The URL can be used to link to this page

Home My WebLink About3254 OREGON AVE - Building PermitsApplicant to fill in all sl c�F_COS7A MES CONST UCT N ERMIT ( ;e�tAdd�e== � -�a�—�`,��_.�� .9 Applicant's Mailing Addre;s � � Owner's Name , hi� Y%%(.L1� Phnna iAddress � � � � � tArch/Eng. � � License No. � �Address - � ConVacror's Nam o � Ph e � Address (mailing) SO iCity License No. 'IICENSED CONTRACTOR DECLARATION . ( 1 hereby affirm that I am licenzetl untle� p�ovisions ot Cbarte� 9(commencing with section ]000) ot Division 3 ot the Business antl Professions Cotle, antl iny license is in tull toycM1ntl.gt��. d0 �� a License /C�las -L J , + 't'�s o. Date��{•� 5'9 [ <f WORKERS'�COMPENSATION �EGLARATION I M1ereby affirm tnat I have a certi(icate of consent�i�e or cer i�icat of Workers' Compensation Insurance, or a cer � th edf q 3800, Lab. C��r`�yy./��Pany • PolicY No. O-J 7 ertitietl copy is hereby furnisnetl. Cer1i 'etl � py � I�wlth the city BuiIQ' ' i' ate %� Applicant � EXEMPTION FROM WORKERS' COMPENSATION DECLARATION �(Thissection neetl not be <ompletetl if the permit is for one huntl�ed ($100) or lezs). I certify that in the performance ot the work for which this perm�t is issuetl, I � shall not ertiploy any person in any manner so as to become subject to the' Workers' Compensation Laws ot California. . � �ate Signa[ure 'NOTICE: If, after making this tleclaration, you shoultl become subject to the Workers' Compensation p�ovision5 ot the Labor Cotle, you must forthwith \ comply with such provisions or this permit shall be tleemetl, revoketl. CONSTRUCTION LENDING AGENCV • \ I hereCy atti�m that�tM1ere is a construction lentling agency for the pertormance of the work for whiGh [his permit is issuetl (Section 309] Civ. CJ Lender's Name Lentler's Atltlresz - OWNER BUILDER �ECLARATION ' ' I hereby af(irm that I am exempt frOm'the Gont�acto�'s License Law fo� tM1e following reason (Section 7031.5 Business antl Professional Cotle: Any city or county whicn requires a permit to construct, alter, improve, tlemolish or repair any structure, prior to its issuance; also requires the�applicant for such permit to file a signetl statement that he/she is Iicensetl pursuant to the provisions of the Contractor's License Caw (Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Cotle) or that he/She is exempt theretrom and the basi5 for the allegetl exemption. Any violation of Section 7031.5 by any applicant'tor a permit subjects the applicant to a civll penalty ot not more than tive nuntlretl tlollars ($500). . � �❑ I, as owner of the property or my employees with wages as their sole compensation, will tlo the work, antl Ihe structure is not intentletl or oiteretl for sale (Section 7044, Business and Pro�essionaPCotle: The Contractor's' License Law does not apply to an owner of a property who builtls or improves thereon, antl who tloes such.work hlmself/herself or throu9h his or her own employees, provitletl that such Imp�ovements are not intentletl or offeretl fo� 5a1¢, It, M1owever, the Guiltling or improvement is soltl within one yea� ot [om- pletion, the owner will have the bu�tlen of proving he/5he tlitl not builtl o� Im- prove tor the purpose oi sale). . ❑ I, as owner ot the v�operiy, am exclusively�contracting with licensetl con- [racto�s to consfruct Ihe p�oject (Section 7044, Business antl Prote55ion5 