The URL can be used to link to this page

Home My WebLink About355 GRENOBLE LN - Building PermitsPflOJECTRU0RE35: 3SS GItENOBLL• ti�� OWNE:sx�e�: ROSE M SONDHU ROOflE88: $�E 714)G422475 �flCN/ENGINEEN: . �DOflE38: NEG.NO.: uNrt: CITY OF COSTA MESA�- BU•II,DING PERMIT 1?ERMIT NO: B 04533FS PLAN CHECK NO: 01001.-II9 S CONSTRUCTION TYYE: PERMZT 'PYPE: STR UNIT: PEflMffiEE:RO.SE M SONDHU (714)642-2475 nooxess: 355 GRENOBLE CM CA 92627 11tENSEO LONTMCTOfl OECIAMTION: I �ereDy �Krm Ihat I am Iittnse0 un0er provoima of Ctwpter 9(wmmenonq wil� Section 7000) ol Ohition 3 of t�e Business an0 Prolessions CoCe. anE my Ircxaw is in tull force and eflect. GTY LIC.: - 8T�TE 11L.: ClAE3: Oate: S'ryoaNre: WONI(Ffl3' COMPENSATION DECUMTION: I AeR aflirm Wt I twve a cenifkata ol canunt to utlansure or a certifiwte al Workers' Compenution Insurance. or a cenilie0 coDY ��ereol�Section 3800, LaE. CI. ' � PoI1CY NO.: IXP. 017E: COMPANY: Certifie0 wDY �s �ereUy Iuma�e0. ❑ Cenifie0 mpy ¢�iea wit� tAe dry BuilOiiry Oirision. Dare: ApDticant: IXEMPfiON FliOM WOflKENS' COMPFNS/i710N OELUMTION: ' e ertnqpA not Ee t� kiW il Ne pemil is �a oz hun7reE (5100) w less�. I certiry that in Ihe peAo nm ttre wark tw whic� ihi5 peim' a ue0 I shall not m oy any erson in any manner m az ro became su0lect ro tAa Wo e 'o aMs ot Ca0lomu. , , � Oate: � � Sipnawm: NOTICE: II, a maMi tNs Ee antion. you sMuld become suCIK� �o tM Workzrs' Comperiwtlon pmWslans of iha Labar COGe, you must lon � mmpN'M�� suU Dmvisiuns or tHs permit SAatl he EeemeE revoked. CONSTHUCTION LFNOINO �GENCY: I �ereEy allirm that Nero k a consiructqn IenEinq apency for [he pertarmance of t�e work for whicn tnis Oermit is isSueE ISection 3097. Civ. CL . lFNOER: aooxess: OWNER BUILOEB OECIAMTION: I hero0y aBirm IAat I am axempt Imm t�e Contradori SWte License Law for the followinq reawn (Section 7031.5 Buslness an0 Pmlessional CaUe: My clty ol counry whicA repuires a Oermit to constmct, alter, impmva, Oemolish, or rapair airy strucNm. prbr ro Its issuanca, also repWres �Iro aDP�lwnt tor suc� permil m lile a si0ne0 statement tiwt he/she is IicenseU pursuant to t�e Dmvisions ol t�e Cantractars' Slale Licenso Law (Chapter 9(cammencinp wli� Section 7000) of Division 3 of t�e Business an0 ProlessionsCOCe) or tAat nrlsM is exemD� ��relmm anE Ina Wsis lor t�e alle0� examptbn. My violation a1 Section 7031.5 Oy any aDPlicant lar a parmit su0lects tne applicam ta a civil penalry ol not mom tAan fiva nunOraO aollars (5500�. I, as owner ol tAe pmDerry or my employees vAt� wayes as IAeir sale compansatlon, will Uo tha work, and t�e ❑ 5trucWm is nat intenEed or otlereO tor sale (SeCtbn 70Cd. Buvness anE Pmlessional Cade: The Contractori State License Law tlaes no� apDry ta an owner ot a propetlY �o Oui105 ar Impmves Ihereon. anG w�o Aaes suc� work �imsell/�erself or throupA Ns or �er own emObyees. pmWOeE ttat wc� Improvemen6 am imt intenEeG or alferW for sale. Ii, however the Euildinp ar improvement I5 soltl vnt�m ona year ol completion, IM ovmer xill Aave t�e EurOen ol D�oNnO AdsAe Oi0 nol GuiIE ar imprwa lor ihe Ouryasa al s�le�. . I, as awner ol the D�operry am exUusive1y contractlnp xith Ikenze0 cantractors Io canstmct t�e pmjecl (Section ]Oa4, Busineu � anA Prohssian CaEe: The Cantractors' Sirte Liceme �aw Eoes mt appN lo an mmer ol properry who Du�ICs ar improves t�erean ana wAa contracis tor wcli Drol�u �t� a wnlractaqs) Ilcensa Wrsuant to t�a Contractors' State L¢ense Lawl. I am aware ttut D�� of Itie6 Worker's Compensatlon ittsura�rca enoNO Da D�eE m me. � I am exempt un er Sectl : B. 8 P. C. lor tn" r as Oate: � Qener. I ao trere0y ceni tllat I a awam aIM unOersWna tne rlpuiremen6 0l GlitOrma Hedlt� antl Silery CoUa S¢tti0115 25505, 25533, antl 2553a antl tnat I or arry tu re Euiulnp occupant vriIWAI not (drde one) neeE ta