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HomeMy WebLinkAbout2263 HERITAGE DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • vnvw.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT .lobAddiess: 2263 HERITAGE DR Suite: Vicinily: Parcel Number: 41908422 Zoning: Applicant: MADSON, MIKE Address: - �- . , , - Phone: 714 835-4672 Zip. Owner: EMSLEY, JAMES W Address 2263 HERITAGE DR � � � -� / ;� � � Phone:. . - � ' �. �.COSTA MESA, CA- - Zip: 92627-1680 . Contiactor: . ROOF MAINTENANCE SPECIALISTS INC Address: 600 S GRAND AVE STE 102 , � ' '' � Phone: 714-836-7663 - � � SANTA ANA, CA - � Zip: � 92705 . License:,� 669544 Arch : Address: r'�' Phone: � � License: _ Eng: : � Address: Status: ISSUED Applied: 05/24/2004 Issued: OS/24/2004 ISSUED BY: � Phone: _ y_ '�License: SCOPE OF PERMIT � REROOF: T/O EXISTING WOOD SHAKE;REPAIR�SHTG: AS'NEEDED &�INSTALLCOMP: SHINGCES (HOUSE & ATTACHED GARAGE). .. J .J., __ _✓. . .. _ .C. . . � ' . FEE SUMMARY ' Plan Check: $0.00 Calc Valuation: $e,2oo.00 Permit: • $139.25 _.__ __ `: ___. _ . _ __ _ ; . Claim Valuation: $s,2oo.00 ���SMIPRes:��� $0.62 ��-- - - � °SMIP Com: $0.00 Other: •�= $0.00 � �Inspection,A �,.���$0.00 � \ .. =�'' TotalE $139.87 SETBACKS � ���� . MAIN STRUCTURE Front 0-'0 �� ,_ �. �, ACCESSORY �Frant 0-�0�� PARKING Existina: o � �%�� � L � � � `� �� " � � =PLANNING &:ZONING "�� � �� � ' � ��, �i" :� Rear -- 0-�0, ' �C .'Left, `0-0 �^RigFit ..�0-0� � � " � / _,� _.���_ - . , _,': .�,.,,�. ; � Rear 0- 0�_, - Left 0. 0-` � RigHt -0� 0"� � � i� �_Re uired:- �0 - �,�Praposedi�. 0'.�� ` � "�� - NOTES: _, . - � ' -� � ' - 9 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or it work is suspended or abandoned for a period of 180 days. ' INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all appiicable codes, ana au requlred Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446-66IN00) WORKERS'COMPENSAnON DECLARAnON: � I hereby aXirm under penalry of perjury one of the tollowing tleclarations: � � 1 ❑ I have end will meintain a certificate ot consent to setl-Insure for workers' compensation, as provitletl for by seciion 3700 of the Labor Cotle, for the peAortnance of Ihe work lar which thi9 pertnit Is issuetl. 1 ❑ 1 have end will mainta)n workere' co ensation Insurance, as required by section 3700 oF the Lebor Code, for the pertortnance ot ihe work for wh1U Ihis pertnil1'S luued. My worker ' o e sa�io Insura • c der end policy number ere: ��� �^ �,{�/.J Carder. e ��% � . PoliCyNumber: � J ��, (Thls sectlon�ot be wmpletetl i/ the peimil is � lued at one hundred dollars (5/00) or less.) ❑ I certly that in the paAormance of the work lor which ihis pertnit is issued, I shall not employ eny person in any manner so es to Decome subject to the workers' compensalion laws of Califomle, antl agree ihat it I shoultl become subject to Ihe workers' compansetion provisions ot Section 3700 oi ihe Labor Code, I shall fort�with comply with these pra n. ,c 'J �/ Appllcant Signature: �A� Date: ✓� Z'I —07 WARNINO: FAILURE TO SE URE WORKEiiS' COMPENSATION COVERAGE IS UNLAWFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED T/KK1SAN� OOIIARE (5100,000). IN ADINTION TO THE W5T OF COMPENSATION, DAM4GE5 AS PFOVIDED F9R IN SECi10N 3)O60F THE LABOR CODE, INTEREST, AND ATiORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm that I am force end effect. Lic. M_ Conirectafs Signeture: Chapter 9(commencing with Seciion 7000) of �ivision 3 ot Ihe Business and Professions Cotle, anA my license Is in full ciass a C 3q p[� oate: S—Iy-O CONSTRUCTION LENDING AGENCV: ❑ I hereby attirtn ihat there is a construction lending agency for the peAortnance ot the woAc tor which this pertnit is issued. (Sec. 3097, Civil Code). LentleYs Name: Lendefs Address: SlgneNre: Date: OWNER•BUILDER UECLARATIONS: I hereby eHirm thet under penalry of perjury ihat 1 am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Protessions Code: Any ciry or counry which requires a permit to consiruct, elter, improve, demolish, or repair any structure, pnor to its issuance, elso requires the epplicant for such permit to file e signetl stetement thet ha or she is licensed pursuent to Ihe D�aNsions of ihe Conirectors License Lew (Chapter 9(commencing with Section 7000) ot DlNsion 3 of ihe Business and Protessions Code) or ihat he or sha is axempt t�ereirom antl ihe besis tor the alleged exemption. Any vlolation ot Section 7031.5 by eny epplicant tor e pertnit suOJecis the eppliwnt to a civil penalry ot not more than live hundred dollars ($500).): ❑ I, as owner of ihe properry, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and the strucwre is not intended or oHeretl tor sale (Sec. 7044, Business an0 Professions Coda: The Contraciors License Lsw does not apply to an owner ot properly who builds or improves Ihereon, and who Ooes such work himsell or herself or throug� his or her own employees, provided that such improvements are not intendetl or ottered for sale. If, however, ihe building or improvement is sold within one year oi wmpletion, the owner-builder will have ihe burden of proving ihat he or she did no� build or improve tor purpose of sele.). � ❑ I, as owner of the property, em El(CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sac. 7044, eusiness antl Professions Cotla: The contreciors License Law tloes not apply to an ov.•ner ot property w�o bullds or Impmves thereon, and who contracts for such proJect wit� e contractor(s) license pursuant to the Contractors License LewsJ. ❑ I am eaempt unCer sec. Business and Professions Code fo� Ihis reason: Signeture: Date: Owner ID verified by dnver's Ilcense. ❑ Ves ❑ No Drivefs License No. Expires: Venflcation oi Ownership by (type ot tlocument, i.e. - properry tau bill ar tlaetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify �hat no excavetion five (5) or more feet in depth into which e person is required to descenq will be made in connection with work euthorizetl by this permit, and that no building structure, scattolding, talsework, or demolition or tlismantling thereof, will be more ihan thirry�six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Title e, Califomla Administrative Code). ❑ As owner-builtler, I will not employ enyone to do work which would requlre a Dermit from ihe Division of Industriel Sefety, as noted above, unless such pereon hes e permit to do such work irom the tlivision. Signature: Date: Divisian ol Industrial Sefery Pertnit Number. CERTIFlCATE OF COMPLIANCE AND AIfT}iORVATION OF ENTRY: I certiy under penalty ot perjury that I have read this applicaiion antl state ihat the infortnation given is correct. I egree to comply with ell stete laws ana ciry ordinances relating to building consiruction, antl authonze representatives of the Ciry ot Cos�a Mesa to enter upon the ebove-dascribed property far inspection puryoses. I egree not to occupy or allow occupancy ot any building authorized by ihis permit until finel inspaction. �� �� �1 nat O�egalOwner(s) Dpte i�� � s- zy-df� � Antl/Or A Ihonzed Applicant �� Data 400E �. INSPECTION TYPE 1618 Fized System Final Fire Prevemion 1288 Pool SOa Flnal 200 Finel Re-Raot 201 Flnel BIocWReteining Well 202 203 204 Final Factory Fire Place Finel Sign Final Demolition o�re INTRIALS %2�i-C�`1 �.�..'�'^� GOpE� INSPECTONTYPE 206 Final Mechanical 208 Final Plumbing 270 Final ElectriCal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy L�AIE L�GLS Applicant to flll in all spates within neavy eortler fines ana sign a11 approv/�ate declarations. CITY OF COSTA MESA ', PEg� IT NO � TRACT NO. - `LOT NO. BIDG. NO. ' _{ iCONSTRi1CTIONPERMhT ,Q—��%' " '� �� Project Address •+ TVPE OF CONSTRUCTION 'OWner � 'Phone - _ O� NEW .� AOD '� ALTERATION � �Addr2ss' " " - � - •� - - - - -❑ REPAIR O CONVERSION� ODEMOLISH- � Arch/Eng. - � - License No. � -� OTHER � � � '� �� Aildre55 � 1y _ � ' __ - J.. _ DESCRIPTION� F N/ORI � Contracto , ' 'Phone� � 7ypE , PERMIT l � ;�Address � � - - " ' '-- r-�.GRADINGt �❑ FOI �� LICENSED'C RA OR� C' RATION O TENANT-� ELECTF �I�hereby affirm th:.t.l am Iicensetl untler provisions of Charter 9�(com-- 7 ., ', �y � mencing' with'secHon^7000)' ot Division 3-oP�the' Busine5s -anC� �� O�OTHER�- -�+P.71f Protessions Cotle, ,a,ntl my Iicense is in, tull fort pqy �{{qct. �-� � ' - - - � -t}-'I-- r• � -" . -. �p•}HV O PROJECT IPTIO� License lass License No. .���� � {� Date ' S19natur'e"': -"� .- -. _ ._- L`' 4 ." . , . ."$Q: FS: ' �p WORKERS'COMPENSATION DECLARATION �--- -� �- � •OCCUPANCV � OI \Y I h¢reby a�firm that I have a certiticate of con5ent [o self-Insu�e o�,a tVALVATION '"_�� � Hiwte'ot Workers""Compensation Insurance, or a certi(ietl copy - _ � 'Q,�of(5gr,[�q(��3 ']Li,ai��' CJ. _ GRADING�CU..VDS.T =y-Ne I'l)"lb,� '•�s-Compznv' `I'I'llCyi-' TY1S". . ' .^ '-'Certlfietl copy�is hereGy furnishetl. - - -- .-. _ _ _ ._ .7.,'. w REMARKS:Fi'$CtiOP ❑ Certified copy Is filetl with the city Bwltling Dwision. EXEMPTION FROM WORI(ERS' COMPENSATION DECLARATION �ZI1S ected ;b ' (Thiz.section neea not.be completetl iLt�e.permit is.for.one.huntlretl 4$100) or I¢55). • . ` _certiry thaLin the�performance of_[he work tor which this.permit if Issuetl, L Shall nOt ¢mploy any person in any manner so as'tOfbemme ' P.LUMBIN ����� �,.