HomeMy WebLinkAbout2512 MARK LN - Building Permitsrxaecr�ooxess: Z512 MARK LN ' °NR� NONE
„ � oyie�sx►Mc: FAIRVIEW MGMNT. CO.
ROOflESS: zSZO MERIMAC �
, 'CM CA92626
��RCNIENCINEEP: BURKE LESTER 6 ASSOC. pea.xo.:C-6925
►ooxess: 23025' MILL CREEK RD • uxrt:
LAGUNA HILLS CA 92653
PE"MiTTEE:FAIRVIEW MGMNT. CO. (714)545-7327
-' R�DflE33: zSPO MERIMAC WY �
CM. " CA 92626 '
11tFNSED fANTMCTON OECIAMTION: 1 hereEy affirm tlwt I am Iicense0 unEer Drovisions al Chapter 9(commencinp xit� $ection
7000) of Oivision 3 ot I�e Busine55 an0 Vralessions Copa, an0 my Gcenu is in Iu0 lorce an0 eflect.
CIT7 IIC.: ST�TE UC.: LUSB:
Date: SiBnatura:
WOBKEBS' fAMPENS11TI0N UECIAMTION: I �ere6y aryirm that I have a certi/icata al consent to sell-insua or a cetlilicata ot Workers'
Compensation Insunnce, or a certifie0 copy IMreof (Sp�tlon 3800, Lab. C�.
roucr No.: ucr. o�re:
. carnv�xv:
� Certifie0 copY �5 herehy hmisAetl. ❑ Cetlifietl coDY is fileA with ihe ciry BuilAlnO Oivisian.
Oate: ApDliwnt: � �
vunmox morn waxuns• eoMr�s�Trox oeauunoH: f� secmm �eea �m oe comd� n me cemm c im one nwdrea Isiml «ieal.
I ceniry that in ihe Dertar ance oi tne work lor wNcn tttis pertnit is iuu , I snatl not emqoy any person in anv ��r so az to 6ecome
subject ro t�e Wo ers' mpensatian laxs of Calilomu, �
'Date: �� - SiAnaWre: '
NDTICE: I, atter alting is Oeclaration, you s�oulG De o su01e« �o lA 'orkets' Compy sation D�uNvons ol Ihe �abor
CoOe, you must IonRxith comply wit� suU D�oW�ons his permit a e UeemeO ravokeE.
CONBTROCTION LENUINO �GENCY: I hea�y.aifrm that tAere k a construction IenEinp apen�y lor tAe peAormance o1 t�e work for
w�ich lhis permii is iuue0 (Secuon 3097. Civ. C). .
LENOEN: •
RDOBESS: '- " �
OWNEB BUI W EB OEClAIW710N: I �emOy alfirm tAat I am exempt trom the Cantacrors' Stare Llunse Law tar the follovnnp rzason
(Seciion 7037.5 Business antl Prolessional Cotle; My pry ol raunry wLicl� repWres a permit to wnswct, alter, improva, Gemolish, or
rtD�r airy sWCWre, pdor ro iLs issuance, also 2puims �pe appliwnt for wch De��� �o file a si0netl statement tAat he/sAe is licensed
pursuant m �he provisims of the Contracrori State Lice�se Law (Ctup[er 9(commendn0 ��h Section 7000) of D'nisbn 3 0l t�e Business
an0 Pralessians Code) or that he/she is exempt t�ealrOm an0 the Uasis tar I�e allepeG eKemD��on. My violation of Section 7031.5 6y
any aDPlicant lor a Dermit suhjecis the aDDliwnt ro a eitil Denalry.oi wt mom I�an five �unErea Aollars (f500�.
I, as oWner of Ine proplM or my employees wit� waqes as IAelr sole Compensati0n, Vrill do I�e wofk, and ihe
❑ strucwm is not inten0ed or offereA lor sale (Seclion 70A6; Business anE Pmfessional Coda: The Contracrors SWte Licensa Law
tices not apDly to an owner al a Dmperty wlp bui105 or improves t�ereon, anE w0o tloes such work himsel//�ersell or throu0h
�is ar her own emDloyees, proviEeE ��at suc� imprwemenis are not intenCeA or otleretl lar sale. Ii. Iwwever Iha 6uilAinp or
impmvement is m10 within one year ot camDle�ion, t�e owner will have t�e �ur0en of Droving he/she did not bui10 or improve
lar ihe purpose of sale�. _ �
I, as owner oi the Oroperty, am eeclusively contractlnA wtlh licensed contractors Io consimct Ihe pmlect (Section 7p14, 8usines5
� and Pmfessions CaUe: The Cantncrors State Lkense Law tloes not appty to an owner of D�aOerty �o GuilGs or imDroves Ihereon
anG who wntacts tw suc0 D�ol��s vriN a contractoqs) license Dursuant lo ttre Contracrors' State License Law�. I am awam
I�at prool 0� IAeir Workei 5 Compensa�ion ins4rante 5MN0 b¢ prwiEeO la me.
� I arn exempi unEer Sectian: B. 8 P. C.
lar inis re on: �
Dd�O: � OWOEI:
� I Oo her¢Cy ce Ty tAa I am aware of anA untlersUnE t�e requiremenes ai ' mia Heali Safety CoAe ctions 25505, 25533, and
2553C an0 t�at I or arry future builEinO acupant vrilVwill not (circle one) nretl ta compty ' said state wGes anE tM repui�emenis for a
permit far conswction or mo0ifw�ion imm t�e Air Oualiry Manapement D'¢Inc�. Fesi ntial construction ap0lica�ions ara eeempl lrom
I�ese prOvi5ion5. � '
Date: ApDlicanC
1 AereOy certiry t�at I Iwve read this appliwtion an0 state tAat tne aEove information is corrtct I aA�ee to compty vntA all ciry an0 counry
wEinances anG state laws reWlin9 �o UuiWinO consiruction anU Irereby au[Iwria reDresenfaUves oi tlus dry m emer upan Ne a0ovamentionea
propeM �or inspeci' n pu ses. �7 � ��//��iiJJ
Oate: Signamre: C//.!�✓+��'1 /.�.�
'I onver's �iu se or Socia� secunry x: � �/ /
184136 W�ite--BuilEirq; Grean—COEe EnlorcemBnC Cenarv—Applicani: Plnk—Revenue: GolOanrotl—Asaeaaor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 044807 PLAN CHECK NO: N
CONSTRUCTION 'TYPE; V—N PERMIT TYPE: STR
PERM NO: B 044807
GOVT: N SUPP: N
PURPOSE: NEW
JOB DESCRIPTION : NEW SFD S(J FT; 1,937
CLAIM VALUE: 107,712.00 CALC—VALUE: 107,711.50 GROtJP OCC: R-3 /M-1
COMMENTS: PCk1306-89 L PAID
MiflFfElEikMitlFiEMiEk1FlFiliFiEiFiFMklflfllifiFif�f�FikfffF*iFkMikkifiFatifitMlFlEifM�fkMMifiEifk%iFiFkitiliEkMiEiEMMifiEiEitiE3Eifikk
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; 95 FT ZN FRNT: FT IN REAR: FT IN
LEFT: 5 FT IN RGHT: 5 FT IN LEET: FT �NdROG��T�.—/3 FT IN
PARKING REQUIRED: 2 PARKING PROVIDED; 2 PARCEL: 0000000Q0� yZONEj: PDRH�'j
PLANNING, N6TES� ALLKPARK�ING OF THEE22�UNITSNARER�OVERED�(� FQj�$PF�CIAL�VB��
MMiEiEiF3fkiFiEiEiEif�EffifiEifkikiFififkklfiFiFMikiEifiFiFifiFikkMMlkiFiEfEififffiEklffFMiFfFMiE iF3EIE iEikiFikM3fiF�E.lFifif�aFlEiFiFiF
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 ' � ��(J�il'k� DATE; ����� Sg
. . �
HUILDING APPROVED BY : Ivi I.L� � T� DATE; �,O � Z6 � g�
APPLICATION ISSUED 'HY: ��' � DATE: I I'%i�.3'c��
LEGALIZATION:N
BLDG PMT
PERMIT 667,50
IEfE1EiE7EiElFikififif�lEifiEiFMiF iFMiklfififfflEiEkikiflflEiE1liEiElflElfilfElEfEkililiElEiEiEiflfiEiEiEiflfif
F E E S U M M A R Y STRUCTURAL SEGMENT:Y
PLUMHING EL£CTRIC MECHANIC FIRE SMIP/RES GRADING
7.59
SMZP/NON—RES
PLAN '
ISSUE FEE
HUILDING—DIV—> FERMIT ISSUE PLANcCHECK TOTAL ' PAID DUE
TOTALS----> 675.04. 0.00 ; 0.00 675.04 675.04 .00
REVENUE DIVISION TOTALS--> COLLECTED: 675.04 OVER/SHORT; .00
BLDG PMT PLUMBING ELEC'PRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECIC
667:50 ' 7.54
k K 1E �E iE iF 1f if iE k if 3f if if k if k iF iF if ff %iE k iE if if k k iE 1F IE aE 1f 1E 1E it if if if M k if iE iE iE 3E k k if k iF if 1F if ik M IE iE M if iF iF if M iF iF iE it if if if iE �lf if 161Eaf it
I N 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 1475 DWE—TYPE V—WOOD FRAME= —GOOD 67.70 99,857.50
SFR 462 RES—GARAGES TYPE V 17.00 7,II54,00
— - END� OF FEES
`� � ' �- �;- . � , .
t
f CONSTRUCTION AND PLANNING " PO� , SPA
,�APPFjOVALS Permit # � Date � Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location - ''
t� _-.�
il Pipe;Undrgmdn - 53. Sceel Reinforcement '� '
� ���3�EJectric51,6ondvR�Utility-Undrgrnd. • 54. Forms ' - �
._. r. : � . �, ..,
.q` y �-t_f.�...� �
` FQ.`Electrical'Co7Cdi{rt'�Undrgrnd. 55. Electrical Bonding
r;'B.�teel ReMfr�c€`mLfit 56. fiough Plumbing & Pressure Test �
^u•n n�� r.
�6.4Electrical��UF_E1i�rnd. 57. APPROVAL TO COVER�GUNITE �
.�
. c`�: Footingi :1 vS;l 58. Electrical Conduit-Undrgrnd. _
8. Foundatio2 .'� ' 59. Gas Pipe, Hrgrnd., Test ='�
a..�,
�9,. Water PipelJndrgrnd. . ackwash Lines, P�Trap, O Undrgrnd. �
10. Structu al�Floor System 3 4 61. APPROVAL TO DECK � i
11. Property Sewer Lir� & 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
75. Rough Electri�l-Conduit 66. Solar SYstem�Final ��
I
16. Rough �1Rctric,'Wiring � 67. Fencing & Access ApProval
�17. Rough Wiring $ign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning �.., FIRE,DEPT. HEQUIREMENT
c � .� n .: - � .� c r.' v� � �n: � . � M : J � J
(c' i � -� l w .: 4'7 x � , �J � � � a a � r' r P' J � " �: \ ;n (-+
20�Ro�gh Factor�y h�kEplace � '�r, �,� � S �.;� �; pPPROVAL$_,e..Peimit # �- -
.� ..� -
21 rDu'�[,s, i�Structu�e* • " " ''� � � � n� � y70. S7nderg�o�d Hydro ��
� a: �. �: e
22cDut#s, Vent�ting�� ,; '�� r p Q n r x� ,-'77. product7Fiping QGas O.OiI
23�Gas-PiprRough & Test "�'s � n ^ � O�� �, -7y, Underground FIGsh't' ' - ��
r. n r-�r. rnr. �'�r - r-. .'w t, 1 x -
� •. - � �. x �,..� s..� '7 c. x � . -.. .� ... .
