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Home My WebLink About2683 PALA MESA CT - Building Permits� CITY OF COSTA MESA CALIFORNIA 92628-1200 P.O. BOX 120D DEVELOPMENT SERVICES DEPAR7MENT September 17, 1990 To: Building Safety Division Code Enfurce�;ent 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) PdC1f.1C BE'll 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 °J )161 "B" Mesa Drive L161 "C�" Mesa Drive �� 161 'D" Mesa Drive �, �161 "E°i Mesa Drive NEW ADDRESS A.P. NO. 2689 Pala Mesa Court 439-221-64 2687 Pala Mesa Court 2685 Pala Mesa Court 2683 Pala Mesa Court 2os1 2a1s Mesa Ccurt �} r' 165 Mesa Drive 2682 Pala Mesa I�� 65�iesa Drive 2684 Pala Mesa 165 Mesa Driv-e --�-2686 Pala Mesa �,, 165 Mesa Drive '2688 Pala Mesa 3 165 Mesa Drive -2690 Pala Mesa A� c�}�� t�rl. Court 439-221-23 Court Court Court Court T 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 �.J � ��6�3 ► PALA MESA COURT /�x� � � �` � � MESA DRIVE -- �� -- -- � 3 \ F- r-� � � � � 2sos O U � 2es� Q � � � 2685 Q , J � Q L a � � ' 2683 � I ��OL I � 2681 � \ _ , 269� zsas � � 2686 , 1 � � � 26&4 ' 2682 ( ^RUILDWG �4}2 °'OP�icaot to nu in au svaces exceot tnose wttn�n neavy eoraer r�e: ana siy� all aoo�oD��ate aeclarations -� CITY OF COSTA ME A'COIVSTRUCTION PERMIT � PERMIT NO. TRACT NO. LOT NO;: UNIT NO. � ` �/ � �n�s-� n,e , t�� uNirs � 3 5�-I�3 . A.P. � Project AAdress c/ ✓� �`��n L�_ S Main Buildi Applicanij�;;iailing Addr¢55 �Sl / � ST G�'c-7�.iZL1/�yY TVPE OF CONSTRUCTION NEW ADD ALTERATION � REPAIR E � ❑ CONVERSION ❑ DEMOLISH •O OT ER . T F�ont . Owne�s Name Phone , DESC PTION OF WORK/USE OF. BLDG. �£G!�"�`�'�- A Rear Addreu � ' ��$/ � �/V�C� �/ i C Right 'Arth/Eng. � LiCenSe�No. TVPE OFPERMIT ❑ GRA�ING FOUNDATION ❑ STRUCTURAL ' I K. Addre55 -" ❑ TENANT�LECTRIGAL � PLUMBING ❑ MECHANICAI. � g� Left __ Contractor's Name�r��.� u��T�Gphon -��-' E� �•oTHER , Ping. Ref. # ; . Address (mailingl /� �] �- �r� �'e�"Q'N��.'}M�i�- ��ECT DESCRIPTION So. FT. oCCUPqNCv � Planning Notes: � �cf^ . CONSTRVCTIONTVPE ' .VALUATION$ , City License No. v �•� ZONE GRADINGCU.VDS. .ACRES LICENSED CONTRACTOR DECLARATION ' �f I hereby a(tirm [hat I am licensetl untle� provlslons of Charte� 9(mmmencing- Rema�ks: - / ' � with section 7000) of Division 3 0( the Bu5ine55 antl Prote551on5 CoOe, and ✓ my license is in full f rce a'}Q eflect. � '�� GT �icenze Class ��V L'< e o b�7 � 5 Date��/!s�_�. Siqnature �-+o � . � PLUMBING � ' FEES utomaticWasher WORKERS' COMPENSATION DE ARATION ' Bar Sink Showefs Construction Pole Sub. ' hereby affirm tM1at 1 have a certiticate of consent fo self-insure or a certificate Workers' Compensation Insurance, or a certitietl copy theieof (Section Backflow Preventer . Service Sink Cooking Unit .OQ �ab. CJ ' - � � aaiiq rvo. Gompany Backflow Irrigation Sewer Cap � / 2 Dishwasher eCertifietl copy i5 hereby turnishetl. D�yE�S ❑Cidi EI¢C' Certifie0 copy is filetl with the city Builtling oivision. � Bathtubs Sewe� Connection l� 'ION FROM WORKERS' COMPENSATION DECLARATION �.ion neetl not Ce comDletetl if the permit is for one huntlretl ($100) or that in [he performance of thC wOrk for thjs per R is issuetl� I employ any person in any manner s t '�iuDject.i�t�e Comcensa[iou�Laws of Calito .f/ .Date �%�f�'%"S2'S—Signature d�"7 � ✓�-�"YK NOTICE: If, after making this tletl tion, you s oultl1ecome subject to the Workers' Compensation provisions ot the Labor Cotle, you must torthwith comply with such provisions or tnis permit shall �e tleemea revoketl. � CONSTRUCTION LENDING AGENCV • � I hereby atflrm that there is a consV uction lendin9 agency tor ihe pertormance of the work for which this permit is issuetl (Section 309� Civ. C.) Lentler'S Name � � �en0er's Atltlress OWNERBUILDER DECLARATION I hereby af�irm lhat I am exempt from the ConVactor§ License Law for the following reason (Section �031.5 Business antl Protessional Cotle: Any city or county whicM1 �equi�e5 a petmit to consbuct, alte�, improvC, tlemollSM1 o� �epair any structu�e, prior to its issuance, a150 /equi�es the applicant (o� such permit to tile a signetl stat¢ment that he/She is licensetl pursuant to the provi5ion5 of the Contractor's License. Law (Cnapter 9(commencing with Section ]000) ot "tivisian 3 of the Business antl Profezsions Cotle) or that he/she is exempt erefrom antl the basis Por the alle9etl exemption. Any violation ot Section )31.5 by any applicant (or- a permit subjects the applicant to a civil � ,�enalty of not more than five'huntlretl tlollars ($500). .' � ❑ I, as �owner of tM1e property or my employees with wagas as their sole ' compensation, will tlo Ihe work, antl the st�udure is nof intentletl o�-of(eretl for sale (Section 7044, Business an0 Prote55ional Cotle: The Contractor'S � License Law tloe5 not apply to an owner of a p�op¢rty who builtls o� imp�oves thereon, antl who tloes such work himsel(/herselt or tnrou9h his or her own employees, provitletl that such improvements are not intentletl or offeretl tor sale. If, however, the bulltling or ImOrovement is soltl within one year ot com- pletion, tne owner will have the burtlen oi provin9 he/she tlitl not builtl or im- prove ior the purpose of sale). . - � I, ai owner Of the property, am exclusively contracting with IicenS¢tl con- Vactors to construct the project (Section �044, Business antl Professions Cotle: The Coniractor's License Law tloes not apply to an owner of property who builtls or improves thereon. antl who contracts for such oroiects with a ron- tractor(5) license pursuani to ine ConVattoYs License Law). I am aware thax Oroot of [helr WorkeYs Compensation insurance shoultl be provitletl to me. ❑ I am exempt untler Section 8. & P. C. �or this r¢ason Date ' Owner � . I hereby.certify thaL I+have reatl this application antl state that the above �information is mrrect. I agree to com w' all tlty antl county ortlinances ' antl state:laws relating t uiltli tion, antl hereby authorize repre- Sentdtives of this e Up he dbove-rtlentio0etl property (ol insoectlan�,�y�'e � _ %�ti� �„�9 23 � PS-1 Drivers' �License or 55 � Clarifiers Dishwasher D'rinking Fountains Ftoor Dreins Floor Sinks Gas Service � Sink Roof Drains Reinspection Fee � Solar CollectOrs Solar Pipin9 � Solar Tank Swimming Pool w/Spa Urinal Outlets Water Closet ' . Water Heater � Water Service � Auto-Wash ' $15 Boiler Duct=UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple FirepllFacLBit. �CBO# ' Heating System & Ducting . - Oaioo,000sTuDioo,000 peinspection Fee � $15 0865-66, rev. 5/88 Whi[e - Builtling; Canary - qpplicant; Pink - Accountin9: Goltlenrotl - Assessor Isue Fae Hood or Type I ❑ Canopy Type I I ❑ Refrigeration System ❑4100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers laue Fea _ _ " ' 'cone--. . -'_ Accessory Building: Z " O N I N• G R Parking Req,/Provided � E Q' M T S. ELECTRICAL . . . Transformer ❑ 15-50 KW ❑ 50+KW - j. Fan � — -- F.A.U. - .. . Fixtures Device eoxes � Outlets Switches arbage Disposal Generator 00.5 KW �5-75 KW Meter Llup to 100 amps Meter �over100amps Sub Panel Motors �0-1 HP �1'f, - 8 IncSolar �9-15 HP �16-15+ Microwave Pole Light y,rti2b4c�r Range ,' Standing Section� Tresh Compactor 1Reinspection Fee �$15 � � Issue Fea S 3 DEVELOPMENTSERVICESREQUIREMENTS: 2oning Approved By FEES Buildine APP�oved By � Appliption Issued By $ 3 FEES $ 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK � $ PERMIT , PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ � GRADING $ PLAN CHECK 50% $ MICROFILM _$ � MECHANICAI $ 70TALFEE $ Ii�� PLAN CHECK �25% $ ' ' Zc' �g x � � � 01 �0015315-OQ0;5315 "i'�3T 10?, i? '31 DATE� 09/23/3$ TII3E: 14:?5 CONSTRUCTION AND PLANNING POO� .. SPA APPfXOVALS Permit# Date Inspector qppROVALS Permit# Date Inspector ( ' Y. �mporary Electrical Service or Pole � 52. Pool & Equipment Location '; � 2. Soil Pipe-Undr9rnd. � 53. Steel Reinforcement 3.•Electrical Conduit Utility-Undrgrnd. L 54. Forms � � 4�. Elecirical Conduit-Undrgmd. 55. Electrical Bonding .' 5. Steel Reinforcerrient 56. Rough Plumbing & Pressure Test , � 6. Electrical UFER Grnd. , ,� 57. APPROVAL TO COVER-GUNITE '� , 7. Footings - ' '� 58. Electrical Conduit-Undrgrnd. � '� 8. Foundation ' i , � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. '' � . 60. Backwash Lines, P-Trap, O Undrgrnd. - lQ Structural Floor System , ' 61. APPROVAL TO DECK . �. 11�!Property Sewer Line & House Connection 62. Backwash & Receptor-Final � a ;�,t 12. �Sewer Cap • � 63. Heater & Vent-Final 13. Roof Drains . • , 64. Plumbing System - Final � �.14. Rough Plumbing � 65. Electrical-Final 75. Rough Electrical-Conduit � 66. Solar System-Final (16. Rough Elecvic Wiring yrL-��' �� 67. Fencing & Access Approval �17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL . ; 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure '� , 70. Underground Hydro 22'D,ucts, Ventilating �.� � 71. Product Piping O Gas ❑Oil 23. Gas_Pipe-Rough & Test �^•� 72. Underground Flush 24. Roof Framing �. � i,,, 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof•Sheathing '^� • 74. Overhead Hydro 26. T-Bar Ceiling (Structurall & Mo�ocoai 75. Dry Chemical 27. Frame and Flashing ," � 76. Dry Standpipe 28. Lathing & Siding . 77. FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Cqat 79. FINAL INSPECTION 32. Electrical Power iVl�ter-Final Z . FOOD CERTIFICATE ISSUED�. i, 33. Final Electric Notes: 34. Final Heating & Air Conditioning, 1 • � �'� � � i 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing '�' 39. Water Service-Final 40. Gas Service-Final 47. Solar pomestio-Final _. 42. Backflow Preventer � - �-i � 43. Backflow Irrigation � " 44. Landscape Irrigation System � 45. Sound Attenuation , 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison '' 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY ' ; �� N0. Daie � �� Y G� `� � N�,Applican[ [o fill in all spatts except t�ose within heavy EorEer Iinas antl si9n all a00/oDriate tletlare[ions. GTY OF COS7A MESA • CONSTRUCTION PERMIT� - Project Address �� C��PS4'-D r �\a�� ApplicanYs�MailingAddress '��1l..EL\Y�co��r�p•'e Y�.