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Home My WebLink About999 HARTFORD WAY - Building Permits! o �.1� ..�- �� ,.. ;. c� � ` a� ��.�;.� �� =�- ��, , ..� .� .��.�.��._. �� .�� ¢��1 �J��-!lr�, �tiQQeo�- � � G✓2P�� , ; . _ �� 0 Aoollcant to fill in all soaces exceot those within heavv borCer Ilnes antl sign all approoriate tleclarations. CITV OF COSTA MESA O TR TION P RMIC� PERMIT O. TRACT NO. LOT NO.� urviT rvo. � .� 8421 I'�2/09/86 9o9O T Project Address �� _ � � I � Applicant's Mailing Addre55 ' , �-,,I . TVPE OF CONSTRUCTION NEW /�.DD ALTERATION REPAI R Owner'sNam w � Phone�U'X6V� � CONVERSION ❑ DEMOLISH � OT E p_p.# Zone ' •DESCRIPTION OF WORK/J� SE F BLDG. � a Address C .' • �� O�%n` ��CO�'/�I e1 4 S Main Building: Accessory Building: . ' Arch/Eng. Licen o. . ' TYPE OF PERMIT LJ GRADING LI FOVrvDATION STRV 7URAL T Front ' p Addre55 ❑ TENANT �ELECTRICA� ❑ PLVMBING ❑ MECHANIGAL A Reaf N Contractor'sName � Phone • �❑ �THER C Right � N Address (mailing) ' � PROJECT DESCHIPTION Sq. F7. � ocCUaArvcv ' K Lett G ' CON.STRUCTION TYPE � VALUATION $ $ CityLicenS¢NO. ' �ZONE GRADINGCV.VDS. ACRES R LICENSED CONTRACTOR DECLARATION " � Ping. Ref. # Parking Req./Provided E 1 hereby afti�m tM1at I am li[ensetl untler provi51on5 of Charte� 9(commencing Remarks: � C�" � S Planning Notes: . M wiih section 7000) of Dlvision 3 of tne Business antl'Professlons Cotle, anC T my iicenze is in tun force antl eifect . • Q �' cJ 3 d �.1• M Q�. ,eYV�� icense Class Lic¢nse No. ��'� S Date Signature A • PLUMBIN F ES WORKERS' COMPENSATION DECLARATION ' Ba� $ink ShOw¢�5 � I hereDy aifirm tnat I have a certifitate of consent ro selbinsure or a certi�icate• . ELECTRICAL FEES ot Workers' Campensation Insurance, or a certlfietl copy thereot (Section gackflowPreventer ServiceSink � 3Boo, �ab. C.) Automatic Washer Transformer ❑ 15-50 KW voiicyNo. • Comoany Backflowlrrigation SewerCap ConstructionPoleSub. �SO+KW _ BCertifie0 cooY is hereby �umishetl. , Certifietl copy is filetl with the dty Builtling Dlvlslon. Bathtubs Sewer Connec[ion Cooking Unit Meter �up ro 100 amps �a[e AP011cant E%EMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers SOId� C0112C[O�5 • Di5hwd5h¢� MetE� ❑Ov¢� 1002mp5 (Tbissection neetl not be completetl it the permit is fo� one huntlr¢tl ($]00) or � lezs). Dishwasher Solar Piping Dryers OGas ❑Eiectric Sub Panel I certify [hat in the perto�manta O( th¢ wOrk for witich this pe�m�t is i55uetl; I ' . zhall not emv�oy any person In any manner a to b e suqjec t the Drinking Fountains Solar Tank Fan ' Motors �0.1 HP �1'/a- 8 Wo�ke�s' pepWtjap Ldws of Califo�ni � Date .��' � �1�� Signature Floor Drains Swimming P w/Spa F.A.U. NOTICE: It, atter making [�is tleclaration, you shoultl become su ct to ttie Inc.Solar �9-15 HP �i�i� WofkerY Compen5dtion provisions of the LdbOr Cotle, you mus tofthwith FIOOf SinkS Ufinal FixLuf25 0 wmply wil❑ such prOvisionz or tnis permlt snall be tleemetl revokeU. MiCrowdv¢ CONSTRVCTION LENDING AGENCV GasService Outl¢IS ¢�CI05¢t DeviceBoxes I hereby atfi�m that fhere is a const�uction lentling a9ency lor the perto�mance Poie Light of tne work for whicM1 lhis permi[ is issuetl (Sectlon 3097 Civ. 0.) Interce tors Water Heater Lentler's Name P Outlets Ran9e Lentler's Aatlress Kitchen Sink Water Service witches Sign ' OWNER BUILOER UEGLARATION I nereby affirm that I am exempt lrom the ConVactor'z License Law for the Lav3ro�ie5 Auto-Wash tollowin9 �eason (Seciion 7031.5 Buziness antl Protessional Cotle: Any city or Garbage Disposal Standing Sections county which requires a permit to construct, alter, improva, tlemolish or repair P—Trap Laundry Trays Generator 065 KW �5-15 KW any structure, prior to its issuance, also requires the applicant for such permit Tresh Compactor to file a si9netl statement thal he/she is licensetl pursuant to lhe provisions of Ro0( Drai ' � the Con[ractor's License Law (Gbapter 9(commencing with Sectlon ]000) of DiviSion 3 ot [he Buzines5 antl Protessions Code) or lhat h¢/The is exempt _ therel�om antl