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Home My WebLink About784 NEWTON WAY - Building Permits,., I �'' 1 � _ � . � i � ' • : . City of Costa Mesa 8uilding Safety DepaMment P. O. Box 317 Cosfa Meso, Colifornia CERTIFICATE OF OCCUPANCY N� � � . ` 2519 . B I� The Building located at � �� ' $��-��y has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group �� a Occupancy. Use of Building � � �t� � b�� — Legal Description � ��'7� �� 191 � � ' (See reverse side for Metes and Bounds) B�ilding Permit No:�B� Elecirical Permit No. �� Plumbing Permit No. �7� floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. —. required under Sec. 3301 (1) U. B. C. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartmenT house, hotel, ar lodging hovse shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apar}menfs or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or gvesf rooms as reqvired under $ec. 17050.1 (d), California Administrative Code, Title 8, ChapTer 9, Article 8. Number of apartments— — and/or guest ISSUED TO: B. ��3. �i9�.Y' IEQII ' Lii�l Dafe 71ilar 22�1968 V This Cerrificate of Occupancy SHALL BE posted in a conspicuous place on fhe premises and $HALL NOT BE removed excepf by the Building Official of fhe City of Costa Mesa under Sea 306 (e) U.B.C. Fo,,,, svaa—�M—ii-sa_s..s r City of Costa Mesa Building Safety DepaMment P. O. Box 317 Coefo Mesa, Californio CERTIFICATE OF OCCUPANCY N� 2614 C The Building located at �_� �� ;� has been inspected and found to comply with the provisions of all CiTy of Costa Mesa Ordinances applicable thereto for a Group j�sy Occupancy. ' Legal • �, . . 7�!1 :iST'iF�TS " �(Sea reverse side for Metae ond Bounds) Build�ng Permit No. ."��'„ -1 —_ Electrical Permit No.'�,91�7��,��.� plumbing Permit No.�3,�.�43� Floor Load Signs have been installed as Room Capacity Signs have been insraled as required under Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. — 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment ho�se, hotel, or lodging house shali be �sed or occupied until the owner or operator has been issued a valid certificate of occupancy by ihe enforcement agency. (b) A new cerTificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The n�mber of apartments or g�esf rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under $ec. 17050.1 (dJ, California Administrative Code, Title 8, Chapter 9, Article 8. ISSUED TO: Number of apartments— and/or guest L%�t� t�} Building Official This Certifica�e of Occupancy SHALL BE posfed in a tonspicuous place on {� prem except by the Building O�cial of the City of Costa Mesa under Sec. 306 (e) U.B.C. and SHALL NOT BE removed Form BU39--1M-11-G3—$-g p . r, City of Costa Mesa Building Safety DepartmenT P. O. Box 317 Cos�a Mesa, Colifornio CERTIFICATE O.F OCCUPANCY N� 2614 B The Building located at � ' �� T�� 9 has been inspected and found fo comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group I'''� �� Occupancy. � Use of Building 9 USI�'t �IIduS�riB�' �LS1��IIg __ Legal Description �'03� �+ o%r &'� � (Sae reverse eide for Metes and Bounds) - � I Buildin Permit No. -�a9�1 � Electrical� Permit No.2�4'Q g Plumbing Permit No.�_�S��i4•'. Floor Lodd Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. . required under Sec. 3301 (7) U. B. C. _ 77050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be �sed or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof � 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrafive Code, Title 8, Chapter 9, Article 8. ISSUED TO: Number of apartments andfor guest ��;tiR: � 4 Building Official � DaTe 7��69 � This CertificaTe of Occupancy SHALL BE posTed in a conspicuous place on the �premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Fo.T, susa--im—n-ss--s-s r 1 � . :. � , ,. . - , .. t City of Cosfa Mesa Building Safety Deparfinent P. O. Box 317 Costa Masa, California CERTIFICATE OF OCCUPANCY N° 2615 B The Building bcated at "��?�A �AI► �eq has been inspected and found To comply wiih'ihe provisions of all City of Costa Mesa Ordinances applicable thereto for a Group _�� Occupanry: � Use of Building '3'�t ��IIdI18�S1B7'��1�i8�" _ Legal Oescription '��3J �! � & � . �� . ', (See reverse aide for Met¢s and Bounds) Building Permit No. 29� Elecirical Permit No. E�19"''��1 Plumbing Permit No. S�i �r9��.. Floor Load Signs have been installed as - Room Capacity Signs have been instaled as required under 5ec. 2308 U. B. C. . required under Sec. 3307 (7) U. B. C. . 17050. CERTIFICATE OF OCCUPANCY. (a) No apariment house, hotel, or lodging house shall be �sed or occ�pied uniil The owner ar operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of o bvilding or portion thereof �l 2) The number of aparimenis or guest rooms 3) Ownership , If Group H Occupancy, number of apartments and/or guest rooms as required under $ec. 17050.1 (d), California . : Administrative Code, Title 8, Chapter 9, Article 8. ISSUED TO: Number of apartments— and/or guest Q'IJi. � � Building Official This Certificafe of Occupancy SHALL BE posTed in a co,�spieuous place on }he �rem excepT by the Building Official of The City of Costa Mesa under Sec. 306 (e) U.B.C. � ��and SHALL NOT BE removed Form BU34—IM-11-63—S-B P �. r . _ • • OWNER JOHNS9N, MRS. RUTH JOB ADDRESS - e on ay GENERAL CONTRACTOR Edward Mass AP No. ' - � LOT T �INSPECTIONS ' SOIL GAS W ATER ROUGH PLUMBING PROP. SWR. LINE � HOUSE CON. SPRINKLING SVSTEM MISCELLANEOUS ROUGH NEATING AN� AIR CONOITIONING TEMPORARV SERVICE OR POLE UN�ERGROUNO � POWER � ROUGH WIRING TRENCHES FORMS � STEEL REINF. FLOOR SYSTEM BON� BEAM � STEEL REINFORCE SHEATHING FRAME ANO FLASHING LATMING - IN � OUT � PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. AN� A.C., FINAI PLUMBING, FINAL ANO GAS TEST ELECTRIC, FINAL DESC FIRE DATE �-22-69 �UP � TYPE SUBCONTRACTOR i�a I ' ��.ti� i��: �1. � �r . �- 30077 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CAL�FORNIA 92626 For Applicant to Frll in Completely BUIIDING /1/ G" �%�`}y'�J` //aZ/Y AD�RESS �V 8� i/� OWNER �� MAIL AD�RESS CITV CANSTRUCTION BRANCH ADDRE55 ARCHITECT TEL. NO. ,�„_ No` �r6cy3� �// .�a. cQ� CONTRACTOR ��(�,�� ADDRESS �,j �� ly�. i , /� �—f �/ �TEL. cirv �sar,/t�s�v�. �Z�� No.SyG STATE n �� CITY LI0. NO. L LIC. NO. S12E � NO. OF BLDGS. OF LOT I NOW ON LOT EXISTING BLDG. �J(j�H�' �(�h(.�C SIZE OF NO. OF NEW BLOG. ROOMS STORIE: EXTEFIOR WALL ROOF COVERING COVERING USE OF BUIL�ING AND WORK TO BE PERFORMED 0 0 ' PAI❑ iri;�i.r AeR 7_2-6�001126n 34.50 APPLICATION FOR BUILDING PERMIT RECEIV �� oA E a�„� . �,aa�,� PEfiM A.P. NO.= �� .'�I ADIDFE S /7�7pO �' / 6� TRACT L� 'S. � LOT // BLOGK OWN FIRE 20NE T APPROVED L BV �%� ZONE✓ NO.OF PLAN$ i �vARDS APPROV ED MAIN BUILDING (fROM GL STREET) VAR.,$ ' VALUE USE OF NF BUILDING � VARDS DATE APPROVED �� ILDING I hereby acknowletlge that I have reatl ihis applicaiion antl state Ihat the above into�mation is correct and ag�ee to comply with all laws regulating building consvuction, antl I shall not employ any person in violation ot the workman's compensation laws of the State ot California. m SQ. FT. � 1 hereby certify that I am properly.' licenutl as a conttactor untler � Me State of Califomia Business antl Protess�ons Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � Chapter 9, antl that such licenses are in tull force antl effect, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLV: m am exempt t.om tM1e provlsions Of ffiB StdtE Of CBIIfOrnla Busine55 VALUATION � ¢ ena Professions Cotle, Division 3, Cha ter � $ � m PERMIT FEE �� //� J Signature ot Q � � , / / �/ // m Pefmittee �� 'R'a"�� $ .�/ ADa p�qNCMECK $ � � E l/ O `o Authorizetl Agent � L' d LL TOTAL FEE 5 .� 5 �932I �� ` � �p7,L�,. HOY-4-68�MSA00 075•� ***251."L5 ` COSTA MESA BUILDING-SAFEfY DEPARTMENT I�V',`�� P.O. BOX 7P00" � COSTA MEBA� CALIFORNIA 92&28 Lt- � :'r.Jt:6•.:;•i.'tuj�� _.,:::15;•c` xc"_ .I.�i.c:'. ior Applicanf to Ftll In Comp/etaly APPLICATION FOR PERMR i;2��. ��.[s�.o�J 'n ^-t�:� � �;�r GE'L �C��/ ...`=.CO :I�IJJBUILDIN�i:ra-.ts:l,.