��- Ownet's Na�me ' W S i �ev+�.� MCn` Phone_T__ Address C o' ae <` 1 V Arch/Eng., � � � `3� �C- License NOC-\�j3�.'�j � Address �3 3�� a'��o:'jQ��4c%i � �� !,= Convactor's NamP CCcL i�r �Mc. i�i ��'Co r� phone �3h"�0�1 � Addresslmailingl ��'o`� L�ncnlr.ave C7cc.ra.Q ;9�1.� City License No. �"'1�� ' LICENSED CONTRACTOR DECLARATION � I hereby affirm that I am IitenSetl untler provisions of Charte� 9(comM1nencing with section 7000) ot Divislon 3 of the Business antl Protessions C1�5tle, antl my license is in full force antl effect. �` �1 �� License lass L�wise No, � �� Oate��,.,.._ Si9nature WORKERS'COMVENSATION DECLARATION •reby affirm tnat I nave a certificate of consent to selt-insure or a certificate .� Vorkers' Compensation InSurance, o� d tertiti¢tl coOY thereof;;(Section _ ,0, Lab.�i� @' \ \� g Policy No.q?�1�D�S CY�C�S'�K Company ��1'1'P/�10. l� I��yI y,.��rfifietl copy is hereby furnishe L7 Certi( etl copy is filetl wi[h the u iltli "L]Mf�il�,- � Date 1.�I�i APPlicant J�`H.G.Y..�_ . � EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl not be completetl i! the permit is for one huntlretl ($100) or lesz). I certify that in �he Oe�fo�mance oi the work for which thi5 pe�m�t is issued, I' 5hall not em0loy any pe�son in any manner So a5 [o b¢come Subject to Ihe Worke�s' Compensation Laws ot CalifOmia. .. � Date Signature NOTICE: If, after making this tleclaration, you shoultl become subject to the Workers' Compensalion provisions o( the Labor Cotle, you must forthwith ' compty with such provisions or tnis permit shall be tleemetl ;revoketl. CONSTRUCTION LENDING AGENCV I M1ereby af(irm that tM1ere is a constructian lentling agency tor the perfbrmance of the work for which this permit is issuetl (Section 3097:�Civ. CJ '_' Lentler's Name � � Lentler's Atltlress - ' OWNER BUILDER DECLARATION I hereby afflrm that I am exempt trom Me Contractor4 License 1,2w for the following reason (Section ]031.5 Business and Professional Cotle: Any city or county which �equi�es a p¢rmit to con5truct, alter, imprave, demolish or �epal� ' any sl�uctu�e, p�io� to its iSSUance, also requires the applicant tor such permit � to file a signetl Statement that he/she is Iicen5e0 pursuan[ to [he p�ovi5ion5 of � ihe Contractor's License Law (Chapter 9(commencinq with Section ]000) of 'vision 3 of the Business antl Protessions Cotle) or tha[ be/she is exempt' retrom antl the basis for the alleqetl exemption. Any violation o� Section 31.5 by any applicant (or a Permi[ subjects lhe aOPlicant to a civil enalty of not more [han tive huntlred tlollars.($500). � I, a5 owner of the property or my ¢mployees with wage5 a5 [nair sole I� mmpensation, will tlo the work, antl [he sVucture is not in[entletl or-ofteretl for sale (Section ]044, Business and Professional Cotle: The Contractor's ' License Law tloes not apply to an owner of a property who builtls or improves thereon, antl who tloes such work.hitnself/he�self o� throu9h his ot he� own employees, provitletl tha[ sucn improvements are not intentletl or offeretl for . sale. If, bowevCq Ihe builtling ot imp�ovement is soltl within one yedr o( com- , pletiaq the owner will nave the burtlen ot proving he/she ditl not builtl or im- prove for the purpose of sale). � ' ❑ I, as owner of [he property, am ezclusively contracting with licensetl con- traclors to construct the project (Section 7044, Business antl Professions Cotle: ' The Contractor's License Law tloes not apply to an owner of proper[y who builtls or improves thereon. antl who contracts for sucn oroiects with a con- , cractor(s) hcense pursuant io tne Contractor's License l2w). I am aware that proof of their Worker's Compensation insurance 5hould be provitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason Da[e Signature \ I\C3l1�CJ Drivars' License or 55 4F Owne have re agr¢e tc o bwltli above for ...,,..,.. ..� ..._. . - -- __ ,,,., ,.,,. A.P. # . . S Main Buildi TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E ❑ CONVERSIpN ❑ DEMOLISH ❑ OTHER. � T Ffont OESCRIPTIONOFWORK/USEOFBLDG. 0.(y�� 8 Rear A TVPEOFPERMIT GRAOING ❑FOUNDATIO^N/ STRVCTVRAL IC Rlght K Left ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING INMECHANICAL ' $ ❑ �OTHER Ping. Ref. # PROJECT DESCRIPTION 5c�. FT. oCCVaANCv Planning Notes: CONSTRUCTION TVPE VAIUATION $ ZONE GRADING GU. VDS. ACRES Remarks: � 3 S� r Si nk Showers ` cflow Preventer Service Sink - <flow Irriga[ion Sewer Cap itubs •�� Sewer Connection ifiers ��% Soiar Collectors �wdsher Solar Piping ikingFountains SolarTank �r �rains;� j Swimming Pool w/Spa Floor Sinks � ' Gas Service Outlets InterceptOrs Kitchen Sink Lavatories P—Trap Roof Drains � Reinspection Fee $15 Boiler Duct - Under Ground Duct-Ventilating ' Exhaust System ❑ Multiple C Firepl/Fact. Blt. �C80 # H,,,�e�ating System & Ducting ' t�U-100,000 BTU O 7 00,000 B Reinspec[ion Fee � $15 0865-46, rev. 5/88 White - Builtling: Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor Water Closet Water Heater Water Service Auto-Wash Issue Fee Hoodor Typel ❑ Canopy Type I I ❑ Refrigerotion System Oo-ioa,000eru ❑ioo,000 System Repair/Alteration Fire Dampers ' Registers Issue Fee FEES Accessory Buildin9: 'Parking Req./Provided i ELECTRICAL ' Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. � 50 + KW Cooking Unit . Meter ❑up to 100 amps -• Dishwasher Meter ❑over100amps —' Dryers �Gas ❑Electric Sub Panel . '� Fan Motors �U7 HP �1 %- 8 � F.A.U. � I.Solar �9-15 HP 016-15+ Fixtures Microwave Device Boxes Pole Light • Outlets Range i- Switches Sign + Garbage Disposal Standing Sections � Generator �0.5 KW 05-15 KW Trash Compactor Fee �$15 � � Issue Fea $ 3 •r DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By FEES Building Approved By . �' Appliption Issued By / ; . i !� :i; ` � . ;': ^j" SUMAMtRV OF � BUILDING PERMIT $ PLAN CHECK $ PLUMBING $ PIAN CHECK 25% $ EI.ECTRICAL $ PLAN CHECK 50% $ MECHANICAL $, 33 • O�% PLAN CHECK 25% $ u FEES $ 3 N 1 N G R E Q M T S. SMIP $ PERMIT ISSUANCE $ ENERGY P.C. $ GfiADING $ MICROFILM $ TOTAL FEE $ �3 . �(� ai �uasaa�z-cuozaosr �r�.�� :a,r�' DATE: 12/22/8p TTME: 10:57 ' c . , .:ri4- .. ��. -l��.M;,�.✓.,:+r�-+�+Sr.�:,:-i'='�l°„' -r. �� . .�. .ti.�- �� ...�._�t.f'.^Jv.: .. rv � G \�� . CONSTRUCTION AND PLANNING �� SP'0' APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole • '�52. Pool & Equiprtient Location 2. Soil Pipe-Undrgrnd. .� . _� 53. Steel Reinforcement .. i i 3��Electrical Condui,( U�ility-Undrgrnd. ' 54. Forms _. - 4. Electrical Conduit-Undigmd. l�' 55. Electrical Bonding ' 5. Steel Reinforcement �� 56. Rough Plumbing & Pressure Test -�� - '� � 6. ElgctricalUFER'Grrid. ` . 57. APPROVALTOCOVER-GUNITE 7. Footings� • � • � . �' �_� 58. Electrical Conduit-Undrgrnd. � � 8. Founda{ion . � �� '�r� 59. Gas Pipe, O Undrgmd., Test �� 9: Water Pipe-Undrgrnd. - � _ 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System � � 61. APPROVAL TO DECK 11.� PropertySewer Line & House Connection .� , 62. Backwash & Receptor-Final 12. Sewer Cap ' � � � 63. Heater & VenrFinal ' "`' •' , ,� 13. Roo1 Drains� � �� _ 64. Plumbing System - Final _ 14. Rough Plumbing+ �, 65. Electrical-Final � . , � 75. Rough Electrical-Conduit . 66. Solar SYstem-Final ' 16�Rough Elec[ric Wiring - � 67-. Fencing & Access-Approval � � 17.� Rough Wiring Sign 6S. APPROVED FOR PLASTERING �' �•.. •18? Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19 � Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT n. zOr'Rough Factory Fireplace �\l� APPROVALS Permit# i 21.-Ducts, in Structure "� 70. Underground Hydro - 22. Ducts,Ventilating 1t� � 71. ProductPipingOGas ❑Oil r�-- 23..Gas Pipe-Rough & Test u 72! Underground Flush i)�'�! �. !ir 24. Roof Framing ;,.- 73. Undergrnd. Storege Tank O Gas ❑ Oil ' 25. Roof Sheathing '� 74. Overhead Hydro 26. T-Bar, Ceiling (Structural) & Monocoat 75. Dry Chemical _ 27. Frame and Flashing 76. Dry Standpipe ' 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL � 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 325� Electrical Power MeterFinal . 80. FOOD CERTIFICATE ISSUED ��- -i � � 33. Final Electric Notes: 34. Final Heating & Air Conditioning � 35. Final Gas Pipe-Test , 36. Hood or Canopy � , 37. Final Factory Fireplace 38. Final Plumbing � � 39. Water,Service-Final - � . �� ' - ' . �• 40. Gas Service-Final (' 41. Solar pomestic-Final j i: ,, _ 42. BackflowPreventer f' !+•-�`•, �J 43. Backflow Irrigation % ,_ � . O J 44. �Landscape Irrigation System :. ; 45. Sound Attenuation � •� .. . 46.� Handicap Regulations � .1 i � 47. FINAL STRUCTURE & BUILDING � ? 48. Special Requirements Completed � � 49. Electric'fielease to Edison � " �; � � 50. Gas Release to Southem California Gas Co . ��, �� 51. CERTIFICATE OF OCCUPANCY • � No. Date � �� ] Applicant to (ill in all spaces except l�ose wilhin neavy Doraer iines ana sign all apv�o0��ata tleclantions. CITY OF COSTA MESA/ CONSTRUCTION YtHM� � ProjectAddress �( �� I�7t3� !�2/l�r � Applicant's{'ylisAddress % 3 0 50�1 HG.�4% 1q�/� QN Owner's Name ,� � � ��ST�� f/� Phone�t Addresz �� 0 h% �� N %v� � Arch/Eng. License No. Address Contractor's NamP _%�Lc D /i /[!� ✓Lp� , phone �I ��? % ' 3t� So�i -1 t-vt v4�e' lyta�� Address (mailing) 7 �y I 'n Q, City License Na. �' ` l0 � P7 � - /` LICENSED CONTRACTOR DECLARATION ' Phereby affirm [hat I am�licensetl untle� provi5lon5 of Charte� 9(commencing with section 7000) of Division 3 of the Buziness antl Professions CoOe, antl my license is in fuli orce ana efiect. license Class �� r--� Lirense No. S I�3 h�% DateTb ^Z � Signature �l� �+ - _ � WORKERS' COMPENSATION DECL/iRA ION � - � hereby affirm that I have a certificate ot consent to selt-insure or a certificate 'Norkers' Compensation Insurance, or a certifletl coy�py.,t(hereot ^(Section ]Y l.ab.