the DasiS for [he allegetl exemption. Any viOlatlon ot Section 7031.5 by any a0��ant for a permit subjects [he aOP��ant to a civil ena ot not more Ihan five huntlretl tlollarz ($500). $ 3 ;�• I, a5 owne� ot the prop¢rty o� my employees wi[h wa9es as their sole ReinSpBction Fee $15 ISsue Fee compensation, will tlo the wo�k, antl lhe structute is not Intentletl o� offe�etl ReinSpectiOn Fe¢ $15 ISSue Fee $ 3 tor sale (Section 7044, Businezs ana Professional Cotle: The Contractor's MECHANICAL FEES License l.aw tloes mt apply [o an owne� ot a prope�ry who DUIItlS Or imp�ove5 - thereon, antl who aoes zucn work hlmself/herseli or througn his or ner own goiler Hood or T e I ❑ DEVELOPMENT SERVICES REQUIREMENTS: employees, provitletl that such improvements are nOt intCntletl o� ottere0 fo� YP ' ' sale. If,•however, the bulltlin9 or imorovement is sola within one year of com- �anopy Type I I ❑ Zoning Approved By Date pletion, the owner will have tne burtlen ot proving ne/she tlitl no[ builtl or im- Duct - Under Ground Building Approved By prove for the pu�poze Of sale). Date ❑ I, as owner oi the property, am exclusivey contractlng witn Iicensetl con- Duct-SttucWral Re(rigeration em Appliotion Issued By �, �-�+ oata/�—%—R"6� tractors to construci the oroject (Section ]044, Business antl Pwiessions Cotle: The Contractor's License Law does not apply to an owner of property who Duct - Venlilating ❑0�1 , 00 BTU ❑100,000 BTU builas or improves tnereon, antl who contracts tor such projects wrth a con- SUMMARY OF FEE tractor(sl i�cense pursuant ro tne Contractor's �icense Law). I am aware tnat Exhaust System ❑ MWtiple ❑ System Repair/Alteration BUI LDING PERMIT $ SMIP $' proot of their Worker's Compensation insurance snoultl be p�ovitletl to me. PLAN CHECK $ PERMIT' ❑ I am exempt unEer 5ectian e. & P. C. ror this reason FirepVFact BIL ICBO # Fire Dampers PLUMBING $ ISSUANCE '$ Heatin S PLAN CHECK 25% $ ENERG�' P.C. $ Date Owner 9 ystem & ting Fiegisters I bereby certify thal 1 have r¢atl thi5 applica[iOn antl stat at the above ❑P100,�0� ❑100,�008T � D GRADING $ information is wrrect. I a9ree to comply with au city antl c nty ortlinances ELECTRICAL $ _ antl state iaws relating to builtling conzvuction, antl heraby au[horize repr¢- ' PLAN CHECK 50% $ - ��% MICROFILM $ sentatives of this a[y.�tq e� ter up�n tqe above�-ny ntionetl Property fo� . �y� y inspection purpases��6/� Z�/��/ /� � MECHANICAL $ TOTAL FEE $_� � Signature ( rl�.�.� C.LC/ h.!/ �D/ate Reinspection Fee $15 luue Fee $ 3 � PLAN CHECK 25% $ � .Orivers' Li 5 —`�� CMF 0865-46, rev. ]0/84 White - Bulltling; Canary - Applicant; Pink - Accountlng; Goldenrotl - Assessor � CONSTRUCTION AND PLANNING � � POOL & SPA APPROVALS Permit # Date � Inspector pppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement , ' � 3. Electrical Conduit UtilitY-Undrgmd. . 54. Forms . 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement• 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ' 7. Footings . 58. Electrical Conduit-Undrgrnd. � . 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 72. Sewer Cap ' 63. Heater & Vent-Final . 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing N;,1� 65. Electrical-Final 15. Rough Electrical-Conduit ��f 66. Solar System-Final 0 16. Rough Electric Wiring �. S�c .iaL' `G �`J'?K' •'�' 67. Fencing & Access Aqproval .�.8 G 17. Rough Wiring Sign � 68. APPROVED FOR�PLASTERING 18. Rough Electrical-T Bar Ceiling' � 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # . 21. Ducts, in Structure ' 70. Underground Hydro 22. Oucts, Ventilating r 71. Product Piping O Gas ❑ Oil ' 23. Gas Pipe-Rough & Test 72. Underground Flush � 24. Roof Freming 73. Undergrnd. Storage Tank'� Gas ❑ Oil �� 25. Roof Sheathing 74. Overhead Hydro � 26. T-Bar Ceiling (Str'uctural) & Monocoat 75. Dry Chemical � . - 27. Frame and Flashing 76. Dry Standpipe ' � 28. Lathing & Siding 77. FIXED SYSTEM FINAL � q 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 �_�.y j Notes: �,_� 6_ f.6 �i• � !L n i �" �s ncc 34� Final Heating & Air Conditioning ,p, � w�j�c h w, ...cy�� 35. Final Gas Pipe-Test ' � '� x, - 1-dl c� :.