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Home My WebLink About953 JUNIPERO DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: 953 JUNIPERO DR 1473230'I TRUITT, KEVIN 5938 LAUREL CANYON BL N HOLLYWOOD, CA ELLIS, DIANA Address 953 JUNIPERO DR COSTA MESA, CA Contractor: ULTIMATE PLUMBING INC Address: 5938 LAUREL CANYON BL Arch / Eng : Address: N HOLLYWOOD, CA PLUMBING PERMIT Phone: (878) 505-8032 Zip: 91607 Phone: (774)545-1088 Zip: 92626 Phone: (818)505-8032 Zip: 91607 License: 734569 Phone: Zip: License: ISSUED BY: Status: ISSUED Applied: O6/25/2001 Issued: 06I25I2001 SCOPE OF PERMIT PLUMBING PERMIT TO INSTALL 8 WASTE 8 VENT SYSTEMS, 1 WATER HEATER, 8 COPPER REPIPE. ISSUE FEE BackFlow irrigation Backflow Preventer BathWb Clanfier System Conned (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 50.00 $0.00 $0.00 50.00 30.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landswpe Irrigation $0.00 P-Trap $0.00 Pressure Regulalor $0.00 Process Piping (per 10 ft) $0.00 Receptors 80.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar 50.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink. kitchen $0.00 Sink, servicelmop 50.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 . 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS I SPECIAL CONDITIONS SumpPump Swimming Pool Trep Primer Urinal Vacuum Brkr Bkflow(1-0) Vacuum Brkr Bkfiow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Pipinq (Inst or Rep.) Water Re-pipe Water Service Water Soflener OTHER VIOLATtON PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $78.40 $0.00 $72.30 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: E724.00 QTY 0 0 0 0 0 0 0 0 8 0 1 0 1 0 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 72-21-92) 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 1 BO days. INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required inepectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 244fi-46(fi/00) WORKEFS'COMPENSAnON DECLAAAnON: - '— I hereby affirtn under penalry of perjury tlne of tha following tleclarations: ❑ I have antl wlll maintain a ceritlicale of consant to sell�lnsure for workers' compensation, es proviUed for by section 3700 of iha Lebor Code, for ihe pertortnanca ot the work far whith ihis pBrmil Is issued. ,H I have and wlll maintain workers' ca�penutb� insurence, es requiretl by section 3700 of ��e lebor Cotle, for Ue peAortnance of Ihe work tor which this permit Is issued. My wo,rk.-e�r1s ' wmpensation Insurence cartier antl policy number ere: �j� r/ /� Carrier: GV� �� i,i�, `id PoliryNumher. T'1,�%� � 7(O CJ� (This secuon need not be completed i! pertnit /s /u�n�tlretl tlollers ($100) or IessJ ❑ I certify that in Ihe peAortnance ol lha w f which this pertnit is issued, I shell not employ eny person in any menner so as to become 5ubject to the workers' compensetion laws of Califoml d a hat It I s�oultl Decome sub�act to the workers' compensatlon provislons ol Sactlon 3700 ot the Labor Cotle, I shall torthwith comply with Ihese provision / J � Appliwnt SlgnaNre: " � �Date: 4^ 2 J—�%� WARNING:�FAII:UFE TO SECUR WORKE '�P�15Ai101�1 OWEMGE IS UMAWFUL ANO SHALL SUBJECf AN EMPCOYER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE HUNDRED T}10USAND OOILARE �St00.000j, IN ADDRION TOTHE COST OF WIAPENSATION, DAMAGES AS PROVIDED FOR iN SEGTdJ 3%OB OF 7HE LABOR CODE, IMERE5T, AND ATiORNE`fS FEES. LICENSED CONTRACTORS DECLAfiATON: I hereby attirm that I em licensad under rovisions of lorce end efled. Lic. q ��'�� Cantractors Signeture: �=� ( Sectlon 7000) of Divlslon 3 of ihe Business and�� ns /�a�=y license is in full Cless k � CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm that there is e consCN��ion