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Home My WebLink About2832 NEVIS CIR - Building Permits¢ant to fill in all spaees within heavy OorCer lines an� ropriate tleclaratians. OF COS'iA MESA . PErSnxiT NC' TRACT NO. LOT NO. BLDG. NO. - ' '- � i. ,. C i STRUCTIUN PERMIT — S 3 `' �� ProjectAddress 32 L"y-�5 /" � TVPE OF CON�TRUCTION . . �a�p �� '�� 4�`Jo4b T� Owner� � � Phone ❑ NEw �ADD ❑ ALTERATION . ' , AddfeSs O REGAIR ❑ CONVERSION ODEMOlISH . ❑ orHER ZONING REGULATIONS Arch/Eng. S', �icense No. (J � • A.P. �� — - — -- Address Z� �, DESCRIPTIOf�{OF WOR � • '.'3� �� y^� ti��L�� _ZONE PLNG: REF: � Contracmr � v � Phone Z, TVPE OP PERMI �" � �- � . U D �� BUI�DiNc - �- Add�ess - SETEBACKC L OPERTV LINE. / _ ❑GRADING�. �FOUNOATION �SiRUC`U�RAL�� L�EFTVARD i i/ LICENSED CONTRACTOR DECLARATION � � -❑ TENANT ❑ ELECTRICAL OPLUMBING`-'OMECHANIGA I h¢reby affirm tnat I am licensetl untler provislons of Charter 9(com- ,� . _ ', ShiC�E VAR - �_. I HT mantlng with section ]000) o� Division 3 of ma Busineis antl� -❑ OTHER - � _ , Protesslons Cotle, antl my Iicense is in tu❑ force antl' effect. � . REAR VARD (TO P/L) � .PROJECT DESCRIPTION . ' �icense Class License No. � � - �/�� - - PKG. SPACE RE�.- - � PROV IDED - . .. , r. . . , SQ. FL � . Date Signature � � STREET WIDTH - �-. PARK FEE 8 WORKERS'GOMPENSATIONDECLARATION�- �'OCCVPANCV ONSTRUCTIONTVPE I h¢reby affirm that I have a certiticate ot consent to selt-insure or a, VACUATION �� ZONE - ZONING APPRO �AT certiFlwte of Worker5' Compen5ation InSurance, or� a certitietl copy _ ._ _ , �hereof (Section 3800, Lab. C.). • GRADING CU. YDS. ACRES � SP CIAL CONOITI N. - ' � Icy No. - � �Company ' - - -` � CertifiEtl COpy Is h2�eby furnishetl.- .REMAHKSi I� Cer[ifietl copy is tiletl with the city Builtling �ivi5ion. ' � EXEMPTION FHOM WORKERS' COMPENSATION-DECLARATION '��' - (ThiS SeCtion neetl .not.be Completed it th¢ permit i5 (or one huntlretl - - � . (uld�) OI I¢55). ' . ' � . . 1-CBrtify that In.the.pertormance of Nork (or whic ermit is . ! issuetl, I 5 II not employ any p on in ny manner o as tiecome -P UMBING - `-� PLA HECK"' "" ELECTRICAL' " -' PLAN CHECK , ' ' subject t e W rkers' Compens lo s o lifo i � Date PL Signacure u BATHTUBS SHOWERS ' ` � -" - NOTIC : If a ter making this tleclaration, you shoultl become:subject TOILETS� ,URINALS' ' GENERATOft - -- � to the Workers' Compensa0on provisions of tne Labor Cotle, you must ' �� TRANSFORMER Od' KW-_ 1'd0 KW .forthwith Comply with such provi5�ons or.this permit Shall�be tleemetl� ,-IAVATORIES. ��DOUBLELAVS '- '� ' -- :APPCIANCE 30-50 KW=50+KW • ..Y revokea. . .� �. . � � .t: _ . . . . , _ r , F: : ' _ , ,_r "_ _ . CONSTRUGTION LENDING AGENCV� KIT. SINKS-�� OISHWASHERS� � _ _ �MOTORS , 04 HP_1-10 HP -- I hereby atfirm that there is a cons[ruction lentling agency for the per- SERVICE SINKS ,. .1� SUMPS �t �'' � -�� (iNC.50LAR). �30-50 HP�_-'SO�+ Hp � .� - formance ot-the work for�wM1ich-this permit is i55uetl (Sectlon 309 i - Civ: C.�. ' � \ " ' ' `� ' FLOOR SIIVKS. i � FLOOR ORAINS- '" �FIXTURES ` OUTLETS� � SWITCHES ' - ' Lentler's Name - ' LentleYs Atlaress' � � DRINKING FOUN�AINS " - r � ' """ �GHS�TUBE SIGNS`� � •� � �� - - - - OWNERBUILOER,-pECLARFTION' � . , - � WTERCEPTORS� ' CLARIFIERS�, ' 'POIE'LIGHTS " ' ' - - '� � - I M1ereby'affirm that f�am exemPLfrom.the�Contractor's License,law:for - tne t011owing rea5on (Section'7031.5 Business antl'Protefsion5 Cotle:' � SWIMAAING`POOL" "' PTRAP" ' -- ' - - Any �city�or�`county which requires a pe�mit to const�uct, alleq �POLES METERED SUB improve, tlemolisn or repair any structure, pnor to it5 issuance, also re- yyqTER SERVICE " ALTERATION"" ' ' PANELS '-" ' MAIN - - SUB ' quires fhe ap�.licant for.SUGh.p¢rmit to`tile a:signetl s[atement;that he� - is licensetl pursuant t6;tbe provisions.of the Contractor's License Law - � - �SERVICE - - -AMP - - - - (Chapter.9.(commencingtwitM1.Sectian �000).,o(,Olvisionn3 of the GASSERVICE OUTLETS 9*c<iness antl P�p1E55i0115 COtl¢) oi_ thaYhe is exempftherefrom`antl the� : yyAT.ER HEATERS ' BTU OUTPOT - - •� - - - - - �'I",for the alle9etl.,ezemPtion.�-Any violation of.5e<[iOn 7031.5 by i ,�iappllcant'tor"a permit subje'cts the-applicanf'to a'civil peoalty 'SEWERCONNECTIONS �'- ' ' -' ' ' ' " � ' ' — -- � — - - - - - »t�more•lhan five;huntlietl'tlollar�(§500) � � -" ` � I tas owner of the property, or inY�einployeei with w 9es as [heir ..�SOL'AR TANK " COLLECTORS "' ' - - � - - - ' - - - � - sole.compensation, will do:the work,�antl'•the stiucture is not�mtentletl- " - Or offeretl Por sale. (Settion �044, Buslness and Professions Cotle: The �SOLRR PIPING SVS. '�� - � � �SSVE FEE- ' Contractor's License Law tloes.not apply to an Own¢r of a prope�ty ' --. „ qPpLICATION APPROVEDBV DATE i who bullds w�improves Ihereon',-antl who tloes•such work himself or, ��ISSUE FEE. � � � - � � � � / through his Own �employees, provitletl ltiat su[h impro�ements are not� L intentletl�or offeretl forsale. If, howevcr, tne builtlin9 or irM1provement MECHANICAL -' .'PLAN CHECK �� - SUMMARV OF FEES is Soltl within one yea�.of <ompletion,'the owner will have the:bu*tlen � .. '� of proving he �tlitl �ot Ybuiltl or�i yprove for the purpose of sale). , HEATING SYSTEM'� 0-10(i;000 BTU BUILDING �O - _�� , ❑ I, as owne� of the property, am excluiively�2ontracting witti . •PERMIT $� SMIP.�, E �' li<Cnsetl contractors to const�utt the proj¢ct �(Section ]044�,Busines5. ' AND OUCTING' �� Q�� q � � - , , 100,000+gTU PLANCHECK E�.'..LS,�PERMIT antl Professians Cotle: The Contrac[or's LicensE.Cdw tlo¢s�noi apply to '" - ISSUANCE -$' � ;'an\owner of property who builtls.or improves,thereon,.antl who ron- _REFRIGERATION: 0-300,000 BTU PLVMBING E • trd<tz'from such piojects with a mntraEtorjs) IicesneQ'OurSuan['t0' SVSTEM_ - ' - -� - _ . GftADING 5 theContractor's��ticense�Law).�M�7��L TTi� „ -�J [�y, ,,.,.�� -.,,, 100,000+gTV• �� : �PLANCHECK S . � -, .� � XQ-I�am Exempt Untle� Section �B !o� thi5 � '- - � � � � � � - - - � • E . reason ', .'OW�I'�/�� - BOIL'ERS� .� 'V„ \ BTV y,� ELECTRICA� S MICROFILM E " . � ` ° �- SYSTEM�REPAIR,ALTER TION': ' - �PLAN'CHECK $-- � I oate�. .9 /�- 4# l. n,.,.,e. ` `��.�.1.,� . A: _ .a'\. ., ' � - ' TOTAC FEE S %O. Ih¢r¢bytrtify_tpatlM1ave`reatl[hisappliqationantlstdte�thatth¢above EXHAUST�SVSTEM. (MVLTIPLE �MECHANICAL-$ - � - �-; i55UE FE.E � CMF 0865-46 `�[e-Builtl' pApp ; vink-Accounting; Goltlenrotl.Asiessor � , ' � CONSTRUCTION AND PLANNING POOL & SPA �, � ' , ' ��,4PPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspe�tor 1. Temporary Electrical Service or Pole 43. Pool & Equipment L'ocation - � �-� � -� �- 2. Soil ipe-Undrgrn " 44. Steel Reinforcement 3. . Electrical_Conduit Utility-Und(grn." �_ �- 45. Forms � . - - � 4. Electrical Conduit-Undrgrn 46. Electrical Bonding -- --- -� - � - � - - . tee ein orce . 47. . Rough Plumbin & Pressure�Test- ' . 6. Electri�l UFER Grn . :,,( - 48. APPROVALTO COVER-GUNITE - - - - - 7. Footings _s 49. Electrical Conduit-Undr rn' �� $. Foundation �' ' 50. Gas Pipe, � Undr in, Test •- � 9. Water pipe-Undrgm. '' � 51. Backwash Lines P-Tra � ndr rn ' - ' 10. Structural Floor SVstem � -qyQ 52. APPROVALTO DECK '"- - - . 1'.1. .?roperty Sewer Line &}Nouse.Connection 53. .Backwash & Rece tor-Final � _12.. �Street $ewec Connection ' � '-' � � 54. Heater & Ven4-Final . 13. _ Rough_P,lumbing. . _ ' � • - ' - ' " ' ' 14. Rough ElectrioConduit �� ` - -�• � �56: Electrical-Final - • • 15. Rough Elecfric-Wiring � � � � � � "'� � �- - - 57. - Solar System-Final- � - - ' � 16. Rough Heating & Air Conditioning - '- - _ - - , _ - � - � -� encing & Access Approval . 77: Ducts;�in Structure- � ' � f ' '• 5. APPROVED'FO'R PLASTERWG ' 18: Ducts,-Ventilating � ' - �- � � ' : _ _ - � _ - 19. Gas Pipe; Rough� & TesY � - �60.. POOUSPA SYSTEMS FINAL - ,. �� 20. Rocf,Framing - � - - - � 21, Roof Sheathin ' _ L_ 'Yv� , _ �$' - - � ' � ' . � 22. Frame and Flashing � �^G". NOTES: �_ � _ F' � 23.- Insulation - - a.QQ�2 �C -a ,a- - � � 24. Lathing & Siding � - - �- - ' �} - � � 25. Drywall Nailing � - � ' _ , J2- 3 . �i"7 - i SoQ 26. Plaster grown Coat ' � � � - :�i' 27. Electrical Power Meter-Final 3- - d3 cLtw� ' 28: Final Electric � � 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test 3- � 31: Final Plumbing - . - � 32. . Water Service-Final � � ' ' � 33: Gas Service-Final - � - o- � �/�i� � � Ji � 34. Solar pomesticFinal � � ' S O w� ' -� ' 35. Landsca e S rinklin S stem � � � %- No 36. Sounq Attenuation • � � , 37. Handi�p Regulations ' � � 38. FINAL STRUCTURE & BUILDING /LY�� ' 39. Special Requirements Completed � ,3 S �- 'Y-" c9 L ' ' 40. � Electric Release to Edison ' �S -td 41. Gas Release to Southern Califbrnia Gas Co. - y_ �,_ 42. CERTIFICATEOFOCCUPANCY - No. Date - S3 � y - io-S3 !�^-�ee.�.�Q a(/J"�.n'(/ �' / " � 3 R"�� (/� ,. �,�r . O -� �i, � �f •. a � .) ` � yg� - �� Nd-t-' �e��.�Q v �.� T� �-+ ' I `i�ro no� c.vt�.�rv.�.s-� � No�� S � � �/ � / ' _ ---- __ 6 - 3- s.3 - -- �J �KB�.:� �, - � e �/�`� "�� `.'� o � �k�- �! G - I3 - S 3 - - 'Y�I�.�,:.� ��>,�., � � 6-�f`�� - � � � , o��.,t- � • --�-�-�, �,-�-..�-�-�.. — ,�-�--t - G - 3 o-_S� -�,� -�"`1 ��"'""""� - - �� f �% � _ s — g3 �I� �,,-o-� �.. �:�,..��,� — � � — - - .�.e�. a — �-u..�- �-,...� � ��-�-�-� �:;;� - � � �� , � -� ,�-�.� � � ,��`�� '��., � �� n � . �� . � � _ � .a ��°`� �` S�sv/s3 � Insti l�t/ph-- Q� ir� _Mus�h _I��o.� ¢ If;fch e_� ._ Pe�d; �9 lec�".i"� Jtli'cti_�h 4--Me�l�c,:�.�'c�l ;h. /j/ltis%c Roo..-, '� , ��j NOr' f�e?�e�,�i�� . �j�/ivr%�-�� `u-wZ ��Oa,ez�� (/ � � �"� - �r��-. c� �� - �� — ----�--- � _I Aop�innt to fill in all svacef ezcept thosa .CiTY OF COSTA MESA CONSTRUCTION PERMIT Project Address � Z G J� S. i Owner's Name hone -s � ZZ Address ArchlEnq. e�o Q � Litense N �'37 7-s Addreu Z y S�'• �E' L�^�-DuGp� � Contractor's Nem � � -d hanet�.cF.c.