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Home My WebLink About2250 FOUNTAIN WAY - Building PermitsCITY OF COSTA MESA avn��N6 o►v�s�oN DEVELOPMENT SERVICES DEPARTMENT PERMIT a4a_n� �n� a� PERMIT NUMBER . (714)754-5273 • Ferz(714)754-4856 gUILDING PERMIT nFA1RDRIVE,COSTAMESA,CA92626 Job Address: Suite: Vicinity: Parcel Nunmber: Applicant Address: 2250 W FOUNTAIN WY 93074003 JIM FONTAINE Zoning: Phone: _ — :ZiP:.. � : « J. � ' - ..--�" �,� _ --_��_-- _.-.� , �._ � :'. �: _.._ ._ - — �. - � `��. Owner SCHROEDER.WIL'SON�� "`"� " , , ��t -�� -, "�-� li '��-' � _, I j 1 _ Address ASSOCIATES�j�� S � . ' / ( �� _ � �a ��iAddress:` �'�� / � ,1 I,�� ! � ��'' ' J i � ' , i�r� i (\ � �,4., � lifq � F � / (i i // 2411 CO ` Status: ISSUED Applied: 07/07/1998 Issued: 07/07/1998 'E' � �� , Phone:.. � 11 i '/�1 � / �,_) '��:=, � i J �� / �� `�� _ � --z�p:—szezs=_ �--_ � �� > � � � ; � �. :�-�=>��,� �� >\�� _ �� - ��. ��, �` .; � ��_ i' �`\�\\ �� ' i��. Phone: Ar�� _�; � Zip: �\��'. � �':\ \� i �, � /' � 1 �r- � � � , � f� �� r i " /��, Y AND F AIN W ��, .. �,, Plan Check: ',�„�, $0.00 ��,� �Permit !�,�$9975 �'SMIP Res �„$0.50 SMIP,6orii:i ' �•��,'•;$0.00 '�A Other: ��$0.00 „ , , Inspection: `' ��$0.00 ��J '�.A )�` �,A; \,,, , ' $1 �Totai: . �� License:��708917 �� i � i : r=- �one� 1�'• , �� / / , ,Lice s'e: � --- ' r` � ~'�' � � �- � ��, �\ .� �� i , � -� .�\i�\, �1 ., '�. —'=-r,�� : _ . ' \'` . �q,�`' . ��A �� i_ � � /r, , , i � _ ,^. SCOPE OF PERMIT ��'i' ��'�'• FOURPLEX W/BUILT-UP. ADDRESS INCLUDES�2252, 2254 & 2256 W \ � � � �i � �- r�. � '11�1 A%`i.� � tr� .'�A , .�A �J � . t.a� .,i � �� S_ ' � � ,�-i �C \= _ " -- _`= —FEE'SUMMARY -,°_f i Zn i;�..:"s ^�' 1``�':�, -��j—` _ � ��-� — —�_ _ . .__: � 1� << �I � n_ „ h�.' > ; � � /�J�_�� n k� 2't&'�a. '�i� n rrt _J J� ' Calc Valuation: ge,000.00" � "Claimed Valuation: gs,000.00` ; . _ _ ;� ,� l�E' , 'n r �j ';'/; ��'i,� , �� /;'i: � / `, /J I/; \ � � `;VAi � ,. , ��PLtANNING,& ZONING /fi�/ � � � � �� r '� 7,+/rj--c.��1 � _�. i� ,� � / i, SETBACKS1._ ; � �� T � 1�i;'�/� "n �� ,� i , �/� j y.�i j � / �/ i MAIN STRUCTURE Front 0;-0� � � Rear� 0 0, Y� ��LeR1 � 0 0� Right. 0.0 ��! � i �/ �.� '._ . �.��w __�._s � _ .� �'.. �, � /� /.'� ACCESSORY Front ;0-0 = ( � %Rear, � 0.0 -- -LeR� --0-0 � � Right �.�0-0'��% � � � _I , i � ii ,ri - —�i--� _. '. � , ,//. , PARKING Existina - 0'_� �Requi�ed - -0 � �' - Pr000sed:, �-O,�t� �'i , i"% - � . � i-'� _- -�.' '- �_�. _ . _ . �.�.� . _ `._:J_'��.:-�.. ... - --�.!i .. NOTES: , .-... -. - ...+:r,c,re,...,�.,.:. �• . ; r:-..: . - ' ,. _ �, .�'��'" " — ' EXPIRATION: This permit shall automatically expiie and become void if work is not commenced within 180 days, or if work is suspanded or abandoned for a penod of 1 BO days. INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetlone and flnel approval must ba obtainad. Failure to obtain inspections and final approval will resutt in the expiration oi this permit. FOR INSPECTIONS CALL: (714) 7545626 . � WOR�OMPENSATION DECLARATION: r by irtn under penalry ot per�ury ane of tha tollowinp deGeretions: he and will maintaln e certificete of consent to self-Insure for warkers' campensatlon, es providetl for by section 3700 of the Lebor CoGe, for ihe performance ai the lor which this pertnit is Issued. � I have and will mainlein wotkers' compensatlon insurance, as required by section 3700 of the Lebor Cotle, for the peAortnance ot the work for which this pertnil is issued. My xrorkers' comP� atlon Insurence certier end policy numGer ere: �� / I C�� I�f / Cartier. ��-%/ /t-) ) � Policy Number: y `� y� (Thls secflon need nof be complefed I/ the permiNs valueC ef one hundred dollars ($100) ofless.) ❑ I certity that in the peAortnence