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Home My WebLink About2807 FRANCIS LN - Building Permitss � (714) 754-5273 • Fax (714) 754-4856 •�v+ww.ci.costa-mesa.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 dobAddress: 2807 FRANCIS LN Suite: Vicinity: MASTER BEDROOM/BATH Parcel Number: 14133109 Applicant: JEFF NUNN Address: 1815 KINGLET CT COSTA MESA, CA � Owner: MAC DONALD, THOMAS H Address 2807 FRANCIS LN ' 'COSTA MESA, CA � Contracror: NUNN CONSTRUCTION Address: 1815 KINGLET CT COSTA MESA, CA Zip: 92626 ' Arch : Address: Zoning: R1 R1 Phone: 714-556-3750 , Zip: 92626 Phone: Zip: 92626 Phone: (714) 556375 License: 481751 ISSUED BY: Status: ISSUED Applied: 07/29/2003 Issued: 09/11/2003 Eng: Address: � - " Phone: � Phone: � � Zip: " . License: License: SCOPE OF PERMIT ADD 218 S.F. TO EXISTING S.F.D. WORK TO INCLUDE: EXTEND THE EXISTING MASTER BEDROOM W/BATH AND RELOCATE EXISTING FIXTURES. ADDITION IS ONE STORY. - - EXISTING 3 BEDROOM, 2 BATH S.F.D. TO REMAIN THE SAME. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $217.91 $335.25 $2.06 $0.00 $0.00 $0.00 $555.22 SETBACKS �� MAIN STRUCTURE Front 20- 0 ACCESSORY Front 0- 0 PARKING Existina: a FEE SUMMARY Rear 22-5 Rear 0- 0 �Required: 4 Calc Valuation: Sz0,sa3.zo Claim Valuation: So.00 PLANNING & ZONING Le(t 5- 0 Left 0- 0 Proposed: 0 Right 8- 9 Right ' 0- 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regula�ions. (Ord. No. 92-28, § 1, 12-21-92) . EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all epplicable codes, and all required Inapeetlone and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 �� 2d48J8 (8�00) WORKERS' COMPENSATION DECLARATON: �� I �ereby eHirm U�der penalry of perjury one ot the tWlowing declaratlons: ❑ I heve and will maintein e certlticete of consent to self-Insure for workers' compensetion, es provided for by sedion 3700 of the Lebor Code, for the pertormence of the work ror wnlch this pertnit is Issuea. I heve arid will malntain workers' campensatlon Insurence, as required by sectipn 3700 oi the Lehor Code, for Ne pertattnance o} Na work for wMch this pertnit I5 I55ue0. My wo fs' compensatr1o'� Insurenc1e �cerrier and policy number ere: Carner. �Q� �C'l3f�Yl PolicyNumber: �f'i��=�' b� (Thls sectlo n ed no e con lefod lllhe permit is veluetl et ane hundred dollers ($100) or less.) ❑ I cenify Ihat in the compensa�lon law comply wlth thesa Applicant Slgneture: _ WFRNINO: FAI�URE TO SE of the work for which Ihis pertnit is Issued, I shell nol employ eny person in eny manner so as to become suD�ect to Ihe workers' i, en0 egrea that' I shauld Eecome sub�aq lo the workers' compensatlon provisions ot Sectl n 3700 at the Lebor Code, I s�all fort�with oe�e: � � �� I c� COMPEI SAi10N CWEMOE IS UNUW FUL M!D SMHLL SUBIECT AN EMPLOYER TO CRIMINAL PE TIES D CNIL FlNES UP TO ONE NUNDRED 1 iOTHE TOFCOMPENSATION,DAhNGESPSPROVI�EDFOHINSECilON3]OBOFTHELABORCOOE,IMEREST,ANDATTORNEI"SfEES. LICENSED CONTRACTORS DECLARATION: I hereby aRirtn thet I em cense unAer pr vi io oi C q_�commencing with Sectlon 7000) ol Division 3 af the Buslness tl Pr fessions Code, end my Iicense is In full faroe end eHect Llc. q J Cless R Contwcrofs Slgneture: Date: CONSTAUCTION LENDING AGE ❑ I hereUy eftirtn that there is e construction lending agency tor Ihe peAormance oi ltie work ior w�ich this partnit is issuetl. (Sec. 3097, Civil Cocle). Lentlels Neme: Lendels Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby eXlrtn tnat untler penelry at perjury,that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW far the tollowing reason (Sac. 7031.5, Business entl Professions Cotle: Any ciry or wunry which repuires e permit.to conswct, eltar, ImD�ove, tlemolish, or repalr eny struqure, pnor to Its i55uance, also requires the epplicaN tor such permit to tile e slgneC a�atemem thet he ar she is licensetl pursuent to the pmNsions oi the Contreaors LJcensa Lew (Chepter 9(commencing with Sectlon 7000) of DlNslon 3 of tha Business and Prolessions Code) ar t�at he oi she is-exempt iherelrom entl ihe basis br the allegetl ezemption. Any Nolation af Sectian 703L5 by eny epplican� tor e pertnit subjecls ihe eppl{caM to a civll penelry W na moia then SiJe hunCraO doifars ($SW).): ❑ I, es ownef o� the properry, or my employees witli wages es their sole compensatlon, WI�L DO TME WORK, entl the structure Is not intentled or oXareC 1or sele (Sec. 7044, Business end Prolesslons Cade: The Contractors 19cense Lew does not epply to en owner of properry who builCs or Improves ihereon, antl who Uoes such work �Imself or herseli or I�rough hls or her own employees, provided thet such improvements ere not intentled or oHeretl for sele. It, however, the building or Improvement Is saltl within one yeer oi complotjon, Ihe owner-builde�will'he`ve�tfie Curden of proving that he or she did not Guild or improve for purpose of sale.). ' ❑ I, es ownef oi the property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professlons Code: The contrectors Llcense Lew daes not eppty to'an owner ol property who bullds or Improves Ihereon. end who contwcis for such pro�ect with a cantractor(s) licanse pursuent to the Contrectors License Laws.). ❑ I em exempt under sec. Signeture: Ownar ID vertlied by drivefs license. ❑ Yes VedBcetlon of Ownership by (rype of tlocument, i.e. Business end Protessions Code lar this reason: ❑ No Drivefs License No. properry tex bill or tleed): Oate: Empires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON: ❑ I hereby cehify that no ezcavetion five (5) or more feet in depth Into which a person Is requlretl to tlescend, wlll be mede in wnnection with work authodzed by this permit, and that no builtlinp siruclure, sceflolding, falsework, or demdition or dismentlinp thereol, will Oe more than �hirty-sia (36) feet high. (C�ep. 3.2, Cary 2, Art 2, Sec. 341, Title 8. CalHomla AdminlstratWe Code). ❑ As owner-builtlar, I wi11 not employ a'ryone to do wofK xTlch would require e pertnit trom the Division ot indusirial Satery, es noted eDove, unless such person hes e pertnit to dP suc� work trom the divisfon. . Signature: Date: Division oi Intlusiriel Satery Pertnit Numbec CER7IFlCATE OF COMPLIANCE AND AUTNORQATION OF EMRV: I certity under penelry of perjury that I �ave read this application end stete that ihe Intortnetlon given is correct. I egree iP �omply with ell state lews and ciry ordinences releting to builtling conslructlon, end euthorize representatives ot �he Clry o� Coste Mesa �o enter upon �he ebova-descnbed p�operty for inspection purposes. I agree not lo occupy or ellow occupency of eny building euthorized by Ihis pertnit until finel inspection. cooe �. 7618 Fixetl Sys� ' al Fira Pr 1288 Pool Spa Final 200 Finel Re-Roof 201 Flnel BIocWRelelning Wall 202 Flnel FaGtory Fire Place 203 Flnal Sign 204 Final Demolition jffejE �� Fj INSPECiIONTTE 206 Finel Mechanical 208 Final Plumbing 270 Final Electrical 212 FIneI FIre Prevention 220 Finel Planning Appravel 222 FInalSite 250 Final BuildinyOccupanc,y � Date PAg �Lfl (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.cos�a-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 1ob Address: 2807 FRANCIS LN Suite No Vicinity: Parcel Nunmber: 14133109 Applicant: NUNN, JEFF ' Address: 1815 KINGLET CT� � � COSTA MESA, CA � �� . /� „ � Owner; ' MAC DONALD; THOMAS H Aiidress 2807 FRANCIS LN / . � COSTA MESA, CA PLUMBING PERMIT Phone: (714) SSG3750 Zip: 92626- � Phone: Zip: 92626 Contractor: 'NUNN CONSTRUCTION Address: � � 1815 KINGLET CT �- � . � � � Phone: p14) 5563750 COSTA MESA, CA Zip: 92626 � License: 481751 Aich / Eng : . . -' � —•. , , � Address: Phone: _ Zip:. � - , ` License: Status: ISSUED Applied: 09/11/2003 I ssued: 09/11 /2003 ISSUED BY: . �'i C/ / SCOPE OF PERMIT " ` � �ADD 218 S.F. TO EXISTING S.F.D. WORK TO INCLUDE: EXTEND THE EXISTING MASTER BEDROOM ' � W/BATH AND RELOCATE EXISTING FIXTURES. ADDITION IS ONE STORY. . ' . � . _ �� .. . .. �� EXISTING 3 BEDROOM, 2 BATH S.F:D.