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ahn- CLIP{ i-( L61`T _ __ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 048 2/09/UJ OU 1L
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CITYIOF COSTA MESA • TR CTION PERMIT P TRACT NO. SLOT NO.' I UNIT NO.' I I I I, n '
Project Address O�O / `••'�' 'OPIA, I '^ ! ' ! ,
• Applicants Mailing Address I • i i A II f .� TYPE OF CONSTRUCTION L.l NEW :U ADD! ii•ALTERATION EPAIR r - ( ` I I
I '�f II/1/rI` pc_9- 'E CONVERSION El DEMOLISH 0 OTHER - __' _ - _ _ A P # _ I _ _ _ _ '_ _f _ Zone_ _
Owner's Name •
cc
l(,fn nS� Phone -01-0 U !DESCRIPTION OF WORK/USE OF BLDG. - -
Address �11.1� r' • • • S Main Building: Accessory Building: - I I
Z
I Arch/Eng.' I ' License No, I TYPE OF;PERMIT L I GRADING ❑,F ,NIDATION ❑ STRUCTURAL T Front - I I • D
Address - ' t .0 TENANT ❑ ELECTRICAL UMBI NG ❑ MECHANICAL i - B Rear 1 I , 1 I N
Contractor's.Name •�1 .,I/ I I4 •• Phone p.,1i1�1(/CS ,0 OTHER • I •
�. C', j _-• , PROJECT DESCRIPTION. SG. FT. OCCUPANCY Right - ---"" -' - { -" 6 rt g� - 'N
Address(mailing/ t 4 • I • 1 K Left r�ltl�� FEB6 . G
(CONSTRUCTION TYPE 'VALUATIONS s ECE R
' City License No. • LO.77J5 ' : (ZONE - GRADING CUIYDS. ' ACRES ' E
LICENSED CONTRACTOR DECLARA 10 ' (Is
Ping. Ref.4 y Parking Req./Provided I •
•
I hereby affirm Ghat I am,licensetl u rovisions of Charter 9 (commencing Remarks - Planning Notes: -.---
' with section 7000) of Division 3 o h Business and Professions Code,and • -- ' - -- - "_ '
my license is In fol f• c and e(L. /��/ ,ny i I , 1287t - T
' Licen •• I: wt.e. . .Li en No. Legic ~'. ' • ,� (�ECFIVFD;JAW: -9 • S,
�o Date :/�:/A/I�i9Z� ature mammy f „Ai _ : • I ( _ PLUMBING •• ,FEES I I - ,
WORKE-S' OMPENSATION DECLARATION • 1 I - . •
�O hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink 'Showers _ - - '' i ELECTRICAL, '_ 'FEES
1 l of Workers' Compensation Insurance, Io�r ancertlfietl copy thereof (Section Backflow Preventer - • Service Sink - - Automatic Washer - .Transformer ❑'.15 50 KW r
100. Lab. /-I,IAAa�-'I-j / t/l ST�tte/
•
Ilcy No. •
f /151t6anyigtBackflow Irrigation ' Sewer Cap -. '_a 0 50 mos
l rt ified copy is hereby turn• 4 (.f,(1 _ _ ,� � _ -- - r Construction Pole Sub.
1i Cert' I is(�c)spjt t I i r_144.'," yz1, /' Bathtubs' _ Sewer Connection Cooking Unit I Meter ❑up to 100 amps '
, Date ! A p ice t Akl/L� - •- -
•
: EXEMPT N RO WORKERS'COM ENSATION DECLARATION Clarifiers ' . Solar Collectors Dishwasher _ • , -Meter'❑over 100 amps.. .7
(This section need not be completed if the permit Is for one hundred ($100) or - , - - , - •-
less). Dish wether • _, Solar Piping Dryers ❑Gas ❑Electric Sub Panel- - . -
' 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 Drinking Fountains - Solar Tank • Fan
Workers' Compensation Laws of California. I _ - - :: Motors❑0-1 HP ❑iX-8� , ,
. —
' Date Signature ' Floor Drains' ' - SwimmingPool w/Spa - • '- - •
.NOTICE:.If,after-making this declaration, you should become subject.to the _ p ' F.A.U. Inc.Solei❑9-15 HP ❑16;15+
Workers' Compensation provisions'of the Labor Code, you. must forthwith Floor Sinks ' Urinal Fixtures Microwave
-
comply with such 'provisions or 'this permit shall be deemed revoked. •
-
. CONSTRUCTION LENDING,AGENCY Gas Service Outlets Water Closet Device Boxes '
I hereby affirm that there is a construction lending agency for the performance - Pole Light . •
•
of the work for which this permit is Issued (Section 3097 Civ. C.) I ..