� � sub)ecLto:the.Workers'.Compensatlon.laws.of California._ � . .._ Date j Signature � BATHTUBS ' NOTIGE: If after making tnis tleclaration, you shoultl bemme subject, ' TOILETS�� 'i",� �; to th¢ Worker5' CompGnsation prOvisions of the Labor Cotle, you must � � � �� forthwith comply with such.provisions or,this permit shall be tleemetl LAVATORIES �2vOketl."._.'" "_�_ _ __'"._ ... "'__` _ '_' _'_... . . _ ._ _ CONSTRVCTION LENDING AGENCV KIT.SINKS Iherebyatfirmtnatthereisaconstructionlentlingagencyfor.[heper- SERVICESINKS.�y��j formance of Ihe work for which this permit is issueC (Seciion 3097 � - Lentler,s Name 1�"I1`� �-ill�ei.� �a�c icuic> . �naer:naa.e:s 1h1n Nn_ Main�-Sant�a �Ana:-�"- OWNER'BUILDEROECLARATION'—" "'-'"""'-'- � 1 hereby affirm [hat'I am exempt from.tha�Contractor's License Law for [he"(ollowina �eason'fSet[ion']031.5'Businezs'antl'Protes5lonsCotle:' isn o� �epmr any siruccure, pi cant for such permit to�file a uant'to the orovisions of'the mpt therefrom antl i o� Section �031.5 :ant"to' a"clvll'pend or h own ^ � , Wl/ ` 4. i1,1;� .,�" ' INDATION' LJ'STRVCTURAL ' ICAC K�PLUMBING �MECHANIC ra.l- - -�_.-- �'_ _ ". _ t'_'_ _ _ _JL . _ . .- '". . _.. ZONE -'i+�+,'+' ' . . _ ACRES uilt Portion- - - - ate,-includes•- �" _ �� . . .. '_ " _ 4NCHECK�� � . - DISHWASHERS � � j�� - SUMPS � -' '� '-- ' FLOOR DRAINS '� � CLARIFIERS ' P TRAP "" ' ' " - ALTERATION� T� - - SEWER�CONNECTIONS �SOIARTANK � ( SOLAR PIPING SVS. ISSUE FEE ' intentletl or offeretl to� sale. If, however, Ih¢ builtling or improvement MECHANICAL PLAN CHECK. . .� is_soltl.within onCyear of completion,.the.owne� will.have the.bu�tlen_ �• • ' of proving .he tlitl not.build or improve for the purpose of sale). HEATINGSVSTEM 0-100,000BTU � �'I,- as ownerbf'the ��proper[y, am� exclusively -conVacting^with- -qND DUCTING� -� � ' �' ��� - -- -- � - " lic2nsetl cOntractars to construcl the project (Section 1044, Businezs - - 300,000�+ BTU �j � antl'Professions Cotle:'Tne'Contractor's Cicense-Caw tloernobapply�to- ' an owner of property who builtls or improves thereon, antl who con- REFRIGERATION 0-300,000 BTU f, , Iracts�Yrom'such'projects-wi[h-a-contractor(s)-licesnetl-pursuant-to�� -SVSTEM-'- -' "'-"- f----^'�- - ' ' the Cantractor's License L.aw). �� . - 300,000�+ BTV . ❑I'amexemptuntler5ection� ��'� ��8.�&PC.fortliis� BOILERS BTV. _ . `�al f.--'=��� reason— "' - ' -- - - - -- . Oate-��- - - - -Owner - -- - � - _ _ SVSTEM REPI I heieby certifythat I �ave reatl this aOPlicdtiOn antl state that Ihe above EXHAUST SV! informatian is cor�ecL I a9ree to comply with all cily antl county ortlinances antl state laws.relating fo Construction, antl h¢reby authOriie - represEntatives of this city to enter upon the above mentionetl property,fo�..inspecllon_purposes..,.. " _ -� /1_C/O!�_ Signature Date J ��� Drivers' License or 55 x - - � �- ISSUE FEE CMF 0865-46 White-Builtling; Ganary-Applicant; Pink-Accountinq; Goltlenrotl-Assessor ALTERATI( vl MUL' �� ' _ '. ' ""� � ' ' , �-0864 '�Ir/I�/B2�{ , c - _ 1 , i H�IGHT�nv -� � - jREAR YARD (TO P/L) �PKG. SPACE REQ. -STFEET WIDTH ` 480.46 ?�• IAJ��' . � '�/ � -_�: ' ' ".V' k � '.r-, i SPECIALCONDITIONS: � -� � - ���_ ' , � _ _ . _ . _ _.... -,� -.- ._.L -.i i , HLl1A FnR SP�C�AL REbtliRFi1'dFT3T�"-� - -�--�-;, � „ , :,, �ELECTRICAL� - � �" ���"a�arv cHeCK.-,� � SQ FT. ._ . .� _'" .n�. � :�1_' .: '-r�' r 'GENERATOR ' �0-1 KW_1-10�KW � ' � J` � <�( �� TRANSFORMER -'• -- I ��APPLIANCE 30=50'KW'_50 t KW -'_`-- '"� 1 "`MOTORS' ' - '0-1 HP -_1-10 HP ' '� - J-- "- . . .ior.i. �C._.', �UNC.�SOLARI�'�'30-50 HP-=-"50'+ HP� - ' ' _- - " i -'. jFIXTURES� � -OUTLETS�` SWITCHES�"�'�.' - - GAS TUBE'SIGNS.." ." " �� - '� . �p', - ' ��POLE�LIGHTS -'"— ' " " - --" - ' ' " - nr�.,�_ POLES METERED SVB � '� PANELS�'---'-��MAIN�� - '�SUB �-��I,., .' - '�«� I� � � iSERVICE"""-- ' � -'"- ' ' ' AMP"';' ` ' '[ ,� {'.'_ _ `" .Y^_"_' . � 'r.-n,l�la�' _.'�"' :`�' '�� � __�_.'___.. .-:.r: '_'rY._',: �F' ISSUE'FEE' _'__ "'_' '_ _ ' _ "" �. APPL'ICATION APPROVED'BV'" , j'- , DATE;�' ,� l � . SUMMARY OF FEES, � .i,y �, �. ,.� � � i � '�BUILDING -' ' ` -' - "' - f' PERMIT S 'r�. ^�SMIPµZ' :<5...�-i J -����� _ _. .�, y �PLAN CHECK � §� _ . PERM17 • ��\ t`�u , , 1}, j; /V��' � �'ISSUANCE-E-� -- �PLUMBING E � �'+ �'�'�• „� •i: G RADI fJG -�--5-' "'r" �PLAN CHECK $��r�::_' _ �'1��., . J. `' �;-:/;) � . ..i,. ' UI... �ELECTRICA� $ -' " .V��� -- -. �a, --i � MICROFILM.E `' �� `C� ; IPLAN CFiECK - ` � $ ' . .:t•{ 'TOTAL FEE:B '�, � ��MECHANiCAL $� —� ' � �L��'�l� . . l.iti. L'ESS�AD= ` � � � � � +PL'AN CHECK ,S' ' -♦-`� �" - VANCE PC � $ _- ' � "-� ` 1 : . . :' '.. ' -. ., � ; • � � . r' j P n, i f - ��/J� ��� ' ._ _.__ . .._.._ . ' - " -FINAL FEE }$_ S/I1L.Yf7 ;/ �v' �v CONSTRUCTION AND,PLANNI POOL & SPA; \� ' � , - • , �� APPROVALS �� Permit # Date Inspector APpROVALS . Permit �k ' " • Date Inspector 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location- -�� -��- �• • - Soil ipe-Undrgrn � �� -f 44. Steel Reinforcemenf- - - - - -- - �• - � - ' - - - - _. .� . . ..,. . _ , . „__3. Electrical Conduit Utility-Undrgrn ._ ' • • _ 45. Forms . - -� ' -'� ' � � .. ..._. ._..- ----- - - - - 4. . Electrical Conduit-Undrgrn_ , �!� . ,� _ 4fj. Electrical Bon�ipg. .- - - -- - �.� � ` ' -- -- - � - - - -- -" --- -- - --- - - _ . . _. __ ,._ . . . tee ein orce „ ^� �� 47. Rou H Plumbin & Pressure Test, ' 6 Electrical UFER Grn '' 48. APPROVALTO COVER-GUNITE - 7. Footings ' �, - 49. Electrical Conduit-Undr m�' • � �� _8. Foundation . "` � � 50-. Gas Pipe, ❑ Undr m; Test - � - • � � .9. _ Water Pipe-Undrgrn _a.�_ 51 . Backwash Lines P-Tra ' � ndr rn' � -" � - - ' �' �� 10. StructuraPFloor System _ _ - • 52. APPROVAL TO DECK"- ' ' -" - � ' '• " ' - u .� i l._ _ Property Sewer Line & Hous��Conriec[ion ' 53. . Backwash & Rece torFinal �� � - _ _ � � 12.__. Street Sewer Connection __ � " •`+� ' ' 54. Heater & Vent-Final � � • � �� ,j ; 13. Rough Plumbing � � - - - ' � � - -- • . ` • . _ - • ,i�'.. , 14. RoughElectrioConduit - - - - �-�56. Electrical-Final . � �� " 15. Rough Electric-Wiring-" ` - - ' " - - � � -- - � -- �- - 57. Solar System-Final' -. " •''- � �' ' � ' ' � " �' 16. - Rough Heating�&-Air-Conditioning . - - � F,encing & Access Approval � � � 7 + 17!_ Ducts in.Structure � '•' ' � ' APPROVED FOR PLASTERING � �� °i � ' 18r-- Ducts. Ventilating , - . . - - .. . � � . . _' � . . . . . ' .. . ' . . _ . - ' � , 19. Gas Pipe-Rough &Test � � ' ' _ 60. POOL/SPA SYSTEMS FINAL -, ' , � � �-• ^ ,�� ,' : .. •. _ ,_ .. . . . . ,- 20. .Roof Framing' - � �.. - ' "' � � " � � � - � . _ . _ _ ._ _ . . 21. Roof Sheathin • � - _ ' .. _ _ ' � ' . . . . ..- - " r. ��. �?s... � : 22. Frameand Flashin - NOTES: ' '- � "' .� � , �' . . �- °� ' . ° � 23�-:Insulation - ' ' ' � ' � ' " � , � :� ' , , . , � ..__._ _ .. _ _._ _.. 24. - Lathing.& Siding ' �- - ' . . , . , -- - • .'" - �- - - .. � y. . ry. � -' _ .._..' . ..._ . � . _ ._.. _ . . � ____ _____ _ _ __ _ ___ '. _ __ 25: Drywall.Nailin9 _..__� : ' : .' � . _ ' ..' .... '�_ ' _� ..., , ..� ... . . , .. ;I '-26:- PlastetBrown.Coat "' � ^ � � ' -" - �- ' " -� � � � � " "� �• ' ,- - ' - ' - . -' - _.... . �. . � . n . . ., ; . _ . ... .. .. . , „. � .� �.�-��. _ .-.� . ..- : ... ..�� 27: . Electrical Power MeterFinal ." :' . . � - '- ' -. .- ' -_ �� 28' Final�Electric -- - -� . . .. . . � , _ . .. ..` . . . � �. 29:_ Final Heating & Air Conditioning__ � ) � •" � ' '' ' � - � ' • � ' . . ' - ' 30: Final,Gas Pipe-Test. _, � i . °i9 . .. . . . � . . .'�+�'�;� ' 31:. _Final Plumbing - - -- �- . .. . ... �' ' � . • . - ' . ' .. --'- - __. .. . . . . . ... ,.32.' Water.Service-Final . ' ' - � � � • � � " ��� � � ' � � � - _. ._ _. . _.. _. _ ` 33.�-- Gas �Service-Final . � . .. , � - - - , - - -- . , . , . . . , . . ' ' � - -- - ' 34. Solar pomesficFirial �• ' '"��~ � �` � ' �� ' " !:' ' ' � �� • 35. "landsca e S rinklin S stem ' � ' ... n �� ' ' ' ' ' ' � ' - " ;j i 36. Sound Attenuation ,y�, � - � � l � - -' - - � � . - � � 37. Handicap Regulations . � ' • ^ c� . .. � . • . , - � " �. - ' � : •.r � � - a� ' 38. FINALSTRUCTURE&BUILDING � � ' - ^ �•-' � ' ' • " � � �- � � - - � ' ' 39. Special Requirements Completed ' � /,J � /. e ' � '' � -" ' '� ' � "' � � * ; 40. - Electric Release to Edison � � �� - . • --- � " - "-"' ��� ' � ' - � " ' • 47. Gas Release to Southem California Gas Co. - ' - � ' � - � - ' 42. CERTIFICATE OF OCCUPANCY � � . . . �4• ' � .' No_ Date ' - � • ' . Applicant to fill In all sp i in heav aer lines ana sign all aoP�opriate tleclarationz. . CITY OP COSTA MESA -� ae IT JRACTJ; O. - LOT ecoc. No. -- � -�- 3587 3Y23/�82� 38:'02 - TL! � , CONSTRi1CTION PERMIT ' 'I/�S / ��•. ' . . '.-'':;': .:.� . . .. . . -- - -.. ,Z Project Address " ,� yp�y'? T E OF CONSTRUCTION � �� � � � } � " ���'t � °:^_ _Yy� 5a� , , ,.-� � . ;.j . ,OWn2I� ,Q� � ' Phone 0 NEW' ❑ ADD ❑ ALTERATION � - - - : - �--� _ . . . C " " ' FAddfess" � - � ..-- ' �/-� . . _ ❑ REPAIq ❑,CONVERSION.ODEMOLISH. . - { � ' " �� - �"` � � � �Arch/Engr' '' LicenseNo� -- � � - ' ' �="ZONINGREGUCATIONS; - " , � �_�.OTHER - - - � AddrEiS" ♦ DESCRIPTION OF WORK 1 � : T A.P. �' ' �NGr A�Yr�" ' ' • ' _ �'"C,Ontf3Ct0 " Q '- ,� Phone � '� � � , _ ,ZarvE N _ ,;PLNG REF'�-� i . � ` � � f i, ' ' J � TYPEOF.PERMIT; `. �1 . -. _ TpgU i�oirvc ' ' � AHdress� " -'� -�- � .i- �- � - - � �SETBACKC LST. � PROPERTV L:INE � �I i. � jy� � � . " ❑ GRAOING�FOUNDATION ❑ STRUCTURAI�- SIDE VARD� �- - _ . . - _ _ _ _ ! a•' v � LEFT S. � Yl � ��� ';LICENSE -C NT ACTOR.DECLARAT.ION _. .:. ` - -0'..TENAIVT� � GTRICAL�MBING.,�SHANICA � SIDE VAR � . _.... . . _ _ _., �� `� 1 hereby affirm Ih:.t I am Ilcensetl �untler provisions oi Chart r 9 - �1 �. �. �� ., t � RIGHT ' j W'mencing with-section 7000)� o/�Divi -mf the� B in nE �❑ OTFIER'-� ' T� � (y �Protesslons Cotle, ° m lirense 5 In full f ce n f ' � � ; REAR'VARD'(TO�P/L)"--"' -'""`^"" '. ' ,-' � .S .