HomeMy WebLinkAbout2520 MARK LN - Building PermitsCITY OF COSTA MESA
4 ��pMFq BDILDING DIVISION
>�� 77 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
� FOR INSPECTIONS CALL: (714) 754-5626
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PERMIT NUMBER: BC09-00036
PERMIT TYPE: B COMBO STATUS: ISSUED
Sub Type: RES_ALT DATE ISSUED: 04/14/2009
ISSUED BY: RMD
J08 ADDRESS
APN: 42007101
Vicinity:
Const Type: V-B
2520 MARK LN CM
SQ. FT:
Zoning: , ,
Suite/Unit:
Primary Occ: R-3.1
Valuation: $50,000.00
SCOPE OF WORK: CONVERT SING�E FAMILY RESIDENCE TO NON-AMBULATORI' INTERMMEDIATE CARE FACILITY.
OCCUCPANCY WILL BE CHANGED FROM R-3 TO R-3.1. RESIDENCE WILL BE SPRIKLERED. 4 LIGHT FIXTS, 10 OUTLETS, 10
SWITCHES, 2 VENT FAN, 1 REPAIR/ALTER COOLING/HEAT, 2 SHOWERS, 3 WASH BASIN, 2 WATER CLOSETS, 1 KITCHEN
SINK.
EIGHT RESIDENTS OK BECAUSE HOUSE IS LOCATED ON GROUNDS OF FAIRVIEW AND WILL BE SERVING CLIENTS. WBK
4-14-09
OWNER: STATE OF CA CARE OF CONTINETAL WINGATEAddress:
SUITE 201
Phone: 714-545•0442 City/State/Zip: IRVINE, CA
2400 MAIN STREET Unit:
APPLICANT: STATE OF CA CONTINENTAL WINGATE Address: 2400 MAIN ST
Phone: 714-545-0442 City/Stale/zZip: IRVINE, CA
CONTRAC70R: JAY LEONARD LEACHMAN License No. 696198
Phone: 774-767-3342 Address: PO BOX 2744Unit:
Cell: City/State: CYPRESS, CA
ARCHITECT: ANNA MARIE BARD, AIA License No.C30859
ENGINEER: OPTION ONE ENGINEERING License No.48386
COMBINATION PERMIT FEE SUMMARY
Building Plan Check: $418.76
Building Fees: $644.25
Electrical Fees: $49.90
Mechanical Fees: 551.70
Plumbing Fees: 592.10
SMIP Residential: 55.00
SMIP Commercial: �0.00
Bldg Std Admin Fund $2.00
TOTAL FEES: $1,263.71
'•Refer to fee receipts for all fees paltl for proJect
Unit: :SUITE 201
ZipCode 90630
PHONE:949-500-3861
PHONE:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California staWtes and related
regulalions. (Ord. No. 92-28, § 1, 72-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply wilh all applicable codes, and all
required inspections and final approval must be obtained. FaiWre to obtain inspections and final approval will result in the expiration of this permit.
C D�Et. INSPECTIONTYPE DRT INi171R1 OE/ INSPECTIONTYPE U�IF n ➢�l
1818 Fixetl System Final Fire Prevemion 206 Final Mechanical (V Z� l•
1266 Pool Spa Final 208 Final Plumbing � j�
200 Final Re-Roof 210 Final ElecMwl f,
201
202
203
Final BIotWRetaining Wall
Final Factory Fire Place
Final Sign
204 Final Demolition
212 Final Fire Prevention
220 FinalPlanningApproval
222 Final Site
250 Final Building/O¢upanty
WORKERS' COMPENSATION DECLARA710N:
I hereby affrm untler penaly of perjury one of the lollowing declarations:
❑ I have and will maintain a ceAifcate of consent to sel4lnsure for workers'
compensation, as provided tor by section 3700 0( the Labor Code, for the
peAormance of the vroB for which lhis permit is issued.
❑ I have and vrill maintain wnrkers' compensation insurance, as required by
sectbn 3700 of the Labor Code, for the performance of the v.�rk fw which this
pertnit is issued. My workers' compensation Insurance carrier antl policy
number are:
Carrier:
(IDis sedon neeE rrol ee mmdeled ethepermR u valve0 al one nunEretl ddiars (5�00) or �essJ
Policy Number:
��"' I certify that in the peAormance of the vrork for which this permit is
issued, I shall not employ any person in any manner so as to become subject
ro the workers' compensation laws ot California, and agree that i( I shoultl
6ecome subject to lhe worke ompensation provisions o( Section 3700 of
the Labor Code hall fortll t c iply with these provisions.
p s s��alure � � � e �
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE CAST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed untler provisions o! Chapter 9(commencing
vrith Section 7000) of Division 3 0l the Business and Professions Code, and
my license is Uin (/ull force antl eRecl. �
Lic. # / b � � Class #
s(./iJ/n `1
om aor's Signawre 'Date
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that �here is a constructbn lending agency !or �he
pertormance o( lhe v.ork fa wfiich lhis pertnit is issued. (Sec. 3097, Civil Code�.
Lender's Name:
Lender's Address:
Signalure
OWNER-BUILDER DECLARATIONS:
1 here6y aKrm �hat under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business antl Pmfessions Code: Any ciry or counry which requires a permit to
constmct, alter, improve, demolish, or repair any strucWre, prior to i�s
issuance, also requires the applicant for such permit to fle a signetl statement
thal he or she is licensetl pursuant to the provisions of the Con�ractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Code) or thal he or she is eaempt Iheretrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects ihe applicanl to a civil penally of not more Ihan
fve hundred dollars ($500).):
❑ I, as owner of the property, or my employees wilh vrages as their sole
compensation, WILL DO THE WORK, and the structure is nol intended oi
oflered for sale (Sec. 7044, Business and Professions Code: The Coniractors
License Law tloes nol apply to an ovmer of property who builds or improves
Ihereon, and who does such vrork himself or herself or through his or her own
employees, provided lhat such improvements are not inlended or offered for
sale. If, however, the building or improvement is sold within one year of
completion, the owner-builtler will have the burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as owner o! the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to constmct Ihe projecl (Sec. 7044, Business antl
Pro(essions Cotle: The contraclors License Law does nol apply to an owner of
property who builds or improves thereon, antl who cont2cts for such project with
a contractor(s) license pursuant tothe Contraciors License laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
SignaWre Da�e
JOS]-a6 3/0�)
Owner ID verifed by tlriver's license. ❑ Yes ❑ No
Driver's License No. Expires:
Verification of Ownership by (rype of documenl, i.e. - pmperly tax bill or deed�:
DIVISION OF INDUSTRIAL SAFEN PERMI7 CERTIFICATION:
❑ I hereby certdy tha� no excavation frve (5) or more feet in depth into which a
person is required [o descend, will be made in connecfan with wnrk autFrorized
by this pertnit, and Ihat no building sWCWre, scaffdding, falsev.ork, a demoli(ion
or dismantling thereof, will be more than ihirty-six (36) feet high. (Chap. 32, Grp
2. M 2, Sec. 341, Title 8, Califomia Administrative Code).
❑ As owner-builtler, I will no[ employ anyone [o do work which vroultl
require a permit from the Division of Industrial Safety, as noletl above, unless
such person has a permit to tlo such work from the division.
Appliwnt's Slgnawre Date
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
7. Will the applicant or present or fuWre building occupant need to (le antl
certify a Business Plan for emergency response to release or threatenetl
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Cotle requires. with some
exceptions, that a Business Plan be filed with [he Costa Mesa Fire
Department by every business which has at any one time tluring a reported
year a quantity of hazardous matenals equal ro or greater than a weight of
500 pounds, or a volume of 55 gallons. or 200 cubic feel of compressed gas
at standard lemperature and pressure).
2. Does or will Ihe applicant or present or future building occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Cali(omia Health and Safety Cotle, wi[h some
exceptions, requires registration vri[h [he Costa Mesa Fire Department by
each business which at any one time has on hand a quantiiy of acutely
hazardous materials equal to or greater Ihan a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feel of compressed gas at standartl
lemperature antl pressure�.
3. Does or will the appliwnt or present or fuNre building occupant need to
prepare an RMPP (Risk Management and Prevention Program (or acutely
hazartlous malenals)? ❑ Yes ❑ No
(Section 25534 of the Califomia Heallh and Safety Code provides tha[ the
Costa Mesa Fire Departmen[ may require the preparation, certifcation and
fling wi�h Ihe Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with [he Fire DepaAment.
4. II an RMPP is presenUy requiretl, has Section 25534 of the California
Health and Safety Code 6een fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the vrork which is lhe subject o! this application a permit for such construction
or modifica�ion fmm [he South Coast Air Qualiiy Managemenl Dislrict or from
any olher air pollution conlrol district or agency? ❑ Yes ❑ No
(Section 658502 of the Califomia Govemment Cotle requires that the requested
infortnalion be lumished on applications for noo-residential builtling pertnits).
6. Will any part of the laciliry [o be constructetl untler this permit be vrithin
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(If "yes", the facility must meet lhe requirement of Sections 25534 and 42303
of the Calitomia Heallh antl Safety Cotle).
7. I! a permit trom the South Coast Air �uality Management District or other
air polWtion control district or agency is required for the vrork which is the
subject of this application, have all of the disclosures prescribed by California
Health and Safely Code Seclion 42303 been made? ❑ Yes ❑ No
8. (It "yes", atiach certificate of compliance from the appropriate air pollution
control offcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
informalion given above is correct. I agree to comply with all state laws antl
city ordinances regarding Hazardous Materials and Emissions.
oate
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
cetlify under penalty of perjury that I have read this application and siate [hat
the information given is correcL I agree to comply with all state laws and city
ortlinances relating ro building constmction, and au[honze representatives of
Ihe City of Costa Mesa to enter upon the above-descnbed pmperty for
inspec�ion purposes. I agree not to occupy or allow occupancy of any builtlin9
authorized by ihis permit until fnal inspection.
_ na're of L er(s) Date
� r ' bonzed Appliwm __�e _ . ^
�
CITY OF COSTA MESA
BUILDING DIV►SION
77 FAIR DRNE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: P09-00094
PERMIT TYPE PLUM
APN: 42007101
JOB ADDRESS: 2520 MARK LN CM
Vicinity:
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
ISSUED
08/03/2009
BJK
SCOPE OF WORK: CHANGE-OU'f THE LINE TO THE WATER SERVICE AT AN� EXISTING RESIDENTIAL CARE FACILITY.
NO OTHER WORK AUTHORIZED WITH THIS PERMIT.
OWNER: STATE OF CALIFORNIA CARE OF CONTINENTAC WINEGATE Address: � � �
2400 MAIN ST SUITE 201 � � '
PHONE: . . City/State/Zip: IRV W E, CA
APPUCANT: MITCHELL, MIKE � � Address: 12781 WESTEftN AV :UNIT U
PHONE: 714-835-5325 City/State/zZip: GARDEN GROVE, CA
CONTRACTOR: DYKE PLUMBING AND HEATING INC � License No. 414210
Address: '12781 WESTERN AV UNIT U PHONE: 714-835-5325
City/State: GARDEN GROVE, CA ZipCode:� 92841 CELL:
ARCHITECT: . . License No. . PHONE:
ENGINEER: License No. PHONE:
PLUMBING PERMIT FEE SUMMARY
PLAN CHECK FEE:
PERMIT FEE:
TOTAL FEES:
50.00
$33.30
$33.30
NOTICE: The work authorized by this permit shall comply wilh all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 1�-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit.
CO�EO. INSPECTIONTYPE OATE IN7RIAl5 LODEt INSPECiIONTYPE OpTE INi111RL5
1616 Fixed System Final Fire Prevention 206 Final Mechanical p m1
1266 Pool Spa Final 208 Final Plumbing p�I�v�
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall � 2t2 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demoli�ion 250 Final Building/Occupancy
WORKERS' COMPENSA710N DECLARATION:
I hereby aKrm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificaie of consent to sel!-Insure !or workers'
compensation, as provitletl for by section 3700 of the Labor Code, for the
peAormance o( lhe vrork br which this permit is issuetl.
