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674 PARK DR - Building Permits
6 � 1�7Y CITY OF COSTA-MESA CONSTRU�T.IO�IPER roject Addres Own¢f �Address - �ArchlEng. Address S'�iS OR2/, b�e� al� a, �uT ! tleclarations. BLDG.NO �? � TVPE OF CONSTRUCTION h NEW ❑ ADO ❑ ALTERATION �, REPAIR ❑CONVERSION ❑DEMOLISH No. a ❑ OTHER � _ . DESCRIPTIONOFWORK � T'„`�.�[o`�C��� TYPE OF PERMIT ,�-/- - 2 S ASANrNAIl� GRADING�( �FOUNDATION �y[fSTRVCTURAL,. - LIGENSED CONT AC OR DECLARATION.C. IGNLAHD � ❑ TENANT yf ELECTRICAL �PLVMBING �SMECHANICAI I nereby afflrm th:.t I am IlcenseE untler p�ovlSions of ChdrtGr 9(com- � p� T¢nCln9 with 5lCUOn ]000) �ot DlviSion 3 of lhe Business-antl -❑ OTHER '`�%��y��(L ��g Rotesslons Cotle, a my Iicenze is in (ull force antl effect. � pROJECTDESCRIPTlO /t•�� ���� �2 Litenz4 Cla�sS,� �� � � ^ License No.� Date1LS�L�_ Si9nature " � SQ. FT. �� L� �/O0�_�� WORKERS'�COMPENSATION�OECLARATION �_ � OCCUPANCV — CO� I hereby affirm Ihat I have a certlticate ot consent lo self-inwre or a ,VALUATION� cerlitifate of Work¢r5''Comp¢nsatlOn Insurance, or a Certitietl Copy thereof (Section 3800, lab. C.). ; GRADINGCU: YDS. _ 'aon�vrvo.�io.5.3I_A2comoa�v SA� FuND � �- �Cerllfletl copy is hereby furnishetl. . _ . REMARKS: � C / ❑ Certifietl copy Is filetl with the city Builtling Divizion. , EXEMPTION FROM WORKERS' COMPENSATION DEClA0.ATION � ' (TM1is sectlon neetl not be completetl if, the permit is for one, huntlretl � - r— (E3001 or less). ., . . . . I Cert(fy thdt In the performance_Of the work for which this permi[ I5 iszuad, I shall not employ any person in any manner so as to become PLUMBING'" ' � � sub)ect ro the Workers' Compensation laws of Californla. ' � M Date Si9nature BATHTVBS �� NOTICE: It after making this tleclaration, you shoultl become subject ' TOILETS � to Ihe WOrk¢r5' Compensafion provl5ion5 of the Labor Cotle, y0u mu5t I for[hwi[h comply witn such provisions or tnis permit snall be tleemed LAVATORIES �f„ revoketl._ . \ CONSTRUCTION LENDING AGENCV � KIT.SWKS - � 1 hereby affirm [hat there is a construction lentling agency for the per- SERVICE SINKS OformanG¢ of the work for whith thl5 permi[ is issu¢tl (Settion 309] � Clv: C.�. Nf�R�L�y S 1—� '-. � FLOOR�SINKS � ! \ Lantler'sName s - � Lentler's Atltlress �/ � ✓ DRINKING FOUNTAINS . OWNER BUILDER DECLARATION ' - —� - -INTERCEPT,ORS I M1erebvaftirm lhahl�am exemot�from.the Contractor's'LicEnse Law to� . - � •� ine55 antl ROfe55ion5 Cotle) or Ihaf he s for the alleqetl exemption. Any vio appli�nt' for a pe�mit sublects the nOt rnOr¢ [han liv¢ huntlretl tlolla�s (S I. as owner ol the orooertv. or mv er IUCTION TVPE Y= / 20NE � _ ACRES PLAN CHECK ' SHOWERS � ..RI vA �5� ,...� " _ ' '. _ DISHWASHERS � SUMP� FLOOR DRAINS �ess ana rroresvom i,oae: SWIMMING'POOL- "P'TRAP ' " ' �¢rmit to mnstrucq alter,. arior to its Issuance,-also re- y.