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Home My WebLink About2682 PALA MESA CT - Building PermitsJob Address: Suite: Vicinity: Primary Occ: Parcel Number: Applicant: Address: Owner: Address Contractor Address Aroh :�.;..-: Address' � &' : Zip: � P.lan Check: Permit: �::SMIP Res: SMIP;Com: Qther: Inspecpon., 2682 PALA MESA CT R3 TPN050002 Type of Construction: V-N Zoning: Status: ISSUED Applied: 09/22I2005 Issued: 09I22I2005 ZUNDEL,CHAP 2136 CARTWHEEL CI �/� � Phone: 951-893-7805 ISSUED BY: !�_/ r� CORONO Zip: 92880 � �. PALA MESA COURT HOA ' �` - PAS CO WC s_ �::` ��","' � COSTA MESA,^,CA � ��r � Plione �714-641-0593 � „�;�„ PO BOX 2968 OR 2953 RANDOLPH -�. i=, 1; Zip 92628- "�,' 3 �� <Y,�; ` F� �s� � . .'�� DNERSIFIED CONST;RUCTION'AND DEVELOPMENT 9 r � ,.�� .� , , � ~ �o-. ,, 2136 CARTWHEEI CI 1 ` � - ' "'; � a< c , .<,.:;� Phone: 951-893-7805 �° �t5 -� � Qr.�;.. - CORONO . ` s .„ � � '� 92880 ,- License: 558203 ,`�� :`�,�,x,.. i, 4� Phone: � Fi; '. `� �� Llcense: . x g �: ° CONCRETE�TILE-AND REUSE Eng: Address: t s F�ii s ' SCOPE OF PERMIT PLACE WITH SAME TILE ICBO � n�v7 # 2656 AS NEEDED; — � -• �Calc�Vali ,•:.a . � ; � . `� �- Claim;Va .p+.e. .r. . .... ...w.. .. ,u... K. _ L 3 . '�."� }u..a['— 3 � Z'� . Y. - �� A �� :v�� ..�� ' �� . ��, .,�..., t ' .. ' ' ,i�:t;;� YLHNNINIo�� LVNINb SETBACKS r� ,�y, � '-` �r MAINSTRUCTURE �Fiont O�Ogi.; .-:., Rear 0 0 ': Lefl� 0 0 : < _ . . .. _ ,_ ^ , �.� ACCESSORY "`� Front n�v0-,0 ' � Rear 0 0�'-� `' 'LeR 0 0 "� r � +a, s. . .. � :. ..,; _ , � ` ", PARKING .��Existin �.0':" Reauired 0, : ,5;j Prouosed �,�0 �" k`3 h v `, Y � s ��px mt ��.. L �pv,. ' a, s "� ^ ca � ..... . , �'` ',�, r�. '_ �_ • , ��,.•<:,_, ...., ,. ,s - — - � $7,320:00 _ " ` �'s�,szo.00 � Y . ;;. � :,a� � , ' : OE tr: �y .. Right 0-0 Rlg�htF�sO 0 , x.�;'`-� � ct b { ��n �i.. rW:: RRI 2684 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void iF work is not commenced within 180 days, or if work is suspended oi abandoned for a period of 780 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � 2446-4fi (N00) WORKERS'COMPENSAnON DECLARAnON: . I hereby attirtn under penalry of perjury ona of ihe following tleclarations: ❑ �eve entl will malnlaln e cenificata of consent to selt-Insure for workers' compensatlon, es provided for by section 3700 of the Lahor Code, for ihe pertormence of the work for which this pertnit is issued. ve end will maintain workers' compensa[ion insurence, as required by seclion 3700 of Na Labor Cotle, for ihe OeAortnance oi Ihe work for which this pertnit is issued. C My orkers' compensatlon Insurenf� cerd/e1r end policy number are: 6artier �// -rYN�I olicyNumbe: � G'7�`r��z secNon nee�t be comp/eted lllhe permit is ve/ued et one hundred Callars ($100) or less.) 'r ❑ I ceniry thet in the pertormance of the wod r which this pertnit is issued, I shall not employ any person in eny menner so as to become sublect b the workers' com en n lews ot Celi e, end e e he� If I should 6ecome su6jac� to lhe workers " Ions of Sectlon 3700 of �he Lebor Code, I shall forihwflh ywilh seprovi on /�� // cant SignaNr ` � . Y/ / 2� S ARNINO: FNL TO SECURE WOR ' COMPENSATION COVEMGE IS UNLAWFUL PND SHFLL SUBIECT AN EMPLOYEH TO CFIMI NALTIE AND CINL FlNES UP TOONE HUNDRED E(2100,000). IN ADDIiIdJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOF CODE, IMEREST, M1D ATTORNEY'S FEES. ACTORS DECLARATION: e�m licens��(p_r��p[�s oi Chapter 9(commencinq wlih Section 7000) oi Divisio t e Business antl Professions Cotle. and my license Is in full �C � n 1 �� Dflta: C NSiRUCT10N LENDING AGENCY: ❑ by attirm that there is a construction lending egency for ihe pedormance of ihe work tor which this permil is issued. (Sec. 3097, Civil Coda). Lenders Name: Lenders Address: Signature: Data: OWNER-BUILDER DECLARATIONS: I hereby eKrm iha� under penalry of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reeson (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires e Dermit to construct, alter, improve, tlemolish, or repair eny structure, prior to its issuance, also reQuires Iha epplicant tor such permit to file a signetl sietement Ihat he or she is licensed pursuant to the provisions of the Contradore License Lew (Chapter 9(commencing wit� Sectlon 7000) at DlWslon 3 ot Ihe Business end Professions Coda) or that he or she is exempt therefrom and the besis for Ihe allegetl exemption. Any violetian oi Section 7031.5 by any epplicant for e pertnit subJecis the applicem to e civil penalry ot not more than fve hundretl tlollars ($500).): ❑ I, as owner of tha properry, or my emDloyees with wages as their sole compensation, WILL DO TF1E WORK, and ihe structure is not Intended or oNeretl for sale (Sec. 7044, Business and Professions Cotle: The Contractore License Lew tices not apply to an owner of property who Duilds or improves ihereon, end who tloes such work himself or hersetl or Ihrough his or her own employees, provitled that such Improvemenis are not intentletl or oHeretl for sale. If, however, the building or improvement is soltl within one year ot completion, ihe owner-builtler will have the burtlen of proving that he or she did not build or improve tor purpose of sale.). � ❑ I, as owner of the properry, flm E%CLUSIVELV CONTAACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business entl Professions Cotle: The contractors License Lew does not appty to an owner of properry who builds or impmves lhereon, antl who wntrects for such project with e contractor(s) license pursuam to the Contraaors License LawsJ. ❑ I em exempt under sec. Business and Professions Code for this reeson: Signature: Date: Owner ID venTed by drivers license. ❑ Ve5 ❑ No Drivers Licen50 No. E:pires: Vertlication of Ownership by (type ot document, i.e. - pmperty tax bill or tleetlJ: DIVISION OF INDUSTAIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity that no exwvation five (5) or more feet in depth into which a person is required to descend, will be made In connection wit� work euthorizetl by this pertnit, and that no building sirucNre, sceftolding, felsework, or tlemolition or dismantling Ihereof, will be more than thirty-siv (36)leet high. (Chap. 32, Grp 2, Art 2, Sec. 347, lltle 8, Celifomla Administrative Code). ❑ As owner-builtler, I will not employ anyone to do work which woula require e permit Irom ihe Division of Industnal Safery, es notetl above, unless such person has a permit to do such work trom the division. Signature: Date: Division of Industrial Safery Pertnit Number: ARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WIII ihe epplicam or present or tuture building occupam need to file end cenify a Business Plen for emergency response to release or threatened releese o1 e hezerdous materlel7 ❑ Yes ❑ No (Seclion 25505 oi the Califomia Health antl Safery Cotle requires, with some exceptlons, ihat a Business Plen be filed with the Costa Mesa Fire Depertmen� by every business which has et any one time dunng a reponed year e Quantiry of hazartlous matenals aqual to or greater than a welght of 500 pounds, or e volume oi 55 gallons, or 200 cubic feet of compressed gas at standartl temperaNre and pressure). ...._ ........................................................_..............................................................._.........................................................."_"._._..............................................._....................................__............ .................................................... Does or will the applicant or present or future building occupant need to file a regisiration torm for acutely hazardous matenalsl ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safety Code, wllh some exceptions, requires repistration with ihe Costa Mesa Fire Department Dy each Dusiness which et eny one tima has on hend a quanUry ot acNely haiardous meterials equal to or greeter ihen a welght of 500 pounds, or a volume oi 55 qellons, or 200 cuElc feel oi compressed gas et stanCartl temparature and pressure). ........................_.............................................................._._.__....................................................................................................._._._._._......................................_..................................................................._...................................... Does or will the epplicant or present or future building occupant need to prepare an RMPP (Rlsk Management end Prevention Progrem for acutely hazerdous matenals)7 ❑ Ves ❑ No (Saction 25534 ot the Calitomia Healih and Satety Code provides ihat the Cwfa Mesa Fire Depanment may require ihe preparation, certifiwtion end filing wit� ihe Fira Depanmant ot en RMPP by buslnesses which are required to register ecutely hezardous matenals with the Fire Department. ............................................................................................................................................................................................................................................................................................................................................................................ Ii en RMPP is presently required, has Section 25534 oi the California Health end Satery Cotle been fully complied with? ❑ Vas ❑ No .............................................................._................_._............................................._.._....._............................................................................................................._._............................................................._............................................ Does or will ihe applicani or present or future buliding occupant require lor the work which is the subject of this a plication e pertnit for such cnnstruction or modilicatlon irom Ihe South Coast Air Oualiry Management District or from any ofher eir pollution wntrol tlisirict or egenc/� � Yes �J No (Section 658502 ot the Califomia Govemment Cotle requires that ihe requested iniormation be furnished on applications for nomresidential builtling permits). ....................................................................................._._....................................................................................................................."_"................................................. ....................... ................................................................. WIII eny part of tha facility to ba constructed under this permit be within 1000 feet from the outer bountlaries of a school? ❑ Ves ❑ No (If yes', the faclliry must meet the requirement oi Sections 25534 entl 42303 of ihe Calitomia Health entl Safery Cotle). ................... ........................__..........................__._......................................................................._.._......................................"_._................................. ...._...........................................__..................... It e permit from Ihe South Coest Air Queliry Manegament District or othet air pollution wntrol disMct or egency Is required for the work which is the subject ol Ihis flpplicatlon, have all of the tliubsures prescnbetl by Califomia Health antl Safery Cotle Section 42303 been matlal ❑ Yes ❑ No .................................................................._...................................._...._............................................................................. , . ............._..... ................................................................................._............. Qt yes", ettech certificate oi compliance Irom the eppropriate air pollution control otticer). CERTIFICATE OF COMPLIANCE: I cenity that under penalry of perjury ihe information given above is cortect. 1 egree to comply with all stele lews end ciry ortlinences regarding Harardous Mat�erials,�od Emissionds�. �y�a. Signature: •`�� -'� `+ E 53,7''�4:.� ��.'.�W- Date: CERTIFlCATE OF COMPLIANCE AND AUTHORVJITION OF ENTAY: I cenify!bnd`e(,penalry of perjury tha� I have read ihis epplication antl stete that the iniormation given is corred. I agree to compy with ell state lews and ciry ordinances relating to'Guilding consiruction, and authonze representetives of the Ciry of Costa Mesa to enter upon the ebove-descnbetl properry for inspection purposes. I agree not to occupy or allow occupancy of any building authonzad by this permit uNil final inspection. COUE L INSPECTIONTYPE S 1676 Fixed Sysfem F7nal Fire Prevention 1266 Pool Spe Finel 200 Final Re-Rool 201 Final Blak/Retaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolilion �.f751��1uLI59 COOE� ItlSPECTIONttPE 206 Final MethaNWl 208 Final Plumbing 270 Final Electrical 212 Final Fire Prevenilon 220 Final Planning Approval 222 Final Site 250 FinalBuilEing/Occupancy PAIE 1[�LS PAGE ez PASCO 09/22/2665 15:55 7146� �,9 ....�. . . . _..__--�.. ' _. FROM :ClTY' OF COSTA MESFl Fc�k: Nu. �: 714 754 dF3SC. . SeP. 22 2La�� 2:14FY�1 P1 nECLARATItJN OF AUTHORITY aiag.Pa�� FOIt A(iENT$ OF PRQPERTY OWNER T� P�� 7p APPLY FQR PkRMITS -----------•— h7 t 5.�4 q2iuc: ft.0.,�} . $treetAtldrcss� �(�� -- �O�d l�i�L9 �7kS�A APNumlfer 1�� /45SOG/ATioi! jy/.o-,a.nLC-�- t. I(Wel. �.t ��J �— Q� ....._..__.__..___, deGere fhat I am the-0wwac-cF3i�W ot the apove rofefoncAd real prOp1MY, and tAat I(ure) hereby authorize: Nems� �� Y��Sc��,� b.,,,.,,�,r� Jc.'TQ��i'c., Tebphone Number. R�I � l"��f FU � s��e8� n(��075: �3 /�i C9 tr,�-G.�.�-� i� r�2.�..�----�---�---. Gd: �'!S¢�/A Srace: _.�_.��_...._........_.�.. Z�P ,..�_..��gC� GUUR r b o6Lin permifs In my behalf. ea owneNbuilder, for ,.�l�a �l ��_,�'c9 /1� Sa ....C-pit�'��.1_�_� at me a6ove Meronced properry. 2. Stwuld any pellon Become an �mpley�s enpagetl in the improvomertt o( tbe p�operty. 1(we) ahall immediatey Provlde Worker s Cpmpensetlo� Insuranca coveraga and cause a certA�cele al ;hal eoverage to be Bbd witl+ fha Bu�ldin4 Diviabn ef !he Cily of Costa Mesa, ex reQuired by State of Calltomia lawa. . 3. Ia ewnerPoulider in fect, I understend aeW ecceot that my reeponaihiAtie� do not Irartsfer fi any oNier person, companY or corporetbn. 4. t epree to IndernnNy and hold iha Cily of Coeta Maea and its employeea w oNlcers harmless ftpm any claim reaultinp in damaqe or p�ryon�1 in}ury to rtryasH or My OthM Dertfe! ss f teauk ot work vuthorixed by thB pem+#s hom h¢ City of Costa Masa. 6. 1 deCkre u»der tAe penaNy of perJury tl+at the torepWnB Is tfue and CorreCt. Euecutee tA1s �_�tlay o} ��^`�Dt�Y- 20 (1 j�, at �� 0.9�+�7.G , CeIltom�e. �--vti: rh4=Sa A2rvc-^ f+R.G.ia �o��o a� �/ie e>cru2S Pdnl N6me: -L_ ��S X�� ' �%�4/C / S 1-1 n,� L-" �..--..�jr S1gneNrB: �%orn.o,.� �,. Date: ��„__. 4�� 2ln.1'. Nde: Thh e�hoAzetbn does nW 9rant aiAtwnzation b parlorm lhe wak eS owner, n nobry p�m�dea tW Nmited pnMer e1 2taane�l b ceWre Mls Perc�� Y� am/ Mhatt. o�ra+e uw.,,uo� 09/22/2005 15:55 7146� 9 PASCO PAGE 01 __ FROM :rITY OF 405TA MESR FPX N0. �714 754 4855 -�5�i_Sz�3 '�CP. 22 2��5 �2:1dF'F1 F2 � 0� eOd��L %� L�u'i�c� �lvtdiast OWNER-BUILDER ��% VERIFIC:ATI�N Addre+a: ,��/ 7(a%� Permit#: n c?�Y w� coutlty, wl�i¢h iv rcyuired tU give notice pursuant [o Secdnn I y87p, c)7all attaCh to such notiCd, and. ac n cc+nr.iition p:ecedent to issu;ng a huildin,q pernut, nquire Ihe complc�ion and require the �ehim o1', an owner• builJer vrrification. �nention Property Owner: . An bwner-bnilAer' building pinnit has beeu applicd fur in your namc and hea�ing your sip,�mhu�e. PVznse cwnpleie and retum thi> i}tiYocmaeion in the. e.nveb��x. provlded nt yvut eazliest opportuniry to av�id iinn�'ea9sAry dCIgY in prncncainN m�d issuing your building pennit. Np buitdinp nw�nut will Ue issued until_lh;+ �-e:i �Cafiun is ree:ci�cd, . 1. � rxnnnylly �>lan to Ptovide du m�jor labnr ;�nd materials for constn�ction of'the proposed p�upaty improvrment. ❑ Ycn � No � 2. 1(F�relhavennil_,_.,{�i,fi�Q_.�((�'�sigixd an appNeadnn for a huild;ng pcnnit for du pmpased wurk. 3. 7 have contracaeA witlx tlx following p�r.un (fim�l tn provide tlie proyoseJ eunstruetinn: f�'anx .._� r InOQ� �� c� !"'�t;'�jlp�i/c-%7 ��..i . Address.,__ �!'��-� (!�2:72i1�1e'....C�.�.f. .. .. (;ity—(�c>.vd Phone{9��j 4�_ �OS'_.... Cantr;trtnr'sLic.Na $-S`SS"7tl� a. I plan fi proviAe portions of ihz work, h�� I 6uve 1,ired tl�e following peison to coordinatc, snpervise nnd provide Ihe nr.xjor wurk: Name . ._ --.—' .. .. .'--- Ad�rcvs . .. _. _....._ _ Clb'.__. .. - — Phnnr ( ) _... Contrnctor s i.ic. No. _. 5, i will p�ovide snme of the work bui � I�ace contruted (hi�cd) the f'ollowing prisons tn provide the wurk indicaicJ: Namc Address Phune Typc of Work 10A1.Ai'. (RYv 1pM) CITY OF COSTA MESA CALIFORNIA 8262&1200 P.O. BO% 7200 DEVELOPMENT SERVICES DEPAR7MENT September 17, 1990 To: Building Safety Division Code Enfercement Communications Copley-Colony of Costa Mesa County Administration Office County Clerk/Bd. of Supervisors County Registrar of Voters County Tax Assessor Engineering Division (2) Fire Administration Fire.Prevention Manager, MIS Mesa Consolidated Water Dist. Newport-Mesa Un. School Dst. (2) Pacific Bell Police Dept. - Ping. & Research Santa Ana Heights Water Company Sanitary District Engineer Southern California Edison Co. Southern California Gas Co. State Board of Equalization Street Division U.S. Post Office - AIS U.S. Post Office, Adams Avenue File (2) The City of Costa Mesa wishes to advise you that the following addresses have been changed or added: OLD ADDRESS 161 "A" Mesa Drive 161 "B" Mesa Drive 161 "C" Mesa Drive 161 "D" Mesa Drive 161 "E" Mesa Drive 165 Mesa Drive 165 Mesa Drive 165 Mesa Drive 165 Mesa Drive 165 Mesa Drive NEW ADDRESS 2689 Pala Mesa Court 2687 Pala Mesa Court 2685 Pala Mesa Court 2683 Pala Mesa Court 2681 Pala Mesa Court 2682 Pala Mesa Court 2684 Pala Mesa Court 2686 Pala Mesa Court 2688 Pala Mesa Court 2690 Pala Mesa Court A.P. NO. 439-221-64 439-221-23 For your convenience we are listing the agencies above that we have notified of the change. Zn addition to those listed, you are advised to notify your correspondents of the change in order to avoid any possible interruption of mail service. 77 FAIR DRIVE Builtling Division (714) 754-5626 • Cotle EnlorcamenUBusiness Licanse (714) 754-5234 • Planning Division (77a) 754-5245 � September 17, 1990 Page 2 Your cooperation in this matter is appreciated. Sincerely, j � �� Sl RICHARD WELMERS Planning Intern RW:jl(ADDCHNGE.80A) cc: WSS Development Company Jim Westhoff 2 Corporate Park #z02 Irvine, CA 92714 Todd Schooler and Associates 500 North Newport Boulevard #206 Newport Beach, CA 92663 . � I 2683 i 2687 i I 2685 1 I MESA DRIVE _ _ H � O2690 Q N 2688 G Q 2686 J Q a 2681 2682 I 2684 I ,; . CITY OF COSTA MESA CqLIFORNIA 9282&1200 DEVELOPMENTSERVICES DEPARTMEN7 September 17, 1990 To: Building Safety bivision Code Enforcement. Communications Copley-Colony of Costa Mesa County Administkation Office County Clerk/Bd. of Supervisors County Registrar of Voters County Tax Assessor Engineering Division (2) Fire Administration Fire Prevention Manager, MIS Mesa Consolidated Water Dist. P.O. BOX 1200 Newport-Mesa Un. School Dst. (2) Pacif.i_ Bell Police Dept. - Ping. & Research Santa Ana Heights Water Company Sanitary District Engineer Southern California Edison Co. Southern California Gas Co. State Board of Equalization Street Division U.S. Post Office - AIS U.S. Post Office, Adams Avenue File (2) The City of Costa Mesa wishes to advise you that the followinq addresses have been changed or added: OLD ADDRESS NEW ADDRESS �161 "A" Mesa Drive 2689 161 "B" Mesa Dfiive 2687 161 "C" Mesa Dxive 2685 161 "D" MP83 ��1v� io83 161 "E" Mesa Dxive 2681 M �d165 Mesa Drive 2682 sa Drive 2684 165 Mesa Drive �-2686 � 165 Mesa Drive '2688 165 Mesa Drive -2690 Pala Mesa Court Pala Mesa Court Pala Mesa Court Pala Mesa Court Pala Mesa Court A.P. N0. 439-221-64 Pala Mesa Court 439-221-23 Pala Mesa C�urt Pala Mesa Court Pala Mesa Court Pala Mesa Court � For your convenience we are listing the agencies above that we have notified of the change. In addition to those listed, you are advised to notify your correspondents of the change in order to avoid any possible interruption of mail service. 77 FAIR DRIVE Builtling Division (714) 754-5626 • Cotle Enforcement/Businass License (714) 754-5234 • Planning Division (714) 754-5245 �� September 17, 1990 Page 2 Your cooperation in this matter is appreciated. Sincerely, `�� RICHARD WELMERS Planning Intern � RW:jl(ADDCHNGE.80A) cc: WSS Development Company Jim Westhoff 2 Corporate Park #202 Irvine, CA 92714 Todd Schooler and Associates 500 North Newport Boulevard #206 Newport Beach, CA 92663 . ,�� y D� �� PALA MESA COURT 2ooy � 2ss� � 2685 MESA DRIVE -- --� ' �- • _ �-1 i � 0 U W Q J a a 2030 2eas � � 2686 I � r I `U 7 2681 �2682 I 268� raaecrnoonEss: 165 MESA UR OWNEfl'SN�ME:�(7ALA MESA 2 LTD � aooxess: z CORPERATE PARFt #200 IRVINE CA 92714 � 553-8090 RHCHIENGINEEP: , ' RO�flE53:. /uxiT:A CZTY OF COSTA MESA — BUILDING PERMIT PERM NO: HP. 098740 PERMIT NO: HP 048740 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: F�ERMIT TY�E: PLU STR � � PURPOSE: DEM eec.xo:: JOB DESCRIPTION : DEMO SFD SQ FT • UNIT: ' PEpMinEE: pALA MESA 2 LTD ( 714 ) 553-8090 �� aooeess: 2 COROERATE CTR DR . 