24. Roof Fr,jming z� �,-� � c,.�x �:73 ; Undergrnii. Storage;'FankrO Gas ❑ Oil��
25,^Roof SFStfathing .. r• y �^, v� �� � A�"y y 7q?Overhead Hydro%_ '� � �
K
; N �.� � J [+: �' Y. � - ��: �. �
26a ��} Cgiling_(Sti2i�iura0 &'Monocoai_.,L� J �, rj,;; 75�Dry Chemicel ,; �rj
'-+T . • a �.-
27^Frameand Flashing: jc,� :'- :( D�*'� 76. Dr " i-:� � r
Y StanTpi(ie �,� � r,
� �'1 � .1 �' t Y Y Y'
,`'28. Lathin -& S'r" in .K N '-�= `�t�� p ,�li�' ~ .� " �'� • ^' �"C
9� ..d 9'�; rj.,:, ���;��li'��� ,,.; 77,iFIXEDSYSTEM�F,INAL��_ �^.
�29. Insulati6n Y• Ct�y S 0�3' � �'��%�-xy 78=FIREPREV.FIN'RL "=� -� �`;
�.• � nx CS: : c�: t-. .- � r '
30. Drywall Naiting * � �,� � � ��� * -HEALTH�DEPT; F�EQUIR�EMENT
_�31. Plaster BrowCn Coata S �`!^ �-'s:� � L? p'' r�.� v� 79 �FINAL IWSRECTION �_ + �>
,�32CElectrical Power Me'ter-Final� '`�"H_:- `U �•; i -�: � SO�FOOD CERTIFIC'ATE I$SUED_ ,,.'''
�,. �. • '. . _ t ; +, i. � . v. , . ' .
�335FirralElectri�� � ,:7 ��r7 " '��� �Ndtes: � 7m �:^. O ��tn
r� .r r n' c+/' z
�34(�'Firtal Heating & Ai7��,�i�clitiori'rng• H��'� ,� � „i � �� �'�. � ;_ H(�j� }��jF�j�, ]�Q[j�'f
c•
35; Firial Gas Pipe-Tesy. ry.N � � x :-i � � � ` z - � - �r. �a �.
_ - ...�
'%�36,�,Hood or Canopy � � + m�-! � -• � a: i'� �tx r : '�r, ~ - d
c� a: ;� :.=1 t: i y: � i• j!: K .'-� LI'/
r:� r. ��• , _
-37.`•�FinaJ Factory Fireplacc, �•F. r;:r �� � t• ^ ,_
i �r :r tn
"38. Fina1 Plumbing * ��� `'� �" � %� '0 � " ` �
.c * rr, :A "r. � �r, y: n 2'^ fi
u ' • r. _ � � �... � �. �... ,. . �
i 39. Wafer Service:Final,r, g . ��,�r. t- � � tx x.. �� �:t, e� - _
I - . � _ .. . �. ., _ i . . r ic. n
:^40. Gas Service-Final i� ri ��'m e;�-•; i* :7 x J�'� o;J x
�. nc-.. c;ca:';: ; � t;: f L. �,:' •¢
� ?'41. Solar pome'slirFinalS h `�,,t��C;� �" j f �„�'� °' r• =.�� r �;
� - �� - -- .. _ � .' ,-. . .� =
� 42. Backflow Preventert � :� ••n ; � � �r.' �' -' =•F' • ?' O '=
« �� � n:-.-; • �: � . ,: .=, r•, � r� �-
^ c .. .+. �i. ��
43. Backflow tr��gation j, 5 �rj �.* - r� ,; i^ ,�, ' ri J�
?'44. Landscape ITrigatid'n Systerr�� ;'= -, ��* �•� d� C� > c� N �� c': ;, x T i'. oC
!1 r.. ."`.. i � a: Q t+ .r. iJ C-. M. 'c' ._
�'1 ! . � _1 M t" .: � * .� �- �I !'+ � !: r-� !-i l. " �..'�w 1•
"'45jSound AtteRuation ... �_' �* �; p; :; K,: . C e; r r
�46.•�Handicap Regulations '-+ �:''* ' ^ � .� =-d '- �"
�c u.1- � k' �--Y: ' rn �� C C� �:
,_47cFINAL STRUCTU�tE & BUItDINGr� - (Q � � �� p :�; ' `'`'y t �
. ti.. �
�48=FINALPLANNING :-� �' i '� `' � - '� '� `" �'�
} � / i -.i * • -
:49.±Electric�Releaseto�Edison ' ;� = � �'�j ,��,: � ..-, � ` ti;^
.. _ <
^50SGas�Release•to Southem California Gas Co � I � �� I!� X , -i � =`� +� � •
�� - x 'J , x � Dc C� �+' �- -
\ �51. CERTIFICATE OF�OCCUPANCY * r ' , ,• �':= . ' " "'
\ No. Date
�
ii/�i
CONSULTANTS • INC.
May 25� 199�
CITY OF COSTA MESA
%% Fair Drive
Costa Mesa, CA 92626
Attn: 8uilding Department
Subject: CNIL ENGINEER'S FINAL GRADE CERTIFICATION FOR TRACT N0.
13348, IN THE CITY OF COSTA MESA (FILE 2046)
BLDG. PERMIT N0. B04480']
This is to certify that the final grade for building No. 18 also
known as 2512 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,
IDGA CONSULTANTS
�C%��
Surender Dewan, R.C.E. 34559
Engineering Manager
:jls
1182 North Tustin St.
Orange. CA 9Z667
(714) 744-0802
Fax(714) 538-Z152
O[her Office lncations:
Ranc�o Cuwmonga
Palm Spnngs
THIS IS TO CERTIF" 'HAT INSULATION HAS BEEN : TALLED IN
CONFORMANCE WITH TnE CURRENT ENERGY REGULATIOlv�, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 24, STATE OF CALIFORNIA, IN THE
BUILDING LOCATED AT:
SITE ADDRESS: 2512 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 ONTRACTOR: MESA DEVELOPMENT Lic. #
By ,i(�� � Title Authorized AQentDate 5-16-90
INSULATION CONTRACTOR: WESTERN INSULATION, INC. Lic. # 481278
y _ Title Date
Form 106
3/89
raaecr�ooxess'` '�512 M.ARK LN �
OWNEN'SN�ME: ��jRVIEW NAi�AGEN.fN7 CC.
RODPESS:,24�(� M4IR �T
, IRYINE� C4. .
UNIT:
� �
�HCHIENGINEER: BL`RKE�LESTER fi }��5[C. , NEG.NO.: UI1��Gifl�` .
RODflESS: Z�iILS NIiL iAfEK DR ' - �'
PEPMITfEE: }�(AC��PLUN.BINCi tQ 9zb1714)548-4b22
RDORESS: L��Z CLASSELI AYf A
OStANGE CA 92EE5
IJCENSFD CONTMCTOB OECUM710N: I �ere0y attirm ihat I am licensed un0er provisions oi Chapter 9(commencing witA Section •
70W) ol Division 3 ot the Business an0 Pmfewion5 COGe, an0 my license i5 in lull farce antl efiecl.
cirruc.: (r�6555 sTn�uc.:281476 � (c�us/s}: 4�-3b ( � �
oate: ��Iz-g I�'� SiqnaNre: � •�� u�_� b �p
WOflNEflS' COMPENSRTION �ECIAMTION: I �ereb aflirm iha[ 1 have a certificate of consent Io self-insure or a certilicate oi Workers'
ComOensation Insurance, ar a certified coDY Ihereof �Sectian 3800; Lab. C�. , _
POIICYNO.: ���,����.'�� E%P.ORTE: (�jQ���j�Cj(�'
caMrnxr: �pVGL INS
� Certilied copY is Ae2hy fumisheA. � Certified co is tiled with the ciry Bulldinp Oivision. I� ,/
��y (/���l\)�, 1/
Oate: 11 �� Applicant: �Cy L-� ^1 M �\ �"� �-� �� j
IXEMVfION fHOM V10NKFA5' COMPENS�TION DECURATION: (1Ais sec6ai neW noI Ee completed H Ne permii is_foi one AuMreA (f100) ar kss�.
I certity that in the peAormance ai tAe work tor whicA this De�mR is issued, 1 sAall not employ any person m afry manner so as to hecome
suhlect to the Workers' Compensation Laws af Califomia. '
Oa�e: Sipnamre:
NOTICE: Ii, atter malting Ihis Eeclaration, you should hecome subjelt ro the Workers' Compensation pmvisions of t�e Labor
Cotle, you musUfonhwAh comply with such provisions orthis permn shall Ue tleemeU revoked. � �
l;
CONSTBUCTION LENOING �GENCY: I Aere6y attirm Ihatihere is a consimction IenOinA agency tor ihe pedormance olthe work for
wnicn this Dermit is issued (Section 3097, Civ. C). ' -
lFNOEfl:
ROUflE53: � ' -
OWNER BUILOFB OECIAMTION: 1 hereEy affirm that I am exemD� ��om i�e Contrectors' State License Law far t�e followinp reason �
(Section 7031.5 Business anG Pmiessional COGe: My ciry oi counry whicA requires a permit to constmct, alter, improve, Oemolish, or
re0air any stmcwre, pnor to its issuance, also repuires the apDlicant tor such permit to file a signeE statement that ha/she is Iicense0
pursuant lo t�e provisions oi tAe Coniracrors' State Licensa Law (ChaD�e� 9lcommencinp with Section 7000) ol 0ivisian 3 of the Businass
an0 Professions Cotle) or that he/sAe is exempt the2irom and the Uasis for the alle0e0 exemption. My violation of Section 7031.5 by
any applicantfora permit sublects t�e apDlican� to a civil penalry af not more ihan five Auntlred dollars (5500�.
I, as owner of t�e pmperty or my employees �wtth waAes as tAeir sale compensztion, wlll tlo the work, an0 the
❑ simcNre is not inten0ed or ottered far sale (Section 7094, Business and Pmfessional Cotle: T�e Contractors' State License Law
� Ooes not appy to an owner oi a Omperty who builtls or impmves tAereon, an0 wAo tices suc� work himseli/Aersetl or Ihmugh
his or her own emDloyees, DmviEeE tAat such impravements are not inten0ed or oifere0 for sale. 11. Mwever Ihe buil0inp or
imDrovement is sald within one year ol completian, t�e owner will have t�e OurEen oi proNnA h�she CiE not builtl or impmve
lor the Durpose of sale�. . -
I, as owner oi tAe Oroperry, am e�clusively wntrzctinA'm�h Iirense0 contridors to wnswct t�e pmlect (Section 7044, Buvness
❑ an0 Prolessions CoOe: i�e Coniattors' Stale License Law Oces not appy to an awner oi D�apeM �o OUJOs or impmves the2w
an0 w�o contracts for suc� pmlecis witA a cantracmr(s) license pursuant to the Contracrors' State License Law). I am aware
tAat Oroof of their Workr's Campensatmn insurance shoWA Oe D�onEeO to me.
