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Home My WebLink About2521 POPLAR LN - Building Permits, ,—L, ' y��'. ; ::.�:: ; ; �1 ' CITY OF COSTA MESA BIIILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fau (714) 754-4856 JobAddress: 2521 POPLARLN Suite: Vicinity: PA710 AREAS Parcel Number: 43917265 Applicant: UNKNOWN Address: Owner: Address nua�esa �� , 2i �� i �� / i % /r Mvt?-F? ,�,, , ,, i I Z�p:_ R 2`� %, �' ; j"y � ii�Arch i �/ , r � �i/: Address: � �� „ %�� ; ��Li., � „ �� BUILDING PERMIT Zoning: , NUMBER • B99-01404 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 09IO2/1999 Issued: 09IO2/1999 ...._'_s--_._ . . 1 { Phone:. .:'!��-r'"_ �.%- .� `�-�.. i � - � � : �"' Zip- � ,,, .. �-rC �r� ,? �`� . / ; , � � � � I � � - _. `- MATTHEW 1 I `-� f� �� ! /r `�� t�LN , � � � `' �� . "l 1 V 1�-j �_ � �. � 1 v'--_. ..�-�, � , ,, �_ __� �� J /'/\��z� � -Phone._ - - �= '— C � C � � \� � �- =�..a� � `� ` � � r. �CA V . -.- < � -..'�' Zip. �92626�-�.-�'`�;.�.�.. �� \ \ \\\ � !� i� � !� \��\�\ \ ' /�\�\ ' :CBIXvI� �#3vCF �1\ A�� c�N�}L � �1�. � \�\� � � �Phone: \/ �.� c.{}. �,�7�g�R°1►-77�3 \��;�. '\ � Z License:ti Sc�C,2q�S � 3' i �,��. ::' En9 I /''4-•- � l � f „✓ ��`�Address: � � `� jPhonei . "'7�._ � _ _ __- '�� c w�.�' �,,,� , � r.�..� �� _ - ��,,�� ,��, \�� . , ` �\�� r � V l . �� , . � �� , � ' t i�,�, � ', �� ;, Phone.� ,,� � �, � ��' � ,r'< ;. . . _ -� - - __ ✓ i�, ��., . � �� ' , . f �j.i- Zip: �� i7� � / 'l;�.i, License: '-�� Lic�en'se: � , 'i ;' ' N �A �,,f,-•b, �/.-' � `�� '!'i�i — ;\,� r ; �' �� ' '•'�� " � SCOPE OF PERMIT V ` � �`�' . '` � � .. f,_' �. �' _ _ - -- �'' ' �- � '+� { ��, � CONSTRUCT�126 LF OF 5'61�BLOCK WALL �REPLACES EXISTING WOOD FENCE FOR�ADDRESSES 2527 2523.& 2525 ��, � � POPLAR�IANE. % ' . . �,rn, .�� .� � v � � r_ 0. � f,, -� � "� - . ,. � � . ..� � .. �li� � „�� L_ i �, �, �, _ ' � , FEE SUMMARY �� ' y ,. � ,, , ��' PI8�Cf1B0iC';� '�54.1� ' � - � 1;�.,�.� n (',2�CV81U8t10l1 �-��'� .--.$252000' �, `�r V � PermiL (''�', $83.25 � _` . , `` t �``" r -�l -�'r_,�, 1��_.�Claim Valuation: ��, . � �-� _ , So �001 i`�` SMIPRes�'�� $0.00 - . '_ r---_ � _., ,vt f� l ,t�r i ��SMIP Com�`�`{� $0.00 _ �� l % �/ � � y� �'�� `�=A \r��h8f ��.�� .1--- � �� . .../ �� Inspection:�� $0.00 - S'� �j � .., ` /� �l � C';.� � �V,i ... -,1 /%,� �� J �i j„ �i � ,, A�� C' . �� :-1 �� i ��, � �\ .y , s •e r �¢' .v;r-� - .�L= . � �'.. Y .��. . ' `� � . '�p)� � . .lA'. � ��, , � �\�� ; `' PLANNINGeB ZONING� 4, yI�' �%/ �;,y l� ,: ° � i-� ,_� ��:-'`%%�� ''%`��. IACKS ;. <i/, ii ' _ � � . , ?`'� �, �,,� /��C/ �; iTRUCTURE.Front ; 0' 0� __ �Rear �� 0-0 � � �, � -�Left �<' 0."0 � '�'� Right � �0,-0i � � '��.\\ � / � ` i,..�.: <' t - `` _ = . � •� � _� . , .�_`i ��/� � - �.� � . � = - - - • •- �_ � � . ACCESSORY ��Front�, 0=0. �.Rear 0-0' - � Lek��' 0-0 - Right ti0-��!�� \ � � �_ , . � _'. ; � ^,. � � _ PARKING Existinp',; �� o Required '� : o � � ' _ � i � Pr000sed �� 0 7 / %/ � r ' 'j ! i NOTES: _ �_.��.. _ , . ,�, �:/� , ' _ ��. ..3,: . i �-� ,r•, �- — NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned I for a period of 180 days. � INSPECTIONS: In order for the work authorized under �his permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetione and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. 1 FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMVENSATION DECLARATION: i hereby eXirm un�er penalry of perjury one of t�e following tlaclerations: ❑ I have entl will maintain a certilicete af consent to self-Insure tor workers' compensation, as provitled tor by saction 3700 ot the Labor Code, for the pertormance of ihe work far which this pertnit is issuad. ��f�ave entl will maintein workers' compensatlon insurance, as requiretl by sectlon 3700 of the Labor CoGe, for �he peAormance of the work for which thls pertnit is issued. My workers' compensetion Insurence-carrier and pollcy number ere: Carrier. Policy Numbec (This section need not be completetl il (he permif fs valued at one huntlred dollers ($100) or /essJ ❑ I certity thet In the pertortnance oi the work lor which this pertnit is issued, I shall not employ any pereon in any manner so as to become subject to the workers' compansation laws of Celifomla, an0 agree that if I should becoma su6ject to t�e workers' compensetion provisions of Section 3700 of the Labo� Code, I s�all foRhwlth camply with these Drovisions. Applicant Signeture: Date: WARNINO: FAILURE TO SECURE WORKERS' COMPENSATIIXJ COVEPAGE IS UNIAWFUL AN� SHALL SUBJEGT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVI� FlNES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000�, IN ADOfTION TO THE COST OF COMPENSATION, DMMGES AS PROVIOED FOR IN SECTION 3]060F THE LABOR CADE, INTEREST, HND ATTORNEV'S FEES. LICENSED CONTRAC70RS DECLARATION: I hereby attirm ihat I am licensed under provisi� forCe entl eHect Lic. # _--��1 Comractors Signature: of Chapter 9(commencing wlth Section 7000) af Division 3 ot the I Class # CONSTRUCTION LENDING AGENCV: ❑ I hereby aflirtn that there is a construction lentling agency tor ihe peAormance of Ihe work for which this pertnit is issuad. (Sec. 3097, Civil Cotle). Lendefs Neme: Lentlels Address: Signature: Date: OWNER-BUILDER DECLARATIONS: my license is in tull I hereby attirm thet under penalry ot perjury Ihat I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Pmfessions Cotle: Any ciry or county which requires a permil to construct, alter, improve, demolish, or repair any structure, prior to its issuence, also requires the applicant for such permit to flle e signed stetement Ihat he or she is licensed pursuanl to the pmvisions ot ihe Conirectws License Law (C�apter 9(commencing wi�h Section 7000) of Division 3 oi tha eusiness end Professions Cotle) or thet he or she is eaempt Iheretrom and ihe besis for the allaged exemption. Any violation of Section 7031.5 by eny epplicant for e pertnit sub�ects tha epplicant ro a civil penalty of not mora then five huntlretl tlollars ($500).): ❑ I, es owner of fhe property, or my employees with wages as iheir sole compensetion, WILL DO THE WORK, entl the siructure is not intended or ottered for sale (Sec. 7044, Business antl Protessions Code: The Contrectors License Law tloes not apply to an owner of properry who builds or improves thereon, and who does such work himself or herself or Ihrough his or her own employees, provitlad that such improvemenis are no� intended or oNered for sale. Ii, however, the building or improvement is sold within one year of completion, the owner-builder will have Ihe burden of proving Ihet he or she ditl not builtl or improve for purpose of sale.). ❑ I, as owner of Ihe propeny, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Professions