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Home My WebLink About2500 MARK LN - Building Permits� 10.1E{TADDPESS: 2SOO MARK LN owxee•sxnrne:FAIRVIEW MGMNT. CO. „ noon�+s 2520 MERIMAC CM CA92626 uxir: NONE ppiSi�ENGINEEH: HURKE LESTER 6 ASSOC. pEc.xo.:C-6925 � �oowess: z3025 MILL CREEK' RD uxir: , ' LAGUNA HILLS CA 92653 PE"M'rtEE: FAIRVIEW MGMNT. CO. ( 714 ) 545-7327 eooeess: Z520 MERIMAC WY CM. CA 92626 110ENSED CONTMCTON UECLAMTION: I hereby atlirm tAat I am Iicensa0 un0er Dmdvorts ol CAapter 9(commencinA �t� Section 7000) of Oivisiw 3 al the Buvness antl Proltss�ons COCe. antl my Ikertse is in Iu0 bru aM etlttt. cm uc.: sTn� uc.: cuss: Date: SIOnaWre: WOHNEHS' COMPENSIITION OECUMTION: I her¢Ey aflirm t�at l �ave a certi/iwte al conseni to setl-in5ure or a certifiwte o1 Workers' Campenutlon Insurance, ar a cenilleA copy Inereot (Satlon 3800, LaE. C�. PoLICY NO.: E1IP. D�7E: 'OMP�NY: CetlilieC copy is hereUy fumis�eG. ❑ Certi/ieU coDY �s IileG wilA the ciry BuilAinq Division. �ate: MDlicant: ' EIIFMPfION FNOM V/OPKFAS' COMPENSITION OEClAlU710N: (Tlis se<um nre0'rot Ee mmpleteG il Ne pemut is fa ore hisiGrM (5700) or lar�. I cenity that i Ne pertarmance ol tAe vrork lar w�ic� Nis Demiit is e0, I stull not em0loy an erson in any manner so as to Eecome suCject to t� W kers' ComDensation LaxS ol'CaNlomu. � �� Date: � 3i0natua: �n � NOTI : II, atler kinp Ihis Oeclaration, yau slwuld b e su0ject o t WOM1ers' Co enution provivons oi ihe Labor COEe, you must foritiwi�� comply with suc� D�ovisions or Ihis permi 5 I Ee Eeemed r oketl. fANSTBUCTION 1FN01NG RGENCY: I �ereDy al/irm ihat IAere is a consimcUon lentlinp a0ency for Ne peAormance oi tAe wark lor wAicA tAis permit is issuetl (Section 3097, Civ. C). , ' LENOEH: , � nooxeu: . OWNEB BUILOEB UEClAM710N: I �ea6y allirm Ihat I am axempt fmm Ne Coniractors' State License Law for i�e tollowinp reasan (Section 7N7.5 Business anU Pmfessional COGe: My city ol counry w�icA reQuires a Oermit to constmct, alter, improve, Uemalis�, ar reDair any slmcWra, prior to ils issuance, also repuires I�e aDP�icant far such permit to tite a sipneO statement that he/s�e is licensed pursuanl to tAe D��sions o/ t�e Contractors' State License Law (C�apter 9(commencin0 ��h Sectian 7000) of DNision 3 of ihe Busineu an0 Pmlessions CoAe)�ar that �e/she is exempt t�arefrom an0 tAe Easis lar t�e allepe0 exemption. My violation ol Section 7031.5 �y any ap0licani for a permit sublects ihe apDlicant lo a civil p¢nalry ol not mom IAan �iva �unUred tlollars (5500). I, as owner oi Ihe pm0erry or mV amyloyees with wapes as their sole com0ensation, will Ao ihe work,�and ihe ❑ s�mcture is not intendeE or OttBreC �or sale (Section 7044, Business anE Pmfessional Code: TAe Can(ractors' State License Law Ooes not apPy ta an owner of a pmperty w�o Uuil�s or improves Ihereon, anA wAo tloes suc� woM himseldherself or throuph �is or �er own emDloyees, D�oviOad that sucA improvements ara not intenAeO or oifere0 lar sale. It, however ihe building or � impmvement is sold wit�m one year ol completlan, the ownar will have the �urEen oi D�oving Ae/she did not builA or improve for tha purpose of sale). I, as owner ol Ihe D�operry. am Bxclusively contractinp wii� licenutl conlractor5 b consimct t�e pmle�� (�aeion 7044, Business : � anU Pmfessions Catle: The Contractors' State Liunse Law Uaes nat appry ro an ovmer of pmpeny wtw EmIGs or improves thereon an0 wAa contracis lar such pmlacts vrit� a mntractor�5) license pursuanl Io t�a Contractars' State Licenu law). I am aware tAat D�� ol t�eir Worker's Compensalion insurance s�ould 6e D«tleU ro ma. Q I am eaempt un0er Secilan: Br 6 P. C. lor ini reas n: � Date: � Owner. I Go h¢reEy Certi� ItWt 1 a aware of anG un0erstantl Ihe reduirements ol ' rnu Mealth anE al¢�y CqCe ¢ttions 25505, 25533, anE 2553a anE t�at I ar any future EuilOing accupant wilUwill not (circle one) nee to comDly wi iU state co0es antl t�e requiremenis far a permit lor coretmctwn or modilicatian tmm ihe pir uality Management OislncL Nevtlential constmction applications are exempt imm t�ese provisions. �ate: Ap0lieant: I AereEy certiry ihat I have mad this apDliwUon anE s�ate ttat tAe ahove inlormatian is correct. I apree ro compty witA a0 tiry anA counry oN111dME5 LIE SIdt0IdW5 RIZfIfIpIO DIIIIQInO�w��tl heRCyaUtlqf@ repf05EnI2IIYE5a1�16G1�/�o¢n�efupOflihedb%l mG111011CG pmpeM �or in5 tl Dwposes. /� Date: � Sipnawm: � �� ! oriver's licenu nr Social udry x: 16a1J8 W�i�e—BuilEina; GreerCoEe EnloreemenC Cenerv—NOplicam; Plnk—Revenue: GaltlenroC—Asseawr CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 044802 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR• JOB DESCRIPTION : NEW SFD � PERM NO: B 044802 GOVT: N SUPP: N PURPOSE: NEW SQ FT: 2;357 CLAIM VALUE:' 107,712,00 CALC—VALUE: 136,145,50 GROUP OCC: R-3 /M-1�� COMMENTS : �G /a 9,� "�� v ��I/ ' • �r�e*��r*�e�e�e*�e****�rrr* ** � *�e**x*** �r�r�r��*��**�r�r*��*�e�r�*�r*�rx�r*�*�r*+t�+�x�*��r��r Z O N I N G R E Q U I R E M E N T S . ' S E T H A C K S � ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --=------ FRNT: 25 FT IN REAR: 35 FT IN FRNT: FT IN REAR: FT IN LEFT: S FT IN RGHT: 10 FT IN LEFT: FT, IN RGHT; FT IN �o-oia -�a PARKING REQUIRED: 2 PARKING PROVIDED: 2 PARCEL: 00000000 ZONE: PDRHp PLANNING Nt5TE5> STBKS SHOWN FR LINES ON PLANS- PROJ IS A ONE LOT SUBDIVISZON > PKING IS COVERED. UNIT TO BE USED FOR CLIENTS��Ij,j, ��jJ�EMEN'I'�S ***��e�**�ex�e�e�r*�e.