200 � . ' IRVINE CA 92714 LICENSED CONTMC70P DFCIAMTION: I herehy affirm IhE[ I am licensed unEer Diovisions of Chapter 9(commencinA with Section 7000) oi Oivision 3 0l the Business anA Pmlessions CaUe, antl my license is in full torce antl elfect. CITY LIC.: STRTE LIC.: CLASB: Oate: Signature: "OBNEBS' COMPENSATION OFClAM710N: I hereUy aftirm ihat I �ave a certiticate ol consent ta selFinsure or a certificate af Woders' npensation Insu2nce, or a certilied copy ihereof (Section 3b0U. Lab. C). �LICY NO.: . E%P. OR7E: COMPRNY: � ❑ Certifietl wpy is here0y fumis�e0. ❑ CerlifieE copy is fileG wiih Iha ciry BuilEinp Division. �ata: Applicant: .,' . E%EMPfIOX NIOM WOPKEHS' COMPENSITION OECWWTION: (This section neeC not he com0leted'A ihe pemtt is fa o� hunErM (f100) a less). I cetlity tlut In �he performance of the work tor w�ich Nis permit is i eE, I shall not m lay airy Pe�� any manner so ss to Eecome sublect to Ihe yWo rs' !Com nsation Laws of California. Date: O 1"✓ D SipnaWra: �� NOTICE: If, aiter ma mg ehis Oeclaratian, you shoul e me subject ro the Workers' o ens on provisions of Ihe Labor Code, yau must forthwi�h comply wi[h suc� O�oN - n r this parmit SAall 6e Ee¢ revok . CONSiROCTION LENOINC �CENCY: I here0y aflirm t�ere is a consimction IenUing apency lor the Oehormance of ihe workto� which ihis permA is iuuetl (Section 3W7, Civ. C). LEN�Efl: ' PODflESS: - ' OWNEB BUIIDEP UECLAMTION: I �eahy allirm Nat I am exempt from ihe Controctors' SWte License Law tor the followin0 reason (Section 7031.5 Business anA Protessional Cotla: Any ciry ol counry which requires a Dermit to constmct, alter, improve, Eemolish, o� repair any stmcture, prior to its issuance, also requires t�e aDPlican[ for such permit to file a siAneO statement that he/she is licensed , Dursuant ro Ihe pmvisions oi the Contactors' State License Law (CAaD�e� 9(�mmencinA �h Section 7000) ot Division 3 oi tAe Business anE Pm�¢uions CoEe) or [hai he/she is exempt Iherelrom and the ba5is for tAe alleped exemption. My violation Of Seciion 7031.5 hy ^ey applicant for a permii subjects Ihe apDlicanl to a civil pOnatry ol noi more �han ilve hundred dollars (SSW). 'I, as owner of Ihe DraDeM or my employees with wapes as their sole compensation, will Oa the xrork, an0 the � stmclura is not intentle0 orotlere0 far sale (Section 7044, Busmess antl Pmlessional Cotle: The Contractors' State License Law �. Oaes na[ aODly to an owner oi a pmpeM � �uilOs ar imDmves thereon, and who tloes such woM himsetl/hersalt or �hmuph Ais or her awn employees, pmvideE t�at such impm�ements are not inten4eA or oiferetl for sale. II, however [he Ouildinp or impmvement is mIE wi[hin one year of completion, tha owner will Aave the hur0en ot proNnA he/she Ui0 not hui10 or improvs ° for tAe Durpose of sale). ' � ,y, I, az owner of the pmDe�y. am exclusively contracting wl�h IicenseU caniractors ro consiruc[ [he Drolect 1Sectlon 7044, Business �[9 antl Protessions CoOe: The ConVactors' Siate Lkense Law Gces not apDN �o an owner of D�opetlY who buA0.s or improves Ihereon an0 w�o coniracis for such pmle�� i�� a conlractOr(5)license pursuant ro the Contracmrs' $tate License Law�.l am awa�¢ � �hai D�aaf o/ Ihei� Workar'S CompensiFion insuranc¢ SMuld be OroviEetl to me. � ,� I am exempt untler Seclion: B. 8 P. C. �>„� /� — fur �hi5 reazo¢ � / )� , �„ �, Date: itut I am aware oi an0 or �Califomia Health antl Saf�y�de Sections 25505, 25533, and eed to comply vnih saitl C�ate co0es and Ihe reQuirements far a Distnct. Hesidential constmction aOPlications are exempt from Oate: Applicant: , I hereGy cetliry that I have read ihis appliwtion ana st e inlormal artlinances and state laws retatinp to builOinA consir an anA 're re � property for insD tioyn Dury es. �. oate: ��"/ � Sip ' onver's License or SOUaI Securiry x: ^ 1611-48 White—BuilEing; Green—COEe Eniorcamenl; Canery—Applican�; _ cartect I aAree to allciry antl counry eabovo-membned �• co�aenroa—Aasesso, CLAIM VALUE: 7,500.00 'CALC—VALUE: 1,000.00 GROUP OCC: R-3 / COMMENTS: DEMO SFD (ACCESS PERMIT #10271��G,nOCd11�pU7' �A> �(,�/�l(.�H'�G�L�1 �t**�t*��at�t�tt'*�t*�*+t�***�e�t��*�**��x��*�r*�*��r ** ��xlt'�*�*x��rx****�t�*****�t�r+�*�*,jrat**+t� Z O N I N GS ERTEB�AUCIKRSE M E N T S ----------'-- MAIN HUILDING ---------- --------- ACCESSORY 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• PROV: PARCEL: 43922123 ZNE: REF NO: PLANNING Nt3TES> • ' � { J. � �' ie �r iF �x- x�'ie'x"x�'�'x� * �t"�t'ie'�t * * �t �x-'x� * * af �r * * �t �c' x' * * *'x"�t'�'x- �- * x' * �'+t 3{' * �t �t.'x.* �t'x� * * �-'x-ai' * * �t �r �t' � * x"�'�'�'x' x� �€ *'� * * �t'x� * *'� D E V E L O L� M E N T S E R V I C E S��.R E Q U I R E M E N T S ZONING APPROVED HY � �� DATE: '- HOILDING APPROVED BY : DATE; F,�. Y I APPLICATION ZSSUED BY: � DATE: *�-****�t*x�*****+��t+r*�t�x-x�* �F�iFx x ..-�3F�********��"3F� 3ki6iPit�EiEiFiF3t3EikiFiEikiEifiEitifikiEiEjFiEiFlEiEiFiEltiEdkifaF ., x�titiEiEitiE . iE%iflEiEiEiEiF3EiEiEjEiF3E�iEiEiEitiE3EiE3F�iE�1(�iElfiFiEitiEifdE LEGALIZATION:N F E E S U M A R Y STRUCTURALdSEGMENT:Y i BLDG PMT PLUMHZNG ELECTRIC M' HANIC FIRE SMIP/RES GRADING PERMIT 25,00 2.00 25$ SMIP/NON—RES PLAN .50 ZSSUE FEE 3.00 BUILDING—DIV—> PEftMIT ISSUE PLAN—CHECIC TOTALS----> 27,50, 3,00 0.00 REVENUE DIVISION TOTALS--> COLLECTED;� BLDG PMT PLUMHING ELECTRIC MECHANIC 25,00 5.00 0 TOTAL PAID DUE ]0.50 30.50 ,00 30,50 OVER/SHORT: .0�0 FIRE SMIP/TO�T GRADING PLAN—CI-IECK ; iE iE it 1f iF iE jf iE �43E jf �f iE jE * iF iE 1F iE �E iE jF iE jE aE if iE aE iE 3E iE iE iF �k �E 3f iE fF �E iE iE iE M if if iF iE i63E ik �E 3F �E �M ik IF i! iF 3f it iE iE iF 9E �E 3E iF jE �F iE iE df if !E iE iE if iE iE I N D Z V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 SEWER CAP / DEMOLITION EACH , 2.00 2.00 END OF FEES CS U0058242'r-0005s�so -�-c�-r ao,se CATE: 0^L12:3lSO TYPiE: !S;�;o / � CONSTRUCTION AND PLANNII�ri�r ' _ � JOL & SPA .. � APPROVALS Permit # ' Date Inspector AppROVALS Permit #� Date Inspector � 5.1. Temporary Electrital Service or Pole � " - " 52. �Pool & Equipment Location ' �. � ;�•� � ,' ,. 2. Soil Pipe-Undrgrnd. .- . 53.�.Steel Reinforcement .�+ �•,i 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�Undrgmd. S. Foundation � -� . f � 59. Gas Pipe, O Undrgmd., Test '� '; 9. Water Pipe�U�drgmd. ' _ i� 60. Backwash Lines, P�Trap, � Undrgmd. • � 10. Structural FloorSystem � ! * - 61.-APPROVALTO�DECK ` - 11. Property Sewer Line & House Connettion ' • 62. Backwash & ReceptorFinal "` � �r�' � .' i _ 72. Sewer Cap l� �f � L� 63. � Heater & Vent-Final � ��;�' 13. Roof Drains ' �,= 64. Plumbing System � Final - r � 74. RoughPlumping fl 65. Electrical-Final -� �� .' 15. Fough Electrical�Conduit � 66. Solar System-Final � �'�S ' � � 16. Rough Electric Wiring � ` . 67. Fencing & Access ApP;oval "" � r •- 17. Rough Wiring Sign . - 68. APPROVED FOR PLASTERING' 18. Rough Electrical-T Bar Ceiling � � � 69. POOUSPA'SYSTEMS-F�INAL � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � � APPROVALS Permit # � 21. Ducts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping �Gas ❑Oil 23. Gas Pipe�Rough & Test 72, Underground Flush 24. Roof Fiaming _ 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro ' 26. T-Bar Ceiling (StrucWrall & 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 �' i � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat t� 79, FINAL INSPECTION 32. Electriwl PoWer Meter-Final , . 80. FOOD CERTIFICATE ISSUED 33. Final Electric ,`. � Notes: � ' 34. Final Heating & Air Conditioning � � :� 35. Final Gas Pipe�Test � ! � 'r�, 36. Hood or Canopy�` . ,� r•, ' i / 37. Final FactorV Fireplace ' „ , , , ,; 38. Final Plumbing �� (i�>;� , 39. Water Service�FinaV � � / 40. Gas Service-Final;-? 41. Solar pomestic-Fi�al •! � 42. Backflow Prevenier � 43. Backflow Irrigation _' 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Regulat ons � 47. FINALSTRUCTURE&BUILDING s-,t�'6 %-� 48. FINAL PLANNING %; 49. Electric Release to Edison i: 50. Gas Release to Southem California Gas Co � � � 51. CERTIFICATE OF OCCUPANCY No. Oate PP0.IECT ROOHESS: – 1(j S MESA DR �� - uxR: OWNEWS NRME: W, D, C- DEV . AODRESS: 1( S MESA DR . �.� COSTA MESA,CA 92627 , 553-8090 ABCX/ENGMEEfl: ROB I N HAMERS , . NFG.NO.: C 3I i Y O , �ooxess: Z34 E 17TH ST ux�T:205 C.M. CA 92626 PEpMmEE:W,D,C, DEVELPOMENT (714)553-8090 - ROOBESS: r . z CORPORATE PARK 202 • IRVINE CA 92714 110ENSEU CONTMCTOfl OECIAMTION: I hereby aflirm Ihai I am licensed unEer pmvisions o� Chapter 9(commencinp wi�h Section 7000) oi Division 3 of Iha Business anU Pmfessions Cotle, anU my license is in tull force antl effeci. CITY LIC.: STRTE LIC.: ' CLABS: �ate; SiAnaNre: � �fEB3' COMPENBRTION OECIANITION: I hereby affirm IAat I have a cetlificate ol consent ro sell-insure ar a cehitica[e oi Workers' ensation Ins anc r a c nifieg opy Nereoi (Sectian 3800, Lah. ). ' cr Na.: 1�12 ��01 �— y�0 exv. oere: 7/ O 1/ 91 cornrnnr: STATE ❑ Certifietl copY �s �ereby turnisheA. � Cenified copy is fiteA with t�e ciry BuilAing Division. Da�e�. Ap0licant: IXEMPfION FNOM WOPKEPB' COMPENSIITION OECUMTION: (1hi5 sectian neN not 6e comDleteO il the pemet is lor ane hunErW (5100) or kss). I cetliry �Aat in Ihe pertormance oi Ne work br wAich this permit is issue0, I shall not em0lay any person in any manner so as ro �ecome su0leci �o ��e Workers' Compensation Laws oi Calitomia. ' Date: SiO�aNro: NOTICE: It, after maltinA fhis Oeclaration, you shoultl become su6ject ro the Workers' Compensation pmvisions of IAe Labor Catle, you must fotlhwi�h comply wiih such provisions or Ihis Darmit sAall 6e OeemeU revoked. CONSTBUQION LENOING AGENCY: I hereby attirm Ihat Ihere is a consimclion lentling aqency for t�e Oertormance ol the woM for wnicA this Oermitis issue0 (Sedion 3097, Civ..C�. LENUEfl: • " FODflESS: ' OWNER BUILOFP DECIAN�TION: 1 AereUy aKrm IAat I am exem0� �mm ihe Con[ractors' SWte License Law for the followinp reasan (Section 7031.5 Business and Pmfessional COGe: My ciry oi counry which requirts a�0e�mit ro consimct, alter, imDrave, Oemolish, or repair any stmcNra, pnor to its issuance, also repuires iha ap0�icant tor such permit to file a signed statement that Ae/she is IicenseA pursuan[ to ihe pmvisions of the Coniractors' State License Law (ChaD�er 9(commencinp wit� Section 7000) of �ivision 3 of t�e Business an0 Professions Coae) or Ihat he/sAe is exempt �herelmm ana t�e �asis for the alle0etl exem0�ion. My violation of Section 7031.5 by •ny ap0licant lor a permit subiects Iha applicant to a cinl penalry oi not mom ihan five hunOretl dollars (5500). I, as owner oi Ihe pmperty or my employees wIN wa0es as iheir sole cam0ensatlon,�will tlo t�e work, and the � simcWre is not intentled ar oHered /ar sate (Section 7074, Business an0 Pmiessional Code: The Contractars' State Licenu Law tloes notaDPly ta an ownerafa OroDerty who builtls orimDrovest�ereon, and wAo does such wark himseli/hersellor[hmugA his or her own employees, OmNOea Ihat such imDrovemenis are no[ intendetl or offered for sale. Ii, however the builAinp m impmvemeni is sold within one year oi completion, ihe owner will Aave t�e burtlen oi pmving �e/she did not 6uiIG or improva �or Iha pufpo50 of ule�. � - ' I, as axner of t�e D�operry. am exclusively contractinp with IicanseE contractors to CanstNd the pmletl (Section 704A, 9usine55 � anA Professions CoOe: The Coniraclors' State Licensa Law Ooes not aDPN �o an owner al praperry who hutlAs ar imD« Nereon and who cOntrac�s for SUCh pmle�� w�� a tOnVactof(5) liCense DursVan� Io �he ConlraCiors' Sla�e LitenSe Law�. I am awar0 t�at proof ol their Worker's Compensation insurance sAau10 6e D�oNtleO ro me. " - � I am eKempt unCer Seclion: � . B. 8 P. C. � lor this reason: ,/ � Date: ��7 /�� _ _ " � � I UO hefeby cetliTy I�a� I am aware of antl untlefstanOlhe r¢Quiremen ol Cal'1 mia �iealth and Satery CoOe ion 25505, 25533, and 25534 anJ that I ar any futua builOinB acupant wilUwill not (circle e) ne to comDly with said state cotl and t�e requirements lor a permit lor cnnstmction or moEifiwtion fmm t�e Nr Uualiry Mana men isirict. Residential consimctio aDO�ications are exemD� «om Ihese provision5. , Date'. Applicant: I Aereby certiy t�at I have rwE this application anA stati orOinances an0 sGte laws relatinA �o EuilEinp wnstmcli propeM �or inspectlo Durpo es. Date: `� (gnatur . Driver's License ar Sac� I Secunrv e: Cenary—Applicent: Pink—Revanue: GolOenroO—Nsaeasor i CITY OF COSTA MESA — HUILDING PERMIT PERM NO; GRA 049333, PERMIT NO: GRA 049333 _ PLAN_CHECK NO: 06070-90 A. GOVT: N SUPP,: N• CONSTRUCTION TYPE: PERMIT TYPE: GRA —' � PURPOSE: NEW . JOB DESCRIPTION : 322CY GRADING FOR NEW BUILDINGS #3&4 SQ FTc , CLAIM VALUE: 1,000.00 CALC-VALUE: . GROUP OCC: R-1 /M-1 , COMMENTS: X if if �F ft if i! j! if �f iF iF 3Elk ff ik iE i! 1E �E iE iF if f! fF �E iF iF ft IElE iE iElE iE �! iE iE iElE iE dE iE 1F iE iE i! iE iF ik if �F if it 1t iF �E i! iF 9FlElf fE iF iF iF * iE fE iF �F fF if iE iF iE 1f IE 1F iF Z O N I N G R E Q U I`R E, M E N T S s.a T s A c x s ------------ MAIN HUZLDING ---------- --------- ACCESSORY 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; PROV; PARCEL: 43922123 ZNE: REF NO: , PLANNING NOTES> i ' ) " � _ ' 3t it iE it fk iE iE iE if i! iE iE iE iE it 9t ik i! iF i! if if 1E iE 7f if iE iE iE if iF if ik 9f ik iF it ik ik 1F if it ik it iF iE it iF iE iF iE if ik iE �E iE ik iF k iE iE iF iF if iF iE iE iE iE iE iE if if� it iE iE 3k iE if D E V E L O P M E N T S E R V I C E S R E Q U I R'E M E N T!S i ZONING APPROVED BY DATE: BUILDING APPROVED BY ; DATE; ,� __ if iF �k ik if iP iE if iE if iE if if if if if 3F iF ik LEGALIZATION:N BI,DG PMT PERMIT PLAN ISSUE FEE- DATE: "' J 9f iFifikiFif9kiEifi4i4 ifif if if iE if iE if it iF ik it iF iF iE iE it iF �F iF it iE it it iE i( 3E iF iF IE jE iE iF iF if if iF iF if if iF 3F iF if iF iF iF iE if if iE ik iE iF ik iF if iE iF iF F E E S U M M A R Y STRUCTURAL SEGMENT:N PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING 54.�� SMIP/NON—RES 5,63 ' 3.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CAECK TOTAL PAID DUE TOTALS----> 54.00 3.00 5.63 62.63 62.63 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 62.63 OVER/SHORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN=CHECK 57.00 5.63 � it iF it if iE if iE �t it ik fF 1E ik 1F ik it ik i! fE 3f it dt it jk it iE ik if it ik iF i! iF ik jE iEik 3E fF iF 1k �! iF iE if �! iE ff iF %iE iE 1E �t ft iE it it iF iE it it iF k 1F iF it ik itlt it if if it iE if ik * ib ' I N D I V I D U A L F E E B R E A K D O W N � TYPE QTY D E S C R I P T I O N UNIT COST �TOTAL COST NO FEES WERE SELECTED FOR THIS PERMIT � h�'�. E: � . _�..�.,..... �'� OCT 41990 CITY OF COSTA MESA 1 CONSTRUCTION AND PLANN� '� _ - , �OL & SPA APPROVALS Permit # Date .Inspector qppROVALS Permit # Date Inspector . f. Temporary Electrical Service or Pole.•� 52., Pool & Equipment Location . �.c� .2._,Soil P.ipe; Undrgrnd., -;� `f . 53. Steel Reinforcement • -+C3'�ElecVicai'Coriduit lhi�ity�Undrgmd" � 54. Forms ' . � • n"•�4':ElectiicatConduit�Undrgrnd. -, 55. Electrical Bonding . ��;B�Steel-Reinforcement . v. 56. Rough Plumbing & Pressure Test � � s. '• 6�Electric'_a1ElJPE-R'.Grnd. � - 57. APPROVALTOCOVER-GUNITE � = 7. F.00tings�'y ^C . 58. Electrical ConduirUndrgrnd.. ._ 8. Foundation y� � 59. Gas Pipe, O Undrgrnd., Test - _ . ," °J 9. Water Pipe�UndigY,nd. - . - 60. Backwash Lines, P�Trap, O Undrgmd. ' 10. Structural Floor Svstem `� 67. APPROVAL TO DECK , i t. Froperty Sewer Lirle; & House Connection 62. Backwash & Receptor�Final . � , 12. Sewer Cap �� a ='� � 63. Heater & Vent�Final � . � �n � 13. Roof Drainsy�.-, � � � 64. Plumbing System - Final , 14. Rough Plumbing �. � 65. Electrical-Flnal � - ^ ; 15. Rough Electrica-I-Conduii 66. �Solar SYstem-Final � 16. Rough Electric,Wiring � . 67: Fencing & Access Approval � -�.. . ll. Rough Wiiing Sign _ -� 68. APPROVED'FOR P�ASTERING � �..� 18. Rough Electrical�Y Bar Ceiling � � - 69. POOL/SPA SYSTEMS FINAL .' . � 19uRough �eating &_Ajr ConditioTing ,,.,�y �, F„ �7, K; r„FIRE�DEPT. REQUIREMENT . � �i 20-Ro�gh F.actorr'y Fiie"place : �:' �,% r::� ;F. ,� �APPROVALS�-...Per;Snit # y� - - - < _� 27.�Ducts, in'Struc[u�e'� "" `''-`-� � � r� "� Y�70. Onder ound H tlro � i�i �.K <•H: !j H i ir r 9 � y, -13: ' l?..i h . a.,): ... .� � }. ..- 4 . 22:_Du`cts, Ventil'atingx - ,r, s G �^. C� E--W �� t71. Product-P.iping OGas ��Oil � 23.•Gas,Pipe=Roii�qh&Test ?"5 �Y �' � 'S �'�'� "72, Under rouhdFlu'sh� " E" i r^ r. '<x mr [i!� � C C' :xx. � 9 r-,„ �; c - � . w � c. F .. i... :�. ' �J S :c .r: ; G :> _--� v 24;`Roof Framinq ,: ;, *' . r;- �.�;� �; :73:;Undergmd.Storage=Tank�OGas ❑Oil 25. �Roof SN"eathing ��' `� ``'� y � = c�� ` Y7q^Overhead H dro=, Y �, _ � .,..� -y :�:� x Y Sc� A: 26:"T�Bar Cellin (Stru4tural) & Nlonocoat ` �" n� x c -� ,: r; ..� .� 9 x: O r �Jr � 75,r_Dry Chemical :,;. x: 27...Frame and Flashing� �� r�" >' �'- x 76. Dry Stand'pipe F''� '� . ....,, -, s: , a• , i: rl n� r-: :: . �: G, �rf ^ C; .1: z, . `..,� X .-. '_i,-� ^•l :) 28! Lathin'& Sidin F. 9 9:c ^JxE, O M i �, .;. 77�; FIXED SYSTEM�',�INAL. �� !� � y S 1.: ( I 4K x� � x: c: i' 29. Insulation �• x,�, _ C� x. 781SFIRE PREV. PINAL ,� .;� �� 30. Drywall �Nailing j, ,-� i c. j � �ii:. ~ HEALTH=DEPT: REQUIRETNENT J31. Plasrer Brown Coat�'S � P"T '* I Fk �"79.�FINAL INSPECTIO'N �^` -s � r.�c.. Y � .a �L ;.�C'- '-+ Y; !� rn . `-' " L� ' " � � �" � �,-'}. ,Xj�-, `'SOK'FOOD CERTIFfCATE ISSUED,� � ''32:-Electrical Power Meter�F�nal. I -33 final EI"ectric x � ' � '- j ( �* � Notes: '��c r `'� C �� -Y : I^ :I.�t..� r+ ]'fY L':1' Cy fi�'. Fl �'.34�Pinal Heating�.& Ai%Con`ditioningS ;,� �� F y, u � " ''� '� - - "� 35.'Final Gai Pipe-Testr �� 'k �-; � -- �k �. 7 � C�� ' (-+ k > .n x �+ ::� -36._Hootlor=Cano ': ' �'`�� ' �`' I 1 '•": = Y �r �% !: .� J PY r i CCrr, w x � t' p* k :T! %Cc..• !: [x7 , _. .. G: .' O - � --37.�Final Factory Fireplace-C � ��C-� ;t �r � i :•,�' ' :!� -- .- ,. r.� :i x vt c • y� •- (` %: r.: ' a... r. � � ~ ^.Y ri ~ : x: .�. 1^.` _ `38.=Fina1 PI'umbing y,� �� f , i� x- ,., � E, `y - ,,.39 `Water Service-Final„ s � i c. � I %;. � � c :~ � � .-� � , ' �.�� _ :t 1' r; ^� �40!Gas Ser"vice-Final '� - �'�'"� _.� .� ""- : i [: z �= �� "'' } • �� 2: .l l. K• r14�[-. jt � Fp • V]..�, �:V� .� :J t � •• 1 ✓ �;41 �Solar pomestioFin'al" .,r, � � � Ei. x - ._,. x ;r > 7; � - - - - -, � , s' - , 42. Backflow Prepentsr' ,,. ' � M� . ' r' t � �y y � E y - C� � .T� ti .� ��F-lu '✓ 1-1 � � i�! �J� ' - . 43. Backflow Irngatiorv. r a: !: .� r ti f �" r, ,--.. ..a'+ T44.,.,Landscape liripatio`n System"``�� ' ''� J '=� �x .r� - :�: ;� � ; r n; - -- _ C .... C•7 t r:, W; 4 �;. � ] Z � Q -. '< ` 'r+ � _ � j � � . ir �1 J ^ � n - � .� .�. 45-Sound Attenuation • �• � ;v �; n'� � � - • r�C:.- x - i' x �46lHandicap Regulatio`ns ,''r" � y _ � ` � ' �: � - - =`� h, ,47 `FINAL STR�UCTURE & BUfLDING ..`� �w�% _ �✓ -� ;. . _ - w r.- -i a. .'Fi �48.�FINAL PLANNING � F"� ` . � : ti * :� ':: e: r -' a� .-� ,� � . X s. � f� e: •:; �49 �.Eleciric Release to�Edison ; ^� � °, ',": ,^ . .� :� " - - .-• - -�- r', � 50.`Ga �Release to Southem California Gas Co k � "� *�" H� y�� • O Tr • � n �..�. 'J7 `�51. CERTIFICATEOF'OCCUPANCY ` .•" -'�"" ^-. � . No. Date Applican� to fill In all Spaces exeept those within �eavY Do�Ge� lines anE si9n all avPropriata tleclarotions. CITV OF COSTA /MESA /�COtNSTRUCTION PERMIT Proje�?F�ddress �([LS ��LP-�°� � � �� _ Apelicant's Mailing ddre s �� M� Owner'sName �� %�N��/a/-1Lphone Address I 6-� M t�%%(! 