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Home My WebLink About2811 FRANCIS LN - Building Permits. '.� 2R892 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BO% 917 GO6TA M69A, CALIFORNIA Por Applicant to Fill In Completely � TYPE OR PRINT BUILDIN6 ADDRES9 � �S COSTA MESA, CALIFORNIA I A❑ RES9 ✓��% FiJ/4-N G/+_ ■ BETBACK LINE PROM BUILDIN6 SIZE EXTERIOR E� i a�� i R�a� DESCRIPTION OF WORK AfID WORK TO BE PERFORMEO ! 1 HE0.E6Y ACKNOWLEDOE THAT 1 XAVH q6AD TH�B �PPLICATION AN� 8TAT8 THAT THE ABOVH IB COHNBCT ANO /�6HEE TO COM. PLY WITH ALL CITY ORDINANC89 AND BT�TB LAWB NBOYIATINO BUILDIrv�CON9TRU ION /fJ�,� SIGNATUREOF � �i6`�j�/ PERMITTEE- �� y(j AUTHORIZHD AOENT APR 14-67cMs�00 875;: �**�:2i.00 APPLICATION FOR PERMIT BUILDING. For Office Use Only HHC8IPT NO. ^Pji{ til) P8C8 BDBY =Hg `IVBD AT / BUILDIN6 �%{%/ ADDRHSB lX0 FIRE ZONE P _ RO-U/P APPROVBD � y_ BY � DATE / ZONING ZO NO. O� /� YGH OR NH .� / PLANB �/ OUILDINO , � � A.PNO. ��..�iO� ��1(! NOTE: NOEAVEOVERHAN68HALLBELE59THAN 90' TO 91DE @ REAR p. L. EAVE8 ALLOWED (U.B.C.REQUIRfiMENT: YARDSAPPROVED YARDSAPPROVED MAIN BUILDIN6 ACCESSORY BUILDING (FROMGL9TREET) � //�(jp' �j FRONT FT. � FT. M`�• � VAR. $ DATE � �va so. �. � THE AMOUNT BXOWN UNGBH VALUATION 19 POH THH � PUHP068 OF EBTABLIBHINO A PEHMIT FEH ONLY. � VALUATION J PERMIT FEE $ / (�_ m ��a�� `: � a is a .` - . g �t�:z�0 COSTA ME5A BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MBHA. GLIFORNIA For Applieani fo Fill In Complefiely TYPE OR PRINT ADD E'68 2811 Fia¢cie Lane CpSTA MESA. CALIFORNIA OWNER Meea Del Mar Devalopment Co. MAIL TEL. Corona del Mar ' SIZE /� y/„ � � � I No, ov elDas. / / i LEY� .s RIGHT � DESCRIPTION OF WORK _�„ eureRiore COVERING U6E OF BU ROOF v' GOVEI WORK_TO I , � e .i.. ' DEC 9 � ,, ' �:�Yf��'��I� :l[�� Loi- 9�� PLA��''3�lO�W��'.��" APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. � fteNbllL�� `] t� �c A(l n�ce/i�!' Y I /.� R'7—GO I DEL'?,�(1 195.' PIRE 20NE APPROVED SON6 R-] LHGAL COSTA MESA. CALIFORNIA ZONING NO. OF I U9E OP NEW PlAN9 /J BUILDINO YARDS APPROVEO I tC¢Nien uMe sr.l EVES ALLO �� HHRHBY CKNOV1lED08 THAT I HAVB RBAD �8 Ar1LIGT10N TM6 AMOUM lHOWN UNDEp VALUATION IB POR THe AND BTA THAT TX ABOV6 I6 CORRBLT A AORH6 TO COM• pupppgg OP E9TABL18HING A vHqMIT PEH ONLY. PLY WITH ALL CITV � RD ANCH9 AN BT�Te WB REOVUITIHO Bu�LOINo cONeTRu( lo . � • VALUATION 81GNATURE OF / PERMIT FEE $ PERMITfH /� S l � �j �%Q- � PLAN CHEGK $ � /. F� AUTHORIZED AGENT `.i .� �� . � � 22s� I CO5fA MESA BUILDING-SAFETY DEPARTMENT P.O. BO%91] C09TA M6HA. CALIFORNIA For Applicanf fo Fill In Completely TYPE OR PRINT ADDRESS Z�I� � UC�S AT�IE COSTA MESA, CALIFORNIA MAIL rl nooaess �— cirr ARCHITECT ■ 9ETBACK LINE FFOM �a�(v3 ��- S03 g Q 1 Q ] EFT (� RI6NT 7 DESCRIPTION OF WORK . BUILOIN6 NO.OP SIZE ROOMS STORIHB E%TERIOR WALL I ROOF COVERING GOVERINO USE OF BUILDING AND WORK TO BE PERFORMED 1 Co � � O L 1 HEA¢BY ACKNOWLEDOH THAT I HAVE HGO TXI9 APVLIGTION AND BTATE THAT THE ABOVB IB COqRHCT ANO AOREB TO COM- PLY WITH ALL CITY OROINANCBB ANO BT 8 LAWB N80ULATINO BUILDINOCONBTNIILTYJN. I . / ■ AUTHORIZEDA6ENT � FEE RECEIVED AUG 2 0 1964_ FINANCE DEPT. APPLICATION FT3e Sb�� MESA BUILDIN6 For Offiee Use Only - RBC61RN0- I�Z��l�/ r-1u��.lcc l ZONINa [ / NO.OP iU880PN8W PLANB �J BUILDINO YARDS APPROVED MAIN BUILDINO VAR. # I10LD � - .�'�"'� r/ � N6 8HALL BE LESS THAN (U.B.C.REOUIREMEP YARDSAPPROVED ACCE6SORYBUILDI� DATE L� ! " � o so. Fr. T11H AMOIINT BHOWN UN�Efl VM1LUATION IB POq TH8 S PlIpP06H OF HBTABLIBHINO A PERMIT FE8 ONLY, p VALUATION Qj[� n � n PERMITFEE $ /i j m $ag�� _ � /! '// 4 TOTAL FEE S • " AOO��ant to fill in all z0aces except those wit�in neavy OorOer linas antl si9n all appropriate tleclantions. CITY oF COS7A MESA CONSTRUCTION PERMIT Project Address Ze � � �'(�:�WGI S Applicant's Mailing Address 3�'� I� BA4'(�b rc.. ,�Q,J W-C�r Owner's Name �- �`-!Ua � t'� � Phone Address �� "�G1S� eSTY+ /':q�S/� Arch/En9. Licenu No. Address Convactor'sNamP.��p��t�1 Cann'�n phone 7'N73f33� Addresslmailingl�iJ_3L"y�-�%�'�'�� v�F' 4Z%�`� Ciry License No. '� 8 i0 Z LICENSEO CONTRACTOR DECLARATION I M1ereby a(firm that I am IicenSBtl untler prOvi5ion5 of Charter 9(mmmencing wltn section �000) ot Division 3 Of tne Business antl Prof¢s5ion5 Cotle, antl my license is in /un ff� ce ana eilQ��. C License la JJ— r License No. �"�� Dale�g- Si9natur¢ � i ' � WOR E 5' COMPENSATION QECLARATION I hereby afiirm that I �ave a cerq�icate of conzent to self-insure or a certiticate o/ Workers' Compensatlon Ins4rance, o� a certitietl wpy the�eof (SOttlon �`0, Lab. C.) :y No. Company Certifietl copy iz hereby turnishetl. ❑ Certitietl coPy is filetl with [he city Builtling Division. Date APpli�ant EXEMPTION FROM WORKER$' �OMPENSATION DECLARATION (This section neetl not be comple�¢tl if the permit iz tor one huntlretl (5300) or less). I certily lhal in Ine performancp ot th¢ wo�k fo� which tbi5 perT�t Is Izsuetl, I snall not employ any person in any manner so as to become subject to the Worker yC mp sa ion taws of Califo��nia. p Date Si9na�ure �1 G��/��J/ � NOTICE• f, a er iaking [his tleclaralion, you shoultl b me subjett to Workers' Compensation provisi0ns of ihe Labor Cotle, yov musl forthwi[b comply with such provision5 pr tbis pe�mit Shall 0¢ tleemetl revOked. CONSTRUCTION IENOING qGENCV 1 hereby aifirm ihat lnere is a construction lentling agency (or the vertormance of [ha work for which tnis permi[ is issuetl (SecLon 3097 Civ. C.) LenCer•5 Name Lentler's Atltlres5 OWNER BUILDER DECLARA710N I hereby atiirm thal I am exemp� from lhe ContractoYs License Law Por the following reazon (Section ]031,5 Bu5ine55 antl Professional Cotlo: Any Ci[y or county which requires a pe�mi[ t0 construct, alt¢r, Improve, tlEmolish Or �epair any structure, prior to itz issuance, also requires tne apo��ant for su<h permit to file a signetl z[a[ement tnat he/she is licensetl pursuan[ to the provislons of the Contractor's License Law (Chapter 9(commencing with SectiOn 7000) o( Division 3 oi the Business anq pro(essions Cotle) or that he/she is exempt thercfrom anG [he basls fo� th@ allegetl exemp[ion. Any vlolation of $ectiOn "r?.x},tc�1.5 by any applicant ror � permit subjects the applicant to a civll �,��yhlty of not more than five bUntlretl Gollars ($500). .,-;as;' as owner of tne property or my employees witn wages as th¢ir sole ::: t50ensation, will Oo the work, antl the st�ucture is not intentled o� oHe�¢tl � for sale (Section ]044, BuSinCss antl Protessional Code: The Contractor's License Ldw tloes not apply to 8n owner of a property who builtls or improves thereon, antl wbo tloe5 zuGh work him521t/hers¢If o� thrOu9h his o� �2/ own employees, p�ovitletl that sucn Improvements are not intentleG or offeretl tor sdle. I/, however, Ihe bulitlin9 Or improvement is soltl within one year of com- pletioq the owner will have tlte burtlen of proving he/she tlitl not builtl or Im- prove iortne purpose o(sale). ❑ I, as owner of the prooerty, am exclusively rontracting with Iicensetl con- Iraclorsto cons[rutl Ihe project (Settion ]044, Busine55 antl Profe55io�z Cotle: The Contractor's License law does not appry to an owner ot property who builtls or imD�oves th¢reon. antl who cont�act5 fo� such oroieG[5 wlth a t�n- � Vatlor�51 Lcense purivan[ to [n¢ Coniractor's License Law). I dT awa�e tha[ proof of [heir Wo�ker's Compensa[ion Insurance Shoultl be provitletl to m¢. ❑ I am exempt untler $ection B. & P. C. for thi5 reason Date Owner I hereby certity that I itave reatl this application antl state tita( the above intormation is mrrect. 1 agree to comply with all city antl county ortlinances antl state IawS reldtinq to builqinq wnst�uction, an0 her¢by au[ho�lze rep�e- Sen[a[ives o/ this city f0 en[e� upon lhe above�mentlOnetl Orope�ty f0/ inspection rpo es. , g Signature Date_��'f Y Driverz' Li ense or 55 4F �� j��i��o � � � TVPE OF CONSTRUCTION NEW P.DD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPEOFPERMIT GRAPING FOUNDATION STRVCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION Sa. FT. oCCUPANCv CONSTRUCTION TVPE VALUATION 5 ZONE GRADING CU. YDS. ACRES Remarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs 7rinking Fountains Floor Dreins Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavarories P—Trap Roof Drains Reinspection Fee $15 Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. �CBO dk Heating System & Ducting ❑ ai oo,000 sTu O i oo,000 peinspectionFee � .$15 0865�46, rev. 5/88 White � Bulltling; Ganary - Applicanh Pink - q�countin9: Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection $olar Collecmrs Solar Piping Sofar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wash Leundry Tre'ys Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System 06100,OOOBTU ❑100,000 System Repair/Alteretion Fire Dempers Registers Issue Fee A.P. # S Main Buildi T Front 8 Rear A C Right K Left S Ping. Ret. # Planning Notes: FEES P.utomatic Washer Construction Pole S� Cooking Uni[ Dishw�a5her Dryers ❑Gas ❑EI Fan F.A.U. Fixtures 3 � Device Boxes Outl¢ti $wi[ChES Garbage Disposal Generator �0.5 KW $ 3 FEES $ 3 2one Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up m 100 amps Meter ❑over100amps Sub Panel - Mo[ors �0.1 HP � 1 Yh � 8 Inc. Soiar 09-15 HP 016-15+ Microwave Pole light Range Standing Sections 15 KW Trash Compacror � Reinspection Fee �$15 I � Issue Fee DEVELOPMENT SERVICES RE�UIREMENTS: Zoning Approved By Building Approved By Appliption Issuad By FEES N I N G R E � M T S. SUMMARY OF FEES BUILDING PERMIT S SMIP $ PLAN CHECK $ �__ PERMIT PLUMBING $ � -- ISSUANCE $ P�,4N CHECK 25% 5 ENEFGY P.C. S ELECTRICAL $ � GRADING $ PLANCHECK 50% $ MICROFILM $ � MECHANICAL S TOTAL FEE $ �= PLAN CHECK 25% $ D1 76G3Z:1e-G�B3?21' � �^-T �; :c �RTE: OSIa4/i39 7Ii��: t2:D9 ' � CONSTRUCTION AND PLANNING POOL 1 - APPROVALS�' Permit# I �ate Inspector p�ppROVALS Permit# Date Inspector ' �1. Temporary Electric8l Service or Pole" .. 52. Pool & Equipment Location ,, 2. Soil Pipe=Undrgrnd. �� :, 53. Steel Reinforcement � • 3. Electrical Conduit Utility-Undrgrrid. - 54. Forms 4.� Electrical Conduit-Undrgmd. 55. Electrical Bonding � 5.