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Home My WebLink About2065 FLAMINGO DR - Building PermitsAVG�icant to Iill in ali spaees except those within heavy EorOer lines aatl sign all approv��ate tleclarations. CiTY OF COSTA MESA CONSTRUCTION PERMIT Project Address � ' Applicant's Mailing dress Owner's Name Phone Address Arch/Eng. License No. Address Convacto 's Na � Pho e �S Address (m��1 � �� - �� rn City License No. � 4 — �� ' LICENSED CONTRACTOR DECLARATION I hereDy afti�m that I am licensetl untler provisions ot Chdrter 9(commencin9 with sec[ion ]000) of �DiviSion 3 ot the Business antl Grofessions Cotle, antl my license is in ful fo c antl eftect. License C as l.i ens N Da[e Si9nature WORKERS'COMPENSATION pECLARATION 1 I M1ereby affitm that I have a certiticate ot consent to self-insure or a certiTicate ^f Worker5' Compensation Insurance, O/ a certitl.e(tl,��c�oOY tne�eof (Section � 00. Lab.�,Ji�� (S/LG� � ' IitY No. �� ComPanY �] Certifietl copy is hereby fumishetl. [�Certi etl cop i tiletl with the city By! jri9 ' i Date � �� ApplicaM �sL � � EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Tnissection neetl not be completetl if the permit is tor one M1untlretl ($300) or less) I certify that in the pe�formance of th¢ work fo� which this pe�mi{ is issuetl, I shall not employ any person in any manner so as to become subject to the Workers' CompensatiOn Laws of Calitornia. Date Signature NOTIGE: If, after making [M1is tleclaratlon, you shoultl become subject to [he Workers' Compensation provisions of the I�bor Cotle, you must forthwith comply with such provisions or tnis permit shall be deemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby ai(Irm that there is a mnstruction lentlin9 agency for the performance of the work for which this permit iz issuetl (Section 3097 Civ. C.) Lentler's Name Lentler's Atltlress OWNER BUILDER DECLARATION 1 hereby affirm ihat I am ezempt from the Contractor's Llcense Law tor the following reason (Section 7031.5 Business antl Pro�essional Cotle: Any city or county w�ich requires a pe�mit to const�uct, alt¢r, improve, tlemolish o� �epair any SVucture, prlo� to it5 is5uance, also �equi�es [M1e applitant fo� such permit to file a signetl statement that he/she is Iicense0 pu�suant to the provl5ion5 of the Contractor's License Law (Chapter 9(commencin9 with Section 7000) ot Division 3 of lhe Business antl Professions Cotle) or that he/she is exempt •�+erefrom antl the basis for the allegee exemption. AnY violation of Section ll.5 by any applicant for a Pe�mit Subjec[5 the applicant to a tivil alty of not more than tive huntlretl dollars (5500). � I, as owner of the property or my employees with wages as their sole mmpensation, will tlo the work, antl the structure is not intentletl or otferetl for sale (Section 7044, Business antl Protessional Cotle: The Contractor's License law tloes not aOP�Y �o an owner of a properry who builtls or improves thereon, antl who tloes such work himself/herself or tnrough his ar her own employees, proviaetl that sucn improvements are not intentletl or offeretl for sale. If, however, the builtling or impvovement is Soltl within one year of com- pletion, the owner will have the burtlen of proving he/she ditl not builtl or im- p�ove for the purpOse ot sale). ❑ I, as owner oi the property, am exUusively contracting with licensetl con- tractorsto constructthe project (Section 7044, Business antl Professions Coae: The ConVactor's License Law tloes not apply to an owner of property who builtls or improves thereon. antl who contract5 ior such oroiects with a con- tractor(z1 license pursuan[ m me Contractor•s License Law). I am aware that proof of thei� WOrker'S Compensation insu�ance Shoultl be provitle0 to me. ❑ I am exempt untler Section 8. & P. C. tor thi5 reason Date — Owner I have reatl this appliwtion antl state that the above I agree to comply with all city antl county ortlinances to builEing cons[ruction, antl hereby authorize �ep�e- � to enter upon the above-mentionetl pro-7perty fporp Signature W�QA�,�_�,�— Date �«`�Q_oI Drivers' License ar 55 qf ._.