o1 the work for whlch this Oertnit is issued, I shell not employ any person In any menner so es to bacome subjacl to the workers' comply�with th ses q Celitomla,��t It I shoultl become sub�ect to ihe workers' compensetlon pmvlslons of Section 3700 of t�e Lebor CaEe, I shall fotlhwlVh / / , / Appllcant Signeture: � Dete: �'1 j1 Y WARNINO: FNLUfiE CURE WORKERS' NMPENSATION COVERAOE IS UMAWFUL AND SW1LL SUBJECf AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE HUNDRED TFKKISAND OOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATIIXJ, DMMGES AS PROVIDED FOH IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby ettlrm thet I an force end eHect. Lim F, Contrectofs Signeture: CONSTRUCTION LENDING AGENCV: with Sec ion 7000) of Division 3 of ihe Busines$ end Professlons Cotle, end my Ilcense Is in full Cless N C-J1 � Date: Y\ "�i ❑ I �ereby etfirm thet Ihere is a construction lenaing agency tor the peMo�mance ot Ihe work tor which t�is pertnit Is issued. (Sec. 3097, CiNI CoCe). Lendets Neme: lendefs Addreu: Slgneture: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirtn t�et under penalry oi per�ury that I em EXEMPT FROM THE CON7RAC70RS LICENSE LAW for the following reeson (Sec. 7031.5, Buslness entl Profassions Cotle: Any Gry ar counry which requires a pertnit to consiruct, alter, Improve, demolish, or repelr eny structure, prlor to IIs issuance, elso requires Ne epDllcant lor such pertnit to file a signed stetament t�at �e or she Is Ilcensetl pursuam ta the pmvisions ot Ihe Conirectors License Lew (Chepter 9(commenGng with Sectlon 7000) of Division 3 of the Business and Professions Code) or that he or she is eaempt iherefrom end the basis for ihe alleged exemptlon. My vidation of Section 7031.5 by any epplicent tor e pertnit sub�ecLs ihe aOP�icant to e ciNl penelry af not more than five hundred ddlars ($500).): ❑ I, es owner of ihe property, or my employees wlih wages as their sole compensation, WILL DO THE WOHK, end the siructure Is not intentled or otteretl for sale (Sec. 7044, Business antl Professlons Cade: The Contrectors Llcense Law tloes not eppty to en owner ot praperty who Oulltls or Improves thereon, and who tloes such work himselt or hereelf or Ihrough hls or her own employees, provldetl Ihat such improvemems ere not Intended or otteretl for sele. If, however, the bulltling or improvement is sold withln one year of complelion, t�e owner-builtler wlll heva the burtlen oi proving thet ha or she ditl not builtl or Improve tor purpose of sale.). ❑ I, es owner of the property, em E%CLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to consiruct t�e praject (Sec. 7044, Business an0 Professians Code: The contrectors Llcense Lew does not epply to en owner ot properry w�o builds or impmves thereon, entl who contrects tor such pro�ect with e wntracror(s) Ilcense pursuant to the Conirectors Llcense Lews.). ❑ I em axempt under sec. Busineu and Protessions CaOe tor Ihis reeson: Signature: Date: Owner ID verifled by tlrivers Iicense. ❑ Yes 0 Na Drivefs License No. Ezpires: Veriticetlon of Ownerehip by (rype of tlxument, I.e. - properry ta�c DIII or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I here6y certify that no excavatlon Ilve (5) or more faet in tlept� into which a person Is requlred to descenQ wlll be mede in connectlon wlth work authodzed by this partnit, entl ihet no building strucNre, scettolding, falsework, or tlemolition or dismentllnp thereof, J+ill be more ihen ihirty-six (38) teet high. (CheD� 32, Grp 2, Atl 2, Sec. 341, 71t1e e, Celtlomle Atlminlstrative Code). ❑ As owner-builder, I will not employ enyone to tlo work which would require a pertnit Iram Na DlNsion of Intlustrlal Satery, es noted ehave, unless such