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HomeMy WebLinkAbout1718 NEW HAMPSHIRE DR - Building Permits • lioECT PBO.WNER'DORESS: 1718 NEW HAMPSHIRE DR 0N1T CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 064593 OWNER'SNAME: LYNAUGH, DENNIS ADDRESS; LYNAUGH, ANNE PERMIT NO; B 064593 PLAN CHECK NO: N GOVT: N SUPP : N 1718 NEW HAMPSHIRE -t' COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH 435-0337 ARCH/ENGINEER: flEG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : T/O & REROOF FLAT PART OF ROOF W/BUILTUP SQ FT: 1 , 250 CLAIM VALUE: 1 , 250 . 00 CALC—VALUE; 1 , 250 . 00 GROUP OCC : R-3 /M-1 PERMITTEE: NEWPORT COAST ROOFING ( 714 ) 631-6991 ADDRESS: 817 W 17TH ST COMMENTS : SMOKE DETECTORS ARE REQUIRED AS PER U. B .C. 1$ gic $ , _ COSTA MESA CA 92627 ******************************************************tAN `I *�7"� Ce . clr ' - LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON INC R EQU IR EMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect. S ET BACK K S ` ' cITYuc.: 059165 STATE LIC.:653201/ CLASS: REQUIRED_ Date:J.al ffi Signature:_ e' ' 4.e.,_._ 120-- MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR ; FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab. C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PDucr ND.: 1315 9 0 9—93 EXP.DATE: 10/01 /9 4 COMPANY: STATE FUND PARKING REQ: PROV: PARCEL : 13961125 ZNE: REF NO: 0 Certified copy is hereby furnished. &I Certified copy is filed with the city Building Division.nPLANNING NOTES> V X74 Applicant e/ �� � t-t 114 > Dale: � � � C/N�Q' ********************************************************************t.********** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(3100)or less). DEVELOPMENT SERV I C E REQUU IR E M E Nr'T S I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become / subject to the Workers'Compensation Laws of California. ZONING APPROVED BY . 2, • DATE: Date: Signature: NOTICE:If,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. ,, CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y ; S.14 -' DATE: b I2 (c1 S which this permit is issued(Section 3097,Civ.C). *iE*,lE**********iE*i(.il.iE**********iE*******,lE*****,IE************************** ******** LENDER: *********************************************************************aF********* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT3 1 . 0 0 f repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON eR E S and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). - ISSUE FEE • I. as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 31 . 50 0 , 0 0 0 . 00 31 . 5 0 31 . 5 0 _ . 00 does not apply to an owner of a property who builds or improves thereon.and who does such work himself/herself or throughn his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or I, el improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 31 . 50 OVER/SHORT: 'h ,-- .4...00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING,/PLAN;C y,HECK I.adrof owner of s the eTh, Com etractors'State contractingLicnwithw licenseds not contractorstto to construct the project hor v, thereon 31 . 00 . 50❑ and Professions Code: The Contractors' dc License Law does not apply to an owner of property who builds or improves thereon • and who contracts for such projects with a Lonlracmr(s)license pursuant to the Contractors'State License Law).l am aware ,X****,*,****,*,**,*,**,****,**************************************************4***** that proof of their Worker's Compensation insurance should be provided to me. �`*** ❑ am exempt under Section: B.a P.C. I N D I V I D U A L F E E B R E A K D O W N .4 tor his reason. TYPE QTY DESCRIPTIO N UNIT COST TOTAL4 COST Dale: Owner: 7^ 'I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 1250 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 !% 1 , 250, 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES 45 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from /' these provisions. Date: Applicant' I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes • , Date: 0a14 — f 3 Signature: gam— 01 00149357-00149358 T LT 31.50 Driver's License or Social Security Applicant;Pink—Revenue:Goldenrod—Assessor , CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit # - Date Inspector APPROVALS Permit# Date Inspector 1. Temporary. Electrical Service.Qr Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. _ - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. .r - 54. Forms v 4. Electrical Conduit-Undrgrnd. 55, Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. 