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Home My WebLink About595 PIERPONT DR - Building Permitssr SOIL end TE9. JG ENOINEEFiB INC. OiIANGE COUNT' 767 W. ORANGtT10RPE � PLACENTIA, CA 92670 plaj 524-9130 � COACMEILA VALLEY 79Fi07 COLINTRV CLUB, n5 BERMUOA DUNES.CA 9220'I (679) 345-8869 REPORT OF COMPRESSION TESTS Jl'c�5 {}�� FILENUMBER: $S4Z19E) �ATE' 11�17/HH � �oe: Steve Gallina - Cindy Jacob ADDRE55: J �/��jp� CLIENT: F'� n�' � , �/��'��G [/ ARCHITECT: ��,Y/ A I!il g 2�� ENGINEER: �l�� ,�G� CONTPGCTOF: SWt3R POOIS , CONCRETE SUPPLIER LOCATION IN STRUCTURE: �•Jdll SLUMP, in mcnes CONCRETETEMPERGTURE .11R TEMPERGTURE: UNIT WEIGHT: AIR CONTENT: MI% NO. iIME IN MIXER, MINUTES: WGTER GOOEO. GALLONS fABRICATE�BY: S. Gd�11Rd LABOFGTORY NO: P.1APK: Set 20 OATE MAOE: ❑aTE RECEIVED: OATE TESTED: OIAMETER, INCHES: aREA, S0. INCHES: MA%IMl1M �OAO. LB$: COMPRESSIVE STR.. P51: QGG,�E��^,q. nv5: �, __' RE�'D P51 AT 28 OAYS: L1NIT WT/CU FT (PLASTIC�: 2014 � io�i%�sa 10/31/88 10/31/88 5.66x12.3 15.15 48,000 1,910 .--i:�'_ ___ 2�� TRIJCK NO: CEMENT: aOMIXTLIPE: FWECGGFEGATE: COARSEAGGREGATE TIME FABRICATE�: i .� SAN 6ENNAFOINO 1894 COMMERCENTER WEST, � SURE 305 SAN BERNAROINO, CA 92408 (774j381-3528 TICKET NO: � CONCRETE ❑ MORTGP u GROUT '�{,' GUNITE ❑ LIGHTWEIGHT CONCRETE oisraieurioN: Samples delivered to 1ab on 10/31/88 by representative of S. LaVau (3) Steve Gallina SOIL and TESTING ENGINEERS INC. REVIEWE BY: \� J 100 - 5/86 f .�aCIO F9 o � , : V '.: �ea�ca � ��ia) �sa-s2�a • Faz (�ia) �sa-aess CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT JobAddress: 595 PIERPONTDR Suite: Vicinity: Parcel Nunmber: 41802402 Applicant: COFFEY,BRIAN Address: Owner: JACOB, CYNTHIA A Adtlress 595 PIERPONT DR COSTA MESA,CA � Contrector: THE ROOFING SPECIALISTS Address: 2428 NEWPORT BLVD 5 � COSTA MESA,CA Arch I Eng : Address: Plan Check: Permit: SMIP Res: SMIP Com: Other. Inspection: Total: Zoning: R1 R1 Phone: Zip: Phone: Zip: 92626 Phone: 714-722-8846 Zip: 92672 License: 734068 � .� PERMI��iVUM� 898-02024 � 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 71lOS11998 Issued: 11/OSI7998 Phone: Zip: License: SCOPE OF PERMIT . TEAR OFF WOOD SMAKE INSTALL 7/16 OSB 8 REROOF WITH 25YR ELK COMP. SHINGLES OVER 30LBS 1 LAYER OF FELT. $0.00 $11225 $0.57 $0.00 $0.00 $0.00 $112.82 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0.0 PARKING Existina: o NOTES: Rear 0- 0 Rear 0. 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0. 0 LeR 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0. 0 Right 0-0 ss,�oo.00 Ss,7oo.00 EXPIRATION: This pertnit shall automatically expire end become void if work is not Commanced wlthin 180 days, or if work is suspended or abandoned tor a period ot 180 tlays. . INSPECTIONS: In orcler for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required fnapectlana antl final approval must be obtained. Failure to obtain Inspections and final approval will resull in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLAFiATION: � I horeby attirm unaer penalry of perjury one oi the following declaretions: . ❑ I have entl will maintain e certificate of con5ent to Sall-Insure for workers' compensation, es pravitletl for by section 3700 0l the Labor CoAe, lar the pertortnance ol the work far whlch t�is pertnit is iuued. �I havo end wlll meintain workers' canpensetion insurence, as requiretl 6y section 3700 of the Lebor Code, for the perfortnance ol ihe work lar which Ihis pertnit is issuetl. My w rkers' comp nsatiq[�Insurance carrier entl policy number ere: Q�_ �� Carner: Pf � Q�- ��N �`) Policy Number: � O� (Th75 section neetl nof be comp/e(etl i( the permif /s va/uetl et one hundred dollars ($100) or Ie55J � I cenily thet in the perfortnance ol Ihe work r which this permii is issued, I shall not employ any parson in any menner so as to become sub�ect to Ihe workers' compensetlon laws ot C ptomia, entl gre et II I 5hould become subject to Ihe workers' compensetion provisions ol Sectlon 3700 of Ihe Lebor Cotle, I shall forthwlth compry with thesa prq 6ns. p AppllcantSigneWre: � Dete: ��' �' 7S WARNIN(3: FAILURE TO SEIX1R WORI(ERS' 00 1 ATION COJEMGE IS UMAWFUL M'D SMALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE HUNDREO T/IOUSAND DOLLARE (S10D,000). IN PDOfTION TO TNE OF CUlAPENSATION, DMMGES AS PROVIOED FOR IN SECTION 3)OB OF THE IABOR CODE, IfJ�EREST. AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLARATON: I horeby eHirm that I am force end ettect. Lic. a_ Contractofs SignaNre: of Chepter 9(commencing with Sectlon 