Cotle: The Cont�acto�'s LicenSe Law tloes mt appty to an owner of property who ' builOs or improves thereon, antl who contracts tor such orojects with a con- tractor(s) license purivant�[o the�Contractor's License Law). I am aware thal proot of ineir Worker•s Compensation insurance shouitl be provl0etl to me. ❑ I am exempf untler Section B. & P. C. fo� this �eason i Date ' Owner ' 1 he�eby certify [hat I have reaa thiz appliwtion and� state thaF tM1e above� information is correcL I agree to comply with all city antl county ordinances antl state laws relating to bui tling construction, antl hereby authorize repre- f th t b t exeeD1 ��osa within heavY borGer lines anC.si9n ali apPropriate tleclarationi. TRACT NO. LOT NO. : UNIT N6. "- 72.. , �E OFCONSTRUCTION LI NEW U AD� LJ ALTERATION�REPAIR � CONVERSION ❑ DEMOLISH' ❑ OTHER DESCRIPTIONOF}NOFfC/USEOFBLDQ'i: „ �- . �„ TVPE OF PERMIT L.� GRADING LJ FOUNDAT}SJN LJ STRUCTURAL ❑ TENANT' O ELECTRICAL ❑ PLUMBING O MECHANICAL ❑ �OTHER • ' ' ' , . PROJECT DESCRIPTION' Sa.FT.� oCCUaarvcY CONSTRUCTIONTVPE � VALUATION$� ZONE GRADINGCU.VDS. ACRES_ Remarks: Bar Sink ' � . Backflow Preventer . Backflow Irri9ation Bachtubs i Clarifiers Drinking Fountains Floor Drains - Floor Sinks . Gas Service Outlets Interceptors � • : � Kitchen Sink. � ' ' Lavamries ., � � P—Trap . Roof Drains Reinspection Fee $15 Boiler Duct-UnderGround � Duct=Structural ' Duct � Ventilating Exhaust System ❑ Multiple � Firepl/FacL BIt. ICBO # Heating System & Ducting, �aioo,000 sTu Oaoo,000ar Sentatrves o is cJt�if e� upOn th¢ a ove-ment�onetl p�ope�rt/y $'S{ r � i inspectlon purp s � ,��te /�'/ _V'J �P � Signature � ' Drivers' License or 55'� Reins ection Fee .$15 CMF 0865-46, rev. 10/84 White - Bulltling; Canary - Applicant; Pink - Accountin9: Goltlenrotl - Asse55or �� Service Sink •- Sewer Cap Sewer Connection Solar Collectors Solar Tank . Swimming Pool w/Spa Urinal Water Closet - Wacer Heater - Water Service - Aum-Wash Issue Fee Hood or Typel ❑ ' � Canopy Type I I ❑ � Refrigeration System � ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers � Issue Fee : A.P. ;1� 5 Main Building: E , T • Front � A Rear - C Ri9ht ( g Left " � Ping. Ref. # ' Planning Notes: . . .i _��_' ! � - . � � �9�J�• ' . � ; i � ., . .. � '. .Zone . � ' ' Accessory Building: � i ' Psrking Req./Provided Construction Pole Sub. Cooking Unit ' Dishwasher � Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets Switche5 Garbage Dispoul Generator �0-5 KW C ELECTRICAL - , � �Transformer ❑ 15-50 KW � ❑ 50+ KW Meter ❑up to 100 amps Meter ❑over 100 amps Sub Panel Motors � 0.1 HP � 1� 5- 8 Inc.Solar �9-15 HP�076-75+ Microwave � � � Pole Light ; Standing Sections 15 KW Trash Compactor $ 3 Reinspection Fee $15 luue Fee FEES DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By � Building Appraved 8y Appliption laued By � $ 3 C-O:U 1� ��4oD TL� 2 ' O N � I - N G - R E Q M T S $ 3 SUMMARV OF FEES � • BUILDING PERMIT $ �_�� SMIP $ ._�_ PLAN CHECK , $ PERMIT � PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $� ' GRADING ' $ ' PLANCHECK� 50% $ ' MICROFILM, $ � MECHANICAL ' $ , TOTA� FEE � $' _�� ' PLAN CHECK � 25% $� � • .. _ .' _ ' _ . . . ._ t . _ , . .. /� /' ✓ _ . . . . . v._�� .. . . _ . _ ONSTRUCTION AND PLANNING . . _ , POOL & SPA ' - -' - ' ' • PROVALS Permit# Date. Inspecfor - p�ppROVALS - Permit# Date Inspector h. Temporary Electrical Service or Pole ' I 52. Pool & Equipment Location . � f , . ,.2. Soil Pipe-Undrgmd. � . � 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 Gmii. j 57. APPROVAL TO COVER-GUNITE � � ;7: Footings 58. Electrical Conduit-Undrgmd.. , � � ,8, Foundation ' , "" 59. Gas Pipe, O Undrgrnd., Test . .9. �Water Pipe-Undrgmd. . ��,% - 60. Backwash Lines, P-Trap, � Undrgrnd. � 10. Structural Floor System � .