�. _.� O ...._..._. __..__. .,,.�� .... A.P.# . S Main Building: TYPE OF CONSTRUCTION NEW A�D ALTERATION REPAI R E ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � T Front DESCRIPTION OF WOfiK/USE OF BLDG. A Rear TYPE OF PERMIT GRADING O�POUNDATION ❑ STRUCTURAL I C Right ❑ TENANT ❑ ELECTRIGAL CLYPLUMBING ❑ MECHANICAL S� Left ❑ �OTHER Ping. Ref. # PROJECT DESCRIPTION SQ. FT. ocCUGANCV Planning Notes: CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCU.VDS. ACRES . Remarkz: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers DIShVYd5h2f Drinking Fountains Floo� Drains FlOor $inks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains � Reinspection Fee $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating - Exhaust System ❑ Multiple ❑ Firepl/Fact. BIL ICBO � Heating System & Ducting ❑6100,000 BTU 0100,OOOBTi heinspection Fee I $75 0865-46, rev. 5/88 White � Builtlin9; Canary - Applicanq Pink - Accounting: Goltlenrotl - Assessor FEES Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service A uto-W ash Lau ndry T ra'ys Issue Fee � $ 3 Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteretion Fire Dampers Registers laue Fee � $ 3 Zone Accessory Building: Parking Req./Provided ELECTRICAL Automatic Washer Transformer ❑ 1550 KW Construction PaleSub. � 50+KW Cooking Unit Dishwasher -: Dryers ❑Gas DElectric Fan r� F.A.U. Fixtures _�=� Device Boxes �_- Outlets Switches Garbage Dispoul Generator 045 KW 05-15 KW Meter ❑up to 100 amps Meter pover100amps Suh Panel Motors�0-7 HP�Ih-8 InaSoiar �9-15 HP 016-15+ Microwave Pole Light Range Sign Standing Sections Trash Compactor I ReinspeMion Fee �$15 I I Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: 2aning Approved By Building Approvad By FEES $ 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ �.�� ISSUANCE $ —_{� '� PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE. $ �5pd PLAN CHECK Z5% $ N I N G R E U M T $. OS 00022993—OQ422993 T��T S,OG DATE: i2/2I/88 TI11E: 09:SF, � . � % L�� CDNSTRUCTION AND PLANNING _ POOL 'A , APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipmeni Location �2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3�.�Electrical Conduit Utility-Undrgrnd. 54. Forms � 4. Electrical Conduit-Undr`grnd. 55. Electrical Bonding 5. Steel�Rei,nforcemenT 56. Rough Plumbing & Pressure Test 6.. Electrical UFER�Grnd.. , 57. APPROVAL TO COVER-GUNITE 7.'Footings ; • 58. Electrical Conduit-Undrgrnd. 8. �Foundation �� . � � 59. Gas Pipe, � Undrgrnd., Tesf � 9..Water Pipe-Undrg}nq., � 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System ', 61. APPROVAL TO DECK 71. Properiy Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final •. 13. Roof.Drains . - � 64. Plumbing System - Final � 14. Rough Plumbing � 65. Electrical-Final - 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval �'�17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �1$� Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20� Rough FactorY Fireplace APPROVALS Permit# 21. Ducts, in Structure , 70. Underground Hydro 22. Ducts, Ventilating � 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing . 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe � 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation . 78. FIRE PREV. FINAL � 30. Drywali Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final . 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gss Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing � �p �Q G�/,� � 39. Water Service-Final � - 40. Gas Service-Final " 41. Solar pomestic-Final 42. Backflow�Preventer ' ��. ,i •"� 43. Backflow Irrigation .