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Home My WebLink About3028 HARDING WAY - Building Permits�noxrssorem�axo: 3028 HARDZNG WY owxemsxwei�aawr+:SUSHKOFF, CAROL ANN mowess:3028 HARDING WAY COSTA MESA,CA 92626 /�VPL.IWIAlG 100XE55: /JICNRECfON B�CdlEFA: YKX.OH F110.'S ADONE53: ca�m�crarsru�:NOCK PLUMBING carm.cToas �u�wo 1 1610 S EAB OARD � C I R �� STANTON 90680 LICENSED COMNACTONS �ECL�flATION: I haroby eflim uMer peneAy d (commendrq wi�h Seclion 1000) W DMieon � d Ihe Buainea eM PMeseian crcrnc. no.0 5 0 3 8,6 uC. cuss: C— 3 6 uc.pe-` uxt: FLOOD: X 47 a3--� uc no: UNT: (714)895-1246 CA ,��,, 707775 unr: mjury Ihm I em IceneoE uMer povieime d Chepbr 9 de, vd my licemm � in lull forca eM a/lecl. o��zs EXP: 02/97 'ode: c�w�e�:qi 1 �� IEP BIIILDEP OE IAflATION: I hxeEy alfi�m inWr peruly d PorNMY �� I em eumpl hom �he Ca4reqas littnee Law la �he Idbr^Y raawn ISetlian ]W I.5 Buenen eed Prolmdom COAe: AM ety a muniY whidi nVu'vae e D�n io mmvun. eEer. imYan. damd"eh. rc repv my+vuctae. p'v b e� ueuenu. ebo �equv» �M1e epp&'e'M la wrJi pemW lo Rb e dpned ablemenl ihel he a�M s uo.�wa w�� o ma n��+ a u» cam�ea. u�.e �. �cnapa s(�«�a wn s.uoo �aool a oa.e� a a ib 6uemeaa end Pralmeiore Cad+l a iha M a tlw o usmq Ihaehan end iM ba�u la ihe eOepeE uamqion. My violation d Sp'vi )W t 3 M�Y eDW�� 1« e PermG abjeda iM eOW+'sm �o e tivi O�M d m mom ihen rwa IwMred doGen �5500ll. � 1. u owrer dtM qopeM or my ampbyees wYh wepee m Ihei ede compenaation. will do iAa wA. erd ihe avu�.wro e na mleMeA a oMared br eele (��^ �a�. Busiroea eM PedasemaCada: The Cantredm Licenas lew dou rot eppy�o en ownerd propeM wM Wlds «inv�+y �hmeon, uM Mio Eoes �uch xwk Nmeetl n henetl a iMoup� M a hm own empbyeee. pwkeE ihe� wch impweme�ua era nol intarMaE a WenE la seb. tl, M1owerer, the buiqiep v inqv.ameM u wli xilhin one yeer d eomplelion, IM owmr-0uiNm xi11 heve �M Wken d pvriiq he a ehe did nd Cuik or impove Iw tM purywe d edal. ❑ �. u own« d me o�o�v. �.xeumvelv ca�vaa�ro �.nn �ice�..d c«nre�wn ro cawrua me wd«+ Iseavn �oa. eu.��e...�d Proleaebm Code: Tlw Conireaon Lioenx lew doee m� appF� to an owner d p�apeily x1ro buike a impwp tMreon eM wlw wnVecU la wd� prqeUe wiN e corurmor(s) IcenseE W�� o Iha Comrmore Lioenae lew). � I em exemq imdx Sxtion: B. 8 P.e.. br Nu eeeon: DNe: � I do M�ebV <e�M Wt I em ewers W eM wdenivd the nWimmam d Celiorttie ibMh eM 6NmY Coda Smiom 25505. 255]3. erd P55Ja. vd thm I a enY M1�un buiMvp omipent vnll / wil m� (acb ma) read to comply w�� aeid ema wdsa vd �he �spuimmems for aperrMlamuvuaionumotl�imM1antMAi�y e�ememDotritl.RnNe'uWmipMianeppimtiwuenezemqlmmlMaa a�.. Deie: Mp« WOFKEfl'S COMVENSATION OECL�NITION: I Mraby elfi�m urdx pereXy d pajury an d iM1e blloxi�q dedve�une: � I heva eM xil meinten e cenAiwe W canwn� ia veMiriwn br xarke�a wmpemalion. o pwidod Iw by 3epion 3100 d the leEor COEe, la iM pe�imrence d Ne wak fa wlich ihn pami� ie inuad. xp i n� �e w��.�.bnen �o�w� i,�,�,. m�c��.e w s.am s�ro a in. �.no. wa. b, m. w�r�.� w m. ,�ia.n�nin c��m�.�.e.Mywa GO�DEN EA E��um�u� EXPIRES Pd'wy Number. 