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Home My WebLink About834 PLUM PL - Building Permits/ 0 PflOJECT p00XES5: w8 3 4 PLUM PL OWNEfl'SNFME: NIICOLAI ZEMTSEV aoneess: 3854 VALLEYBRINIC RD LOS ANGELES CA 90039 APCH/ENGINEEP: � � 13 ) 663-9705 RODPE55: flEG.NO.: UNIT: uxiT: PEHMITTFF: NIKOLAI ZEMTSEV ( 71 4) 646-1 316 nooeess: 3859 VALLEY BRINK RD LOS ANGELES CA 90039 LILENSEO CONTBRLTOB DECIAMTION: I trere0y atlirm ttal I am ticen5e0 unCer pmvi5i0ns oi CtwO�e� 91�ommenung wilA $eciion 7W0� ot Drvison 3 0l I�e Business antl Prot¢55ions COtle, an0 my license i5 in IWI larce an0 etlect. QTY UC.: STRTE LIC.: LLA55: Oate: Signamre: WOBI(EBS' COMPENSRTION DECLANATION: 1 here0y alli�m ttut I �ave a renificale of consent Ia self-insute or a certiliwt¢ oi Warkers' ComOensalion InswanCe. or a[eNtieO copY ��ereal (Section 38110. LaG. C�. POLICY NO.: EXP. D�TE: CeM1ili¢C copy is �ere�y �umiS�eG. ❑ CeNlied mpy a tilM wit� the ciry Building Uivision. �le: APDlican�: E1fEMPfIONFNOMWOflKEPS'COMPENSAPONOECIAIiATION: (�ItiSsecWnnee4rol�ecomDkteEi�Ihepetmtis�aonehuMred�5100�or1e55�. I certily tha� in ihe OeAormance ol Ihe work for whic� Ws perm� is issuetl. I shall not emplay a�ty person in any manner so as to become SUEletl Io I�e WOrkers' Compensalion Laws oi CaGlamia. Dale: Signaiure: NOTICE: II. a�ter maMinq t�is 0¢Uara�m, you 5hou10 betome Subl�� o IIIe Worker5' Compen5afian pmvivons oi the Labor CoCe. yDu must Iart�vni� compry wiN su[n O�o�sions w �NS pemut sha0 be EeemeO rewke0. CONSTNUCTION LENOING RCENCY: I hereGy a�firm Ihai ��er¢ is a mnslm[Iion IenAing agenty �Or t�e pedormance ai lhe work lor wnic� ihis permit is i55ue4 (Section 3097. Civ. L�. iEx°E": RENEW HUILDING PORTZON nooeess: OF EXPIRED PERMZT BP37699 CITY OF COSTA MESA — BUILDING PERMIT PERM NO; IB 05517` PERMZT NO: IB 055175 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE; 5—N PERMIT TYPE; OTH STA PURPOSE: OTH JOH DESCRIPTZON : ADD GARAGE, STORAGE 6 BATHROOM SQ FT: CLAIM VALUE: 12,419.00 CALC—VALUE: GROUP OCC; R-3 /M-1 COMMENTS; RENEWS 'HUILDING' PORTION OF HP37694 �r�r�r�****�r�r**�**x�r��r**+r*�r*+r�*��r*��r��*�t��r*�*+t�t+�*+tx*�r�*�r*�*�x**«*+t*+��**�r***�r�***x�� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDZNG ---------- --------- ACCESSORY HUILDING --------- FRNT; FT IN REAR; FT IN FRNT: FT ZN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL; 92295414 2NE: REF NO; PLANNING NiSTES> � iF if iE 1E if k if 1E iE iE iE �F if IE iF if IE iF k jF k j! * jF �f k M iE k k iF aF k iF iF iF if if iE k ik 1f iE iElE iE iE ih If IE �E iF if �f iE iF k iF iE iE #t IE iE jf �E jE iF 3E afif3E 1F iE iF jE i' if if iE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N:T,S ZONING APPROVED HY . DATE• �%'� HUILDING APPROVED BY : APPLZCATION ISSUED BY: ,� if iF iF�lf it iF iE IE if iF iF if iP IF iE 3t k iF it iF k k **�t*****�r*i�**�tit****r*�t*�t�t*****it�*****+r** LEGALIZATION:N F E E S OWNEB BUILOEP OECIAMTION: I �ereby a��irm that I am exemD� ��om ��e Contraciors' State License Law for t�e IallowinA �eason �Sec�ion 7091.5 Business ana Pmlessional Cotle: Any city ol county w�ic� reQuires a permit to constmct, atler, imD�ove, Aemolish, or P ERM I T reoart any sVucNre. prior lo i6 iuuance, also r¢puires Ine apv�� or suCO permil ta lile a 9gnetl statement itut nPlsne is licensea pursuant to ine pmvisions oi the Contracmrs' S�ate License law (C�apter 9(commencing wit� Section 7000) of Division 3 0l t�e Business � DATE: � � DATE: / �- kififiElFitiEifiFif IEk it iF M�1F if if if if aF iF if if M iE iE if * iF iF jF iF 3f M if iE 1E if iE iE if 1F if if iE If M A R Y STRUCTUAALfSEGMENT:Y HLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/RES GRADING 30.00 SMIP/NON—RES and Pmi¢55i0n5 C00¢� or Ihai �e/slie i5 ee¢mpt ttMr¢irom and I�e Oasis lor t�e all¢peG evemp(ion. MY viola�i0n o� $B[ti0n 7031.5 Oy PL�j an� aooi�cant mr a oermii suoiecis me aoviicant ta a crvii venauy o� irot more tnan �ive nunared adiars (SSooL ISSUE FEE i, as owner oi tne o�aveny or my empiayees wi�� vlages as tneir sde campensa�ion, vnll Oo Iha work, ana ine BUILDING—DIV—> ❑ stmctureisnotinlenGedoroilere0lorsale�5ection70aa.BusineuanCPmle55ionalCoae: T�eContraclars'SiateLicense�aw TOTALS----> � Eoes nol aD01y lo an owner ol a propeny who Ouiltls or impmves t�ereon, anU wM GoeS sucll work himsell/�ersell or t�rouph �is ar her own employees. proviEe� tAdl suc� improvemenis art nol intentleE or oflereG lor 5ale. If. �awever ihe builtling or impmvemem is so10 vnt�in one year of comD�etion. i�e owner witl nave t�e OurOen oi pmvinA ��s�e AiA nol bui10 or impmve RE VENUE D I V lor me Durpose oi saiel. H LDG I, as ownerol I�e pwperty.am eeclusively Wnlracling wit�license0 cOnlraclorsio construc��he project (Seclion 70Ed, Business 3 0 ❑ anJ Proleuions Catle: il�e Contractors' Stale Licenu Law Uoes wt appy to an owner al pmperty wln WilUs or improves ��ereon and w�o cOnlratis lor SUc� pr01etl5 with a tanlraClor�s) lit¢n5e DursUan� Io t�e CAnira[Iors' Slaie Litense Law�. I am aware {�..�(.{�.{p{p {(.{(.�.{f {f {(. Itul orool ol Inei� Worke�'s Comoen5ati0n insurance StbNE Ue proviUeO to me. � i am eaempt under Section: BP7O4 4 8. 8 P. C. mnmsreasore BY OWNER �t �%'%/�J/ �2�'/��/J�/'� TYPE QTY Oale:_��1.1'i�� Owner/___�d��C(�Yl_______�V Ti�$ I tlo �ereby cetlily Ihal I am a are ol anG un0erslantl Ihe reQuirem¢nls oi Catilor �HealtnX�a Safery Coee Sections 25505, 25533, antl 2553d antl Ihal I or any INure building occupanl will/will not (circle one) neetl �a compty vnfn 5a10 Slaie COtleS antl I�e requirements �or a permii lor canslmciion or motlificalion �mm I�e Air Oua01y Managemen� qsMtl. Nesi4eniial cOnstmciion apD��catians are e�emp� Irom ihese provisions. �al¢: AppliwnC I here�y cetlilyl�ai I �ave read �his applicalion antl siate Iha�t�e aboveinlarmationis correcl I agree Io comply with all city and caunry ordinance5 antl 5lal¢IavSielalingio Dmltlmg consfmt�ion and her¢Oyautlnnzerepresentalives olf�nnic tilyio¢nieruponlhe ahove-menli0ned piopetly fo� mspeciion purpOses. �_`// �ji ��,/ vv oa�e: _� �� Signalurr�' F Driver's �icense or Socia� Secuniy �-46 WM1��e—Bmltling; Green—CoOe Enlorcemen�; Canary—Applican�; Pink—Revenue: Goltlenwe—Assessor PERMIT ISSUE PLAN—CHECK TOTAL PAID� DUE 30.00 0.00 0.00 30.00 30.00 ,00 ISION TOTALS--> COLLECTED: 30.00 OVER/SHORT: " 00 P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING-PLAN—CHECK iE IE if iE if iF if iE if If iE iF k iE 1E �f if if it iF it k 1E iE iE ik If iE if it iE ff if� iF �F k 1t 1E iF iF iE �f iE if %IE if 1E if if 1E i! if iF iE if iF if 1E if if if 1E iE if iE IE M I N D I V I D U A L F E E B R E A K D O W N ,' D E S C R I P T I O N UNIT COST TOTAL COST i BUILDING RE—INSPECTION FEE 30.00 • 30:00 END OF FEES • �� . C. ( �� t i i.i �iL1;!ol�." ' . i-� "—� .... (Ss�T: 1!� '_ • . �, �- . n CONSTRUCTION AND PLANNING � P��A - '� APPROVALS Permit # Date Inspector qppROVALS Permit # Date In .- � 1. TemOorary Electrical Service or Pole 52. Pool & Equipment Location " -.� 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �� 3. �El¢ctrical Conduit Utility-Undrgrnd. , `54. Forms ' � 4; Electrical Conduit•Undrgrnd. -55. E�ectrical Bonding � � 5.'Steel Reinforcemen�:� " f,56. Rouqh Plumbing & Pressure Tesc.: • 6. •Electrtcal UFER Grnd. 57. APPROVAL TO COVER•GUN'ITE 7. Footings �58. Eiectrical Conduit�Undrgrnd. - 8., Eoundation .- �59. Gas Pipe, � Undrgrnd., Test , 9. Water Pipe�Undrgrnd. •' 60. Backwash Lines, P�Trap, O Undrgrnd. ' 10. Structural Floor System -61. APPROVAL TO DECK i � 11. Property Sewer Line'& House Connection 62. Backwash & Receptor•Final , �% 72. Sewer Cap ��63. Heater & Vent-Fina� 13. Roof Drains = 64. Plumbing System - Final • ,/ 14. Rough Plumbing ` 65. Electrical-Final � 15. Rough Electrica�-Conduit 66. Solar System-Final i• � 16. Rough Electric�iring 67. Fencing & Access ApProval y 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrica.l-T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning' FIRE DEPT. RERUIREMENT � 20.;*Rough Factory FTeplace -'r - _ � APPppVAI,S ',Pern9ii# 21. Ducts, in StructuiA .. ' ; j0. Undergrovnd Hydro T 22. Ducts, Ventilating �- ' � r71. Product`PlAing Q(?as OOiI 23. Gas Pipe•Pou9h &'Test 72. Underground Flush=, �_ ' 24. Roof Praming � � � � •73.'�Undergrnd:Storac�e,Tank OGas OOiI 25. iioof Sheathing . � � . , 74,'Overhead Hydro � , 26. T-Bar Ceiling (Struccural� & Monocoat 75. Dry Chemical - > 27. Frame aqd Flashir�g i, � , �.