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Home My WebLink About160 MCCORMICK AVE - Building Permits Job #7501 Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. .•• r�a. OF COSTA MESA PERMIT N9 TRACT NO. LOT NO. •BLDG.NO. CONSTRUCTION PERMIT /v02 .�-/ C 9833 12/22/81• 12.50 Project Address 160 McCormick Lane TYPE OF CONSTRUCTION ifs . - • ' Owner Transcom Phone 979-26 0❑ NEW 0 ADD 0 ALTERATION yyQ ' Address 160 McCormick Lane CM, Ca. 0 REPAIR 0 CONVERSION ❑DEMOLISH I'IJ ZONING REGULATIONS Arch/Eng. ., License No. 0 OTHER DESCRIPTION OF WORK - A.P.$ Address ZONE PLNG.TTpREF.5;6 ni Contractor Graham Bros. , Inc. Phone 5 •-1• PR TYPE OF PERMIT SETBACK LST. OggPEIRTV 9NE 00 Address 2952 Century Pl. CM, Ca. 92626 0 GRADING 0 FOUNDATION 0 STRUCTURAL SITE YARD 1 LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL OPLUMBING Cs}101CCHANICA IDE YARD I hereby affirm that I am licensed under provisions of Charter 9 (tom- RIGHT mencing with section 7000) of Division 3 of the Business and 0 OTHER Professions Cods, 80,c1 my license Is In full force24,,W6�({ect. PROJECT-DESCRIPTION REAR YARD(TO P/L) rV License Class lick Gl) �f License No.No. O �Y PKG.SPACE REQ. PROVIDED `V Date Ir2—I6 e/ Signature ado —40 as Ccr. SQ. FT. WORKERS'COMPENSATION DECLARATION OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEE$ I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION_ ZONE ZONING APPROVED BY I DATE .certificate of Workers' Compensation Insurance, or a certified copy '^eregf (Sidi �F�2 1c.). Unigard hs. GRADING CU.YDS. ACRES SPECIAL CONDITIONS: �Jllcy No. - Company i Certified copy is herebyfurnished. REMARKS: - ' ❑ Certified copy Is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or leu). • 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 PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers Compensation Laws of California. • UW tLLING GHRAGE Date Signature BATHTUBS SHOWERS e e NOTICE: If after making this declaration, you should become subject TOILETS URINALS GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply with Such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW 50+ KW revoked. CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1-10 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS (INC.SOLAR) 10-50 HP 50 + HP • formance of the work for which this permit Is issued (Section 3097 Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES Lender's Name Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS I hereby affirm that I am exempt from the Contractor's License Law for - the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP LONS I HUL I IUN Any city or county which requires a permit- to construct, alter, d POLES METERED SUB Improve,demolish or repair any structure, prior to Its Issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB quires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS SERVICE AMP (Chapter 9 (commencing with Section 7000) of Division 3 of the li"-'loess and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT for the alleged exemption. Any violation of Section.7031.5 by applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS .lot more than five hundred dollars ($500). • ❑ I, as owner of the property,or my employees with wages as their 'SOLAR TANK COLLECTORS sole compensation, will do the work,and the structure Is not Intended or offered for sale. (Section 7044, Business and Professions Code: The/ SOLAR PIPING SYS. ISSUE FEE Contractor's License Law does not apply to an owner of a property APPLICATION APPROVED BY DATE who