0 9/ 0 1/ 9 7 �m;s secr:,, ,b.d,�a e. m,rv�nae r w vem�� m n, � n�.e dd/es Isiool d w..l ❑ I renA' Rin m tM v�mnuin a iM wwk M r.AicA �he v� u eeued. I tluA m� emWv�' em' vr� u env mwnr n n io becmr eubpc �o �h oM1ere' o mpemalion laws d Cafdanu, utl Ntl E I tl�wJd bemrte whjotl b iM xoAa�' yi erue�i n pwisi W Sspi )OD d iM Lebor COEe. I MeP/��iipy�M, ww� "°°''�aa� v�c �mllp: FeNun ro ucun ✓or.tr�'roiryw�uitlon eor�reps /i un4wTW, �ntlWll rtlJ�ct en .rrployer ro�u rrli �jwvftlu �n! elHl Om� �q b oM h,ntlrW fhous�nd JWhn (ilOq000A ��Itlon ro tln cwl o/ mmpwiutbM1 danups� u povMM br In 9xtlon 31P6 0l M� LeDoi Corb, Infxut, and �ttomsy'� Isu. CONSTNUCTION LENDINU ROENCY: I hereW ��m urdar pandry W perjury �hm Ihen ie e canw�utlbn brdiip epe�wy la IM parlormeMe W Ine v.mk tw whid� �he permY n eweE (Seabn �09). Civ. C�. LENDER'S NAME: LQlDEH'3 �ODPE39: I unily �he� I hava reed �hc epplration ud pe�e ihm the ebove inlammion b conaa. I epma to comply wnh eA tlry eM aounry pdinucw eM steie leMe rNeleq to buJd'vp conaVwian end MreEy eNhw¢a reprasentotrvea d Ihia dIY b enler upon tM ebove.memoneE qopeM 1rinfpBtlpopurpoE9RON Nocx Detel-��/ �'/��' �--�C_ (StSt-10 WP) NTGe-BuiM'vq 8 Sdary; Oreen-Fb: Cenmy-Appirani; RnF-Po-nnue; (3aWenm�Asaeswr CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO: P 080959 PLAN CHECK NO: � N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PERM NO; P 080959 GOVT: N SUPP: N PURPOSE: OTH DESCRIPTION : C/O DISHWASHER SQ FT: M VALUE: CALC—VALUE: GROUP OCC: R-3 / ENTS: NO OTHER WORK AUTHORIZED HY THIS PEAMIT **�*�*x�**��***x**�*��*��*�*****��***��*�**�******��*�*****�*��*x�*+�x��*�� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRN'T: FT ZN REAR: FT IN FRNT: FT IN REAR; FT IN I�EFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN � PARKING REQ: PROV: PARCEL: 14113329 ZNE: REF NO: PLANNING NOTES> > � jEiElEifiElE3EfEiEfEfEiEiEiElfi(-1E1EifiE1E1E1ElE1E�E1ElfikiFikifiEiE�EfEfEfE1E1E3E9E kifiE1f1E1f1kikiklEfffFfEfE�EfF�ElEikilfEjkfE kfEiEfFiE�EikiFik3E1klElfiE D E V E L O P M E N T S E R C� I C E S:. R E Q U Z R E M E N T S ZONING APPROVED BY � DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: �_ •� DATE: fklfikiflklElEiEik1f1E1EiEklEiEiE1E41E1E1E IE�EiElkfElE�fiEfklk , iE � LEGALIZATION;N F E E S U M M A R Y STRUCTURAL S GMENT:N BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 8.75 25$ SMIP/NON—RES PLAN ISSUE FEE 22.00 BUILDING—DIV—> PERMIT ISSUE PI;AN—CHECK TOTAL PAID DUE TOTALS----> 8.75 22.00 � 0,00 30,75 30,75 ,00 ,- REVENUE DIVISION TOTALS--> COLliECTED: 30.75 OVER/SHORT: ,00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CAECK 30.75 1F iE 1E fF iF �E If 1E 1E iF jE iF 1E 1E iE iE 1E 1E 1E 1E fE iElE fF iE iE if 1E 1E iE 1E if if 1E3E 1E iE iE ik 1k 1f 1E ff iE IE 1E iE IE iE 1E 1E iE if ik iF fE ff IE iE k iF 1E 1E 1F iE iE iF ff iE iE 1! iE fE iF iE iE 1E k I N D I V I D U A L• F E E B R E A K D O W N 4'1SE QTY D E S C R I P T I O�N UNIT COST TOTAL COST LU 1 DISHWASHER ' 8,75 8,75 END OF FEES ' 01 00211<78—OQ221478 T C�T DATE� 13/24!95 TIME: 09:4E CONSTPUCTION AND PLANNING POOL & SPA - APPROVALS Permit #� Date Inspector pppROVALS Permit # Date Inspector r� _7, �Temporary Electtical Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe�Undrgrnd. . 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgmd.- 54. Forms • I 4, Electrical Conduii-Undrgmd. ' 55. Electrical Bonding � - � 5. Steel Reinforcement � •' 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVALTO COVER�GUNITE 7. Footings . 58. Electricat Conduit�Undrgrnd. - 8. Foundation 59. Gas Pipe, O Undrgrnd., Test . ' 9. Water Pipe-Undrgrnd. � � 60. Backwash Lines, P-Trep, O Undrgrnd. 10. S[ructural Floor System - 61. APPROVAI TO DECK . 