8. Foundation ''4 ', + 59. Gas Pipe, 0 Undrgrnd., Test '• 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 3/4 10. Structural Floor System _ 61. APPROVAL TO DECK 11. Property Sewer Line & House-Connection 62. Backwash & Receptor-Final 12. Sewer Cap • / C 63. Heater & Vent-Final +• 13. Roof Drains - 1 64. Plumbing System - Final i - 14. Rough Plumbing ' 65. Electrical-Final �t 15. Rough Electrical-Conduit I 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-I Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure • 70. Underground Hydro 22. Ducts,Ventilating _ _ 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test - 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Goat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning - • 35. Final Gas Pipe-Test • 36. Hood or Canopy - 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic.Final 42. Backflow Prevente.- 43. Backflow Irrigation 44. Landscape Irrigatioh•System , 45. Sound Attenuation - . 46. Handicap Regulations 47. FINAL STRUCTURE& BUILDING 1-*-9 f 6 .ff. C [ e ( _a�� 48. FINALPLANNING'• i 7 l�lA✓� p+'^ 49. Electric Release to Edison . • ,q G yq yq _ at ._-e .t- 50. Gas Release to Southern California Gas Co i 51. CERTIFICATE OF OCCUPANCY } No. Date • i jESS: UNIT: 1718 NEW HAMPSHIRE DR CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069499 Ess: LYNAUGH, DENNIS LYNAUGH, ANNE PERMIT .NO: B 064499 PLAN CHECK NO: N GOVT; N SUPP : N 1718 NEW HAMPSHIRE COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH ARCH/ENGINEER: 435-0337 REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : T/O 6 RE•OOF W/ COMP. SHINGLES SQ FT: 2, 600 PERMITTEE: CLAIM VALUE: 2 , 600 . 00 .ALC—VALUE: 2, 600 . 00 GROUP OCC: R-3 /M-1 ADDRESS: DENNIS & ANNE LYNAUGH ( 714 ) 435-0337 1718 NEW HAMPSHIRE [[���(�, COMMENTS: SMOKE DETECTORS ARE R=•UIRED AS PER U.B.C. 1991 E�p�} LICENSED CONTRACTOROSiTAIDNMESA y affirm thatlam licensed under ovisios ol�Fap eer9(commencing with Section ******************************** • ************************ *D� 'C'\%*I�Vh 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. Z 0 N I N G R E Q U I R E M E N T SJ��� CITY LIC.: STATE LIC.: CLASS: S T B A C K S 11GG{{✓✓%pE{'1 Date: Signature: MAIN BUILDING ACCESSORY B�TILDDINNG %RED WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN -,FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: ' FT IN RGHT; FT IN L'E.FT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQi PROV; PARCEL; 1396112'5- ZNE: REF NO: ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> • -'-'-"" - Date: Applicant: lfjl4E3FiElEiF****iE*****ifiEififiki6iljfiEitifiEyEifiE****-****iEifiElt#1E*************iF9EiEiFiFi *******iE***** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be corn •' ' nit is for one hundred($100)or less) DEVELOPMENT SERVICES R E Q U I R E M E NyT S I certify that in the pertormance of the work for which this per ' ed,I shall not em oy any person' any manner so as to become - y subject to the'Workers'Compensation Laws of California. �o_k-q3 ZONING APPROVED BY DATE: Date: Signature: — NOTICE:If.alter making this declaration.you should beta• subject .the ro'• ••nsation provisions of the alar BUILDING APPROVED BY : ''' Code.you must forthwith comply with such provisions : his permit s , be d-, ed revoked. DATE: ( ) CONSTRUCTION LENDING AGENCY: I hereby affirm t is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: 110-141{f 32 3 which this permit is issued(Section 3097.Civ.Cl. DATE ******ih*iF*i(-*if lf*ie*iE*iE 1E iE if*3F*3f*iF 3F**i(it iF if iF* * * 7(3f*******34***3E*lt**+E*if*iE*** * {�* {K LENDER: *******ae*************************************************************jf********* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRESMIP/RES•'° GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 54 . 00 , S 0 '. pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business $MIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption_Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE � propertymy pv wagesBUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL • PAID I. as owner of theor employees ees with as their sole compensation, will do the work, and the ' DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 54 . 50 0 . 0 0 0 . 00 9 , 5 0 54 . 50 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through . 00 his or her own employees. provided that such improvements are not intended or offered Ior sale.If,however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : ` 54 . 50 OVER/SHORT: p .00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIR IP/TOT GRADING/P1LAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 . 00 , 5 0 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with acontractot(s)license pursuant to the Contractors'State License Law). l am aware ,** , *****„************************************************************'****** that proof of their Worker's Compensation insurance should be provided to me. ***-* I am exempt under Section: B P 704 4 B.