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PROJECT ADDRESS: UNIT:
OWNER'S NAME: ''.R16Tc33 MONROVIA AV- ,± •. .%f CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 050025
ADORESS � -0 REALTY • •
201 PAULARINO,C,M. PERMIT NO: E050029 . PLAN CHECK. NO: N GOVT: N SUPP: N
• CONSTRUCTION TYPE: ' PERMIT TYPE: ELE PURPOSE: OTH
751-4420 .
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : , REPLACE METER DUE TO FIRE DAMAGE SQ FT: -
ADDRESS: UNIT: _
TTEE: •
CLAIM VALUE: CALL—VALUE: •
GROUP OCC: B-2 /
PERMI
ADDRESS:TTEEDC SYSTEMS C714 ) 539-4387
11362 ROBERT COMMENTS: X
G.G. •CA 92640 ******** **x******xxx•x ********x�F�H***�E**�E�F**�F*�6�k*�F*�E�E*�E****kF*�E******�E*�E �Ex>E*****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(c• •encing with Section i ' Z O N I N G R E Q U ' I R E M E N T S . . '
7000)of Division 3 of the Business and Professions Code.and my lice o is in full force and effect. SETBACKS•
•
CITY LIC.: 0 86/. STATE LIC.:422834 GLAssr ._
Date: // 1 gV ( Signature:_ . ---—— - MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: thereby affirm that I have a certificate of conse •self-insure or a certificate of Workers/ FRNT: FT : IN REAR; FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT CN .RGHT: FT IN , LEFT: FT IN RGHT• FT IN
POLICY NO.: EXP. DATE:
. COMPANY: • PARKING REQ.: PROV: PARCEL: 00000000 ZNE: REF NO:
Certified copy is hereby furnished. D Certified copy is filed with the city Building Division. PLANNING NOES>
>. -
Dale. Applicant: ***************x**nkk**********************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit' for r e hundred($1 W)or less). DEVELOPMENT SERVICES R E Q U I R' E M E N T S •
I certify that in the edormanc�Q of the work for which this permit is is•• i,I shall not employ an 'm- manner so as to become
sublecl��he V rkers'Co ens/action Law f California. ZONING APPROVED BY •
DATE; •
Date: I/w \\Signature:
NOTICE:If,after making this declaration,you should become sublect to the Work-)ompensation provisions of the Labor BUILDING APPROVED 'BY : DATE:
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. / /
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED 11 Y ; 7 DATE• \\ ( 1--1 ! S' U
which this is issued(Section 3097,Civ-C), *********************x*xxr******************* **************************iiigilFl� aF*1F**
LENDER: *******x*****FP**FxxxxYx***************fE*i***************************************
ADDRESS: • LEGALIZATION:N F E E S U M 'M A R Y STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: .Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT ' . 1 8 50
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 5 D SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business •
' and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE . 15.._00
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING PERM CT ISSUE PLA —CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code. The Contractors'State License Law .TOTALS----> 18 , 50 15 . 00 0 • 00 33 . 50 3 3. 50 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through,
his or her own employees, provided that such improvements are not intended or offered for sale. If.however the building or r ,
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TO'T'ALS--> COLLECTED• 33 , 50 OVER/SHORT: 00
for the purpose of sale), BLDG PMT PI•UMI( ING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 33 . 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ******xx***************•xx*X******************************.Ex****************4***
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN '
.1 am exempt under Section: B.&P C.
ohms reason: TYPE QTY D ,E SCRIPTIO N . UNIT COST TOTAL COST
Date: Owner: ELE . 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18 . 50 18
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES 5 D
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from i
these provisions.
Date: Applicant: • i
I I hereby certify that I have read this applicar n and slate that the above information is correct.I agree to comply with all city and county •
ordinances and state laws relating to building onstruclion and her thorize representatives of this cit •• ler upon the above-mentioned • 8i 00074771-00074771 T�i� ;j,!j!�
for ins ecti p /
property p our os (/ DATE: 11/21/90 II41E: 11:1.7 (r///'I///
Date: / a'LY70 Signature i '
Driver's License or Social Security a:
1641-46 White—Building,Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor —_-
.
1
'
I (RUCTION AND:PLANNING - PO(. . SPA
' '(VACS Permit# Date - Inspector APPROVALS Permit # Date Inspector '
f t .