71. Property Sewer Line & House Connection 62. Backwash & Receptor�Final • 72. Sewer Cap , 63. Heater & Vent�Final 13. Roof Drains � 64. Plumbing System - Final � 14. Rough Piumbing 65. Electrical-Final ' 15. Rough Electrical�Conduit 66. Solar SYstem�Final 16. Rou9h Electric Wiring -� 67. Fencing & Access ApProval � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Fough Electrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL ' 19. Roagh Heating & Air Conditioning' FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace qPPROVALS Permit # 21. Ducts, in Stracture 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil � 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTankOGas OOiI 25. Roof Sheathing - 74. Overhead Hycl�o 26. T�Bar Ceilin9 (StructuralJ & Monocoat 75. Dry Chemical 27. Frame and Fiashing - 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 INSP[CTION 32. Elecirical Power Meter-final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes:�_�_m��7_��N'r�� z� /1 N � r.J 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38 Final Plumbing � _7_O *f n/ LI I �Y 39. Water Service-Final 40. Gas Service-Final 47. Solar pomesticFinal 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irriqation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ' . 48. FINALPLANNING 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Oate . �nowessaew�w+a: 302£ HAALING WY °NT' avwurswu�eivimwm: SUSHKOFF, CARJL ANA1 FLOOU: X. 47 mo�ss: 3028 HAP.DIT7G WAY COSTA MESA,CA 92626 751-5031 .cv�. �.u�ua �ooxEss: ' NCNIfEtTOAQKQIEEA: urcx. on u+a•s,�oox�ss: uc No, uNr: cor+m�crarsrun: LEE ROOFING CO ( 714 ) 642-722?. cam�croirsw,vuNo 1653 SUPERIOR AV �oox�ss: COSTA MESA CA uc.ra.: 349686 92627 urar: LICENSEO COMN�CTOFS OECLAN�TION: 1 Mnby ellfm uMer panNy d perjury Net I em IiceneeE under pwiriom ol Cheqm 9 (mmmeiwM xilh Sx�ion ]000) d Division � d iM Busmn end PWa�ume COCa. end mY liceme u in tup taw ud Ww. cmuc.No.:0287F1 ��^gg C 3�°i EX : 03/95 � od,: S�z S� �� . . OWNEH B LDEN Dfi �AN�TION: I Iweby e/fi'm �Mer pauly M perju d I em examq han IM COMretlm lioem� lew la tl�e Idi^�wV rea+on (Saaion ]031.5 Bivima end Prolmcro CaEs: MY a aouuY xt'ai� �W�o� e D�i to mnvuct elr.'vnVow. Mmd'eh. a reqi vry �vucnve: piar b in ceuenca. ebo rWwx apd�mM Iv euch penN io fib e eqmA paiameN tlut he a�he e IianeE W�a lo IM prwoiona at Ihe Caurmm ' w �cn�p« e �� ..an s.ao� �mo1 a owe� � w m. e��w.�e a�d«.�w coeel o. �mm �. «.n. 4�ema �.�,d me e�. eor m. �a� e.�*N�. N+r •�owo� a s.ao� )031. Ey etry eppliun� Iv a permil wbplf Ihe applirtN to e dW pe�Wly d nal mae Ihen fxe huM�ad do0v+ �55WI1. � I.uowiwrdiMpapenyarmyempbyeeewYhwepesealMiwlecompenaelion,willEo�hexoh.ardthaewcturoumlinlenEeE w ollaed br eeb (Seclion )Oaa, Buunece aM Pmles+iona Code: TM Comreeon liwnae law Eoes rwt epplyto en wmer d propeity wM Witls «inpavae ihereon, eM wM10 doee euM wak Nmaell a henetl a ihrwipli ho w her own amployees. p�w�iEatl ihe� euch imprwamarua ers rid inienEaE a aliaed lor eab. tt, however, iM WiNiep a inpwemem u eoN wnhN aw yeer d eompbtun, Ne owiwrbuitlx x�ll hew tM burden W qovirq M or aha dN nd Wik or impove lar IM WNaa d ub�. � I. n owrr d IM peWM. em ssduvwN ooMred^Y x�lh liomwd contrecton b canel�ua Ns V�M� (Sedion )MI. Bwimee eM r�a�. cae.: rn. c�vma. u�� .. do. �a =vwr �o � ow�� a c�wro wro w�w. «�c�+« ma.o� �a wro mnlreeb Iw ox3� prqetls wiN e axnemor(e) Iiean�eE W�*�I �o iM Contraqon limrue lew). � I em uemq uMer Senion: B. 8 P.C., br ihn reeaon: Dela: �� i ao n.�nv �«uv nm i.m ewae a�d �.b.+�e in. na��«m a cw«�r �.m� .�e s.r.n coe. sw�. ams. ns�..�a 15.Ua. eM tlu� I a eny Mwa duNuq omme�i will / wil mi (drch ar) med io oomON M� aeid Yms aotln W �Ir eWuimiaw br •D�IIXmuwnimamodSintionhamtAe/v�iuTlity aruVe^+^�Diqnd.Radavilm�awioneWk'miomNazsmqfvnihwa pwimne. Dab: �OP�� WOflKEA'S COMVEN9RTON DECLRXITION: 1 Mraby elfimi uMsr psrWly d pajury me d IM Idbxiiq dedvm'wn: � I hew vd wll meinlan a cMdreta W oon�em �a veMrnwro br waken' compeneelian. n provided la by 3adion ])00 d IM lebar Gods.la �M pMamem.s d the xaM fa xtieh �ho perme b Wuetl. ❑ � n.