&P.D. I N D I V I D U A L F E E BREAKDOWN forlhisreasnn: OWNER BUILDER 4111\ TYPE QTY DESCRIPTIO N UNIT COST • TOTAL COST ---• Date: 10- s 'q 3 Owner: I do hereby certify thatlam aware of and understand the requirements of Calif. !Pr and Safety Gae Recti•• 5505,25533,and SFR 2600 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 f` 2, 600 . 00 25534 and that I or any future building occupant will/will not(circle one) • r o c mply with said stale u•• . •the requirements for a END OF FEES , permit for construction or modification from the An Duality Manageme Districfilesidential construction applications are exempt from these provisions /1 Date: Applicant: t '1; I hereby certify that I have read this application and state that the above information is amply with all city and count _ t- J :ordinances and slate laws relating to building construction and•ereby authorize represent�' •. .r•^-men'onto /'.r properly for inspection purp05p elk f • • r.A.rE. 10/13/93 1 ' TLhT Dale (b-1 'G Signature. 40//, -::e. 1u; 16;93 TIME: 14:30S;.SO Driver's License or Social Security 4: .� Applicant;Pink—Revenue;Goldenrod—Assessor • - CONLTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. . ..,.porary Electrical Service or Pole "52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. -8. Foundation - _ 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System . 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash &Receptor-Final 12. Sewer Cap , 63. Neater& Vent-Final 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - APPROVALS Permit# 21. Ducts,in Structure - 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test • . l 72. UndergroundFlush• • 24. Roof Framing • l 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof'Sheathing 74. -Overhead Hydro 26. T•Bar Ceiling 1Structural1 & Monocoat , , 75. Dry Chemical 27. Frame and Flashing . .. 76. Dry Standpipe - 28. Lathing& Siding - - . . . 77.; FIXED SYSTEM FINAL 29. Insulation - • - 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric - Notes: - 34. Final Heating& Air Conditioning - - 35. Final Gas Pipe-Test . • 36. Hood or Canopy - • �� I 37. Final Factory Fireplace • r t. 38. Final Plumbing - 39. Water Service-Final ' 40. Gas Service-Final - 41. Solar Domestic-Final 42. Backf low Preventer -. - 43. Backflow Irrigation t. - 44. Landscape Irrigatiggestem - 45. Sound Attenuation - . • 46. Handicap Regulatlont - . _ 47. FINAL STRUCTURE&odILDING �-r;.-� GAG'`- c----. 0 44 - 48. FINAL PLANNING---- t, 49. Electric Release to Ed• iso�! 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF-OCCUPANCY No. Date ti CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION f 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 information 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 m or labor and materials for construction of the pro- posed property improvement. es O No 2. I (have/have not) 4 alit signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm)to provide the proposed construction: Name Address City Phone ( ) 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 pro- vide the work indicated: Name Address 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 Health Safety Co nd have completed the abo information to the best of my per- . sonal knowle e, in c pliance with ate law. t- Signed: / Date: JQ rg— 93 Name: ,Qc ha cigh � ( rinted orfjpeed)) C.D.L. # or S.S. # 754-5273 1042-46 - _ _.._ _ _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA ` r "• PERMIT I,IO� 1-_, TRACT NO : , LOT NO. . • BLDG.NO. _ _ —1-0)0-3/8a S.00. - TL tf 6 19 CONSTRUCTION PERMIT ' ' • • ' — 3' r i • Applicant's Mailing Address ^4;e ` Ad •!L - TYPE OF CONSTRUCTION U'NEW LJ ADD',L I ALTERATION lid-REPAIR , , Project Addressitl gzi . 'e' • ' ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - • 'hone e-a f977x- .DESCRIPTION OF WORK Owner's Name • .i , ,. , •_ - - - ZONING REGULATIONS,. .• ' r Address, •; it�'a- hl_ iiia- A ' CA' t' — ' . - _ - - ' - , -� ! - - TYPE OF PERMIT 'LIGRADING L I FOUNDATION ❑STRUCTURAL , ` A.P.-9Y• - I ZONE, • • Arch/Eng,, - - License No, ❑,TENANT O ELECTRICAL'• ❑c PLUMBING ❑ MECHANICALS. • PLNG. RE F.'vY+ ' 'BUILDING' f :.. - Address :' - _ ., - - • �" : - TO BUILDING ,__cr"rai.rx rti c,• - r- /� (� '�!`1 / C �- '/ ' -❑,'OTHER 1 COntIactor's Name /'a!'r/rl-G 1//xl/I/I�P�I'V 'Phone��,,1f541237Z3 ='PROJECT DESCRIPTION SQ.FT. OCCUPANCY PROPERTY LINE' ! ;REAR YARD(TO P/L) _ ' .•�I,S i'). ^/lin .S/7" CONSTRUCTION TYPE - - '• VALUATION$ • ! LEFT SIDE YARD � � RIGHT SIDE YARD • it Addrers(mailing) L /"'(/' PKG.SPACE REO. ! PROVIDED • tJ 9 ZONA • GRADING CU.YDS. ACREc I • \ License ED. A D visions of Charter 9 (commencing LICENSED CONTRACTOR DECLARATION j 1 Remarks: �.