- �) 44. .Landscape Irrigation System . � "� 45. Sound Attenuation � 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed � 49. Electric Release to �dison ' �+ � 50. Gas Release to Southem California Gas Co 'i�. /,�%� 51. CERTIFICATE OF OCCUPANCY y No. Date �': � APplicant to fill in all spaces except those witMin heavy CorCcr lines anE sign all appropriate Cetlarations. CI7Y oF COSTa, MESA CON,�ST/R�UCTION PERMIT ProjectAddress ��,j ��Sf9/N�6 Applicant's Mailing Address �nn -S�. �GCtK-X� �I� C� Owner's Name —� � wA—' SC�e—%S!�--,-�y� I Address � H� � Arch/Eng. � License No. �'F 7�.210 ! Address 2 ��V - % Ue �.�.p��..��/ '� Contractor'sNam '1 �N %rPFf6ne_Z_[O_=.��T Address Imailing) 'yU� r. �o�� CY c�.�.�c. P s��c� City Licensc No. ��3' 3 � �e�- � LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensetl untler provisions of Charter 9(commencing witM1 section ]000) O( Division 3 ot [he Business antl Protessions Cotle, antl my Ilcense is in fu1 orce antl eftect. License Class �S � r�5e fYg.� Date // 2( ,fi�f- tYdr � �- � -� • � WORKERS' COMPENSATION DECLA'RATION ' hereoy affirm Ihat I have a certificate ot consene to selLinsure or a certificate Workers' Compensafion Insurance, or a certifietl coOY tM1e�eot (Section 4800, Lab. C.) '. Policv t�o.�C��/'�I�'Ci compari 'LIc Q Certifietl copy is hereby fumishetl. _� R�! Certjfjey,qqqy i' e with the city n � Ivi ' Date_(�-'Lo-'� Applicant' - EXEMPTION FROM WORKERS' COMP NSFTION DECLARATION (This section neetl not be completetl if the permit is for one huntlretl ($100) or ICSS). '• I certify lhat in the perto�mance ot the work for which t�is perm�t is issuetl, I , snall not employ any person in any manner so as to become subject to the ' Workers' ComOensa[ion Laws of {alifornia. ' Date Si9nature NOTICE: H, after makin9 this tleclaration, you shoultl become subje<t to the Wo�ke�s' COmpCnzaHon provisions of the Labor Cotle, you mus[ forthwith comply with suc� provi5ion5 or this pe�mit snall be tleemetl �evoketl. CONSTRUCTION LENDING AGENCV 1 hereby aftlrm that there i5 a canstruction IenGing agency fo� the performante of the work for which Ihis permit iz issuetl (Seclion 309] Civ. C.) Lentler's Name lentler's Atltlress OWNE0.BUILDER DECLARATION I hereby affirm lhat I am exempt from the ConVactor's �Icense Law tor the following rea5on (Section �031.5 Husiness antl Professional Code: Any city or county whiGh �equires a permit [o ConStruct, altet, Improve, tl¢m011sh m repair any structure, orior to its issuance, also requires the applicant for such permit t �O 111E d S1911C0 SidICTCOI Ibd� he/Shc Is licensetl pursuan[ to tlm plOVITIOlIS Oi [he Contractor's LI<ense Law (Chapter 9(commencing witn Secllon 7000) of 'Iivision 3 of the Busines5 antl Profe55ion5 Cotl¢) or that ne/she i5 ezempt �erafrom antl the basis for tne allegetl exemptlon. Any violation oi Section D31.5 by any applican[ lor a permil subj¢ct5 the applicanl to a civil �ena�ty of not mor¢ lhan (iva huntlretl tlollars (E500). L1 1, as owner of [Ite prop¢rly o� my employees wilh wage5 az [heir sola compensation, will tlo the work, antl the strucWre is nol inientletl or otferetl for sale (SeGtion ]044, Bu5ine55 antl Prot¢Ssional COtle: The Contractor'S License Law tloes not apply to an owner of a property who buiitls or improves , tnereon, and who tloes sucn work himselt/herzelf or through his or her own employee5, provltletl tba[ such improvements aro not intentletl or offeretl for wle. It, howeveq tho Dulltling cr improvement is soltl withln one year ot com- pletion, lM1e owne� will have tM1e burtlen ot proving he/sM1e tlitl mt bui10 or im- �IOve for Ihe purpOSe O7 sale). LJ I, as owner of ine properry, am ezclusively <on[ractinq with licenzetl con- Vactors to construct the oroject (Section ]044, Business antl Professions Cotle: TM1e Contractor's Litense