�'� I have and will maintain wnrkers' compensation insurance, as required 6y
sectbn 3700 of the Labor Code, for the peAormance of Ihe work for which this
permi[ is issued. My vrorkers' compensation Insurance carrier and policy
number are:
Caiii"er
�� (Th4 seGon neetl iaf be W leletl tllhe pe�nnF is1vca�luetl at a�e �undrptl dJllarS (5100) orless )
POIicyNurriber:�� ��J `-C�
❑ I ceAify �hat in �he peAormance ot Ihe work for which Ihis permit is
issued, I shall not employ any person in any manner so as to become subject
to lhe workers' compensation laws of Califomia, and agree that if I should
become subject to the workers' compensation pmvisions of Section 3700 of
theL�rZ3d I shall forthwith comply with these propvisions. ��j
\ C>' �—/
A aWreJ •oat2
i -
WARNI G FAILURE SECURE WORKERS' COMPENSATION COVER4GE
IS UN ND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF 7HE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrtn that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of Ihe Business and Professions Cotle, and
my license is in full force antl eHect.
r ��
Lic: #' � Z�� Class # '� C�
� - �-7-�5'
Co natore Date'
CONSTRI C�LEOV G AGENCY:
.❑ I hereby affirtn Ihat there is a consWction IenOing agency for Ihe
peAortnance of the v.ork fp which this permit is issued. (Sec 3097, Civil Code).
Lender's Name:
Lender's Address:
SignaWre Date
OWNER-BUILDER DECLARATIONS:
I hereby aKrm lhat under penalty of perjury Ihat I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the follovnng reason (Sec. 703L5,
Business and Professions Code: Any city or county which requires a permit [o
construct, alter, improve, demolish, or repair any stmcture, prior to its
issuance, also requires ihe applicant for such permit to fle a signed statement
that he or she is licensed pursuant ro the provisions o/ the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of [he
Business and Pro(essions Code) or that he or she is exempt therefrom and
the basis tor the alleged exemption. Any violation ot Seclion 7031.5 by any
applicant (or a permit suDjects the applicant to a civil penal[y of not more than
five �untlretl dollars (5500).):
❑ I, as owner of the property, or my employees wilh wages as their sole
compensation, WILL DO THE WORK, and the swcture is not intended or
oftered for sale (Sec. 7044, Business and Professions Cotle: The Contractors
License Law does not apply to an owner of property who builtls or improves
thereon, and vfio does such vrork himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. It, however, the building or improvement is sold vrithin one year of
completion, the owner-builder will have Ihe burden o( proving that he or she
did not build or improvelor purpose of sale.).
❑ I, as owner of Ihe property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS ro consWct the projecl (Sec. 7044, Business and
Professbns Cotle: The contractas License Law dces not apply to an ovmer of
propedy who builds or improves thereon, and who contracts for such project with
a cmtracla(s) license pursuant to the Contractas License laws.).
❑ I am exempt under sec.
Business and Professions Cotle for Ihis reason:
Sie���ure
305]-46(3/0])
� � '
Ovmer ID venfied by tlriver's license. ❑ Yes ❑ No
Driver's license No. Ezpires:
Verification of Ownership by (rype of tlocument, i.e. - property tax bill or tleed):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:
❑ I hereby ceAify Ihat no eacavation five (5) or more feet in tlepth into which a
person is required to descentl, will be made in connection with work auttwrized
by this permit, and that no building slrucWre, scaFfdding, falsework, a tlemolition
or dismantling thereo(, will be more than thirty-six (36) feet high. (Chap. 32, Grp
2. Art 2. Sec. 3A7, T�le 8, Califomia Adminisirative Code�.
❑ As ovmer-builtler, I will nol employ anyone to tlo work which woultl
require a permit from Ihe DiviS�on of Industrial Safery, as noted above, unless
such person has a permit to tlo such work from the division.
Appliranl'S SignaWR Date
Division ot Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or luture building occupant need to fle and
certify a Business Plan for emergency response to release or ihreatened
release of a hazardous matenal? ❑ Yes ❑ No
(Section 25505 of the Calilornia Health and Safety Code requires, with some
exceptions, that a Busines5 Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quanlity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet ot compressed gas
at stan0artl temperature antl pressure).
2. Does or vnll the applicant or presenl or future builtling occupant need to file
a registration form tor acutely hazardous materials? ❑ Ves ❑ No
(Section 25533 0( Ihe Cali(omia Health and Safety Code, with some
exceptions, requires regislration with Ihe Costa Mesa Fire Department by
each business which at any one time has on hantl a quanti[y o( acutely
hazartlous materials equal to or greater than a weight o! 500 pounds, or a
volume ot 55 gallons, or 200 cubic feet o( compressetl gas at slandard
temperature and pressure).
3. Does or vnll the applicant or present or luNre building occupant need to
prepare an RMPP (Risk Management and Preven�ion Program for acu[ely
hazartlous matenals�? ❑ Yes ❑ No
(Section 25534 0( the Califomia Health antl Safery Code provides [hal the
Costa Mesa Fire Department may require Ihe preparation, certifcation and
filing with [he Fire Department o( an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
4. I( an RMPP is presently required, has Section 25534 of the Califomia
Health and Safely Code been Nlly complie0 with? ❑ Yes ❑ No
5. Does or will the applicant o� presenl or future building occupant require for
the vrork which is the subject of this application a permit for such constmction
or modifcation from the South Coast Air Qualiry Management District or from
any o�her air polWtion control disirict or agency? ❑ Yes ❑ No
(Section 658502 of the Cali(omia Govemment Code requires that the requestetl
information be (umished on applications (a non-residential builtling permits).
6. Will any part of the faciliry to be consiructed untler this permit be within
1000 feet fmm the outer boundaries of a school? ❑ Yes ❑ No
Qf "yes", Ihe (acility must meet �he requirement of Sections 25534 and 42303
of the California Health and Safery Code).
7. I! a pertnit from the South Coast Air Quality Management Dis[rict or other
air polWtion control district or agency is required for the work which is the
subject of this application, have all of the disclosures prescribed by Califomia
Health and Safery Code Section 42303 been made? ❑ Yes ❑ No
8. Qf'yes", attach ceAi(cate of wmpliance from the appropriate air pollution
control offcer).
CERTIFICATE OF COMPLIANCE: I certi(y that under penalry of perjury the
information given above is coRect. I agree to comply vnth all state laws antl
city ordinances regarding Hazardous Materials antl Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry ot perjury that I have read this application and state �hat
the information given is correct I agree to compty with all state laws and city
ordinances relating to building construction, and authorize representatives o(
the Ciry ot Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not lo occupy or allow occupancy of any building
authorized by this permit until final inspeclion.
gnaWre galOwneqs) CJ� aw
. ci
etl Npplicant _ pa�e._ �
0.1ECT RDOflESS: z S Z O MARK LN
owxee�sxnrne: FAIRVIEW MGMNT. CO.
� FDOHE%S:r.zSZO MERIMAC
' CM CA92626
0
uNiT: NONE
P
��NCN/ENGINEEfl: HURKE LESTER S ASSOC. xeo.xo.:C-6925
nooaess:23025 MILL CREEK RD uxrt:
' LAGUNA HILLS • CA 92653
PEBMITfEE: FAIRVIEW MGMNT. CO. � ( 714 ) 545-7327 �
RODflE3S: zSiO MERIMAC WY � �. � �
CM, CA 92626
LICENSED CONTMC70N DECUMTION: I �are�y attirm that I am Iicense0 un0er pmvisions oi ChaO�e� 9(commencing wit� Section
7000) o� Division 3 0l fhe Business and Prolessions Catle, and my license is in full lorce and eHect.
CITY LIC.: STRTE L1C.: � CUSS: '
Date: SiAnature:
WOBKEBS' COMPENSRTION OECLAMTION: I here�y aifirm Ihat I have a cartificate oi consent to self-insure or a cetlificate ot Workers'
Compensation�lnsurance, or a certifieA copy thereof (Section 3800, LaC. C�.
MLICY NO.: - � EXP. DRTF:
MPRNY:
. Canifietl copy is here6y tumishe0. ❑ Certifietl coOY �s file0 witA the ciry BuilAinA Oivision. � '
Date: �ADPlicant: �
IXEMPfIONFBOMWOBNEH3'fAMPEN5FTI0X0EClAMTION: QAisuctionneetl�notbecamplettNi�ihapermi�is�oronehunaretl(5100�orless�.
I cetliry that in ihe petlprma ,ce af Ne work for whichlhis permit is iss eA, I shall not employ any person in any manner so as to Decome
su�ject m t�e Worke 6' Co ipensalion Lavrs of Califomia. '• �' /(��-J I �,� '
Dare: SiOnaNre: � � /�`�— -
NOTICE: Ii, iter aking this declaration, you shoWd c e suhjec o e Workers' Co ensation pravisions of the La6or
COAe, you must �otlAwi�h comDly with suc� provision this Der t all be deemeU re ake0.; �
CONSTBUCTION IFNDING 1GENCW. I�AereEy aKrm t�at ihere is a con ruition IenOinq agency for the pedormance oi the work for
whicA this permit is iuued (Section 3097, Civ. C�1 �
LENOEfl: . . . � '.
aooeess: - � ,
OWNEN'BUILOEB DECIAMTION: I Aereby atlirm I�at I am exempt irom the Coniracrors' Sta�e License Law for tAe followin0 �e�on
(Section 7031.5 Business and Professional Coae: Nny ciry ol counry whic� reQuires a permit ro wnstmct, alter, impmve, damolisA, or
re0air any stmcture, prior ro its Issuance, a�so requires ihe applicant for such perm0 to file a signed slatemenLNat he/s�e is licensetl
pur5uani ta [he provisi0n5 0� Ihe Coniractors' Staro License Law (ChaD�er 9(commencinp witA Sectian 7000) of �ivision 3 of t�e Busineu
and Profesaons CaOe) ar Nat hrJshe is exempt therefmm and ihe �asis for the allepetl exemptian. My nolation of Section 7031.5 by
any aDW�cani for a Dermit suhle��s t�e aDPlicant m a civil penatry oi not moie ihan five �unEreO tlollars (SSW). . '
1, as owner ol the property or my employees with wapes as iheir sole compensation, will do the waM, antl the
� structureis notintenOeA arofleretl/arsale(Secnon 70E4, Business antl ProfessionalCode: T�e Contrzctors' State License Law
Aoes nol apply ro an owner ol a O�opeM w�o builCs orvimpmves thereon, and who tloes suc� work himseli/Aerseti or thmuph
his or her own employees, D�a�tlea thafsuch imDrovements are not intende0 or oiferetl lor sale. Ii, however the buil4inA or
' impmvement is solU within one year of completion, t�e owner will have the hurAen oi provinp Ae/she tlid not builJ or improve
for the purpose oi sale�. � �
I, as owner ol ihe D�oOeM. am exclusively cantractinp witA licensed cantractars to consimct the Oroject (Section 706d. Businew
�� an0 Pmieuions Cotle: The Contradors State Licensa Law does not aDDN �o an owner of DroOenY who DutlAs or imD�oves t�ereon
anC who contracts for such Drajects vntA a coniraRor(s) licensa pursuant to tAe Contractors' 3tate License Law). I am aware
that proof of their Worker's Compensation insumnce should he provideA ro me. �
� I am exempt un0er Sectlon: B. E P. C. � �
for ihis reazon' '
Date: � � � Owner.'
I tlo �ere�y cetli Ihat I a aware of an0 understan0 the reQuiremems oi Califomia HealtA A afety CoOe Secl6ns 255Q5. 25533, and
25534 ana that I or any future builainA �cupant wilVwill not (circle one) neee to cdmpy wit ia stare co0es anA Ne requiremenis for a
permit for construpion or mo0ification imm the Nr �ualiry ManaAement Distnct. HesiJential conslmction applications are exempt imm
IheSe provisi0n5. '
�ate: Appticant:
I �er¢6y certity that I �ave xatl t�is application anE state that the above iniormation is correct. I aAree m compty wiN all city an0 counry
oNinances an0 staie laws relaiinp to �uilUinA ��stNctlan anU hereDy authofize representatives of this ciry to entef,u0on the above-mentlone0
pmDehY �or inspecti n Ou oses. ,
Da�e: SiOnature:
oriver's �icense or socia� secunry x: , __. __ _
W�ite=-BuilEino; Green—Cotle Enforcament:
Pink—Revenue; GoltlenraC—Pssevor
�
GITY OF COSTA MESA - HUILDING PERMIT
_ � , ,
PERMIT-NO: H 044809 ' PLAN CHECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR
PERM NO: B / 044F309 \`
GOVT: N SUPP: N,
PURPOSE: NEW
JOH DESCRIPTION : NEW SFD SQ FT: 2,357
CLAIM VALUE: 13G,146,00 CALC-VALUE; 136,.145.50 GROUP OCCi R-3 /M--].