�s]�nI ., " � TYPE OR PRINT � � � . `/ For Offlce Use�Only�;=`-��:nut:� eu�Lo�No�J /� �/ /�/,�f ,! � _, .,. .n - •r ; .. �. � ?�,: .. 7..:..n-, -i � �i� ADDRESS /�B-/ T / I �W �Y4 �: . f i:tf. - _ . ,R�CCII� NO. PEHMIT NO.�. - {: :J i17ill'b� t. �f�Gai'3�' �t'R_..� ?1- .'f] i �CO§TA MESA.. �CAL`IFORNIA " oI'S',3�a'/ " `1`� �^ ' C "��" •' � 11[Ct1V[OlY:l �. /pp� �[C[I-[D-N�':�'.pp,T8�96U8D.��/ OWNER `3�L^.Y � ��:ViQj�Yl.'ND'd�.�.�.� .; )_ r'. r " r �rt ' —�� 'L:'� .l i MAIL .[� t �'��/ ^�( J� BUILD � . ._�:;E1. �, .i:iL': Y12_ i i.`J'.'(� ADDRHSS ��J �J^r.�e�K�IF�....�cJLV.Y: . ADDRE - , „ /��/ p `7.?::J ..:J(�i]J � '7�• ' J'J1 ��. . bt .. ( •qo O /4A' "•2o I�/� TE �/�.�.�� FIR6 �y/' � - �J � } CITV�� ^ q: L��1��• p�''�/.T :ZON!? l��, � Ftt��v'eTY�BEj-u'�'�I - 6ROUP.�: .:r/�. ARCHITECT � L . ,��N �{ ' EL'�� IYD �BYPROV6OI.: �Ey" �l,y„{T.! .-' DATB r 9-��'� • ORENGINEHR �• -�! 'm:NO:� + - � ,� , � .. /AJ� (Ji�..LJU' .J.IqI:IlJJ'-i }i]!�l' •, i{�W QO I�'1' t�-� 93�L m oerewcK un[ �nop � O I NO. no� „��— RBAR � / R16Ff� RIPTIAk OF WORK mvx� wwu �NC �1 H¢REBY ACK AND BTATB TM ' PLY WITH ALL BUILDING CON�. � AUTHORIZiD AGlNT i 1 XAVH IY COPRI �� SI �uxs C uow ov�R�mox ors 3 � � A. P. NO. - ' ' ^` `� NOTE: NOHAV60ViRH/ c1tl- � 90' TO HID6 e RBAR P. l BAVE8 >rn.coe. � ALLOWBD n YARDS MPROV ED ' MAIN BUILDINO //� {RROM 8TR[6T),. A p (p 10 FRONT FT. �� . . �� r R. i1DQ �� FT. , li L. DID6 �— MT. ' 'IOH II� R6AR PI'. KK� DIBTANC[![T. �A /` �H MAIN BLD C) f � VAR.� ua�oFr,.w L�v��tr euuo�xa .. ee uas rHu� YARDS MPROV fiD ACCESSORY BUILDIN6 DATE • er ""P " cwre 1 �-3 — bf5 HOLD FOR SPECI L REQUIR£MC-hT: °' �a � �E� �v�� ea. Rr. � TXH IIMOUNi 6HOWN UNDEP VALUATION 19 POR TXB \ I ' / �IIRP09H OP 86TABLIBXINO A PEqMIi PEE ONLY. �.A VALUATION /! /'/� �� " PERMIT FEE � S/ �/ I k : � ��.b � 3 S w TOTAI.FEE / � ., � , ... . , l'0 [EU�.:�saElr�-t�- YG,1 �. Hold For�Special Hequirements: : t;.�a? Installation �. � --- ;�`,,,�:-- ; > t_-_-.�_._—._--- --' , . . '�^9-`Fi's''r.S3fl��'if.SiiP''icc'±'l:iC�t4i:; :;ti�v''� ,':��'a:.�.-• ] EftigClL.lA6 . 2f:1 R' C" "�... r � "-F" - - ` •_-_ t � _ , --- _` . _ . . _ ; _ -- �' �1��'ti{�1�`i.`,�':��H ' � (� e53i6+:t� ! e :;tu .."�,�.I� :rr ' concrete driveway approaches per City of Cos.ta Mesa ;' 5tandard*Y�lanS,:) .+;�,p ;�.^ _T__.�_ _ � � _ � - � � - 2. Must_comply_with Fire_Department x guirementstl j�+5��N �• �' !�',�" ` � •, � -.. :..i c:a . - �aa e . , 3.i Provide trash"areas, adequate in size to handle�dumpstei,�scieenevd �` with.a;>masonry;�or-othe'r, approv'ed enclosure.-- --...� _ ______�,, 4.�_ Tree lantin an t6e__ ar"kwa'._on_Newton Wa ;.:� �Develo ' `' ' �' p g , p y ��y_y `,� perjto purchase `,�2C� uo �� 1 trees, City wili plant. " ?•`.+ e.�,i,�II ' } ,� •z' ` " - • � -s ,,.. 5.!' Parki� 6.�_ Lapd_'s ; irrig, 7. "Final il:i ec�directiion_o��the�Planning_Dept.:==r;v_;_! � e�front,'- setbaSk �`a4ea�with �(an� (j� ��l,r�� , i.' �_ T..�._._ :-,�—_�:�__--�--- . ��l�C♦ .�i' J'�.'y[.� � 1.^C , � 13v'[}N3l!.e I: e; will. be�granted! 6n?basis of __ :i',��}`� �c � ;, as . � ` .a . _ '- � .+dga ..t *'______�_�f'iiC�'� r Y� . (/�`, 'iJ?:i_..i5;r.1J i� f} __�_.._.._a.....__�.- .__ "' ' _r `1, (. . i. : 1l:.S�p. . . . ��.. - . . :�, �_ ' _ • '_�.. "_ "Krr .s �_,... � � ['�` _1�/ JG '__ �a - y i _ � ..�, � ,� � � , -- ' '- -5—.�—�..<. '.:ii?T'<=3'a..l _'3.S.ihrtZ 7Nt:K�i7� ^.HV�A9�P �C.'.,:' ^w�a,nu: +.;.u.�� —. =ar�s i.�: i+��.-`. �Y� , r �s _ e , _t�0 '�e.t.�'r .. "� ao�a �—_3-_- =---' � �i:{i] �-'--'- — � . -. .. +„ . A.. ,? ' -.��ft-v._ t �'i cCj u�� .r;� '� ��j �"`��'��'�Z;�;:��k��c; _';°_�;�i' i----`----.----- �. _- --�. �; i_; .cc�s,.; o.o.: ! 1 � - si:, , �. U"'_,:t...oliJN 1 !.1...�1� Z�\ Tp.17G .t '_'_l_'__' .._ . 9G�a .0 i�� ,3 —"^ `a,n?x�. �ra�xa E � .__.__ � _.� � _ � � ; a}� ' . u � � :+� 6.`nY a7P ro :.P �.�. n i I f�Ty �� I -� i�,- . � ,- „ �:Naiisl •_S'r r'f�el"�i'.i7;"+.�:;e� .., �.� _.��-I—' —. —> � . ��m �tttri, , �., i ti , � _ i ts r � . �...a - � .rsc. _a•ra-�u�a � -� : . . � . - �--' - '_"-- .G9OJ _�11_�__.._' :^AR�_Ji1'.tipM � J � . 1'.'__._ ._,. � . .�. - ` i___.i_-.._:TE�30__ c^ f � ' ?t1 � _ _"_''_'l' '� •� i'.aLl i '�}.:IA:• � �'--'—'^ --. . . i , . :•O.C.. � �. 1..,iG Iit.� ' . 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S 9 ' C: , r, . f , \ � � � � � c � s ua �" __'—_ ' ,— -T�.�rr (�. ' . ' , �._ : NJ. )�C'.•��\ "T ' oIF � ' ~y y ' - ' � _�7w _ _.:l i.N -.� "___...�--..1•"_:��.^�i�� ,.�' _.._. -�,,, t� '. . � .q , . ". . 1 ' . .. . ' t .;9qT'•. � l�4� � _ . . ... . ._. . . .. . . -, �� - Y � � ,�-- i.. t Legal Name o1 Site Location: �_ � ��E--�-� .�.,� V Canvass: A.P. No: � y�'`�-�O,P/� CITY OF COSTA MESA PRE-COMPLAINT CHECKLIST VIOLATION OF SIGN CODE Street Frontage: �.�.�JS�� rn.fiL).[.eGC, Zone:��T Sign District: BusinessOwner: �/D.i l� �J, ��%'�` PropertyOwner:v��i• �•,�. � � � �f-t� �T '�� / �� ./-�. �l vN� o /+ i g'866 a Status of Entity (individual, corporation, partnership, etc�: Corporate Officers/Principles: DBA (fictitious name) and listed business owner: Status of property owner (individuai, corporation, partnership, etc.): Corporate Officers/Princip Violation�s) (Section No. and Description�: PRE-COMPLAINT EFFORTS/COMMUNICATIONS: Method Date Time of Contact Initials Comments CMF 0769-30 Additional Efforts/Communications�• see reverse side .... SIGN ORDINANCE COMPLIANCE PROGRAM Input Form for Word Processing First Notification - Certified Mail VARIASLES: DATE SUBMITTED:. ��-,�/n—�'O DATE MAILED: (typist will enter date) ADDRESSED T0: (Business Owner - Certified Mail) / I R�l% i� �j ��V (Name) SZTE �.00ATIONi TLLEGAL SIGNS; � �cS"'� `/��rl �v �,1� Ct-�-V (Street Address - include St., Ave.; D ve, etc.) C�vvL. �1 �-6 2.'7 (City/State/Zip Code) %��( �'(�J—�— c�Jw1,' Street NON-CONFORMING SIGNS: cc: roperty Owner - treet Address/City/St SIGNED $Y: ame Note: If you need extra space for sign listings, please use reverse side, and note "Over" at bottom of this form. �) � �I �� _ " ' � I �ooxEssaew�axo: 7$O NEWTON WY P� av�aswwEiF�wm: JOANSON, RUTA H. �lV �� 14 RU&'DE FYILLE NEWPORT BEACH, CA 644-2361 �rv�. �uurro �nn�s� APLXREtt OP FlMiNFFA: uc. ra.: °"' CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: P 071546 PLAN CHECK NO: N . CONSTRUCTION TYPE; V—N PERMIT TYPE: PLU JOH DESCRIPTION ; REPLACE 2 GAS LINES ON SITE uNr: coxm�ctarsruwE AFFORDABLE PLUMBING ( 714 ) 548-9206 CQRNACTORSMqI1Nfi 118 BLUEBELL AV moness: ANAHEIM CA uc.xo.: 372778 92802 uxr LICENSEO COIRNACrOflS �ECLANATION: 1 hereby eR'vm uMx panelly d perjury Ihet I em liro under prwieiona d Chepm 9 (mmmend�p xilh Section ]aoo) d D:vision a N tha Busmsa eM Prateva'rona Coda. arM mY lioena s i ull lorce eM eMed. cmuc.No.:017 Zq uc.cuss: C-36 uc.No.: 37 78 P: 07/95 Dma: � > Con _ OW NEN BUILDEN DECLAHATION: I heraby elfi�m uMx peneAy d par'hny ihel 1 em exempl /mm iM ComreNon Lireree Lew la tM IdbwmB �a�on (Seqion ]03t.5 &niroec uM PMeaeuns Cada: Any c1Y a�m'/ �� reVuires e permil lo aonslruct. eller. impovs. demalah, a repeir e�ry suuciure, prior lo tls eauerce, ebo repuima Ihe apd�� la euch parmil to fib e eipned eWemenl ihal M w ehe ia licanaeE pursueM lo tM proviabna W tlw Coniredon Licerne lew �Cheqx 9(commentlip wnh Seaion 1000) d D'v'vion � d Ihe Buai�was eM Prdasabna Code� a inm M a she ia axamq thaeliwn vW tM buie /a the dbped azemqion. My vidnion d Seabn ]031.5 q anY eppliunt lor a parma euEpGs IM epplicant to a rnil penely d mt mora ihen iNa huMred doliva �$SpO�). ❑ I.mownerolthepropenyamyemployaeevA�wapesmlha'redeoompeneetbn.xilldothewoM.eiMiMeWclu�eendimeMeE «oneree �« ae�.lseeiim �aa. e�mimn e�,d amee.eima Caae: rn. canUeaore lioense law eom nw ewN�o.� ow�e.d v�oveM wM buida a vnprovee tlw�eon. ark xfio da» euM wark MmrM w MneR a ihraqh he «her own employaea, povked thel euch impmremerua ve nol inleMeE ar dlmed ta eab. X. however. �he WiWiip a'vnprovemem o eaN v.dhin me Ymr d compblbn. �he owrorLuiHer vAll heve tha burden M pv.