builds or Improves thereon, and who does such work himself o ISSUE FEE through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or Improvement MECHANICAL • PLAN CHECK SUMMARY OF FEES is sold within one year of completion, the owner will have the burden of proving he did not build or Improve for the purpose of"sale). HEATING SYSTEM 0-100,000 BTU BUILDING PERMIT $ SMIP S ❑ I, as owner of the property, am exclusively contracting with AND DUCTING L. licensed contractors to construct the project (Section 7044. Business 100,000+BTU as t aJ PLAN CHECK $ PERMIT and Professions Code: The Contractor's License Law does not apply to ISSUANCE $ an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such projects with a contractor(s) licesned pursuant to SYSTEM 100,000 +BTU PLAN CHECK S GRADING $ the Contractor's License Law). 0 I am exempt under Section B.& P.C.for this BTU _ ELECTRICAL $ $ reason PLAN CHECK $ MICROFILM $ Date • Owner SYSTEM REPAIR,ALTERATION w TOTAL FEE$ I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL. $ I]14r LESS AD- Information is correct. I agree to comply with all city and county �I f1 PLAN CHECK $ . VANCE PC $ ordinances and state laws relating to construction,and hereby authorize /MC//ZE.'ALDA/ 4-45 Q/Pell/S . representatives of this city to enter upon the above mentioned property for/Is�sp�ctlon purposes. Si1�i1 Signature L^•r" a�IT'L Date/9-1 e--pFINAL FEE $ 42 SO Drivers'License or SS 5K ISSUE FEE 3 CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor • a I CONSTRUCTION AND PLANING POOL&SPA ' - �- APPROVALS Permit#� Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel Reinforce 47. Rough Plumbing & Pressure Test 6. Electrical UFER Gm 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undrgrn 8. Foundation 50. Gas Pipe, ❑Undrgrn,Test 9. Water Pipe-Undrgrn 51. Backwash Lines, P-Trap. ❑Undrern 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final 12. Street Sewer Connection - 54. Heater & Vent-Final 13. Rough Plumbing 55. Plumbing System -Final - 4' 14. Rough Electric-Conduit .56. Electrical-Final 15. Rough Electric-Wiring • - 57. Solar System-Final 16. Rough Heating & Air Conditioning 68. Fencing & Access Approval 17. Ducts, in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough_&Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathing 22. Frame and Flashing NOTES: 23. Insulation 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final Electric _ 29. Final Heating & Air Conditioning F/ p/f'J .41-i�'� 30. Final Gas Pipe-Testeq/E-1 /.-/PC 31. Final Plumbing . tt 32. Water Service-Final 33. Gas Service-Final 34. Solar Domestic-Final 35. Landscape Sprinkling System 36. Sound Attenuation 37. - Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date I IiaAS PtPC t,D t ' 30 Rom -E Oxt eoo F } z i a d Na n It>, te4-6 n N., . : D • z . , j zJ J n a d I I - . . - - - i a 0x , H 11 o m o 1 -\- -Al ro • W I oft X,I.-14OT t`ntrr E}S4TcP 20Mt CT CAPMc it'? It* 66-0 arc S Tp.msc - - - - - : - (roo McCzDRMIc K -: RoGartSt+AwT�tk2.00 r 'TNe.t2MAS T AT e S`TA: Pt s4 . ... .. ... -- - 1a--. 15-s r J , - • -ra-s-eCJyJ—__ " ,> - act 32/ ,; n:r:. ._ras. d: rrr. end., In .4E952 Century Pi. • Iz)utr.O-I - I -,n M\Pt 1e-c Litr1g- , ?-.s. 1751-1P. - 40 . A, testa Mesa. Calif. 92626 ('nc Al 1 - . .4 '. _ .4C / 4 C D. - 34 (714) 546-1653 C 20248604 1GOdr_iNcS_4{J op "; E.A-riHA ) /SAD • FARM " z/N inG.L.T. D.I i 2).T- J. I4 T ' U- QTvH i:;/A&:- - N { 4�0 { 11\/1 I l 3b t /b It to-Stan E ! I •• \-1I GOO ij36,1 1.44, t-1/0256 tea�> { # D i } 3G 1 * I8I4 , 14o i. I.', Tl Y IC rt \ ;=� 1i 3NIL �� 2 -G 6- lQ�o i i I S 133 = -r 8o4 ,6O I =9- �/ `.I • • i Jo`,,-\e.