wmply witn saia sute cotles ana tne repuuemems for a pErmil �w LronstNtlbn or moaifitilion Irom I�8 Nr�aliry Manapertcent qSMtI. fleSiOenUal Cons(ructlon dpDliWtlons are eMemp� Imm Ihae DrovitlOrts. MDGcani: I hereGy ceniy Itut I luve rea tNs ap0lrcation an0 state that Iha a0ove Nlormation i orrect I apre wmDly with all ciry an0 counry ��, oNinances aM siale ws rN to EirilCi� cauwciion aM �ere��l�7ti�esen oi th' a enter upon the aGovo-mentioneE ' pmpertytor' wn YC J �� Date: 5pnature: � IUriver's lice ar Secudry »: 16C1J8 White—BuilOiiq: Graen—COEa En�orcBment Canerv—APplicanl: Pink—Revenue: GOltlenro0—Asaessor PERM NO: B 045i78 GUVT: N SUPP: N PURPOSE: NE{J JOB DESCRIPTION : STD BLOCK WALL SQ FT: 2] CLAIM VALOE: 450.U0 CALC-VALUE: 420.00 GROUP OCC: M-1 / COMMENTS: 5TD DLOCK WALI, 7] FT �*��*��x��***�r*�**�***x�***+��*�r�**�**�***�x*�+�+��c*�r�x*�*�*�*«*�rt*+�«�*�c�****�**��x Z O N I N G R E Q U I R 6 M E N T S • S� T B A C K�S — ---------- MAIN BOILllZP]G ---------- --------- ACCESSORY BUILDING --------•- ERNT: F'1' TN REAR: FT IN FRNT: PT IN REAR: FT IN L�EFT: F1' IN RGH'T: FT IN LEFT: FT IN RGHT: FT IN PI�RKING REQ: PROV: PARCEL: 43914139 ZNL•:: R2 REF NO: PLANNING NOTES> FOR A 6 FT HIGH BLOCK WALL 21 LINEAR FEET > iE iF iE �1F i!!k � iE 3E 9F �f it iF it if 3E iE 1E ih if iE it iE iE iE fk if iE iE iF �E �E fE 3E �E k dt �E �1E iE it iE �E fE �E if 1E x ik k it i't iE jElt iE iE 1E �k iE iE if if if iE iE iE iE ie iE iE iE iE �)E iE dh iF iFif 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 70NING APPROVEU BY DATE: EJUILDTNG APPROVED DY : � DATE: ?�PPI,ICATION ISSUED BY:�' DATG: IZ��g �EiEiElfieiEififiEiklFiElEtf3flFffiEiEiEiEi(k� iF IF�F3F—ita� . xit�t E{F�1EiflEifiElElFiF1E�E3f'�iF�EiF�kk�# i6dFtElkifk�FitiEiE3EifiCiEitiEifiEiFi(ifififklFlE#iE3Eki(�iEitif. , stiEjEiEiE' iE�lEk9EiEiElkit�fiEMk#ki(�ikiEiE�3Eif1EiE�lElElfkiEil3tk LEGALIZATIUN:N F T' E S U M M R Y � fSTRUCTURAL SE�MENT:Y HLUG FMT PLUMFiING ELECTRIC. MEC ANIC F.'IRE SMIP/RES GRADING P�RMTT 15.00 . .SO " SMIP/NON-RtiS Pt,AN 9.75 ' LSS(lE FEE �� AU7LDING-DIV-> PERMIT ISSUE PLAN-CHECK ' TOTAL �PATD DUE TOTALS----> 15.50 0.00 9.75 , 25.25 15'�'l_.S .00 4' � �. REVENUE DIVISION TOTALS--> COLLECTED,: 25.25 OVER/SHOF�T: ' 00 ' DLDG PM1' PLUMHING ELECTRIC MECHANIC �.FIRE SMIP/TOT GRADTNG PLRN-CHECK 15 . 00 , '•,t , 50 . ; c.% �; 9 . 75 - . .. y'ti % ik if ff if !f !h If it it 1E iE 3f 1E !f iE iFlf k i(� 3E if iE i! ik ff if i! iE iF if ik 1F iE iF ik ik if 1t 1(.iE �f iE fE IE �lE it iE if !F 1E 1k1f !f !k If !! 1f i! k�klk ik ikiF k 1Fif I!!E 1f M 1! i! �f fE iE k k I D! D I C� I D U A L F E E'�' D R E A K D O W N;' y TYPE QTY D E S C R 1' P T I O N s� UNIT COST ; TOTAL COST SFR 21 RES-CONCRETE BLOCK WALL . � 20.00 ' 4'10.00 END OF FEE$ -,..y, �_� ' 01 00049347-OOQi9349 T QT 25.25 DATE: 12/Q8/89 TIHE� 16:?$ �l •�' CONSTRUCTION ANDPLANNING . � POG SPA . �APpROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector i. TemOorary Electrical Service or Pole 52. Pool & Equipment Location . � �r' ^" 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcemen[ '� � �� • 3. Electrical Conduit Utility-Undrgmd. y''! 54. Forms ` .,�; � 4. Electrical Conduit�Undrgrnd. . 55. Electrical Bonding `� • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVA� TO COVER�GUNITE 7. Footings �� 58. Electrical Conduit�Undrgrnd. 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe�Undrgrnd. �. �JJ% 60. Backwash Lines, P-Trap, O Undrgmd. /�' • 10. Structural Floor System " 67. APPROVAL TO DECK < <_- � 11. Properiy Sewer Line & Hovse Connection � t 62. Backwash & fleceptor�Final i l�� _ i � 12. Sewer Cap 63. Hea[er & Vent-Final �� •� . 