Cotle: The contrectors License Lew Coes not apply to an owner ot pmperty who builds or improves thereon, and who conirecis for such projea with a comractor(s) license pursuant to Ihe Contrectors License Lews.). ❑ I am exempt untler sec. Business and Professions Code tor lhis reason: Signature: Dare: Owner ID veniietl by driver's liCenSe. ❑ Yes ❑ No Drivers LicenSe No. Venfication of Ownership by (type of document, i.e. - pmperty tax bill or tleed): DIVISION OF INDUSTRIAL SAFE7Y PERMI7 CERTIFICATION: Expires: ❑ I hereby certity that no excavation flve (5) or more feet in tlepih into which a person is required to descenq will he matle in connec�ion with work authorizetl by this permit, and Ihet no builtling stmcWre, scaflolding, falsework, or tlemolition or dismantling thereof, will be more Ihan ihirty-six (36) feet high. (Chap. 32, Grp 2, Ah 2, Sec. 341, Tille B, Celitomie AdminiSirative Cade). � ❑ As owner-builtler, I will not employ anyone to tlo work which would requira a permit irom the Division oi Intlustrial SaFery, as notetl a6ove, unless such person has a permit ta do such work from the division. Signature: Data: Division ot Industriel Satery Pertnit Number. .. • CERTIFICATE OF COMPLIANCE AND AUTHORVA710N OF ENTAV: I certify under penalty ot perjury ihat 1 have reatl Ihis application and stata ihat the information given is correct. I egree to wmply with all state laws and city ortlinances relating to building construction, antl authorize represantatives of tha Ciry of Costa Mesa to enter upon the above-tlescribed property lor inspectlon purposes. I agree nat �o occupy or allow occupancy of any builtling auihorizetl by this pertnit until final inspection. t r O e er ) /� �^�/� j)as@ ., � �! lf`(/'� And/OrAu�horizedApplicant ' �ate COUE t. INSVECTIONTVGE 1616 Fixad System Finel Fire Prevention 1266 Pool Spa Final 200 Final Re-Roo� 201 Final BIocWRataining Wall 202 203 Finel Fec�ory Flre Place Final Sign 20a Final Demolition 2648-as pRTE � m 40pE� INSPECTIONTYiE 206 Final Mechanical 208 Final Plumbin9 210 Final Electriral 272 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy Q9..� INTRIALS %'r, Cr7 �O � S' lo" �� r� 1 �S H`S'�d � �, � i,,, , APPROVED 3 Ths sel ot plans and. �speaf�ations MUST be kept on tltis pb a9 aY tmas and'd b udawtul t0 make arry dwrges aaMe�atim on same rrtlqul wrllcn pemrisson han Oie Div'siai d&dl&g and Safery. Clry M Costa Mesa. The slanqi5 dms V!an and spe��iau SHALI NOT be hetd to peimd a to be an appoval of ihe violazion ot any �provisions of arry Ciry of Costa Mesa Oidinance anNa��a�W. These ptans arq pertoil shatl e�i2 hy Mtihation and hecome m� and void il Me WOfI(15101 MIP.TIQf!CC�J 3�d RL:At�!�Ed a:il'�F3 per UBC §303 (C! w�hin 1 M d8y5 ot issuant¢. ��—'��f:� , !�� %-o� �C�-�,� ' !�! �.:,� � �I.ii r�.,,.1 BE APPROVED BY THE PLANNING Z Z.S 1��.�� C1TY Or COSTA MESA PLANNING DIV. SIiBJECT TO BLDG. DEPT. �Gj-�j—�1/Yo � 'i The Slte i 26 25 Dn D Ao A l.__ "_ _ ' � .s�r�.w 21A 20An nAn 19 Bn . Ll 2JD � 18 Cn �ME VISIA (714) 754-5273 • Fa�c (714) 754-4856 77 FAIR DfiIVE, COSTA MESA, CA 92626 JobAddress: 252'I POPLARLN Suite: Vicinity: BUILDWG#7 Parcel Number: 43917265 Applicant: LYLE COOTER Address: 23015 DEL LAGO LAGUNA HILLS, CA Owner: LAUREL POINTE HOA Address 2521 POPLAR LN BUILDING PERMIT Zoning: Phone: (714)583-1858 Zip: 92653 Phone: COSTA MESA, CA Zip: 92626 Contractor: PRO-TECH WEATHERPROOFING Atldress: 23015 DEL LAGO Phone: (714)583-1858 LAGUNA HILLS, CA Zip: 92653 License: 620476 Arch : Address: Eng: Address: e Status: ISSUED Applied: O6/21/2000 Issued: O6/21/2000 ISSUED BY: ' Phone: Phone: ' Zip: License: License: . SCOPE OF PERMIT 2521, 2523 & 2525 POPLAR ST. - BUILDING #7 � . REROOF - T/O, USE EXISTING SHTG, INSTALL 1 LAYER OF 15# FELT AND NEW 30 YEAR GAF COMPOSITION SHINGLES. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $125.25 $0.55 $0.00 $0.00 $0.00 $125.80 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0-0 Reouired: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $5,500.00 ss,soo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 7241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180.days, or if work is suspended or abandoned for a period of 180 days. INSNECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 0 � WORKERS' COMPENSATON DECLARATION: I hereby attirm untler penalry of peryury one oi the tollowing tleclarations: ❑ I have and will maintain a certificete of consent to selt-Insure for workers' compensation, es provitled for by section 3700 of ihe labor Code, tor the performance ot ihe work lor which this pertnil 15 issuetl. - j(] � I have and will mainlain workers' compensation insurance, as requiretl by section 3700 of Ihe Labor Code, for Ne pedormance of the work lor which fhis pertnit is issuetl. My workers' compensation Insurance carder anC policy number ere: Carrier. I�/L`r0-+V�✓A � PolicyNumber. �� 3�a% n (This secflon eed not be comp/eted il the permi( is valued at one bundred dallers ($700) or less.) X��- ❑ I certily thet In the perfortnence oi tha work for which [his permit i5 issued, I shall not employ any per5on in any manner so es to become sublact to the workers' compensation laws oi Celitornie, ana agree ihat if I should become subject to the workers' compensation provisions of Sectlon 3700 of the Labor Cotle, I shall forthwith wmply with these provisions. ApplicantSignaWre: CoyJ Date: � 2.� � V WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNORED THOUSAND DOLLARE ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVI�ED FOR IN SECTIQY 39060F THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby atlirm that I am licensed untler provisions of Chapter 9(wmmencing with Section 7000) of Division 3 of iha Business antl ProFessions CoUa, antl my license is in full lorce and efiect. Lic. s bzo�7' 9/ Class a /'. �i 9 Contraciors Signamre: Date:�__ 2/ - aJ CONSTRUCTION LENDING AGENCY: ❑ I hereby aRirm ihat ihera is a constmction lentling agency (or Ihe pertormance of ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lendefs Address: Slgnalure: Date: OWNER-BUILUER DECLARATIONS: I hereby aHirtn �hat under penalry of perjury that I am EXEMP7 FROM 7ME CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a pertnit to wnsWd, elter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant for such pettnit to file a signetl statemeN Ihet he or she Is licensed pursuant to ihe provisions of �he Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 0� Ihe Business entl Professlons Cotle) or that he or she is ezempt therefrom and the basis for tha allegetl ezemption. Any violation of Section 7031.5 by eny applicant for e permit sublecis the applicant to e civil