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HomeMy WebLinkAbout2107 ORANGE AVE - Building Permits� AOOlicant to fill in ail spaces exce0t t�ose within heavy Go�tler lines anG sign all appropriate tleelarations. . CONSTRUCTION PER � ' '' PE MIT NO. TRACT NOr - LOT NO. -BLDG. . •- , —�- CITY OF COSTA MESA. ' Sn^� � 7/3L/6l �., 5,L' '� ". MIT. ' � . � � �2�i' . � , � . . - . , ., � PrO�ectAddress �� TVPEOFCONSTRUCTION NEW- �ADD ALTERATION REPAIR � � ' ApplicanYsMa(ilJ,i�l/g�Addr�es�s� � ��� ��: • O CONVERSION ❑ DEMOLISH ❑ OTHER � p�p'�t. � �� � - . � ' � � Zone ? � ' VR.�-tXhi C�O.L.ti.0 � �Phone � p OESCRIPTION OF WORK � " � � Owner's Name �/ � � , y, - . . S Main Building: , � , Accessory Building' , Z Address � n . _ 1 , ; , . •-, �- '. � . ' O • I .� ' � - - �,( �� TYPE OF PERMIT � GRADING FOUNDATION STRUCTURAL T Front . . . , , N Arch/Eng. � � � i �Licens2 No. {�3 O�� � � Q', TENANT, 0 ELECTRICAL ❑, PLUMBING ❑ MECHANICAL � j @, . � . • � � x � Addressl " � ` ' . � ": � .❑'� �oTHeR ' �' � . " - .' i r • . � ., _ A Rear. � N ; Convactor'sNamr � , ' hones/�`3f�7,�'��7��J ' PqOJECTDESCRIPTION SQ.FT.� -� � ' � OCCUPAIVCV ' K Ri9ht ' - - , • 1 �- . � ; , , �� R - ' Address�mailingl��3S�Z!_� nl��j�•�(^'��' ��ONSTRVCTIONSVPE `_ ' � VALUATION$-� g Leftl - ' . ' i ; ' f;' � ^ _ � E O'.� /_1/7/ ' ' ' � ZONE � S�� GRAOING CV. VOS JACRES P,Ing. Ref. # '' �• � Park Fees $F �(" ''� U , City�License No. � 7 9 �� ' { LICENSED CONTRACTOR oECLARATION � � � ; � Remarks: ' � � � �� , � � � . ' r Parking Req /Provided � f � � � a � � � I..hereby affirm that I am licensetl untler provis�ons ot Charter9 (<ommencing ' - - ' ' R �^ with section 7000) of Division 3 of the BuSiness antl Pro(e55ion5 CotlE, antl � � � ��� � } �- � ��' � � -Use�of Build�ng: � I t ', i- ' ,� � ���� my Iicense,is in full (orce antl:ef(ect i ' ' '/ ��/ � � I � ' 1 � Plannin Notes: � � i " � ' � � I 7 +? - � � - � M i Licens Class�' C- � Licens o. T��•.�C>b3' ' �; i PWMBING i. � f FEES 9 I '�� � Date � � � " SignaWre � , ' � '. � � � i � 1 . E � �" WORKERS' COMPENSATION DECLARFTION ` } � , ' � Bar Sink : . j - Showers '� � - �„ • I , � � I i `"� � T c I ' I here�y atfirm Ihat I have a�certificate Of consent to self-Inm�e o� a Certificate . ' - . � 1 � - � � 1 � ' � J -�, . I Backflow Preventer Service5ink i j �-� ! S -of-�Work.er5: Compensafion InSurdnce,:o� a Certifi¢tl��Gopy thareot.(Section-�t � • � ' - ' ' � ' . 3800, Lab. C.) c�� ��O � � � � Backflow Irrigation � i � � SewerCap � i . F ^ � � . � � � � � . i� ELECTRICAL ` t - � � � � FEES ? . Policy No.�i1C�Y��3J / Company � .. � - - ' i � BCertliietl coov is hereby fumatietl. ' � � � , , Bathtutis � ' 4 ' , Sewer�Connection' � Automatic Washei� ' � f Transformer ❑ 75-50 KW ' � � � Cerllfiedfppy Is ti U with the city n9 Divizim� i , . � . � , O 50�+ KW � � oate `1 '<(D Applicant _(/� %� ; Clarifiers i SolarCollectors'�' f ConitrucnonPole:Sub. � � , ., , i , , �. , E%EMPTION�FROM WORKERS'COMPENSATION,DECLARATION .., ._ l_ ._ ' ' L. ' - ' -- . - ":,:_ ' , '� (Thissection neetl not be completetl,if the permit is tor one huntlretl ($100) or �" Dishwasher - � - - �t^---� - Solar Pipin9, � �� -� � - -� �- ` - ' ^'Cooking Unit �-� � +Meter ��up�to�100�amps---��r - . � ..