•irq M or eM1e dk iwl Wik « impwe fa ihe WN�e d aele�. ❑ I. sv owriar d IM properry. em mtluivey mnired'ep wilh Fcerimd conUenae to conmud iM prqeq (Sedion ]001. &»inmt enE Pmtessiona Cotla: TM Conlreclae License law Eoea nd epply �a en owiror d papeny who buiWa p imqwee �Iqleon eM vAa convecU ta wM prqeas w'nh e mm tor(s) licenved pureuen� �o IM Cantreqae Licenee Lew). � I em avamq uMer SecUon: B. 8 P.C.. br Mie rmaon: Dele: Owner; I do he�aby cerlity ihel 1 em ewere d vM uMersieM iM1e raquiramenls ot Cdiomie Heellh eM SaktY COEe Sediona 25505. ?SSV. eM 2553a, aM ihm I a eny Mure Wiki'p oowpent vnll I wil na (arcb are) meE b comply wih aeiA etate cadea enA tM raquiremema M a V�n lorcwnvuc�ion w modifimnnhom iMAi�enepemm� Dialrid. Feekemiel oonaliwion eOG�iom en s�emN Imm tlwae plWl8p119. . ' oeia: nvWt�c WOPKER'3 CONPENSATION DECLAX�TON: I Mreby dfiim uMx pe�uM1y d perjwy me d Ne idbwin0 ��s: � I hew eM hil meiruan e cMRcqe d connent �o eellinwn M xakeis' mnpenW ion, u qovided Iw by Setlion 3]OO W iM labar CaCe. la IM ps�lormeMe d tM xwk Ia which �nb peimil u iauad. ❑ i neve ene m� �m� woMen� mmo�mon �nsure�. m�.a��a W sm� a�oo d ma i.no. coe.. ro� ine o�wme� a m.:-' wak fa whicM1 Ihu pe�mit ie iaued. MY wvlwn' cwnPo�� inwrarKa carriar arq pdiry numbm ara: �. Certiar Pdiry Number: ()his aeaion need rrof 6e cwnWekC / Ne pe^^'4 o M are hunEraOOallers R1001 a bea.) � I ronM ihet in iM pa�lomience d t�e wak la v.Tch thu perma ia iaued. I Mep ml employ in eiry menmr eo av lo beconre wbjee io iM rmhere companealion lev.a d CeIN«nie, arW epree N I ehou eubptl b IM MOMen' com pana i M Sapion 3]00 d �M lebm Cade, I Mell tqlhwilh wiTh Ihoae Deie: �� AO � ' . W�ming: Fallun ro�x�ro wolken' eompewtlon eoverps Is unlewNl, �nC aN/l aub/xf en xnp/oysr ro eNMml p�naMs� mG eivll llm� tp ro on� hu�rtlretl lhouaantl0el4n (S10qOW/, In Miltlon lo M� ewt o/ mmpxu�fbM1 tl�rnpu �i prov/tlM br In Sxtlon 3]OB o/ fh� LeDor COM, Infenst, e�M artomey'� lsu. ' CONSTNUCTON LENDINO �GENCY: I heeeby elfi�m uMu panelry d perjury Ihat IMre b e eonel'uaion brdi�q epmry M tha peAormanoa d tha wak Iw w1iiM IM10 perml re eHYed (Swun 3091, CN. C�. . LENOEN'SNMIE: , IENDEfl'S RDOFE55: I cenity thet I heve r¢¢A this applicmim ud nme t�el �he ebove iMarmmian is coned. I apiea io comply wnh ell ory eM couMy ptlinarima enE stata lexe relm'vq to buildvq consbiMion ud Mraby eNharixe repraeentmrvea dtltis ary lo entx upon IM abora�meMioned poperty Iw inspad'an Wrpmes. \ R�l. 1 N �m r�— otl,: 3 2..� � S C....w...e N ln�n a M�mN.v (5151-K.WP) Whno-Buik'vp d Selery: oreeMFb: Cenery-Rppir.ant: Pink-Revenue: pWdmroypyaevp PERM NO: p p?1546 GOVT: N SUpp' N PURPOSE: �Txr SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: H-2 � +Ct�*x***+Stit�r*****w*�**********�x*�*****80**r*8******�**��************r****�r�t**�*� Z O N I N G A E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUZLDING ---------- ---- ACCESSORY BUILDING — � FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGAT; FT PARKING REQ: PROV; PARCEL: 00000000 ZNE: REF NO: PLANNING NOTES> if M if if ff df 1t 1t 1f 11� 1f 1E 1E %1f if'K il� d4'k �k if it if if if if 4 if jf iF if iFlf if i!!f 1! �E M it if M if M%if iE fE M fF if 9f M it %iF i6 if if 1f if M%iF 1f if if if i(� if 7E if 1f �N' i�' iF * iF D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S 20NING APPROVED BY DATE: _i� HUILDING APPROVED BY ; APPLICATION ISSUED BY; !f 1f if if if ff if �1F it iE if jt i! if if �f'M iF iF 1E %jf�� LEGALIZATION:N BLDG PMT PLUMHING PERMIT 10.00 25R F E E S U M M A R Y ELECTRIC MEC$ANIC ��' FIRE DATE: __�l�� DATE; 3�ZD�� +E� * * �t * r * * xiF'�FiF��iF STRUCTURAL SEGMENT ' N SMIP/RES GR�jNG SMIP/NON—RES PLAN ISSUE FEE 20,00 " DtJE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD p O �TOTALS----> 10.00 20,00 0,00 30.00 30,00 ' REVENUHLDGVPMT�PLUMBING ELECTAIC�MECHAN�IC FIRE� SMIP�/TOT/SGRADING PLAN—CH EC K 30,00 1E ff 1F if'k 3f if 1k ik iE if iE ik M i! ff ff M ff 1f %if 1! 3t M 1f if 1f if if 1f M 4 k iE 1F'If 1f 1f k i!'1F'1E 1F i(' if jf 4 if if� 1f it IF 1f �lf� if iE iE �f 1(�')f ff 1f if i! ik if M M il� iF �If iF iE'K"� �� I N D I C� I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL C OS T PLU 2 GAS PIPING SYS OF 1 TO 4 OUTLETS 5,00 10. 00 END�OF FEES u± QE�2]3378-4�175378 TCiT l'i?IC= �iv%1�%%] ,irfir- . �� GONS7RUCTION AND PLANNING PO� _& SPA APPROVRLS Pesmit# - Date Inspector qppROVALS Permit# Date i. Temporary Etectrical Serviceor Po,le 52. Pool & Equipment Lacation�„ . 2, Soil Pipe•Undrgmd. •. I 53. Steel Reinforcement y w - ,3. ,�lectrlcat Condvit Utitity-Undrgrnd. 54. Pormt � - ' • 4� Eie$triwl Condu�t'U��Jrgrnd. • 55. Eiectrical Bonding � ! "5? Steel Reinforcert+ePfs 56. Rough Plumbing & Pressure Test 6. �Electrical UPER'6ind. � 57. APPftOVAlTO COVER�GUNITE _ r; �im �,7�, F,00tings ': 'i� - 58. Electrical Conduit-Undrgrnd. � g:, Foundation - i �� 59. Gas Pipe, O Undrgrnd., Testi � u '0 n ndr ��d. '9. Water Pipe�Undigind, ] 60. Backwash� l.ines, P-Trap, .� W, g 70. Structural Floor"�6ystem 61. APPROVAL TO DECK � 77, Property Sewer Line & House^Connection 62. Backevash & Recep!or-F1r�a1 12. Sewer Cap ' i� 63. Heater & Vent-Finai 13. Roof Drains _, , 64. Plumbin9 System - FinaS _ �4. Rough Plumbing. `,�� -„ 65. Electrical-Final .. _ 75. Rough Electricai-Co�duit c' � - 66. Solar SVstem-Final 1 16. Rough Electric4tliring - 67. Fencing & Access Approval 77. Rough Wiring Sign �y_ 68. APPROVED FOR PLRSi ERING 78, Rough Electriral�T Bar Ceiling� 69. POOL/SPA SYSTEPAS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT y � - m M. . S.-ITI� i k 20. ;Rough Factor,'-ij Firep�lace ! S°; _ ' r; � �r'„�, n APPROVAL,S�� Pimi2 #° "� � - -. �, _ .. , � 21. �Ducts.inStructuretr i '•. .. -:�: _ .:i ��a - 70.�Undera3'roufiii �dro u a .�c , �. . i v 22..Oucts, Ventiiating,` r • y_ ¢ � ,; c 77, produ�tiPipinc� ��Gas �W Oii 23. Gas �2ipe>Rough & Tesi i -- .;q �• �j> H 7p, Undergr5hnd Ffush �" 24.'Roof�Framing" p�' ' :-'i" '.�"' ' %' L' =� �.� � � "r�" C.,,, ;� ., � '��. _ , -, 73: Undergmd.Storac�eTankOGas G�Oii 25. RooGSheathing c?: � v,� a�� `� ` v. � 74? Overhead Hydro � � 26. T-Bai�Ceiling {Stru`btural) & Moriotoat ;`, 1 �-' ry�e 75. Dry Chemical �� ;�-- '� 27..Frameand Flashi �" � � .� ` `�: �� `� � -, "`." ' _. `" . �9 � _ r, r. '� m= 76. Dry Standpipe -�;ao - 28. Lattiing & Sidin9 � � '' - ��' ^ ' '- ' 77.. FIXE� $YST M`fiNA�L :. � .. F, (.) i ..I ...� F- Fi�. - '1 � 29. Insulation ;», �� -> •• r�' � 1 r 78'-PIRE'PREV. FIN�AL . �` 30. Drywall Nailin9 �' � � , �` ,;'_� •':HEALT�H DEPT'REQllIREMENT i t : �� N r :- I t+ �'• 3L P�aster Brown�Coaf i < ! ;,,p. : � � :e - 79, "FINAL (�NSPECT-ION { �� 1 " � 32. Electrical'Power Nlefer-Finai ' ="' I � 4� " 80: FOOD CERTIFICATE I.SSUED. - : _ � . r.. r � -' . _ _ `. • 33. Finat;Eleciric. R�s �- � ,Q y � ` i: r Notes• ;;: , y ,� �,. � 34. FinaCHeatinq & Ai� Conditioning^ f: ,' � r. a .�--�' , i .. ',� - �.: n; I - �: �� ,.�3 '_ �'� �jS F �-',�` �i%(,�C�Z_. _ �' 35. Fina!'Gas-PiP'e Tesi _ _,�'" .. �y '� '` ' ` � � = "� � �� LJ'�[ :�' � xo _.r� -. i� _ E i 36. Hood.or CanoPY a � �.' � • i' � ' �' � � -� ; � ' le i*; c, r�; >;"_. _ I: 37. F.inal"Fac`4ory Fireqlace 2. ��_`� � ; r:i � � :': :. ai x �lru , �- 3g. FinalrPlumbing 5' � o � j; ti �� , _, •,,' _ Z3YS �•� s 39. Water Service-Fina( � � `� ` � L' � � .i � ��: n ..� � i. ' ' ' - 40. Gas Service-Fl�al ; + , ; � � � �� a ,r ( �,� ' ,; .� n' a - � : � .. ; . f � -, - = 47. So�ar pomescio-Final` - -. J �- � ! i '.' J Y r ". +� _ 42. Backflow Preventer . (u x� i I 1,< �j ;� '� - _ �_�., f d Cv� ' _ N TI I'1 A L . 43. Backfiow Irrigation " .;�.�- ;, . �:r y V N - �: . � . B4. Landscape IrrigatiornSystemu��vG r ^; �'7 c�:s = -i �� '7 '• - � �ti - -- � 45. Sound AUeneation: , „ ' �' �" "' - ! "' ° u fi e i�i t�1 i�; _ . ,. -i « 46. Handicap�Regulations - � � � � r, - r:.� - - � .� • - �� ,az FINAI STRUC7URE & BU�LDfNG ` � }' ` t` fi � +' J t. � 't �-1 48. F, INq� pLANN�NG. ' " - '" -. i - , , i i: ' " . . •.