lentling egency for Ihe pedormance of the work for which �his Dermit is issued. (Sec. 3097, Civil Code). Landefs Name: Signature: _ OWNER-BUILDER DECLARATIONS: Lender's Address: Date: I hereby eftirm that under penalry o1 perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or county which requires e permit lo constmc6 elter, improve, demolish, or rapair eny strucWre, pnor to its Issuance, also requires the apDlicant Por such pertnit to file a signetl stetement that he or she is Ilcensed pursuem ro ihe provislons of �he Contractors lJcense Law (Chepter 9(commencing with Section 7000) oi Didslon 3 ot the Business antl Prolesslons Cotle) or Ihat he or she is e:empt iherelrom end the �esis for ihe elleged ezemption. Any violation oi Section 7031.5 by any applicant tor e pertnit su�jacts the applicant ta e ciWl penalry ol �a� more then live hundred dollars ($500).): ❑ I, as awner af the property, or my employees with waqes es iheir sole compensetion, WILL DO THE WORK, end the stmcture Is not intentled or ofleretl for sale (Sec. 7044, Business end Professions Code: The Conirectors license Law does not epply Io an owner of property who builds or improves ihereon, and who does such work himself or herself or ihrough his or her own employees, provided thet such improvemenis ere not Intended or oHeretl for sale. If, however, lhe buildinq or improvement is soltl within one yeer of completion, Ihe owner-builder will have the burden ol proving Ihet he or she tlid not build or improve for purpose ot sale.). ❑ I, as owner of ihe property, em EJ(CLUSIVELV CONTRACTING WI7M LICENSEO CONTRAC70RS to consiruct the prolect (Sec. 7044, Business end Professions Cotla: The contrectors License Law tloes not epply to an owner of propeny who bulltls or impwves thereon, end who contracis lor suc� project with e contrector(s) license pursuant to the Contrecmrs License Lews.). ❑ I am ezempt under sec. Business end Prolessions Cotle tor lhis reason: Signatura: Date: Owner ID verified by dnver's license. ❑ Yes ❑ No Driver's License No. Vedfication ol Owners�ip by (typa of aocument, I.e. - property tex blll or daed): DIVISION OF INDUSTRIAL SAFETY V6RMIT CERTFICATION: Expires: ❑ I hereDy cenih/ Ihet no exwvetlon fl�e (5) or more feel in depih inlo which e person is required to tlescend, wiil be made in connection wI�B work authorized by Ihis pertnit, end ihat no building siructure, scaXolding, falsework, or demolition or tllsmantling thereol, will Ge more then ihirty�six (36) taet hig�. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Administretive Code). ❑ As owner-builder, I will not employ enyone to tlo work whic� would repulre a permit from �he Oivision of Industriel Sefety, as notetl abo�e, unless such person has a pertnit to do such work from Ihe div�sion. Signature: Date: Division of Indusirial Safary Permit Num6ar: CEH7IFlCATE OF COMPLIANCE AND A�MORIZATON OF ENTRY: I cetlity under penalty of perjury ihat I have read Ihis application and state that the information given is wrrect. I agree to comply with all state laws and ciy ortlinences relating m building cons�ruction, an0 euthonze representatives of ihe Ciry of Costa Mesa to enter upon the above-described Oroperty for inspection purposes. I agree not to occupy or ellow occupancy ol eny building authorized by ihis pertnit until final inspection. GODE I, INSPECTIONTYPE 1616 Fixed System Final Fire Prevendon tt66 Pool Spa Final 200 Finel Re-Rooi 201 Final BIocWReteining Well 2�2 Final Factory Fire Place 203 Final Sign 204 Final Demoli�ion LI�RIIIII.I4Y LOOE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 272 Final Fire Prevention 220 Final Planning Approval 222 Finel Site 250 FinalBuiltling/Occupency o� p�m��; � / � PflOJECT AOOflESS: OWNEN'SNAME: 9S3 JCTNIPERU DR aoonEss: 9�3L,�UNIPERO PR COSTA MESA,CA 92626 PHCHIENGINEEH: RUOPESS: NEG.NO.: uxit: UNIT: PERMITTEE: NOCK PLUMBING (719)895-1246 FOOXESS: q1T16��170T('�SEABOARD CIR [` q(� p(� LICENSEU CONTBACTOKOECLAAAlIONN I M1ere�y aifirm ihat I am licensed unaetT�isimis'U�IMpt2r 9 �commencing wi�h Section 7000) of �ivision 3 oi ��e Business ana Pmlessions CoOe, anE my license is in full larce antl ellect. LITY LIC.: STATE LIC.: CIAS : OS 38 51197� 3� �ale: SignaWre:.