� 1 ce�ti/y�that in the OeJformance of the wo�k fo��whicih fhis Oermit is�lssuetl, I� - D�I�king FOUnt2i�5 . SOIanTank ' Dishwasher �,.�� f `Meter ❑over 100 amps , �. N'Y sM1all; not employ any person in any manner so;as to become subject to the . � , � , ' . ' ; workers' Compenution Laws ot Calitornia.� , � .r � � Floor Drains� � Swimming Pool w/Spa � ! • Dryers ❑Gas� �Electric � Sub Panel � � � Date � � $i9natu�e •. � ' • � " . . 1 . , : . : ' � I NOTICE: If,'after making thi5 tleclatatiOn, y0u shoultl becOme subject to Jhe � .�' FIOOf SinkS � '� � � U�ipol � � ' � Fan" � . � { � �MOt0�5 ��-1 HP O1'/x- 8'-� � { ��Workers' ComDensatiom-provisions of.the Labor Cotle, you-must torthwith � ' ' - , ' � ' - ' � compty;with; such provisions or this...permit"snall Ge'tleemetl revoketl. ', ; GasService. � ' .Outletst WaterCloset � F.A.U.-. • ' � 'IncSolari09-15HP�16-15+ ' CONSTRUCTION:I.ENDING�AGENCY ,i�- � � . - 1 hereby afflrm fha[ th¢re is a�con5t�uction'lentling agency fo��the pertormdnC¢ � Interceptors" � `Water Heater ' � ' {� FixtU�¢s. - ' � ' lMicfOwdV¢ � � ot the work �for which this permit is issuetl, (SecHon: 309� Civ. C.) ' - ' ' ' � Lentler s' Name' - t " Kitchen Sink , � . - Water Service - I � Device Boxes ' � ' Pole��Light � � � ' ' Lentler's 'AGdresst � : , „ � ,• • . . �. . � ' . : , OWNER BUIL�ER DECLARATION , =� . � ' " ` = r I � • LavatOries � � � � � Outlets ', � Range ' 1 � � I hereby a(firm th5t I am.ezempt trom the'Contracror's.License Law tor the ��� p_Tra � following reason (Section �031.S��Busine55 antl Professional Coae� Any ury or . P, .`- ' � f - - "' Switches'� � � � ; Si9n � ' ' � munty which requires a pe�mit t0 const�utt,�alter, imprOve, tlemolish on�epalr � . . ' •� , ' � , . ' i any structure�, prior to itsissuance, also requires the.applicant for zuch permit ',RoOf Orams' -• ' ' d�: j •� �' '+' Garbage Disposal '1. '; � Standing�Sections ; �. � � •.to file a�si9netl statement�that he/she is licensetl pursuant to the provisidns of ' " , _ '� � � ,�, � ' � � � � 'the Contractor's�License Czw (Cnapter 9'(<ommencing with SecUon 7000) ot �' ' - �„ , � � '� � Generator 00.5 KW �5-15 KW � � Trash Compactor . �' �ivizion;3;aT the.Business antl"Professions Cotle) or that he/she_is exempt ' � �. , ... - � � �. ' � � � '. i - therefrom�antl the basis for the alleqetl exemption. Any violation of Section ' -' _ ._ • .. . , i ' „ �031:5 by any- appliwnt tor'-a permit; subjects-tne -applicant .to a civil �, � � � ( ' - � , � � , . � � � : ' . � � � �. i .eenalty ot�not more than five fiuntlretl tlollars ($500). �. � + , Reinspection Fee : � $25: " , . Issue Fee � h ', $'3 Rainspeetion Fee $25.��ssue Feof j ; $:3 LI I;,asiowner of, the�praperty o"r�my`employeeswith wages as thev sole .