Law does nol appry ro an owner of Oroperty wbo bu1105 or improves lbereon, antl who wnVac[5 /or such projeGts wlth a con- traG[or(51 litense pursuanl to She ContraCtOr's License l2w). I am aware [hat proof of thei� Worker'S Compensation inzurance Shoultl be providetl to me. ❑ I am exempt untler Section B. & P. C. tor this reason Daie Owner I hereby certi/y that 1 have rea Iniormation is carrect. I a ee to dlltl T[aLC IdWS I¢Id' O 011tll! zentatives of �q cit enter Inspection Ou/p Signature D' s'L' z or55 the above OltlIOdOCBS Z � 54�f 2 TYPE OF CONSTRUCTION L1 NEW�S! ApD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH U OTHER - DESCRIPTIONOFWORK/USEOFBLD� �A .+!U3 PO li S�iN (.2 ��i Lv D�EYR-C�te �PI/c�A�•CC. TVPEOFPERMIT GR DING FOUNDATION STRVCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL ❑ OTHER PROJECTDESCRIPTION 5a�. /pT. �V oCCuaANCv CONSTRUCTIONTVPE `/—� VALUATIONS� ZONE GRADINGCU.YDS. ACRES Remarks: ' � G �C�� Sink Preventer Irrigacion Drinking Fountains Floor Drains . Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavawries Roof Drains Reinspection Fae � $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. IC80 # Heating System & Oucting ❑0-100,000 BTU �100,000 Reinspec[ion Fee � .$15 ^ � nver �cen � � i \` CMF 0865-46, rev. 4/84 Wpite - Builtlin9; Canary - Applicant; Pink - A<counting; Goltlenrotl - Assessor Showers Service Sink - Sewer Cap � Sevaer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Issue Fee Hoodor Typel ❑ Canopy Type I I ❑ Refriq¢ration System 00-100 000 BTU ❑ 100,000 System Repair/AI[eration Isue Fee FEES $ 3 FEES $ 3 A.P. # I 3�i — 5113 - e74 S Main Building: TFront `L�{ � -�-v ARear - Z � .� � Right � S Left �� Pln9. Ret. # Pianning Notes: ��'�,'-�� Q 24ti�C�a�tnP�.t" (bo� 3, 6' �e+Mv�a� oF �' walla 3032 iiiae�e4 Zone Accessory Building: Parking Req./Provided ELECTRICAL Automatic Washe�- Transformer ❑ 15-50 KW Construction Pole Sub. ❑ 50 + KW Cooking Unit Dishwasher ' Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures • Device Boxes O utiets Switches Garbage Dispoul Generetor �0�5 KW �5-15 KW Fee � $15 DEVELOPMENT SEFiVICES Zoning Approved By Building Approved By _ Auoliwtion Issued Bv Meter lJup to 100 amps Meter ❑over 100 amps Sub Panel Morors �0-1 HP O1 fi - B Inc.Solar �9-15 HP �16-15+ Microwave Pole Light Range Sign Standing Sections Trash Compactor Issue Fee �G�lO� TL FEES $ 3 Z O N 1 N G R E � T S. SU RV OF FEES BUILDINGPERMIT $ � SMIP $. �(�3 PLAN CHECK $ 2 PERMIT PLUMBING ,$ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ EIECTRICAL $ GRADING S PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ 'TOTALFEE $ I��SS PLAN CHECK 25% $ CONSTRUCTION ANDPLANNING • POO. SPA � APPROVqLS Permit# Date Inspector p�ppROVALS Permit# Date Inspecior 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding � � 5. Steel Reinforcement � 56. Raugh Plumbing & Pressure Test �6. Electrical UFER Grnd' . 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. �8. Foundation s�� 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. � � � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System, �lg 61. APPROVAL TO DECK 11. Property Sewer Line &•Flouse Connection 62. Backwash & Receptor-Final 12. Sewer Cap ' 63. Heater & Vent-Final 73. Roof Orains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar SYstem-Final 16. Rough Electric Wiring 67. Fencing & Access Approval ' 17. .Rough Wiring Sign . 68. APPROVED FOR PLASTERING 78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 27. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping OGas ❑Oil 23. Gas Pipe�Rough & Test 72. Underground Flush � 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing J�/ �j� �P/ 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat � � 75. Dry Chemical 27. Frame and Flashing �/p 'f �j 76. �rY Standpipe 28. Lathing & Siding � �� f �L 77. FIXED SYSTEM FINAL 29. Insulation % �Z��S F � Ij br� 78. FIRE PREV. FINAL 30. Drywall Nailing J 7 s� �• HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � 3i '�_ 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: SP�l1 oc��C(f.'