HomeMy WebLinkAbout2528 MARK LN - Building PermitsPP0.IECT ROOHESS: z S Z B MARK LN
owxex•sN�Me: FAIRVIEW MGMNT. CO.
� 110DflE33: zS2O MERIMAC
CNACA92626
uxiT: NONE
� ANCNIENCINEEN: FjURKE LESTER & ASSOC, pEc.xo.:C— 25�
nooxess: z3025 MILL CREEK RD ��
LAGUNA HILLS CA 92653
PENMITTEE: DOUG SCOTT ELECTRIC ( 714 ) 775-0061
RDDflESS: S6OZ$ MOUNT HICKS
FOUNTAIN VALLEY CA 92708
�. LILENSEO CONTMCTON OECIAMTION: I hereby affirm that I am Iicense0yyynnnnnn���eeer D�oviSions al CAaO�er 9(commencinp witA Section
7000) ai OiNsion 3 af Ihe Business an0 Pmfeuions CoOe, an0 my liuns �ull lorce anC eflect.
cin uc.: /Q4 61 srn� uc.: 3 7 4 2 9 5 c s: 10
Date: —(.l _ Signature:
WOBNEBS' OMPE RTI N OFClAIW710N: I �ereby atti that I have a rtiticate oi consent ro sell-insure ar a certificate ol Warkers'
Compensation Insurance, or a cetlified wpy tAereof (Section 3800, Lab. ).
roucrxo.: 536366-89 exr.on�: 07/O1/90
carnrnnr: STATE FUND
Certified copY is here6y fumisheA. � Certified coDY i i �ith the ciry Buildi ivision. '
Oa�e: Applican' �
FJIEMPf10 FlIOM WONNEIIS' COMPENSIITION OECUMTON: (Ittis 'on nreA noI Ee mmplete0 if Ne permi� k lor orn hunOreE (5100) or less�.
I ceniry that in the pedormance ol the work Por which t�a permit is issuetl, I shall not employ any person in any manner m as to bewme
subject to t�e Workers' Compensa�ion Laws al Califomia.
Data: SiAnature: �
NOTICE: tl, after making Ihis tleclaration, you shoWd became suble�t to tAe Workers' Compensation D�ovisians ot ihe Labor
Cotle, you must lorthwith comply with such D�ovisions or t�is permit shall Ce Ueemetl revokeE.
CONSTXUCfION 1FN01NG RGENCY: I Aereby attirm that tAea is a wnsimction IenOing aAency lar Iha peAormance oi ihe wark lor
whic� I�is permii is iuue0 (Section 3097, Civ. C).
LENUEP:
aooxess:
OWNEP BUILOEN UECUMt10N: I hereby affirm Iha[ I am exemDt tmm the Contractors' State License Law for the followin9 reason
(Section 7031.5 Business anU Prolessianal CoGe: My ciry ol counry w�ich reQuiru a Dermit to wnstmct, alter, imDrave. tlemolish, or
repair any strucWre, pnor to its issuance, alm requires the aDDlicant for such Dermit to file a siAneA statement that hrlshe is licensetl
pursuant to I�e pmvisions af I�e Coniractors' State License Law (Chapter 9(wmmencinA ��h Section 7D00) oi Division 3 oi Iha Businew
anU Profeuions Code) or that Ae/she is exempl I�erefrom an0 the 6asis for IAe allepeC exemD�ion. Any Wolation of Section 7031.5 �y
any aDDlicant for a Oermit subjects tAe aOPlicant ta a civil panalry ot not more than five hunAreU tlollars (5500).
1, as owner of Ihe pmperty or my employees with waAes az their sole comDensation, will Oo the work, anU the
❑ stmcNre is not intenGed ar oifere0 far sate (Section 7044, Business antl Profeuional CoEe: TAe Cantracrors' State License Law
does �wt aD01y to an owner oi a propeM w�o builtls ar improves thereon, anA wlio Eoes such work himselt/hersetl ar Ihrough
�is or her own employees, Dravitled tAat suc� imprmements are not imen4M or offered for sale. If, however the huil0inq or
impmvemeni is so10 within one year al completioq the owner will ham the 6urden af provin0 he/sAe UiU not GuiIE or im0�'e
. far t�e purposa of sale�. -
I, as owner af t�e Droperty. am exclusively contractinA ��� licensetl contractors to canstmct e�e project (Sectian 7044. Business
❑ an0 Pmiessions Cotle: The ConVactors' State License Law does not apPty to an owner of Ompe�y who �wlUs or imOmves �hereon
anE who cantracis forsuc� Drolects wit� a contractaqs)license Oursuant tothe Coniractars' Stale License Law),I am aware
tAat prooi al their Worker's Campenution insuance shoultl 6e D�aNtleO ta me.
� I am exemD� un0er Section: B. & P. C.
for Inis reasan:
Date: Owner.
I do herehy certity tAat I am aware oi anE unUerstanG lhe repuirements af Calitomla Health an0 Safery COEe Sectans 25505, 25533, anU
25530 an0 t�at I or any tuture huilOinA occupant vnlUvnll not (circle one) neetl to compry vmh said state coUes an0 i�e reQuirtmenls for a
permit for conslruciion or mo0ifwtion Imm Ihe Nr �ualtty ManaOement Disinct Nesidential construclion apDlications are eKempt trom
Nese pmWsions.
Date: ADPlicanC
I hereby certiry tAat I Aave rea0 this aDPlication anA state that ihe above' matio���neee is correct I a e �o comply vnth all ciry nE counry
orEinances antl siate Wws relatiip to Gmldinq c�vCimcuan an0 here a� e repre nW'Irv¢s ot th' i y to emer upon t�e a0ove�mentlaretl
proDerty far i�uNuses. / � i
Oate: � � SiAnaWre: «d
oriver's License r Social Secunry x:
18a1-a8 Whi�e--BuiWi�q; GreerCOCe Enlorcemeni; Cenery—Applicenl: Pink—Revenue; GOIEenrotl—Assessor
� CITY OF COSTA MESA — BUILDING PERMIT PERM NO: BE 047588
PERMIT NO: BE 047588 PLAN CHECK NO: 04283-90 S GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE: ELE STR PURPOSE: NEW
JOB DESCRIPTION ; ONE ELECT PEDESTAL,4 POLE LIGfiTS SQ FT; 500
CLAIM VALUE: 500.00 CALC—VALUE; 500,00 GROUP OCC; R-3 /M-1
COMMENTS: PC 1296-89 L PAID
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Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ----------
FRNT; FT IN REAR; FT IN
LEFT: FT IN AGHT; FT IN
--------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN
PARKING REQ• PROV; PARCEL: 00000000 ZNE: REF NO:
PLANNING NtS'TES>
% i
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D E V E L O P M E N T Sri.E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY " DATE;
HUILDING APPROVED HY : .,'�: ' DATE:
APPLICATZON ISSUED BY: •f � DATE: �'"�
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 15.00 22.25 .50
SOi SMIP/NON—RES
ISSUE FEE 9 7S 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CAECK TOTAL PAID DUE
TOTALS----> 37.75 15.00 9.75 62.50 62.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 62.50 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
15.00 37.25 .50 9.75
iFjFif iE iEiF iE iFit iF 3E if if 9FiF iF i! 9E iE iE if if iFiE iEiE iE iFiF�Fjk iF iEiE if iE iE ik iE iFiFiF iF iFiE if iF iE 3FiFikiFiF iF ak iF iF±F if it iE iE 1E iEibiEiF iF iF iF iE �E iE iF iE if if 1E i(�
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
SFA 500 ALTEA BY VALUE RESIDENTIAL NOZONE
ELE 1 RECEPT/SWITCH 1 ST 20 EA.
ELE 1 SERVICES BELOW 600 V 6 HELOW 201 AMP
ELE 4 POLE/PLATFORM MOUNT LIGHT FZXT. EA.
END OF FEES
1.�� 5��,��
.75 ' .75
18.50 18,50
.75 3.00
01 0006:+323—QOQ67.326 ��tl? T 62.SC�
DATE: Ob/0;/90 TIME� 1?�29
CONSTRUCTION ANDPLANNING P00 SPA
APPROVALS Permit # �- Date Inspector AppROVALS Permit # Date Inspector
i ��
1. Temporary Electrical Servic'e o��Pole ,. �" 52. Pool & Equipment Location �� '
2, Soil Pipe-Undrgrnd.. . �''�� "- -� 53. Steel Reinforcement i�
� 3.� EE:ctrical.Conduit Uiility-Undrgrnd�: �^ � " 54. Forms -
��4. Electrical Conduit=Undrgrnd�! = 55. Electrical Bonding
-' 5. Steel Reiriforcement � � - 56. Rough Plumbing & Pressure Test -
.'6.'�Electrital OFER Gmd. � 57. APPROVAL TO COVER�GUNITE
' 7. Footings � , � _ . _ 58. Electrical Conduit-Undrgrnd.
8. Foundation. - � i� 59. Gas Pipe, O Undrgrnd., Test �
�
9. Water Pipe�Undrgrnd. �� . 60. Backwash Lines, P-Trap, O Undrgrnd. .
10. Structural Floor System �� � 61. APPROVAL TO DECK .,�''
11. Property Sewer Line & Houte!Connection ' 62. Backwash & ReceptorFinal
12. Sewer CaP _ ., '. . - -. ', �
63. Heater & Vent�Final
13. Roof Drains,� - �� �' 64. Plumbing System - Final . '
14. Rough Plumbing � -- � � . 65. Electrical-Final ? "'
15. Fough Electrical-Conduit ;�� 66. Solar SYstem�Final �
16. Rough E�ectric.Wiring`- {'� 67. Fencing & Access ApProval
�
17. Rough Wiring Sign � . . 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling . 69. POOUSPA-SYSTEMS PINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20.. Rough Factory Fireplace '��� " � _' ._ � �.APPRO.VALS'�_ Permit# _ '
21.� Ducts, in Structure � �• • - - . - =70. Underground� Hydro '
22. Dua's, Ventilating' , - ' � �`�, '.77. Product Piping O Gas OOiI
23. Gas-Pipe�Rough & Test - �- _ 72. Underground Flush _
, 24. Roof Framing • � " _ ' _. ; , �j3.=Undergrnd.Stora9eTank OGas ❑Oil
25. Roof Sheathing � . . ' . � � : � � 74. .Overhead HYdro •
26.� T-Bar Ceilin9 (Striictural) & Monocoat . ' �' 75. -0,ry Chemical � � '
27.,FrameandFlashing _ - - 76. DryStandpipe �-� '
- 28. Latfiing & SiiJing �' � ,� �� � ' ' 77: FIXED SYSTEM'FINAL ,
29. Insulation � , �• � ' 78"-fIRE PREV. FINAL � `
30. Drywall Nailing ' _ � ' HEALTH DEPT�. REQUIREMENT
�31. Plaster Brown.Coat� ,� . ,- � 4 . .7g, pINAL INSPECTION - � �
-.32.'Electricel;Power Mefei Final ,s6� '80.�_FOOD CERTIFICATE ISSUED _
33. �Final Electric - �L Note::. - � � . �- _ �
34. FinalHeating$eAiYConditioning�� " _ ' �� � -� � - � ' � �_ � �
. i. - .