� � � WOflNEflS' COP� P NSAT ON DE BRTION: I hereby affirm �ha� I have a cenifica�e of consen� to seli�insure or a ce�i�icaie o� Workers' Compensation Insurance. or a cer�ifiea copy I�ereof (Sec�ion 3800, Lab. C�. eoucvwo.: 1167992-93 E%P.DPTE: O3IOII94 COMPANY: n p ❑ Cetlified co0➢rs-fi,erreEy Wmished. � Certifietl coOY �s W ilA the ciry Builtlinp DiviSion. q <1 Oaie: �B� /��'L_ ApplicanC � f�- � � --� EXEMPTION FpOM WONREBS' COMPENSATION OECLABATION: Qhis section neea nol be comple�ea il Ihe permi� is for one Auntlrea ($100) or less�. � I cerlity Iha� in the petlormance ot �h¢ work �or whic� Ihis permii is issueq I shall not employ any person in any manner so as �o become su�lec� �o the Workers' ComOansa�ian Laws ol Califomia. Oa1e: Signalure: NOTICE: I�. atter making Ihis tleclara�ion. you shoultl become 5ubject lo Ihe Workers' Compensation D�ovisions of Ihe Labor Code. you musl Iorlhwiih comply with suc� pmvi5lon5 or t�is permil shall be Oeemed revokeA. CONSTPUCTION LENOING pGENCv: I hereby affirm inat ihere is a constmction lenaing agency for ine pertormance ot ihe work for which Ihls permlt is Issuetl (Sectlon 3097. Civ. C). LENUEfl: FUDFE55: OWNEfl BUILDEX OECIABRTION: I here0y aifirm �ha� I am exempi Imm Ihe ConVactors' State ticense Law for �he tollowing reason �Section 7031.5 Business and Pmlessional Cotle: Any city o� county whic� requires a Dermil �o cons�mct, al�er, impmve, Oemolish, or repair any simc�ure. prior �o iis issuance, also requires ��e aDDlicani lor such permrt �o �ile a signetl Sla�emen� �ha� �elshe is licensetl pursuam m ��e pmvisions ol ihe Comracmrs' State Licenre Law (Chap�er 9(cammencing wilh Sec�ion 7�00) o� Oivision 3 0� ihe Business zna Pmfessions Coae) or I�at helshe is exemp� Iheretmm an� ihe basis for the allegetl exemption. Any viola�ion oi $eclion 703L5 by any applicant lor a permil sublecis �he applican� Io a civil penalry o� no� more Ihan live hunUreA tlollars ($500�. I, as owner ol �he pmDe�Y a� my employees with wages as Iheir sole comDensation, will do Ihe work, an0 �he ❑ stmcWre is noi iniended or of�eretl �or sale �Section 7044, Busmess ana Pm�essional Cotle: The ConVac�ors' Slaie License Law does not apply lo an owner of a propetly w�o build5 or improves �hereon, and who Ooes such woB �imsel�/hersel� or thmugh his ar her own employee5, pwvitled Iha� such impmvemenis are no� intendetl or o��ered �or sale. If, however I�e �uilding or impmvemenl is soltl wiNin one year ol comple�ion, the owner will have the burtlen ol pmving he/she OiA no� �ui10 or impmve for �he purpose ol sale). I, as owner ol Ihe pmperty, am excWsively conVac�ing wi�h IicenSeU contractors �o cons�md [he projec� (Sec�ion 7044, Business ❑ and Pmiessions Code'. The Conlraclors' S�a�e License Law Ooes nol apply �o an owner o� pmperty who builtls or improves thereon antl who conVacis for such pmleds wilh a conlrac�or(s)license pursuant�o �he Contrac�ors' S�ate License Law�.l am aware ��at pmol ol I�eir Worker's ComDenSaiion insurance shoulA be D�ovidetl to me. � I am exemp� mWe� Seclion� 6. 