%.j) D� Zi± �811 ComPanY��/ c%✓�Y ic No. O �CertitieC copy is hereby futni5he0. � Cer[i� tl t�ppy is tiletl with the tity Builpfn . isio . Date � ��L�i Applicani C EXEMPTION FROM WORKERS' COMP ATION DECLARATION (This section neetl not be mmple[etl if the permit is for one huntlretl ($100) or ' less). I certify that in Ihe perlormance of the work for which this permR is Issuetl, I sball no[ employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature NOTICE: 1f, atter making this tleclaration, you shoultl become subject to the Workers' Compen5ation pravi5ion5 of the LabOr Cotle, you mu5t forthwith comply witn such provisions or this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby affirm lhat t�ere is a cons[ruction lentlin9 a9ency tor the pertormance o( the work for which this Oermit is issuetl (Section 3097 Civ. C.) Lender's Name " LentleYs Atltlre55 � OWNER BUILDER DECLARATION � I hereby affi�m lhat I am exempt from [he Cont�actor'S Lic¢nse Law for th¢ tollowinq reason (Section 7031.5 Buziness antl Protessional Cotle: Any ciry or munty wnich requires a permit to construct, alter, improve, Gemolish or reDalr any sVucture, prior to its issuance, also requires the applicant tor such permit to tile a signetl Statement that he/she i5 licensetl pu�suant to the p�ovi5ion5 of tne Contractor's License Law (Chapter 9(commencing with Section 7000) of Division 3 oi the Business antl Protessions Cotle) or'that he/she is exempt •eirom antl the basis for the alle9etl exemption. Any violation of Section 1.5 by any ap0�icant tor a pe�mit subjects Ihe applicanl to d civil elty of no[ more than five huntlretl tlollars (5500). � � I, as owner oi the property or my employees with wages as their sole' <ompensation, will tlo the work, antl the structure Is not intentletl or�ofteretl for sale (Section 7044, Business antl Prote55ional Cotle: The Contractor's License Law tloes not apply to an owner of a property wno builtls or improves thereon, antl who tloes such work himself/M1erseH or through his or her own empioyees, provitletl that such improvements are not intentletl or ofteretl tor sdle. If, however, the builtling or improvement is soltl within one year of com- pletion, tbe owner will have the bu�tlerl Of-prOving h¢/She tlitl not builtl o� im- prove Por the purpose of sale). ❑ I, as owne� of the pro0erty, am exclusively cont�acting with licensetl Con- tractors lo construc[ the project ISection 7044, Business antl Prote55ion5 Gotle: The Cm[ractor's License Law does nof apply to an owner af property who builtls or imO�oves the�eon. antl who cont�acts fot such oroiects with a�on- Vactor�sl license pursuant m ine Contractor's License I..aw). I am aware [hai proof of their Workev'S Compensation insurance Shoultl be proviGetl to me. ❑ I am exempt untler Section B. & P. C. for this reason Date Owner I hereDy certlfy that 1 have reatl this application antl state roat the above information is correcL I agree to compty wifh all city antl county orainances anG State IawS relatin o �uiltling con5t�uction, antl he�eby autho�ize �ep�e- Sentatives of this y to ¢nter upOn the dbove-mentionetl property for inspection purpose . Signature 1 Date �O^ 26 Drivers' Li s 55 � ../ �! PE OF CONSTRUCTION' U NEW U ADD LJ ALTERATION ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. c REPAIR TVPEOFPERMIT LJ GRADING U FOUNDATION LISTRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑'-OTHER � PROJECT DESCRIPTION SQ.FT. oCCUPnrv v_�_ SONSTRUCTIONTVPE � � VALUATION$�.� �ZONE GRADINGCU.VDS. ACRES Remarks: �% C Bar Sink Backflow Preventer Backflow Irrigation Drinking Fountains Floor Drains Floor Sinks . Gas Service Outlets Interceptors Kitchen Sink Lavatories Roof Drains . Reinspection Fee $15 Duct- Under Ground � Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. �CBO #'� Heating System & Ducting._ ❑6100,000 BTU 0100,OOOBT Reinspec[ion Fee 0865-46, rev. 5/88 Whi[e - Builtling;'Canary - qpp�icanp Pink - Accounfing; Goltlenrotl - Assessor Showers Service Sink SewerCap Sewer Connection Solar Collectors Solar Piping � Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wash Laundry Tra'ys Issue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeretion System ❑0-100,OOOBTU ❑100,000 System Repair/Alteratidn'�'� A.P. # S Main Buildi E T Front 6 Rear A C Right K . Left S Ping. Ref. # Planning Notes: FEES Automatic Washer � Construction Pole Sub. Cooking Unit Dishwasher ' Dryers ❑Gas ❑Elec� Fan F.A.U. Fixtures Device Boxes Outlets $WitCh¢5 Garbage Disposal Generator �65 KW C $ 3 FEES ' I I � „ I $15 Issue Fee $ 3 2one Accessory Building: ' Z Q N I . _. . N G R Parking Req./Provided - • ' E Q M , T S. ELECTRICAL � Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up ro 100 amps Meter ❑over100amps Sub Panel Motors O0.1 HP 01'/: - 8 Inc.Solar �9-15 HP 016-15+ Microwave Pole Light Range Standing Sections KW Trash Compactor 'I Reinspectian Fee !$15 I I 155ue Fee DEVELOPMENTSERVICESRE�UIREMENTS: Zoning Approved By Building Approved By APoficatiOn IssuOd BV SUMI�pA �F FEES BUILDING PERMIT $ — SMIP PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE PLAN CHECK 25% $ � � ENERGV P.C. ELECTRICAL $ GRADING P�AN CHECK 50% $ MICROFILM MECHANICAL $ TOTAL FEE PLAN CHECK Z5% $ , FEES : $ 3 01 G0014879-a0D19330 TGT 54.50 OATE: 12/18/�E TIME: C3:?0 ' S, . . .Y ". � _ . . � "L. . ' . . . - ,� ' . . �~ �j ' � � CONSTRUCTION AND PLANNING :+; POOI �'PA . APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspecto�. �� % 1. Temporary Electrical Service or Pole � � 52. Pool & Equipment�Location � 2. il Pipe-Undrgrnd. n -� • � ' 53. Steel Reinforcement - � 3. tlectric'al Conduit Utility-Undrgmd. �� 54. Forms � '� � � 4.'Eleciric"al Conduit�Undrgrnd. i! °' 55. Electrical Bonding - � �t � 5.� Steel Reinforcement , �� 56. Rough Plumbing & Pressure Test � _ �� . 6.� �Electrical UFER Grpd.' �� 57. APPROVAL TO COVER-GUNITE '� � 7. Footings ,� (:. ;; '�:_. :,_ 58. Electrical Conduit-Undrgrnd. V 8. Foufr`tdation `.; r�-_ ��: '. �� 59. Gas Pipe, O Undrgrnd., Test v' t . 9. Water Pipe-UndrgmH. � i� `' 60. Backwash Lines, P-Trap, O Undrgmd. �� 10: Structural Floor�System . { � 61. APPROVALTO DECK_ ' 11. Property Sewer Lirie & House Connection ;' 62. Backwash & Receptor-Final 72] Sewer Cap �' L,� 4 - 63. Heater & Vent-Final ' ..13.'Roof Dreins -� y 64. Plumbing System - Final - �' :, � � , � .' -� �14'. Rough Plumbirig': •' ,,. 65. Electrical-Final , 15. Rough Electrical-Conduit 66. Solar System-Final �� 1�6. Rough Electric Wiring� . - 67. Fencing & Access Approval -. . 117,. Rough Wiring Sign , , 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. .POOL/SPA SYSTEMS FINAL �,19. Rough Heating & Air Contlitioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ' � APPROVALS Permit# �. . 21. Ducts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test "' 72. Underground Flush y j_ 24. Roof Framing ,: 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing - . . 74. Overhead Hydro ' � _ _ � ��ji 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � 27. Frame and Flashing i-,-.. 76. Dry Standpipe 28. Lathing & Siding � 77. FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Nailing ��, - � HEALTH DEPT. REQUIREME T� . 31. Plaster Brown Coat�.�, 79. FINAL INSPECTION - '32. Electrical Power Met�r-FineP � 80. FOOD CERTIFiCATE ISSUED 33. Final Electric � � � Notes: �, � 34. Final Heating & Air Conditioning � � 35. Final Gas Pipe-Test 36. Hood or Canopy' 37. Final Factory Fireplace, � � 38. Final Plumbing . 39. Water Service-Final � � � 40. Gas Service-Final . � 4,1. Solar pomestic-Final � . 42. Backflow Preventer � , � �-`� 43. Backflow Irrigation � f� -- 44. �Landscape Irrigation System � 45. Sound Attenuation ' � 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48, Special Requirements Completed . 49. Electric Release to Edison �_ 50. Gas Release to Southerri California Gas Co � � �� ' r; _ 51. CERTIFICATE OF OCCUPANCY , � � No. Date ti � � 1. if Ci7Y OF COSTA M�jSA CONSTRUCTION PERMIT Project Address � ��1 �� r.7�11/(3 � nrch/Eng. �-'�� cense No. G ��3'�� Address 3�'Nn 5'� G� C1�i Contractor's Name � � Phone _. e Address (mailing� City License No. �� LICENSED CONTRACTOR DECLARATION ' � 1-hereby affirm [hat I am'licensetl untle�;provisions of Char[e� 9(comm¢ncin9 with section ]000) ot Divislon 3 of the�Bu5ine55 antl Professions Cotle, antl my license is in full force antl eftect. ' 6icense Class' � -License No. Date Signature WORKERS' COMPENSATION DECLARATION I hereby aftirm Ihat I have a certificate of consent to zelPinsure or a certiflcate �f Workers' Compensation Insurance, or,a certi(ietl copy thereof (Settion 100, Lab. C.) .