� ' 76. Qry Standp�pe �., �? � 28. Lathing& Siding �. �*� ^�' � �+ r 77.� FIXED SYS7EM RINAL . - 29. Insulaticin " � � ,. i � � , 78.�"FIREPREV,FWAL . � ' �30. DrywallNailing � ` � MEALTHDEPT�REQUIREMENT ' 31. Plaster Brpwn Coat �, . L�� J9. FINAL INSPECTION • � 32. flectrical Power Metar.•Final. • � �80. FOOD CEfiTIFI.CATE ISSUED � . 33.1Fin�l Eleciric - � * ' /%'� �Notes: -', ` . � :� �34. Final HCating & Air;Conditioni�g. � ' y � >('1, . _ ' ';. 35.`Firtal Gas Pipe-Test 1 ` . - , �' 36. Hood or.CanopY � . " /•. � - , � � � 37. Final FaCtory Fireplace ' ' � " r =38. Final Plambing � - � L� • , � 39. Water Service-Final � ' ' � � ' � ' 40. Gas�Service-Final ' - . - ,. � -, . , 41. Solar pomestirFinal � � _ S� - ' , . 42.'-Backflow Preventer� .. � ; i " ' 43. Backflow Irrigation '• - � � * � • Y .;44. Landscape Irriqatio� System � = . • , _ . � �� - , 45� Sound Atteauation � ^ • ' � • � ' ��46..Handicap Regula[ions ,' . � � � '; " ' � �47. FINAL STRUCTURE & BUfLDING O � � �v n � � _ / � , ,�- - �! V 48. FIP}AL PI.ANNING , . . �; . " _ 49. Electric Release to Edison • � �i 50. Gas Release to Southem Califomia Gas Co _ ; - -� 51. CERTIFICATE OF OCCUPANCY ' , , , No. Date nenuea�� e� ru �� au ma .. .. .�e �e�.. �..��e�� neavv eo.ee. rt�.. ana a au aee.neaare eeciaiaeions � . . Ci�Y.o COSTA MESA CONSTRUCTION PERMIT ��T3� �� L T�� j' �"�T "� n.a. # �—.4 — za�a Pro{ett:l,tldrMs ��s y P/�m sf . ° S Main 8uilding: Accessory Building: Apqli�qnt"5 Mailing A1d�df¢55 S _ / TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR Front r wner'S Name ��%� I��r � � ,.j Phone �'� 6 � CONVERSION ❑ DEMOLISH ❑ OTH,E,R��=� pc � T �J O � "+- -O-�—�13�' �j D SCRIPTION OF WO K/US,4�OF BLDG. _S�L656� G— ��y- I A Rear � N Address ' sS��% Y �llL� S /.'.o�v��f /!%/if,� •S� � '� .� � C�.hW�6V1v� Arch/�,ng. � LicenseNo. TYPE PERMI cRaoING POVNDATION STaUCTVRAL I C A�9ht S� N K G �Addr2i5 , ❑ TENANT ❑ ELECTRICA ❑ P UMBING ❑ MECHANICAL g� Lef2 I R 'Corstor'sName (�(A//LLJI Phone-��-- ��o7HER �� "CZ � ��--' PIng.Ref.;l� Parkin Req./Provided E d,� • �a.r PROJECT DESCRIPTION SQ. FT. OCCUVANCVn Plannin Notes: /� n Adcjllmailing) CONSTRUCTIONTVPE vN VALUATION$ L 9 �' /� � � M �Cily License No. ZONE GRAOING CU. VDS. ACRES V �^S� «M e^^ K T $. LICENSED CONTRACTOR DECLARHTION I h¢reby aftirm that I am IicenSetl untler provi5ions of Charttr 9(CommenCin9 Remarks: `1 ' h = `�� _ ��} with section ]000) o( Dlvision 3 0( the Busin¢ss antl Profe55ions Cotle, antl � Vicense is in full force and eHect (- f � n S ELECTRICAL FEES �se Class License No. �'C Lace Si9nature ' PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW WnRKERS'COMPENSATIONDECL3IRATION � ��SlruCtionPOleSUb. ❑50+KW '¢by atfirm that I nave a certifita[¢ ot mnsent to self-Insure o� a ce�tlflcate Bd� $ink $hOW¢�5 - Jorkers' Compenzation Insurance, or a certifietl copy thereol (Sectlon gackflow Preventer ServiceSink Cooking Unit Meter ❑up ro 100 amps �.,JO, Lab. CJ, � - - '" � � � Dishwasher Meter ❑over100amps Polity rvo. �• Company " Backtlow Irrigation Sewer Cap �� BCertifietl copy is hereby tu�nishetl. � � DryC�s OGas ❑EI¢Ct�iC $Ub P3n¢I Certitietl copy is filetl wiro the ciry Builtling Division. , --� Bath[ubs Sewer Connection Date -'• Applicant ' Fan Momrs00.7 HP�1'h-8 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION �,. Cld�l(i¢�S SOId� C0112Ct0f5 i ss�ssection neetl not be completetl if the permit Is for one huntlretl (E300) o� Dishwasher Solar Piping . � F.A.U. Inc. Solar 09-15 HP �16-15+ I certify tnat in lhe pertormance of the work for which lhis perm�t is issuatl I . Piztures shall not employ.any perzon in any manner so as lo betOme'subject to t�ie Drinking Fountains Splar'Tank ' Microwave Workers' Compensation �.dWS of Calitornia. - - Dato 5iqnature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If, after making this tleclaietion, you ShoUltl b¢Come subjoct to the OuLIELS R2n C ' Workers' Compensation provisions of the Labor Cotle, you must forthwith Floor5ink5 U�inal 9 comply wilh sucb provi5ion5 or this pe�mit snall be tleemetl r¢vok¢tl. SwiLChEi ' CONSTRUCTION LENDING AGENCV GasServic.e Outlets WaterClos¢t � Sign I nereby affirm tnat there is a construc[ion lentling agency tor the perPormance • -. ot mu work tor whicn this permit is issuetl (Secuon 3097 Civ. CJ Interceptors Water Heater Garbage Disposal• Standing Sections l.enUer's Name �entler's Aatlress Kitchen Sink Water Service �, Generaror DO-5 KW �5-15 KW Tresh Compactor OWNER BUILDER DECLARATION :<` - �"�reby aifirm lhat I am ezemo� trom tne Contractor's Llcense, Law for the �Cavatories AutaWash ' ' wing reason (Section ]031.5 Business antl Professional Cotle: Any Uty or ty wbicn requirez a permit to construct, alter, improve, tlem'olish or repalr P-Trep Lsundry TraQs ,�slructure, prior to its issuance, also requires ihe applicant for such permit ,[o file a signetl s[atement thdt he/she i5 licensetl pursuant to [he�prOvlsions ot ROOf D�dinS `? Coniractor's License Law (Chapter 9(commencin9 w��h SecUon 7000) of � � � "�{asion 3 of the Business antl Professions Cotle) or [nat he/she Is exempt Reinspection Fee $15 Issue Fee ' $ 3 ��'i='e/rom anG lhe basis tor Ne alleged exemption. AnY vlolatlon of Sectlon ��`� 31.5 by any dpplican[ tor d Pe�mlt SubjeCts the applicant t0 d clvil - alty ot not more man five hundred tlouars (5500). DEVELOPMENT SERVICES HE� I ENTS: ' as owner o! Ihe property or my employees with wages as their sole Rainspection Fee $15 IAue Fee $ 3 �� 3�� 2oning Approved By � Date �pensation, will tlo the work, antl the structure is not Intentlea or ofieretl tor sale (Section 7044, eusinesz antl Professional Cotle: The Contractor's MECHANICAL FEES ' Building Approved By _ Date�,p Lic¢ni¢ Law tloe5 nol appty t0 an owner o( a proOGrty wllo builtl5 O! Implov¢5 - [her¢on, antl who tloes such work himself/herselt or tnrough his or har own HOod of T Applimtion ISSuad 6y' Dat� employees, prOviOetl tnat such improvements are not inlentletl O� otfere0 fo� BOi12f Vp¢ I ❑ - sale. It, nowever, the builtlin9 or improvement Is soltl wl[Nn one year o( mm- - Gnopy Type I I ❑ ' - Sj M�A� g PEES �,+1 pletlon, the owner will have tha burtlen o( proving he/she tlitl not builtl or im- Dutt - Under Ground �� rove ica the vurpose of sale). BUILDING PERMIT $ `F SMIP ' $�L_ �9, as owner of the property, am exUusively contractlng with Ilcensea con- Duct -Sttuctural RefrigeraUon System � ' P�AN CHECK' • $ PERMIT llatlors to construct the P�ojett (Section 7044, BuSin¢55 antl Profes5ion5 Cotle: , The Contractor's License law tloes not apply to an owner of oroperty who Duct- Ventilating ❑at00,000BTU ❑100,000 BTU PLUMBING $� ��UANCE $ �builtls or imoroves tnereon. antl w�o contracts tor Such oroiect5 with a r.�n- tractor(s)6icenze purzuan� to ene Contractor•s License �aw). I am aware tnai Exhaust SyStem ❑ Multiple � System Repair/Al�eration PLAN CHECK' 25% S ENERGV P.C. $ proof of their Worker's Compensation insurance znoultl be provitletl to me. ELECTRICAL'� $ GRADING $ ❑ I am exemp tl r Secti B. & P. C. for this reason Firepl/Fact. Blt. ICBO # Fire Dampers MICROFI LM $ PLAN CHECK�'50% $ Heating System & Ducting Registers � Date owner � MECHANICAL�� S TOTALFEE $ � I!iereb ce y that I have reatl this a� ation and state that tne above ❑6100,000 BTU 0100,OOOBT PLAN CHECK 25% I�iiormdtion is co�rect. I agree [o comply with all <Ity antl <ouniY ortlinance5 $ antl state laws relating lo builtling conSlruction, antl bereby aulnorize repre- s¢ntativez of [his city to enter up n the above-mentionetl property tor , � ' InSpectiOn purpo5 5 519na[ure Date�� P $ 3 I I q�� li ��2<<r91-(iLf��7:^� 1�i."T� t::��.; Drivers� Li<ense or 5 - Reins ectioa Fee $75 Isue Fee � �� • , I ViiF: GZ�Q;�-S ;�; _ �.y �L' 0865-46. rev. 5/BB White - Builtling; Canary - APPlicanp Pink - Accountln9: Goltlenrotl - Assessoi � CWV57RUCl�ION AND PLANf S PO' 1 SPA _,� , � �. . Date Inspector Date Inspector QP'ROVALS; , �rm�t # APPROVH�c Permit # ,_ , � 1�� Tempara�Y Electrical Service or Pole 52. Pool & Equipment Location � � ' i • '�2, Soil Pipe-Undrgrnd. � 53. Steel Reinforcement 3. Electrica� Conduit Utility-Undrgrnd. 54. Forms '' ' 4. ElectricabConduiY-Undrgrnd. 55. Electrical Bonding � j� 5. ,Steel��Reinforcertient 56. Rough Plumbing & Pressure Test �� 7� i 6.' Electrical LIFER Grnd. s� 57. APPROVAL TO COVER-GUNITE r 7.� Footings� 58. Electrical Conduit-Undrgrnd. � 8. Foundation 59. Gas Pipe, � Undrgrnd., Test ;. 