-.� -�. _ �PROJECT.DDD��� TION- � 0 I+.- " Lwens I " e o ^Q �, "' -'-"- �' "' - ' ' PKG': SPACE REpI "^' " ' -' ' PROV IOED � ' 'Y'- � � . .��_.. _ ' _ - "i SQ.FT����' "' "'. s _ �. �Dat " -"Signature _ _ � � - .. TSTREETWIDTH'-"" - --PARKFEE'E:-. ;" '' � rWORKERS'�COMPENSATIONDECL « ._,. " '�QCCUPAIVCV"_CONSTRUCTIONTYPE~ ' . � .. . ..-�. �. -"'" 20NINGHPPROVEDBY � - -- -DATE-' �I M1ereby affirm that I have a certifi te f consent If-insure, - ' • - ' ' i� j ,,.,_, �,,., ��,,, - fifltate'�of-Workers' CompensaE n�I s nce,- �a�c^ ietl� y A`UATION ^ ZONE __ _" -j ..^oL(Sey y� 80 ,�pp CJ. ,�GRADINGCU YDS. � ACRES '��SPECIALCONDITIONS � �J' No/�l�.S�%j- -Co Pan � L � % �i- " ' ' ' ' ''4_�_ " ' _ _ " ... _. . .._ . . _„_,,,__�_ . ,- _ . . n'�'��ertlfietl-copyis;herebyfurni etl..__..______..•___...__.,,:J_ �REMARKS:�C'n:' "' �^ _ . . _. _ .. ... _ f ifletl copy B�filetl with th tlt Builtling Division. �"` � "" " ` "'- "'"'"'"" "' - ""' " � ' ^ - ^"" ' _ i � ?• . i.::.. . �EXEMPTION'FROM WORKE 5'� OMPENSATIONbECL'ARATION' ' - -- - - �- -- ��� ��'� (Tnis_section_neetl_not.be tom le d if the.permit is for one hpntlreC T� �. �.y'; - �(5300) or Iessl. E . � •. ' i. .. - �,- .- '" '. ' _ _ ' ' " ". '�" ' _ _ ' _ ' � I certify.that in fhe.performance af the work for which th 5 permlt is . , , Issued, I shdll not emplOy dny pCrson in any manner so a5,to�beCome PLUMBING - -, �' ' pLAN CHECK- '� �- - rELECTRICAL` ��- ^-^ --�PLAN'CHECK � - i :5ubject.to.the.Workers'Compensation.taws'of_California: "�'� � .fDate � ; Si9nature � ' -BATHTU85 --"� "'�' -SHOWERS""'-�' . � - Q"� � - - � �NOTICE: If after makin9 �his tleclaration, you shoultl become sub�ecb .TOILETS••, ��� ;� ,- • URINALS - - t^ 3 fl y GENERATOR -- 0-1-'KW -" 1 30 KW � �to the Workers' Compensation provisions of the Labor Cotle, you musC �- � ___ �TRANSPORMER .�•. : i� ,�J � . fOrthwith compry with Such provision5 or this permit shall be tleemetl LAVATORIES DOUBLE'LAVS �- a• �APPLIANCE - 30-50 KW�_50 t KW �� - - � irevoketl..__ _ _ � ' ....__I . :.' . . . " _ . '. ' ' • 'KIT'SINKS-"""-'�' DISHWASHERS.' - � - - -- MOTOR$---- ' ' :CONSTRUCTION LENDING AGENCV � � � -0-1-HP-_1-lO�HP -; � +-- -_i - - ; �I hereby affirm tha[ there is a construction lentlinq a ency for the per- SERV ICE SINKS -^+ SVMPS'� ^� -�- - � ..UNC.,SOLAR) ._30-SO.HP 50.+ HP� �°� �� - r� �_• �formance of the o�I�o r hiCh this permit is iss (Section 309� '• '' -� -. - "� �Civ'C.j:-'�-'�" Sy- �• ' "'FCOOR'SINKS'-"" �FLOOR"ORAINS' '"^ :FIXTURES � ---OUTLETS--SWITCfiES�- - - Lentler's Name � Zr � - i ,l.entler'S Atltlress � ^ � 'DRINKING'FOVNTAIN5 ":;j "" -'-(---- � � �.GASTUBE�SIGNS--� "�' . _ �OWIVER BUILDER'DECLARATION- �^ ^ -- --- - � - � -• � POL-E�LIGHT$ v` ' �I h¢r¢by affirm [hdt I am exempt from.the Contractor's License Law fo� INTERCEPTORS" ` CLARIPIER$" " ' "- - � , "' - - - ""- --^"--'^° - - - 't�e'following reason (Section-�031.5-Business antl-Professions Cotle: - ___�. _ -�� - • �� � IAny city or.county whiGh require5 a permit to construct, alteq $WIMMINGPOOL--' 'PTRAP"- - -- -�ppLES-- �"' METERED�- .SUB""-":""'- ' '�IT (OV2 dElf10��5F1 O!'fEpol('d0 SLYUCLOIC� IIO!'fOIYS'ISSIldOC2�d150'(E- � " ^ ! ? � Y� P WATER-$ERVICE- '--'Al_TERATION'�- ' '- -' - - �PANEL$- ' -'-� -MAIN—; - �SUB- � -� - � - ' .qwres the aptliwnt for suth permit to fil¢ a Signetl�statement that he �� -� �� - Js'licensetl'pursuanbto'the'ptovizionroftheContractor'S-LicenseLaw -'GAS'SERVICE '"` OCITLETS """"" "'-" "",SERVICE - ---� �-�� --- � AMP"'�--`". ... "' � !�:�'hppter 9(commencing with Section 7000) of Divizion 3 of the � "� `;p<aess'antl•Professions�Cotle)�orthat he is exemp[ therefrom antl the� yyqTER'HEATERS' - BTU'OUTPUT°^- - - � - - � - - - �i � %' for tbe.alle9etl exemption. Any violation of Section ]031.5 by - �"appliwnt-for-a�permrt-5ubjectrthe-applicant-to-a•civil-penalty� -SEWERCONNECTIONS" - � � -^^- - �- � - � _' � v not more than five huntlretl tlollars ($500). -��+ -' f �� I, as owner of'�the piope�ry,br"my�employees with wages'as'their' "-SOL'AR TANK'-_— -'^^�COLL•ECTORS� - - -- -{-- • •- - - .---«....._.........-.. . .,.. _ .� - _ _ ,sole.tompensa[ion„will.ao the work, antl the stru<ture is not intentleG i 'or offeretl for sale. Section �044, Business antl Protessions Cotle: The - -' '-' -^ -�--- -�---- - �- - - -ISSUE-FEE-�---^ -^-- � -�- -- - - - � - - ( SOLP.R'PIPINGSVS. � � ,' "' � _ , i. �ContractoCS.License„Caw does not,apply, to an, owner of a praper[y _ _ . _ __._ . _ _ _ _.. ,�,_ _ � qppL-ICATION�APPROVE�-BV . _ - . - who builtls or'improves thereon, antl who tloef such work himself o� � � ISSUE FEE DATE__'1 :�. ; throuqh his,own employees, p�oviGetl that such imp[ovements are not Y } intentletl or otferetl Por sale. If, however, the bwltling or improverrment MECHANICAL � PL'AN CHECK � � � � " � SUMMARV OF FEES - � � "- �is soltl witM1in_one year_ of completion, the owner will have [he burtlen : , 1, i �;� !,n� ,� bf proving he tliG nol builtl o� -imp�ove for the purpo5e of sal¢)'. - ' "-- -- ' - - •�BUILDING-- � —• - .._ _ .. _ _ _ V � . .- < <,.v'.:. HEATING SYSTEM 0-300,000 BTU � � PERMIT $ a. �� 1� as��nwner-•of-tM1e-property, am-ezclusively contracting.with �-qND'DUCTING' �- - �•- �- ----•- -�-- -- - - � .. � _.. _ __ _ _ •. SMIP �,�,. �8 � tlicensetl contractors to construct the project (Section ]Oaa, Business 300,000 + BTU �' � � � ~ � -' '" ` i . � � � � PLAN CHECK $ �, �'P SUANC � antl�ProfessionS�Cotle:-The�Cont�actor's.License-Lawtloesnotappty-to.. ', ' E $.1� . Ian, owner of property who builtls or improves thereon, antl who con- REFRIGERATION 0-300,000 BTU ( ' P�UMBING $ -� � � 'tracts�from-such=projec[s-with a�contractor(s) IlcesneA-pursuant_to -.SYSTEM- -�- � __ _ _ _ . �"GRADWG �E"'� ��� � 'tbe Contractor's License L.aw). � � � 100,000�+`6TU � 1 PLAN'CHECK •$' - - ,�, - �- ' �_ �a � ��'I am exempt"untler Section'-' - ' ' 'B'& P. C.-fOr thi5' - - - - " - � - � - ^ - --� - - -- •'ECECTRICAI.'�$ �'� � �� ' - ' ' - � - -' BOILERS BTV ��� -'a � reason------ - - ---�- - � � - C �, MICROFItNI'$ �� - ' � SYSTEM FEPAIR,ALTERATION ^� �t ' 'P�-AN�CHECK- S" . ^ -- - - _ �Date Owner ` { MECHANICAL-$-- �� . TOTAL FEE S'• i il hereby cerhfy_thal reatl this pplicati n [a[e that the above EXHAUST SVSTEM MULTIPLE ¢ � � �. t.. 1 r �^�t�. a' .'1, ,LE55'A�- � ` � . information a c-- ect.-1 agr e't compl� W all` City antl -county }PLAN CHECK-$ ��- - - -- VANCE PC^-5-�-• - ortlinances antl ate laws e cons ct antl hereby authorize i• I V.� �.�,. ,� ,� ; t i .-. ,. _ irepresentative of' tFis' y ente u 'the"above' n+ionetl , � � w. -w property� to -_'nspectio p es. ,� ' JJ F E (4• (p� �� ... . . - ._ _ . �9nature � Dat ' � " .a . . .._" _ • I-, _ , S , INAL FE . ...' " ". " " " ' ' ' "^ ' ' ISSUEFEE. _ �� . . i Drivers' LiCense or � �" - � "" " ' - ' -. . �"" ' " ' -'" "- -_ ..... . . .. .. � . . . _ 'i CMF 0865-46 yJhi -Builtling; Ca r- ccounting; Goltlenrotl-Assezsor � / � � . , ,. ,.� ,��_. � �__.; ....= - CONSTRUCTION�AND PLANNING �POOL &•SPA- '«: ,��. ,. � , APPROVALS . Permit # ���i Date Inspecto� ' � ' • __ Date � Inspector APPROVALS PermiP#'� ' `Q-'� �-"" - �'-;. 1. Temporary Electrical Service or Pole - � 43. Pool & Equipment Location "�' - � ' � - ��� � � . Soil ipe-Undrgrn � 44. Steel Reinforcement "� � ' '` - •- •� � '. � 3. Electrical Conduit Utility-Undrgrn . 45. Forms � - ' •- • � � 4. Electrical Conduit-Urtdrgrn 46. Etectrical Bonding � - • - ' �. . tee ein orce 47. Rough Plumbin & Pressure Test � • � ' ' '-' •' • ' '• 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE ' ��• '"• � 1 i J. Foo[ings - � 49. Electrical.Conduit-Undr �m � ' 8. Foundation- . .. _ - 50. GasPi e ❑Undr m;Test.+ � �� + � • �� � � , 9. Water Pipe-Undrgrn. � '. -51.. Backw h Lines P-Tra'�O� nd��'rn `'� `� - r L' _._ .,• ., 10. Structural Floor System ' 52. APPROVALTO DECK �' �� ' ' ' ' - � 11. Property Sewer Line & House. Connection � 53. Backwash &•Rece tor•Final • � � ,l � ' 12. Street Sewer Connection - "" � � � - 54. Heater & Vent-Final �. ' - � `. -.� � 13. Rough Plumbing - � ' '� ' ' ' ' � " • � � �' ' 14. Rough ElectricConduit � - - �56. 'Electrical-Final � ' \ � 15. � Rough ElectriaWiring 57. -•Solar System-Final � " ' ' � � 16. Rough Heating & Air Conditioning � � • � • encing & Access Approval "� 77. �Ducts in Structure " � APPROVED FOR PLASTERING " " � • ' '�- 18. "-Ducts, Ventilating • - ' ' � ' - - ' � � � � . . • . . 19. Gas Pipe-Rough & Test ' .� 60. POOL/SPA SYSTEMS FINAL , _ � �� � 20. Roof Framing � ' � �. ` ' - ' � � � � � � , 21. Roof Sheathin " - � ' � � � � 22. Frame and Flashin � NOTES: . � ' • , � � " 23. Insulation . . . . ... . - _ . . -, �;; _ ' ."��;: :y.,.�.�\ - '- \ 24. Lathing & Sidin9 ' - . - • ' ' =� . �.•'• . . . �.�:'.•. . .. .. . 25. Drywall Nailing � -- � � � ' -• ' � ' _ . ' 26. Plaster Brown Coat� • � - - - � - � ` . 