35. �Final Gas Pipe-Test.� - ' � -, ' � - � _ � - •
�"36. Hood or Canopy � � • . � � .' ' ' -
� -
37. FinaLFactoryFireplace � � - ,� � � ._..
38.�Final�Plumbing � , , � ; _ - ' ' '
39. "Water Service-Final �' .:. _. �. � � � "
�40. GasService�Final - .. ° � ' � � •
41. Solar pomesticFinal - �-'` � . � , i u - �
42. Backflow Preventer - " � :' a . � ' -
� + - -
43. Backtlow Irrigation ", ' ' � .. , � � � . . .
�44. Landscape Irrigation SystemJ" �� ' � - -� � + ' --�= � _ � � -
..r;. - � c �,
45. Sound Attenuation�, .�.. � ' � �; _ - - . - �
`46. Handicap•Regulations - - � � � ' `� • '� - - '
47.-FINALSTRUCTURE&BUILDING ; . , . � ' ' -
48..FINALPLANNING� � ^ ' ' '
' 49. Electric �Release to Edison , ' ' - � ;
' 50..Gas Release to Southem California Gas Co :' " - '_
=51. CERTIFICATE OF OCCUPANCY ' -
No. Date
/
L �%E �_, x.:,�!� //
� � � �j
�����������
City of Cos�a ��9esa Building Dept.
�'t_ c;,re 6—`� iy�'a
1":E ?LAidS €tUST Be ON JOB AT AlL TII�IES M.AK�
'� ' ;APiGES WIiHOUT gI�H �S� �R(1�,(Al � DEPT.
,
� TII SS!::.!;.^,[ OR GAAN'rlN:i OF A F<<HNIi URb Pf70VAL OF
'�' ^. aM1�p SaEC:FY�i�TlOk3 SHALL hOT 8c CONSTFUCD 10 G[ �
� � �'.H, OR h:J A?rqOVfiL OF, hNY V;OV�TI'v"! Of qNY OF
. -:"uViS!ONSGF-iHISCOD[ NOPF9FAI?rR['U:ING-fOGIVE i
�•�t.�ITY TO VIOLnTE O�+ C?�r.CEI ir+E i°�1C'JiSiONS Or Ti?iS
" :ihALL oE VAUD C:C�r' �';? SO FnR i.5 -;�,E 4YORK OR USE
� rvr+.: � I i Fu?HDFIZi_S IS li V:� OL.
i1HI.' I^_SUhNCC GF A PtRA'.ii L'ASrU IJr,Jiti P:At:S AND I
I�prCl:'.:;41';ONS SHALL K. i puEy�f;T lhc !3U'.$."3 CFF'C:AL
TF.;'J IHENEFFLEF nt30Ull:l;u7'Hi :;Uq�o:l�i:h C� C RRUHS IN
� 576. F'LP.�vS At�U SfLC�FiG7c;1�jP:° CI� FFCU PFFVFNTI:IG �
; CPERFTIOhS 61:i I:i ::�H.'�.1� O CN iNf FCI�";_�C7 W:1EN -
'I ^_LATb�f1 G� li.i� C�'L_ OR Cf° AI•.Y CTFiEF OROiNANCF Of i
� if�i.CITY.
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PH0.IECT 4DONESS: 1 S 2 B �"i�ii� LN
�nwxex3x►rne: FAIRVIEW MGMNT. CO.
aooxess:2520 MERIMAC .
C�1 CA92626
r
ux�T:NONE CITY OF COSTA MESA — BUILDING�PERMIT
PERMIT NO: B 044804 PLAN CHECK NU: , N
; .
RflCH/ENCINEER: HURKE LESTER 6 ASSOC, eec.xo.:C-6925
RDOHE33:23OZS MILL CREEK�RD uxrt:
��� LAGUNA HILLS CA 92653
• °E"MiTTEE: FAIRVIEW MGMNT. CO, ( 714 ) 545-7327
.RDOflE33: ZSZO MERIMAC WY
CM. CA 92626
LICENSED CONTMCTOB UECIAMiION: I Aereby attirm that I am licensetl unEer pmvisions of Chapler 9(commencing wi[h Seclion
� 7000� ol Division 3 oi Ihe Business anG Pmfessions Cotle, and my licensa is in full force antl eifect.
CITY LIC.: STRTE LIC.: CUSS: �
Oah: ' Signature: �
WONKEBS' C�MPENSRTION OECUIMTION: I hereby aRirm that I have a certificate of cansent ro sell-insura or a cenHicate oi Workers'
Compensation Insurance, or a certi(ietl coDY thereof (Section 3800, LaU. C�.
oOLICY NO.: EXP. OFTE:
"OMPRNY: ' .
J CertifieU coOY is here6y fumis�e0. ❑ Certifetl copy is fled with t�e ciry BuilGinp OiNsian.
Date: �ApPlicanC . . .
IXEMPfION FPOM WOPNERS' LOM7ENSRTION OECIAM710N: (this saoon neeE not Ee complet[d ii Ne pemul is lor one hundrea (E700) or less�.
I cenity that in tAe D,eharmance ol Me waB tor wltich ihis permit is issueU, I shall not emDloy any De«n in any manner so as ta Oecome
su6lect lo I�e o rs' Campensation Laws ol Califomia. .
;r
Daie: SignaNre:
NOTIC Ii, ter ma 'ng I�is Oeclara[ion, you should 0 me su6je Ihe Workers' pensation pmvisions of the �ahor
Code, yau must forihvnih comply with such piovisions or this per it all Ce GeemeO revoke0. �
CONSTBUC710N IFNDING RGENCY: I hereUy aflirm that ihere is a o mction IentlinA aAency for (Ae Oenormance of the work tor
which ihis permit is issued (Section 3097, Civ. C):
LFNOFfl: '
FDOBESS: ' � -
, . ,
OWNEH BUILUEB OECLAMTION: I hereby attirm ihat 1 am exempt irom the Contracrors' State Licensa Law for the following reason
(Section 7031.5 Business ana Professional COAe: Any ciry of counry which repuires a permit to constmct, alter,' improve, tlemolish, or
repair iny simcNre, prior ta its issuance, also requires Ihe aDPlicant for such Dermit to file a sipneA statement ihat Ae/she is licensetl
pursuant to t�e pmvisions of t�e Contracrors' State License Law (Chapter 9(commencinA wit� Section 7000) ofAivision 3 oi Me Business
anA Professians Catle) or ihat he/she is exempt �herefmm antl the basis lar t�e allepe0 exemption. Any violation a1 Section 7031.5 hy
any apPlicant ior a permit su6le�ts ihe apPlicant to a civil penalry o/ nat more IAan live AunAreO tlollars (5500�. � �
'I, as owner of [he pmDeM or my employees vnth waAes as iheir sote compensation, vnll tlo ihe work, antl the
❑ stmcwre is not intenaeA or o/1ere0 for sale (Secbon 704C, Business an0 Pmlessional Coae: The Cantractars'.Stzte License Law
tlaes nol apply to an owner of a propeM who builds or imD�a�es thereon, an0 who tloes such work himul(/hersell or tAroug�
Ais or her own employees, D�ah�� ihat such impmvements are not inten4eA or offea0 for sale. Ii, Aowever ihe builOinA or
improvement is 5010 within one year ai completion, the.owner will'Aave t�e bur0en ot pmvinA he/s�e Aia not bui10 or improve
lor IAe purpose ol Sale�. , i ,
I, ss owner oi the O�operry, am exclusivety contracting wit� IicenseA cantracrors to mnstmct ihe prole�� (��tion 704A, Business
SI anE Professions CaEe: The Contractors' SGte License Law Aoes not apDh �o an awner ol pmperrywlw bmltls or improves Nereon
antl who conirac[s far such projects w¢h a contractoqs)license pursuant ta the Contractars' State L¢ense Law).1 am aware
�hai pfoo� af IAeif Wofker'S Compensation insurance S�oNG be proNdeO lo me.
� I am exempt uneer Sectlon: B. 8 P. C. '
for I is r son:
. �..s.i"1�
Oate: � Owner.'
I tlo here y ce ty �hat I m aware of and undeistantl [he requiremenis of C' mia Heal a Safery Coda actions 25505, 25533, antl
2553a and t�at I or any fuWre buildinA occu0ant will/will not (circle one) nee to comply said state coUes anA the requiremenis for a
permit for consimction or moAification imm the Air Oualiry ManaAement District. Hesi tial consimction a00�ications are exempt /mm
�Aese pmvisions.
Date: Applicant _
I herehy certiry IAat I Aave reatl this apDlication antl sWte tl
orEinancu an0 sWte laws relatinp to huilOinA consiruction an
pmDerry for inspecti purposei
Dare: � � ;',7_ Signature: _
Dnver's license or Social $ecunry x:
184L48 W�ita—BuilEing; Green—Code Eniorcement;
ro comply wiN all ciry an0 counry
Ioenleruponthe above-mentionetl
Pink—Revenua; GOltlanroE—Assessor '
PERM NO: B 044804
GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR •. PURPOSE: NEW �
JOH DESCRIPTION : NEW SFD : ' SQ FT: 2,357
CLAIM VALUE: 136,146.00 CALC—VALUE: 136,145.50 GROUP OCC: R-3 /M-1
COMMENTS: PC PAID ON PC k1296—.89 L
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Z O N S N.G ' R E Q U I.R E M E N T S '
S E T B A C K S ,
------------- MAIN BUILDING ---=----=— --------- ACCESSORY HUILDING ---------
FRNT: 25 FT IN REAR: 35 FT IN ! FRNT: FT IN REAR: FT IN
LEFT: 10 FT IN RGHT: 5 FT IN ' LEET:�� oF�� �_?.t�LBGFIT.s,���'����
�i(��u rvic �rn
PARKING REQUIRED:. 2 PARKING PROVIDED: ' 2 PARCEL: 00000000 ZONE: PDRHO
PLANNING'NZSTES> STHKS SHOWN FR LINES ON PLANS— PROJ IS A ONE LOT SUBDIVISION
>•PKING IS COVERED: UNIT TO BE USED FOR CLIENTS
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D E V Elli O P_ M E N T-',' S E R V I C E S R E Q U I R E M H N. .T��S.p
20NING, APPROVED"; BY �� � �� DATE; �1�� � ZJ9
BUILDING APPROV.ED BYs:_� I L_..�� DATE:. I('"Z� '�
APPLICATION ISSUED'BY: DATE:���3 �
ikiFiklfMlFiflkifMikikiklFiElElF�FlF1kiFlk lfiflEkifllififlfiE iElt
1F1fM1k1F1FIkIf�fiFaFiFdFfFlEiliFiEiEiFlfMikiF'IfkMiEifiEifiEitiFiEiF iFiFlFkkiFiFifikiFkififiE%ikikiklfiflf�EkiFlFiEifiE*1E1EIf�kiPlfififlFiFifiP
LEGALIZATION:N �„ ' F E E S�U M M A R Y i STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELEC IC MECHANZC FIRE SMIP/RES GRADING
PERMIT 769.00 ' 9.53
� SMIP/NON—R S
PI�AN . � ` E.
ISSUE E'EE _.
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL' PAID DUE
TOTALS----> %78.53 0.00 0.00 778.53 778.53 .00
REVENUE DIVISION TOTALS--> COLLEC,TED; 778.53 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
' 769.00 " 9.53
iE 1E iElF 1E if 1E 1E iF iF if 1E if iE if iE 1E iE iE 1E �E If if 1E ik±f IE ff 1k if if iF iE K k iE if iF ib %if ik iF 3E if if k!f K ik k if if Mik M iE iElf iE iE iF iE if iF K ik 1E iE if iF iF iE ik iE iE iF 3f �f
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 . 1895',..,DWE—TYPE V—WOOD FRAME-' —GOOD 67.70 128,291.50
SFR 962, RES—GARAGES TYPE V�� • 17,00 7,854,00
, END OF PEES
tl
: � f _ ' – ' Li .
i� .. ' '. . , • ,
i ,
�,� CONS�RUCTION AND PLANNING . POOL & SPA' �
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole � 52. Pool & Equipment tocation - .