�-. _t ' MECHANICAL FEES � 'compensatlon, will tlo tbe work, Sntl the-structu�e is not inten0etl or oftered � . 9 • t' , , for sale. (Section 4044, Business and Protessional� Cotle:� The' Contracror's ' ! - � � � i � , __ PUBLIC SERVICES REQUIREMENTS: , ' �, ' � ' � �, License Law tloe5 not apply to an �owner o( a property who-0uiltl5 or improves ' ' HOOd Or T � • ' - • ' Boile[ . '- .. YPe I ❑ . i , thereOn, dntl who'tloes such work himselt/herselt o� throuqh his or he� own � - �• • - ��' � Zo�in9 App�Ov¢d By �- Ddt¢ ' � I� . employees, provitletl that such ImD�ovements are not int¢ntletl o� o/teretl tor ''- CdOOpy � Typ¢ I I ❑� , ' � t �. . . � ' � , sale. It, however, the builtling or Improvement is soltl witnin one year of com- Duct ; Under Ground � ; : ' � , , �� , � � qpplication Approved By " � Date }— � pletion„the owner wlll:have'the burtlen of provinq hejshe tlitl mt builtl or.im- ' � ' ' ��,/� . ! • �1rove.for the purpose o( sale). � � � �. , : . Duct - Structural �� �, Refrigeration System �� j��r � � Appliwtion luued By � !�-y"'�� Dat�� aC) � u I, as Owner ot the pro0e[ty, am exclusively cont�acting with Iicensetl con- � - � ' . ' • tractors to coustruct the project Section 7044, Business antl Professions Cotle: � Duct - Ventilating �� 1 ❑6100,000 BTU ❑100,000 BTU . � � ,SUMMARY OF FEES , � � The Cont�acto�'s. License_L2w �oes not,appty to an owne� ot.p�OPerty who ' , , � � �� � � builtls or improves thereon, antl who contracts tor such pro ects with a con- �� � - - ''-' '- i BUILDING PERMIT ,$' SMIP � {$ ' i � Eihaust System 0. MWtrple �( Sys[erri Repair%Alteretion , . � tractor(s) license pursuant toithe ContractorY License Law): , , j j ; , , � PLAN CHECK ' : $ ' ` � PERMIT ! ' � .D;liam exempi under Section B. & P. C. for this reason . Fire I/Fact. Blt: ICBO�# � ' � ' � :` f' 7 ' � P � � ' PLUMBING � $ 'S � � 'ISSUANCE � $" � Date � Owner � � Heating System & Ducting ' � � pLqN CHECK �; ; $ ' � ' � ENERGY P.C. $ ; � . '� , . : • . : � ; .� . , . I hereby tertify mat i have reatl miz application antl state�that the above 1 ❑6709,000 BTU 0100,0006T ;�� , ; � . � � � . • � GRADING '$ -informationismrrect:dagreeto=complywithalicity-antl'countyortlinances -: -- "- •---...--._. .....,.._,... .._.�_:., .,. '....,_....� _ ._ ELECTRICAL $ � � . antl�stata laws relating;to buildin9 construction; antl hereby aurnoriie repre- - � � ' ' � ' PLAN CHECK � � ' $ � f - . �VIICROFILM � $ � � sentatives of� this, City� to en[e� upon the above-mentionetl 'prope�ty tor I ' j ' � �� � � I �, � � , � ' �' �j� inspection puyp : � � ' � � + � . • � Signature A���L - � �—� ' � i + � . . ,. , . . , . . . .. . . . . � � , i � � a � , . � i . . i rev..J/83�'-�White-Bwltling;.Canary-Applicant;Pink=�Accounting:Goltlenr6tl-�AsseSsor.�_..._. ._ � . . __ . ' � ' _� � � : ' . . � : � s...: .�,. _. POOL & SPA�.. - � . ,CONST,RUCTION AND PLANNING _ � , . -. � : � - _ .� APPROVALS: Perrriit #� � a• '-_ Date - � ��Inspector� �'�� APPROVALS= �• Pe"rmrt # - ` " ' Date Inspector .. 1 . - - - . . . - ' � 1: Temporary Electrical_Seivice'or Pole� ' z .' x � ; � ' .