13. Roof Drains ' 64. Plumbing System - Final � � �- 14. flough PlUmbing 65. Elettrical-Final � 15. Rough Electrical-Conduit 66. Solar System-Final . /� i 16. Rough EI¢ctric Wiring 67. Fencing & Access Approval �� 17. Fough Wiring Sign 68. APPROVED FOR PLASTERING 18. Ro�gh ElBctrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilatirig -� 71. Product Piping OGas �Oil 23. Gas Pipe•Rough & Test 72. Underground Flush 24. Foof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing � 74. Overhead Hydro 26. T�Bar Ceiling IStructural) & Monocoat 75. Dry Chemical 27. Frame and Flashing � 76. Dry Standpipe 28. Lathing & Siding _ 77. FIXED SYSTEM FINAL 29. Insulation �� 78. FIRE PREV. FINAL 30. Orywall Nailing , I• HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat �� 79. FINAL INSPECTION 32. Electrical Power Meter�Final � �80. FOOD CERTIFICATE ISSUED 33. Final Eletcric y! •, Notes: 34. Final Heaifng & Air Conditioning . . 35. Final Gas P�Pe�Test � �� / � 36. Hood or Canopy • - .! 37. Final Faaory Fireplace ', �2 �$ L G. N• i� 38. Final Plumbing ' , - 39. Water Service�Final � � t' 40. Gas ServiCe-Final � ' 41: Solar pomestirFinal - � � 42. Backflow Preventer � 43. 8ackflow Irrigation 44. Landscape Irripation Svscem • E X P 1 R E D ' � 45. Sound Attenuation Incomplete Inspetiwns • 46. Handicap Regulations ,(p � , 47. FINALSTRUCTURE&BUILDING • � 48. FINAL PLANNING r,� � � � � 49. Elearic Release to Edison ,� �' ' 50. Gas �Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No. Date f 3�iJi.'�;lf : e.: aa��a.� , �iLS A(32EF?gN!', tmde and entered into this UL (1'l� : �y of ' p�-(,(,Q��,. �. bY and be O+een / W S� �, SO A�.1� �-fit Aereinafter referred tn as •LAt,ID �t�R•, �nd G'12�G Roc9EFZ� hereinafter referred to as •AWAC�STf PRLFEe�.t d�tii3t'. It is hereby aqreed that a party vall vill be oonstructed on tAe prc�pe rty 1 ine be Ween •• - -- --.-- -- � --. -----• �a`rS (�r.e�r�o6C� in the City of Costa Afesa, Co�nty of Orange, State of California, as per mnp recozded in Bodc � , Page_ of M,iscellaneous hiaps, in the office of the :ou�ty Recorder of said Co�nty. TT�e party vall shnll be permitted to encranct� IN WITTIESS �IDiEOF, the parties have �nte:ed into thi; T+�re�ent the fa� and year first above written. w�� .w�e�e� � � L�L�� / � •ra --.�- •a • �a� (Signa e) CT��i+- %O(i�2T5 1�ane ( or Prin ) ��3 G�.�. �bt�, La.,-� cAaa�ss> E A Z � a cn a � w o a ¢ a � � Q � r= U � m U�i � Z ''V^' Z � � �a o� x � G. t' 'l.il7 ii-Al io 3�NVNiaao aar+tc �.r+y �^ zc acoJ °IHl �O N011v+,<?i;, ru N?4M 890Ni138a41 NU'!31Y'e??'.;n:l;g StJ011`1N3dC: :�;.�ali:l0 `JDql�a'dniNn WOEd 80 cntn�.t`"J�_'Y.I3dS �hitl St1Yld OI`1S �1I 52':�2'G3 �10 tvC11�321L�0� 3M7 JH!JiflO�il ilalj�3tl?Ni 'Xpcj 7YUIo;C+ :;n;IGlll18 3Ni lhl?n_�d !O;J iltlH'> 5NCi1`7�!iD3dS eN, SNcI•: NOd(1 43;7E tIMlG3d 7 do ]7N7nS;t 3H1 in:.Mrl cl 53ZIN041f1V tl !;_ L4M 3Sf1 :O A:!C�l� 3H1 SN 8tli C; Nf tdd�:3 '�I}yn 3811tHS'CC� �!:=L d0 �NCISIAOyd 3H1':_'JiJtl: aO 71�101A 01 Ail'L�t:.(IV 3;: ? O! nrvl'v/;1538d Lt1'e.'d �".�: '3uC� SIN L i0 SNOICIi�C i:d 341 d0 'J7Y :J i:OltvlOf� ANd 'i0 1b�O8d6'? N'Y ti0 "tlJ3 SCt+d3i t' 3;�:: 'H�B; S�O� 3b :OP'. 17VNi SNO!iV �I;IAdS ON?' ST:YId ao i;noaddy �o iiwa=_d v do eralrava� ao a�Nvnssiir;�l '.Ld30 dOIV�OMddV ?JO1L�d 1hO411',� S3JNVHJ GN 3�lVW ;3'ldli 11V 11+20f �'O 3� 1� iW SNtild 3S3N'_ �5'�� 31V0 - ' Afl •;dad 6uip��ng psay�r.o}so' }o �a' � � W W ! ♦ N ;�; -� i� 1= ::� .:'� ' "�� 3S s" �� ,�A�� PLANNING DEPT. � f1YUECT f0 ELD6. DFPT. REO. � `Y--�-�-- a►,�..L�_...� �`L ��!'CTOR Or N/�NN�IO NQiE ADD{i10NS, DELET{ONS, OR CORRECTIONS StiALL BE APPROV�D BY THE PLANNfNG DEPARiMENT _ �^ �� (_e n �Q �iSTRfET � _ �.--�-- � TYPOCAL 6�� CONCRETE BLOCK FENCE Cament Copinp bptiond � CM�nel Bbck WitA 1•3/84i Horiroatd Top o1 UI f�nces for fen�et 5' or �f Ven. 8an 3/8" �, at 4' -0" O.C. For Fena� Highe� Th�n 5' V�It. 9!n 3/9��m eL .i2�� O.C. � Fill Celh Solid With Grout WAen Stael Occun Rsintorolnq Steel SMII Conform to Sae.A•15-39 A.S.T.M. AIISta�lto M Lapp�d 21" Of to Cod� NATURALGRAOE TWO �/!"m BARS sa CON�INWUSTOV 1 !i 80?TOM ' �� .H00=.STEEL MUST BE TIED IN VLACE AT TIME OF TRENCN INSPECTION. 