27. Electrical Power Meter-Final � ' - � ' 28. ' Final Electric - � � � � : 29. Final Heating & Air Conditioning - � - - . - � � � 30. Final Gas Pipe-Test - . . . ' ' - - ' - � . . . .. . . . � ' 31. � Final Plumbing � ' ' � � ' ' � 32. �Water Service-Final � � � " ' � ' � ' ' , 33. Gas Service•Final � � - ' � � ' ` • � � 34. $olar pomesti6Final - '�'- � �� � � � ' � � � 35. Landsca e S rinklin S stem � � " ' ' ' � � i 36. Sound Attenuation - - � - • � � � • a � 37. Handicap Regulations � -• • ' �• � ' � - • � � � • • - � 38. FINAL STRUCTURE & BUILDING ' ' - 39. Special Requirements Completed' ' ' � � . . _ . . ... �. ' 40. Electric Release to Edison � � � ' � �-� -- - "' � - � 41. Gas Release to Southern California Gas Co. , - �� • i 42. CERTIFICATEOFOCCUPANCY � ` -^� '•Y. - ,. .. , � . No. Date , �` . ' - 1 - i. . ' ' ' . . . , - y�' ' r t • • .` -.. .L- � ,' "'_ � " �, . AOP���ant to tiil in all spaces within neavY border lines anE sign all approoriate tleelarations. �CITY OF'COSTA MESA` aeap; IT NO. T ACT NO. � LOT�.g BLDG. NO. ' � � � �� � � � i CONSTRUCTION PERMIT /'�/�� l D Z �' ' ' S % a5 ,. � - ' ' �^ ' ,� , .�„ � ' Project Address • TVpE OF CONSTRUCTION � �- � � ,_'� 3939' 3/.30782 . 9.00 T�! 1 Ownef. " '' lPhone � �NEW .O ADOt ❑ ALTERATION � - , " ' ' ' . ' .: � ' . . "' ' � .. � . �,Addr¢ss1� ' W�", " " REPAIR OCONVERSIONjODEMOLISH , . ZONING REGULATIONS �AFch/En. �LicenseNo:�=- ❑brHeR- -�- �AP� �� .. � _ _ _ -' _ '� DESCRIPTION OF WORK � ' ' ' ` _ _ _ ' ; Addfess ZONE , PLNG REF. � j � ti .�Contractor `i ' � � ": -Phone �y� TYPEOFPERMIT' TpeUILpING � � F'' SETBACK LST. PROPERTV LINE 'Addfe55 � � ' l.(j � . , � ' . ❑�GR/iDING • ❑ FOUNDATION �O�STRUCTIIRAL` -�SI�EYARD ,4 �;� � , r�. � LICENSED�CONTRACTOR'DECL'ARATION --�� --' '---�� ' ' � �aTENANT'�'ELECTRICAL'�PLUMBING ❑MECHANICA L5ED V R . . - •\ I,hereby af(irm thct I am licensetl untler provi io S of Charter 9'(com= �•� � ' t RIGHT ' � mencing� wdh section� ]000)"ot'Drvivon' o tne Business 'antl � ❑ OTHER - ' ' '^ ' -' - _ � Professions Cotle, d my license is in ull ( for< an t i REAR VARD (TO P/L) � ; PROJECT DESCRIP710N O Llce C s � _� i e � � , � � ' � � PKG.SPACE REQ. „P,ROVIDED � ��+�y{5(�� y . . 1 Ddte:.L�L= i9na[ure � .�` . ,. ^ � OCCUPANCY �_CONSTRi _'-'. •_.. .. _ . '. � ^ � � 'STREETWIDTH •�PARKFEE§,',; : WORKERS"COMPENSATION DEC TION '�'-'--- -.- ' UCTION TVPE. I h¢r¢by affi�m that I have a.certiticat -of conSGp[ to self InSure oi a � P� � 'Z�PI�IVG APPROV,ED�BV,., � t , � DATE ififate of�Workers•'=Compensat�on'�� rance -o a certlEw.�1'copY -�VALVATION ZONE. ��,of (Se P,�). .�(J�(�� �GRADING CU: VOS. _ ACRES _ ;SPECIAL CONDISIONS� � ^f aY No. ComPany �ti"'�l ��' �i - _ . _ ��'°C�e�tifietl COpy'is�hereby fumishetl.- �•� � ^ -. � -- - = ` "REMARKS:�- - •-- � ' - -- - � � rtifietl Copy.is liletl witn the city Builtlin9 Division. ,. . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION -""' ' � - � � - � - - � � � " ' - 1 (This-sectionneetl-nobbecompletetl�i6the-permiGis.for-onehunGretl 1 _ _ . . , _ _ __. . ..� _ .._ _ _ ._ _ - �"�. �E300) or Ieu). �. � r, ',. �'.� t� _.�_ : _. . _ _ '."'`_� .._ ' ", _ ., {Ertify�thahin Ihe,perfo�mance ot.the.work tOr�which.this permit I5 issuetl, I shall not employ any person in any manner"so as to become PLUMBING.,� " �;;PLAN CHECV( � � �ELECTRICAL � PLAN CHECK ,; �( ! subj2Gt to fhe Workevs'-CompensatiomLaws oLCalitomia. -- ,. _ , _ _ �' Date $i9ndtur¢ � " BATHTUBS SHOWERS 1 i. NOTICE: If�after making-tnis tleclaratlon, you shoultl become'subject �T,OILETSCP � )�, �-URINALS � ��GENERATOR ��� � �� �� '�� ' ' - - - � to the Workers' Compensation provisions of tne l.abor Code, you must '� . _� ..,_ TRANSFORMER 0-1 KW_ 1-lO�KW� _ �_ j� � forthwith comply with such provisions or this permit shall be tleemetl � LAVATORIES . •DOUBLE LAVS'� � ��APPLIANCE 30-50 KW�_50-+ KW; � - revoketl -- � � � � � _ ._ . _ _ " `_ _' ' _ " . _. .. . _" .. .' _" _ _ '__ _" ". " "' _ '_"' �" . . KIT. SINKS DISHWASHERS �MOTORS 0-1 F1P_1-30 F1P. � i� CONSTRUCTION LENDING AGENCV 1 '� bhe�ebyaffi�mtnafthere�isaconstructionlentlingagencyfortheper� SERVICESINKS'�..i.�J'SVMPS � - '!i��`1GSOLAR)��^30-50'HP'='^'50"+HP�--' ' "'�� formancepf the_work_for.whit� [his permit, is issuetl (Settion 309] - �� �^�����-� Civ. C.). FLOOR SINKS FLOOR DRAINS �FIXTURES OUTLETS� ��SWITCHES L.entler's Name ' { '- � � .. . .. ... . . . _ __. _ ' - _'_ "_' "_-' ':t' ' " "'" "`" "-. iGASTUBE�51GN5 ' " � . - . .... ...�_".' '._ _ . � i ' L.entler's Atltlress ORINKING FOUN7AIN5 � .� � q ��� - 7� _ _"'' • OWNER BUILDER DECCARATION `_ __ '- .' _ __ " . " "_ . . _. ._ - _ _'.- _ - __ -" -_'._' "" __' _ _'.. . ' _ '� '.. . . _. . _... , _.., ." ' __ _ ".... ; INTERCEPTORS CLA,'ftIFIERS �. POLELIGHTS�� ,.r I' I hereby aftlrmJhat I am exempt from.the Coniractor's License Law for � ' =" ����' �� the followinq reason'(Section-]031.5'BuSinesS antl"Prbfe551ons Cotle: -- " ' "-' "" -'-' - -• ' '�' " - -- •- � -^- - ----� - - - - Any,_,city or_county__which requires a permit_to mnsVuct, alteq SWIMMING�POOL PTRAP � POLES METERED SUB �•'.1� ����i A� improve, tlemolish or repa�r any st�uctu�e, pno� to'its i55uance, also rE- y�qTER SERVICE ALTERATION ; PANELS � MAIN ,-, , SUB �y , . quir¢s.theppflicant fo� such permit to file a Si9n¢tl Stat¢ment that he � - '" � l� . Is licensetl pursuan['to the provisions ot the-Contrac[or's License l.dw GASSERVICE OUTLETS ' �iSERVICE �-� � � �' AMP " "'-- '� ,^h Pfor thelallegetl exemption. Any violation oP Sectlon ]031.5 by WATER HEATERS � BTU OUTPUT � � � � '� � �� - � ,.� _,� ,�. � � �� � ' � �, f' a ter 9 commencin _wrth_Section 7000 of �ivision_3 of the _ __ _ __ __ _ __ �. iess�aotl Prolessions Cotle or that'he is'exem t theretram antl th¢ ''""' " '' .ii . :: � .�. - applicant foi a permit subjects Ifie-applicant to a civil' penalty -" " - - '-"" -'-" '"" "" - - ' - ' '•" "' "' "'"""" `- m not mOre lhan five huntlretl tlollars ($500). SEWER CONNECTIONS � � �°� _y, y„„ -� , .' . _ '_""___.__' ` ' � �_."__.._ . .__ __ _"'_. ___" _ _" __-"'"__._._�._... ��..._. ......�._'�"""'_"� _ _� 0 I, as'owner of the properiy, or my employees with wages as their SOLAR TANK COLLECTORS � ,.�� "�-�' 'y sole mTpensation,-will tlo ihe wo�k, antl-thestrutture is not mtentletl_ '- ' _ _ . _ _ _ __ _ _ { or offeretl for sale. (Section ]044, Business antl Professions Cotle: The SOLAR PIPING SVS. - �! � �� ISSUE FEE • , �o,.:.e.o ,� , ' � �. �•±.. Con[ractor's�-License�Law-tloes not appry.to an-owner of.a property. -i� -- -- r --- -- -qppLICATION�APPROVED'BV-- ""- ` '�" ' DATE"' '�,i: `?; who builGs or improves thereon, and who tloes 5uch work himself or ISSUE FEE i� throu9h-his-Own employee5,-provitletl that such-improvements.a�e noL � ' Intentled or offeretl for sale. It, however, the builtlin9 or improvement MECHANICAL ' PLAN CHECK ' ` � SUMMARV OF,FEES�S� ����}��'.? �' �� i5�5oltl within onC year-o4cOmpletion, the.owner will have [he.burtlen. � � � . . _.___ ��____ . . __. �_ of provin �tie tlitl not bulltl or improve for the ur ose ot sale �� � +BUICDING . '^'-' 9 p y;- y-�ontracting with HEATING SVSTEM 0-100,000 BTU _ 4^ _ _ �PERMIT ._,y �SMIP�7c� '$k :a � P%. ; �� �'f, -as-owner'of .th¢' �OPe�t am'exclusivel qND �UCTING ��"' n - � :.��; "� licensetl wnVactms m<onsVuct tne prolect (Section 7044, BuSiness 100,000�+gTU � � (/ PLAN CHECK E •� P.ERMIT' W`; dntl'Professions' Cotle. -The Contracto�'s"Lic¢nze Law'tloes not appty to - - ' - -' - --"-' - - - - i ' - ' - - - - - --' ISSUANCE '$ - '"' - -� '� 2n owne� of property who bwltls or improve5 tnereon, antl who ton- REFRIGERATION 0-100 000 BTU �� PI.UMBING $ � M' • �p��" �' lracts'from-such pro�ects wiih"a"contractor(s) Imesnetl'pursuant to' -'SVSTEM' '-" " - �1'"' ""- "' "r"" ' - � "-" "'- - -' ' . GRADING- E - - - � theContractor'zLicenseLaw): 100,000+BTV � PLANCHECK E�' � "�'= ,ik" '•_ t • (Jy;.-f -, � ❑ I am ex¢mpt untle� SecUon �� B. & P C. for this BOILERS BTV � ELECTRICA� S ' '� . � a � �y^� �j reason ' "" __" __ "' " _ "' _' '. . __.. . _ $ . _ _ MICROFILM S � _ __,_ __ __ SVSTEM REPAIR, AITERATION � ' TOTAL FE � �� PIAN CHECK Date' " "'Owner - -�. .-Y. ' "' " ' ' "" '"' -"__ . ' _ _'_ _ . . _ _ . ES- " . - MECH.4NICHL-5 •�� - � I hereby tify.that I ve reatl tbis application antl.state that.the above sEXHAUST SVSTEM _ MULTIPLE �� ��• -' �� LESS.AD-_ ��� "� . _,_.,_.� _ "' _ _ -"'" -' .PLAN-CHECK $'--" ' '-' , VANCE PC informa io is con ct I'agree to comply with all city autl county O- n § � "' �' ortlinan s a tl state la s.relating.[o construction, anG,hereby authorize F V�� V!� ' � ' .. �� . , 1� . . �-, •' � c. �epresen tiv hi i y to e ter upon the ab ve mentigAetl � � ' , . � proPertY for cio .P r os . ._-" ._._' ���' �/ � "T_ _' _ " . $i9nature � � � -ISSUE'FEE "'--- � � ' - - -'- "J. ' "'- ' "" -' - ' " ' ' - ^ • � - - - CMF 0865-J6 White�Builtling; Canary-Applicant; Pink-Accounting; GolOenrotl-Assessor � CONSTRUCTION AND PLANNING ��� ' � „�t�OL & SPA �. . ' , I 0 .t\�(.\�. l��«. �O Date � Inspector �� � . � Date Inspector APPROVALS Permit #� APPROVALS � Permif # c 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location .. � -- � �' - . Soil ipe-Undrgrn . . 44. Steel Reinforcement �-� 3. Electrical Conduit Utility-Undrgrn ' 45. Forms ' 4. Electrical Conduit-Undrgrn � 46. Electrical Bonding .�. _ . tee ein orce � • 47. Rough Plumbin- & Pressu[e l'est - - 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE - 7. Footings � 49. Electrical Conduit-Undr rm �� - � ' �� , � . ,. . ..,�.. , . .. 