The URL can be used to link to this page

Home My WebLink About925 JUNIPERO DR - Building Permits., 'v ` �Applicant to fill (n all spaces except [hose within �eavy borGer lines anG siqn all approvriate tleclarations. y li' o-�COSTA ME n ONISTRUCTION PERMIT - Project Address � v��%1%�� ^�� , Applicant's Mailin Address r ' Owner's Name /� N '�Phone ' I Address ArchlEng. / Licgns�No.CiQ�n�l' AdAress' �(.t. � � / ',' .� COntracror'sNam �-7 -�{J� � �� '%� Phonef�� Addr�t.lmailin9l � .aC� � � /�� . City License No 5L �Z�+ � LICENSED CONTpACTOR DECLNRATION � I h¢reby afti�m that I am IiEensetl untle� provi5ion5 01 Chdrter 9(commentlng with Section 1000) of DiviSion 3 of [ne Businesz antl ProtesslOns�Cotle, antl' my 6Eense is in KI1III force and etfect �./ �� Licens?/ Class 1�S1 "r�— —' �� Licenso No.y/_ _�.. Date 1�n -l/,�R .c�,,.,et re O �tA"'/✓�/SO ' WORKERS' COMFENSATION DECLARATION ' veby affirm Ihat I have a cerUficate o� consenl [0 SelNnsure of a certi�icate Norkerz' Compensation InSurance, or a certllietl cOpy theleof ($action J0. Lab. C/.) F ,! � �� ,r _ / Po11cY No. �y7,T-V1;�+' ComPanY��f�^=�— Certifietl copy is hereby Nmished. �'-' � Certi(iep copy i5 filetl with Ihe ci[y Buyl6Jry�.Jivislon. �� - (This section neea not be comP�etetl It tne oermit Is for one huntlred (Sioa) or less). ' - - � I ceriity tM1at in lM1e performance of the wo�k to� wnlch this'perrt��t iSISSuetl, I Shall �not employ any Oe�soO in any manner so as lo become'subject to the Workers' Compensation Laws o( Califomia. -.. - G. Date 519^ature NOTICE: It, after makin9 th�5 tlecla�atlon, you shOultl bewme subject to the Worken' Compensation pro��slons of lne Labor Cotle, you mus[ for[hwi[h <omply wi[h SucM1 provi5i0�s or this permit Shall be tleemetl �evoketl. CONSTRUCTION LENDING AGENCV I hereCy affirm lhat there is a conzirut[Ion lentling ag¢ncy tor the Per}9�mance ol tne work /or which thiz permit is izsuetl (Section 309�; Clv. CJ Lentler's Name Lentler's Atltlress OWNER BUILDEN OECLARATION I hereby affirm [hal i aT E%empt from the ConlraCtor'S Licens¢ Law for the tollowing reason (Section 7�31.5 Busine5s antl Profassional Cotl¢:'Any tity or counry whlcn requires a permit to construct, alter, Improve, tlemolUh or repair any st�uctu�e, prlor [o i[s i55uance, al5o requi�es the applicant fo/ such pe�mit lo file a signetl itatement tnal he/she IS IICPnSetl pu�suant to the ProviSions ot th¢ Contractor's'License LaW (�napter 9(commencing with Settiom7000) of ^'vision 3 of tne Business antl Professions COAe) or that he/she is exempt tefrom antl the basiz fOr Ihe allegetl exem0�ion. Any violatiOn ol $ection JLS by any applicant for a permit subjects thu applica0t to a civil ,...ndlty of not more than five huntlretl tlollars ($500). ❑ I, as owner of the proPerly or my employees wlth wages as their sole romoensation. will tlo the Work, antl the S(rucfure IS no[ intentleG o� otte�etl tnereon, antl wno tloez such worN nimseii/nerseit or tnrougn nis or ner own employees, provitletl that sJ�h imOrovements are not intenaea or o/feretl for sdle. If, howav¢r, the builtliP9 or improvement is soltl within one Yea� of com- pletion, tM1e owne� will have the burtlen Of proving he/sM1e tlitl nol builtl or im- p�ove for [he pu�po5e of sal8). ❑ I, as owne� ot the P�operty, am e%clusively cont�acting with lic¢nsetl con- tra<tors to conslrud[ ine prolec[ (Section 7044, Business antl Professlans Catle: The ConVactor's License LAM' does not apply to an owner of proper[y who builtls or ImDroves tnereon, antl who contracts for such projects with a con- (IdCIOI(5) IICCOSC OUISIId(IL IO IhC COfI[IdCIO!'S LICBOS¢ LdW�. � dT aware that p�oof of tM1eir Worker'S Compen5ation insurance xhoultl be prOvltlea to me. ❑ I am exempt untler SectiOn B. & P. C. fot this reason Date I hereby ce�tlfy Ihat I Inrormation is mrretL I antl state laws relating sentatives Of thls cit 1050¢Ct100 puIp054[� Signa[ure Orivers' License ar SS � IF 0865-46, rev. 10/B4 pwner upon h above iances repre- y for . .... ' __ . ..'