person hes a pertnit to Oo suc� work from tha division. SigneWre: Date: Dlvision of IndusMal Sefety Pertnit Number: CEHTIFlCATE OF COMPLIANCE AND AUTMORQATON OF EHTRY: I certify under penally ot perjury that I have read this epplicetion and state Ihet the Infortnation given is cortect I egree to comply wlt� ell ste�e laws end clry ortlinences releting to building consiruction, end authorize representeNves of the City ot Costa Mesa to enter upon the ebove-described property ior inspedion purposes. I agree no� to occupy or allow occupancy of eny building aulhonzed by this pertnit until final inspection. �QpE/, INSpECiIONTYPE 1618 Fisetl System Final Fire Prevention 7268 � Pool Spe Finel ' ' 200 Flnel RB-Roof 201 Finel BIocWReleining Wall 202 203 204 299848 Finel Fectory Fire Plece Finel Sign Flnel Demolitian � 1�� /� �� `i � � _\ � Dete ! ' �— oate f�pE� msvernoxrrne 206 Flnel Mechanical 208 Flnel Plum�ing 210 Flnel Elecidcel 212 Flnal Fire Prevention 220 Flnal Planning Approvel 222 Final Site 250 FlnalBulltling/Occupancy � �� •. Old Address TRACT 555� New Address 2256 A Anaheim Avenue 2251 Fountain Way East � B 2253 � C 2255 � D 2257 2262 A B C D 2266 A s C D 2272 A B c D 2276 a B C C 2282 A B c D 2286 a B c D Anaheim Avenue Anaheim Avenue Anaheim Avenue Anaheim Avenue Anaheim Avenue Anaheim Avenue 2259 Fountain Way East � 2261 � 2263 � 2265 � 2267 Fountain Way East ' 2269 ; 2271 � 2273 2275 Fountain Way East � 2277 � 2279 � 2281 � 2283 Fountain Way East ' 2285 � 2287 � 228g � 2291 Fountain Way East � 2293 � 2295 � 2297 � 2299 A Fountain Way East '� 2299 B — 22gg c = 2299 D �,_—�- Old Address 2255 A Anaheim Avenue B C D 2261 A B C D 2265 a a c D 2271 A B C D 2275 A a c D 2281 A B C D 'r , 2285 A B c D � _: f Anaheim Avenue Anaheim Avenue Anaheim Avenue Anaheim Avenue Anaheim Avenue Anahei� Avenue TRACT 5550 New Address 2250 Fountain Way West • 2252 - 2254 _ 2256 — 225$ Fountain 41ay West � 2260 ; 2262 � 2264 2266 FoUntain Way West - 2268 - 2270 _ 2272 2274 Fountain 4lay West 2276 2278 2280 2282 Fountain Ylay West 2284 2286 2288 2290 Fountain Way West 2292 22g4 2296 2298 A Fountain Way West 2298 B 2298 C 2298 D �''t» C I T Y 0 F CALIFORNIA C 0 S T A M E S A P. 0. BOX 1200 From the 0£fice of the Planning Department April l� 1965 Mr. A. Stoneman (condomini� - Tract No. 5550) The City of Costa Mesa wishes to advise you that in revising street addresses, the numbers listed below were changed: Old Address SEE AmPACI�D LIST New Address SEE ATTACHED LIST For your convenience we are listing the agencies below that we will notify of this change. In addition to those listed, you may desire to notify your correspondents of the change. rlb cc: Your cooperation in this matter is appreciated. Southern Calif. Edison Co. Southern Co. Gas Co. Costa Mesa Co. Water Dist. Pacific Telephone U. 5. Post Office County Clerk (4) Public Florks Dep� Engineering Dept. Bldg. Safety Street r^i1e Pacific Facility Test Center Bond Department Very truly yours, W. L. Dunn Director of Planning BY : (A �L�:�/ Planning Technician ApPlicant to fill in all spaces exce0< <hose within heavy Oortle� lines anE sign al1 appraoriate tleclarotions. �OF COST�A��MESjA� CONST'RIUCT`IO/NNP� RMIT PER�j N�y �/ TRACT NO. . LOT NO. UNIT NO. �ect Address «�� 'C�%N �I ry i1V�7 &7 �� ^"' �+1 � "� � �SSO � 3, �i. �.3/ Applicant's Maili.n.yg }A�ddress p/� Owner's Nam,e�J -' rn� �,�G' �Lu�1I1� - - Pnh�o,n1e �� ,� Address nZYn1� � G,._ �lTJ� 7' ( W�xj �M�T�/f� riFi{�/Ylrtl� ��. ArGh/Eng. LJM-•� s.. ��N�� License No. �. y� . �' Address 4'� �•d �2T �i �� ""u• "r� Con�ractor's Name� � � Phone , Atldreu(muilingl , Ciry Licenu No. LICENSED CONTRACTOR DECLARATION '� 1 hereby aftirm that I�am licensetl untler provislons