The URL can be used to link to this page

Home My WebLink About650 PARK DR - Building Permits�iec.-.:i�,ess: 650 PARK llR OWNEfl'S NI1ME: KOFiARA aonness:g��di, SAN FELIP S"T', AflCH1ENGINEEH: – RO�flESS: ' ' uxiT: F.V. . ' , � BEG.NO.: , • ' UNR: PEflMrtr�E: GREENFIILLS PL,UMBING ( 714 ) 523—£3084 RDOHE38: ]Q%3,n yEACR HL ' ' � - 104 I�A MIRADA CA 90638 LICENSEU CONTMCTOB OECUMTION: 1 hereby atfirm that I am Iicense0 unAer provisi ns of ChaD�er 9(commencing with Section ]000) of �ivisiho'n 3 oi the Bu� antl Pmiessions Code. anA my license is in �ull �o�c an0 ettecl. � CITY IIC.: 1y�� pTE LIC.: � . � / � / Oa[e: � SignaNre: 4 W00NEB3'COMPENS�TION ECLAMTION: Iherebyattirmt�atlhaveacertifcateofcansenttosetl-insureoracertificateofWorkers' ComPensationin��ra9ce�, qr� �nitieE copy �hereot (Seciion 3800, Lah..C�6 / O 1 I 9 O � � roucvxo.:STATE F'UND E%P.01TE: �� • COMPqNY: � ❑ Cetlilie0 copy is hereby furnisheU. `Certitie0 cop ' 4 wit� t e ci B'N' A Oivision. ' � � Da�e: Appliwnt: IXEMVfION FlIOM IVOPKEH3' MPENSATION OECUMTION: (fNs secuan need nat 6e camplete0 if ihe pemtit is lor one huntlre0 (5100) ar less�. I ceftity I�ai in Ihe pedormance of [he work for which this Oermit is i55ue0, I s�all no� employ any person in any manner so a5 to Eecome suole�t to tAe Workers' Compensation Laws of Calilomia. ' Oate: ' ' SignaWra: - � � � NOTICE: II, atter makinq this Oeclaration, yau s�oultl becama suhject to t�e Workers' Compensation Orovisions of I�e La6or ' Cotle, you must fotlhwith cumDly with suc� provisions or this permit shall be OeemeO reroketl. . CONSTHUCTION 1EN01NG AGENCY: I hereDy amrm Ihat tAere is a construqion IenCinp apency for tAe petlormance of ihe woM lor which this Oermit 6 issued (Seclion 3097, Civ. C). � , . LENOEB: � , ' ' nooeess- - • • OWNEP BOILOEB DECIAMTION: I hereby aRirm that I am exampt fmm the Cantractors' S[a[e Licensa Law lor ihe followinA �eason (SecUon 7031.5 Business antl Professional CoOe: My ciry of counry which requires a permit ro consimct, alter, imOrove, Oemolis�, or repair any stmcture, pnor ro its issuanu, also requires the applicant tor such Dermit to file a signeE statement that he/she is IicenseJ pursuam m t�e pmvisions al I�e Contractors' State License Law (ChaD�er 9(cammencinp wdh Sectian 7000) of Oivision 3 of Ihe Business an0 Pmlessions Cotle) or that he/s�e is exempt Nereimm and tAe basis for Ihe allepe0 exemption. My violation of Section 7031.5 �y any aD0licant lor a permit suhlects ihe aDPlicant [o a civil penalry oi not more ihan iNe AunOred tlollars (E500�. I, as owne/ of t�e OmOeM or my emVloyees witA wages as Neir �sole comDensa[ian, will Oo ihe work, anE tAe ❑ stmcture is not intenAetl or ottereA far sale (Section 707J, Business anA Professionat CoUe: The Coniracrors' State License Law Ooes nat aD01y to an owner of a pmpeiry.wha UuilOs or improves t�ereon, and who does such work himull/herself or ihraup� �is or �er own emplayees. pmviGed ihat such impmvemenis are not intendetl or offereA for sale. Ii, hawever the huiltling ar 'impmvement is soltl within one year of completioq the owner will have t�a OurOen oi provinA he/she OiE not Euiltl or improve � lor the purpase af ule). ' I, az owner of [he pmDeM. am exclusively con(ractinp with Iicense0 contractars to constmc[ the prol�� {Section 7044, Business � � an0 Pmlewions Code: The Contracmrs' State License Law dces not apDly lo an owner ol0rope�tywtro bwlOs or improves Nerean an0 who contracis for such projecis with a contractoqs) license pursuant ta ihA Caniractors' SWte License Law). I am aware that D�ooi oi their Worker's Compensation insurance shouttl 6e proviAeO to me. � I am exempt unGer Seclian: . B.'8 F. C. . _ ' lor ihis reasan: � oate: Ow�er. I Oa �ere0y certiry that I am aware ol an0 un0erstantl the repuirements oi Califomia Healih an0 Safery CoCe Sections 25505, 25533, anG 25534 an0 that I or any future Uuiltlinp occupant will/will not (circle one) neeJ to comply with saiA sWte coUes an0 tAe requiremenis for a permit for constmction or moEitication irom the Fir �ualiry ManaAement District. Nasiaential construc[ion applications are exempt irom these