HomeMy WebLinkAbout2504 MARK LN - Building Permits, �
?xaect��ooxess: �504 MARK LN
OWNEfl'SNRME: �'AIRVIEW MGMNT, CO.
aoowess:2520 MERIMAC
, CM CA92626 �
uxfr: NONE
�NCNIENGINEEfl: BURKE LESTEA 6 ASSOC. pEa.xo.:C—C���S
, �ooness: z3025 MILL CREEK RD
LAGUNA HILLS CA 92653
PF"MmEE:FAIRVIEW MGMNT. CO. • (714)545-7327
�ooxess: 2520 MERIMAC WY
CM. CA 92626
❑CENSEU CONTMCTOB OECIAMTION: I �em0y atlirm t�at I am IicenSeA un0er pmdvons al CAaD�er 9(wmmentinp wit� Sectbn
7000� ol DiNsion 3 0l Ine Business and Pro�essions CaGe, anG rtry license is in NII �orce an0 elletl.
CITY Ut.: STRTE UC.: CLASS: .
Oate: SiO�aNre:
WOPNEBS' LOMPENS�TION OELUMTION: I �ere6y atlirm tAat I have a ceniticate al consent ta selbmsure or a certifiwte af Wo�kers'
Compenuuon Insurance, or a cetlifieA mpy thereoi (Sectlon 3800. LaO. C�. '
�, PoLICY NO.: E%P. O�TE:
COMP�NY:
❑ Certi/ieE copy is hereCy Iumis�e0. ❑ Certitietl capy is fileE vnth the ciry BuilOinp Olvislon.
t -. �
Oate: Npplicant:'
il �he permit is lor one hmMreA (5100) or less).
ny person in any manner so as ta Oecome
Oate:....../ ........ __... ............ _.......Siqnature .� � .
NOTIC : II, er makinq t�is Jeclaratian, you shouW. e subj t Ilie Workers' mpenutlan DroNsions ol the LaEor
Cotle, yau must torthvntA comON ��h suc� Dmvi3b r tNs per sha�l Oe CeemeE rarokeA.
fANSTBUCTION 1EN01N0 RGFNCY: I Aea6y atfrm tlwt I�ere is a wnstru�tian IenEinp a0enty lor tAe petlormanu of the work for
which tlus permit u issuetl (Sec�ion 3097. Civ. C). •
LENOFfl: •
�DDflESS: ' .
OWNEP BUIWEP OECUMTION: I �ereGy attirm that I am eeemD� �rom the Contraciors' State License Law lor ihe lollowinq reason
(Section 7037.5 Business anE Pmfessional CoEe: My ciry of counry w�ich requires a permii to construct, alter, ImO�ove, tlemolish, or
repair any slmcNre, Drior to its iuuance, also requires [�e applirant for such permit lo file a sipne0 stalemeni ��at �Usha i5licenseE
pursuant ro ihe D�ovisions af ihe Cantraclors' State Licenu Law (Chapter 9(commencinq witA Section 7000) al Uivisan 3 ot the Business
an0 Pmfessions CoAe) or tAat he/she is exempt t�erelmm and the hasis tor tAe alleAeO exemption. Any nolation a65edion 7031.5 Oy
any applicant for a permlt suEjecis t�e appliwnt to a civil Oenalry oi not rtwre than five hunOmO Uollars (5500).
I, ss owner ol Ihe Droperty or my employees with waA� az tAeir mle comDensation, will Go Ne work, antl ihe
❑ slrucNre is not intenOeA or ofleretl /or ule (Secnon 70M. Business and Professional CoOe: T�e Contractors' State Lkenu Law
Oces not appty to an owner al a DraDeM �o Duilds or imprmes ihereon, anA who Oces suc� xrork himull/hersetl ar t�muAh
his ar Aer own employees, pmW0e0 that sucA imDrovements aa nat inhnde0 ar atleretl lor ule. II, however tAe huilAinp ar
• imOrovement is sol0 vnlNn one year of completion, tAe awner will �ave Ihe hurJen of pmvinB �e/s�e tlitl not OuiIE or imOmve
for ihe Durpou of sale�. .,
I, as owner of tha pmperry, am exclusively contractinq wilh licensed wniractors to wnsimct ��e pmlect 1Section 7044, Business
$] 'anE Prolessions CaOe: The Contactors' SWte License Law tloes no[ apDh �o an owner of pmperry who �uIIEs ar impmves therean
an0 w�o contracis for such pmle��s wltA a contractoqs�license pursuantto tha Contractors' State License Law�. I am awaie
t�at pwof ol their Workar's Campensatlon insurance shoWE Ue pmNdeO to me.
� I am exemD� unUer Seclion: B�8 P. C. -
lar thls re on:
!
Date: �� ' Q+mer
I do hereby c iry tl at I am aw re of and untlerstan0 t�e reQuirement ifomu Healu�tl Salery Code Sectrorts 25505, 25533, and
25i7a anOltwt I or.airy tuNre �mlEinp occupant wdl/w�ll not (drde one) nma ro campry Gt� SaiE state co0es an0 Ne requirements for a
permit far consiruction or moAiliratian fmm the tir Quatiry ManaOement DisVict. HevGenGal constructbn aDd��uans are exempt tmm
theu D�ovisions.
Date: Apvliwm: -
I hereUy cenity ttwt I have read tnis ap0liwtian and state tha� tAe ahove iniormauon is correct. I apree ta comON'm�h all ciry antl counry
ortlinances anA state laws 2latin0 �o buildin0 �onslmciion antl hereCy autlronze repreuntalives ol this ciry lo enter upon t�e abovementionetl
pmveM �ar insD��i n pumo es. . �
Oate: SIA�aNre:
oriver's �ice e or cia� securiry x: � '
164N8 W�Ite--Builtling; Green—CoEe Enbrcemen�; Canary—Applicant; Pink—Ravenue; GolCenroE=Asseswr
�
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 044806
PERMIT NO: B 044806 PLAN CHECK NO: ,N � GOVT; N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: NEW
JOB DESCRIPTION : NEW SFD SQ FT: 2,357
CLAIM VALUE: 107,�712,00 CALC—VALUE: 136,145.50 GROUP OCC: R-3 /M—\
COMMENTS: PC #1296-89 L PAID \
+r�r�t**�****r**x **xr�rx�*x*�r�*x**�*r*�e�e***�r�e�*�+�*�ritrx��r�r�rr**�r�r*�r****�r�r*�**�r�*x�**��r��r
Z O N I N G R E Q U I R E M E N T
s E T B A c x s SHOLD FOR SPECIAL REQUIREMENTS
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ------=--
FRNT: 25 FT IN REAR: 30 FT IN FRNT: FT IN REAR: rT IN
LEFT: 5 FT IN RGHT: 5 FT ZN LEFT: FT I��cxol'a-i3 FT IN
PLANNINGRNUTES>DALLKCOVERED PKINGNFOR THEL225UNIT51 REEIN�GARAGES d��,D��K�qG1AL RFQU��'Ij
if k k iF iflflF it iklF it i! fk if ik if M M if iE fE iE iE �f.iE �k if 1E fk k k ikik iF iF iF iF ikiF if iF iF i! 1! 1! 1E if M k iF ik 1F iF iE i!!! 1f i! if M k k it 1! 1! If iE iE iF iE ik ik iF if it 3F fElE ik
D E V E L O P� M E'N T S E R V I C E S R E Q U I R E M E N� T S
ZONING APPROVED BY ' ��'`�-' DATE: `���c3•� �9
BUILDING APPROVED HY_ :� I�—.-PC � DATE: _ �-ii' �'i�i
APPLICATION ISSUED BY: DATE: .`�
kikifkifkififlEiEftitifiEkkifMiFMiEk iFkkiEifiFMkifk 1f
ikMiEifMKMIEiEkiFiFiEifMifiFklElFfE±E1fIFlE3F�ffFitlffEiFlEififiEfEiEiEiE fEiFiE1F1lIEMititiflfiEiEifiFiEMlEikMiElkMifiElEiFMiElEiFiEiEiEifiEif
LEGALIZATION:N F E E S M M A R Y. , STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES ' GRADING
FERMIT 769.00 , 9.53
' SMIP/NON—RES
PLAN '
ISSUE FEE "
BUILDING—DIV—> PEAMI•T ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 778.53 _0.00 0.00 778.53 778.53 .00
REVENUE DIVISION TOTALS--> COLLECTED: 778.53 OVER/SHURT: .00
BLDG PMT PLUMBING.F.LECTRIC MECHANIC FIRE SMIP/TOT GRADING.PLAN—CHECK
769.00 9.53
ikiEMifMMMkMiFikMkklEkif�EiFlfiF,iEiklEifffiEkMMiflFlEififlffflflk�f�fiEiE3fiFiFiEiFkifiEiFiEifiEiEifM1EltiElEifMifiFiEifkikiEiElEiEiEikiEifiE
I 1J D I V I D U A L� 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 FRAME —GOOD, 67.70 •128,291.50
SFR 462 RES—GARAGES TYPE V' 17.00 7,854.00
END OF FEES
.
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I � -' _ . PO. ,& SPA
COiVSTRUCTION AND PLANNING
t
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole - � 52. Pool & Equipment Location '�
�:,Soil PiprUndlglnd.^. ` 53. Steel�Reinforcement � '
�!�.�lec[rical;Eonildii;�Ufility-Undrgrnd. 54. Forms � • '
� 4.�{pctrical�CoOd"uit-Undrgrnd. 55. Electrical Bonding ' �
�5.CSieel Reint-orcement 56. Rough Plumbing & Pressure Test
':} {JHYI
�-1 �'1 � S I�. ti
�i$�LElectrica6UF�R6rnd. 57. APPROVALTOCOVER�GUNITE ,.,
S 7:� Footings C? SC1 �y, �f/. 58. Elec[rical Conduit�Undrgrnd.
c_ -�-
8. Foundatip� _'r .' 59. Gas Pipe, O Undrgrnd., Test `
��. Water P'ipe�Undrgrnd. � _ 60.-Backwash Lines, P-Trap, O Undrgrnd. �' ,
10. Structur'al��loor SYstem Yb . 61. APPROVALTO DECK � )
11. Property Sewpr Liri@;& House Connection 62. Backwash & Receptor-Final ' �
- 72. Sewer Cap �i N 63. Heater & Vent-Final
73. Roof Drains:�� n 64. Plumbing System � Final � ;
14. Rough Plumbiri_g . 65. Electrical�Final .
15. Rough Electria'1-Conduit .. - 66. Solar System-Final ��
16. Rough EFectricSNiring 67. Fencing & Access Approval
c ni
.r-r17. Rough Wiring Sign ` 68. APP.ROVED FOR PLASTERING
��18. Rough Electrical-T Bar Ceiling 69. �POOL/SPA SYSTEMS FINAL
19._Rough Heatin�q &.�4*r Conditior�,i�9 „., y. �� G ,�� .� ._FIRE D$�T. REQUIR€MENj, ��ti
20t,.-Rou h Fectoi Fie lace ��.: ='V "' v '� _".,� ' r ' '�G :i. * >� r• �?
9 .Y .P •.,�c; c 5 H., x x'APPROVA{$;i..:�ermrt #
� C. � `I `Y C �V'
21._Ducts, i�Str`nctufe,'�: .. .. '-`-r' �: S C �''": * y70. �y� der o��d H �ro * -
� s�-+ r,. � C� K#. -. 4I� 9 J 1�! �
✓ tv .. �. .�.� . .� �.� a ..