-TO REMAIN THE SAME. REF.: 803-01293 - , '`.` - PLUMBING TO INCLUDE: 1 SHOWER, 1 WASH BASIN, AND 1 WATER CLOSET. � � - " ISSUE FEE � Backflow irngation Backflow Preventer Bathtub Clarifier System Connect Qce,Sotla,e[c) Dental Units Dishwasher Drain, Floor AMT QTY � $23.50 ' . ' $0.00 � 0 � ��$0.00 � 0 $0.00 0 $0.00 � ., � 0 � $o.00 � � 0.. �` $0.00 0 $0.00 0 $0.00 0 FEESUMMARY AMT Laundry Tub / Washer_ $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 ' Process Piping (per 10 ft) $0.00 . Receptors ' „_ , $0.00 Septic Tank $0.00 Sewer Cap for Demo � - -$0.00 Sewer Connect $0.00 QTY 0 0 0 0 0 0 0, 0 0 Sump Pump ; ,. � Swimming Pool - � Trap Pnmer� � Urinal Vacuum Brkr Bkflow(1-4) -� Vacuum Brkr Bkflow(5+) � � Wash Basin Wash Basin Set Waste and Vent System AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.80 $0.00 $0.00 aTY 0 0 0 0 0 0 1 0 0 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a pe�iod of 180 days. INSPECTIONS: In order tor the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspectlons and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 " � [46tl-9E �fYW � WORKEflS'GOMPENSAnON DECLARAnON: �� I here6y aHirm under penalry of p��ury one ot the tollowing declarations: ❑ I �ave entl wlll meintain a certiticete of consent to self-Insure for workars' compensetion, es proNded for by sectlon 3700 ot the Lebor Code, for the pertortnence ot the work for w�ich thl5 pertnit is issued. �I have end will maintain woAcers' compensation insurence, as required by sectlon 3700 of Ihe Lalwr Coda, for Ne peAormance of the work tor which Nis permit Is issued. My work penution I ance cartier and policy number ere: Carrier. � A \� Pdiry Number. � �� (71�is sectlon n� n f be plet� �Tfhe p it !s velued et one hundred dWlars (5100) or /ess.) �� ❑ I certify Ihat in Ihe pertormance o� ihe work for which ihis pertnit is iuue4 I shall not employ eny person in eny manner so es to become subJect to the workers' compensation laws of Californle, anA egree that if I s�oultl becoma sub�ect to Ihe workars' campensatlon proNslons of Seq4 n 3700 f the Labor Cotle, I shell tort�wflh � comply with Ihese provision3. Applicant Signamre: Date: 1 � � i WARNING:FNLURETOSEWREWOW�ERS'COAIFENSATIONCOVERAGEISUNLAWFULANDSMALLSU&IECrMIEMPLOVERTOCPIMIWLLP ALTIES IDCMLFlNESUPTOONEHUNDRED TFIOUSAND DOLIARE (S10J,000), IN AODfTION TO THE COST OF COMPENSAiION, DAAIAOES IS PROVIDED FOH IN SECr10N 3)OB OF THE UBO ODDE, I EREST, AND ATTORNEI"$ FEES. LICENSED CONTRACTORS DEC�AnON: I hereby atfirtn thet I am farce enA ettect Llc, a_ Contradof5 SlgnaNre: oi Chepter 9(commencing with Section 7000) ol Division 3 of Ihe Bi Cless p Date: _ Code, end my Ilcense is in full CONSTAUCTION LENDING AC.�NJC7/: � { ❑ I hereby a1Ti�m that there is 9 cons�ruction lending egency for ihe peAortnence ot the work for which ihis pertnil is issuetl. (Sec. 3097, Civll Code). Lendels Nflme: Lendefs Atltlress: Signature: Date: OWNER-BUILDER DECLAFiATONS: I hereby eHirtn thet untler penalry ol perJury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reasan (Sec. 7031.5, Business end Professions Cotle: Any city or county which requires e pertnit to construct, elter, improve, demolish, or repeir eny siructure, pnor lo its i55uance, elso requlres the epplicant tor such permit to iile e signed stetement ihat he 0� she Ls Iicensed pursuent to the proNsions oi the Contrectors LJcense Lew (Chepter 8(rommencing wilh Sectlon 7000) o} DlWsion 3 ot ihe Business and Professions Cotle) or Ihet he ar she is exemp� Iherefrom end the Dasis for the elleped e:emption. Any Ndation of Sectlon 7031.5 by any epplicent tar e permit sub�ecis the epplicant ro e civil penalry of not more Ihan flve huntlretl dollars (5500) J: ❑ I, es owner of the property, tl� my emplayees with wages as I�elr sole campensellon, WILL DO TME WORK, end the structure Is not Intentle0 or ofleratl tor sflle (Sec. 70d4, Business and Protessions CoGe: The Conirectors License Lew does nat eppty to an owner ol properry who builds or improves theraon, flntl who does such work himsetl ar herselt or through his or �er own employees, providetl Net such Improvements ere nol IntendeA or oflered for sele. II, however, t�e bvilding or improvement is soltl within one year at comp�etion, ihe owner-builder will heva the burtlen of proving iha� he or she did not buil0 or Improve far purpose of sele.). � ❑ I, as owner of the property, em E%CLUSIVELY CONTRACTING WI7H LICENSED CON7RACTORS to wn5truct Ihe project (Set. 70a4, Busineu end Prolessions Cotle: TTa contrectors License Lew tloes nat apply to en owner of property who 6ullds or impraves thereon, and who contraqs for such pro�ect with e contractor(s) license pursuant ro the Cantlactors License Lews.). ❑ I em exempt under sec. Business and Protessions Code for this reason: Signature: Date: Owner ID verifeC Dy tlrivefs IicenBe. ❑ Yes ❑ No Drivers Licensa No. Vedticetlon of Ownership by (rype ol document, i.e. - Oroperry te�c bill or tleetl); Ezpires: DIVISION OF INDUSTRIAL SAFET' PERMR CERTFICATION: ❑ I hereby cartity Ihet no excaVetion tHe (5) or more teet In depth into which e person is required to tlescend, vrill be meCe in connectlon with work euthorized Dy this pertniL antl thet no Duilding strudure, scatfolding, falsework, or tlemolition or dismaniling thereof, will be more then thirty-six (36) feet hiph. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Celifomla Admin�siretive Code). ❑ As owner-builder, I will not employ anyone to do work which would requlre e Dermit iram Ihe Division of Industnel Sefery, es notetl ebove, unless such person �es e pertnit to do suc� work trom Ihe Civision. Signatura: Date: Division of Indusirial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certiy under penelry of perjury Ihet I heve read thls epplication end state ihet the Intormetlon given is correct. I agree to comply with ell slate laws end ciry ordinances relating to buil0ing constructlon, entl euthodze represematives of t�e City of Coste Mesa to enter upon the ehove-described proper�y for inspectlon purywes. I eg�ee not to occupy or allow occupancy of eny building euthorized by this pertnil until finel inspection. CODE I. 1618 Flxetl System 1268 Pool Spa Flnel 200 Finel Re-Roof 201 Finel BIocWReteining Well 202 Final Fectory Fire Place 203 FinalSign 204 Final Demolition QAIE I[�L8 COOE� INSVECTIONTYPE 208 Final Mechenical 20B Finel Plumbing 210 Finel Eleddcal 212 Flnal Fire Preventlon 220 Flnel Planning Approval 222 Final Site 250 Final Building/Occupancy Qag. I�IDd:$ 12-0 .� (714) 754-5273 • Fax (714) 754-4856 • www.ci.COsta-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 2807 FRANCIS LN 14133109 '. Applicane NUNN, JEFF Address: 1815 KINGLET CT COSTA MESAiCA - Owner: MAC DONALD, THOMAS H Address . 