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Home My WebLink About827 PINE PL - Building Permits�.t . �- ' ADDliont to f(II in all spaces exeeDt thott wlt�in �;�f.1T ��9�' COST�f�' °`i�,SA �. . P MIT NO. TRACT I aLON TRU6V�N PERMIT �y —%�6S 17 1 flpplicant,y Mailing Add�es . PrqjectAddress �Q� F ' /��-��4!L ' 'Owner a Name V IC'Ti� IQ j�l L�� Phone �J3 '_g� �Address ��DiA/F�P CmSikN cd ca.. Q'1/_'�� . ArchlEnB• License No., Address � � - Contrector's Nam hone Address (inailing) Licenu No. LICENSED CONTRACTOR OECLARATION I hereby af/irm t�at I am IlcenzeA unCsr provisloni o1 Gharter 9(commancing with sec[lon 7000) of DIvlSion 3 of t�e Business antl ProfeSiioni COEe, antl my Iicense Is In fu11 forca antl eifect. llcense CISss litense No. Jate Si9natura WORKERS'COMPENSATION DECIARATION � � I �ereby aftirm l�at 1 nave a certitiwta o/ consent to selNnzure or a cartl/iwta of Workers' Compensation Insurance, or a certlfietl coOY Ihareof (Sectlon 3800, 12D. C.) , Policy No. � � Company 8 CertNletl�topy IS here0y furnisned. Certifletl toDY Is flletl with the city Bulltling, Divlslon. � Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Iss)ssectlon neeA not �e com0latetl 1! tha permit is lor one hunOreE (5300) ar. I certify t�at In t�e pertormance of the work Tor whic� this perm�t is IssueC �I �shall not Cemploey� ani�y parmn in any manner so as ta become sub7ect. to t�e � Date�S /%�p/ x'7on �519 a't elil�rNa.� l.�'/ / ' / !/" At4i romply 'witn zucn provisionz or tms permit snan oe aeemea revoKea. CONSTRUCTION LENDING AGENCV ' I hereby a/lirm that thare is a constructlon lentlin9 agency for the porformance ot [�e work tor. which this pormil is isiuetl (Section 3097 Civ. C.). Lentler'S Name� • �� ' , Lentler's ADUress. OWNER BUILDER OECLARATION ' I herebY.a}tirm that I am exempt trom the Contractor's License Law 7or the a oermir suoie<as me appuwnc to a �as bwner of Ihe property oo- -^ wlll tlo the wark, antl ot a properry vrtio DWlas or Improves . '�elf/hersel( or througn�his or har own ' nants ara not Intentletl or ofiaratl for �ement is soltl wlthin one year'o! com- of p=oving �e/she tlIC not builtl or Im- � jThe Contractor•s License Law tloes not appry to an owner ot proparry who Euiltls or Improvas thereon, antl who contratts tor suc� pro7ects wlth a con- tractor(s)Iicenze pursuantto the Contractar'S License Law). ❑ 1 am ezempt untler Section , . B. 6 P. C. for this reason Date � Owner � I hereby.�certHy that I.have rea0 t�is''application'antl state�tha[ Ihe aDove � informatlon is correct. I agree to comply wlth all city�antl county or0lnancos anU state laws rela[ing to builtling <onstruc[lon, antl hereby authoriza repre- �sentativei otithis city,to enter.upon the above-mentlonetl property lor Inspectlon ou po as, � Slqnature � DatefS�l�P3 • TVPE OF CONSTRUC ❑ CONVERSION D65CRIPTION OF anC sign all approDrlate 0eclarations. AOD U ALTERATION LJ REPAIR TVPEOFPEflMIT IJGRADING LJFOUN6ATION LJSTRUCTVRAL A.P.� — � ❑ TENANT ❑ ELECTRICAL )❑ PLUMBINO ❑ MECNANICALy PLNG. REF.9W '�� O,�OTHER ' `� R•3CL�W • Z�O /►�•I TO BUILDING� �— PER V INE PROJECT DESCRIPTION 50: F.T. '� J�'�� OCCUPANC �/ LEFT SIDE VARD , � CONSTRUCTION TVP � VALUATION $ O ZON� GRADINGGU.VDS. ACRES PKG.SPACEqEQ. � Remarks: - �M �— i t_!1 I_ _ . ST.REET WIDTH � Sink kfiow Preventer kflow Irrigation Dishwasher Drinking Fa� Floor Drains Floar Sinks Gas Service Kitchen Sink Cavatories . P—Trsp ` Roof Drains Showers Service Sink � � Soler Piping ' ' � ._ � � Solar Tank Swimming Poal w/Spe . ' Urinal ' � Water'CIOut - Water Heater ' Outlets Water Service � . � = Under,Ground �� Duct - Ventilating ' - Exhaust System � Multiple Firepi/Fact. Blt. ICBO �W Heating System & Ducting ❑6100,000 BTU �100,000 Hood or Typel ❑ Drlver5' LicenSa of 55 � � I � I Registers CMF 0965-46 rev. 12/82 White - BUI1Eing; qanary - Applicant: Pink - Accounting; GolOenroU - Asse55or r � Reinspection Fee �$75 � laue Fee . . •$ 3 . MECHANICAL � Refrigeration System � ❑a�oo,000eru ❑ioo,000eru Syitem Repair/Alteratiori ❑ � 2 BT � - . � Reinspection Fee � $ ; Issue Fea ' $ 3 Unit ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Garba9e Disposal Generator �0�5 KW 05-15 KW Transfarmer �15-50 KW _ ❑5U+KW �� i x , 0 3/ � �//�/�' 3 2 �,Y�. 38 ING REGULATIONS' "' " +�-+, T� ZONE I BUILDING -7S CCT\ FEAR VARD (TO P/L) 2. � � RIGHTSIDE VARD S� � � PROVIDED �— , ' PARK FEE $ � . Meter LJover 100 amps . Sub Panel ' � Sub Pole • Motors OO-1 HP ❑1X-S Inc.Solar 09-15 HP 016-15+ Microwave � . Pole�Light , ' Standing Sections Trash Compecfor ReinspeMion Fee Meter ❑up to 100 ampa Issue Fea � �� S 3 2oning Approved By Date � Applimtion Approved By �-Date � Appliiation laued By Date � • /f �SUMM�A-RV OF FEES � ' �"'BUILDING PERMIT $ �1�Q' SMIP � $ /� 3� PLAN CHECK $ � . PERMIT � . \ PLUMBING $ 00 ISSUANCE $ . .PLAN CHECK $_ ' • Opd� ' GRADING E��.� � j� ELECTRICAL $� �'6,/`� $ . ��. � PLAN CHECK � $ rT0 MICROFILM $ � �' MECHANICA� $ .. S.OD : TOTAL-FEE ; $ .'PLAN CHECK $ I D LESS � , . ADVANCED PC � $ � -, ' 1 FINALFEE ! $ .� � �� _- . � : CONSTRUCTION AND"PLAN�Nr�ING � ' ' � ' � POUL & SPA' � • . .- _ �'APPROVALS ., Fermit'#� b��y�� Date �Inspectoi �APPROVALS . Permif# � � ��Date Inspector . 1 � ewiporery`Electrical Service or Pole ' . � '.52a Pool &.Equi�pment Location � ' � � � `- 2t �Soil Pipe-Undrgrnd; _ � � ^ 53. Steel Reinforcement � ,: ? Electrical Conduit Utilitv-Undrgrnd., _ : b4.� For�ms - : � - - ' , . 4. Electr'cal Conduit-Undrgrnd: , ' , r � 55_� Electrical Bonding. '� . � 5. Sfeel �Reinforcement ' � '� � � � �� - .' ' �,56. Rough Plumbing & Pressure Test . - �' r 6. Electrical UFER Grnd., � ` . . - 57�'� APPROVAL TO COVER�GUNITE ' 7. Footings �� -' � 58.' Electrical Cqnduit-Undro'r�d. 8. Foundation _' _ - _ � . Gas Pipe, � Undrgrnd., Test • - . , 9. Water Pipe-Undrgmd. � _ � � . 60. Backwash Lines, P-Trap, � Undrgrnd.' � � ' 10. Structural Floor System ' 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection. ' - 62. Backwash�:&� Receptor-Fiyal � � ' n: � 12. Sewer Cap ' � � ' -�63. Heater & Vent-Final ' - - �� 13. Roof �Drains� , � . � §4. Plumbing System - Final . , . 14. Rough�Plumbing ' � - ��y1 �' � 65. Electrical=Final t � - '�75:�Rough�Electrical-Conduit - - " • .-' .� " -68. SolarSysfem-Final � � . � � �" .16i �Rough Eleciric Wiring � � - �6Z., Fencing & Access Approval � : � ' _ ' 17.,Rough WiFing.Sign ' � � . � ' : � �. � ' . � 68. APP.ROVED FOR PLASTERING � � _ � � 18.� Rough`Electrical;T�Bai Ceiling . - � �' �� 69.• POOL'/SPA SYSTEMS FINAL � 19: Rough_Heating & Air Conditioning ' , FIRE DEPT. REQUIREMENT � � 20. Rough Factory, Fireplace � ' ' ' � APPROVALS. Permit # � _ 21. Ducts, in-Structure • � 70.' Underground Hydro - ' 22. Ducts,;Uen4ilating , � � � � 71. Product Piping O Gas ❑ Oil . , . 23. Gas Pipe-Rough & �Test . � � , �- 72.! Underground Flush � � 24. 'Roof Fra'ming '.}� � • , • ' � . � - 73.� Undergrnd. Storege Tank O Gas ❑ Oil � � � 25. Roof $heathing , i�: �- • s �„�, � 74., Overhead Hydro 26. �T-Bar Ceiling (StrUcturaq, & Monocoat � 75. Dry Chemical - �27. �Frame`and Flashing 7 /ff � ' � 76. Dry Standpipe � ' 28. Lathing & Siding ' '' ;� Zp g3 • � 77., FIXED SYSTEM FINAL �' 29. ;Insulafion SQ¢ M�pS. , ! .� � % j ' � 78.