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Home My WebLink About2945 MAUI PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 ROOF. CITY OF COSTA MESA - BlIILDING DIV/SION DEVELOPMENT SERVICES DEPARTMENT PERMIT .IobAtldress: 2945 MAUI PL Suite: Vicinity: HOUSE & GARAGE ParcelNumber: 13925222 Appiicanr. BRIAN HOYT Atldress: 740 VAN BUREN ST #E PLACENTIA, CA Owner: CHAMBERLAIN, ROD S Address 2945 MAUI PL COSTA MESA, CA Contractor: HOYT ROOFS Address: 740 VAN BUREN ST #E PLACENTIA, CA Zip: 92870 Arth : AddresS: Zip: BUILDING PERMIT Zoning: Rl R1 Phone' Q14)632-6636 Zip: 92870 Phone: Zip: 92626 Phone: (714)632-6636 License: 606111 Eng: Address: Phone: License: PERM T NUMBER 99-01801 77 FAIR DRIVE. COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 71/10/1999 fssued: 11/10/1999 Phone: License: SCOPE OF PERMIT REROOF - T/O, INSTAIL 7/i6" OSB BOARD, 2 LAYERS OF 30# FELT AND ICBO #2093 MONIER LIGHT WEIGHT TILE Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $293.25 $1.80 $0.00 $0.00 $0.00 $295.05 SETBqCKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 S�e,000.00 51 a,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regula[ions. (prd. No. 92-28, § 1, 12-21-92) EXPIRA710N: 7his permit shall automatically ezpire and become void it work is not commenced within 780 days, or i� work is suspended or abandoned for a period ol 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inepeetiona and finel epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSATON DECLARATON: � I hereby ettirm under p0nalty of perjury one of lhe tollowing tleclara�ions: ❑ I have and will malntain a cenificate oi consent to seli-Insure for workers' crompensation, as provided for by sectlon 3700 of Ihe Labor Cade, tor ihe peAortnance of ihe work tor which Ihls permit is Issued. � I have and will m5�n�ain workers' compensatlon insurance, as requiretl by section 3700 oi tha Lebor Cotle, for the pertortnance ol Ihe work tor which this permit is issuetl. My � ers' ompengatlon Insur nce Carrier antl policy number ere: ��_ (�� Carrier: �l policy Numbar. (lhis secf/on need not De comp/eted il (he permitls velued a( one hundred dollers (3100) oNess.) ❑ I certity ihat in the peAormance af the work for which ihis permit is issueQ I shall not employ eny person in eny manner so as to 6ecome subject to the workers' compensetion laWs of Celifomia, end egree that if I should become subject ro the workers' compensation provisions of Section 3700 of Ihe LaDor Code, I shall forthwit� comply with t�esa P�a�isions. C Applicant Signewre: _(�jLl � Date: I I" I O— C G/ WARNING: FAILURE TO SECURE WORKEFS' PENSATiON COVEPPGE IS UNLAWFUL AND SHALL SU6IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORED THOUSAND OOLLARE (5100.00OL IN ADOITION TO THE COST OF CAMPENSATION, DAhNGES AS PqOVIDED FOR IN SECTION 3]OB OF THE IABOR CO�E, IMEREST, AND AiTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm ihat I am licensetl under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business antl Prof4,ssi—ons Code, and my license is in full forca and effect. Lic. q ��b�a !( � Class a �_ ``'�'i ConlractofsSignaWre; �,� b �/h� Date: � 1`;n — � CONSTRUCTION LENP�NG AGENCY: ❑ I hareby affirm tha� thera is a construction lentling agency for the pedormance of the work tor which Ihis permit is Issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: , Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby alfirm ihat undUr penalry ot perjury Ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Protessions Code: Any ciry or couny which repuires a permit to consiruct, alter, improve, demolish, or repair any siructure, prior to its issuanca, elso raquires tha applicant for 5uch permii �o file a signed statemen� Ihe� he or she Is licensetl pursuaN to the provisions of Ihe CoNractors License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 oi the Business and Pmtessions Cotle) or that he or she is ezempt Iherefrom and the hasis for the elleged examption. Aqy vblation ot SacUon 703L5 by any applicant tor a pertnit subjects t�e applicant itl e civil penelry oi not more than frve huntlred dollars (5500).): ❑ I, as owner of ihe p�aperty, or my employaes with wages as iheir sole compensation, WILL DO THE WORK, entl t�e struciure is not intended or oNered for sale (Sec. 7044, eusiness end Pwlessions Code: The Contracbrs License Law tloes not apply to an owner of properry who Dulltls or improves Ihareon, and who does such work himself or hereelt or Ihrough his or her own employees, provided that such improvemenis ere not intended or oHaretl for sale. If, however, ihe building or improvament is sold within one year of completion, Ihe owner-builtler will heve the burden of Oroving that he or she ditl not 6uild or improve lor purposa of sale.). ❑ I, as owner oi ihe P�operty, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRALTORS to construct the project (Sac. 7044, Busineu and Protessions Code: The contracbrs License Law tloes not aO��Y �o an owner of properry who builtls or improves thereon, and who coNreds for such project with a contractor(s) license pursuent t0 the Conlrectors License LewSJ. ❑ I am ezempt under sec. Business and Professions Code for t�is reason: Signa�ure: Date: Owner ID ventied by tlrivafs liCenSa. ❑ Ves ❑ No Driver's License No. Verification of Ownership by (Iype of tlaument, i.a. - propehy tax bill or deed): Expires: DIVISION OF INDUSTpIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cetliy thd� no excavation five (5) or more tee� In depih into which a person is require0 to descentl, will be made in conneqion with work authonzed by ihis permit, and ihat n0 building simcture, scattoltling, falsework, or tlemolition or dismemling thereoi, wili be more than Ihirty�six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title e, Celifornia Administrative Code). ❑ As owner-builder, � will not employ enyone to tlo worN which would require a permit irom the Division of Industnel Safey, as noted above, unless such person has a permi� to tlo such work irom t�e tlivision. Signewre: Date: Division of Intlustnal Safery Pertnit Number. CERTIFICATE OF COMPL�ANCE AND AUTHORIZATION OF ENTRV: I certify untler penelty ot perjury ihat I heva read this appliGation and state that the information given is correct. I agree to comp�y with ell state lews and ciry ordinances relating to builtling consiruction, and authorize represematives of the Ciry ot Costa Mesa to enter upon the above-descnbetl property 1or inspection purposes. I agree not to occupy or ellow occupancy ot eny building auihorizetl by thls permit unlil final inspection. Slgnature Ot Legal Owner(s) �, ., i5— I ( - ( o - � r utho etl Applicant COpE Y, INSPECTIONTYPE 1616 Fi:etl System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 flnal BIxWRetaining Wall 202 Finel Fectory Fl�e Plece 203 Final Sign 204 Final Demolition 2408-48 j�¢, INTITIALS CODE� INSVECTIONTVYE 206 Final Mechenicel 20B Final Plumbing 210 Finel Electrical 212 Finel Fire Prevention 220 Finel Plenning Approval 222 FIneI5lle 250 FinelBuiiding/Occupancy QdjE NI TRIRLS � . � CITY OF COSTA MESA PARK FEES Fee Payment Receip[ N� U 3 4 Project Address �hl� �,��(/-/ / ��G P� Park Area �_, .�. P. No./�7 ��e-.0 —.�� Building Permi[ No. Owner's Name �O(�' � • C "f��f�L�C /Cf � ,(/ Mailing Address FEE Single Family * Multiple Family ** Aanning Departmen[ Approval Da[e Applicant's ^ city Ortlinance 72-a4 •• Clly Ortlinance 72-45 No. of Units No. of Units � i�� @ 5338.27 = c3ual� � �7 @ 5238.78 = _ . i. � � . �1 closGalmcs�a Applicant to fill In all spaces except thoza within heavy Gortler Ilnos antl sign all appropriate Geclarations. COSrA nnESn CONSTRUCTION PERMIT , �� .9yS hAUI pG�l^� Ap� i ailingAddress ��-�� fU%✓L/QN��-��J__r�/�Y , Owner'sName .�Q� Phone/s�J�� Address 2% �,� %f'� �i L.l i �L- /s+!-'TA�EfLJ Arch/Eng. License No. Addrezs y� Contractor's Name�a ! —CSili�-rYA�/LT��Phone �� Addreu (mailingl/ 2.� f'U�[,t��/�/�(f_j ��111- City License No. - � ,z � � T � LICENSED CONTRACTOR DECLARATION I hereby aflirm Ihai I am Iicensetl unEer proviSlons Of Charter 9(commenCiOg with Seclion 7000) 01 Dlvition 3 ot Ne Business antl Profae o s e ap� my Iicense is in tull c=antl ei/ect. / Ucen Ciass. � l' e 5 No� Date�=�—=�%`Signature WORKERS'COMPENSATION ATI ;: ��era�y aHirm that 1 have a<ertltiwie ot consent to self-inwre or a certiflcate �..,�.,,Workers'�Compensation� Insurance, or a <ertlfietl <oDY tnereof (Section t�m,)0. Lab. .S ) _ /,J i.t -, �.. �6olicY No� �71�w��omPany �Certirietl coPY�hi�edbwitn thehctv � 9 0. . "oate��lL� Appiicxnt E%EMPTION FROM WORKERS' COMP NS_��ECIARATION (TM1is section neetl not ba com0�etetl if Me permit is tor on¢ huntlr¢tl (E300) or less). I cerNfy [nat In lhe pertormant0 01 the wOrk tor wNch ihiz perm�t i5 izSuetl I shall nOl employ any.persOn in any manne� 50 as [O become subject to t�e Workers' Compensatlon laws o! CaliPomia. . Date Si9nature NOTICE: If, after making ihis tleclaration, you shoultl become subject to the Workeri' Compensalion provfsions ot the LabOr Cotla, you mu5t /Orthwilh compty with such provizions or Mis parmit shall be aeemetl revokutl. CONSTRUCTION LENDING AGENCV 1 hereby afii�m lhat Ihtre is a mnst�uction Ientlin9 agency fo� the perforTdnte of the work fot wNch tbii permlt i5 i5su¢tl (Setlion 3097 Civ. Cl) LenGer'S Name LBOtl2�'S Ntltl/855 OWNER BUILDEH pECLARATION I he�eby d111rm Ihat I dm eaemp[ from [ho Cont�acto�'s LlcenSe Ldw �o� the followin9 reason (Sectlon 7031.5 BuSiness antl Pro(esslonal Cotle: Any Nty or counry whlcn reqWres a Dermil to construct, alter, improve, tlemolisn or repair any structure, prlor to its issuance, also requires the appticant for sucn permil to fil8 a signa0 SfatBTCnt t11a[ h0/ShC IS IlcenS¢tl pur5udnt t0 t110 pfOVI51on5 Of thn Contractor's Llcense Law (CbaD�ar 9(commencin9 wit� Section �000) ot DiviSion 3 of t�o Businass antl Prolessions CoEe) or that he/she is axempt ^ralrom antl the Oasis lor thc allagetl examption. Any violatlon oi Soctlon 31.5 by any aDPlitant tor a perTit sub�ects tne applicdnt lo a tivll nalty of no[ moro tnan liva huntlreU tlollars (5500j. ❑ 1, as ownor ot tha propertY or my omployens with wages as thelr sola compensation, wlll tlo the work, antl the ilructure is not intentletl or oiferetl tor Sale (Saction 7044, Busine55 antl P�ote55ional Cotll: The ContraGtor'S License Ww tloos not apply to an owner ot a property who builtls or improves thereon, antl who tloCs such work blmself/heRelf or thrOugh nis o� hor own employces, provltlatl thal suth ImO�ovament5 are not Intentletl Or oHeretl tot 581e. If, howevar, Ihe Duiltling or improvement IS Soltl wlthin one yaar oi com- plation, Maownor wlll havo tha Uurtlen of prOving he/She tlitl nol bulltl or im- prove torthe puroase ofsaln�. ❑ 1, a5 ownm ot lhe property, am ezGluslvely cont�actinq with Iicensotl con- Vactorsto con5vuct [ha prolect (Sectlon 7044, Busine55 antl Profe55ions Cotla: The Contractor's Licenso Law do¢5 nOt apply to an owne� of prOPMtY who builtls or Improves Ihoreon, antl who conlract5 for zuth projects wllh a con- t�aclor(S] lit¢n5n pursuant to thG Con[ractor's Llcense Law). I am aware Ihat proot o( thel� Worke�'s Compensalion Inlu�ance Shoultl be prOvitled to T0. ❑ I am exempt untler Section B. 6 P. C. for this reason Date Owner I hereby certity tnat I have reatl thls apy1� atlon antl state that the above information is correcL I agree to Lomo�Y�'u�h all city antl county ortlinances antl state lawvebtinn to ouilbRi con6tcQC[ion. antl herehv au[M1orize r¢ore- �e�� a�aµ.