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3121 JEFFERSON AVE - Building Permits
PROJLLTAOOflE55: 3 1 z i J EFFERSON AV - OWNEP'S NAME:WENDY MASON aoonEss:3121SEFFE.:50N AV C.M. CA AHCHIENGINEEfl: 9 z 6 z 6 aooeess: NEG.NO.: uxir: PEflMITTEE:h�NnY MASON ( 714 ) 557-8418 A�OPESS: 31ZS JEFFERSON AV C,M. CA 92626 ❑CENSEO CONTflpCTOfl UELLANRTION: I �¢reGy allirm llui I dm IiC¢nseG un0¢r pmvi90n5 01 Gwpl¢r 9(COmmEnting wii� Sttlion 7000� ol �rvision 9 0l IAe BuS�ness an0 Pmlesvons Coee. an0 my license rs in full lorce anG eifec�. CITY lIC : STATE LIC.: LIASS: Daie: SignaNre: wOHREBS' COMPExSATION OECNMiION: I nere0y aflirm itut I luve a certiliWte ol ConSent to ulNnsu2 or a ceniliWte of worker5' Comoensation Insurance. or a rendiea copy Inereol (Section 7800. La�. C1. POLICY NO.: E%P. U�TE: COMPANY: � Certilied copy is �ereDy fumishe0. ❑ Cenilie0 copy is file0 wit� I�e city BVilCinp Divi9on. �.' " ..aie: ' AppliWni:• E%EMPIION FflOM WOflNERS' COMPENSRTION OECfANATION: .(itis SetYm meE nol0e comD�� il Ne ppmi i5 ia On0 �urqre0 (5100) or kss�. I cenity Iha� in I�e pedarmanc¢ of Ihe woh foe wNt� ��6 permil is i55ue0. I 5hall nol employ arry per50n in airy manner so a5 io Eetome sublect to I�e Workeri Campensation LawS oi Calilomi • Wte� —��—I^�-`-�—� 3 SiqnaWre ��— n%�� NOTIGE: II. aliel makinq IA¢ tlecWtafion. you Stpula�Eetome wOjCtt to the v i rs l'Amp tion provisons ol t�e LabOr Caae. you must tonirvmn compN ��� sucn provisiora or tlis permi� snan Ue e e0 revokea. COnSTNUCTION LEN�ING RGENCY: 1 nere�y aflirm tlwt Iliere a a COnSirutli0n len . apenry lor tne ce�ormance of I�e work for wnicn ihis vermit is issuetl ISection 3W7. Civ. CI. �'�" LENOEX: � PUOflESS: • OWNEN BUILDEB OECIABRTION: I �ere�y a�tirm Iha� I am GaemO� �mm lhe CAnlra[�or5' State Lkense Law lor tne lonowinp reasan (Section 7031.5 Business ana Pmlessional fq0e: �y city ol county whicn rtpuira a permil to conslrutl, alter, impmve, aemolish, or reoaii any stmcWrt, priot ta its i5tuance. also repuires ine aoDtitdnl for wcn permil to Iile a 5ipnea statement tllal ne/she is licensea pursuanllo Ihe pmWsions ol ��e Coniraclors' Slaie License Law (Chapter 9(commencinp vnt� Section 70W) ol Division 3 0l I�e Business ane Pio�esvons Cotle) ori�ai nUsne is ezemptt�erefmm anU ��e basa lar��e allepeE exem0��on. My WaWtian ol Sec�ion 7037.5 Uy any ao0�icant for a oermit su�iecis ihe ao7liWnt to a civil Denalty o1 twt more tAan live nunOreJ Oollars (u�1. ❑ i, as owner of ine OmDeny oi my empioyees wi�� waqes az meir sole compensalion, will do i�o work, antl Ihe stmc�ure is no� intenGeO oi ollereC lor sale (Secuon 7W4. Buvness an0 ProfeSsianal COEe: T�e Con�rac�ors' State �itens0 Law does not apDly lo an owner of a O�op¢rIY �'/ho EviICS orimOroves ��erean, and who Goes SutA wofk AimSelllAersell orl�rouqh �iS or �er ovm emplpy¢e5, provi0e0 Ilui Suc� impravemeni5 ar¢ n0� in�eneM o� olkte0 IOr Sall. II, hOw¢ve� �hc Euildinp or impmvemeni is salC wilM1in one year of completion. ine owner will fWve I�e OurOen ol O�ovinp �e/slle aiJ nol build or improva lo� ine ourpase ol salel. � I. as owner oi me D�ooerty, am excluvvely coniraciinq vnt� licensea comracmrs to consbuc� �he prolec� (Seclion 704a, Business ane Pmhssions COUe: T�e Comractars' S�ate license Uw Goes not apON �o an owner ol pmDerry wlro bmlUs oi imprwes t�ereon and who coniraqs lar sut� prole��s witM1 a conlracior�s) license Outsuani to Ihe ConlracloR' Slaie License Law�. I am aware tl�al O�ool oI I�eir WorkeYs CAmp¢nSdiiOn in5uran[e 5Mu10 �e ptpviGeE 10 me. � I am exempt untler Section: 8. b P. C. lor Inis reas r. � � �aie'. � � �� Owner. _ I �0 �ere0y cenily Ihai I am aware oi an0 un0ers�an0 ��e tequir¢m¢nis ol Cali�omia Heallh anG Sa�ety o Sedio 25505, 25539, antl 2553A antl Na� I or any future builtling occupant wilVwill noi ([ircle one) neeG lo comD�Y wilh saitl Slaie ad� ana Ihe qwremenls for a peimit lor consimclion or motlilication Irom I�e Fir Ouahry Managemenl Dislri[L HeSiCen�ial consimclion dpplications are exempl Imm Ihesc O�avisians, • Oate: I here orOm pmpe �ate: �nve Applicanl: Gy certilyi�atl have read �his aDD�icalion antl statet�al Ihe aboveinlmmalionis correcl. I aBree ta comply wilh all city and cauniy ances ana slatelawsrelalingto buil0ing wnsiruclbnan0lceieby aut�orrzer¢pre5enlaiivesollhi5 cityio enter upon�he ahove-menlionea tly lor msp tion /pypases^J. / 7 �{ � J Signalu\��.�� 11A1 `� r's License or Social Searity a: � � 164Ln6 W�i�e—BuilEmg; Green—Gotle Enlorcemen�: Canary—ApPliwnt: Pink—Revenoo; GolOenratl—Assessor CZTY OF COSTA MESA — BUILDING PERMIT PERM NO: B 062893 PERMIT NO: B 062893 PLAN CHECK NO: 02421-93 S GOVT; N SUPP; N CONSTRUCTION TYPE; PERMIT TYPE; STR PURPOSE; OTH JOH DESCRIPTION ; BLOCK WALL 6'HIGH, 68'LONG SQ FT; 68 CLAIM VALUE; 1,356.00 CALC—VALUE: 1,360,00 GROUP OCC: R-3 / COMMENTS: CONC. MASONRY WALL k it ih if a(� �k iE iF iE ik iF iF iF iE �f if 3F iE ik iF iE iF 1F iF�IE 9E if� �1F fF iE ik iF 3E iE -1F�%� if iF if iE iF lf iF1t iE IF )f %�f� %��ItlE �IFK 3Ei(�it �lE �1f iFiF if-k X� iF k IE i(� i(� if iE iE it iE �lElE �1F �k # Z O N I N G R E Q U I R E M E N T' S S E T B A C K S ------------ MAIN BUILDTNG ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; ET IN FRNT: FT TN REAR: F'T IN LEFT; ET IN RGHT: FT IN LEfiT; F'I' TN RGHT: F'C IN PARKING REQ• PROV: PARCEL: 14165229 ZNE: ki kEF NO: PLANNING NI)"['ES> CONSTRQCT 68' LONG, 6' HIGH BLOCR.WALL (COMMON) SETBRCK AT > LEAST 10' FROM FRONT PROPERTY LINE, *+r�t+r*�r�r��+t*+r�*�e��t�**+t�+�x+t�tx��rx**��***x �r*x-x x��c�*�r�t�*x�rxx-x x x*�**��� x �;*�t��rx� �r�rx-�r��� D E V E L O P M E N T S E A V I C E S R E Q U I R E M E N'-T. 5 j �. ZONING APPHOVED $Y UA'fE: BUILDING APPROVED BY : DATE; _ 7l6 r ' APPLICATION ISSUED BY: D'ATE• �' �o ititikiklliEikM�iFifiE�fifiFif�EiE7FlEiE-1Fif7FiF7FiFifiF3fiFiFiFiFiF7FiF7FiFaFiFiF7FiF3F1F7FSF #�3TiF3Z7T�'7FTE£3FiP1F�lFif�kiFit�k�iFiF .: .- . %..K. it iE ik kit if iE k kiE iF jF if iE ik iE iF if iE iE itiE 1t k iF it iF i! 9t it ff iE �1E iF �E 1f iE 1F 1E if iE i! -� if 1f iE1F if i! iE iF it if �rt �M �k il-�N-3t if if 1E �f if �k ik iFK�i(-1f ik lE�(� it �lf iE-1EiE if LEGALI ZATION : N F' E; E '`S U M M A R Y STRUCTUFiAI;; SEGMEN7' : Y HLDG PM'f PLUMBING ELECTRIC MECHRNTC FIRE SMIF%RES GRADING PE:RMIT 33.00 50 PLAN 21,45 �`� f k SMIY/tJON—RES ISSUE FEE I�' �-� HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 33,50 0.00 f%�21,45 54,95 54.95 ,00 �'4 � � REVENUE DIVISION TOTALS--> COLL'ECTED• 54,9� OVER/SHORT; 00 HLDG PMT PLUMBING ELECTRIC MECHANI� FIRE SMIP/TOT GRADING PLAN—CHECK 3 3. 0 0 ',�,/. �' . 5 0 21 , 4 5 i! ih iF ik it 7! ih if iE if 1E M!k 1E it Ik iF iF iE if if iE rt if ih it iE iE i(� k iF iE if i! iE�jf� it.if if if iE if i4 iE iF if %� iE ff If If %� if iE 1E 3E iPi4 k iFlF 1k If �%� iE if�lf if if�if k iF if it iF ik i(� if I N D I V I D U A� �i:F E E B R E A K D O W N TYPE QTY �D E S C R I P T I 0 Nj UNIT COST TOTAL COST � / SFR 68 RES—CONCRETE BLOCK%'WALL` / FT, 20,00 1,360.00 :END`�OF FEES i yJ f '� i 1 � j i• v ' r: G� 7 r/�� O1 00142312-0014?314 Tr3T 54.95 ✓ 'n:' DATE: 07/Ob/93 TIHE: I3:25 �!.(. I � ✓ , r� r�CONSTRUCTION AN� PLANNING _ .,' POOL �A� �� � Date Inspector Date Inspec[o. '^�. �iAPPROVALS Permit # 1 APPROVALS Permit # '. t:- Temporary E�ectrical Servic¢ or Pole - • _�� . 52. Pooi & Equipment Location ''� 2., Soil Pipe-Undrgmd. " �" f. 53. Steei Reinforcemen[ - 3. Electrical Conduit Utility-Undrgrnd. •� 54. -Forms - 4. '�lectrical Conduit�Undrgrnd. - � 55. Electrical Bonding . � � ' " 5. Steel Reinforcement � . 56. Rough Plumbing & Pressure Test '� 6. "clectr�cat UFER Gmd. 57. APPROVAI TO COVER�GUNITE 7. Footings � '%�y/1r,3 58. Elactrical Conduit�Undrgrnd. � • 8. Foundation ' S9. Gas Pipe, O Undrgrnd., Test , �.