;
,2 _<Soil Pipp:Undrgrnd; � _ 53. Steel Reinforcement •
. �, - -
. '�:a.GElectrical:(>bnd➢if(Utility-Undrgrnd. 54. Forms .
�x:4.�,Eiectrical Coqduii Undrgmd. � 55. Electrical Bonding
,�'6.�$teel Re�'�foiee'me�t 56. Rough Plumbing & Pressure Test �
'�tE(ectricarl,�7FE��Grnd. lj.,r� 57. APPROVALTOCOVER�GUNITE
-cZ.�Footings �'� SC� 58. Electrical Conduit�Undrgmd. =
�
$. Founda(ion� _'� � - 59. Gas Pipe, O Undrgrnd., Test "
19. Water P�e�Undtgrnd. '� 60. Backwash Lines, P-Trap, O Undrgrnd. -
10. Structura} Floor System t s �'D 67. APPROVAL TO DECK �
11. Property Sewgr �in@;& Ho�se Coanection . 62. Backwash & Receptor-FinaV �
12. Sewer Cap =' �' 63. Heater & Vent�Final � -
ca ca
13. Roof Drains��.- .; � 64. Plumbing System�- Final . '
14. Rough P�umbirtg 65. Electrical-Final � , �
15. Rough Electrica1-Conduit 66. Solar System-Final
16. Rough Etectric.Wiring 67. Fencing & Access ApProval '
,'�-c17. Rough Wiring 3ign � 68. APPROVED FOR PIASTERING
��18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19 �Rough H�atipg &.Air Conditlo�ipg ��, � � � y*_ C,FIF.R�PE�T. sEQUIREMENT �Z,��
, � � . � � � . . .n ri ti ' m v � �. � .. t. . I'! ^� Q D^, . �: } Cr r.^
20��Rou`gh Fyctcv',y F�replace ;�- �� �: ,� :� �.-x �: ,. PPROVAt��r=•:-Per,mrt # -
c a _ r_ -.'r ry , y. . c � � .' !-n �r r+
21.^Ducfs, i�Q StrrtictuFe*. .. .. `�: � - `� �y: '' ,70. l�derground H�ro ':
22^'., � # .Y r: }i: J i�
Ducts, `,��inti}ating;i: ;n� ��lJ �� �S r �-x �: Q77, productTPping O��i4s O�OiI
�j 23 Gas Pipe;�Ro�h & „F,est �� _ ���= � •'+ `� �� M �7z, Undergro nd Flu`sh�r� �` c"
:iC �X C. _C K x: � ^J i; :J �
' a '- `- - .: :'�x �r^ .�;-. >: : 'v c� x. c � �-� ..^ • < ~ z,v:
�� 24. RoofiFiaming � '..� �; � G ...�..;;; ..73`;Undergrnd.Storeg2`Lank.�Gas OOiI
25. Roof Sheathing � r r1 �'� `�' � � ',x � ^7q u'6'verhead Hydrol ._, " �
C �� � � _ _. ..�, � �* :�, tr;� a: _ _... x �. u -�n
`� 26;:T�Bar Ceilin '�St�uctural) &''Monocoat_, -�
9 .:� •� - i C* x- 75,^QrY Chenlical ...�-. � i:l
i 27 _Frame Af1d Fiashfig� D�^.,^. '.�'�! � � �� �� * 76� Dry Stan�prpe � " * ^.
. . �� m l' ^ i., Y x R 4: � ': p CJ �-+ �
Y . . . ', e.." :': ' 'r F C' ' ' � 'r :� C:
^28. LaTfiing'& Slding=�::;' ;1';F +,% ,� ' Q rO,(-(j' •" 77-. FIXED SYSTEM��INALi: -- C�
�', _29. Insulati_Qn �� �°,�, � J� . �� �0�(1��; � 78�FIRE PREV. FI�Vf�L * � "
7 <.!.% '_.� QS� ;r. L. ..0�'V.�: x n r�.
I y30. Drywall Nailing �µ:;,, ,�v ,;� o_ N; �; S HEALTII=DEPTWREQUIREIVIENT
131. Plaster Brown Coat� S + "^' � = -• ' � �y "79. VFINAL If�1SFECTIFJ'N �� ^`^
X _
r DSI yc v� r., n .-� W- c- �-v1 r'
.� .( --�X ^ CJ � 7 (1; �'.•1 -9 ri.n i=�
�.32�..,Electrical Power'f@eter-t�inal� ^ ,x � �t ;� � '80.yFOOD CERTIFC£ATE IS�SUED'.;
�33�Fina'I Electric �k i=1 ' ^��t�� I�,� �� ^' Notes: " `:'7 Y'= v �^ C';
krt' M �-n -
i � 34�Firtal Heatinq& Ai*Con`tlitioning• �QF `* � � �' 14*,, � y �$p�Q/�j,���j1j'ff
�i !
', � :_.
`35. �Firial Gas P�Pe-Testf pf� ��e � --! j ! �� � ;K ac �c �ir t:
� ��
;�36.�Hood or Canopy �: = � ;T"' ••C _ � r I �' `y' �; , ��/
- w � h �u
--37: �Final Factory FirePiace; + Ff-�- :.?� �M �� i � {, r,. � * ^ .. .�� .
�e �: i Fr �� r' r.'� 5:
'�38. Final Plumbing �.: nro � ` i •� � i � * S �M j� ^
2
. "39. Waier Service:FinaVg �r„ • `• y; G� i j r: y: >, �� �. _„ s: � �:
� s � _
`'40. Gas Service'Final � m C�'�T '4 ,�'�' C�1 I � � x O� :�N ,°
'k : l"--I r � ti .:w I u 4. * F• t..:.`r.� Y�
N. X� t� �� t:� �n V : . I ' d,
,`_41. Solar pomesbcFinal ,-,7 ;q ,;* • y fK x t-. .-::�.� ;- � � p
' �• .-� � w ��
42�Backflow PreventeR � w'y' � �'K ^ � i %* �: � = `'^• "�
� x ; �; ,-, r..� �'7 � � * � x 'C ['± - C �.i x � --
�z � o._� -a�.� �.i. ..,--.. :. �, � ,-.�
43. Backflow Ir�igation; �e � o,:;• x s .r: j: -,i i � :� ••
- - ,. r � _ �
�'44.�Landsc5pe f�iigation Systerp;��',�,��,� ��� ;* r � � ��, � ^ T '� � �. �' �' � �� "_
e`. � ' ) 'K r�n:j.� OC^ .K L ^ !" ry 1. � r � ...v. ^
45:,,Sound �Attei�,uatio� . ; p M =, .n �.-,� � _ �: �= �": �., � y;
- -,
�46.^Handicap Regulations �-� '� x � , v .+.: � r,r '- �7m% = ?:
z �c .�`� A: <- ! ':S: x � ,=)vQ i:
� J..� _ I _I r�, `F �It 7 �u'_._. V •
�474FIN�AL STRUCTUFE & BUI'LDING:;�., � � - �• ;; � y; �.. ._ .
- -i'" � ;
48�FIMALP�ANNtNG '`'`'��"� �' ,'�"'" �` � � � �=
- : J 4J S
_49�rElectric�Pelease to��Edison ; �' j,-��, ��; � �,� - �; ;j: r ;; .�-� :� ' ,-_, -
Y50.'Gas�Relezse�to Southem California Ga`s Co r i ' ��x ^ - ' , ; ' "' ^ '�' -' �
� M , ; ' x :; c _ c ` �: r� n; -.� �
-s51. CEFtTIFICATEOF'OCCUPANCY " -' '' �� • � ^ ' "- -�-
No. Date � �'�'
l
o �
CONSULTANTS • INC.
MaY z5� 199�
CITY OF COSTA MESA
%% Fair Drive
Costa Mesa, CA 92626
Attn: Building Department
Subject: CIVIL ENGINEER'S FIIQAL GRADE CERTIFICATION FOR TRACT N0.
i3348, IN THE CITY OF COSTA MESA (FILE 2046)
BLDG. PERMIT N0. B044804
This is to certify that the final grade for building No. 2a, also
known as 2528 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,
DGAICONSULTANTS
Surender Dewan, tt.C.E. 34559
Engineering Manager
jls
1182 North Tustin St.
Orange, CA 92667
(714) 744-0802
Fax (714) 538-2152
O[her Offce lncations:
Ranc�o Cuwmonga
Palm Springs
/
, THIS IS TO CERTI: THAT INSULATION AAS BEEN STALLED IN
` CONFORMANCE WITH 'iHE CURRENT ENERGY REGULATI��vS, CALIFORNI�
ADMINISTRATIVE CODE, TITLE 24, STATE OF CALIFORNIA, IN THE
BUILDING LOCATED AT:
SITE ADDRESS: 2528 MARK LANE COSTA MESA, CA
Number Street City/State
AIR INFILTRATION: MANUFACTURER: MANVILLE
EXTE$IOR WALLS
Manufacturer MANVILLE Thickness/Type 3}" R/Value R-11
CEILTNGS.
Batts: Manufacturer
GENERAL
MANVILLE Thickness/Type 6 3/4" R/Value R-19
Lic. #
$y `�b�T��}1,� \� ��)� Title Authorized AQentDate 5-16-90
��
INSULATION CONTRACTOR: WESTERN INSULATION, INC. Lic. # 481278
y Title Date
Form 106
3/89
Q
Pfl0.1ECTF00NES5: LrJL� k.ARK L�1i'
owxex�sxnMe: FAIRVIfM .Mt�ACEMENT CC.
�ooaess: 24AQ Md.IN Sl
•IRVI�'E� CA.
UNtT:
2Z
IIBLM/ENGINEER: BURKE�LES7ER �i,Q�S�iC. -flEo.xo.: �,P��Lk�
�DOflE33: � jOZS MILL CRfEK DR
PEHMITTEF: LAGUNA HILLS " CA 92E53
�ouxess: K.a. PLUN,BING i714)59B-4E22
2_72 GLASSELL 11.YE A
�Rl1NGE CA 92E�65
LICENSEU CONTMCfOB OECIAlUTION: I here6y a@irm ihat I am licensed unUer pmNsions of �apter 9(commencinA with Section
7000) ot DiWslon 3 of t�e Busineu an0 Pmtessions CaOe, antl my license is in tull lorce anE etlect.
CRY IIC.: STRTE IIC.: UASS:
„�ab��S z$�ti�� c,��, r �
Oate: 2-� SiAnature:
WOPKEIIS' COMPENS�TION UECUMTION: I Aere�y aRirm fAat I have a certilicate al consent ro sell-insure ar a certilicate o1 Wohers'
ComDensation Insurance, or a certilie0 copy thereat (Sectian 3800, LaU. C�.
roucrxa.: 8�013553 EXP.UnTE: Q9�LtiISO
COMPRHY: OAVCL INS '
� Certifletl copy is hem6y IumI5Ae0. [� Certitie0 w/py� s filed with the ciry Bu1101np OlNsion. (� `'
Oate: �� IZS 1�-1 APDliwnt: \ . C" l. t� �'(l /'il � i' X..! �.+ Ut '
E%FMPfION fBOM WOqKEBB' COMPENSITIOX OECLAMTION: Qtiis sec4on need not Ee com01ete011 ihe permit is fa ona �uMreA (3100� ar less�.