penalry of not more t�an five hundretl dollars (5500).): ❑ I, as owner of Ihe property, or my employees with weges as their sole compensation, WILL DO THE WORK, end ihe structure is not intended or oHeretl for sale (Sec. 7044, Business antl Professions Code: Ttia Contractors License Lew does not apply to en owner ol properry who builtls or improves iheraon, entl who does such work himself or hersetl or Ihmugh his or her own employees, pmvided that such improvements are not intendetl or oNered lor sale. If, however, tha huilding or improvement is sold within one year oi completion, the ownerbuiltler will have Ihe burden of proving that he or she did not build o� improve for purpose of sale.). ❑ I, as owner ot the property. am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construci the proJect (Sec. 7044, Business and Professions Cotle: The coNractors License Law tloes not apply to an owner of property who builds or improves ihereon, and who contrecis for such project with a conirector(s) license pursuant to ihe Contrectors License Lews.). ❑ I am eaempt under sec. Signature: Owner ID verified by drivefs licensa. ❑ Yes ❑ Na Business antl Pmfessions Code for this reason: Veritication of Ownership by (rype of document, i.e. - propeny taz bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CEflTIFICATION: Dnver's License No. Date: Expires: ❑ I hereby certify that no evcavation tive (5) or more feet In Cepih into which a person is required to descend, will be matle in wnnection with work authorized by Ihis permi�, antl t�at no builtling structure, scaBoltling, falsework, or demolition or dismantling thereoi, will be more ihan ihirty-six (36) teat high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle B, Calitomia Atlministrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permii trom the Division of Industrial Safety, as noted above, unless such person has a permit to tlo such work fmm the divisian. Signeture: Date: Division ot Intlusinal Satery Permit Number: CER7IFICATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I cartity under penalty of perjury that I have read Ihis application antl state Ihat Ihe information given is correcL I agree to comply with all state laws and ciry ortlinances relating to 6uiltling construction, and authorize representatives of Ihe Ciry of Costa Mesa to entar upon the above-tlescribed property for inspection purposes. I agree not lo occupy or allow wcupancy of any builtling authorized by this permit until iinal inspection. SignaWre Oi Le al Owne )' Date G 2�0� And/Or Authorized Applicant Date _ LOpE �. INSVECTIONTYPE 1616 Fixod System Final Fire Prevention 7266 Pool Spa Final 200 Final Re-Root 201 Final Block/Retaining Wall 202 Finel Factory Fire Place 203 Final Sign 204 Final Demolition 24afi-a6 PPIE INTRIILS % ♦ � � r� LOpEt �NSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuildingiOccupancy ORT IAL CITY OF COSPA RDQUFST FC�R OCQJPANCY R� C C I�� D DEVELppM¢N7 SERVICt; pESq EPARTMENT Tf2p,CT Np. 10097 AM L}�j{� � p�.��er 7. 1979 II7I' NO. 15 ;%f$l�llt;;;,�jcl(11i�� PM d 4isi6 pp�g 2525 Poplar Iane, Costa Mesa, CA a� �e developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been oorrQleted and its strnets accepted ts� the City of Costa Mesa. By executing this agre�nent, the undersigned acknowledges that he/she/they �,ras/�re advised that this tract has not been given final inspection nor has it been accepted bp the City of Costa Mesa as having co�lied with the oonditions of approval which were inpcsed b� the City at the time the Final Tract Map was approved. The City assimies no liability for the enforcement of the oonditions necessary for approval other than those oonditions protected b� surety bond. The undersigned agrees to indemnify and.hold the City harmless from any claim resulting in dam3ge or personal injury to the undersigned b� reason of the aforementioned unoonpleted condition(s). m 0 4j19 li� t�� ...: A.. ....�iM:�� :.:.::5�.�.. cos� mc CITY OF C06TA RDQCJFST FOR OCQJPANCY �gp� Np. �0097 IOP NO. 14 pp�g 2523 Poplar Iane, Costa Mesa, CA 92627 re!�?R'r�•� c".-1�vepil�e�� 14 , 1979 DEVcLOPI�4c�V+ SLitdtCc� ;;c,'ARTMEN7 ��OV 16 1979 �i$i9�.� •.��3�4i5iG �e developer of the above entitled tract desires to sel].�the above set forth lot prior to the time that the tract has been oonpleted and its streets accepted t� the City of Costa Mesa. By exewting this agree�nent, the undersigned adcnvaledges that he/she/they c.*as/r,ere advised that this tract has not been given final inspection nor has it been accepted b� the City of Costa Mesa as having cwrQlied with the oonditions of approval which were inpased b�+ the City at the time the Final Tract Map was apprwed. The City assimies no liability for the enforcenent of the conditions necessaty for appzroval other than those conditions protected b� surety bond. The undersigned agrees to indemnify and hold the City hazmless from any claim resulting in dam3ge or personal injuzy to the undersigned b� reason of the aforementioned unoonQleted condition(s). .�:.C� �C/ 1�l �i APPRO�D CIIY OF COSTA MESA PLANNING DEPT. EU6JECT TO lLDG. DEYT. REG 6Y�� DATE..1 �.I%-�✓ 7 �.... OIRECfOR OF %.ANNIN6 an9 BY � authorized representative C11LIF0/� SAVINGS & .IiOAN ASGOCIATION BY � (Siqnature of Le r) Richard A. Gaimt, Assist�nt Vice President ��Q�i� 10097 13 CITY OF C06TA R�UFST FOR OCQJPANCY I1ATE: MARC�I 26. 1980 ,�p�s 2521 Poplar Lane, Costa Mesa, California 92627 'Ihe develcper of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been conpleted and its streets accepted bs+ the City of Costa Mesa. By exew ting this agree�ent, the undersigned acknaaledges that he/she/they was/were advised that this tract has not been given final inspection nor has it been accepted b� the City of Costa Mesa as having caTplied with the oonditions of approval which were inposed b�+ the City at the time the Final Tract Map was approved. The City assimies no liability for the enforcement of the conditions necessary for approval other than th�e conditions pLvtected b� surety bond. The undersigned agrees to indemnify and hold the City harmless from any claun resulting in dam3ge or personal injury to the undersigned k� reason of the aforementioned unoonpleted condition(s). CRVn�' r,,,, E�E� �ED , � �� ,� �; N � �; ��8� 4/79 ''�f7��`�j�s CALIFY)RN��FEe�:Hpl'a5AV1NGSe& IAANeASSOCIATION � � / � .