�� � � 9. Water Pipe•Undrgrnd. . )� 60. Backwash Lines, P�Trap, O Und�grnd. � 10. Structural Floor System �� 67. APPROVAL TO DECK � �.� 11. Property Sewer Line & House Connection '- 62. Backwash & ReceptorFinal `� 12. Sewer Cap �, 63. Heater & VenbFinal . ��� � r 73. Roof Orains � � .� 64, Piumbing SYstem - Final �� � 14. Fough Plumbing �� 65. Electrical•Final ��. '-1 ` 75.. Rough Electrical-Conduit � � 66. Solar SYsiem--final � %76.;RouhElectricWirin '^' � �,, 9 9 67. Fencing & Access Approval .�� �`1.7. Rough Wiring Sign � 68. APPROVED FOR PLASTERING ` . � �b8. Rough Electrical-T Bar Ceilin9 1 69. POOL/SPA SYSTEMS FINAI r � � �19, flou h Heatin & Air Conditionin - 9 9 . 9 � � . _ FIRE DEPT. REQUIREMENT � 20.. Rough Factory Fireplace .. ' ' � � � , APPROVqLS ' Permit � j � 21. Ducts, in. Structure '� 70. Underground Hydro ' 22. Dutts, Ventilating ' �; ��71. Product�Piping O Ga: OFOiI 23. Gzs Pipe-Rough & Tesc _ � -72. Underground Flush _ � . 24. Root Framing � . 73. ,Undergmcl.StorageTank OGas �Oit 25. Roof Sheathing � ' 74. Overhead Hydro' 26. T�Bar Ceiling (Structural) & Monocoat ,. 75.�Dry Ctiemical - Y7. Frame and Flashing � 76. Dry Standpipe - � � 28. Lathing & $idi�g ' - ' ' '� ' 77,� FIXED S'YSTEM FINAL , 29. Insulation • ' f, 78. FIREPREV. FINAL �' -� 30. Drywall'Naiting ". � �, _ NEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat � • � � �79. FINAL INSPECTION � 32.'Electrical Po�Jer Meier-Fina� - � � 80. FOOD CERTIFI'CATE ISSUED � 33. Final Electric _ � � � Notes: �G, e� ���/,� .. ,�i, ��ii� - 34. Final Heating & Air ConditiOning � i �, �- �� �b� _./ 7 j6 �T �i� . Q ��lr� 35. Final Gas Pipe�Test , � �. _ . 36. Hood or Canopy -_ ' � � . _ ' - 37. Final Factory Fireplace , � - � �..., I��,R � . 38. Final Plumbing - ' �� a:��'�,.!' � - � . ` 39. Water Service-Final � � � � � . - 40. Gas Service-Final • - ' �' � � . � 41. Solar pomesticFinal � � ' � I - � - , i � ' 42. Backfbw PreventeT ' - � � {- ' � . - � 43. Backflow Irrigation � _ � ' 44. tandscape Irripation Sysiem - � • • � ' • � 45. Sound Atteruation ... . . � . ' � 46. Handiwp Regulations � -� • � � � � ' 4Z. FINAL STRUCTURE & BU�LDING Z�L/p'� , � r 48. FINALPLANNING' �� � � -'i � 49. Elearic Release to Edison �'�� � - , 50. Gas Release to Southern California Gas Co i � ' 51. CERTIFICATE Of OCCUPANCY ' No. Date .`, �-� q ( g �0 2 _r....= �PR.O�� . j � ��'(y OF COSTA MESA pi,ANN1NG DEPT• - i suuEcr ro aioa. o�rr. ec I� Y �2..= — DATE" �� OQLCfO! O� ►LANMINO G� �,�1, blo�k wull � I� m bz Z �m W W Q � N'P � V� � F=FEi2S o b O' l��n� r ������'�,E� =.x.� City cf �Cc.9t�a :,;9esu I�us!ciing Dept. �f E�Y -- V r _— ::vTr %/� t9�i3 THESE � LANS ruiU;T �= �;�'� JC -`-�•� ��.LL TIPAES IA:�KE �VO CH:�\GcS l,Y�i?hii+U� �'�::G:�i��r'.,i��;';OV",L OF UEPT. THE ISSUANGE OH 3{7A:v11N3 �it V�'Sh%•77� GR Ar'r'e;0�/AL OF PCANS AND 9F; CFrl:rdiCNS SL!l+Li P�.'? FF ,r,.^;�c'j ��:}�n 7p gF p PERFrifi- FGR. OR AiJ APF,RG�:AL Cii. t"'P v:•; _•, i p;,:ti JF At�y OF THE PP.OVIS�ONS Cr' THiS LOC}' NL �'E��;i�l Pp.�S!:n;f�+G TO GNE AUTHOFIiY 10 Y,�i_�?: Cn :;A:�!�E! ;?ic PLOVIS:GN; OF THIS COOE SHALL BE VRLID'cz!:tFT !� 50 FAFl:i9 �HE 4lOFK OR USE WHICli ll'AUTFIOR1iGS 15lpSMFU_ � "TH`e ISSlla.�aCE GF P f-�iddR GASED UPJN PLA�!S AND SPECIFlCq',;ONS SHNLI fJC' Pf•P\,:pl? THE 3ii�iD!Vu i:GFICIAL SAIO Pi.P.i•�5 4) SPECSiCHT.!Qn1S ;iF� Ffl+ "d pfiHVENTING BU�LDING OxFL I:�;'�5 9=�1� 1 C4FPiED OPl'��i �'cUid�ER 1NNEN IN VIOLATIGtJ Of 'l i`-6 C��UL GF G�� APIV OTkE I ORDINANCE OP THE CIT,'. � IIGID�MC[ II[t10EMCE 11[tIDENC[ Permit $� � G 2�3 THIS NUMBER MUST ACCOMPANY ALLINSPECTION REQUESTS wa�� 1 � �=t�'� � � F0� i�S CTIONS C LL 754 56 r 754-5627 Cement Coping Optional —' Channel Block With 7�3/8� Horizontal Top ol all Fences Fo� Fences 5' or Leu Vert. Bars 3/8"yS at 4' �0" O.C. For Fences Higher Than 5' Vert. Bars 3!8"� at 32" O.C. � Fill Cells Solid With Grout Where Stzel Occurs Reinforcing Steel Shall Conform to Sec.A-15-39 A.S.T.M. AllSteelto be Lapped 24" or to Code NATURAIGRADE TWO 3/8"4 BARS CONTINUOUSTOV $ BOTTOM HOQ7ZSTEEL MUST BE TIED IN PIACE AT TIME Of THENCH INSPEC710N. TYPICAL 6�� CONCRETE BLOCK FENCE "� w rn LL �a: A 'p N u A — — D ' � W I OTH � SEE CH[ � BELOW D.I'e FOOTING REQUIREMENTS CHART GENERAL- NOTES MORTAR; pne Parf Plastic Cement, and ' •Three Parts Sand GRO_UT:. , One Parf Cement TAree and One Hal( Ports S�and COPING: One Part Cement, Three Parfs Sond CONCRETE: Weil Mixed 1:2-t/2:3-I/2 ' °'- MaK..:ot 7-V2 Gal;ons ot YVoter Per Sack of Cement GROUT MAV 6E POURED FROM THE TOP OF THE FENCE IN CELLS WHERE STEEL OCCURS. CELLSAND AREASOF HORIZONTAL REIN- � FORCEMENT SMALL BE C�EAR, CLEAN & FREE OF AlL MOHTAR DEBRIS, E7C. H GF E4FTH7COTH �/� iriE HEiGTH OF FENCE �OW BOTTOM OF�FOGT�NG SCALE: I/2��= I' WIOTH . . . . . . . . . . . . . 14'� 14�� . . . 12".. . 12�� THICKNESS . . . . . 10��. . . . . . . . . . . .10" . . . . . . . . . . . g" 8 �� DEPTH OF EARTHT.00TH . . . 2d� . . . . 20" . . . . . . 16�� . . . 12�� SPACING OF EARTHTOOTH. . 12' . . . . . . . . . . .14' . . . . I6'_ . I6' City of Costa Mesa, California _ Building Department � -.. v:��, N��. �� ; ' . J �ARxY WALL AGREEMENT � �Tr��',%iiTt�ll 1\ � � �. F�'���E��� i�s M�ttE��'NP. �de and entered into th.i.e �='T day of . su��, i�q_� . �r �,a n�t� wE��Y �Aso�r/ hereinafter referred to as •Lr�t,ID Ova�Y, and COA/.Pf3� TET"��G1LT hereinafter referred to as •AL17ACi'lTP PROP�'tTY OFII�t'. It is herd�y agreed that a party vall vill be oorLstructed on the property li.ne cec.eert c��f ����,ELQ�S'd1�% fi//.� /}-iV�J � � (p��cc nf !�djoining Pr�oertipsj . 3,L� T�,���RSa:r% A.//�. in the City of Oosta lS�sa, Camty of Orange, State of California� as per nap recorded in Book �. Page �of Miscellaneais tlaps, in the offioe of the Camty Re�corder of sa.id Camty. 4fie party vall ahall be �**�; tEed to P1lCtOdd� n 1 R1.. � S, .� o �, i': � nA _ IN WIa�SS F�P� the parties have entered into this Agreement the day and year firat above written. ; .n •....is: ` ��. �_ _ ` _ ' � . . � ! � ., - � = ' :-- � � - r:. • •,� • r•� • . is• i � I�/..✓�.�I � G...�_.% r. :i �i _, _� 3// 7 T EFGE/r'SO� fl-l/.�'� , P44 aFicui s�i � JANEf M. ABpLqFIA m � NOIARY PUBUC GLIFORNIA OFANGE COUHfY MY COMM. EXPIRES NOV. 25,1990 � ' PHOJECT AOOflESS: j 1 Z S JEFFERSON OWNEX'S NFME: MASON WENDY AODFESS: 3I Z I �EFFERSON COSTA MESA,CA RHLNIENGMEEfl: nooness: AV � �.S I� uxir: ST 92626 flEG.NO.: uxir: PEHMITTEE: NOCK PLUMBING ( 719 ) 895-1246 ADOflE55: lI6IO SEABOARD CIR STANTON CA 90680 UCENSED CONTBACTOP OECIANRTION: I �ereby aifirm that I am licensetl untler pmvisions o� C�apter 9(comm¢ncinA w��� Section 7000) ol Oivision 3 0l I�e tlusiness ana Pmlessions Cotle. and my license is in lull lorce ana ellect. /cyrszyc.: L0 0 B 6 STFTE LIC.: S S S 9 i 1 cuss: — 3� 'OaleJ `r � Signa(ure. � WOflNEflS' COMPENSATION OECNNFTION: I hereby afhrm t�at I have a certificafe o� consent �o sell-insur¢ or a certilicale ol Workers' Compensa�ion Insuran e or a rertified co y �hereof (Sec�ion 3800. Lab. C. aoucvNo.: 11�7992-9�P EXP.OATE: �3/OI/9S COMPANY: S TATE ❑ Cetliliea copy is hereby �umished. [� Certi�ietl coDY is fi/letl�w/p h Ihe ciiy Build Divisio� n. / a�.�...��-^-G�—_ APPlicanP. / //�i""_�`` u'�.�.