The URL can be used to link to this page

Home My WebLink About2493 PARMLEY LN - Building Permits; � � �� CITY OF COSTA MESA BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax pt4) 754-4856 • www.ci.costa-mesa.w. FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER. B07-00927 •.,.��v?v.� � `�� PERMIT TYPE B_ROOF2 JOB ADDRESS: 2493 PARMLEY LN CM Vicinity: RESIDENCE AND ATTACHED GARAGE Squares: 2600 ' STATUS:_� ^�ISSUED��-�� DATE ISSUED: 09/11/2007 ISSUED BY: BJK \ ti._�� Suite/Unit: .- Valuation: . w..,� $17,500.00 SCOPE OF WORK: REROOF RESIDENCE AND ATTACHED GARAGE: T/O WOOD SHAKE ROOF, REPAIR/REPLACE SHTG AS NEEDED, 2 LAYERS 30# FELT, APPLY "MONIER CEDARLITE SHAKE." ICC #ESR-1647 5.9PSF 26 SQUARES � OWNER: CHRISTENSEN, JACK TR . � Address: SUITE 0-2066 Unit: COSTA MESA, CA PHONE: � � �City/State/Zip: 3505 CADILLAC AVE APPLICANT: CROWLEY, KEVW " . Address: 1580 E EDINGER AV -- Unit: :SUITE F PHONE: 714-836-1966 CitylStale/Zip: SANTAANA,CA �.1�• �� \ CONTRACTOR: GREATER PACIFIC ROOFING � � License No. 621368 �\� \ Address: 1580 E EDINGER AVUnik SUITE F � � PHONE: 714-836;1966� ��_\ V� CitylState2ip: SANTA ANA, CA , 92705 ., ,. � CELL: , ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: TOTALFEES $0.00 $293.25 $0.00 $293.25 License No. License No. _ PHONE: PHONE: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Cali(omia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable wdes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODEt. INSPEC710NTYPE pATE INTIi1RL5 OOE/ INSPEC710NTYGE D� INII7IAL 1616 Fixetl System Final Fire Prevention 206 Final Mechanical 1268 Pool Spa Final a� 208 Final PlumOing 200 Final Re-Roof ��d� �_ 210 Final Elecirical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place � ppp Final Planning Apptoval 203 Final Sign -�� 222 Final Site � \ ` . ZOa Final Demolition ` . 250 Final Building�Occupancy , � � �a ��w� � , � � � .. ,� �N4RKER5' COMPENSATION DECLARATION� • . � hereby aKrm under penalty of perjury one of the lollovnng declarations; ❑ I have antl will maintain a certifcate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the peKormance of the vroAc for which this permil is issued. � I have antl will mai�tain w�rkers' compensation insu2nce, as required by sec ion 3700 of the Labor Code, for the peRortnance of the vmrk lor which this petmit is issued. My workers' compensation Insurance cartier antl policy number are: Carrier.3_Q /i • SA !%,Q,A.c�l� (Th6 seGon need raf /Oe/canWeted✓llie pemi4 d valuetl at me nu� eCMtlars (Sr00) a bss ) Policy:Num,`bej y0 /"Y��I�J�.�Q/-�� ❑ I certi(y Ihat in the pedormance of the work (or which this permit is issuetl, 1 sha mploy any person in any manner so as lo become subject to the w ers' compensation laws of Califomia, and agree that if I should beco subje to Ihe vrorkers' compensation provisions of Sec�ion 3700 of lhe bor C� , I ffall forthwith comply with ihese provisions. 9-// �-7 aPPff�SiB�lure �Da�e� • t�f WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVI� FINES UP TO ONE HUNDRED THOUSAND DOLL4RS (5100,000), IN AODITION 70 THE COSi OF GUMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. . ��CENSED CONTRACTORS DECLARATION: 1 hereby aKrm Ihat I am Ifcensetl under provisions o! Chapter 9(commencing wilh Section 7000) ol Division 3 of the Business antl Professions Cotle, antl my lice is in full force antl eHect. L _ Class:#,. /'- �3�y' Q�� % Comr�uor s Signe re. 0_ ate.� �s-- - ��+ CONSTRUCTION LENDING AGENCY: � I hereby aKRn ihat there is a construc[bn lending agency for the perfortnance of the work (a wfiich this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Atldress: OW NER•BUILDER DECLARATIONS: I hereDy aKrm that un0er pertalry of pe�jury that I am EXEMP7 FROM THE C4NTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Bqsiness and Professions Cotle: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any strucNre, prior lo its is5uance, also requires the applicaN tor such permit to file a signetl slatement �hat he or she is licensetl pursuanl l0 1he p�ovisions of the ConUactors License Law (Chapler 9(commencinq with Seclion 7000) of Division 3 of the B45iness and Professions Cotle) or that he or she is ezempt Iherefrom antl the basis for the allegeC exemption. Any violation of Section 7031.5 by any applicant for a permil subjects the applicant to a civil penalty of not more than �ve hurtdred dollars ($500).): ❑ I, as owner of the property, or my employees with vrages as Iheir sole compensation, WILL DO THE WORK, and the sirucWre is not intended or oflered for sale (Sec. 7044, Business and Professions Code: The Contractors Litense Law tloes not apply to an ovmer of property who builds or improves thereon, and who tloes such work himself or herself or lhrough his or her own employees, provitled lha[ such improvements are not inlended or ofleretl for sale. If, however, the building or improvement is sold within one year of cOmpletion, the owner-builtler will have the burden Of proving that he o(she did not build or improve for purpose of sale.).. , ❑ I, as owner ot the property, am EXCLUSIVELY CONTRACTING WITH L.