COMMENTS: pC #1296-89 L PAID .� •
k fE �E if N ik iE �F if iF iE if iF iE iE iE 1f iF it if k if if k if k iF ik IE if iE iF %ff I! iE if if iE iE iE iF iE iF 1E iE *!f i! if 1f iF k if if if 1k N iF iE iE if ik if iE�E IF iE IF iE iE 1f iP iE K iE k IE iF
Z O N I N G A E Q U I R E M E N T S ",
, . S E T H A C K S ,
------------ MAIN HUILDING -=-------- --------- ACCESSORY BUZLDING --------=-
FRNT: .25 FT IN REAR; 2S FT IN FRNT: FT IN REAR: FT IN'
LEFT: 5 FT IN RGHT: 5 FT IN LEFT: FT IN GHT• FT IN
<-f��o-o7a- �3
PARKING REpUIRED: 2 PARRING PROVIDED; 2 PARCEL: 00000000 ZONE: PDRHI�
PLANNING N<STES> STBKS SHOWN FR LINES ON PLANS- PROJ IS A��T��7�����TS
>.ALL PARKING.FOR THE 22 UNITS ARE GARAGES •
M ik if if if K ik if if iF iF ik if k iE iE iE iE 1f �E iE iF it it ik 3f iF 1k �F �t ik if K!F iE * �f it 1k ik 41F iE ff k iE 3F iE k fF k 3f iF 1F 1E 1E if if it iE IE iF iF ik iE iE if iF ik if:lF,�f k iE iE iE �F ik 1F
D E V E L O�P� M E N T'-'S� E R V Z C E S R E Q U I R E M E N^T� S,.
20NING APPROVED 'BY . r �-�— DATE: !/�� � �
BUILDING APPROUED BY,. : •I�.IL�D DATE: IO'Zb•F�q
APPL2CATION ISSUED BY: �- `�•` DATE: II''�3'�S
iE 1F iFif� M IF 1F3k iF 1k 1E iE 1E 1F k if� if 3F if iE iE k iE if M if iF if 3F iF-IF if�'ii�'�FiFiE if
M1F7FMMifitK3k1F1F1fiklfMlkikiFiFiEiflfifkifMifiFiEMififiEifiEif�fiE ififiEiFlFiFiEiElFitiE3EiE1FiE1Eif%ifNifikikif9FiFiFiEiEltififMififlEififlFif
LEGALIZATION:N F£ E' U M M A R Y ' STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC �'MECHANIC FIRE� SMZP/RF.S GRADING
PERMIT 769.00 • • 9.53 ' �
. • SMIP/NON-RES'
PL`AN ' • •
ISSUE FEE '
BUILDING-DIV--> PERMPT� ISSUE PLAN-.CHECK TOTAL PAID DUF:
TOTALS'----> 778.53. 0,00- * 0,00 778.53 778.SJ .00
REVENUE DIVISION TOTALS--> COLLECTED: 778.53 OVER/SIiORT: .00
BLDG PMT PLUMBING ELECTRIC MECIiANIC FIR� 'SMIP/TOT 'GRADING PLAN'-CHECK
769.00 ' : ; 9.53
� .
j IE1EfEifiFiEififiEifiE,3EiEffiEififiElfiEiEiEiFifiEiElEifiEiF!l3E1EiEiE�E1E�F'iElklElF�fiElflEiFiElkiFiEiF�EiF1EiEikiklElEiEiElEifiEiElEiEiEiEiFiEiE�F�EiEikiflf
'i , I N D I V I.D U A L "'F E E H 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
SF'R 1f195- DWE-TYPE V-WOOD FRAME� . -GOOD 67.70 128,291.50
SFR 462 RES-GARAGES_TYPE V � ' 17.00 7,854.00
ENDiOF FEES
r
.,, - , -• ��r,: '. �� ' ,
u1��„ . .)i'1- -, � `.I• � . ...
0
.
�ON�iRUCTION AND PLANNING � & SPA
� Date Inspector Date Inspector
AVPROVALS Permit # APPROVALS Permit #
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location , �
.2 ;Soil Pipe•Undrgrndl ' _ 53. Steel Reinforcement • � .
�-3.' EJectrical;Go�ird,�t^Utility�Undrgmd. ` 54. Forms '
�,4.`Electrical'Con,�it=Undrgrnd. 55. Electrical Bonding . •
V
c:5 �Sieel Retn£d.Tsesl��ent 56. Rough Plumbing & Pressure Test
*- �,�._.
";6;�Electricai,UFER'T,,,rnd. • � � �N' 57. APPROVALTOCOVER�GUNITE `-'
n
=a�Footings�^�V�(1 58. ElectricalConduit-Undrgrnd. �
.8. FoundaGio �,'� 59. Gas Pipe, O Undrgmd., Test �-
�9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd.
10. StructuralCFloor System. • � Q 61. APPROVAL TO DECK ,
11. Property Sewer LirL& House Connection 62. Backwash & Receptor-Final ,
12. Sewer Cap :� r 63. Heater & Vent�Final �
n
13. Roof Drains;�� �z ... , 64. Plumbing SYstem � Final �
14. Rough Plumbirg ' 65.' Electrical-Final i '
15. Rough E�ectric�l-Conduit ' ' 66. Solar System-Final I`
� 16. Rough EkectriryViring � � 67. Fencing & Access Approval
,77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
��18. Rbugh Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
-�19. Rou�h Heatipg & Air Conditioniny � � _ FIRE DEPT. REQUIREMEN7
C' i i � . Ix - ^7' �: (�] GJ r'iX R :��..
) � -' i x: - i i 4 ♦ �F �� V l 1: . a r-� �
� 20i�,Ro�qh F�cto�;y F'tr�place � 5�. M� w � ,.,.� .•,• �; ,� �APPROVAL�$��Permit # � -T
21:`-Du�s, in Structu�e�° '"" �`_'� r =� � J�� �� -70. Under r und H~ ro "
.y r± S r. �I: fJ h fl y' 'X. _ 9 YC1 a-
22�-0ucts, Ventilati�9i��'., �_.� �q i G ,S n �'y; x:71. Product?Piping OGas ❑�Oil �
23.�GarPip�Ro�gh & Test ,�_ '1S A tT c'a. � k y; j7y• Underground FfLsh `_ ' �i :=
24."Roof Framin `"": `-t- .��- � � � , c a: * - o ' -.-� �: " ,,.:
9 Y 'K � �^ �-< s� 73- Undergrncl. Storag�;T:ank.O Gas ❑ Oil '
25. Roof Sh�athing -�* 'e ; •� • f � �� •%'� � 7q �Overhead HydrQ'_ �`
^� : Y N t. I X'S I' .
• CV �,�: Ci 7 '- fi L" r . F r-1 = 1�
26.`',T�Bar Ceilin�ISt�i�tur91) &"Monocoat_.:A n �, i_;-;F 75^Dry Chemical r_- ;r,
27 �Frame and Flashing: �� ^ = ��g' � '��K �r 76. Dry StanQ{pipe -= 'r ` ' ' V'-
_ r.:-��, e m : r� : � �.�.
:-`28! Lathing'& Siding„ '� �� �� [�` �,.3=�-qb rpwr ,K 77�; FIXED SYSTEM;�INAL- _ . �„`'-,
y29. Insulatiph •'->� � - ��;f✓�-� _`�V �.• 78?FIRE PREV. FIN�L r� ^,�;�
''�30. Drywall Nai�ling =� � � vv ec� 3 �e `'D �a � S' �NEALTH�;DEPT,�. REQUIR�FMENT
...� _ '
_`31. Plaster Brown CoatK s i"t" -S"� � �Q : ** 79.�FINAL INSPECTION �� O�
�
�32 �Electrical Power M'�.t�-Fjnal� J '=t,;. * "' � : , '�'�.` * '�80.7FOOD CERTIFIC�P;TE ISSUED� ,,.�
4. - ` J'� t'1 .. h
_33.;Final Electric � t�7 . Gn. �� * � ' � � ':� + � Notes: � -!.T. i '" �'� T✓ �'
�(34:1'Firt`21 Heating,& Ai�`Con7Jitiorting = -�x ^ � � ��' * � ��', = T n�.
� +.: : : +Q:'.x � � �.;�'K �. M.QU�s
35.�;Final Gas Pipe�TestK p:� �:� r. r, ' � ,�,�Z * � �o o- <' �r
i
a36SHo3S� or Canopv y �n `c.ri ^EF »: ; ; t i; « x _ ,`' _ /Jr�
� -. -� • �•• .�� .VI I J.
Y
��37��•Firial Factory Fireplace� ;�- r� � I � � a- _ x �.
m r
��38. Final Plumb'irig .� �r" � r,"���'. � � � ��, = x �'"
_ _ .. . - . .M T. . � . . . -, h v
"39. Water Service;Final�; � , p, �r � i � r ..,.
� � `�
"40. Gas Service-Ffnal �'� 'r�-':'" ����'Y r � ! t� a �'=' �ti t
e �x �lS-,h� :ti<;x Y * :�+ • ...� �' d
. ' a:<' .. :!�u.�xle � � a . ��.i � -
`;41. Solar pome'sticFinal-' m � ; � w j �,: * t, .. t� -, ,�
� 42 Backflow Preventer� � �J � * ' .� � �, :�- • �, G r
�. c_ n,-:... .. �� x- tt r n T O'- �
, �I' G _ _ iJ �.: a: �. ,n t^ t.. T �� ^ . i
, 43. Backflow Ir�igation� r` ;_;�-.;.�� . x r � � x r� ••
- -- ^
�?44. Landscape IFrigatidn SYsterric'" % �= "- n h = O.' # r,: �.; ,� -- ; e^ r� ,�p
-- �'� r , a: .4' = o .^.: .w ? l' a: Y,. - �T. i G �:. M� 5 !-
45�- �_ .r �-,wF o - _. c,« x � -, - ..,.,, .
;Sound iAttenuation .-. .. � : ;,y ;,�.• * � � .�`� _.,� ;;
G46�•HandicapRegulations �-" "'- ?� +' - •- `=��-' `�
�at: a: r r v0 Q
S ,>� .: � Ll�^u r, � � _ x, q: � ... ��. •�
�47. FINAL STRUCTUAE & BIJfLDING_� �. :� x �- ,. F- _•
' �48-FINA��PLANNING -`� "p� � �k' � ' ~ �` ' ��=
��. x r x _i :J ^� � >: . ; , .
,�49:',Electric'Rele�se to:Edison Q;�� � � �'� :Y = `' � " _;=;;
_ .!�)�K "L'
�50.�Gas>Release•to Southem Califoartia Gas C4 ' �' ' le r. � �; • :,^i x- ^ � •
O
-, :: i �"- x t ^ � :r. ��
'-'51. CERTIFICATE OF�'OCCUPANCY • '* - " * �- �•`-' ' * - � `�
No. Date
�i/ V ! �
CONSULTANTS • INC. ',
MaY Z5. 1990
CITY OF COSTA MESA
%% 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 M�SA (FILE 2046)
BLDG. PERMIT N0. B044809
This is to certify that the final grade for building No. 20 also
known as 2520 Mark Lane, was field checked on May 24, 1990 and found
to be in conformance with the intent of the grading plan.