7000) of Dldsion 3 af the Business end Professians Cotle, end my license is In lull Classa_ L-�t Dete: _ __((��'S CONSTRUCTION LENDING AGENCY: ❑ I hereby effirtn thet there is a consWctlon lendinp egenq for the peAortnanca ol the work tor which Ihls permit is issuad. (Sec. 3097, Clvll Cotle). Lentlefs Neme: Signature: _ Lendefs Address: Daie: OWNER•BUILDER DECLARA710N5: I hareby aflirm Ihat under penalry oi perjury thet I em EXEMPT FROM THE CONTAACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professians Cotle: Any city or counry w�ic� requires a pertnit ro conSiruM, elter, imprwe, Oemdlsh, or repair eny strucWre, pnoi to its issuance, also reqWres lhe epplicant for such partnit to Ille e signetl statement thet he ar she is licensed pursuant to the provisions of the Conirectors License Lew (Chepter 9(commencing wlth Section 7000) ol Division 3 0l the Business end Professions Code) or that �e or sha is exempt tharatrom and the basis for Ihe elleped e:emption. Any violation ot Sedion 7037.5 Dy any appliwnt tor a pertnit subJects the epplicani to a civ�l penaliy ot not more Ihan frve hundred dollars (5500).): ❑ I, es owner ot lha propatly, or my employees wlth weges as iheir sole compensetlon, WILL DO THE WORK, antl tha simcture Is no� Intentletl or otteretl tor sale (Sac. 7044, Business entl Professions Code: The Con�rectors License Lew does not appty to en owner of property who builds or Improves thereon, end who tloes such work himself or herself or Ihrouqh his or her own employees, proWded that such impmvements ere not Intendetl or otteretl tor sale. If, however, i�e bulldinq or Improvement Is sold within one year oi completion, Ihe ownerbullCer will have ihe burtlen of proving Ihet he or she dld not build or improve for purposa of sale.). ❑ I, as owner of the praparty, em E%CLUSIVELY CON7RACTING WIiH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions Code: The coNrflciors License Law does not epply to an owner of property who builds or Improves ihereon, and who contrects lor such pro�ect with a wntractor(s) Iicensa pursuant to t�e Contrectors License Laws.). ❑ I em eaempt under sec. Business and Professions Code tor this reason: Signature: Date: Owner ID vedfled by tlrivefs license. ❑ Yes ❑ No Drivefs Litense No. Vedlication oi Ownership Dy (rypa at documem, i.e. - D�operty tat bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON: Expires: ❑ I hereby certly t�et no excevetion Ilve (5) or mora feet in tlepth into which e peraon Is required to tlescentl, wlll be made In connectlan wIN work eutharizetl by t�is permit, end thet na 6uilding structure, scatlolCing, felsework, or demolition or dismentling I�ereof, will be more t�en ihirty-six (38) teet high. (CheO� 32, Grp 2, An 2, Sec. 341, Title B, Celitomia Atlminl5tretNe CoCe). ❑ As owner-builtler, I will not employ enyone to tlo work which would requira a partnit from Ihe Divlslon of Indusinal Sefery, es noted above, unless such person has e pertnit to do such work from the divlslon. Signeture: Date: Division ot Indusirial Safery Permit Number: ICERTIFlCATE OF COMPLIANCE AND AllTT10RQA710N OF ENTRY: 1 certify under penelry of perjury tha� I have read Ihis application entl state Ihat Ihe infortnetion gNen Is I correct. I egree to compty with all stata lews flntl ciry ortlinances relating �o building consWclion, end emhonze represente0ves of t�e Ciry ol Costa Meu to enter upon ihe above-descnEetl properry for inspection purposes. I agree not to occupy or allow occupanq of any 6uilding authonzetl by ihis permit until tinal inspectim. CO�E I INSPEGTIONTYPE 1676 Fizea System Finel Fire Prevention 1286 Pool Spe Finel 200 Flnal Re-Rool 20� FIneI BIaWRetaining Well 202 203 204 2aGa8 Finel Feclary Fire Plece Finel Sign Final Demolition OAff Iti�lLS /� � �l-5 —F�B oa�a r^^s� INSFECTIONTYPE 206 Finel Mechenicel 208 Flnel Plumbing 210 Final Electdcel 212 Final Fire Preventlon 220 Finel Planning Apprwel 222 Final Site 250 Finel Building/Occupancy � � (714)754-5273 • Fax(71a)754-4856 Job Address: Suite No Vicinity: Parcel Number: Applicank Address: Owner: Address: CITY OF COSTA MESA �' BUILpING D/VISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 595 PIERPONT DR SIDE YARD 41802402 LEWIS, RICHARD 3801 LENAWEE AV CA CULVER CITY JACOB, CYNTHIAA 595 PIERPONT DR COSTA MESA,Cq MECHANICAL PERMIT Phone: (370)253-5229 Zip: 90232 Phone: Zip: 92626 Contracror. GEORGE SRqZiL PLUMBING, HTG. Address: 3801 LENAWEE AV CA Phone: (310) 253-5229 CULVER CITY Zip: 90232 Arch / Eng : Address: License: 679898 Phone: Zip: License: PERMIT NUMBER M99-00594 77 FAIfl DRIVE, COSTA MESA, CA 92626 ISSUED BY: SCOPE OF PERMIT REMOVE 8 REPLqCE EXISTING FAU & AIC CONDENSING UNIT AND ALTER VENT FOR HEATING/COOLING SYSTEM. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <700 k BTU Re(rig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000cfm Floor Furnace $23.50 514.80 $0.00 $13.70 $0.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 $0.00 50.00 50.00 50.00 $0.00 $0.00 Quantity 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEESUMMARY Repair / Alt Absorbtion Unit Repair / Alt Re(rigeration Unit Ventillation System Evaporative Cooler Comme rcia l I ncine rator Domestic Incinerator Compressors / Absorption Systems Up ta 3 hp I 100 k BTU 3 To 15 hp I 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp I 1,750 k BTU Over 50 hp / Over 1,750 8TU Boilers Upto3hp 3To15hp 15 to 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Status: ISSUED Applied: 12/30/1999 Issued: 12/30/1999 Quantity $0.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 50.00 $0.00 50.00 50.00 $14.70 50.00 50.00 30.00 50.00 0 0 0 0 0 1 0 0 0 0 NO710E: The work authorized by ihis pgrmit shall comply with all epplicable handicap eccess requirements under California statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or i( work is suspended or abandoned for a period of 180 dayc. INSPECTIONS: In order for ihe work authorized under this permit to ba considered legal, such work must comply with all applicable codes, antl all requlred Inapectione end finel approval must be obtained. Failure to obtain inspections and final approval will resul� in �he expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 J WORKERS'COMPENSAnON DECLARAnON: - 1 herehy aHlrm unCer penelty ol per�ury one of the t011owing tledarations: ❑ I �ave antl will mainiain e certificate of consent to setl-Insure br workers' compensation, as O�a�ded for by section 3700 ot lhe Labor CoCe. for the pertortnance at t�e work for which this pertnil is issued. .� I have entl will maintain workers' compensa�on insurance, as required by section 3700 of the tabor Cotle, for the peAortnance of Na work tor which this pertnit is issuetl. My workers' wmpensation IInsu,ra1nce wrtier and poliq number are: ��j� ,__,/ �1 Cerne�: ��cii��N /��t��L PoIlcyNumber: [��.C/�-CJO/! Y'Z l (Tnis soctlon need nor be complered i! rhe permirls vBluetl ef one huntlrBd doller5 (5100) or less.) ❑ I certify t�et In the peAormance of the work lor which t�is permit is issuetl, I shell not employ any person in any manner so as to 6ecome subject to the workere' compensetion laws of Califomi ntl /ee that it I s�oultl beCOme sublect to the workors' compensation provisions of Sect�700 0l Ihe Lebor Cotla, I shall forthwith camply with iheso provislons. /�Q Applicant SlgneNre: � Dete: __ l �J' � T WARNING: FAILURE TO SECURE WORKE ' PENSATIqJ COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES D CINL FINE$ UP TO ONE HUNDRED TFIOUSANDDOLLARE�St00.OW),INADOITI TOTHECOSTOFODMPENSATIqJ,UAMAGESPSPROVIDEDFORINSEGTI0N37060FTHElABORCODE,IMERE$T,ANDATTORNEYSFEES. LICENSED CONTRACTORS DECLARATION: I �ereby eHlrm ihat I am Ilcensetl under provisions ot C�apter 9(commendng with Section 7000) of Dlvislon 3 of Ihe Business and Professions Cotle, entl my license is in tull force end eHect. LJc. a i �/ Class q z0 Contrectafs Signeture: � Dato: _1l��Z S� 9 CONSTRUCTION LENUING AGENCY: ❑ I hereby ettirm that there is a canstructian lending agenry for Ihe pertortnance ol the work for w�ich Ihis permlt Is issued. (Sec. 3097, Cidl Catle). Lenders Name: Signature: _ Lendefs Atltlress: Data: OWNER-BUILDER DECLARATIONS: I �ereby affirtn that under penalry of perjury lhat I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business flntl Protessions Code: Any ciry or counry which requires a permit to consWd, alter, improve, tlemolish, or repair any slructure, prior to its issuance, also requires tha applicant for such permit to fila e signetl steiemeni Ihat he or she is licensed pursuani to the pravisions of ihe Contractors license Lew (Chapter 9(commencing with Section 7000) ol Division 3 of the Busineu entl Professions Cotle) or that he or she is exempt Iherelrom and the basis for the ellegetl ezemption. Any vlolation ot Section 7031.5 by any epPlicent tor e permit subJects t�e applicant to a civil penalry of not more ihan live hundred dollars (5500).): ❑ I, es owner of the properry, or my employees with wages as Neir sole compensation, WILL DO THE WORK, end 1he siructure is not