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Home My WebLink About2407 NARBONNE WAY - Building Permits� ,t CITY OF COSTA MESA . BUILDING DIVISION i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(774) 754-5273 • Fax (714) 754-0856 • vnvw.ci.costa-mesa.ca.us �.�� FOR INSPECTIONS CALL: (714) 754•5626 PERMIT NUMBER! E07-00890 PERMIT TYPE ELEC STATUS: ISSUED DATE ISSUED: 11/O6/2007 - ISSUED BY: BJK JOB ADDRESS: 2407 NARBONNE WY CM , Suite/Unit: �' . Vicinity: REAR CONDO UNIT � - � � _ � � ' �� . SCOPE OF WORK: ONE 220V DISCONNECT SWITCH FOR THE NE A/C UNIT (CHANGE-OUT) AND MISC CONDUIT. NO OTHER WORK AUTHORIZED WITH THIS PERMIT. REF: M07-OO.J2� �� , � OWNER: CARR, JAMES WILLIAM PFiONE: � � � . APPLICANT: LEMOND, RICK PHONE: 951-086-0337 - � �� Address: 2407 NARBONNE WY Unit: _ ' � City/State/Zip:� COSTA MESA, CA Address: 25920 IRIS AVE Unit:STE 73 A400 City/State/zZip: MORENO VALLEY, CA CONTRACTOR: TELFORDJONESINC Address: 259201RIS AVEUnit: STE 13 A400 City/State: MORENO VALLEY, CA ZipCode: 92557 - . ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 � Electrical Permit Fee: � $7220 Reinspection Fee $0:00 TOTAL FEES $72.20 e License No. 856936 PHONE: 951-086-0337 CELL: _ .�. ♦ • l r , � , NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requiremenls under Califomia statutes and related regulations. (Ord. No. 92-28, § 1. 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permil to be considered legal, such work must comply with all applicable r,odes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. L�1 INSPEC710NTYPE �qTE IN�� CO�Et INSPECTIONTYVE QA� INTRIALS 1818 Fized System Pinal Fire Prevention 208 Final Mechaniwl 1266 Pool Spa Final 208 Final Plumbing � �4�� V 200 Final Re-Roo( 270 Final Eleclriwl Btn. �Gp..F� /�g 201 Final BIocWReWining Wall 212 Final Fire Prevenlion 202 Final Faclory Fire Place 220 Final Planning Approval 203 FinalSign 222 FinalSita 204 Final �ertrolition ' 250 Final Building�Occupancy WORKERS' COMPENSATION DECLARATION: I hereby aKrm untler penalty of perjury one of Ihe to....wing tleclarations: ❑ I have and will maintain a cetlificate of conseN ro self-Insure for workers' compensation, as provided for by section 3700 of Ihe Labor Code, for the performance o! Ihe work for which ihis permii is issued. � I have antl will maintain workers' compensation insurance, as required by s ction 3700 0l the Labor Code. for the pedormance of the work tor which this permit is issued. My wnrkers' compensation Insurance carrier and policy number are: Cartier`�� (Y1X,o ,0✓5 Fc.t.to (inrs secfion need nor ee mnpered aNe peml� a va1uM at me nurMretl cbaars (5100) a less ) Polity Number: �s�(�� /XJ/yZfi ❑ I cenify that in Ihe peRormance of the work for which Ihis permit is issued, I shall not employ any person in any manner so as �o become subject to the vrorkers' compensation laws of Calilomia, an0 agree thal il I should become subject to the workers' compensation provisions ot Section 3700 of the Labor Code, I shall fo th comply with these provisions. /i i-nJ pd��nl's Signature �te � WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�, IN ADDITION TO THE CAST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in (ull force and effect. �t Lic. tt �.3. class tt (. —/t�"�O �..i'�. //-1-� ontraclor's SignaWre Date CONSTRUCTION LENDING AGENCY: ❑ I hereby affum that there is a constmction le�ing agency fa the performance of the �+ork fa vfiich this pertnit is issued. (Sec. 3097, Civil Code). Lender s Name: Lentler's Adtlress: � t' . � i. SignaWre Date ',' . ' OWNER-BUILDER DECLARATIONS: . - I hereby aKrm that under penalty of perjury that�l am EXEMPT FROM THE CONTRACTORS LICENSE' LAW�for the following reason (Sec. 7031.5. Businass and Professions Code: Any ciry or counry which requires a permit to consVuct, alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires t�e applican� for such pertnit lo (le a signed statamenl that he or she is licensed pursuant lo the provisions of Ihe Conlractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or Ihat he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant loi a permil subjects the applicant to a civil penalry ot not more man fve hundred dollars ($500).): ❑ I, as ovmer ol the property. or my employees wilh wages as Iheir sole compensation, WILL DO THE WORK, and Ihe structure is not intended or offered (or sale (Sec. 7044, Business antl Prolessions Code: The Contractors License Law does not apply to an ovmer of property who builds or improves thereon, and who does such v.nrk himsell or herself or through, his or her ovm employees. provided that such improvements are not intended or oKered tor sale. If, however, lhe building or improvement is sold vrithin one year of completion, the owner-builtler will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as amer of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professbns Code: The cont2ctas License Law dces not apply to an ovmer o( pmperty who builds or improves thereon, and who contracts Iw such project with a contracta(s) license pursuant tothe Cont2ctors License Laws.�. ❑ I am exempt under sec. Business and Professions Cotle for this reason: Signamre � Date ]OSl�a6�310]) . �� s Owner ID venfietl �y tlriv� ise. ❑ Yes ❑ No Driver's License No. Expires: Verification o! Ownership by (type of document, i.e. - property tax 6ill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certAy that no excavation frve (5) a more feet m tleplh into wfiic� a person is required to descend, will be made in connection with work autMrizetl by this pertnit, and that no building swcture, scaffdding, falsework, ar demolitbn or tlismantling thereof, will be more than thirty-sa (36) feel high. (Chap. 3.2, Grp 2. M 2. Sec. 341, Title 8, Califomia Administ2tive Cotle). ❑ As ovmer-builtler, I will not employ anyone to tlo work vAiich would require a permit from the Division o( Intlustrial Safery, as noted above, unless such person has a permit to tlo such wo�k f�om ihe division. Applicanl's SlgnoWre Date Division o� Industrial Safety Permil Number. HAZARDOUS MA7ERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to fila and certily a Businass Plan tor emergency response to release or threatened release ol a hazardous material7 ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Cotle requires, with some exceptions, that a Business Plan be (letl with the Costa Mesa Fire Depariment by every business which ha5 al any one time tluring a reported year a quantiry o( haza�dous matenals equal to or greater than a weiqht of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of wmpressed gas at slantlartl temperature and pressure). 2. Does or will Ihe,applicanl or present or (uNre building occupant neeC to file a registration form for acutely hazardous matenals? ❑ Yes ❑ No (Section 25533 of the Cali(omia Health and Safety CoOe, vrith some exceptions, requires regislration with the Costa Mesa Fire Department by each business which at any one time has on hantl a quantiry of atutely hazardous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feel of compressed gas at sWndard IemperaNre and pressure�. 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Managemenl antl Prevention Prog2m for acutely hazardous matenals)? ❑ Yes ❑ No (Seclion 25534 of the Califomia Health antl Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire DepaAmen[ of an RMPP by businesses which are required Io regisler acutely hazardous matenals with the Fire Depariment. 