22.rDuc[s, Ventildting!y: vi fJ �= �, C3 F•�{; x C71. Product-Piping O��as O�OiI
23.'Ga's,'PipeTRoi�h&�est `�n ,�*�.�?'� � � ���j7y,UndergroundFlush�r' * � `�
x„ �
24 "'Roof Framing ' �x `�'r ; �- ,� ^� � :.x• * -73 :Undergrnd. Storag�ank�O Gas ❑ Oil �
25_Rovf Sheathing �x 'C !?�'' � � � � � ^7q^Overhead Hydro_�^ �
26_T-Bar Ceilin (St�:ucturall &`Mo'n`�ecoatL.; � � '� r`� �. -� � x..-� _ •_ v,
9- � i+ C�xc r 75._Dry Chemical �-� R „;
27�Frame a�d Ffashing; ��� Q� rk � 76. Dry StancF'pipe �^ $ �_ N �,;,
�'� r"� m t-�':t'l ^FI .
�� `28. Lathing'& Sidin9^ a: �' r�jr�, . r.' ^ '�� �?� , � � y � � �
� � � �� -77 ;�FIXEDSYSTEM�.F,�INAIx,- .'S
I' ,-_ _ .. y, . . _ _' � � . A . ,.
.�29. Insulati,p_n � ; * .r � ���� ;r ..* 78.:�FIRE PREV. FI(VAL � �'
� ;-� - -. a: �, 'Q 5 � a -. � � x '� �� m
30. Drywall Nailing ;�Y �..; � J2, y� _��* y; ; ,HEALTFI-DEPT;, REQUIREMENT
�^.31. Plaster Browrv CoBt* S ?c' � �%'79 VFINAL If35PECTION x � %>'
. �� - b �' .. -� ;-a � ., �
•-y � -. i .�1 ` : �" �'U : � k T -i-� n y. .
w32-Electrical Power Mgter��inal� ' �'' �'80:jFO0D CERTIFI6ATE ISS D;: p.r'
':-, ��. i � ,: ,: �
, �V F �-..i .. � . .�. .
=33._Final Electric• �� � �:•`+,'' � { � " Noies: `: '7;' < ` G 4r [*7
ti r� - nnl. ,.r "' .r
r;34`='Finai Heating& Aii;Cofiditioning• =' ' ��' i �' ` ' -' 6 „� -' J
- J ., -O a: 7 � 'F7: * '� n'G 'f�
35�'•Final Gas Pipe-Test!: ��r y� x= � � �:r �� .�-
r:36_Hoad or CanoPY a� ��� `c.�; ..�' y� � 1 t�+:�'�' e. � .`�o # -
n;� t.r� I �pi: :e C7 �r. c�] '?
":37�Final Fattory FirePlaceR c-:-+ c.: x�� � � i :+' ^ a: f.i
� j I � � ti �
='38. Final Plumb`tri ' r} -'� { I ''' �` '� x a �
9 �•:, .-,r.�: rx•+.'.: �� z
_ ' ..,�.,,. ,. - i - . �
'39. Water Service:Final�: ,^„ , p��;: -„� � �: a: >. � � co� �y: � � i
� �
n;40. Gas Service-Final � � ��=0 � �� ; ' � r �� vc� :r. � ,
n�- ��,.�w ' r. r: �• ��. *�
� ..,� �,. r, ..
il! �.a 1 L.�. U� : f- n.
`_47 _Solar pomesticFinal - _ ; tr . •>; e Y - �
42 Backflow Prgventer� �� �� x ~ � b; ;' - � :�^• �: ^ � _ I
� Y. ti. O!--�--� � Y: M v t ii t*S�,-J 'F E-'
r.n.� .J � : i.: �, - .,.r.. . � .
43. Backflow Irngationa �e >; on•;M � x x� •�., � .t� ^�•�•
- v -, �� _ �
-"44�LandscaPe I�rigation SYstem.5 �,:' �^•'"� � �� C G* r. - N �: � ^p �e: io 00
t _tC`. OO:)t C S 4K"' � i - �1T, i:� -
X - � �..- -' fi ._ t-' - i. •. � .,' ..-. "-�
f45.`-,��Sound Qtte uation � ... _,�;;y; r., .:,. « c;� �-.c x
46.•�Handicap RegulaUons � `" ^��'.� ~ �' '� � �''=� --' � �"
c .i.-..-�: 5 ! I � Y. l' :*t^•!O �' Y
;47:'FIIVALSTRUCTURE&;BUI�LDING��� - ' " ��`�"� � ,�_" ".
�, � d' d i ,�t, e C � F.
-�
) 48=FINALPLANNING. , � - ""'�: � y�� 4'^ =� ` `J -�, ,
�-. � r! � �c+ �:J�. u: -:� a; r` r �c'
'.'49�Electric'Release to;Edison =:'' "' ' � I��: "' � ,,; ' -
_„�: I l c : � ' �
/ `-50SGas=Release�to Souther`n;Califorrtia Ga`s Co �� � � �;} " �f� � � �-+ _ • e.- ' �
�-� .r. �-- � ( 1 A: V: �'! W '.. C
^51. CEFTIFICATEOF`OCCUPANCY � _ -'`^ ` •�� ^ ' - -`�
No. Date
li/�
CONSULTANTS • INC.
MaY 25, 1990
CITY OF COSTA MESA
'J'J Fair Drive
Costa Mesa, CA 92626
Attn: Building Department
Subject: CIVIL ENGINEER'S FINAL GRADE CERTIFICATION FOR TRACT N0.
i3348, IN THE CITY OF COSTA MESA (FILE 2046)
BLDG. PERMIT N0. B044806
This is to certify that the final grade for building No. 16 also
known as 2504 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
� � -
Surender Dewan, R.C.E. 34559
Engineering Manager
:jls
1182 Nort� Tustin St.
Orange. CA 92667
(714) 744-0802
Fax (714) 538-2152
O[ner Offire Locations:
Rancho Cucamonga
Palm Springs
THIS IS TO CERTI THAT INSULATION HAS BEEN INSTALLED IN
CONFORMANCE WITH iHE CURRENT ENERGY REGULATIONS, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 24, STATE OF CALIFORNIA, IN THE
BUILDING LOCATED AT;
SITE ADDRESS: 2504 MARK LANE COSTA MESA, CA
Number Street City/State
AIR INFILTRATION: MANUFACTURER: MANVILLE
EXTERIOR WALLS
Manufacturer MANVILLE Thickness/Type 3}" R/Value R-11
CEILINGS,
Batts: Manufacturer MANVILLE Thickness/Type 6 3/4" R/Value R-19
GENERAL CONTRACTOR: MESA DEVELOPMENT Lic. �#
By •(�� � Title Authorized AQentDate 5-16-90
YNSULATION CONTRACTOR: WESTERN INSULATION INC. Lic. # 481278
y Title Date
Form 106
3/89
rxaecraoosess: �504 MARK LN
OWNEfl'SNRME: EAIRVIF.W MGMNT.� CO.
RODflE33: ZSZO MERIMAC .
LM CA926?Fi ^
uxiT: pIONE
IIflCN1ENGINFEB: �URKE 7,ESTER 5'ASSOC. xec.xo.:C-6925
"oopEss: 23025 MILL CREEK RD uxrt:
LACUNA•HILLS CA 92653
PEHMITTEE: DOUG SCOTT ELECTRIC ( 71 4) 775-0061
�aoxess: 16028 MOUNT HICKS
FOUNTAIN VALLGY CA 92708
110EN8ED CONTMCfOP DECIAMTION: I here0y atlirm that I am lice un0er pmWsions of Chapter 9(commencinp vrith Section
7000) ol Oivision 3 0l I�e Bu4ne55 an0 Prolessians CoOe, an0 my li�^ is in fulitorce antl eflecl.
ciTr uc�.: �0 9 G 61�1) sTnTe uc.: 3 7 4 2 9 5 cus C-10
DdIO: 1/' `� SIOOd�OfC: ' ' -
WOflKE111s W ENSFTION �FCIAMTION: I �ereby attirm that I � e a cMifiwte of consem ro uli-insure ar a utliliwte ol Workers
Compensation Ins ra c a cetli1i wpy thereof (Sec[ion 3800, Lab. �
roucrxo.:5�3��3g6-tl'� �xr.onre: 7/O1/90
coMr�xr:STATE FUND
❑ CertilieC coDY is �ereby fumi5he0. � Certifie0 copy is fileE with t�e ciry Builtlin0 Division. ,
�l'7 �
Uate: � d NPDlicant: -��JUa ��!f/L n!•
EXEMPTION FPOM WOBNEBS' COMPEN511TION OECUf1ATI0N: Rhis section neeA not Oe completM ii the permil is for one AunOreO (St W) or less�.
I certlty �Aal In �Ae De�ofmance al Ihe worN �of whicA lhis Dermi� is issuetl, I sha�l no� emDloy any De�son in any manner so as to Uetome
sublecl to tha WOAcers' Compensation Laws of Calilornia.
Date: SlpnaNre: - .
N�TICE: If, atter maltin0 ��is Aeclaration, you shoul0 hecome su�ject to Ihe Workers' Compenution D��sbns ol llie LaEor
Coae, you must torttmith comply xit� suc� Orovisions or iNs permit slull De GeemeO avake0. . j.
CONSTNUCTION LENOING �GENLY: I hereEy atlirm that there is a canstmction lentlinp apency tor tAe DeAormance a11�a waB lor
wNcn mis Dermit is ixsuetl (Secibn 3097. CN. C). - '�.
tFNOFP: •
100NE33:
OWNEN BIIILOEB OECIAMTION: 1 here�y allirm tAat I am exemD� ��om tAe Contractors' State License Law lor ihe Iallowin0 reasan
(Sectian 7IX11.5 Buvness anU Pmlessbnal COEe: My cRy of counry which requires a permit to wnsimc6 a�ter, improve, Eemolis�, or
rzpair any gmcmre, pnor to ils issuana, alm repuires Na applicant lor suc� permit ro file a SipnM statemem tlut he/s�e ¢ IicenuC
pursuanl to Ihe provisions ol Ue Contractors' Slate liunse Law (Chapter 9(wmmendnq vnih Sectlon 70W� ol 0ivisron 3 0l tAe Busineu
anU Pmlestions COAe) ar ihat hNs�a is exem0� �peafrom anC ihe Eavs tor Ne allepeJ ezem0�n. My violation of Section 7031.5 Gy
any appliwnt far a permit suEjecis t�e appticant to a auil penalry ot not rtrore ttan five hu�re0 OdWrs (55001.
I, as ovmer ol the propeM or my employees wiU wapes as t�eir sole wmpensation. xill Eo Iha work, anU the
❑ structua is nat inten0e0 or olfereC Ior sale (5ec�on 7044, Business anG PmlesUwal CoOe: � The Contracrors' State License Law
- tloes not apDH �o an owner al a propeM w� Ouilas or im0�oves ihereon, an0 wLo Eoa such work �imsell/hersell or t�rouqh
�is ar �er awn employees, provi0e0 I�ai suc� imprwements are nat intenOeO or ottered for sale. If, Oowever t�e CuilOinp or
impmvemem is so10 vnlhm one year ol wmpletion, the awner vnll �ava Ihe burCen of pmvinp �e/she ditl nat �uiltl or imprwe
br tAe Durposa ol sale�.