�• ..,. s� ..� 36. Hood or Canopy /s � O N/G'�w-8D C i C" 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final ' 40. Gas Service-Final . . - . . 47. Solar pomestio-Final ' ,42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation � 46. Handicap Regulations � 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed � . 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co 51. CERTIFICATEOFOCCUPANCY � � No. Date ' Applica�y-t�nll in ali soaces exceot those within neavy boraer lines antl si9n all apvrovriate aeclantions. CITY OF COSTA MESA/� CONST�j�J CT1IO PERMI1T' P RMI NQ/� �� e� TRACT Q. LOT NO. �- UNIT NU. .._ProlectAddress - ZQQ /7'Q/'7�(1� WQ�� . �GC.J -.� � , � �- �\\� �;� y • . . �,�/�: , S Qyy� e � TYBE OF CONSTRUCTION W ADD ALTERATION REPAIR ' - � Applitant'sMailingAddress y� ❑CONVERSION ❑DEMOLISH � Owner's Name L�/ r"A � G i�BH �YI y�ffPhone. �%4' ❑ oTHER�tl` O q.p. #� _ N' r, f, � Zone yo q �1r ESCRIP ON OF W RK/USE OF BLDG � � Address � I ��Q'�T'�T�f'1 ��;'� ��('J �`�C� })i Ya��j--449' 3 S MainBuilding: � I A Building: Arch/Eng. LiCense NO. TVPE OF PERMIT GRADIN�U D�� STRUCTURAL � T Front - � �= _� �� p Addr2s5 ❑ OTHERT ❑ ELECTRICAL ❑ PWMBING O MECHANICAL A Reaf � Y QF �O )1'H IY�i�� N Contractor's Nam d Phone pROJECT DESCRIPTION 5[� FT �' ocCUPaNCv 'j �� Right't � N Addre55�mailing) CONSTRVCT!^N?YPE VALUATIONS � �•�� g Left � G City LiCenSe NO. ZONE GRAOING CU. VDS. ACRE R LICENSED CONTRACTOR DECIHRATION Ping. Ref. {k PBrking Req./Provide[7 E I hereby attirm inal I am licensetl untle� provisions oi ChartGr 9(commencing Remarks: �� ; f r � �{ 3 3• S �� Pl2nniny NOt¢5: M with section ]000) of �ivision 3 of the Businezs antl Prote55ions Cotle, antl � my �icense is in ruu torte ana ettect. �{-�-BO� .SQ.�e R�'aC �� , S LicenSe Class Licensa No. � Date Signature ' PLUMBING FEES � WORKERS' COMPENSATION OECLAHATION . Bef Sink ShOWers � ' ' I hereby aifirm that I nave a ceriiflcate of consent to self-insure or a certlticate ELECTRICAL FEES of Workers' Compensation Insurance, or a certitietl <opy thereoi (Soction BackflowPreventer ServiceSink � 3800, Lao, c.) Automatic Washer Transformer ❑ 15-50 KW PoncyNo. Company Backflowlrrigation SewerCap ConstructionPoleSub. �SO+KW, 8 Certifietl copy Is hereby turnizhotl. Certifietl <opy Is filetl with the dty Builtlin9 Dlvision. " Bathtubs Sewe� Connection Cooking Unit Meter ❑up to 100 amps Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Cla�ifie�s Sola� Co11EC[O�5 Di5hw25hCf � M¢t2� ❑Ov¢� 1��8m (Th'S sec[ion neetl no[ be compleletl If Ihe permit is tor one huntlratl (a300) or less . Dishwasher - � Solar Pipin9 Dryers OGas ❑Electric Sub Panel I certify tha[ in the Oerto�mance of th¢ wOrk fo� which this pe�m�t ISlssuatl, I -� - - � � snall not employ any person in any man� s o bec e subject to the Drinking Fountains Solar Ta Fan Motors ❑ HP �7'h - 6 Work¢r;.� o�g n5�t�y� Lnws Of Calitomia. Date _�1=_ZLCLC�Signature � Floor Drains Swi in9 Pool w/Spa F.A.U. Inc. ar �9-75 HP �16-15+ .NOTICE: If, atte� making this tleclaratlon, you Shoultl beCome Subj ct to the . Workers' CompensaUon provislons ol the Labor Cotle, you must fortnwith FloorSinks � � rinal . Fixture5 � ¢rowave compty witn such provisions or [his Oermit snall be tleemetl ravoketl. CONSTRUCTION LENOING AGENCV ' GasService OUtlets �WatelClOset - DeViCeBoxeS Pol¢�i ht 1 hereby atfi�m tnat lnere i5 a ronst�uctlon Ientling agency fo� the perbrmance 9 Of the work for which Ihis permit i5 issuetl (SeCtiOn 3097 Civ: CJ InlerC¢ptOrS Wdt¢r H¢at¢r OUtI¢IS Lentler's Name Range Lontler'sAtltlress � KitchenSink . � WaterService Switches Sign OWNER BUILDER �ECLARATION I he�eby atfirrn thal%I�am exempt from the Cont�nctor'S LiGense Law Por Ihe LBvdtO�i25 . ' AutO-Wdsh Gar6a C Di5 0521 tollowing reason (Sectlon 7031.5 Busine5s antl Professional Cotle: Any city or 9 P Standing Sections county whicb �equires' a pe�mit to Cons[�uct, alt¢r, Improve, tlem011sh