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Home My WebLink About2402 MINUTEMAN WAY - Building Permitsrnaect �ooeess: 2 y 0 2 M I Nli : ENAN WY owx¢n�s xeMe: MANS F I ELD eooxEss: SAME AS ABOVE 7i4/095-1296 �NCNIFNGINEEN: nooacss: REO.NO.: UNR: uxrt: PEflMITTEE:NOCK PLUMBING (714)$35�-1246 �ooxess: 11610 SEABOARD CIR STANTUN CA 90680 LICENSED fANT1WCTOB OECIAMTION: I �ereby atlirm that I am Iicense0 unEer Drovisions oi Chapter 9(mmmendnq vnth Seciion 70D0) ol Division 3 af t�e Business anA Profeuions CaGe, anG my license is in lulllorce anE eHect. cm uc(�.: O 5 0 Qa,8 6� nsrnre uc.: 5119 71 cuss: C—' 6 Date: —( Z v- ZI� Sipnature: �"'�� /95' COMPENSIITIONr AO�ECIAMTION: I �ereby aflirm Ihat I have a certificate al consent ro sall�insure or a certilicate ol Workers' .sa�mn 4�51 b�I 7 7 L�1 U wpy thereot (SecliE%P. � TEao U,j / O S I i 1 „;v no.: STATE JMP�NY: l� CenlfieA coOY �s �ereEy fumishetl. �^ CeNfieO coDY �5 fileA wit� iha ciry Bui�i Oi 'sion. �], p�QM /({(��1/ � Oate: –I — ZM ^ C V, MDlicanL _�A� L` IXEMFfION FXOM WOPKEHS' COMPENSITION DECIAMTIOM: (�li¢ sectlon neet not C8 campktea i� Ne permfl b lor e hunCreA (5100) or las�. I certity Itwt in the DeAormairce of t�e work lar wNch iNs permit is issueE, I shall not employ any person in any manner w az to Oecome SUEjCCI �0 �IIB WOhEfS� �OmpCn$d110f1 LdWS 01 �dli�OfNd. Oaie: Sipnature: NOTILE: Ii, alter makinp tNs declaratlon, yrou sIwWE Eecome subl� �o Ihe Workers ComDenutbn prmisiore of Ne LaEor COAe, yau musl lortlmit� wmDN ��h wN D�avisions or tNs perrtut slWl Ca Eeemed revake0. CONSTNIICTION 1FN01N0 �GENCY: I here0y affirm ihai Nere 5 a constructlan IenOinp a0enq for the peAarmance oi Ihe work for wtutA tltis permit is iuueC (Sectbn 3W7. Civ. Cl. LENUEfl: noos¢ss: OWNEB BUIILEB DEClAM710N: I hereby atfirm that I am exempt irom tAe Coniractors' State Llcense Law tor [�e fallowinp reason (Section 7037.5 Business anE Prohuianal CaOe: My ciry oi caunry wNc� reQuims a permit ta constmct, alter, improve, demolish, or repair any strucWre, pnar to Rs iuuance, also requires ihe ap0��ant tor such Dermil to file a 5ipnaE statement t�at hdsha is Iicense0 pursuant to Ihe pmvisions ol IAe Contracrors' State License Law (ChaD�er 9(commencln0 wit� Section 7000) of �irision 3 of the Business anE Pmfeuions CoOe) or thal he/s�e is exemD� �herefmm and tAe basis lor the allape0 exemption. My violation of Section 7031.5 by any applicant for a Dermit subjects t�e apPlicant ta a civil penatry oi nat more Ihan live hunOaE Eollars (5500). I, as awner ol iha propertY o� my employees with waAes as their sole compensation, will do the wark, an0 t�e simclure is not IntenAM ar ofleretl /ar sale (SeCiion 7674, Business antl Pmlessional CoOe: T�e Contractors' State Liunu Law Oaes nat aODN �o an owner ot a propeM who builCs ar impmves t�erean, anE w�o dces suc� woM himsetl/herseli or tAmuAh ' Ais or her own employees, pmviOeE Ihat such imOmvements are not intentled or attered for sale. II, Aowever t�e OuilEinp ar impmvement is sa10 wit�in one year of wmpletian, Ne ovmer vrill have Ne �ur0en al proNnp AUSM Ai0 not Cuild ar impmve br tha Durpase ai s�le). � I, az owner ol Ihe properry am exclusNely wntractlng wfth IicenSeA wneractors to construct Ne Drolect (Sectlon 7044, Business ❑ anE Prolessims CoOe: Tlre Connactors' Staze Lire�ae Law Eces not apDN �o an wmer ol Drope�tyMn EWEs or improues Nereon anE wAo cantncts lor wch prol�u �d� a conirac[aqs) licenu Dursuant to the Contractors' State License Law). I am aware IAat prool ai lheir Warker's Campens2tlon msurance shoulG Ee pmNAeO to me. � 1 am evempt un0er Section: B. 8 P. C. 1ar IhiS reaSOn: DdtO: �M'I�GI: I do hereCy ceniy that I am aware al anA unUersWnG the requiremenis al Califarnia Healih anG Safery Cade Sec�ions 25505. 