4. If an RMPP is presently required, has Section 25534 of the Califomia Heal�h and Sa(ety Code been (ully wmplietl with? ❑ Yes ❑ No 5. Does or will �he applicant or present or future building xcupam require lor lhe v+ork which is lha subjacl ol lhi5 appliC2tion a pefrtlit IOr SUCh fAnStNttion of motlificati0n (rOm lhe SoUlh CoaSt Air Quality Managemenl Dislrict Or from any other air polNtion control tlistrict o� agency? ❑ Yes ❑ No (Sectbn 658502 0l the Califomia Govemment Cotle requires that the requested infortnation be (umished on appliwtbns fp rqn-resitlential DuiWirg pertnils). 6. Will any part o( the facility to be consWc�etl untler this permit be within 1000 feet from the outer boundaries ot a school? ❑ Yes ❑ No (If'yes", Ihe facility must meet the requirement o/ Sections 25534 and 4230J o! the Calilornia Health and Safery Code). 7. If a permit from the South Coast Air Ouality Management Distnct or olher air pollWion coMrol tlistrict or agency is required for the v.ork which is the subject of this application, have all ol the tlisclosures prescribed by Califomia Health and Satety Code Section 42303 been made? ❑ Yes ❑ No, 8. (If'yes', attach certifcate of compliance from the appropriala air pollution control oKceq. - CERTIFICATE OF COMPLIANCE: I certi(y lhat untler penalry of perjury the information given above is conect. I agree to comply with all state laws anC city ortlinances regartling Hazartlous Matenals antl Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certity under penalry of perjury that I have read this applicalion antl slate that lhe information given is correcl I agree ro comply with all state laws and ciry ardinances relating �o building conSWttion, and authorize representatives o( the City of Cosla Mesa lo enter upon the above�escribed propehy for inspection purposes. I agree not to occupy or allow occupancy of any building aulhonzed by this permit until final inspection. Wreo(Lee er(s) Daie l� �'-�-� An Aul�orrzed A Dale � . . '� � ./ � � CITY OF COSTA MESA , BI/ILDIN6 DIVISION i � 77 FAIR DR�VE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-0856 • �wnv.ci.costa-mesa.ca.us �. ` FOR INSPECTIONS CALL: (774) 754-5626 �m�m �` PERMIT NUMBER 07-00525 PERMIT TYPE MECH STATUS: ISSUED DATE ISSUED: 11/06/2007 ISSUED BY: BJK JOB ADDRESS: 2407 NARBONNE WY CM Suite/Unit: Vicinity: UTIUTY CLOSET , SQ. FT: 0 SCOPE OF WORK: CHANGE-OUT OF AN A!C UNIT FOR A 3-TON UNIT/14 SEER (SAME LOCATION) AND CHANGE-OUT OF A FAU LESS THAN 100K BTU. REF: E07-00890 NO OTHER WORK AUTHORIZED WITH TFIIS PERMIT. OWNER: PHONE: APPLICANT: PHONE: CARR, JAMES WILLIAM RICK LEMOND 951486-0337 CONTRACTOR: TELFORDJONESINC Address: 25920 IRIS AVEUnit: STE 13 A400 City/State: MORENO VALLEY, CA ZipCode: 92551. MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: � $53.00 PLAN CHECK FEE: , � � $0.00 INVESTIGATION FEE: - $0.00 REINSPECTION FEE: 50.00 TOTAL FEES: $53.00 Address: CitylState2ip: Address: CitylState/zZip: 2407 NARBONNE WY U�it: COSTA MESA, CA 25920 IRIS AVE Unit: MORENO VALLEY, CA License No. 856936 PHONE: 951-086-0337 CELL: 3 NO710E: 7he vrork authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must wmply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. SOpE I, INSPEC710NTYPE 0_p�T IN AL CODEI INSPEC7IONTYPE D I777N��77m��77IIIQ��55 � 1676 Fixed System Final Fire Prevention 206 Final Mechanical� � !JN//h�l.V 1266 Pool Spa Final � 208 Final Plumbing �—Q 200 Final Re-Roat 210 Final Electncal 201 Final BIocWRetaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 FinalSign 222 Fina15ite 204 Final Demolilion 250 Final BuiltlinglOccupancy P � � ( . � WORKERS' COMPENSATION DECLARATION: I hereby aKrm untler penally of perjury one of thel.,.._.ang tleclarations: ' ❑ I have and will maintain a certifcate ot consent to self-Insure for worKers' compensation, as provide0 for by section 3700 of the Labor Cotle. (or the performance of the woB (or which this pertnit is issued. - � I have and will maintain workers' compensation insurance, as required Dy bn 3700 0( the Labor Code, far the perfortnance of the work (w which this . pertnit is issued. My workers' compensation Insurance carner and policy numbecar Ca�r��1.0 /A/�S Ft/�LJ �Ns setlbr nee0 no'f G/e oompeteC d Irte pemW a valuetl at me hurqretlOdars (St00) a less ) Policy Number: �`�� L��f25`� I cerlify Ihat in the pederm2nce o( Ihe work for which this permit is ued, I shall not employ any person in any manner so as to become subject to the workers' compensation la 5 of Califor �, and agree that it I should become subject to the w rke �mpens ' n provisions of Seclion 3700 of Ihe Labor de+c I f t compl fh Ihese pmvisions. //�-6�% �`Aa . - a, . � ie WAR : FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS ($100,000�, IN ADDITION TO THE CAST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LP.BOR CODE. INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby affrm Ihat I am licensed under provisions of Chapter 9(wmmencing with Section 7000) of Division 3 0( lhe Busines5 and Profe55ion5 Code, and my license is in full force and eflecl. %� Lic'1J"� Class7l �v a� � ` ��i-6 c� co o�uai - oaieJ CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm that Ihere is a conswctbn lending agency tor the performance o( the v.urk for which Ws pertnit is issued. (Sec. 3097, Civil Code�. Lender's Name: Lender's Atldress: Date " OWNER•BUILDER DECLARATIONS: ' " I hereby aKrm that under penalty of perjury Ihat I am EXEMPT FROM�THE CON7RAC70RS LICENSE LAW for Ne followinq reason (Sec. 7031.5. Business and Pro(essions Code: Any city or county which requires a permil to conswct, alter, impioye, tlemolish, or repair any sWCWra, pnor to its issuance, also requires the applicant for such pertnit to file a signed statement that he or she is licensed pursuant to the pmvisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle) or that ha or s�e is exempt there(rom and the basis for lhe alleged exemption. Any violation o! Section 7031.5 by any applicant !or a permil subjects the applicant �o a civil penalty of not more lhan five hundred dollars ($500).): ❑ I, as ovmer ol the proparty, or my employees vnth wages as Iheir sole compensation, WILL DO THE WORK, and the strucWre is not intended or o(fered (or sala (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such wnrk himself or herself or thmugh his or her own employees. provitled Ihat sucfi improvements'are not intended or oRered for sale. If, however, the building or improvement is sold within one year ot completion, the ovmerbuilder vrill have the burden obprovinq that he or she did not builtl or improve for purpose of sale.). �� ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consWct the projec[ (Sec. 7044, Business and Professbns Code: T�e�conl2ctors License Law dces not apply to an ovmer o( property who builds or improves thereon, antl who contracts tor such project with a cmtractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Cotle for this reason: SignaWre . , Da�e 305]-dfi(10l) , 4 i� ' � Owner ID verifietl by drim ise. ❑ Yes ❑ No � Dmer's License No. Expires: Venficatiori ol Ownership by (rype of document, i.e. - property Wx bill or deed): 'DIVISION OF INDUSTRIAL SAPETY PERMIT CERTIFICATION: ❑ I hereby certAy that no excavatbn Me (5) or mae teet in tlepth into wfiich a person is required to descend, vnll be matle in connection wi�h work autMrized by this pertnit, and that no building strucNre, scaffdding, (alsework, or demolition or dismaNling thereof, will be more than Ihirty-s& (36) feet high. (Chap. 3.2, Grp 2. M 2, Sec. 341, Title B. Califomia Atlministrdtive Code). ❑ As owner-builtler, I will not employ anyone to do vrork which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to tlo such work from the tlivision. AppLwnfs SlgnpWre oale Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fulure buildinq occupant need to file and certily a Business Plan tor emergency response to release or Ihreatened release o! a hazardous material? ❑ Yes ❑ No (Seclion 25505 of Ihe Califomia Health and Safety Cotle requires, with some exceptions, thal a Business Plan be filed with the Costa Mesa Fire Department by every bu5iness which has at any one time dunng a reported year a quantity of hazardous matenals equal [o or greater than a weighi ol 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperaWre and pressure). 