- N is E".' I IC- i } I , yam- �`.% t .5. ~ e U.Z; rr6E- _l_. CrRATOJ 1 4 /- O C T. D.- 1022 8400 I j a t%/ IST 6,C-til-,?w Pr_2 LiLl 22-..0 I 7 f I i �--...,, G 7\i `% illi-J0 •a'i.>1 I'Duct Le.ss /s% - 7274L - i �u,tiEY - l = Ta„� x L3 = wet o2b9rSD . • . — SO/ F9-0m_ -r - 00. gOOP 1 1 )- N 1 . ecr: P2 - - _ ' _7) _ • (3 n- , a-- , .• . . _ _ . .... , _ i ..... 1 • - I Icla) E - Cl - 1--- . • 1 i ' L . _ -0 I 13 , 1 a c•-a 4 < • m 1 . I . ci_ xis _ L - CL n C'D at/ I 1 1 tI - -.- r...x. .,...., I - 0 CI ar ;s. en ca lab i - - • ' 1 1/4Y 2L-----/- 1.0 P.... ?(A.....„1 40 7 LI 6i cr t+EATE-R_ sa Bo b-i 4 eT CAPACITte liar 0-0-0 BTOC TP-Altigeoe-N_ . . 100 tA.C.CORkicK_ , ROGazt.S WI Lo'Trii 200 r -rtitV-ILLOSTA-C. d0571. • - .-# , • _ . . uI31l(IM l,1 S. ti;. 6, Air- I; 6• .e52 Century P1. Gol/1 - - ..r LA - 's`.'.. _ . T.J. 1 L7-tP. - - D "Costo Mesa. Calif. 92626 enCTA Mr= j/01/-/RIRJJ/A -r: D. - 3A• t= (714) 546-1653 C 20248604 GoaL,Ne. — ap LEJA, Ir6 l/JAD -- { ARC\ a" Lb `' C-.L .T. C.4 I G.;. U. AT -. U-- 3-T u i-{ l 1 3G i 6b 144.10 I L • . 6O0 3G [Geo v-1/0256 LcD • , 4-2O • 36 1o* 1R14 ' 14° ; : ----1-no,-Ls /\ it '_r Lao1'�- (-(d I '\ f 3 , ltlZ 4-09 3.2- -CL6- ['S&L:, rr �, , , I 13c; 133 :ar 3.0 'GO 5I i J.L.4.±i i5 I\I"rt.- i 3.H et_ 4..g, ri6E- 1 rm. s . AIi--- - /.6g D. — ! l I /02r i LT Ricrial( i AOt Y. - I5ZS. SOD i ; Loa? 1816622,440 PcePLe_ 230 -as a. SEIJs1 2..--E —) lou,P. 1 Aill 1 //no i:1>Z>I (Duct s /S% - 07-H E. 1 l 1 ell #4"5i`t�- . _ T74 L — I 4._.40 !u -( { d = Tarr. x / 3 = i6G1026% 0 Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA P MIT N TRACT NO. LOT,1;'O. BLDG.NO. • 'CONSTRUCTION PERMIT 3 /5, R Co 5t08 L �, 7751 6_/1 5/82 153. 13 TL • • Project Address / (o 0 }y) CCo g a.. L K. ,4-i/_ TYPE OF CONSTRUCTION-NS , Owner TQ4� CO (.y� Phone _ 0 NEW l7ADD 0 ALTERATION 1 . Address /4.0 int(ton Ho a• 0 REPAIR 0 CONVERSION 0 DEMOLISH /7 - Arch/Eng, FJD AAA) Aa Aq: , License No. S•6 Z& '0 OTHER q A P �Lv �1 ZONING REGULATIONS Address DESCRIPTIONOF WORK 4Di) 7o EAIS T ss.tcj It, i—,0� 1 — 01 /G 2 c. 57L,,,Er L•4./« ZONE PLNG. REF., _ $ ?02�f�F 'PL.4TFoQ.V1� MP ' Contractor 44-7rON(.))0 p- t.4f4«eVPh6ne •c250� TYPE OF PERMIT - - f BUILDING • Tp BUIL ING ' ,Address _ _ _ �,� SETBACK C/LST. PROPERTY LI • e) ';(s1 T[.�'E 0 GRADING ❑FOUNDATION L75TRUCTURAL $ SIDE YARD •• • ,d LICENSED CONTRACTOR DECLARATION LEFT P`� p� 0 TENANT 0 ELECTRICAL ❑PLUMBING ❑MECHANICAL •SIDE YARD t'y 'O I hereby affirm tint'I am licensed under provisions of Charter 9(corn- * RIGHT " s�� C) 1 mencing with 'section 7000) of Division 3 of the Business and 0 OTHER - - - • • � p/(� Professions Code, and my license is In full force and ell. REAR YARD(TO P/Lre •Y` C - - --.,-3005-9 PROJECT D SCRIPTIO ' • - . License Class LIC- seT $q. FT. 5-3 'r PKG.SPACE REQ. 53i .PROVIDED• 3 I Date SS/ Signature --/ . . 5i.4 -.• ��/U STREET WIDTH • PARK FEE$ 19 WORKERS'COMPENSATION DECLARATION / - OCCUPANC•V_er_LEfl NSTRVCTION TYPE, / „ I hereby affirm that I have a certificate of consent to self-insure ora ZONING APPROVED BYN W� I DATE/_ w` G`7 ' Certificate of Workers' Compensation Insurance, or a certified copy VALUATION r Z�IE W SJL _ thereof(Se Ion 3800,Lab.C.). / GRADING CU.VD /a�3s ACRES • SPECIAL CONDITIONS: ' Policy No. O'OA03fl SCompanyU. . F/AL1!T,/ Certified Copy is hereby-furnished. C(�. 