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HomeMy WebLinkAbout1880 MAUI CIR - Building Permits 11. �ty- .. --- , CITY OF COSTA MESA - ►y, .� BUILDING DIVISION l9 � " ' ""� 1 DEVELOPMENT SERVICES DEPARTMENT 4• PERMIT PERMIT NUMBER (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 1880 MAUI CI Status: ISSUED 41,6 Suite No Applied: 06/15/1998 Vicinity: Issued: 06/15/1998 Parcel Nunmber: 13941101 Applicant: FABISIAK, MIKE Address: Phone: Zip Owner COLEMAN, KEVIN A TR Address 1880 MAUI CIR Phone: , , COSTA MESA,CA Zip: 92626 Contractor: NET DEVELOPMENT, INC. Address: 3188 Airway Av G Phone:1.714 754-4454 Costa Mesa,CA Zip: 92626 License:405930 SCOPE OF PERMIT Electrical for addition: FEE SUMMARY Quantity Quantity ISSUE FEE $22.00 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft $0.00 0 Res.a/c package $0.00 Standing Section $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0 Lighting Fixts $9.00 9 up to 50 kva/kw $0.00 0 Recept Outlets $6.00 6 up to 100 kva/kw $0.00 0 Switches $4.00 4 over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0 Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $27.25 1 Misc.Conduit $0.00 0 Service to 1000a $0.00 0 Misc.Conductor $0.00 0 Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0 Motors to 1hp $0.00 0 Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $68.25 • Intermed Pole $0.00 0 COMMENTS/SPECIAL CONDITIONS EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and, I� required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this per / FOR INSPECTIONS CALL: (714)754-5626 • DECLARATIONS U WORKERS'COMPENSATION DECLARATION: I hereby'affimr under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number. (This section need not be completed lithe permit Is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit Ls Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree t• If I e bject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: • ' 4 Date_ 6--.5"---/8 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($100,000),IN ADDmON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37C6 OF THE LABOR CODE.INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lac.it Class it q Conlrectofs Sl nature:._ �/� -ele — :' - l�/�/67 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 fore 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 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-properly 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,'me 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the DMsion of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: • HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be flied with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which 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? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject Of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑Yes 0 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 pert of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (if yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penally of perjury that I have read this application and state that the information given is correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. re Of Legal Owner(s) l 2— t /O AndlOr.AulhodzedAppBcant t--Data . VaLIE.. MSPEIMPIL 1PE DATE g{EMN.5 CODFJI INSPECTION TYPE DATE =AU 1818 Fixed System Final Fire Prevention 208 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 754 204 Final Demolition 250 Final Building/Occupancy 2446-46 / �J CITY OF COSTA MESA :t-'10114-411 BUILDING DIVISION t, - ' DEVELOPMENT SERVICES DEPARTMENT M98-00236 `PK PERMIT PERMIT NUMBER (714)7`54-5273 • Fax(714)754-4856 . 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 1880 MAUI CI Status: ISSUED ate) Suite No Applied: 06/15/1998 Issued: 06/15/1998 Vicinity: Parcel Nunmber: 13941101 Applicant: FABISIAK, MIKE Address: Phone: Zip: Owner COLEMAN, KEVIN A TR Address: 1880 MAUI CIR Phone: - _ COSTA MESA,CA Zip: 92626 C Contractor: NET DEVELOPMENT, INC. Address: 3188 Airway Av G Phone:,:714 754-4454 , ' - Costa Mesa,CA Zip: :92626 ' License:405930 Arch/Eng: Address: Phone: Zip: License: SCOPE OF PERMIT awes for addition: MtalAu ;tot- FEE SUMMARY Quantity . - Quantity ISSUE FEE $22.00 Repair/Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $0.00 Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 Ventillation System $0.00 0 Repair/Alt Cooling/Heat $12.25 1 Evaporative Cooler $0.00 0 Inst/Rep. Recess Wall Htr $0.00 0 Commercial Incinerator $0.00 0 Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0 Refrig Sys>100 k BTU $0.00 0 ' Compressors/Absorption Systems Gas Piping $5.50 1 -Up to 3 hp/100 k BTU - $0.00 0 Factory Fireplace $0.00 0 3 To 15 hp/500 k BTU $0.00 0 Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0 VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct $0.00 0 Over 50 hp/Over 1,750 BTU $0.00 0 Appliance $0.00 0 Boilers Fire Dampers $0.00 0 Up to 3 hp $0.00 0 Smoke Dampers $0.00 0 3 To 15 hp $0.00 0 Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0 Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0 Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0 Floor Furnace $0.00 0 Other Mechanical Fee Floor or Suspend Heater $0.00 0 Investigation Fee - $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 ' TOTAL CALCULATED FEES $39.75 COMMENTS/SPECIAL CONDITIONS • EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and4 required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this pe _ FOR INSPECTIONS CALL: (714)754-5626 DECLARATIONS , , WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have end 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: Policy Number. (This section need not be completed if the permit is valued et one hundred dollars($100)or less.) ❑ I certify that In the performance of the work for which thls.pergt I Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and a roe t if Sho id ubject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. � qg Applicant Signature-- 7 , d-'/ Date: WARN NG:FAILURE TO SECURE WORKERS'COMP SAT1ON COVERAGE IS UMAW FUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOILARE($100,000),IN ADDmON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.a �/ Class a Conimctode_Signeture✓ a (/ Coate: —/O 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.Clvil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to Its Issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or Improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: • Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,faisework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic 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 Cale been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be fumished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑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? 0 Yes 0 No 8 (if yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ure Of Legal Owner(s) D And/Or.Authorized-Applicant CDete—_, 5005 r. INSPECTIONTYPE BATF ICALS CODEI INSPECTION TYPE 'r.m. . 1616 Fixed System Final Fire Prevention 206 Final Mechanical • .f�I 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 244a4a -:.ADDRESS BMLDING: 1880 MAUI CI WIT: CITY OF COSTA MESA - BUILDING PERMIT eCrb^ DO0I J OWNS"SI'"IIEI`IDaw"' COLEMAN KEVIN A TR PERM NO: B 087954 m''' 1880 MA{)I C I R - COSTA MESA,CA 92626 PERMIT NO: B 087954 PLAN CHECK NO: 01325-98 A GOVT: N SUPP: N ),PPL.YAWNS ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ADD ARCN"ECTORE1l NEER: TERRY SCHOLES MAO.: 53599 JOB DESCRIPTION : ADD 177SF 1ST STORY & 310SF 2NG STORY SQ FT: 905 ARCH.OREKG.•SADDRESS: 3188 AIRWAY COLMAN UMT' G C.M. CA 92626 CLAIM VALUE: 25, 000 . 00 CALL-VALUE: 48, 677 . 50 GROUP OCC: R-3 / cONTRACTafSNAMENET DEVELOPMENT INC. ( 714 ) 754-4454 Ct*TRACTOWSMAILIND 3188 AIRWAY AV COMMENTS: FAMILY ROOM & EXPAND GARAGE BY 418SF. ADDRESS: C.M. T CA LIC)f'1°): 405930 **************************Rr********+rid**RE****SE****it+r**iE*RE*****+r*+E*RESr;,E+E*****Rr**+r* 92626 MT: G Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby agkm under penalty el perjury Mat I am licensed under provisions of Chapter 9 S E T B A C K $ HOLD FOR SPECIAL REQUIREMENTS (commencing with Section 7000)d Division 3 the Business and Pmin'v eu Cade.and my license a in fullface end effect. 11YL .NO.:030468 IX.CLASS: B , ,LOC.N0, 405930 EXP: 06/98 MAIN BUILDING ACCESSORY BUILDING Date: camada' FRNT: 20 FT . IN REAR: 27 FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN N BUILDER DECLARATION:I hereby etfi under penalty d perjury that I am emempr from the Cnntradon license Lew for Me following reason(section 7031.5 Business and Professions code:Any w or county which requires a permit to construct,atter,improve, PARKING R E foolish,orrep 'anyshucture.priortoEsissuance.alsorequirestheaodiwmtorsuchpemmmfleasignedsmementthatheorshe S2: PROV: - PARCEL: 13941101 INE: R1 REF NO: PA-97-54 ;licensed pursuant to the provisions d die Comradois License Law(Chapter 9(commencing with Sedan 7000)d Division 3 d the PLANNING NOTES)f EXPAND EXISTING GARAGE• & FAMILY ROOM (DOWNSTAIRS) &-BONUS >nmistr/�„y�dpq applicant isappemn that he Or�he applicantoacM peromrm erthe basis e thanfeeealleged huundred edolaiaMj$SOo( andsectan r>, ROOM (UPSTAIRS.) AT REAR. 0 ' LT SIDE STBK APPR. BY VARIANCE.P ❑ Lnowner dtheproperty ormyemployeeswith wagessC0de:Tsole oompenatice,wildo ewk.andthetoanbeisneeimendeere Q U I R E M E N '/T S_ or offered for Business and Professions Code:The Comradoes License law does not aployee anawner PrnPortY such D E V E2,L O .P M .E N T S E R V I C E S R E who bolds or improves thereon,and who doom such'wark himself or horsefly through he or her own employees.prodded that such �..-' r v ' i. - f oimprovements are/not wended or offered for sale/If.however,the building or improvement is soil within one year d completion.the wner-builder will have the budndproving heorshe did nabOdorimproetor the purposeofsae). ZONING APPROVED BY - r` A DATE: _ ❑ I.asownerof the property,am exclusively aatredhg with licensed convectors to mnbud the project(Sedan 7044,Business and '` . •'.'1 7? 2Professions Cade:The Contractors Liiense Law does not appy to an owner el progenybias who bs or improves thereon and whe BUILDING APPROVED BY. :-. DATE: a contracts for such projects with a on2doNe)liver-iced pursuant to the Camralors License Law). ;,. ❑ Iemnempl ndarSedb: �' B=aP.c..b MeresaoG- APPLICATION ISSUED BY:Y �' DATE: Date: own.: ******************************* ************* ********************************** I do hereby certify halt nn aware el and understand the requirements d California Neagh and Safely Code Sections 25505.25533.and LEGALIZATION:N FEE SUMMARY STRUCTURAL SEGMENT:Y 25534.and DWI or and Sure building g°caper!will/will not(circle one)need to campy with said date codes and the requirements for a permit for convection or modification horn the Ar6W rana�emnl District. mimrudonapptatioa are exempttrem Men BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 565. 75 4 . 87 Date: Appllcaa: SMIP/NON-RES WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dederatum: P LAN 91 . 94 ❑ Ihave andel maintenecertificate dconsent toself-insure for workers'compensation. ISSUE FEE Code,for the perfomanceoftework t«which tm ispeitisissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ Ihave and veil maintain workars'compensation insurance.nrequired bySection3700dtheLaborCode.Mtheperformanceofthe TOTALS----> 570 . 62 0 . 00 91 . 94 662 . 56 662 . 56 . 00 Kr- work for which this permit is issued.My waken'compensation insurance carrier and polcy number are: Carrier: FAFMnMT EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 570 . 62 OVER/SHORT: 00 Poky Number. WN7725995-01 09/06/98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK .rhm section need not be completed 1 to permit is for one hundred dollars($1001 or lass) 565 . 75 4 . 87 jaI miniy that in the pedorard fooe the work to is which this permit issued.I shag nemploy any person in any manner so to •becomasubdtotbeworkere'oornPensatatnises04CaJiotnuandmethat4IshOuldbacorneeuttedtothewtaem'ibiedtothewwken•pensatnn pre inns of Section 3700 d the Labor Code,I shag forthwith comply with those prw®ae. I N D I V I D U A L F E E BREAKDOWN Applicant: rang:Faure to secure worker.ronpsnsatlon roeenpsIaunlndul,and shall subject an employer tocNMnal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST MI fines up to one hundred thousand dollars($104000),M addition to the cost of compensation damages as provided for In don 3706 of the Labor Code,Interns.and attorney's fees. lT SFR 487 DWE-TYPE V-WOOD FRAME -GOOD 81 . 50 39 690 . 50 - CONSTRUCTION LENDING AGENCY:I hereby affirm under Penal?),d perjury this oo there is a rmw nion lending agency for the SFR 418 RES-GARAGES TYPE V 21 . 50 8, 987 . 0b performance ol the work lot which this permit is issued(Seder 3097,Civ.C). . LENDER'S NAME: END OF FEES LENDER'S ADDRESS: I certify that I neve reed this application and state that the above intonation is conn.I agree to comply with afi day end county adinenc s and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above'mentoned propend ' for inspection purposes. JOEL JUBINSKY _ _ - - . .._ . _ . - C4-29-1998/82:1@ P1/$57'«62 Pre Mame RCPT#:i.1-CL'2 Eu4 ^ Date: PERMIT:087954 signature d owred.FUA.. . (5t5t<6.WP) White-Building 8 Saaffeet/y,Green-Re: s ppFant;Pink-Revenue;Goldenrod-Assessor t� CONSTRUCTION AND PLANNING •. POD. ,PA - APPROVALS Permit # r Date Inspector APPROVALS Permit# - , Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - - -t33;.Electricat �d Eon -uit Utility-Undigrnd. 54. Forms u . _ _4: ElectricaltOilljld'uB'-l�'.lndrgrnd. 55. Electrical Bonding - El Summa',Steel Reinforcement r--22-II 6a4' 56. Rough Plumbing & Pressure Test 8' 'jIect,icaktlER nd. 57. APPROVAL TO COVER-GUNITE -- -, s rFir ) 7.400tings7j_: $ 2..2- f5 CGA' 58. Electrical Condyiitr;Undrgrnd. B.-Foundation _/j 59. Gas Pipe, O Undrgrnd., Test 5_1I6,1 I e- °9. Water Pipedjndrgrnd. 60. Backwash Lines;.P,LTrap, 0 Undrgrnd. 10. Structural Floor-System S-21-If .