�i � 61. APPROVAL TO DECK - ' �1�1. Property Sewer Line & House Co�nnection� �� ' . 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 _ . . �d 6. � 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. tRough Heating & Air Conditioning , FIRE DEPT, qEQUIREMENT .� 20. �Rough Factory Fireplace � APPROVALS Permit # � i 21. Ducts; in Structure � 70. Underground Hydro- - � � ' � 22. Ducts, Ventilating � 77. 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 , � ; 28.5Lathing&Siding _ . � � ,77. FIXEDSYSTEMFINAL - ' ' 29. Insulation . . � 78. FIRE PREV. FINAL ' 30. Drywall Nailing HEALTH DEPT. REQUIREMENT . 31. Plaster Brown Coat 79. FINAL INSPECTION " � - 32.YEIectrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED � 33. Final E�ectric � ' , � ' . Notes: �;�� - � " �34. Final Heating & Air �Conditioning �� ' � ' � � ' - � � "' � - 35. Final Gas�Pipe-Test �. � � � , � ' - i 36. Hood or Canopy ' , ,. , ' � � . � 37. Final Factory Fireplace . ' . ' 38. Final Plumbing � ' . � . ' � _ , 39. Water�Service-Final � ' ,� 40. Gas Service-Final � � • - ' 41. Solar pomestic-Final � � � � 42. Backflow Preventer ' . � 43. Backflow Irrigation � � 44. landscape Irrigation System . . 45. Sound Attenuation � ' � . 46. Handicap Reguiations , 47. FINALSTRUCTURE&BUILDING p 48. Special Requirements Completed � • 49. Electric Release to Edison {. � _ , , � � 50. Gas Release to Southern California Gas Co � � ' i � - ' 51. CERTIFICATE`OF,OCCUPANCY , . No. . . . _ . .Date � - . . i _ ' " . � �_o�� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MEBA. CALIFORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT COSTA MESA. CALIFORNIA A�DRESS 1533 Baker Str• c�rr Costa Mesa ARCHITHCP �..s�� e ■ STATE � BHiBACK LIN¢ FROM �rove, Inc st. TNO. KI 9-1 I NO. OP NOW O ��71 ..�... .._ I LEFT S� I RIGHi DESCRIPTION OF WORK I a� II ALTERATION I II ADDITIO EXTERIOR WALL ROOF COVERING $tillCCO COVERING (�OC� : USE OF BUILDING AND WORK TO BE PERPORMED F��E RE�EIVED � JAN 191969' FlPIANCE DEPi. APPLIC�CffO�F�iC�ERiv11T-' � BUILDING For Office Use Only BY .�f1iY j COSTA MESA. CALIFORNIA FIRE ZONE TYPE GROUPi APPROVED ZONING v INO. OF I� use oe n I PLANB 1_ BOIIDINp teaw� (GEMEP YNC 8iJ APPROVED attached ar e. Plan 21BR � V 1 HEREBY ACKNOWL¢OGE TNAT 1 XAVE REA� THIB MPLIGTION THE AMOUNT SXOWN UND¢R VALUAiION IB POR THE ANo eiwie THwT iHE ABOVe /5 CORREGT ANO AGREE TO COM- pURPOSE OF EBTABLIBNING A PERMIT FEE ONLY. PLV WITX ALL CITY OflDINANCEe AND BTATE lAWB eE6ULATINtt auiLOlNa CONeTRUCT1oN. . VALUATION SIGNATURE OF ��' PERMIT FEE $ �6• PERMI7TE - [ $ ].V��.Ol� PLAN CHECK $ 18• AUTNOftIZEO AGENT Dl.lie oleerove. Inc . \I :ITY QF COSTA Projec`. Address — Applicant's Mailing PERM T ADo�icant to fill in all soaces exeept those wit�in neavY Goraer'Iines antl si9n all apDroprlate tlecla�ations. PERM�7 NO. � .�� TRACT NO.