pmvi5ions. � , �ate: Appliwnt _ I her¢by terli�yi�at I have r¢aEi�is appliCaiion antl SIa�¢Ihailh oNmances anA state laws rtWtinp to EuilNnp constmc6on an0 re, pmpeM �o ' Spetti n pury05es, . Data/ Signa�ure: � Driver's �icenu or Sociai Secunry a: I agree to comply wft� all ciry an0 counry th6 city ro enter upon Ihe above-menliwM � 1841�48 White—BuilCinO: Green—Cotle Enforcement; Cnnarv—Aoplicanl; Pink—flevenue; GolEenroE—Assessar e � CI'TY. OP COSTA hfES.P. — F]UILDIAIG PERMIT PFRMIT NO: P. 045215 PLAN CIiECK NO: Dl CUNSTRUCTION�TYPHc PERMIT TYPF.: PLU JUB vESCRIPTION : REI�TPE WATER SERVICE 6'INSTALL� W/H CLAIM VAI�UE: CALC—VALUE: PERM blQ: F' 04521 S GCJVT: N SUPP: DI PORPOSE: ALT s� r�r: GROUF OCC; COMMENTS: ' �E iE # iE iE �E iE �f �1E 3E 3Fi£ #' )E if iE iE iE �lE # 3E it if if iE if iF iE iE iE iE �IE iE it �k i(� iE dE 3E iE iE fE 1E �(� if iF # it M if iE k If �3ElE iE )E iE if �lE 3E iE if 3E iE if ii� 3f jE 3E iE iE if iE 3(� if',c 3f Y,- Z O N I N G R E Q U I R E M F. N T S , • S E T B A C K S --------- -- MAIN IIUILDING ---�-------- --------- ACCESSORY. BUILUING -------_-- FRNT: FT IN REAR: FT IN FRNT: FT� IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: PT 7N RGIiT:' FT T.N �'PLANNINGRNOTES> . P�OV: PARCEL: 42426113 ZNE: REF NO: ' J 3E iE # iE iE it �E 3E ik iE iE iE iE iE iE iE iE fE iE iE fE iE if iF iE iE iF it if 1F jE 1F iE iF iE iE �76 iE iE 3E �E iE iE iE iE jf 3E if k iE k 1! iE �If �f �E iE �lh dE iE �E iF iE 3f iE if iF �if iE dE 3! iE iE 3F iE i( iE if iE D£. V E L O P M E N T a E R V I C E 5 R E Q U I R E M E N T S � ZONING APPROt�ED 13Y ' DATE; HUILliING APPROVEU BY':_ _ � � DATE; APPLICATION ISSUGll BY; / DATE: Z—L'— �� 3F iE it iF 9E %1E if �E iE iE iE iE �M k iE k 1E iE iE 3E df7F� iF��f�$3f�F �iF� ��f�� iF�� $ ��F��dE iE iE 3@ iE fE if !F iE if�k�iE 1E��dE dE 3f if 3f jE if 1E if �k �E iE iE iE �F iE # IE 9E iE �)E 3E �)E 9E iE iE IE it i' ik iE if if ik it if iE if iE if ib i(� iE iE iE iE if iE iE 3! iF iE iE �E if �If 3E iE iE 3E iElF 3E �E 3E i' 9f iE jE iE iE iE 3E �E i6 �E iE ��)F �E�iE1 LEGALIZATION:N �F E E 5 U M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLCJMI3ING E.LECTRIC. MECHANIC FIRE SMIP/RES GRALING PERMIT 4.00 258 , SMIP/NON—RES PLAN - � ISSUE FEE ' 3,00 i3UILDING-UIV—> PERMIT ISSCIE PLAN—CHECK T01'AL PAID DUE TOTALS----> 4.00� 3.00 � 0,00 7.00 7.00 .00 f ' REVENUE DIVISION TOTAI�S--> COLLECTED: 7.00 OVER/SH012T: .00 LiLDG PMT PLUMBING ELECTRIC MECHANIC PZRE SMIP/TOT GRADING PLAN,—CHF.CR %..�� ' iE iE # iE �1E lf �lE �lE iE iE �)E iE iE iE jF iE �E # 3E #�)(-iE 3E i:� 1E ik �)E iF 3(- iE �lE iE iE !E �lf 3E �1f lE if if iE iE iE ik if jF �E iE 3E iF �1E iE iE iE iE 3f 9E iE iF it iE iE iE 3E �E iB iE iE �E jE iE )E iE jE 3f iE iE fE if ' I N D I V� Z; r� 0 A L� F E E. E3 R E A K D O W N i, TYPE QTY D E S C'R T P T I OfN- ONIT CqST TOTAL COST � PLU 1 WATER HEATER AND/OR VENT PLU 1 WATEH RE—PIPE END "OF� FEEf3 1 i��0 2.00 [!1 00048737-0�043787 T C�7 DATE: 12/02/89 TIME: 2d:07 2.00 ' 2.00 i 7.00 CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. , . 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgmd. 54. Forms - 4. Electrical Conduit-Undrgrnd. . 55. Electrical Bonding 5. Steel ReinforcemenY ' � ' 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE - 7. Footings 58. Electrical Conduit-Undrgrnd. 8. -Foundation . 59. Gas Pipe, O Undrgrnd., Tes[ '� 9. Water Pipe-Undrgrnd. ' _ 60. Backwash l.ines, P-Trap, O Undrgrnd. 10. Structural Floor System `� ' � 67. APPROVAL TO DECK � 11. Property Sewer Line & Houie Connection 62. Backwash & ReceptorFinal ' 12. Sewer Cap . _ � 63. Heater & Vent-Final 13. Roof Drains .� ' 64. Plumbing System - Final 14. Rough Plumbing , ' 65. Electrical-Final � 15. Rough Electrical-Conduit 66. Solar System-Final � 16. Rough Electric Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling . 69. POOUSPA SYSTEMS FINAL - 19. RougF Heating & Air Conditioning . FIRE DEPT. REQUIREMENT �_ � 20. •Rough Factory Fireplace - ; - Y- � APPROVALS Permit # 21. Ducts, in Structure , � � 70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test ' 72. Underground Fiush ' 24. Roof Framing � 73. Undergrnd. Storage_Tank O Gas ❑ Oil 25. Roof Sheathing . ' 74. Overhead Hydro , 26. T-Bar Ceiling (Structural) & Monocoat , �. 