� I am exempt unEer Section: . B. 8 P. C. .
forihis reason: . .
Oate: � Owner.
I tlo here0y ceniy Ihai I am aware of anG un0erstanE the requirements of Califomia Healih and Safery CoOe Sections 25505, 25533, an0
25534 an0 that 1 or any tumre UuilOing occupant will/vnll not (circle one) nee0 to camply with saitl state coEes anA Ne reQuiremenis for a
permit br constmction or mo0itication Imm Iha Air Oualiry Management Oisinct. HesiAential consimction aDDliwtions am exempt irom
Ihese Drovisions.
Date: ' Applicant:
I hereby certity that I have 2aA Ihis apDlication and state that ihe a0ove iniormation is correct. 1 aqree m compy with all ciry anE counry
orEinances an0 sWte laws relatinA �o builEinp constmction an0 herehy authonze repreuntatives of this ciry to enter upon Ihe ahove�mentioneU
proDerry torins� ��sea � �� /� ����
� � `.
oa�e: � SipnaWre:
Driver's License or Socia� Secunry a:
16s1J8 WOite—BuiWina; Green—COEe Enfo¢amem: Canary—Aoplicant Pink—Revenue; Goltlanrotl—Auessor
CITY �� GOS7A MESA — BU.ILOING PERMIT
PERMI7 NC: P 045125 PLAti GHECK I�Q= tv GDYTc N SUPP: .�
LGKSTRUC7IGN TYPEc�kGGD FRAME PfRM.I? TYPE: PLO . AURPDSc: KE1t
JOB 6ESCRIPTIC�N : NEN HfiUSE PIUMBING SC Fi: *'
CLO.IN VALUE: CALC—VALUE':� GROUP �iCC: :1 ..
CQMMENiS: REFEREKCE S7RUG7URAL PERMIT � R044E07 .
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Z C N I N GS ERTE�QAUCIKRSE M E N 7 S
i .
----------- MAIk BUILGING --------- ------- AGCESSORY BUILDING -----
FR�T: FT IN REAF: F'7 Ih FRW7� F? I� REAR: FT ItV .
IEfT: FT IN RGH7_ F7 I�° lfF7s FT 1R� RGHT:. FT '.Itv
RARKING R�QUIREi3: PdRKING Pi�OYIDEC: PARCEL: OOaUD�'{30 Z�N€:
PL�'Nh'IKG NCTfS>
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D E V E L Q P M E � 7 5 E R V I L E S•," R E 0 U I R E PS E N T S�
ZC�IN& AFPRQYED BY ____ _ DATEa _� _
BUIL.QIK& APPRCVED 8Y :_ , .� �'OATE: _____�_ .
APPLICATION ISSUEO 8Y: �� '������� ' DATE: /.���'�
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lE'CALIZATION:N ,F E E 5 U M M A R Y STRUG7URA� SEGMFNT:N
� SIDG PMT PLUt?BING ELECTRIC MECHANIC FIRE SMIP/RES GRADIIdG
PERMId - ' 25.Dti
25� SMIP/NGN—RES
PIAN � . , , ; '
ISSUE FEE � ;_ 3.OG
BUILDING—DIV—> PERMIT ISSUE �DLAN—CHfCK 7GTAL PAID DUE
7o�n�s----> zs.�►a 3.00 o.aa zs.�o za.n� .�eo
RfVENUE DIUISION T07AL5--> CGLLECTEG: 28.Uti OVER/SHGR7_ .ti4
BLDG PMT PLUHBING ELEC7RIG MECHANIG FIRE Sl�IP/TOT G�tADING PIAi� CHECK
� -, 28.Q8 �
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1 A' L I V I'G U�. L f E E B R f A K G 0 1; h
TYPE t�Y L� E S C R I P 7 I 0 N UNI7 C057 TOTA� CCST
FLU . 2 8A'THTU@ � 2.�0 4.�8
fLG 1 OISHaASHER 2.a0 2.i10
FlU 1 IAUNORY TUB QR liASHFR 2.G0 2.OU
FLU 1 SIA'K� K'ITtHfN 2.Q0 2.OQ
P W 3 6ASH BASIN 2.�0 5.�+4
PLU Z kA'�ER CL�SET (TOILETI 2.00 y.�p
PiU 1 GdS fIPIkG SYS Bf 1 TL� 4 CUTlE7S Z.Q9 2.0�
PLU ' 2 GAS PIPIAG SYS 5+ QUTL-PER DUTLfT .5� ;,��
PLU ' 1 1iATER H�ATEi2 APD/QR YENT 2.di0 ' 2.D0
�N� �F�FEES
O1 0004�5434-DOD4$434 T O T 28.�0
'� DATE� if/?8/$9 TItIE: 14:18 _ _ _ �
CONSTRUCTION AND PLANNING- PG 3� SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
. 1. Temporary Electrical Service or Pote, , � . 52. Pool & Equipment Location . i
2. Soil Pipe-Und�gmd._ -' ' �Z.��a4 (, 53. Steel Reinforcement
�,.3. Elettrical Conduit�Utility-Undrgmd.� � 54..Forms '
��4'. Electrical �ConiJuit-Undrgrnd. � 55. Electrical Bonding
�, 5�.:'St`eel Remforcement • -. -56. Rough Plumbing & Pressure Test �
^ 6. Electricaf UFER Grnd. � 57. APPROVAL TO COVER-GUNITE
.
7,. Footings�� ''�� _ -- 58. Electrical Conduit-Undrgrnd. �
8. Foundatiom ; � 59. Gas Pipe, � Undrgrnd., Test f
9'. Water Pipe�Undrgrnd. , j,p`(Y �j� 60. Backwash Lines, P-Trap, � Undrgmd. �
70. Structural Floor Sysiem � � 61. APPROVAL TO DECK �
11'. Property Sewer Line'& House,Connection � 62. Backwash & Receptor-Final �
12. Sewer Cap „ ' � ' ' • � •
63. Heater & Vent-Final
73. Roof Drains" �' • ' 64. Plumbing SYstem - Final �
14. Rou9h Plumbing �� ' � 4� (�'�(J 65. Electrical-Final �
15. Rou9h Electrical�Conduit • 66. Solar SYstem-Final
�16. Rou9h Electric Wiring ' , 67. Fencing & Access ApP�oval •
17. Rough Wiring Sign ' . 68.-APPROVED FOR PLASTERING �
18. Rou9h Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rou9h Fieating �& Air Conditioning FIRE DEPT. REQUIREMENT
�• � ' -� Cr ' 4- . n . •�T..
20. Rough Fa'ctory Fiieplace � ' ' 4"� �` ' ' � °�`� `�' •APPROVALS'�� Pecmit # ' ��!� ���' �' '-' '
..� � �^' ��. � M - .ra.w 7 . . �..-. _ . -i-� , -. > > �e
21...Duits, in•Structu�e.� i .� .. --�c .. � .-.. o =� � ��i � +'�
70. Underground Hyiiro
22. ,Ducis, Ventilatin ' r � t�' l �. ,S`y ;` ' ` ''�J:':
, u 9,„ � �.y �., y�,.yn,y77. ProductPiPipgOGas ❑Ail
, --� � T n r .�Kr ._ �� � � .. �
23.,,Gas:Pipe�F?ough &�est i .� -, c +it tt -J2. Underground Flush s-
24?Roof Framin ' ,: I ..-H- -��-. ir a � i � +a u � " . . � r • . �.� i,.�... �-,
. 9 r,�,. „ � T ,,, x„73:�Undergrnd: Storage Tank O Gas ❑ Oii`
25.RoofSheathing �,.�� s ��v•�p � .; 7 �vira�74.'.OverheadHydro�
26r+T$e� Ceiling (St�uctural) &`Monocoat `'� `� +"" 75`rDry Chemical .^� " ' ' ��''^'�� ' '� � �'
.,� ., - �r. .�a+' a.: ,.-�-..-r� -i t
27.,FraR�ednd Fldshin�� '^ i' r' "'�' '"" V��� �--�n ,r � . � �-v �s'��F -�..�: �-
_ 9 '_;� '� o s .- : �a a 76. Dry StandpiPe .- .. c• 'r . _ ,� _
'28. Latrhing'&Siding-x-'� ��a r 4s •�� "� ���*� y 77;�FIXEDSYSTEM�FINAL� � �;,,i�';,-.:r.�r
29. Insulation -�.•:, .•••:• u, � � � i+rtr -� � v �.�,-��-...•�
nx ` a 1 1 tots 78.�-F.IREPREV.FIMAL �� _ rn_�..,ry�<�y
30. Drywall:Nailing ��` '� ' � ��� � �'r "•-" •HEALTH.DEPT^R�EQUIREMENT� ' "
.r ��_ � alwtF ,�v_� � r,• -v�_
. a,.•� I X K. I I .'.Ibi� � .J . � y .�r � .y.-.
�31. Pla'ster Brown.Coat,� -• i ;- , ,..s �o f 1 ,`��> 6 -�9~�FINAL INSPECTION �> ,..n, �
•�32'*ElectricaVPower�MeterFinaU � � . +'-�•� 1 `� =++ +g0:,F00D CERTIFICdTE ISSUED " � ��
i i.Y �,. .. ti a.+ �. - i i
+� � t# ^ I - -�-�.� 1 1 �.liY � ' c1 '�s- ir n� '^-+'�
`.33. J�inal Electri� s A, ,;� � . � ! 1 , ' y �y 'Notes: � -� „ „..y " .'. . � ,r n
� 34r-Finel Heating�& Air�Conditloning: -a n I � �/.In � : � ^+- w . . ,`
T 7 a- 1 '1 ' I {r v-. i n-...r a Jy-
'�'35�.'yFinal Gas Pipe-Test!' n�' ,..� 6'/f, QQ tj,�� � ry � ""�' �� � �=' r
! 4 i 7rl r7`.+ tF f-
.r �
36 �Hood or CanoPY� -� -� � � •� � � -• +� � � I I� ,kr u _ - n. - : � - r
r n i I'� ' I;t x T.,-� tF n' rn
-,37. Fin,a,l Factory Fi[eplaces. � � "� � � � '�� �� " � � '� , ;
��_... .. i 1� : lu +s M
�_38••FinalPlumbing �.rt .�� � � yfj� �naF � S «- �5:.; �--'S
1 ea�x r l "1F-
��39. Waie* Service�Final�` y � �O � � �%�'b"�`' �'� �" • ' � ' '
- :i :" � - I i f L+t :' - o� ,o- . _ ,
w
�.40. Gas Service-Final �;� r. a•- ��, n�, i 1 si:� ,.. +�� a�
�
41.SolarpomesticFinal "` r' 'F'� � ��r '���- ' �
-n a i � 1# �� -i , c u =- -' -
�:.42.�BacKflowPreventerw� .;� .. .,a ' I 1 1<}e �• 'y� +�,-. - .
� ,> r
43. Backflow Irrigation'. ..-• .• � �'* ��- e.7 ,n:,�:.7 �.,�,n.n .n .
.. # :xa o i n �� . . . . > . • . .