�n.nd xi� meimen wwkae• wmv�� .•, �.c�wa w swian 9lao a Ne Lm« coE., w m. wAam.noe af m. wak la �Mitli I�b qrmu u nsued. My woken' comqneelun irairterce mrtiar ud pdiry wmbr ere: c�.r: STATE F17Nn EXPIRES PolryNumbec ��a�iivaH—yn 06/30/95 (m;a ee�+rm ne.d na es cwmW.red r m. v�a ie m, wa nuM�ed eo�Mrs Isiool «bs../ � I anAy ihel in IM1e perloimerca d Ihe wwk /a whch t�ie perme Ie ievueE. I eheJ�e mpby eny pemn In eny menner w n to '- Decoma wHee �o IM vmMe�e' comWnaalion 4xe d Cal' '. F houk becam a4b �o tlw xoiW1e' compnW i pwie' ne d Setlian �)00 d iM Lebar 4W o oss pan iona. � ONe: � `L � Md'esN: Wemlrp: eNun ro s�cun roheri ronpwwtlon rovxap� h unYwNl. �M ellWb/�c! en wrployw ro cMYrel pwltlu �n0 elWl flirs �q ro an IrindrM fhouuM do/W /SIOq000A N MNtlon b emt ol ro�owwWR ��i VA�� br In Sxtlon 9�6 0l M� Lebor Corb, INaut eM elrormy'� l�u. LONSTPUCiION LENDINO AGENCY: I lareb/ elfirm uMer d perjury tlut IMn o e mnmiwfion bnd'mp epmicy la tln peApmvre d tM v.ak la whidi the pem�Y u ewed (Sepion ). C'v. CI. LENDEF'S NIWE: LFNOEP'S �DDNE55: I eenih �� I haw nad inia epplr.etbn W pate IM1ei Na ebore intoemuian o eanea. I epne lo mmply wnh ell cry vk oouruy adirercea enE elele k.w reld'vp lo buiMrp construmwi eM MreW eNhorrzs repevantaiivee diho ary io emer upon Ihe abova�menlioned poperty lor inapenion purpoeee. P4II:E HURF:E Pnnt Neme � � � Dma: � �� d o..�«i�wn�urau,cmvma (5t5tyB.W WhilsBuiNiq85elety:OraemFb:Ce��ay-�ppfran:Rnk-Ra.enua;(3dJmm�Maemr CIiY OF COSTA MESA - BiJILUIi•1G PERMIT PERPIIT NO: B 072490 PLAN C:IECK P]O: N CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR JOB UESCRIPTIQN : T/OFF REROOF '.J/COMP S3INGLES PEP.�1 P70: B 07�9kC GOVT: N SU?'P: A] PURPOSE: OTH SQ rT: 3,900 CLAIP7 VALUE; 3,90Q.Q0 CALC-VALUE; 3,900,OQ GROUP OCC; R-3 ;M-1 COMMENTS: REP.00F 26UOSP RESIDENCE S^I/COMP, SMOKE DETECTpRS REQUIRED PER 91U9 if 1EiE Y-if iE if w lfic af if if iFa(-if Y�iF ik if 1f'is if'F'K�IE ii Yi! ikif iF �FiE�if Y-iFif iF�i4 if i4 if iG Y�k yF iRK�1G t i{�if iF ii�Y iF-1f iE Y-if �i,F/�Y-% Y+f iF Af #y�iF iR-iF if iF iE K iF p#�1F Z O N I N G R E Q U I R E M E N'�'�'�OV'�� DE I�C�OfI S E T B A C P; S p ------------ MAIN EUILDING ---------- --------- ACCESSORY ��$��•�C.n��----- FRNT: FT IN REAR: FT ZN FRP7T; FT IN REAR: FT IPd LEFT: FT Ir7 RGAT; FT IN LEFT: FT ZN RGHT; FT IT] PARY.IPIG REQ• PROV: PARCEL: 14? 13329 ZAIE; REF NO: PLANNING NOTESr > iF if'K' if �lk iF %1F Jf iF 1f'N�'K if iL iF if� iF'N� if -If d(� iE if iF �K # 1E if iF ii� if iF �lf iE iE �li�'N' k'1F Y i4 �14 ii dF K Y�+iF i' Y ii �E i4 af Y�'r if -1E-1R if.1F+f'iF �a: Y a: �f- �1i� i: -�: yF+4 � a4 <Y if if D E C� E L O P M E N T S E R V I C E S P, E Q U I R E M E N T S Z�NING APFROL'ED BY UATE: HOILDING APPROVED BY ; DATE; APPLICATION ISSUED BY; DATE: � 2�Z CGL� ****-�***�*�t.t-****a*��rt�*i.e**�t�T�.r��iFiF�r��r�-.�xrir-* + frs�..�,c***ux*��a<*�L��.