I cenity tAat in t�e petlormance ol tAe woA lor w�ich this permit is issued, 1 shall not emplay any person in eny manner so as to Oecome
su�iect to tAe Wofrcers' Compensatlon Laws ol Califomia. �
Oaie: SiA�tua:
NOTICE: II, after-maNinA ��us Oeclaatlon, you should hecome suhject to tAe Workers' Compemation Drovisions of Ne La6or
CoOe, you musi iMtm�ith mmpy wiih 5uM prwisions or tAis D�� stwll be Oeemetl ravoke0. 1
CONSTRUCTION 1EN01N01GENLY: I hereby affirm Itwt t�ere is a consimction 1¢nAinp apency for Ihe Oerlormanca of Ihe work tnr
wAicA this permilis issue0 (SecOon 3097, Civ. C�. '
IFNOEP:
�ooaess::
OWNEP BUIIDEB OECUX11t10N: 1 h¢reEy atlirm tAat I am exem0� ��om Ihe Contactoro' State License Law tar t0e tallaxinp reason
(Section 7031.5 Businass anU Prolessional Coae: Any ciry of counry which m0uias a De�mit to consiruct, alter, improve, Aemolish, or
reDalr any slmcNre, prior lo ds lssuance, atso requires Ihe applicant for such permit to file a si0netl statement ihat he/s�e is licensed
pursuant to the pmNsions ol iha Con(raqors' State License Law (Chapter 9(commencin0 ��� Sectlon 7000) ol �ivislon 3 ai �he Business
an0 Pmfessions COEe) or tnat he/s�e is exempl Iherelmm antl the basis lor �he allepe0 exem0�ian. My violation ai Section 7031.5 by
any aDPlicant lor a permit 5ubjact5 Ihe applicant ta a civil penalry of nat mora than Ilve hunEreO Eallars (5500).
I, az owner ol t�e pmperry or my employees vnth waAes as Neir mle compensation, will tlo Ihe work, anE the
O simcture is wt inteneee or alfere0lor sale (Sectian 707A, Business anG Pmlessional Cotle: The Coniractors' State License Law
Oaes not aOPry to an awneroi a pro0erty who huiltls arimDroves Ihereon, an0 who does such woB �imseli/herself ort�rouph
his or her awn employees, O�ovidetl that such improvements are not intendad or ollereE for sale. II, however the buildinq or
imOrovemem ia m10 wilhin one year oi complenon, tAe owner wiil have ihe Durd¢n ol OroNnO ���e Oitl noI Ouiltl or imDmve
for Ihe Durpose ai salel. . .
I, as awner of t�e praperty, am exclusiveN coniractinp vnih licensetl contractors to consimct tAe Drolect (Sectlan 70M, Business
❑ and Pmlessions CaOe: TM ConVactors' �Gte License Law Cces �wt appy to an ovmer o10�a0eM � buJEs or improves Nereon
S
CI7Y 4F COSTA MESA - BUILDING PERNIT
PERkIT NC: P 04512E FL•AN GHECK �d_ N GOYT: N SUPP: �'
Gd�STRUG72CN TYPE: NCGC fRAaE PfRp,Id 7YFf: PLU PURPOSE: NEIi
JOB tESCRIPTIQN : NEN H�USE ?LUM.BING . SG FT: '
CIAIH VALUE: , CALC-UALUE: GROUP OCC: !
COM-NENTS: REFEREKCE 57AUCTURAI PERMIT :6 E044E04
a##�aa#asao�a*��a*s#���assss�#��*aaafassa��aaa�a#**��as��saa�wz�s##�xa�aa#a�assa�a#*�
, Z L k I R GS ERTE�9AUCIKRSE M E N 7 5
- MAI� BUILC'ING -------- ------ ACCESSORY BUILDING �-- -
�R�T: �fT IN REAR: FT IN' FR�T: FT IN REAR: fT� IN
l•�FT: FT IN RGH7: f7 IN LEFT: FT IN RGHT: FT ih
FARKING PEQUIRfD: PARKI�G PROVIDEG: PARCEL: QOQ00060 ZONE:
PLAnKIKG �C7ES> '
� ' .
amaa�a��ssa*aaas*ss�ao��s�oas�a�t��a�asasasssaa�s's�aa�saass�x�s�ssa�aaassa##a�asa*as
D E Y E l G P M. E N T 5 E R V� I C E S.' R. E Q i! I R f!! E � T S.
Z��InG AFPRGYED EY � � _ DATE:
BUILDING APPFOVEC BY�: '•� " DATE:
APPLICA7ION ISSUEO BYc ' �� DA7E:. /��
#3�A3#3#OA-0#3*t4�f####9A �P 0 � t� • � �+�#�#0#O'j#*3� # 3t
33�II3#33k###i###A####��f?#E####t3#3f#3*�O#L�*#*#O###?##t#3i�k#S�3#i#A3S���#####?##fi�
iEGALIZ47IQN:N � F E E S U M Ml A R Y S3RUG7URAL SPGMENT_A
BLDG PM7 PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PfRMIT [7.00
25� SMIP/NCN—RES
FLAN
ISSUE FEf 3.+�L
BUILOING—DIV—> PERMIT ISSU� PLAN—C}iECK T�TAL PAID DUE
7G7ALS— —> 27.4G 3.fl0 0.00 30.00 30.00 .00
REYENUE C�IVISIQN TQTAlS--> CGLLECTED= 30.00 GVER/SHL�RT: .Oi�
BLDG PM,T PLUN.BING ELEt7RIG MECHANIC FIRE SY.iP/7fi7 GRAGING PLAA—CHELK
3�D .G1F
anawnocontractsforsucnprojectswitnawntrzctor(s�licensepursuamrotneContrattors tataLiunseLaw�.lamaware �##3#9##�###�###A03�0#�#####�C##3#3i##3#�R#�i�'C�##f4#R#�#0###t#i#4#f###�OtAi�k#4?##
t�ai Orool of IAelr Worker's Campensation insurance s�oulE be pmNtleO to me. I N G 1 V 1 Q U A 1 F E E B R E A K G 0 1f (�
� I am exemDt unEer Sectlon: 8. a P. C. . � ' . .
mrttusreawn: 7YPE C'7Y U E S C R I P T I G N UNIT GOS7 TQTAL GGST
oa�e: �"'1ef FLU• 1 BATH7U8 2.G0 2.fl0
� I Eo hereCy certiry ihat I am aware of anE untlersund t�e requiremenis ai Calitomu Health an0 Satery CoOe Sections 25505. 25533, anU p L L� 1 L 1 S H i� A� H E R ' 2. a0 � 2.a �
2551A ana IIWt I or any IUlure Ouilainp OCNpant vnNwill not (drele one) neea to comply xith saiE state coaes anA Ne requirements for a �� -
permit for canstmctian ar modilicallon irom Ihe Nr Uualiry ManaOement Distdct. HesiUential consimction apDlicatiow are exemD� ��om P L U 1 1 A UA G{1 Y TU 8 GR h'l1$ I:�R 2. QQ Z.�Q
mese om�+sio�s. P L U 1 5 H C1i F R 2. 80 2.00
PLU
'I Date: ApplicanC PLLt
II here6y cenity thai I luve reaE tAis apD�ication ana state ihat Ne a0ove infarmation is correct I a0ree to camDly wit� all ciry an0 counry PL �J
ordinances anA state laws relatin0 �o GuilAinA constmction anC here0y autlwnza reD�esentalNes ot this ciry to enter upon the above�mentione0 P L��
propeM �or insoection purpases. �1 n . p L�
� Date: ���Z-59��`� Sipnamre: ���� `. v/}� � PL17
Orivei s License or Soclal S¢ariry p: � �
1661d6 W�i�e—BuilCinp; Green—Cotle Enlorcamant; Canary—Applicant: Pink—Fevenue; GOltlanroE—lwessor
1 SIKK, KITCHE�
4 YiASH BASIN
2 1iA�ER CLC�SET ITQIiETI
1 GAS PSPI�6 SYS OF 1 TL• 4 OUTlETS
2 GAS FiPING SYS 5+ GUTL-PER QUTLcT
1 WA?FR HEA7ER AND/OR VENT
ENC �F fEES
2. t0 4.OQ
2.Ot1 2 .t34
.50 l.fla
2. i�0 2�00
O1 ��p4843S-00043435 T OT 30.00
DATE� li/28/89 TI11E: 14:19
CONSTRUCTION AND PLANNING � PO. .v SPA .
Date Inspector Date Inspector
APPROVALS Permit #�_ ' APPROVALS Permit # �
1. Temporary Electrical Service or Pole, , ' 52. Pool & Equipment Location • �
2. Soil Pipe-Undr,grnd. '� _' (Z+/_�q (�� 53. Steel Reinforcement i
' � 3. Electrical CondUit Utility�Undrgrnd. 54, Forms
� 4y Electrical Conduit�Undrgrnd. ' 55. Electrical Bonding
� 5.�-Steel Reinforcement 56. Rough Plumbing & Pressure Test �
� 6: Electrical'UFEF Gmd. . 57. APPROVAL TO COVER�GUNITE �
� 7. Footings ' " ' -� �� . � 58. Electrical Condui[-Undrgmd.
$. Foundation. . 59. Gas Pipe, O Undrgrnd., Test ,
9. Water Pipe-Und�grnd. .. (� j,p�jf'j (,�O 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 :
�2• SeWe� CaP � ' 63. Heater & Vent�Final
13. Roof Drains 64. Plumbing System � Finaf �
14. Rough Plumbing � ( Cjp (�� 65. Electrical-Final �
75. Rough Electrical-Conduit• , 66. Solar SYstem-Final . �
1:6. Rough Electric Wiring ' 67. Fencing & Access Approval '
17. Rough Wiring Si9n �•� -' 68. APPROVED FOR PLASTERING �
18. Rough Electrical��T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- •� , - _ - . .
i • � ��-� . 7 .,..+^ ��'.-� +� -���-� �-, ���
20. Rough Factor;y Fir'eplace ._ APPROVALS Permit # _'
. _ �•_ - .rae:� ,.-. . .�� ,�•i�� .
21. Ducts, in�Structurer• � .. �� �-+�- • . i --� . -� � � �
_ � , 70. Underground'Hytlro
22. Ducts, Ventilating " � - , '+';F�;71. Product�Pipi�gOGas O�OiI
23..Gas P.ipe-Rough &�Test i � � -�.r � �-7Z, Underground Flush � �� -
`
� �u �.�;-- -i� . i � a4r ^ � c' ~ ,-�-.�L_��. ..
24. Roof�� Framing� ,rn � , 73.�Undergrnc�. Storage Tank _O Gas ❑ Oil� ' '
� .- � , _
25. Roof Sheathing ia t �v ���� . > .�+s•:� 7q�'Overhead Hydro � �
+^ � yr.� -1 .D._ -1 .:� .-,^.-D-. - 1 � ;
26.:T�Bar Cei�ing (Structural) &'MonocoaY .� � 75. yDry Chemical .� ` r �
27.� Frame and Flashin ° � ` . � `. � • . ' �" " �- ' , , - � ••".
. 9w .�.% � cr 76. Dry Standpipe r- � . a � .... .� �
'28. Latfiing&Siding"^ s^ y .- -� � ��1 ��I ��fu i ���FIXEDSYSTEM'FINALL , � �� ,:'.���� :,rr
� , -r ^ ..w.... �. i r. �, -. �
�29. Insulation �tf , o I I ta 78�f.IREPREV.FIfUAL #� � ��+- �-�� �'y�
30. Drywall Nailing '•' 1 's � �' "��"u' "' 'u' 'HEALTH�DEPT^R'EQUIREMENT �^" `:
i I '1'=�1•r ir ,'v �/ u •�� n- .�. .
31. Plaster Brown CAat �� - � r ? ` �y �� � v � � � �
i I-r. i i F�:.��79. FINALINSP�CTION it ��...�>.,,+
`32. �Electrical?Power Meter%Final � �� � �" � � :� '• ^80: FOOD CERTIFI�ATE ISSUED �' . '
� � � - �,. x � , �-r s .r � . . i
..._ .. 1 .. •. � o- � . � ��-���.a r .i a� -is- sa ^ .� -�•"'.