�I_33go I - � � I �,.., ,.�. TVPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ LONVERSION ❑ DEMOLISH ❑ OTH 9 �' �scPit �TfON o"w,oMaK� se oy vow`P��a �In ��Q� � P� TVPE OF PE ITr y/ GRADING LJ FOVNDATION STRUCTVRAL ❑ TENANT L�J ELECT(�]y ICAL ❑ P/LUMBING ❑ MEGHANIC�/q�—L ❑ OTHER SPICd" V��` WQ�I CII�FOh �G✓RI'�r�e�lM[ � PROJECT DESCRIP ION 5c]. F7. CCUaANC p � COfVSTRUCTION TVPE�— VALUATION $ ��0� ��"� ZONE GRAOINGCU.VDS. ACRES Remarks. � C1GIr`v- Q�id'll Bar Sink Backflow Preventer . Backflow hFigation rinking Fountains loor Drains loor Sinks d5$CfVICE �U[ICtS Kitchen Sink Lavatories P-Trap Roof Dr�s Rainspettion Fee � $15 Boiler Duct = Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple 0 Firepl/FacL BIL ICBO # Heating System & Ducti ❑6100,000 BT OO,OOOBT Reinspection Fee I 315 CMF 0865-46, rev. 10/84 White - Bulltling; Canary - Appliwnt: Pink - Accountin9: Goltlenrod - Assessor Service Sink � Sewer Cap � � Sewer Connection Solar Collectors Solar Piping Solar Tank Swimm' Pool w/Spa Water Closet ' Water Heeter Water Service AULO�WBSII Laundry Trays Ittue Fae iANICAL Hood or Type I � Canopy Typell ❑ � Re(rigeration System �0.100,000 8 100,000 SVs epair/Alteration Fire Dampers Registers � Issue Fee FEES S3 A.P. aW � � � W S Main Building: TFront �!/A ARear � � � C Right �Q � K Left S ��-Q' Ping. Ref. # Planning Notes: Autamatic Washei Construction Pole Sub. Cooking Unit Dishwasher Dryers OGas ❑Elec Fan F,A,U. Fixtures . Device Boxes ---------695�Y�1 / I 0/86 • —� a Zo�e Accessory Building: /r' Parking Req.�Provided ELECTRICAI � Transformer ❑ 15-50 KW� ❑ SO+KW Switches Garbage,Disposal Generator �0.5 KW �5-15 KW FEES Reinspection Fee DEVELOPMENTSER � � Zoning•Approved 8y _ Building Approved By Aooliqtion laued Bv_ S 3 $15 Meter LJup to 100 amps Meter ❑over 100 amps Sub Panel - Motors �0.1 HP �1'h-8 Inc.So�ai �9-75 HP �iG75+ Mivowave Pole Light Range Sign • Standing Sec[ions Trash Compactor luue Fee Bt1.03 il FEES $ 3 rl /io Z O N 1 N G R E Q M T S SUMMARV OF FEES BUILDING PERMIT� $ SO•SL7 ; SMIP S� ' SZ PLAN CHECK $ �' � PERMIT , PLUMBING $ . ISSUANCE S PLAN CHECK 25% $ ' �2n ENERGY P.C. S ELECTRICAL $ � GRADING 5 PLANCHECK 50% $ MICROFILM S MECHANICAL $ TOTAL.FEE 5 $� �� PLAN CHECK ZS% $ 'JNSTRUCTION ANp pLANNING ' P00' iPA �'ROVALS Permit # Date Inspector qPPROVALS Permit # Date Inspector porary Electrical Service or Pole _ 52. Pool & Equipment Location 2. il Pipe-Undrgrnd. ' .� 53. Steel Reinforcement 3. Electrical Conduit�Utility-Undrgrnd. J� 54. Forms - � 4�.,Electrical Conduit�Unhrgrnd. 55. Electrical Bonding . 5.-Steel Reinforcement � 56. Rough Plumbing & Pressure Test 6: Electrical UFER Grnq, ' �� /. 57. APPROVAL TO COVER-GUNITE 7. Footingi � '� �3 Q� ��¢ 58. ElectricalConduit•Undrgrnd. .. 8. Foundation � �(� 8 1 0� 59. Gas Pipe, � Undrgrnd., Test 9. �Water�Pipe-Undrgrnd} . ' 60. Backwash Linet, P-Trap, � Undrgmd. 10. Structural Floor System ' � 61. APPROVAL TO DECK i t. Property Sewer Line�& House Connection 62. Backwash & Receptor-Final 72. Sewer Cap . . ' 63. Neater & Veni-Final � 13. Roof Drains �� . ' 64. Plumbing System - Final ' 14. Rough Plumbing � 65. Electrical-Final .� 15. Rough Electrical-Conquit 66. Solar SYstem-Final 16. Rough Electric Wiring ��7 67. Fencing & Access Approval I�,� 17. Raugh Wiring Sign 68. APPROVED FOR PLASTERING �� 18. Rou h Electrical�T Bar Ceilin 9 9 69. POOL/SPASYSTEMSFINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace • APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test ' 72. Underground F�ush 24� Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing 74. Overhead Hytlro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � 27. Frame and Flashing 76. Dry Standpipe 28. � Lathing & Siding 77. FIXED SYSTEM FINAL '29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing 3 81 p"�' HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat �� /23 �,0 �} 79. FINAL INSPECTION 32. Electric�al Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric a S Notes: 7 �_ 34. Final Heating & Air Conditioning • ' '35. Final Gas Pipe-Test 36. Hood or Canopy ' 37. Final�Factory�Fifeplace - 38. Final Plumbing 39. Water Service-Fina� 40. Gas Service-Final ' � � 47. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation ' 44. Landscape Irrigation System 45. Sound Attenuation � , 46. Handicap Regulations 47. FINALSTRUCTUR�&BUILDING � �� 48. Special Requirements �ompleted ' 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY No. Date �r_�. ^ Aoo�icant to fill In all spaces except tnose within heavy DorEer Iines antl sign all aoProDriate tleclarations. CITY OF COS'fA �Q$ A CONSTRUCTION P RMIT P �T O TRACT NO. LOT NO. UNIT NO. ProjectAddress _�/%�.