�CENSED CONTRAC70R5 to consWct the pmject (Sec. 7044, Business antl Professans Code: The contractors License Law dces not apply to an ovmer of property wfio builds or improves thereon, and wfio cont2cts (or such project with a cpitracta(s) Iicense pursuant to the Contractors ticense taws.). ❑ I am exempt under sea � Business antl Pro(essions Code (or Ihis reason: Slgnamre Date 305]-<6(3I0]) r Owner ID verified by tlrive ,nse. ❑ Yes ❑ No Drivers.license No. Expires: Verifcation of Ownership by (rype o( document, i.e. - propehy tax bill or deed):� DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: � ❑ I hereby certRy that no excavation frve (5) a more feet in depth into vfiich a person is required to tlescend, will be made in connectqn with work authorized by this permit, and tha[ no building strucWre, scaffd0ing, falsev.ork, or tlemolition or dismantling ihereof, will be more than thirty-sin (36) feet high_ (Chap_ 32, Grp 2. Fvt 2. $ec. 347, Ttle 8, Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone lo do work which would require a permit from the Division of Industrial Safety, as noted above, unless such persan has a permit to do such work from the division. Apphwnl's SignaWre Division ot Industrial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuWre builtling occupant need to file and certify a Business Plan for emergency response to release or threatened release o( a hazardous material? ❑ Ves ❑ No (Section 25505 of the Calitomia Health and Safety Code requires, with some exceptions. that a Business Plan be fled wiN the Costa Mesa Fire Department by every business which has at any one time tluring a reportetl year a quantity of hazardous materials equal to or grealer than a vreight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressetl gas al standard temperature and pressure). 2. Does or vnll the appliwnt or presenl or fuNre building occupant need to file a registralion (ortn for acutely hazardous materials7 ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, wim some exceptions, requires registration with the CoSta Mesa Fire Department by each business which at any one time has on hand a quantity o/ acutely hazardous materials equal to or greater Ihan a weight o( 500 pounds, or a volume o( 55 gallons, or 200 cubic feet of compressed gas al standa�d temperature and pressure). 3. Does or vnll the applicant or present or future builAing occupant need lo prepare an RMPP (Risk Management and Prevention Program for acutely hazartlous materials)? ❑ Ves ❑ No (Seclion 25534 of the California Health and Safely Code provides that the Cosla Mesa Fire Departmem may require the preparation, certification antl fling wiM the Fire Department of an RMPP by businesses which are required to regis[er awtely hazardous ma[erials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 0( the Califomia Health and Safery Cotle been fully complied with? ❑ Yes ❑ No 5. Dces or vrill the applicant or present or �uture building occupant require for the work whic� is the subject of this apDliwtion a permit lor such wnsWc[ion or modification from the South Coast Air �ualiry Management District or from any other air polNtion contml tlistrict or agency? ❑ Ves ❑ No (Section 65850.2 of the Califomia Govemment Code requires that the requesled infortnation be tumished on applications for non-residential building pertnits). 6. Will any part of the facility to be constrocted under Nis permit be within 7000 feet from [he outer bountlanes of a school? ❑ Yes ❑ No (If "yes", Ihe facility must meet the requiremeM of Sections 25534 and 42303 o( the Wtifomia Health and Safety Code). 7. If a permit from the South Coast Air Quality Management Disirict or other air pollution control district or agency is required tor the work which is the subject of this application, have all o( the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf yes", attach certifcate ot compliance from the appropriate air polWtion control officer). CERTIFICATE OF COMPLIANCE: I certify�that unde� penalty of perjury the information given above is covecL I agree to comply with all state laws and ciry ordinances regarding Hazardous Materials and Emissions. � CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that Ihe information given is correcl I agree to comply with all state laws and city ordinances relating to builtling conslruction, and authorize representatives of the City of Costa Mesa to enter upon the above�escnbed pmperty for inspection pu s. I agree not to occupy or allow occupancy o( any builtling authonzetl this pertnit until final inspection. r of Legal Ovmer pale �-i/-U% �Aulhpr�zetl'Apqifan,� �al¢ — ADP��Gnt lo flll In all apacaf axcapl thosa wit�in �eavy DorCar Iines anG sign all a00roDriata Geclantlons. COSTA MESA STRUCTION P,ERMIT M Applicent's Mailin d l�ss � � Project Address L CQ � � Owner's Name V� hone {� Address � �N (� Arch/Eng. L'cen a N — l Address � � � � Con[ractor's Nam % ^ �� hone � Addresslmeiling) License No. � ' 6 y LICfiNSED CONTRNCTOR DECLARATION I hereEy aftirm lhat 1 am Ilcensatl untl0 7ovislo o/�Charler 9 witb sectlon 7000) ot Islon 3 flf t �B ne a tl Profa sl� my Ilcense in 1 II /or antl af a(. LJcan � nse No. 'e 519�a ure RKERS'COMPENSATION DEC TIOp bf�Workers'rCompensatlon Instur�omp /y8rti�e�/�eo�(Settlotn 30ao. �o. �, �Cv73 C�/ v Cl. n� . PoIICY No, y [ �JC.(../ ertlfietl CODY BreDy fu/nished�v/1�/(iI � / � . �/(J'/',� CerU S wilh Ihe <It Date Applicant EXEMPTI N Fq OM WORKERS' COMPENSATION DECLARATION (This secllon naetl not be completatl I/ t�o Oermit I5 for one huntlretl (E300) or �.less). - � I cartify that In the parformance of the work for w�ic� this Oermit Is Issuetl I thall not employ any person In any manner sa as to become suD7ect to the Workers' Compenution Laws o/ Cali(ornia. Date SlgnaWro NOTICE: If, after makin9 �his tleclaration, you shoultl' Oecome sub7ect to the Wolk8f5' COmOBnSdtlon pfovl510n5.Ot th0 Ldbo! COCe, y0u TUzt.fafthwith ' comply ;witn suc� provislons or this-permit shall be Ceemetl ravoketl. CONSTRUCTION I�pEnNgD�IN.aG, AGENCV p� ' ' af�tl�eY woirk `fodJvT}tfC��s Oou tl ns,�� Y rt307J.1� � Lenaar's Name i % � =/ /J i � ' l.enaor': Aadrass OWNER,BUILDER DECLARATION ' 1 hereby affirm that 1 am exem0�' /rom the Contractor's Uconse Law tor the iuu.a oy�any aDc�i�an� ror a.permn suoleas mo aDD��t �o a uvu Qenalty of not more than livo �untlro0 Oollars (3500). � LJ I, as ownar of t�e �proparty or my amployees with wages as thelr sole compen5ation' will Eo the work, antl� tha zVucturo Is nol IntanOetl or of(aretl lor salo (Sec�lon 7044', Busineis anE Professional Cotle: The ContractOr's Llconse Law Ooes nol apD�Y to an owner ol a proparty who bullAs or Improves thereon, antl w�o tloos sucn work himsel//herself or through �is or �ar own omploy eas, provitletl thal such Improvements are nol Intontletl or offe.atl for sale. II, howavar, t�a bullElng or ImD�a�amont