intentlatl or otteratl for sale (Sec. 704a, Business and Professions Code: The Contractors License Law tloes not apply to an owner of property who Duilas or improves thereon, and who does such work himself or herseN or through his or her own employees, provided ihat such improvemenis are not intended or oNeretl for sale. It, howaver, tha Duilding or improvement is sold within one year of completion, the ownervbuilder will have Me hurden ot prannq that he or s�e tlitl not Oulid or improve for purpose ot saleJ. ❑ I, as owner ot the pmperty, am E%CLUSIVELV CONTRACTING WITM UCENSED CONTRACTORS �o construct the project (Sac. 7044, Business entl Pmfessions Code: The contrectors License Law does not appty to en owner ol property who builtls or improves Ihereon, antl who contracts for such project with a contracbqs) license pursuani to ihe Contractors License Lews.). ❑ I em exempt under 58c. Signature: Owner ID verified by driver's license. ❑ Ves ❑ No Business end Protessions Cade tor this reason: Verificatlon ot Ownership by (�ype of documeN, i.e. - property tex bill or deed): Driver's LicanSe No. Date: Expires: DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICATON: ❑ I �ereby cenity that no ezcavation tive (5) or more teet In tlep�h into whic� a person is requiretl to tlescen0. will ba matle in cronnection wi�� work authorized by this pertnl6 end that no builtling sirucWre, sraHdding, lelsework, or demolitlon or dismantling thereof, will De more ihan thirty-six (36) teet high. (Chep. 3.2, Grp 2, An 2, Sec. 341, Ttle B, Calilomia AdministraWe Code). ❑ As owner-builder, I will not employ anyone to tlo work which woultl require a pertnit Irom the DiWsion of Intlusirial Setery, as noted above, unleu such person has a permlt to do such work Irom the division. Slgnawre: �ate: Division of InduSMal Sefery Pertnit Numbec CER7IFICA7E OF COMPLIANCE AND AUTHORVA710N OF ENTRV: I certify under penelty of perjury that I hava read this epplication antl s�ate ihat the inlortnation given is correcc I egree to comply with all state laws a� ciry ortlinances relating to building construction, end emhoriza representatives ot tha Ciry of Costa Mesa ro enrer upon the a6ove-tlescnbed property for inspection purposes. I egree no1 co occupy or allow occupancy of eny builtling authonzed by this permit until final inspection. CODE I, INSPECTIONTYGE QdIE INTRIALS 1616 FiKed Sys�em Final Fire Prevention t266 200 207 202 203 Pool Spa Final Final Re-Roof Final Blak/Retaining Wall Finel Factory Fire Placa Final Sign 204 Final Demolilion 2oa8-48 LODE� INSPECTIONTYGE 206 Final Mochenicel 20B Finel Plumbinq 210 Final Electdcel 212 Final Fire Pravention 220 Final Plenning Approval 222 Final Site 250 Final BuiltlinglOccupancy i2l'�, r�9 Date J� � 5�'1� Applicanl lo fill In all spac<� ezcept thosa within neavY bortler Ilnes antl sign all avVroorlate aeclarations. CITV OF COSTA MESA d � / PERMIT N0.7� � TRACT NQ. LOT NO. BLD . . CONSTRUCTION PERMIT ''v' �� Project Addrezs � o � N � . Appliwnc'sMailingA tlress. c�3�.S/ �/Q/��—T/� P�_ Owner's Name � � f�hone R7-3(3 Address �s S � E� O 1 a�1� 1 V� Arch/Eng. License No. AddreSs Convocror's Nam - ' ' �� hon '76 �-9s, Address (ma'�'�o� �3 �.-� S/ ��!.Ir'�-T/� fl��i ✓E . City License No. ' LICENSED CONTRACTOR DECLARATION I heroby affirm lhat I am Iiconsetl undor provislons ot Charter 9(commen<ing wlth Secllon 7000) Ot DlvlslOn 3 oi Ihe Bu51ne5s dntl Prof¢t5iOn5 COtle, antl my Ilcensa Is in lull rOce an�ettec` � LICOn��I�55�y�� S� Lice se No. 9-07 906 Oato� 7%� Si9 t � � NORKERS' COMPENSATION DECLA ATION I heraby aHlrm tnat I �ava a tertlflcata ot consent to selDinsure or a certl(ica[e of Workors' Compansatlon Insurance, or a certlfietl cop t� reof (Sectlon 38�OOY No. �0'6 'r�� ComPanY /� -,/ r � � �N�• �ertHletl copy is hereby furnlshetl. LJ Certl eQ c�o�Q1� ijqf U with [he clty Builtling Divislon. Date ��1 �{/ a� APPllcant EXEMPTION FROM WORKERS• COMPENSATION DECLARATION (This soctlon neatl not Ce complatetl If the permit Is (or one hundretl (�100) or less). I<ertity that In t�e pertormance of the work for which this perm�t is issuatl I s�all not employ any person In any ma n r o as fo > come subject to t{�e Worker ensatl n Laws of Calitor a ��l Date S�9�aturo NOTICE: If,�at er makinq tbis tleclaratlon, u shoultl becoma sub7ect to the Workers' ComponShclan provisions of the bor Cotle, you muzt forthwl[b <omply with suc� provislons or tnis pormit snall be tleametl revoketl. CONSTRUCTION LENDING AGENCY I horeby affirm that tnare I5 a<onstructlon