25533, and 25534 anU t�at I or any tuNre huilEinp occupani xill/will not (tircle one) neeE to camDly witA sai0 state coEes anE Ne requirements tar a permit lor canstruction ar mo0dcation trom t�e Nr dualiry Manapement Ustnet. Resiaential wnsiruction apPliwtions are exem0� �mm �hese proviSlons. Date: Appliwnt: I here0y certity t�at I �ave reatl t�is application ana state t�a[ the above information is corrac�. I apree ta comDly wh� all d�y an0 counry or0lnancu anU state Wws relatinp to builUinp constmNan an0 herehy a Aze repruentatNes ol t' dry lo enter upon tM a0ovrrtrenlione0 properry lor inspectlon Durposes. 9- ZB � `� ` Oate: Sipnature: DAver's License or Saial Secudry x: 1861-66 W�itp—BuiWlip; GrBan—Cotla Enforcement; Canary—Applkant; Pink—Rovenue: GalEenroE—ASsaaaor CITY UF COSTA k�ESA - HUILDING PERMIT PERMIT NO: P OS9143 I�LAtJ CHEC;: N0: N CO�ISTRUCTION TYPE: PERMIT TYPE; PLU PERM NO: P 045i4] GOVT: V SUPP: N PURPOSE: OTH JOB DESCRIPTION ; WATER HEAT'Ei1 REPLACEMENT SQ FT; CLAIAI VALOE: CALC-VALUE: GROUP OCC; / COMMENTS: MAIL-IN PERMIT *xat#*##��**�r+t**;t#�x��*��r#*�*#*�#*nr�#x�*�*;�*��r��*##�c*�#*#�� x �x��u*�*�a��#�� 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 ----------- MAIN HUILDING ----------- --------- ACCESSORY BUILDING -- ------ FANT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT ZN RGHT: FT IN PARKING REQ; F�ROV: PARCEL: 41218228 2NE: REF NO: PLANNING NOTES> � ##if#ifi!###dtit##it#iE#iFiE'k#9tiEifitit'k�#####i!##it#iEiE#iE##iF#iE3lit#�FdE##1E###f:iFiE±fit#####�;#####it#?fiEiEY.� 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: HUILDING APPROVED HY : ' DATE: APPLICATION ISSUED BY; � DATE: � `y ***�*###�*#�#*#,�**###� �,�##��,�,�,�,�� *�.�.. a #fi:� ��#####Y.�####�k•########+E####it######i:�#########iFifitikdE####3E##lEitiFiE##iEiFif#l:ifiiif#iEi�jciE#i�-3E% LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGI•1ENT;N PERMIT BLDG PMT PLUMHIoo ELECTRIC MECHANIC FIRE SMIP/RES GRADING 25% SMIP/NON-RES PLAN ISSUE FEF. 3,00 BUILDING-DIV-> PEkMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 2,00 3,00 0.00 5.00 5,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 5.00 OVER/SHORT: 00 BLDG PMT PLUPIBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECR 5.00 �1F##?Eif-iEiEik##3F##1f�If##ik#iE#fEiF####iE####iE###iE#iE#i.'#iE##iE#jFifif#3EikiE####iEit####it#�lE####iE##iE%*#.'".� I N D I V I D U A L F E E B R E A K D O W N TYPE QTY PLU 1 D E S C R I P T I O N WATER HEATER ANll/OR VENT END OF FEES UNIT COST TOTAL COST 2.00 2.00 di GOG7uE77—C¢D70377 T r�T DATE: 10/0.'.!"-D TIiE: i;:5� V :�r; CONSTflUC710N AND PLANNLn;V _ L& SPA APpROVALS Permit # Date Inspector APpROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2, $pil Pipe�Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit UtilitY�Undrgrnd. � 54. Forms 4. Electrical Conduit�Undr9md. � 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-Undrgmd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System � �� 61. APPROVAL TO DECK 11. Prpperty Sewer Line & House Connection � 62. Backwash & Receptor�Final i 12. Sewer Cap . 