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HomeMy WebLinkAbout2267 HERITAGE DR - Building PermitsA . • Job Address: 2267 HERITAGE DR Suile: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 41908423 Zoning: Applicant: PELLICIO, JEFFREY Address: 1653 SUPERIOR AVE � � � � Phone: (949) 642-7222 COSTA MESA, CA � Zip: 92627 Owner. COSTANTINO, THOMAS G TR Address ,2267 HERITAGE DR � _ � � ' � - Phone:� . �' COSTA MESA; CA � " - Zip: 82627 Contractor: � LEE ROOFING OF COSTA MESA Address: 1653 SUPERIOR AVE . , . Phone: (949) 642-7222 ' COSTA MESA, CA Zip: 92627 License: 349686 Arch : Address: `_ : . � . Eng: � . � � � Address: Sfatus: ISSUED Applied: 09/15/2003 Issued: 09/15/2003 ISSUED BY: �\ .\ � . �. ,\ / . � �., . � _ , � Phone: � , . ,� . Phone: - Zip: , License: - License: , � __ _ SCOPE OF PERMIT _ ' : TEAR OFF SHAKE ROOF, INSTALL FELT AND COVER WITH COMP SHINGLES. SOLID SHEATHING IS EXISTING. INCLUDES ATTACHED . GARAGE. - - . . . . _ . . . . . . . . , . _ .. , . � Plan Check: Permit SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $15325 $0.80 $0.00 $0.00 $0.00 $154.05 SETBACKS, MAIN STRUCTURE � Front � 0- 0 ACCESSORY Front 0-0 PARKING Existinp: a FEESUMMARY - - Calc Valuation: Sa,000.00 Claim Valuation: - Sa,000.00 ..� ..,, � • +., PLANNING & ZONING Rear 0- 0 Left 0- 0 - Rear 0. 0 Left 0- 0 Required: 0 Proposed: 0 - Right Right NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ortl. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically ezpire antl become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2d4fi-I6IN00) WORKERS' COMPENSATION DECLARATION: � I �ereDy ettirm unCer penalry oi perjury one of the following tleclarations: ❑ I heve end will melnWin e certilicate ol consent to self-Insure for workers' compensalion, as providetl for by section 3700 of lhe Lebor Code, tor Ihe pertortnance ot the �'for which this pertnit is issuetl. heve entl will maintain workers' compensatlon insurance, as requiretl by section 3700 of the Labor Code, tor Ne peAormance of tha work for whkh this pefmit is issuetl. My workers�'�/p �mp��nsation���y�, rance ner and policy number are: .^/ ��j Certier. IJT�17T YV✓% � PolicyNumber. � �/Y���1 (This section need not be com leted i! fhe permit is velue0 af one hundred dollers ($f 00) or /ess.) ❑ I certity that in the pertortnance of the �ork for which this pertnit is issued, I shall not empFoy any pergon in any manner so as to 6acome subject ro the workers' wmpensation laws of Iltomia, an� re hat If I should become subject to ihe workers' compensation provisions ot SectiOr�3700 ot,��e Labor Code, I s�all forthwith comply with these pr i /�1 rC�/ Y� Applicant Signeture: Date: ��1 I V I U� J WARNINO: FAILURE TO SE E WORKERS' COMPENSATION COVERAGE IS UNLAWFUT AND SHALL SUBIECT AN EMP�OYER TO CflIMINAL PENALTIES AND GNL FlNES UP TO ONE HUNDRED TIIIXISPNDDOLIARE�51 . ),INADDITIONTOTHECQSTOFfAMPEN$ATION,�AMAGESASPROVIDEDf-0RINSECTION3]q60FTHELA80RCO0E,llJrEREST,AN�ATORNEI"SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm �hai I am licensed under pro Ic torce antl aflect. Lic. N Contractors Signature: of Ghepter 9(commencing with Section 7000) ot Division 3 of the Business end Pratessions Code, and my license is in tull CIasS M . _ . Date: � C ( CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirtn that t�ere is a wnsiruction lentling agency for ihe peAormance ol the work tor which ihis pertnit is issued. (Sec. 3097, Civil Code). Lender's Neme: Lentler's Atldress: Sipnature: OWNER-BUILDER DECLARATIONS: Date: 1 hereby eftirtn that under penelry of perjury thet I am EXEMPT FFiOM 7ME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions CoOe: Any ciry or wunty which requires a pertnit to construct, alter, improve, tlemolish, or repair eny stmctura, pnor to its issuance, also requires the epplicaN for suc� pertnit to ille a signetl statement �het he or she I5 Iicensed pursuant to ihe provisions ot t�e Contractors License Lew (Chapier 9(commendng with Section 7000) of Dlvision 3 oi Iha Business enA Professions Code) or t�et he or she is exempt therefmm end the basis tor the alleqed e:emption. Any violation oi Section 7031.5 by eny epplicent for e permit subjects the epplicem to e civil penalry of not more than five hundred tlollars ($500)J: ❑ I, es owner ot the pwperty, or my employees with wages as their sole compensation, WILL DO THE WORK, and the swcture is not intended or otteretl for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner of property who 6uilds or improves ihereon, end who tloes such work himsetl or hersetl or thmugh �is or har ov.•n employees, provided ihat such imprwements are not intended or oHered lor sale. If, however, [he builtling or Impmvemem is sald within one year of wmpletion, the owneabuiltler will have ihe burden of proving that he or she did noI build or improve for purpose of sale.). • ❑ I, es owner ol the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTAACTORS to construcl the project (Sec. 7044, Business and Professions Code: The wntrectors License Lew does not epply to an owner of propeny who Ouilds or Improves Ihereon, antl who contraas lor such project with a comrecbr(s) license pursuant b the Contractors License Laws.). � I em evempt untler sec. Signature: Owner ID venfietl by Orivers license. ❑ Ves ❑ No Business and Professions Code for ihis reasan: Vedlicetlon ot Ownership by (type af documem, i.e. - property taz bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICA710N: �nvers License No. Date. Eapires: ❑ I hereby cenify that no excavation tive (5) or more feet in depih into which e person is requiretl to descend, will be made in connection with work authonzed by this pertnit, and that no building structure, sceHOlCing, falsework, or demolition or dismantling thereoi, will be more �han lhirry-six (3fi) feet high. (Chap. 3.2, Grp 2, Ar12, Sec. 341, Tltle 8, Cellfomla AtlmInlS�rellve Code). � As ownerbuilder, I will not employ anyone to do work which would require a pertnit from the Division of Industrial Safe�y, es noted ebove, unless such person hes e permit ta do such work Irom the divisian. Sipnature: Date: DiviSion of Industnel Sefety Permi� Number: CERTIFICATE OF COMPLJANCE AND AUTHORVATION OF ENTRV: I cenity under penalty of perjury Ihat I have reatl this eppliwtion end state that �he information givan Is correct. I egree to comply with all state laws and ciry ortlinances relating to building constmdion, and authonze representatives of the Ciry of Costa Mesa lo enter upon the ebove-describetl property for inspection purposes. I egree not to occupy or ellow occupancy ot eny building euthorized by this permit until tinal inspection. CQOE 1, INSPECTIONttPE 1618 Fixetl SyStem Final Flfe PfBVenliOn 1288 Pool Spe Final 200 Finel Re-Fool 207 Finel BIOCWReiaining Wall 202 Final Fectory Fire Place 203 Final Slpn 204 Finel Demolition PdIF 1t�ELfi ��� e G'�: � � 1.5�C�°� � Data COUE1 INSPECTIONTYGE 206 Final Mechanical 208 Final Plumbing 210 Final ElecMcal 212 Final Fire Prevenilon 220 Final Planning Approvel 222 Final Site 250 Final Building/Occupancy �� � December 1, 2005 CITY OF COSTA MESA P.O. BOX 12�0 • 77 F41R DRNE • CALIFORNIA 92628-1200 DEVELOPM[NTSERVICESDEPARTAIENT BUILDING DIVISION COURTESY NOTICE OF PERMIT EXPIRATION Thomas G. Constantino 2267 Heritage Dr. Costa Mesa CA 92627-1680 PERMIT NUMBERS: FOR: PROJECT ADDRESS: B03-01568 Re-roof 2267 Heritage Dr., Costa Mesa Our records indicate the above listed permits were obtained for property improvements or alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the date of your last inspection for the project and additional fees will be required to finalize expired permits. According to our records, the permits listed above have not exceeding 180 days. If you have a signed inspection car conducted within 180 days from the date of this letter, pleas correct our record5. had an inspection for a period d indicating an inspection was e contact this office so we may If you need to request an inspection please call our Inspection Request Line at 714-754-5626. If you wish to request an extension, requests must be made in writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances and listing an estimated date of completion. If you do not have an approved final inspection, your permits will expire on December 15, 2005. If you have any questions, please contact the Building Division at 714-754-5273, between 8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The accuracy of records affecting your property is our goal and we appreciate your working with us to resolve this matter. Sincerely, i � f'" y'� � ^ -c�-� �'-CE-+�-�'�'-�`�' Mary Jane Weidenkeller Office Specialist II cc: Lee Roofing of Costa Mesa 1653 Superior Av Costa Mesa, CA 92627 9uilding D���sion pi4) 754-5273 • Cotle Enforcem=N pi4) 754-5623 • Planning Division (774) TS-5235 FAX (714) 754-ag56 • TDD p1a) 754S2a4 • w.+w.ci.costa-mesa.ca.us RealQuest.com � - Report Property Detail Report For Property Located At 2267 HERITAGE DR, COSTA MESA CA 92627-1680 Page 1 of 1 �eal0u�st.�o�, Owner lnformation: Owner Name: COSTANTINO THOMAS G Mailing Address: 2267 HERITAGE DR, COSTA MESA CA 92627-1680 CO24 Phone Number: Vesting Codes: I/ TR Location Information: Legal Description: N TR 11157 LOT 4 County: ORANGE, CA Census TracUBlock: 639.05 I 2 Township-Range-Sect: Legal Book/Page: Legal Lot: 4 Legal Block: Market Area: Neighbor Code: Owner Transfer Information: Recording/Sale Date: / Sale Price: Document #: Last Market Sale Information: Recording/Sale Date: I Sale Price: Sale Type: Document#: Deed Type: Transfer pocument #: New Construction: Title Company: Lender: Seller Name: Prior Sa/e Information: Prior Rec/Sale Date: / Prior Sale Price: Prior pocument #: Prior Deed Type: Property Characteristics: Gross Area: Living Area: Tot Adj Area: Above Grade: Total Rooms: Bedrooms Bath(F/H): Year Built / Eff: Fireplace: # of Stories: Other Improvements: Site Information: Zoning: Flood Zone: Flood Panel: Flood Panel Date: Land Use: Tax Information: Total Value: Land Value: Improvement Value: Total Taxable Value: 1,930 1,930 7 3 3/ 1981 /1982 / 2.00 X 0602160266H 02/18/2004 SFR $225,511 $79,335 $146,176 $278,577 APN: Altemate APN: Subdivision: Map Reference: Tract #: Schoal District: Munic/Township: Deed Type: 1S� Mtg Document #: 15� Mtg AmounUType: �st Mtg Int. Rate/Type: �st Mtg Document #: 2nd Mtg AmountfType: 2nd Mtg Int. Rateliype: Price Per SqFt: Multi/Split Sale: 419-084-23 27-D6 /889-A1 11157 NEWPORT MESA UNIF Prior Lender: Prior 1 s� Mtg AmUType: / Prior 1 S� Mtg Rateffype: / Parking Type: Garage Area: Garege Capacity: Parking Spaces: Basement Area: Finish Bsmnt Area: Basement Type: Roof Type: Foundation: Roof Material: Acres: 0.12 Lot Area: 5,220 Lot Width/Depth: x Res/Comm Units: I Assessed Year: 2005 Improve %: O65% Tax Year: 2005 Construct Type: HeatType: Exterior wall: Porch Type: Patio Type: Pool: Air Cond: Style: Quality: Condition: County Use: SINGLE FAM RESIDENCE State Use: Site Influence: SewerType: Water Type: Property Tax: $2,714.36 Tax Area: 75006 Tax Exemption: HOMEOWNER http://wwwrealquest.com/j sp/report.j sp?serverid=rq03 &client=&action=confirm&type—g... ll/17/2005 CITY OF COSTA MESA BUILDING DIVISION OWNER-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. ❑ Yes � No 2. I(have/baA.net� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name ����� Address Phone ( Contractor's Lic. No City 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and pr,�o/vide the major work: Name /V ���� Address City Phone ( � Contrector's Lic. No 5 I will provide some of the work but I have contrected (hired) the following persons to provide the work indicated: Name Address G/-%�f21 Sch'lr/f,� z �%.e��' �9%�l00% 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,r=�with thi Stat,�� Signed: Date: � � � �� Name: %f1'O�Y/.9! G. �orT�ivT-��vo �Printed or Typed) C.D.L. #or S.S. # CMF 3042-46 �f 7545273 m STR(1Cw^'_ T�RAL APPROVAL 0 LN Y SEPARATE PERY?IT3 A°�__-- FOR EIECiR!C�,a � ��4��RED HEATI��iG. 