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Home My WebLink About809 GALLERY CT - Building Permitsl '� y� CITY OF COSTA MESA � 0 pMF �'° t� �' � B!1►LDING DIV►SION it � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.wsta-mesa.ca.us �, � FOR INSPECTIONS CALL: (714) 754-5626 �o+,wn�m'R% i PERMIT NUMBER: M09-00039 � � •i•r / I PERMIT TYPE MECH APN: 14151341 JOB ADDRESS: 809 Vicinity: REAR YARD SQ. FT: 0 SCOPE OF WORK: OWNER: SIDDIQI, NUMAN JU� PHONE: ry';` .-�� APPLICANT: DE ANGELIST, DON�,� PHONE: 949-279-5575 '-�`.;;;�`` CONTRACTOR: COASTAIRE ;;-"-':"; Address: 74 SANTA CATRINAUi Ciry/State: RANCHO SANTA�MAR� CELL: ��tG ��t: ". t I .: ..r,l ._. } �._3 I,�� t ,:'_ : IV�ECHANICAL PERMIT FEE3 �_ � : � MECH ITEM FEE: .�.� �._:-? PLAN CHECK FEE: �`��; � INVESTIGATION FEE: �. '� REINSPECTION FEE: -_ TOTAL FEES: $38.20 i'� U. r. STATUS: DATE ISSUED: ,;�,; � y �q;�- m> �ISSUED BY: -�=_sr y ; �, `,�Na � ri 'r $Uli@/Ulllt :=. �:�1 � " -' �° i t : _ � ,--� ;-� � . � : � .:.r�_:..s ._ . _,.__ t�.. . . SAME LOCATION AS � � 31 �: . ,.. �.,...� ,..,..rn� RITAf1'�� p �r — °�_ �' F � !. .( �:� f � Zi " a..- 4 s S. 1 ...i .;ty a � �� x ��L e� - �� .# . _.�. n:._ F .. UMMARY — -"" ��°;$38.20 ._ t . �.°��.._. ,ISSUED " 04/30/2009 KJB m � i5�:-:.JVW �.I�� t �s�� ie3 j ,�'� �l � ;�$0 00 .c ^� ,��1. � r €� --- "A u S% J�� 2 Ad' :`.'`+ f �b:rt M �. � '� i . , x x �.�;" � r _..,. ,: ';=r yr ' • ^ :. r9s' � � `�' � j� S,� " � � F[_...i ' r < : 4 . "C-' 0 � �.� l�J.�;�C(�": t �9 DATE y � '2 l' - i� "`" NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related ;regulations. (Ord. No. 92-28, § 1, 12-21-92) � iEXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. �INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all ��:required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. CODEt. INSPECiIONTYPE DRTE INIIIIAL CODEi INSPECTIONTYPE � UI1TE INPTIALS .1676 . Fixed System Final Fire Prevention 206 Final Mechanical � 1266 Pool Spa Final ' 208 Final Plumbing �200 Final Re-Roof 210 Final Electncal 201 Final BIocWRetaining Wall � 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign .. 222 Final Site - S;e��t ��C �'• 204 Final Demolition'. 250 Fina1 BuildinglOccupancy �` , �. WORKERS' COMPENSATION DECLARA710N: - � �' � I hereby affrm under penalty of perjury one o( the followinq tleclarations: , ❑ I have and will main�ain a certificate of consent to self-Insure (or workers' compensation, as providetl for by section 3700 of Ihe Labor Code, for the performance of the work for which this permi[ is issued. ❑ I have and will maintain workers' compensation insurance, as iequired by � section 3700 of the Labor Code. (or Ihe pertortnance of the �+ork foi which Ihis pertnit is issued. f�1y workers' c mpensation Insurance carrier and policy numberare: � f � � � �•��47 Carrier: -- � v�, (T�issecfionneetlnotbemmplete4�IhepermRisvaluetlC��/p nehuntlre4Collars(8f00)oilessJ Poli umber. �U �� / ' I certi(y lhat in the pertormance of the work for which this permit is i ed, I shall not employ an erson in any manner so as to become subject to the vrorkers' compensa' laws of Califomia, and agree that if I should become subject [o the ers' compensation provisions of Section 3700 of Ihe Labor Code, I hall f hwit comply with the p ovisions. D c� A lic s nalure D le WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby a�rm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and eRecty� �� Lic. # J Class # onlre ignaWre Date CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn thai there is a construction lending agency for Ihe peAormance of the work fa wfilch this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Dale OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 703L5, Business antl Professions Code: Any city or counry which requires a permit to construct, alter, improve, tlemolish, or repair any siructure, pnor to its issuance, also requires the applicant for such permit to file a signed statement Ihal he or she is licensetl pursuant to the provisions of the Contractore License Law (Chapter 9(commencing with Section 7000) of Division 3 0( the Business and Pmfessions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant (or a permit subjects Ihe applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the strucWre is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner ot propeAy who builds or improves thereon, and who tloes such work himself or herself or through his or her own employees, provided that such improvements are not intended or oftered for sale. If, however, the buildinq or improvement is sold within one year of complelion, the owner-builtler will have the burden of�proving that he or she did not build or improve fo� purpose of sale.). � ❑ I, as owner of the property, am EXCWSIVELY CON7RACTING WI7H LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professbns Code: The cont2ctors License Law dces not apply ro an owner of property who builtls or improves thereon, and who contracts for such project wi[h a contractor(s) license pursuant [o the Cont2ctors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: 305]-A6(3I01) Ovmer ID verifed by drivers license. ❑ Ves ❑ No �Driver's' License No. Expires:-�� Verification of Ownership by (type o( tlocumen[, i.e. - prope'tly[ax bill or ileed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: . ❑ I hereby certi(y Ihat no excavation fve (5) or more feet in depih into which a person is required to descend, will be made in connection vnth work authonzed by this permit, and tha[ no building structure, scaffdding, falsework, p tlemolition or dismanHing thereof, will be more Ihan Ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Califomia Administrdtive Code). ❑ As owner-builder, I will not employ anyone b do work which would require a permit from the Division of Industrial Safery, as noted above, unless such person has a permil �o do such work from the division. Appl¢anfs SignaWre Date Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to fle and certiy a Business Plan for emergency response to release or ihreatenetl release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, with some exceptions, that a Business Plan be Ned with the Costa Mesa Fire Departmenl by every business which has a[ any one [ime during a reported year a quantity ot hazardous materials equal [o or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at standard temperature and pressure). 2. Does or will the applicant or present or tuture builtling occupant need to fle a registration (orm for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safery Code, with some exceptions, requires regis[ration with ihe Costa Mesa Fire DepaRment by each business which at any one [ime has on hand a quantity o( acutely hazardous materials equal to or greater Ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature antl pressure�. 3. Does or will �he applicant or present or (uture building occupant need to prepare an RMPP (Risk Management antl Prevention Program for awtely hazartlous malerials)? ❑ Yes ❑ No (Seclion 25534 of the Califomia Health and Safery Code provides Ihat the Cos[a Mesa Fire Department may require [he preparation, certifcation and fling with the Fire Department of an RMPP by businesses which are required b register acutely hazardous materials wilh the Fire Department. 4. If an RMPP is presently required, has Seclion 25534 of the Califomia Heal[h and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will ihe applicant or present or future building occupant require (or the work which is the subject of this application a permit for such constmction or modifica[ion Gom Ihe Sou[h Coast Air Quality Management District or from any other air polWtion control district or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemment Code requires that Ihe requested infortnation be (umished on applications for non-residential building permits). 6. Will any part of the facility to be constructed under this permit be within 1000 feet (rom lhe outer boundaries of a school? ❑ Yes ❑ No (I/'yes", the facility must meet the requirement of Sections 25534 and 42303 of [he Califomia Health antl Safety Code). 7. if a permit from Ihe South Coast Air �ualily Management District or olher air polWtion control district or agency is requiretl for the work which is [he subject of this application, have all of the disclosures prescribed by California Health and Safe[y Code Section 42303 been made? ❑ Yes � No 8. Qf'yes", attach certificate of compliance from the appropriate air pollulion control officeQ. CERTIFICATE OF COMPLIANCE: I'certify that under penalty of perjury the information given above is correcL I agree to compty with all state laws and city ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correcl I agree to comply with all state laws and city ordinances relaling to building construction, and aulhorize representatives of ihe City of Costa Mesa to enter upon the above-described property for inspec�ion purposes. I agree not [o occupy or allow occupancy of any building authorized by this permit until final inspeclion_ Signat of e r s� � Da�e � v AnErorAu�horize4Apphcam Oate �"' CITY OF COSTA MESA �� , - . ' . BDILDING DIVISION ' > {' � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 �• www.ci.costa-mesa.ca.us '� f '! � FOR INSPECTIONS CA�L: (7t4) 754-5626 _ . - . � � , �� . . . r . . ., . , . .. - . PERMIT NUMBER: M08-00128 PERMIT TYPE MECH STATUS: ISSUED APN: 14116101 DATE ISSUED: 1010212008 ��` ISSUED BY: RMD . . . �r ` .� ��x'.�'.z . � . . Ci f t - -�Mar ,� JOB ADDRESS: 7396 GALWAY LN�CM, � `� ,� E� Swte%Umt �` � � � � � � Vicinity: �, :.� � �y -- , , ,.._ .. � �-_�. k _. SQ. FT: 0 �i;;rf,� i :,_�.L e' � = -• mn'"'�"':,° :,y� ., : �::�, .. : � .. � ,, x . ,n . , . ;.<r.. :.� � �L � - ':'.�l3v �}��2`., .l k : "+. - k ' � . . . SCOPE OF WORK: CHANGE OUT FAU <;�00'K BTU LOCATED IN HALLWAY CLOSET FOR A SFDls. � ' . >,':� i p- � �:.. a� . �. . , � ;�k � :: e.lc'•,. . . . ssa„ . ,... . ...,.� .... .. ...... . . . . � OWNER: VANGUARD PHONE: ApPLICANT: CLARKE, JE PHONE: 714-556-36'I 5...;% CONTRACTOR: OWNEI Atldress: Unit ;'ad; Gty/Slate: �,` ��, !'1 MECHANICAL PE .RMII MECH ITEM FEE: PLAN CHECK FEE: INVESTIGATION FEE; ,� REINSPECTION FEE: " TOTAL FEES: $38:30 e 9 CA �pddress: ; 55•FAI -- - -';::�Ciry/State/Zip: ,; COST ��a,�,� �' �'� - Arldiess t .,N-�. 55 FAI�. _,�.�,�.,..� - �'�Ciry%S'tate/zZip --?}.�COSI', "c::3 � ('. , Licen,'se i s .>...., � � ,r's CE . . _.__., _.... �. ,r.4: „ , � `�:;536.30 �� e i � $0 00 �n i ; ; $0 OOr � ;!�50�� r f � , �� AMk i �� i �5 �: �. . t . ..� �'�h V„ � ��T4 � ��_F 1 � }� ..�"�",�r,..`< 'if, -_ i l - ;�.,. ��'�t��,: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related r�gulations. (Ord. No. 92-28, § 1, 12-21-92) ' �� XPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. � � . �� INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable �codes, �and all required inspections and final approval musl be obtairied. Failure to obtain inspections and final approval, will result im,the expiration of this permit. yQ�� INSPEC710NTYVE .DA�I ' IN71ML5 OOEC.INSPEL710NTYPE � iEr-�+-pINTT� �, (^`g iQ18 Fixed System Final Fire Prevention 206 Final Mechanical � �.��`��'�W— 1268 Pool SDa Final � 208 Final Plumbing � �" � ' i 2b0 Final Re-Roof 210 Final Electriwl . � 201 Final BIocWRetaining Wall � , 212 ,Final Fire Pre�ention . .. - 202 Final Factory Fire Place � 2Z0 Final Planning ApOroval z03 Final Sign 222 ,Final Site Zq4 Final Oemolilion 250 Final BuilOing/Occupancy � ' WORKERS' COMPENSATION DECLARATION� . I hereby affirtn untler penalry oi peryury one of the following declarations:. ❑ I have antl will maintain a ceAifwte of consent to self-Insure tor workers' compensation, as provided for by,section 3700 ot the Labor,Code, tor the peRormance of ihe vrork for vihich ihis permit is issued. � - ❑ I have antl will maintain v,orkers' compensation insurence, as required by sectbn 3700 of the Labor Code, for the peAortnance of the work for which this permil is issued. My workers' compensalion Insurance carrier and policy number are: Carrier: (ihis se[fwr neetl riol Ee comdeledathe pemui a valuetl a1 w�e hvM�ed tlnllars (Sf00) wless ) Policy Number: —F=, f[] I certify that in the pertormance of the work for which this permit is icsued, I shall not employ any person in any manner so as to become subject b the workers' compensation laws of California, and agree that if I should become subject to Ihe workers' compensa[ion pmvisions o( Section 3700 of [he Labor Code, I shall fo wit comply�th these provisions. µ� i0 2 �pplicanl's ignaWre �Da ey- RNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby a(firm tha� I am licensed under provisions of Chap�er 9(commencing with Section 7000) o( Division 3 of the Business and Professions Cotle, antl my license is in full torce antl etfect. Lic. # Class # Coniractor's Signalure Date i :::�. CONSTRUCTION LENDING AGENCY: ❑ I hereby^aKrm that there is a consWctbn lending agency for the perfortnance of ttie v.ork fw wfiich this_pelmit is issuetl. (Sec. 3097, Civil Code). „" Lender's Name: � ��"' �' � �... Lender's Address: '� � ei -!' � f y,- �ax:-... . - •Y`t� �lp. SignaWre ' `;`,� Dale .^ �m'� OWNER-BUILDERDECLARATIONS: /� _� ' : �1,''� I hereby aKrm that under penalty of perjury thal I am EXEMPL FROM 7HE CONTRACTORS LICENSE LAW for ihe following reason �,(Sec. 703L5, Business and Professions Code: Any city or county which requiies a permit to consiruct, alter, improve, tlemolish, or repair any -stmcwre, prior to its issuance, also requires the applicant (or such permit lo Ne a signed statement that he or she is licensed pursuant [o [he provisions of the Contracbrs License Law (Chap[er 9(commencing with Sec[ion 7000) of Division 3 of ihe Business antl Professions Code) or that he or she is exemp[ there(rom antl the basis for the alleged exemption. Any violation of Section 703L5 by any applicant for a permit subjecis the applicant to a civil penalty of not more man five hundred dollars ($500).): ❑�I'as owner of the property, or my employees with vrages as their sole compensation, WILL DO THE WORK, antl the stmclure is not intentletl or offeretl for sale (Sec. 7044, Business and Pro(essions Code: 7he Contractors License Law does not apply to an ovmer of properly who builds or improves thereon, and who does-such vrork himself or herse!( or ihrough his or her own employees, provided that such improvements are not intended or offeretl for �� sale. If, however, the building or improvement is sold within one year of completion, Ihe owner-builder will have the burden of pmving.that�he o��'she did not build or improve for purpose of sale.). . � ❑� I, as�ownerbf the properry, am EXCLUSIVELY CONTRACTING WITH �� LICENSED CONTRACTORS to construct lhe project (Sec. 7044,�Business and ' '� � Pro(essbns Code: The�contractors License Law dces not apply�to�an ovmer of ,. �-- s�9�awre �� . � � oaie -: property who builds or improves thereon, and who contracls for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION' OF ENTRY: I a cont2ctor(s) license pursuant to the Contractas License Laws.). ,. � � certify under penalty of perjury lhat I have read this application.and stale that ❑ I am exempt under sec. � � �� he infoimation given is correcL I agree to comply with all s[ate lavrs and city . � ordinances relating to building conslruction, and authorize representatives of 6usiness and Professions Code for lhis reason: - � Ihe City o( Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building � � authorizetl by this pertnit until fnal inspection. , . . (��(/C�GG�i ` ! • � �C/.f�L(M, 1 'V � OZ / b� � SignaWre of Le I Own (s) ' Dale ' -. � . . �( . . �Si alure�- ' . .. 1LDald v � -� _� ` ' D�I]. d61y0]) -' U . ' 'ME/OrANhonzeOAP�licanl-J `Da� Owner, ID verified by dnv ice se. ❑ Yes ❑ No : Driver's License No. Expires: - ' Venfication o! Ownarship by (rype of document, i.e. - prop` �yax bill�r deetl): DIVISION'OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: �. . �❑ I hereby certify that no excavation frve (5) or more (eet in tlepth into which a person is requiretl to descend, will be made in connection with wurk authorizetl by this permit, and that no building siructure, scaFfdding, lalsewvrk, or demolition � or dismantling Ihereof, will be more Ihan thirty-six (36) feet high (Chap. 32, Grp 2, M 2, Sec. 341, Ti�le 8, Califomia Administrative Code). ❑ As owner-builtler, I vnll not employ anyone to do work which would require a permit from [he Division of Intlus[nal Safety, as notetl above, unless such person has a permit to do such work from the division. AOOliwnfs SignaWre �ale Division of Induslrial Safety Permi� Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: � 1. Will [he applicant or present or future builtling occupant need to fle and certi(y a Business Plan tor emergency response to release or threatened release of a hazardous malerial? ❑ Yes ❑ No (Seclion 25505 0( the California Health antl Safery Code requires, with some exceptions, that a Business Plan be filed with ihe Costa Mesa Fire Department by every business which has at any one time during a reportetl year a quantity of hazardous matenals equal [o or greater than a weight ot 500 pounds, or a volume of 55 gallons, or 200 cubic feet ot compressed gas at stantlard temperaWre and pressure). 