• Lender's Name Interceptors I "Water Heater aOutlets Range _
• .Lender's Address,. - - . - Kitchen Sink - _ ._ -Water Service ' .- -. . _ I . - .Switches - •
• - -- - - - —-
OWNER BUILDER DECLARATION . . • Sign - Y
. I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories 'Auto-Wash I . Garbage Disposal i Standing Sections '
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 Generator 00-5:KW ❑5-15 KW Trash Com actor •
any structure, prior to its issuance, also requires the applicant for such permit - - P • ,
' 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- -- • - - - - - ,- - -- - --- - - --. - - -- - i
•
• i therefrom and the basis for the alleged exemption. Any violation of Section , ,
rl1D31.5 'by any applicant for a permit subjects the applicant to a civil ( - ' I '
i+. oaity of not more than five hundred dollars ($500). ' ' 3 . . 1 ,
•_r';J I, as'owner, of the -property or my-employees with wages as their sole Reinspection Fee $15 , Issue Fee• • $ '
7-Compensation, will do the work, and the structure is not intended or offered - - ' Reinspection Fee I $15 • Issue Fee , . . $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's • ' ' MECHANICAL .FEES - -.
_
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 .. DEVELOPMENT SERVICES'REQUIREMENTS: I - :- ,
' employees, provided that such improvements are not intended or,offered for Boiler - I Hood or Type I ❑ - I - -
sale.ilf,Towever, the building'or improvement is sold within one year of com- '" - Canopy 'Type II 0 Zoning Approved By - ' Date
prove , the owner will have the burden of proving,he/she did not build or im- Duct-Under Ground - Building Approved By
prove for the purpose of sale). -
0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System! Application Issued By �N __t 1 Dat
'tractors to construct the project (Section-7044,Business and Professions Code: - •
The Contractor's License Law does not apply to an owner of-property who Duct-Ventilating 00-100,000 BTU-❑,100,000 BTU _ SUMMAR V.OF FEES I - - - '
• builds or improves thereon, and who contracts for such projects with a con- -
•tractor(s) license pursuant to the'Contractor's License Law). am aware't hat - BUILDING PERMIT $ • -SMIP - •- ' $ :
Exhaust System 0' Multiple•❑ • System Repair/Alteration
proof oftheir Worker's Compensation insurance should be provided to me.. - • PLAN CHECK $ _ PERMIT - _ -
❑ am exempt under Section •
B.& P.C,for this reason ' Firepl/Fact.BIt. ICBG#. Fire Dampers E $
_ _ l PLUMBING - $ S� 8�
-ISSUANCE'
Date.' ' Owner Heating System& Ducting ' Registers : -•
PLAN CHECK 25%' $ : • ENERGY-P.C. $ -
I I hereby.certify that I have read this application and state that the above • 1 000 BTU 0100,090 BT . ' ' • ELECTRICAL - $ - - GRADING - $ _ -
.information Is correct. I agree to comply with all city and county ordinances /,/Q - - - u - - -
and'.state laws relating to building construction,-and hereby authorize repre- //5(.. - - PLAN:CHECK 50%_ $ • - MICROFILM $ - _O - -
sentatives of this',city to •nter upon . e above-mentioned property fo J/.,p C�
inspection p,,��.o r ee I I •
717241154.4441
LI. I MECHANICAL $ TOTAL FEE $ l % t-
•Signature wI AMA . I. tri A ,� • Date 724 4a • . . ..