I, as owner of tAe D�a7erry. am exclusively contractinq with IicenseG contractors to constmct tAe pmle�� (����on 7094, Business
❑' antl Pmteuions Cotle: Tha Coniractors' State License Law tices not apOty ro an owner ai D�apeM �o bwltls or improves t�ereon
d11G WI10 COfltf2t�5 ��f SYC11 pf01eGI5 Wltll 2 COOIfdCI0f�5) IICEfISC pUl51120t IO IIIC COItlldLIOR' SldIO LICEOSC LdW�. I dlil dWdlO
Ihai prool ol tAeir Wofkef's Compensation insurance shoultl be proviaea to me.
� I am exempt un0er SacOan: B. 8 P. C. '
lor Ihis reason:
Date: Ownec
I do Aerehy certiry t�at l am aware of antl unAerstantl ihe reQuiremenis aI Californu Healih and Safery CaUe Sec�ions 25505, 25533, anA
25534 anG that I or any futura builainp occupant wiNwill not (circle ane) neeA ta comply with saiE staie ca0es ana the requiremenis for a
permit tor consimctwn or mo0ilication from t�e Alr Ouality ManaAement Districe Nesitlential cansiruction apDlicatlons are exempt trom
tAese Drovisions. .
Oate: ApplicanC
I Aereby ceniry tAai I Aave reaC tnis a00�ication antl state Inat tAe a
oNirwices ana state Izxs reWtin9 a��dinp cortswction ana here6y
propeM �or inspetlion pwpoSEs.
Date: 3 L Q S�O�Nre: �1
Dnver's Lkenu or Sadai Secunry M:
compry with all ciry ana counry
emer upon tM a6ove�mentionea
1fi41�46 W�ite—BuiWina: Green—COEe Enlo¢emenl: Cenerv—ADOlican�; Pink—Revenue: Goltlenrotl—Axqasaor
, � CITY OF COSTA MESA - BOILDTNG PERMTT PERM D10: E 045431
PERMIT NO: E 04G431 PLAN CHECK NO: � N � GOVT: �I SUPP: id
CONSTRUCTION TYPE: V-N PERMIT TYPE: ELF. ' PURPOSE: OTI�
JOH DESCRIPTION : NEW SFD ' SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /M-1
COMMENTS: RE:H44806 f2357tf SQ FT)
�**��+�******��****+�**��*****r+e*�r*******�***+�****�***���*****�r+��*+�****�r���****�*
� Z O N I N G R E Q U I R E M E N T S
� . S' E T B A C K S . •
--�---- ----- MAIN BUILDING ---------- --�------- ACCESSORY BUILDING --�------
FRNT; , FT IN REAR: FT IN FRNT: FT IN REAFt: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGFIT': F'T IDI
PARKING REQ: ' PROV: PARCEL: 00000000 ZNE: REF NO:
PLANNING'NOTES>
>
if if If if 9E IE iF if if M if if �E iF K if it iF M it M if if �1f iE if iE * iE �f iE iE aE 1E If iE iE 1E iE iE iE IE IE �f iE iE iE iE IF iE iE fE iE if iF iF k IE �(� iE if it iE !E �1f if 1! 1E if ii if 1E � 9F iE �R if �E if
D F V E I, 0 P M E N T . S E�.'R V I C L S R E Q U I R E M� N T S
20NING APPROVED BY °� DATE:
BOTLDIMG APPRO��GD BY : DATE:
P.PPLICATIODI ISSUED
if # iF i� if if * iE 3F ie if if iF if iF iF iE iP
�f iF iEiF iE if iE 1E M iE iE 3E 3E�lE iE iE ifiE
LEGALIZATIOM:N
'" , l , DATE: O3'G 1 ��
T4 iF it `� st k 3E 1E jE iE 3f �iF��$FiF{Fi� lE if if 3E iE 3E k M If if �7Fi%��
IfIFiElEiEiEfk if itiklflE�E1FiE*IEifikiElEMifif�EiEfEif1E1k1E1FiEiElF3kiEiE*fkiElfiFfE3(�IE
F' E E S�M M A R Y STRUCTURAL SEGMENT:N
�HLDG PMT PLUMBING ELECTR C MECHANIC FIRE SMIP/RES GRADING
PERMIT 92.50 �
. OY SMIP/NON-RES
PLAN
ISSUE FEE 15.00
BUILDING-DIV-> PERMIT ISS[JE PLAN-CIiECK TOTAL PAID ,DTJ�
TOTALS----> 82.50 15.00 0.00 97.50 97.50 .QO
REVENUE DZVISION TOTALS--> COLLECTED: 97.50 OVER/SHORT: .00
@LDG PMT' YLOMDStdG GLECTRIC MECHANIC FIRE SMIP/TOT GR'ADIMG PLAN-CHECK
97.50
[
M if 1E k fE �f iE if iF if iE iE fE IE iE iE k ik f4 k fk iE iF i! iE M iE if fF iE if ik k it iFlE iE iF if jt k iE iE iE iF IE iE iFlE 3F if iE iE it 3f iE iE iE i! �E ik it iF jt iF ik 3F 3F if iE ff if �E fE iE 3t iE it 3E
I N D I V I D U A I� F E E B R E A K D 0 W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 2357 NEW RES HLDG FOR 7 OR ?. UNITS/ SQ FT .03 82.50 ,
, END OP FF.ES
01 UDU55326-D0055826 ��T
DATE: 03/!:/9p TItIE: 1 :32
97.50
�
CONSTRUCTION AND PLANNING POl . SPA
APPROVALS Permit # " Date Inspector qppROVALS Permit # Date inspector
�i -
1. Temporary Electriwl Service.�o,r Pole -� ij � 52. Pool & Equipment Location ��
,2. Soil Pipe;Undrgrnd.. _� j� -�"� �� 53. Steel Reinforcement ��/
� 3: Electrical Conduit lltility�Undrgrnd: � 54. Forms �
= 4.�Electrical Conduii�Undrgmd. _ 55. Electrical Bonding
�,;5�Steel ReinforcemenS, .. 56. Rough Plumbing & Pressure Test =
�.
^��Electrical UFER.Grnd. � 57. APPROVAlTO COVER�GUNITE -
�. c -
.;7: Fy�otings � � , - � 58. Electrical Conduit-Undrgrnd. � ;
� - � � � � ,�
�8. Foundation _: ���� /�..,' !. 59. Gas Pipe, O Undrgrnd., Test ��
'9. Water Pipe�Undr9rnd. i�" �� ` ,`r�/ 60. Backwash Lines, P-Trap, � Undrgmd. /% ��
70. Structural�Floor System ,�� - J 67. APPROVAL TO DECK ��
�t
11. Property Sewer Line & HouserConnection '' '� 62. Backwash & Receptor�Final /
12. Sewer Cap _ _ - •' - j 63. Heater & Vent-Final
73. RoofDrains, _ �,�;, ��� 64. PlumbingSystem-Final' ?�i�
. i �.
14. Rough Plumbiag '�? �/� 65. Electrical-Final �f�_
15. Rough Eleccrical�Conduit �A ' ' �- '. � S6. SoVar System-Pinal � �
76. Rou h Electrii Wirin � '
9 9 � 67. Fencing & Access Approval i
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING !
�18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning �� � � _, FIRE DEPT. REQUIREMENT _
20: �Rouyh Factory Fireplace � �_. �.� .; � _ � ; APPROVAL'S;_ = Permit # ' � �
21rDucts, in'Structure+ � • -� - �� s� - • + - 70. Underground Hydro
' Y � f V
22`Ducts, Ventilatin � ` � ' ' .
9, ���` _t - - h J71. Product Pi�pin9 �Gas ❑Oil
�?3. Gas-Pipe-Rough & Test ^_ � 72. Underground Flush - - -
,.
24. �Roof Fiamirig �" ' - �' �;. ` - . � ; 73 - Undergmd. Storege Tank �� Gas ❑ Oil
25. Roof Sheathing _ , � � � r 7qJOverhead Hydro
26-T�Bar Ceiling �Structurap &-Monocoat - , 75_ Dry Chemical _ - ' -
27.uFrame and Flashing -,: � � -' - � 76. Dry Standpipe � - .
-28. Latliing`&Siding'�"�� J' :_' , "� " .. 77' FIXEDSYSTEMFINAL __ �
- - �
r 29. Insulation � f �- •• + � � �- •- a 7$;: FIRE PFEV. FINA'L � - -
��
30. Drywall Nailing � � F, r �j �'�' _ HEALTH�DEPT. REQUIREMENT
�.37. Plaster Brown Coat - � ' � • " 79. FINAL INSPECTION � � �
; 32 �Electrical Power�Meter-Final 9D � 80 _FOOD CERTIFICATE ISSUED_ �
�� F
�33�Final Electrjc . � a, '�^� .�- Notes: --�' - -- _
34._ Firial Heating & Air Conditio�ing`� a � • ��� �' - - ' - � -
! �; -
35; ;Final Gas Pipe-TesY � „ r �-. .;.,�� - _ _ _ _ _�
' � a -- .:.' -'
-�36. Hood or Canopy = ` `"^� - � i � � ' -�
- r, - c 1 -
-37.. Final Factory Fireplace� _.- ._ , ` J'�� � . •
�38. Firial Plumbing ; F �' , ' " - _ �. - .
39. Water Service�Final � ' �� - ' ' ' ' '_ �
"40. Gas Service-Final r : : i:"'T " K ' . � - ' �� -•
- L I �
`-41. Solar pomesticFin`al�` �� ' �� _ . , . -
42. Backilow Preventer i:� f � ` - $ �
- „i a - � -
43. Backflow Irrigation ? �'- 4 _ , , � r - '. �
� .44. Landscape Irrigation System"'^" � "' ' '� `� -�.' ' � �
� n .: �: t-
-45'. �Sound Attenuation :' : _ , � ` ,,; - ., . „ - . .. �' - �
46. •Handicap Regulations - � ' G' -=� '" -
i
47c FINAL STRUCTURE & BUILDING ' � � - ` _
,�i .
48. FINAL PLANNING • !'� � � -
49 Electric Release m�Edison +. � ; : � - ' _
50..-Gas Release-to Southem Califomia Gas Cn • - � ' � c t �_ "
- 51. CERTIFICATE OF OCCUPANCY �'� � - '�� � •- -
No. Date
vxaecT eooeess: ' ` � ' uxi�:`
OWNFfl'SNRME: ZSO�t) MARK 1N
FAIR1fiEW FARAGEN,f�7 CC.
aooeess: 240U MAIR' S7-
' IRVI�E,.CA.
nxcxrtNcixeen: BURKE_LESTER E ASSGL• pEG.NO.: Un4.,��n
�DUHESS: L3OLS M.ILL CREEK DR ���
PEPMITTEE: LAGUNA HI�LS CA 52653
�ooxess: K.C. PLUMBING i714)598-4b22
2.372 GLASSELL AUE ' A
GHAN6E GA,_S2Eb5
LICENSFO CONTMCTOB DECUMTION: I Aereby aflirm [ha[ I am Iicense0 un0er Oravisions of C�aD�er 9(commencinA with Section
70W) at Division 3 oi t�e Business anE Pmiessians CoEe, antl my license is in fuil /orca anE eHact.
cmuc.: �p`T655�vpsrn�uc.:281476� ���L:-..,m r �¢�.fC1\
oate: I?�6 I SiAnature:
WOBNEBS' COMPENSRTION OECIAMTION: I Aerehy attirm [hat I have a certificate af consent to self-Insure or a certificate of Warkers'
Compensation Insurance, or a cetlified copy thereoi (Sectian 3800, Lab. C). . �
roucrNo.: 8i�0139S3 exr.onTe: Q4/�4/9�
COMPRNY: DAVCC INS •�•� .,A
❑ Certified copy is herehy tumisheE. � Certifietl co0X is fled with Ne ciry BuilAing Divislon. /� (� `��
Oate: � I I Z� ��� APDlicant: ` .��'�` A/Yl/�� \. 1 V(7V \���
E%EMPfION FROM WOflNE113' COMPENSITIOX UEClAM710N: (ihis sectian nee0 not �e completeG tt Ihe permi� is lor one hunOreC (E700� or less).