=Steel Reinforceme�nt •{� 56. Rough Plumbing & Pressure Test ��, 6. ElecfricalUFER�Gmd.� 57. APPROVALTOCOVER-GUNITE � ., � 7, Footings ,� . 58. Electrical Conduit-Undrgmd. 8.� Foundatiion . ' . 59. Gas Pipe, � Undrgrnd., Test - 9:'Water� Pipe-Undrgrnd. `. � •� 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System � , 61. APPROVAL TO DECK f 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 7�6. Rough Electric Wiring 67. Fencing & Access Approval i 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling a 69. POOL/SPA SYSTEMS FINAL � � '19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS- Permit# 21. Ducts, in Structure ',1_ , 70. Underground Hydro 22. Ducts,Ventilating ,',�.' 71. ProductPiping�Gas ❑Oil 23. Gas Pipe-Rough & Test , � 72. Underground Flush 24. Roof Framing �' 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathin9 74. Overhead Hydro 26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical 27. Frame and Flashing � 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREV. FINAL 30. 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: �O O� �� _� - 34. Final Heating & Air Conditioning �� v a� 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 ' - 7 43. Backflow Irrigation � • "• � 44. Landscape Irrigation System � � 45. Sound Attenuation - i, ' 46. Handicap Regulations . 47. FINALSTRUCTURE&BUILDING !a/ i�f"" � �' ! 48. Special Requirements Completed 49. Electric Release to Edison �` 50. Gas Release to Southern California Gas Co � `-' ' ' '� .,. �� 51. CERTIFICATE OF OCCUPANCY ' ! .. . No. Date •" i� '" ` / i . .� � � —� 1 PHOJECTAOOflESS: 2811 FRANCIS LN OWNEP'SNPME: WOODHOUSE LAWRENCE E TR nooxess: Zgll FRAN�IS LN COSTA MESA,CA 92626 ppCN/ENGINEEP: � 7 1 4� S S G— S 1.L O XEG.NO.: AOOFE55: uxiT: UNIT: viceminee: MATTHEW CURRY CQNST. ( 619 ) 951-0058 FDDPESS: i 4 Z S Z CULVER DR � A170 IRVINE CA 92719 LILENSEo LONiBRCTOfl DECLAPATION: I hereby allirm Ihal I am Iicen5e0 unCer Dmvisions of Chapier 9(commencinp wit� $ection 7000� ol �ivision 3 ol IAe Business and Pm�essions Code, antl my license is in lull b¢e anG effecl. cirruc.: 03862/y5 srareuc.:485004 cuss: g �ate: �=�(?--/� Signaiure: _' _ _ — WONNEBS' COMPENSOTION UECIAHATION: I here�y affirm ihai I have a cenilicate nl cansent to sell�in re a cenilicate ol Workers' Compensation Insurance. or a cer�ilietl copy thereof (Section 3800. LaO. C1. POIICY NO.: EXP. ORTE: "OMPANY: � Ceni�ie0 toOY i5 he2Cy �Umis�¢G. ❑ CenifieJ caDY is file0 vnih Ihe ci�y BuilEing Division. Oa�e: Aootiwnt: E%EMPTIONFAOMWOPI(EBS'COMPENSNTIONOECUflPT10N: QhisSectionneetlnolbecomDleteOiltAepermiti5�aonehuntlre0�3100�orleu). I cenily Ihai in I�e pedormante ol t�e xrork for wnic� Inis permi� is issueQ I s�ail not emplay any DQ«n in any manner so as Io Gecome Su�let� �o Ihe WorMe�rs' Co�mp[e.n%5aiion Laws ol Cahbmia. Oaie: 7�—�� SignaWre: NOTILE: II, aller making Ihis declaraiion, you s�oultl �ecome sublec� b �he Workers' Compens I Ihe Labor CaOe. you mu5i Iorl�wiih tomply wit� 5uth pmvi5ian5 or lhis De�mi� Shall be GeemeG revOk¢ . CONSTflUCTION LENDINC AGENCY: I �ereby attirm tha� I�ere is a con5imc�ion lentling aAency lor ihe pehormance ol t�e work lor w�ic� Ihis permn is issuea (Setlion 3097. Civ. C�. LENOEfl: AOOHESS: OWNEfl BUILOEP OECLFBATION: � here�y atlirm t�at I am exempt Imm the Comrac�ors' Sia�e License Law lor Ihe lollowing reason (5ection 7o31.5 Business ana Pmlessional Cotle: Nny city of county which repuires a permit to conslNcl, alter, improv0. tlemolish, or reDair any SlmcWre. Drior �o its issuance, al5o requires ��e apDlicani for such permit to �ile a 5igneG slal¢menl I�at he/she is licensetl pursuant to the Dmvis:o�s ol �he Conlractors' Sla�e License Law (Chapter 9(commencinA with Section 7000) af Oivision 3 0l ihe Business an0 Pmlessions CoOe) ar Ihat he/she is eKempll�er¢imm and Ihe basis lor �he allege0 exemplion. Any viola�ion o� Seciion 7031.5 hy any aOPlican� �ar a Oermi� suGlecls ihe aDPlicani Io a civil penalty of no� more i�an INe AunGreE dollars (E500�. I, as ownet ol ihe propeny or my employee5 with wages as iheir Sole compen5ation, will Eo ihe work, and tAe ❑ slmclure is nol imentlea or o��erea �or saie �Secfian 7064. Business antl Pro�eSsional Cotle: T�e CAntratiors' Slatp Lit¢nse �aw Oces nol apPW io an owner ol a pmpetly who builas or impmve5 iheleon. anA a•ho Ooes such work himself/hersell or NwuA� hIs or he� own em0�%'¢es, O�ovitleG iha� such improvemwts are nol inlenOM or olleretl for sale. If, trowever �he builEirg or im0�ovemenl fs SoIU within one year 01 comple�ion. the owner vnll have Ihe burden ol O�oving he/s�e Oitl no� Oui10 or imOrove � for Ine purpose ol Satel. 1, as owner ol t�e propeny. am exclusiveN comrac�ing wilh licensetl cantracmrs m consimm Ihe O�alecl (Seciion 7044, Business ❑ aiM Pmfessims CoOe: T�e Comractors' State License Law Goes not apDN �o an mmer ol 0�o0eM w� bmlas or imprwu ihereon ana w�o [nnlratls Ior such pmleds wi�� a tOnlrat�or(5) license pursuant Io I�e Conlratiors' Slat¢ LitenSe Law�. I am aware Na� proo� o� their Warker'S Campensation insurance s�oultl be pmviGeC to me. � I am exemo� un0er Setlion: 9. 