2. Does or will the applicant or presen[ or fuWre building occupant need to file a registration form for acutely hazardous materials? � Yes ❑ No (Sec[ion 25533 of Ihe California Healih and Safety Cotle, with some exceptions, requires registration wilh Ihe Costa Mesa Fire Depariment by each business which at any one time has on hand a quan[ity o( acutely hazardous materials equal to or greater Ihan a weigh[ of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at slantlard temperaWre and pressure). 3. Does or will the applican[ or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Secfion 25534 of the California Health and Satery Cotle provides [hat the Cos[a Mesa Fire Department may require [he preparation�, certifcation and (iling with the Fire Department of an RMPP by businesses which are required to register awtely hazardous materials wi�h �he Fire Department � 4. If an RMPP is presently required, has Sec�ion 25534 of the Cali(ornia Health and Safety Code been fully complied wi[h? � Yes ❑ No 5. Does or will the applicant or preseM or future building occupant require tor the work which is Ihe subject ot this application a permit for such cons�ruction or modification from the South Coast Air Quality Management District or from any other air polWtion control district or agency? ❑ Yes ❑ No (Sectbn 65850.2 of the Califomia Govemment Cotle requires �hat Ihe requested intormation be (umished on applications for rwrnresidential building pertnits). 6. Will any part of the faciliry to be consiruc[ed under Ihis pertnil be within 1000 fee[ from the outer bountlaries of a school? ❑ Yes ❑ No Qf "yes", the faciliry must meet ihe requirement of Sections 25534 and 42303 of Ihe Califomia Heallh and Satety Code�. 7. If a pertnil from the Sou[h Coast Air Quality Management District or olher air pollution control district or agency is required (or Ihe work which is the subject of lhis application, have all of the disclosures prescribed by Califomia Health and Sa(ely Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach cer[ificate of compliance fmm the appropriate air polW[ion control oKcer). � ' � � �. � � � , CERTIFICATE OF COMPLIANCE: I certify thaLunder:penaltq,ofperJury lhe information given above is correcl I agree,to,comply vrith�all state lavrs�and ciry ordinances regaiding Hazardous Materials and Emissions: [_�� " (714) 754-5273 • Fax (714) 754•4858 • www.cl.costa-mesa.ca.us �- �{ BUILDING PERMIT Jab Address: 809 GALLERY CT ' Suite: Vicinity: Parcel Number: 14151341 npplicant: DIGIOVANNI,DAVID Address: 201 W SANTAFE AVE _ PLACENTIA, CA,.�- n/%' Owner: Address Zoning: �tr~� �Zip:i 92870 �� J �f+ �� l AYD� � � �---"^--=- =--.— .�:r„� /.(� % < �///�; / , ;ontracror. DISASTER,KLEENUP , i ��i . . �.i�_—i ''i Address: 207 W SANTAFE'AVE // 't� �� //(' �i PLACENTIA, CA i Z`ip� g 8!� �/� , / j :h! li�� f • _ +S`.,ul ��T`J '' U -"'1 u�A�'Y f � `} (��o'� C r1 � oa" � Zip: ��j a ,¢^��icense: � \ !!7�! ° �� 1�� -� i Il�r"7 l )RK'SHOWER TILE AND REPCACE.P.AN�AND:DRA � ACCESSORY PARKING NOTES: $0.00 j $69.25 � $0.50 $�.�� $0.00 \0.00 � Phone: 714-524-8500 .� .�,—...r r � �� ,. M 4 ��,�� .. '.le+ ` 'oOt�° u° h�'.•�t..� ..... n. no n _ �'IIu.t L' � � .� � e. :i J a � 'a •� .,. . �-. o �Q �n �� 0� �� O�Left� ��9-� o �� o go ��: 00 0 D o�� -0`__C–�Le�O �� Propo�:-�Ol� � ��o� �,� 77 FAIR DRIVE, COSTA MESA, CA 92626 � ` 8tatus: ISSUED Applied: 09/75/2004 Issued: 09/15/2004 � , i ISSUED BY: �. � �� : Valuation: �� 82;� m Valuation: o i 52.� �� p��^V/_\ Righl 0- 0 <�/ t j � </ Right � �0- 0 �`'��i ' �/.,/; � NOTICE: The work authonzed by ihis permit shall comply with all applicable handicap access requi�ements under California statutes and related regulations. (OM. No. 92-28, § 1, 12-21-92) � ' EXPIRATION: This permit shall autometically expire and become vold if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 1 BO days. , . INSPECTIONS: In order for the work authorized under ihis parmit to ba considered legal, such work must comply with all applicable codes, and all requlred Inspeetions and final epprovel must be obtained. Failure to obtain inspections and final approval will result in ihe expira�ion of this permlt. FOR INSPECTIONS CALL: (714) 7545828 ;i wo�ao lawl . . WORKERS' COMPENSA710N DECLARATION: '� , , � , � � I hereby aHirm undar penelry of perjury ona of the tollowing declarations: � ' '' ' . � ❑ I have'and will melntaln c ificate of consent m selbinsuie'tor workers' compehsation, es provided for by section 3700 of the Cebor Code, for ihe peAormance of ihe orkforwhich,thisperm isissued. '! 1•- ��e a ill mein m o ers' compensation insurance, es required by sectlon 3700 ot the Lebor Code, for the Pedortnance oi the work for wNch this Pertnit is Issued. � My pr ers c m nsati Insurence carner antl policy number ere: � o icy mber: l� TL o w c o p 3 3� (This se o t ompleted il the permit i luetl et one hundred dollars ($100) or less.)_ , ❑ I certily Ihat in the pe rm nce of the w for hich ihis permit is issuetl, I shell not employ any person in any manner so as to 6ecome subjecl to the workers' tion laws o Cali mi , nd e th if I should Decome sublect to the workers' compensaUorv ons of Sectlon 3700 of t�e Labor Code, I shall forthwith ese p visio s. /� ./ ApplicaniSign re: ate: %�S "�'1 IWRE TO SE R RKERS COMPEN TION COVERAGE IS UNLAWFUL AND SHALL SUflIECT AN EMPIOV IMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (E100. , IN AODITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOF IN SECTIPV 310fi OF THE LABOR fAOE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS with Saction 7000) ot Divisian 3 af the ewsioess end Professions �gtle, and my license is in full CONS7RUCTION LENDING AGENCY: ❑ 1 hereby attirm that ihere is a cons�mction lending agency Por the peAormance ot Ihe work for which this permit is issued. (Sac. 3097, Civil Cotle). Lender's Name: Lender's Aatlress: Signature: OWNER-BUILDER DECLARATIONS: Da�e: 1 hereby a%irtn thet untler penalry oi perjury ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW tor �he following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or county,whlch requires a permit to consiruct, alter, improve, tlemolish, or repair any sWcture, pnor to its issuance, also requires the epplicant for such permit to file a signed stetementithat lie o�she Is licensed pursuant to the provisions oi �he Contrectors License Law (Chapter 9(commencing with Sectlon 7000) of Division 3 of the Business antl Pmfessions Cotlefbythst'fie.or she is exempt theretmm and the besis for ihe alleged ezemption. Any violation ot Section 7031.5 hy any appliwnt for a pertnit su6jecis ihe epplicant to a civil penalty of �noCmo're than five hundred dollars ($500).): 'c4 1ft �9}'s� ❑ I, as owner ot iha propeny, or my employees wilFiwages as iheir sole compensation, WILL DO THE WORK, antl ihe simcture is not intentletl or offered tor sale (Sec. 7044, Business and Profassions Cotle: TIie�Contractors License Law does not apply to an owner of property who 6uilds or improves thereon, antl who tloes such work himsalf or herseH or througFi his or her own employees, provitletl Ihat such improvements are not intended or oRered for sale. If, however, the building or improvement is sold within one year of compiation, t�e owner-builder will have iha burtlen ot proving ihat he or she did not builtl or improve for purpose of sale.). ' ^ � ❑ I, as owner of Ihe property, em E%CLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the prolect (Sec. 7044, Business and Professions Cotle: The coniractors License Law does not apply to an owner ot propeny who builds or Improves ihereon, and who contrects for such project with a contractor(s) license pursuant to the Coniractors License Laws.). ❑ I em exempt under sec. Business antl Professions Code tor this reason: Signature: Date: Owner ID venfietl by driver's license. ❑ Ves ❑ No Driver's License No. Venficetion of Ownership by (Iype of tlocument, i.e. - pmperry lax bill or deed): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify Ihat no ezcavation five (5) or more teet in depth into which e person is required to descend, will be made in connection with work euthorized by t�is partnit, end that no building swcture, scaffolding, talsework, or demolition or tlismantling ihereof, will be more than thirty-six (36) teet high. (Chap. 32, Grp 2, An 2, Sec. 341, 7tle B, Califomia Adminisiretive Code). ❑ A5 owner-builder, I will not employ anyone ro do work which would require a permit fwm the Division of Intlustrial Safety, es notetl above, unless such person has e permit to do such work from the division. Signature: Date: Division oi Indusirial Sefety Permil Number: CERTIFICATE OF COMPLI AND AVTHORIZA710N OF EMRV: I certity under penalry ot perjury that I have read ihis epplication and state thet ihe information given is correct. I egree to comply ith I state laws and ciry ordinences relating to building construction, antl amhonze represemetives of ihe Ciry of Coste Mesa to enter upon iha above-describ�operty r ins ction purposes. I agree not to occupy or allow occupancy oi any buildinq authorized by this permit until final inspection. � COUE t. INSVECPONTYPE 1fi16 Fixed System Final Fire Prevention 1266 200 201 202 203 204 Pool Spa Final Finel Re-Roof Final BbcWRetaining�Wall Final Factory Fire Place - � Final Sign Final Demolition Qajf, , IMRIALS� , �QQf,t INSPECTIONTYPE 206 Final Mechanical � 208 Final Plumbing 210 Final Electrical 212 . ,;Finel Fire Preven�ion � 220 FinalPianning Approval 222 Final Site 250' �'Final Building/Occupency -�3'-�0 ,a- . �. � CJ (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us .. � � �� PLUMBING PERMIT 6 Job Address: 809 GALLERY CT i; Suite No Vicinity: ,�. Parcel Nunmber: 14151341 --t'"_' Applicant: DIGIOVANNI,DAVID� � � '� �� Address: 201 W SANT,A,`FE AVE ��(/'%/ PLACENTIA;,CAl �; ,�',; ' � / 0�(� � �� /--%� Owner:� SIDDIQI�NUMAN-JUNAYD Address/8 9 GAL/LE�R�Y ��"�r � ��G(J"' �%i P� „ �' �� COSTA'�ESA, CA ;l�'�` � . UContractor: ,DISASTER-KL-EENUP l } Ivv r� Il Z'�., U�� jAddress: j201 W.SANTAFE AVE � � % i (� ",,...1 /�1�� ,1 tn� �%�c� r1�' �/�PL�P.CENTIA;.C��' n�� l� � n �;� IC/�� c�En��,�o� �r,, �dress� Q �� _ U� � 4`ll �,�,-- ., U � � �� , � �.:--_= _ `� \REWORK SHOWER TILE AND RE � 1 �A\0. i „ �� AMT\. QTY ,; .x ISSUE FE � i�7 Backflow irrigahon i/^� Backflow Preventer Bath[ub � Clarifer System� Connect Qce,Soda,etc)..,� Dental Units �` � Dishwasher Drain, Floor Drain, Rainwater Drain, Roof , Drinking Fountain Ezpansion Tank Gas Earthquake Valve 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 09/15/2004 , Issued: 09/15I2004 ISSUED BY: � �(1 � �`'�� n�� 714-524�8500 � {�,Zip:'-.92870 �U r C� _--= =y—= -~— C ;�,�� - - � ��.��C� / Phone: 714-241-7228 y�Y{Y� \7\'Y n Zip: 92626 I�f+� �7 /�1 A•��I �--'' �� :e.��„1� ,;'" Q /�"'O-''�v�'� , �,y�9� �. �� jjj� Y � �..r-Phone:--Il71'4=524 8500,� u r-. ,..�= � Zip: 92870 l� •� Q \ License: 384910 � ��" 7�"Ih11� 14111�� _° Phone: Zip: 0 '�'' -`e.�' '-� . � License:., _ � -�"' �_.... - _ _ - � SCOPE OF PERMIT �� PLACE PAN AND DRAIN.;REF�804-01612. f� % $O:OO.y.�O"� � c�, o"P-Trap; ° � fy� � ��''" �$0.00. . 0 � �, $0.00 0�\� `�P.ressure Regulator e �O�j �0:00 `��`0� 50�00�' 0 `\� �P�ocess�Piping (per90 ftj �$0�00� ° 0'�'�j � � `."' � $0.00 F0) ReceptOrs' � G oQ o° ,0 �$0.00�;-0� $0.00,, ( 0�/'�., Septio-Tenk��C�'�$O.00,y.�-�0 �$0;00 ��7 0/ J Sewer Cap for-Demo— �.'-'-'$0�00"`�0 SO!00`�0�`� QSewerConnect 50.00�0 $0�.00�0 �SeweiPrivateLine� �rS0:00�0,� $0.00�0� Shower{ I ' i�� l._,1 ( $9.80 �%1`w $0.00 0 a�Sink,'�bar---�l U"tJ$0�00''` Oy- $0.00 0 �Sink; commercial $0.00--"0'G3` $0.00 0 Sink':;FloorO�d��30.000�0-r'� � •.. ;Waste and Vent System Water Closet (Toilet) . .WaterHeater / vent ,Water Piping Qnst or Rep.) Water Re-pipe Water Service 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 _' _ �-i.- �. . QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicabla handicap access-requiiements under California statutes and related regulations. (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 the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapections and finel approval must be oblalned, Failure to obtain Inspections and final approval will result in ihe expiration of this parmit. POR INSPECTIONS CALL: (714) 7545826 . 2446dfi (N00) � � WORKERS' COMPENSA710N DECLARA710N: � � � - . � . � I hereby aHirm untler penalry of peryury one oi iha following tleclerations: ' '' �' ' � � , ❑ I have'and' III maintain a cetliticate ot consent to self-Insure toi workers'�compensation, es provided for by section 3700 of the Labor Cotle, tor the pertormance of ihe work tor I h this permit is issued. - , . . ' � a d Iknain in workers' compe�Setion insurance, as required by section 3700 of the Lebor Code, lor ihe ertortnance of Ihe work for whicti Ihis pertnit Is issued. My w e c ation In C�carrier antl policy numbar are: � arrier: licy Nu er: 17 27. ��✓ �� 0 3 3 ct n eetl n t be co le ed il the permit is valued ef one huntlred dollers ($100) or less.) ,_ , _„ , ., ❑ I cartify t�at in the pe orm nce of t ork for which ihis permit is issueQ I shall not amploy any person in mannar so as to become sub�ect to the workers' co ' laws o Cal or ', a d gree that if I should become subject to Ihe workers' compensetlo�of Section 3700 of Ihe Labor Code. I shall forthwith with Ih se visi ns. pli nt Signatur . �^� � a � WARN . RETO EC EWORKERS'CAMPENSATIONCqVERAGEISUNLAWFUTANDSHALLSU&IECTANEMPLOYERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDRED THOIISAND DOLLARE ($100,000�, IN ADDITION TO THE COST OF CAMPENSATIQY, DAMAGES AS PROVIDED FOR IN SECTION 3]O6 OF THE LABOR CODE, INTEREST, AND ATTOFNEV'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereb m t at am license ntler provisions of Chapter 9(commencing with Section 7000) of Division (he Business and Professions C , and my license is in full torce d e . uc. a—y �S 4 9 � n c� �s s C�s SigneWre: . �[ � \ .D�te: –/ S'�ny CONSTRUCTION IENDING AGENCY: � ❑ I here6y ettirm that there is a constmction lending agency for ihe performance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Cotle). Lendars Name: Lender's Address: SignaWra: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm that untler penalty of perjury ihat I em EXEMP7 FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business and Protessions Cotle: Any city or counry which requires a permit to constmct, alter, improve, demolish, or repair any slrucWre, prior to its issuance, also wquires the applicant tor such pertnil to lile a signed statemant t�et he or she is licensed pursuant ro the pmvisions of the Contractors License Law (Chapier 9(commencing with Section 7000) of Division 3 ot Ihe Business and Professions Code) or �hat he or she is exempt Ihereirom and ihe basis tor the alleqetl exemption. Any violetion of Seciion 7031.5 by any epplicant tor a Dermit subjecis ihe epplicant to a civil penalry of noi more Ihan tive huntlred tlollars (5500).): u' ;'T... ❑ I, as owner ot ihe property. or my employees wi�h wages as iheir sola compensation, WILL DO THE WORK, and ihe structure is not intended or oHeretl tor sale (Sec. 7044, Business'�and�Professions Code: The Contractors License Law tloes not apply to en owner ot property who builds or improves thereon, antl who tloes such work himself or hersetl or Miougli his oi her own employees, provided ihat such improvemenis ere not intended or oflered for sale. It, however, ihe building or improvement is sold within o`e year of completionfihe ow� builder will �eve Ihe burden of proving that he or she did no� build or improve for purpase oi sale.). ' ❑ I, as owner oi Ihe properry, em E%CLUSIVELV CONTRAC7ING WI7H LICENSED CONTRACTORS to construct lhe project (Sec. 7044, Business end Professions Code: The contractore�License Law does�not epply to en owner oi property who builds or Improves Ihereon, and who coniracts for such project with e coniractor(s) � license pursuant to the Contrectors;License Lews.). –o:�,�.. ❑ I am exempt under sec. "it.� Business and Professions Code for ihis reeson: Signature: Date: Owner ID verifietl by dnver's license. ❑ Ves ❑ No Driver's License No. Expires: Varification oi Ownership by (type of tlocument, i.e. - property tex bill or tleetl): DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity that no excavation five (5) or more feet in depth into which e person is required �o descen4 wiil be matle in connection with work authodzetl by ihis permit, antl ihat no Duiltling siructure, scaMolding, falsework, or demolition or dismantling ihereot, will 6e more ihan Ihirry-sia (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Calitornia Adminis�retive Codej. ❑ As owner�Duiltler, I will not employ anyone to do work which woultl require a permit fmm the Division of Indusinal Sefety, as noted ebove, unless such person has a permit to do such wark trom �he division. Siqnature: Date: Division of Intlustrial Satery Permi� Number: CERTIFlCATE OF COMPLIANCE AND AUiHORIZA'f10N OF ENTHY: I cenity under penalry oi perjury that I have read this epplication antl state that ihe information given is correct. I egree to comply with all state laws antl ciry ortlinances relating to building consWction, antl authorize represematives ot the City oi Costa Mesa to enler upon the above-describetl propeny for inspection purposes. I agree not to occupy or allow occupancy ot eny building authorizad by this permit until finel inspection. COUE t. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266. Pool Spe Final . 