4.m#t"Ill REMARKS: A�/ • - - Certified copy is filed with the city Building Division. rel,° ^mss+^-L' C-t EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Q .j,rel,° (1 —j ra—'1' �/ - - - I' (This section need not be completed if the permit Is.for one hundred s-.; 0 ( /M]p 53 - • - ($100) or less). / G, •�2 • -' 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 -PLUMBING , PLAN CHECK , ELECTRICAL - PLAN CHECK subject to the-Workers'-Compensation-Laws of California. UWtLLING - - f�AHAGt - Date - Signature BATHTUBS SHOWERS SO FT- SO FT - NOTICE: If after making this declaration, you should become'subject. TOILETS ' - ' . URINALS GENERATOR 0-1 KW_1-10 KW _ - - • to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER - , forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW_50"+ KW revoked. • --- - • - - - - -- - - CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP_1-10 HP - ' I hereby affirm that there,is a construction lending agency for the per- SERVICE SINKS SUMPS - (INC.-SOLAR) 10-50 HP_50+HP - -- -. formance'of the work for which this permit is issued (Section 3.097 • • - _ _ - - Clv. CJ. \ _ FLOOR SINKS, FLOOR DRAINS -' _FIXTURES • OUTLETS SWITCHES Lender's Name. ' - _ _ _ _ _ - Lender's Address ' DRINKING FOUNTAINS - GAS TUBE SIGNS OWNER BUILDER DECLARATION .. INTERCEPTORS CLARIFIERS 1 POLE LIGHTS - ` -- ' I hereby affirm that I am exempt fromthe•Contractor's License Law for \ c „ • the following reason (Section 7031.5 Business and Professions Code: , SWIMMING POOL - P TRAP -c.urvs[Hut-I ION .. _ - Any city or ,county which• requires'a permit to -construct, alter, - POLES METERED SUB .•- improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION' - PANELS • MAIN - - SUB " quires the aptlicant for such permit to file a signed statement that he - - - is licensed pursuant to the provisions of the Contractor's-License'Law GAS SERVICE OUTLETS SERVICE - - ' - -AMP - (Chapter 9 (commencing with Section 7000) of Division 3 of the usiness and Professions Code) or that he is exempt therefrom and-the WATER HEATERS BTU OUTPUT - rsis for the alleged exemption. Any violation of Section 7031.5 by • - • - ty applicant for a permit"subjects-the applicant to a civil penalty SEWER CONNECTIONS - - ' , ' - - - - of not more than five_hundred dollars ($500). I - , 0 1, as owner of the property,or my employees with wages as their SOLAR TANK - COLLECTORS - - -- .. . - - - - - - sole compensation, will do the-work,and the structure-is not Intended _- _ i or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ' -ISSUE FEE - - Contractor's License-Law does not apply to-an owner of a property __ _ ////�Z who builds or Improves thereon, and who does such work himself or ISSUE FEE - APPLICATION APPROVED BY' ei, DATE through his own employees, provided that such Improvements are not !f// . intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF,FEES is sold within one year of completion, the owner_will have the burden - e „of proving he did not build or improve for the purpose of sale). BUILDING - 'Ze� --- - "^ - Q HEATING SYSTEM 0-100,000 BTU :PERMIT $ O -n , $MIP l •, _$ 7. 2`l 1 0 I, as Owner of the property, am exclusively contracting with AND DUCTING - - - - ^ ' ' ' - . " •- - licensed contractors to construct the project (Section 7044, Business 100,000,+ BTU PLAN CHECK $ q3e / C/ PERMIT ),', I and Professions Code: The Contractor's LICense Law does not apply to - - - K.J' t 'ISSUANCE $ • an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU ,PLUMBING $ tracts from such 'projects with a contractor(s) Ilcesned'pursuant to SYSTEM - - - - - - - - ' GRADING. $ ' the_Contractor's License Law). 100,000 +BTU- - - , -.PLAN CHECK $ - 0 I am exempt under Section - - B.