� ' I LOT NO. IJNIT NO A P# S Main Building: E. T Frontr B Rear A C Right SLeft Ping. Ref. # Pianning Notes: Owner's Nam�/ � v .r r I—yll� ho ��'� L� I Address 'Lj^/ � �� - � �� ArchlEng. Licenu No. Address ' � ' a Contrector's Name h�ne r' Address Imailing) � � Ciry License No. � LICENSED CONTRACT00. DECLARATI N ' � I.nere0y affirm thaLl am iicensetl untler provisions of Charler 9�(commencing � with zection 7000) of DiviSion 3 of the Businew antl Pm(e551ons Cotle, ntl my license Is in tull fo e tl ffect. ' �+- Licens Clazs � �' Li Se . �G� Date � � Si9nature ' WORKERS' C MPENSATION DECL RATION I hereby'aifirm that I have a certi(icate ot consent to seli-Insure or certificate of Workers' Compensation Insurance, or a certifiea copy tnereof 1(5 ction -3800, Lab: �G� V Policy No. �� Company � ertitietl copy i5 here y urni5hetl. Certi i tl a y i d with the city Buil "visio . /�� Date / AOP�icant EXEMPT ON F OM WORKERS' COMPEN ATI N DE LARATION (Thissection ne¢tl no[ be com0letetl if the permit is for one huntl�etl ($ 00) or Iess). I certity:tnat in the perfo�mance ot the wovk tOr which this permit is i55uetl I� snan not empioy any person in 5ny manner so as to oecome subje<t to the Workers' Compensation Laws of California. , �ate Si9nature ' NOTICE: H, after makin9 this tleclaration, you shoultl become subject to the ' Workers' Comp¢nsation provisions of the Labor Cotle, you must forthwith � comply ',with� such provisions ot lnis permit' shall De tleemetl revoketl.' CONSTRUCTION LEfJDING AGENCV � - ' 1 hereby affirm that there is a construc[lon lentling agency for [he perfarmance of the �work for wnich this Oermit is issuetl (Section 3097 Civ. C.) l.ender's Name � Lentler's.AEtlreSs � � � OWNER BVILDER DECLARATION I hereby Sffiim ihat I am exempt Trom the Contractor's License Law for the foilowing.reason (Section �031.5 BuSiness antl Professional Cotle: Any city or county which requires a permit to construct, alter, improve, Gemolish or repair any structure, p�io� to its:i55uance, also �equires Ihe applicant for Suth p¢�mit ;to tile a'SigneG statement that he/she is lic¢nsetl pu�suant to [h¢ provisions of ' �the Contractor's License Law (Chapter 9(mmmencing with Section 7000) of- � oivision� 3 ot the Business ana Pro(essions Cotle) or that he/she is exempt : 'theretrom and the basis for the allegetl exemption. Any violation of Section 703L5 by any applicant for a permit subjects the�applicant,to a civil penalty of not more than five huntlretl tlollars (5500). ' %�0 I,'a5� owner of the p�op¢rty o� my emplOyees with wag¢5 as thei� Sole � Compensation, will Oo the work, antl the. structure is not intentletl or.otferetl for sale: (Section 7044, Business antl Professional Cotle: The Conbactor's License Law tloes not aOP�Y to an owner of a property who builtls or improves ' the�eon; antl;who does Such wo�k him5elf/herselt o� th�ough his o� he� own , employees, provitletl tha[ such improv¢ments a�e not intentletl o� offe�etl Tor sale. If, liowever, the building or improvement i5 Soltl within one year of com- pletion, the owner will have the burtlen ot proving.he/she tlitl not builtl or Im- prove for the-purpose ot sale). ' ❑ I, as �owner oi the property, am exclusively contracting'with Ilcensetl con- i n 7044 Business antl Professions Cotle: traGtots to mnst�uct the Oroject (Sect o Tne ContractoYs License Law tloes not apply to an owner of property who builtls or improves Mereon. antl who contracts tor such oroiects wit�.a r.on- tracror�s) Lcense pursuan[ m[ne ConVactor•s Li<ense L.aw). i am aware that , proof o1 tneit Worker'S Compeniafion insu�ance shoultl be p�ovltl¢tl to me.