Ien01n9 agency for Ihe pertormance ol the wark lor whiCb thl5 Permit Is IzzueC (Settlon .3097 Gv. CJ LonEor'S Name LenOur's Atltlrasi OWNER BUILDER DECLARATION I hereby affirm that I am axempt fram the Contrac[or's License Law for tha tollowin9 reason (Sectlon 7031.5 Business antl Protasslonal Cotla: Any tity or Wunty w�lch roqNres a pa�mit to cOnSt�Uc[, alter, improve, tllmOliSh Or �¢palr any structure, prlor to Its Issuance, also requires the applicant for such permit t0 fil8 d 51q�¢tl Sldtam2nl thdt he/She i5 Ilc¢nSEtl pu6uan[ t0 the prOWsiOns of t�o Contractor's License Law (Chapter 9(commenGng with Section 7000) of .Oivision 3 ot tne Business antl Professions Cotle) or that he/she is ezempt therefrom antl lhe basis for the allegetl ezemption. Any vlolation of Section ]031.5 by any applicant tor a permit� sub)ects [ne applicant to a civit �enalty of not more than fiva huntlretl tlollars (5500). I, as owner of the property or my employees witn waqez as their sole compensatlon, will tlo the work, antl the structure is not intenCed or ofieretl far sale (Seclion 7044, Business antl. Professio�al Cotle: The Contractor's Licensa lnw tloes nal apply to an owner of a property wno buiitls or improves the�90n, antl wno aoes Such wOrk hIrtIS01t/he�581f or IhrOugh h15 or her own am0�ay ees, proviGetl that such Improvements are not Intentled or olferatl tor ule. 1}, howevar, tbe bulltling or Impravament is soltl wit�in one year ot com- pletlon, the owner wlll have the burtlen ot proving he/she tlitl nat bu(Itl or Im- �ove tor tna purpose o/ zale). - I, as owner of tha property, am excluslvely contracting wit� Ilcensetl con- IlattOrS t0 cOnstluct th0 prOJect ($ettlon ]044, Buslne5t antl Prof¢SSIo05 COtlB: T�e Contractor's Llcense Law does not apply to an owner of property who bulltls or Improves thereon, antl w�o contracts for such projects wlth a con- Vactor(i) Ilcanso Oursuant to the Contrattor's Llcense Law). ❑ 1 am oxempt untlor Sectlon B. & P. C. tor lhis reason Date - Owner I hereby cartify thal I have reatl this application an0 state intormatlon is correcl. 1 agreo to comply wlth all dty antl co antl itate laws relat n to builtlin t hstructlon, antl hereby , sontatives of tp CI tp�]¢n(ar I e above-mentione� inspetqon Dur - -- Si9nature Oate TYPE OF CONSTRUCTION LJ NEW Ll ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER p� p� DESCRIPTION OF WORK S Main Building: TYPE OF PEPMIT GRADING FOVNDATION STRUCTURAL T Front ❑ TENANT ❑ EIECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear ❑ ATHER A PROJECT DESCRIPTION 5�. F7. oCCUaArvCv C Right K Left CONSTRVCTIONTVPE VALVATIONS $ ZONE GRAOING CV. VDS. ACRES p�ng. Ref. �h Remarks: ParkinB Req./Provic Bar Sink Backfiow Preventer Backtlow Irrigation Bathtubs Clarifiers Drinking Fountains Floor Dreins Floor Sinks GesService OuUets Interceptors Kimhen Sink °-Trap Roof Drains Reinspaction Fee $25 Boiler Duct - Under Ground Duct - Structurel Duct - Ventileting Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO 5W Heeting System & Ducting �0700,000 BTU 0100,000BTi Drivers' LI 5� I I ReinspBction Fee I $25 CMF 0865-46 rev. 12/83 White - Builtling: Canary - Appliwnt; Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collecrors Solar Pipin9 Solar Tank Swimming POoI w/Spa Urinal Water Closet Water Heater Water Service Isua Fee Hood or Typel ❑ Canopy Type I I ❑ R�/etrigeration System L'J0�100,OOOBTU ❑100,000 System Repair/Alteration Ittue Fae EES Use of Building: Planning No[es: Automatic Washer Construction Pole Sub. Cooking Unit �IShWd5flCf Dryers �Gas ❑Electric Fan F,A.U. Fiztures Device Boxes Outlets Switches Garbage Disposal Generator 065 KW �5�� 8926 4/18/84 I Zone Acceuory 8uilding: Park.Fees $ ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+ KW Meter ❑up to 100 amps � Meter �over 100 amps Sub Panel Motors O0.1 HP O1 Y. - 6 Inc.Solar �9�15 HP �16-75+ Miuowave Pole Light Range Standing Sections 5 KW Trash Compactor 5 3 Reinspection Fea $25 Issue Fee FEES �PUBLICSERVICESREQUIREMENTS: Zoning Approved By euilding Approved By S 3 II.Or TL Z O N 1 N G R E Q U I R E M E N T 5 FEES S 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK 5 PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% 3 ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% 5 '�j� MICROFILM $ MECHANICAL $ � �� TOTALFEE $ ' � d PLAN CHECK 25% $ I CONSTRUCTION AND PLANNING �, APPROVALS Permit # � 1. Temporary Electrical Service or Pole - 2. Soil Pipe-Undrgmd. 3. Electrical Conduit Utility-Undrgrnd. 4. Electrical Condui[-Undrgrnd. 