� /,�1177� (/:lA�"/5��:(- 34. Final Heating & Air Conditioning Z 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 , 43. Backflow Irrigation � _ 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING � / � 0 48. Special Requirements Completed - 49. Electric Release to Edison '50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No, Date ApP��ant to fill in all s0aee5 except �hose wilhin heavy borEer iines antl si9n all appropriate tleclarations. _� ��1'Y OF coSrA mESn CONSTRUCTION PERMIT Project Address S — D �Applicant's Mailing Address � �� 'el Owner'sName �� LS �tYsfS��S-C�GPhone� � Address � � Arch/Eng. � License No. Address ' ' ' � � Contractor's Name�n c� c/,t� c Phone ��Od �� Address (mailing) �' / ' City'License No. � 3 � � � LICENSED CONTRACTOR DECLARATION 1 hereby aHirm that 1 am licensetl untler provi5ion5 of Charter 9(mmmenCing with section 0000) of Division 3 of the Busine55 antl Protessions Cotle, antl my license is in full to� e antl effect. License Class — Lic nse No. Sl �ate �' 7—�5 8i9nature' WORKERS' COMPENSATION OE ARATION 1 hereby aftirm tnat I have a certificate of mnsent to self-insure or a certificate f Workers' compensation Insurance; or a certitietl mpy thereot�(Section 1800; Lab. C.)' " � Policy No. Company , BCertifietl coOY is hereby furnishetl. ' , Certifietl copy is filed with the city Builtling Division. Dafe ' Applicant � EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This secJion neetl not be completetl it the permit is for one huntlretl ($100) or � less). I tertify tha[ in [he performance of the wo�k /or which thi5 pe�m�t i5�i55ue8, 1 shall' not employ any person in any manner So as to be.come subj the Worker Cgn pensa� Laws of Califom'a i�� . . Date �� /—� Si9nature � Q 'NOTICE: It, afte� making Ihiz tlecla�at you shoultl become sub�ect to the Workers' Compensation provisions ot the Labor Cotle, you must torthwith comply witFi such p�ovi5ion5 or tni5 permit shall be tleemetl revoketl. CONSTRUCTION LENOING.AGENCV. . 1 hereby affirm that there is a construttion lentling agency tor the perfo�mance of the work for which this permit is issuetl (Section 309] Civ. C.) LenOer's Name LentleYSAtltlress - __ _ , OWNER BUILDEH �ECLARATION ' I hereby 5fiirm [hat I am exempt from ihe Con[racfor'S l_icense Law for the � following reason (Section ]031.5 Business antl Professional Cotle: Any city or tounty whicM1 requires a pe�miLto cons[ruct, alteq improve, tlemolish or repair any st�ucture, prior to its.issuance, also requires�the applicant tor such permlt to �ile a siqneG statement that he/she is licenzetl pursuant to the provisions of the Contractor's License Law (Chapter 9(commencing with Section �000) of' '�Division 3 ot the Business antl Professions Cotle) o� that he/5M1e is exempt theretrom antl the basis tor lhe alle9etl exemption. Any vlolation of Section 7031.5 by any applicant tor a permit subjects tM1e aOPlicant [O a civll �enalty of not more than five huntlretl tlollars ($500). , U I,- as owner oi the pro0e�ty or my employees with waqes as their sole Compensation, will tlo the work, and the s[ruc[u�e Is not intentletl or offeretl • for sale (Section 7044, Business antl Professional Cotle: The Contractor'S �icense taw tloes not apply to an owner ot a property who builds or improves thereon, antl.who tloes such work himself/he�self or��through his ov her own empioyees, proviaea that such improvements are not intentled or oiteretl for ' sdle. If, however, the builtlin9 or imp�ovement 15 soltl within one year of com- pletioq the owner will nave the burtlen of proving he/she tlitl not builtl or im- p/Ove tor the purpose otsale). ❑ I, as owner ot ihe property, am exclusively contracting with licensetl con- tractorsto constru�t tne project (Section ]044, Business antl Professionz eoae: The Contractor's License Law tloes nof appry to an owner of property who � builds or improves [hereon, antl who coniracts-Por such projecis with a con- bactor(sl Ilcense pursuant-to�the Coniractor's Litense Law). I am aware that proof of SM1eir Worke�'S Compensation insurance 5hou10 be provltletl to me.