` ' �52. Pool & Equipment Location � ' ' � . . - . -, .t. � _ . � 2' Soil Pipe-Undrgmd. ` � . o , � . . � ' � , � " � 53.. Steel Reinforcemenf' � �_ - i3.' Electrical ConduiLUtility-0ndrgmd.'� .`' 7 ;�� . '_ � 54. Porms � � � " - . � - � • '-4! Electrical Conduit-Undrgrnd� � `' _ � . ' 55.• Electrical Bonding � � � - � � �`-5. Steel Reinforcement ^� "� ' ` � - • N�� ,- L � ' _. 56.� RougFi Plumbing & Pressure Test • . ; 6: Electrical;UFER Grnd� R = � . ' ^�� ' . � .: 57: APPROVA�TO-COVER-GUNITE � 7: Footirigs _ ' ' ' � - ' �. � � -. .58•- Electrica�:Conduit=Undrgrnd.� �.,. � . .� . 8. �Foundation � , . ; � � • - � ; = �,59. �Gas Pipe,-O� Uridrgmd.; Test"' , � ' : _' ' - 9. Water Pipe-Undrgrnil�. -;F�i �a - -� _� 60; Backwash Lines, P-Trap, O�Undrgrnd. . r 10i Structural Floor System� '� `� ; � � ,.-I.� '; _ - 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- '� �', � "• ' 't� � - �- ' * ' "' 66- Sola� S sfem'Firiaf" ' Y - - '-- --- - . - . . . �„16. Rough Electric�Wiring, ( � " _ - ''- � :: ;; ; t-"- 67:� Fencing &�Access Approval;^ - - -� - � � - '� - L7: Rough Wiring Sign � . j� � - � �' � ' � : � ` ,68 �APBROVED'FOR'PLASTERING � � ' .� 18. Rough Electrical ,T Bar Ceiling .��- " • � ' � ' -_ ` �'. 69: POOUSPA SYSTEMS�FINAC �� : ' ' .� - �19..RoLgh Heating &;Air Conditioningi; � • � i �" , ' FIRE DEPT. REQUI�REMENT : " s • � . � � 20�. �Rough Factory Fireplace , .� ' � � ' APPROVALS Permit #' ' - � � i 21�. Ducts, in Structure � i, � �i � , � , � � 70. Underground Hyd�o � � • � • ' 22. Ducts, Ventilating. .� � ; - i � � 71. Product Piping O Gas OOiI ' ' � � ' i: . 23�. Gas Pipe-Rough�& TesG � ; � � � � i � ' ^72,-Undergiound Flush �" - � ' ; 24. Roof Framin ' , . � � ' � � g �' , f ,�.: � -73. -Undergrnd. Storage Tank O Gas O Oil . '- �-25: Roof Sheathing � .' ' ' ' "' 74. Overhead Hydro � � � � . , . 26. T-Bar Ceiling (Structural) &•Monocoat. � . �� _ �75• Dry Chemical� � � � . 27: Frame and Flashing„ ' ' . .' � 76. Dry Standpipe _ ' � � 28: �Lathin &Sidin . ' � � �'-i � � - ' . � 9 g, , � 77. FIXEDSYSTEM,FINAC;�:,. , 29. Insulation � • � ' �� � � ; � 78. FIRE PREV.�FINAL � �. � 30. Drywall Nailing ' � � � ' � � i � � � . ' HEALTH DEPT'. REQUIREMENT � � , 31. PlasterBrownCoat ' � � ' 1 ; :� 79. FINAL°INSPECTION' � ' - 32. Electrical Power Meter-Final ���; �� j '-� ' 80. �FOOD CERTI,F.ICATE ISSUED � 33. Final Electric � � � � � ' i ' Noies: : � ; . � � - , 34. Final Heating &•AirConditioning: � • � � ` ' ' � � � ' , , - i � 't � t 35. Final Gas Pipe Test { = • � ; _ � , �� � , ' � " � - 36. Hood or CanopY <' � . - ' a _ y+� � i : • � ' "' ' .. - . . - . .- � � - , 37. Final Factory Fireplace � � � � ' . � ' , . = y `` - ' �� . • :� . ' � . i , � : . , - � . 38. Final P(umbing � ' � . r . L�l � � � (,�� t , . . � � - " .� >� • - . 39. Water Service-Final ' ' � � � � - � '` � t � � � � ' ' ' . � � 40. Gas Service-Final , ( � ' ' � • ' � • � ' � ' ' . � ' . . : . . � i � ' � . i . : � � , � . . � , 41. Solar pomesticFinal� � . , � j � _ _ __ � _ _ � , - _ �. _ . . _. . . . r � 42. Backflow Preventer � � i � S '_. � l � ' • � � � ' ' � � . � ' , � i --'�,-: - - _ -- ' '.