���1� -- �,��L7. / STREET WIDTH PARK FEE:IS .i r' Iq , I.bereby affirm that I am Ilcensed;under pro Ing -� ������� ' with section 7000) of Division 3 of the Business and Professions Code,and • f SPECIAL CONDITIONS: my Ilcenseas In ful force tliesle••. i //�/� •- I • License lass- - . cense No. "/ r PLUMBING I r _ • (U Date !�" Signature • /� ' WORKERS'COMPENSATION DECLARATION Ber Sink I Sewer Cap ELECTRICAL - 4fhereby affirm that I-have a certificate of consent-to self-Insure or a certificate - `- -_ .. . ,_ . Automatic Washer -Meter ❑over 100 amps ' of Workers' Compensation Insurance,,or a certified:copy thereof (Section Backflow Preventer SBwer COnneCtion - - 3800, lab. C�,.1/`1 n Backflow Irrigation Solar Collectors Construction Pble� Sub Panel I Policy No, flV�N(O Company AM�l .- - Cooking Unit Co,1 Sub Pole • - _ IICertified-copy Is hereby furnished. • u I , Bathtubs - Solar Piping . . ' Cart) dsp(y'Is filed with the bity Bull �9y�Dj�visIp n. i Dishwasher , Motors ❑0-1 HP O16-S Date S'-,y'/• d • ' ,Applicant - h!-t P'LL/4 ' Clarifiers _ ___ _ _ ,• Solar Tank EXEMPTION,FROM WORKERS'COMPENSATION DECLARATION Dryers ❑Gas,'OElectric- _'Inc.SOlar 09-15 HP 016-15+ } - •(This section need not be completed if the permit Is for one hundred ($100)or Dishwasher ' Swimming Pool w/Spa ' less): - ur Fan; I Microwave I certify that in the performance of the work for which this permit Is Issued I ' Drinking Fountains • • Urinal -• ' shall'not employ any person in any manner so as to become subject.to the ; - - I F.A.U. • "' Pole Light ' • 1 • • , Workers'•Compensatlon Laws of California. I i 1 I Floor Drains ; . Water Closet, t , ' Date - Signature ! - - - Fixtures ' NOTICE:'If,'after Makingthisdeclaration;you should.become subject to the - Floor Sinks --- - - -Water Heater, , ' , - - - - - .Range .• _ ._ Workers' Compensation provisions.of the Labor Code,-you-must-forthwith I - Device Boxes • comply with' such provisions or:.this permit 'shall be deemed revoked; • 3 Gas SerJice• ; 'Outlets i .Water Service , - Sign - I 1 CONSTRUCTION I LENDING AGENCY - , I hereby affirm that there Is a construction lending agencyfor thelperformance. ' -• . Interceptors - - • . - • 1 ' r : Outlets , Standing Sections 1 of the work for which.,this- permit ,is :issued '(Section .3097 Civ: C.) - ' - ' - ' - 1 Switches i Trash Compactor Lender's, Name, ! -' - - ' — I Kitchen Sink _ I _ rr• tender's Address. ; i - • t.. • l -. t OWNER,BUILDER DECLARATION; .1 rl • - , ! ; , i Lavatories ' " s Garbage Disposal l ,. I hereby affirm that I am-exempt•f om the•Contractor's,License Law for the ! Generator 00-5 KW 05-1516v ' I ' following reason (Section'703t5 Business and Professional Code:Any city or - P Trap: • .'+ I , I ' - r . I county which requires a permitto'construct,alter improve,demolish or repair - - -. _ r Transformer 015-50 KW • } i l' any structure'prior to its,issuance,'also requires the applicant-for such permit • . Roof Drains - i q : • - ; .r ' - -• to file a signed statement that he/she is licensed pursuant to the'provisions of _ _ " ❑5U+KW. 'Rein c-tion Fee v ' •'the Contractor•s•Ucense Law,(Chapter 9(commencing with section:7000)of :g i �' I .' ' ' - I. 1 ' I $15 Division i3 of the.Business and Professions,Code)•or that he//she As;exempt • Showers r 1 i ,- i - , I • Reinspection•Fee , •$15 - , 1 -I therefrom and the:basis for the alleged exemption.-Any,violation of•Section - • - • r^• _ Meter ❑up to 100 amps , •• i Issue Fee ` '$ 3 I 7031'5 byjany applicant for:a permit-subjects ,the applicant to' a' civil • -- , ' nnaity of not more than five hundred dollars($500). : ` ; rr - : - Service Sink I t i , Issue Fee :y ' $ 3 Zoning Approved By I :Date '' • • ( lJ I, as'owner of;thelproperty or';my employees,with wag¢SIaS their sole I - '. : I I • I I compensation will do the work,and the.structure is not intended or offered : `. I tr- - : -� MECHANICAL- I • Application Approved By • 'Date • , ! • for sale.(Section 7044', Business:and;Professional,Code:I The;Contractor's - --- _--. - - _ _--- - -- -- _ _ -- - i ; • Ucense Law does not apply to'an owner of a property,who builds or Improves I Boiler. r't - , 1 Refrigeration System I - '��,/ I /�% > •thereon,•and who does such work himself/herself or through his or her own I I = I I i • Cs Application cooed By �; ,Date J employees, provided that such improvements are not Intended or offered for Duct'-Under Ground I ❑0-,100,000 BTU ❑t00,000BTU - I 1 I sale. If, however,the building or Improvement is sold within one year-of corn- I - 1 ' - ' ' • j' SUMMARY OF FEES 1 r ; ; ' 1 , prove ,the will have the burden of proving he/she did not build or im- - • • - I • I LJrove for the purpose of sale), : 1 -1 I i 1 , Duct-Structural 1 1 System Repair/Alteiation 1, I BUILDING PERMIT $ ' ' : SMTP - ; $ I, as owner of the property,am exclusively contracting:with:licensed con- ' t 1 i ; PERMIT i '.tractors to construct the-project(Section.7044,.Business and Professions-Code: 4 - 2 Duct,Ventilating , - _,. _ _ _ . PLAN CHECK, •$, 1 + ' The Contractor's License Law does not apply to an owner of property who I - r+ • PLUMBING $ `O 1 , ., ISSUANCE 1 ! $ I I 1 , builds or Improves thereon,and who contracts for such projects with a con- • Exhaust System 0 Multiple 0 1 V , t - i i Ij I I -1 ' tractor(s) license pursuant to the Contractor's License Law), ! 