.Drivers' License or'SS*4 '
-
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting;Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# -_ Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location '
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement ,
3. Electrical Conduit Utility-Undrgrnd. 54. Forms' '
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
"5. Steel Reinforcement 56. Rough Plumbing & Press&' Test - •
6. Electrical UF ER Grid. : 57. APPROVAL TO COVER;GUNITE '
7. Footings 58. Electrical Conduit-UndrgEnd. •-
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, OjUndrgrrid i
10. Structural Floor System ' ' 61. APPROVAL TO DECK !✓ • •; ,
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Fi al +.,..2
12. Sewer Cap 63. Heater & Vent-Final •
`
•
13. Roof Drains 64. Plumbing System - Final '
14. RoughPlumbing .- _ 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring - 67. Fencing & Access Approval •
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
� '
18. Rough Electrical-TBar 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: 71. Product Piping 0 Gas 0 Oil -
23. Gas Pipe-Rough & Test • 72. Underground Flush
24. Roof Framing - - 73. Undergrnd.Storage Tank 0 Gas O Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing ' -_ 76. Dry Standpipe
• 28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation - i 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: 6s/v7 [,err .' 1.1.0
34. Final-Heating & Air Conditioning - ' c(-2(-RT Cetera NS Fez .2a3 Cm% C.F.t)
35' Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace, -
'38. Final Plumbing - . ' . -
39. Water Service-Final • - - - - - -
40. Gas Service-Final- 1-
.41. Solar Domestic-Final •
42. Backflow Preventer • - •• •
43. Backflow Irrigation , - - .. -
44. -Landscape Irrigation System ,.
• 45. Sound Attenuation -' - -
46. Handicap Regulations . •-- -
47. FINAL STRUCTURE & BUILDING '
48.-Special Requirements Completed .
49.'Electric Release to-Edison - .
50. Gas-Release to Southern California Gas Co -
51.,CERTIFICATE OF OCCUPANCY _ -
•
No. - Date _
• IC
- * ,
. tinLr. ;F'..,af lefrobSTA MESA_:.I1:r I.':,,, ; :BUILDING SAFETY DEPARTMENT
: : ' POST IN CONSPICUOUS PLACE
I ON THE JOB
I , - DATE ISSUED
.. _ 78 •.
A.P. NO. P• ERMIT NO.
. . . : 4594S ,2.'
I. .'BUILDING ADDRESS
2070 Meadow View Lane '
TRACT LOT • :' BLOCK
I ;
10018
- NEW,.. ADD ALTER REPAIR MOVING DEMOLISH
1.
.1 itx, OWNERS r. - , 9
' "s' ' r T$E t-GREGORY- COMPANY i' . f 4 e v F in. r - • .;
?"-'7`... - • ''%;' USE.q"�.�x .;i ' )" " > > ` '. j s, F ; ; Resw/att -Garage. . «rr , f-.•-• , ,,t
..
' "'et',., FIRE?ONE L TYPE 1 I i GROUP" '•.? t'
/ F-.tix PSJR MD Y ': V I` ',, I, .r, I &�JSr�,
_ tls1 r.xjy r '"t., t.1uzH.Mti*,, is <i :s s hs :,
H.").F•OR JSETB KS '''..41';,':,'-;•'
tt1 r 9t r %NG 51 5 r+_ 1'lui i t t
3' r . Front Yd - ' Side Yd R - L Rear.
,;p 't Side Yd R L .Rear ;'S%'-±,;.'17 '.7:7,:q
!r: r
V.;747,1(1.
4 BUILDING:INSPECTION IFFECORDI ;ti J r i'-?::rt'' -
G ? rT0 '.KEEPG
:BUILDIN .PERMITS,VALID WORK"MUST $ M
E<CO , -
i '- ^.,MENCED WITHIN 60'--DAYS WITH(:ROUTINE 'INSPECTIOPJS A. tT '.