-�7 . — � MPTIONFBUMWOHREPS'COMPENSFTIONOECUBATION: (ihi55etti0nn¢¢tlnatbecomple�eUiltAeDe�mi1i51oronehunOretl�5100)arl¢ss). I certily Inal in I�e petlormance ol �he work for whic� this permit is i55ueQ I shall no� employ any person in any manner so as to 6ecome 5u01ec� �o ihe Workers' ComDensaiion Laws ol Califomia. Date: Signature: NOTICE: If, alier making �his Oeclara�ion, you shoultl became suble�� �o ihe Workers' Compensa�ion pmvisions ot ihe Labor CoUe. you mu5i loM1�wit� comply vnt� such pmvisions ar Ihis permit shall De 0¢eme0 revokeA. CONSTBUCTION LENOING AGENCY: I hereby a�firm tha� IDere i5 a con5imc�ion lending apency �or IAe pedormance ol I�e work for wAic� I�is De�mi1 is issue0 (Seclion 3097. Gv. C�. LENDFfl: ROOflE55: OWNEfl BWLOEB OECIANRTION: 1 hereby aifirm �hai 1 am exemp� �mm ��e ConVactors' Staie License Law �or Ihe followinp reason (Seclian 7031.5 Business and Pmiessional CoOe: Any ury o� caunry whictl 2puire5 a Dermil 10 cons�ruc�, alter, imprOvp, Eemolistl, or repait any SlmtWre, prior lo ili is5uance. also repuire5 ihe ap0litan� for 5uch permil IO fiie a Sipnea Slaiemenl I�al he/she is litensed pursuam m Ine pmvisions ol ihe Comracmrs' Sta�e License Law (ChaD�e� 9l�ommencinq vnth Section 7000) al 0ivision 3 0l the 8uvneu and Pmlessions Coae) or inat he/sne is exemD� iherefmm antl ine oasis for the allepeU eremption. Any violation ol Section 7037.5 oy any aOVlicant for a OQ�mii su61e��5 Ne applicant to a civil penalry o� no� mo�e I�an Ine �unEretl Oollars (E500). I, as owne� of t�e pmDerty or rtry employees with wages as their sole compensation, vnil aa tAe work. an0 ihe ❑ strucwre is noi imenOeA or allere0 1or sale (Secuon 70aa, Business antl Pmiessional CoOe: The Comracmrs' State License Law Ooes not apOW �o an owner ol a OmDeM1y who bulltls or imD�oveS ihereon, anA wAo Ooes such woM1 himsell/her5elf or IAmup� his a� �er own employe¢s. pmvideA ihal such imprw¢menis are no� intendeG or ottete0 fot sale. II, how¢v¢r I�¢ EuilEinq Or impmvemenl is soltl wilhin one year ot cam0letion, ihe owner will �ave ��e �urden o� proving he/s�e Oitl not Oui10 or improve tor Ihe Durpose ol Salel. I, as owner ot Ihe D�operiy. am excWsively conlracling with licensetl contrac�ors lo consiruct l�e pmleci (Seciion 70Ad, Business ❑ anG Pmfessions Code: T�e Contratlors' Staie license Law Gces noi apDN �o an owner of properrywM EuilEs or imD�wes therton antl w�o coniracls �or such D�ole��s wit� a conlracior�s) license pursuant to Ihe Coniractors' $tate lic¢nsa Law). I am aware I�al prool ol �heir Worker'S Compensati0n insurante S�oU10 �e pmviGeE lo me. � I am exempl untler Section: B. 8 P. C. lo� t�is reason: Uaie: Owner. I Ga Aertby cenify Ina� I am aware ol and unCers�antl Ihe requiremenis of Cahfornia Heal�h antl Sa�ery COUe Sections 255f15, 25537, an0 2553d antl �hal I or any fu�ure �uildmg occupanl will/will not (circle one) neea lo comply vni� saitl sta�e cades anG the requiremenls br a permi� lor cons�mction ar moEilication irom the Air Ouality Managemen� Oistnct. fle9Ueniial consiruttion a071ica�ion5 are exemD� ��om Inese Dmvisions. �aiel Ap0lican�: I here0y cetlity Ihal I have rea0 ��is applica�ion ana s�ale Ihat IAe ahove inlormaiion is carrttl. I aA�ee �o compty vn(h all ci�y antl coun�y or�mance5antlstalelaw5relatingtabuilOmgconstmctianantlhere horaerepre5entativeSolthi5ciry�oenlerupontheaEove�mentione4 O/�a�enY �orinspenio purposes. /Dale: SignaNre: r��� river's Liwnse oi Soc�ai Secud�y x: "_ _ 1641-a6 WOile-Bviltling�, Green-Cotle Enlorcemen�; Canary-Apphcanl: Pmk-Revenue: Galtlonrotl-Assessor CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: P 066699 PLAN CHECK NO: N CONSTRUCTION TYPE: V-N PERMIT TYPE; PLU JOB DESCRIPTION : INSTALL WATER HEATER CLAIM VALUE: CALC-VALUE: PERM NO; P 06669 GOVT; N SUPP: N PURPOSE: OTH SQ FT; GROUP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT xx��t*x�**ic�**�x���w+t�r�rx��r*f�+r�*�*x�*x�x�x�x-x�*+t�tx��r*+r�tir+rx���r*�r**ft�t***w�r�t�r**��**�e+r�rr�r�r�rirr�r*�r* Z O N I N G R E Q U I R E M E N T S S E T B A C K S, ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGIiT; FT IN PARKING RE�• PROV: PARCEL:' 14165229 ZNE: REF NO: PLANNING N TES> ^ 1 ! �, 1E k 1E 1E 7h 1Fl6 iflF if 1k if 1f 1f 1E fElE 1E 1E iE 1E 1ElE 1E if 7k iE 1E ff iE 1f 1E 1E 1E 1E 1E iF 1f 1E 1! 7f 1k if !E 1E 1ElF 7f ik 1E iE M M 1t 1f 7k 1f i! it iflElE 1k 1h i! 1h 1E k 1E iE ik 1! 1Elf 1f fF 1f k 1f D E V E L O P M E N T S E R V I C E S�"' R E Q U I R E M E N T S 20NING APPROVED BY � DATE; BUILDING APPROVED BY : �/l DATE: / r APPLICATION ISSUED HY: % � DATE: iF1tiEMiFiFiFiEiF1EiElfiEiElEiEkiErtlfiFiE iE3EiEiFif7EifkiElF iE1F iE 1f IE M 1E 9E iF M iF M iF iF iE if iF if 1E IE 1! 1F aE 1F rt iE iFlE iE iE �E 1f iF iF iF iE if if iE if iE iE 1E �E it iF iF'if 1f iE iF iE iE k if it if M iE iE iE 1E 1E if ik iF 1t �f iF iF if iE M iE if M if iE iE iE iF LEGALIZATION:N F E E riS U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7,00 �l 252 L " SMIP/NON-RES PLAN ' ISSUE FEE 20.00 ✓ i- BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 7,00 20.00 � 0.00 27,00 27,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 27.00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 27,00 , � iE 7k k 1F i! iE iE iE ik 1! 1F fE iE fE 1E 1! fE iE iF 1ElE 1f if 1E k iE iE M iE 1f 1E 1E 1E 1E'iE iElFlf it iF 1t fE fF iE i! 4 k If ik k ih 1E 4 4 ff 1f ip k �f iflE 7f 7f 1f iE M if it 1f if if 1f 1! iE iF iE iF if 1f I N D I V I D U A L � F E E B R E A K D O W N TYPE QTY D E 5 C R I P T I O N UNIT COST TOTAL COST PLU 1 WATER HEATER AND/OR;;VENT END OF FEES � k .' 1 r . �� ` i � '1'/ _ ���� DS ODI,'�84°D—�015349D Tf_�T UATE= 04!06/94 iT11E: 09:11 7.00 i%.ac� CONSTRUCTION AND PLANNING ' POOI „ SPA APPROVALS Permit # Oate I�spector p�ppROVALS Permit # Oate tnspecto� �, Temporary Electrical Service�or Pote - 52. Pool & Equipment Location 2. Soil Pipe�Undrgmd. k� � ��.��.^, ') 53. Steel Re(ntorcement � '"3'Electrical Cond'u[�'fltility=Undrgrnd;,�" 54. Forms -.c��. '���4. Electrical Conduit�Undrgrnd. " � 55. Electrical Booding �� 5d+S'�eel AeinforcemenTF �• . 56. flough Piumbing & Pressure'S'est ^. r.-. `r��r.F,{ectricalUPER�Grnd. '..."� 57. APPftOVALTOCOVER�GUNITE j' ^.7•.ckc,otings ry�t �� 58. Electrical Conduit�Undrgrnd. ' ;.� $.--foundation ' -� 59. Gas Pipe, f�' Undrgmd., Test y � 9?-VJater Pipe�Undrgrnd. . 60. Backwash Lines, P�Trap, D Undrgrnd. - 10. 5tructural Floor System �' ' 67. APPROVAL TO DECK - ��, propertySewer �inr& HouseConriection � 62. Backwash & Recepior-Final 72. 5ewer Cap ��� �� � 63. Heater & VenrFinal � 13. Foof Drains � 64. Piumbing SYs[em � Final � 14. Rough Plumbing '�% �� ` 65. Electrical-Fiqal , 15. Rough Electrical-Condu;t 1, . 66. Solar SYstem-Pinal I 16. Rough Electri��Wiring � . 67. Fencing & Access Approval :� 17. Rough Wiring Siyn � 68. APPROVED FOR PLASTERING 78. Rough Electricai•T Bar Ceiling 69. POOI(SPA SYSTEMS FINAL 19. Rough Heating & Air Cand;tioning - FIRE DEPT. REQUIREMENT , : ��-x:- � � t� 20.�Rough Faaory Fyreplace ;,:, @�, r ;; D c� PPROVACS��;'Permit # � �-m �• �. rnA. - � ^:t•. c^ - 21, I)uci�, iwStr ctui � � ` `"'F` ' c r " �� `"• �` ? S �-.1•` � �+ �n " u .�,_ -... x �- lj H: s�70. �ndergvou�d�H��ro r 22: pucTs, 4entifating-w • [jS .r S �:. r�'-,77. ProducmP:f?ing �5s �'Oil 23 �Ga{7ip�RouOh &'Test � 7, � z� � t " � -17z_ UndergFa�nd Fluitr� r '.:� 24.�Hoo'�Freming• n- i'-,. ��F� +" P �+573�'UnderyrnUlStoraqe�Tank�Gas ❑Oil Y � 25. fioof S jathin - �- n: ♦ � � ' �. ' ` � `� .- ' .� 9 ' y : , r., ,..; r 74.-0verhead �HVdro'.: � 26.���g i� Ceiling (Sv,uciural) &�0.Aonocoat i :n C ca� - 75 -�Ory Chemical � 7 x s-� . .�. 27:'Frame and Flashing� a ` "^ � ^ 7gFDr Stand,"i �'T`° �� S •, F� � ^. [' :.: i+ Sn ; Y P_P.e -. O'. � a r:7 �28."'�4athing� Sidingx. .�; `-�.�c_; :� _ � ��+. + 77,CFIXED SYS7EM177FJNAL• J � ..i � '29. Insulation � �." �' �'�.. " `''7 i � ` 78.sFiRE P,REV FIN/�L^ : ;,, _ �� p`3p, pry�vall Naiting i-= -' ' I � + x r+�:n JMEALTH-DEPTaR�EQUfRE147ENT y31. Plaster BPown Coat` ' �` . f � �� 79.`'Fft�TAL�^LSP-ECT16N ;� .1 � f'�.T' ' T ��.. �32.�E�ectricaj�Power A1e'te��F�nal � °��� � � � . ;80.7FOOD CERlIFiCiXTE ISSUED J �. „33."rina? El�triG� � � ,7 ; ,`,Y�� < � i 1 � , a..y� r , . . .. �,;'�Na�es:/�-z����7-.;u�G��s�„1�t-�=, C� � ^� , •• . : . H rr, > . � > : r .- r�r� : - - .. �34,.Fina1 Heating�& AqiConditron�ng� ,� , ' �- �. c .. _ -- _ � � . f ,b �Zt -�`� �-�� - 35.