'I.;' ,; .`�i_�;;'�c"1i16, - T! 47ti.1u �i`i� REFR4CyER?.T10�+� 'i7�RK -----,�..__�, �� ��a��n:i �;._� 8s 4��-�._.._ THIS P:Uirin'':r fi,;:sc;' f— 1:,---�,� NY i ! ALL if�S�,�Ct;C:� ;�CL`;:S7S � �i �iJilbiiYie,.' . ,I,_ . � �� to,,p�o,. � . - ' :.,soFl5 ,�RE TO j� ST,�'f c OF r., '. '__"t T'HAT TNE i 1NDJSTR�l� ; , �'{ 1iV��fON OF ' I AD�iTiG'a ' ,,,;;i;! �.ti,"��iVTSYSULTED FDR � �".� ,, �:.;.n;��,+��; � r , � i �. �,, � �. , - r- . 7HESE PLANS MUST BE ON .IOB AT ALL TIMES MAKE NO CHANGES WITHOUT PRIOR APPROVAL OF DEPT. THE ISSUFYCE OR GRANTING OF A FEftMIi OR APPROVAI Of PLpNS NMD SFECIFICATfOP!S SHALL NDi BE CO�VSTRUED TO EE A PERNJT FOR. OR AN APFEOVAL OF, ANY V10LA710N CF kNY OF THE FROYG,O�S GF THIS C�DE. NO PERHIT PRE- SUMING TO GIVE AUTHORITY 10 YIOLATE O:i CANCEL TI �I PflOVI510NS OF TH1S CODE SHFlLL BE VA.Lt0. EYCEPT IN :1�, PAR tS iNi WORK OR llSE WHlCN IT AUTNORIZES IS tAWFU�� 7HE ISSUPNCE OF A PERMIT BASED UPON PLANS NV� SPCCIFlCATIQhS 3HAll NOT t'R'_VENT THE BUILDING OFF(Gl�aj, i fROM THCREAFTER REQUIRING THE COi 4ECTION Of ERRO�t�`i IN SAIO PlANS A(vD SPECIFICliTIONS C t fROM PREyENTIN^ � BWl01Nr, OPERAfIONS BEING CARRIED 0 TNERfUY�ER WHEt� IN UIOLATION OF ENlS COOE OR OF AN OiHFR OH01[�iG� 9E TH� Clli ' . � wcsrocMee ia� •aro[+�� .. APPR.O�ll. q^r( OF COSTA MESA PWyNING D�.a�c sueiect so e�°• /,, er �� � �N� .ai�.W'� . a � . . Ru�sc� a2�7 ��'�� SfREE� — , T Y PI CAL 6�� CONCRETE BLOCK FENCE � Cement Coping Optional Channel Block With 13/8 � � 0 Horizontal Top of all Fences For Fences 5'. or Less ..-.-- Vert.'Bars 3/8" 0 �t 4':0",O.C.` For Fence's Highei 7han 5' -- Vert. Bars 3/8" 0at 32" O.C. Fill Cells Solid With Grout Where Steel OccurS Reinforcing Steel.$hall � Conform to Sec.A�15-39 — A.S.T.M. Ail Steel to be Lapped 15"or to Code NATURALGRADE TWO 3/8" OBARS CONTINUOUS TOP & eOTTOM GENERAL- NOTES MORTAR : pne Part Plastic Cement, and Three Parts Sand GROUT :. One Port Cement Three and One Half Parts S'and COPING: One Part Cement, Three Parts Sand CONCRETE: W¢�I Mixed I'.2-I/2:3-I/2 Max. of 7-I/2 Gallens cf YVater Per Sack of Cement GROU7 MAV BE POURED FROM THE TOP OF THE FENCE IN CELIS WHERE STEEL OCCURS. CELLSANDAREASOF HOR120NTAL REIN� FORCEMENT SHALL BE CLEAR, CLEAN & fAEE OF ALL MORTAA DEBRIS, ETC. BONDS SHALL 8E PROV IpEO 8V LAVING BLOCKS IN STRETCHER COURSES SO THAT VER7ICALJOINTSALTERNATE IN EACH COURSE. DEPTH OF EARTNTCOTH I/3 iHE HEIGTH OF FENCE �LOW BOTTOM OF FOGTING. SCALE: I/2�� = I� FOOTING REQUIRFMENTS CHART WAIL HEIGHT . . . . . . . , . . . 6 �. . . . . . . . . . . . 5�. . . . . . . . . . . . 4� . . . . . . . . . . . 3� WIDTH . . . . . . . . . . . . . . .14'� . . . . . . . . . . .14�� . . . 12��. . . . . . . . . . . 12�� THICKNESS . . . . . . . . . . . .10��. . . . . . . . . . . .10" . . . . . . . . . . . 8". . . . . . . . . . . 8„ DEPTH OF EARTHTOOTH . . . 24�� . . . . . . . . . . .20�� . . . . . . . . . . . 16��. . . . . . . . . . . 12�� SPACING OF EARTHTOOTH. . 12� . . . . . . . . . . .14' . . . . . . . . . . . 16�. . . . . . . . . . . 16' City of Costa Mesa, California Building Department OWNERS NAME: �' V• �'v�%��'1/Y � ��`" v _ _ _ JOB ADDRESS: �E.�OZ .d���7��CL� L%� — — — PERMIT NUMBERC�.4/` _ _ — _ � _ _ SIGNATURE: Applicant lo fill in all sDaees within nexvY eortler lines antl sign all approprlate tleclarations. � - ' 'CITY`OF'COSTA"MESA' i ' " ' `ae fNIT NO. ` ' -� 'TRACT'NO. ' I.OT'NOi � 'BCDG. NO.-- ' -"- ' - '- - "--" � ' - -OBGB-- -I-I I.BI-B�C� -v__ 4BO�y6__ Tl.� � CONSTRUCTIONPERMIT /,� 073'�� '"$� "' 1115'J � j ; - �'�,' ��•--`�' 'A.��'F: i'ii:: '"3 ' � ProiectAddres . . , ^ . . _ . . .,• :_.�_. , i y,?,��_ i �,•��yt . . � . . . •- ,: .•� • ,' TYpE OF �CONSTRUCTION f � _ 1_ ' . _ 'i r, � '{ j �Q^' ` . OWnef ' ' - '. ' - - `"Phorie - Q��NEW'_� � AD� ❑ ACTERATION- � - .' �. . . • '' ' ' - '" ' - " 1 f � Addres ' " ` V • b' 2 ^- ' "•" ' - - - _ ��REPAIR- ❑tCONVER510N.ODEMOL15H ' .. � ^� ', �'� � - � � : ' M � _"i_'. F3�? � . t ZONING REGULATIONS � " Arch/Eng.- ' ""r�'� '�- - License o. 1- ' ' � ❑�ol'HER . � ' Add�ess "i�-�-�--�F�' ".. __ , SCRIPT ON� F WO ___ _ _ "" _H.P. qf ' � � � ' t Y{ a J_. , .. Ci� ' . • ' " ' .. ^ � . -' - j � : ' ' ` _ . _ ' .."_ '_ .."' ZONE T ' � � PI.NG REF. �f. - . l` '-ContrectoF - -'� �Phone_'-, ;, TYPE OF� E MIT ,e " 'B� 'o � - p-BUICDING - /, / � ^ ._ _ _. , __ . .. � � SETBACK C LST. I6 �ROPERTV LINE -- " � � AddfE55 � ? - . - _ _ O GRADING- 'O`FOUNDATION'- �'STRLICTURAL """' 5Ip E VARD- I " ' ' -' - ' L'ICENSED- C ATION- �� � n � i � LEF 1 t� �'�U �- �'9 � ❑ TENANT �''ELECTRICAL-j�][ PLWMBING �MECHANICA -SIDE'VAR - I hereby afflrm that I am IicenSeG under provi5ions oi Cnarter9 (com ���� � j � , _� RIGHT �� �� Y e 'mencing"wlth'section ]000)-of� Divislon � 3 of ^the-��Business antl ❑ OTHER � Professions COGe�-n� my ❑cense is In full ' forte pqCOP,j{qct;� '� •� - . _ ` REAR VARD (TO P/L) �, a �_k PROJECT D S RIPTION ��_ license ClassC � � Lmense No. b`hUVO � , 1 0 ,1 t-' �PKG.SPACE REQ S" ��,PROV,IDED Date � ��-�./ R� Si9nafure ' " " '" - SQ..FT.' _" "' � -- - ^ ' WORKERS''COMPENSATION�DECLARATION r - �' , :� OCCUPANCY � CONSTRUCTION T,VPE„ STREET WIDTH _ ,� -�, • PARK F,EE $ � '� 1 hereby atflrm that I nave a certiflcate of tonsent to self-insurebr a�� VALUATION S/ 5�� � ZONING APPROVED B -'DATE �, _ �1� -cer[Iflcate"of"Workers'-Compensation Insurance, or-a certlfletl copv � ZONE �� � � + �y thereof (Sec ion 8 O�Lab. CJ. ' ' : T GRA�ING CU V�S. "_ '� _ ACRES ` , _ _ SPECIALCONDITION � � , � .�-. (O o-�cv�vo. "comPSnv —T7�nck'TnG-._ - '—.. _,. . .� . �' _ � >rLfietl.coDY�Is.herebYturnishetl.- .. -.. . __ .� . �d:lt_ ,1REMARKS _..___ _ . . _ _ f;ff,. � f . Factor- 3uilt--Portio �7 .erLfietl copy is filetl with the�aty Bwltlinq Division. � _ .,,,yn� T.0 _COL'Ci�A. .:bt T`�[S.CUCY..MTc� t+.-. " EZEMPTION�FROM V00RKER5' COMPENSATION DECL`ARATION ins� ecte�d b---S:tate -i r E' , �Thissec[ion �neetl .not be completetl if the.permit is.for one nuntlretl C . � - � � � - � ': � , ,p:, l. > .�' � .. _._ . ' 'r. .' ,. .� . . •:. i. -. , ($100) or less). i � - . i ,�n� 2."_ � . ... •. . ,_ '.. . " " _ "_ ' _" . __ _ ` _ '_' ' _ "'_" _I .c¢rtify_thdt.in the.pCrtorrpanCE,Of the wo�k fo�. whlCh tbis pe�mit,is, _, _ _ . _� . , _, � ` _ . + . . . � _ ' "' _ "'.� _' _"� Issuetl, I shall not employ any person in any manner so as to.become q�PLUMBINGH � �(y ,,,,1 P�AN CHECK � ELECTRICAC` -� `� PLAN CHECK ' ,� - su0ject to.the Wo�kers' COTpensatian. Laws oLUliforpia. � . ' " � ' ' _ _ _ __ � Date � Si9nature' BATHTUBS - SHOWERS ' � � ' - " ""` � NOTICE: If after�makinq this tleclaration, you shoultl become subjecq TOILETSf• ��•.';' URINA�S ' ' i '- ' "`GENERATOR" " 0-1 KW_ 1-10 V(W �"� to the Workers' Compensation provislons of the Labor Cotle, you must �� '�� � - TRANSFORMER � •� � forthwith COmply.with such provi5ions or this permit Shall be tleemetl LAVATORIES DObBCE'LAVS' � � '' '�' - -'- '"' " -"-' " � -revoketl.----.-�-._ _ .. . APPCI�ANCE"��'10=50'KW_SO+KW ,.' . CONSTRUCTION LENOING AGENCV � KIT-51NK5 - ��� ��DISHWASRERS" j-"' ' " "MOTORS ` ' 0-1 HP_1=30 HP �`� - � I I hereb af(irm that ther¢ i5 a construCtion lentlin a enc (or the er- „, �"�� �� ���' .�:�'-' �'.� Y 9 9 Y P SERVICESINKS�� SUMPS �'� "' '-' -UNC.SOLAR�--30-50"HP-=^50-+HP� - .. .. formance of the work for whlch this permit is issuetl (Section 309] ' • •� � .�..� ... �..... .. ,^_ -' ` -Ci"v:C.)_.._ ' __" _._'_-�.". "'"'.___ "_'___ �_ "'_". . _..� . ._ . -� ., i ' "_^__""_ - � L¢ntler'S Name Fir�t Inter� tAtP RAnk � FLOOR SINKS �� � FLOOR DRAINS FlXTLIRES"' OUTLETS"`SWITCNES"-;", "":"'�"' -""1 _ ____ _ . .. . _. _ _ '_. ._.� ._" _ '". ._ _" ' '_ "" " " . " _ � '"". . .. _"'_. __ ..."_' __'_._. ..-. ..:.............� _ .� �. Lentler's AGtlress DRINKING FOIINTAINS f� �-`� �- ' GASTUBE SIGNS" .� ... ,: i � OWNER-9UIL'DEFi DECLA A ION - - ' "'-- " ' '+ "."" . .. —' . '- -'-'-- ^1-- -' -- --^• .�-' " "—' 'POLE-CIGHTS- -"-' - - "" - - ' �'-' _ •.'� � INTERCEPTORS CLARIFIERS ' I hereby affirm that I am ezempt trom the ConVactor's License Law for �+ 6.. ." .. . ���... ,• . p ^. t�e"following'reason'(Set[ion"7031.5-Business^antl Profes5ionrCotle: '-SWIMMING POOL � `�'P:TRAP�-"" ' -" '-' - " ' - ' - -- ' - Any city or munty which requires a permit to consVuct, alter, POLES METEREO +��SUB.•.+ 'improve, tlemolish'or'repair any 5[ructure,-prioYto9ts issuance; also-re-' ' - � ---- -- --- -- - . WATERSERVICE�� ALTERATION' ��� � PANELS--� `�MAIN'"-- -.SUB'-,-' - qwre5 the ap4lican[ for 5uch permit to file a signed statement that he � � �' 'is'licensetl pursuant-to'the provisions'of'the'Contractor•5"Cicense L'aw' "GASSERVICE � OVTLETS � SERVIGE' ' -� "'-""^" "' qMP"-' ` -•.'" "j (Chapter 9 (commencing with Section 7000) of Division 3 of the - _ , _ _ _ _ _ __ �� Tr'•_ 6usine55'and Prolessions'Cotle) or thaYhe is exemp['therefrom antl'the' yyqTER HEATERS � ��-BTU-OUTPVT -- �� ' �� �, ba5is for the all¢getl ¢xemptian. Any violation of $ection 7031.5 by I. ...:.,'•:.. . .-.. ..� � " "'aPPllcdnt"f0� a Pe�mlt sublects tne aPPIICan['to d'Civil P¢na1tY .. ---- ^ " "- - "' . -^.. - '--�- " - --- -' - ' " - -. �. _.»� . ot more than five huntlretl tlollars ($500). 'SEWER CONNECTIONS'� ,-,i'� "'� ��.� „�� } � ' ' ._. . _.._ . . ' ""'. _... _ . _ ' '.