*��e+�****r�r+rir,+r*+r*�r�e�r*�r�r**�r�r******�rx********�**�r i�*** x�* D E V E- L O' P M E N..T � Si E R V I C E S R E Q U I R E M E N- T.. S' �/'. / �j ZONING ApPROVED BY� •�� DATE: �� J • O/ BUII,DING APpROVED BY : DATE: � O'.�'ir� APPLICATION ISSUED HY: DATE: ' �L�•�� iEifiEifiEdEififiEifikifkiFififlElEifMkIF kifiEikk3FfFifiFif IF ifiFlEiEiE�fMifitffiEikkikififiEifikilifMifkMiFikMKM�E3tiF�FiEiFiF 1fi11Fat1fiFiF�FiEkiFltlkifiFkifiEiFif3fifiEifikMiENiklkitiFM1liFifiEMiflF � LEGALIZATION:N , F E E' 'U M M A R Y STRUCTURAL SEGMENT:Y. BLDG PMT PLUMBING PERMIT 769.00 PLAN ♦ ISSUE FEE BUILDING—DIV—> FERMIT ISSUE TOTALS----> 778 SJ 0 00 ELECTRIC MECHANIC PliAN—COE00 FIRE SMIP%RE.''i � GRADING 9.53 SMIP/NON—RES '�OTAL PAID DUE . . 778.53 778.53 .00 REVENUE DIVISION TOTALS-->. COLLECTED: � 778.53 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC•MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK . 769.00 ;�� . 9.53 iE IF iE iE ff if ik iF M k if k ik if iF iE iF if iE if if iE iF 1f ik M M if iE iE iE 1E k fE iE.# If k if iF ik if k iE iE iE iE if if ik ik if 1E iF M fF iE iE k i! if iF M iE if k ik k i6 if fE k k!F!f K iF k if I N D I V I D U A i` F E E B R E A K D O W N TYPE QTY D E S C R I P T I O�N UNIT COST TOTAL COST SFR 1895 DWE—TYPE V—WOOD FRa�M1E —GOOD 67,70 128,291.50 SFR 462 RES—GARAGES TYPE V� 17.00 7,854,00 END OF FEES �� r:. . . � f�pNSTRUCTION AND PLANNING PO .a SP,A ' Date Inspector -�--- qpPROV�F!�S Permit # , APPROVALS Permit # 7:�i'emporary Electrical Service or Pole ' 52. Pool & Equipment Location �2.;Soil Pipe•Undrgrnd,� 53. Steel Reinforcement � . L3�f�ectrical�C-on'duit-Utility�Undrgrnd. 54. Forms . -�� r.��.-.. �_4.�El�ctrical'Co�i£'Undrgrnd. 55. Electrical Bonding r:'9.=Sfeel RelnfoPcemBnt � 56. Rough Plumbing & Pressure Test ^: r n r� � ._. c "�CEfectricalUF�F1`Gmd. 57. APPROVALTOCOVER�GUNITE . � Z; Footingi � , . 58. Electrical Conduit-Undrgrnd. ,8. Foundatioq '3- 59. Gas Pipe, O Undrgrnd., Test 4. �9. Water Pipe-Undr,grnd. � 60. Backwash Lines, P�Trap, O Undrgrnd. 70. Structural floor System 3 � �' 61. APPROVAL TO DECK 11. Property Sewer Line�& House Connection 62. Backwash & Receptor-Final ' 12. Sewer Cap c� -. 63. Heater & Vent-Final _� 73. Roof Drains;�., ' 64. Plumbing System � Final � 14. Rough Plumbing . 65. Electrical-Final i 75. Rough E.�ectrical-Conduit 66. Solar SYstem-Final � ,� � 76. Rough �Electric:Wiring 67. Fencing & Access Approval �17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �18. Rough Electrita!-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19�Rough'Heating &,-Air Conditioni9 _..FIHE DEPT. REQUIREMENT ti,�� iix r'. ^r r. :J c'xr _ ,-, � � , �-. ,,: ...r r�-� _ -',-, s : � �� jC ; a: :., �,:=' 20.�Roiigh Facto��y Flreplace �r �� _ :_,x :� _APPROVA,�$ �.c;Peimit # - 21:-Ou�s, in Structure!� � " " _= ` = ^ ^"� " ?70. b� der ro,�und H` ro " �.. � ._ a' 't : J r. .l,r. � rr 9 Yd x 22: Duc{s, Venti�tln9.c v. ��,j � � K; �^ �t a�77. Product-;�iping OGas O••Oil �23.�GarPipe•Rough & Test t�,_' � T - � O � � ,72, Under round FILsN"' * -- = - n r. r.� .'1'� . x v 9.+ . c, � >+ a, �7 '�' ' , x F- F- � - 'Y. '. � � n t; � i:� .� _, -� , ,` _ , .� 24:''Roof F�aming ,: �;� � , � �.r � ..73r;Undergmd.Storag�Tank�OGas ❑Oil I25�Roof Sheathing �� '• �fj� *� �7q �'Overhead Hydroc,� X` 26"T-Bar Ceilin _(Structurall &�IVIe"nocoa[�� '� `� '7� * ^ • �' ." � _ '�" y . 9 , x� . Gx ;: -75,y^._Dry Cherrtical r_� y; g�: 27^Frame and FJashing. �w� -� pd Y �; ,76. Dry Stan�pipe �,�? * � � � ,rn -ir i n. rt� i: :l: "t C. � . 9J)�. � -a n � -y C 'G 7 _28. Lafhing`& Si�ing ; �j�_ -� ,, y p zc� (pW� 77� FIXED $YSTEMFINAL �. n c^ 1 =29 Insulation � y � - ^ _O �*1 _ � 7$r FIRE PREV. FIN�'L i � ^ ,� � ' 30. Drywall Nai6"ng � �, C":�� ''•� �� _ �� y �flEALTHjDEP7K. REQUIREN'lE� �` �^31. Plaster Brown Coatc ^ r'!-� ��"�'; � "� ti'* • 79,�FINAL INSPECTION �^ �� ,32 ��Electrical Power M�e�ter�F�inal ' "'"-_,* " � � �` *'80r!FOOD CERTIF�ICi4TE ISSUED': ;r� �� . .. - � � _. � �.. _ V� . i i -• _ - _33_FirtalElectric 7 m �,n_�+� -� y: �'No"tes: t _ ,.. .. � �� ,,,,:. � , � �OLD FOIt SfEC[N.�ItEQU[�EINE1 �34rFirtel Heatin9 & AixContlitionmg• ,-_�, �, '� .r ' . � : ,� � z ` ;'4 � `' "' r 35:^FirialGasPipe-Testc-�`� =7''E�*�- 7 �:s. �� a36 _Ho�i or CanoPY �' %'. ._ •-_��' � ;. ._�.l � � •* Clo p. ,- � - l� i '�C: t:'�-'X. (Y'� LTS +'CO X.i'1 [�'1 -37yFinal factory Fireplace- -E- [�i'.�� h � � r. c� �' N ti �38. Final Plumtiuig ;;�:' t.," �:' I rk * � v,„ *y �' �"39. Water Service:Final; � �p � j I � �v. ,: ` :. a� � .r. � ^ i - �'40. Gas Service�Final +' iT+ <t-'t- G ��k ^ 1 I �* '� U= v:�.7 t: ^ - rw• :'t-,�:x i p. .: � �� r r. � - _ � , ,s., > ,_. � ,. ., ,, r-. ,. _41. Solar pomes'_ticFinal �., �.,; ' � x •�.,, �- r ;r i � , 42 Backflow PreventeR - _ _ � � - ' ' ;y: .�: x ^ r. . .r. � :-� ,: c.! .- � C) C. x:�, x x :1 ?� G v r, f- � z' Y: ,: = S C S _ � s. R _.. .. �,� . .. 43. F3ackflow Irngation: ��c;� �{: c, x x. �: A f� •• i'44.,Landscape I'riigation System'a;�' �n,�;r �.: ❑ �7 Ot Y' ' N _- c� � .� � to 00 "< 4 C '�^:r. r. � i :iC' '!: S H �` .r, - J F. . ,K �. F.' r t-.,r, .: � �- ti . � �. �. `'45�Sound �Attenuation_ - . .. � :� �;, ;� �;�; :;; � �-, �� "'46.