2. Dces or will the applicant or present or future building occupant need to fiie a reqistration form for acutely hazardous materials? ❑ Yes ❑ No (Seclion 25533 of Ihe Cali(ornia Health and Safety Cotle. wiN some ezceptions. requires registration with the Costa Mesa Fire Deparlment by each business which at any one time has on hand a quantity o( acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic (eet of compressetl gas at stantlard temperature and pressure�. 3. Does or will the applicant or presenl or future building occupant neetl to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous matenals)? ❑ Yes ❑ No (Section 25534 of [he Califomia Heallh and Safery Code provides that the Costa Mesa Fire Department may require the preparetion, certification antl fling with the Fire Departmen[ of an RMPP by businesses whic� are required to re9ister awtely hazartlous marenals with the Fire DepartmeN. 4. If an RMPP is preseMty required, has Section 25534 of Ne Calilomia Health and Safety Code been (ully wmplietl with? ❑ Ves ❑ No 5. Does or will lhe applicant or present or future building occupan� require lor tha work which is the subject o( this aDP��on a permit lor such cOnSWCtiOn or modification from the South Coast Air Oualily Management District or lrom any other air polNtion control tlistrict or agency7 ❑ Yes ❑ No (Section 658502 of �he Califomia Govemment Cotle 2quires that the requested intortnation be fumished on apPlications fa rwo-residential builtling pertnils). 6. Will any part of the faciliry ro be wnstructed under this pertnit De wiNin 1000 teet from the outer boundanes of a school? ❑ Ves ❑ No (If yes", tha facility must meet ihe requirement of Seclions 25534 and 42303 o! the California Health and Safery Cotle). 7. If a permit from the South Coast Air Dualiry Management Dislrict or other air pollution control tlisViG[ or agency i5 required fw the work which is the subject of this application, have all of Ihe tlisclosures p�escnbed by Califomia Health and Salety Code Section 42303 been matle? ❑ Yes ❑ No 8. Qt "yes", attach certificate of compliance�from the apPropdate air pollution control oKcer). � ,CERTIFICATE OF COMPLlANCE: I ceAify.thal under penalty of perjury the inlormation giJen above is correcL I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. . Signatwe Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalty of perjury that I have read this appliwtion and sute that the information given is correcL I agree to comply wit� all state laws and ciry ordinances relating to building construction, antl authorize representatives o( the City of Costa Mesa ro enter upon the above�escribed pmperty for inspection purposes. I agree not to occupy or allow occupancy of any building authonzetl by this permit until final inspection. i8^a o egal ner(s �ale //-�-0� An AwnorizeQ'np�ntm�l Dib�` f �.�'� `_/ ,�` �'' ,�r ,� -�, �;��,��-�C��;�v'�-�".,��-`'�: �J' . � �, t , ,. �,..,- Y� t 4 rv .F' v )y , ' ��.: �� „ �}'�1 �..;] ��: ` �, � `' �F l� lY1 � � � � � r. . . nc . ��yyy ^ � .,� � ��i I ' N � �Z �� . . �. � � , . �+%Y n .�p-� �I�y�� . ,' . . I + - _. �#. Y�f�' kF� I r��.. � ' + . . . . � 1� ' ,1,, i:'11�'"f � � � l+^p � � d"ta 1 .. - r r��r. �. ,tir��i--s�,;}� �� ,.. . rrf. ' '• 4C �� . . '•� r, � ". . . . . "_ G .� ,�.., /� r 4 . ~ `'� � . . , , r4 a � r � F ��' . "� a � ' �fy.� -`4+� � ' r � ' }'��'�r � � � �'.yt �t�t�3� � '�t � � , i ,! f �.:;� :i.. �1 3': • �{ '-�,``�,-�^ ' � � �✓�' !R . � . ' 1[f7� , . .:` I� `�t . �; ' 7'w �'�... . i .1 � ,i u '�`-'`i �,1f,� t�, . '+ � . �� ,A °c.� �`a' r�, ) � _ -,� ri�� , -rj1; � �r � ..�._ •�.jY "'F.Pl�. �S. "• r • �r�� i . � �� [� 4 J f �fry t �:,, 1 Jf� r� 7 � �'�. , ''��t �� j ~i.q + ��:1 I I 1 1 � Y � �' ,� ., y ;:� ` � , ry . -�, a�. �� J . � ` �,�; )� yf .- � , _' � � � � ' � �;� ;�, ; , � � , i � , l t� "� ``'i 11 :� _ � ' �,a . .�,i� , r . . -� � , �'� �;-��' . �t � �.,� � � t ��S _ � � �� *�'�� ,� � � � i �� j _ j � � „ ' ,; ^� _ L�Y � . . �S H .��r � . . � F' r,�y � � � � . . . � � ;� ., r . i�{ 7: �f - �1 �'-z �' b . � , '� rrT: .p� � _", . ti�y I1.. � • Y � � 5� 1� �� . � �� . � �� - � _ � � � r� ,�n' � � ",c . ,t � � � � ..... . , , ,-. . � .d'' o -�..�,,. a,—.�s.��s` ', � �. �w,;� 4,at, a �� ..• ... r� � ut:.� ' , 11/06/20�7 27�:30 7609640025 JONES BACKBAYGfIRDENS ASSOGIATION ProjusioaallyManaged by Qpdmum Prapesty Management, Inc. (CMF) A CERTIF/ED MANdGEMENT FIRM 17731 Irvine Bou(evard Suite711, Tucfin CA 92780 O�ce: (7I4J 508-9070/Faz: (714J 508-9071 xmnv.optimumpm.com µPAGE 01/01 JAMES W. CARR 2407 NARSOIVNE WAY OOSTA M�SA, CA 926Z7-1475 P,qaery 2407 NARBONNE W�9 Y R�4rg A�datauonlRaprat --AvC'a�tiaa Dcac Homeowne+(s): 'l�e ?uchioectu:-al Review Cem..,in,.� reviewed yvur arcbutecwnl applitazion, +ece.ived in our offia on October 9, 2�7 for. Air conditioner insraUation, pai¢ting. Your application has been �p�mved as submitttd. A mpy of che signed An6ueccu+al Applicaann for this modif�icarion is enctoscd for your xeconis. This modiCicdrion must be completed in aaoidance wirh thc goveming documencs. Pa1um m comply may result in yw being �equited ro resubmit yvuc applicadoa All woric aad fimue upkeep is co be done at your expease and slull be perfonroed at a rime aod in a mmner to *n��»��>a inrerfesnce and incoavenieuce to orher hoauowne;rs• Yw sbafl assume aU liabi7ity and w�l be respons�ble for al] damage and/or injury t6at may result from pe:fotmance of this work Purthetmoro, you aze tespnavbk for complying mith all applicabk fedenl, scace and local 6ws, codes and cegiilations and iequirementt in connecdon wit6 chis wa�c, and shill obrain any �ecessary govemmental pecm� and approval foz che work. 1Le Boud of Directors, ia ageat and tl�e Com:niaee have no responnb$ity wit6 respect co such compliance and rlu Boud of Direccors or us dcsigu�ed co..�*��+�-'s approval of chis requrst s6all not be unders000d as makiog of auy mpresearation or warrancy chat t6e plans, specificntionc or work comply with an}' ]aa, code> �egiilati°n or govemmenral mqiucemenc Should you have any hucher qvesaons, please do noc hesitace ro cornut che undecsigned ac (714) 508-9070 Par. 250. Ac the Dire�.tion of ehe Boand of Diteccocs BAQt BA'Y GARDENS ASSOQATION By. jce Pau1y, OCAM m Senior Cxttified ComamnityAssociation 21lanager �� Enrlosum cc: Boazd o£ Diieao:s �,� f CITY OF COSTA MESA - � BUILDING DIVISION � . � DEVELOPMENT SERVICES DEPARTMENT °• � ' PERMIT �+'o�o � . . .. (714) 754-5273 • Fax (714) 754-4856 Job Address: 2407 NARBONNE WY Suite No Vicinity: Parcel Nunmber: 43914342 Applicant: R�N Address: W/ NOCK PLUMBING Owner: CARR, JAMES WILLIAM Address 2407 NARBONNE WY COSTA MESA,CA Contractor: NOCK PLUMBING Address: 71612 KNOTT 5T ArchlEng: Address: GARDEN GROVE , CA INSTALL NEW DISHWASHER ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifer System Connect pce,Soda,etc) Denlal Units Dishwasher Drein, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (7-4 outleis) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $22.