-7. a r- T . o .. <r - . .
44. Landscape Icrigation SYstem;���-3 ,� � .-� � "iw+t � .d .v 's'� � � � .� �, � -'. ..-.. . � '
- .,-.
45.,Sound Atterivation' "'''�'- � �>' '- " "�`� � �- 'c ''�• ,r�_ ,,.` _
^" f� 1... # �;� �' mtFM S J J �...f: N
46,'HandicapRegulations �..'i �' ;; � �� � aaf �. „ :t '
�
47=�FIN'ALSTRUCTURE&BUfLDING;: � � ��"'•"'" "�' `- 'w
p - � { IK..S I �T -+ -
48.�FIN'AL PLANNING� � �.. � � � -
� �� � . I I Ic r. �� .r �-i
r
49�ElectricReleaseto�Edison � I i= n#•� � A �
u � i 1. k� u r. • 7 r-
.. .. * i :, i ,,, t: n � , 1 r„r. .. • . . . . . . • i .
50.,Gas-Release to Southern Caliifornia Gas Co x i � �g ti.. .., -� .
51. CERTIFICATE OF; OCCUP NCY a s� n: ... .. x r,. .- �,. -.; '.-^•-,..
No. Date ,
PflD1ECf pDDflE35: � S 1 Z MARK LN uxrt: NONE
OWNEN'SNRME: FAIRVIEW MGMNT. CO.
ROORESS: ZSZO MERIMAC •
, 'CM CA32626 " '
�NC�NGINEEH: � 7I Q) S A S'–�] 3 Z% flE0.N0.:
ROOHESS: BURICE LESTER & ASSOC. C—��25
23025 MILL CREEI( RD
LAGUNA FIILLS CA 42G53
PEHMITTEE: FAIRVIEW MGMNT. CO. ( 714 ) 545-7327
aooxess: 2520 MGRIMAC WY
CM. CA 9262E
UCENSEO CONTMCTOB OEClAM710N: 1 hereby alfirm ttut I am IicenseE unEer pmvisions al Ctwpter 9(commenunp vntA Section
70ro) qf Uivivon 3 of I�e Business an0 Protessions CoGe, anU my license is in full torce aM effect.
CITY 4C.: ST�7E LIC.: � ClAS3:
Oate: SiOnature:
WOBI(Hp3' COMiENSpTION OECIAMTION: I hereGy affirm t�at I Aave a certllicate of consent to sel4insure ar a certilicate ol Workers'
CampenSatian Insurance, or a certilietl CODY �hereol (Settlon 3800, La�. C).
PoLICY NO.: E1IP. O�TE:
COMPpNY:
� ClrtifieE capy is �ere0y tumished. ❑ Certtlie0 copy is f�ed wilh t�e ciry BuilAinq DNiswn.
Date: ppplicant:
E%EMVpON FBOM WOPKEBS' fAMPENSRT10N OECIAMTIOX: (iAis section neeU not Oe wmplete0 il Ihe permit is for one hunEred �5100) ar leu�.
I I cenity that in the DeAarmance oi the work for which this permit is }i sueC, I shall not em0�oy any persan in any manner so as to 6ecome
su�ject ro the orkers' mpensation Laws of Catilomia. i J
, d •-�
Date: � SiqnaWre' � ��`��
NO CE: II, atler maqnp t�¢ Uedaration, you sMu came suEject ta the Workers' Compensation pm � ons oi t�a LaGor
�. COOe, you must faRhvntA compty vnt� such pmNslons ar Ihis permit sAall be tleeme0 revake0. ,
ICONSTpp�710N LENOIN� pGENCY: I AereEy ailirm ihat IAem is i consimction IenOinp a0ency lor the Dertormance ol IAe wod for
wnicA Nis permit is Issuetl (SecOoo 3097, Civ. C). . '
LENOER:
� RDOPEBS: . � �
OWNEp BUIIDEB OECUqATION: I here0y atlirm ihat 1 am exemD� ��om tAe Coniractors' State License Law tor Ihe lollowinp resson
(Section 7031.5 Business anU Professlonal Cotla: My city ol wunry whic� requirts a permit to construct, atter; improve, tlemolish, or
rtDair eny stmcNre, D�or to its issu5nce, alsu requires tAe aDPlirant far sucA Dermi� ro lile a sipne0 statement Ihat he/sAe Is Ilcensetl
pursuam m the D�ovisions of t�e Coniractors' State License Law �Chapter 9(wmmencinp vnt� Sectiw 7flpp) ol OiNsion 3 of t�e Business
and Protessions CoOe� ortAat�e/5Ae a exemp� �berefmm antl tAe Easis fart�e allepeE exemD��an. My Nolatlon of Section 7031.5 Oy
any applicant lor a permit subl�s ttie aDDlicanl to a civJ Denalty ol not more ihan five hunAreO Oollars (5500�. �
I, az owner al t�e propeM or my employees witn wapes az iheir 5ple compensation, will tlo the woM, antl Ihe
❑ S�NLtOf¢ i5 OOI i0�¢pU¢A 0� Uft¢fEtl 10� 5210 (Section 704A, Busineu antl Pmfessional CaUe: T�a Coniroctors' $IaIO LitE058 Ldw
does �wt apply ro an owner o� a p,operty wM DuilUs a Improves theieon, aiM wM does such wo�k Mmsell/�e+sell or tNough
�is or Aer own emplayees, proviAeU lhat suc� imD�ovemenis are not IntenCeO or ollereA lor sale. It, however t�e CuilEinO or
imOrovement is w10 witAin one year of campletion, ttie owner vnll luve the UUNen ol pmNnO AUsha Ei0 not Uuiltl or ImDrwe
br the Omposa al �le�.
I, az owner ol I�e DmDenY. am e�clusively wnlractinA ��h IicenseU cantractors to conslmq the pmjec[ �Section 704d, Business
� anA Pmteuions COde: The Contactors' Siate License Law Eces not apDN �o an owner oi proparry wAo bmlEs or improves I�ereon
anE�wlw conlracts lor such Dmlects with a coniracroqs) licensa pursuant Io the Cantraciors' Sute License Law�. I am aware
that pr0a/ ol Iheit Worker's Compensation insurance shoWU be proviaea lo me. ' •
� I am exempi vnGpr Section: B. B P. G �
far tAis r son:
Oate: � 3 Ownec
tr�
I tlo h¢i¢6y ce�iry t�at am awareW aM un0erstarM t�e requiremenis o ' mu HealiA an0 Safery CoOe Sections 25�y7 , 25533, aM
25534 anG that I or any luture EuilUing occupant willlwiil nat (circle ane) to camply with said state coEas anA the requirements for a
permi� for wnsimciion ar mo0itication from the Nr Oualiry Manapement Disirict. Residential cansimction apDlications am exemD� ��om
I�ese provi5ion5. • .
Dale: ppplkanC
1 Aereby tertity tbai I Aave reaOlhis apptication an0 state Ihat tAe aUove information is conecL I apree to wmply vnN all ciry antl counry
-aralndnces anU state laws retatin0 �o Uuil0in0 consiruction anA here6y autAo'ze representatives of this ciry to enter uDon the above�mentioneJ
pmDehy torin Dection urposes. % � � �
�_//
te:� SiOnat �
ers License or Sociai Securiry x:
Wpite—BuilCing; Green—COEa Enforcemenl; Canery—Applicent: Pink—Ravenue; GolaenroE—Assesvor
CITY OF COSTA MBSA — BUILDING PERMIT PERM NOe M 046453
PERMIT NO: M 046453 PLAN CHECK NO:. N GOVT; N SUPP: Y
CONSTRUCTIUDI TYPE: V-•N PERMIT TYPE: MEC" PURPOSE:; OTII
JOB DESCRIPTION : INSTALL FACTORY fiIREPLACE (ICBOk3195) SQ FT:
CLAIM VALUE: CALC—VAI�UE:. GROUP'OCC: R••3 /M-1
.COMMENTS: RE:B44807 FRIMARY. BLDG, PERMIT.
u�+��**+�*�e**��***�**�****x�**+�****x�*+�*******�*���*�*�r**�*****��+�*�r*+r*�******��**�
2 O N I N G R E Q U I R E•M E N T i
S E T B A C K S
------------ MAIDI BUILDING -----------• --------- ACCESSORY BUII,DING --�----�--
FRNT: FT IN REAR: FT TN FRNT: FT IN REAR: i'T IN,
LEFT: FT IN RGHT: FT IN I�EFT: FT , IN KGIiT: FT SN
PARKING REQ: PROV: PARCEL: 00000000 ZNE,: REF NO:
PLANNINC NOTES> . •
>
+�+r�r*��****�*��**��e�r�r*+�****x*+���rx���***��****�*:**x�*�r�**�r+r*�r�rrtx�*�*�r�x+�x*x�***�*x**
'D E V E L O P M E N T S� R V 7 C E:S R E Q U I R E M G N'L S
ZONING�APPROVED DY ^ , �DATE:
DUILDING APPROVED BY : DATE:
�**� ****��*rt��**�D**** �+r**D*��ir*4Y1����E'�t'�'�#�
1nR��� ������'iF
iE�RifiEif#aE�1EjElEififiEiEiElEltilkififiEiE�EiE3E1EiEkkikifiElE4ikif if �tlkkaE�EaEikiEiEkifitKiF3E1E3f�EiE1liEkiFiEiFiElEiEiEiflfifi�?F3fjE3F
LEGALIZATIUN:N F E E S U M A R Y STRUCTURAL SEGMENT:N
HLUG PMT PLUMHING ELF.CTRIC MECHANIC FIRE SMIP/RE.S GRADING
PERMIT 20.00
25S SMIP/�IOrI—RES
PLAN
ISSUE FEE
BUILDING-�DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS—�---> 20.00. 4.50 � 0:00
REVENUE DIVISIUN TOTP.LS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
24.50
4.50 ,
TOTAL PAID DOi;
24.50 49.00 —^4.SU
24.50 OVER/SHORT: .UO
FIRE SMIP/TOT GRADING PLAD1—CHECK
iE iE 1k 1E if !f iE 1E ik N� k IE 3F jElf� 3(� If M N M iE if if iE 3f iE iF iE if jF �f iE'iklE jf� if 4 fE ff fE iE it IE �E ff 3E jE iE It �t IE 1E if� if iE if iE iE if if K%fE 1E if k iE iF X-aE M IE iE df iE 3E M if ff
I �I D I �� '7. D U A L F E E H R E A R D O W N
TYPE QTY D E S C R I P T I O A1 UNIT COST TOTAL COST
MEC 1 P'ACTORY FIREDLACE 6.50 ' 6,5�
MEC 3 NENTIi,ATION FAAt CONN TO SIDIGLG DUCT 4.50 13.50
EDID OF FEES
01 IIO�,`�5988-Q00559$8 T 4 T 2d.50
DATE: 0?/13/90 TIflE: 14:�r3
<;
i
CONSTRUCTION AND PLANNING . PO� _ eL SPA \
APPROVAIS Permit# Date Inspector qppROVALS .Permit#
1. 7emporary Electrical Service or Pole . 52. Pool & Equipment Location
2, �joil Pipe�Und�grnd: - 53. Steel Reinforcement
3. Electrical'Conduit�Utility�Undrgmd. 54. Forms �
t��Undrgrnd. 55. Electrical Bonding
ient 56. Rough Plumbing & Pressure Test
'Grnd. 57. AAPflOVALTOCOVER�GUNITE
; ' 58. Electrical Conduit�Undrgrnd.