200 Final Re-Roof 201 . Final 81ock/Retaining Wall 202 Final Factory Fire Place � 203 Final Sign 204 Final Demolition � � " PAIE INTRIALS ,�� INSPECTIONTYPE 206 Final Mechanical 208 � Finel Plumbing 210 Final Electrical 212 Finel Fire Preventlon 220 Final Planning Approval 222 Final Site � � ' P�7E . . INTRI�Lg ' ' `" ��' 250 �' FinalBuilding/Occupancy ' _ (714) 754-5273 • Fau (714) 754-4856 • www.ci.costa,mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite: Vicinity: 809 GALLERY CT REAR OF RESIDENCE Parcel Number: 14151341 , i � Zoning: StaWs: ISSUED Applied: 04/24/2001 . Issued: 04/24/2001 _ ..i . �� . , . ApplicanC BUSH, GREG - �-'"'�� "�� ISSUEDBY: �c�. -�- � � Address: - `� � �� r� /'i-✓:�!�� ----� �� `�� ,�. . ';a�S-. ,..�' Phone:�' 949-496- 70 25 `-C:w.� w- � � �. l { . i P � i � . �' ' � " ��, � � �� '1 _ ,. ( �� C�� A2�-: � , .1 f . Owner SIDDIQI,'NUMAN JUNAYD S — _i �' � \ � �," ti Address !809GALLERYCT -�r�..7r`' _�� `^-' '�-�7 ., y, \`\,� ��, -�- � � � � .,, f '\. "��. � � Phone: ��t�,r�A C��. , ��4 �. � � �, i ,�.., ". . ' -�. . �� • _ � ' COSTA MESA, CA '.� � Zip: 92626 � � " �_{� -: i `�� -- - ' '�.� . � ��. . . : �.. ry -.� �`� . Contracror. SOUTHLAND HOME IMPROVEMENTS INC ,; `�' Address:� 34 HIGHBWFF DR I� �� \•-,ti�� . �• � .\ � � ! ;�' Phone ,6. 949-496-0725 1;_.'r� �, ' �,, � � , LAGUNA NIGUEL, CA ' �� _ �„ �� :�, � ' �= i � Zip - 92677 �,�„� �•License.n639465 ^��.o (4 , �� C' .,. � \�, . ,. - i, <. , �, .r. 't .�< .-,,,' `�� f1 � �� . �Arcli . -i r(.;;. '��-�ir'� �i'�"y_, _ �`Ehg�W �1 � � ;1��` ` .'' } ,`1, Address � Tf� i �� /�„� �� — � �Address � y f -^`� �� t�,, • ?j� ,�� i.:�.�..�� ^^';Fhone '".""�}�, � �Phone t -�,�1 ,,, r ��-- �� \,. ,,, _ �� t � Zip:. "i� r�. ,, _ ; �� CC BBQ 8 SINK WITH C ,, - ��.��. , ACCESSORY PARKING NOTES: � o , ,�. � �t� V �y � + License: i �I�j f ' ''C— ��=_ ;�. �, '� `'�� "'l �� ll rl"?V rTD,; TRUCT A 160 SF PATIO COVER.IN.REAR:YARI 'OSAL. WORK IS PART OF LANDSCAPING PR 111�1 I l �"� �,Q !� r!c-' "--�'�� k ��;�$81.41 !�`�.�"1C �: it: ��$125.25 , s: � j$0.51 n:� �'$0.00 ,' l !(: ,$�.�� + n: $0�00 ' � �,v �e �\�� t:;�� Szo�.�� 1�-' 0� a � �%i1 ��°\� � ��n4�� v�� Front� 0-0' ��ear } �.�\ Rl� Existin : � eauir d "�OJ� a o A � �� c � � r,;: �. r, o o G �Qa� � � 'o � /� L�'- �-o �U �Left` 0-�0 0 ��^�� Proposed: 0� �� {i �; t' � S License� .� � j � i �� i iUli'f /"— 1 '�"CEIL NG FAN & LIGHT N�G��ALSO�� I1��'ll � ; �; u , f �__ � �-�.., —Galc Valuation: �' gs o�s` Claim.Valuation: ',;,�. _"7 $o: I �\I � �� /� � !/J `�. � !��"��/ NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (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 tor ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetions and final approval must be obtained.'Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR.INSPECTIONS CALL: (714) 7545626 � � 244fi-48(fi�00) . �I WORKERS' COMPENSA710N DECLARATION: � � _ I hereby eflirtn untler penalry of perjury one of the following tleclarations: ❑ I eve and will meintaln e certiticate of consent to selF-Insure For workers' compensation, as provided for by section 3700 of tha La6or Code, for the pertormence of the ork for which this permit is issued. I �eve entl will maintain workers' compensation insurance, es required by section 3700 of the Labor Code, tor the pertortnance of Ihe work tor which Nis pertnit is issuetl. My workers' compensatlon Insurance wrder end policy number ere: _ Carrier. � Policy Number��— _ -_ - (7his sectlon need not be complefed il the Oermlf ls valued at ane huntlretl tlollers ($100J or less.) ❑ I cenity that in the peAormance of the work for which t�is pertnit is issueQ I shall not employ any pereon in eny manne� so as to ecome subject�o Ihe workers compensetion lews of CaIHo nle, antl egree ihat I should beco sublect to the workers' compensation provislons oi Se tion 00 of the La 6r Code, I shall fotlhwith comply with ihese provi 'o Applicant SignaWre: - Date: ' � WARNINO:FAILURETOSECUREWORKERS'COI ENSATONCOVEMGEIS NL4WFULPNDSHALLSUBJECTANEMPLOVERTOCRIMINAL ENALTIESAND IVILFlNESUPTOONEHUNDRED TFK)USAND DOLLAHE (5100,000�, IN ADDITION T(� E COST OF COMPENSATIpJ, DAM4GE5 AS PROVIDED FOR IN $ECiION 3/O60F THE LABOR CODE, IIJrEREST, AND FTTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I horeby aKrtn that I am licensed under provisions of Chapter 9(commencing with Sedion 7000) ot Division 3 of ihe Business and Professions Cotle, and my license is in tull forca and eHect. Lic. A Class x Contraaofs.Signature: -Date: -- CONSTRUCTON LENDING AGENCY: ❑ I hereby aflirm that there is e construction lending egency for the pertormance of ihe work for which this permii is issuetl. (Sec. 3097, Civil Code). Lendefs Neme: Lendafs Address: Signature: Dete: OWNER-BUILDER DECLARATONS: I hereby ettirm that under penalry oi perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business antl Protessions Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any stmcture, prior to its issuance, also requires the eOP�icant for such permit to file a signetl statement t�et ha or she is Ilcensetl pursuant to the provisions of the Conirectors License Law (Chapter 9(commencing with Sectlon 7000) ot Division 3 of tha Business and Protessions Code) or that he or she is exempt therefrom and the Dasis for the alleged e:emption. Any violation ot Section 7031.5 by any applicant for a permit subjecis ihe applicant to a civil penelry of not mora Ihan five hundred dollars ($500).): ❑ I, as owner ot �he property, or my employees with wages es ihelr sole compensation, WILL DO THE WORK, antl the structure is not intentled or oHeretl for sale (Sec. 7044, Business and Protessions Code: The Contractors License Law does not apply to an owner of property who builds or improves Ihereon, and who does such work himselt or herselt or Ihrough his or her own employees, provided that such impmvemenis are not Intentled or oflered tor sale. If, however, the building or improvement is sold within one year oi comple�ion, ihe owner-builder will hava the burtlen oi provinq ihat ha or sha did not build or improve for purpose ot sala.). ❑ I, as owner of ihe D�operty, em E%CWSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro consimct ihe project (Sec. 7044, Business and Professions Coae: The comracbrs License Law tloes not apply to an owner ol property who builtls or Improves Ihereon, antl who contracis for such prolect with a contractor(s) license pursuent lo the Conirectors License Laws.). ❑ I em exempt under seC. Business and Prolessions Code tor Ihis reason: Signature: Date: Owner ID venlied by dnvers license. ❑ Yes �❑ No Drivers License No. Vorification of Ownership by (type of document, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ExOires: ❑ I hereby certify that na excavalion tiva (5) or more faet in depih inio which e person is requiretl to tlescend, will ba made in connection with work authonzed by t�is parmit, end thet no building sirocNre, scaHolding, talsework, or demolition or dismantling Ihereof, will 6e more ihan ihlrry-six (36) taet hiqh. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlministrative Code). ❑ As ownar-builder, 1 will not employ anyone to do work which would require e pertnit from ihe Division of Intlustrial Satety, as notetl above, unless such person has a permit to do such work from ihe divlslon. Signatura: Date: Division of Industrial Satery Permit Number: ICER7IFlCATE OF COMPLIANCE AND AUTHORVATION OF ENTRV: I cenity under penalry ot perjury that I have read this application and state that ihe information given is I correcL I agree �o comply with all state laws end city ortlinances relating to builtling constmction, and authonze representatives of ihe Ciry of Costa Mesa to enter upon ihe above-descri6ed property lor inspection puryoses. I agree nof to occupy or allow occupancy ot eny building authorized by ihis permit until final inspection. Legal COpE �. INSPELTIONTYPE " 2A7E � p� 1616 Fixed System Final Fire Prevention 1266 200 201 202 203 204 Pool Spa Final Finel Re-Roo1 Finel BIocWRelaining Wall Final Factory Fire Place Final Sign Final Demolition , COpE 11 INSPECTION TVPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Ptanning Approval 222 Final Site 250 Final Building/Occupancy P�I& IRI RIALS (714) 754-5273 • Fax (714) 754-4056 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ° ELECTRICAL PERMIT Job Address: Suite No Vicinity: 809 GALLERY CT REAR OF RESIDENCE Parcel Nunmber: 14151341 , J,. . Status: ISSUED Applied: 04/24/2001 Issued: 04/24I2001 Applicanr. BUSH, GREG ��r' ��_��G%O�� ISSUED BY: Address: 34 HIGHBLUFF DR %.;�. �=�7�= .,------� n� . . ':, ��,`�--��Phone, 949-496-0725 ��+ LAGUNA NIGUEL CA ._.,, ,� �� Zip.� 92677 � '�1/ �`.�; � F � /� .�� .�1�. , � 1,1 1 f-. rr 4�� lrrrt C tr '�'�r � ",��,.�� ,._, ''�`�-�`�`�.�\� +� \ � \^s'�". Owner ,�� SIDDIQI ,NUMAN JUNAYD � �`"�`�V`�J� �,, ' � ��, �. Address��-809GALLERYCT--�:?;..- � ��:��i��:;A i: � _ ,�,`�,_ =_. =�, • . . - , '.'iTi � Phone: - - '� - . ; ��- �' ` > , . ' � COSTA MESA; CA � Zip: 92626 �'.-�;. �. , _ �, � � . �-� `�' ,�.� . . t. '` ,7 . . " 4�;I'�i`/ ��i1 . `��`1,` t:- .;y\ , � � r' 1 --.. A:�t� Za.�-'"� �� Contracmr ' SOUTHLAND HOME IMPROYEMENTS'INC „�,,, � r�= � `"� �y`� � � �i �� Address �34HIGHBWFF R �� .�'' _� �� i {� �� )A '� r i',P � � -� � � 1 � ' f� �'`^ riY _ Phone .L949-496 0725„� � � ��f�, �� } � , .��: . / : ��L'AGUNA NIGUEL; CA.F �� Zip 92677 y"��-��`�.� � � �'\ �'��'��, `� ' 1�, f .-- i a i i i � ,,` � _' l• j ,i �� ,i _ �>. _..� ' License. �639465 �'�� %V - �i^ _� � _ .. , �1' ` � . l, �„t - � I� � , -. �,1� ' : �� :t.,{;ti`� � -L:� I � � � -7 ,;Ir,r''?� . . � _� V ,ti.�`i .--`�� , f �/ � ��cc ��j ��sF �y�� {�Ir BE \� �� Q`j�RE U : �, ��4, a � test ELEC FOR DISPOSAL'/SINK.' HTING FIXTURES,VOUT�LI� B01-00557 �� ^__..��: i Quantity ' ��$23.50 1 \�Jn$0.00 ..� i' New Rea"(74�units) ��7 � �.. New Res (3+units) 1l,� Pool / Spa � Lighting Fixts � Recept Outlets Switches Non Res Appl �, ,., Res Appl ��`�— Service to 200a �� Service to 1000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to SOhp Morors to 100hp Motors over 100hp Communication drops Sub panel ro 200a Pole Light Pkg Sign Circuits 'Temp Pwr Pole Intermed Pole $0.00 $0.00 50.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 i0, GAS LINE FOR AN EXIS Dist System / Lighting 0 +"�'�'60p " �f°MiscElect�ical�Equipment • $0.00 ��_0� °pp Gt?p jT`ansformers:updo:t�kva/k'w.h"�'$OAO �� 0� �A ° � � � � r..�...�....up to 70'kva/kw $0:00 \\5 °o� . p o� go o�...a�...^ �up�l`o SO�kva/kw�$0.00 ` 4 o p �o � � � -upto t00kya%kw/$0.00 �4 o n� .::..�..e:a:..over_100'�kva/kw $0.00 -�-�-- . � �- %� 0��_ Low�Voltage:Equipment �C$0,00 ( /f 0� �—=�-��_Cow.Volt Wiring System / Ckt �$0�00 �J 0 /'�-�, Misa Conduit� $0.00 v 0 ��/ Misa Conductor �� $0.00 �—�.�,� 0 r� �"� �Circus�( gen or de)--"1 /�/J$0:00 �`�-'�0 � Circus�(rriechiide or,lights)�'"�/$0.00 \o�� ----� Christmas.Tree.Stand�`' $0.00 0� ��O�,Fireworks�Stantl $0.00 0 Other�Elecfrical Fee $0.00 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $37.80 COMMENTS / SPECIAL CONDITIONS 0 0�0 0 �i � O with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 7, 1241-92) � 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 18o days. �� INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply� with all applicable codas, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaasra fr�ao� WORKERS' COMPENSATION DECLARATION: � I hereby eftirm under penelty ot perjury one oi ihe following declarations: . . � � � � � ❑ I have entl will maintain a certiilcate ot consent b self-Insura for workers' compensetion, as provitletl for by section 3700 of ihe Labor Code, for the peAormance oi the ork for w�ich this permit is issuetl. I have antl will maintain workers' compensation insurance, as requiretl by sectlon 3700 oi the Labor Code, for ihe petlortnance of ihe work for which this pertnit is issuetl. My workers' compensatlon Insurence cardar antl policy number are: _ Carner: Pplity Numberi -- ' (lhis secfion need not be comp/eted il the peimit is ve/ued at one hundred dollars (S/00J ar less.) ❑ I cerlity.that in t�e pertortnance of the work for which this permit is issued, I shall not employ any pereon in eny manner so as to bacome subj ct to Ihe workers' compensation laws oi Califd la, and egree Ihat ii I should become subject to iha workers' compensation provisions of Sectio 700 of Ihe bor Code, I shall forthwith comply with these prov'��rf Applicent SignaNre: Date: WARNINO: FAILURE TO SECURE WORKERS' C� PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL ENA�TIES AN CIVIL FINES UP TOONE HUNDRE� THOUSANDDOLLARE(5100,0OO�,INADDITION HECOSTOFCOMPENSATION,DAMAOESASPROVIDEDFORINSECTIIXJ3lO60FTHEUBORCADE,INrEREST,ANOATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm that I am licensetl u aer provisions of Chapter 9(commencinq with SSction 7000) of Division 3 of the Business antl Protessions Code, entl my license is in full force antl eHecL Lic. # .� n n Class A Conlrac�oYsSignature:� Dete:�� i7 CONSTRUCTON LENDING AGENCV: V ❑ I heraby aRirm ihat ihere is a consiruction lending agency tor ihe OeAormance oi Ihe work tor which this permit is issued. (Sac. 3097, Civil Code). Lendar's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm that under penalry of perjury thet I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for ihe following reeson (Sec. 7031.5, Business entl Protessions Cotle: Any ciry or counry which raquires a permit lo construct, alter, Improve, demolish, or repair any structure, prior to its issuance, also requiras the epplicant for such parmit to file e signed stetement thet he or she Is Ilcensed pursuant to the provisions of ihe Coniractors License Law (Chapter 9(commencing with Section 7000) oi Division 3 of ihe Business antl Professions Code) or ihet ha or sha is exempt therefrom end the besis for the alleged exemption. Any vialatlon oi Section 7031.5 by any flpplicent for e Dermit sublecis ihe epplicant to a civil penalty oi not more than five hundred dollars ($500).): � I, as owner of Ihe property, or my employees with wages as their sole compensation, WILL DO TME WORK, and t�e siructure is not intended or oHered for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law tloes not apply to an owner of property who builds or improves thereon, antl who does such work himself or hereelf or through his or �er own employees, provided that such improvemenis are not intended or offered for sale. It, however, tha builtling or improvemeN is sold within one year of completion, ihe owner-builder will have tha burden ot proving that he or she did not build or improve for purpose of sale.). ❑ I, as awner of the property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTOHS to construct the project (Sec. 7044, Business antl Professions Code: The coniractors License Lew tloes not appry to an ownar oi propeny who builds or Improves thereon, and w�o contracts tor such project with a comractor(s) license pursuant to the Cornrectors License Laws.). ❑ I em exempt under sec. Signature: Owner ID varified by dnver's license. ❑ Ves ❑ No Business and Protessions Cotle for this reason: Variflcation oi Ownership by (type of documeni, i.e. - property ta: hill or deed): DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: Driver's LiCense No. Date: Ezpires: ❑ I hereby certify ihat no excavation tive (5) or more feet in depth into which e person is required to descend, will be mede in connection with work euthonzad by Ihis permit, antl ihat no building structure, scettolding, talsework, or demolition or dismantling ihereof, will 6e more ihan thirry-six (36) feet high. (Chap. 32, Grp 2, ArI 2, Sec. 341, Title e, Califamia Adminisiretiva Code). ❑ As owner-builder, I will not employ enyone to do work which would require a permit from the �ivision of Indusirial Sefety, as notetl above, unless such person has a permit to tlo such work from tha division. SigneWre: Date: Division oi Intlustrial Safety Pertnit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZA710N OF ENTAV: I certity untler penalry of perjury that I have read this application antl state that the information given is corred. I agree to wmply with ell state laws anC ciry ordinances relating to building consiruction, and authorize representatives of t�e Ciry of Costa Mesa to entar upon the ebove-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authonzed by ihis permii until final inspection. CODE �, 1616 1266 Fised System Final Fire Prevention Pool Spa Final 200 Final Re-Foot ' 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition •.I7\��I`IItl/.1F7 �I� ��: �_, UEN INSPECTIONflPE 206 Finel Mechanical 208 Final Plumbing 2i0 Finaieiectricai 272 Final Fira Prevention 220 Final Planning Approval 222 Final Si�e 250 Final Building/Occupancy OpTE INTRIpLS PLUMBING PERMIT Job Address: 809 GALLERY CT �� ' Status: ISSUED Suite No Applied: 04/24/2001 ' � Issued: 04/24/2001 Vicinity: REAR OF RESIDENCE a ." ; " . . . � . _ -----�_ ParcelNunmber: 14151341 -](;:-,��::��-'�-�''"--��..� ¢„`�-,,,, ISSUEDBY: ..�T.��---""`..--_-----_.�--- : �,. '��'c- "'^ "'*�. .` ��.�.�. -}+ � `-•,,.,``--C��. Applicant: BUSH GREG �' � ��' � ��l/�`\�,� , Address: 34 HIGH6CUFF DR ` ! -r ! / " '\ � .. � -� � } � .l � f f� ��'�,��..'-.:: . r' j � ,� , ' , � � Phone .949-496=0725 l r 1 > � � , /- -_ , , , ,�, i ', ` �LAGUNANIGUEL.CA � .:',..ef" �'-Zip�92677n��z!`\� `` < �� , �, � r' �, 1 '� � ,.-- �i ,- - ' V \\J \ i (f' '�_ _ _ .,- "�+j- ��1�: �.,, {�, / . ':� ^ '. : r'i.�d� �, �''t: * :'s,.` ; �`,.�:.�`��.\`�,�� ., i,r .,'k �;.. �' ...t ,. '��'^'�i%� . '-_�.�?r,.:�., .,. Owner SIDDIQI,-NUMAN JUNAYD - \` ' ' �- .,� �t�;•� .� Address 809�GACLERY CT � -� -� � � ` � ' ,'�.., � Phone: � \`�:;\.�� ". �t�. , ' ., :�1 'P\.` ' Y- _ ' _ �- COSTA' MESA, CA , Zip ,`�,�� 92626 \;�j :\ � � : , �� f . -r ^^.,-.. � 1� . ; f- `� j , _--., � � � � ..�. i ' . ^'�,.s yy..