Very truly yours,
DGA CONSULTANTS
Surender Dewan, R.C.E. 34559
Engineering Manager
jls
1182 North Tustin St.
Orange, CA 92667
(714)744-0802
Fax(714)538-2152
O[her�ce Locations:
Rancho Cucamonga
Palm Springs
THIS IS TO CERTI THAT INSULATION HAS BEEN ;5TALLED IN
CONFORMANCE WITH i'HE CURRENT ENERGY REGULATIUNS, CALIFORNIA
:9DMINISTRATIVE CODE, TITLE 24, STATE OF CALIFORNIA, IN THE
BUILDING LOCATED AT:
SITE ADDRESS: 2520 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
GENER L CONT ACTOR: MESA DEVELOPMENT Lic. #
Sy Title Authorized AeentDate 5-16-90
INSULATION CONTRACTOR: WESTERN INSULATION, INC. Lic. # 481278
By Titic� Date
Form 106
3/89
Q
ROOF... �OVERING CERTIFIC�.__.:ION
Permit No.
B049809
Property address 2520 MARK LANE
Owner FAIRVIEW MANAGEMENT COMPANY
Contractor OWNER BUILDER
State Contractor License Number -- Classification --
I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the
above address in conformance with Chapter 32, and Section 1704 of the i 979 Uniform Building Code, as
amended in Section 5-97 7itle 5 Costa Mesa Municipal Code, and the installation instructions of the
manufacturer.
❑ I further certify that I am the owner of the property. (Owner-Builder permittee only).
❑ I further certify that I am:
❑ Owner of sole proprietorship company
❑ Full partner of the company
❑ Limited partner of the company
❑ Officer of the corporation
I certify that as an authorized officer or agent of the company or corporation, I am empowered to
make ihis certification, which shall be binding on all successors or assigns of the company or corporation.
.I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the
Building Division for acceptance.
FAIRVIEM MANA6EMENT COF�ANY
Company or Corporata Name '
2520 MERRIMAC WAY, COSTA MESA, CA 92626
Atltlress
�U
Received by Building Division by:
Initlal Da[e vrintatl or yoe ame
Sp�ea lor Notarial Statemanl lor aut�odzea offlnr or a9an�
CMF 0990-46 whlto - Bulltling Dlv.; Ganary - Contractor; Pink - Owner
,PN0.IELTRDONESS: ' ZY>Z� N.ARK L�
owxee�sxune: FAIRVSEW M4�4�EN.ENT CC.
eooxess: 24�0 MAIn' ST
' IRUINE, CA.
UNIT: 2 O
�ecxiesmHeee: eURKE_LES7ER� 6 A$SCG. "Ec."o.: U� CkK
eooness: ��02: MILL GREEK DR ���
LAGUNA HILLS LA 92E53
PEflM1TTEE: K.C. PLUN.BI�G t714)S98-4622
�ooeess: 2372 GLASSELL AYE A
ORANGE CA 92EE5
11tEN5E0 CONfP11CTOR UECUMTION: I hereGy attirm that I am IicenseE unAer pmvisions at C�apter 9(cammenUnp with Section
T000) ol �ivision 3 0l t�e Business and Pralessions COAe, and my license is'in lull lorce anG eifecl.
cmuc.: 05559 slnr�uc.:28147yr,' cuyss; L-'_E \. 1L�/C.,1 1
Date: �� 2 SiO�Nre: ` �` A M/Y\
WOqKEBS' COMPENSR710N DECIAMTION: I �ereC aflirm tAat I have a cetlifiwte of consem ro ulNnsum ar a ceNlicate ol Workers'
Compenuiion Insurance, or a cenilieE copy themol �Section 3800, LaG. C�:
voucrxo.: iiU013993 exr.oere: p5/�4/SQ
cornrexr: DAVLG INS
,] CertilieU copy is here0y tumisAeO. � CenilieE co Yis fleU wii� Ihe ciry BuilUing Division. /� �f
Daie: �IIZ�I �7 Applicant �� �' `��1 ` . "� %�� � ;
EXEMPf10N FPOM WOflKEN3' COMPENSITION DECUMTIOX: �(This section pee0 not be campletetl il the permi� i5 �or one �unOrea (E700) or lew).
I tetllty Ihat In the DeMormance o� the work lor whic� Ihis permit is issueU, I s�all not employ any pef5on'in any manner so as �o Oecome
suhlectlo tAe WorkeFs' ComOensation Laws of Califomia. �
Date: Sipnature:
NO710E: If, atter makinq Ihis Oeclaratlon, you shoul0 Decoma suhlact to tAe Workers' Compensatian D�avisions ol t�a Labor
CoOe, you must lotlhmih comD�Y ��� sucA D�ovisions or tAis permit s�all be EeemeO rtvake0. .
CONSTBUCTION LENUING RGENCY: 1 �¢reEy atfrm ihat there is a conswction lentling a0enry br the OeAormance al l�e work lor
wAiCh Ihis permii is issuetl (Seciion 3097, CiV. C).
IENUEH: '
aooxess: ,
, .
OWNEN 6UILOER OECIAMTiON: I hereEy aflirm that I am exempt irom the Contractors' Siate License Law 1or tAe follovnnp reasan
ISectian 70.11.5 Business antl Pmfessianal Catle: My ciry oi counry whicn repuirts a De�mit ro consimct, alter, imprave, Oemoli50, or
rcpair any simcture. O�or m its issuance, also requires t�e applium br such permit to lile a siA�� sGtement IAat hrJs�e I5 licensetl
. pursuant ta the Dmyisions al t�e Conlractors' State Lkense Law (Ctupter 9(commencing vn[h Section 7000) al OiWvon 3 at Ue Business
� an0 Pmfessians CaGe) or that tWs�e is eaempt t�eretmm anE ihe Easu tor t�e allepeE ezemDliw. My violatlon of SectPon 7031.5 Ey
� any applicant tor a permit su6lttts t�e applkant lo a civil penalry oi not more Itwn frve hundre0 Eollars (5500).
1, az awner af t�e D�operry ar rtr/ emyloyees vrith waqu az Neir sale cnmpensaGon, will Go I�e work, anO Ihe
❑ structua is nat intendM or attere0lor sale (Secuon 70Cd, Business anE Pmfessional CoOe: The Coniractors� Slate Licenu Law
Oces not aDDN �o an mmer of a Droperty who builds or im0�oves t�ereon, anU wfro tloes such work himselBAerulf or IhmuOh
his or �er own emD�aY�s. D�oNCeE that such imprwem¢nts are nol intenEeA ar ottereA for ule. II, Aowaver Ne huilUinp ar
improvementis mIU witNn one year ol wmDletion, t�e ownerwill have ihe OurEen ot pronn0 Ae/she tli0 not EuiIE orimprove
lor Ine purpose of ule�. � �
I, as owner of the proDeM. am exclusively conlraclin0 wiih Iicenu0 contractors ta wnstruct the pmjeci (Section 70Ad, Business
❑ an0 Professions CaCe: The Contractors' State License Law Eces nal apO�Y �a � owner of DroOerty who OwIEs or imD�oves ihereon
anA who contracti tar suc� Drol��s witA a coniractoqs) license pursuant to t�e Contracrors' State license Law). I am aware
tAat Droof ol Iheir Workei 5 Compensatlon'insurance shoul0 he DrontleO ro me.
� I am exempt unEer SetUOn: B. 8 P. C. '
lor Ihis mawre .
Oate: Owner:
I Eo AereDy cenity that I am awam ol anE untlerstanG tAe requiremenis ol Califomia HealtA an0 Safery CoOe Seciions 25505, 25533, antl
25534 anE thai I or any �uWre builGinp occupani will/Kill not (circle ona) neaJ to comOty with said sta�e coAes antl ��e requir¢menis �or a
permit for constmction or,mo0ification Irom tAe Air uality ManaAemenl Distnct NasiGential consimction applications ara exempt trom
inese orovisions. ' -
Oate: ApDlicanl:
I herehy cetliry that I �ave rea0 t�is apDlication an0 slate t�at the above information is correct I agree to comDty with all ciry anG counry
orUinances and stah Wvrs relatinp to �uiltlin0 cansimction anE Aere�y amAonze representativu oi th¢ cM �a enter upon tne ahove-mentionea
proOeM �ar insDection puryoses. (/'� ��-/ //7, -I
oate: ���Z$'�/ Sipnature: ` 7'� �A%n �� \ lAJ�
Dnver's �icense or Sacial Secudry x:
16CtJ8 W�ite--BuilOino; Grean-Cotle EnlorcemenC Cenarv-Fpo��canC Pink-Revanue: Goltlenrotl-0.uesaor �
CITV OF CCSTd MESA - BUIIDING PERNI7
PERM.IT �Cs P 045127 PLAR CHECK NL�: N 6�VT: N SUPP: N
CON57RUC7ICN TYPE: kL6L• FRANE : PERMIT 7YPE: PLU PURPOSE: NEW
J08 DESGRiPTlON : NEM HGUSE PLURBING . SC FT:
CLAIM VALUE: CALC-VACUE: ,'GRUUP GCC: /
CQkY.ENTS: REFERE�CE STRUCTURAL PERM,IT k 80448U9
aca�aa#as#:z�s�sasaa�a�t�az�s�ss�#ts�zs�a�sasatt��ascsm�ts#taa�ms4aaam#ass�**tss�ssa
Z G N I N 6 R E Q U I R E M E N'I S
se.Teacxs .
-- NAiN BUIICItVG -------- ------ AGCESSORY BUILDING - -
FRNT: �fT IN REAR-: FT . IA' FRN7: FT Ih' REAR: FT 1�`
LEFT: FT IN RGHT: F7 I�' LEFT: FT Ik RGH7: FT 1N
PARKING RE9UIF.ED: PARKIN6•PROVIDEC: PAACEL: aQeeafl�o ZONE_
Pi4K�'IKG, NG7ES>
i'
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G; E V E L Q P�d? E N T S E R V`I C E S'", R E A U I R£ M E N T S
ZGKIA'G AFPROVEG EY ,_ , DATE: _�
BUILDI�G APPRGVEG BY':� _ � `' DATE: '
APPiIGATION ISSUEG 8Y: ��'t��€�'����#�€ DATE: �2� 3$
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CEGALI247ION:N F E E S L M M A R Y STRUCTURAL SEGMEN7:N
BLDG PM1 PLUM.BING ELELTRIC MECHANIC FIRE SM.IP/RES GRAOING
FE AN.I7 27.00
- 25Y • SMIP/N�N-RES
PLA�
ISSU€ FEE 3.OG
BUILOIN6-DIV-> PERM.IT 3SSUE PLA�-CHECK TOTAL PAIU Dl.'E
iQ74LS----> 27.CQ 3.OQ 4.00 30.00 30.00 .00
REVENUE GIVISION TGTAIS--> GOLLECTED= 30.D0 CYER/SHGAT: .04
BLLG Pp,T PLUM,BING ELE�GTRIC MECFiANIC FIRE SMIP/TOT 6RAGING PIAN-CHECK
�� �Q�.
A# A### ## 0#Lt �#S�##t##�?�k�k##t#i� ##i�#�trt#37��####i###3##�C3#####� 0###A��i�#�S+R ##II# #�##�# #
I � D I V I G U A L F E E 8 R E A K.0 0 k N
IYPE G'7Y � E 5 C R I P 7 I a N UNIT GL�ST TOTAL CLST
FLU ' 1 EA�HiUB �2.fr0 2.00
FLl! 1 QISti3+A�HER 2.Gtl 2.00
PlU 1 LAUNGRY 7U8 GR NASHER 2.4U 2.00
PLl! 1 SH05iER ' 2.G0 2.00
PLU 1 SIRK, KITCHEN 2+L�D 2.00
P�C 4• kASN BASIN 2.GL� 8.00
PLU 2 WATEA CLGSET (TLILf7) 2.C�0 4.00
PLU 1 GAS PIPI�G SYS CF 1 TG 4 QUTLETS 2.Q0 2.00
FLU 2 GAS FIFING SYS 5+ GUTL-PER OUTLET � .50 1.a0
PLU i YiA7ER F:fAT�R ANO/OR VENT 2.ftD 2.00
ENC dF FEES
O1 U00484ob-00045436 T 4 T 30.00
DATE: 11/2&/89 TIME: 1<:19
CONS7RUCTION AND PLANNING POv� & SPA
APPROVALS . Permit # Date Inspector pppROVALS Permit # Date Inspector
1. TemOarary Electrical Service oc �Pole, . � � 52. Pool & Equipment Location �
, 2. Soil Pipe-Undrgmd.� ' � : _�'^'� (2-�-�' [,�� 53. 'Steel Reinforcement � �
� 3�tElectrical�Conduit�UtiliCY�Undrgmd:� � 54. Forms �
4�. Electrical �Conduit-Undrgrnd. •' � 55. Electrical Bonding
; 5. Steel Reinforcement 56. Rou9h Plumbing & Pressure Test ��'
�� 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE •
., .