ot Charter 9(commencing � wi[h 5ettion ]000) oE� OlviSiOn 3 ot th¢ BUSiness antl Prof¢ssions Cotlu, antl my license Is in �WI force antl etiect. � License Clasz license No. Date - Signature WORKERS'GOMPENSATION DECLA0.ATION 1 hereby af/iim Ihat I nave a certificate of consent to self-Insure or a tertificate ' t Workers' Compensation Insuranco, or a<ertlfietl copy thereof (Section f00, Lab. C.) r olicy No. �� ~ Company I 8 Certifietl coOY �5 Ifereby tuml5hetl. . Certifietl caOY �s (itetl with the Uty Builtlinq Divis�on. , Date APPIiGdnt � EXEMPTION FROM WORKERS' COMRENSATION DECIARATION (Thissection neetl not'be comPletetl if the permit Is Por one huntlretl (E100) or lesst. 1 certi(y thdt in [�e Oe[to�rt�ance 0! the wo�k' fo� which this perm�[ is iiSuetl, I shal� not Cmploy any_person In any mann¢r so as [ D¢come subjec[ [o (he Woikerj��.qmp� tion laws ot Caliy ia. Date j_J��-5i9nature/0� NOTIGE: It, atte* making this tletlafation, you shoultl ecome su je t to tfie Woikers' Compensation provisions ot the Labor Code, you must I thwilh �oR�piy wilh Such� provisions ot lhi5 permit snall DE tleemetl �evoketl. CONSTRUCTION LENDING AGENC�' I nereby alfirm that there is a constructlon Ientling agency for the periormance of the work �or wnich tnis permit is issuetl (Section 3097 Civ. G.) Lentler's Name LendeYs Atltlress � OWNER BUILDER PECLARATION I hereby affirm that I am exempt trom the ConVactor's License' Law for the following reason (Sectbn 7031.5 Buzinezz antl Protessional COGe: Any clry or �pUniy which requires a permit to construct, alter, Improve, tlemolish or repair any.5truclure, prior to its ISSuanta, also �equires the applicani for such p¢rmit to ftle a si9netl ziatement tnat ne)she is licensetl pursuant to tne provisions of the Contraclor'S License Law (Chapter 9.(commencing with Section ]000) of . DIV�sion 3 of Che. Business� antl P�ofez5ions Cotle) o� that he/she i5 examPt. 'he�etrom antl the ba5i5'for Ihe allegetl exem0��on. AnY viOlation of Soc[ion �j1.5 by dny applitant for a permit subject5 Ihe applicdnt to a civil ❑dity of nOt more than flVe nuntlretl tlollars (E500). ,J I, as owne� of tne proPerty or my employees with wd9ls as Ih¢ir 501¢ co�P0en5d[lon, will tlo the work, antl the 5truciUro i5 not intentlatl o� otfetetl tor sale (Section 7044, BUsiness antl PrOte55ional Cotle: The Contra<[or'S Lice�se Law tloes not apply to an owner of a D�operty who bulltli or imp�oves {her¢on, antl who tloes zuch work hiTself/he�self Or Lhrough nis or her own em0�oyee5, Provltletl tnat SUch ImproveTentS are nOt int¢ntletl or of/eretl for sal8. If, however, the builtlin9 or improvement IS soltl wlthin ona yea� ol com- ple<loq the owner will have the burtlen ot proving ne/she tli0 not bulltl or Im- pro�e ior the purpose o7 sal0)f ' �I, as owner ot the prooerty, am exclusivery ronVactin9 with licensetl con- �to�s to cons{�uGt the project (SCCLI00 IO4A� BUSI0055 dI1C PfOf25510l15 COdB: Thd Conlracto�'S License Law does not apply [o an owner ot Property who builtls or imprOves thereon', antl who confract5 to� such proj¢Gt5 with a con- trat�or(zl b<ense pursuant to the Contractor'z Litensa Law). I am aware tnat proof of lheir Worke�'s COmpensation i05urance shoultl be provitletl to fne. ❑ 1 am exempt untler Section�j---- B. & P. C. tor this reason' TYPE OF CONSTRUCTION L`-iNEW U AOD Lu.iCCS.TERATION LJ HEPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER �� DESCRIPTION OF WOR�C /USE OF B qG: �+� �NPa � .a 'f c7 !'nv�� 1 iC UJfx. � . TYPEOFPERMIT GRADING FOUNDATION TRUCTURAL ❑ TENANT ❑ ELECTRICAL � PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5�. FT. OCCUParvcv ' T�� VALUATION $ � � CON STRUCTION TVPF_ ZONE GRAOING CU. VDS. ACRES f Remarks: �7 C ' `� � � � Bar Sink Backflow Preventer Backtlow Irri9ation Bathtubs Clarifiers D�inking Fountains Floor Drains Floor Sinks GasService Outlets Kitchen Sink Lavatories P-Trap Roof Dr ns Reinspection Fee FEES Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tan SwI rfiing Pool w/Spe' rinal Water Closet Water Heater Water Service Auto-Wash � Laundry Treys $75 Issue Fee . S 3 Duct-UnderGround Duct-Svuctural ' Duct - Ventilating Exhaust Sysrem ❑ Multiple ❑ Firepl/Fact. Blt. ICBO � Dato' � Owner �'e / � � — Heating System & Ducting ' --D y`i {J �.