRIPTION OF WORK S TYPE OF PERMIT U GRADING U FOUNDATION LJ STRUCTURAL E T TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL B ❑ ITHER A PROJECT DESCRIPTION SO. FT. OCCUPANCY C K CONSTRUCTIONTYPE VALUATION $ S ZONE GRADING CU. YDS. — ACRES PIi Remark%: _ /f/ /s/ — E In -L-7 0 'pa Bar Sink Shomm 381 Presenter ' '- Service Sink Backflow Irrigation Sewer Cap Bathtubs Sewer Connection Clarifiers Solar Collectors Dishwasher Solar Piping Drinking Fountains Solar Tank Floor Drains Swimming Pool wl Floor Sinks Urinal Gas Service Outlets Water Closet Interceptors Water Heater Kitchen Sink Water Service Reinspem n Fee I $25 )uct - Under Ground )uct- Structural )uct- Ventilating Ekboust System ❑ Multiple Fimpl/Feet. Bit. ICBO $ Hosting System B Ducting 7100 00,000 BTU 11100.1300 BT Issue Fee 1ANICAL Hood or Type) ❑ Canopy Typell ❑ Refrigeration System 133100,0006TU DIN, System Repair/Alteration as —--r SS - — I I Relmp (tion Fan I $25 I lease Fae ay.,12/113 White-Bullding:Geary-ADDIIUntr Pink-ACCOunting;Gdmenrw-Assessor A Ref. + I Pork.Fees $ re Automatic Warner Construction Pdle Sub. Tnnaprmer U 1550 KW 050+KW r Cooking Unit Meter ❑upto 100amps Dishwasher Meter Dover 100amps Dryem ❑Gas ❑Electric Sub Panel Fan Motors C301 HP CII %'-8 F.A,U. Inc. Soler ❑315 HP 016-15+ Fixtures Microwave Device Boxes Pole Light Outlets Range Switches Sign Garbage Dispd.gl Spending Sections Generator ❑115 KW ❑515 KW Trash Compactor 53 Ramweawn Fee =51 Issue Fee S 3 FEES PUBLIC SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Issued BY 411//// Caa to » $ BUILDING PERMIT PLAN CHECK PLUMBING- PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARYOF FEES is SMIP E S PERMIT $ ISSUANCE .E S ENERGY P.C. S $ GRADING $ S MICROFILM S $ TOTAL FEE is S o'0Sd E 3 CONSTRUCTION.AND•PLANNING APPROVALS Permit #- Date �. i Inspector - PO( SPA APPROVALS Permit # Date' Inspector ' 1 i Temporary Electrical Service or Pole - 52. Pool & Equipment Location 5 2.r Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3". Electrical Conduit Utility-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd: _ 55. Electrical Bonding 5: Steel Reinforcement 56. Rough Plumbing & Pressure Test 6: Electrical LIFER Grnd. - 57. APPROVAL TO COVER-GUNITE ' 7. Footings 58. Electrical Conduit-Undrgrnd. B. 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. Solaf System -Final 16.Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21.•Ducts,in Structure 70. Underground Hydro ' 22. Ducts, Ventilating 71. Product Piping 0Gas EOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil 25. Roof Sheathing 74., Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - 27. Frame and Flashing - - 76. Dry Standpipe - - 28. Lathing & Siding 77., FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final p b•, 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 i 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING i 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 nu In all spacer except mon within heavy border lines and sign all app I CITY OF COSTA MESA p ^T NO� TRACT NO. LOT NO. 8L EONSW CTION PERMIT 1 Project Address — -TYPI OF CONSTMICTIONw LJ NERED LJ ALTERATION Applicant's Meiling Address!1101 UIC ` jLICONVERSIoN ❑CEMOLISH OTHER ' Owner's NaU Iibee'-ISL'U1S_ DESCRIPTION OF WORK 1P= %rl' Tom/ 1 Aaaress e l iYY YTI $LJ_1_]� �}�A]CC�1(baTe $L*!-k+i 11=Fl s, la)�;S3:yIt� -TP<JI iL('/I(/1L 'TYPEOFPERMIT GRADING FODNUHTI N STRUCTU Arch/Eng.+ _ License No. _IEl TENANT D ELECTRICAL 1:1 PLUMBING C1 MECHANICAL A_ Address ^ - L9THER SjGlr l firs �ntractor's NamSnKK 1 $ xm.M AO64 ,'PROJECTDESCRIPTION, SIFT. OCCUPANCY C,ojin fhi CONSTRUCTION TYP— VALUATIONS Q \ Addreas(mmLn91' ,1 - City License NO, ' I ZONE - GRADING CU, YOS.. Remarks: Date LICENSED CONTRACTOR DECLARATION Building Approved By I hereby affirm that 1 a licensed under provisions of Charier 9(commencing Pf� with section 7000) of Lal Division 3 of the Guaira and A j$•g;�.e,y,dee, and ser Bpense BIn1 11 1erc �d .f /� /3r' PLUMBING uunsy pl cetlg-qe„p� nate `%2 a /TV` RK R9'c MPEN5ATIONDEcDU ON Bar Sink Showers Backflow Preventer Service Sink ES Araby affirm that l have s certifiable of ent to selunsure or a cartulemi r Workers' Compensation Insurance. or a mrtliled copy thereof (Section Barri brigetion Sewer UD BUILDING PERMIT Aoki, No. 9dO s6�-J' CompanyF/>llzrroni' SMTP BCertified copy Is hereby furnished. - Bathtubs Sewer Conm PLAN CHECK Certified copy is filed with the City Building Division. It Applicant Clarifiers Syler COIlec1 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed H the Permit Is for One hundred (5300) or Dishwasher Solar Piping PLUMBING Drinking Fountains Solar Tank $ 11 sCertify that In the performance of ine work for which this permit B issued I shall not employ Ii Person i y manner p to become subject t0 lila workers' ampensetlon Laws of California. Floor Drains Swimming P Data Vgnature 25% NOTICE: H,efter making this declaration, you mould became subject to Me Floor Sinks Urirel $ Workers' Compensation Provisions 1 the Labor ode, YOU must forthwith Comply with h provisions or this permit shall be deemed revoked. , Gas SeIVKe Outlets. - water Closer hereby affirm that there Is a construction lending agency for the performance of the work for which this Permit B Issued (Section 3097 Civ. e.) Lender's Name _ Roof Drains . RelnsOaetpn Fee Boiler System ❑ Multiple Dab Owner ling oysrem Lau rung M1ereby certify at have read this a0wllcatlon no slate that the above ❑D100,000 BTU ❑100,000 BP inormanon is rr gra. m compiv With all sir am Conm alnanna a Rate Ice rheic to bagWog-c b Ian, dna nerebv au X or btlees of this y 1 liter u M1 bava-menOOnetlica 1 Inspec[Ion 0 rp signature Relmpection Few $25 Dnaen' License or ]MF 086546 rev. 12,111 White - BUllding: finery - Appllunq Pink - Acwuntln9: Goldenrod - Assai Issue Fee IANICAL Hood or Type ❑ t Canopy Type I I ❑ Refrigeration System 110100,0001ITU 1310%00013T System Repair/Alteration situs Fars declarmions A.P. _ S Main Building: E Front T B Rear A C Right K Left 5 Plrg. Rel # Parking Rttl./Pmvids Use Of Building: ce 1 Planning Notes: $3 $3 Automatic Washer Construction Pole Sul Cooking Unit Dishwasher Dryers ❑Gas -❑Els Fan F A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator ODE KW 92814/255?64 C Transformer ❑ 1550 KW 10 + KW Motors 061 HP ❑1% 8 -- InaSaUr 0315 His 171161 Microvmve Pole Light Relgs Sign Standing Sections KW Trash Compeetor 525 Issue Fe 17s00 TL E Zoning Alspmred BY di/ Date Building Approved By Pf� Oma Application IMued By ///lnat SUMMARY OFF ES BUILDING PERMIT $ lo. 0 SMTP $ &'S0 PLAN CHECK $ G;$"O PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% S d ENERGY P.C. $ ELECTRICAL $ GRADING S PLAN CHECK 51pg S MICROFILM $ MECHANICAL S TOTAL FEE $ OG jh`2,,C PLAN CHECK 25% $ -- .: G5ONSTRUCTION AND PLANNING ` 'tAPPROVALS ' Permit +- Date Inspector POC SPA APPROVALS Permit # Date Inspector, - 1 Temporary Electrical Service or Pole I 52. Pool & Equipment Location Soil Pipe-Undrgrnd. _ ," [" 53.- Steel Reinforcement' - - Electrical Conduit Utility-Undrgrnd. ~ 54. Forms ;. 4. Electrical Conduit-Undrgrnd. �,-, 55.` Electrical Bonding 5. Steel Reinforcement. - -- 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnid. '�' 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. Pro perty Sewer Line & House Connection 62. Backwash &,Receptor -Final 12. Sewer Cap . Heater & Vent -Final 63- 13. Roof Drains 64. Plumbing System - Final"� • _ 14. Rough Plumbing 65. Electrical -Final 15: Rough Electrical -Conduit - 66. Solar System -Final - -- 16:''R6ugh Electric Wiring 67. Fencing &Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING- - 18' Rough Electrical -T Bar Ceiling' 69. POOL/SPA SYSTEMS FINAL - - 19 -.Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # I - 20- Rough Factory Fireplace, ' 21. Ctlijcts, in Structure 70. Underground Hydro ,22. Ducts, Ventilating 71. Product Piping 0Gas ElOil 23. Gas Pipe -Rough & Test . 72: Underground Flush 24. foof Framing 73. Undergrnd. Storage Tank 0Gas 0Oil 25. Fdoof 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 Fiieplace 38. Final Plumbing 39. Water,Service-Final 40. Gas Service -Final 41. Solar, Domestic -Final --� .• r.. . 42. Backflow Preventer 43. Backflow Irrigation. •' •� 44. Landscape Irrigation System - 45. Sound, Attenuation - s 46. HandicaplRegulations 47. FINAL STRUCTURE &BUILDING, G Z 48. Special Requirements Completed 49. Electric Release to Edison - - 50. Gas Release to Southern California Gas Co I - 51. CERTIFICATE OF OCCUPANCY Da , No. - te �, Apmlmin to Bill m an spaces within he. v boas and sign all appropriate declarations. ._--!lT7F COSTA MESA " PERMIT NO._ TRACT NO. LOT NO. DL G` O. - - - I .'L�ONSTRUCTIONPERMIT PM 81-380 42 �s� TYPE OF CONSTRUCTION 1 ®'NEW ❑ ADO ❑ ALTERATION El REPAIR 0 CONVERSK QDEMOUSE ❑OTiIER ZONTt= REGU - - - Project Address dC lbVELLUJIL Owner 2DOD2=3010i Phone 752-551 Ad@ev 1301 Dove St*.e 4760 Newport B(dGh I ArcMEng, License No. 4285 OF WORK A'P'B 13 —651-13,15,28 Hi. Atlme,a 119 E. A1tOB Shcltd ppd Alton, _DESCRIPTION 4TYPE OF PERMIT NSix-i . ZONE PDI PLNG. REF.