‘cat 61. APPROVAL:TO DECK 11. P%operty Sewec Line & HouseConnection , 62. Backwash & RecelStor-Final 12. Sewer Cap r 63. Heater & Vent-Final 13. Roof Drains -� .�.._ 64. Plumbing System - Final 14. Rough Plumb+`ip^ 9 4. n 65. Electrical-Final 15. Rough Electrical-CoiS uit 66. Solar System-Ffpaa, • 16. Rough Ele7 ric firing 67. Fencing & Access-AApproval 17. Rough Wiring Sign _ 68. APPROVED FrPLASTERING 18. Rough Electrical T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ,7, FIRE DEPT.REQUIREMENT 20. ,1,1ougif F tory Fics.Ap:lace ! S~ ;^< S r =y APPROVAL'S�r, Pajiiut# r - • - 21. Ducts- in'.StrtrF2urai .. .• ?� t l- _+ ^r '-, 70. 'tUnderground Hydro ` 22. Datta Vi'• -..,ingF. , `•, '''S s y 3 .5.- <, 71• Productiiping> as 0Oil 23. das Pipe,Rougit& _ xS ?: a' T .Y 72. Undergr&und Flush II--; 1. --' 24. Roof- ra`ming' :"`" •'T t' j x ,_+ '. `• 73; Undergrrul.Stofe Tank-;O Gas ❑OW 25. RooLShyathing x ¢ /O+r f f b 747,Overhead oa Hydr4- 26. T-Bal?Ceiling (Str IctLral) & fvTiT'Qoat :.,..:zC -' .-. 75� Ory`Chemical t-, ' • ' x ;: tf• It W y. . „•+ •- t t •, dpt 27. •Flame ant;F Fla;hir.-- . a:2449 IIS/L,.'iy: �M"Y. 76. Dry Startctptpe r-•'•+ + 28. Lathing&ISidlhg cc:: t1 J`vrr `�-2Z58'I 'ui6 74 FIXED YSTFtfI FINAL b .. t) ,-I •• - i.T... • t, K 29. Insulation • ^.: 5 I ;� 78: FIRE PREV. FINAL •- " 30. Drywall Nailing 5 y �r!lb�L; 6 ;HEA LTR DEPT. REQUIREMENT • -, 31. Plaster Bsowq Coatti', .; , ;r+.' 7-r7-Q 9 /s// 79.` FINAL INSPECTION ':: 3• 2. ElectricahPov4r M4thr-1'ijal ,_ �. n1 - _1 8Q:? FOOD CERTIFICATE ISSUED ir'7 33. _-inatA€lectric� +., Y., >ti I ;. NtreY�_"W`fVIZ= rG\;raL-m:4._ j_ _ per• - - 4 is 34. .FinakHe ng'& Air Conditionin4S .").".-m% '` _, x S ,y v " oCn=���EMEN. - f h r - _* Pr trdn > f �, 35. "E`i`,inal Gas.fipe;Tesj* Gz .: _ • I r .1 HO�..... �'_. ?*• �- r 36. Hood-or Canopy 4•Q "- ` •3' ` c 1• £ 'a. M 37. Eina1 Facpry Fire"'place r c<-.x '- - 7. F S. -F: ;- .: • Insulation Certifica _ 819 55 y ' Number and Street City County Subdivision Lot Number Description of Installation ROOF Material Q= 4 Brand Name Thickness(inches) Thermal Resistance(R-Value) CEILING Batt or Blanket Type Brand Name Thickness(inches) Thermal Resistance(R-Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft` lb Minimum thickness inches Manufacturer's installed weight per square fcct to acheive Thermal Resistance(R-Value) EXTERIOR WALL Material 2 r(3 Brand Name Thickness(inches) Thermal Resistance(R-Value) RAISED FLOOR Material (L-t 9 Brand Name Thickness(inches) Thermal Resistance(R-Value) SLAB FLOOR Material Brand Name , Thickness(inches) Thermal Resistance(R-Value) Width(inches) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(R-Value) Declaration 1 hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Tide 24 of the California Administrative Code. NL'ILOcvtloppvw.�- -Yo5 30 1, General CoBcactor(Builder) License Number II USignature and Title Date Sub-Contractor(Insulation Installer) License Number Signanue and Title Date January 1, 1995 Compliance Forms ADDRESS OFBwLDINO: 1880 MAUI CI UNT: CITY OF COSTA MESA - BUILDING PERMIT .... a'stxsrAMEICIwDNN: COLEMAN KEVIN A PERM NO: B 077045 ohm, 1880 MAUI CIR COSTA MESA, CA 92626 PERMIT NO: B 077045 PLAN CHECK NO: 05270-95 A GOVT: N SUPP : N 549-7042 APPL.MAIUNO ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ADD ARCHITECT OR ENGNEER: UC.NO.: JOB DESCRIPTION : 143 SF FAMILY ROOM ADDITION SQ FT: 143 ARCH.OR ENG'S ADDRESS: UMT: CLAIM VALUE: 11 , 000 . 00 CALC-VALUE: 11, 139 . 70 GROUP OCC: R-3 /M-1 CONTRACTOR'S NAME CONTRACTOR'S WANG COMMENTS : 143 SF ADDITION TO FIRST FLOOR ADDRESS: UC.NO: *tEiEtEditESE*iE***+E*iEdEtf***iE/FtE*iEiEifRf*tf*dEiE***tftE*****iEtEditfkkifit*tftf*tfiE*tf**tfifiE*ifktftEiEiftftftf/ftE**iE MT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Slim under penaly d penny that I am licensed under provisions d Chaplet P SETBACKS (commencing with Section 7000)of Divisbn 3 of the Business and Professions Code,and my kens.S in full force end effect. C.- .NO.: UC.CLASS: LIC.NO.: EXP : MAIN BUILDING '\ACCESSORY BUILDING Arg FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Careadar: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN ' OWNER BUILDER DECLARATION:I hereby affirm under penaly of perjury the I am exempt from the Contractors License Law tor the masoncountyfollowing thal PARKING REQ: PROV: PARCEL: 13941101 ZNE: R1 REF NO: is licenced pmsuantfm0 structure, d the C°'uance.also uar.d s Lie La(C°°P'aptercant 9(commeencingsuch perrnit lnth°SecnsO7000)of a. nit 3o1 the" PLANNING NOTES> 143 SF FAMILY ROOM EXPANSION UNDER EXISTING BALCONY AT REAR Business and Professions Code]or the he or she is esempl therefrom and the basis to the alleged exemption.Any violation of Section > OF SFR. 7001.5 by any applmru tore berme subjects the appfcant to a civi penaly of not more than Ins hundred debars(55000. tE tf tf 1E tf*1F tf tE tE tE 1E Mit**tE if*if***************************M tf M***************************** RI « of tho Property 744 employeesndtlnm�Cevenesothe soanenoDEVELOPMENT SERVICES REQUIREMENTS odldfsale( 0 B ePrderone ennon LiuuLa dmi apL*ytaowrdf pro who beide or inprons thereon,ed who does such work tinsel or Meed or through hi or he own employees,provided the such improvements are not intended or°Hand for sale.L however,the building or improvement u sold within oyear complain,the ZONING APPROVED BY r� DATimprovemenoned owe owner d wit have the laden d proving he or she did ret bdM or improve for the Purves°d side). 41,111L1/1, ��i / o 1 fessios e progeny,ernesduMycodradie not konsed romnsmn the 45(Sed'm 7044,Business W BUILDING APPROVED BY : `/'[/(.� DATE: ,(u contrasbm ode:The Conned ors License Law does nal apply to an d PrsLeny who or Improves thereon end Me contraco - projects with a contractor(s)[tamed nascent to the radars License under B.SP.c.. arhu / APPLICATION ISSUED BY: � DATE: 4 a.'1� _ Owner: G(OLL.L L(-` tEiEtftE9EiEtftEtEtf1f1f1ftEtfiEiEtEiEiEtftEtftftftftftftftftEtftftftE*** ***BEtEdEtfiEtEiftflE+f+EiEiEiEiEiEiE1E1EiElflE*** • • • n • • • , • • ** LEGALIZATION:N F E E SUMMARY STRUCTURAL -EGMENT:Y certify that I am aware of ed understand the requirements of California Healh and Safety Code Sea ions 25505.Penn.and 25534,ed that tar any haus building omped. uu year walwilll wnal(circle one)need to comply wilt sed nate codes end the requirements b a permit laraestivationmaestivatiomodificationion modtion tern the Aa dDistrW.Residents,mmlmdiennppicaiarn en saran these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 135 .00 1 . 11 Dale: App[ura: PLAN 21 . 94 SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under pearly of penny one d the following dtleetiom: ISSUE FEE o Ihave and vdlmantenacerldkatecf consentrosebinevafor workers'compensation.a.prosdsdfar bySection 3lWdlheLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code.for the performance of the work for Mich this perm*is issued. ❑ Ihaveadw41maitanworkers'comwemmSaneaesreqdmdbyswks,37wdu»LaborCode.urthepomrmopeof'he TOTALS----> 136 . 11 0 . 00 21 . 94 158 .05 158 . 05 . 00 work for with this pen ci is®reed.My workers'compensation insurance canner and pokey number are: Carrier: REVENUE DIVISION TOTALS--> COLLECTED : 136 . 11 OVER/SHORT: .00 Pc@Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (phis sectio,need not be completed iW pemi is for one hundred does,.13100for best 135 . 00 1 . 11 I candy that in the performance of the work for with this perm*S®red,I dub it employ any person in any manner so as to became subject to the waken'compensation law d CaMorca.and agree the i t should become skied to the workers' ditf*if*1f1E*tfifif1E*****1E1f1E*1E41fif1E*if*lf****if*lf**if*****************lf3E************lfif**M*** compensation n pmoasioSection 3700 the Labor Cade.I shall forthwith comply with mos.provisions. IND IV IDUAL F E E BR E AK D OWN Dale: Appbue: Warning:Failure rosecure workers'compensation covereg.le unkohn and shallaefct anwrPloyo to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil bens up to one hundred thousand dollars(3100.000A in addition to the cost of compensation damages ss provided for In Section 3lddotthe Labor Code Interest,and attorney's fees. SFR 143 DWE-TYPE V-WOOD FRAME -GOOD 77 . 90 11 , 139 . 70 CONSTRUCTION LENDING AGENCY:I hereby affirm under penaly of perjury ren there is a construction lending agency for the END OF FEES performance ol the work for wtdch this perm*is Sated(Section 3097.Civ.C). ViViV /L DETECTOR LENDER'S L LCTV (LENDER'S NAME LENDER'S ADDRESS: and tify state have ing t let applicationendanThaleb the above idamwiontcared.tWre.tt cuter uwithalldryendmurky diropees EXPIREI? _ rT, .,.` ; ._t' • and neuw reratigfobmddihp conatruchomhWheaby authorize reeeesntativesdthu aryroeqterupon the ebOva.memionad property EXPIRED EQU TOED for inspection purposes ] nj (1' _,•• RG SUSAN C LEMAN 1 . _ I _ �?GfQ�L , P Li/lain-74—e, DATE J— D Signature r/ApoH/AppiwrhUCmtreaa 15151-4e WPI While-Bubble&Safety;Green-Fite:Canary-Appicaru;Pink-Revenue:Goldenrod-Assessor i CONSTRUCTION AND PLANNING' PC,......_ & SPA APPROVALS Permit# - Date Inspector APPROVALS Permit# Date Inspector 1. Thmporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement J _ -3. Electrical Conduit Utility-Undrgrnd. 54. Forms :4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ;-5..Steel Reinforcement 56. Rough Plumbing & Pressure Test 6.Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. -8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test • -'9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer CaP 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing .. 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factor¢Fireplace -* :APPROVALS_ ,Permit# 21. Ducts,in Structure; . • . - _ 70. Undergrdund Hydro 22. putts, Ventilating ' - is . .- 71. Product Piping 0 Gas O Oil 23. Gas Pipe-Rough& Test r - - •' 9 C • • � 72. Underground Ftush•- 24. Roof Framing * 73: Undergrnd.Storage Tank OGas ❑Oil _, 25. Roof Sheathing - 74. Overhead Hydrdl '•.-s l 26. T-Bar Ceiling (Structural) & Monocoat _- :, 75: Dry Chemical _ ' ` i 27. Frame and Flashing . - - a 76. Dry Standpipe 1- ^ • 4 1 .28. Lathing $i Siding - ' '34 7E FIXED SYSTEM £INA[, . 29. Insulation- ' : ` w 78.: FIRE PREY. FINAL ' 30. Drywall Nailing _ 'HEALTH DEPT. REQUIREMENT '31. Plaster 8{gwn,Coat; . _ r S•••• r r 79. FINAL INtSPECTION _ - 32. Electrical Power M@ter-Final • 8G;FOOD CERTIFI.CATE I§SUED 33. Finalleleoiric l '. ' ' Notes: - •m _ - - 34. Final Heating-& Air Conditionings 'r - _ • r �r . . 35. Final Gas`:Pipe Test ' - - . _-; _ - 4. = _36. Hood or Canopy �'-: ,. .. . _ x _ 37. Final Factory Fireplace _ ._ . •38. Final Plumbing . 39. Water-Service-Final - r . _ ,.40. Gas Service-Final .. r.• a - - _ . ' - I 41. Solar Domestic-Final - r • ' - . 42. Backflow Preventer .. _ r 43. Backflow Irrigation , - - ' ; 4. - 44. Landscape Irrigation System n.; • _ - - -- 45. Sound Attenuation , _ T- _ T`' , 46. Handicap Regulations - _ r 47. FINAL STRUCTURE & BUILDING • _ _ - 48. FINAL PLANNING ; - . '* • 49. Electric Release to Edison . • 50. Gas R@lease to Southern California Gas Co r 51. CERTIFICATE OF OCCUPANCY -No. Date 7 CITY OF COSTA MESA BUILDING DIVISION ii. OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received.V/ 1J I personally plan to provide th ajor labor and materials for construction of the f//� pro- posed property improvement. Yes 0 No - z./ I (have/have not) iAre. signed an application for a building permit for the L/ proposed work. ' 3. I have contracted with the following person (firm)to provide the proposed construction: Name Address City Phone ( ) Contractor's Lic. No. 4. I plan to provide portions of the work,but I have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone ( ) Contractor's Lic. No. 5. I will provide some of the work but I have contracted(hired)the following persons to pro- vide the work indicated: Name Address Phone Type of Work I hereby affirm that / ave received a copy of the information set forth in Section 19830 of the State of California Health -•' afety Cod�I nd have completed the above information to the best of my per- sonal knowledge,�y�ompliance wild;his State law. for L 9?? Signed: a/G ... d i/ fC0/-6/>7CC.�- Date: Name: �u1an ( li n (Printed or Typed) 754-5273 1042-46 ADDRESSOFBMIMNG: 1880 MAUI CI MMT' . _ . _ . ._ . CITY OF COSTA MESA — BUILDING PERMIT OWNERS NAME IF KNOWN: COLEMAN, KEVIN APERM NO: E 077046 ADDRESS: 1880 MAUI C I R COSTA MESA,CA 92626 PERMIT NO: E 077046 PLAN CHECK NO: N GOVT: N SUPP : N 549-7042 APDL. MAILING ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE _ PURPOSE: ADD ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : 143 SF FAMILY ROOM ADDITION SQ FT: ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1 CONTRACTOR'S NAME: CONTRACTORS MAILING COMMENTS : 143 SF ADDITION TO FIRST FLOOR REWF: B-77045 ADDRESS: UO NO.: ****************************************4************************************** DMT: ZONING REQUIREMENTS UCENSED CONTRACTORS DECLARATION:I hereby affkm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full law and effect. Cm LIC.NO.; UC.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN nWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contractors license Law for the loving reason(Section 7031.5 Business ad Professions Code:Any city or county which requires a permit to construct,after,improve, PARKING REQ: P ROV: PARCEL : 13941101 Z N E: REF NO: .molish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she e licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)d Division 3 of the PLANNING NOTES> Business and Professions Code)or that he or she is exempt therefrom and the basis fa the alleged exemption.My violation ci Section > 7031.5 by any applicant for a permit subjects the applicant toe civil penally of not more than five hundred dollars l$5000. {E**{E{p*{S*{E.♦E 9(.{({E*{p{E 9E{E{E{E*dS*9E{E{E****************{p*********.**********************.*.