63. Heater & Vent-Final . 13. Raof Drains 64. Plumbing System - Final 74. Rough Plumbing . 65. Electrical-Final 15. Rough Electrical-Conduit � ` 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rou9h Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning RRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducis, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71, Product Piping O Gas ❑ Oil 23. Gas Pipe�Rough & Test 72, Under9round Flush 24. Roof Framing 73. Undergrnd.StorageTank CJGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Ceiling (Struciurall & Monocoa[ 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77, FIXED SYSTEM FINAL 29. Insulation 7g. 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 Eleccric Notes: 34. Fihal Heating & Air Conditioning 35. Fihal Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing �j � , 39. Water Service-Final 40. Ga5 Service�Final 4l. Solar pomescic-Final 42. BaGkflow Preventer 43. Backflow Irrigation 44. Landscape Irtigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING . 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No. Date � � PflOJECTA00XE5S: ?qO2 MINUTEMAN WY owxessr+ame: MANSFIELD HARAIETT G aooness: 2 q 0 2 M I NU�!'EMAN WAY COSTA MESA,CA 92626 UNIT: AXCHIENGINEEN: NEG.NO.: AOOflE$S: UNIT: PEHMITTEE: STOUT ROOFING INC ( 310 ) 923-6775 nooness: P O BOX 9309 DOWNEY CA 90241 LICENSEO CONTNRCTOfl OECUIPATION: I here�y a��irm ihat I am licensee untler pmvisions of C�apter 9(commencing wifh Section 7000� of �ivision 3 0l I�e Business antl Prolessions Cotle. an0 my license �s in lull brce anE eflect. cirruc.:`,05�9/3�Q77 srarEuc.:402536 cuss: C 39 EXP: �ate: _� �G(�_III - `jI. C"= Signature: - WOflNEflS' COMPENSATION OECIAflATION: I �ere�y a�hrm Iha� I have a certificate o� consent to seli-insure or a ceni�icate o� Workers' Compensation Ip�s�rKe2�3-�ec�itied copy �hereo� (Sec�ion 3800. Lah. C1.5 � 1 9� 9 5 PO�ICY NO.: � n 7 E%P. DATE: U COMPpNY: A IG ,�/ ❑ Certitietl coOY �5 �ereby lumished. L'1 C¢rti�iea capy is �iiea with the ciry BuilEing Division. ate'. ` Applicant �JL� El(EMPTION FFOM W flNEFS' COMPENSpTION DECLAPA710N: (This section nee0 no� be completed il ihe permi� is �or ane hunAred ($100) or less�. 1 cenify thai in I�e pedormance ot the work for w�ich ��is permi� is issueQ I shall not employ any person in any manner so as �0 6ecome sublet� to ihe Workers' Compensa�ion Laws of Califomia. Oale: SignaNre: NOTICE: Ii. aiter making this declaration, yau shoul0 hecome su�ject to the WOAeR' ComOensation Omvisions oi the Labor Cotle. yau mu5i fori�wilh comply wi�h such pmvisions or �his permif shall be Oeemetl revokeG. CONSTPUCTION LENUING RGENCY: I hereby alfirm that ihere is a constmction lenaing aAency lor the perlormance oi the work for which �his permii is issue0 (Sec�ion 3097, Civ. C�. LENDEF: aooRess: OwNEH BUILOEN DECIAPATION: I hereby allirm tnat I am exempt irom ihe Coniractors' Stale License Law far the following reason �Section 7031.5 Business antl Pmfessional Coae'. Any ciiy of county w�ich requires a permit �o