7(� F Arc�+/Enq. i7GU�1 EQ _ � Licenu Na —' Address Contractor's Name �L1 E Phone Address (mailing) Ciry License No. LICENSED CONTRACTOR DECLARATION I hereby aff r t I am licensetl untlet provi5ions oi Charter 9 Ammencing WIIh SCCII00 i0�0) O � 30} {h B S�O255 d 255�Of15 COf/E. dllll 'icense is f 11 f tl ft t �• ise Clav � _ ..a Si9nature WORKERS' COMPENSATION DECLARATION I nereby a(firm tnat I have a certificate ot consent to selt-insure or a<ertlflcate of Workers' Compensation Insurance, or a ceriitietl copy thereof (Section 3800, Lab. CJ Policy No. Company 8 CerHfietl copy is hereby furnished. Certified copy is tiletl with the city Builtling Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl not be completetl if the permit is for one hun e�f ($100) or less). I certi/y that in the pe�fo�mance ot the work fo� which this ¢rm�t is l etl, I snall not employ a� y person in any ner so as to b e sub�jec ft he Worke¢' Lwnoens9tinn-LawS of 6ali� ia. � _ NOTICE: If, after makidg this tleclaration, you 5ho�b6Wrife SUbject to the Workers' Compensation provisions ot the Labor Cotle� �D'U must forthwith comply with such provisions or this permit shall be aeemetl revoketl. CONSTRUCTION LEN�ING AGENCV I nereby affirm that there is a mnstruc[ion lentling agency for Ihe performance of Ihe work for which Ihis petmit is issuetl (SectiOn 3097 Civ. CJ LPnder's Name �entler'S AGtlress OWNEH BUILDER DECLARATION •reby atiirm lhat I am exemD� from the Contractor's License Law tor the wing reason (Section 7031.5 BuSiness antl Professional Cotle: Any city or ,ty which requires a pe�mit to construct, alter, improve, tlemolish or �epair structure, prior to its issuance, also requires the applicant tor such permit �., file a signetl staiement that he/she is licensetl pursuant to Ihe provisions ot the Contractor's License Law (Chapter 9(commencing with Sectlon 7000) of Oivision 3 of the Business antl Professions Cotle) or that he/sne is exempt therefrom and the basis for the alle9etl exemption. Any violatlon of Section 7031.5 by any applicant tor a permit subjects the applicant to a civil �enalty of not more than five huntlretl tlollars ($500). I, as owner ot the p�operty Or my employee5 with wd9¢s as th¢ir sole compensation, will tlo tM1e work, antl tlte Struttu�¢ i5 not int¢ntletl O��otferetl for sale (Section 7044, Business antl Protessional Cotle: The Contractor's l.icense Law tloes not apply ro an owner ot a property who builtls or improves tnereon, anE who tloes such work Itimself/herself or through his or he� own employees, provitletl that SUCh improvemen[5 ar¢ not intentletl or O(fe�etl for sale. 11, bowever, me builtlin9 or Impruvemen[ is soltl within ona year of com- pletioq tne owner will have the burtlen of provin9 he/she tlitl not bulltl or im- prove for the purpose oi sale). ❑ I, as owner of the property, am exclusively mntracting with licensetl con- tractorsto construct the prolect (Section �044, Business antl Protessions Cotle: The ConVactor's License l.aw does m[ appty to an owner of property who builtls or imoroves thereon. antl who conVacts for such oroiects with a r.on- traclor(51 license pursuant to me Con[racto�'s License Law). I dm awa�e thdt proof of their Worker's Compensation insurance Shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason Date Owner I hereby certify that I have reatl this application antl state that the a. information is correcL I agree to comply with all city antl county ortlina antl state laws relatin9 to builtling construction antl hereby authorize ri sentativ¢5 of is city to enter on the ab -mentionetl property in5pection � es. � Signature � !G} E. � te �rivers' �icense or 55 � �� - `�' Z o TYPEOFCONSTRUCTION �IVEW �U ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHE� _ �pQG DESCRIPTIONOFWORK/USEOFBLDG. C'yl � r+ e e TVPE OF PERMIT ' LJ GRADING LJ FOUNDATION �STRUCTURAL � TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5py' FT. ,6�. �Z—�� oCCUaANC ___I CONSTRUCTIONTYPE/ /�Q/hr�.� VALUATION$� ZONE � GRADING CU.VDS. ACRES_� Remarks: � .�7 � .-Q�. ' � Bar Sink Backflow Preventer Backflow Irrigation Bathtubs rinking Fountains loor Orains loor Sinks as Service Outlets Kitchen Sink Lavatories P-Trap Roof Drains Reinspection Fee � $15 Boiler Duc[- Under Ground Duct - Structural Duct- Ventilating Exhaust System ❑ Multipl� FirepVFact. BIt. iCBO dk � Heating System & Ducting ❑ o-i oo,aoo e'ru O i oo,000 heinspec[ion Fae � $15 0865-a6, .ev. 5/Be Wp��e - Builtling; Canary - Applicanh Pink - Accounting; Goltlenrotl - A5zeS5o� Showers Service Sink Sewer Cap Sewer Connection Solar Collectors SOlar Piping Solar Tank Swjmming Pool w/Spa Water Closet Water Heater Water�Service Auto-Wash Laundry Traj Issue Fee Hood or Typel ❑ Cano,py Type I I ❑ Refrigeretion System ' ❑o-ioo,000aTu ❑ioo,000eTu System ftepair/Alteration Fire Dampers Registers laue Fee A.P. # 7� . S Main Building: E T Front A Rear C Right K � . Left Ping. Ref. # Planning Notes: ( FEES P.utomatic Washer Construction PoleSu Cooking Unit Dishwasher Dryers ❑Gas ❑EL Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0-5 KW $ 3 FEES $ 3 \ . ZOne �- Acc sory Building: �� Z 0 % � S •. N iy� q J�o N S� q Parking Req: Provided E Q Gc \1 M T ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter Dup to 100 amps Meter ❑over100amps . Sub.Panel Motors OO-i' HP � 1%- 8 - I. Solar 09-15 HP 016-15+ Microwave /� Pale Light Range '� � Sign � Standing Sections 5 KW Trash Compacror I Reinspection Fee �$15 I ' 15sue Fee DEVELOPMENTSERVICESRE�UIREM� 2oning Approved By Building Approved 6� „J , �� SUMM�ARV�OF BUILDING PERMIT $ � PLAN CHECK $ �y� 3� PLUMBING $ P�P,N CHECK 25% $ ELECTRICAL $ PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% $ FEES $ 3 / SMIP $ • -» PERMIT ISSUANCE $ ENERGV P.C. $ GRADING $ MICROFILM $� '/ TOTAL FEE $ L(03. �O Q 1 QGii=2979–QOA42981 T � � :c�?, �L� DAT�: ']9I'10/E9 Tt"IE= 13��U CONSTRUCTION AND PLANI " 'OOL & SPA Date Inspector Date Inspector APPROVALS Permit# � APPROVALS Permit# ��,. Temporary Electrical Service or Pole � _! 52. Pool & Equipment Location 42. So�Pipe-Undrgrnd. - 53. Steel Reinforcement . =�� 3. Electrical Conduit Utility-Undrgrnd. , 54. Forms � , J� "'4. Elect�ical 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-Undrgmd. 8. 'Foundation �� 59. Gas Pipe, � Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. �� '' 60. Backwash Lines, P-Trap, O Undrgrnd. �� f• � 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 I 15. Rough Electrical-Conduit 66. Solar System-Final - � 8�.� Rough Electric Wiring . 67. Fencing & Access Approval 17., Rough Wiring Sign 68. APPROVED FOR PLASTERING 18�. Rough Electrical-T�Bar Cei�ing 69. POOUSPA SYSTEMS FINAL �19. Rough Heating & Air Cond �oning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace �f � • APPROVALS Permit # 21� .Ducts, in Structure �, . 70. Underground Hydro 22. Ducts, Ventilating � � , j 71., Product Piping 0 Gas ❑ Oil f 23.�Gas Pipe-Rough & Test I � 72. Underground Flush � 24. Roof Framing � 1' , f ' � ''73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing ,i�'�� 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 ,7i' �HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ;�� - � 79. FINAL INSPECTION � " � 32. Electrical Power Metef=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 . - i 40. Gas Service-Final � � , - � ; . 41. Solar pomestic-Final , i� • � `„ �.� 42. Backflow Preventer � � � "' j' ! ;r i� . . � 43. Backflow Irrigatiom ' � � . f� j �`• : , rr 44. �Landscape Irrigation System � ' ', jA' i 45. Sound Attenuation Ir� � 46. Handicap�Regulations �! ' . � 47. F.INAL STRUCTURE & BUILDING L.y�9'f � - 48. Special Requirements Completed � 49. Electric Release to Edison ��. % �� ' /.a 50. Gas Release to Southem California Gas Co - '� � ''f - %: � 51. CERTIFICATE OF OCCUPANCY ' ' ! ,., . - I/�,1'� i � - No. � Date � ' � rY OF COSTA MESA BUILDING DIVISION OWNER�$UILDER VERIFICATION ' , : A aty w oountv. �+�+ich k nquind tp pive notia purswnt tc StRion 1D830. tfull atufi to weh fwticl. a�d, as J tondition procedmt to hsuinp � buildinp pertnit. require ths onmpl�tion �nd rpuire the return of, �n ow�xr-0uiMer varifiotion. _ Anent�on PropertY Owner: An bwnerbuilder' buildinp prrmit Mt b�en �pplied 1or in your n�me �nd barinp yow tipnsturt. Pleau oomptete and retum thic f�formation in the �nvelopc prorided �t your Nrliat opportunity to awid unneeecsary delaY in pocessirq �nd Iauinp your buildinp parmh. No buildinp permit will be itttxd until this verifiation ft roc2iYed. 1. 1 D��+��Y 04n to Provid� j�fr rn�ja Vbor �nd m�teriaic for oonctruction ot the P�oPosed poperty improvement. RFYsc D No 2. 1(haveAuve . s�pr+ed an �ppiiation for a buildinp permit fa the poposed work. 3. 1 fvve contncte with the fotlorviny Wart�e -� � Addnss to P�nvide the OSoposed oonttruRion: PhoM ( I ContnROr't UC. No 4. 1 Olin to provide ponipn at tAa work. but 1 Mve hind the tollowirq person W 000rdirote, wpervix and provide the msja wwk: w�++� Address Pnone 1 C+cr Contraaor'� lie. No 5 1 will provide wme ot the work but I h�ve oontratted (hindl tl+e followin0 perton to previde the work indieRed: Idame Addra�s P1wro TYM ot Work 1 herebv aNirm ttut 1 luve nnived � eopy of t�e Inforrrution ut (ortfi in Srction 18830 oi the $tate ot dfitomia Huhh �nd S�fety Code tnd Iv�e oompletsd the above inlorm�tion u the bat oi my personal kno� . in wmpliu�a with thit Slaa �. bC�� ^ i i r �� Dstr. �-!� ��-s . / �' �'i - J t�6me: 0��.�� O� rtlG'�'I N/L> (Printed or Typed) � C.D.L. frn 5.5. tF ��- � -��'� SEP 2 0 1989 ar �a:+s 754-5273 �I 9 Pfl0.1ECTR00HE55: I6S MESA DR uN�T: 1 OWNEfl'S NAME: PALA MESA Z I LTD nooREss: z CORPORATE PARK Ii202 IRVINE CA 92714 (714)553-8090 AXCHIENGINEEfl: TODP SHOOLER NEG.NO.:CO1%323 ADONE55: SOO N. NEWPORT uxir: NEWPORT BEACH CA 92663 PENMITTEE: JIM WESTHOFF ( 714 ) 553-8090 aooeess: 2 CORPORATE PARY. 202 IRVINE CA 92714 UCENSEO LONTPACTOB UECLAflATIUN: I �ereby allirm ihal I am IicenseE unCer pravisions of ChaD�e� 9 kommencing vnih Sec�ion 7000� ol Oivisian 3 al ��e Busine55 anE Pmlessians Cotle. anA my license is in full force ana eifect. CITY LIC.: STATE LIC.: ClASS: Daie� Signature: WUPREflS' COMPENSRiION OELUMTION: I herCGy aflirm IIIdi I �ave a ceNliWte ol tansen� to 5elbinsure or a certiliUi2 0l WorkeR' Compensaiion Insurance. or a cendiea coOY ��ereol (Seclion 38IX1. LaC. C�. �POLICY NO.: E%P. OATE: COMPANY: .� Cenilie� copy is �ereGy lumished. ❑ Certiti¢d toDY �s filetl wilh Ihe city BuilAing Division. Oate: Applicani: E%EMPTION FA�M WUFREBS'COMFENSFTION OECLABATION: (TAisseclion neetl nolUecompletetlilihe permiti5foronehundre0�51(q)orless�. I cetlity Ihat in I�e pedormance ol I�e work lor whicA �his permit is issued I s�all nol employ any person in any manner so a510 become Subleci to the Nlorker5' ComDensalion LawS ol Califomia: Da�e: SiqnaWre: NOTICE: If, after making Inis aeclaration, you snouttl become suUjed to the Workers' Compensation provisions ot Ine La�or � COOe. you muSi �atlhwiih Comply wii� 5ut� pmvi5ioirs or Ihis Dermi� 5hall be tleemetl revOkeA, CONSTflUCTION IENUING AGENCY: I hereby aliirm, that Ihere is a cansimdion lentling agency lor Ihe Oe�o�mance of Me work �or which Ihis Dermit is i:suetl (Section 3097, Civ. C�. LENUEfl: AOOPESS: OWNEP BUILUEB OECLAflRTION: I here�y allirm Ihat I am exempi imm �he Contrac�ors' State License law br the foilowing reason (Sec�ion 7031.5 Business antl Pmlessional Code'. Fny ci�y of county which requires a permit �o constmm, alier, improve, tlemolish, or repair any siNcture, prior Io i1s issuance. also repuires ine ap0licanl �or such permit Io lile a signe0 slatement t�at �e/she is Iicense0 pursuanl lo Ine provisions ol l�e Conlracbrs' $Iaie Li[ense Law (CnaD�er 9(commencing wit� Seclion 7000) oi Oivision 3 0� Ihe Busine55 antl Prolessians Coae1 or ina� ne/sne is exempt iherelrom antl the �asis for the alleqe0 exemption. Any violation oi Section 7031.5 by any applicanl lor a permil su�lecis Ihe applicant lo a civil penalty of noi more �han �ive hundrea Aollars (5500). I, as owner of Ihe pmpehY or my employees wilh waAes as their sole compensaiion. will tlo �he work, and �he ❑ sVucwre is nm imenOeU or olferetl lor sale (Section 70aa. Buvness antl Pwlessional Code: The Coniractors' State License Law Ooes nol ap01y to an owner of a pmDe�Y who builtls or impmves thereon, antl who tloes such wark himsell/�erself ar ihmugh his or her own em0loyees. O�ovi�ea t�at suc� im0�ovements are notintenUeO ar aifere0 lor sale.li, howeverlhe Ouiltling or impmvemem fs wIA wilhin One year o� completion, Ihe owner mll have iM1e �urUen o� pmNnp he/she did not huiltl ar improve �or Ihe Durpose ol 5aie�. I, as owner of t�e pmpetly. am exclusively comracting wilh Iicense0 conirac�ors �o cons�mci the pmle�� (Sec�ion 7044, Business � and ProIe55ion5 COtle: The COnifat�ors' Slaie LicenSe Law tlaes noi apDly Io an Own¢r o� pmpetlY �+'�o builds Or imDmves �her¢on ana who conVacls �or sucA pmlecls wit� a caniracloqs�license pursuanl�o the Cantractor5' Slate LitenSe Law�. I am aware I�ai Drool ol Ihei� Work¢r'S Campen5alion insurante ShoU10 Ee pmviDea �o me. � I am evemp� untler Seclion: B. 8 P. C. lor Inji reason' oa��/��9/ � i ao neret(y cetlily ��at 1 am awa�e ol and unCers�anG I�e reQuirements C u ia ealt� and Sa�ery Co ec� ns 255f15, 25533, and 2553a ana �hat I o� any IWure �uilGmg occupam wilVwiil not (circle one nee o cam � i! a e a..d �he requiremen�s for a permi� �or cOnstmc�ion ar mo4ilicaiion irom ine Ai� Oualiry M� m i. esiQential constmcl n apD � �i ,5 are exempt tmm inese omvisi ns. Dale: ��9 /9/ Appli[ani: I hereby cetlily I�aU have reaG I�is appliCaiion antl Sla�e 1 Itle ej{irrnim'i tOfRti. I agr o a. pty vn�h all Ciry and cowry orOfnances ana stalelawsrelatinqto builGing consiruc�ion a a h¢r y�(fior¢e reD�e�° H es of S krvprt4hcaYl ientianed propetly �ar inspetlion pur0o5e5 Oaie: 5 ��j SignaWte: oriver's �iaense or Saciai security r: � �6nna6 Wnnc—Builaing; Gmon—LoOe Enlo¢emem: C ary ppl¢am; Pink—Revenue: Go10 nrod—Assessor CITY OF COSTA MESA — HUILDING PERMIT PERM NO: H 05221' PERMIT NO: B 052213 PLAN CHECK NO: 01848-91 L GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT JOH DESCRIPTION : 98 SQ FT TRELLIS TYPE PATIO COVER SQ FT: 98 CLAIM VALUE: CALC—VALUE: 1,352.40 GROUP OCC: R-1 /M-1 *°*��i�****��II��D*�**�r*��°*�*x�*��*�l?�**p�F) *�+�t�*�*+��**�***�*+�*��r******x��*+�*** 2 U N Z N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BiJILDING ---------- --------- ACCESSORY BUILllING --------- FRNT: 20 FT IN REAR: 20 FT IN FRNT: FT IN REAR: FT IN LEFT: 5 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN PARKING RE • PROV: PARCEL: 43922123 ZNE; R2 REF NO: PLANNING N TES> 98 SQ. FT. PATIO COVER (LATTICE) ON SIDE OF AIRSPACE > COND(5. ***#**�e***�**��*�***�**�r�**x��*�x�***�r�r+��****�r�*��*��t�**��*�xu�rx��r*�*�*�r*�xx*�r�** D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N'T S ZONZNG APPROVED HY SC C DATE: s��/�rY BUILDING APPROVED HY : DATE; �— � APPLICATION ISSUED HY: � DATE: ifaEiEiFifiE�fiEitiklhkiflFlfiFlPiFiEiFiEiE iflFiflfiEiEi!�*iFiE . iFiE 3k1EiEaF�F*IfiEiFiEiEiFaFiEiflEiFiE�EiElfiFiE�E1EjE�fiEi(�iE1E�EkiPiEifiEifiEiEjEjEiF �fif3f�FiE�Fie3FifiF3EiFif*If3fif�3Eaf#�±fiEiE�lfifafiFiEifiFjf1E3E3F LEGALI'LATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG FMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRAllING PERMIT 33,OU SMSP/NON—RES PLAN 21.45 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE T'OTALS----> 33.50 0,00 21.45 59.95 54.95 .00 REVENUE DIVISION TOTALS--> COLLECTED; 54.95 OVER/SHORT: .00 HLDG PMT FLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33.00 .50 ?1.45 iF iE 1E iF i6 i(� IF iF jF iF iE ih iE �E �E aF if iF iF iF )f iE iE 1f !f IE le iE 3F af� iF iE df iE IE �F aE iF 1f 1f iE 3E �IF IF iE If if iF K- 3f if �lf 3E i(� Y iM1 1! iF ik?F 3e V.-iF 1't lf if 1f i!� IF 1E iF iF if IF iP 3E IE iF iE I N D Z V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 98 RES—PATIO COVER—POST 6 TRELLIS • END OF FEES 13.80 1,352.40 0 � Q1 1LLY40.�iO��Q�tL4L-3G! _` �L .�� 'A.�: E�7Ei Q`�7.Y/SS 741�'_ 1''. CONSTRUCTION AND PLANNING P� S SPA APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporery Electriwl $ervice or Pole 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. 53. S[eel Reinforcement ' . 3. Electrical Conduit UtilitV-Undrgmd. 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' ' s -L�` �P 58. Electrical Condui[-Undrgrnd. � 8. -Foundation 59. Gas Pipe, � Undrgrnd., Tes[ 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structurel Floor System 61. APPROVAL 70 DECK - 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � . 72. Sewer Cap 63. Heater & Vent-Final �. �� 13. Roof Drains 64. Plumbing System � Final �• 14. Rough Plumbing 65. Electrical�Final ' . 15. Rough Electrical-Conquii 66. Solar SYstem-Final �'.,, ' i 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 79, flougfi Heating & Air Conditioning FIRE DEP7. 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. 7�Bar Ceiling IStructurap & Monocoat � ' 75. Dry Chemical � ' 27: Frame and Flashing u 76. Dry Standpipe � � � � � 28. Lathing & Siding . • •� 77, FIXED SYSTEM FINAL • 29. Insulation . .' � 78-FIRE PREV. FINAL 30. Drywall Nailing � , �,�� HEALTH DEPT. REQUIREMENT 31. PlasterBrownCoat ��- ,� - 79.'FINALINSPECTION ,� 32. Electrical Power Meter�Final i-. ��•'-'�� 80. FOOD CERTIFICATE ISSUED 33. Final Electric. � � ; ��Notes: � 34. Final Heating_& Air Conditioning � � �� 35. Final Gas Pipe-Test � - / / CY 36. Hood or Canopy . �,� . � � 37. Final Factory Fireplace ' � � ' ' ' � � i.�./ 38. Final Plumbing � . .i � , . 39. Water Service�Final• �,� � ' l 40. Gas Service-Final . . 41. Solar pomestic-Final � . . 42. Backflow Preventer ' ' (- _ " � 43. Backflow Irrigation � - � - .44. Landscape IrriGation SYstem. � - i 45. Sound Attenuation � � � - � , 46. Handicap Regulationg � � ' 47. FINALSTRUCTURE&BUILDING ,_,� ��' � - 48. FINAL P�ANNING " _ 49. Electric Release to Etlison ';• �' � I ' 50. Gas Release to Southem California Gas Co �; ; i /' 51. CERTIFICATE OF QCCUPANCY . . . , . No Date � rxaecr�,r.l�s: -�'S ME AS DR O�NEH'S NRME: PALA MESA 2 LTD aooaeS� z CORPERATE PARK #200 '�� IRVINE CA 92714 'L�p�� 553-8090 RflCiUENGINEEfl: nooxess: uxiT:� 7 Pal�• 1�!les�• � NEG.NO.: unrt: PEpMiTTEE: pALA MESA 2 LTD ( 714 ) 553-8090 �DUflESS: 2 COROERATE CTR DR 200 IRVINE CA 92714 LICENSEU CONTMCTOB UECLAMTION: I �ereCy atllrm I�al I am Ii�enseE unJer provisions ol C�apter 9(commencinp vn[h Set�ion 7000� oi Division 3 0l t�e Business and Prolasslons CoOe, an0 my IiLense is in full force and ettect. CITY LIC.: STATE LIC.: CLAS3: Date: SiA�ature: 'mPKEPS' COMPENSATION OECIAMTION: I hereby affirm that I have a certiticate ot consent to sel4insure or a certificate oi Workers' nDensation Insuranca, ar a cenified copy t�ereo/ (Section 3800, Lab. C�. .LICY NO.: EXP. ORTE: ' caMrnxr: i� G¢rtl�ied CApy IS hefeUy �UmlShe�. Q Certilied cvpy is idea wiN tAe ciry BuilAinq Oivisio�. Oate: EIIEMPT10N FflOM W01 I cenity that ln ihe per su�iect ta tAe woher Applicant: Laws of he comDleteA d ihe permit is lor one huMreO (5100) or lew�. na�D��Y a�7 Derso�r jn apy m� ner so as ro become /% /BR Date: "� � Signa NUTICE: Ii, aiter m� iing ihis aeclaration, yo ho Decome su0lect to th oi rs' Compensalian Drovisions ot IAe LaEor Code, yau must 1ortAwith comply with su Dm ions ar ihis 04rmi[ s�a� J e tl emed revoked. fANSTHUCTION. LENOING FGENCY: 1 here a' t�at [here is a constm�{fon IenOinA aBency (or Ihe Derlormance ol Ihe work for LENOEN: �ooeess: OWNEB�BUILOEB OECIAMTION: I hereby aifirm ihat I am exempl from t�e Contrzctors' State License Law for tAe followinA �eason (Section 7031.5 Business anU Pmfessional Cotle: Any city oi counry which requires a permit ro consimct, atler, improve, Oemolish, or repair any structure, Drior ro ds issuance, alsa 2quires Ihe applicant �or such permit m tile a 5iqneA statement that he/she is licenutl pursuant to tAe provisions oi the Coniracrors' Stata License Law �Chapter 9(cammencing with Sectian 700U) of Division 3 of t�e 9usiness antl Pmlessions Cotle) or that he/she I5 exempt Iheretrom an0 the basis for the alleAed axemDtion. My violation of Sectlon 7IX11.5 by �ny appticant tor a Dermit subjects I�e apPlicant ta a civil penairy al nat more ��an frve hunaretl Oollars (5500). I, as owner al the pmpeM or rtry employees with waAes as iheir wle compenution, will da tha work, anE the � simcture is not intentle0 or ollered for sale (Sectian 70Cd, Business antl Professional CoEe: T�e Contractors' State License Law Ooes not aODty ro an awner oi a property wha huilOs or imD�oves ihereon, an0 who tloes suc� work himseli/herull or MmuAh his ar Aer awn emplayees, DraNtleO t�a[ such impmvements aa nat inten0etl or offereC tor sale. II, however tha �uilAinp or � imOmvement is solU within one year oi completioq tAe owne� will have [he bur0en oi pravinp �e/sAe did not build or impmve for the purpose af sale�. I,at ownerofihe property, am exclusively coniractinA �'/ithlic8nsetl coniractorsto consiNcithe pmlect�Section 70G4, Business � and Pmfessions Catle: Tlce Contractors' State License Law Does not appy ro an awner of Dmperry who OuilOs or improvw IAereon an0 who coniracts for such prolacts c�tA a coniractor(s� license pursuant to Ne Contracrors' State License Law�. I am aware thai D�� o� l�eir WOBer's Compens:Uon insuranre s�oultl tie proviCeO �0 me. � I am exempi und¢r Sectian: B. d P. C. � L tor �his rea,son� �y� Q � �'� Date: �1 II tlo �erehy certi that I am aw of and unaerstanA Ne require n oi Califomia Health an0 Sale� Co Sections 25505, 25533, and I 2553d antl �hat 1 or any luture UuilAinp occupani wilqvnll not (ci� e e) �eed t0 tompty wiih SaiE 5� e CO e5 antl �he requitemenl5 �of a permit tor consiruction or modification imm Ihe Air �ualiry Man em¢nt Disinct. ResiOential consVuction applications are exempt Imm thesa pmvisions. Oate: Applicant I her¢by certily iha! I �aVe reaE Ihis applicaii0n antl Stai� orUinances an0 state Wws relatin0 a builainp cronst proOe�Y �or ins ti n purpases. Oate: � �� a Driver's Licen or Social Securiry � 18C1�A8 W�ite—BuilEing; intormation is correct. I aA�ea)o camply with all ciry anE i ��y—ppplicent: Pmk—Revenue; GolOenrotl—Avessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; BP 098791 PLAN CHECK NO; N CONSTRUCTION TYPE; PERMIT TYPE: PLU STR JOB DESCRIPTION ; DEMO SFD PERM NO: BP 048791 GOVT: N SUPP: N PURPOSE; DEM SQ FT: CLAIM VALUE: 7,500.00 CALC—VALUE: 1,000,00 GRO()P OCC: R-3 / COMMENTS; DEMO SFD (ACCESS PERMIT #10271��Df7i,rraT� �� 1�iii-n) �[,L\ ifiEiElfdki4itlEitlkkiEiEjfiFiEiFifiFit3E!(�#iEl(�iEiEfEif�lEiEifaf3EiEifiFiFiEiE�!'*�i�� .!