(L�"�ibN�E( � I hdreby ert tM1at I have reatl thfs appli<a[fOn antl state Nat the aGove ❑6100,000 BTU 0100 T informatlon is correct. I a9ree [o complY wlth all city antl coun[y ordinances and state law5 fel�t�q t0 builtliog cOnstructlon, antl hereby aJthotiie �epr¢- sentatives of tn�f c' y b ente U on t e abov¢•m¢ntionetl P�o rt to� - " inspection purp s � 7 ff SiqPature � 'U'—" Date � Drivers' License or 55 � - �nspeetion Fee S15 CMF'OB65�46, rev. 30/84 White - BUIltling: Canary-- APPlicant; Pink - Accounting: Goltlenrotl - Assessor Hood or Typel � , . Canopy Typell � Refrigeration Sys[em ❑aioo,000er,u ❑ ,000sru System Rep ' Iteration � F' ampers Registers Issue Fee $ 3 r;, pp pe I i i 3ie7 a.r. # ya 2-/s v- 0 7 zo�a S Main Building: 6L �w� WA�L P.ccessory Building: E r ii T Front /(7 � B A Rear C- Right �(� !: n�r u S� . K Left S � 2S �^ O" V. LO Ping. Ref. # Parking Req./Provided PlanningNotes: G7�.OGi� WqLG.�( � TU C,✓CcoSf p�crr o ,a�Ea . , Automatic Washer Canstruction Pole Sub. Cooking Unit D ishwasher Dryers ❑Gas ❑Electric Fan F.A.U. � Fixtures Device Boxes Outlets Switches Garbage Disposal Generator ❑ KW�C F¢e DEVELOPMENTSER Zoni'ng APProved BY_ Building Approved By ELECTRICAL Transforme� C7 15-50KW O50+KW Meter �up to 100 amps/ Su6 Panel Motors In'. olar I Microwave Pole Light Range HP�1:4�8 15 HP �1645+ Standing Sections 5-15 KW Trash Compaccor $15 � � Issue Fea 39.28 TL FEES 5 3 ta "� i� ._ o�-� Z O N I N G R E � M T S SUMMARV OF FEES'� � BUILDING PERM_I�T3 5� �� SMIP � $ • s�/ PLAN CHECK �'r�ga� pERMiT PLUMBING . $ ISSUANCE $, PLAN CHECK 25% $ ENERGV P.C. ,$ ELECTRICAL $ GRADING� $ PLAN CHECK 50°,6 $ M�CHOFILM 5 MECHANICAL $ TOTAL FEE $ � PLAN CHECK 25% $ �'• �-� � CONSTRUCTION AND PLANNWG POOL & SPA • ' li APPROVALS Permit # Date Inspector qppROVALS Permit # � Date Inspector 1. Temporary Electrical Service or Pol6 52. Pool & Equipment Loca[ion 2. Soil Pipe�Undrgrnd.,• 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd, 5A. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test � 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House ConnEction 62. Backwash & Receptor-Final 12. Sewer Cap � 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL 19. Rough 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 �Gas ❑Oil 23. Gas Pipe-Ftough & Test 72. Underground Flush 24. RoofFraming 73. Undergrnd.StorageTankOGas ❑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. �nsulation 78. FIRE PREV. FINAL • 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electricat Power Meter-Final 80. FOOD CERTIfICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning •35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory 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. FINALSTRUCTURE&BUILDING ��, _� �. - _ �a, 48. Special Requirements Completed ��U G 49. Electric Release to Edison 50. Gas Release to Southern Glifornia Gas Co , 51. CERTIFICATE OF OCCUPANCY No. " Date W l �v � r AVPlicant to fill in all soaces except tnose witnin neavy aoraer lines ana sign all apvropriata tleclarations. qTY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. . i TRACT NO. �OT NO. UNIT NO. Project Address %�'s��2Zn/� t�^? z.fb Ccu,i i�7i/1/� % Applicant's Addr�e�s�s, ��A ' Owner's Name �"`�1 hone Adtlress A��lis�� + Arch/Eng. • License No. Address `-' = ConVactor's Nam 'Z`pLS{�:�Phonne �= ��^A Address (mailing) �N��L�Z � `7 � City License No. 3�� LICENSED CONTRACTOR DECLARATION I hereby affirm that � am Ilcensetl untler provisions of Charter 9(commencing wilh section ]000) Of Dlvision 3 of the Business antl PrOle55ions Cotle, antl my license is in f to-cF• n eifec[. �icense Class s 70. _ix�_`— Oate �� Si9nature ��¢ VORKERS' COMPENSATION DECLA0.ATION hereby affirm that I have a certificate of consent to sali-insure or a certificate of Workers' Compensation Insurance, or a<ertltie� copY tbereof (Sectlon 3800, Lab. C.j __`� 1 Company�,�G�� PolicY No. ��_ � 8 Certifietl copy is hereby furnishetl. Certif�� 't�ro�py rs flled with the Nty Bu tling,pivi��9�I�� Oate ��_L!— APPi�<an[ �O V U"Yl.�-�i' ( E%EMPTION FROM WORKERS' COMPENSATION DECLAHATIO (Thissection need not be <ompletetl if the permit is far one huntlretl (E100� or less). I certify that in the pertormdnce of [h¢ work t0/ which tni5 perm�t i5 65ueQ I snall not employ any perzon In any manner so az to betome subject to the Workers' Compensation Laws of California. Date Signaturc NOTICE: If, after making lhis tleclaration, you snoultl Cecome subject to tne Workers' Compensation Provisions of the Labor Cotle, you must fortnwitlt- comply with' Such provl5lon5 or tnis pe�mit snall b¢ tleemetl �evOketl. CONSTRUCTION LENDING AGENCV ' - I hereby atfirm Ihat tnere Is a constructlon lentlin9 a9ency lor the performance of the work ror which this Permit is issuetl (Sectian 3097 Civ. C.) tRntler'S Namo Lentler's Atldress . OWNER BUILDER DECLARATION 1 hereby atfirm that 1 am exempt trom the ContractorY �icense �Law for the followin9 reason (Sec[ion 7031.5 Business antl Professional Cotle: Any dty or county which requires a permlt to conitruct, alter, improvo, tlemolish or repair any struc[ure, pNor to i[s issuance, also reqWres tM1e apP�icant for suth pormit to file a si9netl statement tha[ he/sne Is Iicensetl pursuant lo the provisions ot the ContracloYs License Law (Chapter 9(commencing wllh SecHon �000) o( Division 3 of the Business antl Protesslons Cotle) or [nat he/5ne is exempt . therefrom antl the basis for che allegetl exemption. Any violation of Section �031.5 by any applicant for a permit subjects the applicant [o a civil �endity of mt mo�e than five huntl�etl t1011a�s ($500). I, as owner oi the property or my employees with wa9es as Ihelr sole mmoenzailon, wiu ao the work, antl iha struc[ure Is no[ in[entletl or of(eretl for sale (P,ection ]064, Business antl Professional Cotla: Tho Contractor's License Law aoes not apply to un owner ot a property wM10 bullas or improves tnereon, antl who tloes such work himself/herself or through his or her own employees, provitletl tna[ such improrements are not infentletl or offeretl for I sale. If, howeveq th¢ bulltling or Improvement IS soltl withln one year 01 Com- ' pletion, the Owner wlll bavE the burtlen ol proving he/Sh¢ tlid no[ bulltl or im- �rove tor tne purposc ot sale). I, as owner of th¢ property, am exUusively Contractlng with IiCensetl con- tractors to construct the project (Section �044, Business antl Pwiessions Cotle: The Contractor's License law tloes not apply to an owner ot property wno builtls o� improves lhereon, antl who contraGts /o� such p�OjeclS wlt� a con- tractor(s1 license pursuant�[o the Contractor's License Law). I am aware [M1at proo( of their Worker's Compensation Insurance zhOultl be provitl¢tl to m¢. ❑'I am exempt untler Seccion 8. 