• ❑'I am exempt unGer Section B. & G. C. for tFiis reason 1 Date antl state laws re1: sentatives of i inspettion pur Signature Dri'vers' License or 0865-06, rev. 5/BB _ Owner I have reaa this a I agree to co ply ,to builtling nst to e ter on �. � wnite - eui Ging; TYPE OFCONSTRUCTION � LJ NEW U ADD LIALTERATION LIREPAIR' I ❑ CONVERSION ❑ DEMOLISH ❑ OTHER , �DESCRIPTION OF WORK/USE�OF BLDG.. TYPE OF PERMIT � GRAOING FOUNDATI(�N' _ STRUCTV RAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ��'MECHANICAL �❑ OTHER � RQIECT DESCRIPTION 54. F7. - oCCUPANCv CON STRUCTION'TVPE VALUATION $ ZONE GRADINGCU.VDS. ACRES Sink Irrigation � Drinking Fountains Floor Drains Floor Sinks Gas Service � Outlets Interceptors � Kitchen Sink ' � Lavatories P-Trap Roof Drains Reinspection�Fee � $15 Boiler • � Duct - Under Ground '. Duct-Structural , Duct - Ventilating � . Exhaust System ❑ Multiple ❑ Firepl/Fact. BIL iCBO # � � eating System & Ducting U700,000 BTU 0100,OOOBT n ��( Pink - Accounting; Goltlenrotl - ASsessor Showers Service Sink Sewer Cap � . Sewer Connection Solar Collectors � Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater � Water Service . Auto-Wash Issue Fee Hood or Typel ❑ Canopy� Type II ❑ FEES Automatic Washer Construction Pole Sub. Cooking Unit :��i Dishwasher � ; � Dryers ❑Gas ❑Electric Fan - F.A.U: F ixtures . Device Boxes � Outlets Garbage Disposal Generotor �0.5 KW zone Accessory Building: ' Z O N I N G R Parking Req./Provided � E Q ' M L , T G ' ' S. L% iJ�.V IICAL Transtormer 15-50 KW 50+KW Meter Llup to 100 amps Meter ❑over 100 amp3 � Sub Panel ' Motors DU7 HP �i %- 8 Inc.Solar'�9-15 HP 016-75+ " Microwave ` . � Pole Light Range , Standing Sections' 5 KW � Trash Compactor Fee � �$15 � � Issue Fee �- DEVELOPMENTSER " S.3 !.� ZoningAPProvedBY_ � FEES„' euilding Approved By APPlication Issued BY_ Refri eretlon 5 stem � � 9 V ❑0.100,OOOBTU ❑t00,000BTU System Repair/Altera2ion - � Fire Dampers Registers - ' laue Fee � ES REUUIREMENTS: � � SUMMARVOFI BUILDING PERMIT � $ � PLAN CHECK $ PIUMBING $ PLAN,CHECK 25% $ ELECTRICAL � $ ' PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK Z5% $ ES SMIP PERMIT ISSUANCE ENERGV P.C. GRADING MICROFI LM TOTALFEE ES 0 $ 3 01 00022950-000?.29,0,0 T11';' , ?'¢,fj(j �9TE: 12I?Si8$ TI!1F_: �4.'?7 " - 1 � % � POOL & SPA � CONSTRUCTION AND PLANNING T : � . APPROVALS Permit# Date Inspector p�ppROVALS' Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location . . 2. Soil Pipe-Undrgrnd. . 1' 53. Steel Reinforcement � -� 3. Electrical Conduit Utility-Undrgrnd. � . 54-. forms. . 4.�Electrical Conduit-Undrgmd. - � 55. Electrical�Bonding � , . 5.. Steel Reinforcement 56. Rough Plumbing & Pressure Test ;,. � � 57. APPROVAL TO COVER-GUNITE - r 6.� Electrical UFER Grnd.. . _ -; - 7.,Footings • - _ _ � � ' - 58. Electrical Conduit-Undrgmd. " �'^� �8.�Foundation - ' . � • 59. Gas Pipe,.� Undrgrnd., Test � •-� 9. Wafer Pipe-Undrgrnd. � y - 60. Backwash Lines, P-Trap, O Undrgmd. �� 10. �Structural Floor System ' .. � -- - � � 61. APPROVAL TO DECK �. '' -11. PropertY Sewer Line & House Connection _ - 62. Backwash & ReceptorFinal � � 12.'Sewer Cap � - •� -' ' � 63. Heater & Vent-Final � ' 13. Roof Drains �� - 64.