:Sonny Electrical Service or Pole 52. Pool & Equipment Location
r
III Pipe-Undrgrnd. •r • • 53. Steel Reinforcement ' .
`-"-�/ rectrical Conduit Utility-Undrgrnd. 54. Forms
• 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding
6' Steel Reinforcement 56. Rough Plumbing & Pressure Test
•+.6. Electrical LIFER Grnd. +- 57. APPROVAL TO COVER-GUNITE
7I. . Footings 58. Electrical Conduit-Undrgrnd. •
8. Foundation , 59. Gas Pipe, 0 Undrgrnd.,Test •
, 9. Water Pipe-Undrgrnd. _ 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line-I& House Connection 62. Backwash & Receptor-Final
12. Sewer Cap - 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing • 65. Electrical-Final •
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING •
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT
- - - -
20. Rough Factory FiFeplace •' _ - - r APPROVALS' " -Permit# '
J P . _.i+- ._ . .. . .
J 7�1.•Duct , in_Structur'e > _ . . 70. Undergrourid.Hydro
. Ducts, Ventilating _ rt.! • '+ - 71, Product Piping O`Gas 0 Oil
. Gas`Pipe-Rough &•Test ,_ A y :72. Underground Flush-
24. Roof Framing • i - F '73.. Undergrnd:Storage-Tank O Gas 0 Oil'
25. Roof.Sheathing - , - .. 7q,-0verhead Hydro •
26.-T-Bar Ceiling (Structural) & Monocoat v _ • 751-Dry Chemical
27.'Frame and Flashing. -tr. • v 76. Dry Standpipe •`
LL. _ •
28. Lathing`& Siding , 1'' ,i; . <.: - • - 77.- FIXED SYSTEM-FINAL-
In
29. Insulation : I ' I is a 78. .1FIRE PREV. FINAL ;
30. Drywall Nailing • ). '- HEALTH DEPT. REQUIREMENT
..31. Plaster Brown Coat . . t..l,. 1 ) (• J t 79.' FINAL INSPECTION , ' '' '
32. Electrical-Power Meter-Final : ` �) / % • )i - .80. FOOD CERTIFICATE ISSUED ,
ar , q
,33.•:Final,Electric' A •.,, I 1 I I' ; 'Notes: -' .
:34. Final Heating & Air,Conditioning.. . I.
-
35.;Final Gas Pipe=Test " ' • j I , +`- - C., ; •' •
u - '-
r-� tir
36. Hood or Canopy . ,_ ' , . I- .I: , Cr;s • ; +'r IL,
37.'.Final•Factory Fireplace. ' • "• " ; I" j I ; a
• i•
38. Final Plumbing ni I i I. rr
39. Water Service-Final ' I " -
40. Gas Service-Final '' .,I • ` ' y ( - ,-
41. Solar Domestic-Final ` 1 I -! ' i I- - i-•
'42. Backflow Preventers •• 1 j. .' •
43. Backflow Irrigation; : I , ' ' _ -
,44. Landscape Irrigation System,i,,q, . „ . ht 11 1-'. to - -
45. Sound Attenuation= ; 'tr([ , ir: _- t• • I ' e .t Cr I . ,
46.'Handicap'Regulations i I r ; it: .r ' + ,
47. FINAL STRUCTURE& BUIL'DING ' • ) -v "./ '• a-
' t
48. FINAL PLANNING& i • •, s I •_-)
-49. Electric Release to Edison ! 1 - • II t' 2. t
• ,n
50. Gas,Release to Southern California,GasCo 1 I I. ; I, • ; - . '• ;I r ;-,
51. CERTIFICATE OF OCCUPANCY : , , • ;:-., ;,;•-- , , •
No. Date
•
PROJECT ADDRESS: 1631 MONROVIA AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05727;
OWNER'S NAME: TRICO RENTS -
• ADDREss: 201 PAULARINO AV PERMIT NO: E 057277 PLAN CHECK NO; N GOVT: N SUPP: N
CM CA 92627
CONSTRUCTION TYPE: PERMIT TYPE: ELEPURPOSE: ALT
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : TRANSFORMER 6 SUB PANEL SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE; GROUP OCC; B-2 /
PERMITTEE D..C, SYSTEMS ( 714 ) 539-4387
ADDRESS: GROVE CA 92640 TRANSFORMER & SUB PANEL
GARDENCOMMENTS: TRANSFORMER***S*B*PANE***x-iE dfxxif x-x df�c lE i'ciE if iF lEii-1F/E iE K-x1E xiE xlekxiFxx ?E lE 9Ex 3f 1F x'xxiE 9f
1136« ROBERT LN COMMENT'S:
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(nom, i ing with Section 1 ONING R EQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my liven • in full force and effect.
