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Home My WebLink About1872 MONROVIA AVE - Building Permits (2)Applicant to fill in all spaces within heavy border lines and. sign all appropriate declarations. 2254 eroaie1 2a no CITY OF COSTA MESA PERMIT NO.� TRACT NO. LOT NO. BLDG: NO." _ %CONSTRUCTION PERMIT ' Z/7 TYPE OF CONSTRUCTION ya,>yEW ❑ ADD 11ALTERATION /❑REPAIR-❑CONVERSION 13 DEMOLISH 1:1 OTHER !•- - - ' - ZONING REGULATIONS Project Address /a ' 'Owner Phone Address - eS - License No. i"Arch/Eng. DESCRIPTION OF WORK A.P. =P 'ZONE PILING. REF. 11' ' Address - - Contractor r B Phone TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION' ❑ STRUCTURAL ❑ TENANT JWLELECTRICAL ❑PLUMBING ❑MECHANICA B SETBAC SI YARD WIGHT - TTpp BItL1I LDING PROPERTY LINE •� - ' r Address - t LICENSED CONTRACTOR DECLARATION 1 hereby Charter 9 affirm that I am licensed under provisions of (com- mencing with 7000) Division 3 of the Business and - ❑ OTHER - RIGHT section of Professions Cotle nd y license is in full force and If I. REAR YARD (TO P/L) PROJECT DESCRIPTION .. License Cie s License N2� PKG. SPACE REO. PROVIDED SO: FT. - - Date IL Signature - STREET WIDTH - q PARK -FEE $ RKERS'COMPENSATION DECLARATION '-- -- OCCUPANCY ----::-CONSTRUCTION TYPE DATE eby affirm that 1 have a certificate of consent to self -Insure or a • - VALUATION' ZONE ZONING APPROVED BY icate of Workers' Compensation Insurance, or a certified cf py eof (Sec 0g Lab C2. �'' / ��+�T�a"�siro GRADING CU: YDS. ACRES SPECIAL CONDITIONS: �� POIICY No. mpanY ��/� � - .. ❑ Certified copy Is hereby furnished.- - - REMARKS:- - ❑ Certified copy Is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit isfor one hundred ($1001 or lessl. ' I cert fy that In the performance of. the work for which this permit Is issued, I shall not employ any person In any manner so as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers Compensation laws of California. BATHTUBS SHOWERS UARAU_ / Date Signature NOTICE: If after making this declaration, you should become subject TOILETS URINALS - 'GENERATOR 0.1 KW_1.10 KW to the Workers' Compensation provisions of the Labor Code, you must - TRANSFORMER - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS iAPPLIANCE 10-50 KW_50+KW revoked. -' - - _ KIT. SINKS DISHWASHERS MOTORS 0-1 HP -1--10 HP CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the per- SERVICE SINKS 'SUMPS - - (INC. SOLAR) 10-50 HP -50.. HP - formance of the work for which this permit is issued (Section 3097 FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES Civ. C.I. - Lender's Name _ Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS ' INTERCEPTORS CLARIFIERS POLE LIGHTS " OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from.the Contractor's License Law for SWIMMING POOL P TRAP -pO LES METERED SUB - the following 'reason (Section 7031.5 Bus lnes5 and Professions Code: Any, city or county which requires a permit to construct, alter, WATER SERV ICE ALTERATION r- PANELS PANELS MAIN` SUB improve, demolish or repair any structure, prior to its issuance, also re. -es the applicant for such permit to file a signed statement that he SERVICE OUTLETS - 'SERVICE - -AMP pursuant to the provisions of the Contractor's License'LawGAS pier 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU OUTPUT - - _ iness and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS - - - - any applicant for a permit subjects theapplicantto a civil penalty of not more than five hundred dollars ($500). SOLAR TANK COLLECTORS ❑ I, as owner of the property, or my employees with wages as their sole compensation, wlll,do the work, and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS.ISSUE FEE - Contractor's License Law does not apply to an owner. of a property - ISSUE FEE APPLICATION APPROVED BY DATE who builds or Improves thereon, and who does such work himself or through his own employees, provided that such improvements are not MECHANICAL PLAN CHECK SUMMARY OF FEES intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner will have the burden , of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0.100,000 BTU BUILDING0 PERMIT $ _ ' $ 1, as owner of the exclusively contracting with AND DUCTING - .SMIP - ' n construct t p licensed contractors to construct the project (Section Business 100,000 +BTU PLAN CHECK $ 'PERMIT es not and Professions Cotle: The Contractor's License Law does not apply to - - ISSUANCE $ - owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100;000 BTU PLUMBING $ - } tracts tracts from such projects with a cont ractor(s) Ilcesnetl pursuant to SYSTEM - - - - GRADING It the Contractor's License Law). 