7. Footings' -' � ._ 58. Electrical Conduit�Undrgmd. �
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. � � .
j•ZU�, (�iO 60. Backwash Lines, P�Trap, O Undrgmd.
10. Structural Floor System ' � � 61. APPROVAL TO DECK �
11. Property Sewer Line�&� House�Connection � 62. Backwash & Receptor�Final
72. Sewer Cap �� � � 63. Heater & Vent-Final •
13. Roof Drains '' ' 64. Plumbing System - Final
14. Rou h Plumbin` '
9 9 . ` QjJ (.�` 65. Electrical-Final
15. Rough Electrical-Conduit ; ' 66. Solar System-Final
16. Rough Electric Wiring ' 67. Fencing & Access ApProval i
17. Rough Wiring Sign -' 68. APPROVED FOR PLASTEFING �
a
18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
- ' .� .r • - ., -
20. Rough Factory Fi�eplace I_ �,_ . S: ' �.T./ G qppROVAL'S'� Permit# '' -�� "'� '� �'�'�'!•
I rrt. , � . ♦1 �
21. D�cts, in,Structure„ � .- . � �• -+ �'70. Underground�HyBro +}
22. Ducts, Ventilatin � �`' ' _� *^� +' '' r . � '
9+r i ..� a n 1 �....,y 3 a71. Product Pipi�tg O Gas O��il
23„Gai.Pi e-Rou h &'Test � - T � ~ ,� - " � � ..
p 9 i cP� ,.� a �:: s-dy, Underground Flush�
24:'Roof Framin � ���+ I � �- '7.- .t � �J J �. �i + . -+ M. `. a -�-+�-+ i � ,r.�
9.,.� � �,� �„ ,73.,�Undergrnd'. Storage.�Tank O Gas ❑ Oil
25. Roof 5heathing `. ,1 i".:.a � �„� w n�7q, �p�erhead Hydro'7^ n
26:'•T-8ar Ceiling (Structural) &'Monocoat 'h -' '�' �+ 75: Dr Chemical -' a _. . -..�,.� � .. • , :
.� h �k a Y �_ r
27`Frame and Flashing' � � y . � _ �._ a .- � . . �� r o - - • n - .
. 76. Dry Standpipe +� �•
:28VLathing & Siding-<'✓ "� • T r` r •• ••� n' 77;'� FIXED SYSTEM'FINAL'� � � '
� rza �y-1- x ,•I � Id.K '1 ♦ � C'l Jn�a '�.f'1•~rr�r
29. Insulation �.:. l �•••• �"�� � � ��� * ' Y � �� T . ` �.• � -�
y. .� .• � a I 1 tF;t 78.rFIRE PREV. FINAL � % � �- �-� ��•� -7•.
30. Drywall Nailing ?'� - '�' � �' i%" _ • � •HEALTH DEPT•�REQUIREMENT ' ' '
� ez �-- I I :. n '�..v�, � , � i r- � v '
31. Plaster Brown,Coatl� � . - „ t j ,`h K -.79. }FINAL INSP�CTION ' " � ��
.r i... _.
'�32?Electrical Power Meter�Final� �- �'��� � � ��+<. 80. FOOD CERTIFICATE ISSUED �
2
�' f N K l al . ? 1�/'
1 .' u , I C: rt 1 I Y1 ;I'[` u r u �� � • r .a ♦ �
' 33.`.'.Final Electriy .: .., ,r, � �� .�y i ,�,'.,�,� R Notes: -r �-� . x � � � .,
^34^Final Heating & Air:Comditioning 5 M l 1 I' i+s r �, < -� � i - -' .. r_-
- I I" la u. � ..� I t -r
r �. ;' ^ • �-1 � I+F # 'l ". ,�Y�' w .�r .-.� -
"35,�Final Gas Pipe-TeSt;y �., m C �/ �%D (a,(.Ola e � rr: ,... a . _�._r,-
36�HoodOrCanoPY-.:i ly � "-� ., #�� 1 I ` >�.• _ •. , tf.. � ' _
I �!'l. a. .in
. .. ! «. • 1 + • rv �y • I i lit t; -- - �T �
�37: Final Factory Flr�'puace� �_�� � I 1�"/'le a -- a '� ^+
/.7.
•-38. Final Plumbing ^.Y. � i � `jj�/� ' :> <'t - - a �» �--�
,. a -�..
�'�39. Water Service�FinalM � ° ! � �'y'�' � � . '.•-, °'.: ,,-, �
� � I � I» .,. , ti.
�40. Gas Service-Final i: � Q - .- �j a ir i I '�iS �r ^� � - .v w � ���
41. Solar pomestic-Fina1 � '� ' �'� ! � "+ ` � 'rv
sr i I � a r �. � -. ,: .: '� -
_42.�BackflowPreventer'�. •� + . . � � - - � .
o �.� u I 1 lu J ^ e� R� ['�
. J'. h l�
43.Backfiowlr[iation` '':s•' -. • '�" .��"' :'.� `�.� "�•"n�."' :
g �� � . :; - tt$ v � ,,� .-, . . . . . . . . .�•a
. � � .
44. Landscape Ir.rigation Systemu�in , •* � � . � �-�� a r • � �v Z' � �.+ �v , . • .. �
;�
45: Sound Attenuation� '"�' ` � �` : - ^ -'` � ^ " T:� :�t '
ti r � a 7. �� .7 .i� t.+r w- � J' �! -n u
x ., , .. .. . . .�,. � �
46:,,Handicap Re,gulations . �.,, .� � � . y +.i
47.��FINAL STRUCTURE & BUI��CDING; � +"� • 1 i•�w rr � v � n -
- ;. 1 I :li: � 1 v �> -
48:=FINQLPLANNING� ir-���- .. +t�• 'i-la: .i . �
49:�Electrlc Release to �Edlson ! a i t'�1a. s e s i �w "�
u i a l I i' .kt c. .� 3 ' ,r
50.zGas;ReleasetoSouthernCali�orniaGasCo .� j i kle� � . •n� .. ��. . .�. .�� ....
�� -
51. CER.SIFICATEOF.�OCCUPqNCY ;: t;<s•- „ • .. <t .- ,�� , -..+-r..,r-,
No. Date
PNOIFCT ROONESS: z S i O MARK L N
OWNER'SNAME: FAIRVIEW MGMNT. CO.
aooxess: �520 MERIMAC
CM CA92G26
0N1: �dO�IE
RPCHIENGINEER: BURKE L.ESTER S ASSGC. ��'N���C—C�U �5
aooxess: ?�025 MILL CREEK RD ��
PEflMRTEE: LAGUNA HILLS CA 92653�
nouxess: SANTIAGO AIR COND ( 714 ) 998-1600
231 W BLUERIDGE
ORANGE CA 97_665
LILENSED CONTMCiOB OFCLAMTION: I hereUy attirm that I am licensed unGer pmNsians ot Chapter 9(commencin0 �th Sectian
7000) al Divisian 3 af the Buvness an0 Pmfessions CoOe, anE my license is in �ull �orte an0 eHeq. '
cm uc.: � g S STRTE UC.: � 6 g q g 6 cuss: �
Oate: � � ��� ��nature: � �
WONKEPS'COMPENSATIONOECUMTION: I�erebyattirmthatlhaveacerti/i a[eofconsenitoself-ins ora " tealWOBers'
' ComDensation Insurance, or a cenifieU coDY �hereat (Section 3800, Lab. C�. .
roucrNo.:WC8732051 �op� 04/01/90
carnrnxr: FACIFIC STATG.`'i
❑ Certitiea copy is nereoy fumisnea. l}A Cetlified copy is fileE vnth IAe ciry BuiltlinA ��sion.
Daie: �' I�' CI � Applicani: 1� �V
E%EMPTIOX FflOM WOflNEB3' fAMPENSRT10X OFCL4IUTION: �(�his section neetl no� be comple�etl M NE pe h is for one hu�re0 (5100) or less). i
I cenity t�at in the De�ormance oi tAe work lar wAich t�is permil is issue I s�al ot employ any � on in any manner so as m bewme
Su�lec� � �he WorkP ' S �ion laws oi Califomia. �
Oate: � SipnaNre: ' �t �
NOTILE: 11, atler maldnp I�a tleclarotion, you shoula become suOject to Ne Workers' Com ns ion provisians ol t�e La�or
CoOe. yrou mus� fORAwRh fAmply wilA SUC� D��SionS Or IAR permi� Shall Ee OeemeU rev�.
CONSTNUCTION LENOING �GENCY: I hereby affirm t�at there is a constmction lending aqency for tAe peAormance ol t�e work for
wAich Ihis permit is issueE (5¢ction 3097, Civ. C�.
IENDEB:
ROOPESS: - ' '
OWNEfl 9UILOEB OECLAIWTION: I hereby aflirm Ihat I am exempt iram ihe Contractors' State License Law for Ihe followinp reason
(Section 7IX11.5 Business an0 Pmfessianal Code: Any ciry of coumy whic� requires a De�mit to cons[mct. atter, impmve, OemolisR or
re0air auy simcture, pnor to its issuance, also requires the aD0licant lor suc� permit to lila a signed statement tAat he/s�e is Iicenu0
pursuant to tAe O�ovisions oi t�e Contractors' State License Law (Chapter 9(commencinq wiN Section 7000) of Division 3 of the Business
anA Prolessions Cotle) ar that he/she is exempt Iherefmm antl the 6asis for the altepe0 evemD��on. My violaiion ol Section 7031.5 Oy
any ap0�icanifor a permR suGlec�s the aDD�icant to a cNil penalry ot not more tAan live hunOreO tlollars (5500�. -
'I, as bxner oi the Omperry or my employees with wapes as tAeir sole compensation, will tlo tAe wark, an0 ihe
❑ structure is not intende0 or ottered for sale (Secnon 7044, Busineu an0 Pmlessional Cotle: The Coniractors' State Licensa Law
Goes not apDly to'an owner oi a pmpeM who builtls or improves thereon, antl who tloes such work himsell/�erself or Nroug�
. his or her own employees, pmvi4eA tAat sucA imD�ovemenis are not InronOea or ottered for sale. II, however the 6uilUinA or
improvement is sold within one year of completion, ihe owner will have the GurEen oi pmving he/sAe AiU not builtl or imD�ove
' ' for ��e purpose oi sale�. ' , , �
1, as owner oi t�e property. am exclusively contracting with licensed contractors to canstmct ihe project (Saction 7014, Business
❑ antl Pmf¢ssions COUe: The Contractors' State Licenu Law Ooes not apDty ro an owner af DroDerry wtio bwlUs or improvas t�ereon
anE w�o contrac6 for such O�olecis with a contrac[or�s) license pursuantto Ihe Contraciors' State License Law�.l am aware
t�at proot of Iheir Worker's Compensation insurance shaulA be proviaed to me.
� i am exempt unaer Secuon: B. 8 P. C. .
lor tAis reason: .