- ;" olicy No. '� Company 8 Certifietl copy is hereby turnisM1etl. --� �� Certitietl copy i5 tiletl with the city Builtlinq DlviSion.x � Date ' Applicant- - ' EXEMGTION FROM WORKERS• COMPENSATION DECLARATION (This section neetl not be completetl if the permit I5 for one huntlretl'�$100) or less). I certify that in the performance ot-the.work for whicn this perm�t is i55uetl, I shall nol e ploy an$ pe�son in any-manne� so as to becom¢ SubjCct th¢ . Work C pen aFlqrrLaws of Califo�❑i,y D �� a Si9nature � • N TICE: f, after making this tlecla ion, you shoultl bemme subject to the Worker5' COmp¢nsation p�ovisions ot the Labo� Cotle, you must torthwith. cpmply .with zuch provi5ion5 or thi5 Dermit shall be tleemetl �evokeE. CONSTRUCTION IENDING AGENCV 1 hereby a�firm that t�ere is a con5truction lentling agency for the performance of the work for which thi5 permit is issuetl (Section 3097 Civ. C.) �entler's Name Lentler's�Atltlress OWNER BUILDER DECLARATION I nereby afiirm lhat I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Businesz antl Professional Code: Any city or county which requi�es a pe�mit t0 const�uct, alter, improve, tlemolisn o� repair any structure, prior to its issuance, also requires the applicant for such permit to file a,5ign¢tl statement that he/she i5 litensetl pu�suant to the provislons of the Contractor'S LicenSe Law (Chapter.9 (commencing with Section 7000) o( ' Division 3 of the Business antl Professions Cotle) or that he/she is exempt '^erefrom antl the basis tor the allegetl exemption. Any violation of Section `1.5 by any applicant for a permit subjects the appli<ant to a civil alty ot not more than five huntlretl tlollars ($500). � I; as owner of Ihe property or my employees with wa9es as their sole com0ensation, will tlo the work, antl the structure is no[ inten�etl or.offeretl for sale (Section 7044, Business and Profess�onal Cotle: The Contractor'S License Law tloes no[ apply to an owner of'a properry who builtls or improves thereon, antl who tloes such work himself/herself or throu9h his or h¢r Own emD�oyees, provitletl that such improvements are not intenaetl or otferetl Por sdle. If, however, the builtling or imp�ovement Is sold within one year of com- pletioq the awnet will have the burtlen ot proving he/she ditl not builtl or im- nrove for the purpose of sale). I, az owne� of Ine pro0er[y, am e%Uusively mntracting wifh licensetl con- Ir ctors to construct the project (Section 7044, Business antl Professions Cotle: Tne Contractor's License Law tloes not apply to an owner ot property who builtls or imoroves'thereon. antl who contracts tor such oroiects with a con- tractor(s1 license pursuam m�ne Contracior•s License Law). i am aware tnat proof o( Meir WorkeYS Compensation in5urance shoultl be providetl to me, ❑ 1 am exempt untler Section B. & P. C. Por this reason Date Owner `J' 1 hereby certi/y [hat I have reatl this application antl state that the above information is conect. I agree to compty with all city antl county ortlinancas antl State laws relating [o builtlin9 construction, antl hereby authorize repre- sentatives of this city to enter upon t� ab� ve-m'�netl property• for insOectlon Ourposes. `,� }� Signature Oate i3 � t. -��Z. Drivers' License or 55 � <o.,,��:;� TYPE OF CONSTRUCTION ❑ CONVERSION. ❑ I DESCRIPTION OF WpR TVPE OF PERMIT ❑ TENANT � I ❑ �OTHER��'Z PROJECT DESCRIPTI CONSTRUCTION ZONE Remarks: : 'j,�',# Bar Sink Backflow Preventer Backflow Irrigation GRADING �TRICAL Drinking Fountains • Floor Drains Floor Sinks . Gas Service . Outlets Incerceptors - � Kitchen Sink . Lavatories � P—Trep Roof Drains Reinspection Fee �"' �u i rv�. � UNIT NO. �� '�!o� � �'�`�i'�� - 2 VEW 'LJ A�D U P.I.TERATION REPAIR IH ❑ OTHER F BLDG. �� __— %i FOUNDATION STRUCTURAL - ❑ PLVMBING � MECHANICAL _ � /i� - VALUATION $ GRADING GU. VOS. � A( $75 Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. iC00 �k Heating System & Ducting � ❑0�100,000 BTU �100,OOOBTi Reinspec[ion Fee � ..$15 "'-0865-46, rev. 5/BB �te - Builtling; Canary - qpplicant; Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink $2WCf COOf1CCtlOft � � Solar Collectors ,,. Solar:Tank Swimming Pool Urinal Water Closet''� Water Heater Water Service Auro-Wash Laundry Treys Isue Fee Hood or Typel ❑ Canopy Type II ❑ Refrigeretlon System ❑o-ioo,000aru ❑ioo,000 System Repair/Alteration Fire Dampers Registers laue Fee � � A.P. # ; � S Main Buiidi E T Front B Rear A C Right G SLeft G Ping. Ref. # Planning Notes: // FEES Automatic Washer Construction Pale Sub. Cooking Unit � Dishwasher Dryers ❑Gas ❑Electric Fan F,A.U. Fix[ures Device Boxes Outlets $ 3 F $ 3 Zone Building: I Parking Req./Provided � .---�( � a�� ELECTRICAL � � Transformer ❑ 15-50 KW � 50+KW Garbage Dispoul Generator �0.5 KW 05-15 KW Reinspection Fee DEVELOPMENTSER .Zoning APPioved BY— �BuildinB APProved By Meter ❑up to 100amps Meter �over100amps - Su6 Panel � � Motors Oa7 HP Oi.h-s . Inc.Soiar �9-15 HP �16-15+ Microwave ' Pole Light ' � Range Sign Standing Sections Trash Compactor $15 � � Issue REQUIREMENTS: P N I N G R 3 y. E . r M � S. FEES $ 3 . � SUMMARV OF FEES �/ ,+� �BUILDINGPERMIT $ �F!-30.2�{"SMIP $ �T.d"i PLAN CHECK $ , PERMIT I PLUMBING $ ISSUANCE $ - �PLAN CHECK' 25% $ � ENERGV P.C. $ �ELECTRICAL � $ GRADING $ PLAN.CHECK 50% $ MICROFILM $ MECHANICAL $ • TOTAL FEE $ �U O � ,�PLAN CHECK 25% $ ! OS ��101631Q—OOA1431t TC]T iQ4,5at15 DAiE: [4P13f88 Ti�E: 13:Q3. ' -CUNSTRl1CTION AND PLANNING AP,P,RC�VALS Permit # �r . 1. Tetnporary Electiical Service or Pole J }� 2: 8n�1, Pipe-Undcgrnd. uit Utility-Undrgmd, 4rElect�ioal Gc U �ER•Gind. ;i � � Q ��- � 8.�Foundztior, � 9. Water Pipe-Undrgrnd. n: 10. Structural Floor SYstem 11. Pr"operty Sewer Line & House Connection 12. Sewer Cap-• °. - •Y ^ =f�r. 13. Roof�Drains `. % . � � , 14. Rou`gh'Plumbing 15. Rough Electriral-Conduit �� 16.� Rough Electric Wiring r � ii�. Rough W�ring Sign 18! Rough Electrical-T Bar Ceiling L V 19� Rough Heating 8y Air Conditioning �20. Rough Factory�_ireplace �f 21. Ducts.in�Structu{-e �:�.. lati 3.'Gas Pipe�Rough�& �Tevt q'bi 4. Roof Framing �Q.�� -. 25. Roof Sheathing,"„ �I � 26. T-BarCeiling (SYr �Gtural) &�N 27..Frame�and FIas�Sng � � 28. Lathing & Siding , �� i 29. Insulation j•� %Il 30i Drywall Nailing �1 vr � 31,: PlasteP�Brown Coa"t�� 33. Final Electric � '�� • �34. Final Heating & Air G�onditioning r� 35. Final Gas Pipe-Test j� 36. Hood or Canopy �d� Fi�al Plumbing , � -- i . � Water Service-Finel �� " h 'r Gas Service-Final' r1'�"� r._S-�1 Solai Domestic-Finel! Ba�kflow Preventer` j:; 43. Backflow Irrigation�J _ 44. Landscape Irriqation System ` '- 45. Sound Attenuation'�' -• 46. Handicap Fiegulations � 47. FINALSTRUCTURE&�BUILDING 48. Special Requirements Completed =.r ¢ . 49. Electric Relea`se'to Edison� i n� �50. Gas Release to Southern California Gas � _ 51. CERTIFICATEOF,OCCUPANCY No. Date Date � _ � - . .. � � s � ,:,_:� „ . - POO L `A ' . Inspecfor ' AppROVALS - Permit# Date Inspector � 52. Pool &-Equipment Location . � � 53. Steel Reinforcement �, 54. Forms -� �, . 55. Electrical Bonding . � 56. Rough Plum6ing & Pressure Test '�� : 57. APPROVAL TO COVER-GUNITE • • ` � :, �i � 5S. Electrical Conduit-Undrgrnd. , 59. Gas Pipe, 0 Undrgrnd., Test � • �' 60. Backwash Lines, P-Trap, � Undrgrnd. � ; �, 61. APPROVAL TO DECK �, J ; 62. Backwash & ReceptorFinal . �� 63. Heater & Vent-Final ', � i- . 64. Plumbing System - Pinal � ' - 65. Electrical-Final �� 66. Solar System-Final - . 67. Fencing & Access Approval . � 68. APPROVED FOR PLASTERING � �' , 69. POOL/SPA SYSTEMS FINAL - � FIRE DEPT. REQUIREMENT � � APPROVALS Permit # � 70. Underground Hydro ^ , � 71. Product Piping O Gas ❑ Oil .- . 72. Underground Flush , " " ' ' � � 73. Undergrnd.Scorage Tank O Gas ❑ Oil �� 74. Overhead Hydro 75. Dry Chemical �- 76. Dry Standpipe � � , �" 77. FIXEDSYSTEMFINAL . ��- 78. FIRE PREV. FINAL • � - t ' HEALTH DEPT. REQUIREMENT , 79. FINAL INSPECTION . 80. FOOD CERTIFICATE ISSUED � Nates: 20 ,Q"� . , o, L� w . O . �� F� / : K�w �� ' � . j� : _ �y Insutation Certificate CIT1' �F ��STA MESA CALIFORNIA 92628-1200 P.O. BOx 1200 16.1 Mesa Dr. 161 (A,B,C,) Bldg #1 161 (D & E) B1dQ. #2 Mesa Dr. Costa Mesa Number and Street City - OranQe Pala Mesa #13544 —1— County Subdivision Lot Number Description of Installation ROOF Macerial R-30 Fiberglass BrandName CertainTeed 1tuc�ess (inches) _10 i n c h e s '1t�ermal Resistance (R-Value) R- 3 0 EXTERIOR WALL Material Unfaced FiberAlass Batta BrandNarne CertainTeed 'Ihiclrness (inches) 3 1 / 2 '�- 'Themial Resistance (R-Yalue) R -11 CEII.ING C(rpJ29G45� BaaorBlanketType Batts BrandNarne CertainTeed 7t�iclrness (inches) 6�� 'It�ermal Resistance (R-Value) u_� q Loose Fill Type Brand Name Contrxtoi s minimum installed weight/ft lb Minimum thiclrness inches Manufacturer's installed weight per square foot to acheive'llie�mal Resistance (R-Value) RAISED FI.00R Ma[erial Unfaced Fiberglass Batts 'Ihiclrness (inches) SLAB FLOOR Matecial lbiclmess (inches) Width (inches) ` FOUNDATION WALL ��riy� Unfaced Fiberglass Batts 'R�ickness (inches) q 1 / � " BrandName CertainTeed 'Ihermal Resistance (R-Value) _ Brand Name 'Il�eimal Resistance (R-Value) BrandN2me CertainTeed 'It�ermal Resistance (R-Value) F Declaration I he�eby cerfify that the above insulalion was installed in the building at the above locaUon in confocmance with Ihe current Building Energy Efficiency Standards for new residential buildings contained in Tide 24 of the Califomia Administrative Code. J A��xh Fi.s�her Insulat own Attached - Signnnae sd r�/Builder 343852 �uilder) Licrnse Number Pres. 5/26/89 estho orp Dam 'General Partner 267769 n Wlcr) LicroseNumbcr . 2-14-89 FisF�er Insulation Comp�ny Certificate of Insulation . The undersigned certifies that Certainteed Fiberglass insulation has been installed in accordance with the manufacturer's recommended application of the product. Type (check appropriate box) unfaced kraft foil� FS-25 blowing wool walls �� - Ceilings � ❑ ❑ ❑ ❑ , Floors ❑ ❑ ❑ ❑ ❑ ,., � �� . Street Address coverage R-value thickness no pkgs. area �' , ,�� , /� .. �� "/� / � :��' /�� , ,� , , �r��.-1:1,�; ; . City,State,Zip Installer FISF�P. INSULATI(k] CCritPANY ISCENSE $267769 Company State License # II, MONI'E, CALIFORNIA 91731 a-/�-,i�� City,State,Zip Date Keep this certificate with yourothervalued papers. If you eversell this property,thiscertificate should be passed on to the purchaser. 0 l �r ' :L �ristolite Skylights 401 f. Goetz Ave., P.O. Box 2515 Santa Ana, California 92707 7i4/540-8950 800/422-2131 in CA 800/8548618 Outside California I.C.B.O. Approval No. 2469� Dimensions on Custom Sizes Upon Request A = Curb Opening B = Outside Curb C-1 =A5-Series Inside Frame C-2 = AL-Series Inside Frame C-1 B A wem ey erivoiiie AS-$eries m v�er wa„nmv ox a A �e�. s.�:o AL-$eries s rea, �wnzmv Standard Sizes Wood Curb Mounting Framing Dimensions' C-1 G2 A B AS-Series AL-Series Model Curb Outside Inside Inside Size Opening Curb Frame Frame 14i 4 14'/a' x 14 �/a " 17�/a " x 17'/a " 18'/s " x 18'h " 18'/:" x 18'/x" 1919 19" x 19" 22" x 22" 23'/a" x 23'/a" 23Ys" x 23'/a" 2222 22Yo".x22�/." 