8 P. C. for I�is reason: Daie: Ownec I ao hereby rerufy tnat I am aware ol anA untlerstantl �he requiremenis ol Califomia Heal�h anA Salety Cotle Seclions 25505, 25533, antl 2553a ane I�at I m any IWure builtling occupani will/will nol (circle one) neetl �o comply with saiU slal¢ codes antl ihe repuiremenis �or a permii �or conslmclion or modilication Irom �he Air �uality ManaAemenl Ois�ricl. ResiUen�ial cons�Nction apPlicalions are exemp� Irom �hese pmvisions. Dale: Applicant: I �ereCy cerlilyt�at I haveread I�is applicalion and 51aie Iha�the aboveinlormalion i5 carrecl. I apree�o comply with allcity antl counly oidmances antl stale laws ielaling lo �uilding cons�mclion antl hereby auihorize represenla�ives ol this ci�y lo enler upon Ihe ahove�menlionetl pm0etly loi inspection purposes.p oate� 7=�G ~ /� Signawre:.�� I Dnver's Lrtense or Soaal Securiiy x: tfiabn6 WM1ne—Bwltling; Gioen—CoOe Enlo¢emem; Canary—ApPlicant: Pink—Rovenuo: GolEanroC—Nssessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: IB 05282 PERMIT NO; IB 052827 PLAN CHECIC NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE; 5—N PERMIT TYPE: OTH STR PURPOSE: ADD JOB DESCRIPTION : RENEWAL OF EXPIRED PERMIT G38330 SQ FT: CLAIM VALUE: 38,928.00 CALC—�'ALUE: GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTOR(S) RE�UIRED IN HOME. *****+�*�rx*�r+r***�r+r+r**�*��***�** ***�e�***�+t****�r***�t�r****�r*��*��*****�+��***ir***�r* Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- 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; 14133108 ZNE; REF NO; PLANNING N(31'ES> > ****�*�*�r�t�*�t*****�t*�e******�e�***�r*******�r�*��r*�r�x��*+t�r*x***+�****�r��r**�r*�r�tx�xx�*x�t 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 HY DATE: HUILDING APPROVED BY ; DATE; APPLICATION ISSUED BY: DATE• 7 l� 1E�E1Eif1E3EiflfifiElf�fiElfifiEiflfKiEifiE iE3EiE)EiEiEiF*3Eif iFiF ifaEiEiElEiFiEiflEiEiEififiEifiEiEiPifafitiElE3fiFiFlE�EiEiEl4�if3E3EififiEitiF3f EiEi 9kiirtitiEiEiEiE�lf3fiFiEiElEiEifiFiflEifiFif3E3FiEifiF3iifififiElf LEGALIZATION:N F E E S U M M A R Y STRCiCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/RES GRADIiJG PERMIT 30,00 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 30.00 0.00 �._ 0,00 30.00 30,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OVER/SHORT: 00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLA13—CHECK 30.00 1E 1F iE iF iE af iF iE il� if iP iF IE fE iF iElF i! 1F iE if iE 1E iF 3E k 1E 1E iF iE 3E �f 1E 3E IF iF if 7F iF 1Fif iF iE # lf if iE if 1E iE if 1f iE if if iF iE if iE 1f iFif iF iF iE jE if * if #F if iE iF if iF ff iE �Eik 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 Z P T I O N UNIT COST TOTAL COST INS 1 BUILDING RE—INSPECTION FEE 30.00 30.00 END OF FEES V al 9C04_111-OGC43iZ1 �a:: r �� _� UATz: G7iia/°2 TIM�: ii:'s� CONSTRUCTION AND PLANNING , APPROVALS Permit # � � Date 1. Temp;iary Electrical Service or, Pole 2, Soil Pipe-Undr�ind. �� .� 3.. Electriwl Condit U�ility-Undigmd. 4. Electrical ConduiUlMdrgrnd. � .�5. S[gCl RAinforcement �6.'E16ctrical UFER Grnd. .. 7. Foptings `T � `- c..i $: Foundation - 9. Water Pipe�Undrgrnd. ; 10. Structural Floor System 11. Property Sewer Line:& House�Connection 12. Sewer Cap � 13. Roof Dreins - 14. Rough Plumbiog � , 15. Rough Electrical•Conduit ' 16. Rough Electric Wiring 17. Reugh Wiring Sign 18. Rough Electrical=T Bar Ceiling 19. Rough Heating & Air Contlitioning 20:�Rough Eactory Fireplace � +. 21.. Ducu,in Structui�e. , . � 22. Ducis, Ventiiating_ • .' �_ a 23'Gas Pipe-Rough &Y,est � ,' � . 24. Root Freming - . 25. Roof SHeathing ' '- � 26. T�Bar Ceiling (Structurall & Monocoat ' 27. Frame and Flash'rn� ' 28. Lathing& Siding � .. . , - '29. Insulation �' �� ' ' ' ' , ' �30. Drywall NaiUng - � �- ' '31. Plaster Brown Co�a,t � , � 32. Electrical Power Metet�Final � ,33.,`firtal Electric ' ,. ' . �" 34, Final Heating & Flir Conditioning�. - ' 35. Final Gas Pipe�Test" _ ,� 36. Hoad or�Canopy � � . ' � 37.�Final Factory Firepiace - .-� �' ' 38. Finel Plumbing .. ' � � - -39. Water Service�FinaP - . s ,40. Gas Service�Final ' - , ;,. ' � ., s41. Solar pomesticFinal � � - 42. Backflow Preventer � 43. Backflow Irrigation -- � � ;44. Landscape Irrigation System : � �• � ,� �45��Sound Attenua[ioR ' • • > � '46. Handicap Regulations . 47.-FINAL STRUCTURE & BUI'LDING � /j �48:�FINAL PI.ANNINC�i /" 49. Electric Release to Edison '- 50..Gas Release to Southem Califurnia Gas Co , 51. CERTIFICATE OF.00CUPANCY y No Da[e n Inspector PO SPA APPROVALS Permi* # ' 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical8onding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 58. Eiectrical Conduit-Undrgrnd. 59. Gas Pipe, � Undrgrnd., Test '�� 60. Backwash Lines, P-Trap, O Undr9rnd. I 61. APPROVAL TO DECK 62. Backwash & Receptor-Finaf 63. Heater & Vent-Final 64. Plumbing System - Final 65. Efectrical-Final 66. Solar System-Final 67. Fencing & Access ApProval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT t ' K _� 70. Uriderground:Hy`dro • � "' ' -_77. ProducF`Plping �Gas �'Oil 72. Undergrount� Flush- _.. . � = '` •>73.' Undergrnd. Storage-Tank O Gas ❑ Oil � ' � i,-. _ '74;=0verhead Hydro - ' � 75: pry Chemical " -- � � 1, .