� �A�� n� . �i� -�766G _��,�n _�� Ppplica�'sMailin Address �/��LV� .%�v.�/L/a'.�//) �i.t/ . Owner's Name �Ct� �7I�� Phone �{�'r�5 AddrEss '��QL/�/LLL / �L !�/�./%'� H1iGf� Arch/Eng. (dC/��y�rUt/�C�.J.OH.Y>'.�' QnseNo. r Address Contrector's Nam e . �' ��VYi�ona�l �59�'f Address (mailing) ��.f P!«iL A//J 1,�(� ��ri. �• City License No. (i,!L Pi' %/Y�' Y/i LICENSED CONTRACTOR DECLARATION 1 bereby aRirm tM1at I am licensetl untler provisions of Char[er 9(commencing wi[h section 7000) of Division 3 of the Busine55 antl Professions Cotle, antl my license Is in f W ce ntl eff¢ct. � Licens lass � ` o �at� � Si9nature Woi41(ERS' COMPENSATION O CLARATIO `�ereoy a/firm that I have a certificate of wnsent to seH-insure oi a certificate Wo�kers' CompenSatiOn InSurance, or a'cer[itietl copy ther¢Of (SeGtion �800, Lab. C.) Policy No. ��']�comPany � ertitietl capy Is nereby fumishea. Certitietl copy �fi}etl with the city 8' D' �i • �ate��=,�U ^ G Applican[ EXEMPTION FROM WORKERS' COM ENSATION CLARATION (This settion neetl not be completetl If Ihe permit is tor One huntlr¢tl (b100) o� less). 1 cer[ity ihat in the PerfOrmdn<e 01 th¢ work tor which thiz permk i5 iszu¢tl, 1� shall not employ any pe�son'in any manne� so as to become subjec[ to the Workers' Compensation Laws of California. ' Date Si9nature NOTICE: If, afte� making this tlecla�alion, you ShOultl become subject Lo the � Workers' COmpensation provi5ion5 of the Ldbo� Cotle, you must fo�thwith comply with such proWsiOns or this permit snall be tleemetl revoketl. CONSTRVCTION LENDING AGENCV I he�eby aHi�m that [here I5 a const�uctlon lentling agency for the perPormance of tne wark for which this permit is issuetl (Section 3097 Civ. C.) �.Entl¢r's NdmC Lentler's Atltlre55 � OWNER BUILOER �ECLARATION I hereby affirm lhat I dm exempt irom the Cont�acto�'S LlcenSe Law for the tollowing r¢asOn (SecHon 7031.5 BuSiness antl Prote55ional COtle: Any dty or c0unty whlch requires a p¢rmit to COnstrucq alter, improve, Demolisn or rGpair any st�ucture, p�ior to I[5 issuance, also �equlres tite applicant tor SUCh pe�mit to file a signetl sta[ement tnat he/she is Iicensed pursuant to the provisionz of the Contractor's License Law (Chapter 9(commencing with Section 7000) ot 'JlviSion 3 Of [he Business antl PrOfesslons Code) or that he/zhe I5 axempl ie�efrOm antl the basis tor th¢ allegetl exemplion. Any vlolalion o( SeCtiOn 031.5 by any applicant for a permit subjects lhe appllcant to a clvll �nalty ot not more lhan five huntlr¢tl t1011a�s ($500�. I, as owner ot [he pro0erty Or my ¢mployGCz wlth wa9o5 as lheir sOle Cofllp¢nSdtlOn, will tlo tlle work, antl lM1e Structule Is not Intentl¢tl Or Ofl¢retl for sale (Section 7044, Business antl Professional Cotle: Tbe Contractor'S LicenS¢ Law tloes not apply to an owner of a property wno builtls or improves thcreon, antl wno tloes such work himself/nerself or tnrough his or ner own employ eei, prOvitletl that such imProvemen[t ar¢ nOt in[entled o� oiteretl Por SaIC If, howeveq the bulltling or improvomen[ Is soltl wl[bin one year of com- plotion, tne owner will have the burtlen of proving he/s�e tlitl not builtl or im- 'p/Ove 10� the purpo5e of salo). � ❑ I, as owner of [he properry, am exclusively mntrac[ing with Iicensetl con- Vactor5 to construct the Oroject ($ection 7044, Business and Prof¢zsions Cotle: The ConVactor's License Law tloes noc apply to an owner of o�operty who builtls or improves tnereon, antl who contracts lor such projects witn a con- iractor(51 Ilcense pu�suant to the Contractor4 License L.aw). I am aware that proof of their Worker'S Compensation insurance shoultl be O�o�itl¢tl to me. ❑ I am exempt untler Sec[ion B. A P. G. for tnis reason Date _ I h¢reby certi� iniormation is antl state laws sentatives ot i inspectlon yuf[ Signature � Drivers' LI ens _ Owner [hat I have rea0 or55� ication anU state t�at Ihe above [b all Gty antl county ortlinantes antl he�eby autho�ize repr¢- ove-mentionetl property tor. Datei�� // TYPE OFCONSTRUCTION LINEW IJ ADD LIALTERATION IJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q.p,# � _ DE RIPTIONOF�Q RKUSEOFBLDG. ��+4 � L✓Q �tn -� f/��K-.� V S c�K•2\ S Main6uilding: ' E TYPE OF PEFMIT GRADING FOVNDATION STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear � OTHER %� PROJECT DESCRIPTION 59e�1�-�� k• ` ocCUPA Cv C Ri '� �' S. e(t -CONSTRUCTION TVPE VALUATION $ ' '.20NE GRADING CU. VOS. ACRES P�ng. Ref. # Remarks: ' AL� YC_:�'..� _ L� Planning Notes: % Sink' , kflow Preventer �rinking Foun Floor Dreins � Floor Sinks Gas Service Interceptors Kitchen Sink Lavatories Roof Reinspection Fee PLUMBING Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 , Solar Tank - Swimmi ool w/Spa Outlets Water Closet Water Heater - Water Service - ' Auto-Wash Laundry Trays $15 Issue Fee Boiler Duct- UnderGround Duct-Sttuctural � Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact.6lt. ICBO � Heating System &y ting ❑ ai oo,000 gxG O � oo,000 peinspaction Fee � $15 CMF 0865-46, rev. 10/84 White - Builtlinq; Canary - Appliwnq Pink - Accounting; GOICenwtl - ASSESSor FEES Automatic Washer` Construction Pole Sub. Cooking Unit . Dishwasher . Dryers ❑Gas ❑Electi Fan F.A.U. Fixtures Device Boxes Outlets Switche5' Garbage Disp . 