8 P. C. lor ��is reason: Oaie. Owner. I ao �ereby cenity Iha� I am aware ot and un0ers�and I�e reQuiremems ol Califomia Heal�h and Sa�e�y CoOe Sec�ions 25505, 25533, antl 25534 and Ihat I ar any Iuiure buildmg accupan� willlwill no� (circle one) need ta comply wi�h 5ai0 sla�e cotles antl the requirements for a Oermil br cons�mc�ion or mo�ilicatmn Irom Ihe Pir Ouali�y Managemenl Oisiric�. flesiaential consiruction applica�ions are exempi �mm IAese pmvisions. Oale'. ApplicanL I hereby certify iha� I �ave reatl ihis application and state that Ihe abave inlormalion is correcL I agree Io comply wi�� all cily antl coun�y orAinances anA s�aN laws rela�ing to builtling canslmction and hereby ya �harize represen ' o� Ihis aty Io en�er upon Ihe abave�mentioned pmperiy lor mspeclion Ourposes- //�/J Oate: _�� / ' " � �-- Si9nalure: L ��iL.- �� Driver'S License or Social Securiry ?: � � i6A1�66 White—Bmltlingl Green—Code Enlorcemenll Canary—Applicant; Pink—Revenuel Goltlenrotl—Assessor CITY OF COSTA MESA - HUILDING PERMIT PERMIT NO: P 064513 PLAN CHECK NO: CONSTRUCTION TYPE; V-N PERMIT TYPE: PLU JOH DESCRIPTION : CHANGE OUT OF A WATER HEATER CLAIM C�ALUE: CALC-VALUE; iy PERM NO: P 064513 GOVT; N SUPP: N PURPOSE: OTH SQ FT: GROOP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORIZED HY TAIS PERMIT if N� it it if iE K 1E if if �! 1! iF iE 3f if iE iE iE M if it if iF k iE ik it it iF iE iE if it fF k i! iE %jE it iE it if if i� iF it if iE 1f 1f if M if iE if iE k K iE iE if if 3E iE iF if if if aF if iE if 1f iF iP jf {f Z O N I N GS ERTEB�AUCIKRSE M E N T S � ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGAT: FT IN LEFT: FT IN RGHT: FT IN ,_. PARKING RE�• PROV: PARCEL; 14132301 ZNEi�'�" REF NO; PLANNING N TES> • � iF iE it iE if 1F dF 1F if ik if iF iE 1f iE iE iE if �E iE iE iE if if it iF if ik iE iE iE iF iE if it 1f fE 1f if fE if jE 1f 1F �f !f fElf !E!f iF M it 1E 1f"iF 1f if if if iE if �f if 3f iE iF iE if # jE jE 1F �E 1E aE * iE jf D E V E L O P M E N T S E R V I C E S R_E QtU I R E M E N T S ZONING APPROVED BY � DATE: BOILDING APPROVED BY ; DATE: l y APPLICATION ISSUED HY; �- DATE: �b � iE�EiEiEiEif*i13EifififaEff�F1FlElEifiEiflf iEjfiFiEiEiFiFiFiEiF iFk ff it 1E �E 1E iE 1f iE �E �E iE iE 9E iF 3f 3f %iE 4 if 1E 1E af iE if iE iF 1F iE iF iE If if 14 if if if if iE iE iE iE if 1E if 3f iF %iE iE if iF if if 3E�IF iE iE iE 1f fE iE if !E iF iF �f if jE if i4 iF 1E 3E fF if if if iE LEGALZZATION:N F E E S U M M A R Y STRUCTUAAL SEGMENT:N BLDG PMT PLUMBING ELECTR�IC MECHANIC FIRE SMIP/RES GRADING PERMIT 7.00 �. 25R '`� %' SMIP/NON-RES P LAN ', ISSUE FEE 20.00 BUILDING-DIV-> PERMIT ISSUE PliAN-CHECK TOTAL PAID DUE TOTALS----> 7.00 20,00 ; f� 0.00 27,00 27.00 .00 , REVENUE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT: .0� BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 27.00 r � iE iE fF iE if 1E iF iE %iflf 9f iF jf iE jf 1f ik if if it iF ff jf 1F iE iE iE * ff if �f 1f IE iE�if 3E if iE if 9E iElF iF if �E iE 1F if iE iF 1E M# 3E iE iF iF iE 1E 1E �i iE 9E 9E iF 3E iE if iF iE af !F jE 1f jf if if 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 1 WATER HEATER AND/ORrVENT 7,00 7,OU �"END OF FEES � , � EXP♦lRED, ' l0 ��itbiu i � 5 �,2�re' �I ,. �i�Ai � .-� . �` S+C � 'Y � O1 Q01�9156—p0144S55 T riT 2?,Ofi uAi=: lOft4i93 FIi9E: 13:46 CONSTRUCTION AND PLANNING APPROVALS Permit # 1. Temporary Electrical Service or Poie 2. Soil Pipe-Undrgrnd. 3. Elechical Conduit Uti3ixy•Undrgrnd. 4. Electricai Conduit-Undrgmd. � � 5. Steei Reinforcemen2 6. Electrical UFER Crrnd. '7. Foaun9s " 8, Foundation 9. Water Pipe-Undrgrnd. - 10. Structural Floor System 7 i. Properiy Sewer Line & Hoi.rse Connection 12. Se�ver Cap 13. Roof Drains 14. Rough Plumbing , 15. Rougn Elect�icaL-Condurt � 76. RoughEiectricWiring I 77. Rough Wiring Siyn i (- 18. Rough Elettrical-T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Firepiace . - 21. Ducts, in Structure . 