�Z Addrea (m^ �'^a� , o v� Licenu No. ' LICENSEO CONTRACTOR DECLARATION I hereCy affirm t�al I am IlcenseA untlar provislons of Charter 9(<ommencing , With »ttlon 7000) 01 Dlvlslon 3 of the Bu51n855 an0 Pro(eSSIonS Cotle, antl my 11<ense iz In /ull force an0 effect. � ' IJcenze Class ' License No. Dala Slgndtura WORKERS'COMPENSATION DECLARATION I �araDy afflrm tnat I hava a cartificate ot consent to selfansure or a cnrtifiwta �/ Workers' Componsatlon Insurance, or a certifietl coOY t�eieo/ (Secllon 900, LaD. CJ , ollcy No. Company ' ACerUfiatl copylS hereby turnithetl. �, � � Certlflatl copy 15/lletl with tha clty Bulltling Dlvlsion. Date AOO��t E%EMVTION F0.0M WORKERS' COMVENSATION DECLARATION ' (7his section neeO not ee comD�etea It the parmit Is for one �untlrea (5100j or less). , I certi/y l�at in t�e performance of lhe work for which this perm�t is Issuea I 5�a11 not amploy any parson In any manner 5o as to be<ome 5ub�etl to t�e Workers' Compenzatlon Laws o/ Callfomla.. . , � , Date ' Signature � � NOTICE: If, after making this tleclaration, you shoulC become subject to the Workers' Compensatlon proviilons of the Labor COCa, you muit torthwith , comply '.wlth' such provizlons or [his permit shall be aeeme0 revoked.' CON5T0.UCTION LENDING AGENCV � I hereCy af}irm that t�ere iz a constructlon lentling a9anty far the performan<e of tha work for whi<h thii, permit is I55ue0 (Section 3097� Civ. C.) Lentler's. Nama Lentler's Atltlress' - � � OWNER BUILDER DECLARATION ' � - I heraby�atfirm that I am exempt trom the'Contractor's License Law /or the /ollowina reason ISecllon 7031.5 Business antl Profassional Cotle: Anv citv or a as owner of they roperty or :nsation. wlll tlo-[he work. am or improvement is soia wimm ono year or com- ie burtlen of proving he/she tlitl not Duiltl or im- rove ror me purpose o* saie�. � � I, as owner of the property, am ezclusivaly contracting �with Iicansetl <on- i tia< rsto canstruct Iha Droject 1Sectlan 7044, Business antl Profesilons Cotle: The Contractor's Llcanse law does not apply to an owner ot property who t� bulltls or improves tharaon, antl wno con[ra<tz for suth projects with a con- �` tractor(5) 11<enia pursuant to tne C �a_t license l.aw). C�` ❑ I''am ezempt unEer Sgc lon , 8. & P. C. for lhis reaton \ Date � pwner �� -I �ereby-�cartlfy that I �aae rea� �Informatlon is correct. I agree to antl'stata laws relatin9 to builtlin sentaUves of;thls dty to enter QInzpecUon Dur _ � ' Signatura c thls tna 1 state t�at tha above ' antl countv ortllnances anE Sign all aDProDrlata GOclantlons. TVPE OFCONSTRUCTION LI NEW LJ ADD LI ALTERATION IJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - DESCRIPTION OF WORK TVPEOFPERMIT LJGRADING LJFOUNDATIQN, LISTRVCTVRAL ❑ TENANT ❑ EIECTRICAL ❑ PLUMBING j�f MECHANICAL ❑ ATHER PROJECT DESCRIPTION 5�. FT. OCCUPANCV_ CONSTRUCTION TVPE VALUATION $ ZON� Gi7AOINGCU.VOS. ACRFc Ramarks: Q ^`1 � Backflow Preventer Backflow Irrigation �. Bathmbs Clarifiers . �king Fountains�� rt Orains rr Sinks Service � "Outlets Sink '—Trap � Roof Drains � ' Showers � Servite Sink' =- ' Boiler ' Dutt - Under Ground Dutt - Structural Duct -Yentilating Exhaust System ❑ Multiple ❑ Firepl/Fxt. BIL ICBO #25%b Heating System & Ducting ❑0.100,OOO�BTU 0100,OOOBTi Hood or Type I ❑ � Dtivers' IJcense or 55 9p Regirters CMF 0865-46 rev. 12/B2 White - BuilCin9: Canary - AOP��t; Pink - Accounting: Goltlenrotl - Assessor Solar Collectors � � Solar Piping ' � Sotar Tank � Swimming Pool w/Spa Urinal Water Closet � Water•Heater • Water Service - r: � Reinspection Fea ' , laue Fee iANICAL Retrigeration System . ' ❑o-100,0008TU ❑100,OOOBTU System Repair/Alteration . S15 $ 3 Reinspection Fee � � $15 i: Isue Fee � S 3 PLNG.REF.aW LEFTSIDE VARD PKG.SPACE REQ. STREET WIDTH atic Wazher ic[ion Pole g Unit Sh2l � �Gas ❑Electric s Boxes 2519 7/20/93 7.i` Ti BUILDING REAR VARD (TO P. RIGHTSIDE VARD PROVIDED PARK FEE $ . " . EC7RICAL � Meter ❑over 1 W amps Sub Panel Sub Pole i � , •Motors OO-1 HP ❑1X$ InaSolar O9d5HP �1645+ Pole Swncnes ' Tresh Compactor Garbage D isposal Generetar �0-5 KW �5-15 KW - Transformer �15-50KW . � ❑5U+KW ReinspectionFee 575 Meter ❑up to 100 amps laue Fee. � ��$ 3 2oning APProved BY 'Date � Apvliotion Approved BY /� ^ate APDliiation Isued By �L nate 7"aB�� 3 � �, SUMMARV OF FEES ' BUILDING PERMIT $ SMIP �� $ ' PLAN CHECK $; PERMIT ' � . PIUMBING � � $ � ' ISSUANCE $ � PLAN CHECK $ � GRADING � � $ , ELECTRICAL $ . $ PLAN CHECK $ MICROFILM , $ MECHANICAL $ _� TOTAL FEE' � $ . PLAN CHECK � $ ' �ESS � • ADVANCEDPC $ � � FINAL FEE $ � it _ .. - -POOL& '.. - - -- - - - - -- c �CONSTRUCTION AND PLANNING' ' ' • � � :' ' '� _ -- - � ` .' ' � ' ' ' c • � `•Date �, y Inspector � " � � - . Date � Ins ector , --=FjPPROVALS.,, Permit# _ � , cAPPROVALS Permit# P -t�� _ _� i � - - - '� A: Temporary Electrical SerJice or`Pole � y' . � c, ' 52" Pool &_Eguipment Loca4ion' �� - � n ' ' �� 2: 'Soil'Pjpe-Undrgrnd.`. - � ' . ° . , � '. � � 63� Steel Reinforcement ' .' . , � ' �� 3, Elect�ical Conduit Utilitv-Undrgrnd: _ ; �� .;54� Forms � ' '" � ' .. _ 4' Electrical Conduit-Undrgrnd. ` ' ' ' n ' a . . �55.� Electrical Bonding " - � ' � � � ' 1 n " I 5: Steel'Reinforcement , � � , - � - ' � -56. Rough Plumbing & Pressure Test �- � 6. Elect�ical UFER Grnd. `^� . � � ' °� . �' � - � 57.' APPROVAL TO COVER-GUNITE � . 7. Footings � � � , = � � `� " � � - 5S. Electrical.Conduit-Undror��1.. ' - C. 8. Fouidation : ; . , � _ '� � .f! -'59. Gas�Pipe,O-Undrgrnd.,Tesj . ' ' 9. Water Pipe-Uniirg'rnd. , _ - - '_ i��60. Backwash'�Cines, P•Trap, O Undrgmd. ' �" , 10. Structur,al Floor Sy,stem '- , � 61. APPROVAL TO DECK �� - . 71. Property Sewer Line &�House Connection ; ' _ � 62. Backwash & Receptor-FinaF - . _ �2• Se"°e� CaP �% ', : � � � '- 63. Heater &�Vent-Final . " � � 13. Roof�Drains ' � • � - - 64. PlumbingSYstem - Final _ 14. Rough Plumbing ' ; � - � � ' ' 65. Electrical-Final - - � '-v - � 15:'�Rough-Electriral-Conduit -� � - - . "� ' � . • - -66. Solar�.System-Final �- • � � � --' -' �� ./ '>16. Rough, Electric Wiring I . � : � T-L'--"- � _,*; � '`� 67e Fencin & Access A roval - � '� � � ,�. i' 9 PP . �'17. �Rough`Wiring Sign `� i• - ' ` - � - �: '� 68.� APPROVED FOR PLASTERING ' • � � - ";�18. RoughElec[rical;T'BarCei�ing' , � i . i 69.,POOL/SPASYSTEMSFINAL ;, i 19.'Rough';Heating & Air Conditioning ' � ' � ' ' ' ' FIRE DEPT. REQUIflEMENT � � � � � � � �� 20. Rough Factory Fireplace ' '� f y/��y� �� APPROVALS i � Permit �p -- _ ' 21. �Ducts,.in Structure '� � ! � ' � � � � � � �70.� Undeiground Hydro ' , ' , �_ ��,r2. �Ducts, VentilaEing :� � � • � 'I � ; � , � ' � .71,' Product Piping O Gas ❑ Oil � �:.23. 'Gas Pipe-Rough & Test ; � , t� • ' � ' 72, Underground Flush , . ' 4. Roof Framing � � ,-. i � : , �� - Z3. Undergmd. Storege Tank � Gas ❑ Oil � 25. Roof SheatRing ! , ' r„ ,I ' { � ! .: ; �. � % � 74.� Oyerhead Hydro • � , i -' ` '' ' � . . . r V�26. ,T-Bar Ceiling (Structurap & Monocoat � � � _ � �75.� Dry Chemical � . � - _ �, 27. �Frame and Flashing � - � � ' , : � ` � � � �76.� Dcy Standpipe ' , � . , . r 28. Lathjng &'Sidying � ,� �� I � �u � � 77.' FIXED SYSTEM;F�INAL . , ' . � 29. Insulation a �.^ I �'� �� i I � � �' � �78., FIRE PREV. FINAL � - . 30.'Drywall Nailing � � � � � � � ' ! i ' :Notes:(Q.Zp:bT(.�qrJGE(,, q5 f�•t dGdO UIML G6.fl -_ '�'31. �Plaster Brown Coat' � ' '- -- '-� �- -- � i - � � � � ' � � � , g �-32. �Elect,riCal �Power Meter-Pinal � �� ; � � � j � � ; ' ' � � � ,` 33. ��inal Electric � � ! �i �, i � � � i , ` 34. Final Heating &�Air Conditioning . � � � : ' � ' , : , � I � � .- . � .: , . 35.�Final Gas Pipe-Test� : _ - � , - . � � = 1 M1 t I 36. Hood or CanoPY" � ". � � � � ;. � ; : { ?. . � ' - � ' . . �I - 37. Final Fac[ory Fiieplace' -. ; ` � ' � : � � � � � � � . � . � 38. Final Plumbing � �. o; , . � � . j ' i � � - . � . � 39. Water Service-Fi�hal; � � ' � ' � � � , , � � , � ' 40. Gas Se�vice-Final i � . � E �, ' � i � . � , � �. ' � ' i i 41. Solar pomesticFinal � � � � � � ' � . � � � ' � C �; _ _ 42. Backflow;Preventer' ., , � � � � ' ' r ! � . � -� -- - - 43. Backflow Irrigatiorc ,- � � , , � f ' � _ ' �' i � � ' n- 44. Landscape Ircigation'System � � _ - � � _ 45. Sound�: At[enuation 'i � : ' a � , � �� _ - . � , . . " . . ' 46. HandicaP�Regulation3� i � � ' �: I ' ��:' -' ' ' � , ' , , , . � - . i 47. FINAL STRUCTURE & BUILDING � �' , { , ,�' � , . , ' 48. Special Requirements Completed' � , ' � � - i i 49. Electric Release,to Edison' i ' .__��_ �. ' _ _' + _. _ � ' . � � 50. Gas Release to Southem California Gas Co � � ; � � �- � 51. CERTIFICATEOF�OCCUPANCY - ' _ __'__ _ _ _� _ _ .' _ � No '� � Date � � ' i , ' , .� 1,,� rn � � � CITY OP COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this 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 labor and materials for construction of the proposed property improvement. �Yes ❑ No 2. I, ave have not) signed an application for a building permit for the proposed work. 3. I have contracted with th� following Name Address provide the proposed construction: City Phone (7/cn � 30 I Q � 3 Contractor's Lic. No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone ( � Contractor's Lic. No 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Add ress Phone Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Heal7h and Safety Code and have completed the above information to the best of my personal knowledge, in Compliance with this State law. Signed: "—'_"�r�- � �-� Date: � d-� —$ 3 Name: �: L: a T c� ��_-� �'r+. c� �r-� ( CMF 3042-46 7545273 ADYi��t to fill in all ipaces azeapt thase wit�in �aavy GorCer Ilnes anA sign all aDV�ooriate Gaclarotions. � - CITY OF COSTA MESA � � - - � � � � . � - � pERMI NO. TRACT NO. LOT NO. BLD . . � ' !- • ' CONSTRUCTION P,ERMIT , _ . : -- g"� Sl. � . - — �, , � , .;34�,:4i .E,/L �/`?3 '� , �' E.� , ',T, ' AppliCent'S Meilin � Addfett ' a' 1 ' � � Ti�P OF CONSTRUCTION � NEW � ADD ' ALTERATION ' - 0.EPAIR ' 1 � _' j ; . � � � y ' ' e ProjectAddreu� , � � `' � � D�CONVERSioN �O DEMOLISH ❑ OTHER' � � � ', � ' ` � � ; � , ' f '• � ' t ��r � �2 � DESCRIPTION OF WORK T � ' � � � � � ` Owner's.Nart�q ' (^ - hone.7.-u-�-` -, . r - . ' ' '. . . : ; - . � ' � ' ' I G RE UL'ATI NS.� -- . '� Address � ' � .7ypEpFPERMiT GRADING� FOVNDATION �STHUCTURAL ' �A.P.qW - � ' ZONE ' ' Arch/Eng. �� LiCBnseNo. � -S ❑ TENANT ❑ ELECTRICAL �PLVMBING �',MECHANICAI ' � pLNG. REF.iW ' ' BUILDING . ' � � Addfess. � y 6 � ` �,�OTHER .- . ' � � � . � P�p BEILDyNGNE � ' � REAR YARD (TO P/U Contrector'sNam� honesyS9�ZZ PRQIECTDESCRIPTION�SQ.FT.� OCCUPANCV' ,LEFTSIDEYARD �' RIGHTSIDE D; ' AddlBSSlTeiling) ' � ' � ' � CONSTRUCTIONTVPE • � � VALUATION$� � . � � " � • ' • . �� ' ZONp ' • • GRAOING CU.vDS: IACRES PKG.SPACE REQ. OVIDED ' �� ' ' � ; . , Licenu No. - � � '- � � LICENSEO CONTRACTOR DECUIRATION � : ' � � Remarks: . O� � � � � � ' - 'STREET WIDTH � � ,PARK FEE $ � 1 hereby�atflrm that 1 am Ilcensetl untler provi5ions of C�arter'9 (commencing ' , � � - ' � � � . . . , , with Settlon 7000) of Dlvlslon 3 of [�B Bu5Ina55 anE Vfofeislons Cotle, antl � . � S , - G•S`J$ 'SPECIAL CONDITIO �_ rimv Ilcense Is In full forte ana eHect. � ' ! : • , . - , . . . : _ � . License Class � Licen» No.� � � � � � � PLUMBING ' . • � � ' • , � ' r � � �� Date � � � . Si9natura { ' � � � � , . � � � 'YORKERS' COMVENSATION DECLARATION � � ;� � ' Baf Sink t . � Sewer Cap' �i � , - � � � ELECTRICAL � ' ` -� • ; nereGy afflrm tnat I have a certlflcata of conunt to self-insure or a certifiwte : ' ' ' ' ' Auromatic Washer � �MetEt �over 10b emps ; � '� �f Workers"Compeusatlon Insurance,. or E cert7ilea coDY �t�ereot'(Sectlon ' l Baikflow Preventer _: _ . _ _ . SeWCr ConnEttion: � ; _ � . 1 �p ' 3800, Lab. CJ r' • ! � � � ' ' -' - � � Canstruction POIe ' . , Sub Panel ` � ! ' � j , i � i i � Baekflow irrigation Soler Collecmrs � � � � � � � �� . .� PoIICY No. �^' � ` � ComPanY ' ' , . _ ... _ � , , Bathtubs { � - Solar Pi m � � f ' Cooking Umt � .Su6 Pole + ! � � ' Certllietl copy ii hareby furnlihetl. I ( ' j ' I , P 9 I i ! � ' ' � � e Cartifiatl copy I5 flled with the tity Building Divislon. � � � � � � . , � � � , Dishwasher � �Motoro �04 HP ❑iK-8 ' Data � - � - � ADolkant � � - ' � � � Claritiers So1ar Tank ' , � �' , , � : -EXEMPTIONFROMWORKERS"COMPENSATIONDECL'ARATION' "-' - ' - - - - - - ' 1 ' - - - Orye�s-❑Ges, OElectric . 