25�/."x25'/a" 26'/x"x26'/z" 26'h"x26'h" 3030 30'/s" x 30�/a" 33�/." x 33'/a" 34Yz" x 34'/:" 34'h" x 34'/z" 3737 37"x37" 40"x40" 41'/a"x41'/a" 41Ya"x41'/a" 4242 42" X 42" 4$" x 45" 46'/a" x 46�/e" 46'/s" X 46'/e" 4646 46Ya" x 46�/a" 49� a" '" '" '" SO�h" x 50�/�" 4848 48' X 48" 51" " ' " ' " $2�/a" %52Ya" 5555 55" x 55" 58" x 58" 59Ya" x 59Yo" 59'/a" x 59'/s" 7070 70'/. " x 70 �/o " 73 V. " x 73'/. " 74'/z" x 74'h " 74'/z " x 74 �h " 7575 75" x 75" 78" x 78" 79Y�" x 79Ya" 79'h" x 79'/a" 8484 84" x 84" 87" x 87" 88'/s" x 88Ys" 88'/s" x 88'/s" 9292 92'h" x92�/z" 95�h" x95'/x" 963/." x96�/a" 963/s" x46�/a" 118118 118" x 118" 121" x 121" 122'/a" x 122�/a" 122�/s" x 122Y�" 1422 14'/<" x 22�/s" 17'/s' x ZS'/a' 18%z" x 26'/z" 18'/z" x 26'h" 1446 14Ya" x 46�/a" 17'/a" x 49'h" 18'/:" x 50�/z" 18�/z" x 50'h" 2230 22'/o"x30'/o" 25Ya"x33'/a" 26'/z"x34'/�" 26Yz"x34%z" 2237 22'/a" x 37" 25'/a" x 40" '" '" 26�/:" x 41'/a" 2246 22'/0" x 46�/n" 25'/a" x 49Ya" 26' x" x '" 26yx" x 50'/x" 2272 22'/a" x 72" 25�/s" x 75" 26'/z" x 76'/a" 26�/z" x 76'/a" 2296 22'/a" x 96" 25Yo" x 99" 26'/�" x 100�/a" 26Yz" x 100'/a" 3037 30Y."x37" 33�/."x4Q" 34'h"x41'/" 34Yz"x41'/a" 3046 30'/s" x 46Y." 33'/." x 49Ya" 34'/:" x SOY:" 34Yz" x SO�h" 3069 30'/0" x 69Yz" 33'/e" x 72Y:" 34Y:" x 73�/s" 34�/z" x 733/0" 3096 30'/e" x 96" 33�/�" x 99" 34'/z" x 100�/a" 34Y:" x 100Ya" 3496 34" x 96" 37" x 99" 38'/a" x 700�/a" 38�/s" x 100'/a" 36120 36" x 120" 39" x 723" 40'/a" x 124'/0" 40�/," x 124'/s" 3746 37" x 46Y�" 40" x 49'/a" 41'/<" x 50Y�" 41 �/a" x SOYx" 3775 37" x 75" q0" X 78" 41 %s " X 79'/a " 41 %" x 79 %" 3854 38"x59" 41"x62" 42Ya"x63'/a" 42Ys"x63�/a" 4669 46Ys" x 69�/�", 49�/e" x 72'/:" SO'/x" x 73�/a" 50�/z" x 73�/a" 4689 46'/a"x89�/z"� 49�/a"x92Yx" 50'h"x933/a" SOY:"x433/a" 4896 . 48"x96" 51"x99" 52'/o"x100�/s" 52�/a"x100�/a" 48120 48" x 120" 51" x 123" 52'/"x 124Ya'" 52ya" x 124'/s" 5460 54" x 60" 57" x 63" 58'/a" x 64'/a" 58Ya" x 64�/a" 6096 60" x 96" 63" x 99" 64'/a " x 100'/0 " 64Ys ^ x 100'/a " 'NO7E: Dimensions in columns C-1 and C-T may vary siighNy due fo manufatturing procesa C5u � �., ' i ).. j�...i..� I." . � 4�( :r �jt Hadit�.n �.iY��4 �Ifd+i ,.,... 1 � i �.'� » � . , � : � �h r ti � ,� �i ,, C: � �� FOREST PRODUCTS INC ,' i � + ; ,�s� . i � �r ' �ti . P • 3 � ' e i I i :� ' 1° t� kyF�yf I�t�r .� �1�:� it, r�c fi � -; �� , . n 1?�, ��krk�'��QTfOF11M� � tai� �.:'��' .�: _� �i7s��rYi r�dl�bliri��i,:� `�� ,ir y� �+ � „. ,y i.�� i^I } J - (� � . t . d AY J t �t�� t� '��' � � �� al x „ � ':�� .�.', � � �u v i F � . � . . ' � � � � � � . � ' . � . . 4!�j ��p„ � p tl '.' i j . Yt t1 . , . .. . `�r.,a„ °i_ YY :., 'IHt ' . . � ;:E:;:;,� F.��:,�, : C�0; N F:0 R M A� N C E ts identffied below :tive; Ma�k` of;,;the. i4actured.in'.confo 190.1.'=1 83 "+. S�i� it in `�''�; � e'Inspection; euree �enodically by such ito�� r��li� ifr� P�1'.�y�) re of�:these<memb ....,•._... ,_..... �;,. ,, ,, � � �, , �� ..,� ,�� , ;, . . . i ,,��,: { �. � � , •:''"'-,;:;.,.,�.,,.,,�. . .. 7�; MANUfACTURER l`iEREBY CER�'lflES id an attached sheets Nos. ' ere marked MERiCAN;INSiliU7E OF, TIMBER CONS7RUCTION (AITC) i�nCe with appUcable qrovisions of American National $tandard ,�ral Gtued Laminated Timber;�;,and. that such. manufacture has , which plant has a quality control systcrn of,the AMERICAN iNS71TUTE OF'.TINfBER GONSiRUCT10N ureau, � �� <' �„ � ,:,.., ` �;. ,: :�tr � ',, ` .. � ,, , , c , s,00mplies witii the manufacturing and fabncating�provisions of � CQdP. ' C f� � � t � 11 y f 2 �. �ii� tp..�xrY� ��s155�`ti�'a.:'�.�1�� r�. � ' ��i n �^ ��iG�fl .� ( Pa7'�.i,E•�� il 4��V' �i�il� �, �� , . , . � J;§�f3: � � � a , 1 �� .. r . . .QCIUCtS.'EOi�.SCOC�C ��; . t . , . ' ��c,�. .. . .;ia.:i:•.. st s.'. . .� � � . .. , i �' . � s t.�ta�, ,ti,, s,-, , 4.'rkd �+`- i� `, � iiz .f 4�r'�t ,� , ��-,�S�Y�`r� sM � �#2969 01 ' : 10 4 ;� ' '� ' G797-D '� ��}� CV$TOMERSORDERNO � b0.7E RSORDER,N� ' ��jY[ t i L t r�� liq�� b a1 i I „�l . .. � . i� I. , i� ��IY�s��t��yij�lyri�'4,�i r �7�{�I��Y,�i�.�� v�� ' �'� ... , , ��- . , :' � Indv. Wrao . .. . .. . ,�. � COMPANY ��'O�Ta''�fl �� . . . �...'� DOHES4 " POB�..�I97. nC'311T. OR � onre �' 10'21i�88' ''' 1 . . :4-� � ,�' . . � f�n'.i� �'��'" � � '' �� . . .. ' , TC�; HEREB-,Y;';`CER i iRIOAN,NIN3T!TU?E�'C�i..a {D! oducts whiCh Comply wlth'apF rol',system`in effect at said ple AM E R I CAN',;I NSTITUTE;:,pF `company'-is capable'of,comF dard in respect of.products m� [hat`the said coi is periodically. in a� . ; �, � �. ,�, : , +,,.� ; j1� `dis,"q ^ �. : , , �, } ,,, .� Y ' 'i�>� � ; �� „:, ,, .. ._. , . �/��ES;�i,'that'the'said.compan`y at its safd plant is licensed by the EER.CCFdS i FUCTiOti to use the AITC Collective Mark In respect Iicable provisions of said Stendard, ttiat the adequacy of the quality it;is`periodically inspected end v.erified by the InspecYion BurBau of 7iIMBER: CON5TRUCTION, and that, in the judgment of AITC, ly�ng wiih:applicable manufacturing and'testing provisfons of said nwfactured at safd p�ant. Conformance with the Standard in respect cd is the snle responsibility of the manufacturer; AITCs guarantee ip'any is qualified to produce a product meeting the said Standard �ected and verified by the AITC Inspection Bureau. AITG Cert�tica�e No. � 8 4 0 0 A V�ERICAN INSTITUT� OF TiMQER CONSTRUCTION �.,, , ,,` , . �� 1983 AMERICAN INSYITUYE OF T�MBEA CONSTRUCTION � � ; . ' �'' � .. . �. . , � , a4C: St� tDNo.Gh �Cc�aPR ��'i 7tp6__ F 4 i i� -�� ' �� v��J r' a� 4.,i� r` n �i� S II�Cv:�Ke�t�awwr�x, '�"y , i i��`t� �%�i ' g a � � �� . �x .,c5w4�� ; � �! � �.e ti,li ��,yRR B 1` - Ro 471u: D i�,.,; r�� ;4P i r�'��( k'f I� � i;�HLL�ICOR9T.:�..'CN1ND'.��5 .�.'�'.i�^+< <� F.�:a�� . , _.._� i� , ' _ � mvxC -� C Y6flII8CC .� � f • {� coan _c .� ,� .� �IN5R., ..q17Cix.�1��'t� J1i296� * r��s�,s4�'�'��: A�� ,. �ci �';i��.�i�': �h ! r{.�, Y� � - t . ! 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' :.. ,.. '. � .�. � �� ' � , . . � ��}Af � 4 . - � ».�,�� .� � : . ��: W 7FM�M1�N�1F7FIFIFiiFiF#iikY�i•�". RRilkM1F1Fi�1VY�iYiFtiFlFiF iFlhiFiFiFMiFY1F11MiM1Fi�iFliFfF6iPiFYY� . irra,, rn� �„ i i ": 1 RFiaii�lVpL � , . � . , ; ' , '�rtinT�'�t/ r�i` �. � � � ici� _"nb000cc . � ' � . � YkN,'�Ih ��;i��y If • . ii�i,es,;c��r;;eaaept r�ce c�f'the�e drawinBs �s belr�q aPPlica e mtwact� d�cumerhs end releessd�fur mar�ufarturing. " j� } � , � ' . : DRTE �L�E7;1�4yi*t F}.�t,.� ��' �� : . � � . ��...�.__..�.`_._�.��"��.... �. . 1 i '� � t 6iFiFIFiF�tl6�tit1EltIFklFiFikiF �FMIFkW�F�ti�it�tk+Ftli�FIF1FIFit161FiFIFrtiEK�ewRw�Frk+F�EiEiti iFYcY�itrFYrN�tk�Fb�F � . 4J r !'i �'' � y i4� I -� � � . a' ' _.... ._. -_ . . . '{;;�. _ _ . .. .. , , ::�'�� ' . � ' � . ' -. . . , ., . . . . _ _ __. .- . I .II�II �,1:1 �J:� 11 I��i ... . � i�. .i �!n:..._,.�.,.._,,..,. i.....a..,,,....�,.�4. ,� . �^^4 ..,,,,..�..-.��_._....-...:w ,. i :e�,.. _ .. _ . ., ��i'i, � �. C i `�I �� 4 � i ��`��U 1..� �: � /HE UNl.��`RwIGN� thut th� productS idontified below with the Colloctivo Mark �f thre and wcrc manufaclured in confo ANSIlAITC A1flOJ-1�J83, Stru< bnen at our Olmit in—._...1]r'.+i approved by tho Inspection Burea and inapected periodicnlly hy such I"', I caQNr-��AN��.. _. T.�.�.. .��:=. � MANUFACTUI;�R HER�BY CERTJ/=IC=,� id on attac4,ed shoets Nns, ara morkud vSEfiICAN INST.ITUT� OF TIMf3�A �ONS.TRUC710N (Al'i'U) $nce with applicable provisions of American JJetional Stand�rd iral Glued Laminated Timber, and that such manufacture h,�s �._C)n - -- -, which plant has a quality cantrol syste�� pi tfio AMEAICAN iN5TITUTE 4F TIMBER CONSTRUCiIf.)tJ 7he manufacture nf tFre:;e mernbe�sicomplios with tha manuracturing and tpbricating prnvisions uf Chapter 25 of the Uniform Buildin �ade. " � ,�� . , ' :,' �.an�NntiiE:_....m.,.,�,�.-.�:C1fl$.��D3:F �YCYjUGYS�nv� Ctnrtr R lS,a�� . '.�. r�;•;�"�� .. _ .. � JOC LOCATION:...�,.�_•y"' ' h CUSTDAIER'S pRDER NO. ��is9 �. 24F-V4 Comb. 24F�V8 G u �� Arch. A. Load Wra . i / I X % , GIGNAYURE ' � "� { ' „Y�E QuaXitv Control Ip� i ,•r . . . i,� ��'� ;o-�;, _...Y.DATE �1^��•�HH�MGGfI'SORDEHNO.', � G{JEZ�D �,.,�:''.�,;"�S':•.� ,�, ' � .,,. . - ,- , .. .. . i ; ' ..� e Ind. A. L:irad Wra '� Arch A. Xrxiv. Wra . � . . . , , ' 7!,'';,�. �. �ri � �3.r�� f-�.,,. ,. . , . ,.:' .. , � � y lrt�� r,��'�. .N.d:L':C�:1,�. . COMPANV - D11C0 Te81T1 •. � � e;� � ' F66S T'bB 297, Dr,ain, Oii ..,� oAre 11�;23, 88 �';:�,4, ,i i'',' ; �'. o .,,.. , _ ..: . � � r . I .�{ra.4 .i %jI , ES' that the said com an� its said � ' AMEflICAN iNSTiTUTE OF T.IM �R ' AITC H�''REBY CER �F/ p plant is,licenged,,qy tl�e CONSTRUCTION to use,the'Afl'C Colleqtive'Merk'in,respect of products,which comply with app�cable provisions of sald Standard, that the adequaay of the quality control system in Effec2 at said pla �ti is oeriadioally inspected and varified,�y,the`tnspeotion' �turuau of the AMEF?ICAN 1NSTITUTE OF�TIMBER'CONSTRUCTI�N, and that, in the;judgment:'of�AITC:, said company is capable of comp ying with applicable manuf,acturing �nd;testing provisions;of said Standard in respect of products ma�nGfactured at said R�ant. Gonformance with the Standard in respec t of any specific or particular produ�cfi is the sole responsibility of the manufacturer; f�ITC's guarantec hereund?r being that the said company is quatified to produce 'a product maeting the, wid Stanti�rd and that its plant is periadically ins icted and verified by the AITC Inspection Bureau , i ,; ,_ . < ', t --..._ . „ 4. - . 'I ' -•s' ,. ' �.� � � � " '�%� � �f i re- �'; � ; AITC Ceili/icale iVa'; r, g6�2�'�K��,�'t.��.� � , ' ,' j'" ' r ��.�"`�� i" i �� A ;EfiICAN INSTITUT� OF°TIMBER'�CONSI'RUCTION � �. ' . , ., � ` ,' �q ',a;;ts r��u . - �' � i .. � ' 9,,r tir ' �� r:�r ...��f � I. . ._— - . ' ��,+ �}i< , ' � � � ... �t.. �� , � `,, i •;� �7ri�,�� p :N � � . . ., - t��'.. � � ;�,,. � t� � v ,� �� zt�ti - � ` ` n c�:,�t < . ' , I . � , . � � ��`� �,`�.'_, � �;�1r aC.'i:� . ' - �� 3B83AMERICANINST�TUTEOFTIMBERCpN$7RUGT�QN , ' � ;''� ` AIiCiPORM19CiA ..,.