'33.�Final Electricy �-- .. � n� � i�(�a Notes: -� -irn .�r � .-i � ,� . �
r34. "Final Heating�& AinConditioning= � y � I � 6 y' Z � .iT �Y � ' �l^�� �
^J T j dS i � � ��`V � In�% ry ��1 )�}l
35. �Final'Gas Pi e-7est s �" '' ! � � * -� --' '�'� " r -
r R.. o, n s/ 9D C.�Wtu7 �-- .�7�. tt �--tf.,�-
",
36. HoodorCanoPV,�•�J•• i J'� ,• u�. I 1�' I+t.t�. �n ..
r. .� i �n a I 1 �a A z
- �i ^ I � , a � 1 J-. ^lo- sr . � . .� . ,
37.�,Final Factory Fireplace � ��, ^ +y � t.�; �;i y r n n ��
� 38. Fin01' Plumbing +� . ,�•� � b� ' ' !�; �� �% � ^� '+ •n �'--�
I . 7 T J4 ryr
:39. Wate�Service�Final�' I :'� 1 i �;7wa � r•� +r.: �n �
t: � i .'r ' r 1 I �:I t. s. , K .- �
r40. Gas Service-Fina1 • .1'. -�; �i � n 1 1 ''1it a � �n r �ro �
� �. . •r a .
-.41. Solarpomes[io-Final � '` ' � � 1°t} _ "'�• _ ' _
:� �. a i � la•x . 'i,. or. , �
.42. Backflow Preventec, v .. �+ i I �a � ��- ++c-i � .
- .s n -t i . 6 ' . •
43. Backflow Irrilation . ` a . .. �r.a ,.. r r, n .� ,:n..i n � .�.n �
9. k :r tf ' .i 't v / iF : '! • . • • . • • . -
u. . . . . ... ,
44. Landscape Irrigacion System=.��•� n�r � .��r � v rv �' J � .� . .r •, r. - � . +
Y1a \: 4 �:l ��� !YC �
45. Sound Attenuatiort "''�T •� �` '- `"' `�a�rn �� .•�. • T r�
-�.... tl rn .r, �r,tilt� , r ' . ._t-� �b
�
46..Handicap,Regulations - � - '•e � a�, �- . �; a•, x
47. FIN'AL STRUCTURE & BUIL'DING ' � � � � �s � � ,, � k _
48...FINALPLANNING� irr �• tt•� i I/,lacr '� � . N-
�, K
49rElectric Rele�se to Edison � � � � �'�'� �' '�- � '` ' �
1 �.r i 1 /14a"1 c' •� �
�. ., ti. � ., v . ..
50.<Gas-Release to $outhern California Gas Co s i � �ris . � _ -� . ,. «� • . . .�. �. . . . .
.«` i,� .. ���
51. CERTIFICATE OF:OCCUPANCY . + �. c -� , c . �.. -�..;s•. •�,•-• �: _
No. Date
fl
reaecreooeess: 2528 MARK LN � S � uNiT: NONE
OWNEB'SNRME: FAIRVZEW MGMNT. CO.
RDOBESS: ZS2O MERIMAC
' "CM CA92626
RXCNIENGINEEB: BURKE LESTER & �ASSOC. � REc.Xo.'C-f��?5 '
nooxess: ��025 MILL, CREEK RD r
PEflMITTEE: LAGUNA HIL�LS CA 9"1653
nooxess: SANT.IAGO AIR COND ( 714 ) 998-1600
231 W BLUERIDGE
ORANGF. CA 92665
110ENSE� CONTMCTOB �EClAM710N: I hereby affirm tAa� I am licensetl unAer proNsions af C�apter 9(commencinp wit� Seciion
7000) o� Division 3 of Ihe Business antl Pmfessions CoOe. and my license is in tulltorce anG eHect. �
cm uc.: p19 5 srnre uc.:2 6 9 4 9 6 cuss: ��
Oa�e: ��1 �—� � SipnaWre:
WOBIIENS' COMPENBRTION �ECUM710N: I hereby attirm tAat I have a carti/ic te of consent ro sell= sur r a certificate of Warkers'
Campensation Insurance, or a certifie0 copy ihereof (Section 3800, Lab. C�.
POLICYNO.:WCH%3ZOSS E%P.0►TE: O4/O�./9O
COMPANY: �ACIFIC STATES '
� Ce ified wpy i Aereby fum/i�she0. t,yJ CertifieA copy is file0 with ihe ci,ry BuiltlinA Division.
Oate: � I��� v � ApplicanC C� '
IXEMPIIONFHOMWOBKEBS'COMPENS�TIONOECIAHATION: (i�issectionnee notbecomple�etlif e ermili5for,onehundre0(E1Wlorle5s�.
I certity ihat in the pedormance ot the work for wAicO ihis De�mit is issued, I all ne ,m loy y son im5ny manner so as to �ecome
su�lecUaihY w^h^•� ra^^^^°""'^ L�ot Calibmia. — ' �+
�r:s.�-
�ale: �� Signa�ura: '
. NOTICE: Ii, after makin0 ��is Oeclaratian, you sAoultl become sublec(to the Workers' C pe ation provisions of the Labor
� Catle, you mus� forthwi�� compy with such pmvisions or �hi5 permii shall 6e tleem¢E r d.
� CONSTNUCTION lENOING RGENCY: I hereUy affirm that there is a consiruction IenOinB aAency for tAe pedormance of ihe woM for
I wAich ��is permii is issuetl (Sec�ion 3097, Civ. C). - ,
'� LENOEB: ' . .
�' RDOflE33: � ' '
OWNEB BUILDEP OECIAMt10N: I hereCy aHirm Ih31 I am exempt fmm ihe Cont2ctors' State License Law for tAe followlnp re2son
(Section 7031.5 Business anU Pmiessional Cotle: My ciry ot counry whic� requires a permit to consimct, al[er, improve, Demolish, or
repair any sirucNra, prior ta its issuance, also reQuires the applicant tar such De�mit ro file a signeA statement that he/sAe is licensed
pursuant ro the provisions oi ihe Contractors' State Licenu Law (Chapter 9 �commencing wilA Section 7000) of �ivisian 3 of ihe Business
an0 Professians Code) or that he/sAe is exempt thereimm anA the basis for the allegeA exemption. Any violation ot Section 7031;5 6y
any aDPlicant far a'permit suDle��s ihe apDlicant to a civil penalry oi not more ihan five �unAreO Uollars (5500�.
I, as owner ai the D�oDeM or my employeu with wages as tAeir sole compensation, vnll Go tAe work, and t�e
❑ stmcture is noi in�en0etl or offeretl �or sale (Section 7044, Business'an0 Pm�essional Cotle: T�e Contracrors' S�a�e License �aw
Joes not aDPly to an owner at a D�oPeM who �uilAs or imDroves ihereon, antl w�o tloes such work himself/herself or througA
his ar her own employees, pmviAeO Ihat suc� imDrovements are not intenOeU or oflere0 lor sale. Ii, �owever [he Duiltling or
impmvement is m10 vnthin one year oi completion, t�e owner xili have the �uraen of pmNnA �e/she tlid not builA or improve
� for the vurpose M sale�. � ' , ' . � .
I, as owner of ihe D�operry, am exclusively mntractinA witA IicenseA contractors ro consiruct the project (Section 7044, Business
'❑ an0 Professians COAe: The Coniractors' State License Law Aaes not ap01y to an owner af properry who Owlds or improves [herean
�, anE who crontracts lar such pmle��s with a contracroqs)license pursuant ro the Contactors' State License Law�. I am aware
'� IAat p�oot O��heir Worker'S Compensation insuranCe S�aNE be proviU¢G �o me. -
�� I am exempt under Sectiore � � B. 8 P. C. . �
. for this reamn: � �
oate: � Pwnec '
1 do AereDy certity tAat I am aware of an0 unGerstanG the requirements oi Califomia Health antl Safery Cotle Sections 25505, 25533, and
'25534 antl thai I or any tuture DuilOing occupant wilUwill not (cirtle one) need to comD�Y ��� �iA state codes and t�e requirements for a
permit for constmction or modifica�ion Irom the Air Oualiry ManaOement District. NesiEential consimction aODlications are exempt imm
these D�ovisions. � � '
oate;'� ApplicanC
1 hereby certity thai I �ave aaA tAis application anA state tAat the above inbrmation is correct. 1 aA�ee to comDty with all ciry anJ counry
ortlinances an0 state laxs relatinq ro huildinp constmction antl �ereby authorize representAtives of this ciry to enter upon ihe above-mentioned
pmDe���jjj tor mspec on pu oses. p ;;;��� •
Dale:�l_.�t`,_ Signaiura: - � ITk ���
Driver's License or Social Secunry k: � �
__. /
1661<6 Whita—BuilEing; Green—CaEe Enla¢ement;
GolOenroE—Asseswr
� � CZT'Y OF COSTA MESA - BUILllZNG PERMIT' PERM,NO: M 046105
PERMi1' MO; M Oq6105 I?LAN CHECK NO: .� �I . GOVT: N SUPP: N�
CONSTRUCTION TYFE: V-N ' FERMIT T'YPE: MEC PURFOSE': 01'H
SOf? DESC_'RIPTION : NEW SFU SQ FT: , .
CLAIM VALUE: CALC-VALUEe � �'.GROUP OCC:, R-3 /M-1
COMMENTS: REF B44II04 - �
*ttat***if�*****�t*�e�*it*at�**x�at+�-�**x-***�*et*�r*�x-**atatit�f**��it*��*��*it�r�at?e�-****�-�ar�-�r+c�'x-rt*x�?�
. � Z O N I� N G R E Q U I R� M E N T 5 , , .
. S E,T B A C K S
--------- MAIN BUILDING --------- ------- ACCESSORY BUILDiNG --------
FRNT: FT IN RfiAR; FT IN FRNT: FT IN REAR; FT IN
LF.FT: PT tP1 I2GHT: FT IN LEFT: P'f. IN RGHT: FT It•1
PARKING REQ: PROV: PARCEL: 00000000 ZNE: RF.P NO:
PLANNING NUT�S: ' ,
, . . . > . ' I . . . �. .
•dE �ElE )E 9E i6 if iF iE �E if 1E IE iE iE iE� �F 3f If dF if jE iE 3E� iF ih IE 3f iE 3E fE 3f iE �E jE 3E �Y jE'IE k it iF k if iE �E 9E iE iE jf if iE iF iE iE iE if iE if il� if 3F iE k*�E 3F if iE jF iF dE iE df ?E iE 3E �F?F
:.- , D E�V E L O P M G N T S E R C��; I C� S � Rg F. Q U I R E M E N T' S
. t+ '
ZONING APPROVED QY � �i DATE:
•AUILDING APPROVED BY : � ' llATE:
�•APPLICATION ISSUF.D DY: � DATE: (�'L• 14"q,p
'if�lE�EiEif�E�Ifif�lE3E�1Eif1ElFiEiEiE�lEi4iE14lf��:�iEiFiF3f�P�iFTEik EF��F��F�Sk�3E�lEiFdE�1(�3ElEiFiEif3EiF�i6-bFif��Tl�'�S�EiL-%ifiE �
iEdEiEkiEififiEiE�Fifi[-iFif-itiEifif3Ei4iFiEiFiE3fiEfhk3EjfiEifiFik IEif iEi(-iF�76ifaEN-ifil�ifi6iE%#E3E3fiEjEaEltiEiEiF�7f�1fif3fiE9EifiF*j(-iE-%iE#iE
LEGALIZATIUN:N F E E S. M M A R Y STRUCTURAL SGGMENT:N �
13LDG PMT' PLUMBING_ ELECT C MECHANIC FIRE SMIP/RES GRADiNG
PERMIT . 9.00
• 25� SMIP/NON-RG:i
PLAN '.