SETBACKS
c : 051865 STATE LIC.:42 � 5: C] .
Date: S-- 7 • 5-.2- Signature:_ � MAIN BUILDING
ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent t.self' sure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof)Section 31300, Lab.C) LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 7 5 2 5 4 2—91 EXP.DATE: .1 0/0 1 /92
COMPANY: STATE FUND PARKING REQ• PROV; PARCEL: 00000000 ZNE; REF NO:
7 Certified copy isherebyherebyfurnished. Certified copy is filled wO' city Building Divi - PLANNING NOTES>
Date: S'- / - / � Applicant: vl ;FOIE****** FIE-lex****aE#IE3E3E#iE3E3E1E1f3fiEjE#TE1E•-x'.iEiE1E3EiE1E1E7EiFiEiF#iF7E'.h3EiE****iEY.iEiE*iE##-iE1EiE3EaE-7E9E3E3f-iFlE3E***
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (this section need not be comp a permit is for one hundred(MOO)or less). DEVELOPMENT ICES REQUIREMENTS
I certify that in the performance of the work for which this permit is issued,I shall note person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE;
•
Date: Signature:
NOTICE:It,alter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : , ••.. DATE; _
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. ��
CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY L___��----�— ' DATE; CCO7�?Z,
which this permit is issued(Section 3097.Civ.C). **S****************** • • •a.�,�=.��:�...1 ""5'` -- .!.- .*********'*************
LENDER: ****)E***********ir'****iE*3i*********4***>F3E****fF*************lE******±F*****x*1i3F**3F**
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
•
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELF 'TRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 2200
,
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 50% SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business •
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 1500 00
I. as owner of the property,or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DI V—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTAL S----> 22 . 00 15 , 00 0 . 00 37• 00 37. 00 , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or improvement
rlBLDG PMTPLUMBING ELECTRICMECHANIC FIRE SMIP
withinoneyearoftompletion,theownerwillhavetheburdenolprovinghe/she did riot build or improve REVENUEDIVISION _ COLLECTED:
O O
•, forthepupose0fsaGRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 3'7 , 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law),l am aware **********************IE******************************************SR************
that proof of their Worker's Compensation insurance should be provided to me. IND T. V IDUAL FEE BREAKDOWN
❑ 1 am exempt under Section: B.8 P.C.
for this reason TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: owner: ELE 1 SUB—PANEL 11 . 00 11 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Salety Code Sections 25505,25533,and ELE 1. M I SC APPARATUS NOT LISTED REQ PERMIT 11 . 00 11 , 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from END OF FEE
these provisions.
Dale: Applicant:
I hereby certify that I have read this application and state that the above informatiOn is correct.I agree to comply wit .11 city and county
ordinances and state lams relating to building construction and hereby author; • 'resentatives of this city to enter tit r• e above-mentioned
property for inspection
npurposes.
Date: S ' / / Signature: _ Allir
Driver's License or social security a:
�% C1 DD1I457D DO.t145?0 r'� ? 57
DATE: DSf0719; Tia.• io:`1 0"i
164146 White—Buildino:Green—Code Enforcement:Canary—Aoolicanl;Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING • POl SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms - -
4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding
5. Steel Reinforcement 56. Rough-Plumbing & Pressure Test
6. Electrical UF ER 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, 0 Undrgrnd.
10. Structural Floor System' - 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection _ 62. Backwash & Receptor-Final
12. Sewer Cap - 63. Heater & Vent-Final
13. Roof Drains -'- 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval •
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 PREY. FINAL
30. Drywall Nailing I HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final • 80. FOOD CERTIFICATE ISSUED
33. Final Electric S !1 cf� .Ie�^ Notes:
34. Final Heating & Air Conditioning
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
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation 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