� (Signaturn of Len ) Richard A. Gaunt, Assistant Vice President � ' �� Variances: C. U. P.'s: Nature of Complaint: Investigation by: Buiiding Permit Files Reviewed: Assessor's Parcel No Violation of C.M.M.C. Section (s1: � � Findings: NOTICES: tst Given: '6-/-s ��`�-"'_ Date 2nd Notice: Date REPORT OF INVESTIGATION Assigned to: ❑ Building Division Case No.: � ❑ Planning Division Assigned to: ❑ Joint Investigation � � Date: � Co laint Address , / Name of Tenant (it applicable) Name of Property Owner Telephone ' Owner's Fjpsidential Atldress Time of Day (if applicable) Zoning Files Reviewed: Initial and Date .. . � - :�ll. � � -/ - � � - Time Allotted for Correction Certified letter advising that if violations are not corrected, the complaint and alI su to the City Attorney's office with requesi for prosecution. Da[e Mai�ed Oare Received Filesforwarded to City Attorney's office with request: ' Initial and Date CMF 0829-30 maximum time data will be forwarded of . _ . _0_ . , Applicant to till in ail spaees ezcept those witnin heavy bortler lines ane sign all a� CITY OF COSTA S � NS UCTION PEJiMIT PERMI O�� -� TRACT NO. � LOT NO. , � . , P,roject Address �_ p %��Q��L �.E�(/� � � �� TVPE OF CONSTRUCTION 'NEW ADD ALTERATION ApplicanYS MailingAddress � � ❑ CONVERSION ❑ DEMOLISH_ ❑ �THER ' � p Owner's Name ' Phone �,Z-Z6J -� DESCRIPTION OF WORK/USE OF BIDG.. Address t�.��c�� 61�/1L �� •. . Arch/En9. ' l.icense No. Add/re's�s CorkE�o�p'S� ��—p ' '�—Phone �3'�.�Ci Address Im� �� •->� ' �s"—/ST .B�Ud • � City License No. � �Ztl � � � � ' LICENSED CONTRACTOR DECLARATION I he�eby affirm that I am licensetl untler provision5 of Charter 9(commencing with section ]000) at Division 3 oi the Business antl Protesslons Cotle, antl my license is in f WL Porc¢ ntl effect. License CI s ice e o. nate �. Si9nature • )RK RS'COMPENSATION DECLARATION � ereby attirm thai I have a certificate of mnsent to self-insure or a certificate ..t Workers' Compensation Insurance, or a certi(ietl copy thereof (Section 3800, Lab. C.) � �� q y� Company �� Policy No. __oP_�_,_ ��_ Certifietl copy is hereby fumishetl. Certifie copy is fll ith the city B I i g i is n • ate AOPlicant� ��v�—'� EXEMPTI N FROM WORKERS' CO ENMP SHTION ECLARATION (Thls section neetl nol be rompletetl it the permit Is for one huntlretl ($300) o� less). 1 certify that in the performance of the work for which ihis perm�t i5 issuetl, I shall not employ any person in any manner So as to become subject to the Workers' Compensation Laws ot California. Date Si9nature NOTI[E: If,atter makin9 this declaration, you shoultl-become subject to the Wo�ke�s' Compensation provisions of the Labo� Cotle, you must tortM1with comply with Such provision5 or thii permit Shall be tleemetl revoketl. CONSTRUCTION LENpING AGENCV 1 hereby af}itm lhal tM1ere is a consiruction lentling a9ency for the pertormance of tM1e work for which this permit is i55uetl (Section 3097 Civ. C.) Lend¢r'S Name LenGer'S Atltlre55 OWNE0. BUIL�EH UECLARATION I he�eby affirm that 1 am exempt trom the Cont�acto�'s license Law for tM1e follbwing reason (Section ]031.5 Bu5ine55 antl Protessional Cotle: Any ciry or munty which �equires a permit to const�uct, alte�, improve, tlemolislt o� repair anySVucture, prior to its issuance, also require5the applicant fo� such permit �(ile a signetl statemen[ that he/she is licensetl pursuant to tM1e provi5ions ot � Contracror'S License Lzw (Chapter 9(commencin9 with Sec[ion ]000) oi iision 3 of Ihe Bu5ine55 antl Protessions Cotle) or that he/she is ezemOt .erefrom antl the basis tot the allegeG exEmption. Any violation ot Section ]031.5 by any applicant for a pe�mit subjects the applicant to a civil �enalty ot not more than five huntlretl tlollars ($500). . LI I, as owner ot the property or my employees with wages as their sole compensation, will tlo the work, antl the structure is not intentletl or oftered , for sale (Section 7044, Business antl Professional Cotle: The Contractor•s � License Law tloes not apply to an owner of a property who builtls or Improves � thereon, antl who tloes such wo�k himself/herselt o� th�ough his or he� own employees, provitled that such improvements are not intentletl or offeretl for sale. If, however, the building or improvement is soltl within one year of mm- pletion, the owner will have tM1e burden Of provinq he/she tlitl not builtl o� im- prove tor the purpose of sale). � I, as owner of the O�oOerty, am exUusively mntracting witn licensetl con- t�acto�sto const�uct the project (Section ]044, Business antl Professions Cotle: TM1e ContractoYs License Law tloes no[ apply to an owner of O�oPerty who builtls or improves tM1e�eon, antl who contracl5 tor such�projects with a con- tractor(s1 iicense pursuant to the Contractor's License Law)..I am aware tnat p�oof of their Wovke�'S Compensation insurance shoultl be provitletl to me. ❑ I am exemptuntler Section B. & P. C. for this reason Date � � Owner _ I herebvi certiW tM1at I M1ave reatl this a inspecuon pur s $igna[ure Orivers' License or 55 � CMF 0865-46, �ev. 10/84 \ tion antl state.that the above all tltv antl countv ortlinances 0 riate Declarations. NU. REPAIR TYPE OF PERMIT L.I GRADING LJ FOUNDATION U STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5Q: FT. occUaarvCv_ -CONSTRUCTIONTVPE VALUATION $ LZONE - � GRAOING CU. VDS. � �ACRES_ Remarks: . � . ' ' . Bar Sink Backflow Preventer Backflow Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink � Lavatories P-Trap Roof Drains Reinspection Fee � $15 Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact Blt. ICBO # Heating System & Ducting ❑0.100,000 BTU 0100,000 BT Reinspection Fee I '� $75 Builtlinq; Canary - Applicant; Pink - Accounting; Goldenrotl - Assessor PLUMBING Showers Service Sink � Sewer Cap Sewer Connection' Solar Collectors Solar Piping � � Solar Tank Swimming Pool w/Spa Urinal Water Closet � Water Heater Water Service Auto-Wash Laundry Trays Issue Fee Hoodor Typel ❑ Canopy � Type I I ❑ Refrigeration System ❑o-ioo.000sru Oioo,oao Sys4em Repair/Alteration FireDampers � Registers , luue Fee ES A.P.. i1E S Main Building: E T Frant 6 Rear p C Right g Left Ping. Refi# , 'Planning Notes: Automatic Washer Construction Poie Sub. Caoking Unit Dryers LJGa Fan F.A.U. Fixtures Device Boxes O utlets Electric 5170 �/16/q8 � Zone Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW , ❑ 50+KW Meter ❑up to 100 amps . , Meter ❑over 100 amps Sub Panel. Motors �0.1 HP �1'/x - 8 Inc.Solar �9-15 HP �16-15+ Microwave � Pole Light Range Garbage Disposal I I Standing Sections Generator DO-5 KW �5-15 KW Trash Compactor $ 3 f �- Reinspection Fee $15 Issue Fee FEES �DEVELOPMENTSERVICESREQUIREMENTS: Zoning ApProved By Building Appraved By � � APolication Issued BV $ 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP - PIAN CHECK S � PERMIT PLUMBING $ ISSUANCE PLAN CHECK 25% $ ' ENERGV P.0 ELECTRICAL $ GRADING PLAN CHECK 50% $. MICROFILM MECHANICAL $ TOTAL FEE PLAN CHECK 25% $ ' 5,00 .TL Z . O N I N G R E Q: M, T S FEES $�3 ^�`• � ' POOL & SPA �� CONSTRUCTIONAND!PLANNING� - - � , . � / Date Inspector Date Inspector APPROVALS' Permit # � APPROVALS Permit # it � t� 1 � Temporary�Electrical�Ser'vice or Pole 52. Pool & Equipment Location „� r. 2. Soil Pipe�Undrgrnd. � � � 53. Steel Reinforcement � � 3. Electrical Conduit Utility-Undrgrnd. i � 54. Forms � 4. Electrical Conduit-Undrgmd. ' 55. Electrical Bonding � ' 5. Steel Reinforcement� 56. Rough Plumbing & Pressure Test ' 6. Electrical UFER Grnd�� 57. APPROVAL TO COVER-GUNITE � 7. Footings �� , 58. Electrical Conduit-Undrgrnd. ` � 8. Foundation � � " 59. Gas Pipe, � Undrgrnd., Test 9. Water Pip� ndrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd., 10.StructuralFloorSYstem � 61. APPROVALTODECK , 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing . _ 65. Electrical-Final � 15. Rough Electrical�Conduit � ' 66. Solar System-Final 16. Rough Electric Wiring � 67. Fencing & AcceSs Approval � 17. Rough Wiring Sign �� 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling ,ri 69. POOL/SPA SYSTEMS FINAL 19. RougFi Heating & Air Conditioning � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducis, in Structure 70. Underground Hydro . � 22. Ducts,Ventilating� 71. ProcluctPipingOGas ❑Oil 23. Gas Pipe-Rough & Test � - 72. Underground Flush 24. Roof Framing� � ..� 73. Undergrnd.StorageTank OGas OOiI � 25. Roof Sheathing - 74. Overhead Hydro r . 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � � 27. Frame and Flashing /� 76. Dry Standpipe " • 28. Lathing & Siding 77. FIXED SYSTEM FINAL ' 29. Insula4ion , ' 78. FIRE PREV. FINAL - 30. Drywall Nailing HEALTH DEPT. REQUIREMENT G� ; 37. Plaster Brown Coat , 79. FINAL INSPECTION � � �� .n � 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ' (`/J� 33. Final Electric � Notes: _ ,.� Q ��; �TQ��/ 34. Final Heating & Air Conditioning � 3 /> dB LEFTC�aen• L.�E.0 35. Final Gas Pipe-Test .. S/8�frd+ G'q►K(,�„ 45 PE/C.. 20•3 U.P.G L60� 36. Hood or Canopy - % �,, r i 37. Final Faaory Fireplace �"' r ;, 38.' Final Plumbing . ' ' ,� "' "i '�' ' t. � 7 � 39. Water Service-Final � �- ` � ✓'� � . � � , , 40. Gas Service-Final � - ' r� . � ;�,41. Solar pomestic-Final - . � /� y • ''• i ' . i, , ' 42. Backflow Preventer � � - . ^�, !' �� "43. Backflow Irrigation - � ;/ � . J� � 4� �r, fi 44. .Landscape Irrigation System . ; I._ �� ' ' �'45. So�und-Attenuation . � ;� , • -�• J � �� .V •' ,, �46. liandicap Regulations ` � �. - ^";' , ' _ ; � '' 47:� FINAL STRUCTURE & BUILDING ,✓ ,," � �".i � ��' � `��' (�. , %- 48. Special Requirements Completed . � � '," � _ 49. Electric Release to Edison � � r� � i 50. Gas Release to Southern Califomia Gas Co � � w � �' 1 � 51. CERTIFICATE OF OCCUPANCY �, - - � , � No. - Date . . ' .'._ ` , � � �. ' � . .. . .. . � . �-� . . . . aecTnooeess: z523 POPLAR LN � � 0':iAEN'SNRME:�WAYNE M. SMITH•. ' e; RODflESS: SAME ,AS ABOVE ' ' ' ' � �,^ ' ' , ! UNIT: 0 714/646-8203 ; � �PCN/ENGINEEB: ' - � . REC.NO.: � RODflESS: - � . ' � � UNIT: � ' PEflMITTEE: WAYNE M. SMITH �� • +, ( 714 ) 646-8203 � nooxess: 2523. POPLAR LN , ; ' COSTA MESA' CA 92627 '. LICENSEO CONTMCTOB OECIAMTION: I here0y attirm that I am Iicense0 un0er provisions of C�aO�er 9(commencinp wit� Section 7000) of Oivision 3 of ihe Business antl Pmfessions CoEe, anG my license is in lull force antl e11ecL ' t CITY UC.: � ' STRTE UC.: , ' C1A33: � : . ��_ , Oate: SiAnature: ' ' WOBI(Efl3' COMPENSRTION OECIAMTION: 1 Aereb affirm that I have a certifitaie o� conseni to sett-insure or a certifcate ot Workers' � Gompensation Insurance, or a certifietl copy tAereof �Section 3800, LaU. C�. ,� � . � . POLICY NO.: � EXP. DRTE: � � , 1 COMPRNY: ' � . ' . . . ' ❑ CerlitieG copY i5 here�y fumis�ed. O Cetli/ied copy is IileE wi�h t�e ciry 9uiltling �ivisi0n. • � Oate: � RDOlicanC ' �- E%EMMION FflOM WOBNEBS' fAMPENSNTION �ECIAMTION: (This 5ectian need not be completed i� Me permtt is br one hunAred �5100) acless�. I cetlity that in the pedormance oi the work for wAich this permit is issue hall not employ any pers n in any manner so as to 6ecome subject ro the W rkers' ComDcensatian Laws oi Califomia. � . • Data: � �� ' ( � - - Sipnature: � NOTICE: If, atter makinA ��is Oeclaration, you sAou10 hecom subjed ro the Warkers' ComDensation provisions of ihe LaUor , Code, you mus� �a�Awith comply with such pmvisions�or ihis rmit s�all be tleeme0 revoke0. ' CONSTfl11CTI0N LENOING �GENLY: I hereby aHirm t�at I�ere is a construciion IenCing apency for the pedormance ot I�e work tor ' � which ��is permi� is issuetl (Section 3097, Civ. C). , . i ' � LENDEB: ' ' , , ROUflESS: ' - � . �- - , • - � � ..� :_ . • OWNEfl BUILOEB DECIAMTION: I hereby atfirm t�a[ I am exempt Imm Ihe Canlractors Slaie License Law for the followinp reason , 1 (Section 7031.5 Business ana Professiona6Coae: Nny ciry oi counry which 2quires a De�mit to consimct �alter, imDmve, demolish, ar ' • repair any simcture. Drior;ro its issuance, also requires t�e ap0�icant far such permit to file a sipnetl statement that he/she is licensed . pursuant to the D�ovisions ai the Contractars' State License Law (ChaD�e� 9lcommencinA �� Section 7000) ai Division 3 of tAe Buvness antl Proleuions Cotle) or that he/she is exempt iherefmm and ihe basis for ihe allepea exemption. My violation of Section 7031.5 hy : . any apDlicantfor a permit subjects ihe aODlicanito a civil penalry uf no[ more IAan,iPoe hundretl Oollars (SS . ' � �� I, as owner �oi ihe pmperty r- � ' sele-cortipeaeeNe ,. w�the woB,, and [he � � structure is not inten0e0 or oifere or sale ( ection 7004, Business and Protessional Cotle: The Coniracrors: State License Law , � Eoes not apDly to'an owner oi a pmperty who Cutltls or impmves therean, antl wAo Eoes suc� woM1 Aimseli/herself or ihmugh 5- • �is or her own employees, provideE t�at such improvements are not intenGeG or oflereE Por sale. tl, however t�e OuilEing or . , impmvement is 5ola'wiihin one year o� compleiioq t�e owner wiil �ave t�e burden ot OmvinA he/s�e Gid noi CuiIG ar imDmve � br ine purvase of sale). � • � � • ' � . . � "' � � . i : . ' . , ' I, u owner oi the D�opeM. am exclusiJely contracting with licensed contractors ro constmct the D�oject (Section 7044, Business ❑. anA Pmfessians CoOe: T�e Comracrors' Sute Licenu Law does nat appy to an owner of Omperty who DuAds or imDmves thereon anA who tonirat6 fOr Suc� prole�ts vn�h a tonVatiof(5) liCenSe DUrsUani Io �he Coniratbrs'.Sta�e Lit¢nse Law� 'I am aware that Drool ot their Worker's Compensation insurance sAoulA be O�ovitled to me. ' ' ' , �. I am exempt under Sectiore i '• � B. 8 P. C. � � � ' Por ihis reuon: � , ' ' � , Date: '�"�L— JU. � � Mmer I Oo here0y certiry Ihat I am aware ot antl untlerstantl the reQuiremenis o� Calilomia Hea h and Saleiy CoOe Sectlons 2550 , 25533, an0 � 25534 anA thai I or any fuNre builtling occupant will/will not (circle one) nee0 io camply with saiC 5tate co0es and lhe requirements toca permit lor constmction or.motlification Irom ihe qir Oualiry ManaOement Oislnci. Fesitlential constmclion applicatians are e�empt imm '� �hese.Omvisians. . ' ' . , I . � � � � � Date: ApplicanC I here�y certiry ihat I have reatl ihis apPlication anA staie I�at Ihe above iniormation is correci. I agree (o comply with all ciry an0 counry � oNinancuan0stateWwsrelatingtoEuildingconstructianan0�e2byaut� erepreseniaWesafl�isdry�entetupontheahove-mentioned pmpeM �or inspection puryoses. , J/ � roate: `—/ — / / = 7!