��i I,;� � -� d ."I' ,. _ � v,.. i^4'�b�F 4 at�R�A f�yl,��W��+k��; il. . i d, ._ rv' t , �i> Li�l+,�� i�ps �i,�. e 1 � , � lt '�a � ciY'i t ib��taa 1��)t'�d�xY�yy� �`A / '�i i 1 i �� r�1�, � �� t,i f ai v� � i r��t�wi � g� �i��ov�d1��t�lp� r�M �'-:" i ., 1r .' . i rf,�l�4nKi�11 fWf i.'�' .. .�dr ( .'<S t "- t � � ' • ,.';�„ir�_. �,..7, i.,!o•n..+.�.��Gy✓�.49..' . _ . . 3:q� . . ' �7':s. _. . i_`�d' �. - ./ .;.�� ;: -, .... .I ' .e ��' "iVV u�<Hwir * .. '�P.2�. � �51 ALL�CO �FOREST.PRODUCT�S,��INC. � 7� `,i.r �vrxuuiF�t��ritaiV# i�#Itu*M�uauit�ta*► u+ Peg2 1 " , , ,c , • � +, 'J B NUM6Ettt�;.A962 .D .` �'�i'_ y' .,;�e� '!,?�"< G.�1570MER1 . RLL':CQH57 CHINUso=__a==_.._--_=��=__==�-==_=` .: exeoa r -=— e ac —__" •�y�y�' �< <r � tG�ST PO N 3489 � INSP: RITC_� c: �i ` ° `,r � � . ' ��' ' �� i ` NdTE PKG BY J09' ,;� r� � '? . 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IND LUf�U -------"� ' ~ 8 3/4 x 12 i. x 16 �v--0---- -_�4F V9 I;:,RRCH 1NOV __,„___ / � -- - - - ---------- _ ; 0, . ,:I.:;. 24F-V6,,. �..:ARCM .INDV '(,;?. , 6 3f4 , x'„16._1/2_H 25_.��_:._------ ' 8 3/4vx 24, �'6',''x.; 2g .., .. , p, ;"i, ^5 176Yx 12 " x 6Q;;�, � __ %:ri ^ S. 1/B :x"•,13 1/2 x'fi0' == �0''�' ',----5 i-r8 x'19 1/2 x 60^ -. 0. . __../';,G::;. 24F-Vk I'.RRCN: I.QRq ---------� ' :;i': 2kF�V4 .I FiRCH;. INbV -----_�_..� ,. 24F-V4 1 RRCH INDV 24F-Vk I ARCH -----?--/ ' 6 3'/4..x; 10 i 1/2 �x 60.�';=: � 0,:'::?;"•i,;' `� `:24F-V4_:_� pRCH .��-6 3%k , x ;12 ,: x 60---• • T w�. � r�r� � • i ' 1. � ;�7; T �.: � ;;� �-, ir�uu q g4�'-V4. , I! ARCH ' 11�hV .__-- , ------------/.�,tiy„ .. . . i' '�Ir/ :u' � � U5� �,CUSTOMERS ��M�P; O ;LYQ' [I EI F' E G f I � .�:;: .; ;. , .4 ,- ,; , , �; ; . . �I Y I+� ' ' � . � � .. p � ` ; ' . II � �� "R , } I 'i' .: �� .. ., , di#'R1fi � . . 'FifMiFM�k�IFlF�IFiFiFiFiF1F�1F3F1FiF##iFifiF#lfiiiF�lVif�lEiFiFiFiFlF*M 1t FikiFiEM#iFiFdFiiFiF '!F� . ,,,.:. :: .�. ,. i, , RF'PRDVRL , �� J.�;,. .�:• C��aIICCs�_¢�� i', . ie� t,'. . s:o�ar.acee tlance of;Jthese.drawings.as being applicahle ract:;tlOcµsen a'end„relpasf'd ,fOr manufacturing. � : . ,. .,. DpTE' i �'• � . � r.� ,,:, .. �: .;,. ; , . , . ---------- ,. , __....________ -----_..�_�_.. ------- ' ,.......-- �*��r*a�#�s�x �.�*a�r��r+t*+tr�r�***+tn��+r�r+**r�xxa��***a��*�r�r��xn�.j��x� . ; , ..: . . ,. .. _... ... ..... . . . --. . _ _ - - - � .,.,.-- ��-.�...-;�.,�. : ._... _.-.-:....�.�. _ -.__�.__ .__ ..,.. ._ __._: - - -... _.. _ _ . .. .. ,_.,,._--:. _ .,._,�,- RECENED `�� MAY3 `-��' - . . � 1989 Aipine Consultants, Inc. 23099 MoWton Parkway. Suite J-12 Laguna Hills, CA 92653 P7ay 24, 1989 Mr. Gary Collin Engineering CITY OF COSTA MESA 77 Fair Drive Costa Mesa, CA 92628 Tele: (794) BSS-605� Attention: Grading Inspector Reference Project: Address 161 Mesa D'rive Costa Mesa Tract No. 'R��Ebndemi.-et-r�m owner: W.S.S. Development Co. I hereby approve the final grading for the referenced pro- ject in accordance with my responsibilities. Final grading has been completed substantially in conformance with the approved grading plan. The buildings have positive drainage and the drainage devices should provide adequate flow if properly maintained. ,�% �j i, .+�YV.n.�.,�}�L r„ / i William F. Young R.C.E. 35715 �' ' - . ., ,. ti- �� 7HIS AQiEEh�N'P, made ard entered intn this //�/�vJ 'S : day of 1��i .�� bY and betaeen G hereinafter referred ta as "LAND �FEdER", and hereinafter referred to as "ADJAC:FSTf PRfJ�Er1.iC QdNIIt": It is hereby aqreed that a party wall will be const ed on the property line betaeen ��/ � �� -�--- �l�_ in the City of Costa Mesa, Cointy of Orange, State of California, as per map reco�ied in Book '� , Page_ of Miscellaneous Maps, in the office af the Co�mty Recorder of said Co�ty. 7Y�e party wall shall be permitted ta encroad� �.�SS f .� IN WIZTIFSS W�REOF, the parties have entered into this Agreement the day and year fixst above written. � � ��OZ_ `��C�� ., . � ..•r •. • �• l/f.0 1'� �� ,��G'� FORBES/MANSHADI ENGINEERING February 7, 1989 TODD SCHOOLER & ASSOCIATES 503 32nd Street Newport Beach, Ca 92663 ,, �. i� Structural Design & C�� - ,:, Attn: Phil Re: 161 Mesa Drive, Costa Mesa, Ca (.FME #488-1552) Dear Phil: Following are modifications on subject project. 1. Micro ),ams are to be fastened together, per manufacturer's specs (2 rows of 16d nails @ 12" o.c. progressive) 2. Provide 2-2X10 with 16d nails @ 12" o.c. to support ridge at liVing room, Unit C. 4X6 ,#1 hdr supporting this dbl ridge is o.k. 3. Provide Simpson HHB Haner in lieu of the wrong hanger placed on (4) 1-3/4 X 11-7/8" micro lams. Thank you for your attention in this matter. If there are any further questions, please do not hesitate to contact our office: Sincerely.;�= FORBES-MANSH arna FM/erc LN.EE RI N G Vf,j ' IYId� s\R�r�. �� _Fl �� n s�n as i , �a, �.�0-92 � - E �* , ' �,_, � 4.`,_ C! d�,._ s �.,,, .. 17332 Irvine Boulevard • Suite #115 • Tustin, California 92680 • (714) 1 � � .� " Applicant to fill in all spaees exceDt those witnin CITV OF COSTA MESA CONSTRUCTION PERMIT � � P�"��T No. rRncT i "6/ me � � Project A�dress % S N' ✓..,�(OG- '� �� Applican['s Mailing Address� 1. �m �'�n rio-Tt f�� 'k Zo 2 Owner's Name w-SS ,Q.P u�r [�O � phone sr D � Address Arch/Eng. License No. Address Conbacmr's Name EY�N.1 PLQ� , Phone �y� r/ ft r Address�lmailing) � 7� � Wld `T�� 'C' C�✓� City License No. n-? �-Z � S� � ,LICENSED CONTRALTOR DECLARATION Lhereby af(i�m that I am licensetl untler provisions of Charter 9(�ommencing with section ]000) of Divislon 3 of the Business antl Professions Cotle, antl , my license is in tull force anq,effect. - LicenSe Ciass' G 3 6 � License o.� �iate.9'=�Y—Yif ,Siqnature � )RKERS' COMPENSATION DECLARATION � .ereby affirm that I h5ve a certi(icate of consent to self-insure or a certiticate � of Workers' Compensation Insurance, or a certitietl coOY thereof (Section 3800, Lab. C.) ' ' ' ' ' ' ' Poi,�r rvo!^��YT7�3aa I ComPanY �R� ^a.^'j— . eCertitietl copyis bereby furnishetl. y' ' Certifietl copy is jil tl with the city tling..Di��. �` Date '!)�«� 3`�� Applicant �G!/ o EXEMPTION FROM WORKERS• COMPENSATION OECLARATION � (Thls section neetl not be comple[etl if the permit is tor One huntlr¢tl ($100) or . less). - . ' -� ' I certify, that in��tie pertormance ot [he wo�k to� which this pe�mR iSlssuetl,.l) shall not employ_any per5on in any manner so, as.to become subject to the� Workers' Compe�sation Laws ot California: '� f^ - � . � Date Si9nature NOTICE: It, afte� making thi5 tl¢claration, you Shoultl become subject to'the Workers' Compensation provisions of the Labor�Cotle, you must forthwith comply' with Such provisiOns ot tnis permit 'Shall be tleemetl revok¢tl. ' CONSTRUCTION LENDING�AGENCV . . 1 hereby affirm'that there is a cons[ruction lentling agency for the performance of tne �wark for which this permit is issuetl (Section 3097 Civ. C.) � Lentler's Name ' � Lentler's Atltlress � OWNER BUILDER DECLARATION ' I hereby aifirrn'lhat I am ¢xempt trom the Contractor's Lic¢nse Law for the f following rcason (Section ]031.5 Business antl Professional Cotle: Any tlty or - county which require5 a pe�mit to con5truct, altEr, Irttp�ove, tlemolish o� �epai�� .,9ny ztructu�e, priOr to'Its issuance, alm requi�es the aOP�icant fOv such pe�mit '��`��f Contre toralsSL cense Lawa(GhaOteri9 (commenc ng with Sectlon ]000) ot r �fr:%ision 3 ot'the Business antl Professions Cotle) or that he/she is exempt t =f : -' i�erefrom' antl the basis for the allegetl exemption. Any violatlon of Section J031.5 by. any applicant tor a permil subjects the applicanl to a civil .penalty of not moFe [han hve nuntlretl tlollars (E500). � -� I, as owner of the property' or my employees with wages as thelr sole � compensation, will tlo Ihe work, antl the structure is not in[enGetl ormfteretl , for sale (Section ]044, Business anG Professional Cotle: The Contractor's License.Law'tloes not apply to�an owner of a property who builGs or improves thereon, antl� wM10 CoeS Su<h wo�k himself/nersel( o� throu9h his o� her own employees, provitletl tha[�such improvements are not intenaeo or offeretl tor � sale. If„however, the building or improvement is sola withln one year oi com- pletion,�the owner will have Ihe burtlen ot provin9 he/she tlitl mt builtl or Im- p�ove forthe pu�posa ot sale). ' + � ❑ I, as�own¢r of �the property, am ezclusively contracting with Iicensetl con-' Vactors to construct the project ISection 7044, Business antl Profe55ions COCe: Tne ContractorY �icense Law does mt apply to an owne� ot p/o0erty who ' builtls o� improves tM1ereon, antl who'contracts to� such o�oi¢cts wlth a r.on- tractor(s1 license pursuan[ ro[ne ConVa<tor•s Cicense Law). I am aware that proof of their Worker'S Compensation in5uranCe shoultl be provltleG to me. ❑.I am�ezempt under Section B. & P. C. for this reason Date Ownei .I hereby certity that I have reatl this aoPlication antl state that the above Intormation is correct. 1 agree tolcomply with all city ana county ortlinances antl state laws relating,to builtling construction, antl hereby authorize repre- , sentatives of this' city to e t r upon the above-mentionetl , property for I in5pettion urp�g 5. / -+ . ' \/9 .�ry I Signature P//s'�N ir �+ Date 8 I Drivers' License oc 55 sSt ' % EorEer lines antl si9n all appro0��ate tleclarations. A.P..