�qTEF S[RV ICE �� �A�TERATION �-� � a si9netl statement [hat ne •Contractor'sLicenseLaw GASSERVICE � � OUTLETS � )00) ot Division 3 0( the � exemp[ thercfrom antl the WqTER HEATERS 'BTU OUTPUT' '- � tion of Section 7031.5 by pplicant to a� civil penalty SEWER CONNECTIONS ' � ! Do) `,p " oloyees wi[h wagei as theii SOLAR TANK ' - COLLECTORS � ne ztructure is not intentletl antl Rofessionz Cotle: The SOLAR PIPING SVS. � � ConVdctor'S L�cenie Ldw tloe5 not appry to an ownel of a property , _ wh0 builtls o� Improves thereon, antl who tloes such work hlms¢If or � ISSVE FEE � � —� � th�ou9h �is own employees, p�ovitletl [hat such imprOVGments a�e not Intenaetl or oHeretl tor sale. If, howeveq [be builtling or improvameni MECHANICAL PLAN CHECK is Soltl within one year O( Completion, the owner will have Ihe burtlen Of prOving h¢ tlitl not builtl or improve lor the purpose of sale). HEATING SVSTEM 0-100,000 BTU ❑ I, a5 owner oi lhe property,-am exclu5ively cont�actin9 with qNDDVCTING ' Ii<tnsetl COntractors to con5lru[t the project (Section 7044, Buslne55 ]00,000 f gTV _ antl Rofessions Cotle: The Contractor's License Law tloes not apply to an owner ot property who builtlz or improves [hereon, antl who mn- REFRIGERATION 0-300,000 BTU_ tratls� Irom� such project5 with a cont�actor�sp licesn¢0 Pursuant to $YSTEM - — the ConVaclor's Licenze I�w). 100,000+BTU_ ❑ I am eRempt untler Section' - ' - B: 8 P. C. for this BOILERS BTV reason - Dato. Owner SVSTEM REPAIR, ALTERATION I hereby tertifythat I have read this applica[ion antl state tnat the above EXHAUST SVSTEM ULTIPLE Information is correct. 1 agree to comply with all City antl county . Ortlinances antl state laws relating to const�uction, dntl hereby duthorize repr¢s¢n[atives of [his cily to enter up n the above mentlonetl pro0erty for in p^ eA ction pu�p ses � �` �t -K,eMe•e 3 Signature � � - ISSUE FEE CMF 0865-46 White-Builtling; Canary-APPllcant Pink-Accounting; Goltlenrotl-A55¢szor . „\ 3352 I/�I/�,� 20NING REGULATIONS A.P..iC '�+Ir . — I —� ZOfJE '^�PLNTGp. RUEFL. p� � SETBACKGLST. . LV� PROPE�RTVNLINE c SIDE VAR� i u '. L5EpFT R�IGHTA � �� REAR YARD (TO P/L) PKG.SPACE kEa. .� _ PROVIDED p STREET WI�TH n�� � PARK FEE�S „ 20NING APPROVED BY ��G � 'DATE � SPECIqLCONDIT10N5: �. � CIAI. REQUIREd1ENT5" .. . . � ELECTRICAL ' PLAra CHECK" ' - , 3,:,4� T� c ��rv�nni�n 0-1KW_1-lOKW TRANSFORMER - . APPLIANCE 10-SOKW_50'+KW - �MOTORS - 0-1 HP_1-30 HP"' - ' - I ;(INC.SOLAR) �30-SOHP SO+HP � - � FIXTURES — OUTLETS' -SWITCHE$' ' � GAS TUBE SIGNS -' ' - ' ' - POLELIGHTS ' " ' - "-" , POLES METERED SUB r.� I. PAfVELS ' MAIN _. SU8 " ' ' � ' ' _ . . ' ' ISSCIE'FEE' - " ' ' " - `j ^' � APPLICATION APPROVED BV — TE ( u SUMMARV OF FyES BUIL'DING �� V PERMIT f��: `�SM�P: ' S� � PLAN CHECK 5 �ERMIT " �Tj� ���SSUANCE� S - PIUMBING E�.