$ ZE 80-16 D - OO9lIl1����ppl G SETS SROBPERT�INE Contractor OltrTST1S CCIISt=tiM Phone 576-84 - Addres Mon PdYIS FG EAC ❑. TENANTGRADIN❑ FOUNDATION ION STRU MECHA ❑TENANT O ELECTRICAL PLUMB. MECHANIC SIDE VgPp LS LEGET ' LICENSED D'C OR DECLARATION that ICTOR pOH vas (Cam- ending 1 am licensed antler pro -Ions of r ,\ -t\ ❑ RIGHT f with Wet BUSHI9 clop with is lion 70001 ce a Is I Band e e Rb}essloni COtle. tl my license Is In full IOYt< andeffect.REAR ll theforce OTHER VgflO (TO P/LI - - A - 86393 PROJECT DESCRIPTION -' "670 LlCenseClass ucenie No. SD. FT. 7305 p OCCUPANCY TRUCTIONTYPEr' P I- PKG. SPACE RED. 592 STREETWIDTH ,I J- PROVIDED PARKFEES Do Signature WORKERS' COMPENSATION DECLARATION' I hereby affirm lMt aCertificate Of Unions to WiFlniuR Ore f3SON VALUATION A� Y pryE 20NINP APPRGVE GATE _ — Insurance r copy er1-of (o� rrJ7iipp1��Q�(W(jjollrrrrpprkRRe:��tr,syy�JJii••�C�ompeniaUon �Tfc__erJ,litietl I` s'psiy w"dWo CCOmpenyF � t ygi�)' GRADING LU. YES. ACRES SPECIAL LONOITI N5: ropy is hereby furnished. - - REMARKS: - LCwished otified copy Is filed with the city Building Division. /. .5 �p(����p q LB QOR SP€trIPL a\Y {Vaa\EMENT` EXEMPTION FROM WORKERS' COMPENSATION DECLARATION c,lOn Mood net be COmpletusd If the Permit Is for One hunfl lLLI(K - i((This 1 in I(ats thodermil is that fy khthe performance.of the workfor which mannersoas to become notNemplooanyprsonmpensation PLUMBING PLAN CHECK _ ELECTRICAL PLANCHECK ssuedi ioasaalll Laweof BATHTUBS SHOWERSED LASEULING GARAGE FT SO FT Dale Sigrla[um NOTICE: If after making this declaration, you should became subject TOILETS URINALS - GENERATOR 0-1 KW�1-10 KW to the Workers' Compensation provisions 01 the Labor Code, you must TRANSFORMER forttwlth comply with such provisions h1 this Permit Shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW_50+'KW evoked. CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS- v MOTORS 0-1"HP_1-10 He I hereby affirm that there Is a construction lending agency farina Pan SERVICE SINKS .SUMPS (INC. SOLAR) 10150 HE 50+HP IOr"M44 mcche k fOn•WhICM1 ]illi p¢Ymlt'is ISSU¢O (Suction 3097 i - FLOOR,SINKS. s_ DRAINS FIXTURES "OUTLETS SWITCHES Wellc BdSlk y Lehtlef)'iName ,Faxn9 rFLOOR s Lenders Andress DRINKING FOUNTAINS _ r GASTUBE SIGNS INTERCEPTORS _ CLARIFIERS �, POLE LIGHTS " OWNER BUILDERDECLARATI N a hereby fflrmlthatnI amexempt fromtee Coentrc�ora License Law for SWIMMING POOL TiP_� RAP r f'+ POLES METERED SUB ins III IOWin a (Section J03L5 Busln w ntl Rofessions Code' aunty Any city a which repulres a permit to onstruct,'8lbl." Losdemolish or retain any structure, prldYtn its rusuance,aI50R- WATER SERVICE-. ALTERATION PANELS' - MAIN SUB pUPes the applicant for such permit t0 file a signed statement Uh A.ho GAS SERVICE OUTLETS SERVICE "'"- AMP - Is Ilcensee Notation to the provisions of the Contractor's LIGni IJW lCM1aptir 3 of the of from 0 (PaOe6slonsn Coded or that exempt WATER HEATERS BTU OUTPUT ue d ) r he is tthereand the tar the an egee.exemp,Subj Any violation Sanctions J03LSby SEWER CONNECTIONS - the ppliGn[ to'e' civil penally mio �l' for sd en a h.un dholls f to �e property tl011 SOLAR TANK COLLECTORS of t my emplo wages ❑ 1, a5 owner OP the property, 0e my II will to iM1e work, tune t ndeir Ski utlwe ions intended sole muffs Structure SOLAR PIPING SYS. ISSUE FEE feted for Sale. smiss a ]Ons TM1¢ 7044, Dismiss andsituationsowner or atraeetl for Sale. ($Law aCOOe: d 0l .properly . law does not apply t0 bonds ISSUE FEE APPLICATION APPROVED EO BY DATE n improves s who builds O es thereon, and who does such work himself o who his ownd G5, provided that such ImprO VO menta are not MECHANICAL PLAN CHECK SUMMA RV OF FEES Inmude for Is tended or for N, edweveq the ori ner wog f completion, the burden Itl ying h one y notorImthe owner will have e the n one f ponying he did OI hullo Improve for tea propose f lith BUILDING HEATING SYSTEM 0-100,000 BTU PERMIT § $MIP E ❑ I, a whet of rt Sec c0 Ne 1. AND DUCTING _ 044, B contractors to construct iM1e project (Section 7044, Business o c nstruct t p (Section 100,000+BTU PLANCHECK $ PERMIT alicensed nd Procolans Cod¢: The COnifa¢tor's License Law does not apply to -ISSUANCE $ an owner of perty who aur or Impthereon, and who Con. REFRIGERATION REFRIG TU N 0-100,000 B PLUMBING $ ure from suchis a contracto,S) notened pursuant to SYSTEM GRADING $ ttracts with he Contra Ci LJpprroje 100,000+BTU PLAN CHECK S ❑lamostly l under Section B.&P, C. for this BOILERS BTU _ ELECTRICAL S § SYSTEM REPAI R, ALTERATION _E%HAUST SYSTEM MULTIPLE PLAN CHECK $ MECHANICAL E MICROFILM IS TOTAL FEE L, LESS gD Wrier- "Ll a M1ere1 pa app"EUOn add state [ha[[M1e above rgree elpe ct t comply with ell City and county PLAN E _ VANCE PC E_ erdlnlaw atingt construction Bid here ynauthorize cols repro Biter hphn the ono tiiomtl poo PCt urp 0 �J FINAL $Igna- FEE § Drive5 ISSUE FEE - - ONE 0865AG WM1hin-Buileiogi Carry -Applicant Pink -Accounting; Goldenrod -Asmssor CONSTRUCTION AND PLANNING APPROVALS Permit # 9C1 Date r,. - Inspector POOL & SPA APPROVALS Permit # Date. Inspector 1. Temporary Electrical, Service or Pole 43. Pool & Equipment Location 2: SoilPipe-Undrgrn 44. Steel Reinforcement - -3. Electrical Conduit Utility-Undrgrn 45. Forms - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce a_// iA B 47. Rough Plumbing & Pressure Test - 6. Electrical UFER Grn `, a-//-ga 3M 48. APPROVAL TO COVER-GUNITE 7. Footings t� ' j A _ _ A a 49. Electrical Conduit-Undr rn 8. - Foundation45' - 50.- Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ Undrarn 10. -Structural Floor System SLa ;L_ _$Z AM 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 _ - ' 14. Rough Electric -Conduit - - - -56. Electrical -Final 15. Rough Electric -Wiring 57. Solar System -Final - 16. Rough Heating & Air Conditioning encing & Access -Approval 17. Ducts in Structure 9. APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL . 19. Gas Pipe -Rough & Test 20. Roof Framing 21. Roof Sheathing 3-2/, <124 NOTES: v. -er G�s'r - 22. Frameand Flashing 23. Insulation 6 - 20,Y1 24. Lathing & Siding y -,i8- 25. Drywall Nailing 221,s- / - s -C' OAI 26. Plaster Brown Coat� C7 27. Electrical Power Meter -Final (o , _ S. - 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 S stem - 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING _ 39. Special Requirements Completed 7 d 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date - - Applicant to fin M all spaced within heavy border Imes ane sign aB appropriate declarations. —0F COSTA MESA -' v MIT'N -TRACT NO. ' LOT NLO- BLOG. NO: - f '- - Tl �( 100— 9:no— CONSTRUCTION PERMIT S :e " L — B ?x.97 " - '- Project Atldress d TYPE OFiCONSTRUCTIDN - - . . OWn )_ Plgd NEW ❑ ADD ❑ ALTERATION - - - sableCl.to the Workers' Compenvatlon Laws at Obfomla., ISSUE FEE ❑CONVERSION 11,OEMO;ISH BATHTUBS 5 A f V 'BEGAIR LAVATORIES C Ar /En9. - License NO ❑OTHER •3ERVICESINKS jl.)h` 5 .• A DESC RIPTION OF WORK 0.005 --- DRINKING' FOUNTAINS _ b OWNER BUILDERDECLARATION I hereby affirm that I am earempt from the Contractors License Law for -� P SWIMMING POOL TYPE OF PERMIT - - - - - • - (INC. SOLARI s111 l C GRACING-' 11 FOUNDATION ❑ STRUCTURAL ' Atltlress p _ _ PERMIT _ ❑TENANT El ELECTRICAL {� PLUMBING QMECHANICq 5 LICENSEDCONTRACTOR CLARATIONl I hereby efflrm that I a licensed under provisions of Charter 9.(coi i' p OUTLETS --SWITCHES " a Ing With Section -7000) Of Division 3 f In,-Bunns and' sl f -O OTHER R n COq 1 mY Ilcenw 19 10 fYll 10f Professional Licen¢ CIp3i z! r �/c>fisc N� PRQIECT DESCRIPTION - P -- -' -� /'/i•` i -S4..FT. LOQ`� Dale --E�— WORKERS -COMPENSATION DECLARATION ✓ . OCCUPANCY_ CONSTRUCTION TYPE GRADING .i I hefaty Silver that I have a C6111 iGate of nO CYfe a Z '_V ALV ATION ZONE 1 i ar NIfIUb'Of W MO OOmpeni In • titled cop once fl a for - ELECTRICAL thereof !Sed yrFyab. Ch. • GRADING.CU. YDS. ^ ACRES Si 9 y Ne..G��Companv _ _ MICROFILMS enniba COPY IS botchy fusnlSpetl. _-- REMARKS Gemmed copy's filen with the city euIle ng Div - --' 2�- %EMPTION FROM WORKERS COMPENSATION DECLARATION ..TOTAL FEES /Thls MOalon not be Completed ILIM1B permit IS for Opo hunts" MECHANICAL"d law1Oeed _ - `$Our fy that In the performance of the work for which this Permit I LESS AD- ' luued( 1 shall not employ any person In any Partner So as to'. become PLUMBING - PLAN CHECK - EI sableCl.to the Workers' Compenvatlon Laws at Obfomla., ISSUE FEE Dale ISlgnatuN. BATHTUBS 5 NOTICE: If alter making this declaration, o he Itl become subject_ to the Workers' fdOOwltn comply With such prrri ovlslnnOnosr`nib p laminrmalel tie deemed -I TOILETS L LAVATORIES C yoked - - - CONSTRUCTION LENDINGAGENCV r� I hereby affirm that there Is I trn'ledlgg yfa4he Peri formance of the work for whin tbl `p2 r d1(50't dor] 309% Clv:C.I. - 'V` Lender's Name KIT.SINKS - 'C •3ERVICESINKS jl.)h` 5 .• FEDOR SINKS F I -Ars s Address ' DRINKING' FOUNTAINS INTERCEPTORS C OWNER BUILDERDECLARATION I hereby affirm that I am earempt from the Contractors License Law for -� P SWIMMING POOL reason 1 Ct On ... Bus fins TOIBln IM1B b11OWln9- _'antl Pisds Le: _ _ _ _ Otl I PROVIDED PARK FEE $ BY DATE S -SGENERATOR ISSUE FEE 01 KW�]-10 KW Intended lSuc wlthin one vear,or Co. innenloon, ttrhel owner1pwilll have the burden TRANSFORMEfl HEATING SYSTEM 0.]00.000 BTU _ AND DUCTING 10i v BTU and PrOfesSISOns Code: The COntmpor's License Law docs not army to =LAYS' APPLIANCE 10:50 KW�50a KW USHERS' MOTORS' 0.1 HP=310 HP-" - ' -^ - - - - (INC. SOLARI 3050 HPC 0 P - _ _ PERMIT _ _ 3r ` _ _ r SMIP S' ORAIN$ FIXTURES OUTLETS --SWITCHES " '-" GAS'TUBE'SIGNS- '---' IERS - -- POLE EIGHTS'- -- -' -� - Who s OF nobody ean. and pay Such Work Ihis ISSUE FEE Own mV, oydis r provided thanS i iin trumemonite aIs not through MECHANICAL PLAN CHECK Intended lSuc wlthin one vear,or Co. innenloon, ttrhel owner1pwilll have the burden Of proving he did not build or improve for the purpose of Shia). li❑censeds contractors lO constructer of eythe project tSeCam tlon)0a4 rBu0mBl55 HEATING SYSTEM 0.]00.000 BTU _ AND DUCTING 10i v BTU and PrOfesSISOns Code: The COntmpor's License Law docs not army to REFRIGERATION 0-100.000 BTU— TU_\ncB an owner of m rty who builds or Improves thereon, and who con- trendsfrom such projects With -a Contra act (s)-fiesened pursuant to the COntraC\or's Deems law). SYSTEM- 100,000 t BTU O'1 am - exempt under Section - - �B. GP. C. far this BOILERS BTU OF FEES, Daten Owner SYSTEM REPAI R. ALTERATION I hereby Drtliv that l have read this atalication and state t hat the above EXHAUST SYSTEM MULTIPLE OrNen.,relc n or SS'#` -ISSUE FEE - CMFOB65-e6 White-Bu1Mmg. nary-AppllCanll Pink-Accountingl GalWnrotl-Assessor -"- -'ISSUE FEE' ' APPLICATION APPROVED BY' - --DATE- SUMMARY OF FEES, BUILDING- - _ _ PERMIT _ _ 3r ` _ _ r SMIP S' PLAN CHECK IS _' PERMITP ISSUANCE S 1 PLUMBING if , GRADING .i PLAN CHECK i ELECTRICAL f B 'PLAN _ _ MICROFILMS CHECKS - ..TOTAL FEES MECHANICAL"d 1 - _ LESS AD- ' PLAN CHECK S - VgNCE PC f_ 9� FINAL FEE S - CONSTRUCTION AND PLANNING APPROVALS Permit # I�ZVO� Date - POOL & SPA Inspector APPROVALS Permit # ' ' Date .,. Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - 2. Soil Pipe-Undrgrn ,Z'T G , p1 44. Steel Reinforcement -_7Y Electrical Conduit Utility-Undrgrn 45. Forms - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel em orce 47. Rough Plumbing & Pressure Test 6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn B. Foundation 50. Gas Pipe, ❑ Undr rn, Test,•. 9. Water Pipe-Undrgrn 51. Backwash Lines P-Trap.EA Undr rn 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 - -' "" ----- • - 14. Rough Electric -Conduit --56. Electrical -Final 15. Rough Electric -Wiring - - 57. Solar System -Final 16. Rough Heating & Air Conditioning encing & Access Approval 17. Ducts, in Structure - 9. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing 60. _ POOL/SPA SYSTEMS FINAL ' 21. 22. Roof Sheathing- 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 \ 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No. Date Aopnoant to fill n all spans within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA ' PERM T NO. TRACT NO. LOT NO: SLOG. NO. - "' CONSTRUCTION PERMIT 67 � 0' ko � TYPE OF CONSTRUCTION nNEW ❑ADD OALTERATION ❑REPAIR 000NVERSION QOEMOLISH � - 6_620 - 6.101182 2.1.00 1' " Project Address 3505arCadillac Avenue Owner rDOROel PBrtIners Phone *Addrese Dove %ED 1301 St. Suite -❑ OTHER DESCRIPTION OF WORK '.: .: ': ' ZONING REGULATIONS q_P'¢ , Arch/Eng .Newport Eeach License No. _ Addicts - _ TYPE OF PERMIT a❑GRADING ❑ FO VNDATION O -STRUCTURAL �ELEGTRICACICENSED El OPLMBING E}@CHANIC ZONE' FLNG.REF.9P SETA T. Iip .YA: D - iiOO ggtt/I��LLppI G PRpPERT�INE - - - ' c6areclor Themalair Inc. Phone2EI3-958 Address _ 330 Potrero Ave. 'So. El Monte - ".CONTRACTOR DECLARATION- 'hamby albm Vitt I am licensed under provisions of Charter 9.`e m- With-Otion 7000) Division 3 —the Buslnpand' I ... ❑ OTHER RITTInv OI of license I5 In lull fora a 11 REHR V ARO (TO PN - ROMsslons Coda nes y et. PROJECT DESCRIPTION C -2C 1022161 Llwnse_Vass Vicensa No. Y - PKG SPACET PROVIDED-. Date ' c IOAJp'1 Spniture - EO. FT. " - -� - STREET WIpTH - PARK FEE EJ. WORKERS'COMPENSATION OECLARATION - - - OCCUPANCY`_CONSTflUCTION.TYPE hereby affix that l naw a Certificate of consent [ S h4mure or 'VALUATION - M ZONE IZONINGpPPRDV EO GY'.. DATE 'Yowle of Workers'-COmoonsa lop Insurance, or a Cerlllled copy -- EPEC AL' CONDITIONS:'-. 1 of (firs C I" - DRAOING CU: UOS. ACRES_ t Cdo FTAmOnt Tnde^nity y No. OIDR114reby ❑ Certiffed copy is heeeby tumbled. - - REMARKS hthe- Division. city BuildinCOMPENSATION - RKthe EXEMPTION FROM p COMPENSATION DECLARATION EXEMPTION C tWORKERS' forone be wmplmed a env permit Is -for one-nun0 W ' TMs attlon ben be Co le V S100? or less,1. - m I- IIIY I the perbrmas pF{M1 O k lerp nl aM1ll t __ _ _ 5naf Issued nal net emjr OF any P ba l yryI her o as qo a .� PLUMBING T'u PLAN CHECK - (ELECTRICAL .PLAN CHECK upledwthe worxpre Gompen Y\ la 1 I5Tom P -}J J BATHTUBS SHOWERS �� .', � Osla 5/20IR2 Signatu LL✓V .✓_ raY NOTICE 11 after making this declaration, should become subject the labor COCO. t ..TOILETS o' :URINALS - - l -GENERATOR' 0.1 KW__.l TRANSFORMER. lO KW to She Worker' Compensation provisions o! YOU ;erthwlth Comply with such ProWl(Ons 0e this Permit mall be aeemM _ LAVATORIES DOUBLE (AVS (APPLIANCE, !0 50 HW�SG KW - ewk3a. KIT.SINKS DISHWASHERS -MOTORS c`-" AP�YIGHP -'_ " CONSTRUCTION LENDING AGENCY -O.E I.homby affirm that them is a mmtmctlOn lending agaii the per. loemanee of the Work for which this permit Is Broad (Saetlon 3097 - SERVICE SINKS3 inSVMP$ (INC''SOLAp)-�'IB'EatRP_BO�HP �� - -11 _ _ _ FLOOR SINKS FLOOR OFAINS _ _ FI%TURES OUT_EETS :`SWITCHES - - _ .Civ. C.) - - Lender's Name` - '- - _ LenderY'AOdias �'`�I. _ _ _ _ _ DRINKING FOUNTAINS - {GAS' TUBE SIGNS'' OWNER BUILDER. DECLARATION - INTERCEPTORS CLARIFIERS CLARIFIERE ] 'POCE LIGRTS -." lj IM1ee0b if11rmlryal l.dmexemPl from the COPLd IOer Llwnle LlWlr following 7031.5 BushrC Prolesslons Code:' __ _ '- " '� - - - - `- the reason (Section dna SWIMMING POOL PTRAP 'PO "MET p I V Any. city or histimIch requires a Permit to construct, after, Improve demolRh Or repair any Structure. prior to Its Issuance. also re- WATER SERVICE ALTERATION PANELS MAIN .�k -I'SUB quires. the apriltant for Also parrot to file a signed slalemonl that he _ _ GA53ERV ICE OUTLETS SERVICE AMP Is Ilwnsed Pursuant to the provisions of the ContractorY LICeno law Section thea - WATE0. HEATERS BTU OUTPUT aIt. - --- less andlv°amlom Coaej or trial its clarch et therefrom and . for the alleged ex m Ilan Any violation of Section 7031.5 by for a subjectsed the to Civil SKIII assunit otynolpliicattnm f35001applicant SEWER CONNECTIONS SOLAR TANK COLLECTORSSole Q 1, as owner of the property. or my employees with wages a5 their will tioo 64r Ro%evMnEOrde StI Is not founded or offered for(ole(Secn, 0he Businesshand Tne SOLAR PIPING SVS. l ISSUE FEE - Contractor S-Umnore Law does net -apply -to an Owner Of a Predicts,- 'gPPLICATION'APPROV ED BV'' Who builds or IMPOWS thereon, and who docs such work himself or ISSUE FEE ` . -' DATE'." Ihr it his Own employees proadW that such ImprOwmentl see not MECHANICAL PLAN CHECK -{ SUMMARY OF FEES - Intended or offered for sale Ip nowawr, the building or Improvement Ip within ono -Year 01 COmpeetlon ,the owner will haw theburden rl I BUILDING - - ' proving he dl not build r improve ler the purPeso 1 le). HEATING SYSTEM 0300,000 STV PERMIT "_ E SMTP 4 i ❑'I s owner Of Ino proOu rtY1 'am ektluslwly contracting IIM1 tractors 7044 qNO OVCTING '�. !� 1phgpl IlwnsM co to a project (Section Business and Professions Code: The Contractor's License Law does hot apply to ' 100.000? BTU '-' - CHECK 3 .: PER ISSUANCE E - an 1 property who pullers or Improves thereon, and who wO- owner REFRIGERATION 0100,000 BTU (PLUMBING I E' tracts fom .itch projects Ito a ontrattOr(s) Ilwined-pursuant to SYSTEM - "- a - _GRAOI NG -E ' the Contractor's License Level. 100.1 BTU( -0LAN{HECK E _ ❑ 1 am exempt under $etllan B. i P. C. far this BOILEpS BTV ELECTRICAL E 3 reason- SYSTEM REPAIR. ALTERATION :PLAN CHECK E QO _ MICROFILMS TOTAL FEES(- ' Dale 'Owner' - MECHANICALS bhereby fortify that l hawmad this application and nate that the above EXHAUST SYSTEM- _MULTIPLE LESS AO- Informationcorrect. gree to cam M all city dna only PLANCHECK E _ - VANCE PC E - oealdaOe no stt to lives rel 910 struetW ndheeebyaittharlm mprese r thea It m 8� spa Inv bore Boned I' ' 1 1 ' pmpert /mwpi �/p se . _ _ r '� 5/20/E2 FINAL FEE E , AO Signature 10 Sinners' License Or 55 $ ISSUE FEE CMF 00651146 WhIta.aulldingl Cdndry-ApPllCISM;Pink-Accounling; GoMenroa-AssalOr CONSTRUCTION AND PLANNING ��u ��••77'-7��� •`• APPROVALS Permit # r�,.1_L_�_ Date Inspector POOL & SPA - APPROVALS Permit # Date Inspector". 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SoilPipe- n rgrn - _ 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce 47. Rough Plumbing & Pressure Test 6. Electrical_UFER Grn _ 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation - _ 50. Gas Pipe, 0 Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Trap. 0 Undrqrn' 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 - ' 14. Rough Electric-Conduit - 56. Electrical-Final 15. Rough Electric-Wiring • - -- -- 57. Solar System-Final .16. Rough Heating & Air Conditioning. - _ Fencing & Access Approval 17. Ducts in Structure - APPROVED FOR PLASTERING ' 18. 19. 20. Ducts, Ventilating _ - Gas Pipe-Rough & Test Roof Framing 60. r POOL/SPA SYSTEMS FINAL � 21, 1 22. Roof Sheathing- Frame and.Flashin2 'NOTES: 23: 24. Insulation _ 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 , - " 41. Gas Release to Southern Cal ifornia'Gas Co. - 42. 1\ CERTIFICATE OF OCCUPANCY t'J1- --- Date - /Applicant to fill in an spaces within heavy border llnesa rd Sign slug°mpnae CeGanNona. --- , CITY OF COSTA MESA P§§RR�JA+IT NO. :CONSTRUCTION PERMIT Mw_ 3 S'vw •Fwsl�b0 p�TRACT NO. LO NO. BLDG. NO.. .7. 1 ©Ib 6,1, 14 • , TYPE OF CONSTRUCTION r - � SLID BIAS%BZ I9e0� . OLsyEW ❑PDD -0 ALTERATION1 16 El -REPAIR OCONV ERS_IDN OoEMOLISX ZONING REGULATIONS, ❑ OTHER. Project Sidereal Chtii�DI Ownm _ PM1anO LAdtlr¢ssl _ _ r AmM1/Erol salters¢ No. DESCRIPTION OFWORK - - TYPE OF PERMIT- --' - -- I] GRADING "'0 FOUNDATION- ❑ STRU�CaT'"URAL I] TENANT ❑ ELECTRICAL OPLVMBINC KamECtjANIC - E OTHER.' - ,� - PROJECT RIPTION - .)r - - BQ FT: "' 1 'OCCUpgNCV- CONSTRUCTION TYPE VIV : - - - VALUATION ZONE .q.P."Q - �Addmes Il _ ZONE- PLNG. REF, - SETA - TO SIJILDING -- - v uNE -...•a [Conlmcto _Phdna I AddreV I. � 'LICENSED CONTRACTOR DEC RATION meet dY efllrm seal I a LIC m0 der provisions of Charter 9 (c IR0Ing lin [Inn 7000) 1'D1 1°n 3 1 the Archaic d 1essl°n[ Code.tend f[my II Is In ful"for I §� lucnm Clai LlcanSe NO ¢ Date Signed WORKERS COMPENSATION DECLARATION Iltthereby alt tat f M1ava S certlf [ala o/ c°nzOnE to selLlmum a I rtlllGte _of Workers Compensation Insurance, O Certified COPY Itnereol 0 1 R '; REAR YANG (TO P/U dPKG. SPACE -REQ- -- - PROVIDEl _ 'STREET WIDTH PARK FEEf bZONING APPROVED BY - _ _ - DATE - - AV -i - GRADINGCU YDS -ACRES -_ 'SPECIAL CONDITIONS! - POI1cYN company UQ S it '1 REMARKS - ' ❑ Certl(led p JI led dby 1 r Ii Cit FYO111WORKE with*t $City BUlltling Dlrsan" - -'-- EXEig:CMPTION-FROM ATION E%EMPTION FROM WORKERl COMPENSATION - -- -' - - - r - .- 1T. for one Sea L Oa [Omplef,6e If the perms is for one hundred leg - ¢ $10 -or less 5300 1 y ermit Is I that InSidea ploy an n work for marine, so as t become issued. P siva r not employ any Per any manner so as to become subject 'i Osec[ [° the Workers Compensation Lawi of Calllornla. - 'Oats-519nalure - INOTI CE 11 site makln9 tM1ls tledentlon, Y°u should Oecoma subl cl Ntna Worker C°mpensa[lon pro4151ons o1 \M1e Larvor Cada Yaum t' ,to;a wRM1 be reap vTln Su[M1 prOvlslom o1 this permll 6ndll OB d08m0d k d 1 CONSTRUCTION LENDING AGENCV " ' -' - IIM1 b f O rm that there l5a [ons[rudlanl d"g p Ylar [M1a per- toat the rk for w tnls pe ¢nit s d (5 dlOn 3091 PLUMBING LP Arv.CHE[K _ _ _ -' ' -' r :ELECTRICAL "f+lgN-CHECK' - -BATHTUBS --- --SHOWERS. ..l_so - TOILETS - URINALS_ _ _ FT. ren _ _ GENERATOR -0-1 RW_I lO KW TRANSFORMER - ,APPLIANCE ��. 10:50.141 KW LAVATORIES - DOUBLE. LAVE. _ _ - _ KIT.SINKS _ . DISHWASHERS. l J.MOTORS. (INC•SOUAFU 1030 XV 50+HP�� ' J ' SERVICE SINKS EUMPS.