� FIRE PREV. FINAL ' � � 30. D�ywall Nailing • � . ' � S' � Notes:� � _ ' 31. Plaster;,Brown Coat � �i � g _� -Yi3 � p ' 32. Elect�icaPPowerMeter-Final � � , �� ,'�fr � � 33. Final �Ele"ctric ' ' � , ��l�f � , � �, �,� ' 34. Final Heating & Air on itio ing ��j ''' - • i � i 35. Final Gasi:Pipe-Tesf �. i,� . `, � - .. ° % �� i 3 . � -� ' 6- rov¢ 36. Hood or Canopy . � . � ' � � � � � 37. Final Fac[ory Firepface� . l$�'T . i^h S n'f' M1 38. Final Plumbing - � f�/ �> 6 ,� S 39. Water Service-Fi�naf, � ' � ' . , ' - � , �o � � 40. GasService-Final ! '7^�f�/'�� + �q'}io � h u h h i n n5! i:o 41. Solar pomeftic-Final ' � ' i _ % . • . • , 42. Backflow,Preventer � � � � , � � : � r- - . 43. Backflow Irrigation , � � , _ . . , 44. Landscape Irrigation System . , � " . 45. Sound Attenuation - - � � 46. Handicap,Regulations ' � � , � ' ° � � � ' i ' 47.,FINALSTRUCTURE&BUILDING � g.�a_� , � � ' i � 48. Special, Requirements CompleteJ �� r;;i '. , � , 49. Electric Release to Edison � � ,. _; ' _ � .� 50. Gas Release fo Southern California Gas Co ' � � . ., � 51. CERTIFICATE OF OCCUPANCY ' No ' � Date . . • � � , CITY OF COST,K MESA BUILDING DIVISION O�NNER-BUILDER VERIFICATInN A city or county, which is required to give notice pursuant to Section 79830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner�builder verification. , Attention Property Owner: � An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessarY delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. ❑ Yes � No 2. I(have/have not) I�-Vg signed an application for a building permit for the proposed work. , 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address �%; 3't / HCIt' / f' K\ Phone i�7ry 9� ��P�.�._�(� 4. I plan to provide portions of the work, supervise and provide the major work: Name Address ::i'� :� Contractor's Lic. but I have hired the following person to coordinate, City Phone ( I Contractor's Lic. No 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my personal knowledgej in compliance with this State law. Signed: ��F'��/� Date: 3 Name: V L��(� p � L/�DA- (Printed or Typed) C.D.L. #or S.S. # � �.��.� �-- CMF 3042-66 754-5273 CITY OF COSTA MESA BUILDING DIVISION OINNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of., an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be " issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvem/ent. � Yes ❑ No 2. I(have/have not��"(ct ��P signed an application for a building permit for the proposed work. 3. I have contracted w'ytFyhhe following person (firm) to provide the proposed construction: 4. x. 5 Name _ Address — Phone ( 1 Contractor's Lic. No City I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and pnrovi e the major work: Name /(�� Address Phone ( Contractor's Lic. City e I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my personal knowledge, in compliance 4yiih this State law. Signed: �� -(�1 -a - -,�c'�{�(� Date: � / � �� 5Z' 2 Name: V IC7(�� C 1 L 'b�}- (Printed or Typed) C.D.L. #or S.S. # /�%�� CMF 3042-46 7545273 INSULATIOH CERTIFICATION This is to certify that, in conformance with the current energy regulations (California Adminis- trative Code, Title 25, State of falifornia•) and approved plans, insulation has been installed in the building laated at: C0.STA MESA c�b 827 PINE PLACE Strwt No. (�� Anil�Dl�) Strrt ROOM ADDITION Lo[ Numbw ORANGE ca�a DESCRIPTION OF INSTALLATION TnG No. ROOFs CertainTeed Type o( Material flbez��18SS Manufacturer Thickness 61 2�k Value"2 EXTERIOR WALLS, CertainTeed Type of Material flber,_la5s Manufacturer Thickness�at�Walue'• 11 (Or TnEs N�ma) CEILINGS BATTS: Type ot Material Manufacturer Thickness R Value"— (Or TnEs N�ma) Sp. Ft. Covered BLOWN: Type of Material Manufacturer Thicknes� No. Bags_ (Or TnM X�m�) Wt./Bag Sq. ft. Covered R Value"— FLOORS Type of Material Manufacturer Thicknes� R Value'•_ (Or TnAa N�m�) SLAB ON GRADE Type of Material Manufacturer Thickness R Value'• (Or Tnd� N�m�) Width of Insulation Inches FOUNDpTION WALLS (if required) Type of Material REMARKS (If deslred)--. General Contractor (Bui Manufacturer Thickness R Value" (Or Tnd� N�me) Title License Sub-Contractor pnsulation Applicator) HATCH Ii�SULATIOI'; License Number.382646 C-2 ilnwlaMm, M�unry. Em.) ' (SbL "SAME" il am� n G�nml Centnclnr) BY ��o �' ��/� Title owne r Date , 7�� J—� �•Collfernla Adminiit�aliva Cade, En�rpy Imula�ion Sranderd�, declaru: EXCERPf from S�c 19875 of Ihe H�aIM end $af�ry �� a( IM Sbh "� D��a�q. Upon �omobtion of �ha imfalblien of imWoflon, o mrd af Calilemim ��«�N��a Mv� i�� inaulaHon hm bean inLalled in confo.moncs wi�h Ms rp�bemenl� e� �M1�� npelallen� �hall b� mmo�U�d and �mwfeE bY "No aerfifi<ols el o<cvoa�4 or a milor cwtlflmlian ehaf o newly �en- �M lnmlatlon aoollmmr anA 6v �h� beitda. Thi� !-:ulatien mmollenc� ��rv<NA hotH, moHl, apaOmml heuu, hom� w eMn n�Id�nllal wrd �hall be noi1N a� o ovoi��eu� lamiian wlfhin �M Ew�IlinO�") dwelllnp I� habitobl� shall bs I�mW by �u�h o CuIIdInO d�portm�nt � enlau th� ��roclun al Iwq mlbfu th� minimum m�ryY Inwlatlon �"F Volra b iM mwmr� ef th� rnl�fana� el m m�t�rlal or bellain0 �ro�EaMi obbli�had ovrman� ro thl� chao�M." mmaon�v te th� aanaw ol Maf. 7b rui�fann .olu� (RI e/ ma�oNM inmlatien� �hall net Includa anY valw fw rdleOlr� fadna.l PNOJECTADONESS: 8Z� PINE, PL OWNEP'SNAME: KIL ADA M pODNESS: S�E pHCN/ENGINEEH: FDONESS: PEG.NO.: UNIT: 0 uxiT: PE"minEE: AMERICAN GENERAi ( 714 ) 28[-9100 AODRE55: ��42 E LSNCOLN 3iS ORANGE CA..92612 UCENSEO CONTBACTOfl DFLLABATION: I here�y aifirm thal I am licensetl unaer pmvrsions of C�ap�er 9(commencing wilh Se[tion 7000� ol DiviSion 3 0l Ihe Business and Pmfessio s Cade, an0 my license is in lull force anA eitect. LI1Y IIC.: STRTE LIC.: CLA55: ns�AF2 �51465 H G / I� Oa�e'. �� Signalure: —�_�t7 —L WOflNENS' COMPE SATION OECLABFTION: I �ereby aflirm ihat I �aue a cenificate ol consent to seli-insure or a cetlificate ol WOBers' CamDensaiion Insurance. or a cenilietl copy Ihereo� (Section 3800. Lab. C�. ' POLICY NO.: E%P. UATE: COMPANY: �� Cetli�ietl copy is he�eby fumishetl. ❑ Cerli�ied coDY is liletl wi�h the city Building Division. .��e: APDlitanC E%EMPTIONFflOMWOFREBS'COMPENSl�TION�EC ATION: Qhissettionneednalbecompl¢�¢tli��hepermi�islaronehUndr¢tl($11q)arless�. I cer�ity Ihat in Ihe performance o� �he work for ich �his permil is issuetl, I SAall not employ any person in any manner so as to �ecome sublect Io Ih/e Workers Compensa�ion Laws Calibrnia. Da�e: �/ ,L SigreWre: � —�/� ��l�— / NOTICE: II. aller making I�is tleciaraiion, you shoultl become su�ject lo Ihe Workers' Campensa�ion pmvisions o� Ne Labor � Code. you mu5i lon�wi�h compty wiih such pmvisions ar this permil sAall be Jeemed revokea. CONSTflUCTION LENUING PGENCV: I here�y aflirm Iha� Ihere is a con9mclion lending agency tor Ihe pedormante o� Ihe work lor which Ihis De�mit is issued (Section 3097. Civ. C�. LFNDEP: pooxess: OWNEfl BUILOEX OECIAflATION: I hereby at�irm �hat I am exempt Imm the Coniractors' S�a�e License Law for Ihe bllowing reason (Sec�ion 7031.5 Business and Pro�essional Code: Any ci�y o� counly which requir¢5 a permit �o constmc�, alter, impmve, demolis�, or repair any Slmclure, prior Io iis issuance, also requires the applicant �or such permit to tile a signe0 