Is soltl within one year of com- pletlon, tne owner wlli have the �urtlen o/ proving ha/she Eltl not builtl or Im- �rOve for tha purpase of sale). I, as owner of the properly, am exclusivaly contracling wlth Iicensetl con- Iractorsto conitruct the Oroje<t (Settlon 7044, Buslnett antl Rolesslons Cotle: The Contractor's Licensa l.aw does not appry to an owner of property who Guiltls or improves thereon, antl who contracts for such Oro7ects with a con- tractor(s)Ilcensa pur5uantto lha Contra<tor's LlcOnse Law). ❑ I am exemD� untlar Sectlon . B. 6 P. C. tor this reason Data O�� 1 hereDv rtilv at J �ar eatl this aooliwtlon anE itate that thd abova TVPE OF CONSTRUCTION �QQ r ❑ CONVERSION ❑ DEMOLI�',. DESCRIPTION OF WORK _ TVPE OF PERMI�T� GRADiNG ❑ TENANT``�1' ELECTRICAL ❑ 9THER � PRQIECT DESCRIPTION Sq. �F7--�. + CONSTRUGTIONTVPF �(r VAWATION$ GRADINGCU.VDS. Af ADD L-1 ALTERATION LJ REPAIR I FOUNDATION U STRVCTURAL �LUMBING ❑ MECHANICAL , Remarkt: $Ifl�( <flow Prevenrer cflow Irrigation Floor Dieins . Floor Sinks ,- � � Gas Service� Outlets Interceprors Kitchen Sink Lavatories P—Trep • Roof Drains Showers � Service Sink eoiiec Duct - Under Ground Exhaust System ❑ Multiple ❑ Firepl/Fa[t. Blt. ICBO 5R Heating System & Ducting ❑a100,000�BTU 0100,OOOBTI Hoodor Typel � Drivers' Lke ze or 55� �— I I Registers CMF 0865-06 rev. 12%82 Wnite - Bulltling; Canary - Appllwnt; Plnk - Accounting; Goltlenrotl - Assessor $Bwef Saler Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinel Wat¢r Clout Water Service � ' Reinspection Fee Isue Fee iANICAL Refrigeretion System . 00.700,OOOBTU 0100,OOOHTU System Repair/Alteration � Reinspection Fee laue Fae ` 74,�5 4/19/Fid , 'i.3J TL PLNG.REF. -- V� E�VV' IN REAR VARD (TO P/L) LEFTSIDE VARD RIGHTSIDE VARD PKG.SPACE REQ. PROVIDED STREET WIDTH PARK FEE S SPECIAI. CONDITIONS: � Automatic Washer . Meter LJover tOUamps .. n: Canstruction Pole Sub Panel � - Cooking Unit Su6 Pole ' Dishwasher Motors �0-1 HP ❑1'h-6 Dryers ❑Gas ❑Electric . Inc.Solar 09-15HP �16-15+ Fan . Microwave � F.A.U. . � Pole�Light � Fixares � Range � Device Boxes Sivn � $15 5 3 $15 $ 3 Switches � � Trash Compactor Generetor 00�5 KW 05-15 KW , Transformer �75�50KW ❑5U+KW ' ReinspectionFea S75 Meter � ❑up ro 100 ampa ,laue Fae ' S 3 Zoning APProved BY Date ApPlintion Approved BY ate �/' Application laued BY ^ate �� / �� ' SUMMARV OF FEES ' , , BUILDING PERMIT $ SMIP � $ PLAN CHECK ' $ PERMIT � PLUMBING � $ ISSUANCE $ PLAN CHECK $ � GRADING $ ELECTRICAL $• �1�1C' [ v $ PLAN CHECK $ MICROFILM $ MECHANICAL $ TOTAL FEE $ � PLAN CHECK $ 1E55 � � ADVANCEDPC. $ � � PINAL FEE $ �� : '`'_.`� `,, ' . .. . . . . _ . t � ' `r - .. PQ � '=di SPA '� ' -' -- - ' - - CONSTRUCTION ANDPLANNING- - - � -� �-�� ' . � � " � �Date ^ � Inspeaor . � .� r, . . ' � ' -� - Date Ins ector cAPP.ROVALS , Permit#�"%-C�7�` - . cAPPROVQLS " Permit# P �y�� i. . . - �' ;1- Temporary Electrical Service or�Pole . '• ' - - � � ��,527 Pool &�Egui�pment Location n F' 2: ISoil Pipe`-Undrgrnd:� - ��j; I- , i.' � �53._ Steel Reinforcement " � c-_3!�ElectricalConduit tilitv-Undrgrnd.' � � - � � - 54.'Forms� -":-'F . �� , `, 4'. Eiectrical Conduit-Undrgrnd'. - � � ' �'c , � �• 55C'Electriical Bondingi� - _ � � 5, �Sieel Reinforcemerit � - ' �. � - ` � - � 56.� RougFi Plumbing & Pressure Test 6:��Electrical UFER G�nd. '•- � . � . 57:' APPROVALTO COVER-GUNITE � • 7. Footings � � . � � - � �.`58: ElectricaLCpnduit-Undroro:l. ' ; � B. Fountlation � ' , _. , � -' ' _ 59. Gas Pipe,=�: Undrgrnd., Test � • 9. VJater Pipe-UniJrg�d. • . 60. Beckwash Lines, P-Trap, O Undrgmd. � � 10. Structural Floor System `� � - - ' 61. APPROVA�GTO DECK � 11. Property Sewer E�ne & House Connection' 62. Backwash Si Receptor-Final � i 12. $ewer Cap �'' � . �� ' - 63. Heater &�Vent-Final 13. Roof;Drains ; - 64. Plumbing SYstem - Final � - � 14. Rough Plumbing - -�� 65. Electrical-Final�� - � - 15'�Rough Elsarical=Conduii- "" , � . � T'-; ' " " � r , , j � 68.i Sofar Sys2em-Firial " ��'y6�Rough� Electric,Wiring�, . � - ' � �'; - -- � '67 Fencing & Access Approval - - o y=�s� .C�, _ �.'iJ�JRougfi Wiring Sign". � � � " � � - �• � �- ' . 68.� APPROVED FOR PLASTERING - � _ "•, 1$'Rough ElectricafT,Bar Ceiling. , � � � � ' ' � _� �69. POOUSPA SY.STEMS FINAL ' ?' L 7`9."R,ough';Heatin9 & Air,Conditioning �� - � � I t , ' �FIRE DEPT. REQUIREMENT � �B:j Rough Factory Fireplace , , � ; � . ' APPROVALS, ; Permit # � � • i: / 1 � ' i "� 21.�D'ucts,in St�ucture� ' � �, ; � ' ; . , � � � , � . . � . , 70.' Underground Hydro � ��22. �Ducts, Ventilating _ - , , �, � � � � �71. Product Piping OGas ❑Oil :��`23. Gas Pipe-Rough & Test .;;v, '`' { � � � 72. Undetground Flush � ` � �-24. �Roof Framing . ` i � �� ', � � � ' ., i . � �. �73. Undergrnd. Storage Tank O Gas ❑ Oil � , �'� 25. Roof Sheathing � ��^,., � � ' _ � � ' 74.' Overhead Hydro � , i -26. T-Bar Ceiling (Structurall &-Mono'coat - � �75.� Dry Chemical i 27. Frame and Flashing' ; I ; � 76. Dry Standpipe � � i r' 28. Lathing & Siding, �. � � � . 77. FIXED SYSTEM FINAL �� 29. Insulation � - � � ' ; � 78 � FIRE PREV. FINAL � � , �30. Drywall Nailing , ' � � ' �Notes: ' ° � � . � . - -- , - - - -- - . _ . 31. Plaster Brown Coat � ' � � � i � 32. Electrical �Power Meter-Final � g.y',�� ' , ' , ' - ; �� 33. Final Electric " « ��'?� . ! s �-a1 � ! � � . P, . . 34. Final aeatin� &�Air Conditioriing � � � � � ' ' ' ` 35. Final Gas P�pe-Te'st � � _ ., � . ' r 36. Hood or Canopy - - ,- ' ` _ � , ' � � - � ' ' . �� 37. Final Factory Fireplace'� � � ' !:. .- ' � ' , � ' . �' ' ' . � 38. Final Plumbing �; � � � •.� � � - . ' � � , � � ` � . � ' 39. Water Service-Final� � � ' ,' i � • � � ' i' , ' � I � �_ 40. Gas Service-Final � . � q � � ' � � 41 . Solar pomesticFinal . , • _ , _ • ._ =•�, � . : , j �,' 42. BackfloW Preventer � � � - � � � � ;i% -' -,i -- F- - - - ' - ' n �T 43. Backflow Irrigatiom ' � � � ��` ~ �. - • - - � , n , 44. Landscape Irrigatlon�$ystem i � - _. � - 45. Sound.Attenuation � � � " , ' ' � ' � i - i 46. HandiCap�.Regulations � � � � , �� , • - � � . � 47. FINAL' STRUCTURE & BUILDING '� ' , � � ' � 48. Special Requirements Completed I � , � � ' , j� i 49. Electric Release�to Edison . � , _ �_ . : . _ _�_ � .