Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
2479 PARMLEY LN - Building Permits
(714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626 MECHANICAL PERMIT JobAddress: 2479 PARMLEY LN Suite No Vicinity: HALLWAY CLOSET Parcel Number: 43933330 npp�icant: EL�IS, JOE Address: 3801 LENAWEE AVE CUWER CITY. CA Owner: BLACKLEDGE, D KEVIN TR Address: 2189 TUSTIN AVE COSTA MESA, CA Phone: 310-838-0408 X120 Zip: 90232 Phone: Zip: 92627-1864 Comracror ORANGE COUNTY SERVICES INC DBA GEORGE BRAZIL PLU Address: 3801 LENAWEE AVE CULVER CIN, CA Phone: 310-838-0408 X120 Zip: 90232 License:679898 -� ISSUED BY: SCOPE OF PERMIT REP�ACE 80,000 BTU FURNACE IN THE HALLWAY CLOSET OF AN EXISTING SFD. 1 INST FAUL < 100K BTU NO OTHER WORK AUTHORI2ED WITH THIS PERMIT. ISSUE FEE Inst FAU <100 k BTU Inst FAU >700 k BTU RepairlAN CoolingMeal Inst I Rep. Recess Wall Hlr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000cfm Floor Furnace , Floor or Suspend Heater 523.50 $14.80 50.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00- $0.00 $0.00 $0.00 50.00 $0.00 $0.00 Quantity 1 0 0 0 0 0 0 0 0 0 0 0 0� 0`� 0 0 0 0 0 FEE SUMMARY Repair / AIt Absorbtion Unit Repair / AII Refrigeration Unit Ventillation System Evaporative Cooler Comme rcia l I ncineralor Domestic Incineralor Comoressors / Absorption Svstems Upto3hp/700kBTU 3To15hp/SOOkBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers . _ - Up to 3 hp - - . 3To15hp 15 l0 30 hp 30 to 50 hp Over 50 hp Olher Mechanical Fee Investigation Fee Plan Check Fee � Reinspection Fee TOTALCALCULATEDFEES COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: 04/272007 Issued: 04/27/2007 Quantity 50.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 50.OD 0 50.00 0 30.00 0 $0.00 0 $0.00 $0.00 $0.00 838.30 NOTICE: The work authoriZed by this permit shall comply with all applicable handicap access requiremenis under Calilornia statutes and related regulations. (Ord. No. 92•2B, § 1, 12-21-g2) EXPIRATION: This permit shall automatically expire and become void ii work is not commenced wilhin 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit lo be considered legal, such work must comply with all applicable codas, and all requlred Inspections end (inel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this pertnit. FOR INSPECTIONS CALL: (714) 754-5626 24d818 (NW) WORKERS'COMPENSAnON DECLARATON: I �ereby attirtn under penalty oi perjury one of Ihe following declarations: ❑ I heve end wlil meintaln e certificete of consent ro setl-Insure br workers' crompensation, es provided tor by section 3700 ot the Labor Cotle, tor ihe performance of Ihe work tOr whith ihis pertnit Is issued. �,° I �ave end wlll meimain workers' compensation insurance, as reduired by sectlon 3700 of Ihe Lebor Catle, for Ihe pedormance of Ihe.work for which thisppg� rtnit is issued. My workers' compgnsgtio Insy/gpce cam /n� pplicb/rymber ere: ��/ _��� , I% _��� Carri�rJ �"i� �� /V/J Policy;Number. b �"�(\ (fhls section need not complefed il fhe permif Is valued et one hundred dollers (S I00J ar less.) � ❑ I certify thet In Ihe peAortnenc compensation laws ol Celifo a,� comply with Ihese DroviSion AOpli� $Igneture: WAfiNINO: FAIWPE TO SECURE WORKERS' THOUSAND OOLLARE (5100,000), IN ADDITIqJ LICENSED CONTRACTORS DECLARATION: I hereby eNirm that I em Ilcensed u r lorce end ettect. 61crM "2 CONSTAUC710N LENDING AGENCV: ' ❑ I hereby ettirtn thet ihere is e construction lending LenaeYs Name: Signature: OWNER-BUILDER DECLARATONS: �If Issued, I shell not employ eny person In eny manner so as to become subject to the warkers' :o e sub�act to t�e workers' compensetian pravislons ot Section 3700 a�t t1he Labor Catle, I ahell forthwit� :�_ 'Dete:a { +� L - V� IS UNLAWFUL AND SHALL SU&IECf PN EMPLOYER TO CRIMINAL PENALTIES ANO GVIL FlNES UP TOONE HUNDRED \TION, DAMAGES AS PROVI�ED WR IN SEGTION 3108OF THE LABOR CODE, IMEREST, AND ATTONNEYS FEES. with Section 7000) ol Division 3 of the,Business�d✓r si Coda, and my license is in tull cme e C the pertormance ot the wark for which this perml� Is issued. (Sec. 3097, Civil Cotle). LenAer'S Address: Date: 1 hareby aHirm thet under penalry oi Oerjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Busineu anC Professions Code: Any ciry or counry which requires a pertnit to construd, alter, improve, demolish, or repair any strucWre, pnor to its issuance, also requires the appliwnt tor such pertnit to tile e signetl slatement thet he or she is Ilcensed pursuant to the proNslons ot t�e Conireclors lJcense Lew (Chapter 9(commenUng wlth Seclion 7000) of Divislon 3 0l Ihe Business end Professions Cotle) ar that he or she is eaempt thereirom and the basis tor t�e elleged exemptlon. Any violetion of Section 7031.5 by eny epplicant tor e permit su6jacis the applicant to e civll penelty of not more than Five hundretl tlollers ($500).): ❑ I, as owner ot ihe properry, or my employees with wages es thair sole compensatlon, WILL DO 7HE WORK, end the structure Is nat intentletl or oXered for sale (Sec. 7044, Business and Professlons Cotle: The Contractors License Lew does not apply to en owner of property who builds or improves ihereon, end who does suCh work hlmself or herself or �hrough �is or her own employees, providad ihat such improvements ere not Intended or oHered for sale. It, however, the building or Improvement is sold wi�hin one yeer ol completion, the owner-builder will have �he burden oi proving ihet he or she did not build or improve for purpose of sale.). ' ❑ I, as owner of Ihe pmperry, em EICCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construcl Ihe proJect (SecJ044, Busine5s end Professlons Cotle: The coniractors License Lew tloes not apply to en owner ol propeny w�o bulias or Impmves thereon, and who contracis for such pro�ect wlth a contrector(s) license pursuent m the Comrectors License Lews.). ❑ I am exempt under sec. 8usiness antl Professions Cotle tor this reason: SignaWre: Date: Owner ID venfietl by tlriver's license. ❑ Yes ❑ No Drivels License No. Venfication of Ownerehip by (type ot daumenL i.e. � property tac blll or daed): Expires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I �ereby certity ihat no excevation tive (5) or more feet in depih into whlch a person Is requlrad to tlescenQ will ba made In connectlon with work authorized by this permii, and that no builtling siructure, scaflolding, falsework, or demolitlon or Gismantling thereof, will be more Ihan Ihirry-six (36) teet high. (C�ap. 32, Grp 2, Atl 2, Sec. 341, Title 8, Celitomia Atlminlsiretive Cade). ❑ As owner-bullder, I will not employ enyone to do work which would require a permit irom Ihe Division oi Intlustnel Satety, es noted above, unless such person hes a pertnit to do such work trom tha tlivision. SignaWre: Date: Division ot Indusirlal Sefery Pertnit Number: ICERTIFlCATE OF COMPLIANCE AND AUiHORVATON OF ENTRV: I cetlity untler penelty ot perjury ihet I have read ihis epplicatlon and state thet the Informetlon given is I correct. I egree to compry wlth all stete laws end ciry ordinences relating to building constructlon, an0 authorize representatives ol the City of Cosle Mesa lo enter upan the ebava-descnbed properry for Inspection purpases. I agree not to occupy ar allow occupency of eny building authorized by this permi� untll finel inspectlon. COUE 1. INSPECTIONTYPE 1616 Fi:etl System Final Fire Prevention 726fi Pool SOa Final 200 Finel Re-Rool 201 Flnal Blxk/Retaining Well 202 Flnal Factory Fire Place 203 204 Finel Sign Finel Demolltlon Q�� ItII�lLB �{.2�°`�� COate�1 COOE 1 INSPECTION TYPE 206 Final Machaniwl 20B Final Plumbing 210 Final Electncal 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupancy P� Jtjf�45 —�{ -O ItifV (714) 754-5273 • Fax (7/4) 754�4856 • www.ci.costa-mesa.ca.guUILDING PERMIT n FAIR DRIVE, GOSTA MESA, GA 92626 JobAdtltess: 2479 pARMLEY LN Suile: Viciniry: RESIDENCE AND ATTACHED GARAGE Parcel Number: 43933330 Applicant: MC KINNON, MICHELLE Address: 845 W GROVE AV UNIT Q ORANGE,CA Owner: BLACKLEDGE, D KEVIN TR Adtlress 21897USTINAVE COSTq MESA, CA Contractor: LINNERT ROOFING INC. Address: 715 W GROVE AV ORANGE,CA Zip: 92865 Arch : Address: Zoning: Phone: (714)974-5059 Zip: 92865 Phone: Zip: 92627-1864 Phone: (714)974-5059 License: 664319 Eng: Address: ISSUED BY: Statux ISSUED Applied: 10/03/2003 Issued: 10/03I2003 Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING WOOD SHAKE ROOF, 7/16" OSB SHTG, 2 LAYERS 30# FEIT, APPLY "MONIER CEDARLITE TI�ES (5.6 PSF)." 22 S�UARES Plan Check: $0.00 Permit: $195.25 SMIP Res: $1.10 SMIP Com: $0.00 Other: $Q.00 Inspection: $0.00 Total: $196.35 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front p- 0 PARKING Existina: p Rear 0-0 Rear 0. 0 Reauired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Praposed: 0 Caic Valuation: Claim Valuation: Right 0-0 Right 0- 0 sii,aoo.00 $1 t,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-g2) EXPIRA710N: This permit shall automatically expire and become voiA if work is not commenced within 180 days, or if work is suspended or abandoned for a periotl of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicabte codes, antl all required Inspeetions and flnal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 taa6�+eleronl WORKERS'COMPENSAnON DECLAHAnON: � � I hereby affirm untler penalty of perjury one of the following tleGarations: ❑ I have end will maintain a cenificate of consent to sell-Insure tor workers' compensetlon, es providetl for by section 3700 0l tha Lebor Code, lor the peAormance ol ihe work for which this permil is i5suetl. I,have an vnll maintain work oompensa' insurance, es requiretl by secilon 3700 ot t�a Lebor Code, tor the peAofmance of t a work lor whkh Nis pefmit is issuetl. My wo m rsaC� ns �re'n�ce w�rn r antl pdky numher ere: 0,/J arner: �/7/KM.�� w "� ' \ . Poliry Number: � 7� �-r--,.�p� (Thls secf/on need nof be camp/e(etl i! the permifls valued at ane huntlred tlollers (5/00) or /e55J ❑ I certity th t In t�e OeAormance of Ihe work lor whicli thls permit is issued, I shell not employ any person in eny menner so as lo become subject to ihe workers' compans lon la Celllo 'a, ree tha d should bocome sub�ect to t�e workers' compensation provlslons ol Sectlon 3700 0l the labor Code, I shell torthwlth comply wit se iisions. I OI '_ /� � Applicant Signeture: /Yl/� �"J Dele: � WARNING FAIWHE TO SECUFE WORKERS' COMPE I� COVEMOE IS UNL4WFUL AND SHALL SU&IECi AN EMPLOVER TO CRIMINqL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSAND DOLURE (5100,000�, IN ADORION TO THE COST COMPENSATION, DMt4GES �S PROVIDED FOR IN SECiION 9]OB OF TME IABOR COOE, IMEREST, M!D ATTORNEV'S PEES. LICENSED CONTRACTORS DECLARAiION: I hereby aHirtn that I em brte en0 BBBCL Ut. � Comrectofs SlgnaNre: ol Chapter 8(mmmendng wlth Secilon 7000) ot Division 3 oi Ihe Business 9(�� y�jD�Ysions Code, and my license is In tull C1849 M �2/ � (�!'