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Home My WebLink About1889 PARKVIEW CIR - Building PermitsCITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO.-;!,oDATE LOT NO. ADDRESS The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa . The undersigned, by exec ng this agreement, acknowledges that (he -she -they) (was or were) Afte�^ advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the.aforementione mpleted condition. i2Td PRO,jCTAlSS: ]889 PARKVIEW CI UNIT: rNER'S i. E: TAYIrOR, VERNON K iii ADDRESS: TAYLOR, KAREN L 1889 PARKVIEW CIR COSTA MESA,CA 92627 646-1059 ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: RICHARD MITHOFF BUILDERS (714)641-7001 ADDRESS: 3086 CEYLON RD COSTA MESA CA 92626 LICENSED CONTRACTOR DECLARATION: I hereby affirm 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 effect. CITY 03329.3 STATE LIC.: 220806 CLASS: B s Date: g - I p / Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a fi a of Workers' Compenston 1 t f d UtJryf %ction 3.800, Lab . POLICYNOi.: LL�—Y16N11 1/01/92 COMPANY: STATE FUND Ceer/rt��ified copy is hereby furnished. [Z Certified copy is//filed with the city Building Division �i. uate'. 2=7)- 31 ' APPlicant. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for and d ($100) or less). I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any in,er so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: If after making this declaration. you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: 1 hereby affirm that I am exempt from the Contractors' State License Law for the fallowing reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner of the properly or my employees wild wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Section 7044. Business and Professional Code: The Contractors' State License Law does not apply 10 an owner of a property who builds or improves thereon, and who does such work himself/herseff or through his or her own employees. provided that such improvements are not intended or offered for sale. It, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I. as owner of the property. am exclusively contracting with licensed contractors to Construct the project (Section 7044, Business ❑ and Professions Code'. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. I am exempt under Section: 8. 8 P. C. for this reason: Date: Owner I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533. and 25534 and that I or any future budding occupant willNo I not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Date. Applicant: I hereby certify that I have read this application and state ordinances and stale laws relating to building construction property for lnspeChen purpo4ses. Date: (Q — Z _poL I Signaure: Driver's License or Social Security x: the above information is correct. I agree to comply won all city and county ereby authorize representatives of this city to enter upon the above-mentioned \ \ 64146Wture—Build ng: Green—Code Entorcement; Canary—Applicant; Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 16 - PERMIT NO: B 054163 PLAN CHECK NO: 03817-91, A GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: STR PURPOSE: ADD JOB DESCRIPTION ADD STORAGE ROOM UNDER HOUSE SQ FT: 485 CLAIM VALUE: 2,200.00 CALC-VALUE: 8,390.50 GROUP OCC: R-3 / COMMENTS: NO SLEEPING AT ANY TIME/ STORAGE ONLY!!'. 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 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 RE&q PROV: PARCEL: 42431133 ZNE: R1 REF NO: PLANNING NfSTES> INSTALL A BASEMENT BENEATH AN EXISTING SINGLE FAMILY > RESIDENCE. 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--f S ZONING APPROVED BY A DATE: BUILDING APPROVED BY DATE: APPLICATION ISSUED BY DATE: LEGALIZATION:N F E E U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELE RIC MECHANIC FIRE SMIP/RES GRADING PERMIT 108.00 •84 SMIP/NON-RES PLAN 17.55 ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 108.84 0.00 17.55 126.39 126.39 •00 REVENUE DIVISION TOTALS--> COLLEC'TEII.: 126.39 OVER/SHORT: •00 BLDG PMT PLUMBING ELECTRIC'MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 108.00 .84 17.55 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 1-0 N_ UNIT COST TOTAL COST tit SFR 485 RES -GARAGES TYPE V 17.30 8,390.50 -END OF FEES V v CONSTRUCTION AND PLANNING APPROVALS Permit +--,-I Date Inspector POO'PA 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-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. St , eel Reinforcement F Cj ( D 56. Rough Plumbing & Pressure Test .B..Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE - 7. Footings A'1 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd, 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor System - - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection - . 62. Backwash & Receptor -Final 12. Sewer Cap -. 63. Heater & Vent -Final 13. Roof Drains - , - 64. Plumbing System - Final 14. Rough Plumbing t. 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. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20;; Rough Factory Fireplace 21Ducts, in Structure ` -70. Underground Hydro 22. Ducts, Ventilating' • .71. Product Piping O Gas 13 Oil 23. Gas Pipe -Rough & Test _ 72. Underground Flush .� 24. Roof Framing 73., Undergrnd. Storage Tank •O Gas ❑ Oil 25. Roof Sheathing ., 74: Overhead Hydro 26: T -Bar Ceiling (Structural) & Monocoat - 75: bry Chemical 27. Frame and Flashing 76. Dry Standpipe - 28. Lathing & Siding- -. 77, FIXED SYSTEM FINAL 29. Insulation ; 78. FIRE PREV. FINAL • 30. Drywall Nailing s HEALTH DEPT.. REQUIREMENT 31. Plaster Brown Coat ;` 79'.'FINAL INSPECTION 32. Electrical Power Meter -Final' 33. Final Electric 34. Final Heating& Ali Conditioning j '. .. - 8&.., FOOD CERTIFICATE ISSUED' Notes; -- y 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38, Final Plumbing 39. Water Service -Final r 40. Gas Service•Final 41. Solar DomesticFinal - - - - 42: Backflow Preventef 43. Backflow Irrigation t - 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDINGPIA 48. FINAL PLANNING _ ` 49. Electric Release to. Edison 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No. Date CIAODRESS: 1889 PARKVIEW CI OWNEi. NAME: TAYLOR, VERNON K ADDRESS: TAYLOR KAREN L 1889 PARKVIEW CIR COSTA MESA,CA ARCHIENGINEER: 646-1059 ADDRESS: UNIT: 92627 NEG.NO.: UNIT: PERMITTEE: RICHARD MITHOFF BUILDERS (714)641-7001 ADDRESS: 3086 CEYLON RD COSTA MESA CA 92626 LICENSED CONTRACTOR DECLARATION: I hereby affirm 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 farce and effect. CITYLIC. 033293 STATE LIC.: 22t CLASS: B Date'. '- Signature'. _ WORKER COMPENSATION DECLARATION: hereby a firm that have a certificate of consent to self -insure or a ce i e f Workers' Compensation Insurance. or a certified copy thereof (Section 3800, Lab, C), POLICYNO.: 229-91UNIT03336 EXP. DATE: 01/01/92 COMPANY: STATE FUND ` �1 Certified copy is hereby furnished. [2 Dertilied copy is filed,J with the city Building D/iviiiiis/i/oonn. ..ate:7 Z�.-.( Applicant. E/S.(,A(,I _314, EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for on 1 ($100)or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any Ther so as to became subject to the WorkersCompensation Laws of California. Date' Signature: NOTICE: If. after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Cotle, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the fallowing reason (Section 7031.5 Business and Professional Cotle'. Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($600). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044. Business and Professional Code:. The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her awn employees, provided that such improvements are not intended or offered for sale. If, however the huilding or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business and Processions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section: B. & P. C. for this reason: Date: Owner'. I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533 , and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Date Applicant: I hereby certify that I have read this application and state that the above information Is correct. I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize represe tatives of this city to enter upon the above-mentioned properly for inspection purposes_ .../�� Date: _7_7 — Signature. Driver s License or Social Security a: 1641-46 While—Building: Green—Cotle Enforcement: Canary—Applicant: Pmk—Revenue: Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 054164 PERMIT NO: E 054164 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: ELE PURPOSE: ADD JOB DESCRIPTION : ADD STORAGE ROOM UNDER HOUSE SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / COMMENTS: REF B54163 Z 0 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 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: 42431133 ZNE: REF NO: PLANNING NOTES> > ############################################################################### D E V E L O P M E N T S E'rR 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: �7 APPLICATION PPLICATION ISSUE###Y•ATE: LEGALIZATION:N F E E U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELEC IC MECHANIC FIRE SMIP/RES GRADING PERMIT 2,25 50% SMIP/NUN-RES PLAN ISSUE FEE 15.00 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 2.25 15.00 0.00 17.25 17.25 .00 REVENUE DIVISION TOTALS--> COLLECTED: 17.25 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 17.25 I N D I V I D U A L F E E B R E A K D O W N TYPE QTY ELE 2 ELE i D E S C R I P T I O N FIXTURES LIGHTING 1 ST 20 RECEPT/SQITCH 1 ST 20 END OF FEES UNIT COST TOTAL COST EA. .75 1.50 EA. .75' .75 f D07E: 09/27/91 T=1'Y: !- _ONSTRUCTION AND PLANNING - APPROVALS Permit 4# ,. Temporary Electrical Service or Pole Inspector PowDate APPROVALS Permit # 52. Pool & Equipment Location Date Inspector ' 2. Soil Pipe-Undrgrnd. 1 53. Steel Reinforcement Z. Electrical Conduit Utility-Undrgrnd: " 54. Forms - 4. Electrical CondLyt-Updrgrncl_ 55. Electrical Bonding •.5. Steel Reinforcement' J ' 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE ' 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor System - - - 61. APPROVAL TO DECK 11. Property Sewer -Line & Hoyse Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains- - 64. Plumbing System - Final 14. Rough Plumbing - 65. Electrical -Final - 15. Rough Electrical -Conduit i• 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. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS' "Permit # , 20. Rough Factory Fireplace r - 21.'Ducts,in Structure, .. 70. Uhderground_Hydro 22. Ducts, Ventilating 71. Product Piping O Gas DOil 23..Gas Pipe Rough & Test 72. Underground Flush 24. Roof Framing - _ .73!. Undergrnd. Storage Tank O Gas OOil 25. Roof Sheathing `74r Overhead Hydro 26. -T -Bar Ceiling (Structural) & Monocoat . L 75. Dry Chemical 27.,Frame and Flashing '_ 76. Dry Standpipe 28. Lathing,& Siding - = 77. FIXED SYSTEM FINAL '29. Insulation 78;.FIRE PREV. FINAL 30. DrywallNailingHEALTHOEPT. REQUIREMENT 31. Plaster Brown Coat,. - _ 79. FINAL INSPECTIQN 32. Electrical Power Meter -Final 33. Final Electric .34. Final Heating & Air. Conditioning, �• %%% /t.[/rL �(/ I,' ��--' 80., FOOD CERTIFICATE ISSUED Notes: '� • 'L 35. Final Ga , s Pipe -Test 36. Hood or`Canopy 37. Finhi Factory Firedlace 38. Final Plumbing ". - '- ' •, , -39. Water Service -Finale .40. Gas Service -Final. 241. Solar Domestic-Final.i 42. Backflow Preventer 43. Backflow Irrigation „44. Landscape Irrigation System45.- Sound Attenuation ='46. Handicap Regulations - - _ -•. 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ! 51. CERTIFICATE OF OCCUPANCY No. Date _ CITY OP COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. DATE LOT NO.�_ ADDRESS_I, The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been ,pleted and:its streets accepted by the'City of Costa Mesa ,T P.,undersigned, .by executing :thi_s ac?:eement, acknowledges that!(he-she-they) (was or'vier-'e. advised Z_ that this t-ract.has.-not been given final -inspection nor'has ,it been accepted by the City of Costa Mesa as having complied Huth ,the conditions of approval which were imposed by•th;e city .. .. th. >�t itihe time -'the final tract map taas approved. . The city assumes no liability for the enforcement of: the conditions t, h necessary for. appr.oya7,l other than those' conditions protected` by s ur:ety:;' The undersigned agrees to indemnify and hold the city harmless frc�arN.any .claim.resulting;.in.:.dimage or personal injury` to. the. unde:.xsigned_by, reason.;of:.thoc�aforementioned uncompleted condition. Purchaser—---- velope B•._ _ _repr'e'sen BY_. r- i . .....men . z.. G os._ horized Applicant to fill In all spaces except those within heavy border line$ and sign all appropriate declarations. 