- . � !.J� � 50. Gas Release to �ou{hern �lifornia Gas Co �, , � � � � � � �.� �1 F 51. CERTIFI'CATE OF OCCUPANCY ;_ t _ , _ _ � � , fi _' , J � -��,..�f� � No. � ' Date ' � �p .) � ' " , Appliunt to till in all spaoes except those witnin heavy bortler lines antl sign all aoprooriata aeelantions. P�COSTAMESA � � , PERM O. , TRACTNO,.,.. LOTNO. � � BLD .. , . . , . . 4733� .2/22/B3' � 16¢5� T� NSTR.UCTION PERMIT � �' (o �J �lo � --+I•� ?- - - Ap0liCenYS M2ilin FtddrE ^ ' / �^ TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR - , ' , '� �,� . � PfojeCt Addf85s �� n ��Fy LPr�lG � .yf=f7!/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - - � �n �F�1%��P ' "ICS �INty7�'�Iphp�� DESCRIPTIONOFWORK � . . �}-� OwnersN_a¢�e / I GREGU' TI S-� `� Addreu � h�e l� �(lii, Pil� .7�...G �/�%t� � . . . . 1 /Q� /] � -TVPEOPPERM GRADING FOUNDATION STRUCTURAL A.P.9W - - ZONE � ArCh/En � `}^-' �n'J � L�gen52lNo. C„I� � ' PLNG. REF.9p ' � • �g L �/f { ❑ TENANT ;ELECTRICAL ,�PLUMBING ❑'MECHANICAL �.BUILDING Addfau I� I� �' ��r�� —"-�'/�N� ❑�OTHER TO BUILDING l' �t/ � ' " - ' PR PE V LINE ' PEAR VAHD (TO P/U � Contrector'sNamy�C/%f%�-1% �t�i�r�.�.��5 //v -'.,` ph��a %S/-�S �� _ PROJECT DESCRIPTION� 34. FT. � oCCUPANFY��—_ . �Q ' �� /Y /T✓� Cv(/L� CONSTRUCTIONTVPE �% .VALUATION$ 7y�iYJ LEFTSIDEVAqD ' ' RIGHTSIDEVARD � ' �Addreulmailing) PKG.SPACEREQ. � PRpVIDEp � _7� 1� �1 � - • . ZON$ GRADING CU. VDS.• � .ACRES � - ' License No. � LICENSED CONTRACTOR DECLARATION � � Remarks: ' ' D '_ � � - STREET WIDTH . PARK FEE $ � . h,hereby alflrm Iha[ �I am Ilcensetl unEer provlslons,of Charter 9(<ommenNng , . . � . . wRh sectlon 7000yof�Divislon 3 0 he Buslness antl orof�5ion5 otle, antl • � ,_ � � ' SPECIAL CONDITIONS � .' my Iicense Is In full /�e !itl efT cf. � (: / � � � .- Llcenjq Cfast � � / ��-� LI enu N � ! 5 � - PLUMBING ' � ' � ;;9`'�'�--2-� � 5i9nature � � - Bar&nk ' � SewerCap • � ELECTRICAL y k 3KER5' COMPENSATION DECLARATION . , - -- ' .:'atraGy aTfirm t�at I have a.<ertlflwte of con'sent to selt-insure.or a certlficate _ . _ . �� . Automatic Washer, . Meter ❑Oyer 10� aTps - of Workers' Compensatlon Insurance,; o�,a' certltietl copy [�ereof (Sectlon BackflOw P�2v2MC� --- Sew¢� Conn¢c[iOn_ ' -' - - � 3800, Lab. C c � �� /�/ (� �� ,^,. Backflow Irri tion � Solar Collectors - Construction Pole` . , Sub Panel � i POI1cY No. �t, �, / 7� . i Co anY �^ /'�� G �I �� . . .. -. _ _ . � � � . �Certlfietl copy I�s �ereEy furnishetl. �� -� � ' ' ) Bathtubs ' ; Soler Piping � Cooking Uni[ . ,. , .Sub Pole i Certl led{4pYIF'Wetlwithtnetlt �UII ng.Dlv�fi�io�' (J� �// '/ � � � Dishwasher °�,r i �Motors ❑0-1 HP �1Ya-6 ' -Date ��!�� `� �/� 5 Applican� °� "" •`--^"'`�'le" �' CI&rifiers � : � Soiar Tank � ; ! , . � . . . � EXEMPTION'FROM WORKERS'�COMVEN�ATION DECLA0.ATION � • � � Dryels ❑Gas OEIeC[fic � InaSolar�O9-15 HP 01645+ Dishwasher Swimming Pool w/Spa � • ' i (Thissectlon neetl not be completetl If the permit Is'for. one huntlretl (5300) or � 1 . i Iess). � O ' � ' ' , r � ri Fan ' -!' , :Microwave � , I cerNfy that in the pertormance ot ihe work for which tnis permk is IssueA I � Drinking FOuntains � � Urinal _ ' shall not employ any person In any manner so.as to become subjectto Ihe • � , , - , , , � � F.A.U. 1 �Pole Li ht Workers', ComDensation� Lawi ot Califo�nia, i � � • � Floor Drains � . Water Closet' � I � � 9 � NOTICE: 1f, ai[er �making [h'is tleclaratlon, you�shoWA �become subject to the— — � FIOo� Sinks ��• �- +--�- : � � � Water Heater� -� 1- — � Fixtures � � �Range.._ � � � � . 9 Workers'. Compansation provislons of .tha Labor Cotle, you.must. forthwith.' ' - ; . , .� . ,. . ,_ . . , , ' , , _ DEvicC Box¢5 i � � comply wI[hi Such provi5ions�or thiS:Dermit:5hal1- be�tlaemetl, revoked. GaSServICC-; Outl¢t5� T�WdSClSCNICC � , i ' �S�J� ' 1 CONSTRUCT.ION LENDING AGENCV � '� ' , � I hereby aifirm that there is a�constructlon-IenCing agency�for the perTormance-. ; � Inte�ceptors , � ' 't : _� ' Y ' ` � ' Ou[lets � ' ; StBnding SectionS � � � � oi [he ,work for, wq+=p Ns; 0 rq�It,��q 1 fue�,��e ction 09Z. Clv C ' � � - .h//�c�5�/� %l//[lC-i/TT✓�C� i7�./' � _ � KitcM1emSink �� t � , � Switches' � i P ; � ' Lentler's, rvame -� i �Trash Com actor LenOer's �Atltlress ��-��U��'� /��nl %/ � �V!y% � /}'/� • � - �„ , Gar6age DispoSal ' ' • � ' OWNER�BUILDER OECLARATION � ' " � :- ' : ; � � j �' , Cevatories . ' 1 . � �� . . � � ' � I hereby, affirm that I am exempt from tFie'Conbactor'S Litansa L.aw tor the • - � � - , • Generator. DO-5 KW �5-15 KW � ' ; � , tollowing reason (Sactlan `7031.5 Business antl Professional;Cotle: Any Gty or ' ",' P ,Trep � ; ' - � . � '. cOUOty which, reqWteS d Da�mit�to ConSt�uCQ alteq ilnprove; Oemolish o�,�epai� i' . : . . . Transformer �15-50 KW ' ' u1v strutture, prlor to lis izsuan<e,:also requires the applicant for such permit � RoofDrainS. % , i-' `'•. ,� � , � � � : <ile a signetl statement that he/she Is IlcenseE pursuant to thelprovisions of ' � ❑SU+KW � "Ey.