�FinaFGas'Pipe�Test r '% ^- ��' � �;�•'' :' �� :� `�-� ' ''' i' _:r "a � H . r =J :.�0 G -. � �:,r. r. �: .. . � .. � x ;:. 36.'�Noo�d or CanopY ���i, J� t tr -7 i t:, I I i:_ - %�o �. � �37.`Final�Factory Fir-e�'lace,,, ! S'T' •' *:. � - '� �' i� � "r i r � ✓ P ` .T. .. • .r, = a� - - � .. .. ,-,; ;. a: i r •y ... ... ` --- :38. Final. Plumbin9 . n: I vt :1' S -� � � y39. Water Service�Final ' _ i r, ; _ j � � - : � .. . ,s ti x r� .;40. Gas Service-Pinal _� Y�-,r. y r�; i I �� i:- �R� � =41. Solar pomestioFinal '_ .^.� � �� r ' � i i+ � :t � ^'� ' � �., , �n � � «r C' • ?' . i `42. �8ack4low Preventer {� � ' U i. _ � � �-� � c'. '^! ' - "'� G• 43. 8ackflow Irrigation � �� ^' . � ` * 7tF» t O � ' ' " .� -n: t ,_. . ':. _ p+ .K �� s: ._ .. U " " '. ,�44. Landscape Ircigatio9 System��: --, x .�� - n G��� k�' � r;[i ` v7 =- , :q5.�.$o�nd Attenuation�� �.�C, n' r ` ' FF F+ � � � � '� �` ~ � _' �. .;x � e' C �: a. �46 •:Handicap;Requlations �" 'y, �� �� ' - ,., ` t- � � . � r+ .J S � � 47�..�INAL STRUCTURE & BUCLDING � � � �,y N ° -� ��� ; ' t t - �. � 48. FINAL PLANNING: ,�, � � � � ��;': � �� r: ;49�. E�ect�ic Reiease to Edison , ' � _ j. e z' r � ' * . ' a . � C •� i F .50. Gas Release to Southem Californ;aaGas Co : � � ' �6 t `.', `' ,-y , : R: { �j `. 51'. CERTIFICA7E OF OCCUPANCY' � ; : -,; ; ;r , s 'i o No. Date Apolicant to fill in all soaces exceot those witnin neavY bortler lines ana si9n all avVroo��ate tleclarations. ' ci7Y oF COS7A MESA CONSTRUCTION PERMIT ', PER^vT "o/. ` , rancT No. � �, LOT NO. . UNIT NO. . � , �9BO5. I O/ I,OIB4 ! � Q:(� j T4 ��c� .� � � C.�-5�0 � t..i ��'- .. � . . .. . . . . -- . �i , t• t - . �-� , � ' Project Address ��-��-� .-��+=t��0'{'� �V . • ; � � , � _ . ' � " � � �- � . TVPE OFCONSTRUCTION� i ' NEW ADO ' ALTERATION � REPAIR '- ApplicanYs Mailing Address � ���C� ��`n1��`� • �'1"�7'- - � ., - � - . . . . , , . _ . ' ' � ❑ CONVERSION ❑ DEMOLISH OTHER. q,p; # _ - � - � , � � ' ` Zone� - Ownei's Name ��Q`�- 2�1A��� Phone ' DESCRIP�TION OF� WORK/USE OF BIDG'. ' � � Addiea� 3�� � � -TQ�r ='f-� � � ' - e S Main BuiliJinga � Accessory,Building; , ' ' -r Arcti/Eng• � "� � � ' ' - � License No TVPE OF PERMIT GRA�ING ' :FOUNDHTION • STRUCTURAC _ T Front . � - � ' ' ' ? _' � � � - -. O - � ' � -' 3 � ' - � ' � � ❑ TENANT �.ELECTRICAL ❑ PLUMBING O MECHANICAL _ , B Rear � ' • � i 1 . G �' N . Address� - • . " '_. . � � _ .Q�OTHER . ' � _ F . � . A _ �.� '' ' _ . ' : -� �' � I � I a' Contracmr'sNam � � '• - c � hon�8"S113 �, � � . C Rigtit ! , - ' - � I ' � i , # �.. ' o . ' N' 1 Addresslmailin 1 ���� � �101�Q.�C�CV � PROJECTDESCRIPTION; 5(�. FT. - ' ��OCCUPANCV� � _ ' - ' - • 9 - �y , � � 4 CONSTRVCTION TVPE � VALUATION $ �� g Left - � , y ` � • � � � R f .City,LiC¢nS¢ NO. � -�+�'�Y� ' • � ' - � � ZONE GRADING CU.YDS. � :ACRE$ � ' - 1 Ping. Ref. ;I� ' Paikmg' Req �/Provided, E / LICENSED,CONTRACTOR DECLARATION � = � � � � ' � , ' � � � Q: ! V� I-hereby aHirm inat I am�llcensetl �r provisions ar 9(commencing ' Remarks: i Planning Notes � � � � M �wit� secbon 7000) af DiviSion ot he Busines ntl Protes s Cotle, dntl � -; , ' _ � � my license is in tull force antl'el ecL �. � � i j � I ' j � I �I � -� S �' � LJcen{e Class' � �cense N � � � � � - - � +� , � m {�0-\O . . ' . , • -_ . , I . PWMBING � � FEES i . , � . � ..,. . . Dale Signat e� { ` I � �'� VORKERS' COMPENSATION DECL RATI N - � + - , , � . , � hereby'aftirm Ihat I nave a certificate of consent to selt-insuie or a certificate � Bar Sink � i Showers ` '{. 4 ELECTRICAL � , . �,FEES � O . 1 ' ' � . _' _" " _ � ' _ _ _ ' " -�o/-Workers' Compensatlon Insurance;-or_a certifietl'.copy.theieoi_(Secfion..a.._,. � � � ' � ' � , , Beckflow Preventer ' - -1 "Service Sink� - -�' ---` - - ` Automatic Washer "' � "TransfOrmer'�'15-50 KW--� ' t 3800, Lab. C. .y�^ l • ��' Policy No. ��CP ��/ \"�Q p3 �ompany �'"�'r'QIL1T� �'l'�9JuiF�'(�� Backflow Irrigation � , � $ewer Ca � � ' � - • , ' , ❑ 50+ KW ' ~ � I . , P � l �il Construc[ionPoleSub. ! eCertitietl co y Is �ereby furNsbetl. � � � � ' � � , � . � , ! ' � ❑u to 700 am 5 � � CertHie � is flled with the citY Builtling DivisjpwC'7�- ' � Bathtubs 1 � � .� Sewer Conneceion � :, Cooking Unit' ' Meter p p �� Date� APPlicznt - �� ✓ � � ' , • � .EXEMP.TION' ROMWORKERS'�COMPENSATION�,DECLARATION _ Clefifiers i' �_ SolarColleCtors , � 1 � �v Dishwasher r' ; Meter poverd002mp5`• 1 1 I (This sec[ion neetl nat be com0�etetl it Ihe permitAs far one huntlretl (E300) or " �. � � - -� - -- � - lezs�: . � � � I � � � Dishwasher � ; � � . I Solar Piping� � Dryers ❑Gas ❑Electric Sub.Panel , � � � I ce�tify�tha['In the p¢rformance of th¢ work for'which [his pe�mi� is.issuetl, I � -. � ' shall' not employ any person In any manner so�as to become subject to Ihe Drinking Fountains , Solar Tank ' � Fan ' . . workers' Compensation Laws ot Calitomia.I ' ' ' !1 Motors DO-7 HP 01 Yv - 8 �. � Oate � � • Signature - f � � Floor Drains � � � Swimming Pool w/Spa� F.A.U. � InaSolar �9�15 HP �16�15+ ' • ' NOTICE: It, afler making this tleclaratlon, you shoultl become subject to [be ' - - � � Workerst-Compensatian provisions-ot-tbe Labor Cotle,�you must-forthwith FloorSinks� - � ' ----Urinal �- - � - -- - - - --�� -- - � . _ _ __ � complY��+��h such.prOvlsions_or thi5 permit'zhall Ge�tleemetl revokea. � �'� � - Fixtures� {-- �Microwave--- �+--+-' CONSTRUCTION' LENDING� AGENCV , .- - ' :: . " j �` : ; - GasService � OuUetr �- � (n �WatenCloset - � ; , . Device Boxes Pole Li ht I � 1 ne�eby'atflrrti thal thCre Is a con5truction' Ientling agency tor th¢ performance ` �_ y - t 9 - of th¢ wo�k `for �whi<h� this pe�mit -is issu¢tl� (Sec`ion� 3097 Clv. �CJ �nterceptors � f � 7 , Water Neater , {', � - Outlets ; � i Rd�g¢ ' � � ' � � Lentler's Name " ' ' ' ,1 � . • - ' ' Lentler's Adaress � ' ' ' �, . � � � _ Kitchen Sink - � � _ - Water Service ' ' _ � Switches � Sign � � ' -OWNER BUILDER DECLARATION , � � ` - � . � � - y± , _ � � . ' - � � ' ' ' � ' I hereby affiim lhat I 5m_exemp[ from the Contracto�'s L'icense Law tor tli2 Lavatories � ., _ �- - t , followinq reason (Section 7031.5 Business antl Professional Cotle:'Any city or - - - - _ - I' Garbage Disposal ' S[anding Sections � i 1 � � munty whiCh �equires a permit to con5truct, alter, improve, tlemoli5h or� repai�, P-Ttep ' ' ' • ' -any structure, prbr to'its issuance, also reQuires the applicant tor such'permit � - ; - � �' Generator �0.5 KW �5-15 KW Trash Compacmr • : .- �to file a signed Statemenl thal'he/she I5 licensetl pu�suant to'th¢ Provi5ion5 of � RO01 D�ainS � '•r -p � " � �1 :t � T � ' .�.tne Con[ractor'S License Law (Chapter 9'(commencin9 with SecNon J00�) oP � �- Q D ' '"��Division 3 of lhe Business ane Profes5ions Cotle) br that he/sM1e ii exempt } - '- ' � - , � ,. � �' �the�efrom antl lhE Dasis for lhe alle9etl exemption. Any violation of Section � ' ,� �. = _, r � "' - � � � i � ]031'.5 ,by. any appliCant fOr a Pe�mib Subjects-the aOP���ant'to �a uvil ; � ' • - ' - � ` � ' ' ' . � ' � � �endlty o( no[ more than iive hunOrea tlollars (S500j. C' - 1 i - i ' � '. : i � , - _ � � � � ' � � , ' � LJ 1, as owner of ine property or my� employees wiCh' wages as meir solo ' " ReinspeiLon Fea.�� � �$15 Issue Fae �$�3 � � comoensation, wiu ao the work, antl tne stru<ture is not intentletl orbiferetl � ' Reinspection Fee t $15 � �luue Fee � ( i$ 3 for sale �Seciion.1044, Business antl Professional Cotle: The Contractor's ' i , . i ' ' , � . MECHANICAL - ' � FEES � � License law'tlocs not apply to'dn owner Ot a p�operty who builtls or'improves ' - � , � tnereon, anU, wno tloes sucn work�nimself/hersell:or tnrough his oc ner own .