statemen� �ha� he/she is Iicen5e0 pursuanuo Ihe pmvisions of �he ConVacmrY S1ate License Law �Chapier 9(commencing with Sec�ion 7000) at Division 3 0l ��e 9usiness antl Pr�lessions Coae) or Ihal he/5he is exempt �her¢fmm anU Ihe basis lor Ihe alleged exemp�ion. Any Vi0la�ion ol SeCtion 7031.5 by any applicanl �or a permil suble�ts �he applicant lo a civil penalry o� noi more �han �ive hun4re0 aollars ($500). I, as owner ol Ihe Oroperty or my employees with wages as IAeir sole compensa�ion, will Ao the work, and Ne ❑ slmclure is not in�entled or oifered tor sale (Sec�ion 7044, Business anJ Professional Cotle'. The ConUacb�s' Siate License Law tloes not apDty b an owner oi a pwperty who �uilds or impmves ihereon, and who tloes such work himseli/herself or t�wug� his or her own employees. pmvide0 t�at such impmvemen�s are not intenae0 or oiferetl �ar sale. If, howeve� �he builtling or improvemeni is soltl wi��in one year of comple�ian, ihe owner will have �he hurUen of Oroving he/she did no� builtl or impwve for tne Ourpose ol sale�. • I, a5 owner of ihe pmpe�y, am exclusively con�mcting wit� Iicense0 conVac�ors Io constNc� lhe pwlect (Section 70d4. Business ❑ antl Pmlessions CoOe: The ConVacmrs' S�aie License Law aoes no� ap01y lo an owner oi proDenY w� builtls or imDmvet Iher¢on antl w�o wnlracls for suc� pwle��s wi�h a coniractor�s) license Dursuanl �o ihe Conirac�ors' State License Law�. I am awa�e thal piool o� Iheir Worker'S Campensabon insurance shoula �e pmvidetl to me. � I am exempl uneer Seclio¢ B. 8 P. C. lor Ihis reason: oate: Ownec I do hereby cenily 1nal l am aware ol antl untlerslanOlhe requiremenis ol Calibmia Health an0 Safeiy Code Sections 25505, 25533, antl 25534 antl I�at I or anY �ulure builtling occupant willlwill no� (circle one) need �o comply wi�� saitl s�a�e codes and �he requiremen�s �or a permil lor consVuction or modihcation imm ihe Nir Ouali�y Managemeni Disiricl. Fesitlential consVuction applications are exempl lmm I�ese pmvisians. Da�e: Appli P I here6y cetli�ylhai I have rea0 this applicaiion tl state�hai �he above in�ormalion is correcL I agree�o comply with all ciiy an� count mtlinances and s�a�elawsrela�ingto 6uilding c s�mc�ion ana �ereby aWhoriiereDresentatives o�ihis cityto en�erupon��e above�men�ion pmDeriy lar inspeciion purposes. �ale' _�� Signa�ure: � C�' � �� Oriver's Gcense m Sociai Secunry �: t6<t�46 Wnite—Bo�lOing�, Green—Coae Eniorcemem: Canary—ApplicanC Pink—Revenue: Goldenrotl—Assessor CITY OF COSTA MESA - BUILDING PcRMST PERlVttvU: � 05326F. PERN.IT NO: B OSa266 PI�AI� CHECK NO: N GOVT; 1V SGI�F�; N CONSTRUC7'ION TYPE; PERMIT' TYFE; STR PURPC7SE; O'TH JO$ DESCRIPTION : REROOF 1600SF RESllI 6 GARAGE W/COMP 5HIN SQ FT: 1,3UU CLAIM VALUE; 1,300.00 CALC-VALUE; 1,300,00 GROI7P OCC: R-3 /M-1 COMMEN'1'S: X �+qy�y�.�g �^ *�*��+�;�*�*+��r�*+��x��***��*�*�*�+�*n��***��c�e�*�x��IVIVf��C 1 �� tl �� Z O N I N G R E Q U I R B M E N T S � S E T B A C K 5 ��^�� ----- ------ MAIN BUILDING ---------- --------- ACCESSURY HDILDING ---------��^�� FRNT; rT SN REAR: FT IN FRNT; FT IN REAR; ?T IN LEFT: FT IN RGHT: F1 IN LEFT: FT IN RGHT: rT iN PARKING REQ• PRO��: PARCEL: 922454Q9 ZiJE: REF NO; PLANNING Nt3'I'ES> i 3F �e 1E af� iE ?f� if if #(��3'r iF IF iE iF;E iF it jF 1P �lik �f N-jE �IE ) iE 1E #� #�i }F ii �(� 3f� ih iE 3k iF iE iF 9E �}F if �1E 3E �7f 3E M� 1E �1F aF 1F if 3f f't 34 # iF N� iF R�%� 7F iE iF ie IE # 3F 3f 3F ?E 3t fi� #?e if jF �f D E V E L O P M£ N T S E R C' I C E S A E Q iJ I R E M E N- .T S �IONING APPROVED BY DATE: : HUILDING APPROVED HY : DATE: -:�. APPLICAIION ISSUED BY• � � DATE: � �� iF iE 1E iF iE 1f iE iF 1f # IF 3F �F?E #E �ib i(� ir if 3E 3f Ii7Fif�iFTt iFiriFiFiiiF 3F iF3i�if3F?F3FTr7FiF % ie%�3rTe �T-Y3f }'�3F iF af iE N� iE iE iE 7F iF iF �.-�r iE N i4 # if �E?E ic iE iE iE fE �F IE 1E �E if aE iE i6 i4 iE iF�f ii- �)F rt ac ic �c 1f iE #F :F ac iF 3E it �E if iE �lE N-1F 3E i"r 3E i(� 3f af IF i� # af i't �E If i' 3E if� i(� 3f� jf If If if 1F iE R� it 3f 3(� % 3E?f iF iE iE iE ii� LEGALZZATION:N F E E S U M M A R Y STRUCTURAL .aEGMENT:Y BLDG PMT PLUMHING ELECTRSC MECHANIC rIRE SMIP/RES GRADING PERMIT 37,00 50 PY,AN SN.I P /NON;'�2E5 ISSCSE FEE �� • PUILDING-DIV-> PERMZT ISSUE PLAN-CiiECK TOTAL PAID . DUE TOTALS----> 31,50 0,00 O.UO 31,50 31.50 5 .OU REVENUE: DIVISION TOTALS--> COLLECTED: 31,50 OVER/5HORT; ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE S,yIF/TOT GRADING,,PiAN-CHECK 31,00 ,50 ' iF iE 1k ih !E if 1f 3E 34 �E � ic ii� iF ic fe iE iE �k jE if 34�3h iF iF iF iE �F 1E±F 3f,e 3f i( iE iF 1f 3E if ik i't R 1f fF IF iE fF fF 3f ?E if iE lE ff IE :R � if 1F?i-!E 1F iE 16lF !E if 7!� lE�Ji� if iF ii� 1F n� };� IF �lc �% I N D I V I D'J A L F E E B R E A K D O*A N �`` / 4f TYPE QTY D E S C R I F T I O N UNIT COST TOTA� COST SFR 1300 R�ROOF BY UAL;J�. RESIDENIAL NOZONE 1,00 • 1,300.00 END OF FE�S / �y o, ooa9a��9-oeas�?;e ` � � �. .i.se uarE: �siosi9l. z�n�: `.ia;o� C) � GUNSTRUCTION ANDPLANNING . APPROVALS Permit #�.}- 1. Temporary Electrical Service��i Pole 2. Soil Pipe-Undrgrnd. ", 3. Electrical Conduit Utllity-Un�kgmd. 4. Electrical Conduit-Undrgrnd. 5. Steel Reinforcement - 6. Electrical UFER Grnd. 7. Footings 8. Foundation �y 9. Water Pipe-Undr9rnd. 70. Siructurel Floor System � i t. Property Sewer Line & Hause Connection 12. Sewer Cap 13. Roof Dreins � 74. Rough Plumbing � 15. Rough Electrica6Conduit ' 16. Rough Electric W�ring ' l 17. Rough Wiring $ign � 18. Rough ElectricEl-T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. DuCts, in Structure ' 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Roof Framing � 25. Roof Sheathing 26. T-Bar Ceiling (5tructural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power Meter�Final 33. Final Electric 34. Final Heating & F,ir Conditioning 35. Final Gas Pipe�Tes[ 36. Hood or CanopY 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service�Final 40. Gas Service-Final 41. Solar pomestio-Final 42. Backflow Prevanter 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison. 50. Gas Release to Southern California Gas R 51. CERTIFICATE OF OCCUPANCY Date Date POOL 'A Inspector qppROVALS Permit # I , 52. Pool & Equipment Location � 53. Steel Reinforcement , 54. Forms 55. Electrical8onding 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER�GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, � Undrgrnd., Test 60. Backwash Lines, P�Trap, O Undrgmd. 61. APPROVALTO DECK , 62. Backwash & Receptor�Final � 63. Heater & Vent-Final 64. Plumbing System � Final 65. Electrical-Final 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING . 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIRfMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping O Gas ❑ Oil � 72. Underground Flusti 73. Undergrnd. Storage Tank O Gas O Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78..FIRE PREV. PINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: Date � Inspector �� . � ApO��nt to fill in all s0aees except thase wlt�in Y OF COSTA MESA CONSTRUCTION PERMIT Appiiwnt'sMailingAddress 3 �� /Y 5 Tt/ • S- •'� Project Address g z 7 P� �V 6. P L� Owner's Name �/' G 70 2 f� � L p D o vhone �' `�2' � Addreu � %t �7 ' �1 N E � PL • Arch/Eng. License No. Addrett Contrector's Neme Re F. j�': 2�e � S 7. C� ahone 41 �� Address (mailing) ��37I H�RS TG R� I �0 7�2 d(7N- ln %z01%� Licenm No. %Z f 5 3� i. � � LICENSED CONTRACTOR DECLARATION ' I��ereDy attirm tnat I am Ilcansetl untlar pravislons oi C�arter 9(commencing wit� section 7000) of Divislon 3 of the Buslness anC Vrofesslons Cotle, an0 my Ilcensa Is In fuil torce anE aftect. / S 3 � ucense Class 6 licen � �e ^%' �' � � Si9nature RKERS'COMPENSATION DECLARATION ` , nereby affirm that 1 have a certlflwte of consent to sal}a�sure or a certlficzta o/ Workers' Compensatlon Insurante, o� a certHleO coDY t�e�eof (Sectlon \ 3800, Ldb. �)l � / �a I Policy No. �(' 7`�`� Company RE ��N O C rtifletl CODY �5 hereby furnlSheG. � erUfleU <op'j� IS flbA with tne city,BulltllpryDlyjslp�� .� Date? ��" n� ADCllcant cG�G�Sf/ � EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection neatl not ba tom0letetl If the parmlt is 7or one �undratl ({300) or less). 1 certify thal In the Derformance of t�e work }ar which t�ls perm�t I5 Iisuatl I shall. not employ any person In any mannar so as to Decome sub7ect, [o t�e Workers' Compensation Laws of Californla. Date� Signature , - NOTICE: If, afte� making Ihis tleclaratlon, you ihoultl becoma sub7ect lo the '� Workers', Compenzatlon provisloni of tha Labor Cotle, you must fortbwi[h comply wlt� such Drovlsions or [his Dermit snall be Aeemetl revoketl:. CONSTRUCTION LENDING AGENCV - - I heraby afflrm t�at there is a construction lentling agency !or tha performance � of the work for which tl�is parmlt I5 Issuetl (Se[Uon 3097 Civ. C; LenCer's Name � � �� Lentler•5 Atltlres � ' ' ' � � OWNERBUILDER DECLARATION 1 ' - ' I herebv affirm that I am exemot from the'Con[�ac[o�'s Llcense Law to� ttte I1:5 by.any applicant tor a�permlt sub�ec[5 the applicant to a tivil ' alty oi not more than five huntlreC tlollars (E500). - 1, as ownar o( Ihe property or my employ¢e5 with wage5 a5 thelr sole ' i0ensatloo-, wlll Eo the work, antl lha structure is not in[entletl or ol/ereC torthe Ourpose dT OwnCf of the bWl�s o� Improvas tn tractor(s) Ilcense pursi ❑ I am exempt uneer Date I�hereby certily t�at Intormation is correct ucn improvemencs ara no[ mcenaea or o�mrea �or In9 or improvoment is soltl wlthin one year ot com- e the burtlen o/ proving he/tha tlIC not builtl or Im- e). ' erty, am exclusively contracling with.licensetl con- �ject (SBctlon 7044, Buslnesi antl Professlons Cotle: Law does no[ aPpty to an ownor of properly who �, antl who contracts tor such pro�ects wlth a con- o lhe Contrac[or's License Law). lon B. & P. C. for Ihis reason Owner Drivers' License or 55 9R �' CMF 0865-46 rev. 12/82 Whlte - Bulitling; ioneaO properry .ror i Date /-�' �3' d 7—/ o V G.] TVPE OF CONSTRUCTION ❑ CONVERSION ❑ DI DESCRIPTION OF WORK anE sign all aDProOriat! Cetlaratlons. A �ERA�REPAI R TVPE OF �ERMIT LJ GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER iRQ1ECT DESCRIPTION 50. F7. � OccUPANC C ON STRUCTION TVP V ALUATI ON $� 20N$ GRA�INGCU.YDS. ACRFc Remarks: 3ackflaw Preventer 3ackflow Irrigation 3athtubs �lerifiers �ishwasher � �rinking Founteins Floor Drains Floor SinkS uasService OutIBtS Interceptors , Kitchen Sink lavatories . P—Trap. � Fioof Drains - Showers 1 Service Sink Seruer Connection $0�8f C.O��fC20l5 Solar Piping Solar Tank ' Swimming Pool wlSpa � Urinal Water Goset Watar Heater � � Water Service � i . Boiler Duct - Under Ground Duct - Structural Duct-Ventilating � Ezhaust System ❑ Multiple ❑ Firepl/Fact. BIL ICBO �k . Heating System & Ducting ❑a100,000 BTU 0100,000 BT Hood ar TVoe I ❑ II Registers Appll�arlt; Pink - Accounting; GOltlen�Otl - ASsessor ' ' Reinspection�Fea Isue Fee Fefrigeration System ❑a�oopoosru ❑ioo,000eru System Repair/Alteration Rainspection Fee $15 Issue Fea E 3 PLNG.REF LEFT SIDE YARD PKG.SPACE REQ. STREET WIDTH 1545 7/U1/�3 REAR VAflD (TO P/U � IGHTSIDE VARD � � PROVIDED --- � �J PARK FEE S - Automatic Washer Gas lJElecvic A.U. ix[ures evice Boxes Generator OO-5 KW 05-15KW Transformer �15�SOKW ;� . ❑5U+KW� Meter ❑up to 100amps 2oninB�APOroved By ApPlicetion APProved By —,� APPliratiOn Issued BV a� Meter LJover 1 W amps Sub Panel Sub Pole Motors �0-1 HP ❑1X-8 � Inc.Solar 09-15 HP �16-15+ Microwave ; Pole Li9ht Range, ' Sign StandingSections--� • � Trash Compactor� •�j � r./ l �, 0 SUMMARV OF FEES ' BUILDING PERMIT $ • �O SMIP ' � " � ' $ aSp ��PLAN CHECK $ •SO , pERM1T ' � PLUMBING $ ' ISSUANCE. ' $ ' ' PLAN CHECK $ GRADING $, �ELECTRICAL $ � $ PLAN CHECK $ MICROFI�M $ MECHANICAL $ TOTALFEE $ � PLAN CHECK ' $ LESS � � � - ADVANCEDPC . $ � . � � FINAL FEE ' $ � OQ 1 ;`CONSTRUCTION�AND.PL'ANNING� �"'-� -�-- --- -T''� .' -.r 'PC gSPA� � � � 4 - �.Dater�' ;Inspectoi� � � - � _�Date Inspector, .. _ APPROVALS T Permit # '� - - � c -. APPROVAL$:.'[ �Peimit # � - a. � i- , - � . . . �7- TemDorary Electrical SerJiceorPole � _ ' '• V . �• o� '` '52:.�Pool & Equipment Location . � � . . ;•� 2: 'Soil Pipe-Undrgrnd_: ` �' r' " � ` :' ` : � 53., Stee,l Reinforcement �. . '- � ' ' i^ 1 I L' f'a _ .. `; 3i Electrical ConBuit.Utilitv-Undrgrnd^ ` ti. : •,� �_ ` • , ,54.�'+�Forms - - �' � - - ' � _ - ' '� 4: Electrital Conduit-Undrgrnd_'. , � ; - ` ° `'-� . F? � � 55' Electrical Bonding�.'� �'. . . . , 5: Steel'Reinforc�ment �t " ' = ' o= f - `_, ° � = - � _56. Rough Plumbing & Pressure�Test � - � " I •�yn �6: Electiical UFER Grnd. ;: ; � ' ' � �: � �u -� 57. APPROVALTO COVER-GUNITE. :, . �. . � 7. Footings ' � � � � - ;� ' - 58. Electrical.�nduit-Undror�d. -. � 8. Foundatio� � � � �, � � : s' :'. '� ' _ - 59. Gas Pipe, O-Undrgrnd., Test - �� 9. Wate� Pipe-Undrgrnd. , � � - _ - �(60. Backwash Lines, P-Trap, � Undrgmd. � ; ' 10. Svuctural Flopr $y,5'tem . - - -. � , 61. APP.ROVAL TO�DECK - � ' . 11. Property Sewer Line &�House�Connection� < 1. , 62. �Backwash & Receptor-Final , 12. Sewe�.CaP : ., i . . � , . . . . . . . - . - . . � . , � o- ', 63. Heater & Vent-Final . 13. Roof Drains , � � ' , _ " - � ' _ � . � . _ .69. Flumbing`�Systein - Pinal� ,� 14. Rough P.lumbing � ' ' ' � _ � . ' � 65. Electrical-Final - � - ' � � � ' U _ � 15.�Rough Electrica�=Conduit'� : )'"!� 'I'- i �- - - � - - - _ � T� � 66. Solar,System-Pinal ' � , , ,. .. . � . . _16:��Rou h-ElectricWinin � � - � � � �- �-`,--� :: i � .- - �- ' - .. - . - - --- g � g , : � �, i ,�', , , -, _ , � � � �'?,- �67.� Fericing & Access:Approval _ i(y 7; ;Rough_Wiring Signr _� �'� ' , ' j � i.G I � � _ "': .68.� APPROVED FOR PLASTERING � - 18. aRough:Electrtcal,7,Ba°[ Ceiling, ' , ��' �- � 1 ` �:� i �69. POOL/SPA SYSTEMS FINAL � � :I, . .� 19.'�Rough^Heating &IAir Conditioning � i ; ' � ^ � � FIRE DEPT.'REQUIREMENT' - i , 20..�Rough-Facto `ry Fireplace ! • �� ' � j ; ; � � � � APP.ROVALS� ' Permit # _ '� 21.,DucTsin Structure_ � � �', i�' � � ' � i � 70. Unde�ground Hydro � � 22 .Ducts, Veniila'ting . ; . � �I ,i ' � � ,71.� product Piping � Gas ❑ Oil � - �---r---- - - ._23. �Gas Pipe-Rough & Test '- , i ;�� , �j ; i ` � , � ,72,� Underground Flush; ' � � � "-24.�RoofFraming. � •��, ' ��- � � ^'ti'� �.a'� � 73. Undetgrnd.StoiageTank�Gas�00ii n �01,.:� ;��i �, � . 25. Roof $heathin ' � ' � _ 9 ' - j; � � � i r i .. - � � � _ 74. Overhead HYdro . �' 26. T-6a} Ceilin`g (Structural) & Monocoat'� ; � � �� i � � = " � � ' �75.