. ..�.� � �.... SZ� 0 853 a TYPEOFCONSTRUCTION NEW D� ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q p # Lf -' DESCRIPTION OF WORK/USE OF BLDG. S�n� � ( .l'1I�/ �' ---7 � S Main Building: TVPEOFPERMIT GRADING FOUNDATION STRUCTVRAL' T Front � ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Reaf a5 � ❑ OTHER A C Right � ,PROJECT DESCRIPTION Sp:FT. oCCUPAN V K ! -, CONST =CTI$ / ON TVPE VALUATION $ •� g Left , ZONG�� GRADING CU.YDS. -ACRES pin Ref. # j%A - Remarks: Pr y� ��9 L�{-�f'j Planning Notes: ,/y �__pe-# �i'`17 -' Bar Sink 8ackflow Preventer _ Backflow Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets - Interceptors � Kitchen Sink L'avatories . P-Trary . . �Roof'Diaini _ - .. ReinspeMion Pee � $15 Boiler Duct - Under Ground Duct - Strucmral Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting �6100,000 BTU � 10D,000 BT Reinspection Feo � $15 White � Builtling; Canary - Applicant; PIOk - ACcountinq; Goltlenrotl - A55¢s5or Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wash Issue Fee Hood or Type I ❑ Canopy Type I I ❑ Refrigeration System ❑aioo,000eru Oioo,000 System Repair/Alteretion Fire Dampers .Registers Issue Fee t FEES � Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes _ Outlets � Zone Accessory Building: ELECTRICAL - � Transformer ❑ 15�50 KW ❑ SO+KW 3e'Disposal ` �tor �65 KW �5-15 KW $ 3 ' �+- Reinspection Fee $15 FEES DEVELOPMENTSEqVICESRE�UIR Zoning Approved By Building Approved 6y Application luued By� Meter ❑up to 100 amps Meter ❑over 70� amps Sub Panel Motors �0-1 HP 01'/: - 8 Inc. Solar �9-15 HP 016�15+ Microwave Sign � Standing Sections Trash Compactor I55uB F¢a Z O N I N G R E � M T s FEES � i • SUMNrARV OF FEES A� BUILDING PERMIT $ � SMIP $ � � T� PLAN CHECK $ ^ PERMIT PLUMBING $ �%•�b ISSUANCE S PLAN CHECK 25% $ S•�� ENERGV P.C. S eLECTRICAL $ •T GRADING $ PLANCHECK 50% $ - �--�t $� MICROFILM 5 -��-�y/�/.��/ MECHANICAL $ 1' '�V TOTALFEE S i..L.�+�(_' PLAN CHECK 25% $ _'� Q? `.i Gi�U£u':^Otrn�^ T9:r7' °�»�._, .� ; C(fNSTRUCTION AND'PLANNING � � � y , POOL & SPA ' � q�'. Da e•» Inspector Date "- Inspector •FiP,�ROVALS Permi4� � +t �+�' - , APPROVALS Permit # � 1 f` mporary Electrjcal��Se�vJ'ce or Pole � 52. Pool & Equipment Location . �� 2'. Soil Pipe-Undrgmd' � q.7�.� � 53. Steel Reinforcement . � ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � � 4. Electrical Conduit-Undrgrnd. 55. Electrical onding 5. Steel Reinforcement //1�' 56. Rough Plumbing & Pressure Test . -- � 6. Electrical UFER Grn�'� �° p 7 �� 57. APPROVAL TO COVER-GUNITE 7� FoqtiPg� � �5�� 7 g� � 58. Electrical Conduit-Undrgrnd. 8..Fqurda4ioh . i��,, � 59. Gas Pipe, O Undrgrnd., Test �� - 9.�Water Pipe�Undrgrnd,� � 60. Backwash Lines, P-Trap, � Undrgrnd. �� < < � 10. Structural Floor Sysiem� 7 61. APPROVAL TO DECK 11. Property Sewer Line &•f�louse Connection 62. Backwash & Receptor-Final 12. Sewer Cap ' � 63. Heater & Vent-Final � 73. Roof Drains ' 64. Plumbing System - Final � 14. Rough Plumbing �� ' 65. Electrical-Final � � 15. Rouoh Electrical-Conduit ' 66. Solar System-Final . 76. Roi�gh Electric Wiring � L'%ig 67.'Fencing & Access Approval 1�. Ro gh Wiring Sign - � 68. APPROVED FOR PLASTERING '; 8. Rough Electrical-T Bar Ceiling ��. 