1 0 a x `u � W a= a >Z a i� —Y`IDTH SEE CNe BELOW FOOTING REQUIREMENTS CHART �ENERAL- NOTES MORTAR: pne Parf Plo�tic Cement, ond GROUT; T�ree Parff Sand One Porf Cement Tlree and O�e Holf Parts S�and COPING: One Port Cemenf, Three Parfs Sand CONCRETE: we�l MiRed 1:2-I/2:3-I/2 Ma�. of 7- I/2 Gol;�ns of Wafar Per Sack of Cement OROVT MAY BE VOURED FROM TNE TOP OF THE FENCE IN CElLS WHERE STEEL OCCURS. CELLS ANO ApEASOi HONIZO/lTAL REIN• FORCEMENT SHAIL BE CLEAR, CIEAN d FNEE OF ALL MONTAR OEBNIS, ETC. H 0� EANTHTCOTH � 3 iHE MEiGTN OF iENCE OW BOTTOM OF FOGTiNG. SCALE' I/2° • I' WIOTN . . . . . . . . . . . . . . .14" . . . . . . . . . . .14" . . . . . . . . 1._�2 .•..:. : : - . 12� : THICKNESS . . . . . . . .:O" . . . . . . . . . . .10" . . . . . . . .'. . . 8". . . . . . . . . . 8� DEPTH Of EARTHTOOTH . . . 24" . . . . .20� . . . . . . . . . . . 16°. . . . . . . . 12� SPACING OF EARTHTOOTH. . 12' . . . . . . .,. . . .14' . . . . . 16�. . . . . . . : � 16� OWNER$ NAME: _ _ C��y O� �OSIQ Mesa, California pEpM DDNUMBER:_ _ _ _ _ _ _ _ _ _ _ _ _ � Building Department SIGNATURE. _ _ _ __ _ _ _ _ _ _ __ _ _ _ . is�23 '�COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BO%DI7 COBTA M89A, CALIFOHNIA For Appllcant to Fill In Completely TYPE OR PRINT BUILDING ADDRES9 COSTA MESA, CALIFORNIA OWNER �° � c� ,r �' /�-f e✓ Cu �� A�DRES$ � J�• ah C�' � �✓@ TE cirv na ei�rn �i-�.� w 1� AOR�CHIT NEER A. / G � Q h NOY /�^ %� AODRE33 �/I V O WCJ 1 l-6l� n- JN /I �.t�T FEE RECEIVED � FIN NGE DEP�� TY g� COSTA MESA , APPL ATI POR PERMIT BUILDING For Office Use Only ' R8ClIPT NO. �qCqN�y(1q V L f 99Y �ATBpH<81V8D UATE189UED ,r--a9-c � ��N � ,q�a ; �s� �� / ' TYPE GROU 0 DATE ZONING � . � � , �.. �.� n n�, LIG?NO. J �� NO. U�W %o b�'D 90' TO 81DE Q REAR P. L. EAVES OFLOT 33� S3.So NOWONLAT'— ALLOWED fU.B.G.REOUIREMENT) YARDSAPPROVED YAR�SAPPROVED USEOF � MAINBUILOINO AGGESSORYBl11LDING EXISTING BLD6. ( FROM C/L,.¢TREET ) 6ET0ACK LINB FROM FRONT 'U FT. FT. CENTER OP eTRe[T ��O �� REAR YAR� � 61D6YARDI LEFT -�– R10HT � R.SIDE tT. FT. DESCRIPTION OF WORK �. s�oe �. F-r. NE AITHRATION ADDITION REAR f-T. FT. OISTANC6 BET. BET. MAIN Q REPAIR MOVIN6 D6MOLISH MAIN BLDGB. AGCESS.BLDG9. � i VAR. �j DATE SIZIEDINOy3 uS3�� ROOMB BT�RIHB C. U. P Si APPR VEO HXTERIORWALI(�� ROOP SH�N4L(= APPR � .�� COVERING �✓�'! COVERIN7 DY OATE 1 U5H OF ILDING AND WORK TO B6 PH/R�FORME /J . E�j � Q.� [ G. lT�t\f.k G.� ar, /'hod� yZ- /�3 3 50. �. � `� " � I HEREBY ACKNOWLEDOfi THAT � HAVE pEAO TH18 APPLICATION THE /�MOUNT 9H UNDHp VALUAT�ON �3 FOq TH8 F' ANO BTFTE TXAT THH ABOV6 I8 COqqECT AND AOREE TO COM.. PUFPOSE OF i8 LI6NIN0 A PERMIT FEE ONLY. � PLY WITH ALL CITY OROINANCHO ANO HTAi6 LAWD HHOULATINY yALUATION 6UILOINO CON9TRUCTION. �Z ✓� PERMIttEE�P � � ` �� C1 ^ � PERMITFEE $ `� • � L,� m /�l /� /� SI�S /Q LA C EC �/'S� O AUTHORIZHD AGHNT r; ;; � L TOTAL FEE S % y� n i Applicant to flll In all ipaces except lnose within �eavy EorOer lines antl sign all apOropriate Eeclarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. C��'Y OPCOS7A MESn . CONSTfj,U�C'T^I`ON�pPE}R-MIT1�,�I --- • ,a r# ProjectAddress 3S� �n�r�V��D�G d.,�/ _ Applicant's Mail� g Address � Owner's Name F Phone Address Q ��' Arch/Eng. �J Licenu No. Address Contractor's Nam Phon ' 4 Addres5 (ma'fnnl � Ciry License No. LICENSED CONTRACTOR DECLARATION I hereby aifirm that I am licensetl untle� provislonz o/ CharlGt 9(commBnGng with section 7000) ot DiviSion 3 ot the Bu5ine55 antl Pro(e55ion5 Cotle, antl my license is in full torce antl effect. ' License Class Licensa No. Date Signature WORKERS' COMPENSATION DECLARATION � hereby afiirm that I have a certiticate