�ontractor's License l.aw�(Chapte� 9 (commencin9 with,5ectlon �000) of ' • �: ' - _ - � I • � � � . , . �ReinSpection FeB � f75 °'Y-:ision 3�oi tfie Business antl; ProTessions Cotle) or, that he/she is eaemo� ; Showers - i . � ReinSpection'Fee $75 ffieretrom antl the' basis for the allege0 exempSlon. Any violatiodof'SecHon _ , MetCr to 100emps ' q�ue Fae. �$ 3 ;7031.5 by' any applicant for a permit sub�ects -the applicant to a civil . �� `' - i . � � ��enalty of not more than tive huntlre0 tlollars (E500J: �'• � I r �, Service Sink � r ' ' _ � � IsSue Fee ' $ 3 ZoninB APP�o� BV � ' �Date ' I, az;owner of� the�properry'or my employees_with wages,as thelr sole ; � � � ' J � ' � . ' compensatlon wi�Ltlo the work, antl Ihe-5[ructure i5 not Intentletl O! off¢�¢tl _`� �� MECHANICAC � ' . • � � ' ; j 1 � j , � for sale�(Sacfion 7044', Business�antl ProfeSsional,Cotle: The,Contractor's � ' ' AppliptionApp�ovedBy 'DatB Litense Law tloes not aDP�Y to an owner of a property,who builtls or Improves , goiler � _ ' RBf�ige�ation Syst2m � � . � � � , tharoon,'antl who'does!such wo�k himsalf/herself ar through his ar her own � ' , � � � � APPlicetion Issued By � � � � '�Date '�� : emplo�ees, provitletl tnat such improvement5 are not Intentletl or offeretl for - �- ❑0-100p00BTU ❑700,OOOBTU� � ' sale. I however, the builtlin9 or Improvement is soltl within one yeanof com- 1 , Duct -�Under Ground . . � j � � � , � � SUMMARV OF FEES ' � � ' pletlon, [he ownerwill have the burtlen of proving he/she tlid not bulltl or Im- � � � - , • � • � � � ;�rovetortheDurposeot;sale). � . � - I i ' : Duct-Structural � � SystemR'epair/Alteration � BUILDINGPERMIT $! � - SMIP ' $ , LJ I, as owner of the property, am axclusively contracting°with:licensetl con- � , . � tracfors to construct the project (Section 7044, Business antl Protesslons Cotle: _ Duct - Ventilating . __ _ _ �PLAN CHECK� ' $' + PERMIT _ ��Tha ContractOr'S LiCenSe Law does not apply to an owner of property who . - . - � � � � � � ISSUANCE . �$ '� bulms or Improves thereon, antl who contracts tor such projetts with a con ; 1 Exhaust System ❑ Multiple 0: ' . PLUMBING � � $f "�� , � , tractor(s) Ilcense pursuant to the Contractor's License Law). . ' ' � ' � !P�.,qN CHECKi i $, �% � GRADING �$' ❑ 1 am exempt un0er Se<tion - . � B. & P. C. tor this reason � � Fi�2pl/Fact. Blt. ICBO # � � � � ,$ , Date j � wnai� � ' � ' � � � Heating�System&Ductmg ; , � 'ELECTRICAL, ; $. � � ' . ��f � � ' � � � .�_ '. . . _�. � � - 'PLAN CHECK S� � MICROFILM $ � I�hereby certify that I` ave reatl this appllcation-antl stata that the above ❑4100,000 BTU��100,0006 ' � . $� � : IntormaUon-i�rract. f'agree to mmply with all city antl county ortlinances ' •! ' � . � , 1 � � � � � , TOTAL FEE� �$ antl;stat¢� aw9'�relatjng to�builtling constru<tlon, and here�y authorize'rep e- ; , , :MECHANICAL $ , , , � , sentativ�y otrt(hl5ifjty to enter upnn t d above-mentionetl property �or ; HOOd O� TypO I ❑i � ' � Reinsp6ction Fee � $15 � ' , � � LE$S ' � ' � ! ,PLAN CHECK $� InsPectlb ' r -e�. ; � t . ,,��3 i ` Cano i T ; e I I �. • � _ . . . t � . ; I ' ADVANCED PC - $ ' ' . ' SlgnaturE " ' �r� �� Date � r , ; � ��/�� DnJers' Lfen;�or�55 � ! ' �' � Registe�s ' � i , Issue Fea $ 3 ' � � � � � FINAL FEE � j $ �J�_ CMF 0865-46 rav�12/82 White - Builtling: Canary - Applicant; Pink - Accounting; GOIGenrotl - Assessor I' -CONSTRUCTION AND PL JVI G '� � .. .- . '•, . .: � -.'u�SPA �� • - r �-- - -' - =' + r ' � ' ' , ��-�_ jD� � > `Date � �. Inspector , - ' {� � � Date - Inspector _;APPROVALS -� Fer'mrt # _ , � - =APPROVALS Permit # ' � - i -- •� 1�: Semporary�ElectricalServiceor��Pole � �' '�., �,.� �.'52: �Pool&�Eguipmenf Location' ' � � „ i� 2. ;Soil Pipe-Undrgrnd= -� , � � � ' ' � � c� � � ��53: Steel�Reinforcement � � ' V _li'. V . f � 3. Electrical Conifuit Utilitv:Undrgrnd. ' '� � �a�� :,54:i'Forms: �� , ' � �- •y 4.�Electrical'Conduit-Und`grnd;,�: � � _ ' � � ,:55`.-. Electrical Bonding - � - � �5. Steel,Reinforcement .� � �� _;� - �� :!56� Rougli�,Plumbing:&PressureTest � � � . ,� ,' "6. �Electrical UFER Grnd � ; ,". : = ' � � � y - '� ��- - �,57: APPROVAL TO�COVER-GUNITE r 7. Fooiings ' '. ' , , � ' � � � � ° _ - :'58. Electricai:Coriduit-Undrorod. . � ' ' . � � • � - I � 8. Foundation � ; , � , - , .- , � � 59. Gas Pipe;',O�.�Undrgrnd., Test . .' � , � 9. Watei Pipe-Undrgrnd:�,; � `� � - . •' � , _ i '. `� � � '�� `,60 Backwash Lmes �_P.,Trap, O Undrg�nd. ' _ 10. �Structural Floor System � � i ; � � ��.67 APFROVALTO.�DECK • �� '_ ' 11. Property Sewer Line &�House�Connection, . �.62. Backwash &��Receptor-Final - � � - � -� _ . . - .. , , , a , 12. Sewe� Cap . • . � � • - , � - �'63. Heater & Vent-Final � � r i � 13. Roof'Drains I ' � , � � � ' �' v � .�64. Plumbing System - Final` � 14.'RoughPlumbing:' � i . � { - � `- �` 't65. Electrical=Final - � � - "� � , 15: RougMElectrical-Conduit'�' ; '-^ � - '-,-'- � �- �-66:i $ola��Sy4tem-Final� -� - , � � ��-� � i 16. =Rough�Electric Wiiing� . - r � ' 1 `- �"' 't '67. �Fencing�&jAccess Approval � � � � � - v-z�.`s� . ��: _17. ,Rough Wiring Sign;� ; - � � � " + - �� - '68. APPROVED FOR PLASTERING - � _ � ' 18t Rough'Electriral`T BaF Ceiling �� ' � �: ; � � _ , <: f 69: POOUSPA SYSTEMS FINAL ' - . ' ' - � r 19. Rough Heating &�Qir;Conditioning �� ; � ; I � : � � I � ,FIRE DEPT. REQUIREMENT- �. ;� � . ; � r ; � I � �; . �� 20. Rough Factory Fireplace � � ,� , ' � . i � ( � APPROVALS' i Permit�# � -� , 21. Ducts,�in St�ueture� ' � � ; ' ' � � � I �70.� Underground Hydro � ' • - � 22. Ducts, Ventilating . , ! � ' � , � ' i � ' ' 71.' Product Piping O Gas ❑ Oil . � 2` Gis Pipe-Rough & Test � �� , � _ � j: '� ' � � �72,� Underground Flush � � � 4.�RoofFraming; �� ' � � ; i; 3;� � �,,, ��>i: '73. Undeigrnd.StorageTankOGas ❑�Oil � ' � i� .�, �� -�� 2�. Roof Sheathing � �.- � �: - �� -. , r � ,' � �' . = i �� 74. OJerhead Hydro � . ' .' ' ' 26. �T-Bar Ceiling (Structural)� & Monocoat ; ' � � ' � r � � -'' 75.' Dry Chemical ' � . _ � ,�27.,Frameand'Flashing; , � � ', � ;�•° ! �' f � �76. DryStandpipe�' ' � � - 28.�Cathing&'Siding�'+= ;i �� . . , ��'', � j i77. FIXEDSYSTEM".FINAL . . - ' . �. 29_;:Insulation �'' ,r ` � � �� ' ) , � � � � � 78� FIRE PREV. FINAL . � 30. Drywall Nailin`g � � � ;, ; � � � � }Notesi � � � � ' � � .� 31. Plaster Brown Coat � � � � --�� -- i � ' � -- , � - � � � � � - -"� � r - - � - 32. Electrical�Power Meter-Flnal ' '' � �' eC � I � � � , . ' � 33..Final Electric �tr 1�CiQQ{P�!k�. ., �-p^g3 ' t ' ' ' ' � � 34. Final Heating &�Air Conditioning ' i G , �� s' � � � t 35. Final Gas Pipe�Tesi r .• ' �.-. � ; - T� !`= � ! �_ � ; I � � ,. .. . . ^ � ' , - 36. Hood or CanoPY'" : - ' I .' I . ! _ ' ' ' . . . . - . 37. Final Factory' Firepla`ce- . ' _ � � I •'' ' � , �`.. � ' - � - " • -� . � �i � �. . � . 38. Final Plumbing' � � . i �� ' � - - . � � , . 