6. Foundation �� . �-• • � - � � 50., �Gas Pipe, ❑ Undr m;,Test �� ��� ' ' � 9. Water.Pipe=Undrgrn • ' 51. Backwash Lines P-Tra ❑ � ndr rn'� �� � � �•- - •' ���'� � � 10. Structural FloorSystem 52. APPROVALTODECK ' ` - - � -- ' 11. Property Sewer Line & House Connection` ' 53. Backwash & Rece tor-Final - � ��� �� � 12. Street Sewer Cqnnection � ' �" � � �i� - 54. -Heater & Vent-Final � �� � � � ��� � � �. �� �'� , 13. Rough Plumbing � = - � - - - - • ' � � � • � ' 14. Rough ElectricConduit � � - :56.. Electrical-Final_ . � ` % � 15. Rough Eiectric-Wiring '- - ' --' ' ' -- - � 57. SolarSystem-Final � � • • ' • � '�" ' - � - "'��� ' � - 16. Rough Heating�& Air Conditioning � - • . encing & Access Approval ' . � 17. Ducts inStructure'� � " •' -' APPROVED�FORPLASTERING � � � � � ' � � 18. _ Ducts, Ventilating " � 1 _ � � ' � ' . _ � , . . 19. Gas Pipe-Rough & Test � � ' �-• 60. _ POOL/SPA SYSTEMS FINAL �• �� � - � � • : � 20. Roof_Framing � - - � . . - - :^ � ` • ' . � • . � . � � � . 21. Roof,Sheathin� . - _ _ . . ' - - ` . .. ' . . ... i; ... . . . ; 22. Frameand'Flashin � - � - - -NOTES: � �� - ' " ' ' � 23:__Insulation . � � " � - '� � ' � � ' ' . 24: Lathing & Siding � ' ' ' T ' ' �' 25: .DrywallNailing.' " ' - __i_ . • � .. ,.,. - -- - •`'.' . 26. -Plaster Brown Coat � � � � ' ' � ` � � ' � � 27. Electrical Power Meter-Final' ' �' � �' � � � � � ' � ' " 28. - Final Electric � � � � � , �r � �" • ' 29: _ Final Heating & Air Conditioning � � � ' - • � � ,! , �' � _30. Final Gas_Pipe-Test � ! " - • ' � � " ' '� ,�: � , �'.,r �. � ' • ` - -.. _ . . . - - - - - - . _ . . �. ,: 31: Final'Plumbing ' � ' ' � � � � " ` • � � • ' � 32: Water Service-Final ' �' t • � ' . ' - ' �- � ' � � • ' . . -. � . . .. � . ' j ." . " . .' . . . �. 33._ Gas.Secwce-Final � � ' " � - � • � ' � 34. Solar pomestic-Final s+� i i ' � � � ' ' �" � • ' ' ' ' /.- I 35. landsca e S rinklin S stem ' - S � �� � v � � ' � � " � • � 36. Sound Attenuation �- ! • i _ i ''" ''` `' � .^ � - � .�,u � ', ,. , . _ . �� .� . . .. . , . .. ., • 37. 'Handicap Fegulations � i � • - ' � - � ' � -�� � � � .. _ . ... . . . - -- � ' . . . . _.� . . . ... . �. ' 38. FINALSTRUCTURE&BUILDING - �:� � :+ f I • - - � �" ' ' "'� � "� ' ' � ' � 39. Special,Requirements Completed � • - � � � 3 i + �• � � ' " ' " "� - ' � " ' � ! 40. Electric Release to Edison - ' ' � •� � � �, � • �� -' -" � � " "- "' "' '-"" 41. Gas Release to Southern California Gas'Co'. �'' - d • - � '� - -- � � � � � �� � � � � � - � i 42. CERTIFICATE OF OCCUPANCY ,' . _ .__ _ ' �� ` � .. , .. ._ .�� .. .. oi, . . . � 'No Date ' �- - �, - - . . �i . . . - - . . : . �� . . . . � y. �. � � Aoo���ant to fill in all spaces within heavy bortler lines ana sign all aDPropriate tleclarations. . -CITYOFCOSTAMESA' � 'PERMI'NO. "" "� 'TRACTNO� "LOT'NO. "BLDG:NO. +- -' - -'- , ' "--- �-- ---' ' - ---�----•--- .^-- � CANST UCTIONPERMIT � � ��� ...' :+: ' r_ � ' � R -/99/� ; � �� � 7 3�� .. . Pro ecYAddress • - r • • .••• ^' � . ' ' � � ;�� � � � � .� O " . +.,',�.:' TY/PE OF CONSTRUCTION' .: ` �P• �. �� � � � "'il'.rj�i'i I.7c TL' ` OWne - - . ' Phone • ' ���P1 EW , ❑"ADD ❑ A6TERATION �. -- . _ ._. . . . . ' 9350 � I ZI I OIB � _ __ �.. '. J -. ... � .I ". . O �_-... . �Addrea 1' ' �,� - -\� . � � -�O_REPAIF ❑.CONVERSION ❑DEMOLISH. � . _ . . _ . � _ ._._ _,. -Arch/Eng 'r�� - 0 4 ��,,i��icense No - -� � � aTtiER � � �� ` ZONING"REGUCATIONS -,_ - DESCRIPTION OF WORK � A'P' � �U =� ^ � �� '"Addr¢55 - ' ' -" ' _ _ 'C " _ ' - " " _ '_ _ _ , . . . ..-.._ 'ZONE- - 'rPLNG'REF.,iF . . � !'1���i _ . .Contracmr -_•. - ' - . _ . _ . ' Phone � . . ... " . . . . . _ . . .� . . . _ _ .. _B . p . . _ . _ _ ' ��oP 7 �TYPE OF PERM� BUE�I�TLNLIrvE' O Addre55 " ' - ' ' � - i ' , ' ' � SETBACK C L ST - _ ' � ]_ � ❑ GRADING_f OUNDATION- �0 STRUCTURAL- - -SIDE VARO - -J � - . -LIGENSED CONTRACTOR DECL ION ' ' � � � ' " LEF �. --1-. -Q-TENANT� � ELECTRICAL-�PLUMBING ❑MECHANICA �-51p E VA - s� I hereby atfirm th:.t I am licensetl ntler r♦ o of r �(mm- � �.- , �� _� q � RIGHT � G[� '�' � mentmg with 5ettion 9000) Dlvisi A�� �- th ines3-antl ❑.pTHER _ . . .. Professions Cotlej antl my cense i in f ce antl etfe t � � REAR VARD (TO P/Lj � �� . . _ _ " .. '_ . _ .-� , _. . � . . PROJECT D �IP.�D/ LltenseCla{s c ,�I ' �71j'��' -' "'- /�J " �� PKG.-SP/aCEREq. Z, 6� . �PROVIDED Q�I - '� Date- -1°d 14 �?,1 Si9natu ' .. / :U _ SQ..FT. . + "' ' ' \ ' ' - - ,' _ ^ � � 7 - ��,J G '� � STREET WIOTH _ _ PARK FEE"S WORKERS'COMPENSATION GL ATION .. ._ . OCCUPANCY' CONSTRUCTION TVPE - ' I hereby aff�rm that I have a rtrt¢ e of co 5 t to self i ure� r a ZONING APPROVED BV`' � ��/ DATE "c¢rtifiGate ot-Workers'-Comp nsatio I _ PY ��VALVATION'�ZONE _ _T _ • KL4T� - Z-�0�� � =reot (Sectio 3800 Lap. ; . � � . GRADWG CU- YDS. "' � _ ACRES _ SPECIAL CONDITIONS: , , . � ' - ' -_ cY No: � omP nY� '/ ^ .Certi(Iedcopy.ishereby.4 rnish ..FJtT�P.l�S ��,5•EjfOUf%' ".0.EMARKS a - ."C _,1. , G���� ��` ' �_ ❑ Certifletl copy Is tiletl wifh th¢, ity Builtlin9 DivisiOn. ' ' ' � � ' EXEMPTION�FROM WOi�KER "COMPENSATION DECCARATION ---- - - ' _ _(ThiS section. neetl,pat be om etetl.if the_permit is for one huntlretl - , , � I; " f (5100) or Iess). + � ' ' " ,s i, -_ _ _..,_ � . _. .' ' " . .... . . _ . _ . . .J . � ._. . .. . ,... ._.. . __. ' ' " I_ce�tify that in the pe�fo� ce�0f th¢ work fOr whi<h Ihis p2rmit�l5 . . . . ., issuetl, I shall not employ any person In any manner�so�as �o-be�ome; �-PCUMBING�,y�� r :,_ PLAN CHECK "' -, �'" "' ''"- ECECTRICAC' -- "PLAN CHECK -' -' " i , ., .. . � . . , . ._ . .. . .subjectto.theWorkersLCompensation l.awspf_California._ ___ . _,_ • - - �, Date Siqnature- BATHTUBS � � � '��-SHOWERS--- -- " '"-- "�' -'-""-' -"' r NOTIGE: It after,makin9 this tle[Iaration, you Shoultl become subject, -TOIlETS. �.-r� �„ URINA6 "- -'� --' --' GENERATOR -. -0-1 KW_ 1-30',KW' to th¢ WOrk¢rz' Compensatlon provisions of the Labor Cotle, you mu5t �� -� - � TRANSFORMER �. �. � forthwith comply'with such provi5ions or this permit shall be tleemetl LAVATORIES DOVBCE'LAVS"'- ' ' ' -qpp�iqNCE `-30-50 KW_SO�+�KW - '"�- -- .�evOketl. ' .,_ + . ' - ? CONSTRUCTION LENDING AGENCV� � �KIT.'SINK$" " `DISHWASHERS" ' -' "MOTORS--- �-- 0-1`FIP_1-10 HP - - - -" ' "` I hereb atfirm tha[ there is a construction lentlin a enc for tM1e er- --�- - -- --- INC. SOLAR)_ � Y 9 9 Y P SERyICE51NK5+-^�: SUMPS � --10-50-HP=-50�+�HP=�����-� =' --� fo�mance of the work tor whiCh this permit is iz5uetl (Section 3097 ' ..Civ:'C.):. _" _ ._' ________-_�_..._,"" _... .. � .._.�� Lentler's Name �F�OORSINKS�'�- ' ��FLOOR DRAINS' �--`- -" FIXTURES " 'OUTL'ETS'- SWITCHES' - --7 .__..'"'_ ___.._'�""-,.."' ._.'�'_'""'"' ""__" .. . Lentler's Atltlres5 -ORINKING'FOUNTAINS-�� '-'� "' ' -' -"GASTUBESIGNS -�-" ' �' �- ;-� - - 'OWNER'BUICDER'DECCARATION - - "- -"-�- `- ' '"INTERCEPTORS- ' CCARIFIERS �" -POL'E'LIGHTS' --- � 1 hereby a/firm that I am exemp[ from the Contractor'S License Law for � � T ..�i'� �� i 'i - �the-following�reason-(Section��031�.5-Business-and-Professions�COGe: �SWIMMING POOL '^"�P`TRAP- - "'- ' -^ - - � - - " - - - - - � Any city or county whi[h requires a permit to ConStruc[, alter, �� POLES METERED �• SUB �� r- . n � . �improve; tlemolish orrepair any�structure;.prior to itrissuance,-also re- - - ' ----- _ _r. _ quires the ap411cant for suGh p¢rmit to file a signetl statem¢nt that he WATER SERVICE� �-HLTERATION� '-- ' PANEL'S-'- -`"MAIN"-- ,�.SUB"�"�> "' .� -- �""i . �is'Iicensetl'pursuanYto�the-pravisionsrof th¢�Contractor'rCicense Law ""GASSERVICE ' OUTLETS -��- � � � �` --'SERVICE -' - "- - -AMP- - {Chapter 9(commencin9 witM1 Section 7000) of Division 3 of [he --`?iness antl�P�of¢ssions Cotle) orthat he is exempitherefrom antl-the yyqTER'HEATERS" " "BTV OVTPVT'-- - " ' ^""- "-" - - - � - - - -- .. for the allegetl exemption. Any violation of Section ]031.5 by - T�- ... i . r... � .. ",;�applicant-fo�-a-permitsubjects-th¢-applicanbto'd�[Ivil-penalty"'SEWER�CONNECTIONS";I"" "`-' "--" " "'"-�-" - " -� ""--' -""-- 1 '-' - � - 'nol more Ihan five nundretl tlollars ($500). � -"� � � -d�l; es owner of tFc propeify-or my employees witti wa9es as-their" 'SOL'AR TANK ---- COLCECTORS"-" ' ---' ' - ' ' � ' ' " ^ "- '�'- -' -" -- - , � - .- - � sole compen5ation, will tlo the work, antl the structure is not intentletl ' "'" or offeretl for sale. (Section 7046, Bu5ine55 antl ProfeSTionS Cotle: The � -"-�i'-- " '-' ' "'- "" ' ISSUE'FEE�---" "" ""- "-'"` ' ' � SOl_AR PIPING SVS. -.. - .Contractor's License_l.aw tloes,not appry [o an,owner,pf a property, ._ - - - ' ' who builtls or improves thereon, antl who tloes sucn work liimself or -�SSUE FEE -� I� � ' � � AP7L-ICATION /aPPROVED B --��AT � .throu9h_his own employees, provitled ihat such improvements are not - � intentletl or offeretl for sale. If, howeJeq the builtling or improvement' MECHANICAL PLAN CHECK SUMMARV OF FEES. ;'i � 1 is.soltl within one year of completion, the owner will bave the burtlen . . NAr of proving h¢ tlitl not builtl or imprOve for-the"purpose of�sale).� 'BUILDING--- .�{q �/� ---- - �- �� I,-as-.owner-oi the'property,-am exclusivery contracting-with HEATINGSVSTEM 0-100,000BTU __ PERMIT E—�,�"' ��!SMIP'.•Yyye�B__ ����' licensetl contractors to construct the ro'eCt. Set[ion 7044, Business AND'OUCTING - '-' ' --- - �- � --- P 1 ( 100,000 r�BTU PLAN CHECK 5� ' PERMIT..^ . � •� -antl�Professionz-Cotle:The�Conbactor's-License�LawtloesnoLapply-to- - '-ISSUANCE g_ J an owner of prop¢rty who builtls or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLVMBING S � h��.