� •A9. Electiic ' . • • � ,:1 • . , Release to Edison � ;� ' ' �• ,•' t ' ' ' � �`�� •i 50. �as Release to Southern Ca�(tornia Gas Co : � }Y r �ti 51. CER:T,IFiCATE OF OCCUPANCY � � � � ., • o - t:� . , :+� Date N ' � '� ' ' - _ � ''. ., inspector � _ � �i � � � I � Pfl0.1ECT RUOflE55: '� 8 3 NEWTON WY OWNEfl'S NRME: WOLF TOOL CO aoosess: �g3 NEWTON WY C.M., CA 92626 FHCHIENGINEEfl: aooxess: PEC.NO.: UNIT: uxiT: PEXMITTEE: ED GROCHOW ( 714 ) 548-5203 nooxEss: Z15 22ND ST COSTA MESA CA 92627 LICENSE� CONTBpCTOfl OECIANATION: I �ereby affirm Iha� I am Iicense0 un0er pmvisions ol C�ap�er 9(commencing wil� Seclion 7�00� of Division 3 of �he Business an0 Pro�essions Cotle. antl my license is in full �orce and eifeci. CITYLIC.:OO 3��233108 c ss:�—/10 oate: � Signature: '',��J�N W08REBS' OMPENS ION OECLFNPTION: I hereby af�irm I�at I have a cenifica�e o� consent lo self-insure or a cehilicate o� WOBers' Compen5aiion Insurance. or a cetlified capY Ihereof (Seciion 3804, Lab. C�. POIICY NO.: E%P. DATE: COMPRNY: ❑ Certilietl copy is here�y fumisM1eO ❑ Certihee copy is tiled wilh lhe city Building �ivision. Oale: Applicant: E%EMPTION FPOM WOBHENS' COMPENSpTION OECIABATION: Qhis 5etiian n¢¢e nol be compl¢ted i� the permil i5 tor ane hunOreO (5100) or less�. I certdy Ihat in Ihe pedormance of the work fof which I�is permil is issued. I�all not emp y any person in any manner so a510 become sublect to ihe orkers' ompensalion Laws o� Cahlornia. /( � �. Oate: $ignaWre: �' (.!": NO E: Ii, 11g making ��is tleclaralion, you s�aultl be o�c� Io the Workers' Compensafion provisions ol �he Labor Code. you mJ51 lotlhwi�� compty wi�h such pmvisians or Ihis permit shall be Oeemed revoked. CONSTBUCTION LENOING pGENCY: I here0y atiirm tha� Ihere is a con5�mciion lending agenty fOr Ihe pe�fOfmance Of Ihe wofk lOr which I�is permit is issuee (Section 30W. Cia C). lENOEfl: ROUflESS: OWNEfl BIIILOEB OECIAPATION: I hereby afiirm �hat I am exempt �mm the Contrac�ors' Siate License Law �or Ihe �allowing reason �Sedion 703L5 Business antl Pmiessional Cotle: Any city of coumy which requires a perm�� o constmcL aller, improve, demolish, or repair any struciure, prior to its issuanw, also re0uire5 �he applicant for such permit ro �ile a signed statement �hat he/she i5 licensed pursuam lo Ihe pmvisions ol the Comracrors' State License Law (Chapter 9(commencing wi�A Secimn 7000) ol Oivision 3 0l �he Buslness antl Pm�essions Code) or 1�a1 ne/she is exempt �herefmm an0 �he 6asis for �he allegetl exemption. Any violalion of Sec�ion 703L5 �y any applicant �or a permi� sublects Ihe aDPlicant Io a civil penaliy o� not more ihan hve hundretl Oollars ($500). I. as owner ol ihe pmperty or my employees wilh wages as iheir sole comDensation, will Oo Ihe work, antl Ihe ❑ 5lmtmre is nol intenaetl Or offeretl lor 5ale (Set�ion 7044, eusine55 antl Pwlessional Catle: The ConUactors S�a�e LiCenSe Law does not apply �o an owner o� a property who builds orim0�o�e5 I�ereon, antl who does such work himselN�ersell orl�mugh his or her own employees, pmvidetl ��at such improvemenls are not in�en0etl ot ollered for sale. If, however �he Uuilding or impmvemem is 5010 w�ihin one year o� completion. �he owner will have �he �urden o� pmving hehhe tlie not builtl or improve lorihe purpose o� sale�. I, as awner oi �he pmpeny, am exclusively conlracling wit� licensed conlrac�ors ta consimet Ihe Dmlect (Section 7044, Business �❑ antl Prolessions Cotle' The Contraciors' Sla�e license Law does noi apDly to an owner o� pmpetly who builds or impmves �hereon �, and wno comracts lor such pmjec�s wilh a coniradoqsllicense pursuan� to Ihe Contracrors' Sta�e License Law�. I am aware �na� Omof af thelr Worker'S Compensa�ion insurance ihoW� be pmvidetl lo me. I� I am eKempt under Semion' B. 8 P. C. lor this reason'. Dale'. Ownec I tlo nereby cenily Ihat I am aware of antl uneerslantl the requiremenls ol Cab�omia Heallh and Safely Code Sections 25505, 25533. and 25534 antl I�a� I or any IUWre builtling occupan� wilVwill not (crtcle ane) neetl lo comply wiih saitl s�a�e coAes ana the requiremenis br a permit �ar cons�mc�ion or motlificalion Irom ��e Air Ouality Managemen� Di5lrici. Residen�ial constmc�ion apPlications are exemp� trom Ihese pmvisions. �ale: Ap0licanl: I here�y cetlify Ihal I �ave reatl this apphcalion antl sta�e �ha� �he above inbrmation is correcL I agree �o compty with all ci�y an0 couniy ortlinancesantlstalelawsre llnglo�uil�ingconstmc�mnandherebyauthoriterepr nlativesollhisciry�oenterupon�heabove�mentione0 pmpetly far ins clion p oses � Date: � Signalure: '�//" Drive��sCicenseor ocia�5ecurltya: 164va6 W�ne-6uiltling; Green—Gotle Enlorwment Canary—AOPlicanf. Pink—Revenue: Goltlenrotl—Assessor I � CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 064045 PERMIT NO: E 064045 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE; OTH JOB DESCRIPTION : ELECTRICAL UPGRADE FOR EQUIPMENT SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / ��*�+Tr+sr*x*****�***+Le**�***�**�(r�r*��r�+Te�***��**+r+�r**+Mr***�*****�*w�***�rw***�+�***�r+�+r Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGAT: FT IN PARKING REQ• PAOV; PARCEL; 00000000 2NE: REF NO; PLANNING NZ7TES> � r. � M i! if M k M if 1E ik if it k M if 1F 1E �t it ik M if iE if 1! if k 1f 1f iflF iE.iF if'M 7F 1t M M if 4 it if M if 1f 1f if iF fE 1E IE i! iE 1f if iE iE 1E 1E 1E ff iE iE i! iF 1F iElF dF 1f iF M K iE %* {F {E iF D E V E L O P M E N T S�E R V I C E S R E Q U I R E M E N T S 20NING APPROVED BY W. DATE; HUZLDING APPROVED BY ; %'.' DATE: APPLICATION ISSUED BY; � DATE: �� S3 ifiE3fi1ltMitkiFifMifMIFiFltitiliFitMiE 1fiEfElEifiElflEKif 1F1f 1EiEifiE1llf!lifM%ifMiflFiFif ifffMltiflf iEif iFMlfiElEit1FM1lffifif M%MiFNMMititlFitlf 1EiE1FM1EMit%kKiFMlEifMifif iFiFiFiFK±ffE1E1E%iEiEiEiE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMEN'f;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 94,00 SOt SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 94,00 15.00 0,00 109.00 109.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 109.00 OVER/SHORT: .00 HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECI( 109,00 if iF k M iE if if 1F ik if If if iF it if iF if 1f 1F iE iE 1E 1t if 1E IE iElf %�t it iF ik k!E!F!! 1t if ft it if if !F!f !F if 1f K M!f iE 7f N iE if K fF %k IE 1F iF 1F 1f 1E 1E 1F fF M IE iF iF iE if 7E iE iP if I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 6 RECEPT/OUTLET 1 ST 20 EA. .75 4.50 ELE 1 SERVICES BELOW 600 V 6 HELOW 201 AMp 18.50 18.50 ELE 1 SUB—PANEL 11.00 11.00 ELE 8 MOTOR/POWR APPAAATUS 1,1 — 10.0 HP 7,50 60.00 END OF FEES O1 00147177-00147i77 T C�T fno �'— / OP.TE: p9/1?/i3 TII1E: �?="' � ( CONSTRUCTION AND PLANNING , ( ApPROVALS Permit # � 1. 7emporary Electncal Serv��or Pole � `$�il Pipe-Undrg[nd,l y . " .. �_ �..F.�clricai Conduic�l,"5�lity-Undrgrnd. t' - .�. .. '�',4=xlectrical Cond�^y(�'Ji?drgrnd. �-' 6 �?t�ctrical UFE-.�3 P��:id. -- '-i n �r J 9 �6'+t::, ngs '_' . w $, Foundat�on f 9. Water Pfpe-Undrgmd. I 10. Structural Floor SYstem � 71, property Sewer Connection � POOL & SPA Date inspector APPROVALS Permit # Date tnspector � 52. Pool & EquiPment Location . 53. Steei Reinfortement 5A. Forms " ' 55. Electrical @ondiqg 56. Aough Pfumbing & Pressure'Sest ;� 57. APPROVRLTOCOVER-GUNITE 56. Electrical Conduit•Undrgrnd. � - 59. Gas Pipe, O Undrgrnd., Te:t ,,�� • 60. Backwash Lines, P�Trap, � Undrgrnd. - � 61. APPROVAI TO DECK 62. Backwash & Receptor�Final � �2• Se`°e� CaP =� - 63. Heater & Vent-Final � i l3. Roof Dcains ^� 64. Plumbing SYstem � Fir,al • 14, Fiough Plumbiruy � 65.. ElectricabFinal 75. Rough Electricr.�Condvit 66. Soiar System�Final , 16. Rough Etectric`�CJirin9 � 67. Fencing ;a Access Approval � 77, Rough Wiring 3ign 68. APPROVEp FOR PLASTERING :.a t8. Fough Elactric.�l;T Bar Ceiiing 69. POQL/SPA SYSTEf�15 FINAL 19. Rougfi Heacing & Air Conditioning FIRE DEPT. REQUIREMENT 1_ "Y_i:•.•� Cfi C^ = HT�-+ 7:f �li*7 2Qt.';io�h F,�cto� F4�eglace � '�;,� �� ; S H ;i]PPRfti�/A`� ;:�Periiiit #_� '",�_,. , ' :, -: . . " � ' .' - -;�•`-m--.=-o 21.:-UuCFs, irrStra:tuco : i.. .. �:' � �" C: r-�0. Under9�Z+n`rtPHy ro y n� '1 n 22 �ucc�, �nti�zinn. ` � � ;; '"' ' ;�7. Produc�:�i�i g Ciiias ❑� il �• iu s i l:J c- + � S A 23.'ias;kipa�ioctgh & lr�est i n� a:! � ' -�s M: ' `� 72 Under9rould Fl�sh`.. r- �. �F .- ... .. � � �-�A. + .,. ._ ':. . .