� Dry Chemical � � . - � ' � � ' 27. �Frame and -Flashing �' t� �� j ; � � � ° , j �76.� Dry Standpipe , � ` 28. � Cathing & Sidingi �_ � . � � :� �, � ; � � j '77: F�IXED SYSTEM F�NAL ; 29. �lesulation - ' � ;� '". _ i '� �• � � � � � '78: FIRE PREV. FINAL - � � � ._ .. . . - � r , ' . 30. Drywali Nailing ,' !' � � i :I . 1 �! t ; Notes: ' i .: '- .' i;- ---- - - - - -- � -- - - - - - - 37. Plaster �Brown Coat . � . � �� : i � � � � ' rro i' � I�' C S � � r, . �32. �Elec4rical Power Mete�-Fin;al �� i � � j ; � ' � � �'". W . r0 ' ' 33. Final Electric . � � �1 - - " ,� . i � ! -Cr ry' 7`. 6 - � 34. Final Westing &,Air Condit`oning y� i � � • � ' � � ; ' � � 35. Final Gai Pipe;Tesi ��;� "' `" '";�� i� •' i r T!��- ia t9. 8� r•'�+'� �, ��. �.. _i 36. Hood or CanoPY :� z �'� � ' � � � � � ' - . - = I � - �.... ; ; ', ' ' i . � ' � ' : � . , 37. Final Factory Fireplace , ' " �� '� ; : - � t � � ; � _ , ' , � ' i.,� F f i � 38. Final Plumbing � � j � �� , , � � i - � I � . ` - 39. Water,Se�vice-Final�.r '"� ' � ' � � ' � , , :. - . i 40. Gas S�rvice-Final � ., � , I f ,� I � I ; � ; • � ' ' � ' . � , � i 41. Solar D�omesticFinal � � I �; �- -' -T- i-, -1-f--'- . � . . - - -- ' 42. BackfJow Preventer� u . � ' � 1 (. , - - - _ , • . u:i n. . -'t-' -�-.-I-- - K: g .� � - 1.'�lTl•:�.`•I.��FI� -+_�'; � 43.,Backflow Irrigation r i � f ry„� ,_ i � i ,; , ; � � , . � ' � . 44. LandscaPeJriyation_SY�tem� I �,!--. - . - -, _,. .;.- ._ - . , 1 i -i. � -i .iv �"i � ' �I `� - . . 45. Sound; �_A.,ttenuation Q .� � � , � y � _ , _ _ , - 46. Handicap Regulations � 1 j � I I �� ' � � T�� I � I�o IC �� : � 47. FINALS'TRUCTURE&BUILDING� ,E I�,�i: i a' ! � 48. Special Requirements Completed ' � I , ; �? I j � ' . . • . , . � i 49. Elec[ric Release�io ;Ed i'son� � ' � :� � �.�. ' ; ' ; ' ;_ ,_ .;.._.; ,�-_i _� _ . _�.. � . , ' � , � I t" i-t-� r--. 1 ' ! . I , I � • . � i . 50. Gas Release to Sou�hem Galiforriia Gas Co � � � , , � � •• 51. CERTIFICATE�OF.00CUPANGY .� J__ �_j_r �--�- � r' �-'- i � ! �� --�- - No, �� Date � � � ' � � � �,� �__�_� � _1_�_ i _. _. ApPlicant [o fill in all spaces except those within heavY bortler lines antl si9n all appropriate tleclarations. CI�YOFCOSTAM{EE�S_[){ �CO TRU.CTO/�N�P,,E�RMIT PERMITNO. TRACTNO. ; LOTNO. UNITNO. �roject Address LD`� ��Z� ��IMJ�/ � � � �� P �TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR Applicant's Mailing Address ,�,( ( ❑ CONVERSION ❑ DEMOLISH �"'!'� RIeC � LL A P � l Owner's Name� �� Phone��iZY pyS�� DESCRIPTION OF WORK/USE OF BLDG. G� � Address �� /N,f ��/iCG ' S Main Buildi Arch/Eng. License No. ,-TYPE OFPERMIT ❑ GRADING �FOUrvDATION SrfiUCTURaL T Front Address ❑ T.ENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL , g L �.'g�A� m��N�y / �' ❑ OTHER - _ � . A Reaf Contractor's Name Phone 9L G!tlo . ��9�-! t�.�y�� ¢vC �z� �/%� Y PROJECT DESCRIPTION 5c1. FT. oCCUPA�IyFi �pi) .�- K Right Addre55�mailing� `r� CONSTRUCTIONTVPE VALUATION�$ e% oJ g Left City License No. � �y% �9� �' ZONE�� GRADING CU. VDS. ACRES ' p�� R LICENSED GONTRACTOR DECLAf3ATION -� ' q. ef. # I hereby a(firm that I am licensetl untler provisions ot Charter 9(commenting �/Remarkr � � u�� S � O'� � Planning Notes: with section 7000) ot Division 3 of the Buiiness,antl Professions Cotle, and � ' � my license is in full forc antl e/fecL , , j . . �� n/I . 1�t License Class l Lice No� 9 � rte��2�' ^'�7 Signature - PLUMBING ' FEES , JRKERS' COMPENSATION DECLA N Baf Sink � - Showefs ' . ne�eby aftirm that I have a certificate consent t self-insure or a certiticate of Workers' Compensa[ion Insurance, �or a certifietl copy thereof (Section Backflow.Preventer . Sefvice Sink � 3800, Lab. C.), " - Automatic ��e ��^�� / f.h�.{',.:' �� — �"5�' - Zone � 3: � Accessory Building: aA, Z O N I N v G R ' Parking Req./Provided E � � � 1 Q M � T S Policy No. Company Backflow Irri ation ❑ Certitietl cooY is hereby turnishetl. ?' 9 Sewer Cap Constiuction PoleSub. ❑ Certifietl wpy is filetl with the city Builtling Division. BaLhtubS S2w¢/ COnn2Cti00 , COOking Unit EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl not be completetl if the permit is for one huntlretl ($100) or less). ' I certify that in the pertormance ot the work t which this 9@rmR is issuetl 1. shall not employ any person in any manne s as to bec lle sub' to the �. Workers' om enSaY p, Laws of California. � �� Date _.��i=�5iqnature NOTI[ : If, aiter makin9'this tleclaration, you sh becory subject to the Workers' Compensation provisions of the Lab otle, y�u must Porthwith comply with such provisions or thi5 permi shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 hereby affirm that there is a construction lentling agency for the pertormance of the work for which this permit is issuetl (Section 309� Civ. CJ Lentler's Name Lentler's Atltlress OWNER BUILOER DECLARATION I hereby affirm that I'am exempt from�tne Contractor's License Law for tne following reason (Section ]03L5 Business antl Protessional Cotle: Any city or county which requires a permit to consGuct, alter, improve, demolish or repair ��y stru�ture, prior twits issuance, also requires the applicant for Such permit file a 5i9netl statement that he/she is licenzed pursuant ta the provisions of Contractor's License Law (Chapter 9(commencin9 with Section �000) of aision 3 ot the Busine55 antl Protessions Cotle) or that he/she is ezempt � therefrom and ihe basis for tne allegetl exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil �eenalty ot not move tM1an five huntlretl tlollars ($500). LJ I, as owner of the property or my employees with wages as their sole compensation, will tlo the work, antl the structu�e is not intentletl or offeretl P f i n I tle: he Contractor's in ss antl ro ess o a Co T i n ]044 Bus e for sale Sect o License Law tloes not apply to an owner of a property who �uiltls or improves thereon, antl who tloes sucb work himselt/he�selt or throu9h his or M1er own employees, P�ovitletl that such improvements are not intentletl or otteretl tor sale. If, however, tlte builtling or imp�ovement i5 soltl within one year of mm- pletion, the owner will have the burtlen of proving he/she tlitl not builtl or im- �rove for the purpose of sale). , LJ I, as owner of the property, am exclusivety tontractin9 `/�'ith licensetl con- tractorsto constructthe project (Section ]044, Businessantl Protessions Cotle: The Contrac[oYs� License Law tloes not apply to an owner of property wha . builds or improves thereon, antl who mnVacts for such projects witn a con- tractor(5) license pursuant to the Contractor'S license.Law). I am aware that proof of their Worker's Compensation insurance shoultl be provitletl to me. ❑ 1 am exempt untler Section B. & P. C. for this reason Date Owner I hereby certify that I have reatl this application antl state tnat the above intormation is correcL I agree to wmply with ali city antl munty ortlinances antl state laws relating to builtli construttion, antl hereby authoriie repre- sentatives of this y to ent p bove-mentionetl property tor inspection pyrpos _� _ i � Signature/ �� /� D}rf Y <<_X Drivers' Li 55 � �� rinking Fountains loor Drains loor Sinks as Service Kitchen Sink Lavatories P—Trap Roof Drains ReinspeMion Fee Solar Collectors Solar Pipin9 � Solar Tank