**f(* 114 I,as owner of the weeny or my employees with wages as their sole compensation,will do Newodi,and thestnmure is not intended DEVEL OPMENT SERVICES REQUIREMENTS a offered for sale(Section 7044.Business and Professions Cafe:The Contractors License Lewdoes not appy to an Owner of property who bolds or improves thereon,and who does such work himself or herself or through he or her own employees,provided that such improvements are not intended a offered for sale.If.however,the building Or improvement ie sold within one year of completion,the ZONING APPROVED BY DATE: ovener.builder will have the burden of proving he or she did nd build or improve for the purpose of Bele). ❑ I.as owner of the popery,am exclusively contracting with licensed contractors to ud the project(Section 7044.Business and BUILDING APPROVED BY Professions s..::The Contradom lxense Law does not apply to an owner who builds es thereon end who DATE: contrac, ch projects with a coofrador(s)licensed pursuant to the Co ors license Lav). • ch I aunderSection: /�j B.APG,.forthis y APPLICATION ISSUED BY: DATE: 996 L owns: //Oa,- .tflt_ *************************************** ************************** ©• ** • LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N •hereby candy that I am aware of and understand the requirements of Cellfomie Heath and Safety Code Sections 25505,25533,and , 5534,and thdlaany M1nunbationfomupeAQuab/ ManagmleOw) ct,Reidrntanoonwith ealdataecodmwde the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING e perm534.for construction I ix ane Muria building occupant OuaNyMotegement e)nee d to comply mply construction to codes an thexempt emethese provisions. PERMIT 3 .-00 Date: Applicant: 50% SMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury are of the following declarations: ISSUE FEE 15 :00 ❑ I have and will maintain a certificate of consent to self-insure for workers'compensation,es provided for by Section 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code,for the performance of the work for which this permit .issued. TOTALS----> 3 .00 15 .00 0 . 00 18 .00 18 . 00 . 00 ❑ I have end will aw mntas an ke 'compensation insurance.as required by Sedian 3700 of the Labor Code.for the performance of the . work for which this permit ie issued.My wakens compensation insurance carrier end policy number are: Carver: REVENUE DIVISION TOTALS--> COLLECTED: 18 . 00 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need nor be tedrm mptere1rite pei is for one hundred dollen 1s1001 or las) 18 . 00 gg I cora),that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as la - become subled to the workers'compensation laws of California.end agree that it I should become alae!to the workers' **************************************'***************************************** compensation provisions of Section 3700 of the Labor Code.I shall forthwith comply with those provisions. INDIVIDUA L, F E E BREAKDOWN Data: Applicant: Warning:Failure to secure workers'compensation coverages unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N - UNIT COST TOTAL COST civil fines up to one hundred thousand dollars($100.000),In addition to the cost of compensation,damages as provided for in Section 3705 of The Labor Code,interest,and etrorney'alees. ELE _ . 3 _ RECEPT/OUTLET , 1 ST 20 EA. . 75 2 . 25 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the ELE '1 RECEPT/SWITCH 1 ST 20 EA. . 75 . 75 performance of the sonic for which this permit is issued(Section 3097,Cit C). END OF FEES LENDER'S NAME: LENDER'S ADDRESS; I candythail have reed this aim/Cation end state that the above information is coned,I agree to comply with all city and county ordinance EXPIRED and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above•mentoned properly •' for inspection purposes �' :11 fl„' .^ SUSAN COLEMAN -9- LY v • , ar Ca Oink DATE Li- ( _9 �are.,i i/ .c.. Dora: Signature oilF•. IA••twnVCon rador "t\` (5151<5WP) White-Building A Safely;Green-File,Canary-Applicant;Pink-Revenue;Goldenrod-Assessor 1 CONSTRUCTION AND PLANNING P( & SPA APPROVALS Permit# Date Inspector- APPROVALS Permit# Date Inspector • 1.'Temporary Electrical Service or Pole 52. Pool & Equipment Location , • I 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3, Electrical Conduit Utility-Undrgrnd. 54. Forms .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 - T7_ 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 m 65. Electrical-Final 15. Rough Electrical-Conduit • 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT _ 20. Rough FactoryFireptace r- `4 'APPWOVALj Permit# , 21. Ducts, in Structured* - - - - 70. 'Underg'Yound H.sdro ' 22. Ducts, Ventilating.,` 7 , - - ,_ , t 71. Produpt Piping Or4pas DGil ,• -y ;� 23. Gas Pipe-Rough & Test I Cr . - =:- r l • '7';' _ ` c 72. Underground Flush Y y s ' , 24- Roof=Framing' ° , r. 739 U• ndergrnd-StorageTank`OGas 0 Oil m: 25. Roof Sheathing ' v , A 74-. Overhead Hydro '" _., •� .l 26. T-Barr Ceiling (Structural) & Mopacoat ` ,� ',i 7 D• ry Chemical L. - _ - r. `hrl I - ; -- } 27. Frame and Flashing . 76. Dry Standpipe :- 28. Lathing& Siding : * -- _ _ ! - • 77. FIXED Sl•=STEfG1-FINAL _ - - 29. Insulation- ,_ •• 78. FIRE PREY. FINAL - - 30. Drywall Nailing _ I :HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat, ^ 'r -• 79. FINAL INSPECT-tON 4 32. Electrical-Power M€te.r-Final ' ' : 801- FOOD CERTIFICATE ISSUED- 33- Final-Electric c i Notes: 7:4? 34. Final_Heating'& Afr'Conditionir g _• r 7 -YG !4 �t //Ft vu 35. Final Gas Pipe-Test }- _ - - - -- _ t 36. Hood or Canopy n, •. _ , -r:i• - rt.: - 37. Final;Embry Fireplace „ • S;._ T., r ' • • - ` - 38. Finaf`Plumbing • ' r t f '"' ft cr _ -39. Water Service-Fina'Ii , - 'P 1 •40. Gas Service-Final . -r (1 41. Solar Domestic-Final - F. 4 -r - - -. ` 42. Backflow Preventer - 't ' • _ * -r• 43. Backflow Irrigation c - 4 7- 4. ; 44, Landscape Irrigation System '='T" r ' "'I - " ' ,,-i ^ - - - , .. W 7x _- f - LLQ' - 45. Sound Attenuation : -• - r.* ' - 46. Handicap Regulations _ tr' _ C"o _ ". 47. FINAL STRUCTURE& BUILDING * . t t 48. FINAL PLANNING e * • - 49. Electric Release to Edison - - _ e 50. Gas Release to Southern CaliforniaGas Co A+' 51. CERTIFICATE OF OCCUPANCY r - No. Date ADDRESS OF BUILDING: 1880 MAUI CI DMT: CITY OF COSTA MESA — BUILDING PERMIT OWNERS NAME IF KNOWN: COLEMAN, KEVIN A PERM NO: M 077047 • ADDRESS: 1880 MAUI C I R COSTA MESA,CA 92626 PERMIT NO: M 077047 PLAN CHECK NO: N GOVT; N SUPP: N 549-7042 APIL.MAIUNGADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: ADD ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : 143 SF FAMILY ROOM ADDITION SQ FT: ARCH OR ENG.'S ADDRESS: WIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1 CONTRACTORS NAME; CONTRACTORS MAIUNG COMMENTS: REF: B-77045 ADDRESS: UC.NO.: ******************************************************************************* WMT: ZONING REQUIREMENTS UCENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business end Professions Code,and my license is in full force end effect. Cm LIC.NO.: LIC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date:• Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the towing reason(Section 7031.5 Ruatlets and Professions Code:Any city or county which requires a remit to mnsuuc alter,improve, PARKING REQ: P RO V: PARCEL: 13941101 Z N E: REF NO: rmofah,or repel 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(commenting with Section 7000)of Division 3 of the PLANNING NOTES> Business and Professions Codel or that he or she is exempt therefrom end the basis for the alleged exemption.My violation of Section > 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than 1 a hundred dollars $50011. **************************************************************************RE**** RI I.asownerOfthepropenyormyemployeeswithwagesestheirsolecompensation,willdothework,andthestructureisnilintended DEVELOPMENT SERVICES REQUIREMENTS or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to en owner of property who bolds or improves thereon,end who does such work limse]or herself or through his or her own employees,provided that such • improvements are not intended or offered for sale.t,however,the building or improvement is sold within one year of completion,the ZONING APPROVED B Y ' DATE: owner-builder will have the burden of proving he or she did net build or improve for purpose of sae). ❑ I,as owner of the property.am exclusively contracting with licensed contractors nstruct the project I888pppmmmuuuion 7044.Business and BUILDING APPROVED B Y DATE; Professions ..::The Contractors License Law does not apply to an o properly who bolo es thereon and who contracts i'. • ch projects with a(ontndonls)licensed pursuant to th actors License Law �i e ...underk : B.AP.c_i«Na APPLICATION ISSUED BY: DATE: i • % owner, i C /' ���/� *************************************** ************************ ** LEGALIZATION;N F E E SUMMARY STRUCTURAL SE ENT:N I do hereby certify that I em aware of end understand the requirements of California Health and Safely Code Sections 25505,25533.and 25534.and that I or any future building occupant will/will not(circle one)need to amply with Said state codes end the requirements for apsnmt for construction or modification fromtheAirDuaMyManagement Dena.Residemel construction applcasions we exempt from Nese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 9,00 Date: Applicant: 25% SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PISSN ❑ I have and coil maintain a cenifcate el consent to self-insure for workers compensation.as provided for by Seakn or 3700 of the LabU FEE 1 5 . 0 0 Code,for the performanceoftheworkforwhichthispermti.issued. BUILDING ISSUE LDING DIV > PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ I have end wit maintain Sectionof workers'compensation insurance,as required by Sen 3700 the Labor Code,for the performance of the TOTALS — > 9 . 00 15 . 0 0 0 .00 24 . 00 24 . 00 .0 0 work for which this permit is issued.My workers'compensation insurance carrier end policy number are: Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 24 .00 OVER/SHORT: .00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK MII(Tyhis section need not be completed d the permit is for one hundred dollen(SIX)or less.1 24 .00 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. end agree that i I should become subject to the workers' ******************************************************************************* compensation provisions of Section 3700 of the Labor Code,I shell forthwith comply with those provisions. INDIVIDUAL F E E BREAKDOWN Dale: Applicant: Warning:Failure to secure workers'compensation coverages unlawful,and Lull subject an employer to criminal penalties and TYPE . QTY _ DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars($100,000),In addition to the cost of compensation,damages as provided for/n Section 3705pIthe Laborcode.Infuse,and attorney's «a. y MEC 1 . REPAIR/ALT HEATING UNIT/SYS W/CNTLS 9 . 00 . 9 .00 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the ' END OF FEES performance of the work for which this perm)is issued(Section 3097,Gro.Cl. LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application end sate that the above information is cones.I agree to comply with all Sy and county ordinances and state laws relating to building construction end hereby authorize representatives of this any to enter upon the above-mentioned property —_— for inspection purposes. EXPIRED SUSAN COLEMAN /� y ' 4�� �wf DATE / « Date SignatureiprAg- TApplican ontrador 15151.46.WP) Whim-Building A Safety:Green-File:Canary-Applicant;Pink-Revenue;Goldenrod-Assessor COSJSTRUCTION AND PLANNING - PC y SPA Date Inspector Date Inspector APPROVALS Permit# • APPROVALS Permit# 1. remporary 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 - • _` C Electrical UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE �7;_F(ootings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test '9. Water Pipe-Undrgrnd. 60. Backwash Lines, P"Trap, 0 Undrgrnd. 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 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 c 20. Rougf4r Factort Fireplace z tri 'S'" r =' =' "= r:APPROVA ST C Peemit# ` 21. Ducts,in Strupjure^?; '•" "c * •-i " 70. Undergrouri-d Hfdro * 22. Ducts;Veptilafing ` r. = x Q� „L, 71. Produ rfj m Gas Li, 011 23. Gas Pipe-Rough & Testt Cr C' ce C * 1-• 72. Underground Flush • A,„ 24. Roof`-Framing•' Y z -r * = G Y _ j. 'a,73:. Undergrni Storage Tank_O Gas ❑Oil 25. Rooft he�fhing r a is �_ m > - 74: Overhead Hydra_;r r-..`".7 j 26. T-Bac*Ceiling (Structurail & Moho.oat H ,r 75. Dry Chemical _ _ * - -. ;�r- 27. Flame and,Flashin''g:t mow; a _,• v 76. Dry Standpipe =a , x _ - '`'"' j •28. Lathing& Siding i-' r 1 .y.="- _ •' • • r" ''' 77i FIXED S_t- STEM.FINAIt - ; xR 29. Insulation: r `� 5 " _ 1!' 78:. FIRE PREV. FINAL • - f . 30. Drywall NailingF, c ..• HE, ALTH-DEPT. REQUIREMENT •,31. Plaster Brown Coat x e . ,+ -79"FINAL INSPECTI.eN •-• J _ • 32. Electrical'Pov/er Met ."Final t '"8O'FOOD CERTIFICATE ISSED, - 33. E-tnal-Eletric . I ' Notes: - =r P _ L F Y ' F� J, • •"34. Finahi1ea rng'& Air Cwnditionii-;TE : T � ' -• r- _ r - r-f R 35. Final`Gas`Eipt est .; 'T `�' "' _ _ F .7. C. C • r _.36. Hood or Canopy -+ = • T - -- « - :+' 'i . _. - .; S : _ ti. w-. + .r_ ri 37. Final Factory FirePl e`. " . F * v. _ 38. Final Plumbing �" ~' Y • • I '� ~ - � T C' - ▪ 39, Water Service-Final �{K� t D� ''" c G .- ,-40. Gas Service-Final 1 t„ .-r• 4t hi I '* ,� . on' ' ._ .. . , e- - - . ^F 4. a. 1. . - - 1: •.'41. Solar Domestic-Final` r : " I i„ m _ - - ,; y 42. Backflow Preventer _ ' 1- I T r '' 7 1 43. Backflow Irrigation '. c' : , ' ;, r 44. Landscapetirrigation•System ,-r,-, - e r: r DAL C r3 n: ter. - . . -* . -' -s'- r r S - T- 45. Sound Attenuation 's ,tr.- h 5 - L.• " r. 46. Handicap Regulations • r T r-� re 47. FINAL STRUCTURE& BUILDING ` F ' i .t. 1 • Cl �, 48. F_+NAtPLANNING :A I - a• . _ .. :1- . - a r• . - r j t ¢ 49. Electric Release to Edison * I F ' - 50. Gas Release to Southern California Gas Co s - -. - . 