oi conseni to selbinsure or a tertlflcate Workers' Compensation Insu�ance, o� a certifietl copy the�eof ($ectlon J0, Lzb. C.) ' Volicy No. -Company 8 Certi(ietl copy is hereby furnishetl. certitietl topy Is filetl with the city Bulltlin9 Divlsion. �ate - Applicant E%EMPTION FROM WORKERS' COMPENSATION DECLARATION (Tnis section neetl not be completea if the oermit Is tor one huntlretl ($100) or less). I certily tM1at in (he performante Of the work for which tM1is perm�t I5155U¢tl 1 sM1all not employ any person in any. manner so as to become sub7ect to t{�e Workers' Compensati0n Laws of California. Date Si9nature NOTICE: 11, aiter mxkin9 this aeclaration, you shoultl become suDject lo the Workers' Compensation provisions of the Labor Cotle, you must forthwith � comply with sucn orovisions or this permit shall be tleemetl revoketl. � CONSTRUCTION LENDING AGENCV I I hereDy afiirm that there iz a consVuction lentling agency tor the performan<e I Of the work for which thi5 permil i5 i55uetl (SectiOn 3097 Civ. C.) i Lentler's Name � Lentler's Atltlress I OWNER BUILDER DECLARATION 1 hereby aHirm that I am exempt irom the ConVactor'S Littnse Law for the (ollowing reason (Section 7031.5 Business antl Professional Coae: Any Uty or counly whicn requires a permit to conStrUct, alter, improve, Cemolish Or repair any structure, prior to Its issuance, also requires Ne applicant tor such permil Io (ile a signetl 5[atement that he/she is IicenS¢tl pu�suan[ to the prOviSions of the Conlractor'z {aicens¢ Law (Cttapter 9(commencing with Sectlon 7000) o( r�ivnion 3 0( [he Business antl Protessions Cotle) or that he/she is exempt �„�refrom and the ba5iz for [he allegetl ¢zEmption. Any viOldtion of 5ectiOn � 31.5 by any applican� fo� a permit subjects the applicanl t0 d Civil `"`�{lally ot not more Nan five huntlretl tlollars (E500). � U I, as owner of Me property or my employees with wages as tnalr sole mmpensa[ion, will �o the work, antl [he structure is no[ intentletl or offeretl for sale (Section 7044, Businezs antl Profe55ional Cotle: The Contractor's Litense �aw tloes not apply to an ownet ot a p�op¢rty who builtls o� improv¢5 thereon, antl wbo tloes sucM1 work hlTself/herselt or thrOuqh bis or her own employee5, prOvitletl that such imp�ovements arC nOt In[entletl or oiferotl for sale. It, however, the builtling or improvement is soltl wltnin one year ot com- vletion, the owner will have the burtlen oi provin9 he/she tlitl not builtl or im- r ve tor Ihe purpose of sale). I, as owner ot th¢ property, am exclu5ivety <ontracting with lic¢nsetl COn- ractors to mnstruct the projecf (Section ]044, Business antl Profeszions Coae: The ConVactoYs License Law does not appry to an owner of property who builtls or improves thereon. antl wno contracts Tor such oroiects with a ron- Vactor(s Imense pursuam to ine Contractor•s License Law). I am aware t�at prooi o Iheir Worker'S Compensati� i^nsurance sho Itl be provltletl to m¢. ❑ I am exempt untler Section 1�—(—�-- � P�C. for [his reason Date I �ereby ttrtity Ih� Information IS CO(IC� antl 5[ate laws relaL sentdtives o( this a Inspection pu�pa5e5. Signature Oriv¢r5' License or S 0865-46, rev. 5/88 = Owner . have reatl �oynaing TVPE OF CONSTRUCTION LJ NEW LJ AD� LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPE OF PEFMIT U GRADING L'J FOUNDATION LI STRUCTURAL . ❑ TENANT ❑ ELECTRICAL ❑ PLUM8ING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5p. FT. OCCUPANCv CONSTRUCTION TVPE VALUATION $ ZONE GRADING CU. VDS. ACRES Remark5: �.� � ( [, /. Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outle�s Intercepmrs Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee $15 Boiler Duct- Under Ground Dutt - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact BIt �CBO � Heating System & Ducting ❑ b 100,000 BTU O 100,000 BTi Reinspeclion Fee � $15 White - Bulltling; Canary - ApPllcanh Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectori Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wash Laundrv Tra'vs laue Fee Haodor Typel ❑ Canopy Type I I ❑ Refrigeration System ❑P100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Fegisters Issue Fee S Main Buildinc E T Front B Rear A C Right K g �eft Ping. Ref. # Planninq Notes: � FEES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elecn Fan F.A.U. Fixtures Device Boxes Outl¢t5 Switches Garbage Disposal . Generator �0�5 KW ❑ $ 3 FEES $ 3 Zone Parking Req./Provided ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors �0.1 HP O1 h- 8 Int.Soiar �9-15 HP �16-15+ Microwave Pole Light Range Sinn Y Standing Sectlbm. 5�15 KW Trash Compactor Reinspection Fee $15 i DEVELOPMENTSERVICESREQUI Zoning Approved By Building Approved By �' Aaolirrtion Issued Bv laue Fea ' - FEES N I N G R E Q M T S. ' SUMMARV OF FEES �E BUILDING PERMIT $ SMIF $ PLAN CHECK $ PEFiMIT PLUMBING $ � ��UANC� 3 PLAN CHECK 25% $� ENERGV P.C. $ ELECTRICAL $ GRADING S � PLANCHECK 50% $ MICFOFILM $ �//' MECHANICAL $ TOTAL FEE $ � PLAN CHECK 25% $ ai 000i�sso-aoai�sso Yr�T �ATE: iQ/y�/gg TI11E: 16:13 2b.OJ � CONSTRUCTION ANDPLANNING � APPROVALS Permit # • 1. Temporery Electrical Service or Pole 2: Soil Pipe-Undrgrnd. 3. Elect'r.ical Conduit Utility-Undrgrnd. ,' 4. Electqical Conduit-Urdrgrnd. 5.� Steel.Reinforcement 6_� ElectYical UFER.Grnd. � 7.�Footings ' • S.�Fqunilation � 9.� Water Pipe-Undrgrnd. 10.�Structural Floor System 11. Property Sewer Line & House Connection 12:;Sewer Cap ' 13. Roof Drains � 14. Rough Plumbing,� 75. Rough Electrical-Conduit '1'6. Rough Electric Wiring � .17. Rough Wiring Sign ' 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning r' �20. Rough Factory Fireplace 21. Ducts, in Structure �' � 22. Ducts, Ventilating � �• � 23. Gas Pipe-Rough & Test ; 24. Roof Framing �•, 25. Roof Sheathing �'I 26. T-Bar Ceiling (Structural) & Monocoat 27. Frameand Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace � 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 47. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electrie Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Date a � � POOf 1PA _ _ �- Inspector p�ppROVALS Permit# � Daie Inspector 52. Pool & Equipment Location � 53. Steel Reinforcement 54. Forms ' 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER-GUNITE 58�. Electrical Conduit-Undrgrnd. ' 59. Gas Pipe, 0 Undrgrnd., Test 60. Backwash Lines, P-Trap, � Undrgrnd. 61. APPROVAL TO DECK _ 62. Backwash & Receptor-Final ' 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical-Final 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPA SYSTEMS FINAL FIRE DEPT. REQUIREMENT� APPROVALS Permit # 70. Underground Hydro 71. Product Piping O Gas ❑ Oil 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXEDSYSTEMFINAL ' 7S. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE I SUED Notes: /M ,�1��J � G .:i „ � F _,� � � . .� `:} { 0 u 8 �7 I P CiT�rdF COSTA MESA CONSTRUCTION PERMIT Projeci�ddress �SS 6R�/�06�-�- _ A�plicant's Mail"�g_A�d,d^re Owner's Name � N Phone �7 a0 - 5 �; Address 3SS GRENOdf E LP� Arch/Eng. License No. Address Convacwr's Name_ � Phone Address (mailing) � Ciry Licen�a No IICENSED CONTRACTOR DECLARATION I hereby atfirm that I am licensetl unUer provisions o1 Charter 9(commendng with section 7000) ot Dlvision 3 of [he Business antl Professions Cotle, antl my IlcenSe is in tull f0�<e antl eltect. License Class Licensa No. Date $i9nature WORKERS' COMPENSATION DECLARATION i hereby aftirm lhal I have a certllicate oi consent to selNnsure or a certificate � Workers' Compensation Insurance, or a certiflee copy thereot (Section 900, Lab. C.) - Policy No. Company eCertitietl copy is hereby lumishetl. . Certilietl copy is filetl witn the city Builtlin9 Divizion. Date AOP��ant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This seclion neetl not be com0�eletl it lhe permit Is for one hunatetl ($300J or less). 