69. POOL/SPA SYSTEMS FINAL �( � 1'9- Rough Heating & Air Conditioning �u`ry (AQ�J FIRE DEPT. REQUIREMENT -«- ' 20. Rough Factory Fireplace APPROVALS Permit# J� ' 21. Ducts, in $tructure 70. Underground Hydro ' 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil � 23. Gas Pipe-Rough & Test � 72. Underground Flush �'� ' 24. Roof Framing r� n� 0�- 73. Undergrnd. Storage Tank O Gas ❑ Oil ' 25. Roof Sheathing 74. Overhead Hydro . . 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �'" �7,' ' � .-" ' . " . 27. Fram a�id Flashing 76. Dry Standpipe / VJ.' i t:�' 28. Lathing & Siding �/3 � 77. FIXED SYSTEM FINAL� �' � �,; 29. Insulation �� 78. FIRE PREV. FINAL -! t.�-/i� 30. Drywall Nailing . 'g HEALTH DEPT`. REQUIREMENT 31. Plaster Brown Coat �79. FINAL INSPECTION .+j. 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED . '• � 33. Final Electric Notes: - '"'�:-�--•�� • �,,:w F ' ]tL`- 34. Final Heating & Air Conditioning � Z C��Jo `" '' - � •�� _ ' " D 9 35. Fir�dPGas Pipe-Test Z/ L(/j �p 8.. ��=x".� � - � 4 Y`I 36.,Hood or CanopY ��o � 'Z �l • �i - 37. Final Factory Fireplace !y d- �� Q�� 38� Final Plumbing 2�B 84 Li� 2/j0 �_ 39. Water Service-Final ( ft b ` �� • l� -' , 40. Gas Service-Final � � ' ii1 .rbr � pfC P.�c2��1� -41.'SolarpomesticFinal FZ. �� r� ' . �42. BackflowPreventer � � " . �43� Backflow Irrigation ' �� ,� � , � ��_ . . 44. Landscape Irrigation System \ � � � � ' . ; � 45. Sound Attenuation � r� . � . �.46. Handicap Regulations � I � : - i 47. �FINAL STRUCTURE & BUILDING � �j , � i � � 48. Special Requirements Completed 9 c�� "; � , • : 49. Electric Release to Edison !. _� ' ' , 50. Gas Release to Southern California Gas Co �' � • � . '� , 51. CERTIFICATE OF OCCUPANCY � - , • ' •� i ,, . r No. ' Date - � • A�� ' 'r , . , , ` \ ,� . ' ` . CITV OF COSTA MESA PARK FEES Fee Payment Receipt 001154 Project Address `Id "J �.J(,LI'l.�nCfO I�I �. A.P. Number I�-�' �— 3a 3— 0$ � Q1 00014081-00014DEi T��T 573.18 Building Permit Number �%.�'�,( (�% DATE: 0?/DE/E3 7IHE: 15��]1 Owner's Name N i,'n �' /��5�. e �U Mailing Address qg�s �(,1.�'l4�PP.�'-D i� � (il`� FEE: Single Family' Number of Units 2-Bedrooms or Less 3-Bedrooms 4-Bedrooms 5-Bedrooms + Multiple Family'� - Bachelor or Studio 7-Bedroom 2-Bedroom 3-Bedrooms + $ 861.76 = 1,205.67 = 1,545.62 = 1,810.50 = 474.37 = 573.18 = 3 � 881.51 = 7,229.38 = ' ��!�-e� rota� Fee "' S`�3. �8 Planning Department Approv 1 te �- $- $� B -"`ZY"' ApplicanYs Signatur " City Ortlinanca �2-44 +�• ��ty orainance']2-� •" CI[y Rasolutlon 78-116 GMF Ol]4-30, rev.7/85 Wbf(e—Plannin9: Canary—Plannln9i P�nk—Flnance; Goldenrotl—Hppllcanl � closGamcsa CERTIFICA'PE OF COMPLIANCE PAYMENT OF SCHOOL FACILITY FEES NEWPORT-MESA UNIFIED SCHOOL DISTRIC7' lieveloper/Applicant: Address: � V 1'elephone Number: ��f0 ^ 5'%�a � � �r-ae-t/-P-a-r-ce.Land Lot Number(s): u ' Location of Project: .�'�/i�1Q� ��. . �� . . � , Number of Square Feet of 7 �,�� Residential Space ��2! x $1.50 Total �� Number of Square Feet of Commercial and ' Industrial Space ., _ x $0.25 Total The provisions of Government Code Section 53080 are not applicable. This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53050 and 65995. Checks are to be made payable to Newport-Mesa Unified School Dis[rict. j J ,_ .. " G/ / // C, �� ' /L��-:.;i47rc1�/ /L, ii�i—,..,:_C/�,.vc/ i i � Business Manager Newport-Mesa Unified Sctiool District The above representation as to square footage is true. Developer/Applicant agrees that if it is later determined that such representations are not true then this certifica�e shall automa�ically terminate and the appropriate Ciey/County shall be notified. Date: � v� � �/ /�� .. � ��';��j ��;: r r, U i,JJ: c �eloper/Applicant� S� N �' /tla Pc /� . . a �Ii'Y OF COSTA 11�E� 4 JAUFORNIA 92628�1200 P.O.BO%._�0 Insulation Certificate �l� I �uN� D�'� L�, lti( �Numba dStreet � �r�-� � � Counry Subdivision Description of Installation � ROOF �-',( /� . Material C'! D� IQ-�'�/ySS .