100,000 +BTU PLAN CHECK $ , I am exempt under Section B. &-P. C. for this$ ELECTRICAL $ - 'Cl - - BOILERS BTU �- s SYSTEM REPAIR, ALTERATION _ PLAN CHECK $ ,MECHANICAL $ _ MICROFILM - TOTAL FEE$ D ate Date' •- Owner I hereby certify.that.l have read this application and state that the above EXHAUST SYSTEM MULTIPLE "' LESS AD - information is correct. 1 agree to comply with all city and county - PLAN CHECK $ VANCE PC $ ordinances and state laws relating to construction, and hereby authorize representatives of this city to enter upon the above mentioned property for I W n pur s. FINAL Signature Date ISSUE FEE - '-- FEE $ - - -- - - Drivers' License or SS CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor I t TL CONSTRUCTION AND PLANNING APPROVALS Permit # � Date Inspector POOL & SPA - Date Inspector APPROVALS � Permit #. 1. Temporary Electrical Service or Pole 43. Pool & EquiprrWrt.Locationn - - - 2. SoilPipe-Undrgrn - 44. Steel Reinforcement - • - - 3. Electrical Conduit Utility-Undrgrn 45. Forms 4.. Electrical Conduit-Undrgrn• 46. Electrical Bonding 5. bteel Heintorce' -- 47. Rough Plumbing & Pressuie Te'st 6: 6: Electrical _R Grn 48.' APPROVALTO COVER-GUNITE - 7. Footings - 49. Electrical Conduit-Undr rn B. Foundation- 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn _ - 51. Backwash Lines P-Tra " Ej Undrjarn - 10. Structural Floor System 52. APPROVAL TO DECK' 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing _ Final 14. Rough Electric -Conduit 56. Electrical -Final 15. Rough Electric -Wiring _zS - 57. Solar System -Final " 16.- Rough Heating & Air ConditioningFencing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING `18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. \Gas Pipe -Rough & Test - 20. Roof Framing 21. Roof Sheathing NOTES: 22. Frame and Flashing 23. Insulation 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter -Final ' 28: '-Final Electric -p 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test _ 31. Final Plumbing 32. Water Service -Final 33. Gas Service -Final 34. Solar Domestic -Final ' 35. Landsca e Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. ' 42. CERTIFICATE OF OCCUPANCY No Date _ (rr Applicant to fill in all spaces within heavy border lines and.sign all appropriate declarations. I, OF COSTA MESA P RMIT NO. - TRACT NO. LOT NO. SLOG. NO. -' - 57.i ii i_i'JI b+ - L4L• CONSTRUCTION PERMIT log -1 TYPE OF CONSTRUCTION NEW ❑ ADD ❑ ALTERATION JXNEW ❑ REPAIR -❑ CONVERSION ❑DEMOLISH ❑ OTHER. - ZONING REGULATIONS Protect Owner - �� ! Phon --6)93 Address 'Arch/Eng. - License No. OF WORK - - A P =PDESCRIPTION _ - _ Address - "' ZONE PLNG. REF. 'P Contractor �„ ' (eest S Phone 607$ TYPE OF PERMIT ❑GRADING . ❑ FOUNDATION' ❑STRUCTURAL 0 TENANT ❑ ELECTRICAL ❑PLUMBING �&ECHANICA SETBACK 7. DE YARD V �R(P WING - ERTY LI NE •' Address- - - C_,4W .. LICENSED CONTRACTOR DECLARATION - I hereby affirm that I am licensed under provisions of Charter 9 (com- SIEpFE mencing with section 7000) of Division 3 of tM1e Business and -❑ OTHER .RIGHT _ Professions Code, and my license is in full force and effect. REAR YARD (TO P/L) PROJECT DESCRIPTION License Class cense No PKG. SPACE REQ. PROVIDED Date g`� 3'��_ Signatu SQ. FT. _ WORKERS' COMPENSATION DECLARATION OCCUPANCV_CONSTRUCTION TYPE STREET WIDTH PARK FEE $ - I hereby affirm that 1 have a certificate of consent to self -Insure or a VALUATION ZONE ZONING APPROVED BY DATE certificate of Workers' Compensation Insurance, or a certified copy - 'hereof Section 3800, Lab. C.). ( GRADING CV. YDS. ACRES 'SPECIAL CONDITIONS:- !icy N..5'632 YS'-b'O Company 3TifTit �U+y/`d - - - - -- - _ �mo�.ertified copy is hereby furnished. - _ _ g REMARKS: —&., _ �d'Certified copy Is filed with the city Building Division. , EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed. if the permit is for one hundred S$100) or less). r certify that In the performance of the work far which this per is Issued, I shall not employ any person in any manner so as to become PLUMBING' PLAN CHECK -" - " ELECTRICAL PLAN CHECK . subject to the Workers. Compensation Laws of California.' .