'InC.So13�;O9=15HP 016-15+ "+' ,(T�is sectlon nee0 no[ De com0le[eA if the permit is 7or one hunAretl (5100) or Di5hwd5hE� ' , ' SwiTming Po01 w/Sp0 ' � iess) � . � . � � � . � - , , , , , Fan -''� ! ' Microwave � � I certitylthat 9n•the pertormance o1 the work for whlch this parmR is issuetl I � Drinking Foun[BinS . U�inal ! I � � . � ! � s�all noi employ�any person in any manner so•as to bet3 me sub�ectto tl�e , -� - . • . � F.A.U. ., � . Pole.Li ht � � Workers',�y e t n. �aws ot Caufor .- � r" T�. � Floor Drains � Wate� CIoSBt � 9 � � ' � Da[e �"f ' j '�Ignature � �V��'��-� � Fixtures , ' NOTICE:di,,a ter making t�is Aeclaration,youu stioulG become subJect to the .; ' FIOOr Sinks � � Wat2r NeatCr � ' � :Range � f i Workers" Compansatlon provlsions-of the Latior Cotle, you must foithwlth Devire Box¢5 � � � ' - com I wlth� sUch fOVISIOnS of:thls' Glptli Shdll b0'G¢BITetl� tevOk¢tl:' � .• . i �SI O ' � P v P • P rviC ' Outlets . � i+ Watef Sef�ice ' t' � 9 Gas Se e ,. � CONSTRUCTION'LENDING'•AGENCV �` ' `�' ' ��''- �^ �' ' ' ' ` ' 4 . : � , � , I hareDy.aHlrm that there Is aiconstructlon lentling agency for the performance Interceptors ; . . _ � � _ � � + � '^ � Outlets • , ' � $tanding Sections ' , . i ', ol [he �work 'for . which this, permR"is ; issuetl'. (Saction 30B7 Civ. C.;' � ' � � - � . Switches I � Trash Com � � � Lentler's. Name • Kitchen�Sink� . � �. � " ' � , � I pactbr ' Lentlar•s litltlress • : :' : . � • � ':` . " . . - � ' � � � Garbage Disposal ' � . . OWNER�BUILDER �ECLARATION ' - � . LavatOries 7 � � ' ' ' ' I hareby�aftirm'that I am exempLtrom the�Contractor'i'Llcensa Law tor the �� . Generetor DO-5 KW �5-15 KW ; followina rea5on15edlon ]031:5-Businessantl Professienal.Cotle:'Any tity oc ' P-T�aP - ' � ' ' � '� , ' � . . . � . y. a ry appucan� n �lLenalty of not more than tive LJ I,�as�owner of.theipropi compensation' will;tlo the wc tor sale •(Secfion 7046, Buz License Law EO¢s not dpplY t� tneraon, and who'tloes sutli empl0y ea5, p�ovidetl thaS suc sale. I/, �Owever, the bulltlinc pletlon, t�e owne�;will hdve 1 grova torthe purpose of sale). LJ I, as owner of the propert tractorsto cOnstrutt the proje The-Contractor's Licen3e� la� Guiltls or Improves thereon, : Iractor(s) II<ense pursuant to I ❑'I'am exempt untler Sectio� Date Oy I hereEy ertlfy that_I hava in/olmaSiOn IS cOrfeCl. I agra� antl�state laws relatin9��o bu sentaHves of;thls'city,to e InsOectlon oy�C9zps Slgnaturb �`�Ll'-. y - Drivars' License or 55 � _ CMFO865-66rev.12/82 Whice-Builtling;Canary e; Cemolishbr'repalr _ . , � � :ant tor such permit. Roof,Drains� �' .• ' to Ihe�proWSionz of. � _ ��Saction:7000) of " ' ` • � -� - bhe/she is�exempt ' � Showers ,' � �Iolation oT Section 1 .. pplica,t to a.civil ; � 'Service5ink: .`'. � � � � i waqes;as theif Sole � . IntenGetl or offeietl i ' � � - " , i ' : The•Contractor'S . • � � builtls or improves , 1 gpilEF � � i�' ' � i�' � u9h hI5 0� her own i ' - ntlea or otteretl for , - � in one year.ot com- � DucY-, Under GrOund . � tlia not builtl or im- � , : • ' Du,ct-Structural ' . g'wlth licensea con- � � . � �.tl Professions Code: ; Duct- Ventilating � � e�'of-pro0erty�who ' �ro)e<ts with a con- � Exhaust System ❑ Multiple ❑ '. ) P. C. for this reason � Fi�epl/Fact BIL ICBO •# ' 3-'�...�_ � HeatingSystem & Ducting � :ate thai the abova '' ,❑P700,000 BTU �100,OOO,BTl Icounty ortlinances �by authorize repre- HoOd or Typ2 I ❑ onetl oroperty for ��Q �.T e II ❑ �a�e ' i i'.3 Registers :ant:Plnk-Actounting;'Goltlenrotl-Assessor"• ' ' _ Reinspection�Fee � $15 '�; i �i laue Fee . � � $ 3 ANICAL' � : '" i � . iefrigeration System , � , 7a�oo,000sTu �ioo,000sru t . Reinspaetion Fee . Isiue Fea - � $15 S 3 Transformer �75-50 KW . � ❑5U+KW ' , 1 Meter ❑up to 100'ampi , Zoning Approved By— � � � ApPlication APProved By �fRi�7�l� � : ' � : � SUMMARY OF FEES , � ; �BUILDINGPERMIT $, � . � SMIP � ; $ t jPLAN CHECK' $ � � PERMIT : � � $ _� � ISSUANCE � I $ ' + 'PLUMBING � . + � ' � i GRADING � � $ � ' .PLAN CHECK � $ � , . :ELECTRICAL $ � • • � � . 'PLAN CHECK $ � � � MICROFILM ; $ � MECHANICAL . $ ' � TOTAL FEE' ' $ , �PLAN CHECK' i$ � ' ' LESS , � � ADVANCED PC $ '� � ' � � FINAI FEE' $ z _. . 2 � CONSTRUCTION AND PLANNING �; � . - ti�: `�' •; ' -�. ' � . � ' � -�� SPA : .. - ., � _�APPROVALS` �Permit �h � - � ' ��'� '-:Date_ ; Inspector.� ' qPPROVALS Permit,� � Date . Inspector - . � . _ - , _ . , . ' �.iTempo�ary Electrical Ser'vice;oi Fole � �- . � i ' S2. Pool &-Equipment Location, � - �' - � � - - , � 2.� Soil-Pipe-Undrgmd. . � ! ;" -S i , �i � �p� � '53.' Steel Reinforcement - . - � . ' .V_ , C3. Electrical Co'nduit�Utiliri�Undrgrnd, � �'- ;F-' -� . 54. Forms. - � _ . � - � fJ : ,'. F4.�Electrical Conduit-Undrgrnd.-�; � " � =' _ � -� 55.•-Electrical Bonding - � .�5.,,Steel .Reinforcement ; !' `. `- ��, ; � : � � _ � •. . � 56. Rough�Plumbing & Pressure Test ., - . ' 6.� Electrical UFER Grnd. � �; ° � ! '�•- � ' ^` �: = 5Z'. APPROVALTO.COVER-GUNITE _ " - � �, ^ . 7., Footings ' � ' ' ' �- p.� � � � : s � i` - 58.' Electrical Cpnduit-Undrar�d�. ' � - ' - • - � 8.�� Foundation . . � ' � ' _� I � =' _ � - '; -:59. Gas Pipe, Q Undrgrnd.,':fes( � : _ � - . , 9.� Water Pipe-Undrgrnd. . I ,�' ; - gp, � Backwash-Lines, P•Trap, 0� Undrgrnd: 10.�Structu�al�FloorSystem. ;� `: i � ,61.:APPROVALTODECK ' � � - 11.� Property Sewer �Line & House Connection � ' • . 62. �Backwash�& Receptor-Final^, � . _ 12. Sewer Cap, ' ; '• ' � , � �= -. - .' 63. Heater & Vent-Final � � ' - �` �' ' � i ❑ 13.; Roof,Drains ' � � ' �� _ I • �g4. Plumbi�g SYstem,- Final - - � . 74.;RoughPlumbing - . � `� � � ' �65. Electrical-Final � - -� ' ' -15:�'Rough Electrical-Conduit �"-- ' �--,; -� � -` ' --_ - - -66. Solar Sysfem-Final � � - •.�- - �� i 6x-Rough Electric Wiring ; i . I i� , j-�1. -'+- � -' - - � - - - . . I �� •,� i �. �_ :, 67. Fencing�& Access Approval '��17., Rough Wi�ingiSign � - I� ;i�; � _ � - - - I � . . � ; � "• � �; � , � � ; '. ; , i ^ 1 ,- 68. APPROVED FOR PLASTERING i � � i r " i �,,. � � 18. Rough Electrical-T Bar Ceiling �� - j� .:' � � � �, _�� 89. POOUSPA'SYSTEMS FINAL, '. � 19.i Rough Heating & Air Conditioning ( � �.ti ;, ' � � � FIRE DEPT: REQUIREMENT � z0: Rough Factory Fireplace �� 1 �' i . � � � � , � APPROVALS Permit #_ � � - d � � 21: Ducts�; in Struaure� i � 'lr-,�G �� i �' � � � � 70. Underground Hydro � - , 22��Ducts; Ventiletiug". � '.� ; ! � . �� 71. Product�Pi in ❑Gas ❑Oil � 1 � i i � l. �� ' � � P 9� �,_'23' Gas Pipe=Rough & Testr � j,.l�:, ;�� r � I ; � • ; 72. Underground Flush ��. � i � � � �' 24.� Roof Framing � � i� � �' 'tr I�„ �• �a �' �. �; � 73. Und'ergrnd. StorageTank=O�Gas' O Oil _� ��m f - i ��, � , '� 25:� Roof S�heathing � �' i : I� �'�' i�' � ' '' � � � 74• Overhead Hydro ' , �� '� ' I` � �26.�T-Bar Ceiling (Structurall�&.Monoco,'a't � , i � ' �� ( � ' � ' , : ' 75. Dry Chemical . �� - ' 'n � t i� i" �� I -27. �Frame'and-Flashin I I � " �i � 1 � � i ' " � ' . . ; . 9 .� �� { �c � t � i 76. Dry StandPiPe � . ; ^28:� Lathirig & Siding ,� `' , � I �I ;4 � , � 1 I'� 1 • � � 77. FIXED�SYSTEM FINA�L. ,, � � � _ 29� Insulation� e +�� •� 'y' I� I; I � I I i; � ' �8� FIRE PREV. FINAL ' ' ' -'30�Drywall Nailing , . ' � I��,`. �' � � � � I � ; Notes: , � � � ' i� - , : . . , . . . - � � -- � -� -- - . . ... -- • '" 3L� Plaster Brown Coat � ' �� i � i � ' � � , � , ' �� _ , , i I. ; � j , 32. Electrical Power,Meter-Final � i � , ' ' ,� � � . . : I '1� � .��1.�� 334 Final Ele'ctric � � � � � ' , ' �' � ' s -�-..Y-.� ._...i _i.«.. . .._ 34. Final„Heating,&.AirCondition�ng � �� , ' . , ' � " � 35. Final� Gas Pipe-Test �^ � 1 �„ I !'� I �, � _ ' �•, ; _• � : �' _ . .. - � � ' _ � �' 36. Hood or CanoPY: � �l I I � n. �� ' ' ` i ^ � . . . , . � - <. 37. Finai Factory Fireplace _ � _i H � �' .' I c. � � � - � ' � ' � . � � �. . � . 38. Final`Plumbing , i q� ;I i . p;Lp'ii. •'L� . . , � - . 39. Water Service-Final � � � �' li , , ! , � ' :' . � 40. Gas Service'Final ; ; � h I ; � �' �. � 41. Solar,Domestio-Final ' � ; �� ' ___ I i , _ , ,- ' . r - 42. Backflow Preventer_ � � � � k_, � + ' � � � - i - - - . � - - , . ., , . � : 43. Backflow I�rigation , ' � (iPj � : �- � � ' ' � - , > �. 44. Landscape Irrigafion System' ' ufl'; �. �; � ; � � ' -� i � ' , . ' ' /, _ � 1 l,. L . 45. Sound�Attenuation � , :' � �� Q , ' ' � . ' . . � - . 46. HandicapRegulation's' - � �� ' IP' � • ' . � � � . - 47.� FINAL STRUCTURE�& BUILD�ING� , ` � � - - , • - i, � � i i �i 48. Special Requirements�Completed �� ' � � V� I , � . ' � . � � - i � � • � • �. � 49. Electric�Re iease to� Ediso� p � � _ � � � . -', � . � N � --�-'--�- "--� _ _ . . t' 50. Gas Release.to Southem California Gas�Co . � � i � � � ' -., . : . 1 I 1 1' � I 51. CERTi1FICATE OF OCCUPANCY � ',_. 1 � _� � _ _ �. _ _ . _ + p .� � � � � - . T � - _ . . , No ' ,Date � � � � _�.,.... ..n,-.T .�✓�-i ,.�_1__ _ . _ . ru io,u OF COSTA MESA ; ' i � � �CONSTRUCTION PERMIT ". . ' ` ' � exeept t�ose wlthln �eary Gortler Ilnes antl sl9n all apOmo��ate � • . � TRACT NO. , ' LOT NO.. BLD ., . ' � . ! �' '. . � AppliCenYS MBiling Addf835 �E ` . iYPE OF CONSTRUCTION NEW ADD ALTERATION"' F ProjBCtAddf855�� _ '->' �-�❑ CONVERSION ❑ DEMOL�SH 0 THER OWnef 5 Neme .� hOnB �' DESCRIPTION OF WORK �% � �� n�lf �S�'_2 A% �'1/iJ-. ' G 2C,�f � . ._ ' 'M Vr ti�)Ti� f M1w.l n4� LiY�� J �' '✓. � ' Addf255 - '7ypE�OFPEflMiT ,GRADING 'F VNDATIO STRUCTURAL Afch/Eng.. � Uten5EN0. ❑ TENANT. ❑ ELECTRICAL O'PLVMBING �ECHANICAL � Addreu' . . ' ' . ❑.�o7HER ' . Contractor'sNamaC��/�S�n�`%L�r�✓�'^oho'� 3CI' PRQIECTDESCRIPTION'S�.FT.� ' oCCUaANCv— Addresslmailing) �VVI �j"!t'E��N•s S'1'• /1N4�Clw+ �h' �CONSTRUCTIONTVPF � � ' VALUATION$ , � LicenseNo. ��%�� ' -!�f'� � Zorv� Ad GRADINGCV.VpS. ACRES— LICENSED CONTRACTO DECLARATION � � � � Remarks: ' - S � � I here�y; atilrm that I am IlcenseC un0er D�ovlslous of �Charter 9(commencin9 � . . �th sactlon 7000) af Divlilon 3, ot the Business antl Professions Cotle, antl . ' _ ', � , . my II<enieis In tull orce anC eifact. ° ' Llcenfe iass ��Licqriye N �. �3 ? � f � � � �� PlUM81NG - t Date J f 6/ �i�3� sie�ari�... . �-i� ' � � � VORKERS'�COMPENSATIONDECLARATION � � � 1 . BefSink ! � SeWd�Cap hereDy atflrm tnat I�nave a CertlilWta ot <onsent to 581Nnsura or a cartiilcata . - Backflow Preventer - Sewer COnn2ttion'- - - �T Workari' Compensation Insuranca, or a certifletl� copY thereof (Section ! 3800, Lab. CJ / ' �� "� � i � Backflow Irrigation ' �C��o�c9�0 � ' .�_J/)ya,e.