- - � DEVELOPMENT SERVICES REQUIREMENTS: '� � employees, provitletl tM1at such_Improvements are nol intentled b� o((ered �or 00i1e� � � HoOd O�, Typ¢ I'. ❑ j � � , � t, ' j � � � sale. If„however, the builtling�cr improvement is soltl within one year of com- -' � � ��nopy� Type II ❑� � ' 2omng Approved By ! Date �� � pletion„the owner wlll have the bu�tlen Of proving he/sM1e tlid no[ buiitl or. im- DuCt�- UOd¢f GrouOd �. . . ' � rove for the purposa of sale). � �^ Building Approved By Date- -�� - �. . I : � ` _ ;� i ' • � . .. � - 1 � , V I �� I,'as�owner oi'the oroperty, am exclusively contrictin9 with Iicehsetl con- Duct -Structural ,� Refrigeration System • �_ � Appliwtion Issued By Dat '� tractors to construct lhe project (Section �044. Business antl Professions Code: - , � � � . _ The ContractoCs �License.Law does mt apDly to an'owner otiproperty who _ Duct _ Ventilating �., ' �0-J00,000 BTU'�700,000 BTU , : ' ' ' - SUMMARV OF FEES . ' ' � ' builtls or impwves Ihereon; antl'who,contracts'for such projects with a con- �' - - - ' ' � f tractor�sl license pursuant to the Contractor's Cicense Law). I am aware.tnat � � Exhaust System ❑ Multiple ❑ ' System Repair/Altereti0n '�� BUILDING PERMIT $ ;SMIP •$, ` ' oroof of tneir Worker's Comperisation insurance should �be provitleG to me. � � ' - PLAN CHECK ' $ 'PERMIT � � ° ❑ I am exempt unaer Section ' 8. & P. C. for tnis reason � � Firepl/FacL BIL IC80 # � j ( � � � � i � � u.. ; � � • ' � ! . . . - � PLUMBING ' S � ' ISSUANCE $ : . : Date i ' � . pw�e� . ' � ' � - Healing System & Ducting � � ' i , ' � � ENERGV P.C., $ 1 PLAN�CHECK � 25% $ �j� ,, � ; I'he�etiy'certify tFat�l"have reae thii application antl-state'thai the above � • ' OP700;000 BTU-0100,0006T - - - — ^ -� - - - , � � � � GRADING � $ � � iniormation iz correct.'I a9ree lo�tomply with all city antl munry ordinances � � ELECTRICAL 5•.�V . antl state laws relating�to buiminq construction; anqhereby authorize repre- - , • � ' PLAN CHECK .50% $ ' ' MICROFILM ' $ ' � � sentativez of this Cit.y to nter pp�n[he above-mentionetl property:for • � 1 ' • n inspectio�{ oses. } ' � � � MECHANICAL 5� �6 Si9nafuie `�nY�� �� `QL.C� ' Date �C�J'10 + . . . . , � ' :TOTA� FEE � $ !_, C�_ -� � � CMF 0865-46, rev. 4/84 White - Builtlin9; Canary - Appliwnt; Pink - Actountin9: Goltlenrotl - Asseswr � � ' � "`' '- - " '""- ' ' " '' r, . � CONSTRUCTION AND pLANNING � - . 3'� � ' � . ,' '�. _ ��POV} & SPA �. , L ._ .,. , ,,. � � `�APPROVALS 'Permit#'-' - Date ,�� irispector '�,�APPROVALS� Permrt# a � Date �' �.Inspector " � -1. Temporary Electric8l�Servicebr.Pole j ,. ,' �_ - 52:. Pool &' EquipmenYLocation �' -� ' _ . . �� _2. Soil Pipe-Undrgrnd.-� � • ' " .,'� i c � _ � 53.� Steel Reinforcement=- � ; +L�' '�:�a � - ', , � ' ' 3 �Electrical�Conduit�Utility-Undrgrnd.' .. ' 54:r Forms' - - � � -' . , , ' 4.`Electrical Conduit-Undrgind. _ �� -- . � � , 55. Electrical Bonding - - ' !. � 5. Steel Reiriforcement . � � � 56.� Rough P.lumbing & Pressure Test ' � - �, , � _ - . t =6i� Electrical UFER Grnd. : . �.Y J , � . 57. APPROVAL"TO COVER-GUNITE , - , , i '. , �7. Footings �� � � r�! ' , . � ; . ' 58: �Electrical Conduit-Undrgmd. � -, �� � 8. Foundation. � � , : ,� -.. � : _- - ;; � 59.. Gas Pipe, O Undrgrnd:, Sest ` � -. . . � (9. Water�Pipe-Undrgrnd. ,; � � � � � 60. �Backwash� Lines; P-Trap, O Undrgmd. �10..Structural Floor Sysfem � r � ' . �'* . 61"APPROVAL•TO=DECK.. ' � - � . ' �C :, �i.• Property Sewer,L�ine & House Connection � J, a .e - '62. Backwash & ReceptorFinal �� � _ .' ;�: ;, ' �' 12. Sewer CaP ; , . � ?, - � � .63. Heater & Vent-Final . . . ' • � �. .<< -d . 13. Roof Drains �!' - � � '�j� - ' , '�64:- Plumbing System'- Final- �. � � - ' - ; : °: � 74. Rough�Plumbing'� . , . - � - - �65. �Electrical�Final `: , -_ ;p' . ' ' C _ '15.'Rough Electrical-Conduit � -�-- - - -- � -� --, - - 66: Solar System-Final - � - - �•- - -��- � � -. ` `'16. Rough Electric Wiring , ' ! !�-„ � �- -�-,- �- r . , �67.� Fencing & Access �Approval..-� �,-'-�- � -•� ' � - _ �� 17. Rough Wiring Sign � ; - ' . . ` . ' � � • � 68.� APPROVED FOR PLASTERING� �'I ° _ � � - �'18. Rough�Electrical-TBar�eiling ' -' , - �69. POOUSPASYSTEMSFINAL � . �� ` ' 19. Rough Heatin9 & Air Conditioning , � FIRE DEPT. REQUIREMENT � � �� . M � � �, 20. �Rough Factory Fireplace � ' ' � � ' , APPROVALS� Permit # -� � � .� • ; : 21. Ducts,�in Structure. � � ' � 70.' Underground Hydro ' �' � � ` � - ; �22. Ducts, Ventilating � � , j � � � � 71i Product Piping OGas 'OOiI ' � �„23.Gas.Pipe-Rough&Test . �, , p � � � i � J2.'�UndergroundFlush�� � . �,� � , i 24. Roof Framing � , ;; - � , � . � , , �..' � j73' Undergrnd. Storage Tank O Gas ❑ Oil ' , y. t {-25. �Roi�f Sheathing � . . � ; ', "> � ` + � ' � � .74 � Overhead Hydro - � � r , 26. T-Bar Ceiling (Structural) & Monocoat� � � ' • '� I .. i ' ,75.� Dry Chemical I �� , � : � : -27. Frame and �Flashing� . _ � � � ' , • �76:� Dry Standpi�pe . , �• , i ' - . 28. �Lathing & Siding� �' � ' ' � � � ' �77.' FIXED SYSTEM FINAL � ,� � ..�, i-� � � ' , 29. "Insulation ' � � � � � � • , � '78' FIRE PREV. F�INA�L ' �� - � � � � . 30.'Drywall Nailing �� ' � � � � ,. ' . � � HEALTH DEPT. REQUIREMENT � , � 31. Plaster Brown Coat � ' ' � 79. FINAI INSPECTION . � �� � �� � 32. Electrical Power Meter-Final ;� � � 80. FOOD CERTIFICATE ISSUED � 33. Final Electric , , , : �3! � C� ' Notes: ' � � ' 34. Final Heating,& AirConditioning " � � � ' - - i � 35. Final Gas Pipe:Test. . � � . y . ' - . ; - � . , ,. 36. Hood or Canopy, � � • - ' _, , � '' ' s ,; ' - � - ' � ' ' Y . 1' ' - � . 37. Final Factory Fireplac2 ! '� , { �. . ' : - - � ,; � • . 38..Final Plumbing � ' � ' ' ' � . '� � � � � ' " - ' ' ' � � i � 39. Water Service-Finali ' ' ' � - - � . ' �� ' � � _ 40. Gas Service-Final � • ' k � � ' � .i y ; � � � . � � 41. Solar pomestio-Final I� � � ' i � . �' ' -� " � , � . .. _ . .. - . 42. Backflow Preveriter. ' ' . . ; � - - - - +S�' - � , � ir � ' , _ �, � � . . , "43.. Backflow.lrrigation...,.:i_.;,,�„>_.i;,_m..:-�„ � ' � ,', . . . . T f , . . . , 44. ,landscape Irrigation System � ' ' 1� : � � . i . . "•� � ' 45. Sound Attenuation � - ' : . � .. � � � . Y .� • � � , � . 46. Handicap Regulations ��- � � - � � ' . ' � ' ' - - � � 47. FINALSTRUCTURE&BUILDING ' ' � ,� � � � � 48. Special Requireinents Completed � , ' �� � ' � � � � ' �� ,, I � � i i � i 49. Electric Feleaselto Edisom � • - - • - � � �' -� - -= • � -t- r - � i. _ j k 50. Gas Release to Southern Califomia Gaf�Co i � ' ' - -�. � , 51. CERiIFICATE'OF OCCUPANCY y, � _ _' _ • r _ ,1_ ; _,' _ ,, i__ � _ ' No. ''• � - pate ,' ; . . , . _, ' -'; , . . . . . _, _ ......:..... �;: _ _ �._ - _ . . _4.. --'--`-- -'-'!- .' .. . ,.. .. . _.. AOG��cant to fiil in all spaces exceol tnose witnin heavY �oraer lines ane slgn a1l appropdate tleclarations. .� ,. CITYOFCOSTA.MESA,---' r-- - - -- -- -�-- - -PERMITNOr��' �' - TRACT�NO:�- --LOTNO.- BLD . . - - � --�-- - t _._IBO3. I.Q/QI:�E� . -.-I�a'.�.- � � CONSTRUCTION PERMIT � � - - - �;$-�/(p� r� •; ,a ! ' , , � �. r, � ! � . ? ' ! - i � . � � � . , , ' ': „ . . '• :�. , . :' • - , ' �; , . ;' _.: ;i: , . ' �_ ProjetLAddresi e eTSO � , '. � . TYPEOFCONSTRUCTION� NEW ,ADD � ALTERATION REPAIR � � , i Applicant'sMailingAddress� Z89O� Vl'3 MdYt.�ORS"Anahei ❑ CONV,ERSION �❑ DEMOLISH � OTDHER ' � � � ' - q;p # � " � . • ' i ' � 'Zone i _ 1 ! � ��' Joseph.MaSOTl - phone S�I9-O3% ' I DESCRIPTION.OFWORK '4 -tOR avne•-air con itionin �, Owner's Name , - - - ' � � „ , �+- ,,. �-.l I " ,� � _� i �, S Main Bwlding: , � -i �Accessory�Bwlding � � ' Z ` � 3121 Jeffe'rson _ CostaMesa'" ' '' ' - - E � , , - , � � Address . . . . dT,VPE�OFPERMiT' �GRADING-❑ FOUNonTlorv .STRUCTURn� � � T F,ront • � .. � ' •� i ; N . � Arch/Eng. � � License Nal - � .� TENANT ❑ ELECT.RICAL ❑ PLUMBING. �MECHhNICAL ' ' B Rea� ,� � - � ' � - ' - . ' � I ! Address _ . . . J t . � � .' ' ' , ' - . ' _ . . . . . . . , - ' . r,t " � � � �OTHER I. � . . . . A � • ' • : . N t Contrecto�s Name AlY Mara gement' Mecli,o,6e ` Solar �6 ZPR��� DESCRIPTION So. FT.