1- ' - I' I ',GRADING $ 1 I PLAN CHECK' • $ • ' 0 I'am exempt untler Section B,& R C.for this reason Firepl/Fact.BR. ICBG# r I I I l j i , I- i I $ l t 1 Heatin S stem&Ducting ELECTRICAL $ I _ • i , Date : • Owner' 1 g; Y g 1 i I I ; I r i MICROFILM $ 1 I I 000BTL- .. _ PLAN CHECK` S. ' "Thereby certify Mat'I:agreee"reatl tois'applicatland zta 'that-the above-; 04100,000 BTU-0100, ", 'I - • $ i TOTAL FEE $ , Information Is correct. I to comply with all city and co y ordinances - - :MECHANICAL and-state laws relating to building constructs above- hereby authorize repro- ' Hood or Type I ❑I I ' c • b ' i.Inspection property 1 , LESS , Inspection ourpo--s. t c p p y I 1' Canopy Type II p ,PLP,1N CHECK $' ADVANCED PC $ Signature . ' Pink-Accounting:Goldenrod:Assessor - nCONSTRUCTION AND�PL'ANNING7 �,3:. °t %Fga i K� - -c';. ? .r� ;POOL;&SPA,. . -, _ r z:, c :a n ' a ' b I-- ; is 3 Date 0 • 'Inspector F" ' - -� c - r `" Date Ins actor > '4APP,ROVALS ` Permit# g 1,�AP•PROVAES Permit# - r : cLPZ. .-+ N'1 u ., -c. inc 1.:. , c + -- >2 i .. _ . viii'' . 1 '9«:666 '6 'r' .11 Temporary Electrical Serviceer_PoIe t ..' " o2 r4 '' 'n ; :52 31461 &E`uipmeni Location''< 3d ' 1 ••: . •• • -` 'T _ ! s c I I -• n= I ' . n '- ' -Fa _ . -Q YP .. • .: I _ •., . e N. 2? Soil PI - v t _ r a -n , o _ >F ▪ >- _ «; • '- I pal-Undrgrnd:_ t3 I c•_• I o" YE '53.:Steel Reinforcement - •;;`,14::,,,,457.:_ o' i 3? Conduit nduit Uiilitv- U6drgrnd. l ; s; - 2 !rt '''54:i Eormsl°-_ ;ii; ';.•" ' -"• , ^' C 4' Electrical Conduit-Undrgrrid'2 -, , ` ° .14%.1. N `'''_iir,4 - E1 • •' g'r- -`cr ,▪ ,- :- +- ^- t .: ` ' s. rri I , - ',.:.y : 55. Electrica6Bondin ._ , _ ^ 5_ Steel•Reinfof.rcement) , .1 ... ,,,.57! '� ; a: - `; r e n g=-'' ;;5664 Rough ,„ „..„ing_& Pressure„Test ?' - - ,r: 6: Electrical LIFER Grnd.I I ' a2, i 2 n`'.'y' 'rite= r •57" APPROVAttTOJcOVER GUNITE�. .e; ..-o I 't- 7. r7. Footings 1 I- I-'1.' I i ti >" t ri' .- o _' ^? ::.11'-- 158.`. Electrical conduif•Undrornd.,; ; 5.!.... «` { . I, 1 1 i 1or.o1 I . . - 2 - m - 8. Foundation I i :1 . I - v= - _ ' t I I i ` , '�;. ; i_, `3 �5 0; ' 59. Gas Pipe 1O Undrgrnd Test,• I '�� � • l 9. Wate l Pipe-Undrgrnd. I I o E z , r ; - men a _' I ''60. Backwash`L•ines,P=Trap,"❑ Und�g• 'rnd.-- 2 = ' 10. Structural-F.Ioor System . I ‘.4.57. d . T l n 1r •, ' 61. APPROVAL TO DECK - °.1.77.--: •a` . I ' „ ; •11. Property.Sewer1 Line&IHous rbSnne'ction c I `: ;162: Backwash &;Receptor Final 't5:='- - " '' - 1 :. 12..Sewer.Cap I I , i 1 1 "o_ -1 ''-'63. Heater.& VentFinaf .- 13. Roof4Drains I I I I I ' ' -4 I. VI o ' t , ;•64. Plumbing.System Final--r;r _ a14. Rough Plurnbing I 1 I I En' 71I 1 : I : 4'65. Electrical`-Final: - .t- -'•i-:•14:':7 C . t ! '4' `' ' c I _ ` V`15-157h'EledtriealConduit-r--"rn1-7 "-'1"-T•-7 r T'-• --,-- ' -r-'- -" --• r • ' , D.- g .. - 12 . a I I 1 , . t • I 66.E Solas SYs• . Final , I. , ,.{-f .r-`_I__ ' ! _ ry v T :. fY. Waugh 1 lr�_ J I___ _ ,-16. R L , ..t,lecnLil :Wiring- , I /•I II ,� ! " � "k !�-f"� ,r X67.1 Fencing &+Access Approval 1 zf�`f '= rl�;.741,----ti 11:, y_17. RoughINiiingSigni`.�. LrtI3I it Ia ( _ IY1 Iii ;1 , ° ' '68IAPPROVEDFORPLASTERING ' I , I I - � 1 18. ;Rou'gh"Electfical:T Bar Ceiling) II r i''• I I - I % I rq i : I ; 69 I POOL/SPA SYSTEMS 1' i `� 'Ci ' ' I - ,I 0 19. •Rough Heating&'Air Conditioning y I . 1 / I I I I I 'FIRE DEPT. REQUIREMENT'_- V ; 1 = I •_ l ,i ' I_ - I. : 11 I1 i ' 1 1 ' 'f 20. Rough-Factory Fireplace' ', 1 1' II it I I i I i I 1 ! APPROVALS. : Permit;# 11 • - - v, i`' I ' •. it rI ' .I r, i n :_ I i . I }_. ! t , / I 1 3. r , t I + '- - ll 21, Ducts;in Steu'ctu ie� a , I rI'' IIIIl I I I I I I ' 1 170.1 Underground Hydro I' _ I I• ! • I I - • , I 2�. Ducts, Ventilating - la I li li II It I II i 1 I i I 7c1 Product Piping OGas 0, Oil ' 1 I;-, i , 1 rr "as - t ,� c 1 - 1 11__r ITT'c _-T .----' _ _;_T T -r-I .' '--'•-- '- r__ _ c I;r23. ,Gas•Pipi Rough& Test o I•I III I.It__i_l_- I__._ 1 I l t 72.1 Underground Flush --17 ;7-f -, 1'2.4. ;Roof Framing i ! ' o I AI I IIII 1 ) 1 �' Iv1- I .-� 79.! Unde�grnd.StorageTank OGasr,OiOill I I I $b__25. _;Roof.Sheatiirig s. I I .l > I j 1 '1ra!1,_ 1 . I rii'r 11- I C I, I ,i 174.' Overhead HYdro 1`_'? • �' ;,_ I ! 