(FJ Sp„JQtCM' �/tJL SolarCallectars Policy No. 7�9 Compan ' - , �Certl/ietl copy Is �ereby furnishetl. , � � ' Bathtu65 � � ' Sola� Piping tl Ie0 c p filetl WI[M1 [he cit i Ing vi a. � Date � qppncant � ,� Clarifiers � Sotar Tank , f EXEMPTIO FROM WORKERS' COMPENSATIO ECLARATION DIShV.aSher SWimming PO01 W/Spa . ' (Thiisection neetl not Ea complete0 if [he permlt i c one huntlretl (E100) or � . ' less). . . � ' I certity�that in tha perTormance ot tha work fOr which thli perm�t i5 i55uetl I ; Dfinking Fountains Ufin01 ' shalbnot employ any person In any mannar so.as to become subject.to t�e , . -�, Workars• Compansatlon'Laws of California., j , i Floor Drains � � Weter�Closet� ' , Date ' Slgnattire � � : ' � NOTICE:if, atter making this tlactaratlon; you shoultl become'subject to the '` ',` FIOOr Sinks� � -� •WatEr Heater -- -^ -- Workers' Compensation provlslons-oi tha Labor Cotle„you.,must.forthwith . " . �' � comply with" such .provislons� or,tnis: permlt �'shall ba Itleemetl /¢vOketl. ' G35S2IviC2 OUt18t5. �Wet2fS2rviCE _ � 'CONSTRUCTION�LENUING AGENCV �- � �'' ' � ' ' � I hereby aiTirm tnat Shere is alconstructlon lentling ayencyrtor ttle�performance� I� Interceptors � � � � �� of tne {work far, which tNs permit • I5 ' Issuetl ,(Se<tlon ' 30B1 qv: C;, , -: � LantleYs Name. ' _ ,- � �_ � Kitchen�Sirik - - � - � L.entlar's ACAress � � ' r � " . _ � � - � `� OWNER�BUILDER DECLARATION ' � ' ' � >^ • - � lavatories;, ' . � . • •� . , . �+ . I hereby';afflrm Shat I am exempt trom the'�Contractor's.License Law tor the . p-Tra � '�' following reason� (SactlonJ031.5 Business antl Professlonal'Cotle: Any ciry or � P • r� �' Date ' which requlres a permlt to constru<t, alter Improve, tlemolish-or repair . .. 'ucture; prlor to Its,issuance, also requlres t�e applicanPfor su<h permit Roof Dr2ins �� • - � a signeE statement that he/she is Ilcensetl pursuant to the'provisions of . ntractor'vUcanse Law (Chapier 9 (commencin9lwith,SecUon��000) of ' + � � - , i - n,3 oT the'Business antl Professions Cotle) or Ihat he/she•is'exemp[ - � Showe�s �' � �- 1 � � om ana the�� basls for Me allegetl exemptlon. �Any vlolatlon oi Sactlon , ' -. , by� any applicant for, a' permit subjects the' applicant to a civil . '' ' � - , r of not more than flve hunGretl Collars (E500). • � � Seivice Sink , as�owner of�the praperty or'my amployees with wages�as thelr sote : , ,� . nsation will tlo the work, antl.the�structure is not intentled or ofleretl ` �- � � ' e.(Set{lon 7044, BuSiness antl.ProfaSslonal Cotle: Tfie:Contractor's � a Law tloes not apply to an owner o( a pro0erty wno builtls or improves goiler ' ' i„antl who tloes suth wo�k hlmself/harself or throu9h hls or her own ! - lees, provitletl that such'improvements ara not intentletl or offere0 tor DucY- UndenGround � ' , however, t�e bulltling or ImOrovement is soltl wlthin one year of com- ' _ the ownar will have the burtlen of proving he/she tl�tl not builtl or im- � 'or tbe purpose of sale)t ' � � � I Duct -$�uc[ural ' s awner of the property, am excluslvely contracting�with•Iicensetl con- � sto.constructtheprojec[ (SectlonJ044,Businezsantl.ProtessionzCotle:_. . .Duct Ventilating i_ . �ntfactof's �icense Ldw d0¢5 nOt aDPly t0 an Own¢r of Oropelty who or improves thereon, antl who contratti for such projects with a con- : Exhaust System ❑ Multiple � (s) Iicensa pdrsuanl to ihe Contractor's License Law):. ' � • n ezempt untlar Se<tion B. & P. C. for Ihis reason Fiiepl/FaCi. Blt. ICBO # ' � � ' Owner � ' ' ' 1 ' Heating System & Ducting -- oy certify t�at I'�ave'�eaE thi5 appllcation-antl-state that ttle above^; '`��' 6100,OOOBTU �100,0006' ation is correcL 1 agree to comply with all tlty, antl county ortlinances . _ . nNecuon v� r>. � l i Date 3�3; � , v � Signature - Accounting; GOltlenroC - Assessor clantlonz ` . _ ' . ' ' _. , . .. . _ . . _ _ ., _ .,. 1 ' � . . i -. . � . ' , "o . ' ' '' • � : R - 1 ' -, � .�6l5b3 . �3F31 /fl3' , ' i So0'.' 'TL � � � � . - ' ' . i — .. . " � , � ' , � ... . . . . _ 1 � PLNG.REF.� TO BUILDING : - P PE TV INE LEFTSIDE VARD � PKG.SPACE REQ. - STREET WIDTH ' • SPECIAI CONDITIONS: ' . Automatic Washer - . Construction Pole . . Cooking Unit ' . Dishwasher Fan � F.A.U. _. Fixtures � , � Device Boxes . Outlets ' , P4 . Reinspection•Fee � .'. $15 �: , laue Fee , S 3 �.��y��a.�..�� .,�.,.�� . - ❑0.100p008TU ❑100,OOOBTU A � � � � Reinspection Fee� '��' $15 � luue Fee i $ �3 ' REAR VAHD (T0 P/W - � RIGHT'SIDE VARD PROVIDED � . PARK FEE $ r � EL � Lerl �over 100 a � �� mPs. _ _.... . _ . Sub Panel. � ' � � i Sub Pole ' , � ' � �Motors �0-1 HP ❑1X$ � � •InaSolar,�915HP �16-15+ ! 'Microwave ' � � , Pole Light � ' � � ' .Range.. - .-_.. . . ... ' _, uaroage u isposai Generator �0-5 KW 05-15 KW � Transformer 015-50 KW , ❑5U+KW � Meffir ❑up to 100 ampi Zoning APProved BY Applintion Approved B�C APPlifation In�ed By J Trash Compactor ' ' � , � Reinspection Fee G � SUMMARV OF FEES � �BUILDING PEIRMIT $ � SMIP ; ; � $ , � PLAN CHECK� $ � ' PERMIT � ' �PLUMBING $ I �SSUANCE; • $ ! - 'PLAN CHECK $ � � GRADING $ i - ELECTRICAL � $ ' ' + $ , 'PLAN CHECK , $ � ' . MICROFILM � $: ' MECHANICAL . $ �'��' �� TOTAL�FEE, ; $ ; ___SG , LESS � �PLAN CHECK. � $ ADVANCED PC t$+ � ' � , , , � � � ' FINAL FEE! $ �� -. - . . ' - - - - -- .Q r`„ � "'_s'C :;.i� ' ' - �' POO*"3�;.JPA � - - -' - - -c' _ `CONSTRUCTION�AND'PLANNWG; � �.. ., . . ' - . -= - " a - : APPROVALS ,� Permit.#- � ^ r� -�Date�- - �Inspeotor t vAPPROVALS Peimit # � � � } Date ^ �Inspector .. t�� i d 'r c. J r, . t. - . . �e !� �µ- Temporary Electrical SerJice or�P.ole ;. 'a: »"•_ ' _' o` ^^ � :�52:' Fool & Equipment�Location� � . t - � - - '� °= i 2' �Soil Pi e- . � 1 "' � r. .: .. � c - S R • :2 Y r � � ,. - - �.. . . . - � i,, o i p Undrgrrid., �o: :>- , _>= `�53'SteelR'e'info[cement _ ..- _ -tn_._ 4� � 1 � , • •` ♦' ,� ' /1, ^ .. . . _ J C . � 3? Elec�ncal Conduif'UUlitv-Undrgrnd., + � , � 54.r Forms � � :�� 4' Electrical Conduit-Undrgrnd�- :'r �'� e : ` `•� �' " .:55� Electrical Bonding'^ �� " ' rt � / o.� �k �t .� � ' �` �� 5; Steel Reinforcement� , `_ � ; , � ; � _' ` :^ ^ � "' ` : �56: RougN Plumbing & P�essure �Test � � • � r 6: �Elec�trical UFER Grnd� `;; � = �� i,. �, �"'_ _ _ �" ��57. APPROVAL TO�COVER-GUNITE . - � "; ' ��-1 ♦i � ; .� � ' ' ' . 7. Footings ' ' . = ��" � � �. , ' � � [ 58.' Electricab�nduit-Und�ar�d. - � � - i I � .I' � .e. Y�. - i - - - 8. Founilation , ' � � , � � - � �' ,•�. � ` Y: = 59. Gas �Pipe,�� Urid�rgmd., Tesf - - ; '��' � � - � - , i i t ��' 9.�Water Pipe-Untlrgind.�-� � �` ';,=i � � - �`60. BackwasFi Linei,�P-Trap,'O Undrgrnd.,� � _ 10. Structur,al Flo_or System j �:;', y',{' ' ��' �� ., � � . �61. APPROVAL TO'DECK � - ' � r ` ,"�� - 11. Property Sewei Line; &�House'Connection. ; ' � t' ' .•� '� . i ; 62. Backwash &"ReceptorFinal .' " �� 1 � I �i� ; _ ' , .; . . : . . _ - ..n � 12. Sewer Cap � � � , ; j , ��' ,j� �� .�63. Heater'&'Vent �Final. . - � . 13. Roof'Orains � � ._ ' � " y ''i � _ � ,',64. Flumbing.System�. �Final �_. , � " "�' � 14. Rough Plumbing . �� . -.� � ' ` �� ` � �65. Electrical-Final' - - - - � - ' �� - � - �• , � ° "�15.`-Rough� Electrical-Conduit - "" (-' � �- � ' -'- � � - �- � ' � � I' � �r � � r `�'-' � i , -�66.', SolarSystem=Final` --� --�� '- 1 � . J � � � . • q y 16. +Rough Elec�t�'ric Wir�g. N ' z � i4 "� � i.; - T_-L -�- , .x , . • 1 , - . - - � � ,. ,;� 3 � 67�� Fenciiig & Access�App�oval �� 7. �Rough�Wiring5ign �. ;� i� � " � `,• `-' ' ; �� `- � -, � ; } � � �� , . ,68.' APPRQU,ED FOR�PLASTERING � ' : � - _ ; : �j 18. �Rough�Electrical-T Ba`r Ceilingi , � ! I � � � ; � �69.� ROOUSP,A SYSTEMS FINAL - ; . ' ` . � � . 19'. RoughjHeating & Air,Conditioning Ij � ; �- � � ' � � , I FIRE DEP,T. REQUIREMENT � , ' _ � � � � `' 20. �Rough-Factory Fireplace � ,, � � � � 1 - ' i APPROVAiLS• �Permit�# �'' ' � , . � :� �� 21. 'Ducts„in Stiucture ` r � � � ' , � � ' � ' 70.� Underground Hydro, . ' - , '' - "1 ' - - ' �, „�22. Ducts ;Ventilating � �� ! •i �, � � � ; ; i � 77. Product Fiping O Gas OOiI � � - � � �}:`.23. Gas�Pipe-Rough & Tes4 � i �� ' � ; �� , ' ( 72.; Undeiground Flush ' � � ' � `< i � dt �i � 1 I I r-,: f � , . � � r .�'24. Roof FPaming`� �'. ��,�; ,,.,, ;� �.� i �. �� ' �.� 73.� Undergrnd. Storage Tank,� Gas .O Oil - � � '. I. �. �`�I .� , ; � 25�Roof Sheatfii g � �� ; i '' � � ;. ' �� - ;: � ' ` 74.' OJerhead HYdro � ` - ' � � � ,'. _ ' P6. T�Bar Ceiling (Strucfural)�� & Monocoat' � ` � * �.� � = r ; 75.' Dr�y Chemical ' ' , - �. . - ti. � + 27. -Frame and Flashing, - i i � .�� ' '� � � � . . � , . . � �� - , . I� - I , � ; ( � 76.� Dr;y Stantlpipe � � � �' l� 28. °Lathing &�Siding � - � � � � �� ' �; j � � �77,� FIXED SY$TEM.FINAL' ', � _ _' � � � � . ;� � i 29_ �Insulation =; 2 � _t ' � ; � �; 'I i � � � � � � i78.� FIRE PREV. FINAL � � � '� ' , �� r � ; � '-'30. Diywall Nailing '' ;i , i'� li ! � � ! I 1 ! I iNoies:(O•ZO%BT�qG(�'�JS.P� aCd{� UN1G' L.�.� - : F�'31. �Plaste'r,Brown Coat ' I � ; ', ��--- - � - �-- � �- �- -- - -, , � -� -._ i . . . . . --. _.. _ , , ; ;; , � � j-- � � � I � � � r „- �f . , � I I � � . , � � , �: , n y"32. �,Elecfrical Power Meter-Final j �� 1 ; I � ( � , � � � w ' � '. . , ' . " .��" . , . � ; � � i , � � . _ � � 33..Fina1 Electric ' ' � I ; ; { �� ! ' � � ' ' � ` � ' , � � ' i_. I r� ._�.:� 1. .r i. � . - 34. Final Heating &'Air Co�nditioning . � � �+ ; � R ' � j , ` , � � - ' " '� 35. Final GaSiPipe-Test� - � � � � j '.i • F c � � � � � T � x I = � : �. . �r � . ,. . <. . _ ; 36. Hood or CanoPYL'. . . ,i ' i _ I ; ','� t _ . ' j ' � ` � - _ :� _ . " ' ' = . . .� - ^ 1 .1' } ' � ' ' ( . � 1 L � 1 � � . i � ' ' 37. Final Factory Fireplacem ;'- � "I �� i,� � -- � � i � ! ; � � - : � � _ � 38. Final Plumbi;ng � ' � ; %�' :� � �" i � I � ' � ' � � i: ' ; .. . - . � - .�:. ' ' rl � � � ;' � ; � t � � _ !' 39. Water $e�vice-Final � , i ��: � � . i: i � I ':. j � � � i: � i � � 40. Gas Seivice-Final • � ' � f ;� � ; 4 + � � � � � � i ' w ; � '� . � . � � � � 41. Solar pomesticFinal � � I I �, ' ' t.. �. ., , - - I -- - � - � � , � �, . � 'r. � - �-: � 1 - - �. ..- --I � - ' - . 42. Backflow Preventer , i ! , ' � ; . , -�-- _ ;._�- 43. Backflow�lrrigation, t � ' ;�?1' - `� �- J� �,�'. - . � � � ' � � � . � :, _'.�- � � '. � . _ _ . . . . 44. Landscape Irrigation;System � � ; - �� i ' i � ' �a • � � •' ' ' ' • r - .:, 45. Sound' Attenuation� ~ � <' ` . ! - : . � �' � . � � � " . � • ?: � , � � . . . „ ' . � . � r � �rr V . - � 1 I � .:l ' � � � . b 46. HandicapRegulations'i �„� ' �. ji- � I I' ; � � � �I � : i -_' , _ • - ."; 47. FINAL STRUCTURE & BUILDING � � � j '� j ��! , ' i I , • � � �' i i � I : 48. Special Requireroents Conipleted�. � � I ! � � � � , � ' � ' � ' ' . ' ; ; . � • - . - . _ 0 49. Electric Release,to Edison� � ' f'� �. � � � � ' � '� __ ,_ __. -' .-d -. --' ' , ' : � . r'� --- i- i-t - � � r . � . , . . � . � . � . ' . . 50. Gas Release fo Soufhern California Gas Co . � ��, . � . , � � ' `� � � . � , �� • ., ! � ,,� . , i � � �, 51. CERTIFICATE OF`OCCUPANCY ;� '_ .� _. ' � _ ; _ �__� _� .. �_ _ _ _ _. . _ L_' , ' No ri P i Date � � �. t � 1 � I i . , , . . ..J��.'�A _��-.-4 � � � ;.�� ' - iB' f! ;:.a� � .�Sf3� r- .,...._ .. . PNELPS/flBC ENGINEERING JOB N0. STRUCTI�.DESIGN D1V...213-438-197 DRTE :7 JULV�1983 • JOFNI J. Vf�l FLEET, RCE 8C3561 ��, �/�/�j 4603 EFiST f�IRHEIM ST, LONG BE��G`� CA. 9 7 CLIENT: JERRY KELLER OWNER: DR. RON ROTHPIRN � • . JOB HT: , COSTfi MESH CRLIFORNIfl �� 0 j_v L,� �'i'u� W�L�. W�+U. v� = rstui:Y.. = ' 1. � +�F= I �lr. �YI' ESD. _ :�%. a `�F �iei c � _ � c� �T` Mj�.c. - I.o �'` - : bL = �} f� r�'? � � FA.GI� I cl'L V P5G �E.c'". �.'r� �.ci `�.:!�•h'lIG "-==1i�-'X�-1-S� .'LO = ��J�F= WENCJ 1.-�'4ij. ;.