• LEAST EACH 120 DAYS THEREAFTER'UNTIL5CeMPk tED.;tt'nG d , rl
j '` TRUCT AL /q�p?.ht•Yss—:A? ,.i
(•q'• Trenches' . Forms leaiTi��4r3ell:3uG'wSlsrf/55 fr - .
•
Floor System - r r � �J t,{ k
' • • C _ Steel Reinf K i teen° ate' 'r 3,
iIps•' �g�r � r
• 'x.- Sheathing . 5®ash r�1�} 1[HAf"�y�w'p ... - ..
Frame and Flashing . , Yatl.JlT'(''' R!•'�''Is' R"Ie', •
I 4-.±'L `
s ri,.�Q Insulation r ,7��i .
-.' ':J` Lathing„ r •.7.7,1,,-.;!.. !,orr' i!A�� 4 •
+ Dry Wall Nailing x �,•�,� •�'e1�xr.^�,d*- .1L.,4 �� .
Icy:,-- . i 3t' Plaster„if Coat.. .- 6@bi'Q %�@yl, rF,a.-. _ 1
- " ,- k
Y:
t% Regulation'-'_ - .rg
tib .Y ,.
'PLUMBINGr "'. 's. : ,E rS='�?` •d'` ' � i
Sort -- -- •1/.l ilfd'. riarr. r21 ..
-- .,. ' SUnderground Water - �0��ry�� ::- e�
' ry" Rough Plumbing. ---- + 1��✓'+�i��np ^��t'lt` .
¢ Prof Sewer.Line and'House Conn ��'�y 'y�Fpl fell i` •
•
il't ', IF' Street Sewer Conn -. r a!'�.'I.t.�'`•ffi�,,,,,n,�$`''r' �' -r . "
xl '^ir Waterer ice - :,.6I/.OS.V� ° hdi'a4 t-` ''
- Sprinkling System t pl % J
. s • / -
T .
• tI},ir ,. HEATING,AIR COND AND REFRIGE IO
•TN i. i t ' "'
' t Rafr Lines,Pressure Test VC/ `--=+ "
i j ,, Duets,Underground - . o( -i ,'. �,
e �-" Ducts'In Structure '' ii' iL7 w Y
n� F {gam 'Ducts;Ventilating. -- r /� ' it r.' -c 4
k . Rough Heating and Air Cond 'FA '2 t6-P ' { • S
. pis -s. '?
+y " FINAL ' j •p •.•e e S' s g f
1 `-' ELECTRICAL ; .
_4 xt Ei rr> L fy
Underground- - '0 /OTRf,O .1',,75 F'
Power Meter - - - I.
Fry !— C ' r,�
Rough Wiring -
FINAL �! 2f'79
i�' - :Do not occupy this project.until final ins Mion has ,:. '
,.- -' . i
F been made and occupancy has /pprJo/vgd/ .,
�; Building Final - .0 "yI L--..4,r-.?" .,tl ' 3 ,
rti Special Requirements . 7,� /' ;11
1 Occupancy //f /i. ' i '
NOTICE '
24:hr. notification re• quired when the,job is ready for inspection: You !!J
must furnish PERMIT NUMBER and the-JOB ADDRESS FOR EACH
+''• . ' RESPECTIVE INSPECTION. CALL356-5273. ' 6
APPROVED PLANS SHALL BE ON JOB AT ALL TIMES
•
Cl i1' GF COSTA .EEA F-^: -IS= FOR "CU?1.I:CY
TRACT NO. /01t DATE a 9
LOT NO. / Z
ADDRESS 26270 ,'ita.2o /i4c'/� Zsewc
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that (he-she-they)
(was or were) advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa
Mesa as having complied with the conditions of approval which .ere imposed by
the city at the time the final tract nap was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage_ or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
B La
Purchaser
BY
RECEIVEDDeveloper and/or authorized
CITY OF COSTA MESA representative
PLANNING DEPT.