I certity t�al in Ihe perfoimante ai t�e work for wAich I�is permR is issueC; I s�all nat emDloy any person m any manner so as to hecome
subiectto tAe Warkers' Compensation Laws ol Calitomia. � _
�ate: Siqnature: '
NOTICF: Ii, aiter'makinA ��is Eeclaretion, 7rou shoul0 Decome suEje'c1 to the Workers' Comp¢nsation D�oNsians ol lhe Labar
Cotle, you must,brl�wilh compty wit� such Oravisions or this permit shall he 4eeme0 revokeE. .
CONSTBULTION LENOMG �CENCY: I �ere6y atfirm that Nere is a cons[ruction IenUinO a9e��Y �or Ilre.peAormante ai Ihe work for
whicA t�is Dermit is ifsue� (Seclion 3097, Civ. C). '
lFNOER:
nooness: -
OWNEB BUILDEN OEClAf1ATI0N: I Aere6y attirm t�at I am exempt irom tAe Cantractors' State License Law br iha followinp reason
(Section 7031.5 Business antl Pmfessional Cotle: Pny ciry of counry which requires a Dermit to wnstruct, alter, imprave, Uemolis�, or
repair any stmcture, D�or ro its issuance, also requires ihe applicant (or sucA permit to file a siAneO statement that he/5he I5 Iicenu0
pursuant to t�e provislons ot tAe Con[2ctors' State License Law (Chapter 9(commencinA wiN Section 7000) of Divisian 3 ot ihe Business
anA Pmfessions'Cotle) or that he/she is exemp[ therefmm an0 Ne Uazis far ihe alleAeO ¢eem0��on. Any viola[ion of Sactlon 7031.5 6y
any applicant for a permit su0lects tAe ipD�icant to a civil penalry ot not more t�an five hunAred Oollars (5500).' .
I, as awner of ihe proDerty or my employees with wages as t�eir sole comDensation, will tlo the work, antl the
❑ simcNra is nat inlandeA or otteretl for sale (Section 70A4, Business antl Professional COUe: The Coniracmrs' State License Law
does not apply to an ovmer of a pro0erty who builds or improves [hereon, and wAo Ooes such work himsetl/Aeruli or ih�uug�
his or Aer own emDloyees, proNtleO [hat such improvements are not inten0ed or oflere0 for sale. 11, however Ne builOinA or
improvement is mltl within one year of completion, tAe owner will have t�e Ourden of proving he/she Oitl not EuilA or improve
lor Ihe Durpose of sale�. .
I, az owner of t�e propeM, am axclusively coniracting with licensed contractors to canstmct Ihe pmlact (Section 7040, Business
❑ � antl Pmieuions Code: The Comractors' State License Law Eces not apDty to an owner oi DroDerrywho bmlds or impmves t�ereon
anA who cantracis lor such pml�s vntA a coniractor(s) license pursuan� ro the Contacto7 State License Law). I am aware
t�at prooi ol t�eir Woder's Compensation,in5urance shoultl Ue O�ovi0e0 Io me.
� I am exempt unae� Settlon: � B. 8 P. C.
fof Ihis rea50nf �
Date: Owner:
I Go �ereGy certity Ihat I am aware of anA untlerstan0 tAe requirements of Califomia Healt� an0 Salery CoOe Sectians 25505, 25533, anC
2553C anA ttut I ar any luture DuilEing occupant wilVwill not (circle one) neeU to comply wiN said state coAes anG tha reduiremenis for a
permn tor construction or mo0ilication irom t�e Nr �ualM Management Oistnci. Residential constmction aDPlications are exempt irom
. these Dravisions. ' ,
Oate: Applicant
I �ereUy certity tAal I �ave rea0 this aDPlication antl state tha[ the above information is wrrect I aAree to com0ly with all city an0 counry
ortlinances anG state laws relatinp ro 6uil0ing consimctian an0 he2by aNhonze reDresentatives of this ciry to enter upon tha abme-mennonad
pmOenY �or insDection purposes.
oate: �iI28' Is'� s�onaare: ��� A,/�'�� �,=��� .
Driver's License ar Social Securiry N: �
1641-46 W�ite—BuilEinp; Green—CaEa Eniorcament: Canary—Applicant; Pink—Revenue; GoltlBnroC—Assessor
, GI7Y �F CGSTA M�SA — BUILDING PERMIT
FERM.IT NC: P 045130 PLA� CHECK N0= „ k- COVT- N SUPP� !�
LGNSTRUCiICN TYPE: WCOG FRAME PERNI7 TYPE: PLU PURPOSE: REIi
J�E DESGRIPTIQN : Nfii liCtUSE PLUNBING � SC' FT: � �
GLAIR YAWEs CALC—YALUE: GRGUP C�CC: /
CO?�kENTS:.REFER�i�GE SiRUCTURAL PERMIT fi Q044f0E ,
�a�s�a�sa#x aa#s#:aa�aata�#a�s#��a#�a#aa��sa�s�a��amaas�#*�#��ss�ss*#st##:a*3tat��c#a�it�
Z L K I N G R f Q U I R E W. E H 7 S
5 E� 7 8 C C K S •" . ,
------------ MAIN EUILGIN� -------- --------- ACC�550RY Bt,'IIDING --=---=--
FRkT: FT IN REAR: ' FT 3k FRNie Fi i� REAR: � �
IEFT:� F7 IN R6HT- F3 I� �LEfT: FT ' I� f�GkT- F7 IN
PARKING fiEQUIRED: PARKING PROYLDEQ: PARC£L: OUO�1tDUfl ZQNE:• �
PLA��3�G f�QTES>
. � .
######�C#A%Pk��RN#�####+R��'F�##�##3�##$�$####3�3#�A�P$X��$#Y<#$#####�Yt#�R##$$#3#$#i?$A�#4�t#
, G E V E L G P M E N T S f R V"•i C E S✓ R E.9 U I R E M E N 7� 5.
ZC�i�G AfPROVEO EY _____ _ DATE: _ '
EUILDIKG APPFOVEL BY : _ ` '' DATE: __
APPLIL!lTI�� ISSUEC BYs_' � '�� 1 ' DAiE: !//z��.
a�#�###���#�asoa�o�aaa��aaa��—��a3*� 3a # m#a�saaase#3��� s�
##L#####�####3A3A#L3#�t######3#3t##�###�i##'t#t �#�0#####�Xr#'.�t##3#?t#�F##i0�/%c#33##
LEG4lIZ4JI0N:N F E£ S U PA M A R Y S7RtiLTURAL SP6MENT:�N
� . BLDG PMT 'PLUMBING ELECTRIC MECFANTC �fIRE SP4IP/RES GRADING
PERMIT � 27.0�
. . 25� � � SMIP/NLK—RES
pi nro , � . , ,
ISSU£ FEE ' 3.0�
EUILCING-DIV—> PERN,t3 3SSU�� PLAK—GHECK TCiTAL PAI4 Dt�E
7CTALS---> 27.iiG 3.i�0 0.00 30.�U :0.00 .00
REYElVUE C�IYTSION TGTALS--> CGLLECTED: 3d2.OL� GYER/SHGR7: .04
BLaG PN.7 PLUt48IkG �LEC7RIC HfCHAN3t FIRE 'SM,IAf7OT GRADING PLAA—CHECK
30.4G,
a�aa�a�� s�#�a���s#�ta.e������*�stt*�as#�*aaz�o�xsa�a�#assa��#a#a#�s�##�#aasaaaaa�#�*a
Y K G I Y I D U A L F E E B R E A K C L ti � '
tl
tl
IYPE G7Y D E 5 C R I A T I f3 N UNIT C057 TO7AL GGST
FlU i. 2ATH7UB Z.G�U 2.�4
PL�{ 1 GISHMA�HER. 2.G0 2,4fl
PLU 1 IAUNDRY TU8 QR ►iASHER 2.A0 2.00
Pll 1 SHG4iER , 2.�0 Z.iip
PLU 1 SInKs KITGHEA 2.Q� � 2.00
FLi; 4 NASH BASIN 2,00' � 8,{JO '
3�LU 2 WdTER GLL�SEi tTQILET) �2.Q0 4.�0
PIC� 1 GAS PIVIRG SYS G� 1 SC 4 C�U7LET5 2.Gfl 2,dl�
Pi4. 2 GAS FIPING 5'1S '+ GUTL—PER OUTLET .SQi� i.�i0
PLi' i WA�TE$ HEA7ER Ah'D/0'R VEN7 2,�p ' 2.YDU
. END tIF FEES
� 01 Q0048439-U�043439 TiOT 3Ct.II0
� pATE: 11/2E/84 TIME% 14:20
. CONSTRUCTION AND PLANNING _ POOL & SPA
APPROVALS Permif# Date Inspector qppROVALS Permit# Date Inspector�
1.•Temporary Electrical Service�or Pole . 52. Pool & Equipment Location -
2. SoilPipe-Und�grnd., '' � ��-� �Z.Y.a(�(, �[,� 53. Stee6Reinforcement � �
� �3.. Electrical Conduit Utility-Undrgrnd.. � ' ` . 54. "Forms '
`0.'. Electrical ConduiYUndrqrnd. '� � 55. EVectrica{ Bonding
� 5:.Steel Reinforcement - � � � . =56. Rough Plumbing & Pressure Test
�-�6. Electrical'UFER Grnd. � . � 57. APPROVAL TO COVER�GUNITE �
�.
.7:'Footings ,- ' , ; : 58. Electrical Conduit-Undrgrnd.
8: Foundation � , _, 59. Gas Pipe, O Undrgrnd., Test � �
9: Water Pi e�Undr rnd. � •
p, 9 .� ( jp1��( (,�,� 60. Backwash Lines, P�Trap, O Undrgmd.
10. Structural Floor System � i • � 61. APPROVAL TO DECK .
11. Property Sewer �ine & House�Conn iction � 62. Backwash & Receptor�Final ��
12. Sewer Cap . � J. . 63. Heater & Vent-Final
13. floof Drains ' ' , � 64. Plumbing System � Final
,� �
14. Rough Plumbi�ng ��� 3(Y RO (,� 65. .Electrical-Final a
i
15. Rough Electrical-Conduit . 66. Solar SYstem-Final .
1F. Rough Electric Wiring ' _' 67. Fencing & Access ApProval .�
17. Rough Wiring Sign �.._ , 68. APPflOVED FOR P�ASTERING �
�
18. Rough Electriral'-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
' � -i ' a . " - T
20.� Rough Factor,-y Fireplace � �,r '=` .i � ;�µ AppRO.VALS; ��Permit# i0' ' '�' �'�~�' � y�
. - .��-�-� � . � -.