Date: Ownec
I Oo �ereby certity ihat I am aware ol anE understana ihe reQuirements af Californla Healih an0 Safery Cotle Sections 25505, 25533, antl
25534 ana t�at I ar any fuwa buil0ing occupant wiNwill not (circle one) neetl m comDly with saitl state coEes antl Ne reQuiremenis tor a
permit lor constmction or mo0ification from t�e Air Dualiry ManaOement District. Fesitlenlial cansimction aDDlications are exempt imm
I�ese provisions. � ' '
Oate: Applicant
I Aerehy certiy that I �ave reaE this aOPlication an0 state [hat che above inlormatian is correct. I aA�ee ro comply with all ciry ana counry
oNinances an0 state lam aWlinp ro OuilEinp construcUon anC �ereby aulhorize representatives ol Ws ciry to ent¢r upon the ahove�mentlane0
D�opefiy �o� insp¢cti purp^ous. `
Date: �� I � � / � SiqnaWre: /�� I �" ^
Diiver's license or Social Security M: � �
1801�46 White—Bulleinp: Green—COEe EnforcemenC Canarv—AOP��cent: Pink—Revenua;'GOIEenrotl—Assesaor
CITY OF COSTA.MESA — BUILDING PERMIT
PERMIT NO: M 046106 PLAN�CHECK NO: N
CONSTROCTION 7'YYE: V—N PERMIT TYPE: MEC
PERM NO: M 046106
GOVT: N SUPP.: N ,
PURFOSE: OTH
JOB DESCRIPTION : NEW SFll SQ FT: ,
CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 /M-1
COMMENTS: REP B4480y
**�+��*�+�**�*x��x��**��*******�r***�r*x�**�r�**��rt**�+�*���c�*****��r���r�+t****����**�rtr
Z O N I N G R F.(a U I R E M E N T S
' S E T 13 A C K S
---------- MAIN $UII�DING ---- ----
FRNT: F'f IN REAR: � FT IN
LGFT: FT IN RGHT: FT IN
— ACCESSORY BUILDING — —
FRNT: � FT IN RT'AR: PT IN
LEFT: FT IN RGH'L: FT IN
PARKING REQ: PROV: PARCEL: OOOOOOOU ZNE: REF NO:
PLANNING NOTES>
> '
�IE,3EiEfEiEiFiFitiEfEifjE9F3EiE?E�f1EiF3EiEk-�F3EiEiE�lENiklEiElliElEiEiEiFif3EiEihiE�kjfifi(�-)EitiFikiliF3fifltf�if3FkiE3E3EiEiE9EjfiEitiEiF3EiEiE3Fjf�iEiEiEif .
�; D E V E I, 0 P M G N T. S E R ��. I C E S � R, E Q 0 I R E M E M T S
� '
ZONING APPRUVED BY _ DATE: _
•BOILUING APPROI�ED i?Y : DATE:
APPLICATION ISSUED BY: � , llATE: �' I�F"�ID
iF iE if iE if 1t iE iE 3E 1E iE # k k i( 1E X k if 1E k?k 3FiF�Fit 3f�'iF'it te ft t" � iF ih ik if iE it 3E iF Ik il�iFiF7�-iFi�"j��if� k�
iEiElEjhififkiEiFifiEiE3E#MifiEi4ifkjkiEjfil�jEkikikiEifitiEitiEkifitifiEif�' �1FifiEifilikiFlfitkiEkikikiEiEifiEiEjt�fiFlEitiEiEiEkiFiEiEiEfFfEiFitit�iE
LEGAL'IZA2'ION:N F E E � S M M A R Y S'PRUC'PURAL SEGMENT:�J
BLllG FMT L�LUMBING EL�CTN C MECHANIC FIRF. SMIF/RE5 GRADING
PERMIT 9.00 �
2S<' ' SMIP/NON—RCS
PLAN �
ISSUti FEE 15.00 �
BUILDIMG—DIV—% PERMII' .�ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----? ' 9.00 95.00 0.00 24.00 24.00 .0.0
.REVEDIUE UIVISIODI TO'i'AI�S--> COLLECTED: 24:00 OVER/SIiOR1': 00
BLDG PMT PLIJM}3ING EL�CTRIC MECHANIC FZRE SMIP/TOT GRAD:CNG PLAD1—CHECK �
i4.�� '
iEitifititMiE�lEifitiEifkiEiFi(iti(iEit�lEkiEiElE�itie�kiFikifih3flfihiE�EiEkkNlkiEiEifklEiEififMitiE�lE1t#iEit�lklkikkiEifiEifi(�iEifil�lf�]fiE9ElEifiEk'if '
l N D 7 V I D U A I� F E E B R E A K D O W N
T'YP� QTY U E S C R I P T I O.N UNIT COST TOTAL COST
IMGC 1. INSTALL PORC/ATR FURN <= 100 R BTU/H 9.00 9,00
I , BND OF PEES
O1 00054086—Oa05408d �'aC�T 2�,pp
DA7E: 01/14/9D TIFIE: 14�37
CONSTRUC7�ON AND PLANNING - POuL & SPA �
APPROVALS Permit # Date Inspector p�ppROVALS Permit # .Date Inspector
� '
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe,Undrgrnd. ' 53. Steel Reinforcement '
3. Electrical Conduit U[ility-Undrgrnd. 54. Forms
4..Electrical Conduit-Undrgrnd. . 55. Electrical Bonding
5. Steel Reinforcement . 56. Rovgh Plumbing & Pressure Test
6.•Electrical UFER Grnd. , ' 57. APPROVAL TO COVER�GUNITE
7. Footings � ' 58. Electrical Conduit-Undrgrnd.
8. Foundation ' ' 59. Gas Pipe, � Undr9rnd., Test
9. Water Pipe-Undrgmd. . 60. Backwash Lines, P�Trap, O Undrgmd.
10. Structural Floor System ' - � 67. 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 A�proval
i7. Rough Wiring Sign '� 68. APPROVED FOR PLASTERING
18, Rough Electrical-T Bar Ceiling �- 69. POOL(SPA SYSTEMS FINAI
19. Rough Heating & Aii Conditioning 3 FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace . - . _ APPROVAIS Permit #
21. Ducts, in Structure ' _ 70. Underground Hydro
22. Ducts, Ventilating � .71. Product Piping � Gas ❑ Oil
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 , ;�� ; HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � � 79. FINAL INSPECTION
32. Electrical Power Meter-Final • 80. FOOD CERTIFICATE ISSUED ,
33. Final Electric � ' Notes: �
34. Fina{ Heatin9 & Air Conditioning •' J
� �� !1'�l% -
35. Final Gas Pipe-Test , . � �
�,
36. Hood or Canopy - � ���' � � �
�r%
37.-Final FactorY Fireplace � ' �
38. Final Plumbing ' . ' � ' ' � ,
:�
39. Water Service-Final' • . ,
40. Gas Service-Final
41. Solar pomestic-Final � �
42. Backflow Preventer • �
43. Backflow Irrigation
44. Landscape Irrigation System � � � ' -
45. �Sound Atrenuation. ' _ �
46. Handicap Re9ulations - ' •
47. FINAL STRUCTURE & BUILDING , � , •
48.. FINAL PLANNING ' �
49. Electric Release to Edison ='-
50. Gas Release to Southern California Gas Co L: � "
51. CERTIFICATE OF OCCUPANCY �
No. Date
PflQIECT RDOflESS: � S� O MARK r�N
OWNEH'SN�ME: �.•AIKL�IEW MGMNT. CO:
aooness: 2520 MERIMAC :
' CM CA92G26
�N�,: idOD)E
(714)545-7327
pNCH/EHCINEEfl: BURKE 1�ESTEA & 'ASSOC, � "Eo."o.: C-6925
nooxess: ?3025 MILL CREEK RU uxir:
LAGUNA HILLS CA 92653•
PEHMIREF: FAIRV.I�.W MGMNT. CO. ( 714 ) 545-7327
RODBESS: ZSZO MERIMAC WY � �
CM. CA 92626
LICENSEO CONTMCTOB DECIAMTION: I hereby aifirm that I am licensetl untler provisians of Chapter 9(cammencinA wiN Section
7000) oi Oivision 3 of the Business antl Pmfessions CaAe, anJ my license is in full force and eifect.
CITY LIC.: � STRTE UC.: . � ClASS: '
Date: Signature:
WOflKEBS' COMPENSRTION �ECl11N�TI0N: I �erehy aBirm that I have a cenificafe of consem ro self-insure or a cenificate oi Workers'
Compensation Insurance, ar a certified coDY lhereof (Section 3800, Lab. C).
PoLICY NO.: ' E%P. O�TF:
COMPINY:
,� Certitietl copy is herehy fumished. ❑ Cehi�ie0 copy is fileA with ��e ciry BuilAing Uivision.
Oaie: Applicant:
E%EMPtIUN FBOM WOBNERS' COMPENSATION OEClAX11TI0N: Rhis section nee0 not ba comple�e� if the permit is for one hundred (510q or lew�. ,
I certiTy ihat in the perfo mance of the work for which this Dermit is sued, I shall not employ any person in any manner so as ta become
su�lect ��h � orker ' Compensa�ion Laws ol Californi���� l_ � _ � / '
���.� N �r �.r
Date: Sipnature. ���T �
NO CE: If, atler maWng ihis tleclaiation, you shoul ecome suhject to tAe Workers' Compens an pmvisions oi the Labor
COAe, you must forthvnth comply wit� such Dmvisions or this Dermit shall Ue Oeemed revake0. '
CONSTHUCTION IENDING RCENCY: I �ere�y attirm that t�ere is�a construction lendinp aqency for Ne pedormance of Ne work tor
w�ich this Dermil is issuetl (Section 3097, Civ. C). �
�xoEn: '
nooeess:
OWNEB BUILOEB OECUMTION: 1 �ereby aflirm that I am exempt from the Conirectors' State License Law far t�e follawinp reason
(Section 7031.5 Business ana Pmtessional Cotle: My city oi counry whic� requires a permit ro constmct, alter, imD�o�e, tlemolish, ar
repair any simcture, prior ro its issuance, also requires the apptiwnt for such Oe�mit [a file a signetl slatemeni Ihat he/she is licensed
pursuant to ihe Dravisions af tAe Coniractors' State License Law (Ghapter 9(commencing with Section 7000) oi Oivision 3 af ihe Business
antl Pmlessians Coee) or that he/s�e is exempt t�erefrom and t�e hazis tor Ihe alle0e0 exemption. My violation oi,Section 7031.5 Dy
any applicant lor a Oermh su�lecis the aD0licant ta a civil penalry oi not more than five �unOretl tlollars (5500�. ,
I. as awner af ihe pmperty or my employees �with waqu as their sole compensation, will do t�e woM, -an0 the
❑ simcture is not intende0 or offered lor ule (Section 7044, Business and Protessional CoOe: The Contracrors' State License Law
Ooes not aDPly ro an owner o/ a pmDertY who 6uilOs or improves Ihereon, antl who does such work �imsell/hersell or t�muAh
his or her own employees, Orovided Nat such impmvemenis are nol intentled or otteretl'for sale. If, Aowever the huilaing or
impmvement is sold wit�in one year ot completion, the owner will have ihe Ourtlen of Oroving Ae/s�e Oi0 no� Ouild or impmve
for t�e Durpose of sale): ' � , '
I, as owner of ihe �pmOeRY. am exclusively�conirectinA with Iicense0 coniractors to constmct the prolect (Section 7044, Business
� and Professions Catle: The Contractors' State License Law Ooes not apDly to an owner of pmperty who butlds or impmves ihe2on .
an0 wA0 tontraC�S �orsuch proleci5 wii� a ConVaclor�s�liten5e pur5uani to Ihe Conirac�or5' Sta�e License Law),I am aware
�Aat pmaf o� IAeir Wader's Campensation insurance sAould he Omvi4eA �o me.