� 76: Dry Stan�pipe � K � � y • 77? FIXED SYSTEM�RINAL � 78., FIRE PREV. FINAL � � ;i. i��- � - �-� HEALTH DEPT. AEQUIREMENT �n : ', i79: �FINAL INSP�CTION ' �' - ; , � � � .80. �FOOD CERTIFICRTE ISSUED t �'� . � No{es: ,. , - ' �„ g • [ . c r.. . � ' ' • %/i�.[� r - ..� v '��. :Y .y. /.. ., _ - � . r r ` - . , - . � l.. t: i t . _. ,� ,,- :. _ , . . , � �i/�a ^ ' .; � . �_ Date � Inspector a � � � < � � � � ciTY oF COSTA MEs,a CONSTRUCTION PERMIT Project Address , .Applicant's Mailing Address ( � Owner's Name 2i' � Phon O Address � Arch/Eng. License No. Address Contractor's Name Phone Address Ima�i�� City License No. � �� LICENSED CONTRACTOR DECLARATION I hereby aftirm that I am licensetl untlGr provi5lon5 ot Charte� 9(commenUnq witn section ]000) of Division 3 of the Business antl Professions Cotle, antl my license is in full f rg effecL �/�//� � License C s i nse �'! V Dale Si9nature WORKE S' COMPENSATION DECLARATION .!�ereby atfirm Ihat I have a certitiwte o� consent eo seli-insure or a certificate S;x��Norkers' Compensation Insurance, or a cerUfletl coOY thereof (SeCUon (?�,�70, Lab. `551icy No.��y � Company �� ertiFietl copy �s f letlbwith�thehcity B�fijtlir�J v' 'on Date�Y;L��L'./�� APPlicant ��L�1 EXEMFYIO�V FROM WORKERS' COMPENSATION DECLARATION (This section neetl not be completed It tbe permil is for one �untlretl (5300) or less). I certify [hat in the performance ot tbe work tor which tnis perm�t is issued, I shall nof employ any person in any manner so as to become subject to lhe Workers' ComOensallon l.aws of California. Date Siqnature NOTICE: If, af[er making this tleclaration, you shoultl become subject to the Workers' Compensation provisions of the Labor Cotle, you must forthwith compty with sucn orovisionz or thiz permit shall be tleemetl revokea. CONSTRUCTION LENDING AGENCV I hereby attirm tbat there is a con5truclion lentling a9ency for the per(ormance of [he work for whith thi5 p¢rmit is ISsuetl (Section 3097 Civ. C.) lentler'z Name Lentler's Atltlress OWNER BUILDER �ECLARATION I hereby atfirm lhat I am exempt trom tne Contractor's License L.aw for the tollowing reason (Section 7031.5 Business antl Protessional Cotle: Any city or tounty which r¢quires a permit to construtt, alter, improve, demolish or repair any structure, prior to i[5 issuance, also requires the apP��can[ for such permit to file a signetl statement that he/she i5 licensetl pur5udnt to the provisions of the Contractor's Li<ense law (Chapier 9(commencing with Section 7000) of DiviSion 3 of tne Buziness antl Protessions Cotle) or tnat ne/she is ezempt eretrom antl the basis for the alleqetl exemption. Any vlolation of Section 31.5 by any applicanf (or a permit subjects the apP��<ant to a civil .oalty of not more [han five huntlretl tlollars (E500). L� I, as owner of tne property or my employees with wa9es as thelr sole compensation, will tlo Ibe wo�k, antl Ihe st�ucture is not intentletl o� otferetl lor sale (Section �044, Business antl Professional Cotle: The Contrac[or's Licenie Law Coes not apply to an owner ot a property who builtlz or imvroves the�eon, antl who tloes such work himself/herself or through his o� �er own employees, provitletl that such improvementz are not intentletl or otteretl for sale. Ir, howevaq tne builainq or Improvement is soltl wlthin ona year of com- plelion, tbe owner will have Ihe burtlen of proving he/slte tlia not builtl or im- prove for the purpose oi sale). �� ❑ I, as owner oi the proverty, am exclusively contracHn9 with Ilcensetl ton- '. tractors [o construct tbe project (Section ]044, Business antl Professlons Cotle: � Tne Contractor's License Law tloes not appry to an owner of property who builas or improves thereon. antl who cmtracts ror such oroietts with a con- tractor(s1 Imenze pursuanc co rne Conlrac[or's License Law). i am awara Ihac proof of lhei� Worket's Compen5ation in5urance shoultl be provl0etl to me. ❑ I am exempt untler Section B. & P. C. for tnis reason AVG�iwnt to flll In all spaces exceo� those wit�in heavy Oortler Ilnes ana sign all aooroodate aaclaratlons. —� PE IT TRACT N0. LOT NO. UNIT NO. A P# Date Owner I hereby certity t�at I have rea� information is wrrecL I agree to antl state laws relating to builtli� sentatives of [his city t ent inspection Ourp Signature ori�a.s� i�� .