21. �Ducts, in-Structure<. i .. •• -�c +� �: •7 �a � ^70. Underground�Mydro '��
22. Ducts,Ventilating,}�, i `�,� �;� �:_4�?�7�, productPiPi�gO!Gas O�OiI
23..Gas Pipe�Rough &�Test j ,� . � f �,:„ -72, Underground Flush - �rr • �
24. �Roof� Framin • � �sr � ;-.���- �:- a } .r +r 4 .- � . �-+ .� `- � ,•,--� +. � . ,
4 .,_„ ,„ _�b K, 73.�Undergrnd; Storage'Tank O Gas ❑ 6il
25. Roof.Sheathing ��n ,x �~iv ��� � �� .��o0 74��Overhead Hydro�� a
26. 7'-Bar Ceiling (StruCtural) &`MonocoaN " '"`'" 75: Dry Chemical � �' ' �' �..�� ' °" �' '
� � .-� s -> >- t'e � ' J ;� .r-z
-.��� � •a Tl hd} � .,. o�. r � ��u:- �'..�
27.� Frame and Flashing_; � - ir • a . -. �. 76. Dry Standpipe � . 7 " - � .�"T: - ,
-28. LatRin & Sidin �..•.-`..•' -i..� r .+ . .. ..0 a: -� t � • _ � _ -
_ 9 9,„ _ 77: "FIXED SYSTEM F;INAL'
h �' ' ..' i.r .�. -� . � t� _... ,'� n. , r. -c.: ' - �- r
'I .'v}' 1 H��� !t .t I 1 9? 3 1 +� ^�')'Ir.r� �
az9. Insulation - -�,; - I sn 781�fA�REPREV.FINAL +iy �- ��---� �� ��-:
30. Drywall Nailing �='} � `'' ' � ��"� " '-'' 'HEALTH`DEPT`R'EQUIREMENT `� �'
i ;tr- I dus. `:�V ;v -, x t-.,.., -
'+. � ' � i ' i�o 1t " i r. . . ..
�37. Plaster Brown.Coat � • � i �rm -.• i � 'Irr •'� -79. �FINAL INSP�CTION r. .•.� , „�
�32."'Electrical Power Meter Pinal i� �'7 ++<v I i "I<r o �g0. �FOOD CERTIPICATE ISSUED � '
,. i � .�».n r : � n. ,i
1 '"+� �1 � ." . •, I 1 �. 14a r •�9 r t ' ar '• ^ .v 't � , .
'33 �Fina:l, Electric, �, .. ,,, � r x � 1 i l.� � Notes: �� -„ , ;� - n , Y, , .
.�34.`Final Heating-& Air�Conditioning- a +s t i� i ia a .. - ��>�Y s : -' .� --n
hi T 1 6r�f ti '.t3 � r �OQ'V � h"<I ' M. i
� � � o •� n � , {r , ,,,� ..... . .., -
'35.; Fin`af Gas Pipe�Test�y r�, ,n 6` /t 9a Lf..�+r n'� - T,-. '� + � .-�.- n"
36. Hood or CanoPY. •+` c' � � � •• k � � 1'� I � .� _ . -i : .. . .r... ^
.- �r, n 1 L/ w c �, -
� 37.,Final Factor Fire Jace � •, . �" �j ."' � r� s' . !
_ Y P ,c �....� es � f�� ia:s r � � v
� 38. Fina{ Plumbing .tt :a t � � � Z,�fl-,+t� S -. <t n '.-�
�+i 1 ri a. -- r 4 n' -
�`39. Water Service-Final''�T ,, � * , _ j i �.�„ ' r' � " ' �., ,
_40. GasService�Final �.t.n .ri.•�- +:�r I i .'I,t:. '� 5 � � ?+ � �
i tir -
`41. Solar pomesticFina"'I = �_ " "`3 i 1^` is r '" � _
sr �n rn t: I � Ix�r "1 � • �
+r >.� �v � , .
�.42. Backflow Preventey� n� .. �n I i Ish ir � `-�
.n -c
43. Backflow Irri �ation� ' '� T `- � �. " ;� "���'"� .' .
9 a '. :. r, v � .. • . .
44. Landscape Iriigation Systemn„� :, u �-, ' -+ " � . • . � . • � -.. • •
i. .
45.�Sound Attenuation;� .:,��';'; _ `t` �., ,.,� moow r. n- .r�: •+-i # -.
Y.
iY . J • . - � • • • . - .
46.,Handicap Regulations �r�� �, --.� r '_ ��• � � .
47. FINALSTRUCTURE&BUIL'DING�ry �' � � �"'+' ^' " '� ��
1 I/�I�i o- t � , I--
48:.FINALPLANNING, i r-r�� •• -� _ 7 1• I;t�;, ., -x s` �- �
�
49:-Electric Relea'se to Edison � �+ � � �+� +'' � • � w -' •
� I I�.I�o.r . �+
, u i� 1 qI' 1 1 "I.:T'�s \ . .. t� • • ....r..e. - .- �
50..Gas.Release to Southem Califomia Gas Co .p 1 � -+�rv s .- � • � o � • • • • • • • • • •
_ x
51. CERTIFICATE OF<OCCUPANCY w �.�. z :,� _ .� � .- . ,• � •� �. •.�.-• _. ,._
No. Date
Pfl0.1ECTR0�XES5: zSO4 MARK LN
owxew�sx�Me: FAIRVIEW 'MGMNT. CO.
� aooeess: 2520. MfiRIMAC
CM CA92626
uxir: Nor1E
(714)545-7327
�RflCH/EN01NEEfl: �URKE LESTER 6 �ASSOC. pEc.xo.: C-6925 - .
aoowess: 23025 MILL CREEK RD uxrt:
' LAGUNA FIILLS CA 92G53�
PEflM1TTEE: FAIRVIEW MGMNT. CO. ' � ( 719 ) 545-7327
eooness: z520 ML'RIMAC WY ' _
CM. . CA 92626
UCENSED CONTMCTOB DECUMTION: I hereby atfirm ihat I am licensed unaer provisions af ChaO�er 9(commencinA with Sec[ion
7000) ai Division 3'ot the Business and Prafessions Cotle, an0 my license is in full farce and eHec�. .
CIiY LIC.: ' � S7RTE LIC.: ClASB:
Date: Si9nature:
WOBKEBS' COMPENSpTION OECUM710N: I �ereby affirm that I have a certifiwte ol cansent ta self-insure or a cerlificate ol Warkers'
ComOensation Insurance, or a cenifieA copy lhereof (Section 3800, Lab. C). �
POIICY NO.: FXP. ORTE: �
COMPANY:
❑ Ceriified copy is hereby Iumishe0. ❑ Cetlifietl caOY is file0 with tAe ciry� BuilOinp OiNsian. ' • •
Date: ' ApDlicanC
E%EMPTION FNOM WOPNEP%' fAMVENS�ITION OECWMTION: (1Ais section neeA not �e completeA tt ihe permit is for one hunAreO (5100) or less�.
I certiry ihat in Ihe pedormance of the work for which ihis permit is issue , I s�all not emDloy any Derson in any manner so as ro become
subject to ihe Woh s' Ca pensation Laws of Calibmia.
Date: �� . r � , ' Signatuie: '
NOTICE:11, tter ma ing this Aeclaration, you shoul �� e sublect ro tAe Workers' ompensation pransi ns ol the La�or
Cotle, you must tort�with comDly with such provis r tAis permit shall Ee AeemeA revoke0. '
CONSTHUCTION IFNDINO RGENCY: LhereDy aflirm that tAere is a consimction IentlinA aAency for tha Dedormance of ihe work br
which this permil is issue0 (Section 3097, Civ. C). �
IENDEB: � . .
RDDBES&: ' - � - -
OWNEB BWLOEP DECLAMTION: I hereby aflirm tA$t I am exempt irom�tAe Contracrors' Sta[e License Law tor the followinp reasan
(Section 7031.5 Business antl Professional CoOe: My ciry oi wunty wAicfi requires a�Dermit to constmct, alter, imprava, Cemolish, or
repair any stmcture, pnor ro its issuance, aiso reQuires IAe apDlicant lar such permit to lile a signeA statement t�at he/she is Iicense0
pursuant to Ne Drohsians ot t�e Contractors' State License Law (Chapter 9(wmmencinp with Section 7000) of UiWsion 3 of the Business
antl Pmlessions Code) or ihat he/she is exempt t�erefrom anE the Easis tor tAe alleped exemption. Fny violation oi Section 7031.5 by
any apDlicant tor a DermO su6jects ihe aDP��cant to a civil penatry of not moFe tAan five hundre0 tlollars (5500).,
I, as owner of the pmperry or my employees with waAes as iheir sole compensation, will da the work,.an0 t�e
❑ simcture is not imeneeE or otterea for sale (Section 701d, Business antl Pmfessional Cotle: The Contractors' State License Law
Oaes nat aDD�Y �o an owner of a pmpeM w�o 6uilas or impmves thereon, an0 who tlaes suc� work himsetllherself or throup�
� his or her own employees, D�oviOed tAat SucA improvements are nat intentletl or aifered for sale. 11, however the Ouildinq or
impwvement is so1C wrt�in one year of completion, tha owner vnll have the hm0en oi D�ovin0 he/she Oitl not �uil0 or improva
for Ihe purpase o( ule�. � . .
I, as owner of �he pmperty, am exdusively contrectinA witA Iicense0 caniracrors ro consimct ihe prolect (Seclion 7044, 8usiness
� anA Prafexsions Cotle: The Contractors' State License Law dces nat apDly to an owner of Omperry w�a bwl0s or impraves Ihereon
an0 w�o caniracts for such pmle�� w��h a coniractor(s) license pursuantta ihe Cantractors' State License Law). I am awara
that prool of IAeir WaM1er's Campensaiion in5urance shoNE 6e provi0ed ro�me:
� I am exempi unEer Section: . B. 8 P. C. .
for this reason: /)p � � ..t �
� Oate: � // � / / ` � Owner , v
I tlo hereby certiry ihat I a aware o/ ana untlerstan0 t�e reQuiremen of ifomia Hea�th antl Sa(ery CoOe Sections 2550 5533, ana
2553A anA that I or any 1Nure buil0inq acupant wilVwill nat (circle on need to comDly wit� said state cades antl ihe requ ements tor a
permit for constmctian or moAification irom t�e Air Qualiry ManaBement OisMct Residential coretmction aOPlications are exemDt irom
ihese provisians. , , � �
Date: ' Applicant �
I here6y certity tAat I have aaA this application antl state t�at t�e a6ove inlormation is correct. I aA�ee to compry wuh a0 ciry and counry
orGinances an0 state laws relatinp to GuildinA �onstruction and hereUy aN onze representatives of this ciry to enter uDon ihe aUove�mentioneG
DroOenY �or i1ns0ec �on pur'oses. � �
Da�e: � 1 Sipna�ure: l' ~1
Driver's License or Socia� Secunry x: �' �_ _
1661-66 W�ite-Builtling; G�een—Cotle Enlorcement; Cenary—Applican�; Pink—Ravenue; Goltlenrotl—Assessor
C.i'I'Y OF COSTA MESA — BUII,DING PERMIT
PERMIT NO: M 046457. PLAN CHECK NO: N
CONS'TRUCTION TYPE: V—�1 PERMIT TYPE: MEC
JUB DESCRIPTION : INSTALL FACTORY FIREPI,ACE (ICHOIt3195)
CLAIM VALUE:. : ` CALC--VALOE:
PERM NO: M ' 04645L
GOVT: N SUFP: Y
; _.