9. Weter;Pipe-Undrgrnd. ~ 60. Backwash Lines, P-Trap, O Undrgrnd. � 10. Structural Floor System 61. APPROVAL TO DECK ' � � 1 i. Property Sewer Line & House Connection p� �q � 62. Backwash & Receptor-Final .. , i ' � 4 � 72. Sewer Cap •' ' � • 63. Heater & Vent-Final . 73. Roof�Drains 64. Plumbing System - Final 14. Rough P�umbing �„ _'LZ- [�i/� 65. Electrical-Final � .- 15. Rough�Electrical-Conduit 66. Solar SYstem-Final �16! Rough Electric Wiring . � 67. Fencing & Access Approval �17. Raugh Wiring Sign 68. APPROVED FOR PLASTERING .18. Rough Electrical-T Bar�Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �20. Rough Factory.Fireplace " APPROVALS Permit# i 21. Ducts, in Structure � 70. Underground Hydro � 22_. Ducts, Ventilating �- r, 1� . 71. Product Piping � Gas ❑ Oii ' 23. Gas Pipe-Rough,'& Test �T 72. Underground Flush ' �24. Roof Framing • �' c� �'1 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing�� ' g 74. Overhead Hydro 26, T-Ba��Ceiling (Strucfurall, & Monocoat 75. Dry Chemical .'27�. Frame�and Flashing ' �' �j 76. Dry Standpipe 28. Lathiing & Siding I �' p�-� 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing' _ � -LS HEALTH DEPT. REQUIREMENT 31. Plaste� Brown Coat � � �y (j 79. FINAL INSPECTION � 32. Electrical Power Meter-Final '� 80. FOOD CERTIFICATE ISSUED 33. Final Electric � - • , •, Notes: 3 _2-� _ d_ � ,p 34. Final Heating & Air Conditioning � �� J� �. � 35. Final Gas Pipe-Test 3_ L-) _ , 36. Hood or Canopy � 6 3 - . 37. Final Factory, Fireplace, 38. Final Plumbing � ��y � L 39. Water Service-FinaF� � � -- - - �. . � 40. Gas Service-Final '� 41. Solar pomestic-Final ��- . , 42. Backflow Preventer , , . , ' - � 43. Backflow Irrigation ,- � 44. Landscape Irrigation System 45. Sound Attenuation 46. �Handicap Regulations i 2 9� 3d � 47. FINALSTRUCTU.RE&BUILDING _- -"� , r��- �J � �-� . 48. Special Requirements Completed - 49. Electric Release to Edison -• � 50. Gas Release to Southem California Gas Co , ��. ' 51. CERTIFICATE OF OCCUPANCY � �. � I No. Date � Y , , . City of Costa Mes'a ' - MEASURE "G" EXEMPTION Plan Check # 56-89 Permit # Address: Applicant: 834 Plum Place Nikulai Zemmtsev Exemption # 89-zz4 Case # FACTS: ❑X Residential ❑ Commercial/Industrial ❑ Other ❑ Existing Lot ❑ Not Part of Larger Project Project Description:Add 2 car No. of Dwelling Units NA and 1 bathcoom Gross Floor Area NA `� � � �� ., „ _. • • . �' - Unit: Square Feet F.A.R. NA Estimated Traffic Generation: NA Avg. Trips/day FINDINGS: The above described project is exempt from compliance with Measure "G" for the following reasons: ❑ 1. Project is a commercial/industrial development which meets all of the following criteria: gross � floor area is equal to or less than 10,000 square feet or has an average daily trip generation of less than 130 daily trips, has buildable floor area ratio of less than 0.5, on an existing lot, and is not part of a larger project. 2. Project is a residential project of four dwellings or less on an existing lot. 3. Pr4ject is residential construction that does not increase the number of permanent housing units on the parcel where the construction takes place, such as remodeling or rebuilding of an existing house. ❑ 4. Project is commercial/industrial construction that does not increase the footprint or square footage or change the use on the parcel where the construction takes place, such as remodel- ing or rebuilding an existing structure. ❑ 5. Project is a public benefit facility, which is defined as public libraries, public administration facilities, public parks, public utilities, and religious facilities. ❑ 6. Project is a facility serving the health and safety of the people, which is defined as hospitals, police, fire and safety facilities, and schools. Exemption ratified by: x❑ Planning Commission ❑ City Council Date Februarv 1�, 1989 Date COSCa �1CSa Insulation Certificate .,ity of Cosrt��BNesa Californla 92628-1200 P.O.Box 1200 Permit Number '/ � � � � � � �� /G�r�r Sf G�/ �, /� - Num6er antl Street Ciry �9Y�ir�� e Caunry�- SubCivision Lot Number Description of Installation ROOF Material � ��/ �d�y! Thickness (inches) EXTERIOR WALL Material ,l`' ��LGI�i/7 Thickness (inches) � � Brand Name ,�11,�2? l�/ L�/�C Thermal Resistance (R-Value) Brand Name Thermal Resistance (R-Value) CEILING j Batt or lanket Type Brand Name /?%�l%�f�<-( Thickness (inc ies) Thermal Resistance (R-Value) _/9 Loose Fill Type Brand Name Contractor's minimum installed weighUftz_ Ib. Minimum thickness inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value) RAISED FLOOR Material Thickness (inches) Brand Name Thermal Resistance (R-Value) SLAB FLOOR Material C�� Brand Name Thickness (inches) ��Z Thermal Resistance (R-Value) � Width (inches) FOUNDATION WALL Material Thickness (inches) Brand Name Thermal Resistance (R-Vatue) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Adminstrative Code. �50) a6 General Comractor (Builtler) Signature anC Title License NumGer oace l%�liY`l-fiY Sub�Contractar (Insulation Installer) License Number �¢��2i/� /Z —1�— 9/ � Signature�anC Title Date PflOJECiADONESS: 834 PLUM PL OWNEfl'S NFME: NIKOLAI 2EMTSEV nooeEss: 3854 VALLEYBRINK RD LOS ANGELES CA 90039 (213)663-9705 ppCM/ENGINEEfl: . aooeess: XEG.NO.: uxiT: uxiT: ' PEflMITTEE: NIFCOLAI ZEMTSEV ( 714 ) 646-1316 aooeess: 3859 VALLEY BRINK RD �' LOS ANGELES CA 90039 UCENSEU CONTPACTOfl OECIABATION: I hereby allirm �hat I am licensea untler pmvisions ot Chapler 9(commencing wi�h Section 7000� ol Division 3 al Ihe Business anC Pmlessions CoOe. antl my lirense is in (utl lorce antl Bffetl. CITY UC: STATE LIC.: C1A55: Oate: — Signaiure: WORNEBS' COMPENSA710N DECIAHFTION: I here�y alfirm ��at I have a certificare al consem to seli-insure or a cenilicate al Workers' fAmpensation Insutance. or a certitiea copy thereollSeclion 3800. LaE. C�. POLICY NO.: E%P. URTE: COMPPNY: C¢tlilieE toDy i5 her¢�y IurnisheA. ❑ C¢tlilieA CopY �5 �il¢G wilh IIIe ti�y Buil�ing Divisi0n. Uaie: Ap�licant: EXEMPiION FflOM WOXHEflS' COMPENSATIDN OELLNPATION: (This seaion nee0 not Ee completeU it Ihe permit is for one hunOrea �5100) or less�. I ceriify ihal in ihe per�ormance of Ihe wark lor which Ihis permil is issued, I shall no� employ any p¢rson in any manner sa as �o become su�lecl lo I�e Workers' Compensa�ion Laws o1 Calilomia, �a�e: Signamre: NOTICE: II. afler making �his tleclara�ion, you should 6ecome subleci Io ��e Workers' Compensa�ion pmvisions oi the Labor Coee. you mu9 (anhw�th compty wifh such provisions or fh4 permii shatt be Oeemea revoked. CONSTflUCTION LEN�ING AGENCY: I here�y allirm I�at I�ere is a constmciion lentling agen�y lor l0e petlormance of lhe work for w�ic� Ihis permil is issuetl (Seclion 3097, Civ. C�. iENOEq: RENEW PLUMBING PORTION aoosess: OF EXPIRED PERMIT BP37699 OWNEP BWLOEB oECLABRiION: I nereby aliirm Inal I am e�empt from Ihe Contractors' State License Law for ihe tollowing reason �S¢c�ion 7031.5 BuSinesS an0 Pmfessional Co�e: Any tiry oi couniy w�ith requires a De�mil to cons�mcl, alter, impmve. tlemolish, or repair any Slrutiur¢. O�ior lo ils issuance. al5o reQuires Ihe applicaN �Or Suth permii Io �ile a Signetl Slalemeni ��a� �e/s�e is litensed Dursuant lo IM1e prwisions ol lhe Conlraciois' S�ate License Law (Chapter 9(commencing wit� Seclion 7000� oi Oivision 3 al the 9usiness and Pmfessians Coae) or Ihat he/she is ee¢m0� �here�mm an0 i�e Uasis lor the allege0 exemption. Any violalion ol Section 7031.5 by any aDDlicanl lor a permil subjects ihe applicant io a civil penalty ol not more ihan five huntlred dollars (5500). I, as owner ol I�e pmpetly or my empIoyeeS wilh wages as �heir sole comp¢nsalion, will tlo Ihe work, and Ihe ❑ slmcture is not intenAed or o0eretl lor sale (Section 70aa. Buvness antl Profeuional Coae: The Comractors' State License Law tloes not avPly lo an owner of a nmpeny who builtls or impmves Ihereon, antl who does such work himself/herself or thmugh hi5 or her Own empl0yee5. pmvitletl �hai 5uth imD�ovemenl5 are not int¢ndea or o��ere0 �af Sale. II, however �he builCing Or improvemenl is sola wii�in one y¢ar o� compleiion, Ihe owner will �ave Ihe bureen ot O�ovinA he/she tlid noi build or impmve lar Ihe Durpose of sale�. I, as owner af �he propeny, am ex��u9veiy con�racling with Iicense0 coniractors to constmcl Ihe O�olect (Section 704E. Busine55 ❑ aM Pmlessims Code: The Contryctors' Slate License Law Oces mt apDN �o an owner oi pmpefrywM Oui1G5 anmDmves Nereon antl w�0 mnlratis �Or Suth O�oleq5 wiih a tonVat�or�s) litense pursuani Ia Ih¢ ConVac�or5' $lale L¢enSE Law�. I am awar¢ ihat piool 01 thei� Worker's Compen5aiion insuranc¢ 51wu10 be pwvitle0 Io me. � i am e�emo� uneer secuo�: BP%04 4 0. a P. C. �or mis reason�. HY �T+TNER �� GS ��j�� ____ Oale:_/.