Swimming Pool w/Spa Urinal Outlets , Water Closet Water Heater ' - Water Service Auto-Wash Laundry Trays $15 Boiler Duct - Under Ground Duct- Structural Duct - Ventilating ' Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0.100,000 BTU 0100,OOOBTi Reinspeaion Fee � $15' CMF 0865-46, rev. 10/84 White - Builtling; Canary - Applicant; Pink - AccounYing; Goltlenrotl - Assessor Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,0006TU ❑100,000 System Repair/Alteretion Fire Dampers Registers Issue Fee $ 3 FEE � $ 3 Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. F i xt ures Device Boxes Outlets Switches Garbage Disposal Generamr DO-5 KW C ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100amps Meter �over 100 amps � Sub Panei . Motors OO-1 HP � 1%- 8 Inc.Solar 09-15 HP �16-15+ Microwave Pole Li9ht . ' Range � I Standing Sections 5-15 KW � T,resh Compacmr FEES Reinspection Fee '$15 Issue Fee $ 3 DEVELOPMENTSERVICESREQUIREMENTS: y�(/� R g Zonin9 Approved By '�T Date V� Buildin9 APProved BY - - ' Date Application luued By ' Dat� SUMM ARV F FEES BUILDINGPERMIT $ � SMIP $ ''�� PLAN CHECK $ :- OZ PERMIT P.WMBING � $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING � $ PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTA� FEE $ � ' �%✓Ii PLAN CHECK 25% $ CONSTRUCTION AND PLANNING , POOL & SPA APPROVALS Permit# � Date Inspector AppROVALS Permit# Date Inspector i�: Temporary Electrical Service'or Pole 52. Pool & Equipment Location , 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement 3. Electrical Conduit Utiliiy-Undrgrnd. 54. Forms . ' � 4. Electrical Conduit-UnUrgrnd. 55. •Electrical Bonding , 5. Steel Reinforcement ' .� - r/ 56. Rough Plumbing & Pressure Test � 6. Electricai UFER Grnd.� '_ 57. APPROVAL TO COVER-GUNITE � 7. Footings � ` $' '� (�(� 58. Electrical Conduit-Undrgrnd� 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, � Undrgrnd, �! �� 10. Structural Floor System 61. APPROVAL TO DECK'" - 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final , 12. Sewer Cap , 63. Heater & Vent-Final !�`� '� 13. Roof Drains 64. Plumbing System - Final � . . 74. Rough Plumbing � 65. Electrical-Final � 15. Rough Electrical-Concluit 66. Solar System-Final � 16. Rough Electric Wiring � 67. Fencing & Access Approval. ' 17. Rough Wirin9 Sign � 68. APPROVED FOR PCASTERING • 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # - _ 21. Ducts, in Structure . 70. Underground Hydro ^' ' 22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oil , 23. Gas Pipe-Rough & Test - 72. Underground Flush ;�.�� , 24. Roof Framing , 73. Undergrnd.StorageTank OGas ❑Oil � 25. Roof Sheathing 74, Overhead Hydro ' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � . 27. Frame and Flashing � 76. Dry Standpipe - 28. Lathing & Siding , 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV.'FINAL •. 30. DrYWall Nailing ' HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION ' 32. Electrical Power Meter-Final 80.. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: '�N 34. Final Heating & Air Conditioning L � _�)' . /'i 35. Final Gas Pipe-Test 3� Gl ��- � ' G� 36. Hood or CanopY �.f"" �/�p j.� �n/' ' . (/S 37. Final Factory Fireplace , � ,;� 38. Final Plumbing , : �' ;., � , 39. Water Service-Final - - . �� " �40. Gas Service-Final � � { ' � � + � 41. Solar pomestic-Final . , �_ ':42. Backflow Preventer - . � -. ' 43. Backflow Irrigation � � � � • � - j44. Landscape Irrigation SYstem , �- • � . " , ' 45. Sound Attenuation . � � 46. Handicap Regulations � . ' 47. FINALSTRUCTUR�&BUILDING Q� ', �� • � t 48. Special Requirements Completed � ' ,49. Electric Release to Edison . - � 50. Gas Release to Southem Califomia Gas Co � . 51. CERTIFICATE OF OCCUPANCY � � ,�, No. Date re ' TYPICAL 6�� CONCRETE BLOCK FENCE Cement Coping Optional � Channel Block With 1�3/8� Horizontal Top of all Fences For Fences 5' or Leu Vert. Bars 3/6"�at 4' �0" O.C. For Fences Higher Than 5' � Vert. 8ars 3/8"� at 32" O.C. , Fill Cells Solid With Grout W here $teel Occure Reinforcing Steel Shall Confo�m to Sec.q-15�39 A.S.T.M. All Steel to be Lapped 24" of to Code NATURALGRADE TWO 3/8"� BARS CONTINUOUS70P � , & BOTTOM u HORIZ.STEE� MUST 9E TIED IN PLACE AT TIME OF TRENCH INSPECTION. �o d "p N A — D ' F�—WIDTM SEE CH� � BELOW DIn FOOTING REQUIREMENTS CHART '. GENERAL- NOTES MORTAR; p�e Parf Plastic Cement, and Three Parts Sand GROUT: One Purt Cemenf Three and One Holf Ports S�and COPING: One Part Cement, Three Parts Sand CONCfiETE: W¢II Mixed f:2-1/2:3-I/2 Max. ot 7- I/2 Gol;ons of Water Per Sack of Cement GROU7 MAY BE POUqEO FROM THE TOP OF THE FENCE IN CELLS WHERE S7EEL OCCUflS. CELLS ANb AREAS OF HOR120N7AL REIN� FORCEMENT SHALL BE CLEAp, CLEAN & FREE OF ALL N10HTAR DEeqIS, ETC. 'H OF E4RTNTCOTM I/3 THE HEiGTH OF fENCE �LOW BOTTOM OF FOGTING. SCALE: I/2" = I' WIOTH . . . . . . . . . . . . . 14" . . . . . . . . . . .14�� . . . i. 12'�. . 12�� . THICKNES$ . . . . . . 10��. . . . . . . . . . . .10�� . . . . . . . . . . . g". . . . . . . . . . 8.� DEPTH OF EARTHTOOTH . . . 24�� 20�� . . 16��. . _ . . . 12�� SPACING OF EARTHTOOTH. . 12'" . . . . . . 14' . . . . . 16' . . , 16' UWNERS NAME; _ �,� p� /�/� Q _ _ _ _ __ Cit of Costa Mesa Caiifornia ��B ADDRESS Z%_%i�A/�_ •�� __ ._ __ _ y 1 FERMi7 NUMBER:_ _ _ _ _ __ _ _ _ _ __ _ _ __ Building Department SIGNA?URE _ _ _ _ _ _ _ _ _ _ _ � APPROVED Gity of Costa Mesa Building Dept. gY /�G DATE� 19� THESE PLANS MUST BE ON JOB AT ALl TIMES MAKE NO CHANGcS WI?HOUT PRiOR APPROVAt OF DEPT. ,82Qg44 THE�155UakCF OR GR4NTING OF A �ERMIT OR APPROYA! OF �LANS AND SPFCIRCATIONS SHA[l NOi BE CONSTRUED TO BE A PERMIT FOF, G. AN AF��OVqL pF, PN'+ v�OIAAON OF ANY OF THE PRCV�SIONS OF 1'F;> CODF.. NC 7'r'nMi�' �kESUMING TO GI�E AUTHOR�tt r0 '�'O� At8 �M C0.NCEl it:E �?O�IStONS OF THIS CObE $HALI BE �vA;IG, EXCfP� IN 50 F�S eS 1HE WORK OR USE WHICH IT AU7NORIZES IS lP.WFUL. THF ISSliANCE OF A PFRMIT BASED UPON PtANS AND SVEC�FICAtIONS SMAII NOT PREVEN7 THE BUIlO1NG OFFICIAt fROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID AlANS AND SPEGFICATIONS OR FROM PREVENTING BUI[DING OPERATIONS BEMG CARRIEO ON THFREUNDEft WHEN IN VIOLATION OF THIS CODE OA OF ANY OTMER ORDiNANCE OF TME CITV. � � ti W C w N N[!ID[MCt � I � ncaiotsee TRffT � �—�----�— _ lJ�r REi/OEMC[ CITY OF f{�� STA MESA GONSTHUCTION PERMIT " ADC��nt to flll in all sDaees excapt those wit�in �eary OorGer Iinas anG sign all apD�ooriate Geclantions. PE MIT N. TRACT NO. LOT NO. BL . �MG- 71�0� i ';�N ApplicenYs Mailing Addresb ' � � ' ' ° � � ""'" � •:.:: . 8a7- P�ae l�.(: �.1� ,Project Add�ess Ownei's Name ��/G Zo 2y��!0 0.4 aho�¢ Gy2 - yy�0 Atldress ��'Ve f� Arch/Eng. Licente No. Addrea Contrector'sNeme ��`��E/1.CiNf7./ vhone9��'73s� Addresz (msilingl ��L y�3� K�T/_ ,y.�aeeiC��i/t - S�s s�o _ 6 � License No.� `- _ _ LICENSED-'CONTRACTOR DECLARATION � 1 hereby'atllrm that I am I��ansetl untler provislons oT Charte� 9(commen<in9 � wlth, s�ection 7000) of Div�ilon 3 of the Busineu and Professlons Cotle, antl ` my Iicense Is In tull force and�eTfect. . , �. ' iunu p}ss � ' L�cense rvo " 3� C ,te F/i7 Q_� s'gnat ro - � eOR RS'COMVENSATION DECLARATION� � I hareEy afflrm that I �ave A certifiwta of.consent to seH-insu�e or a certificate of Workers' ComDenzatlon Insurance, or a certHleG copy �theraof (Sactlon 3800. Lab. C ' � . �.