51. CERTIFICATE OF OCCUPANCY _ - •- No. Date ADDRESS OF BUILDS: 1880 MAUI CI INT: CITY OF COSTA MESA — BUILDING PERMIT OWNER'SNAAIE IF KNOWN: COLEMAN, KEVIN A PERM NO: P 077048 ADDRESS: 1880 MAUI CIR COSTA MESA,CA 92626 PERMIT NO: P 077048 PLAN CHECK NO: N GOVT: N SUPP: N 549-7042 APPL.MAIIOG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: ADD ARCHITECT OREi NEEP: UC.NO.: JOB DESCRIPTION : 143 SF FAMILY ROOM ADDITION SQ FT: , ARCH.OR EMI'S ADORESS: WIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1 CONTRACTORSNAME: CtNTRACTORSMMUNG COMMENTS : REF: B-77045 ADDRESS: UC.N0: 141E**iE1EiFiEiEiE♦EiE****♦EdE1E*****iE*9E****iE****M***♦Ei *******M41ERE*iE****iEiEREiE******♦E1EiE181E3Ed *** Mt ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby afIkm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Divisbn 3 of the Business and Professions Code,and my license is in full tors end effect. CITY LIG.NO.: UC.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dale: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN IWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I ant exempt from the Contractors License Law for the Dowing reason(Section 7031.5 Business and Professions Code:Any city pr courtly whim requires a permit to contruct,ager,improve, PARKING RE PROV: PARCEL : 13941101 ZNE: REF NO: ami"eh.or repair any structure,odor Io Is issuance,So requires the applicant for such permit a to Be signed Mlement that he or she PLANNING N TES> is licensed pursuant to IM provisions of the Contradors License Law(Chapter 9(commencing with Section 7000)of Dhision 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 fora permit subjects the applicant to a SSS penalty of rd more than Roe hundred dolled MOOD. 1E 1E k*1f♦E♦E 181E 1E k 1E♦E♦E k♦E♦E♦E 1E*1E 141E 1E 1E 1E 181E 18181E 1E if if dE dE iE dE 1E dE t>E♦E♦E♦E*♦E♦E♦E♦E 1f 1E 1E/E 1E 1E 1E♦E 1E 1E*1E EE*♦E♦E♦E 1E 1E 1E 1E♦E*♦E♦E 1E♦E♦E 1418 gI.as ors,of the ProPertY of NY Slobs,with wages as HS sok compensation,SI do the work.and the sMicture a na intended D EVELOPMENT SERVICES REQUIREMENTS or offered for sae(Section 7044,Business end Professions Code:The Contractors License Law does not apply to an owner of property who bids or improves thereon,and who does such work himself or herself or through his or her own empbrees,provided that such improvements are not Wended or offered for sale.N.howsoar.the building or inprovemem is sold within one year of completion the ZONING APPROVED BY DATE: ownerbader will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ I,esowner Of the properly.em selfish.*conned-HI wsh bossed Wattadc" matron the project(Section 7044•Business and BUILDING APPROVED BY : DATE: Prof.--.. -Code:The Contractors License Law does not appy to an of properly who builds es Iheraon end who centr..- '• such protects with a wrnrador(s)licensed pursuant to the tractors License Lew ❑ I.. : pt under B.&P.C..forNs ] : APPLICATION BY: ASS 2 DATE: 6 ',. . / Owns. c/�:tzvi ( � �.I/Ian APPLICATION ISSUED*BY: t.- 1F iF iF iF iF lE iE iE iF 1E iE iF LEGALIZATZON:N F E E SUMMARY STRUCTURAL EGMENT:N glir hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.p55tl,and 25534,and that I or any future buildup occupant wit/wil riot(arca one)need to ormpyy wkh said aMe odes and the requirements kr District. constructionexempt the BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING proisiprts. PERMIT 7,00 Date: Applicant: 25% SM I P/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following dederations: ISSUE FEE 20 . 00 ❑ Have and will meimaivacenliotedomentloseiinweefor slows'ompensato,aspr iovidedfor bySedof Section 3700 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,for the d« od p. manlMworkforwkhlhtsnsn permit is TOTALS----> , 7 .00 20 .00 0 .00 27.00 27 . 00 . 00 P] I have end will maintain workers'compensation insurance,es required by Sectio 3703 of the Labor Code.for the performance of the work for wtridht this permit is issued. coinsurancempensationcarrier policynumber eeneere: Cama: REVENUE DIVISION TOTALS--> COLLECTED: 27 .00 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK insection need not be completed I the penile is for one hundred dollars(31001 or less.) 27. 00 MH I ceriny that in the pedotmence of IM work for which this permit is issued.I shall rd employ any person in any manner a as to become subject to the works'compensation laws of California and agree OWE I should become subject to the workers' *****************1E181E*******************M*****************1E*1EM**1E*1E*1E*1E**1E*1E3E**1E compensation provisions d Section 3730 d the Labor Code.I shall fonhwbh oomph,with those provisions. INDIVIDUAL F E E BREAKDOWN Date: Applicant: _ Warning:Failure to secure workers compensation overage Is unbwful,and shell subject an employer to criminal penalties and TYPE QTY D .E S C R I P T I O N _ UNIT COST TOTAL COST doll fines up to one hundred thousand dollars(5100,000),In addition to the Cwt of compensation,damages as provided for In Section 370 ofthsLabor Cods,Inte t sandattoneysfen. PLU 1 SINK, BAR 7 . 00 7. 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES performance of the work for whim this permit is Sued(Section 3097,Cb.C). - LENDER'S NAME: LENDER'S ADDRESS: I cenity that)have read this application ed Bate that the above information u coned.I agree to campy with all dry end county ordinances EXPIRED and state lawsu . o g to buildup nsoudion and hereby authorizeecthisea city e rresenlativtY to enter upon the above-mentioned progeny for inspection pun•._-. SUSAN OLEMAN n ` _� i '// /� DATE 1 , ,; . /i_.y Lei. . mos did' Dat4442/1_9_:k `.i. Sig :ure• .e . R-n ApumnlrCanlredpr (515146.WP) White-Building&Safety;Green-Fle:Canary-Applicant:Pink-Revenue;Goldenrod-Assessor CCMSTRUCTION AND PLANNING > Pt &SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date inspector - 1YTeriporary 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 7.5. Steel Reinforcement 56. Rough Plumbing & Pressure Test i 6: 'Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7.,Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. ' 10. Structural Floor System ,' 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing tr 65. Electrical-Final r 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 1.,3 _ FIRE DEPT. REQUIFIEMENT 20. -Rough FittoryFiiiilace r 4 I -.•y APPwOvT LS._ L Permit # ` 21. Ducts, im Structure- • •• "" - - ' '. 70. Under round __ _ _ r. g M.Ydro 22. Ducts, Ventilaiing':: .f ` a i- . y `' 71. Product iPinghas GOil , a V r .� 23. Gas Pipe-,Rough & Test 'CT. r M it - - 72. Underground Ptush 24. Roof Framing' "F , Sc ,_44,' ' 73 Undergrnd.Storage Tani;O Gas O Oil 25. RooISheathing -c - %. , x _ •-• * 74: Overhead Hydro �, . - 26. 1-Bar Ceilin {Structural) & Mgr oat : - 2. _ ' - - - 9 x, - _ 75_ Dry Chemical _ _ 'I 27. frame and Flashing 4 -7Nc , t- ' 76. DryStaritpipe + 28. Lathing& Siding - i u. _ * 5 " '•,t 77. FIXED$Y$TE-NI7FINAL ,_ - 29. Insulation- __ - • t 7FIRE-PREV. FINAL - T f - 30. Drywall Railing r. _ '` w .HEA LTFI DEPT REQUIREMENT - 31. Plaster Brown-Coat = r, F '- 79. FINAL INSPECTION a v I - - "C-r' -- - 32. Electrical Power Meter!F n _al * i r: 80: FOOD CERTIFICATE ISSUED- - 33. •Finar.Electric= ,r• , - - Nines: ^�^ - - •, r. * ,- 34. Final Heating, Air Conditioning= 1, , r - T. -F.35. Final Ga-Pipe-Test u • ,.: - p= 36. Hood-or Canopy - ' r -• - lam. =• P. ". JY ... - 37. I - inal.Factory Fireplace . . .r.--1.7 It « L _ - r. 38. Final Plumbing -- - # ' - e r 39. Water Service-Final r r. -40. Gas Service-Final s re-:r - _ 41. Solar Domestic-Final- r - = 42. Backflow Preventer r - c . - - rZI 43. Backflow Irriftion , �. -, * : ' c 44. Landscape IrrigatiomSystem „i • r - Ori ". - -_ , x _ - r r r 45. Sound Attenuation , c r r - - c 46. Handicap Regulations 11 - - r. 47. FINAL STRUCTURE & BUILDING -;; I- •• , 48. FINAL PLANNING - 4, C. - 1 49. Electric Release to Ellison - 50. Gas Release to Southern California Gas Co -tr. - • 51. CERTIFICATE OF OCCUPANCY • r No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA COIN G7TR UCTI Q.N PERMIT PERMIT NO. _ T OT NO. UNIT NO. A P 1` Zone Project Address I&30 MfjsjA( C_1ae_I e - B 3 602.0s Tvy.5 � - S Main Building: �11 I I Accessory Building: RI TYPE OF CONSTRUCTION }CJ NEW U ADD U ALTERATION U REPAIR Applicant's Mailing ddreI 1� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front O Owner's Name L�-)�i-1-)IIJ h Cao •`•��`•— Phone SUS(oT DESCRIPTION OF WORK/USE OF BLDG. I B Rear N Address a�•Of-A2. Arch/Eng. 4I✓la-�ws.•v. +-. f�[1el License No. TYPE OF PERMIT LJ GRADING LI FOUNDATION U STRUCTURAL I C Right G • Address I";(=etl toil ❑ TENANT ❑ ELECTRICAL"-�1 '� ❑ PLUMBING ❑ MECHANICAL S . Left R Contractor's Name Na IJ (. Phone ' 54'1QS 1 '•❑ OTHER �Inc.-k IJ,.tI Ping. Ref.�h Parking Req./Provided E I rSQ.("II S PlanningNotes: ZI-ea et Al ice Syil� M CON STRUCT I ON TYPE VALUATION$ v I T City License No. ZONE -- GRADING CU.YDS. ACRES t-DrAq LICENSED CONTRACTOR DECLARATION N.-.A.„, /� J S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: �,I/,•.Lek- with section 7000) of Division 3 of the Business and Professions Code,and nom. /ts'/'t' V�-^'K my license is In full force and effect. ` ELECTRICAL FEES License Class License No. - Date Signature _. _ _ PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW "'-RKERS'COMPENSATION DECLARATION Construction Pole Sub050+ KW thy affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers corkers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 3800, Lab. C.) Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps 8 Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant Fan EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors 00-1 HP ❑ISS-8 (This section need not be completed if the permit is for one hundred ($100) or Dishwasher F.A.U. Inc.Solar 09-15 HP 016-15+ less). Solar Piping I certifythat in the performance of the wo,t•. - ••'• - ' , '�. $ Fixtures Microwave shall not employ any person in any p o t e Drinking Fountains Solar Tank Worker Compet1on Laws of Calif �� -y Date i -I1 -a-_Signature 4�� - Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) nterceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions Of Roof Drains t Contractor's License Law (Chapter 9(commencing with Section 7000)of • ion 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 from and the basis for the alleged exemption. Any violation of Section ....1.5 by any applicant for a permit subjects the applicant to a civil - enalty of not more than five hundred dollars ($500). I $ 3 DEVELOPMENT SERVICES REQUIREMENTS: // / U I, as owner of the property or my employees with wages as their sole Reinspection Fee ! ' $15 Issue Fee ([��/ /,1✓ compensation, will do the work,and the structure is not intended or offered Zoning Approved By (late �' for sale (Section 7044, Business and Professional Code: The Contractor'sMECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own Application Issued By Ca— Date I IH -oh employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type 11 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under GroundCT prove for the purpose of sale). BUILDING PERMIT $ 3 SMIP $ on' ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ ��VS PERMIT tractors to construct the prosect (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or Improves thereon.and who contracts for such oroiects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ - ENERGY P.C. $ proof of heir • -r's C..•-. - • should be provided to me. GRADING $ Sl . . .r --7.--.- ---:._ his reason Firepl/Fact.Blt. ICBO# Fire Dampers ELECTRICAL $ PLAN CHECK 50% $ MICROFILM $ / Date •1 - owner r.. - -r -".•w- �" Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ l Q I S C I her�y certify that I have read this application and state that the above ID 0-100,000 BTU 0100,000 BTL PLAN CHECK 25% inforrrrrrtrtrrrr//FFFF6fd Yn is correct. I .•ree to comply - • - and county ordinances $ and s'de , laws relatin• o builds ---action, and ereby authorize repre- sentatlls'of this ' y to�a ca •-•on the ab. mentioned property for Inspection bur p.-s. —Date 11-17-$? Signature A Reinspection Fee $15 Issue Fee $ 3 01 00019882-00019884 TOT a-t� Drivers' License or SS* 1447S1_J. DATE: 11/18/28 TINE: Q.;:48 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink - Accounting:Goldenrod - Assessor CONSTRUCTION AND PLANNING 1 POC'- R SPA APPROVALS Permit# Date Inspector APPROVALS , _.mit# Dates Inspector valt- 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •2. Soil Pipe-Ur)drgrnd. 53. Steel Reinforcement 3._Electrlcall Conduit,Utility-Undrgrnd. 54. Forms 1 / 4. i Electrical•Ccinduit-Undrgrnd. 55. Electrical Bonding 5. Steel 'Reinforcement 56. Rough Plumbing & Pressure Test 6. 'Electrical UFEFI Grnd. 57. APPROVAL TO COVER-GUNITE 1• • 7. Footings ! 1I 58. Electrical Conduit-Undrgrnd. 8. Foundation I 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water;Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. I 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 14. Rough Plumbing ; .. 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16.(Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace • APPROVALSPermit# 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 I 73. Undergrnd.Storage Tank O Gas 0 Oil 25. Roof Sheathing r 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing - . 76. Dry Standpipe 28. Lathing & Siding • , 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing C - 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 2 41. Solar Domestic-Final .l 42. Backflow Preventer ' • 43. Backflow Irrigation • 44. .Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations I 47. FINAL STRUCTURE & BUILDING /L0 alb 9 48. Special Requirements Completed 49. Electric Release to:Edison ' - - 50. Gas Release to Southern California Gas Co ;^ 51. CERTIFICATE OF OCCUPANCY No. Date , . i l CITY OF COSTA MESA . BUILDING DIVISION OWNER-BUILDER VERIFICATION A city or county,which is required to give notice pursuant to Section 19830,shill attach to such notice,and,as e condition precedent to issuing a building permit,require the completion and require the return of.an owner-builder verification. Attention Property Owner: • An towner-builder'building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide eine; major labor and materials for construction of the proposed property improvement. 