{ , ' , 43. Backflow Irrigation ,. � � � i � j � � _ ' � �, 1 .. ; - � : , . , :� t . , ; 44. �Landscape}Irrigation,SYs`tem � , +- ' ± '- ^ � . � ' � ' "' � �, 45. Sound Attenuation fF: � i ' ' � ' � � � � � , ,' ,' , . � - � ' i I � i�� 46. Handicap Regulations` � ' � � _ '� � _ �' `� � ! � � : . . � � � ' � - � � - � I. 47. FINALSTRUCTURE&�BUILDING � � !�_� � - � _ ; , ' � • , , �� . i �. i�.i i� . . . _ 48. Special �Requirements Completed � ; � ' j � ' � - � � ' - � � ; - <- - � i 49. Electrid Release to Edison � `� � ' - - �-� �t- - -r �� - - - - -'�---->-- -• � ,. ' , 50. Gas Release to So,uthem�Ca�ifoinia Gas Cn r � I � • ; � ; ; � : , ; i�� ' ' • -' , 51. CERT.IFICATEAF,OCCUPANCY _ :� ' " �.- _ L •. _ _ T__� .' ._ . _ _ _. � '� No. ' ' N � ^"Date �' � • '" � h ' , i ; , . , 1 --'{ . . . � --�':. '--^a- - . AVP��cant to fi11 in a1l spares exceo< those witnin heavy eoreer lines ana si9n all apDroprlate tleciarations. - CITY OF COSTA MESA �"� - ' '- -' -- ' P MIT NO: ' : TRACT'NO.- - rLOT NO. " ' BCDG. . . - . - '. ' . � , � 5I 79 I 7�� I�'4 ,i �. ' jo:OO -' r� CONSTRUCTION PERMI'L � . ' • - , _ � .lk•Z-�.(�; " � � ; , ; _ ; � �- , . , . 1 , . ,• - . ,. �, ` �' , � , - P�oject Addre55, ' • � TVPE OF CONSTRUCTION � , � NEW � ADD. ALTERATION • REPAIR . � - ' ' AppliCant'S Mailing Add�e55 O //�/' �E Ei �- ❑ CONVERSION ❑ DEMOLISH ,� OTHER' ' _ A p �° ' , :� ' . . : Zone1 ' . _ - Owner'sName- ��� (.^��E Phone �DESCRIPTIONOFWORK - , _ . _ �' � _ �. , . . � - S Main Building: � . ' 'Accessory Building:- ; . Z • _ ' " ' ' _' ' i . '.. O " Address � � ' _ _ ' TYPE�OF PERMIT� �GRAOING. .FOUNDATION- O STaUCrUaaC' ,_ � T'� Front � ' - " , - � , � N ; Arch/Eng ' License No. � ❑ TENANT � ELECTRICAL ❑ PLUMBING' ❑ MECHANICAL � B Rear � - � ' � � � � i � ' Address� . "' , J -/ . �. � - ❑'�oTHER, ' � � ' - p` .- _ � N � Contracto c Nam ' ���CA/� ry% n� Phn� %��� PROJECT DESCRIPTION� Sq. FT. ' �oCCUVANCY' ' C Right �' - . i G /',�, K q ,� �-To�s,�,rFD A�A�-��✓ (L�'t CONSTRUCTIONTVPE VALUATION$ � g Left • � � • : � E � Address Ima�l� gl � . � . . . _ �/�e�9C�I� � 20NE ' GRA�INGCU.VDS. � ,ACRES �P�n Ref.# . . . ' ' P2rk.FeeS$� ' " � n '. Cityt�cPnseNo. ' � �. 9,- . . V � LICENSED GONTRACTOR DECLARATION ' -� { �� Remarks: � ' � � � ; • � �� Pa�king Req./Brovided • ' . ' �- ' , I�hereby�affirm that I am licensetl untler provisions of Charter-9 (commencing ' '' with se<tion 7000) oi Division 3 ot the Business antl� Professions Cotle, Sntl � � ' �' - . ' ' � � U5e of Building: � . � ^ '' !. R my license is in (ull (or ➢ antl�t ct. � ; �'�j� - 1 - • � . E �""'� � � � i; ' PLUMBING . ^ ' FEES � Planning Noter. � . M ' Licens ss ' � Lice e No. T � � � Date ��� 5'9 t �' � . . . . : . - E � WOBI(ERS' COMPENSATION DECLARATION , � � � � Bar Sink ShOwers 'a �' �� N I hereby'affirm that I have a certificate o( consent to selbinsure or a certiticate � ' . . ' . ' ` . .. T ' of- Workers' Compensatlom Insurance, or a�certitied copy 4her¢of (Sectiom _� Backflow Preventer Service Sink S � 3800, L.ab. C�%.