� 1 am exempt un0er Section: 8. 8 P. C.
lor IAi retason: • � �/,�, '
, Date: � � U� / / I ' Owner. : //' �-"
I Uo �ereby t¢tlity iha� I am aWafe o� anA un0¢rSiantl Ihe requiremen��raH omia Health antl Safety Cotle Sections 255➢ , 25533, anG
25534 anE t�at I or any future 6uildinp occuDant will/will not (circle one) neetl to comply wiU saiA state cotles antl t�e requiremenis for a
permit lor consimction ocmodification fmm tAe Nir �ualiry Management Uisirict. Pesitlential consimction app�ications are eeempt fmm
inese pmvisions. , • . ; � . �
Oate: ApDlicant:
I herehy certity tAat 1 have reaG this application an� state t�at tAe ahove inbrmatian is carrect. 1 agree to comply witA all city antl counry
ordinances antl state Wws rela�inA �o buil0inp cons�NClian an0 here�y aNhorize re0re5enid�ives ol Nis cRy [o en�er upon t�e above-mentloneE
V�oDeM �or ins ection rposes. �
//�� i
Date: Sipnature' �� � � [ �'^�
Driver's �icense or Social Secunry a: , �
t6n1-a6 W�i�e—BuilEino: Graen—COEe EnlorcemenL Canary—qoDiicant; Pink—Revenue; Goldenrotl—Nssassor
CITY OF COSTA MESA -'AOILDING PERMIT PERM D10: M 646454
FERMIT NO: M 046454 PI.AN CHECK NO: N GOVT: DI SUPP: Y
CONS1'ROCTION TYPE: V-N ' PERMIT TYPF.: MEC - 'PURPOSE: OTH
JOB UESCRIPTION : INSTALL.FACTORY FIREPLACE (ICDOlt3195) SQ F'T:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /M-1
COMMENTS:`RE:B44809 PRIMARY BLDG. PERMIT. '
if !f iE jk if �f iE IE iE iF iE if iF 3E if ff if it i! 3E iE �f if iE iE iE it iE 3E iE iE �E if fF fE iE iE 1F ik iP �f if K� 1f �(� iF iE �F�t�iE # 1f k ik if iF if �f ik iF iE iE 1f iE ik iE iE k it k iE 3hlE if K if i( # iE
� 'L O N I N G R E Q U,I R E M E N T S
5 E T' B A C K S
--------- — MAIN BUILDING ---------- . --------- ACCF.SSORY BUILDING ------=
FRNT: FT IN RF.AR: FT IN . FRNT: FT I�l REAR: . PT IDI
LEF1': FT IN RGIiT: FT IN LEFT: FT IN RGHT: FT Irl
PARKING REQ: PROV: PARCEL: 00000000 ZNE: ' REF NO:
PLANNING NOTES> , ,
�
iE iE iF �E jE iE �lk 3[;if iE iE k fE iE iE if iE i( if �E �f if iE iE # ik iE 9f��lE jE iE iE iE iE iF iE !E iE iE ik iE it IE 1E if �f iE 3f if if it iF 1E �t iF iE iF iE if �E iE �lE iF iE 1E �f �lf dE if !4 ff� iE iE iF if iE iE # if
� �.D E V E L O F M E N T S 6 R V' I C E; 5 H L•: Q U I� R E M F. N T S �
ZONING''APPROVED �Y _ DATE:
BUILDIN� APPROVEU IIY : _ �., DATE:
- ', _
APFLICP:TION ISSUED IiY. - DATE: ��_�J(�
**x-*�t�****��*�*�r**x�**ft* c� iFRi �i F�3F3FiF3Fi�*f�i�****** *�F3E*
**it*x*****��x�x��***at*x*���r**x�*it*�r**e *i �t**�r***�ie�t�x��tit*�t*�rit**x�*at*�atat�x�*atit*x-�t*at�*
I,F.GAL22ATION:61 , F E E � S 0 M M A R Y STRUCTURP:L SEGMED1TrD]
! BLUG PMT 'PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT . � 20:00
' 258 � ';MIP/NON-RE5
Pt:Art � �
ISSUG FEE 4.50
BUILDING-DIV-> PGRMIT ISSUE PLAN-CHECK TOTAL PAID DUF
TOTALS----? 70.00 4.50 0.00 24.50 , 24.50' , .00
REVENUE DIVISIpN TOTALS--> COLLGCTED: 24.50 017ER/SfiORTi .00
' BI.DG PM'f L�Li7MBING EI�ECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-�CHECK
24'. SO •
0
iE �lf if if ik iE if iE iE # i4 iE # if iE iF # k� if iE 3E k iE iE it iE iE if it iE it k�t iF iE it iF iE iE �f iE it �k 3f iF i! iE 3E iE iE if Ik iF iE �1t -0E i! �E'iE iF �lE �lE �1F �lE iF �IE iE it iE �JE iE iE iE �I(-�lf iF �lE �)f if
7 id L I V I D U A L 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
MEC
M£C
�
r
1 FACTORY FIREPLACE
3 L'ENTILATIO�I_ FAN CONN TO SINGLE DUC'P
END OF FEES
`�
6.50 6.50
4.50 ' 13.50
41 0�]455964—�0055969 T�7T 24,Sp
OATE: 03/13/90 TIf1E: 14.35
. , ,
CONSTRUCTION AND PLANNING � . - PG.,� & SRA
APPROVALS Permit #� Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location '
.2. Soil Pipe:Undrgrnd. _ 53. Steel Reinforcement - .
��3:. Electricel.Conduit Utility-Undrgrnd. . ' 54. Forms � . �
4._Electrical�Conduit-Undrgrnd. 55. Electrical8onding '
.� _S.:Steel Reinfoccement 56. Rough Plumbing & Pressure Test ' .�
:6=•Electrical UFER;Grnd. _ 57. APPROVAL TO COVER�GUNITE _
,c
7� Footings � `r � 58. Electrical Conduit-Undrgmd.,
8. Foundatio�i - � . 59. Gas Pipe, � Undrgrnd., Test � �
a:7
9. Water Pipe=Unilrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. �
�
10. Structural'�Floor Svstem � � 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 Electrica6Conduit � 66. Solar System-Final �
16. Rough EleMric Wiring . 67. Fencing & Access ApProval
�17. Rough Wiring Sign . � 68. APPROVED FOR PLASTERING
��18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
" 19. Rough�Heating & Air-Conditioning _ - FIRE DEPT..REQUIREMENT
20:.�Rough Factory F,ireplace : n:e = - _.: � �APPROVACS _ _,Peimit # �
21: �Ducts, in'Str:ucture� � _ - _ - '%70. UndergFound Hydro '
22.. Ducts, Ventjlating , " �7iJ qQ Lj,� ., � 77, Product Piping O Gas O Oil
23.��Gas-Pipe�Rough & Test ' � -' -72, Undergro�und Flush � -
24i-Roof Fiamirig �� '' �� ' � _, � . '73 Undergmd.Storage�Tank`�Gas ❑Oil�
25. Roof Sheathing �� " • 7q,- Overhead Hydro.
26.= T-Bar Ceiling (Stru'etural) &VMonocoat , � � - 75- Dry Chemical . � :.
27- Frame and Flashing -` - - . 76 Dry Standpipe - � -- -
-28. Laffiing_& Sidin9�;: ` � ,=,`'�:� � i " ' � ' �� " 77^ FIXED SYSTEM'FINAL" __ ". ,
29. Insulation �- r " �_ � � � ���`- K 7g: FIRE PREV. FINAL - - - -
30. Drywall.Nailing ' '� ��j ; � ', _' 79EALTH DEPT. REQUIREMENT
37. Plaster Brown Coat. � ;� �� �� k�^79.�FINAL INSPECTION -
;'32��Electricel PowerMeterFinal ' '�� ' �i* '� '' "80 �FO00 CERTIFICATE ISSUED �
�11
- 33��Final Electric ; � i . � � I l�it .�� Nofes: -- � -� = _ -
'�34._ Final Heating & Aii Conditioriing � ;i�' ( •'�(���• - � ' T ' '� -
c: . : ,-� ,/r' ��r ._ �a , _.
_ .. �: �� � ,. � _� .
35: Final Gas Pipe-Test`� � ., x �• � ; � ':.,N fi - - - ' .� v -�
, � n ... -
�36_ Hood or:CanoPY . ' '" - . , � ' '7j* ` - .'- . . ` � "'
_ - �i �"V: i. - _ ' _ _i
-37...Final Factory Fireplace� � � � C� ;�jl.z : - .
-38. Final Plumbing - _ - ' _ �" � ' �1� �� � _' ' ' �- ,�
r i � + � �.
�'39. Water $e�vice-Final' � , ' �,� ;'� ' ' " � - � ' � ' _
�
� 40. Gas Service-Final * -� - - " � � �t� > " � r
�: - � -
�-41. Solar pomestio-Final= "" ' � ._ �' -: ,
_ i � .. : -
42.-BackflowPreventer. � � "r x - � _ -
r - ..
:�� :: -- n --
43. Backflow Irrigation . - �; �,� , � . ' - .
-.-44. Landscape Irripation System � ' y " '"' - �_ ��� � ' . -• � � = �
r• - r �
` 45: Sound.Attenuation - "'- Y - -' _ " � ' - -'.x �
- .. . ,- . Y : . � 1
° 46. �Handicap Regulations -� � - � - _ � - -' •
r t
47: FIN'AL STRUCTU,RE & BUI�LDING _ i,y'- .� "' '� - �
48-�PINALPLANNING -�- ,-�.r k'�_ • _ `
49"�Electric Release to`Edison * ��-�` :` = `� '
. r
50. Gas Release�-to Southem Califomia Gas Co - `-� - �' `" ,' ^' : -
51. CERTIPICATE OF OCCUPANCY - • � ' " - -
No. Date
PB0.IECT RO�flESS: ') S i O MARK LDI �
OWNEH'SN11ME: �:�I(�VIEW MGMN1'. CO.
RDDPESS: ZSZO MERIMAC
CM CA92626
uxiT: RIODIE CITY OF CQSTA MESA - BUILDING PERMIT
. PERMIT NO; E•0q6q27 PLAN CHECK NO: N
CONSTRUCTION TYPE; V-N
►flCNIENGINEEP: B(�RKE LESTER & ASSOC. pEa.No.:C-�6925 �
RODflES3: z3OZS MILL CREF.K RU uxiT:
I,AGUNA IiILLS CA 92653
PEBMITTEE: DOUG SCOTT ELECTRIC � ( 714 ) 775-0061
�ooxess: 16028 MOUNT I�ICKS
FOONTAIN VALLEY CA 92708
LICENSEO CONTMCTOB OEClAR11T10N: I hereby affirm t�at I am licens u er pmvisians of ChaO�e� 9(commencing with Section
7000) of Oivision 9 of t�e Business anG Professians Cade, and my 'c¢n i' fulliarce an0 eH
cin uc.: 0 4 6 611 srare uc.: 3 7 4 2 9 5 ss: 10 �—
Oate: a SiO�ature:
WONKEB ' COMPEN511TION OECIAMTION: I hereby aBirm thatl hay¢ ertificate af consem ro self-insure or a certiliwte oi Workers'
Compensation s ra c cert ie copy ihereot (Section 3800, Lah. F�
Po��.�o.: ����gg-�� E%P.D�TF: V%IOZI9O
coMr�Nr: STATE FUND
Certified cropy' is hereDy tamishea. � CerlAieE copy is �ile0 with (�e ciry/B�uilainp Oiwiron. �
__ Uate: �/,� 94 PDDlicant s//�� CKO"// C�G'�/ L
FXEMVfION FBOM WOBKEflS' COMPENSATION DECIAMTION: �(T�is seciio neeA not he completea if Me permit is for one hmkreE ($100) or lew�.
I certiry that in tha pedormance ot the work for which this permit is issuetl. I shall not emvloy any Derson in any manner so as ro become
SUblec� to �he WOMers' Compensa�iun Laws o� Cali�Omia. . " . .