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 58.75 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 � PLUMBING PERMIT Phone: 2ip: Phone: Zip: 92627 �-Phone: 774 895-1246 Zip: 92841 ' �icense: 707775 Phone: Zip:� , License: SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 SewerCaptorDemo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS PERMI�� BER P98-00834 � 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 11/09/1998 Issued: 11/09/1998 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr BkFlow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 so.00 TOTAL CALCULATED FEES: $30.75 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 EXPIRATION: 7his permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period ot 180 tlays. . INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapactions and final approval mus� be obtained. Failure to obtain inspections and final approval will resul� in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMpENSATION DECLARATION: I hereby ettirm untler penalry of perjury one of the following declarations: ❑ I heve end will meintain e certificate of consent fo seli-Insure for workers' compensetion, as pmvidetl for by saction 3700 of the Lebor Code, for the pertortnence ot t�e w rk for whlCh this permii is IssueG. � I hava and will maintain workers' compensetion insurance, as required by sedlon 3700 ot the Labor Cotle, for Ihe peAortnance ot the work tor which this pertnit is issued. My workers' compensation Ins rence rrie�r a-n-d.� folicy number ere: ��' (� C� t/,! Canier C�bU�� CJ ��% �- Policy Number � �`^� �� I 3 7 V O� (lh/s section need �of be comp/etetl it Ne peimit is va/ued ef one hundretl dollars ($ 700) or less.) ❑ 1 certily tha� In the peAortnance ot ihe work for which this pertnit is issuetl, I shell noI employ any person in eny manner so es to bewme sub�ect to t�e workare' wmpensetion laws oi Celitomia, antl egree that II I should 6ecome subject to Ihe workers' compensetlon provislons of Sectlon 3700 0l Ihe Lebor Code, I shetl forthwith comply with these p�ovisions. Z— �� AppliceN Signeture: ��S\ �'7� ,� — Date: � � —/ WARNIN�: FWLURE TO SECURE WORKERS' COMPEIJ$ATION COVEMG IS UE NLAWFUL AND SHRLL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND qVIL FlNES UP TOONE HUNDRED THOUSAND OOLLARE (5100.000), IN ADDRION TO iHE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3]OB OF TME IABOR CAOE, INTEREST, AND ATTORNEY'S FEES. �. LICENSED CONTpACTORS DECLARATION: I hereby eHirm Ihet I am licensed under provisions ot Chap(gL9 (commencing with Soction 7000) ol Divislon 3 of ihe Businass entl Pratessiors Code, end my license is in Full torce end ettect. Lic. M_�(��i %%� Class q �o CoMractor's SignaWre: �� Date: �(�� - / L — CONSTRUCTION LENDING AGENCV: ❑ I hereby etfirm thet Ihere Is e wnstruction lending agenq for tha pertortnance of ihe work for which this Oermlt Is issued. (Sec. 3097, CIWI Cade). Lenders Name: Lentlefs Atldross: Signature: Date: OWNER-BUILDEp DECLARA710NS: I hareby aHirm that untler penalty oi perjury thet I em EXEMP7 FROM TiE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Professlons Code: Any city or counry w�ic� requires a pertnit to construct, alter, improve, aemolish, or repair eny structure, pnor to its Issuance, also requlres t�e applicant tor such permlt b flle e signetl statement that he or she is Ilcensetl pursuant to the provisions ot ihe Contrectors License Lew (Chapter 9(commencing with Section 7000) oi Division 3 of the Business and Professions Code) or ihet he or she is e:empt therelwm and the basis for the elleged e:emption. Any violation of Section 7031.5 Dy any epplicant for e pertnit subjects the apDlicam ro a civd penalry of not mora ihan five hundred dollars (5500).): ❑ I, es owner of the pmperty, or my emptoyees with wages as fheir sole compensallon, Wltt DO THE WORK, arM the sWcture is not intended or oBered for sale (Sec. 7044, Business end Professions Code: The Contrectors License Law does not apply to en owner ol property who builds or improves thereon, end who does such work himselt or h��setl or Ihrough his or her own employees, provitled that such improvements are not intended or oMered tor sale. tl, however, the builtling or improvement is sold within one year oi completion, �he owner-builder will have the burtlen of proving that he or she did not bulitl or improve for purpose of sale.). ❑ I, as awner of ihe property, am E%CLUSIVELY CON7RACTING WITH LICENSED CONTRACTORS to construct the praject (Sec. 7044, eusinass end Prolessions Cotle: The coniractors License Ww does not appty �o en owner of properry who 6uiltls or Improves thereon, end who wNrects tor such prolect with a comractor(s) license pursuant to t�e Contractors License Lews.). ❑ I am ezempt under sec. Business antl Professians Coae for this reason: Signature: Date: Owner ID venfied by drivefs license. ❑ Yes ❑ No Drivers License No. Ezpires: Venficetion of Ownership by (rype of tlocument, i.e. - properry taz bill or deetl�: DIVISION OF INaUSTRIAI SAFETV PERMR CERTIFICATON: ❑ I hereby cenity ihat no excevailon INe (5) or mora feet in depth into w�ich e person I5 requiratl to descend, wlll be matle In wnnectlon with work euthonzed by this permit, end thet no Duilding strucWre. scaHolding, falsawork, or demolition or tlismentling ihereof, will �e more ihen thirry-six (3fi) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Ttle B, Calitomle Administretive Cotla). ❑ As owner-bUiltler. I will not employ enyone to do work which woultl require a permit trom the Divislon oi Intlustnal Sefery, es noted above, unless such person has e permit to do suc� work tmm Ihe tlivisian. Slgnature: Date: Division of Indusifial Sefety Permit Number. CERTIFlCATE OC COMPLIANCE AND AIJTHOROATiON OF EMRV: I cenify under penalry of perjury thet I heve reetl this application and state ihet the infortnation given is correct. I agree to comply with all state laws and ciry ordinances relating to building construction, and authorize representatives ot the Cly of Coste Mesa to enter upon Ihe above-described property for inspection purposes. I aqree not to occupy or ellow acupancy of any building authorized by this permit until final inspeclion. Signa[ure Of Lepal Owner(s) Date ---��_ I/ '- �� -5� And/Or u onzed Applicant Oata COOE I. INSPELTIONTVPE 1616 Fizetl System Finel Fire Prevention 1266 Poal Spe Finel 200 Finel Rp-Rooi 201 Final BIocWReteining Wall 202 Fi�al Factory Fire Plece 203 FinalSign 204 Final Demolltion 2446d6 � I�� tooe � ir+sveenox rvve 206 Finel Mechenical 20B Finel Plumbinp 210 Pinal Elecidcal 212 Final Fire Prevention 220 Finel Plenning Approvel 222 Final Si�e 250 Finel Building/Occupancy GAg U1iIDdl5 ., e �.1 i' ' � P.oq��ant to fill in all spaces except those within �eavy boraer lines ana sign a1l aoD�ovriate aeelarations. :IyrOFCOSTAMESA C NSTRUCTION ERMI PERMITNO �� Tqp�T,NQ^ LOT�ryO, UNIT�NO._ AP# C / [_ /�/ 3 5 el ls �I �i ///Pr��EEC ct Address ��W �'+ �"' _ S Main Building: pliCanl'S Mailin TAddress CC/ L' /} TVPE OF CONSTRUCTION NEW ADD ALTE ATION REPAIR E � —Ja./1�C,� �?�rf PhonE � CONVERSION �DEMOLISH ❑ OTHER �� ' T Front dA dO ner'sName � DESCRIPTIONOFWORK/USEOFBLDG. ��'LNO�'L �„�-- 8 Rear ress 2�% % Nai be„�,ve !�%iY �%�7. „„N �QLJ I^ �/1 w /GT �r b�tul�C� —��V� � f--�i Il. /P/�/ p' TVPE OF PERMIT �G��FOUrvoqTlorv LJ STaUC7URa� I C Right Arch/Eng. License No. K �eft Address /��(� �7� �il ❑ TENANT ❑ El_ECTRICAL ❑ PLUMBING ❑ MECHANICAL 5' �J . �TT.