�1�Oi+—J Data: ' CONSTRUCTION LENDING AGENCY: ❑ I �eroby eHirtn t�at thera is a consirudion IenOing egenty tor lhe peAortnance ol the work for whic� ihis pertnit Is issued. (Sec. 3097, Civil Code). lentlers Neme: LentleYs Atltlress: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirm that under penalry of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe followinq reason (Sec. 7031.5, Business end Professions Cotle: Any city or county whic� requires a permit to consiruct, elter, improve, Cemolis�, or repair any SWcture, prior to its issuance, elso requires �he epplicant tor such permit to tile a signetl statement i�et he or she Is licensad pursuent b the proWslons ol the Cantrecrors lJcense Law (Chepter 9(commencing with Section 7000) of DiWsion 3 oi the Business enC Prafessions Code) or thet he or she is exempt theretrom antl t�e besls ior the allaged exemption. Any violatlon of Secllon 7031.5 by any epplicant far a permit subjects the applicent to a civll penelry of not more than INe hundred dollars ($500).): ❑ I, es owner ot the pmperty, or my amployees with weges as thelr sole compensation, WILL DO 7HE WORK, end the structure is no1 intendetl or ofteretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does noi epply Io an owner of property who builds or Improves thereon, ana who dces such work hlmself or herself or through his or her own employees, providetl that such Improvements ere not intended or oHered lor sale. It, however, the building or impmvement is sold within one year of completion, ihe owner-builder will have the burden ol proving that he or she tlid not build or improve br purpose of sale.). � ❑ I, as or,ner ot t�e pmperty, am E%CLUSIVELV CONTRACTNG WITF1 LICENSED CONT7iACTORS to construcl the pmject (Sec. 7044, Business and Pmfeuions Code: The conirflctors license Law does not appty to an owner af pmpeny who builtls or Impmves thereon, and who contrecis for such prajeci with a contracior(s) litense pursuaM t0 �he Con�ractor5 LicenSe Laws.). ❑ I em exempt under sec. Business end Protessions Code for this reason: Signature: Date: Owner ID vedlietl by tlrivefs license. Yes ❑ No Dnvers License No. Expires: Verilicetion ol Ownership by (rype ol document, i.e. - properry tex Dill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON: � I hereby certity Ihel na excevation five (5) or mare feet in deplh Inta which a person is requiretl to tlescend, will be matle in connection wit� work euthonzed by this permit, end Ihal no building strumure, scaHolding, lelsework, ar demolitlon or dismamling 1�ereol, will be more �hen thirty-six (38) leet hig�. (Chap. 32, Grp 2, Art 2, Sec. 341, T1Ue 8, Colitomle Atlminislrelive Cotle). ❑ As ownor-Dulltler, 1 will not employ enyone m tlo wark which woulA mqulre e permlt fmm the Division of Indusiriel Selely, as noted ebove, unless such person has a pertnit to do such wark from the division. Signature: Date: Division of Intlustrial Selety Pertnit Number: CERTIFICATE OF COMPLJANCE IWD AUTHORIZATON OF EMRY: I certity under penalry of perjury that I have reatl t�is application entl state Iha1 the iniormation given is correct. I agree to comply with all state lews entl ciry ordinences relating �o builtling consiruction, and aut�orize represenletives ot ihe Gry ol Costa Mesa to enter upon Ihe above�doscnbed property lor inspection purposes. I egree not to occupy or allow occupency of any building euthorized by NIs permit until final inspedion. �8 tur O gal wner(s) J �� � � AndlOr Aut�o �ized Appllcant ate� COUE 1. INSPECTONTYVE 1616 FI:oO System Final Fire Prevention 1266 Pod Spe Final 200 Finel Re-Rool 201 FIneI Block/Retaining Well 202 Final Fectory Fira Place 203 Final Sign 204 Final DemdiUan Qeg u�eii �� �� � CODE1 INSPECTIONTYPE Q� I�L$ 206 Final Mechenical 208 210 212 220 Finel Plumbing Finel Elet�ritel Final Fire Prevenllon Final Planning Approval 222 Final Site 250 FinalBullding/Occupancy CITY OF COSTA MESA CONSTRUCTION PE Prolect Address /�.t�-'Cj � 10wner ,�"7`7i ,' �^—,.^,-,','�'—i- Addrea � Arch/Eng. , PIi'�� C Address j'%��i. � L Controaor ♦ j��vGC Address � - : G! ! LICENSED CONTRACTOR I hereby dffl�m t at I am IICG mancing wl h s ction 7000 AO}85510115 CO � �G l�IY Lltense I � Date ' SIgnJ� WORK 5'C MPENSATIO� I nerebY aHlrm Ihat I hdve � Appllcant to /111 in all spaees wltM1i MIT P�—T�jO �Y— xM,lA.la. L_!� v�st- ;;-� � � G�J,�-- Phone � rC C.iVd . L.i/tv '9� .- �cvA/ Licenu No. '? 1��: � �.�1�n/. /�.''✓/�,E 1i1Y._ S �j1�1' Phone%/j �' ..'4 1 . / - ViA.c`• ECLARATION etl untl r visl o/ barter 9(� of i O 3 P t eusiness f15! i5 ( II f ICG dOtl ¢� L/ o�^Li� ]E ATIO er fit e ot t zent to SeIT-insure tion Insur te, or a ttrtifieC � heavy borCar Ilnei anG slgn all aOProprlat0 tloclaratlonf TAACT Np, LO O. BLOG. NO. //.�S/ Z , � TVPE�OF CONSTRUCTION � NEW ❑ ADD ❑ ALTERATION — ❑REPAIR ❑CONVERSION ❑DEMOLISH � ❑ OTHER DESCRIPTION OF WORK IICY No.�' �. -.'� ! � ComPanY �< � •�• � �-3� � ��� �JcYCertlfietl mpy is herlDy fuml5hetl. y.��Certifie0 copy is filetl wicd the dty Builtling Dlvision. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Th15 section n¢etl not ba cOmp�etetl if th< p¢rmit i5 for one huntlretl (y300) or 1es5). I cerUfy that In t�e performance of the work for which this permit is ISSuetl, I shall nOt ¢mPlOy any pelson in any Mdnn¢f So as to becomC subject to the Workers Compensatlon Laws ol California. Date Slgna�ura NOTICE: Ii afte� makin9 th75 tleGlaratlon, you Snou10 betome Subj¢ct to the WOrkers' Com0en5atiOn provislons of Ih¢ Labor Cotle, you mus[ fo�thwith comply wltn suGh ProviSiOns o� thi5 permit shall b¢ tl¢¢m¢tl ravoked. CONSTRUCTION LENDING AGENCV '- I nereby alflrm [hat Ihere is a conztruction lentling a9mcy for (he per- formance of the work o_-��S It i�o/Tn.Yt" Civ. C.). Lentler's Name LAntler's Atltlrez5 n�Q ' �` �� � OWNER BUIIDER DECIAHATION � I herOby d(firm that 1 am axeTPi irom Ihe COntraGlor'S Llcense law lor [ho /ollowing raason (Section 7031.5 Businass antl Professlons Cotic: Any Nry Or COunty whicp �equlras a permil t0 COnStruct, alter, ImOrove, Demolish or repalr 9ny strutlure, prbr to Its ISsuanGe, dlso re- qWrlS tpe�apP���nl fo� such Pe�mll to flle a signetl statement tba[ be I5-II<enseG purivant to tM1e provlSions ot the Cont�attor't LIC¢n58 Law (Cnaptet 9(commenting With Soctlon 7000) ol �ivision 3 of the 'ine55 antl Prolessions COtl¢) ar thdt he IS oxampl IhCrBlrOm antl the :!or lhe alle9ed ozemptlon. qny viOlatlOn Of Sectlon 7031.5 by appllcant lo� a p¢rmit sub�ecls the applicant to d Civil penalty w nol mOre lhun live nuntlletl t1011ars (5500). ❑ 1, as owncr ot t�e property, or my employecs with wagns as tholr solo compensation, will tlo t�e work, antl tha structuro is not intentletl or offeretl for wle. (SecUOn 7044, Buitnezs antl Profezslons�Cotla: Tha Contructor's License Law tlnez not appry to an owner of a OroperW who builtl5 0� imp�ovCs lh¢e¢On, antl who tloes such work hiTSell o� thwuqh his Own employees, p�ovltlotl thal Suth ImprovCments ar¢ nOt Intendetl or OttCrttl 10� Shc¢. ��. howev¢r, Ih! builtlinq or Improvoment B soltl wiehin one year or compleUon, tne owner will havo tne burtlen ot proving �e tlitl not bW�tl or improva tor lhe purposa oi zalo�. ❑ I, as owner of the proPerty, am excluslvely contracting �+�Ih Iiconsetl.contractors�to construct the proje<t (SecUon 7044, Businezs antl Profeszions Cotle: T�a Contractor'z Ucense Law tloes not apply to an owner ol prop¢rty wh0 Puiltls o� Improves tnereOn, antl Who con- Vacls from Sucll pro�eGts W��h a Wntrattor(s) Ilcesnetl pur5uant to tho Coniractor•s licensa lawl.' ❑ I am ¢x¢mpl untle� $eCIIOP B. 6 P. C. �o� tbls fCd50f1 Date O 0� � I M1er¢b certityihal �e �e thi5 a IlcaliOn antl statG tha[ the aGovey IntotmatioyiyZo��. a ee l0 Comply with all Ci[v antl <ount/ SlgndWr DdverS' CMF OE Date TVPE OF PERMIT " � ❑ GRADING �..FOUNDATION �TRUCTURAI. ❑ TENANT ❑ ELECTRICAL OPLUMBING ❑MECHAI ❑ OTHER ti PROJECT D�EySCRIPTION SQ. FT. I'1 D i0 ��fa'1 M�� OCCUPANCV COnNSTRUCTION TVPE � VALUATION q �a ZONE GRADING CU. VDS. ACRES REMARKS: A /f�li '7� PLUMBING PLAN CNECK BATHTUBS SHOWERS TOILETS URINALS- ' LAVATORIES DOUBLELAVS KIT.SINKS DISFIWASHERS SERVICESINKS SUMPS FLOOR SINKS ' ' FLOOR DRAINS �DRINKING FOUNTAINS INTERCEPTORS CLARIFIERS � WATER SERVICE GAS SERV ICE WATER HEATERS SEWER CONNECTIONS SOLARTANK SOLAR PIPING SVS. ISSUE FEE ' ' P TRAP' ALTERATION COLIECTORS MECHANICAL vLAn CHECK HEATING SVSTEM 0-300,000 BTV _ AND D VCTING 100,000 + BTU _ REFRIGERATION 0-100,0008TU_ SVSTEM 100,000+BTU_ BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE ISSUE FEE Whi[¢-Builtl��9: Canary-AppliGdnh Pink-Accounting; Goltlenrotl-A55¢ssor A.P.� �i�-i� ZONE (�R-L SETBAC�5p G I VARD i R�IGHT =J�� REAR YARD (TO PKG.SPACE REQ. STREET WIDTH ZONING APPRO E SPECIAL CONDITI ELECTRICAL 24;:5 I/ I 4/ rl", PLNG. REF. � PROVIDED PARK FEE S PLAN CHECK GENERATOR 0-1 KW_ 1-10 KW _ TRANSFORMER APPLIANCE 30-SOKW_SO+KW_ MOTORS 0-1 HP_1-30 HP _ (INC. SOLAR) 30-50 HP 50 * HP _ FIXTURES OUTLET$ SWITCHES GAS TVBE SIGNS POLE LIGHTS PANELS MAIN SVB SERVICE AMP , 55 V E FEE LICATION p,N+e61 i; DAT SUMMARV OF KEES . BUILDING - ���Q �� G � PERMIT E�Ll'L�SL(/ SMIP S� PLAN CHECK S PERMIT . ISSUANCE E PLVMBING 5 _ PLAN CHECK E ' Gi2ADING S ELECTRICAL b § ' PLAN CHECK S MICROFILM E MECMANICA� 5 TOTAL FEE E PLAN CHECK E LE55 AD-' VANCEPC § FINALFEE §� CONSTRUCTIQN AND PLANNI�G� �,�� POOL & SPA � � Date Inspector . Date Inspector APPROVALS Permit # � APPROVALS � Permit # • � - � 1. Temporary Electrical Service or Pole ��-- 43. Pool & Equipment Location � - -�Soil ipe-Undrgrn. 44. Steel Reinforcement � 3. Electrical Conduit Utility-Undrgrn 45. Forms � - - � -4. Elect�icalConduit-Und�grn - 46. -Electrica68onding - � � � ,,�,�, � . tee ein orce 47. Rough Plumbin & Pressure Test � ��"' 6. Electrical UFER Grn � 48. APPROVALTO COVER-GUNI'iE - ' � 7. Foo[ings '' 49. Electrical Conduit-Undr m � ' �" g. Foundation � 3 -DS 50. Gas Pipe, ❑ Undr rn Test . 9. Water Pipe-Undrgrn • � ' 5"I. Backwash Lines P�Tre � ndr rn� 70. Structural Floor System 52. AFPROVALTO DECK � i i. � Property Sewer Line & House Connection 53. Backwash & Rece tor-Final ' 12. � Street Sewer Connection " • 54. Heater & Vent-FinaC -'"�' 13. Rough Plumbing • 14. Rough Electric-Conduit ' �56. Electrical•Final 75. Rough Electric-Wiring 57. SolarSystem-Final 76. Rough Heating & Air Conditioning • encing & Access Approval 17. Ducts in Structure APPflOVED FOR PLASTERING 18. Ducts, Ventilating - 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing - 21. Roof Sheathin � �- � 22. Frame and Flashin � � S _�Z- NOTES: - , _ 23. Insulation - ' 24. Lathin & Siding ' ' 25. Drywall Nailing ' - � 26. Plaster 8rown Coat � 27, Electrical Power Meter-Final � - 28, Final Electric - � 29, Final Heating & Air Conditioning � 30. Final Gas Pipe•Test 31. Final Plumbing 32, Water Service-Final � ' - 33�. Gas Service-Final � • - � � 34. Solar pomestic-Final ' ' 35 'Landsca e S rinklin S tem "� � ' .36. Sound Attenuation 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING _ � � • 39. Special Requirements Completed lSJ � 8/ � 40. Electric Release to Edison 41, Gas Release to Southern California Gas Co. 42. CERTIFICATEOFOCCUPANCY No - Date � ApO���nl to fill In all s0acet exeaD� ��ow wit�in �eary CorCe� Iines antl sign all approoriate Oeclantions. CITY OF COSTA M�SA�� � ^ � �• , . - -� . ERMIT NO. ' TRACT NO. LOT NO. � .� BLD . . � � ' , � � � • • � . . CONSTRUCTION PERMIT � - ' ' '��/� ' • � ' � . ' . ' � - � . . qpplicant'�Mailin� �qjil�dr,e(/ss ' ^- 'C �, . TVPEOFCONSTRUCTION NEW ADD ALTERATION �.REPAIR . - '.. . 2'�89 7�2E�Ik+.ZL, �. Ja]�JI Tl PrOj6ct Add�Bs�s/ "�"^ •LE� .V'riVV- � • '❑ CONVERSION ❑ DEMOLI2H ❑ OTHER . ' - � _ � - ' ' � . Owner'sNemd'�'�T�'P ��'' � r~� �'y�one 7✓�/- fr DESc OF RK '� . . . ' ' ING� E U I ; t79�/ eou��v 1���� ca ��z7.y. �����v-ri•� � , . � Addl853 . s�v TVPE OF PERMI� ORADING FOUNDATION STRUCTURAL � A. P.9W t 20NE �� �'' ArehlEn : �/L�F� +�C/�i11/N/�G� Litenm No. �' (� , . PLNG. REF. qk ' - � ' g ❑ TENANT ELECTRICAL ❑ PLUMBING �_MEGNANICAL ' �BUILDING Address I7f/�oI G��G��� S�f//NE. � �%Z%�� � � < ; ❑ �OTHER • � . • . . � . . TO BUILDING.' .. - . I . �l�.Q/N7AGZ'hQ7hF3 >wGC2f' C�� . � ' � ' ' ' . - � .. V LINE ' - REAR VAFD (TO P/U� Contr ct r a ame ��4 �fJ f� CPhone'7S�" ,�Z i' PROJECT DESCRIPTION' SQ: FT. �- "OCCUPANCv ! • . - .. Addlxf�Imeiling) �7��°�� �� -�L'����" C� ' CONSTRUCTIONTVPF � VALUATION§ - �LEFTSIDEVIaRD � RIGHTSIDEVARO � ' � ' ' � "(SUSU�FN�:� �,57 " ZON� OFADINGCU.v05. ACRES PKG.SPACERE�. PROVIDED . . . ' - Licen$e No. ' � - ' - LICENSED CONTRACTOR DECLAfiAT10N . - Remarks: � � S �n STREET WIDTH . ' � ' � PARK FEE'S . - � O OLLJ� •��YE�%C � I'hereby allirm t�at I am Iicensetl untler provlslons of C�artar 9(commancing . - , Hith se<tlon 7000) �t�g��iilon 3 7 In apiC Protasslons Cotla, antl - � � . • � � ! � SVECIAL CONDITIONS: � ' ! � ' mr ucanuas in �uu tbi 5na er 6 . � L 5/!