- - BATHTUBS SHOWERS LLINU- UWIUAHAUL - Date Signature NOTICE: If after making this declaration. you should become subject TOILETS - URINALS - -GENERATOR 0-1 KW_ 1-101 KW to the Workers' Compensation provisions of the Labor Code, you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW_50+KW - revoked.'. , KIT. SINKS DISHWASHERS - MOTORS 0-1 HP -1-10 HP CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS- SUMPS (INC. SOLAR) 10-50 HP 50 + HP formance of the work for which this permit is Issued (Section 3097 FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES - CIv._ - Civ. C.)- Lender's Name _ Lender's Address DRINKING FOUNTAINS - GAS TUBE SIGNS - OWNERBUILDERDECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS " I hereby affirm that I am exempt from the Contractor's License Law for - 'SWIMMINGPOOL - PTRAP --' POLES - METERED SUB the following reason (Section 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also -re- WATER SERVICE ALTERATION PANELS MAIN- SUB quires the applicant for such permit to file a signed statement that he GAS SERVICE OUTLETS 'SERVICE - - - AMP Is licensed pursuant to the provisions -of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS - BTU OUTPUT Wil:" - -- -'" - - " „-siness and Professions Code) or that he is exempt therefrom and the 's for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS '- - '- - •' applicant for a permit subjects the applicant to'a civil penalty not more than five hundred dollars ($500). SOLAR TANK - COLLECTORS ' ❑ I. as owner of the property, or my employees with wages a5 their sole compensation, will do the work, and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code: The - SOLAR PIPING SYS. ISSUE FEE - Contractor's -License Law does not apply to an owner of a property _ ISSUE FEE - APPLICATION APPROVED BY - DATE who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not MECHANICAL PLAN CHECK _ SUMMARY OF FEES Intended or offered for sale. If, however, the building or improvement Is sold within one year of completion, the owner will have the burden of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU 3ZO BUILDING PERMIT $ SMIP ❑ I, asownerof the property,-' am -exclusively contracting with AND DUCTING _g ' licensed contractors to construct the project (Section 7044, Business 100,000,+BTU PLAN CHECK Is PERMIT and Professions Code: Tho License Law does not apply to B - - - ISSUANCE g owner of property who builds or Improves thereon, and who con- builds or I REFRIGERATION 0-100,000 BTU 'PLUMBING $ tracts tracts from such projects with a tontracfor(s)-Ilcesnetl pursuant to SYSTEM- - GRADING $ the Contractor's License Law). 100,000 +BTU PLAN CHECK IS- ❑ I am exempt under Section B. & P. C. for this- BOILERS BTU ELECTRICAL $ $ reason -- - SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE PLAN CHECK $ MECHANICAL $ ' MICROFILM, $ �/TOTAL FEE �L— - LESS AD- $ IDe—Ownerreby certify that) have read this application and state that the above he Information is correct. I agree to comply with all city and county - PLAN CHECK $ VANCE PC s_ ordinances and state laws rel ating.to con uct ion, and hereby authorize representatives of this city to enc on the above mentioned property for specti n_ p ep� - Signa Date lJ�L ISSUE FEE -' - , FINAL FEE g - Drivers' License or SS W ' CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor TL 1 CONSTRUCTION AND PLANNIINyG�POOL APPROVALS Permit # 1LL}.y�/ Date Inspector & SPA APPROVALS Permit # - ` Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location ' - 2. Soil ipe-Un rgrn - 44. Steel Reinforcement - -3. Electrical Conduit Utility-Undrgrn 45. . Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding5. -- Steel ein orce _ - 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grin 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑Undr rn, Test 9. Water Pipe-Undrgrn w 51. Backwash Lines P-Trap.0' ndr rn 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash &Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing - 14. Rough Electric -Conduit '• �56. Electrical -Final 15. Rough Electric -Wiring - 57. Solar System -Final .16. Rough Heating & Air Conditioning 9 y� ,p/ encing &Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING ' 18. " Ducts, Ventilating 60. - POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test 20. Roof Framing 21. Roof Sheathing - - NOTES: " 22. Frame and Flashing 23. Insulation 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter -Final 28. Final Electric " 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test 31. Final Plumbing 32. - Water Service -Final 33. Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System -36:=Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed ' 40. Electric Release to.Edison_ - - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE DF OCCUPANCY No Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. .C]177*F COSTA MESA PE IT NO. TRACT NO. LOT'NO. BLDG. NO. - - 1 667 //26/'61- 2264014 'CONSTRUCTION PER MIT /(`J .TYPE OF CONSTRUCTION � y• ' ;I r- • ' Project Address .Owner Phone �El NEW .11ADD ❑REPAIR-❑ CO ❑OTHER El ALTERATION - Fr RSION, DEMOLISH fu-�• 1�� f -`�. - ZONING REGULATIONS Address -" - - Arch/Eng. License No. DESCRIPTION OF WORK VPE OF PERMIT. .- -- -1 GRADING -❑ FOUNDATION ❑ STRUCTURAL TENANT ❑ ELECTRICAL XPLUMBING -0MECHANICAL Q.P. 510-1 • ,.. - s ZONE PLNG. REF.jF BUILDINGTp BUILDING SETBACK C ILST PROPERTY LINE SIDS YARD ' LE ,Address - - � - :Contractor Phone' Address, LICENSED -CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (com- 7000) ":of Division 3 -Business ❑ OTHER RIGHTA mencing with section of the and Professions Cod and my license i5 in full fore f ct ..yaaa - REAR YARD (TO P/L) C / PROJECT DESCRIPTION - Livens lass Lien N Lel[ r. PKG. SPACE RED. PROVIDED Date Signature Sq: FT. - _ STREET WIDTH r• PARK FEE $ WORKERS' COMPENSATION DECLARATION U- - OCCUPANCY_ CONSTRUCTION TYPE Y -z ZONING DATE hereby affirm that have a certificate of consent to self -insure or VALUATION �\:-,a ' ZONE s �� _-• 1 �,., APPROVED BY _ certificate' of Workers' Compensation Insurance, or a certified copy - - -- - - 1r•weof (Section 3800, Lab. C.). GRADING C_U.-YDS._ ACRES ,SPECIAL CONDITIONS: _ _ _ _ y No. CCompany REMARKS:- ertified copy Is hereby furnished. - -- LJ Certified copy is filed with the city Building Division. } EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - (This section need.not be -completed if the permit is for one hundred - - - ($100) or less). certify that in the performance.of-the work for -which this permit is issued, I shall not employ any person in any manner so as to become PLUMBING', PLAN CHECK ELECTRICALS PLAN CHECK subject to the Workers' Compensation Laws of-California.UW1 BATHTUBS SHOWERSIs LLINU GARAGE 'FT, r, Date Signature NOTICE: If after making this declaration, you should become subject. i URINALS -.GENERATOR - -_ 0-1 KW_ 1-10 KW - - to the Workers' Compensation provisions of the Labor Code, you must _TOILETS, - TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW -50 + KW revoked. - - _ KI T. SINKS DISHWASHERS MOTORS -0-1 HP-1-10 HIP CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the per -SERVICE SINKS SUMPS .(INC. SOLAR) 10-50 HP_ 50 + HP - formance ofthework for which this permit is issued (Section 3097 FLOOR SINKS FLOOR DRAINS FIXTURES - OUTLETS SWITCHES ' Civ. C.): Lenders Name _ Lender's Address DRINKING FOUNTAINS - GAS TUBE SIGNS OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for INTERCEPTORS CLARIFIERS POLE LIGHTS POOL PTRAP --LHUN - the followingreason(Section 7031.5 Business"and Professions Code:SWIMMING Any city or county which requires a permit to construct, alter, POLES METERED SUB WATER SERV ICE ALTERATION - .PANELS MAIN SUB improve, demolish or repair any structure, prior to its issuance, also re- quires the applicant for such permit to file a signed statement that