••Handicap Regulatiohs �- � .K "'� ^ •S `7-- � �w c ]^Y_:. . c i_�p: s. cpJO C�J r 47=FIRYAL STRUCTUPE & BUiLDING��`... . 1 x:� - t'"' c d � s ;, ^ - () 48`FINALPLANNIN� • �'�� '�'� Y � h �: " f" �'� r.:' � � s� r' � -. r' C ra � � ;: I " 5F %f• 1 �.� � _ .�I..� �,�49.`„Electric�Rele�se to'Edison , Cv` �x ..,� . ;� �; r ,� .�, � �.�,. . -. �. � ' x : _ r� v • c r ,; ` . =�507'Gas.Release•to Southem Californ,ia Gas Co u' . ] �; � � . r m _>Y .:'#. • S DC C? K �.+ LO "'51. CERTIFICATE OFOCCUPANCY � x "� " ' �� " ^ x r "` No Date � I Date � Inspector �" � �i� CONSULTANTS • INC. MaY 25. 1990 CITY OF COSTA MESA ']% Fair Drive Costa Mesa, CA 92626 Attn: Building Department Subject: CIVIL ENGINEER'S FINAL GRFDE CERT7FICATION FOR TRACT NC. i3348, IN THE CIT7 OF COSTA MESA (FILE 2046) BLDG. PERMIT N0. B044S02 This is to certify that the final grade for building No. 15 also known as 2500 Mark Lane, was field checked on May 24, i990 and found to be in conformance with the intent of the grading plan. Very truly yours, CONSULTANTS � ��-v - .� Surender Dewan, s.C.E. 34559 Engineering Manager :jls 1182 Notth Tustin St. Orange. CA 92667 (714) 744-0802 Fax(71q)538-2152 Otber O�ce Locaiions: Rancho Curamonga Palm Spnngs THIS IS TO CERT_ TAAT INSULATION HAS BEE� .NSTALLED IN • , , CONFORMANCE WZTH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: SITE ADDRESS: 2500 MARK LANE COSTA MESA, CA Number Street City/State AIR INFILTRATION: MANUFACTURER: MANVILLE EXTERIOR WALLS ManufacLurer MANVILLE Thickness/Type 3}" R/Value R-11 CEILINGS Batts: Manufacturer MANVILLE Thickness/Type 6 3/4" R/Value R-19 GENERAL CONTR CTOR: MESA DEVELOPMENT Lic. # By Title Authorized A¢entDate 5-16-90 INSULATION CONTRACTOR: WESTERN INSULATION, INC. Lic. # 481278 By Title Date Form 106 3/89 PR0.IECT PODPESB: 2 SUO Md RK L N OWNEfl'SNALAE:.FA�RVIE�li M4NAGEOtfR�7 CC. , 1DUIIE33: Z�IDO NAIK ST 'I�VIRf, CA. ' uxn: �s RflCNIENGINEER: eURKE_LESTEA Fi A�S�C• pE0.N0.: �N�( �h� �OOPFSS: L��ZrJ N,TiI C�frCi� �R .U�' LAGUPo'A HILiS C.A 92653 � PEflMITTEE: �(.��• PLUP`,BING � � (7141`�.'3�-4622 anoxess: Z�� ,�ASSfLI AVE A CRANGE CA 92EE5 LICENSEO CONTMCiOR OEClAMT10N: I hereby affirm ihat I am IicenseA unUer pmvisions oi Chapter 9(commencinp with Sectlon 70f10� o� Uivision 3 ot Ilie Business and Pmfesslons COGe, an� my license is in full torte and etlec�. cmuc.: p6t59 sraTeuc.:�8147/]��," (� �cyuss: �_�E n !� Daie: � 1 SipnaNre: ` �`d' �-� M m � �l WOBNERS' COMPEMSATION OECLAMTION: I �ereEp allirm t�at I �ave a cenificate of consent ta self-insure or a cenificaro of Warkers' Compensation Insurance, or a certifie0 coDY Uereoi (Section 3800, LaG. q. voucrxa.: 8Q013�i53 exr.oarz: �5/�y/5G COMPRNY: �AVCL ��fJ . � Certi/ieE coDY is hereby tumished. � CertifieA co0 is file0 with ihe ciry BullAinp Uivisio/n.i oare: �' I�k' I�:� APPlicam: ��if LA !'�/� i - s1 J� E7fEMPfION FflOM WOBHEBS' COMPENSIITION DECIAMTION: Rhis sectian need no� be compleled il �he permit h for one huntlreA (5100) or leu). I cenity that in the pedoimanu of t�e work lor wpich t�is permit is issue0; I shall not em0loy any person in any manner so as m Gecome su�iec� eo Ine Workers' Compensation Laws ot Califomia. ; � Date: SipnaWm: NOTICE: Ii, atler making t�is Oeclaratian, you shoul0 hecame suGject to the WOM1ers' Campenution'pmvisions of ihe La�or Code, you must,fortAwiN compty with sUch provisions ar this pe�mh shall be tleeme0 revake0. ' CONSTRUCTION lFNOING RGENCY: I Aeahy aHirm that t�ere is a constructian lendinp apency tor the pedormance of the work tor xViich Ihis perrtst is issued (�'Iion 3097. C'rb. Cl. . LENDEP: FODRES3: . . . ' ' ' . OWNEB'BUILDEB OECIAMTION: I hare�y aryirm ihat I am exempt irom tAe Caniractors' Stata License Law for ihe following reason (Section 7031.5 Business and Pmiessional Cotle: Any ciry of counry which requires a permil ro constmct, alter, impmve, Uemolish, or repair any stmcNra, prior to ils issuance, also requires Ne apDlicant for such permit ro fite a signetl statement that he/she is Iicense0 pursuant to tA¢ O�o�isions of the Contractors' State License Law (ChaD�e� 91�ommencinA wit� Section 7000) of Division 3 oi tAe Business anA Pmlessions CoEe) or that he/she is exemp� �herafrom and ihe Dasis tor ��e alleped exemption. My vialation o(Section 7031.5 by , any applicantfor a permit subiects the applicynt to a civil penalry al nat mare ihan five AunOretl dollars (5500).- ' � ' I, as owner of [he propeM o� my employees xith waAes as [heir sole compensation, will Oo the work, anU [�e I❑ stmcture is nat intentled or ofleretl for sale (Section 7044. Business antl Pmfessianal Cotle: TAe Contracrors' Slate License Law Uces not apDN �a an owner of a pmDeM w�o DmIOs or impmves ihereon, anU wAo aoes such work �imutl/�ersetl or thmugA his or �er own emDloyees, pmviEed I�al suc� imDrovements are not intentleU or oflere0 lor sate. If. Aowever ihe �uildinp or im0�ovement is salA within one year of wm0letioq the owner will have the OUNen oi proNng Ae/she diG not �uilA ar improve for the puryose ot sale). � I, az owner af ihe pmDenY. am excWsryely caniracting with IicenseJ coniractors to construct I�e pmlect (Section 7044, Business ❑ antl Professions Code: T�e Coniracto� g�ate License Law Oaes not apDly to an owner of Dioperry who DmIUs or imD�o�es thereon anE wAo contracts tor such Drole�[5 wit� a coniracroqs) license pursuant to the Cantractors' $tate License Law�. I am awara Ihat pioof of their Workei s Campen,ation insurance shoultl be pmvideA to me. � I am e�empt un0er Seclion: � � 8. 