-. .. �. v �; 24:'Roc$Frsrnin �s � -t. ..i-, :f �, p �," x .t ^ r , �-+-�� y 4' ;n x � � t , _ , , ,, � ','j3.:� Sndergmtl�. Stor�'��ank � Ga> ❑ 0{� t ,.:: z-�T v �.::�- �tT�{,-� . 25. Roq:�Sheathing � � �. : :r �� C �i* :r ��74,i.l�verhead NYdrO:� � - x,-� 26.'�-Bi: Ceiling (Str�,bTurall &�Atfi3YFoat �ti r G-�y + `� x H c7 �;�. '}� � s ., x;. r n:. y. 75:�?rY Chemi�al -.:� �! .�m-�O T- 27.a rameaq� Hashid�,-� p��,� �F ;. >: c» 4 76.�Dry StandFiae ,-��: ��_�� [7'� � C� - -. . � 128. Wthin �Sidin '% '7�'� a: ,-.� :+� rr � � •.:�;;;.- 9;y 9`i:. v4�, �, a 77..�,FIXEDS�S7ENY;FINAL;. _ ��.� r. '29. Insulat�qn �t ` � .. .. ':. ,r �' � . : ; 78.�IRE PREV. FINrx2 k � +� .� ��T � 1=_ -{i ` �:-1 ' ' �-e-+�: '... 'T30, prywall`aiiing y,� _ r. �-, i i h i S p,.�,,LTt-f-�7�PT,�RtQU9R�,�'N� 7 l i� I > I i. ' ,V �: � � J-C� r-7-�" :7�31. P�aster Bro�v�nCory.; _� , rr;r ' i f� ,-79. � INAL II�$P,ECTII�(� . � � �• J- :.1-'cE_'.s r-�.c-. � r-,.� p}.T_- �,-_.-,�_:= . ;-32�E�ectcic€'Po r Me�i'e��ina1 � Qwn(/. p�{ i '"?8Q�,',FOOD CERTffI�,'�.4'P� 4S' ��D_, '� `_ � '.J * I , �r �"7" i" �rs 'r. T' TI c.^ 7 ?. >" <_'• �3.�ind1 Elc�fliC� �:7 { .�,� + � I {.r .. � iVQj@Sd.� ..r �C'1 � ''"� '�,ti __�_ :f••o' . . . i� �_li-f ' - _ ?;-?x(1 i c`.+--*+iL n1i4.�Tin�' H�tiny_.& lSi.�Gorrd�ition�`.�� :i r � I � * ;r. ��: ._ ; , :: , ; .. � -� � o- n- � �> . t�� ; n; -�o:� o �� ;-,i --�-• �35.'Fin31 Gd PiF�:Te,s''(i ?� .� � r+ i � ±�. �K ` � `.� , : _ �N r. `� ��r. �_.. .-.+.��- ,�}_^"�_:� ; � � i_. �6.� FHoorf or CanoPY -� r� ��+'.! o . t'� I o�+ K? �' i i:� .x -± --�� t^ r.L G'f ':;:; O '�' 1 t. # :�] _' ..� :_37.`:Fin'a'J�.Fa�tiorV Fir��ce•- � r,^T�; ;; '� y�'y ^ �. -38. Fina;:PlCmbing a•Y ..•?; i a a ! '+� r �= •+ T n- .' � I s ^- r39. Wat�r SGt.-Lice-Fin� w�, i .. � c� � i �:i >, '� �40. Gas Service-F�nal;-.� :., �; s t, ` j'r �: � �. i M � H �, yoiar pomestic•F�� S R, # �• I i �, � „ r42,'Backfloev Preventr�e j`� c +' � I , f! .t �x 4�. 6ackflow Irrrieii4��:' �c= < . + � Y f '/ t� � � ! '? ;� -�------:: ,- H : � H m wc� . iy � . ,i44. Landscare Ir.,igatioq SystemJc^ ^. = af c7 C7 p:s .. �; n+ iU -� :r' �� •.� ♦. ,T � / �' � Y ^� �� i n ' ! i ?• :� �. t-a �. W a il N -: [:+ 1� ��5.vound A�jtertuation� `�':';; oi 'r: ;;� � f- �, c� . �. r � r i� .. v . ..� . - �{6.',�iandicaP.Rec•aiatio+�s .. �i . . + =� �; . . ' _5----- ` '- � � iTL: 47, i-1hfAL STR�r�TUFiE & BUK�EOING � ' � �' - C( :r'. I f- � ^ 1 - ? � q8 II��L PLANNING� � E-�5� < N � �� i; r �g,�led!iic Releaie to Edison � � �;,_� � ;� '� �O.�as�Release to Souci�em Calit�p�aiaGasCo � j 'jr = i• . r - -fr,1. GEF,3tFtCATE OF OCCUPAiVCY - + + = • No. Oate �.,:, �_ , ;-�_ y_ !r :1 �: � . ` r . � �:: � -� J r1 ^ A ^ M ♦ -, -.v --��_ ivco . I ' � AOP��ant to fill in all spaces exeept those within heavv �ortler Ilnes anE si9� all apOroOriate tleclarations. :ITY �.'.F COSTA MESA CONSTRUCTIO PERMIT PERMIT NO TRACT�NO. LOT NO.� „_�UNIT NO. A P�� Pro'e:L��+ dd�ea� �v` /.� �' " � �� I / � TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E Main Building: AppliCanYs Mailin dress ❑ CONVERSION ❑ DEMOLISH ❑ OT R � � 7 Front Owner's Name �v�� Phone DESCRIPT�.IQ N� OF WO K�E OF 8 DG. A Rear Address (�T�%al.i'lt.�T�� Q � TVPEOFPERMIT GRADING FOVNDATIO STRUCTURAL � C Right Arch/Eng. License No. ' �( Add�ess' ❑ TENANT �I ELECTRICAL ❑ PLUMBING ECHANICAL S� Left Contractor's Name Phone ��oTHER : Ping. Ref. # PROJECT DESCRIPTION 5o. FT. oCCUPANCY Plannin Notes! � Address (inailing) CON STRUCTION TVPE VALUATION $ 9 City Cicense No. ZONE GRADING CU. VDS. ACRES LICENSED CONTRACTOR DEC�ARATION � I her affirm that I am licensetl untler provisio com encin9 with zec 00) of Division 3 o� ness antl Professions Cotle, anC my license is in fu c. License ass No. " Si9nature KERS'COMPENSFTION DQCLARATION eby a/firm that I have a certificate of consent to self-insure or a certificate ot Workers' Compensation Insurence, or a certifietl mpy thereoi (Section 3800, �ab. CJ .` 1/ q_�� Poliq No. N��Q— ] "" Company BCertifietl copy is here�y furnishetl. Certifi�i tl c p letl with the tlty B "ng oiv ' Oale tl`�� Appli@nt EXEMPTION FROM WORKERS' �pMPENSA 1 N DECL TION (This section neetl not be completetl if the per [ i for one un retl ($300) or iess). I teRify that in the perfo�mance pf (pe w rk or icM1 thi5 perm�t is is U I shall not employ any person in dny man � so as fo bec e subjec t the Workers' Cy� p� s� Laws of (;alitorn' . Date '�{[L�i"---SignatUre NOTICE: If, after making this tleclaration, you sh ultl become 'ect to the Workers' Compensation provisioqs of the Labor otle, you ust forthwith comply wi[h such p�ovisions o� ttli5 p¢rmit s�all be tlee ie rewk¢tl. CONSTRUCTION LENDING AGENCV I hereby affirm that tbere iz a consrruction lentlin 9ency for the performance oi the work tor which this permit is, issuetl (Section 309� Civ. C.) Lentler's Name LentleYs Atltlre55 OWNER BUILDER DECLARATION I hereby af�irm that I am exempt trom the Contractor's License Law for the lollowing reason (Section 7031.5 gusiness and Pro(essional COGe: Any�ciry or county which requires a pe�mit tp conrt�uct, alte�, improve, tlemoli5h o� repair � � structure, prior to its issuance, also requires the applicant for such permit 'I¢ a signetl statemenl that ne/sne i5 licensetl pu�suant to the ProviSionS of ;ontractoYs License law (Chgp�er 9(commencmg with SecHon 7000) of sion 3 of the Business antl Professions Cotl¢) or that he/she is exempt tnerefrom and the basis for the 811egetl exemption. Any violation of Secfion ]031.5 by any applicant for a permk subjects the applicant to a civil penally of not more than five huntlretl tlollars ($500). • ❑ I, as owner of the prooerty or my employees with wa9es as their sole 'tompensation, will do the wo�k, antl the structure i5 not intendetl o� oHe�etl for sale (Section ��044, Business antl Professional Code: The Contractor's Litense Law tloes mt apply to an owner of a pro0erty who builtls or improves thereon, antl who tloes Such work=him5elt/herself or tnrougM1 his or he� own employees, provitletl that such improvements are noc intentled or offeretl for ' sale. 11, however, the bullGing or improvement is soltl within one year of com- pletion, Ihe owner will bave the burden of proving he/she tlitl not builtl o� im- prove forthe purpose oisale). ❑ I, as owner of the property, dm exclusively contracting witn licensetl ton- tractorsto tonstruct the p�oject (5ection 7044, Busine55 antl Pwfes5ion5 Cotle: The Contractor's License Ldw tloes not apply to an owner of property who builtls o� improves thereon. antl �yho contracts fo� such oroiects with a con- t�actor(s) Lcense pursuan[ m[ne Con[ractor�s License Law). I am aware tha[ proo( of their Worker's Compensation Insurance shoultl be provitletl to me. ❑ I am exempt untler Section 8. & P. C. for this reason Date I hereby certity tnat information is correct antl state laws atin SClI�dIIV¢5 Of [ CIL in5pection pu�p 5E Signature Orivers' License or 55 _ Owner have reatl tni5 applicatiOn antl state agree to comolv with aN dtv antl w the Remarks: Sink Preventer Irrigation Dishwasher Drinking Fountains � Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink � Lavatories P-Trap Foof Drains . Reinspection Fee � $15 Duct - Under Ground Duct - Structural Duct-Ventilating � Exhaust System ❑ Multiple Fiiepl/Fact. Blt. ICBO # Heating System & Ducti ❑Q700,000 BTU ��00 Reinspaction Fee � $15 0865-46, rev. 5/88 Wnite - Fjuiltling; Canary - ApPlicant; Pink - Acco�nting; Goltlenrotl - Assessor PLUMBING Service Sink Sewer Cap Sewer Connection Solar Collecrors Solar Pipin � Solar T k Pool w/Spa Urinal . Water Cbset Water Heater Water Service Auto-wash Laundry Trey Issue Fee Hood or Typel ❑ Canopy Type I I ❑ I6GOOBTU ❑100,000 > stem Repair/Alteretion Fire Dampers Registers laue Fee � FEES Fluromatic Washer Construction Pole Sub. Cooking Unit � - Dishwasher Dry¢ts ❑Gas ❑Electric Fan `� ��S F.A.U. Fiztuies � Device Boxes Outlets Switches Garbage Disposal Generemr DO-5 KW �5-' $ 3 FEES $ 3 Zona Accessory Parking ELECTRICAL Transformer ❑ 75-50 KW ❑ 50+KW Meter ❑up ro 100 amps Meter ❑over100amps Sub Panel . Motors �0-1 HP C]11 Yh - 8 IncSolar �9-15 HP �i6-15+ Microwave Pole Light Range Standing Sections 5 KW Trash Compactor I Reinspectian Fee !