�� . � _ . ' � . . ,. . . , ucen' C u � �.�nu No. � , ' PLUM8ING , , . . � � . " � Date Signature , - � Bar Siok . Sevuer CaP � , � � � . ' � ELECTRICAL : . . V00.K RS' OMPENSATION DE TIO � . : ' - - � i heraDy atflrm that I �ave a CertH ute of Corti�nt to 5elNnsure oi a CBrtNiw[e ' I AUtOmetiC Washer ' !M8[e� ❑Ovef 10� BmpY � '• ��' ; of Workeri' Compenutlon" Insurance; or a�cartHletli copy thereot (Se<tlon � BackflOw Pt2vente� . � . � SBwE� COnnEcti00' _ .. _ _ . . _ _ . _ . .- ; i - � Construction Pole � , � 3800, La�.6 C� �/ ,/� �p 1 Backflow irrigetion � � $olar Collectors � Sub Panel' � . PoIICY No.y% ri�'%�eS( j: �C- Com anY �fT� V �� . . ; _ . . . _ . • ' . 1 � . , � i � � 1 i Bathtubs ' i Solar Pi in � � Cooking Unii � 'Sub Pole ; �CB/tifletlj�opy Is �eroby furMshetl. � , ' , I P 9 t ' � � - ' _ � Cer4j�e/!�c��� 1� with tha city I n � , ' , , . � Dishwasher �Motors �04 HP �1'6-8 Date_�LL��`'`� Avoliwnt ' ' Clarifierz � Solar Tank : . . . EXEMRrION P OM WORKERS COM E A ON DECLARATION' '' ' Dryers �GaS. OElectlit ., �Thissactlon neea not ee comDletetl Ii�tha per Is torone hunarea (Sloo) or � .� Dishwasher , �1 - - Swimming Poal wlSpa , ��Inc.Solar �945�HP 016-15+ Iets) , ' . . . � � . . , —: . Fan. � � ,Mitrowave j . cartNy �,that In tne vertormdnce oi the work �or wnlcn tnii permR Is IssueE � ' Orinking Fountains Urinal � � , '�all' no[ employ any parmn In any mannar so as to became subjectto li�e ' { ' ' yJater�qoset' F.A.U. . � I ,Pole'Light ' . Norkers', Compansatlon'� Laws of �alifomla. . FIoO� Drains" � Date ' �i9nature ' ' � � '. . � � Fixtures � • ' ' � � ' ' NOTICE: If, efter maklug )nis declaration, you snoWe become. zuo)ect,to the � Floor Sinks _ Water Heater :Range � JJorkers', Compensation provislons oi the Lsbor Cotle, you must torthwlth . . �� � Device Boxes f ' � :omply wlth� such *proWSions or tbis permlt shall' ba tleametl revokea. Gas Sa,rvice_ � .Outlets � �Water Service , ��, Sign. CONSTRUCTION.LENDING -AGENCV ' ' ' ' ' � ' - _ . . � � �. , OUtletS � � �Stendin SBCtiOns i � I hareby atiirm that there Is a.construcHon lantling agency for the:pertormance Inte�ceptors ' •� , -�•• u 9 � >t tbe �work }o r� h I m�c 1� IssuBtl' (Sectlon 30B7 Civ. C.)_ 1. . � � Lenaer'r Name ��-�`�����1��3�7R7F- i3�/+�{C. � - _ - KitchenSink � � � - l ,. � � Switches, TrashCompactor ' �enaer's AaOress /C/d iV: A//1/ ::YINjA /i'/I,19 �/1- riL7d� , . , . � Lavatories�- � � - _ � GerbageDispoml , � �L J � OWNER'BUILDER UECLARATION � . ' • � � � � � � � . � � 1 , 1. I her6by affirm that 1 am exempt from the Contractor'S Licensa Law Tor the � � � � - , Generator �0-5 KW �5-15 KW � � tollowing reason (Sectlon 7031.5 Businais antl Pro/e551onal.Cotle: Any ciry o� ' P-Tiap'. - - • . ' county whlch raqWmi a permit.to tonstruct, alter Improve; Cemolisn oi rapalr � � _ . �. .. . TransfOrme� 075-50 KW � any struc[ure, O��or to its�issuance, also requires l�a applicant for suth permit ,. , ROOf D�ains . . • -' � � i� iila a slgneE slatamenl that ha/she I5 Ilcansetl pursuant to the provizions of� • ' ' - � � ' ❑5U a KW'� � ` e Conhactor'i lJcenie Law'(ChaOter 9(commencing with Saction 7000) oi - � � I Reinspection Fea $75' "`'iNsion 3 01 tbe Butineis antl Protessions Code).�or that he/she�is-examv� � • Showers .: ' ' � Reinspection Fee � $15 ' �heretwm antl tne basis for tne allegetl exam0��on. My, violation of Sectlon - . � � Meter ❑up to 700 ampa .Issue Fae � S 3 7031.5 Gy any'appliwnt Tor,a permil sub7ects.the applicant to a civil � ` . �. ' ' _ -- _ �enalty of not more than tive hunArea Eollars (E500). - . ' . ',�!�!ce Sink' , •� • Issue Fee '-, i � S 3 zoning APPmved By Data I, as��owner of'tne:property or my employees with wageras their sole � , MECHANICAL �' ' ' � ' ' ' � compensatlon wlll'tlo tha work, anC t�e structura I5 not Intentletl or otferetl � .r ,"' -' ' qpplimtion Approved By � Date � tor sale (Secflon 7044; Business•antl Proleulonal COEe: T�e Contractor's _ , �j ` . LI<en5a Law tloe5 not aDP�Y to an oWner of a prOperty who builtl5 or imprOves goiler � . � Refrigeretion System � ' qppliCation ISsued By �DetB �' �a� � O � j. the�eon, anU who tl005 such wo�k hlm5elf/hB�sel} o� through his or her own � ' � , ' ' � . . employ eas, proviaetl that sucn Improvaments are•not IntantleG or offeratl for . ' • , ❑0.100,000 BTU ❑t00,0008TU 4 � ' sale. If, howevar, the builtling or Improvemant Is soltl within one!year.of com- Duct'-'Under Ground � . � � .. � ' SUMMARV OP FEES � • , � � pletlon, t�e ownor will �ave tne burtlen of provin9 he/she tlIA not builtl or im- � � � , , � . , ' I' ' �roverorthevurooseotsaie). , � , • , , •' Duct-Structural , SystemRepair�ANeration ; �BUILDINGPERMIT $�� ' � SMIP � I � $ .' ' I, zs owner ot tha property, ain exilusively contraoting'with�licenietl con• - � - - � - ' � � - ' . ' ' ` I tractorsto tonstruct me project 1Soction 7044, Business anA.Professions Cotle: � Ouct - Ventilating . � � ' � �PLAN CHECK� $ , PERMIT ' I The� Contractor's LJcanu Law does not appry to�an ownerof pmperty w�o' . , - . , � � ISSUANCE $� - builtls orimproves tnereon, antl who contracts (or such proJects with a con- � ExhaustSystem ❑ Multiple ❑ i ' PLUMBING ' $ , i. � tracmr(z) Ilcenze pursuant to the Contr ctor's License Law): , ' ' . �PLAN CHECK• $ GRADING �$' ` ❑ I am exempt unEer Saction B. & P: C. tor thls reason ' � Fi�epVFact. Blt. ICBO � ' ' -� 'c� . $ Data �- . �- er � � � '� ' �� Heating�System&Ducting •' � � �ELECTRICAL' : $ �G.1- � . .�� • - 'PLAN CHECK� I $ � . MICROFILM� �� $ I heraby � tlly_ ❑ar re C,thl applicatlon antl state that the above _ � 00�100,OOO�BTU 0100,0008 ! . �� � informatl" -is cor I a e t co piv with all tlt antl nnty ortlinancos t' '`� - �� '� �� �' - � TOTAUFEE � � antl stat laws re b' In9 onstructlon, a he authorize epre- � , �MECHANICAL � $ ' , , �$• sentativ ity lo e r n.' e a n'tl prop Y t Hdad or Type I ❑ ` peintpeMion Fee $15 ', p�p,N CHECK $ � � LESS � ,- �� � � inspectl t. ,'7 ��o T e II ❑ i � . -. qDVANCED PC $ � Signature ate f � • ; i � j ' ' � � i orivers' Llce se or� �, �� ' Registers • � � � laue Fee $ 3 � � � ' ' � � FINAL FEE I . $ � MF O86 6 rev: 12/B2 hite - Bulitling: Canary'- Appliwnq Pink = Accountin9: Goltlenrotl - A55essor ' ' . -, ' ' ` - - ' - - ' ` . ". - ' " - ' ' ' ' ' - - -- - -�� � ' � � •, �1 , r� CONSTRUCTION AND P,LANNING' ;� �. -• �� �'�'; , - _ - - . ;"� & SPA� -. - - . , _ � 'AP,PROVALS` Pe�mit �h `� • = :'Date: .Inspeetor � - � ` - � � _ ^ Date � I�nspector � � _, � � � _ _ ___,� .�APPROVALS Permit� - , . - ., � �1.�TempoFary Electrical Servi�e:or Poledr ��r �:' ,:''?!� : _ ' � - �52.�-Pool &`Equipment Location � � . - � - � � � ' �: 42.� Soil'Pipe.Undrgrnd �� � .:: � ° � � j >�• � ' 53r'Steel Reiriforcement � _, � � � , ;; � � " ;'C3.IEIectrical�Conduit Ufilitv-Undryrnrl. ' s�_ - �. ;;<_'� `- -' � 54. Forms� � �� - � � ,_ ' � � , �- � c4.i Electrical Conduit-Undrgmd., �'� _ t � � ' ''55. Electrical.Bonding � � ` _ �- � .i_ � ' �5:>Steel�Reinforcement. '��' •,� '" � -� ��-'� . . . � _ � . y , „ . y , .� - � �_ 3 � � ; � 56. Rough Plumbing & Pressure Test ' . F6.i Electncal UFER G�nd� , ` • �= ,, '` ��- , • 5Z. APPROVALTO COVER-GUNITE . '; � � 7:�Foo[ings ' � � �� �_`{ � �.� , `�.%,. = � � ?°_ • • - i _ 58._ Electrical �p�duit-Undrorod.. . - . � _ �' r�,:� 8:�-.Foundation I � � � . ; ., �; " � � ``_ - ' •�59. Gas Pipe; O Undrgrnd., Test, _ .'.� �-(I .� 9..Water�Pipe=Undrgmd: �'- � � - . Y _, _ - �"60. Backwash Lines; P-Trap, O Undrgrnd. . � ,; , 10.',Structural':FloorSystem � �j � ' � �� � . � � '61. dPPROVAL TO DECK � " � '�.' 11=� Property; Sewer Line & House Connection , ' " :62. .Backwash & Receptor•Final . � . . . � � -- • �� - 12:'Sewer�Cap ,r' " � � � 4 s i� � ` � 63. �Heater & Vent-Final . -_ � __ . 13.: Roof�Diain's' i7�1 ' I � %;. - � , � ; ' � ' o ' � ' g4, � plumbing System�- Final � • � � , � 14.7�Rough`�Plumbing �' I � `. � i ` . ' • � � � 65. Electrical-Final � � . � � �� �15�RougMElectrical=ConduiY�'-r' r'--i - -">- -i "'�"- - j- �- � ' --66. Sola� System-Final - ' ` � - � � � - � i� . �- ., i 1 I t � � , t 16.': Rough Electric Wi�ing , � r � � � ,� f � '+ , ' .= j _� • -_,+--{ ; � � 67. Fencin j & Access Approval - � - � - : � � �� 17.gRou'gh Wiring,Sign? ' ` � � � • � - ; - - � . gg. APPROVED FOR PLASTERING - ' . - i.- �, J18.�RougK,'Electrical-T�BarGeiling �� �! - � ., - � . ,-i - �( ' I 69. POOL/SPA SYSTEMS FINAL ' 19: Rough'Heating & Air;Contlitioning • 1 � � - , ; � ' , i � FIRE;DEPT. REQUIREMENT � . 20.,Rough,-FactoryFiyplace� � ,i �� I � � ! ' � � �APPROVALS � Permit�p . � 21.�,Duc[s�in�Struc[urei " � 'I �� �� ( � ' � ( ' 170. Underground Hydro . ' , � - � �22:;Ducts,Ventilating� . , ;- j! �. ! � � � i �7�, ProductPiping�pGas ❑Oil . . . ' ;:23; Gas�Pipe,Rough & Teet ` � I ��� � � ` � ' T ; � ; 72. Underground F.lush ' � ".24 � Roof Framing y �, '� ; i ��� �� � � � .� ; � ; ;� ' • ; � � , -. , 73. Undergrnd. Storage Tank O Gas- � Oil 25.� Roof Sheathing � � � � � � !�,s � ' i ; ; � � � `=' _� � � � 74. Overhead Hydro � ' � �26. �T-Bar Ceiling (Structural�i;& Monocoat �� � � W I' � 75l Dry Chemical ; - , 27.' Freme and`Flashing .�', � �� ,, ' - j ' � ' � , 76. Dry Standpipe ' - � ` . � � � , `28.i lathing & Siding � � , i � ;� ; � j � i ., I '/ ,,-77. �FIXED SYSTEM FINAL. . 29� Insulation' ' � r"� I � ��� ` � �: i'/,�.- , 78. FIRE PREV. FINAL '30.��Drywall Nailing � i � '� � � �� � ; i I � �,;�� i . ��Notes: ' � . � � � ' 31. �Plaster Bro'wn CoaL � �i � � 1 ' -�� � _ ' � °i ` - � . � � - � -�- - . - - ' - ,; , . � - i t: '' 4 .I � � ' . 1 i i ; ' � . i i ' - � 32:� Electrical Power Meter-Final � p;, . . � � � 33,'•'Final Electric � � , 1 � ' �� i � � � � � � i � _.�.. � n. .. J....J. .. __I,.'''''''" _ i' ' �34. Final �,Heatirig�&:Air�Conditioning � i � � � � ' i � � . ' .1•".L' m 1 F : ' C. � �, _. ,� � _� . �a 'c .� . 35. Final Ga's Pi;Pe-Test � � �: i � � ^� r. I : � ' � � , .. I ' . . � _ _� � • - . - ' ^, � -� -� ' -, „ � i_ 36. Hood�O' CanoPY il ; � .- � , � � . _ _ . = i . � � � � � - . . _ . . . . � � ; - �. i ' 37. Final:Factory'Fi�ePlaceR T' ' ' - ! �' � i �� � l:. ' : � - ' � ; .. . » '� � � � � 38. Final Plumbing� � . ' o' �� ' _ � !. , ' ' _ - - � 39. Water�Service-F,inal � � � �' I � � i � ' , ' , ' . ' . � I 40. Gas Service'Final � � i j i ��; � � � � � ! �, � , � 41. Solar�DomestioFinal � � � � i � • � � � _ � _ ' ' _ / � c- i � �i r - - --t- -� -I-- -- 42. Backflow P,revente� � � � � � r �, ' � i"- � ' , - t��.. nt i � � . i._'.� .-I-' �- - "- - - ' i 43. Backf,low Ir�igation � � � � "�': i - - , " � � � •� _ -- j• � . ��. �..,iv�¢1 =i' � 1 • � 'I... � . - 44. Land'scape Irrigation,$ystem1 I ��' � � ; � � _ � � ' r� • �� - � • - - - - 45. Sound GAttenuation� � � ' I i ,. � - _ " �r. 46. Handecap Regulations; � �, � � � �- � : ; � � . - � � , ' ' . '_ p _ , 47. FINALSTRUCTU,RE�&BUILDiNGt �� � �� � � � �,' i - , 48. Special Requirements �Completed �; � ,' � _ i �: i � � i 49. Electric�Releaseto�Edison � f �i �. �._ �_ _�'r '-.r- ; - - �- ,- l_' _ ' .. - . i , 50. Gas Release�to Southein California Gas Co ��'s ' , • . 51. CERTIPICATE, OF OCCUPANCY �, � ' .1_ _ __. .. +_. - .-_ .