39. Water Service-Final � � � � '� � � � � ; ' . ` ' . � , I i � 40. Gas Service-Final ' � � � � „ , I ; � ' � ' , i � , • 41.Solarpomestio-Final � ' , .' � �_ i_ , , � . � �� 42. Backflow,Preventer ' . , .",t -- .. ' -t- - - � �- ' --- --� � � _ , ,�.. � - -ia :�' : 43. Backflow lirigation ; • ' � - _ . ; I � , ' ; Q " . , � , � 44. Landscape I�rigation�System � ! i = � � � � � �� '� ; .` � , . � 45. Sound rAttenuatiori ; " � ' _ . 1:1 � ; i ' � �� f � , - ' ' � , `� . . r - 46. Handicap Reguiations � � � . � , i T � ;� , •� , - � . .. - 47. FINAC STRUCTURE & BUILDING' , - � �� ' t � � � � � ., . � 46. Special Requirements Completed � i � � � � � � � � ' ! �' � i 49. ElearicRelease�toEdison�; , . ' ,._:.�� _ �. � �..._ � � �� _ , � . - t--:. -1-, ' � . . - i i � � i - , � � . 50. Gas Release to Southem California Gas Co � � I � � ' ; ,, . ' � 1 1'� i 51. CERTIFICATEiOF,OCCUPANCY ' _ __� _.� _ - _ ! _, ; . , � Nv � � Date 1 . i , i � . � . 1._ .� ,�y no CITY OF COSTA MESA CONSTFjJJCTION PERMIT 'APPlicant's Mailing Addrezs � Project Addrea �7�/�7 �p�� Owner's Nam'eo,� �/ hone%�L-�-�� Address L,�( W�� / Arch/Eng ��1�'� LicBnze No. Address �-7�/�� Concrector's Nam honeLadL.2G.2a Address (meilingl License No. , LICENSED CONTRACTON OECLARATION I hereby attirm that I am Ilcensetl unGer provisioni o/ Chartar 9(commancing . with saction 7000) of Divlilon 3 of the zinoss A�ofessionz Cotle, anE my Iltansa is in f ull / rce an aftect. �(�/�p Ucen Class a� lo Q K� ��te 519�ature IpKERS'COMPENSATION DECLARATION/ .BreDy att7rm that 1 have a CBrliilwta of Consen[ t0 se�tiniure or a ttrtfflwte of Workars' Gompansalion Iniurante, or a tertitle0 copy thereof (Sactlon 3800, Lab. C.) ��) T �i��✓� Pollcy No. ��Zv2J� Company�'��'K us, �y�r�,{' Cartilletl copy is �ereby furnishetl. � �Certl� yyyq iyyga wiM the tlty iltl g Tvl o� '� �_ ��p , � aie /1e S S APPliwnt � EXEMPTION FROM WORKERS' COMPENSATIOH DECLARATION (Th15 saCUon neatl nat ba completed i/ [h0 Oermit IS tOr On0 hunCrOtl (E300) or „ I855J. � I certlfy t�at In t�e pertormance of the work tor wN�h t�is perm�t is Issuetl I � shall not amploy any person In any manner so as to become subject to [he Workars' ComDenSdtlon,Laws oi Ca11/omia. � ' Data ' 9gnatura ' NOTICE: 1/, a}[er making thi5 tlBtlBrallon, you shoP�tl Da<ome Subjett to [he . Workers' Compensation proWslons of tne Labor Coae, you must /orthwith compty with zuch provlilons or lhis' Dormit snall be �tleemetl revoketl:, CONSTRUCTION LENDING AGENCV I hereby a/tirm that thera Is a construction lentling a9ency for tha Der/ormance ol lhe work /or �� t�is, arml ii uetl (Sa t�o 0 7 Civ. C.� Lentle�'s NamO �%Z�� +'� ��—�� Lentler•s ACtlres• �� r ALi�1/A/ - S/ . � . /f . '� � OWNER BUILDER OECLARATION - I h¢raby affirm that 1 am ozomD< <rom Iha Contra<lor'S Licanse Law for [he , ' followinq reason (Sectlon 7031:5 Builnoss antl Professlonal Cotle: Any city or county wlllch fBquir0l d Oafmll to ConStluct, altef, ImD�ovO, tlGT011sh OI fBpalr ' any structure, prlor to its issuance, also repulras thB appllcant for such permit flla a siqnetl itatament lhat �e/she Is Ilconsetl pUrsuant [o the Drovliloni of Contractor's'License Law (ChaD�ar 9(commancing witn Sectlon 7000) 01 ,Ision 3 0} (rye Businoss an0 Profoalons Cotla) or that he/she is exemp[ .��eretrom antl tha basis !or tne allagOtl Bxemptlon• MY ��a�ation�of Soctlon � J031.5 by any aOD��ant tor a permit sub7ecls tna �aOP��ant to a-<Ivil �flnalty of not moro than live hunOroO tlollars (=500). -, I, as owner of lhe proparty or my employeo5 �+�Ih wages�as Ihelr sole ' companzatlon wlll tlo t�e work, antl the structure is not IntentleU or o/teretl � for sale (Sat4lon 7044, Bu5in855 an0 Pro78ssiOnal Cotla: Tha ContractOr's Licenxe law Eoes not aOD�Y to an owner of a Drope«Y `�'M10 bullCs or Improves � th0r8on, antl wllo tl005 suth wOfk hITSCIf/hOrsOlf Or through tllt Or hBr own amploy eos, provltlatl that suc� Impravaments are not IntentloE or o/leretl lor � sale. If, however, tha bulltlin9 or improvement I5 soltl within ono year of com- p10U0O, t�e owne� will �am the bWdOn o/ provinq PO/She GItl not buIIC or Im- �rova for tha Ourposa o( sale). I, as owner ot tha proparty, am azclusively <ontracting wit� Ilcansatl con- tractorsto construct the Droject (Settlon 7044, Busl�oss antl Pro(assions Cotle: T�e Contractor'S License I�w daoi nol applY to 2� o`�+ner of pro0erty who bulltls or Improves t�eroon, antl who conlra<ts /or suc� pro7act5 with a con- tractor(5) Itcense Dursuant to t�e Cantractor'S Llcen4a Law). ❑ I am axempt unEer Sectlon 8. L P. C. for this rea5on Date I hereby certly t at 1 informatlon IS Cor Ct. I antl state laws ra ing t � untailv85 of th clty 'InsOectlon o rpo Signature Drivers' LicanSa or 55 qp CMF 0865-46 rev. 12/82 Owner ' �� White - Builtling; Canary � ADPi��: P��k - o��ant to /III in all soaees aacao� tnose wltnln haary borEer Iines a�W slgn all approorlate 0aclantlons. P MIT NO. THACT NO. LOT NO. B . . m � rz �"7 TVPE OF CONSTRU TION NEW ADD AITERATION . REVAIR ❑ CONVERSION ❑ DEMOLISH OTHER DESCRIPTION OF WORK � � TVVE OF PERMIT LJ GRADING FOUNDATIO�N( LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL PLVMBING ILIMECHANICAL ❑ �OTHER � PHQIECT DESCRIPTION SO.F /, QD e OCCUPANGv_� CONSTRUCTIONTVGF � VALUATION§�� 20N� GRA�INGCU.YDS. ACRF$ Ramarks: _ / il � �t� /_ 21� _ 'SBW¢l Cann2CtiOn Solar CollettOrs Solar Piping Solar Tenk Drinking Fountains Urinal ' Floor D�ains� � � Water Closet Floor Sinks � • Water Heeter Gas Service Outlets � Water Servica Interceprors . - Kitchen Sink . . Lavataries . ' , ROof Drains Service Sink Boiler Duct - Under Ground Duct - Structurel Duct - Ventileting � Exhaust System Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting � 6100,000 BTU �100,000 , Hood or Tvoe l �. Registers enrotl - Assessor Reinspection Fee Inue Fee ❑aioo,000eTu �ioo.000eru System Repair/Alteration $15 53 Reinspeetion Fea 515 laue Fee $ 3 PLNG.REF.qW LEFTSIDE VARD PKG. SPACE RE�. STREET WIDTH Automatic W asher Cooking Unit Dryers �Gas ❑EI Fan • F.A.U. "� Fixtures Device Boxes Outlets 8792 5/16/53 54.5� TL ILD REAR YARD (TO P/U RIGHTSIDE VARD PROVIDED PARK FEE $ Mete* l-lorer 100 amps Sub Panel Suh Pole ' Motors �0-1 HP ❑1Yh$ Inc.Solar �9-15HP �16-15+ Microwave � Pole'�Light Sectioni Swrtches Trash Compacror Garbage Disposal Generator �0-5 KW �5-15 KW Trensformer ��5-SOKW . ❑5U+KW qeinspeMionFee S75 Meter ❑up to 100 ampi Issua Fea S 3 2oning Approved By Date Appliotion Approved By �/y,p ate APPli�ation laued BY "' "-� Date .S–�J�li�� SUMMARV OF FEES BUILDING PERMIT $ SMIP . $ , PLAN CHECK $ PERMIT PLUMBING J g � �SSUANCE S PLAN CHECK $ � GRADING $ ELECTRICAL $ $ PLANCHECK �/$ . MICROFILM $ MECHANICAL $ � TOTAL FEE, � $ PLAN CHECK $ �Q LESS ADVANCED PC • $ � FINAL FEE $ .