�b� Brand Narne (/t.UfillS �� iU 1�� 'ihic►sess (inches) 'iT�ernial Resistance (R-Value) — EXTERIOR WALL Material s x1yLt � Btand Name v�n- 'Ihiclrness (inches) ' 'Ihemia] Resistance (R-Value) CEII.ING Batt or Biariket Type 'Riic�ess (inches) L.00se Fill Type ContractQr's minimum installed weight/h Ib Brand Name 'Ihertnal Resistance (R-Value) i Brand Name Minimum thicFa�ess inches Manutact�er's installed weight per square (oot to acheive Thermal Resistance {R-Value) RAISED FLOOR Material � Brand Name �7�'r-� 'Ihiclrness (inches) 'IT�ermal Resistance (R-Value) - / SLAB F1.00R MatCrial 'Ihic4a�ess (inches) Width (inches) FOUNDA7'ION WALL Material Thickness (inches) Brand Narne Thermal Resistance (R-Value) Brand Narne Thermal Resistance (R-Value) Declaration I hercby �¢rtify that the above insulaaon was installed in the building at the above locaaon in conformance with [he curmnt Building Energy Et(iciency Standards r new residenua] buildings contained in Tide 24 of thc Califomia dminisvative Cod . /�/ �/SSy � Gencrel C ectw (Buildcr) Licenu Number �/-/ 7- Sd Signeture erd Title Dace Sub-Con[rector (Insuluion lnstaller) Signnture and Title � Licrosc Numbcr Date � /0 � \ AOG��ant to fill in all spaces except those within heavy bortler Iines antl sign a11 apvropriate aeclarations. ICI�Y OF GOSTA MESA CONSTRUCTION PERMIT Pmject Address 925 Juni ro Dr. Applicant'sMailin9Adqress 4572F..EisenhowetCt.-An eim Owner's nlame Joht] -Nanoll Phone 754-7420 Address A�5`�.7uni�oero Dr.-Costa Mesa 92626 ArchlEng. License No. Address Contracmr'sNam �PRO-EORMANCEi IIQC. Phone 779-6 Addresslmailing)4S%2 E.E1S2[IIlOW2Y' Cr.-Anaheim�T City License No. 40702 LICENSED CONTRAC70R DECLARATION I hereby affirm that I am licensetl untler provisions o( Charfe� 9(commencing with section ]000) of bivision 3 0� the Business antl Protesslons Cotle, antl my license is in tull torcp ana ettect. �3411 LJcenSe Class - p� Licen Na. Date n�� ag t I-�1:/7 / �/A-�� WORKERS' COMPENSqTION DECLARATION '+ereby aftirm that I have a certificate of consent to seli-insure or a certificate Workers' Compen5alion Insurance, or a certitied copy thereot (Section .00, Lab. C.) Policy No. RWC19(] ' company Hichla C�8 �¢rtifietl copy is he�@by furnishetl. -��J��L.liv_"_ Ce�tifietl capy is tiletl with the city Builtling Division. Date—�14/7,7_�9QAPplicarBR(?-FnRFdANCF., INC. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl not bp �ampletetl if the pe�mit is tor one huntl�ed ($100) or less). I certify that in the performance ot the work tor which this permit is issuetl, I shall not employ any p¢�son in any manner so as to become subject to the Workers' Compensation �yws of california. Date Signature NOTICE: If, after makiqg this tlecla�aUon, you shoulq becomE subject to the Wo�kers' Compensation provisions ot the Labor Cotle, you must torthwith comply with such p/Ovisions or this Oe�mit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 nereby affirm Iha[ there is a mnstruction lending agency for the performance Of tM1e work for wh{ch this permit is issuetl (Section 309] Civ. C.) Lentler'S Name tentler's Atltlress OWNER BUILDER bE�LARATION I hereby aifirm that I Am exempt from ihe Contractor's Llcense Law for the following reason (Section �031.5 Business antl Professional Cotle: Any city or county wnicn requires a permit to construct, alter, improve, demolisn or repair any structure, prior lo its issuance, also requires the applicant for such permit