3835 ,3/12/87 Zona � Accessory Building: I c� � n 1 � Parking Req./Provided 73a93 TL Z O N I N G F E Q M T S � ELECTRICAL FEES Transformer ❑ 15-50 KW ❑50+KW . Meter ❑up to 700 amp Meter ❑over 10 ps � � Suh Panel - � ' Motor 0-7 HP �7X-8 ; .Solar �9-15 HP �16�15+ KW 05-15 KW S 3 Microwave � Pole Light Range Sign Standing Sections Trash Compacmr Reinspection Fee $75 Issue Fee IANICAL ' FEES DEVELOPMENTSERVICESREQUIREMENTS: r Hood or Type 1 ❑ Zoning Approved By ��' Canopy Type I I Buildin8 �+VProvad By iefriaer ' n Svstem Aoolication Issued Bv �Yf�10,0008TU ❑700,000 System Repair/Alteration Fire Dampers Registers Ittue Fee � $ 3 S 3 SUMMARV OF FEES " BUILDING PERMIT $ �—`� ,%� SMIP $ ` s� PLAN CHECK $ �$-L3 PERMIT' PLUMBING $ � �SSUANCE $ PLAN CHECK 25% $ ENERGV P.C. 5 ELECTRICA� � ^�� GRADING 5 PLANCHECK 50°� ,$ MICROFILM 5 �7 � MECHANICAL $ TOTA� FEE $ / .3 9� PLAN CHECK 25% $ CONSTRUCTION AND PLANNING POOL & SPA� APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporery Electrical Service or Pole 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgmd. � 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation�� , 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 72. Sewer Cap 63. Heater & Vent-Final ' 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 75. 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 Electriral-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace , APPROVALS Permit # - , 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro � 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL ' 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � L 34. Final Heating & Air Conditioning � 35. Final Gas Pipe-Test - � , b 36. Hood or CanopY � 30 O�� .� ��- . 0-�" 37. Final Factory Fireplace � � 38. Final Plumbing ��' 39. Water Service-Final � �� 40. Gas Service-Final � � 41. Solar pomestic-Final , 42. Backflow Preventer '43. Backflow Irrigation , . . 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations . 47. FINAL STRUCTURE & BUILDING �� 48. Special Requirements Completed � 49. Electric Release to Edison ' ' � 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY ' No. Date • • t Gnwnt Copinp Optbnsl " � cn.,,nei eb� w�tn oe. �e ¢ Morl�onW Top ol �11 � F�nw For F�nat 6' a LW v.n. 6.n 3/8'4 .� �� -0" o.a Fo� :mat HpMr Than 5' — V i�n 3!8'+% n 32" O.C. Flil Glb SoUA Wlth Grout — Whrn Suel occun NunlOrcinp StNI.Shall Canrorm to S�c.A•1639 AS.T.M. Ap Stal a b� L�pfrd li " Of t0 COd� TYPICAL 6" CONCRETE BLOCK FENCE y NATURAlGRAOE U1=1 = 1 � �: ' x o �� N rwo ve^ e�ns o - - CONTIN W lq TO► iBOTTOM � � � � WIDT P :bsee c� ae�ow , �°I �• �. WALL NEIGMT , WIDTH OF FUOIING THICKNESS OF FDOTING OEPTN OF EARTHTOOTH SPACING Of EARTHTOI REUUIREMENTS IO�I ) �10'I I6 12�� , • ' �14�� 16 City of Costa Me:�a� Suilding Deportr�ent, GENERAL- NOTES htORTAH: On� Par1 P Threc Port GROUT: . pne Purt C aw Mat P COPING: Ont Port ( Parfs Sand CONCRETE: Wail Mitep Maa. of 7 / Wat�r Per and and I : Y;� s 3 � Gallons of ack of C�ment 6ROUf MAY BE POUqEO FROM THE TOV OF TNE FENCE CELLS AND AREASOF HORIZONTAL pE1N• iONCEMENT SNALI BE CLEAH, CLfAN i FREE OF ALL MORTAII DEBRIi. ETC. eoHos sn�u ee vnoviotp er ��nNc BLOCKS IN STNETCNER COURSES SO TMAT V E RTIG� �OINT6 ALTERNATE IN EACN counse. fM Of EApiHTCO?H V� TNE HEIGTM OF FENCE BECOW BOTTOY Oi FOOTING. SCALE: I/2" = I' 12' 8' 12' 16' � OWNERS NOME: �Xz �%�� .�`L��/�m.C��T�L/�/.f/ lifornia �OB AOORES$: .2��/ 5_ i1�� /�1- _G�S� 1-r��/',¢. APPROV�� City of Costa Mesa Buiiding Cept. � ry. � DA7 • /D j,-(�?� THESE PLANS MUST BE ON JOB AT AlL TIAAES I AAAKE NO CHAN6ES WIT#iOUT PRIOR APPROVAC � IOF, DEPf, THE ISSUl:NCE OR GRAMINC OF A PERMI7 OR APPROVAL OF PLAqIS AND SPECIFICATIONS SIIALL NCi BE CON3TRUED TO BE A PERMIT. fOR, OR M� APR'i0'!AL OP, ANY VIOViTION OF ANY OF 7HE PROVISIONS OF THIS CODE. fl0 PERMI! PRE� SUMING TO GIVE AUTHORITY TO VIOUITE OR CA;lCEL iHE PROVISIONS OF TNIS CO�E SNALL BE VALID, EXCEPT IN SO FAR A$ TNE WORK OR USE WHICH It AUTHORIZES IS LAWFUL THE ISSUANCE OF A FERMR BNSFD UPOY PLAfl; AND. SPECIFICAAONS SHALI NOT PR[VEN7 1HE 6J1LD1.YG OF(!ClAL fROt.7 iHERfAFf[R REQUIRING 7HE CORRECTIQN OF ERROdS IN SND PLANS luVD SPECIFICATtOi:; CR FROM PREVSYTCJ � BUILDINC OPERATIONSBEING FRRIEDO;V THFREUNDFR WIiL;� IN YIOLATION OF, 1NIS CODE R OF Ai�Y O�HER ORD1,h'.\tIL: OF THE CIIY. _ _R_ I STRUCTURAI APPROVAL ONLY SEPARATE PEFMITS ARE REQUlRED FOA ELECTRICAL, PIUMBING. HEATING, VENTILATING ANQ REFRIGEAATI�N WORK � C� �`14"�6'� TH!S tv: ic?S;:%i id�l':;; � ACCiI!L�(:�Jy At� ;;��:c��:ilU�l 'i�iiEiT� �(!{i 3Ui�ti:i�;3. „�.c;". a,.r�..,. qu_ T('• 3E @MPi:JYE^ 1�,L ::i;6c5 �,.: ; ' �_; idTE UF CFIJfDii`tIA OI�i510� �i` t'"+�'�:�'H�Fi �AFETY BF COkSUL7E0 �OR w'�OITiONAI qf�UIBEMfNTS. � _ /. .�/��00 1 1 7a e l �caoaat � �m�n�e� w � V t ' ► y� � � � �� S��I�t •� � . T �10' G�Vi' vE _ _yy��v �. a n•n�.a ��,.�.�� zq�s P�ANNING DEPi. fUIJFCT 70 9LOG. DEPT. RHi. �u�tret �I � MANNtNO AbbifiiONS, DELETIOi�S, 03 COR:iECT10^�S $HALL_' �E Ai �RQVED BY THE PtAiJNIWG DEPARTfv1�NT S77�TE �' CALIFDRIIA ) ) ss. OC(JNZY OF ORAN(£ ) On ,�� /� / Jj>'"/ before me, the imdersigned, a Notary Public in and for the Coimty of Orange, State of California, personally appeared ]movm tc> [re tn be the person(� whose name(.s'} is subscribed to the within instrument and acknaaledged to me that (j�/she/�) executed the s�ne. WI�INFSS rty harc3 and official seal. `%%l .��it �..