��y �7 • BackFlow Irrigation Sewer Cap . ' � ' :� � ELECTRICAL • , � FEES Policy No. �'✓u�/O��'�✓ Company'�'� �%� ' � ' e Certifietl copy is hereby fuenishetl. i - . � � Bathtubs � ' - i Sewer Connection ' 'AutOmatic Washer' � 'Trensformer ❑ 15�50 KW � � j Certi ie o i iletl witn the cit Builtli Div� s�n.�L ' � 50+ KW Date�� ApplicantY � � �Ci�e(��1/� ' - Clarifiers� ` SOldf COII¢C[Of5 ' ' COnSt�UCtiOn P012 Su!]. ' ' � � EXEMPTION FROM WORKERS' COMPENSATION�DECLARATION . Dishrvdsher -" ' 'Solaf'Pi in ' +-' • (This section neetl not be completetl if the permit is for one huntlretl ($100) or . . . P 9 ' �'�� Cooking'Unit 4- `"' ^' - �Meter Dup to 100 amps - �� 1'� -- less). . ' • � , . - ' ' I 1 certify�that �in the performance ot the work for which this permR is issuetl, 1 ' Drinking Fountains Solar Tank � f Dishwasher •� � � Meter �over 100 amps • '� Shall not employ any p¢rson in any manner so as to become subjeGt to the . .� � Workers' Compensatiom Laws ot Califomla.' � � � Floor Diains� . Swimming Pool w/Spa ; � Dryers ❑Gas DE�ectric • �Sub Panel � 4 Oate � Signature ' t � NOTICE: If,'aRer making this declaratlon, you shoultl become subject to the , Floor Sinks , + . Urinal � ' ,� 'Fan! �� � � 'Motors'OO-1 HP �1 %� 8 � Workers' Compensation provisions ot the Labor �Cotle,•you must �forthwitM1 - . ' . --' -- - - - - - � , comply with�such provlsions or�tnis permit-shau be'tleemetl revoketl. � GasService �Outlets: WatecClaset, ' F.A.�U. ' ' �Inc.Solar�9-15HP�16-15+ CONSTRVCTION LENDING�AGENCV � � � I hereby aHirm that there is a'constructlon lentling agenty for�the performance' Interceptors � Water�Heat¢� F Fixtures ' � � � Microwave � i of the 'work :for whiCh� thi5 pe�mit is issuetl� (SecHon 309] Civ. 'CJ - � � Lentler's Name^ . " Kitchen Sink . . ' � Water Service _ Device Boxes � •Pole�Light � Lentler's Atltlress ' � _ , _ - . OWNER BUILOER OECIARATION ' - � - ' Lavatolie5' , _ • � _ , • _ . Outlets ' . ' - � ' Ran9e I'hereby atfi�m that I am ¢xempt TioT the Contractor'S License Caw to� the � p_Tfd � following reason (Section 7031.5 Business antl Prote55ional�Code: Any city or P � ' ' •� ' Switches' ' � Sign � ' � county whlch r¢quires a parmit.to const�uct, alte�, ITp/ove, tlemoli5h�or�repair - - �- � 'any structure, prior to its issuance, also requires the applicant for such permit � Roof Drains , , '' ' ' - Garbage Dispos3l ' ' i , Standing Sections ' � 'to (ile a signetl statement that he/she is licensetl puRuant to the provisions ot - � ' " tne Contractor'S License Law (Chapter 9(commencing�with Section ]000) bt ' , 1- � � Division,3 of the�Business and' Protessions Cotle) or, rnat he/she is exempt . �-' - • - ' . G¢neretOr �0.5 KW �5-15 KW Trash Compactor � � i thevefrom antl the ba5i5 (Or.