2807 FRANCIS W � COSTA MESA, CA � . � , Contractor: NUNN CONSTRUCTION Address: 1815 KINGLET CT COSTA.MESA, CA Phone: (714) 55G3750 Zip: 92626 Phone: Zip: 92626 Phone: (714) 5563750 Zip: 92626 License: 481751 Status: ISSUED Applied: 09/11/2003 Issued: 09/11/2003 ISSUED BY: �� ' . '. SCOPE OF PERMIT . ADD 218 S.F. TO EXISTING S.F.D. WORK TO INCLUDE: EXTEND THE EXISTING MASTER BEDROOM WIBATH AND RELOCATE EXISTING�FIXTURES. ADDITION IS ONE STORY. EXISTING 3 BEDROOM, 2 BATH S�.F.D. TO REMAIN THE SAME. REF.: B03-01293 ELECTRICAL TO INCLUDE: 4 LIGFiT FIXTURES, 10�OUTLETS, AND 6 SWITCHES. ISSUEFEE. - • Temp service test Res.�a/c package New Res (1-2 units) New Res (9+units) Pool / Spa � � Lighting FixLs Recept OuUets Switches Non Res Appl � , Res Appl Service to 200a Service to 1000a Service over t000a Motars to ihp Motors to 10hp Motors to 50hp Motors to 700hp $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 54.40 $11.00 $6.60 $0.00 30.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 0 4 70 6 0 0 0 0 0 0 0 0 0 FEESUMMARY .Temp Dist System / Lighting ' � Busway /100 ft � Standing Section- Misc Electrical Equipment . Transformers up to 1 kva/kw ................up l0 70 kva/kw .................up to 50 kva/kw .................up to 100 kvalkw ..................over 100 kvalkw Low Voltage Equipment Low Volt Winng System / Ckt Misc. Conduit � . Misa Conductor . , Circus ( gen or nde) Circus (mech ride or IighLS) - Christmas Tree Stand � Fireworks Stand Other Electrical Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 � 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 NOTICE: The work authorizad by �his permit shall comply with all applicable handicap access requirements under Califomia statutes and reiated regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or ebandoned . for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, Such work must c'omply with all apD��cabla codes, and all requlred Inspectlons end finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 zaers �eroo) WORKERS'COMPENSAnON DECLARAnON: '�' �� I hereby ettirm under penalry of per�ury one of the following tleGaretions: ❑ I heve end wlll meintaln e cenlficete of consent to self�lnsure for workers' campensetlon, es pravitletl for by sectlon 3700 0l Ihe Lebor Code, for the peAormance ai �he �work for Which t�is pertnit is issued. I heve en4 ��I maintaln workers' compensatlon insurence, es required by sectlon 3700 01 Ne Lebor Code, for Ne peAortnance of the work for hkh Nis pertnit is'�s5ued. My w re' compensallon Ins ce wrner and policy numher ere: �� _ f Certier: � �� PoliCy Number: �� (Thls sectlon n naf complere�the permitis ve/ued ef one huntlred dollars ($100) or less.) ❑ I cenify that in ihe compansation lew wmply wiN these Applicant SlpnaNre: _ WARNINO: FAILURE TO SE hKK1SHND WLUIRE (E10 of tha work for which Ihis permll Is Issue4 I shall nat employ any person in any menner so as to Decome su6je�N ta the workers' end egree Ihat if I should become sub�ect to t ensation provlslons of Sec on 3700 f Ihe LeDor Code, I shall forthwith /�L Date: V � fiOMP lSATION CAVEqAOE I$ UNUWFUL AND SNALL SUBIECT AN EMPLOYER TO CfiIMINAL P IALTIES ND CML FlNES UP Tp ONE HUNDRED TOTMECQSTOFf.OMPENSATION,UAAMGESASPROVIDEDWRINSECfIIXJ3%OBOFTHEUBORCODE,I RESi,ANDATTORNEV5FEE5. LICENSED CONTRACTORS DECLARATION: I hereby aHirm thet I em Ilcense u tler prov' ' af CheDter 9(cammencing with Sectlon 7000) of Division 3 of the Business end Protessions Code, entl my license Is In full force en0 ettecL Lic. N Cless M Contractofs Signature: Da�e: CONSTRUC71tlN LENDING ❑ I hereby aK�� that thare is a consUuctiw� landing agency lor the pertortnence ot the work for which this peimN Is iuue0. (Sec. 3097, Cidil Cotla). Lentler's Name: Lentlers Address: Signeture: OWNER-BUILOER DECIARATIONS: Date: I hereby emrm t�at wAer penelry ot perJury thet I em EXEMPT FROM THE CONTAACTORS LICENSE LAW for the tollowing reeson (Sac. 7031.5, Busineu end Professions Code: Any ciry o� �ounry which requires e pertnit ta construct elter, Improve, demalish, or repair eny siructure, pnor to Its Issuance, also requires the applicent tor such pertnit to tlle e signed s�etement thet he or she Is Iicensed pursuent to the provisions M ihe Contredors License Lew (Cheprer 9(commencing with Section 7000) of Dlvlsion 3 of the Business end Pfofesslons Code) ar that he or she is exempt therelrom end the basis for the elleged exemption. Any Woletlon ot Sectlon 7031.5 by any applicant for e pertnit sub�ecis iha eppllcant lo a civll penelry ot not more than five hundrea tlollars ($500).): ❑ I, as awne� of ihe properry, ar my employees with weges as iheir sole compensation, WILL DO THE WORK, and the siruclure Is nol intendeA or otteretl for sale (Sec. 7064, Business and Professlons Cade: The Contrecbrs License Lew does not apply to en owner of properry who builds or Improves thereon, and who does such work himself or herseN or t�rough his or her own employees, provitled ihet such improvemenis ere not Intended or oXered tor sele. If, however, ihe bulltlinp or Improvement Is soltl wilhin one year oi completion, iha awner-builder will heve �he burden oi proving ihet he or s�e did not builtl o� Improve for puryase of sele.). ' ❑ I, es owner oi iha property, em EXCLUSIVELV CONTqACTING WITH LIGENSED CONTRACTORS to canstruct ihe pro�ect (Sec. 7044, Business antl Professions Code: The �ntrectors License Law does not epply to en owner of property who Dullds or Improves thereon, entl who contrects 1or such project with e con�racror(s) license pufsuant to the Contrectors License Laws.). ❑ I am exemp� untler sec. Business and Professions Code lor this reason: S{gneture: Date: Owner ID verilied by drivers license. ❑ Yes ❑ No Drivers License No. Expires: Vedflcetlan oi Ownership by (rype of tlocument, i.e. - D�aCenY �e�c bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMR CEHTFICATON: � I hereby c6hify that no excevation five (5) or more feet In Cepth Into which e person Is requiretl to tlescend, wlll be mede In connectlon with work euthorizetl by this pertnit, and that no building structure, scallolding, falsework, or Aemolition or dismantling Ihereof, will be more ihen Ihirry-sia (3fi) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, TIIIe 8. Celifamla Adminlstretive Code). ❑ As owner-puilder, I will not employ anyone to da work whlch wauld require e pertnit trom Ihe Division ot Intlustdal Sefety, es noted above, unless such person has a pertnit to tlo such work irom the division. Signeture: Deta: Division oi Indusinal Sefery Permit Numbar: CERfIFlCATE OF COMPW WCE /WD AUTHORVATION OF ENRiV: I certify under penelry of perjury that 1 have read this epplication and stete Ihat 1he infortnatlon given is correct. I egree to compty wlth ell stete lews enO ciry oMinences relaling to bullding constructlon, and autnonze represeNetives of Ihe Ciry oi Costa Mese to enter upon Ihe ebove-descnbed p�operty for inspection purposes. I egree nol lo occupy or allow occupancy oi eny building euthonzed by Ih�s permit until finel inspection. CODE �. 