5. Steel Reinforcement ' 6. Electrical UFER Grnd. - 7. Footings 8. Founda[ion 9. Wa[er Pipe-Undrgmd. I10. Structural Floor System 11. Property Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains 14. Rough Plumbing 15. Rough Electrical-Conduit 16. Rough Electric Wiring 17. Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling 19. Fough Heating & Air Conditioning 20. Rough Faccory Fireplace 21. Ducts, in Structure 22. Duc[s, Ventilating 23. Gas Pipe-Rough & Test •24. Roof Framing .25. Roof Sheathing �� 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Fiashing 28. Lathing & Siding 29. Insulation . 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power Me[er-Final 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 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 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATEOFOCCUPANCY No. Date Date . PO�.� & SPA Inspettor qppROVALS Permit # 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER-GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P-7rap, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final � 63. Heater & Vent-Final 64. Plumbin9 SYstem - Final 65. Electrical-Final 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # L� 70. Underground Hydro 71. Product Piping O Gas ❑ Oil 72. Underground Flush 73. Undergrnci. Storage 7ank � Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL . 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: Date � Inspector � AOO��ant lo fill In all spaces excepl t�ose w(tltin heavy norOer lines ana sign a11 a'ppropriata aeclarations. LITY OF COSTA MESA GU ST HUG� ION PERMIT Y Project Addres5 ��NT _ Applicant's Mai/�in�g� A�d��dress � Owner's Name ls�L`f.� c-�S Phone � rtltlress y . Arch/Eng. - Licenu No. ��— Address ' ( � �Convactor's Nam Phone �ddress Imailing) �(+ ,., Ciry License Na. �--[� 8j'2.� LICENSED CONTRACTOR DECLARATION 1 hereDy affirm that I am licensetl untle! Provlsions of Gharter 9(commencinq with SeCtlon 70�0) o( Oivision 3 of tne Buslness antl Pro ions ��qtle, antl my licenae IS'Q tt rce antl eifect, l� UcenS�.ClaS�� . —Litense NO. Oate ��A �f 7-.^�!� . WORKERS' COMPENSATION DECLANATION ' hereby afflrm that I have a certlficate of consen t-insu�e or a tertificate Workers' Compensation Insurance, or a cer'tifi�y thereof (Section d00, �ab {�� '�/] POIICY Na.�_��L � l� eC rtilie copY Is hereby tuml5hetl. ' t'fi c s fiietl with the city B' tling Division. Da Applicant ' EXEM TIO FROMWORKERS•COMPENS ION ECL RA'r�ON (This saction ne6tl not be completetl ii the permit is r on untlretl (g100) or less). I certity'tnac in Uie De�fo�mance ot thG �+O�k for w tM1is perT�t IS i55uetl I shall nol emploY any person In any mdnn¢r So as to become SUDje<t [o f�tG Workers' Comp@��on l.aws o( Califomia. Date Signature NOTICE: It, dtt¢r mdking thi5 tleCla�ation, you shOultl become subject to th¢ Workerz' Compensation provisions of the l.aCor Cotle, you must fortnwith mmply witn s�� provlsions or this permit shall be tleemetl revoketl. CONSTRUCTItl�'1 LENOING AGENCV I hereby.al/lrm that there is a construction lentling a9ency �or the performance Of the work for! whiclt� [his pgrmit �s issuetl ($ectiOn 309] Civ. CJ Lentler's Name« Y� � Lentler's Aatlres� OWNER eU1LDE DECIARATION I nereby aifirm that I am exempt (rom the Contractor's Llcense Law tor the following reaso� (`.+e«ion �031.5 Business antl Professional Cotle: Any city or couNy which �eqUires a permit to ConSlruct, al[¢r, ITp/ov¢, tlCer�olisn o� repai� any�s�ruclure, p��or to its issuant2� dlso repuires tM1e applicant t0� such permit to file a signetl stdtement [hat he/sM1e is iicensetl pursuant to the ProviSionS ot tbe CONractor'4 License Law (Chapter 9,(commen<ing with Sect�on �000) of '�ivision 3 0! thc Business and Professions Cotle) or tha[ he/she is exempt ierefrom dntl IM1e Casis fo� tbe allegetl exemplion. Any vlolaUon of Sectlon J31.5 by any applicant Por a permit subject5 the dppliGa�t to a civil �enalty of not r�o�e than five huntlretl tlollars ($500�. I,'as owner of the property or my omPloyees witn wa9es as their sole Compensation, �'ill tlo the work, antl Ihe structure is not Intendetl o� otferetl br sale ($edio��046, Buziness anG Professional Cotle: TM1e Contractor's License Law tloe5 nOt apply to an owne� of a property wlto builds or improve5 thereon, antl who Uoes such work himself/hersell or througlt h�s or her own employees, Oro��Oetl [hat such improvements are not Intentletl or otteretl for sal¢. If, howeve�, the builtling or Imp�ovement i5 Soltl wlthin On0 