& P.C.for this BOILERS BTU ELECTRICAL $ - - - $ M reason - - "" -- - - MICROFILM E ' SYSTEM REPAIR,ALTERATION PLAN CHECK $ I�r Date • - - Owner - - ' MECHANICAL $ - - - - TOTAL FEE'E S I hereby certify that I have read this.application and state that the above, EXHAUST SYSTEM MULTIPLE 'LESS AD- information is correct. I agree to comply with all city and count -• PLAN CHECK E VANCE PC $ • - ordinances and state laws relating to construction,and hereby authorize • representatives of this city t enter upon the above mentioned ' property forS'¢1'/spectio/q/pur es., /'-/S-42..• / Signature ✓ r(as'i .r Q�'�' Date `� • FINAL FEE 5 3 ' Drivers' License or SS* ISSUE FEE - CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor • CONSTRUCTION AND PLANNI J� - POOL&SPA APPROVALS Permit # ✓ 6 Date Inspector APPROVALS Permit# Date Inspector - 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - - - 2. Soil Pipe-Undrgrn 44. Steel Reinforcement - - 3. Electrical Conduit Utility-Undrgrn : 45. Forms _ .._ .. . ._ 4. _Electrical Conduit-Undrgrn .46. Electrical Bonding - _ _ . _ 5. Steel Reinforce 47. Rough Plumbing & Pressure Test - _ _ 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE - - .. . . . . - • ' 7. Footings • - 49. Electrical Conduit-Undrgrn . . " • 8. Foundation ... , - 50. Gas Pipe, ❑Undrgrn,Test • - 9. . Water-Pipe-Undrgrn t" C • 51. . Backwash Lines. P-Trap: ❑ Undrgrn - S 10. Structural Floor System . - 52. APPROVAL TO DECK - -- • - • - - 11.- Property Sewer Line & House Connection _53. Backwash & Receptor-Final 12. Street Sewer Connection . - • - 54.'\J-leater& Vent-Final 13. Rough Plumbing - • - -' . - • - �5. Plumbing System-Final ' 14. Rough Electric-Conduit -- -56. Electrical-Final - 15. Rough Electric-Wiring . . - - - 57. Solar System-Final ' • ' 16. Rough Heating& Air Conditioning - - 58. Fencing & Access Approval 17. Ducts, in Structure _ 59. APPROVED FOR PLASTERING • 18. Ducts, Ventilating . 1 - - 19. Gas Pipe-Rough &Test '60. POOL/SPA SYSTEMS FINAL ' 20: Roof Framing . 21. Roof Sheathing _ - _ • 22. Frame and Flashing • NOTES: - 4' /9- '--'' �/,,�/,'"�''�'",,."1-p'" d-- ya4 23. Insulation _ _ Jf/�`g,. :'el cn �r !r� oC.n, r7' "�.�- ;1 24. Lathing & Siding - - .. - ar„_� ,J (/' '-� �-. 25. Drywall Nailing _ - ,9-., c" a O a. .-- • r U �ht,t� v'Cc:�" i,✓'v,.,._ J 26. - Plaster.Brown Coat �„�. / (/ , "-c3 3 c:� �.y 27. Electrical Power Meter-Final ,o-„P. Q,,._ 9 -,f.- - '--43 7"l -7_6 _,ga.• 28. Final Electric - _ -_ . d (� ' 29: Final Heating &Air Conditioning - • - . . ' 30. Final Gas Pipe-Test . _ 31. Final Plumbing ' • 32. Water Service-Final - -- - - 33. Gas Service-Final - - 4. 34. Solar Domestic-Final - • 35: Landscape Sprinkling System _ ' ., - ' 36. Sound Attenuation 37. Handicap Regulations - - 38. FINAL STRUCTURE & BUILDING (Ny _-yd) 7-4,-?57. B '7.1 ' 39. Special Requirements Completed 40. Electric Release .to Edison • - 41. Gas Release to Southern California Gas Co. . 42. CERTIFICATE OF OCCUPANCY - • iiii. No Date _ • - _ -, _, - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - CITY OF COSTA MESA PERMIT NO. • - TRACT NO. _ LOT NO. BLDG.NO. • CONSTRUCTION PERMIT P ISS Project Address' 1 0 Ai �. i - TYPE OF CONSTRUCTION -U NEW 'U ADD U ALTERATION REPAIR . . 68 • �; 3/21/84 Sepl TE • Applicant's Mailing Address(� r-e^ - Olatlit 7�r d '' a C ❑ CONVERSION ❑ DEM•ISH ❑ OTHER _ - A.P.