1816 Fixed System Finel Flre P 1288 Pool Spe Final 200 Final Re-Roof 201 Finel Blo�k�Relaining Wall 202 Finel Fe�ary Fire Place 203 Final Sign 204 Final Demolition � I�� CODE 1 INSPECTION TYPE 20fi Final Mechflnical 208 Finel Plumhing 210 Finel Electdcal 212 Finel Fire Preventlon 220 Final Planning Approvel 222 Final Site 250 Final Building�Occupancy Q� 1t�L5 a l�nessaewimxi 2807 FRANCIS LN awr+ercswweiva,oxm: HOOTH, SARAH ANN TR �oonEs% 1874 PAROS CIR COSTA MESA,CA 92626 �cr�. uuur+a �oonEss: �qCXRECT OR FN�lEEA: MCIl01i EN6'4/�DDXF55: wr+rn,�crarsxu� JNL ROOFING CQAFACTOR'4YYIW0 7262 YELLOWTAIL DR .00aEss H . B . 92648 LICENSED COMflACTONS OECLAF�TION: I Mreby eflim (aomm.rc ro w:lh Ssction ]000) d oNuion 9 d the &ri�nn �� uc. NoJ:y uc. cuss: C- 3 Dus' / _/` �`� Came uc xo_ uNr: VNf: (714)536-1816 CA uaxo: 648337 uHt: �y mm i� r�,�e � wa+� a cneq« u �ode. n m tW fau eM Mlee. 64 3 7 EXP: OW N 9UILDEP DECLANATION: I hentr/ elfirm urdx p�uJ W c' ihj I�n ezamq hwn tM Commfm licwua lrw ta IM wrp �aum (Swion �mt.s &aiaaa erd Fdenbns Cade m m4n�/ wvai nawea a o�e io mrwn. en«. :nome. dand'eh, m repai eny elrucWn, pna io ua eeuence, ebo reQui imni Ta euch pamu to fib e eqrod �wamsni �IW M a�M '. licensed Wn��t lo Ihe pwieiane d IM Caniredon Licema law �Cheqs B(commenrinp xilh Sedion ]000) d 0'v'vion � d tAe nineee enE Adevum COEeI or iMt ha ar ehe ia mamq Owrelmm uM �he baeis la Un albpW ewamqion. Nry videtion W Setlion J3t.5 W eny eppliraM Iw e permn wbptls Ihe epd� �a e ovil perely W mt mora IMn liva huMmd ddlan �SSOOU. � I, ee owner W Ihe pmpenY or my emD�M'�e'^'�h wegea es tMi eab mmpeiuetion, xill do iM wvek, end Ne ei�ucturo b nd intamleE w Me�ad la eeb (Seclion 1W�, Bueirien enE PMeeeiona Code: The Conlrepas Limrtve Lew Eoee � applyto en ownmd popeity who Wide a'vnpovae ihareon, end x1w doae euch wak NmseM or hene� a Wouph ho or har own employeae, pvntlaE ihet euch impovemeMs are mi imerdeE a dlmeC lor eele. X, howaver, ihe WiMiip a'vnpwainem n eold wnhin one yaer d oomplNbn, IM owrorWiMer �II heve �he buNen d v�'��0 he or eha d'd m� WiIE w impro-.e tor IM puryme W mb). � I. m ovmer d iM V WeM. em e�dwrveFy cantracM wnh IironaeE convactae to rnmue the pM� (Swion ]OM. Businr� enE vinnme�m. coa.: rne coinreav. uce�.e �.. me. na apWr a� owm, a ww�r .,no wua. « impw.. m.�.on ena .no conlrecb la wW pqepf xilh e mrdretla�e) li[envaC Wnuu4 to IM Canlrffiaa lkenae Lewl. � 1 em uemq uMr Sec�ion: B. 8 P C.. br Ne �maon: Dme: ��: I Eo M1sieby wnih �� ewve d end uMenleM Ihe reQuiramerus d Celaomie Meellh enE Se/ely Code Seciora 25505, 255�3, md 2553/. eM IM� I m ury Mure WilEirq opvpem will / wil iwl (d�cb one) need lo canply wM roiE stete mMs vM IM reQuiramaMa br e pxmn IamroVuciionw modilfatun han IheA'r�y . erepemem OieWa. Revidemial mnmiueion eppf�mbroen mamqlmm IMea „a;�.. Dtle: Apdiw: W ONKER'S COYPOlS�TION DECUR�TON: I Aereb� effi�m wMer perWly d peryvy aw d tlr bAowinp detluetom: ❑ IMeaMxJma'vuaneeMtAreiedmmm�ioeatlieuivabrxakm'oomVMm�.mCa'�bMSeeim3l00d�lwtibm coae. �a �n. c«tmnenc. d m. wax io..lirli Ni. n� n n.�,ee. ❑ �nm.enawmeim,n.ons+�mmo�c�inwe.�.a�w�=.4Mswian9rooamelae«eod..b.u.v��dU. wvrk la whidi M'm parmu o iwusd. My worVan' canpenmtian imurercs mriar W pafi.y numbr ua: c�«: ` Pd'ry Number: 'q� eecfion nee0 mf 6e mmWxed / tMO�k ia b me huMroi ddlen Ri00J a � I wnly Net in Na pMo'meMe M iM wark tor xfiieh �hia pemin u ueE. I I m� erty pason in ury manew m n lo �.j� baeams wbjetl lo IM xvekere' eompenee�bn lewa d Gelildnu p Ne1 E beeams wmjea lo tM xMen' omv�. �� wo+wb�. a a�oo a ine �eea. nwnn y� wo+�a. De�e: � � � Appl' Mp: FW�n ro pcun woM'wi mrr�omrtlon la un 4�n I sld/ect an smplonr ro alrNnl pxWtlp eM cMl Ilnu �q b om �IndrM �IauuM Ao/Yn (S10qPWA � n ro W t o/ rompawWn, Cunpu n prvvWM br In Sxtlon »O6 0l Ne L�ar Code. Infwl, uM �rtom�Y� lea CONSTRUCl10N LENOINO AOENCY: I MmEy �rm uMx peneM1y d perMrv �� u e mewruaion Mrdiip epeney br Ns peAormenm W IM xork la wTiM ihe pe�mY ia eeueE (Seeion �09]. C'v. C). LEN�EN'9 NMIE: LENOEN'S ADDPE39: 1 eeniry thm I heve reed ihia apd�� e Nde ihm iM ebove iniametion ia corrm. I epree �o mmpy wnh ell rny eM oounry atlirorcse eM s�ale bws 21e�m010 WiMvp cmeV Wpn end hereby eulhoraa mprevenlelivee W Iho dly ro enter upon IM ebv.a�meNionad popoM t«imv.aia,w,wee.. .-..�. n. .......,... Ome: / — / �� Whde-Buikiq b Sday:OroerFk: Cenuy-AOC��: Ank-Revenue: Goldenrod-A+maor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: H 079441 PERMIT NO: B 079441 PLAN CHECK NO: N� GOVT: N SUPP: N CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE; OTH JOB DESCRIPTION : T/OFF RESHEATH 6 REROOF W/COMP. SHINGLES SQ FT: 5,200 CLAIM VALUE: 5,200.00 CALC-VALUE: 5,200.00 GROUP OCC: R-3 /U-1 COMMENTS; SMOKE DETECTORS ARE RE�UIRED IN EVERY BEDROOM 6 HALLWAY ��r*x��r�x***�******�*x��*�*�*�+�*� +��+�**��r**�*x��*x+r*�***�+r�x*��r�*x��*�****�+�� 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 RGHT; FT IN PARKING REQ: PROV: PARCEL: 14133109 ZNE: REF NO; PLANNING NOTES> i � iF iI� 1E 1k iF ik 1! ik 1E 1ElE 1ElE iE if 14 fk 1k iE 1E iE 1E iE iE 1E 1E 14lE 1f f4'k 1E 1E iE iE iilE 1E 1E 1E If ik if if if if IF iF 1k 1E �f fE'IF fE If 1E 1ElE iE 1F IF fF fE fl� 1E 1F 1k 1E 1i'k 1F iF 1E iE iE 1F 1E 1f if D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY ; APPLICATION ISSUED HY: if iF ik ik ik iE ik 1E iF iFlElElE iE IF 1t it iE 1E!!!! fl LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECAANIC PERMIT 112.25 - PLAN ' ISSUE FEE BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTALS----> 112.77 0.00 0.00 REVENUE DIVISION TOTALS--> COLLECTED:- HLDG PMT PLUMHING ELECTRIC MECHANIC 112.25 . �. DATE: _ DATE: STRUCTURAL SEGMENT:Y FIRE SMIP/RES GRADING .52 SMIP/NON-RES TOTAL PAID DUE 112.77 112,77 ,00 112.77 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN-CHECK .52 fE1E1EIE1E1E1E1EiE1EiE1EiEfEfElfiE1E1E1E�EiEiE1E1EiE1E1F1EiE1EiElkiEiklEiFlEiE1E1EIEIE1E1f9fIE1EIE1FiE1EiE1Fif1k1E1PiEfEffillElEiEjElEiEiFIElflffEiFiflEiEiEif 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 S C R I P T I O N , UNIT COST TOTAL COST ENDENTIAL NOZONE 1,00 5,200,00 SFR 5200 REROOF HY VALUE RESID oF F�OKE DETECTp� `""''=— ��'"v�l d�Q�912-00214713 TOT 112.77 � iDATEs 09/]1/9S �TIHE: 09:OD . i' �f. - . .. . � CON57RUCTION AN� PLANNING1, POOL '1> }� APVROVALS Permit # ' Date Inspeaor qppROVALS Perritif# � Oate Inspector � 1. TempPrary Eiectrical Service or Pole ' 52. Pool & Equipment Location 2. $oil Pipe-Undrgmd. . 53. Steel Reinforcemen[ - 3. �Electrical Conduit Utiliry�Undrgmd. _ 54. Forms 4; Electrical ConduiFUndrgrnd. 55. Elettrical Bonding ' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � , 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE ; '). Footings - � 58. Electrical Conduit-Undrgmtl. � 8: Foundation ' .- 59. Gas PiPe, O Undrgrnd., Test i � ' 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, � Undrgrnd. . 70. Structural Floor System 61. APPROVAL TO DECK t t. PropertY Sewer Line & House Con�e,ction 62. Backwash & Receptor•Fina� �� 12. Sewer Cap " '� ' 63. Heater & Vent-Final� 13. Roof prains 64. Plumbing SYsiem � Final , 14. Rough Piumbing 65. Electricai�Final 15. Rough Electricai-Condurt 66. Solar System�Final ' - 16. Rough Electric Wiring 67. Fencing & Access Approval 17. RougN Wirinq 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. Dutts, in Siruaure .. ' 7p, _Under9round Hydro � 22. Duas, Ventilatin4 - ' 71. ProducY:Piping fl'Gas ❑ Oil 23. Gas PiPe-Rough & Test . � � 72. Underground Fiush ,_ 24. Roof-framing� � � . - • •� 73. Undergrnd.StorayeFank OGas ❑�Oil 25. Roqf 5heathing '.