8 P. C. , for tAls reason: . Da�e: Owner: ' I do hereCy ceniry that I am aware a1 and unUerstan0 tne reauiamenis of Cali(omia HealtA ane Safety CoOe Sections 25505. 25533, and 2553a an0 t�at I ar any future building acwpant wilUwill not (circle one) neetl to comply wit� saiE state coAes ana ihe requirements for a permil for wnstmciwn or mo0ification imm �he Air Oualiry Manaqement Distnct. BesiOenlial constmclion applicatians are exem0� «om t�ese prOviuons. , Oate: � Fpplicant: I hereGy certity Ihat I have reatl t�is applicatio� antl state Ihat tha above information is correct I apree ta campty with all ciry antl counry artlinances anE state laws relating io UuiltlinA cOnstmction an0 ereUy authorize 2Dresentatives ot this chy to enter uDon Ne a6ove-mentione0 property forins0ection purposes. . � [�� /� � Date: '�+ I�$ I$� Sipnature: N'� f Ni r`(l �+'-� /'i� IUnver's Liiense or social Secunry x: 1641J6 W�ile—BuilEino: Gree�CaEe ��orcamanC Cenarv—ApPlicanC Pink—Revenue; GoltlenroE—Assessor• CITY GF CQSTA MESA — BUILOIN6 PERMIT PERMIT NC: P �4�131 ' PIAK CHECK,NO: N. . GQVT: N SUPP:,� , C[NS7RUC7ICN TYPf- 6i�QG FRAME PERKIT iYPE: PLU PURPGSE: �EM JOE DESCRIPTILIN : NEa.HGUSE PIUNBING, � � SQ FT: CLAIM. VAWE: ' CAIL—VAiUE: GROUP IICC'� / COKMENiS: REFERENGE STRUC7UR.QL PFRMI7 � 8�44E02 � ` • �' am�#e�a��€ta��a�s��as�aaaa��#s��s�*�sassa:z��s*�as�*a*#a#:as�#a�a#aa a**asa*a�#tas�#�## , Z G N I N GS �R�EaG'pUCIKRsf M E N T S — MAIN BUILGING.---------- -- ---- ACCESSORY BUILOING — — FRNT:� FT IN REAR: FT Itti. FRNT: F7 IR REPR: FT Y IN LEFT: F7 Ih RGH7: FT IR' �EF7: F7 I� A6HT: ; FT iIV , PARKING F.E9UIRE0: PARKING PROVIDEO: PARCEI:'0000400� ZCNE: � PLANNirtG NG7ES> � . . ## ####�# A3�# #X�##�P#%�# #:k##�###44## ##�k# �P*###�4###.#,### ##4##'###�0�k �# #3####�### ###� #t# C E Y E L 0 P N f N Y S E R V' I C E S�". Fi E Q U I R E P� E N T S ZQ�IRG AFPROVEO EY � '_ DATE: '_ BUIiL1AG APPF,GVED BY :_ DATf: APPLICATI[3N ISSUEC BV= ��,��i�� Dk7f: �� ##�Q#X�+C�C�PAII#�CiF�##93�i##0# #i= �t $�3#�a ##��?�4#3k Xf A�f� L3�CA3�R###-k' #0li�###3##�Ct�####L�k##�R��i3�#�#�t#�P##�##%R ��#*##i/%M####�k�S#$###$#�RO#3�i�#+7# IEGALIZAII�N,:N , F E E S U M p9 A Y STRUCTURAL S�GA9fNl:N 91DG PA4T PLUMBING ELEtTRI� MEGIiANIC FIRE SM,SPIRES • GRADIN6 P�RMIi � 27.S3+G • 259 SMiP/NfsR—RES PLAN , � ' ISSUE FEE 3.Q� BUIIQING—DIV—> PERMI7 � ISSUE PLAN—CHEGK TaiAL PAIQ DUE TQiALS—=--> 27.OG 3.a�D �.0� 30.OA 30.�� .m8 , � REVENUE CIVISION TCTPi.S--> CGLLECTEG� 30.00 GUER/SHOR7: .QQ BiGG PM,T PLUt?BI�G ELECIRlC MELHANIC � fIRE SMIP/TD7 GiiADING PLAti CHECK 7'.T7 • � �t . .� � - . ##yC%Q###Y�#### ##�R#3#�� R###-##i�##7k##�##3�G39R �k##3 #####*$#4###%�##### #�k######## �###��kt I A G I 11 I C U A L f f E B R E�' iC C 0 6' N . 7YPE 67Y �D �E S C R I P T I L� N UNIT GOST ' TOTAL CQST PLU FLU PLi U PLU , P� LE. PLi= 8ATH3UB CTStikA SHER iAUNCRY TUB CR IiASHER �H��iER SI►iK� KI7CHEh WASH 8A'SIN 4iATER GLGSET (T�ILET) . GAS FIFIP'G SYS [3F ' I 7L 4 GUT�ETS GAS FiFING SYS 5+ LUTL—PER DUTLET NAIER FEdTER AND/�R Y£NT ENG.[F FEES n 2.CU 2.fltS 2.G0 2.OU ' 2.�0 2.00 2.00 4.0 , z:°a i:o� � 2. e�o z.flo 01 QOp48440-00048440 T GT ,30.Q0, oarE: iirzsis9 .trne: i�:?o CONSTRUCTION AND PLANNING - � � �PG. _ & SPA � � - APPqOVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1` TemPorary Electricai Service or Pole , � 52. Pool & Equipment Locatlon .. . �. ;qil Pipe-Undrqmd. , �� t� fZ,�..)lq L�' 53.' Steel Reinforcement � ��.�Electrical�Conduit�Utility�Undrgrnd., � 54. Foims � � 4-. Electrical Coriduit-Undrgmd. ' 55. Electrical Bonding � ' 5.-$teel Reinforcernent 56. Rough Plumbing & Pressure Test • 6. Electrical UFER Grnd�. 57. APPROVAL TO COVER�GUNITE �. „ '' 7:"Footings ' '� � �" 58. Electrical ConduiFUndrgmd. ' 8. Foundation � � 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe�Undrgmd." � �j,(�`��( (�� 60.� Backwash Lines, P-Trap, O Undrgmd. ' 10. Structural Floor System � � 61. APPROVAL TO DECK ' 11�. Property Sewer Line'& HoGse�Connection I 62. Backwash & Receptor�Final � i 12. Sewer Cap �' �. � 63. Heater & Vent�Final . 13. Roof Drains ' ' ' 64. Plumbing System - Final 14. Rou9h Plumbing 'd (Y C�d G� 65. Electrical-Final � � 15. Rough Electriwl�Conduit � 66. Solar SYstem-Final • -, 76. Rou9h 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 ' - 59. ftough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT _ _ - . �. _ -f - 20: RouBh FactoFy Fiieplace � � . �=� • � �' ^ +-- APPROVAL'S"^Permit # "` " �� ' � �� ' .. � - . . . r. -� _ .. � -. ,'� ,- 21. Ducis, in�Structuie� i.� �., �. - r. � � V x-70. Underground�Hydro n 22. Duci's, Ventilating�,. � �' ,.r � ` ` i# 77, product Piping O Gas ❑'Oil 23.,,Gas`.Pipe:Rough &�Tast � �, ;� . ��y �� ..,7z. Underground Flush.�� .. � 24:'Roof Framirrg T+` � �-�- �-^ '� > � � �� :�73:�Undergrnd'.Storage7ank OGas ❑Oil`" "� ' ` "'� " 25. Roof Sheathing : ,- „�,.,,; � � �, � �',.,'',.a �74�Overhead Hydro-�� 26.-T�Bar Ceiling (Structural) & Monocoat " ' " � �'� �- 75)' Dry Chemical ' " " '' '-'�� "' "^' =��" � � ' � -�n ' +J l r '7oz r-.) .1. +Y �S. - 27-FrameandFlashin ; . .> '�.'�' "' `- ' � -:.� '�� .^ �-r,� ,��-..�,.�s_ 9 .�.:�: �+!�:r r;t , 76. DryStandpipe i--.