� 1 � �+ ��' PCONSTRUCTIONAND�PLA� AN'I�N�7G'��7 - -�' ' r. . '. `.� ` , ,. pd .'`::,iSPA � - - . - - :=APP,ROVALS ' Permit(#��/-� 'Date � 'Inspector :.AppROVALS Permit.# � Date Inspector � cy. � � � - _ _ _ ; . . � _1��,Temporary'Electrical Service or.Pole! %•- " �- _ ' :52c Pool &_Equipment Location - - - _ i� Q! Soil Pipe,Undrg�nd:. � �".. � - � • ` , "�' - �' �� 53.' Steel Reinforcement � - ' ' . ' .- �3! 'ElQctrical•Conduih,Utiliiv-UndrgrnA: , �.! , " 54; Porms " ' � � . _ � " . �1. A . .... 1 � . . � '`. 4: Electr�ical Conduit-Uniidgi{d',' - _ _ .�� . !' �� 55: Elecfrical Bonding �� Y �5[ Steel'ReinfbcCerijent ' ".� �' : ' - .. � � �56. Rough Plurribing & Pressure Test � ' , � 6: �Electrical;UFER GradS . �� . 57. APPROVALTO'COVER-GUNITE ' �' 7. Fooi ngs. . , - . ';�f �� , ' -r' . - 58. �Electfical�Conduit-Undrar.,r�. - , . B. EoundaEion ;; � - ' � � � : � - , 59. Gas.Pipe; O Undrgend�., Test � _ -i, :� 9. N�ater Pipe•Und�grrid�. .. ' , .• . � 60. Backwash Lines, P-Trap, O Undrgrnd. � 10. �SIructural.FloorSy,stem '-_ :J1 ' � 61. APPROVALTO�DECK � 11. Property Sewer Line &.House Conngction �` 62. BacJcwash & Receptor-Final - 12. S'ewerCaP,, ! _ �,-� � � , � . i ' �.`63. HeaIe�&'Vent�Final � , � ..',�' 13. Rool�Drains �..� � � . ', � •� • � .- � :64. Plumbing.System - Final , � 14. �Rough'Plumbing „ - _. � '65. Electrical-Final • - . -= �r15i'R6ugh Electrical=Conduit- ' � - - -- - -�- -. - -'i ` ",66. �Sola� System-Finaf: � �-� - � - 3 ' o �,16. .Rough�Electric Wiring � _ ' � �- � ' --' "-'�" � _ ' 67. Fencing & Access Approval . -� � 17. Rougb Wiring Sign: �; '`� • ' g8. APPROVED FOR PLASTERING - 'I � � - - � - ' � i - i . r = iB.,;Rougti�E�ectrip�=T,Bar Ceiling � � - � �� ; � 69.� POOL/SPA$YSTEMS,FINAL � 19,�Rougli HeaTing & Air�,Conditioning ' !'� � FIRE DEPT. REQUIREMENT ' �� 20. �Rough,Factory Fireplace . . � � � , qppROVALS Permit # -� � � _ . a , '' 21. �D'ucts; in Structure� � ' ' � � � ' ' 00.� Undergroun8 Hydro . � � - ' - ;' . : . ., . �`22: Duct�; Ventilaiin9 -J�, �• � � � ' � ,71. Product Piping OGas ❑Oil 4 ' - '- ;" 23.:-:Gas�Pipe-Rough & Test �� - ! � � 72. Underground Flush ' 24: RUof F�aming� i, . ' ' _� - . - � � .73. Undergrnd.StorageTank OGas ❑Oil ' 25_;R,qof,S�eathing � �" ' � 74.� OverRead Hydro . , " 26. T-6ai'Ceiling (Strucwral) &.Monocoat , . 75. Dry Chemical - �271�ti�Frame•and Fl�shing� ,. • , � . '76. D.ry Standpipe � 28. L'athing & Siding � . , � 07.% FIXED SYSTEM �FINAL , � V�� 29. �Insulation _: � ' ' � 78. FIRE PREV. FINAL '30. Drywall Nailirig - � • ' �Notes: � � . •` '31. �Plas[er,�Brown Coat. � � � � � � � i ' ' 32. Electrical �Power MGter-Final . ' � � ,� ' ; l.' � � ' � � 33. Fina� Electric � � ' � � , � ' ; � 34. Final Heating &�Ai� Gonditioning (0 Z,� � � 35. Final Gas Pipe-Te;t - _ Z„�3 / ' - ; : � � ' - ' ., :. ,, 36. Hood "or �Canopy' � � � _ � ' � `'� " • ' . ' i " - 37. Final Factory�Fireplace� "� -. �� , ' . i , � - ' � � ' - . � 38. Final Plumbing � � • . � ` „ . � ,,,8 1 - . � �. . � . , . , 39. Water Service-Final � � . � ' � � - � � 40. Gas Service-Fina� � � � � � � � . � � � , 41. Solar D"omestio-Finel � ' _] _ . _ . 42. Backflow Preveriter ; �.� � , � ' ' � »•� - -' -- - - - � . . 43. Backflow Irrigation �_ � ��'� • - - . �. � r i 44. Landscape irrigati'on�System �- ' � � � . � . � ! � ' 45.Sound,-Attenuation �� , I >� � �� 46. Handicap Regulations � � � ' � � , � � j ' i 47. FINAL STRUCTURE & BUILDING � - ' � � • , � � � 48. Special Requirements Cortipleted f , ' . 49. Electrit Release to 'Edi'son� ' F - . - -. - - -� - . , � 50. Gas Release to Southem Caiifomia Gas Co ' i • • ' , � '. � r 1 � 51. CERTIFICATEOF,OCCUPANCY . ! ' _.-.�- - - -. ' No, � Date � , � , ADO��ant to /ill in all spaces CITY OF, COSTA MESA P�-rrfv� � �ONSTRUCTION PERMIT � ;Addres � �Arch/Eng, Address ntracro Address LICENSE[ I hereby a1 mencing N M ao,a==�o�s �LlCenie CI Date �WOR R: I ht/G a certifirate N thereoi(Se I �u.., nb./ wit�in �eavy DorEer Iines antl sign all appropriate Eeclarations. TRACT NO. LOT NO. �BLDC.. NO. �%�/Z � % � TVPE OF CONSTRUCTION �NEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER DESCftIPTION OF WpRK �iA4.� �L�� /ES�iVC Phone%J :3 Si� TVPE OF PERMI7�( � ,,�/ ,I �C:{L L•W � �R�YA�E ❑ GRADING '.Q�FOUNDATION CS�6TRVCTVRAL GCTOR DECLARATION ❑ TENANT � ELECTRICAL ❑PLUMBING ❑MECNAI 1 am Ilcen5e0 un er ovl on o} Charter 9(tom- _ . in 7000) o vls n o the Business antl ❑OTHER� - n0 my I ns n .y torte/an�IReff Ct. , PROJECT DESCRIPTIO ��_� ' SQ.FT. o�. ya7 M-/ — Signat Tr VSATION�D LA A ON OCCUPANCV CONST UCTIONTVPE �1� I have'a � tif�tate con5ent to self-iniure or a VALVATION ZONE f5' COmpe05atlon I ufanC¢, Or d CerU(1¢tl COpy �. __ .. 7, l.db, C.). T� �,�� II' _ GRADING CU. VDS. ACRES �ComPdnY /.Y'/�f� ��.._T�,+f�u�.Y J Certi(letl COpy I5 h¢r¢by fUrnishetl. REMARKS: L.. . �Cettl(ietl topy is filatl with the CitY Builtling Di'vi5ion. �EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This sectlon neetl not be completetl ii tne permit is tor one huntlretl �• (E3001 or less�. 