�0% �. ' Po�IIcy++o . �C F� �� %ComDany �y-�Grtifiatl�copy Is hereEy furni5ha0. LJ cart��a copy ls i118tl with tha cSty.Buf1 vf�G . ' . � Data APPlicant EXEM ION�RKERS' COMPENSATION DECLARATI� (Thiisection neetl not ba ctlmplatetl il.the permit is for one hu�tlretl (E300) or . less). ' . ' I certify that In [he Derlorinanca of the work for whlch [his perinit ii I55ueE I 5hall not amploy any person in any manner so ai to become subject. to the Workers• ComDensatlon Laws of Californla. �� Date � S�9�ature. � ' ' NOTICE: If, aiter making�this tlaclaratlon, you shoultl become subject to t�e -� Workars' Compensatlon provisioni of the Labor Cotle, you must forthwith comply with such provis�ons or this rpermi['shall be tleemetl revoke0. CONSTRUCTION LENDING AGENCV - - I nereEy attirm tha[ there is a ConStruCtion lentling agency for the.partormance Of M8 work tor which this permii is i55uetl (Sactlon 3097 Civ: C;. LenCer's Name� l.entler's' Atltlrax OWNERBUILDER DE LARATION � � • - � I hereby atfirm that I am BxempbTrom the'Contractor'S Llcehse Law for the alty of not more than fi+e'hunCretl tlollars ($500). . �- � - I, as owner of, the.proPerty or my employees with wages-as theli sole � ipensation will tlo the ++ork; antl the �structure is not Intentletl or oTferetl ule'(Sec�lon 7044, Business antl Professional Cotle:�The Contractor'S anse Law tloes not apply to an owner oT a property who builtls or Improvas ' �eon, antl who Goe5�5uGh work hlmself/herself or tbrougb hls or her own � oloyees, provitlea that such improvements ara'not intentletl or offeratl for If, however, the builtll�9 0� �mprovement Is soltl wlthin onelyear of com- � '.lon, the owner�will have the burtlen of proving he/s�e ditl �ot builtl or Im- _ ve for the purpose ot salC)'. , ' ; : I I, as ownev ot the propirty, am exclusively contractinglwith��licensetl con- :torsSo construct the prolact (Section �044,.Business.antl Protesslons Cotle: � � Contrattor's Llcense 1��+ does not apply to an owner oi property who Itls oc imp�oves thereon. antl who tOntrdcts fo� such p�Oj¢Ct5 wlth a con- :tor(s) Iicensa pursuant to the Contractor's License Law). I am axemo[ untlar Section B. & P. C. (or this rea5on Date � � 1 he�Gby �c¢rtl}y �that�lil IMormation iz mrrecL I �� antl,stat¢ IawS relating 5antatives ot this c ty I Inspe<tion purpo Slgnature i Drivers' Licenu or �55 � CMF 086546 rev, 12/82 aGove t iances repre- v tor T/PEOFCONSTRUCTION LI NEW LWA�D � ALTERATION.�LI REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � DESCRtPT10N OF WORK TYPEOFPERMIT GRADING FOUN�ATION STRUCTURAL ❑ TENANT ❑ ELECTRICAI ❑ PLUMBING ❑ MECHANICAL ❑,�OTHER ' ' PRQIECT DESCRIPTION, 5�. FT. � OCCUPANCv CO N STRUCTION TYVF VALUATION $� - ZON� GRADINGCU.VDS. ACRES Remarkr. ,p . f F % � � Bar Sink Backflow Preventer � Backflow Irrigetion Bathtubs Clarifiers ' ' Dishwasher - Orinking Fountains Floor Drains . Floor Sinks ; � - - GasService ' �Outlets Kitc6en.Sink�. " - Levatories � . � ' P-Trep Roof Drains � � � Showers -� � - " ; Service Sink � � . . . Boiler '- , � Dun - Under Ground ' Duct-STructural ' '�' Duct-Ventilating __ _ _ _ Exhaust System ❑ Multiple � Firepl/Fact. Blt. ICBO # Hea[ina Svstem & Ducting : , Hood or Type I � � _ � 7—T— I ' IRegisters ' Itling; Cdnary - Applicant; Pink - ACcounting; Goltlenrotl - As5e55or Sevuer Cap Sewer Connection ' Solar Collectors- � Solar Piping � So1ar Tenk � Swimming Pool w/Spa � Urinal Water Closet Water Heater � ,Water Service � . �• . , � . � Reinspection,Fee ' $75 ; Issue Fee'�� . a 3 iANICAL f . . Retrigeration System � -, ❑b100p00BTU ❑100,OOOBTU • � System Repair)Alreration , ".-''``.� i � Reinspec[ion Fee' $15' ' Issue Fee $ 3 PLNG. REF, gW LEFTSIDE VAqD PKG.SPACE REQ. STREET WIDTH Automatic Wazher • Cons[ruction Pole Cooking Unit � Dishwasher Dryers ❑Gas QElectric Fan' F.A.U. ' Fixtures � Device Boxes � Outlets Garbage Disposal Generator DO-5 KW �5-15 KW T�ansformer �15-SOKW ' � ❑SU+KW; , Meter ❑up to 100 amps 2oning APProvad BY— APPliption APProved By Applintion laued BY - 0561 6/17/A3 BVILDING sETscr�.c�� T REAR VARO (TO P/I:) ' RIGHTSIDE VARD PROVIDED PARK FEE $ ' Meter LJover 7 W emps Sub PaneP Sub Pole � ; Motors �0-1 HP ❑1'h-I ,IncSolar 09-75 HP 01 Microwave � � Pole Light � � � �Range _._.. . . Trash 0 " :31050 TL Fee ' � It � � • SUMMARV OF FEES I ' �BUIIDING PERMIi $! �- ' : SMIP' � ? $ ' i PLAN CHECK. $ �� -� j PERMIT � ' . PLUMBING � � $' E.vU , �SSUANCE , : $ ' � PLAN CHECK ' $ qZ • ,S�nO ,� � GRADING � $ , ELECTRICAL $ � � � $ � �PLAN CHECK' $ .00 � � MICROFILM . $ ! � 'MECHANICAL $ : • JO TOTAL FEE ; $ ' � ( �PLAN CHECK $ '�.�.�UU LESS � ADVANCED PC � $ �� . , � 'FINALFEE• ' $ �J-L� +Q .� . :' �"`CONSTRUCTION AND;PLA NING. . '" ' - ,� • � -. . � , �f ._& SPA - - - - . --�-- - -� -- � - �� 'APPROVACS { Per'mit# ��-- �Date- inspector " -� Date inspector � ��- APPROVAIS ' Permit# ' . . � d. - • _�it � - - '-'1: Temporary Electrical SerJiceor Pole.� ; : �`' � "� �. ' ' 52: Pool &:Equipment Location:> � . ' � F. ' n • ` � - + 2, Soil Pipe-Undrgmd:: , ;' � - �; ° � •^-- - ,?,. �. �53: Steel Reinforcement - : � � . _ - 3. Electrical Conduit Utilitv-Undrgrnd) ' s � .� ;- = - - _54. Forms ' - � , ' i v =o ' 4: Electrical Condui[-Undr rnd�.�>,; ^�'' �> � ^ ' � � , . r, . . _ . 9 � , � �' ' . r 4 ,4 ' �� 455: 'Etectrical Bonding " , . - �.�:'� � - . IC..;Co _" 5' Steel iReinforcement ' , ,� f - � I , c ; _ z , ,�:_ � . � 56. Rough.Rlu'mbing & Pressure Test " _ _ � 6: iElectrical UFER Grnd.. ' ° ' � �� i ; 1�� : ` � 57.� APFROVA�L TO COVER-GUNITE � - � 7. Footings i � • : � s� ; � Y' = � � �. � `; � .`58. Electrical CpriduiNUndrarr+rl' � • �. . �- � � , � � ' ,�� r :. ,�S ... � . . .. -: - , 8. Foundation ' � � i � '- I . - f_ � ;59. Gas;Pipe, O .Undrgrnd.; Test � _ � { ' c'. 'l ' a: ! ' . 9. Water Pipe-Undrgmd. ' � _ � � �- � � � � � ;;60. Backwash'L.ines, P-Trap, �-Undrgrnd.. - - 10. Structural Floor System ; �- . �� 61. APPROVACTO DECK '� 11. PropertY Sewe'r Line &�House'�nnection'� �� ; a � , 62. Backwash &-Receptor-Final = ' . . . . , 12. Sewer Cap ; � "� ' � � �� 63. Heater &�Vent-Final - � � . t j � � , � - - 13. Roof.Drains ; ' � `_ , � ' " , � � - =64. Plumbing5ystem - Final � ', � q 14. .Rough,Plumbing 1 � � . � <` ' _ � - - - 65. Electrical-Fina� � � ' � • � � � '15. ;Rougb'Electricat-Conduit-�'�^�- �� i,-� - , i ' � �'66.` Solar System-Final � - ' "� � � ��- - ' �� --; -- - � - � -�76. IRou h EleMric Wirin �� "a- --'T-- �- ��- � - - - � � - � , n:; � 9 9i L � : � � ��'� ' • ^ _ �67 � Fencing & Access Approval - , � _ �:.77.'Rou h,Wirin �Si n.. .; � . i t ��N I � � (:: .' . I .. � c � . ... . . - - . . - - � _� � >� �;68. APPROVED FOR�PLASTERING pr' .-�u.. 9 9 9 F I' + �� 'il=,,;, �-1- i w � 18, f fiough;Electrical�T Ba'r� Ceiling; �_ ,� ( � ( �r � � � I '' `' � �69.� POOUSPA SYSTEMS FINAL ' . . �- � d 19: ;Rough�Heating &�Air�Conditioning ' � � " � � � � �FIRE DEPT. REQUIREMENT � . � � � I � � � i � ' 20.iRough:Factor� Firepl?ce, � � +� �: � ; � ; � ', � � ApPROVALS� Permit# ' � _ ,� � ,. ; . . '• I� ; � , � � � , � � � , . , ' . '� 21. ;Ducts;�in Stiucture� . �� , � � � � � i �70.i Undergrounb Hydro � � ``':22.;DucCs, Ventilating' : n( ;� � � � � • � �7L Product Piping OGas OOiI ' � a - : ��;23. �Gas�Pi�e-R�c,�h T t a .