� ❑ 1 am exempt untler Section 8. & P. C. for this reason Date Owner I hereby.certify that I have.reatl this application antl state ihat tne above iniormation is correct. I agree to comply with all city antl munty ortlinantes antl�state laws relating to builtling construct' ntl hereby authorize revre- 5entative5 ot this city to entef upon t ove-mentionetl p�operty to� inspection purpyg5., /�j � •/ oate � z �� Drivers' Cll��ilS . ' - - - � TYPE OFCONS7RUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER • Ap # DESCRIPTION OF WORK/USE OF BLDG. � - ' ' ' S Main Buildi TYPE OF PERMIT ❑ GRADING. FOUNDATION ❑ STRUCTV RAL • T F�Ont �.❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL, 8 Reaf ❑ �OTHER � ' A , PROJECT DESCRIPTION SQ.FT. �OCCUPANCY C Right K Left CONSTRUCTION TVPE VALUATION $ $ ZONE GRADING CU. VDS. ACRES � Ping. Ref. #� Remarks: � , � (n%q� , Planning Notes: Bar Sink Backflow Preventer • Backflow Irrigation Bathtu6s Clarifiers � � Dishwasher . Drinking Fountains � Floor Dreins � Floor Sinks � � Gas Service • Outlets Kitchen Sink Lavatories P—Trap Roof Drains' ReinspeMion Fee Boiler Duct - Under Ground Duct-SVuc[ural ' Duct - Ventilating Exhaust System ❑ Multi Firepl/Fact. Blt. IC80 # Heating System & Ducting ❑0-100,000 BTU 0100,( painspectian Fee CMF OB65-46, iev. 30/84 White - Builtling; Canary - Applicant; Pink - Accounting: Goltlenrotl - Assessor $15 C' $75 Showers Service Sink Sewer Cap � Sewer Connectiori Solar Collectors Solar Piping . Solar Tank Swimming Pool w/Spa. Urinal Water CloseT Water Heater Water Service Auto-Wash Issue Fee Hoodor Typel� ❑ Canopy ' Type I I ❑ - Fefrigeration System ❑0-700,OOOBTU ❑100,OOOBT System Repair/Alteration Fire Dampers Registers Issue Fee FEES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher . Oryers �Gas ❑Elec' Fan F.A:U. Fixtures-- � Device Bo'xes OULIC[5 � � � Switches .. � Garbage Disposal � 5D3fi I/07/65 I�}a4� TL Zone Accessary Building: . Z O • N I . N G R � 7arking Req./Provided • - E � M � T S ELECTRICAL � � Transformer- ❑ 15-50 KW � ' � ❑50+KW Meter ❑up to 100 amp5 ' Meter ❑over 100 amps Sub Panel Motors O47 HP O i%- 8 � Inc. Solar �9-15 HP 016-15+ Microwave' - ' -- Pole Light ' 0-5 KW 05-15 KW ;Standing Sections Trash Compacmr $ 3 Reinspection Fee $15 Issue Fee FEES ��, DEVELOPMENTSEfiVICESREQUIREMENTS:, • Zoning Approved By � Building Approved By ' � A li i �'�/�� pp cat on Issued By $ 3 :J � r, J FEES $ 3 ; , ' ;SUMMARV OF FEES � � � ' BUILDING PERMIT $ � SMIP� � $ PLAN CHECK $ PERMIT . ' PLUMBING $ � � �ISSUANCE $ PLAN.CHECK 25% $ ENERGV P.C. $ � ELECTRICAL $ %�•i0�) GRADING � $ PLANCHECK 50%,$ ' .3��0 MICftOFILM '$ MECHANICAL $ TOTAL FEE , $ � " � PLAN CHECK 25% $ - • CONSTRUC710N AND PLANNIN(3 POO� a SPA � APPROVALS Permit�h Date Inspeetor AppROVALS Permit� Date Inspector 1. Temporary Electricbl Service or Pole , 52. Pool & Equipment Location _ � '�2. Soil Pipe-Undrgrnd. " 53. Steel Reinforcement � � 3: �Elect(ical Conduit Otility-Undrgrnd. '' 54. Forms 'pI 4. Electrical Conduit-Undrgrnd. . 55.' Electrical Bonding � ' ,5.�'Steet;Reinforcerit�rtt � 56. Rough Plumbing�& Pressure Test ✓ ' 6.'ElActricalUFER;Gird. � 57. APPROVALTOCOVER-GUNITE � �•� �. ,. 7.,Foot�ngs �,,f , 58. Electrical Conduit-Undrgrnd. . "8�:Founiiation ' `' . � �;� 59. Gas Pipe, O Undrgrnd., Test . '' 9;; Water'�Pipe-Undrgrn�l. � j 60. Backwash Lines, P-Trap, O Undrgrnd. 