0931 10/25/84 52e, 7� CITY OF COS.TA'MESA T. CTION PE MI ��R)0 Project Address � � V/9 �l PET 1 5q / �3 RACT NO.OT N(51 UNIT N0. _ TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑CONVERSION ❑ DEMOLISH OTHER DESCRIPTION A��QRK/UBE7,,BLDG.t5f^k -I- 9>J- sif c ^ U I�te-okel f foh•ee! {{�Y-g {,-pow • Applicant's Mails gAddres5 30 D Owner's Name T�4 L� P - OS Address / �j A P # 2 ._ 311- Ji 3 Zpgp f7 I f� S Main Building: Accessory Building: A Arch/Eng. License No. Address TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER - PROJECT DESCRIPTION 50. F7. OCCUPANCY _ CONSTRUCTION TYPE -"�� VALUATION$ �� ZONE GRADINGCU.YDS. ACRES T Front A-'j'TAC1-Nro O Rear 1 & 3 " N Contractor's Nam bne /�/ �f: 2sl1 � �n City License No_ CityAddLicense No. LICENSED CONTRACTOR OEC LARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions ode, and my license is in full fe and effect. 2208 Licen C s L en No. Date Signature A' C Right 12 6 �� N K $ Left PcI TACiI$'� G R Ping. Ref. # Parking Req./Provided E Remarks: Q �^ V Planning Notes: SUN 12C�UM _ 9 6Lt�5 l'� sl ( a M S PLUMBING FEES Bar Sink Showers ELECTRICAL FEES WORK RS' COMPENSATION DECLARATION or ce fleece I hereby affirm that I have a certificate of consent to self -insure of Workers' Compensation Insurance, or a certified copy thereof (Section / 3800, Lab. C. .�- nj� rL.,z f Policy No. ��✓_mat Company iA) Q-u'1c% Certified copy Is hereby furnished s 8 Carjxetl o z filen with the city 1 di vis' Backflow Preventei' Service Sink Automatic Washer Construction Pole Sub. " Transformer ❑ 15-50 KW El50+KW Backflow Irrigation Sewer Ca P , Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Dates s -+',L = Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARA (This section need not be Completed If the permit is for one hundred (5100) Or less). I certify that in the performance of the work for which this permit is issued I shall ,not employ any person in any manner so as to -become subject to tfle Workers' Compensation Laws of California. Clarifiers Solar Collectors Dishwasher Meter ❑Over 100 amps Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel ' Drinking Fountains Solar TankFan Motors ❑0.1 HP Ell h; 8 Floor Drains Swimming Pool w/Spa 1 F.A.U. Inc.Solar 09-15 HP 11'16-15+ ..Date - Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a Construction lending agency for the performance Of the work for which this permit is Issued (Section 3097 Civ. C.) Lender's Name Floor Sinks Urinal 'Fixtures, Microwave Gas Service Outlets Water Closet D¢VICe BOXC$ Pole Light Interceptors Water Heater Outlets Range bQ Kitchen Sink Water Service Switches - Sign Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such permit Lavatories Auto -Wash Garbage Disposal 'Standing Sections P -Trap - Laundry Trays Generator❑ 0-5 KW 05.15 KW Trash Compactor ROOF Drains to file a signed statement that he/she Is licensed pursuant t0 the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the .applicant to a Civil nenaltynot more than five hundred dollars ($500). I, as Ofwnpr of the property or my employees with wages as their solo •compensaotion, will -do the work, and the structure is not Intended or offeredReinspection for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or Improv0s thereon, and who does such work himself/herself or through his or her own employaes, provided that such Improvements are not Intended or offered for sale. If, however, the building or improvement Is sold within one year of tom- pletion, the owner will have the burden of proving he/she did not bulla or im- prove for the our case of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed con- tractors to Construct the project (Section 7044, Business and Professions Code: d The Contractor's License law oeh not apply to r s owner je property who builtls or Improves thereon, and who contracts for such projects with aeon- tractor(s license pursuant to the Contractor's License Law). 1 am aware that proof of their Workers Compensation Insurance should be provided to me. - ❑ 1 am exempt under Section B: 3 P.'G for this reason ,$15 Reinspection Fee Issue Fee -' . ` Fee $15 lune Fee $ 3 MECHANICAL, FEES: DEVELOPMENTSE Vii I,CE$ REQUIREMENTS. / ICES Zoning Approved By - Date Building Approved By, Date Application Issued. By �,�'I� Dat I� Boiler Hood or Type 1 ❑ Canopy Type I1 ❑ - Duct - Under Ground Duct -Structural Refrigeration System ❑0.100,000 BTU ❑100,000 BTU _ Duct -Ventilating _ :- -- v SUMMARY OF FEES '' BUILDING PERMIT,' $ 5�•5� SMIP ,$ PLAN CHECK } $ 32.