�, , ••r�. •-�_ �� ,� 28. l.athing'& Siding-�y � "��+T " * "°` -' 77?' FIXED SYSTEM�F.IN,P,L�' �^ ' � " Fl ,•� •,I I S �L "'I 1} �J 7r� � Y • T y,29. Insulation ?n , - �� I i{.n 78.:FIREPREV..FINAL • �� -+'�•- 30. Drywall'Nailing -��` y � u I I !i"" ' "� •HfALTHDEPT:`R�EQUIREMENT ''�' • i 1 1-14. a � v� a h• v,. -31. Pla's[er Brown,Coat-z - � � Y ^ � � � r79.'FINAL INSP�CTION �� " _, ; i. T �-, r� i I Is ., w . �32.sElectrical PoWer Meter>Final� ^ •� •�� M1�nx •80.'F000 CERTIFIC7�TE ISSUED^ s �� _ ,.� ...x .. I { x . 1 I r IG'� � J - ' x �� ^Irv•r ' "33:'Fin@I Ele�tri � �:� n, i � i I " la. � Notes: -� :�� ,�...� ;-� T n .,.• � �-34^Final Heating,& Air,rConditioning. � s i i': -do � - � �'�� a - �. ,.. �:��-, +Y �. 1 �. I�i 2M1 �l 1 r-.T 4 •ti.7'<'i .�35��Final Gas Pipe-Te'st!� '� r � i/ i " : � , � „�•• :•.� �•, �„ 5. qb LE.D.; -� � ,- , , >�. <� .�.. �36�HootlorCanopy�nx_�.• i _ '„ ;ir' � i. i�x: .-v.. .• , ,. �� ', -37: Flna� factory Fiieplace ` � � ' . '` " � `Y� � �� " � '' �.. � 1�_� a � i�. i_la.y � . . ,'1 .i ;38"FinalPlum6ing :.ra .v i � !(a i `oe � � - x.n ,-'� , L. x �r Q' -1�... _39. Waier Service-Finalr � 'k . � � i��' a � ,�� t-�t ci- r,40. GasService-Final " y v � , . .. ,� . i � Jf� r ..� if �'i � 1 14t o .:.� # �t '�41. Solar pomesticFinal - ^+ + r.�.s � I Ia� „; �h . w '� � x � i I;r c - �7 � - - n � . ;:42.' Backflow Preventer W '.� .. n � 1 � kt •+ � - �r n - �:� 43. Backflowlrriyation``� Tc•c • 'n' `�"°' �'- n . � �.�.�.n�.•rn�,i� � •�n ' r 1! 4 Q / � • • • . � • • • 44. landscape Irrigation System ��r�3 . � R � � J? �k � .\. �s '[�. �t •^� � ._ �,• .:., .� � � x� 45.-Sound Attenuation' ""�*" • �"' " ' ''r � " r : �' m "1. ? " ' , il - � :Y .Y • •- .-� 46:'Flandicap Regulations � � i �� :> j. ._ � ,� � �� . r . , - 47�FINAL STRUCTURE & BUILDING �' �; r I I: i:f i„ �, i •r � r �- 48:,FINAL PLANNING�; i--. .� ,:.� I I y i,�;r J �� v- -- 5•: 49rElectricReleaseto�Edison � �r I � /N*+%>• ? � +� - ' � 1 _ Ix a r a •, 4 50.•. J i y 1 I� y^@ .J J . ).. ..,. � �.. . . �-.. Gas,Release to Southern Califocnia Gas Co � i ,..,ir .� _ .., � . -, . . .�. . 51. CERTIFICATE OF.,:OCCUPANCY .tt ' �: x c � : �rs . .# i- . ; ,,� -v . . No. Date : � PNOIECT�OOHESS: ZSOO MARK LN owxex�sxune: FAIRVIEW MGMNT. CO. , aoo�ss: 2520 MERIMAC CM CA92626 ' - uxir: NONE 0 RPCNIENGINEEP: flEG.ND.: RODflE55: BURKE LI:STER & ASSOC. C–C��S 23025 MILL CREEK RD PEpMmEE: LAGUNA� HILLS CA 92653 aooness: SANTT.AGO AIR COND ( 714 ) 99fi-1600 (�q p231 RW BI.,UERIDGE (.� LICENSED CONTMCTOAUiCUN�TfON: I �eaby allirm ttat I am IicenuE unCer proNSionzoi�C6hapter 9(commendnp vnth Seclian 7000) ol DiWsion J of t�e Business and Vrofessions CoEe, an0 my littnse is in lull lorce ane efiect. Cltt 11C.: ETRTE LIC.: C ^S: . . ^-7 00798 26949G – 0 Date: / � � � �"_ �.(� SiO�aNre: � WONKEIiS' COMPENSIITION OEClAN1TI0N: I �ere0y alfirm tAat l have cer�fiwte of cn '� ulbin5ure ar a certificare oI Workers' Compensatidn Insurance, or a cerlilieE copy thereat (Section 3800. LaE. q. roucrxo.: WC8732U51 �° o"rE: U4 /01 / 0 rornv�xr: pACZFIC ST�TL$ � CeNiieC coOY �s herehy Iu/m�lSheE. CerlJieE coDY � �ile0 with tAe dry BullOinp Oivision. Dale: `—1 �—`' � Pppliwm: E%EMPfION FPOM WOPKEIIS' COMPENSR710N �ECWWTION: (this section nee rot be compkte0 if (m it is for one hunOreO (510� or kss). I Cehity �ha� in t�e peAormante ol �he wOd lof wAic� lhis permii i5 iSsueG. I Shall noi ¢mploy a persd in any mann¢r 5o az Io beCome su01e�� o tAe WOAers' Campensatian Laws ol Calilomia. Oate: S'rynaWm: NOTICE: It, atler maWnp tMs Geclaration, you shauM Oecome su�jecl to the Warkers' CompensaGon D�sians oi tAe La�or COAe, you must forlAwi�� comply wiN sucA Omdsions or Nis permit shall �e CeemeU revokeE. CONSTNUCTION LFNDING RGEMCY: I �ereby aifirm Ihat IAere is a constmction lendinq a0ency for Ihe pedormance ol the work for wNcn mis permit is issuetl (Section 3097, Gv. C�. , � IFNOEH: A�ONESS: ' ' ' OWNEB BOILDEB OECIAMTION: I hereby affirm tAat I am axempt Imm tha Contracrors' State License Law for the followlnp reason (Section 7037.5 Businett and Pmiesslonal Cotle: My ciry al counry which requires a permit ro constmct, alter, imD�ove, Oemolish, or repair any stmcNm, prbr to its ksuance, alsa mquiras ihe applicam Por suc� Oermit to lile a siqneC statement that he/s�e is Ilcense0 pursuam ro the Oronsions of tAe Contractors' State License Law (Cnapter 9lcommendnp vnt� Section 7000) ol Oivision 3 0l tne eusinew an0 Pmfessons CoUe) or that AUSAe is eeempt Iherelmm an0 ihe hasis far iha allepeG eKemD�ion. Rny violation of Sectian 7031.5 Oy any apDlicant tdr a permit suClacis tAe apDlicant to a cidl penalry oi not more Ihan live �unEred Oallars (5500�. I, as owner' of the D�aOenY ar �my employees with wapes as t�eir sole compensation, will do itie work,� and the ❑ simcWre is noi intenOeA or ottere0 for ula (Section 704d, Business antl Profasslonal CoAe: The Coniractors' State License Law Ooes nol apDh �o an owner of a proDeriy w�o OuilEs or ImD�a�es Ihereon, an0 w�o does such work Aimulf/hersell or ihraugh -his or her own employees, D��4� �� suc� impmvemems am not intentleU ar aHereE br sale. Ii, Aowever the builtlinA or impmvement is sa10 witMn one year ol camDletion, t�e owner will Aave ihe UurOen of Drodnq �e/5Ae EiE not Eui10 or imDrave for IAe puryose at sale�. I, as owner ol Ihe Oroper1y, am exclusively coniractlnp witA Ilcense0 contractors to constmct the pmlect (Section 70Gd, Business ❑ anA Pmlessians CaOe: The Coniractors' SWte Licensa Law Eoes not aDDN �o an awner af prope�ry wAo hml0s or imOmvu thereon an0 w�o contncts far sucA pml�u �th a coniroctor(s)licensa pursuant to tAe Cantractars' Stam License Law�.l am aware Ihal Droof of IAeir Warkei 5 Compensation IniufanCe StwulO be pm�AeE ro m0. -' � I am eaemp� unEer Saclion: ' 8. 