constmct, alter, imD�ove, demolish, or repau any StmcWre, prior Ia its issuance. also reQuires the apDlican� tor such permi� to �ile a sipnetl s�atemem t�at he/she i5licenSeA pursuant to �he pmvisions al the Contracmrs Sla�e License Law (Chap�er 9(commencing with Sec�ion 7000) oi Division 3 0� ��e Business antl Pmfessions Code) or tha� he/she is eKempi therefrom an0 �he �asis lor �he alleged exemption. Fny viola�ion ot Sec�ion 7031.5 by any applicant for a permit sublects the applicant lo a civil penalry o� noi more Ihan five Aundretl dollars (E500). I. as awner of Ihe pmpeny or my emVloyees with wages as their sole compensation, will do the work, antl ine ❑ s�maure is nol intenaetl or oiteretl lor sale (Sec�ion 704a, Busmess an0 Professional Cotle: The Comractors' Sia�e License law tloes not apDly to an owner o1 a D�operty who builas ar impmves thereon, and wha Uoes such work himselt/herself or ihmuAh �is ar �er Own employees, pmviJeA ��a� such impmvemenis are noi in[endeJ or 011efetl �or Sale. If, hOwever t�e huilAing or impmvemeni is sola wilhin one year of comple�ion, �he owner will have ��e hurden oi proving �e/she tli0 no� builtl or impmve for Ihe purpase ol sale�. I, as owner ol the pmpeny, am exclusively con�mc�ing with licensetl con��acto�s to constmc� �he pmlec� (Seclion 7044, Business J antl Pmiessions CoOe: ihe Contracmrs' State License Law tloes not aODty to an owner ol pmperty who 6uilds or improves ihereon antl who conlract5 for such pwjecls wi�h a conirac�or(s�license pur5uan� ta Ihe ConVactors' S�ate License Law),I am aware thal pmol o� Iheir Worker'S Compensation insurance should be pmvided ro me. � I am exem0� under Section'. B. 8 P. C. br ihis reason: �ale: Owner. I tlo hereby cenity Ihat I am aware oi ana un0ers�antl ��e requiremems o� Cali�omia Health an0 Salely Cotle Sec�ions 25505, 25533, and 25534 antl Ihat I or any lulure bwlaing occupant willlwill nol (arcle one� neetl �o comply wi�h 5ai0 s�a�e cotles antl �he requiremen�s �or a p¢rmi� lor consimetion m modifica�ion irom Ihe Nir �ualily Managemeni DiSVict. Fesitlen�ial con5ime�ion apD�ica�ions are exempt fmm �hese pmvisions. Oate: Fpplicanr. I hereby certify �hai I have reatl �his applica�ion antl state Iha� Ihe above intorma�ion is correc�. I agree �o compty with all ciry antl county ortlinances antl slalelawsrelatingio builtling conslmciion antl hereby aul�arizerepresentaiive5 o��his cirylo enterupon�he a6ove�menlioned pmperlY �or inspection p rposes. - Date: I Signalure- Driver's License o� Social Security a: 16aPa6 While—BUAding'. Green—Code Enlorcemem; Canary—Applicant; Pink—Revenue; Goltlenmtl—Assessor r CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 069527 PERMIT NO; B 069527 PLAN CHECK NO; N GOVT; N SUPP; N CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : T/O RESTH & AEROOF W/COMP 6 HOT MOP SQ FT; 2,508 CLAIM VALUE: 2,508,00 CALC—VALUE; 2,508.00 GROUP OCC:�R—i / COMMENTS: REAOOF SLOPE SIDE W/COMP FLAT SIDE HUR SMOKE DET. REQUIRED �r*��*��*****+r*��r�r�*****�****�**�r***+�**��r**«**�r****�**��*�*�*�**********��**�** 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 ------------ 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 IN PARKING REp • PROV; PARCEL: 41916228 ZNE; REF NO: PLANNING N6TE5> ; if if if if 1f if �f iE iE iElf iflE if 1t i! it 3f �F