3 V. C. lor this reason Date I heteby certlty [ha[ I intormation is correcL I antl state laws relating t 5entatives of Ihis tliy inspec[ion py7�] se�s. Signature �. � Drivers' License or SS � Owner _ nave reaa inls upon the aDove ortlinances TVPE OFCONSTRUCTION LJ NEW U ADO LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPE OFPERMIT ❑ GRADING FOUNDATION $TRUCTURAL ❑ TENANT ❑ ELECTRICAI. ❑ PLUMBING ❑ MECHANICAL ❑ -OTHER PROJECT DESCRIPTION Sq. FT. oCCUPANCv CONSTRUCTION TVPE VALUATION $ ZONE GRADWGCU.VDS. ACRES Remarks: Sink Preventer Irri9ation Clarifiers Dishwasher . Drinking Fountains Floor Drains Floar Sinks Gas Service Outlets Kitchen Sink Lavatories P—Trep Roof �rains Reinspection Fee $15 Boiler Duct-UnderGround �uct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. BIt. IC80 # Heatin9 System & Ducting ❑ P 100,000 BTU � 100,000 BT Reinspeetion Fee � S75 CMF 0865-46, rev. 4/84 White - Builtltng; Canary - Applicanq Pink - Accountln9; Goltlenrod - ASsessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping� Solar Tank Swimming Pool w Urinal Water Closet Water Heater Wacer Service ('Q Issue Fee Hood or Type I ❑ Canopy Typell ❑ Refrigeration System ❑0-100,OOOBTU ❑700,000 System Repair/Alteration Isue Fee FEES � A.P. # S Main Buildi E T Front B Rear A C Right K Left S Ping. Ref. # Planning Notes: Automatic Washer Constructior Pole Su Cooking Unit Dishwasher Dryers ❑Gas ❑Eli Fan F.A.U. Fixtures Device Boxes OuHets Switches Garbage Disposal Generator �0-5 KW 7936 9/�I/84 Zone Acceszory Building: Parking Req./Providetl ELECTRICAL Transformer ❑ 15-50 KW ❑ SO+KW Me[er ❑up to 700 amps Meter ❑over 100 amps Sub Panel Momrs OO-t HP � 1%- 8 Inc.Solar �9-15 HP 016-15+ Microwave -- Pole Light ' Range Standing Sections 15 KW Trash Compactor FEES Z O N I N G R E Q M T S. $ , 3� � Reinspection Fee $75 laue Fee $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date BuildinB APProved By Date Appliption Issued By �'C% Dat�_.� SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK 5 PERMIT PLUMBING g S•�O �SSUANCE $ PLAN CHECK 25% 5 ENERGY P.C. S ELECTRICAL S GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTi1LFEE $ �•OC7 $ 3 PLAN CHECK 25% $ CONSTRUCTION AND PLANNING PO�_ & SPA •APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil•P`Pe;Undrgrnd. ��,. 53. Steel Reinforcement 3. Electrical�Conduit UiiliEy-Undrgrnd. ' 54. Forms � v �n.. 4. Elect�ical,Conduit-Undrgrnd. 'j ' 55. Electrical Bonding � . y. i�. 5.-Steel�Reinforcement:�� ' 56. Rough Plumbing & Pressure Test 6. Electrical'UFER�Griir�` 57. APPROVALTOCOVER�GUNITE 7. Foo�ings � 1� .. 58. Electrical Condult-Undrgrnd. 8. Found'ation '� � � 59. Gas Pipe, O Undrgrnd., Test . - � �., 9.. Water Pipe-Undrgrn¢: �t ' � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor Sy;iem � 61. APPROVAL TO DECK . .11. Property�Sewer Line'& �fiouse Corinection 62. Backwash & Receptor-Final 12. �Sewer Cap ';� � :,' � 63. Heater & Vent-Final 13. Roof Drains � - .� - 64. Plumbing System � Final 14. Rough Plumbing.' 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final .16. Rough Electric Wiring � 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. 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 OGas ❑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. tathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 9 �Y ('�A 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. Electrie Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date BUjI.If�?j SAFETY DEPARTMENT P. O. Box No. 31T Costa Mesa, Califomia N° 138� � Date G�' � � ' l � CPl'Y OF COSTA 11tESA CERTIFICATE OF OCCUPANCY Building Permit N/o, Etectrical Permit No. Plumbing Permit No Use of Build'wg �'7 -�/ F x �9 hT L� ri �� D i N�� Ttie building located Legal Descdption (See reverse side tor Metes and Bounds) �h^- been inspected and found to comply�ith the provisions of all City of Costa Mesa Ordin- , s applicable thereto for a Group �-1- Occupancy. ISSUED TO: ?