� a �, ac rs I state that the above antl countv orAinances ��95 - TVPE OF CONSTRUCTION NEW aDD ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. — ALTERATION LFJ REPAIR TYPE OF PERMIT LI GRADING LJfOUNDATION LI STRUCTURAL ❑ TENANT ❑ ELECTRICAL Ct�PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5a. FT, oCCUVArvCv_ CONSTRVCTION TVPE VALUATION $ ZONE GRADINGCV.V�S. ACRES_ Remarks: Preventer Irrigation Drinking Fountains Floor Dreins Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains PLUMBING Showers Service Sink Sewer (:ap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Aum-Wash Reinspection Fee I §15 I I laue Fee I g 3 I MECHANICAL fEES Juct- Under Ground Duct - S[ructural �uct - Ventilating Exhaust System � Multiple Firepl/Fact. BIL ICBO �k Heating System & Ducting ❑ ai oa,000 sru � i oo,oao Heinspection Fee � $15 0865-46, rev. 5/88 white - Builtlin9; Canary - Applicant; Pink - Accounting: Goltlenrotl - Assestor Hoad or Typel ❑ Canopy Typell ❑ Refrigeration System ❑aioo,000eTu ❑ioo,000er System Repair/AI[eration Fire Dampers Registers laue Fea aa S Main Buildi E T Front B Rear A C Right K Left S Ping. Ref. # Planning Notes: Automa[ic WaSher Construction Pole Sub. Cooking Unit Dishwasher .:, Dryers ❑Gas .�Eleci Fan F.A.U. Fix[ures Device Boxes � Outlets Switches Garbage Disposal Generetor �0.5 KW C za�a Parking Req./Provided ELECTRICAL Trenstormer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100amps Meter ❑over 100amps Sub Panel Motors �41 HP �1'r5 - 8 Inc.Soiar �9-75 HP �16�15+ Microwave Pole Light Range I I Standing Sections 5 KW I Tresh Compactor I Reinspaction Fee �$15 � I laue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning APProved By BuildinB APP�o�'ed By Applimtion Issued BY FEES $ 3 I N G R E Q M T S. SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ D PERMIT PLUMBING S �� ISSUANCE $ � PLAN CHECK 25% 3 ENERGV P.C. $ ELECTRICAL $ GRADING S PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ � PLAN CHECK 25% $ 01 �0028131-D00?313i "i"4�Y �.��,^. CR'i.: 03/IO/II9 'EflE: 16:'s2 � � �\ CONSTRUCTION AND PLANNING ' POOI PA APPROVALS Permit # �' Date Inspector qppROVALS Permit # Date Inspector i. Temporary Electrical Service or Pole �. 52. Pool & Equipment Location 2. Soil pipe-Undrgmd. ' 53. Steel Reinforcement ' 3..;Elettrir,al Conduit Utility-Undrgrnd. � 54. Forms � 4:�Eiectrical Conduit=Undrgrnd. � 55. Electrical Bonding 5. Steel Reinforcemenf� i � 56. Rough Plumbing & Pressure Test - 6.'Electiical UFER.Grnd. i 57. APPROVALTO COVER-GUNITE 7._.Footings � ' 58. Electricaf Conduit-Undrgrnd. ' 8:'Foundation ��.' ' � 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgmd. - �, 60. 8ackwash Lines, P-Trap, O Undrgmd. � 10. Svuctural Floor System i , 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 � Rough Electric Wiring 67. Fencing & Access Approval �17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � ��8. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 119, 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 0 Gas ❑ Oil 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Sirlin9 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. �laster 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. Hoqtl or Canopy 37. Final Factory Fireplace � 38. Fingl Plumbing y 39. Water Service-Final 40. Gas Service-Final 41. SolOr pomestic-Final 42. Backflow Preventer t� 43. Baqkflow Irrigation . � . � 44. Landscape Irriqation SYstem �" 45. Sound Attenuation ,-�f 46. Handicap Regulations � 47. FINAL STflUCTURE & BUILDING 48. Snecial Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co '� � f ..r.. '�. 7 51. CERTIFICATE OF OCCUPANCY "�- " No. Date . AOG�icant to fil� In all soaces except those within heavy boraer Iines ana sign all aooroD/iate tleelarations. CiTY oF COSTA MESA C�O/N�S^T�,RIUCT�ON PERMIT ' ProjectP,d'dres; ��) �/L41'wl�i L�N� _ App�icant's Mailing Address 5AM r Owrier'sName � �. w�%��Sv Phone •'SI(D � �E�! � �2�4-N�l i L/4-�v� 'atldress z 1/ Arch/En9. ��"H�� G�L✓� N License No. � �� y��T Addnfss 3�' (��tC-rbNIK1 ciT v�l:/u�?0/Lr f5G1f : /�',�,"� Contractor'sName �p�Tp�"� w" �K—Phone�y�731'3T� Add�sslmailin9l-3LL! /3wn.u/ /1/L✓//^�2-' �iN /%. Ci)y License No. ��1p Zy LICENSED CONTRACTOR DECLARATION 1 hereby atfirm [hdt 1 am licensetl untler provi5lOn5 ot Charte� 9(comm¢ncinq with section 7000) ot Division 3 0( the; Business antl Professions Cotle, antl my Iicense is in full force antl efiect. � �� YB�e � License lass License No. Date Signature � WORKERS' COMPENSATION DEGLARATION 1 M1ereby atfi�m that I have a certifitate of <On5¢nt to self-insure Or a ce�tlficate of Workers' Compensation Insurance, or a certifietl copy thereot (Section � '`0. Lab. C.) .. n� y No. _ Company Jertifietl copy,is hereby fumishetl. i; LJ Certitietl mpy'isliletl witM1 tbe city Builtlinq Division. y, Date Appli<ant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection neetl not be completetl if the permit is for one huntlretl ($100) or less). � /. . t I certlty that in the pertormance of the work tOr whicb this permk is IsSUetl, I� shail not employ any person in any-manner so as to become subject to the• Wo�ke� ' om nsa[ion Laws ot CaliPor -ia. _�/ ! / ,, Date Signature — -� NOTIC : 11, after making Ihis tletlaration, you shoultl b me subject t he Wotke�s' ComOensation provi5ion5 Ot Ihe LabO� Cotle, y0u must forthwitn comply wilh such provisions or tnis permlt shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I nereby aifirm that there is a construction lendin9 a9ency for the periormance of [he wo�k for which this permi[ i5 issuetl ($ection 309] Civ. CJ LPnder's