� „� < � ° � +j ' %, ' �k ., . fJ "� . i'� f� lI`...�"'r� ..� �N J� N S f � �Contractor SOUTHLAND HOME IMPROVEMENTS INC 'v l ' �� r � (�.r z �� ;,.s �{, 5 _c� �--- % °`r y � - -Address �/34 HIGH6LUFF DyR r`�('�' t7'J�-,1^. 'a-�---�^�„/i.�{ j-` ' � {I1J/ ) ,� . . /� o t.../"" , \�"l.i� / �`�\ ' �j','� f J � /. .f ;..r � � Phone 949-496-0725 ' �.J,I�� \� � �s �� ' I' � ' NIGUn .re� ��... eoc�� .�"\ � ' J. LAGUNA i:�Ij) � �ii�J�1 ., . ISSUE FEE � \� Backflow irrigation \ Backflow Preventer Bath W b Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oiq Interceptors (Sand Auto ) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6.75 $0.00 $0.00 $0.00 $0.00 , $O.Otl ��'� i��' �t` �`��' fll�i 71 � i r T 160 SF SOLID PATIO FOR DISPOSAUSINK. 1 � i _ET (1-4), 1 SEWER�CO iss� I•. . _�'.`y��'.' 0 0 0 0 0 0 0 0 1 0 0 0 0 0 regulations. (Ord. No. 92-28, § 1, 12-21-92) � License: � � S COPE OF PERI JVER WITH CEILII )RK�.ISPART OF L vC�i�-3��0� v�� IECT,9 KITCHEN; � � �o ��06 7`��a O�UO a�li no _ a !F.EE SUMMAR �� „00°00 � Sewer Private Line Shower Sink,,bar Sink!�commercial Sink;,Floor Sink, kitchen Sink,�service/mop Spa (private) Spa (public) EXPIRA710N: This permit shall aUtomatically expire and for a period of 180 days. =AN & LIGHTING. ISCAPING PROJE C C:ir % �� ' �`o''?S'' a � 1 'e" o 0 oDy� $0.00 ;0 L$0.00� 0'� ft� $O.00c�=O $0:00--�''0 � $0.00 $0.00 $0.00 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 1 0 0 0 0 0 1 0 0 0 �, GAS LINE,FOR� � ��Vacuum"Brkr Bkflow(1-4) Vac'uum Brkr BkFlow(5+) .�Wash Basin � Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping Qnst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 void if work is not commenced within 180 days, or if work is suspended or abandoned i, INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained! Failure fo obfain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � 2dd6d6 (fY00) R WORKERS' COMPENSATION DECLARA710N: � � I hereby a%irtn under penalry of perjury one ot the tollowing declarations: . � , . ❑ I heve and will,maintain e cenificate of consent to self-Insure for workers' compensation, as provided tor by section 3700 of the Labor Code, tor the pertormance ot ihe work for which'Ihis permit is issued. I have an0 will mainiain workers' compensation insurence, a5 requiretl by sec�ion 3700 ot Ue Labor Cotle, tor I�e pertormance of the work for which Nis pertnit is issue0. My workers' compensation Insurance cartier and policy number are: . __ Carrier. Policy Number: -- - _ — (This sectlon need not be comp/efed il the permit is velued et ane huntlretl tlollers ($100J or less.) ❑ I certiry t�at in tha peAormance oi ihe work tor which Ihis pertnit is issued, I shall not employ any pereon in any manner so as ro become subjact to the workers' compensetion lews of Celifo ia, and agrea thet i� I should b come subject ta the workere' compensetion provisions of Seqioyyy333 700 of the bor Cotle, 1 shall fonhwlih comply with ihese provl 'o �/�� O� Applicant Signature: Date: � WARNINp: FAIWRE TO SECURE WORKERS' PENSATION COVERAGE IS UNLAWFUL AND SHALI SU&IECT AN EMPLOYER TO GqIMI ENALTIES CIVIL FlNES UP TOIXJE HUNDRED TMOUSANDDOLLARE(5100,000),INADDITION THECOSTOfCOMPEN$ATION,DAMAGESASPROVI�EDFORINSECTION31060FTHElABORCO�E,IMEREST,AN�ATTORNE`fSFEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that I em licensed forCe end BHect. Lla N CONractor's Siqnature:� _�L CONSTRUC710N LENDING AGENCV: ❑ I hereby aftirm that there is a cons Lender's Name: Signature: OWNER-BUILDER DECLARATIONS: m with Section 7000) of Division 3 of ihe Business antl Professions Code, and my license is in full _ Class a Date: ' lending agency for the pedormance of the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lendefs Address: Date: I hereby attirm that under penelry of perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Protessions Cotle: Any ciry or counry which repuires a permit m construct, alter, improve, demolish, or repair any structure, prior to its issuance, also reQuires the applicant for such pertnit to file e signed statement that he or she is Ilcensetl pursuant to the provisions of the Contrectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business end Professians Cade) or that he or she is exempt theretrom and the basis for the alle9ed eaemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more ihen tive hundred dollars ($500).): ❑ I, es ownar oi Ihe properry, w my employees with weges as iheir sole compensation, WILL DO THE WORK, antl ihe structure Is not inientled or otteretl for sale (Sec. 7044, Business and Protessions Code: The Contractors License Law does not apply m an owner of pmperry who builds or improves Ihereon, and who dces such work himself or herself or ihrough his or har own employees, provided ihat such improvemenis are not in�entled or offeretl for sale. If, however, the building or improvement is sold within one year oi complation, the owner-builder will have the burden of proving that he or she did not build or improve Por purpose oi sale.). ❑ I, es owner of iha properry, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consimct the projeq (SecJ044, Business and Protessions Cotle: The contractors License Law tloes not apply to an owner of property who builds or improves Ihereon, and who contrects for such project with a contractor(s) license pursuant to ihe Contractors License Laws.). ❑ I am exempt under sec. Business antl Professions Code tor this reason: SignaNre: Date: Owner ID venfied by dnvers license. ❑ Yes ❑ No Onver's License No. Expires: Venfication of Ownership by (�ype oi document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more fee� in depih inio which e person is required to descend, will 6e made in connection with work euthonzetl by ihis permit, antl that no building simctwe, scaHolding, talsework, or demolition or dismantling ihereof, will be more ihan thirty-siz (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, California Administrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require e permit from the Division of Indusirial Safety, es noted above, unless such person has a pertnit to do such work from the division. SignaNre: Date: Division of Intlustnal Satery Pertnit Number: 1 Wi0 the epplicent or present ar tuWre bulltling occupant need to file antl certify a Business Plan for emergency response to release or threatened release of a hazardous matanal? ❑ Ves ❑ No the Califomia Healih and Safery Gode requires, with some exceptions, that a Business Plan be filetl with the Casta Mesa Fire Department Dy every s at any one time tluring a reported year a quantiry ot hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, i comoressed aas at standard temoerature and oressurel. Does or wi0 the applicant or Oresent or fuNra building occupant need to file e regisiration form for acmely hazardous matenals7 ❑ Yes ❑ No (Section 25533 ot Ihe Calitomia Healih entl Safery Code, with some excepllons, requires registratlon with lhe Costa Mesa Fire Department by each business which at any one time has on hand a quantity oi acutety hazardous materiels equal to or greater Ihen a waight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas et stantlartl tempereture and pressure). .............................................................................................................................................................................................................................................................................................................................................................................. Does or will the applicani or present or fuNre building occupant naetl to prepere an RMPP (Risk Manegement and Pravention Program lor acutely hazartlous materials)? ❑ Yes ❑ Na (Section 25534 of the Calitomia Health anC Safety Code provides ihat Ihe Costa Mesa Fire Depanmem may require the preparation, certification and tiling wit� ihe Fire Departmem of an RMPP by 6usinesses which are required to register acutaly hezardous materials with the Fire Department . tl en RMPP is presently requlreq nas Sactlon 2553a ot Ine Gainomia Neaitn end satery coae oaem m�y compued witn't U res U rvo ................................................................................................................................................................................................................................................................................................................................................... Does or will the epplicant or present or future builtling occupant require tor lhe work which is the subject of ihis a plication a Permit for such construction or fmm ihe Souih Coast Air Oualiry Managamen� Distnct or from eny other air pollution conirol Cisirict or egencyt � Ves u No (Section 658502 oi the Celifomia Government Code requires that the requested information be tumishad on applicaiions for non-residential 6uilding permits). any petl o� �he tacili�y �o be ConSINC�etl Untler �his permi� b6 wl�hin 1000 teet trom Ihe ONef b0untlafle5 ot 8 SCIl0o1 �es", the taciliN must meet Ihe repuiremen� of Sections 25534 end 42303 of ihe Galifornia Healih entl Satery Cotle). H e pertni� irom Ihe South Coas� Air Duality Managemen� DisMct or o�her air polWtion conVol tlisirict or agancy is requiretl for ihe work which is �he subject o� ihis epplication, have all of the disclosures prescnbed by Calitornia Health and Safery Cotle Section 42303 been made7 ❑ Ves ❑ No ................................ . . . . ........................................................................................................................................... ................................................................ (If "yes", attach certiticate of compliance from the eppropriate air pollution control oHicer). CERTIFICATE OF COMPLIANCE: I certity Ihat under penaly of periury ihe iniormetion given above is correct. I egree to compty with all state laws and ciry ordinances regarding Hazartlous Materials and Emissions. SignaNre: Date: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF EMRV: I cetlity under penalry of perjury that I have read this application and state that ihe information given is correct I agree b comply with all state laws and city ordinances relating to building conswction, antl authonze represeNatives ot the City of Costa Mesa to enter upon the above-described propeny for inspection puryoses. I agree not to occupy or allow occupancy ot eny building authorized by ihis permit until final inspection. COOE �. INSPECTIONTYPE v QdjE 7fi16 ' Fixetl System Final Fire Prevention 1266 Pool Spe Finai 200 Final Ra-Roof � 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition COOE 1 INSPECTION TYPE 206 Final Mec�anical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy I'iV�L`ittll.IFi -15•0( � OIYNER3 NYIE IF p10ML ' � �DDRE55: � • �ar�. r,wuxo �oonEss: �f ' ,wcxrtecron�rn+�x: MCH.OH ENG.'S AUUHE55: 301 ALLERY CT N SIDDIQI o GALLERY CT' STA MESA,CA� � uNr: � � '., . 92626 ' . . uc xo.: - i . , - �UNT:' ' . � . � � coNm�crarsrun: NOCK PLUMBING � ( 719 ) 895-1296 canmemoxswuuxc ,1161 Z KNOTT ST � ' � �� - ' � ' �p� 'GARDEN GROVE CA �� 7077.75 ' 92841 uNT:. 17 LICENSED CONfNACTONS UECLAN��ION: I Mreby efl'vm �ndei peneYy M pe�ury tlie� I em licemsd urder provieiona of Clapa 9 (mmmer�ciip xilh Sxtion'lOW) d Oivisian 3 d Ne &amu eed Pmtesama Gode. arM mY ��+a u in hll fwes eM aHeC. ' cmuc.no.:05 386 ""`"Sg C-36 uc.r+o.: �07775 EXP: 0/98 ' ,t�ka-� � 1�LU/Y,at3�.� o�a: =i1� co�„��: �W BUILDEfl DECUR TION: I heieby elfiim uiMx penely d perjury �hel I em emmq Irom �M Comream L'ceme lew tor.iM ' owiig reeaon (Seaion J031.5 Buemesa end Professions Catle: Any cily a munty xfiiM reQuirea e permil to caneVucl, eller, improve. � demoloh, or repei eny alNCWra, q'v �o its awence, abo rtQuiree Ihe apdiranl la euch peimil lo fib e dpmd etalement tlW M a eM w licerued punuenl to �M prwivme d Jr Conlredors Licenae Law �Chepler 9(�mendnp xilh Setlion ]000) d Diveian 3 d tlr • Busi�a aM Prdeaeiom Codel «tMt he a ehe c uamq therelmn eM tM beau 1« Ms dbped uampion. My violetion al5etlbn. . ]W 1.5 by eny eppliranl �or e permil wbjMa Ihe epplien� �o a civil penelly,of ml mwe �lun 1've huMretl ddlen �$50U�). , �' I.esox�wrdlMOropenY«mY�dW�'^'�hwepeamiha'reobmmpa�wtian.xillAothaxak.udthen�udureuriaNleMeE ' waReredlaWa(SecibnlWe.BuvrevendPmfineionaCode:TMCOMretlaalicemeLawtloee�wlnpplytoanowmrdpaperry wM Wida a inpwee tMrean, arM who doen aixi� xvk limeetl n hemell a thraqh h'v or har own empbyw, povMeA thet euch , imqovemmU ere ro� imeMed n oliered lor eele. M, hawever, the WiMirp w inpiwemem is ead wnhin one ymr d mmpblion, Me wr�erbuiNer will heve IM buNen d provin0 he'or she did �wl builE or improve /or IM Wryme, ol aeb). . . . ' � I. m owror d the VAVaM. em mtlusiveM contred�q xnA 4wnsad cannacia+b rmmiw tha p9a (Saaion ]OIt. Bueinma enE � PMasmom Code: Tire Cantraaae Licenae law doee � epply to an ovnwr W prapeny who buJde ar impww Il�e�aan enE xfio convena br wM prqeda'xilh e mmredohe) Icensed punuent to Ihe Conlreclan Licenee Lew)., � � I em eaemq uMar Seniai: F B. 8 P.C.. br Mu newn: � ' o�.: ' o�.,: ; I Eo hereby ceniry thet I em eware d ud uMeislend iM reQuiremema d Celtomie Neellh eM Salety Code Seqiom 25505, 25533.'erd 4553a. eM rtai I«enY Mure Wikinp orc�ent will / wil iwt (tl�W one) need �o canpy wYh eeiE pate wEea eM IM reQuimmeMs tar a parmn lamrolrvction«modifim�ianhanlMAi�ariepement Oiprie. Ravdeniid mmvaun eppkmuroersexemq Imm Mew Deia: � � Applicenli ' ' � � . WONKEN'S CONPENS�rION DKL�NRTION: 1 haraby dfimi uMar par�el�y d pajury wr d tM Idbwinp Aatleret'vre: ' ,❑ .1 M1eve end wil �meintain e cend'rate d mnxn� io eetlimure b xwkeie-wmpensalion. m Wa+ded �w bySaqion J]OU of tha lebor.' — --cede.ro,merena�amm:won��«�nm4o.�nmmwe. . . . r] �� naw ene wi� meimen.�an�e�a' mmw�ion Imurerce. m mauuee M Seaion aroo a �ne labor coda. k. �ns w�«menn d �na� wak lor which ihie peimit e ioued. My warMre mmperreelbn ineurenca remer end poliry number ere: ; ; Cerrim: ' � f]f1T.TFN Fnr.r.F � - �EXPIRES ' P"�'"°m"°' NWC 3231.41L11 09/O1/97 (�his sxvion neeE not be complered i the pamif ia M one hurNred dolleis /5�001 w bss.1 . � I�cenJy thm in �ha paAwmarice d Iha wwk b whkh this permN ie iasuetl, I eh na emplq e�ry pereon in ury menner m n lo becanie wbjad b the xakns' rompense�ian lewa d CeIE ' epme ' I e1wuM be mn nibjw to �M workan' . con,v�on �sone a an a]oo a ine Lmor coa.. eMli n n campy � mme pwbions. le: �Y�' AVP�ifen�. : ..' . rp: FalNn ro sscure ohen' mmparustlon coveraps la unl�wlul, aiM �Mll siD/.ef en employel b MM +M clvll Illros up b aro hu�tllstl fhouune tlollan (if00.000), M etltl/tlon (o M� cwt o/ rompauetbn, tlemiq�s� e� qovltlM foi SxHon 9]f16 0l Ms labor Cotle, lnMu1, entl ettomsy'� /su. , . CONSTFIICIION LENDINO AGENCY: I Iweby dfi�m �Mer penelly d'perlwY �� e e m�stiutlbn WMi�p q�en.y br Ihe perlortneMe d tM wk M xfiitli Ihe pe�mY b eweE (Sedion �09). CM. Cl. .. . . LENDEHB NNM1IE: � � ' ' " LENOER'S �DDNE59: , � , �� , I cenM �hm I heve reed thia eVWK�ion eM dele tl�e� ihe ebove inlarmelion o cortea. I e9�� o comdY wit� NI mY eM oouniY oN'vienw� end etete lavn roletinp b Euilding conaVudim eM hereby eulMriza repreeentaiivee ol �his dly lo en�m upon Ihe ebove-mentioned O�GeM r« insv«fa, o�,voses. .. . � , i � �RO�NOCK . � Dma^7Cy.�^� � -7 (St51Je.WP) Whno-Buikiq85elery:Oree ;C - CITY OF COSTA MESA - HUILDING PERMIT , � �• ; PERM NO: P 08395 PERMIT NO: P 083958 PLAN CHECK NO: . N GOVT: N SUPP: N . . � . CONSTRUCTION TYPE: V-N PERMIT�TYPE: PLU ', PURPOSE; OTH JOH DESCRIPTION, : WATER SOFTNER , ' SQ FT: � CLAIM VALUE: � CALC-VALUE: GROUP'OCC: R-3 / COMMENTS: NO OTHER WORK ASSOCIATED WITH THIS PERMIT • �*�r�r***�t*it�t�x��rx��r�rat**at�t��r*�rit�rit*�r*atit�t*�r*�rat*etat******��r�r�t*ot**�t+ria�tit*�at*+cat*atitat**at�t*� � _, Z O N I N GS ERTEB�A CIKRSE M E N T 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:'00000000 ZNE: REF NO: , PLANNING NOTES> , __ , , , i' if 1f if if'lf i! 1F it'1F if ik if 3F if �F �f �k M it 1F �lF IF itlk iE 1E'lE iklt �f'1I� if 1(' 1(' i(' 1F fE if'14 fF 1E jE if �E'k'%�1f if iE if iP ii iE 1E if iF iE iE �f iF'N' iE if iF �F fE �E iE iE iF fE fF iF ik±f ±E if� if iE , 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 BY; ****�r**��*�**�»r��r� LEGALIZATION:N F E E S U M M A R Y DATE: � STROCTURAL /, '�� * ENT:N^ e - . BLDG PMT PLUMBING ELECTRIC MECHANIC • FIRE SMIP/RES GRADING , PERMIT 8.75 • � 25i . SMIP/NON-RES PLAN • ' � ' ISSUE _EEE--_ — - 22_.00= --�--� =_�_-�� _='��" =-`=`"=— BUIliDING-DIV=>- �PERMIT ISSUE PLAN-CHECK TOTAL� PAID ' DUE TOTALS=---> 8.75 22,00 ; 0.00 30.75 30.75 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 30.75 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 30.75 � ., , if k 1!'lf if iF ik �F'k i! 1F'k ik ik iE if if iE If it if �f'14 if i! iF'1F'M iF if iE ih iF if iE iF if 1F iE'M iE if if 1F 1F'IE 1F M iE iF �f if iF iE iF �F iE iE d! iF if if iF if i49f if if if f4 if ik,iE IF K If i(� 1E ik _ I N D I V Z D U A L' F E E H R E A K D O'W N TYPE QTY 'D E S C R I P T I O N ONIT COST � TOTP:L COST P�, 1 WATER SOFTENER' 8.75 8.75 " END OF FEES ' . ��ii�� M DA?e_'-�-�"_ 0 07-30-1997/1A:21 AN/f30.7� kCGT�:Gl-26055�7 ' pEFCPiIT : 083958 � -- p �� CONSTRUCTION AND PCANNING '� � , � - , �- - i--. f. . & SPA F, "1,z, ; . , �t f ; -Date I�spectoi � `-� � � � ( Date�� In:pector � - APPROVALS ��Permit #,� - � _, ; _ - ' � APPROVAIS� � Permit # - � � f •� � � i _ - , � .jk � t, Temporary.Electricai Service'or Pole � � - - • - � � � �52: Pooi & Equipment loca[lon� l, �� ., ' .' : � � � , � . _ � ' '# 2: Soii.PipeiUndrgrnd. ,� ' L,�,/�� _ � F ` � :53: Steel .Reinforcement� �- ' „/� � "� ,. � ..n �" lr+ ' c-: !'