__. _ " __"'..`_' ., as owner of'the property, or my employees with wages�as their �'SOIAR TANK ' �� COLLECTORS`--�-" '''-"'�"""" "''-' ' -I � . .soie wmpensa[ion, will tlo the.work,.antl the str.ucture is.noLintentletl � - ' _ '' � "'�� • �" or offeretl for sale. (Section ]044, Business antl Prolessions Cotle: The SOLAR PIPING SVS. ;� '� '�ISSUE FEE"' ---�-� �, p - ' -- •Conl�actor's_LicenSe_.lyw.tloes.not_apply.t0 an.Owner of d property. _ `��`� who builtl5 Or improves thereon, antl who tloes such work himself or �ISSUE FEE (( � � - /�PPCICATION APPROVE�'BV"' - '-,��DATE�,,/S' Z .[hrou9h_his.own employee5, provitletl_tM1at such.improvements a�e not. in[entletl or'offeretl for sale. If, howeveq the builtling or improvement MECHANICAI PLAN CHECK SUMMARV;OF FEES,�r� � .is.soltl.within-one year.of.completion,.th¢ ownE� will_have the bu/tlen . l�i: •� ' ot p�oving he tlitl not builtl or improve for the pu�pose of sale). ��BUILDING"'-"` . -'-""' "" '� HEATING SVSTEM 0-300,000 BTU PERMIT ��9.�- ^fn.�ISMIP: �;{-. ��_$'� ��� •�-1,- as� ownero(-'the' property,- am-exclusivery conVactinq^with• - - yp-.--- -- - - ----- -- _ .__ - $ _ _ _ licensetl contraclors to construct the ro ect Section ]044, Business _ AND DUCTING � . P 1 ( 100,000+BTU PLANCHECK $ ��fqQ� 'CBERMIiTHUI>'r� .a7$ � antl'�Proiessions•Cotle: The�Contractor's l.icenze�l'aw�doesnofapply�to- : � . ----------- -7Y%r-��'� -;-ISSUANCE--E - �-- an owner of property who builtls or improves tnereon, antl who con- REFRIGERATION 0-300,400 BTU ' PLVMBING $ �����r,!� '•�, r�...', ��� .q� 'tratts'trom'such �pro�ec[s wi[n� a� contractor(s)�-licesnetl-pureuant-to- -SYSTEM'-' -'-- -' -'�f--� --� •- - --- �: ---+^ � -- --- ------- �� --- - - �-�- �GRAN 1 ZG.-$� theConVactor'sLicenseLaw). . 100,000+gTU PLANCHECK:�$'- ''�'iit'�-���7 �FG�. � _, � ' ���I am exempt untler Section � � 'B. & PJC�for this BOILERS BTU ' �� � �— � $ - ' r � + ELECTRICAI. S 'rea5on .'�-� �. .^. _'---. "-' `_`" "'— .• �..• ' `� 'PLAN'CHECK`8� � -� . ".�-.MICROFILM 5 P' , SYSTEM REPAIR,ALTERATION '� ,; i,t � -Oate - - Owner - �-- -- � �- `�l"��' 4 1 ._TOTAL'FEE�g�T��l"�{ ,1_hereby_certify,thatJ have.reatl this apptication and state that the above EXHAUST SVSTEM MUL7IPLE y, t i��vJ t .�t: MECFIANICAL"�r$- `�_ �� ,�; , 1LE55 AD t ^� �'� ! . , intormation is correct. I agree to com I with all cit antl count ��� �� - �� � � � -� " ' �- � 'PIAN CHECK-"S-'-"'-"---' - - -- PY Y Y VANCEPC'g_ � ordinances antl state Iaws,relatin9 to construction, antl.hereby_authorize 'I. ' � �; -;, j���' ���� '.(� -{ r �( �� : i �r� ��7 ,. � representatives� of Ihis city to enter -apon the above mentionetl ' " , -� �. i. property_(o� insp¢Ctlon, purpases. . p ❑ (fQ^ ' "_ ' __.Y "' 1'�� 5�(: ._'" --.._._. _. - t3� U _ . _ FINAL FEE $_ . Si9nature Date'" .-.� '_' " l�� ' __ _�_._. .....'.."_"'"_ _..._.._._..-.. ..�� ._. .._...._._ _.._. . �6� - -- ' 'ISSUE'FEE - Drivers' Lice3se or 55 � - - ' -" '^' CMF OB65-46 White-Buildinq; Canary-Applicanh Pink-A¢ounting; Goltlenrotl-Assessor . CONSTRUC710N AND PLANNI G � � POOL & SPA� . . , � APPROVALS ' Permit # �� Date Inspector qPPROVALS Permit # � � -" - Date . Inspector • . ' 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location � 2. Soil ipe-Undrgrn 44. Steel Reinforcement - � 3. Electrical Conquit Utility-Undrgrn . _ _ -_ _ . 45. Forms . ' , .': :.'.._. . _.. . . � � . � . 4. . Electcical Conquit-Undrgm ' .! _ , - . , _, �,_ �,_;_., . •_. . _ „g6: , .Electri�al Bonding • • - • =� ' ' , tee ein orce . . - 4Z� Rough'�Plumbin & Pressure Test � 6. Electrical UFER Grn 48'. APPROVALTO COVER-GUNITE � "• ' � 7. Footings � � �. 49. Electrical Conduit-Undr m p - • i 8. Foundation ^ � ' 50. . Gas Pipe ❑�Undr rn, Test �X 1 � ' 9. _Water Pipe-Untlrgrn � 51.- Backwash Lines P-Tra �❑ ndr rn "' rr A: , 10..,.Structural Floor Systemy ' - 52.:=APPROVALTO DECK d� ' �!' ' 11..._P,roperty Sewer_Line &.House Connection ' � 53. . .Backwash & Rece tor-Final - w�. �'� ��.i�- �' 4{�� 12. Street Sewer Connection � 54. Heater & Vent-Final � � • �% � 13. Rough Plumbing '� - - - � � � - - 14. Rough Electric-Conduit �56. Electricai-Final . � � r{ 15. Rough Electric-Wiring ' 57. Solar System-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. POOUSPA SYSTEMS FINAL � 20. Roof Framing - - � � � � � 21. Roof Sheathin � - ' . 22. Frame and Flashin NOTES: 23. -Insulation �� ' � 24. Lathing & Siding 25. Drywall Nailing . • ' 26. Plaster Brown Coat ` �� � ' 27. Electrical Power Meter-Final ' � � ' ' 26. Final Electric ' 29. Final Heating & Air Conditioning . � - �' 30. Final Gas Pipe-Test ' ' "" _ . . . . :'„�;;. 31. Final Plumbing " . ' .. ""." . i'�"'x . 32. - Water Service-Final ' � • � ' �� �33.�- Gas Service-Fina6-� �� � ��' -• � 34. Solar pomestioFinal � � ' � ' � � � „ � �,35: � Landsca e S rinklin S sYem _ - ' =��`: 36. Sound Attenuation . � � � � � ` ' • �--� � 37. Handicap Regulations ' - � - - r' �: � 38. FINALSTRUCTURE&BUILDING ' • ' '= f ' s � ' �_ 39. Special Requirements Completed .:��ii � /i 82 � � � � +; 40. Electric Release to�Edison ' -- � - - > ` 41'. Gas Release to Southern California Gas Co. � �� '" � 42. CERTIFICATEOFOCCUPANCY � - �. ' ,; No. Date � - � • - . _ � A _` ^ 4 : ' Applicant ta fill in all sp I in e eortler lines an0 sign all aoP�ooriate aeciarations. ' • CITY'OF COSTA MESA-- -- pea T N . TRACT � LOT N:- BLDG. NO. � _ . ' ' ' CONSTRUCTION PERMIT �/� � ` ' 3586 3723%62: .. 38.02 -� Tt�; � ' .. � s � - . �.. ' r:{'r. =. -- � � , . . . _ ' j � Project Add�ess � ,�, �T�Yp''E� OF CONSTRUCTION �' � � •�.'� .� � "ti�� �. ' y` : Owner - ; � . �1 . ' :Phone � I !�W'- �'O ADD ❑ ALTERATION' " ' ' '' � f�.i. - .. '_ .. - - . .. _ � , � �Address����' - .� . - .�I��/y"�= . �� _ �� REPAIR ❑,CONVERSION_�DEMOLISH _ . . ' "� � ' ' - �� ' i- ' ' --ZONING REGULATIONS: � - � � ArCh/Eng. • � �q -�,�` . � UCenSe No. � ' ` �' OTFiER ' � -_ _ _ _ � N � . ` DESCRIPTIONOFWORK E.y_'_ �r '�'Y- 'A.P..� •.----. _ _ . ., ,... _., _ ' - . t Address _ .'{ ' " w . ' � ' . _ _ .�'.' - . - W -Contrecto � � : 1� , � .. Phone'� /3gd% TYPE OF�PERMIT'- � -' - _ _ _' � �' _ ZorvE"' - - aLNG REF. �F o�-� � y TpB�JILDING SETBACKC �ST. - PROPERTV�LWE ' i 'S � � AddreSs- - , • -� �� � ��- • - Ip,/� ' ' ,�. • ❑ GRADING �- O �FOUN�ATION O�STRUCTURAL-_..� SID� VARD _.... . ... _ _ _ _ . _ _ � "LICENSED-CONT ACTOA DECLARAT�ON,. ` �� � ❑TENANT ' �LEGTRICAL�BING�ANICA �5 T � `�'� � " � ;I hereb atfirm th:.t I am licensetl'untler rovisions of Charte�� � , s IDE_VA ___, . „ . � . _ � _ _'� Y 1 0 (com-. � .� . �.. . 1 �� � RIGHT "`+' � �mencing �with �section 7000) of -D� n_3-of..lha u ss antl ❑ OTHER- �Professions Cotle, �an ny II ei is in fW for f e � �. -- '-REAR VARD'(TO'P/L) "' � �- � � PROJECT D P '°�336 � �Licens CI �� � � y e - -��- � - �PKG.SPACEREQ:- -� � PROVID�D - �i O Dat �� � ^ Signatur - , SQ 'FT _y����' , . - - i�STREET WIDTH� -- - --" -- - -PqRK.FEE $ - � �� WOPKERS'COMPENSATION.DE A ATION.. �tOCCUPANCY CONSTRUCTIONTVPE � ,,..�- . __.: _._ �iherebyaffvmthatlhaveacertica -ins e.oa ""' "-'�'""-"'-"--'- ^�,`ZONINGAPPROVEDBV--.,- - •AATE - ���ti .CertifiWte-ot-Workers' -Compe alion .InSurance er py ' �VALUATION � ZONE ' � •�- �. thereaf (Se 0 p CJ j •� . GRADING;CV �vDS.� '� ACRES � - -"- ' +SPECIAVCON�ITIONS" ' '- - ' . �.. .�Y No� " ' omP Y� ' _'��µ ' ^�' � - "� ".'_ ' ' ' � _' .. , .s �zrtltietl.cOpy.is�h¢r¢by_f ni5he .,_, _�.__ _ _ ' REMARKS � , ' _ � EX�tierLfietl mpy is filetl wi[ the y Builtling Divislon. -� ' ' - - � "' " �""-'-"'- '^ - - - --' - TION'FROM'WOR ERS COMPENSATION'DECbARATION - � --+�-- � 1 y- 1�'�� ' � �'� • �(This section'neetl'not'be omp tetl It the permit Is tor one huntlratl � . i ' � ,���.' �„�„��- ., �� j/* ($300) or lesii. ' � i., " ' ' - ,..:' _' ' ' ;_ "' - -- ' --•.. - _ __. _ ' "' . _ �" ' 11 C¢rti(y_that m the_pe�fo a ce of the Wo�k fo� which thi5 permrt�'is� , ,. . ��,.. �i55uetl, I xhall nOt ¢mplOy pe�5on in 2ny mdnner so.as to beCome "PLIJMBIN(�i.� ' - ' 'PL'AN GHECK-- �--- - -- J ��ELECTRICAL -�=^- - �� PLAN CHECK �� ^--•�- ���- - subject to the Workers' Gompenzation LawSpf California_�' i-+ • ^ -""' ^ {Date �. . � ' y5i9nature'a'-- . . _... ' ""BATHTUBS'-'"' '-SHOWERS-" ' - ' - 00 ' - - - -�- '�d- �O 'NOTICE: It after making ihis declaratlon, You shoWG become subject, �TOILETS�� ,,, .�,� �i. URINALS �•^ - - � — - ' GENERATOR. _.� 0-LKW� -_4-30 KW � � ��^ - V -- � � �� ! Ito tbe'Workers' Compensation provisions Of the Labar Cotle, you must - �TRANSFORMER .,,y .�i.��. , i 7�i) '[ ;^� . forthwltM1 compty with such provisions or this permit shall be deemetl LAVATORIES DOUBLELAVS•-- --; -..3 a- � qppLIANCE �---10-50 KW_50'+_KW: �revoketl.. ."_ �„�'"" __'_ �_�.....�. '__ _" ..�.. _ "KIT:�SINKS'-"-----DISFiWA5HER5---.�--'-- " .�.MOTORS __ ..0-1HP-'_1-lO�HP.��,. . � . �CONSTRUCTtON LENDING AGENCV � ^ "j I hereby affi�m tM1at there IS a con5t�ucP�om�Lntli�ssuetlncyfortne per- SERVICESINKS •���r, � SUMPS� �- -- -�- i----�-- --+�INC�SOLAR)� 1Q-50 HP ,SO+HP'�� ��' �S Y r � 4 �formdn<e of the �yo � w ich [hi5 ( Sction 309J -- �- �ClvrCd. � '---H�^�-- � L�� � ���/�-- � �FLOOR SINKS` ' - 'F�OOR•DRAINS ^-'j'�-^ - f FIXTURES�----- Lentler's Name �I � �V r�ii✓ OUTLETS - SWITCHES- -� ' � �(///{ -" � � - N�" -'DRINKINGFOUNTAINS � -- ----- ��GAS-TUBESIGNS . � �� i Lentler'SAtltlres - ,� "7'�"' '-- --- - ----- - -^.1 1 �OWNER BVI�DER DECLARATION" " """ �^- ' '--: � _- __w. ;- ^ t ' __t"..-+„ r � • ,,. fl hereby affirm that I am exempt from the Contractor's License Law for �NTERCEPTORS` CLARIFIERS �-"^�";-''^��'- ^^--' - POLE�LIGHTS --.•---. _. __ _ - _ C. M. 'the followin9'�eason (Sectlon�]031,S��Business-antl Professions.Cotle:- SWIMMINGPOOL - -PTRAP-----•- ! . •""' '-' Any-city or couniy which requires a Permit-to consVucq alter, "-}""'--' POL"ES"'--' METERED"��'SUB--� - ..� _ limprove, tlemolish orrepair any�5tructure,�P�ior to�its�issuance,�also re- • yyqTER SERVICE - ' � ALTERATION- ---'�- - - �-- . PHNELS - -- �- 'MAIN .- _._ :.SU6 �- �`� � � - quires the ap�li�nt to� such perml[ to fi18 a signetl statement that he • � � - - -- , �is Iitensetl�pursuantto�tM1e provisions of�tl�e-Contractor's�license-Law- -GAS'SERVICE - -"OUTLETS� ^-" � • -- � � - � --� •�SERVICE "� � � ���' � �(CM1apter 9 (commencing with Section 7000) of Division 3 of the ' `_- 'AMP . _ _ " ' � �.--- � iBU510255'dOC' PfOI2 5 510 115-COd2) or-[haPlte is exempPtherefrom antllhe -�yyqTER�HEATERS- - - BTU OUTPUT -t- �- �-�- - -� {'_,-�-„ ' ' �� � " � `�' � _' .._ .�..