� ��- - --FLOORDRAINS._ - -_� FIXTURES- _OUTLETS. -SWITCHES Sian ruralNameFLOORSINKS. IL:enOer'f gddrese� }.�iIMTQ']I'� - - DRINKING FOVNTAINS--1' - GAS TUBE SIGNS_.. OWNER BUIL➢Efl`DECIARATIONt`•'-�-c[ vL T..�'•�\'a-i i M1ereby affirm that am exempt Irom t11e Conlnc[or's License \aw lar .-INTEREEPYORS• --CLARIFIERS- _. - :P.OLE.LIGXTS. POOL_ _pTRAP..-- - - '.PO METERE - - - - - - lne_loll°Wing.re¢So°.($eC[Ipp)031.5_BYSIpM3 and. P,rOIMSIpO3 COd0:-.SWIMMING til GtY o Unty wMCM1 r¢gulres a permit [o c nstrud, -altar, Im rawrlemollsb or_repair any strudure,.pnor-t° its issuance, els° rou OYPe3 tno O04ddvr 1 for SYCn permtl IO 1118 a Signed itatem0ot lrvdl 118 - WATER SERVICE - ---ALTERATION. _ _ (PANELS_`. _.MAIN SUB' 1 " is s-formed glieu [tattle.revlslons.el the Contradar's.Liwnsa Law,.. (Chapter 9 (commencing with Section 10001 of Division 3 / the GAS'SERVICE-- --'OUTLETS--� -- - - +SERVICE__ AMP... ' - - - `- -WATER HEATERS ----BTU.OUTPUl-_..-�� - _ �al ;n, ..� - - �-- - - 9lness.antl Frolas31on3-CotleLoc tnaLne is exempLtherelrod And the basis for the alleged exemption. Any violation of Section 7031.5 by .SEWER CONNECTIONS 1L.w,xC�'.� �_ _ C�� y.-_�-?-t4c :_. - --� -- - - "-' any.applGnt l°r_a permit OloNcli the.appbcantto a civil Penalty, 'o1 of more than five hundred d0has ($500). -SOLAR TANK - -- _ COBLECTORS- y ,(-)-1-.-31 owner ol-\M1e-pro°Or sh-or-mY emplayards wrid-wagi ablNir- sole Compensation, will do the work, and the structure Is not Intended 'offered for sale.(Eettlten 7044, Business and'Rafesslam Code: The -SOLAR PIPING SYS. - �"I�`- - - ISSUEFEE 'Contractor's Leaving Law does notpwmly to an owner Of property improvers thereoM1e'tloes-aucwork 111msellar n°'bullOs o Immwn,-and through his own employees, provided that such improvements are not -ISSUE-FEE-- -- _l __ _ _. - __ _ - {gPP4CATION APPROVED EO BV____ SATE �•�y - - MECHANICAL- - -PLAN CHECK _ -- - ' - - --' 'SUMMARY OFF FEES-.. ' -BUILDING, � - - " �_ l -� , - 1 PERMIT E $MIP i r -, 1- PLAN CHECK I PERMIT- - 1 _ 'ISSUANCE'�_'E PLUMBING— E _ • GRADING E A 1�. 'PLAN CHECK- t- �ELELTRICAL § -I- - 1 -§r :PLAN CHECK _$ - MICROF.IIM,S- TOTAL:FEE§ MECHANICAL § ,F _ - LESS AO- ` PLAN CHECK. E .ygryCEPC. FINAL FEE s�• Intended or offered for rale. Hi however, the buildingorImprovement Is Sold within one year Of completion, the owner will have the burden I provinghedud-gnat build -Or Improve for the purpose f Sale]. ❑ I, -as owner of the propeltY am exclusively contracting with- 10 II[en5eti Cp I eats lM1e pm1Bc[ (SeCtlon 7044 Business and PEUMO .Cod TheContractor's License Ur tl tapplY.t° ownerof p P tY n bullds or Imingi to d who Con traCI fm Such projects with a consector(s), II d pursuant to the Comm for%U se Lie). - - ❑ -lamer pDune ectum B.6 P.C-Im this reap n - - - _ gryO DUCT NG ATING EM OT300,000 BTU- `' lOO,000Ii BTU REFRIGERATION-- 0-1'00:0 00BTI( - _ SYSTEM_-. _ d _ - 100,00i BTU"' - - - 'BOICERS' - "'- -BTU - - — , Date _ ¢r (hereby 141011 read t0 ppl cellon and state lM1al the above Inform o s [ tt g[X O c m ly' It Mall City d county a.dm ¢es �d s ° °nse coon, ante ereb° auihoilze repre nut 5 RY n Shier. upon -the abo �rB ed proper 3 L�Oa •`/ 519nall l ur Drivers'Llc ors -9F SYSTEM REPgIR�ALTEPAT ION '• EXHAUST SYSTEM MULTIPLE -- - .. - - - ISSUE FEE - J CMF 0865-45 White-Buluingi Canary-Appicanp Pink Accounting; CONSTRUCTION AND PLANNING' //yy�� //t��,(l��� APPROVALS Permit # ..JJ_•3..27•� _ POOL &SPA Date Inspector, ,,. - ' •, �• .'Date- - Inspector APPROVALS Permit =P _1. Temporary. ElectricaI Service or Pole. _ -. 43. Pool & Equipment Location' J - 2. - SoilPipe-Undrgrn •.__ . -- . - _ _ _ _ _ __44. _Steel.Reinforcement 3. -Electrical Conduit Utility-Undrgrn -- • - - -- - - - - 45. Forms ---- - 4. Electrical- Conduit-Undrgrn - ---- ------.,- --- ---- - - 46. Electrical Bonding- .-- Steel. Reinforce. 47.. Rough Plumbing &Pressure Test - - 6: Electrical LIFER Grn- -- - - - 48. , APPROVAL TO COVER-GUNITE -- '-7. --Footings - ---. - - - - - 49. Electrical Conduit-Undr rn -- 8-. - Foundation- -_- ,- - - -- -- - - - -- - - - 50:: ' Gas Pipe, ❑ Undr m, Test ' -9-Water-Pipe-Undrgrn ••----- --- - - - -51 : Backwash Lines P -Trap.❑ Undrqrn 10: -Structural Floor System-- -- - - - - - - -" ' 52. APPROVAL TO DECK ' - ' -1-1: -Property Sewer Line -&•House Connection- - _- - - -- - - 53. -Backwash & Rece for-Fina6 •` •,J °° x--12:--Street Sewer -Connection--^--- -�- -•-- - . - -'-- -' -54: HeateF & Veot-Final • '" 13.- Rough Plumbing - - -- - --- - -- - - - �•' ,. 14. Rough Electric -Conduit _ - .56. Electrical -Final 15. Rough Electric -Wiring 57. Solar System -Final - 16. Rough Heating &Air -Conditioning - -'-' , -' -__BB_encing-&-Access-Approval ' 17: Ducts, in Structure'r .r, - - - _ - - -- - -- APPROVED FOR -PLASTERING •- - C 18' Ducts, Ventilating ' 19. Gas Pipe -Rough &Test 20.`- Roof Framing - - - - - - 60. - -POOL/,SPA SYSTEMS FINAL ' 21. Roof Sheathing-•--- ` 22. Frame and Flashiri .;-- --_" _ _- '- - - --- _ -, -. _ _ - - - -- - NOTES: -'•'- 'w -• 23d- Insulation 24: Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat- ' 27: - Electrical Power Meter -Final 28: Final'Electric- 1 - 29. " Final Heating &-Air Conditionin - - •' 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 p_7 39. - Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No. Date - Appileaor to fill In all spaces within heavy border Imes and sign al amemoriata declarations, CITY OF COSTA MESAPERMIT NO - TRACT NO. - IAT NO�'--GLOG. NO. - 11963BILI/B2 Ja2B CONSTRUCTION PERMIT •' TYPE OF CONSTRUCTION ❑ADD ❑ALTERATION ❑REPAIR ❑CONVERSION ❑DEMOLISH Lot OTHER TT .— uLDZ7. O -U/✓/! /Q ' - ZONING REGULATIONS - " -' PmjeolAdd Sob D/CG e. ..9✓6- 'DwnN /y - phone--yg1P'RNEW Adtlrea 'jQ l) '.O ACCM1lEn9' f 5 Livens No DESCRIPTION OF WORK _ A.P.or, ZONE PWG.REP:; _ . "AddrRs _ O Convector Phoneys/.,j- TYPE OF PERMIT - L1GRADING O FOUNDATION- 0 $TRUCTURgL' - TENANT ;KELECTRICAL OPLUMBINGLIMECHANICAL p 11ILpING SETB YCARCO T. aROBPERTY LINE t r yot,i - - " Asltli6s - to O- f LICENSED -CONTRACTOR DECLARATION 1❑ 1 hereby affirm t I am licensed der provisions of Charter 9 (Coal 'REAR RIny Itn tion' 70001 f Division 3 I in* -Business d Section mmr50 Is fu full form -❑OTHER YARD LTO P/LI ONDIOns Coca, and y and effect. PROJECT DESCRIPTION __ _ _ - - Lica e.0/I_asss License NO. 'ss SG: FT. - OCCUPANCY CONSTRUCTION TYPE r PKG. SPACE RED:' .PROVIDED _- STREET WIDTH ,PARK FEES" _ cateLGS�l¢L� Signature WORKERS' COMPENSATION DECLAR0.'F IO- I hereby affirm that I haw a Certificate of co sent to selNniure or a V P.Lc3ATION ZONE ZONING APPROVED BY DATE Crthimte f Workers' Compensation -Insurance, or -a certified COPY _ SPECIAL CONDITIONS: if 3800, Lou. C"1. QY /.;O'V!-/Company FFG HAaaf /ND EE GRAOING'CU.YOS. ACRES - - I NO,WP Lo.wrtllleO Copy is hereby fumishW... _ _. REMARKS: p - �' Z �1 ❑ Certified COPY nonprofit with the Clty Building Division. / . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - r• - ([(( I sCCNOn, need not AO completed if the, permit -is far one hundred _ r _ _ or less) (SCR Iffy lnrolhe.PeriorMnCe of the work for go this pomlt Is Shat. Issued, I hall1 am toy any person In any e, o as to become VlorkerS - PLUMBING - -_. PLAN CHECK - - ELECTRICAL PLAN CHECK' subject tothe Compenullon Laws Of California. BATHTUBS SHOWERS- - "t" - - "- - OaN Slynalure NOTICE: If after nuking this declaration,on shoulld become'subiect -TOILETS - ", URINAL S" - - -� - - 'GENERATOR O-1 KW�110 KW - WkOre C t0 the OrMMnsatiOn provisions o�the Lab Code, you must TRANSFORMER - forthwith comply with such provisions or this permit Shall be deemed LAVATORIES OOUBLE SLAVS -'" 'APPLIANCE--10.50'KW_50, KW - - _— MVOWd.�. ' _ _ ICONSry "-KIT(SINK$- DISHWASHERS ", """'':MOTORS - -9d HP_1HGHp -" -- -- UCTI ONLENDING AGENCY 1 nelane affirm iNt IS i ch plern l fouthe per - -� - SEflVICE SINKS -� y5UMP5 ' - -- - IINL SOLAR) 90"SO HP 50-a HP _ _ ._ this 15 Refagency formanm_o11M1e_wa_rk for whICM1 this permit Is Issued (Section 3097 kfo _ _ -F LOORCRAINS - --- - FIXTURES OUTCETSL' SWITCHES' ov.-C:1. _- __. TT,FLOGP_'SINKS ., b .�� .♦ L11Ider's Ni hly _ Lender's Address- DRINKING FOUNTAINS"` 11 GAS TUBE SIGNS - - - - - - IryTERCEPTORS - CLARIFIERE - - POLE LIGHTS - - - -- -- OWNER 'BUILDER DECLARATION -"' "�" -'- 1 hereby affirm that I am exempt from the Contractorot LlcenR Law for SWIMMING POOL - PTRAP �" - theY011OMng-reasn (Section' 7031.5 Business and-N*fessios-Code: Any city o County which requires a permitconstruct.after. POLES METERED SUR - WATER SERVICE ALTERATION' - PANELS -' MAIN SUB r Imo o dmo ish Or repair any Structure, prior to Its ls5oancoads' to. for file Yaw - GA5.5ERVICE \., OVdLETS 'he SEPVICE'�L� AMP-(�D '�Y uant t0 thegain 16uI1CCosed-Pursago0lant MOVISbns o1the Co ittecur4 License (Chapler 9 (cbmmencing with Section 7000) Of Division 3 Of the WATER HEATERS ' BTU OUTPUT - OSS and Pmt s1Ons'mode) or that no lsexempt therefrom and the the alleged ex t5 n Any violation 1 SeClmn 7031S y SEWER CONNECTIONS -"-' "- or— afar 4Repvntlrsu subjedollactscard -t0 a CMI Ptntlly naPPllUntot more ih a or ($SOOI " SOLAR TANK' ' - ' 'COL rLECTORS - -'-- - - - '-' - - - - O 1, es Dene of -the property, or My emplbyees with was as their Sole compenillion, wi I do-thewPrk, and the structure Is not Intended " " or offered for SHB. (Section 7044, Business and RO1nOon5 Code: The SOLAR PIPING SVS. - - "- -- r - - ISSUE FEE - -- r COOIrattOCs.Ucerse.0 Pl apply to an owner property _ _ _ ISSUE FEE _ APPLICATION'APPROVED BY-- - - DATE - -OI_a who builds or Ihereand who does such work himself or oq Shape qh.his own rm ideal roigul That IYCh-Indmile ki are not P6 v however, me building Improvement _ _ _ - - _ Intern ad Or oflerod r le. Or the have the burden MECHANICAL PUtN CHECK i SUMMARY MARY OF F C Iz SolO.wlllrin ono year of completion, owner will f prat ng he tie not build or Improve for the purpose o1 sale). HEATING SV STEM 0-I OO,000 BTU -. , BUILDING- - --- - -_ -- - :PERMIT $ SMIP '�., E - O•I-'as' owner PI the property, am exclusively m haCtlPg with the J044, Sus AND'OUCTING" -- - -' —" - IlcemM contractors to construct ProNR (Section ness ]OOAOO;J BTU ,PLAN CHECK S PERMIT. and -Pro [skin Code: The Contractor's Limina -Law poen nOta PPl9 t0 .. _ - _ ISSUANCE. S owneran of property whobulldS or Improves thereon. and who Can- REFRIGERATION OJ 00.000 BTU IPLUMRING $ tracts from -such -Prod s with a mrstractor(s) liRSnetl roursuan4to�-SYSTEM" - S - - - -GRADING S 'PLAN awl the Contractor's License L. 100,000 BTU CHECK IS O lam ¢xempLhM1tler $e2llon"-' - -'" --'B. &'P. C: 1-o.1 I BOILERS BTU - .ELECTRICAL SL `E -- " `PLAN CHECK S __ _ MICROFILM E?" Gale�kasrn dodder SYSTEM REPAIR, ALTERATION �MEMANICAL-E TOTALFEEE _ I thereby RRRy that l have this ap011011on antl State that the above EXHAUST SYSTEM MULTIPLE 'LESS AD- - road IMormetbn Is Correct. gree to comply with all city and- unty 'PLAN CHECK -.S VANCEPC Is ` ordinances and State laws mlatlng tarcons tied ion and herebyauthorize -dlty - 'above representatives of this to t rt. tin mentioned n n p It purpose: Z��b lG - - FINAL FEE S $I9natYm ale Drivers' License or 55 - - - Issue FEE CMF 086546 Wntte-Buildinyl 6Nry-Applicant{ Pink -Accounting; GoldenrOd-AR SWr ' CONSTRUCT ION' AND PLANNING APPROVALS •' -. Permit # Date i POOL & SPA 'Inspector APPROVALS Permit #'- Date Inspector 1. Temporary Electrical Service or Pole _ 43. Pool & Equipmerit Location _SoilPipe-Undrgrn 44. Steel Reinforcement -- ' - - - - - - 3. - Electrical Conduit Utility:Undrgrn. _ 45. Forms - - - - -- 4. Electrical Conduit-Undrgrn- _ _ 46. Electrical Bonding. - - °t-=- - •- - - _. Steel Reinforce _ _ _ _ 47. Rough Plumbing & Pressure Tesi - 6. Electrical UFER Grn _ _ _ 48. APPROVAL TO COVER-GUNITE •- 7. Footings _ 49. Electrical Conduit-Undr rn 8._" Foundation _ 50. Gas Pipe, ❑ Undr rn, Test -9. - Water Pipe.Undrgrn 51. Backwash Lines P:T 0 Undrqrn _ ^- - -• ' _10. -_ Structural .Floor system 52. ,rap, APPROVAL TO DECK 11. Property -Sewer Line & House'Connectiori _ ° .53.. Backwash.& Receptor -Final ' ..12._- Street Sewer -Connection- - 54. Heater & Vent -Final -1.3. -Rough Plumbing - " ' 14. Rough Electric -Conduit -- -' - - - - 56. Electrical -Final - - 15. Rough Electric -Wiring - - -- - 57. - Solar System -Final - -" 16. Rough Heating & Air Conditioning-' - -'- - - -77597 ncing & Access -Approval - -17. Ducts in Structure.,. APPROVED FOR PLASTERING 18: i 19. r -20. -Ducts; Ventilating Gas Pipe -Rough &Test - - - - Roof Framing .60. POOL/SPA SYSTEMS ,FINAL ''- - 21.' 1-.22. Roof Sheathing- -' - •_ 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 - t '• 33. - Gas Service -Final 34. Solar Domestic -Final •' - I 35. Landscape Sprinkling System ' 36. Sound Attenuation F- 37. Handicap Regulations 38. FINAL STRUCTURE&.BUIL•DING 39. Special Requirements Completed - 40. Electric Release to Edison - - - - - - -- ' 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY ' No -- Date ,'- J_ Oath owner I hereby certify mat noes real Drivers License o, sssa x. CMF 0865-06. rev. 10/90 White - BUIMIngI e Lion. l aware hot onto he provided to me. B. 6 P. C. for this reaso t Reinspection Fee I $in loiter l uct- Under Ground )uct - Structural )uct- Ventilating i xhal System Cl Multiple ❑ airepl/Fact. Bit. ICBG # real system a Ducting 7a100p130 RTU 11103,0011071 _ I I Reintegration Fee I $15 AccounllOg: GOIdOnrod - ASGOOr taus Fee S 3 4ANICAL FEES Hood or Type 1 ❑ Canopy Typell ❑ Refrigeration System 00.100,000BTU 0100,0IXI13TU System RepairlAlterration Fire Dampers In" Fee I S 3 Zoning Approved By- Building y_ButWing Approved By FEES Z O N R 0 M T SU M1]ANV OF FEES _ Applicant to fill n all spaces except those within heavy border lines and Sign all Stencil declarations. Il•DO I ! I JAN 26 19p6 ' a• V_ CITYOFCOSTAMESA CONSTRUCTION PERMIT Protect Adores 3So5 /J//D/LLAL/ #d63B/.BLd rid PERMIT NO. CT NQ 1�LOT ND. UNIT NO. $ 3t 67 .4z `rTa�l— 0-205$ SMIP Applicant's MAInDt Address 3EL AAm.rrO /I@�`L %//<xY/gJ owners Name n �Acce/l/6tL /i2/11ST2p✓6 p G.YNiH ST TYPE OFCONSTRUCTION LJ NEW LJ ADD ALTERATION LJ REPAIR ❑ CONVERSION O DEMOLISH 0 OTH - 9x/{�BCNIPTION 'w �A Q�k a /-, zone A.P. M — (a& = S Main Oulldlrq: Accersory'Bullding: PLUMBING rp� Address Q�/ ✓%(/i�1' V70 51�lo0 "5✓S�i/�/�6 OF WORK/USE OF BLOC. Arch/Eng, 9E.UGEG PZHPA,u% License No. %i 9q.., Atltlresa /�Ci iT//I/ TYPETENFPERMIT GRADING FOUNDATION STRUCTURAL �A, 0 ELECTRICAL EIPLUMBING ❑ MECHANICAL �sCT DE - PROJECT DESCRIPTION SO. FT. OCCUPANCY CON Sn NVCT1ON TYPE II VALUATION$ LV 00G' ZONE GRADING CU.YOS. ACRES T Front BA Rear COntracto.'. Name CAQ:QOCL UrgkT p6one ✓Qr�_4 C flight Atldress lmeilingl r 'Y D/AN�I (/./ /✓�nfJ}JRT-i3'FA^_/f City License No. 037,¢z LICENSED CONTRACTOR DECLARATION K fri 'Left PIN. Ref. # Parking Redlibro ided ram/ Remarks: I •� 1 L� p a PIen01'dg NOI¢e: $ prosiness of Charter 9Ica mine. ang hereby affirm that 1 am licensed at the with section )fall Of DIVISIOn 3 1 the Buslneu and Professions Code, and my license is toll,�p antl elle License cu �s � �°- No.'��80/ ��` C/� I-8� - •b _merf� Date IC -J "- fQi(.0 PLUMBING FEES WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a Certificate of consent to saltinsure or a certificate Ba[3ink Snpwers ELECTRICAL of Workers' Compensation Insurance. or a Certified copy thereof (Section 3000, Ub. 0.) policy No. Company / Backflow Presenter Service Sink - Automatic Washer Transformer ❑ 1550 KW Construction Pole sub. 50 i KW BxkgOw Irrigation Sewer Cap Cloonan copy N 8 hereby furnished. CerNfled may Is filed With the City Building Division. wt Bathtubs Sooner Connection Cooking Unit Meter Oup to 100 am" Date ApplicantEXEMPTION Cia fiBn Solar Collectors Dishwasher Meter Dover 100amps KER' ThisH tion need FROM be Rcompleted OMne permit IIssafor one hundred ($100) or ♦asst. 3 I wrtly that In the performance Of tM1e work for which this permit Is Bit I Shall t ploy y personin y as become subject to the Workers Worker pp ssaaitl Laws of CabinMa. - CGrh�l�a1-PAi Date Ignature FrT�'�' r Dishwasher Solar Piping Dryers CDR; ❑EI¢ctrie Sub Panel s Drinking Fountains Solar Tank Fen Motors 00.1 HP 111M-8 .Floor Drains Swimming Pool vii F.A.U. Inc. Solar❑9-15 HP 111615♦ NOTICE: It, after making this detlarallon, you Should beta subject t0 the Floor Sinks Urinal Fixtures Microwave kers' Compansatlon provisions Of the Labor Code. You must forthwith Workers' s ply with, such provisions Or this Permit hall bedeemed mvaked. Gas Service Outlets Water Closet Device Boxes Pole Light 9 CONSTRUCTION LENDING,AGENCY Ihereby affirm that there is a construction Sending agency for the ormant of the work for which this Permit need (Section 300ICiv.C.) Layers Name Interceptors Water Heater Outlets Ran 9a Lenders Address OWNER BUILDER DECLARATION 1 hereby affirm that Yam exempt from the Contractor's License Lew for the following reason (Section 7131.5 Business and Probjetonal GOtle: Anycityor Linty hick yy tares a permit to construct. aper, prove, demolish r Mair County tstructure. lure. odor to Its issuance, also requires the applicant for such y It Kitchen Sink Water Service Switches Sign Lavatories Arno Wash Garbage Disposal Stabling Sections P_Trap Laundry Trays Generator 00.5 KW 11515 KW Trash Compactor Rollf Drains o file signed statement that hDri Is licensed pursuant to the PrOYIS els of . the Contractor's LiGnse law (Chapter 9,(commencinng with Sector, 7000) of Division 3 of the Business d Probl m s; Code) that hes Is is pt therefrom and the basis forthe alleged exemption. Any violailon of exempt _ v a o Liam for permit subieots the applicant to a civil n Oath owner I hereby certify mat noes real Drivers License o, sssa x. CMF 0865-06. rev. 10/90 White - BUIMIngI e Lion. l aware hot onto he provided to me. B. 6 P. C. for this reaso t Reinspection Fee I $in loiter l uct- Under Ground )uct - Structural )uct- Ventilating i xhal System Cl Multiple ❑ airepl/Fact. Bit. ICBG # real system a Ducting 7a100p130 RTU 11103,0011071 _ I I Reintegration Fee I $15 AccounllOg: GOIdOnrod - ASGOOr taus Fee S 3 4ANICAL FEES Hood or Type 1 ❑ Canopy Typell ❑ Refrigeration System 00.100,000BTU 0100,0IXI13TU System RepairlAlterration Fire Dampers In" Fee I S 3 Zoning Approved By- Building y_ButWing Approved By FEES Z O N R 0 M T PLANCHECK 25% $ SU M1]ANV OF FEES Il•DO a• V_ BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P. C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50%$ MICROFILM $ MECHANICAL $ TOTALFEE $ 3. PLANCHECK 25% $ CONSTRUCTION AND,PLANNING APPROVALS Permit # Date Inspector POOL & SPA 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 i 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER 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 Liner, P -Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK r 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final ' 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT' APPROVALS Permit +----7,- 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping LIGas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush i 24. Roof Framing 73. Undergrnd. Storage Tank 0,FGas El Oil ' 25. Roof Sheathing 74. Overhead Hydro -r 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 IS"SUFD 33. Final Electric Notes: 34. Final Heating & Air Conditioning Of 7-Z 35. Final Gas Pipe -Test -` 36. Hood or Canopy - 37. Final Factory Fireplace i 38. Final Plumbing 39. Water Service -Final. ; - . 40. Gas Service -Final - e 41. Solar Domestic -Final p " 42.E Backf low Preventer r 43. Backflow Irrigation 44. Landscape Irrigation System - • r. 45. Sound Attenuation ° '1 , '46. Handicap Regulations 47. FINAL STRUCTURE &BUILOIN G 48'. Special Requirements Completed ' 49.- Ifecf7iZ-Re lease to Edison , 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ' �+ •-�` UJApr— I'.0nui!� �_ Ali asset to fill In all spai a V of IQUi within heavy border 11 las and sign all app�afe eeelanOons. i P CI RBESA VT . PER IT NO. Issue Fee TRACT NO. L ND. BL V `TRU�TION PEROT B�fo"ter.:a 1� O Hand or Type 1 ❑ 1 Canopy Type II I� r /EO-.. /i4Q. �/Z O -I10 Device Bdxee- Ducn$Vuclmal Refrigeration System 1, as owner of the properly, am exclusively contracting With licensed Com t factors to construct t ne of act `Octiio 7000, Businessan`• prolealons Code: 00100,p00 BTU 0100,1 Outlets Duct - Ventilating L T48 Contfactome Ll Ce rise LdW tl 1 poly to an f 1 p early. who builes Improves thereon, and whocontracts for such mjecls with a con- tractorls) license PUundant to the Card Or d[ Y License Law I e `,Proj (Atltlress NIT110 CAOAL WISE OF CONSTRUCTION UNEW JADD L&ALTERATION UREPAIR Firbo/Fact'Bit. ICSO'E ;fEi 1:1 ❑ ❑ OTH Heating System is Ducting ❑0-100,000 BTU ❑100,000 Applicant's Mai _III nowe1Le CONVERSION DEMOLISH A p ,y "Add OwnerName DESCRIPTION OF WORK rCt`iANY IYVI 6NAE3JT OF' 5 Main Build nI I3oI �' I Ism Fee Goldenrod ]MF006546 r0. 