. �.. "V� ... w � f � _3�Electrical Conduit_tdti�iry� Undrgcnd � - _ � ,54' Por'ms ; • � . � .- �, .', t `� �'S4� E�ectrical Condmt Un`8rgmd. '�^�,s . _' � ;� � - 55. Electrical Bondmg� - � f; . �� - yT(��G�' �f.'1 .0 . }. ' ' � �-� � 5t Steel Reinforcement'� �� V' , ;( ;; f 56. Rough Plumbing & Pres'sure Tesi � F - _= �'" .,. • r � y_ 6n,Electrical UFER ��d. . ' s f ` (°5Z: APPROVI�L TO CpVER��GUNIT£f ` r` , L `� ✓ :' Footings � "'� �� •" t F ' z - � '^58 Electr�irai Condu��Undrgrod_ �. � ' � �,: r� a: V 41 � l 8:� Foundation � E.. 4, .o � � � � " ' � � . � � I :59'.� Gas PiPe;�OrUndrgind , Test � � -� � + � ��%• � / , a � ..�„ <. �' " 9. Water Pipe-Undrgrnd. '� ` " '-' `^ • ; �.. � , s, � ..607 Backwash;Lines,',P-,Trap�O U� drgrnd_ . � � ! � 10. Structural Floor System ° ``� � � R � � �' �` � � � _67.. APPROVAL TO;DECK :.� � � � � i � � ; 11. �Pryoperty.Sewer Li�er& House _Connecfiori _ ; � i 5 �� ` � � ' 62' Ba�k4yash &�Receptor-Final •� � �; _ { r '� 12. $ewer CaP " - � ' i � g ' � .:63: Heater & Vent-Finai 'a ' �"� ' � . S� _ - �' 1= _ � �;1:. I'�� '. . � 13: Roof Drains t �; �� Ljj , �� ,,: -. ;64: Plumbing Sy'efem ;Final : ,`t � , �� '- � .�.-- _ � .. .: . p 14. Rough�Plumbingi :-�%i Gpi; ''�i1 ,3� 1 ;.65! ElectnicabFinai � � ?�'; ,IC�.Y.� i, - ��/:� .',7� y , � 15. Rough Electrical-Cor7du�t ��f� � _ - �. - r � Y . �' �Y � - j ' uf' � - � - � . , t >� ,� �a ;66 Sotar�SYstem-Fi a�� .... i � �� , 16. RoughElectnc�hnnq_y �.;� ��'��P ,= a°£. ;' � �,67� Fencing�&Accessj�pProvai .�I�. _�' � _ �! r : 17. Rough Wiring Sign � � ,�'t rt�`� `� .� ,, _ � �68 AP�ROVED EOR-PLASTERING�. _ ��j ;� 4 � 18. Rough ElectricalT Bar Ce'iling�' � { �`•l� :' ' : : L ��' � . � `. .. � - .,", ' 1 .� i � q .s ''69: POOL/SPASYSYEMSFINAL �,. �•Y�S �... -�G"�.'�'��. ��.A�'C'K�S S' ��.'� ' � Y �: .� i . -r�'M t. _� '�'T9:'Rou'gfi'He`atiny`&'Air�Con'tli[io`ning FIRH�DEPT. REQUIREMENT�� - - - ^ 1 C' H!C �-� CC !: 1, .7 20.'Rou9'h Facto�'� Fi�g�'lace ;�'' �- Y' O C% �%" c APPqpV��A'CS�n Pefinit #� �- Y. .i ! 4 u. z. r. � 5[+' C, 4 t � r-t 7' # i, i:..>� F. >.. w - �- � -�c- .�.� r. , �., , . . - _,� ,�� .� ., 21.:Dutts, in_Str�eturej.g I•• •� �-!S r S C� +-� r^ r 70. �Undergtoi�ntl Hydro !' �• 22..Ducts.Vgntila(inp .�'. : :�� f' ^ `- �'�'�71. ProductP'iin L�.�ras r. -N.�: i Y. � K l:� F i. = ,.,�1 9 � Oil 23.�6as��,e„�ou &�Yrst ..-.�,.•- .i. �r._, `:�, . .' `.. �. �P y� g ,� c i:y y p�e r i 72. Undergraund Flush 24.'RooGFraming^ D�r - i [-Ff- •F- �k> �� "-" �f, =� 73 Undergrnd.StoFdgeTan `.uGas ❑�il ' :y .Y. R! �: �%: �-�.Y i � !l L .: :l� .t: lTl !9 li t r : . v .-�P+ - 25. RoofSheathing �_:; •y - v v� ;7 „� N 7 74; Overhead Hydrq> .;: 26. =T-BarfCeiling (StrocPur2q & RRmio¢oat '� 'b �= r�•'� 7�" Dry Che�nical "y 'K " =' �^� n' r c.-. �i: �'� i7 f .t- c-J 1 27.:Frame and Flashing ,. �� r. � ,r � � �, 4� � .� �*; r- � � x ,.. t� ��' >. r� r. 76. Dry Start�pipe ::��.� .n =_ 2E. Laththg &�Siding r t' r '7"Y'^ "" � ; "1' 7T: FIXED SYLSTE�M=FYNA� � ' ^ „� -.. �. nr �h :C ..' ..' tz �, r. idi:� �-1 !'' �u x %' f.l �-: ..�.�. •� k. l'i t {t 1 . : i " 29. Insulation -�-,�: s ,. .� I I ry, 7�� FIRE:P.REV. FINAL _t. �• x f" �� 30. Orywall NBiling �A::f � v�,� I i Lv� ^r�;� c�H�ALTFVDEP�!REQUIF�EMENT p • :r n P i A tK �lr,. -n � s� a: _ _ !rj `� 37. Plaster Baown-CoaL�;; -�_ {��n ±: � i �y� ,. 79: FI�VAL 41`�SPECT�FON x -- __ �, �- ; _,_,-;: _ : � i- 32. �@Iectrical�Powcr Met�r:Final t x rJ � i t� 80�,�'. FOOD CERTIFyCCATE IS$�IED . o c � ; •: oy 'e r 7 z; , 33.`.Fina{�ElecVicJ, y. T, ;� ;: I I r; � No�es: y�,i „-� � S:7 i; 34. �5ina�_Heating$� Aic Cond'+tionings � �e � � 4i: ; � .'i:'� �.n , S C j i c..�... �r t^ .i y 1 .-+rJ: .f � 35. `�ina�-Gas Pip{;Tes�i �� , "� �' � , � n: . . r'.' - ��c' .': �• `� : �� e: �� ti :..o ��:, t^ i.. 3G. rHood:or CanoPY � F J ��'- o �' :'� I I i•� x`� ' +c -.� t-Mj : i -e � ... � ` � i � �? C k� �H �; .t :T� ,� 37.'FInal;Factory fire'pl�ce r � F,F_ ,� �;: { n� -... »: _- � _'__' ' 38. FinalrPlumbing M.r �•�1 i ;1 r �.V { �t� ` : �-+ i: � � - � i �i� u �:- w = 39. Wate`r!Service�Fina"L�" ~ ! o `' � i�'��' . `�- '"" "% ^ i-� r: : �j; p: - �r . �. ;.; 40. Gas Service-Final `' µ rr) . ;-.,� S .r. ::+ � ( � �x � iJo 'vr,5 ��. '" . �.. 4. :l•e� ' y 47.� Solar pomestic�FinaX �"�-' ��. " * �-" � � ' i'. ,'5.�;,_, � '� � � fr .jl � '! r � " 42.'Backflow Preventer .i: ~ pi a� `, , � � �:. >�-- t `_" - 1�I�'. -43. Backfiotv Irrigation �� =S � ti , ��" � �' ..� � .. i �. ':� '7. .- t i "'� .r �rt ._. ' _ C44. Landscapp trPi9ation:System an;;j - ��: ;;+ :� 7 n�� :'o n� 2:CJ �i: � v � i ..� , c�:r '45. �Sound Attenuationr �'i �T i: _ E- F E-.r i; •-� �-• mo �r:: r � . ,T� . i .i .1: � rr, ,:i ir..i _ � ? C' et, • H �. 1. '46 `Handicap.Regulatioiis 1 4 i��' r� � 5 C'i� t� � - - t. i � r. �. 47.:FINAL STRUCTUR�E & BUIGDING F` � "� � �- � T � � ;. � I ? 1 � ; Y, i: 48.'FINAL PLANNING,`. �-+ '� v �--T----i� Q `:" F� � o � y. � �k' �^,' �49.'fiectric Release to Edison � �� j ✓�� " � f� � � ,+.. �, i .. :t� ' � i n. a. . � ,y .C' .F � ' `50. �Gas,Release to South�ern Califomia.Gas Co ; .y � i .j,�`�i E, `� �� • . ci?i +� n � d. - � - - „� r a; �5ll. CE -FI�ICATE OF OCCUPANC!'' +., .: ! L.,z. :' :. R1 � .. e .- n.• -. . • " No. ' Date �.� ,. . ; �onm��i�e+o 809 GALLF.RY CT �� "' - CITY OF GOSTA MESA - BUILDING PERMIT 0.1R:.ej'8NIYEIFIWqYN: pOLYGON SOUTH COAST ASSc�C FLOODc X 47 , � ' . � � . ,. PERM NO�:. H 078559 - aooxess: 15751 'ROCKFIELD BL '• ONIT 120 PERMIT NO: B 078559 PLAN CHECK NO: 02776-96 A GOVT: N SUPP: N. I;RVLt;E, CA 92718 714-452-0600 ' �vm.Ymmoeoo�ss CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: NEW �ncxnecTox�+ax�x: LL MAJOR 5 ASSOCIATES uc.r+o: C-16869 JOB DESCRIPTION . 1901 . SF LIVING/ 476 5F GARAGE SQ FT': . 2, 377 urcxox�o.�s�ooxcss: 1551 N TUSTIN AV uxr: 640 � � � - � ' SANTA ANA, ' ' CA 92701 ' CLAIM VALUE: CALC-VALUE: 157,893.50 GROUP OCC-:.R-3 /U-1 � wxrx�crars ruuE ' . � , . • cam�croas�uimo COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 1 �oo�ss:' � � uaw.: �*��*-��-�**��*�*�it*�r******it*rt*it�tx�it+t+�+t*�tx�*�-iEitx-itititiEitir�x�******at-*it+�**�t**it**x-�t��t*iFiex�it • ��; Z O N I N G R E Q U I R E M E N T S � , LICENSED COMNACTOflS DECL�H�TION: 1 hereby aMvm unEm penMy W perjury Met 1 em Icmeed uMx peoWaime d Cheqm 9 , - S E, T B A C K S, ', ; � ' , (mmmenc�p wilh Seclion 1000) d Oivision 3 oi iM Bminene end Profeseiona Cade, eM my licenee ie in full lpce ard e11W. ' . � '� ' , �� . � . ` cmuc.No.:066144 uacuss: B' uc.No.: 659262 EXP: 11/96 ------------ MAI�N BUILDING ---------- ---------. ACCESSOkY BUILDING ------- , , FRNT: 35 FT IN REAR; 5 FT IN FRNT: ;.• FT IN REAR: FT IN ome: cam�a« LEFT: S FT ZN RGHT; S F.T IN LEFT: FT IN RGHT; �FT IN , OWNER BUILDEF DECLAfl�TION: I hereby aM�m uMer pendy d parjury �Iel I em ewemq tmm iM CoMMas Licmua lew fa the iaa..Pro��+«�(saa�roatse�s:�s�aa,d�.w�.cme:nm�rs�n��a��..w��o��+,��,�w�. PARKING REQ: PROV; PARCEL: 14151132 'ZNE: PDRL .REF NO: PA-95-36 •' ' Mmdeh,arepvenyawnum.pr'wrmiismwence,e6ortpuirmiMeppliranllm�uchpeimplofileeeipmdetalemenitlwMasM pLANNING NOTES> SINGLE-FAMILY HOME W/AATCAGED 2-CAR -GARAGE � � � licemetl punuent m tM poviaione d ihe Comreaas Liceme law IChepbr B(�merui�p wilh Sed'on ]000) d Diveion 9 M the . . � . . . . . .. . . � �� __ __ dueinev enE PMmsore Code� or thet he w s�e is eaemq therelrwn end the bavie /w Ne elleped ewampbn. My vMelian ot Setlbn � ' 7� ,'�,. -�' ,' . - �^ .; ' 1o�1.5MeM'eVWimnti�reW�mileu4ede)haeOWicantloecivilVenellYWmlmore��enMehunCretlddlen�55001). �FfEiEiEiE�lEiEiE1Ei(�iE1EK-�)bfki(�.iEiFiki(-�M�iE1E.fl-.*iF1E1t'iE1F1EfEiF1E�liFiEiFiEiEiFiEfffEiEfEiE1E��EiE�fFiEiEiFiFfk�EfflE1l�iEfflEiFi(-iFlE1E��kiflfiEfE1E�1E�(-1Eff�lE . ❑. �.eao»�rwmeoropa'riy,«mv�Wweaswinweyee,nma'ademmpao�etion.wu�eou�aw�k.e�dti�so-wureo�a'vue�eee � � D E V-E".+L O�:P.�.��E,%N vT/'^ S' E�.R V I C� E S R E. Q U I R E M E N��T S a MereE br eeb (Seciion )01�. Buvma eid Prdmtlma Code: The Contreaaa Lirenve lawEma nd epO�Yto en ownxd p'apMy . . . . wnohuiM«in0�s�neieon.eMWaJoeseuchv.alch'unadt«henN«NraqhhoaharmmamWMb+.wa'��hetwM !I „ NJ y � ' , ' [�/ �mpw.,,,,m,�<�a�m;�a,aam�e�«aw:n;n�.�.:mad,�n��«mq�em4.ad.;mna»r...wampw�,m. , ZONING APPROVED BY : • � DATE: �T ' owiwrbuiNar xill heve tM WNm d pwiiq he or eM Ek nol buik a impova la tM puryme W eelel., . .. . . , , �] I, u owrror d iha propeM. v^ extluarvery oonlreaip vrilh licenaed convecron ro wnelruq �M p'ropa (Seeion'roes, Bus'visee anE H U.I LD I NG AP P RO V ED ' B Y : � ' ' � '� DAT E: �./.�J ' � PMmeions CaEe: The Comrmas l'ranse law doee na epply �o en ovmer d propeM �o buiNe a improvo the�aon and who / � -7 �•% i � comreae tw wM V�s wii� e mm �r(e)'IcanuC Wnuant m �M Contred«e ticeme Lawl. � • . �— -�,-.�,+' � .�• ,•.� • : .i ' ' , _ ' ' < .�"/G�' / � � IuneRemquMerSztim: ��B:BP.C`.,brthia �arp: APPLICATION ISSUED''HY;' �) r'i �� DATE: /. �***+�***************** �*********�'�F** Dete: �IIZI�� «� ``/ - LEGALIZATION;N . F. E E . S U M�M A R Y .� STRUCTURAL SEGMENT:Y I do Mreby r,e�ily Nm I em awere d eM uMcaierM tM reQuiremenh d Celi ' eM Sdery Gods Seqiom 25505. 25533. eM . : ' � RSS31,WNellareiryMurebuildi�paaupemxill/wilrat�arckan) � Mnoiemmeooe�ariems��ire�aro�, BLDG PMT PLUMBING ELECTRIC MECHANIC. F�IRE SMIP/RES GRADING epsimiltaoonabunionamodificelionhomtMAi u3eTllenepementDiatnd. idenlielcanat�ueioneppfutbmwwmpliamtheea ' a�sm�a... , . PERMIT �. 1, 177.25 , 15.79 • ome: avm�+�: ', SMIP /NON-RES PLAN 191:30 ' woncex•scouver+s�nowoecun�noN:in:,.nv��ae.w�.nrawi��am.rom�;�ae.a��,__i: _-:- :ISSUE_£,£E:__-�---- - - - - - -- -- --- — - - ----- - _ �--__--" "�--_--- `--__-__ �_ -- -----'------ .. - -' - - '--' -'- -- �_ ' _ ._- -- -� . _-� =-_.'.- -- ��----�: .� "-'� '��-IheveenE'Wireinteiiieendra�aul�oinentloeNlimumbixakmeeanpma�ion,mpewidedlnby5amm3loDd�MleEor BUILDING-DZV-> PERMIT " ISSUE PLAN-CHECK TOTAL . PAID ~ DUE _cros.i«�n�v��e«�.a�n.,.axiam:�nm�.o«mn��„e. • TOTALS----> , 1193.04 0.00 191.30 1384.34 1384.34 ,00 Tl I heva eM wil meiMein wwke�e' eompeeumion irourenu. es requ"veE by SaUim 9]00 d Ne Lebar Cods. for tM peelwmuioe d IM . , , , K� work Iw whiM thia pe�mil e iaueE. MY wnken' wm iue�ion iruureMe wnw end poliry number ers: • c�«: • .C1�PRESS TNS � EXPIRES REVENUE DIVISION TOTALS--> 'COLLECTED; 1384,34 OVER/SHORT: 00 aa�,rmmn�,: - O1/O1/97 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK .._o �rn6s r��e�oras�c�aeru.re�x�ro.o�n��ereedd�,�fsimlo..�.l�.' � 1177. 2S � , 15.79 191 . 30 , '� I cm1iY � in tho perlmnuica d iM wak br xfiich thn paimn iv ueued. I MeA ml emplq eiry pwson m my mennx n o to ' becanb w4� lo iM xakera' canW��ion lewe d Celuan' d Nrae il 1'tlwuk bacoma w4� lo IM wvM1en' iEfEfE1EfE1EfE3ffE1ElE1ElE1E1FiEiE1E1EiEiEiEiE�IE#�)ElE�X-iE1(�jFfk�k'.E�IEiEiE1E1EiE�ElE1EiEiFlElEiFiEiFlElE1EfElEiE1E�EiflEftlEiEikfk�IFlEitlEiE�EiEfE�lE1E3Ei(-iEih �� , a saa�, aroo a me t.m. c�m, i aw �nin a p n ro.e o Nmo�.. I' N D I V, I D U A L F E� E B R E A K D O W N � om.: � � 1-� � ` - i nodc�c _ I� ' , : i - . . • - { -Waminp:Fe�/uroro�xuroworkwico�uuenonrov«plbunbw/u�,n � n ctanx�p�oyxrocem�u�pxumuum �TYPE QTY . D.E $ C Fi� I p T I � N . UNIT COST TOTAL COST � -��m n�., w ro o�. nw�d�.d rno�n�a ear.n Isroa,aoal. �� .eemo� ro r o o�s/wwn d.mros. n abaae ro. m ' � � w sxuo�sroso�meveo�coe�,mr�oNearcom�ys��. SFR 1901 DWE-TYPE V-WOOD FRAME� -GOOD 77,50 14f3�087,90 CONSiflUCTON �ENMNO �OENCY: I hmeby dfirm ��a« o�n a,.�,,. m.� m� e.��,� w�, .,� ro, m. S FR , 4 7 6 R E S-GARAG E S T Y P E C7 � 2 0, 6 0 . , 9, 8-0 5, 6 0 per�«meMe d ms wx �« whi� ihe oKm.� e uwee ISed�ori xs�. cH. c). ' __ _ -' END O F F E E S . � � � LENDEP'8 NAME � � - � LENDEN'S ADONE%: ' ' I cMity IhN I heve reatl Ihie eppliceiion eM tlele �Mt ihe ebove inlormetion ia coned. I epree lo comply xilh dl dry aiM counry adinanue ' � ' . . • '• . � ! eM etele lexa relm'xp �o buildiq canslruqion vd hereby au1Mr¢a repreaenletivae d Iho ary ro entu upan IM eEo�w�manlioned papery � ' � ► i�«�"'0°'�°�`°°"' AOB YODER, .,, . _ _ _. � I .,. �^-.;.,,, -�,-.,;,'��U7+ri T�.��'- o�o: 7�7��11� � . �7A1:: �;� �:� . 1'! :�. :.��k" -•- While-8uib'up 8 Sdery: GreerrFlle: Cerery-Appiram: Pink-Reuenue: Oddenra0.Maesv " ' - '� COIl15TRUCTtON AND PLANNING , '. � p� '} � ` POG �PA' � '"-'" � ' j..:J L;� . . _ . .. � ^ "' F � %'�Date � Inspectoi. ' ' ' ` � '' ^ '- Date"�- inspector�. . �� APPROVA�S ;Permit # - . Q , ., _ � , . APPRO�ALS Permit # _ i � � �� 1. Temporary Elecirical Service;dr Pole� � . P ` �} { � '' , . j 52 Pooi & Equipment Location � _ � � � ;r � ' 2. 5oil�Pipe-Undrgmd :� � - r+� _ _ �53, Steel �Reinforcement „�� - ,' � �� ...-"a, � 3. ,Elearical Co�dwt UtilityrUndr md " /�. � " " � - ' - � .. . . , 9 � �� ( �l".� !!^� ,.54. Forms � '. - , . h , _ -' _ l ,7�., . %1, Electrical CondwbUndrgrnd. } �4 K _ -' � 55. Electr,icai Bondiny, � _ . ;�'i�"� / �.=�Ei,-Steel Reinforcemenc �.;; ' � � - � -`- ' i � ,. � 56.. Rough Plumbing & Pressure Test �. ' " " ��-�'. 6;'Electriwl UFER Gmd. � (�� 57� APPROVQL•TO COVER�GUNITE' " �- _ =��llriG ��/% � _ r, _ r . ) `�`7_7 Footings .. � - . �f ��. G6 //� �_ �58.. Electrical Conduit;Undrgmd. , t �_ • . ' b I j� _ . . - : � `k3! FoundaUon: � ,., 12�` JG ; �59; GasPipe �D Undrgrnd:,7est �: < ', , � . 9. Water Pipe�Undrgmd. �• � ' ,. � _ ,; ' �,,.� '60. Backwash-l.inest P-Trap, �. Undrgrnd � 70. St�ucturol Fioor System -�• � ' � ` ,�-� � �61_ APPROVAL' TO DECK''� - � r �11. Property�5ewer Line & House Coni ection ` " � ' � �,_/,. . 62: BackJ,wash & Recepipr;P;ryal�: ? - � , 12. Sewer Caq ,. � .. , . _ .. --} t... � : : � � - , . - --. ,`_.� . . ,�63. Heater.& Venf-Final� 'r'� ,,.. � � 13. Roof Drains ��. . �� ''� ^`• u64: Plumtiing SYstem ��Finai ; ��j - � ? , l4. Rou h Plumbin � ' �-t �- - - • . 9 9 _ �� t � 65. ElectricaLFinal 1' . �t �-75. RoughElectricai-Conduir.� � +-4 � .66: Solar.System-Pinai +; _ . �,� ��= - -�. ib. Rough ElectriclNiring . � ' �� ` �� "., , � i �677 Fencing & Access"Approval `t . � ,...�+ 17. Rou hWirin Si n " .�'' £r�-+ � - ` . .:' . �' II 9 9 9 , - � : 68; APPflOVED��FOR,PLASTER�NGs � '�� 18. Rou h Electrical�T Bar Ceilin r�: �` 9 9 - � ;69. POOUSPASYSTEPnS.F.INAL �. � � R..- 19r..Rough Heating &.Air Conditioning- - -_ - . -...._...:� . -._ �FIRE�DEPT: REQUIREMENT- �' - y= ---- - � r-.'.,•- -r ,. .�i I 2Q �Rough F.actory Firepiace . � � � - : � APPROVALS � ' Permit # • - 21.'Ducis, in Structure � -, „ - � . , = 70. Underground Hydro . � 22. Ducts, Ventilatin4 � ' �� }� "' 71. Product Piping�OGas rJOil 23. Gas Pipe-Rough &'Test -' _ y �. '� "�' 7q, Unde 9round FlutF,' ' _ 24. Roof- Framing- . r . - *'� " ' 73: Unde�gmd. Storagz Tank O Gas O�OiI 25. Roof,Sheathtng , =. � . '(�* ' 74.-0verheai� Hydro � ' .. ��,%'-° �.� -� " 26..T�BaG Ceiling {Structuraii & Monocoat � . � � �-' - 75'.� Dry Chemical y �-, - 27.�;Frameand Fiashing� _ ��, V�Y 76. DryStandpipe--, r-- � � , 28. "Lathing & SidingR { . ^, . . -. �0: -'�/.. .�.� � 77. fIXED SYSTEM-FINAL - ' 29. fnsulation - � -' ". .. � . � � . - . �/a!j • �, �:�. 78. FIREPAEV.EINAI . . � _:- ' 30. Drywall Naili�g ,J�- " � (Q /3� � � �j� �� -HEALTH DEP7�: REQUIRE�MENT � 37. PlasterBrownCoai+� ' (( (t( ' �/ ��', _ 79�. FINRLINSPECTIQN '- � e -. V : 32. Electrical Power MeterFinai ' � � i�; �� 80: FOOD CERTIFICATE ISSUED - 33.:Fin$I ElectriC °_i � i,' ; � �'' Notes: �y � � � . -� � _ ' 34. Final� Heating`& Aii;Conditioning-: � " F "' ' 'r .. ~ T � .- _ . 35. Final Gas Pipe=Test � �" Y , � r^ � ' �• � : _ � , 36. Hood or �Canopy : � : ' : - ;; c-, � i« • T' � ' _ � 37.'FinaPFaciorv FirepPace ` " � `� . � ' '- • `� � :' � _ - � � � ` , 38. Final Plumbing , ' .. � - � � Q . , .^-- � . 39..Water Service=Fina1 � . . - ' '' . �r � . '- - , T ' y � � 40. Gas Service-Finai .�� .,,, , ' ' «', r r: � ' ' 47. �Solar pomesticFinal �, � ' � • � k �* �,.• _ _ , 42. �Backflow Preventer' '� " - � � . - � �� - " . C a 1 �!' - . ' 43. Backflow Irrigation � _ � ` � ` ' - - � __..� , - '�A' r . :�: F .� �� W. . 4. Landscape Irripation SYstem--.. „, ; . n, � - � - _ . 45. �Sound Attenuation�� . - • ` �- - ' '� - ' � � ' r - _46. Handica'p Regulations ` � � ' � � T� . ,_ �� 47.-FINALSTRUCTURE&BUI�DING / )?/'/ �%� .• �=•" ` +' . i -r f�%...71�1 LG! '.•. �_ .0 :1: � A8.`EINAL P�ANNING� '. ' '� ' '.4; �. � � . ' .49. Electric Release to Edison � � . ' � � - - ' � ,50. Gas.Retease to. Southem Catifornia Gas Co ' ! ; �' ' ; , :, � r +'. : ' . , , _ - 51i. CERTIPICATE OF OCCUPANCY ; F . _ n : , : ,- , _ No. Date ,e. o�� Hall & Fbreman, Inc. � Civil Engineering • Planning • Surveying • Public Works December 10, 1996 Building and Safety Division City of Costa Mesa 77 Fair Drive Costa Mesa, CA 92628-1200 Project Address: Lot Number. Permit Number: By Civil Engineer: Tract No. 1521 l GRA075893 So� G�..-U ��-y c-� QS.T.� ' • 1 I certify to the satisfactory completion of grading in accordance with the approved plans, specifications, local and state codes. All drainage devices required by the grading pernrit, grading plan and grading ordinance have been installed. Adequate provisions have been made for drainage of surface water from each building site. The minimums are: 2% fall from structures withi� 5 feet from exterior walls. l°/o fall for asphalt surfaces and landscaped areas. 