1 certi/y IM1at in the perto�mance ot lhe wOrk tor whlch thls p¢rmR I5 issuetl I snall not employ any person In any manner so as to become subject to t�e Workers' Compensatlon Laws o( Cali/omia. Oa[a Si9naturc NOTICE: II, a/ter making this tleUaration, you zhoultl become subject to the Wo�ke�s' CompOnSatlan p�ovlsion5 Ot tht Ldbo� Code, you must forthwith comply with sucn provlsions or tnis permlt shall be deemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby allirm that tnere is a constructlon lentling agenty for tha pertormance ot lhe wOrk 1or whiGh Ihls permlt is ISsuetl (SectlOn 3097 Civ. G.) Ltntler's Name Lentler's Atltlress OWNER BUILDEN DECIARATION I hereby altirm Lhal 1 am exampt trom the Contractor'i License L.aw for the /ollowing reason (Sectlon 7031.5 Buslness antl Professional Cotle: Any city or county whicn requiros a p¢rmit t0 con5lruc�, alte�, impmve, tlemoli5h Or repai any sVuclura, pdor lo ils issuante, alio requlres the applicant for zuch permil to lil¢ d SiYnetl SlalemOnl Ihat ho/Sh0 Is IlcenSCtl pulsUant t0 Ih¢ PfOv75ion5 O1 �ernirom antl the bails for tha allegetl exemption. Any violatlon o� Secuon �31.5 by any a001icanl tOr a Oe�mit sub�ec[s Ihe applicanl to a dvil alty of not more tnan fiva huntlretl tlollars (b500). I, as ownar ol tha prOporly or my omplOyC¢s wltn wag0s as their Sole co pensation, will Uo the work, antl the itructure Is nol Intentlad or offeretl lor wle ($¢ction 7044, Business antl Protassional CoEe: Tha Contractor'S 1_icenSe Law tloe5 nol aOPly to an owner ol a p�operty who bullCs or imprOves tnereon, ana wbo tloes such work nlmSClt/�ersalf Or NrOug� his or h¢r Own employees, proviaea tnat such Improvaments are not Intentletl or offeretl for wle. If, nowover, tno bulltlin9 or Improvement is solC withln one year o1 com- pletion, Iha owner will havc the burtlen oi provin9 he/she tlitl not builtl or Im- prove lor lna Ourposo oi zalo). �� 1, as owner of tha property, am extlusively tontracting with licensetl con- t�actor510 con5lrucl lhC P/oje<t ($ection 7044, BuSiness antl Profe55lon5 COCe: .The Contractor's Licenso Law doos not applY [o an own¢r of property who builtls or Improves tnermn. antl who tontracts �or such omiects with a con- tractor�sl Lanse Vursuane ro[ne Conuactor•s Llcnnse Law). I am aware that prooi o1 Uteir WOtker's`I COmOensatlon InSurance shoultl be provitletl to me. 'L7 I am exempt unticr OctlOn B. & P. C. f thiSreason , l� / Date _ Owner � � 1 hereby cert y that I have reatl this aoolication antl state tnac the above In(ormation i<orrecL I a9ree to comply wlth all clty antl county ortlinances antl state la s relati to builtling construct{�ry� a�nE hereby authorize repre- 5entatives t thii d� to arttp�,�upqiFtne�dtlq4e-mentloned Droperty j�� to flll in all spaces�exceot tnosa within neavY eoraer Iines antl sign all approDrlate aeclarallons. ._ .... ....._..__. __._._. .....,...,. A.P.SW 3 i -2 3 - S Main Buildi TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T FrOnt DESCRIPTION OF WORK/USE OF BLDG. ( A Rear C Right TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL K Le(t ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANIGAL S ❑ �oTHEa Ping. Ref, qW PROJECT DESCRIPTION 5�. FT. OCCUPnrvCV planning Notes: CONSTRUCTIONTVPE v VAWATIONS �QZL1 ��.