•�`-. nF�, �� t�ac�s�4rom-such-projects-with-�a-cont�actor(s) licesnetl-pursuanbto• -SVSTEM - .- -- ' -- - - - --• -- -- - ��' � ' GRA�ING _ g ' theConGacior'SLicenseL.aw). 100,000+gTU� PLANCHECKI;E ��}. �I�,i ��-i' � i '�'I am eiiempCuntler Section ' '�'B': &'PTC.`for'ihis- �-- --- -- - - - ' - - �-' - -�- - �- - $ � • ELECTRICAL E BOILERS BTV .�` � -reason-•_"_"_' ___ _.. .__._�. _.. . " "_ _ _ .. . - �.- " PL'ANCHECK"S� __�'_ ._' "-MICROFILM g',i � I �Date� � Owner SVSTEM REPAIR,ALTERATION �'� �� �'�. TOTAL�FEE,$"�"'� �'� _' 'MECHANICAL E"`"' -._. :'_... . . .: I bereby certi(yt a I have reatl this application antl 5[ate that the above EXHAUST SVSTEM MULTIPLE U.' ..4�+ r3�::, �e,, 4oHOLE55�AD°'���� ' � ' �informa o�is c r c4-I agree ta mmply'with all-city antl wunty . PL-AN'CHECK-b""""'"" '- VANCEPC'$=� --- j ortlinan es tl st t laws rela ' 9 to construction, antl he�eby authorize �� �' �Ii�IF�'��. ��J �C, ;3 i i�' •i i' ^'-�`+ "rep�ese t5tl i to enter upOn�'ihe aeove' mentlonetl- k� ' � � propert fo i I urposes. .____ _, 1��_ � ; �) _ FINAL FEE y �� ._.._ . _ 519natu Date ISSVEFEE --.�.'" '_'"__'_-"."__'_'"'_ __"'"'_'_�__�__ __ ""___ _ _._.._. . .. ,_. , Drivers''Lice or 55 � y �- CMF 0865-46 White-Builtling; Canary-Applicant: Pink-Accounting; Goltlenrotl-Assezsor CONSTRUCTION AND PLANNING POOL & SPA :� - - �APPROVALS Permit� B_/�� Date Inspector qppROVALS Permit,# ''\ Date I'nspector � ;����Sr # 1. Temporary Electrical Service or Pole 43. Pool & Equipmen[ Location". -`- - -� - -� -� Soi ipe-Undrgm ' 44. Steel Reinforcement' ' `��'�"'- •-••'• -- ' -�-� - -- 3. Electrical Conduit.Utility=.Undrgm \ ` + • 45. Forms � - - -- � � � --- - - �:4. , ElectricaLConduit-Undrgrti �- --' = '. � �_ • - 46.. Electrical Bonding � - -- - -•-- � - --�-- - � � � � � tee ein orce 47. . Rough Plumbin &-Pressure Test • - ' ' 6 Electrical UFER Grn 4g: APPROVAL TO COVER-GtJNITE�- - --- �•� ��,7,. � Footings - � . 49. Electrical Conduit-Undr rn�•` '•'- � � • 6. _ �Foundatiom ' � - � 50. Gas Pipe, ❑ Undr rn, Test - � •- 9.- Water Pipe-Undrgm 51. Backwash Lines P-Tr`a � Q' � ndF rn '�• "' ' ' 10. Structural Floor System _ 52. . APPROVALTO DECK ' ' -- """ � 11. • Property Sewei Line &'House Conneaion 53. _ Backwash & Rece tor=Final 12. Street Sewer Connection 54. Heater & Vent-Final � 13. -.RoughPJumhing. - . . � � -, - .-_ .. • .-.. -' ' --• 14. Rough Electric-Conduit - -� �56., . Electricaf-Final � � 15. Rough Electric-Wiring � - ' � -'- ��59- �So�ar-System-Final . - ' 16. Rough Heating & Air Conditioning � � encing & Access Approval 17. Ducts, in Structure ' APPROVED FOR PLASTERING ' 18. Ducts, Ventilating - _ . . ' . ,. _ .. 19. GarPipe-Rough &Test � - 60. POOUSPA SYSTEMS FINAL , 20. Roof Framing . -' - ' ' � " � ' 21. Roof Sfieathin � ' ' Q2. - Frame and Flashin NOTES: - -23. Insulation -- � - " � � . - � 24. Lathing & Siding - � � � � - � � 25. Drywall Nailing - . ' ' _ � � - � � � 26. � Plaster Brown Coat - � ' � ' � - • 27. •Electrical Power Meter-Final � - � � 28. Final Electric � - - � � 29. Final Heating & Air Conditioning� � ' � - �- �� , � � 30. Final Gas Pipe-Test � " � - � • 31. Final Plumbing . � - �- 32.•, Water Service-Final � - - '� - � � �33: �`Gas Service-Finel�=='• � � - ' ' ' 34. Solar pomesticFinal'' � � � �' ' � � 35. � Landsca e S rinklin S stem� � ' - ' � � 36. Sound Attenuation � � � 37. Handicap Regulations � � -- ' • � � ' � ' � � � 38. FINALSTRUCTURE&BUILDING' '� • � - - - ' � � � � • 39. Special Requirements Completed ' • ' - - � � �� 40. Electric Release, to Edison � � ' " ' � -� �• - - � - 41. Gas Release to Southem California Gas Co. - - � 42. CERTIFICATEOFOCCUPANCY '_ _ . . _ � � No Date • � � � . .. . . - -- �- / Applicant to fill in ' CITY OF WSTA MESA • �aeaR� ,ir CONSTRUCTION PERMIT I /.� . Addres/7 qG-% �GAt�w..- within heavy borGer lines anE.slgn all apptoprlate tleelarations. � . TRACT NO. LOT NO� � BLOG. NO. � y. ' ' TYpE OF CONSTRUCTION Phon2 �-3 ❑ NEW - ❑ ADD ❑ ALTER,_A,,/TION N� , 2)l ❑.REPAIR ❑CONVERSION L�DEMOLISH LiCenSC No. ❑ OTHER � ' -' DESCRIPTIO OF WORK Address - - f �' Contractor '. H PhonebY>-BY TVPE OF PERMI : _ Address fp Z T h- V�t , ❑ GRADING ❑ FOUNDATION ❑ STRUCTVRAL � LICENSED CONTRACTOR DECLARATION � ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHN � I hereby afflrm that.l am Iicensetl untler provislons of C�arter 9(mm- � ,. _ ,� __ �mencing wlth sectlon ]000) of Divislon 3 of tlte Business antl ❑ OTNER � Professions Cotle antl my,_Iitense is in full force ar� �f�Gt, pROJECTDESCRIPTION ' " � � License Cla/ 3 B 1'_ LI e No. � . � Date �� S Signature SQ. FT." ' ' . ' WORKERS' COMPENSATION DECLARATION 'OCCUPANCY_CONS�RUCTION TYPE I hereby aifirm that I �ave a certlfiwte o(.<onsent to selt�-insure.or a' VALUATION � SOO'� ZONE certillczte ot Workers• Compensation Insuranca, or a cerHfietl copy reot (Sp�tion 3800�L�.g), j /_ ,, �, .j_ � GRAD�NG CV. VDS. ACRES ffCertltietl copy Is hereby furnisfietl.' ' "' � � REMARKS: � ❑ CertifieA copy is filetl.with the clty Builtling Divizion. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ' -� (ThiS setlion neetl no[ be completetl if the permit is tor'one huntlretl - , Ssioo� o. iess�. � certlfy [hat in the pertormance of the'work tor which t�is permlt Is Issuetl, I shall not employ any perton in any mannBr so a5 to become PLUMBING • ' PLAN CHECK subject [o the Workeri' Compensation Laws o/ California. "' ' - " "' ' ' ' ' - Date Signature BATHTUBS � SHOWERS NOTICE: I( after rtiaking fhis tleclaratlon, you shoultl become subject TOILETS - ' �URINAl.S to the Workers' Compensatlon provisions o( the Labor Cotle, you must forthwlth Compty with Such provision5 or this permit Shall be tleemetl LAVATORIES DOVB�E �AVS revaketl. ' ' ' ' CONSTRUCTION IENDING AGENCV KIT. SINKS DISHWASHERS I hereby df(irm that there is a conStrUCHon I¢ntling a9ency for the per- SERV ICE $INKS � SUMP$ (ormance of che work (or which� this permit is iszUetl (Section 3097 Civ. C.�. � FLOOR SINKS FLOOR �RAINS Lentler's Name Lentler'S Atltlress DRINKING FOUNTAINS OWNERBVILDERDECLARATION INTERCEPTORS CLARIFIERS I hereby a(firm.that I.am ezemptfrom.the Contracto!'s License Law for the tollowing reason (Sec[ion 7031.5 Business antl Professions Cotle: SWIMMING POOL P TRAP Any city or county.whicn .requires a-p¢rmit to construct, alter, Improve, tlemolish or repair any 5tructure, prior to IR issuance, also re- yyqTER SERV ICE ALTERATION quires [h¢ appliCant for such p¢rmit to (ile a-Signetl statement [hath¢ - - is Iitense0 pursuant to the provisions of\;he ContraGtor's License l.aw GAS SERVICE OVT�ETS (Chapter -9 (commencing with Section .7000} of Oivision 3 ot. the �ness antl Professions Cotle) or that �e,is exempt [herefrom antl the yyqTER HEATERS BTU OUTPUT for the allegea eaemption.. Any vi - appliGant for a permit subjects th of not more -than five huntlretl tlollars ( ❑ I, as owner of the property, or my i 501¢ compensatlon; wlll tlo the work, an� or ofteretl for sale. (Section 7044, Busin ConVactoYs License Law tloes not app who builtls or improves Ihereon, antl w throu9h hii own employees, pravitletl th intentletl or offereG for sale. It, however Is soltl within one year of completion, tl of proving he tlitl not builtl or imprc ❑ I, as owner of the property, am IiCenSetl mnVacton to_conslruct.the.pr antl Protessions Code: The Contrac[or's an own¢r, of prOperty wh0 builds o� im tracts f�om such pvojec[5 with a contr [he Contractor's LJcense Law). . ❑ 1 am eYempt untler Sec[ion reason Date Owner I hereby tertify that I have reatl this aOPli� information is co��ect. I agree to com o�tlinances antl state laws relating to cons representativgs of thi; city to enter ition ot SQ�tion 7031.5 b ipplitant to d civil penalt 00). - - ployees With wages as thei hC'StlUCS4�¢ i5 pOi IOS¢fltl¢ antl Rofessions Cotle: Th to an owner ot a propert tloes such wo�k hlmself o such' improvements are'no ie bUiltlitl9 or improv¢men owne� will M1ave the Du�Oe for fhe Ourpose of zale) :clu5ively con[�acting wit !Ct (5¢Ction ]044, BUSin05 :ense LdW tlOes not apply [ �ves the�6on, antl who cOn :or(5) IicBsned pursuant t B. & P�C. (o� thi dtion antl state that the tly with all city ana t ruction,and-hereby aut upon the above men Y Y SEWERCONNECTIONS r SOLARTANK COLLECTOR'. d Q SOLAR PIPING SVS. � ISSUE FEE t � MECHANICAL _P�aNCHECK n h .HEATING SYSTEM 0-300,000 BTU_ AND DUCTING 5 . 100,000 + gTU _ 0 REFRIGERATION 0-300,000 BTU_ � SVSTEM 100,000 + gTU _ s BOILERS_ BTV -SVSTEM REPAIR,ALTERATION.. EXHAUSTSVSTEM MULTIPLE- Signature s / �' 1 � - Drivers' License or 55 � � ISSUE FEE CMF 0865-46 White-Builtling; Canary-Applicant; G��k-Accounting; GolCenrotl-Assessor 7779�11/03/81 ' A.P. RIGHT REAR VARD (TO P/L�� � �PKG.SPACE REQ. ' PROVIDEC �STREET WIDTH PARK FEE ZONINGAPPROVE�BV r ��/,DAT SPECIALCONDITION : EIECTRICAL PLAN CHECK 'GENERATOR 0-1 KW_1-lO�KYV _ TRANSFORMER APPLIANCE 30-50 KW_50 + KW _ MOTORS 0-1 HP_1-30 HP _ �(INC.SOLAR) 30-SOHP_50«HP_ FIXTURES OUTLETS SWITCHES GAS TUBE SIGNS POLE LIGHTS . iPANELS MAW SVB SERVICE P 41,75 T�� i ISSUE FEE APPLICATION APPROVED BY DATE SUMMARV OF FEES BUILDING �(� /T PERMIT $ '^���"��'��q ' SMIP $ � '� V PLANCHECK 5-/�=gJ- PERMIT � - • ISSUANCE, $ PLVMBING $ � ' GRADING $ - PLAN CHECK E� - � ELECTRICAL E � E � .PLANCHECK § M��ROFII.M y MECHANICAL g TOTAL FEE $ - LE55 AD- � - -- �PLAN CHECK $ . VANCE PC $ FINAL FEE E e CONSTRUCTION AND PLANNING �- - POOL & SPA • � `' � ��' �` " � Date Inspector � � � � � • . Date IpSpector.