0.5% fall for concrete surfaces to approved disposal areas. The final monuments as shown on the recorded Vact map were set. All final grading elevations aze within ± I/l0 of the designed ele�tions. Supervising Civil Engineer 13821 Newport Avenue, Suite 200 Tustin, Califomia 92780-7803 Tel 714/544-3404 Fax 714/544-3155 37445 ' � `� .oQ``�e� No. 37445 �P• 6/30/OD � a �.aanEssoFem�ano: 809 GALLERY CT � UNT: avx�rsruweivaiann:. pOL�'GON SOUTH COAST ASSOC FLOOD: X 47 � ADDflE55: 15751 ROCKFIELD BL ' . . � UNIT 120 • RVZN£, �CA ,92718 714-452-0600 wvi �uiuxi� �ooxEss: � D [' � � IIK excxvecTop�un: LL MAJOR & ASSOCIATES uc.wo.: C-16869 ,IMX.ORENfi.'S/i0D8ES5: LSSL N'TUSTIN AV � � -� uar: 640 �;nnrrn nr�n �:;n 9970 �n�aarsruuE ;'A1�TP ANP. �_A y'<` /0 LOlfiIACTOR'4YYIW� . � wo�u. uera.: . � uNr: " LICENSEO COMPACTOXS DEC�AflATION: I heraby eRkm uMer penelly ol pe�ury ihel I em Icamed urder provieione ot CMqer 8 (mmme�nip xilh Section ]000) d Divisun � d the Businea end PMeaeiona Code, aM my limnm ie in hll torce eM elletl. � cmuc.No.:066144 uc.cuss: B uc.No.: 659262 EXP; il/96 ,Dme: Comree«: OWNEN 9UILDEN DECIAPATION: I Mmby alfirm uMx perely d pxjury �hel I em s�emq hpn �he CamMon lionna lew la ihe 'bw'vp ieeeon (`�� ]031.5 &n'vime arM Protessbns COEe: Mry cry a oouMy w1�iN npuirte e pmmG �o coneW�Y. Mm. impow. �ol'vh, a npei any el�uctun, piu to tls esuer�ce, ado reQuirp the epplicen� im euch pe�mil lo fib a eqmd+wamem tlut he a ehe �.cerread Wnuent�lo Ihe proviaiona d Iha Conireclws Licenae Lew �Chepter 9(oommenaip xiih Seeun )UW) d dveion 3 d tiv asineea end Proleecuna Code� or ��el M1e ar ehe ia eKemq Ihaehom enE tha Eeais la IM elleped axempian. My violelon d Sedian N31.5 by enY aD01i anl iw a parmn wbjeUe Ihe apd�t to a dvil p0nelry of rwt maia then live hundreE Edlen �f50011� �� I.mowmrdiMpopeMamY�dWae%w�hwepesavlheiedemmpenmtion.MillAothawork.enEiMalruclune�wlinleMed «alle�eA br eeb (Secibn )01,. Busiron end PMeasona Cods: The CaNreaaa Limme lew doee ro� eoDNmen bx+wdVW�Y �.no ww. «mw�. m«�. �e.ro aos.,�,.oa �«n «na.� «m,o�n w «n. owo «oa�w«.. w� �nm.Wn "unpwemmu� ere rio� imeMeA ar ollaad la veb. tl. howaver. iM buitlirq a inpownera u�dd wnhin ane Y� d mmpMion. IM ��d,ue.� w�n n� in, e�,a� a o��a ne «d� d'd �a d,�u «�,wwe i� ub wm�• w we�. I. m owiwr d ihe V�Va7. em uduaneh cantreaM Mith licenaed convac�ore ro m�Wiva Na P�1� (Setlon IOM. Bua'vms eM Proleaeiare Gade:�The ConireGae l'cenae Lew dms mt eppy b en owier� M prupeny who Witla a impovee Iheiem eiM Ma . conveab la eudh pqen+ wnh a oonveaor�e) Icenmd punuem to ihe ConVeaae Liwnee law)."'= n ❑ I��q I�' �1n: B. 8 P.C., br ihi r�On� ^ � Da�e: y Owner. /� Y/ T 1 do Mreby cMM � I am ewere d uM uMaeieM tM repuimmenn d celj �mie d Sdaty Cade Satlbm 25505, T5593, end epe�mE1« wwi.ions. W eM tM �aQuimmm� br eliaroueuanq/mmlMae ome: � Aoo�bem: ' WORKER'S CONPEN5ITON DECUR�TION I Mreby elfiim unEer perelly of pe�ury aro d IM bllowi�p Eeduelm� ' QTI hwe ud wJ muman e ce�iikete d ooneem �o seMinwro hr wAen' canP��an. m pwMW lar MSerJwn �)OU W the lebor'" . Cads. la iM pMmnence d Ne xak t« whch thb pemN a mueE. ' �] � n.w.ne wi� m.ima:� woM1e�.• oomo�� •�•. m�a�a.a M seeim amo d m. �.no, cme. rorm. w�«menw aue .�i«.mKmm�o�nm4.�.e.Mv.«�'��'5��.�awu.r��me.ue: EXPIRES � . c�o,:. voi�y N�mye, . - O 1/ O 1/ 9 7 (ihii secfion need nw be compbfeE ]!he partnrt is lw oIre hundie0 dalkrs �3)001 w bm.1 , ❑ i mnuy inm �o m. oano�n� w m. wonc ro..,nrn m�. w�n �. rcau�d, i.n.n �a emWvr urv w� m.�v m.��..o .. m � � Eecmw w4� �a �M worken' canPaneetion kxs o/ Celilanu, an ree ihel p ehauk bacome aublsp to IM xaken' - compsnemim 90�M /M �Sa�tl�M 3]00 Of IM LeW� Gatle, I WII IO m�,qy no e . Dma: � �Z —/ (> MWcam: ''�__ Wamlip: Ftllun ro�aeuro woilron'rompewtlon eovsreps b �nlawNl, antl a ll f anp/qer ro erlMrolpwMq a�W nv�� nn., w ro on. nuna.sa enouune aaa.•lsio0.aonA M.dd�wn ro u. � ro non d+m.w• .. pAv/e.e ror m Sxtlon 9�06 0l Ms Lebor totls, /nbn�q ene afbmeyl Iw. � - CONSTPUC110N IENUINO AGENCV: I Mraby elfirtn uMer penelry ol par'ryry ihel iMn ie e canet�uUbn bMi�p epmry tor �he �IBf�Ofl110MB O� INB WJl�( �Of M�1If�1 ��141 pGl1111 19 68YBd (SBflqfl 309�/. riN. Ci�. ' LENUEP'S NANE: � , � LQIUEH'S ��DRE55: • � 1 cenilythet I heve med ihis applcetim aM ame thet Ne ebove inlpmNion b canetl. I ep�w lo oomply wilh ell ury eM wumy wd'merce+ eM ntete lexs �eleimB lo buildvp mnmruabn eM Mreby eNhorize reqeaentmivae dtho tlly ro antar upon tM ebave.meMianeE pmpe�ly �°`�°s°°"�°"°"'°°°°' BOB YODER . v � a ` oma:�_ Sp r/ nVAOW�'anUConlretla ' (5151-/6.W P) - WM1ee-Buikvp 8 Sefery: GraemFle; Cenery-A00��: Hnk-Revenw; (3aMenmFMamr � , -. CZTY OF COSTA MESA - PERMIT-NO: P 078562 PLAN CHECK HUILDZNG PERMIT NO; N PERM NO:.P 078562 i GOVT: N SUPP; N CONSTRUCTION TYPE: V-N � PERMIT TYPE: PLU PURPOSE: NEW JOH DESCRIPTION, : 1,901.SF.LIVING/ 476.SF GARAGE SQ FT:� �_�/�}� �;��: , t;AL�v-VALUE: � GROUP OCC: R'3 /U-1' � , . 4eQk19P�@��#'t u�&Td*�t7�47S'i�eT�r�A4@��1G�&&S7cFF&11k&*+�*i�kA17*k� �*R&F�&��**x x **� *��*� �� Z O N 2 N G R E Q U I R E M E N T S S E T.B A C K S ', , ----=------- MAIN HUILDING FRNT: FT IN REAR: LEFT: FT IN RGHT: FT IN FT IN i =-------- ACCESSORY BUILDING.-----=--- FRNT; FT IN REAR; FT IN� LEFT;" FT IN RGHT; FT IN PARKING REQ� PROV: �'PARCEL; 14151132 ZNE: REF NO: , PLANNING N6TE5> a. � . �� . '"': Sb. .- , ' f ;1- - .. _ . . 1EfE1EiE�Eik�EjkiflklklflFif1F1F3E1FfkiflllEiF�E1E1Flf1fiE1E��EfE9FlfikiElEif�E�lElflEiflFiFi(�iF1E�EiF�E9F1EiFiflElflE1F�E3EjE1EfE1FiE1flfikiFlflE�EiFlEdfjflE9f . D �E V E L O P M E N T S E R V,II C E Si^ ^R �E Q U'lI �R E M E N T S . } . . � ZONING APPROVED HY �� '%'- �'� '� .t �r� DATE; BUILDING APPROVED BY : .%'� .. /.'`��, i ��• ;:. DATE: �7 �^ � '."�, ' , �.� �� .. il�� [ � . . APPLICATION'ISSUED BY: � �:�'.':! , i�i�`� `,�zj �; DATE; Z'g� 1ElE1F1EfflEfEiEfF'ik�f1E1E1E�E1kfF1E1EiE1E1E . . � 1�ik'1E1FikifiEiFiElf�iFi�1E1E LErALIZATI�.�N:N F E�.E S U M M A R Y STRUCTURAL SEGMENT:N .BLDG PMT PLUMBING ELECTR'ZCy MEQHANIC, FIRE SMIP/RES GRADING FEkMIT i&0,50 � v� � . '. L58 �' i,v '-7 " �+ r�- SMIP/NON-RES I � ISSUE. FEE , 22..00 ��`r ,�.� M �^ (��' ;` � � � HUILDING=DIV i`� PERMIT --` ISSUE` �PI:AN-CHECK`��- '�---TOTAL • °='-=—PA�ID`" "`_ �- "DUE-'-=' ° _ TOTALS----> 180.50 22;00 .n-: 0,00 202,50 202,50 ,00 /') n REVENUE DIVISION TOTALS--> ' COLLECTED: �.=202.50 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHAN�IC,;; (:�F�IRE.� SMIP/TOT GRADING PLAN-CHECK � 202.50 .. � v { p� . . . ry p ; �C',� f�7 di � . iF iE 1F iE iE iE iE iE if if 1F iE iE iE iE iF iE if iE iE iF 1t iE iF iE iF it ik it it ik iE ik fE #,iE iE ik iE 1E�1E 1E if iF iE if iE iE 1E iE iE iE iE 1E iE i! 4 iF iF iE iF �E iE iE iE iE if iE �E iF iE ik iE iE iE iE iF iE iF I N D Z V I D U A L� "� F`� E E�., B� R'E A K D O W N `. i � . v�. .rv a-' -^ti. TYPE QTY D E S C R I P T:I O N-� ;;� �;' z,, UNIT COST TOTAL COST ,l'. �',i�i PLU 2 BATHTUH //'� '/1 � 8.75 � 17.50 PLU 1 DISHWASAER � �, " �� PLU 1 ' LAUNDRY TUB OR WASHER�� '' `� � 8.75 8. 75 ..i f. - F3. 75 8. 75 PLU 1 SHOWER �y,,,i%'� '�( i�',.i 8, 75 8, 75 � PLU 1 SINK, RITCHEN '� •� •o: �� . 8,75 8.75 PLU 5 WASA HASIN ��%-'�;' 8:75 43,75 PLU 3 WATER CLOSET (TOILET) �;� '�' 8.75 26,25 PLU 1 WATER HEATER AND /OR� VENT �y:' � 11 . 00 11 , 00 PLU 1 WATER SEAVICE /",,.'-a ,:.-. 8, 75 8. 75 PLU 1 GAS PIPING SYS OFr 1 TO 4 OUTLETS . 5.50 5.50 � PLU 2 GAS PIPING SYS 5+ OUTL-PER OUTLET 1.00 2,00 4s caa,�, i-. .n ��; a_- �;ii' j=' , ` .._ . . �-:�'�--.�t_ _ -- , :-_ _>:-- .-.-�, ��- -- - - - - - - - - - �; " CO�NSTRUC710N AND PLANNING .,. � � ,� -�"- � -- --POC SPA "' - �-'`.'� ` "=.-�-: _ - --_�_.; �•, � � . 4 - r' -:= ��"Date -�'I�specior' ' ` ' �=� 'C� ` � `� Date Inspecror.� : APP.ROVAIS 'Permit#'` „a „ _ "APPROVALS Permit# _ - k � �i - a � ��1; Ter;iporary�Elect�icalSerJiceorPole= -� �e'1�;: °f � ��.I 62: Pooi&EquipmentLoc`a{lon - - , - _ - - ,2, f.oii_Pipe';�Undrgrnd� �� .;�,_ i � . �' ;l' C�� ; �53'. Steel Reinforcemeitt- � •u '� � '�7� .:. '- ..-, r � � ^'3: �Electrica(;Conduit Utiliry�Und�9rnd �' � � � . - -. .,o ; 5A: Forms, � ` ' � , � ' � � .4._EleMricai�Conduit�Undrgcnd.' � - �� '55. Electr,ical Bondmg •, _ �=-� . �� 'y` � .r > ",� ;�5. Steel Reintorcement � ' s •�; � ��. : 5 -� � 'S6. Rough Plumbing & Pressure Test �' - � ��' ; �_ „6." Electrical UFE�R Gmd. � � . ; f , F ' "57,: APPROVAL TO COVER�GUNI�TE; � �-r ; .: �� !� ; ... .. . , .' . _/ � �,;,,7. Footings 5 ' � ;- � -58.. Electricat Conduit-Undrgrnd.� ' � � � � � : - 8. Foundanon`. ' ; � � � � '59. Gai Pipe ❑ Undrgrnd:, Test' � � , . , � • � 9. Water P�pe-Undrgmd. :�_ �..�-.L�� r, 60. Backwaih �ines P-Trap, C7 Undrgrnd. L' ' '� j, y '�10� Structurai,Floor System ; � � _� ` � `E : J� .,' �:, ,6};: RPPROVAL>70�DECK,�� _� � �4 ; .;t t. Prope;tyjSewer �ine & Hou'se Conneciion �„�� '" � �'' ;62, Backwash & Recepioi �Fiaal'J : �? - � ' '12. Sewer Cap -'- ' �'� `: � �:.; ' , � -, �^ �: g3: Heatei & Vent-Final, �' i:.' - � ,. - �i . '. - . . � ' . " _ ' 13. Roof Drains " , ' . � �� `.-� � � r�j - 64: Plumbing System -'Finai •-?'.y-'� '� - - �� '�74. Rough Plumbing � - � 1 i � 65, Electrica6Fina1 i �� ! � % t, - - � 'ej."�/L.'. _ � ' - .,:15. Rough Electrical-Conduit � . � . . `'�� , ` t '- - : � . - _ . . , . .� � ';66i Solar SYstem�Finai ' �. . ;. f6. Rou9hElectricWiring- , � � _ •.�„- � .. _.�� ;� �. �67. Fencing'&Access�ApProval l .: ---^• �f �! 77. Rough+Ni'nngSign �' � " � ..68�. APPROVEDFOR�PLASTER�I�Gi ... +� � 18. Rough Electrical-T Bar Ceiling •.'.. y ,' }-, I 69. POOUSPA SYSTEMS FINAL •:-_ • " �_b9:-Rough Heating & Air Gonditioning � . - - . -. --FIRE�DEPT: REQUIREMENT- - � - - 20.-Rough Factory.Fireplace - - �� - APPROVALS'.'_ Permi2 # - -� - - "-iT � - -� � - - . r_ �• - - � 27.�Ducts, in.Struc[ure,a;, , ' ; - , ; � 70. .Underground Hydro . � 22. Ducts, Ventilating:� - - �- 71. Produ`ct Piping'��'.Gas ❑Oii 23.�Gas-Pipe=Rough & Test ` _ 72. Under round Fiush ` ' � - � -. ' _ � �� l SL� 9 � : 24.�-RoofFraming, ri. � �-� •�-- . . - + �' 73. Undergrnd.StorageTankOGas �Oil -_- � v - 25, RoofSheathing a� �t � "_ :, Z4. Overhead Hydro�� 26.�?�Ba CeiGng {Structuraq & MOnocoat r .. 75. Dry Chemicai `-• .- . - - ' ' - 2i.'�Frame and Fiashing'' � �,,, W � `• �� 76. Dry Sta�dpipe: - . • r� _ '. �. : � ' r, n� .. _' . . � . :� _ . �- • 28."L.ething & Siding ,� � a•�i , - � 77. FIXED-SYSTEIIl.FINAL � ' � � . ' 29. Insulation ;� '' ' '� " � ;';. 7.8.�-FIRE PREV. FINAL ' - � a; 30. Drywall Nailing •+. �V � � �r � _ • iHEALTH DEPT.•REQUIREMENT�! �� 31. Plaster BroLvn.Coat�' �. ....,.. � � _ 79.� FINAL'INSPEC,T,ION ', -� . ,. � : ; � � 32.� Electricai Power MeierFinai ' 1 , i � i� S0. FOOD CERTIFIGATE ISSUED _ __ � !� �: � � � 33. -Fina�i Electrie, �zt � �_ � T' � Notes: A_�;_G /_„� �'�� (n `�- ' �S Gd y-i 34. Fina6 Heating1& AirqCondi2ioningc $ �i; `' ; � i` �� S�� l ` ' . �� . /�� e�rzo-l�z(� - � 35.�.Finai Gas.Pipe;Test;', y�� ""• r�� <}d �{J,�J . $ �� e��,._ .��`�'�_ . _ � : �� ,. 36. Hood or CanoPY =r _� �- .. : cif-'-'3b-�e% -. h�l%L�''�-_._5�� 37. .Finai'Factorv Fireplace _ - '' p --� !a--`�=t 6 --�'�'��=d- -� . 38. Pinal Pluin6inq iy '"� .. _ Z L-p� ^j. �[=_! �: ( - � _ . Y_z.6 �=� -�- - 39. Water Service-Final�� a �' ` ',�. '" ir - �6 - �?-`�b .-�t�k_� �� - - �. , 40. Gas Service-Pinal ;.Y . ' � , � - . ' - _ �=,�- � � �•-Q(�� - - 41. Solar pomestic-Final � � •• • �--� i. � - � �r t' i 42.�Backflow Preventer� `" �,�,��' - � -'_ � �_ , i V � - f � � ` 43. Backflow IrrigationY '-' 12=��6 •'- ' 44. l.andscape Ir.rigatio System:.-�.= . � -a . - � r . . • . _ . s45,CSound Atianuation� - - " �" d - -' - � � .:;=; ' - � ;46.`Handicap Regulations - _ �� - - : �- � - .- r 47. FINAL STRUCTURE & BUILqiNG : � � y 48..FINALPLANNING; ' ;� y i- :� • r49.`�Electrie ftelease to Edison . . � ' �� ';�� Y 3 G . �50.�Gas.Release to Southem CalifoCnia Gas Co .. , �", r, . ' ' , - � �. '. ". .' . - � . 5/. CERTIPICATEOF'OCCUPANCY � , , _: _" . , ,._ _ �_ __ _ No� Date -iconrssaem�dxo: $Q(' WMER'SIUYEIFRlVNN: _ . .. �ooxEss r0av�: �uiva �noxEss: ANCXRECT Ofl fNf�NFER: � RCN. Ofl ENO: S AUUHESS: � ca+macroxs x,u�: cwm�crorcsxuuxc 1100PES5: UNT: uu no.: IINT: uc. xo: UNf: IJCENSED COMFRCTONS DECL�HATION: I M1emby N4m vnEer penetly M pe�ury thet I em licenaed wEer povivione N Cheqer 9 (mmmerwinp wilh Section ]000) d Oiviaion 3 d the Buaineae enE Prdessiona Code, eM my lioanae u in lull brta eM elletl. , CRY LIC. NO.: LIC. CU34: • 11C. NO.: 1 . Dme: Conlreaa: OWNER BUILOEN DECL�H�710N: I hereby elfirtn uMx pe�aly d perjury ihm I em mmq Irom Ihe CaMretlae licenee Lew lor Ihe '�bxi9 imaon (Sepian )W t.5 Busixaa enE Rdropore CaEe: AM GY a munh/ wfiiM �Wuirta e V�L to aomtrucY. Ms. imVow. nd'sh, or repei eny ei�ueture. qia lo il� omivKe, e6o reyuims iM epplimnl im aeh peemil lo Rb a eqmd a�etemrn �hat M a eM [enseE punuan� �o IM poviaiona d IM Con��edara Licenne lew �Cheqm 9(wmme�iq wnh Ssaun ]000) d Divubn 3 d �b JBIIIB89 Bfld PlO�B991M9 riC4B� IN ��18� �1B IX ehB 18 B%B�IIq I�IBIB�10111 8114IhB bB919 �M �IB B��B'BQ BIIBIIIPII011. All)' VI0�01q1111� $MYI �osi s M env wd�� e re�mn wqxa ina eoor � m e wii oe��n d �a mare m.� r e n�mred adien Issaoll. . �. 1. as owrer d �he pW?�Y a mY emDbl'� wih wepes m ihei mb romG��ion. xill do tM MaA. eM the aNMum b nal mlendd «MereE fa eeb (Secuon )01d. Buei�wss eM ProlesaoneCode: ThaConlredas Licenee Lew droc mt applyto an owrerd propery . who Wida w'vnpmvae thereon. eM who doea euch xroM Mmmtl or heneR a thrwqh he a her ovm empbyeee, proviEeE IMt wch impovementa ara mt inlaMed a dlered 1« cele. II, however, lhe buiNi�p or inqavameM ia edd xilhin are yw d campblion, IM ow�rLuiNer xill �eve �M burden d provi�p M a she did roi buik w improve (a �M pvpone d eeb). ❑ I. m ox+r� d tM propery. em e�dic+ely mntrerlip wnh IicameJ conbacion �o canmvf tM propU (SeUun 1W1. Busirws enE Prolemione Cade: The Conirrfas L'cen» lew Eoea �wl epply W en owner d popeny who WiMe a impww tl�neon anE x1w . contrecro br m�M o�d�a wnh e oomreaa�e) Icemed W nuent m iha Comreaore Liceme Lew). � I am uemq uMer Sxiion: B. 8 PA., la Ne rea�on: Dele: Owner ' I Eo Mreby ceniN �h+� I em ewere d eM uMaratend the raquiremente o/ Celilamu HeeXh eM Sefery Code Satlbm 25505, 25533, uM 2553M1, end Ihel I a any M�ra WiNirp arupen� will / wdl not (dicb are) rweE lo comply wIh aeid qela mdeo vM Ilr �uiremaNa b apermulwmmbud'anamotlifimlbnhwn�MA'r�iui�y anepemeNDistnd.RaeiEeruielmmt�ueioneppfuliomenexemqlmmUwaa Mm�eima. ' . . . . . Deta: ' APPlicenP � � WONKEF'S COMPENS�TION OECLAR�TION: I Mraby elfiim uMer penelly d pajury ane W Ihe bporrirp detlmefvm. -'Q' I M1eve eM wJ meinten e eeitRieda d m�mm to eellimuro Iti wvekere' eanparamion: m provkaE ta by SxLm 3]OU W tlie Labar� - 'Gade. irc iM qRarmance d iM xork br wluch t�ie permn u imueE. . � I haw end wil meimen wwken' ewnpenae�ion inwrence, n roquired by Saeim 3]00 d tM lebor Cade, br IM pMamenca d tM wak la which ihb O�u u mueA. MY wake�a' mmGemetian iewraies m�riar e�q Pdiry number me: Cerrix Polby Number: ' � . 1 (This sedion need nw be compbfe.f / fM1e pvme is br one hundreJ dallers /S1P01 w Nv.) � ' � I mlty Ihet in Na pMomurce d �ha wak /a v.fiich thie pmmn a isauetl, I ahell �wl empbi vry p«mn m ury mww ao a �o becoma eubjea �o �M xwke�e' canpxumion bv�e d CelManie. eM epiee thu N I Moutl become eubptl to the wabrs' cpnpenution pmvieona d Senion 3100 d tha Lebor Coda. I Mell iwthwnh wmpy wnh tMce proviviorre. - - Wemiip: F�Ilun N ucun wortsn'rnmperu�tlon cavxap� Is �n4wM, �ntl aIWI ue/�cf en Nrployar ro cAm'nsl psneltlp �M enu Nros w ro one nunerse rrw�,.ne aonan lsfaqooaA �.��n ro eh. cwe o� nrripxuerron, mmpu u pvvmw ror �n 3�ctlon 3)O6 0l Ms Lebor Code, Infsro�f, entl ettornsys /su. CONSTPUCTION LENDINO AGENCY: I hueby dfirtn uMer pe�Wly d perjury �hm tMn e e miutiud'wn bMinp epency br Ne p,do�� a ms .� ror ..nw� mo o«m� m o�,ba ls�o� aom. c.. q. LENDEF'S NAME: ' LENOEfl'S ADDflES3: 1 cenM thet i hm reed Nb eoW�� eM ame �I�ei Na ebore inlammbn u rorraa. I w� �o romPh xi�n ell rLy eM aouM�/ «Airorcev md stete lewe nlet'vp to buiWip wnstruqion ud Mreby eWar¢e iepesantelivee d t�e d1y lo em> upon �M abo.e-memioneE poparty laimpeaionpurpoaea. , � . �,� I „ . Signewre d OwnarlApenUApplicenUConimdw (5151de.WP) " WAne-Buildvp85elery:GreamFle;Cariery-ADP��Rnk�le.enue;Goldenro�Asxsmr PERMIT NO: P 078562 � PLAN CHECK NO: 02831-96 N ,� _ � ***feit**at��**atetu et�it� **ie*at**iEit*�x itit*iEitx �at�*�**ie�+tu�itie�*iEit**� � iFx ***ie*itftitit*iF*it*�e+t*at� TYPE QTY D E S C R' I P T I O N� UNIT COST TOTAL COST ' PLU 1 GAS SERVICE ' .. 8,75 8�.75 . PLU 1 SEWER, CONNECTION TO BUILDING EACA 22,00 22',00 , • END OF FEES, 0 t I.� . _ _ _" __ _ _. _ _ _ _ _ . .� _ _ _ --; ` --- ^' -'__ � _ _ ___ ___-� _�— � ' __'—" ' - _ _ ' .__ _ ' _ __ 0 0 9 �'�i��i��.4.-J�'J P 1� S'(��il� e-1: Q1 Q02?.U7YQ^CO21Cl7�n $"s�fT ;'a?A:.i(� UA?E: Oir1214` ?Slif_: 16:45 ° ICON,TRUGTION AND PLANNING � � 'POC SPA "�` �-" "' " � - -� � N` �^�Date �Inspecior; `� � ' - � � . Daie � Inspectori � (I -� g APVROVALS ,Permit #�� ' - _ �APPROVALS�_ Permit # . � '� 3 � ti � ,�:' � , _ . _ , � :, � 7.. Tei-iporary�Eleccrical Service'or Po�e -, s � 52 �Pool & Equipment Locaiion , " � - ' ; f �. :,�. Soil�Pipe}Undrgmd..� "�'+ I ` . � �53. Sieel Reinforcement ;: � - � •� II ' ., . ._ : . ` . :; 3. Electrica! Conduit Utiliri Undrgrnd � � � ' � 54. Forms' - � , � _ f y � �„ . � `� � � 4. Electrical Conduit-Undrgmd. i -: ' _ . :55. Electrical Bonding ' � � � ' ' _ - • ; �" . "� �` 5. Steel Reinforcement , � . - s .. ' `- , 56. Rough Plumbing & Pressure Tes, ` - �' .,r i �6. Electrical UFER Grnd. � - � -'57,. APPRQVAL 70 COVEE2�GUN4:TE . , i, ; 7. Footings �. ' - ` ° � ' i°' � - 58. Electrical Condui[�Undrgmd. ' � . �' � �� 8. Foundation , . • - � _ -59. Gas Pipe, :O �Undrgrnd.. Test " � - ;' 9. Water Pipe-Undrgmd. _� • t �� 6Q Backwash.Lines, P-Trap,.rJ Undrgmd.� , ..i � - � - , - . . . . . ' i . ��" 1,0. Strucxurai Floor Sysrem ':� -�"+;:._ ;i„�; � � ;61. RPPROVALTO DECK .'