� �-`(� �(��[ 74. Overhead Hydro 26. T-Bar Ce�ling (Structural) & Monocoat • - � 75'. Dry Chemical � � . - - 27. Frame and Fiashing' . 76. 'Dry Staridpipe � 28. Lathing & Siding:.. � - = � _ � �. 77, FIXED��SY-STEM FINAL - 29. Insulation - � " - - ' " - ' ' 78. FIRE PREV. fiNAL - � 30. Drywa�� Nailing . ' ' � -� -HEALTH DEPT. REQUIREMENT 37. PlasterB�ow2Coat . ' � 79. FINALI�NSPECTI�ON ' 32. Electrical Power �AeierFinal � �� , . ,- 80. FOOD CERTIFICATE ISSUED 33. Final E�ecuic, - ' �, ` � � � Notes: ,_ � _ . 34. Final Heating & Air Conditionirig _ . � `t:-/Z�G'� �L �� I � G� ,(�j - // � ' /iV v��_ � 35. Finai Gas Pipe-Test _ - - �,e� �^��(gv ( � .,./_ �s �G�� • �i_STl•� 36. Hood or Canopy .. v�,t` 6L��_ 37. Finat Facmrv Fireplace . ' � �- 38. Final Plumbing � � .. _ . . .. � `-- 39. Water Service-Final , - � 40. Gas Service-Final�^ .. " , � • 41. Solar PomestCo-Pinal � , 42. Backflow Preventer . - . 43. Backflow Irrigation ' - - + . , . 44. Landscape Ir�igation System - - � - ._. . �45. Sound Attenuadoa � . ' ' , - � 46. Handicap Regulations - � ' 47. FINAL STRUCTURE & BUILDING j� /f,( � - v 48. FINAL. PLANNING � . �_ - . 49. Etectric Reiease to Edison � 50. Gas Release to Southem California Gas Co = � 51. CERTIFIGATE OF OCCUPANCY _ No. Oate AO�NFS9 OF BNLGNO: z 8 O•% FRANC I S L N oxwExsruYEiva+ovm: BOOTH SARAH ANN TR ��s% 1874 �AROS CIR COSTA MESA,CA 92626 �vv�. �,uiwo woxEsx �xcxrtEcra+Frm+�n: urcx. on e++a.•s �oox�ss: uc No: UNT: uxr: camucrarswu� JNL ROOFING ( 714 ) 536-1816 cafm�croas�uiu+c 7262 YELLOWTAIL DR .no�ss H.H. CA ucxo< 648337 92648 uHr: IJCENSED CONfN�CTOF3 OECL�PATION: I hreby ell`m ivMs pem`y d �wpvy IM� I un Icsned uMr pmidm� d Gheqa B (canmar:M wk� Setlim ]aoo) d Diwion � d tlr Bicum aM Pmlainn Cods. aM mf' bcas b in M lau end alled. cRruc.r+o.: uc.cuss: �-39 uc.r,o.: 648337 EXP: oms: c�,tr OWNEN BUILDEP DECLAP�TION: I haaby aNvm uMs pwWy al per'Wy �Am I em uemq han �M Cmirsum liroms lew la Me Idlavm0 ��n (`�ion ]0�1.5 Bueiw�� vd Prolecebro CoEe: AnY cry a oountY �� Vuires e pe�mil lo aoneWct. Mor. improva. damd'a�, a repei arc/ �Uuciw4 q� b L+ ewence. e6o reG�dm �ha epWimV la acA paim! lo fib a�ipnod qabmen� tlW he a sM : rc.naea o��eni io me wwimne a ina canreaas liomse Ler tcneq« e Immma,ano wnn saaon laaol a oNuion a a �ne lumrev W Prdevion* Codel a IMt M a�he u azemp ihaehom ud tM Esm la IM a0eped uanqon. My vidtlion d Sed'an �oai s ny e�y �Wirem b.. o.�u ewp�. me eoq�u �o a dw v.reM d m mw. m� ii.e nune�ee eonen �fsoop. p i..,�ainsnw.nv«mr«�+dwe.+�..n�om.:.a.�,w�.Mumm.�..�am.a�,.a,Ae�a:v�a a aRe�ed b seb (Section )OU. Busnen vd VmleesimaGode: Ths Cauratlas liorw lewdoas nd WM1to en owrord popeily wno Wida a inV�+es �lwaan. md who Eoea sud� wk finstl a hxu! a Nrwph hu a Mr wm anpb�m. pa'ked Ne1 ach impavaneN� ve nd iruentleE a WeieA la sab. tl. howaver. �he dnldinp a inpev.anap u wld wulun arYm d oomWetun. Ns ownm�WJdr �FO hew iM daden d pw"vq Ae a tle 6d rcl hd� a'unpwa fw tM pepiaa d�eM). � I. n OMIW d ��1! W�y. M NdlWO�/ (pYfffi� MC�1 �Yl� COKIGtlM b Cp1�11C �1M C��d ($W�t111D1�. BIOYIYO Blld Pmlmona Code: TAe Cap�eam linrm lew doo m epM/ b en awts d O�W�Y Me 4v1L a ipwwea �hsson W who coNrew b adi o�9�+ with e mNrenMe) 4rwineA wsw+ �o Ua Caurada� liowe lew). � l un eammq uMr Senion: B. 8 P.c.. br the �eeaon: Deie: � I do Mnb/ unM tM I em ewara d rd udanwd tln na��am d Callarcs Ibelh eM Stlwy CoGs Saaian 15505. u5�. erA ]SSI�. vd Nn 1 a mry Mu� ditln0 om+Wb_ wi0l vA rid (ertb one) neeE ro oonW/ wA oiE ude mAu eM IM rpucamam b ePemNlaowubuclionamoEdmlionham�MM�1 e�upensYOiYritl.RaeAWelmMMionnGVkmumenexsmqtmmlMea a��. Dme: MP�+'�� WOPKER'S COYPEN9�TION UECLAXATION: I Axaby elfum udx pwWly d pwjiry ar d iM Idbrriip detluetiom: � I hma W MI mdmen a cMllicW tl mroeM to wpinwn br workri mnpenwion. m pwidsd ta by 6ecbn ])00 d �M lebar GoN. lar �M partmneice d Ns Yak la wlich N'w prmu e faued. � I hsw uM wil meinten woMen' eanpm+vion iruurenee. m equi�ed by Satlim ])W tl Ns labor CoEe. W �he pe�ormonoe d iM wak la �Midi thh W��'v mueE. M' �wrYen' mmG��ian'vuurarca wr'w uM VdkY wmEr us: c�+.,: Pdicy NumM: mu,.cYm nese m� m m�o� � w wm� u la m. m.m.e doe.,. rs�ool n w.� 4 � M11n' 11W III N! pMIMM1K� W IItl WOIM IIX MM1IfJ11M1M plIIIIY �Y IMUM. I WII IKI MII[IO�' NI� pMpll N�11'/ TBIIMf �O tl 10 becwns wM� lo �M wMws' oomps�wion lew� al CaNurve. vd aPM tM � I Ynuk Ecair wMa to IM xa4en' comV�ion V�'�iam d Seqion JlOO W IM IaEv Code. I qWI laNrN� aomWl WA Nou pr�vidoiu. W�mlip: F�Uun ro wew+ roik�n' mmp�ru+tlon ewsnp l� unlnrM1�, �ntl n ro crlMrW qn�ltlu antl nw ror. w ro m. nu�m.e vau.w eww. ltio4000A n.emwn m co e.nro.. u pova.e ror rn 3sctlon J106 al tlr� LWor Ca�Y. InMs4 ��myY fra consrnucnoN �arnra �cencr: i nw.M .� �.• � � u e wm�w� ww�ro ro�v ror m. perlamorca M tM xark b MiN N's v�Y u uand (Swun . CH. LENDER'8 N�11E: LFNDEfl'S AODFE34: I cMJy ihet 1 hew M Nu epp&�on rtl Me thet IM abwe'vdammbn e oonq. l epr �o compfy xitA N rny end oduay o'Mence� enC elme 4ws �aW i�p b buJEnp cmwur+ion ud Me�Y e��e nprmenteMm dihe ary to mir upon IM ebwe-memunM popeM la'unpotlian MD�. JOE LANGDON Dme: Spwuro d Owwl�pxu/RppirumCavman (5151-aB.WP) W�ne-Buildmp 6 Selery:Oreer�Fb: Carwy-Appirent: Pink-Revenue:OolEonrotl-Rawuor CITY OF COSTA MESA — HUILDING PERMIT PERM NO; H 079441 PERMIT NO: B 079441 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH ,70B DESCRIPTION : T/OFF RESHEATH & REROOF W/COMP. SHINGLES SQ FT: 5,200 CLAIM VALUE: 5,200.00 CALC—VALUE: 5,200.00 GROUP OCC: R-3 /U-1 COMMENTS: SMOKE DETECTORS ARE RE�UIRED IN EVERY BEDROOM 5 HALLWAY x��x�*x*x��r**x***��rx�*+��+r��**� *x*�r**�***�r�rx�*�r***+r*�r��**��****rt**�*�+�*+�**r**� Z O N I N G R E Q U I R E M E N T S S E T H 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 RGHT; FT IN PARICING REQ: PROV: PARCEL: 14133109 ZNE: REF NO: PLANNING NOTES> % 1t iF 1f 1F ik 1k ik 1k 1E 1E 1k 1E 1E 7E 1E iE fE if iE 1E ik IE 1E 1E 1E 1E iF fE fE 1k iE iE 1E fE iE 1E 1k 1F iE iE 1E 1E 1E 1E iI' iF 1E iE 1E 7E if 1E 16IElE 1E 1I� ik ik if� 1! 1E 1E ff fk 1E 1E'lE 1F 1E 1E 1E IklF fE k iE if 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 ZONING APPROVED BY DATE: - BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: . x�r�x�*�r�rx��r�r��x�**+r+��* �x��r��*�r*��F�r* LEGALIZATION:N E S U M M A R Y STRUCTURAL SEGMENT;Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 112.25 52 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 112.77 0,00 0.00 112.77 112.77 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 112.77 OVER/SHORT: ,00 HLDG PMT PLUMBING ELECTRIC MEC!{ANIC FZRE SMIP/TOT GRADING PLAN—CHECK 112,25 ,S2 if iE k!f 1k iE 1k 1E 1E 1E 1E 1k 1! 1k fE IE IE IE 1k 1F 1f if iE 1F iflE 1F 1E 1F IE 7E iF 1F iF 1E 1E ff 7f 1F 1E 1f Ik 1i ik 1F 1F 1F if 1k 1f 1E iE 1E 1! 1E iF 1E 1E 1E 1E 1E 1k 1E k 1E 1E 1E 41k iE 1E 1E 1E k k 1E k 16IE I N D I V I D U A L F E E B R E A K D O W N YIl'll�] SFR {JTY 5200 D E S C R I P T I O N REROOF HY VALUE RESIDENTIAL NOZONE END OE FEES UNIT COST 1.00 TOTAL COST 5,200.00 C� Op� CONSTRUCTION AND PLANNING POOL 'A ApPROVALS Pelmit # Date Inspector qppROVALS Pe�mit # Date Inspector i. Temporary Eleccrical Service or Pole 52. Pooi & Equipment Locatlon 2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement �3. Electrical Cond�t Uri;litY•Undrgrnd. 54. Forms c;'4.Electrical Conduit�Undrgr�d. 55. Electrical Bonding S;' Steel Reinforcereent 56. Rough Piumhing & Pressure Test foG,��ectricalUFE(�.6!