he GAS SERVICE OUTLETS -SERVICE - -AMP - is licensed pursuant to the provisions of the 'Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS _ BTU OUTPUT - -- - - B•'-'ness and Professions Code) or that he is exempt therefrom and the for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS -pc �_y pplicant for a permit subjects the applicant to a civil penalty I it more than _five hundreddollars ($500)_• ❑ I, as owner 0f the property, or my employees with wages as their SOLAR TANK COLLECTORS ` i sole compensation, will do the work, and the structure is not intended _ or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. _ ISSUE FEE ' Contractor's. License Law does not apply to an owner of a property _ ISSUE FEE APPLICATION APPROVED By "- DATE - who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not MECHANICAL PLAN CHECK SUMMARY OF FEES intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner will have.the burden of proving he did not build or improve for the purpose of sale). BUILDING ❑ I, as owner of the property, am exclusively contracting withHEATING SYSTEM 0-100,000 BTU - PERMIT $ SMIP $ licensed contractors to construct the project (Section 7044, Business AND DUCTING 100,000+BTU— PLAN CHECK $ PERMIT , and Professions Code: The Contractor's License Law does not apply to - ISSUANCE $ an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING Is Oa tracts'from'such-projects with a contractor(s) Iicesned pursuant to SYSTEM- -- "- - ,$ - - GRADING, 8' the Contractor's License Law). 100,000 + BTU PLAN CHECK ' ❑ I am exempt under Section B. & P. C. for this r BOILERS BTU +ELECTRICAL $ $ - reason_ SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE PLAN CHECK $ MECHANICAL $ MICROFILM $ TOTAL FEE $ ' LESS AD- Date Owner- 1 hereby certifythat 1 have read this application and state that the above is correct. agree to comply with all city and county --,CHECK PLA -,CHECK $ - VANCEPC $- ordinances and state laws relating to construction, and hereby authorize , representatives o this city to ter upon the above mentioned pro PertY f in cti Po rx /r ". .y ..• ,.., ^ Signature t Date ISSV E FEE FINAL FEE - Drivers' License or SS CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor .TI. CONSTRUCTION AND PLANNING APPROVALS Permit +12-3V Date Inspector POOL & SPA\, \ ` APPROVALS •Peimit # DaInspector Date - ` to 1. Temporary Electrical Service or Pole 43. Pool & Equipment Locafiont "` 2. Soil Pipe-Undrgrn _j/ ,. ir•; N,t MR.� jSteel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms t G\F •`L. 4. Electrical Conduit-Undrgrn 46. Electrical Bonding�- 5. Steel Reinforce 47. Rough Plumbing &'Pressure-Test )' \_', t i it iil•1\-'� 6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE•" \' •� Y J� . ' - t \' , \ 7. Footings - 49. Electrical Conduit-Undr rn 8. Foundation - 50. Gas Pipe,. ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Trap''-O. n`dr'r 10. Structural Floor System 52. APPROVALTO DECK`- "f,' 2- 11. Property Sewer Line & House Connection -,L9•b/ 53. Backwash & Receptor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing 2 r-.01 5 ' 14. Rough Electric-Conduit - - - :56. Electrical-Final . 15. Rough Electric-Wiring 57. Solar System= Finial 16. Rough Heating & Air Conditioning-. - -W. Fencing & Access Approval 17. Ducts in Structure - _ APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilatingf- Gas Pipe-Rough & Testi' Roof Framing 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing•cJ Frameand-Flashin ! _ 1 NOTES: 23, Insulation 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat _ 27. Electrical Power Meter-Final lip- 28. Final Electric 29. Final Heating & Air Conditioning `• } 30.. Final Gas Pipe-Test 31. Final Plumbing yy 32. Water Service-Final -' .33. .Gas Service-Final 34. Solar Domestic-Final -- 35. Landscape Sprinkling System 36. Sound Attenuation • ' 37. Handicap Regulations 4- 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed ' 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. -$,-, 42.CERTIFICATEOFOCCUPANCY ��.'ao • Date _ - r. A •, y CONSTRUCTION AND PLANNIALG APPROVALS Permit# -3y7 Date Inspector POUL Date Inspec APPROVALS Permit# 1. Temporary Electrical Service or Pole - 43. ,Pool & Equipment Location- -- - - 2. Soil Pipe-Undrgrn 44. Steel Reinforcement -- - 3. Electrical Conduit Utility-Undrgrn 45.. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding Steel ein oice 47. Rough Plumbing & Pressure Test ' 6. Electrical UFER Grn"48. APPROVALTO COVER-GUNITE -7. Footings _ 49. - Electrical Conduit-Undr rne, .8. -Fonndetion, _' 50. Gas Pi ❑.Undr rn, Test p - 9. Water Pipe-Undrgrn • . 51. Backwash Lines P-Trap,EJndr rn 10. Structural Floor System 52. APPROVAL TO DECK- - "- - 11. Property Sewer Line & House Connection 53. 54. Backwash & Receptor -Final - Heater & Vent -Final 12. Street Sewer Connection % 13. Rough Plumbing - - - - ` 14. Rough Electric -Conduit - --56: - Electrical -Final - 15. Rough Electric -Wiring - - 57. Solar System -Final 16. Rough Heating & Air Conditioning - - - encing & Access Approval 17. Ducts, in Structure _ 9. APPROVED FOR PLASTERING ' 18. Ducts, Ventilating. 60. POOL/SPA SYSTEMS FINAL:. _ 19. Gas Pipe -Rough & Test - _ 20. Roof Framing - 4 21. Roof Sheathing NOTES: 22. Frame and Flashing i S 23. Insulation - 24. Lathing & Siding-�! - 25. .Drywall Nailing 26. Plaster Brown Coat 27: Electrical Power. Meter -Final. 28. Final Electric - 29. Flnal'Heating &.Air Conditioning 30. Final Gas Pipe -Test _ ' 31.. Final Plumbing 32; Water Service -Final - 33. Gas Service•Final - - - . 34. Solar Domestic -Final 35. Landsca e rinklinq System 36. Sound Attenuation - 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING,S ' 39. Special Requirements Completed Leff 2(j- 2 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date - fill in all spaces within heavy border lines and,sign all a clarations. JI A—MESA- PERMIT TRACT NO. LOT NO. [ BLDG. NO. - F CMF 0865-46 White -Building; Canary-APPI icant; Pink -Accounting; Goldenrod -Assessor ,4 RUCTION PERMIT Project Address _ TYPE OF CONSTRUCTION ETNEW C ADD C ALTERATION [REPAIR ❑CONVERSION ❑DEMOLISH ❑ OTHER ' r 1 •�,' 1 , ZONING REGULATIONS 'Owner - Phone Address - - — --' Arch/Eng. License No. - DESCRIPTIONOF WORK A.P. $ ' ' - Address - - ZONE PLNG. REF. Contractor' - - Phone TYPE OF PERMIT - ❑GRADING ❑ "FOUNDATION C STRUCTURAL - ❑TENANT ❑ELECTRICAL [PLUMBING CMECHANICA B 'SETBACK T. SIDE YARD LSflpFE VA TTop ggtt/1ILLpDI NG - PRfJPE RTV LINE . Address LICENSED -CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (com- ' RIGHT mencing with section 7000) of Division 3 of- the Business and ❑ OTHER Professions Code, 'and my license Is In full force and effect. r ): REAR YARD (TO P/L) r ' DESCRIPTION y. _ License ClassPROJECT License No. - PKG. SPACE'REO. - PROVIDED Date - Signature - - SQ. ET. _ _. OCCUPANCY_CONSTROCT,ION.TVPE _. 'STREET WIDTH _ PARK FEE$ WORKERS' COMPENSATION DECLARATION - - ^ereby affirm that I have a certificate of consent to self -Insure oraVALV ATION 'ZONE ZONING APPROVED BV DATE -' ficate Of Workers' Compensation Insurance, or a certified copy V _ ,of (Section 3800, Lab. C.). GRADING CU.'YDS. ACRES SPECIAL CONDIT�" _ .,,,Icy No. Company - - - C Certified copy Is hereby furnished, - - REMARKS: C Certified copy is filed with the city Building Division. _ t EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ' (This section need not be completed if .the permit Is for one hundred $100) or lessl. - - - -- certify that In the performance of the work for which.this permlt.is Issued, I shall not employ any person in any manner so as to become PLUMBING' PLAN CHECK- ,ELECTRICAL PLAN CHECK subject to the Workers Compensation Laws of. California. .. _ _ _ BATHTUBS SHOWERSUWI,IFT, •' ' Date Signature NOTICE: If after making this declaration, you should become subject. TOILETS URINALS - - GENERATOR 0-1 KW_ 1-10 KW to the Workers' Compensation provisions of the Labor Code, you must TRANSFORMER-' forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE'LAVS' AlIIPLIANCE 10-50 KW_50+Kw' r revoked. - _ ._ _ .. . - KIT. SINKS - DISHWASHERS MOTORS 0-1 HP -1-10 HP CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the per -SERVICE SINKS SUMPS (I NC. SOLAR) 10-50 HP'50+HP formance of the work for which this permit is issued (Section 3097 t - - FLOOR