8 P. C. fof Ihis reazOn: � . Date: Ownec I Eo hereCy certity Ihat I am aware al an0 untlerstanE tAe requirzments ol Califomu Heatt� anC Safery CoEe Sectiom 25505, 25533. an0 25534 anU ttwt I or airy hrture WilEinp occupant wilUwlll not (tirGe one) neeOlo compty with uiE state coEes an0 the reQuirements tor a permit for constmttwn or motlifiwtion irom IAe N'r�ualiry Manapement Oistrict. Hesidential consiruction appliutions are exemD� ��om t�ese pmvisions. ' Date: Applicanc � I herehy ceNry ttut I have read tA¢ apDliwtion anA state ttut the aDove infarmation B mrrect. I a0�ee to comDN ��h all ciry anE wunry a0inance5 aM siare laws aWtlnp to OuiWinq conslnidion arM lieretry autAor¢e re0�nlatives af Iha ciry to enter upon tlie a�wamentione0 proDeM for inspecibn pmposes. Uate: �— I �1�� SiAnature: Drivei s Licensa ar Sada1 Secunry x: �� ,� ,� � � � � 169Ld6 W�IIe—Bu110iig; Green—CoEe Enlorcemen�; Canery—Applicflnt; Pink—R nue� oltlenroE—Assasaor CI1'Y Of' COSTA MESA – BUII,DING PERMIT PERMIT NO: M 046099 PLAN C:HECI( N0: , N. CONSTRUCTION TYPE: V–N PERMIT TYPE;�MEC JOB DESCRIPTIODI ; NEW SFD PERM NO: M 046099 GOVT: N SUPP: N " FURPOSE: n1'!I SQ FT: CLAIM �'ALUE: CALC–VALUE: GROUP OCC: R-7 /M:1 � COMMENTS: REF D44802 - if if if 3t iE iF iE 1t iE ik iF iE?E �lk iE )E M)E iE iF iE iE iE it iE iE k iblF �1f iE if it iE �lf iE iE 1E iF iE iE �lh iE �1F iE IF it iF iF 3E iE �X� 3t dE iE 3E i! if ir iE iE 3E i! iF iE iF iF if iF �1E iE # 3E it� iE iE iE K if 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 � ------------ M1\IN BUILDING ---------- ---------- ACCESSORY BUILDING -------- FRNT': FT IN REAR: FT I�l FRNT: FT IN REAR: FT IN LEFT: . FT IN RCHT: FT IN LEFT: FT I�N RGHT; FT IDI PARKING REQ: PROV: PARCEL: OOOOOU00 2NE: ' REE NO: FLANNING D10TES> � _ . :�%3f 3E iF �E f! iE f! fE iE 3E �E iF 1f iE 9! iE iE iE i! iE I(� 1f !E ik iE # iE iE iP if iE iE 9E 3E iE 1! �k �3E 1t it if� 1E iE it if 1E iE iE iF ik �t iE iE iF iF it iF it iE k�1E iE j(� iF 9f iF j(.�E iE iF if iF 3f +E iE �( iE jf 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 � DAT6: BUILDING APPROVEll BY • ` — DATE: ' 'APPliICATION ISSUCD BY:� ,DATG: �Z� �Q �(� •jEi(-3EiEifiE�iEiEjE�EffiE1E*iEiEffikifiEitiE�'l F�� —. ti SFiF�t��F{FiEkifiFiE3E��EikaF�R�if'iFs�F�F?r'�EiFlE �1fiFiF�f-1f1E�1FfElEifiElE�E�lElEftiE�lflfiElFfkiEiEiE3(-1EfElEfEfSitifK�itiE�ti!-0E�Y iFlfiEifiEiEi(�#iE1E*ifiEiEK-iEifi'lfifiE�lEfflfff3E3EltlEiflk-0EiEiEk',EiflE LEGALiZATION:N F G E U M M A R Y STF.UCTORAL SFGMENT:id BLDG PMT PLUMDING ELEC7rfiIC MECI�ANTr I'IRE s"MIP/kES GRAUING PERMTT 9,00 25a SMIP/NON–RES ' PLAN ISSUE FEG 15.00 13UII.DING–UTV–% PERMI'P ISSUE • PLAN–CHECK TO'TAL PATD DUE TOTALS=---> 9'.OU 15.00 0.00 24.00 24.00 .UU REVENUE DIVISION TOTALS-->. COLTECTL'D: 24.00 OVER/SFiORT: ,00 BLDG PMT PTUMBING F.LF•:CTRTC MECIiANIC FIRE SMIP/'POT GRADING FLAN–CF3ECIC 24.OU if �E iE 3f iE iE iE it it it iF iE M iE IE ik it it iE �)t iE iE iE ih iE iE M N� if iE iE �E iF ik if iE if if iE iElE iF iE it aE iF iE iF iE iE if iE 1E iE # iE it 3E iE iE it �)E iE 3E if iE ik iF dE �k iF dE k iE # k iE 3E #� . I N D I V I D U A L F E L B R E A K D O W N TYPE Q"I.'Y I? E.S C R I L' T I O.N UNIT COST • TOTAL COS7' t4EC 1 INSPALI, FORC/AT.R FURN <= 100 K IITU/H 9.00 9.00 END OF PEES O1 Q0054D83-00054U83 Ta] T 24.00 OATE: 02/14/90 TIflE: 14:36 GONSTRUCTION AND PLANNING P� '� SPA APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector � 1. TemDorary Electriral Service or Pole . 52. Pooi & Equipment Location 2. Soil Pipe-Undrgmd. - .. 53. Steel Reinforcement . 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms • 4. �Electrical Conduit-Undrqrnd. � � 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. Foundatiori ` 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. 70. Structural Floor System ' . 67. APPROVAL TO DECK 17. Property Sewer Line & House Connection 62. Backwash & Receptor�Final � 12. Sewer Cap _ � � ' 63. Heater & Vent-Finai 13. Roof Drains . � 64. Plumbing System - Final 14. Rough Plumbing� 65. Electrical�Finai 75. Rough Electrical-Conduit 66. Solar SYstem-Final � 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 16. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS�FINAL 19. Rough Heating & Air Conditioning 3/Y/40 �J�i� FIRE DEPT. REQUIREMENT 20. Rough Factory FirePlace • � APPROVALS Permit # 21.. Ducts, in Structure '' 70. Underground Hydro 22. Ducts, Ventilating � 71. Product Pipin9 � Gas ❑ Oil 23. Gas Pipe�Rough & Test • .'. 72. Underground Flush 24.' Roof Framing � 73. Undergrnd. S[orage 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 r• HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - ` � 79. FINAL INSPECTION ' .32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33.'Final Electric � � I'� Notes: . � . �34. Final Heating & Air Conditioning �i,��ri / � � 35. Final Gas PiDe-Test �� • h�'j 36..Hood or Canopy ._ i f� -37. Final Factory Fireplace • � 38. Final Plumbing � 1, 39. Water Service�Final � - '� � 6 40. Gas Service�Final - � ' 41. Solar pomesticFinal . , . 