�.cf _ iC�Q Sic�at�e `12�99%s N,�'I /�RGE Name (typed or printed) STATE CF CALIFURIIA ) ) ss. OG[7N'IY CE' ORAN(E ) (SEAL) , OFFICIAL SEAL MARSHq HA�E m NOTqRy p�p�� - CALIFORNIA ORANGE COUN7y MY wmm. exDires NOV 3, 1989 On �ja� /� /9,p7 . before me, the imdezsigned, a Notary Public in and for the Coimty of Orange, State of California, personally appeared ]mown to me to be the personl,�j whose name(,ej is subscribed to the within instrument arr3 acknowledged to me that (h%sh��) executed the s�ne. WIZN�SS my harcl and official seal. JL�. , �.t / ., , - �� — � i ��a� • r -• (SEAL) , OFFI(:IAL.SEAL MARSHA HAIE m � NOTARY PUBLIC - CAUFORNIA ORANGE COUN7Y My comm, expires NOV 3, 1989 m • Y /• ' �•- y _ �_ _ �Iis A(�2EEt�N'P, made ard entered inta this � n day of %��✓(/� . 19 �, by and between JO /� iv ��A-i 1`f�-Z-Z� o hereinafter referred tn as "LAND OhE�]ER", and �oc� �/!A//1lJG�P/�/iJ � hereinafter referred to as "AA7ACFSTf PROPERIY oWNER". It is hereby agreed that a party wall will be oonstructed on the property line between �� 3� �`�Gz-�-+-�- 1� Ci,..,�Q �� yS_ t/�u_ �� Aaaress oz na�oining t�roperties) /-i in the City of Costa Mesa, Coimty of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office af the Coimty Recorder of said Coimty. 79�e party wall shall be permitted to encroaci� IN WIZNESS 4d�EREOF, the parties have entered intn this Agreeirent the day and year first akx�ve written. LAND Q+7NER �� 6� ..��..•:� �� Signature) —�!� �.n/Gi�l �sF Za/�1�J0' Name ('Ij�ed or Printed) a�� 9 �,��- �� - (Address) .� .�. y � . / //i __ _ _ r r � / ' .r .i � ��• • "• ��iS ��/ /�L ( P.ddress ) (N(YPE: Please see reverse side for.notary's statement) : :�y r. . er �loaiy.lY 2HIS Ac3tEF1�S]'P, made ard entered intn this 13 , day of Unnr„ . 198� by a�rl betw2en re�.�can*r J�rrrriu hereinafter referred to as "LAND Ofd9ER", and ,,,,,, ,.. ��,,,,,,,, nr,., hereinafter referred to as "AA7ACC[•NNf PROPE1rPY CWNER". It is herehy agreed that a party wall will be corLstructed on the praperty line be�aeen T.TT� n. ( dress of joining Properties) in the City of Costa Mesa, Co�mty of Orange, State of California, as per map recorded in Book , Pacje of Miscellaneous Maps, in the office of the Coimty Recorder of said Coimty. �e party wall shall be pernutted to encroach IN WIZNFSS �RE�'OF, the parties have entered into this Agreement the day arc3 year fizst abwe written. Ih � � •.iu�T:7 < � A,( 0 .( ��10 .1 / ��,� ignature) �AMERo� �AruEs �,c� Name ('Iyped or Printed) ►8Go T+lrn �R�vC Cas�'�.�(ESQ �'� 9 a6 a� (Address) / 9 AATACEKP PROPERTi' �� ui � ��. (Address) (NpTE: Please see reveYse side for notaty's statement) STATE �' CALZFOIBdIA ) ) ss. QOUNZY �' ORAN(£ ) On� ,�/ri{ �T/'rJ,f�j before me, the imdersigned, a Notary Public in and 5or the Coimty of Orange, State of California, personally appeared 3mown tn me tn be the pers�nf,a7 whase narre(s� is subscribed to the within instrument arc3 acknawledged to me that (he/�/t�heQ) executed the same. WI'INFSS my hard and official seal. !/L2�t4�-� Sicy�a' ttse /?%JRs �� i�GC Name (typed or printed) STATE CF CALIFt�Fd�]IA ) ) s5. �17UNZY �' ORAN(�E ) (SEAL) OFFICiAL SEAL t MARSHA HALE - � NOTARY PUBLIC - CALIFORNIA orsarvce counn � My camm, expires NOV 3, 1989 On %j�j��,� /� jCf �7 , before me, the imdersigned, a Notary Public in and for the Cowty of Orange, State of California, personally appeared �n-� ��ii�.-rr�i1 D.z,,,:��_ � -' • , ]mown to m� to be the person(,sfi whose name(.s'1 is subscribed tn the within instrun�ent and acknowledged to me that (he/�/tL�) executed the s�ne. WIZNFSS my hard and official seal. I��.� 7`�-�. { S i�at�e ) %?%/i/('.S�fi ��i�C ty Narie (typed or printed) (SEAL) . OFFICi� L SEAL ; Q MAGSF�A HALE � NOTARv n�iyi�� - CALIFORNIA ORANGE CpUNry MY comm, expires NOV 3, 1gg9 a-1 ° — b � 9 z�f�/ �'J,s.Uv„� �Y � uc,r �re.x Pu f, e�af.� n Pw 6/a c k wa // �an.r ��u�%� �awa l/e /,Zo �, �L �ro�rs�y /�yu co��srrn o�e /o�i l6 osrd d 9 wa �dvM�l t� 6+. ,�a�(a!/t� w�Ni�'n 1L6tt �.u�+r� a`' /OtF 96. "' SEE S�/EET N� � �, ��,,, � y� I�I I I — � z3�a�9 �� ; I 3:; ( � :� . J �� I „' I I �� N!J?TF/ 6L� t18! I O Nn��i: . "i 0 -- � .Q m �./nar�i 35 1i9• 9 0" w� aa s �- 0 C J `� 7 �. ~ !� ;� w � �r �y R N 34 �� . rU�',. "/ `��I"� / bo � �°�!� � µ � aa\ � d!; v, s6- �� e� � � r r?�' yJ� ,> J . �� . �n ;,l �� :� �-. � % = � �� ' 1 ��\ p i. � �i _�. �s�. � i 3! 3�.9a' 1,2,G • /; i�" /r i � � / ; i �� 3d S1 w s �' o `n t ' �a � �' `•'•_ .39 � v= n �. s' .L r_ � a'�/ J\ .: o1�j \ `�/ �� l ' ��;' �/ ��_? �. �o•�� I � J?�' � D a��s �.' '- / A ._ � „'- � . ! �� •'' j� 8 5�z n+� � +� _ : / 8 � � � . �- � � f � � O • ��\ � � � CITY OF COS:A M A Yrojett Address Applica`ni's Mailing A dr�sy Owner's Name k Address ��`s'dM Arc En . �• �� Addresz 4�� F_G/... ��:,h Contractoi's Namp ' ' uS AddreSs (mailing) z�� , City License Na. Z(.�(� LICENSED CONTRACTOR I hereby affirm that I �am li� with section ]000) Ot'Oivif my license i5 in full f�Ge ap� c . . AVPlicant to fill in ail speees except tnoze witnin neavy eoraer lines ane sign a11 aDo�opriate tleclaratians. ON PERMIT PE � TRACT NO. LOT NO. UNIT NO. .�� ' � a ��s g � o �3 C1�!