�]� Ph on9�l �s'tis �l �OTHER I��T �Q_Otilb \ _ Contractor's Name p Ping. Ref. # Address (maitingl � � oAa �.tlLM� �•u"'�'i City License No. � D � LICENSED CONTRACTOR DECLARATION I M1ereby al(irm that I am licensetl untle� provislons oi C�a�te� 9(commendng with section ]000) of Division 3 of tM1e Business antl Professlons Cotle, and my Iicense is in i I force an efi t. _. �! �.,� �a 7� ,i.. __. rs��6 Date � � Si9nature ' WOR RS' OMPENSATION D ' A� TIQ1 xr y aftirm chat I have a cert' � te or/sa rt t selhinsur r a certificate Norkers' Compensation Ins nce, or a�Eertlfie hereof ()Section J0. Lab- %�/S� O IQ� ��.lQ��l�i / Policy No. Comoany ACerfitie copy: M1erebyfumishetl. /� Certifi d c p ' ea wrth the city B in visiory. ( Date �� Applicant L~'� EXEM TION ROMWORKERS•CO N I 'DECLARATION (Thiss ction eetl nat be wmpletetl t e r it or one huntlretl ($300) or less). I certity lhat in the performance o e w '< f hich this perm� 's Issuetl, 1 shall not e loy y pe/son in any ma er 5 to b e b� c[ to the Worker C mpen io Laws ot Califor Date Si9nature NOTI 1,` r m ing this tleGlara ' , sh0 Itl become subject to the Worker Com ensation Orovisions e or otle, you must forthwi[h compl wi[h such O�oviSions or tn� � it all be tleemetl revoketl. CONS RUCTION LENDING A V I hereby aHirm that there iz a mns tlon lentling agency for the periormance ot Ih¢ work for which this p �mit is issuetl (Settion 309� Civ. CJ Lentler's Name Lentler's Atltl�ess OWNER BUILDER OECLARATION I hereby ai(irm that I am exempt from the Coniractor's license I..aw for the following reason (Section 7031.5 Business antl Professional Cotle: Any city or county which requires a pe�mit [o construct, alteq improve, tlemoli5h or repair any structure, prior to its issuance, also requires the applicant tor such permlt to file a signetl slatement tM1at he/she is Ilcen52tl pu�suant ta the p�ovisions of the Contractor's License Law (Chapter 9.(commencing with Section �000) ot -�ision 3 0� the Business antl Professions Cotle) or that he/she is exempt refrom antl ihe basis for the allegetl exemption. Any violaHon of Section J1.5 by any applicant tor a permit Subjects the applicant to d civil penalty ot not more than five hunOretl tlollars ($S00). ❑ I, as owner of the property or my employees with wa9es as their sole compensation, will tlo the work, antl the st�ucture is not intentletl o� ofteretl for sale (Sec[ion 7044, Business antl Professional Cotle: The Contractor's License Law tloes not apply to an owner of a pwperty wno builtls or improves thereon, antl who tloes such work himself/berself or tbrough his or her own � employees, provitletl that such improvements are not intentletl or offeretl for I sale. If, howeveq the bulltling or imp�ovement I5 soltl within OnE Year ot com- ' pletion, the awne� will have the burtlen ot proving ne/she tlitl no[ builtl or im- �rOv¢ tor the pu�pose of sale). LI I, as owner oi the property, am exclusively contractin9 with licensetl con- tractors to consV uct the oroject (Section 7044, Business antl Professions Cotle: The ConVaciar's License Law does not apply to an owner o� property who builtls or imDroves thereon. antl who cOntracts for sucn oroi¢cts wifh a ron- tractor(s) Imense pursuan[ m[ne Contractor•s License Law). i am aware that proot oi their Worker's Compensation insurance shoultl be provitletl to me. ❑ 1 am exempt untle� Section B. & P. C. fo� IhiS reason oate Owner 1 hereby certify that I have reatl this application antl state that Ihe above inPormation is correct. I agree to comply wrth all city antl munty ortlinances antl state laws relating,lo builtling construchon, antl hereby authorize repr�- PROJECT DESCRIPTION 54. FT. oCCUVArvCv Planning Notes: CONSTRUCTIONTVPE �A� VA�UATION$ ZONE GRADINGCV.VDS. AGRES Remarkz: Sink Preventer Irrigation Clarifiers Dishwasher Drinking Fountains Floor Orains Floor Sinks GasService Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains ReinspeMion Fea � $15 Boiler Duct-UnderGround Duct - Structural Duct - Ventilating . Exhausc System ❑ Multiple FirepVFact. BIL �CBO # Heating System & Ducting ❑0-100,000 BTU 0100,000 Reinspection Fee OB65-46,� 5/L8� VWnite - Builtlin9: Canary - Appli<anh Pink - Accowting: Goltlenrotl - Assessor $15 ABING Showers Service Sink Sewer Cap Sewer Connection Solac Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Water Closet Water Heater Water Service Auto-Wash Laundry Treys laue Fee Hood or Type I ❑ Canopy Typell ❑ 9efri ation System 100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers ' Registers Issue Fee FEES $ 3 FEES $ 3 Automatic Washer Construction Pole Si Cooking Unit Dishwasher Oryers ❑Gas ❑E Fan F,A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0-5 KN .� y- zone h L Accessory Building: �O N i N G R Parking Feq./Provided E Q � .h M T S. ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+ KW Meter ❑up to 100amps Meter ❑over100amps lectric Sub Panel Morors �67 HP �1'/:-8 Inc.Solar �9-15 HP 016-15+ 5-15 KW Poie Light Ranne � Standing Sections "' Tresh Compactor � I Reinspection Fee !$15 I I Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Aooliptian laued Bv � � � FEES $ 3 SUMMARY OF FEES � BUILDING PEflMIT $ �S O!J SMIP ' $ �l�d PLAN CHECK $ —�PERMIT M�^�% PLUMBING $ ISSUANCE $ PIAN CHECK 25% $ ENERGV P.C. $ ELECTRICAI $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ Z—S ' 6v PLAN CHECK 25% $ Gl GDG41(i75-i1!!04f096 YCi"� �-�,�� OATE: �8(25I54 TIfl'c: 1�9'i; .' CONSTRUCTION AND PLANNING P�� SPA APPROVALS Permit# � Date Inspector AppROVAIS Permit# Date Inspector �: :_, 1. Temporary Electrical Service or Pole � ", gf. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. �, . �� 53. Steel Reinforcement i. 3':•Electrical Conduit Utility�Undrgrnd. � •� 54. Forms ,; �; 4r Electrical Conduit-Undrgrnd. , 55. Electrical Bonding �' 5. Steel Reinforcemen[•��'' ��, .�, 56. Rough Plumbing & Pressure Test 6 Electrical UFER Grnd:- . � 57. APPROVAL TO COVER-GUNITE i i 7. Footings ' �� r 58. Electrical Conduit-Undrgrnd. _- � 8. Foundation + .�': /� -��i- � 59. Gas Pipe, O Undrgrnd., Test 1 '�.. � � ,; 9. Water Pipe-Undrgrnd. . �- - 60. Backwash Lines, P-Trop, O Undrgrnd. 10.. Structural Floor Sy,stem ' � ' 61. APPROVAL TO DECK 11. Property Sewer Line & House Co�nection �. 62. Backwash & Receptor-Final 12. Sewer, Cap . ' � � �. . 63. Heater & Vent-Final � � i.. 1�3. Roof.Drains � ' 64. Plumbing System - Final 14. Rough Plumbing - ` 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final 7�6. Rough Electric Wiring 67. Fencing & Access Approval �17.. Rough Wiring Sign 68. APPROVED FOR PLASTERING �18. Rough Electrica�-T Bar Cei�ing � 69. POOUSPA SYSTEMS FINAL 39. Rough Heating & Air Condi� ning FIRE DEPT. REQUIREMENT 20. Rough Factory�Fireplace .�• APPROVALS Permit# 21. D'ucts, in-Structure , 70. Underground HYdro 22. Ducts, Ventilating �,, / 71.� Product Piping O Gas ❑ 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-Barv'Ceiling (Structural) &Nlonocoat 75. Dry Chemical r -_ • -27.'Frame�andFlashing / 76. DryStandpipe •28. Lathing�& Siding ' 77. FIXED SYSTEM FINAL 29. Insulatio`n " 78. FIRE PREV. FINAL 30. Dr,�wall,Nailing �'/ HEALTH DEPT. REQUIREMENT 31. Plastei•B�ownCoat'i 79. FINALINSPECTION 32. Electrical Power Meter-Finsl� 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe•Test 36. Hood or CanopY 37. Final Factory Fireplace 38. Final Plumbinq 39. Water Service-Final 40. Gas Service-Final / � ?-. �, 41. Solar pomestic-Final �' � / �` 42. Backflow Preventer � • '�, � . �! 43. Backflow Irrigation � � „ 44. Landscape Irripation System �' . � 45. Sound Attenuation `� � D . 46. Handicap Regulations Inco ple Inspection� � 47. FINALSTRUCTURE&BUILDING 1 y C�1� 48. Special Requirements Completed � 49. Electric Release to Edison ��`r _ r 50. Gas Release m Southem California Gas Co � ' . �r ��• 51. CERTIFICATE OF OCCUPANCY , • No. � Date - � ''i -. AVGlicant to fill In a11 spaces except those within neavY �ortler lines ana sign all aDOropriata tleclarations. CI7Y OF COS7An MAES^A' CONSTRqU�C,T��ION PERMIT Project Address �SLJ�S.