� . _. � ' � ' � No �� � � Date � - � � ; ' I - .u. . ...�.-f.;-a>.. . ' - --- - -'� - ---- -- _ t� AOD��U�� ta fill in all spaeef excaD< <�ese within �aary Cortler Ilnes an0 s19� all aoorooriate Caclantions. �; CITY OF COSTA MESA�' � � , � - � � � PERMIT NO. i ' �. TRACT NO. ' LOT NO. - BL . . ' ' � : � CONSTRUCTION PERMIT . • '' ��/j�/� � gS' � . , � ' . - ' ' � • • 1� ApplitBnYs Meiflng Add� � � TYPE OF CONSTHUCTION '' �rvEW ADD ALTERATION � REPAI R ' �O P�Ojett Ad I � ���'" ' ' .❑ CONVERSION �� DEM LISH ❑ OTHER I� �1ifjJB �R"fNQQ � � 7jr�� DESCRIPTION OF WORK • - - _Y..✓i %f/6 G/�u!/L/ �/ G ' . , � \� Owner's ivama Hl-'' � �! hone ,�/ - . - . , , , '� ' � R' Addfea�'�7���� �/vAw,���� 1��i����'�C� •�j�'r ,TypEOFPERMIT 'GRADING .FOUNDATION STRVCTVRAC • A.P.qW 1 -AfBh/En : C�� '��V,���v ���8�� rvo.; yY� ❑ TENANT, ELECTRICAL ❑ PbUMBIN6 ❑'MECHANICAL . 8 � �+ ,� � . ' PLNG. REF.�9W � Address. I��G� C�i��� 7(/y✓L��,/ C�. z�� ❑pTNER . ' . ' . . . , � . TOBUILOING � Cqntractor's Nem ��T��- ��FS G�7(�GZw'PM1p�e' ��C� �d� PRQIECT DESCHIPTION; Sq: F7. � •� OccuPnN v� PE v i E Addrealmailingl���r� ��U�� l�,G�� /L%�y � CONSTRUCTIONTVVF � ' ' � VAWATION$�� '�EFTSIDEVAR[ . LicenseNo, '_�_�,-' ��.^y����� � ZaNp • ' ' GRADINGCU.VDS. ACRFc . PKG.SPACE�REQ L'ICENSED CONTRACTOR DECLARATION ' ' Ramarks: �N•�TA '//«n-T I�O lZ�. /ZG![7G� � ' STREET WIDTH . 1 hereby aHirin that I am Iltanse0 unGer O�ovlsions ot Gharter 9(commencing � : With ietUon 7000) of Divlslon 3 of the Buslness antl Profeuion5 CoOe, an0 ' D' , 8� � SPECIAL CONDI� I t f ff t • i' my I cense Iz In ull orte.i a a e L1ceri��ss' . ` � - � nse rlo �� . ' PLUMBING ' . ' . , � i� �IT�'S'. Oate� Si9 ah a � / U ; , . . , ; . � � Ber Sink r Sewer Cap' 1 40RK RS' COMPENSATION DEC RATI9 ' � ' , • - - - � I hereby �alfirm t�at I hava a cerdflwte uf cop'sent to selHnsure oi a certifiwte ' . g�kflow Breventer.__ •. � _ .Sewer Connection _ Automatit Washer '� �of' Workers' Compensaqfin Iniurance, or a certifietl�copyJ{�ereoi JS�a�c�tlou -� � � � , . 3B00, Lab. C.j . ]}�(j�;� . , Conit�uction Po12 , p >� CJ�C�{�ll��i Backflow Irnpation . $olsr Collecttirs � � � PoIICY No. ' / 71O'ZCS:/7 ompanY I � I ' . , . . ' ' ' '- - , ' : ��Certifietl ooY Is nereCy turnisnetl, q • • � � Bathtubs j � 1 Solar PiD��9 . ' ' C�uking Unit , i � Cart� copv � tl witn the ciry ull I { Dishurasher Date ' Applicant � - � 1 ClBtifiC/5 � Sola�Tenk _ � ' EXEM ION__P9��RKE(i5' COMP, NS TION DECCARATION ' - Dl5hwd5hef ' Swimming Paol w/SVa ( . Dryefs ❑GaS...DElectrii (Thlisectlon neeC not bB COTplatetl If t�e permit H tor one �untlretl (5100) or � � � � � lezs) � + � r � � � � � Drinkin Fountains . Urinal I � ' ' '. Fan � I certlfy that ln tne performan<a of the work for which t�is perm�t ii Isivatl I ; 9 _ ' � : , . shalb not employ any person in any mannar so as to be<ome zub7ect [o t�e ' , , � � � F.A.U. , ' Workers"Compensatlon:Laws of Callfornia.. . � FIOorDrains: � Water�GoSet 1 i ' Date' ' S19�ature - ' � ' ' � . � Fixtures � ' .NOTICE:Jf, after�making thii tleUaration, you shoultl become sub7ect to tha � FIUo� Sinks � � � Wat2r Heat2� ' ' � Workers' Compensatlan Drovl5ion5 ot tbe Laboc Cotla, you must for[hwltn �� � . � compry ,with; suc� provlzions• or'this�'permit s�all be,tleemea revokatl:� GeSService� � 'Outlets: � �Wate�Servit2'- ,. ' DeviceBoxes � . CONSTRUCTION LENDING AGENCV•' ,' : � ��•'�' . .t - . , Outlets ` � I neraCy aftlrm thal t�era Is a.constructlon lentling agency for tha performance Inte�ceptors � ' ' � ' of t�e work tor hl � this r I L� s tl�(Sect`on, 097 Civ. C.;. � Lnnaer's' Namo.' ��/��T' ��y���T�� � � �V� � ' KitchenSink` • � � � ' ' Switches , i � �sncer's v,edre<. laA /U � A/ Sil/.�f S�iJ/•� -- �� � —���f� . . . : _ , � . . . � ' . OWNER BUILUER DECLARATION ° 3/Yv/iI �l'+�A �./f VG."f.[�/� �atOfies-, , - � ' � .' ! . • . GBrbege 0isposel � o flle a slgnetl stalen ie Contractor'S'Llcen �Ivlslon 3 Af the Bu .thero(rom antl the' ba 7031:5 by.. any 'aOG� �enalty of not more tt I,;,as�owner ofitn compensaHon wilLtla ror saie:(se<fion 70� Llcense Law tloes not ther¢on, antl who tlo employ ees, proviaoa 1 sale. 1}, however, the platlon, the ownar�wl �fovefortne purpose I. as owner of the npP /rom tha�f .5 Builnesz an t to construct, ince, also requ' ho/ihe Is Ilcen Ilapter 9 (cort tl. Protessions ie allege0 exon a . pormlt . su unCretl tlollars ty or my'em{ k, dnd ttle Strl ess antl�Profe an owner ol a LI'1 am exempt untlar Section Date � Ownar I hereby <er�' �at I.hdYe r,eaE tnis appl Intormatlo s rect. I�9iea/to cOmply wl Drivers' CMF 086 ot to 'operty�wno owws or imOroves � sel7 or throug� his or her own re not IntentleA or otterea,for ! IS soltl wllhifl On0 yeal of com- . iing he/she tlltl not bui1G or Im- : contractin¢withllcensetl con-' Business antl Professions Coae: . to an ownerrof property'who ' s for such pro�ects with a<on- .icense law): , � - 8. & P. C. for lhis reason ' rev. 1'2(82' White - Builtling; Canary ='Applicant; Pink - Accounpng; � P-Trap• .- • ' Roof DFains, , � � � i., . .� .. $hawers ' � ., � . � Seivice Sink � . :.�!. i _ . . , . � Boiler : . �.� i � i . � Duct - Under Ground � ; Duct-Structural ; � ' ' Duct - Ventilating ; , � Fiiepl/Fact. Blt. ICBO �# Heating'System & Ducting ' ❑a�oo,oao sru oioo,000 Hoodor Typel ❑ i CanoPY, TVPe II ❑ Registers . � i aniotl -Aszessor "' ' ` � � � � ReinspectiomFee � laua Fee �. . 1ANICAL • Refrigeretion System ' ' ❑0-100,OOOBTU ❑t00,00U 1 System Repeir/Alteretion ; 1 I � I $15 S 3 n n Reinspec[ion Fae� $15 . � � Iswe Fee . � S 3 � , ?75r, 7✓r6%:;:; ' �oronrv rn gr REAR VARD (TO F/L) - RIGHTSIDEYARO � � �, PROVIDED ' . �; � � � PARK FEE § � i : � . � ELECTRICAL , : i fMeter �overl0bamps' . 'Sub Panel' Sub Pole �Motors 0 ' I nc. Solar• � 'Microwave iPale.,Light Range . ysU..� , �Ti � � I Generator� U0-5 KW LI5J5 KW � - . Transforrrier �75-50 KW j ( � � ' ; � -� � ' . �5U+KW� i � � � �Reinspection Fee $15 Meter p to 100 amps I � �Issue Fee� � �' S�3 Zoning Approved By Date , � ' ' ApPliretion AOProved 6y � ' ' Date � � Applifation Issued By � � ' Date � � SUMMARV OF FEES � � ' 1 . iBUILDING PERMIT $ � , SMIP , • $ ; , � � PLAN CHECK' ' $ PERMIT � ; ' �PLUMBING ! • $ � � ISSUANCE' � $ , •PLAN CHECK f $ � ' , GRADING ' ' $� , � $ , �ELECTRICA� � $ � ' � . ;PLAN CHECK $ � � ' MICROFILM � $ 'MECHANICAL $ TOTAL,FEE $� ' �PLAN CHECK' $ � ' t LESS � � , ; ADVANCED PC : $ � . 1 . ' ' � . , FINAL PEE ! $ . � � _. ' ` ". � � ._J . _w' �' . CONSTRU.CTION AND PLANNING - � =' ' =' ` � ' - , - ?L ...& SPA . -. � , I-� . - ' ;_Date '.'Inspectort.E�" '''- n. -. - : �.Date� ,Inspector - . ; APPROVALS� PeFmit #F-$6, X-r - , , i _ "- APPROVALS. Permrt #' 1 . f] o ' _ . . . . _ _ . � �7. �Tempoiary, Electrical Service:or:Pole , . � .: - � � '52, � Pool & Equipment Location.. " ' � " ..� .: , ��_4 �,�'�- t. ,-. •_� _ :. - u-f2.'Soil,Pipe-Undrgrnd'. -• . ' - . 53:�Steel.Reinforcement � � � - - i ' � r � -- - � - c .3.iElectrical Conduit Utilitv�Undr9rnd. ' ^ �- : ' 54.'Forms' s "- ' . ' � - :t r .��4,.'Electrical Gonduit-Undrgrnd. � .; j '- � ' � - _ � �? E:'^ � 55:=Electrical �Bonding � - ' ' � :5. �Steel Reinforcement � ' " , - . - - ' `�? '. . 56. Rough Plumbing &�Pressure TesY � ' <; - - 6.� Electrical UFERiGmd. `' � � ,.� ' 57. APPROVAC TO COVER-GUNITE, , 7. Footings • � � -� , � �. r 7� � - �58. �Electrical �nduit-Undromd. . . . 8. � Foundation � . , 1 ' _ _ � .; ; - ' - , � ` - � �59. ,Gas Pipe, O. Und�grnd., Test 9.IWater Pipe-Undrgrnd. ; ' � � - � _ �� r • ' 'gp..gackwash Lines, P-Trap, O Undrgrnd.� 10.�Structural Floor Sy,stein -' �' , � �.� 61. APPROVAL TO DECK- � 11.iProperty Sewer Line & House Conneaion - • " 62. Backwash & Receptor-Final " _ �- 12. Sewer Cap ' , ' � ; ' ' ' - - 63. -,Heater &'Venf-Final � ' - � i I i 13. Roof Drains . ' ;. � � 1 � � � i - 64, �plumbing System • Final . ' � 14.�RoughPlumbing . � � � � � - �65.�Electrical-Final � - �• � �- � � =15�.yRough�Electricai�-Conduit�' - -,--� �--"�-' --: ��",` �66. SolarSysfem-Final;-- � - . � - - - � ���16.,Rough Electrio-Wiring ; [ � �� , = j ; �";'? '- � � ' -' ' --67'. =Fencinyi& AccesrAPP�oval" ' � � ' - "-- ` 17„RougFi�Wiring Sigri'. c ' . � �� �� � �' � � ' '. I � i ; ' �.'APPROVED'FOR PLASTERING . i . - ' � 16.' Rough Electrical=T.:Bar Ceiling , � ' -� i : � '� ' = ' - 69: POOUSPA SYSTEMS FINAL . ' � ' 19i� Rough, Heating & Air Conditioning. �� I : � ; _ � FI�RE�DE,PT. REQUIREMENT - � � 20: Rough Factocy Fireplace � %I � ' ' � � � , APPROVALS � Permit �p � - n . . 21J, Ducts, in�Structure � � ' j� ; � ' � � � 70. Underground Hydro � ' .22. Ducts,IVeritilatingL � . ' �t �, 1 � � � � '71. Product�PipingOGas ❑Oil � % . � ' �"23 ° Gas: Pipe=Rough & Teit' � � � v ,� � � � � ' ! � 72, Underground Flush � =24. Roof Framing � ; ��� ! �'' � ; � � � . i � � r� �� , � ; � I 73. Undergrnd.;StorageTank OGas. OOiI r 25. Roof Sheathing � .' I � , . ��r �� " � � � ! • 'i � , ' - ' 74. Overhead Hydro '� , � .26.�� T-Bar Ceiling (Structurapi,& Monocoa't , ' ' „ � : ' , ' � 75. Dry Chemical . _ ' , ' n 27. Frame�and Flashing ^ �'' �� I� ��, � � � ''i � 76. Dry Standpipe 28. Lathing&�Siding � � � � ' � I � � I I � i ; »• FIXED�SYSTEM FINAL � 29.' InsulationT� � `` � ' � �.-�� � 1 � I ' ' , 78. FIRE PREV. FINAL � . � =30. Drywall Nailing , - "�� � i � I ' ' Notes: , � � . � � � 31. Plaster Brown Coat ! i • � �- � - � } � -- -� --� - � � - � - - � - - -- - � ._. �32:� Electrical Power�Metei-Final ; , �� � � � t � ' - � . � 33' Final Electric ' � i 1 � ' � , ' i ` _)_ ' '�� � � 34. Final;Heating & Air-Conditionin9 "' � y ( T � • ! � . • . � � t . i r� r �� ; 1�� � I ' b Ci ' j T 35. FinallGes Pipe-Test . ! � ' : i "', � � � ' - � =. . � � ., � ;: _ , � ; � ' � � � ,. r �, , - 36. Hood.or CanoPY.'"I ^ 1 a �. i �i ry I- _ j , - ,. �', . � �! 37. Final�Factory Fireplace� � i � o� i ; � I ; � � � I � ' . � _ - � , 38. Final,Plumbing '� �r � � ^: , - - � � � ; ! ' "' , -�. ' . i� 39. Water Service-F,inal ' , 1 •.:' ., � 1 � '' : � � , ` . . � i � i It � t � I 40. Gas SerGice=Firial � i � � ' �� ' � � � '� � ' i ' ' � ' � � 41. Solar`DomesticFinal' , ; � " f � � � � � � : � . `�' . w� � i � t-'-1- r-�- - -. _ - . - 1 - ' ' 42. Backflow P.reventerr, i i i � d`_�i _ �___l. ' _. ' _ � � � , � ,. i .r , u � ;� - _ _ 43. Backflow Irrigstion' i � - �` - ��:� _ ' - ' n_ i i � i. . ,` : u . .. _ ' , 44. Landscape Irri,gation�Sysiem �'��� � j °, �,� � '� �;, ? � ' � • � . � � �. � � � 45. Sound,cAttenuation1 � ^ , � � � � � ' � � , � , - � . � �' - . - , � " � . 46. Handica,p Regulatioris� � ,� I I � ��. � i y , � ' , i i ' `� � ' � 47.�FINALSTRUCTURE&BUILDING; !� � ��'� � ' ' ' ; � ' � + r i i i � 48. Special �Requirements Completed Q� ( � i � i � i� , � � 49. Electcic iRelease to; Edison � � , , _ _�__; _ , � �_.. _ � � _ . �__- . � ,- � � , � r � 50. Gas Release to Southem Califomia Gas Co i I � � � � � '� � � � �. � � � i � 51. CERTIF,ICQTE OF OCCUPANCY ' i� _ r _ .I __' _ _ --' . - _'._' . � No, � � � �Date � ' - I'' - -l' - - - -' � '- - -- - 1 -- ' � � CITY OF COSTA MESA CONSTRUCTION PERMIT Applicant's Mailii ProjeCµt� }��dd�r4yryz� OwnN3'IJalnB � Address / 79c Arch/Enp.� fA.C. Addrezslmailingl. � �'�-K��"" �vc License No. �� � 6 y� LICENSED CONTHACTOR OECLARATION I hareDy affirm l�at 1 am Ilcensetl unEer Drovislons o1 C�arter 9 witn sectlon 7000) ot Dlvislon 3 of t�a Business antl VraTassii my Ilce� �I�/ul1 /orce antl ef(a�[. /�n /���g� Ucanse i � �� J O. ' Data^�—�-7— canae��.w ��'� ��— �ORKE 5'R COMPENSATION.DECLA A�ON`` ADDlieant to fill in all spaces axcapl thow wit�in �eavy EorE PE�IT NO � t�-- TR CT N. 7 J Y TVPE OF CONSTRUCTION NEW ADD ❑ CONVERSION ❑ DEM ISH ❑ OTHE� � DESCRIPTION OF WORK �.