��i+i+d rLN, 'r/%]� TYPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q p# / _Phone DESCRIPTION 6fiWORK/USE OF BLDG. S Main Bu ( 'ilAI,TG �[i�dJ No. � TVPEOFPERMIT LI GRADING LI FOUNDATION LI STRUCTVRAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5a. F7. ' OCCUaAN�V CONSTRUCTION TYPE VAWATION 5 ��/ ZONE � GRADINGCU.VDS. ACRES— untler provi5lOn50f Charter 9(Commenclnq Remarks: � r� �, //' ol the Buslne55 antl Pr01¢5510n5 Cotl¢, antl �Sevsel�a..3ZC� 76 U `yl WORKERS' COMPENSATION DECLAR�f710N I hereby atiirm that I�have'a certi(icate c�! consent to self-insure or a certlflcate � ♦f Wo�ke�s' Compenzdtion�'I(��'sur3nce, o� a ce�tlfle/d�copy thCreof (Sectlon �800, Lab.,[� _��I_ • �- ~rlSNL7` L ( \ l` Policy No.7�ti�ry��b Company /��1 8 Ccr[ifietl copy is hereby furni5hetl. Cer�iti,�j��py,ys tiled witb_the city B' ding �ioi . Date./�L7-D-f= %�PP��cant EXEMPTION FROM WORKERS' COMPENS TION �ECLAHATION (Thissection neetl notpe completetl if the pe mlt is far one huntlretl ($100) or Icss). I certify that in lhe pe%ormance of the wo�k for wnlcM1 this pe�m�t Is Issuetl 1 shall not employ any pe�son in any manner So a5 to beCome subject to t�e Workers' Compensation Laws of Califorflla. Date �"�^� Signature NOTICE: If, aitei making this tleclaratlon, you snoultl become subject to the Workers' Compensa[ion provisions oi the Labor Cotle, you must forthwith comply with such p�ovisions or thi5 permit Shall be tleemetl revok¢tl. CONSTRUCTION LENDING AGENCV I nereby afflrm that there i5 a con5truction lentling agency for th¢ performance of th¢ work fot whiCh ihis plrmit iz issuetl (Section 3097 Civ. G.J l.entler's Name Lenaer's A4tlre55 OWNER BUIL�EH DECLARATION I hereby affirm that I am Cxemp[ irom the ConVacto�'s Ucense Law tor [h2 enuowim reason iSecHon 7031.5 Business antl Professional Cotle: Any city or to nie a s�gnea ssacemem mac ne/sne rs ucensea pursuam co me pruvnioin oi Ihe ContractorR License Law (Chapter 9(commentin9 with Seclion 7000) ot �Division 3 of the Business antl Professions Cotle) or that he/She Is axempt 'herefrom antl the basisYor th¢ alle9etl exemp[ion. Any viOlation of SectiOn �31.5- by any appliGant IOr a permil SubjeCtS tne applicant to a civil enalty of not more Ihan five huntlretl tloliars (E500j. ❑ 1, as owner ot Ihe property or my employees with wages as their Sole mm0en5aHon, will do lhe work, antl [Ite struG[uro Is nol Intentl¢tl or offGretl tor �sale (Seciion 7044, Business antl Professional Cotle: Tho Contractor's Licenze Law tlol5 not apply l0 an owne� ot a prope�ry who bulltl5 or Improves thereon, an0 who tloei Suth wo�k himself/ne�selt or through hi5 or he� own employees, provitletl [hat such improv¢menl5 ar¢ nOt intend¢0 oI ofteletl tOr sale. It, however,lhe bullding or improvemen[ Is soltl within one year of com- -pletlOn, the owner will nave the bu�tlen Of Proving he/she tlitl not builtl o� Im- �1rove for the purpose of salo). U 1, as owner DI [he property, am exclu5ivery contracting wi[h IicenSetl cOn- tractors to construct [he Oroject ($eclion ]044, Busine55 antl Prof¢SSlons Cotle: The Confrattor's Li[enze Law tl0<s pot apply to an owne� ot property who buiias or Imo�oves tnereon, antl who contracts for suth projects wlth a con- [rattor(5I I�cense�pursuani to ibe ConVactOr'S LiCenSe Law). I am aware lhat proof of their� Worke�'S ComPensatlon insurance shoultl be provitletl to me. ❑ I am exempt untler.5¢ction B. & P. C. �or this reason � Date Owner - I h¢reby certify tha[ 1 have reatl Ihls applicatlOn antl state �bat the aDove intormation is correct. I agree to comply with all tlty antl county ortlinances antl state laws relating-to builtling conSlruCtion, antl hereby authoriEe �epre- sentativez of, this city to nter� upon tne above-mentionetl prooerty for insp¢<tian Signature CMF OB65-46, rev. 1 Bar Sink Beckflow Preventer eacktlow Irri9ation • eathtubr Clarifiers Dishv.asher Drinking.Fountains Floor Drains Floor Sinks Gas Service �6 �{itchen Sink Lavatories �Trap Roof Drains � Reinspection Fee $15 Duct - Under Ground Duct - Strucmral Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/FacL Blt. ICBO # �ting System & Du ting ❑0.100,000 BTU�OO,OOOBT �_/o� Date�_[y-[1,F_ Reinspeaion Fee � White - 8ullding; Canary - ApPlltant Plnk - A<Wunting; Goltlenrotl - ASze55or $15 Showers Service Sink Sewer Cap : Sewer Connection Solar Colletrors Solar Pipin9 ' Solar Tank Urinal Water Closet Water Hea[er Water Service� AULO�W85II Laundry Trays Isue Fee Hoodor Typel ❑ Canopy Typell ❑ Refrigeration System Sys[em Repair/Altera[ion Fire Dampers . Registers' , Issue Fee 0 $ 3 $ 3 E T Front e Rear A C Fight K Left ' S Ping. Ref. # Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers �Gas ❑Electric Fan F.A. U. Fixtures . Device Boxes � Outlets Switches Garbage Dispoul . Generator �0.5 KW �5-75 0324 I�/ I 6/87 / Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter pover100amps Sub Panel Motors DO-1 HP �1`h-8 Inc.Solar 09-15 HP �16�15+ Microwave Pole Light ' , Range Standing Sections Trash Compactor nA�- � Reinspection Fee � Si5 � � Issue Fee DEVELOPMENTSERVICESREQUIREMENTS� Zoning APProved By Building Approved By . FEES $ 3 O N 1 N G R E Q M T S SUMMARV FEES " � T BUILDING PERMIT $ �+5� SMIP $ � �J PLAN CHECK $ PERMIT � P�UMBING $ � .b BSUANCE � $ � PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ � MICROPILM S MECHANICAL $ TOTALFEE $ � PLAN CHECK 25% $ CONSTRUCTION AND PLANNING POOL & SPA .. i ' APPROVALS Permit# ' Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �. T�� 3. Electrical Conduit Utility�Undrgrnd. 54. Forms 8'7 0'� 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ` 6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE '� D� 7. Footings 58. Electrical Conduit-Undrgrnd. 3 O 8. Foundation 59. Gas Pipe, Undrgrnd., Test �i27 ii 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, [�Undrgrnd. 