10.�Struotural Floor System 61. APPROVAL TO DECK 11. P�operty Sewer Line; & House Cohnection , 62. Backwash & Receptor-Final :1�2. Sewer Cap �:;. '.' ' ' 63. Heater & Vent-Final - i ,. , ,i,. 13. R�of Drains • - .. � I 64. Plumbing System - Final 14. RoLgh Plumbing: �� , 65. Electrical-Final ' 15. Rbugh �Electricat-'C6{�duit 66. Solar System-Final , -.16. Rough Electric Wiring � a, a � (� 67. Fencing & Access Approval 17. Rough Wiring Sign' 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling �� 69. POOL/SPA SYSTEMS FINAL . 19. Rough Heating & Air.Conditioning FIRE DEPT. REQUIREMENT ' 20. Rough Factory Fireplace � APPROVALS � Permit� � 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventitating 71, Pioduct Piping ❑ Gas OOiI .�� 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑ Gas ❑ Oil 25. Roof Sheathing 74. Overl�ead Hydro 26. T-Bar Ceiling ISvucturaq & Monocoat 75. Dry Chemiol �- 27. Freme and FWshing 78. Dry Stendpipe �•� 28. Lathing & Sidinp . 77. FIXED SYSTEM FINAL. 29. Insuiation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTN DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICA�E ISSUED 33. Final Electric 3 ��j Notes: � 34. Final Heating & Air Conditioning � '� � ' �CE E LKS � /• 35. Final Gas Pipe-Test � � ._ � � . - . 36. Hood or CanOPy ' � � � 37. Final Factory Fireplace - ��. gs � 38. Final Plumbing . 39. Water Service-Final . 40. Gas Service-Final 41. Solar pomestic-Final _ _ 42. Backflow Preventer , 43. Backflow Irrigation � � 44. .Landscape Irrigation System � � 45. Sound Attenuation - � - ., 46. Handicap Regulations � ' 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed , , 49. Electric Release to Edison � - 50. Gas Release to Sou[hem California Gas Co ' . 51. CERTIFICA7E OF OCCUPANCY . . . . . . No. Date � ' � , 28048 C _�,A BUILDING-SAPETY DEPARTMENT OX 9f7 G09TA MBHA. CALIFORNIA � For Applicant to Fill In Completely ?6 Tr, 5492 TYPE OR PRINT pl. 65-A BUILDINO ADDRESS COSTA MESA, CALIFORNIA Kalten NO. OR 9ETBACK LINE FROM S� � CENTER OP 9TRE8T REAR YARD � 61DHYARD LEPT 6 R16HT DESCRIPTION OF WORK NE"' X ALTERATION ADDITION REF...R MOVING DEMOLIBH S�ZELDIN621'72 ,Sq� ROOM98 STORIE EXTERIOR W�L��Cg I ROOF WOOC� COVERING COVERIN6 USfi OP BUILOIfiG AND WORK TO BB PERFORMED S'n e Famil Residence �, i � �T. /.?, �. _ . FIRH ZONH APPROVED ��p r2-6s°,�00 4so* *4*135.75 APPLICATION FOR PERMR BUILDING for Offica Use Only I P[C[IIlNO. _P{11WTN4. IONING NO.OP UBEOPNI PLAN6 2 BUILDINO LlOAL 1V2 oescairtion LOt 6 A. P. NO. NOTE: NOEAVEOVERI 95 90• TO SIOE @ REAR P EAVE8 )oe.o ALLOWED )T YARDSAPPROVED MAIN BUILDIN6 (FROM GL REET) 35 � FR NT � FT. 8 � R. BIDH F7. L.81D8 (J FT. ., r-, r � 2 ' VAR. # r i W. L. 1 XEqEBY ACKNOWLEDO! THAT � HM1VE NEAU TNIB APPLICATION TXH AMOUNT AND BT.�T6 MH ABOVE 18 CORflECT ANO AOpEE TO COM. PUflP058 OP PLY WITH L CITY�p qO�NANCEB AND eTATB LAWB p8alllATING ypLUATION BUILDINO ON9TRIJ�{ION. / �_. _ � AUTMORIZEDA6ENT ,�/ / ,� o�reissueo none 1ANG BHALL BE LE6S TXAN YARDSAPPROVED ACCES60RY BUILDING DATE 1-3-68 Pil��'= /y�°'�� UNpER V�LUATION IB FOR TH8 £ 19NIN0 • PERMIT PHH ONIY. � N PERMITFEE $ �D� � � m o..u�� a.�5�a.s = ,�uo rvvn�� cw7 riaaiu�5� iu-ive b`"ERAL CONTRACTOR Ocmer-Sldr. �.o. 1 9- 43-04 �or T INSPECTIONS ,SOI L b.s �W �TER � OUGH PLUMBIHG PROP. SWR. LINE �_ � HOUSE CON. � SPRINKLING SVSTEM M I SCELL/ NEOUS ROUGN HE�iING AN� MR CONOITIONING TEMPORGRY SERVICE OR POLE UNOERGFOUNO � POWER � AOUGH WIRING iRENCMES I J FOAMS STEEL REINF. FLOOP SVSTEM BONO BEAm —I STEEL REINFORCE SMEnTMING FRqME ANO FLRSNING I.ATHING — IN j � OUT / 'ER.BROWN CORT 5. .CTURnL, FINnL HEATING. VENT., REFRIG. RNO R.C., FINAL PLUMBING. �iN>L ANO GAS TEST ELECTPIL FiN4l BUILOING, FIN4L I DATE 6-1-78 - SUBCONTRACTOR NG PERMIT N0. F � d Q y y rR." F G W � � � a a w w O a a Z W 3 �s�� %C�STA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink BVILDING � �'� `. `-`� � /� �` AOORFSS OWNER : 4 MAI l ADORE55 ~% CIT� CONSTqUCYION BRANCH ADDFESS ciTv G STATE LIC. NO. SIZE OF LOT USE OF EXISTING �/ r' Ly., 2047 1rVpl�%78 18.50 TU . . �+!