�d. 57. APPROVAITOCOVER•GUNITE •'7, Footings " : 58. Electricai Conduit�Undrgrnd. _.8,• Foundation ` ' 59. Gas Pipe, � Undrgrnd., Test '. _9. Water Pipe-Undrgtnd. t 60. Backwash lines, P-Trap, O Undrqrn n -i0. Scroctural Floor System 61. APPROVAL TO DECK 11. EroPerty Sewer Line & Ho�se.�Conneclion 62. Backwash & Receptor-Fina� }2. Sewer Cap l ' 63. Neater & Vent•Final 13. Roof Drains � 64. Plumbing System • Finai 14. Rough Plumbing: 65. Electrical-Final 15. Rough Eteccrical-Conduit .- 66. Solar System�Finat 16. Rough Electric Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign " 68. APPROVED FOR PLASTERING 18, qough Etearicat=T Bar Ceiling - . 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - . ,- . . Y _ - - _ 20. ;Rough Fattory Fi[ep�ace �� _ -� - < : APPROV'AI.S=�•: Pcmmit # " '> ' _ � < -' c ^ n . � ' � ' ., 2 _ . , ,,, .c, _ ... - �. ' 21.'Quct3.inStru�tuf€j4 ..�. �.� , r" : ` 70.�Und'ergrQurid HYdro - -. 22. DuciS, Ventilating� s �'. _ � ' 71, Product-0�ipingL£�ias �Oil 23. Gas Pipe-_f_iou� &�l�st ; ;�� " - �" � r 7Z, Undergrou�d Fik�i.: ;; � 24.AoofFrBming� i !-- ^ r� -_ � L 7H Undergrnd•SttlrS�ETanN,�Gas O�OiI 25. Roa�f'Sheathin ' ' ' ' T' - - 9 �, T �' • � 74,..Overhead Hydro � . 26. T-BarCeiling (Str�civral) & paonecoat `� 7' C 76; Dry Chemical �� - - 27. frame aqd Fl�shiirg;!` _ ,� � �„ ^` 7� Dry Standpipe. , ' -,�� ,.28. LatFgng&Siding'- �� Vc_ c, . �a 77. FIXED�SYSTEN}-�INAL _ r'' 29. Insulation � �'.� - "' a �� . FIRE PREV. FINAL %� . - 30. Drywall Nailing e r �� a� +- «-HEALTM DER7:-RE@L1IREMENT . 31. Plaster Bi�wn.Coat � . _ .. 72 FINAL INSPEC7Tl�N : ' '`� � � - �� 32. Electric�t�Power fy}e[er,Final � �' 80: FOOD CERTIF.ICATE iSSUED 33. �inaj:Electric, -„ � -• " ` f�'a',tes: - ' r ,r. � 34. F,ina}=Heafin}& A+r�Conditioni�g< �� - S .r, + _ ' '- _ � r n 35. F�nahGaYpip�Test - °� ' ` • • '" ' � • - - � - - r, c.' - R T , ' . 36. Hood: or.6anopy ^ - - ' - - - : ,- ," o r -'-� - 37. FinaTFactory FireAtaC2 _ -- " _ '� � ~ � # . �; � -F ' 38. Finai Plumbing �, r - .. .. � � - * G' C 39. WateF Seroice�Finai;� � Y� " `- _ r 5: - •. , . �. 40. Gas Service-Pinal x �, � .�-' ' ' . r • �' -T a�' - - ..r �: 41. Solar OomescicFinai t •� � � �� y�- `- " ._ a y " Y T .- _ � 42. Backfiow�Preventer r � - - � - =. 43. Backflowlrrigation= _'« T � -- . . - �^:\ � � < � r . A4. Landscape Irrigation System < � � ; -, r - - � � . - +� . �� 715. •Stwnd Attenua[id'n!� � - " � � � ^ �` � - - . ' r��X.. . - . . . . .,- .. . �� •. _ •46. Fjandicap Regulations = � . y - . -_ . . ' 47. FINALSTRUCTURE&BUILDING ��/0 /9 � " _ ' . . _ _l •_ 48..fINAL PLANNING _ c. . -_ � , �, �,� , � � _ 49. E�ectric Release to Edison � . . - � 50. Gas Release to SoutFem Califo5pi�.Gas Co � � �,: i � - � 57. CERTIFICATEOFOCCUPANCY - ,- rP- • - No. Date : �- AOp��ant to fill in all CITY OF COSTA MESA �PER�MIT NC CONSTRUCTION PERMIT PI E-� .� Addrea L`6U-'I' {--�L/ivl�,$ 1.. /a-N(s Arch/Eng. license No. within �eavy bo�tler linei antl slgn ali appro0riale Oetia�ations. TRACT NO. LpT NO. BLDG. NO. Address - �' Contractor ho e $V(—$ f91 Address • LICENSED CONTRACTOR DECLARATION I hereby afflrm th;.t I am Iicensetl untler provisions ot Charter 9(com- mentlng witb sectlon ]000) of DlviSion 3 ot 'the Business � antl Professlons Cotle, and_rtly Ilcense is in full torce an� effgct. Date -� $Ignature " � ' WORKE 5' OMPENSATION � CLARATION 1 hereby af irm tnat 1 have a certiticate of consent [o self-msure or a cer[i(iwt0 01 Work¢r5' COmpensatlon Insurance, Or a Certifie0 copy thereot (Se 3ctlpn gOQ, L,ab• C•). Policy No. 1�D�SS�F company S��ti� FutiD �i�''�:, Certifietl copy I5 herGby furnishGtl. - �- �z CerUfled copy Is filetl with the city Builtling Divlsian. '"eXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This soctlon neetl nat be completatl if the permit is for one huntlretl (aioo) or ie::;. � I tertliy that n the performance of the work tor whlch this permit is Iisuetl, 1 shall not emPlOy any pCrson in any manner so as to become subjeGt [o lh¢ Wo/kers CompensaUon Laws af Californla. -.- . Date Signatura NOTICE: If afler making this tleclaratlon, you shoultl become subject to the Workers• Compensation provislons ot Ihe Labor Cotle, you must forthwit� Comply with suth prOVlSions o� tnis pe�mi[ 5M1a11 be tleemetl revok¢tl. - -- -- . CONST0.UCTION LENDING AGENCV I her¢by aftirm tha[ ther! IS a COnstruction lentling agency fo� tne Oer- to�manc¢ of [M1e wo�k to� wM1lch 1h15 permit is izsuetl (Section 309] Civ. C.1. "- - ' Lender•5 Name Lentle�'S Atltl�ess OWNER BUILDER DECLARATION ' ' ' - I he�eby aflirm that I am Gx¢mp[ from [he ConVactor'S License Law for the lollowing reason (Setlion 7031.5 Business antl Professlons Cotle: Any dly Or county which requlres a permit [O cOnStruct, al[er, improve, demolish br repair any struc[ure, prior to its issuance, also re- qulres the a0411wnt tOr such pMmlt to (ile a Signetl Stat¢m¢nt thal he Chapter 9(commencing wlOt SeClion )000) ot fJrvlson J ot Ibe u5ine55 antl P�ofe55ionz COtl¢) or [hat he Iz exempl tM1erefroT-antl the ba5i5 lor lhe alleqetl e%emption. Any violatiOn of SeCtion 7031.5 by "v appllGdnt for a p¢rmit subjects the applicant to a civil penalty �ot more than five M1untlretl tlollars (g500). I, as owner of tM1e pro0erty, or my emplayees with �wa9es as �their wle compensation, will�tlo the work, antl the structwe is.mt Intenaetl or oHeretl tor sale. (Sectlon 7044, Business antl Professions Code: The ContraGtor'S License-Law tloes nol apply .to an own¢r of a property who bulltls o� Imp�oves [hereon, antl who tloes such work hlmself o� through tlis own employcCs, provitletl.that such.imp�ovement5 a�e not intentletl or offeretl for sale. If, boweveq Ihe builtling or improvement is soltl within one year o( completion, the owner. will have tne burtlen ol p�oving ha Citl not builtl o� Improve for th¢ purpose of sale). ❑ I, as Owner of [ne property, am ezcluslvely conVacting wi[h licensetl contractors to construct the project (Section 7044, Business antl PrOfe55ion5 Cotle: The Contractor's LiGense Law tloe5 not applyto an own¢r oi prOperly who bWltls or imp�oves thereon, antl who con- 't�act5 hom such'p�ojects with a contractor(s) Ilcesnetl-pursuant to the Conlractor's License Law�. ❑ I am exemp[ untle� Section � B. & P. C.Vor this reason Date - � Owner that I have reatl this application antl state tha[ Ihe dbove mrr¢cL I aoree lo cootOJv with all citv antl wuntv Siqnature � Drivers' License or 55 '� TYPE OF CONSTRUCTION ❑ NEW ❑ ADD �ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER DESCRIPTION OF W�RK �n�-Sf� sL TVPE OF PERMIT' � ❑ GRADING ❑ FOUNDATION ❑ STRVCTURAL ❑ TENANT �ELECTRICAL OPLUMBING �MECHAI ❑ OTHER PR0.IECT DESCRIPTION . _ ' S�. FT. � OCCVPANCV_CONSTRUCTION TVPE VALVATION ' ZONE GRADING CU. VDS. HCkES PLUMBING TOILET$ ' LAVATORIES KIT. $INKS SERVICESINK$ � ' FLOOR SINKS DRINKING FOUNTAINS INTERCEPTORS PLAN CHECK SHOWERS URINALS DOUBLE LAVS DISHWASHER$ $VMP$ � FLOOR DRAINS CLARIFIERS SWIMMINGPOOL PTRAP WATER SERVICE ALTERATION GASSERVICE OVTLETS WHTER HEATERS BTl10UTPUT SEWER CONNECTIONS SOLAR TANK COLLECTORS SOLAR PIPING SVS. ISSUE FEE MECHANICAL PLAN CHECK HEATING SVSTEM 0-300,000 BTU_ AND DUCTING 700,000 + 8TV _ REFRIGERATION 0-300,000 BTU_ SVSTEM 100,000+BTV_ BOILERS BTU SVSTEM REPAIR,A�TERATION EXHAUSTSVSTEM MULTIPLE • ISSV E FEE CMF OBGS-46 White-Builtling; Gnary-Applican[; Pink-Accounting; GOICenrotl-Azsessor A.P. i ZONE 6635 6/01%B�2' . ZONING REGULATION PLNTGp. RUEF. p# 'LST. PROPE�RTV REAR VARD (TO P/L) PKG. SPF�CE REQ. STREET WIDTH ZONING ACPROVEO BY SPECIAL CONDITIONS: ELECTRICAL PROVIDED PAfiK FEE PLAN CHECK - GENERATOR 0-1 KW_ 1-lO KW _ TRANSFORMER � APPLIANCE 10-50 KW_50 + KW -_ -" MOTOR$ 0-1 HP_1-10 HP _ (INQSOLAR) 10-50MP_SO+HP-_ � FIXTURES - OVTLETS SWITCHES � GASTUBESIGNS - " POLE IIGHTS '- - PHNELS �MAIN SVB SERVICE - iTii P 13.D� TL� ISSUE FEE ,� APPLICATION APPROV ED BV ' �� _(� DATE SUMMARV.OFFEES i�. ' BUI�DING . - PERMIT S � SMIP S PLAN CHECK § PERMIT PLUMBING E �� SSUANCE S - , GRADING E PIAN CHECK §�( � • • ELECTRICAL $SL�_ J � S . PLANCHECK § � MICROFILME� � MECHANICAL S � TOTAL FEE S� � PL"AN CHECK E ` LE55 AD- _ VANCEPC 4_ � p0 . . FINFL FEE § /� � � CONSTRUCTION AND PLANNING / POOL & SPA - „ . . . � APPROVALS Permit # E 7(p Date Inspector qppROVALS Permit.