42. Backflow Preventer � ' 43. Backflow Irrigation - � , 44. Landscape IPripation System � - ' , ' 45.-Sound Attenuation � , " - � 46. Handicap Regulations _ . 47.�FINALSTRUCTURE&BUILDING . `� 48.-FINALPLANNING • � � 49. Elearic Release to Edison .• 50. Gas Release to Southern California Gas Co _ 51. CERTIFICATE OF OCCUPANCY � No Date PflOJECTR00HESS: 2SOO MARK LN ' ux�T: NONE OWNEN'SNRME: FAIRVIEW MGMNT. CO. � � - nbUREss: 2520 MERIMAC- ' CM CA92626 - � � �BCNIENGINEEH:'HURKE I�,�STER & ASSOC.� PE0�N0��C--�925 �ODBESS: z3OZS MILL CR�EK RD xir: - ` I,AGUNA HTLLS CA 92653 " PEHMITiEE: �OUG SCOTT F.LECTRIC ( 714 ) 775-0061 nooeess:.16028 MOUNT HICKS ' FOUNTAIN VALLF.Y CA 92708 UCENSED LONTMCTOB OECIAMTION: I h¢�¢by aKrm that I am license tler DroNsions oi CAapter 9(wmmencing witA Sec�ian 7000) oi Division 3 of t�e Business ane Pmlessions Code, antl my licens s n lull lorce an0 ettact . � cirr uc.: p 6 sTnre uc.: 3 7 9 Z 9 5 �(' -10 Oate: Sipnature: WOXKEPS' OMPEI SGTION OECIAMTION: I �ereby affirm that have ertificate af consent ta selhinsure or a certificate oi Workers' Compensation Insurance, ar a certitietl coDY �hereof (Section 3800, Lab. C�. roucrxo.:536366-'89 exr.onre: 07/01/90 'OMPRNY: STATE FUND • � Gertified coOY is hereby tumiSheA. � �¢rtifed wpy is fileA wttA ihe �cjiry BullAinp Uivision�. / Da�e: �� y d . Applican�'G �4 V Ltj%%_ ( _/ C2n/ v � �" - EIIEMPTION FflOM WOXKERS' COMPEN&1TION D[CUMTION: (This se an neeG noi 6e cam01e�e0 il Ihe permn is for one AmMretl�1510� or kss). 1 certity that in ihe Oehormance ot the work for whic� this permit is issueU, I s0all not employ any person in any manner so a{ro Eecome sublect ro the Workers' Compensation Laws Ot Calilomia. ,—,� � , Date: Siqnawre: NOTICE: If, aiter making this declaration, you s�ould hecome suhlect to the Workeis' Compensatian O�odsions al Ihe La�or Catle, you must forthwit� wmDN ��h spc� Orovisions or this Dermit shall Ee deeme0 revoketl. . . CONSTBUCTION tENOINC 11GENCY: I hereEy aflirm t�at t�ere is a constmction lentlinp aqency for the petlormance of �he work Por which Nis Derm% is issuetl (Sec[ion 3097, Gv. C). ' �, : ' IFN�Efl: , . . � I RDORESS: ' . , . -., � OWNEB BUILDEB OECUMTION: I Aerehy aryirm t�at I am exemDt irom the Cantactors' State License Law tor tAe follounnq reason (Section 7031.5 Business an0 Pmfessional Cotle: . My ciry ol counry which repuires a Dermit ro construct, alter, impmve, demolish, ar re0air any siructure, D�or to its issuance, als0 requires Ihe apDlicant br suc� permit to file a sipnetl statemem Nat he/s�e is Iicense0' pursuant to ihe proNsions of tAe Caneracrors' State License Law (CAapter 9(commencinp vni� Seclion 7000) ol Division 3 of I�e Business antl Professions CoOe) ar I�at he/she is exempt t�eretmm an0 t�e Gasis for the allege0 exemption. My violation ot Seciion 7031.5 hy any aDDlicant for a permit su01e�� he apD��nt ta a civil Denalry oi not more Ihan 1'rve �unEretl Eollars (5500). . I, az owner of t�e D�operry or my emVloyees with wages as Iheir sole compensation, will tlo t�e work,�an� t�e ❑ structure is not intenAeO or onerea for sale (5¢ction 7044, Business anU Protessional Code: The Contactars' Stata License Law Eces nut a001y to an owner af a D�aPMy who UuilAs or imOroves therean, anE w�o tloes such work himsetl/herutl or t�muA� his or her own employees, provitletl ttwt sucA improvemenis are not imen0e4 ar otlere0 lor gale. It, however ihe Duildin0 or imDrovement is solJ withm ane year 01 completion, the awner will �ave the OurOen ol proving he/she OiU not build ar impmve for the Duryose of sale�. � � I, as awner oi the D�opeM. am exclusively comracting vnih licensed caniractars to consimct ihe prole�� (�ction 7041, Business ❑ an0 Professions CoEe: The Cantactor�� g��ie Licenu Law Ooes not aDPN �a an awner oi Droperry who 6mPos or impmves I�ereon and wM coniracis for such Oml��s Wi�h a coniraccor(5) lirense Oursuant to ihe Coniractars' S[ate License Law�. I am aware Ihat proot oi t�eir Worker's Compensation insurance s�ou10 be Droviaetl to me. • � 1 am exem0� untler Section: ' B. 8 P. C. ' � for this resson: ' Date: Ownec ' ' I Oa nereby certiry t�at l am aware of antl untlerstand tAe requirements of Califomia HealtA antl Safery Cotle Sections 25505, 25533, antl 25534 anU that I or any tuture Guil0in0 occupant vnNwill not (�ircle ane) nee0 to comply witA saiA stare co0es antl t�e reQuirements for a permh tor canstructian or modification imm the Nr OuaIM Management OisMCL HesiAential consimction appliwtions are exempt tmm �Aese provisions. � � Dah: Applicant: I hereby certiy t�at I have reatl IOis applicatiop an0 state ttu[ t�e a6me info a� n is cartect. I apree to wmply � � all ciry an0 counry ordinancesanOSGteWwsrelatinAlobuilUingcansvucUonand�ere0yautho' r resentalNesofthisdrytoenter nlhea�ove-mentianeU properry tor inspection puryoses. Oaie: L D SignaWre: �"� �nver's License or ocial Secunry M: � 16C1-48 W�ite—BuilEing; Green—CoCe E��orcement; Canary—Applicant; Pink—Revenue; Goltlenrotl-Assessor CITY OF COSTA MESA — BUILDING PERMIT P£RM NO: E 046432 PERMIT NO:��E 046432 PLAN,CHECK NO: N GOVT: N SUPP: N CONS'TRUCTION 'CYPE: V-N PERMIT TYPF.: ELE PURPOSE: OTH JOB DESCRIPTION : NEW SFD SQ FT: � CLAIM VALOE: ' CALC—VALUE: ' GROUP OCC: R-3 /M-1 COMMENTS: RE:B44f302 (2357# SQ FT) ' ' �*�**�*�r*****�e*�c�*�*�***+�*+��t�**�**��****��r��r*+�*�ex�i�*�r*�**�*****�*x�+�***��c**��* Z O N I N G R E(2'U I H� M E N T S S E T B A C K S ---------- MAIN HUILUING �-----�----- -------- ACCESSORY BUILDING -------- FRNT: FT IN REAR: PT IN FRNT: PT IN REAfi: FT Ihl LEL•'T: FT T.N RGHT: FT IN LEFT: FT IN RGHT: FT Ihl PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING NOTES> ; � iE iE jE ik it iF iE 1E iFlf N If IE M IE ik if if iE iE ik iE IE 7E if 1E iF if iE if ik 1f ft,1E iE iE iE it iF ib fE lE it 1E 1E 3F iE iE 3E iF iF iE if iF if if 1E �E ik iE 1f ik iE 1E iE iF iE iE IE if 3E iE iE iE iE 3E 3E if'if D F. 