13 No 2. (have aye not) signed an application for a building permit for the work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name • Address_ City Phone ( ) __Ctmtractor'i Lie. No 4. I plan to provide portions of the work,butII have hired the following person to coordinate, supervise and provide the major work: Name— Address City Phone ( j �ntractor's Lk. Nn - 5 I will provide some of the work but I have contracted-Oared) the following persons to provide the work indicated: Name Address ' Phone Type of Work I hereby affirm tha rt - . -T;r'il • •-- .. forth in Section 19630 of the Sate of Californiacompleted the above in • tion to the best of my personal knowl.•..lor � this Sub law. Si.. 41��s< ( Date: U-17 - 863 Name: (Printed or Typed) C.D.L.Mor S.S. 't peF 1042+s 754-5273 'aFL . cl z o 11 k77 -3 OVE 4.„._` PPROI/EI 30 e a c.h or. Coat: M saBuilding De,;;. Y FOR PERMIT tSSUANi— _ --(iY ?�C\ _�DAi=,�.8 'Cj 2� �TE�I �1 t�6TANTS, It • 1 Ti:`E SE 'i - .1;Ha; T ce ON .iOB AT ALL tliA; 3 k 1C_k..-_-_. DATE NO CriA .C, V i ;OUT r'i CR APPROVAL !:t . - Z • The plans have been reviewed g 3472.,2'S.-- IPE: — U A� tot applicable codes and ordi;c _' ^ c,"� !' ° `'E }'^Ir ^' ''P izati n is hereby granted to is;1 // (5 :EBF.H. ...r ay, Adv„poLAT,�,.,01 • it pending approval by all a \ ._ _ : .':;,�i}!O°: !4!TGari;>UM'NG a n ies. '� e;;. ,,ra 1-, ;ii10EL THE NLO`iiSIONS / /may. { ' !s.sit , :TEE D- t, t'FAR AS THE WORK / 1{I (.' wail. DlocK ���/// ssuanee or granting of a per r , ,. aplIr vol of these plans shall not I c - �_,,.0 tiP A s;:m^ T at==I?��a °i ec, top mit or approve any violation t (; i; ;H ,i nf.'. 1 LE r T SIE BUILDING 4)t. h . P.' ri C 7:-,1- cCVH C'iC-i Cr arc w abl odes or ordinance. No pen .__ \ 7 o=P.—_I C r_ ' PP‘V; 1 e authority to violate or ca �.. r.(6t..L.' \ t cr ora o. __ l.A 1a ot`such codes shall be valid \,�i loo' ""'is Q r a{ � X _ _. Sap• t-'c brit i o /'1'� 2Co' FOR INSPECTIONS L. z l� •S•EE U -tr�scat=E eAll I \ }=oaZ StcEv4AL=lC 754-5626 r �� or 5627 V I _ .., „ r'^a rS? COSTA i...:79\ y 41 3.o �t � :_ : 1 -�� �� s l y T °:. — j . AL L. C- is.Rf�EN NA, Lt...e �\ p O OLtL�I �^ BY �t=p. PSRMrT CJ MAIN OFFICE `'" BRANCH OFFICE 1635 WEST GAYLORD ST..-P.O. BOX 9065 1514.0 NORTH HARPER ST. LONG BEACH 10. CALIFORNIA SANTA ANA.CALIFORNIA HEMLOCK 5.7403 JEFFERSON 1.2045 SPRUCE 5.6526 JEFFERSON 1.2046 JACKSON 7.3601 Twinin . Laboratories of souLI stn CaLi f oznia, Una. laspection and Testing Engineers • Soil Foundation Analysis • Chemical Analysis ' October 7, 1965 GUN IT E REPORT OF OQTh RETE TEST CYLINDER Examination No. S065-4541 For - Jos. M. Henley, 1963 Newport Blvd . , C.M. Project SWIll POOL - NOtUtkN TEWES - 15 x 30 L880 Maui Circle , Costa Mesa Sample from #1 Bottom; #2 Side Wall ; #3 Bond Beam. \O IQ�j Architect Tibor Ginter 4 RECEIVEi Contractor Royal Pools CC OCT ii 196$ Mix 43 - 1 City ofCosta Mesa r Building Dept. Specified Strength, psi 2,000 ps i 9 �.` :Sisacxsc Size 6" x 1.2" Date cast 9-30-65 Date tested 10-7-65 10-7-65 10-7-65 Cylinder No. 1 2 3 COMPRESSION TEST 7-Day 7-Day 7-Day Total load to destruction, lbs. 14 0,000 134 ,000 102,000 Pounds per square inch 4 ,950 4 ,367 3,3214 Cylinder made by Jos. Id. Henley 1 "HOLD" 2"HOLD" 3"HOLD" Cylinder delivered by Jos. N. Henley Cylinder received on 10-1-65 cc : Jos. M. Henley - 2 Royal Pools NOPE : 7-day test complies with specifications. 8702 Garden Grove , C.G. Signal Const. 875 W. LaJolla, Placentia Costa Mesa Bldg. Dept. ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AUTHORIZATION FOR PUBLICATION OF OUR REPORTS, CONCLUSIONS. OR EX. TRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES. CITY OF COSTA MESA CALIFORNIA P.O. BOX 1200 FROM THE OFFICE OF THE PLANNING DEPARTMENT November 2, 1965 Mr. Norman Teves 1880 Maui Circle Costa Mesa, California Dear Pool Owner: The Costa Mesa Planning Department has been notified of the completion of your swimming pool. So that your pool will be a safe one and for the purpose of advising you of your responsibility regarding the requirements of the Costa Mesa Municipal Code, we quote Section 9298.9: 1. No swimming pool shall be constructed closer than five (5) feet to any property lines, measured from water line of pool. 2. No swimming pool shall be constructed under any electric power lines or on any electric power easement. 3. No swimming pool shall be constructed unless the yard surrounding such pool is completely enclosed by a fence six (6) feet in height and have a self-closing and locking type gate or gates. This courtesy letter is directed to you so that you will be aware of our ordinances and can make a complete safety check of your pool area. Sincerely yours, 0 /J4AJ /;.t f 44,1A,,— William L. Dunn Director of Planning • MRS. NORMAN TEWES 1880 MAUI CIRCLE,COSTA MESA, CALIF. 92626 July 5, 1966 Mr. Edward P. Horrocks Costa Mesa Building Department 695 Ti. 19th Street Costa Mesa, California Dear Mr. Horrocks, Enclosed is a copy of a letter to Royal Pools and copies of what I consider misleading ads. My husband and I want to thank you for your help in trying to get some cooperation from these people. Sincerely, "1Gto, ` "t-nccx (3 ignftts 840—a 4f � e 00464 9 WO 1880 Maui ` g. • ' Costa Mey� al � June 30 �iEZ 66 `HCl u -(10 Royal Pools Buid esta tesa Il • 8702 Garden Grove Blvd. aM Garden Grove, California • 7 Int Dear Sirs: Since all attempts to readh you by phone have failed, I am taking this means of expressing my complete dissatisfaction with your service during and after con- struction of our pool. When construction of the pool was begun in August, 1965, we were assured that it would be completed in 17 to 21 days. It was October 31 before the pool was com- pleted, and then only after I took matters into my own hands and arranged for nec- essary inspections by the Costa Mesa building officials, since your office neglec- ted to do this so that construction could proceed. Since the pool was completed, we have had several serious problems and have tried repeatedly to get your "Follow-up Service Man" (as advertised in the Los Angeles Times) to come out and advise us regarding these problems. When the decking developed cracks up to two inches in width you sent your decking contractors out to check it. We were told that they had never encountered a situation as bad as this one, and that it would cost us $300 to replace the decking. We were also told that the condition was due to expansive soil, a condition you were not un- -aware of when the contract was signed, since we were charged $150 extra because of this soil condition. We have called your office again and again in an attempt to get someone out here to appraise the situation and to advise us as to what steps to take so that this would not happen again when the decking is replaced. Perhaps a sand base should be used. Perhaps steel reinforcing should be used. Perhaps drainage is faulty. One wodid think that you would be interested enough in a situation as severe as this one to study it so that it would not happen again. At least you could send your non-existent follow-up man to suggest a new approach. We see no point in spending $300 on new decking to be put down by the same people in the same way only to have the same thing happen again. In desperation we called upon Mr. Ed Horrocks, Senior Inspector of the City of Costa Mesa. He agreed that you should at least furnish engineering advice and twice made appointments to meet you here at the site. Both appointmats were cancelled by your office and Mr. Horrocks was assured that another a?pointment would be made. Another false promise. Since then, the heater has not performed satisfactorily. This was reported to your office over a month ago. No action. Also there is s two inch crack be- tween the tile and the coping. This, too was reported a month ago. Still no action. - My husband and I have called your office at least a dozen times since the first of the year and have not been able to get past your offife girls who assures us that "someone" will call back. That "someone" has never returned a call, and I am sure that he never will, since the pool was completely paid for (at your insistence) even before it was completed. I am sending copies of this letter and your misrepresenting ads to every agency I can think of in hopes that I can save a few other victims from being taken in by your false claims of superior service before, during, and after construction. We have seen none of it. A completely dissatisfied customer, Mrs. Norman Tewes • 7 Copies: • Orange County Better Business Bureau Costa Mesa Chamber of Commerce Costa Mesa Building and Safety Department Advertising Department, Los Angeles Tints State Contractors License Board Attorney General Thomas A. Lynch ' rcank* . - j a tory' ste I III' If ' �'' 1I II li til . 41/4. ) ' ,.. T �I 411�I �;'k �� • ;ull 4QU111Q►� ., • O Will • t1l I the toll �; % I�i�I I i� dillll� , i�� xy�� y x • • �nrall�tt �I IIS questiot _• �jlr�l 8:1191; ]' I! • many 7 • B sare5� a y, lJa. II1h,�.. ice" 6.:p1 411 y1i i y, Compet • i 4 41j�� r 3 . „ • F zooms IIt„ti. 1 �I ::. college �t� to mere; • '4 u to over • • �I�IiIinI14 :,, kr all high a, .1 Ibis In "r".d. � 4 ' for hi gl • m � �I ,I� lie wer lilt it iemi _, about h; III leewit • deg• qq�r ,I1II1I�il . fa�[s? T 41�IMr�IMal�jt�l t Only $1990 Indiums portant ,5 ,,. y 2., „r • Big laars 231,000 BTU heater" make th • 14i;i i; ,,"xis., lliir:. •Big 18'x36' Royal"Princess",3'to '•"� in advat Il � ,a„,,,,,,s;I � , III�II�yi tn' 81/2deep,87 perimeter feet,430 sq.ft, ? I rete I''lI;I Iti!'I ;�7 2w l ;oj�t.- ' • Plans,permits, excavation and y` A. Day! I��111111 r”E xI� removal of dirt for Edu 1 i}©ye! ®®fl .,,,,,,„„,,:.„,,o• a" '�1 • Heavier unite and extra-strong n Prim tlkt f3 Il�t�', „rl �. lr -, steel construction cording I IarI ��g I'I r. �I�III IIl(:II i • Filter, pump, motor and recessed >isis ha 'rill Nlvllli I' i N - `v o ill �I II IJl1lils� automatic skimmer • of tests { p,.1, ..,.,. •All copper plumbing students .tli 2 coats hand trowelled marbleise Even j! ilL • plaster vices the d11 5 • — ,l7 • 3 steps in shallow end ther or 1 �I�� ;:j,i til. •Your choice: rockscape or seem u i - tij ° � -',: conventional coping grades a: • 'C -. " ••Clean-up and start•up service ' lege a d Y k school gi F. • ege pe }p",w, . !' ^" lit, I says F• a • /� m. - and mo ' - - universit i4 ' . :. . , c, �_t 3 that oft k ._:�:,. : h I average make a 11 .., / „ college. Ili \. �► 1__ U lege. Of ` high schc in colleg: He's the big reason Royal stands head and • .every day with a Royal pool. Whett By the way, you've just been introduced to the man at tually shoulders above all other pool companies. Royal.Why not give him a call now so he can meet you? ;,i one pro Even when you first call Royal Pools, you notice now our Available: Complete Financing stantly t, i' V„ • pools we offer.The man from Royal is a special kind of salei: Qualified homeowners can now buy Royal Pools on the easiest ', facts on IS • • man and you'll find he wants the best for you. ISO you can _ terms imaginable. You make no payments until May, 1966.And `r - lege Sen Pfr visualize the pool you are buying, he'll even provide you with you can finance your Royal Pool over a convenient 10-year or - "Prepari a professional backyard layout plan.Just ask.) 25-year period.Completion bonds are also available with every self-addr 1' And when your Royal pool is built, our man becomes an Royal Pool. •'; ' Kitte 3. _ to expert on pool construction. Because he woe at a local ARO al Pool Is Your Best Bu fro Royal office near you, this man can keep close job supervi- y y Times, I 11 mon over your pool and make sure every phase is completed Royal is a privately owned and operated company. Now in our Mirror1. by a trained specialist. Our guy is a spicialist ,. -inch ;sr: a' :ecn^c� • �•1 right—an experienced professional handling each job quickly Royal bo,., in quantity . . . and you get the savings.The fin- and efficiently. cst brand-name equipment at the lowest possible cost. 1 —..-- — . ,rj Afterwards, as you enjoy your new swimming pool, the man. Royal is a leader in the industry—the first pool company to ,•{ from Royal remains close.by . . . ready to help when you give a 25-year structural guarantee. •;; need him by providing our exclusive service after sale. loin the many satisfied Royal families in Southern California! 'S You will discover the Royal man is a terrific guy to know Call now and save . • . Winter Prioes in Effect 5?- -as a salesman, supervisor, specialist and serviceman.He is •rvar shown ••1n.mnanon *Om part of Royal'$ continuing program to make sure you enjoy • Prices slightly high., in some areas Have Yc The shot ' fer ©L are show 13400 Ventura Blvd. in Sherman Oaks . ORANGE COUNTY, __—JE.41216 THOUSAND OAKS _495-7453 f •This Sty) 12134 Harbor Blvd. in Garden Grove SAN FERNANDO VENTURA ___._..__....-_618.1065 manufa 8702 Garden Grove Blvd.in Garden Grove . VALLEY____._—5t 9.6227 SAN BERNARDINO- "' - Door Co720 Thousand Oaks Blvd.in Thousand Oaks SAN GABRIEL AREA ,__1U.5-0971 600 N.Azusa,W.Covina in the San Gabriel Valley VALLEY. 331.6474. HI.6-8975 RIVERSIDE N'deste rn SANTA MARIA WA.2.5584 AREA____ov.8-2000( t.3 922 Carpinteria St. in Santa Barbara SANTA BARBARA_963.213-I WEST L.A. 477.6528 ' Calif. 9. 8238 DeSoto Ave.in Canoga Park DOBEACHAONG wA 5-1618 VMI 526-0655 DANocA PARK esz-usl teiephoni 10961 Santa Monica in West L.A. LOS ANGELES_._IR.2-0212 SOUTH BAY AREA___ER,6-6014 WEST COVINA_,_.. _331-6474 30 Los Angeles 'I„nes Homo magazine, January 2, !966 • I ;. l , „ j .\YT) r f ROMA t I. mISI ink . a stal. lit r Y t ti Y 4 �7\la t i- � ; _ ? A_ 0 i . '; Ili .� i R .. .. 1 ,---- 42,, ,,,,- .1,;',44111 t ,j: r... 5 '- • ' 01 ± r 1®. -c r r,n n a . _ 4 . / a " � e • 2 .Yw , r :_' a F��� �4 D4` • V�'` `Il! iA i � , n. 11.^ S�-ci„ l!irvsr 'a'.3't i -,r'• -.- yy� \t ;••-...77:112.1:-''''''' w r• "''F''.11-:-.. t( �� "c . d Ytr—s-t ->. ... / Rte . :. �, J I S r 1 I 4'; .-w•'i' r"rrt5v'y "^F 5:,.,11.sc t. `' r. " '.,,t . ,ey,� Q r _ Fo. l gin. '1�.� G 'h:aV ...A 'I 4u Y 4. • .,ys ' -f _riII4w ` -s { 1.0 r ,-. y q S } j 12•'L ." '- � v4 M .- � .}. ? rYa t r 7• 1 ,.'•;:r7.1:„.. `t`^.z a a-- eF"••'F ) �a ✓ .4;,,,i.. ,..,.:7,....::::,.....-y, ;J:..??.; I' ^ r'f.rt koil til - ' i r A \ � ^ j y F ~ raF .1-174,•7;.“44e.