ISSUE FGE 15.00
BUILDING-DIV-> PERMIT ISSOE PLAN-CHECK TOTAL PAID DOG
'TOTALS--.=-> 9.00 15,0,0 0.00 24.00 24.00 .00
REVENUL' DIVISION T'OTALS--> .'COLLECTED: 29.00 OVER/SHORT: .UO
IILDG RMT PLUMAING ELECTRIC M�CIiANIC FIRE SMIP/TOT GRADIDIG PI,AN-CIiEC1<
24.00
3E 3k iE iE 3E iF IE iF iE iF 1E iE 3E 3( %� iF i4 �N-3E 3f jf- 7F 3F 1E k iE 1E iE iF iE i; iE iE if 3E K� iF ik 1E-%if dF # 3E iP iE iE 3t 3f �i %iF lE iP )f 3E iE ib k 3E 3F iE 3E �(� 3E if iE 1E 3E i' iE iF 3E # iE 34 K� % i(
I Dl D I V I D iJ A L� F B E . S R F. A K D O ia N ' � :
TYPE QTY D E S C.R I_P T I O N ONTT COST TOTAL COS"f
MEC 1' SNSTAI�L� PORC/AIR FURN <.= 100 K BTU/H 9.00 9.00
. _ END OF FEES
0
p
01 ODOS40II9-Op454089 T u T 24.dU
DA7E: Q2/14/9D TIME: 14:a8 �
CONSTRUCTION AND PLANNING ' PO. _ & SPA . � � -
APPROVALS Permit# Date Inspector ApPROVALS Permit# Date Inspector
-� 1. TemOorery Electrical Service or Pole . - 52. Pool & Equipment location � '
2. S�il Pipe-Undrgrnd. � � _ � - � ,� 53. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgrnd._ ' � 54.- Forms - ,
4..,Electrical Conduit-Undrgmd. 55. Electrical Bonding ,
5. Steel Reinforcement � � 56. Rough Plumbing & Presiure Test
6. �Electrical UF.ER'Gmd. � � 57. APPROVAL TO COVER�GUNITE
7. Footings � 58. Electrical Conduit-Undrgrnd.
8. Foundation . , � 59. 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 •
i
12. Sewer Cap _ � .• � 63. Heater & Vent�Final .
13. Roof Drains � � i � 64.'Plumbing SYstem - Final
14. Rough Plumbing 65. Electrical-Final .
15. Rough Electrical�-Conduit ' � 66. Solar System-Final �
16. Rough Electric Wiring _ 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electriwl-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
79., Rough Heating & Air Conditioning � RO ��j � .FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace ` , APPROVALS' -� Permit #
21.'Ducts, in Structure ' -- 70. Underground Hydro
22, -Ducts, Ventilating �� � , 77. Product �Piping O Gas ❑ Oil
23. Gas Pipe�Rough & Test _ � ' � _ ' ._ ' � � 7Z, Under9round Flush -
24. Roof Framing � �� .. 73. �Undergrnd. Storege Tank O Gas ❑ Oil
25. Roof Sheathing � 74. Overhead Hydro
26.'T-Bar Ceiling (Structuraq & Monocoat 75.-Dry Chemical _,
27. Frame and Flashing � 76. Dry Standpipe '
'28. Lathing & Siding � . � � ' 77.•.FIXED SYSTEM FINAL .
29. Insulation • - 78.. FIRE PREV. FINAL
30. Drywall Nailing '. . r � 1' HEALTH DEPT. REQUIREMENT
�31. Plaster Brown Coat ; �79. FINAL INSPECTION
32. Electrical Power Meter-F.inal � 80. FOOD CERTIFICATE ISSUED
'33. Final Electric . � '� Notes:
t �
� 34. Finil Heating & Air Conditioning� , ��j�� � � , �, - - • �
35.; Final Gas Pipe-Test � ; ��y :, � - �- �
�36._Hood or Canopy � � ' ' 'j� e _
r
37.�Final FactorY Fireplace ; �','�1
_38. Final Plumbing , . � � � * � .
39. Water Service�Final. - �
� 40. Gas Service-Final � - � �
47. Solar pomesticFinal - �
42. Backflow Preventer � � �
43. Backflow Irrigation � . .
44. Landscape Irripation System ' .
45. Sound Attenuation . � �
46. Handicap Regulations - " • _
r, .
47. FINAL STRUCTURE & BUILDING �;� .
48. FINALPLANNING -
49. Electric Release to Edison • , -
v _
50. Gas:Release to Southem California Gas Co �? �
�51. CERTIFICATEOFOCCUPANCY '
No. Date
PRJdEtT ROONE88: Z S Z 4 MARK LN "'
OWNEfl'S'IPAME: MESA DEVELOPMENT
.. �o°pFss: 2520 MERRIMAC WY
.•COSTA MESA,CA.
� 719/979-9991.
FflCHIENGINEEB:
PODHESS: � � �
uniT: �
BEG.NO.:
UNI7:
PEflMfREE: TEMP YOWER� SYSTEMS �� ( 714 ) 632-1993
nooxess: 1111 N. TUSTIN AVF.
ANAHEIM CA 92806
IJCENSEO CONTMCTOB OECUM710N: I hereby attirm that I am licensetl unAer O�ovisions of Chapter 9(commencinA ��h Section
7000) of Oivision 3 of ihe.Business anA Pmfewions CoEe, anE my license is in full farce and affect.
cirr uc.: . 91 2 q sreTe uc.: 4 8 3 4 3/3�1 �—�—'—" A,
Date: �'" Signature: �{�
WOBNEBS' COMPFNSATION OECIAMT10N: I �ereby attirm t�at I have a certificate af cansent ro self-insure or a certificate ot Warkers'
Compensation Insurance, or a certifietl copy thereot (Section 3800, LaD. q.
roucrxa.:306-90 cxr.oale: 11/O1/90
cornraxr: STATE FUND
� Certified coDY is herehy Wmis�eE. � CenitieE copy is fileU wi[h the ry BuilA/inq/ �Divisi �. j
Date: l Z J 1��5� � AODliwnt: ��C_
E%EMPTION FNOM WOHIIEBS' COMPENSIITION DECIAMTION: R�is saction neeA not Le completM il �he permi� is for one hunOreA �510U) or less).
I cerllty �Aat in ��e pedormance of �Ae wOrk Por which this permit is issuetl, I shall noi employ any person in any manner so as ta Gecome
Su�lect �0 �he Workers' Compensalion Laws Oi Calibmia. �
Oate: SignaWre:
NOTICE: II, aiter maltinA �Ais Oeclaration, you shoultl Oecome suUjed to tAe Waders' Compensation Dmvisians of ihe LaAar
CoAe, you must forthwith comply Vn[h such provisions or this,Dermi[ s�all be tleemeG avoketl..
CONSTBUCTION LENDINC �GENCY: I Aere�y atfrm that ihere is a construction lentlin0 a0ency for tha pedarmance of ihe work (or
which mis De�mitis issued (Section 3097, Civ. C). ,
LENDER:
' ROOflESS: � " ' �
OWNER BUILOFB OECUMTION: 1 hareby aKrm tAat I am exemD� ��om ihe Coniractors' State License Law for t�e I011owinA reamn '
(Section 7031.5 Business anE Pmfessional Cotle: My cM ot counry whic� requiru a permit to constmct, alter, improve, tlemalis�, ar
reDair any strucma, O�or�to its issuance, also requires Ihe aDGliunt lor such Oe�mit ro file a 5i0�etl statement ihai he/she is Iicense0
pursuant to the Omvisions ol ihe Conimcrors' State License Law (Chapter 9(commencing with Section 7000) oi Oivision 3 al IAe Businass
anG Professions Code) or that �e/s�e is exem0� theretmm anG Ihe basis for the allepeA exemption. Any Nola�ion of Section 7031.5 hy
any aDDlicant for a permit sublects tAe apDlicant to a civil penalry ot not more than tive hunAretl Uol�ars (5500): .
I, as owner of ihe properry or my employees witA wa0es as their sole com0ensation, will do the wark, an0 the
❑ stmcture is not inten0ed or ofleretl for sale (Secuon 7044, Business and Pmfassionat Catle: The Cantracrors' State Licenu Law
tloes noYapD�Y to an ovmer of a Droperty who builUs or improves therean, antl wAo-Uoes such work himself/�erself or througA
, ' �is or Aer own employees, pmviae0 iha[ sucA imOmvements are not intenAeU or offere0 tor sale. Ii, frowever ��e EuilOinp or
im0�ovement is sold wt�in one year at comDletion, Ihe awner will have the �ur0en oi pmvinA he/s�e OiU not Ouild or imprme
for the purpose af ule�. �
I, as owner ot the pmperty, am exclusively contractinA with licensetl contracmrs ro conswd t�e pmle« (Section 7044, Busineu
❑ anU Pmfeuions Code: The fqnt2ctors' SWte License Law Ooes nat aDOry [a an owner of�pmDeM �o bmlds or impmves thexon
an0 wAo contracls for such prole�ts with a contractaqs) license Dursuant to the Contracrors' State License Law). I am aware
that proof ai their Worker's ComDensation insurance shoWE be pmvi0ed ro me. '
�� I am exempt under Sectlon: -• B. 8 P. C. �
lor ihis reuon:
Date: ' Owner.
I Eo �er¢Ey cenity tAat 1 am aware af anG unAerstan0 [he repuirements of Califomia Healt� antl Satery COGe Secnons 25505, 25533, and
25531 anC that 1 or any fuwa 6uildinp occupam wilVwill not (circle one) nretl to campty wiN sai0 state coUes antl t�e reQuirements for a
permit br constmclion or modi/icalion irom Ihe Air Oualiry Manapement Distnct. flesiEential conslmction applications are exempt fmm
these pmvisions. - .
,
Oa�e', � Applican�:
I herehy certiry that I have rea0 �his apPlication antl state t�at I�e above iniormation is correct. I aAree ta comply with all ciry an0 counry
orGinances anE sGte laws relatinA �o CuilOinq consiruction anJ AereEy aut�onze representatives of [his cfly ro enter upon the a�ove�mentionetl
pmDeM �ar inspection Ouryoses.
Date: � 7�� Signature:� �✓��� �
Dnver's �icense or Social Securiry a: �
I— 1691-46 White—BuilCina; Green—COAe EniorcamenC Cenarv—Ap0licant:'Pink—Revenue; GOltlenroE—Assessor
�)
;�
�'i'1�- OF COSTA MESA — BUILDING PERMIT PERM NO:, E_ 045546 '
PERMIT NO: E. 095546 PLAN CHF.CK NO: N, GOVT: N SUPP: N
CONSTRUCTION TYPE: ;- i'ERMIT TYPE: ELE ' • YURPOSE: NEW �
.70D DESCRIPTION : TEMP POWER'POLE SQ FT:
CLAIM VALUE: , CALC—VALUE: GROUP OCC: /.
COMMCNTS: RESIDENTIAL TRACT �
x**+r�r*��r��*�r**�r�*�r***�r�r*�r�r�r�e***+r�r����**�r�*****���*�*�r********�r��*��r��*+r�r*******
Z Q N I N G R I: Q U I R E M.E N T S , �
� S F. T B A C K S '
i,
------------ MAIN HUILDING ----------
FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN
--------,ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN,
LEFT: FT IN RGHT: FT �IN
PARKING REQ: PROV; PARCEL: 00000000 ZNE: REF NO:
PLANNING NOTES> ;
�
*x��e�r***�rx *�r*�rr******�r�x�rx **�*x�*�rx�* �+r�r�r***�r**x*****���**�r**�r�r*x�***�+r+t*�**�r+��r�r*�r*
D,E'V G L O P M E N T S E R V I'C E S R E Q Cl I R'E M E N T S
ZONING APPROVED BY . • DATE:
HUILDING APPROVED BY ;
APPLICATION ISSUED BY: ' /
i� it� 3t it it it iE it * it if if it it ir it i� iE �t it i� �FiFiF'iF'��F'3FiF�FTF�FiF iF3F�'F;F�3F�F�FiF7FiF7F1F�f7FTF iF3FiTiFifiFi�
iE iF ik M if iF if 1E if iF iE 1E iE 1E iE 1E 3E iE If iFlk iE �E If �f 1t k 1F ik iE iF ik iF it 1E if IF 1E iE i! M�E iF iE iE iE 1E IElE iE 1E iE �f ik IF It if fF
LEGALIZATION:N F E E: S•U M M A R"Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE
PERMIT • ' 15.00
SOt .