t0 file a signetl siatemBnt that he/she is licrnsetl pu�suant to t�e provisions ot the Contractor's License Law (Chapter 9(commencmg witb Section 7000) ot '�ivisian 3 of the Buslne55 antl Protession5 Cotle) o� that be/she is exempt ;refrom antl the basis for the allegetl exemption. Any violation of Section 31.5 by any appliCant fo� a permit subjects tM1e applicant to a civil „¢�alty of not more thdn five huntlretl tlollar5 ($500). �❑ I, as owner oi the property or my employ s with wages as their sole compensation, will do the work, antl the st�uctu !is not intentletl or offeretl for. sale (Section 7048, Business antl Protessi XI Cotle: The Contractor's License Law does not applY to an owner ot a pr erty who builtls or improves thereon, antl who tloes such work himself/he� If or {hrouqh nis or he� own employees, providetl that such improvements a e noi intendetl or offeretl tor sale. If, howeveq the huilding or improvemen[ is zo10 within onc yaar of com- pletion, the owner will have the burtlen ot proving he/she tlia not builtl or im- prOve for the purpose of 5ale). ❑ I, a5 owner ot the 6roperty, am eztlusively rontraoting with IicenSetl mn- t�actorsto construct the Project (Section 7044, Business antl Professions Code: The Contractor's Liceryse Law tloes not apply to an owner ot property who builtls or improves lM1@reon, antl who contracts tor such projects with a con- hactor(s) iicense pursuant Yo tne Contractor's License Law). I am aware that proot of their Wo�ker'S Gompensation insurance shoultl be provltletl to me. ❑ 1 am exempt unaer S¢�tion B. S P. C. tor inis reason Oate Owner I hereby certify that I have read this avP�ication and state that t�e above informdtion is conecL I agree to comply with all tity antl county ortlinances antl state laws elating to builtling construction, and he�eby authorize repre- senlatives of is aty to.enter upon the above-mentionetl Properry for inspectian p es. ^iyneture Q^ ^ Cc � �%a� oate 03/27/90 _EM_�1�asa _ _ TYPE OFC�NSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q p, # DESCRIPTION OF WORK/USE OF BLDG. ��r S Main Buildi TYPE OF�PERMIT ❑ GRADING ❑ FOUNDATIO(�N ❑ STRUCTURAL T Front ' ❑ TENANT � ELECTRI�AL ❑ PLUMBING �pJ MECHANICAL B Rear ' ❑ OTHER '4 _ PROJECT DESCRIPTION Sq.FT. oCCUPaNCv C Right K Left . CONSTRUCTIONTYPE VALUATION$ $ - Remarks:'� Preventer Irrigation Dishvuasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets GRADING CU. VOS. ACRES Ping. Ref. # Planning Notes: Kitchen Sink Lavatories P-Trap Roof�Drains ReinspeMion Fee , $15 Duct - Under Ground Duct - Svuctural Duct - Ventilating Exhaust System ❑ Multiple ❑ FirepVFact Blt. ICBO # Heating System & Ducting ❑0.700,0008TU �100,000B7� Reinspection Fee � $15 CMF OB65-46, rev. 30/84 White - Builtling; Canary - Applicanh Plnk - Accounting; GOltlenrotl - A55¢SSor Showers Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Laundry Treys Issue Fee Hood or Type I ❑ Canopy Type II ❑ Refrigeration System C�0-100,000 BTU ❑ 100,000 System Repair/AI[eration Fire Dampers Registers Issue Fee FEES 0 Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixwres Device Boxes Outlets Switches Garba9e Dispoul Generator �0.5 KW �5-� Zane Accessory Bu Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100 amps 5 KW Su6 Panel 1 Motors00-1HP�]1'/:-8 Inc.Solar �9-75 HP �16-15+ Microwave Pole Light Ran9e Sign Standin9 Sections Trash Compactor $ 3 I ' �— Reinspection Fee $15 Issue Fea FEES �DEVE�OPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved 8y Appliwtion Issued By �- G S� BUILDING PERMIT g PLAN CHECK $ PLUMBING 5 PLAN CHECK 25% $ ELECTRICAL � u� w'n !