� Plumbing System - Final r -�� 14. RouqhPlumbing r � � ' 65.-Electrical-Final � � 15. Rough Electrical-Conduit 66. Solar System�Final - � � 1 16. Rough Electric Wiring , �67. Fencing & Access Approval � �7,7, 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 # r 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. D'ry Che�mical , 27. Frame and-F.lashing 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. FinalElectric Notes:�2-Z%�� '(��(fY,Q�• L.�•.> 34. Final Heating & Air Conditioning r Z� � �/� 35. Final Gas Pipe-Test • ' � � _ 36. Hood or Canopy . . 37. Final Factory Fireplace " � � � 38. Final Plumbing - � � . 39.� Water Service-Final ' � � � 40. GasService-Final �_ . . .� - �� r - - - - - . ....--'.-____.-_ �_.'_ .--_._-.----�-_-"'�.-.. - , 41. Solar pomestic-Final� ; . � 42. Backflow Preventer � � � ��y� � �1 43. Backflow Irrigation �,`j : . t` ��;, 44. Landscape',Irrigation�SYste�m ' � � � ;"' r-. _ � , i 45. Sound Attenuation ' � � � �' , � 46. Nandicap Regulations,� � � 47. FINALSTRUCTURE�&qBUILDING � - 48. Soecial Requirementi Completed ' ' 49. Electric Release to Edison , � . � �' , 50. Gas Release to Southem Califorriia Gas Co � �' � ;� .i '�;' 51. CERTIFICATEOFOCCUPANCY �j •'�`�� _ � No. ' . . -Date � .,�i � 0 PflOJECT ROUflESS: 3 2 S 4 OREGON L��,T I1NIT: OWNEWSNRME: HARDING, GEORG� 'v7 Tr"t FLOOD: X 37 aooaess: 3254 OREGON AVE COSTA MESA,CA 92626 APCH/ENGINEEF: AO�flESS: flEG.NO.: UNIT: PEflMITTEE: FRANCES fiARDING ( 714 ) 596-9291 aooREss: 3259 OREGON AV COSTA MESA CA 92626 LICENSED CONTBACTOB OECIAflATION: I hereby aflirm Iha� I am licensetl under pmvisions ot Chapter 9(commencing wi�h Seciion 7000) ol �irsion 3 of ��e Business antl Pwfessians Cotle, ana my license is in tuil torce an0 efiecL CITY LIC.: STRTE LIC.: CLASS: EXp ; �ate'. Signa�ure: WOPREBS' COMPENSATION OECLAHPTION: I hereby affirm Ihat I have a r.eni�icate ol consen� �o sell-insure or a cerii�i[are o� Workers' Compensation Inmrance. or a certitietl copy Ihereol �Seciion 3800, La�. C�. � POLICY NO.: EXP. OpTE: � COMPANY: I ❑ Cenifietl copy is here6y furnished. ❑ Ceni�ietl copy is �iletl with t�e city Builtling Oivision. �a1e: PpDlicant: E%EMPTI�NFflOMWOflHEBS'WMPENSATIONOECIABRTION: (Thissedionneeano�becomple�etl'theper'i5�oronehuntlrtd�3700�orless). I cer�ity Ihat in Ne pedormance of �he work tor which this permit i issueq I shall no� emplo y pers in any man�er so as �o hecome sublec� Io Ihe �`kers' Compensa�ion laws ot Calilomia. Dat ' �.-3— 9� Signamre: �� NOTICE: tl. a�ter making this tleclaration, you s�ould come su�lact �o �he Workers' Compensaiion pmvision t�e Labor Cotle. you mus� tarthwilh comply with such provisians or Ihis permil 5hall be deeme0 revokeA. CONSTBUCTION LEN�ING PCENCY: I �ereby affirm Ihat there is a constmction lenaing agenty lor ihe Dedorm of Ihe work for whic� Ihis Dermii is i55ued (Set�ion 3097, Civ. C�. LENDEX: ROUflESS: OWNEB BUILDEB OECLABATION: i hereby aflirm �hat I am exempi �mm �Ae ConUac�ors' S�ale license Law tor ihe following reasan �Sec�ion 7031.5 Business and Pmfessional COAe: Any ci�y of coun�y whic� requires a permi� to con5tmci, alter, imD�ove, tlemoliSA, or repair any s�mclure. prior lo iis issuance. also reQuires Ihe applican� tor such permii to tile a signed sfalemen� [hat he/she is licensea pursuam to the pmvisions of �he