-t l f 1, 11 , .y. PRICE INCLUDES ���� BIG LAARS 231000 BTU HEAT "•ae--------., -.5-.;, -'"",' �'�� °atc 110W ROYAL BUILDS FOR LESS No franchise fees . . . some builders nu �`_-`.w• '�"�++ 18)(36 . ES„ -s, fixed fees to build under a certain name. This is built into the cost of yo: T M ■ and has to be passed on to you if the builder is to make a profit. Royal 7' Heater / a franchise operation. No stock dividends . . . some builders are public corporations. Stock dividends must be provided for to satisfy shareholder -`' Included must pay for this if these builders are to have dividends to pay. Royal is not a public "T--- "N'- " _' concern. Royal buys in quantity & sells in quantity. Over 3,000,000.00 in sales in tl , , r5r"y''„ „ ((((ry����[� 00 12 months . . . Because of our phenomenal growth—now 4th largest pool builder—, ? „•1 C;?;ch..• ;1' UH�� able to get the best prices on brand name equipment and accessories. Royal passes / . -a v+w::�..1.,As, i,i Y'YI 1 savings on to you. Royal is privately owned and operated . . . you know with whom y . - -i •'vp7°!�-%`'r'; �^ _ dealing. Besides initial savings, Royal's service after sale is without peer. • ..-.t` ce, ;S. v KIDNEY RECTANGLE ic1T'0."qi+, .,ia -s! �A ...... •.•• 15x30; 78 Per. Ft.; 360 Sq. Ft.; Depth, 3-8'; $1845 15:30; 90 Per. Ft.; 450 Sq. Ft.; Depth, 3-8'; $ 15:35; 88 Per. Ft.; 447 Sq. Ft.; Depth, 3-8'; $2025 I5x35; 100 Per. Ft.; 525 Sq. Ft.; Depth, 3-8'; $ :;�,.• 16x32; 81 Per.•IFt.; 430 Sq. Ft.; Depth, 3-8'; $1995 16x32; 94 Per. Ft.; 512 Sq. Ft.; Depth, 3-8'; $ The first - 18x36; • 91 Per. 'Ft.; 500 Sq. Ft.; •Depth, 3-9'; $2095 ' 18x36; 108 Per. Ft.; 648 Sq. Ft.; Depth; 3-9'; $' 20x40; 102 Per. Ft.; 640 Sq. Ft.; Depth, 3-9'; $2375 20x40; 120 Per. Ft.; 800 Sq. Ft.; Depth, 3-9'; 5' of company :g;- •Priers Slightly Higher in Some Arras •Renter installation Extra Not Illustrated 86 Per. Ft.-_130 S to give "(l' 1 t1:(1a1 A0' L COOLS :Mill '0 k P00 S Cl DE �f h' 11 . P00S OW+ 5 YEAR ..�Ii • Filter • Motor Pump • Automatic • An independent company, Royal it9C�9JE�AL Skimmer • Steps in Shallow End • skyrocketed in growth from a ml ARAN-FEE atigr� Automatic Pool Cleaner! Either 3' to 8' or 3' to 9' Deep 9 beginning to its present rankin Automatic Chlorination! Safety Grip Coping • Rockscape Pool the fourth largest swimming -t s • Steel Reinforced-.-Gunite, Plaster builder. Royal pools are sold al al`s. "-;:rk""V. ',C` '• Automatic Filtration! Finish • Yard Cleanup & Startup lowest-competitive-prices in th / " '� '" Service. dustry. . . .Call. now . . -. get_the best For less. Royal. will never knowingly be..unders • [5iO _ c - _-. - ,,,, - G FINANCING i UP TO 10 13400 Ventura Blvd. in Sherman Oaks DOWNEY/LONG BEACH_ - - WA 5-1618 SANTA BARBARA_1_963.2134 SAN BERNARDINO MEA__TU. 5-0971 - YEARS TO P4 12134 Harbosive. in careen trove LOS ANGELES_ — TR 2-0212 COMPLET101 1702 Garden Grove Blvd. in Garden Grove - sum ___—_526-0655 RIVERSIDE"ARFA_OV.8-2000 Ext.3 720 Thousand Oaks Blvd. in Thousand Oaks ORANGE COUNTY. JE 4-1216 BONDS 100 N.Azusa W.Covina in the San Gabriel Valley. SAN FERNANDO VALLEY ST 9-6111 SOUTH BAY AREA._FR 6-6014 WEST LA. - 411-6528 322 Carpinteria St. in Santa BarbaraTHOUSAND OAKSz_.-495-7453 PARC 882-1151 AVAILABLE 1238 Desoto Ave. In Canoga Park SAN GABRIEL VAILEY_331'-6474,HI6$975-' 10961 Santa Monica.m West L.A. . -_SANTA MARIA_;_ WA23584'.VENTURA'` .• 6en-1066::WEST_COVINA - 331-6474 . . Los Angeles Times Home magazine, August 22, 1965 45 . . . / ' - .. - - • ` .( 4 Ali \ ` '�1 0• TneIi,L. lt . t • . .... . .--„...,. . .„.„,,m,„.. _..• ,— 1,r m 161til 'r 1•1'4v7w,fial • ear -Ds *`is is 4y. • . 11 11 s 1 li rp sse• , . . .,......._,..._,..c ,...„. .... •• , ....,, _ N., . . ..t . „ ,_,.....„...„. ,,,,,,,, •li , r v6.1� I Ile its ..tai...::::::::-:•,....!.,,,Ili.:;,,,,,..„,;,,,,,,..: ': ,-_� J • •UflCS, a rilei . m, , . .r.i.a:P.:i.V.Vt!!..... 1.,, .;. 4..4 -. ,,:- . ill ,j. _,--:.. -- I - Nv .s.trmv LC: ii INCLUDED WITH OUR ROYAL " PRINCESS” POOL -1-'-‘,.... .,-:,,- - "-*T 'll'1.44774 — ONLY $1995.* Since Royal first went into business, one rule has _ • ,F,.,':! • prevailed. Give the customer_the highest possible value at the lowest - �. =--4 =_a possible price. We developed our Royal Princess pool—a bigger, better pool. ,.�" , _. In size, it's 18'x36', 3' to 81/2' deep, 81 perimeter feet and 430 square feet - ..f ,� `,,r; • In quality, the Royal Princess is unsurpassed with these added features included r in the price: Big Laars 231,000 BTU heater**; plans, permits, excavation ,,• ,r and removal of dirt; heavier gunite and extra-strong steel construction; filter, pump, motor and recessed skimmer; 2 coats hand-trowelled marbelite plaster; ,\ ' `:.;:.3; z u• 3 steps in shallow end; your choice of rockscape or conventional coping; pro- fessional backyard layout plan; and complete clean-up and start-up service. .;; And there's much more when you buy from Now in our ninth year of business as a !, = ., -r• t ... . , Royal. We have a local construction office privately owned and operated company, • e { ;(iTtl,,. yougiveyouy, personalized we have become the fourth largest '' s near to friend) g pool b�I� C . i service. In this way, we keep close job construction firm in Southern California. • , .ns-Nr'''''"--4t." 41 - supervision over the building of your pool Because of our size, Royal buys in quantity 1 I • i , and make sure each phase is completed and givesyou the savings. The finest .--t �'•n i„--ate, P - B ,. Fr.- .... by a specialist, an expert in pool construe- brand-name equipment and accessories at tion. We are always nearby—on stand-by—, the lowest possible cost. And as a leader '`,<. s`:g to sive quick, efficient. service_aftec in the industry, Royal is the first pool .,::: �, . sale . . . another way Royal insures your . company to give a 25-year structural >rt'Is,,- i i e tt me satisfaction with a Royal Pool. guarantee. • BECOME ONE OF SOUTHERN CALIFORNIA'S ROYAL FAMILIES , S. -tat. �—=' •Not Shown Call now and save . . . Winter Prices in Effect! •-lrnfnlloM1en Extra Price.Slightly High..in San.Arco. 13400 Ventura Blvd. in • • Available: .10 year and 25 year financing. Sherman Oaks Completion bonds also available with every Royal Pool. e— --•alkw12134 Harbor Blvd. in Ga JJ 8702 Garden Grove Blvd. /� EL Le_E_` '^0, 2 yA - -.Q 0 720 Thousand Oaks Blvc Yep' 600 N. Azusa, W. Covina DOWNEYiLONG BEACH __WA.5-1618 SANTA BARBARA__963.2134 . SAN BERNARDINO AREA__TU.5-0971 San Gabriel Valley LOS ANGELES _ TR.2-0212 SIAM_ ____526-0655 RIVERSIDE AREA__OV.8-2000 Ext. ORANGE COUNTY _JE.4-1216 SOUTH BAY AREA_FR.6bOl4 WEST L.A. _411.6528 922 Carpinteria St. in Sa: SAN FERNANDO VALLEY ST.9-6111 8238 DeSoto Ave. in Can SAN GABRIEL VALLEY_331•6474, HI.6-8975 THOUSAND OAl(S__495.1453 CANOGA PARK _882.1151 Lil SANTA MARIA ___WA.2-5584 VENTURA _648-1066 - WEST COVINA_____331.6474 10961 Santa Monica in VI Los Angeles Times Home mogozine, Jono {/-' 110C' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. Jam• aS;L I P RMIT NO. T�1A�T N LOT N9. UNIT NO. S.. C-- • MESA CONSTRUCTION CPERMIT 4 T7CA,P.# X39_ 441 — b/ [zone 2/ Project Addtesi SC () Maa'1 ze. e_ '-3J�_ �-3 T'� 2 -4,P-awn. L f][I S Main Building: Accessory Building: ApplicanestMailing ddress 4, v 7�a `{e1_10c(Z TYPE OF CONSTRUCTION NEW U.ADD U ALTERATION U REPAIR E a I Z• ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Frontaids. 0 Owner's Name' r.ryJ W Q C.-CA efs'1Pn Phone TS* I'l'l(IP DES RIPTION OF WORK/USE OF BLDG. I I a a.'a B Rear a N Address ISear, Nay.� C. a �rz A �'� I Arch/Eng. License No. TYPE OF PERMIT , GRADING NO FOUNDATION ¢+,STRUCTURAL K ,• •Right Cie" G ❑ TENANT a ELECTRICAL MI PLUMBING G MECHANICAL S - Left 6 y O Address R ontractor•5 Namn 11 ❑ -OTHER n�T ��1J Phone /Sri`, Ping. Ref.4 Parking Req./Provided E 9 PROJECT DESCRIPTION SO. FT. 2�'s z{ OCCUPANCY_{Z / `M M Address(mailin 1 I.?715 6 St Qvtelf- ,w3 S,Av• ^�•• Planning Notes: SAI � /jI /� 1 c' JY(` /1- • CONSTRUCTION TYPE y VALUATION$-Ila BOO �/ �A/XXM.c'�s City License No. ` ZONE GRADING CU.YDS. ACRES T S. LICENSED CONTRACTOR DECLARATION I hereby affir am licensed under provisions of Charter 9(commencing Remarks: SY C ���r-g TA_ 13 S� with section 7000) of Di 3 of the Business and Professions Code, and 111 / v w license is in full force and erre• . -/ ELECTRICAL FEES sense Class nse No. Automatic Washer PLUMBINGTransformer 0 15-50 KW ✓ate -Signature FEES WORKERS'COMPENSATION DECLARATION -I Construction Pole Sub • 0 50+ KW hereby ereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink 1., Showers pO , "-`-Workers' C ensation Insurance, or a certified copy thereof (Section - Cooking Unit Meter ❑up to 100 amps •`b0, Lab. C.) - Backflow Preventer. Service Sink - r Policy No. Company - Backflow Irrigation Sewer Cap - Dishwasher r•., I Meter` ver 100 amps 37 JV B Certified copy Is hereby furnishe y _ . •- - - - - - - Dryers OGas Electric Sub Panel Certified copy is filed with the city Bui ding Division. i 'J7 Bathtubs Sewer Connection X.� U Date Applicant - Fan, - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors 00.1 HP 01.4-8 (This section need not be completed if the permit is for one hundred ($100)or I F.A.U. Inc.Solar 09-15 HP ❑16-15+ less). ! Dishwasher Solar Piping - 3 00 I certify that in the performance of the w• or which -is permit is issued I . a , Fi%tures . shall not employ any person in any r so as -a. . ....... .. . . ..,.. . . Drinking Fountains Solar Tank Microwave 'Workers' Compensatio$n Laws of Calif.,• - DeviceBOxes Date 4-2 .'$'F5 Signature r•- Floor Drains Swimming Pool w/Spa _ , • Pole Light ' NOTICE:If,after making this decl- n,you shou • •ecome subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 'LU Range g /Ca"' comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets 4 Water Closet /y .fes vs Switches. ., - Sign / 3 • I hereby affirm that there is a construction lending agency for the performance - 6 . of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater •1 Garbage Disposal Standing Sections Lender's Name fes-. Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW .Trash Compactor• s - • _• •- OWNER BUILDER DECLARATION _ • , ' hereby affirm that I am exempt from the Contractor's License Law for the ♦ Lavatories Auto-Wash Z r - Bowing reason (Section 7031.5 BusIness and Professional Code: Any city or 'J • - • unty which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays - • . ,iy structure, prior to its Issuance, also requires the applicant for such permit _ -- - • to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of 16.-"vision 3 of the Business and professions Code) or that he/she is exempt Reinspection Fee - $15 • $ s. op refrom and the basis for the alleged exemption. Any violation of Section - 31.5 by any applicant for a permit subjects the applicant to a civil _ analty of not more than five hundred dollars($500). I DEVELOPMENTS-EH VICES REQUIREMENTS: g . 44131"i.0.7 h I. as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 •• / Zoning App'oved By - Data / r� 6 compensation, will do the work,and the structure is not intended or.offered - a y for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By _ Date 1 t g c+ License Law does not apply to an owner of a property who builds or improves y qqq pry thereon, and who does such work himself/herself or through his or her own Application Issued By • ' � etc �D h� • _ employees, provided that such improvements are not intended or offered for Boiler Uood or Type I ❑ !!! 1J1 sale. If, 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- Duct-Under Ground - M S M'RY OF FEES _ p pr ve for the purpose of sale). - BUILDING PERMIT" $ - X70: •ea° SMIP $ D •3_3 I, as owner of the property,am exclusively contracting with licensed con- Duct Structural Refrigeration System _ t actors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ ? PERMIT• - The Contractor's License Law does not apply to an owner of property who Duct Ventilating 00-100,000 BTU ❑100,000 BTU „ PLUMBING • $ - •d0. ISSUANCE $ • builds or improves t.- eon. and who c•• . is for such oroiects with a con- tractors) hc:• nt • - ontractors a cense Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25%--$ 001. ENERGY P.C. $ t proof o ompensation ins ca should be -fowtletl to me, '• Of_ - GRADING $ ' �'/ - ELECTRICAL $ �I !• • er Sectio C.for this reason ( Firepl/Fact.BIL ICBG dk 0,41 Fire Dampers & 5v MIC ROFI LM $Y _ - PLAN CHECK 50% $ . Date/4W.- - '-f-- Owner fir+ - a Heating System& Ducting Registers 7/�'�y// I hereby certify that I have , . . a•• ' - . • ate that the above fCT'0100,000 BTU 0100,000 BTL 7dO MECHANICAL - $ t m- ' -Sly r' • TOTALFEE $ '4 e7^T /T information is•rel t. • -eui •- with all city -re y county ordinancess 1 ` PLAN,CHECK 25% $ .�. • and state laws rely. to buil�<OnStructign,an• - rebs authorize repre- \\tT✓�— ` sentatives of t• city t. •- er upon the --mentioned property for • •- aggir - inspection p - •os / , Signature• -- Date CI-�- • ' Drivers' License or 55# - - � Reinspection Fee I $15 • Issue Fee $.$.�� ..<- 81 i,aj1 3'.'.N15155 TOT :C2;,-9-.•SATE: 09/22/SETILE: 09:2:t 0865-46,rev.5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor t.. 1 r' } CONSTRUCTION AND PLANN„aG POL SPA - =t-, ‘; Date Inspector Date Inspector APPROVALS Permit # APPROVALS Permit# t7. O _ S 1. Temporary Electrical Service or Pole 1', 52. Pool & Equipment Location , f•' -r; : I . CERTIFICATE OF COMPLIANCE PAYMENT OF SCHOOL FACILITY FEES • NEWPORT-MESA UNIFIED SCHOOL DISTRICT Developer/Applicant : Nef T)z'v , / e-J ;a (1.I N, Address : 1se2t) MaU 1 CtR C2`/+ Telephone Number : 1S1' s4L{S � Tra Pa*-SFr and Lot Number( s) : AA � Location of Project : ISSO Mail Ca- ( nsk- McSA Number of Square Feet of Residential Space 2. 514 x $1 . 50 Total 336 � 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 53080 and 65995 . Checks are to be made payable to Newp -MesaUn ' fied ,School District . �j tX�`n S//-1`` ".44caiwV Business Manager Newport-Mesa Unified School 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 certificate shall automatically terminate and the appropriate runty shall be notified . t ,R s�� Date : G]'2)- es re s..