oe�epair P-T�ap Ldund� T�e S any structure, prior tolts issuanco, also reqWres t�e applicant for such permit Y � Generaror �0- W �5-15 KW Trash Compacto� to tile a signetl statement tnat ne/she Is licensatl pursuant to the provlsions of Roof Dr � s ' the Contractor'S License Law (Chap[er 9(commencing'with SeCtion 7000) oi �Division 3 of t�e Business antl Profes5ion5 Cotle) or that he/she is exampl - - - � there(rom antl the ba5�5 for the allegetl exemp[ion. Any viOla[ion ot $ection ]031.5-by any apO��Cant for a permit sub�ecls Ihe applicanl lo a civil �e Ity of not more than five huntlretl tlollars ($500). , � ' ,� as owner ot th¢�Property or my ¢mployees wilh wages as their sole ReinSpeMiOn F80 $15 , Issu¢ Fee $ 3 • compensalion, will tlo the work, antl the structura is not intentletl or otferetl Reinspection Fee $15 Issue Fee $ 3 (or sale (Section 7044, Business antl Pro(ezsional Cotle: The Contracmr's MECHANICAL FEES LiGense Law tloes not apply to an owner of a properry wtto builtls or improves - thereon, antl wno tloes sucn work himselt/herselt or throu9h his or her own DEVELOPMENT SERVICES RE UIREMENTS: employees, provltletl tnat such improvements are not intentled or offeretl tor Boiler Hood or Type I ❑ la-R-B'� salc. If, howevcr, the builOing or improvomont is soltl within onn yoar oi com- Canopy TypC II ❑ Zoning Approvad By Date �y- D�etlon, the owner will have the burtlen of prOving he/she dItl not builtl o� im- DuCt - Und¢� GfOund Building App�OVed By ete �� $� o� prove fo� the purpose ot Sale�. - /�_ d ❑ I, as.owner ot the oroperty, am exclusively tontractln9 with Ilcensea con- Duct -Structurel Refrigeration System Appliwtion luuad By� � Date --in�o lractors td cOnsiruct Ihe O�oject ISection 7044, BuSiness anG Protesslons Cotle: The Convattor's Llcense Ww does not aoPly to an owner ot property. who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU . $UM-=�FEES ' bWltls or imptovez thereon, antl who contracts /or such prOjectS wlth a wn- - /• /'� tractor(s) ncense pursuant m tho Contractor's License Law). I am aware that ExhaustSystem ❑ MWtiple ❑ System Repair/AI[eration BUILDWG PERMIT $ SMIP $ < </ proof o( their Worker'z Compensation insuranco snoultl ba provitlea to me. PLAN CHECK ' $ � PERMIT - ❑ 1 am exemo� untler 5ection e. & P. C. for this re on Firepl/Fact.6lt. ICB6 # � Fire Dampers a PLUMBING 5 ISSUANCE $ Date � - Owner Heating System & Ducting Registers PLAN CHECK 25% $ ENERGV P.C. $ i hereby certify that i have reaa this appiication and state tha e above ❑0-100,OOOBTU �100,0006T - ELECTRICAL $ GRADING' _$- information is correct. I agree to comply with all tl[y antl count rtlinances antl state laws relating to builtlin9 <onstructi n, antl hereby aumorize repre- PLAN CHECK 50% $ MICROFILM - $ sentative5 of [hi5 Uty o er upo t e bove- e tionetl pro0erty for - inspectionpurpos � MECHANICAL $ �'�� TOTALFEE $ ��^a 519nature Date Reinspeccion Fee -575 Issue Fee $ 3 PLAN CHECK 25% $ J� Drivers' Licenso or SS # � /� CMF OB65-46, f¢v. 30/tl4 WlIIL¢ - BWItllOg; CdOdry - HppllCdnl: PInK -liCCOUniln9: 1iO14C0lOO - q552550! 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. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, � 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 � 13. Roof Drains 64. Plumbing System � Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heatin9 & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS 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. J�' S.�� (,N4/' !I�-�/�-�T�� ✓%<< 34. Final Heating & Air Conditioning �� L 6, 35. Final Gas Pipe-Test . 36. Hood or Canopy , 37. "Final Factory Fireplace �-(�.j�G (,,�j� 38. Final Pluinbing •i � :r 39. Water Service-Final ' ��- �40. Gas Service-Final '�� 41•: �Solar pomestic-Final • " � 42: Backflow Preventer , _, i. • r 43 Backflow.lrrigation �- ' 44. ��Landscape Irrigation System : . ' 45. Sound Attenuation - " .� 46. Handicap Regulations •� • . 47.