��vz/� Owner:� ( L1_iT -/L�// �'� I Qo �erehy cm�ily I�al I am a iare ol ana unAers�and Ihe requiremen�s o� C efomia antl Salety Code Sections 25505, 25533, anA I' 25534 antlihal lar anylulure buil�ing ocr,upanl willlwill nol (circle one) need ta comply wiih 5ai0 s�a�e co0e5 ana Ihe requiremenisfor a permil br conslmc�ion or moddication irpm ihe Air Oualily Managemen� DiSiricL Fesitlen�ial conslmc�ion aD�lica�ions are exempt tmm ihese pmvisions. �aie: _ qpPli[anl: I nere�y tertily Ilwl I have 2atl Ihis aDV��CaiiOn ane S�ale �lul l�e abOve in�ormaiion i5 COrreti. I aA�ee Io COmpty vrilh all tiiy anG couniy orOmances antl StaIC lavis relating lo �wltliqg �onstruclion an0 here0y aN�orize repre5enialives o� �hi5 ciiy Ia enler upon tlie ahOve-meniionetl prooetly forir,pet�ian purpose5. Daie:_(%/�%`—(/ Sfgreture'..�( �,�fi1� — o�rve��s uce�se o� saiai security >: $ t641-dfi WM1�Io—Buil�mg: Green—COry¢ EnloecemenC�Canary—Applicantl Pink—Revenue; GolOenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; IP 05517 PERMIT NO: IP 055176 PLAN CHECK NO: N GOVT; N SUPP: Y CONSTRUCTION TYPE: S—N PERMIT TYPE: OTH PLU PURPOSE: OTH JOH DESCRIPTION ; ADD GARAGE, STORAGE 6 BATHROOM SQ FT: CLAIM VALUE; CALC—VALUE: GROUP OCC; R-3 /M-1 COMMENTS: RENEWS 'PLUMHING' PORTION OF BP37694 +r**�r�***�r*� �***�r**+�***�**x�*�+��r**�****�r**�*�r*�t***x��r*��**�t*****� ***�r*�r+�*��*�r�*** Z O N I N GS ERTEH�AUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REp • PROV: PARCEL: 42295419 ZNE: REF NO; PLANNING Nf)TES> ' i **+t*�***�*********�r�*�r**�r�e**�r****�x��*�e*�r�*�r��r******�*****�r+r�r**�****+�**�r�*x*** D E V E i O P M E N T 5 E R V I C E S,_ R E Q U Z R E M E N T S ZONING APPROVED BY "' DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY:� ` ' DATE; 2Z iE�fklElFifiklfYlflf�EiFaElEiEififk4iEif + / ��F�iF£iEiFif1F3f3f3EaEaF3FiF'i �EI(� Ifkif�kif�fiFlfiEiFiflFifiEifiEaEiflEiflEiEififiFaFiFiE�1EMiF iFiEifiF�E1K3EiF ififjE*�F1PiEiFiE1E1EiEiEikiE�FitifiF�lfiF�FifiEiElE1F1FlE1EiEifiEiFlE1k LEGALIZATZON:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECFIANIC FIRE SMIP/RES GRADING PERMIT 30�SY SMIPINON—RES PLAN , ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 30.00 0.00 0.00 30.00 30.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 30,00 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30,00 if if K 1E 1E iE fF ik ii iF iE af 1E 3E iE iE 1E iF iE IF IElF if !E it iF iF iE if iE iF 1F if if ff if 1f 1f jF 1f iE af if if if IF 1f if If 3F 1Eif if IF if 1FlE 1f iE�lf iE �E 1FiE iF iF iE iF if 1E If 1FiE iF 1f iE iE k iE 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 UNZT COST TOTAL COST PLU 1 PLUMHING RE—INSPECTION FEE 30.00 30.00 END OF FEES P• .,L'�l�C.tl�' .'il�i�l: - ..� � .. „ '_V.. r t _ -... � a � . �' _ .. CONSTRU(:TION A�VD PLANNING P�� 'PA . APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location /� � 2. Soil Pipe�Undrgrnd. 53. Steel Peinforcement �,� �� 3.� Elecfric'al Conduit;Utility�Undrgmd, . �54. Forms : .� - .«4. El�ntrical Conduit•Uqdrgmd. • �55. Electrical Bonding ' 5�. Steei Fieinforcemei�(:� ;56. Rough Plumbing & Pressure Test; � ��' � Electrical UFER Grnd. � 57. APPROVAL TO COVEF�GUMfE - � �7.- Footings � 58. Electrical Conduit�Undrgrnd. - '8. Foundation '. 59. Gas Pipe, � Undrgrnd., Test -- 9. Water Pipe�Undrgc�d. 60. Backwash Lines, P-Trap, O Undrgrnd. � 70. Structural Floor �ystem '�61. APPROVAL TO DECK �-:i ' . 11. PrOPerty $ewer Lina & House Connection , ..-62. Backwash & Receptor�Final - � � � 12. Sewer Cap '"63. Heater & Vent�Final , 13. Roof Orains ' 84. Plumbing System • Final ��i � 74. Rough Plumb��g " 65. Etectrical�Final " 15. Rough Electrical-Conduit 66. Solar SYstem-Final �• '. 76. Rough Electric Wiring 67. Fencing & Access Approval ' 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING� 18. Rough Electrir�l-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT '' ' 20. �Rough Factory Fireplace = , �APpROVALS. �'Permit # 21 �Dutts, in-Structui�e; - , „ ' � � - 70. UndergFouncl Hydro , 22. Ducts, �lentitating � • � e � . .71. ProducYRipPng � Gas OOiI 23.;Gas Pipetflou8h & Test ' '_ 72, Undergrounii Flush� � 24. Roo� Framing , � � • e _ C;� � �73. Undergrnd�.StorageTankflGas ❑Oil 25. Roof SHgathing ; a ' � �' - .�74.=0verhead'Hydro, � 26, T-Bar Ceiling (Structural) & Monocoat � -� 75. Dry Chemical _ 27. Frame and Flashin.y ,', 4 ' '� - 76. Dry Standpit>e � y� '� ' � ' 28. Latf�ing& Sidinq"s r- ,{�i ' �> • • 77,- FIXED SYSTEM P.INAL 29. Insulatian � "" ' ' ��: 78,'FIRE PREV. FI�VF�,L � - �30. DrywalliNailing <' � ' '��. � �-, HEALTH DEPT�. REQUIREiVIENT .31. Plaster Brow0. Co6t' . " ' 79,� fIMAL IN$PECTIQN - ' 32.-ElectricahPoWer�I�ileter:Final r ,-• . � .80.-�FOOD CEF7IFICATE ISSUED � .ii:, ." y33. "Final Electric ; u ' � � . '�Notes: ' - � � ,`34.-Fin;� He2ting & f.iqCoaditio�i�ag . '� 1 � _ ' . , .. - 35. Fin�! Gas Pipe-Test ��.', � . , , ... . - � .,36.`HooSl or,CanoPY ' , ` . . � i ; . . . ,. . -37._Final Factory Fireptace: • � ' i � �'�� ` ' '38. Final Plum6ing ' " . • � � t,j �1/ ' J ' - . . - - "! ^39. Water Service-Final�. � � ' . _ 1 40. Gas-�ervice-Final � , - „ ' . ;�',:,; , � :41 . Solar Oomestic-Final � � • _ • - � - 42:'$ackflow Preventer. .. , .. 43. Backflow Irri9atiorn . . •i '. �44. Landscape Irrigation Systert�.�;.'' � ' - . • -45.�Sound Attenuation � � : s: , � r_• �' � `46. Handica� Regulations _ ' " ' ' '� ' ` 47.:FINQL STRUCTURE & BUILDING � �� = � � �j , =48:',FINALPLANNIN�, � �� . ,- � -49. Elec'tric Release to�Edison , - � �� - � i 50 �Ga; Release io Southem Califomia Gas Co ' � •�i " ' � , �, � - ` 51. CERTIFICATE OF_OCCUPANCY F ; . _ No. Date ADolicant to /ill In all soaces eqceo� t�ose within �eavY Ooraer lines antl si9� a11 approoriate tleclantions. Ci7Y.of cOST,4 MESA CONSTRUCTION PERMIT �F;pn ��/j (/ uNi?� qp # Pro;ect,^.ddiess � =� ' " V �7�� 1 �I TJi" " �O. � nT lyp. (� I 1 L i— !n I Applii�nt's Mai�li,nJg�A�ddress �]_Ll,_.-� � � Owner,s Name (3L(_! � � � Phone �7 -� . Address s� �� %/L�2— 2� r lj �1� �!�-�il,�' � Arch/Fn9. License No. - • Address Convactor'sName �[.L.�/L(,4/' Phone�� 1 Adc��ess (mai�ingl City License No. � LICENSED CONTRACTOR DECLARqT10N I here�y a/iilm ��a� I dm licensetl untler prOviSions o/ Charte� 9(mmmencing with section 7000) of Divislon 3 01 tne Business antl Pro/essionz Cotle, and '�icense is �� ull force antl elfect. !r �se Class License No. � Da�e Si9naWre - � WORKERS'COMPENSATION DECLARATION � hereDy ai/irm [nal I have a certificate ot Consent to 5¢Ibinsure or a certificat¢ ( Workers' Compensation InSurdnce, o� d[ertifietl coOY �he�eof (Section I d800, LaO. CJ . Policy No. Company B Certifietl Gopy i5 hereby furnishetl. - ` Certilietl Lopy Is filetl with t�e city Builtlin9 Division. , iDale Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION i(Thissection Peetl not De cOmpletetl it the pe�mit I5 for o�e �untlretl (5100) o� less�. ; I certify thal in tM1e Oerformance Ot th¢ wo�k for which this,pe�m�t is issuetl I shall nol employ any perzon in any manner so as to become Subject to t�¢ Workers' Con�Pensation Laws Of Califomia. . � Date ' Signalure � NOTICE: If, Bfter making ihis tlec�aratlon, you should become subject to the Workers' COR�Deniation p�ovi5ion5 of the Labo� CoOe, You must Sorthwith comply wit� such provisions O� this permit S�all be tleemetl �evoketl. CONSTRUCY�ON IENDING AGENCV •y I hereby aftirm that tnere is a conztruclion lentling agency for the oerformance ai the work for which tnis permit is issuetl (Section 309� Civ. CJ Lentler's Nart�e Lentler's Atltl�ess OWNER BUILDER DECLARATION � � I Fe�eby affifm Lhal I am exempt from the Con[rat[or'S License Law for th¢ �wing reazon (Section ]031.5 Business antl Professional Cotle: Any city or .Ty whiU� requires a permit to Conilruct, alte�, imOrove, tlemblish or repair a,�y siructure, ormr to its issuance, alm requires the apvlicant tor zuch oermit to file a signCtl Statemeni thal he/she is IitenSetl purzuant to tbe p�ovisions o� the ConVactOYs License Law (Chapler 9(commencin9 with Section ]000) of ' Division 3 0� the Business and Prolession5 Cotl¢) or [hat he/she is exempt 'herefrom antl ihe basis for t�e allegetl exemption. Any violation of Settion '.