�CL_ heraby af/irm t�at ca nsent to salfansura or a certiflote of Workeri' Compe�l�„I�� �c , �a cerU/ieO coOY t�ere�o/�f (SecHon 3800. Lab. ) .S�il..�. � /i% Poilcy No, y �CertlfieA opY � 'heraby furnishe � r Certi}le y E wIN tha Ut q, n Da�e � A00����� E%EMPTI N�F OM WORKERS' COM E A910N DECLARATION (Thls saction nee0 not De complatatl If the per�nit Iz for one �untlretl (5300) or less): . I ttrti(y tnat In Me oertormanca o/ the work for wnich tnis parmR is issuetl I snall no[ employ any person In any manner zo as to become subject to Ihe Workers' Compansatlon Laws ot Glifornla. � Data ' SlgnaWre NOTICE: If, after makinq t�is tleclaratlon, you ShOultl Detome su�ject to tha , WOBers• Compen5atian provislons ot lhe Labor Cotla, you musl lorthwllh . camply with such DroWslons or � thls Oermlt ihall be tlaemeO revokaE. CONSTRUCTION LENDING AGENCV � I hereDy a//irm that t�nerA �s a conitruttlon IenEing agoncy lor t�e per/ormance o! the work 1� Wp}6tLLtfilS��_ Li�uaQ.rtSactlo��G97L�CW. C.) • �enaer's Namo ���'� ��o //( 17 K Lentler'S AdUros. � �% • / ���/ S�rt ����q� OWNER�BUILDER DECLARATION � - gZ (�/ �j I hereby,affirm lhit I am exomOt /rom tho Contractor's Licensa L.aw (or Ihe /ollowing roason.(Sectlon 7031.5 Buslna55 antl Profei5lonal Cotlo: Any cl[y or statement e u.o o any appncam ror a parmi� suv�ac[s me appuwni � alty o not more than flve nunaroa aollars (f5oo). . I, as owner o/ tho pmporty or my employaes wlth wages ai � ipensation wlll tlo t�a work, antl tno 5tructUrO is nOl InlunaeE < sale (Sec�lon 7044, Businnzs anE Professlonal Cotla: Tho Co anse Law tloes nol aDV�Y to an owner of a property who bulltls or �oon, anU who tloes sucn work hlmself/herielf or lhrou9h his or plova85. orovlAetl that mch ImOrovements are not IOtaOtlBtl Or OI uie. It, nowaver, tne bulltling Or Imp�Ovement Is Sol� wlt�ln Ona year o� com- pletlon, t�a Owner wlll nave tha burtlan of provinfl he/Sho tlltl not build or Im- �rovefortne purpoze of ule). I, as awner o/ tne O�operty, am exclusively contracting wl[� IlcanSOE con- tractors to constru<t the Oroject (Sectian 7044, Businau anC Ro/essionz Cotle: Th¢ Contractor's License Law does nOt apply IO an Owner Of property wha , bu11Us or improves thereon, antl who contracts /or such projacls witn a con- tractor(s) Ilcansa Oursuant to lne Contractor's Licenze Law). ❑ I am exampt unaer Sectlon 8. 6 P. C. lor lhis reason Date Ilnas anE tlqn all app�oorlate tleclanliont. .TERATION LIREPAIR TVPE OF PERMIT IJ GRADING �J FOUNDATION jL11 STRUCTURAL A. P. � ❑ TENANT ❑ E�jLE'CTRICAL U/ 'P/��,�J}M/B/ING' ❑ MECHANICAL PLNG. R F.9W ❑ 9THER o �K �'�/"/�'�/ TO BUILDING PRQIECT DESCRIPTION S�. F7, oCCUPArvCv_��. P V � CONSTRUGTIONTVPF VALUATIONEt�/�� �— LEFTSIDEVARD 20N� GRA�ING CV. VDS. ACRFS PKG.SPACE REQ. Remarks: STREET WIDTM � SPECIAL CONDITI Bar Sink Backflow Preventer Backflow Irrigation Bathtubs C�Bfl�lel5 . Dishwasher i � Drinking Founteins Floor Drains . Floar Sinks � GazService� Outlets Levatories P—Trap Roof Drains Showers Service Sink Boiler Duc[ - Under Ground '� Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/FaCt.81t. IC80 # Heating System & Ducting ❑ Q100,000 BTU � 100,000 8T1 Hood or Tvoe 1 ❑ �, Drivers' Llcen qy55 �� 1 �— . , I Registers CMF 08654 rev. 12/82 White - BuilEing; Gnary - Appli�ant; Pink - At<ounting; GOlaenro0 -Assessor PLUMBING Sewer Cap Sewer ConnMion Solar Collectors � Soler Piping Solar Tank Swimming Pool w/Spa Urinel Wate� Gout Water Heater Water Service . Reinspection Fee laue Fee ❑aioo,000eru ❑ioo,aooaru System RepairlAlteretion Reirupection Fee Iswe Fee Automatic Wazher ' Construction Pole Cooking Unit Dishwasher , Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures � Device Boxes ' Outlets Generetor OO-5 KW 05-15 KW Trenstormer �75-50KW ❑5U+KW $15 Meter ❑up to 100 amps $ 3 ZoninB APVroved By ApPli�ation APOroved By APo�imtion Issued By � $15 $ 3 PEAR YARD (TO P/U RIGHT SIDE YARD Meter LJover 10i S�b Panel. Sub Pole Motors O0.1 HP Inc.Solar 09-15 Microwave Pole Light Range. Trash Compactor FEE S amps X$ ` ❑ 164 5+ Reinspection Fee � SUMMARV OF FEES BUILDING PEtiM1T $ �Z� SO SMIP PLAN CHECK $ 2� PERMIT PLUMBING $ ISSUANCE PLAN CHECK $ • GRADING ' ELECTRICAL $ � PLAN CHECK $ MICROFILM MECHANICAL $ � TOTAL FEE �PLAN CHECK � $ ' LESS ADVANCEDPC � � PINAL PEE S15 S D.So . . �;, ' � . �' f!CONS7RUCTION;AND�PL'AN ING��`.- - �' °. - ----. - - . i - `- �t .SPA ' , : - -' _ - �� ��.:��-� �, �-;� _��Date �`.�Inspector � � Date Inspector � FAPPROVALS � P.ermit#- . ;APPROVALS 'Permit# - -t - r: - i ' d- Temporary Electrical Service or-Bole - r 'o 'v" " � ,�52:, Pool &'Equi�pment Locatjon� ' - - '.l f i • - --c � �2d ISoil �Pipe-Undrgmd,- 5 � , t: .' �. � .- . _ c - . - - - :. . : _ _ �,. ,_ _ . _ . � : •�� �'53'.= Steel R�inforcement - _ . � - 3i Electrical Conduit Utilitv-Undrgrnd. -� r � '�54.� Forms ° . _ �' ,; 4i Electtical Conduit-Undrgmd, c,: , � E � " � , o ,`' � 55.� Electrical Bonding . � 5: Steel .Reinforcement, QS ��.� ,� � ' �1 a , ' � _ �,' _ ' �56.• Rough Plumbing & Pressure Test � � 6: �Elect�ica� UFER Grnd. - '� ' -' 57. APPROVAL TO COVER-GUNITE i � 7. Footings.��s� � ! -`, �� $_� � '.�58. Electrical �p�duit•Undror.,.i. - 8. Foundauon �(Z.pJbW ��y - , '�� � ���59. GasPipe„O Undrgrnd.,Test i � 9. Water Pipe-Undrgmd. ' P' ' V�� , ��60. Backwash �Lines, P•Trap, O Undrgmd. � 10. Structural Floor System ; � =' ' ,���= �' 61. APPROV'qLTO DECK ' i t. Property Sewer,Lin€ &',House Connection' : ' _� y � � .62. Backwash &� Receptor-Final . � 12. Sewer Cap � ; - � ' � � % F� �`63. Hea[er & Vent-Final � ., 13. Roof Drains , i � ' �. . � ;.64. Plumbing,System.-Final . - 14. Rough Plumbing � � �• � - � � ���65. �Iectrical-Fi'nal° � � � �.,-'15: �Rough"Electric3l=Conduit1' � "--�- �� �-� -�--����,�-�- "66. So,larSystem-Final � , � ' i6, `�Rough�Elecfric.Wiring, � ' � '('��: i , s"� �� _, y ' ��r' 62�.��Fencin & Access A roval � - -- '; � r�., , �i i � i. I. � �.- � j`- {-. 9 PP = 77. 'Rough Wi�ing;Sign+ �; n i .: i P ,i �: I "!: . � � ' ' � � " � ,68.i APPROVED FOR PLASTERING .v- 1:1 31; ;��'j� e -� iB..,Rough Electrical;T,Ba[ Ceiling� 'i i i' � � I ^' ��" �' i 69., POOL/SPA SYSTEMS FINAL � � 1.9; �Rough�Heating &•Air Conditioning � i r' ` � ( � ��; � FIRE DEPT.,REQUIREMENT , � 1 20. iRough.Factpry Fir,Epiace � � ', ' � i � � , � � i AppROVALS; Permit # � z 21. �'Ducts,�in St�ucturea ' � � ;� � � ; ' � � � �70.. Underground Hydro . ��d�22.;Ducts,.Nentilatingr •� �� • I � ! 71.ProductPiping�GaS ❑Oil � - ��23. �Gas Pipe-Rough & Test ° � � �_� �� I i ' � ' 72.� Underground Flush � � � s "24. ��Roof Framin ' tl;-: � I � ' � � • � ' �� �- � 9' , � � �,� : �' i;�� i.� � ' 7_3.� Undergnid. Storage Tank O Gas ❑ Oil , .; : � 25.'Roof Sheatfiing ' ' '. � t : i � ,, i '- � ' ' 74•' Overfiead Hydro ' 26., T�Bar Ceiling (Struc'tural) & N�onocoat' ., � ' , � �� � � 75.� Dry Chemical . ,,-2 :'Frameand�Flashin � ' i � � � s ' " � ' � � • � 9 � ,� � �76., Dry Standpipe , . . .. � �„ � ; i I I � � . . i � 2�. �Lathing &�Siding ;, � ' � i �;� � i 77. FIXED SYSTEM FINAL , ��.29.�Insulation-� ` � ` ��I ' �' �, � ' � � I I �7g:,FIREPREV.FINAL , - -30.'.Drywall Nai�ling � � + � i� � � � � � � ;Notes: . � , . 1 � - 31. �Plaster Brown Coet � � " , � I i � ' ' � � � - . . Fi i ' � � � • �' , ' .�. ' � I �� � 32..Electrical�Power MeterFinal � � � � � � � � � � ' - i .. . . . . ; . . . M p 33. Pinal Electric � �. � • � � � � � 34. Finai`Heating & Air Gonditionin� ' � � � � � � � � � , � � , . �,� � 35. Final Gas Pipe Test � � �� ��� � �' - . � (�; � . � 36. Hood or'Canopy- �� �. ( _� � � r i � ' � - ' � ' ` :ii, 37. Final Factory Fireplace� i �� �� � � ' � ' � i �� i , , . . , � � 38. Final Plurt1(ting .r; � � , '', c' '' � � ' � � � i � ' � �'. , _ � � 39. Water Service-Final� � . i �i ( � � � ' ' :. • 40. Gas Service-Final �� . • .'f � �, � ; � � ; � ' ' ' ' - • .r . ' . ' . �� , � � � r � . 41. SolanDomesticFinal � : l� . __ _ _. _ . _ __ _ �_ ,_ __ • , 42. Backflow P,ceventer� : � • i • i i�j�_�.,_ � �_ t_� � , _ ' '. �. .. i 43. Backflow I�rigaEio`rr � � ^��� ''„ i � � ` ' ? � u . �-.� '.. � ' ✓ -i =i I 44. Landscape: Irrigation System ! , � ;; � ; � � I � � � ' . - ' 1 45tSountl.:P.ttenuetion � ' � '� � ''! ,' : ;. � .� � - . 46.�Handicap Regulations t•.�I• ,� �= ' ' � � � � 47.'FINAL'STRUCTURE&BUILDING �' . � ' � � r .9-� � � 48. Special Requirements Compldted „ � � � � ; , '� � . .,�... i i i � i -� i .� 49. ElectriE Release�to Edi'son � � I_..�_, _�._ _T_ . __.' �__ _.�.� _�.. -,'._ �. � � ' . : t 50: GasRelease�toSouthe�nCaliforniaGasCo � � � I I' � ��� i I• ;�, �, � , 51. CERTIFICATE,OF�OCCUPANCY �I ,_ )_ „_ �_ � . .� _ � ;_ ._' _ _ � - _' �•J , No " � � Date ' � � � � I � � � �' � . -- T,�;_ AVO���ant to flll In all spaees exeept t�ose wit�in �eavy DorAar Iinas anG algn all approo��ate Eaelanlions. � CJTY'OR COSTA MESA • PERfv IT NO. TRACT NO. LOT NO. BLD . . CONSTHUCTION PERMIT C.I� �� 7 //�/� 5� � ApplicanYs Mailing Address (b' ProiectAddreu 1'y'�9 Q� �'r����'�'�,t '�OlA� �oMc���Phona�a.e..0 n1 Owner's Name � � Addreu � � Arch/Eng. ` g��'«'! LicenseNo. � �1�� � Atldress � � � Contractor's Nam pnone ���'3fr50 � Addreulmailing) `'� � License No. — LICENSED CONTRACTOR DECLARATION � I hereby affirm that I am Ilcensetl u �pr vizl 5 1 C�arter 9(tommencin9 with 5ection 7000) of OIvi510n oi f a uil ass� nO PrOf¢SSIOnS Cotle, antl . my Iicense is In tull /orce anC et ct. License Class —� c se 10. � Data �'T$'3 Si9natur —� , ORKERS'COMVENSATIONDECWR ION m aereDy atiirm that I �ave a certiticaCa oi conSent to SelNnsure or a<eitifiwte �J ; of Workers' Compansation Inzurance, or a��certifietl copy thereof (Sectlon 3800, Lab. C.) ` A PoIiCY No. /� �J � 3�C Comp�nY �nLS� S: �� p Gertlfied copy'p[ hereby furnishetl �, 13� cxrWie,h.sqpy/f'JMqd wlth Iha tit�pigy,o}cy�� e,�, U 9 EXEMPT�ON F`ftOM'WORKERS' CQMPENSATION DECLARATION (This sect on neetl not ba com0letetl it Ihe permit Is ior one huntlreG (E300) or less). I cerHfy tha[ in the pertormance oi the work for whlch this permR I5Is5ueG I shall. no( employ any person in any manner so as to become subject.to lha � Workers' Compen5ation Laws Ot Californid. • Date ' �Ignature NOTICE: It, after making this tleclaration, you shoulC becama sub�ect to [ne Workers'. Compensatlon provisions of the Labor Cotla, you must fortnwith complY �+��h such provi5ions or thls permit shall be aeemea revoke0.: CONSTRUCTION LENDING AGENCV ' ' I hereby a�firm that t�ere is,a constructlon Ian01n9 agericy tor tha performance of the work !or,.W� It th pe� �mit i}� is�uetl }$ecti 3097• Civ. C.) LenEar's Name ���� ���•M5J'o/T Cfei�� • LenEar'S Aetlrea� /0/0 /Y� /Ylnivi .$nw,� �Qnp� OWNER BUILDER DECLARATION I hareby atflrm that I am exempt'/rom the�Contractor's Ucense Law for the � a anC the anY el not mor� I, as he alle9e0 exemptlon. Any vloiation ot Se r.a permit subjacts tha aOP��cant to a iuntlretl tlolla�z (E500). . � rty or my amployees with waqes as t�el rk, antl the structura I5 not In[entled or o' ness �ana� Professlonai Cotle: The Contra i an owner of a Oroperty who Eulltls or Im4 �loY ees, proviaetl that such'imorovements are not Intentletl or otferea !or . If, however, the bulltlin9 or Improvemant ii soltl within one year of com- lon, the ownor wlll �ava tne burtlen of Proving he/she tlitl not builtl or im- . ve fo� Ihe pu�pose o( Sale). . . I, as owner ot the property, am excluslvely con[racting wit� Iicensetl ton- :tors to con5truct the Oro)ect (Section 7044, Business anE Rofesiions Cotle: � Contractor•s License Law does not apply to an owner of Droperty who itls or Improves thereon, antl who contrac[s for such projects with a con- :tor(s) Iicense pursuant to the Contractor's License Law). � Lam exempt untler Section B. & P. C. for this reason Date _ 1 nereby Informatic antl'state sentatives inspettlon Signature Drivers' L CMF 0865- Rate that the a�ove tl county ortllnance5 eby authorize reDre- lonatl Droperty for Da[e // /O-$3 , rev. 12/qc White - Builtling; Canary - Appliwnt; Pink - Atcountinq; TYPE OF CONSTRUCTION Uif NEW LJ ADD LJ ALTERATION LJ REVAIR ❑ CONVERSION ❑ DEMOLISH ❑ATHER DESCRIPTIONOFWORK -S��1GlP OHf/ l/ IY�S/O�IMN TVPE OF PERMITp� GRADING FOUNDATION STRVGTURAL A. P.9W ❑ TENANT y�.ELECTRICAL ❑ PLUMBING ❑ MECHANICAL PLNG. REF.9W ❑ �OTHER PO BUILDYNGNE PHOJECT DESCHIPTION 54. FT. ��O OCCVPANCV � LEFT SIDE YAqD CONSTRUCTION TVPF Q VAlUAT10N S ZOhI� GRADING CU. VDS.