Y¢ar Of Com- pletion„the ow�er will nave the burtlen of Proving he/she tlid not builtl o� im- prOve torthe pU�Pose of 5ale). ❑ I, as.ownG/ o� the property, am ezclusively conbacting with lic¢n5¢tl con- tractors t0 ConSVucl Ihe p�oject ($ectiOh �044, Business antl Prof¢55IOn5 Cotle: The ConVactor's License Law tloes not apply ro an owner ot oroverty who builtls or imorO�es tnereon. antl who contracts �or suc� oroiects with a con- tractor(sl bcense pursuan[ [o me Con[ractor•5 License �aw). I am aware lhat proot of tnair Worker's Compensatlon Insurance shoultl be provitletl;to me. ❑ I'am ezempt under Section � B. d P. C. for this reason Date Owner I hereby certijy at I have reai info�malion �5 cOrr i. I agree to antl state I(vs re�a uiltli sentaHves t tn�s city to Inspection p Oses. Signature Drivers' �Itense a� 55 � rev. SJ88 I Ihis application antl state tnat the above complY with all city antl county ortlinances p, construcilon, and hereby'au�horize LeOre- �upon the a�ove-men[lonetl, roperty'for � ��_ Dat ) C'a 3532 2 I S��i�S I �`1 I' TVPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ pTlaro \ DESCRIPTION OF WORK/USE OF BLDG. T Vu_ TVPE OF PERMIT GRADING FOUNDATION qJ STRUCTURAL ❑TENANT ELECTRICAL PLUMBING L�MECHANICAL ❑ OTHER PROJECT DESCRIPTION S�.FT. oCCUPANC1v1 '�'� ' CONSTRUCTIONTVPE VALUATION$ I"I�OL= ZONE GRADING CU. VDS. ACRES Remarks: /� Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Drinking Fountains Floar Dreins Floor Sinks Ges Service OuUets Interceptors Kitchen Sink Lavatories Foof Drains Reinspection Fee $15 Duct - Under Ground Duct - Structurel Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. BIL ICBO # Neating System & Ductin9 ❑0.100,000 BTU � 100.000 Reinspection Fee � $15 White - BUIltling; Canary - qpp�iCaoh, Pink - qc<ounUn9; Goltienrotl - qssessor � Shawers Service Sink Sewer Cap Sewer Conneaion Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Clout � Water Heater Water Service Auto-Wash ' laue Fee Hood or Typef ❑ Canopy Typell. ❑� Refrigeration System ' ❑aioo,000eru ❑ioo,000aru System Repair/Alteration FireDempers � Registers ' n ' laue Fee A.P. # 5 A9tin-BuUd'+ag: E q. T Front ARear 7 C Right � g Left �p Ping. Ref. # Planning Notes: FEES Automatic Washer Canstruction Pole Sub. Cooking Unit DiShwasher Dryers ❑Gas ❑Elect Fan F.A.U. E7 $ 3 FEES $ 9 DEVICC BO%25 Ouclecs Switches Garbage Disposal Generoror �65 KW � OG�F �— C%2. � Zone Parking Req./Provided EIECTRICAL ' Transformer ❑ 15-50 KW . ❑50+KW . Meter �up to 100 amps Meter poveri00amps Su6 Panel Motors �0�1 HP �1 h�- 8 Inc.Soiar Q9-15 HP �16�15+ Microwave Pole Light Range I I Standing Sections 15 KW I Trash Compactor I Reinspection Fee ! 515 ' I Iwue Fea DEVELOPMENTSERVICES REQUIREMENTS: ZoninB APProved By Building APProved By 1 Aoolication laued Bv _ FEES $ SUMMARV OF FEES . q � BUILDINGPERMIT $ �53•O0 SMIP $, PLAN CHECK $ pERM1T � pLUMBING $ ��' �'� ISSUANCE $ PLAN CHECK 25% $�Sb ENERGV P.C. $ ELECTRICAL $ . JU GflAD1NG $ PLAN CHECK 50% $ / S� o D MICROFILM $ MECHANICAL $ �'3 ��' `� -� TOTAL FEE $ u7 •� 3 PLANCHECK 25% $ 0'�'� • N I N G R E O M T S. 01 OOOt4718—OOA�47?3 To��d' 2f.7.23 DAi%: D9li9l. 7iRF: t?:i9 I - i . p � " � • POC .SPA � CONSTfiUCTION AAlD PLANNWG '� Date, Inspector ' Date Inspector APPROVALS Permit# . APPROVALS Permit# � 1. Temporary ElectricBl Service or Pole • .. . 52. Pool & Equipment Location ja ,�r D� 2. Soil Pi�A-Undrgrnd. . � . 53. Steel Reinforcement � , i 3. Electrical Gon�luit UtilitY-Und'rgrnd. � 54. Fprmi 4.iElectrical Conduit-Undrgrnd. ' 55.-Eiectrical Bonding � 5.'St2el Reinforcement ` 56. R'ough Plumbing & Pressure Test ,� 6. Electrical UFER Grnd! , 57. APPROVAL TO COVER-GUNITE � 7. Footings � , � 58. Electrical Conduit-Undrgrnd. �� ,� j 8. Fountlation � ' 59. Gas Pipe, O Undrgrnd., Test ��3 p-Y � V 9. Water Pipe-Undrgrnd. i 60. Backwash Lines, P-Trap, � Undrgrnd. { 3 F i' j) �" 10. Structural Floor Sys'tem � ' 67. APPROVAL TO DECK �� ' Q� 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � � r �- 12. Sewer Cap �' 63. Heater & Vent�Final � 13. Roof!Drains " 64. Plumbing System - Final 14. Rough Plumbing • 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar SYstem-Final �1'6r Rough Electric Wiring 67. Fencing & Access Approval '17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING �18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL I Z� � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Faccory Fireplace �' APPROVALS Permit # � 21. Ducts, in Structure �� ,, 70. Underground Hydro 22. Ducts, Ventilating 71, Product Piping O Gas ❑ Oil 23�Gas Pipe-Rough & Test ' 72. Underground Flush 24. Roof Framing � . 