1 i I 926. `T:Bai Ceiling (structural).,&iMonocoat' I , 13I ai' i� I I 1 ' ;75.1 Dry Chemical .I n ' : Ii • r 1 I ! I I 1 1 % ' , it %, II-27. 6F-ame and Flashing' I I I I 11 Il I, • 't I I I I I I ;76.I Dry Standpipe 1 d 1 + 1 - , , I , ! ! ti ' u 28. 4Lathing 8tSi1ii'ngI p III, 11 i1 I 1 I I {L'1 I 177.; FIXED SYSTEM FINAL. ? I" l• ; i ' I ;- r 1• N 29. Insulation S t a r'' ` I LII II If I I. I I I- ' ' i I ' I - I l I I I i78. FIRE PR.EV,. FINAL ' I e ;730: Dr wall Nadin a I I I I IN t s: i 1 I '- �/ ' 1 1 I 1 ' o iK y g I_ I I I1. I I I I I l o e I 1 ,D i-' �� II I I ( �_� FFT' vaa _NxK X31 'Plaster Brown coat : ; I I •I t, IIII i. 1 I I I IT !. , I , ! , , 1-__ __I -5--j"--- ; n °32. !Electrical(Power if 1 : , 1 ti .� fill i. I 1 I 1 I i I I I . ro ' ' I• i ' I I 1 '-- i I ` a 5233. ;Final Emetic 1 1 i...�-I,...4..`._,v.. i ,�.-..I.�_._.�Li_I_.__:_-I.r L-l_.�_._._ 1. ? . ..i_..1. I.-= - �-- - -• - 34. Final Heating & Air Conditioning ' I. 1 I' I • ' I I l I 1 I i ' '- `• `tt _ ; D ,. -.nM4 :r. ,�. I . I c, ,i 1 _ i I I ', !I H Y ?I Y l .r ,,. ..) I`.1,r C P r r r Ir 35. FinalGaslPi e=Test1 '-1N ' n1 ^I 1. 1` .Iolc ,l'zI,t - i'f_I: ! il 'I5 , jl' -• u sp 'Ic•ir�l 11 ic1 L � HA? i�c�. `2. 36. Hood • .;Ca nopy_ I . n 31 -nil p ' l c 1 im - I `S - r _` - _ _ ti ' ' �� I n I _ o f v { . 1 rat;, 1= 1 11 I „ ' I � l � I c ;II n th. � c 1e 37. Final• Factory.FirePlace,r. r•• 1 z 1 c t t i I ' I:, i - " ? r a .' i , wn :nl =I UI •- I :mi i � l : i i I ! ' I , � ( s T _' a rr ^ - -36. Final •lunbing I I I I sI I _ 4y t&, IfI I I r r, t� , I h ii I - IT' l; _ '39. Water Sefvice-Final I :'I ` 6 ' I I. ' 1 ' i I i s " g i l• , ii 1 1 l I I I ! l , i t- I i � ; � II ,6 40. Gas Service-Final I' I i Ill I I ' I ' I I I i I I ' {- X i { I i i 1 1 i i i , 1 1 I�' f _I I -4 • I t 41. Solar Do nestic-Final I' • jj I 1 . I I i I ,_ 1 p I ' s.;n I , , I 1 I I a F"4_,), r,,,1 ,1 "-�_ ,..-I--k-.,-_r._-f--� r . '= I a-u 42. Backflo�:Preventer• icl - I I int. i I .4 _ _L11 { i I I 1 I I i L . RC!: re, I: •I ' 1 t0 s ' ° I 7 1 L: ry ,- 43. Backflow Irrl atioI 1 , : - , 1-411 •;, - , 1 , I 1 1 1_ r c 1 < i 01'>, 1 -' i i _=, I ' I i 1, 44. Landscape Irrigation-Sy'§tem - , - It , i_A . .y v @ I { I 1 I 1r. ' d1` , tlin - '; - '�. 45. Sound Attenuation 't « I a I I 1' i' I I I : (It I I 1 - ` I 1. 'I, c r - -. 46. HandiaaPiRegulations I 1 ; 1, I • h Ic i I lir I rpt I . I , `I ' I t d u".;I .- `"; :a - _ "' .,-r• 47.-FINALSTRUCTURE& BUILDING'' i • I� I ' 1 I ` ` :.- II II li I I i I I I I: I' I i i:S , .•I ; - ( ! I i I.:I 11+I ~, A 48. Special Regiiireinents Completed II ( I LI I '`1 I : I , I I I I I ' i "i ' Ii it • i I i . 1 1 1 . .1 , I : • i 1 1 49. Electric Reldasetto'Edison i _.f i I + 1 I I ;{I i 1 ; ' a r, r 1 I .t I I .I I' -1- -- -� ='. _�" i I ,---t--1--,----1-4 1 - , Y 11 i 1 ! a 1 I. 1 , I $; 1 50.';Gas Rglease to Southern California Gas co I I I I I I '. I I I I I,,:4;,.. 1 1.. { i ' 51. CERTIFICATE O OCCUPANCY I �� -} L jE l '__Y�• "' ;: I +' No, il 1 Date i I i i i I_ I I 1 I...:,..._I Q=JtCr,.u_a_..6 1:r--+ers'ar +�1 -6. --y-1, r - I. _. ♦ Arae v _•� -•-�- '• q CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. �-� �///�j DATE S— /S- 7 f LOT NO. �6 ADDRESS / 7/ R 'Qur 712.74QA9 £2 The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement , acknowledges that (he-she-they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. BY w11/42il2M 2 Irc ser' BY ' /_ s Developer and/o/ au srized representativ:/ r ' Applicant to fill in all spaces except those-within heavy border lines and sign all appropriate declarations. - �- - - -- - - - CITY OF COSTA MEESAQ' CONSTR� CTION P RMIT - , j{'HERMIT NO, ' _ TRACT,NO. ' LOT NO.: UNIT NO. •r. - I ''S" I P•roject Address f"7/a �P10 if �n / eJ / 7� 7 1,// ._ > . , I. e e • -. G• 1 r TYPE OF CONSTRUCTION ❑ NEW-U ADD U ALTERATION- CJ REPAIR- � -I ~ a/I - - J0oo T` Applicant's Mailing A dressi ,i t P� ❑ CONVERSION'❑ DEMOLISH ' ❑ OTHER - A.P.# - - • - -'I Zone Owners Name; - . ' - �-•�C Phon nDESCRIPTION OF'WORK/USE OF BLDG,' •• ` • I Address • V/.V • i -• - - - S Main Building: A ccessory'B wilding: �-1 E - Z Arch/Eng. - - ' License No. I ' I TYPE OF PERMIT LJ GRADING FOUNDATION ❑ STRUCTURAL T Front -• _ - - - , . O • Address - ' ` D[ /�.�/I�7� "❑.TENANT:-111ELECTRICAL-PLUMBING ❑ MECHANICAL _ B Rear -• - N Contractor's Name / hie PhoneQ+7�'�•'.(L!/� _C -OTHER. C Right - yIi C PROJECT DESCRIPTION 5O. FT! - OCCUPANCY _ • Address,lmailing) 2 / / J kQ� CONSTRUCTION TYPE VALUATION_ $ t s Left G City License No. • L' ' / - ' - ZONE f GRADING CU.YDS. ACRES 'Ping. Ref.