*x#�4riF;,';F** �9e'*�*�*,�3r***�r ��e*J Z 0 N I N G R E Q U I R E M E N T 5 S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT; FT ZN REAR: FT IN FRNT; FT IN REAR: ' FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 43922123 ZNE: REF NO: PLANNING NOTES> i �r**x�*****�r��x��*�*****�*�r��**�*�**�r*+�********�«******�r*�*��r�r�x**�*+�***�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 I R E M E N T S ZONING APPROVED BY DATE: � BUILDING APPROVED BY : APPLICATION ISSUED BY: ' lfillEiFjE'll-4iliEifiFikiFiEiEiEiE')i'iFiEiE 1 iF` �F efFi i� . iE iE iE if iE iE it 1t il�?! �k ik iF # iE iE if iE �7F iE jF iF iE if iE iE if iE iE ik ik �k jf jk iE ik if 9f-if 1E iElk LEGALIZATION:N F E E S U M BLDG PMT PLUMBING ELECTRIC M PERMIT 25,00 2,00 253 PLAN ISSUE FEE 3,00 � DATE: �� DATE; O ,7i.� Q ��3FfE ff iElE 9E �E it iE if iE 3F � if 3E !E ik if if iF jE 1k iE iE If iE 1f iE ik 1E if !F �E ik iF ik �E d6 �1l� jE iE iE 1E iF iFlk jF if 1E A R Y STRUCTURAL;SEGMENT:Y ANIC FIRE SMIP/RES GRADING SMIP/NON—RES .50 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 27,50 3,00 0,00 30,50 30,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 30,50 OVER/SFIORT; ,00 HLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN—CHECK 25.00 5,00 ,50 iE �E jE 3F iP iE �E iF if if iE if iE jE iE iE �E iE iF iE iE if iE if iF �E iE �E k 3E iE iE'1t iE if iE iE if iE iE �E iE iE �E �)E jE iE iE k iE iE if it if ik df iE dE �E 3E aE dE i' iE if iE if iE �E iE iP iE 9E jf it iF 9E �E ik I N D I V I D U A L F E E B R E A K D O W N TYPE c�TY D E 5 C R I P T I O N UNIT COST TOTAL COST PLU 1 SEWER CAP /_DEMOLITION EACH 2,00 2.00 END OF FEES 0101?�68251-00063253 �-�'j-� ;O.;U DATE: Dg/?3/9D 7IME: 15:49 CONSTRUCTION AND PLANNihv �Ol & SPA � Date Inspector Date Inspector APRROVALS Permit # APPROVAIS Permit # r�, i. Temporary Electrical Service or Pole 52. Pool & Equipment Location � �..s� 2. $oil Pipe�Undrgrnd. 53. Steel Reinforcement � 3. Electrical Conduit Uti�ity-Undrgrnd. 54. Forms 4. Electrical Conduit�Undrgrnd. 55. Electrica� Bonding � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test " 6. Electrical UFER Grnd. _ 57. APPROVAL TO COVER�GUNITE � 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test •,� 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd: '�� 10. Structural Floor System . 61. APPROVAL TO DECK � 11. Property Sewer Line & House Connection ; - 62. Backwash & Receptor�Final .�� - 12. Sewer Cap �,G.G1'�j �� 63. Heater & Vent�Final �' . � 13. Roof Drains 64. Plumbing System • Final /� � 74. Rough Plumbing _ 65. Electrical-Final / . 15. Rough Eleccrical�Conduit . 66. Solar System-Final � . � 76. Rough Electric Wiring 67. Fencing & Access ApProval .-� . � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERI� 18. Rough Electrica�-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Produc[ Piping O Gas � Oil 23. Gas Pipe•Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-8ar Ceilin9 (Structurall & Monocoat 75. Dry Chemical 27. Freme and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 7$, FIRE PREV. FINAL 30. Drywall Nailing '� HEALTH DEPT. REQUIREMENT 31. Plaster 8rown 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 �+ �(-y� (,;�p� 39. Water Service-FineL 40. Gas Service�Final „ 41. Solar pomesticFinal 42. Backflow Prevente;, 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulat�ns 47. FINAL STRUCTURE & BUILDING O-B-PD � 48. FINAL PLANNING � 49. Electric Release to�Edison � 50. Gas Release to Southern California Gas Co �' 51. CERTIFICATE OF OCCUPANCY No. Date CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this 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 major labo�r d materials for construction of the pro- posed property improvement. O Yes C�IQo 2. I(have/have not) q�/� 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 �a.r/ls/S 3;/9 /.f/� Address City Phone (7�� ) �%R" -39j0 Contractor's Lia No. �S�S/ 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 Phone ( City 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 and Safety Code and have ompleted the above information to the best of my per- sonal knowled , lian e law. Signed: Date: g/'�`3 iD �� ,Q +9 H,�s,a Nam • � � ��s� fF (Printed or Typed) C.D.L. # or S.S. #` � �-�� 754-5273 PFO�µ'T,RSUNE�3�5 1`�5—✓'..��'J�^.�t� /+�V D2 J Z�Dy UNIT: ,.�.y�� i4.D.0 UEV _ ��r00PES5: �f1S ,M�s� n� � - cc;a�a r��s�,,ca yzs2� �hl.A V�'le'�A� � : 553-8090 NPCN/ENGINEEP: TUDI) $C:i��L�� pEG.NO.: C.I ��h 3 nooeess: 5U0 N NEWPUiZT °N�' SDO PEflM1TTEE: �'�' CA �J2%OO aooness: W,D.C. UEV�I�YOMt.NT (714)553-8090 2 CURPORA"CE PARK 202 t�tVINE CA y2'114 LICENSEO CONTFACTOR OECUIflATION: I hereby allirm ��a� I am IicenSeA untler pmvisions ol CAapter 9(commencing wilh $ection 7000� of Oiv;sion 3 al I�e Busines5 antl Pmiessions CoOe. and my license is in lull torce and efiect. CITY LIC.: STATE LIC.: CLASS: Dale: Signamre: WOHNENS' COMPENSATION OECLANATION: I hereby afiirm thal I have a terliiitale o� conseni to 5eli-in5ure or a CeM1itital¢ 01 Workers' ComDensa�ion Insurance. or a cenifie0 copy ��ereo� (Section 3800. Lab. q. � roucv xo.: t Z�� p g, g-9 Q E%P. �ATE: �'I lO 1 I9 Z �� COMPANV: �,['/1,'I'�,' ' Cenilietl copy is herehy Wmis�etl. � CenifieU copy is liled with ihe ciry Building Division. Oate: Applicani: E%EMPTION FNOM WONRERS' COMPENSATIDN DECLAFPTION: (Thls section neetl noi he compleleU II Ihe permit Is lor one huntlretl (5100) or less�. I ceriify Ihal in Ihe per�ormance ol the work for which Ihis permi� is issued. I shall not employ any person in any manner so as �o become sublect lo Ihe Workers' Compen5ation Laws of Calilomia. �ale: SignaNre: NOTICE: If, after making this aeclaration, you should become sublect m the Workers' Compensation pwvisions oi tAe La6or Code. you mu5i fotlhwiih tomply wilh suCh pmvision5 or Ihis permi� shall 6e Oeemed fevoketl. CONSTXUCTION LENOING FGENCY: I here�y allirm �hat there is a cons�mclion lentling agency �or Ihe De��a�mance ol Ihe work tor which I�is permi� is issue0 �Seclion 3097. Civ. C). LENDEN: AODflESS: OWNEfl BUILOEF OECIAflATION: I hereby aflirm I�at I am exempl tmm Ihe Conlradors' State License Law lor ihe followinA reason (Section 7031.5 Business antl Pmfessional Code: Any ciry ol couniy which requires a permi� to constmc�, aller, improve, tlemolish, or repair any stmcWre. Drior lo IIs issuance, also requlres Ihe appllcan� �or such permlt ro flla a signetl staiemen� �ha� he/she is Ilcensed pursuant Io Ihe pmvisions ol ihe Conirac�ors' State License Law (Chapter 9(cammencing wi�h Sec�ion 7000) ol �ivision 3 ot the Business antl Pmlessions Cotle) ar Ihat �e/she is exem0� Iherelmm an0 Ihe Dasis for lhe allegetl exem0�ion. Any violalion ol Seciion 7031.5 by any applican� �or a permil sublec�s Ihe applican� to a civil penalty ol no� more �han �ive hundre0 Oollars �5500). I. as owner ol ihe pwpe�y or my employees wilh wages as Iheir sole compen5ation, will Oo Ihe woB, and �he ❑ s�mc�ure is noI in�enUeO or offeretl �or sale (Seciion 70ad. Business antl Pwfessional Cotle'. The CanVac�ors' Slaie License Law � tloes not apply ta an owner of a pmDehy who builtls or impmves ihereon, antl who does such work �imself/herself or ihrough his or her own employees. pmvitled �hai such impmvements are no� in�ende0 or ofle�ea lor sale. If, however Ihe builtling or impmvemen� is soltl within one year ot completion, Ihe owner will �ave Ihe burden al D�oving �e/she tlitl no� builtl or impmve lor Ihe purpo5a of sale). I, as awner of �he pmDehy, am exclusively conirac�ing wilh IicenSeA conVac�ars to consimct the pmjeci (Sec�ion 70d4, Business Q antl Professions Cotle' The Contracbrs' State License Law Qoes noi aDPly lo an owner of pmDerty who builds or impmves �hereon antl who coniracls �or such D�ole��s wil� a contrac�oqs�license pursuanl �o the ConVactors' S�a�e Lic¢nse Law),I am aware ��a� pmof ol iheir WOBer's Compensalion insurance shaultl �e pmv � I am exempi untler SecUon: 6. 8 P. C. for �his reas^on: Oale: 1 � �"�1�� Owner: I Oo hereby certity Ihat I am aware of and untlerslanA Ihe requirements of h�o ia He Ih antl Sa�ery Coae Sec � 5 505, 25533, antl 2553G and �ha� I or any IuWre builtling occupani willlwill no� (circle one) n etl comply wi�h said sta�e codes tl t requirements �or a permit lor consimction or motli�icalion tmm lhe Air �uah�y Managemen ' ricl. FeSideniial cons�mction a licatians are ¢xemp� �mm �hese piovisians. �ate� Applicam. I hereoy certily thal I have reaa inis aop�ication antl stat[ ortlinance5 and state laws relating to bwltlmg consimtliory pm0erly lor inspec�ion 1pu'rpases. � Oale: ("� �Z_1 �_I— Signalure: Orivefs License ar Social Seariiy a: �� (� � � i6a1-a6 Whne—Bmltlmg', Green—Cotle Enior , I agree Io comply wi�h all cily anA couniy �•:.:" ^enterypon�heabove�mentionetl Canary—Appbcanl; Pink—Revenue: Goltlenrotl—Assessor CITY OP COSTA MESA - BJZ�DING PERNIi F'?k�� NO; 3 U5174: PERMlT NO: B 05179;3 PL,A?� CHECK NO: N GOVi: N SIJPP; iV CONSTRiJCTION TYPE: PERMZT TYPE: STR Pi7RP053: UlII _�� JOH DESCRIPTSON 90 I,-i eT OF RCMU WALI, @ 6' HiGH SQ rT: y0 Ci�P.IM C'AI�UE: CAiC-VALUE; ?,£300, 00 GROUr OCC: R-1 /M-1 CdMMENTS; RE: B49337. PRZ,�iARY BLllG, PE:RMIT. i'r i't +'�.' N�Y.. A� if ?4 7f If� k 3't dE :`F �Yi p'� R� Y63¢ i� #�E af :'i'r. iF 3t� iF 7E DF M,� �bF ii� iF #� 16 � k�K fE # 4E !F 1i� Ye 3i� ii� Y� }i 3't #E 1f i't M� �lk �%� k ii� i+,. �'� ?'r )E ib 7'r ��f� fF k ir. iF �1F'. �A� # 3i�!c �� k i�: �%� ir 7. O N i N i� R E Q�J I R a N E N T s 5 E i B A C K S � --------------- MkIN BOILDYNG ---------- --------- ACCE5SORY RiJI'I.�UINI: -------•-- FRNT: 11 FT 9 Th� REA.�; 1U8 F'C IN FRNT; cT IN REAR; FT IN i,EFT: f'T 2 3N RGiiT: FT IN LEFT: iT IN RGHT: : i IN PARKIhG REQ: FROtY: PARCF.L,: 43922123 2N�: R2 REF t�?O; Pi,ANNTNG NOTe:s> 5' HIGA, 50 LF TOTAL BLQCSC WAI�L (3 A�c.AS) � i4 �f'±!� ii ii� �1F k N� N� 9b Y.� iP k 1f� ?f N� # 1E N� �i4 > iF if ic �i� iE i(- N� 3? �h' ii� Y.� 14 �?i� lf- #"r iF }; iE 3:� a'� iE %>: iF iF.k�.at. ii ih } j: �{, 7F+: ii� �3f k R N� �f R 1'r i'r 9F w� 34 ii� 3f k� §e iF ); k� #�k �N if D E V E L C) P M E N T S E R V S C E S R c(;� t3 I R E M r[3 -i = ZONiiVG APPR(7VF.0 5Y DAiE; ��_I�( BUTI�DING APPROVED HY ;_ _ _ _ _ llp,yF,; _ �� _ AFPi,ICAiIUN ISSUED HY: DAYE: ��-�{� X�3Ek��F�ieaFRlff��iEifiFlf�fFlf!tiFjEi(�3ElF1F. .'- k�. � �r- � x7F'iFiF1'r . ...1�"Fi�Y.-'F,R,�3't✓�)�.N-Yi:�36i%4ik�x�ii��F�•��"iFi'rk k 1[� 3f �I6 3F K ih if� 1f K�IF �% iF �Y.- iE ?E Y.� 1f lf ih %� i6 # iF 3E iF %� IE i't iC M%�%iF 7E ! fE R i(� IE .', u if 1FlF #� 3F N� i!� iE if- K� N 3f� 1E 3t �E lt� If� h'� +i� K� ?E ii� 34 ii� }F'�f P; iE±E Y�'r.- R i!� i!� ;4 LEGALI'Z.A'I'ZON;N f' E E S U i�i M A R Y STRiJCTtiRA'L SEGNENT;Y" BLDG FMT PLUMBING ELECTRIC MECHANZC =IRE SMZP/R�S GRP,D7.NG PERMI i 91 . QO gH;iP/N(�N-RES PLAN - TSSUE FEE • Hu3LDIh7G-DIV-> P�RKiT TSSUE PLAN-CHECK TOTAL PAID DII� TU1AL9----> 91,50 0,00 0.00 ?1,50 41.50 .04 R'r'.VE1�iJE UIVLSIOI� TOTALS--> COLLECTED: 41.70 OVE�/SHORT: UO BLI)G PMT PL(J;iHING ELECTRI(: MECHANIC FIRE SMIP/TOT GRADIh1G PLAN-C3e:Ch 41.00 ' ,5p d!�'r= ii }:� I't iE iE ac # ii� �%� if ?F if IE �e 14 Y� dF �: i4 ,f 3F }:� ie 14 i't iE 1'r ##"� iE :�: -?:� iF iEiF fE �i. �`.Y..li� P� 1f IF 1f- �?E3f Y.� �N� 3FY�-k'K ?4 } 3F iE+i.Y. }:. {¢ {. �i ie 3E ib i'r #E )'� 34 SF i'� X}: Y if ;F S'N D I V Z D i7 A i F a r. B R � A K D O W N TYPE Q7'Y D E S C R I P T I O N' UUI'P COSs 'PO'lA'i COSi' SF'R 50 3��-CONCRE'LE BLOCK WAi�i, / FT. 20,00 1,ROO.UU t.ND QF FEES � oz onos;bsz-oaos�sea =�a� ,2.�„ �a7e: a,iz4iv=_ -Fr�: ,s.:�o CC�VSTRUCTION AND PLANNIN� P �' SPA �Q'iPROV'ALS Permit # Date Inspector AppROVAL$ Permit # Date Inspector + .. 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location : . 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, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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 r� .. ' � . . 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 PLASTERI�IVG. 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rou9h 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 Flasliing 76. Dry Standpipe 28. Lathing&Siding 77. FIXEDSYSTEMFINAL 29. Insulation _ �- 78. FIRE PREV. FINA� 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 � �. � � �Q`� � �` 35. Final Gas Pipe-Test .�-j:%% C��j 36. Hood or Canopy � . ' 37. Final Faaory Fireplace �� / 38. Final Plumbing , 39. Water Service�Final 40. Gas Service-Final 47. Solar pomestic-Final 42. Backflow Prevenier 43. Backflow Irrigation � 44. Landscape Irriqation System � ' 45. Sound Attenuation 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING ,2/t c1'� 6�'^ 48. FINAL PLANNING � � " 49. Electric Release to Edison „�,_ �� 50. Gas Release to Southern California Gas Co '� 51. CERTIFICATE OF OCCUPANCY No. Date 1 `3•; ',,r : PARTY NALL 11GRE2!lENT ��Tii�� iiTlO►l � �1-� �� ^ r � F,��;.►�E�E� ,_ 1ffiS AQtE�di'. �de arxi entered into this ..��.�L T,l� � �. daY of /%%�i� . b'Y and bet� �A/,.� /�%LS� � � � _ . . hereinafter referred to as 'IJ�tID Qd,ffi2',' and . THo.yR's oT, ,��c� ¢1'`a.P herei.nafter referred to as •AATAC�ll` PROP�7 04dII'R•. It is hereby agreed that a party'vall vill be canstructed on the .Property line bet�eer► --�(�'• '/%fr5y- �%f/8 ', ~%,�� . -- . . (Address of Adjoining Properties) . � - _' _ % 9 � l�3 �� '/"I�'sg ��,v� � . in the City of Oosta !lasa, C.amty of Orange, State of California, as per �ap reo�rded in Hook �o�. Page3��of !liscellar►eais lSaps, in the office of the C.o�ty Rec�rder o4 said Gxa�ty. 4fie part vall ehall be perciitted to �APP.vcX,R :. p �.t o „ ,�� uj encro�adr � ,. � ' /'.t�l%Ff�, , ., • • , G� .... .. , , . . • .- IN F7Ia�S.S i�tHQP�,.thg partiPs have entered into this 11gre�ent the day ar.3 ya� firaL above qritter�. ' , . � , • • . � • 6 � ,. � ' . , . 1� • . IM' � � � ��1 ii/s,vi� , . � P �: :• : �1}�I� ._"` ' . � ��If� �� i �illlt�� . �02. L�ILPOR.f17� 7 Fl ',�-� �v2D3- ,.. • � " � �,�✓/�d� -,4 •' -�'j,� �iy , � • . �i' � rw 1 J / O,C..`�r ��J9 /"/�j 'a�'-(�.�/`/� �i.!�% �. /.73 .//,�%%sG .C/r: vr ess - .. �'�st� /'IeSG,'<<,� ��.z� , . .�•�•,;� . ., � � � t .. ♦ . �4� i�� , . � � � �� 30 �yq/ �o: J : �.... We.s.�o �� , ��: i�. �;� �� - /� 9 -� ��3 �`i�sg � , �a.� /`1�., �y . �� e.�_.,- �.� G�� x� �.�.c� �� ..,,� �.:.�-f �'7 �� /`2.�, �2-.--t, , � . ��- �.� �.,� �. ",�.,,�,�� ,.. �-i' = ��- �- � -� � � , � �. .�-�`.� .�� . �� . . �� ... . . � . � ��-�- � : � �� . �.� �� - �.--� � . G� � �� : � � �,,� �-�-�- �- ; � �� C � � - �' 2 u/.� �-w ��.-�`" �� 'I.•.�.� � �, �/.D � � �%� ��. �� ``�°-� G..� �2�Q .C`°`� ,�- `°_. � �4., T a��/ :�� . � � d � �' �- � � � •- :� . ,� � ` ' � . ,� ,�� -- �-� . : �,�'�- - � � - �- . ' �� -� � �`, - � r�wzcro � ^ ,� Bh .L.� ,�- %�.titw`e' . 1) APN: Counry: Census: Map Pg: New Pg: Phone: Owner: SU�CT PROPERTY INFORMATION Property: 2682 PALA MESA CT, COSTA MESA CA 92627�600 C031 937-94-089 ORANGE,CA 631.02 27-FS 859-C7 DOUGLS WALTER P Tax Rate Area: 15026 Prop Tax: $2,203.60 Delinq Tax Yr: 1992 Exemptions: Mail: 2682 PALA MESA CT; COSTA MESA CA 92627�600 SALES INFORMATION LAST SALE Transfer Date: 10/01/97 Sale Price/Type: $235,000 Document #: 487262 Document Type: GRANT DEED 1stTDlType: $234,900 Finance: Junior TD's: Lender: Seller: FULL VARIABLE MERRILL LYNCH CREDIT CORP DRACUP 8 PATTERSON PRIOR SALE 01/14/97 $104,000 PARTIAL 20038 GRANT DEED Title Company: COMMONWEALTH LAND TITLE CO. Transfer Info: SITE INFORMATION Improve Type: TOWNHOUSE Zoning: CONDO County Use: 1 Bldg Class: Flood Panel: 060216-0047E Phys Chars: Legal: Comments: Lot Size: Lot Area: Parking: Park Spaces: Site Influence: Use: Total Value: Land Value: Imprv Value: Assd Yr: % Improved: CONDOMINIUM $207,000 $21,433 $185,567 1997 89% IMPROVEMENTS Bldg/Liv Area: 1,968 # Units: # Bldgs: # Stories: $/SF: $119.41 YrbIUEff: 89 Total Rms: 7 Bedrms: 3 Baths(F/H): 2 1 Fireplace: Pool: Bsmt Area: Construct: Flooring: Air Cond: Heat Type: FORCED AIR Quality: GOOD GARAGE Condition: GOOD Z Style: Other Rooms: DINING ROOM TILE ROOF COVER;STUCCO EXTERIOR;PUBLIC WATER;PUBLIC SEWER;LAUNDRY ROOM;GOOD FUNCTIONAL UTILITY;DISPOSAL;RANGE HOOD;MICROWAVE;ENERGY EFFICIENT ITEMS; L1 TR14251,IOF PROJECT 937-94 LOCATED ON Copyright O 1996-97 Experian Page: 1 j PP0.IECT R�DBE53: ' }�'�'(J'�Z UNIT:1}/ � OP/NEfl'S NRME: jcj , D, C, ]� $\J - f11�/„'�'� �OONESS:'S�E z6gZ�2b9y � � �LIQ. MGSQ C�. 553-8090 f�!ICNIENGIXEEP: TODD SCHOOLER 6 ASSOC eec.xo.: C17323 RODflESS: SOO N NEWPORT HL ux�T: S00 N,B. CA 92700 PEpMinEE: W.D.C. DEVELPOMENT (714)553-8090 ' aooxesa: 2 CORPORATE PARK 202 IRVINE CA 92714 LICENSEO CONTMCTOfl OECUMTION: I �ereby attirm Ihat I am IicenseC under pmvisions oi Chapter 9lcommencing with Seciion 7W0) of OiNsion 3 of Ihe Business anE Professions Code, anG my litenu is in �ull force antl eflec�. CITY LIC.: STRTE UC.: CUSB: Date: Signature: w NEBS' COMPENSATION DECLAIUTION: I �ereby atlirm thai I have a cenificate of wnsent to selbinsure or a certificate oi Workers' ipensalion Ipsy�apc� q� g cgnifieIl ypDY thereof (Section 3800, LaD. L) icv xo.: 1 L d V 1 i3 J V E%P. DATE: 07 / O 1/ 91 COMPRNY: STATE ❑ Certifietl copy is here6y fumishe0. � CenifieE copy is filed with the ciry BuilUinq Division. Oate: ppp��cani: .r �� E%FMPTION FBOM WOBKEBS' fAMPENS11TI0N OECUMTION: (ihis seNon nead not be completed il ihe permn is for one hunJreO (5100) ar kss). 1 certity t�at in t�e Dedormance of the xrork for which t�is permit is issueE, I shall not emDloy any persan in any manner so as ro become suDlect to t�e Workers' Compensation Laws oi Catitomia.. Oate: SignaN2: NOTICE: Ii, alter makinA ��is tleclaration, you shoWA become suhlect to [he Workers' Compensaiion pmvisions ot ihe LaUor Code, you must tortAvrilh camply with such pmWsiws ar ihis permit shall be tleemetl revokeA. CaNSTPUCt10N LENOING RGENCY: I hereby alfirm that there is a consimction Ien0in0 aAency for ihe peAormance ol tha work for whiGh this permit is i55ueA (Section 3W7, Civ. C1. �� IFNOER: �' ' aonxess: PERMIT NO: B � CITY OF COSTA MESA — BUILDING PERMIT 099332 PLAN CHECI{ NO: 06069-90 A PERM NO: B 049332 GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: NEW 3 JOB DESCRIPTION : BUILD #�Q-2 UNITS, 38225F L�2V, 930SF GARA SQ FT: 4,752 � CLAIM�VALUE: 100,000.00 CALC—VALDE:�'�279,807.00 GROUP OCC: R-3 /M-1 , / COMMENTS: X �r******�t*x��r*�t�rit*�r*�rx�**�t�r�r�t**�r**+t****+titx�**�r*�t��t�*�t**�t�r�+r***�*******�r��r*�t�t'ar�t+t�t*rt�t- Z O N I N G R E Q U I R E M E N T S i � S E T B A C K S �� Qi�� ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: 45 FT IN REAR: 20 FT IN FRNT: FT IN REAR: FT: IN LEFT: 5 FT IN RGHT: FT IN LEFT; FT IN RGHT: FT, IN PARKING REQ: 13 PROV; 14 PARCEL; 43922123 ZNE; R2 REF NO; PA9031 --�_ PLANNING NOTES> ADD TWO UNITS TO A PROJECT WITH A TOTAL OF 5 UNITS UNDER > PLANNING ACTION P.A-90-31, **�lt�*itit*ftitit*itit�tit�tEit3E�7E�-*ikitirir�tf*iritit�t*�7tiEit*iF'�ir*i(��it+ti�i!'�E*�)k�k'it�9t�it*i�*i�*+t*�EiEiF�7Fit�Eit�E+tik�ft�*it�lt�tif*rtit • D E V E L O P M E N T S':E R,;V C E=5:; Ii E Q U I R E M E N.T S .% .. ;, n � ' �^.' 20NING 'APPROVED HY ,:IGQ i=- ' ' DATE: � �'O.—' `(-�io ' -r '.. .� . – .. . . BUILDING APPROVED HY ; .� i� �. .� DATE: !% APPLICATION ISSUED BY; v�-� ��r , DATE: �� '- I'— � iFia*i(��Fit*iEi(�*****it�(-friFit�ritit3FiF'iFif3F�F3F'iFiF'iFif 'iF'iF �fTf3FiF'iFiFif�FiiiE��Ei6if�FiE*ifiE iF if if iF iE iE iF 1f iE iE ik if if if i! iF 9f ik iF i! if if if iF ik if ik if iE if it ik ik ik ik ik 3k k it It 1E'iE if iF iE if iE iF iE iE iF iEi! if 9E ik ib aE if 3F iE iE if iE if if iE 1E iE iF3F it ik ik iF �f iF iE iP iE LEGALIZATION:N F E E� S U M M A R Y STRUCTURAL SEGMENT;Y � i� OwxEBBWtuEBOEcuiuTlox: InereoyaifrmmatlamexempitmmtheConiraaors StateLicanse�awrortnefollowinAreamn HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING — (Sectlon 7031.5 Business and Protessional Catle: My clty of counry which reQuires a Dermit to consimct, alter, improve, tlemolisR or P ERM I T 1, 2 6 9. 5 0 '� '' 19 ,$ 9 re0air any structum, D�or ta its issuance, also requires the aDD��nt for sucn permit to lile a siqned statemem that he/sne is licensea . S M I P/ NON —RES pursuant to t�e provisions of the Coniracrors' Stata License Law (C�apter 9(commencing with Section 7000) of Division 3 0/ t�e Business pLAN 2 0 6. 3 0 antl Pmfeuions Catle) ar Ihat �e/she is exempt theretrom antl Ne basis far Ihe alleAetl axemptioa My violation of Section 7031.5 by - � �� any applicant for a De�mit subjecis t�e applicant to a civil penalry ol not more [han fve �unEr¢E dollars (SSOU). ISSUE FEE _ i. as owner al me pmpeM or my emplayees witn wayes as their sole comDenution, wili tlo tne vronc, ano me BUILDING—DIV—> PERMIT ISSUE PLAN—C&ECK TOTAL.. PAID DUE stmcWra is not intentletl or oflere0 �or sala (Section 7044, Business ana Pmfessionai Catle: T�e Coniractors' State Licensa Law TOTAL S----> 1 2 8 9, 0 9 0. � 0 2 0 6, 3 0 14 9 5, 3 9, 14 9 5. 3 9 , 0 0 Ooes not appryto an owner ota property who huiltls orimOroves Ihereon, and who does sucA work Aimulf/hersellorNmuqh Aisor�erownemployees,providedthatsuchimpmvemenlsarenotintentleCorofleredfor5ale.Il,howeverlhebuiltlinAor REVENUE DIVISION TOTALS--> COLLECTED� 1995,39 OVER/SHORT• 00 impmvementissolOwil�moneyearoicompletion,tAeownerwillhave[heburdenoiprovinp�e/shediAnotbuil0orimDmve HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP%TOT GRADING PLAN—CHECK for the purpose o/ sale�. I, az owner af the Dmperty, am exclusively controctinA with Iicense0 wntractors to consiruct t�e D�oject (Section 7044, Business 1 2 6 9, 5 0 1'9 , 5 9 2 0 6. 