` ,�` �i� �; ; g-3-�3 I� � �72. Underground Flush' � � � , � � � �' 24. Roof Framing, � ^ , � !N �i �: � � � i - � � � _; � "'. r �73.1 Undergrnd. Stocage Tank O Gas -O.OiI � . � � "s�i � � � �: i -�.. � i i - � � ' 25. ,Roof Sheatbing � � j , ;�r ;: ^ I , � �. � ?. ; �- ' 74. Overhead Hydro � ' � . -ti 6. T-Ba`r Ceiling (Structural�. & Monocoat� � � �'� � :.' � � � ' � 75.' Dry Chemical . -- , � - ' 27. F[ame and Flashing � ' , �� ; i �• � i . � - � � � L � , � �� ' ' _ � � 76.� Dry Standpipe � , r � 28. �L.athing &-Sidingj � :�; � ' ! j� �, .� ' � I ! � �77•' F�IXED SYSTEM'F�NAL - � ' `. � 29. ��.Insulation �;; = ' ,; `' � � ' � �� j I � I , �78. FIRE PREV,. FINAL ' � � = �.30. !D'rywall Nailing . > ' ^ � ; �I i j '� � � � I �Notes:i . "� a S' � . , . . . _- •- - -. _ .. . . - � -- = �S 3L �Plaster Brown Coat i ' ' � � ' ;� � � � � � � � j � ! -g J ' � r`q 32.;Electrical�Power Meter Final I �� '' �'�� ' i I %./,5 � /� � = ; 33. Final Electric � ' i� � � ��3 � $- � -5'3� _,�<9 �- .+E V !q 5 t� � Q9 � 34' Final �leating &jAir,Conditioniog �' � �+� �3 i _ £ � . - ' ' ; �i 35. Final Gas' Pipe-Tesiy �: ; r; i � `'I ;� ` �,-� �.t : � ' . . - � ` � - ; -. ' . � ��- z.:i : . . I-14 , . - I ; . _ I L . � � _ . � . . . 36. Hood or Canopy� ., �I ' � : � ' � � - . , - � - . a ' `��l ' �� . 37. Final Factory Fileplace , _' c� � ' = I . , ' - ' - .. � ' - � 38. Final Plumbing � � I � � c. � i: i"- � � I I i ' � _ ._ � 39. Water Se�,vice•Fiinal� � � �� i , j I I. � I � I ''� ' 40. Gas Service-Final � � � ., , � ' - . � � j i � i � , I '. 47. Solar D'omesticFinal � i � i � �_ i j I }_' � � _ _ _ ' ' �" ia.=., _ , , , - . � '1 i� -! ' ` � � � i � � - j. � 42. Backflow;Preventer( � � � � +m � � _� � ' � -: � � • .� • _ � , ; .__ ,� . :.i� ... _.� _1 I i l�-,I'i-'_. --r - i - �r-'- -� �: - . � • � � 43. Backflow� Irrigation ij � � � +i' I �i: � � � � � �; � ; i - - � , . � � - _I�. � i .r' �i��_ �.,� 44. Landscape ircigati'on�System � �� ' ( ` �' „ , � � ' . � � , ; . ' - _ • - - , i � `,. . , a.`! � I;. s ' '1 _ ' ' � _. , , . 45. Sound^'Attenuation �- .,' a j • � I � � ! � ^ � ;,� � � i I ' ' , .. u� ;c�. _� �� RI 1 ��h - - . � �. n .. i � � ��, � ' i t � � : I � � ' .. 1+ _• . 46. Handicap Regu�ations i , , � , �i 1= � , � _ ! . � � � . ' 47. FINAI��'fRUCTURE&BUILDWG�� I; � � �'� . � � � . � ' _� - I �'• ' h I 48. Special Requirements Completed; � j �' j ' I � � i . � . _' � i � � � . ; � , . � � . . , 49. Electric Release�io Edison� I ! W � T'i"-}'� - t- � - ' �' '` - •' --'-"'� �- " � 50. Gas Release.to Sou4hem California Gas Co �� i ` i � i �. ; � � F • , � t 51. CERTIFICATEOF'OCCUPANCY ." ! �� ' ' ' � _ _ !_ , �, � -� - No h � � � Dat� � ' � �� i I 1 � . '< , , . . . .4,..� .�A..:K.. .�J_ ..��1..� ' :'�'1 AP No. 115-424-17 F LOT SUBCONTRACTOR NOUGM PWMgING PROP. SWR. LINE � HOUSE CON. SPRINK�ING SYSTEM ROUGH MEATING RND AIR CONOITIONING TEMPORAFV SERVICE OR POLE UNDERGROUNp � POWER � ROUGN WIRIryG THENCHES FORMS STEE� RE FLOOR SYST�M FRAME RN� tLASHING LRTHING - IN GLASTER, BqOWN COF 57PUC7URAL, FINAL ME/ "�. VENT., REFI PLI. AG. FINAL �NC ELECTRIC, F�NAL BUIL�ING, f�NAL � F C W a Q � h S F 43917 r��. �, ;v-„-��,,r_.O(? 1on • ...... •. .- COSTA MESA BUILDING-SAfETY DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 A A ION FOR STRUCI'URAL PERMIT For Applicant to Fill in Completely — Use Ink Only ae o v DATE RECEIVEo oAi�E i E ADDRESS Gl �� P L C� `� � OWNEF r/'//7� �,�7l� S(1.� . �Q. A.P.NO./S ��I PE�99�7 MA I L BUILDING � aooaess Aa7 �/,(i� i�L/�C� nooRess o�% //IiE /9�f CITV G� 5 /'(ES NOL S.S�,�'f�G TRACT �/ LOT � O BLOCK CONSfRUCTION W LENOER BRANCH OW R ADORESS VALUE ARCNITECT TEL. S S OF ENGINEER FIRE � ADDRESS ZONE VPE GROUP APPFOVED 5'n� CONTRACTOR BV DATE 7 ADDRESS TEL. Z�NE NO.OF USE OF NEW CITV NO. � P�� O BUILDING STATE CITY �'ARDSAPPROVED VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SI2E NO.OF BIDGS. (FROM C/L STREET) OF lOT NOW ON LOT RO FT. ^ FT. USE OF C EXI5TING BLDG. 5 � FT. '9 Separa[e permits are required for L SIDE F. d �r electric, plumbing and heating work. REAR FT. USE OF BUILDING AN^ `"'^ � TO BE PERFORIdbG DISTANCE BET. & MAIN BLDGS. A ESS. BLDGS. /� I�'iDV L O /�LE6 L C VRP.� APPROVEO OU �ROVE��r�f ['� ``� i� J I hereby aeknowlatlpa thet 1 hava reetl this epplieation antl rteta thet ffia above Intormetlon Is eorrect end aprea to eomply with •— all lows repuiaiinp builtlinp eonrtruetlon, entl I shall noi employ any peraon In violatlon oi Ma workmen'a compenmtion lawa ot the State of Cellfornie. 1 hereby eertify Mai l em proparly Iieensetl es a contractot untler S0. FT. tha Smta ot Celitornla Business OnA Ptotevions Cotla, Dlvislon 3, THE AMOUNT SHOWN UNDER VA�UATION IS FOR Chepter 9, and thet suc� Ilcenaes ere In full force antl atfact, or I THE PURPOSE OF ESTABLISHING A PERMR FEE O am axempt flom Mo proviElona of tha5[am of Calltornia Business VALUATION PERMIT FEE E antl Profeaalons CoCa, Dividon 3, Chepier 9. � pLAN CHECK E Pa�rmittea�� `�. S /� TAX E �p "/7)�� f ` AuNorizetl Agant V TOTAL PAtD E � �NGE COUNTY BUILDING DEPARTME- - 636 North Brondway � � SANTA ANA, CALIFORNIA FOR APPLICANT TO FILL IN _ BUILDING aooAess R27 P7.ri2 P�&Ce SCHOOL DIST. — OR TOWN NEAREST ceoss sr. Vi n ori a Sh. OWNER OSnGE HOMES� INC. MAIL 9363 w��SH�RE B�vo. ADDRE55 cirr BEVERLY HILlS NocR. 5436t ARCHITECz OR TEL 6 p9 ENGINEErd.A�N B� MCKERRACHER ryo.SY. 4U � ADDRE552��0 E. WALNUT ST. PASAOENA CONTRACTOR NeaPORT VISTA CO NO.CR. 14 � ADORE55 6 WIISHIRE BIVD.� BEV.HII DESCRIPTION I LOT NO. OH BLOCK �� 3 fATTACH METpS & BOUN�S1 _ SIZE OF LOT ZOO SQ.FT•I NOW ON LOT O USE OF NO. OF NO. OF E%ISTING BLOG. FnMuiEs ROOMS bESCRIPTION OF WORK NEW I XI GITFRGTI6N I I AlIIlIT1AN r.r.zay WALL COVERING USE OF NEW BUILOING APPLICATION FOR PERMIT �I�ILDING FOR OFFICE USE ONLY �/ ATE ISSU'[ � �. . � /�// /�AI I PLANS I � I /�� SETBACK LINE��O,k( C* SI�E YA o 5�-5 REAR YARO jT APPROVED 1 HEREBY qCKNOWLE'JGE THqT I HAVE READ THIS F APPIICATION qND STATE THAT THE ABOVE IS CORREGT � AND AGREE Tb COMPIY WITH ALL COUNTY ORDINANCES FRAM F AND STATE LAWS REGULATING BUILDING CONSTRUCTION. — LATH SIGNATUREOR NEVPORT VIS d• LATH PERMITTE AUTHOHIZEO AG — / �/li. �� PLAS" � 4830.00 �P. °. : CORRECTIONS APPROVALS : LOCATION INSP�C' MATERIAlS. ///d $ BONO BEAM VALUATION FEE I FINAL J�'I � � 2 D r . ... � . . . _ . . � . . .. . . 4 . ' � ♦ '_w _ " _ _'_ .. . . ... . , .. , . . 2 w J � _ d � PLOT' PLAN - J " � - - - - ' a c � . -. . . o . ' a - ¢ a � ' _ • . .. • .a � � � ' � � . •.C,!� � =L �. ... . . ._ . . '•l �� • � " • �y.' _: If ._. ' � . � � . . :I:i " _ . � � � , . . , ' _ " - _ '. ' " . ' ' . � ' .Y . 1=. �.. .' .11-. '- . 1 �. _ _ _ _ _ . ._ _ _ _ ' _ _. ' ' "' "_' ...�� ,.4 ' T,.:. , .. :1T. ' . _ �� . � . � '.7'_1�'. ,':.`.11S � ' '. _ _ _ . '__ _ _. _- � - r1�,..._. ��• � �ti::2.. ' . .. .. : � ( Y V V�o ' � . ' . t . - `. . _. .. , . w N " STREET� � - ' ' , � � . � . : . . ' .. � . � . . � . ' . - . . . . � . . . v� �.-.- � . . �,_ ...1:J- �_ �. .., . _ , _ . . ; _ �: 4�' ' -�.._ I _ . i • ` , " _. ' " __".� . , d . I�. 7 . 'd3 . . ' ._ • � � - � _�' ' _ ' '_ ' _ �_' _"__'_ _.__ � I __ __-'_ - ' . .