Contractors' State License Law (Chapter 9(commencing wit� Section 7000) ol Division 3 of ihe Business anU Pro�essions Code� or Ihat he/she is exempt �here�mm antl �he �a5i5 �or Ihe alleged exemp�ion, Any violation of $ec�ion 703L5 6y any applicanl tor a permi� subleats the applicant Io a civil penaliy o� noi mofe t�an five hUndretl tlallars (5500�. I, as owner ol the propertY or my employees wiN wages as �heir sole compensation, will Oo t�e work, antl t�e ❑ s�mc�ure is not inlen0ed ar offere0 for sale �Sec�ion 70a4, Business and Pm�essional CoOe: The Con�rac�ors' S�a�e License Law Uoes not apply m an owner of a D�oVeny who builOs or impmves thereon, and who does such work himsel(/Aersell or t�muAh his or her own employees. pmvitle0 I�ai such improvemems are not intentle0 or otlered for sale. It, however Ihe huilding or imDmvemeni is saltl wiihin one year oi comple�ioq ihe owner will have ��e burtlen a� pmving he/she tlitl no[ hui10 or impmve IOr IhE pufpOse 0� Sdi¢). I, as owner o� tne pmpetly, am exclusively contracting with Iicensetl canVacmrs m constmct IAe pmlect (Section 704d. Business Q antl Pmtessians CoOe: �he Comracmrs' State License Law tloes not apply to an owner oi pmDeny w�o 6udUs or improves ihereon antl w�o conVams tor such pmlec�s with a comracmr�s) license Dursuan� �o Ihe ConVactors' State License Law). I am aware Ihai proal of �heir WoBer's Compensation'insurance shoWU he D�oviOed lo me. � I am exemp� untler Section: B. 8 P. C. / i for ihis reason�. �s g // 7� . Dat - y G7.J —�% Own . Y� I tlo hereby cetltly iha� I am aware o� antl undersland lhe requiremen�s o Califomia Healt� ana Safery Code Sections 255�5. 255 and 2553d and Ihat I or any IUWre hwldmg occu0ant will/will no� (circle ane) neetl Io comDly wii� 5ai0 state co0es an0 Ihe r¢quireme 5 ar a permn lor cons�mclian or mo4dicaiion Imm ihe Pir �uality Managemeni DisVict. FesiOential constmc�ion aDPlica�ions are exem �mm I�¢Se pmvisions. �aie'. ApPlicanC . I �ereby retlify Ihal I have reatl��is applica�ion antl s�ate aramances and 51aie laws rela�ing to butltlmg conSlruciion; propetly IOr inspCCiion purp05¢5. �,// .cT �_.� � — `1� �:"'.__: I OriveYs License ar Social Securi�y M: �: all CITY OF COSTA MESA - BUIL➢ING PERMIT PERM NO; P 068989 PERMIT NO; P 068989 PLAN CHECK NO: N GOVT; N SUPP; N CONSTRUCTION TYPE; V-N PERMIT TYPE: PLU FURPOSE; OTH JOH DESCRIPTION ; ZNSTALL NEW WATER HEATER SQ FT: CLAIM VALUE: CALC-VALUE; GROUP OCC: R-3 / COMMENTS: PLMB PERMIT ONLY x�-�*-�r�r��x-�x-�r**�r**-�**x�-�+r*-��*tt��x--�**��r*�rx��-�r�x-�r�x-�r*�x-�r+r�-�r�e***�r+t��t�ex��r�-*x **��r+t��r-r��-** �+e-x�*��r�-�+��x- Z O N I N G R E Q U I R E M E N T S S E T B A C 3C S ------------ MAIN BUILDING ---------- --------- PCCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKING REQ; PRt�V; PARCEL: 13905306 ZNE: REF NO: PLANNING NOTES> j > ,, � t��r�r+r+�fe�r�it*��x�*x*�rx-*�r�f�x��r�r�i��r�r+r+r�r*�x-��-*f�fr�-x�-�*****+�*�:��*�rir**��*�r�r*�r***�r*�r�r�*�r***x� D E V E L O P M E N T S E R V I C E S,' R E Q U Z R E M E N T S ZONING APPROVEI� HY , DATE: bUILDING APPROVED BY ; � DATE: APPLICATION ISSUED BY; C�r�r !�{ � �- DATE: �!