� ]031.5 by any applicant for a Permit subjects the aooi�<ant to a civil nalty of no� more than tive hund�eC tlollars (E500). � as owner O/ the prop¢r[y or my emv�oyeez with wages az their zol¢ o pensatioq. `�+'�� tlo Ihe wo�k, dntl Ihe ztru[ture is not intentled or offered �or sale (SeGi�on 7044, Business antl Protessional Cotle: The ConVactor'S License �aw tloez not apply to an owner pf a property wha builtls or improves � tnereon, antl `�'bo Ooes Sucb wOrN him5eli/ber5elf or tM1rougM1 bis o� her own � em0loyees, provitletl Ihal su<h ImPrOv¢m¢n[5 are not intentletl ot otteretl to� sale. I/, powB�er, lhe Duiltling or improvemenl is soltl withln one year of com- � o�eUon, ine 0�'�er wili have tne burtlen of provin9 he/sne tlitl not builtl or im- rovt fo-.the PurpoSe of Shce�. � 1 as ownar oi tne property, am exclusively tontractinq with licenzea mn- t actorsto mnstruct tbe oroject (Section ]044, Business antl Profezsions eotle: . The Contractor's License 12w tloes not aoPly to an owner oi prooerty who -builtls or improves ibereon. antl wno wnVactS ror zutp oroiects with a com tractor�sl.bce�se pursuam to ine ConVactor•s License Law). I am aware that � proof of tbe�� Wo�ker'S Compen5ation inw�ance sboultl be provitletl to m¢. ❑ I am exemP tler Secti B. & P. G(or thi5 reason Date Owner �� I hereb ce y t at I nave reatl this a cation and state t�at the above niiormation is wrrect. I agree to comD�Y with all city antl covnty ortlinances antl state IaWs relating to builaing cOnstruction, antl hereby autho�ixe repre- Sentalives of this ciiy to enle� up n the above�mentionetl prope�ty tor inSpeCtion pufPos s Signature � -�� Drivers' License or 5 _ � TVPE OF CONSTRUCTION U NEW U ADD U ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER -7 _ D�SCRIPTIONOF�JOF�K/USf;,OFBLDG. 'T_L.— CC��- TYPE OF PERM�T LJ GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELEC�TyRICAL[� ❑ P UMBING ❑ MECHANICSALr ❑UTHER ��J� Ntl{L� S�t��sry,.2, r�� Q- l:p PROJECT DESCRIPTION 5p. FT. oCCUVANCv �� CONSTRUCTIONTVPE �N VALUATION$ �'Lu ZONE GRADINGCU.VDS. ACRES_— Remarks: �/ ` Bar Sink Backflow Preventer Backflow Irr�gation Clarifiers Dishwasher Drinking Fountains Flooi Drains Floor S�inks GasService Outlets Kitchen Sink Lavatories P-Trap Root Drains Reinspaction Fee � �75 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating ExhaustSystem ❑ MWtiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ Q7 00,000 BTU O 100,000 Reinspection Fee 0865-46, rev. 5/88 wnite � Builtling; Canary - AOPlicanh Pink - Accountin9; Goldenrotl - Assesmr Service Sink Sewer Cap Sewer Connection Solar Collec[ors Solar Piping . Splar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash laue Fee Hood or Type I ❑ Canopy Typell ❑ Refrigeration System ❑aioo,000eru ❑ioo,000 System Repair/Alteration Fire Dampers Registers S15 luue Fee $ 3 FEES $ 3 S Main Buildi E T Front B Rear � A C Right 5 K Left S Ping. Ref. # Planning Noies: 0 � Auromatic Washer Construction Pole Sub. Cooking Unit Dishwasher Fan F.A.U. Fixtures Device Boxes Outlefs $wilCh2i Garbage Dispoul• Generator O65 M ic 5 15 K Parking Rep./Provided ni Zone ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 700 amps Meter ❑over t00amps Sub Panei Momrs�0.1 HP �i'f.-8 Inu Solar �9-15 HP 016-75+ Microwave Pole Li9ht Range Sign Standing Sections W Trash Compahtor FEES O N 1 N G R E O M T S. _ 1 Reinspection Fee �$75 I ' luue Fee � ' $ 3' DEVELOPMENTSEHVICESflE�(j11REMENTS: 3._ /3�F�_ 2oning APProved BY l� � ate Building Approved By Date.T�.q APPliration laued BY - Dats�__ j � J SU V QF FEES, _ C-) BUILDING PERMIT $ 6`� SMIP $ _._j� � PLAN CHECK � $ � pEfiMIT PLUMBING $ �SSUANCE $ PLAN CHECK' 25% $ ENERGV P.C. $ ELECTFICAL'�� $ GRADING $ PLANCHECK 50°% $ MICROFILM $ �G��'y�'� MECHANICAL � $ TOTAL FEE $ �`� PLAN CHECK 25Y $ tl�c'qI _ . i CONSTR�ON AND PLANf 3 PC & SPA , '� . Date Inspector -� Date Inspector � ,pPVROVF.�' . F.rm'rt # APPROVA�S rermit # . , � 1�.- Temporory Electrical Service or Pole 52. Poof & Equipment Location � � -rr 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement . 3. Electrical Conduit Utility�Undrgmd. 54. Forms ' ' 4. ElectricahConduit-Undrgrnd. 55. Electncal Bonding � i 5. ,Steel �Rei,nforcemen[ 56. Rough Plumbing & Pressure Test . 6. Electrical UFER Grnd. f� 57. APPROVAL TO COVER-GUNITE 7. Foptings 58. Electrical Conduit-Undrgrnd. ' 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. S[ructural Floor System 67. APPROVAL TO DECK , ' 11. Property Sewer Line & House Connection �� 62. Backwash & Receptor-Final 72. Sewer Cap '. 63. Heater & Vent-Final ' 13. Roof Drains ; 64. Plum6ing System � Final t4. Rough Plumbing• _Z2� L'�� 65. Electrical-Final • 15. Rough�Electrical�Conduit 66. Solar System-Final 16. Rough Electric Wiriny 67. Fencing & Access Approval 17. Rough Wiri�g Sign 68. APPflOVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �20. Rough Factory Fireplace ' APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating • � 71. product Piping OGas ❑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-Bar Ceiling (Strucwral) & Monocoat 75. Dry Chemical 27. Frame and Flashing ' �� 76. DrV Standpipe 28. Lathing & Siding 'Z �� Q(,� 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywali Nailing� -Z S HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ' �y jj' 79. FINAL INSPECTION 32. Electrical Power Meter-Final B0. FOOD CERTIFICATE ISSUED 33. FinaV Electric � - Notes: 3 _7 -� _� v _� ,p�, ` �,t;t,.-=' 34. Final Heating & Air Conditioning - ��lh�.l. �i � � d` �l U.�. 35. Final Gas Pipe-7est �- � 3 - `1 -.�� ; _- "" 36. Hood or Canopy a 3 � 37. Final Factory Fireplace. 38. Final Plumbing . �w, � 39. Water Service�Flnal � . � 40. Gas Service-Final �� 41. Solar pomestic-Final . 1 42. Backflow Preventer � 43. Backflow Irrigation ._.. ! 44. Landscape Irripation SYstem 45. Sound ATtenuation 46. Hanilirap Regulations �p 47. FINAL STRUC7URE & BUILDING � �- - 4S. Special Requirements Completed 49. Electric Release to Edison �� 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY � - , / No. Date J PPOJELT ROOflESS: 8 j 4 PLUM PL OWNEfl'SNAME: NII{OLAI ZEMTSEV aooeess: �g54 VALLEYHRINK RD LOS ANGELES CA 90039 (213)663-9705 . AHCHIENGINEEfl: �� ADOflESS: HEG.NO.: unir: CITY OF COSTA MESA — HUILDING PERMIT PERM NO; IP 05517 PERMIT NO; IP 055178 PLAN CHECR NO: N GOVT: N SUPP: Y CONSTRi7CTION TYPE; 5—N PERMIT TYPE: OTH PLU PURPOSE: OT'H UNIT: PEHMITTEE: NZICOLAI ZEMTSEV (714)646-1316 r aooxess: 3854 VALLEY BRINK RD LOS ANGELES CA 90039 utENSEo CON7flACTON oECLABATION: I hereby aifirm ihat I am Iicense0 untler pmvisions ot Chapter 9lcommencing with Section 7000� of �ivsion 3 0l I�e Business ana Pmlessions Gotle, antl my license is in iull torce anG efiect. CITY UC.: STATE LIC.: ClASS: Date: SignaNre'. WOBREflS' COMPENSATION UECLPBATION: I here�y aliirm Iha� I have a certilicaie oi consent �0 5ell�insure or a cetlilicate o� Workers' ComDensanon Insurante. or a certifie� copY �hereaf (Sec�ion 3800. Lab. C�. POLICY NO.: E%P. OATE: Cenilied copy is �erehy tumishetl. ❑ Certitietl copy is liletl wi�h IAe ciry Builtling Division. Ilale. PpplicanP. E%EMPTION FBOM WOANEPS'COMPENSATION OECLAFATION: QhiSsec�ion nee0 notbecamp@tedifthe permi�i5loronehundred�8700�or1e55). I cetlify �hat in I�e pedormance ol Ihe work for w�ich Ihis permi� is issuetl, I s�all no� employ any DQ«n in any manner so as �o become subiecl m Ue Workers' Compensalion Laws o� Calilomia. Oate: Signamre: NOTICE: If. afler making this tleclaration, you shauld become su�lect �o �he Wofker5' Compensa�ion pmvisions ol the labor Catle, you must fortAwilh comply wilh suc� Drovisions ar �his permil shall �e tleemee revaked. CONSTPUCTION LENOING PGENCY: I �er¢by afiirm �hai �here is a constmc�ion lentling agency �or the pedormance o� Ihe work for which ihis permii is issuetl �Section 3097. Civ. C�. �exoes: RENEW MECHANI'CAL PORTION aooAess: OF EXPIRED PERMIT PM90241 OWNEH BUILOEB UECLAHATION: I hereby aflirm �ha� I am exempl imm Ihe CONrac�ors' State License Law for the �ollowing rea5on (Section 7031.5 Business and Pmlessional Cotle: Any cily o1 county w�ic� reQuires a permil to cons[mc�, altec imD�ove. demolish, or repair any stmcWre. prior to its issuance, also requires Ihe applican� �or such permit ta file a signetl