• ACRES PKG.SPACE REQ. Remarks: � ' 3�` STflEET WIDTH � • • i 1 .. ` ��_� //G/7 SPECIALCONDITI Sink Preventer Irrigation Drinking Fountains � Flaor Drains Flaor Sinks GasServite Outlets Interceptars� _ � Kitchen Sink Roof Drains Showers � Service Sink , ' Boiler Duct - Under Ground Duct-Structural ' ' Duct - Ventilating ' Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO �W Heating Syscem & Ducting ❑G7 00,000 BTU � 7 00,000 BTl Hood or TVpel � Registers :nrotl - A55essor Sewer Soler Collectors Solar Piping Solar Tank Swimmina Pool Urinal ' Water Closet .Water Heater Water Service � � Reinzpection Fea Isue $75 $ 3 ❑0.700,OOOBTU 100,OOOBTU System RepairlAlter tian ' i Reitapection Fee 575 � ' Isua Fee $ 3 iC Washef Cooking Unit Dishwasher Dryers ❑Gas �Electric Fan F.A.U. , Pixtures � . _ Device Boies � Outlets �ageDisposal • erator, DO-5 KW 05-15 KW isfarmer 015-50 KW � • 05U+KW �.er ❑upto700amps - 2oning AOProved�By— i Appliration Approved By Aaoliption laued Bv — 7427 4/19/U3 REAR VARD (TO P/U RIGHTSIDE VARD PROVIDED PAFK FEE $ Meter LJover 1 W amps Sub Panel Sub Pole Motors DO-1 HP ❑1'/h-8 Inc.Solar��9-15HP �16-15+ Microwave Pole Light Sign Standing Sections Trash Compactor Reinspection Fee . SUMMAR� OF FEES BUILDING PERMIT $ SMIP PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE PLAN CHECK $ ' GRADING ELECTRICAL � $ ����'�'�i2 PLAN CHECK $ _/(L MECHANICAL $ PLAN CHECK - $ MICROFILM TOTAL FEE , LESS ADVANCEDPC FINAL FEE $ ;.�I.Jd TL $15 �� � �`. �n, .� ` . , . .. a :w�:CONSTRUCTION.AND-PLANNIN � = ,'. - -- ---- �-. - 7`�'�:�C SPA - � �. ;' ' ' Date � Inspectoi J�� � � - ' - - Date � Inspector ;, -,APPROVALS ; Petmit #� . `. - APPROVALS �, � Permit � ' i �1: 7emporary Electricel Service'or Pole ' � ' � � 52 ; Pool & Equipment Location � - � •: 2. Soil Pipe-Undrg}nd. "' ' _ ' ' . . � -� . �53. Steel Reinforcement �- 3. Electrical Conduit Utilitv-Undrgind., � '. = 54: Forms � - � � - . � . �- .S 4: Electrical Conduit-Uodrgrnd. � ' _ . � . 55.� Elec[rical Bonding • � �r Steel �Reinforcement ' ' r ; " , � - - 56. Rough Plumbing & Pressure Test . .� 6: 'Electrical UFER Gmd. . • 57._ APPROVAL TO COVER-GUNITE 7. �Footings � � , _ `- ' � 58. Electrical CqnBuit-Undrarnrl. . 8. Foundatiori _ � , ' � . ' � - 59. Gas Pipe„O. Undrgrnd.; Test � . 9. Water Pi�pe-Undrgrnd. . . ' - � � 60. Backwastr Line;, P-Trap, O�Undrgmd. � � 10. Stiuctural Floor System �� . 61. APPROVA�L TO DECK � � _ ' � 11. Property Sewer Line & House Connection �62. Backwash'& Receptor-Final � . . 72. Sewer Cap . , , c• ` � � �63. Hea[er & Vent-Final . � � � 13. �Roof�Drains � , � � � � �g4. Plumbing System - Final - � 14. iRough Plumbing � - - '65. Electrical-Finai � � � ' � � ' 1�5'.' Rougli �Electrical=Ciinduit- - � � -- - " "- � � --� - � 66.��Solai System-Final -- ' ' " ' '" ��6)�Rough� Electric Wirjng � ^ � � �3��� --C� ._ . � ;67. Fencing & Acces4 Approval - �" - '- . � - - T7r RougFi_Wiiing Sign�' ^ " � � ' , t , _ , ' � ,68. APPROVED FOR PLASTERING � � - � 18.� Roti9h.Electrical:T Bai Ceiling '. � � � � = - 69. POOUSPASYSTEMS FINAL �� . 19�. `�Rougfi Heating & qir.Condi��o'ning � � ' � F�RE DEPT. REQUIREMENT > _ 20.�Rougfi.FactoryFireplace�/T , � � � � APPROVALS �Permit# � � 21 J�Du6ts; in Structure; � � -� ' 70. Underground Hydro � � ��;�,-22:-Ducts,Ventilating' � �T' � � � , 71. Pr,oductPiping�Gas ❑Oil 123..Gas'Pipe-Rough & Test �, '" 1 � � 72: Underground Fiush � � 24.� Roof �Framing � ; � -• , 73. Undergmd. Storage�Tank O Gas ❑ Oil ! 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 � i � � ' 77. FIXED SYSTEM FINAL �. 29. Insulafion � ' � � ,� � � • � , 78. FIRE PREV. FINAL ' � 30. Drywall Nailing . ; . . Notes: �� � �`31.��Plaster�Brown Coat. ' � . .� . . . . . I � ': 32. Electrical Power Meter-Final ! � ' . � 33:iFinal.Electric ' � ' , � i ' ' 34. Final .Heating &.Air Conditioning � , � . � � ' ' 35. Final Gas Pipe-Test' ' " _� � ; � j � � � 36. Hood��oc Canopy � . � • . . - .. �„ - � . . 37. Final �Factory Fireplace _ - . � � • i' � - � 38. Pinal�Plumbing� � , � . � ' � ' ,- _ - 39. Water SArvice-Final . ; i �, . . . � � ,, , , . • 40. Gas Seniice-Final ' ' � � •' � � ' • � � 1 - T � ' i � ,, . � , '' - �`_�i 41. Solar!DomestiqFinal � � i' � � --• - -- - -. . � � . 42. Backflow Preventer _ _y __ _ _ _ ' � ' (:� t, _ � �- - 43. Backflow lijigatioh�" � � � _ � ; � � � � � 44. Landscape Irriga'tibn SVstem , � � � .� . � '" � � � - � '-. . � � . . _ . 45. Sound_Attenuaiion'; � � „ , � • . 46. Handicap Regulationr ' � ', � � ' . i � � � ' 47. FINALSTRUCTURE&BUILDING f , ' ' � 48. Special Requirements�Completeil � � I � � � � -' , i� � i i � 49. Elect�ic�Releaseto Edison � � '_ _.� ' __ _ � i � � n. '' � � L 50. Gas Release to Southern California GaslCo � ' i •� , ;. � . � ' - , , �� 51. CERTIEICATEOFOCCUPANCY ' '_ a. ;. '_ ". �'�:_ ' . . ' ,�� �� No �' � Date � � � ' ' ! ,] , � ' ' ' -r - ADOliunt lo flll In all spaeas azcapl Ihou wit�in �earY �orGer Iines anE siqn all appraorlate Geelarations. COSTA MESA� � IUCTION PERMIT Applicent's Meilinq Address Pmject Addrea L L . � ' ' i Owner'z Neme P�one7� Addreu ��isa/ ��u/�'� ��p� ArchlEnB•��y ' License N .-���+¢./ Address R-�/���{.—�)� 1/�711 ..���L//IL��G��� ��/�^�.� C,OfllfBttOf�S NBTP/'��"^ ��g 'r:•��PhOl1!//�/�� Addresslmeiling) ��+� �6, �l�"✓���� Liiensa No. LICENSED CONT0.ACTOR DECLARATION I heraby allirm t�at 1 am Ilceniatl untlar provi5ion5 of'Charter 9(commancing witn section 7000) af Division 3 af tp4a Busi�7A�s antl Pro/e5tions Cotla, antl my Ileensa It In full f�e`antl el/eet. /] /\ e� '/ _( nO p Licansa la .� ��// �� l i �fa��/� 7��OTd O Date ���-� S aenat � !�![J«� K�[�.✓�"'��=- 'ORKERS'COMPENSATION DECLARAT N nereDy alflrm t�at I �ava e CBrliflwtB O/ consenl to self�niura or d mrtitiwte oT Workars' Compensatlon Insurante, or a<artifietl copy thereof (Section ' 3800, Lab. C. ro��y1.ncr no. /� Z(q�7.5 comoa�v��i'�/L n/S. �4+9�IC� �4tCer�letl cypy js hera witnrtn cltY Bu-ll�l_n9_¢� vision. ba / L � Appliwnt ��G/%�3 ��• . EXEMPTION FROM WORKERS' COMVENSATION DECLARATION Thisseclion neetl not be comDlateO H[he permit Islor ona huntlratl (E700) or �ess) • I cerHty t�at In the partorm5n<e ot tne work tor which this parmR is issuetl I snall not amploy any person In any manner so ai [o become subject to the � Workers':Compensatlon Laws of Califomia. � Date �Ignature ' - NOTICE: II, after makinq this Eeclaration, you shoultl' bacome zuD)ect to the . � Workeri' Gompensstlon provisions o/ the Lnbor Gotla, you must /orthwith comply with such Orovislons�or tbis Darmit sball be tleametl revoketl.. , CONSTRUCTION LENDIN6 AGENCV 1 hareGy aHirm that thera is a construction lentling agency tor the per/ormanca of the �wark for �h cn �� arm s IisuoG Sect 30 �� Iv: CJ LBnCBr'z Nama �ooaer: naares< ' %�3%L5 ..i9-� .• C .4 - OWNER BUILDER DECLARATION � I hereCy at/irm t�at I am axempl from lhe Con[ractor's Ucensa law �or the tollowing reason (Secllon 7031.5 Businoss antl Professlonal Cotle: Any city or , county which requires a permlt to construtt, alter ImOrove, Gemolish or reoalr ��any strutture, prior to Its Issuanca, also reqWres t{�e aDP���ant for suc� parmit � file a 519natl statament thal �o/s�o Is Ilcansatl pursuant to tha Drovisions of ContractoYs License Law (Chaptar 9(comman<Ing'with Sectlon'7000) of Ision •3'of tne Buslnoss antl RofesSlons COUo) or t�at ho/she Is examOt � areirom anE t�e basli for lhe a11e9oC axomptl0n. MY vlolation of Saction 7031.5 by any aDO����t far a permi[ sub)ects t�o aOP���ant to a' civll �enalty of not more tnan Iive huntlratl tlollars �5500). I, as owner o/ the property or my amployees with wages�as [�elr sole compen5ation wlll Eo the work, antl tha struclure iz not IntentleC or offeretl for salo'(Seclion 7044, Busina55 an0 Professlonal Cotle: The Conlractor§ tJcanse Law Ooei not aDPly to an owner of a proparty who bulltls or improves t�eroon, antl �who �tloes Such wOrk �imsoll/herself or thrOugh his or her own employaas, providml that such Improvementi are not Intentle7 or offercG for ' sale. If, nowever, the DUIIOIng or Improvemont Is soltl witnin one year of com- O�etlon, tha ownenwlll �ava the DurUon of proving he/she tlitl not DUIIO or Im- �fove fof lhe purpoia at Sale). ; . LJ I, as owner of the Droperty, am ezUusivery contractlng�with Ilconsetl con- tractors.to construcLt�e project tSection.7044, 9usinatt antl. Ro(aislons CoOe:. , T�e Contractor's Llcenie Law does not appry to an owner ol property who � Euiltli or improvas_ t�areon, antl wha contracti tor such Drojecti with a<on- � tractor(s) Iicenze punuant to tne Contractor's Licensa Law). � � I❑ t am exempt unUer Sactlon , , B. 6 P. C. for tnis reasan Date Owner 0 Drlvers' Licensa or 55 � CMF 0865-46 rav. 12/82 White - Builtling; Canary - ApP���nt; P nk - TVPE OFCONSTRUCTION ❑ CONVERSION ❑ DF DESCRIPTION OF WORK TVPE OF PEflM1T lJ GRADiNG ❑ TENANT ❑ ELECTqICAL ❑ �OTHER � PRQIECT DESCRIPTION 5O.F7._ ADD U ALTERATION LJ REPAIR FOUNDATI�ON( L15TRUCTURAL LUMBING q�-MECHANICAL / CONSTRUCTIONTVPF y/- VALUATION$ ZONE GRADING CV. VDS. A< Remarks: � � / _ � � � Backflow Preventer Bxkflow Irrigation Bathtubs rinking Fountains loor Drains' loor Sinks asService' 3 �Ou�tlats KitcFen Sink �.3v8tafie5 Roof Orains ' ' Sirik ... Dutt - Under Ground Dutt-Structural , Duct - Ventilating . , , Ezhaust System Multiple ❑ FirepllFact. Blt. IC80 iW Heating System & Ducting � �4100,000 BTU � 100,000 BT Hood or Typel � � � Fiegisrers , . � Assessor Sewer Cap Sewer Connection Solar Piping Solar Tank wlSpe Urinal . Weter Closei Weter Heater Water Service Reinspection Fee laua Fee '$ 3 PLNG. REF.1W� LEFTSIDE VARD PKG.SPACERE�. � STREET WIDTH SPECIAL CONpIT10N5: ic Wazher . tion Pole, Unit d796 ZONING REGULATIONS � ZONE n-In� BbILDING' , "" cornnrr rn erv REAR VARD (TO P/LI. RIGHTSIDE VARD PROVIDED PARK FEE E _ _ Meter._LJover100amps . Sub Panel Sub Pole . Motors ❑0-1 HP ❑1h� • Int.Solar �9-15HP �16-15+ � Microwave Pole,Light RanBe _ � or L10-5 KW LJ5-15KW rmer ❑15-SOKW , .❑5U;t KW . �up to 100 emps � 2oning APProwd By_ �Appliotion Approved � Appli�ation Issued By j/.5V IL Standing Sections Trash Compectar I �ReinspeMion Fee ' 575� � 'laue Fee . 5 3 Dats �ate ��eta s—/3��3 ❑aioo,000eru ❑�oo.000aru � . 'i . . SUMMARV OF FEES System Repair/Alteration t� BUILDING PERMIT $ SMIP _ �^ , PLANCHECK� � $' PERMIT ,VPLUMBING � ' ,� $ � ISSUANCE � + � GRADING • � �PLAN CHECK $ — - .. ELECTRICAI • $ � ��PLliN CHECK � $ , ', MICROFILM •'3 J � ���VMECHANICAL �$ � TOTALFEE pection Fee fi$75�' " - p�p,N CHECK '� $ ' LESS ' y ��'. , . � ADVANCED PC Fa° ' • S 3 , . . . . .f . ' � FINALFEE� T� ONSTRUCTION AND•PLA ING ' '� �� '� � '� � "'. �� SP'4 • ���� ` � � ! ' ' - ✓� �� Date � Inspectoi �.�E ' ' �' - " - ' � Date = Inspector .�APPROVALS ,�� Permit #� -%! y� , - . - APPROVALS �Permit # ..� cv .. ' 1.� Temporary El�ctncal Service oF�Pole , - ' . 52.. Pool & Equipment Location � - - - � -. . � r _: 'N 2? Soii Pipe-Und;gPnd.