+= GRADING E ' � ' PLAN CHECK E�j � • � ' ELECTRICAL E�LSj�S1 / s .PLAN CHECK- E - - �/ /^�'' �CROFILM'E MECHANICAC E � "" ' OTAC FEE § - PLAN CHECK S �-ES$ AD= ' VANCEPC $_ FINAI FEE 5 � -- , . . CONSTRUCTION AND PLANNING . � • , � ;� � ;POOL & SPA . ' . � , -. . - � �5�1Z2 Date Inspector � `� ' � " Date �Inspector APPROVALS Permit # � APPROVALS . Permit # -�_ -- . ... - - 1. Temporary Electrical Service or Pole " 43. Pool & Equipm8nt Location " � `-• Soil ipe:Un rgm 44. Steel Reinforcement= ' • • ' � � � � �- � • •• -• 3. Electrical Conduit,U,tility=Undrgrn - 45. Forms ' � • �� �� ' - � -- � - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding � • - �� - • � ' � � ' - . tee em orce 47. _Rough Plumbin & Pressure Test - � �- � � � • 6. ElectricalUFERGm "48. "APPROVALTOCOVER-GUNITE - - - � . '- ,-' '� 7. Footings • - _ " 49. Electrical Conduit-Undr m • - 8. Foundation '' �� ' � 50. Gas Pipe, ❑ Undr rn, Test. . 9. Water Pipe-Undrgrn � 51. Backwash Lines P-Tre 0 ndi rn � 10. Structural Floor SYstem 52. APPROVAL TO DECK ' - ` 11. Property Sewer Line & House Connection �3 �53.�_ ackwash & Rece tor-Final 12. _ Street Sewer Connection � �54.- Heater & Vent-Final 13. Rough�Plumbing �_ • � � • ' -' S%J � � "� 14. Rough ElectricConduit � 1 -ZS� e � � �56: �Electrical-Final • 15. Rough ElectricWiring � � 57. Solar System-Fina6 - 16. - Rough Heating & Air Conditioning - - z� y3 S" � Fencing & Access Approval � - 17. Ducts, in Structure ' � APPROVED FOR PLASTERING 18. Ducts, Ventilating . . - ' , . 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL � 20. Roof Framing - • 21. Roof Sheathin . �y. - 22. Frame and Flashin �, �„ NOTES: ' � 23. Insulation ' - � 5 (fl..' . � � 24. Lathing & Siding ' � ' � ' � � � � - 25. Drywall Nailing -/E". S 26. Plastei Brown Coat � � +/ . , 27. Electrical Power Meter-Final -� � 28. Final Electric ' 29. Final Heating & Air Conditioning � 30. FinaCGae Pipe-Test �- 31. Final Plumbing ' - ' ' 32� Water,Service-Final ' ' ' 33. Gas Service-Final � � ' 34. $olar pomestic-Final ' 35. Landsca e S rinklin S stem 36. Sound Attenuation � � � 37. Handicap Regulations � � � • � • ' � • � 38. FINAL STRUCTURE & BUILDING ' /.7� 5 . . , . 39. Special Requirements ComplOted � Q � 40. Electric Release to Edison � -' 41. Gas Release to Southern California Gas Co. •- 42. CERTIFICATEOFOCCUPANCY � � ' No � Date _ , , . ,� , , s (� �� �i�nk�� � CITY OF CO TA MESA - ' CCENSTRUCTION PERMIT Address Address � spaces within heavy borCer lines antl sign all appropr' ie decla�ations � I S� �." I � Vdi�' I��� LOT NO BL� y J TVPE OF CONSTRUCTION � 'C' Phone I�NEW � ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ GO VERSION ❑OEMOLISH ic¢nse No. ❑ OTHER � . _ _. _ �� � DESCRIPTION OF WORK �onvacco[ �Urnoney _.pb f TYPEOF,PERMIT -� � - %t9J'7As�r�� A+'� ❑.GRADING ,� FOUNDATION� �STRVpC� LICENSED CONTRAC �OR DECLARATION .K16'f{1/�AIO ��A' ❑ TENANT � ELECTRICAL �PLUMBING p I hereby a(firm that I am licensetl untler provisions of Charter 9(com- ,.. , � mencin9^with sec[ion^ 1000) o( Dlvislon 3 of the Business antl ❑ OTHER - � • Professions Cotla, nd my Iicense is in �ull force aQtl etlect. � �' License Ciass ��� � - LI s � S l`� L 3 � PROJECT DESCRIPTION Ej�R�i� .F.' �n� Dale �^ZQ�:-�3� 5iqnature_.