# (Zone - o ' Owner's Nam =�Qr, J^^`4�YY^?4 Phone IQP ON pF. RKf_. x' •: • yam_ •= /Nam., O Q l ACI ��jjjJIL �I •E Main Building: ' Accessory Building: .O Address, (G "'C TYPE OF PERMIT GRADINGQ FOUN• •TION LI STRUCTURAL _ • T. Front - . - - N Arch/Erig. • _ License No. - - ❑I TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear • 1 .. ❑ OTHER A • • N Address �y 3/ - • - Q-e1 PROJECT DESCRIPTION SQ. FT. �% OCCUPANCY K Right H Contractor's Nam'. '-::2-.. t.A, • Pv�hnone (�., ,J// JLeft E Address(mailing) �" CUM .0- - i`'f "`�' �""•'`•/ ZONE TRUCTION TYPE GRADING CU.VDSVALUATION ACRES S City License No. 7 �� C-'� ',Plug. Ref:# Park.Fees $ - Q LICENSED CONTRACTOR DECLARATION - Remarks: Parking Req./Provided , . I hereby affirm that I am licensed under provisions of Charter 9 (commencing - R with section 7000) of Division 3 of the Business and Professions Code,and . • Use of Building: . . E my license is in full I. ce and effect. f1^ 6—.2. a-. License lass e- _ - _� L' ense No. �7 P.,) PLUMBING FEES Planning Notes: E Date • Signature sarr.[T '� ___ - • WORKE-S'C•MP NSATION DECLARATION ' T Bar Sink Showers N I hereby affirm that I have a certificate of consent to self-Insure or a certificateBackflow Preventer Service Sink - - S of Workers' Compensation Insurance, or a certified copy thereof (Section illoI 3800, Lab. C. Backflow Irrigation}s e/(/9' '• -&,Qt/(, • _ 9 ,Sewer Cap ELECTRICAL FEES /A Policy No. `T `( n Company -1 Certified copy is hereby furnished. Bathtubs 'Sewer Connection, ,,.2 60 Automatic Washer - Transformer 0 15.50 KW nn 8 Cert fie co fled with ci y 6 "ding i n. 0 50+KW ;V Clarifiers Date //y 1//y1 � thean Solar Collectors Construction Pole Sub. EXEMPTION FROM WORKERS'COMPENSATION ECLARATION Dishwasher • Solar Piping (This section need not be completed if the permit Is for one hundred ($100) or P 9 Cooking Unit Meter ❑up to 100 amps less). r Drinkin Fountains I certify that in the performance of the work forwhich this permit is Issued, 9 Solar TankDishwasher Meter Clover 100 amps shall not employ any person in any manner so as to become subject to the - Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel Date Signature NOTICE: If,,after making this declaration,you should become subject to the Floor Sinks Urinal - - Fan • Motors 00-1 HP 01%-8 Workers' Compensation provisions of the Labor Code, you must forthwith . comply with such provisions or this permit 'shall be deemed revoked. Gas Service Outlets Water Closet F.A.U. Inc.SOler ❑g-15 HP 018-15+ CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance Interceptors • Water Heater Fixtures ' -Microwave of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Kitchen Sink . Water Service Device Boxes Pole Light Lender's Address Lavatories OWNER BUILDER DECLARATION - Outlets Range I hereby affirm that I am exempt from the Contractor's License Law for the P—Trap following reason (Section 7031.5 Business and Professional Code: Any city or Switches Sign 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 Roof Drains Garbage Disposal Standing Sections to file a signed statement that he/she Is licensed pursuant to the provisions of he Contractor's License Law(Chapter 9 (commencing with Section 7000) of Generator ❑0.5 KW ❑5-15 KW livision 3 of the Business and Professions Code) or that he/she Is exempt Trash Compactor 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 Reinspection Fee enalty of not more than five hundred dollars($500). pe $25 Issue Fee $ 3 . nsI, as owner of the property or my employees with wages as their sole MECHANICAL - Reinspection Fee $25 Issue Fee $ 3 compensation will do the work, and the structure is not intended or offered FEES for sale (Section 7044, Business and Professional