- 1<rUlN SEP 2 2 1988 r`T' OF COSTA MES • CALIFORNIA 92628.1200 P.O.BOX 1200 • Insulation Certificate I Si30 M>a ; C;n_ Cos- k s Number and Street City Colutty Subdivision Lot Number Description of Installation ROOF Material Ba Brand Name W CM S Thickness(inches) Cort Thermal Resistance(R-Value) V.- 30 EXTERIOR WALL Material Brand Name Thickness(inches) - 31/2 Thermal Resistance(R-Value) 2- 19 CEILING Batt or Blanket Type Brand Name Thickness(inches) Thermal Resistance(R-Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft2 lb Minimum thickness - inches Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value) RAISED FLOOR Material Brand Name Thickness(inches) Thermal Resistance(R-Value) SLAB FLOOR Material Brand Name Thickness(inches) Thermal Resistance(R-Value) Width(inches) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(R-Value) Declaration • I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. arv,C.-, an License Number 4 Signature and Title Date Sub-Contractor(Insulation Installer) License Number Signature and Title Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERM! 1Q.� / TRACT NO. LOT NO. UNIT NO. CITY OF fires MESA CONSTRUCTION pERNiT I A.P.# 'Zone Project Address /880 Matt; S. _ t- ff � ,�qq • S Main Building: Accessory Building: Applicant's Mailing Address 705 S. V IA✓t 5-h 4:NO Aw„ TYPE OF CONSTRUCTION LJ NEW ✓J^.ADD U ALTERATION Li REPAIR Owner's Name IO SP st 4 SA.,a.00_3 Phone Oti cSS ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front N P DESCRIPTION OF WORK/USE OF BLDG. ' B Rear N Address 703.-..c. VclA+t S7: #-/O /1-nwssc;'1. -Cs. - , A — I C Right N Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION U STRUCTURAL r K • S - Left' G ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING A^IONqMECHANICAL Address C.. dy1. 4C.S: .5,... IA,.., „l:.1.1r; R Contractor's Name ...41.4-.... .3'a t` ❑ OTHER Pin Ref.# Re /Provided E o-S d>•+• Phone 8_ 91SJ g Parking Req ./Provided (mailing) 7o3 S, Vet&.-t .Sf- ' to /}.-.4ei..'9Z:e PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: M CONSTRUCTION TYPE VALUATION$ City License No. 459/n.2, • ZONE GRADING CU.YDS. ACRES T LICENSED CONTRACTOR DECLARATIONS. I hereby affirm that I am licensed under provisions of Charter 9(commencingRemarks: Y cc with section 7000) of Division 3 of the Business and Professions Code, and N.--1't4d a I Fe-„ + IF G 3s— [ O my license is in full force and effect. ELECTRICAL FEES tense Class G icense No. / me/0/1 t/a Signature G PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW I WORKERS'COMPENSATION D RA ION Construction Pole Sub. • 0 50+KW 11 hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers - . t-- Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter Dula to 100 amps • " 00, Lab. C.) " '*' Dishwasher Meter Dover 100 olicy No. Company Backflow Irrigation Sewer Capamps B Certified copy is hereby furnished. — Dryers ❑Gas ❑Electric Sub Pane! Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection • Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers ,.-7—' Solar Collectors Fan Motors❑01 HP Di%-8 (This section need not be completed if the permit is for one hundred ($100).or Dishwasher • F.A.U. less). ,, Solar Piping Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the work for which this permit is issued,Ir,, Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Cgqmpensa on Laws of Califp'f1�la. Date /0!2 q/17V Signature A.qp S---^-' Floor Drains . Swimming Pool w/Spa • Device Boxes Pole Light NOTICE: If,after making this declar on, yo should become Subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Switches Sign Gas Service Outlets Water Closet 9 I hereby affirm that there is a construction lending agency for the performance +',. Garbage Disposal of the work for which this permit is issued (Section 3097 Civ. C.) IOterq¢ptOrS Water Heater gStanding Sections Lender's Name Lender's Address Kitchen Sink Water Service �'' Generator 005 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash (lowing reason (Section 7031.5 Business and Professional Code: Any city or unty which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays C .y structure, prior to its issuance, also requires the applicant for such permit t0 file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains . the Contractor's License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exemptFee $15 Issue Fee $ 3 Reinspection erefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil nalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: o I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee compensation, will do the work,and the structure is not Intended or-offered - Zoning Approved By Date for salee (Section Business and f aProfessionalprCode: The Contractor's es MECHANICAL FEES Building Approved By Date thereon,Law does not apply to owner if a property or who builds s Or improves there0 n, antl who does such work himself/herself or through his or her own I !Application Issued ByDat employees, provided that such Improvements are not intended or.offered for 11111.Hoodsale. If, however, the building or improvement is sold within one year of com- ' SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Groundrove for the purpose of sale). N. BUILDING PERMIT $ SMIP $ O as owner of the property,am exclusively contracting with licensed con- a PLAN CHECKtractors to construct-the project (Section 7044,Business and Professions Code: $ PERMIT The Contractor's License Law does not apply to an owner of property who a PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that ,Exhaust System 0 Multiple 0 System Repair/Alteration 1 PLAN CHECK 25% $ ENERGY P.C. $ proof o their Worker's Compensation insurance should be provided to me. Lf ELECTRICAL $ GRADING $ O I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. 1CB0# I Fire Dampers MICROFILM $ PLAN CHECK 50% $ T ,esT Date Owner Heating System& Ducting Registers 00 ' ;• / MECHANICAL $ gatpo TOTAL FEE $ �a� I hereby certify that I have read this application and state that the above 3 KO-100,000 BTU 0100,000 BTL Information is correct. I agree to comply with all city and county ordinances ., PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for Inspectionqugposes. • I /I _ Date/0 kg Signature A /, ReinspectionFee $15 Issue Fee it Drivers' L' nseor s� ! 6. $ i 01 0001E052-00018052 TOT 42.00 0865-46,-rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 4 ; DATE: 1D/28/88 TIME: 09:11 I CONSTRUCTION AND PLANN . 00 WA APPRbVALS. Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. n 53. Steel Reinforcement • '-rl ^ / . . PI m Electrical Conduit Utility-Undrg§nd. 54. Forms 4? Elecfr.ical Conduit-.Undrgrnd. - 55. Electrical Bonding S- Steel Reinforcement ‘-'I 56. Rough Plumbing & Pressure Test 63 Ellectrigal UFERGr.nd. • 'I 57. APPROVAL TO COVER-GUNITE - : ° 7f Footings `; 58. Electrical Conduit-Undrgrnd. it.) 8. Foundation .2 is a: - ;I:, 59. Gas Pipe, 0 Undrgrnd., Test Iiy -I . 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 'W. Structural Floor System 61. APPROVAL TO DECK x'-11. Property Semi Line & House Connection Q 62. Backwash & Receptor-Final '12. Sewer Cap ;'\ r ``{ ! • • 63. Heater & Vent-Final 2 13. Roof Drains ,•-‘1 ; ) 64. Plumbing System - Final 14. Rodgh Plumbing: :; I 65. Electrical-Final =' 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval r .1J-. Rough Wiring Sign 68. APPROVED FOR PLASTERING `'ITB. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1.9. Rough Heating & Air Conditioning /I-7gt' LSE 9 FIRE DEPT. REQUIREMENT ' ' X :20. Rough Factory Fireplace 7, APPROVALS Permit# 21. Ducts, in Structure - 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil i, 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical 27. Frame and Klashing 76. Dry Standpipe - 28. Lathing& Siding is 77. FIXED SYSTEM FINAL 29. Insulation :••• 78. FIRE PREV. FINAL , 30. Drywall Nailing - J HEALTH DEPT. REQUIREMENT ` 31. Plaster Brown Coat 79. FINAL INSPECTION - - 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED r I K 33. Final Electric �/� Notes::."/ � � •r 34. Final Heating & Air Conditioning TA- Ar/`7(/1,r3/�d[g� `'�Yal6f",�B"� 7 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 - :''-/r 44. .Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - V- 51. CERTIFICATE OF OCCUPANCY �,..• 1--_/ No. Date x• v4 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PER IT TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA r CONSTRUCTION PERMIT A.P.# Zone Project Address �gg A7,4 of _ 6.I 4 rn iMain Building: Accessory Building:Applicants Mallin• Address r�r �sJ' TYPE OF CONSTRUCTION U NEW H ADD L -ALTERATION H REPAIR1 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Front ZO ` PhoneY�" DESCRIPTION OF WORK/USE OF BLDG. � Rear N - Owder's NameAddress S4MV/Arch/Eng. Aa✓I'f74. R✓i101'l License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL IRight _ GAddress ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ' Left Contractor's Name 8Q'4- 6 - 'crc ' Phone t53.s%b3 CI OTHER I Ping. Ref. # Parking Req./Provided RE Address(mailing) 'Y, 4'? 1'4t'KsaA, sr PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: Q //G / �� CONSTRUCTION TYPE VALUATION .r City License No. 77�� -- - ZONE GRADING CU.YD5. ACRES LICENSED CONTRACTOR DECLARATION S. 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: • with section 7000) of Division 3 of the Business and Professions Code, and rija my license is in full force ntl effect- r • ELECTRICAL FEES - iz _ � �s �( o3 sense Class Lir seo .ate 1 Signature .Yr /�10� PLUMBING FEES A Automatic Washer Transformer 0 15-50 KW 511...1WORKERS' COMPENSATION DECLARATION Bar Sink Showers Construction Pole Sub. 0 50+KW -'O I hereby affirm that I have a certificate of consent to self-insure or a certificate - Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps CI 00, Lab. C.) / _ Backflow Preventer Service Sink ._olicy No. WG �6 1,'$ Co Y `�-- '�� (Backflow Irrigation lin Sewer Cap Dishwasher MeterCAT 100 amps2 GC: a' ce ifs cop is her by furnished. ig, —J ' cern _co y i d with the city - g Divislo .,�_,./r _Bathtubs Sewer Connection Dryers ❑Gas DElectric` Sub Panel / C✓b a!� 00 Date Applicant A L. Ii Motors 0-1 HP ❑1'/::-B 00 EXE TION�RKERS'COMPE ATiION • CLARATIO• • Clarifiers Solar Collectors Fan 5� 5''�°i 3• (This section need not be completed if the •ermit is •r one hundred $100) or F.A.U. 11' .1 7-�• Inc.Solar 09-15 HP ❑16-15+ less). ..,,II / .• Dishwasher Solar Piping • I - I certify •m-the performance of the tn.,. or whic per •- is Issue. I -- � Fixtures i . Microwave shall empi y erson in any to be•• ♦rib'• e Drinking Fountains Solar Tank BO / .54. 0� workers b Laws of Calif 4, r' Device :oxer `� Date Signature Is Floor Drains • Swimming Pool w/Spa .,sy`C A9 Pole Light NOTIC :If,aft r making this declaration, you shou •'b-com- eject to the — 0 Workers' Compensation provisions of the Labor •de, you mus- forthwith Floor Sinks Urinal Outlets .1 59. / Range 7J7-SQ comply with such provisions or this permit all be deemed revoked. ' CONSTRUCTION LENDING AGENCY id Switches ,•jw �7� Sign Gas Service Outlets Water Closet g 1 hereby affirm that there is a construction lending agency for the performance • of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater /, Garbage Disposal Standing Sections '5 tO Lender's Name - Lender's Address Kitchen Sink Water Service - • Generator 00-5 KW 05-15 KW / Trash Compactor '. OQ OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - 'llowing reason (Section 7031.5 Business and Professional Code: Any city or unty which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays iy structure, prior to its issuance, also requires the applicant for such permit , - to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains - ' the Contractor's License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt ,refrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee is $� 31.5 by any applicant for a permit subjects the applicant to a civil ialty of not more than five hundred dollars($500). - DEVELOPMENT SERVICES REQUIREMENTS: ti I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered _ , Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own Application Issued By a, Date Ii///y/ eis- employees, provided that such improvements are not intended or offered for Boiler Hood Or Type I 0 sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Ove for the purpose of sale). BUILDING PERMIT $ SMIP $ O I, as owner of the property, am exclusively contracting with licensed Con- Duct-Structural Refrigeration System - PLAN tractors to construct the project (Section 7044,Business and Professions Code: CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU ' ISSUANCE $ - builds or imoroves thereon, and who contracts for such oroiects with a con- PLUMBING $ tractor(s) bcense pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I - = ELECTRICAL $ �t(/. 00 GRADING $- PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers - MICROFILM $ - PLAN CHECK 50% $ Date Owner Aff Heating System&Ducting Registers - MECHANICAL $ 1.362"--a I hereby ce ify t, at I have read this . a on and state that the above 00-100,000 BTU ❑100,000BTL TOTAL FEE $ Informatio is Cor ect. I agree to om• all and county ordinances PLAN CHECK 25% $ and state I. s r- g to build',• c• rs nd hereby authorize repre- sentatives • Ys city to qht A, e-mentioned pggqqqqperry or Inspection rurp.,gg / t/-I k) ' Signature (/ V�� Date L Drivers' License or SS# �_ • , 01 00019365-00019365 TOT 136.00 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor DATE: 11/14/88 TINE: 09:47 . S ,\ CONSTRUCTION AND PLANN Oct PA 1 Date Inspector Date Inspector APPROVALS Permit# _ APPROVALS Permit# 1. Temporary Electrical Service or Pole ' - 52. Pool & Equipment Location e - 2. Soil Pipe-Undrgrnd. • - . 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms 4. Electrical Conduit-Undrgrnd. •I 55. Electrical Bonding • • 5. Steel Reinforcement'•- - 56. Rough Plumbing & Pressure Test eElecvical UFER,Grnd. 57. APPROVAL TO COVER-GUNITE ''-I '- 7.• Footings - - 58. Electrical Conduit-Undrgrnd. • • 8. Foundation - ' ! +' 59. Gas Pipe, ❑ Undrgrnd.,Test 9. Water Pipe-Undrgrrid. '- - ' ' .' 