# Date Inspector _� 1. Temporary Electrical Service or Pole � 43. Pool & Equipment'L`ocation -• ' • ' •• 2. Soil ipe-Undrgrn '- 44. Steel Reinforcement � ' � " ' � • � ' 3. Electrical Conduit Utility-Undrgrn '• �� -_ � J� •' 45. Forms 4. Electrical ConduibUndrgrn ' : � :-_; ;�( � . • +' � _ :� 46.'� "�Electr,ical'Bdnding � : •,. , : ,-� . tee � ein orce 47. ' Rough Plumbin &'Pressure Test,l ' � 6. Electrical UFEfl Grn �' � 48. ABPROVALTO COVER-GUNITE � 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation. " 50. Gas Pipe, ❑ Undr rn, Test � 9. Water Pipe-Undrgrn 51. Backwash �ines P-Tra �� ndr m - '' 70. Structural Floor SYstem 52. APPROVAL TO DECK � ' " �-" ' � " "�' " ' ' " ` 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final` � � 12. Street Sewer Connection � 54. Heater & Vent-Final 13. Rough Plumbing - - "' '�"`'= • 14. Rough Electrio-Conduit -� •• � �56. • �Electrical-Final � 15. Rough Electric-Wiring ' � 57. Solar System-Final ' �� 16. Rough Heating & Air Conditioning • Fencing & Access Approval 17. Oucts, in Structure 9• APPROVED FOR PLASTERING � 18. Ducts, Ventilating � 19. Gas Pipe-Rough & Test ' 60. POOL/SPA SYSTEMS FINAL . � � 20. Roof Framing � � � • 21. Roof Sheathin " ' - 22. Frame and Flashing NOTES: . � 23. Insulation � 24. Lathing & Siding - ' - 25. Drywall Nailing ' � � 26. Plaster Brown Coat � � ' � ' 27. Electrical Power Meter-Final 2,- 2 � 28. � Final Electric 1 - 29. Final Heating & Air Conditioning � � . - 30. Final Gas Pipe-Test (U,-oZ� 31. Final Plumbing 32. Water Service-Final 33. Gas Service-Final . � � � 34. Solar pomestic"rinal � � � - 35. Landsca e S rinklin S stem ' ' � �"' 36. Sound Attenuation ' 37.� Handicap Regulations - 38. FINALSTRUCTURE&BUILDING � 39. Special Requirements Completed � � 40. Electric Release to Edison 41. Gas Release to Southern��ylifornia Gas Co. � � 42. CERTIFICATE OF OCCUPANCY No Date ' - . \ � -� � - r GITY.�� G"ifiJS� Project Ad� � OWoef � ' Address � A ' Arch/Eng. .v � Address � Q' Contrector � Address ( �� LICENSED hI hereby aft mancing wl .. 'Applicanl to fitl in all s A jVIES - �ar�qi�No. 40N P�RMIT /`� � �. ��2 L S IN 'TCsr�l.tL'Y�i Pn� �✓LRia.:Ll S i—�% - 11-f1A AA G -- License N� m th:.t I h' zectlon Ootle, an , /' Y withln heavy borCer lines and sign all appropriate Eeclarotians � TRACT NO. LOT NO. BLOG. NO. � 3853 � T�,VjPE OF CONSTRUCTION ' - jal NEW ❑ ADD' ❑ ALTERATION - . O REPAIR ❑ CONVERSION ❑DEMOLISH ; fCI�'j ❑ OTHER { DESCRIPTION OF WORK Sid% �W H 10.J ��i7 ruoue� - .y TYPE OF PERMIT � � - ' ' � �ICG k.:.E. 'O GRA�ING O FOUNDATION ❑ STRUCTURAL -- � _ARATIO � ❑ TENAfVT ❑�ELECTRICAL �❑PI.UMBING ❑MECHANICAI untle� p�ovision5 of Charte� 9(Com- � + Division 3 ot the Business antl �,OTHER - G� ��;-� L%Y% ise is in tull torce an effLect. pROJECT DESCRIPTION � � icens o � �� " " - - ' ' " ' " SQ.�FT� �- ' _ " ' "' _^ OCCUPANCV "' � CONSTRUCTION TVPE � �WORKERS' COMPENSATION oeCLARATION._ .. .' . _ _ . . . ❑ hereby?atf�rm that 1' have a certificate of consent to self-insure,or a� VALUATION f� �^'�' 20NE certiflcate�of Workers' Compensation Insurance,-or acertifietl copy i . .. 4hereof (Section 3800, Lab: C.). . -v1T� G, � GRADING'.CU. YDS. �ACRES ` .:�cv rvo �S3rC31 ComPanY .<7/N�O rVA.iia � : - �� ertitietl Copy is.he�eby fuTish¢tl. _ _ ' _ . ' REMARKS: - � : �`. " ' ' ' ' yz,CertiOetl copy is�tiletl with the city Builtling Divfsion. . . ,EXEMPTION FROM WORKERS"COMPENSATION DEGLARATION ' - -- (This section n¢etl not.be completeC if the.permit is tor one huntl�etl � � • ($300) or I¢55). � • .1 CBrtify,that in the perfortnance.pt the work tor which thi5 permit is is5uetl, I Shall�nOt ¢mploy eny-per5ori in any manne� so as'to become PLUMBWG . - PLAN CHECK ' subject to the Workers' Compensation Laws of, Glifornia. - � -�' ' Date Si9nature � BATHTU65 � - SHOWERS - " �NOTICE:11faf[er making ihis tle<laration, you shoultl bemma subject . TOILETS�- . URINAlS ' to the Workers' Compen5ation provisions of the Labor Cotle, you must -torthwfth comply with sucM1 provisions or this permit shall be tleemetl LAVATORIES DOUBLE LAVS !" ' i¢vOk¢tl. GONSTRUCTION LENDING AGENCV� � � � KIT. SINKS " DISHWASHERS 'I hereby affirm [bat [here is a construction lentling a9ency for the per SERVICE SINKS :.-, �� SUMPS "' -- ' .tormance of the work tor which this permit is issuetl (Section 309] iC�� C�� ' ' ' - � ' � ' ` "'FLOOR'SINKS " FLOOR DRAINS iLentler's Name ILentler'S Atlaress DRINKING FOUNTAINS' �"' ' ' "' OWNER BVIL�ER�DECLARATION � ' ' INTERCEPTORS -' CLARIFIERS I M1ereby affirm tha[ I am exempt from the Contracmr'S Licenze Law for the�tollowing-reason (Section �]031.5 Business antl-Profe55ions Cotle: SWIMMING POOL P TRAP ^- ' Any city or munty which requires a permit ta construct, alter, improve, tlemollsh�or repairany structure, p�iorto its issuanCe. also re- yyqTER'SERVICE ` ALTERATION quires tM1e ap4licant for such permiY to file a signetl statement that h¢ is�licensetl pursuant�to the provizions of the ConVactor's License Law� GAS'SERVICE- � � OUTLETS � " - (Chapter 9(commencing with Section ]000) of Division 3 of the Business antl-Prdessions Cotle) or that he-is ezempt theretrom and the yyqTER HEATERS -' BTU OVTPVT - `-<is for the alleqetl exemption. Any violation of Section ]031.5 by applicant for a permit �subjects the-applicant to a� civil penalty � SEWER CONNECTIONS ' - �ot more than five huntlretl tlollars (g500). ' ;� I, as-owner of the pro0erty, or my employees with wages as Iheir� -SOLAR TANK "' ' COLLECTORS' ' sole compensation, will tlo Ihe wo�k, an0 the structure is not intentletl or o(teretl for Sale.'(Sec[ion-]044, Businezs antl Professions Cotle: The SOLAR PIPING SYS. � � -' bontractorJs License Law tloes not apply to an owner of a property WM10 builtls or improves thereon, antl who does such work himself or 'ISSUE FEE �� ' -' '' througn his own employees, provitletl that such improvementz are not intentletl or o((ereil for sale. If, however, tlie builtling or imprdvement is soltl wilhin one year of Completion, the owne� will have tne bu�tlen �of proving he ditl nol tiuiltl or improve for [he purpose of sale): ❑��I, a5 owner of tM1e-property,-am ezclusively cont�acting with IiC¢nsetl mnt�actors to Consl�uct the project (Section ]044, Business antl Professions Cotle:-The� ConGactor's License Law tloes mi appry to an owner oi property who builtls o� improves thereon, antl who con- ��act5 f�om� such projecl5� wiih a contracto�(s) IiceSneE pursuanL[o the Contractor's License law). ,�I ❑"I am'enempt untler Sectlon '" B. & P. C. for [nis I,� y. reason �Date Owner I h¢rEby ce�tify [hat 1 have reatl this applitation antl state that the above S infbrmation i5 mrrecL I a9r¢e to comply'with'ali'city antl county � ordinantes antl state la�s relatl�g t�nstruct' nAantl hereby authorixe .. .. . . ., . � �n o w.e...u...en MECHANICAL PLP.N CHECK HEATING SVSTEM 0-300,000 BTV _ AND-DUCTING SOO,OOO+gTU_ REFRIGERATION 0-100,000 BTU_ SVSTEM — ' SOO,OOO.