��... .. � . . _ h�!5 for the allegetl exemption. Any violation of Sectlon �03L5 by � � �' -' 1 ;a+;applicanhfor-a-permihsub�ects-the-applicanbto a-clvil-peoalty SEWER�CONNECTIONS� -'i-- � � ' � � . . -''--- t-'ot more than five huntlretl tlollars (g400). � -' � �" � `-"- �-'�"� - ' - - - ' ( �-,i, as awner bf`the property,'or"my'ert�Ployees with"waqes'as their SOLAR TANK -+ --�- COLLECTORS�--- -�- - - - - -- --,� _._ _ '- ._. ._ ....._ _. : _ , � Sole compensation. will tlo the work, antl [he SVucture is noi Intentletl - � I or o(teretl tor sale.�(SectTon 704'4, Business antl"Professions Cotle:'The 'SOCA'R-PIPINGSVS.-"�"'i"- "" '-' - - ;' --- �SSUE-FEE- -'- �.- - ----- - -____ � � GContractor's,.License.,Caw tloes_not appry to,an owner of a property � � � � ,.qPpLICATION APPROVED BY "" ' ' � V ' � �� �D`AT.E � �' ,wno builtls ot improJes thereon, antl wh0 tloes iuch'work'himself'or' '- �'i55UE'FEE - """"^�I"'� ""- �- - � - ^ = - ' � throU9h his own employees, provitletl that sucM1 improvements are not - - ' ' �intendetl or offeietl for sale. If, however,-the builtlin9 or improvement - -- ^ -- � - --�--- --- - ' "" ._Y _ 1 MECHANIbAL 'd�Arv cHECK -'SUMMARV,OF FEES"` - i 'is soltl within one year o( complelion, Ihe owner will have the burtlen i ' . _ ��, ��; ���� �of provin9--tie tlitl' not builtl, or improv� for'the"purpoze of�sale).- ' HEATING SVSTEM 0-100,000 BTU'"v i""' ~ :�BUILDING_... _ _ � .__ ._ . � ' _ �...',__ _�.__ •��I-,�as�owner-of the� praperty,..am ezclusively..contracting with.. ,. � � � PERMIT § 5� ����,,_�..�$�, M P � AND DUCTING � - -- - - _ - _ _ _ . _ _ t ;' � � !. � licensetl contractors to construc[ the project (Section �044, Business 100,000++gTU � � PLAN CHECK $' � PERMIT. - ' �and Professions-Cotle: The�ContraciorJS.Li�ense.Law..does.not.apply.to. ' ! - _QO_. 'ISSUANCE $�� � �- �- �an owner of property who builtls or imprOv¢s [hereon, antl who con- REFRIGERATION � O 100,000 BTU i � PLUMBING '$"��. - � �vacls-trom-such.projects with.a�contractor(s).ticesnetl.purSuanLto ' SVSTEM__ ____ . % _)_. „ � �' 'GRADING��'S'• � - the ContractoYs License Law). � 300;000�'+ gTU"` "" � � '-' - � PLAN'CHECK .$ ' -' "'�- - " � ' ' - - - � _ .- ... , .,.... : .' . '0"I'am'exemPtuntl¢�Sectlon'•_."•."--'---' �-B-&PrGto�'thi5 -�'--'-" '--^'- -..�-_.--. , " � ��1� � • ' a � 4 } . ' .'"" �` �"' j BOILERS . . �BT.V-' - � " � f ELECTRICAL- g�=Jc..y_pc.-�- � �� �- -- -_ ?reason-- � ' _:-;•„'i ��l ��MICROFILM�E ' •SYSTEM REPAIR, ALTERATION � '� -- �PLAN CHECK S - .--. � ._ _ i Date. Owner � � �?'•�� ' TOTA� FEE E .-��--_.. MECHANICAL-$- I hereby certifyihat I have reatl tnis pplica�i an ate that the above EXHAVST SVSTEM� MULTIPLE � ' � i r� . LE55 AD . � 'information -is con . agree compry wi1 a❑ city-antl' couniy . PLAN CHECK:�$'��� '�� VANCEGC $ -� � . .ortlinances antl st e laws ela constr antl bereby thoriie ' �1 `..�, �;.'� ,� _ I� 'rePresentatives' f`"tnis'" I nter P -t 'abo ' ti tl. . . -- ' - ' -- ---•� t, i . _ � � t � . ` � . . �propert f i pection� ur 5. � / •� _ _: ; FINAL FEE y' ;Si9natuie � �Da � . . � i _ . -. , _ .. . . . . -- - - - . _ - ISSUE.FEE._ Drivers' icense oi 5 � ` � . .'^ • . . � . _ _ "' • � _ . . _ - . .. _ _ .. _ . ... .. _ . . CMF 0865-46 W ite Builtlin9: �nary-APPlicant; ink-Accoun[ing; Goltlenrotl-Assessor � ' . � `� l . --�rc.. �i' 1D �j"+4>. ' � . CONSTRUCTION AND PLANNI G ^ � � POOL & SPA= ---�---�--_:•_ , �. Date Inspector. _ � Date Inspector i" APPROVALS Permit # � �� APPROVALS � Permit # ' - --. �- �� ���' � 1. Temporary Electrical Service or Pole � 43. Pool & Equipment Location '' � '� � ', Soil ipe-Undrgrn ' - 44. Steel Reinforcement � - - - - � Electrical Conduit Utility-Undrgrn ' .' • ..45. Forms • - � �- - �� Electrical Conduit-Undrgrn ' � 46. Electrical Bonding � � � � -' � � ' . tee ein orce . . . - 47. Rough Plumbin & Pressure Test � � � • � - " 6. Electrical UFER Grn - ,�- 48. APPROVALTO COVER-GUNITE ` ' • Footings. . . � 49. Electrical Conduit-Undr rri�;� .. 8. Founda[ion • � . 50: • Gas�Pipe; Q Undr rn, Test �^" �'' ` � 9�. � Water Pipe-Undrgrn� � � ' � ,r • 51. _,Backwash Lines p-Tra nd� rn � ' " ""' ' " ' • 4' 10. Structurel Flooc SYstem . � . ; . ' 52. APPROVALTO DECK � ' ' ' ' - ..'F 17. Property Sewer Line & House Connection � - - . 53. 8ackwash & Rece tor-Final � �-' -�- = � . ' � 12, Street Sewer Cqnnection • � - 54. 'Heater & Vent-Final � � � • � � � � 13. Rough Plumbing . . - - - _ . . . . - . .. ' . "� 14. Rough ElectriaConduit ' � ' �56. ' Electrical-Final � ' � � � � � i 15. Rough Electric-Wiring � -' - '" 57. Solar System•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.� .POOUSFA SYSTEMS FINAL "" 20. Roof Framing � - --� � • �- . � ' ' � � • � . 21. Roof Sheathin - � - � -- •-- • � -� ' ' � � - 22. 'Frame and Flashin • - NOTES: , ' • 23. - Insuiation • • � . � ' �! ' ' - - - � 24. Lathing & Siding � � � �- - - - � -` - '"- � • • 25. Drywall Nailing - � • - � - . � � • -- � • " �r. 26. Plaster�Brown�Coat - - � � � - � �� • - � 27.' Elecfrical�Power MeterFinah - - - - � r . • " 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. Solar pomesticFinal ' � � ' - - � � ' ' $5.� Landsca e S rinklin S stem ' � � - '' 36. Sound Attenuation � - � • � � ' ' • 37. Handicap Regulations � � • ' j � � " ' ' ` � - - � � � � � 38. FINALSTRUCTURE&BUILDING .39. Special Requirements Completed' . � - - � 40. Electric Release to Edison ` � - ' '- - ' • � • 41. Gas Release to Southern California Gas Co. ' ' � � - ' � � , � � ,42. CERTIFICATEOFOCCUPANCY - ' �'���^ _ . � „ , . . � � No. �Date _ ' , . _ . • _ . . .. .__:��_..�..�w2�- -` � . . ApPlican to fill in all soaces witnin heavY �ortler lines antl sign all appropriate Eeclarations. � CITY OF COSTA MESA� ' .PE IT NO. � TRACT NO. � L07 �BLDG. NO. � � "' -" - ' � � � � ' -' - " -"" ' " ^ ' "� ' iCONSTRUCTIONPERMI 1 �� ' � i � � ^ " " � � '�' J i �-� •� 3940 3/30/82 9.00 TL� Pioject Address :.{ T . . .... .. " ;r. - " ' ' ' . r .. , . . .. . i� . S� - � J��� yPE OF CONSTRUCTION , � . -.+ <'_ . '. ' r . 1 Owner - � � " Phone � Y� NEW ❑ AD��: ' O ALTERATION � -' . -� . .. :`- ` _ � (. ._ � ' � . - � ' . _` ;Addfess � " u� � - LI�REPAIR ❑ CONVERSION, ODEMOLISH� ZONING REGULATIONS,� ,_ _ ! � - � O OTHER � �A P � t �"Arch/Eng.'- �� �cense No:� - ' �.� t: I ` hU � DESCRIPTIONOFWORK -� � � Addie55 � uw (� ' �� " ' �, i i � �: . ;ZONE -PLNGQ. RUEF.,��-. i i� i�Conif2ctOf Y, � . ' � PhOne " ^ � .•.�. • . .. ,;' _., _ "' ' . , _ ' "5 """ _ "'. TR PEILDYNG_ _ ' � � � �- yTYP,E OF PERMIT' � ,. � E7BACK C � L ST. P O RT L NE• ' � Addf255 G�' � �- v� Y'- '- �,O GRADING. �❑- FOUNDATION' � STRUCTURAL' ' ,SIDE VARD -- i � LICENSED CONTRACTOR-DECLARATION- - �--- - /= ��- ❑ TENANTJO ELEGTRICAL� �PCUMBING^OMECHANICA SI�DE VAR -- - - --- � � ' - - - ' � 1 hereby_affirm that I am litensetl untler provisi 5 bt Chart¢� 91(com- . q�� , .� + _ � RIGHT �{ rtienBing with -5ection -7000)' of -OI �on 3- f the Business�antl � -��OTHER ^- - - - ^' �' - - - - -- - , , -- -�' ' \ Protesslons Cotle, ' n my Iicense is in fu I orcr��4q• f,�4 !J1egt „' � ' �, - •REAft YARD (TO P/L) .,, 'r ,- t. ' Lice e ls\s l �� � e s or�b�i�-. 'PROJECTDESCRIPTION' - � - _.._ � - - - �pKG.SPACEREq. � � PROVIDED '� ' Date ' " � � Si9nature „' `_ � � ' . . _ : SQ.'FTl , : , . ' ` u' " ' _. '� . ' ' " . . . _. i WORKERS^COMVENSATION DECLA ON � � - OCCUPANCY' '_CONSTRUCTION TyP.E �STREET WIDTH -PARKIFEES _!: f I � � � ` � , ' �20NINGAPPROVEDBV DATE n - i 1 hereby atfirm that I have a cerbficate consent to Self-insure o��d r� �� . , �. : . C • certifitat¢ of Workers' Compensation Ins rance, or'a tertlhed�copy VALUA;T,ION ZONE. _ _- � � L ;SPECIAL CONDITIONS � thereof (Sect op38Q� . C.). P V�n � � GRADING CV. VDS. ' ACRES ' � l ' � No. 'Ui�b> Com an. KUG� /�is • �` ' ' . �. __. _ ' _ .. ... . _ . . " . _-' ( ;tifietl topy is hereby fumishe8. - ---- � . . _ _ _ __ _ -REMA0.K5.�' 1 `,• � . � �- • �,grtifietl <opy is tiletl with the tity Builtling Divislon. - , � � � �,�t - � �� � . E%EMPTION FROM WORKERS' COMPENSATION DECLARATION ' ' ' � -' -'- ' ' -' - - ' � . � (This section-neetl•not�be mmpletetl if. the permit is.for one.huntlretl - • . �_ . A_„ , , _� �� � ` �, (aloo) or less). � t "T'� '� - . - " . . _ _ . . "- b�certify,that inihepertormance of the.work.for which.this perm�t is _ , . _ - ___ ^ iszuetl, I shall not em lo an y � �- " -� � " p y y penon in an manner so as to�become PLUMBING� -. '�,., ,PLAN CHECK �-,_ .ELECTRICAL � �' ' PLAN CHECK "� .n . subjeCDto the Work¢rs' Compensation LawS o(-California. . ...�- " Date Si9nature BATHTUBS SHOWERS � � �,�;.:,� '- � �� NOTICE: If atter making this tleclaiation, you shoultl become subject ' TOI�.ET$ y� i �5�'URINALS �� � � �� GENERATOR'-" "0-1 KW_ 1-10 KW �� �.:�1 •��� to the Workers' Compensation provislons of the Labor Code, you must - _ aTRANSFORMER - - - � 1` � forthwith comply with such provi5ions or this pe�mit shall be tleemetl LAVATORIE$ DOUBLE LAVS - � �APPLIHIVCE 30-50'KW_50:+ KW ' � '" ' '� � _ U . t,Y . ' revoked. _.... - ._ _ "' ' ' __' "� ' " ' ' _ '. . . . - ` . � � CONSTRUCTION LENDING AGENGV . KIT. SINKS�" ' DISNWASHER$ � � - -"I'� -` '�MOTORS�-- �-' -0-1 HG._1-30 FiP � ,F ' • Phereby affirm Ihat there i5 a conSt�Uctlon lentling age0cy fot the per- � - ) ' ' -- ' - -�� -' � (�NC. SOLAR) ---•30-50 HP� �-- � 50'+ ryp -� -A � � formance o� the work for wnich this permit is issuetl (Section 3097 SERVICESINKS ,,: iOi SUMPST� '���" � — 'y "�-.--- 1� Civ. C.I. " : '. . _ _ . _ . . ' .."_'. . . ' ' '__ .. �_. Centler's Name FLOOR SINKS FLOOR DRAINS �� .� � ;FIXTURES� -�OUTLETS ��SWITCFiES �.. . .. ... . _ " _ _' ' __ " ' __ .,........_...._..� -_.. ... i . ... � LentleYs Atltlress DRINKING FOUNTAINS � '( '-" �"'(GASTUBE'SIGNS' -' P ... . �" __ .��.�7 ,i. � �.. . _ " " _`_'`_ .. "_"" . . i. OWNER BUILDER �ECLARATION'' , _ _ ' '___ "_ ' _ __ " _ "' ' _"�__ _ """"`_"' "r. - - - - -ipOL'E L'IGHTS "_ __ "`_"_ "'_'_`' ' _"_"' "" _"_ ' I h¢reby affirm thal 1 am exempt from the Conlractor's License.Law for �NTERCEPTORS CLARIFIERS � ,�� i; � . ,, ' _ ' li. �•..i . ; the"followinq"reaso'n-(Section ]031:5"Business antl`Professions'Cotle:' -SWIMMIfVGPOOL � �PTRAP "�"- "' "� ' -"""' "� ' ' - -"' -" - '-- ^'- -'"""� � Any city, or_�county_which requires a permi[ to consVuct, alter, �POLES METERED �SUB . .v � ��o or. ,�,'. improve, tlemolish�o} repair any-sfNc[ure; prior to'its'issuance,'also're- - � --�' --- - --- - - - _ - - quires the ap4licant lor such permit to file a signetl statement that he WATER SERV ICE �� ALTjERATION � i ��-��PANELS MAIN SUB_ , �� �, ., ,� , . is liGensetl pursuant fo the provisions of'the "ConVactoPs"License'Caw ' - " -'-' " �'-" "" -" " ' ' " - -- - - � ...,_�- .. .. (Chapter 9_ (commencinq wifh SeCtion 7000) ot Division 3 of tM1e GASSERVICE OUTLETS '� SERVICE"--'"-"'- "'-' AMP ^' _ t. ' ' Business antl Prdlessions Cotle)'or"that M1e'is"exempt therefrom'antl the' yyqTER�HEATERS � � �BTU OUTPUT'� -" " "' � 'r ' -- -- '- -" "" " ""' � ' -' ' - ' ' for the all¢getl_exemption. qny violafion ot SectiOn 7031.5 by � -^ � - - _ � .. 