SINKS FLOOR DRAINS FIXTURES 'OUTLETS SWITCHES LenCiv.C.). Lentl Name - Lender's _ '.order's Address DRINKING FOUNTAINS _ - •1 �• GAS TUBE SIGNS -- ' OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS hereby affirm that I am exempt from the Contractor's License Law for ` SWIMMING POOL P TRAP —UU - he followinq'reason (Section 7031.5 Business and Professions Cotle:- Any city or county which requires a permit to construct, alter, POLES METERED SUB WATER SERV ICEALTERATION- -- PANELS MAIN - SUB Improve, demolish -or repair any structure, prior toItsIssuance, also re-' quires the applicant for such permit to file a signed statement that he GAS SERVICE OUTLETS SERVICE - AMP - - .:'s licensed pursuant to the provisions of -the Contractor's License Law .;hapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS - BTU OUTPUT - '•' ",.:usiness and Professions Code) or that he'Is exempt therefrom and -the -oasis for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS - - any applicant for a permit -subjects the applicant to a'civil penalty of not more than five hundred dollars ($500). SOLAR TANK COLLECTORS C I, as owner of the property, or my employees with wages as'thelr sole compensation, will do the work, and the structure is not Intended or offered for sale. (Section 7044, Business and Professions Code: The _ _ SOLAR PIPING SVS. ISSUE FEE - Contractor's License Law tloes not apply to an owner of..a property ISSUE FEE APPLICATION APPROVED BY '•--DATE who builds or Improves thereon• and who does such work himself or through -his own employees, provided that such Improvements are not MECHANICAL PLAN CHECK I $UMMA RV OF FEES Intended or offered for sale. If, however, the building or improvement Is sold within one year of completion,. the owner will have the burden of proving he did not build or improve for the purpose of sale). BUILDING ' C'I, as owner of the property, am exclusively contracting with NC SYSTEM HEATING SYSTEM 0-100,000 BTU - PERMIT $ _ SMTP $ licensed contractors to construct the project (Section 7044, Business AND 100,000+BTU _ PLAN CHECK $ PERMIT• and Professions Code: The Contractor's License Law does not apply to - - - ISSUANCE. '$ an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such projects with a contractor(s) Iicesned pursuant to SYSTEM - GRADING Is the Contractor's License Law). 100,000 + BTU • PLAN CHECK $ C I am exempt under Section B. & P. C. for this- ELECTRICAL $MICROFILM $ reason - BOILERS BTU - SYSTEM REPAIR, ALTERATION .\ PLAN CHECK $ MECHANICAL $ $ TOTAL FEE $ - Date— - Owner � I hereby certifythat I have read this application and state that the above EXHAUST SYSTEM MULTIPLE _ LESSAO- Information is correct. 1 agree to comply with all city and county PLANCHECK $ VANCE PC $ and state laws relating and hereby authorize _ tte ter upon a representatives fives of this city to enter upon [he above mentioned t pro rty property for inspection purposes. Signature pate -- ISSUE FEE - FINAL FEE $ - - Drivers' License or SS # -- CMF 0865-46 White -Building; Canary-APPI icant; Pink -Accounting; Goldenrod -Assessor City of Costa Mesa Building Safety Department P,O. Box 1200 Costa Mesa, California The Building located at 1872 has been inspected and found to for a Group R-4 O Use of Bu Legal Descripti Building Permit No CERTIFICATE OF OCCUPANCY N° 3269 ply p.ittrtKe provijion� of allr-ity of Costa'Mesa Ordinances applicable thereto (See Reverse side for Metes and Bounds) Permit No. E-347 Plumbing Permit No.P-347 Nu ber o apartments —0— and/or guest rooms —0— ISSUED TO: Building Official by C. A. S. Development Corporation Victor C. Newton -Building Division virector This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the Ciity/of C sta ly/waa u/ndde��j��¢w^, 306 (a))�U.B �(/� Form BV 34 Rev. 11/70(/,1 I(:// • r'/ / /(/,[/ �(/`]'�ti ) / � Q OWENSSCORNING Fiberglas Blanket Insulation The contractor named below certifies that the Owens-Corning Fiberglas Blanket Insulation used carries the NAHB Research Foundation, Inc. label for assured thermal performance and that the Blanket Insulation is in- stalled in conformance with current energy conservation regulations, California