PLAN
ISSUE FEE. 15.00
HUILDING—DIV—> PERMIT� ISSUE PLAN—CHECK
TOTALS--.-->� 15.00 15.00 . 0.00
DATE: �
DATE : �� 8_/� :
�3liFiPit�EiE 'i2�FiEiE
�1E if iE iE if 1P iE �lE iE i! iE iF IE if iF iE iF if ff if
STRUCTURAL SEGMENT:N
SMIP/RES , GRADING
SMIP/NON—RES
i '
TOTAL�� PAID i DUE
30.00 30.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
�0, �0
iE 1F iE iF it d63E 1f �f if iE iF if iE k iE IE IE ff �E 1E iE iE 1E 1E iE iE iF 1F 1E iE it iF �F iF fE k if iE if iF M k 1E ik 3f iE 1F iE k iF ik iE if M iE ik iF iE iF if iEiF 3E IE 1! #�E iE if ik # iF if if iE �f 3E if
I N D I V I D I) 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
ELE 1 TEMP SERV PWR POLE W/OUTLETS EA, 15.00 15.00
" END OF FEES �
._ t
01 0OO50b82-OOOSOb82 T O� 30.00
DATEa� 11/2889 7itlE: 10:20 ,
eONSTRUCTION AND PLANNING � PO. eL SPA
' � Date . Inspector Date Inspector
APPROVALS Permit # , APPROVALS Permit # _ _
� 1._ Temporary Electrical Service.or PoIQ�„ "�: �Jn 52. � Pool & Equipmen[ Location ��
-IV
2..,SD�i1 Pipe-Undrgrnd: „��:} `� 53. Steel Reinforcement ' �
F �,�
'.+�3�..ElectriealCondEit-l�tility-Undrgmd`�� ,�., _ 54. Forms �
� �..
�,A.`F(ectrt,cal Conduit`�Ur'^drgmd.�. - ��_- 55. Electrical Bonding � -
<,5.tSieel Reinforcement y V:X 56. Rough Plumbing & Pressure Test .�
^�6:�EtQctr`cal UFERiGmd. `- - 57. APPROVALTO COVER-GUNITE �
�-J_'�CFbotinys �`,c.". w� . 58. Electrical Conduit-Undrgmd. _ �.�
B.=Foundation rS ' - 59. Gas Pipe, O Undrgrnd., Test � � +'
�-.:. ::i
9. Water Pipe-Undigmd. r'�.�• � - 60. 8ackwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System `' ' � � 67. APPROVAL TO DECK �`'
/'
11. Property Sewer Line;& House,Conh�ction ! 62. Backwash & Receptor-Final �
12. Sewer Cap c, o-=�� ,� :�! 63. Heater & Vent-Final �'
13. Foof Drains � � {'� " � 64. Plumbing System - Final �•
'.'�
14. Rough Plumbing � � � - 65.-.Electrical-Final ,' �
15. Rough Electrical-Conduit � . 66. Solar System-Final
76. Rough Electric,Wiring . 67. Fencing & Access ApP�oval �
^17. Rough Wiring STgn 68. APPROVED FOFi PLASTERING �
18. Rough Elettrica'I-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19.�Rough Heating & Air�Conditio`ning __,r f �_� � 7 _FIRE QEPT. REQUIREMENT
�r, ` : . �_ i r. . c ,r, �, v: : l .-,` C r,: .c � r ; -• C " x �;�
20�Ro�h Facto�Y �QP�ace , t.r 4 � ,. 5 ,y C..T +' 'AppROVAL$�c.Pedmit# -- :
27 ^-Ducts, in?Structu7e'� � " •• ;�;5 ` r' � '-^� �^ =7p, Underground HytJro �
i.-. c y; � �7 ir 7< F r;
") �' 1 .l 1-1 K ' . _t j K � -� � ,: . . ^ _ ... .�
22�DuEis, VentUating� r � ' � � :- � i� =x �r. .,71. Product�Biping L�7E;es �Oil
23�Gas-Pipe-RoUgh &'iest ^^ 'r ^ C w ii K:Y _72, Underground Flqsh� X -
r.
24"�Roofi Framing � y ' � ��� �' '� F., r z .73=Undergmd. Storage-Tank;O Gas � O Oil
.J .. . , : � � .iJ K -e: u
25. Roof Sh2athing OY: . 74�Overhead Hydrq ;,
3� r. n. -� c �
c' . u X aT y7 (" k x r ..� .� _ _ .
26.�1'-Bar Ceili�g (St�u�tural) &=M,on'ocoat r:1 � -: r r 75� Dry Chertucal �._._ �' ' �
- 27.aFrameand Flashin� �D�.:^ x.� r r+� i 76 �Dry Standpipe �"� 4 �
W T �'�.' ✓� ~.�i W � %,' � �.�i' W ti. � ^.' f�
,28YLathin�&Siding�� .;.�._ ,��;�; 77;-�FIXEDSYSTEM�F.INAL,�. n �,;
29. Insulatitsh �i,c J 5 �• r��' � � �� x' 7g�FIRE PREV. FINFI;�L y'=' �• -
/� /�J-' �l • C �h :
"'30. DrywalisJailing `' � � � � � y � ;REALTIiDEPT'. R�EQUIR�EMENT
�31. Plaster Bro"�!n Coatx � � r'�^ z� i � +� s: ^79 �FINAL IRtSP.ECTION• + � �
-. n
;,32rElectrica� Power Me"�ier;�inal� � �'�� j � � � -�SOr;FOOD CERTIFrCATE ISSUED� �.�..�
a, ,. =, ,�� a: � : .. � ; v. a. .i i.; _� , ...
�.33:�;Final Electric� +: ��: � �; T �� ' i �bt+ y Notes: �� �ro x ` � - ���
��34,�,,,'Fin`�a1 Heatir�g& AiY:C�oirtlitiont`Flg� r; "` ,� � ii."",°'.° z ��'r� �•� `7�. a: -' !.\'�
c^. J w. [=7 :K � ;�k �.i H C O O. F+. *
�: ^ r. r i r . - . .
35�Final Gas Pipe-TestK �.� .: � - � ' �,`.K Y . �V -iy * . �t^
=36�Hood or CanopY * ' _ -"� � ": :� � ` � ': - � -'� � * ^ -^'•"
'=1 .r t ) � �Z'. ^ G� .K � � � C'f >.' O K n •�, (r;
- .� G: . =.L" �l a l'I 'f • t � . v1
�-37.��Final Factory Fireplace^ . �.E- .� �: � � �.'v ,� !: 4n;
-38. Final Plumbing * ,,..,�" � �� � i ;A =' ^ S - � w
O I tk ;: .. r, �:
. , .s > � t
''39. Water Service-Finay'; f � � � '»: r ,; � � ,,, � �: y� ; ,
� �
.T,40. Gas Service-Final *'^ '�'^�= "� ^ � k � Go oN � � • -
'r. x � i t-. =- r 1 W. � -• c i ��;
y41. Solar pomesticFinal' r �� '� �"� � i �� *. :y� �, ;� � p
42��Backflow PreventeR � ��� �� ^ � ' � � � = `• '� '- �"
t: � n �-'-: �: �. :.; � r-7 r-. C� �x
... ...- c y: a: � .., a �� .
43. Backflow Irngatiorh ;.,-' K� �g x u i� r. • �
_ �;
^44. Landsc5pe IPripation System`��=;�� � � �"• � � �i: 7 1 ;� '��. � T "� � -
r.• r. e -i a-r :-t x a' E G',% _i; , c` E (; r 'K :: ti
. . � �:, ti r• a' E �-. _. :... r: ;: � F- .� � � �. . .
`'45:;Sound �AtteAuation '; .. .. }: :- �:, -�;; � .. � y . r"
G46�•�Handicap Regulations -! J �" ` � t- " S �e "- � ' �
c s: r i 1 ;� v; u !'7 c"� !] x
47=FIRfAL STRUCTU:�iE & BUI-LDING '� � � � M ' '" `� �
r _ ; � � � � - x [--
�
48�FINALPLANNING � " x" � I 7� * 'j �� R; �: * r �"�
'�49rt,ElectricReleaseto;Edison � � � i ;:�x ,� �;t * ' _,
� �50�GasiRelease to Southem Califannia Gas Co �� ! ; �'� * * " `" . -=� * ", .
� 'C T' R �'}. Y: C� � l J O
�=51. CERTIPICATE OF'OCCUPANCY x '���� �x ' �� T'" ^ ' �
No. Date �- �
PH0.IECT RUDflE53: z S i S MARK LN
OWNEN'SNRME: �:AIRVIEW MGMNT. CO.
aooness: z520 MEAIMAC
, •C�A CA92626
✓
6
uxiT: NUNE
�flCH/ENGINEEfl: BURKE LESTER & ASSOC. ,"Eo.No.:C-6925 �
aooxess: z3025 MILL CAEEK,RD uxir:
LAGUNA HILLS CA 92653
PEflMITTEE: nOUG SCOTT ELECTRIC �( 714 ) 775-0061
nooness: 16028 MOUNT HICKS
FOUNTAIN VALLEY A'92708
UCENSED fAN7MCTOB DECIAMTION: I hereby afiirm ihat I am licensed r pmvisions of ChaD�er 9(commancinp wiN Sec�ion
7000) oi DiNsion 3 of t�e Business antl Pro(essions CoOe, antl my lice e i fullforce antl effect.
cilx uc.: 0 6 6 1'$rnre uc.: 3 7 4 2 9 5 $ C 0
Oate: U SiAnature:
WORKEHS COMPENSRTIONOECIAMiION: Iherebyaffirmlhatl�avaac ificateoicansen[toselbinsuraoracertificateoiWorkers'
Compensation Insurance, or a certifieA copy thereof (Section 3800, LaO. C).
roucxno.: 536366-89 E%P.O�TE: O%/OLI9O
coMvnxr: STATF. FUND �
� Certifie0 coDY is hereby fumished. � Certifietl copY is fileC vnt� the ciry Buildinq Division. , �
'nl"�—
oate: 3��/!�/(� APPlicant: �� vCd�/ ��li/L�
E%EMPf�OX FIIOM WOPNEPS' COMPENSII710N DEClAM710N: (Riis sation nee0 not be completetl if the permn is for one hunared (S1W) ar less�.
1 cetlity t�at in the Oeharmance of [he vrork for which Nis permit is issueU, I s�all not employ any person in any manner w as ro Decame
sublect Io tAe Warkers' Compen5atian Laws of Calitomia. y:,; �
Oate: ' SignaNre:
NOTICE: I1, after making ihis Ueclaration, you should become su6lect to tAe Workers' Campensation provisions o/ tAe La�or . �
Code, you must lotlhwit� comply wi[h such provisions ar this Dermil shall �e tleemed revokeA. �?�'
CONSTBUCTION LENDINO RGENCY: I here6y a(firm ihat t�ere is a consimction lending apency for tAe pedormance,ot the work for
whicA �Ais permii is issued (Section 3097, Civ.� C�. - /.` .