PURPOSfi: NEW
SQ FT:'
GROUP OCC: R-3.";•lM-1
n
COMMENTS: RE:B44£306 PRIMARY BLDG. PERMIT. "
*****xx�*���***�*�*���***�r*��*x��r**�*�**�r�**+�+�***�r*���r�r**�+������**�**�r�r+���**��xx* � ,
� Z O N I N G R E Q U I R E M E N T S' "
S E T D A C K S ' '
------------ MAID1 BUILDING —�--------- --------- ACCESSORY EUTLDING ----------
FRNT: FT IN REF�R: FT IN FRNT: FT IN REAR:' PT IN
LEFT: FT IN RGHT: FT IN I,F.FT: PT IN RGHT: FT I�7
FARKING REQ: PROV: PARCEf: 00000000 ZNE: REF NO:
PLANNING NOTES>
> . ' . . . ._ . . . .
iF if iFlE iF 1f iF �If ik iE )f !E iE iE iE fF jE !f k�E iE iE �E iE i(� �1k 1E IE iE if if iE iF 3F iFlF iE k if i(� 1F iE iE if if iF iE iE k iE ik 1f fE iE 3E �)E iF if if iE it 1E iE iE 3f �f fE #�E iF 1E # it iE iE iE iE if iF
:D E V E L O P M E N T �S E R V I C E;S R E Q U I R E M E N T S`
, �
�ZONING APPROVED BY _ ___ _ DATE: _ '
HOILDING APPROVED BY : � � Dd1TE:
f', /� q \
*�*�***************B*tc��� � "if����F��r***D**�**�x���lc�#*�
iEiEiE3E*If�ililfEdEifififiE�EiEiffEkiE�EifikiEiE�fikiE*dEikif�E3EfEiEiE �E�FjEifiEiE�fitlfiFiElEiF�f3EiFiEiEiE�E�Eit#iEiE3EiEiE3E3EiE3EikiEiE�Eif3E
LEGALIZATION:N P E E S M M A R Y STRUCTURAL SEGMF,NT:N
HLDG PMT PLUMBING ELECTRI MECHANIC FIRfi SM2P/RE5 GRADING
PERMI'T � ' 20.00
?.SR SMIP/DION—RES
YLAN '
_ISSUE FEL' 4.50
BUILDTNG—DIV—> PERMIT ISSUE PLAN—CHF.CK TOTAL P1�ID DUC
TOTALS----> 20.00 ' 4.50 0.00 24.50 . 24.50 .00
AEVENUE DIVISION TOTALS'-->' COLLECTED: 24.50 OVER/SHORT: .00
BLDG FMT PLUMBING�ELECTRIC MECHANIC FIRE SMIP/TOT ,GRADING PI,A�1.—CHGCK
24.50 � �
iF �f 1E �f 1E if iE if k IE iE 3FlE �f 3E jc �E 3f �f jE if ff iE iE If iE iE if iE iE iE K� iE if 3f iE iE iE ik fE iF if if iE 3f iE i(� iE if if iE iElE jE iF iF 3E if iElf �E 3F if iE iE iE �E �f 1E iE iE K� if � if i(� k fE iE
I N D I V,I D U A L E E E D R E A K D O W N
TYPE
�
QTY
i
i
9
D E S C R I P 1' I O PI , UNIT COST TOTAL COST ,
1 FACTORY FZRF.PLACE 6.50 6.50
J C�ENTILATION FAN COD1Dl TO SIDIGLE DUC1' 4.50 13.50
END OF FE�S �
� �
' Di V���.Si400'i�U.'1JJIV.� �V� �Y.J�
DATE: 03l13J94 TIi1c: 14:42
CONSTRUCTION AND PLANNING PO� � SPA � .
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
1. Temporary Electriwl Service or'Pole 52. Pool & Equipment Location
�2. $oil Pipe�Undrgmd� , � � � . 53. Steel Reinforcement , �
'- 3.,Electrical.Gonduit Utility-Undrgmd. 54. Forms
r-
"`'4.<Electrical�Conduit'Undrgmd. 55. Electrical Bonding �
�n:�5 �Steel Reinforcement 56. Rough P.lumbing & Pressure Test
��6.�.Electrical,UFE-R:Gmd. 57. APPROVALTOCOVER-GUNITE -
�
-:;7 � Pootings ; : ��- � ' 58. Electrical Conduit-Undrgrnd. ..�
8. Founda[ion, - ' 59. Gas Pipe, O Undrgrnd., Test
'9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural�-FloorSystem 61. APPROVALTO�DECK - -
11. Property Sewer Line�& House Connection 62. �Backwash & Receptor-Final
12. Sewer Cap ��_ _ 63. Heater & Vent-Final �
13. Roof Dreins;:�. � 64. Plumbing System - Final
14. Rough Plumbing � 65. Electrical-Final .
15. Rough E�ectrical-Conduit � . 66. Solar System-Final �
16. Rough ElectricN/iring 67. Fencing & AccessApproval '
77. Rough Wiring Sign 68.� APPROVED FOR PLASTERING '
18. Rough Electrici�l-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19_Rough Heating & Air Conditioning � i .- _ .,FIRE D.EPT. REQUIREMENT _
20�-�Rough Factory F.ireplace `' �� ;, '� . �APPROVALS�;,CPer�mit # �
21 r.Ducts, in•Str�uctuie� " � - � - - ., � _70. Onderground; Hydro
22: Ducts, Ventilating : '.- �(�p �. 7�. ProducbPiping O Gas ❑ Oil
23.�GarPipe�Rough & Test _ . �- " '- � � i -7Q, Underground Flush � '-
24�Roof Framing �y J - " _ _. -73�.Undergmd. Storage Tank �O Gas ❑ Oil
25: Roof Sheathing -�t - � � • = '�'" ° 74.'Overhead HYdro__. `
26'T-Bar Ceiling (Structuraq &�Moriocoat � ; '�� � 75: Dry Chemical - � v � =
27 Freme and Flashing ���^ x- :• 76. Dry Standpipe '- _ �--
-�28. Lathing & Siding' ;� ' � ' - � ' ' ` k 77:_ FIXED SYSTEM _F,INAL. �, . ��.���
29. Insulation • - � '� � f //.�� ` 78:�FIRE PREV. FINAL �- " "
/1�� .Y
130. Drywall,Nailing � " . ����� ; � - �NEALTH-DEPT. REQUIREMENT
-31. Plaster Brown Coatr �_ --� t ' �+:'� '�79..FINAL INSRECTION ' '
G32r.Electrical Power Meter-Final �'' �`"SOrF000 CERTIFICATE ISSUED_ _.
':33.-Final Electric - �c � - r �= Notes: _ • " -
1.
�34c�Final Heating & Ai� Conditioning- � i�`' ` � ' ' - , .
rl�. - -
4 35`.�-;Final Gas Pipe-Test� �_ •� .- '� i;�'q.' � -. -. - -
��36._Hoodoe�CanoPV - _ - ' . . �. �'�;�`� - � � � ... .
• - k 't
_ � � - �. � � ' . r'* , _ - _
�-,37.-�Firial Factory Fireplacer . .- L.�, = • - �
^38. Finel Plumbing ` ' e ' ;�; ` - ` ^ � ' -
y x
39. Water Service�Final. � ` - , ` � " � �. •
_. i .,:
r 40. Gas Service�Pinal ' -� s � ' ' ' -' � •
Y. • � •
�'41. Solar pomestio-Final - � �� � " � �� . . - -
42 Backflow Preventer ' 3 � -�
:� � „_ i. ; : _
43. Backflow Iriigation -"�" . r : } ;. � � �
r:44._ Landscape I"rrigation System��' � '^ ` � ��' ' `' . � � ' '
m r.; 1' _ _
�45.`Sound .Attenuation _'.�. 4. ` -� �,�i: , - - .. . � - ;
�:46.��Handicap Regulations _ ,., � x � "� _ �- ` "
x
47rFINAL STR'UCTURE & BUfLDING ._ ^• ` ' � � �
48 �FINAL PLANNING - j: �" ' ` . � _ "
; 49.=,Electric Release to;Edison `Y'' � _.
- � -
�•50. Gas:Release4o Southem California Gas Co � _ � ;
51. CERTIFICATE OF OCCUPANCY ` '
No. Date
PflOJECTR00flE38: ZSO'} MARK LN
OWNEH'SN►ME: FAIRV.IF.W MGMNT.- CO.
RODflE33: �SZO MGRIMAC
• CM GA92626
uxiT: NON6
�NCN/ENGINEEfl: NEG.NO.:
BURKE LESTER 6 ASSOC. C–FQ�25
nooeess:2�025� MILL CREEK RU 0N1'
PEflMITTEE: �AGUNA HILT+S C� 92653 � .
�ooeEss: '��'1TIAG0 AIk COND ( 71 4) 998-1600
231 W RLUERIDGE '
ORANGE CA 92665
110ENSEO CONTMLTOR OFCIAIWTION: I hereEy aflirm that I am IicenSeE unCer Drovisbns of Clapter 9(commencinA ��� �ction
7000) of Oivisian 3 of tAe 6usiness anE Pmtessions COUe, anA my Ilcense is in full lorca an0 affect.
cm�c,:U 7n� "IVsT"Teuc.:269496 us r–.
Oate. � � SiqnaWre:
WONKENS' fAMPENS�TiON OECIAMTIDN: I �ereEy atlirm tAat I Aave a eNfcate of canun etlJnsura or a certiliwte oI Workers'
Compen3atiw Insurance, ar a cetlilie0 mDY ��ereol (Section 3800, LaE. ).
roucrxo.: WC8712051 Exr. onTe: 04 /O1 /'�
wrnr�xr: pACZFIC S'LATES
❑ cen�ree a'x A/ere�ey lumis�ee. [� CenifieU capy is file0 wii me � emamp oms�on.
�ate� � I �� • O ApDllunt:
IXQAPfIOX FPOM WOPNEfl3' COMPENSITION OECIAMTION: (iAis s¢ction n M nm Oe comDle�eO i e ermil a lor o� huMreO (f100) or less�.
I t¢tlity Ihal in ��e pertormance ol �he wOrk lor whitA �MS pefmil IS i55ue0, I Shatl nol empl0y y rson in any manner 5o az Ia DetOme
suojttt to ihe Wofkers' CamDensdtion laws o1 Calilomu.
Date: Sipnamm:
NOfILE: If, atter maldnp tAa Oeclarz[ion. you S�ouIE Eecome suEject to the WOAers' Campensatron pmvisions ol tAe laDor
CAOe, you must forthwii� Compy wit� suc� proNsions ar ihis permit s�all be UeemeO re`rokeG. .
CONSTBUCTION 1EN01NG 1GENCY: I hereby atlirm Ihat Ihere is a constmction Ien0in0 a0ency for tAe peAarmance al Ihe work for
wNcO this permil ¢ issueO (Sepion 3097, Civ. C). ' .
�noEe:
' ' ROOflESS: -'
OWNEp�BUIIDEB OECIAIWTION: I here�y allirm t�at I am exem0� �mm I�e Coniractors' State License Law lor the followln0 reason
(Sedion 7IX17.5 Business anU Pmiessional Coae: My dry ot wunry whicA requirzs a Dermit ro construct, alter, imprave, Oemolis�, or
repair any stmtture, prior Io its iwuarke, also, reQuims the aDW��nt tar suc� ce�mit lo lile a sipneE siatement ttut he/s�e is Iiunse0
pursuant to the Drav¢Pons of IAe Contracrori State Licenu Law (Chapter 9(commendnq with Section 7000� al Oivision 3 0l t�e Business
an0 Pmfessions COGe) br Nat IWs�e is exemD� ��emlrom an0 Ihe Oasis tor Ihe alleqe0 exemD�ion. Any tioWtion al Section 7031.5 �y
any aOPlicant lor a permtt su�lecls t�e aOD���nl to a ciNl Denalry of not more t�an INa �unUreO Eollars (5500�.