�r��+��.2� `�nl� �_ rG"'� o `f. �iL �-�y � .�.'o� r�. (/�".,:p.� - �t. ` �� i�v/ :I �' i . � �/ Y �:'. l""`�''Z) �p f' L o-�C� i �INC� T'�� I-L ��✓�4' %rfCNR4MK�' 2X �r=j j`d �r' ��.'.. w� �'g� T��'l�hi:,� ,(� j'"�'NA+�- f AG('qz. ��a�i�N = 3x(� x 5/� x I�. � %�j ��I �- A�SSuM12' ?iF �'''c .. r.�rv��rlr�rl�4;.�� r=�e,�M"?ara W�4�� o� . �N Ir W�Lt- iS �iu.cx� �M`L7 — 7_SF � o ��Nrl��%T waw r� F'`�� '�+�FrE,�_. 5t,r.-� �� GKlcj�- �io `��flltvlV�!�E� ` � , 0 r � .f Y;��.� -r , , TS22 =�Ti;�,t=-.�; c; 4�� e,�� ;,�� s��y��y �2�. -�n.. r,�� ,. �Na � �� { � ��-j {G4 L w j i,� ��'I �� y �, r��'� ��{? �- v��. �Ut�v ' �r � �N� � f �-- v��,z ,�,. , „ �; ��~ ��,- , s . . . i<by.:;.�,,�.�„r,,';'�i, �:�reRKBI'r:.� 3,.;;�� . NFLvV F� � �° q 3 �o,v � . �'�� s . . � .eu C'iit . � �. eA t.j:ili i, •�. , .. Appliwnt to fill in all spaeei exceD� those wit�ln �e9vY �Ortla� Ilnes 2ntl Sign all aDp�ODriate Eacla�ttionz. CITY OF COSTA MESA � . ' �.' . . - � - -- - ,, , CONfiTRUG�TION PERMIT '� b , PERn'��r No. � � TRACT NO. LOT NO. IBL ;, AppliC2nYSMelltngAddre55��7L NG4'iS � L� i� 7VPEOFCONSTflUCTION' � NEW AOD ALTERATION -RE7AIR . PiojectAddre55 �� 7' ~E�� r /%�-`C ❑ CONVERSION -O DEMOLISH ❑ OTHER� , Ownef'S Neme M 2. '7� H2S �- 'I��Hf��vhone �v� ��y DESCRIPTION OF WORK LS�3 L �:%G'IJ/�j G t i-=- Lc. . . Address . TYVEOFPERMIT � GRADWG FOUNDATION. " STRUCTURAL ' A.P.� AICh/En. `��2�^"'"'� S' ��'K��LiCenSCNo. �'-J}�s' � � PLNG.REF.� 9 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING O MECHANICAL ..7�� I// �`CN4��/O2� 5 /.- � PGlS%ZC� � -❑ �OTHER Addfess . ' � ' TO BUILDING. , . U4A%NGIL ' j3Li4DG'R �php�e ,i'i/3'S� L' PRQIECT DESCRIPTION. SQ: FT. �pCCUPANCV ' PR�PEflTV LINE ContraCtol'SNeme LEFTSIDE VARD Addf2St�rtteiling) �'��Y 'A��r5 �t2LL� CONSTRUCTIONTYPE � VAlUAT10N$� � � - . . � � ZONE � GRADINGCU.VDS. ACRES PKG.SPACEREQ. License No. � LICENSED CONTRACTOR DECLARATION - ' ' 1 hereby;aTiirm that I� am IlcBnseC untler provi51on5 Of Charte� 9(<ominenUng . wlt� uction 7000) of DlviSion 3 of the Business antl'Protesslons Cotle, antl , my Ilcensa:is in (uil Torte antl eHe<t. Llcense Class � � � LI<ense No. Date Signature � NORKERS'COMVENSATION DECLARATION' ' ' i hereby.atflfm Ihat I have.a Certlfiw[8 ot mnsent to seliansure or a CBrtiflcate ' of Workers' ComOansatlon Insurance, or a<ertifletl coDY Ihareoi (Section 3800, Lab. CJ � � � � � � Policy No. � Company � Certifietl copy I5 hareby furnishetl. � � ' � Cartitiatl copY Is Tilatl with [he city Builtlin9 Division. . ' Oate Applicant EXEMPTION,FROM WORKERS' COMPENSATION DECLARATION (Thissection neetl not be completetl if the permit is tor� one huntlratl (5300) or less). � � . . ' I certity that in t�e performance ot the work for.which this parm�t Is Issuetl I � shall� not amploy dnY Person In any manner so'as to become subject. to t�le 1 Workers'�Compenzatlon l.aws of Californla.• , ' � Date " ' - Slgnature ' � � � � � �NOTICE: If,after makin9 �his tleclaration, you shoultl.bacame sub�ect to the Workers', CompenSatlon proviSlons,ot the Laboq Cotle, you must forthwlth . comply with', suc� provislons or thls,'permit shali be .tleemetl revoked. CONSTRUCTION LENDING AGENCV ' '� I hereby affirm that thare I5 a tonstruction lentling a9ency tor the.pertorman<e � of the work fow which� this permit is issuetl .(Section 309T Civ: C.) Lentler's Name - l.entler's AtlErass - - OWNER BUILDER OECLARATION , ' ' ' � 1 hereby atfirm that 1 am exempt�from the:Contractor's Ucense taw for ihe- followin9 rea5on (Section -7031.5 Businass antl ProTesslonal Cotla: Any Uty ar 5 by any applicanc for a' permit: sub7ects t�e applicant to a tivll . ty ot not more than five huntlretl Collars ($500). :" � .'. . as'owner of�the proparty or��my employees�with wa9es,as thalr sole , ansation wlll tlo Ihe woik; antl the•structure Is not Intentletl or.otteretl � ale!(Secflon 7044', Bu51ne5s,antl;Professional Cotle:�Tha�Contractor's se Law tloes noi apply to an owner oT a property who bulltls or improves on,�antl ,who tloes such work himSeH/he�seli or through hls or her own � �yees, provitletl that suchdmprovemen[s are'not intentletl or offaratl Tor ( f, �ow¢vBr, thB bU114ing or improvement is ioltl within one year of Com- n, tha owner wlll hava the burtlen of proving he/she tlltl not bulltl or Im- � forthe pUrpose of�sale). � � ( ( .'� � . az owner of the property, am exclusively contracting.wlth Ilcensetl con- i rcs io construct t�e'vroject ISection ]044, Business antl Profe55ion5 Cotla: _ ,ontractor•s llcense Law does not apply to an owner oi property who � or, improves thereon, anC w�o contrac[s for suc� projetts wlth a con- �r(5) licensa pursuant to jhe Contractor•s License Law). - L` I I-am eaempt untlar Section— Date Owner �d- hereDy ��certify that I. have-rea� Informatlon is,correct. 1 agree to antl:state laws relating to �uiltlin sentatives ot this�dty�.to enler �Inspectlon our ase 1 ;. � Signature Drivers' License or�55 9�� :MF�0865-46rev.12/82 White- ;s: i Si�k kflow Preventer � kflow Irrigation . ituhs Dishvuasher � � ' � Drinking Fountains � Floor D�ains; � Floar Sinks . � . ' Gas Service Outlets Interceptor5 -' � KitcFien�Sink ' � . Lavatories � � P—TreP; • . . Roof Drains, _ Showers •� - � �Service Sink i ' �� ' � �. � ; , Boiler '. `• r� i Y ' ❑uct�-'llndudGround . � S2wer CaP � -- SBwer Connection � $010f C.01�2CLOf5 Solar Piping i Sotar Tank � � Swimming Pool w/Spa Urinal Water Closet � .WaterHeater - . � ' �WaterService : : ' B. & P. C. for this reason . Firepl/FaCt. BIt. ICBO � � �' -��:..+_ - Ivin�� ' Heating'System & Ducting • ihis applicatiomantl-stata that the �abova- �' �4100;000 BTU �700,000 omv�r with all city antl county ortlinances � . construction,'antl hereby authorize repre- Haod o�, Type I ❑ upon the above-mantlonetl property for � CanOp . T e I I ❑ � �Date ��Z 3 iB 3 . � � , � �—� . Registers tulltling; Canary - Appllcant; Plnk - Accounting; Goltlenrotl -Assessor �. m _ Y � . , Reinspection Fee (. , , laue Fee �. ! ' . ... STREET WIDTH � SPECIAL CONDITIONS: System RepairlAlteration � ' ' '�_ � - . ,' • � � Si . .'. . . _... _ ' . ' ' . ReinsOection Fee �` $15 v Issue Fee • $ 3 ' . `_" _ . " ' ' ".. . . _ _" �—. � _i Conitruction Pole � Cooking Unit �, Dishwasher Dryers ❑Gas ❑EI Fan, F.A.U. Device Boxes Outlets -- . ... . � 6157 3%23/B3�. .BUILDING � ecTB�CXCJl�T _ EAR VARD (TO P/U : IGHTSIDE VARD - - � PROVIDED ' PARK FEE-$ " �Meter aJover 100amps $uh Panel� � • Sub Pole ' , ! �Motors p4 HP ❑1K-8 Inc.Solar �9-15HP �16-15+ �Microwave ' 'Pole,Light � � � Range � , Sections 57,7d T: Garha9e Dispoul ' � � Generator DO-5 KW 05-15 KW ' ' : , Trensformer ❑15-50 KW ' ' . ' ❑5U+KW• ReinSpactionFee $75� Meter ❑up ta 100amps � � Issue Fee 'S 3 ing APProved BY '. ' Date � p , r dication Approved By � ' Data �� ' ' �V.S. ' : iliotion Issued By ` � ' � Data ' � � i I i � ' SUMMARV OF PEES j , � , i � , i �BUILDING PERMIT $� � SMIP � I $ . � i Z PLAN CHECK; , $. � � PERMIL ' � . � �PLUMBING , � $� � � � ISSUANCE ,� � $ � ' � ` j�� GRADING � � $ , � !PLAN CHECK � $; _�� . . ;ELECTRICAL g, ,'S G � � ' ' � ; S ' • -PLANCHECK' . $ I MICROFILM $ � MECHANICAL $ TOTAL FEE' $ ' .PLAN CHECK $' � LESS ` . <<. : , , AOVANCED PC i $ �� ! � ��. I � . � � � ' , . FINALFEE� ' $ _ � � » �'CONSTRUCTION AND PLANNING u : < - S �; - - . n . :.� �,,: PO(., .n SPA : � _. . � - � . )i Date �, Inspector' - - . Date Inspector ''APPROVALS ;; P,ermit# -��'� ��APPROVALS. Permit.# �` -.�� i .. ' ' �. - _ . . r � f, iTemporaryuElectrical SerJice o� Pole _ " ` i': � �` 52� Pool &�Equipmenf Location �. �, � - " . . ��d jSoil'Pipe-Und{grnd:: . ,G : ; � �� . �: � '53, Steel�Reinforcement : „ �' � - - _ � . 3�. Electiical Conduit Utilitv-Undrgrnd.� � ' - . 54: Forms..- �^ - � '.'`'� � � � ' I � c' 4. Electrical Conduit-Undigrnd., t: �� ' `-' � � - 55. �Electrica66onding "' � ', �- � ' � �m . . �5�. �SteeliReinforcement ' -� ' '; , ' � � - -�� -- ' ;56. Rough Plumbing�&�PressureTest - � - . ' i - �6: ElectricalUFERGrnd.' - � � i�:' "" -57: APPROVALTOCOVER-GUNITE . - � 7. Footings , ' _ ' � :�� - _„ �� : .58. �Electrical.�pnduiYUndrom�rl: : � - - 8. Foundafion _ - ' � c-� . - _, _ _ 59. Gas�Pipe,O=Undrgrnd.,Test_;� "' , _ 9. Water Pipe-Undrgrnd. � . - ` � . - � �60. Backwash Lines, P-Trap, O Undrgrnd.: ; - � ` ' � 70. St�uctural Floor System ' - c � -� R . � , �. � . 61. APPROVAL TO_DECK �'_� � ' � � _ - � 1. Property Sewer Line &,House Connec4ion; , ' �, - �62. Backwash &� ReceptorFinal�' _ `. '. � �" 12. Sewe'r Cap � � i � � _ - � 63. 'Heater & Vent-Final �'`'_ _ • � � • ' . t 3.�Roof;Drains , . 1 i �n ; 'r64.PlumbingSystem-Fina��%.'i- - 14. �Rough Plumbing ' ' . �� ' � � - 65. Electrical=Final - � � �- � v = ��:15'^Rough'ElectricaPConduit � "-'--� '._;� "1' �' l' T-`-- .66. SolanSy'stem-Final�- ;.� i - � � � � a .,16. �Rough,EleciricWiring � � '� i 1! � '{` "- ' ' - , � ,67. Fencing &�Access.Approval : - _ � -� ,- � - -17. Rough;Wiring Sign' ' �r � - , . ; o � - � 68. APFROVED FOR PLASTERING i ' ' � , ' 16. "Rougfi Electrical-T Bar Ceiling' ' ' � - i ' =' �69. POOUSPA'SYSTEMS FINAL ' - � ., . ; • 19..�Rough;Heating &;AirConditioning �� 1 � `: : "' � �FIRE DEPT. REQUIREMENT _ � •' . � , � 20.',Rough�Factory Fireplace � � � , ; � � APPROVALS� ' Permit# � � � ' "J � 21.!Ducts7.in Structure � �� ; � �i `' � � � I ' 70: Undeiground Hydro � , - - � 22. �'Ducts„Ventilating �"- - � � � �' � i � � ' �71, product Piping O Gas � Oil , � = �,= '� ' � . . �- , fl- - ' -`- i- ---r -. _ .-i-- --. .. _ . _. _ . .. _ . . . -- , :23. �Gas��Pipe-Rough & Test : �. � � ' �' +� . . � 72: Unde�ground Flush, � � . � i ' 24. � Roof Framing � �� - = ' ��, ,; ; - � � � - , � 73. Undergrnd. Storage Tank 0 Gas ❑ Oil ' - � 25. 'Roof Sheathing , � � �i. = � � j t j .; . � - 74. Overhead Hydro ' � . --26. �T-6ar Ceilin°g �IStructuralb &' Monocoaf � ' � . � �75. Dry Chemical . , ' � . , 27. Frame and Flashing r � � ' ' � � � 76. Dry Standpipe . �_ :`28.: Lathing & $iding . . ' � , 77. F,IXED SYSTEM"FINAL. � 29.�1'nsulation, `� � . � � � � � ;78. FIREPREV.FINAL � � . � ' i'�30. Drywall Nailing , . ' ; i �Notes: ' ' - . . 1 . : i, I ! i: , - � - � 31.,,Plaster Brown Coat � � ! �' i .� 6 � + u. t : ��32.�Electrical Power Meter-Final � � � ! � � � � , pu ` Ly' � ` ' , � � � i � i � � \ ' 33..Final Electric • � � 1- � � :. i, . _ 34. Final Heating &�Air Conditioning ' I �� • ; � ' /L � - ` , 35. Final Gas Pipe-Test � � � -_ _ ; �':. � , ` '. ' � � _ ', - � 7 ` - ' . 36. Hood or�CanoPY ° , ' ' -� i E i � i � � . . . � � - . ._ - ' � _ ' r, . � 37. Final Pactory Fireplace� �� '� •; i i,'- �' i . . � 38. Final Plumbing� � - ,. : _ ��. � , �, � . -' .' . _ 39. Water Service-Final ! ' �' � ! t � . . ' . � � I 40. Gas Service-Final , � , ', ' � i ) � � ' , . " . , 41. Solar pomesticFinal i ! ' � � • � � ' � � �• ' i � � --- -- i - - -- - - - - - � 42. Backflow Preventer ., ' � ' �n.� I � � � , � � � � � ' ' . - -�r- -'. _ - - - -- . 43. Backflow Irrigation � ' � ; _ = i - � � � � � . . ; . _ ,. ;'- 44. Landscape Irrigatiori System, ��3.