iE fk iE iE 41Flf fE if if if if iE iE if if iE if if �1F if fE if if iF i! if iF �f iE 1f iE if 1f iF iE ik 1F if 1f #' it it 1f iE iE iE iE it iE if if if �F iF iE if iE if 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 ZONING APPROVED BY DATE: � HUILDING APPROVED BY ; DATE; APPLICATION ISSUED HY; if if i! iE iE if M iFlf itlf 1f if if'it iF if if if if iE iE�� k fFiF ifikif if if 1f 1t iF�liEif if MlF�f jFff 1f1k �f 1f if �f LEGALIZATION:N HLDG PMT PLUMHZNG PERMIT 54.00 PLAN ISSUE FEE � DATE; � � iflfifalitiEiElEikif jE 1flfkiElfilitiEikifiE4iljEikifitlfiEiE4jfifififififlfiFitifif4ifif�l4itiliFi! 1E1Eif ifiE�fiP E E S U M M A R Y STRUCTURAL EGMENT:Y ELECTRIC MECHANIC FIRE SMIP/RES GRADING .50 SMIP/NON—RES BUILDZNG—DZV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 59,50 0,00 0,00 54,50 54,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 54,50 OVER/SHOAT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 54.00 ,50 1f if iF if if 41F ik �t fF if �E if f! 1E if if if k if 1f iE iE iF if it iF it 1f iE M%1! 1f iE 1f iE 1f 1E if if if it it it iE �k iF ik if if if if 1f if �F if if 1E if iE iE ik 1E iE if ff iE 1F if if jf ik i! iF if if if iE I N D Z V I D U A L F E E H R E A K D O W N TYPE SFR QTY D E S C R I P T 2 O N 2508 REAOOF HY VALUE RESIDENTIAL NOZONE END OF FEES UNIT COST TOTAL COST 1,00 2,508,00 91 �I31705S9—OC170560 T�7 T 54.St7 OAFE; ;0/23J94 TItlE: t::sg CONSTRUCTION AND PLANNING POOL 8 , � � APpROVALS Permit � Oate Inspectar APpROVAIS Permit # � Date Inspector i. Temporary Electrical Service or Pole 52. Pool & Equipment Location f 2. $pii Pipe�Und�gmd. 53. Steel Reinforcement � '3.- Electrical Conduit Utility-Undrgrnd. 54. Forms A. Elsctrical Conduit,Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcgment 56. Rough Plumbing & Pressure Test �. ' 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE _ �+ 7.�ootings � 58. Electricai Conduit�Undrgmd. � �8. Foundation � 59. Gas Pipe, O Undryrnd., Tes� • 9. .Water Plpe-Undrgrnd. 60. Backwash Linos. P�Trap, G Undrgrnd. 10. Structural Floor System 67. APPROVAL TO DECK 7 i. ProPerty Sewer Line & House Connection 62. Backwash & Receptor�Finai 72. Sewer Cap 63. Heater & Vent�Pinal 73. Roof Drains � 64. Plumb�ng System - Final 14. Rough Plumbing 65. Electrica6Final 15. Rough Electrical-Conduit 66. Solar SYstem-Final 76. Rough Elettrlc Wlring 67. Fencing & Access ApProval 17. Rough Wiring Siyn 68. APPROVED FOR PLASTEfiING 18. Rough Electrical-7 Bar Celling 69. POOUSPA SYSTEhAS FINAL 19. Rough Heating & Ais Conditioning FfRE DEPi. REQUIREMENT � r 20. Rough Factory Firepiace � � ' �i1PPROVALS .' Permit #- � i �� -�r . .. 21. Dueis, in StructUje � .. .� � �Y � � :�70. Underg`eoufic� Hy�lro ' � 22. Oucts, Ve�tilating . -'+7}, product_Pjping �Gas �70it 23. Gas�Pipe�Rough & Ter. .. . 72. Underground Fluah �� 24. Roof Framing -._ . � • :.73!'Undergrnd.StorageTank'OGas ❑011 25. Rooi Sheathing �• /� `�Lt� �� ,- 74F Overhead Hydro� J - � 26. T�9ar Ceiling (Structuraq & tvlonocoat n- 75.'Dry Chemical ' • ' r: 27. -frame and Plash'incj � " � ° 76. �Dry Stan .' i ,e ,�'�„ `' ��' �P P .78. Lathing & Siding.i � � � . � 77,. FIXED SYSTEM FINAL ,: 29. Insulati0p ` " � � � � 78. FIRE PREV. FINA�L � • �. , 30. Drytvall Nailing .� � � HEALTH�DEPT. REQUIREI4IENT 37. Plaster Brown Coa: � � ' J9. FWAL INSPECTION ,� ' . 