5 liwnt (or a ermit-subjecis-the'applicanYto"a-civil'penalty ' -- ' ' "-"'-'-" - - ' - -'���-'�� - � ' _ - - ' - - . . ..., ..,.�, ... � PP P SEWER CONNECTIONS " '- " �t more than five huntlretl tlollars ($500). �' ' ' � � - .�-"___ _' _'_ "_-. ._ . _._"._..... �.._.�...�...�. -__'"" _ ' " "". _"' .�_.��. � .� : � I; as owner ot lhe proberty, or my employee5 with wages as their SOLAR TANK '�-� �COLLECTORS ' ! - � � '� "- '. ` - - � " � - � -, � ' - � � SOIe tompensation, will-tlo-the.work, antl the s[ruGtur¢ is noLintentletl_ ' ' l �� or offeretl tor iale. (Section 7044, Business antl Professions Cotle: The SOLAR PIPING SVS �' � � 155UEFEE ���� ' - � ,�: �"-' '� ' �. .s Contrattor's; License-Law-�tloes-not.apply to�an_owne�.of-a.property_ _. _ __ ' . ._ _ ___, _ _,.. � „ � �_,__ � � � �� f� .who builtls or imp�oves thereon, antl who does such work himself or ISSUE FEE 1� �'�APPLICATION-APPROV ED BY- - i � _-: pATE'-'�� '� through��bis own_employees,.provitletl that such.imP�ovements are.not _ intentletl or oiferetl for sale. If, however, the builtling or improvement MECHANICAL PLAN CHECK � � . SUMMARV OF;FEES �_, �J> � r,�' is�soltl.within one-year.of..completion,.the owner_will,bave-fhe,bu�tlen ' ' ' - � ' BUICDING' "'" --' '- '^ ':�"" _'-'� � of pwving he tlitl not builtl or imp�ove fo� the pu�pose of sale). , � . ' � '�"' ,f . � . NEATING SYSTEM 0-100,000 BTU V , . �PERMIT � 5 �"f '� SMIP'; �;7E::E^ ^' �� 0'I; "as"owner of"the"property,-am"exclusively' wnt�actinq-with� qryD DUCTING��-� � � � - - -"'-' licensetl contraclors to construct the project (Section ]044, Business SOO,OOO�+�BTU �- rtpLANCHECK S � �PERMITt.h h�iU'%. � anC'Professions'Cotle:"�TheConVactor's'License�Cawtloesnoi'appryto -' - - ' ��- ----- -�-- �-- �ISSWANCE-E-- - --� an owner of property who builtls or improves thereon, antl who con- REFRIGERATION � 0-100_OOO�BTU � �PWMBING § ����� -' � i��.� *.:;{ ' Vac(5'iwm'sucn�projects�with�a contractor(s)-Iicesnetl-pursuant'to� �SVSTEM'- -" ^' ''� -- - -- " j-'-- --- �- -- �^ --�--- -- - -GRADING'�'-E "' . { the Contrattor's LicenSe Law). '100,000�+,gTU �PLAN CHECK $' •"' „n - � r' � � _. • � �' . �,;. , ❑'lamexemp['untler5ecti6n� � �� �� '�B.'&��P'.C.fm�this� BOILERS BTV� � � �lELECTRICAL b S+ - ieason '" ' ". "' . -� --• »_. . _._.. _ _.� '_".� .... ' _ ' "`PLAN CHECK $ ' . _. ' M'ICROFILM .S � <. . Date- - - � � Ow er - - -- - - _ - _. . SVSTEM REPAIR, ALTERATION - i � � � r iMECNANICAL E�� -�'TOTAL FEE $ LhEr¢by Cert�fytlta[.I.ha e. atl this application anQS[dte that.thE dbove� EXFIAUST SVSTEM .MULTIPLE - �. _ } '� ^�� �% LES$!iD- _ � information correcC I ree to- comply with all city antl munty � � 'PLAN'CHECK -E' -"� `�'-VANGE PG - E_� � -- � ortlinances, tl tate law r ating to.construction, antl M1ereby,authorize 'J�i : ,�,1',.. ;,'�'• -,; ', ;'„ ', , y- � S, �¢pr¢sentatl es f is ci to enter upon -the dbove men[ioj�etl � , I P�oPertY-.f r..in t�o e .' "_ _ _.. V... � � _'j^ _,J(_ _ �! ' � . . . '. i 1 FINAL FEE 5 � �O Slgnature Date _��� V __ .J . 1 _ : . _ � � Drivers' Lic 5 � ' � ' ISSIIE'FEE ' - " "- -" . `•' ' - ' -- ' ' � ' -^ ' -" -' - - . - - � CMF 0865�J6 Wnite-Builtlinq; Canary-Applicanq Pink-Accounting; Goltlenrotl-Assessor .. . CONSTRUCTION AND PLANNING . . � 'POOL & SPA , � . .. . ���\� �� iT('j. Date ' Inspector � • - • • • - - • •• Date. _ Inspector . APPROVALS t Permit# - APPROVALS. . Permit# . 1. Temporary Electrical Service or Pole � � 43. Pool �& Equipment Location --- � - � - - �--� - � 2. Soil ipe-Undrgm- - � � r 44. Steel Reinforcement -- � - - • - ' 3. Electrical Conduit Utility-Untlrgrn • �� 45. Forms + 4. .Electrical Conduit-Undrgm_ �+ 46. Electrical Bonding `� . tee ein orce � 47. Rough Plumbin"& Pressure Test .`� � • - 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE--- � 7. Footings � - "- 49. Electrical Conduit-Undr rnr � � �- - 8._ Foundation - •� -� ' • � 50. Gas Pipe, ❑ Undr rn �Test -.. - ' � ' � � 9. .,Water Pipe-Undrgrn~ • ' 51. Backwash Lines P-Tra- 0�� ndr m' ^ 10._, Structural Floor System � 52. APPROVALTO DECK ' -'- - ' '-" • ' - - , 1J. _ Properfy Sewer Line & House Connection � 53. Backwash & Rece tor-Final • � � 12. . Street Sewer Connection �' •' � • � - � � ._54.. Heater & Vent-Final. � ' 13._ Rough Plumbing - - - _ ,. • -. .. - -� - "- - ' • -- - � . . . 14. Rough ElectricConduit - - - � - - �56.-� Electrical-Final - • ' 15.- �RougFi Electric-Wiring'" � '" '"- �'- - � •- - � - -� • 57.--Solar System-Final. '' ' � ' "� - � " � ''^ '16. Rough Heating & Air Conditioning - � . � encing & Access Approval L 17. .Ducts'.in Structure � ' '•"• i ' ' APPROVED FOR PLASTERING ' � � ' � �� � : .18. -� Ducts,.Ventilating _ • ' . _ _, � 19. Gas Pipe-Rougli &Test _ � "' ' 60. __POOUSPA SYSTEMS FINAL •' � "� •� 20.. Roof Framing - . . �. , a _ . ,.., . . . .. . . . .� . .�...' . __.. . . .._ �.. _.. . .. _ .__.. . . 21. Roof�Sheathin� . ^' . . ' , . , ..,,� , ;-, ,�� ' � . ._ _. • . � • .. , ..-r= � 22:. Frame and'Flaehin _ ' �' NOTES: • •� ' • • " ' 23. Insulation " - � � " ' "' " '' ' ' • ' '. 24: --Lathing.& Siding. . . . : 1. ' .(� -- ' . . . ' . � 25! Drywall Nailing . . � . ;. _ �• ., - - -- - - ' .. . ". .` x. 26: Plaster Brown Coat � • ' " - ' � ' • � � . 27. Electrical Power Meter-Final ; _ � ' � ' ' � � � - � -28: Final Electric � � � � ' ' ' � t 29: Final Heating & Air Conditioning _ _ _ - � � � � � � ' " '' � {_ 30.._ Final Gas Pipe-Test. - ,. - - ' -- - - - , .. - - - , . . ,, . i. 31: Final Plumbing. . ,_ . :, • - - ,-, . ' '. . . . . . . � � � - --` --- -- -' . � 32: Water Secvice-Final_ ' ' � � " ' - � ' � ' � � �� -33.- -Gas�Service-Final- - - � .. , „ ..� - i � - - - -� '�-� .. , . . . , , . ' 34. Solar pomestic-Final '+•� •� { j � . ! ' � ' ' � ' ' • 35.. Landsca e S rinklin S stem ' ' " ` � - �� � �• ,` ' •`. - ' �+' •. • �� " � 36. SoundAttenuation . , �, . ,. : ; _..-� - ��. . �.r .•.� ..:`; . .. .. . ... .. .. . . , ,� 1 37. Handicap Regulations � � � � � � � ' " � � � � � � �' � � . �.� �, 38. FINAL STRUCTURE & BUI�DING � � ; � ' � ` - - � � � � ��� � � i 39. Special Requirements Completed ' ' �' °' � ' � � � " ` ' " ---" - '- " '' ' � � ' " ' 40. Electric Release to Edison ' � �� � � i � - - "'- ` "` � '-� ' ' "" � ' ' � 41. Gas Release to Southem California Gas Co'.' � � �� \ - � ' � � �� '� ' �� ��� �� � � � � 42. CERTIFICATEOFOCCUPANCY `'_ _ _ _.. _ . ," _ � � - �� - � - - - - , . .. , ,.. . .. . No. Date . -� - � . . .. I.. . . . . _ . • . . • " � _ ._._. . . _ _ i •_.. � . _ . . . . . .. . � , � . ' ;� . a �� . Applieant [o fill in al� s0acas wi[hin heavY borCer lines antl si9� all approprlate tleclarations. � CITY OFCOSTA MESA� '"' �PER���J YNO.� "'�- --�� - , - TRACT'NO: - ' -LOT NO -� �BLDGCNO.- �- - ' - (' ' - � ' ' ' ' ' - ' ' "-"' �-- "` ' : � CONSTRUCTION PERMIT [� �J �,' ' -' l .� � _ . " � . a�o ect /?ddress ' SD -- -ILSD/V •r�, "• V ' . .•.��+:• ' - �: �: `�..!r! 9351 12/ I 0%81 � ' 54� 12 TI.� � � TYPE OF CONSTRUCTION�� - �•+^ i.. � 1:.- -�- � 19 " -' � i I "OJJnEf" ' ' Q� ' ' --PhOne �% $S�O NEW'�OADD `OACTERATION °'� ' T� "-' - """` � - =.- -= ' -�� ��� i � i?� � v _�9 � i �c �- � i, „I J r: . r. 'Addf2ss"''' - �f - - � Nj��--- - -- - REPAIR ❑ CONVERSION-ODEMOLISH- � - - 2ONING REGULATIONS JJ ' "ArCh/Eng. '�tEC\ "� D ' ivQiCenSeNo _'I "�.-'^ `�'OTHER. �yr,•• '�, ` �A.P.4f - -�. ' tr'. _ :� 2 " _ O �. DESCRIPTION OF WORK "-� - � Adiiress 'Dy` E- S�1T�1 - - . _ _ . _. . .__ . _ - -- - - - ' - -- p � � " "' _' _ � « � `" ' _.-_ 7 ^. `_ ZONE - - _ �=PLNG .REF. $`� LF :pI'�' . �Contractor � �Z�(l�- � �Phone . . TYPEOPPERMI:T (t � � ' -'B To eUiLDING � - � Addreis� -� ` ' ' '-? : � �' � I SETBACK C L T. __ vROPERTY �INE. �- � _ --_ A"N Vi G� ❑�GRADINGa ��FOUNDATION -� STRUCTURAC '"' --LE�E'YARD. -if' O j' �� � j�. ' LICENSED�CON -RACTOR-DECL � ION- " ❑ TENANT ❑ ELECTRICAL ��PLUM8ING �MECHANICA - ��IGHTA L . . I hereby aitlrm that I am Iicensetl ntle� p vi , ns rterf9:(com- � '�, ,, i � ` mentlng` with' section 7000) ♦ Drvi ?rot • �Business -antl ❑�pTHER � � '� -� �1 Professlons Cotle; n� my I tense ' V ull etfec � � ' I - � LL n �� -_ _ -�� _ ` _ ' _ REAR VARD (TO P/L) '� � ' !1r -PROJECTDESCRIPTI . ' , � 1�� Llcen�C ss � i� o. �� �r �'- ��pVCG.SPACEREq. 5 �y�PROVI.DED � �Date Signature SQ F.T. � +, + 7 � .' " " " ' �, STREET WIDTH^ Q .� _y PARVC FEE�$ r� " � WORKE 5' OMPENSATION ECL RATI OCCUPANCY CONSTRVCT,ION.TVP^, I hereb afiirm that I have certific te of ent to selt in re o a ZONING APPROVED BY � DATE 'wrtiticate'ofWorkers"Comensati -VALUATION' ���� �ZONE ,,, •, ., .d 2"�Q�� � tbereof (5 cti n 8 0 .� �� 9 GRADINGCUt VDS. � ACRES� �1 SPEGIAL CONDITIONS: ,„ ., �' P� 'cY No� � . ' ComP n K' -' " ' __ . _ � ' ' _ . ' _" _ � - ' , � � . �ert�fietl�copy iahereby furnishe .- _. N$ ,. (���lP 1REMARKS ' - �� - _ - -- -_S _ ' ' - _ "" ^ ""_ � CertlBetl copy I5 filetl th the; ity Builtlin9 Division. ._,,. ' . ^ ' � � � �� ,�� A^ p �- _ _ " ' . '_ . ... . . _ . � .�.-.-- - . . _ i Ti�ii��✓ EXEMPTION FROM WO KER COMPENSATION'DECLARATION .,j - - � ' "- ' '^'" - -' � . . . (T.his_sec[ion.neeC_not be co e[etl ii_[ne.permit.is far.ane huntlr¢tl ..__ .- , � "JI� YY-7�',J9.! '•dG i � (E3001 ar leSsl. : . y, ..,� , -. . .. .._ ._ ... __ � .� . . "_ _ _ _ `_ " _ ' _ " �. . "'_ • '.. - ' ' '� _I.certify.that.ln.the performance�ot the work for which.this,permit'is .. issuetl, I shall not employ any person in any manner so�as to become �{PLUMBING � %- �-� • �PL�AN CHECK -"-�� � ` � - �ELECTRICAL � �� '- � PLAN CHECK '.� " �SublBct to the.Worker5' ComPensatlon_LawS o4Califomid.' ."_.__ __' • . . _._" __ "_ __._...__... � "__ '" ._^ ... . _ _� _" _ _"_.._, _ ._ _. .._,. _""._- �' '_'y Da[e � Si9nature� BATHTVBS SHON/ERS . �. r... i �n _ r � .... . NOTICE:I(atter�makin thistleclaration, oushoultlbecomesub'ect TOILETS- URINALS� ��-��-�-'-' -"'GENERATOR-"^-"`"-' "'" -""-`^"'-'-•-�I f 9 Y � 1_ ij. ._ .� , t.�(:�'1 [I� . TRANSFORMER 0-1 KW_1-wO.KW..,- ' t.J : 7 to IhE Wo�kers' COrYip2nsatiOn prOvlsiOns of the Labor Cotle; you must � (orthwith comply with su<h provisions or this permii shall be deemetl LAVATORIES DOUBCELAVS' -'-j-" ' APPLIANCE '- 10=50 KW"_50"+KW""" '-"�; �;;-- _revoketl..'_� _�-__ 'J_r._ '_'�_'__.� '_„' ___"_ . . . . ._ i CONSTRUCTION LENDINGAGENCV �KIT.SINKS-��-'� -` -DISHWASHERS'" -- -" - -- 'MOTORS'-'-"0-1'HP_1=1'0-HP"' "' -- - - -. __.. ..f' . � ^ . I hereby affirm that there is a construction lendin9 agenty for the per- SERVICE SINKS;-�T��� SUMPS"'�"-` ' - . ' ��(�NC.