Code: The Contractor's - PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or Improves Boiler • Hood or Type I 0 thereon, and who does such work himself/herself or through his or her own - Zoning Approved By Date employees, provided that such Improvements are not intended or offered for Canopy - Type I I 0 sale. If, however, the building or improvement is sold within one year of com- ' Duct-Under Ground . pletion, the owner will have the burden of proving he/she did not build or im- Building Approved By pp Date rove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By CI X*, if)./A_.// Date 3��-�/�� 0 I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating 0o-100,000 BTU 0100,000 BTU SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who BUILDING PERMIT $ builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration $ SMIP tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# - PLUMBING $ `] ISSUANCE $ Date — Owner Heating System& Ducting _ PLAN CHECK 25% $ ENERGY P.C. $ ' I.hereby certify -that I have read this application and state that the above 0o-100,000 BTU ❑100,000BTL ' - ELECTRICAL GRADING $ • information is correct. I agree to comply with all city and county ordinances $ • • and state laws relating to building construction, and hereby authorize repre- - PLAN CHECK 50% '$ MICROFILM $ sentatives of FIs city to enter,upon the above-mentioned property for Inspectiot pure,�ses. 1 Gr& a t 3-_j e • - MECHANICAL '$ TOTAL FEE I$ � OU Signator. • eQ`/.aJ Drivers' License or SS#1 - / I Reinspection Fee I $25 - Issue Fee - • . $ 3 PLAN CHECK 25% $ - . - CMF 0865-46 rev.12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - '- C. .CONSTRUCTION'AND:PLANNING POL a SPA -. - - - Date Inspector Date. Inspector . - -APPROVALS : Permit# - - APPROVALS Permit# r. 1: Temporary Electrical Service or Pole 52. Pool & Equipment Location - , .- 2' Soil Pipe-Undrgrnd.' - 53: Steel Reinforcement _ - 3? Electrical Conduit Utility-Undrgrnd. ' ' 54. Forms . 47 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, 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 'f??/p✓ / G/'f 62. Backwash & Receptor-Final - "' 12. Sewer Cap "TI �' CC (��^� 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 • - -- r .16. 'Rough,Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING - • 18. `Rough Electrical-T par Ceiling 69: POOL/SPA SYSTEMS FINAL - - . . 19. Rough:Heating & Air Conditioning FIRE DEPT. REQUIREMENT _ •• • 20. -Rough,Factory' Fireplace. APPROVALS Permit# . . 21. Ducts, in Structure 1 70., Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • 23. Gas Pipe-Rough & Test - 72. Underground Flush - I • 24. Roof Framing 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 I 76. Dry Standpipe - i 28. Lathing & Siding r . , ' 77. FIXED SYSTEM FINAL 1 29., Insulation - • , 78. FIRE PREV. FINAL . .-30. Drywall Nailing . , ' • HEALTH DEPT. REQUIREMENT • i I i . - ' 31. Plaster Brown Coat • . 79. FINAL INSPECTION 32. 'Electrical Power Meter-Finalj. 80. FOOD CERTIFICATE ISSUED _ 33. Final Electric Notes: • __ _ __ _ 34. Final Heating & Air Conditioning .- 35. Final'Gas!Pipe Test I . . ' 36. Hood or Canopy, - - - - - 37. Final Factory Fireplace ' ' ' - • . - - 38. Final Plumbing - '• 39. Water Service-Final , 4 ' - 40. Gas Service-Final 1 ; ' - - 4 41. Solar Domestic-Final - - - 42. Backflow Preventer 43. Backflow'Irrigation• , 44. Landscape Irrigation System I • I ' - r- - _ 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. CERTIFICATEOF'OCCUPANCY • • . , -- - . - - • No. _ - : Date - . - - -- - . -