75: Dry Chemical . - . 27: Freme and Flashing .' 76. Dry Standpipe � � 28. Lathing & Siding � � �� 77. FIXED SYSTEM FINAL 29. Insulation - � � • 78. FIRE PREV. FINAL ' ' 30. Drywall Nailing , . . FIEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - � 79. FINAL INSPECTION � 32. Electrical Power Meter�Final �� 80. FOOD CERTIPICATE ISSUED. 33. Final Electric ' , Notes: _ _�9 �m � �� '� 34. Finel Heating & Air Conditioriing , ', � / .- �--� cL � ' !�, s(.G G O <<+G C� O/ - 35. Final Gas Pipe-Test . � - ou Go n 36. Hood or Canopy . , � � ' � _. . 37: Final Factory Fireplace � � ' � • 38. Final Plumbing _ � " � ' -. 39. Water Service�Final � l� � 40. Gas Service-Final � - - � ' 41. Solar pomestioFinal . - _ _ 42. Backflow Preventer � � . 43. Backflow Irrigation . � , ' 44. Landscape Irripation System � . ' _ 45. Sound Attenuation � � 46. Handicap Regulations „ ' � 47. FINAL STRUCTURE & BUILDING ' 48. FINAL PLANNING ' � . � 49. Electric Release to Edison ,. . 50. Gas Release to Southem California Gas Co ' �,� � ' � � 51. CERT�FICATE OF OCCUPANCY . � No. Date , SMI'1'H—EME ' LABORATOR.�S . An Independenc Commercinl Testing Laboratory, Established � yoq �.,�W�,.�_smithemerv_com 7B1 East Washingfon Boulevard Los Angeles. Califomla 90021 (213) 7493411 Foa: (213) 74b7220 P.O. Box 880550. Hunter's Polnt Shlpyard San Frandsco. Cali(omla 94188 (415) 3363000 Fox: (415) 330-3W0 Project-Job: SE3064-1 VERIZON WIRELESS-PARK CENTER DRIVE Mailina Address: CITY OF COSTA MESA DEPT OF BLDGS & SAFETY 77 FAIR DR COSTA MESA, CA 92626 660 PARK CENTER DRIVE COSTA MESA, CALIFORNIA (ASTM Standards used C10,C39,C231,C773,C138,C1064) All tests peAorrned by Smith Emery Engineer:John Latiolait size Sample location: SIDEWALK Age 1 02/10/2003 7 2 03/03/2003 28 3 03/03/2003 28 28 day r,;mpliance: N/A Concrete Compression Test Report #: CTHR-1 February 10, 2003 Page 7 of 1 Distributed to SMITH-EMERY LABORATORIES TETRA TECH WHALEN & COMPANY UCCI CONSTRUCTION CITY OF COSTA MESA Date made Monday, February 3 2003 Slump: 4.50 Sampled By 2356 Temp (F) Conc./Air 72 / 12.00 6.00 28.27 56,700 2,010 B 12.00 6.00 2827 12.00 6.00 2827 Job Manager: 71 28 Days Design Strength (PSIj 2,500 Mix Design65530 % of 80 'Fracture rype (A) cone (B) cone 8 split (C) cone 8 shear (D) shear (E) column ALL REPOATS ARE SUBMITTED AS hiE CONFIDENTIAL PROPERTY OF CLIEN7S. AUTHORIZATION FOF PUBLICA710N OF OUR REPORT, CONCLUSIONS, OR EXTRAC7S FROM OR REGAFDING THEM IS RESEFVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES. SMITH-EME� COMPANY � The Full Service Independen[ Tes�ing Laboratory, Established i9a4 �wvw.smithemery.com 781 Easi Washington Boulevard Los Angeles, Califomia 90021 (213) 7493411 Fax: (213) 746-7228 P.O. Box 880550, Huntefs PoinlShipyard San Francisco, California 94188 (415) 3303000 Fax: (415) 330-3030 Inspection Report Project-Job: 3064-7 VERIZON WIRELESS-PARK CENTER 660 [ARK CENTER DRIVE Report #: INSP-1 February 5, 2003 DRIVE COSTA MESA, CALIFORNIA Page 1 of 1 Mailina Address: CITY OF COSTA MESA DEP7 OF BLDGS & SAFETY 77 FqIR Dft COS7A MESA, CA 92626 BOLTING/ANCHOR BOLTS/WELDING INSPECTION REPORT Permit #B02-01651 Distributed to: TETRA TECH WHALEN & COMPANY UCCICONSTRUCTION CITY OF COSTA MESA SMITH-EMERY COMPANY 01 /23/03: > At time of arrival weld' at 4x4 T.S. above elevator was already welded and therefore unknown welder was used and unknown type of fille metal was used. Also (11) Hilti Kwik Bolt I I D.I.A. were already anchored through tube steel base plate's at top of elev r unknown dept. of embedment and clea�liness is also unknown to holes. NOTE: Welds performed a 8 beam tube steel are correct size. �� Continuous visual inspection was performed ofjoint prepa g y certified operator using AWS electrode E7018 1/8" rod at utility platform pipe connection to beam as per detail #8 on S-2. Welder: Robert K. Potter - L.A. City Lic. #P002114. Also inspected drilled in anchors at base plates to utility platform and to concrete walls as per plans details #3, #8 on S-2. Verified torch with calibrated wrench and verified embedment observed the erection of steel platform & witnessed the installation of A325 high strength bolts torch 8, snap verification was made and torch wrench was used to veriTy foot pounds. INSPECTED BY EMP. #2351, David Franco ALL REPORTS ARE SU6MITTED AS THE CONFIDENTIAL PROPERN OF CLIENTS. AUTHORIZATION FOR PUBLICATION OF OUR REPORT, CONCLUSIONS, OR EXTR4CTS FROM OR REGARDING 7HEM IS RESERVED PENDING OUR W RITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES. Srirrtc-I:�i�:i COriP.