�SOLAR) 10-50�HP-=-50�+�HP �----�= �-- --i formanC¢ of Ihe work for whiGh this permit is issuetl (Sec[ion 309] - ' -�."�'� "�__ ""�_ "'_"'�.'_ ' ... . ' ._u :C 'Civ: C):-'-"-` - " '- --'- � � FLOOR SINKS _ FLOOR DRAINS � � � � �� -FIXTURES "- "-OUTLETS - SWITCFIES,', ; � ' `- .Lentler's Name _"'-_' "_ _-_._._.�_._"�_.""_"_'.�.... .......... . . .� Lentler's Atltlress �DRINKING�FOUNTAINS � ��� ' � '- - GASTUBESIGNS"""^"""' --.F.�-�^---: � � ' �OWNER"BUICDERDECLARATION"'-'-""-'-"""'-'^-""-INTERCEPTORS' � CLARIFIERS � � POL'E-LIGFITS--'"'��" --- - '" '-'^� I hereby aHirm that I am exempt from the Contractor's License Law for ' •'� � '[ne"foliowing-.reason-(Sectlon�7031:5'Businezs'antl'ProfessionsCotle:--SWIMMINGPOOL-� PTRAP"'-' ' -" ' - - -" �i Any city or county which requires a permit to construct, alter, -�, I POLES METEREO�� SUB�.. •-�d r r'� 'improve,-tlemolish'or'repair'anysVucture,-prlor'[o'its'issuance,-alsore�' -yyATERSERVICE ^ �AL`TERATION -�' � -PANECS �- �"��-MAIN_.=-�--SUB�o��' �,-1' ' `i quires tM1e ap�.licant for such pe�mit [o file a signetl statemeni that he �` 'is-.licensetl'pursuant'to'the pwvisions"of'ihe'Contrattor'S'L'icense'Caw' "'GAS SERV ICE ' OUTLETS ^ � � �� �SERV ICE'-"- "'"` — '-' - "AMP- � - " � ""-� "' � . (Chapter 9(commencin9 with Section ]000) of Division 3 of the - Business'antl'Prdessions'Cotle)'or'thai'he Is exempt'[herefrom antl'the` -'yyATER HEATERS - BTU�OUTPOT`-� " i" "-" . "_ _ -� _.�__-_ _ __._ _..._., .. ____.._ r _...�..�. ._,,,.. ' �sis (or the allegetl exemption. Any violation of $ection 7031.5 by '� •` - �" . . ..... .. � . - � ' .. ... , � . )'applicanY for "a"p¢rmit sUb)eCts th¢�appliCan['to a "civil -pepalty' ' -- - �- �-- - ._ --- -_ _ ... _. .. .�. � ___ ._ �_.., _- .._.. _.. � SEN)ER CONNECTIONS� -�I' --� i- � '"� - ' "' � not more than five hundred tlollars (g500). `• ^' �� • �� � �� __.�." .` ' _..."'.'.._.'_ _ �_'_ .._ ".._" _"' "... . .' " ' _ _ `" �_"" ""'_""' .. . .L] 1, as owner of tne property, or my employees with wages as their SOLAR�TFiNK -"�" COLLECTORS�--�� - � �� ' ' znv ^ 3�� - .sole:compensation, will..tlo.the..work, antl.the.strutture is.nOt,intentletl_ ' o� otfered for Sale. (Section ]044, Bu5ine55 and Aofessions Cotle: The SOLAR PIPING SVS. ' ' � � �ISSUE FEE �`` `-- �� - � "' '"'� .ContraCtoYS,.License..Law_tloe5.not apply.to_dn,Owner_of_a.prope�ly., _ _____ � --•- -�---- - --APPCICATIONAPPROVEp'B "' 'DAT ' who builtls o� improves thereon, antl who tloes such work himself or TISSUE FEE --�� iT - �� .throuqh_M1is.own.employees,.provitletl.that..sucb imp�Ovements.are.not_ intentletl or ofteretl for sale. If, howeveq-the buiitling or improvement MECHANICAL PLAN CHECK SUMMARV OF:FEES ' n0 1 is.sOltl.within.One year.of_cOmpletion„thepwneLwill hdv¢,the.burtlen_ � ' ��_�G: of proving he tlitl'not builtl o� impvove fo� [he pu�pose of sale). �� "BUIL'DING"" '�a- ."'^' -'--'- '�-1-d5�-Owner-of-�the-propertyp-am- eaclusivery�-contracting-with- ' HEATING SVSTEM 0-300,000 BTV , PERMIT $ •�`s� ^'.�iYSM�P� -�' F'�-_S:� � _.AND DUCTING_.��_'...�' "'" , ._._.� [ .._ .. -. ___-__" "' " '_ ' "_ __ _.� Iicensetl contractors to construct the prolect (Section 7044, Business 100,000+gTU � f PLANCHECK § ��a •. PERMIT-, • T� ;$ - I 'antl'Professions-Cotle:' The�Contractor's License�Law-tloernot apply�to " : - ---�- � -- - -- ---- -- ISSUANCE-E= - - =! an owner of property who builtls or improves thereon, antl who con- REFRIGERATION 0-100,000 BTU � PLUMBING q _'b�.��r• , 5+ �. •y� �;;.� ❑ Itamre emUt untler Secti �[h-a-contractor s-liceB e&-P. CS for thio- . -- �T---� ----. j- ='` GR� �` P I � ( ) P "'SVSTEM'_"'"'�__"_i^_.,-'. _ ___"_ _" ADING' § " i the Contra<tor's License Law). _ � _ 100,000 +BTU ~ PLAN CHECKf E _ '.; j� '..$,! � _;.t; � ._ .'_P BOILERS BTU i E�ECTRICAI.'ffi- -"� '-�� ."- "�--.- . 'reason"'__ _' ' '._..' -" ' _ ' _" _ . .- .; ..�., .. � ''N1ICROFILMJS-, .: ..0 � . . . . ... . . �. . - , . Date Owner ' SVSTEM REPAIR, ALTERATION ' �PLAN'CMECK `$""�_ , �„ � . .. . � . _- ... _ _ 'MECHANICAL g ••Y,.••. � TOTAL�FEE�$"� • • EXHAUST SVSTEM MULTIPLE � ' �u+ ' U ^�� �a: • :. il� ' ! I h¢reby tify,tha I ave reatl this applica[ion antl state that the above ' � LESS�AD=' ^" �u:� �.� ' informa io is cor�e t. I�aqree td comply witM1-all city antl county' � , "PL'ANCHECK'-$'" � "--VANCEPC- $_�' -�"" ortlinan es a tl sta[ I ws relating to constructlon; anQhereby_authorize . �� ')b!1:,^T'� l:' ?� p,.,,, ,Il •i �,l C;. ' �epresen a[iv t I c'ry ente} -upon 'the aDovG me tion tl � � '/ � ,property for s u oses.___ _ _ / 4� _ _ _ . _ _ _FINAL FEE g y�a � Sig�ature Date _[� ' _L' ' Drivers' Licen o S 9f - ' - ISSUE'FEE"" ' - - -' _""'_' _' " ' ' .."_' _' .'_ _' _- " _ _" "_' _' " " _.". "� _ CMF 0865-46 White-Builtlinq; Canary-Applican[: Pink-Accounting; Goltlenrotl-Assessor _____� r _. � �: CONSTRUCT�ON AND P�ANNIN APPROVALS Permit # - �� 1. Temporary Electrical Service or Pole 2. Soi ipe-Undrgrn _3. Electrical ConduiYUtility=Undrgrn' �;�';� 4._ Electrical Conduit-Undrgrn � `. '.'.�i `. � - �; .\ ' tee ein orce . 6. Electrical UFER Grn ` �. }�; ' Z Footings. ' � ' .,_� 1 8. Foundation, : . �� ' 9.... Water Pipe-Undrgrn 10. Structural Floor System - � � 1T.- • Property Sewe� Cin@ &�House Connection _12. .. Street Sewer Connection " - 13. Rough Plumbing _ � ' 14. Rough Electric-Conduit 15. Rough Electric-Wiring ' - '16. Rough Heating & Air Conditioning � 17. Ducts, in Structure. � . 18. Ducts, Ventilating � 19. � Gas.Pipe-Rough & Test - � � 20. Roof Framing . ' ' 21, Roof Sheathin � � -22. Frame and Flashin � - 23. � Insulation � � � ' 24. Lathing & Siding ..._ 25. Drvwall Nailinp . ' 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 _ . _ , � 37. Handicap Regulations • 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. � Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATEOFOCCUPANCY ' Nn. " � Date % ` � POOL & SPA, - •. 1 . - Date Inspector qppROVALS . Permit# ' \� Date . Inspector\� 43. Pool & Equipment Location- � � - - � , . 44. Stee� Reinforcement - •� � • - - � ' ' 45. Forms -�- - � � - ' " 46. Electrical Bonding -- - � � � -� - - - � 47. ,.Rou h Plumbin & Pressure Test 48. "'APPROVAL TO COVER-GUNITE - � � � 49. Electrical Conduit-Undr rn �� • 50. Gas.Pipe, � Und' m, Test� � � 51. Backwash Lines P-Tra ' �' ndr rn � " �•• - • 52. APPROVAL TO DECK ', ' ' ' " ' " ' ' 53. Backwash & Rece tor-Final � t 54. Heater & Vent-Final i �� �56. Electrical-Final � � - '��,� _ . .�.�57,::,SoYaiSystem-Final ' � � . . encing & Access Approval • � . APPROVED FORPLASTERING � � 60. POOL/SPASYSTEMSFINAL NOTES: ' e � � � uuram mutmunnniouuxinm� �onuunwunnno��mxuno� D. L. DOUGLAS & ASSOCIATES, INC. Sfate RegisferedConstruction Inspectors 2400-D W. Lincoln Ave. / Anaheim, California 92807 /(714) 761-315� F C`�� . n California State License No. 503 �J Cl�Y OF Cr'�T�1 P4FSA Date: April 16, 1982 ��'�J 7NSPF.CTT�N RRP.�RT APR 191982 g r L City of Costa Mesa B�ilding Department P.O. Box 1200 Costa Mesa, Ca 92626 � J PERMIT N0: DATED: B2348 1-25-82 TYPE; Buildina Dear Si:rs: _ The following inspections have been performed in accordance with Section 305 of the Uniform Building Code: Project: Her.ita.e_Pro'ect Address:.��p'"W, Wi1so��_� City: Costa Mesa, Ca �� --�'- Contractor: J. H. Greaorv Construction Company Address: 17961 Cowan City: Irvine, Ca 92719 Architect: James Green Engineer: Donald Wood Type of Inspections: Location of Tests Perfo Heri Drive water, sewer, electric continui 1 Test I,ab: none Remarks: All inspections completed'except not visible Eactory- built Portion of unit, which was certified as State inspected. Sub-Contractor: all ' Work on the above phase of this project has been satisfact- ..m....� orily completed in accordance with approved plans a�spec- "Insp--��� ot�ionDates: Inspector: � From: 11-1-81 To: 4-16-82 I,ic. No: 50 SCHOOLS • CHURCHES • HOSPITALS • INSTITUTIONS • COMMERCIAL • INDUSTRIAL • RESIDENTIAL r 1 . t ir .Y'A :�V, . . �. . � °. � r'. � %i . f -- ' . . . . . . , � '. ' ,i.•.• ' ,..�.. .. `. . ' �'�' . . CITY OPCC.S,A MESA . � - '� ` � � rt� � � BUILDING SAFETY DEPAR7„"AENT � ,�. .. . . . � . , . . � � _ � ��a',_� :� ; . POST � IN CONSPICUOUS PLACE � � ti .� a { a , :. � , ,:. .. ON THE JOB - . . . , . , � t, ' ��� � ,t �. � p ,y � ,., ,. y$ ,,. j \ ��t 1� ' f '1�,� � a e ��., . .. j-. . . DATE ISSUED B� . . ty �k� :) � I.. °r' _ .S. . .:s. a / �� _ • � . � , ,i ,� � i t1 .� . t i� Y: A.P. N�I �1 O gT a PERMIT NO. �, '.^' ' . , L( � r d S, � ' ��, . � ' ' �` � V � r 'y �s i .' ' BUILDING AD�RE55!/ ' ' �- " ' , , ^: . ��ln' /7� ./�iCtGf-y.. �/�>f_: � -�'�' TRACT - ' ' - LOT - - BLOCK ' � > /%57 `„ i j { ' , t.. . , . � � - 'NEW ADD ALTER REPAIR MOVING `DEMOLISH , ��.{ y ,; , . .. ,� - ., ,. „ , , _ , q ���� . OWNER ' ... - , ' � �;q!,-. uae , �e a�t o ,. �-'� � - . . US . � .� vy:7, - . � � CLO �C_/ � . ' - SRFf�ZONE TVPE , GROU ` ' 1 .+� , . ' - 7; L , ' ��� t i ' .t�' ' � SETBAC�CS - S. �E. '�' , Front Yd � Side Yd. R r L� Rear ���/. ;;'q�.'�,j:-: °r� . . . ' � . - � . Side Yd. R L Rear a : ' "�' ' z BUILDING INSPECTION RECORD �" ��� " ` -;' �� � ' � ! � . TO KEEP BUILDING PERMITS VALID, WORK MUST BE COM- ' � , • � . , '. MENCED WITHIN 180 DAYS WITH ROUTINE INSPECTIONS AT .. . '-� � � � j� LEAST EACH 180 DAYS THEREAFTER UNTI L COMPLETED. . � . . . . � , ._ .._.., a �n��";. , �. , . �,� ' . � STRUCTURAL � iNsc. onre ::;_ ...� � � . � . . . . : ; . . . ' . . Trenches ❑ Forms �"'--"-' --q(. " � ' . � . . :�., . p . � FloorSVstem'---'... �� i90�' 'C ..; '.iP��' � . � f SteelReinf."","'_'.�__'."_"."_"' . . ; ., : �;5,�..;.,. ;. . . ,:lk�:". ' � . . . �� Sheathing"'."'_""""_""'...__.__ ��%'� .;... : � ,. . � , �.�'.. ; ... . . . . FrameandFlashin9' ................."'_. ;�.i��,:: �.::-»,,.. , . • . ;,,.. Insuletion _ _ ' ' . .. '�-.`..,,..,�.� ' .. ' � Lathin .'__""""""""'._';_'_ - �_ ,,. ._:.._;. �� . � .� .., . :,�.� 9"'._._'__ : _ _"__""'.".'_ . � r . .. .... ; . • � ' r , , . .. �.;�: `.4 _ '�..., . ' Dry Wall Nailing-"""' '2 ' ""' _' _"_""" �.�..��.1�:,.�.�.:,-.' :'.. '� i . ' . .,'�= '�' . � ' : . � : ; Plaster.BrOwnCoat""'�""""_"""_" .ir. - . . . , � .. , :'�: �,' , . ; ' ':, ..... � . . . . . SoundAt[enuation"""'"""'"""-""' `;�_,., �..:" � �� � � - . �. HandicapRegulation'--....."."""'.._. }'� � � : � FINAL i r 'Z'1 . , . " � � � ' PLUMBING . , .. . . ,. .. , . . i. ' . . ' Soil ."'_'__'_"""' """_"" �. _.. . .. • ' ' ; .. . , ':. . , � ,. . � . i , , . .' : .�' UndergroundWater"___'___________"'__ 7� ' .:. ..'.1..�.:. k.�. .. . . � � . .. .; „� : � �. . ..