$15 I I Issue Fee DEVELOPMENT SER VICES REQUI REMENTS: Zaning Approved By Building Approved By Aoolication Issued BV .. _. SUMMARY OF FEES BUILDING PERMIT $ SMIP � PLAN CHECK $ PERMIT %' PLUMBING � $ �T� �SSUANCE PLAN CHECK 25% $ ENERGV P.C. ELECTRICAI � ,GRADING PLANCHECK 50°k $ �-�G �77� MICROFILM MECHANICAL $ � �—+ TOTALFEE PLAN CHECK 25% $ O N I N G R E Q M T , S. FEES o� o�n�a;az-�aa�s�aa -r:�� , � D.a,T�s 76/C5/�5' 7;('c`., ls••• CONSTRUCTION AND PLANNINC F & SPA Date Inspector Date Inspettor APPROVALS Permit # �, APPROVALS r'ermit # 1. emporary Electrical�Service�or Pole , , 52. Pool & Equipment Location .. 2�`Soil Pipe-Undrgrnd. `� .•� 53. Steel Reinforcement � 3.-Electrical Conduit Utility-Undrgrnd. ' 54. Forms � 4: Electrical Conduit-Undrgrnd. fi 55. Electrical Bonding . 5. Steel.ReinforGement J� 56. Rough Plumbing & Pressure Test � �- 6: Electrical UFER"Grnd. �' S7. APPROVAL TO COVER-GUNITE ' ,. .. � 7: Footings f, - !, 58. Electrical Conduit-Undrgmd. - 8.�Foundation << � • • y~ 59. Gas Pipe, O Undrgmd., Test �- ,�� ' 9: Water Pipe-Undrgrnd. j � ; - ' �60� Backwash Lines, P-Trap, O Undrgrnd. c, 10 �Structural Floor System ' � (. .� 61. APPROVAL TO DECK 71 � Property Sewer Line & House Con ±ection �. -• 62. Backwash & Receptor-Final 12. Sewer Cap ' ', . � ' 63. Heater & Vent-Final 13. Roof Drains � '' 64. Plumbing System - Final • 14. Rough� Plumbing 65. Electrical-Final � � 15. Rough Electrical-Conduit 66. Solar System-Final 1�6! Rough Electric Wiring 67. Fencing & Access Approval � 17,. Rough Wiring Sign � 68. APPROVED FOR PLASTERING :18: Rough Electrira6T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Fleating & Air Conditioning FIRE DEPT. REQUIREMENT 20: Rough FactorY Fireplace APPROVALS Permit # >> :21: Ducts, in Structure 70. Underground Hydro � � ,II 22. Ducts, Ventil2ting 71.,-�Product Piping � Gas ❑ Oil � 23. Gas Pipe-Rough & Test . 72. Underground Flush �`,' ' 24. Roof Framing ,' 73. Undergrnd. Storage Tank O Gas ❑ Oil ,� �� 25. Roof Sheathir�9 %� 74. Overhead Hydro `J� 26. T-Bar�Ceiling (Structural) & Monocoat � 75. Dry Chemical r, 27. Frameand Fidshing 76. DryStandpipe �� ti .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: c-�; �t 34. Final Heating & Air Conditioning '� Z� jC�' �(r� � ' 35. Final Gas Pipe-Test 36. Hood or CanopY � r. 37. Final Factory Fireplace � 38. Final Plumbing . � 39. Water Service•Final 40. Gas Service-Final 4t. Solar pomestic-Final c�� 42. Backflow Pre�enter ' �" - • -�r :-i-. 43. Backflow Irrigation �-'� - '•'' r• ) 44. Landscape Irrigation System ','�? 45. Sound Attenuation • } ti 46. Handicap Regulations -� 47. FINALSTRUCTURE&BUILDING - � 48. Special Requirements Completed _ � 49. Electric Release to Edison ,� � ,,., I � 50. Gas Release to Southern Califomia Gas Co __ . � -- % , � '-1 51. CERTIFICA7E OF OCCUPANCY ' 't� .!>/ _ ' ^� • � y .. No. Date . .,�i . ` � � � ApPI PERMIT , , Mailinq�Address � �Owner'sName�Q!LYYI_S�Z � i Ls'✓L ' Phone . � Address ` � 7 ��N�TQ '� - Arch/Eng. License No. , � Address • . ' Conttaitor's Name �� F'� f G"�-G^�r Phone Address (mailing) City License No. � �� CICENSED CONTRACTOR OECLqRNTION ' � ' I M1ereby alfirm [M1at I am licensetl untler provisions of Charter 9(commencing withisection 7000) of Divlsion .3 0/ the Business and Professions Cotle, antl -my Ilcense is in �ul �^ce an efiect. ' �Q�' ��` 'License Class ��'///�/��,.,/� ice �se No.�:T��__L� 'Date ' � Signature C . WORKERS' COM ENSATION DE Lp,R/ITION I hereDy at�irm that I have a certilicate o� consent to selt-in � e or a certifica e of Worke�s' Compensation Insuran�¢� or a certitietl copy thereot (SeGtion• 3800, Lab. CJ _ , Policy No. Company � ❑�Ce;tifetl oopy is hereby�fumishetl. ��^^ � !1 __ vcr ' . . ,. ��! EXEMGTION FPOM WORKERS' COMGENSATION DECLAf;QTId (Thi55ection neetl not be completetl It the permit is for one huntlretl 300)'or less). 1 certify Ihat in fhe pe�to�mance of the work for which this permk is issuetl, I shall no[ employ any person in any mann o a become subject to the Worke � . ati a ws of caiifom' � Da[e Si9nature 'NOTIC : If, after. makin9 tM1is tleclaration,�you shoultl become bject to the Workers' Compensation provisions pf the Labor Code, you i u5t torthwith comply with such orovisions or Ihis permit shall be tleemetl revokea. CONSTRUCTION LENDlNG AG$ryCY - ' 1 hereCy affirm that tnere is a constrUction lentlin9 agency tor the pertormance of [he work for, which this pe�mit is issuetl (Section 3097, Civ. CJ Lentler's Name ' Lentler's Atltlress OWNER BUILDER DECLARATION � I hereby afiirm that I am exempt irom'the Contractor's License Law for the fallowin9 reason (SecLon ]03L5 Qusin¢55 an0 Professiondl Cotla: Any city or county whicn requires a permit to Construct, alter, improve, tlemolish or repal any structure, prior to its issuance, aiso requires the applicant focsuch permit �to file a signetl statement that he/she i5 liGensetl pursuant to th¢ Provisions ot 7031.5 by any applicant for a p¢rmit su�jects the�apPlicant to a civil . enalty of not more than five hundr¢tl tlollars (5500�. � I, as owner of the property or my employee5 with wages as [hei� sole compen5ation, will tlo tM1e wo�k, aqtl th¢ structure is not in[entletl or offeretl for sale (Section 7044, Business antl Professional Code: The Contractor'S' License Law tloes not apply to an o�yper Ot a property who builtls or impvoves thereon, antl wM10 tloes such work himself/herselfbr through his ar her own employee5, provitletl that suth improvemen[5 a�e not Intentletl o� otteretl for sale. Ii, however, the builGing or improvement is soltl within one year ot com- Oletion, t�e owner will havE the byrtlen of proving he/she tlitl not builtl or im- prove for the purpose ot saie). � ❑ I, as own¢v of the�ptoperty, arq exclusively cont�acting with licensetl con- tractors to <onstruct the projeci (Se�(ion 7044, Business antl Protesslons Cotle: The ConVactor'S License Law tloes not appry to an owner of properry who builtls or improves thereon, antl who contracts tor such projects with a con- tractor(if license pursuant to the Contractor's License Law). I am aware that proof of thei� Worke�'s Compensy[�pn insutance shoultl be providetl to me. ❑ I am exempt untler Section 8. &. P. C. for this reason Date. ' Owner _ �I hereby certity,that I have reatl tbis a iniormation�is correct. I agree to cbmply and state laws relatin9 [o builtlin9 consti sentaNves of t' cit nter upon inSpettion 0 0 Si9nature Drivers' License or SS � CMF OB65-46, rav. 10/84 White - Bulltlin9: the above to fill in all s0aees eacept those wit�in heavy EorEer lines anG sign all appropriate tleclarotions. IMIT NO. TRACT NO. LOl NO. �, UNIT N6. ' . � ! �- 595u �I 2i I 7% 85 ' �5 n0'� � . . . . , . ' TVPE OFCONSTRUCTION NEW 'ADD ALTERATION _ REPAIR � � � � � �'CONVERSION ❑ DEMOLISH ❑�OTHER Ap � , ' � ' , - DESCRIPTION OF WORK/USE OF BLOG.' - , , - , � ' " � ,S Main Building: � Accessory 8uilding: TVPEOFPERMIT GRADING FOUNDATION STRUCTURA� ' T Front ❑ TENANT �ELECTRICAL_ O PLUMBING � ❑ MECHANICAL � � �� .g' - , _ Rear _ `; I . .. . ❑ �OTHER ' ' _ . ' %� . PROJECT DESCRIPTION'Sa.FT. • oCCUvnrvcV ' C Right � . _ K '-CONSTRUCTION�TVPE ' �VALUATION$� S, Left ZONE � ' � GRADING CU. VDS. ACRES �p�py, Ref. # Remarks: �> �.,�'�q_.,,,�y��p `z n{.(/�� , � Planning Notes: 0 Preventer Bathtu6s Clarifiers Dishwasher , Drinking Foun[a� FloorOreins ' Floor Sinks Gas Service Interceptors Kitchen Sink Lavatories Outtets Showers Service Sink - Sewer Cap Sewer�Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal l�Y2t2f CIOSCT Water Heater Water Service Auto-Wash _ 0 9 Roof Drains . Reinspection Fee � $15 � Issue Fee . I $ 3 Boiler Duct ' Under Ground Duct-Structural ' Duct � Ventilatinq ' ExhauSt System ❑ Multiple ❑ Firepl/Fact.elt.IC80# � Heating System & Ducting ❑6100,000 BTU 0700,000 BT = bate« .