� ••en:�^� SQ:FT.�_�y��e�••• WORKERS' COMPENSATION DECLARATION_ - - 'OCCUPANCY CONSTRUCTION TVPE _�,..f I hereby affirm that I have a certititate of consent to self-insure or a� VALUATION���ZONE certiflcate of Workers' Compensation Insurance, or a-certi(ietl�copy � - thereof (Se tWn 3Q 0�0 L,ab..0 . GRADING CLL VDS. ACRES _ PojifY No.� 5 D S � / "cY�omPanY S%f�7C �Rl�C1� .._ .. _ ' - - 6f C¢rtitietl COpy is hereby fumishetl. ! REMARKS: - � , ss ' �� Certlti¢tl COpy Is� iletl with the city Builtlinq Division. �EXEMPTION FROM�WORKERS' COMPENSATION'DECLARATION "- �. p (This se[tion neetl hot be completetl if the,perTit is for one huntlretl - � (53001 or less). , . � � e�� - ' - I cert(fy_that ip the_perfo�mance of the work for which this permit is issuetl, I shall not employ any person in any'manner so�as to become 'PLUMBING �.1�_..- � PLAN CHECK ' subject to the Workers' Compensation Laws of California.-,_ ;_ _ . ' Date Si9nature � BATHTUBS SHOWERS� 'NOTICE: If atter makinq this tleclaration, you shoultl become subject, TOILETS - �.URINAl.S '" to the Workers' Compensation provisions ot tbe Labor Gotle, you must torthwlth comply wi[h such provisionz or this permit shall be tleemetl LAVATORIES� DOUBLE lAVS' � revOk¢tl. . . � (�(� CONSTRUCTION LENDING AGENCV � � KIT.-SINKS" - " ' - DISHWASHERS' �I hereby affirm that there is a construc[ion lentling agency for the perv SERVICE SINKS - 'SUMPS �'- formanCE Of [h¢ work for which this permit is issuetl (Section 3097 • ( Civ. CJ. '- ' '��j�' S�L' FLOOR SINKS -� FLOOR DRAINS - �Lentler's Name - � '�ender•s Atltlres< 7A/Z �D/ �e! F��iU(. 'SC/-(�. �, DRINKING�FOUNTAINS " " ',-i , � OWNER'BUILDERDECLARATION' ' - "��� -" 1 ' Q I hereby affirm that I am exempt from the Contractor's License Law for ItJTERCEPTORS � CLARIFIERS, � the-rollowing-reason (Section 7031.5 Business antl Professions Cotle: SWIMMING POOL '_ PTRAP 'Anv ci[v or countv which reauires a oermi[ to mnstruct. alter. ,� ZOI A:F. � ZONE �pj,� � � D SETBACK C L 5T. G TURAL ' SIDE VARD � LEF MECHANICA 5IDE VAR - I RIGHT � y) REAR YARD (TO P/L � � �PKG.SPACE REQ. XJ'�/ STREETWIDTH � ,.,��; 'LVIVIIVIiHYYI �� SPECIALCON - i _. _ '-- �ELECTRICAL s,,5i i i�i ie� ING'REGULATIONS� PLNG. IDED FEE $ 383045 Ti ONS: . _ ' _ . � . " . i ._. �i id ' .Y � _ ..