�i.:....,y q�"_ � . _. C,i�� APPLICATION FOR STRUCI'URAL PERMIT RECEIVEDBV DATERECEIVED npTFICSIIFfI �v�.l�li3M ,..r.rv�. — - . � BUILDING �� AODRESS" n I�r TEL. S:q� TRACT LOT BLOCK NO. 'J � W A / OWNE VALUE ,/r �Q.�J TEL. '� $ %�V '� � fIRE ZONE w TVPE GR UP APPROVED N I �/ IN� TEL. S'[F C ' NO. L p9 Z r CITV LIC. NO. NO.OF BLDGS. J NOW ON LOT $eparate permits are required for electric, plumbing and heating work. UIIDING AND WORK TO BE PERFORMED I haraby ecknowladpa thet 1 have reatl this application and srote that Me above Info�mation is conect antl apree ta camply with all lawa reBulatlnB builtlinp conrtructlon, entl I ahall not employ eny person �� lolatlon ot Ma workman's eompenseNon lewa of Me Stata of Cnlitornla. 1 haraby cert�fy that 1 am proporly Ilcensatl az a contractor untlar the State of Callfornle Busineza antl Professions Cotle, Dlvlsion 3, C�apter 9, a�tl thei eueh Iicenses are in Tull forca antl effact, or I am exempt 7rom Me provisions of the Stete of Californie Buatness and P�ofessl0na Coda, Oivision 3, ChaPtar 9. Sipnetura of /� YI / ' Parmlttea »�-✓�� / ' 6 - t--1� Authorizetl Apant FROM C/L D6TANCE BET TME AMOUNT SI TNE PUFiPOSE OF VAIUATION $ / /�� i, vj VARDS BEf. MAIN ACC6S, el DATE /N UNDER VALU ABUSHING A PEW PERMIT FEE E PLAN CHECK E TAX S TOTALPAID § IS FOR ONIY: n m i m m N 7 m e h n n 0 LL F U vn�v�n y� JOB ADDRESS GENERAL C0� \ i �O� �1 li.=. ECTIONS \ Pool Location , �Forms Main Drain ^ Steel Reinforce Elec. Bond _ Approval to Cqver Underground Electric _ Gas Piping Test Filtering System Lines _ Backwash Lines and Recep. Electrical Final HP^�er and Vent Final _ F . System Final Backwash and Recep. Final Fencing Final TR CC.. �/2-SS� Ci """- 1G-1-(O BUILDING PERMIT N0. Y A. ..�� Q.t� T SUYCOM�RACTOR Electric Plumbing ITS ISSUED Numhcr � $ignnturc r � ��7�2 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Comple[ely — Use Ink Only BUILDING � „ _ � �/ ,_ OWNER � OkN / �'/I�/AM MAIL AD�RESS �FJ^/\t /p TEI. CITY /`�n .ro /��'Gd NO.c BFANCH ADDRESS ARCHITECT � J / .�/ /_ TEL. CONTRACTOR AODRESS �GQ � � TEL. CITV NO.�%%�Y F STATE , CITV � ��.Na. 2375'oZ LI0.N0. {ra 512E NO.OF BLIX'aS. L OF lOT G� D G NOW ON LOT a USE OF � EXISfING Blq(�. ��?�G � FSeparate permits are required for 0 electric, plumbing and heating work. � USE OF BUILDING AND W K T.O BE PERFORMED W � w! td � ..7 a > i' .� a � a 9516 11/27/78 APPLICATION F 5 U�� 8 �'� ��.►�� RECEIVEDBV DATERECEIVED p A.P.NO. I p 'S�3" ERP BUILDING ^ ADDRESS 1 TRACT 3�9z LOT 3� NEW A A R P OWNER iI/ . u ZONE NO.OF USE OF N 2J PLAN$ 2, BUILDING VARDSAPPROVED VARD: MAIN BUILDING ACCE55 (FROM GL STREET) REAR FT DISTANCE BET. MAIN BLDGS. VAR. 9W C.U.P.�W APPROVED /1, � n BEf. MAIN & �2,��1� -� 72.63 TL AIT ��!�3CKT0 . � O�� 'NOVED BUI�DING T. T. � T. b 'T. 6 ! _ � I haraby ecknaw�etlea thai I have read this appllcation antl state � y� that the ebove information ia cortect antl agree to comply with m a all laws rae�ieci�e buildinB construction, enC I shall noi employ i ,Z any person I� ��olation of the workman's compensatlon laws of d � the Stete ot Celifornia. m 3 I hereby ceritfY that I am properly Iicensatl as a contracior under SQ. FT. w iha Stata ot Calitornia Business antl Professiona Cotle, Div(sion 3, THE AMOUNT SHOWN UNDER VALUATIpN IS FOR m Chapier 9, a�d that such ' s era in full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT F E ONLY: " em exampt ftom �ovlsionslot the Stat Iftornia Busln p VALUATION PERMIT FEE E antl ProfesSlo otle, Oiwsi r�3, Cha 9. �+ // PLAN CHECK E SiB�a ra of / � / � Per irtae .9�' �// $ �DOO TAX E LL U Authorizetl Agent TOTAL PAID E '