• ' � 'oCCUaarvCV � K_ Right � �� � �' � a = i ' „ F' �,' ! � '289� V�a� Martens Anaheim 928 6', CONSTRUCTIONT.VPE � VALUATION$ �g Left - . ' P_ � l � � E Address Imailing) - , , - i . . ' i' ' . : � '' ' ' ZONE - � GRADING CU. VDS. ACRES ' � ' - 1 � ' � U ' Ciry LicPnse No. - 29640 ' � , � , _ • . Ping. Ref. # Park:Fees $ � , ^, � � LICENSED CONT0.ACTOR DECLARATION ' 1 ' ' ' � Remarks: ' � '� � � . . , P2�kiny Req./PrOvided ' 1 � , � . � u , I he�eby, afii�m [hat I dm lit¢nsetl untl¢r provislons of Charte� 9(commentlng j R with section 7000) ot Division 3 of the Business anC Protezslons Cotle, antl � Uu of Building: E � �\_ myucense�s�ntuut��aettect. ' .439296 � , _ . . , � - • . _ , W Lirenso CI'ss' � , Ic ns No. � � PLUMBING � n FEES Planning Notes: � , � .� M � 9�30 3- ` ��� . , � E WORKERS' COMVENSATION DECLARATION � � `-, I • Bar Sink Show¢fi ' � � {� 1' N '� , h¢reby'aftirm that I have a Certiticate of consent to self-Insure or a certlficate � , • i '�. . T � .ot_WorkersLCompensation.lnsur5nce„or_a_cerUfietl,copy theieof.(Section_,l � BackflowPreventer � ServiceSink r � ' ' -1 � . ! -. S , � . 3800, Lab. C.) ' � � INA �, Backflow Irrigation � � � Sewer Cap � � � � � . ; ' ELECTRICAL � ' � ; FEES i. � : C199704'25; ; : � Policy No. Company - 8Certifietl copy is hereby fumisnea. i � t - � � Bathtuhs � Sewer Connection � -'.'_ Automatic Washer � : .Transformer � 15;50 KW �� i. � Certlfie$ cq s with the city Builtling Dlvisioh. � i �� � - � � ❑ 50'+ KW � oata • J/ �d��� Applicant ' A1 r Mdrid�LSttLrit� j ' Clarifiero � Solar Collectors , � y ��� Construction PoleSub. . ' ' • ' EXEMPTION FROM WORKERS'�COMPENSATION.DEGLARATION � Diihovdiher ' y� - Sola� Pi in � P 9 " ' " }^ -�� �Cookin �Unii`- -=� 'Meter ❑u tot00�am s-.»�-�— (Th'ssectlon need not be completetl if the permit is for one huntlretl (E100) �or � . ' . -��� 9 "�" P P, , -' �p" " j less . . ' � � � Drinkin Pountains ' � ' � ' . � - � " • ' , I certiry.tnat �In the periormance of the work for�which tnis permH is issuetl, I' 9 Solar Tank . � ^ Dishwasher . � • � Meter ❑over 100 amps � � shall' not employ any person in any manner so as to become subjett to the - � � � � Workers•, Compensation Laws ot Calitornia. � , Floor Drains � Swimming Pool w/Spa • Dryers �Gas' �Electtic �Sub Panel ' i �� Date � Signature ' ' • - � ' ' , ., , . - � ' - � i NOTICE: If; afie� making this tleclaratlOn, you shoultl become subje<t to the � FIOOf $iOkS . U�indl ' � � F2nj M ? �Morors O0.1 HP O1X - 8' � � / -Workers'-Compensation provisions-of�'tne Labor Cotla, you-must (orthwith- ' ' ' � comO�Y'�+��h, such p�ovisions or thiz p¢rmit snall be'a¢emetl �evoke�. � � " � �_ GasService �Outlets' , Water,Closet F.AiU. . � � InaSolar�C]9-15HP�16-15+ CONSTRUCTION' LENDING'AGENCV � , � "� � ' ' 1 ," - � 1 herGby attlrm [hat there is a conSlruction lentling agency !o� tne perto�mance� Ipt2�C¢pt0�5 �� � � t W2L¢� H¢dt¢i � � � ' Fi%tu�ES � � ' � ' MiC�Owav¢ l � ' Of ihe wark b; which, thi5, Permit, is Issued (SeCHon �309] Civ. ';CJ ' � • ' � Lentler's Name _ Kitchen Sink ' � _ ' _ .Water Service J � - � �, � _ Device Boxes � � ' Pole Light � - �' � Lentler'i Atlilress ' ' � - • ' � � ' � ' � • OWNEfi BUILDER DECI'ARATION . _ �: .. ," : � ' LavatOri¢5 , � � - _ � � ' Outlet5 ' � � � • _ Range • i I hereby af(irm that I am exempt trom the Contractor'S'Llcense Law for the � - . . . ' , tollowin9 �eason (Section ��031.5'Business antl Proteszional Cotle: Any city or , �� P-Trap - -; � , � - • � _ ' . ' Switches^ ' � ' � � Sign � . � � � county whith requires a pe�mk to construct, alte�, ImO�ove, tlemolish Or'repair �;' � �- - , ' ' any sVucture, prlor to its issuance, also reqWres the applicant tor such permit , Roof�Drains� � r' _ •�-� ••- •� � C' Garbage DispOsal � Standing Sections ��� � • �to tile a signetl statement tM1a[. he/she is Ilcensetl pursuant to.the provisions of - . • the Con[ractor's License Law (Chapter 9(commencing with Sectlon 7000) of �� �- - , . � DiviSion�3 of Me'Bu5ine55 antl-Professions Cotle) o� that he/she is eaempt.i ' �_ �!'� .� :. � , Generator O65KW OS-15 KW �T�BSh COrtlpaCtO� i � � +therefrom antl the basis tor'the allegetl exemption. Any vlolation,bf.5ection � ~ . , ' � ` � � ~ � � � , � , � ' . 7031.5 by,any.applicant �or.a permit�subjects [ne applicanLto a civil' - • � ' � � . � � . � ' ` ��enalty ot not more than five nuntlretl tlollars (E500). � * � � :Reinspection Fee ,�E. . $25� f : � j Issue Fee" � ' $'3 � ' � � � ' � I, as.owner oi. the�prooerty,or�my�amployees with wa9es as their sole i � MECHANICAL ReirispectionFee $25 IssuaFee. � �, $�3 � - compensation, will� do tne work, antl the sbucture Is not Intentletl or offe�etl ' i` �� i` " � FEES . for salet(Section 7044, Business antl Protesslonal-Cotle: The Contractor's ' � � PUBLIC�SERVICESRE�UIREMENTS: ° � � � ti ' License Law tloes not apD�Y to an owner of a property�who builtls or Improves � BOile� ' Hood�or � Type I� ❑ - ' � � � � � •' . lnereon, anE,wno �tloes sucn work nimself/herself or throu9h his or her own . •-� ' '" 1 i Zoning Approved By '� � � Date � employ ees, provitletl that such improvements a�e not intentle0 0� ofle�etl for Cd00py • TypE II ❑ ' .; , • . . �. , Sale. If, however, the bulltlin or Im rovoment is sola withtn one ear of com- Duct - Under Ground j � , 9 P Y . i , Applitetion Approved By Date pletlon, the owner; will have the burtlan of proving he/she tlitl not build or im- . . . _ � � . �rove foctha purpose of sale). - , , Duct - Structural � ' � Refrigeratlon System i ,^ ' Appliption Issued By ' � � n / Dat �e /Q �� � I, a5 owner of Ihe p�operty, ain exUusivety Contractlng with licens¢tl com . , . tractors to construct the project (Section 7044, eusiness ana Professions Cotle: � Duct - Ventilating . � � �6700,000 BTU ❑ 100,000 BTU � , , . , � � � �SUMMARV OF FEES' � � � � � { The Contrattor's License Law tloes not_apply to an owner of,vroperty who ' BUI LDING PERMIT $ ' SMIP � � -builtls or'improv¢5 thereon„and who contracts for such projects w�tF a con-- Exhaust Syst¢m ❑ Multiple ❑ System Repair/Alteration .� ' $ tractor(s) Iicense Oursuant to the Contractor;s Llcense Law): • ' ' ' ' � P�AN CHECK '$ � PEFiMIT ❑�I.am'exempt untler Section � B. 6 P. C. tor this reason FirepUFacL BIL ICBO # � 1 4 ton� eom �resso � 7 �J � �ISSUANCE �$ t ��� ' � " '- � � PLUMBING 1:5 - - { Data � Owner � � ' � � � Heating System & Ductin9 � ' • ' � � PLqN CHECK � $ � � ' ENERGY P.C. � $ I hereby certity that I nave reaE this applic tion antl state that the above � ❑0.100,OOOBTU �100,0008 ' � ' � � GRADING $ information is c rrect. I a9ree to�comply wit ali tlty antl counry.ortlinances _ __i _ _ _ _ _- J . - _ --l.. _ !_ ELECTRICAL r $ . � . , , andstate law latin9{to bui ' g mnstru<t on,.antl hereby authorize repre- . • , � � . � � • � � p�qN CHECK ' � MICROFILM � sentalives o: is. city, t t, upon th above-mentionetl Oroperty tor l • � 1 • I $ � �$ inspectlon s. ' . . . • . � t • � � � . MECHANICAL ' $ IO_SO , ZO. SO Si9nature ' Date 9 30 8.3 � , � � . , � , , TOTALFEE ; $ DriJers'"�i<ense oq55.� � � � ' � Reinspection Fee � . � � ' � ' � �, $25 laue Fea $ 3 PLAN CHECK ,$ ,CMF_0865-46rev.7/83.1__White.-Builtlin9:CanarY--APPIIcant:Pink-Accountin9:Goltlenrotl-fAssessor_.- �__�'_'., -�._.'_ "'" `_"'j"'f",� J. a_ .� . '__._._� _ �. .__ . "' `"""_���,_"' "'_"�_ _� - J.+ iCONST,RCICTION AND�PLANNING. � �' � -= `t ��"' : -- : ;' c J - �- '. _'.: POG�:& SPA • � � �. .: � � 'a ; - ' ,. . ' . ` �-• � Date d ' �,InsPector , : ' ��` ^ . . � Date � -Inspector' � .� APPROVALS' ',Permit# _ - - �*, ��APPROVALS .�Permit# _ �i � - ' " - - - ' ' � E� 7i Temporary Electri,cal Service'or Pole� `� � � � 3 ; F� � � �� '� '52^ Poof&,Equipment Location � „ ' � ` � '� - . � � . � . . - �n.. ,s . � '"Q. 