# — S Main Buildi TVPE OFCONSTRUCTION �ADD ALTERATION REPAIR E- ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � T Ffont DESCRIPTION OF WORK/USE OF BLDG. � A Rear TYPE OF PERMIT GRADING FOUNDATION STRVCTVRAL - ' I C Aight• ❑ TENANT� ❑ ELECTRICAL MBING ❑ MECHANICAL . , g� Left 0 �OTHER � Ping. Ref. # � PROJECT'DESCRIPTION SQ. FT. oCCVPANCv ��Planning Notes: -. C O N STf3UCTl ON TVPE VALUATI ON $�_ ZONE GRADINGGU.VDS. ACRES � � Remarks: ' � Bar Sink Backflow Preventer .. Backflow Irrigation � Bathtubs ' Clarifiers ' Dishwasher, . � D�inking Fountains � Floor Drains ' ' Floor Sinks • Gas Service Outlets Interceptors � Kitchen Sink . , oof Drains � - Reinspection Fee . � $15 Boiler ' DucT- Under Ground � Duct-Structural � . Duc(-Ventilating ' Exhaust System ❑ Multiple FirepVFact. Blt. ICBO # , Heatin9 System & Ducting , Oai oo,000 eru O ioo.000 Reinspection Fee ; I $15� rev. 5/B8 Whlte - Builtling; Canary - Applitant: Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink - Sewer (:ap Sewer Connection � Solar Collectors Solar Piping Solar 7ank Swimming Pool w/Spa Urinal �WaterCloset ' Water Heater � Wa[er Service ' .AlltO-W35I1 Issue Fee AL or Typel ❑ � iy Type I I ❑ � : Refrigeretion System ❑0.100,000 BTU' � 100, System Repair/Alteration Fire Dampers , Issue Fee � FEES Automatic Washer. Construciion•Pole Sub., ' Cooking Unit . ;Oishwasher �� - Dryers �Gas ❑Electric Fan . Device Boxes Outlets switones Garbage Disposa Generator �0.5 � Reinspection Fee % � $ 3 DEVELOPMENTSER Zoning APProved BY_ FEES Building Approved By Zone . . Accessory Building: � . Parking ELECTRICAL ; FEES � Transformer ❑ 15-50KW � ❑ 50+KW ' Meter Dup to 100 amps : Meter ❑over 100amps . . - Sub Panel ' ' ' Motors 00.1, HP O1'h - 8 � Inc.Solar 09-15 HP �16-15* �� Microwave � rom uym Range . � Sign Standing Sections - 5 KW Trash Compactor $t5 � , � Issue Fee � �' $ 3 REQUIREMENTS: . . . , � ' Date" N 1' N G R E Q M T S. � � � ' � SUMMARY OF FEES � � �� k BUI�DING PERMIT. $ � SMIP $: � ;,�: PLAN CHECK $ '� � '' � PERMIT, - • � � PLUMBING $ '�� -. , ISSUANCE $ e/: "� PLAN CHECK 25% $� ENERGV P.C. $ � ELECTRICAL � $. GFADING � $ : �,� • PLANCHECK 50% $ � MICROFILM� $'�� MECHANICAL $ � TOTALFEE $ �� PIAN CHECK 25% $ , , $ 3 I;' i �1 QOOI,74R-�p01474& T�7T :'� pQ, f3ATE� 04i4r788 'TItfE: 14:`$ � 4 ^.�^� '"'� -�)� �1 1 ' CONSTRUCTION AND PLANNING - . . - & SPA APPROVALS Permit# Date Inspector qppROVALS �Permit# Date Inspector i. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. , �/ � 53. Steel Reinforcement � �. Elect�ical Conduii Utility-Undrgrnd. 54. Forms �� 4. Electiical Conduit-Undrgmd. ' S5. Electrical Bonding � 5. Steel,Reinforcement ' 56. Rough Plumbing & Pressure Test ,� 6. Electrical UFER Gcnd. , � 57. APPROVAL TO COVER-GUNITE 7. Footings � , , 58. Electrical Conduit-Undrgrnd. 8. Foundation �, • � 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgrnd. �' �'r/ 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 � I�; 63. Heater & VenriFinal 13. Roof,Dreins -, �,��.� 64. Plumbing System - Final 14. R�ugh Plumbing. r`t � � 65. Electrical-Final � 15. Rough Electrical-Conduit � 66. Solar System�Final � 16. Rough Electric Wiring 67. Fencing & Access Approval a J ,1�. Rough Wiring Sign 68. APPROVED FOR PLASTERING . �78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ��797 Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20t� Rough Factory Fireplace APPROVAL'S Permit # 21. Ducts, in Structure �� 70. Undeiground Hydro 22. Ducts, Ventilating • jJ 71. Product Piping � Gas ❑ Oil • 23. Gas Pipe-Rough & Test �• � 72. Underground Flush 24. RoofFraming �•� 73. Undergrnd.StorageTank�Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. FrameandFlashing 76. DrySiandpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. �Drywall Nailing HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final ,.n � 80: -FOOD CERTIFICATE ISSUED 33: Final Electric ��• r Notes: � . � 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test � �' 36. Hood or Canopy 37. Final Factory Fireplace � 38. Final Plumbing �j a �� 39. Water Service�Final 40. Gas Service-Final - � - 41. Solar pomestic-Final 42. Backflow Preventer � ''' i __ 43. Backflow Irrigation : r1 � 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Sner.ial Requirements Completed 49. Electric Release to Edison f`, 50. Gas Release to Southern California Gas Co � 1� � 51. CERTIFICATE OF OCCUPANCY � � � :i No. Date �J � • AGD��ant to fill in all spaces excevt those within neavy bortler lines ana si9n all approoriate Oeclarations. P MIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA 'ACONSTR�/�fCTION PERMIT {/p A.P. # zo�a Pro'ectAddress ��% /"lQ.sf� �//�-• �2 �� ` � � /3�� 1 , 5 Main Building: Accessory Building: /� TVPE OF CONSTRUCTION NEW ADD ALTEFATION REPAIR � ApplicanYs Mailina Address �CA��C/i/4Ti ��$.�(� E Z ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front � �- Owner's Name SS d PhorR''�3��a DESC(iIPTION OF WORK/USE OF BIDG. I B Rear N Address �- �-�J�'4T� �C.+L'_�ZGZ.�"�d��VE i A I Arch/En��Q�11 Licenu No. TVPE OF PERMIT GRADING FOUNDATiorv STRucTURAL I K Right G Addre55 ❑ TENANT ❑ ELECTRICAL ❑ PLVMB�NG ❑ MEGHANICAL g� Left R Convacror's Nam �F� ph�� 90 ❑�OTHER Ping. Ref. # Patking Req./Provided E Address Imailingl � 6 - � J_ PROJECT DESCRIPTION 5ci. F7, oCCUPANcv 9 M �.i T,�{� Plannin Notes: City LiCense No. +�eco CONSTRVCTION TVPE VALUATION $ 3�~�2 ��1 20NE GRADINGCU.VDS. ACRES g. LICENSED CONTRACTOR DECLARATION I hereby aHi�m that I am licensetl untler provisions of Charter 9(commencing Rema�ks: �` witn section ]000) of Division 3 ot the Business antl Professions Cotle, antl my license is in full for n eftecL ? ELECTRICAL FEES License Ia55 � LI en �No. � D� -1 - PLUMBING FEES Automatic Washer Transformer ❑ 15�50 KW � Date Signature — ❑ 50 + KW RKERS' COMPENSATION DE AR TION BarSink Showers Construction Pole$ub. �eby aftirm that I have a certi � ate ot consent to s It nsure or a certi�icate - . Workers' Compensation Ins ance, or a certifietl copY thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 3800, �ab. ) < aoiicy rvo. �d 9"flP �{ 2� Company-�7�%7� ��% Backflow Irrigation Sewer Cap Dishwasher - Meter ❑over 100 amps 8 Certifietl copy is hereby furnishetl. ' Certifietl cop 's �iletl with the cit Bu6 i n Bathtubs Z Sewer Connection N Dryers ❑Gas ❑Electric Sub Panel Dat � Applicant -- Fan Motors �0.1 HP �1 %- 8 EXEMPTION FR M WORKERS' CO SA 1 N DEC TION Claritiers 5012� C0112ctOf5 � I ssjssection neetl not be completetl i he permit is tor o h dretl (ffi300) or Dishwasher Solar Piping F�A�U� Ina Solar �9-15 HP �76-15+ � .^ I certity tha[ in the pertormance oi the work for which thfs permk is issuetl, I Fix[ures , � 4�J snall not employ any person in any manner so as to become subject to the Orinking Fountains Solar Tank Microwave Worken' Compensation LawS of California. � l Date Signature `�-' Floor Drains Swimming Pool w/Spa Device Boxes � Pole Light NOTI[E: If, atter making this tleUaration, you shoultl become subject to the Wo�ke�s' ComOensation provi5ion5 of the Ldbor Cotl2, y0� mu5t fOrthwith FIOO�SinkS Urinal �utl¢t5 Range comply wilh suth provlsiOns or tnis pe�mit sitall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV Switches $i n Gas Service Outlets Water Closet 9 I hereby aftirm that there is a mnstruction le tling agency tor performance /�-� ot ehe work for y�p�� ih��mi�j�,}tSfSti°_r�'.Civ. C.) Garba9e Disposal Standing Sections ` Lentler's Name T� � �� Interceptors Water Heater �ender's Atltlress �� %�P�%C�i2L a4/1�L.�%�� Kitchen Sink Water Service Generator �0-5 KW �5-15 KW Trash Compactor OWNER BUILDEft DECLARATIbFJ I hereby affirm Lhat I am exempt Trom the Contractor's License Law for tna Lava[o�ies Auto-Wash following reason (Section �031.5 Business antl Professional Cotle: Any city or county which requires a permit to construct, alter, improve, demolisn or repair p-Trap Laundry Trays any structure, prior to its issuance, a150 requires the applicant fOr such permit '- �ile a siqnetl sWtement that he/she is licensetl pursuant to tM1e provisions ot Roof Drains �ontractor's License Law (Chapter 9(commencing with Section 7000) o( yC�� 3 of the Business antl Professions Cotle) or that he/she is exempt ReinSpBCtl011 FBB $15 luue Fee $$ _re(rom anC the basis for Ihe allegetl exemptlon. Any violation of Section 7031.5 by any applicant for a permi[ subjects the applicant to a civil penalry ot not more tnan tive huntlreA tlouars (g500). Reins DEVELOPMENT SERVICES REQUIREMENTS: ❑ 1, as owner of the property or my employees with wa9es as their sole Pa�:ion Fee $15 Issue Fae $ 3 2oning Approved By Data mmpen5ation, will tlo the wo�k, antl tM1e structur¢ i5 not intentletl O/ offeretl for saie (Section �044, Business antl Professional Cotle: The Contractor's MECHANICAL FEES Building Approved By License Law tloes not apply to an owner of a property who builtls or improve5 , Detq2� thereon, and who tloes such work himself/herseli or tnrough his or her own AppliC3tion Issued By Dat employeez, provitleG tha[ such improvements are not intentletl or offered for Boiler Hood or Type I ❑ sale. It, howeve�, the bulltling or Improvement is soltl within one year ot com- � C,anopy Type II ❑ SUMMARV OF FEES ' pletion, tM1e owner will nave the burtlen of proving he/sh¢ tlitl not builtl o� im- DuCt - U�d¢� C��OUnd prove tor Ihe purpose of saie). BUI LDING PERMIT $ SMIP $ ❑ I as owner of the property, am exclusively contractlng with lirensed con- Duct - Structural Refrigeration System pLAN CHECK tractorsto mnstruct the project (Section 7044, Business antl Professions Code: $ PEflM1T The Contractor's License Law does not apply to an owner of property who Duct- Ventilating ❑0.100,OOOBTU ❑100,000 BTU PLUMBING $ �` ��UANCE $ builtls or improves thereon. antl who contracts fo� 5uch oroi¢Ct5 with a con- tractor(s) hcense uursuanc to me Conttacmrs License l.aw). I am aware that EzhauSt System ❑ Multiple ❑ System RepaidAlteration P�N CHECK 25% $ ENERGV P.C. $ proof ot cheir Worker's Compensation insurante shoultl be provlaetl to me. ELECTRICAL $ GRADING $ ❑ 1 am exempt untler Section B. & P. C. for this reason FirepqFact. BIt �C80 # Fire Dampers PLAN CHECK 50k $ MICROFILM $ �_ Date owner Heating System & Ducting Registers MECHANICAL $ � 1 hereby certify that I have'reaa this applica lon antl state that the above ❑6100,000 BTU��100,OOOBT TOTALfEE $ information is a9ree to compry it all city antl county ordinances PLAN CHECK 25% $ \ dntl state la rela � to c on, antl hereby authorize vepre- j Sentatives ( th" " y r p0 above-m¢ntionetl prope�ty for I. 