[h+sYNE _ Ap�licant's Mailing Address �O S'TL% AAF- i'�i Owner's Name �YASJ}Y�I�OQ.O(L! T'L •Phone� 2.Qo7_N� .p QB1�l� � y-� 14 C Address /—� j�A M Arch/Eng. License No. Address Contracro ' N RN Phnn�e .��-� VD—.?a�ift% Addresslm'�' 1 e .43o r—� .�u �MFSA %�d � r p � City License No. j� «—%� /�— 1� LICENSED CONTRACTOR DECLARATION � I hereby aHirm lhat I am licensetl untler Orovi5iOn5 ot CM1arter 9(commenCing with seclion 7000) of DlviSion 3 Of tho Business antl Professlons Cotle, antl my Iicense is in full torce antl etfect. License Class License No. Date Si9natvre WORKERS' COMPENSATION DECLARATION reby aifirm that 1 have a certilicate of consent to self-insure or a cMtlficate Norkers' Compensalion Inmrance, or a certifietl copy thareot (Section ..�00, Lab. CJ Policy No. Company BCertitietl copy is nereby tumishea. � Certlfietl copy is filetl wi[h the <ity Builtling Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLA0.ATION (Thiz section neetl not be completetl if the permit IS for On¢ huntlretl (5300) or Iessl. I c¢rli/y tnat in th¢ perfo�mance Oi Ihe wo�k fo� whit hi5 p¢rM�t i5 i5 uetl, I Shdll OOt fO0�0y !ly ¢150n ip olly Td O¢f 50 d5 i P T8 SUbj¢C O f� Wor$�/ yo a' wsofC Dat�Cj��L_��Si9natu — NOYYC : It, �r km this tleclaratlon, y shoWtl be<ome subjet the workers' Comoensa fon provisions of tne bor CoOe, you must to nwith complyy wilh suc� p�ovisiOns o� tni5 p¢rmit Shall be tleemetl revOketl. CONST/RUCTION LENDING AGENCV I h¢r¢by a��irm thal �here ii a cOnst�uctlon 1¢ntling agency to� the pertOrmance o/ tM1e work for whiGh [his permit i5 i55uetl (Section 3097 Civ. C.) lRntleli'' Name LsnCer's Atltlress OWNER BVILDEN DECLARATION I hereby alilrm Lha[ I am exempt from the Contractor's License Law for the followin9 reason (Section 7031.5 Businezs antl Professional Cotlo: Any ci[y or county which reQuires a permit lo conztruct, alt¢r, Improve, tlemolish or reOal� any ztructure, prior to its issuance, also requires the apv�itant 1or such permil to file a signetl Slatemen[ Ihat he/shC I5 IlcenSe� puRudnt to lhe prOvl5ion5 of .�he Contracror's License Law (Chapter 9(tommencinq with Section 7000) of �izion 3 of the Busine55 antl Professions Cotle) or lha[ ne/sh¢ is ezempl refrom anE the basi5 10/ lhe allegetl ex¢mplion. Any vblatlOn of SeCtlon .31.5 Dy any ap0��ant Por a permit 5ubject5 tne appli<ant [o a clvil �nalty of not mo�e than five hunaretl t1011ars (E500j. I, as owner ot lhe o�operty or my employees with wa9as as their sole mmp¢nsa�ion, will tlo the wo�k, antl the Structure is nol intentletl O/ offeretl for sale (Section 7044, BUsine55 antl Prote55ional Cotle: The Gonlratt0/'s License Law tloes nol apply to an owner of a property who bulltls or improves tM1ereon, antl who tloes SUCh wo�k himselfJhe�self or throu9h bi5 or he� own employees, provitletl that such improvements are not Intentletl or ofteretl for I Shce. H, howeveq tM1c builtlin9 or improvement IS SOItl wllflin One year 01 Com- � plelion, lhe owner will have tne burtlen Oi p�ovin9 he/sne tlitl n0[ bulltl or Im- p�_OvJt tor Ihe pur0ose of sale). L4'I, as owner oi tne property, am exUusively contracting with Iicensotl mn- tractors to construct lhe project (Section 7044, Business antl Protessions Cotle: The ConVactor's License Law doe5 not dpplY to dn owne� o/ property who builtls or imOroves thereon. antl who coM�aCtS �or such o�oiect5 with a r.on- tracior(s) Lcense yursuant to ene ConVactor'S License Law). I am aware tha[ proof of ltteir Wo�ker'S Compensa[ion inSurance zhoultl be prOvlCetl to me. ❑ I am exempl untler Seclion B. & P. C. for tnis reason Date (p�;� I nereDy cert m(ormatron is an0 state law! sentatives of Signahre� Drivers' Licens r 0865-46, rev. 5/88 — Owner 1.(J�7f�/� NAKOGIlfZ I nave reatl this applicatlon antl state that the above I a9ree to comply with all city antl county ortlinances to builtling mnshuction, antl M1ereby autM1orize repre- � to iter pon the'abo -mentionetl propertyC for Oale r7� x ..../_ PE.. ;�� 1`15 �.....=. .--. I--. .--. I �..,, ,.�. TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPE OF PERMIT LJ GRADING �U� FOUNDATION U STRUCTURAL ❑ TENANT ❑ ELECTRICAL IlTPLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ. FT. � 7 oCCUPANCv CONSTRUCTIONTVPEC�u��=N/UTA VALUATIONS� ZONE GRADINGCV.VDS. ACRES_ Remarks: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspeaion Fee � $15 Duct � Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. iC80 # Heating System & Ducting ❑o-i oo,000 eru � i oo,000 sT Reinspeaion Fee � $15 White - Builtling: Canary - AppllCdnt; Pink - ACcounling: GoltlenrOtl - ASsessor $f10WCfi Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Wacer Heater Water Service Auto-Wash laue Fee Hood or Typel ❑ Canopy Type II ❑ Refrigeration System ❑o-ioo,000aru ❑ioo,000 System RepaidAlteration Fire Dampers Registers Issue Fee FEES �$ 3 FEES $ 3 A.P. #E S Main Building: E T Front A Rear C Right g Lef2 Ping. Ref. # Planning Notes: Building: Parki ELECTRICAL Aummatic Washer Trans(ormer � 15-50 KW Construction Pole Sub. �� 50 + KW Cooking Unit Meter ❑up to 100 amps Dishwasher Meter ❑over100amps Dryers ❑Gas ❑Electric Sub Panel Fan � Morors�0.1HP�1Yh-8 F.A.U. Inc.Solar 09-15 HP �16-15+ Fizture5 Microwave Device Boxes Pole Light Outleti Switches Garbage Disposal Generetor �0.5 KW 0545 KW Zane Sign Standing Sections Trash Compa[tor L. ' Fae � $15 � � Issue FEES O N I N G R E � M T S. DEVELOPMENTSERVICESREDUIREMENTS: ' • " ZoninB APP�eved By Date Building Approved By (` �,, � Date� Appliration luued By ,v�./� " Date J--t� ^�+ � SUMMARY OF FEES BUILDING PERMIT $ SMIP , $ PLAN CHECK $ - PERMIT '�^ ^• PIUMBING $ � ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ �.�— GRADING $ PLANCHECK 50% $ MICROFILM $ � MECHANICAL $ TOTAL FEE $ � PLAN CHECK z5% $ ul �loali„%-��'",lE� !-�_ car�: oiioait� ;rr,�: �c�::;:. CONSTRUCTION AND PLANNING PO� SPA APPROVALS Permit# Date Inspector A�pROVALS Permit# Date Inspector � �� 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement '� 3.1.Electrical Conduit Utility-Undrgrnd. � 54. Forms • ,� 4t�Electrical ConduiY-Uhdrgrnd. i 55. Electrical Bonding 5. Steel�.Retnforceritent 56. Rough Plumbing & Pressure Test • �� IecCri�,al UFER.Grnd. . 57. APPROVAL TO COVER-GUNITE �� 7:�Foot�ng's� �_ ; . 58. Electrical Conduit-Undrgrnd. ' 8�:� FoLn"dation "' � 59. Gas Pipe, � Undrgrnd., Test • _ 7 G - 9.�Weter�Pipe-Undrgrnd. �� 60. Backwash Lines, P-Trap, � Undrgrnd. ' .. , 10� St�ucturzl Floor System 61. APPROVAL TO DECK � 11. Proqerty Sewer Line & House Connection 62. Backwash & Receptor-Final Y ,� 12. Sawgr�Cap " 63. Heater & Vent-Final 13. Roof �rains � - 64. Plumbing SYstem - Final � 14. Rougp P,lumbing',= ^ 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�PLASTER�NG 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. FiEQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # �21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating ' 71. Product Piping �Gas OOiI 23! Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing �. P� 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing � � 74. Overhead Hydro 26. T-Bar Ceiling (Struc(ural) & 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: • 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer -.... • �_ 43. Backflow Irrigation • . . . 44. Landscape Irrigation System � � 45. Sound Attenuation _E X P I R 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ate � SI$ - 48. Special Requirements Completed ' 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co �' � �� . 