slaiemen� ihat he/she is license� pursuanl io I�e provisions ol Ihe Contractars' S�a�e License Law (Chapter 9(cammencing vnU Sectian 7000) of Division 3 0� �Ae Business an0 Prolessions Cotle) or Iha� he/she is exempl lherefmm an0 Ihe Oasis �or the alleged ezemption. Fny violation a� Section 7031,5 by any apP�icanl �or a permit su6lecis I�e apPlicani �o a civil penalry ol no� more �han five huntlred 4oilars ($500). I. as owner oi Ihe D�oDehy or my employees wilM1 wages as their sole compensation, will do �he work, antl the ❑ slmciure is no� inlenae0 or ollere0 1or sale (Seclion 7044, 6usiness and Pm�essional CoAe: ihe ContraclorY Sia�e License Law tloes not apply to an awner ol a pmDetly w�o builas or impmves �hereon. and who Ooes suc� work himselflherself or �hrough ' �is or �er own em0loyee5. prOvided ihal such im0�ovemenl5 ar¢ nat in�entled or oi�ere0 lor sale. I�, however the huilding o� impmvemeni is 5010 wi��in one year oi comple�ioq t�e owner will have I�e �urtlen af pmving helshe tlid not build or impmve lor Ne purpase ol sale�. I. as owner ol the pmpe�iy. am exclusivety canVacting wi�h licensed conirac�ors �o cons�mc� �he pmlec� (Sec�ion 7044, Business ❑ an0 Pmlessions Cotle: The Comractors' State License Law Uoes nol apply Io an ovmer ot pmperry w�o bwlds or imD�oves I�ereon and who conlmcls �or such pmlecls with a conVacroqs) license pursuan� ta IM1e Contracbrs' S�ate License Law�. I am aware I�a� pmai ol �heir Worker's Compen5aiion insurance shoultl �e pmvi4e0 to me. � i am exemPt unae� sea�on BP70 4 4 e x N. c. �or mis reason: $j+ �WNER Oate: _/�� 2—'1-./�� Owner' I ao hereby cenily ihat I am aware ol antl uneerstand the requiremems ot Ca ibmia Heallh Safety Code Sections 2550.5, 25533, anA 25534 zntl tha� I or any INure builtling occupan� will/will no� (circle one) neetl ta comply v.� � 5ai0 state co0e5 antl �he requiremenls lor a permil br cons�mmion or moAilication Imm Ihe Air Oualiiy Management Oislricl. Pe5i0en�ial con5lmciion aDDlicalions are exemD� imm Ihese provisions. �aie- Applicant�. I hereby cetlily Ihat I have iead I�is appOw�ion anJ slale I�at ihe a�ave informalion is wrrecL i agree �o comply vnlh all ci�y antl counry ortlmances antl slaielawsrelatingto builtling cons�mctian antl hereby auihorizerepresenta�ives oi�his cilylo enterupon�he above�mentionetl pmpetly lor inspetti0n pwpase5. � �--� Daie: _�� Signature:�/—� ( � Driver's License ar Sociai Securi�y � � �6a� 46 Wbite—Bmltlmg; Green—Cotle Eniorcemen��. Canary—ApplicanC Pink—Revenue: Goltlenmtl—Assessor JOB DESCRIPTION ; NEW FORCED AIR UNIT & GAS SERVICE 5Q FT; CLAIM VALUE; CALC—VALUE; GROUP OCC; R-3 /M-1 COMMENTS: RENEWS 'MECHANICAL' PORTION OF PM40241 **+t*+r*�r*�r*�tu�*�t******��*�t**�*�r*�t***�r**��r+��t�**�t**�t***�****�***�**�********�� *�t*�* Z U N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARRING REQ • PROV; PARCEL; 92295919 ZNE: REF iVO: PLANNING Ni5'I'ES> � if jF if �f �1F �F jk �1f 3E iF iEiEjF iE aF if IE fE 3f if af iF 3f jf iF k jF �f ik iE if �E iF 3F 1E if if if iE iE if iE if iF if iE if iElf 3E aF k)f �lb iE 1f iF �f 1f-1F 1E if iE if 3E iE IP jF iE iE 1E iE iE iE 3f 1E it �E �f D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY . DATE: BUILDING APPROVED BY ; DATE: APPLICATZON ISSUED BY• , DATE; / `�.- �f3f�ElfjfiFfE%iFjFifiFiEfEifiF3f3fiFiFiEif FiFiFiE*iEiF�fIF3Eifikif iFiF iFiE�FiF3EiEiElEiffEaf3F�k3Eif3fikk�tiFifif3Flk3f3k3F�f3Faf3F�E�kiEiEiF�F3fiE�F3 FiEitiEiF3f�EiE�EifiE3EjEiFiEiflFifaFiEiFif�lfiFiE#FiFiEiE3FiE1FiEiFiFif3f LEGALIZATION:N F E E 5 D M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 30,�SY SMIP/NON—RES„ PLAN ; , . ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID �`� DUE TOTALS----> 30.00 0.00 0.00 30,00 30.00,,;''. .00 REVENUE DIVISION TOTALS--> COLLECTED• 30,00 OVER/SHURT;4,:i' 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADI'NG�PLAN—C$ECK 30,00 • � � iF ik ik 3E iF iE if iE iF iF iF 1F 1E IF iE If �F if ih il� 1E iP iE iE iE if iE if 1E iE iE If �F �F iE iE iF iE It iF 1F If fF IE �f iF iE iF if iE iFif iF ik iE if iF 1F if iF # 3F iE �FjE ik iF iF;iE 3E 1E iF i� iF 1k )E iF if 3f� 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 Z O N UNIT COST ,. ;: TUTAL COST } PLU � 1 r PLUMBiNG RE—I�NSPECTION FEE 30.00 "`}J,-; 30.00 END OF FEES ! �' '! j ; EXPIRED . �, �mpl te Inspect' s IIl C�i.'.n=�Ji`-1,�11C?01= ±.� '--- _ Vate �" g rA": E: l.li : � i e � I I1E: ., �. •:.. ! �' 9r�_C�9��:,-��utQJG;� i ^r�TE: �; i_ �: �:f�c � ']1 �:nt %'17'._nftl�5��§ ^.nTC. � � , . ; ^'. ' .'..0 _ f ,._, 'a .� CONSTRUCTION'ANDPLANNING � PG�PA . APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date inspector �_ 7. Temporary Electrical Service or Pole � 52. Pool & Equipment Location � ,i:,�� 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement � 3..,Elecirical Condpit-l}tility-Undrgrnd. � 54. Forms � o- � 4. Electricel Conduit•Updrgrnd. . :.55. Electrical 8onding - � '' 5.`Steel=ReinforcemeqT� ��. �56. Rough Plumbing & Pressure Test- � .' 8. �Eiectrical UPER G�nd. �.��57. APPROVAL TO COVER�GUNI'�E ', "'J.�1Footings � � �•��58. Electrical Conduit-Undrgmd. _: .i ; _ ��.. _Foundation , `,. ;59. Gas Pipe, O Undrgmd., Test ' 9. _Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. y'; 10. Structural Floor Fiystem i, ' 61. APPROVAL TO DECK .� �� 11. Property Sewer Line& House Connection +:-62. Backwash & Receptor�Final .�-"� � � i' 12. Sewer Cap '.'63. Heater & Vent-Final ; �/ j 13. Roof Drains r- 64. Plumbing System - Final '` l, �.;� 14. Rough Plumbing �` 65. Electrical-Final �.!� �% 15. Rough Electric36Conduit 66. Solar System�Final ,_f ,��, 16. Rough Electric Wiring 67. Fencing & Access Approval i1 � 17. Rough Wiring Sign 68. �APPROVED FOR PLASTERING'�. � :�'' 18. Rough Electrical�T Bar Ceiting 69. POOL/SPA SYSTEMS FINAL i� � 79. Rough'Weating & Air Conditioning FIRE DEPT. REQUIREMENT 20.-�Rouyh Factocy F�eplace •.1 n �Z - ' :�x �> -APPROVAL& - ,Pe�mit # '� y �� •r._r -. ,. :�� - . 21 SDucts, in-Structu�e� ; `..`.. ' = „. - - � '.� r `• ; `:� . ." .. �.70. Undergr.ouncJ Hjc�Jro 22. DuMs,Ventilating_. ��ti A �� C�'� r?77_ productPiping�Gas QOiI .i°M. 23:-Gas Pipe,Rough&'Test � i;, ,z �.', 1 J2. Underground Flush ` `-` �,:�x 24. RooiFraming� �,�� , - �� . . � • �.73.<Undergmd�.StorageTank��OGasrOOil _ �"�; 25. Roof Sh'eathing ��" '� ��`' ' � � -y ,;'� , ��74`".Overhead Hydro- � " i �=' % � " ,y 26:'f�fiar Ceiling (Struetural) &,Jylonocoat r � �n _ .�+Y �� 75G"Dry Chemical � . ^ ' �. � - � 27: Fremeand Flashing ;-,` ' ��. � }� .. 7fi: Dry StancjP;Pe S "' � �� - .. r. �. � . i • o-. .r . ` . : , .` _ .28. Lath,ing & Sidingr.. .- _.Z � • '>' - • • x a 77.:, FIXED SYSTEM F.4NAL• � � _ -. yi '29. Insulation ; �r ' ' " � :, " � i �. „ � 78„�FIRE PREV. FINA.L ;, -� � 's ;�' � -30. Drywall.Nailing -_, � � '� y �� HEALTHDEPTt�REQUIREfVIENT i �31. Plaster BrowryC6at; ' �' ; 79: �FIfVqL INSPECTIgN } - - .. ��32.�Electrica�P wer�t�Aezer�Final� `� '� , + � I ,�/iy .„ ,80. �FOOD CERi�IPIC�TE ISSUED� ,.33.`!�in�t Electric! :," � � � ' � �_ .,, , "Noies: � �•. .- ;34.-Final Heating & M�ir�CoFlditioning.� �- ' '� ' " � 't ' - � , . - � �35.�Final Gas PipA�Te'st � r . �� - - � ;= x _ - 36'Hood or Canopy ` � ,,. � : �' ,:i,, ; , ' ' '" " . f^ � >. n �37...Final Factory Fireplace� � � '� .° ; , k*/` , � . � :38. Final Pl�umbing �, - � �� „ " ' .' � � . , �:39. WaferSeFvice-Final�. � � .� * � * �� , _ �- „�:. > a r � 40. Gas Service-Final ' , , �� i C° ' - `�;; `, ' __ �41. Solai Domestic-Final <_ - .� _ i ' .. �i � � • �� 42.`Backflow Preventer' " �� { ` ' � � ' � . i . �; _ 43. Backflow Irrigation tC;::r, � � _ . ' - .. �� + - ' ;44. Landsca e Icripation S stem "u � u s - � ,. .P Y i: � .� 'a.: t*' .�� c . .- � � c'45._Sound Attenuation� L �' � z � ' '` � 1 �'E ' ' ., ., �-}��0 •;46:: Handicap Regulatio'ns �- • � "" " ' "' x } � '' _ .`-, � / mpi }g,IfiSpCCtir`��- 47.:,fINQL STRUCTURE & BUI.LDING + �� ; .. - � J � � � 48P�FINALPLANNING ' :� . ` '� ��, - ' �."�"� � , , , yw � .. ` ) -�49: -Eleciric Release to Edison . � / �, �� :� : ; � 50. Gas Release to Southem California Gas Co - I I ("'� `; . � : . ' i - 51. CERTIFICATEOf.;OCCUPANCY _ �' - _ � No. Date Applitan� to fill in all ipaces ex�eDt ��ose wit�in heavy �ortler lines ana sign all aov�opriate aeclarations. F COSTA MESALl CONSJTRUCTION� }P.ERMIT P�MIT' NO. . � TRACT NO. LOT NO. un�iT nin Address ��7 �/ L%�7 !� L/ �/ nt'sMailingAddress .�'.SH �!s'%/La/�//'///k .