�Nir " The Ftdl Scrrice InAependent Testing Lnbura�ury, Established t yoq www.smithemery.com 787 East Washington Boulevartl Los Angeles, Califomia 90021 (213) 749-3411 Fax: (213) 746-7228 P.O. Box 880550. Huniels Point Shipyard San F2ncisw, Califomia 94188 (415) 3303000 F�: (415) 3303030 Inspection Report Project-Job: 3033-1 VERIZON WIRELESS 600 TOWNE CENTER DRIVE Report #: INSP-1 February 3, 2003 TOWNE CENTER DRIVE COSTA MESA, CALIFORNIA Page 1 of 1 Mailino Address: CITY OF COSTA MESA DEPT OF BLDGS & SAFETY 77 FAIR DR COSTA MESA, CA 92626 DRILLED IN ANCHORS INSPECTION REPORT Permit#602-01651 Distributed to: TETRA TECH WHALEN & COMPANY SLTC CONSTRUCTION CITY OF COSTA MESA SMITH-EMERY COMPANY 01 /03/03: Provided continuous inspection of the installation of 25 vertical masonry dowels into the existing perimeter masonry wall at the South west corner of 6th level parking structure per stamped approved plans sheets S-1 8 S-2. Simpson Strong-tie epwry tie Set 22 used. All dowels were installed in clean, properly sized holes with required embedment. INSPECTED BY EMP. #2289, Robert H. Cordery ALL REPOR75 ARE SUBMITTED AS 7HE CONFIDENTIAL PROPERTY OF CLIENTS. AUTHORIZATION FOR PUBLICATION OF OUR REPORT, CONCLUSIONS. OR EXTRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR W RITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES. Aov��ant to fill {n a11 spaces exceD� tnose within neavy bortler Iines antl zlgn a11 apvropriate Eeciarationz. CITY OF WSTA MESA, CONST UCTION PERMI PE MIT NO. ^ TRACT NO. LOT NO. UNIT N0. J2iE L{I2BI E�� ?C�nQ � TI Projecc Address ��d �a v K d✓� � 3 /.-d S Applicant's Mailing A dress TVPE OF CONS7RUCTION NEW ADD ALTERATION REPAIR —a /T /.��6 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p,�kk Zone OwneriName/ /- Phone� DESCRIPTI NOFWORK/USEOFBLDG.� Address �L � ad) ,�(yW5 $T � �(^/ �Q�, ��y S MainBuilding: AccessoryBuilding: Arch/Eng. � License No. _ � T � � TYPEOFPEHMIT GRADirvG LJFOUNDATION LJSTauCTURAL Front Address G ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING C�RECHANICAL A qear N i ❑ OTHER Contractor's Nam Phone " j� �7 C Right N Addresslmailin9) n/ W�' �� PROJECTDESCRIPTION 5�p FT^'� OCCVaaiv v—•k �v K CONSTRUCTIONTYPE -3G� �l, VAWATIONS� L¢h G City License No. —��9�� 5 .�G 97� S R ZONE cRAoirvc cu.vos. ACRES p�ng. Ref. # Parkin9 Req./Provided E LICENSEO CONTRACTOR DECLARATION Q 1 hereby affirm tha[ I am licensetl untler provislons of Chartcr 9(Commencing Remarks: � . Pl3nning Not25: ry� with seCtion 7000) ot Divisipn 3 ot the Business antl Profe55ion5 Cotle, an T my license is in /ull torce antl effecL //�/�� 5 License as i�nse wa 7/ PLUMBING FEES Date � � �- 5"9na{ �' ' WORKERS' COMPENSATION DECLARATION gar Sink ShOw¢�5 ELECTRICAL FEES I hereby af/irm tha[ I M1ave a certificate of consent [o self-insure or a certiticate of Workers' Compensation Insurance, or a certltietl copy thnreof (Section BackflowPreventer ServiceSink 3000, Lab. c.) Flutomatic Washer Transformer ❑ 15-50 KW PolicyNo. Company Backflowlrrigation SewerCap Cons�ructionPoleSub. �50+KW 8 C¢rtifi¢tl copy IS her¢by t�mishetl. ,/ � Certifietl copy is filetl with the city Builtlin�bivision.