51. CERTIFICATE OF OCCUPANCY -, r: � No. Date ' �i �� ' CITY OF COSTA MESA BUILDING DIVISION OWNER-B+UILDER VERIFICATION A ciry or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return oi, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this intormation in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labo nd materials for construction of the pro- posed property improvement. ❑ Yes o 2. 1 ave/have not) proposed work. sigr.ed ar: application for a building permit for the 3. I have contracted with [he following person (firm) to provide the proposed construction: Name LaF,��nA4Lf_ PLUMBiNG.. Address J.7 Phone �j�) Contractor's Lic. No. �Q �Z_%'Jg 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name•_ Address Phone ( City Contractor's Lic. No. _ 5. I will provide some of the work but I have contracted (hired) the foliowing persons to pro- vide the work indicated: Name Address Phone Type of Work I hereby aHirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my per- sonal knowled in ,�ompliance wit hi tate law. Sign . Date: Name: Z— (Printed or Typed) � C.D.L. fl or S.S. # � '� 754-5273 AVP�leant to flll In all ipaces exeept thosa wit�In �eavy DorAer Ilnes anE sign all aoV�aoriate 4eclanlions. . � CITV OF COSTA MESA � PER T O. �� TRACT NO. ' LOT NO. B . � • i . � , . � . CONSTRUCTION PERMIT - � - ApplicanYeMeilingAddress �� , � TVVEOFCONSTRUCTION NEW ADD ALTERATION. REPAIR' " . . ' • �� ^� i,,; � ' � ' , . PfojeCt Addfett • , y— � /� � ❑ CONVERSION �Q DEMOLISH �❑ OTHER , ' ' ' , y�"�t� "/�",�� ' �� r � � OWnlfiNe B �S(�._.C.GC..LG�.. � - 'V6n��1G� DESCRIPTION�OF WORK ' ' ' _ � ' , AddrOR��'� �71N�� 7ypEOFPERMIT. GRADING�-y FOUNDATION , �STRVCTURAL . A.P.qM� I ' ' 20NE � ^ � � ' AICh/Eng.�� . Liten50 NO.� ❑ TENANT ❑ ELECTRICAI JJSPLUMBING ❑ MECHANICAL � , 7LNG. REF. W � � . � . BUILDING � ' ' � �j� ❑ �OTHER ; . Y IN ' F7EAR YARD (TO P/W � � Addrasa, � , � • �� - ' � 70 BUILDING - , • � � Contractor's Nam �" hona �PROJECT DESCRIPTION� 5�. FT. � OCCUPANCv � -%% CONSTRUCTIONTVPE VALUATIONE LEFTSIDEYARD flIGHTSIDEVARD ' � Address (?�eiling) � , , , ' . � ZON� � GRADINGGU.VDS: ACRFc PKG.SPACERE�. I � PROVIDED License No. � ' LICENSED CONTRACTOR DECLARATION Remarks: � � � STREET WIDTH ' PARK FEE S • � I �ere�y a/firm that I am IiCenseO unCer Drovislont of Charter 9(Commendng . . wltfl dection 7000) of DIVISion� of the Buslnqss anC Pro/a5sioni COGe, an�tl) � ' � � � ' . ; � ^ � �SPECIAL CONDITIONS: � • � � ' ' � . my Iicanse Is In full for<e antl�et ct. J � '�/�(� � � , . LJcense Cla f a� / \ /�/ / -•Llcanse:No.' '_:��u1S"=�G17—� • � � ' . PWMBING � � . � � � � , � ry��te '�r�6lgnaturo � � - �� T_ � /� `�i.,,.�.��RKERS' COMPENSATION DECLARATION � ! , Bai Sink � Sewer Cep , � " ELECTRICAL ' =�''-frreCy!aftlrm tnat I have a certlfiwte ot consent lo sal/�nsure or a certiflrate , � BackfloVa Preventer_. . �._ _ $gWer CAnnEciion .- Autometic Washer •Met2r over 10� amps � �� Ui� Workers' Compensatlon � InsUran<e,' Or a Certlfle coOY t�e[eot ($eCtlon , - - - . . 3800, LdD, c.) ! � A � Beckflow Irri tion ' � Soler Callectors � � Construction Pole ' � �Sub Panel • PoIICY No - �� //ComPan � �t^ . 1 � � - " -- � . � . } . � • • , Coaking Unit � � Sub Pole . e deytHleE CODy IS �af6Dy furnlShaC. � � � ' , Bathtubs i Solar Piping ' . __ � , . , � • , FrHii p.1[� s tlletl Wlth the Nty Bunaing DW(� n. � /,�� Dishwasher .. , 'Motors 00.1 HP ❑ i'h-8 Dala ✓ � � ADGliwnt � � '- �� '� �=1�� Clerifiers � So1a� Tank , .. ' i ' E%EMPfION FROM WORKERS COMVENSATION DECLAHATION -� �, OiShN�dih2r � � � SWimming POOI W/Spa' DryEfS �GaS ��Elettfit -"In0.Salar �945 FiP �lsd5+ (T�ISzection neetl m[ be ComO�e[etl If t�e permit Is lOr one huntlretl (f100) or �% . Iece�rtlty �tnat in lh0 pertO�mLnCO O/ LhB wo�k f0/�w�ICO thiT pl�m�t IS ISSuatl 1 D�I�kipg FOUnt8in5 Urinal � • � Fan , i �Microwave • ' � ihail, no[ ampioy any persan In anY manner so as [o become su�je<t to t�e � . - -�� ' - � . workers', Compensatlon, Laws ot Californla. � Floor Dreins: ' Water poset' • F.A.U. . , �Pote.Ligh[ , i . Date' ` • �19�ature • � ' Fixtures �' � ..N0710E: 11, after maklnq Sflfs tleclarallOn, you zhoul0 Cetome.subjet4ta the . � FIOOr SinkS J � _ _ Water Heater,. � . _ _ Renge � Workers'� Compansatlon provislons o/ tne LaDor Cotle, you muit forthwith ' � �. � Device Boxei ' . tomply �with, su[� proNslons or thls permll'shall Ce aeemee revokeA., � GasService' � Outlets WateISelVitB �. �. - Sign � � � CONSTRUCTION'l'ENDING'AGENCY = ' � ' ' ' - ' - I nereCy zlfirm Inat thera is a wnstrucUon IenGin9 aqericy for t�e'performance � ��terceptors � � � - � ' Outlets � � Stending SectiOns ' � ol the twork for whlc� thls�parmit"Is ISsueC (Sectlon�,30W Civ. C.) � - - , � , Leneers' wme � � - Kitchen Sink' �' - � • - - Switches � � Tresh Compactor � 1.OnCer'S AtltlroSs' ' ' - . .. . . - - . OWNER'9UILDE0.DECLARATION�� ' ' . = l'avetOries � �• _ ^ . ' , , GerbBgeDispasal � ' � ' I he�e�y affl�T thtt I pT 0x9mpt IrOT t�e COnlraclo�'s Llcense Law for the ' • p Tre � ' � - Generator QO•5 KW �5-15 KW ' � � i following reason� (Sectian 7031.5 Business antl Protosslonal GOEe: Any clty or . P; � „ • �' � � county whith requirei a permlt to construtl, alter Improve; EOmoIISh.oI reDair - : . � , , . TrenS}OrmCr ❑ �5�50 KW - � � � eny structure, odor to Its Issuan<e, ai5o reqWres t�e aoallcant for such �ermit Roof Diains t ' i ' � ❑5U+ KW � llle a'signod statement that �e/s�e Is Ilcensotl purivanl to the provl5 ani oi ' . � ;Contraclor'rUcanso tew.�Chapter 9 (commencin9 wltb SecNon 7000) of �' ' ' , ^ • , ' - � - - � ' � i Rainspection Fea ' $15 '^.ision � 3, ot tba Busineis antl Proteuions Catle) or tnat ha/she Is exempt Show2ii ,�� - ' Reinspaction Fea $15 � 4''ie/rom ana tno' oasls for tno allegoa exomption. My, vlolatlon oi Sactlon -' ' ' Meter ❑up to 100'6mp1 �Issue Fee � '� S 3 - 7031.5 by any appllcant /ar a, permit su�jects tno apD��t � to a� tivil � � : .' .. 1 • - ' �,�enalty o/ nol more lhan /ive hunOratl Oollars (f500)'. �„� , ,- _ Service Sink i '. laue Fee � . S 3 ZoninB APProwd By . - Data LJ I,.as'owner o/ [he'property or'my omD�oyees'wlth wa995 as [holr sole � componsation wilPdo the work, antl tha;ztructure is no[ Intantletl or ofteretl ( � •_ ; � MECHANICAL ; ' . i ' pppliration Approved By Date � '' ' • far salo (Secllon 7044, Buslneu' anE Professlonal Gotle: The Contractor'S , - - ^ � � lJcenSe ldw tloes not apD�Y to an Owner o/ a property wt�o builtls or Improvas � BOiIBf : �, i". " Ref�igefetiOn Sy5t2m /y . thorBOn, dntl wh0 tl005•suGh wO�k hlmself/hOr581f Or through �is Or h0� Own . � � ' •� i "- • ' � APPli�stion IStued By � v � � DetB a� 9��' 3 � employoes, proviaed that such improwments are�not Intendetl or ottaratl lor '❑0.100,UpO8TU ❑100,OOOHTU � - - - � � . Shco. Ir howevor, tha Dulltling or Improvament I5 soltl within one year.of com- � Duct = Under Ground �• � ! pletlon, tnu ownar wlll navo tne burtlen o/ proving he/sha tlitl nol CuiIC or im- � ' � , , , SUMMARV OF FEES , �,rovalorthapurposeatsale). , ' � , , � Ouct-Strucmral � � SystemRepair/Alreration ' BUILDINGPERMIT $ � SMIP . . 5' �J I, as owner of the proporty, am exclutively mntracting wlN.licenzeE con- . - - ,- � i tractors to construct tne pro7ect (Saction 7064, Business anA Rofesslons Coae: Dutt - Ventilating _ ,- 'PLAN CHECK $� ' � PERMIT . . Tho� ContractoPs Licanse Caw doos not aoP�r to'an owner of property'wno � .ISSUANCE '$ bulltls or Improvas�lharaon, antl who contracts (or such projects with a con- � Exhaust Syst2m ❑ Multiple ❑ � PLUMBING , $, ' � �6 � , �, , tractor(s) Ilcensa pursuant to tne Contractor's LI<ense Law). ' � �PLAN CHECK $�� GRADING ' S� ❑ l_am axemp[ untlar Sactlon B. 6 P. C. for this reason Firepl/FeLt. Blt. �C80 � i • � � � .