I, as awner' of �ihe pmperry or my employees vntA wapes as tAeir sole compensaiion, wlll Ao tAe wark, antl t�e
❑ sin¢tum is not inten0e0 or offereU for sale (Section 70A4, Busineu anU Pmtessbnal CoOe: T�e Coniracrors' Sute License Law
Aow not appty to an owner ol a property who �uilCs ar imprwes tAerean, antl who Eces such work �imsell/A¢rselt or tAmupA
" Ais or Aer ovm employees, 0�4� tAat such improvemenis are not intenAeO or atleretl far sale. II, �owever t�e GuilEinp or
�improvement is wld wit�in ane�year oi wmpletion, t�e awner will �ave tAe EurOen of provin0 �e/she OiG not GuiIC or imDrove
lor the ouryose of sale). .
I, u owner af Ihe D�operty, am exclusivety contractinA ��� Iicensad contractors ro constmct tAe prolect 4Sectlon 7047, Business
❑ an0 Profeuions COAe: The Coniractors State License Law tices not appry to an owner of Oroperry wha hmlQs ar improves ihereon
anE who coniracts far such prolecis vnih a coniractoqs) licensa pursuant ro t�e Coniractars' Slate License Law�. I am aware
thai prooi oi tAeir Worker's Campensation insurance slroul0 Ga prwiGeO to me.
� 1 am exempt unUer Section: ' � B. 8 P. C.
for t�is reason:
�
oate: ' Ownec '
I Oo Aerehy certiy tlwt I am awam of anG understan0 ihe reQuiremenls al Calilornia Health anE Safery CoOa Sections 25505, 25533, antl
25534 anE t�at I ar any fNure builGinp acupanl witUvnll not (circle ane) nee0 ro camply wiN sai0 state ca0es antl Ne repuirements tor a
permit for constmction or modificalion imm t�e N'r�ual'�ry Manapement Oistnct. FeSiAential consimction aDPlications are exemD� �mm
ihese D�ovisions. _
�a[e: MD�icanC
I hea6y certiy tAat I Aave reaOlhis ap04cation antl state that the above inlormatian is correct. I apree to comply with all city an0 counry
orAinances an� state lavrs relatinp to huilUinp wnslmciion an0 �ereby am�onze representatives ai this cM �o enter upon t�e aDove�mentionetl
prope r insp ctia Du s/�
Date: ^ � �v Siqnamra: � I . '
Dnver's License or Social Secunry N:
1601J6 W�it9—Buil0in0; Green—COEe Enlorcemenk Cenarv—AOClicanC Plnk—Revenue; GoltlenroE—qgseseor
C7'CY OF CQSTA MESA – BUZLDiDIG PERMTT
PERMII' NO: M 046100 PLAN CHECK NO: �I
CONSTRUCTTON TYYE: V–Dl FERMIT TYPE: MF(:
JOB DESCRIPTIO�] : NEW SFD
CLAIM VALUE:
CAI,C–VALUE:
PERM rlQ: M 04610q
GOVT: N SUPP: N
PORPUSE: 01'H
SQ FT:
GROUP OCC: R-7 /M=1
COMMENTS; REP B44806
*�r*�**�t*��**�**��**��t��******x****��**�**�r*xx��***�+��*�**��*�**��x**���***�r��r*�
Z O N I N G R E Q U I R E M E N T S ,
S E T II A C K S
--- ------- MAIN BUZLDING --------- ------�--- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN � FRNT: FT IN REAR: FT IN
LEFT: F'T IN RGHT: FT IN LEFT: FT ' IN RGHT; FT' 1:N
PARKING REQ: PROV: PARCEI,: OU000000 ZNF.: REF NO:
PLANNING NOTES>
>
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' D E V E L O P M G N T• S E R V I C E S R E Q U I R E M E N T S
�EONING APPROVED BY DATE:
-$UILDING APPROVED BY : � DATE;
�APPLICI�TION ISSUED HY:��� DATE: OZ1��'GJ
�-�ei�ie*it**�rx�*+tie�e*ar**�rat�*�.�Fir��. � .,r i �-"iFit*��+��-*atitit*�iF" �*�r
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LfiGALI'LATION:N F E E �S U M M A R Y STRUCTORAL SEGMEN'T:N
DLDG PMT PLOMBING ELECTRIC MECHANIC FIRE SMIP/RLS GRADING
PERMIT 9.00
25Y SMIP/NON–RE5
e L.an�
ISSUE FEE. 15.00
BUILDING–DIV–> PERMIT ISSOE PLAN–CHECK 'tUTAL PAID DUE
TOTALS —;–? 9.0'0 15.00 0.00 24.00 24.00 ,00
RFVENUF. UIVISION 'fOTALS--> COLLECTED: 24.00 UVER/SHOR'L: .00
BLDC PMT PLUMBING ELECTRIC MECHANTC FIRE SMIF/TOT GRADING PLAN–Ci1ECK
I , 24.U0 ,
il if 3f iE if k k�1! if N 3f 1E 3E ff iE iF 3f iF IE �M 1f af 3t if jf iE jE 3E 3E 3E iE k k if i! if iF iE iE jF 3F iE iF �F iE iE if ik if �E if IE ik iE iE iE iE if jt 9f iF jF iE iE 1t * iE rt 3F ik i(� Y iE iE k if it iF il
I N D I V I D 0 A L fi E E A R E A K D O W N
TYPE QTY D E S C R'I. U T I O N UNIT CQS'C TO'PAL, C05T
MEC 7. INSTALL EORC/AIR FURN <= 100 K BTOLH 9.00 9.00
END OF FEES
0
O1 000540ti4-00054084 'i � i ?4.00
DRTE: 02/I6/90 TIME: 14:37
l,
CONSTRUCTION AND PLANNING . � � PO.,� & 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. Electriwi Bonding
- 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6.��ElectricalUFERGrnd. 57. APPROVALTOCOVER-GUNITE
-7. Footings . 58. Electrical Conduit-Undigrnd.
8. Foundation � 59. Gas Pipe, O Undrgmd., Test
i
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Ploor 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 g/Y 40 (�ps FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Dutts, in-Structure ' 70. Underground Hydro ,
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test " 72. Underground Flush
24. Roof Framing � - , � 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing � 74. Overhead Hydro
26: T-Bar Ceiling (Structural) & Monocoat 75, Dry Chemical �
27. Frame and Flashing 76. Dry Standpipe �
28. Lathing�& Siding ; � 77. FIXED SYSTEM FINAL .
29. Insulation _ '? � 78, FIRE PREV. FINAL
30. Drywall Nailing . � HEALTH.DEPT. REQUIREMENT
31. Plaster Brown Coat •- '� • 79.�FINAI INSPECTION '
32. Electrical Power Meter-Final � ,��� ' 80. FOOD CERTIFICATE ISSUED �
f.
33. Final Electric � � Notes: � � � - ' �
34: Final Heating & Air Conditioning ���,�� � �
35. Final Gas Pipe-Test . � � - � �
36. Hood Or Canopy . � �
37..Final Factory Fireplace� � �
38. Final Plumbing , -
39. Water Service-Final �
40. Gas Service-Final �
41. Solar pomesticFinal ' � �
42. Backflow Preventer �
43. Backflow Irrigation � - - �
44. Landscape Irripation System � ' - _
45. Sound Attenuation .
46. Handicap Regulations � � '
47. FINAL STRUCTURE & BUILDING ��'• ' .
48. FINALPLANNING � - -
49. Electric Release to Edison �;
50.� Gas Release to Southern California Gas Co `� - �
51. CERTIFICATE OF OCCUPANCY �
No. Date
PN0.IECT RUOflE38: 2 S O 4 MARK LN
OWNEN'SN�ME: MESA DEVELOPMENT
nonxess: 520,MERRIMAC WY
� � � �OSTA MESA, CA.
'734/979-9991
RHLNIENGIj{EEB: �
noosess:
. UNR: O
flFG.NO.:
uxn:
PEflMffTEE: TF.MP POWER SYSTEMS ( 714 ) 632-1999
nooxess: illl N. TUSTIN AVE
ANAHEIM CA 92806
LICENSED CONTMCTON OECUM710N: I here0y alfirm ihat I am Iicense0 un0er Orovisions of Chapter 9(commenclnA wilh Section
7000) af Oivision 3 al tAe Buvness an0 Pmfeuions CoGe, an0 my license is in lull force antl effect.
cinuc.:039124 $Tpreuc.:483433 _ �uj��C-10 _ � ,
Date:—' � SiAnature: ��l�tt��_/�'vvv�
WOBNENS LOMPENSRTIONOECIAM ON: Ihere0y alfirmtnatlAaveacenifiwteotconsentrouli-insumaracenifirateolWarkeri
Compensation Inswanca, or a certifie0 coDY �hereol 15epion 3800, lab. C).
roucr xo.: 306-90 IXP.01TE: 1 S�OS I9O
coMr�xr: STATE FUND
❑ CertilieE coDY is �erehy tumishetl. � Cenilied wpy is IileE wit� tne�,c,�iryn BuilEinq �ivisian. .
Date: � �, '� ��1 11pplicani: ( , " " " '
IXEMPIION FHOM WOPREPS' LOMPENSITION DECUMTION: (Tlus secUon neeG noI Ge complete0 il ihe permit a lor one �unOred �E100) or less�.
I c¢riity Ilu� in �Ae pertormance ot ��e work for whic� Nis permii is i55ueA, I s�all no� ¢mploy any person in any manner so as �a hecame
su0ject to t�e Woders' Compensation Lavrs oi Califomia.
Oate: Sipnature:
NOTICE: Ii; atler makinp Ihis declaration, you should become suhject to t�e Warkers' Compensation pmvisions of the Laho� '
CoOe, you must forttrxith comDly with such provisions or this permit sAall ba daemetl revokeA. �
CONSTBUCTION LENOINO 11GENCY: I �erehy aifirm tAat ihera is a consimction lentling a0ency for ihe peAormance of tAe work for
wNc� Nis permit is issueE (Section 3097, CN. q.
LENOER:
' RDUHESS: '
OWNEP BUIIDEH OECl11MTi0N: I hereDy amrm ihat I am eMempt Irom the Contadors' SWte Lkense law for tAe follawin0 reawn
(Section 7031.5 Business an� Pmfessional Cotle: My dry oi counry which repuires a permit to construct, alter, imDrwe, Eemolt54 or
repair any simcture, pnor to its issuance, also aquires the aODlicant tor suc� Oermit ta file a sipneA statement ��at hNsha is Iiunse0 �
pursuant m t�e D��o�s of the Cantractors:State license Law (ChaD�er 9(commencinp wit� Section 700�) of Division 3 0l t�a Busineu
an0 Pmtessions CoOe) or Itut he/sha is exempt theretrom antl tM basis lor the alleqetl exemption. My violatian of Sectiw 7031.5 Gy
any applicant far a permit su0jects tne applicant �o a cNil penalry of �rol moro tAan.frve nunarea dollars (�1. •
I, as avmer of the proDeM or my employees wit� wapes az lhelr sole compenution, vnil Oo t�e wod, and t�e
❑ stmcNa is nol intentle0 or otteretl for sale (Seciion 7044, Business anU Professional Cade: The Contractors' State License Law
Eoes notaODly to an ownerof a Droperty who �uilUs arimproves �Aereon, antl who Uou such work hims¢Ii/herself ar NrouAh
his or �er own employees, pmviEeJ that sucA improvemenis are noI intenEeO or offere0 tar sale. If. �owever t�e huiltlinp ar
Impmvement b SoIA witAin one year oi completian, the owner will have tAe Eurden ot D�aNnA Ae/s�e tli0 not OuiIE or Impmve
- Im Iha Durpose of sale�.