� ' � "' PLAN CHECK "' ' ' - GENERATOYi' -p.l KW_ 1-30 KW, - ' - ' TRANSFORMER ' , . ' ' APPCIANCE' "" 30-50KW_50+•KW � � MOTORS � � 0-1"HP-_1-10 HP- - ' ' � , - "(INC.SOLAR) 30-SOHP_50+.Hp � - : " : ,FIXTURES " "'"OUTLETS' $WITCHE$- ' -- - GHS'TUBE'SIGNS- " ' ' � -- - - � �POLE LIGHTS ' -" ' '- , - - , - qw�es ine ap{.ucan� ior sucn permrt [o me a signea nacemenc ina� ne is Iitensetl pursuant�to the-provizions of fhe Contractor's License Law GAS SERV ICE � OUTLETS ��� (Chapter 9(commencin9 w�th Section 7000) oi Division 3 of the Busines5 antl Profes5ions Cotle) or that ne is exempt therefrom and the yyATER HEATERS BTU OUTPUT -' - "l'z basis lor the alleqetl ezemption. Any violatiOn of Settion ]03L5 by any�applifanbfor-a permit subjects-tne aDP���ant to�a civil penalty - SEWER'CONNECT NS '"- of not more than five huntlretl tlollars ($500). � ❑� 1, as owrier of lfie pioperty,-or -my employees with"wages az their SOLAR'TANK —' "COLLECTORS' " Sole compen5dtion, will tlo Ihe work, antl the st�uc[ure is not intentletl br ofteretl for sale. (Section ]044, Business antl Professions Cotle: The SOLAR PIPING SVS. � �- � � Contractor's_License Law_tloes not apply to an owner of a property .._ _ who builds or improves thereon, antl who tloes such work himself or ISSUE FEE -� ' �`� throu9h hiS.Own empioy¢es„provitletl that Such improvements are no[ in[entletl or offeretl for sale. If, howeveq the builtling or improvement MECHANICAL PLAN CHECK is.soltl within one year ot completion, lhe owne� will have the bu�tlen - of proving he did not builtl or improve for the purpose of sale). ryEATING SVSTEM 0100,000 BTV ❑� I,-as owner- of lhe���p�operry, am�-exclusively conVacting with. qND DUCTING ' ' IicenSetl contractors to cansVuct the proleCt (Section ]044, BuSiness 100,000�.+BTU antl Pro/essions Cotle:� The-Cont�actor'S-License-l2w tloes notapply to an owner o( property who builtls or improves the�eon, anC who con- REFRIGERATION 0-300,000 BTU tract5 t�om suth•projects with-a mntractor(5) licesnetl� pur5uanf-[o � SVSTEM- - �- � ' - -� ihe Contractor's License Law). 100,000 + gTU ❑ I am exempt untler Section 'B. & P. C.-for thi5� ' - BOILERS BTU reason - - - �— � Date. Owner SVSTEM REPAIR, ALTERATION 1 hereby tertitythal I have reatl this applicdtion antl sta[e that Ihe above EXHAUST SVSTEM � ULTIPLE information-is correcL 1 agree to comply witF all city antl county , ortlinances antl state laws relating to con5t�uction, antl hereby authorize representatives ot"this city to enter. qpon the above mentionetl� , prope�ty forrnsu1le�ction pur�7Qse � e�� �� $ignature • ��+�"��+�(�� lb�.Ai 4� � Date 1`_65C_'�1 � Drivers' License or 55 $_��� � ISSUE FEE � � CMF 0865-46 WM1ite-Builtling; Gnary-Applicant; Pink-Accoun[in9: Goltlenrotl-Assessor PANELS ' MAW �" SUB' ' - ' SERVICE ' - - �� AMP - - OO-' ISSUEFEE- ' ' "- • ' (APPL'ICATION APPROVED'BV^ - - ATE -� � , � SUMMARV OF F,EES ��, � � � � j / BUILDING � - - � � ✓ �PERMIT _$_�,�'_'� rSMIP ' _,$!_�_�1 �PLANCHECK $ iPERM1T f ,- p,-. � ISSUANCE �$ PLUMBING $� . ..