��,/T. Name �kO�d/ zC.r�tS� Pnone�GG3970J^ v g. �� Lice�se No. �o�tractor'sNam� f�^��✓ Phone Address Imailing� City License No. IICENSED CONTRACTOR �ECLARATION I hereby a(fi�m that I am licensetl untler provlSlonS of Cha�ter 9(Commencing wi[h section ]000) of Divislon 3 of the Business antl Professions Cotle, antl �• Iicense is in (ull torce antl effect. inse Class License No. _..�c Signature �"�RKERS' COMPENSATION DECLARATION 'eby affirm [nat I pave a cer[ificate of consent to seH-insure or a cer8flcate lorkers' Compensa[ion Insurance, or a certltietl copy tnereot i5eciton aaJO, Lab. C.) Policy No. Company 8 Certifietl copy is h¢reby tumishetl. Ceriifietl copy is filetl with the city Builtling Division. Date Applicanc EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Tbi55eClion neetl not be completetl It the pe�mit Is fo� one huntlretl ($100) or lezs). I certify that in tne pC/�o�mance ot the wo�k 10� whiGh thi5 pe�m�t I5 issued I sM1all not em0�oy any PlrSon in any manner so as IO b¢cOm¢ Subj¢ct [o t�e Workers' om ensatio La�'s o� Calitornia � Date �� z _� �9 Signature —�t. ��'j� NOTIGE: If, after mak��9 lhis tleclaratio you wC Cecome subjett to the Workers' Compen5atio� Pwvi5ion5 ot tbe Lab Cotlo, you muzt (orthwlth Comply wi[h such provlsiOns or [his permit Sha11 be tleemetl tevOk¢tl. CONSTRUGTION LE�'1DING HGENCV I hereby aftirm that the�e i5 a tonstruction lentling a9ency Por the perlormance of th¢ work for vahich Ihis permit is i55uetl (Section 3097 Civ. C.) l.entler's Name Lentler'S Atlaress OWNER BUILOER DECLARATION tyhereby at(irm lhat I am exemp[ from the ConVactor's License Law for the ��.,�?{awing reason (SecUon 7031.5 Business antl Professional Cotle: Any Uty or F-',,, ��nty wn�cn �eautres a permit to construct, aller, improve, tlemolish or ropair �/ structure, prior to Its issuance, alzo requires the applicant for such permit to file a signetl statement that he/she is licensetl pursuant to the provisions o( � Conlractor's �icense Law (Chapter 9(commencing with Section ]000) of �sion 3 of the Bu5ine55 antl Protes5iOn5 COO¢) or that he/she is exempt efrom antl the basis for the allegetl enemp[lon. Any violation of Section . 31.5 by any aOP��ant for a permit sub�ects the applicant to a tivil p�enalty of not more tnan five huntlretl tlollars (E500). .PCI I, as owner ot the Proper[y � � .cvrrtperttat4vn, will tlo �he work, antl the strutture is not intentleE or ottere IOr sal¢ (5¢ction ]Oa4. Business antl PrOf¢SSional COtle: The ContrdCtOr'S License Law tloes not aoP�Y to an owner ot a o�operty who builtls or improves Ihereon, antl who tloes such work himselt/ner5elf o� through his o� he� own employees, provitletl that zuc� improvements are nOt Int¢ntleC or ofteretl tor sale. If, however, the builtlin9 or improvement I5 soltl within one year of com- plelion, the owner wi�l have tne burtlen ot provin9 he/she tlitl not builtl or Im- prove for the purpose o� sale). ❑ I, as owner of the proper[y, am exUuSivery contracting with Ilcensatl con- tractorsto conSVuct tpe prolect (Section 7044, Business antl P/of¢SSions CotlO: The Con(rac[or's Lice�se Law tloes not apply fo amowner of property who. builtls or imoroves tbereon. antl who con[racts /or sucM1 oroiects wi[M1 a r.on- tractor(51 6cense pursuan[ ro me Convactor•s License Law). I am aware lha[ proof o( Ineir WorkeYi Compensation insuranCe Shoultl be provitletl to me. ❑ I am exempt untler Sectlon B. & P. C. tor this r¢ason Dl ^ " O � �`' I hereby ceriity that I have reatl thii appli on antl state that tne above in/ormation is correct. I agree to comO�Y with all city antl county ortlinances antl State laws relatin9 to builtling mn5t�uction, a�� hereby duthONze �¢pre- santafives ot tnis cltY to enter upon the above-mentioned property for inspection purposes. ��JJ�_ 2 Signa[ure �� - Accountin9: Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Hea[er Water Service Auto-Wash Issue Fea Hood or Typel ❑ Canopy Type I I ❑ Refrigeretlon System ❑0-700,OOOBTU ❑100,000 Sysrem Repair/Alteration Fire Dampers Registers Issue Fee ...r. m S Main Buildi E T Front B Rear A C Right K Left $ Ping. Ref. #' Planninq Notes: FEES Nuromatic Washer Construction Pole Sub. Cooking Unit Dishwasher Oryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Ouuecs J� $WISCIICS L/ - Gsrbage Disposal Generator �0-5 KW C $ 3 FEES $ � Zone Building: ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+KW Meter Qup to 100 amps Meter ❑over100amps Sub Panel Motors �0.1 HP �1 %- B Inc.Soiar �9�15 HP �76-15+ Microwave Pole Light Range Standing Sections 15 KW Trash Compactor I Reinspection Fee !$15 I I Issue Fee • DEVELOPMENT SERVICES REQUIHEMENTS: Zonin9�APProvad By Building Approved By /� ' APO�IUt100 �55118d BV //l / . - SUMMARVOFfEES BUILDING PERMIT $ SN11P � -PLAN CHECK $ PERMIT ',� PLUMBING $ '-S-OO ISSUANCE � PLAN CHECK 25% 3 ENERGV P.C. ELECTRICAL $ GRADING � PUINCHECK 50% $ MICROFILM � MECHANICAL $ � � �D TOTAL FEE . PLAN CHECK 25% $ r� N N G R E � M T S. FEES $ 3 aq.ov n(:TEp ^: '_. `�� 7iE_ �. . . _= - CO!"'"'RUCTLoid AND PLANP, . ��.PPROVALS Permit# ' 7. Tempo�ary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. 3.' Electtical Conduit Utility-Undrgrnd. 4. .Electrical Conduit-Undrgrnd. ,� 5. Steel Reihforcement 6. Electrical UFER Grnd. 7. Footings � 8. Fo�ndation 9. Water Pipe-Undrgrnd. 10. Structural Floor System 11. Property'Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains 14. Rough Plumbing 15. Rough Electrical-Conduit �t6" Rough Electric Wiring 17.�Rough Wiring Sign 18.-Rough Electrical-T Bar Ceiling 19.' Rough Heating & Air Conditioning 20> Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric 34. Final Heating & 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 Southem California Gas Cc 51. CERTIFICATE OF OCCUPANCY Jo. • � Date _ Date � Inspector B 'O' '� SPA APPROVALS Permit# 52. Pool & Equipment Location � 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVLR-GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd!, Test 60. Backwash Lines, P-Trep, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final 63. Heater & Veni-Final 64. Plumbing System - Final 65. Electrical-Final � 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71�. Product Piping 0 Gas ❑ Oil 72. Underground Flush 73. Undergrnd. Storage Tank � Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 7S. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80: FOOD CERTIFICATE ISSUED �•. Notes: t[ //%l�•Z �_ _ _ _ � , 2 Y � F{ is =-� �- �� Date I I ., � �03 v c o� �p �I i, � PNOJECT AOOflESS:'{�� 3 q PLUM PL OWNEfl'SNAME: NIKOLAI ZEMTSEV AODFESS: 3SS4 VALLEYBRINK RD LOS ANGELES CA 90039 (213)663-9705 AFCHIENGINEEB: FD�HESS: NEG.NO.: UNIT: UNIT: PEPMITTEE: NIKOI.AI ZEMTSEV ( 714 ) 646-1316 aonxess: 3854 VALLEY BRINK RD T,OS ANGELES CA 90039 ❑CENSE� CONTBpCiOH OEClPflA7lON: I hereby atlirm that I am licensetl un0er pmvisions ol Chao�er 9(commencing with Section 7000� af Orv��s�on 3 oi Ilie Business antl Pmfession; Coae. antl my license is in tull torce and e�fec�. CITY LIC.: STATE LIC.: C1A55: Oate: Signalure: WOBREHS' COMPENSpTION OECLANpTION: I hereby a�lirm �hal I have a cerlilicate of conSenl �o self�insure or a cerlificate of Workers' ComOensaiion Insurance, o� a certilied copy Ihereol (Seciion 3800. Lab. C). POLICY NO.: EXP. ORiE: COMPFNY: Ceni�ietl coDY is hereby fumis�ed. ❑ Certi�ie0 coDY is liletl wi�h ��e ci�y Building �ivision. a�e: Applican�: . E%EMPTIONFHOMWOBREHS'COMPENSATIONOECLRHATION: (Thi55ettionnee4nolbecompletedifthepermiti5bronehunGred�5100�or1e55�. I cetlify Ihai in Ihe pedarmance oi the work �or which �his Dermi� is issuetl, I shall noi employ any person in any manner so as �o became subletl Io Ihe Workers' Compensation LawS ol California. Date: Signaiure: NOTItE: If, ai�er making Ihis declaration, yau shoNd hecome sublec� to t�e Workers' Compensation pmvisions ofthe Labor Cotle. you mUst fotlhwiih Com01y with Such pmvisions Or Ihis permi� 5hall be OeemeA revoked. CONSTBIlCTION LENOING PGENCY: I here6y afhrm ��at �here is a cons�mclian IendinA agency lor the pedarmance'ai Ihe work for wh¢h ihis permil is i�suetl (Seciion 3097, Civ. C�. LENOEfl: . nooxess: OWNEB BWLDEP oEtLAflAiION: I hereby atlirm Ihal I am exempt imm the ConVactors' State License Law for the following reason (Section 7031.5 Business antl Professional CoOe: Fny cily al coun�y whmh requires a Oermi� m cons�mct, alier, impmve, demolish, ar repair any Stmclure. prior