7/a3 Waite- , anti Pink -Accounting: - Assessor FEES Atltlress TypE ERMIT GRADING OUNOATION STRUCTURAL T Front AICM1/Eng. ' ¢ ¢N91 NANT _ELECTRICAL ff PLUMBING ID MECHANICAL B Rear Atltlreea edrz1r' " I.>, CLYf `rJSFR MESA ❑OTHER _ A ` Contractors Name rphone PROJECT DESCRIPTIONIGN SG�s-FLT. OCCUPANCCYY W- C Right Address (mailing) CON STRUCT � TVPP N VALUATIONS S Left '/p?.&S? $ City License No. _ ZONE GRADING CU.v ACRE'a Plrsg, Rel. PLAN CHECK LICENSED CONTRACTOR DECLARATION Remarks ' Perking Resi I:Acreby affirm that I am licensed under provisions of Charter 9 (commencing PLUMBING 1n' $ ISSUANCE with Section 7000) of Division 3 of the Business and Professions Code, and - the of Building: ' my license is In full force and effect. ucenx Class /Sic SeNoff6393 $ $ _ ENERGYP,C. GRADING Planning Nota l: PLUMBING - FEES Dale 7-24-45 ingr:amre eo• .MECNANICAL $ TOTAL FEE IS % U� Bar Sink Showers CPLAN CHECK $ WORKERS'COMPENSATION DECLARATION rereby affirm that l have a Certificate of consent to animalcule or a Certificate Backflow Presenter Service Sink Workers' COmpenNllon Insurance, or a Certified copy thereof (Section J800, Liu. (L''I �f _ Do11cY No. 7TP, 43-0059l Company ��„r,4A`� tail / (16 Backllow irrigation Sewer Capp 1. ' eCertified Copy is hereby fumisneb. Bathtubs Server CenteC[lon AJWmatic Certified coDY IS filed with the CI[Y Getting Division. Date APDIICan[ Clarifiers Solar C011ecton' COnstruclic EXEMPTION FROM WORKERSICOMPENSATION DECLARATION Mr SeCIlOn need not be Completed If the permit Is for On hum dred (EI OO) or Dishwasher Solar Piping _ COOkin gLr II COTHY that In the performance of the wore for a Which this pert Il Issued r not employ any person In any mann to became subject to the Urinking Fountains Solar Tank' n DishwashP Wnail orkers' ompensation Laws of alifornia. Floor Drains: Swimming Pool w/$pa. Date Signature NOTICE : U, after making this Caclarauon, you anomia become subject to the Floor Sinks Urinal ” Workers'. Compensation prOvemna; Of the Labor Code, YOU moat forthwith comply with such provisions. or this permit shall be deemed revoked. Gas Service Outlets'WaterCpaet CONSTRUCTION LENDING AGENCY.' I hereby affirm that there is a construction lending agency for the performance Interceptors - Water Heater Of the Work dor which this permit I$ Indeed (Sor"On 3097, Clv_ C.) Lender's Name Kitchen Simk - Water Service Lenmr'a Address Lavatories - OWNER BUILDER DECLARATION - I hereby affirm that I am pt from the Contracto S License Law for the following reason (Section 7031.5 Business and Professional COee: Any city or'� Pi Y structure, PrWhich p'�orres ato Its issmarnot ret to d reauiirlter res$1 0 Sunni eforr Such Permit .Roof Drains to file a listed statement that ne/sne Is licensed pursuant to the Crowsion; of �enatty of noI mor -11. loan flue nundi¢rl do11sN }5500). ELECTRICAL F Reinspection Fed $26 Issue Fee 'LJrI as owner f the proyponrty o y employees wiM wages as Inalr sole psaenzetion will da the rk, sed the atno re Is no[ intended a offeree for le (Sec{Ian 1044, BURnasstl Proferslonel Code: TooCanVeclov's MECHANICAL LIEleclric I I Sub Panel r - Boiler Hand or Type 1 ❑ 1 Canopy Type II I� r Ude no Law does not aad V to an awner of a ptop erty wn6 aUllds or or tehefeo0, and who endo n work bl mself/nerK if o th ramgn not oor her own !e Iii nowevor;tltM1e gull.( uc4 Imlmprovemeni iz cote w3tnln ane yea. IS for GbeIoo� ,teeoptviner' e o nave 11herburaan of proving "And did not nude or Irl poseofAle). row d Duct- Under Ground Device Bdxee- Ducn$Vuclmal Refrigeration System 1, as owner of the properly, am exclusively contracting With licensed Com t factors to construct t ne of act `Octiio 7000, Businessan`• prolealons Code: 00100,p00 BTU 0100,1 Outlets Duct - Ventilating L T48 Contfactome Ll Ce rise LdW tl 1 poly to an f 1 p early. who builes Improves thereon, and whocontracts for such mjecls with a con- tractorls) license PUundant to the Card Or d[ Y License Law I Exhaust System ❑ Multiple ❑ p System Ra pairlA Iteration Firbo/Fact'Bit. ICSO'E el _ ❑ jamexam of under Section B. el P. C. forthis reason Date Owner Heating System is Ducting ❑0-100,000 BTU ❑100,000 y c that . II have read thiie pplicatal^e and state that one avow I ereli certify gree o 01 with p and ndcount, mna s e° -state Iowa relating, to building camiruction, a e hereby 0Kdrim mato sentaavas r Ay to enter upon t o amvd-menamae p costly for r ' Generator 1165 KW ❑5.15 KW Trash Compactor'. nspectlon p Sigratu lag PIt, /2•i6-tY3 Drivers' or s5 8 nI Reinspection Fee $25 Ism Fee Goldenrod ]MF006546 r0. 7/a3 Waite- , anti Pink -Accounting: - Assessor FEES (✓(s iaatC2f 3130 1/26/134 1057.05 TL' Z _ I C1 zone o/-)7— M E ELECTRICAL F :her 'ob Sub. Transformer ❑ 15.50 KW ❑ 50+KW Meter LJup to 100 amps - Meter Dover 100 Stec } LIEleclric I I Sub Panel r - tit. u.i Inc.St lar.LJ415 FOR L116154 Fixtures Mimowave . Device Bdxee- POIdLight _ �+ Outlets - Range Switches Sign I -: el _ . Garbage:Disooal - Standing Sections. ' Generator 1165 KW ❑5.15 KW Trash Compactor'. $3 nI RYlnspection For] $25 haps a $ 3 FEES PUBLIC SERVICES REOUIPMEN , itai Approved Byr ' _ ata ` Application Apprdwd By Application laelxd BY � a r `7' clat, ate / 2I-S�i" " BUILDING PERMIT' SUMMARY OF FE $ 6 SMIP` '/p?.&S? $ 0 PLAN CHECK $ /%. PERMIT ' PLUMBING 1n' $ ISSUANCE $ - ' v'( PLANCHECKr ;, • ELECTRICAL �� PLAN'CHECKMICROFILM- $ $ _ ENERGYP,C. GRADING $ $ $ •' eo• .MECNANICAL $ TOTAL FEE IS % U� $ 3 CPLAN CHECK $ M l � - -CONSTRUCTION AND PLANNING APPROVALS Permit # Q-10742, Date Inspector POO SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 1 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Eiactrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing &Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footing;_- 58. ElectricalConduit-Undrgrnd. 8. Foundation- -, 59. Gas Pipe, ❑ Undrgrnd., Test - 9:'Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11.E Property Sewer Line & House Connection 62. Backwash &Receptor -Final 1,2. Sever Cap 63. Heater & Vent -Final 13. Roof Drains 1 64. Plumbing System - Final A.4. Rough Plumbing 21741yy L4ro 65. Electrical -Final . 15. Rough Electrical -Conduit 66. Solar System -Final •'� 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20- Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑ Gas ❑ Oil 23. Gas Pipe -Rough &, Test 72. Underground Flush 24. Roof. Framing r, 73. Undergrnd. Storage Tank ❑ Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat �. s�i 7 . Dry Chemical 27. Frame and Flashing W (le 041 1421 -[dPffc,;41 6: Dry Standpipe 28. Lathing& Siding C 3 y qy 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL /30. Drywall Nailing � M � � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat- 79. FINAL INSPECTION 32. Electfical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 3/t2 }jrl a 23 8 0 35. Final Gas Pipe -Test 4 Cj/ (,Lp a3J6N o� rt 36. Hood or Canopy 2 y 37. Final Factory Fireplace 38. Final Plumbing c�lQl�Z� (�� _ 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer `T 43. Backflow Irrigation ell U CJ 44. Landscape Irrigation System I SRR. 010^<, 45. Sound Attenuation �� % 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 0 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 3 7(8 k .01�oL 51. CERTIFICATE OF OCCUPANCY No. Date +I 3539 2/02/914 - 121:. d0 -TLt F 1 Zone T. �) Applicant to fill m an %Facts except Inose within heavy border lines and sign au streamers b2-, CITYOF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLD. s CONCTRUCTION PERMIT Sm.��'L/<D �.—lO�s 41 — '': Project Address 05 6/!Qa//moi Cl'— / 'Urs TYP�G; OFCONSTRUCTION NEW OO ALTERATIONI C Applicant; Me line Addrea'S1�p21$✓S �Ai Cm5 jiiP_�BJJJf}CI 1 DD Nti e1L- 9r2:{�:Lwa+T ' Owners Name pM1one A[IEIeS /'a UL .OGV�/ /J p_a^J a�.- rj raCSC� EJ CONVERSION QOEMOLISH OTHER�ii'' OE3CgI Pi OF WO H ��'� 1F!''eda L r n „� o W N e r TV PE OF PE MIT GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ELECTRICAL 0 PLUMBING 0 MECHANICAL , ArCNEng. NAP Licanu No. R E Address OTHER PRO.IECTDE$CRIPTION SOFT. OCCUPANCY- 'I❑ Contractor's Name %2 /=—I We Pryone a�V�`Sv%try µI VVVM V WI Addreass imp ingl SL(aZ ,T.'