� Signaare: �6 oriver's �icense or sociai securiry x: 1641i8 W�i�e=BuilOinq; Graen—Cotla EniorcamanC Canai Pink=Revanue: GOltlenroE—Assessar � - CITY OF COSTA MESA —.HUILDING PERMIT ,PERM NO:,E-� 046910 �' PERMIT NO: E 046910 � �PLAN CHECK NO: � N �GOVT: N.SUPP: N, i • CONSTRUCTION TYPE;, '. , PERMIT-T,YPE: ELE.. , PURPOSE: OTH JOH'DESCAIP,T.ION��;,ELECTRIC FOR PATIO �� ` . � '. � �SQ FT; .... CLAIM VALUE: CALC—VALUE.: �'- GROUP OCC: /. COMMENTS: { � - � . .� x�r*��**x***�***�*x*�rx**�e****�r�rx�r*�r***x�e***��e�r�r*�e+��*�t+��r�r�x****��r�r****�r��r*�ir*x�* . ; Z O N Z N GS EATEB�AUCZKRSE M E N T S � • � ------------ MAIN BUILDING ---------- --------- ACCESSORY�BUILDING --------- �FRNT: FT IN REAR: FT IN FANT; FT IN REAR: FT' IN, LEFT; � FT IN,RGHT; FT. , IN LEFT; ET IN AGHT; FT I-N PARKING REQ• ' PROV: PARCEL: 43917266 2NE: REF'NO: ,' PLANNING NCSTES> , � _ ; > .. . .. . .. . - ik if iFlflk if If 1k 1E iFlf ik 1tlE iklFlFlE fElE ik if ik iFlt k iFlflf if M 1klk �F 1F iF�iklk 1E if if if 1t iF 1Fl4lflf iklF 1E k!t iF iE iF if ik M 1F iE k 1k ik 1f 1F M 1f iE 1f if ik Ik;1f iE iE it if if ; D E V� E L O P M E N T S,fi-A V I C E S R E Q U I R'E M E N T�S '' 20NING APPROVED BY ' ' DATE; HUILDING•APPROVED BY : � � � � DATE: � ...J, /'\ � . � t � /� k iF k ik if it if jf ik if ff 3k if if it if ik ilif aF if if !F iF i! iF iE ik!! M if if iE ik iF ik ik it iF ik 1f iF ik �k if 3k 1k ikff iE ik it iF k iF 1k3F iF it iF ik iFif !k iF �F iF if if iE iF iF ik iE iF iE if ik % LEGALIZATION:N • F E' E', S U M' M'A R'Y STRUCTUAAL 'SEGMENT:N ' BLDG PMT PLUMHING�'ELECTRIC ,MECHANIC FIRE SMIP/RES GRADING PERMIT 7 ' 12,50 + � • . :SOt SMZP/NON—RES' � Pi� ' • . . ISSUE FEE � 15,00 . � BUILDING—DIV—>. PERMIT,• ISSUE PLAN—CHECK TOTAL PAID 'DUE TOTALS----> ' 12.50 15,00 0,00 27.50 ; 27.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED:_ 27:50 OVER/SHORT: .00 ; .� ' BLDG.PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK .. . i � • 2%.5�. : . . �' . if ik 3k 3E iF k iE iE if iF iF iF if iE if iE %iFiF if if iF if iF if Ik k iE iE iE iE �f Ik ik 3E M iF iE �FiF if if iF iF ik 1k 3f if iF iE if iF k iF ik if 1F ik if iF iE ik if iF �t iF it if if iE iF ik iE iF IF if %if �iF `� , ' I N D I V I' D U A,L F E E B R E A K D O W N. , � TYPE QTY D E S C R I P T I O N UNIT�COST ' TOTAL COST ELE 1. FIXTUAES LIGATING 1'ST 20 EA. ., .75 ' ,75 ELE. • ,1 RECEPT/O�ITLET 1 ST 20 EA, .75 '' ' ' 75 ELE,- ; �,1—• MISC APPARATUS NOT LISTED RE(� PERMIT 11.00 11,00 • � END OF FEES • � " � . ' � � � i . .� � , • � A � � i i 01 OODSL390—OOOS8�90 T�� 7 DATE� 04/11/SU TItIE: 15:12 - . ' .:! . . _. A e 0 9 �- .'� CONSTRUCTION AND PLANNING _ •. �� , �' � $.00I :PA � - � _ Date Ins ector ' Date Ins ector � �APPROVALS Permit # - ' -P APPROVALS Permit # . P 1.'Temporary Electrical Service or Pole • 52.'-Pool & Equipment Location �� _� � �NSoil Pipe�Undr�rnd.� 53. Steel Reinforcement � � " - vS�S_Electrical Contlrrtt�(kility-Undrgrnd. � 54. Forms ' � -� : ' . •'<T A '� 4,SElectr}tal CondnTt'�C�ndrgrnd.., -" � . 55. Electrical Bonding� � � v��VSteel Reinforce'r¢rat� � 56. 'Rough Plumbing & Pressure Test V M!�\ C�;6�Elec(`.i'cal UFE'��nd. � 57.•�APPROVALTO COVER�GUNITE 6_ �;7F�'r,Footings r� � � � 58. Electrical Conduit-Undrgrnd. w -� 8. Foundation �s - . 59. Gas Pipe, � Undrgrnd., Test i� 9. Water Pipe�Undrgrnd. 60. 8ackwash Lines, P-Trap, O' Undrgrnd. � � 70. Structural Floor System � 61. APPROVAjL TO DECK . , � 11. Property Sewer Lir� & House Connection - 62.- Backwash & ReceptorFinal � � . 12. Sewer Cap ti � . 63. Heater & Vent-Final � 73. Roof Drains � � � ' ' ' ,�, 64.. Plumbing System - Final . � 74. flough Plumbing � . " � 65. Electrical-Final � • � 15. Rough Electrit�l-Conduit 66. Solar SYstem-Final ;'. , 16. Rou9h Electri iring, 67.- Fencing & Access'ApProval ., 17. Rough Wiring'fifgn .' 68.' APPROVED FOR PLASTERING � 18. Rough Electri�l-T Bar Ceiling 69. POOL/SPA�SYSTEMS FINAL • 19` Rough Heating�& Ai� Conditioni�n'Yq " ' - ` � ' � � � FI,f�E Q,�PT. $EQUIREMENT � � �� T J ,'1 � :-n ;w Q' � .; � C�.i: C -i w x e-� i*1 C'1 [r; � � > � T.i7 "7 7' � T* Y: � '-'f"�O n . 'k i� '7'7 20�Roogh F.act�Y �e,Place t: r+• �Q x S.-i C+* �.,f�PPF�OVA�LS�.,;E.,Pek¢irt #��: . 21!-'Ducts, i� Stti'ictu?et � �•� •� �-'S � '`-" � �-+* � �70. ClndergTo�n� Hp'�',drb x �., W � :, . � n ,: * �.. � � + 22 D�ts. �%ntt�atir�g"* : *� S � x a � ;c : m �r S i. ,,, * i � �: � � r E-x � 71. ProducN, ing O�as CaOil 23�Gas-Pipe�R6ligh & aTest �75 x�7 _ S O� *�i7z, Undergroend Fhisl�i �' E-' +T`n !1 i ^�AY��• :�. 24`�Roof F�miri * � F'F ••F x? O _ � M.>' '� '� �+� -�+ + 9 r. ,y y; � tii��: ..73.yUndergrnii.Stor,a,g�Tank�OGas ❑Oil 25. RoM SISEathing �t <, v # � � G > CJ� * � 74 � Overhead Hydro- • � 'n v ., m ^,: r . rn i � 26a'T�Bar Ceilin (Stru tural) x,`��,�� nocoat * � `� ``�'� x � 'k �'' d �" ` � ro 9 � ""'S.� vc O Y p* x 7 LDry Chemical �.,,� * },.i�, 27.rFrameandFlashing pa� �kc� :+ ��*� 76.�DryStan�pei-'� 't ��;•� r� L Mu Y t- r '1H �28.1 Lathing'& Siding *"� O'�F � x�- � � �* 77,;� FIXED SYS'TEM;FINAI� �., f� ��;r 29. Insulatttln � S � �� i i * 7� FIRE PREV. FIN' L �> � �� "'30. DrywaN'Nailing k H � *�., j . '�` � y 11�ALTFii`?DEP�. HEQC11R�1�1T � - � . -n ., w • c��+ - v � r � ��31. Plaster�Brown Coat� S i^[n * � i '. �;n7g.�FINAL 16[SP.ECTtflN• s� w, �7 __ . . . �_i "� . . '"32;yElectrica,l Power M�ter-F�nali ' � �� I � .* �SOyF00D CEFTIFI��'LX�T� I�SL�IED,� S � 1 � i .• � . V• "J . 1✓ C� $335fiqql �ectria * ;r, i Q ,� a * Ndtes+ •-+"7 ^t�7 x '-7 O C7 � n � r 434�Fir�l HeatirSg"& Ai*C�,_o�dition7ng � � � ( �i/�,� �. J �� o�i E�-•� � s =."C�i7J i t+ ' � a � � �. � , v; ., ,. � �,. � 35,-�Final Gas Pipe-Testr � .. g Fy ' ��: . ,�„o V- r r :UNRIR, m36�Hootl or CanoPY * � ^ � � [�'�'7 <. * C`. I, � � * c £ Clo . :k -. . ' '-[n . � rn K Cl I lT. p7 [:.� .K i Y. Tl .^. O t[T7 :n U�T. cl r-� y s F. i� i w z. : � � . � � v: -37.`..Final Factory Fireplace;� ; F;-, �. ic �' � x � rjsv . "'�38. Fi al Plumbing � �N � � x ^ I h` '` � '' "' * 'a C' ' � t t.Y. �k � . 