� . . . ��, �.. ' . . ;' RoughPlumbing ' ' .. . . _"."""""""""' ' Z' l �.�. . �.:. .. . ... �. ' . : . . � � � '. ' �.( Prop. Sewer Line and House Conn......:.... ' L ' � . . �. � . ..' �. ..�� � StreetSewerConn. ""--'--- ,•. ; .. ..� . . ' � � . +�. - ` � Water Service . ' . : h '� SPrinklin95Vstem """"""' . _"_' z ���.! i'. �f � � "t GasTest _ '""""""'""""" _ . . . ."""""""" ............. Z �� �r. � . � , . FINAL 'Z'�J �, • � . "� � ,- �� � � � � � � . .�2 :' -•�—�• HEATING, AIR �OND. AND REFRIGERATION �•.. .. -' .` ' (( .-_ . r . . . .. . _. � � ; . , . ... RB}r.LineS,PressureTest -""'_"""" ... , • ' q - , i � - ' - • ' � , � . � � , '� .. � . . .^: - �-� ' : - . , Ducts, Underground______________________ y; .. . .: .. ., . ,: . . � .. Ducts.inStructure """"_'_.._...."_' Z-�d-: '.'! e ''� . : � � . • . . *. ..� . � , Y, ; -: . . • ' �. .. :.' . '�. Ducts. Ventilating """""""""""" ' ' �. :•.'. , .'•� ' . , ,:.;-.. _. .: Heat p � o - ._""'....._ ' .. Rouah in . anrl A'•.S n.�. S� .�.i:•,.' , � � . ., . � . - FINAL t�'L:. " .. , ' " � �' 1. � ELECTRICAL � � . � . . . .. _ , �: j- .� , ��; . , ; � ..,,�; . ..,"''... " . � -.t '- TemPoraryServiceo�Pole'-'-"-""'...: . . �'Y,F=�. _}.,: ,. {, .. �. , . ' �Int!@YU(qNFlkl . . '`'" .... : .....:..... _ "' � '�' ' : Powe� Meter - . . • -y.: _ ,. ""... """" "- ", F ,' .''tndi:.:;" . • ,., "' B 9 """""""""".""" .....�., . � Rou h Wirin .�'�' , . , r, � ,;. , . . . . FINAL •Z• j�Z �' . ,' � . � Oo �ot occupy this pro{ect until final inspection has `. . ' ' . � , � � � - been made and occupancy has bee p , ved - . - � - ' Building Final ,� L ,,, � Special Requirements ' � . . OccuPancy , - NOTICE '� '' � � 24-hr. notifiwtion required when the job is ready for inspection. You �� ' must furnish PERMIT NI�MBER and the JOB ADDRESS FOR EACH - , - R.ES,P.EGi'W1FE INSPECTION. GALL 754:568� . - .. -'�—" -"-" . A'{�PROVE'fl'PLANSfiIY'bi't-RF'f�N'.1OR-nT-4'1'ITIMCS—" ti;EIUCD C;TY r'' r,r.CT� n�sgn ' j3C6�.�f� APR 1919$2 ,�� �JD1U'ty. �u,��G�v�4, ra�� Pfl0.1ELT AOOXESS: z�(�] HERITAGE DR OWNEH'S NqME: (;OSTANTZNO THOMAS G TR ;-� nooness: 2267 HERIT�P.GE DR COSTA M£SA,CA 92627 631-6743 AflCHIENGINEEN: FDOflE55: flEG.NO.: UNIT: UNIT: PEflMITTEE: NANCY COSTANTINO � (714)631-6743 ADDPESS: zz(7 % HERITAGE DRIVE COSTA MESA CA 92627 LICENSEU CONTHACTOP UECLANpTION: I hereby ai�irm that I am licen5etl uneer Omvisions o� Chapter 9(cammen[ing wi�h Sec�ion 7000� o� Div�sion 3 0l �he Business and Pmfessions Cotle. antl my license is in full force and e��ecL � QTY LIC.: STFTE LIC.: CNSS: Oa�e: SignaWre'. WOBRERS' COMPENSRTION OECLABATION: I hereby aifirm that I have a cetlilica�e of consent Io sel4insure or a cehificale of Workers' Compensaiion Insurance, o� a cenilied copy mereoi (Sec�ion 3800, lab. C). POLICY NO.: � EXP. U11TE: 'OMPANY: Certifietl copY is hereby lumishetl. ❑ Certilied copY is IileE with Ihe ciry Building Oivision. Oate: AODlicanC. E%EMPTION FNOM WOPNENS' fAMPENS11t10N DECIAMTIDN: (ihis section nee0 not �e comDleteO if ine permi� is for one hunUred g10D) ar less�. I cenify ihat in ihe pedormance of t�e work Inr whi�h ihis per �' issued, I shall not employ any person in any manner so as to 6ecome subjeq m �he orkers' Compensation LawS o� Cali�omia � yet� � � b — signamre: ��� n NO710E: If. aflei making inis aeclaralion, you shoul0 6ecome subject lo the WOAers' Compensalion provisions of ihe Labor Code. you mustfonhwith comply with such provisians orihis permit snall be AeemeO revokee. CONSTqUCTION LENOINC AGENCY: I hereby al�irm Ihal �here is a ConS�mCiion lending aAenty fOr Ihe pedOrmante oi Ihe work for whic� �his permi� is issue0 (Seclion 30W. Civ. C�. LENOEP: nooeess: OwNEB BUILOEB oECLRflF710N: I hereby allirm that I am exempt lrom the Contractors' State License Law for the lollowing Bason (Sedion 7Q31.5 Business ana Prolessional Cotle'. Fny ciiy of counN which requires a Oermi� b coretmct, ai�er, impmve, demolish, or repair any SlrutiUre. prior lo ils i55uante, also reqUires Ihe applicani br Suth permit to lile a Signed Siatemen� that he/S�e is litensetl pursuznt m I�e pmvisions of �he Comracmrs' S�ale License Law (Chapier 9(commencing wi�h Sec�ion 7000) o� �ivision 3 of the Business an0 Pmlessions Code) or Ihat helshe is exempl Iherelrom and ihe basis for ihe allegeC exemption. Any violation of Section 7031.5 by any aDPlicantfor a permi� sublec�s Ihe apDlicanl �o a civil penalry o� not more ihan �ive hun4re0 Uollars (5500). I, as owner af ihe pmpehy or my employees wilh wages as their sole compensation, will ao tAe work, antl t�e ❑ slmclure is not inlentletl or oflered for sale (Sec�ion 7044, Business an0 Prolessional Cotle: The Contractors' Staie License Law Uoes not apply m an owner oi a pmperty who builOs orimproves �hereon, antl who aoes such work himselt/herself orthmuAh �is or her own empioyees, pmvi0etl ihat such impmvements are not intende0 or of7ere0 for sale. If, however t�e builaing or improvemen� is sald wilhin one year of completion. �he owner wil� have Ihe bu�Aen of DrovinA he/s�e tlitl no� Duila or impmve for ihe purpose ol sale). I, as owner ol �Ae pmpetly, am eeclusively cmtraclinA �th licensea con�rac�ors Io constmct IAe pmlec� (Seclion 70dd, Business ❑ an0 Pmtessions Cotl¢: The Confracmrs' Slaie LiCense Law Ooes noi aDOty �o an ownet of pmDe�Y w�o butlds or impmves Iher¢on and who contracts lor sucA pmle��s wilh a contrac�oqs)license pursuam m Ihe ContracmrY State License Law),I am aware . Ihat pma� ot their Worker'S Compensa�ion insurance shoule �e pmvitled Io me. � I am exempl unJer Section: $P']Q Q Q B. 8 P. C. mi m'is `reason: ApLL WORK BY OWNE �9dRr� ` �� — L � Owner: �' �is����'I� I tla hereby cenity Ihai I am aware ot antl underslantl ihe requiremenis of Califomia HeaIN antl Safely CoOe Sec�ions 25505, 25533, anJ 25534 and �hal I ar any �Nure building occupant will/will nol (circle one) neea to comply wi�h said slaie codes anA IAe requiremen�s lor a permi� �or consimction or moetlication Imm the Air Ouali�y Managemen� Oisiricl. flesitlential constmction applications are exempl irom ihese provisions. Da�e: ApplitanP � I hereby cer�ily Ihatl have rea0 Ihis apPlica�ion antl 5lateihal�he a�oveinlormaiion is correci.l agree lo comply wi�� allci�y ane county ortlmances antl s�ate laws relalmg to buil�ing constmclion and hereby aN�orize represen�a�ives of �hls ciry to en[er upon �he above-menlione0 pmperly lor�i/ns'peciion purposes. �i /] .y�_' Oa� T` � Co � �Of Signalure: � � �-� "� orner's �icense or Sociai Seariry a: � i64t�46 White—Bmltllnq: Green—Code EntorcemenC Canarv—AoolicanC Pink—Revenue: Golpenrod—Assessor _ , -- CITY OF COSTA MESA — BUILDING PERMIT b��:x NU: ld � vs� �_`� PERMIT NO; IB OS7031 , PLAN CHECK NO: N t,U i: N u t: CONSTRUCTION TYPE; V—N PERMIT TYPE: OTH STR PORPOSE: OTH JOB DESCRIPTION ; FIREPLACE COMPLIANCE ZNSPECTION SQ FT: � CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 / COMMENTS• SMOKE DETECTOR RE�UIRED IN THE HOME If3FIFiEifiElEiEifiFikiElfififlEikaE3ElEifaEafaE3E3e3f iFiF3fjEdE3EjF3FiklfiFiEiE�Fii�lEiFiEiFiflFiEifiE3flFiEafiF3E3EiEi4iEififielEifiF%�ifjEiF3FjFih-1Eif1E3f Z O N I N GS ERTEBQAUCIKRSE M E N T S �� ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILPING --------- FRNT: FT IN itEP:R: FT IN FRNT: FT IN REAR: FT TN LErT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PARKING REq - FROV: PARCEL; 41908423 Z�IE: REF NO; PLANNING N(STES> � �k i! 3t iF lt if iE iE # iE iE �lf iE iE �1F�%� iE iE iF iF if iF if iP iE 3f jE �f fE ik �)f iE iE iE �lE �lE 1E iE * if if iE if lE 1E 3E if iE �Jf �If� iF ie iE �lE iE jE k iF iE i'r iE iE �1F iF jt iF ibif.iFlE if• �IF iE it iE # 1E if if D E V E L O P M E N T S E R V I C E S R E Q U I k E M E�N T S ZONING APFROVED BY DATE; 'i� BUILDING APPROVED BY ; DATE: �� C% APPLICATION ISSUED BY:' . DATE: ���—" iF3FiEifif3fj(-3EiFiE�k3E�IEiEiEiEiFit�3EiEiEiEiFiFiFi � 7i7Firaf3f ��iF7F3F£3i�Fifitir�i€3FfF�itiE3F3fiFiFlEiFiE1E -e r�r � ibit �iFiFlfifififaFiF�1F�lE�1flEiEiFiEIFiFiEiFiF�7ElEifiEifiEiEiF3EiFiflE�YriEiEkiFif K�if3E3F%1EiflfiFifiElFiEiFiflEiEiE%�E1E3EiFif3EiEiFifiE1E�1FiEii�iElF�Fi��iEik LEGALIZATION:N ' F E E S U M M A R Y STRUCTURAL SEGNENT':Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 30,00 SMIPINON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 30.U0 D.00 0,00 30,00 30,00 .00 REVENUE DIVISION TOTALS--> COLLECTED; 30,00 OVER/SI-IORT; ,00 BLDG PMT PLUMBTNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CiiECK 30,00 iE iE if k iE iE ik iE iE i! iF jF iE if 3E ik iE iE iE iE iFlE 1F iF iE jE if 3E it iE if �f 1E it iE iE iF jF iE iE iP iE iF if it 3E iP iFlE iF iE dE if 3E 3k i!� iF if 9f iE N� 3F iF iE if iE iP iFiE K� iE aF 1f� iE IE 3f � iF it I N D I D U A L F E E B R E A K D O W N TYPE QTY D E S C R T P T I O N UNIT COST TOT'AL COST INS 1 BUILDING ftfi—INSPECTION FEE 30.00 30,00 END OF FEES �a� oa�iaa3e-co��anau � �_.-s . RATE: 0�l3?;9i 7ifi�� ?Y�.'� i � 1 � ., - , CONSTRUCTION AND PLANNING- ; , , POl :SPA ; _� �APPROVALS Permit �h '" Date � Inspector APpROVALS Permit # � Date Inspector' 1. Temporary Electrical SeN�ce or Pole ,� � � 52.,Pool�& Eq„aipment Location •y' � " 2. SoilPipe�Undrgrnd. � 53.�Steeliieinforcement - � . 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms � � 4. Electrical Conduit-Undrgrnd. - � '� � 55. Electrical Bonding . . 5. Ste,�LReinforcement� ' 56. Rough Plumbing & Pre'ssure�Test 6. Electrical UFER Grnd. ' S7. APPROVAI TO COVER-GUIVITE 7. Footings � 58. Etectrical Conduit�Undrgrnd. �' 8. Foundation �'� 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgmd. 60. Backwash LineS, P�Trap, O Undrgmd. � 10. Structural Floor System 67. APPROVAL TO DECK ' ' 11. Property'�ewer Line,& HouseConnection 62.�Backwash & Receptor�Final � • 12. Sewer Cap - 63. Heater & Vent-Final . '� � 73. Root D�ains .. 64. Plumbing System � Final � , 14. Rough Plumbing • 65. ElectYical�Final �� �' � 15. Rough ElectricaL6pn,duit 66. Sotar System-Final ,,; 16. Rough Electric Wiring 67.- fencing & Access ApProval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 78. Rough Electrical�T Bar Csi�ing 69. POOL/SPA SYSTEMS FINAL - 19. Rough Heating & Air Contlitioning - FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace _, � APPROVALS � Permit # � 21. Duc[s, in Structure 70. Underground Hydro 22. DuCts, Ventilating 71. Product Piping � Gas � Oil 23. Gas Pipe•Rough & Test �, 72. Underground Flush 24. Roof Framing', � . 