�'FINALSTRUCTURE&BUILDING j7 ,Y . . - 48. Special Requirements Completed � ' ' ' 49. Electric��Releaseto Edison �' - � 50. Gas Release to Southern California Gas Co - � 57. CERTIFICATE OF OCCUPANCY t No. Date � � � � , ` PXOJECT q00HE55: y 9 9 �j�7'r Q};]� �Ty O�EH'SNAME: WRIGHT, WILLIAM A nooxe!s: WRIGHT ELLEN E 999 HA{tTFORD WAY COSTA MESA,CA 92626 5408654 ANCHIENGINEEF: REG.NO.: RDUflE55: IINIT: UNIT: PENMITTEE: (:j{j. pAC ROOFING (714)SS3-08fl4 aooecss: y272 JERONIMO IRVINE CA 92718 LILENSEO CONTNRCTOP DECLANATION: I pereGy aHirm Ihat I am licensetl untler pm '�ons ol Chapler 9(commencing with Section 7000� o� Division 3 0� �he Business ana Pmtessions Cotle. antl my license� tull t ce n0 e�fec�. ciTvuc.: 0/4�2(�31(�4 sTnreuc.:512$0��/)�� y�y�'fass C—"9 �ate�. � Q'SJ � � Signature'. �/�"-""' WORNENS' COMPENSRTION UECIAHATION: I �ereby a��irm �ha� I have a ' icate of consem m sell-insure ar a cetlificate o� Workers' Compensation Iqsu�apce�o�,a,cr{ti�i¢tl_cppy,�hereof (Section 3800, Lab. .4 �� 1� 9 3 POLICY NO.: V! W Y L LV ! LC EXP. DATE: comraNr: SUPERIOR NATL. ❑ CenilieJ coDY is here�y fumishetl. � Cenifietl co ' �ile e iry Builtli g�ivision. �a�e: � //'O `� qpplican�: EXfMP710N FHOM WONNEPS' COMPENSATION OEClANR710N: Qhis section nee � De complele0 i��he Dermi� is �or one hunAreO (51W) or less�. I ce�ily Iha� in �he performance o� �he work for which �his permil is issue0, I all no� employ any Oerson in any manne� so as to become sublecl �o ihe Workers' Compensation Laws ai Califomia. Oate: SignaWre: NOTICE: I�. after making Ihis tleclara�ion, you s�oultl Lecome subject Io ��e Workers' Compensation pmvisions of �he LaEor Cotle, you mu5i forihwil� comDly wi�� such pmvisions or �his permil shall be deemed revoketl. CONSTPUCTION LENUINC AGENCY: 1 herepy affirm tha� there is a consimc�ion lentling agency lor ��e petlormance o� Ihe work �or wnich thu permit k issue015ectioo 3087. Civ. C). LENOEP: noonEss: OWNEB BUILUER OECLABATION: I hereby attirm Ihai I am exemp� �mm Ihe ConVac[ors' State License Law �or �he lollowing reason �Sec�ion 703L5 6usiness an0 Prolessional CoOe Nny cily oi counly which requires a De�mil Io conStNc�, alter, improve, demolish, or reDair any structure. Drior lo its issuance. also requires ine applicant lor sucn permit to tile a signetl statement ihat he/she is licensed pur5uan��olhe pmvisians oll�e Coniraciors' State License Law�C�apter9�commencing wiih $ection 7000)o�0ivision 3 o�lAe Business an0 Pmlessions Code) or ihat �e/she is ¢Mempt Iherefmm anG IM1e Uasis fort�e alleged exemp�ion. Any viola�ion ol Set�ion 7031.5 by any aOPli[ani for a permii SuUlet�S I�e appliCan� b a tivil penaliy oi no� more Ihan �ive AunOr¢0 GOII2r5 (SSIXI). I. as owner oi �he D�oUeriy or my employees with wages as their sale compensation, will Uo ihe work, an0 ihe ❑ s�mclure is not imenae0 or ol�eretl �or sale (Sec�ion 7044, Bu5ine55 antl Pmfessional Cotle: Thy Comractors' Sla�e License Law Ooes noi aDDly �o an owner oi a pmp¢rly who huilAs or impmves �hereon, antl who does such work himsel�/herseli or ihmugh his or her own employees. provitletl tha� such improvemen�s are no� in�entled or oflered lor sale. If, however �Ae builtling or impmvemen� is sold wi�hin one year af completioq Ihe owner will have ihe burtlen o� Dmving �elshe tlitl no� builA or improve for �he purpose of sale�. I, as owner of the pmDenY. am exclu„ively contracting wi1� licensed contrac�ors �o coretmci �he prolec� (Section 7044, Business ❑ anU Professians Code: The Conlrac�Ors' Slate License Law tloes not apply ta an awner ol pmpehy w�o bmles ar imprmes IAe2on an0 who contracls far suc� pmlecis with a contracmqs) license pursuant to Ihe Coniractors' State License Law�. 1 am aware ��at D�aof of Iheir Warker's Compensy�ion insurance shoul0 be pwvitletl �o me. � I am exemp� un0er Seaion: 9. 