4 �T .K � : r39. Wai�r Service-Fina � _ � �� ' ;� � ' .� * - • � - .• z � Ymi - r. cq40. Gas Service-Final * [^. �?"[r 5 � :7 � � Ot� rv;v .'r. � . .�. .� � n�. r- -n � i � � x: �-. . o E x� H47. Solar pomesticFir�IS � �� U' I � � M p, .-p � ; � _ . . � 42.�Backflow Preventer.� � N * r � � �* x � >c-� M O H w n...r. * � * � m �'i0 W. �F '-+ 43. Backflow Ir�i atio* �SS M �� -�.c-� x�._, -� . � �. . � ^ x x :; � � n `a l [T744. Landsrape liiipatid"n Systern�"n x � n -n d*''� �� :� -T�� * cu NP�G � T !1 :t �'1 T M C *'* � L F '✓1 OM' �K S E^ ' n .-, x : r• , � F- :- -- �: x � � �; • „ :; � : E45`.�Sound ;A.tteAuatio� .y .... . x ,r, -�+ :;r. � o+ �C � �., f • � Q46.•�Fiandicap Regulations �-+ O * � y* � : 5 � Oo S � �c x^ I I i: x �r (� (� y; • ma7:SF�ma� STRUCTU,�tE & BUIiDING � F, � I�� ' 'Ti' ,�. X F, . : t 48�FIfSqL PLANNIN6 i '-F- * �'- ri :.� * �� • 7 T � I i� � I -F T' ... 1 �F. ' 49` Electric Release to Edison 4 .. � � * i �= � x :� � •r x � �50SGaf,Release to SouChem Califonrtia Gas Co �* � .i �"r`�� -' '-i C • cm * O � � • �. � w .,x m • 's �o n � ra „ro =51. CE&TIFICATEOFOCCUPANCY " `v"'" � �� T ^ 'R r' '"' No Date _ - - . .. _ - - - . .Applicant to fill in all spaces ezcept cirv oF coS7a MESA CON TRUCTION PERM IT ' �.Sa 3 �.aR C:N Project Address A�p��7lpica�nt's� ilingAddress' 2' 3 � R OvLrTer's N'ame T� 1 Phone Address , �—�� ^�"�� ^"� ' Arch/Eng. License No. _ Address � - ' . �c�F�c.C�'I�RA�-'�i iY Contractor's Na r�,�!l , Phone Addresslm�'�'�9111�+�bMMQP��' Q�Vt'��A�� F r � > City Licensa Nq _(�� ' LICENSED CONTPACTOH DECLARATION � I hereby aHitm tM1at I am licensetl untler provisions of Charter 9(commencing with section ]000) oi Division 3 of the Business antl Professions Cotlo, antl my license is in fu rce antl eHect. '(`q� J� Ucense lass Llc 5e Na l � Date Z 5'9 t 'ORKERS'COMVENSATION DECLARATION �� nereby affirm that I have a certificate of consent to self-insure or a tertiiicate of Workers' Compensation Insurance, or a certifietl cooY thereot (Section 3800, Lab. �� Company �T�" \ � �r-� Polity No. �ertifietl copy i5 he�eby (umishetl. C.ertifietl m.�{� filetl with tbe city � ping ro� Date 't �Z ��+ APPlicant �'�� ., EXEMPTION FROM WORKERS' COMPENSFTION DECL ATION (This sec[ion neetl not be com0�etetl if th¢ permit I5 for one huntlretl ($300) or less). I certify that in tlte performance oi tbe wo�k tor which this perm�t is issuetl, I shall no[ employ any pe�son in any manner so as to become subject to the Workers' Compensation Laws ot California. Da[e Signature NOTICE: If, afler making this tleclarafion, you shoultl become subject to the . Workers' Compensation provisions Of the Labot Cotle, you must forthwith romply with su<h provisions ot tbis pe�mit shall be tleemetl revoketl. CONSTRVCTION LENDING AGENCY 1 herety affirm that there is a consttuction lentling agency tor the performance of the wo�k' for vihich tM1is pe�mil is issuetl (Section 3097 Civ. CJ Lentler's Name Lender's Atltlress � OWNER�BUILOER �ECLARATION - I hereby aftirm that I;am exempt from the Contractor's License Law for tne lollowing reason.(Seotion 7031.5 Business antl Professional Cotle: Any city or cowity whiGh repuires a,pe�mit to const�uct, alter, improve, tlemolish or repair any'struclure, prior,to its issuance, also requires the applicant tor such permi[ n�iin a aaneet Uatement that M1e/she is licensetl oursuant to the orovisions ot ivi5ion 3 0( [he BuSinesS aotl Protezsions Cotle) or that he/5M1e Is exempt .nerefrom antl the basis for�the allegetl exemption. Any violation ot Section �031.5 by any applicant for a petmit subjects the applicant to a civil pendlty ot not mo�e than five huntl�etl tlollar5 ($500j. � ❑ I, as owne� of the property o� my employees with wages as their Sole compensation, will tlo the wo�k, antl the structure is not intentled or offeretl tor'sale (Section 7044, Business antl Protessionai Cotle: The Contractor's License law tloes no[ appry to an owner of a property wM10 builtls or improves tM1ereon, antl who tloe5 sucM1 work himself/berself or through his onher own employees, provitletl that such improvements are not intentletl or offeretl tor sale. I!, howeveq the builtlin9 or improvement is soltl within one year of com- pletion, the owner wiil have tne burden of proving he/she ditl not builtl or im- proveforthe purpose of sale). ❑ I, as owne� ot the-property, am exclusivery contracting with licensetl con- tractorsto con5truct the project (Section �044, Business antl Professions Code: The Contractor's License Law tloes noi appry to an owner of property who builtls or improves thereon, antl who contracts for such projects with a con- tractor(s1 hcense pursuant to the Contractor's License Law). I am aware that proof-of tbeir Worker'S Compensation insurance Shoultl be provitletl to me. ❑ I am exempt�untler Section B. & P. C for�this reason Date Owner I M1ereby. certify,that`I have reatl information is co��ect: I agree to t and state laws relating to buil 'n� sen[atives of tli' city to inspection Ou�p Si9nature . Drivers' License or 55 � a the tate that the above tl COUO[y O(dllldOCES :by authorire rep�e- ionetl Propy� or Date� Z ii within heavy Eortler lines anE si9n all xOC/opriate tletlarations. iACT NO, LOT NO. . UNIT NO. TVPE OF CONSTRUCTION LI NEW IL ADD LJ ALTERATION U REPAI R r.0-CONVERSION ❑ DEMOLISH ❑ OTHER _-=�DESCRIPTION OF WORK�U OF BLD L ' n'�� ' X\O �i10 �A�G S D �Z V� TVPEOFPERMIT . ❑�GRAD�NG L�FOVNDATION L�STRUCTURAL � ❑TENANT� ❑'ELECTRICAL ❑ PLUMBING ❑ MECHANICAL . "Q OTHER �. ' �' "PROJEC7 DESCRIPTION SaIFT. ' OCCUPA GY ,CONSTRUCTION TYPE VALUATION $ L� � '-ZONE GRADINGCV.VDS. ACRES Sink <flow Preventer <fiow Irri9ation itubs ifiers - IWd5�l2f � Drinking Fountains Floor Orains Floor Sinks GasService � OuUets Interceptors Kitchen Sink Lavatories ' . P—Trap Roof Drains � �' Reinspection Fee .� $15 Ducc- Under Ground Duct-Strucwral � Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. IC80 # Heating System & Ducting ❑ 0-100,000 BTU � 100,000 BTi Reinspection Fee '� $15 CMF 0865-46, rev. 10/84 Wltite - Builtlinq; Canary - Applicanh Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink - Sewer Cap Sewer Connection Solar Collectors Solar Piping - Salar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Warer Service Auto-Wash Issue Fee Hood or' Typel ❑ Canopy Typell ❑ A.P. # S Main Building: E 7 Front B Rear A C Right " K g Left Ping. Ref..# Planning Notes: Automatic'Nasher .Consvucdan Pole Sub. � Cookin9 Unit Dishwasner . � Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers � $ 3 laue Fee { $ 3 Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generamr �0�5 KW 5 KW 5033 2/II/83 ' . 