� /_� 7— Rein spec[ion Fee AOP��cant; Pink - Acmuntln9; Golaenrotl - AsSessor I $15 Hood or Type I ❑ _ Canopy Type I I ❑ Refiigeration Sysiem ❑0-100,000 BTU ❑100,000 B System Repair/Alterotion Fire Dampers Registers Issue Fee � $ 3 Automatic Washer ' ConsVuction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator DO-5 KW C Parliin9 Ic�_0. .iL Zone . 2 O N 1 N G R i; E � ' � 1 ' "' M 5 . � � � ELECTRICAL � _FEES "' -" ' Transtormer �' 15=50 KW' — — - ❑ SO+KW , Meter Dup to 700 amps , , • � Meter over 100 amps C iric Sub Panel 5. Q nnoLa�sOo-rHv�v-a , Inc.Solar�-15 HP �16-75+ a. - Microwave . ' '� Pole Light Range Qn ', Standing Sections Trash Compactor � Reinspection Fee �$15 I . I luue Fee - DEVELOPMENTSERVICESREQUIpEMENTS: Zoning APProved BY � Building Apptoved By _/� 53 —� SUMMARV OF FEES , ' BUILDING PEfiM1T $ SMIP . $ PLAN CHECK' , $ ' PERMIT PLUMBING $ ��UANCE $ PLAN CHECK 25% $ �/ � � ENERGY P.C. $ ' ELECTRICAL � $ 'J� � GRADING � $' PLAN CHECK 50% $� � MICROF,ILM $ MECHANICAL $ TOTAL FEE � $ �' PLAN CHECK 25% $ � ' CONSTRUCTION AND PLANNINV ! ; . q,PPROVALS , Permit # ` Dete _ nporary Electrical Service or Pole Soil Pipe-Undrgrnd. - . i . ElectricalGonduit�Utility-Undrgrnd. . � 4: Electrical Conduit-Undrgrnd. 5: Steel Reinforcement , �6. Electrical UFER Grnd. - - 7. Footings� - � • � � _8.�Foundation ' � � � 9. Water Pipe-Undrgrnd`. - 10. Structural Floor System � ° � 1�7. Property Sewer Line & House Connection 12. Sewer Cap • . 13. Roof Drains " _ � 14. Rough Plumbing _ � 16. Rough ElectricaJ-Conduit .. . 16. �Rough Elec[ric Wiring � , , 17.�RougliWiringSigri , � � . '. � -18. Rough Electrical�T Bar Ceiling . � 19. Rough Heeting & Air Conditioning ' 20..Rough Fattory Fireplace �� ; i 21. •Ducts, in Structure . . -� � I � ��22. Ducts,.Ventilating v �23. Gas'Pipe�Rough & Tesc _� � � . � �24. Roof Framing � }�- � � . 25. Roof Sheathing . . i' � . 26. T-Bar Cei{ing (Structuraq &�Monocoat � '27.�Frameand Flashing � ' 28.=Lathing&Siding � „ ' 29. Insulation � � ' � : . 30. Drywall NBiling � , � �� i� ' 31.!Plaster BroWn Coat � ' �• � �32.�Electrical Power Meter-Final . 33. Final Electric - � , 34:'Final Heat�ng & Air Condiiioning . 35. Final Gas Pipe-Test' . � ' 36. Hood or Canapy � , � � , `! 37. Final Factory Fireplace � , 38. Final Plumbing '' j ; � , :39. Water Service-Final � � , ' i 40. Gas Service-Final � � � � ' 41. Solar pomestic-Final � ' ; 42. Backflow Preventer' � ' � � ' � 43. Backflow Irrigation� '} � � .- . � � 44. Landscape Ir�rigation System � � y 45. Sound Attenuatio� ( �� { � 46. Handicap Regulations ' � � � 47. FINAL S7RUCi'URE & BUILDING 48. Special Requirements Completed • 49. Electric Release to Edison , � i --� . . 50. Gas Releese to Sou'thern California Gas Co 51. CERTIFICATEOF�OCCUPANCY � No. ' ' � ��Date � A � P�L & SPA � - `. . Inspector AppROVALS Permit# � Date Inspector � ■� 52. Pool & Equipment Location 53. Sieet Reinforcement � 54. Forms �. 55. Electrical Bonding ' 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER-GUNITE . 58. Electrlcal Conduit-Undrgrnd. 59. Gas Pipe, 0 Undrgrnd:, Test _� � - . 60. Backwash Lines, P-Trap; O Undrgrnd. - 61. APPROVAL TO DECK - 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final � . 65. Electrical-Final - 66..Solar System-F.inal _ '67. Fencing & Access Approval . 68. APPROVED FOR PLASTERING � 69. POOL/SPASYSTEMSFINAL - FIREDEPT.REQUIREMENT APPROVALS Permit# ' � 70. Underground HYdro 71. ProductPiping�OGas ❑Oil ' 72. Underground Flush � 73:- Undergmd. Storage Tank O Gas ❑ Oil � 74. Overhead Hydro � ' 75. Dry Chemical � � 76. Dry Standpipe � 77: FIXED SYSTEM FINAL - . 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT � 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes.' - , - . x �� . - . , , e , � i i- . ` _ ' _ .; _ ! . - , i ' � � ,. , � � 0 AVGlieant to fill in all spaces exceot tnose within heavy bortler lines ana sign all appropriate tleclarations. P ftMIT O. � ' •TRACT NO. . LOT NO. UNII" NO. CiTY OP COSTA�MESA CONSTRUCTION P.ERMIT._ �_ , g-�� . y. ,; , Project Address ' �G� �tiC Nl %oN �rt%y � � � � ApplmanYs Mailing Addreu .C�m�+�t�G�zP ��i..�b' ' t � � �-TYPE OF CONSTRUCTION,. i ,NEW � ADD' ALTERATION�. (3EPAIR � � `� d�� ' a�IS O� O CONVERSION ❑ DEMOLISH ❑'OTHER' ' - • Owner's Name - �-�+y+-++��%o'�'%<p' Ft Phone - � ' � � ,Address ��C/��`"��e�3 a-'� %s��tr'ss �o?O.�i 'DESCRIPTION.OF WORK/USEOF�'BLDG. , , � _ � � � Arch/Eng. ' �License No.� ' -7VPE OP PERMIT� GaaoING r � FOUNDATION � `STRUCTURAL' _ ' �Add�C55 ' � Q'TENANT� ❑ ECECTRICAL �PCUMBING_ ❑'.MECMANICAL. 1 . � - � ��L ♦ ❑ ,OTHER . � . . I .. � � I , Contracmr's Nam -_ ' '� �• � • Phone�7d��0 � ^ ' ' � : � " , i . � Address (mailingl � � •� �G�f � � 'PROJECT DESCRIPTION Sq.,F7, - OCCUPANCv ' ' �- � . ' /, � 1 CONSTRUCTION T.YGE VALUATION $ � Cit L•icense No. ' - � � i ' , i ' � Y � �? ZONE ' GRADING CU. VDS� ACRES �LICENSED CONTRACTOR DECLARATION , , f I hereby affi�m that I�am licensetl untle� prov�sions of Charter 9(commencing Remarks 1 , with zec[ion 7000) ot. Divislon 3 of the Buiiness antl, Professions Coife, antl , , ; � my license is in full force anbtl e/ffect. • � \� License Class �- z(�+P ' � L� ense.9fo. ; y� � � ' �,oaie�'3"�'j �6S c��ar�. �'3�� `- � , PLUMBING � FEES I W00.KER5' COMPENSATION DEOLARATION � ,., I � •' 1.1 hereby af��rm that I have a certificate dt consent to self-insure'.or a certificate 88n$ink � $hOWCR � I r'-- '': if Workers' Compensatlon Insurance, or a certifietl cooY �hereof (Section � gackflow Preventer Service Sink .`"3800. Lao.�CJ '" ! ' _ _ ' ' ' _ 1 ' ' " ' Palicy No. -o r•S��y Company /�� << i Backflow Irrigation . . Sewer C2p� �Certifietl copy is hereby furnishetl. i , Certifietl copy is /iletl witn the cit B ision. ' Bathtubs � Sewer Connection � Date" ' Applicant � . � . � ' EXEMPTION FROM WORKERS' C ION DEC ARATION• Clefifiers . i � � Solar Collecto�5 . (This section neetl not be completed if. e per it is far one huntlretl.($300) or . _ ._ .. ._ -- .- �- .- --. - •less . � I ' � . - � Dishuvasher � i Solar Piping , � I cErtify that in the pe�fo�mance ot the�,wo�k to� whicn ihis perm�t i i5 ueQ 1 � . � 'shall not emoloy any person�in any manner so as to'become j to t Drinking Fountains � � Solar Tank . ' Workers'�Laws of Califor ia. � , � . �ate� .a y Signature � Floor Dreins , � ' ' Swimming Pool w/Spa . � �NOTICE: If, aiter making this tlecla�etion, y0u shoultl become 5 ject to the , . 'Workers' Compensation.0�ovisions ot the Labor�Cotle, you mu t forthwith . FIoo�Sinks � , , . Urinal__ � '� comply with- sucM1,� provi5ions or. this permit � Shall- be tleemetl� revoketl- - • - ^ ^" '--- " " - - "' -"" ' - " ' "' -- �' CONSTRUCTION LENDING. AGENCV � . ' � - - - Ga55eNiCe; Outlets , ' WaterCloSet � ' , I hereby af9�m that there is'a constructioNlentling agency fo� the pe[fo�mance! ' , �of tbe work' for whicM1 this'permit�, is Issuetl (Section 309]'Civ. CJ � - �� ' ; Lentler's • Name � - Interceptors • Water Heater � ' LenEer,'s Atltlress' � '' � � � KitcFien Sink � � " - Water Service - � � - OWNER BUILDER OECLARATION� � - ' � . . . � 'I hereby affirm that I am�exempt from the Contractor's Lirense Law for tM1e � Lavatories�' � , �- _ Auto-Wash- -� �'following reason (Section �031.5 Business�antl Protessional Code: Any city�or, , � - '' ' county which�requires a permit to,construct, alter, improve, tlemolish or repair P-Trap ' � . �aundry Trays- � , J. �' � any structure; prlor to ils•issuance, also requires Ihe applicant.for such permit . _ � lo f�le a signetl statement that he/she is litensetl pu�suanPto the Provisions ot Roof Drains I,- ' r� - � - _ � 1 the Contra[tor's�License Law (Chap[et 9(commencing with Section ]000) ot • . ' Division �3'oi the Business antl Professions Cotle) or that he/she.is exempt � � _ herefrom antl theAasii for the allegetl exemption. Any violation of'Section , z ,- �� i . _ 03L5 by`any applicant'fo�� a permit'subjects �the appliWnt to� a civil - - �� - � ' - ' .