# I `, Parking Req./Provided R' 1 • E • LICENSED CONTRACTOR DECLARATION I • l'' '��'// /S'///J� 9 Q I hereby affirm that I am licensed under provisions of-Charter 9 (commencing Remarks: / 12(41' �/1 / /�/I Planning Notes: t t n p , - - s. ' With sealer)'7000) of:Division 3 of the Business and Professions Code, and ( L� RECEIVED JUN - 9 11186 TI My license.is in f f• c- and effect. ' License I. - / icens= 0. /1 / - • ' "' S. Date. 1f-, Signature titian ./ % Qac i A ' . . PLUMBING. - FEES `` • I ' WORK -S'C•MPENSATION DECLARATION . , - - - - , i I hereby affirm that I have a certificate:of consent to self-insure or a certificate Bar Sink Showers ! ELECTRICAL � FEES • of Workers' Co y�5.irran�e, or a-certHietl copy thereof,(Section - Backflow Preventer Service Sink ' J,• 0 15-50 KW • 3800, Lab. C.1�¢��' (� �j� Automatic Wasne`r Transformer Policy No. �/ I Company f\P./0/!.(_/tV�lf� Backflow Irrigation $ewer Cap i Construction Pole Sub, - 0 50+ KW ' ��ertified copy is hereby furnished. / r CertjQptlecprAyfiled with the city yric 'v7ion, pie_ Bathtubs ' Sewer Connection . f Cooking Unit I Y> Meter ❑up to 100 amps i • EXEMPTIONDate O 610 Applicant .(( • •(� - - - -- . - - - .. ._ , 1.\ ROM WORKERS'COMP NSATION DECLARATIONClarifiers Solar Collectors Dishwashers -Meter Cover 100 amps. ` (This section need not be completed if the permit'is for one hundred ($100) or - less). Dishwasher Solar Piping Dryers ❑Gas ©Electric Sub'Pa net I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to'the Drinking Fountains Solar TankFan •••• , Motors ❑0-1 HP ❑1X-,8 ' \Workers; Compensation Laws of California. . Date Signature - • Floor Drains Swimming Pool w/S a I M - " 'NOTICE: If,after making this declaration,you should become subject to the _ _ ' _ _ g _ p - F"Q U Inc.Solar ❑9-,15 HP ❑16-15+ , •� Workers'-Compensation provisions of the Labor Code[you must forthwith - Flodr Sinks - . - Urinal comply with such provisions or this permit shall ,be deemed revoked. - - - - ' i - Fixtures Microwave , \ CONSTRUCTION LENDING .AG ENCY' '. I - ; ' - Gas Service , , :Outlets 'Water Closet ._ , • , i I hereby affirm that there is a construction lending agency for the performance I I Device Boxes ; Pole •Light I of the work for which this permit is issued '(Section"3097 Civ. C_) Interce tors Water Heater • Lender's Name - - - - p - r� - ��% Outlets I Range - • Lender's Address" ' - -• I ' ' - Kitchen Sink - ' ' - Water Service . • • - • Switches. . Sign OWNER BUILDER DECLARATION _ ' - ' I hereby affirm that I am-exempt from the Contractor's Licenie Law for the • Lavatories Auto-Wash - GarbageDisposal ''Standing Sections following reason (Section 7031.5 Business and Professional Code: Any,city or ' - • , county which requires a permit to construct,alter,improve,demolish or repair - PT.rap Laundry Trays. Generator ❑0-5 KW 05-15 KW - any structure, estate o its issuance, also requiresithe applicant for such permitTrash Compactor , to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains '" ` the Contractor's License Law (Chaptfessi ns Cod ting with Section 7000) of _ - ' •Division 3 of the Business and Professions Cotle) or that he/she is exempt - • _ _ ' • therefrom and the basis for,the alleged exemption. Any violation of Section - • •, - . - - 7031.5 'by any applicant for a permit' subjects the applicant to"a_ civil - ' • • • - ' I • - ' penaltyenalty of not more than five hundred dollars ($500). I ', i - I r - • $ 3 , I • I, as' owner of the property or my-employees with wages as their sole - -Reinspection Fee II , $15 Issue Fee ' compensation, will do the work, and the structure is not intended or offered - Reinspection Fee I $15 ' Issue Fee. $ 3 for sale' (Section 7044, Business and Professional Code: The Contractor's ' ' 'MECHANICAL FEES - License Law does not apply to an owner of a property who builds or improves - thereon, and who'does such work-himself/herself or through his or her own - I _ DEVELOPMENT SERVICES REQUIREMENTS: • employees, provided that such'improvements are not intended or offered for Boiler ■ sale. If, however, the building or improvement Is sold within one year of com- CanopyypeZoning Approved By Date pietion,'the owner will have the burden of proving he/she did not build or im- • Duct-Under Ground : ' Building Approved By ' Date prove for the,purpose of sale). - - ❑ I, as'owner of the property,am exclusively contracting with licensed con- Duct-Structurel Application Issued By Dat tractors to construct the project (Section 7044, Business and Professions Code: - — � • The Contractor's License .Law does-not apply to an'owner of property who • Duct-Ventilating' ' . ' - DO-100;000• L 0100;000 : -- - • builds or improves thereon/and who contracts for such projects with a con- gSUMMARY OF FEES tractor(s) licenseLaw). ■ - BUILDING PERMIT ' pursuantrkr' to the Compensation insurancea License I aware that Exhaust System 0 