- � - ,�. � � � �• 53:� Steel Reinforcement . . � ; � �� 3r Elecfriral Conduit'U'tilitv-Undrgrn�l., ', - � _ �54. Forms ' � '- � - � � �,'�, = 4�� Electrical Condvit�Undrgrnd; = . � . - � ' 55.`- Electrical Boniling ' , � � 5' Ste Reinforcement �� � J' - - .�� 56. Rough Plumbing & Pressure Test � 6 Electiical.UFER'Grnd.�,^ 57. APPf70VAL•TOCOVER-GUNITE . i�+, 7. Foot �gs " . r ,� . 58. Electiical �nduit-Undramd. . � , � � . „ - 8. Founilation • � �� . _ 59. Gas'Pipe, O Undigmd., Test - � • � , . 9. N�ater P,ipe�Undrgmd.'� , ;(� "�, �, : 60. Backwash,Lines;.P-Trap, O'Undrgmd. � � �.� . � - 10. Structural��Floo� System • �' - 67. APP,ROVALTO DECK - ' . 11. PropRrty Se �r Line'& House Conneciion -. 62. Backwash & Receptor-Final �_ _. � 12. Sewer Cap ; , �'. , � •! � . .i. _ . 63. HeateF & VenbFinal � � � 13. Roof D?ains . � - � • - � -64. Plumbing SYstem,-'Final �� ' , 14. RoughiPlumbing -�• � �65. Electrical-Final � � - - ' •� �� v - � 15.�Rough'Electrical=Contluit - '- ', � � ' 66. Sola�.$y"stem-Final"• ' � � � �c � � '' ��i6. Rough Electcic Wiring� �- � - � " - , - i � � 67. Fencing &�Access Approval � � - "" , � 17. Rough Wiiing Signti ' �� '� ._ 68. APPRO.VED POR P.LASTERING - � � � i. �� 18. Rough`Electrical T'BaPCeiling I� ' -. ' - 69.� POOL/SPA SYSTEMS F�INAL � . � t fi9. Rough`Heating &�Air Conditioning , � � FIRE DEPT.�REQUIREMENT �' � . � � 20. Rough Factory Fireplace � �. , � APPROVALSI Permit # � , � .� _' 21. Ouc[s,lin Stwcture � ' ' � 70.i Underground Hydro - ;��_22.• Ducts, Venfilating �; � � 71.� Product Piping O Gas OOiI ._ �'�23: Gas�Pipe-Rough & Test _� i , . �72 ~Undeiground Flush ' : �24.'�Root Framing'- ;; ' . . � -� ; -; � 73.' Undergrnd. Stocage Tank O Gas ❑ Oil � 25. iRoof�Sheathing �� ��_ '�74. OJerRead Hydro - 26. T-Bar Ceilirig (Structural). & Monocoat . � � 95. Dry Chemical , . 27r Frame'and Fla'shing 76. Dcy Standpipe � , �E8� Lathing & Siding , . � � � � � � �77.' FIXED SYSTEM FINAL � �- y 29. Insulation -. ' � � � � i78. FIRE PREV. FINAL ' �30. Drywall Nailing � � • � ' . � ;Notes: � " 31. Plaster Brown Coat �,�t � � � '' 'J' .�� - � � 32. •Electrical Power MetJi'Final � � � � � i 33. �Final Electric � � � � �,. 34. Final Heating &'Air Conditioning �A � • g �-cJ �� 35. Final Gas P;pe-Test; . _ �, ' ,:.P� � J � � �.. . � � 36. Hood or Canopy� ' ' ` .. ' � _ � . � - . � • I � � � 37. Final F.actory Fireplace; � . ' . - � . � � � � 38. Final Plu'mbing � �'� �-j � � � 39. Water Ser�vice-Final� . . ' � � g "a�h _ ,� 40. Gas Service-Final � � - � � � � ' � i 41. Solar pomestio-Final � _ � _ . _ . _. _ __ _ a . " � ' 42. Backflow Preventer � � ' ' � ' � - r - 43. Backflow Irrigafion � ' � � . � ' � � � � ' . 44. landscape Irrigation�System ' t . �- ', ' � � 45. Sound?-Qttenuation �, �' , � � � ' � � . � � � � � � n • 46. Handicap Regulations � ' - , � ( � . 47. FINACSTRUCTURE&BUILDI,NG,. - , � � � 48. Special Requirements Coropieted " � ! � ' � ' � � 49. ElearicReleasejto,Edison � � ' ' � ' i_ � � , � 50. Gas Release to Southern California Gas Co , . � � � � � ,� ' � r 51. CERTIFICATE OF; OCCUPANCY _ __, _ � .__� _ . �_ ._ � . No ' � ' Date � � � � � � , , � �_ _ _.. .-. . ..- . . �__ . . '_. _'-.----�_ '. .._ . ?YP���ant to 1111 in all spaeas azcept those within �eavy DorCer Ilnas anC sign all aooroorlala Ceelarotlons. CITY�F WSTA MESA • � ' , �_ , p MIT NO. • TRACT NO. LOT NO. BLD . . - ' �'CONSTRUCTIONPERMIT � • �' - ' Applicent'SMailingAddlBzs ` V�� �PEOFCONSTRUCTION � NEW AD� ALTERATION ' REPAIR ' - PfojeCtAddless a� n�{'7� ��fM��1/Y 1 - � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � � - OWnH'S NBmB ` ~�C'��� •'�" • PhOna .9 )y-O)1 DESCRIPTION OF WORK - � naa�� 1�46/��.1 ��2v�xJ� TVPEOFPERMIT GRADING FOUNDATION �STRUGTURAC � A.P.gW � ' Arch/Eng.. LICBn50 NO. �❑ TENANT ❑ ELECTRICAL .❑ PLVMBING ❑ MECHANICAL ' - . . . . _ PLNG. REF. Yp- Add =O �OTHE0. TO BVILDING � 1262 6/20l�3 , .12.00, 7L reu M COntfeCtol's Nem � � £ hone Q�S'O7Y ' PR0.IECT DESCRIPTION 5�. FT. OCCUPANCV P PE Y LINE 'REAR VARO (TO P/U � \ Addresslmeiling) ITR( 1.eDWAIU �I VIN� CONSTRUCTIONTYPE ' VALVATION$ LEFTSIDEVARD � RIGHTSIDEVARD . - �b 1 , ZON� � GRADING CU.VOSI ACRES ' PKG.SPACE PEQ. PROVIDED ' Licanse No: ' __ � - . � ' . . . , _' " , _ LICENSED CONTRACTOH DECLARATION � ' Remarks: � � , - � STREET WIDTH PARK FEE $ � 1 heraby a/(I�m that �I. am IlcenseA untler provislons of Chartar 9(commendng � _ . . ' with sectlon 7000) Ot OlviSlOn 3 of MB BuSinea dnE Profe5510ns Cotle, antl � - � SPECIAL CONDITIONS: ' - � ' my Ilcensa is In fuI1/o e antl aifect. ' �LJ<ense Ciasz �"' � Llcen N� � Sd 3 , � � PIUMBING . ' . . � ' Date'l�+'1R-�+Z 519natum' � , � � � ' ' BarSink � ' Sev�erCap . ELECTRICAL ORKERS'COMVENSATION DECLARATION ' ' ' aereey a/nrm tnat � nave�a certlnfate.of consant to seuaniure or a certifiwte -. -,- Backf�owPrevemer - — ' Sawer Connection' — --{' � - Automatic Wazher . • Meter. Oover 10b amps . � _ _ o! Workers' Compensatlon InsurSnce, or a cartilletl topy t�aFeoT (Section ' � � . ' 3800, l.aC. CJ �I T�� Backflow Irrigation $plar Collectors � Construction Pole Sub Panel . Policy No. �n 3� � � W � Company ��K �"P'S • �f�Q��C , , � � � - � COOking Unit : ,�. � i Sub Pole � ' . ` I BCertHieC copy Is hereby fumiSheU. ' � � � � Bathtubs ' Sala� Piping ( Certl/ie co y I f E wilh t�e city Iltling Divisi i � . Dishwasher Motors �0-1 HP � 1'h-8 � Date L—�� APpliwnt Clarifiers ' So1ar Tank , � . E%EMPTION FROM WORKERS CO PENSATI DECIARATION r l . Dryers ❑Gas: �Electric InaSol91 09-75 HP 01645+ �� (This sactlon neatl not De com0letetl It t�e parmit for one huntlretl (5100) or � Di5hw25h2� - Swimming POoI w/Spa � . . iess).. , . � ' � � � Fan � �Microwave • t � I tertlfy'4hat In the perbrmance of the work for whlch this perm�t Is issuetl I ' D�inkiny FOuntains , Urinel , , � �� ' shalP not employ any person in any manner so as to be<ome subject to t�e . , - � , - F.A.U. � '/, � �Pole Light ' '' � . � i Woikers'� Compansatlon Laws ot Californla. � , FIOor Dtains � � . , Wete� CIOSet � ' � ' Date � Slgnature ' � , , ' - � � ' ' � � Ran e . ' NOTICE: 11, after'makirig f�is Eeclaration, you shoultl become 5ubjett to tbe ' -- - FIOOr SinkS . "' - - ;— ''� ' � ' -�" ':'�etef�HCete� �- �-, - ' - � --: �- . � . _ Fixture5 . / _ 9 _ � ' Worker5} Com08n5ation OroWsions of tha Labor Cotle, you must,/ort�with � DeVICe BoxeS . Si n comply �with, such provl51on5,or.thi5 Dermit'shall be Ceemed revaketlf GaSServite .Outlets � �WaterService �- 9 ' CONSTRUCTION'LENOING AGENCV � ' � ' ' ' ' � � , • I I hereby dffl/m that there Is a const�uctlon lentling agency�fo� tha'p ¢rtormanCe �p(Q�CCptOlS ; -_ __ ( � ��_ � � �, OutICtS � Standing Sections � ' � • I of the work for which lhi5 De�mit -IS i55uetl ;(Settion 3097 Civ. C.� '' ' _�� _ �_ rl��� ' SwitChes � ' ' Trash Com Lenaers Name' , Kitchen Sink � � . .. � � pactor � � Lenaer's Aaaress i � ` � ' � - Lavatories � ' � ' Garbage Disposal � OWNER BUILOER UECLARATION - � � ' ' � ' � � • - ' - ' � I nere�y atlirm that 1 am exempttrbm tne�,Contiactor's Ucanse Law tor the � • � � Generator �0-5 KW �5-15 KW � ' following reason (SecHon 7W 1:5 Business antl Prbfessional Cotle: Any tlty or - P—T�ep. r � ' � � county which reqWras a permiCto construtt, alter Improve, tlemolish or.repalr - �.. - , . ��� ,� Transform2r 015-50 KW � � • any struchre; pdor to its'Issuance,'also reqWres t�e appliwnLtor sucn permit Roof D�ains � ' �-.•_ � � • �, _file a signatl statement lhat he/she I5 IlcenseE pursuant to the provisions ot , _ ; , � : ❑5U t KW; - , - , '�� Contractor'S Licenie Lnw (Chapter 9(commencing wlth SecNon 7000) of � �- . �Reinspac[ion Fee §75� �. �'lsion 3 of the .Businass anC Professlons Coae) oc that he/she Is exempt � Showers ' � .� � � ReinspeCtion Fea � $15 - � :2refrom ana the�basls for tne allegetl axemptlon. Any vlolatlodoi Section - ' , � , , , " Met¢r ❑up to 100'amps �ISsue Fee� � '$ 3 7031:5 by any applicant for.a permit"subje<ts the aDPIi<ant to a civil J � . ' .., -- ; �anaity o( not more tnan nve,hJntlrea tla�ars (ESoo): � , �. . � � , /, Service Sink � ;� � � Iaue Fea , �$ 3' Zoning APProved By � Oate � � ' U I,'as owner of�me propercy or my emo�oyeas wlth wayes as their iole , MECHANICAL � mmpensation will tlo the work, antl the structure�ls no[ in[en0etl or ofteretl � '. � - ! , • � ,�' ` Applimtion Approved Bq ' ate � tor sale (Sec�ion 7044, BuSiness antl Protessional Cotle: Tha Con[rac[or'S � � � . � . � �� Llcense Law Coes mt applY to�an owner of a property �who bullAs or improves ' gOil¢t � Ref�igetation Sys�em , ,�� 1. qppliotion laued By ' S � ' �1ate � theraon,'anE who tloas such'work himselt/herself or through his or �er own - � ' - � emD�oyees, provitletl tnat su<h'improvements ara not Intentlatl or otteretl for � � - ❑0.100,000 BTU ❑100,OOO6TU /� � • D�ict-UndecGround � , sale. If, �owever, the bulltling or improvement is so1C within one year of com- � � . , � � ' . ' ; SUMMARV OF FEES ' � , ' ' pletlon, lha ownar will have tlle burtlen of proving �e/sha AIA not bulltl or im- � . Duct - St�uctural . 5 st � �rove tor tna puroose of saie). � . � , , V em Repair/Alteration ,• BUILDING PEHMIT $ SMIP : , $ � ' � LJ I, as ownei of the property, am exclusively contracting�wl[h IlcenseU cbn- � tra<torsto wnstruct.t�e�project(Section 7064, Businass antl Rofasslons Cotle: Duct - Ven[ile[ing ��._ �.-_� __ _ _ i" • PLAN CHECK, $ • � PERMIT � ' ' The Contractor's License Law dces not apply to an owner of Droperty who ' : � � ' /% � - I$$UANCE ,$' � bullas or Improves thereon, antl wno contracts for such pro7ects wit� a con- � . Exhaust Sy5t2m ❑ MWtipie �' . ,PLUMBING • $ / � � tractor(sj Ilcense pursuant to the Contractor•s Licanse Law). , . ' ' � � GRADING � ' $ ! � � i ` . � ' - � PLAN CHECK' . $ ❑ I'am exempl untlei $¢ctiOn , B. & P. C. tOr thi5 reason FirepVFaCt. BI[. ICBO ak � � ' � � j 's: � � ' ,- i$, ' ELECTRICAL . $� �ate • � , Owner� ' ' ' Heating SyStem & Ducting • � � � � � ' ' MICROFILM P nereey certlty thaY i. nave reaC tnisappliwtlon ana state t�at� tne above ' ❑6100,OOO,BTU 0100,0008 ' - -- '- ''' �P�N CHECKi � $� �$ � Informatlon I5 correct. 1 agree to comply with all clty�antl county orAinances . . i . � ' �� TOTAL�FEE $ antl'.state lawi relating [o builtlin9 constru<tion,�antl hereby authorize repre- ; - MECHANICAL , $, • � ; I . , r sentaUves of ,m s cit . to ent ( u ory� [he abo e•mentloneG ro ert for Hood oi Type I ❑' � ' LESS � � Y p` � , /� P Y ' ', Cano : T' e II ❑ � Reinspection Fee � �' $15. ,pLAN CHECK , $� � f M � ' Inspection ourp sd . � ,1 � � /� C • � ' ADVAf�CED�,PC , $ �O Slg�ature w^-� DateO ^r,� S—p � � qegisten � � Issue Fee S 3 ' . � . � � S FINAL FEE � $ !�_ Drivers' Licanse ar 55 � ' � CMF 0865-46 rev. 12/B2 White - Bulltling; Canary - Appliwnt; Plnk - A<counting; Goltlenrotl - Assessor � �C'CONSTRUCTION.AND�PLAn� W�G� �:, � � :( - : - ' - - � � -' �C SPA , . � : �: . . M- �� � - f�_7`I6S . • Date Inspector ' � " ' ' Date Inspector i aAFPROVALS ,; Perinit # � - � '" ;APPROVALS� Permit # _ _ �1- TemDorary Electrical Service or Pole ' ' ^ 52.-, Pool &.Equipment Location " . - �� . _ �� 2? �Soil Pipe-Undrgrnd. .. " _ -� ' ` . . : 53. Steel Reinforcement � - � - � - '`� ' '4 1 �� 31 Electrical Conduit Utilitv-Undrgrnd. �-• , -. ' T � � � .54� F,orms .� - - . � � � ' . � _' � - � � '' 4' Electrical �Gonduit-Undrgrnd� ..' _ � �55r Electrical Bonding �• � � 4 _ � � 5 Sfeel.Reinforcement � � �. == � ' , ' . `-�� ,�'_: . � 56.5 Rough Plumbing & Pressure Test. � ' 8: Electrical UFER Gmd:� � ' � � � �+� ,� " - • �57:- APPROVAL TO COVER-GUNITE . . ' - � 7. Footings � ., ' �' ' - " � 58.