� r,K.,/� BathWbs Sewer Connection Cooking Unit Meter �up to 100 amps Dale Appp�ant �� - �'�� Clarifiers Solar Collectors Dishwasher Meter EXEMPTION FROM WORKERS' COMPEN ATION DE LARATION ❑OVC� 1O02mp5 (This seclion n¢ed not be completetl if the Oermil IS for One huntlretl (5300) or Iess). Dishwasher Solar Piping Dryers �Gas ❑Electric Sub Panel I ce�tify tha[ in the perto�manGe of the wo�k for which this pe�mii is ISSuetl, I shall not emoioy any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors DO-1 HP 01'h • 8 Workers' Compeniation �.aws of Cali(ornia. Date Siqnature Floor Drains Swimming Pool w/Spa ' F.A.U. Inc.Solar �9-15 HP �76�15+ NOTICE: If, after making [n{s tleclaration, you shoultl become subject [o lh¢ Workefs' Compensatlon Oroyisions of the Ldbor Cotle, y0u mUst forthwith FIOOf SinkS Ulindl FixLUI25 MicfOwdV¢ comply wilh suctl prOvi5iqn5 0� this permit sltall be tleem¢tl revoketl. CONSTRUCTION LENDING AGENCV (�id5 Servic¢ Outl¢t5 Wyte� CIOSBt Devic¢ BOx¢5 Pole Light I hereby af/irm tM1at there is a�pnstruction lentling agency tor the perfo�mance of the work for wM1ich �his permit is issuetl (Section 3097 Civ. CJ Interceptors Water Heater Outlets Ran e LenGer's Name 9 LenOer's Atltlress Kitchen Sink Water Service Switches Sign OWNER BUILOEH [iECLARATION I he�eby a1fl�m that I am ekempt from [he Cont�actor'S Lic¢ns¢ Law fot tne Lavatories AutO-WdSh followin9 reason (Section 7Q31.5 Businesz and Profe55ional Cotle: Any city or ' Garbage Disposal $tanding Sections county which requires a permit to construct, alter, improve, tlemolisn or repalr p=Trap Laundry Trays Generamr �0�5 KW �5-15 KW any sVucturq p�br t0 i[5 issuance, alm requires Ihe appliCant to� such pe�mit T�35h COrtlpact0� to file a si9netl statement t0at he/zhe is licensetl pursuant to tne provlsions ot ,Roof Drains the Contractor's License Law (Chapter 9(commencinq with Sectlon 7000) of Division 3 of the Business antl Protezsions Cotle) or that he/she is exempt thme7rom antl the baiis 10� the all¢9etl exemption. Any viOlatlOn ot Section 7031.5 by any applicanl tor a permi[ subjects the applicaqt to a civil �enalty ot not more tnan tive bunOretl tlollars (E500). $ 3 I, as owner ol the property or my employees with wag¢s as lheir sole Reinspecliop Fee $15 ISSu¢ Fee compensation, wlll tlo the �york, antl the ztructure is noi intentletl or ofteretl Reinspection Fee S75 Issue Fee $ 3 for sale �Section 7044, easiness ana Professional Cotle: Tha Contractor's MECHANICAL FEES LlcenSe Ldw tloe5 not apply to an owner Of a property wno bwltls or Improve5 - thereon, antl who tloes such work himself/nerselt or through his or her own goiler Hood or TYPe 1 ❑ DEVELOPMENT $ERVICES RE�UIREMENTS: � employCeS, provltletl that 54ch improvements ar¢ not Intentletl Or offeretl for sdl¢. If, however, lhe bulltllhg or improvemen[ is soltl within onn year ot com- CdnOpy Type I I ❑ Zoning App�OVBd By Date Oletion, [he owner will hav@ the burtlen Of proving h¢/she tlIE no[ builtl or Im- Duct - UndE� G�OuOd BuildinB APProved By Date provG Po� tlte purpose of sal@), ❑ I, as owner of the oroperty, am exUusively contractin9 with Ilcensetl con- Duct-Structural Refrigeration System Application Issued ey � Date�y�ZS � tractotslo construct N¢ project (Settion ]044, Business antl Professions Cotle: e The Contracror's License Law does not apply to an owner ot proomty who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARV O FE builtls Dr improves thereon� antl who contracts for such projeGts with a con- tractor(sl iicense pursuant to tne Contractor's License Law). I am aware that Exhaust System � MWtiple ❑ System Repair/Alteration BUILDING PERMIT S SMIP $ proot o( their Worker'S Comp¢nsation insurance shoultl be provitletl to me. PLAN CHECK 5 PERMIT ❑ I am exempt untler Sect�nn e. & P. C. tor tnis reason Firepl/Fact BIt. IC80 # Fire Dampers PLUMBING $ ISSUANCE $ Date qwner H,�e,a�ting System & Ducting Registers pLAN CHECK 25% S ENERGY P.C. $ � I hereby certify that I have reatl this application antl stale that the above L�f[1-100,0008TU �100,0008T Q ELECTRICAL $ GRADING $ informalion i5 CorrecL I agree [o wmply with all tlty antl coun[y Ortlinance5 antl state Iaws relating to builtling consVucti n antl hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives ot thls cil f0 enler pon ve-mentiOnetl proper[y for inspectionpurposes. ' l,�. MECHANICAL S �-y' b0 2 ��% Si9nature , _ � Da�e G✓— TOTALFEE $ � Drivers' Liconse or 55 qf ^ _ Reinspection Fee $15 Issue Fee PLAN CHECK 25% $ CMF 0865�46, rev. 10/84 White - Builtling: Canary - Applicant; Pink - Accountlng; Goltlenrotl - Assessoi CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector qppROVALS Permit �r` Date Inspector 1-. Temporary Electrical�Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd.'