�. � , ADING E PLANCHECK E�, . - ELECTRICAL y `�' : � -' $ � � ICROFIWI $ � �PLANCHECK $`�7� -� - � MECHANICAL $� •_� l. TOFAL FEE $' 7 - � ' �' L'E55'AD- � � �'PLHN�CHECK�'$-� - - VANCEPC -$=- ' � . ,. .�' _ ' ,.i ��f' ' ' , FINAL FEE $�+ �• �� -... . .. _ � CONSTRUCTION AND PLANNING - •- _ _ ` - • _ , :• POOL & SPA _ - _ .. . . • - Date Inspector �' __ _ Date Inspector APPROVALS Permit # �` -- � APPROVALS � Permit# - - - .. � �:� 1. Temporary Electrical Service or Pole 43. Pool & Equipment�Location' �.' . `�� ' Y � � "' �' ... . ,.2. Soil, ipe-Undrgrn •- ; - . . .._ 44..�C';SIeel Reinforcement �-..'_,� . .° .... . �. � � . . 3. Electrical Conduit Utility-Undrgm ; , _ 45. Forms - � • - ' - - � . 4. Electrical Conduit-Undrgm 46. Electrical Bonding �^ � - � - � �� � �� • �� ' tee ein orce 47. Rough Plumbin & Pressure Test� - ' � 6.� Electrical UFER Grn cj / � � ' ' 48. -dPP.ROVAL TO COVER-GUNITE - -� ' ' 7. Footings . �- ' - 49. Electrical Conduit-Undr rn � � � _ 8. Foundation_ � , 50. Gas Pipe, ❑ Undr rn,.Test, ; � � ^- � � • 9. Watec Pipe-Undrgm ` � 51. Backwash �ines P-Tra `��' � ndr rn � '- ` - � � � 70. Structural Floor System � � 52. � PPROVAL TO DECK """ '" - " ' " ` ' -" - ' 11.. Property. Sewer Line &.House Connection �7 ��_ f .53. . .Backwash & Rece tor-Final � � 12. ..Street Sewer. Connection _ � ' ' - � -54. 'Heater & Vent-Final � ,. 13. Rough.P,lumbing•.:;.%.*.. .' :F: ';.'_'.': .1 � - . . _ .. � 14. Rough ElectricConduit - - � --- - - � ` �56. Elec$ical-Final - � � ' 15. Rough Electric-Wiring � � - � � - ;� .� - � 57. Solar-System-Final � ' ' � ' � 16. "Rough Heating & Air Conditioning- - � S =,e, _� - - - � �Fencing,& Access Approval . 17. �Ducts, in Structure "" ' � - APPROVED FOR PLASTERING� ' ' 16. Ducts, Ventilating � • � � . _ . _ . . 19. Gas Pipe-Rough &Test - . . - - ._ _ ,60. POOL/SPA SYSTEMS FINAL � - 20. Roof�,Framing �- - - - _ � ' � " ' 21. Roof Sfieathin - � - - - - . � � � � � 22. Fremeand Flashing � y ,�_ NOTES: ` I 23�. Insulation � � - 3 ' ' ' 24. Lathing & Siding - " . �-� -U - � - ' • � 25. Drywall Nailing � � - � �( �"' � - � � � 26. Plaster Brown Coat " ' ' � 27. _.Electrical Power MeterFinal � � � ' ' � � " " 28. 'Final Electric - - -• � � � 29. Final,Heating & Air Conditioning. � - 30'. Final Gas Pipe-Test - � j -� 31�. Final�Plumbing 32. Water Service-Final - ' � ' � � 33_ Gas Seivice-Final � - � ' � 34. Solar pomesticFinal � - � ' - • - ' ' � 35. Landsca e S rinklin S stem . ' ' � � 36. Sound Attenuation � • 37. Handicap Regulations � � � - � � � � � • 38. FINAL STRUCTURE & BUILDING - ' � ' ' - � 39. Special Requirements Completed ' � " � 40. Electric Release to Edison � � - � � � �� � � � 41 . Gas Release to Southern California Gas Co. � •� � 42. _ CERTIFICATE OF OCCUPANCY � ' � � 'No� Date - - . . , _ .-.: ... _ i. _ . �U .