8. Foundation; - 59. Gas Pipe, � Undrgrnd., Test
9�. Wacer Pipe��Undr9rnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Struc[ural Floor System 67. APPROVAL TO DECK
1 i. Property Sewer Line.& House Connection 62. Backwash & Receptor-Final
12. Sewer Cap ._ 63. Heater & Vent-Finai
13. Roof Drains�„ ' . 64. Plumbing Sys[em � Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access Approval _
=17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
` 18. Rough Electricxl-T Bar Ceiling 69. POOLISPA SYSTEMS FINAL
19. Rough Heating & AYr Conditioning . , _ , � . _ �FIRE DEPT. REQUIREMENT
20.-Rough Facto_ry F.iieplace t �-: - " � � ;� -APPROVAIS�_ ~Permit #
21 rDucts, i_n"Structure' ' - � - - ' � ?70. Underqround Hydro '
22._Ducts, Ventilptin`g r - L� r� �: c71. ProductP,iping �Gas OOiI
23. Gas Pipe-Rough & Test �^' � • - _� �� • -7y, Underground Flush '
24'Roof Framidg ' ;. ' � �' _ � � _ • ... '.73= Undergrnd. Storage Tank O Gas ❑ Oif
25. Roof Sheathing ' •� •� " �, "* 74. Overhead Hydro
^� : f' "
26."'T-Bar Ceiling (Structural) &�Monocoat ,, - ' ��. t �- 75r-Dry Chemical ,-
27r Frame and Flashing +�- -� y 76. Dry Standpipe •� - . -
'28. Lathing & Siding_ �, " ��'�,� �- � ' � � ; ,�,. , 77� FIXED SY$TEM FINAL
29. Insulation _ •• '' � t,'� �` 78i_FIRE PREV. FINAL � �
30. DrYwall-Naitin9 f�_ F_ I j�,4 , HEALTH DEPT: REQUIREMEIVT
i 31. Plaster Biown Coan _ �� ��� �-79. FINAL INSFECTI�ON
:-32.:Electrical Power Meter-Final ��" � � 801�FOOD CERTIFICATE ISSUED_ �
�33: �Fina1 Electric � • Notes: - - - ' '
34,_Finel Heating & Air Conditioning` ; � ��'.,� , � - - ' �
V i i_. . _
35M`Final Gas Pipe-Test� � -- ( � - _ � - �
��rr�? -
'='36. Hood orCanoPV - . ' ' - �� �'� ' / _ . = '�
- - - . - - + . --
- 37. Final FactorY Fireplace-. ; -• �
:"38. Final Plu'mbing y_ �, ' -
''39. Water Service�Final� _ `
r40. Gas Service-Final � - '
-41, Solar pomesticFinal" -
42. Backftow Preventer. "�
.
43. Backflow Irrigation; -`�
'44. Landscape I�rigation System`��'"-'
��l-45,:Sound ��Attenuation ..,-.�..
46.• Handicap Regulations
�...47:-FINAL STRUCTURE & BUILDING
46.=FINALPLANNING - ,
`49: Electric Release to'Edison
�50: •Gas.Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
1�i[���
��
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Yfl0.1ECT RODNESS: � S 1� Z MARK LN -
OWNEfl'SNRME: eAIRVI�W MGMNT. CO.
nooxess: �520 MERIMAC
, CM CA92626
uxrt: NONE I : CITY OF' COSTA M�SA ,.,- BOILDING PERMIT
PERMIT NO:'M 04609£S PLAN CHECK.NO: N
ABCHIENCINEEB: - HEG.NO.: '
eooeess: bURKE LEST'ER 6 ASSOC. C-fn�?5
2501`.i MILL, CREEK RL
PEBMITTEE: LAGUNA� HII,LS CA 9265] �� '
�ooxess: SriNTTAGO AIR COND ( 714 ) 99II-1G00
231 W BLUERIDGE
ORANGE CA 92665
LICENSEO CONTMCTON DECUPIITION: I hereby attirm ihat I am Iicense0 unEer pmvisians oi C�aD�er 9(commeniing wit� Section
7000) oi Division 3 of ihe Business an0 Professions CoOe, antl my license is in full force anG ettect.
ciTr uc.: 0 0 7 II arnre uc.: 2 6 9 4 9 6� .
Date: � L — Sipnature: �
WOBNENS' COMPENSRTION OECIAMTION: 1 here6y attirm that I �ave a rtificate of consent D E�-insure ar a cenifiwte of Workers'
Compensation Insurance, or a certified copy ihereoi (Section 3800, Lab. �. �
voucr no.: WC 8 7 3 2 0 51 exr. naTe: 0 4/01 /
, cornrnxr: PACIFIC STATES '
i � CertifieA copy is here6y fumishe0. � Certifietl copy is 61ed with tAe BuilAinp DiNsion.
�ate: ` ' �' �� Applicant: � ` � �
EXEMFf10N FflOM WOBKEBS' fAMPEN$IITION OECIAMTION: (fiis seciian neetl no� be complet�d il permit is for one �untlretl ($1W) or less).
1 ceriity that in Ihe petlormance ol t�e work for which t�is permit is issue0, I shall not employ a ;rson in any manner so as to hecome
suGlect to Ihe Workers' Campensatian Laws ot Califomia.
Oate: ' SiAnatum:
NOTICE: It, aher makinA �his Oeclara[ion, you shoul0 6ecoma su�l�� �o the Workers' Compensation provisions of IAe Lahor
Code, you musifotlAvrith comply with such pravisions or this permit shall he tleemeU revoked.
CONSTHUCTION LENOING �CENCY: I here6y attirm ihat tAere is a constmction IenOing aAency for the petlormance oi the work for
wnich this permit is issuetl (Seclion 3097, Civ. C). , . �
lENOEfl:
' ROONE55: ' —
OWNEB BWLOEB OECUPA710N: I hereby attirm ihat I am exempt imm'the Conimcrors' SWte License Law for tAe tollawinA reason
(Section 7031.5 Business an0 Pmfessional Code: Any ciry ot counry which requires a permit to consimc6 alter, impmve, aemolish, or
repair any structure, pnor to its issuance, alw repuires the apDlicant lor sucA permit to file a siqned statement that helshe is licensetl
pursuam to tAe pmvisions of t�e Contractars' State License Law �Chapter 9(commennng wit� Section 7000) of Oivision 3 of Ne Business
anU Pmfessions Cude) or ihat he/she is exempt tAereirom an0 the �asis for ihe alleqetl exemption. My vialation oi Section 7031:5 by
any apDlicant for a permit sublects ihe aDPlicant ro a civil penalry bi not mare than five �undred dallars (5500�r
CONSTRUCT,ION 't'YPE: l�-N . PERMIT TYPC: MEC
C�ERM N
GOVT:
O: M 04609i3.
N SUPL?: N
nORPOSE: OTH
JOB DESCRIPTION : D1EW SFll . SQ FT:
CLAIM C�ALOE: CALC--L�ALUE:;. GROUP 6CC: R-3: /M-1
COMMED]TS: REF }J44f307 '
�t�t*******��*�-**x���u-*x��r�-**�-**i�-��-��t**x-**�x-*+t****�t�r�-*�-�-**�-x�*#-�*aex�*�x�*�**�*�r�x-�-*���*�t*
Z O N I; N G R E Q U I R E M E,N T S
sE�reAcxs
- Mt�IN BUILDIDIG --------- --------- ACCESSORY BUILDSNU - -
FRN'1'; F'I' T.N REAR: F'T IN FRNT: FT IN REAR: FT I�I
LEFT: FT 7.1� P.GHT: FT IN LEF"f: F1' ; IN RGHT: FT ITl
F'ARK]:�1G REQ• • PROV: FARCEL:.00000000 ZNF.: , REP NO:
PLANNT.NG NOTES> .
.. . ) . _ . .. . _
iE iE jE iE iE iE iE iE IE iE iE iE iE �7E if % iE iF iE 3E iE ik �E iE iE iE if � iE'h iF iE iE iE if it 3f if i! it it if if if iE if iE k iE if ff IE if,iE?E 1E iE if iE iF 3E 1E 1E iE iE 1E �f 3( 9E 3E iE iF 36 dt if iE iE 3h if
D E V E L� O P M E N T. S E R• V I C F. S R E;Q U I R F. M E N T� 5
, " � .
ZONING APPROVED BY � ' ' DATE:
BUILDING APFROVED BY : � DATE: '
;� � _
"APPLICATIODI ISSUED BY
1E iE iE 3E 3E 3E �E iF iE 3E 3' if iE iE if 3t k k aE iE iE
if- ik if iE # it iE iE iE iE 3f 1E iE iE j(- iE iF iE iE if if
LEGALI'l.A'tION:iJ
. ' �t�Lnc nMT_
PERMII' �- '
�Lz�r� -
SSSCJP FEE
er,ur�»lrvc
� .
� � �4.� p
" DATF. ;
, ,-iE �SE�3FiFiEiElEaEiEiE-%lfiE�f�it�iF�iflEiE
iEiliE�%iFi iEjtiE' 1k3Ei(�1EiEiElEfEiEkitiEiFiE?EiEY,-iEifdEiEiE3EjEkiEititjEitiklEiFiEif?t3EiP
E Ii � S M M A R Y � STRUCTURPL SEGMENT:1�1
ELECTRIC MECHANIC FIRE SMIP/RES G12AnbPlG
9;Q� '
, �58 SMIP/NON-RES
15.�0
I, as owner ot the ompeM�or my em ioyees'with wapes as iheir soie compensation, wili ao the�work, antl ihe DUILUZNG—UT��--> � PERMIT ISSU� E'I,1{N--CHECK� 'POTAL � PAID � � . DUF.