3 0 anAProlessionsCoOe: ThaConvactors'StateLicenseLawOaesnotaODNroanowneroipraperry whohuAUsarimDrovesl�erean ******************************************************************************* an0 wha coniracis far such Drojects cith a contracmr(s) license Dursuant to the Contracrors' State License Law�. I am aware that Droot oi meir Worker's Camvensction insurance snould be Draviaetl to me. I N D I V I D U A L F E E B R E A K' D O W N � I am exemp� wGer Section: 6. 8 P. C. for inis reason:'! f TY P E oata: %6 �5� / �/ O (o er SFR I do hereby certi thal I aware ot and untlerstan0 tha repuirements '-H� ItA an0 Safery COUe S f s 255U5, 25533, antl $FR 25534 an0 t�at 1 or any luture builainp occupant wiNwill nat (circle on neeA comp y with saiJ state cotl a the reQuiremems for a permit Por consimction or mo0ification irom I�a Air Oualiry ManaAe nt ' trip. Fesitlential constmction DDlications are exempt from t�eu provivons. Date: ApDlicani: I herehy certiry ihat I have rea0 ihis aDDlication anA stao orGinancu an0 stah Wws reWtinA [a huiltlinp w�siruc�ion proDertY �ar inspettion ury05es. / . Date: �� Signat � �I onver's License or Sociai Secunry x: �/� Canary—Applicen�; Pink—Revenue; GOIEenroC—Assessor - r7 QTY D E S C R Z P T I O N UNZT COST TOTAL COST 3822 DWE—TYPE V—WOOD FRAME —GOOD �• 69,00 263,718,00 930 RES—GARAGES TYPE V �:` 17.30 16,089.00 END OF FEES � ♦; -'�'.k..�.'_ '"' : � OCT 41990 CiTY OF COSTA MESA i �.: _ .�. CONSTR,UCTIOIG AND PLANN', � - - � � L & SPA . " - Date Inspector Date ' Inspector �� APPROVALS Permit# ' � �--.��--�-..-,-,-.....,APPROVALS, Permit# - � i. Temporary Electrical Service or Poler,i ' ' ,� . 52. Pool & Equipment Location . ., .� . n I�l .2: �Soil P`pe;Undrgrnd.� .:�F � . 53.-Steel Reintorcement � � r4i - . I ;�'3:EElectrical Cond'uit Utility-Undrgrnd: 54. Forms -5:� . �'`4.JElectrlcal;Conduit�Undrgrnd. .i. 55. Elect�ical Bonding - � , i �� , . . . . _ �. ��;t5. Steel�Reinforcement x 56. Rough Ptumbing & Pressure Test ,�' j. 'r=6. Electrical UFE,R.Grnd. - o-]�-�O 57.. APPROVAL TO COVER�GUNITE � �• 7. Footingi;� c^..= � - 3j7p 58. Electrical Conduit-Undrgrnd. �- �'� : 86�F.oundation =' "' 59. Gas Pipe, � Undrgrnd., Test ��' ,' 90 Water Pipe 11nil�grnd. 60. Backwash Lines, P-Trap, O Undrgrnd.. I � 10: 5tructurel Floor�System � 67. APPROVA'LTO DECK" , c 11. Property Sewer Lirie' & House Connection , 62. Backwash & Receptor-Final � ' � �:Y 12. Sewer Cap •_ � - 63. Heater & Vent�Final : � , f 13. Roof Drains ;,, .._ 64. Plumbing System � Final . ' - 14. Rou9h Plumbing , � 65. Electrical-Final � � �. 15. Rough Electrical-Conduit , � . 66. Solar SYstem-Final .� . 16. Rough Electric Wiring . . 67. Fencing & Access Approval ' � _ I , 1I. Rough WiFng SI§n -_ � . 68. APPROVED FOR PLASTERING � d�1�$. Rough Electrical-T Bar Ceiling� ' 69. POOUSPA SYSTEMS FINAL ' .� �� 79TRough Heating &,Air Conditioni^g �- � �" ._.� `�y �; ... ,,, FIRE_AEP,T. REQUIREMENT, �,�� '1 ' r ' 1 Y �\�1 �l��i n J .:1 ' y f` ' Q (�' i' .'1 tf�t 20:��Rough Factory Fireplace � s�,� .;; r:; x � a+' ;APPROVALS i,,Permit #�� . ' ' , �. S. -. � v*' m w :.� ' 21!-Ducts, in Stiuctuie'� •� •• �=� x .^S., t� r-�x a: 7 • c'�+�'�'^ �' H � � �* ; . �� ,, ,� �� . .�70. �Underground Hydro ,. I' 1 " T t lJ� �K � 4. .F .� ... �..� � . . . 22�Ducts, Ventil'atirig.� ;,i n �; � � � F.r: _� E77. Product7Piping OGas+ O�OiI � 23vGarPipe=Rou h & �Test � >'.'�' -' :T! �` �^, rx � .� 9 "72. Under roand Flush''� � E" `DG i fl M T Y. a: � h+l'h ��.;Cl YT G'" L^ `i A: 'i: � 9 �J K .4 L.IJ tp � . �; �f.+ ..F, x � J _ � z , .y... -• , r-iJ. . �x ,,,� 24. Roof Framing � ;,y ,; � H*:�: ��73:7Undergmd.Slorage;TankYOGas ❑Oil 25^Roof Sheathing a� 4 � `� � �7 ^ � �� * 7q �.Q�erhead Hydro ,.,� � � � a .y -. _ .i.' _ aN aC'.� .'D � �x� Q • -r �'] nH _ v... 26�T�Bar Cei_Iing��Structurel) &'MonocoatC. �,�; � ,., - _ >-g� 75rDry Chemical �❑ � ,in? , 27:�Frameand.Flashing=- D�"' � y;.�'>• t" =+ ��* � 76. Dry Standpipe E"�' ' ~, r. rrf n rti ' x :r w' M: H CJ �. -r�� II H28.wLathing:&Siding .��.,`' bXF Q�F�xr ��i ��; ��p�;� 77yFIXEDSYSTEMiFINALx:-+ Cl b•x x v 5 �:.*:: I I 4,� �. - �� i: �� z: ~ f; � 29. Insulation .� y � n ^�, _,:i,c, i i-� x 7$�pIRE�PREV. PINAL * ��;. 4. - - '� ;� cn t-, [ i � ( p %fi : r. : � r*1 x W .. v� I � 30. Drywall'Nailing �, L; i o � -.; �F F � � Cx x, S- ' , iHEALTH�DEPTt�. REQUIREMENT � . T � � ..- .. _ ,,. � � • -_ �_- : _ .. _. �„ . . 031. Plaster Brown Coat'� S i r"[i' <i�^ I � �'+• *"79iyFINAL..INSPECT10N " ��%" .Jc. ...t�.... b:: �niJ r� :r'p �-+ _�C� {.a � <' -"'1 Y• !l I G. (; ]2 {Z] '.X %� n [t] f ' y x T, y32:.Electrical Power Meter-F�inali �. � � �; �; 80:yF000 CERTIFICATE ISSUEDti�: �33SFina'I Electric� * elt i rL� � ' � �Noies: `7 `�^' * `7 �' r;~ t`� r,. ..� r:�n r;� r, r i.r r^ � ix .i r:' t�';n Y� 1i34�?Final HWatin �& Aii'Conditionin`� nSc /� �p � = S ��x += `. r �.• 9j ,c 9' ;r�p �0�� ! ��D U H 1 c�� - NR; ^ � 35^Final Gas Pipe-Testz p;W �c7•�..j�Gl� (�E�� :.� �=`-+ �� ` .. t :/ -, !i ,�36�Hootl orCanoPY r �:l ! �,; a.� � n �;', � ,, {* � ' � �; � T/_! _ Fr � . �. � v _� 37.�Fina�l Factory Fireplace� i FF ��i-+ �j�q� G,'E�p� x " �� i, : r . � x d: :I: - , -i ' `- ":.. . X � ,� ti .c y ' '.'� �J 't`"�.38 �Final Plumbing � h��` � ��`�" �L%-�i' �-�D* t., ,�., 'y. C� _ , , - �' - � c:: �: N . � ... � . . _ . . 4 f.i` F; u !`) • 39 �Water Service;Final: ^ � �;.�7_�� G�iE� Y HW �� -. ... ,.. . . .� �x t-: '2, h' .,:0 M C.] ' � w Un.� ;.1..; .� � - �� 40. Gas Ser"vice-Final '^ �� i � ;. _, , W _ � � rr. �� * f�NH ^;F.• �?: 1 • -. I,l ,=;41 _Solar pomesticFinal'- � � = x `� i � �Y � �� Q�+ �e. Q _ (; � _ - :,. :� ' ,. ; �� i'-i� � ' � . . 42. 8ackflow Preventer`� `" _ �% :,; � M �t� � ^.� . . -, . _ Q�t� ^rr+ �.- . i:iC�Jn. �. �� ., - ': '' , ' ' ' _ � _ ' 43. Backflow Irngationc f � ;vv�, v� � c:. � :r ti i' -- :i. J i'i • � ' � " _ y y. n� .p .. ^.J i �r �- �.. •Y, [T! ^ C.:� x ;*! G `v �J a: W � Iti ': � -"::, w -� _ - ��,44,_ LandscaPe Irii9atioF Sys�mVr:., (�,. �, c,; .�.r: �: � �- � ;v (i., a: S ,. � .:� J = H•�� t' . [-� -� :�.; �. .. -.. . -.-� `45._Sound Attenuation: � T .•• n c�1 n'r �' _��-+'s �; • t�C ..-r x _.,i F-,�, ..�-� '=46.'Handicap Regulations ri^ ��^ �� M x x z• c� •�• p:,, .� �� rr �: d � � ; 1 i ,* ... .P t';r_i`1 �J > -.47-FINAL STRUCTURE &,''HUfLDING;-C 7 �/J�-�' Gly�e - �� V -+ . • � - - ^=� - �,� �. �7 .r, (] :�.� i � � 48r�bt�4tP�Atdf+FFt�1G!:�,y�� T �; - Q' _ - �_ ' ; - x 't '. , `�49�EIec2ric 8elease to�Ediso�' � �. x � �r� W •.i :o � • ' <: r n'?' '" ". . �� _. , 'J. , .^ '"� o�r� �.y50;=Gai:Release to SouthernS"�alifornia Gas Co * -' ' ",�; * � � � ,� �'�i;�, _ �� o0 '51. CERTIFICATE OFOCCUPANCY � � •� � - � • •- • Date �� Project ddress: Lot Number: Permit Number: By Civil Engineer: FINAL GRAI?ING CERTIFICATIOIV /� �� • $� �� ) 2690 Pala Mesa Court N I certify to the satisfactory completion of grading in accordance with the appro��ed plans, specifications, local and state codes. All drainane devices required b�� the grading permit, gradino plan and grading ordinance have been installed. Adequate pro��isions have been made for draina�e of surface x�ater from each bui]ding site. The minimums are: 2% Fall from structures within 5 feet from exterior w•alls. ]% Fall for asphalt surfaces and landscaped areas. 0.590 Fall for concrete surfaces to approved disposai areas. The final monuments as shou•n on the recorded tract map uerz set. All final gradine eleva- tions are H iihin ±)/10 of the de. �g ed ele�•ations. Supervisin_ Civii Engineer Re�. I�'o 31720 (Signature) Date 7/2/91 / - 1 QROF'ESSIpN �``� �N B. yq 9� t-~, Q-�� F2c� c� 0. N Z w � m � E p � �� 'T9T� O� C A ; O��P �� s�.=:�� a�a srn� �E4+s( l J3/[2�31 1E�:47 G el> Juq S.>2�J SULHF. IiwUn�ni¢_ Interna��ional Conference of Building Official� RESEARCH REPORT _.._..,.- ---. .. _._ filinp Catepory: SNYLIGHTS AND SMOKE VENTS SKYVI�W SKYtIGNTS SOLAR INDuS7FIES INC. POST bPFICE BOX 25586 TUCSQN, ARI2bNA 85726 I. S4bfBC4 `�kynuw Skylighif.. ��.DeyCdpIIon:Genaral:Sky�vrwGk;lq:�,`iiSa:elurrne:Ibnm6inA�c �4-+1 Sh��l•L ol Ni'�hm Anq N,as PIu.Ig1aF. fN. (:Cd' i:a1LIiC IHuseer�h H:,pun M1ln. 1pAe.l an�7 ell�ched In an (ilun'nnu;c:clauiiry ham0. Y;�C f�quic �yp. I lu� d11dr,4meni d0lails.5inylo� xntl dpWilu tiiun�c rura'iuns :.u�� n�r,ul;��.lr.. fnr n;mUiisional Hnri g1�u�lui:J I��d�nq inlnrn'�y�ipn, �rib� Ip l pl.ilc NU. I. HEI5ipF.1 SCpyWY 6111i CtL'L Ie'.IhIL,'I`: �qy 511r_)WII 1111ifIlIY Fia b. I�IBntIIlCrtion: 6;�r.h ckyGi��l iinil is iJnr.lille� i�q:i I.al.�r4 ,(qiluinlny Il�e nienUla�(pi.•.rg nSrnC, ed�regp., II:EfU u.:�(:urr.h reprvl n�imhei 5nU 0 UCY PI��:Iir. r.laS:.IliCaliun. reeiE eo i _ O�ME �IMEMEIpp= � DOMC TMIGKME66 MOOLI flrtAetl IlncAai . ........_.._.._... ..._ ... ........._._...... 7p?Il 1�'F.�x10Y� .100 --'p28 18K�rc265e .tOp ,(1d0 tnyn.Ju�A•_ .tn0 �U5'� 18'.}n5U!i .10U zaza .2s;M^7�.: .iuo ^A2n ze�F��rs; .iuU :aa�� zcn>3nv. iuu ?A,7 2G:4x5U'f.� i0U "'$7n :!fJy'1n7-0Y.� J�S 3f�3Fi :14'F.�A3A�/. J'<'S 3f5: 94'/�eLU'F. � 1'lS 3f7fi J4'�n7�1'.': i'e'ti 1>A'l 4U'f.•+4U;i I?�+ Ae71i 40!n„7�4; !JF '45? tiU'.'n.SU'f: S,v_�e ��Ot*r)n�f. .is5 529G 50`n.9qt•. .i �G ......_....._...._ . . .... . OOpE RI3f �bchey / 7 7 Y i i i (7 ID 10 �0 10 t (1 t� Raport No. 40g3 January, 19B3 ttl. Evitlance suhmtttedi Rapqrt ol lnad tesls entl manufectorers RISIJIIBIi(!r� inA�Nf.IinryS. Findings IV.FIq�dinqa�,Th�UheSolarinduetriee, InC.,3hyviow5kyllghl6Com• nlY wnh the 1982 U niform Ciullding Catlu lur uae as akyliphte, Bublact In � thn tnilpWlnp Curidilionc: 1.Insiallellon iy in conlorm�nC9 wlih Ihe manulNctur6rs im sliJclions ynd SBclion F207. 7. HOuI livn xnA an4w loads do nol 9xceed vdlue6 In TaGle tJO. L 3. T�n InJividuul aize al n pingle 9kyll�jhl doee not Bxcaed 52 incbna ny 46 Inches ThIF f6pe111`, 6�b�BG In rR�Ax9mi�P1100 �f1 on0 y06f. � MA7lIM0N OE616N Wh0 , IPml� �tt Sq. Fq: 3:� tf,� �r� 3f, 3_• �s an 20 :'11 �'P �n pp 70 ueit wo. n .. ......_.._.... _ .. _._._..–NOMIEA Of "—' NUN1f� OF'... MO�EI AETAINEB l�B1EFEA6� CUXB F�3TENEA6� . . .. .. .. ... _..._...._.....__ _—"._ ,....... _— 2020 4 B i9:4 4 72 78;'8 it 12 3(i3f 8 12 4242 A 20 s2sz t; 3z :uz� n io 2U?0 Q 74 LOSZ ti 20 2AaU 0 16 28SG tU 22 td/h 1A 96 ;{6Y[ IU 27 3f76 t4 3G ans is no 577f 16 �6 6?95 20 6a .......... . _. _ __....._'_" _"_.. __._.._.... ..............._.."' __. �Nn. G, 7 Yn-inr.h bl3pk n%IOILUU, buylG-OUud rnlyim IIiI) bCfOWti �'6 pUnPy, 2�inGhdung gu�vanizflA ppmmOn �Tilg. . ........_ __..._... .._..._ __....... . ICBOrGf?arohruportiareleaunds4�elyfOprovide/n/ormB��onfuC(esaAmemOefto/lheor9enize7lonuUllA�nBtlIOCOtleupoAwhlchfhe repurt )s beaed. RaBeB�ch roparfa ere rtot fo be conlbustl aE YBpreaenlfnp aBSfhBtlCa orenyofhal'Aft/) bules not apecll/cellyeddrB�Bed nOr fls an entlorsem9nf or �ecommendatlon Por uaa or tne au6j9ct repoH. ; his r�pwt la bseed Vpon 1nd �pantlenf featc or olher �gChnlce I tlefe subm/lfed by fhe epA��cBnt ThB /CBO lethtl ice/afeflhp6 fev/ewed 1.hB (ettre ...._ p _._.....__._ Sult6 and; or o er efa, 6u� aa9 n0! osaeac �eer /ec!/lqes [4 maka an !n p eNon. _.... , ..... e eb 9nt verl. p. ., ...._...._. uE Bn.M O. �uu.J �i I��uu.nv6ub ~3",UI:.M�.. . �a W � �y Nniu n �:ninm F�'.11>e�I�.inn� nll�Tin�mPll�inlnp� �M� LniJnase Ofil'Y�n. ^L^3 l�^E.nu��e �1u.nr�um C�nn • �%n (�]O'4:�. �. Snuun 3�e�.n 16upplua L�Uinau` �� Wn FbJipryBO�� II �/ ..:._ ._..:�:..:1....._. \� `' � l\ . 1'rlm�ry Mi�rl9�� WI �ur.�� /. u�a4nEVY ple�lYbif � �P Uumo �f':ben . I:nM.nf�l lOn Ui I i�1 uvll�r �e� � M O��ry� Coeiex y0e All�e�n�enb. Cmnaeu Nd6. � qnnr. } �doAntl wa=a C+m � M-10 i .. • C Y 1 F ; ISTA MESA� ,� �3 CAIIFORNIA 92628�7200 P. O. BOX 1200 Insulation ertiticate ; NumbQ and Saeec � ^ -��/��GGZIG . � /1�.ZS/ �' i caunty . s�bdivision ►.o� iJumbcr Description of Installation ROOF Material Thic�ess (inches) EX7'ERIOR WALL Material G'$A�r 'Ihiclrness (inches) �t .� !/ � Bcand Narne Themial Ruistance (R-Velue) Brand Narne l7AdY/�S 7l�em�alResistance(R-Value) f)J�,L - 7Hi�i� —.2 /i CEIL.ING BauorBlanketType ,�.4�T BrandName �%7,t1d/�LF �/�I'Ihiclrness(inches) 7liermalResistance(R-Value) ��na�9 TN/2� �-�-jd l.00se Fill Type Brand Narne Contrxtor's minimum iactalled weight/ft Ib Minimum �hiclrness inches ManuCactwer's installed weight per square foot to xheive'Iliamal Resisrance (R-Value) RAISED FLOOR Material 'Ihiclmess (inches) SLAB FLOOR Material Thicla�ess (inches) Width (inches) FOUNDATION WALL Material "Ihickness (inches) Brand Name 'Ihemial Resistance (R-Value) Brand Name 7hermal Resistance (R-Value) Brand Name ' Thertnal Resistance (R-Value) Declaration I hereby certify that the above insuladon was installed in the building a1 the above locadon in conformance with the currcn[ Building Energy Efficiency Standartis for new residential buildings contained in Tide 24 of the Califomia Administrative Code. . Aua P7.Lsr� 7C .t `�- Sub-Convncer(Insuletionlnstallcr) �- ��' � s,g�� a„d r,u� 3�13�S�Z-- License Number 3j�9 %rr'� �'8/ � 7 8 -��Li rnsc N bcr � •z 2%9/ Da \ '-' ' THIS IS TO CERTI 'HAT INSULATION HAS BEEN 1TALLED IN CONFORMANCE WITH '�rtE CURRENT ENERGY REGULAT, �, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: SITE ADDRESS: s TOWNH(1i1SRS 96R9 PAT.A MFSA COi1RT rnGTa MF.SA CA_ Q9fi96 Number Street City/State AIR INFILTRATION: MANUFACTURER: MANVILLE EXTERIOR WALLS Manufacturer MANVILLE Thickness/Type3}" R/ValueFULL TxICK R-11 CEILINGS Batts: Manufacturer MANVILLE Thickness/Type 11" R/ValueJUMBO THICiC P.-30 GENERAL CONTRACTOR: Lic. # � Title Date INSULATION CONTRACTOR: WESTERN INSULATION, INC. Lic. # 481278 B3� Q�1�/# JL"1.(�t��. T1t1E; Aiithnri �Prl AoantD&t@ �-��-01 Form 106 3/89 ; ., a CITY OF COSTA MESA BUILDING DIVISION O°vVNER-Blif�6ER V�FtIFICATION m A city or county, which is required to give notice pursuant to $ection 19630, 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' bui�ding 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 opportuniry to avoid unnecessary delay in processing and issuing your building permit. No buiYding permit will be issued until this verification is received. 1. I personally plan to provide the m' r labor and materials for construction of the pro- posed property improvement. es ❑ No 2. I(have/have not) �;��,, � signed an appiicatiun 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 liave hired the following person to coordinate, supervise and provide the major work: Name .T'rr lCFs ,—n� t - / 5�3� � Address •�'i� l��n�ih'F' y'?�'t � zo 1— Ciry ��/GI Phone ��y) SS %• k�' �� Contractor's Lic. No. 5. 1 will provide some oi the work but I have contracted (hired) the following persons to pro- vide the work indicated: Name Address Phone ( Type ot Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California H�a#th'�"nC�S teijr�e-aqd have completed the above information to the best of my per- sonal know�oe, in mP�a�ce with this�� iaw. C.D.L. N or S.S. # iaz ae or 754-5273 Date: ��% �,t;�y�� 0 �CERTII'ICAT'E OF COMPLIANCE PAYMENT OF SCHOOL FACILITY FEES NEWPORT-MESA IINIFI�D SCft00L DISTRICT Developer/Applicant: 9<A fZSA TL� LT,C7/ !�'DG G/t•�••P Address: �g.s7 �/�G%1 J�l- �Pui7�o�� ,8�9�/f Telephone Number: �/`/-6'F : 'Fn�-P-arcel and Lot Number(s): Location of Project: �� J�Sg- � l�t�. , �oST�9 /f'%a.S�4-- iY't' � gs :�'-S Number of Square Feet of��ry� Y �ff � Residential Space //� x$1.50 Total 3,/6 �— Number of Square Feet of Commercial and Industrial Space Commercial/Industrial Project is Mini-storage Movie Theater Racquet/Health Warehouses Heavy Industrial Regional Shops Light Industrial x $0.25 (Check One) Total Motel Bank Neighborhood Shops R & D Hotel Medical Office Office Park Preschool Auto Repair Hospital Large Office Office Bldg. Restaurant Fast Food The provisions of Government Code Section 53080 are not applicable. This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995. Checks are to be made payable t Newport-Mesa Unified School District. O. Jaa3� Business Manager IJewport'-Mesa Unified School District The above representation as to square footage is true. Developer/ Applicant agrees that if it is later determined that such representa- tions are not true then this certificate shall automatically terminate and the appropriate City/County shall be,�\t;ified. Date: ��%90 Deve � ;rA-/Applicant /�' �7'✓BRSy.W Pfl0.1ECTAU�flFSSc - Tu� i•i'c�is�JR � OWNEP'SNRME: JIM WESHOFF ADDHESS: #Z CORPORATE PARK -#202 ' IRVINE CALIF, - ' 714/55�3-8090 uNn: BLDG3 RflCNIENGINEER: NEO.NO.: - �ODflESS: ' � UNR: renrnmee: BAYSHORE PLUMBING ( 719 ) 723-0 06 aooeess: 2 0 1 E BAY AV£ • HALBOA CA 92661 IICENSE� CONTMCTOB DECLAMTION: I hereEy atlirm t�at I am licensetl unEer pmvisions of Chapter 9(commencinq with Section 7000) af Division 3 ot t�e Business and Vmfessions COGe. an0 my license is in full loru an0 eflect. cmuc.:/051397p /a')Tpr�uc.:589702 � �cus�s:�- �6�/�/J �Oate: (� �— 7✓� SiqnaWre: <�j�//�/ �%��"�"�— "'^HKEBS' COMVENSRTION DECUMTION: I herehy affir at l have a cenifiwta of wnseni to sell-insure or a certificate of Workers' �ensatian �isl�:O � e��rtitiq� �py �hereot (Section 3800. LaO. �1,� � O 1/ 9 1' �r xo.: STATE FUND �P' °p�' • �OMPRNY: ,}� ❑ CertifieE coDY is Aereby �umisAeA. L"] CertifieE copy is fileG wit� �he ciry Buildi q �iWsion. " Q �,�� t-; Oate: �� ; "L � � ADPlicant �l/l � . secUon neeU nat 6e completeU if ihe permit is for one hunEreO (5100) or kss). � issue0, I shall not employ any person in'anV manner w as to Cecome ' i ' Oate:' �- SiAnature: NOTICE: If, atler making tAis Aeclarztion, you should become suhlect ro the Workers' Compensation Dmvisions of the Labor Cade, you must foRhwith compty wit� such pmvisions or Nis permit shall he AeemeO revoked. .� � CONSTBUCTION LENDING �GENCY: I hereby aKrm [hat t�ere is a constmction IenOinA agency far Ihe�peAormance oi the work lor w�ich �hls permi� i5 issued (Section 3097, Civ.' C). �— � � LENOEN: � RODBESS:' . � OWNEB BUILOEB OEClAMT10N: I �ere�y aifirm Ihat I am exemD� from ihe Cantractars State License Law for t�e tollowinA �easan ,(Section 70.31.5 Business anA Pm;essional COEe: My ciry of counry which requires a permi� to wnstmct. atter, impmve, demolish, or � repair any StmcWre, pnor to its issuance, also reQuires ihe applicant fv sucA permit to file a siAneA statement tAat Ae/she is licensetl �, Dursuant to ihe Dravisians of tAe Contracrors' State License Law (Chapter 9(commencinp with Section 7000) ol Division 3 0l t�e 9usiness � antl Pmfessions Code) or Ihat he/sne is exempt tnereirom anU the Gasis lor ihe alleA� exemD��on. My violation of Sectlon 7031.5 �y �I any ap0�icant for a'permd su6lects Ihe apD�icant to a cidl penalry oi nat more than frve hwAreE Eollars (5500). 1; as owner oi t�e pmDehY or my employeas with wapes as iheir sole compensation, will Oo the work, and the . sirumure is not intenAeE orottered for sale (Section 704A, Business and Pmlessional Cotle: The Coniracrors' Slate License Law � Ooes not appy to an owner of a pmpeM who builds m improves Ihereon, anU wha does such woM �imult/herseH or thmuph his or her own employees, pmvide0 tAat such impmvemenis are not intentleA or offere0 for sale. I/, however the builtlinA or impmvement is soltl wrthin one year oi comDletian, IAe awner will �ave Ihe hurUen of proNnp he/she Ai0 nat huilA or imprave for the purpose of sale). I, asowner oi the pmDerty, am exclusively wnfractlnp wit� IicenseU caniractars to consimct Ne O�ajed (Section 7044, Business �� ❑ � anU Pmfessions Cotle: The Comractars' State Lkenu Law Aces not appty ro an avmer of DropeM w�o 6mI0s or imDroves �hereon antl who comracis for such pmle�ts :�th a wntractor�s) liten5e Dursuant to ihe Conlraciors' Staie License Law�. I am aware ' ihat D�� of iheir Worker's Compenr.bon insurance should be pmvideJ to me. lil � I��am exempt unaer Section: 8. 8 P. C. i for t�is reason: ' Date: � ' Ovmec ' 1 Ao hereby certiry ihat I am aware of ana wUerstanE [he requirements ot Calilomia HealtA antl Safery COAe Sectians 25505, 25533, an0 25534 and t�at I or any future huilUinA �cupant wilVwill not (circle one) nee0 to comDly vnt� said stata coGes antl t�e requiremenis tor a permit for constmciwn or moCi/ication tmm the Air Oualiry Manaqement District. Fesidential constmction aOD�ications are exempt Imm ihese provisions. Date: ApDlicant: I hereby ceriity that I Aave rea0 this aOD�ication an0 state Ihat the aCova informatian is correct. I a0ree ro wmDly with all ciry antl counry orUinances and sute laws relannq ta 6uil0inp conslmcGon antl hereby aulMnze repreunWtives oi t�is ciry lo enter upon tAe aDove�mentioned pmDeM �ar,inspeclion purpous. / ) � 'Date: �� 5 �O SiOnature� �v�,✓�'�ti"'« Dnver's Licenu or Social Secunry = '<ati6 Whl�e—BuilUing; Green—COEe Eniorcamenl; Cenary—ApplicaM; Pink—Revenue; GolOenrotl—Assassor ,� g� -� �i` �a�-��-'-� ' CITY OF COSTA MESA - BUILDZNG PERMIT P£RMZT NO: P \9345 PLAN CHECK NO: \ N CONSTAUCTION TYPE: PERMIT TYPE: PLU JOB DESCRIPTION ; PLUMBZNG FOR NEW DUPLEX PERM NO: P 049345 GOVT:� N SUPP: N PORPOSE: OTH SQ F'I' : � CLAIM VALUE: CALC-VALUE; GROUP OCC: '..'�l�_ COMMENTS: •8-4933� ' **�t*�-x�******x�*r�+�-*�t*�t****at�t*x��t**�r*x��t***�t�t�t�x-�t+��t***�t**x-*�t**x�*�t�-�t****�tat�r*�t+r*at-�t*�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 R S ------------ MAIN BUILDING ---------- ----- --- ACCESSOAY BUILDING --------- FRNT: FT IN REAR.; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT ZN LEFT:; FT IN RGHT; FT IN PARFCING REQ: PROV: PARCEL: 43922123 ZNE: REF NO:' , PLANNING NOTES> ' 7 - " �E 3k it aF if 3k if jf if ik 1f if If if ik 1F 3E iE iE 1E iE iE iE 1f k if ik ik it jF k ik k it if iE iF ib ik If k iE iE iF iF IF it * ik it k%'ik �k It ik iE ik 3k if iF �t ** iE iE iE if iE if iF 3E if iE 9E if iE ik iF D E V E L O P M E N, T S E R V I��C E 5-,,-.