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 AY, %Y� �- DATE: , BUILDING APPROVED HY : � DATE: ' APPLICATION ISSUED'BY:� % �)E�E1EiEihiElEitkiEifiEM7ElEiElEfFikititif �� ik �t iE iE ik if iE iE k if iE M 1f iE 1E iE it if if iE 1F 1t k iE if if iE iE 1E IE.3E IE if LEGALIZATIO,N:DI, F F. IILDG PMT PLUMBING EL PERMIT PLAN ISSUE FEE BOILDING--DIV—> PERMIT • SSSUE TOTALS-----> ' ft2.50 15.00 � DATE:��'� '�� r*i��r��r*** �'�'�F�'*"i�i -«n 1f�Ffk iliEifiFlFiEifkiklfiElf�EiFiF1E�1f�ElEMfFiEik�i�E9EiFiElfjEiEiEiFiEiEiE3EfE E S M M"A R Y STRUCTURAL SEGMF.hIT:N ECTEt C MECHANIC i'IRE SMIP/RES GRADING 8 2 . � OY SMIP/NON—RES 15.00 � PLAN—CHECR TOTAL PAID llUE 0.00 97.50 97.50 ,00 REVENUE DIVISIOIJ TOTALS--> COLLECTED: 97:50 OVER/SHORT: .00 BLDG PMT PI.UMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK - 97.50 it 1E IE if iE iE M 3E iE iE if iE i( if if iF i4lk iE if iE if iE if iE fE jE 14 iE M iE iE iE if fE 3E M 1t if iE k M IE iF �E iF iE iE iE iE M if iE IF 3E iE ik �E If Ik ik if iF i(� IF If iE �E 1E� ik �k iE iE 3f 3f k K if 3E I N D I V I D U A L F E E, H R E A K D O W rl TYPE QTY, D E S C R I P T I O DI UNIT COST TOTAL COST ELE 235"7 NEW RES DLDG FOR 1 OR 2 UNITS/ SQ FT END OF FEES a 03 . 82.50 A i O1 06I155E2J—OOD.�5327 TCtiT 97.u0 6ATE� 03�12l90 TItfE: 11:33 i i : ,:UNSTRUCTION AND PLANNING � � � P� & SPA � APPROVALS Permit# Date Inspector p�ppROVALS Permit# � Date Inspector y 1�. Temporary Electrical Servi f or Pole� ;! %� � 52. Pool & Equipment Location '� 2.. So.il Pipe;Undrgmd.r. _ �� / 53. Steel Reinforcement �i v 3��Electrical�Gon_"dui4�Utility-Undrgrnd"• ~ � � 54. Forms �� r "'4'.�.Electrical'ConduifUndrgrnd. 55. Electrical Bonding h-� a ..i �;5.�:$teel Reinforcement � - 56. Rough Plumbing & Pressure Test �,L..:_.�- '6,�Electrical�UEERG�nd. _, . . . � 57. APPROVALTOCOVER�GUNITE � _ ]�. Footings';' _ - - /� 58. Electrical Cqnduit�Undrgrnd. � , 8. Poundat on� � . f �� , 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrg'rnd. '�f� . �� 60. Backwash Lines, P-Trap, O Undrgrnd. ' ��' 10. Structura'I Floor System' `� ' �-� 61. APPROVAL TO DECK �;� � �� 11. Property Sewer Line'& House�Connection � i . 62. Backwash & Receptor-Final ��; 12. Sewer Cap _ ,_. � 63. Heater & Vent-Final � .i 13. Roof Drains. ,_ _ ��+ % �64. Plumbing System � Final 14. Rough Plumbing �� ('� �� 65. Electrical-Final �� 15. Rough Electrical-Conduit i� 66. Solar SYstem-Final �`�; 16. Rough Elearic;Wiring 3� 67. Fencing & Access Approval � - � . _77. Rough Wiring Sign � � 68. APPROVED FOR PLASTERING � �18. Rough Electrical�T Bar Ceiling . 69. POOUSPA SYSTEMS FINAL ' - 19., Rough Heating &.Air Conditioning _ �, : , Y,FIRE D�PT. REQUIREMENT 1-. ^ F .� J �y � '��i . M , _. 20 �Rough Factory Fireplace t., , , -APPROVALS',:.:. -Permit # 21.'Ducts, in Structuie= '"' -' T� - ' ' ' J70. Onderground, Hydro ' � - � - 22 Duas, Ventifating. <� ' r- - -. -�71. ProduccP,iping O'Gas ❑ OII 23, Gas-Pipe-Rough & Test � � - � � � '�' A ' '•72. Underground FlusFi- '- _ 24��Roof Fr,aming ' y� ��- - •- � .� "73-�Undergrnd.Storagg;Tank OGas ❑Oil 25. Roof Stieathing _� �- '' _ 7q' pverhead Hydro_'_� 26::T�Bai Ceiling (Structural) &'Monocoat - . � 75s�Dry Chemical . � 27.�Frame and Flashing �_ . ' � ' � � x 76. Dry Standpipe ' - : 28. Lathing-& Siding ; ' - _ - � , ' '� � ;' 77:. FIXED SYSTEM.F;INAL _ - • 29. Insulation - - ':,.• a' 78fFIRE PREV. FINAL - � 30. Drywall Nailing ��_ ;_ ;"� � - HEALTH'DEPT. REQUIREMENT �" 31. Plasier Brown CoaL _ '-' '� �''79. FINAL INSPECTION '- -..32:_Electrical Power MeterF,inal s � SO-;FOOD CERTIFICATE ISSUED L33�Final Electric� t � `�6'4Q , ,��, Notes: - -� � . � 34 �Final Heating & AicConditionfng �_ �� ! I� �.'* _ � _ Y, . -� ' 35` �Final Gas Pipe-Test- � •� -. � � �i�, x. - � _ _ - - �36._Hood or CanoPY � - � �" ". "�F � - ' ' -' ' � c r. c . r -� - -37: ;Finel Pactory Fireplace:-' - - � � �. � .. _ 38. Final Plumbing ��' �," ' � t � * : _: r ' �'�39. N'a'ter Service�Final:. - " , -. � k ,- : ' - � - _ :40. Gas Service-Final ` - � J-" " ' ' � Y. �. - ; '� • � _ 41. Solar pomesticFinal - - � � ': : -� ; _ . .. 42. Backflow Preventer ` ' - = - • � ' r. . � r: ' 43. Backflow Irrigationr , - i � �� ' � �44. LandscaPe I"rrigation SYstem=�i`_ , i - � �, ':. �. .! : r` . _ ` �_ . � t *- '45 ��Sound .Attenuation �- •. ` . -;�s ;� - � � _ . _46.•�Handicap Regulations r" - `-i' . � �- _47rFINALSTRUCTURE&BUILDING '(.c;; ,, � _. , _ 48�FINAL P�ANNING ' - �.' ; i :� _ 49 „Electric Felease to�Edison ��' � , -50:'Gas.Release•to Southern California Gas Co - .��i.�'^ L - - • � "� 'r, . ', -�51. CERTIFICATE OF OCCUPANCY ' • - - � ' No: � Date