'S19nattuo�n ur . '�'r �' Drivers' L" e e or 5� � Reinspection Fee $15 laue Fee $ 3 01 l,{Qa??�71-1�flfl2%Q�1 .=.�J..r �.9.�Q � 0865-46, v. 5/88 White - Builtling; Cana�y - Applicani; Pink - Acmunting; GoltlenrOtl - As5e550r DATE: C�2/27/R9 TIME: OS:4i ' ^- , i .. .-..1 . _ .. ..v . . . .. . , . . . . , . � � t.•, ' CONSTRUCTION AND PLANNING P� & SPA APPROVALS Permit# - Date, Inspector APPROVALS etermit# Date Inspector r 1. �emporary �Electrical Service or Pole � 52. Pool & Equipment Location 2. $oil Pipe-Undrgrnd. 53. Steel Reinforcement 3y��lectrical Conduii Utility-Undrgrnd. • 54. Forms . " 4. �lectrical Conduit-Und�grnd. . 55. Electrical Bonding . • 5. Steel'Reinforcement �� ' 56. Rough Plumbing & Pressure Test �, i. 6� ��lectiical UFER'Grnd� ' . 57. APPROVALTO COVER-GUNITE �' . 7. Footings � � � ' 58.-ElectricalConduit-Undrgmd. � Br Foundation � 59. Ga's'Pipe, O Undrgrnd., Test i" 9� Water Pipe-Undrgrnd. l, / �� 60. Backwash �ines, P-Trap, O Undrgrnd. 10. Sfructural Floor Sysiem � , " 61. APPROVAL TO DECK 11. Property Sewer Lane, &'House Connection "�/ �� 62: Backwash & Receptor-Final � 72. Sewer Cap ' . � ' ,�, / ' 63. ,Heater & Vent-Final • � 13. Rdof Drains - ' 64. Plumbing System - Final 1' A 14. Rough Plumbing' 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final i 6. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough keaiing & Air Corxliiioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. ducts, in Structure . � 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping � Gas ❑ Oil � 23. Gas Pipe-Rough & Test . 72. Urderground Flush J 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe z$• Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: � 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy � 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final � y. F 40. Gas Service-Final ' � ' 41. Solar pomestic-Final 42. Backflow Preventer � � � 43. Backflow Irrigation , 44. Landscape Irrigation System ' � 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURf & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATEOFOCCUPANCY - No. Date ' i � -' ADo�icant to till in all soaces eacept those witnin heavY Ooraer lines antl sign all apvrovriate Eeclarations. � � � �� CITY OF COSTA MESA �QNS CTION RMIT Project Address � -1J _ Applicant's Mailing Address Owner's Na� � P ,,,�F3 -S3Q 9i� Address Arch/Eng. License No. Address 6'��inC Contractor'sName s� t Phone'�w�� Address (mailing) � City License No. S� �_� � LICENSED GONTRACTOR DECLARATION � 1 hereby attitm that.l am licensetl untle� O�ovi510n5 ot Charte/ 9(commencing with section ]000) of Division 3 ot the Business antl Pro(essions Cotle, antl my license is in tull force eftect. - P/� License lass ' s N �oJ e � Ignature � RKERS'COMPE SATION DE R ION ere0y affirm that I �ave a certi te of consent t sel insure or a certificate of Workers' Compensation .Inz r nce, or a c¢rti � tl coOY the t(Sectlon 3800, Lab�. � �y� _ o cy No Gompany, Certifi co is hereby furnishetl. Cert'fi y y'.j5 ' etl with the City Bui _ny' Date � 6 Applicant EXEM IONFROM WORKERS'COM E A ON OECLA (Tbissection neetl nat be completed ifthe� ermit is for one hu re ($300) or- less). / ' I certity tha[ in th¢ performanC¢ of the�veo�k fo� which thi erm�t is i55uetl, I snall nat employ any person in ny.�manner so as to be me sub�ec[ to the Workers' Compensation Laws of �lifomia. Date Si9nature NOTICE: If, after makin9 this tleclaration, you shoultl become subject to the Workers' Compen5ation p�ovl5ion5 0( the LabOr Cotle, you must to�thwith comply with such provlsions or tnis permit Shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 hereby atfirm that there is a constructlon lentling a9ency tor the performance of the work tor which this permit i5 i55uetl,(Seciion 309] Civ. C.) l.entler's Name Lentler's Atltlress OWNEH BUILDER DECLARATION I hereby affirm lhat I am exempt from the C6ntractor's License Law for the followln9 reason (Settion ]031.5 Business antl Professional Cotle: Any city or counry which requires a permit to construct, alter, improve, Oemolish or repair �nv structure. orlor to i[s issuance. also requires the applicant for such permrt vision 3 of tne Business antl Protessions Cotle) or that he/sne is exempt herefrom antl tne basis for Ihe alleqetl ezemption. Any violation of Section 7031.5 � by any applicanl tor a permit subjects the applicant to a'civil ��enalty o� not more than �ive huntlretl Oollars ($500�. I, as owner ot the property or my emo�oYees with wa9es as their sole compensation, will tlo the work, antl the structure is not in[entletl or.ot(eretl for sale (Section �044, Business antl Professional Cotle: Th¢ Coni�acto�'s License Law.tloes not apply to an owner oi a property wM10 buiitls or improves [hereon, antl who tloes such wo�k himself/herSClf or through his or her own employees, provi0etl Mat such improJements are not intentletl or offeretl for sale. If, however, tne builtlin9 or Improvement Is soltl within one year ot mm-' pleti0n, the owner will have the bu�Een of proving he/Sh¢ tlitl not builtl o� im- prove forihe purpase of sale). ' ' ❑ I, as owner of the pro0erty, am excluslvely contracting with licensetl con- tractors to construct the project (Section 7044, Business antl Pro�ezsions Cotle: The Con[rac[or's License Law doe5 nOt apply to an owner� of property who builtls or improves thereon, antl who contracts tor such oroiects with a con- tractor(s� license pursuan[ m ine Contractor•s License Law�. I am aware that proot o their Worker's Compensation insurance shoultl be provltletl to me. ❑ I am ezempt untler Section _B. & P. C.�for this reason Date ' �� Owner �S�-7� L�f C.6� , I hEreby ce� Ey.`that I have reatl thi5 appliwti�op antl Stat¢-tltat the above informati is mrjse�t. yp9r omp ith a}� city antl county ortlinances, Inspec n p Slgnature � i � Date / Orivars' nse or « � ' � �� -�� 0865-46, rev. 5/88 White - guiltling: Canary - qpplicant; Pink - Ac<ounting; Goltlenrotl - Assessor . M�rl i j� p ....�. .._ __. ..... �".�,,. A.P. � S Main Buildi TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E ❑ �pNVER510N ❑ DEMOLISH ❑ OTHER � T F�ont DESCRIPTION OF WORK/USE OF BLDG. A- Rear TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL I C Rlght ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ', g� Left ❑��OTHEii Ping. Ref. # PROJECT'DESCRIPTION 5G1. FT. oCCVPnNCv Planning Notes: CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCU.YDS. ACRES Remarks: � '1 � i 11 Ci Sink <fiow Preventer <flow Irrigation�' itubs ! ifiers ,� IW25hEf ,, Drinking Founiains Floor Drains Floor Sinks Gas Service Interceptors Kitchen Sink Lavatories Roof Drains Rainspeccion �Fee Outlets $15 Boiler Duct - Under Ground � Duct - Structural Duct-.Ventilating � Exhaust System ❑ MWtiple ❑ Firepl/Fact. BIL ICBO dk3�0 Heating System & Ducting ❑ai oo,000 eru � i oo,000 eT Reinspection Fee � $15 PLUMBING Service Sink Sewer Cap Sewer Connection Solac Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Cbset Water Heater Water Service Auto-Wash Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑aioo,oaoaTu ❑ioo,000sru System Repair/Alteration Fire Dampers Registers . � Issue Fee Automatic Washer Construction Pole Sub. Cooking Unit Dryers OGas ❑EI Fan .Y F.A.U. ' � Fixtures��•% Device Boxes Outlets � Switches Garbage Dispoul Generator 00.5 KW Hainspection Fee ��'�� Zo�a Accessory Building: . ELECTRICAL , Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors �0.1 HP 01 %- 8 Ina Solar �9-15 HP �16�15+ Microwave Pale Light Range Standing Sections 5-15 KW Trash Compactor $75 luue Fee FEES $ 3 N I N G R E � M T $. $ 3 DEVELOPMENTSERVICESREQUIHEMENTS: Zoning Approved By Date FEES Building Approved By Date�-�— Application laued By � Dat�� _�� SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ - ELECTRICAL $ GRADING . $ � PLAN CHECK� 50% $ MICROFILM $ MECHANICAL $ I.3•S� TOTALFEE $ /3.� � PLAN CHECK 25% $ Oi QOQ24357-1?OD243�7 TC�i . 13.5u" DATE: 01/fb/2? TIl7E: 1t:45 .. �. . . ,� . .wu•�/f�-�r n p i • . CONSTRUCTION AND PLANNIN APPROVALS Permit # i. Temporary Elec[rical $ervice or Pole 2. Soil Pipe-Undrgrnd. - ' 3i„Electrical Conduit Utility-Undrgrnd. � 4. Electrical ConduiY-Undrgrnd. " t � �5.'.Steel�Reinforcement'� �, , i� �,6. Elect�ical UFER Grnd.� .. q;7./ Footings � , � , . r, , 6. Founda"tion " ' . 9. Water Pipe-Undrgrnd. � ;. . 10. !,Structurel Floor System - � 71, �Property Sewer Line & House Connection _� �, _ 12. Sewer, Cap - 13.'Roof Drains � � � �. 14. Rough Plumbing' I � 15. Rough Electrical-Conduit 16. � Rough Electric Wiring 1•7. Rough Wiring Sign � 18t Rough Electrical-T Bar Ceiling '19!� Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Duc�ts, in Structure 22. Ducts, Ventilating _ 23. Gas Pipe-Rough & Test � 24. Roof Framing � 25. Roof Sheathing � 26. T-68r Ceiling (Structural) & Monocoat 27. Frame and Flashing 26. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat , 32. Electrical Power Meter-Final 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hoqd or Canopy 37. Final Factory Fireplace 'I 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations � 47. FINALSTRUCTURE&BUILDING 1 48. Special Requirements Completed ! 49. Electric Release to Edison Gas� Release to Southern California Gas Co CERTIFICATE OF OCCUPANCY Date : � , Inspector AppROVALS �Permit# 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding ' 56. Rough Plumbing & Pressure Test " - 57. APPROVAL TO COVER-GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, 0 Undrgrnd., Test 60. Backwash Lines, P-Trap, � Undrgrnd. 61. APPROVALTODECK' � � 62. �Backwash &"ReceptorFinaY - " � ;, 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 71. ProductPiping'�Gas ❑Oil 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 �NSPECTION 80. FOOD CERTIFICATE ISSUED Notes: �t Date Inspector . . ` , '�. � � ' � I � ' �---j� ii i' p n A