`uF v c��, $ MECHANICAL � $ Z O N 1 N G R E Q M T S FEES $ SUMMARV OF FEES � SMIP $ PERMI7 ISSUANCE $ � ENERGV P.C. $ ;��0_ GRADING $ �'�MICROFILM $ TOTA�FEE $ �6•5D : D4/�b/40 TIt1E: CONSTRUCTION AND�PLANNING POOL & SPA 'APPROVAL + Perm�.# v.. Date Inspector qppROVALS Permit# Date Inspector 1. Temporary `Elect�ical Service or Pole 52. Pool & Equipment Location ,�, •r_ 2. Soil Pipe-Undrgind. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgmd. 54. Forms �� a 4) 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding ' 5. Steel Reinforcement w� 56. Rough Plumbing & Pressur�Test 6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE �7.' Footings � 58. Electrical Conduit-Undrgrn8. •$. }ouridation 59. Gas Pipe, O Undrgrnd., Test (i . .9.�Weter..Pipe-Undrgrnd. 60. BackwashLines,P-Trap,O'Undrgrnd. u_. . `- ib'. Structural Floor System ' � 61. APPROVAL TO DECK ;� � - " 11i Property Sewer Line & House Connection 62. Backwash & Receptor-Finel . � i 12. Sewer Cap 63. Heater & Vent-Final i � 13. Roof Drains ,.64. Plumbing SYstem - Final � i4. Rough Plumbing � 65. Electrical-Final i5. R'ough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 'r' 19. Rough Heating & A�r Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # �21. Ducts, in Structure � 70. Underground Hydro �� 22. Ducts, Ventilating 71. Product Piping O Gas ❑ 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 ��, w 31. Plaster Brown Coat 79. FINAL INSPECTION ��' 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED .1- 33. Final Electric s � Qd L� Notes: � e� ��y� �,�jy��- � - � 34. Final Heating & Air Conditioning S Gn � ZV �% 35. Final Gas Pipe-Test 36. Hood or Canopy , ` , t 37. Final Factory Fireplace � � . ' � � � � ' 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final ' 41. Solar pomestic-Final ' 42. Backflow Preventer -� 43. Backflow Irrigation 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUC7URE & BUILDING 48. Special Requirements Completed � 49. Electric Release to Edison 50. Gas Release to Southern Califomia Gas Co � � ' -� � � 51. CERTIFICATE OF OCCUPANCY � � , No. Date i . . ;. _ � C�Tv oF COSTA MESA CONSTRUCTION PERMIT . ProjectAddresz �� 1, �/�i�Y:r� � _ APPlicant'S Mailing Address �,�4� 1//�"�Bl�z- , I � Owner S Namep /�BK� /?`r- � ��J ahone ��' ^ �Z� Address L�� t.T-�—'=�r'�fJ � Arch/Eng. Licenu No. Addren5 Contrae�or'sNam � �� ,q� Phone %�� Addresslmailinq) .�Li � K/� City Litense No, Z�� L1 LICENSED CONTRACTOR DECLARATION I nereby alfirm tnat I am licensetl under provisians of Charter 9(commencing with se[tiOn ]000) of Division 3 of tne Bu5lness antl Profezzions Cotle, and my license iz in 1u11 fo ce ana eftect. � i �� License Qass Licenu No � �� Date� Si9nature WORKERS' COMPENSATION DECLA0.ATION 1 hereby afflrm that 1 have a certificate ot conxent to seN-inmre or a certi4wta of Workeri' COTPenSdtion InSurd�ce, of d ceftifleA COp theteOf (SBctlon 3800, Ldb. C. � y�fJo. �� ComPany ' � utl��etl copy ii hereby furniSheG. �� „ertified wpy is filetl with the city Builtling �IviSion. Date Applicant EXEMPTION FFOM WORKERS' COMGENSATION DECLARATION (ThiSseL��On neetl not be CompleleC i/ tha palml[ Is fOf one hunCretl (E300) or less). I certity tnal in tne pertormance o� the work for which t�is perm�t is itsuetl 1 shall nat amploy any per5on in any manner s az Cecome subject to l�e Workers' om nsation La�s of California. Date ��' �"S?