'Soil Pipe-Undrgrnd. � '- �' � �53-: Steel .Reinforcemenf � � � � ' , ' � , ' i , o, . ,� � '..r3{ Electrical ConduitiUtiJity-Undrgrnd.' .•-; ` � -." j::, : � � 54�- Forms - , - _ - , " .� � ' � -�� � `� 'ry4� Electrical Conduit-Undrgrnd. ��-: �, ,' �„ + � � + �;� .; � _' 55. �Electrical Bonding � , . - � � _ , � � . ; . . y . : _ .. � . -.... . . � _ :�5�.Steel Reiriforcement ' �, ��, , ; , = °'` ; � :°: -�� �56��Rough Plumbing & Pre'ssu�e Test� � ` ? 1'6. Electrica6 UFER Gmd. ' ° - � �� � �r ,� �.. ' " .�57.; APPROVAL TO COVER-GUNITE � . � �. 7� Footings � , . ' -. ?; ' ' �58. Electrical ConduiYUndrgrnd., . � � ,� � 8. FuundaYion i i ' � ^ ,. , ? t; : � i�� _ . � .59' Gas Pipe, O Und'rgrnd.,,Test . � 9� Wat�er Pipe-Undrgrnd.' . . � � � � F� � " ° �60:,Backwash Lines, P-Trap, O Undrgrnd.,: ' 7 � 10!. Structural Floor System' � � .. �. � ' < <� = `:67 �'APPROVAL TO DECK - - � - 1 P. Property�Sewer�Line & House;Connection �� ' '. , 62, Ba'ckwash & RecepiorFinal '- ; " �' � - � 12' Sewer �Cap � ' � _ 3' � • �- � � � �63. �Heater &Nent-Final - ` - , . - 13. Roof Drains� � , � , , , ;L � ' .64.` Plumbing System -,Final. ; ,� . '. 74' Rough Plumbing 't . t ' - � �65. �Electrical�Final ,- � � . � . � 1�1 RougFi Electriral-Conduit` -' � " "� - -, ' r ' , , -- ' 66. �Solar�System-Final ' " . � . � ', ' - _ 16:,Rough Electric Wiring , , +� � ;,,. . .- I � � . - - _ � � , � r ,67.' Fencirig & Access �Approval , n � �17t.`Ro'ugh Wiring Sign ' , � '� � ' _ . � � S � ^' ` 68. APPROVED FOR PLASTERING ' � � ' � ; . .. ' ' ' 7g.�:Rough Electrical�T Bar Ceiling � �� i : �_ • � �' � 69. POOL/SPA SYSTEMS�FINAL � � � ' � 19. �Rough Heating &-Alr Conditioning'� _ i �� : � ; � FIRE DEPT. REQUIREMENT' � - ' � , i ' i . � - , • • � i, 20. •Rough Factory Fireplace � y y { i , . , APPROVALS � Permit # , � 27'. DuCt`s, in Structure�'' � ' • � � � 70. Underground �Hydro ' �i . _ , � ' i i : k i 8, i� 22. Ducts, Ventilating. � �� � j ! � � • 71. Product Piping O Gas ' OOiI ' -"+ � y.� 23..Gas Pipe_Rough_& Test . , v� f � 72. Underground.Flush .' ' y. }�� 24'. Roof Framing � " � ,�., .� ,,', . �n.'�. 73; Undergrnd.StorageTankO.Gas OOiI � � 7' ' 25. -�Roof Sh�eathing . _ � � . ,r% ,. i � � � � ' 74r� Overhead Hydro � '-.1 ' -� � - y, � 26, �T-Bar� �Ceiling (Structural) &�Monocoat� � - � � ' 75:,Dry, Chemical� ; _ � � r : � ^� 27..F'rame and' Flashin ' , , i � � S : ,. .: • � ! u , � . • _ � , . 9 � �� � 76. Dry Standpipe ., � � , �� 28.nLathing`&'Siding - ' � . � i j ' 77. 'FIXEDSYSTEM FINAL� .` ' ' � � ' � r -� ., ' � , . . , . . . I 29.� Insulation * ' " � �� ' � . � a � h 78. �FIRE PREV.,FINAL • � • �� , � � '� . . � 30. Drywall Nailing. ���{ ' '� ! I � I f � . � HEALTH DEPT. REQUIREMENT t ' 31�: Plaster Brown�Coat � � '� ,; � � 79. FINAL INSPECTION � � . , �� 32. Electrical Power MeterFinal �-,- � � 80. FOOD�CERTIFICATE ISSUED � - �. �; 33. Final�Electric ' ' � �� - � � � � Noies: � � � � ' '. 34. Pinal Heating�& Air�Conditioning r ' � � , ' ! E � � . . �' �1.���y ��v ,: 35. Final Gas'.Pipe'Test�� � , . � 1 I' , i� i - I� '� r • . , �' ' `r , ' � �� ' t� I`� ��. 36. ,Hood o� Canopy !' - t-' j'� � , ' ' 1 - ' i � �.� � � . . . . � c . , � . . � , . 37. Final Factory Fireplace � ' � , !, ., � . ' i , - � ! ', f� � � , . . . ' . _ " 38. F.inalPlumbing � � �' ` � j '� � i� ' ' � t � . � . . . . . . . 39. Water Service-Final � � � ' � . ,'? ,, � � j. � � ' _ . . ' � �. , ' i � � i . { �� . . . . , � i . . 40. Gas Service-Finali , ; i � . j ' . 41. SolaF Domestic-Finalj � � � I � t ` -- - . -- �_ •.' - - - _. ' ^ . i � , � � - 42. Backflow Preventer � � � � . , � r? j �« ' i , � - ' � � , � 43. �Backflow Irrigation ' � � I � `' � . � �� � � w j � � � � � ' 't . � . ' � 44. �Landscape�lrrigation System �• i �' - 1� (� . , � �� � � � i . ' , _, . ' � 45. Sound,!Attenuation , �,.. � �f i i �� � � j . t I • � y � ' . � j' .. �� ' � . ' 46. �Handicap.Regulations ! ! � � t . , � ,, � ' - ; ,r ; i � 1 + r�, . � � '� 47. FINALiSTRUCTURE &iBUILDING � + � = ' � � � ; � �_ � ' ' � � i ' ' � :� ' . - � 48. Special;RequirementsCompleted ' � j . ' , �� � � � � � ' , t , � �� � � - t , ,1 i I � 49. Electrie Relea3e to Ediso,n ' ' �-- �` -� -- - �-� �--`- --� - � � -- • - ! ' � ; y1' ` t `t� ! , � � 50�. ,Gas'Release to Southern�Califo�nia Gas Co ', y I � 1 ' ; , ' � � ' ` ' �' � � � � � , � , 5L�CERTIFICATEOF.00CUPANCYf•.. _... ' � � _.'.... _ _. _.,_ . . _� - ' . ' . ' � , ' �¢� No. ' ' �Date � +._ i .� � � f ! _•� " � " ` , . ' . - �� . � - � � . �. - � � , , _ _ . Applicant to fill in all spaces except [�ose witM1in heavy OorC[ ' Cirv OF cosTa ESq CONSTRUCTION PERMIT P MIrgNQ TRACT NO. �� 1 i6 �F E R`,f�.) . A v. � D Project Address , � pp � �� g b2'e� �� �EFrE,yy�til ' AV • TYPE OF CONSTRUCTION rvEW .4DD A IicynYs MaJin Add�¢5s ❑ CONVERSION� ❑ DEMOLISH ❑ OTH Ownlr'sName T����", mAS�_phOneSY�"���%% � ' Address � 3��;� �L �P��$�� ' � D�� IPTI('�yj1F W RK/USE OF BL`vi�: � _� �a '��� � sign al1 aporoo��ate aeclarations. � UNIT NQ � � REPAIR; Arch/Eng. ��, - License No. � TVPE OF PERMIT ��GRAOING . FOVrvDATIorv LJ STRVCTURAL'^„?Y . Address y� � ❑ TENANT ❑ ELECTRICAL. �O PLUMBING O MECHANICAL' '� � COOtI�cLOf�SNdRiP r1{�1`F Ph00¢�1 .❑OTHE1i - � ... -: :r _ +. � . Y.,.. . '.. . _. / � PqOJECT DESCRIPTION 5 F �` '� � ocCUP Cv Addresslmailingl�+� � ' ' _- ` ' "-' OC � tl �j �� CONSTRUCTION,TVPE �� � � VALUATION S��Z I - CityLicenseNo. �- D ZONE GRADINGCU VDS�~ ACaFc� LICENSED CONTRACTOR DECLARATION I hereby aftirm that I 8m licensetl untler provisions of Charter 9(commencing with sectlon �000) ,of Dlvision 3 of [he Business antl Professions Cotle, antl my licen5=is in f-11 Ce antl eHect. r` � Licen lass ense Ne.� Date Si9natu�e ��` �3� ��^�-�sGP W00.KER5'COMPEN$qTION DECLARATION �� he�eby at(irm tna[�I have a certificate of consen[ to selLinsu/e o� a certificate �i Workers' Compensytion Insurance, or a certlfi tl cooY �hereoi (Section /�.� 3800, Lab. CJ p(% � ^' Policy No V/C� —La� �'G�»'� Company � � �Certifietl copy is nereby furnishetl. � Dateefl�ijetl �opY iy{jlBtl wAPPI c n1tY � 4a1,S1� r,, n ' ' �1 Y K'6 O EXEMPTION'FpOM WpRKERS' COMPENSATION DECLARATION ` (Thissection neetl not Ae [ompletetl if the permit is for one huntlretl (5300) or V IC55�.� � � � . [ I certity lhat in tbe pe�formance of the work fov wnlch this perm�t is i55uetl; I sha11 not employ any person In any manner so as to become subject to the Worker ' Co e ioq �yws of Calif r�ia. � . i!-n�. Date �^'�'^� NOTICE: It, after making tnis tleclatalion,-yo� shOultl become s�bject to th¢ � Worken' ComPensatioh provlsions Of the Labo� Cotle, y0u must torthwitb i comply with sucn provislons or tnis permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby affirm Ihal there fs a construction lentlin9 a9ency for t�e pertormance of tha work for w�ich Ihiz permit is iszuetl (SeCtion 309] Civ. CJ L.entler's Name _ - Len tic�'s'Atltlress ' OWNER BUIIOER'b��LARATION ' I hereby a(firm thatA%Sm exempt from the Conlracror's License Law for the followin9 reason (Settion ]031.5 Business antl Groiessibnal Cotle: Any ciry or . county which requires-a.permit to construct; alter, Improve, demolish or repalr any stvucture, p�io� to'its is5uance, also requi�es the applicant to� Suth pe�mit . to lile a signetl Statement that he/she is IicenSetl pu�suant lo lhe provisions of tne Con[ractor'S License Law (Chap[er 9(commencing witn Section 7000) of Divizion 3 ot the Bu;inezs antl Professions Cotle) or t�at he/she is ezemp[ � therefrom antl lhe basis for the all¢9etl exemptiOn. Any violatlon of Section 7031.5 by any applicant tor a permit subjects the applicant to a civil ��enally of not more tryan five nunaretl tlonars (E500). � I, as owner of tn¢ property or my employees wlth wages as their sole wmpensation, will