Multiple ❑ • proof of their Worker's should be provided to me. $ SMTP • $ i PLAN CHECK • . $ PERMIT ❑ I am exempt under Section • B. 8. P.C.for this reason • Fusel/Fact.Bit. ICBG# ' I■ D. $ vr• ISSUANCE $ . PLUMBING Date Owner • • 1 Heating System& Ducting PLAN CHECK 25%• $ ' • . ENERGY P.C. $ I liereby certify that I'have read this application and state that'the above . . ❑o-i00,000 BTU 0)-00,000 BTG GRADING $ information is correct. I agree to comply with all city andlcounty ordinances , ELECTRICAL $ - and state laws relating:to building construction,;antl hereby authorize repre- - PLAN CHECK 50% MICROFILM $ sentatives of? his'city' to enter upon the a ve-mentioned property for r $ i ' inspection p ••se G / DatedMECHANICAL $ I FEE $ 11: Signature a i0 , ' / Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL &SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector •1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement , • 3.. Electrical Conduit.Utility-Undrgrnd. .- - 54. Forms ' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • , 5. Steel Reinforcement , - 56. Rough Plumbing & Pressure Test • 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE • 7. Footings _ - 58. Electrical Conduit-Undrgrnd. - 8. Foundation . - 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection - 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 16. Rough Electric Wiring - 67. Fencing & Access Approval •17. Rough Wiring Sign • - 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling : 69. .POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - • FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# • 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test - 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 Nailing ' - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • 79. FINAL INSPECTION 32. Electrical Power Meter-Final • 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning • 35. Final Gas Pipe-Test ' 36. Hood or Canopy ' 37. Final Factory Fireplace ' 38. Final Plumbing 2-to-if l GAO 39. Water Service-Final , 40. Gas Service-Final • 41. Solar Domestic-Final in i, 42. Backflow Preventer `Tl • ' 43. Backflow Irrigation rr: ' - 44. landscape Irrigation System C. . I 45. Sound Attenuation - �� - • 46. ll ndicap Regulations s . 47. ITINAL STRUCTURE & BUILDING • 48. Special Requirements Completed 49. Electric Release to Edison - - • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - ' o - No. Date , ...; 2 6 'Qoa � NOV -4-7 CR54 17* ***141.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT R ECEI D D///�/E,/prE�C/FIV)ED DATE ISSUED BUILDING /✓�r�G!- ID ADDRESS 1718 New Hampshire Dr. P E R A•11T N.D. �-•J OWNER Modular Technology, Inc. A.P.NO. ' iCI MAIL BUILDING Z ADDRESS 1104 E. 17th St. ADDRESS 1718 New Hampshire Dr. Lu ui a 0 CITY Santa Ana, No5.47-9673 TRACT 6695 I LOT 16 BLOCK. HZ ZQ CONSTRUCTION • NEW (ADD ALTER REPAIR (MOVING DEMOLISH — I- LENDER U. S. National Bank A NBRANCH Main Office OWNER Modular Technology, Inc. m W ADDRESS 190 S. Broadway, San Diego VALUE CO• ARCHITECT67 TEL USE Residence $ 15,700 -i < OR ENGINEER Kermit Dorius N 5-1164 n / U FIRE // GR / wC_ ADDRESS 3111 2nd Ave. Corona Del Mar ZONE TYPE Cl_W W Z APPROVED —I O CONTRACTOR Owner BY DATE m Z Same ��Y"e-e-) J cc ADDRESS W W TEL. ZZOI,.{�'/yam NO.OF USE OF NEWK-C-" J O= CITY Same NO. , PLANS a- BUILDING'atilt I 0VVV O STATE CITY YARDS APPROVED YARDS APPROV /.9C. LIC. NO. 252549 LIC. NO. 1690 MAIN BUILDING ACCESSORY BUILDING 70 (FROM C/L STREET) SIZE NO.OF BLDrs. L� OF LOT 51 x 98 I NOW ON LOT-- FRONT #.JI T. FT. USE OF EXISTING BLDG. -- R.SLD..E OFT. FT. H SIZE OF 1782 sf NO.OF 8 1 2 NEW BLDG. ROOMS STORIES L.SIDE l L/� l FT. FT. — Q EXTERIOR WA L ROOF U COVERING Per Plans COVERING WOOd Shingle REAR 7 OFT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& CL MAIN BLDGS. ACCESS.BLDGS. 0 '/ �" Q Construct new residence with attached CURD#V�s /.• DPPROVED S-7..cp& ( O v In garage. _ APPROVED y�J / J_ a -76 2 �. ! SrZ��1�L REQUIREMENTS o I N U I hereby acknowledge that I have read this application and state ✓ that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ H any person in violation of the workman's compensation laws of In the State of California. 7 y` B z to I hereby certify that am properly licensed as a contractor under /" �� SO. F / O the State of Californi siness and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that licenses are in ful force and effect,or I THE PV RPE OF ESTABLISHING A PERMIT FEE ONLY: ID CC am exempt from a ucovisions of the S California Business VALUATION and Professio tl Division 3, he er V- co A PERMIT FEE $ N Signature of // / 2 J//�� 97 EPermittee �Mej /. (1C24 $ �(%� /// PLAN CHECK $ % / E o Authorized AgentJ[� u N TOTAL FEE $ / 7