. � .�,- ' � � 11 . Property Sewer Line & House Connection; ' t '+ "�'. " ' � - ' , , 62: Backwash &�Receptor�Final � - i� �� 12. Sewer Cap _ � � ' =c '.: ' -63: Heate'r & Vent-Finaf �� • . ' _ � �� - ' 13. Roof Drains . " ' ' i : c -64; Plumbing SYstem -�Final � p - . , 14. Rough Plumbing . - � � , ' ' � '65, Electrical-Final . � � - - . '� � � . - 15. Rough Electricai-Conduit � i . , � 66: Sotar System-Finaf } �� . ` - � � i ;{ 18, Rough Eiectric Wiring � ' . ' 6Z Fencing_& Access ApProval ' - � � , � � �_ , 17. Rough Wiring Sign : ' � ' ' �. F � ` . 68: APPRO�VED FOR PLASTERING � , ' �� 78. Rough Electrica6T Bar Ceiling ,�� . � , � 69. P00�,`SPA SYSTEMS FINAL � . ' i . : T9,_Rough Heating & AicConditioning�.... _ .. . _. r.. _ . FIRE-DEPTxREQUIREMENT �-�- - - � - 20t Rough�Factory Fireplace APPROVALS Permit # 21t D'ucts, in Structure - . 70. Underground Nydro 22. Oucts, Ventilating 77. Product Piping rJ Gas Ci Oil i�3.-Cas�Pipe:Rough & Test 7p. Underground Fiush 24: Roof. Praming• 73. Undergmd. Storage Tank C] Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro � 26. T-Bar Geiling.(Structurall & Monocoat 75. Dry Chemical 27: Frame and'Flashing 76. Dry Standpipe 28. Lathin9 & Siding 77. FIXED 5YSTEM FINAL 29. Insulation= 78. FIRE PREV. FINAL 30. Dr,ywall Nailing HEALTH DEPT. REQUIREMENT 31. Plastei Brown Coat 79. FINA� INSPECTION r 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33: Final Electric � Notes: .. 34. Pinal Heating'&'Air Conditipning 35: Final Gas Pipe-Test , � � 36: Hood or Canopy� � 37: Ptnal Factory�Fiieplace � > 38. Final Piumbing 39. Water Service=Final � 40: Gas Service�Final 47.. Solar �omestic-Finai 42. � Backflow' Preventer ' 43. BatkfloW Irrigation . _ .� 44. -Landscape Irrigation System . 45. Sound Attenuation i 46. Handiwp Regulations � � 47: FINAL STRUCTURE & BU�LDING 48. FI_NAL,PLANNING �. 49. Electric Release to Edison 50. Gas Release fo Southern California Gas Co 51". CERT.IPICATE OF OCCUPANCY No. Date � �oonrssa ew�ano: $ 0 9 GALL ERY C T - �M� awrhxsruueiva�'vxy: P.C�LYGON SOUTH COAST ASSUC FLOOD: X 47 �, ' �, '�oox�ss: 15751 ROCKFI6LD BL , , UNIT 120 - LRVINFr, CA 92718 714-452-0600 i�cr�. Wuuxo �ooxess: - . . . , uxxrzEcra+�u+ffx: LL MAJOR' 6 ASSOCZATES !u�on�a.•swo�ss: 1551 N TUSTIN AV SANTA ANA corrm�cTars wu�: camucroRswuuxo , ' - � ,�nowEsx� . ,� uc.xo.: C-16869 uxr: 6 4 0 CA 92701 uc. rn.: UM: LICENSED CONfN�CTONS DECL1flAT10N: I Mreby eA'vm under pe�Wly of pe�ury ihet I em IkemeE uMm poriv'va d Cheqr 9 (oommemirp wnh Seciion ]OW) d Drvision 3 of Me Busimm end PM»eiona Code, enE my licanae ia in hll /wca end eHed. cmuc.No.:066144 uc.cuss: g uc.No.: 659262 EXP: 11/96 ome:� comreuuor. OWNEN BUILOEN DECLIF�TION: I heeeby elfiim uMer perolly W perjury �lal l em exemq hom �he CoMredae Lieenae Lew fa �he blbxin9 �� (�ion ]0.'f1.5 Buaneae anA Rdesaions Code: Any cIY a oounry which �pu'va+e ps�mi to mrovun. Ma. imprma. Mmdoh, w repei eny nrunure, prior �o ila asuence, eho repuiree the epplirant lor euch permil lo fib a agrieE etnlemenl ihet M a�M m i��a wre�� m m, no�.�. a ine com,aaoB ��,.o �. Icn.aa e l�.�re wun smoo �aao) a a.e� a a ms Bueir� end Profeaeions Codej or IIW he or ahe e exemp Ihereham anE I�e baw lar Ne dbped uemqian. Nry v'vltlion d Sadion iosi s by enr aodwem Iw e v�mn .�qxa. ma eooitiem io. wa w�eM ��a mwe in� ii.a n��ared ddws �ssoop. � I.esowrerd�hepopanywmyemplqaeav.#hwepnutheiwlemmpenealion,willdoMexnrk,enEthael�ucYure'ondinleMed wd�ei.d�w.e�elsec�bn�aa.emrenena vraeasron.cod.:rn.cm�reensumn+.l..em.�awqrmenownarapapary wno e�aaa o, �mn�,.: ina,eo�. �a wb e�s a�n won tim�n w n�w «u�won w«na� ow� �Wor�a. ww�aee me �,w mpwemmte are m� inteMeE a aHered tor eab. X, Iwwewr, iM Wikinp a inqwemeM ie eok wilhin aw yeer d mmpb�ion, �he �ow'wr-0uiker will heva Iha buNen d qoviep he ar eha dN rwi buiN v impove tw tM qvpoea d eeb). i. a. o�.,�., m�ne aroo�+v. ��d�r oomreena wnn i��a w�v�m�, ro�ww ub v�d� lsaaoo rou. ew�.,..�d � PMessiona COEe: The Conlradwa license lew Eoee nM epqy lo en owner d piopeity xho WJtle a imqwes �hsreon vd x1a � mnVecLv tar mch MMads wiN e mMrada�e) Icenaed WnueM o IM Cm�reeas limma lewl. , � � I un a�xemp/y M�er SecY/ion+: B. 8 P.C.. br re an: '. Dele: / / / Z��I � Owner: � Y_.-� I Ao hereby ceniy Ihet I em eware d arM uMerstaM ihe reQuiramenb d h erd Seley CaEe Setlian P5505.25533, and 2553J. erd Mel I a em/ lulum WiMuq ompenl will / wEl iwl (arcb on t ply w1h veid ewe mdw eM tM ieyuiremanb br a�«,.. Oe�s: � AVdKam: . WOPKEP'S CONYENS�TION OECUN�TION: 1 Mraby elAmi under pe�Wly d px'ryry an d tln Idbwiiq dedermdn. ❑ I hew vd xil meimen e eerlilieele d eoneani to eellieuuie M xakms eampeneetian. ro prwided la by Semm 3]00 W �M lebor Code.f«ihapadmmenuo/IMxwkiwwhichthiepmmitn'seueE.__,- —_ "___ ---.c--=�----" �] -�� neve ene xie mumein�workero comV�� =�,d,�: a+rea��bd W seabn siao d me Lebw ca.. iar �ne w�«mxm d �Ir ^" wak la whiM Il�ie peimF ie.iaued. My waken' can namion ineure�e cerrier eM poliry numbar ere: �,,,;,,: CSCPRESS INS EXPIRES Polity Number: — . � 1� � 1� 9 7 (This seitian neee nw he cwnpbrod I tM pemrr u ror rne hundrM Ed/ere /Siool a ba.) . � I renM �� in the pMormenee d tM wak la whc� Ihu pe�mN is'vs»d, I dWl M amploy eiry peem m erry menMr eo m 10 ., becane eubl� to tM xorlwra' rompenmlian lewa W Celilanie. arM eprea thet il 1 ehwk bemma v�bjed to tM xoNen' compenaetion prtwisiom 4d Safion J]W d iM labor Code. I dWl 1 wnh/vnply ' ih ee oNei s. De�a: �� Z ` [ � AGdiunl: {/\ Wem/np: Fellun ro s�curo waMrx�' comperwtlon rowryry 6 unlewN( antl • ll a p f smployei b ctlMiW prWOp uM elH/11rra ,q b om h,nerM Ihoua�ntl dd4n (S10q000A M a0tlltlon ro tln e ro muHon, Wmep� W prov/tlstl Iw In S�ctlon 9]P6 ollhe LaDoi COJe, Infen�t, entl ettomsy� hu. CONSTFUCTION LENOINO AGENCY: 1 Mmby elfi�m uMer penely d parpvy �hat thea n e canstrudion bMi�q epercy Ior the �nw�,� d ina �n� ro,.n�d� mm o�� a�ed tsm� aw�. cH. c�. LENDEN'S NAME: ' � LENOEN'S ADDflE33: ' 1 cenily ihm 1 heve roed this epplketion uM etma thet ihe aEove in(ame�un u conea. I eprae 10 camply xi�� dl ory ud muruy pdiiu� uW ebb kws rtle��p �O W ikvp coreVupion entl Mleby eNMrae iepesenla�ivee W ��ie tilY �O enler upon Ihe ebove-men�oned paperly i«�°s°°°�°°w"°�'. HOB YODER , _ ` u Dme: ` ` (5151d8.WP) - Whna-BuiIE'vq 8 SdtlY:Oreen-F'Je: Ceiwy-Appirant: Pink-Rawn�e: (3oldenmE-A�vesan CITY OF COSTA MESA – BUILDING PERMIT PERMZT NO:.M 078561,� PLAN CHECK NO: N CONSTRUCTION TYPE: V–N PEAMIT TYPE: MEC JOB DESCRIPTION ; 1901 SF LIVING/ 476 SF GARAGE PERM NO: M 078561 GOVT: N SUPP: N PURPOSE: NEW SQ FT; CLAIM VALUE: +" . CALC–VALUE: GROUP OCC: R-3 /U-1 COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 1/ REF �B–�Q'c� q *x�**x�*x�***x-�t*+�**u�***�r***�r�rx�*x��r**x�x��r+�x�***+��tit��ri�x-**x�x��r*x�* if�'eE �+S�f�*x�+�+t*it*x�x�*+�**f��t�t Z O N I N G R E Q U,I R E M E N T 5 ' S E T B A C K S i ------------ MAZN HUILDING --------- -- — — --- ACCESSORY HUILDING --------- 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: 14151132 ZNE; I2EF NO: • PLANNING NOTES>� � • � . � . �:f -. . : . . . _ _ . _.. � iE ik fFlf if 1F if 1f if 1f 1E iE fE iF iF iElE 1E 1E if if !f k if 1E 1E 1f 1F 1Flf iE 1t 1t 1E 1E dE iE 1F 1k if 1E 1E 1E iE �E iE iE 1E �E 1E 3E iE 1f fE 1E if ff 1F 1E 1E fE 1E �F iE 1E 1E iE 1E iE if fE fE 1E 1Flk �E if iE iE ^ 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:. •BUILDING APPROVED HY ; ' DATE:' �y APPLICATION ISSUED HY: � `_�'i DATE: ?"IZ`7�j !E iFlE iElE 1E 1E 1ElE 1E 1E 1E iE �E 1E 3E �E fE 1E 1E fElE l 3E 1E iE iF iE iElE 1E 1ElEi��ff �k 0 LEGALIZATION:N F.E E—'S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING. ELECTR-IC MECHANIC FIRE SMIP/RES GRADING PERMIT "' 29,25 ., �•� 25$ SMIP/NON-RES ---_ �_- PLAN -- - ---- _ -_ - _- — - ISSUE FEE - - - - - _= - 22:00= - ` - - J -BUZLDZNG-DIV=> =-PERMIT-'"-ISSOE P.LAN.-CHECK TOTAL ` F PAID DUE TOTALS----> 29.25 - 22c00 � l, 0,00 51.25 51,25 .00 REVENUE DIVISION TOTALS--> COLLECTED: 51.25 OVER/SHORT; .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK ' . 51.28 1fiEiElFiEiEfE3kfEifiEikiFlEfkiElElEiEiElEiEiEiE1E1ElElElf�ffElElEfE.lFlEiElEiFltiEfEiEfEfflEiFMiEiElEfEiklEiEiEiFiEiEiEiEiE1E�E1EiE�EiE1EiE3E1EiEiEiEiElE�EiE 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 �� ' MEC 1 INST FORC-AIR/GRAV'FURN <= 100 K BTU 13.25� 13,25 MEC 1 INST HOOD W/DUCTS,-FED.HY MEC EXHAUST 9.50 9,50 MEC _ 1.. VENTILATION FAN CONN„TO SINGLE DUCT 6.50 6,50 J„�END= OF FEES • , i „ t',.,r' . � �,,. .% u x � J � � R.;i�",''-'til7i>U1l'i .. Zl 0 L' ..,�YS �r��: I:i DATi� - ' - -.�-_� - .� :.- -�-„ _ � :� =---'POl . SPA -_ _� _ . . , = - , � -. - ';�: fO�:STRUCTiON AND PLANNING ... ., . o._ ..., � cz r � : c : - - - -� ,• � '� � E �' s � � +`Date �Inspector r� F • Oate' ' inspectorr � �� APPROVALS -Permit #� _ ; Z.e -, � _ � � �.�APPROVALS~• Permit # , . Q � . •: � 1. Te'liPora'ry Electrical SerJice br Pole : t � .. _ . , � ? :.1� � 52: Pooi & Eguipment Locauo � � � , _ ' � . .`�,oil Pipe�Undrgrnd. r . _ � � `"� 53r Sieel Reinforcement � ' . ,%� Y '3..Elactrical'Con"duit UtilitYrUn'dr9md.;., �. ? ` ' �< � - _ �54:�. Forms � ' � � �� ' . � _ ��y'.. �� ... ai .�"• .•Yw " � � - � e�F� ..�. ;4.,Electrical Con`duit-Undrgrnd.� � - " � - ;, -55F Electricai Bonding� .� , - ��"� � �5.'Sieel Reinforcemem . - � � � �" �56. Rough Ptumbing & Pressure Test ' - � �}' - '� Y - : , w i'r, �..ti�B��Elec:ricai�l�JF,ERGr�d. -", � '� _ � 57r APPROVAL7000VER_GUNITE: '- . _ (;- � t c'�.7: Footin9s. ?= � i � - � � . 9 " ` 58: Electricai ConduibUndrgrnd. � � ti.. =u L ^" "S:Poundation`- . � ' = �._ .59..GasPipe,�O.Undrgrrid.,-Test - � � i � 'G:.. ".i: _ . . . '9. Water Pipe-t7ndr9md. .� 4 '� ; �= ��'�� _ `�': ��i �60� Backwash-Lines;�P�Trap,.!:J Undrgrnd: 1. �'� �`10: S(iucturai,FloorSystem J � ' . _ , , ��-1;.,',�,'.61. APPROVAL�TO`DECK Y--'7 '' ' :17. Properry �Sewer Line & House"Connection, � �' . _ �, ''r� � �;�, gackw�ash &.Receptor-Finei'. �-,� - _ � � '72. Sewer Ca . � _ �' ' ' ' , P . - � � �,� 63. Heater & Vent�Finai' � ��)` , � � �-r' 1' ' 73. Roof Drains � � � �� . . � . � , 64: Plumbing SVstem �,Fiiiab " j�,��` - � 74. Rough Plumbing - � � • � � + _ ' � r65' Electiicsl�Finai � � �1;1 � - ' ,r, - �! 75. Rough Electrical-Conduit'�. �� i ; � r �- � , v � � 66. Soter �SYstem�Fiaal ' � � ' �'_ � 16. Rough Etectric N�iring � � l . - �'67�. Fen�cing & Access ApProvai! : . 4 _ r� _ s U. Rough Wyring Sign � '' ''� 68. APPROVED�FOR PLASTERING • �"., �, -7$, Rough Electricai-T Bar Ceiiing i � ` ' ,?�� 69. POOUSPA SYSTEMS FINAL � - . � � � 19.- Rough Heating & Air Conditioning � � �`_�,�G .�� ' - :. _ p�qE DEPT. REQUIREMENT - � - -_ _- =� • T �.1 ; :-_ .: - s_ T < 20.rRough Factory Fireplace �� x �. APPROVAL3". Permit# * ZL,'Ducis, in-Structure ,` ;`' " • �' �• - ' � ^ - �J�� '� , - . . ,_ � . y � �' 70.;.Underground Hydro 22. Ducts,V,entilating,*. _ '� ^�� - 71. Product=Piping'�O:Gas OOiI 23.'Gas Pipe=`Rou9h &�Test " 4. . � =` N 72, Under�9r,ound Flush t _. 24,-Roof•Framing: =,�,�. . � -- �� . } c�^ � z � 73. U�dergrnd.S2arageTank ClGas C1�0�1- 25. Roof'Sheathing .n � i,, �' ��,�: j-` 74. Overhead Hydio� ; 26. T�Bar�Ceilin (Structural) & Monocoat � ={. -- � 9 _ 75�. Dry Chemicai � . . 27."Frame and Flashing` - Mr, � _ 76. Dry Standpipe.:' A � " ' � �'- ' 28. ��attiing & Siding-:. , c� �^' � � +� � • -� 73: FIXED�SYSTEM:FINAI � - ' � �= .. . _. -.�- -. '- _'_, ' 29. insulation - -' ." � �':, � � �. 78. FIRE PREV. FINAL , r T�_.`. r , � 30. Drywail`Nailino �_ -y »� � � r. �� -.HEALTH DEP',T: REQUIR;EMENT � �' 31. Plaster Srown Coai `; _, ,,, � - j � �t. „ 79. FINAL�INSPECTION '�, � " _ � 32.� Electrical Power Meter-Final �� r � � � 80; FOO� CERTIFiCATE ISSUED -� i . 33. Fina� Electric� `"� .. , `r i. T' t � �` �` Notes: �C `c� -Ct�� . J . ^' �� 34. F.inai--Heating'& Aii,�Conditioning.'- ' _ z�,� _c7� � .Z ,L+. ._C` / ;-;:�q �� 7 � �a -'FLNJ�� 35.�Final�Gas Pipe-Tesi7 T '� I I ;� _ ' _ �':- • : 5 = ,: .. . ..�. � . .- � �_� 36. HoocJ,ar'CanoPV �:� - ' . r-- ... � .� � � 'x ; ;�o . .. . �� i ^ I 37.�Finai'Faciory Fireplace - `� -' � ' ' � •y 4 ' `• -� •- ' � - .. . ��- � �: � . .. _. ; �. 1 9�4 . _ . � ______ � 38. Final Plurnbing , , . - _ . - • . ' 39. Water Service-Final+ � � - � F � � • .._ �,�. r r _, , . •: .�. t ` . . t . . 40. GasService-Final��r _., �:r., � -,. � ! "' ��;p �; � ..,_ f : 41. Solar pomestio-Firial � �" � +� �� ' �"�' ' " - � �+ ^ ^ � 42. BackStow Prevenier''� `" �, " � � ; � _ , �. . ,- 43. Backflow Irrigation?r ,�• " ' ^ " x r� . -� - � - , a . . ' �,, n� �� F � �� . _ 44. Landscapelrr,igationSystem� -,�,. --z� a� - ; -,:- , _ . -. - i - ' 745.�Sound Attenuatiom' � ^' '=� ^ F`` ' � , r :., -r�> 5' - #� =46. �NandicaP Regulations ' � -- .. 't. � „ -�- =�,t,': "� , 47�. �FINAL STRUCTURE & BU�.LDING y ' � ��r;r ` ' _ _ Y 46. PINAL PLANNINGp a ` � � '_ Y� r� -, ��' � = v ; �' ' _' .�49. ,Electric Release to Edison �� ' ''i� ` - ' ' � � � - ;'50. _Gas.Reiease to Southem Ca�ifornia Gas Co ;: i ,_, � • -' � ; " . 5T. CERTiFiCATE Of OCCUPANCY' , „ . �_ . . _ . No. � Date ,�noxEssorewimc: g09 GALLERY CT , °Ni` " armeaspw�ir�vx:'ppLYGON SOUTH COAST ASSOC FLOOD: X 4'7 ""�"�S 15751 ROCKFIELD BL " � � UNIT 120 RVIIJE, CA 92718 714-452=0600 ' ur�. Y.uwx� woxess: - � , �xcxrtecroeu+ou+ffxrLL MAJOR 6 ASSOCIATES �N°: C-16869 ,wcxon�o.s�oo�ssr 1551 N TUSTIN AV . uNr: � 640 � SANTA ANA CA 92701 COMflACTOR5NA1�:�' . � , CONfX1CTOR3N41AM - � /�DORE55: . UC. NO.: ' 6 u uxr: LICENSEO COHfNGCTORS OECL�HATION: I hereby elfrm umbr perely d Po�wY � I un Icmued uMx pwvione af Cheqs 9 (oomme�np wM1h Saction ]OW) d ONieon 3 d Ma Busr�ea e�d Prdeaeiom Code, aM my licenn o in lull lorca mM e11eU. cm'uc.yo.:066144 uacuss: g uc.No.: 659262 EXP: 11 /96 ome: � convea«: OWNEF BUILDEN OECL1flATI0N: I hereby ��m undx penelly ot perjury Ihel I em aramq /mm iM COMretlm licaue lew la IM Idbwnp ieawn (5edion )O�t.S Buaners eM Profeaiorm Cada: AnY ciry a muMY �� 9uiree e permil to coneVwt. eller. impove. demdoh, a repei eny sl�ucture, pbr b ils isueMe, eleo reQuims �M epplicenl la ach pmmn to fib a egrod eWrronl thm M rc eM is lioemed pureueni lo tM pov'sbna d Me'Conirenore Licenne Law �Chepler 9(comma��q xdh 3etlnn ]00p) d Oi+eim 3 af Ihe Buv�reas eM PrWaseuns CaEel a thet he n aha c exemp IMrelmm aM �M Emw la tM elbpeE aaemqion. My violetion d SeUion )031.5 by eny eppliceni lor e permil wbl�a Ihe epd�� o e avil penetly ol rwi mwe �hen live hundred dd4n �5500�. � I.mowirerdihapropenyormyempbyeeewihwe0eau�he'xedammpenaetian,willdo�Mwork,eMtMam�durouMinteMeE «oflered M seb (Seclion ]OId. Bus�ss eM ProlmvmaCode: Tha GonVadasLimn�s lew doe+rot WWYto an ownard pW�Y wM buitle a inpmvea thereon. e�M who daes euM xroM Nmsetl a hereell a thraiph he ar Mr oxn emplv�aee, povideE ihet wch mpewsnerua ere rid in�enEed a dlered lar seb. Il. lawever.lhe WYCiip a inpavaneM u eold wil�in meY� d mmpbtion. iM �owrwr-DuiMer xill have tM burAen d 0�'in0 ha or ehe d'M iw buiM a improve la Ihe purpove d veb). . I. m owner d Ihe VmVaM. am mdiciveN oonlreclin0 wilh IicenseE conVeclon ro crosUutl IM WG� (SeAion IOH. Bus'um end Pmteaebm Code: TM Conireqa+ Lieeeue lew tloee M eppy b en owmr W propa�y w1w Wilda a. imqwea iheiaon e�k who - convecte Ia auch prajeas wnh e oonirada(e) Iremad Wn� �a tha Contraqon Liwme law). � � I em eKemp uMer ' B, d P.C., br Nia reawn: � o�, J//�p,�96 �,,,: �—r%�.—� i ao na�eM «�M �w i�n ewme a ena ��ni�a me rw�� m ca�eomm �wen ene smav cme s.ean. zsws. uszi..ne 25S'iC, eM iMt I a eny Mure buildirq ampent vnll / wdl nN �aich are) need ro compty wih eaid atme codm uM �he raquiremame N a permn Imm�svucliona moCifimtionhwn�MAi�ilyC6rapamenl DistrirJ. fiesidenlielcm&�utlion appiraliamereeaemq hom Noss prwisbne. . ' . , oa�e: � npdc.�c - WORKEN'S COMVENSATION DECLARATION: I Mreby dfimi uMx penelly d perjury wie d iM Idbwi'p drLrtliom: �, I have arM xiY mantein a wrlkica�s d mnaant lo eallinaure la �wM1e'e' mmpenalbn, u provkad lar by Seiibn 9]00 d tM lebar , CaM.la �he W�amerce d Me xwk la xiich I�b V?�� is ieauatl. _. _ - _'— -_-��- _� .. v _ �n_ _�-__'"_`__. �s_=r�x�. .. ' I he�a eM xil meinle'si�i.oMe2' compem,elion imueence, m 2quirtE by Setlon 9100 d Ihe Lebw COEe. M IM peilamantt d IM woh la which ihu perm� ia uaueJ. MY ��' �^Panwion iruurance femar erd pdiry number ere: c�.,: CYPRESS INS ` .EXPIRES ' Pd'v.yNumb«: ,w-Fi n> > i � 0.1 /01 /97 (This aeclbn need nw 6e compbtelT iM pem,l is b aro hun0�e0 dd4rs �5�001 w bv.1 , ❑ 1 ror11y Ihel in iM1e peAwmenu d ihe wak i« v.fich Ihie pemiu u iavuad. I ehdl ml empby ary penon in em� menner �o n lo Eecome subl� to t�e workara' compenaeiion lewe M Celifomie, eM epree ihet tl I ehouM become wbjod ta Ihe warken' cwnpenaetq/� pm„/ay�y�a d Smian 3100 d the lebor Code. I Mell lonhwnh cwnp�y xnh tlaea p�avmm�e. Deta: II/I�jT7/S /od�.��: �� Wemllp: F�Nun b aecun workeri mmpvuetlon rowrays Is NwNI, e� n0 aNll a,b/ecf �n amplryx ro MMmI pm�ltlu aM clvll 11nu up ro pns M1undrW fhouuM doll�n (S10q00J), M aJtl/tlon b fM rost ol rompxu�WM1 Aenrp�� u provMW br In Sxtlon 3]G6 0/ fhs Le6or Codr, Infws�f, entl ettomsys /ess. CONSTilUCT10N LENDINO AGENCY: I hereby elfiim under penelry d par'ryry thm�tMn c e mnslrud'wn bMi�q epericy I« 1ha u,n��, d in� � �a .n� ms w!m� a aa�a �s,��, aoe�. c�. c�. ' LENDER'SNAME: � LENDEN'S AODFESS: � I ceniy thet 1 heve read Ihia epdK�� e iM1ei the ebove inlama�ion ia mrtea. I eprae to romply wilh NI My enE oounly adi�wiwa eM elete kwa ralelinp lo WiM'ep wnalrudian end Mreby eulhw¢e repeaenlelivee W t�o d�y lo enter upon iM ebvae-mmtioneE popaM iM IMpBt�lOfl PYfpJ609.� . � .