�T�+9�atura �� NOT10E+ «, after making tnis aeclaration, you snoul�me subject to the Workeri Compensation provisions o/ the l2bor Code, you must tortbwith � wmply with such provisions or tnis parmlt zhall be tl¢¢matl revokEtl. CONSTAUCTION LEND�NG AGENCV 1 nereby aiilrm tnat there is a construction IenCing a9ency for the performanca ot the work for which tnis permit Is iisue0 (Section 3097 Civ. GJ 11nCe�'S fHaTO �enaer'S />atlress OWNER BUILDER DECLARATION I hereby affirm L�at 1 am ezempt frOm tha Cont�actor's �.fc¢n5< Law Tor the followiP9 reason (Sectlon 7031.5 Business and Rofesslonal COGe: Any GtY or county wnich requires a permit to construct, alter imDrove, Gemolizb or repair any strNUura, prior to its issuance, alm �equires [I�e a00��ant for such permit to file 8 signatl Statement that he/she is Iicensad pursuant to tha Orovisions of the Conba<tor's License l.aw (Chapter 9(commenNng with Section J000) of Division 3 01 tdfl Businati antl Professwns COCe� or Mat he(she is exempt there/rOm an7 Ihe ba5i5 (O/ th¢ dllGged axeTD��on. My viOldt�on of 50ction 7031.5 �y any applicant tor a Permit SUDjecls tM1e applicant to a civil �ena��y of not mare lhan /ive nunGreC tlallars (5500). L' � owner of tne properry or my em0�oyeas with wa9es as their sole �u sation, will Co Ihe work, an0 tne itructure ii �ot intentletl or offere0 for _.�6 (Section 7044, Business antl Professional Catle: The Contractor`s License lav+ tloes nal apply to an owner of a Property w�o builAs or ImOrovez the�eon, antl wM10 tloes such wo�k �IrtiS¢I(/Ite/self o� thtOugh M1I5 0� hef Owrl emploYeei, prov�tlea [hat such im0�o�ements are not Inten�eG or offaretl for sale. I/, however, the builGing or imp�ovemant Is solG within one year ot com- piatlon� tha owner wifl have tha bur6en of provin9 helsha dtd �ot bui17 or lm-. ��OVG IP� t�e pulpo59 of sdleJ. I, a4 owner of the property, am exclusively contracting with IlcenseA con• tractor5to con5truct the pro�ect ($ection 7044. 8usiness antl PrOfe55ion5 Cotla: Tha Co�tractor's �icense law tloes not apD�Y �o an owner of property who Guiids O� �mDro� yes tnereon, ana wno cOnV2cSs bt Sucn oroi¢<ts with T ron- [ractor(sl Lce�:{' pursuan� ro me ConVacto�'s License law). I am aware tnat D/oo/ O� [heir-Worker's Compensatlon insuranca shaultl be proviaetl to me. ❑ I am e j untlar Settlon , B. & P. C. for tbis reasOn Date �_�:._�.. ;� I nerebr ttrti/y inat i�tormation is torract anE �tate laws relatin sentatives of th�5 cit insDettion purpo5e5. Signatu+'� � Drivi.^ Litense or 55 0865-46,�ev. 5/08 I.itate t11dt thG eDOV! ana county ortlinances <reby authoriie repra- n[ionetl pro0erty for r�Mi I rvU.� � I TRACT NO. I LOT 3P � TVPE OF CONSTRUCTION NeW nDo ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _ DESC�p ION OF WORK/USE OF BLDG. ' ?n. C !M� hDn�Sd� TYPEOFPERMIT GRADING ❑FOUNDATI I ❑ TENANT ❑ EIECTRICAL ❑ PLUMBING C ❑ OTHER T ALTERATION LJ REPAIR LJSTRUGTURAL MECHANIC.AL PRQIECT DESCRIPTION 5�. FT. oCCUVAP CONSTRUCTIONTVPE ��,� VALUATION$_ ZONE GRAOING CU. VDS. ACR Remarks: Sink Preventer Irrigation Drinking Fountains Floor Dreins Floor Sinks GasService Outlets Interceptors Kitchen Sink Lavatories P—Trep fioof Drains Reinspection Fea � $15 Duct- Uader Gwund Duct - Strucaral DutT - Ventilating Exhaust System ❑ Multiple Firepl/Fxt.81t. iC80 # Heating System & Ductin9 ❑a100.000 BTU �100,000 - r iu,m Feinspection Fee $75 �Ofhite - Building�, Canary � qAP��canb, Pink - qtwunting; Goltlenro0 - Assessor Showers Service Sink ' Sewer Cap Sewer Connection $ala[ Collectors SoWr Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash laue Fea Hood or Typal ❑ Canopy Typell ❑ Refrigeration Sys[em ❑4700,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registera luue Fae A.P. qp S Main Buildi E Front T 8 Hear A C Right S Leh Ping. Ref. # Planning Notes: Automatic Washer Cons[ruction Pole Sub. Cooking Unit Dishwasher Dryers �Gaz ❑Efec Fan F,A.U. Fixtures Device Boxez Outlets $witCh¢4 Garbage Disposal Generator 