8 P. C. �or Ihis reason: oaie ow�e�. I tlo here�y cenify Iha� I am aware oi antl un7ers�and Ihe requiremenls o� Calitomia Healih and Salely Code Sections 255P5, 25533, and 2553a antl ihat I or any tNure builtling occupant will/will no� (circle one) neeU �o comply with saiU s�a�e [oees antl �he requiremen�s for a permii lor consimc�ion or modifica�ion Imm �pe pir Ouali�y Managemen� OislricL Residenlial tons�mc�ion aD0lications are exempl lmm IheSe pmvisions. Oale: NpplicanC I hereby certily Iha� I have read Ihis apPlica�i0n antl slaie Ihal the above in�orma�ion is correci. I aAree lo comply wiih all ciry and counry orainances antl s�a�e laws relating Io building consimc�ion an re6yau11 r� resen�� ol this ci�y �o enter upon �he above�mentioned pwpertV lor inspeclion purpoyse�s. Date: � Tt/_ �r' ` Signa�ure'. � orivei's �icense or Socia� Securi�y x: 16<La6 Whne—Bmltlino: Green—Co�e pnforcemenC Canarv—Aoolicant; Pink—Revenue: Goldenrotl—Ascessor CITY OF COSTA MESA — BUI.LDING PERMIT PERMIT NO: H 057157 PLAN CHECK NO; I� CONSTRUCTION TYFE: V—N PERMIT TYPE; STR JOB DESCRIPTION ; T/ OFF RESHT REftOOF W/ COMP YtKM NU; � V7 lb. V 1: N J UYY : lv PURP05E: AL'P SQ rT: 5,000 CLAIM VALUE; S,D00.00 CALC—VALUE; 5,000,00 GROUP OCC; R-3 ! COMMENTS: SMOKE DETECTOR(S) REQ�UZRED IN HOME iEiE3EiE�1F1EiE-1F1f�IkiE3FiEifififi4lf?E3i��lf-ifiFiEiEfFY#fiEiE iE1E-lE#iFiEaEjEielhiEiEit3EiF3F1F�IFiEi4ifif�lE�ifiEiEiEifiFiEjf�EiEiEiF+E1fY•iFiFi(-jfdE34if3f* 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 --------- PRNT; FT IN REAR: FT IN FRN'i'; FT IN REAR: FT IN LEFT; FT IN RGHT: FT' IN LEFT: FT IN RGHT; FT IN PARKING REp• PROV; PARCEL; 13961127 ZNE: REF NO: PLANNING N{5'I'ES> � � if iE iE aF 1F IF 3f dE j6lE.3f 3F�E 1E * iF if 3E 3k �lf iF 3F iF iF if iE it 1F iE )F iF jF 3tiE-1F iE �E iE * iF 3F 3i iE iE iE X� iE #'� �E ih iF iF 3f iF if ii 3F af 1E 1F if if if �3i-jE �f aF.3E;{EjE 3f if iF iF ih�i if 3k 3F D E V E L O P M E N T 5 E R V I C E� R E� 0 I R E M E� iJ;;:P S ZONING APPROVED HY , llATE; ��, BUILDING APPROVED BY APPLICATZON ISSUED BY: � �'' 1FiEifiEifiEiPiEiEiE3f3Ei6jEaFiE1E3EjEiFiE1E . iE iE iE 163F iE fE 3E iF �14if 3f 3E iF 3E iE ik iE iE iE 3t 3f 3F iE iE if iF ik fF ##f iE jf iE iF LEGALIZATZON;N F E E flLDG PM7' I�I,UNHIiVG ELEC PERMIT 72.00 / DATE: DATE• � � +�***x�*�**� Z iE i! if iF �F iF if �iG iF iF iF iF iE if if iE if iF�IF 1F iF iE if �iF iF #.#f�jF jF 1E if iP if iF 1f iE if N- i4 U M M A R Y STRUGT[JRAL SEGNENT:Y IC MECHANIC FTRE SMIP/RES GRADING 50; SMIP/NON—RES 1/� 1SSUE FEE �� 9UILDING—DIV—� PERMIT SSSUE PLAN=CHECK TOTAL PAIA ' DQE TOTALS----> 72.50 0,00 G� �A 0.00 72,50 '72.50,%' ,00 r i REVENUE D.T.V.T.SION TOTALS--> COL EC?TEA; 72.50 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC M CHANIC FIAE SNiIP/TOT GRADIAIG,FLAN—CHECK 72.00 , ;'. .50 .., ; ,�% / iF i4 iE iF i4 k iE �lE lE 3E-If 3F iE iE 1E if iE iF �f iE iE 3E #F iF iE iE 3f iF iE iF iF jf ik iE i@ fF IE }6 jF 1E iF iE iP 3f iE �7'r 1F # 3E 3E fE 1(� Ik iE 3F iE iE iE iE iE it� If i(� �i� aF 3E �f iF.?F iE iP 3f 1F iE 1F 3E lE 1E iE I N D I V I D U A"� ' F E E B R E A iC D O W N � TYPE QTY D E S C R I P T I.Q' N ,�. UNIT COST ' TOTAL COST SFR 5000 REROOF BY VALUE RESIDEN7'IAL N020NE 1,OU �i' S,000,00 END OF FEES ,;!� � � . ?` �;�a3 �L iJ117-. ^. - � �J�iY�: . ,, ' _ _ . CONSTRUC710N AND PIANNING � POOL & SPA )qpPROVALS Permit# - Date Inspector APPROVALS Permit� Date Inspector t. 7emporary Electrical Service or Pole 52. Pool & Equipment Location � 2,- Soil Pipe-Undrgrnd. ' �'. 53. Steel fleinforcement 3. Electrical Conduit Utility-Undrgrnd. � 54.� Forms 4. Electrical Conduit�Undrgmd. . �. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. �lectrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, Cl Undrgrnd., Test 9. Water Pipe-Undrgmd. !� 60. Backwash Lines, P-Trap, O Undrgrnd. 70. Structural Floor System _ ,= 67. APPROVAL TO DECK . 7 i, property Sewer Line & House Connection � 62. Backwash & Receptor�Final 72. Sewer Cap 63. Heater & Vent�Pinai 13. floof Drains 64. Plumbing System � Final 14. flough Piumbing 65. Electrica6Final 15. Rough Electrical-Conduit 66. Solar SYstem-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 77. Rough Wiring Sign , 68. APPROVED FOR PLASTERING 78. RoughElectrical�TBarCeilin9 69. POOVSPASYSTEM5FINAL 19. Rough Heating & Air Condltioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. DuCts, in SIructure 70. Underground Hydro 22. Ducts, Ventiiating 71. Product Pipin� � Gas Q Oil 23. Gas Pipe�Rough & Test 7z, Underground Fiush 24. Roof Framing 73. Undergrnd. Stora9e 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. 