❑ simcture is not intendeA or otterea for sale �S�ection 7044, Business anA Professional Code: TAe Contracrors; State License Law �' --- — � , 9„ 0 0 ' 1 S. � 0' 0. 0 � i 9.�0 0 2 4. � 0 ' , � u
TOTAG� —>
Aoes nat apDty to an owner of a pmDeM �o Dwltls or impmves thereon, an0 wha tloes such wod �imself/hersetl or throug� ' . �
his or her own employees, pmvi0ea tAat suc� impmvemenis are not intenOeA or oifere0 for sale. If, Aowever tha Euiltlinq or
impmvementissolUwithinoneyearofcompletioqtheownervnll�avetheEurEenoipmvinAhe/s�e0i0notbuileorimpmve REVEPIUE DIVISIOAI TOTALS—> .COLLEC"PEDd 24:00 OVER/SHORT: ,0� �
forthapurposeofsale�. . , � $L,hG .C'MT' PLUMI3INGs ELECTRIC MECHANIC . FIRE �SM'IP/TOT GRADTNG PLAN—CIiECfC
I, as owner of the proper1y, am exclusively contracting with IlcenSeA contrac�ors �o cons�mct �he pmlect (Sec�ion 7044, Business , � � •. Z 4. O O , ' �
❑ anA Profeuions Cotle: The Controctors' Staie License Law Eoes not apOry to an owner oi D�opeM � 6wlds or improves tAereon �
anEwhotomrat4sforsuchprolecisvri��acontractor(s�litens00ursuant�ot�aControctors'StateLicenseLaw�.lamaware *.�jert{�.*.�..}h.�.�.�.�{.j�{E*.�**�{.*{E#{�.{E.K-.K.i(.,k3(..K.{�{E#i(..IEi[.�(.if.*.IE.7E.ki(.*.K-{E,�**.�.�.K..K.y,.�(.�(..7E�{.{�..x.�(.�.�..K.�(.�(.�(.�.�..K.*.7E.K.K.,K.*�.�.
tAat 0��� o� their Worker's ComDensa�mn insurance sAoulE Ee D�o�detl lo me. � -
� I am exempi un0er Sectlon: � 9. 8 P. C. , . I N U I V T U U.A L F' E E � B R E A K D O W N .
mrinisreuon: TYPE QTY, D E S C R:C P T T O N IJ�IIT COST TOTAL COST
oate: a""ef MEC 9. IN$TALL FORC/AIR FORN <= 100 K pTU/H 9.00 , 9.00
I do nereny ceniry inat i am aware oi ano unoerstane the requiremenis oi Caiifomia Healtn ana Safery Cone Sections 25505, 25533, and � E ND OF F E E S ' '
25534 anG I�at I or any tuture buildinp acupant vrill/will not (circle one) neeA ro com0ly vnih sai0 state cotles antl ihe requir¢menis for a . _ , � _ � , �
permR for constmction or moAificatian irom the Rir u�Manapement �istnct. ResiUential cansimc[ion applica[ions are exemD� �rom , � �
Ihese Drovisions. . ' . . . . � ' . '
�ate: � ADOlicant:
I hereby cenity l�at I have read this applicatlon an0 state that the ahave iniormation is rorrect. I apree to comDq with all ciry an0 caunry
ortlinances an0 state Wws relatin9 �o UuilGing consimdian an0 Aereby aNhonze representalNes oi thk ciry ro enter upon tha above-mentioneE
proDerry for inspection Ruryoses. � j/�/�
Da�e: �� ` �O Signa�ure: _/—+r��L/� �
Oriver's Licenu or Social Secunry x: � � _._—
r� t6G1�46 While—Builtlin0: Green—CoAe Eniorcement: Canarv—PpO��canC Pink��enue; GaldanroC—Assessar
0
010D054082-OOOS4082 T�]T
DATE: D2/14/9� TItlE: 14:36
CONSTRUCTION AND PLANNING P00� & SPA
APPROVALS Permit#� Date Inspector AppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole . � 52. Pool & Equipmen[ Location
2. Soil Pipe-Undrgmd. � ' 53. Steel Reinforcement .
3. Electrical Conduit Utility-Undrgrnd. 54. Foims
4. Electrical Conduit�Undrgrnd. � � 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. �
$. Foundation ' ' � ' S9. Gas Pipe, O Undrgrnd., Test '
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. '�
70. Structural Floor System , -� � 61. APPROVAL TO DECK� �
11. Property Sewer Line.& House Connection 62. Backwash & Receptor-Final �
12. Sewer Cap . , 63.� Heater & Vent�Final
13. Roof Drains i ` 64. Plumbing System��- Final .
14. RoughPlumbing 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.' POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning ���� L� � FIRE DEPT. REQUIREMENT
20. Rough Factory FirePlace , � APPROVALS - Permit #
21.�Ducts,in�5tructure- , "' 70. UndergroundHydro
22..Ducts, Ve'ntilating � 77. Product Piping OGas OOiI
23. -Gas Pipe-Rough & Test '� 72, Underground Flush
24. �Roof Framing ; _ , 73. Undergrnd. Storage Tank O Gas O Oil
25. Roof Sheathing - 74. Overhead HYdro
26. T-Bar Ceiling (Siructurel) & Monocoat _ � ' 75: Dry Chemical .
27. Frame and Flashing� • = 76. Dry Standpipe
. 28. Lathing-& Siding � � _ _ _ - � � , 77. FIXED SYSTEM FINAL
29. Insulation : __ !;�-� 78, FIRE PREV. FINl1� - -
30. Drywall Nailing . . _ P�! �; � HEALTFi DEPT. REQUIREMENT
31. Plaster Brown Coat. . �-" - - 79. FINAL INSPECTION �
32..Electrical Power Me'ter-Final ' ' �, `�� 80. FOOD CERTIFICATE ISSUED. '
: 33.-.Final Electric � � Notes: . �
34.'Final Heating & Air Conditioning �/�, f9� . .
35. Final Gas Pipe-Test, . ' ' �� i , � .
4 1'
36. Hood or Canopy ' i' ' ' �. ' " ' '
- - �.�.�i� .. .
37. Final Factory Fireplace- � . ' � .� - - -
:r -
38. Final Plumbing - , � � , � . - .
39. Water Service-Final' � . ' � . � �
40. Gas Service-Final ' . • " � � �
�41. SolarpomesticFinal . � � � ,_ ' �- � -��
42. Backflow Preventer � � -
43. Backflow Irrigation, . - , . '
44. Landscape Irripation System - " � -, ` ' � � ' .
45._Sound Attenuation ..� � � .
. 46. Handicap Regulations � . ' " - ` ' � ,
47.-FINAL STRUCTURE & BUILDING � , :j� � � ' ,
48. FINAL P�ANNING - ' -•• '
- 49. Electric Release to Edison ' : . ,
�50.� Gas Release to Southern California Gas Co :� .
51. CERTIFICATE OF OCCUPANCY
No. Date
rxaecr�ooxess: Z512 MARK LN
OWNEfl'SNPMF: FAIRVIEW MC,MNT. CO.
noowess: �52U MERIMAC
•�M CA92626
uNR: NONE
1flCHlENGIHEEfl: BURKE LF.STER s ASSOC. eec.xo.:C-692S -
noosess: z�p25 MILL CREEK RD uNR:
LAGUNA HILLS CA 92653
PENMITTEE: �UMMIT SHEET METAI„ INC. ( 714 ) 772-D500
nooeess: • �OS N. CRESCENT WAY
ANAIiEIM CA 92801
110ENSEU fANTMCTOB OEClAl1ATI0N: I �ereby affirm Ihat I am licensed under DroNsions ol Ctwpier 9(commencinp wit� Sectlon
7000� ol Oivision 3 al I�e Business aiM Protessions CoEe, and my license is in fulliorca entl etlect.
cmuc.:005952 $r�Teuc.:19593��C�1 �J
Dale: �—p� Siqnature: �wi+•./1
WOBNEPS' COMPENSATION OECUNITION: I here0y attirm t�at I have a certificate ol cunsent m self-in ure or a cenllicale o1 Workers'
Campensation Inwrance, or a cenilieU cop t�ereal (Seaion 3800, La�, q. .
voucrNo.:306-89UNIT(�0003 E%P.D�7E: 11/OI/IO
cornr�xv: STATG FUND
] CertiLed rnpy is herehy fumisAed. 0 CenifieE copy is filetl �th ihe ciry Butftlinp Oivision.
Date: 2" 2� � 6 � Applicanl: ""� �
E%EMPIION iBOM WOflNEflS' COMPENSATION OECIAMTION: RAis sec�ian need na� be com01ele0 il Iha permit is or ane �unOretl (E100) ar less).
I certity Ihat in the petlormanca of tAe woB for which this Dermit is issue0, I shall not employ any person in any manner so as to �ecome
suElect ro itle Warkers' ComDertsa�on Laws of Calitomu.
Oate: Sipnature: -- �
NOTICE: If, ah¢r maknp tAis Oeclaation, yrou sMu10 Oecome subject to [�e Workers Compensatlon provisians al t�e Labor
Cotle, you must faMwith compty with such pmvisions or tAis permit shall Ge OeemeO mvoke0.
� CONSTNUCTION LFNOINO RCENCY: I hereEy affirm that t�ere is i consimction lentlinp apency lor [he peAormance al Ne wark for
w�ich this Dermit is issue0 (Section 3097, Civ. C). �
LEN�EP: •
ROOHESS: " '
OWNEP BUIL➢FR OECIAMTION: I hereEy attirm ttwl I am exemDt irom t�e Contrac[ori State licenu Law for Ne lolloxinp reason
(Section 7031.5 Busineu ana Pmfessional CaOe: My ciry of counry wryic� repuires a permit to canstruct, alter, imprme, tlemotisn, or
reDair any structum, prior ta its issuance, alm repuires Ihe apDliwn� tor suc� permit ta lile a siOneG statement that �e/s�e is Iicense0
pursuant to tAe provisions ol Ine Contractors' State License Law (C�abter 9(commencinp vnth Section 7000) af Oivision 3 of t�e Business
and Professions Cotle) ar Ihat �e/sha is exem0� lherefmm and t�a hasis far the allegetl eaem0�ion. Any violation oi Sectlon 7031.5 by
any aDO�icant for a Dermit su�le��s t�e apD�icant to a civil Denalry of not more than live �unare0 Aallars (5500�.
I, as owner ot Ne OmDenY or my emplayees vnt� wa0e5 as t�eir sole com0enu[ian, vnll do tAe waB, � and the
❑ struRure is not intende0 or oHereE lor sate (Section 7040, Buz�ess anE Professional CaOe: T�e Cantracrors' State Licenu Law
Oces no[ appty Io an owner at a Drapeny wtq EuilQs or impmves Nerean, an0 wtro does wch wwk Nmseltltcersell or t�mug�
�is ar her own emD�oyees, D��etl Itut suc� im0�a�emen(� are nat intenOeA or olfered /ar sale. If, Mwever t�e EuilOing or
impmvement ¢ SOIG withm one year of completion. t�e owner will hava t�e UurOen oi D�oNnO hrlsAe 4iU noI Euild or improve
lortne ourpose ol ulel.
I, as awner of the property, am exclusively contractinp wit� Ii�enseU conlraciors to constmct ihe pmject (Sectlon 704d, Business
❑ anU Pmfessions CoOe: The Coniractors' State License Law Eoes not aDPly to an owner ol proDe�ty who Uutlds or improves thereon
anE wha conirocis lor such Drol�� ��� a contractoqs)licensa pursuant ro I�e Contractors' State license Law�. I am aware
Ihat pmot ot tAeir Worker's Compensation insurance shoul4 pe pron0etl lo me. _
� I am exempi un0er Section: B. 8 P. C.
tor �h$ r¢ason:
Oate: Owner.
I aa AereUy certiry Inat I am awara ol an0 understan0 the reauiremenls af Califomia Heattn and Salery COUe Sections 25505. 25533. anE
25534 anE thai 1 or airy IuWre UuilOinq acupant wilNxiil not (circle one) nee0 to campty witA uiU slate coEes an0 the reyuir¢ments tor a
permit lar constructbn or mo0iliwtian fmm ihe Nr Oualiry ManaOement Disinct. ftesi0ential constructian aODliwiions are exempt imm
tnese provisions. .