�p 20NE GRADINGCU.VDS. ACRES tlS/iY'� ' Remarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Dreins Floor Sinks Gas Service Outlets Kitchen Sink Lavatories P—Trap Roof Drains Rainspection Fee � 3� �r- (�!a_:�i .n,Jr"�- PLUMBING FEES Showers Service Sink ' � Sewer Cap Sevyer Connection Solar Collecrors Solar Tank ' Swimming POoI wlSpa Urinal Water CloSet Water Heater Water Service Auto-Wash Leundry Tra'ys � $15 � �--� Isue Fee Boiier Duct - Under Ground Duct - Structural Duct - Vontilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO dk Heating System & Ducting ❑ o-i oo,000 eTu O � oo,000 inspection urpose q Signature /'Date Orivers' L«ense or 55 � Reinspeetion Fee 0865-66, rev. 5/88 White - Building; Canary - Appllwnt; Pink - Ac<ounting; Goltlenrotl - Assessor $15 Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑aioo,000sru ❑ioo,000 System Repair/AI[eration F ire Dampers Registers laue Fee �� ``��.-1 �� i�L7!,�/:—~�.�i� �_�� —_— � 1 t O� G_. ELECTRICAL Auromatic Washer Transformer ❑ 15-50 KW ConstructionPoleSub. � 50+KW Cooking Unit Meter ❑up to 100 amps Dishwasher Mecer ❑over 100amps Dryers �Gas �Electric Sub Panel Fan Motors�al HP �1h-8 F.A.U. Inc.Solar �9-15 HP �16-15+ Fixtures Microwave Device Boxes Pole Light Outlets Range � Swi[ches Sign , Garbage Disposal Generator �0.5 KW �5�15 KW ,1ReinspectionFea � $15' S 3 DEVELOPMENTSERVICESREUUIR 2oninp Approved By FEES Building ApP�oved 9y $ 3 t Compactor Fee' $ 3 i %/ SU V^OF FEES r � Z7 BUILDING PERMIT $ �_ �SMIP $ _� PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING 5 PLAN CHECK 50% $ MICROF�LM S MECHANICAL $ TOTALFEE $ � PLAN CHECK 25% $ �]1 QD013645-0001354d T��'� 53.54 DATE: 09/0283 TIItE: 15:36 C0�5TRUCTION AND PLANNING POO. $PA ' �- � � 1 APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector . Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcemen[ 1. � 3. Electrical Conduit Utility-Undrgrnd. , 54. Forms - �� 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding ' � . 5, Steel.Reinforcement 56. Rough Plumbing & Pressure Test '� 6. Electrical UFER Gmd. ' 57. APPROVAL TO COVER�GUNITE � 7. Footings . �� 8$ 58. Electrical Conduit-Undrgrnd. 8� Foundation ' � 59. Gas Pipe, � Undrgrnd., Test � 9�. Water' Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. ' � i 10. Structural Floor System � � 61. APPROVAL TO DECK 11. Properiy Sewer Line & House Connection 62. Backwash & ReceptorFi�al .� - ` 12. Sewer Cap 63. Heater & Vent-Final . 13. Roof Drains 64. Plumbing System - Final � � 14. Rough Plumbing 65. Electrical-Final �, 75. Rougn Electriral-Conduit 66. Solar Sysrem-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign _. _ 68. APPROVED FOR PLASTERING - '18. Rough Electrical-T Bar Ceiling , 69. POOLlSPA SYSTEMS FINAL -19. Rough Heating & Air Condition� g FIRE DEPT. REQUIREMENT -- 20. Rough Factory Fireplace . APPROVALS Permit # 21. Ducts, in Structure �1 . � 70. Underground Hydro 22. Ducts, Ventilatin � 9 � 71. Product Piping O Gas ❑ Oil 23-Gas Pipe-Rough & Tcst ��; 72. Underground Flush .� 24.� Roof Framing . � 5 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathi�g � ' � � � 74. Overhead Hydro � . � 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing �.��' 76. Dry Standpipe - � 28. Lathing & Siding � 77. FIXED SYSTEM FINA� 29. Insulation ji 78. FIRE PREV. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � i j $� 79. FINAL INSPECTION 32. Electricai Power Mete�-Fina1 , 80. FOOD CERTIFICATE ISSUED 33. Final Electric �� ' I Notes: \� � L ti� 34. Final Heating & Air Conditioning . \ - 35. Final Gas Pipe-Test , � 36. Hood or Canopy � 37. Final Factory Fireplace � �3$. Final�Plumbing � 39. Water Service-Final ,� � � 40. Gas �Service-Final . ' 41. Solar pomestic-Final - � � �42. Backflow Preventer . , � 43. Backilow Irrigation ' � (f1COR1 lete Ins ' tions �� 44. Landscape Irrigation SysYem -'� ' 45. Sound��'Attenuation '- � 46. Handicap fiegulations /: 47. FINAL STRUCTURE &'BUILDING 48, �special Requirements Completed 49. Eleceric Release to Edison ' � . , 50. Gas Release to Southern California Gas Co •• 51. CERT�FICATE OF OCCUPANCY , ' • - �, � No. Date