4athing & Siding 77. FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL 30. D�Ywali Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final . 80. POOD CER7IFICATE ISSUED � f 33. Final Electric � Notes: _�_4,�/ �� ! 34. Final Heating & Air Conditioning � . 2� ,�,y� 35. Final Gas Pipe-Test � 36. Hood or Canopy 37. Final Factory Fireplace 38. Flnal Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic�Final , 42. Backflow Preventer , 43. Backf4ow trrigation 44. Landscape IrriQation System 45. Sound Attenuation � 46. Handicap Regulations ( 47. FINA�STRUCTURE&BUILDING ��j �� `��' `� � 48. FINAL PLANNING � 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • � 51. CERTIFICATE OF OCCUPANCY No. Date � J : u �1; _ r._el�_ � ' , • : � XCMF 0486i6 (BV 4) ; 49933 . � r ` , ' � OWNER ygTi.LIAM A. WRIQ�f DATE q_g_gp � .• JOB ADDRESS 999 I-Iartfon3 Way BUILDING PERMIT N0. 49933 GENERAL CONTRACTOR �er/Builder DESCRIPTION o( WORK g� p,ddition AP No. LOT TRACT FIRE ZONE VALUE f 15 752 00 IHSPECTIONS Si norure Date TYPE GROUP ZpNE so�i SUBCONTRACTOR P MT G�5 Da�a NumEer Si nat�re w�TEp Plum6in ROUGN PLUMBING PROP. SWA. LIhE n MOlISE CON. SPNINKIING SVSTEM MISCELLAN�OUS ROUGX NE�TING ANO �IR COMOITIOMING TEMPORIIRV SERVICE OR POLE UMOERGROUN� � POWER � (iOUGM WIRING � Q- MOO�i� m1d VMf. TRENCHES ( FORMS STEEL REINF. , g '7_� �.Q SHE�TNING FFRME ANO FLASHII �j.^1'`1� LATNING — IN r � UT PUSTER. BqOWN CO�T HE�TING, V�NT., RE�RIG. AND A.C., FIN�L FlUM81NG, RiN�L AMO GAS TEST R ELECTRIC. CINeL BUILOING, i'IN1L SPECuI REQUIREMENTS UTILITV NOTIFIEO. Ge5 I—I EI,ECT. I—I crnF oaee-ae �au ai 49933 � 9�OWNER �IGFIT'„ WILISAM A. vJ_OB ADDRESS �' or �y GENERAL CONTRACTOR Owner-B1 ' AP No. LOT 5 �INSPEGTIONS SOIL GAS � WATER OUGN PIUMBING PROP. SWR. LINE Q HOUSE CON. � SPRINKLING SYSTEM MISCELLANEOUS ROUGM MEATING ANO AIR CONOITIONING TEMPORARV SERVICE OR POLE UNOERGROUND � POWER � ROUGH WIRING TRENCHES � FORMS � STEEL REINF. [ FLOOR SYSTEM BOND BEAM � STEEL FEINFOFCE ❑ SHENTMING FRAME ANO FLASHING LATHING — IN �J OUT �] PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GPS TEST n ELECTRIC, FINAI aiiii niur. ciuei DATE 4-i1-69 .��ia�i. FIRE ZONE VALUE SUBCONTRACTOR Z . a cwj Z Z Q ON am J7 J � Q W ¢] J - p] J Q UN Z a W � aW W Z J Q m Z J � W w � Z F W � N � � � H z Q U J O. a ¢ � F h z � F U � � r N z � 30034 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 120D COS7A M�SA, CALIFORNIA 92626 For App/icant to Fill in Completely BUILDING �s C , ]�� ADDRESS / OWNER L�.E!X%l�y�l/ [ C � -C. MAIL y � � � ^ ADDRESS L� TEL. CITV � � L�,�� NO.S cat�sraucrioN �-.. � BRANCH ARCHITECT TEL. AODRE55 CONTFACTOR ADDRESS TEL. CITV NO. STATE `� CITY 11Q NO. LIC. NO. SIZE � � NO.OF BLDGS. OF LOT � C I D O NOW ON LOT USE OF ' l /�(�.� EXI5TING BLDG. L�/ LCtiG SI2E OF ��] NO. F �� NEWBLDG. U C�t% RPOMS STOflIE: EMERIOR WALL ROOF COVERING COVERING � ��2 USE OF BVILDING AND WORK TO BE PERFORMED I hereby acknowlatlge that I have read this epplication antl stete that ihe above Intormation is corract antl apree to comply with all laws regulating building consttuction, ontl 1 shall not employ any Oerson in violation of the w0�kman's compensation laws oi the State ot Celifo�nia. � I hereby certity thet I am properlY licensetl as a conttector untler the Stete of California Businese antl Professions Code, Divisicn 3, Chapier 9, entl thet such licenses are in full force and effect, or I am exempt from the provisions ot the State of California Business antl ProfesSions Cotle, Division 3, Ghapter 9. Signat�re of / /� / / � { /� Permittee �t� "� �✓ Auffiorized Aqent A?A 11-69cnsa�� 597 �**�*�5.0� APPLICATION FOR BUILDING PERMIT RECEI�LEQI V OqT�j CEIVED pqTE �/Ui %.'