� enalty of not more than five huntlretl tlollars (E500). "' ' '' - - 1, �as owner ot tne property or my empioyees with wages as tneir sole Reinspectiori Fee - $15 laue Fee .. �$ 3 ' mmpensation, will tlo the wo�k�, antl Me Structure is not'Intentletl o� otfe�etl ' Por sale (Section 70aa; Business'antl Professional Cotle: The Contractor4 - - � . MECHANICAC : '. FEES � licen5e law tloes not apply to an owne� ot a property who builtls or imp�oves - ' thereon, antl who tloes such.work himselt/herselt ar througb'his or her own Bo'�ef- ,. , 1 �- �HOOd O� Type I ❑ employees, provitleE that such:improvements a�e not intendetl o� o�feretl tor , ; Sale. If, howeveq the bulltling or imp�ovement i55oltl within one year o( com- �CBnopy TypE II �❑ . � � pletioq the owner,will have the burtlen of proving he/she tliC not builtl or im- DUct -�Und¢f C�iroUnd � prove foqthe purpose of'sale). �. �: , r ' � I, as ownet of the property, am exclusively cont�aciinq with�licensetl con- Duct-StrucNral �� , Refrigeration System _ , tractorsto construct the project (Sectian ]044, Business antl Protessions Cotle: ' • The Contracto�4 License Law tloes not appty to an owner of praperty who ' Duct - V20tilatiny . ❑O-IOO,O0O8TU ❑100,�DO BTU DuiltlsAr improves thereon, antl who contracts.for such_projects with a con- - • ' ' � tractor(sy license pursuant to-the Contractor's License Law). I am aware that Exhaust System ❑ MWtiple ❑ System Repair/Alteration '� proof of their Worker's Compensation insurance shoultl be provitletl lo me. � . - ❑ I am e�xempt.untler Section , e: & P. C. for tnis reason ; Firepl/Fact. BIL ICBO # � Fire Dampers ' � � i � .Date ' � � Owner � � � 1 herebyjcertify that lihave'reatl this application antl information'IslcorrecL'I'agree to comDly with'ail_tlty a antl state laws relating to builtling mnstruction, antl hE senta[ives of this city ;to ente� upon the above-me� Lt� CMF ar55� � 0/84-" White oa,�-a�-as Canary - Applicant;'Pink - Accountinq; ' Heating System & Ducting ❑0-100,000 BTU.O100,OOO.BI Reinspection Fee $15 nrotl - ASsessor � � ' Registers _ ' j ` � I � � laue Fee � ' $� 3 � A.P. #: �S � Main Building: ' ` ' 'E T-_ Front - � ARear C'. Right ' K g Left ? ' Ping.�Ref.# ' Planninq Notes: � . Aummatic Washer Construction Pole Cooking Unit Oryers LJGas Fan F.A.U. Fixtures _. Device Boxes O ULIQ(5 Garbage Disp Generator!❑ ' ' ,0293 ` 3/29/85 � ;4 ; I I:cu� 'i� � . - i - , Zone - � Access'c � Parking , 1 ' Buildmg:, ' � j Z O . � ... N �1 ', ' 7 N � G � ' R q./Provided . ' � �" ' E� � ! . = Q - M ' S ELECTRICAL � ` ,FEES �-- �Tremformer-��15-50�KW = =T-' I ».i �b • . � ❑ 50+KW , Meter ❑up to 100 amps • Meter pover 100 amps � � lectric ' � Sub Panel' ' - MomFsOa1 HPOiYo-S � • Inc.Solar 09-75 HP �i6-15+ _ _ ._..- . Microwave- . -.. - . - Pole Light � Range � Sign � . ; Standing Sections ❑5'15 KW Trash Compactor IReinspection Fee ' �$15 ' � Issue Fee DEVE�OPMENT SERVICES RE�UIREMENTS: � , . ,Zoning Approved By � � � Building Approved By i � � . .. . . . _ ' L Gl9 � � � ' � , SUMMARVOF�FEES � � � � BUILDING PEFMIT ':$ ' � SMIP , �$ ' � " ` PLAN CHECK '$ PERMIT . . ' ' � PLUMBING � $ ' �� ISSUANCE �$ ENERGV P.C. $ � � � PLAN CHECK 25% $ � . � , , ECECTRICAL $ � GRAOING' '$ ' PLANCHECK 50°k $ MICROFILM $ —�_ ; 7 �� // � MECHANICAL � '$ T,OTALFEE �$ ��_ i • PL'AN CHECK 25% .$ � ' � � � � � ' , . .. _ _. . . - �. � .�. .. . 1. . � _ . _�i_., .. . _�"_' ' y� CONSTRUCTION AND PLANNING � ' � '� - .� FOO�.Y SPA . Date �Inspector . ' Date ' InsPector , APPROVALS Permit # . �- j APPROVALS ' Permit # . . :' 7. TemporarV Electrical Service or Po�e , � 52. Pool & Equipment Location ' - �• 2. Soil,Pipe-Undrgrnd. -' . �, � . . :,.� 53. Steel Reinforcement . �. - �.: 3.'Electrical Gonduit Utility-Undrgr,nd. - - !� � �54. Forms � ' � � � . ' ` � .9 �4'. Electiical Conduit;Undrg�rnd. � ��; ' �55. Elect�ical Bonding . - �' - � -: � 5,�Steel�Reinforcemeni �� ' � 56. � Rougti Plumbing & Pressure Test ' � '�� ,.6: ElectricalUFER.Gmd^ �" �� 57. APPROVALTO;COVER-GUNITE." � � � �� - - ,.. -7: Footings ; �, �` ' ' � � - � � _ 58: Electrical Conduit-Undrgrnd. ' � 8, Foundetion ,�� '� . ( - �7 59: Gas Pipe, O Undrgrnd.; Test - � � ,� � �'9r Water Pipe;Undrgrnd':" . �,, �� ' � '� ` 60. Backwash Lines, P-Trap, O Undrgmd. � . ,.,. �. ' 10 �Stiuctuial Floor Syete � I ;�r � „� 61. APPROVAL TO DECK ' � .° � . � 11 . Property Sewer�Line' &•House C�n�� ion f� � r� 62.. BackwasFi_ & ReceptorFinal • _ • 12. Sew�yCap n�C � l�'� ."�� 63. Heater & Vent-Final ' , ' o� 13. Roof,D�'rains �. °�„" ,,%i 64. Plumbing System - Final � -� � ' t.� . 14. Rough Plumbing� - � � 65. Electrical-Final- - � ` 15:. Rough Electrical-Conduii .� � � ' 66. Solar SYstem-Final� � _ 16,� Rough Electric Wiring , � _ �' i 67. Fencing & Access Approval � ,- 77. Rough Wiring Sign , � -, i , 68. APPROVED FOR PLASTERING ' .� ' 18. Rough Electrical-T Bar Ceiling ' 69. -POOL/SPA SYSTEMS FINAL '` • .� � 79! RougFi He2ting & Air Conditioning � FIRE DEPT-. REQUIREMENT � � � 20. Rough Factory Fireplace � - APPROVALS � Permit# ,' 21. Ducts, in 5tructure . 70. Underground Hydro . � � - ; 22. Ducts; Ventilating � � 71. Product Piping � Gas � � Oil � - 23. Gas Pipe-Rough & Test " '72. Underground Flush 24. Roof Framing ' . � 73. Undergrnd. Storage Tank O Gas ❑ Oil ' 25. Roof Sheathing ' . 74, Overhead Hydro � 26�T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical � ' � ; : ' 27. Frame and'Flashing - � . 76. Dry Standpipe � , , � 28. lathing & Siding �. � . � , . 77. FIXED�SYSTEM FINAL 29.� Insulation _ � ' 78. FIRE PREV. FINAL , 30. Drywall Neiling � HEALTH DEPT. REQUIREMENT' � � :� • _31. Plaster B�own Coat � 79. FINAL INSPECTION 32. Electrical Power MeterFinal � 80. FOOD CERTIFICATE ISSUED � 33: Final Electric � . Notes: � � ' 34. Final Heat�ng & Air'Conditioning � , - 35. Final Gas PiPe-Test . � ' - , � � ' � � , , 36. Hood or Canopy ' � , � � . - . � . � , � _ : ' - 37. Final Fsaory Fireplace . . ' � ' � � � „ 38. Final Plumbing . � ' � � � � . ' ' 39. Water�Service-Finat � • � , " • . , - , � . 40. Gas Service-Final : ' , 3 �S- 9 � � � ' ' ' � 47. Solarpomestic-Final � ' � - �� . _,._. • • ' . . , ' -i 42. Backflow Preventer ' � - _ , __ � _ � _ . � ' ' . � .i 43. Backflow Iriigation � � � � - - , ` . .' - � � i :P 44. .L`andscape Irrigation System• , � _ � , � , - . ' '• � 45. Sound� Attenuation � ; ' . � � � � „ _ � .�� - � � � � -i � . 46. Handicap Regulations � � _ . ! ! � , � - ' � . � . � 47. F.INALSTRUCTURE,&BUILDING , " � � ' ° ` j � a �. � 48. Speciel Requirements Completed - � • � � • ' ' •, � � � � •� i 49. Electric Release to Edison - � �' - �! � � ' � �� ', � � '� . � � � . . �. i 50. Gas Release to Southem California Gas Co � . � � . � � 51. CERTIFICATE OF OCCUPANCY " � j - - -' •;- ' ` -�t- ; . � � ' � � No. _ . ' , Date � � . ' _ f _ ._ i ' �.... _ .L. . � . `...... . � .� _: . - - �_+ � .� � C. Y OF COS' 'A 11 ESA� CAIJFORNiA Y2826 P.O. BOX 1200 FROM THE OFFICE OF THE DIRECTOR OF BUILDIN6 SAFETV Project Address % %� ��CUr/✓ G�s�� Project Name ��/1�/«3 `-�.�%l��--� Owners Name �T1S /� � _ �/J,Gr�-F2 / -vG Oomers Address ��-�,� R� �Q� p v�_ avnexs Telephone J � �� g 3 ��„�t # �9�2�7 � c�� City Use Only I ,CO,ii,n.Lp � �'j,�i,�.S as Owner, Contractor, Agent (strike out all except one) do hereby attest that ee�loyment of any person, or persons, is not anticipated at the time of seeking the above-referenced permit. In the event that any person, or persons, are ert�loyed under the prwisions of this permit, I shall imrediately cause a valid Certificate of Worlanens Co�ensation to be filed with the Costa Mesa Building Division. I agree to defend at my wm wst, arr] to indemnify arrl hold harmless, the City, its officers, agents and/or e�loyees, fran and against, any and all liability, damage, costs, l�ses, claims and expenses, howscever caused, resulting directly or indirectly frcm, or connected with the improvement under this permit. Z further state that I have read and fully imdecstand the implications and re- sponsibilities of the above statements, and will ccmply with all provisions of the Contractors State License Iaw found under the Business ard Professions Code, Division 3, Chapter 9, of the State of California. .� p�v�Y�/] � S�.�r��i�5 . Print Name ��a�� CMF 0777-46 ��- /q- �`o ik3te