� 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel ReinforcemenS�� 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd'.� ^ 57. APPROVAL TO COVER-GUNITE 7. Footings � i 58. Electrical Conduit-Undrgrnd. 8.- Foundation '., 59. Gas Pipe, O Undrgmd., Test 9. Water Plpe-Undrgrnd, f� 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural floor SysTzm 67. APPROVAL TO DECK 11. Property Sewer Line�& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing SYstem - Final 14. fiough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ��18: Rough Electriral-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' 20. Rough Factory Fireplace APPROVALS Pe�mit # �� ! :� 21. Ducts, in Structure 70. Underground Hydro ; 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil- r' 23. Gas Pipe-Rough & 7est 72. Underground Flush �* � i 24. Roof Framing 73. Undergrnd. Storage Tank �'Gas ❑ Oil � 'i, 25. Roof Sheathing 74, Overhead Hydro �� 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' 27. Frame and Flashing 76. Dry Standpipe ' i 28. Lathing & Siding 77. FIXED SYSTEM FINAL - '� . 'y� 29. Insulation 78. FIRE PREV. FINAL � �' �' 30. Drywall Nailing HEALTH DEPT. REQUIREMENT ' �� 31. Plaster Brown Coat 79. FINAL INSPECTION '' �'� . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED � ' 33. Final Electric Notes: � 34. Final� Heating & Air Conditioning s� � �_ 35. Final�Gas Pipe-Test � �6. Hood or Canopy � 37. Final Factory Fireplace � �`� � � l� � 36. Final Plumbing . ' , i ( a� .i 39. Water Service-Final .� ''� � 40. Gas Service-Final � . � 41 . Solar pomesticFinal � _ ' ' 42. Backflow Preventer ' �' • i � ' 43. Backflow Irrigation � � • • . ' - 1. i { 44. Landscape Irrigation System ' •, � - i • 45. Sound Attenuation ' I � ; � ' , �^.. 46. Handicap Regulations � - ; `; 47. FINALSTRUCTURE&BUILDING ' �t . ' ' ', :. i 48. Special Requiremen[s Completed � � 49. Electric Release to Edison ' • i.. 50. Gas Release to Southern California Gas Co . 51. CERTIfICATE OF OCCUPANCY No. Date Applicant to riil in al1 spaces except those witnln neavY bartler lines antl slgn ali aoorooriate tleclaretions. PERMIT NO. TRACT NO. LOT NO. UNIT NO. 9295 4/25/8,1 L CITV OF COSTA ME/SQ` CO STR TIO P MIT ��,aO� c;oC�� 1 Project Address �/ �1 O �_Z_ � �%� C�'h � AppliCant'S Mailing A re55 TVPE OF CONSTRUCTION NEW /�DD ALTERATION REPAIR _/-ib ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p, # zone Owner'sNam/e Phone •�� DESCRIPTIOf�OFWORK/USEOFBL Addreu J G� �.lt �LC%.S s T G(��nti��--�—� L�/ �� S Main Building: Accessory Building: Arch/Eng. �icense No. �� TYPE OF PERMIT GLCY RnD�rvG FOUrvOATiON S7rtuC7uRnL T Front p Addre55 r�� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL B Rear N Contractor'sName Phone�L_-LL�3l� � oTHER A I • # D PROJECT DESCRIPTION 5Q. Fr. ocCUParvCv � i K Right G Address (mailing) W �� nv CONSTRUCTION TVPE�A�_ VALUATION S�OJ � g Left Ciry �icensc Na. R LICENSED CONTRACTOR DECLARATION ZoNE GRADING CU. VDS. ACRES ping. ReL # Pa�kiny Req./P�Ovid2d E I bereby aifirm tM1at 1 am licensetl untler provl5ions of Charte� 9(Commencing Remarki: wv � Plannin9 Notes: M wi[h section 7000) o/ Division 3 of the Buzina55 antl Professions Cotle, antl my license is In tull tor<¢ ntl eftect , T License Class '� � C�'"'� L7'�g nsery o—. �� S Oate y'ZS 5'g �_ �ia�l��'1/�-' PLUMBING FEES WORKERS' GOMPENSNTION DECLARATION Bar Sink Showers I hereby aHirm that I have a certificate of consent ro self-insure or a ccrtincate ELECTRICAL FEES of Workers' Compensation Insurance, or a cnrtitietl copy Ihereof (Sectlon BackflowPrevente� S¢rviceSink 3Boo, �ab. c.) �+ �y , .,� Automatic Washer Transformer ❑ 15-50 KW Poli No. � Of��Q —4Y company 7r �T��F�+� Backflow Irri ation T 9 Sewer Cap Construction Pole Sub. � 50 + KW �rtifietl c�oov �i�s neYrebv furnishetl. � �� , LK Certifi cop Is tilea with the city Builtl' Division. Bathtubs S¢w¢f COnneCtiOn