60. Backwash Lines, P-Trap, 0 Undrgrnd. - 10. Structural Floor System - ,i , 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection : .. /r i 62. Backwash & Receptor-Final .j 12. Sewer Cap ,i ' 63. Heater & Vent-Final 13. Roof Drains -• 1 • 64. Plumbing System - Final . 14. Rough Plumbing - 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final ,1,6. Rough Electric Wiring S43-1)�67. Fencing & Access Approval ,1 1 •17. Rough Wiring Sign 68. APPROVED FOR PLASTERING LA: 8,. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL J . Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT . ;20. Rough Factory Fireplace • • ,• APPROVALS Permit# ' 21. Ducts, in Structure - 70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test : • 72. Underground Flush 24. Roof Framing I ' ) 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27:Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED.SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final grin 7' 0. FOOD CERTIFICATE /IISSS UED I 33. Final Electric c4-n40 Notes: j/-A1._ Cw- ✓ -r r I- 34. Final Heating & Air Conditioning.„- / aff 35. Final Gas Pipe-Test / / G 36. Hood or Canopy 37. Final Factory Fireplace \ / 38. Final Plumbing .---i 'i 39. Water Service-Final • -, 40. Gas Service-Final 4, ' ' 41. Solar Domestic-Final 't.' ::. ::V-••,, • 42. Backflow Preventer • '1 43. Backflow Irrigation r 44. Landscape Irrigation System - 45. Sound Attenuation ' 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. da Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY ,rk - • ''! '-i. t,: -f A No. ' Date • \% • •v ;y i 55 TYPICAL 411 CONCRETE BLOCK FENCE TOP VIEW r"." ---3/8 Bar 1 GENERAL— NOTES ' I I (I 1 i a n f ' 1 jL I 1 1 i 1 • 1 , I I 411 Blocks 8°Blocks I I MORTAR: One Part Plastic I/4° 0 Pencil Rod Below Top - �_ I � IOU II I Cement And Three Parts Sand. Course Of All Fences i 1 GROUT: One Part Cement And 411 Concrete Block Fence With 8" --- -_ _ _ _ i _ _I i Three And One Half Parts Sand. Pilasters. One 3/8" Vertical Bar 1 I I 1r ! 1 COPING: One Part Cement , Continuous From Earthtooth Thru . ; II II 1 i i Three Parts Sand. 8 Pilaster. I ; , 1 ' I CONCRETE: Well Mixed 1:2 1/2, 3/8" Vertical Ties 2' Long 31/2 . Maximum Of 7 1/2 49oked In Footing, And Grouted InI , ; Gallons Of Water Per Sack Blocks 4 0/C Maximum. I ; I I I i I I Of Cement , 1 1 I Provide Cleanout And Inspection , ii I 1 I REINFORCEING STEEL SHALL Hole At Pilasters. I I I 'i I I i CONFORM TO SEC. , - 15-39 ; 1 i �� I A will_ STE TO LAP ' WHE ICED 2' lin MINIMUM. -Y'1 I-.� I 1 1 ❑U GIROST� M9 BE PO '-ED FROM L/" 'i 11 10P-Of ENCE ,IN • ELLS WHERE . . .x i ...i .O f.c �. •�0. ' IP R t •: S HOLES NATURAL GRADE �o>:o._a •p"01. . , es -il • '>'•.''•O: o. . . p 1 lo•:.; o .:G S O .uBE t4 .. o sa ice' - -A/ fro o- ^ v:.oa 1:••r ' -A,r ' M SFT, L BE C £ C eAN , AND FOR WIDTH SEE CHART • •),o s •ft, e-:. I tide} tL_'r v� e� _ e :s a. . : is :.a__ 1.P_10,- le,:l C;//�F.. - E•AJ'L�fi01 � .. , DEBRIS, '-"----.---Q,‘),..0‘)�j^ ^. 'i`!. r 1°➢ le,:l Ihg H471 rP�P • HOLES • T ,oq-6 BAR S 9•11N UOUS�1;'":, ',• 16"0.C. MAXIMUM --• mOI NS "ST R N � 1 R. F �,. Y„ 10l .y�l TIS •79 \NI Ht. T'6 rR• 'B ND HALL BE � .\t F\„ JO.. • 1 l ;o✓pl•HANGES PROVIDED BY LAYING BLOCKS f�i^H��RRP �\. �'�R\�Q\� Pj\e1,�ri o�1 �,7 OF EARTHTOOTH I/3 MAKE' . p• IN T TR A AmES SO FENCE MAY VARY IN E 'T- E \\- Il ,1 ' gT FROM 31 TO 6 1 'j09' G ‘0.\\\-- ON 12. Y I ' �•• OF Dd.:yIvv OF � ERSIHRE C g FAZ\N E(lPj\ I'o . ., .B,, E HEIGHT OF FENCE ai,LFNCEORGRMTIHCAT VEi,PUri SWF'§ LTERNATE STEEL MUST BE IED NfN EPL�ACE Iz . ...7 pf "`LOW BOTTOM OF 7!(CJ• 11 SPECIFICATIN� ACH' Or. ""1V I Apat' p F� nTING. OF PI;vtYr-n�Ll OR �„ A.. COURr.�ttF'� PRE• AT TIME OF TREN \ INS . * . ( P�P „AkS� : ,. ,NCE FROM BOTTO OO BE ,,uPROUITROSOOFTT IS S,�.AFLI`EvEr:LIEE; 1= II a ... ic uA110, EXCtPT 1 VC `%I O(ci cj\ WA' ., jo b HART PROVISIONS OF THIS Guuc \S SP E FAR!S THE WORK OR USE WHICN IT AUTHORILta 1pU N3ANO HEIGHT . . . tN ,ti� �N 6 ' . ...•cNS.t . . . 51. ,t cF OF. A PERMIT BASE°8 u31NG OFFICIAL qq '( NT' •A.O. 1 iRE ISS rH' WIDTH . . . . . . i; 14•10E. _c �h L NOT PREVENT' Ff u0F ERRORS ✓ �' \N(�� . 141. . . . . . . . ',PREVENTING u " "SPECIi°ICATf(]f2, SNA.L„ 12 THICKNESS . . .\. . . . ...-7•60`.(06'.',';':,.. � ,. t�.: . . . `P./ IO EWER REQUIftiNmirlf45 OR G fFE .^,OP.R. .FRO-TI( DEPTH OF EA RTHTt001TtH'+Q�Ev \\2)4^".� \ y i 20u. . INrjSA ON PV 6a1 io SOEING CARRIED ON THE8UNDER WHEN SPACING O F E ART; 4.- ,,c 9,_.;!.,4,2".4: r r . 14 °lI1LDING OY6 r THIS.CODE OR OF ABY'071'[61 ORDINPNCE •.. ,,,4EA'O`, J \(_' 3 60.%' - .• 11 E CITY. war .G - lale.: a a•rt h City Of Costa �I� 'California OWNERS NAME: X72 -}}—, - -- 1 JOB ADDRESS: t eo_ /L7_4T 11%:al! aL-? _-- Building Department PERMIT NUMBER:. SIGNATURE:-'�� /�� p / Form BU13-2M-4-64 S-BP . , APP`C(41 R G//g � OF GG3TA /SES ( I PLANNING DEPT. SUBJECT TO BLDG. DEPT. REQ. Pc- BY..I ,Q,_ DATE - -7 DIRECTO! OF PLANNING 73 ' t 63 L 8/1 h lol lb I RESIDENCE RESIDENCE RESIDENCE RESIDENCE 1, W ` W 41 J' W et tt h lot h I ?3T F� I STREET 6 M au 1 0i 2e-Lc. - - OWNER JL'WfDy 1vUIuLJJUN - • DATE > 1S-o7 ip JOB ADDRESS 1880 Maui Circle BUILDING PERMIT NO.23852 ' GENERAL CONTRACTOR Kiely Corporation DESCRIPTION OF WORK Res.Watt.Gar. i ro. 139-411-01 LOT TRACT FIRE ZONE VALUE $28,623.00 1- JECTIONS Signature Date GROUP I & J TYPE V ZONE Rl Soil /I-f' G 2.f SCS PERMITS ISSUED Gase,41*-/-SG-2e--C�r /jam. S g--/d. Gy SUBCONTRACTOR I Date I Number I Signature Wate{!!//l�,flt, G 3.4-4.5- -16&5 Plumbing Rough�lumbing /� ((/).F 4-f0 'G Ij R(-lam \ 1t�. - tc-7\- J �-1r�.p\ ' Prop. Swr. Line noose Con.U (_/'J /7-(o,j p, k_, P� 9„ 17-4,$ c��'6,� Sprinkling System Y Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground *62?ower CkQ1g-s-Gf Rough Wiring // - ' -C "' Heating and Vent. Trenches £3- Forms ®- Steel Reinf. el- 420. !le - .-, '3(Qt(nee jig (disc 3"- &i(n Floor System 411 c A v or Bond Beam 0 Steel Reinforce 0 .--- Sheathing Sheathing i2a_,_", ' , 1 Frame and Flashing ' / / Lathing - In Z- Out 1 ' -sip PI-'er, Brown Coat tft*a a ,., Cr E ural, Final ��jy�1 Electric � `q- Heating, Vent., Refrig. and A.C., Final `Z2 C5` -; -fn_J_6_B1C� _C0' -. - 2 Plumbing, Final and Gas Test 0 c/,jy.C'}^ Electric, Final / 7-A9-C)- Building, Final le" 1-/f-cr- . tat rthis L'aIli IVIESA • 2.3852 • EO:-`A MESA BUILDING-SAFETY DEPARTMENT APR 6 1965 -•.BO%317 COSTA MESA,CALIFORNIA For Applicant to Fill In Completely T_ritOgPMIT TYPE OR PRINT BUILDING BUDILDING /g go /+9i9ur 6/pelf'. For Office Use Only ADRE59 RECEIPT NO. 2 • PERMIT JiO•� COSTA MESA, CALIFORNIA J( �a/J�( �^ 't✓/ Y •A RE•'IV= D TR ISSUED �I� V L I i h4 EJ. - / ,. 4_s /1LV5IC ' ODES ,9d6 AD MAIL [�-lrY' BUILDING ADDRESS r •D /A VQ r ir . ADDRESS//.�/],7/� / �//� //-.�,+(�� FIRE `� CITY /\ 0 ttft c LLS NO./ /Y� �4 ZONE ` TJY/P-EE ' ROUP-74X 4 AP-"'ITECT CAO / APPROVE�� //) 0 ;EER % A J r 0 Ad mo.• Ah, BY • ✓ '• '7r' , / `g ry 41° /� ' ZO. NO.OF ZONING oFNE. / 3' ADDRESS O • A . IP(//�/ _j �p.^� A�//moi WylyUSE CONTRACTOR K; ELY `.o Pot / oA !� _ PLANS I BUILDING • I/ C y� LEGAL F ` ADDRESS �� to F[t� -r& {a'7 DHECRIPrI•N _ _ • -A CITY ` A a• A.P.NO. I " " STATE 754.3 ' N&ea3_ 1010 90NO'r TO SIDE a REAR P.OVERHANGE: NO EAVE SHALL BE LESS THAN LIC.NO. // D'( J_C�� -/ SIZE �' - 6 ll'S• Cf3 rff.I � NO.or BLOBS. VES ALLOWED (U. B.C.REQUIREMENT) OF Lor g6 , ,AO Hid". "11 I NOW ON LOT Q { 1 YARDS APPROVED YARDS APPROVED USE OF . MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. M a- (FROM C(}.$TREET) SETBACK LINE FROM FRONT JL�/FT. FT. CENTER OF STREET REAR YARD SIDE YARD I LEFT ‘:(/ I RIGFTf R.SIDE FT. 6 FT. DESCRIPTION OF WORK L.SIDE 6 FT. FT. n x ALTERATION_ ADDITION REAR at FT. 4 FT. ' DISTANCE BET. BET.MAIN a REPAIR _MOVING DEMOLISH MAIN BLOCS. ACCESS.BLDGS. BUILDING 'I C� NO.OP //, VAR.# DATE SIZE /. '� { ROOMS l0 STORIES / C.U.P.JF APPROVED EXTERIOR WA /�� ROOF P n j� APPROVED / 1 [.�/r COVERING �wQO COVERING 'ell el; t3/; ��/1/(J �/ '( Lit,__‘ ^IO l LISAOF BUILDING AND WORK TO BE PERFORMED .isr&uaya'oA of A66/DEn/c/ • AW 'AkRGC cy Zi64_.FT. 2 . T— n I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G PLY WITH ALL CITY ROMANCES AND STATE LAWS REGULATING VALUATION QQ p.-i 6 BUILDING CONBTRU N. PERMIT FEE $ Si6 SIGNATUR PERMITTEE OP I /74 N� /7aee//y0/7 5,78 ,)4/ '�1�� If0 II // v N "' ((/f 23 - A, C. ^t 7 '' o • / 1 — c AUTHORIZED AGENT TOTAL FEE $ / 32 Y V WNtilt TE I±5, BURMAN DATE O-eO-O) JOB ADDRESS 1880 Maui Circle BUILDING PERMIT NO. 24641 GENERAL CONTRACTOR Royal Pools DESCRIPTION OF WORK Private Pool / To. 139-411-01 LOT TRACT FIRE ZONE VALUE $ 2,200.00 II.__ECTIONS Signature Date GROUP J TYPE III ZONE R^1 Soil SUBCONTRACTOR { PERMITS ISSUED Gas 1 Date j Number I Signature Water Plumbing Rough Plumbing -7, --V3.811-1.-2),I Y-de-e6 4 W5 Prop. Swr. Line ElHouse Con. Sprinkling System Miscellaneous Rough Hea '.= and Air Conditioning e/ -ID G 4 K-9-a, Underground Q] Power ❑ (c( El- Rough Wiring Heating and Vent. -,es` Trenches g-- Forms ❑ Steel Reinf. la- e 9.,/G6,4, e-q-s, ‘""` „At"S Floor System a'r ��' p,W „5 Bond Beam a—/ Steel� � Reinforce,�� /� -� -q_y/ 1P p)1 `2-(d)t 6 avern/ /I'X'$ le-as--G. , Frame and Ft Shing Lathing — In ❑ Out El P' 'er, Brown Coat ural, Final Fe•,c e GrK� V/7. 7 /o-il-Cf Electric Pleating, vent., - :e., Final -..r/c. 5 .; i�u,Ui PP,,L e. S 6-65 ,Q119*Plumbing, Final and Gas Test Fr S ,40-25-LJ Electric, Final ft* i//i/6r Building, Final pt v///,f • 24641 CITY OF COSTA MESA 'COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 AUG 26 1965 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT FJJ4fY DL�Jy BUILDING 1 R?c3 ' ae_LA.�.j Qp , ffit6� ,c- ADDRESS (� � _ RECEIPT NO. 2.Pg/ T COSTA MESA. CALIFORNIAALn _ ) /J • OWNER Y ___ .. / R[e[t.Y �gl){a, /D,t� ,L U� MAIL ADDRESS /ego ly/\1J Ku t Ci2i ADDRESS \ ^(-� TEL FIRE ZONE \V` GROUP i CITY NO. // //(/ i1TECT APPROVED `;,DATE 2S l�! Kr/ _ .NGINEER 4, 1 M es , VOL.N qZONING ADDRESS O ESHE•/1 I I HOOF / I BUILDING �}I /`��FiJ�/--_� CONTRACTOR��••)'� - -LEGAL //. TA �/ ADQRH88� /a� LLLL DESCRIPTION LL// / 1 CITY (�/])I�Q(�I��Y�.Y��' /9 (�'Y�J A.P.NO. / 37— ////— V STATE . (" f��I yy ITiQ 80NO?TO SIDE a REAR P.E: NO CAVE `NO SHALL BE LESS THAN lal6 ES SIZE // //_ g/ / I NO.OFSLDGS. / ALLOWED (U.B.C.REQUIREMENT) OF LOT I D(Q• �Vlx 1�7 j N WQNWT USE OF y���, �.�// YARDS APPROVED YARDS APPROVED EXISTING BLDG. p �" W (a%(Y(�f// . MAIN BUILDING ACCESSORY BUILDING J (FROM C/L STREET) y/ SETBACK LINE FROM FRONT /0 FT. FT. CENTER OF STREET REAR YARD / SIDE YARD! LEFT I RIGHT R.SIDE ✓ FT. FT. DESCRIPTION OF WORK L.SIDE .36 FT• FT. n_W ti.......'..-ALTERATION I ADDITION REAR �,FT. FT. DISTANCE BET. BHT.MAIN& REPAIR _MOVING QEMQLIWM MAIN SLOGS, ACCESS.BLDOB. VAR.# DATE BUILDING v ¢J NO.OF SIZE / ROOMS STORIES C.U.P.# APPROVED EXTERIOR WALL ROOF APP pV[{'y�/� CL �/ / COVERING COVERING BY�.{/.� I LJ�I��¢¢�� DATE —/L/ —(O� USE OF BUILDING AND WORK TO BE PERFORMED HOLD FO�t SFECi�jR fc 'T w ad tljA S—¢ . BQ.FT. i I HEREBY ACKNO I •GE THAT I HATS READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j AND STATE TN E BOVE IS CORRE+ ND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. apy PLY WITH AL ITT 0 •1NANCES AND A LAWS REGULATING BUILDING Co •,••x. ' VALUATION et la PERMIT FEE $ /� SIGNATURE •. d / /- CU PERM ITTEF it AUTHORIZED AGENT spy e s �O PLAN CHECK $ TOTAL FEE $ / •� URPILR NRLLWORTH, Glen UAIt 7-29-74 -JOB ADDRESS 1880 Maui Circle BUILDING PERMIT NO. 38743 'GENIERAL CONTRACT R Superior Fence DESCRIPTION of WORK Fence wtj pilasters 'ra��=,,..• 119-411-Oi LOT 76 TRACT FIRE ZONE VALUE S 2400.00 ltT- CTIONS Signature Date TYPE GROUP ZONE .', sou. SUBCONTRACTOR PE MITS ISSUED r� GAS Date I Number I Signature l�WATER Plumbing "-ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES u FORMS ❑ STEEL REINF. Q FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PLP-ER, BROWN COAT 5l URAL. FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL F IN BUILDING. PLUMBING,FIN 4L AND GAS TEST � . • ELECTRIC, FINAL BUILDING. FIN4L t 874 . 70-7'UE: O5755i' ... A..,S "O COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely / /'� �j r REC�Ef•(� /BY DA E RECL�y�V�EtD DATE ISSUED BUILDINGDDR / a dQ MAu . c1 }GI. /� �V /" / /-.29-77 BDDRENS /� Air. ..{{.. , PERMIT NO. OWNER CZ,- 77 .) (t)O - tin. A.P.N. MAIL / n GO MAUI AUI BUILDING / f o iav r ADDRESS /7 a 1--.41 �'J7 rte• �jss ADDRESS !/f t / l /�C.�� 0 0 CITY \ o .S y7,enNO`7 J 7.rJ,cr TRACTy f qJ LOT (c BLOCK ZZ CONSTRUCTION ,--1,_, NEW ADD ALTER EM REPAIR MOVING DO!ISH ON LENDER Q�e /t _1y • BRANCH 077 e_ `�'7..t �a owNE 'LeTi ���a? f h •ADDRESS .�" s90 ztP �7 ARCHITECT / / O�a NOL. 7 _ USE. �f i'e%/+'rrOD 67/[86,.1,vO�Uf f 'I .:C OR ENGINEER /�/LL JJJ U Q FIRE w ZONE TYPE GROUP W a ADDRESS aTP. t--W T' )(.' APPROVED LU CONTRACTOR62/"De it)> t7Xc „[7BY DATE mLs -J ADDRESS 7 / a Z00-a,7, V Xb,14 W Lii Zr NO.OF USE OF NEW r�^ u,( TEL. /� / Z� CITY J ,7ta / /77a NO3 ey,,2 r/(9 r PLANS �UILDINCt�-�UrR��/l'J/-/E t!/Ot.T7'e/' Lu STATE Q. 329 CITY ry YARDS APPROVED YARDS APPLVED co O LIC. ND. c 701-3 0 /„/ LIC.NO.q C MAIN BUILDING _ ACCESSORY BUILDING SIZE `f` NO.OF BLIT GC - s (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT: VUSE OF EXISTING BLDG.�LO .S f�e C R SIDEF i /1yp�� I— SIZE OF NO.OF X/_/�,f^(/'-1" C. j2 NEW BLDG. ROOMS - STORIES L.SIDE ile UEXTERIOR WALL ROOF _ COVERING I COVERING REAR FT. FT. I USE OF BUILDING ND WORK TO P FOR ED rq DISTANCE BET. BET.MAIN& /Cp / se ©f At MAIN BLDGS. ACCESS.BI Drs, Q_ ..JJJ /� VAR.# DATE �d N O 14/an/7 7PP 4 7LC/ - C.U.P.# APPROVED I- / APPROVE• LD' Per"CO - /y 0 S t . 0 UI hereby acknowledge that I have read this application and state �(}� D that the above information is correct and agree to comply with ,/ all laws regulating building construction, and I shall not employ Fany person in violation of the workman's compensation laws of _ N the State of California. trig( S zI hereby certify that I am properly licensed as a contractor under S•' G the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: • am exempt from the provisions of the State of California Business VALUATION and Professions Code,Division 3,Chapter 9. o 0 „,rj ^ °s /I 1U” PERMIT FEE $ �/���. D Signature of Q /J ^) O4 //} L{/ 0 Permittee ye C I/•�!�/44 $v $ 4/ / PLAN CHECK $ /A E I, { h ' Authorized Agent ,3 V,\ t. u. TOTAL FEE $