� Electrical��nduit•Undrarod. -' ' ' _ 8. Foundatio"n � �:�, . ' �- " " '`� �-�59. GasPipe;���Undrgrnd.;Test' / ' - � �, 9. Water Pipe-Untlrgrrid: �� ; � � : �� � �60. Backwash.Lines, P:Trap, O Undrgrnd.r � . 10. Structural Floor System ' - �� 61. APPROVAL TO�DECK � . ' 11. Property Sewer Line & House Connection �'. , � 62. Backwash & Receptor-Final . ' . . 12. Sewer Cap i " �? ;�63. Heater & Vent-Final, � � . , _ � � . �- 13. Roof'Drains � � � . �! � '� •�� ' �; :� .� , �� ; 64. Plumbing.System-,�Final-• ' �� - � ,� .; 14. �Rough•Plumbing � � ' � � -` 65. Electrical-�Final- - � � �� � � �` ,, �75. Rough Electrica�-Conduit� ; '- -� 1-" i � ^� � 68.. Solar�System-Final - -�" - '� .' ,`*.16. ,Rou h-Elec[ric Wirin - � ;�^� - - . .- _ . . -' _' - ' - - -- � ,.:,, 9 9' •� -' ( �'�; ; � � 67�; Fencing & Access Approval - � , 1,7. Rough Wiring Sign'_ �.-, ,�� � •- � ' i • 68., APPROVED FOR PLASTERING � 'I 18..Rough Elec{rical-T;Bar Ceiling; �, �; � : ' . ' ; ` , 69.� POOL/SPA SYSTEMS FINAL � � � ', N 19.�Rough.Heating & Air Conditioning ' � � � ; . ' � FIRE DEPT. REQUIREMENT' � ` . . 20. Rough Factory Fireplace� ' . ; � ' , �� ' APPROVALS Permit # ' " r i i . . : � 21. Ducts,�in Structure�� � �' ' i ' { 70.� Underground Hydro - _ c , ,'22. �Duc[s, Ventilating ,, i `� � � �71.�' Product Piping OGas ❑Oil � �� �,�23. �Gas Pipe-R,o�ugh & Test �� j��� � i' i � � r 72�.� Unde{ground Flush '� � � � .� 24. ,Roof Framing � i '� � ; ' ,, + ; ' .� � , ' . ; - � _ �73. Undergrnd. Storage Tank O Gar O Oil �,• � 25. •Roof Sheathing , �� ' � � . � � ' ` 74.� Overhead Hydro . . , ' i �.- . 26. �T-Bar Ceiling (Structuralb & Monocoat� � ` � ,' � : � � 175.; Dry Chemical - � � - - ,27. Frame and Fla'shing � ' i, I�� ', � 76. Dry Standpipe ' . , � �. 28. ,Lathing & Siding ; � � � I. f 77.', FIXED SYSTEM FINAL .' � - I ' � � � : . I � � � , , . _ 29. �Insulation - ' n � ��' � I ' 78.� FIRE PREV. FINAL ' � � � i � � �30. Drywall Nailing � ' i t� ' j i �Notes:' np _ � ' �� ' 31. Plaster Brown Coat � � -�� � � ' ' . _ . - --- -. . f 3 i .. '�i 32. Electrical Power Meter-Final � ' � � - 33. ?Final Electric � � ' ' � ' � ' 34. Final Heating &'Air Conditioning ' � � ; , H' , . , 35. Final Gas,Pipe-Tesi - - � , � � - " � . , � - � • „ - � . - _. 36. Hood or �CanovY ' � .. � � . � . � ., ' . , - ', . : � 37. Final Factory Fireplace. ; � '_i � ` � . ' � , ' � • - . 38. Final Plu'mbing � . � � • � i ' � , : � c � . � , 39. Water �Service-Final, � i � '� � � � .' j . � � ; - " � . � 40. Gas Service-Final � ' � i, � � . � ' �� �, � • - 41. Solar pomesticFinal : . i � . � _.,' .� _ _ �._ � . , _. . � �_ . __ � � ' 42. Backflow Preventer � � ` � � _ i � � ' ,� - - -� - - - - - - 43. Backflow Irrigation ; ; . , . � _ - ; � � � . ' i i P Y � � ... I ., " ' - � � I ,'I! , . 44. Landscepe Irr�igation,System � . � ,• r � - . . > 45. Sound, Attenuation '�� - � ' ' � ( � . ' � . '� ' � � i � 46. Handicap Regulations ! - � � i ' ' . � " ' " � I 47. FINALSTRUCTURE&BUILDING � . - " � ' � , � ; - 48. Special RequiremeMs Completed. , � 2 I � I' i � �' 49. ElectricReleasetoEdi'som � � I � � �''_ _�__� __. ' .. �__, . � � S� � � , . � r � � l' 50. Gas Releese to Southem Califomia Gas Co � �� ' � . '' � � 51. CERTIFICATE OF.00CUPANCY ' . , _ _ __ _ ' � � � � No p � � � Date ' � . . � ' ' App�icant to lill in all spaces wit�in �eavy borner iines antlt+n� al ropriate tlec�arations GITY OF G�bSTA MESA PE MIT NO 'fRACT NO. LOT NO. BLDG. NO. CONSTRUCTION PERMIT �p3 �� Project Address2 �. TVPE OF CONSTRUCTION OwnEr, ,� L+ .^' /,/ , w�Phone�s/- �' � NEW ❑ ADD ❑ ALTERATION AddreA J.� ( �7� /iri� ❑REPAIR ❑CONVERSION ❑DEMOLISH e.,.�:ic.,,, 1 /`GC'un > i:.e.,�en�../! /.. �l ❑OTtiER i Address 9 � O n • � rn✓ ui�v , y1/�i!_ _ .L`A�/�-�/ % t�1/ /.lt/V� /�^/r�Z., //� Phone ,r/�� j TVPEOF�PERM17 � ��/�/V �G(�JN ❑ GRADING O FOUNDATION ❑ STRUCTURHL JNTRACTOR DECLARATION � ' ❑'TENANT�ELECTRIGAL�LVMBING ❑MEGHAI i th:.t I am IlcenSeE untler provisi ns ol Chartar 9(com- 7� section 7000) of DI islon 3 f the Business antl ❑ OTHER' ' ' -- otla, y Ilc riz i i II force antl ifect. 6 � � � - ^ , PROJEC7 �SC � �TION � 7 Ai_ � e se o � y /7 i i� . � 5.9 �. . 5�. FT. OMPENSATION DF�LLARATION ' OCCUPANCY , Z N�STRVCTION TVPE � n that I have a certificataloi consent to selNnsure or a 'VALVHTION ��. ZONE Workeis' Compensatlon Ifisurante, or a certltletl covY � `n/38Q�0� �.`.). �i{�!�%,�/� (tXi{,/ GRADINGCU.YOS. � ACRES .i c.c .� r c. .cY No.,/�. ^S' CAmpanY� �Certitieticopyisherebyfurnishetl. - � - � REMARKS: /`�� Certitietl copy is,fiteU wiro tbe city Bulltling Div(slon. E%EMPTION FROM WORKERS' COMPENSATION DECLARATION ' (T�is sectiom neetl not be completetl �i( tha permit I5 (or one huntlretl _, _ (E300) ar less). .' I c¢rNfy that m l�e'performance Ot th¢ work 1or which lnis permil IS . Issuetl, I Shall nOt ¢mploy any pelion In a�y flldnn8r SO d5 �IO b¢COmC PLUMBING . subject to the Workers' Compmsatlon Laws of Californla. - Dale � Si9�ature BATHTVBS NOTIGE: It after making this tleUaratlon, you s�oultl become subject �TOILETS. . to the Workers' Compensation provl5ians ot tne Labor Cotla, you must LAVATORIES forthwith comply wlth su<h provlSiOnS Or [hls permlt shall be tleemeC revokatl.' .- -� �� • - CONSTRUCTION LENDING AGENCV KIT. SINKS � 1 hereDy alfirm.that [here is a conztruttlon Ientling agency tor t�e per- SERVICE SINKS � formance of (he work iOr which this permlt ii ISiued ($actlon 309� � "°• ° � F�%5r /N�Gsi� �� FLOOR SINKS 12ntl¢r'S Ndm¢ Lantler'S AGtlre55 ���) �%' '/ S� N/ '�/ � � DRINKING FOUNTF OWNERBUILDER DECIARATION INTERCEPTORS I hereby.atfirm that 1 am exempt Irom tno Contractor's Licenso Law tor tna /ollowing reason'(Sectlon 7031.5 Business antl Professions Cotle: SWIMMING GOOL Any city or county. wM1icM1 repWres a permit to conslruct, alteq IrtlprOve, tlemolish o� �e0air any ztruCluro, priot to Il5 issuance, alsa re- �y�rqTER $ERVICE qWrCs thC ap.liCant IOr suGh pCrTlt to tlle a Signetl statement that hC �s Ilcense0 pursuant to lM1e provisions o1 the Contractor'i Liconse l.aw �GAS SERV ICE ^'+�pter 9(tommen<ing witn Sectlon ]000) ot Divislon 3 0l the �yv¢55 antl Prde55ion5 Cotlo) or lhat h0 is oxompt tharetrom antl the -� /or the allegetl exemptlon. Any vlolallon ol $ettion 7031.5 by �''appllcan[ 1or' a permil Subjoctz Ihe applicanl to a Uvil penally nol more than.live huntlretl tlollars,(E500).. I, as ownef ot lh¢ prOpCrty, or my omplayCoS witll wd905 ds IhClf E ColO0en5dtiOn, wHl tlo lhe work, dn0 th0 stlu<lur0 is nOl InlanOatl oiteree ror saie. (Sectlon 1044. Business anU Ao/essioni Gotle: The ntractor'S LictnsC Law� tloes nol apply to an owner ot a proDerty o DuilUs o� im0�oves tM1ereon, antl who tloei Sucb wo�k hlmseH O/ ough-nis own employGeS, provitletl lhdt suth Improvaments aru nOt TAN ISSUE FEE � PLAN CHECK SHOWERS "' URINALS DOUBLE LAVS DISHWASHERS �� SUMPS FLBOR DRAI�NS us CLARIFIERS PTRAP ALTERATION . OUTLETS •.�: BTU OVTPVT� IS � COLLECTORS,;,, 4730 2/22/83 16e50 TL ZONING REGULATIONS A.P. qj ZONE PLNG.REF.� REAR VARD (TO P/L) PKG.SPACEREQ. PROVIDED STREET WIDTH .� PARK FEE E ZONING APPROVEp BV $PECIAL CONDITIONS: 'ELECTRICAL � PLAN�CHECK ' . . ' .GENERATOR Od KW_ 1-30 KW ' �� TRANSFORMER ' � APPLIANCE 30-50 KW_50 t KW -- i �MOTORS - ' 0-1 HP_1-10 HP � � . � - ,(INC: SOLARI� � 10-50 HP 50 � MP � � ' " -I �'.FI%TURES OUTLETS SWITCHES "' GAS TUBE SIGNS - ' � POLE LIGHTS - � a � � POLES METERED UB � PANEL$ MAIN � $UB �� � mientletl or offerotl tor sale. It, however, t�e bulltling or improvement MECHANICAL PLAN CHECK I5 soltl wilhin one year�ot COTpIOtlon, Iha Owner will havo Ih0 burtlCn - - � of proving Oe tlftl not �ui10 or improve lor thc purpose o1 saln). HEATING SVSTEM 0-300,000 BTU ❑' I, as owner ot lhe properry,- am ¢%Uuilv¢ly Contrdtting with qND DUCTING litensetl conVactors to construct lhe prolect (Section ]044, Business 100,000 t BTU antl Profesiiouz Cutle: The Contrattor's License Law does not appty to ' an owner o/ property who builtls or improves thoreon, antl who con- REFRIGERATION 0-]00,000 BTU tr5cts from such �projecli witn a<ontrattor�s) IICGSnea punUant to SVSTEM - '- - the Conttaclor'S LicenSc Law�. 100,000 + BTU ❑ I am exemp[ untler Section B. d P. C. lor tnis BOILERS BTV reason — —� -" --' — � — Date — ii a ro SYSTEM REPAIR,ALTERATION ot Ihe aDove E%HAVST SVSTEM MULTIPLE ana countv proPer[Y raCt4fPe4cion�Li%���L.,C�-L/ !�/� /.f3 Signature � � J ' Date Drivers' L��ense mi�$ x� . ' "ISSUE FEE CMF 0865-46 WhitE�Bulltling; �anary-Applicant; Pink-Acmunting; Goltlenrotl-Assessor � 'AMP ' _ -- � . , . 1 ISSUE FEE - ' ' APPLICATION APPROVED BV " OAT � SUMMARV OF FEES . � BUILDING ' ' ' ' - � �PERMIT 5 $MIP � E � PLAN CHECK 5 7ERMIT � �•. , ISSUANCE S PLUMBING S� GRADING E � � PLAN CHECK S � � ' . ' ELECTRIC{1� S�+�.. s 'PLANCHECK S �- SC/. MICROFILM S - � MECHANIC%AC S TOTAL FEE S ,PLAN CHECK 5 ' LE55 AD- . _ VANCEPC $_ � FINALFEE E /�� CONSTRUCTION AND PLANNIN/ ' � POOL & SPA . � � • ' APPROVALS Permit# L� Date Inspector p�PpROVALS Permit# ��:..•••�, Date Inspector • .ti� .�< 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location � 2. Soil ipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . tee ein orce 47. Aou h Plumbin & Pressure Test 6. Electrical UFER Grn 48. APPROVAL�TO COVEfi-GUNITE 7. Footings 49. Electrical Conduit-Undr rn � 8. Foundation 50. Gas Pipe, � Undr rn, Test � � 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tre ❑- ndr rn 10.- Structurai Floor System _ 52. APPROVALTO DECK � - 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final . 12. Street Sewer Connection � 54. Heater & Vent-Final ' 13. Rough Plumbing � 14. Rough Electric-Conduit � 56. Electrical•Final �� 15. Rough Electric-Wiring "� �_ z � �' 57. Solar System-Final ' ' � � - � 16: Rough Heating & Air Conditioning - � encing & 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 � , , 22: Frame and Flashin NOTES: �' "�,� ' , � u , 23. Insulation � ' ' .,{ ',/ - �24. Lathing & Siding � ' 25. DrywalLNailing � ' ' ' ' 26. Plaster Brown Coat - 27. Electrical Power MeterFirtat � ' 28. Final �Electric . - � L', ` 29. Final Heating & Air Conditioning � , 30: Final Gas Pipe-Test � � • 31: Final Plumbing - s � � 32. Water Service-Final ` . 33. Gas Service-Final � . 34. Solar pomesticFinal � � � � 35. Landsca e S rinklin S stem ' � 36. Sound Attenuation 37. Handicap Regulations - 38. FINAISTRUCTURE&BUILDING - . 39. Special Requirements Completed -� � 40. Electric Release to Edison � 41. Gas Release to $ou[hem California Gas Co. � � 42. CERTIFICATEOFOCCUPANCY IJ�_- Date OWENS-CORNING Fiberglas Building Insulation The contractor named below certifies that the Owens-Corning Fiberglas Building Insulation used carries the NAHB Research Foundation, Inc. label for assured thermal performance and that the Building Insulation is installed in conformance with current energy conservation regulations, California Administrative Code, Title 24, State of California, in the building located at: �llONTF �Srq �osr� M�.sv� ��JDi �/ Address City Tract Numbei Exterior Walls Owens-Corninq Fiberqlas Tvpe�i� Insulation Ceilin s Owens-�orninq Fiberqlas Type� Insulation Floors Owens-Corninq Fiberqlas Type Insulation Foundation Walis � �1 K�( Thickness R-Va�,.., b ii Q ( 9 Thickness R-Value 7hickness R-Vatue Manufacturer Type Thickness R-Value General Contractor � icense No. By Title Date (Slqnemra � /� InsulationContractor +������3�—� LicenseNo. j�B030 gy �M /� � *�-QC-- Titfe Date � �I2 ��.3 (Si9�l ) Homeowner Copy (White) � State Copy (Vellow) Builder Copy (Pink) OWENS-CORNING FIBERGLAS CONP. vue. Ho. ts�e�fiess-e ��sulation Operetinq Division li��o in U.S.R., Jan.,19B3 coor��s�� e isez owe�a-co�o��p c�oe.eiea co.o� Fiberglas Tower, Toletlo, O�io 43659