LENOEN:
� nooeess: . -
OWNEB BUILOEB OECLAMTION: I herehy amrm t�atl am exemD<<mm the Con(ractors' State License Lawfarihe lollowinp reason
(Section 7037.5 Businew antl Pmfessional Cotle: My ciry ol caunry wtiich reQuires a permit ro consimct, alter, imprave, Oemalish, or
repair any simcNre, pnor ro its issuance, alw requires t�e applicant for such Oermit to file a signeA statement t�at �e/s�e is lic¢nse�
pursuam m the proasions ol ihe Con[actors' State Licenu Law (C�apter 9(commencing unih Sectlon 7000) oi Division 3 al t�e Business
an0 Pm/essions COEe�br that he/sAe is exempt t�eretmm an0 ihe basis lar tha a11eAeU eeemDtion. Any violation of Section 7037.5 Ey
any applicant lor a permit suElects tAe apDlicani to a ciMl penalry ol not mom than (ive hunOreO Odlars (5500).
I, az owner of ihe DroDeM or my employees wi[� wapes as their sole�compensaiion, wiil do the work, sntl iha
❑ stmctura is not intendetl or ottereC tor ule (Section 7044. Business an0 Pmfessional Cotle: The Contacrors State License Law
Uces not appty to an awner oi a pmperry wha UuilOs or imOroves Iheaon, antl w�o Ooes such work himself/Aersell or tArouAh
his ar �er own employees, D�oviOed fiat suc� im0�o�ements are not intenAeU or ottered for sale. If, however tAe UvilOinA or
' impmvement is so10 within one year of completion. tAe owner will�have Ihe burtlen of provinA he/she tlid not DuilA or imDrove
br Ihe purpose oi sale�. , - � ,
I, as awner oi the OroOenY, am exclusively contractinp with licensad contractors to construct tAe project (Sectlon 7044, Business'
❑ and Prolessions Co�e: The Contractors' State License Law tlaes not apDly to an owner of pmpeM who �uAOs or improves Nereon
antl w�o coniracis for such prolects with a caniractor(s) llcense pursuant ro the Contractors' State License Law). I am aware
that Droof of tAeir Worker's Compensation insuranca shoula be DroviUetl to me.
� I am exempt under Section: B. 8 P. C.
lor t�is aazon: . . '
Date: ' Owner.
I do he2by certity tAat I am aware of antl untlerstanE t�e repuirements ol Califomia Healt� anG Satery CoGe Sectians 25505, 25533, anE
25537 an0 ihat 1 or any future builCinA �cuDant wilUwill not (circle one) nee0 �o camDly with saiA state coaes anOlhe reQuirements far a.
permit tor constructwn or moAification imm the Nr Oualiry ManaOement �istnct. HesiUential cansimction applications a2 exempl Imm
these pmvisions.
Da�e: Ap0liwnL
1 Aere�y certiry that I have reaA ihis aDP�ication ana state ihat the a�ove ini � ation is correct. I agree to comply wit� a0 city an0 counry
or0inances an0 staie laws relatinq to 6uil0ing canstmction and herehy auth reD�esenta�ives of I�is city �o enier upon �ha a6ove-menlioneU
propeM �o�inspection purposes. �
Oate: Z Q Signature:
Driver's License or Social Secunry x: � �
18a1-68 W�ite—BuilEinp; Grean—COEe�Enbrcemant; Canery—ApplicanC Pink—Revenue; GoltlenroE—Nssessor
'� ' CITY OF�COSTA MESA — IIUZI,DING PF:RMIT� PERM NO: E 046426
PERMIT NO: E 096926 PLAN CHECK NO: N GOVT:.N SOPP: N
CONSTRUCTION TYPF.: V-N PERMIT TYPE: ELE PURPOSE: QTH
JOB DESCRIFTION ; NEW SFD SQ FTr
CLAIM VALUE: CAL�C--VALUE: GROUP OCC: R-3 /M-1�
COMMENTS: RF.:B44E304 (2357# SQ FT)
*x�*�*****��r*�e*�r+r*********�**��r�**x+�x�**�**��*+�*��r+��*�r�r*�r*�*�x�*��r***����*��r����*�c
' Z Q N I N G R E Q U:C R E M E N T S -
S E T B A C K S
--�-------- MAIDI BUILDZNG ----------- --------� ACCESSORY BUILDING ---1-------
F'RNT: f'T IN REAR: FT IN FRNT: FT TN REAR: FT IN
LEFT: FT 'IN RGHT: b'T IN LEFT: , FT IN RGHT: FT IN
FARKING RE9: PROV:, PARCEL: 00000000 ZNE: REF NO:
PLANNINC NOTES>
� . � �
if iE iE iF iE 1E iE iE �E iE 3E IE iE iE if iE IE jE iE if iE 3E iE iF �)F 3E iE if iE iF iF iE 1F if;�iF IF it if iF 3F if 3F iE iE 3E iE 1E If 1E if IE �E if �E if 4 iE iE IE iE 3E jE 3E iE 1E iE 3E jE if iF 1E �E iF 1E iE iE iE 3h iF
D E V E L O P M E N T S°E�'R� V I C E S R E Q U I R' E M E N T S
�,•
ZONING, APPROVED BY ' �s=. _ _, DATF.:
BUILDTNG APPROVED ➢Y�: � ' DATE:
APPI.ICATION ISSUED BY:�' �c.'V� ' DATE:�' �'� ��V
1EiFiEiFiEiFlEifiFififiliEiEiEK�1EiEiI�iFiEil7� �F'�'� - ��3���1F;FiFiF�iElEiEiEiFiEifiFiF ���FlF� if3E
fElE3F3E�iEiEiFiklFiEiEififiEifiEiE�EiE3FiP1EiFiEiEiEiE�E*ifiE�FlEiEiEifiFiF if iEif iEiEiFiElEifiElflFiFkiFiFiFiEiFiE�X-iFiEiFiFiEitiF�tikiF3EiEifK�i(�i(-if
LEGALIZAT'ION:N F E E S U M M A R Y STRUCTURAI. :iECMEDIT:N
BI,DG PMT PLUMBING ELECTRIC ECHANIC FIRE SMIP/RES GRADIDIG
PERMIT ' 82.50
SOt SMIP/NON—RES,
PLAN
ISSUE FEE 15.00 �
HUILDiNG—LIV—> PERMIT ISSUF FLAN—CHECK TOTAL FAID DUE
TOTALS----> 82.50 15.00 0.00 97.50 97.50 .00
i
REVENUE DIVISION TOTALS--> COLLECTED: 97.50 OVER/SHORT; .00
BLDG PMT FLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADIDIG PLADI—CHECK
: ��, 97.50 � ;
iE iE 3f 3F iE iE iE iE iE if it iE iF af IF N iE M iE k iF if jf if if * iE 1E if iF 1F iE k ih if ih iE 1E iE iE iE �E �F iE �F iE if it if iE if iE If 3E iF iF if if iE iF iE iF iE iE iF iE iE iE if iE iE ik iE iE iE iE !E if 3E
I N D i V I P U A I� F F. E B R E A K ll O W N '
TYFE QTY D E S C,R I� P T I O 1�1 UNIT COST TOTAL COST
ELE 2357 � NEW RES BLDG f'OR 1 OR 2 UNITS/ SQ FT .03 fl2.50
EDID OF .FEES
_ i
O1 U0055&20—Q005532U Ta�T
DATE: 03/12/40 TIME: 11:2E
n
97,g'�
CONSTRUCTION AND PLANNING PO. S SPA � �-
Date Inspector Date Inspector
APPROVALS � Permit # - APPROVALS Permit #
. . �.v , � �r;
1. Terriborary Electrical Service or Pole, � i' 52. Pool & Equipment Location �
�,; �.
u: .
2_ .Sa,il Pipe-.Undrgmd.� � � f _ �.� - _ 53. Steel Reinforcement . �
`.• 3: Electrical:Conduit�Utility-Untlrgmd-� � . 54. _Forms � 'y
`�4..�Electrical�ConduiYUndrgrnd, 55. Electrical Bonding
��SsSteel Reinforcement . � - 56. Rough Plumbing & Pressure_ Test _
`�6�Electric`al UFER�Grnd. � ` - 57. APPROVALTO COVER-GUNITE , ' --
-�=7. Footings - � 58. Electrical Conduit�Undrgrnd. � ,
8. Founda�ion� - ;� � 59. Gas Pipe, 0 Undrgmd., Test /�
i.
.9. Water Pipe-Undrgrnd. //,: =' 60. Backwash Lines, P-Trap, O Undrgrnd. ;� :�
i .. ,i
10. Structural Floor Systemi �/ ' � 61. APPROVAL TO DECK ��
11. Property Sewer Line.& House�Connection" �, 62. Backwash & Receptor�Final ���j
12. Sewer Cap �. :' =' � ',� 63. Heater & Vent-Final -
-, -
13. Roof Drains- -_ � ,-i 64. Plumbing System - Final �
14. Rough Plumbing ` !='� � f�'? 65. Electrical-Final � f
15. Rough Electrical-Conduit , r, �. 66. Solar System-Final �:
✓
16. Rough Electric"Wiring !f '`3 0 r
67. Fencing & Access ApProval I
�-17. Rough Wiring Sign � � ,- 68.�APPROVED�FOR PLASTERING �
�18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL .
19. ,Rough Heating & Air Conditio,n,ing ,_ _- :. { . �FIRE DEPT. REQUIREMENT ,_
t
20!ARough Factor�y F.ireplace � , ;," � � ,�: _ - }- J� -APPR�VACS;�.�rPer`mit #
21tDuits,inStructure" � "" - ' "+'� -90. Underground'Hydro �
22.-Ducts, Ventilating � '`� a'" - ' .- " e a77. ProducYPiping O Gas ❑ Oil
23.�Gas-Pipe-Rou h & Test • "' '-� _� t �' -' -
9 _ �72. Underground FlpsF'
24 �Roof Framing �� � ` � - � �_ -� ` ° :;. �.73r iUndergmd. Storage _Tank �O Gas ❑ Oil
25. Roof Sheathing - • -' ���+; a� 74. Overhead Hydro_,_,
26`T�Ba} Cei.ling (Stwctural) &'Moriocoat - �-' i. * 75.- Dry Chemical �_,� , � � -
27.,Frame and Flashing. ''="x' M Y � -! : 76. Dry Standpipe �; C� ' r�
_'28. Lathing-& Siding' ;' ' '� �, � - ' " ' "'. � 77 � FIXED SYSTEM, FINAL� _ .
�29. Insulation - - - •� � �� �. ��. 7g�FIRE PREV. FINQL ` � �
30. Drywall Nailing _` ' .'� , i HEALTH=DEPT. REQUIREMENT
i31. Plaster Brown Coat+ _� �" T � '79. PINAL INSP_ECTION �
�:32...Electrical Power�Meter-Final �1 * T80.�FOOD CERTIFICATE ISSUED �
� -
:?33.-Final Electric r� � 0 ; Notes:� - ' - ' `- • �-
'=34µ Final Heating & Air Conditioning- '� , � * �� . - '? _ ' � - '
_�
35: Fi al Gas Pipe-Test;. �."� �� � -. � ;�,1� � � _ - �-� .
- �
'-36..Hood or CanoPY -'r, � - 3 _ � }� I* � � .`-` - - - -- - -
�37.�Finel Factory Fireplace�, � r,- r � � �a'- � .-
�� 38. Final Plumbing ` ^'� ` ` ^ � �� '� �� _ `� ,-" '
, e �, v:
' 39. Water Service-Final, � " . r ' � .� y; > - �� �
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51. CERTIFICATEOFOCCUPANCY .• ` .= -
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