I, as owner of IAe OmOerry. am exclusively coniractinA with IlcenSeA coniracims to consiruct t�e Droleci (Sactlon 704d,�Business
❑ anA Professions Code: ihe Contractors' State License Law Uces not apply ta an ovmer of Droperty w�o OuilEs or imOmves Ihereon
anG wAo contracts for such Orol�u �th a coniractor(s) license pursuam to t�e Coniroctors' State License law�. I am aware
t�ai proof ol t�ei� Worker's Compensa6on insurance sAoultl Oe proNEed m me. ,
� I am eK¢mpt unEOf Set�ian: , B. 8 P. C. . '
Iar ��is reason: • .
Date: ' Q«ner.
I tlo �ere0y ttrtiy tlwt I am aware of antl un0erstan0 Ihe requirements ot Calilarnla Healt� anE Salery Catle Sections 25505. 25533, an0
25534 an0 Uat I or any luture UuilGinp occupant wiltivnll not (circle ane) nee0 to comDN ��� �itl state cotles ane tne re0uirements lor a
permit lor canstructbn or modilication tmm the Nr Uualiry ManaOement Oistnct. ReS�Eentul conswctlon appliwtlms are exempt imm
tneu provisions.
Oate: Applicanl:
I hereby certity t�at I Aave rea0 this aD0liwtian anA state tAat the aDova inlarmation is mrrecL I a0ree ro comply with atl ciry an0 counry
oNinances an0 sGte Wxs relatinp to Duiltlinp constructlon an0 hereEy aut�onze repre5entatNes of tNs cRy ro enter upon t�e a6ova-menuonM
pmpeM �or inspection Duryoses. (�/J
Date: �T � � p �U5 SignaWre: ��CL=�y
onver's License or Sociai Secunry x: �
164tA8 W�ite—Builtlino: Green—COEe Enforcamant: Cenarv—AoolicanL Plnk—Revenue: GOICenroE—Asseswr
`" �+'CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: E 045552 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: ELE
SOB DESCRIPTION
CLAIM VALUE:
: TEMP POWER POLE
CALC—VALUE:
PERM NO: E 045552
GOVT: N SUPP: N `�'
PURPOSE: NEW �
SQ FT:
GROUP OCC: /
COMMENTS: RESIDENTIAL TRACT
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Z O N I N G R E Q U I R E M E N T S
S E T B A C K S.
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN.
.LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 00000000 ZNE: REF NO:
PLANNING NOTES> ,
- � _
1f fE 3! if iE iF �k 1f ft iE IF M ik ft �k 1k if ik k �k iFlE iElF 1E 1F 1E 1Flk iF k 1F 1f if iF it 1f 3E iF IF M M iE iE 1E k if iE fE ik It If ik if 1t 1E ik ft iE 1Elf * 7E �E jf !E 1E 1E iE iE 1E i! IE iF fk 1E iE 1E 3E
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 HY DATE;
BUILDING APPROVED BY : _ DATE:
APPLICATION ISSUED BY: DATE:
iEiF%iFkiFiklElEfEiEiEiFIfiFMIFlkitififif �7l1E1E*iPiE3E�fif1E �
1k if iE 1ElE iF iE if M if iPlt !k k Ik 1f 1F iE If if ik if iE iF ik iF if 1E 1E k k iF IE IE �f �E 1f 1F iE itlF iE ik M ik iF k iEM IF fE ff M fF iE M if M iE M iE ff iF if 1f ff lE If �E 1E 1E if 1E 1k 1f if 1E if if
LEGALIZATION:N F E E S U M M A R Y - STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC �MECHANIC FIRE SMIP/RES GRADING
PERMIT 15,00
• SOt SMIP/NON—RES
PLAN '
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 15.00 15.00 ' 0.00 30.00 30.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OVER/SHORT: .00
• HLDG PMT PLUMHING'ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
, ' 30.00 .
i !ElkitiElElEifkifiklkMK�fMlk�kifikiFklkiFiFiklFiEiklkiFlflflfif!litikiEiEiFlklEiFiFiEiE7FiEMiElfMikikfFitlFifit9klkifiEifiFiklflFiFiFMiF1F1FfkIkiElFiE
I N D I V I D U A L F E E. B R E A K D O W N
TYPE QTY
ELE 1
D E S C R I P T I O N
TEMP SERV PWR POLE W/OUTLETS
END OF FEES
UNIT COST TOTAL COST
EA. 15.00 15.00 '
01 OOOSO6E8-00050588 T fj T 30.00
DATE� 12/23J89 iIHE: 10:24
CONSTRUCTION AND PLANNING PO. _& SPA
APPROVALS Permit # � Date Inspector qppROVALS Permit # Date Inspector
� 1: Temporz!y Electrical Servi`ce or Pole;: y _..i}D 52. Pool & Equipment Location -
7
2.�,�il P.ipe�Undrgmd� ,� "'r � 53. Steel Reinforcement .
^. �3��Et6ctrical Con�it�l'�Eility-Undrgrnd?� � ' , � 54. Forms �
"' 4.�Electrital Conduii-Undrgrnd�., � `�_ 55. Electrical Bonding �_�
� � �
<�.:�Ieel Reinforcement � x 56. Rough Plumbing & Pressure Test
^ 6.� ctr'�al UFEiiiG�nd. �' - 57. APPROVAL TO COVER�GUNITE -�
J �.:: T
>�7�.rFQotings ��', _ 58. Electrical Condui[-Undrgrnd. p�
�.�Foundation �5 - 59. Gas Pipe, O Undrgrnd., Test 'i
� 9. Water Pipe-Und''r_gind. 7 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Structural Floor System .',�� � '+� . 61. APPROVAL TO DECK '""'
17. Property Sewer Ling'& House-Connection � 62. Backwash & Receptor�Final ' �
12. Sewer Cap ::: c,, c, 63. Hea[er & Vent�Final �
13. Roof Drains � p �-, „ � 64. Plumbing System - Final ,
14. Rough Plumbirg � � � 65. Electrical-Final ��
15. Rough Electric�al-Conduit ', 1 66. Solar SYstem�Final ,�'
�
16. Rough Electric4Viring � � 67. Fencing & Access ApProval
17. Rough Wiring 3ign 68. APPROVED FOR PLASTERING ' �
18. Rough Electri�J-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioniny ,_FIRE D,EPT. �EQUIREMENT
�: !l f:! . ti. r,�- ,e 'W^ n`A t � n..._ rn
20.`'�.,,Roiryh �acto�y Far�place , s,.n'�, �,�' x � .,.��y V.� x ;APPRQVALS �.,��Perqlit # �
21;-DuEts.in%Strbctuie* .... '-'� ': = ��K� ^ - --"' •- ''
s n cx �; ,� �*K '�0. pnderg�oundHydro ,�
^1 r � -. - � � i r `-: * 5 n: x r; � - _^ � _. �
22.�Du6is, Venti�ating,* • p �_r, �,C q :_,� x g71. Product-P,iping C�6�s �Oil
23�Gas-Pipe-RoQgh & Test mS � t7 d �a� �_7z. Undergrouncl Flv'sFi� ^
n r- �: !r.^. s� - v: >, x
24!TRoaf Fr,a�ning �;� � �-'�' ��� K ` � � ,,.:� � '73�Undergmd�.Storage:TankT]Gas ^OOi�
25. Foof SFieathing �_� � � � _ � '7 > Nx * 74f•Overhead Hydro?,.,� *
; 26UT-Bar Ceiling (Str,ucluraq &=Monocoat x ,:, r '� k � 75"sDry Chemical � * � ' `
r � k :T7
� 27.iFrame acid Flashing: ���c; -� �^' a �,� �' 76.�Dry Stan�ide L^ * � � ..
x r .-� ..
-28. Lathin � Sidin * �' y''� X �' ' ••� �` � . � ~ n ��
9B� q�* ��c.., p s ..i ..� ��, x 77r; FIXED SYSTENjiF,INA�;: .� �� h
^ J �
��29. Insulation <� � •' �T , , � �x � 7gmFIRE PREV. FINA'L � '�
�30. Drywall�lailing `-'* �., "° _ I � ,y� * = .H�ALTH"�DEPT� Fi"EQTIIREMENT
�31. Plaster Bro�n Coat- �' :^!" � ! � !> � -�79 �PINAL INSP.ECTION� � � �
�
�32�Electrical Power MeTer-F,inal� x" } i ��'SO�FOOD CERTIFt�'ATE IS�.SUFD� ._n-.�
z33,_ irtxl Eleciric �+� �. � �'�� ' � x � �Notes: _ -��7 , Q � �m
� � � <-
�''34`�Fine`l Heati�g+& Ai7: Contlitioning �`� * j � ,'�" * ,'v _-S` „-' x � -O
w� �, S: ;a r x � � t�'�; x v- o 0 0 �- � � .7
. . ^ I i , ... .. ., �, , .�
35,`^Final Gas Pipe-Test.� �.n,.� .. x s . � � ��.-;� :. � - :�. , �. -� E.M
�36,^Hood or Canopy * �- ^ � �"'�- o '* �': � I l�: .� g (�o �x T ;:,;:
�: � n , �.. � o a: 1 IM * t-n ^ c, � n � n
�. ' ` . ., , � �• � ,. .•, f � „ .-.
�37"Final Factory Fireplacez i%-�' o s, � µ x ` C x ��;n
_,'�38. Fir� Plumbing * �:s ' o < � '. 1 {* � �c H <;�
a: ,^• 1 t � � i� w�. i-' G �c
' �39. Wat�r Service�Fina4# i � * x i � � :� � ` p` � �e � .:,
t �
�'40. Gas Service-Final x;; "r�"!T -�-' '0 !� � � x Go oCJ x •
x� n i-.:.. t*; x Ix � F. • c�. :� c;
�- �k c � � .. �c �J � �. �. ¢ �., r-i
,�41. Solar pomesticFin�?I- T x p; * -� ` r� �
�
42. �Backflow Prevente�* � `•� t � fx x �;-, * r ., ,
r� r-_ "1 t-� �. a: t-� ,: x: r rt, �1 't i
C' 'X. i%. c� �" ;: .� u. r s �; ._
43. Backflow Irr-rgation� ;, z S r x u i � n •
444 Landscape f�rigatio� Sysreqy'?�"� � � *�" � 7 ox :� m c� �-'C * � tv o
i+ x . d= r .� a: Q ��* i � O��. X S F
�• n x .a�F. t' a: i r �^-.: � �.-f �, ,.,a; >.
�'45rSound Atte�uatiop y .. .. * ;� ;q i-;�. x - � • F.. �
�46�•Handicap Regulations � v �y � �� f � _ C'-' S � ,
47=FINAL STRUCTUPE & BUILDING ''' � I ' r"� _ `L � � �
n *- I i �;� � C ?: r�
48rFINAL PLANNIN6 � `-'F' ^� �� ! %^ * •. -' � s � F' •
.,, < x �;; w , r, ;� +: a: '
i'49C,EIeFtric Rele`ase to;,�dison I '" ' � �i* ,� � ^: .��. " _.
i i
_.
"� 50�Gai:Aelease to Southem Calif rrtia Gas Co � /� x �-' c• �^ x �-' •
<' r �)z x� r Cc C� #. iJ O
=`51. CERTIFICATE OF`OCCUPANCY * ,�" w � •• �� ^- � ; -�
No. Date