73. Undergrnd. Storage Tank O Gas ❑ Oil . 25. Roof Sheathing �.' 74. Overhead Hydro � 26. T-Bai Ceiling (Svuctural) & Monocoat 75. Dry Chemical . 27. Frame and Flashing :� _� 76. Dry Standpipe � i • 28; Lathing & Siding .�, 77. FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Nailing � ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Cdat • -� 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED � .�. 33. Final Electric � ' IVotes: , 34. Final Heating & Air Conditioning 35.;Final Gas Pipe-TCst � 36.�Hood or Canopy 37.'Final Factqry Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final � 41. Solar pomestic-Final 4�. Backflow Preventer 4 �i . �� 1 ' 1' j _. . . . L' 43. Backflow Irrigation � � ' � �•�' 44.; Landscape Irrigation System ' � � - �� 45.'Sound Attenuauon �* 46.� Handicap Regulations i 47 � FINALSTRUCTURE & BUILDING + ?8. Soer.ial Requirements Completed 49.' Electric Release to Edison :; 5Q._ Gas Release to Southern California Gas Co �. . �� 51. CERTIFICATE OF OCCUPANCY ; � �• . ' ' � . ' + � , .�, No. Date , C i N D`1 'S%��n TZ: S`� �'�r�1-��y r- _<.ry��? r,-r �=r? �%32-1'io3 d`l i-zJn`' i BUV�WOWNER/5 ADDRESS \ CtTV RES.PHONE CON7aACTUnTE \ MAP qpQK PAOE LEl AL DESCRIPTION - l0T TRACT JOB PHONE and C0"� �"^"�" � PLAN AUTHORIZATION fQ�blfOfdlE��ON�fIQ .' __�_ _ .. _�.....T �_.i. ..__.._ _. . . ."' ___ . . .Tr.�."' '"" " r�i I I � � . . 1 � l i. . �I� �� j � COn1r9CtOf/OwM �-: i . � . I I . ' ' -. � � � • . . � � � I.. � �` i � F�SRe��o v �.,; : � I I . . � `' � �?�'� :P% �Yes �� ct._ __ � I ! � , � ' � �� T,� a� .. � � _ � I i_; . � i , : . � '�IV, TraeHaUlirq `i '. ' , _I.I..� � . I.: �_ 1--��'�� , , �' .. . . . i . � � �. . : . , `Y-' DeCMinV�y I { ' � . .� � �. . I . . i i ( �� f , , j ,1' �mbn ts ✓ _.-' � � -' -''- . ' _ - ' - -- � i. iX� - �_: . . �U_ . - --- 6, _._ _ i I . �.I_ i. . ' .. �p , tam�sa ti . t �}5 i i T� r ... .' ., ' . f s�� V ' : , . . i l �reire by v � -� � ' ' . � -�� , I, � . � ' ; � • i, . i ' . , � , Fm�a� V � { ' _ . � � �'' � . ,.: �'� ' � � _ i � - � � , , , (: I _, � •� ; � Gaies ��_ . � ' _ _._.� .�_Ll._G.:� .::. �.- i ' +1�'- i-' � hl � `� 4 liu,� .._. ' ..I' ...� , �I"I-- ` SALESMAN MU$j INDICAi� LOCl1TtON 1 I j �.,,. _ ' I � � ONTHISSCALEOMWINGOFALLITEMS 1 � ' '� '-' �, LISTED BELOW AND THE FOLLOWING �--• � � � � - I i -/ � - �� • ' ; MUS7 BE ACKNOW�EpGED BY OYMER � � � � ;�-- �-� ' �� I i IF fHERE ARE ANY CMAN6ES FROM �. I I . - I+" I' . -j �"��r�`��'. f, � 6N��' � �lj }. i ."`-.� LOCATIONS ON iHIS DRAWING 7HERE ' I I ! . .. I � �� '� ' I � WILL PE ADDI710NqL CMARGES. I� � ; � �� , � � �_ , , WE/- Ra(!�3 ,� � � � i- � � d eno, I�. � i. � � I i ..; �� il. .. i�l � � i :« wbm � Ma�mvn � , ^�� { � • : i � • , i \'`�. � • �� tQ'� Ly�� WbM - Mimimon r " ' _ "_' _�--!_'_ _. t- . .L.-.-_.. . . .._i_• .. _.. � 6�' �Cl ;.. _j SS7 BUI�I � i � �I� i � � I_ --�_ :�. ' � � t -Mazimum ✓ � b(�� 4�i��;�7 . `�..� �- , I , l . . . � � . i Lapth - M°"^u" � � . � �'NESE PLAf � ti• .� �--� DAT Oevth - Maximun � , .' � � � � , �. , � ; `� �kANC,e ' �i"Sr, {� ':�'JOB n,� I �it_ininum ! . __. . . � . , � �6 ' -� I � . . . ��'. "n"�ORAPp,p' FiltEr Locatbn I . �_�1�j_ i ( �' . . .. ' �, �k�I�GSI!q��- : . I v��. , -I ' , . . yrv f �F .^.Pn , i_. I i; i._� ur, a i Li(/�I lDt2tlMi 1� ' I I : . � . �� PFR6i�; p E EP -r, ;.�i,�ji +�' : nF A PcR,yR I� ' ''6f 10001i011 _'_ " . . _.�_�_'L ' . __ ' _' . ' , , '_ _ �' _ii{F V;� _Cu•:•' „ - i5 :•,tl-NOi f�[ I. 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I , , .; � _ � . � � � i { . - . �. � . � � .I � I I OIR 01 �LANNINO � � . � I ; � I � { .� � � . . L� NATUpE �-. , � , . I_.. , . � � ' � , ' � ' __..__' . _�__,.. _. . "'_'"'�'_ '_..y..i_ _...y_.:_._u_.�.�._i�.�.._ . SIONATURE cnVE S�A� O i � I'°J [� Cl � ,.3 � ,�� .�� ,�..�m �_ Y` I'OOLS �. � ,.� w� � o�E� — s�.,ro•=,• � � L� `o � � EN� SNALI.OW Stete lk:nnse No �Z � U I a Ex wv^' „yn rw. rt � ENO i $y�y�pp ilii}_„�5��: :.'iS: un. ...u�, � . . �4L�{��."xdJ7ri�trs'.1(:.'.J+�i?�.. e . . . ... . ___ __�— 2�539 COSTA MESA BUILDING-SAFEf`! DEPARTMEP7T P.O. BOX 1200 COSTA MESA, CALIFORNIA BMYE For Appllcant ro Fill In Completely TYPE OR PRINT a��Na S S t o AODREBY COSTA MESA, . CALIFORNIA owNere S � MAIL ADDRHSD 17 � TEL. CITY NO. ARCHITECT �. [' f7.R.7r\ � A A �� T!L Publ 30-67 00 855 *' *�'" 124.50 APPLICATION FOR PERMIT BUILDIN6 for Office Use Only R[C[IP� NO. 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