Oate� - SiAnaNre:
• NaTICE: If, afler makinA �his Oeclaration, you shoultl bacoma sublect to the Warkers' ComDensatian pmvisions of the Labor
Cotle, you must fartMvith compty with such pravisions or this p��mit shall Oe tleemeA revoketl. �-'
CONSTNUCTION 1FN01NG �GENCY: I hereCy attirm ihat ihere is a �onsimction lentling agenq for t�e perlarmance oi the work for
wAich Ihis permii is issuetl (Seciion 3097, Civ. C�. � 7.
lENOEP: ' � ' - �
ROOflES3: ' '
OWNEB'BUIIDEB OECUMTION: I �ereby affirm that I am exempt ��om the Contractors' State License Law for the fallawin0 reason
(Section 7031.5 Business and Pmfessional CoOe: My ciry of caunry which requires a permit ro constmct; alter, improva, Eemalah, or
repair any stmcmm, prior ro its issuance, also reQuires ihe aOV�icant for such permit to tile a signeA statement that Ae/s�e is licensed
pursuant ta t�e pmvisions of the Contactors; State license Law (ChaD�er 9(commencinA ��� Section 7000) af Oivision 3 of the Business
an0 Professions Cotle) or that he/she is exem0� ��erefrom ana ihe ba�is for ihe allepea exemption..Any violation ol Sec[ion 703t5 hy
any aOPlicant br a permit suhlects Ne applicant ro a civil penalry oi nat more than five Auntlretl tlollars (5500�. �
I, as owner of iha property or my employees with wapes as their sole com0ensztion, wilt tlo ihe work, an0 the
❑ simcture is not intended or ottereA tor sale (Seclion 7044, Business and Pmiessional Cotle: The Contractors' State Licensa Law
tloes not aODry ro an owner oi a pmperry who huilOs ar ImO�aves ihereon, and who Uaes such work �imself/Aerseli or IDrough
"his ar Aer own employees, D�%'itletl [hat such improvemants are not intenaetl or atte24 for sale. II, however t�e Ouilding or
imDmvemeni is soltl witAin one year af completion, t�e owner vnll �ave t�e burden oi pmNnB Ae/she Uid not 6uilA or imOrove
for ine ourpose of ule�. . , -
� I, as owner ol the properry, am exclusively coniractinp vntA IicCnseO contractors to wnstmct Ihe pmject (Section 7674, Business
❑ antl Prafessions Co�e: The Contracrors' Staro License Law Cops not apO�Y �o an owner oi properIy wlio CutlEs or improves thereon
anA w110 conlfacR far Such projeGts wilh a tOntfac�or�5�lite058 Du6uanl�0 t�e ContraC�afs' Sia�e Lit¢n50 Law),I am awar¢
that Di�� ol Iheir Worker's Compensation insurance s�oulE be provitled m me. . �
� I am eeempt un0er Section: �. . B. 8 P. C. , -
for this reuore �
Date: � Owner: '
I Ao here6y certity ihat I am aware of an0 untlerstantl the repuirement„ oi Calitomia Health an0 Safery Cotle Sections 25505, 25533, antl
25534 anA �ha� I o� any �Wu�e builtling occupan� will/will noi (circle on8) neeA �a campty with said s�a�e coDes and tha reQuiremeNs fo� a
permit for constmction or ma0ification tmm ihe Pir Oualiry Manageme,nt District. Pesitlential consimction apDlicatians are exempt imm
tAese Drovisions. '
�ate: Applicanc
I �ereby cerliry Itwt I �ave reaU t�is applicatian and state that tAe above info ion is correct I a0ree m com (y with all ciry anE counry
ortlinantes an0 SWIe IawS relating lo builtlinp cOnSlNttion an0 het¢Uy au�ryp� � reunGtNes o� tAis ctty to en 4pon the ahave-menUaneE
properry for�inisDecian purposes.
�' Dale: ✓ Signature:
uriver's License or Social Secunry A: �
164138 W�ite—Bulltlinp; Graen—Cotle Enlorcemenf Cenerv-4001icant Pink—Revenue; GoldenroC—Assesao�
„ PERMIT TYPE: ELE
PERM �IO; E 046427
GOVT: N SUPP: rl
PURPOS E : OTIi
JOB,DESCRIPTION ;•NEW SFD SQ FT:
CI,AIM UALUE: CALC-VALUE: GROOP OCC: R-3. /M-1 �
COMMENTS: RE:B94809 (2357k SQ.FT>
iE i(�-0E �1F �IE iE iflf 9f iF iF �lE iE 1E if it iE k iE iE iE it if )(� 4 iF iE iE.lE iE iE iF iE iE i(-if ik 1f lE if # iE iE iE iE iF iF if iE �lE k 3t�N� i4 it iFik iF iF if iR iE �t iE i! aF �IE 3k iE 3E if if iE if iE iE if 1E iE
' Z O N S N G, R E Q U I R E M F: N T S
S E T B A C K 5
--------=---- MAIDI BUILDING -------�---- -------- ACCESSURY. BUILD NG --�---=---
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT. IN�
LEFT: PT IN RGHT: FT IN LEFT: FT IN RGHT: FT ITI
PARKING REQ: _ PROC�: PARCEL: 00000000 ZNE: RGF NO:
PLANNING NOTES>
>
iE iE iE it iE 1E if 1E 1E 3FlE iE iE 3E if if iF iF if if iE iF if 3E iF iF �1E lf iE ik if ik it iE IE iF iF �F iF ii 9F iF iE 1E )6 �)E iE 3E 3E iE iE iF ik k if if if iE iF if iFdf iF �E iE iE iE ik iE iE iF iE iE iE if i(� if if i(
D E V E li O' F M F. N T S�F. R_�/. I C E S R� Q U I R' E M E DI T:S
ZONING APPROVED BY Ci DATE:
BUILDING APPROVED BY : r-•' DATE:
APPLICATION ISSOED BY:� ����
�EiEiEiEititlFiEiEiE�tiE**�f�Eit�Eitlt3k3t �iF
1E iE 3E iE 1F iE it if if 1E !E iE iE 3E * iE iE iE if �f if iE iE iE iE ik iE IF 3E 3f !f 3E iF iF'3k
LEGAI,IZATION:N F E E
�DATE: O3'v I �(J,/�
—7Fi�it iF iF if !F iF if iF iE iF;F��3FiFi�� iE i(�
ik iE 9E 9E iE iE iE If iE IF iE iF 1F 1E if.1f i! if 3F iE iEiF iE iE iF �F IF ib IE iF iF if iE iEiF if
M A R Y STRUCTURAL SEGMENT:hI
HLDG PMT PLUMBING ELECTRIC/ MECHANIC '
PERMIT 82.Sm
500
PLAN
ISSUE FEE 15.00
BUII,DING-DIV-> PERMIT ISSUE PLAN-CHECK
TOTAL5----? ' 02.50 15.00• 0.00
REVENUE DI4'ISIUN TOTALS--> COLLECTGD:
BLDG PMT PLUMBING ELECTRIC MfiCHANIC
97'.50
FIRF. SMIP/RES GR.�DING
SMIP/NON-RES
TOTAI, PAID DUE
97.50 97.50 .00
97.50 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN-CHfiCK
jf dF iE k �E M ik �f if 1E iE M iF iE 1E iE �FiE If iE k iE iE iE!! iF if if ik if iF iF iF �E iE iE it �1FlE IE df �E �E iE iE iE iE iE iE iE ik i! iE 1t k dE 1f 1E ik ik iF iF ik iEiE iF iE dF ik iE �E if df IE iF 1E �E 3k M
� I h] 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 TdTAL 60ST
ELE 235'7 NEW RES ALDG FOR 1 OR 2 UNIT.ri/ SQ FT .03 li2.50
END OF FEES
i
0
0
Ol 0405582Z-O�JO `5822 T�C'1T S1,5p
OATE: 03/12f40 TIhE: 11:30
i
` i
CONSTRUCTION AND.PLANNING ' � .' - � PU�� & SPA -
Af�PROVA4S Permit#�- Date Inspector qppROVALS Permit# Date Inspector
. . „✓ i i:, i '
1.�Temporary Electrical Service or Pole -. l' 52. Pool & Equipment Location � �,, "
2. Soil Pipe�Undr9md.. �. �_;' . _ ��, 53. Stee{ Reinforcement •�
� �3a.�Electrical�Conduit f)tility-Undrgrnd:�� � � 54. Forms �'
-�4.,.Electrical Conduii=Undrgrnd. r'�: . 55. Electrical Bonding
� L .
��5:-Steel Reintorcement' . 56. Rough Plumbing & Pressure Test �:
%��6%`ElectricalUFER`G�nd. ' - 57. APPROVALTOCOVER-GUNITE -
[. =^
-a: Footings , - � � - 58. Electrical Conduit-Undrgmd. -
8. Foundatio� _� ,� �; ��;� 59. Gas Pipe, O Undrgrnd., Test "
,9. Water Pipe-Undrgrnd. �i ;� �'�� 60. Backwash Lines, P-Trap, � Undrgrnd. �•�
10. StructuralFloorSystem�� � - . 67. APPROVALTODECK � •.�(
17. Property Sewer Line & Ho,use'Connection '�
,_ , � 62. Backwash & Receptor�Final / ;,
12. Sewer Cap :. _ _. `�� .. �� 63. Heater & Vent-Final
13. Roof Drains " �.� ,�1 � 64. Plumbing System - Final ��,
14. Rough Plumbing �� ,�f� � 65. Electrical-Final � i jh
15. Rough Electrical-Conduit ;'I� �` i 66. Solar SYstem-Final , ji�,
16. Rough Electric Wiring � ' 13 C� 67. Fencing & Access Approval ;
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING �
18. Rough Electrical-T Bar Ceiiing � �- 69. POOUSPA SYSTEMS FINAL
� 19. Rough Heecing & Air Conditioni�ng . .,FIRE DEPT. REQUIREMENT �
20t_Rough F.aCtory F.i�rR,place ! . ;_ � '� ._ _ ...;. a, :APPROVQLS � _ Permit #
21:-Ducts, in 5tCucture� � ' - � - '� ' -�70. Underground Hydro '
- - - � r s.
22 _Ducts, Ventilating Y �" '� .- - "- i' 77, product�•Pi'ping � Gas ❑ Oil
23. �GasPipe-Rough & Test ' ' • `� _ _ ' ' � 72. Underground Flush� ` •
24�Roof Fr"amirig � � -' " ' - , ;� �. '73"-Undergrnd.Storage:Tank�OGas ❑Oil
35. Roof SFieathing - �� � • �� r � - �, � i 7q, �Overhead Hydro_ _ �
26.`'T-Bar Ceiling (Stiuctural) &-Monocoat � . , r - 75�Dry Ghemical _ � �� � \
r�
27. Frame and Flashing -- r�� � :'.. +. 76. Dry Standpipe �-" `�
'28. Lathin -& Sidin � -'=�'� : `'- �� "' ° 77.. FIXED SYSTEM'FINAL �
9- 9:.� -� � ' + �. �
`� ` �' '-: ,�
29. Insulation -- � 78: FIRE PREV. FIN'AL �� - ` -
� 30. Drywall .Na�ling .�". � _ ! �� ; ' `_ HEALTH'DEPT. REQUIREMENT
• x. ,
-� �31. Plaster Brown Coets � �-+� . � �79.� FINAL INSPECTION - �
32:;Electrical Po`wer=MeterFinal ;�� -�_ ;� SOi:F00D CERTIFICATE ISSUED_, ��
-- � � - - � � . . - . --
_33;. Firial Electric ; ; 2 � Notes: - - -`•-�� � -' � �-
"34_ �Final Heatirig & Air Conditiom`ng� �`'� � ' _ _ = � - �
- •-� s� . - d a
35:'Final Gas Pipe-Tesi. - `� .: _ '� ;. �. � ` - - . � -
-36.� Hood or Canopy � � �'"' � • ' '�'' ' -
_ - - ^r, .(t ' ' . - - .
-37.:.Final Factory Fireplace- . -_- _ , � � �'i . . � r..
"38. Final Plumbing T . � '� �� ' � - '
Y• *
39. Water Service�Final � , "" „ � ,y� ,, ' � � ' � '
- 40. Gas Service-Final - '� '• ' ' ' " - - - -•
� h K •
-41. Solar pomesticFinaf- _ �� ,� " � ',; �� _ , 4, ,
42.� Backflow Preventer r�. • - -� ' •-
- � � . ,. -,
43. Backflow Irrigation : " r _ �; �,. ,. � �r ` � �
-44. Landscape Irrigation System � -� � - •� - � t' '° ' � "` - ' ���� �
t? � J F: T •
-45:� Sound Attenuation :.,'.�.`.. ': �` - - `�� ' - ~� " " F -
.}:' _ _ r
46: •Handicap Regulations -- _ '�� � " '%. _ - _ �
- n : a -
_.47�=�FINAL STRUCTURE & BUILDING � � �` " ' � � _
„ z
46:' FINAL PLANNING -�- • " •
- a
�49�. Ele'ctricReleaseto�Edison 'J..,' ' " ; �-
r ..
- 50' Gas Release to $outhem California Gas Co • � • ' •
- = - - .�. - , .
51. CERTIFICATE OF OCCUPANCY - � = � "' ,- , ^ -
No. Date