$, - ' � � ' - � � ' ELECTRICAL � $ ' � ' Date� ' � Owner � � ' � HeatingiSystem & Ducting � � ' ' ' MICROFILM $ ' I.hereDy �cartl(y� that I.have'roatl.thls apP��t�On antl state ttiat ttie aDove ❑O�t00,0008TU 0700,000BT . _ �. .. PLAN CHECK $ � � , , IMormatlon,i52orie�t.�1 agrae'to,comqly with a11 tlty ana county ortlinances ' : � � ' , � � � ' TOTAL FEE $ antl state lews relatlhg\to IlCinq cons[ruction, aMl her¢by authorixe repre- � Hdod oi T B I ❑� ' � MECHANICAL � $ � ' sontatives� ot l�is ty t enler upo0 t e a0ovej�+entlonaE property tm �P Reimpection Fee S75 , LESS ' ' �} � t Cano T' e II ❑. PLAN CHECK $ � qDVANCED PC $ � inspectlon ourpo6 _ / � � t ' i Siqriature ' /L� �u Date ��•' . , . . , , � . � ' . • '' ' Drivers' Llcensa or 55 qp Canary - /ip0��cant Pink - Acaountinq; GolAeniotl -= Asse55or - � � � ' � " ' � " " - - " " - - - - -' -' � � -' ' -' - � - - . - - - - - - . -, . 2 `` CONSTRUCTION AND PLdNNING �Y��k ' :- 1 -- °�` � - -- • -. � . SPA� -- -- _ . •. . : - c. � > :. _ � ., a , c c . :. ,. . _ „ _ -- y cDate Inspector- - , _ ,. .Date .'Irispector' . _APPROVACS ; Peimit�h .� "APPROVALS3 -Permit�' � .. n. t ' - . n : ' � ` r . . ' f • _ . o ' ' - _ �� 1�. �Tempo�ary, Electrical Service:o�. PoIQ � ;� _' f, `� ^ � � � - . '52. ��Pool.&`-Equipmerit Location . •� - ` � _ � . _ -.. -��.4 .. _ � t2, jSoil�Pipe-Undrgrnd: ; �� =' i =' '� . i ..'r `53. �Steel�Reinforceriient' 3 .°t - .� � � � i � � - ._ � -. . ;. . _ :. : n , _ ' - - _. . � (3.�Elec$ical Conduit Utilltv�Undrgrnd'. ' �' .. _ a ��., -54: Forms? - , -' � ' - _ �,4.�Electiical Conduit-Und'rgrnd. '� f . _ - � D '". ", 55.'Elec[rical Boriding � : , �5. !Steel Reinforcement ' � ;: n � o �- , _ .;_'.� ,� =56, �Rough.Plumbing & Pressure Test _ � .� •8. { Electrical UFER�Grnd� � � % � i `•7 ; � �•' �u z � : ' 57, "APPROVAL' TO COVER-GUNITE � ' ! � 7. �Footings ' � , ' ' ; '� �. ' s _ � - <58. Electrical ��pnduit-Undror�d. _ � , , � 8. �Foundation � � � ' ; � :' � ' ' ' = '-59. 'Gas Pipe, O Undrgrnd., Test 9.:Water Pipe;Undrgmd. � i , _ _ ' _ ; - '60. Backwash �Lines, P-Trap, O'Undrgmd. . � 10.!Structural Floor System - � � ' - � ,61. APPROVAC TO�DECK `• � - . . 11. iProperty Sewer Line & House Connec[iod � • ' � .: f .62.'Backwash &� Receptor-Final -, ` . _ • � _ :6 12. �Sewer Cap- � � � t • i � � �� •-63. �Heater &;Vent-Final ' � - . � � 13.,Roof Drains i � ' � � ` ' ' - • ; �, 264. �Plumbing System - Final � � � i. � i 14.'RoughPlumbing � •� � - � �� 65.'Electrical-Final � r--15:'Rough-Electrical-Conduit •" ( - j"' � ' - -j'- 66. Sola�� System-Final - � � i ' - ' . a, -1 -- '�_i6:;.Rough Elec[ric Wiring ,, ;; � ' -- �� s, ' i � C, _ �._ �-� i: �i6T.' �Fencing�& Access Appioval - "' � � � n; L :e �i�.i�Ro�ynw�cioysy�' �. ` . 1 ;, , _ _ ,, ' . ,; � I , I � I _ •=I � ' ", �: APPROVED'FOR FLASTERING ��'78.: Rough Electrical-T Bar Ceiliny �� • : I � - '�' 69: POOUSPA;SYSTEMS FINAL . � ' 19.';Rongli Heating & Air`ContlitioninB 1 �: � � , _ � 1 j,FIRE �DEPT. REQUIREMENT. �• . : � � � � f 2O.�Rou h Factoi Fire lace i �� I �� :' APPROVALS , Permit# � � �� , 9 Y�,�P-� � � i � 21.�Ducts,-in Structure �" �� i �� ; i � ; � � I'70� Underground Hydro . � � ;:22. Ducts„Veritilating'� ;.� � � ' � ' � � ' +71: ProductPipingiOGas ❑Oil � . � � �23.��Gas.Pipe-Rough & iest;, i � I,� � � ��{ � �� i 1 72. Undc ground Plush � '-24. Roof Framing, � ' � ? � � 'I�� • � �: � �• ,•� � �_� � �73. Undergrnd.�Storage�Tank� Gas ❑ Oil 25�;Roof Sheathing � � � ' � � ' � � ` 74� O�verhead Hydro � � - . _ !• 26.�:T-Bar Ceiling (Structural�i& Monocoat . ' � �� '' , , ;�� ; �75: Dry Chemical - , � � i.. ' �27.��Frameand Flashing; . �� ;! �� ' � 76. DryStandpipe� � i�28.4Lathing&�Siding � � � i "� � � i , ,77. FIXEDSYSTEMFINAL. , ' 29.�, Insulation = ' ' ;, �' � ' j �� ; ' � i i � � 78! FIRE PREV. FINAL ' 30. Drywall Nailing �� ' � � '� . � � ' � , ' � Notesi ' i ', - . .- - - - -r- - --� � - _ . . � 31. Plaster Brown Coat ' � ' ,� ' j � i I I i • ; � � � � 32. �iElectrical Power Meter-Final � 1 � � � � � ! � f ' '. • • , I ; � 33.� Final Electric ' � �I � � ' ' ' � � � 34. Final Heating & Air Conditioning �'� ! i ! � , � ' � • ' ' 35. Final Gas Pipeqiest • � � " ' 1 � : f' � � ' ; ' ' � � � - -� ' . .T a � � ; . _ 36. Hood or�Canopy.'_ , � ' ` - n `i � _ � _ ' ' � ' I � • . .` • - - I 37. Final �Factor�Y Fireplace� ' �� i '� i • � �� i ` � � � ! _. , _ �. � . ' � � . . 38. Final Plumbingl � V i , �-I - �T��3� � I' �" ��, _ - • . 39. Water,Service-Final , ' � -� '� � � ' , � , � , - , . .i i� i� i � f �-' I i I ,. 40. GasService-Final j , � i ' � � { , f � � -, �- ' : � i � A � 41. Solar pomestic;Final I ; � � ' � ' � ' � • � I t-'. i---�' - -�- - - -'- '._ - 42. Backflow Preventei z � � � i '�r , _ � , ' ' . ' � - -_I � _'t ' _' . r - �. : .. -�� _; , -' � - `. L ,' � � . 43. Backflow Irrigation I � , ,�'" ' - " - ' ' • ' 'f., 1_ � t�� , '� 44. Landscape I�rigatiomSYstem � �,:_' � ; � I ;- i � i .; I i � � ` ' • � � ' j � . .. � - � �_ 45. Sound �dttenuation? � , �' � i' ' I = � _ i . i � - I � ' i "" . - ' ° `"" "- h i._ - � i ��. � � ��. 46. HandicapRegolationsl - " . � . . � ' - - 47.� FINA�L STRUCTURE�& BUI�LDING,' ' _ , i •� ; � �� ' , � � - 48. Special Requirements Completed j I � � ! �' �_ , � � � � � �' . , i 49. Electric Release to �Edison � � i_, � _ � _ _ �_I � � � � . I. � . . ' '� n � i � 'i i � i--� - 50. Gas Release;to Southein Califorriia Gas Cn ' � ; � � � ' i � � ' ' ' 51. CERTIfICATEIOF,OCCUPANCY ' �_.�_:._ _� _' j. ''__!_ - _.�"' � No � � ' Date � � � � � � ' ' � � � � � t . . I � . r,. . , : . - ..� -< �._ . _.. _ i _...... .�J.._ _ _,_ ` _ ' _ _ _ "_...._ ., _ . _ _ . � J013 ADbA GENERAL !\--�ii••�� a %�4 CO•.IRC. DATE b-3-63 BUILDING PERDI[T NO. SUBCONTRACTOR =t � . �s�� FEE ECEIVFD COSTA MESA BUiLDING-SAFETY DEPARTMENT JUN 3�y��, P.O. BOX 31] G06TA ME9A, CALIPORNIA FI ANCE� DEPT. � For Applicant to Fill In Complefely AP��A��I7"fOR' pEf£�t11' TYPE OR PRINT BUILDING for Offic6 USB Only BUILDINQ ��0� �C ADDRE59 p[CHIPT NO. PERMIT NO. COSTA MESA. CALIFORNIA Iq7�? �VHDpY OAT8R6QIVBO ��NT3186U� OWNER Doyle & Shields Dev.Co. ,Inc ' LG3�_'nl B 1 DINO a//� i��1:r��--�/�/ �u �� MAIL 831 S`O� Manchester AVe. A RE59 T� ADDRESB �i.n Anaheim No' QR'78020 zoNe rrre maou ARCHITECT T6L S(/,�O BrPROVED DATfi OR EN61NE8R Hai C• Tan N �r5 ZONING ADDRE93 4100 W Commonwealth �, „,.,, UBHOPN �'U erton �une � aui�oirv � CONTRACTOR Sa1IlE wooaees SdIRe peo�R,M„„ Lot 148 Tract 3433 c�Tv Same A. P. NO. - n �f NOTE: NOEAVCOVERHAN08HALLBELESSTHAN LIC.TNO.LSZ—GSO�B�1 rTio' PR Z—HOLO 90'TOSIDE@REARP.L. EAVES SIZE ro.oFo�ooe. ALLOWED �U.B.C.REQUIREMENT) OF LOT Xow oN LAT �� YARDSAPPROVED YARDSAPPROVED ' USE OF _ MAIN BUILOIN6 ACCESSORV BUILDING EXISTING BLDG. � f FROM C/L STREfiT) seTeAeec uN5 vnoM 2O. SO � REAR YARD FRONi FT. CENTBR OF BTRER �� SIDEYARDI LEFT -- I R16HT '� R.61OE � Ff. FT. DESCRIPTION OF WORK �.sio C7 Fr. Fr. NEW X ALT6RATION ADOITION REAR �� FT. Ff. � OIS�ANCfi BET. BET. MAIN Q REPAIR MOVINO DEMOLIHH MAIN BLDGS. ACCESS.BLDG9. BUILDI e NO OF VAR.$F � OATE SIZE `�3x53 � JD RO M9 6 6T RIEB 2 C. U. P. APPROVED EXTERIORWALL� _I ROOF SN�Ns�'� APPRO � COVERING `Jtl1CCU GOV6RIN0 BY ATE !�' USfi OF BUILDIIVG AND WORK TO Bi PiRFORM6D Residence w attached ara e Model 32C d Q� 1824 eo. � ^ � HEHEBY ACKNOWLHOaB THAT I HAVB RCAD THIB �PPLICATIOH THE AMOUNT B UNOER VALUATION IB POR TNe g AN� 6TATH THAT TMH ABQVB 19 CORHBCT AND AOq6H TO COM- PURPOBH Or 8 BLIBHINO A PEHMIT PE8 ONLY. 0 PLY WITH ALL CITY OR�INANCH9 �ND tT11Tt LAWY R[OULATIl10 yqLUAT10N / p oui�o�rvoconsrRucilon. Q PERMITFEE $ tl� � � SIGNATURE P ` , ' C 1 $ I�' �/� � ¢ PERMITTE � /1 /� J.. S AUTHORIZED AaHNT A ' /'� 4 TOTAL FEE $ � �,� u