00.5 KW [ Zona Accesso�y euildin9: 2 O N I N G R Parking Req./Provided E � � M j T S. � i EIECTRICAL Transformer � 15�50 KW ❑ SO+KW Merer ❑up to 100amps Meter ❑over 100 amps i3�i7 Su6 Panel Motors�41 HP�1h-8 Inc. Soiar 0415 HP OtE15+ Microwave Pole Light Range $IJfI Standing Sections Trash Compactor Heinsnectian Fee ,$15 � � Issue Fea — $ 3 DEVELOPMENTSERVICESREQUIHEMENTS: Zoning Approved By FEES Buildirq Approved By , FEES $ 3 SUMMARV OF FEES BUILDING PERMIY $ CO �J� SMIP $ �� PLAN CHECK �$ PERMIT PLUMBING $ ISSUANCE y PLAN CHECK 25% $ ENERGV P.C. $ EIECTRiCAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ (n'�S° PLAN CHECK 25% $ $� c�i aoaaals4-��azo9ss -�c+-r �a.s� !`ATE� 1�I01/u8 TYME: 16�10 - CONSTRUCTION AND PLANNING APPROVALS Permit # 1. Temporary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. f 3. Electrical Conduit Utility-Undrgrnd. 4. Electrical Conduit-Undrgrnd. 5. Steel Reinforcement 6. Electrical UFER Grnd. 7. Footings 8. Foundation 9. Water Pipe-Undrgrnd. 10. Structural Floor System 71. Property Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains 14. Rough Plumbing 15. Rough Electrical-Conduit 16. Rough Electric Wiring 17. Rough Wiring Sign 18. Rough Elearical-T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Roof.Framing 25. Roof Sheathing 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric � 34. Finat Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final plumbing 39. Water $ervice-Final 40. Gas $ervice-rinal 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46! Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison c 50. Gas Rel% 'o$'outhem California Gas Co 51. CER71F._-.iEOFOCCUPANCY �. Date _ , POOL & SPA Date Inspector AppROVALS Permit # 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms � 55. Electrical Bonding 56. Fough Plumbing & Pressure Test 57. APPROVALTOCOVER�GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVALTODECK 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical-Final 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERiNG 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit# 70. Underground Hydro 71. Product Piping O Gas ❑ Oil 72. tJnderground Ftush 73. Undeigmd. Storage Tank � Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL `i` HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: Date � Inspector � �_ � � �v��.� =�.�. �ECEI�� G�i � ti�. . COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P. o. aox sn C08TA MEBA. CALIPORNIA �� a�� JSTA MESA For Applieanf to Fill In Complefely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS O ISVB COSTA.MESA. CALIFORNIA FOf Office USB �II��/ RECEIPT NO. PMIT�ICO. OWNER ��`�� a ADDRESS 3800 B. Coast Highvay A= IV6D 0Y DAi HECEIVEO OATE I65VEO ,� — 7—(�D I OEI: Q U 1`Jie"�' CITY Mar ' No.DR 34220 pDDREb6 neCcwv��icCic TEL _ �o aA9CC0 COinOietlOII tinDB 34220 GOSTA MESA. CALIFORNIA F{RE AODRE66 ZO N I NG ZONH NO.OF U6E OF cirr C R_1 PUHs.z'' eu��w ' STATE_ G P(%A�b_ C O_/ TEL. , Le3�� %..J_ __ �/ � J O�f / I NO. OR BIdOB. BHTBACK LINE FROM { �� (ClNTHN L�NH 9T.1 �Z�� ce�aiErt OF sTA¢LT — REAR YARD � FRONT FT. SIDE YARD I LEPY / I R�GHT , R. SIDE FT. DESGRIPTION OF WORK _._ ,�'_ APPROVED ICOVERING 1 AND WORK TO BE PERFOijMED �" �� 1 S• � �r.�..fi ��i— (��r — �% 4 I S. C 0 ✓ 1 HEREBY ACKNOWLEDOE TXAT 1 HAVB RBAD TM MPyWT10N TF{g AMOUNT SXOWN UNOEH vqLUAT�ON IB POR TXE ♦ND BTIITE THAT YM6 ABOVB I8 COHP¢GT AND GHEe TO COM� pUPP098 OF EeTABL18HING q PERMIT FEE ONLY. PLY WITX ALL CITY D INAN 88 ANO 8T�T8 W9 R86UTATNO eultulNo coNaisiVR10 . VALUATION SIGNATURB OF / PERM17 FEE $�� •(% O PERMI7TE r $Ib�DS9•O� _PLANCHECK S IF1.AC AUTHORIZED AGENT TOTAL FEE 5y • e c