-R, E'Q U I R E M E N T,S ,. .� ',r ZONING APPROVED HY ' � '� :�'�_ . ---�DATE: HOILDING APPROVED HY ; � DATE; APPLICATION ISSUED BY: �� ' �' DATE:' �� jtiEifMiliEiFikiEifif9EiE1P1EiElEiEiFiklEik . iEiFiElEit±FipiEikiF 3FiE iF iP jE ik i! if it �E aE i! ik iF �E iE iElE iE f! iE ik ik if it k ii iF �IE iE iE iE M i! iF iE iE iF 3f 1F iF �k i4 iE it ik jF iF iF �F if iE iF iF if ik iE i4 it ik iF �klE �k fE iE IE ik iE it k iF iF ik iF iE iE iF iE iE IE LEGALIZATION:N � F E E S U M M A R Y- STRUCTURAL SEGMENT:N HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT . 70.00 253 SMIP/�NON-RES PLAN , ISSUE FEE " 3.00 � HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DDE TOTALS----> 70,00 3,00 0.00 73.00 73.00 .00 REVENUE UIVISION TOTALS--> COLLECTED• 73,00 OVER/SHORT; 00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK . ' 73.00 1f 1k if iE iE ik ik if ik if ik iF iE It ik ik it ik ik i! iF 1E 3t 1k i! it �f if if ik it if ik 1F ik it �E 3f it iE it iF if iE iE if j! iE iE 3f iE if iF i! iE iE i! i! iE iE i! it i! ik iF �k±E iE iE iF iF iE �E �F iE iE jE if it I N D I V I•D U A L F E E H R E A K D O W N TYPE QTY PLU PLU PLU PLU PLU PLU PLU PLU PLU ! � PLU PLU 4 2 2 2 2 9 2 6 2 2 2 D E S C R I P T I O N BATHTUB DISHWASHER ' LAUNDRY TUB OR WASHER SilOWER SINK, KITCHEN WASH BASIN � WASH HASIN (SET) WATER CLOSET (TOILET) WATER IiEATER AND/OR VENT WATER SEAVICE GAS PIPING SYS OF 1 T0 4 OUTLETS UNIT COST TOTAL COST �•00 8,00 2:`0 0 9, 0 0 2.00 4.00 2.00 4.00 2.00 4.00 2.00 ' 8.00 2.00 � 4.00 ,,,2,. 0 0 12 . 0 0 2.00 4.00 2.00 9.00 �1 OC�i:0,��7-flOQ7S29S 7'U�1" 9.00'3.6Q e�;t�: inras�sa TItfE: ilt3i � � � CONSTRUCTION AND PLANNI, • ' OL & SPA �. APPROVALS Permit# Date Inspector qpPROVALS Permit# Date Inspector 7. Temporary Electrical 5ervice or Pole�; � 52. Pool.& Equipment Location , ' � F. �� . _2,-,Soil Pipe-Undrgmd: -� �i.., �/S/![{Q (�I 53._ Steel Reintorcement . - �3_ EleFct�ical Conduit�Utility-Undrgrrid-.r 54. Forms �, �=�4�EleCtrical CondLii Undrgrnd. ;,: 55. Electrical Bonding �5:�Steel Reinforcement � �� 56. Rough Plumbing & Pressure Test ''- '{• ��r,�� .,.� n, - ." ��_6:; EI cirical UFEFi:Gmd. " 57. APPROVAL TO COVER-GUNITE � ^ 7�.�Footings i•c o � � 58. Electr�ical Conduit-Undrgmd. � � M '+-�^ : 8r� Foundation �M � 59. Gas Pipe, O Undrgrnd., Test " � l 1 9�Wa[er Pipe-Undrgrnd. ,� _ 60. Backwash Lines, P�Trap, O Undrgmd. j 10. Structural Floor System � 61. APPROVAL TO DECK _' „- 11. Property Sewer Line & House Corinection � Q �i� 62. Backwa{h & Receptor-Final � .' 72. Sewer Cap v '� 63. Heater & Vent-Final �� , %� 13. Roof Drains .-. _ 64. Plumbing System - Final . � • � �14. Rough Plumbing � 65. Electrical-Final � r G . 15. Rough Electrical�Conduit 66. Solar SYstem=Final ' , 16. Rough Electric Wiring 67. Fencing & Access ApProval i', 17. Rough Wiring Sign . - ' 68.' APPROVED FOR PLASTERING , „ 1H. Rough Electrical-T Bar Ceiling 69. POOL/SPA�SYSTEMS FINAL 79,y Rough Heating & Air Gonditioning _„ ,.. FIRE DEPT.,REQUIR,EMENT ,-. �: -� : c-: n c��-a• � "r' 'r''- ',, .. ', .. ' �a ,. « •.� � ..-, �-� �-�1^C r a � :ywy.:_:��....-F]`=; � 20> Rough:Factory F.ireplace � S.r �<; x ,� a c�;y t C�APPROVA'L^S-:F� Pecmit #� ' ��. ^„i.: �_-�:5 , + - - -, r . 21�.' Ducts, in Str`uaure ' .. .. �� :'. �- _ �'.� " ~ • "`--� , r � �.. .•, _..-� 'k [` , .x x �. �0. ;Undergro�inb Hydro i. u �. a •� �,. e ,. ' - , 22- Ducts, Ventilating� q,. ;i t, � -•� >.: 71. Product�P.iping O"Gas OOiI 23'•GaS�Pipe�Rough &'Test 'T'=• � �� _ - J�"'� �' 7y, Under9r tind F�lu h ° "" �i � i n ' fi�'i X ._..Y Y: (: 4-, , .k � .,� r �._.t.. ..r V .7• ;' t g�. : . ' r-t✓ ._ ._... . _ .., . � � 24'. ftoof Freming -. � r� r, r-�x x• 73�' Undergmd.StorageTank�'OGas ❑Oil 25. Roof Sheathing -� 'c " v�'' -=� _ �" � 74' Overhead Hydrv.,-�- K .� .. . � _,.r x /" • ^� • f � - fi r '7 6i4 S P ' .1 ,, r� �J •_..._r . � s • m.n�� 26.'T�BOr Ceiling (S�tiuctural) &'Monocoat ; r� . �.e .� 75" Dry Chemical ; .:;•i :�:��:;�� :,c*. :!� , _ ... . _ .y. � : � _. ...,.,. .-,.,,,,. •_._,., 27'-Frameand Flashin '�w'-' '' � �.k y ^`-T�-� - u,i_:'s:';`==Y:�7[Tf . 9 �.,n,ri r.� �,x. 76. Dry Starid'P�Pe .: �-a �c C -� F-.y:';r, . a=:"',... y28. Lathin &Sidin "v. �-"`,': "� ' . ..*.r -� �'o ��,' ""`."� i i 9� g. �.�g-, �r • � !. r 77-r• FIXED SYSTEM"F�INAL �-+ � �w:+ ::5�!' w!�tr' � 29. Insulat�on '� ' ��•� � i• :: , I ,.. v� � � x �. ;' �;f � '��-+r+� 4�S ,. ,_ n k.�. i ��. 78:,�IRE PREV. FINAL ,� .� •: c��Sn c,�^. 1 K * � �; Y (.� � 30. Drywall"Nailing ��, � r. c.. � k x S,_�� c~HEALTFI;DEP7. REQUIREMENT� --��tiv �� -• 31. Plaster'Brow`n Coat S �lT' � � �*' "' 79�. FINAL I'NSPECTfON �� ~ `� -C~;� _. �. r i 5: zr r...� r. .� F. F. c � n 32.� Electrical Power MeterF,inal ;� i �i :'� 80.� FOOD CERTIFICATE ISSUED. :' p �+ : 33.' Final Eiectr.ic - • �. x � f r "' � . Notes: `i`"� ' y � " � ^ . rr 4 x: -.� C� C] � .} 34.�. Fi�al H`eatinq & A^r COnditioni g {.�; r .� I ` } { � � S F',y � '� � `;;� , I ' 35:, Final Gas Pipe�Test �?V - Z` Q,� C.,�/�� ' � :7'-, ' y t-� H ' w r � �,y� ..!1 i: ^q � � 36.. Hood oi CanoPY � �� .� # ^ ' • '� � : z' `� v `. . . X' w x. � e x� ;n ..o • t� a ;37�•Final Factory Fireplace� r^E^ '" . � * ` * � � �,: i k a. r•- z �_' 38. Final Plumbing :k �'� . � L Z(� Q� �' .y . :y � _ � �• .� V 39. Waier Service-Final � '� �. �ql � �' W : � -� � .�. � � w �• xr '140. GasService-Final " �;�� r (p'�Q,� L��%�.`' '`'` ,',� yq _' 47. Solar pomestirFinal' h: i` � ,+ � �-� �7o c� x x ;� „ �..� i S 42. Backflow Preventer �" �^ ^ ' '- � " ^•`� '`" " Q-yr-� K ti y�. .r Y�j L- ... ,. (1 ' _.. '.. .._. ........ �.. �..� _ . . 43. Backflow Irrigation � � w � �"'' � � t' J ` • • • � • • • • • • • +' +' : ;.i w i {`. GJ'7000000.^. "44. Landscape Irrigation SYstem �� ^ F "' O � CX {,. ; ; ;: .�'��+ G� � � ` �- � `1 � J'.��r"J�J:JV F ti'_..�-. �r �� . �._j �"45:�Sound�Attenuation �7.... m 7 t�,�.r+ _. . ,. ..Y n / .�rf� � 46:•Handicap Regulations " �' ;'. � '�'�' �` � -' '� „ � � r v� •' C, �� 47:'FINALSTRUCTU�RE&BUILDING Kf, � � :�: � `V i ° t-- i ^ a � ; 7 48�FINALPLANNING 4'- '� ' � ��°�' '-� `� r - Y^ �� K 4 I .J 1 i , !. I � 49..Elec[ric Release to Edison . ;, i �;" '. ', _ .; ; _Y l ,.� • ... : i7.ri� -�... � :.�.c.:..i_. �--�.. 50:� Gas Release to Southem Califo�nia Gas Co � �i �'" � '" _ �'' r ,�r ' _ :��, r; r r� c��ccn;..c:: �:c 51. CERTIFICATEOFOCCUPANCY �.� No. __ Pa[e PB0.1EG7 RODBESS � , ' � 6WNEN'S NRME: . , ,. , MDHESS: , , 'RBCH/ENOIXEEfl: . ' qE0.N0.: : eooeEss: - , ,. LICENSEO fANTM Ofl OECUMl10N: I nereby aHirm ihat I am Iicense0 under provisions ai C�ap�er 9 7000� o(OiNsion 3 o the Busineu an0 Pmtessions Code, anU my license is in full farre antl eHect. CITY LIC.: Si�TE L1C.: CUSS: Uate: SiAnatuie: IKEBS'COMPENS�TIO OECUMTION: IAere�yaifirmthatlluveaurtifca[eofco nttoseli-insureoracertilicateafWahers' iensation Insurance, or certitieA copy Nereof (Section 3800, LaO. C). � � �CY XO.: , � � EXP. D�TE: � COMPRNY: ❑ Cenitie0 coOY is hereAy lur heA. ❑ Certi/ied copy is filed wii� I ciry Buil�inA DiNsion. Date: pDPlicant: UNIT: uxiT: Seciion E%FMPf10N fHOM WOXREXS' COMPFNSA OX OECUIUTION: ' seitlan nee0 not be complete0 tt Ne permtl is for o� huMrea (5700) or less). I Getlity �Aa� in lhe Oertolmante o� Ihe wo br which Ihis per is issue0, I s�all not employ any person in any manner so as Io become su�iect to ine Workers' Compensation La af Califomia � , ' Date: " � ipna NOTICE: II, atter making Ihis Ueclaration, �ould 6ecame subject ro t�e Workers' Compenution pmvisions ol tha Labor COAe, yrou must forthwitA comply with su mNsions ar Ihis permit shall Ue deemed revokeA. CONSTNUCTION LEXOING RGENCY: I her y atti tAat ihere is a constmction IenOinA agency for Ihe petlormance of iha wark for whicA this permit is issuetl (Section 3097 iv. C). LENOER: " FOOHE55: - , - OWNEB BURDEB OECIAMT N: I Aere�y aifirm Ihat I am empt Irom tAe Coniractors' State License Law for t�e follawing reason (Section 7031.5 Business a Professional Cotle: My ciry of c nry which requires a permit ro constmct, alter, improve, AemalisA, or reDair any slmcNre, pnar o its iuuance, atsa requires tAe appli nt for suc� permit ro file a signeA statement ihat �e/she is licenud pursuant to tAe Omvisio ol the Contactors' Stata Licanse Law (C Ier 9(commencing wii� SecliOn 7000) ot Division 3 0� t�e Business and Protessions Code�� r Ihat he/s�e is eMempt iherefmm and t�e sis for ihe alleAed exemD�ian.-My violation ol Sectian 7031.5 by ^vy aODlicant ior a rmil'suUlecis ihe aDPlicant to a civil Oenalry o ot more than five hunare0 Oallars (5500). . I; as ow r oi the O�oOerty or my employees with wage as I�eir wle compensation, will tla ihe work, an0 the J stmctur s not intenEeO or oflere0 tor saie (Section 704A, Busine an0 Professional Cotle: Tne Contratlors' State License law Aoes n apDly to an owner al a�propeM who builQs or imOroves ereon, anU who Oaes suc� work himself/I�erseli or throup� , his or er ovm employees, O�oviOed Ihat such impmvemenis aa n intende0 ar aflere0 far sale. II, however Me buildinp or �im0 vement is so10 within ona year of completion, ihe owner will � the hur0en oi provinA �e/she tli0 not bui10 ar im0�ove �o! h2 purpo5e 0� Sal¢J. , . as owner oi the property am exclusively coniractin9 ��h IicenseU con(r tors to constmct t�e project (Section 7004, Business �� nU Protessions Code: The Camractors' State License Law Aces not apDly t n owner of pmpeM who bwl0.s or improves Mereon anE who contracis for such pmle�� h a conVacior(s)iicense pursuantt the Contracrors' State License'Law�. lam aware tha� proof Ot Iheir Worker's Compensatlon insurance should be provi4e0 �o e. " , � I am exemOt unAer Sectiun: � B.�d P. C. for this reazon: , i ; Uate: � 6wner: I Oo herehy cerliry Nat I am aware ol anA un0erstantl Ihe reQuiremenis of Califomia Health anU tery Cotle Sections 25505, 25533, an0 25534 an0 that I or any fuWre builEing occupant will/will not (circle one) neeE ro cromply with sai0 te coAes an0 the requiremen6lar a permit for constmctwn or mo0itica[ion from the tir Oualiry Management Disirict PesiAential constr ion applica�ions are exempt irom Ihtse pravisions. ' . � � Date: Applicant: I hereby certity that I have read t�¢ aODlication anG state Nat ihe above information is coract. I apree to comDM ��h all ciry anA counry ortlinances antl state Wvrs relatlnp to huilAinO canstmction anE AereEy autAonze 2D��ntatives of this city ro enter upon the ahove-mentionetl propeM �orinspectian Durpases. , Date: Signaiure: Dnver's Licenu or Social Secunry X: ' ,� 1841�48 WNCe--BUI1Ei�g; Grean—CoEe Enlorcemant; Cenery—Applicant Pink—Revenue; GOltlenroE—Assassw PERMIT NO: P 049345 PLAN CHECK NO: 06097-90 N PAGE: 2 �**�r�r�r*****�r�r�r�**�r��r�rx*�x �r*tr*��r***�r�r�r�r�r��r��r+�x�*�r�r*x�r*�r�r�r+��r*+r**+r**�r�r�'*��rx ***�r�*�� TYPE QTY D E 5 C R I P T I O N , UNIT COST , TOTAL COST PLU 9 GAS PIPING SYS 5+ OUTL—PER OUTLET .50 2,00 PLU 2 GAS SERVICE 2,00 4.00 �PLU 2 FLOOR DRAINS 2.00 4.00 END OF FEES - u • � i 0 �Dl�P!_T�FiTE i``iEi:�Tifyi-� 01 �0971299-000712°S -f'C�T 73.Up DATE: 16!OSf40 TTtiE� 1?�3: ' ; ' . CONSTRUCTION AND PLANN. - ' APPROVALS Permit # 1. Temporary,Electrical Service or Pole 2. Soil Pipe-Undrgrnd. ' 3. Electrical Conduit Utility-Undrgrrid.` 4. Electrical Conduit-Undrgmd. 5. Steel Reinforcement 6. Electrical UFER Grnd. 7. Footings B..Foundation 9. Water Pipe�Undrgrnd.� 10. Structural Floor System % 17. Property Sewer Line & House Con�ection 12. Sewer Cap `% 13. floof Drains � 14. Rough Plumbing / 15. Rough Electriwl-Cond'uit ' 16. Rough Electric Wiring� 17. Rough Wiring Sigri 18. Rough ElectriCal-T Bar Ceiling ' 19...Rough Heating.&_Air Conditioning in Structure Ventilating ie'�Roudh & Test 25. Roof Sheathing & Monocoat 28. Lathing:&Si'd��"„�9i 29. Insulation ,;�r�� y '. 30. Drywall Nailinyn 37. Plaster Brown Coat 32�•Electrical Power Meter-Final 33�Final Electric ��',+ 34..;Final Heating & Air'Conditic 35�Final Gas Pipe-Tesm 36 `Hood or CanoPY � 37�:�Final Factory Fireplace 38:;Final Plumb ng 39=:Water Service�Final 40!Gas Service-Final - 41�Soler pomestic-Final 42.=8ackflow Preventer r ir�i 43. Backflow Irrigation 44. Landscape Irtiqation System 45. Sound �Attenuation 46. Handicap Fegulations , 47:�FIIJAL�STRUCTURE & BUILDING CH�'�FINAL�BLANN�NG 49. Electric Release to Edison 50. "Gas"Release fo,Southem California Gas Date Date - . � JOL & SPA Inspector qppROVALS Perm�#'� - 52. �Pool &.Equipment Location �J 53. Steel,Reinforcement - 54..Fnrmc 55. Electrical Bonding . 56. Rough Plumbing & Pressure�Test 57. APPROVALTOGOVER�GUNITE 58. Electricsl Conduit-Undrgrnd. 59��Gas Pipe, O �Undrgrnd., Test �. 60. Backwasfi•L'i es; P�Trap, O Undrgrnd. � 67.-APPROVAL TO DECK 62. Backwash & Receptor�Final� 63.�Heater&Vent-Final. , �� 64. Plumbing System - Final , 65. Electrical-Final ' 66. Solar System-Final 67.� Fencing & Access Approval 68.�APPROVED FOR PLASTERING ' 69. �POOL/SPASYSTEMS�FINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 77. Product Pipinq OGas OOiI 72. Underground Flush 73. Undergrnd, Storage Tank � Gas ❑ Oil 74. Overhead Hydro � 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: � Date I'Inspector � � �� „ -na i y � ., PHOJECTAODflESS: rw I1NR:�� OWNEfl'S NFME: W D. C. DEV � r aooxess: Sa.ME t:�ii8.?- �(��i9 81D3 � �'�r-:��?.'r�--�==� 553-8090 - -y--^ -=-- 17HCNIENGMEEB: TODD SCHOOLER b ASS�C � qEc.No.: C17323 aooness: 500 N NEWPORT BL uxiT: 500 N.$. CA 92700 PERminEE: INLAND HEATING INC. ( 714 ) 734-4540 aooRess: 1696 COMMERCE ST CORONA CA 91720 LICENSEO CONTNACTOB OECIAflRTION: I �eieby aliirm that I am licensed unAer provisions a� Chapter 9 �commencing with Seciion 7000� ol Orv ion gp�, �gusiness and Pm�e ipn p�¢, �qd m I¢ense is in f 4lorce 0 eilecL i 6JJ7 1 �!Y JY7 Y L� CITY LIC.: yq.� $TATE LIC.: 5: O�le'. L[— Signaiure: _. _ �JBNEFlS' OMPE SATION UECLAPATION: I �ereby anirm Iha� I have a rerti�icate oi con5enl io self�insure or a certilica�e of Workers' � �mpensauon n i agQ�}��cgtdjed�copy inereoi (section aeo0. �an. gl.l / � 1"/ 9 1 voucvxo.: UNICARE E%P.DPTE: COMPPNY: ❑ Cerolietl cop is he eby �umishee. � Certifietl copy is %il wi♦♦♦th A�1ye cilyq� iltling Orvis Oa�e. � ` / NPPlicant: W"�"l G�f�ZC^�'^" — EXEMPTION FHOM flKEflS' COMPENSATION OECLABA710N: (This section neea not be completetl il lhe permit i50r one hunErea (5700) or less). I certity t�al in I�e pedormance ol lhe work lor which �his permil is issued, I 5ha11 no� employ any person in any manner so as �o become sublect �o Ihe Workers' Compensation Laws o� Califomia. �ate: Signa�ure'. ' NOiICE: If. after making Ihis aeclaraiion, you shoultl become su6lect ro t�e Workers' Compensaiion prouisions of Ihe Labor COtle. you musi fotlhwil� Comply wi�h 5uc� prOvisions or IhiS permit Shall he deem¢0 revoke0. � CONSTPUCTION LENUING AGENCY: I here6y aifirm Iha� Ihere I5 a consimction lending agency �ar, the pedormance oi [he work lor ' wh¢h ihis permil is issuetl (Seciion 3097. Ci¢ C�. LENOEfl: � IIOOflESS: � � ' - - ' ' IOWNEfl BUILDEB OECIl�XATION: I �ereby aflirm Ihatl am ezemplimm Ihe Contractors' State License Law farihe toliowing reason (Secbon 7031.5 Business antl Pm�essional Code: Any ciiy ot county which requires a permil to constmc�, atle�, improv& aemolish, or r¢pair any stmcture, prior lo its issuance, also requires the applicanl �or such Dermit �o file a signetl statemenl thal he/she is licensed pursuanuo Ihe pioviswns ol the Coniraclors' Sta�e License Law (Chapter 9(commencing with Sec�ion 7000) oi Division 3 0l ��e 9usine55 ...antl Pmfessions Code) or t�a� helshe is eKemp� Ihere�mm antl Ihe basis for Ihe alleged exemplion. Fny viola�ion o� $ection 7031.5 by �3'y.)y applican� for a permit sublec�s Ihe apDllcan� to a civll penalty of no� more than �ue huntlretl tlollars (5500�. " I, as awner ol ihe pmpetly or my employees wiih wages as their sole iompensation, will tla Ihe wark, antl Ihe ' °�� 51mcWre is nol imended ar afleretl lor sale (Seclion 7W4, Business antl Pmfessianal Code: The Con�rac�ors' Siate License Law Ooes nm apply to an owner oi a pmpeny who builJs or imD�oves ��ereon, and w�o does such work himseli/herself or thmuAh his or her own employees. Drovieea iha� such impmvemems are not inten0e0 or otferetl for sale. Ii, however ihe Uuiltling or impmvement is so10 wiihin ane year of com0letion. ihe owner will have Ihe 6ur0en ol proving �e/she ditl not huild or improve lor ��e purpo5e o� sale). I, as owner of the pmpeny, am exclusivelp contracling wilh IicenseU conlractors to conslNct t�e pmject (Section 704d, Business ❑ anA Pmlessions CoUe: The Contractors' S�at¢ License Law tloe5 no� apply �o an owne! O7 Orop¢tlY who bwlds or im0�oves lhe2on ,ana who conlrac�s br such pmle��s wi�� a conVactoqs) license pursuam ro Ihe Conirac�ors' Stale'License Law�. I Am aware .Iha� proaf o� Iheir Workei's Compensa�ion insurance shoultl be provitlea to me. � I am exempl untler Semion' B. 8 P. C. �Of IM1IS fQd50fl: Da�e'. Owner I Qo hereby cenify tha� I am aware oi an0 undersiand �he requiremems ol Cali�amia Healih and Safe�y Cotle Sections 25505, 25533, antl 2553a ana ihat I or any IUWre builtling occupanl willlwill not (circle one) need to comply with saia state cotles an0 Ihe requiremenis tor a p¢rmit lor conslmciion or motlifica�ion imm ��e Air Ouality Managemeni District. Resiaen�ial consimclion apDlications are exemp� hom �hese pmvisions. ' Dale: Applicani: I �ereby cenity Nat I have reatl Ihis applicalion antl s�aie Ihat �he above in�orma�ian is correct I agree to comply wi�h all ciry ana counry ordinan es and si. e l�anws relating la builUing con9mdion and hereby author¢e represemaiive��er upon �he ahove�memioneU pro0er arins :cii purposes. /I G/ % � � 8 �• .� L! DriveYs L¢ei se or Social Sewrily tt: i64ba6 WM1iie—Budtlmg: Green—Cotle Enlorcemenf. Canarv—ApplicanC Pink—Revenoe: Goldenrotl—Assessor � CITY OF COSTA MESA - BUILDING PERMIT .. .." �."�^ PERMZT NO: M 051005 • PLAN CHECK NO: N' . ":,;;. ,,' CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC . -. PURPOSE: NEW JOB DESCRZP"PION ; BUILD #4-2 UNZTS,.38225F LIV, 930SF GAFtA SQ FT: CLAIM VALUE: CALC-VALUE: , GROUP UCC: R-3 /M-1 COMMENTS: REF'EkENCE B�ILDZNG PERMIT #B49332 � *�t***x+�****�r�*�**�x**�r�t��*�****�*+r**��tx**�t*�*�t***�*�r*�*a�*�r*�c�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 K S - ------------ MAZN BUILDING ----=----- FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN - ACCESSORY BUILDING - - FRNT: FT IN REAR: FT ^IN LEFT; FT IN ;RGHT: - rT� IA1 PARKING REQ• PkOV: PARCEL; 43922123 'LNE: REF NO: PLANNING Nt5'PES> , i ��*x x��*�***�r*�***+t�tx��*�+�x ��t�**�*�c***�t� �**��x�*�rxx�**�cx�r*x�t��,r��***�*��**�e**�+� D E V.E L O P M E N T S E R�,V I C E S' R'E Q U I R E M E N T S ZONZNG APPROVED HY ' UATE; BUILDING APPROVED BY.: � DA'PE: APPLICATION iSSUED BY• ' DATE: o%'I•3'' iEifiPiEiEiElFiEiEiElEiFiliEiE�IEiEif3PiFiEif -.ri �F• �� r ti � iEi6lEifitititiEfFiF� iEiE iElEftiF!(�ififiEiEiEltlElEi(iEiEiEfEiEiEiEiEiklEihiEiFifiEiklEiEikiEiFiEiEiEik .:1f-itifiEif��lfiFlEfE9EifitiFik�E�lflfiFifiEiE�lf1(�7f1(�lf1PiE7EiEi(�!E'%3(�iEitik LEGALZZATION:N F-E�E S U M M A H Y � STRUCTURAL SEGMENTcN BLDG PMT PliUMBING ELECLRIC MECHANIC FIRE SM,IP/RES GRADING PERMIT ' 36.00 ' ' ' 258 SMIP/NON-HES PLAN ' IS5UE FEE 15,00 BUILDING-DIV-> PERMIT ZSSUE .PLAN=CHECK 'POTAL PASD DUE TOT'ALS---=> 36.00' 15.00 0.00 51,00 51.00 ,00 REVENUE DIVISION TOT:ALS--> COLLECTED; 51,00 OVER/SHORT': 00 HLDG PMT PLUMBING ELECTRZC MECHANIC . FIRE SiY1ZP/1'OT GRAU�ING PLAN-CHECK - 51.00 !F iElF iE 1E ik iF7Flf iE �lE 1E �1(� iF iE # iE 1E iF �lE iE 7ElF iE il� it iE itlElElElt 9E iE if !! iElE iE 1E if iE iE iElF lE iE iF # IE ih # iElElt �F ih 1f 1E iflE iE iE X� iE �fl� iE iE !F iF if !h it k'1E iE ik �)t i! , I N D I V I D U A L F E E B R E A K D O W�N TYPE uTY D E 5 C R I P T I O N UNIT COST TO'TAL COST N,EC 2 INST FORC-AIR/GRAV FUkN <= 100 K BTU 9.00 18,00 MEC 2 REFRIGERATION SYSTEM t= 100 R H4'U/H 9,00 18,00 END OF FEES — _ e 41 OOQEOR�I-C}�i:?3t?STI 3•{+T `�1.�L� DATE: 421f9i91 TI�?E: 1k:17 • CONSTRUCTION AND PLANN.._� APPROVALS Permit # � Date 1. 7emporary Electrical Service or'Pole 2. Soil Pipe-Undrgrnd. ' � ' 3, Electrical Conduit Utility-Undrgrnd. � 4. Electrical Conduit�Und�grnd. 5. Steel Reinforcement � 6. Electrical UFER Grnd. � .-. �"'.'_' � ' .f8.'Foundation ' � , rn, �. . 'yN;Wa[erPipe-Undrgrnd. �� . 1�. Structural Floor SYstem !1i1. Property Sewer Line & House Connection n� � y`2. Sewer Cap - �1'� ., Roof Drains - �, , - �T�4>�Rough P�umbing ' 15. Rough Electrical-Conduic , 16. Rough Electric Wiring �. 1'7. Rough Wiring Sign + •18. Rough Electrical�T Bar-Ceiling � 19. Rough Heating & Air Conditioning � 20. Rough Factory Fireplace � : • 21. Ducts, in Str`ucture . .. . 22. Ducts, Ventilating• 23.. Gas Pipe-Rough & Test 24. Roof Framing � � �� • � 25. Roof Sheathing ' � 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing ' 28. Lathing & Siding . • � � � 29. Insulation . ' �� . 30. Drywall Nailing . 31. Plaster Brown Coat ; , � 32. Electrical Power Meter-Final� 33: Final Electric , , ,.