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Roof Framing 25. Rooi Sheathinq --...__._.�..-..._...� 26. T�Bar Ceiling �SlrUcturalS & Monocoat , �27. Freme and Flashing , 28. tath,ng & Siding ' - 29. Insulatiort . . 30. Dryv:all Nailing 31. Plaster Brown Co2t . . r 32. Eiectricai Power Mater�Fi�al 33. Einal Electric , 34. Finai Heating & Air Conditioning , 35. Final Gas Pipe�Tesi' ' 36. Hood or Canopy • . . 37. Fi�ai Factorv Firepiace 38. Final Plumbing 39. Water Service�Finai ' 40. Gas Service�Final ,�f( 41. Solar pomestic-Finat +"�� A2. Backflow Preventer � 43. Backflow Irrigation 44. Landscape Irriqation Sys[em 45. Sound Attenuation 46. Nandicap Regulations � ' 47. FINAI STRUCTURE & BU�LDING 48. fINALPLANNING 49. Electric Release to Edison 50. Gas Release to Southern Caiifornia Gas I 51. CERTtFICATE OF OCCUPANCY No. Date Date POOI ?A � Inspector s 0 APPROVAIS Permit # 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electricai Bonding � 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER-GUNITE 58. Electrical Conduit�Undrgmd. E 59. Gas Pipe, O Undrgrnd., t est � 6Q. Backwash Lines,P-Trap,� Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Finai 63. Heater & Vent-Finai 64. Plumbing SYstem - Final 65. Electricai-Finai 66. Solar System-Final 67. Fencing & Access ApProval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIflE DEPT. REQUIREMENT APPROVALS� Permit# � 70. Underground Hydro 71. Product Piping QG�i C Oil . � 72. Undergwund Flush -73. Clndergrnd. Storage Tank � Gas ❑ Oi! 74. Overhead Hydro 75. Dry Chem(cal • - 76. Dry Standpipe . , � ' 77. FIXED SYST�EM FINAL � . 78. FIRE PREV. FINAL � • HEALTH OEPT.�REQUIREMENT Z9. FINAL INSPECTIO(V 80. FOOD CEA7IFICATE iSSUED � Notes: /D�X(-S'� %%--nst� A� Oate � Inspector 0 71 `. � J � ` Zz � �' - CITv oF COSTA ESA CONSTRUCTION PERMIT Project Address �� " � P�4 Applicant'sMailingAddress 7�� +%6�� Owner's Name ��% K� � Phone s�'3/�-/,/ Address 55�• T""'�OE7'6 �oSIM Mesa Arch/Eng. License No.302(S7 Address � Contracmr's Nam �'�R'Q-- Phone s4k-z9i 5 Address (mailing) / I � E' � V • �� Ciry License No. _ �p� � LILENSED CONTRACTOR DECLARATION � I hereby affl�m [hat I am licensetl untler provisions of Chdr[e� 9(commencing with section ]000) of Divlsion 3 of the Businezs antl ProteSsions Cotle, antl my Ilcense is in full torce a fact. License Class ` —� Li�°�} e No.��Z �S7 Date Si9na� .a /� WOFKERS' COMPENSATION DECLARATION � hereby atfirm that I nave a certifitate ot wnsent to seH-insure or a certiilcate Workari' Compensatlon Insurance, o� a certifietl CoOY �her¢Of (SeCtion 00, Lab..CJ . , Policy No. Company Ce�Hfietl copy is hereby fumishetl. Cert tlCtl cop I 1IIeC with [he City B ivis . �[e �—��'�� Applicant �EXEMPTION FROM WORKERS' COMPE SATION DECLARATION (Thissecllon neetl not bB cOmpletetl if the permit ii tor One huntlr¢tl (E300) o� less). I certlty lhat in [he pe�Po�mance of the wo�k tor whiGh thii p¢rrtf�t is issuetl, I snall not ¢mploy any p¢r5on In any manne� so as IO become subject to the Workers' Compan5dtion ldws of Calitomia. �ate Signature NOTICE: If, afte� makin9 Ihis decla�ation, yoa shoultl becoma SubjeCt t0 Ihe Worke�5' COmDenSation provi5ion5 of tne Labor Cotle, yDu mu5t tor[hwl[b comply wltn such provisions or this permit shall be aeemetl revokeC. CONSTRUCTION LENDING AGENCV I her¢by af(I�m that there is a Cons[ruction IenOing agency (o� tlte perPo�manCE of the work for which thls Oermit is issuetl (Sectlon 309� Civ. C.) Lentler's Name LenEer's AtlOress OWNER BUILDER OECLARATION I hereby af(irm that 1 am exempt from the Contractor's License Law tor the following reason (Sectlan 7W1.5 Business antl Professonal Cotle: Any clty or county which requires a permit to construct, alter, improve, tlemolish or repalr any stru<ture, prlor to Its Izsuance, also requires the applicant tor such permlt to file a Slgnetl Statement [hat ne/she is licensetl pu�suant to the provision5 of Ne Con[racior'S License Law (Chapter 9(commencing with Sectlon 7000) of Dlvislon 3 of th¢ Bu5ine55 antl Professions Cotle) or that h¢/sne I5 ¢xempt `e�etrom antl the basls'tor (he allegetl exempiion. Any vlolaHon of Section 31.5 by any ap0liCan[ to� a permit subjects the apP��cant [o a Clvil .nalty o( not more than tive M1untlretl tlollare ($500). L� I, as owner ot the property o� my employees wl[b wa9es as Ihel� sole Compensation, will tlo lhe wo�k, antl Ihe Structure is nol intantl¢tl o� otferetl Por sale ($ectlon �066, Business antl Grofessional Cotle: The Contractor's License Law aoes not apply to an owner of a property who builtls or improves ther¢On, antl who tloes such work himself/herself or throu9h his or hGr own emploY ees, provitletl that sucM1 Improvemenfs are not intontletl or offeretl for sale. I/, �owever, Lhe bulltling or improvement is soltl wilhin On¢ year oi com- pl¢tlon, lhe Owne� wlll hdve tb! burtlen of provin9 h¢/She CId not builtl or im- prove for the purpose ot sale). ❑ I, a5 owne� of [h! property, am ezclusivery cont�acting with Iicensetl con- [ractorsto construct[ne project (Section 7044, Businezs antl Professions Cotla: The Con[ractor's l.icense Law doe5 no[ appty to an owner of property who builtli or imptoves titereon, antl who contracts for such projects with a con- Iractor(5) bcense putsuant t0 [he Con[ractor'S License Lawj. I am dware Ihat proof o( their Worker'S Compensatlon insu�ance shoultl� be provlDeG to m0. ❑ I am exemp[ untle� Section B. & P. C. 1or [hi5 r¢dson �� Aoo��ant to fill in all soaces exceo� ��asa within heavY Dortler lines ana si9� all aoCropriate tleclarations. Date Owner I hereby certify tnat I have reatl this application antl state that ihe above informalion i5 <orr¢Ct. I agr¢e [o comply with all city antl county OrtlinanCes antl State laws �elating to builtling construction, antl here0y authoriie repre- sentativas s tlt ter upon the above-mentionetl property �or �i95 pectlon u ses. � q/ S�/ '�5i nature ( Date 0 •�'--�-''License or SS �` %�— �. /� TVPE OF CONSTRUCTION Ll rvEW I.J ADD Y�AL7ER.cTio O.CONVERSION ❑ DEMOLISH ❑ O ER _ Q"v -DESCRIPTIONOFWORK/USEOFBLDG. S TVPE OF PERMIT LJ GRADING LJ FOUNDATION LJ STRIYCTURAI ❑ TENANT ❑ ELECTi31CAl. ❑/JPL/U�/M/81 G❑ MECHANICAL � OTHER Rc—P�J�F .iW��. F. PROJECTDESCRIPTION Scl.FT. oGcua�n�/N��CV—� CONSTRUCTION TVPE VALUATION S`� 20NE ' GRADINGCU.VOS. ACRE5.3� Remark5: — Q �., s Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets I nterceprors Kitchen Sin4 Lavatories P—Trap Roof Orains $howers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin Solar nk Pool w/Spa . Urinal Watei Closet Water Heater Water Service Auto�Wash FEES Reinspection Fee I $15 I I ' Issue Fee I $ 3 Boiler Duct - Under Ground Duct - Structural Duct � Ventilating Exhaus[ System ❑ Mul�iple Firepl/Fact. Blt. ICBO � Heating System & Duc ❑6100,000 BT 100,000 Reinspection Fee � $15 CMF 0865-4fi, rev. 30/84 White - Bulltling; Canary - Applicant: Pink - Accounting; Goltlenrotl - Assessor Hood or Type I ❑ Canopy Typell ❑ Refrigeration ❑ 100,000 �rem Repair/Alteration Fire Dampers Registers � Issue Fee . #e S Main Building: � E T Front A Rear C Right K g Left Pln9. Ref. �# Planniny Notes: Automatic Washer Construction Pole Cooking Unit Dishwasher Dryers �Gas ❑ Fan F.A.U. Fixtures Device Boxes Outlets � 3107 9/'15/B6 Accessory Building: ' Parking Req./Provided 40..50 TL 2one . ELECTRICAL Transformer ❑ 15-50 KW ❑ SO+KW Meter ❑up o 100amps Mete over 100 amps Sub Panel Motors�41 HP�1h-8 Inc.Solar 09-15 HP �i6-15+ Pole Light Gart�[fe Disposal Standing Sections Generator �65 KW �5-15 KW Trash Compacror FEES z O N I N G R E Q M T s Rainspection Fee I$75 Issue Fee ' $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By nate ' Buildine APP�o'Rd By ' Date Appliration Issued By Date SUMM V OF FEES � BUILDING PEFMIT $ � SMIP $ . PLAN CHECK � .