1 Certlfy that in the performance o( lhe work for whlch this permit is issuetl, I shall not emPloy any pers0� �� any mannar so as to become PLUMBING - PLAN CHECK -_, sub�¢Ct to the Worker5 CompenSaHon Lzws ot Californid. ' Date Sl9nature BATHTU85 - SHOWERS NOTICE: I( after making [his tleclaYatlon, you s�oultl become 5ubject TOILETS URINALS to the Workers' COmpinsdtion provi51on5 ot tne Labor COtle, you must torthwith comply with 5uch provisltl�s or this Oermit 5ha11 De tleemetl � LAVATORIES DOUBLE LAVS ievOk¢tl. CONSTRUCTIONLENDINGAGENCV - ' K17.SINKS- -� DISHWASHERS I hereby afflrm Ihat thme is a consVuction lentling agenty for [he per SERVICE SINKS SVMPS formanc¢ Of th¢ wOrk for w�ic� tb�s permit I5 Is5Ue0 (SeCUOn 3097 Civ. CJ. ST FCOOR SINKS " FLOOR ORAINS - l.enOer's Name Lenaer•s Atltlras ��, � DRINKING FOUNTAINS � � OWNERBUILDE0. DECLARATION INTERCEPTORS CLARIFIERS I heteby affi�m [hat I am ezempt froT IhB COntractOrY License Law for the following reason (Sectlon �031,5 Business antl Professlons Cotla: Syy�MMING POOL ' PTRAP - Any tl[y or coUnty which reqWres a p¢rml[ to COnStruct, alter, imOrove, tlemollsh,or reoair any structure, prior to its issuance, also re- yyqTER SERVICE ALTERATION quirl5 Ih¢ dpplicant tor Suth perrtli[ t0 1il¢ a Signetl Statement that he - is II<ensetl pursuanl lo [he provisions ol [he Con[ractor'S LicenSe Law GAS SERV ICE -- � OUTLETS (Chap[er 9(commentlng with Sectlon 7000) of Division 3 of (he ^•�51ne55 antl Aofe55ions Cotle) or [na[ �e Is exemp[ theretrom antl the yyqTER HEATERS - BTU OVTPVT Is for the alle9etl exemption. AnY violation of $ectlon 7031.5 by appllcant to� a pErmlt 5ubject4 Ne applicant to a clvil penalty •$EWER CONNEGTION$ "" ' . no[ more than five huntlreG tlollars ($500). ❑ I, as owner of� the property, or my employees with wages as thelr SOLAR TANK -' ' COLLECTORS � sole compensation, will tlo the work. antl the structure is not intenUetl or otferetl tor sale. (Settlon ]044, BuSiness antl Profession5 Cotle: The SOLAR PIPING SYS. Contractor's License Law tloes not appry to an owner of a property _ who bulltls o�-im0�ove5 l�e�eon, and'who tloe5 Suc� wo�k'nlm5elf or ISSUE FEE Ihrou9h h15 own employees, p�ovitletl tbal such improvements are not intenaea or ofieretl tor 5ale. I(, howeveq [he bulltling or improvement MECHANICAL PLAN CHECK is soltl wlthln one year ot completlon, ihe owner will have the burtlen of proving he tlid nol builtl or ImProve (or ttte purpose ot Sale�. �.{EATING $VSTEM 0-500,000 BTU _ ❑ I, as owner oi the property, am enclusively contracting with. qND DVGTING IiCenSEtl conlractors to construct Ihe project (Section 7044, Busin¢55 ]OO,OOO+gTV _ antl Professions Cotle: The Contract0�'s Liceose Law does not apply to an owner of property wha builtls or Improves thereon, antl who con- REFRIGERATION 0-100,000 BTU tra<ts from such projecls with a contractor(5) licesnetl pursuant to .SVSTEM t�e ContraG[Or'S Licenz¢ Law). 100,000+gTUT ❑ I am 2xempt untler Sectlon - 8. & P. C. for Ih15 " BOILERS BTU ` reason SVSTEM REPAIR, A�TERATION Date �1 Ow r I �ereby rtify a�ryave�tl his aPPlication antl stata,that the above EXHAUST SVSTEM MULTIPLE in(orma ion �s cor ect. I�or e to Comply with dN W�v ana countv � e ��: �. - `� --- �— ISSUE FEE - � Orivers' � ¢nse or 55 GMF 0865-46 Wh e-Builtlin9: �Oary-APPIiGant: Pink-tu��.m��nn..r_..�ne....v�_n.....5-- _ - '_ . $9'1H. I / I 4/03 " ' "� ZONING REGULATIONS ".c. �` I IG - 143— O�L' ZONE p(��. —I Ci PLNG.REF.�j REAR YARD (TO PKG. SPACE REQ. ZONING APPROVED BV SPECIAL CONDITIONS: —��Z ELEC7RICAL PROVIDED� PARK FEE $ PLAN CHECK GENERATOR 0-1 KW_1-30 KW _ TRANSFORMER APPLIANCE ' 30-50 KW_50 + KW _ MOTORS 0-1 HP_1-10 HP _ �(INC.SOLAR) 30-SO�HP 50+HP_ ,FIXTURES OUTLETS SWITCHES 'GASTUBE'SIGNS - - � POLE LIGHTS - " PANELS ' MAIN ,SUB " SERVICE " ' ' " " AMP ' ISSUE FEE APPGCHTION P.PPROVED BV DA 42Go61 TI. �S�UM�MpARV OF FEES " PERMIT G S�L"Lo_� SMIP E�� •� � PLAN GHECK 8 PERMIT - � ISSUANCE E' PLUMBING E GRADING E PLAN CHECK E � �ELECTRICAL E a ' PLAN CHECK g ' MICROFILM $ MECHANICAL $ TOTAL FEE $ PLAN CHECK S � LE55 AD- '� VANCEPC S FINAL FEE 5 � � �, CONSTRUCTION AND PLANNI G 1� � 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 - �� ' ' q. Electrical Conduit-Undrgrn -. 46. Electrical Bonding -- - ' ' tee ein orce 47. Rough Plumbin & Pressure Test - "�+' 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE � 7. Footi�gs 49. Electrical Conduit-Undr rn - 8. Foundation 50. Gas Pipe, � Undr rn,�Test' ' � � 9. Water Pipe-Undcgrn � ' ' ` 51.' �Backwash Lines P-Tra �❑ ndr m � 70. Structural Floor System � .. 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. � Backwash & Rece tor-Final �� 12. Street Sewer Connection - � 54. Heater & Vent-Final � � � " 13. Rough Plumbing � - � ' - � • � . �' 74. Rough Electric-Conduit - -' � � 56. Electrical-Final 15. Rough Electric-Wiring 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. - POOUSPA SYSTEMS FIfVAL 20. Roof Framing. � 21, Roof Sheathin 3� �- 22. Frame and Flashin $ S NOTES: 23. Insulation � - - � � 24, Lathin & Siding � � � � � � ' ' ` ' ' � � 25. Drywall Nailing - � 26. Plaster Brown 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 pomesticFinal - � • � � 35: Landsca e S rinklin S�stem � " 36. Sound Attenuation - 37. Handicap Regulations � � ' 38. FINALSTRUCTURE&BUILDING � �- • 39. Special Requirements Completed � 3 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. � � 42, CERTIFICATEOFQCCUPANCY No Date OWEN$-CORNING Fi�bepglas Building lnsulation 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: Mo�+rc ✓s� �osrn. /%�rsa .liaT 7 Address City Trect Number Exterior Watls , �� Owens-Corninq Fiberqlas Tvpe�+�t'CS__ Insulation (� �z Thickness R-Value Ceilin s Owens-�orninq Fiberqlas Type�dTf� Insulation /o�i. _ry Thickness R-Value Floors Owens-Corninq Fiberqlas Type Insulation Thickness R-Value Foundation Walis Manufacturer Type Thickness p-Value General Contractor LicenSe No. ey Insula/tio�q C/Jontractohr ��DICO.V�� JiSwC LicenSe No. 3D9O30 By �Y/h 0� /�-�e-�� Title �• Date 1 g� (Signawre� Homeowner Copy (White) State Copy (Vellow) Builder Copy (Pmk) OWENS-CORNING FIBERGLAS COHP. Pu�. No.1&qLL995-B Insulation Operating Oivision Lil�o in U.S 4_ Jan., 1982 coov��en� e iyez owe�s-co.��q Fme.pias co�o. Fiberglas Tower, Toletlo, Ohio 43659