��r*�c LEGALIZATION:N F E E S U M M A R Y STRUCTUAAL 5EGMENT:Y BLDG PMT PLUMBING ELECTP.IC MECHANIC FZRE SMIP;RES GRADIP7G PERMIT 63,00 ,50 SMIP /P70N-RES pL�r� _ ISSUE FEE BUILDZNG—DZV—> PERMIT ISSUE PLAN—CHECR TOTAL PP.ZL UUE TOTALS----> 63.50 0,00 0.00 53.50 63.50 .UO REL*EA7UE DIVISION TOTALS--> COLLECTED: 53,SU OVER/SHORT: .QO BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GP.AUZNC FLAN—CHECK 63,00 .SO i'� ah iE 3E iF �lf �N- if x iF i! �If i�- iF iE iF s-Y--lf- iE iE it Ar iF iE iF iF j't i� if� i(� if� il� jE iF M'k if �)f iF -R-N-Y+Y <if if 1f iF if if ir iF if iF if iE if if� i(� K+R iF ira x aE dt ii iF Y- } rt w iF+iF {r } I N D I V Z 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 TUTAL COST SFR 3900 REROOF BY L'ALUE RES,IDENTIAL N020NE 1,OQ 3,900.00 END UF FEES • • . ► �A �� ;lr/� � a oai32as4-o�ts23s8 'b't7-t' .?�_� DAT�: OSt_3:7` TI('c": 9":s:, � CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. 7emporary Efectricai Service or Po)e � 52. Pool & Equipment Location • � ' 2. Soil Pipe-Undrgmd. 53. Steel Reinforcement , ' 3. Electrical Conduit Utiliry�Undrgrnd. 54. Forms � 4. Electrical Conduit-Undryrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough P�umbing & Pressure Test ' 6. Electtical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. � 8. Foundation 59. Gas Pipe, O Undrgrnd., i'est 9. Water PiPe-Undrgrnd. , 60. Backwash Lines, P•Trap� � Undrgrnd. � 10. Structural Floor System � 61. APPROVAL TO DECK , • 11. Property Sewer Line & House Connection 62. Backwash & Receptor��nal , i 12. Sewer Cap , 53. Heater & Vent-Finaf �.- 13. Roof Drains 64. Plumb�ng System - Final 14. Rough Plumbin9 65. Electrical-Final ' 15. Rough Electrica6Conduit _ 66. Solar SYstem-Final 16. Rough Electrlc Wiring . 67. Fencing & Access ApProvai 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling . 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMEN7 20. Rough Factory Firepiace APPROVALS Permit # 21. DuttS. �n Structure 70. Underground Hydro 22. Ducts, Ventilatin9 71. Product Piping C7 Gos rJ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Ta�k � Gas ❑ Oil 25. Roof Sheathing 57..Q,,,3'q� �(,�/ J4. Overhead Hydro • � 26. T-Bar Ceflinq (Structural) & Monocoat 75. Dry Chemical �" '�� 2Z Frame and Flashing 76. Dry $tandpipe � i..... 28. Lathing & Siding 77. FIXED SYSTEM FINAL � 29. InsWation 78. FIRE PREV. FINA� �•'J 30. Drywall Nailing HEAL7H DEPT. REQUIREMENT � � 31. Plast¢r Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 5/$/�9r .t/O GDIL�rv/l1� � 34. Final Heating & Air Conditioning �� _z �� ' �q, /4� ' 35. Final Gas Pipe-Test � 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service�Final 40. Gas Service-Final 41. Solar pomesiic�Fi�al ' 42. Backtlow Preventer 43. Backf�ow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Hand�cap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric fielease to Edison 50. Gas Release to Southern California Gas Cv 51. CER7IFICATE OF OCCUPANCY No Date � - . Appliwnt to fill in all sDaces except those within heavy Eortler lines an0 sign all appropriale Oeclarationi. � ' , � - � ¢N"" . CITY OF COSTA �M� S�jAp+ C ST UCTION PERMIT PER IT N � TRACT NO. . LOT NO.' ' � UNIT NO. '. . � E.3O� BIPB/BA 5.D0 . TI . Project Address .�_//1Q ��/��1� L/ ' � . - - � . . . ., " ' . . - Applicant's Mailing Ad� � / TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR Owner'S Name . b � Phone � � �ONVERSION ❑ DEMOLISH ❑ OTHER � �y,p, # . . , Zone Address DESCRIPTION OF WORK/USE OF BLDG. S Main Building: . . Accessory euilding: Z ' A�ch/Eng. License No. TVPE OF PERMIT GRADING FOUNDATION STRUCTURA� T Front � • p Address � ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL � B Rear ' N Contractor's Name Phone ��OTHER - A 9 _ I a' p I! � PROJECT DESCRIPTION 5Q. Fr. oCCUPANCv C fti ht � G Address (ma'I'nal _ �'7�q Sa � %�y ' K � City License No �'7L` � J CONSTRUCTION TYPE VAIUATION $ g Left .