73. Undergmd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing = 74. Overhead Hydro 26. T-Bar Ceiling (S[ructurall & Monocoat � 75. Dry Chemical � ' 27. Frame and Flashin9 76. D�y Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation - - \' 78. FIFE PREV. FINAL , 30. Drywall Nailing �� HEALTH DEPT. REQUIREMENT 31. Plasier Brown Coat � ' 79. FINAL INSPECTION 32. Electrical Power Meter-Finai - 80. FOOD CERTIFICATE ISSUED 33. Final Electric ' Notes: 34. Final Heating & Air Cond�tioning , �. 35. Final Gas Pipe-Test � �� , 36. Hood or Canopy �' � 37. Final Factory Fireplace � � � 38. Final Plumbing ' 39. Water Service�Final ' 40. Gas Service�Final , ' 41. Solar pomesticFinal . 42. Backflow Preventer � ' . 43. Backflow Irrigation � � 44. Landscape Irripation System � 45. Sound Attenuation • 46. Handicap Regulations � - . 47. FINAL STRUCTURE & BUILDING �/` � . I1 48. FINALPLANNING ' �- 49. Elearic Release to Edfson ' i � 50. Gas Release to Southem California Gas Co `;�` � 51. CERTIFICATE Of OCCUPANCV � No. Date " � ' - ' �- Appliwnt to fill In all s0aees except t�ose �r'.-+:� �orGar Iinez anG sign all aooroo��ate Oeclantions. � �CITY OF COSTA MESA � � ' . � ` , . i � ' PE I-��vU�� / � TR C LOT NO ; BLD ' ' - '-� � ' .: ' . r` • _ . " ' �+ . . , CONSTRUCTIO.N PERMIT -� 1 - ' ° c%�? . .�CO. t � �: �.. � . � i � , � s; : � ' �pj. FS__�—�3r- t':S ._ " Appliient s Mailing Address z 6' , E2/T E . ,Q. " �'rypE OF CONSTRUCTION- � ' ' 'NEW t � • AOD` ALTERATioN�� ` �REPAI R _, , �' ` � .t t ` ! , � :T,` � - . � 1 .i � ProjectAddress, �2�7 ffE,L/TiJGc�� �i�• � t : - � : ; '❑ CONVERSION �O DEMOLISH ❑�OTNER ' � ' � ` � �� _ � � "' - � � � � � � 7"G. .Cosi�yTi.vo : 6�/=67�3 • { DESC IPTIONOFWORK '6�T ��G� IG'UG � , GE � � _ ' ' Ouvner i Name �hone � ' �g' T�/�� �_ ; � i ' I : � �� .. ; �. - -. � , � G E UCA I N ' t "- ' . Address' '' 221o%'.�EiL/7�/�Gc�• �iC�..� " � ,, . ,a . :, , ' . ` . ._ . , ' �^ . d .' . , . u . . � �� , � , , �_ - �,TVPEOFPERMIT iGRADING FOUNDATION' STRVCTURAL la.PG�W! � , . 20NE �T"� , I�� I Arch/En .' c : •- 1 ' � License No. � � E ' '' - .i � ' _ . B�; ' . , _� �, � ,.' i _ , � ❑aTENANT ❑ ELECTRICAL O�PCUMBING. �wMECHANiCAL PLNG'.REF �:� , _ - � , 'BUILDING.'p, ; i �y - ' ., �_ j ' ; Addr25S ' ' ' ' ' : I . '� ATHER � "_• ' - ' . ' ' :. i �.. � : � �' � i � : 70 BUILDING - 9 . ,flEAR VAH� (T0 P/U' � � � �7 v � COnt�Btto1'S Nem OW/YCi2 ��(�U/GOE.�. ' vho�e � ' PROJECT DESCRIPTION' Sq.��FT. �• ��OCCUPANCV S - PR PE TV W E � � � � 1 � � � ., ; ' _��� � �IEFT SIDE VARD � �� � RIGHT�SIDE VAflD' Q � ;, � • '-Add�Bss�Rlalling) • i• ; , . CONSTRUCTIONTVPE ; VqLUAT10N$� -.� , CiCen58N0. � � ^ r ��� f � ZON� '� ` GRADINGCU.VDS. � �ACRES ?KG.SPACEREQ.�� . � PROVIDED� „ :�„ _ �� � '•7 ,E� � L"ICENSED CONTRACTOR DECLARATION �� � � ",' 1 � , '- Remarks: � . : ' ' � � � , � w � �STREET WIDTH l�- � � ; _ �PAR1K FEE'$ 1 � I ; � � I..heraDy,affirm that I.am Ilcensetl.unOer provislons of �Charter'9 (commencing ' ' � �� . � � � � . _ _ � , �, . with,sectlon 7000) ot Dlvision 3�of the Business antl Plofeulons COGe, anC . ? �' i - � ' - . • ( . ' �� SPECIAL CONDITIONS: I • ' - � - - my Iitense Is In full fo�ce antl�effect. ' ' - � , -. ..}. 1 - . . �' . i, � . �. 'cense class � � ' ' License No.' ' : I • ' � PLUMBING : • � � � f . � � 1 f.. � � 'i de- � � � 519nature � ' ' :' � . � ' ; � ' ' . , ' :� . ; . NORKERS'COMVENSATIONDECLARATION, � � �. i % ' 68f5iok • , SBJu2rCap� _ - p : .. , ; ELECTRICAL : ; ; , `� . � 1 heraby atflrm tnat I nave a cartifiwte of consent:to seli-insure'or a ceitlfl�ata � �- gy�kflow Prevente� _._ ._ .. _ _ �..Sewer,Connection� ' � Autometic Washer ' t . tMeter ❑over 10U amps �' � ' �; ! t# ; of Workeri' Compansatlon Insuronca,`or a cartlfletl�copy thereol (Section � - " � � � �. . � 3800, Lab. CJ . ��. -' � , . - � . Backflow Irri9ation � � $piar Collectors' � � .� Conrtruction Pole � Sub Paneb- ! 1 POIICY No. . . . . . ComPanY ' . ' .. . . . - .. - _ � � Cooking Unit � ' � ! Sub Pole I � j � �- T } � � efertifietl copy b �ereby turriisheC - :1: �- - � � � � . Bathtubs � �; �, - $Oler Piping j ' • ; CertHletl topy IS f11eE With t0e tliy BuilOing DIvlSion. . - � � � DishWasher � � �MOtats �0-1 HP �1X$ � t . Date - ' : � �' � � ' APplicant � : ' - : - : • , .. . Y .. ; '.. Clarifiers � .. t .� Sotar Tank ; •. . • � : . ' : � . + -- _ .. _ . . . . 4__ Y' . . �E%EMPTION�,FROMWORKERSCOMPENSATIONDECLARATION"'; ' D'IShW85heI SWimmin POOIW/SpO; D�efS-��Gas�•DEleCtric-'•- r'-'!,InCfSOler(�9d5'HP^�1645+ "�""'i""": �(Thissectlon neetl not be completetl if the permit Is for one �unEretl (5300)' ar � . � i � _ 9 i. , + less)T, t � i � „ . , .� 1 , . t . - , . " . . . . ' : Pan � �. , , ' �,Microwave .,.r�. ' I certHy;that in tha perfo�mance of the work for which this perm�t Is Issuetl I � � Drinking Fountains U�in21 : . � � � � � - � ��" • shall� not employ any person in any m� er so �ai to b ame� ub' t. to �le -- - . � � F.A.U. � � � �Pol2 Light ` ' � � � Workers" o�fpen , t on;Ldws of' Califoj aajyr���� � ; f� .� ' � Floor Diains � ! E Water Cloiet l + ' � � � • . Q i{� � i � ; Date _���%'v�519na[ur � • . . ' . , , i � ' , o � ' '_NOTICE:.If,a tec.making.[his tleclaratlon, you.shoultl�Cecome sub)ect to.tha_� �. FI00� SinkS -� __s Water H2atec � 1 _ Fixtures . ,Rang2 � y Workers'� GomDensaqon provlsians of tbe Labor CoCe, you must�forthwitti � ; ' _ . ` , � � ; Devire eoxes �. ' � - ' � ' 'comO�Y{w��n sucb provislon5=oi'LhB,;Dermlt;shall be�tleametl revoketl-� GaSServiCE�'. �Outlets -WateYServ�ce� . � � i �Sign� , ; , � • �� CONSTRUCTION CENDING AGENCV': 't � ^ � '. 1 ' ! • t ' - ' � ' � " � � ' ' � � � � �� I heretiy aHirm that Ihere Is a(constructlon lentlln9 agency Tar the performanca -, Intefcep[Ors � - � � ' Outlets � � �S[anding SectiOns j � � of t�e wo�k 'for whic�' ihis; permit,is Issuetl ;,(Section 309Z CIJ� C ) � - ' • � � � . , ' . � � Leneer•i Name; � - � ' � � � I � . a - - - Switches � , � ;Tresh Com accor - ' � � ' . � ' . ' ' � Ki[chen,Smk " � . � I . S - ' � " � � > t . P , i � � : �LanGer•s AAAreis � • ' � ' - � - - � � . - - - ' 1 f ' ' j OWNER!BUILDERDECLARATION , �,' a..- � i. j �'atOfles - -� '^! � �i �� � r � � j - � ; � �: � - Garba9eDisposal �� i � . � j • � fi � t heieEy�afflrin'�that I am�exemp4from the;Contra[tor'S�License Law for the : � -� , - : � , � Gen2ratOr �0-5 KW �5-15 KW � j� � ' � � - ' followin9 reason (Sectlon,;703Y.5� Business antl'Professlonal�Coae:'Any city or P-Trap� q i ` � � �. , � � . _ _ . : � v ' ; countywhic�'re�uire5ape�mit¢o<onstruct,alterimprove;tlemolish!orrapair. . . . , Trensfo�me�075-SOKW ' � � � , � � f � `any structura; pr or to Its;issuance,�also requires t{�e;aDP��canMor such permit Roof�Drains� - � j i : : � � + - � � • . % .to tile a slgnetl statement ihat he/she is Iicensetl pursuant to the:provisions ot ; ' '' - ' �� � ❑5U-F KW; � t 'Rein ction Fea + . the Contractor'sLJcensa Law;(Chapter 9 (commencin9�w��h.5ectionJ000) of � 1 ^-. -` ' i y; � � I -. ' -- ' � . , ; i ?� , t . $75' ' oivision 3."of tne;Business anU� Profeisions Cotle)+or.� that he/she:is. exempt Showers '. � .�� - f 'J � � ; i _ ReinspaetionlFee $15 . . � . { . "therefrom .anA the; �a5is tor the a1109etl exemption..Any.violatlon,.oT Sactlon � � ' � � ' -' Mete! ❑Up [0 100 ampi � ��IssUB Fe0'' � $ -3 ' ,7031.5 by;-any applicant for: a:permit-sub�ects�the•applicant to a civil , ' ��� � ( , � � y ° �' ' � d. ' ;. . . _ . _ 1 '� e alty of not mora tnan ilve huntlretl tloltars (ESoo). ;•:•' �� � Service Smk �.� 1�� `_ i � Issue Fea -- � + S 3 Zo��ng Approved By � ' ' Date ^ i �I;'ia5�owner ofttheiprOperry _ori.my employee5 with wa9e51a5 thelr 5ole ° , � • � ' . �, . i ' compensatlon' will: do the work, antl the'structure. is not Intentle0� or offere0 � f .� � � , � MECHANICAL' ; . , � , qpp�{�tion App�o�ied By � � ' ate � � �� � � ' for sale!(Sec�ion 7044', Business! antli Profei5ional Cotla:j Thai Contractor's � ry, � � ' • , r :� r � � � .' � 'I � ' License Law tloes not apply to,an owner of a property�who bulltls or improves ., gOile� . � W �- R¢frigE�etiOn SyStEm '� , � �� j � '� . ., � '� thereon,�antl �who"Itloes�such work;fiimself/herseli or through his or �er own � - -� '�`��• '+ - : 4 1 'i � � , APPlifation I�ued By ' ' � � ate ; � em0�oy ees, provitletl tnai su<h;improvements are!not Inientletl or ofTeretl.tor �� � - ❑p-�100,OOOBTU ❑100,OOOBTU. - i - �- � , ' sale. If, however, the bulltling or improvement is soltl wit�in one year'of com- } , Duc[ = Untler�Ground � � ; �� � � , � � � j � 1 ( SUMMARV OF FEES 'j . �i � ;' ' pletion, the owner will'have'the burtlen oi proving he/she tlitl not builtl'or im- � ; t � � j i I . 7 I S Q 1, ,� rovefortne'purpose of sale). � � , � _ , t , � '� � Duct-Structural � � � System Repair/Alteiebon 1 '�BUILDING PERMIT $ �/. S D I SMIP 'I � : $ �• I, as owner ot the property, am axUusively conira<ting;with Iicensetl con- � � � � '' ' � ' ' tracton to construct the project (Section 7044, eusiness antl Professions Cotle: ! ' Duct - Ventilating t� ! y � � - 1 q � ' ;� '? . ,� . 'IPLAN CHECK $ • 7•��� t � PE�RMIT � i ! � £ , � Tha Contrector's'Licen4e"law does'not-apply to'anbwner'of property'who"�. .� , � . ' � � t ISSUANCE. $:�� � � ' bullUs or Imorovas thereon; antl wno contracis for such projects with a con- � ExhauSJ SyStEm ❑ Mul[iple �' ! � �j j 1 (PLUMBING . � $ � ; tractor(5) Iicense pursuant to the Contrac[or•s License Law); � , i 'i � • � � � , - � � � - ` ' ' GRADING �� �� $ -i ' ,1 ; ' �. PLAN CHECK $ ❑ 1'am exempt un-tler Sectlon � � B, & Pi Q ToF tMs reaton $ ' Firepl/FaCt. BIt. IC80'# �( { ' ;j ;� � ; � ��� ' � , , .i � � � 1 � i �� � � � � f �� � ; � , ELECTRICAL' �f $ - � � ' � $ , � Date �� �i i � Owner � ' '� � � � -� " ` Heating5ystem & Ducbng � i I � � � � � � _I-hereby_certity_thaLl.hare.reatl.tni5�.applicatlon.anE,State�that the.above.i ❑610000087U.�100,000 ' . ,L. ' � IPLANCHECK �� $ � ; �'� i MICROFILM ! $�' � information Is correct.'I a9ree to.compty wlth ali city antl county ortllnances � � � t� i � ` �t � � . �� ��" '� � f � ' � $ ;� '� ' TOTAUFEE+ j � i antl.state laws relating�lo builtlmg construptlon,lantl �ereby authorize repre-' ' HOod Of TypE I 0� ' ' � . .i „ . � �MECHANICAL � ,� SBnSdtlV85 Of,t ' dSy� t0 Bn U /e ab e-manUooetl' pro erty. for � � , I ' . ( Reinspect�on Fee �� $15. � � j j � LESS " ( • Inspection puF es. � � l � i : .I � �1 . Cano . .T e II ❑ .f : � e � I . PLAN CHECK� � $ j . � Signature � % ' ozte �8 �z.y� E+3, , , . , . . , � � i ADVANCEDPC ; $ � ' DrFverS' LicenSe or�55 $ . ��� � �% � " ' '' � � R?9�steis � � 1 Issue Fee � j � $ 3 � � � � �. ' � ;� � i FINAL FEEf y $'��. _ . _ . . . . . _ . . CMF086546rev:1'282 �White'Builtlin 'Canar ' ` " �Pink'=Accountiri �GOltlenroU-'Assessbi._ _` i.�""'"..-".-"'`'_..".-- '.'---� - .."'.. .".-'-"---'— "' "' ..—.�-. .-^: __._ � � �� ......._ ._...... �__.,,`�„�,.._. . / 9: Y-lipPlicant 9: �