2one �2. �� AccessoN 8uilding: � Z O N _ - 1 N G Parking Req./Provided E Q M T S ELECTRICAL� - � Transformer ❑ 15-50 KW O SO+KW Meter CJup to 100 amps �� Meter �overi00amps Sub Panel . � Motars C70-1 HP �1'/: - 8 ' Inc.Solar �9-15 HP �16-15+ Microwave Pole Light Range Standing Sections Trash Compactor FEES - I RainsPection Fee ' �$15 I I luue Fee I. $ 3 I" ' DEVELOPMENT SERVICES REQUJ�jS:� Zoning APProved BY � �� Date �r_�I ��. Building Approved By - Date Applicatian Issued By Data 1�/ 1�. � �� SUMMA V OF FEES . BUILDING PERMIT $ �a SMIP $ ' � PLAN CHECK $ �PERMIT PLUMBING � $ ISSUANCE' $ PLAN CHECK � 25% $ ENERGV P.C. $ ELECTRICAL $ � � GRADWG $ � PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ ,�� PLAN CHECK 25% $ —� � , . POOL & svA " CONS7RUCTION�AND PLANNING � Date Insp0C1 Date Inspector. ApppOVALS Permit# APPROVALS Permit #' ' 1.-Temporary Electrical Service or Pole 52. Pool & Equipment Location , 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' 4-. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement � � 56. Rough Plumbing & Preswre Test 6. Electrical UFER Grnd. , 57. APPROVAL TO COVER-GUNITE 7. Footings � �58. Electrical Conduit-Undrgrnd. 8. Foundation �' ' 59. Gas Pipe, O Undrgrnd., Test 9. WatNr Pipe-Undrgrnd. �!� ' 60. Backwash Lines, P-Trap, O Undrgrnd. II 10. Structural Floor System � � 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Feceptor-Finai 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains. , 64. Plumbing System - Final � 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrica6Conduit � 66. Solar System-Final 16. Rough Electric Wiring '- . 67. Fencing & Access Approval . 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING � 18. Rough Elearical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 4 �� 19. Rough Heating & Air Conditioning � , FIRE DEPT. REQUIREMENT �_ % -. 20. Rough Factory Fireplace APPROVALS ' Permit# '� .� 21. Ducts, in Structure • 70. Underground Hydro � . 22. Ducts, Ventilating � 71. Product Piping 0 Gas ❑ Oil 23. Gas pipe-Rough.& Test � 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oilj 25. Roof Sheathing 74. Overhead Hydro , ' 26. T-Bar Ceiling (Structurap.& 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 31. Plaster Brown Coat � � 79. FINAL INSPECTION �, ' 32. Electrical Power Meter-Final. 80. FOOD CERTIFICATE ISSUED i 33. Final Electric � Notes: � - . 34. Final Heating & Air Conditioning 4 e�Q t 35. Final Gas Pipe-Test ' 36. Hood or Canopy �- 37.'•Final Factory Fireplace , r' 38: Final Plumbing � ;.� � - �.. 39. Water Service-Final , ' �� - � . ^- �� - . 40. Gas Service-Final . ' � ' " ' , , � �_ 41. Solar pomesticFinal ��" ! • S� `' ' � � 42. Backflow Preventer .�. � •' • ' � i , 43. Backflow Irrigation . � � , .' �, � � . ,. � � �1 � . - � 44. 'Lantlscape Irrigation System •� . , .. - �.45.�Sound Attenuation � � '� = 46.'Nantlicap Regulations � - . , � , • 47. FINqLSTRUCTURE&BUILDING � - S/ C�d Q�- �- � ' � ` � , . � � i �. 48� Special Requirements Completed -'{ � . � " "' '' . . w 49. Electric Release to Edison . � ' �� 50. Gas Release to Southern California Gas Co `' �� 51�. CERTIFICATE OF OCCUPANCY � �" � • r�. No. Date ,. , � � �f" � - 1 _� � F � � a a � h x F G F 0 J Q � r � a w a O a o. z � 3 ��i � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Comple[ely — Use Ink Only BUILDING�.a�as�3 �s��(�rc� ADDRESS -� � OWNER Monte Vista Townhomes, Inc. AD�RESS9O1 DOVC St. #225 c�Tv Newport Beach No�lb2-5071 BRANCH AUDRESS CONTFtACTOR ADDRESS � V TEL. CITV NO. STATE CITV LI0. NO. 110. NO. SIZE I NO. OF BLDGS. OF LOT NOW ON LOT USE OG � EXISiING BLDG. � Separate permits are required for electric, plumbing and heating work. VSE OF BUILDING ANO WORK TO BE PERFORME� I heraby acknowledge thai I have reatl this epplication antl state that She above intormation is correct antl a8rea to comply with all laws regulating building construction, and 1 shall not employ any pe�son in violation of the workman's compensation laws of the State of California. - 1 hereby certify that I m properly licensetl as a contractor untler ffie State o� a�rni B�ness a� tessions Code, DWtsion 3, Cneptar 9, tl t ch licenses ar i,full force antl eftect, or I am exemp ro h rovi ons of Stete of California B�siness antl P�ofeS e, Iv ap h p�er 9.. Permittee II// / � C Authorized Agant � �sa �, 2s2 3��s2s 7809 10%27/78 2.16.51- TL Z 7809 I0/27/78 .2I'6.5YCKTU' 78p9 "00004G6971 -IA' '�" AP ION�¢�t:STRUCTURAL PERMIT A.P. NO BUILDING ADDRESS OWNEF � �j�N.+ �/� ' w�USE FIRE ZONE YP APPROVED �� BV ZONE NO.OF US PLAN$ 2 BU YARDSAPPqOVED MAIN BUILDING P (FROM GL STREET) IiEAR I � DISTANCE BET. MAIN BLDGS. VAF.# • C.U.P.�� FOR SPECIAL �ATE YARDS APPROVED BET. MAIN & - 2 7- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: VALUATION PERMIT FEE $ n �-y�� PLAN CHECK $ �v e}-� $/WI ✓(/ v TAX $ �7 / TOTALPAID $ N � � > a 7mV� � � a vi n n LL � � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ;� 7938 J0730%78 32�.OD TL 7938 10%30/Z8 _ 32a.00CKT� � c uuuuuwo�i� in APPLICATION FO -S RUCTURAL PERMIT - For Applicant to Fill in Completely — U Ink Only IiECEIVEDBY DATERECElVED ppTE,VSS�D ADDFESs252 2SZ3 � � 2 � /�� I � PERMIT NO. OW �� A.P. NO. �"�A ADIDRES��f il f+Jsf'� L3L O L'�` ADDRESS TE�. TRACT LOT BLOCK CITV NO. CON5TRUCT�pM W ADD ALT R P LENDER BFANCH OWN ADDRES& � � VALUE AflCHIT�CT TEL. S OR ENGI EER N FIRE ADDRE55 ZONE TVPE GROUP - - APPROVED CONTRACTOR BV DATE ADDRESS TEL. Z�NE NO.OF USE OF NEW CITV NO. P�� eU1LDING STATE CITV �'/aRDSAPPFOVED VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLDGS. (FROM C/LSTREET) OF LOT NOW ON LOT FRONT fT. FT. USE OF EXI5TING BIDG. S E F. FT. Segarate permits are required for L. SIDE FT. FT. electric, plumbing and heating work. REAR FT. FT. USE OF BUIIDING AND WORK TO BE PERFORMED . DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS, BLDGS. VAR.# DATE 0.U.P. � APPROVED APPROVED I hereby acknowletlge that I have read ihis applicaiion antl rtate �^ n that the above informaiion is correct and agree to comply with m all laws ragulating builtling construction, antl I shall not employ � any perspn in violation ot ihe workman's compensation laws of m the State of CalifOrnla. I hareby certify that I am prope�ly licensed as a contracfor untler SQ. FT. N rne szere at California B�siness antl Profassions Code, Divis(on 3, THE AMOUNT SHOWN UNDER VALUATION IS FOfi N� Chapter 8, and that such licenses are in full force end efiect, or I THE PURPC6E OF ESTABLISHING F rERrn1T FEE oNLv: � am axembt from the provisions of the State of California Business VALUATION PERMIT FEE S and Professtons Cotle, Divislon 3, Chapter 9. � m PLAN CHECK S m Signeture of � � Permittee $ -�qx $ LL � U :.::thoriz@tl Agent TOTAL PAIO $