32.�Electrical Power Meter-Final j -F!� � rBO:.;F00D CERTIFICATE ISSUED 33. �inal Eleciri4 � � �� No{es: _ 34. Final H�*ating�& Air Cond(tioning , . . � . . • ' � 35: •Final Gad PipC-Test' � . ' ' � �- " ' ' i i. t � �� 36. Hood or CanopY • , ' i • . � � 37. Final FAe'tory Fireplace _ ' ' , ' - �� r. 38. Final Plum6ing .• • • �� , _' � • , . J 39. Water Senvice•Finaf• � ,* � ' � • j � - 40. GasService�Fjna1=' .. �, � . . : r .q}. ��ar pometticFinaf ' , - - ' � n• _1 42. BaCkflow Preventer � ' �� • � ti ; 43. Backflow Irrigation - ; � � '; 4A. Landscav,e {rrigauon System,, '. �. . - . �� -� . � - - 45. Sound Attenuatibrr � • ' ' ' � " ' � �i � �46. Handicap,fleg'ulations , � � � ' � . -� . 47. �FINAL STRUCTURE & BUfLDING �_/�,�qs �'L � •'�=�•� � � 48.�FINALPLANNING ' � ,' : � - .. 49. Electric Release to Edizon ' • � � ,. 50. Gas Release to Southern Califor.niaGasCo ., _. .�'�' • � 51. CERTIFICATEOFOCCUPANCY ' _ � , - �� No. Date � � Applicant to fill in all spates except tnose wit�in heavY �o�tler lines an0 slgn all appropriate tleclarationz. CiTY oF cbS7AI/VJ��S CONST UCTION P RMIT r`" ''"" '""`'' '"" ""' '��" "'"" '"" Prqect Address _i'� �� Applicant'S Mailin Address, � b TYPE OF CONSTRUCTION NEW AD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Owner's Name hon DESCRIPTION OF WORK/USE OF BLDG. Address �%Z ' � ' Arch/Eng. License No. TVPE OF PERMIT GRADING FOUNDATION STRUGTURAL Addre55 ❑ TENANT ❑ ELECTRICA�LVMBING O MECHANICAL J ❑ OTHER Contractor's Nam _ � �-S"� � ��me$G11�:1_1L$� � PROJECT DESCRIPTION SQ. FT. OCCUPANCv Addres5lmailing) I7 CONSTRUGTION TVPE VALUATION $ Ciry LiCen�a Nn �I �z� ZONE GRAOING CU. VDS. ACHES LICENSED CONTRACTOR DECLARATION I �ereby af(irm tnai 1 am Iicensetl untler provisions of Cha�ter 9(commencln9 Rema�ks: with section 7000) o( Division 3 of the Buslness antl Protessions Cotle, antl my license is in full jprca a�ttecf. �f �a�� Date_ Si9nature WORKE 5' COMPENSATION DECLARATION 1 hereby alflrm j�]2j�1 I�ve a<¢r[ifiwte of consenl to Self-in5ur¢ or a Certlflcate ot Work¢rs' G6��rjf�kion Insurance, or a certllied copy thereot (Sectlon licy rlifietl Opy �5 hercby fumishetl +"�i�vii� �� C �''I �tl p filetl with the . D' . � �at : ��— APPlica t E%EMP ION 0.0M WORKERS' COMPENSATION DECLARATION (This section neetl not be completetl if th¢ permlt I5 tor one huntlretl ($300) or less). 1 certify [hat in [he perlo�mance ot Ihe work fo� which this perm�t is issuetl, I shall not employ any po�5on in dny manner so as to become subject to the Workerz' Compensation Laws of California. Date 99�ature NOTICE: If, a/ter makln9 this tleclaratlon, you shoultl become subject to the Workers' Compensalion provisions of Ih¢ Labo� Cotle, you must torthwith comply witn suc� provi5ion5 Or lM1is Oe�mit sM1all be tleemetl revokea. CONSTRUCTION LENDING AGENCV • I hereby affirm that there Is a construction lentling agency tor Ihe periormance of the work for which thi5 permit is isSuetl (Sectlon 309.7 Civ. C.) Lentler's Name Lentler's Atltlress OWNER BUILDEH UECLARATION I hereby affl�m that I am exempt from the Con[ractor's Llcense Law for [he following reason (Section 7031.5 Business antl Professlonal Cotle: Any city or <ounty which �equires a permit to conStruCt, alter, Improve, tlemollsh o� repair any structure, p�io� to