Name Lenaer's Atltlress OWNER BUILDER DECLARATION I hereby atiirm tnat I am exemp[ from the Contractor's License law for the following reason (Section �031.5 Business antl Protessional Code: Any city or county which �equires a permit to consbuct, alt¢r, improvE, tlemolisM1 or repal� any sVuclure, priOr to its isSuanCe, also'requives the appliwnt fo� suCh pe�mlt to file a signetl sta[ement that he/sne i5licensetl pursuan[ to the provi5ion5 0( the Contractor's �icense Law (Ghapter 9(commencing with Section 7000) at DiviSion 3 ot the Business antl Professions Cotle) o� that h¢/She is exempt Iherefrom antl titC basis tor the alle9etl exemptlon. Any violation of $ection '^31.5 by any applican[ for a permit subjects the applicant to a civil �Ity ot not more than five huntlretl dollars (5500). as Owner of the Property o� my employee5 with wages as th¢i� sole � ,ipensation, will tlo the work, antl the structur2 is not intentletl o� otteretl for sale (Section 7044, Bus�ness antl Professional Cotle: Tne Contractor's License Law tloes not apply'to an owner of a property wtto bWItlS or Improves thereon, antl who tloes such wo�k nim5elf/he�self or thrOuqh his or he� own employees, provitletl tM1al such improvements are nOt Intentletl or offeretl fo� sale. If, nowever, the builtling or improvement is soltl within one year of com- pletlon, the owner wiil have the burGen of proving he/she tlitl not builtl or im- nrove tor tne purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensetl mn- tractors [o construct the project (Section 7044, Business antl Professions Cotle: The eonVactor's License law tloes not apply to an owner ot property who builtls or improves tM1ereon. antl wno coniracts for such oroiects wltM1 a mn- tractor(s1 license pursuan[ ro me Contractor•s License Law). I am aware that proof of [hei� Wo�ke�'S Compensation insu�ance Shoultl be providetl to me. ❑ I am exempt untler Section B. &�P. C. tor this reason oate Owner . I hereby certify that 1 have reatl jnformation is ronect. I aqree to c antl state laws relating [o builtling Sentdtive5 of this ity to enter inspection pu�pps < Signature i\ � Driver5' License or « � `�0865-46, rev. 5/88 at the above ty ortlinances :horize repre- property to� s3833o I .�.�� I "�5 I TYPE OFCONSTHUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHEcR�,� ` • � DESCFjIPTION OF WOFK/ySE OF BLDG. -�1 �CL%^� ,• if - TVPE OP PERMIT LJ GRADING LJ FOUNDATION L�YSTRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAI. ❑ OTHER �+� PROJECT DESCRIPTION SQ FT �,a/ �� oCCUPANCv w CONSTRUCTION TVPF �_ ' Vvl uqTION $,3$� ZONE GRFiDIfVG�CU_VP57 ACRES_ Remarks: -,J�� 3 -� f Bar Sink Backflow Preventer eackflow Irrigation Drinking Fountains Floor Drains Flaor Sinks Gas Service Interceptors Kitchen Sink Lavarories P-Trap Roof Drains Reinspection Fee Shower5 Service Sink Sewer Cap Sewer Connection $O�df COIICCtOlS Solar Piping . �� Solar Tank `� Swimming Pool w/Spa Urinal QIItIEtS ✓ i�1(�fgt2f CIOSEi Water Heater Water Service Auto-Wash Laundry Tra'ys $15 Duct-UnderGround Duct - Structural Duct - Ventilating ExhaustSystem ❑ Multiple❑ Firepl/Fact. Blt �CBO �k Heating System & Ducting ❑ ai oo,oao sTu O i oo,00a sT Reinspection Fee I $15 White � Builtling; Candry - Applicant; Plnk - q«ounting; GOltlen�Otl - A55e55o� Issue Fee Hood or Type I ❑ Canopy Type I I ❑ V � Refrigeration System ❑aioo,000sru ❑ioo,000 System Repair/Alteretion Fire Dampers Registers Issue Fee A.P.# �I S Main Building: TFront � �Rear � A C Right K Left s Ping. Ref. # Planning Notes: � � FEES P.utomatic Washer Construction Pole Sub. Cooking Unit =� Dishwasher i�'- Dryers ❑Gas .�Elecl DO Fan i� F.A.U. �,6� Pixtures - +' Device8oxes •?� '/1 OuLIeLS $ 3 FEES � v_. _..__ - . Gartiage Dispoul ^ � Generator OO-5•KW OS-i �. ua � zo�a Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50KW ❑ 50+KW Meter ❑up to 100 amps Meter ver 100 amps. Sub Panel Motors OO-t HP O1'/: - 8 Inc.Solar :15 HP �i6-15+ Microwave ' Pole Light �' Range Sign Standing Sections I Trash Compactor �f . $15,� Issue Fee • DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By ^ fBuiiding Approvad By, �� .5�� FEES N 1 N G R E Q M T S. _� � -�SUMMARV OF FEES " ^ � � "BUILDINGPERMIT $ .3�� SMIP ; $ d�� > -PLAN CHECK $,� ' PERMIT ' , PLUMBING $ �J_3 . DO '� ISSUANCE $ tPLAN CHECK 25% $, � ENERGV P.C. $ � - G �•So GRADING $ .-ELECTRICAL ._• $ �_'PLAN CHECK� 50% $ MICROFILM $ - � �MECHANICAL $ ' �� .~ TOTACFEE $ �� PLANCHECK. 25% $ _. . . r. � � n; ')C9�? ":.-O��i728 �'�''F' 7A"'�: G;,_.,,a Ti�E: tg.l' . �J , CUNSTRJCTIONANDPLANNING POOLF � yAPPROVALS •.PerFrlit# --ate Inspector qppROVALS Permrt# Date Inspector �,ia. Tempordry Electrical Service or Pole 52. Pool & Equipment Location i 2! Soil Pipe'.Undrgrnd. . ��J��S.C� [,��' 53. Steel Reinforcement �,� 3: Electiical�Conduit Utility-Undrgmd. 54. Forms 4: Elecfrica; Conduit-U�ndrgrnd. � 55. Electrical Bonding 5. Steel�Reinforcement 56. Rough Plumbing & Pressure Test '�' r. •i 6. Electrical'UFER Grnd�� /(o �,�'j� 5,7..APPROVALTO COVER-GUNITE �, ., 7. Footings � �=� � �� ly�� (6 `� /��! 