�C �r�r�r**x�*t�*�r*��u��r**�*x � ,r � . *�**+r***** � '�F�3��*�1** iEitiEiFiE�EitilifitiFiElEIFiEifjliEkiEi4iEil�EifiEit3EiEiE9EiEiE#�iFiliFiElEiElfiEkitiEiEifiE a ifif3EifififitiEkifiE*iE#'�fjE3k�1E3E*iEiEiE#'iEifiFiElt LEGALIZATION;N F E E _5 U M-M A R Y STRUCTURAL SEGMENT;N HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7,00 253 � � SMIP/NON-RES PLAN ISSUE FEE 20.00 BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL pAID DUE TOTALS----> 7,00 20,00 0.00 27,0;! 27,Q0 ,00 REVENUE DIVISION TOTALS--> COLLECTED:,, 27,00� OVER/SHORT; ,00 BLDG FMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 27.00 1' � i TYPE PLO I N D I V I D U A L .'. F,'.E tE QTY D E S C R I P T I O N(1 1 1 WATER CLOSET (TOILET). n END� OF FEES r -� S r� • �, • �,, r` /" J ' iE if iE iE iE iF 3E iE iE iE jt iE #F if iF if iE iF if iE iE iE iE iE iE iE if iE iE if 9E jf �)f B R E A K D O W N UNIT COST TOTAL COST '.00 7,00 flL DO1b830d-QO16E30b T�� T �7,pr) DAtE: t7912'a/�5 T?l1E: 14:4` - • CONSTRUC710N AND PLANNING POOI & SPA �' � � APPROVALS Permit# Daxe Inspector APPROVALS Permit?k Date Inspector i. Temporary Electricai Service or Pole 52. Pooi & Equ(pment Locacion j 2, Soil Pipe�Undrgrnd. �/ 53. S[eel Reinforcement �� i ;i 3. Electrical Conduit Utility-Undrgrnd. !� 54. Forms L.� •.` 4, Electrical Conduit-Undrgrnd. �'; � 55. Electrical Bonding -� . ��, � 5. Steel Reinfotcemenc 56. Rough Plumbing & Pressure Tzst %`� '� � � i 6, Electrical U�ER Gmd. 57. APPROVA� TO COVER�GUNITE 7. Footings � 58. Eiectrical Cond�it-Uncrgrnd. ,�� i�. Foundaiion 1;�, � 59. Gas Plpe, � Untlrgrnd., Test �• i �. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgmd. � i�). Structural Ftoor System 67. APPROVAL TO DECK •�/ -� r-'.-, , 11. Property Sewer Line & House Connection 62. Backwash & fteceptor�Finaf � - 12. Sewer Cap � 63. Heater & Vent�Final � ' � 13. Roof Drains �� 64. Piumbiny System - Pinal '' �i ~ 14. Rough Plumbing � " 65. Electricai�Finai ��; 4� / .. 15. Rough Electrical-Condu;t 66. Solar System�Final ,�'' � % Y 16. Rough Electric Wiring �' .r -�� 61. Fencing & Access Approval -f �� ^�; 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING �'. '� �� ,� :. 78. Rough Elect�ical-T Bar Ceiling � 69. POOL/SPA SYSTE�AS FINAL "�� l9. Rough Heating & Air Condit(oning PIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace . � APPROVALS Permit � - 21. Ducts,in Structure 70. Underground HVdro 22. �ucts, Ventilating � 77. Product Piping OGas OOiI 23. Gas Pipe�Ro�gh &'Test � 72. Underground Fiush 24. Roof Framin9 73. Undergrnd. Storage Tank O Gas ❑ Oii 25. RoofSheathfng � 74. Overhead Hydro 26. T•Bar Ceiling (Strucwrai) & Monocoa: � . 75. Dry Chemical � 27. Frame and Flashing 76. Dry Standpipe 28. Lathing &.Siding � 77. FIXED SYSTEM FINAL 29. Insulation . 78. FIflE PREV. FINAL 30. Drywall Nailing •- HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coa; � y �9. FINAL INSPECTION . H � 32. Electrical Po.ver Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Elec;ric --'�� Notes: � 34. Final Heating & Air Conditioning , �' � „-� / � L� 35. Final Gas Pipe�Test - . '�� , ,,� �_� 36. Hood or CanoPY � q_Z�j �. � YL�G/j7 �� - \ 37. Finai Factory Fireplace � ' 38. Final Plumbing ZYJ 39. Water Service-Final • - 40. Gas Service-Final � ! 41. Solar OomestioFinal - 42. Backflow Preventer ' 43. Backflow Irri9ation � 44. Landscape Irrigation System . i 45. Sound Attenuation � � � 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING 48, FINAL PLANNING ' - 49. Electric Release to Edison • i 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY No. Date