$ �� PERMIT " � � PLUMBING $ ISSUANCE '$ •7 PLAN CHECK 25% $ ENERGV, P.C. $ ELECTRICAL $ GRADING $ - PLAN CHECK 50°,6 $ - MICROFILM $ MECHANICAL $ . TOTA� FEE $ D S $ 3 PLAN CHECK 25% $ CONSTRUCTION AND PLANNING POOL & SPA _ APPROVALS Permit # Date Inspector qppROVALS 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. 70. 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 ' '. 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT , 20. Rough Factory Fireplace APPROVALS Permit# � _ . 21. Ducts, in Structure 70. Underground Hydro " ' 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil ' � 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing g y' ��.. 73. Undergmd. Storage Tank � Gas ❑ Oil � 25. Roof Sheathing �' b�� 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. Electriral Power Meter-Final 80. FOOD CERTIFICATE UED 33. Final Electric Notes: ��j� �" � 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy i`, ��• 37. Final Factory Fireplace ,� � %- =�i 38. Final Plumbing : ' � "' " �� 39. Water Service-Final ` ' , ,_, 40. Gas Service-Final � ' � 41. Solar pomestic-Final - � 42. Backflow Preventer � � ' '- 43. Backflow Irrigation �� ',� • 44. Landscape Irrigation System � ' . , r 45. Sound Attenuation � � 46. Handicap Regulations „ 1 � � . 47. FINALSTRUCTURE&BUILDING 88 k� Q � 3p�� !�a'.S�(�BC� Q ; 48. Special Requirements Completed � ', , ' 49. Electric Release to Edison ' 50. Gas Release to Southem California Gas Co � -� 57. CERTIFICATE OF OCCUPANCY . No. Date � . : . 1;' : � =�L'i�ETILE Corpora'��n � �.�,+�� Z_ �.S ; j, 3511 N. Riverside Avenue � �! � Rialto. CA 92376 7141822-4407 _ .. . _ - -� , � / `� ❑45111 Industrial Drive � � � ' " ' � � � Fremont, CA 94538 415/657-0414 , � . ''�?�� P.O. Box 21516 . `. .. . , .. . . �, . SanAntonio,TX76221 512I626-2771 please Complete and Mail to Locatiun Indicaietl � � _ . , " '" _\� .. .�_ y�_q.�' "' . .�, . Name � K (�fa�SL - Number ' �--��!� ' . � � � ' � � � (See Atlachetl Da}a Sheeq TYPtCAL HOUSE SECTiON � �_ \ 1 _,, - � . � , � r � ��ri ^G� .G . TYPICAL GARAGE SECTION 'S✓±'Poie',r/�7S.c�.-iiu � � f� Pii W�t �r c..-� . i,� � gKr�� 5 ' L�t')4 !r�✓i)) rli✓i ^r:N HX�z �3C ' ` --h.(1 K��y( j'� f/ IlT 1(/� / �'L,O�� 5%�,61J ��t �a.�. ��ni,,,,.i � . ,� . , 7��'r i'."u� �_ ,�o��,> ��A�,��r�: � 4/L:`5 T N •-� r � , �_ , /�n�� l � > ✓n�, �--� ; ,, �-::. •�.�,..: ,��.c-. rnF'7'�k •:F>; (J V-I c�� r7/� f5 LL FN6+i (! Z� Q- � 7� �,n L�'(/-l4 F�s�r/ .� L d S � a NOTE: Atld to'sections as necessary to show addi�ional framing. Use'X' to cross ouhbraces, puFlins or ties that do notexist. � [/ OL� �/L."j '� O11� r ��` S , U %'�/� T�E� . �\� . -- ----'"" �"�:i _ b�c. Y�t�,J � L�'n�r�� HE/tbt�. �-- 1. Show All Dimensions 5. Specify Tie Size & Spacing `•k'F;;;'' 2• Speciry Rafter Size 8 Spacing 6. Indicate Roof Pitch 3. Specify Purlin Size � 7. Garage Door Header: Indicate Size 4• Specify Bracing Size & Spacing 8 Bracing Requirement APPROVED� CR�J��', Mesa Building [ • ., 1H6E PUNS MUST BE ON JOB Al' ALL iIMFS �. IaAKE NO CHANGES WITHOU7 ARIOR APPRO4rAL — D� D�. , �1FIE ISSUqNCE OR GR1iNTING OF A PERMR OR N'PRDYAL' OF PLA$S AND SPECIFICPTIONS SHALL NOT 8E CO.YSTRIIm 70 BE A PQM;Ii FOR, CR AN APPROVAL Of, ANY VIOSA7ION OF AN�f Of TNE PROYfS40NS OF TNIS CODE NO PIIMIi PR& S7LIIN6 70 61VE AUTHORITY TO VIOIATE OR CAYCEL iNE PROY{Sl0l6 OF iNIS CODE SFINLL BE YAU6, D�EPT ttl SQ I FIIRAT 1FlE H'�( OR USE WHICN ITAUTHORIZFS IS tAW�lR; � i!E IS�WtGE OF A PER1t�i BASED UPoY RANS AHD � S1fAll AOT PREYQJT THE BUILDIVG OfFlC4Y FGq111�FiFR F�UCilri6 THE CORRECitON OF ER[�S �Y � F-0�QYS IC'iD $'EqiiCAi10.