JUN 14.1trO BY
AM PM Lender
77819110111112 1 11213'41516
.r�.
city UP CULL., t4E :A HEQUE:21' ()CCUP/LUCY
TRACT NO. DATE
LOT NO.
ADDRESS -
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that (he-she-they)
(was or were) advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the •
aforementioned uncompleted condition. The undersigned acknowledges that this
agreement is made solely for the benefit of the city and does not inure to
the benefit of the undersigned or any of them.
BY
Pu J . • . s •'RY 0 PA Y
BY / • /'`
Developer a y or authorized
representat ve
•
GREAT WESTERN
BY I i , .
114CNILSHIRE BOULEVARD
BEVERLY HILLS, CALIF. 90211
_. •_74C t st/ la '- I.M.LO.
-� -45942
COSTA MESA BUILDING-SAFETY DEPARTMENT 1.771. 5/30/78 296.97_ _..
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 i'.177I 5/30/ _
.79 296•gg7CKt4
APPLICATIONFgWITRU 4ET)GgMIT -•-I1h " '^
For Applicant to Fill in Completely — Use Ink Only . - "-
RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING V lteat... 0;24.416, .
. ADDRESS
PERMIT NO.Gregory Company /!!c"r36O���A.P. NO.OWNER
BUILDING
MAIL 3187—G Airway Ave• ADDRE S o& 70 J CG,t.Joi.►v
ADDRESS 1
CITY Costa Mesa NEO L' !r7 51-385( TRACT 1001 . LOT. 1IY• BLOCK
CONSTRUCTION NEW IA DIALTER 1BEVINflnFMOI ISH
LENDER
BRANCH
OWNER The Gregory Company
51-385
E
ADDRESS
/ g YAg67@®. 0
ARCHITECT Harrison/Lorenz1 7 ` Uw att ares
OR ENGINEER 0
. SE condo .
ADDRESS 3187—G Airway Ae FIRE
ZONE TYPE V GROUP I&J
Gre or Construction Co. APPROVED
CONTRACTOR g y BY - • DATE
ADDRESS 3187—G Airway Axe
TEL. [[��N1 NO.OF USE OF NEW/ a L/0
CITY Costa Mesa ND. 751-3840 ILN�1— QPLAlS , BUILDING LNr"�KJ
. •
F. STATE 285981 CITY 008179 YY��''YARDS APPROVED YARDS APPROVED
LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE 4,27 iX992 r INO.OF BLDGS. 0 (FROMM C/y§TR EET)
G. OF LOT NOW ON LOT FRONT `T FT. FT.
mUSE OF /}may/y
EXISTING BLOG. •
_ R.SIOF L.C6eFi4G FT.
CM L.5°
•�r
FSeparate permits are required for L.SIDE L. FT. FT:
electric,plumbing and heating work.IL REAR /0 FT. FT.
IM
USE OF BUILDING AND WORK TO BE PERFORMED _ DISTANCE BET. BET.MAIN Be
QMAIN BLDGS. ACCESS BLDGS. •
a new condominium units with C VVARP ' DATE
APPROVED
yattached garage ROVEf��- .j/7 �� DATE 5-4 _78
.a _ELY ( (L(�C
w
ce
HOLD FOR SPECIAL REQUIREMENTS
0 I hereby acknowledge that I have read this application and state
N
04 that the above information is correct and agree to comply with
m
4• all laws regulating building construction, and I shall not employ
WZ any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as aO actor under 1735 SO. FT. 619 garage CO
the State of California Business and P .fession`` •de, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, a • at such licenses are n `T five and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exemp rom - a provisions oft �i a ./Callforn is Business b
VALUATION PERMIT FEE a
and Prof:.Bions Cod ,Divis - Crap
$ 1 ��Q m
Signature • ear ail ��•)�/�� 7 De PLAN CHECK $. / /�1O in
Permittee $ !�+'� /�O vF TAX $ {'l F
D
Auth. .. rr� TOTAL PAID $ ren