58. Electrical Conduit-Undrgrnd. ' �, , . 8. Foundation � �'.�;i7 � i.� 59. Gas Pipe, O Undrgrnd., Test - .�V .� 9.''Watei Pipe-Undrgrnd! ��` 1 �� 60. Backwash Lines, P-Trap, O Undrgrnd. '�' � 10.�StructuralFloorSystem `% ��, 61. APPROVALTODECK L 11 . Property Sewer Line� & House Connection � 62. Backwash & Receptor-Final 12. Sewer Cap` �_ e� . � ' I 63. Heater & Vent-Final � i• 73. Roof Drains � . �.�i { 64. Plumbing System - Final 14. Rough Plumtiing� �� /.t/� L�� 65. Electrical-Final �� 15. Rough Electrical�Conduit . � 66. Solar System-Final � 6. Rough Electric Wiring � , D 67. Fenci�ng & Access Approval '17� RoughGViring Sign 68. APPROVED FOR PLASTERING 3�8� RouglLElectrica,l-T Bar Ceiiing� 69. POOL/SPA SYSTEMS FINAL 18�. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT , 20. Rough��actoryFireplace �� APPROVALS Permit# n r 21. Ducts, in Structure � ��I � 70. Underground Hydro ? 22. Ducts, Ventilating �T � �., J 71. Product Piping O Gas ❑ Oil 23. Gas PipJ Rough & Test � t� ,Z?%Underground Flush _,. ��,4. Roof Fiaming 1�_ 73. Undergrnd.StorageTank �Gas ❑Oil i 25. Roof Sheathing N � 74. Overhead Hydio 26. T-Bai Ceiling (Sti'ucturaq �&�Monocoat 75. Dry Chemical� :27. �Frame and Flashi�g �, � D 76. Dry Standpipe� � „ � - 28. LaiHing &fSiding �� D 77. FIXED SYSTEM FINAL ' 29. Insulaiion ��° � 78. FIRE PREV. FINAL ' 30. Drywzll Nailing �``> �i ,.; HEALTH DEPT. REQUIREMENT 31. Plaste Brown Coat ��` o-�, �,,, B 0 79. FINAL INSPECTION :, r.� t{_.�-: 32. Electrrcal Power�Meter-Final 80. FOOD.CERTIFICATE ISSUED - �.i i - a u C- . � 33. Final�Electric j l�'• / Jp Notes: �� 34. Final�Heating & Air,Conditioning , �� t�� p �j� i 35. Final Gas Pipe-Test 4 L3 � �� -ggF-. �� 36. Hood or Canopy �,: r � -i �� K �C g�/ 37. Final�Fact'diy'Fireplace' Z �. � �� j � � . � � � ._38. Final.ilum�'ng �,i,,l"i� ,; // ,�% . uc�- '��c<c s� , 39. Water SeSvice-Final^r�'ri i � , _..- 40. GasiSer•vice-Final'' �" �' �' s y � .( 41. Solar pomestic-Final .... ;•1 , ( 42. Backflow Preventer"�-,%� � �� - l�' 0 43. Backflow Irrigatiori,'•}J � � ' „ �' • 44. Landscape Irrigation: System � �,; l'45. Sound Attenuatio� ; j, � . � � � 46. Handicap Regulations �. � � � �� 8 � 47. FINAL STRUCTURE & BUILDING � � �� j-r�"�� . 48. Special Requirements�Completed ? �'49. ElectricReleaseto�Edison ' 1 ' ��'`?" 50. Gas Release to Southern California Gas Co , ��w� , �� ,� , , ��l 57. CERTIFICATEOFOCCUPANCY •�'•• I+! V V ='!% �L� :�F�.' . � ' +��'' � No. � Date 'v .i � �) � �; �,� i j . , ';� � `,' `� r.. . CERTIFICATE OF COMPLIAN�E PAYMENT OF SCROOL FACILITY FEES NBWPORT-MESA UNIFIED SCHOOL DISTRICT Developer/Applicant: Address: Jbbl /J�J'�tJ� ��'�Ni� �� 'Yi-�/.� Telephone Number: 7�`�` �33� ��y Tract/Parcel and Lot Number(s): Location of Project: Number of Square Feet of Residential Space �� x $1.50 Number of Square Feet of Commercial and Industrial Space Commercial/Industrial Project is: Mini-storage Movie Theater Racquet/Health Warehouses Heavy Industrial Regional Shops Light Industrial x $0.25 (Check One) Total /� �! �� Total Motel Bank Neighborhood Shops R & D Hotel Medical Office Office Park Preschool Auto Repair Hospital Large Office Office Bldg. Restaurant Fast Food The provisions of Government Code Section 53080 are not applicable. This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995. Checks are to be made payable to Newpon.t-Mesa Unified School District. ' ^'` �a>'r�,'-i �� /��! . /% •'-�r`:�'y�,L Busi ess Manager Newport-Mesa Unified School District The above representation as to square footage is true. Developer/ Applicant agrees 'that if it is later determined that such representa- tions are not true then this certificate shall automatically terminate and the appropriate City/County shall be notified. D a t e : �,.f � , � �3� G�`�`'v.�-� 1/ � � !/ Developer/Applicant �� A�/`l 6' c.� �l � C�y� AP R 2 8 1989 � �a,.„�E�E,•�.�,Faa„�. PORTER, O'BRIEN & ARMSTRONG � O. J. PORTER & COMPANY N[W/.qN • NEW J6N9EY CONSULTING ENGINEERS �ACNAMCNTO • C/.LIFOMNI• � 510 - 71 a� STREET ww�HiHcrox • o.c. NEWPORT BFACM, CAIIFORNII� Qn-ue�i MkNO • H6V�DA JOB N0: PROJECT: SAMPLE FROM: AACHZTECT: CONTRACTOR: MIX: SPECZFIED STRENGTH, PSI Gjrlinder No: Mark No: Size: Made by: Date cast: Date tested: Age of test, days: Msac.load to destruction, 1bs: Compressive strength,psi: REFORTS T0; REPORT OF COMPRESSION TEST GUNITE TEST CYLINDER .u�• �� Srri�ing Pool, 2811 biancis Lane Coeta Mesa, California Cape Aire Buildera Gunite 2,000 psi at 28 days 2169 2170 6.4"x23.o" J. Waltera September 2, 1964 eeptember 9, 1964 7 daYs 113,200 3,520 2171 PINTNEP3 O. JAME9 POpTFR n N. o�enien flLl9 L. ARMSTPONG J�MEB R. POHTER �SSOCl/�TES J/.ME C. YOtINO C F. GFIGG C, w. D1qpY OTTO M. VIRRE J. i. WH�TE (A.I.h.) W. 1. WAGNER v. �. vorre p. L w.� LEON�NO C. UHOUX/�NT IY�9•1000 �p 11 ��' �'��%B� City of Coata Mesa, Building Dept., 695 West 19th St., Costa Mesa, Cslifornia Cape Aire Bullders, 1540 Nexport Boulevard, Costa Mesa, California HJD�bd 8eptember 9, 1964 Respectfully submitted� PORTER� 0'BRIEN TRONG � ^ gy: / . RCE No. 13,635