� � ZONE GRADINGCU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION � Ping. Ref. # P2�king Req./P�Ovided E Q 1 hereby affirm that I am licensetl untler D/ovi5ions ot Charte� 9(mmmencln9 Remarks: ' � PldMing Not¢S: � ' . M with secfion ]000) of Division 3 of the Business antl Professions Cotle, antl T my license is in full�r��tl etfect. � ��/� � . - , _ . . � � License Class C�Or7!/ /) .nn n i np� �Y� � . ' � ' - S Date' � 5'g t �! �� PLUMBING. - FEES ,�'� ' � ' � WORKERS' COMPENSATION DECLARATION I hereby atiirm that I have a certificate oi consent to self-insure or a ceruficate Bar Sink Showers ELECTRICAL . ' FEES of Workers' compensation Insurance, or a certii' tl cooY t ereof "(Section � gackflow Preventer Service Sink 380q �ab. . ��Q��%'7� - � Automatic Washer � Transformer ❑ 75-50 KW Policy No._��-`Y�y_7„>+l:J_— ComPanY- Backflowirrigation SewerCa ' ❑ 50+KW � � �ertifled copy is hereby fumi5hetl. '^ P - COpSt�uctiOn P012 Sub. - �1� Cert' '� c p /ytiletl wim the city�qyi��ian. ////i rv� G. Bathtubs . Sewer Connection Cooking Unit ' � Meter ❑up to 100amps Date__]�Z��O _ APPlicant .� ,q �•• �i(�1�(.� � - EXEMGTION Fft M WORKERS' COMPENSATION DECLARATION- Cl2�iFi¢f5 . 5012� COIIBCLOR Di5hwd5he� - '- `MEL¢� ❑OVE� 100dfnp5 —`� � - (Thissection neetl not be complet¢tl if the pe�mit is for one huntlretl ($300) o� less). Dishwasher , Solar Piping Dryers ❑Gas ❑Electric Sub Panel � I certity that in the perfo�mance Of the wo�k for which this perrYiit i5 i55uetl, 1 � � shall not employ any person in any manner so as to become subject to,the . Drinking Fountains . $olarTank ' Fan - Motors �0-1 HP �1'/x-6 Workers' Compensation Laws of Califomia. � " ' \. Date Signature � Floor Drains ' Swimming Pool w/Spa . F.A.U. ' Inc.$olar 09-15 HP �16-15+ 'NOTICE: If, after making this tleUaration, you shoultl become subject to tM1e Workers' Compensation provisions ot the Labor Cotle, you muzt forthwith Floor Sinks � - comply with such p�ovisions o� this permit shall be. tleemetl revoketl. U�i�dl Pix[u/¢5 Mic�Ow2v¢ � CONSTRUCTION LENDING AGENCV ' . I hereby�alfirm that tM1ere is a construction lentling agency for the performance ' Gas Service QuLIBtS Wat¢� CIOSEt ' D2viG¢ BOx¢5 POI¢ Light � ' of the work tor which this permit is Issued (Sectian 3097 Civ. C.) Int¢rCe tOrS ' - Wdt¢r Hedt¢f Lentler's Name P Outlets � Range . Lenaer's Atlaress � Kitchen Sink Water Service Switches , Si n OWNER BUILDEH DECLARATION , � 9 I bereby affirm that I am exempt from the Contlactol'S License l.aw fOr the L2vdtOfi¢5 � '' AutO-W35h Gdfbag¢ Di5pO5dl ; Stdflding S2ctiOns following reason (Sectlon �031.5 Business antl Professional Cotle:.Any city or munty which �equires a permit f0 Construct, alter, improve, tlemolish or repair P—T�ap Laund/ T�e 5 � any structure, prior to its issuance, also requires the applicant for sucn permit Y Y " Generetor DO-5 KW �5-15 KW . Trash Compactor to tile a signetl statement IM1aT he/she is Iicensetl pursuanl to che provisions of Roof Drains ' - the Cwba<tor's License Law (Chapter 9(commencinq wilh Section ]000) of Division 3 of the Business antl Professions Cotle) or [hat he/she is exempt - . therefvOm antl the basis for th¢ alle9etl exemption. Any vi0ldtion of SeCtion . . ' ' 7031.5 by any applicant ior a permit subjects the applicant-to a civil ' ' ' � �nalty of not more than (ive huntlretl tlollars (g500). � � ' LJ I, as oWner ot the property or my employees with wage5 a5 meir Sole ' ReinSpectiOn Fee $75 Issue F¢¢ $ 3 mmpensa[ion, will tlo the work, antl the structure is nol intentletl or offeretl Reinspection F¢e $15 IssU¢ F¢e $ 3 for sale (Section 7044, Business antl Protessional Cotle: The Contractor's ' MECHANICAL FEES LicenSE l2w tloes not apply to an owner of a property who builtls o� imp�oves chereon, antl who tloes such work himself/herself or through nis or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provitletl tnat such improvements are not intendetl or ofteretl far Boiler � Hood or Type I ❑� � � sale. It, noweveq ihu builtling or improvement Is soltl within one Year of com- Canopy TYPe II ❑ Z��9 APProved By Date pletion, tite owner will have the bu�tlen of provin9 he/she tlitl not builtl or im- DUCt - UndE� i�i�OUnd ' ' prove for tne purpose of sale). . Building ApF�oved By Date ❑ I, as owner ot �the property, am ezclusively cantracting wim licensetl con- Duct - Structural Refrigeration System Applintian Issuad By Datp 'r� tractors to construct the project (Section ]044, Buziness antl Profession5 Cotle: ' The Contractar's License Law tloes not apply to an owner ot pmperry who Duct - Ventilating � -- ❑0.100,000 BTU ❑100,000 BTU - SUMMARV OF FEES � builtls o� improves lnereon. antl w�o cont�acts for su[h ptojects with a con- tractor(s1 license pursuant to the,Contractor's License �aw). I am aware that ExhaustSystem ❑ Multiple ❑ System Repair/Altera[ion ' BUILDING PERMIT $ SMIP $ proof 01 tneir Worker's Compenzation insurance shoulE be provitletl to me. PLAN CHECK $� PERMIT � ❑ fam exempt untler Section B. & P. G�or this reason Firepl/Fact Blt. ICBO # Fire Dampers , pLUM81NG $ �SSUANCE $ Date � Owner Heating Sys[em & Ducting Re9isters � � PLqN CHECK 25% $ ENERG�' P.C. $' I hereby certiry that I have reatl mis application anif state that the above ❑0-100,000 BTU 0100,OOOBT GRADING $ information is correct. 1 agree to comply with all city antl;county ortlinances . ' ELECTRICAL ,$ and state laws relating to builtling conStruCtion, antl hereby authorize rep�e- �$ ' MICROFILM $ sentatives of'thi , ci enter pon the above-mentionetl prooerty for � � PLAN CHECK 50� inspectlan pu�p . a/ ' ' � - � ' Signature � — Date s-��-0 (O MECHANICAL 3 TOTAL FEE $ � f Drivers' License or 55 � Fainspection Fee $15 . laue Pee $ 3 PLAN CHECK 25% $ CMF 0865�46, rev. 10/B4 White - Bulltling; Canary - qpplicanh Pink - Accounting; Goltlenrotl - A55essor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector qPPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3' Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. ElectricalUFERGrnd. 57. APPROVALTOCOVER-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. 10. Structural Floor System . 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap ,, 63. Heater & Vent-Final 73. Roof Drains 64. Plumbing SYstem � Final 14. Rou9h Plumbing 65. Electrical-Final 15. Rough Electriral-Conduii 66. Solar System-Final i 6. Rough Electric Wiring 67. Fencing & Access Approval 1Z. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18'.�Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19r�Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20' Rough Factory Fireplace APPIiOVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 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. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy � �� 37. Final Factory Fireplace �� :� ..38. Final Plumbing 723,�� L�D 39. Water Service-Final f 'i 40. Gas Service-Final • ; 41. Solar pomestic-Final � c. , 42. Backflow Preventer _ 43. Backflow Irrigation ='� •:.� 44?