� APPROVALS Permit # ��APPROVALS Permit # 1. Temporary Electrical Service or Pole • 43. Pool & Equipment Location �` � - •' Soil ipe-Undrgrn ' 44. Steel Reinforcement ' � ` � - ' � � ` � +" 3:' Electrical Conduit Utility;Undrgrn_ ' , 45. Porms �� � -� 4. Electrical Conduit-Undrgrn , ' • '; � � - � 46. Electrical Bonding � . tee ein orce "� � • " • 47, Rough Plumbin & P-ressure Test � ' � ; i. •, � - � 6. Electrical UF R Grn ' - . " � � - , qg, APPROVALTO COVER-GUNITE ' �� , t 7. Footings � ' • � � 49. Electrical Conduit-Undr rn � ' � "` S: Poundation - ' - - - � - - � 50. Gas Pipe, � Undr m, Test ' � 9. -Water Pipe-Undr rn - - - °: 9 51.� Backwash Lines P-Tra� � 0� ntlr rn '' " 10. Structural Floor SYstem ' 52. - APPROVAL TO DECK � ' � ,.-ti� � ,.1�1:• "Pioperty Sewer'Line & House Connection �. 53. Backwash & Rece tor-Final ' ' ' ' � �,' 1�2.� �Street Sewer �pnnection � � � -.; � � 54. Heater & Vent-Finah � �� � � � ' 13. Rougfi�Pluriibing - ' - � -' "' ' � l-4.� " Rough ElectrioCoriduit � ' ,•56. Electrical-Finel ' � � " " .•-15.- Rough-Electric-Wiring - - � - 57. SolarSystem-Final � � �• � 16... . Rough Heating & Air Conditioning _ � encing & Access Approval ' - ' 17: Ducts, in Structure . , � . � , ' � ' � APPROVED�FOR PLASTERING � - � � 18. Ducts, Ventilating � � ' - - - • � �� . � � 19. Gas Pipe-Rough & Test � • " � .60. POO�USPA SYSTEMS FINA� - � � � . , � ' � , ' 20. Roof.Framing � �� , � � • � � " ' � ' � 21 �, Roof Sheathi� � ' ' . ' , , ' . 22. Frame and �Flashin � � ' NOTES: - . � � � � . 23. Insulation , - ' 24. Lathing & SiUing • � � ' 25. Drywall Nailing . � ' . ' '' � � �� "' ' ' � 26. Plaster Brown Coat " � ' t i � y� � - • � ' � - � 27. Electrical Power Meter-Final ' �- � ' ' ' ' � •' 28. Final�Electric ' � � ' ` � ^ ' � ' - 29. Final Heating & Air Conditioning `. • + - � � � • 30. Final Gas Pipe-Test � � ' - ' � � 31: Final Plumbing - ' i � � 32. Water Service-Final ' � - - � � � � ' ' ' � 33. Gas $ervice-Final ' ' � � � � � � � � 34. Solar pomestio-Final .. �� � � � � � �� � �. 35. Landsca e S rinklin S stem � � • " - - �" " ' ' - ' � � � � � + 36. Sound Attenuation � • � ti � �' ' � 37. Handicap Re ulafions ' " ' ' � ' � � ' � ' 38. FINALSTRUCTURE&BUILDING ; i i' ' • 39. Special Requlrements Completed � �� � �� - � . 40. Electric Release to Edison - � ' ' � ' " - - � �- � � � � - - . "41. Gas Release {o Southern California Gas Co. ' - - � � - - � � � ' - - � � - � - • �- - 42. CERTIFICA7E OF OCCUPANCY ' - ' ' • . No Date . - -\ awwiu uu En��E mm�a� �urcuiw� �,�'� �1,r��. r L Date: C D. L DOUGLAS & ASSOCIATES, INC. _`"'"�`�p•"'"""�"`"`u�p• StateRegisteredConstructionlnspectors � r�D 2a00-D W. Lincoln Ave. / Anaheim, California 92801 /(714) 761-3156 � C C � Califomia State License No. 503 f,l7Y OF �• ��� �cDiet,n'/d• A ril 16, �9s2 � APR 191982 �� INSPECTION REPOR-T � � ,�u�Y�;��3s� ��� � City of Costa Mesa Building Department P.O. Box 1200 Costa Mesa, Ca 92626 J PERMIT N0: 82347 DATED: 1-25-82 TYPE: Buildina Dear Sirs: The following inspections ha�e been performed in accordance with Section 305 of the Uniform Building Code: Project: Herita9e Project �"`�"_" ,�..,. ;-�, Address.: 250"W. Wilso�"n ""m'O City: Costa Mesa, Ca �„��m--- Contractor; ,7�'°'H""C;reaorv C_�nstruction ComDanv Address: 17961 Cowan City: Irvine, Ca 92719 Architect: James Green Engineer: Donald wood TYpe of Inspections: All I.ocation of Wor,k.;,,...,,,,��_�„��� �__2263 Herita e Drive � � REC�� Tests Performed�:�'�°'a`"""��9� ` ,... ��.�.�,�ax.�:�::_�:�.,_..,.���----`-=_; +� Gas,�water, sewer, electric continuity�' �'�� _-�....a.:>,�,� .� �z.�.�--�.a. Test I,ab:� �� none Remarks: Ail inspections completed except not visible factory- built portion of unit, which was certified as State inspected. Sub-Contractor: ail Work on the above phase of this project has been satisfact- -----.�..�.>r�».�-� �-x+ . -^-� orily completed in accordance with appro ed plans and spec- .,�-�,.L...e�a...........,_..u-'-.._..._..::.x�v,,.-:Q...;:.���,.._..._.��. _ :�.�c�._:�4_�:.r��:.:s.�..c -sr Y�ln tT. : : `ifications. ``Inspec£iori Dates: Inspector: From: �1-1-81 To: 4-16-82 Lic. No: 503 SCHOOLS • CHURCHES • HOSPITALS • INSTITUTIONS • COMMERCIAL • INDUSTRIAL • RESIDENTIAL i � F r � __ __. �._ . J� ;r'dsi:�' v�: �;,� � �;' ` , �A,� j ,. t � � ��. s . ",. i"6- , v: ' CITY OF'C4S'?A MESA � � i _' _ . ', ., . �r e � t..; s` ���; a � � • • BUILDING SAFETY DEPART?AENT � - . , ' ; � � ' ' �= POST . IN CONSPICUOUS� PLACE., ���1 x � 7 .ne�j � s�e.es �si f + �3F� �r . i i � � ' . ,��L, �,:„���, ;��;,� � , f= � ` � ON THE JOB a�, fi. � ��x k � � �,. � -�_ . , �f�a tt��� ��<Y�� ����' � �a� ��� a. . _.t, . -• . . .. �. � � � . �'��%'�-v a{�6�A� ����n i� i t� � . . � � t � ' 4 ry t S 't } ` ♦; : i .. �ATE ISSUED ' *� t+1u .1:s' ;�,t' rli�Ji��'��j. i�' � . �.��ti t,:t . � t . . ,� . . �'*;� ./�-��8� � , f}y� � c t d a -'�a J,., ' ' Ai .y a��+ 7tfi a.� e- fP^. ' A.P. NO. � ' PERMIT NO. � ' � . �� � � �h i i. e ry 1`•' Q ' /.�/J L,{/ �/) . ' � xt��. {`t 1.ltj { '1. �I1�O���O� . /[/���/ / . . i ` I�ts j�v, tx yf; 1 �' , ��;;�+' . BUILDING ADDRE55 1��J /� / � /�/ f� L C C I��� �r � : i ..r� , �t �. . a�•' �/G/'G-�T//bE �E/���.. (�... 1�. C��T�1 .�'C�(� � � � t i � � 1F' �y,�' 1' +�.�J�4 r TRACT �7 LOT BLOCK , � -����'. `� �j, ° � t -. 3s, ` � ����/ ��, - . : ; � . . . . • ' l.�y � . . . NEW 'ADD ALTER ftEPAIR' MOVING DEMOLISN �� APR 1�9 jg$� �;��,� , , : �l �jb�,ui�j , ; �cy��`,��� r . : ' OWNER . .� � . , ', :t '.t '. . �.IY ' . `:��_ � . JI ' CY/ ,� - . � - . ' � � USE - ' • . _ . ! _Ga��'-��G-eJ GI/t-G� , ..Rti1E ZONE TVPE GROUG � 9, . , ,. . ',; �: . � —/�J ,3 �7'1= � `, . - , —�^ � SETBAGC—�KS /, ' •'� ` � , ' Front Yd � Side Yd. R_� L� Rear a� t i , ,'.. ' ,. _ y _ . .. . �. . '� ' .�: ;, �, � � � Side Yd. R L Rear ' - _ � � � .F� -- '- ,' . __ . !•,�`�' `�` ., . , � - ' � BUILDING INSPECTION RECORD � . . . . . - i �� -. �. � ' TO KEEP BUILDING PERMITS VALID, WORK MUST BE COM- > !� , .'::���' ' ` � MENCED WITMIN 180 DAYS WITH ROUTINE INSPECTIONS AT � � - �f"'' �:�`:'� �' ,� � � '� t.. LEAST EACH 180 DAYS THEREAFTER UNTIL COMPLETED. 1r,,.. ... .' ' � . _ . . .- --. _... - . . %{''`-iA==-'°;' ;, � a �� � �' - STRUCTURAL INSP. ' DATE " � fi f j � �� ; � . � ?�r � , ' � .. Trenches ❑ Farms ❑ � -�C- JnO� �(r . .. , � . '" � � t . �� Floor SYstem -- .. t4 .. � � . x� G --�-- ;. , �p � -'..,. .': � - � Stcel Reinf.""""" ��- : � � ��- Sheathin9 _"_" " '�"""' ' ' �'Ll�ili� ` ... � � . '. ' �' •'. ' ' � � , . .:�,. { . ��z . . � : , .� , . � � ` Frame and Flash�ng.. . ...... . ' �� � """ �F- Z m w�,,l, e ,' � :��. 7p .. . �""'-" y—/ -�Z � � .. 't ' .,.i' ��. ' .. :' InSulation""""'""'""""" ' ,. ;,.,. ..�.-:�._ - �� � �-..: ., � ' � �.� . � i� Lathin9._'."""""'_'__.__._....."';. _' 4,.� .. . �:�: � , v ; . y . j • .. " ' . .,:� : � . . ' Dr Wall Nailin ' - , . . Y 9- ........." " " '._...' . .E,a^P . .. .. �. . ,f-.' . . .l,I.'. . .' ' . `::) . - . - ,' . . . , . . . . . . . ' �'i. �.. . . . � Plazter,8rownCoat._"""_"""""""'_- . 5,�+,!;.' � ..; 'ti . , � . :� SoundAttenuation.""_._""'__...__ _ � . , ' t� . ' . "' . . . z. �... . .. ; . � . ' `.� , • HandicaPRe9ulation."""-"' �. . . r 5.�:" ` . � . . _ _ _ . . . �o- � . . .. . , ,.. ' FINAL L.� . . , � ' - ' � " . PLUMBING .. . . . ;". .��', ' , r' $OI� ... ............ ' .. . . . ... . . e . � : . �_. �.� .. +., . �.�� � ' - .., : . � � .i i. ' . . .r ,. � . ... , . , ..' . ' . ;.,.•..: . :. . , i. Z-iG•dZ ;,,,,,, ,,, ,,,,, �, ... , UndergroundWater""""""'----'---' . . . . . � . . . . , . ,.. > . �' : ,.1: t' . . . ' . . ' ' ' . . . . � ...:..: :::...: . .:.� �. , :.. .. : um '_"__'_'_"""""'_ _ Rough PI bing - � . .,� ...., . . . . . ' . .. ' . • .' . . . ..� � , . . .... Prop.SewerLineandHouseConn."'-"-" ' T'gT' �.. � :. ' ' -:.l',,','. , ' i ..' . � � . . ' � ' . ., •' • . � � . . ` � . � . . . . � I �� Street Sewer Conn. � . ,.:..;.. �. :'.,. . . t" , """___._"""' . . , .:. ,.�.; .J.- i ' . + ' ' � ' ' ' P� ''� Wa[er Service � � ,,. ' . . . . �. 9prinklin9SVstem '_'____'_"."_""" - . . ; �-'..;.��.,', r', , . . . � ,�.. , ', �...�... ' ,�:. :. �. ' . GasTest """""_""'__________"" 7''ra3�a'L . _ . . . � . . FINAL �'L'� . '; . . . �"� ��� -� �� � � �' � .. ' 'T � "�' � HEATING, AIR-COND. AND REFRIGERATION � � � -. '. � `.. ,; .. .. . : �, ;��� . �. � : . . . �.',.:..;- . � �... : .� � ' ^ _' - )` ' . . ; �.,.:. '..;'. . „- "� -... . ' Refr.Lines.PresureTest "'------------- ' . .., , ;r, , .. �.. . . .. . , , .., ��: . � . . � . .,, "t �.. . . .i ...- Duc[s,Underground""'_"'"'..."'_"'" . ^ „ •. .. :, :," i . .. . '. ..' " � ., ' 2 . ., .,.- ,�_. ..-.. .�.. .. . .� Ducts.in5truc[ure "'"""_"""""" . . ?�/4^ - e.t. �.'.,_:...- .:I •.. � �. . . .:-, ... ., , , .'"...' ;�", eni _ _ ' � Ducts, V t'latin9 ... . . . . . . .. Z � Z ,� ,`, � y _ ., t� . RoughHeatingandAirvCond. -- --- Z- � L � • � . � _, � � . � � . FINAL -Z �G. � � � . . � . � ., , . . . . . . .. ..s. � . ` - ` � - . . �� ELECTRICAL - � . � � ' . -.��' �': � . �.' ��,', ' . � .. , ' , r`,, F � �y�� . . :. TemPoraryService�orPole------ " ` -• ��' ' . 1 �. 2 . ... . __. ._ . �'_;�,'��','.. �.. : . :i, r.: . . � �Underground '"'"""' " """'....... s . i '. � a ; . ' � � . - , . � .. , . A �� ' ., . , � Power Meter ......