�ci i ii «�i ii BUIIDING ADDRESS � TRACT OWNER FIRE � ZONE APPROVED ,E/ NO.OF PLAN$ 'ARDS APPROVED MAIN BUIL�ING DISTANCE BET. MAIN BLDGS. VAF. $ C.U.P. # APPROVED E OF NEW DATE APPROVED ♦ APPROVED FT � SQ. FT. o THE AMOUNTSHOWN UNDER VALVATION IS FOR � THE PURPOSE OF ES'fABLISHING A PERMIT FEE ONLV: ¢ VALVATION C pp PERMIT FEE Su�— � ] m �� PLAN CHECK $ E ��c�d � LL OWNER T.T.TAM A. WRZGHT 108 ADDRESS g99 Hartford F GENERAL CONTRACTOR aaner/ AP No. 114-052-59 LOT � INSPECTIONS SOIL c�s W�TER ROUGH PLUMBING PROP. SWR. IINE � MOUSE COM. SPPIHKLING SVSTEM MISCELLANEOUS ROUGN MEAiING ANO �IH CONDITIONING TEMPORAHV SENVICE OR POLE UNOERGROUNO � POWER � flOUGH WIRING TRENCHES FORMS STEEL REINF. FLOON SVSTEM BOND BERM � STEEL HEINFORCE � SNERTHING FH�ME ANO FL�SHIN 'j��'S> InTHING — IN ji UT PL�STER, BROWN COAT STPUCTURnL, FINRL NEnTING. VENT., REFRIG. �NO A.C., FINAL PLUM6ING, FINRL ANO GAS TEST ❑ ELECTFIC. FINRL BUILOING. FiNAL DATE SUBCONTRACTOR COSTA MESA BUILDINGSAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT onn nncen rni �cnonun noeoc �.... .............. ............�.........�.........f...�..__ RECEIVE V PERMIT 4 I"ifJJ I"�`.l I For Applicant to Fill in Completely — Use Ink Only N` 4 9 9 3 ADDRESS �� H r1 Q A.P.NO. / L.1 — O��Z�,j�9 OWNER OR I i` � � ADDRE55 qq L(. � � C(J TENANT j�J VNIT OR MAILING SPACE NO. ADORE55 q q Li`"' �T TR�O '/ LOT BLK. �C q Q TEL. )� 7 Z CITY � No. D�y NEW ADD AI.TER REPAIR MOVING DEMOLISH CANSiRUCTION A / /Q LENOER �� /q� ' / v BRANCH —^ OWNER �% /(.L�{✓�- / ADDRESS n 5�� ' VALU ARCHITECT TEL. VSE �tQ � e�q,}�(�, S/S 7�]� OR ENGINEER N ADDRESS 20NE TVPE GROUP � 3 APPROVED CONTRACTOR D'�eD BV DATE �.- ��/� ADDRESS ""� TEL. CITY '� NO. STATE CITV APPROVEDSETBACKS LIC. NO. LIC. NO. SIZE �,( � �O I NO.OF BLDCaS. (FROM C/L5T E T) OF LOT 1 � K p NOW ON LOT I pONT USE OF r Ex��N�a��. L.�..... /3 Sepazale permits are required for L. SIDE 3 FT. D electric, plumbing and heating work: REAR oZI FT, d USE OF BUILDING AND WOflK TO BERERFORMED P�qNNING ACTION � � DATE APPROVED APPROVED A JJ � . / / � (iW� %" I hereby acknowlatlga that I have �eatl this application antl state thai the above information is corract antl agree to comply with all laws regulating building construction, and I shell not employ any person in violation of the workman's compensation laws of the State of California. =/ �/ I hereby certlfy that I am properly licensatl as a contractor untlar •�� SQ. FT. IS / S O v the State of California Business and Professions Code, �ivision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and thet such licenses are in full forca and effect, or I THE PVRPOSE OF ESTABLISHING A PERMIT FEE ONLV: am ezempt trom the provisions of fhe Stete of Cellfornia Business VALUATION PERMIT FEE antl Pro7essions Cotle, Division 3, Chapter 9. 1 $ �� /] PLAN CHECK E SiB�ature of / / � Permittee V< < $ �S/ '�2. � TAX S � �D or � y, O. Authorizetl Agent Date � TOTAL PAID S �/� � TL :.or s 28732 •C09TA`MESA BUILDINCrSAFE�Y DEPARTMENT P.O. BOX 120� COSTA MESA� CALIFORNIA 92E7D For AppflmM fo FIII In Compbhly TYPE OR PRINT COSTA MEBA, � ARCNITECT ■ STATE 74U-U7b NO. 0/ pLDOt. A1N 24-68�001982■ *•**99.00 A►PLICATION FOR PERMR BUILDIN6 fOI OHIcY UH Onhl `�3 ZONING O �� -' �LAW �, �UILC NQ_ J (-9 �R�mon L(� -(- S r 2 S 3�� A. P. NO. � NdTH: NO EAVH OVHRHANO SNALL �B Ll88 TMAN YAHDBMPROVED YARDHAPPROVHD USEOP MAINBUILDINO ACC6880RYBUILGING E%IbTINO BLDO. ( FROM C/L QTR[lT n)1 88TBACK LINB PROM /�.� � A�R YAR �'�' s S � NT i� Ri. CBNTCR OP BTIiHBT 61D YARD L6rT �' RIOXT I D , R.BID �0 PT. DESCRIPTIOM OF WORK �. am G�rr. ►r. � BUILDINO Attached Garaqe �,1.. I XtR6lY ACRNOWL[DOt T11AT.1 NA�� N4D TNI� I1P►YGTON AND BTAT[ TMAT TM[ ApOV� I! CORR[R �1NO A0116{ M COY. PLY WITX ALL CITY ONOIt1�Mcu �NO �T�46 I�MY w[04L�nYa PBRMITTH`� � • AYTH01112iD A6[IiT VAR. 7C s/r; ox h Q/5 /�..�. TI[ I�MOYIR OMO ►YRPOO[ 0► [I�AI v��wiioH s��,�,� � DATB MPROVHO owTe �i -�y 'J�e � y ^ w � �J � �� D� � R VALUATON I6 POH THB � O A P6AYIT Pi8 OXLY. 6- ' �.nur Fea s t0 3 , E w ALPBE S �/ �