%�- � � � ;. �_", I - ' ' ' ' � . i �� • - � '� _ °i �� 45. Sound FAttenuation .! � • � '� � � , ; ' I ' ` - ' ' � � � - � ' • • � ' � R �;. � , I I "_ � , -y; , :- ;�., ,_�- -. 46. Handicap Regulations � i :� �-� ' , � ". ' � 47. FINAL STRUCTURE & BUILDING ' - ' � � � ' '� ' • � ' � � i� I" i 48. Special Requirements Completed � � � � ' � , - � � • . � � , � , . 49. Elec[ric Release.to�Edison � _ ___+-. __ __. _ _ . . _ _ ; _ . . . 50. Gas Release �to Southe�n Ca�ifornia Gas Cn �; j i � ' � � � '' ' 57. CERTIF'ICATE OF OCCUPA'NCY ,_ . __'" ! _'_ " _ ' ;_ ' , � - No- ' Date ' � ' ' � .- , � ' i �. � . ...._ � Mr. Rodney PUg,ate 2832 Nevis Circle Coste Mesa, CallYornis a April 16, 1969 Dear Sir: A Euilding permit has been iesued to yal Pools to construrt a Brivata svimming pool on your property. . In order that your gool 11 be a eafe one and for the purpoee oP adviaing you of your reeponsib ity rogarding the reguirements oY the Casta Mesa Municipal Code, wa rePer ou to Section 8107; a copy of which ia attached. This letter is rected to you eo that you will be axare'of our ordinancee and can make a o�lete eafety check of your pool area. Youre very tru],Y'i n FRANK J. HI3J7A Aseietant Director or s�iai� sBrety FJH:dh ��.. H. V. LAWMASTER & CO., INC. ." 7940 MAIN STREET — STANTON, CALIFORNIA 828-8040 69CM5-40DH-002 xxx Field Dafa on Tesi Specimens Core —Concrete Gunite Gro�t/Mortar—_ PfOI� P,odney fugate Poo1 Permit No. 3003� Project Location 2832 Nevis Circle, Co�ta Meso, Calif. ContracTor Royzl Pools Architect Shallow end, bond beam and Lxation in Sirudure deep end Engineer Date Moulded q/zq/69 No of Specimens 6 Slump � Specimens Marked SpecTied Sirength at days P.S.I. Mix Designation 5.5 to 1 Age to be tested 7 days z� days �ays days REAbY MIX PLANT AGGREGATE SOURCE Weather Condition Clear cnnl 1 Yd. —Yd. Batch Cement Monolith TYPa I/I I Cement, Ibs. � 30 sks Admix Sand 33 tane Specimens made by #4 Data by Carl Moseley �3 Delivered by r�2 Date Delivered # REMARKS: �j��' �j Warer, Gals. �, SaF�, �� Lab. No. Date of Test SpeCimen Dimensions Area Ultimate Load Lbs. per sq. in. H/D Corrected FOR LABORATORY USE ONLY 8044 8045 8046 Test T � Day Test 6.D5 X 12 28.75 70,000 67,000 2,435 2,329 RCE#6207 6.13X12 29.51 71,000 2,406 8047 8048 Dav 7es1 No fUrther tests (.L�r'_4�,.-a.,.._ �r Cc��_--..,.._ AM C,�AY � 1969 Tesi � � COMPLAINT INVESTIGATION C� Received by Date / '�� '�� Made by: Addmss-�� "-"� `�"'� �.UL vh. No.c��,e� Against: Address D'uections: Complete: Y� v Complainant Yee f/ Interviewed: No No � ' AOV�lcant to /111 In all soaees except tnose wltnln neary Uoraer Ilnes anG slgn all aoD�oorlata Gaclaratlons. CIYY QF COSTA , ' � pE IT O. � TRACT NO. �LOT NO. BL . - ,. 'CONSTRUCTION PERMIT � � � .. • ' Applitent'f Meiling Addf855 Z W C t ' � 7�pE OF CONSTRUCTION NEW ADD ALTERATION REPAIR PfojeCtAddles! � E✓' �'�l� • ❑ CONVERSION ❑ DEMOLISN ❑ OTHER Owner's NamB PhOnO xys y� 21 DESCRIP,TION OF WORK Addfess Z TVPE,OFPERMIT GRA�ING FOUNDATION STRVCTURAL Afch/Eng. �' � Lic ie NO.c...�3�� ❑�TENANT ❑ ELECTR�CAL �PCUMBING ❑ MEGHANICAL AddrB55 � � �� ❑,�pTHER � �� ' ' Contrector's Nam � � �-` hone S�S �1 /� L" PROJECT DESCRIPTION SQ. FT. OCCUPANCV � � ��' ' CONSTRUCTIONTVPF �VALUATION$ AddreR (mel�ing) , . . , ZON� � � GRAOING CU. VDS: �ACRE� license No. - LICENSED CONTRACTOR DECIARATION ' Remarkt: � ' 1-hereCy'a!lirm lhat I am IlcenseU unaer provlilons ot C�artar 9(<ommencing wlth Sectlon 7000) 01 Divlslon 3 of Ihe Buslness antl Proiesslons Cotle, an0 . ' � � • Ty II<BnSe IS in (ull 10rGe dntl e/}BCS. ' ' G�ense Clais � � License No. � ' � PLUMBING . Date � � Si9nnture ' - WORKERS'COMPENSATIONDECLARATION' ; , Ba�Sink Sewe�Cap , . 1 heraby a(firm that I have a certifiwte o7 conient to self-Iniura or a.tartlfiwte Betkflow Prevan[e� •' Sewe� ConnE[tiOn - � o( Workers' ComPansatlon Insurance,'or a certliletl copy t�ereof (Sattlon � _ �. 3800, LaC. Cj' � ; ' Beckflow Irrigation Solar Collectors ' Policy No. Company , . �: - - � O Certl(Ietl.copY is hareby /uryshe4 � . ��. -� Bathtubs J%+.�� Zz j' Solar Piping a� - (ThI55ectlo�neeA not be complatetl If the permit Is to� one huntlretl (E300j or � less). , ' � ' � I certl}y t�al In.the performanca o1 Ihe work for whlch this perm�t Is IssueO I snalP not employ, any Derson In any manner so,ae to become sub�ect. to t�e � Workers' Co peqsatloroLaws o} Call}ornla.t : , � i Date ' � 519natura ' ' rlOnCe: t, atterimaking this tlatlaratlon,-you srioWE necome sub�ect to the- j Workars'; ompenwtion D�ovislons of the Laboc COCe, you musl torthwlth tomply with�such provlslons�or this parmit'snall be�tlaemn0 revokeA. � CONSTRVCTION IENDING NGENCV ' ' . 1 �eraby aHirm that there Is a construction IenAing agency�fdr t�e'performance� oi tha 'work /or. which .this� parmit is luuatl (Section 30B7 Civ. Q); � Lentler's Nama tLenCer•s AtlEress - ' �OWNER BUILDER DECLARATION � .! � - ' '. � .I'hereby•affirm that 1 am exempt from Ma'Contractor's Ucense Law forthe , followin9 rea5on (Sectlon.7031.5 BuSinass anC Protasslonal-Cotle: Any clty or �county whlcM1 requires a Oermlt to construct, alter Improve, tlamollsh or.repair a�Y1i:�� :�::.:'n��:�: t.�e��i ie �anea2eelsa �eq�1�9A tl�e aPP�i�a� iea �..s,�.w�� .m�i i as as owner of irs to consV i LJ I am exempt untler Data ant for a� permlt subjects the applicant to a civil n (Ive hunOreO Oollars (E500). . . : ' propBrty o��my amplOy!!s with wage5 as [heir 5010 � he work, antl the structure Is not IntentleC or offeretl ' �, BuSineis anC, �ro(esslonal Cotle:, The Contractor'S Fountains r�oor amKs • � • — �; - Gas Service � Outlets �' Interceptors , ' . �T Urains � ' - wer's . riCa Sink i pply to an owner of a proper[y wlio bulltls or ImOroves Boiler ' suth work hlmzel(/herself or Ibrough hls or her own at such Improvemants are,not Intentlotl or offerea /or Dutt - Under Ground �Iltling or ImprovBTent IS SOItl wlthln one yadr of com- have the burtlen of proving he/she ditl not builA or im- � I sa1e�. � ' Duct - Structural ro0erty, am exclusively contracting wlth Ilcensetl <on- �, project (Sectlon 7044, Business antl Professions COCe: � Duct - Ventilating _ _ 58 LdW does nOt apPly t0 an owner of property who � . �eon, ana wno contrac[s tor such projects with a con- Exheust System ❑ Multipl8 ❑ nt to the Contractor'S License Law): �ection , B. & P. C. for this reason i Firepl/FaCt. Blt. ICBO iM' Drivers' Licansa or 55 3� CMF 0865-06 rev. 12/82 Whita - Bulltling; Canary • Appllwnt; � � Heating System & Ducting 'e-abow- ' ❑a100,000 BTU �100,OOOBTI ]inan<es ' � .e repra- ' HOOd o� T � 9rtY for VPe I ❑�' � �; . Ca�no T e I I ❑ > Registers , Accountln9; GOltlenroG - A55essor � Solar Tank Swimmin9 Pool w/Spa Urinal Water Closet: � Water Heater, � 'a �WaterService � � ��/�', � 5 Reinspactiun Fee , Isue Fee • . ❑4700,OOOBTU ❑100.00OBTU System Repeir/Alteretion a Reinspection Fee . laue Fee � $75 $ 3 PLNG. REF. vW TO BUILDING PROPERTV LINE LEFTSIDE VARD PKG.SPACE REQ. STREET WIDTH SPECIAL CONDITIONS: Aucomatic Washer Construction Pole Cookin9 Unit � Dishwasher Dryers ❑Gas ❑E Fan F.A.U. i Fixtures i � Device Boxes , . ' 6�95 3/2��/d3 I Se1,. T,_ B�roD^NG � GLST REARcVARD (T0 P/U' � RIGHTSIDE VARD ' � PROVIDED PARK FEE § , • Met�r Llover 100 emps - , Sub Panef � ' b Pole � Motors OO-1 HP ❑1%$ lecvic IncSolar �9,15 HP ��i6-0 . Miaowave , u n � � Swrtc�es� , � Trash Compacror - ' ' �' Garbage Dispoul • � Generato'r DO-5 KW 05-15 K - ! � Trensformer �15�50KW . • � � � ,. , , ❑5U+KW � ' ReincpeaionFee � � $15 , Meter ❑up to 700'amps � r Issue Fee. ''$ 3 2oning APProved BY � . Data � Appliption APOroved BY '/ �, . . ' • Date ' : APPliration Issued BY �/� � ' Data .��Z Z�(�� SUMMARV OF FEES - ' BUILDING PERMIT $ ' SMIP $ � PLAN CHECK � $� PEtiM1T � ' : ,PLUMBING $ ISSUANCE j , $ ' ' � PLAN CHECK $ ' � � GRADING i � $ �. � i + � 1 1 $ „ELECTRICAL $ \ PLAN CHECK $ ' MICROFILM $ � MECHANICAL $ � TOTAL'FEE $; . LE55 � �PLAN CH,EC� � $ � , ; qDVANCED PC � $ � � � . • , ' � FINAL FEE. , $ .� � i -�CONSTRUCTION,AND;PCANNING� - : �� '�� .��- P rP�OL.nSPA . - • - . - ' �.' � . � � - - �'Date • -Inspectbr �, �;:� :` :. ' . Date - �Inspector - , APPROVALS ;, Permif# - - � � � ��. APPROVALS - Permit"# - . .�.1 `ni. - 'fi� - �c- . � 7: Temporary Electrica) Servic�or;Pole . � . - :." i �• ,'o �.:52� Pool &�Equipment.Location - . -, - �i 2t �Soil Pipe-Undrgrnd_' � � `•� . � ' 8 i� ��53`.' $teel Reinfoicement �; ,' ' � _ �. . F � , t- � 3: Electrical Conduii Utilitv-Undrgrnd: � ��" � : . � � � .,54: Forms�„j� . . � ` - � - � �n " 4. Electrical Conduit-Undrgrnd� �-� . _ _ � : �� •,�.,� � 55:. Electrical Boriding.; "'. � - . i L 5: Steel Reinforcement � '• - ' ' � ' . "" ' „�� = ` r.56. �Rougli Plumbing & Pressure Test _ , 6. �Elect�ical UFER Grnd. ' �� `.^' ' " ; �57.' APPROVAL TO'COVER-GUNITE 7. Footings , � � � ' ,.' � � . ' '.58: Electrical��nduit=Undrarnd." . - 8. Foundation � ; ,! . , ` : _ , ;" � - � I ' 59. Gas,Pipe;-O�-Und�gcnd.; Test ' ' 9. Water Pipe-Undrgrnd. '. � , .C60. Backwash Lines,'P.-Trap,� Undrgrnd. - � � 10. St�uctural Floor System . � - _ - 61. APPROVAL' TO-DECK -� - - � 11. Propert"y Sewer Line & House,Connection _ � �.62. Backwash & ReceptorFinal - 12. Sewer Czp , i � ' _ '' � 63. Heater & Vent-Final . � 13. Roof Drains , , � ' _ ' ' � , �64. Plumbing"Systein - Pinal - 14. Rough Plumbing � .' i ' � � ' • '�65. Electrical-Final� ^ • - - � i - �r15. �Rough Electrical-Conduit �" i � �"- ' - ' i"�'- -�- -� �66. Solar,Sysiem-Firial,' ' � " - � -16. .Rough Eleatric Wiring, � � �, � , . " , ",'�i ,' - :'"67.. Fencing & Access Approval - -- � - ' = � 17.,'Rougti Wiring Sign'! , � ' � �' � " . gg,� APPROVED FOR PLASTERING - ' ' 18.�Rough Electrical.T'Bar� Ceiling, , � ' . ' � ; 69.' POOUSPA SYSTEMS FINAL I' + 19. �Rough Heating & Air Conditioning � .-' �- i FIRE DEPT.�REQUIREMENT� � _ 20.;�Rough•Facto'ry Fireplacej I . � , � { � APPROVALS � Permit# �� - � � � - 27. Ducts, in Str`uctureg � ' �� ' I � ' ' � . i , i ' � i�70.� Underground Hydro � ��22. Ducts, Vehtilating ;. � ' � � � � �7:1�,, Product Piping OGas ❑Oil • 3 23. Gas Pipe-Rough & Test � t,; d' � � ' �- 73? Underground•Flush � '�24..Roof Framin' I � ' .. ' � � � � � � g 7�� I �' �� -�: �73. Undergrrid. Stoiage Tank ��Gas ❑ Oil , 25.'Roof Sheathing � � . , �� , : _ - � � . � : � ,74.; Overhead Hydro . ' ' , `.�' S; 26. ,T-Bar Ceiling (Structural)� & Monocoat I - � '- � � �� ,; � � ; ( "{75.i Dry Chemical •, � • � � � ��27. �Frame and'Flashing' -' I � 1 � '' � �, I � i'. � � i ,76.� Dry Standpipe� � . � � ' � � 28.I�Lathing&'Siding� �_ .' � t t� � � I I �' �»� FIXEDSYSTEM•FINAL . ' � ' � 29.,dnsulation ; _ � . � � ' f• � ! ; �78� FIRE PREV. F.�INAL � ' ' " ' � . � 30. ��Drywall Nailing . i i � � � � ' � ; ,Notes: ' � Ii � � �� 3L �Plaster Brown Coat � ' I ; ', l i . .I_ _ ; _ + _I _ ; _�_ ' .. �3 - - . - '' _ _ . _ - n � �. i �� i t '� � 32. �Electrical�Power Meter-Final � �� , : � j � , � �.� � 33..Final Electric i � ' � � � � � � ' ' � � ' • � � � � � 34. Final Heating &jAir Conditioning � i � . ! 1 '' � � '� 35. Final Gas Pipe-Tesf - . L i ' ' � Z �' - � i" - - � � " 36. Hood 'or CanoPY '' � � . . � � . ' ' �'� '. . . . , 37. Final Factory F�ireplace? ' , ,' , i ' i ' : �� ' � � , � ' i � i 38. Final Plumbing : I � � :., ' ' � � ' j I � ' ' - � ; .._ . . 