„ieAD .dN ..A-/3oct. City License No. P44 -i95 IY(.L9 CON STRUCTION TVPE VALUATIONS 20NE GqRADING CV.VDS. ACRES_ Remarks LICENSED CONTRACTOR DECLARATION 1 marshy affirm trial I am $loaned under provision of Charter 9 (Commending with section 7000) of Division 3 at the Returns and profnflonl Code, and I my license Is In full lerce��ppd Ofiect. LICeos C s `/O Ucense ry sem rglJf_ PLUMBING ' rale a' Slgnalur0 bar Sink Showers ORKERS' COMPENSATION DECLARATION Backflow Preventer Service Sink hereby affirm that I have a CaTRole Of Consent to N[f.e$ui¢ Or a certificate of Workers' COmpens311on, Insurance. Or a Cor fled Copy thereof (Section Backflow Irrigation Sewer Cap FlrepOseact. BIL ICBD # PoIICY N6TGT �'�I Z(eOS / Company �n"%�a 45 ❑Certllletl copy lshenbyfuanlsned. Bathtubs - S¢W¢r Connection Date owner ®'Ess t o v Ix Iuo wlm me city R m I Dau�if9� Appllcam �����1��i Cledliers Solar Cgllttton E%HMPTION FROM WORKERS'CO�e NSAT \ need not be Completed R the permit h for one hundred Isloo) o. Dishonorer Solar Piping meormailon cis correectlI havereadto complyiOwith alll City and county the co meds marmalade f this city to ter pan thehove-mentioned Puma y Or dna state laws chance to ouldin9construction, and hereby authorise mwm-ffil Inspection our tr0 Sy/ Date Signature Z Drivers' or SS C° fesssection I certinu that In thDIOY an OerformanCC Of the Work for which this permit Is Issued l shelWorlker& Compensation Laws of Caerson In lifornia. manner to become subject to tile Drinking Fountains SOlar Tank Floor Drains Swimming Pool w/spa +I 3539 2/02/914 - 121:. d0 -TLt F 1 Zone T. Front N B A Bear N C Right G 5 Left R E Ping. Ref. * Park. Fees $ O U Parking ReR./Provideel `. - 1 Wool Building: - R E ELECTRICAL Automatic Washer Transformer ❑ 1530 KV Construction Pole Sub, J 17150«AIN Cooking Unit I Mater Lime to 100amps, lems�sbkf0rrtdh)wno domed revoked. Urinal fan Moors ❑0.1 HP Ges Service Outlets Water ClCet •F.A.U. - Misr 0415 me Performance Civ. C.1 Interceptors Water Heater S 3 Fixtures Microwave 7Ilemlrmm and the basis %livedo eatmpllon. of 031.5 b any pplicant for permit abject$ the eppllCent t0 civil, natty 0Ynot more than five hundred dollars Hisao). I, as ownerf the property or y e NOycez wish gas as their sale m�eneln,will dm vie work, eno the structure Is not Intended or oilseed for Ie (Section 7044, Bu1nOSS And Professional Code: The Contradicr's Ucense Law does not apply to an owner of a property who builds or Improves meremno anti no don n rk Ph med/name l f^ r Him ilea er iter own employ $ provided that Such Improvemdhi are I in'00d" ffefea for Am l0. II, no meer, the nulltling r Improvement 1, mid Wimp woe year aI cam- pIodoo0 t trio wnoro a 111 have the itOi proving be/me mice not dulld or IM� ToL as owner of tits Properry. am axeContra et Ing wlin road Sao con- tmcton toConsact the prajact 11e ofii n 7pea, Eusinsyss andd Praisedons Coda: The Contractor 5 UCanse uw tl of a0at to an r f emporia who buns 6m Oro Van thereon, anti ho a traces tear such 9Olson wen co - Kitchen Sink I I Water Service MECHANICAL Device Boxes' - Pole LIOhC PUBLIC SERVICES RFgOUIREMENTS: Zoning APPrmetl By Data Bul[ana Approved By Data Application Issues! By Oat 'A any struci um, er7ar ie Iii Its uanG also used,lns Am sGOfioani Width cnmlt p file a $[once statement that earths licensed pursuant t0 the pmvlslpns of (vision 3 of term Business and PPrrofessons Code) or that he she isgexOmpl for iM My NolaAm YCbo SO& Drains Garbage DispoMl Standing Section sal 2 Generator ❑05 KW ❑515 KW Tram Compactor Reinspmct[on Fx $25 laud Fee S 3 7Ilemlrmm and the basis %livedo eatmpllon. of 031.5 b any pplicant for permit abject$ the eppllCent t0 civil, natty 0Ynot more than five hundred dollars Hisao). I, as ownerf the property or y e NOycez wish gas as their sale m�eneln,will dm vie work, eno the structure Is not Intended or oilseed for Ie (Section 7044, Bu1nOSS And Professional Code: The Contradicr's Ucense Law does not apply to an owner of a property who builds or Improves meremno anti no don n rk Ph med/name l f^ r Him ilea er iter own employ $ provided that Such Improvemdhi are I in'00d" ffefea for Am l0. II, no meer, the nulltling r Improvement 1, mid Wimp woe year aI cam- pIodoo0 t trio wnoro a 111 have the itOi proving be/me mice not dulld or IM� ToL as owner of tits Properry. am axeContra et Ing wlin road Sao con- tmcton toConsact the prajact 11e ofii n 7pea, Eusinsyss andd Praisedons Coda: The Contractor 5 UCanse uw tl of a0at to an r f emporia who buns 6m Oro Van thereon, anti ho a traces tear such 9Olson wen co - ReinspaRipn Fee $$5 leas FAA $ 3 MECHANICAL FEES PUBLIC SERVICES RFgOUIREMENTS: Zoning APPrmetl By Data Bul[ana Approved By Data Application Issues! By Oat 'A Boiler HOOD Or Type 1 ❑ Canopy Type 11 ❑ Duct- Under Ground Duct- Structural Refrigeration System ❑0.1008000 BTU ❑100,000 BTU Dun Veviledng - SUMMARY OF FEES �BUILDINGRERMIT .$ SNIP .$ Exhaust System ❑ Multiple ❑ System Repair/Alteration racialist license pursuant to the Conractor; License taw). LJI am exempt under semen B. A P. C. for this reason PLAN CHECK $ PERMIT PLUMBING- $ ISSUANCE $ FLAN CHECK 25% $ ENERGY P.C. S 'ELECTRICAL ' $ .9 — GRADING $ ' - PLAN CHECK 50%. $ 'C-4-' �"� MICROFILM E MECHANICAL $ TOTALFEE .,MECHANICAL CHECK 25% $ FlrepOseact. BIL ICBD # Date owner Heating System As Ducting ❑0400,000 BTU 0100,000ST meormailon cis correectlI havereadto complyiOwith alll City and county the co meds marmalade f this city to ter pan thehove-mentioned Puma y Or dna state laws chance to ouldin9construction, and hereby authorise mwm-ffil Inspection our tr0 Sy/ Date Signature Z Drivers' or SS C° ' r ReinspeRien Fee $25 tecta Fee $ 3 :MF 086546 rev. 12183 Whla u; np: inry- .anU Pink- ACCounting: Salesmen- Assessor CONSTRUCTION AND PLANNING Date ,APPROVALS Permit # s Inspector POk t SPA 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`Gonduit-Undrgrnd. C 0` 55. Electrical Bonding ° 5. Steel' Reinforcement �. 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grind: 57. APPROVAL TO COVER-GUNITE 7. Footings�i , 58. Electrical Conduit-Undrgrnd.r ; 8. foundation ; ,Y 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgi nd ..; '.' 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection t 62. Backwash & Receptor-Final ' 12. Sewer Cap . 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 G 67. Fencing & Access Approval - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling J�� 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 11 Gas El Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling jStructural) & 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.-Plastgr Brown Coat 79. FINAL INSPECTION 32: Electrical Power Meter-Final yj (J 80. FOOD CERTIFICATE ISSUED 33. Final Electric y G Notes: Z 34. Final Heating & Air Conditioning d% �• pr Z, all 35. Final Gas Pipe-Test . 36. Hood or Canopy yvG r 37. Final Factory Fireplace .4-/97 _ 38. Final Plumbing 39. Water Service-Final E oc 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation i 44. Landscape Irrigation System ' 45. Sound Attenuation 46. Handicap Regulations 47. 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 fin In all spa ;SALPose within heavy border lines and Sign all appropriate peClentlons. City OF COSTA.MESA PERMIT Nm -' / TRACT NO. LOT NO. B CONSTRUCTION PERMIT Het yy yea /y] , 5636 3/08/84 69.50 Protect Addreu '��^ L ID Applicant MOI/IITg7 Addre33, /�'a% � Owner's Neme f/� 51t1B hone TVPrp� OPCONSTRUCTIO LJ CONVERSION ❑ OESC RIPTION OF WORK NEW ADD ALTERATION H OTHER REPAIR A,P.+ - Sena $ Main Buildilq: Accessory. Building: 3 Atltlress Inisa E "57 id %Lw0 � iIIYT iil�Ti" TYPE OF PERMIT GRADING FOUNDATIQN. STRVCTUFAL ❑TENANT 3a ELECTRICAL S� CHANICAL ❑ OTHER PROTECT DESCRIPTION SG. FT. OccUpgrvcv C ON STRUCTION TYP VALUATIONS E T - Front O N y/���� /y.�r./ Arch;EOg. '�e/'T License No. �� s B A Rear I N AMd Contrecmr's N._..,.TAreI'ido%e Sf.S Adtlrm lm"gl C Highs G $ Left E Ping. Ret, •f Puk,Fees S G U /���� City License No. L.L F(y{{Z/ LICENSED CONTRACTOR OECLARATIOI} ZONE GRADING CU. VDS. ACAFe q Remarkr:O� -Jef r74 Parking Rea,/Provided IH I hereby affirm that I am licensee under Pott Ions of Charter 9 (commencing Mtn R[tlon TCOO) of Division 3 of tis Bu net and lolasslonns Mae, and my Bten I m lull m no Street, /Oµ Llume Blau IC �/ �G Use of Building: E PLUMBING FEES Planning Notice g M E Bar Sink Exchange N wm g90 WORK R6 DISPENSATION DECZ911POWN'T Baeleflow Prewster Service Sink - T $ I hereby affirm that l have a certificates of consent to wlwnsur°ar a certrllem' of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Irrigation Sewer Cep ELECTRICAL FEE$ /�raeyfurmsneBelM1wbs $ewer tonntttion qutomeicWasher Transformer �15-50KWbo Ram Penn the c50l AppllcanCSrilien (instruction PoeSub.e KW Solar tollectoN OECLARAreION completed lehls ae[�Ipn need not e0 mmpletea H mS permit h for One none a IBloo) or III certify that In the Performance of the work se which this Permit Is Issued I Shall not employ y person In y to become Subject to the Workers' ongeenutlon. Laws of Calhoopla. r Dishwasher Solar piping - Cookin Unit 9 Meter Cup to 100anew Drinking Founegina Solar Tank Dishes skier Meter Cover IDOemps m Floor Drains' Swimming POOL WISPS Dryers CGas CElectri[ Sub Panel Data signature - - NOTICE: Npafter m Mlnp this declaration, YOU should became subject to the WastNs'Compenation prowaord of the Labor code, you -must forthwith with Ito ch provisions or this Secret snail be deemed ravaged. CONSTRUCTION' LENDING AGENCY Floor Sinks - - Urinal Fan-' -" Motors EW HP O1'h-8 Gas Service• -Outlets r Winer Closet F.A.U. Ifo lar 0945 HP❑16-15* IntenceptOrS - Water Heater FISSION • Microwave I hereby offirk teat thaty IwchS this tpermti nl lelalueegency ffor on the Serf rmaIV.C") Kitchen Sink Water Service Device Slaves Pole Light Lenart, Name. under$ Ap irea' OWNERBOILUERDECLARATION Lavatori. es Outlets - Range I hereby affirm that I am exempt from the Contractor Y-uJc°m° Law for the f"gOwm9 reason "Athlon 703 t,5 Bualn'Is and Professional Code' Any coy or adult ty men Ices s perm" m can.NUN' afar Impmw; eemddln dr repair Inv hie a slpnidiiaiemeoi roar na/$'obis iiuouu Pursuaoi io ins rprwlsP os of the 'on"actO" 0pena uw lend"' 9" TBODT of Nomme"Clop with Spa' 'a"Maps t 0"ohom and tthe basis for IM Alhe nleged to xohni. ArIY vtl08 Ion Of $eCf or P -Tri p ` $wiltM1ez Sign Roof Dfeim Garbage Oispoal Scantling Eectione ' _ _ Genemlai C65 KVd 0546 KW TrMM1 COm pOCmr Reinfulas an F°a ¢5 Issue Fee $ 3 - 7036AS .5 Ov y spla lent far a rmlt subjects the applicant to a civil �n Ire of nor more than five hundred done" IBSODI. m, nS nen f the property o y mnp'oywg with ages tphh Nola penanon willdo me work, and the Gruttur° Is net intended of Offered idr ale I"A Ion 7044, Business 0 profasaicnat Code: Tha Contractors litany Law tllaes net apply t9 an owner of a poper veno bullet or forprOMs tnaron„Sne I aO0 loco work Small/her$alf of IM1roUyA nor or Nr awn motorProvload that SUCH- ourge ants era n t Inteneed flared far Ie. ll, however. the bullishor lmprOvemenl ISfold within one year Ol Com- olattooM. ins ownerwill new Ih° burden of pfSw ng MNne dna net bulla or Im- QQ[[ ternsPUMPof salol. Reinspection Fee Si5 Iuue Fw IS 3: _ MECHANICAL FEES PUBLIC SERVICES REQUIREMENTS: Zgnirq Apposed BY tram Approved Y BuildingWtl B Data�� �A Applieetipn Iww By Da -/' if'6 T Brief L 1 HOGtl Of Typo ❑ 1 Duct -Under Giounrl Gn(Ipy Type II, C I Duct - Stmcmral Refrigeration System LJ 1, a1 OwnerofNa property, im a%[IUSlhit on(ra[Ilna wish IICere:e on- tractorsto, adnsbuct ma oreJoel Edc11on 7044, apeman ane pro fahlans cads: 1. Duct - Ventilating ]D1Gg,BDB BTU 010G,DD'd BTN SUMMARY OF FEES bullas Contractor lmpra asJinenan�ane °nontomoc[stfor anon Orojecis with i coni tractors) license pursuant to Ino Contractor's License tel C rem exempt under Action B. 4 P. C. for this reason Exhemt5yamm Multiple C. SIW4!» Ron BUILDING PERMIT �E r PLAN CHECK ' $ PLUMBING S PLAN CHECK ]5%' $ -ELECTRICAL '$ PLAN CHECK 6PX,$ MECHANICAL $ PLAN CHECK 35% • $ SMIP S PERMIT ISSUANCE ,S • ENERGY P.C. $ GRADING S >=[ MICROFILM III U � TOTAL FEE E V r�O Firepl/Fmt. Bit. ICBO 4- j IlAle IrOMPM Dale oar I M1Ne aY IIIY Must vv�f' d tM1ly pollution and tate that the above Info m [loo rH torte t , ai ppb to cp ql rein all dtY and [sant ethane$ endusten love alert to air et Il en, end nn°oy auheiorize r anlanws rtbb y 6r p ane ba%.mento led p Ogg }fO Ins1»mlon purpose Signet ufR Drivers' Licenceimi Heating System & Ducting '• � yd EI6IW,DDOBTLL01p0.o00 Reimphction Fea Eg5 Isua Fm f 3 CMF 086546 rev. 12183 Pink - A[COuntingl Goldenrod-AzasSor CONSTRUCTION AND PLANNING- r Date \ • Inspector' r _, - POOL &SPA - - - APPROVALS Permit# APPROVALS' Permit 4E Date Inspector _ , '-.