Its issuance, also requires lhe applicanl tor,such permit to file a signetl statement that he/she is licrnsetl pursuant to the.provisions of the Con[ractor's �icense Law (ChaD�er 9(wmmencing with SeCtlon.7000) ot Division 3 of the Business antl Professions Cotle) or tha[ he/5he is exempt tM1erefrom antl tM1e ba5i5 tor the allegetl ezemp[lon. Any viol�[ion of SectiOn �03L5 by any appliCant fo� a permi[ subjac[s Ihe applicant ta a civil �alty of not more than five huntlretl tlollars (5500). I, as owner of the oroperty or my employees with wa9es as their sole .�npensation, will Eo the work, and the structure is not intentletl or offeretl for sale (Section ]044, Business antl Protessional Cotle: The Contractor's License Law tloes nol apply to an owner o( a property who bulltls or improves lhereon, antf who Eocs :ucM1 work himself/bersclf or ihrough his ar her own employees, provltletl that such imOrov¢ments are nOt Intentletl or offeretl to� sale. If, �owever, (he Cullding or improvemant I5 soltl wilhin One year ot com- pletion, lho owner will have the bu�tlen Of p�oving h¢/She tlltl not builtl a� Im- p�ove fo� the Ou�pose o( sale). ❑ I, as owner of the properiy, am ezclusively contractin9 with Iicensetl con- [ractor5 to construcl the O�oject (Seclion ]044, Busine55 antl PrOfessions Code: The Contractor's License Law does not aOPty t0 an owner ot proPetry who builtls or improves thereon, antl who contracts to� suth proj¢cts with a con- tractor(s iicente pursuant to tne Contracior's �icense Law). I am aware that proof o� their Worker's Compensatlon Insuranco shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. tor Ihis �eason Date Owner I have reaa this application antl state that the above i agree to compty with all city antl county ortlinances to builtling wn�ru<tion, antl hereby aulhorize repre- ; lo ente{ uD9N �he above�mentlonetl orooerty for Signature / ////d �r- —tT_'�'v— Driverz' License or 55 � Sink Preventer Irrigation Dishwasher Drinking Foun[ains Floor Orains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Orains Reinspection Fee � $15 Boiler Duct - Under Ground Duct - Sttuctural Duct - Ventilating Exhaust System ❑ Multiple FirepVFacL Blt. ICBO # Heating System & Ducting ❑6100,000 BTU �100,000 Reinspection Fee � $15 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Laundry Trays Issue Fee Hood or Typcl ❑ Canopy Typell ❑ ReFrigeration System ❑o-ioo,oaoeTu ❑ioo,000eru System Repair/Alreration Fire Damperz Regizters Issue Fee $ 3 $ 3 A.P. # S Main Building: E T Front ARear C Right g Left Ping. Ref. # Planning Notes:R� Zone Build /ProviAecl ELECTRICAL Automatic Washer Trans(ormer ❑ 15-50 KW Construction Pale Sub. � 50 + KW Cooking Unit Dishwasher Dryers ❑Gas ❑Elecvic Fan F.A.U. Fixtures Device Bozes Outlets Switches Garbage Disposal Generator �0-5 KW �5-15 KW Meter Llup to 100 amps Meter ❑over100amps Sub Panel Motors �0-1 HP O1 %� 6 Inc.Solar �9�15 HP �76-15+ Microwave Pole Light Range Sign Standing Sections Trash Compactor I Reinspection Fee I$15 I I Issue Fee DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By 6uilding Approved By _ FEES $ 3 Z O N I N G R E Q M T S SUMMARV OF FEES eUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ � ISSUANCE $ PLAN CHECK 25% b ENERGY P.C. S ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL S TOTALFEE $ �� PLAN CHECK 25% $ CMF OB65-46, r¢v. 30/84 White - Builtling: Canary - APOlicanh, Pink - ACCounting; Goltlenrotl - Assesso� "1 ull1J�J i I.1�LUUJJ%lI ti 11.Q � � 4ATE: Obl19/89 TII�E� 1�:01 CONSTRUCTION ANDPLANNING POOI&SPA APPROVALS Permit�# Date Inspector p�ppROVALS Permit# Date Inspector 1. Temporary Electrical•Seivice or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • n-. 