tlo ihe work, antl [he struc[ure Is nol Int¢ntletl o� otferetl for salo (Section 70qq, Business and Professional Cotle: The Contractor'S � License Law tloes not apply t0 an Owne� of a.property who builtls o� improves thereon, and wno tlops such work hlmselt/herseli or tnrougn his or her own emplayees, provitletl tryat suCh improvements arn not intentletl or offcretl for Sale.'If howeve�, the builtling or improvemen[ Is soltl wl[hin one year ot com- , plelion, [M1e owner will nave the burtlen of proving he/she tlIG not builtl o� im- ��ove for the purpose of Sale). � I, a5 owner of lite property, am exUusively wnl�acting wlth licens¢tl con- I�actor5 to wnst�uct Lhe project (SeGtion ]064, Business antl Profezsions Cotle: The.ConVactor's License Law tloes not apply to an owner oi'property wno builtl5.or imOroves tqereon, antl who contracts for such proj¢cIs with a con- tracto�(51 license pursuant Io Ihe Contracto�'S Lice05e Law). I am aware tha[ proof o( thei� Worker'S Compen5atlon insurance Shoultl be provitletl to me. , ❑ I am exempt un0er 5ection 8. & P. C. for this reason � Date Owner ' I hareby certify tnat I nave reatl.tnls appiication antl state tna[ tne above intormation iz correct, � �qree to comply with all city antl county ortlinances antl•slate laws relating to builtlin9 con5{/uction, antl hereby au[norize rep�e-. sentatives of this city, to ent r upon the above•mentlonetl property. for inspection pu a s: � /� /�_ �r 5' t Date Z d Remarks: • „ " ' Sink - zflow Preventer cflow Irrigation Dishwasher ' - Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors ' Kitchen Sink � � Lavatories , P-Trap Roof Orains ' Reinspection Fee $15 8oiler Duct - Under Ground ' Duct - Svuctural Duct - Ventilating Exhaust System ❑ �Multiple ❑ F.irepUFact Blt. ICBO �i`- Heatinq System & Ducting ❑ o� i oo:000 eru � i oo,000 sT igna ure � Drivers' Li<ense or 55 � ' I'� I Aeinspection Fee I 575 CMF 0865-46, rev. 10/84 White - Builtlinq; Canary - qpplitdnl; Pink - AccounHng; Goltlenrotl - AssesSor Showers Service Sir Sewer.Cap Solar Collectors ' Solar Pipinq ' • , �olar Tank , � Swimming Pool w/Spa Urinal � ' Water Closet � Water Heater ' �Water Service - - - � �r- Auto�Wash Laundry Trays � • Issue Fee Hood or Type I ❑ ' Canopy Type 11 ❑ Refrigeration System ❑0-100,OOOBTU ❑700,000 Sy em Repair/Alteration . ire Dampers ' Registers ' � � Issue Fee FE A.P. iY� . � _ _ S Main Building: �, E � T Front i B Rear , A � . C Right' K Left � � s Ping. Ref. # ' Planning Notes: ' � Automatic Washer Cooking Unit Dishwasher � '. Dryers ❑Ga� Fan � F.A.U. � BB82 :4/l8/8G i ' � I �/�ccessory Buildingq 0 ' I Parking Req./Provided • ^ t 1 6. ;;; '_ � me _ �� ,_ � � 2 � ' ' O � r . N � . '_' N c E � • M - T � . � S : ELECTRICAL � '_ FEES � Transformer ❑ 15-50 KW : � - . " � ❑.50+KW � � , � Meter ❑up to 100 amps - : i' � � � �Meter ❑over-100amps . ' '- I ,- : Sub Panel � ' � , - ' i, � ,, Motors DO-1 HP � 1''f..- 8- '� � I JSolai �9�15 HP �16-75+ � Microwave ; �- i , Device Boxes � OuUets . ' . , Switches Garbage Disposal ' Generator �0-5 KW 05�15 KW Range � Sign . ' ' ' '.. ; __ . Standing Sections � Trash Compactor � $ 3 1 Reinspection Fee $15 ' Issue Fee FEES � DEVELOPMENTSERVICESRE�UIREMENTS:' � �2oning APProved BY • ' Buildin0 APProved By w Applifation Issued By -- S 3 $ 3 ' - SUNIMARV OF FElS ' BUILDING PERMIT $ - SMIP - . 3'• • s� . PLAN CHECK $ --J�' � _ PERMIT . . �. PLUMBING $. ' - ISSUANCE - �$ � PLANCHECK 25% $ ' ENERG�-P.C. $, ELECTRICAL $ � GRADING $ � : PLANCHECK 50% $ � -MICROFILM $ MECHANICAL $ TOTAL FEE . $ 3.. PLAN CHECK 25% $ � � 'CONSTRUCTION AND�PCANNING � � APPROVALS �Perm'rt �# � Date 't., 1: .Temporary Electrica6.Se: vice or Pole � ii. � � 2. Soil Pipe-Undrgrnd. °� � ' 3. Electrical Conduit Utility-Undrgrnd. 4. Electrical Conduit�U�ldrgrnd. ' 5. Steel Reinforcement;� 6. Electrical UFER G�rnd�.af 7. Footings l,�'� % i � 8. Foundation.:�+?,� ; _.�-� � � - 9. Water Pipe-Wndrgrn�� �� . n 70. Structural Floor Systerr�:� 11. Property Sewer Line(&"House Connectiod i 12. Sewer Cap � � . r 13. Roof Drains 14. Rough Plumbing � 15. Rough Electrical-Conduit i6. Rough ElectricWiring ' � 17. Rough Wiring Sign - ' . -� � � ' 18. Rough Electrical-T Bar Ceiling � . ' 19. Rough Heating & Air Conditioning � 20. Rough Factory Fir`eplace � 21. Duas, in Structure � 22. Ducts, Ventilating � 23. Ga's Pipe-Rough & Test 24. Roof Framing 25. Roof Sheathing . 26. T-Bar Ceiling.�Structural) & Monocoat 27. Frame anH Flashing � ' 28. Lathing & Siding ' 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat � 32. Electrical Power Meter�Final ' 33. Final�Electric- . 34. Final Heating & Air Conditioning 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 pomestic-Final � � �42. Backflow Preventer - � .•i43: Backflow Irrigation �� � �� ;; 4'4„ fandscape Irrigation System ��45. Sound Attenuation � '"46. Handicap Regulations � � �4Z. FINALSTRUCTURE&•BUILDING � � � � 48. Special Requirements Completed � �. -49.' Electric Release'to Edison � 50.,Gas Release to Southem California Gas Co 57. CERTIFICATE OF OCCUPANCY � No. Date � � , � POOI: & SPA • . • Inspector qPPROVALS Pe�rmit# ' � �Date- Inspector ' ' I 52: Pool & Equipment Location ; � •' 53. �Steel Reinforcement . � � • � ! � 54. �Forms . I � � 55.� Electrical Bonding � ' T � �. 56. Rough Plumbing'& Pressure Test � . 57.�APPROVALTOCOVER-GUNITE � • �. i .' . � 58. Electrical Conduii-Undrgmd. ' � • , ' � 59. Gas Pipe, O Undr�grnd., Test � � .� � 60. Backwash �Lines, P-Trap, � Undrgrnd. � , .. 61. APPROVAL TO:DECK � ' ' 62. Backwash & Receptor-Final , 63. Heater & Vent,-Final � , � 64. Plumbing System �� Final ' 65. Electrical-Final i � . � � .66. Solar System-Final � 67. Fencing & Access �Approval � - '� ' . � 68. �APPROVED'FORf PLASTERING ' ' '. 69. POOL/SPASYSTEMS,FINAL ' jrI FIRE DEPT. REQUIREMENT .-.�>� � � APPROVALS Permit # �i' � � .. I - I'l,. 70. Underground Hyd�o "� � �;�� 71. ProductPiping�Gas ❑Oil � � � , 72. Underground Flush � - ,� 73. Undergrnd. Storage Tank O�Gas ❑ Oil ��• � - ' 74. Overhead Hydro } � � j `i ' .75. Dry Chemical , � l - � .i ./' 76. DrY Standpipe I �= '� j. /r 77. FIXED SYSTEM FINA�L � � J" � 78. FIRE PREV. FINAL � � �' '. �%� HEALT�H DEPT. REQUIREMENT • •� i 79. FINALINSPECTION � � • � �'�c 80. FOOD CERTIFICATE ISSUED - � � � r, Notes: � } � � � . :�, 1- i _. , , � I '1 _ .:-' ,.. _�l >� I R .'L { ,r •� ' .�_ ✓ . �-: _ . .. � � n 'J n � I .1 .' I �- i. � , ' , ',. ..' �. I� '= _ ;;�a : . . I � '• • 1 . • '� , �. T i� i �',- � 18753 COSTA ME5A BUILDING•SAFETY DEPARTMENT P. O. BOX g17 COBTA MEBA. GLIFORNIA For Applicant fo Fill In Complefely TYPE OR PRINT ADDRESS �G1 E PJLDOR T7VQJL(LG COSTA MESA. CALIFORNIA /, c�rr BtveJt. STATE ' �� � LIC. NO. U6E OF EXIBTING BLDG._ BHTBACK 4N6 pROM x � FEE RECElVED. FEB 1 � 1963 FINANCE CEPT. APPLICATION FOR PERtv11YTA MCSA BuaoiN� For Office Use Only aeceirr NO. Pep�j�o5 l? � � � NEC8IVEO B DATE RECE�VEO DATC 18911E� �y rcb t u id6� , du 1 o tg6; BUILDING AODRESS ' COSTA MESA. CALIFORNfA APPROVED :.% Cae�on. Ona.ve ZOPIING IONE NO. OF UBE OF NeW S�' �.�s� /jy �(. ��i./�..� R�� IPLAN6 � I9Y�LDINO�/ ' WY. No: (R-68940 �E°•� �,7- ��R yd o 8 . oeacwiwr�nx NO. OP BLDGB. � ^/ � J� (CENTBP LINE BT.1 REAR YARD 2/ 7 FRONT S� ! ' RIGHT' R.SIDE S IN OF WORK s L. SIDE TION I__ IIADDITION _.I _ pGeo � / WALLS��CC.JCOVERINGwood B fI� i1LOING AN4.N!ORK TO BE_ PERFORMED 1 HEREBY ACKNO�//�8C(:E THAT I HAV! PEAD THI9 I AND BTATE THAT TXE ABOVE �6 COPRER AND AGReE PLY WITH ALL CIT'1� ORpINANCEB AND BTATE LAWB BYILDIN6 CONB'IRSIGfION. � � � AUTHORIZED AGEM: ' tt � U _6 y-�y�����.-���`u ,(�38Gp, TX8 AMOUNT 9HOWN UNDER VALYATI � Ig FOq THE PYRPO6E OP, EBTA0L18NIN6 /� PERMIT FEE OMLY. VALUATION /� PERMIT FEE $ 7'� �� S%/ O�/// � PLAN CHECK $ oC�' � OC G1T / �� TOTAL FEE $ �+' /' " -