Oate: pOD������
I Aereby cenity that I have reaG this application antl state Ihat Ihe aDpv¢ information is correct. I a0ree ta comD�Y ��h all ciry anE counry
or0inances antl sG�e laws relatinp t0 GuilUinp construtlion anE IkreEy aui�ofae reD�eseniatives ol Ihis cfly to en�er upon Ihe ahave�menlioneC
proPe�Y torinspection purposes.
Date:�—� �'�� SiOnature:� �
Oriver's License or Snr.ul Security N: �
1841�48 W�i�e—Builtling; Green—COEa Enbrcament; Cenery�Applicen�; Pink—Revenue; Goltlenrod—Assessor
CZTY OF COSTA MESA - BUILDING PrRMIT
PERMIT NO: M 046195 PLAN CIiECK NO: N
CUNS'TRUCTION TYPE: V-N , PERMIT TYPE: MEC
JOH DESCRIPTTON :,NEW SFD
CLAIM VAI,UE: CALC-VALUE:
PrRM NO: M 046135
GOVT; N SUPP: N
PURPOS� : OTFI
SQ FT:
GROUP OCC: R-3 /M-1
CUMMENTS: RE:B44Et07 '
1Flk iE #F iE �ElE iE iE fE �f 3E'R� jF lf �E iE if iElf iE iF iE iE iE IE fE * fE �E iE 3k it jf ## 3E fE #?E �f if !E it �lE fE fE �f if 3E k if Ik � IE iE 1f iE iE iE IFlF it if IFlE * 1f i6 ik 1F fk IE jh �lE ik if �)E �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
--- -- ---- MAIP! BUTLPtNC ---- - �- ------- - ACCESSORY BUILDING ---------
E'RN1': C1' IN REAR: FT IN FRNT: FT IN RF.AR: F'1' IN
I�E:FT: FT IN RGHT: FT LN I,EFT: FT IN 12GHT: FT IN
PARKING RF.Q• PROV: PARCEL: 00000000 ZNE: REF NO;
PI�ANNTNG NC)TI:S>
?
k R i! 3f if if if �: 1t dE iE if �E # iE iE iE iE k iF i! if iE ik it iE?E iE if i(- it �� it i! iF iE iE'1{�143E 3f iE if ff if k iE # if if iF jE if jE iE ik # k 3E iF iF fE iE ik fE iE iE #� 3E k i! ik �' � 1t at it �k �E
�'I9 I: V E L U P M L"' N'P : S E R' V. I C E S R E Q 0 I R E M E N 1' S
ZONING'FtPPROVED BY DA'PE:
BUILDINC APPROVF_D HY': _ _ _ _ DATE:
APPLICATION ISSUF.D BY: ` ,�� DATE: 2/�I f�
iFifiEjF#iEiEiEiE3EifiEiEit�lEiFiti(iFifiFiF�� iF�F�F+�i�.i T�E.:E�Efi �'rt�. �iffE�EiEft�Fltitikf6�R� iFk���iE
iEkiEfEiEifitlE��iFifiFiFifiEiEaEitlfiEiEiEiFlEiEifiEiEffkit�EkiFiEiEiEiFifiEjfit3fiE �. .iEiFkifiEiEifiEifiEiE%i(iFi(�iEiE�F-)Eit3fiEif�k3EjFiE3(�ifjlifiFiE
LEGAL27.ATION:N ' F E E S U M M A R Y STRUCTURAI, SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRF�DING
PERMIT 9.00
ZSt SMIP/NON-RGS
`PLAN ,
ISSUE FEE ' 15.00
DUTLDING-DIV-> FGRMIT ISSUE PLAN-CHHCK TOTAL PAIll DUE
TO'I'ALS----> 9.00 15.00 0.00 24.OU 24.00 � .00
REVENUE DIVISiON TOTALS--> COLLECTEll: 24.00 OVER/SfIOR'P: .00
BLllG PMT PLOMBING ELECTRIC MECHANIC FIRE SMTP/TOT GRADING PLAN--CHECK
, ' 24.00 �
if� if 3F k k iE #�E 3f �f 3f M iE if jF iE iE iE �JE iF iF # iE it ff iE �E iE 3E 3( i� �4 jt iE iE iF iF iE 3E fE 3f �E iF ik 1E iE iE 1E if it i!� �f iE iE if iE iF �K- 3E iE iE iF iF iF if if it it �E iE �E k iE i(� iE it iE k it
T A7 D I V I D 0 A L F E E A R E A K D O W N �
T1FL•: QT`1 U E S C R I P T I O N UNIT COST TOTAI, GOST
MCC 2 VEN7'ILATION FAN CONN TO SINGI,E DOCT 4.50
END OP' FEES '
9.OU
�
OS I��OJ4J7Z'OQOS4J%� T �� ?�.QQ
UATE: 02/21/40 TIME� 13:54
CONSTRUCTION AND PLANNING PO� SPA
APPROVALS Permit # � ate Inspector qppROVALS Permit # Date Inspector
1. TemporarY Electrical Service or Pole 52. Pool & Equipment Location '
2. Soil Pipe-Undrgrnd. • ' '' 53. Steel Reinforcement y�
3. Electrical Conduit Utility-Undrgrnd. . 54. Forms �
4. Electrical Conduit�Undrgrnd'� � �'r� 55. Electrical Bonding ��
' 5.� Steel Reinforcement . 56. Rough Plumbing & Pressure Test
6. Elec2rical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
�7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation � 59. Gas Pipe, O Undrgrnd., Test '�
i
9. Water Pipe�Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd. '
10. Structural Floor System • ��� 61. APPROVAL TO DECK
11. Property Sewer Line & House�Connection 62. Backwash & Receptor-Final
. i
12. Sewer Cap • �;� 63. Heater & Vent�Final ��
13. Roof Dra�ns " � ; 64. Plumbing System � Final ��
14. Rough Plumbing �� 65. E�ectrical-Final '
15. Rough Electriwl�Conduit ' 66. Solar System-Final
16. Rough Electric Wiring � 67. Fencing & Access ApProval
� 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough HBating & Air Conditioning . FIRE DEPT. REQUIREMENT
20. Rough Factory F.ireplace . APPROVALS Fermit #
21. DuCts, in Structure, � 70. Underground Hydro �
22. Ducts, Ventilating jj�r L�` 71. Product Piping OGas OOiI
23. Gas Pipe-Rough & Test � _ 72. Underground Flush
24. Roof Framing � . . 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing - 74. Overhead Hydro .
26. T�Bar Ceiling (Structural) & Monocoat � 75: Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL - �
29. Insulation - 78. FIRE PREV. FINAL
30. Drywall Nailing i� � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coai ": 79. FINAL INSPECTION �
32. Electriwl Power Meter-Final 'r' 80. FOOD CERTIFICATE ISSUED
33. Final Eleetric ' ,/': Notes: '
34. Finai Heating & Air Conditioning � Lj�O � .
35. Final Gas Pipe-Test � � ' �
36. Hood or Canopy �� ',/�i�
�:. ,�
37. Final Factory Fireplace �- � �, -
38. Final Plumbing � " '
39. Water Service-Final �
40. Gas Service�Final
41. SolarpomesticFinal .- •
42. Backflow Preventer �
43. Backflow Irrigation � �
44. Landscape Irripation System , . , �
45. Sound Attenuation � � ' � �
46. Handicap Regulations - + �
47. FINAL STRUCTURE & BUILDING �` .
48. FINAL PLANNING
49. Electric Release to Edison .� ,. � ' �
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY
No. Date
rxaecr�oosess: ?512 MARK LN
OWNEN'SNRME: FAIRVIEW MGMNT. CO.
RODflESS: ZSZO MERIMAC
.CM 'CA92626; �
. � .
uxiT:NONE •� . CITY OF COSTA MESA - BUILDING PERMIT
, PERMIT NO: E 046429 PLAN CHECK NO: N
„CONSTRUCTION TYPE::V-N PERMIT TYPE: ELE \
�flCH/ENGINEEp: BURKE LESTER 5 ASSOC. "Ec."o.:C-6925
aooness: ?3025 , MILL CREEK RD uxrt:
. LAGUNA HILLS ' CA 92653
PERMITTEE: DOUG SCOTT ELECTRIC ! 714 ) 7'75-0061
nooaess: 16028 MOUNT HICKS_
FOONTAIN VALLCY CA 92708
UCENSEO CONTMCTOB OECLAMTION: I hereEy aBirm tAat I am licensed�r pmvisions of CAaD�er 9(commencing with Section
7000) o� Uivision 3 oi Ihe Business antl Pmfessions Catle, ana my lice se ' i ullforce anE eHeci..
cm uc.: 0 4 6 611 STpTE LIC.: j 7 Q 2 9 S �s: C-
Date: �% SiOnature: '7�
WONKE S'COMPENSATIONOECIAMTION: Ihereb aHirmthatlhaveacert icateo�consent�osel4insurearace�i�icateo�Workers'
COmpenSatiUn InSUfanc¢ or 2 tertified Copy tAefeof �SeCiion 3800, LaC.�). �
roucrNo::536366-89 E%P.DRTE: 7�0�./9O
coMrauv: STATE FUND
� Certified copy is he2�y fumish¢0. � Certitied caDY is tile0 wiN the ciry 9uilain0 Division.��/ ,
oate; ��L�/O Applicant !� l���L`•�!T%/L
IXEMPfION FflOM WOBKEBS' COMPENSRTION UECUMTIOX: (This secdon neetl not he campleleA i� Me permi� is lor ane huoAreC (51W) or less).
I ceniTy �hat in fhe Dertormance o� the work for which ihis permfl is issued, i shall not employ any person in any man�n so as to Gecome
sublect to the Workers' Compensation Laws oi Califomia. ,��
Date: SiOnaNm: -
NOTICE: I1, atler making t�is aeclaration, you shoWU becoma suGject ro the Warkers' Campensation proNsions al(he Labor
COUe, you musi forthwiN comDty with such provisions;or this permit sAall 6e deeme0 revoketl. �:'
CONSTBUCTION LENOING RGENCY: I hereby attirm tAat ihere is a consWction lending agency for Ihe De�ormance�oi Ihe work for
w�ich tAis Dermit is issueJ (Section 3097, Civ. C�. r
;
IENDEB: ,
�ooxess:
OWNEB BUILUEB OECUMTION: I here�y atlirm ihat I am e.empt fmm the Contractors' State License Law for the followinp reuon
(Section 7031.5 Business antl Pmfeuianal Cotle: Any ciry of counry w�ic� requires a permit to constmct, alter, improve, tlemolish, or
re0air any siructure, pnor to its issuance, 51sa reQuires the appliwnt for such permit ta /ile a signetl staiement that heJshe i5license0
pursuant m tAe O�ovisions of t�e Contracrors' State License Law (Chapter 9 �commencinp with Section 7000) of DiNsion 3 of the Business
and Pmtessons Caae) or tAat Ae/she is exempt therelmm and the hasis for the alleAetl exemption. Any nolation oi Section 7031.5 6y
any applicanifor a DermR suble��s t�e ap0licant to a civil penalry of not more t�an live �unOreE dollars (5500�.�
I, as owner of the pmpeM or my employees wit� wages as iheir sole compensation, will do tAe work, 'antl tAe
❑ stmcWre is not inten4e0 or oReretl for sale (Secnon 7044, Business an0 Prolessional Code: The Contracrors' State License Law
dces noi appry m an owner of a DraDertY w�a builds or impmves thereon, anU w�a tloes such work himself/herstlt or throuA�
his or �er own employees, provideU that such impmvemenis are not intentle0 or oiferetl for ule. 11, however Ihe building or
improvement is solA witAin one year of completion, tAe owner will have the hurAen ot proving he/she tli0 not builU or improve
/or t�e Durpose of sale). - , '
I, as owner oi the proDetly, am exclusively coniraciing with licensea coniractors to construct the D�olect (Section 7044, Business
❑ antl Pmlessions Cotle: Tl�e Cont2crors' State License Law Aoes not aDD�Y �o an owner of properry who GUAds or impmves thereon
anA who coniracts lor such prol�ts vnth a coniractor(s) licensa pursuant to t�e Contractors' Slate License Law). I am aware
that DrOaf al their Worker's Campensation insurance shoWC be pron4e0 to me. - ' .