Administrative Code, Title 25, State of California, in the building located at: 1872 Mon routA J7 -s Street Lot Number Exterior Walls Owens-Corning Fiberglas Blanket Insulation Ceilings Owens-Corning Fiberglas Blanket Insulation Floors Owens-Corning Fiberglas Blanket Insulation Foundation Walls General Tract Number _3 Y—'7-- // Thickness R -Value Thickness R -Value Thickness R -Value Manufacturer Type Thickness R -Value License No. By Title Date Insulate retractor_ - LV151 icense No. -�/ ��//pp _ Title Date By <9�%�_4n- ure E Homeowner Copy (While) Slate Copy (Yellow) OWENS-CORNING FIBERGLAS CORP. Builder Copy (Pink) Insulation Operating Division Pub, No. 16.131 6995hA Litho in U.S.A.. July 1977 Fiberglas Tower, Toledo, Ohio 43659 I& Ci ;' A MESA BUILDING -SAFETY DEPARTMENT APPLICATION FOR ST URST UR CTURWLPER fIy� T ' BOX 1200 COSTA MESA, CALIFORNIA 92626 RECEIVED BY PERMIT �f pplicant to Fill in Completely —Use Ink ,0�7n1y NG - O_l/J_�/�/L [�� SS /1/�(((/ zT ' A.P. NO. � ^ (J / OR ( �i / ��/i� [/ vr.� BUILDINGpq ,� 1:']� ADDRESS /Q ( Z MQ'v/I`VI�� r ,J G n� FADORESS UNITOR ^ �♦ ,s A SPACE NO. A -!r ( V'7 A) A S Wl� QLpE'///��'' /A ��HH -I N. �fJ/ TR,N ,O./ qLOT BLK. 11T U 3 //f�/V�J�Ci/L� L / CTION � NEW ADD ALTER REPAIR MOVING DEMOLISH �// �/✓)V A6G#— OWNER -p�� ADDRESS �r"r /+ /^ USE C_.��Q VALUE$��/S a ARCHITECT �G{/�� TEL / G OR ENGINEER � / E�/� _♦ V k7 3 ,,q " ADDRESS ZONE TYPE GROUP //J1(-((/JC—*x fD BYPROV ED DATE CONTRACTOR C. -4� l5//- ADDRESS/Z&(0 Vt7 V(./�1V , ,r 23 `rKI CITY T IAA'S r6— NE- STATE CITY APPROVED SE B CKS `1�01niJ�A LIC. NO. LIC. NO. SIZE 7 /0 /� NO. OF BLDGS. 2 2— LJ ✓ NOW ON LD'L/ (FROM C/L STREET) FTI. OF LOT// ♦ t F ONT USE OF EXISTING BLDG SIDEo� Separate permits are required for L. SIDE electric, plumbing and heating work: REAR FT. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION I DATE _ APPROVED .Z APPRO I hereby acknowledge that I have read this application and state HOLD MR U that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. r� SO. I hereby certify that i am properly licensed as a contractor under FT. the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the S3Rte of California Business PERMIT FEE $ VALUATION 1Tz op and Profession ,Divi Sion 3, la r 9. r Signature c Permittee PLAN CHECK $ ` TAX $ or . ./ ...� Authorized Age t Date TOTAL PAID $ /%S 0 W F- a _o J a } J cc W a 0 x CL z W 2 W a ac 7 O Y t� _O S F_ TA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 Costa Mesa, California 5c"o 9 5Ja�1 7.Z' Th 60, 1 Contractor DU TRACT N0. LOT NO. �jp�� perms IY'� / l/ .r0 fvI—�10 _ti r v .i v Address 641 S. STATE COLLEGE BLVD. BUILDING USE DATE ISSUED City FULLERTON, CAZip Code 92631 State License No. 353891 Class. C20-43 BOLDING ADDRESS 1872 MONROVIA A-5 A City License No, 25147 Tel. No. 773-1552 COSTA MESA, CALIFORNIA, NO. ITEM EACH FEES FAU, Wall, or Gray. Vents Incl. Ducts and to 100 000 BTU 1�.1 - r OWNER CAS MESAS LTD. ��' LN - MAIL ADDRESS 14600 GOLDEN LWEST ST., SUITE 104B over 100,000 BTu CITY WESTMINSTER, CA TEL. No. 891-6793 Vent lit not incl. above) � �.� 1 hereby acknowledge that I have read this application andf'state�that the above is correct and agree to comply a11City Ordinances and State Laws regulating Heat - t,q. 4N tag; Ventilating, Refrigeration and Air -Conditioning. I certify that I possess the above valid State of Calif - omia classification or I am the legal owner of the single family residential property dcscrib d above. Signature of Permittee Suspended Hearer Alter or Replace Appliance .'1, ver 1 eet or— Over gas piping ,C"9 BOILE RS OR COMPRESSORS C(' r A^ 3 H.P. or less �� y, ?>� " >' Over 3 H.P. to�;�%_ 15 H.P. 'i" o. Bathroom Vent Fan—Sin lelDuuct REMARKS: _Kitchen, r`-"� �, Y� V enoati`nglHood 1 ((dd X` 1 Metal lF,ire Places 1 4100 ICBO # AGA # APPROVALS INSPECTOR DATE Misc. Ducts Underground Ducts in Structure Ducts Ventilating Heating — Rough Hoods :Plan Check Refrigeration Lines Pressure Test Reinspection Fee Air-Cond. Final Ventilating Final Sub -Total .- Heating Final Processing Fee 3 00 Refrigeration Final Final Gas Test TOTAL FEES 7 00 Utility Co. Notified CMF 0449-46 BLDG. PERMIT NO. — 3 1147