� � 34. Firial Heating & Air Conditioning 35. Final Gas Pipe�Test � 36. Hood or Canopy . 37. Final Factory Fireplace 38. Fina� Plumbing � � � � 39. Water Service-Final - 40. Gas Service-Fina� . _ 41. Solar pomestic-Final. � 42. Backflow Preventer ' � 43. Backflow Irrigation � 44. Landscape Irrigation SYstem . ,- _ 45. Sound Attenuation 46. Handicap Regulations " 47. FINALSTFUCTURE&BUILDING aa. FwAL PLANNING � 49. Electric Release to Edison 50. Gas Release to Southern California Gas Q � 51. CERTIFICATE OF OCCUPANCY INo. pate � 0 JOL & SPA Inspector p�ppROVALS Permit # - ,! 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test ' 57. APPROVAI TO COVER�GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor�Final -� 63. Heater & Vent-Final 64.�Plumbing System - Final 65. Electrical-Final� 66. Solar SYstem-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT '+�' APPROVALS � Permit# • ;� . �� 70. Underground Hydro `' 77. Product Piping OGas OOiI �� , � � • 72. Underg�ound F,lush . 73. Undergrrid. Storage Tank O Gas ❑ Oil . � - - 7A�. Overhead Hydro 75. Dry Chemical • � . , 76' Dry Standpipe 1 • �•i' ; 77. FIXED SYSTEM FINAL - �1 �. - � � 78. FIRE PREV. FINAL . I,% j � � HEALTH DEPT. REQUIREMENT .� �%�i ' 79` FINALINSPECTION , � - i r i�: i. 80. FOOD CERTIFICATE ISSUED . ,n �,. �f �, . Notes: . i � ' . � , � . � ;I v� i , . , . : i7�. r i i � ;;i"j ' , � � � �,. � � �. � I � . . � I �- . ' � I �. �. • � i 1 . , � . i , . :. � '� I i i =' � � '!�� . � r � � �'�r�. I� A Date Inspector 0 i:. PBOJEGi RDDBESS✓ �A"DR OWNEH'SNqfAE: W,D.C, DEV . aooeEss: SAME uxir: ,g�¢ 8�d 3 553-8090 ' RBCN/ENGINEEX: TODD SCAOOLER 6 liSS�C nec.xo.: C17323 • ' aooAess: S00 N NEWPORT HL UNIT: SOO N.B. CA 92700 PEXMIiTEE:W.D.C, DEVELPOMENT (714)553-8090 ADOflE55: 2 CORPORATE PARK 202 IRVINE CA 92714 LICENSEO CONTNACTOP �ECLABATION: I �ereby a��um Nal I am licensed unaer pmvisions of ChaO�er 9(commencing wi�h Sedion 7000� ol �rv��sion 3 oi I�e Business antl Pmtessians CoOe. anU my license is in lull �orce antl e�fec�. CITY LIC.: STATE LIC.: CLASS: •: Signamre'. dREPS' COMPENSR710N oECIAXATION: I hereby alfirm ihat I have a cehificate ol consent to sell-insure or a cehilicate ot worker5' �ampensation �,�sy�ry�c�'p� y rp,nihp� r,ppy Ihereoi (Section 3800. Lab. �1 eoucrxo.:STATEla v E%P.�ATE: V7/O1/91 COMPPNY: ,v� ❑ Ceniliea capy is here�y fumishe0. LJ CetlifieU c is lile wi y-Builtling�BiHsi . Oale: �' ^ � }� �� APPlicanL / E%EMPTION FROM WUBNEPS' COMPENSATION OECLANATI : is 5eciion nee0 noi be comD�e�ed' e i� is �or ane hundretl (3100) ar less). I[etlily I�at in Ihe Oedarmance ol �he work for which is rmi� is issued I shall not employ y p rson in any manner so as �0 6ecome sublec� Io ihe Workers' ComDensalion Laws o� Cali ia. , �aie'. � SignaWre: NOTICE: II, a��er making �his tleclaration, you should 6ecome Subleci to the Workers' Compensa�ion provisions ol �he Labor ' Cotle. you musl Iort�wilA comply wi�h suc� pmvisions or Ihis Dermi� shall be Oeemed revoke0. CONS7PUCTION LENDING AGENCY: I hereby allirm t�at Ihere is a consimction lending agency for ihe peAormance ol Ihe work for wnich Ihis Dermn is issuetl (Seclion 3097. Civ. C�. LENOEfl: NOONE55: ' ' ' ' ' OWNEfl BUIIDEB OECLAPRTION: I �ereby a�firm t�at I am exempl imm Ihe ConUacio�s' Slate License Law for the following reason (Sec�ion 7031.5 Business ana Pmiessional Coae' Any [i�y oi coun�y which requires a permi� lo cons�mct, alier, im0�ave. demolish, or repair.any simcture. prior to its issuance. alsa reQuires Ihe applicant for such permit to file a signeA statement ihat he/sne is licensetl - nursuant m ��e pmvisions ol lhe ConVacmrs Slate License Law (Chapter 9(commencing wi�h Section 7000) o� Oivision 3 0l Ne Business 1 Professions Cotle) or ihat he/she is exemp� ��ere�mm antl ��e basis for the alleged ecem0�ioa Any viola�ion oi Section 7�31.5 by ' applicantlor a permil su�jects ��e aDVlicanilo a civil penalry of noi more ��an �ive hundred"tlollars (5500). ' I, as owner oi ��e pmDerty or my employees wit� wages as lheir sole compensalion, will tlo ��e work, antl �he �, ❑ slmcWre is nal intentled or oitere� �or sale (Section 7044, Business and Pmfessional Cotle: The Canlraciors' State License Law � I Ooes not apply lo an owner of a pmperly who builtls or impwves t�ereon, antl who tloes such work himself/hersell or thmugh ' his o� her own employees, pmvideJ �hat such improvemen�s are no� intentled or oflereA �or sale. I�, however �he building or 'i imDmvement is sold within one year oi completion. ihe owner will have ��e buraen of pmving �e/she diJ not build or imD�ove i for Ihe purpose ol sale), I. as owner of the pmPeny. am exclusively coniracting with Iicense0 conirac�ors m consimc� ihe D�olect �Section 7044, Business � and Professions Cotle'. T�e Camracmrs' Staie Liwnse Law does no� aDPly to an owner of pmpeny who builds ar impmves ihereon and who conlracls lor such pwlecis with a canVaclar(s)license Dursuan�lo �he ConUaclors' State License Law�.l am aware I�ai V�uol of ��eir Worker'S Compensation insurance shoultl be pmvi0ed �o me. � I am exemp� under Sec�ian'. B. 8 P. C. �� for ihis reason'. , • Daie: �" ��^ 9� Owner " I do hereby cerUty �nat I am aware o� and understantl ��e requiremen� I C' omia Heallh antl Salely Co�e Secy ns 505, 25533, ana , 25534 antl tha� I or any Imure builtling ocwpanl willlwill noi (circle a e) a lo comply with saftl s�a�e cotles dRd th reQuiremenls for a permil �ar cons�mclion or mo0ificatmn imm Ihe Air �uabry Manage nt DiSVic�. Resitlenlial cons�mction applica�ians are exempt imm IheSe prOvi5i0n5. ' �ate'. Applicani: _ I hereby certAythat I have reaa I�is application antl slaie Ihal Ihe oidinancesand 9aielawsrelalingto buil0ing conslmction an0 berel pmper�y �or in5p¢c�ion pury05e5. ' oate: � � 'Z�� SignaWre orivers �mense or Sana� Securiry �: is correcL I agree to comply wi�h all ciry and t60t�46 Wmte—Bwlmng�, Green—GOEe Enbrcemen�; Canary—Applicanl' Pink-Revenue: Goldenrotl—Assessor � CITY OF COSTA MESA - BUILDING PERMIT PERM NO; M 05112 PERMIT NO; M 0511,20 PLAN CHECK NO; , N GOVT; N SUPP: Y CONSTRUCTION TYPE;•. PERMIT TYPE; MEC ; PURPdSE; OTH JOB DESCRIPTION ; INSTALL 2 FACTORY FIREPLACE$ ' SQ_FT: CLAIM VALUE: ' � CALC—VALUE: � ,� GROUP OCC; R-3 /M—i�, COMMENTS: RE: B99332 PRIMARY BLDG. PERMIT.� ' ��**�r*�**��r�r�r�r*�r*�r�rx*****�*�r��**�r�rx *�rx****�r�r*��r�*****�*�*��*�*�r�r*�+r�r*****�•�r* 2 O N I N G R E Q U I R E M E N T S S E T B A C K S � ------------ MAIN BUILDING ---------- ----�----- ACCESSORY HUILDING --------- 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• PROV; PARCEL: 93922123 ZNE; REF NO: PLANNING NfST'ES> �. � , . . .. . _.. if iE �1F if iE iE�IE it �E 1E lE iE i! iF k il� ik ik it it 1F iFiF if if if �If if iFlE 1E if if iE �)f iF 1E iE 3f IE ik it 1F iElhlF k�)k lE If iE if if iF if if �f iE iE ik 1E 1EiF if ik if ik 1F 1E iE if IFlF iE if IE # 1h it D. E V E L O P M E N T S E R V I C,E'S R E Q U I R E M E N T S 20NING APPROVED HY � " DATE: BUILDING APPROjIED HY : DATE,; APPLICATION ISSUED BY• � DATE: �/ � �kifikiflFififiE3f�FiEiFiEififiFiEiEiF�fiFik 9�iF{FiFiEiflFi(�ifiEifiEifiEi�iF'�FiFiF7F' ��ifiF IEifif3f3EiFiFif�EiElfMiFiEiF1E1F�FifiE�fjFiE3fifiEiEifiEiEiPiF •iEiEiEif iF 3FiEk1EiElF�fif�EiEiEiEiElElfikiFlEak�E�FiE�fiFiEiEiFiF3fiE3FiEik�E.iFaFiEif LEGALZZATION:N - F E E S M M A R Y- STRUCTURAL SEGMENT;N HLDG PMT� PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GAADING PERMIT , 13.00 , 252 SMIP/NON—RES PLAN � • ISSUE FEE 4,50 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 13.00 9,50 0.00 17.50 17,50 :,00 REVENUE DIVISION TOTALS--> COLLECTED; 17,50 OVER/SHORT; ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK � � � 1%, �-]0 , � iFiFikikiElEiE�fiFiF�fiflfiEiElFiEiF3fiFjf�fifiE�E�EiEifiE1f1E1FifiFiFlFkiFiFifiFiFiElEiEik3fiflEiFifiEifiEifik3FiFiEifiFifiklEiFiEif�FiFifiEk3F3EiFiE�F�fiF I N D I V I D U A L F E E H'R E A K D O W N , TYPE QTY D'E S C R I P T I O N UNIT COST TOTAL COST MEC 2 FACTORY FIREPLACE � 6.50 13,00 END OF, FEES , Y A f -��\ � oz�l�gos?iaa-nea�iiaa. rc�-r • � OATE:�a2/22/91 T?I".E: 3F:03 i7.5d CONSTRUCTION AND PLA� S POOL & SPA . APPROVALS Permit � - Date Inspector p�ppROVALS ,Permit # Date Inspector - - - _ ✓. . 1.. 7emporary Electrical Service or Pole,:; 52. Pool & Equipment Location � ' .j: ' 2._ Soil Pipe-Undrgrnd. `•"�- � - 53. Steel Reinforcement •� .• �... _ - ��_ - �.:• ' _, 3:?Electr.ical�Eonduit Uiility-Undrgrnd�,'r 54. Forms � � r'. _, E�4. Electrica� Gonduit-Urdrgmd. � � 55. Electrical Bonding .l .� ,�. 5. Steel Reinforceme,nt � 56. Rough Plumbing & Pressure Test �= ...6. Electrical UFER'Grnd. 57. APPROVAL TO COVER-GUNITE i / �, r, .,- ,-.'ti 7. FootingA? T�; 58. Electrical Conduit�Undrgrnd. �� ' 8. Foundation 59. Gas Pipe, O Undrgrnd., Test ;v ��'' 9. Water Pip'e'Undrgmd. ' 60. Backwash Lines, P-Trap, � Undrgmd. . i . . e- i'f c� . .ii 10. Structural Floor 3ystem :� .• - 67. APPROVAL TO DECK , �t 11. Property SewQer Lin�;& House Connection �" 62. Backwash & Receptor-Final � f 12. Sewer Cap � . ', �� :v 63. Heater & Vent-Final '' 13. Roof Drains�;� '� ^.' �� 64. Plumbing SYstem � Final ^ . '� 74. Rough Plum6irig " �- 65. Electrical-Finai ��- � j 15. Rou h Electrical-Conduit i i: , 9 66. Solar SYstem-Final . �`" 16. Rou h EI'ectric Wirin - � � y 9� w 9 67. Fencing & Access Approval I �17.> Rough N/ir�ng SigO 68. APPROVED FOR PLASTERING � .�18. �Rough ElectricaJ-T Bar Ceiling 69. POOUSPA-SYSTEMS FINAL 19. Rough Heating & Air Conditioning � FIRE OEPT. FiEQUIREMENT - " _ � ' t� �t�,].� S .. - T 20. Rough FactoF�y Fiieplace ; �-�^• ?�- r - - �' :�: rqppRQVAL'S�S�Permit # �' =`� lti w Sx SI*' 7.^' �S T• +' l.. �..i..� 7 :r � � . T ,. � t'rf` � ..., _ ,. 6 +. <. .:s'� v. t 1 .�. • . 21._Duc[s,in�Structure> •�•� -.5 5 �i:< :70. UndergroJnd!Hydro 22. Du�t's. Ventilatiri � � "` � � y' '' '" - � •'.' ��' �. 9.`' � -. � - _ � �71. Product�P�pmg �Gas O`,011 23�lGai.Pipe Rough &'[esc ; -`: ;S > ;r, tr ^ �' ` � '�-,�, � •-�'� �'� ct �. ;: _72. Undergro�d Flush� 24 % oof Framing ^�� '-`' ';� � % ;� 7 ��" �`� >73 yUndergrnd: Stora�ge Tank �O Gas ❑ Oil 25. R� Sheathin ". =" -` ^ n� �� n;. a�- u v Y , .. 9 2 r C s..•� r _ S*�. �74�:Overhead H dro' `� 26. T- sr Ceiling (Structurap &:Monocoat > _ � � [« �� A 75!=�Dry Chemical = -� �- ''' Y r� -� � 'v C'I :: n f-. •^. �T . 27`Frame and Flashin ` W. " �� '' " m" �z: ��` � � . 9,. �;�,' F.r y,,•: �� 76` Dry Standpipe -.;.� . i-28~ Lathing & Siding :` %: � r� ^ x- �� •• • �••> � 77;; FIXED SYSTEM: FINAL; � � � '29. Insulation s; `�' - �� ". ,T, �� t �;. �: 78,-s�_-FIRE PREV. FINAL r� ^� a: m -�.- o �J30. Drywall Nailing �Y � ' ��i� * '� HaALTH DEPT�: REQUIREMENT •-37. Plaster Brown Coa{; .S � �,�:,� � j -�;::;' ,.79."FINAL INSPECT19N Y' ` :�32.,Electrical Power 6tlete�-Finali - r i v � � � Y:.-80.�FOOD CERTIF4GATE ISSUED� �'7 n .+- 133:`Final Electric ' �� ' r �''>: �� ~ a IP ' r M I. 1•� h l �Y (� � � ' �� i . x � �No�tes .-. y-7� � -f � r_��]'� �: 4 i` f1 .�. �. 1 !l�' ' ,' M ' -T �. � . e-. .� .. . . �. .� ��34rFinalHeating&.!�ir.Condition��g, ;1 � �� r h S S Ci��-+ .� S G '35r:Final Gas Pipe�Test. ,T� � .'�'%{r •- n ' _�-c • * . ` ,A . �.. �,l,l• t. `; �-s�, : ;�n [' � .� • .a ^ , :/1ilT'-. L.Iv ♦ �. fy �r.36.�Hoqd or_CanoPY .t. L. - '-' "� . � i �� ! s' F. ^ C ��• . �r -. + �:� rn � 37F-Fina1 Fa'ctory Flrepla'cel ' •�'`-" �' L(J � ' '- '- `'r � , ��._ �.: y � :�� {�, `� :V / ` � 38. Final Plumbing .� p) � --� � ' �i� x � S�•�_a • � w .-39. Water Service�FinalY� °-' ' I '� -' :'�"" � "'' ` �'z , Z • ,. s � I L!: a � �,40. GasService-Final ,;;,- t; z• S f ,� � � �...f `ry;.� yp; ' ' 47. Solar pomestio-Final:� � " '� � � �` * �"� ^:'y ` ^ , �.i s i 0.,. l•' O G' r T. Y : "42.-Backflow Preventer,. N .t � i i� :� r 7'-• a r' �.- 43. Backflow tr�egatiom� � � �•`` ` x " �. :3 i•"' , - ' 'C � ; V: a 'a �c : � tv • .� t+ tr44. Landscape luipation System_,,,�;� .s- = ir, ,� �� ' ,: ;; �� 't, ,,:;i,, p; ,,, '45:Sound Atterivatiort 'x�' '' � - �' ` �` � " � ' � 4 ' ` - • r - � .�: • - -, ?46.,Handicap Regulations , ;=i � � � :.. ^ � i _.� �c; � �47.=FINAL STRUCTURE & BUYLD WG - � � = x �� .�- :s � " %�^ ' � - .•=48.:FINALPLANNING� � -i. ' p) f '/�=k : :ry u, k=. . - J �49.�Elec{ric Release to Edison ; L" � .• =: ^ � a - s 1 � i'(+ :r it K �� ^ v' - J{.: `50.�Gas�ReleasefoSouthemCaliforniaGasCo ` I � •,;..,:� - J , �,.,. ;, - : �51. CERTIFICATEOF:OCCUPANCY y ; ; ; �� r _, , r.� j � No. Date / �� - - . _ _ _ - � . _- . .. PflOJECTR00P66S: 1F� ESA DR"� ' � , UNIT: �..� OWNEB'S NAME: C. �-- � . . �L� aooaess: 5AME — � 3 �aG.�a= a b'8 � 553-8090 ��' �� APCHIENGINEEH:TODU SCHOOLER F� ASSOC AEG.NO.:C1-��?3 noosess: 500 N NEWPORT BL °{ 500 PEHMITTEE: N. B, CA 9 Z% O O TOM bOYER CO. (719)642-2431 aooness: q q 5 REDLANDS NEWPORT BEACH �CA 92663 LICENSEO CONTHRCTOP OECLAHATION: I liereby allirm Uat I am licensed unUer provisions oi Chap�er 9(commen[ing wi�h Section 7000� oi �ivision 3 al Ihe Business and Professions Code, and my license is in tull brce antl eiled. ciTvuc.:n49070 srnTeuc.:56690 'C-10 '`le'..lb ^ �� Signalure:�_ FNEflS' COMPENSATION OECIAflATION: I here�y afiirm th e a cetlihcate'ot consent �o selhinsure or a certilicate o� Warkers' npensaiion Insurance, or a cerliLea coDY �hereol (Seciion 0. Lab C). , :oucreo.:i137429-90 eze.oate:04/01/91 COMPpNY:.C.�TATE FUND . ❑ Certified copy is hereby Wmishetl. � Certilietl copY is filetl wiih �he cily Building Oivision. (�' l � �aie: /O '/ — / V 'APOIita��G';'?-'�— ! E%EMPTION FROM WOHKEHS' COMFENSPTION DECLABATION: (Thi55etii�wee0 no� �e tample�etl il the permi� is for one huntlretl (SiW) oNess�. I certify ihat in Ihe pertormance al �he woB �or whicA Uis permit i- , hall no� employ any person in any manner so as to �emme Subleci to Ihe Workerl' ComOensalion Laws ol Calitorma. lQJ Oale: Signa�ur � ��/�... NOTICE: II, alter making Ihis declaralion, you ShoWe become su��e.�u�tfie Workers' Compensation pmvisions of �he Labor CoOe. you mus� �orlhwiih comply with su[� provisions or this permit s�all be tleemetl revoketl. � CONSiBUCTION LENOING AGENCY: I hereby affirm that Ihere is a consimction lending agency for ihe pedormance of the work lor whicll �M1is Oermil is iESued (Set�iOn 3037, Civ. C�. LENOEH: RDOflESS: OWNEFl BOILUEfl OECLNflpTION: I hereby allirm Iha� I am exemp� �mm Ihe ConVac�orS' State License Law fo� ��e following reason (Section 7031.5 Business antl Pmlessional Code: Any cily ol county which requires a permit to consimcl, alter, improve, tlemolish, or repair any SlmcWre, prior lo i�s issuance, also requires �he applican� lor such Oermi� �o �ile a signetl statemen� Ihai helshe is licensed pursuam m ihe pmvisions of ��e Contracmrs' State License Law (Chapter 9(commencing with Section 7000) of Division 3 01 ihe 9usiness antl Pmlessians CoOe) or Ihal he/she is e.vempl iheretrom antl �he basis Ior the allegetl exemption. Any violation ol Section 7031.5 6y y applicant tor a permil sublec�s ihe applicant to a civil penal�y oi no� more Ihan �ive huntlretl dollars ($500�. I, as owner of the pmpeny ar my employees with wages as their soie compensation, will do ihe work, and ihe � simcture is no� imentled or olieretl for sale (Section 7044. Business ana Pmlessional COAe: TAe Contractors' State License Law ' tloes nol apply to an owner ol a propetly who �uilds or impmve5 ihereon, and who does such work himSelVhe�selt o� thmuAh �is or �er own employees, provitletl Iha� such impwvemen�s are no� in�entlea or o�feretl �or sale. If, however �he Uuiltling or improvement I5 SoIA wilhin one year of comple�ioq �he owner will have Ihe burtlen of proving helshe did noi 6uild or impmve for �he purpOse 01 Sale). . ' I, as owner ot ��e pmpetly, am exclusivelp contracting with licensetl conVactars �a constmc� Ihe pmlec� (Sectian 7044, Business ❑ antl Pmlessions Cotle. The Con�rac�ors' S�aie License Law aoes no� apply lo an owner ol pmpetly who bui105 or impmves lhe�eon antl who comrac�s for such prolecis wi�A a contractorls)license pursuanl lo ihe ConVac�ors' S�ale'License Law�. I am aware I�ai pmof o� I�eir Worker's Compensalion insurance shoultl be providetl to me. � I am eremp� unUer Section'. 8. 8 P. C. br Ihis reason: ' Daie: Owner I do �ere0y cenify Ihal I am aware oi ana untlerslantl Ihe requiremenis ol Calibmia Heaith and Sa�ery Cotle Sec�ions 25505, 25533, antl 25534 antl thai I or any lulure building occupant will/will nat (circle one� nee0 �o comply with said stale cotles antl ihe requirements �or a permil tor conSlmcUon or motlifica�ion imm I�e Fu Oualily Managemenl DisVict. Residen�ial constmc�ion apDlications are exemp� iwm Ihese provisians. Oaie- Applican�- I hereby ceilily thai I have reatl Ihis apPlica�ion anA 5�aie �hat Ihe above in�orma�ian is carreci. I agree lo comply wilh all ciry and county ordinancesantlstalelawsrelalinglo�wltlmgconslmc�ionantl�erebyaNnor' rve iscitytoenlerupan�heabove-menlione0 pmperly lor m5peciion purposes. . �ale: /� � � � ^ � Si9naWre: _ � � DriverS �icense or Sona� secunty a: 16aba6 WM1iie—emltllnq; Green—Gode Enlorcemen�'. Ganarv—Applsanl; Pink—qevenuei Goltlenroo—Asseswr CZTY OF COSTA MESA — HUILDING PERMIT PERM NO: E 09944 PERMIT NO: E 099995 PLAN,CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE; OTH JOB DESCRZPTION ; NEW DUPLEX W/AT.TACHED GARAGE' � SQ FT:. CLAIM VALUE: CALC—VALUE: GAOUP OCC-: R-3 /M-1 COMMENTS; RE:� B99332 PRIMARY BLDG. PERMIT. ��*�***�r***�e��e**�rx*�r+�**��r*+�*�r+r+r�c�*******�r********�*�+�x��r*x�**�***��**�***+��t��*�* �Z O N I N G R E Q U I R E M E'N T S ' S E T B A C K 5 ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT • IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT I1d PARKZNG REQ • PROV:' PARCEL: 43922123 2NE: REF NO: PLANNING NC5TE5> � _ _ iE ih it iE iE �1f� ik iF iE 1f it iE �)k iE it iF ik iF �lf it if if if iE ik iF �1f iF �lk �Ik if ik Ik ik iE IE iE iE iF i! iE iE iE iF iF i! ik iF it if iE iE if df �lk iF k iE K iF 1E iE iE �E iF 3F iF iF iF if iE i! jF iF iE iF iF iE �1E D E V E L O P M E N T S.E R V I,C ti S R E'Q U I R E M E N T S, ZONING APPROVED BY '� DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY; DATE• Co // l u ±fikkiliEififififiEiFiEiEiEifjFiFififiEikdE iF3Eil3FiEif3fk�kik iEiF kikafiEififkififlflfifififiFiE�flflfifififlkiFlEiFifiFiE�EafififiFiFiFikiFiFdk iFikikiEififiEiEififikikkM3fifMiEiFiFiEiFdEa!%iEiEiPjElE�IF*iElfiFiE LEGALZZATION;N �F E E S U �M A R Y STRUCTtlRAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT - : ' 133.77 � SOY SMIP'/NON—RES PLAN ISSUE FEE � 15.00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 133.77 15.00 0.00 148.77 148.77 ,00 REVENUE DIVISION TOTALS-->. COLLECTED: 148,77 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECIC 14,8.77 ' . M 1F iE 1E iF 1E if iF �E iF ik iF �1f iE iE it 3k aklf if �k ik if �f iE �lf if �f iE iE iE i! ik 1E �f 1k 1f 1f 3f 3k iE ik 1f if ik 4 ik iF ik 1E jf iF iE 1f k if �! iE iE if k ik if 3f k 1f jf 1f k iE i! iE �1E iF iE if iE �1E if I N D I V I D U,A L F E E B R E A K D.0 W N TYPE QTY ELE 3822 D E 5 C R I P T Z O N NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT END OF FEES 0 UNIT COST TOTAL COST :03 133.77 � , 1 ` OI Dt70�'.$7n—GOG71$76 T reT ' I�S.')7 E�ATE� 10/11/9t3 TIME: 14:07 CONSTRUCTION AND PLAN;` . - JOL & SPA ' APPROVALS Pern+it # � � Date Inspector AppROVALS Permit # Date Inspector � 1. Temporary Electrical Service or Pole. „� r, 52. Pool & Equipment Location . /. 2. Soil Pipe-Undrgmd.., ��' ;'��L ; 53. Steel Reinforcement � ` .3:�Electrical_Conduit+Utility-Undrgrnd.� � ,, 54._Forms ', '�� '�4: Electrical Conduit'-U�drgmd: ' „'; ", 55. Electrical Bpnding . �� . ,:,� _ :. .�_. ..�,i ,;5. Steel Reinforcemeni � x 56. Rough Plumbing & Pressure Test �� r,6: Electrical UFER Gind. `� 57. APPROVAL TO COVER�GUNITE �. � � -t . ��.�Y. r ,:7. Footings�: , �',�y�� !- 58. Electrical Conduit�Undrgrnd. ��, '�1 �8. Fountlation� � , j y � 59. Gas Pipe, O Undrgmd., Test . . .i r� �9. Nyate7Pipe;Undrgmd. i �j .�"�• � 60. Backwash Lines, P-Trap, � Undrgrnd. ,'•' �� j10. Sfruct�ural Floor System �� • �- �'� , 61. APPROVAL TO DECK ' p �11. Prnperty Sewer Line�& House.Connection ' 1 62. Backwash & Receptor-Final � � � W�, f12. Setver Cap �, � _ 63. Heater & Vent-Final / I! ' • " v �,+ �3. Roof�Drains o � 64. Plumbing System - Final � � �� ,14. �Rough Plum6in'g. ` 65. Electrical-Final ' � , 15. Rough Electrical-Conduit 66. Solar SYstem-Final 16. Rough Electric Wiring '�)��C( 67. Fencing & Access Approval ,�j ;117,!�Rough WiringSign � 68. APPROVED FOR PLASTERING , -r � � � 78� �tough Electrical;T Bar Ceiling I,'1 69. POOL/SPASYSTEMSFINAL /� 19. Rough Heating & Alr Conditioning � _ ` r FIRE DEPT. REQUIREMENT }�_ / �. .✓ � '-i'.T� T'� �%: Y' ;P /r' 20. �Rough Facto "ry F:ireplace ''^� 'r�" � � =' �-""� �i' APPRQVACS��Per;mit # �* �' ' .f, � S [. �s:..* � r-� O' x J. ' �.. 4lJ N 4-� � � •i - iu � , � r:� ..� � -��... �.. :.� �.., `. . � 21.'Ducts, in.Svuctuie.+,r � .. .. +-.;S• , �" �, +.t, .r. �70. Undergroundi Hydro t� 22. Ducts, Ventilating'v ' �'"� r ^ z :S� ��' �77, productPiping D�Gas �;Oil - � i . i n. . � t: b i: �.7 s CJ -• i: .t . .i , 23.�'.Gas`PiPe- ou�h &�TEst � �j' :�; :� `1.�� . � s= � � �`�. �. . " , -F 9 i f t*::�' t bl � tt nr t: �72, Underground Flush t � � 24!'Roof Framing �1a� ' �"f" "' ' � O C' ��" � �73=_Undergrnd:Srorage�Tank�OGas OOiI - � �y ..:c ni .t � :7 R; • r. � • .t x 25. Roof Stieathin F `� �'� ''� °i ' • �"x. �: ' �.. � '. � 9 n1t � v��x. C7 � :+.