` City Building Official�% a_i._4 F_ 1Ze 3 �r 2T�.. n/ "�� %�.�. a-�f •s.�/% (Owner of Building) By ��r - CC: ❑ Original—Owner ❑ lst copy—Gas Co. ❑ 2nd'copy—Edison Co. �yprd copy—File ;�� orm 206 SB P IM 1-80 v 1��0 � � , �.- COSTA MESA BUILDING-SAFETY DEPARTMENT I_ ��e� •� � P. O. BOX 317 COSTA MESA. CALIFORNIA � �O ._ ( `j .._..S�f ll u FOR APPL/CANT TO F/C[ /N COMPLETECY APPLICA.T,ION FOR � pERMIT , - T E OR PRINT _ �/ �-�.t BUILDING:". BUIIDING ��"�cc �/ ''SG t , ' AODRE55 -'szJJ [u�8� [/ - COSTA MESA, CALIFORNIA FOR OFF/CF USE ONCY RECEIPT NO.. PEFMIT NO. .OWNER fQs/D MA�� RECE1IVEO BY OATE RECEIVED �O/NTE ISSUEO ADDRESS ]]1 4,� I �•� , I /�!�/6-j� re�.MIdway BUILDING CITY NO. pDDRE55 ORr"'TENEER W, Jordan No. � COSTA MESA, CALIFORNIA FIRE �/ ADDRE55 S ZONE TYPE GROUP CONTRACTORPgll E Rob C. NO. LcnO6O BYPROVED DATE/OIu �S / nooRess ��' ONING LEGAL I LOT I I 3411 ZONE I NO.OF I USE OF NEW oescAivnorv NO. 1 BLOCK TRAQ P�ANS aUitpiNG APPROVED /?/`y A.P. NO. BV w�/ DATE OF LOT 67 .66 X L3 1 I How orv �ois REqUSRED ALLOWED / ` USE OF (CENTER LINE STJ ^ EXISTING BLDG. FRONT - FI'. ' IN. SETB.�CK LINE FROM cerulEa oF siA[� S REAR YARO6O. L4 R. SIDE � FT. IN. SIOE VARD I LEFT ZO I RIGHT LS .SJ L. SIDE � O FT. IN. DESCRIPTION OF WORK REAR FT. � IN. NF I X II ALTERATION I II ADDITION I REPAIR I II MOVING I II DEMOLISH I � SIZIEoIiL X S RO MS 4 STORIES �L 'J'^�� EXTERIOR WALL ROOF COVERING COVERING Bll�1C ll � USE OF BUILDING AND WORK TO BE PERFORMED 4- lex famil dwell ' I HEREBY ACKNOWIEOGE THAT 1 HqVE FEAU THIS APPLICATION AND SThTE THqT THE RBOVE IS CORRECT RND FGPEE TO COM- TNE AMOUNT SHOWN 11NDEfi VqLUAT10N IS FOR THE PLY WITX ALL LITY OROINANCES ANO ST/TE LAWS REGULiITING �'URPO6E OF ESTABLISHING A PENMIT FEE ONLY. euitoirvc coNsrRuciiOrv. VALUATION [� SIGNATURE OF � i�/ (.�Q PERMIT FEE $ 'y] �—� -PERMITTEE f,� �j(/ \`�� !�` $ � � PLAN CHEGK $ Ql 7�� 1 �j AUTHORIZED AGENT TOTAL FEE $ 7J �� , • ; ,�-,; �():p; ;� . CCSSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31� COSTA MESA. CALIFORNIA fOR APPL/CANT TO F/LL /N COMPLETECY Z b . TYpE O �PeRIN BUILDING . _ _ a-� // _ / " �� COSTA MESA, CALIFORNIA OWNER Paul E Rpbertson Inc ADDRE55 ��l ne$t 19�h Jtreet TEL. y++��I� CITY COBC$ MCIB$ NO. O'• 1 ORru'TENEER W .TOTd$R No: C-1449 ADDRE55 771 West 19th Coata Mesa P� E Robertson ZEC STATE ��060 CONTR LIQ NO. ADDRESS 77� West 19th g6sta Mesa LEGAL __ _ I LOT 1 I �. �� I r��y�.i Y OF LOT 67 .66 x 135 .14 I NO. OF BL�GS. NOW ON LOT SETBPCK LINE FROM CENTEa oF S1eEEr 90 .14 REAR YAI SIDE VARD ILEFT 19.16 IR�GHT H. DESCRIPTION OF WORK .._. I RII.._��._.�..I II.�..,_. REPAIR �� II MOVING I II DEMOLISH S ZIE DING� 7[ 4O ROOMFy III �I ��5 � EXTERIOR WALL ROOF COVERING W��d COVERING $uilt UF1 USE OF BUILDING AND WORK TO BE PERFORMED 1 HEREBV qCHNOWLEDGE THAT I MRVE RERO THIS APPLICATION AND STATE THAT THE ABOVE IS CO ECT AND AGREE TO COM- PLY WITH ALL GITY ORDINTNCES PN STATE UWS REGUL.4TING BUILDIN6 CONSTPUCTION. SIGNATUREOF i1 .�{I � .� : �aIOY.[ ].iY{�•] , _ , . .. , ��:.�� J ��_ ��-i�i•� � in!�',":CE DEPi. o <<. APPLI CA7'1 ONC�FOR_�PERM IT BUILDING foR afficE usF oHcy I RECEIPT NO. I�g �T�`� V aJ� Y �A E REC IVEO �ATE ISSUEO jC� � 5n_G�� '�,� ii � COSTA MESA. CALIFORNIA FIRE ZO ` I NO. OF PLANS APPROVED . BV �'./J � VARDS '�l REQUIREO ICENTER LINE ST.) � R.SIDE IING I USE OF NEW BWL�ING, /�e � }�My ( f AJUI -� /� DATE ,1�' �Y�_ 1 EVES ALLOWED T. ',�✓' IN. T: � IN. 'T. IN. T. IN. THE AMOUNT SHOWN UN�ER VALUATION PUFPOSE OF ESTNBLISHING A PERMIT VALUATION �{e� PERMIT FEE $ g � " �O PLAN CHECK $ TOTAL FEE S i THE ONLY. , �. 1=