+BTU_ BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPI.E Orivers'-License ar 55 � � �—' �SSUE FEE- CMF 0865-46 White-Builtling; Canary-Applicant; Pink�Accounting; Goltlenrotl-Assessor � 6387 5/26/B2 214.31 7�, ' ' VG REGULATIONS " - i A.P. ii LiSF'Y� L3_ �S �'� �. ZONE /Q� � � PLNG. REF. � , - - 7�i�I�HT.�r... �-O.. - . _ .. . _ . REAR VARO (TO P/L) G � "' - "'": ...'"'" " PKG: SPACE RE�. PROVIDED"' STREETWIDTH �� -'PARK'FEE$ �-i ZONING APPROVED BV / �'� - DATE �' � SPECIqLCONDIT10N5: " ' - - ' r_ . . . _ _ . ` _ . . ELECTRICAL - -'PLAN"CMECK'; ' ' - SCJ. FT. GENERATOR- p_1 KW=1-lO.KW - 'TRANSFORMER •APPLIHNCE 10-SO�KW_50 � KW - MOTORS ' -Od HP_1-10 HP' "' - - �.(IN0. SOLAR) ._ 10-SO�HP 50 * HP � � t, FIXTURES- -'-'OUTLETS' SWITCHES� - -' - � GAS�TUBESIGNS^- --- -�-��-- POLE CIGHTS - - - � - ^ � - - - POLES METERED � �-� SUB � - - PANEI'S' " - MAIN � � SUB - ' - `SE,f}VICE � . ^ ' : " - ' AINP - .. p" L beT ' �ed: � - - _ [J � - ISSUE'FEE " '" ' -- --' "' - �_ �. 1 � IAPPLICATIONAPPROVED�BV- —� DATE SUMMARV OF FEES, � �BUILDING -- ��`�' �-- - �PERMIT E � '�`"�- .SMIP� .;, $_�� IPLAN CHECK § 7. ' 7 PERMIT . ,� - - OQ. ISSUANCE. 8 � PIUMBING $ 'f�)GRADING�..B'.•�. .\r ALAN CHECK � E '^,y. � � - h. , ELECTRICAI g • ��' " - • " $ ) � � ' MICROFICM'$ " PLAN CHECK $ - - MECHANICAL, $ �� ' � TOTAI' FEE $ ' - '� LE55 AD- "' �? ;PLAN�CHECK �$ - - VANCEPC $_' �- - - � .. � FINALFEE $�/ •� CONSTRUCTION AND PLANNING . - POOL & SPA � - �� '� r.�r- APPROVALS Permit# Date Inspector qppROVALS Permit# Date Ipspec;or 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location (o �%-� 2. Soil ipe-Undrgrn '' 44. Steel Reinforcement - - 3. Electrical Conduit Utility;Undrgm. _ 45. Forms � - 4. Electrical Conduit-Undrgrn , " ' 46. Electrical Bonding - -- � - -- - - . tee ein orce � � 47. Rough Plumbin & Pressure Test - �- � - 6. Electrical UFER Gm 48. ApPROVALTO COVER-GUNITE -- 7. Footings �- � 49. Electrical Conduit-Undr rn • � 8. - Foundation . -. � 50. . Gas Pipe, ❑ Undr m, Test �� 9. . Water Pipe-Undigrn . � � 51 . Backwash Lines P-Tra ' �' � riH� rn� � "" ' � ' �' , 10., Structural Floor System � ' � 52. APPROVALTO DECK - - ' � -'� ' " '- ' .. - � 77.•.: Property SeweY Line & Hoi�se Connection . 53'. _Backwash & Rece tor-Final . t2. -Street Sewer Connection. " � - - - - - 54. Heater&-Vent-Final � 73. Rough.Plumbing. _ ' ' � � � � �--`- . 14. Rough ElectricConduit � - - �56. Electrical-Final � ' 7-/5-$ ' 15. Rough Electric-Wiring -- ' - � - 57. Solar System-Final " ' " " �" i6. Rough Heating & Air Conditioning ' ' = � - • encing & Access Approval ' 17. Ducts in Structure'-. " ' 59. APPROVED FOR PLASTERING 98. �Ducts, Ventilating ' - � ' � - . � ' � . . . 19. Gas Pipe-Rough & Test - ._ : 60. POOUSPA SYSTEMS FINAL. ' , � C � 20. Roof Framing - . . _ , �I��'� �� . . - 21. Roof Sheafhin � � � - - - � � - -- � - � � ' � 22. - Frame and Flashin - - - - � NOTES: " ' � � �, " ' • � ' "' 23: Insulation �- � � � � - - - ' � � 24. Lathing & Siding -- � - - � � � � - 25. Drywall Nailing � � - - - ' • 26. Plaster Brown Coat ' � � �- � • � � �� 27. Electiical Power Meter-Final � � " � � � 28.. -Final Electric �- - •• - �- � � �- � � � � ' ' ' 29'. -Final Heating & Air Conditioning= - - -- - � - � � � • � � 30'. Final Gas Pipe-Test - - � � � � -37. Final�Plumbing ' " � - � 32�. � Water Service-Final;_ - - � ' ' 33.� �- Gas Service-Final- - � � � 34. Solar pomestic-Final ' - ' ' � 35. Landsca eS rinklin S stem-�•� � ' � ' 36. Sound Attenuation � - ' - � � - - � � , 37. Handicap, Regulations - � ' � � � -� � ' • � • � 38. FINALSTRUCTURE&BUILDING � � - � • 39. Special Requirements Completed � � 40. Electric Release to Edison � '" 41. Gas Release to Southern California Gas Co. ' � � 42. CERTIFICATE OF OCCUPANCY - _ . � , . � � No Date _ . r" � �• � �2�,2W"P 4�a2 T�nriru� Labor�torie� �f �� ea�/��, �� 3370 4iroon Way l Mading AdEress P.O. Boa 47 / Long Beacn, CA 90601 / R131 426�J355 /(213! 636�2386 / pl a� 828�6432 TESTING BAu:Ca O«iCe t S�a�p Nonn HuO�� S�mei I Sanu ana. Co 91�OJ I O�<I 57� �2M5 June 18� 1982 COMPRESSION TESTS ON Jack Hubbard 3106 Os[rom Avenue Long Beach� California PfiOJECT ADDRESS ARCNITECT ENGiNEER B. C. Adau�s SP.`dPLE FROtit MIX pATE C%5T DATE TESiEO sPeana,r: no. COMPPESSiON TOTAL L05D LBS POUNDS pFR SG lk APE4. SO iN •1:1: GUNITE CYLINDERS EXAMINATION N0. $z—GL+53 Sk'IM POOL, Sceve Montgomery 280i Francie Ln,, Cos[a Mesa� CA COMTftACTOfl . Seneca Pools SUBCONTRACiOR Enterpri<_e Gunite Co, Flcor and bond bea:� 4.0 to 1 6/11/82 6/18/82 1 7 Davs 69,000 2,440 28.27 SPEG�IED S7REt.G i r. SLUMP SPEC�M1�Ex 52E 6/18/82 � 7 Days 71,000 2.51� 2,000 6" x 12" connPua,vcE � 7 Day tests comply with spec. �—,MApE BY DEUVFFED B�' RECENED OMr sPecinnEras Wzll J.Hubbard 6/14/82 DISTRIBUTION ��n„✓��/�r �ack Hubbard - 3 fLbsta Mesz B1dg. Dept. / ^��y ��' i i �,a�' nr4 PLl RE�Op�S >RE SUBVRTEL 05 i�E COtiFipEHTin� opO�ERi� 0� CiiE��TS <V*^OuiZ=�iO'+ �0� �UBUC�'�C�: O� DUA PEo0AT5 COwCW5�OH5 OA EtiacGiS �POM OF REG>ADiNG iwE4 4 SESEG'�ED �EaDrG pU� weinEn nooa0v:i e5 � MU1UOL oaO1EC��GM1 TO Q�H��S �aE c�BUG ea'v DuwSP.vES � " � 34'�9 . _ _ o�� . ,�� CbSTA MESA BUILDING-SAPETY DEPARTMENT : - -� ,r - P. o. eox sn eosrw MHBA. CALIFORNIA �:��+FW'� ,Loi' 9� P�.A,t/ : i: !'(t,;:. i.�-'.. For Applieant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT gUILDING BUILDING AODRE86 COSTA MESA. CALIFORNIA For Office Use Only neceirr xo. eR��s'rSd OWNER a D Develo nt Co �v`� a 9 MA�� RHCHIVBD EY OA NECHIV D DATQ IBSUlO A�DRE65 3800 E. Coaet Ni hwa - /�- _�r DEC2 0 13�Sf, CITY � NO. BUILDING Zg07 FrBncie Lane ADDRE66 , ORCENGI EE�8CC0 CO! OT8t10II N�IR 34220 COSTA MESA. CALIFORNIA , ADDRE66 3800 B. Coast 8lghway _ ZONe TYPE � GROUP `0 7�- CONTRACTOR �'(HCCO COY OLBC�OD APPROVED BY DATE ADDREb6 ZONING � 20NH I NO. OP I U8H OP NHWS�. aID. CITY OD8 del Mar • .�,..,. BUILDING 6TATE I 7EL. uo�� LIC. NO. 4 � NO. O¢OCqiPT10N 81ZE / � NO. OP GLDG9. oF �or �/D X 9 3 I NOW ON wr O p, p, NO. IlOIIQ USE OF YARDS EVES EXI6TING 9LDG APPROVHD ALLOWED 9iTBACK LINB FRON � ) «MaR LIN[ OTJ y� J a � CEN'Ixx OP eixe¢i REAR YARD FRONT FT. % V IN. SIDE YARD LEFT ' IRIGHT / R.61DE i FT. IN. DESCRIPTION OF WORK �y L.SIDE FT. - IN. NEW I IIALTERATION) IIADDITION I qEAR �� , T. W. REPAIR I II MOVING I IIDEMOLI6H I BYPROVED W• L. D. DATE 12-S-OO BUILDING NO. OF / `�� SIZE ROOM6 670RIE5 I HXTERIOR WALL IROOP c COVERING COVERING � S S'�• USE OP BUILDIN AND WORK TO BE PERFORMED r ' � Y . I HEREBY ACKNOWLRG�B TM�T 1 N�V6 flEAD I6 A'PLIGTION THQ �MOUM BHOWN UNO6R VALUATION IB FOR TX! AND eTATH THAT THB ABOVB IB CORAHCT A AGPE! TO COX• pUIP08¢ OP lfiTAGLIBXING ♦ PBpMIT PE6 ONLY. vLY WITH ALL CITY iiDl ANCB9 AND HTATH WO q80ULATNO BUILDINa cON9i11u o VALUATION SIGNATUR6 OF PERMIT FEE $ PERMITTC n a S��j I,'�O• Q'� PLAN CHECK $ J'/, � Al1THORIZED AGEN'r � p TOTAL FEE • o-O y