-- - 1.. Temporary Electrical Service or Pole's 's: - • 52. Pool &.Eguipment'Locatiom - -- .- 2. Soil Pipe-Undrgrnd. - - 53:' Steel Reinforcement ` s - r '3_ Electrical Conduit Utility,;Undrgrnd: - - 54. Forms- -=-` _ - _ •r01. r , 4. Eldctrical Conduit-Undrgrnd. 55. Electrical Bonding ' -• - - 7 r• `y- 5. Steel•Reinforcement. " I 56. Rough Plumbing & Pressure Test - - 6. Effect}% GalUFE8,Grnd:, r" ^• 57.,APPROVAL`TOOOVER-GUNITE 7. Footings, .r ,' ; : , - .58. Electrical Conduit,Undrgrnd. v •� _ 8. Fou xiatiod 59. Gas Pipe, C; Undrgrnd:; Test - 9. Water Pipe-Undrgrnd. 0 • +-t 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 • _ it 12:'Sewer Cap 5 �• - 63. Heater & Vent-Final�- 13. •Roof-Drair's ,v im• _ 64. Plumbing System - Final `Rough 14' Plumbing •65. Electrical -Final - - 15. Rough Electrical -Conduit - - _ --' '�: -66. Solar,Systern-Final- -- "•- - Rough Electric Wiring 67. Fencing &Access Approval r • _ " -- - ' -'- I , _. 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ., 18: Roughr.Electrical-T Bar Ceiling 69.' POOUSP,A SYSTEMS�FINAL 19. Rough Heating & Air Conditioning FIRE DEPT.! REQUIREMENT' ,Rough APPROVALS Permit ^0, Factory Fireplace n I in Structure 70. Underground Hydro % I 2. Ventilating , 71. Product Piping OGasl�OOil ' 23. Gas Pipe -Rough •& Test 72. Underground Flush •-, ;y` 24. Roof. Framing 73. Undergrnd.Storage Tank _0Gas 0Oil "v : '• 25. Roof Sheathing74. Overhead Hydro ' �' �• t1 44 Ceiling (Structural) & Monocoat a,2615 - J5. Dry Chemical ( .: e 27 Frame,and Flashing 76., Dry Standpipe - - - • I {� ter' 28. Lathing & Siding , 77. FIXED SYSTEM FINAL 29. Insulation '78. FIRE PREV. FINAL 30. Drywa I Nailing i 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 •� _ _ n , - 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final ' 71 '- 40. Gas Service -Final , 41. Solar Domestic -Final . - _ _..-,- ,'�•f, 42. Backflow Pre'venter -' t • t3 43. Backflow Irrigation 44. ,Landscape Irrigation System 45. Sound Attenuation -- 46. Handicap Regulations •- i - 1 ;• 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison -`- 50. Gas Release to Southern California Gas Co , ( '' 51. CERTIFICATE OF OCCUPANCY No Date 1' 350s T� Applicant to nn m al spaces a:c.et info within heavy border ens and open ml avpropriate dvcNm .a[m. a CITY OF COSTA MESA u C17(.`LEFIgT NO. - TRACT NO. LOTNO. BLO . CONSTRUCTION PERMIT ,,.,, Y IPl`—III. Prolett*AGOras' j�SAC rAnILLQL '1510(1 110 Arch/Eng. Lganse NO. TYPE OF CONSTRUCTION UNew LI ADD VLIP.LTERATION UREPAIR Address Sgt qac q�� Contractor i Nam hone LJ CONVERSION 11 DEM QOTHER C ON STRUCTION TVPF VALUATION $_ ZONE GRADINGCU.VDS. ACRES— Applicant's Mailing Address / O Cm DECLARATION Heating System & Ducting ❑0100,000 BTU0100,0008 A,P.0 ='^'^$ •.. •, Divricas Boxes DESCRIPTION OF WORKIUm�I^a� table Light tandiDivision mynsenClIs Mm to ce and afire ' DcenM Glass r {T�af %i Ucense No.3-09if"43I Owners Name TJ.Ls�"s "M1on¢ PLUMBING .flange Bar Sink Showery S MainI Date Signature WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a uNlfleate of Consent to call4mure or a CMlflwte of Workers' Compensation Insurance, or'a CONBIon COPY thereof (SOCtlon 3801 Lao ,,��]],I fM Backflow Preventar Service Sink Backflow litigation Sauter Cap Garbage Disposal - Address— TYPE OF PERMIT GRADING LJ FOUNDATIBIN STRUCTURAL : Front Date Drivers' ucame Or 5E q MF 0865-46 rev. 7/83" Reinspection Foe- Arch/Eng. Lganse NO. ❑ TENANT 0 ELECTRICAL vaPLUMBINQ ❑ MECHANICAL Motors 001 HP El B Address ❑OTHER PROTECT DESCRIPTION SO. FT. OCNPANCv_ qac q�� Contractor i Nam hone Duct -Structural Duct Ventilating �1- Andrew(mailing) �O rj,x" IDG �` City License Na �•ql 4:7 C ON STRUCTION TVPF VALUATION $_ ZONE GRADINGCU.VDS. ACRES— Remarks: , Z / O Cm DECLARATION Heating System & Ducting ❑0100,000 BTU0100,0008 mm that 1 eDi Ilunsw afoot provisions OI P £ea en deg hereby that I m licensed OE •, Divricas Boxes Prolor won tendon loom f 3 t the Business and Tofesaloni COOq en0 withsec ion 7 table Light tandiDivision mynsenClIs Mm to ce and afire ' DcenM Glass r {T�af %i Ucense No.3-09if"43I -• Duties PLUMBING .flange Bar Sink Showery bee \ 1 Date Signature WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a uNlfleate of Consent to call4mure or a CMlflwte of Workers' Compensation Insurance, or'a CONBIon COPY thereof (SOCtlon 3801 Lao ,,��]],I fM Backflow Preventar Service Sink Backflow litigation Sauter Cap Garbage Disposal - o�'� Company N7 POI1Coins Gftlfle0 cODY IS OvrepY luenlzM1ee. Casty Is her BatM1tuhs $¢pal COnnLCtiOn' S3 t!L'Grtifleit copy II55I lea with the City B'y',W1.'?rf9l Dlvlslpq AA � Wte 1^2.Ie ^R� Applicant '/'/`r-T^j 11L.wfyN� Clarifiers $calor Collectors -EXEMOPTION FROM WORKERS' COM ATI N EOn fPnoN 'I non need not be wmpleud a me permu o tor, Bred ($tow o. DishN¢SM1er $pUr Piping Reinspection Fee $25 loos F« Selr I certify that In the performance Of the HI fs0las ICh this permit Is laced .l_ 1 whall not employ y onfron In Y t0 become subject to the orkers' ompeumM n Laws Of Calibmia. Date IS nature Drinking Fountains Solar Tank Floor Drains Swimming POOI wlSOa PUBLIC SERVICES REQUIREMENTS: iOmilg Approved BY Application Approved BY Application Issued By declaration.ct to the Workers Compensatioler rn sap Provisiothis ns Laou i r Cod , YOU becomestrount must forthwith amply with, such provisions or thispermitshall be deemed invoked. Floor Sinks Urinal Gas Svrviee Oulleta Water CIOol CONSTRUCTION LENDING AGENCY n[emaptOra - Water HmM SUMMARY OF FEES $ SMIP $ PERMIT ntnt ISSUANCE g �Q[L ENERGY P.C. $ GRADING '$ MICROFILM S TOTAL FEE $ S I $ $ S $ `, $ 17L3,o� I hereby affirm that there Is a construction lending agency for the PaHtumance. Of the work for which this permit Is Issued (Section .3097 aac.1 Kitehan Sink Water Service Lender's,Nam., Date Drivers' ucame Or 5E q MF 0865-46 rev. 7/83" Reinspection Foe- ! US 1 I Issue Fee Motors 001 HP El B MECHANICAL Seiler Duct Under Ground Hood or Type Canopy Type 11 Duct -Structural Duct Ventilating Refrigeration System 0&IC0,000BTU C Exhaust System ❑ Multiple ❑ System Repair/Aller Firepl/Fact. Oft. ICBO'i Heating System & Ducting ❑0100,000 BTU0100,0008 - Reinspection Fee I $35 I I lave Fee Pink Accounting: Goldenrod - Assessor 5 Left Ping. Ref. '& Parking ReD.fPf Useof Building Plannina Notes: Unit 3205 1/27/84 T� Transforms. ❑ 1050KW ❑ 50+KW Mater Dup to loo amps 43X0 Ti —M 1211 Fen Motors 001 HP El B - B O F.A.U. 1 Inc,Selar 0518 HP 016"15+ Figures Mivowave OE •, Divricas Boxes table Light -• Duties .flange Switches P Sign ' Garbage Disposal - Standing Sections - Generator 1165 KW 05.15 KW Trash Comp uch r S3 Reinspection Fee $25 loos F« S 3 FEES PUBLIC SERVICES REQUIREMENTS: iOmilg Approved BY Application Approved BY Application Issued By owl ^ate —Date— net ' BUILDING PERMIT - PLAN CHECK - PLUMBING$ PLAN CHECK _ ELECTRICAL PLAN CHECK MECHANICAL PLAN CHECK SUMMARY OF FEES $ SMIP $ PERMIT ntnt ISSUANCE g �Q[L ENERGY P.C. $ GRADING '$ MICROFILM S TOTAL FEE $ S I $ $ S $ `, $ 17L3,o� $ 3 CONSTRUCTION AND PLANNING ' APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location .2. Soil Pipe-Undrgrnd. •�. 7:2744f AW1 53. Steel Reinforcement ,. '3. Electrical ConduitUtllity-Undrgrnd. - 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding r' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ' 7. Footings _ 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. ' 10. Structural Floor System a 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 al.r�ii 65. Electrical -Final - 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17, Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating '71. Product Piping 0Gas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑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 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 01W 2ouG4i, PLG& 6-11,L- � NO -'mss r o n 35. Final Gas Pipe -Test a 1U}T%cdZ PI 1PI n(r _ Z .1 _ gy .4E(t 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing Ozot 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final - 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System t 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 •'r yCity ofcosta Mesa Development Services Department Building Safety Division CERTIFICATE OF OCCUPANCY No. 000372 P. O. Box 1200 Costa Mesa, California The Building located at 0905 Cadillac Avenue Bldg. O Unit #110 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group F:2 Occupancy. Use of Building r',Fvi� Legal Description 170_br9_lo (See reverse side for Metes and Bounds) Building Permit No 2310742 Electrical Permit No. B10841 Plumbing Permit No. P10771 Mechanical Permit No. N111641 Number of apartments 0 and/or guest rooms 0 ISSUED TO: Building Official VG- /�-• / n by 'Ir" t�4..,. 4 't'!Cn TT.»... ..� 99 t, CA ?�d2 vav3vy-i . vat�c�nia�—r _ +=-, Date 4-&- 04 - This Certificate of Occupancy SHALL BE posted in a conspicuous place on.the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/93 White - Owner; Canary . Numerical File; Pink - Bldg. Permit File