2-Z'��Yi 10. Structural Floor System ' 61. APPROVAL TO DECK '� �Q 8 �� 17. Property Sewer Line & House Connection 62. Backwash & Receptor-Final Q� 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 77. 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 APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Oucts, Ventilating 71. Product Piping 0 Gas ❑ Oil � 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing ' 73. Undergrnd. Storage Tank � Gss ❑ Oil 25. Roof Sheathing 74. Overhead Hydro \� 26. T-Bar Ceiling (Structurall & 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 ..i ` � 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric NoteS:3-s-+t7-'�qa+r� �oom T�J qrKo.�.i. vK.c.� 34. Final Heating & Air Conditioning �.6'C�0 �,�F �� 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 pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation � � 44. Landscape Irrigation System • i � � 45. Sound Attenuation • E X P I R E D 46. Handicap Regulations .,.; 47. FINALSTRUCTURE&BUILDING L�t@ . 48. Special Requirements Completed • n 49. Electric Release to Edison "' �;y� •-� � 50. Gas Release to Southern California Gas Co ` ': 51. CERTIFICATEOFOCCUPANCY - No. Date i OWNER CHANIDERLAIN� ROD '� DATE 5-15-74 Jf"' 4DORE55 " ' BUILDING PERMIT N0. 3 577 G .RAL CONTRACTOR Owner Bldr. DESCRIPTION of WORK Res.w att.Gar. AP No. 139-252-22 LOT TRACT FIRE ZONE VAWE E 72,000.00 SUBCONTRACTOR ROUGH PLUMBING ' PROP. SWR. LINE Q HOUSE CON. SPRINKLING SVSTEM . . FOUGH MEATING AN� AIR CONOITIONING TEMPOPARY SEHVICE OH POLE UNOEFGROUNO � POWER ROUGM WIRING TRENCNES 1 FORMS STEEL RE FLOOR SYSTEM BOND BEAM n $TEEL PEINFORCE [ SXEATHING FRO�-tE r1ND FLASHING � L IG — IN OIIT _ PLn,sfER. BROWN COAT � - ' ,: 3b577 � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX1200 COSTAMESA,CALIFORNIA92626 - For Applicant to Fill in Completely BUIIDING � `� ) ADDflESS v L � OWNER ? L . MAIL . .. . �' " _ _ . . ciTv ,�� CAN5TRUCTION IENDER BRANCH ADDRESS ARCHITECT CONTRACTOR �Jw, ADDRESS CITV STATE LIC. NO. SI2E OF LOT USE OF EXISTING BLDG. SI2E OF / NEW BLDG. �O OQ "� EXTERIOR WALL COVEIiING USE OF BUIIDING ANF TEI. NO. ,LFIZ 0�/i.D�%t TEL. NO. CITV LIC. NO. INO. OF BLDGS. NOW ON LOT O. O F OOMS STORIE: ROOF COVERING' WOPK TO BE PERjOFjfv}ED _ R BUIL�ING ADDRE55 FIRE ZONE APPROVEO �f�, ;::.�:,:Q a _,:r—�-�:•�.,�.01 ��c- 7.7_; FOR BUILDING PERMIT �TE RECEIVED DATE ISSUI -.2 �l3 �'.-�c; )NFjf / NO.OF� �, PLAKS I VAIiD$ APPROV ED MAIN BUILDING ROM GL STREET) DISfANCE MAIN BLIX VAR. � C.U.P. # APPROVEO � VALUE i i �GROUP DATES �� VARDSAPPROVED DATE APPROVED & I hereby acknowletlge thac I have reatl this apDlication and sta[e �` v ��'� � ., ihat the above information is correct and agree to comply with all laws reguleting builtlin9 conshuciion, entl I shall not employ � any person in violation Of the workman's compensation laws of [he State of California. m I hereby certify that I am Proparly licensetl as a contractor under SQ. FT. � o the State ot Calitornia B�siness antl Professions Cotle, Divisicn 3, THE AMOVNTSHOWN UNDEF VALUATION IS FOR � Chapter 9, antl chat suc� �icenses are in full force antl etfect, or I THE PURPC6E OF ES"fABLISHING A PERMIT FEE ONIY: m am exempt trom tl:e provisions of the Stete ot California Business � VAIVATION � antl Professions Cnoe, Division 3, Chapier 9. Q-tJ pERMIT FEE $ � SiOnature o� %% �/ // � � /f �(,�p/� L m Permittee Cie�� Cp�.� $�/// /�/J]Q PLAN CHECK $ i�J E i p� ��Gp�� o Authorizetl Aeent f TOTAL FEE $ LL �`� � ;, � , Pntu �:...,, �� h-74�,.� b0 b�o �.....�g,•,5C � ' 31s7 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 AP LI ATION FOR BUILDING PERMIT for Applicant to Fill in Completely RE 1 gV DATE RECEIVED DATE ISS E BU7LDING � � �j � APDRESS ERM T NO OWNEF G S` G�H7� L/.%) A.P.NO. � � MAIL BVILDING i ADORESS .I- J-p p L� ADDRESS G a U CITV f�+ j�L C[.�' NOL- / TFACT� 7 LOT BLOCK zZ a CANSTRUCTION W A D ALT P O � LENDEF a ¢� J 7 BRANCH J N OWNER m J ADDRESS VAWE ' � ARCHITECT TEL. SE . S `-� J d OF ENGINEER N U Q FIRE '� wCL ADDRESS �ONE VPE GROUP d w APPROVEO W z CONTRACTOR "� BY DATE � � J � mz J a ADDRESS W w TEL. ZONE NO.OF USE OF NE �� CITV NO. P�� BUILDING � zr W � STATE CITV VARDS APPROVED VARDS APPROVE� N a LIQ NO. LIC. NO. MAW BUI�DING ACCESSORV BUILDING �� SIZE NO.OF BLDGS. (FROM C/� STflEET) OF LOT NOW ON LOT FRONT FT. G USE OF EXI5TING BLOG. 51 FT. fT. F-' SIZEOF NO.OF � �� Z NEWBLDG. ROOMS STORIES �.SIDE F FT. U EXTERIOR WALL ROOF � � COVERING COVERING REAF FT FT. J VSE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& n' MAIN BLOGS. ACCESS. BIDGS. a VAF. # DATE a � �� a QU.P.#-` qPPROVED ° �Ro� pU- � — - z HOLD FOR SPECI L REQUIftEMEN'PS 0 UI hereby acknowletl8e ffiat I have read ffiis apPlication and stete � thet the above intormation is carract end agree to comply with � all laws regvlaUng builtling consVuction, antl I Shall not Bmploy r any person in violatio� of the workman's compensation laws ot the S[ate of Calitornia. yr m zI hereby certify that I am properly licensed as a contractoY untle� �� SQ. FL ��L� O the State of California Business antl Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � Chapter 9, and that such licenses are in full fo�ce antl effect, or I THE �URPC6E Of ESTABLISHING A PERMIT FEE ONLV: ¢ sm exempt from the provisionsof theState of California Business VALUATION antl Professions Code, D��ision 3, Chaptar 9. N PERMIT FEE $ ] Signature ot m Permittee $� PIAN CHECK $ E Authorizetl Agent �ro LL TOTAL FEE $