� I am exempt unaer Senlan: � e. 8 P. C. � .
tor Ihis reason: . ' .
PERM D10: E 046429
GOVT: Tl SUPP: DI
� PURPOSE: OTH
JOB DF.SCRIPTION : NEW SFD - ', SQ FT: .
CLAIM VALUE: . CALC-VAI�UE: ._ GROUP OCC: R-3 /M--1,
COMMENTS:.. : B44807 (1937# SQ FT) ' •
*****�e**** �����**x******�*���*��r*�x�*+r*�c******+�r���r�*�**�*�****�*�r�r�***�*i�**x�r
� Z O N I N G R E Q U I R E M E N T S � ,
� s F z a A c x s • .
� ' � �
---------- - MAIN BUILDING ----------- --- — ,ACCESSORY HUILDING -
FRNT: T IN REAR; FT IN FRNT: FT � IN REAR: FT I�I-
LF.FT: FT IN RGHT: ' FT IN LEFT: FT IN RGHT: f'T IN
PARKING Q: PROV: PARCEL: 00000000 ZNE: ' RGF NO;
PLANNING NOTES>
) , .
iE1EiEafiFik3f 3EiEiEififlEif�EiEkffikif�E�F*ikiEiElfiElEifiE.fE�EiE�E3E�EkiEdfiEitikiEikiFiFiFibMi(�iPiEiEiEilfElEiEjFjtiklEifiEiFif3ffEiklfiE3ElEkkiEiE
' £ V E L O P M E N T S. &•R V I C E S R E Q U I, R E M E Dl T S
, �l c
ZONING APPROVED ➢Y i" DATE:
HUILDZNG APPROVED BY : � ' DATE:
APPLICATION ISSUED HY:�2-" � - DATE: �3'�Q�'��
�7EiEit-IE�IE**u��7F***�Eit��*it��*+tic�� iF�t'�"i�'iF 'F'i�'R'�'i�'�FiFiFiFiFiFitit�*iEltititit** '3i�"iFiF)F'iF�t'iiit it
if3FiEiEiEiEiFaF3EiEiklElElElEiEaEkiElf�fkjEkitlFiE�tiFkiE3b'�IE�t3FiFiE if iEiFjE1FiE3EdE�E�EifiEiFifiEiElfiFiElEif�FifiFiEiEiE3E1E1F�EiflfiE�EiE1FiEif
LEGALIZATION:N ' F E E S M M A R Y STRUCTURAL SEGMENT:hI
• HLUG PMT PLUMBING ELECTRIC��•MECIiANIC
PERMTT 67.80
508
PI,AN '
ISSUE FEE 15,00
BUILUID]G-UIV-> PERMIT ISSUE PI�AN-CHECK
TOTALS----> 67.�0 15.00 0.00
REVEMUE DIVISIOD7 TOTALS--> � COLLECTED:
BLDG FMT PZUMBING ELECTRIC MECHANIC
82.80
FIRE SMIP/RES GRADING
SMIP/NON-RES
TOTAL PAID ' DUE
82.80 82.E30 .00
82.80 OVER/SHORT: 00 �
FIRE SMIP/TOT GRADZNG PI.AN-CIiECK ,
if if iE 3E if k if iE if 3E iE if iE iE�if iE ik iF iE �E # IE iF iF 8E it iF �lf �IE 3E iE 9f IElE 1E k IE ik iE iE �1f �E jE if 3E iE- M� 3E ik IE i4 if k iE iF if �lE �1E k if iE iE it if �)E k iF jE iE if If iE iF.if if iE ik �)E 1F
� �
I Dl D I V I D U A L F E F. H R E A K D O W N �
TYPE QTY D E S C R I: P T]: U N _ UNIT COST TOTAL COST
Da�e: Ownec E L E
I Eo heaby certity Itut I am aware of anA unaerstantl I�e requirements ot Califomia Heatlh an0 Safety Cotle Sections 25505; 25533, an0
25534 anG that 1 or any fNure builUinB ocwDant wilVwill nm (cilcle ane) need to comply vnth SaiU state cades antl the requirements for a
permit for constructwn or mo0ification irom t�e Nr �uafiry ManaAement Distnct. NesiOential canstmction applications are exempt imm
�hese provi5ion5. , '
Date: Applicant
I �ereby certiry that I have reaG tAis application antl state that the aDove inf iation is rnrrect. I agree io comON �h all ciry an0 caunry
ordinances anG State laws rela�inp to GuiltlinA �onstruciion an0 here6y amA representaiives o� this ciry Io er upon t�e abave�menfionetl
OroDenY �or inspection purpases. ,
Date: 7/ '�/D Signature: �
orrver's License or Sociai Secunry x:
1601-46 W�ita—Builtlino; Green—Cotle En�orcemanL Canarv—AD�licant: Pink—Revenue; Galtlanrotl—Assessor
1937 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT
ENL OF FEES
0
.03 67.80 �
Oi UOOSS&24—Q005`824 T CiT 82.$l1
QRTE� 03/12/90 TIPlE: 11:31
i; ;
CONSTRUCTION AND PLANNING POl , SPA -
APPROVALS Permit # � Date Inspector p�ppROVALS Permit # Date Inspector
• �.i id .
t, Temporary Electrical Service or Pole ..� � - � 52. Pool & Equipment Location /�
- %�
2. SSiI Pipe;Undrgrnd,,., _ y ' ,!� 53. Steel Reinforcement � ��'
/,,
�•� 3.,Electrical�Conduit:�Utility-Undrgrnd>� � �l � 54. Forms •
�" 4._Electrical�Conduit�Undrgrnd. - - 55. Elect�ical Bonding
_�5.�Steel Reinforcemenr . -� ., 56. Rough Plumbing & Pressure Test ,�
- �6�Electrical�UFEFiGrnd. -" 57. APPROVALTOCOVER�GUNITE -
i <. -
='.7. Pootings�.- "`�' � ' 58. Electrical ConduirUndrgrnd. ,
8. Foundation " - , �i ' ' !� � 59. Gas Pipe, O Undrgmd., Tes[ /i� �
.9. Water Pipe-Undr,gmd. i f�. ,� - 60. Backwash Lines, P-Trap, O Undrgmd. �":,,
10. Sti-uctural -Floor System �f i� ,� ' �> _ � 61. APPROVAL TO DECK �„ `
11. Property Sewer Line'& House Connection �� 62. Backwash & Receptor-Final '
. I
12. Sewer Cap ; _,� �_ "� 63. Heater & Vent-Final
13. Roof Drains''. . � � ' _ 64. Plumbing System - Final � ��
_ /.
14. Rough Plumbing J� .'_,'� i' ;r� - 65. Electrical-Finai � �
15. Rough Electrical-Conduit �{, '�. 66. Solar System-Final . �;�'.
�
16. Rough Electric Wiring �! �� 67: Fencing & Access ApProval t'�
_77. Rough Wiring Sign � 68. APPROVED FOR PLASTERING �
'18. Rough Electrical-T Bar Cei�ing 69. �POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning - - _ �_, FIRE DEPT. REQUIREMENT _�
20'.RoughF.actoryF�ireplace: ;.r ;� - - . APPROVALS_'_'Permit# � �
21:-�DuCtS, in'Stiucture° " •' = � - ` ` '� 70. UndergFound Hydro
- --c =-�. : ,+
22. Ducts, Ventilatin`g., ' `� ' `,,. T.�'•77, producLPiping OGas �Oil
23.�Gas-Pipe�Rough&Test - �� - ��72. UndergroundFlush - -
.24: Roof Framing � ` y'- � '�' ` _ _ �," ' ' 73: Undergrnd.SrorageTank O�Gas ❑Oil
25. Roof Sheathing .. .. . .. ^�� 7q, Overhead Hydro.
.-. � .
+26: T�Bar Ceiling (St"ruttural) &-Mon`ocoat „ � ' 75, Dry Chemical . - , r-
27yFrame and Flashi�ng� --- i�� , - . 76. Dry Standpipe -
-28. Laifiing & Sidin§��: "= ;��_r_; ,r = " '- � ; �� 77:, FIXED SYSTEM'F.INAL _ - � �
��29. Insulation � � - � . �'�' *• 7$'; FIREPREV.FINAL f � - "'
� 30. DrywallNailing'"-,_ _, � �i,'�� ;�'- - IiEALTH,DEPT.�REQUIREMENT
A. ,, -
' 31. Plaster Brown Coat.:: -- .� � 79. FINAL INSPECTION x •-
' 32., Electrical Power�MeterFinal '° '80. FOOD CERTIFICATE ISSUED__ �
_33yFinalElectric 4 - �+6-� � � �Notes: - _ -�[r . . -.�
� - 34._ Fin`al Heating & Air� Conditioning� �� _ ' i^ r � _ -� � - - - -
_ ,� ,, , .
35-.Final Gas Pipe�Tesi. � ` . * �; ,� ..; �-r . �� �' - - _ =
`36. Hood or Canopy ' " = `" �` � ' ,���"'�'� - �- : � � �
- - .a � t : � � - e. � �• , N +. � �-- • -
-37..Finzl Factory Fireplace� . ._.- " ' . - � v� . -
- 38. Final Plumbing - � - ' �' ' - � 7'
1 r, - -
��39. Water Service-Final� � �"" - �`� " � • "
,•�40. Gas Service-Final F �� �""`" ' �• � ' -
- � �,.� � '- a�
�.41. Solar pomesticFinal- ; '~ ' ° '- . % - - '- - -, �. '
� ,: r . _ :P. s
42 Backflow Preventer. � -` > ' � .-�
a ' -
43. Backflow Ir`igation. :- "" :� � � , . � � .
.':44. Landscape Irrigation System;�-.� ; - * -� - -" ' -_ '��• _ #. _ " �-
"- " F - - -� 5: a i -- _ . .T .
-45``Sound.Attenuation = ,. .. ,- - ; �� � . _ . ._� .
u46: �Handicap Regulations � � i= < _ "_ _ - '-
_,47: FINAL STRUCTU�RE & BUILDING � � ���,/ a '; ' � ' �.
48' FINAL PLANNIN6 - - �� , � � ' �` - -
_ - ,i -
�, 49."Electric Release to'Edison �" ' l - ' � . �
. • T �,
50: Gas Release-to Southern California Gas Co - - - ' -
: 51. CERTIFICATE OF OCCUPANCY ' • • "
No. Date