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 67. APPROVAL TO DECK �-� i i. Property Sewer Line & House Connection 62. Backwash & Receptor-Final < 72. Sewer Cap 63. Heater & Vent-Final �„� w� 13. Roof Drains 64. Plumbing System - Final � 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final i6. Rough Electric Wiring 67. Fencing & Access Approval _ 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Elearical-T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush , 24. Roof Frarning 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. Dr,y Standpipe • ` 28. La[hing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT r 31. Plaster Brown Coat 79. FINAL INSPECTION ' ! 32. Electrical Power MeterFinal 80. FOOD CERTIFICATE ISSUED � �;� 33. Final Electric Notes: ' ' 34. Final Heating & Air Conditioning , 35. Final Gas Pipe-Test � �- 36. Hood or Canopy � • , � . t 37. Final Factory Fireplace . , . - 38. Final Plumbing � �!� (,� ' �� - � " � � �. , 39. Water Service-Final� ' . ' . � . 40. Gas Service-Final ' L . ' ' 41 . Solar pomesticFinal � �. � � . ' , ' 42. Backflow Preventer �� ' ' - . � l ��43..8ackflow Irrigation ', :- • �� ' � �� , 44. �Landscape Irrigation SYstem � � % , _ � � � . �,45. Sound Attenuation � • , , 46. fiandicap Regulations 4�.� PINAL STRUCTURE & BUILDING ' ' _ _ . 48.� Special Requirements Completed ' , 49. Eleciric Release to Edison ° ' i, � 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANC` t No. Date , � FIRE 1�- VALUE SUBCONTI2�+.CTOA NO. . � a�� COSTA MESA BUILDINGSAFEiY DEPARTMENT P• O. BOI 91] C09TA MHHA, CAL/FORN/A For Appllcanf �o Fill In Completely TYPE OR PRINT aooaess° 2402 Minutemen Way COSTA MESA, CALIFORNIA OWNER San Vista Building Co. aooneas 1166' E. SSth Street ��.�. Los Angeles 11, Calif.No�AD 3718 OR EN'GI ER Raymond LevanBs Np OR 3701 „� =8 3432 Via Oporto, Newport Beach fl CITY Los eles 11 Calif. uc No. 192782 No• AD 37187 size ZO x 70 no.ora�oae. Q OF LOT I Now ON tAT USE OF EXISTIN6 BLDO. OI12 6ETBACK IINg RHOM 13' DESCRIPTION OF WORK FEE RECEIVED �� FINANCE DEPT. APPLICA71bt7 FFOK FERMIi� BUILDING fOr OfficB U4e Only RlC61q NO. PCRMIT NO. r o�re nc�eiveo o�re e� ZONING ) �- U66 0I N 9U1 �IN : S16 - O �9 - ? - - L, � RHANG BHALL BE LE38 THAN YARDSAPPROVEO MAIN BUILDING nNO. OP �� '� F VM. # � X 3.�ROOMS .� STORIHS Z C. U. P. wwu. Stucool c°ov°eRino Shingle ar � ILDII/G AND WORK TO BE PfiRFORMHD V I NEREBY �� y�gOOB TMAT I X�V6 RUO TNIB APPLICATION TM! AMOUNT BXG wN� 9TwTe �{HA TH8 weOVB 18 COHHlCT ANO AOq¢! TO COM� PUHPO88 Op 8B'. PLY WITH A{, C� y OHOINANC88 AND 9TAT8 LAWB RQOULATINO �//�LIJATION BUILOINO Cb TH RION. 6/GNAiUREOF /� (�� PERMITfE y $ J `� YARDSAPPROVED AGC6950RV BUILDING � �r. �' Z BET. MAIN @ W ACGE69. BLOOB. � DATE w �i / � � � APPROVED ` = DATE // 'S^ � � , Q U ao L,, ~ ° 0 i VALU/�TION 18 FOP TXE � (Y i � PEPMIT FHE ONLY. O O � mirFee �� ; � � _— m .] � 0 �� _ o =