[he allegetl Exemption. Any violation O( Section � t v ,• , , � �031.5 by any applicant tor a permit subjects the applicant to a civil Reins ction-Fee �� 3 "� enalty ot not more than (ive huntlretl tlollars ($500). - PB $25 � , Issue Fee $' ' , ' 1, �as oavne� ot the prOperty br .my employees with' wages as th¢ir sole , �� Rainsp¢Mion Fee � �$25 � �Ssue Fea� � $ 3, compensation, wiu ao tne work, antl the structure is not intentletl or ofteretl MECHANICAL �, FEES for sale� (Section 7044, Business antl. Pro(essional Cotle: The. Contractor's � PUBLIC;SERVICES REQUIREMENTS: � � � � Licenu Law tloes not apply to an owner of a property who builtls or improves : � � , . � � • Boiler . , Hood�or� Type I ❑ ' � � thereon, antl'who)Goesl such work�him5el//he�selt o� through hIs o� her own .. • .. f f� �_ Zoning Appruved By ' Date employees, provitletl that such improvements are not intentled or o(�ered tor - Canopy . Type II ❑' . � � sale. If, howeve�, the builtling o� improvement is soltl within one year oi com- DuCt'; Under, Ground - Appliwtion Approved By � �ete � Oletion, the owne� will have the buraen of p�oving he/she tlitl not builtl or im- � � , . - � • ' . . �rova for fhe purpose of sale). � � - ; Duct - Structural �, Refrigeration System .,. � Application Issuad.ey � , � nat�� LJ I, as owner of the property, am extlusively contractin9 with Iicensetl con- ❑0-700,000 BTU ❑700,000 BTU tractorsto construct ihe project (Section 7044, Business antl Professionz Cotle: Duct - Ventilating � � � - . $UMMARV OF FEES � .. • • j The ContractoCS.License Law_tloes not apply to an.owner ot property,who. . __ . : _ , _ _ . '_ _-._ . ( . builtls or Improves thereon, antl who contracts for such projects witn a cbn- ' Ezhaust System ❑ Multiple �' �Sys[em Repair/Alteration � BUILDING �PERMIT ��, $ SMIP $ tractor(s) Iicense pursuant to the Contractor's License Law). ' ' P�P,N CHECK '$ ' � PERMIT � ❑.I am exempt untler Section , B. & P. C. for ehis reason ' i Firepl/Fact. Blt. ICBO # ' PLUMBING . �$ J`—. � ISSUANCE '$ Date � Owner � Heatin9 System & Ducting , � ' PLqN CHECK $ ' ENERGV P.C. $ � I hereby certify that I have reatl this application antl state that me above - ❑0.100,OOOBTU �100,0006T ' � GRADING i$ information Is correct. I a9ree to comply wlth ail city antl county ortlinances - - - - - -- �� � --1 . ", ELECTRICAL ' $ . antl-state laws relatin9 to bulltl�ng construction; antl hereby authorize repre- • � � � ' � P�p,N CHECK �$ � MICROFILM �$ ' � sentatives ot tnis�city co enter upon the abova-mentionetl �property for 1 � , ' � ' ' ' , � inspectlon purpases, t .n�'�,�u� . ' ' i �-�� Siqnature � �� Reinspeetion Fee $Z5 ��� Issue Fea ' § 3 PLAN CHECK �$ � � 'CMF0865-46rev.]/83� �White-Builtlln9:Canary-qpplicant;Pink..�qccounting;GolOenrotl-Assessor . _ . _:. ' ', . ' ' ... _ '. '... . _ ` " . ' ' _ �' � . . _.. . . '"'a.. . .. . , > , ,.. .. . ,.. .. 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 ConduitUtility-Undrgrnd. 54. Forms � 4. Electrical Conduit-Undrgrnd. � . .' 55. Electrical Bonding � 5�Steel Reinforcement•; ' �-� i 56.- Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. � �� 57. APPROVAL TO COVER�GUNITE 7:•Footings �- - � - 58. ElectricalConduit-Undrgrnd. � � 6�� Foundation �i • . _ • 59: Gas Pipe, O Undrgmd., Test . 9.'Water Pipe-Undrgrnd. � . ' "_ � 60. Backwa"sh Lines, P-Trap, O Undrgrnd. ' 10. Structural Floor System � 61. APPROVAL TO DECK• ,_ 71. Property Sewer Line & House Connection � ' 62. Backwash & Receptor-Final � 12. Sewei 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 O 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 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 � � //Lr�� C.?GD� � � - 39. Water Service-Final ' � � 40. Gas Service-Final . ' � � � � � 41. Solar pomestio-Final - . . . 42. Backflow Preventer � 43. Backflow Irrigation � . � � 44. ,Landscape Irrigation System � • -. � 45. Sound Attenuation ' • � 46. Handicap Regulations � ' . � . � ' � ' , 47. FINAL STRUCTURE & BUILDING � � � � . . 48. Special Requirements Completed , � ' � 49. Electrie Release to Edison � - ' . - - � 50. Gas Release to Southern California Gas Co � � 51. CERTIFICATE OF OCCUPANCY , . I No. � � ' Date �" � . OWNER LOWE, RAYMOND DATE (,_]_Z-5'j JOBADDRESS 2107-A Orange Ave. BUILDINGPERMITNO. #4H3O GENERALCONTRACTOR AY4RdClgB VALUE $ 7,l�36.O0 AP118-o71-08 AS'PER U.B.C. �or p52 s�ocK TRACT Npt. Hgts. Res, w/att. �ara�e GROUP I& J TVPE V ZONE RLl FIRE DISTRICT L�854 PERMITS ISgUED. INSPECTIONS DATE SUBCONTRACTOR � DATE NUMBER Footing Trench '� � !' /'.3 — � Foundation Forms and Grade to Gar�(�^ ,r�—/� - Plumbin Po � Heating,Final 1'1.L' S �/�/-S' uo Sewer, House Sewer, St. (/ �� 7 SepticTankoi Cesspool y �'WGS /(�S"7 �� Lathing,ln�( Out�( _ ���% Piumbing, Fin�al, Fixtures Plumbing, Fin�al Gas Test Wiring, Final Occupancy � ( FORM 210 3M 10�•vi 30 _ � + � 4854 ' COSTA MESA BUILDING DEPARTMENT P.O. BOX 31J COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL ►N BLIILDINGa,.,, .n rn i n _,,. COSTA MESA. BALIFORNIA OWNER MAIL ADDRE55 ARCHITECT OR ENGINEER AOORE55 LEGAL LOT �� DESCRIPTION NO A.P. NO. — 6 S�ZE �� 3p� OF LOT USE OF EXISTING BLDG. TEL. NO • LIC. NO. CITY LIC. NO. NO.vOF BLDGS. now orv �or SETB�CN LINE FRO � � c[Nr[R oF�siR[[iM ,REAR YARD SIDE VARD RIGHT � LEFT / f/ DESCRIPTION OF WORK ('��' NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH BUILDING � NO.OF SIZE �I ROOMS STORIES EXTERIOR WA L ROOF � L rnvrair�r. ��/ACF i. COVERINGI•A�iv��lU .. FEE RECEIVED � /.7 /jq.il(/ � o i�. 3 u. o� �. �� _ _ APPLI�V�I�N��T3 PERMIT cr�� A�L�V d�� FOR Ci1FFICE USE ONLY � RECEIpT NO. PERMIT NO. BUILOWC ADDRE55 FIRE ZONF ZONf. D MESA. CALIFORNIA PLHrdtJiNG DcPT. PLAN E I55^ED USE OF NEW V I VAR. IV�,�, �? ''{����01/�� /�- ��-,r BUILDING s P�R iys - �J, B, G. �� �- �� _ I HEREBV I�CKNOWLEDGE THATt l MAVE RERO TXIS APPLICTTION PND ST4TE TMAT THE R90VE I$ CORRECT /�NO AGREE TO COMPLV WITM ALL� CITY OROINANCES <NO $T�1TE LPWS REGULPTING BVILOING CONSTFUC� T�o�. VALUATION , q � . PERMITFEE S OL-O ^ SIGNATURE OF ' I' _A' PERMITTEE ✓'���� — � ,/� /� PLAN CHEGK S � O � $ �L (� � � �enir nurHORizEo nceNr � � TOTAL FEE S �/