�Z PERMIT PLUMBING $ ISSUANCE S PLAN CHECK ' 25% $ ENERGY P.C. $ / ' GRADING $ - ELECTRICAL s Win. IC Q PLA N�CHECK 50% $ 1 • �b� MICROFILM $ - MECHANICAL $ TOTAL FEE $ PLAN CHECK 25% $ — Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICBO # Fire Dampers Date owner I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to bus d construe on hereby authorize repre- sen tatives o c Y to e t a -mentioned Pro ze r or inspection p see. Signature 'at -/C) Drivers' License or SS # Heating System & Ducting [30-100,000 BTU ❑100,0006 Registers Reinspection Fee $15 - Issue Fee $ 3 CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # Date - Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical- ConduitlUtility-Undrgrnd. ' 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding S; Steel Reinforcement !2 al S�/ (�ri 56. Rough Plumbing & Pressure Test 6 ,Electrical LIFER Grnd. L57. APPROVAL TO COVER-GUNITE ; 7. Footings 58. Electrical Conduit-Undrgrnd, 8. Foundation i 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. ' 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final ' 12. Sewer Cap' = 63. Heater & Vent -Final , 13. Roof Drains 64. Plumbing System - Final 14. Rough' Plumbing- 65. Electrical -Final , 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring .-4 C 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts,'Ventilating 71. Product Piping OGas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 1 73. Undergrnd. Storage Tank OGas ❑Oil 25. Roof Sheathing 1 2d S 5 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing ��r��-•� - ;,� 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation Z, 2v� 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: F:,t�S Ft 34. Final Heating & Air Conditioning r 35. Final Gas -Pipe -Test t 36. Hood or Canopy y 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service -Final 40. Gas Service -Final 41. Solar Domenic -Final 42. Backflow Preventer I 43. Backflow Irrigation ' 44. Landscape Irrigation System - 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE&BUILDINGy y p$ 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No, Date ?4 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 lot— .For Applicant to Fill incompletely 60 -AR BUILDING ADDRESS OWNER Imperial Savings MAIL Z ADDRESS 66 Via -Lido. W W TEL. cLU I CITY NAvnnpt—RAanY) NOA71-1 140 PAI B 110 Z6-71z_"_$A 693+ **¢163.50 APPLICATION FOR BUILDING PERMIT RECE_ ItffD BY DATE RE EIVED DATE ISSUEI L//A/fit _O 3 iSl PERMIT NO. A.P. NO. LDING ADDRESS 1889 .t Parkview Circle TRACT 7043 1 LOT37 I BLOCK I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. 1 hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Divisicn 3. Chapter 9, and that such licenses are in full force effect, or I am exempt from thy oviscns of the State alitorn la Businesj antl Professions.E6de. Di inion 3.Lhaoter X to a O. FT.AMOUNT BRANCH OWNER Imperial Savings &Loan ADDRESS ALUE ARCHITECTTEI�. R. Le Q USE FIRE OR ENGINEER Yana$ N {J — PERMIT FEE $ ADDRESS _0porto ZONE T E GROUP r� _ APPROVED J CONTRACTOR Calah Construction Cor BY DATE) .Z ADDRESS 01 Birch St ZONE Rl NO. OF PLANS 2 USE OF NEW S91.Fam. BUILDING TEL. CITY Ne ort—Beach _ NOReg STATE CITY YARDS APPROVED _/Att YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING (FROM CIL STREET) S1ZE NO. OF BLDGS. OF LOT C x 100 NOW ON LOT I RONT FT. FT. USE OF EXISTING BLDG. --------- R. SIDE FT. FT. SIZE OF NO. OF NEW BLDG. 2200 $ ROOMS 8 STORIES L. SIDE FT. FT. EXTERIOR WALLROOF COVERING $ COVERING 0 REAR FT. -- FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. VAR.* DATE reside ce As C.U.P.# APPROVED APPROVED WLD:am ...__ 3-24-71 I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. 1 hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Divisicn 3. Chapter 9, and that such licenses are in full force effect, or I am exempt from thy oviscns of the State alitorn la Businesj antl Professions.E6de. Di inion 3.Lhaoter a LL TOTAL FEE $ /� .3. 152� to a O. FT.AMOUNT SH N UNDER VALUATION IS FOR PURPOSE OF rVALUAT,ON ABLISHING A PERMIT FEE ONLY: PERMIT FEE $ PLAN CHECK $ p/—/n ��-� •� E a LL TOTAL FEE $ /� .3. 152