39. Water Service-Ffnal� � � � � � � � � ' � ' � i - , 40. Gas Service-Final � � • ' � ' � � -. 41. Solar pomesticFinal � � � ; _ __ _ _ _ _ �_ _ . _ ' _ _ _ _ � _ � � � ' 42. Backflow Preventer I -� ' " � � ' � � � i - . �. - - - - - - - - 43. Backflow Irriga4ion; � � � � ' � ! � �u i' � , -: � . � ' `' l � 44. Landscape Irrigation:System � I = ' - . . _ - 45. Sound :Attenuaiion � , � �' � " � � � � ' - i 46. Handicap Regulations � { ,' � . � � ! ' ' . : , - - •� i 47. FINAL STRUCTURE & BUILDING � ' � ; , • . i. 48. Special Requirements Completed, _ i � � , ' ' �� ' , . . . 49. Electric Release;to Edison' � � � _�_ _' _� _ _ � , _. _ � � � � , � --1---t - � � t- 50. Gas Release to Southern California Gas Co � ' � � � � � � � ; ! � � • . ' i i � i � 51. CERTIFICATE OF�OGCUPANCY � ;_ ; � � ._ _'_ _ �__ , _ _; • � � No. � Date - - � _ ` - 1 , - o- \-AGPliwnt to fill in all spatas ezcept thosa wit�in heavY �orAar Iines antl sign all aDOrooriate Oeclantions. '._•, n-... ' " "'" '" " . ._.- ... -_'_"_ . _ . _' ' ' ' ' �� ' C `Y�O�COSTA MESA. . �� ' ' PERMiT NO. ' � � TRACT NO. LOT NO. 8 . . � . ' . . , � � . � �� . . ��STRUCTION PERMIT ` -? , - ' — �S % S ..;_�_ , .� ' _ � _ - -. ", . . Applicant'SM2ilin Add�E55 w� 1 ��j TMPEOFCONSTRUCTION �NEW ADD ALTERATION REPAIR V � � � ' �� ' ' S,698: �:3/-{�/83 c26;,,,:�; T; pJeCt_ q�� 31 ! `l � (I / � R G � LF 0 CONVERSION ❑ DEMOLISH ❑ OT�N€ R - " ' � - � � ' , < � ' � ' �Q� ��' , � p�.� � 54�Q� DESCRtPTION OF WORK �-�S%iY/� YJ[ vMloc/ini. /x%Ti/YS � � . � ' ' Owner's Name � T,�— l ne , . —� - ' - � O I G RE U� TI N Address� :Z � Z1^ IV L`-(/'( �_�1'� ��" � � , � , ' _ _ ' _ /� ^'"�— _ ' � TVPE OF PERMIT GRAOING�oI FOVNDATION .STRVCTURAL A. P.9W - %3 � � S �ZONE . '` - Arth/En .J � O E S• Lic2nse No. C' �� 7 7 S' ky; -P.LNG. REF.Sri � ' - ' : 9 /� /� �I r ❑�TENANT ❑'ELECTRICAL PLUMBING ❑MECHANICAL BUILDING ' Address' Z� 'vI� �EK �• � S �/'T �CDQ O ❑•�OTHER ' � ' ' � " TO BVILDING � - - � ' �O �! � v I ,�C�.p �IS Lz PpOJECT DESCRIPTION � SQ. FT. ' � "- OCCUPANCV � � PR PE V I E FEAR VAqD (TO P/L) ' CUntr2Ctof.'SNem hOne - LEFTSIDEVARD S��Q y�, RIGHTSIDEVARD ' '' ' Addf255�melling) � � � � LaNSTRUCTIONTVP VALUATION$ .. . ' � . , . ' � ZON$ GRADINGGU.VDS. � ACRE� PKG.SPACEREQ. � . PppVIDED � Cicense No. _ • i LICENSED CONTRACTOR DECILARATION � � ' �w Remarks: � _ � � • • � " i � ' , STREET WIDTH � . ' PARK FEE $ . .- I nereby affirm that 1 am Iicensetl untler provi5ion5 at Charter 9(commen<ing , . with 5ection 7000) of Dlvislon 3 oi tha Business and Profe55lon5 Cotle, antl '_ � � C7' r � . � SPECIAL CONDITIONS: � ' �� ' ' my II<en3e Is in full force antl'eTfect. ; . ' I '., �% V - � � . . License Class � license No. PLUMBING - ' � . � � � . � , ofOWorkers'rCohPeohtlonOlnsaan<Len,oAanoertltietllcoOY � Ba�Si�k � � . ; SewerCaP ; ' , ELECTRICAL ' , , ' _ : Date � Si9nature � ' ' ure oi a.certincate ' - � gackflow�Preventer . - -�Sewer Connection � � Aummatic Washer ; . � .. _.. �Meter �over 10bamps „ . _ ' theieof (Settlon � � 3800, Lab. Cj , ' ' � � � ' � Backflow Irrigation $olar Collectors � � . ' � Construction Pole , -Sub Paneb � . j . Policy No. i � � - Company � ' � � �� - - Cooking Unit Sub Pole ; : '� � eCertitietl copy is heraby furnishetl. � � ' • ' ,' X ' Bethtubs ' Solar Piping � ' ' � Certliietl copy Is flletl with the tlty Builtl�n9 Division. � . Dishwasher Motoro �0-1 HP ❑ 1'/a-8 � Date � � Appucant � � Clarifiers �� SofarTank , . , , � EXEMPTION.FROM WORKERS' COMPENSATION DECLARATION � � Dry2r5 ❑Gas ❑EIeCtIiC �InC.Solar 09-15 HP 01645+ � i , Dishwasher . � Sd+imming Pool w/Spa � ; I ,Z � �' �(Thissection neetl not be <omplateE ii the parmit I5 far one huntlretl (5300) or',�+ ._ _ , . . less)' i � t ; � • i , ' , � � � , Fan � � . Microwave ' I i � � I certify �that in the pe�tormance of the work tor wdich this permk is Issuetl I:� Drinking Fountains , i U�inel , ; � shall not employ any person In any manner 50 las to br,q�ne subject to t�e • � -� , - F.A .U. ' � t � �Pole,Light i work L��C$ m ensation Laws oi Cauforoja� ; � '/,/�� I �� Floor Drains Water�Closet, � ( — - ' , Datee7�iy,�g�5{9nature +-�-/Y�.s� �•�41n�'s...��_ . . ' . . ,�NOTI'IE:It,attermakirig this tleclaratiom, you shoultl'become subjeCt to tha � - -I� Floo��SlnkS � ---� -�� - Wetef�HEetef - -- _ _ Fizture5 ,_ _ i _ ,Rang2. . __ - , Workers': Compensation provisions of the Labor Cotle, you must forthwith : .. ' . - . - . - � � • , � comply �with, such ,provisions•"o�;,this perrtilt �shall be �tleeme0• revoketl:; � � ' • ' - - . i ^ Device BOxes •, $� � I � � CONSTRULTIONjLENDING AGENCV � • i � ., . � "� , GasService � 'OutlBts � �n tWatefF$erVice �; � 9 , i ' !1 , 1 OutlBts � ' '� I hareby atfirm that [here ira;constructlomlentlin9 agericy for the performance i � • � Inte�ceptOfS � � � � � ".'� �� I , �gT " � , �, � a�. � ' , � . �,Standing $ections � -, ' I � i � of tne �work tor. w�ich, this; permit is iissuetl �_(Section 3097" Civ C:)', � � � - . . , �. Lentler's� Nzme� ' � ' ' � � ' �! ! ' �c . , � - . �� _ Switches' � � � i - ,Trash Compactor �,'p Kitch"en�Sink ~ � . � . . �. l�nder'S AAaress � • `•. . � � o � . m ; r � � � . . � � OWNER BUILDER OECLARATION; ' ' � � � : - j .' � CevatOlies� + � �� ' � .' � �, � � � . - — ' Garbage�Disposel" � � � -�' � i I hereby�aifirm that I am'exempt'irom tne�Contractor's.License Lzw for the , � . ��, _� �� r - i, � '� Gerierator �0-5 KW 05-75 KW. � � ;i '" � � , following reason'(Sectlan- 7031:5 �Buslness antl Professional Cotle: Any city or' ; � P �Tiep� • r . � ; _ , _ , ., i �i . ' � : � " �.^. i ' <ounty which requiras a Dermit to construct, alter hnprove; tlemolish or repali � , , . � , � � r � '�� Trensformer �015�50'KW % ' �� ; �� , >. � y; � � � �any structure; prlor to Its Issuance, also requires t�e�appllcanYtor such permit ` � ROOf Dreins j' - � � �� ;�' � '-� � � �� i � -�� ' to tile a signetl Statament that he/sh0 IS IlcenSetl pursuant to tfieiprovlsion5 of i ', ' , ' ' � ❑5U+ �(W, ' ' ��: F RBinS BM�On'PBB the ContYattor'S License Law (Cnapter 9 (commencin9jwithiSeCtion�]000) ot '< � , . � - i' ' ' ' ' : ,. � i , P f $1?� DlviSion 3 ot the ,Bu5lness antl Professions Cotle) br that he/5he i5;exempt �i � ShOW¢fs '� . � Reinspection'�Fea . ��$�5 , , „ ' thereirom anA the basi$ for tha allegetl exemption.�Any violatlon°of�5ectlon , , ,' � � 'r�� '- Met¢r ❑up Jo 1000rtIp5 � ' Issue`Fae �$ 3 i J031:5 by. any apPlicant for. a� permiC subject5 the' applicant to a civil ��Service Sink • � ` , laua Fee �: '.$ 3' - � �( ' �- ' ��enalty of not more than tive huntlretl tlollars (§500). ., �.�� , �.. �� ., � � 7.pning qpproved By •- �' Date , I, as;owner ofy the:property or-my employees wHh wages'as their sole ' � - . � , � . : 1 � 7 � ' compensation will.tlo the work, antl� Ihe structura is not intentletl or otieretl = �' '-i ��' . MECHANICAL' � ' � ! ' qpp�j��jon Approved 8y ' � ' '''�Date �3 �`r��% r for sale (Sec�ion 7044, Busine55�anE;Pmfessional Cotle:'The�Contractor's � � � , - , , �., .•. ; ��. a � , . � � License Law tloes not apply to'an owner of a property who builtls or impmves Boiler 3' _ . Refrigeretion System � ' �Application IsSued By �'� ��"DatB ��'/� ��`� � thereon,�antl who �tloeslsuch�wo�k nlmseH/he�self o� through his o� he� own � °` � '� I � � � . - . ' employees, providetl that such improvements are not intentletl or otteretl tor � � ❑0-�100,OOOBTU ❑100,OOOBTU� � . ., � Duct-�UnderGround l - • � , �i � ' I I wle. It, however, t�e builtling or improvement is soltl witNn one year.oi com- , � � �� , �, 1 SUMMARY'OF F,EES �� ,j � ' , pletion, the owner.will have the Gurtlen of proving he/she tlitl not bulltl or Im- ' . � , � ' � ' r. :,,�� G � � eroveforthe0urpdseotsale)�, j � �. � • , � Duct-Structural � { SystemRepeir/Alteration ;-BUILDINGPERMIT� � % ; ' L� I, as owner of the property, ain exdluslvety mntractlng�with;,licensetl <on- . ' � $ � � ' ; SMIP -r ��.� �. $� � �.trattorsto construct,the project.(Section J044, Business antl professions.Cotle: _ Duct - Ventilating., � . . . � _ _ � ;_ _ ; �PLAN CHECK� $ -^� � ` -• 't PERMIT�. � : , � The Contractor•s License Law does not aOP�Y to an owner of property who - , � ,p � +,jl� � ( �-ISSUANCE � � $ � ' � ' builOs or improvas thereon, antl who mntracts tor such projects with a con- ' � Exh3ust SyStem ❑ MWtiple � I ' . ,: � +� ��' PLUMBING � � _$ � !)y p , �^ � � tractor(s) license pursuaut to the C tr t r• License Law): � ! i ' - ,� � � s'Q , GRADING ' ?$' � � �� • ' � PLAN CHECK, , $, � � . ' � I;am exempt untler ction— �,& P. , tor thls reason � Fiffpl/FaCt. Blt. ICBO # ' ' A�� !". . Y ' �' ' . I civ �v'1 K �i../UV < . � 1 I' .ELECTRICAI� . $ ' r . ,. � r � $ . . D t o � �� s ' / � ' , . � : Heating SYstem & Ducting � . ' � � ; � � : . $ -. � P�,4NCHECKI � $ � � � ,� MICROFILM -I-hereb �certi -that�l•have-reatl-this'applicatlonantl-statethat•theabova" � ❑P100,OOOBTW'0100,OOOBT� . -� ^'-- . -�� ,.F ^. � � � � t , $. � information is <orrecL I agree to comply with all clty�antl county ortlinances � � ' � ^ � �� ' . � ' '�� TOTALFEE. ' • . antl,ztate laws relating to builtling construction, antl hereby authorize repre- � � �'MECHANICAL � . $' � ' . � , , , � , Sentativei ofrthls,city)to ente/'Upon the above-mentionetl property for � HOodoi Typ21 ❑. ' ' ' ' - � • inspectlon our « � i Cano . T e II ❑i � � Reinsp �ction Fee: �$15 ipLAN CHECK �y • $, � ' � �'a' LESS � i � } ' � � � � • � ; ADVANCED�PC , $ ! 99nature � � ' � Date .j �S � �. � { . � . i � � � ' . . _ � � . . � , � � � i �DriJers' License or'S5 I ' Registers � , laue Fea . S 3 , . � � - � FINAL FEE i .$ j�SsO .CMF 0865-46 rev. 12/82 Whice - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor � L� ��CONSTRUCTION:AND,PLANNING ,-�� '- �;� �� _ � '.-. - 'r,- _POOL.&SPA :,_ " =� • _ %-�• � = ' �.Date , Inspector' ' � - � � Date ;Inspector. -� � _ APPROVALS �. Per'mit#� � , - . � �.� APPROVALS'� � Permit # � a: � �7� Temporary Electrical Service or Pole • � ' - � �'52: Pool & Equipment Location � �. � , � " ,'a 2: Soil Pipe-Undrgrnd� _ - .; i i :: E :'• � � � �'53: Steel Reinforcement . �- � � _`-' - � 'z"� i'. � - : 3! �Elec`trical Conduit Utilitv-Undrgind: - =� - ' �.54:' Forms ' _ = - � V - _ � � i � 4' Elecirical Conduif;Undrgmd: = = � -` ` . . �� ;55�_ Elearical Bonding '. � � ' ' . - � i� n � 5. SteetiReinforcemenf ' �' - ' , � - - � �' ! �56., Rough Plumbing & Pressure Test � ' , _ .� - 6: Electrical UFER Gmd. ' " ' � • ` ' . ' 57'? APPROVAL TO COVER-GUNITE' _ 7. Footings , � ; � � ' �r - s " _ - � 58: Electrical Cpnduit-Undrar�d. - . � � 8. Foundation ' "' � ' � � �- t-�, � �59. Gas�Pipe;-O�Undrgmd.;Test � __> � " ' - � _ -- y � � .; . . .. 9. Water Pipe-UriBrgmd. , ' � T� -� �:,60. Backwash Lines,'P,Trap, O Undrgrnd. ,,• 10. StructuFal Flo'or Sy,stem �� - � � - : 61. APP.ROVALTO DECK - _ � " ' 11. PropertySewei Line&iHouseConnection • � � �.62. Backwash.