�a� t� 74:.Overhead HYdro:�� t�. � 26.•�T-Bar Ceiling {Svyaurap &'Nlonocoat + � ^� '_' �'•+ +� 75°'Dry Chemica,f `"• ' ''' �= � -� t: <• c .!1 .7 i. Y .S' F-�:'� i*i 27 `�Frar,�e and Flashing�; 7-�,ir. �[ i+r rD A�.i. t. 76��Dry Standpipe E�7j �t �` �� .-s :28. Lathing:& SidingR�a, ti r�:y '�= y" ••�{� �� 77 yFIXED SY'STEjN�FINALi`. �;; c� �_., i� p �+ .. .. � y ,7 . F'. .r _' �� 29. Insulation �,�.� ;� .. x � ,�...�. 78s_FIRE PREV. FINA+L x-- a: �� 30. Drywall'Nailing [�:+' � � � � 1(T �� '" HEALTH�DEPTE REQUIREMENT ..i• - l� �•�•�iY :1' t �tl'I i�<L [ ) T :. 1 C,{� i: C' � f .tf '] ,31. Plaster Brown,Coat.t S � n•�,� .r � � 'it:: r�9. `FINAL INSPECTIQN: r ' �,. ,i •.� .. „ . 32: �Electrical Power MeteeFinaL � .��it ' ��80Rf00D CERTIFI��ATE ISSUED` � .1 i l Y ef H 33..'Final Electric, l"'� ^ M i,�, , i ' rNofes� c .y-�' ;� L� r. v� �2 i :�ii�y: .� titi .vf �--� n t=; . , � _ � . - - ' -- {,34. Fina� Heating�& AirrCoOditioning� C"` t Y� � � � �r..1: ti �.• � :ti : �:: �r S i�C� �.�. � ��.. .I.P �� .1 4�L.C� :J' Nei .k . �. . .,. , . �. �.�tn - .� j i, �-;iv.� n;�co cn M`; r. r�� .,:p '35:_Final Gas Pipe�Teyt.y. �7. , �. , � .{ ';^.t', n: J T'7 C_iH :1. -�" �,36: �Hood or CanoPY� . x ;-� y :n•y __ i . . j '�' '� � i, ti " nc . � . , ;n r. '7 .i� �� c� i� tr� _�rn � 37 �Finaf Factory Fireplace � St� ^: ��, .�r I j -;�!. �" '_ i , ,� �,Cv � �. 7: �{-•4 � c.� L�i: i: �� k Nro 38. Final Plumbing .� '~:.,� � .. .. �- � ' ' `}:: .;: .� i.� :r U � i r �-. -�ie .n 39. Watei Service�Final�� _ � '--' `' h• :�: • Cl ti.17 a: �rt � . .( L � �' .T 7: )'. ;40. Gas Service-Final �� : �` `� � �' � :P ^7 �Lr'M S �1 r*; i � t.: r. �la ��o y; � F., a. ,r • A7. Solar pomesticFinal=> +� " > -� ' ��' �;; ��% '� �- i: tit 7�. i h: � O' ']C.. �J :i' : :J ' ' 42. Backflow Preven[erj t.� i� .Y ` � ..�. �• `.� .. , `. � � � �. 4� r.^ ,.t-� 1' t:! i, 43. Backflow Irr�gation" x �' - '� " `1� '�F ��' =' t �K 1 .. p � � ' .{ ;. . . . � _ ; . ,. 44. Landscape Irtigation SYstem��p�e� e,r r,1 r� _ r�.; �t c, �u :� -+ rr +: ` � � 45.:Sound Attenuatio� "`�`•" n" '� �• t" F' '�� + � " �' y� �. `'r� �' •.i . .t t:t •ss a: . t' /•t F�<J a. . „ � � � _ .c ,•i .. . �::� :. � ;. 46.' Handicag Reg'ulations t. �r. s: 1. .m1�,�_-'. '_�� r � 47. FINAL STRUCTUFE & BUI.LDING • � j ; � �� ++� ,'s��= �� .r. c : � .^Ir. �. , �,. 48'r'fINAL PLANNINGK ; p.; • ; o: �; �� .� � � �s, r. - _49. Electric Release to Edison � � %�"rc . z: i.c + t r! + 'I ..r .n r .i P � ,50. Gas�Release to Southem Ca�ifocnia Gas Ca ti� �' r`' '` �.' `= �� ' �; �_ I (Y :n e �-� _ ,.i ,., `51'. CERTIFICATE OF�OCCUPANCY ; �,�.� �;:� K , . � No. Date ; PflQJECSA90NESS: • V J J- UNIT: BI�DG3 OWNER'SNAME: W,D.0 DEV FOOHfSS: 16S MESA DR " COSTA MESA,CA 97.627 553-8090 PPCM/ENGMEEB: TODD SCHOOLEA flEG.NO.: C1�q?j AOOflE55: SOO N NEWPORT Nrr' S00 N.B. CA 92700 PEHMITTEE: FIRE STOP ( 714 ) 569-0016 aooness: 1253 S. WRIGHT 0 SANTA ANA CA 92705 LICENSEU CONTHAGTOfl OECINFNTION: I here0y allirm t�at I am licensed under promsions of Chapter 9(commencing wi�� Section 7000� ai �ivision 3 0� Ihe Business and Pmlessions CoOe, antl my license is in full �oree an0 eflec�. cirr uc.: 0 4 2116 STFTE UC.: S O 1 4 1�,�Acuss: _�� ale'. � � Z � � � � Signaiure: �'�,/�,p�� WOflNEflS' COMPENSATION OECLAflFTION: i hereDy alli at I have f ihcale al consen� to ell-msure o cetli�icate o� WOBers' Compensaiion Insurance, or a certihetl copy thereot (Seciion 380q Lad C) Poucvxo.:BINDER3735 EXP.DFTE: OSISSI91 - coMPaxv: FAIRNONT ❑ Ceriihetl copy is hereby �umi5he4 � Cehi�ietl copy is hled ith IAe ciiy Buil '�q Division. Daie: �— 3� � �� APpI¢anC E%EMPTION FNOM WONHEBS' COMPENSRTION OECLPNATION: , hi5 SediOn n¢etl ot be cample�ed i� �he permil i51or one hunOreO (5100) or less�. I certity I�ai in �he performance of ��e work for which Ihis permi� is issued. I all not employ any person in any manner so as to �ecome su0ject lo I�e Workers' CamDensalion Laws o� Calilomia. �ate: Signalure: NOTICE: II, a��er making �his tleclaration. you shaula 6ecome subjecl Io �he Workers' Compensation pmvisions of �he Labor Co4e, you mus� Iorthwilh comply with such pmvisions or Ihis permii shall be deemed r2voked. CONSTNUCTION LENOING AGENLY: I here6y af�irm Ihal there is a canstmclion lending agency br the performance o� the woB for whlch thls parml� is issuetl (Secilon 3097. Crv. CJ. IENDEfl: ' AOOflE55: OWNEfl BUILOEF DECLABFTION: I hereby af�irm tAal I am exempl Imm Ihe Coniraclors' $tate License law tor Ihe �oliowing reason (Sec�ian 7031.5 Business ana Pro�essianal Cotle'. Any ciry ol county whic� requires a permii lo constme�, al�er, improve, aemolish, or repair any S�mcWre, prior Io its issuance. also requires Ihe applicant for such permi� �o �ile a signetl s�atement thal he/she i5licensed pursuanuo Ihe pmvisions af ��e Contracmrs' Slaie License Law �C�apter 9(commencing wi�h Seclion 7000) of Division 3 of �he 9usiness antl Pmlessions CoDe) or Ihat he/she is exempt therehom antl I�e basis lor the allegetl exemption. Any violation o� Section 7G71.5 by any applicanl �ar a permi� 5ubjeci5 Ihe apPlicant �o a civil penalry o� no� more ��an five hundretl Oollars ($500�. I. as owner ol ihe D�oDetly or my employees wilh wages as their sole comoensation, wiil do Ihe work, antl the ❑ s�mc�ure is noi inten0e0 or of�ere0 for sa�e (Seclion 70E4. Business and Pmfessional Cotle: The ConUac�ors' S�ate License Law � Ooes not appty ta an owner of a pmperiy w�o builds or impmves thereon, an0 who Ooes such work himselflhersel� or Ihrough his or her own emplayees. pmvide0 Ihat suc� impmvements are noi intenAed or ofiered for sale. Ii, however the builtling or I improvemen� is sold within one year ot complelion. Ihe owner will have �he burden ol Dmving he/she Oi0 no� builtl or impmve lor �ne purpose of salel. I, as owner of �he pmDeriy, am exclusively canVacting wilh Iicense0 conVac�ors to cons�mct the pmlec� (Sec�ian 7044, Business ❑ and Professions Cotle: T�e Contradors' S�a�e License Law does nol appy �o an owner o� pmpeny who builas or imD�oves thereon antl who conirads for 5uch pmle��s with a conVactoq5� license pursuan� lo Ihe Contractors' S�aie LicenSe Law). I am aware �hat proof ol Iheir Worker's Compensa�ion insurance shnuld be OmvideA �o me. � I am exemp� under Section: B. 8 P. C. br this reason: Date: Owner. I Oo hereby ceNty �ha1 I am aware ol ana unaersland Ihe requirements of Calilomia Heal�h antl Salery Code Sections 25505, 25533, and 25534 anA Ihal I or any fuWre building occupant willlwill noi (circle one) need �o comply wi�h sai0 s�ate co0e5 antl �he repuiremenis �or a permit lor constmction or mo0ilica�ion �wm Ne Air Ouahry Managemenl �istricL FeSiUen�ial consimdion apPlica�ions are exemp� fmm IACS¢ p�Ovi5i0�5. Oale: Apphcanll _ I �ere�y cerlilyihal I have reatl ihis applica�ion antl sla�e Ihai I�e a ordinances and slate laws relaiing la building conSlmQion ana hereby praperty for inspeciion purposes. Dale: / �/� �/ Signalure: �' DriveYs License or Sacial Securily a: 166t�a6 Wbi�e—Bmlaing: Green—Gotle EnlorcemenC C nary is correcl I agree �o comply with allciiy ana nlatives/� Ihis city to enter upon the above�mg CITY OF COSTA MESA — BUILDING PERMIT PERM NO: F 05086 PERMIT NO: F 050868 PLAN CHECK NO: 07253-90 S GOVT: N SUPP: N CONSTRUCTION TYPE: PERIKIT TYPE: FIR PURPOSE: NEW JOB DESCRIPTION : BUILD #3-3 UNITS, 5733SF LIV, 1395SF GAR SQ FT: CLAIM VALUE: 2,200.00 CALC—VALUE: GROUP OCC: R-1 /M-1 COMMENTS: FIRE SPRINKLER SYSTEM RE:#H99331 ` **�**�r*�**��***�x��***�rx*�*�r�r�x+��**�r�t**x**+t�x�r***�t*�**��**�t**+��r�***��***�**�+�*�r�e Z O N I N G R E Q U I R E M E N T S sEraAcxs ----------- MAIN BUILDING ---------- --------- ACCESSORY BUILDTNG --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARHING RE • PROV: PARCEL: 43922123 ZNE: REF NO: PLANNING N TES> y 3E iE iE iE iE if �E iE if iklf iE if !f 3E iE �f iF 3E if iE 3E iE iE iF 3E 3f iE iF it �E if iF if if ib if iE �E 3E 3E iE iF iE iE iE 3E iE 1E 3k iE if 1E iE iE iE if iE iE iE iF iE iE 3E if 1f iElf iE !E if ib 3E ik iE �E iE iE iE D E V E L O P M E N T 5 E R V I C E S R B Q U I R E M E N T S ZONING APPROVED BY DATE; � BUILDING APPROVED HY : � DATE; �� APPLICATION ISSUED BY; DATE; iEifiElEiE1EiElEiFlEiEiflEiEiFiEiFiPiflFifiE 1fiEiEiFiFiElEifiE3f iF�f ifififiFiflElEiEiElEiE1klffE�E1ElElE3ElkiEiEiE3EiEiEikiEiEiklEiflEifiEiElEfklElflflF iF1E�E lf�ElEiEififiFiF16!liEiElEiEiFiEiElEiElElEiEiEiEiEiEffiEiEif�f LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SE:GMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT ' S4,00 65Y SMIP/NON—RES ISSUE FEE 35.10 BUILDING—DIV—> �PERMIT ISSUE PLAN—CHE:CK TOTAL PAID DUE TOTALS----> 54.00 0.00 35.10 89,10 89,10 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 54,00 OVER/SHORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING ALAN—CHECK 54.00 iE if �E if if iE 3E 3EiE iE iE 1E 1k iE i(� iE if iE iE iEiE iF iE-N df iE if 3F iE i( �%�1E if �1(� aF iE iF iF iF ik it * jklk �k �t iE 1f jf �%�� 3( -1F if 3Edf i6aE aF # iF 9E jf jt if jE iE �IF 3E * iF ik iF �1FiEif iF �)P 3t I N D I V I D U A L F E E B R E A K D O W N TYPE Q'TY D E 5 C R I P T I O N UNIT COST TOTAL COST FIR 54 FIRE EQUIP FEE (FROM BLDG VAL TABLE) 1.00 54,00 END OF FEF.S DI UC�Q796?9—D00?9679 '� �c'7" :�r.u`J �n7E: 421'17I/41 1lhi'c: Sd:27 � CONSTRUCTION AND PLANNING � PV�L & SPA APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector " 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � � 53. Steel Reinforcement ' � 3. Electrical Contluit Utility-Undr9rnd. 54. Forms . 4. Electriwl Gontluit-Undrgrnd.� � 55. Electrical Bonding � 5. Steel Reinforceme�t ' S6. Rough Plumbing & Pressure Test ; 6. ElectricafUFERGrnd. � 57. APPROVALTOCOVER-GUNITE � �J.�Footings �' ' 58. Electrical ConduibUndrgrnd. �8. Foundation � ' 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK - 11. Property Sewer Line & House ConneMion i 62. Backwash & Receptor�Final � 12. Sewer Cap , ' 63. Heater & Vent•Final . 13. Roof Drains: . � 64. Plumbin9 SYstem � Final � 74. Rough Plumbirig; 65. Electrical-Final . 15. Rough Electri�l-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 �y 22. Ducts, Ventileting • ' + 71, Product.Piping O Gas ❑Dil 23.' Gas'Pipe-Rough &'Test ' , � ' . 72. Undergrouncl Flush � , y.q �� 24.� Roof Framing� + . •• . � 73. Undergmd:StorageTank OGas ❑Oil � 25. Roof Sheathing ' ��' � 7q. Overhead Hydro. � �r2,M�i1 L�s'i>• 26. T-Bar Ceiling (Structurall & Monocoat 75. �Dry Chemical � 27. Frame and Flashing 76. Dry Standpipe ; � 28. Lathing & Sitling � � � . • • + 77; FIXED SYSTEM FINAL ?_ A •29. Insulation � . - , ' ; • i. 7g, FIRE PREV. FINAL - �j� �� 30. Drywall�Nailing � � �' I •` 4 HEALTH DEPT: REQUIREMENT 31. Plaster Brown Coat , � I' -�', -, 79.� FINAL INSPECTION 32. Eiectrical Power MeterFinal � �� _/�, - 80. FOOD CERTIFICATE ISSUED 33. Final Electric' � ' � �,�� , ( :+• Notes: 34. Final Heating & Air�Conditioning I .�� .-�� • � . � , . . 35. �Fin'al Gas Pipe-Test' � ' . � I' ;_ ' ', ' 36. Hood or CanoPY, , , � ( � . 1_ . � . , � 37.' Final Factory Firepiace, � ��. ; �' 38. Final Plumbing � , � - ". � I j' � , . 39. Water Service-Final � � � ! ' I � 40. Gas Service-Final , I � � i _ � 41. �Solar pomestic-Final • � . � � � � : • � . 42. Backflow Preventer ' I i �� , . ' 43. Backflow Irrigation ' � 44. Landscape Irripation System , 45. Sound Attenuation - � � 46. HandicapRegulations � �� 47. FINAL STRUCTURE & BUILDING � ' % � 1 i� 48. FINALPLANNING i = j ��4 49. Electric Release to Edison � � I '� " ,. � . i , 50. Gas Release to, Southern California Gas Co I I �; . � • i • 51. CERTIFICA7E OF OCCUPANCY ; , ; No. Date �� CITY OF COSTA MESA � PARK FEES Fee Payment Receipt N° Q�j 2 Project Address ��n � M`.S� \ 3�t_\� l= p,.... ..._.. 1. P. No. I� — O$O — 20 Building . Permit No. ��v S 2� - Owner's Name � (Y2M AIJ � � 1.� (e. MQ1'� � . Mailing Address � (r � M�SA� `��512\�SU FEE � ' Single Family '" `. No. of Uni[s Multiple Family •* No. of Units / �_�lanning Department R� Applicant's Signature " Clty OrtlinanCe 72-44 •* City OrCinance 72-45 @ $338.27 = @ $238.78 = 2_3L�.78 Total Fee 2 3g . �i� •� City of Costa Mesa' Development Services Department. Building Safety Division P. O. Box 1200 � Costa Mesa, Califomia . . . .... . / a _—. . '. CERTI- ICA.T_E OF OCCUPANCY No. The Building located at . 2682 hr:� 26.au� �z.la Di>s: �o�irt has been ins'pected and found to comply with he°provisions of all Qity of Costa Mesa Ordinances applicable thereto for a Group Rl/M1 Occupancy. - - ' . '�-� ••� � . � � _ , Use of Building '2-U;lit Addltion� ' � Legal Description 439-221-23 � � : ISee reverse side for Metes and eoundsl - , r ` I . �; BLilding Permit No B 49332 Electrical Permit No. E' 49445 �Plumbing Permit No. P 49345 1 � �. Mechanical Permit No. M 51005, M 5112n Number of apartments - z and/or guest rooms � Ffre Prevention Permit No. F 50868 ' ISSUEDTO,: , BuildingOfficial Tony'C'De Baca ` [4.D.C. Development � � ... , � 165 Mesa Drive , by +�"�,:>_ � .�-�s = �� ,.,.-, � Costa Mesa, Ca 92627 ' • ` - " Date August 21r 1991 This Certificate of Occupancy SHALL' BE posted in a conspicuous place on the.premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C.. . � � � '' . CMF 1015-46 rev. 1/83 White - Owner, Canary - Numerical File; Pink - Bldg.�Permit File . � � . � .' . , . _ � � . . . o. . OWNER llN�� JOB ADDRESS INSPECTIONS OCCUPANCY DATE � GROUP SU6CONTRACTOR DATE �-6-61 BUILDING PERMIT NO.1 21% VALUE §1,Z O.00 zirTiox oF woxxEnc.Pat Cov.for PYPE V ZONE SUnroOl PERMITS ISSUED Form 410—SM-11-59 5-B P . 1(�217 , �� COSTA MESP. BUILDING-SAFEN DEPARTMENT P. O. �BOX 9fi COBTA MEBA. CALIRORNIA For Applicanf fio F111 In Complefely TYPE OR PRINT BUILDING ADDRESS COSTA MESA. CALIFORNIA � � FEE RECEIVED R 4 i:.ui ' � NANCE OEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only nece�rr rlo. . ,. ,eeRM�T.'1o. , R8C8I EO BY I D/� Recgrveo � D�T _ I�UED ./ � � �i - G TEL. . BUILDING ' /_ � `'"yJJ J � Q NO. A�DRES6 (i' �• w ��v � ;,�E,�' COSTA MESA. CALIFORNIA ZON6 � I NO. OF PLANB /y�� DEBCRIPTION.J �Z�' OF BLDGe� � ' oN Loi A. P. NO. YARDS BETBACK LIN[ PROM CENT¢R OP 8iR¢ET ' Q Y'�• ftEAR YARD / i SIDE YARD LEFT �� RIGHT . i DESCRIPTIOId OF WORK BUIL�ING NO. OF 81ZE ROOMS EXTERIOR WALL IROOF �DATE �_ � �G / , IING �use oF xe ew�.o�rv / � ' S,'` C --- ��• EVES ALLOWED Q ' • 21 T. IN. 9'- � i �—� T. IN. , r. °- CtX� . �tl .1(N�Di ' r. 1 HEREBY AGKNOWL¢OOE THAT 1 HAVE READ THIB APPLIWTION THE AMOUM 6XOWN IINDER VALUATION IB FON TXE ANO eTATC THwT THe ABOVE �8 CORREGT AND PGREE TO COM- PLY WITN ALL GITY ORDINANCEB AND BTATE LAWS HEOYLATIN6 PUqP09E OF E8TA8l.I8HIN6 A PERMIT PEE ONLY. eu�tciNa caNeTxu oN. VALUA710N lD _ SIGNATURE O � PERMIT FEE $ / PERMI7TE �• ��' /P% �D y ��j s y � PLAN CHECK $ "' � AUTHORIZEO AGENT � /� TOTAL FEE � OWNER JOBADDRE PNo. 439-221-23 LOT nor 45 TRACT .? 5;,.'. S c sw., PROP. SWR. LI $PRINHLING 5' MISCELL4NE01 ROUGH HEnTING RN� �IR CON�IT TEMPORARV SER`1��E OR POLE ❑NDERGROUND p POWER � AOUGN wIRING TRENCHES IJ FORMS ST FLOOR SYSTEm BOND BE/M [—I STEEL REINF SMEATHING FR4ME ANO FLPSHING �ATHING — IN ` OUT r'� PLPSTER,BROWN COnT STRUCTURAL FINAL HEATING. VENT.. AEGRIG. ANO A P' �ING. FINAL ANO GRS TEST E iIC, FINAL 6111101NG. LINh� INAL DATE 2_1_�g BUILDING PERMIT N0. 4735 SUBCONTRACTOR F � W L Q � � 5.' E� [�A',•,:.'C COST/j MESA BUILDIIVG-SAFETY DEPARTMENT P(1 Rl1X 1900 C115T0 MFSA CCI IFf1RNIC Q9696 r, 2775 2/01 /79 5.50 TL' �p475 2/01/79 5.50CAT� �[?495 "0000447350 IA � ��:,; . � - APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIVEDBV DATERECEIVED DATEISSUED BUILDING ��' � ADDRESS '/ OWNER ' A.P.NO. 7�J7.- �Z�—�� PEFMITNO. MAIL BUILDING /� yA� � � %f , G ' � A�DfiE55 � ADDRESS /��ro« ,��/�� T E L. �� CITV NO. TRACT.37 �OT �S BLOCK CANSTRUCTION W ADD ALTER R P LENDER � BRANCH OWNEF ADDFESS • A UE /�/�� QQ ARCHITECT TEL. SE �{� !I ".pL�G� OR ENGINEER N . . ' FIRE /� ADORESS ZONE YPE GFOUP L./ APPfiO V E CONTFACTOR BV DAT � AODRESS ZONE NO.OF USE OF NEW /�/4 � TEL. p�.qNS z BUILDING �OG CITY NO. STATE �CITY �'ARDSAPPROVE� VARDSAPPROVED �IC. NO. LIG. NO. MAIN BUILDING ' ACCESSOPY BUILDING SIZE NO.OF BLDGS. (FROM C/L STREET) OF lOT NOW ON LOT FRONT FT. FT. USE OF � ' EXISTING BLDG. 51 FT. FT. Separate permits are required for L. SIDE FT. FT. electric, plumbing and heating work. REAR FT. FT. USE UILDING WOftK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLOGS. � ACCESS. BLDGS. VAR. # DATE C.U.P.# APFFOVED APPROVED ,..1 W � I hereby acknowledge that I have reatl this application and staie . that the abovo intormation is corract antl agree to comply with all laws regulating builtling const�uction, antl I shall not employ any person in violation of the workman's compansation laws ot ' the State ot.California � I he�eby certity that I am prope�ly licensetl as a contractor untler SQ. FT. ma smra os Colitomia Business snd Professions Cotle, Divlsion 3, THE AMOUNT SHOWN UNDER VAI.UATION IS FOR Chapter 9, antl that such licenses are in full forca and effeci, or I THE PURP(SE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions ot the State ot California Business VALUATION and Professions Cotle, Division 3, Chapter 9. /. PERMIT FEE $ P" f � /�. PLAN CHECK $ Signat�re / / Permfttae � ^ 5 ��y TAX $ Authorizetl Agent � TOTAI. PA1 D $ �� . . ' ,� 336 � COStA MESA BUILDING-SAFETY DEPARTMEN7 - P:O. BOX 1200 COSTA MESA, CAUFORNIA 92626 � For Applicant ro Fill in Comp/etely BUILDING // J� �il ..... a. 4�... ., ir OWNER ND/L%I�� A��/ I/ MAIL �� rr l/1...� « ll.� i.�r LITV �OS�A M/—S�� N�L CAN.S'TFVCTION / Iv t'� LENDEF IL� M ' BRANCH ADDRE55 ARCHITECT �,,, � � ri� TEL. � ADDRESS CONTRACTOR �[(%��.��/;� ADDRESS TEL. CITV NO. STAYE CITV IIC. NO. LIC. NO. SIZE �ya i/ 'j�� INOWONL�C OF lOT f )\ L. EXISTING BLDG. ,(/µ� /� �(.. � /�� NEW BLDG. � �+^ � NO. OF ROOMS STOF EXfERIOR WALL[t�IiICCQ ROOF , SP f�/ COVEPING �%�u COVERIN « ('/'/ USE OF BUILDING AND WORK TO BE PERFORMED , -• '.� _ . �: BUIL�ING ADDFESS FIfiE ZONE APPROVED ,yi -�-i!.��;��OU 555:: ....::i.li��.SS FOR BUILDING PERMIT � 9 - o�v-2o ��✓ !l� % "DATE ZONE NO.OF I� USE OF NEW ��: � `L PLANS L BUILDING � VARDSAPPROVED VAPDSAPPROVE MAIN BVILDING ACCESSOfiV BUILC (FROM GL STREET1�),�� NE' RONT � FT!=�-� 1 FT. � � � FT / q � l. SIDE FT. / � FT. LL'S REAR � , FT. FT. DISTANCE BET. BET. MAIN & MAIN BIOGS. ACCE55. 8LDG5. VAR � DATE C.U.P.aW APPROVED APPROVED � ) [�/ � v--ii HOLD FOR SPECIA RE UiRF��ET� 1 heraby acknowletlBe thet I have reatl th�apPlication and $/ate that the above informatio� is corract antl a8ree to comply with all laws reBulating builtling consvuction, entl I shell not employ eny person in violation of ihe workman's eompensetion laws of tha State of California. I hereby canify that I am properly licensetl es a contractor under the State ot Cali�ornie Businea and P/ofe55ions Cotle, Dlvisicn 3, Chapter 9, antl that such licenses ara in full force antl effeet, or I am exempt from the provisions ot the State of C f o nia Business antl Professions otle, Division 3, Chapter 9. � SiBneture,pf� Permittee Authorizetl Agent �� SQ. FT. \ � = THE AMOUNT SHOWN UNDER' THE PURGOSE OF ESiABLISNING � VALVATION �( PEFMIT FEf $�' �D � PLAN CHECI � � O � ¢ m m 0 LL Z . W W d U Za ON am J � J V1 Q W d] J -m J Q UQ Z � W d W WZ J � m Z J � W W O= Z F w � � � �O COSTA MESA BU�LDING-SAFETY DEPARTMENT .�i�! 14-i4��,;(�0 49e �='�''"'86.�0 • P.O, eOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely � %�PPLICATION FOA BUILDING PEAMIT / �' RECEIVAED��V � J'E% E�EI�VED �7E� SU �� BUILDING � OJ�� / `t' i � �� ADDFESS � � i PERMIT N0. OWNEfl / ($f-f�L A.P. NO. MAI l BUILDING ADDFESS � ADDRESS TEL. TRACT LOT BLOCK. CITV NO. CONS7FUCTION W A A R P LENDER BRANCH OWNER ADDRESS VALUE ARCHITECT TEL. � S $ OR ENGINEER N FIRE ADDRESS ZONE TVPE GflOUP /5y�� APPROVED CONTflACTOF (/vV��"y BV DATE ADDRESS TEL. Z�NE NO.OF USE OF NEW CITV NO. PLAf�LS BUILDING STATE CITV VA:�OS APPROVED VARDS APPROVED �IC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLOGS. (FROM C/L STREET) OF LOT NOW ON LOT ROM FT. FT. USE OF ' EXISTING BLDG. I FT. SIZE OF NO. OF NEWBLDG. ROOMS STORIES L.SIDE FT. FT. EXTERIOR WALL ROOF COVERING COVERING REAF FT. FT. USE OF BVILDING AND WORK TO BE PERFORMED OISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BIDGS. :.�-,dki'i/trC.C<! � �,�/� � VAR. � DATE !/Vv�/ �GY ' C.V.P.� � APPROVED APPROVED 1 hereby acknowletlga that I have read this aDPlicaiion and state ihat the abova information is correct antl a8rae to comply with ell lews regulating �uiltling consaucHo�, end 1 shall not amploy any pe�son in violation of the workmen's compensation laws of the State of California. I hereby certify that I am properly licensetl as a conbactor untler SQ. FT. Me Sta[e ot California Botiness antl Protesslons Code, Oivisicn 3, THE AMOUNT SNOWN UNOER V AI.UATION l5 FOR Chapter 9, antl thet such lice�ses are in tull torce and eftact, or I THE PURPOSE OF ESTABLISHING A PERMR FEE ONLY: am exempt from Cha provtsions of the5tate ot California Business VALUATION antl Protessions Code, Division 3, Chapter 9. 6.,�, "///� ` ////// PERMIT FEE $ Signacure�,s��1 /�L�� Parm�ttee //� $ PLAN CHECK $ v r) / �. Authorizatl Agent • TOTAL FEE $ Ij �O