�/il� F(.c:r�D ��Da�e: //�/��gii �§newn d Owner/Ap VFPpbcenUCa baea . (S151J6.WP) WhNe-BuiMip b Salery; OreerFle: Cene�y-AppfuM: Pink-fiemnue: (3oMmrotl-Aseeaor _ . ; CI'lY_ OF COSTA MESA .-; BUILDING PERMIT" ' • �� . � PERM NO: M 080242 PERMIT NO: M,. 080242.," ELAN.CHECK NO: . 'N GOVT; N SUPPi Y CONSTRUCTION TYPE: V-N. PERMIT TYPE: MEC PURPOSE: NBW JOH DESCRIPTION, ; SUPPLEMENTAL TO M-7856] , SQ FT: � CLAIM VALUE:., �, CALC-VALUE: ' ,', GROUP OCC: R-3 /U-1 COMMENTS:.NEW SINGLE FAMILY RESYDENCE / PLAN 1/'REF B-78559 iF �F iE if iE if 1E 1E iE iE 1E 1E 3E 1f 1E IE IE 1f iE IE iE iE iE 1E 1F 1flE 1E iE if if it 1E IE if iE if If if if 1f if if 1E �E fE 1E fE 1E 1ElE IE IF �F 1E 3E IE IE �E iE iE iE iE iF if iE ik if 1E fF �F iE iF iE iE iE �E 1E iE 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. � • t r , ------ -----'MAIN.BUILDING ---=-=---- ',--------=�ACCESSORY HUILDING,--------- FRNT: FT IN REAR: ' FT IN FRNT: • FT IN REAR: FT, IN � LEFT: FT IN RGHT: ' FT 3N LEFT: ' ET IN RGHT: FT IN ' PARKING REQ: PROV: PARCEL:;14151132 ZNE: REF NO: PLANNING NOTES> .r ".. � ' I 1 i/ � � ' _ " _ . '_ " ' ik 1f ik iF 1k 1f 1t�1f.iE iE 1E 1E iE fE iE iElF iE k� 1E 1k 1k 1f IF iE iE 1E iE 1E iE if fE 1F if 1E 1E 1E IE iE 1E 1E 1E,1f ik�if IflE 1E ff !E 1E 1E iE 1E �E 1E 1E 1ElE 1f fE if iF it iE 1E 1E iE 1E iE if 1E #e 3E if It i! 1f �E ��. CD E V'E L O P M E N T S E R�tl • I C+ E�S R E Q U I R E M E N T S n . i ( t ZONING;APPROVED BY ' ��'" �:. r ' DATE: • , �' . " " BUILDING� APPR6VED ,BY : � �' ' r�.r%1 DATE: � :�; ,r.`!-.� ;�-r .K-�.—,. � %%-�f�-i/ APPLICATION ISSUED BY: �:.L' ��"�^" � DATE: fo ,��*�,�,��*�� *�*��,��,�* LEGALIZATION:N .' F�E E S U M M A R Y -- STRUCTURAL SEGMENT:N .BLDG PMT •PLUMBING ELECTRPC MECHANIC FIRE SMIP/RES GRADING PERMIT � � • 16,00 � • ' � �y. 25R SMIP/NON-RES PLAN `. — • ISSUE FEE� �. _ - S_ �;'__ =.`-- =6: 50�_ � - _. . ---. _ . � — -- — — -- -'�.—.� _ ._..- BUILDTNG-DIV >-'.'PERMIT� `ISSUE PLAN„CHECK TOTAL PAID` DUE TOTALS---->„ 16.00, 6.50 0.00 22,50 ' 22,50 ,00 , REVENUE DIVISIGN TOTALS-->� COLnLECTED; � 22,50 OVER/SHORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK . 2.2.50 � . **x�**�t�***�«�*it**ieatxitieit��i�et*it*it*��*et�at��at**��etet*�***ir�r*fr�r**�***ieit**u�ieatit�tit�*** I N D I V I D U A L4 �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 MEC 1; FACTORY FIREPLACE 1,,, 9.50 9,50 � MEC 1. C�ENTILATION FAN CONN�TO SINGLE DUCT 6.50 6,50 : END�OF FEES � �� . � -F�aT t:.� , �i Q0..1939�ly�21�1riE: 14:°.,0 i1aTG ; 11 { 1�,. � . I #DUPLICfiTE �RECEIPT# 01 0�21S39S-t�0214399 i'UT � 22.50 - 6ATE� ii/1E195 TIHE: l4:50 - .z:.r, .. : r-c�.=.�_�^--_:. : _s ...r.x �- _ .'- =- _- . --, '• CONSTRUCTION AND PLANNING _ � - - ' PO( SPA ' ' " . , i, - ' > -, "- c �� Da'te �InsPectoi. ;''�:: ? - � - ' . . ' n '� �.,: �• Date. Inspecton = = .APPROVALS Permit #�� - - =:;APPROVA�S� Permit # - � � ' s - -� i � °.'r � � . �',1. Temporary' �Eleciricai Service or Po.le'� . • f - '�' ' ' : f'- �52:, Pool & Equipment Locat�on,. � �� _ � � ':2. Soi�.Pipe�.Undrgmd. « � � ^ _ - _ -'A,; 53.� Steel fleinforcemeni� 'r'• - � _ � r:; � t -.'- . ' • � � . � � ^� /� � �i: „3., Electrical Conduit Utiliry;,Undigrntl: j,. _<s � ; � � � � '�y, �54i Forms, . _ � �, � ' _ � !�; ;�4.�Eiectrical'ConduibUndryrnd. � `^ � � � � �55. Electrital Bon,ding. ' � ' � � , , � '�'� � .' ` L . 5.. Steei Reinforcement ,' � . . . •, � _. ,: � ° � 56: Rough Piumbing & Pr2ssure Test , � � �. �� 6- Electrical UFER Grnd. , I '' '� � ' � � 57. APPROVA��TO COVER•GUNITE. �; , �,f�� '� ��7'. Footings . - - - _ . � �58. Electricai Conduif .Undrgrnd. � � • �j ��y' ��8. Foundation � � � _ - � - � 59�. Ga5 Pipe, O'Undrgrnd.,Test � , , ; i . 9. Watar Pipe�Undrgrnd. s;.; � -'.? -' ��;60: Backwash,Lines;'P-,Trap; O Undrgmd. � . 10. Siructurai Ftoor System ' �i. � � ; ; j•_ . �'� � . j�� 61�. APPROVAL TO DeCK' � r �� . - � 77. Property Sewer Line & House.Connection - - , 1 62. Backwash &tRece�,or�Pinal ��. � - � � . • 12. Sewer CaP ' c ;; ! �''+. ' i•: ' ' � . . �. , �63. Heatet & VenC-Final �� -� . f:� 1 �73. Roof Drains � ." - � . s' �,' i . 1: i ' �� 64. Plumliing SYstem -�Fi�iai . � �14. Rough Piumbing " � _ ? � �65' Electrical�Pinal : � � . � ��j�% ^ - � 95. Rough Electrical-Conduir � � ', y;�;':� � _•.��: . 66; SolarSy,stem�Finai �- � �' : y j; 16. Rough Electric Wiring '; '_ t - � ' 67. Fencing�& Access AnProvai �, . �� 17. Rou h Wirin Si n �-, .� ...;. � � ' ' i'D'�' 9 9 9 . •'68: APPROVED FOR PLASTERING . j.l I �18. Rough Electrical-T Bar Ceiling �� k� �'� 69. POOUSPA SYSTEMS FINAL `. . .�1.9- Rough.Heating:&,Air Conditioning _ _- _ - _-_ . - . �FIRE DEPT. REQUIREMENT -- - - : � - � . � 20. Rough Factory Firepiace ' n� =� ^� APPROVALS= � Permit # ' I - - ��=_r�� _ 21. Ducts, in Structure � `. � _ 70. Underground Hydro � 22. Ducts,Ventilating-" `-�IL..I�.Cr6 77. Product�PiPin�OGas OOiI 23. Gas Pipe _Rough & Test '.�, "r � J� � 72, Underground Fl�sh - 24. Boof'Framing• r -- � � > ' = 73. Undergrnd.StorsgeTank"OGas ❑'Oil � 25. Roof.Sheathing - �� - _ , ' 7q, Overhead Hvdro . 26. �T�Bar:Ceiling (Structurall & Monocoat ' ": ' 75. Dry Chemicai -- d �' � 27. Frameand Flashirig - � ' 76. Dry Standpipe�' '- ' _ , 28. I,athing & Siding �� - - �u. � M :' - • 77: FIXED SYSTEM FINAL � -� ` � i' ' 29. Insulation - - � �� :. ;, � . , 78. FIRE PqEV. FINAL . • �� 30. Drywali Nailing � � � �� ° �t - -HEALTH DEPT.�REQUIR�EMENT ,. . _. 31. Plzster Brown;Coai r y CrR. '� �;; 79. FINAL INSPECTION �'. �k, � 32. �Electrical Power Meter; Final �^ r`. �� 'k : 80: FOOD CERTIFICATE ISSUED . 33. finalElectric _� � - t � � '� � Nntes: �^�fi' �Ct.6' .2�G ' �' J 34. F�nal Heating & Air'Condi;ioning�- � -Z. . , � � �;Z -� . �- �.E.�_� �� . 35. Final Gas PiPe-Test � ` � ' �; .. . , - . . .. . :,. � , : '� _ � '�n : ' - ... _ -- - 36. Hood or:CanopY = 7 " - - � � _ � �-'-� �rz_`-i - - ;, - ,�M �, 37. Finai Factory Fireplace' _. ' . vZ' � : 38. Finai,Plumbing : � .. " . . - - - . � - . _ .. ---- � 39. Wate��Service-Final * -- �'� � = .' �. �- t ♦S � . 40. Gas Service-Final„ + . i.,- � . .7 r .. - .. -. . . . " 41. Solar pomestioFinai _ ' '� ' ` • . - ' ' ,,. S 1 � 42. Backflow Preventei ,- j, - � . t � �- - _ � 43. Backfiow Irrigation^ � • ` � .., ' �. ` � , ' , �44. Landscape ir'rigaxion System;,_.,-i;��. .. � -� . _ �* s � 45. Sound Attenuation• � - � � '• �� , � ' " ,- �� _ � ' - � .:. ,. - -'i-� - 46. 'Handicap Regulations �:, - ' ' � ' � , _ . . . : ., _ . ' 47�. FINAL STRUCTURE & BUILDING �' ' '- . ' r ._ _ 48. F.INAL PLANNING: ,� i'� ; - � t - 49. Electric Release to Edison ^ . �' �° � - '�� . ' � ' � yln ♦ . . . � . . 50. Gas Release to Southem California Gas Co - . -, c. � '� . � � , 51� CERTIFICATE OF OCCUPANCY' _ - No. Date _ , � ,, � �oonessaew�m+o: ,809 GALLERY CT �M: ameasxweiF�v+o�n+: POLYGON SOUTH COAST ASSOC FLOOD: X 47 `ADDPE55: 1S7SS RtJCKFIELD Bli UNIT 120 ' TRVIriE, CA 92718 714-452-0600 ur�. �uut+c �oonEss: . excx�rECTon�+ax�nn: LL MAJOR S ASSOCIATES ucno.: C-16869 urcx.oner�cs�ooness: 1.551 N TUSTIN AV uxr 640 SANTA ANA CA 92701 cae�m�erans xu�: cwm�croas�uwn AUOpESS ._ 11C.ND.: • , UNT: UCENSEU COMN�CTOHS DECL�P�TION: I hereby eR'vm uMm penety d parjury thet I em IicenaeE uMer prov�one d Cliepla 9 (�me�np w+lh Seclion )000) d Divrsion 3 d Ne Buu�rov e�d Prolaaeions Code. ud mY linme e in Iu0laca end Mee. cmuc.No.:066144 .uc.cuss: H uc.No.: 659262 EXP: il/96 Data: CoMmdor: OWNEX BUILDER DECLANATION: I Mmby elfimi uMer penely d parNrv �M1e� I�em awmq Irom tM Conirenae Liceme lew la Me �dww:ro rema, lseeon �wis ew:�e.. ene arameons caea: nnv cry a mu�b wniai na��, e o�n �o omswn. en«. imva*. xnd'oh, a ropv eny evunure, prior b aa 6werce, deo reQuiree �M epplirent /a wich permil �o fib e ap�wd eWamnt Nm b a zhe licafined W��I to �ha poviaiona d Ma Conlretlae limrae law �CM1eqm 9(canmmdnp xiih Saeion AOU) d Diveion J d �he �uainav aed Prdaaian COEaj or Ilai ha a she ia exemq �harehum eM tha bsvb lor Ihs ellepeE eaemqbn. My vbblion af SaGion '/W 1.5 by any eppliran� /ar e Po�mn eubjeds �he epplcent to e cil panely N ew more ihan live hundreE tldlers �5500]�.' r , � I,eeownerdlhepropaMormyempb/eeev.ihwepeaavlhe'vedemmpanaeuon,willdotMwek,andtMebwturioiwliMandaE a Mared W eele (`�� loM. BmretteM PMessians Coda: The CaMreaon Limnu Lew doea M applyto`an owiwrd popeny who buiEa a inPe� �M�ean, eM xtn doae euM wak Nmxll ar husell u Wuqh hc a her am amWy+ee, periEW thet wch improromeNs ua mt inteMeE a atlered la aeb. X. Mwever. tM WiNirq or inqmanam u aald xi1hN ans Y� d oomplelion. the X ownxLuiNer will Mva ihe buNm d qovinp M or �he did m� build a impove la �M puryme d+eb). ' i' � I. av ovmer d the PropMy. em exduaively mnlreninB �h IicenaeE convaz�wa to conaruU iM projetl (Serlion ]D14�Bueiriwa end Pro/esaiona Cade: The Conlre�las Licama law doee iw1 epply lo en ovmer d popeny who buiHv w impwes �Mreon eM wlw emlex.H M wM Moletls wilh e eoMrepMe) Icenead Wreuenl lo Iha Cm�redort Lieenw lnxj. '�� i I em mamp uMer SecUm: • B. 8 P.C.. fa �hb um: / n ❑ �1 c J Dma: 1 ut. I lT_ Owner �� .1 .,M ' I do hareby canity ihet I em ewere W eM uMereierM iM repuiremenle d Cel o �h vM Setety COEe Setlbro 25505, T553A. eM YSSi1, vd thet I« eny Mure W iki�ip oxupeM will / wil nd (orcb me)'n o pFy wIh eeid 9me mdr eM �he repuiram«m M a0��lammwnianamoEifrationkantMAi e�iy ene0��0ietrid.ReaiEentielmmtiudion+�ppfuliamerevemphomiMea a�. . Da�a: AGW�� .. WOXKEfl'S COMVENSRTION DECLANATON I Mroby elfirm uMe penelly M pepury ms d Iha blbwnp dedumcna. , ❑ r -_ _ I Mw eM wil meinlen e cM'ifictle d mnsanl lo esHinwre br wukeie' campenetlan. o prwtletl la by Sad'nn 3]00 d ihe LeEa Catle. la �M pMame�we d Ns xak lor wNch Nie perm0 p mued. �i] I hew ard wil meimen wohere' mnpevetun imurenca. m nyu"uad by Seaun 3'ro0 d tM lebor Code. br IM pvbrmu�oe W IM wak ta w1iiM IM permn n iaeueE; MY w�n' uM pdi.y number ue: c,,,;,,: C��RE��S �9iI�S EXPIRES � Pe,�„ N„mw,:' - 01 / 01 / 9 7 �rnti ceaia„b.e �w ne canv�<d � rns w�x o ro. orro nandree ed�ers Is�w/ w �en.l len � I ceniY � in Ne peilmrerce d �M wark lur wh'rh thu parmd'o mid. I ehatl M emplvy eiry pe�eon in e�y meiuier w a to beeama wbjea to Ine �oMn' ewnP��ian kws d CelBanie. eM Wree Ihet d 1 ehauk baeome eubptl ta iM woeken' com0��ion ov+i�so`na W Saebn a]oo W m. lebor catle. I Mell lonn�� mn mmv � ln iho e V� I� De�e: ��r Z f / i. Applicem: Wamlip: Fe/lun ro ue�ro xroA'er�'rompwwtlon eovenps /i unMv �I, �n0 sl ct an amyloy�r ro virNrol p�ruMu vM c�H� nros w ro ms nurarsd �rousw aww. /ttaa,000A ��n m ms o� rompru.nan a+�c.+ u provw.d ror �n 9xtlon 91G6 0l M� LeEor COW. Infxvf. and attomsy'a /sa. CONSTflUCT10N LENDINa R�ENCY: I Mreby elfirm urMar penelry d perryry iMl IMia c e mn&�udion bMiip apemry tar iM perlortnenca W ihe woA fa whid� �hie parmi ia osueE (Sedon 309]. Cv. C�. � LENUEH'SNANE: , � LENOEP'S ADDRE45: - I cenM thet I heva reed �nia eOWcelion uM mme Inet IM ebove iniormetion u coirea. I e0�ae lo canON vriln ell cGY mM cvumy adinences enE etete lewe Mdinp to building conaVudion vd Mreby a�nMr¢e repreaanle�iven dihis dry to enter upon tM abo+e�meMianetl pmpe�ty fwinepedionWrpoxs.BOB YODER Date: � L Y _ (S151JB.WP) Whne-B�iNip85elery;GreerFle;Canery-AppYfanl;Pink-Rwanw:GOIEmm0.Aewwr CITY OF COSTA f9ESA - BUILDING PERMIT `� `Se' PERMIT NO: E 078560 PLAN GHECK NO; N CONSTRUCTION TYPE: V-N � PERMIT'TYPE: ELE � JOB DESCAIPTION : 1'901 SF LIVING/ 476 SF GARAGE CLAIM VALUE: CALC-VALUE: PERM NO: E 076560' GOVT: N SUPP; N PURPOSE: NEW SQ FT; . GROUP OCC: R-3 /U-1 COMMENTS; NEW SINGLE FAMILY RESIDENCE / PLAN.1 / REF B-'l�t�� ikitkiEfEiEiEffitiEiEiFiEitiEiflEitiEiEiEiEiPlkitlEifiEitiElEiEfEiElEltiEiFiEiEiEiEiEiElEifiElEiEiFifiEiEitiElEfE iE iEfE3EiEit3FIFiE3FiFiEifit3fkaEit , 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 HUILDING --------- 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: 14151132 ZNE: REF NO: PLANNING NOTES> . i� if ik if iF 1F iE iE iF �E �E �E 1E iE 1E 1E iE 1E 1E iElF 1E 1F jE jE 1E 1F iE if iE if i!'!F'iF iE,iF iF iE iE 1E IE 1F 1E 1f ff �E fE iE �E iE iE �t iE fE ik fE fE 1E 1ElE 1F 1E 1E 1E �E �E �F fE iE if 1E iFlE �E iE �f ff 3k *!E D E V E L O P M E N T"� S, � E,:yR 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: '�. % (� r�j . APPLICATZON ISSUED BY: � �� DATE: �. lfifiElElEiElflEiEiFiElFikikiFiElEi(�i61f1EiElFifiF3FiF�Fif�iFiF3F�FiF��f��F�3F3F ��1EiElEikiFdE�E1EfEiE 'K-if . . LEGALIZATION:N F B E�� S U,M M A R Y STRUCTURAL SEGMENT:N , ; ..-. BLDG PMT PLUMBING ELECTR'ZC MECHANIC FIAE SMIP/RES GRADING PERMIT 100':30 � • SOE ,SMIP/NON-RES PLAN , '� .ti ISSUE FEE t'�zz:00 " ' HUILDING=D'IV=i ="PERM�IT- '`'ISSUE -PLAN=CHECK �__ - °-TOTAL ---'_ - PAZD= �-- _ --DUE— =---_ TOTALS----> 100..30 22.00 f_ �: 0,00 122.30 W 122.30 ,00 REVENUE DIVISION TOTALS--> COL'LECTED; 122,30 OVER/SHOAT; � ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC . FIRE SMIP/TOT GRADING PLAN-CHECK 122.30 F; '' . r� iElFiE1E1k1EiliElElElklEiElE3ElEiEiEiEiF1F�E�EfEiffFiflfiEi!lf1FlEiE'1k�EfE.lEfEaEfE�EitfElElEiE3E1E1EfEiElF*lElffEfEfEiEiE1EiE1EfEiEiEiFiElkiEiEiEiF!l1ilEiEiE , 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 l� ELE 1 FIXTURES, LIGHTING` •1 ST 20 EA,. 1,00 1,00 ELE 1, RECEPT/OUTLET "�1 ST 20 EA, 1,00 1.00 ELE 3 RES.APPLIANCE NOT'OVER 1,0 HP 4.25 12,75 ELE 1901 NEW RES HLDG FOR 1'-'OR 2 UNI'I'S/ SQ FT' .04 85.55 END OF FEES � 0? C3�]'?.!::,'Gu-C��210'7"o Tt'L�' 1?' :'v Dfi7E: ,7?,'1�.,^'>' �'"tE� ib:,; . ' CO�ISTRUCTION ANO PLANNING �. , .-, , ,.� _ � � �PO( SPA� � - � ' ' " - `� - � _ , . , . .' . -��:Date '�InsPecto7; a :... � ' '-a �� - � Date � InsPector . , APPROVALS ;Permit #' ` ' � _ _ _ 't APPRpVAIS Permit # � � :,1. Temporary ElectPical Service'or Pole�= � � � , _ , � ^ ; } `52^ Pool & Equipment Locat�orif�� _ � � ; .;' --2: Soil'Pipe'Undrgrnd.,' . � � :� ' �- �53. Steel Reinforcement� � . ":� - � - '�� '-3:��Electrica?_Coriiiuit Utility-Undr9rnd � �: - � � - �54: Forms - . - ' • n � '"- �y'� � , s ^ (� •�4:'Elecirical_Conduit-Undrgrnd.� _ = �55. Electr`ical8onding: - : - _ � � 5.�Steel Reiriforcement � � f ;56: Rough Plumbing & Pressure Test � _ . .. :��.,f ' ,� � ' kf . 6. Electrical'UFER Grnd. �' ;=57: APPROVAL�TO COVEfl�GUNITE _ 4+ i% �9c Footings � ' .. . - • ... " `58: Electricai ConduiT�Undrgmd. � ' ' � = S: foundation. � . � - ' 7 ' . �59. Gas Pipe, I� -Uridigrnd.; Test' - � � � �9. Water Pipe�Undrgrnd. ,.� - _ . _ - - ' '� ;fi0. Backwash. Lines-,rP;Trap; O Undrgrnd. . : �; `10: Structura_I Ploor System � � ' .. - ' ; � �?� ��7�. APPROVAL 70�,DECK. �� . �i t. Property,�Sewer Line & House:Connection _ ` • � _ `• G;�' �52. Backwash & Receptor-Fina1 �.' • _ � 72. Sewer CaP '. .. � , � .� , _ � x. �,�: � a . - � L.:�-' . . y� •63. Heater & Vent-Finai . .,.-� �. "73. Roof Dreins.. ;� • � � � � . , ' Y � .� �� '64. Plum6iny Systeni ��Finel ��i . � , i4. flough Plumbin9 � . � ' - -' -. "`' r �. � t65, Electncal-Final ' . . \ . .- - . :-75. Rough ElectricabCondFit;� „'` • , '„ .: ;. ; _. : - � � . - � 6�6. Solar SYstem-Finai � i ; ��; i G, Rough Electric Wiring ' - � � '',Y�g�',,,(/y� ' �//��j� �7, Fencin & Access A� roval ; , . --� . e. ...- !-!K��' ��`�. 9 f P V 17. Rough Wi;ing Sign ", ! _� - _ _ � -.68: APFROVED FOR� PLASTERING . . , . 78. Rough Efectrica6T Bar Ceiling ' `- i � �+ , ; � � . + � " n...:� . 1 69. POOL�SPASYSTEMSF.INAL �� . �7J. Rough�Heating & Air Conditioning. _- - _ > _ � _ -_ __ �FIRE DEPT: REQUfREMENT � i �r 20,rRough Pactory Fireptace �:; �. - � •= APPROVALS Permit,'� -� � i - 'f t f 2t.?:puc{s, in,Struoture ` , ,-,; - ;. �_ .�� ,_ ; � 70.?Undefground Hydro � ' � e"2. Ducts, Ventilating. - . . x �� <L `� � 71. Produci-Pipin9�0'Gas OOi1 23.� Gas'Pipe-Rough & Test -� "� ` ' - ' ' � _ .,_ ,- r.. 72. Underground Flush ,. � 24.• Roof Framing; : j,� '.._ �...' � - - ' 73. Undergrnd. Storage Tank O Gas ❑�Oil �- 25. Roof Sheathing �� .; �'� '� - � t, 7q. Overhead Hydro` 25.�T�Bar Cei(ing (Struc�tural) & Manocoat x � �- �. 75. DrY Chemical �� - "' �• �*,�- � 2?�..Frame and Plashing+: � -, ' 76. Ory Sta''ndpipe - �,' � - � , 2S. Lathing�& Siding� �Y , .-�; « _. �r' � - % 77. FIXED.SYSTEM FINAL V 29. Insulation -.=x :, .c ,. .. ; ':� ! � ;; Z8. FIRE PflEV. FINAL ' -` ' - ! 30. DrywailfNailing L ; ;� " � ,. � � ',� - . HEALTH DEPT.-REQUIREMENT ' 3i. Plaster &own Coa[+� _ ; ,,,,,, � � �' ��: ,, 79. FINAL�INSPECTION ; � � _ " �',�, 32-Electrical Power Meter-Final, �`T '�10�(�6 �� S0. FOOD CERTIFICATE 1SSUED - � -1 �� . • v 33. fina� Electric� �'; � ,� � ' � i' � �otes: � i��/� _ _ �_7_9G �1_cp_%Y v�_a�FT � 3Q. �Finat� Heating:& Air�Cond.itionii�9' . , � � ' j :i �� " � � � _ _ : .� fC�T:_l51:i9.NA-DTIIlj'7 �5[U_C3`S � J 35�.'FinabGas Pipe�TestR - -, � ' ' .- '- � x - � I� - 36..Hoo`d, or CanoPY '� ^ `_' .. � ,,-� �, n � g ' � '. .. � • ' r --� 7�: : fi , 37.�.Fina1� Factory Fireplace , ".��' ", , ; � �� ,: � �'" --_� .. . a _ i r �:v 38. FinaLPlumbing ' ; - � , .. _ ; �� ' , � � � . � � � . 39�. Water Service�Finai� . � . �+ ' �� '. ;:" :� -. _ . - � r ^ -� � 4�. Gas Service-Final� .`. r j� : � I..: '" , � . . � '. ' -- - � - 4S. Solar pomestioFinal ��: � �., • • _ 'y' _ ' 42. Backflow Preven�er•� ' � �_ - , �, - . - : 43. Backflow Irrigatidn'=' ,�� _ ' .. ' ' . ' ( 44. Landscape Irriqatipn System `F -' - Y ;-; �- T _ . ,-. , � -. .. i r .._ . =45.�Sound Aftenuation'� r .�� •� '- :: - �-� � � c� - • ' � ^ r: - 46.`Handicap'Regulatio�s � ��_ � - ' - ' � - - 47;. FINAL STRUCTURE & BUILDiNG e � � ! � " �. - ,. , �.: r. _ i , r . 48. FINAL P�ANNING�_ ; . . - .. - r • 49. Electrie Release to Edison �, x. � �- . - :f � � .. _5�.. Gas.Release to Southem California Gas Co ' 4 , � . ;, - . . � . 51�. CER7IFICATE OF;OCCUPANCY ,- • - _" - _ - . -' _ No._ Date