�, OR fRON PREVFNTI�VG . tl�qIV6 �� CARitlm OV THERfI1NDFR WNEf4 ,IIY O�i7�fp�F iHS C�tE OR � ANY OiHER URD1NAtlGa � oF�c+t� _ .__ _ J. � . STRUCTUflAI APpROVAI ONLY SEPAflATE PERMITS ARE RE�UIRE� FOR ELECTflICAL PLUM8ING, HEA7ING, VfNTILA7ING ANO REFRIGERAiION WORK ��8`1�99# # ��.� � � Tff?S NL'YiBER MUST ACCOMPANY ALt fNSPECiION RE�UESTS IEMPLOYEO' WE SUGGESi iHAT iHE SiAiE OF CALIFOflNIA DIVISION OF INDUSTqIqt SAFEiY BE CONSULiEO fDR AOOI1fONAL FEOUIREMENiS. L- _. ,a COSTA MESA BUILDING 8 SAFETIf DEPARTMENT e. o. aas sv COSTA MESA, CACIFORNIA FOR APPLICANT TO FILL IN PLUMBER pLUMBINC+ CANTRAC'TCIACr Ih Add� »�� ST WESTMINSTER AVE. P O Rnr 5'1A t..��.. e...:� r..�:t City Tel No. State litensa No. 124%3�: Expircs PERbIIT FEFS APPLICATI�N FOR PERBIIT PLUMBING � PERMfT NO. TRACT N� �`� RECD. BY__ (l�N'1 �Y LOT NO. � D�T• DATE IBBUED BUIL/DI'�NO USE �/23J6I il/_ / ME9A. MAIL CITY(ADJfHIA/�I�L� /I7A/I�'. NO.� (/ I hereby aclmowledge that I have read hla aDvliwUon aad atate that ehe above is mrrcct end egree ro mmply with ell Gty Ordlnencea and State Iawe regulaUng plumbinp. I certlfy that I poaeea� the above valld Cwta Meu CIty Licenx, or I am the legal owner of the ersidmtlal proDerty dexribed above. Sipnature oi Permlttee IN$PECTION RECOED 0 z c� z D r ve�. rar�►c r8e I s �� `SZ� :••�J I eorm soa BLD(i. PERMIT NO. rURNACE5 TYPFi Well �. " Floor ;; Basement pttic STAT1': IF GRA�'ITY or FORCF.U-AIR B.T.U� ftATI�IG GAS LItiE S12E AS PER ilIFG. AIAl\UFACTGRER'S RATING GIVF;APPROVAL CLEARANCES Sides Bottom Ends 1I15CELLA\EOtiS ftE:1iARKS REFRIGERATIO\ � AIK CONDITIO\ING 2.48 REFRIGERATION S1STEbi (CfiECK ONE) 2.48.1 Absorption System p 2.482 Sealed Absorption System O 2.48.3 Self-Contained Absorption System O 2.98.4 Unit System ❑ 5.1 Type REFIiIGF.1tAYTS USED (CHM:CK O\E) 5.1.1 Group I ❑ 5.1.2 Group 11 ❑ 5.1.3 Group III ❑ BtiILUIYG OCCUPA\CI" CLASSIFIC.ITIO:V (CHECIi O\E) U.B.C. STD. 49.1 3.2 Institutional Occupanc}� ❑ 3.3 Public Assembly Occupancy ❑ 3.4 Residential Occupancy [' 3.5 Commercial Occupancy G 3.6 Industrial Occupancy ❑ 3.7 Dfised Occupancy ❑ A �� COSTA MFSA BUILDING-SAFETY DEPARTMENT 'P. O. BOX 917 COSiA MEBA. CALIFORNIA For Appliean+ to Fill In Completely TYpE OR PRINT BUILDING ADDRESS Juni ero Diive COSTA M�SA CALIFORNIA lfacco Corporatiocj,,E„� OR ,'a'�� k�l�l1CA�.''_. c� DEC � 1�0 FI I�VC�E, QF�PT. LO �" 3'% !�GR'�CI ��)r �. �fi. � �JIESA APPLICATION FOR-PERMIT eua�iN� For Office Use Only RZCEIPT NO. PHRMIT NO. 1�L�.`�fA nscet eo er I�� ""'��F_��t, InFr � n' 94� � ADDRE65 953 Juniparo Drive COSTA MESA. CALIFORNIA FIRE ADDRESS C058C H }1V8 ZONING CITY COIOTIH YBl �I ' ZONE I NO. OP I U6H OP NEW S IS PLAN BUILDING STATE TEL. �OwL LIG. NO. NO. oexpiriioN SIZE / � n0. OP BLD68. OF LO7 r � Now oN �or D ,,. P. No. none USE OF YARDS EVES EXISTING BL�G APPROVED ALLOWED 88iHAGN IJNE PROM / � (uNTaR ��Ne 6TJ , 3 carmR oP eTrt¢er �S REAR YARD FRONT FT. / � SIDE YARD ILEFT IRIGHT R.SIDE , FT. DESCRIP7'ION OF WORK ___ ,E- � ROOF �I COVERING �LA / / K j0 BE PERFORMED � HEPBBjr/ACKNOWLHD00 THAT I MAVB pBAD I6 APPLIGTION AND BTAT¢ TXAT TH6 BOVB 19 CORiiCCT AN A6RH6 TO COM- vtY WITH ALL CITY O DINAMCE9 AND BTAT¢ WB qBOULATINO BUILC�NO GONBTRUC N. 91GNATURE OP ) � PERMITTB � AUTHORIZED ACENT TXB AMOUNT BXOWN UNOER VALUATION 19 FOH TN8 PUIiP086 OP 88TABL18HINp A PHRMIT P88 ONLY. $ J�l, 6 Qa. D o