_ ..""' """"" .. . ' �' � , , ,.�, ;.,�'r�,..: .. __� . . .: ' � RouehWiring "" .S'70-dZ - ' , " " " " " " " '.._._._. - � • FINAL" . Lf ; Z`. BZ .. - � � .� . � _ � - � ' Do not occupy this project until final inspection has �- � � � : ' � ,' � � ' been made and occupancy has be ppr d, � ' , .r.,• ' . ` . . . . , �, Building Final � ��-� . . ' � . ' . Special Requiremants . . ���,� � ' ' Occupancy - NOTICE ` � ' � . - . � � � ' 2yry4µ-hr. notification required when the job' is ready for inspection.� You � � � � � - � . �� - R[�Pt�CTIVE NSPECT�IDN�CALLH75ae56 7 ADBRESS FOR Et4CH ,- ADolicant to flll in all soaces except those within heavy Doraer Ilnes ana zign all aoPropriate Oeclarations., _ �� CITY OF COSTA MESA CON$�TRUC ION PE�iMI,T �, .� Project Address ��¢ �'� _ ¢ ��C� � - Applicant's Mailing Address Owner's Name����N G�ZL'�"S� phone`�4$-Y4 0 Address-� ZZ�� 4�'�i�T/�� � �i� C�M • Arch/Eng. License No. Address Contractor's Nam , Phone � Address (m�'���nl ' ' V � City License No. - ' � LICENSED CONTRACTOR OECLARATION � 1 hereby af(irm that I am licensed untler provisions of Charter 9(commencing with sec[lon 7000) ot Division 3 of the Business antl Professions Cotle, antl my license is in full force antl eftect. . License Clazs � LicenSe No. Date Signature WORKERS'COMPENSATION DECLA'RATION - nereby attirm that I have a certificate of mnsent to selt-insure or a tertiticate �f .Workers' Campensation InSurance, or a certifietl copy thereot (Section 3800, Lab. C.) ' . , Poli<y IVo. � Company 8 Certifietl copy is hereby fumishetl. , Certifi¢tl wpy is filetl with the city Bulltling Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION �ECLA0.ATION (This section neetl not Ee completetl it tne permit is for one huntlretl ($100) or less): • I certify that in the pe�fo�mance of the wo�k (o� which thls perm�t is issuetl, 1 shall not em� loy/] ny person in any manner�jo�5 to bef�1 me subject to tne WOlk26' CO/(IYGG'SdiIOG I_dW5 Oi Cdll}OTId./LI//. .. /V ia _. _ �NOIhCE�If, after making this tleclaiation, ou shoultl become subject to the Workers' Compensation O�ovisions ot th Labor Cotle, you must fortbwith comply witM1 such provi5ion5 or this permit Shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby af(irm that there is a ronztruction lentling agency for the per(ormance ot the work for which this permit is issuetl (SectiOn 3097 Civ. G.) Lentler's Name OWNER BUILDER DECLARATION ' ' � I hereby aftirm that I am exempt trom the contractor's License L.aw tor the following reason (Section �031.5 Business antl Professional Cotle: Any city or county which requires a permit to construcQ alter, improve, tlemolish or repai anv cnuature. nnnr tn its issuance. also reouires the aoolicant for Such Oe�mit /031.5 �by any appli[ e Ity ot not more Ihz �I, as owner ot the - o oensation, will tlo' for sal¢ (Seclion 704� License Law tloes noi a thereon, antl who ticef employees, providetl th sale. It, howev¢r, the b pletion, the owner will prove tor the purpase o ❑ I, as�owner of [he F tractors to consV uct tn� The ConVacto�'s Lice� builtls or improves the tractor(sl IitenSe pursu proo( of thel� Worker ❑ I am exemp untl r: Date I her y rtify that lntormation is correct. antl-state laws relatin9 sentatives ot [his c' inspection purpose Signa[ur Drivers' L cense 55 i CMF 0865-46, rev. 0/84 B�'D 50� I 3/ � I I 3 I .v TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. �j�.�.� 1 r TVPE,OF PERMIT� ❑ GRADING ❑ FOUNDATION � STRUCTURAL . ❑ TENANT '❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL , ❑ �OTHER � � � PROJEC7 DESCRIPTION 5c3. F7. � oCCUPANcv ��_ CONSTRUCTIONTVPE VALUATION$ "r'��� 20NE ' GRADINGCU.VDS. ACRES Remaiks: � . '-�/ �„�4 _ �.�-. � Lavi (Chapter 9(commencing witM1 SecHon 7000) of ezs antl Profess�ons Cotle) or that he/She is exemp[ for tM1e allegetl ezemption. Any violation of Section ' �[ for a pevmit subjects the'applicant to a civil five nuntlretl tlollars (5500). �tope�ty or my employees with wage5 as thei� sole �e work, antl the structure is'not intentled or offeretl ' Business and Prot¢zsianal Cotle: The Contractor's' ply to an owne� of a p�o0erty who builtls ov im0�ove5 such work himseH/h¢rself or Ihrou9h his or her ow❑ t such imOrovements are not intentletl o� offeretl� to� iltling or improvement is soltl within one year of com- iave the burtlen oi proving he/she tlitl not builtl or im- SdIC). — operty, am exUusively contracting with litensetl con- proiect (Section 7044, Business antl Professions Cotle: e Law tloes not apply to an owner ot property who , :on; antl who contracts tor sucn projects with a con- it to tne�Contractor'S License Law). 1 am aware that Compensation insurance shoultl be provitletl to me. ction � B. Ay,P. C. tor this reason have upon 1 State that the above dfld COIlf1iV OltllfldflCQS White - BUlltling; Canary - qpplicanq Bar Sink Bacliflow Preventer Baikflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Dreins Floor Sinks Gas Service . lavatories Showers Servire Sink . ' SewerCap Sewer Connection � � Solar Collecmrs � Solar Piping ' Solar Tank Swimming Pool w/Spa � Urinal Outlets Water Closet � -Water Heater - Water Service � ' Auto-Wash ' , Laundry Trays Roof Drains Reinspection �Fee , $15 Boiler Duct-UnderGround Duct - Structural . Duct- Ventilating . Exhaust System ❑ Multiple ❑ P irepVFact. Blt. I CBO �I`- Heating System & Ducting ❑0-100,000 BTU O 100,000 BT -T— ' I I Reinspection Fee �' $15 Accounting; Goltlenrotl - Assessar Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Fefrigeration System ❑4100,000 BTU ❑ 100,000 BTU System Repaii/Alteration Fire Dampers Issue Fee E A.P. # — S Main Building: E T Front B Rear A ' C Right Q � K left y � $ Ping. Ref. # Planning Notes: e 959J 9/.O5LJ.. Parking � . Zone Building: � � ELECTRICAL � Automatic Washer ' Transformer 0 15-50 KW • ConstructionPoleSub. - • , 050+KW � Cooking Unit � Meter ❑up to 100 amps � Dishwasher 'Meter ❑over100am'ps Dryers ❑Gas ❑Electric Sub Panel � , r . Fan Motors �0-1 HP � i%- 8 F.A.U. . � Inc.Solar�O9-15 HP �16-75+ Fixtures ' -' Microwave • ' � DeviceBoxes 'Pole,Light � `� � Outlets . � Range . � ' ;� Switches � Sign Garbage Dispoul ; Standing'Sections' � � Generator �0-5 KW �5-75 KW Trash Compactor � , FEES Z O N 1 N G R E O M ' T S $ 3 Reinspection Fee $15 'Issue Fee $ 3 FEES DEVELOPMENTSERVIC SR ENTS: S S Zoning Approved By �! • � �s Date Building Approved By �-'`� Date �'(� Appliration luued By Dat ' SU ARV 9F FEES BUILDINGPERMIT $ �� �•rJ SMIP � S �_ .rJ� PLAN CHECK $ Cn a SO pERM1T�, PLUMBING $ ' ��SSUANCE $ PLAN CHECK 25% $ � ENERGVrP.C. , $ ELECTRICAL $ � � GRADING $ PLAN CHECK 50% $ � MICROFILM § � -MECHANICAL $ � TOTALFEE ' $ � $ 3 � PLAN CHECK 25% $ � � -'7� � � ;'.i •� CONSTRUCTION AND PLANNING POI. � SPA� , APPROVALS Permit# � Date Inspector qppROVALS Permit# Date �Inspector 1. Temporary Electrical Service or Pole " r 52. Pool & Equipment Location .% ' 2. Soil Pipe-Undrgrnd. f� 53.. Steel Reinforcement . �` 3. Electrical Conduit Utility-Undrgmd. � � v 54. Forms ,•e, .�. � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding r . � i . • 5. �Steel Reinforcement � 56. Rough Plumbing-& Pressure Test , 6. Electcical UFER Grnd.. � 57. APPROVAL TO COVER-GUNITE 'j , � . 7. Footings - . 58. Electrical Conduit-Undrgrnd. � �" � 8. Foundation �� �` 59. Gas Pipe, O- Undrgrnd., Test °� ,� . � ; r 9. ,Water Pipe-Undrgrnd. ' �., 60. Backwash Lines, P-Trap, O Undrgrnd. � . 10. Structural Floor System t 61. APPROVAL TO DECK � � 11. Property Sewer Line & House Connection , 62. Backwash & Receptor-Final � 12. SewerCap - 63. Heater & Vent-Final � � � � r 13. Roof+Drains � 64. Plumbing SYstem - Final � �, y` 14. Rough Plumbing 65. Electrical-Final v i 15. Rough Electrical-Conduit 66.- Solar SYstem-Final � 16.,Rough Elec[ric Wiring 67. Fencing & Access Approval 17.1Rough 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.tiDucts, Ventilating 71. Product Piping OGas ❑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 (Structurel) & Monocoat 75. Ory 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 Firepla�e � � � , 38. Final Plumbing • � , �l � 39. Water�Service-Final � ' ' _ . : 40. Gas Service-Final � � .� " 41. Solar pomestic-Final � ' .. . . � ' 42. Backflow Preventer . ' � ' 43. Backflow Irrigation - � � � � 44. ,Landscape Irrigation System. , ' 45. Sound Attenuation � � �. • a �, �" � 46. Handicap Regulations • , 47. FINAL STRUCTURE & BUILDING �- ! � - 48. Special Requirements Completed w ' , , - . � . 49. Electric Release to Edison . � • � � � � � 50. Gas Release to Southern California Gas Co ' - . . 51. CERTIFICATE OF OCCUPANCY , , No. Date . CITY OF COSTA MESA BUILDING DIVISION 01NNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. �i'es ❑ No 2. I(havepia�vo-nei} signed an application for a building permit for the proposed work. 3. I have contracted with thp following person (firm) to provide the proposed construction: Name Address Phone ( 1 Contractor's Lic. No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the m�jor work: City Name — Address — Phone ( 1 Contractor's Lic. City 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone � Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my personal knowledge, in compliance with this State law. �y� � / Signed: � �%�'-4'�-e Date: �' s �S Name: -�61-� G�58 (Printed or Typed) �#a� s.s. � — �� — � ��� 754-5273 CMF 3042-06