� Landscape Irrigation System �� 45. Sound Attenuation - 4B',�Handicap Regulations 47� FINAL STRUCTURE & BUI4DING 48 Special Requirements Completed 49. Electric Release to Edison � 50. Gas Retease to Soutfiern Califor�ia Gas Cn 51�;CERTIFICATE OF OCCUPANCY No. �' Date r --o LOT 17 A �12 . �_�:_D�Y� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BO7L Hf7 C06fA MEBA. CALIFORNIA For Applieanf fo Fill In Complefely TYPE OR PRINT .. _ l.w, n�d.. ,— 009TA MESA CALIFORNIA MAIL ' ' '"" — :• ••• ADDRESS ' � �,SS P13 .P.[Zt1A AV6. �� — " �,.,�, Ne��ort Beach T,E�•Nti 6-3z N TEL. �., i nn � NO. OP-BLD68. Q FEE RECE9VED ' FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT �N�o�p_� BUILDING � � ! C.S�— For Office Use Only neceirr Ho. e R.No. .�.`S�� 1'� o er oe neesrven oere �saueo �` I � :��.��h �EP •� � ,q�, GOSTA MESA, CALIFORNIA ZONING ZONB� `/ I PLANeP � I Bl11LDIN0 EW��.� H9CRIPTION �l/ I � • �� " � � � USE OF YARDS EVES PXIHTING BLDG APPROVED ALLOWED BBTBAGN LIN6 PROM � 7�n It <C[MT[R LIN6 OTJ /^ CENT¢R OP BiAeai � REAR YARD � I G FRON7 +� � FT. SIDE YARD I LEFT � �� I RIGHT �J � �� R. SIDE � FT. � DESCRIPTION OF WORK / p L. SIDE `� FT. � NEW I IIALTERATIONI AADDITION I REAR /� FT. � �r, EXT6RIOR WA1�L, ROOP ROCK COVERING JL CCO COVERING I U8E OP BUILDING AND WORK TO BH PERFORMEO z6 I XERBBY ACKNOW�DOB THAT 1 X�VB HGU THIB APPllGT10N TM6 AMOUNT BXOWN UNUER VALUATION IB POR TH8 AND BTIITH THAT YN8 ABpVH IB CORRt4T A!ID AGREH TO COM• pUI8088 OP EBTABLI9HING A P¢RMIT PEE ONLY. PLY WITM ALL CITY ORDINANCEB AND 6iAT6 LAWB RHODUTINO eu�tn�rva CONernVrnON. VALUATION 81GNATURE OP '7 $�� 3ao� puN'CHECK S ��/.�j PERMITTE ► i R O 4 4215 3/27/80 115a10 ,. COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT • ` RECEIVE� PERMIT For Applicant [o Fill in Comple[ely — Use Ink Only ADORESS JD � � � /y�� (,�/// `( A P NO Q —y..��I OWNEROR �/ / ADDRE55 '3O�D ��'•"'�M wU' TENANT 54�:�SI�/�-(iFY MAILING UNIT OR ADDRE55 ��j�G -. � s�'}'J %�C� SPACE NO. dTV ��./�n(��j TR.NO. � LOT I . BLK. �/? ('�/J NOL�/✓"�r G CONSTRUCTION (��/ ly, NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER C/7'�/I BRANCH I OwNER �,GLSII KO ADDRESS ORENGINEE ✓/� CC(�x�T TE�.S'3yyybZ USE � ;�+�� VALUEE ADDRESS /.)SI Ce'�li��zr� C;i. C'G'. ZONE %""I T E� GROUP —3 % APPflOVED CONTRACTOR j ��%� (,A✓S r BV DATE — %— ADOFESS %/U� �C�� %( • CITV ///VivGf� ` NOL.i�r7l�l �j �j/� APPROVED SETBACKS LIC.NO.��/Z!�%�O J LICVNO. SIZE NO.OFBIDGS. (FROMC/LSTREET) OF LOT (!j� �/OO NOWONLOT RONT FT. USE OF /� '�] ^ EXISTING BLDG. �.J I C i—C� FT. � Separate permits are required for L. SIDE F. electric, plumbing and heating work. REAR FT. USE OF BUILDING AND WORK TO BE PERFORMED PLAIVNING ACTIOIv �Mr ly l/lvv�l O�eC, Q�VR�yI� � o�Eo � � APPROVED �� 7 � O _` I haraby acknowledpe that I �eve reatl th(z epplleetion anC state that the ebove intormetion ia corract antl aprea to comply wlth ell laws regulating builtling conrtruction, antl 1 shall not employ eny person In violation of the workman'a compensatlon laws of Me State ot Californla. I hereby cartity that I em proparly licansetl es a contractor untlar y 9z SQ. FT. the State ot California Business antl P�ofesaions Cotle, Division 3, THE AMOUNT SHOWN VNDER VALUATION IS FOR Chapter 9, end that such licenses ere in tull force and affect, or I THE PUFPO6E OF ESTABLISHING A PERMIT FEE ONLY: am exempt trom the O�ovistons of the Smte ot Calitornia Businazs VALVATION a�d Pf0185510�5 COtle, DIvi510n 3 Chapta� 9. PERMIT FEE 5 , Q J jf � A .f LAN CHECK E O Signature ot � � J/ ' �j i%..�� [' '1 Parmlttea �'�� '�� / - $ I 5 � I � � TAX E Authorizatl Agant Date ��^'-��/ � 1 TOTAL PAID E •.� O 7 m e N n m 0 f V