&�ReceptorFinal � � � � 12. Sewei Cap . " � � . � �:63. Heater & Vent-Final � _ , � 13. Roof Drains . _ ' �. ' 64. Plumbing System = Final _ - Q 14. Rough Plumbing � ' ` 5. Electrical-Final - - � ' � � 0 ' ' 15.' Rough ElectFical=Conduit- -1' ' � , "� i , l� � -- - 66 � So'Ir„System-Final � � � �- '-- � "> �16; tRough�Electric.Wiring � , '' � -- � �: �.- % � � - � " "67.' Fencing & Access Approval � � � � � � - - �.-17. �Rough Wiring Sign ' - T � ' ' - _ �68.' APPROVED FOR PLASTERING - . - ' � •' c 18. Rough Elec[rical;T`Bar Ceiling, � ' ' 69. POOUSPA SYSTEMS FINAL � - � : ; 19. ,Rough Heating &'�Air Conditioning ., �.; � ; : , 'FIRE DEPT. REQUIREMENT �� . ;' �� 20. ,Rough Factory Fireplace ' � ; ' , � ' � APPRO,VALS ; Permit,# . - '��21.'Duc[s, in Structure , ' , � � ' : � � '70. Undeiground Hydro � 'i22. Ducts, Ventilating � � ^ �" ; � ' � ;71.� Product Piping �Gas ❑Oil � : 23..Gas Pipe-Rough & Test �* � � � ; r ' � �..-; _�72. UndePground Flush ' � . � ° ��2�.,Roof Framing, , ' � . G � ., - � _ 73.� Undergmd.StorageTank OGas ❑OiF , � � 25. Roof Sheat6ing , ' , � - - i . • _ � , 74.� Overhead Hydro - � � ' �26!,4T-6ar Ceiling (Structural)� & MonocoaY � �; _ � , � �� 75.; Dry Chemicel ' c . _ ' - "� 27. Frame and Flashing, . ' � �„ "' -' � � � 76.� Dry Standpipe , ' -� ` ',r28. ��Cathing & Siding „ _ � , '� i � � 77.' FIXED SYSTEM:FINAL '. . � � 29; insulation � - � ' � � � � � ' � � 78. FIRE PREV. F�INAL � � ` 30. Drywali Nailing � > " �) � i ' � INotes:' � � �� , � - '� �31. �Plaster Brown Coat : � ' ! ; � � , �- '_ �q,,�, � � + 32. Electrical Power Meter-Final � � ' � � ' � I ' _T�y • •' - T � 33.'Final Electric � � � ' 1 � ' � ' ' r i � 34. Final Heating & Air Conditioning � � � � ` i �,Q�� 35. Final Gas Pipe-Tesi� I , .^.� : , ' � ; � " ._�,Lv . - - � � _,. 36. Hood or CanoRY' ' , ' . �'� . ' ' � . � - � ' � � . - � . . . , ,. . 3�3 d _ 37. Final Factory Fireplace_ � � - � • � ; � - � • . 3 38. Final Plu'mbing' � � , � , � I � � � ' 39. Water�Ser,vice-Final� � ' � � � ,.J., � 40. GasService-Final ' ' . . ' . � ' � � ' �� . r 41. Solar pomestio-Final � � � ' 1 ' � � � - - - - -- -� - - - -- . �" - 42. Backflow Preventer . � � � : . _ � _ -�, _ i , . ' .-�� ` 43. Backflow Irrigation �� ' • � , � . � . _. � - i . �, i � - 44. Landscape Irrigation:System � ' - . �- �, - ' 45. Sound�,Attenuation ' I `� � a � � ' - � ' - i ' r' 46. Handicap, Regulation`s �. ' _ � " i � ' - I � � � 47. FINALSTRUCTURE&BUILDING., ` � , i � , � � 48. Special Requiremerits Completed , . ; � � � � ' � ' � , , ' _ � r i � � i � � : I , 49. EIecV c�Releaseto Edison' � I ' ' ___ -� .� � .� .�__i_��_. �_ _ f ' . • � ; . 50. Gas Relesse io Southern California Gas Co � ' I ? + � ; ' � , _ � ' , ' ' � ' , 51. CERTIFICA.TE OF OCCUPANCY - _ _ _, _ _ _ _. _ �_ ' No � Date ' � � � ' � � _i r��.w r.i nuuctny .l . 4� V W JOB ADPRESS 2832 Nevis Circle BUILDING PF.R.MIT N0. 255�F7 GENERAL CONTRACTOR �Pr—R�, DESCRIPTION OF WORK Add F&Rl Rm t0 R@B. AP No t�Q L.�� 5 LOT TRACT F1ftE ZONE VnLUE $ 2�700.00 � INSPECTIONS � Sieuature Date GROUP I TYPE V ZONE R-1 Sail � I PERMITS 15SUED i. I� SUBCONTfiACTOR n�to � nr,�..�h�� I s�ooat��ra Final � ' �' . 2554� �_ , ._ ' COSTA MESA BUILDING-SAFE7Y DEPARTMEM P.O. BOX 7POD � COSTA MESA, CALIFORNIA 9M26 For Applicant to Fill In Completaly TYPE OR PRINT "�° oZ 8 3 Z 72Gu.� �.n.�. COSTA ME3A, CALIFORNIA MAIL 6CTGACK LIN[l110Y c�rY�� s�a ��sa APR 5 1966 .��!.,:Tt, � :'��,' ,;;• N :�i �u�� Por Offlce Ure Only �7 /��` / I �LA �' �1/ I lYILD MO L �:.�..�a� I ..'7— 3 a t� A. P. NO. / J �' '�J 1� N0T6: NOUV60V[111iAN68HALL�HLEHBTXAN THL �O• TO 81D[ p ReAR P. L H EAVEB Ma•o��LDa�• I ALLOWiD �U.B.C.REOUINHMHNTI Now !I YARDBMPROVHD YARD9APPROVHD � o. C MAIN BUILDINO ACCEiSORY BUILDIN6 DESCRIPTION OF WORK �Z j(�8'NO.O� �ROOMB \LL �"- —i ROOr � X6q6BY ACRNOWlm06 TNAT 1 XAV6 RGD TXIB MPLIGTION AND BT�TB TXAT TX6 AGOV6 1� COIIRBC��ANO AORli M COM• PLY WITX �LL CITY OROINANGL AND �TAT{ UWB R[OULATINO BUILOINO CON9TROCf10N. _ AUTHOMIZiD AG[NT DATE .. U�` . / � a w � 1 G ec. vr. � txs wrourrt exowH ur�oew v�w�nor� �e �ow rxc � •YPP096 OI 68iAOL16NIHO A PERN�T F88 ONLY. VALUATION �� p � PERMIT FEB s �� OO � OWNER FUGATE, Rodney JOBADDRE55 2832 Nevis Circle Q� AP No. 1j9-4; `�S��, INSPECTIONS ` SOIL GAS � WATER ��2 ROUGH PLUMBING PPOP. SWR. LINE SPRINKLING SVST M�SCELLANEOUS R Royal Pools DES( LOT TRACT FIRE HOUSE CON. ROUGH HEATING ANO AIR CON�ITIONING TEMPORARV SERVICE OR PO �'-�q �, UN�ERGROUN� � POWER � ' ROUGH WIRING TRENCHES � FORMS � STEEL REINF. FLOOR SYSTEM BONO BEAM �� STEEL REINFORCE �- SHEATHING FRAME AND FLASHING DATE BUIL[ E SUBCONTRACTOR ,..- r, .. 30039 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626 For Applicant to Fill in Completely BUILDING �1 `�i' � 1 � _ � � / Z . w W a U HZ Z Q ON am J � J N Q W 0] J J m Q U N Z a W � d W W Z J Q m Z J � W w 0 = Z � W � � � H Z Q U J a a Q Q �." y Z O F U � � �"' N z OWNER MAIL GTV CON5TRUCTION LENDER BRANCH ADDRESS ARCHITECT .. OR ENGINEER ADDRESS , AODRE: CITV STATE LIC. NO. S12E OF LOT TE L. NO. APfl 14-69PpI��O 658� ****34.50 CNSA APPLICATION FOR BUILDING PERMIT EIVfDeYe DATEAECEIVED nnrc.cc��. BUILDING AODRESS � TRACT ^� //n _ J TEL S /lX�.f�/ NO. FIRE 20NE APPROVED BV � � �� `� ` ZONE � N. � G �� C VARDSI L . NO. MAIN B NO.OF BLOGS. (fROM C/L NOW ON LOT FRONT SIZE OF 'i _ � NO. OF NEWBL ��i� ROOMS STOF EMERIOR WALL ROOf COVEFING COVERING USE OF BVILIIING AND WORK TO BE PERFORMED DISfANCE BET MAIN BLD('aS. VAR. # C.U.P. # PE USE OF NEW BUILDING l VAROS APPROVED BET. MAIN & �/�G I hereby acknOwletlge Ihat I havo reatl this appllcation entl state that the ebove information is cOrr¢ct antl epree t0 comply with all laws rep�la[ing builtlin0 consvuction, antl I shall not employ any person in violation ot the wOrkman's compensatiOn laws Of the State of Celifornie. m I hereby certify thot I am properly licenutl es a contractor untler SQ. FT. o the State ot Celifornia Businass antl Profezstons Cotle, Divisicn 3, THE AMOUNT SHOWN UNOER VAIUATION IS FOR � Chapter 9, and tha licenses are in tull forca antl etfact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ON�V: Q am exampt fro ne pro Isions of the ot CelifOrnia Busines5 antl Professio C/e, D' i5ion 3, Ch � ter . VALUATION (i0 � PERMIT FEE $ ] SiB�ature �� / L{'Y1 E Perminae $ �(pQO ` P�AN CHECK $ `o Authorizetl Ag nt u TOTAL FEE S � SD FUGATE� MARY IQU Date DESCItIPTION OF SUBCONTRACTOR 4-7-65 � .. � 23�59 , �/ - . COSTA MESA BUILDING-SAFEf1' DEPARTMENT P. O. BOI[ ]I] COT'A MCHA� CALIPORIiIA For Appllcanf fo Fill In Completely TYPE OR PRINT ButLoln6 , ADORESB COSTA MESA. CALIFORNIA ,�_V'iN:IYiY�ii ISTATE — ^ ^ - TfiL. LIC. NO. / SIZE i K�. �� . no, oe eLooe. � BET�ACK LINH FROM DESCRIPTION OP WORK �1 NO. OP ! � ` � ROOMS ( BTORIH9 WALL � I ROOF COVERIN6 IILDI(iGAI�DWOPKTOBEPHRFORMBD � � / . /LO �(�" 1 HBREBY ACKNOWL¢DOH TXAT 1 HAVH READ TXIe APPLIGTION ANo eTwTe THAT TXH ABOV6 19 CORR6CT AND AOREfi TO COM- PLY WITH ALL CITY ORDINAHC88 AND YTAT[ LAWY H6GULATINY BIIILo1NO CONSTRUCiION. // SIGNATUREOF ��_�� PERMITT6 AUTHORIZ6D A6fiNT � u1T1 i3� �i��98i �Yf�� APR 7 1965 APPLI�� vIR BUILDING For Offite Usa Only �� LHOAL A.P.NO. I �� y�� 7�3 VOTfi: NO 6AVE OVERHANG 8HALL B8 LE39 THAN 90' TO SIDE R REAR P. �.. 3AVE6 RLLOWED N.B.C.REOUIREMENT: YARDBAPPROVED YARD9APPROVED MAIN BUILOIN6 ACCE590RV BUIIDING (FROMGL6TRHP'[) � VAR.$C � � DATE � T� � � Q�O I ZL`X 1_JLl�C� � d so. Fr. (� c �gi � THE AMOIINT 9HOWN UNUER VALUAT�ON �9 FOH TH8 PUflP06H OF H8TA9L�9HINO A PEHMIT FEE ONLY. VALUATION � '^� PERMITFEE S S s �D� E .� : OWNFii U1tOVE PARK CONST.Co. DA�;. 4-27-65 � JOB ADDRESS �`71S rcle BUILDING PERMIT NO. 23937 `L GENERAL CONTRACTORMESB Verde DEV. CO. ' DESCRIPTION OF WORK I115t81 .� nr No. 3- 31- 5 IAT TRACT FIRE 'LONE VALUE $ 1SO.00 SUBCONTRACTOR � 23937 ',.�. � ,�. . COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 9f7 COSTp MEHA, Cp��FORNIA For Applicanf to Fill In Complefely �� .Q TYPE OR PRINT p`r eui�owo 1.� _VfS e 1 ADDRESS �{ZLl COSTA MESA, CALIFORNIA li� L'Z-- No: S 4i —d 3 i� X� D3 I�� or e�ooe. � NOW ON LOT ■ 6ETBACK LINE FROM DESGRIPTION OF WORK � 2 I HHREBY ACKNOWLEOOE THAT I HAVB pEAb THI6 APPLICATION ♦NO 8TNT8 THAT THH ABOVB 18 CORpECT ANO AOpEH TO COM. PLY WITH ALL CITY ORDINANCBH AN� eT�Tg y�We RH6ULATINO BUIL�INO CONBTPUCTION. SIONATUREOF PERMIITE AUTHORIZED A E T CITY OF CUSTA MfSA APR 27 196� 11[C[�R NO. BUILDINO 9 BY .�,y��'N- )� DATH �J�-� % ! � ZONING Z NO.OI U860PN6W ; PLANB O BUILDINO DEBCRIPlION � �/ � i � � Y\. �� r ^� A. P. NO. �/ � �L� � 1%'� L NOTE: NO EAVE OVERHAN6 SHALL BE LESS THAN 90' TO SIDE @ REAR P. L EAVES ALLOWED <U.B.C.RHQUIREMENT'. YARDS MPROVEO YARD9APPROVED MAIN BUILDINQ ACCESSORY BUILDIN6 fFROM C/LfiTREET) V AR. # OATE N SO. Ff. � TH! AMOUNT 9HOWN UNDBR VALUATION 19 FOR THE F' PUHP088 OP 88TABL18HIN0 A PEHMIT FH8 ONLY. 0 VAL�lAT10N m y�tD f!p PERMITFEE $ �, �A m �� F $ C C � _ � Q-'(% � �' �979� FEE RECEIVED � ;. �COSTA MESA BUILDING-SAFEfY DEPARTMENT �(@Qp s • P.O. BOX 9f7 COBTA MESA. CALIFORNIA '(�'U' 11�. y O i��.,) - . For Applicanf fo Ftll In Complefely C'F�LI��Q{{,`��PERMR Tr. 4341 -rvae oR PRINT Lot 32 ��r•B� P �y For Offiea Use Only BUILDING ��'�!� _� � �� R ' . . . . ADDRES9 ��A�. C REC61M NO. PER�{TyR�.(1! COSTA MESA, CALIFORNIA .`1 i vZ RHGHI DBY �TE ECEIVED DATEIBSUEO OWNER Grove Pprk Construction Inc. ——� dUN 1`� 1963 BUILDIN6�� MAIL �653 Minorca Drive ADDRE59 ADDRE3S FIRE -'/ C�Ty Costa Mesa ,T�o KI 9-039 ZONE TYPE J� GROUP ARGHITEGT E. G. Kaltenbach TE�-772-3361 gyPROVED DAT$ OR ENGINEER NO. ADDRESS 9��2 Katella Ave.,Anaheim ZONING 'ZO NO.OF 116EOF Mesa Verde Develo ment Co. � Purva, eui�oiN CONTRACTOR P I �� LEOAL A��RESB Minorca Drive oescnimo � CITY Costa Mesa A. P. NO. STATE IH I3Z{ TE�. KI 9-0395 90TTO S�IDE @ REAR pMLNG SHALL BE LESS THAN LIC. NO. NO. SIZE rvo. oP e�oos. ALLOWED (U. B. C. RE�UIREMENT) oF �oT 85 x 103 I„,„„„ �,r 0 YARDSAPPROVED YARDSAPPROVED USEOF • MAINBUILOING ACCESSORYBUILDIN6 EXISTIN6 BLD6. --� ( FROM C�L�TREET) 6ETBACK LIN! FHOM FRONT � FT. FT. CENTER OF eTREET 4S REAR YARD 4O A � i. � SIOEYARDI LEFT I� I RIGHT I•} R.61DE FT. FT. DESCRIpT10N OF WORK L. SIDE /'� Fr. NEW X ALTERATION _ AODITION REAR `�\/FT. Ff. DISTANCE BET. BET. MAIN @ MAIN BLD65. ACCE55. BLpGS. REPAIR MOVIN6 OEMOLI6H BUILDIN6 NO OP VAR.�(' DATE SIZE 2243s .ft.RyooMs 8 BTORIpE9 2 C.U.P. APPROVED EXTERIOR WALL WOO }J�ROOF s vke q APPROVE - � � L �, COVERING $tUCCO COVERIN6 5 Ill I0 BY DATE l' USE OF BUILDINO AND y�ORK TO BE PERFOR ED sin le famil residence and attac�ed ara e Pian 5 B � / �� p T�i � ' /� � 1 HEREBY ACKNOWLEDOe {HAT 1 HwV@ pPaO THI6 �PPLICATION THE AMOUNT eHOWN UN�ER V�LU �ON IB FOR TXe AND 6TATE THAT THE /�BOVB �8 CORRECT ANU AGREE TO COM. PUFP08E OF FSTABLISHINO A PEHMIT FEE ONLY. vLV WITH AL ORDINANCE9 ANO 9TATE LAWe P60t1LATINO ypLUAT10N BUILOINa CO BTR ION. C� PERMiT FEE $ 0 SIGNATLIRH PERMITTE �( � S-� AUTHORI2EDAGENT IX�9� C � /�j� TOTAL FEE $ /// . TO WHOM IT MAY CONCERN: -� WE ARE NOT RESPONSIBLE FOR . � THE CARPENTER WORK TME PLUMBING THE CEMENT WORK OR THE BUILT IN SLOPE UNDER OUR WATER PROOFING l WE ARE RESPONSIBLE FOR QUALITY CONTROLLED WATERPROOFING ONLV_ $INCERELV. DON WHITE