COOking Unit Met¢r ❑up IO 100 amps oate AOP��cant -� � � EXEMFTION FROM WORKERS' COMGENSATION DECLARATION Cldrifi¢r5 SOldr COII¢CtOrS DiShwasher Met¢r ❑Ov¢r 100 amp5 (Thissection neetl not be comple[etl if the p¢rmll Iz fo� One huntlretl (E300) or Iess). Dishwasher Solar Pi in P 9 Dryers ❑Gas ❑Electric Sub Panel I cer[ify [hat in the performance ot the wo�k to� wnlch this perm�t ii ISSuetl, I shall not employ any person in any manner so as lo become subject to the Drinking Fountains SolarTank Fan Motors �0-1 HP �1'/x-8 Workers' Compensation Laws of Calitomia. Date Si9nature Floor Drains Swimming Pool w/Spa F.A.U. NOTICE: If, afier making tM1is decla�ation, you sM1Oultl become subjeGt to tbe Inc. $Old/ 09�15 HP Oi6-15+ Workers' ComPensation pmvizions of the Labol Cotle, you mus[ forlhwith FIOOfSi0k5 Urin21 Fi%tuf25 MicrOwdv¢ compty witit such pwvisions o� tM1is permit Shall be tleemetl �evoketl. CONSTRUCTION LENDING AGENCV GaSServiCe Outlet5 WaierCloset I hereby affltm thal the�e is a const�uction Ientling agenq for the pertormance Device Boxes POIC Light of the work lor which this permit is issuetl (SectiOn 309� Civ. C.) Interceptors Water Heater Outlets Range LPntler's Name Lentler's Adtlress Kitchen Sink Water Service Switches Si n OWNER BUILOEH DECLARATION 9 I hereby affirm [hat I am exempt from the Conlractor'S License Law for lhe LdvatO�ies AUtO-WdSh (�idlbd 2 Di5 OSdI following reason (Section 7031.5 Businesz ana Professional Cotle: Any city or 9 P Standing Sections county wnicn requires a permit to construct, alter, improve, aemolish or repair P—Trap Laundr Tra s any st�ucture, prior to its issuance, alw requires Ne applicant for such permit � Y Generator O65 KW 05-15 KW Trash Compactor to til¢ a signetl statement that he/she iz licensetl pursuant to the p�ovisions of ROOi D�dinS the Contractor's Ucense Law (Chapter 9(commencing wiih Sectlon ]000) of Divizion 3 of the 6usiness antl Professions Coae) or that he/she is exempl therefrom antl the ba5i5 for the alleged exemption. Any violation o/ Section 7031.5 by any apP�icant for a permlt subjec[s [he applicant lo a civil �nalty af not more than five huntlretl t1011ars (E500). LJ I, as owner ot the property or my employees with wages as their sole RQ��spBction Fee $15 ISsue Fae $ 3 compenzation, wi11 tlo ihe work, antl the structure is not intenCetl or oiteretl Reinspection Fee $15 luue Fee S 3 tor sale (Section �044, euziness antl Professional Cotle: The Contractor's MECHANICAL FEES License �aw tloes not apply to an owner Of a p�operty who builtls o� imp�oves thereon, ana who aoes such work himseli/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: emo�oyees, orovltletl tnat sucn improvemenis are not intendetl or o/feretl for Boiler Hood or Type 1 ❑ sale. If, however, the builtlin9 or improvement is soltl within one year ot com- Canopy Typ¢ 11 ❑ Zoning Approved By Date pletion, the OwnCr will have the burtlen ot p�ovinq he/she tlitl not builtl or im- Duct - Und¢� G�Ound prove for the purpose oi sale�. Building Approved By Date ❑ I, as owner of tne o�operry, am exclusivey toniracting with licensetl con- Duct - Structural Refrigeration System Appliwtion Issued By �� „�Date �—�-� � t�acto�s to conSVuct Ihe project (Section 7044, Business antl Profession5 Cotle: -� -- � The Contractor's License Law does not appty to an owner of property who puct - Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARV OF FEES builtls o� improves thereon, antl who cont�acts fo� such projecls wi[h a con- tractor(s) ucense pursuant to the Cantractor's License �aw�. I am aware that BUILDING PERMIT proof of lhelr Worker'S Compensation Insu�ance zhoultl be provitletl to me. Exhaust System ❑ Muitiple ❑ System Repair/Alteration $ SMIP $ PLAN CHECK $ PERMIT ❑ 1 am exempt untler Section B. & P. C. (ar this reason Firepl/Fact.8lt. ICBO # Fire Dampers pLUMBING $ �SSUANCE $ � Date Owner Hea ' g System & Ducting Registers PLAN CHECK 25% $ ENERGV P.C. $ tl hereoy certiry that I have reatl this application antl siate Inat tne above � 0.100,OOOBTU �100,000BT GRADING $ intormation Is correct. I agree to compty with all city ana county ortlinances ELECTRICAL $ antl state laws relatin9 to builtling conztruction, antl hereby autnorize reore- PLAN CHECK 50% MICROFILM S sentatives ot I�i ity to e[ET o h bov¢-mentionetl prop¢rty for $ inspectlon purpq�s, "I�� /�� 8R MECHANICAL $ �-y`tl� TOTAL FEE $ �y� Signature ALe�_ � Date 7' Reinspec[ion Fee $15 Issue Fea PLAN CHECK 25% $ Drivers' License or 55 � bmr utlbb-46, r¢v. 1V/tl4 WNte � bullaing; Canary - Appllcant; YInN � qcrountlng; Goltlenrotl - Assezsof CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector i. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd." 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-U�idrgrnd. 55. Elec[rical Bonding 5. Steel Reinforcement', 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd.'� 57. APPROVALTO COVER-GUNITE 7 :�Footings �', ' , 58. Electrical Conduit-Undrgrnd. 8. �Foundation �, 59. Gas Pipe, O Undrgrnd., Test 9:� Water Pipe-Undrgrn5l�!'� 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Linel& House Connection 62. Backwash & Recepmr-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing SYstem - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval ,�•7. Rough Wiring Si9n 68. APPROVED FOR PLASTERING (18� Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL �. 19: Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT i;� .. 20. Rough Factory Fireplace APPROVALS Permit # � 21. Ducts, in Structure 70. Underground Hydro �"�• '�� 22. Ducts, Ventilating 71. Product Piping O Gas OOiI. `'„ ,. 23. Gas Pipe-Rough & Test 72. Underground Flush ;� ,� 24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil ' 25. Roof Sheathing 74. Overhead Hydro r� • � 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � � 27. Frame and Flashing 76. Dry S[andpipe � 28. Lathing & Siding 77. FIXED SYSTEM FINAL ." �i I� 29. Insulation 7S. FIRE PREV. FINAL ' �' 30. Drywall Nailing HEALTH DEPT. REQUIREMENT �'� � 31. Plaster Brown Coat 79. FINAL INSPECTION i ' �� 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED � 33. Final El�ctric Notes: 34. Final'Heating & Air Conditioning �' - � • � i '. 35. Final Gas Pipe-Test F��: �6. Hood or Canopy . ' 37: Final Faaory Fireplace r; �� '� i 38. Final Plumbing / ' " i. ' i . 39. Water Service�Final � �� J • � • ' , 40. Gas Service-Final ` " � � � � 41. Solar pomesticFinal , J ', � � � � � � � , . � , 42. Backflow Preventer '' ' � , , � ; 43.'Backflow Irrigation . � � • • • � � , 44. Landscape Irrigation System '',� . 1 � � 45. Sound Attenuation �ti . • � . . - 46. Handicap Regulations '�' ' � � i . d7. FINALSTRUCTURE&BUILDING ,. I �i l � ' �8kSpecial Requirements Completed _, ,. � `- ' 49. Electric Release to Edison •- � � , 50. Gas Release to Southern California Gas Co -' , 57. CERTIFICATE OF OCCUPANCY No. • Date . _ . � , � � f . �J 19412 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 81] COBTA MEBA. CALIPORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDIN6 �/J ADDRESB /' COSTA MESA. CALIFORNIA ■ MAIL ! BETCACK LIX6 FROM / cenTHR oP cTnH[i ,�O REAR HIDBYARDI LfiFT ` � I RIQHT DESCRIPTION OF WORK BUILDIN6 � SIZE ' (9 ' EXTERIOR WALL BB FEE RECEIVED �rAAY 2 9 196;� FINAFNCE DEPT. APPLICATI0�7�FOR'Pe��TA MESA BUILDING For Oifice Use Only I RHCHIPT NO. I PEqMIT NO. er ��R '� Purve 2I su tc nc��/ ..-r4� � !/ N`J o=.�R��o„ �X� �J'o' � oT .ro5� , � A. P. NO. Jl�,l $�-09�'� NOTE: NO HAVE OVERHANO SHALL BE LE55 THAN � 80' TO 91Dfi G REAR P. L. HAVES ALLOWED �U.B.C.REQUIREMfiNT YAR�B APPROVEO YARDBAPPROVEO MAIN BUIL�INa ACCESSORY BUILDING f FROM GL 6TRHHT) /��. � FR NT FT. Lf � FT, ��J-r// R. IDE .� FT. tJ FT. .��os ��. Iv�. R6�R H'/! FT�� O�_ VAR. #�1 �� 1/ ✓` I DATE L� �. �_ P.sJa�-D Y J�� waPRoveo � 6 - ' � / oo eO. �. y6o d� o 1 HEREBY �CKNOWLHDO¢ TXAT 1 H�V[ F6�O TN18 APPLICATION THE �MOUNT 9X0 UNDEH VALUATION 18 ROP THE F wNO BTAT6 TXAT TH¢ ABOV[ IB COHR6CT AND wORB[ TO COM. �UFPO9i O!� ¢YTABLIBHINO A PEHMIT FEfi ONLY. � PLY W�TH ALL CITY ORUIf�AXCU AND DiATi I.AWf PiOULATINY VALUATION ^ BUILDINO CONBTRUGT�ON � H SIONATURE OP � PERMIT FEE $(P_ � j PERMITTE S /Q /OlJ �� S� O /f AUTHORIZHD A6HNT � �` TOTAL FfiE S /�� 1 ) x 0 � / � ro C�7 C] HD r � H � �