to iis issuance. also requires Ihe applican� lor suc� permi� �o �ile a signed s�a�ement t�at he/she is licensed pursuani lo Ihe provisi0n5 0� IAe Conlraclors' State LiCenSe Law (Chapter 9(CommenCing wi�h Set�ion 7000� oi Oivision 3 ol �he Business ana Professons Cotle) or Iha� helshe is exemp� ��ere�rom antl �he basis br t�e allegetl exempiion Nny viola�ion o� Sec�ion 7031.5 by any aOPlicant lor a permi� subjec�s Ihe a001ican� to a civil penalty o� not more than tive hundre0 dollars �5500�. I, as owner ol ihe O�openy or my employees with waAes as �heir sole compensation, will tlo ihe work, antl ihe ❑ stmcmre is not imenaea or oiferetl for sale (Secuon 70a4. Business an0 Pwtessional COAe: 7he Contracmrs' State License Law � tloes nal apply lo an owner of a propetly who bwltls or improves �he�eon, antl who tloes such woB himSelVhersell or Ihmugh his or her own employees. pmvitle0 �ha� 5uch improvemenls are not in�entletl or oflere0 �or sale. Ii, however lhe 6uilaing or impmvement is soltl within one year ot complelion. �he owner will have Ihe burtlen o� pmving he/she di0 not build or impmve �ar Ihe purpose ol sale�. I.as ownero�the property,am exclusively conVac�ing wilhlicensetl contraclors�o conSiNctthe pmject(Section 70d0. Business ❑ and Professions Coae: The ConVactors' S�ate License Law does no� appty to an owner ol pmperty who builOs or imP�oves Iherean antl who conlracisfor such pmleci5 wiih a conUac�oqsj license pursuant�o ��e ConVacrors' Sla�e License Law�.l am aware Ihai pmol of Iheir Wo�ker's Compensa�ion insurance s�auld he pwvitle0 lo me. W I am exempi un0er Sec�ion: gP 7 o q 4 B. 8 P. C. ior inis reason: HY OWNER Daie'. �� Ownec I Do hereby cenily �ha1 I am aware ol antl untlers�and the repuiremems oi a omi Healih Sa�ery Code Sec�ions 25505, 25533, antl 2553a an0 Ihai I or any imure builAing ocapam will/will nm �circle ane) neetl �o comply x sai0 Slate cotles and the reQuiremenis �or a permii �or consimc�mn or moddicalion imm Ihe Art Oualiiy Management �iSVict. fle5i0en�ial conslmction applications are exempl fmm IheSe pmvisions. �ale: ApplicanP. I here�y cetlify�hatl have reaU Ihis application and s�a�e�hatlhe abovein�ormation is correcL I agree lo comply wilh allciry anA couniy meinances antl slate laws relaiing Io ouil0mg conslmciion and hereby autharire reDresen�atives of this ciry lo en�er upon ��e above�men�ianetl pmperty lar in5peciion purposes. Date: _�'�� SignaWre: _ Driver s t¢ense o� Socia� Securi�y % t646a6 White—Bmltling: Green—Cotle Entorcemenf. Ganary—NpP�icanq Pink—Revenue: Goltlenroa—Nssessor CITY OF COSTA MESA — BUILllING PERMIT PERM NO; IE 05517_ PERMIT NO; IE 055179 PLAN CHECK NO: N GOVT; N SUPP; Y CONSTRUCTION TYPE; 5—N PERMIT TYPE: ELE OTH PURPOSE: OTH JOH DESCRIPTION ; MISC, ELECTRICAL ALTERATIONS.IN HOME SQ FT; CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 /M-1 COMMENTS: RENEWS 'EXPIRED' PERMIT E39877 �+t�****�e***�*� ��t***�t**+r*******+�**x x*�**�r****��t�c�*�tx�*�*xx x�e*t��t**x�*�t+��t �****�t** Z O N I N GS ERTEH�AUCIKRSE M E N T 5 ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGAT: FT IN PARKING REQ- PROV: PARCEL: 42245414 ZNE: REF NO: PLANNING Ni3TES> � !f �E if ik aE if iF iE 3F if if iE ik if it iE af iE iF i(� iF iF 1f 1F iF iF iE iE if af iF if �lf iE ii'if iF �E iF �)f if iF iE �lF if * if� if iF iEiE iE if iE if aF iE 1E if �)f iE�IEiE * iE iF if �f �lE if if iF if �F i(� iE # iF 36 D E V E L O P M E N T S E�'R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : _,,,_,_ DATE; APPLICATION ISSUED HY• �.: DATE• iE iF iF if ik if if if iF IE k if iF iF iF iF it 1E iF if if 3f 3k iF if if iF 3F iF 1E iE iE�i� if If +t******�t*�*********x�r**�e�***�rx��r***t��*�***i i *�r**�********�r*�t**�t*******+��**��t* LEGALIZATION:N F ErE. S U M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 30.00 50� SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT I55UE PLAN—CHECK TOTAL PAID DUE TOTALS----> 30,00 0.00 0,00 30.00 30,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 30,00 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECiiANIC FZRE SMIP/TOT GRADING PLAN—CHECK 3a.00 iE iP 1F iF iE iF iE �k iF iFlE if if it if iE lE �F iF iE if 1E �f iE iF iF iF �lE ik iF �E if iE 1k iF if if iF iE fF iE iE IE iF iF IE iF 1E iE iF iE ik iF iF iE fF if iF-IE if it iF 3F iE jf * iF i6 )E 3f �1f iF iE if iE ik if if if I N D Z V I D U A L F E E B R E A K D O W N TYPE QTY ELE 1 I �i �' �i � :i i'il li �ii .l ELECTRZCAL RE—INSPECTION FEE END OF FEES UNIT COST TOTAL COST 30.00 30.00 ai e�ic3oi�—J��iC3Di': `�:.� ;- ; enr�: � fi�2,,91 ; Tr: � i=;,,�, � �� ,__..a CONSTRUCTION AND PLANNING P��A . APPROVALS Permit # Date Inspector qppROVALS Permit #�� Date Inspector : 7. Temporary Electrical Service or Pole 52. Pool & Equipment Location -�tl�, � 2. Soil Pipe-Undrgrnd. � � 53. Steel Reinforcement /. 3. Elect�iical Condui4,lJt7lity-Undrgrnd. 54. Forms �� 4. Electrical ConduiKUndrgmd. 55. Electrical Bonding 5. StEe�,Rtiinforcem�nY ' 56. Rough Plumbing & Pressure Tes{� rt; >.fi• Etectr�ical UFER Grr�tl. 57. APPROVAL TO COVER-GUNIT�E � ' 7. Footiri9s ��s 58. Electrical Conduit-Undrgmd. S.,.Foundation �•i; 59. Gas Pipe, O Undrgrnd., Test •�,;. � i . i 9. Water Pipe-Undrg�nd. 60. Backwash �ines, P�Trap, O Undrgmd. � - 10. Structural Floor System 67. APPROVAL TO DECK ,- ! 11. Property Sewer �inel& House Connection 62. Backwash & Receptor�Final ' i' `� ��" 12. Sewer Cap ' 63. Heater & Vent-Final .i 13. RoofDrains `�� •- 64. Plumbing System - Final - �� 14. Rough Plumbing �' � 65. Electrical�Final c; ' � i1 15. Rough ElecticaJ-Conduit 66. Solar System-Final � ��7 jJ / 16. Rough Electric, Wiring p�-eq �/.j .�,. 67. Fencing & Access ApProval ' i/ � � o� ioa.c.{� � 17. Reugh Wiring Sign 68. APPROVED FOR PLASTERING •:�%� 18. Rough Electrical-T Bar Ceiling 69. POOVSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - ' ,r �_.D.. ,� r� 20. �Rough �ctor� F� �,eplace \- T � � '' � �r r + !APpROVR6�S' %}�ermit # ` � - .l : r x 'x �. (L' - �' 21 �Duct's, in�Structuie ,� � .. . "' y t � - �'� �b .t� ' � " �J'" ^ � `a . � :t� �a ,.' .3.�..:/0. Undergro�md.Hydro - 22. DuCi3. VentiWti�9.-. ' �` � � � ` �71. Producf`�'P�i�g Q(�as ❑:Oil 23. �Gas Pipe-Rough &i;est ' r r r _ ,t :.x y; '7y, Undergrouly d Flush= . ' 24. Root Framing -�� - - � + `� �_ � ,� �. �73:lUndergrn�StoragrTank f7 Gas ❑ Qi1 25. Roof Sh�athing � � i ' .t. �' ` � C��` ` '7q �Overhead Aydro_ q 26. T-Ber Ceiling (Stru�ural) & Monocoat � _ ��• = 75.�Dry Chemical � - < 27. Prame aqd Flashi " _ _ ' r- f� - � ^ ' 29: . e_' 76: Dry Stand,�ly@e A 28.'LatE�inq& Siding - . _ r � s ^; � 77.: PIXED SYS�EM-R7NAL` J i' _ "i '� 'r y �'29. Insulation � .� ' . . • � . . ' .� �. � � J r 1 �' .. �iJTr * 78 �;FIRE PREV. FIfyF4L . � ,�, •t 30. Drywall Nailing ��+ � � � � ��`� �� + HEALTH DEPT.: REQUIREMENT 31. Plaster Brown Co�t~ ' �'1'' _79. `FINAL IN�PECTIOfV�; � s � �+ , � 32.:Electrical Power Meter.-Final, . � . +y_�;� v �80 � " OD CERT �RT.� ISSUED� 33. rFinal Ele"tctric ' �, �l q��7 r -�'' � ¢sy _ ��i;; ; -,' � - ` ' • 'I �!=/!i �' - - - ` i�,34. Fina Heeting�& Fjir�Co2ditioning., , � ' K�,. �z'U t x , -- r ' a 35. Finat Gas Pipe-Test" _ - i iL , • ' ' _ � 4 �' ; t �y o -36.�Hood oc'�CanoPY' � . ' - . ' ��s� _ >' >. ' .. . : ' - . - �� 37.-Final Factory Pirepiace _ . : '� ' � ' I 1'-* ' : � !. ' �38. Final Plumbing . , � � � i{. _ . . . l� � 39. Water Service-Final J � • � ��' '� • � - r � - , �. . I . _ r _� . .40. Gas Service-Final ` ., .� � '" ; , I ,� � : � � -41. Solar DamesiicFinal .. � _ � r � •t�: '' n r � � . , . , i, - 42. �Backflow Preventer. ; ', , - � ' 43. Backflow Irrgation- i= - - � � ; - . - ! v �. �1. '�J i C� ' - L J' •� g � V � l � R4. Landscape Irrigation System. , - r ; �� _ .� .. - . _. , 45.=Sound Atteriwtiort i-- - , � --i �. - � . � r�r, � � , i� ''46.,Handicap.R�gulatio�s - _ �' � '�" ` " _ '� ' � c� - � 47rfINALSTRUCTURE&BUtLD�NG a � � .-� � • �� 48. �FINAL PLANNING� ''� ' . �" � " ` " v(a x �? .. 49. Electric Release to Edison .tr , I'�; ^ i -r ' - 50. Gas Release to Soufhem California Gas Co '- i � f; µ' " .:;,� _ 51. CERTIFICATE OF.00CUPANCY . „ {;;,�- . , , No. Date ADP�icant to flll in all spatts except those wilNn heavY boraer Ilnes antl sign all aoo�ovriata tleclarations. PERMIT N,O._ TRACT NO. LOT NO, UNLT NO. CITYOFCOSTAMESA CONSTRUCTIONPEHMII -- - •�+-� � �• � qP# Flojeci Addresv � -� � P�-V lM �� Applicant's Mailing Address �� Si��.t�u.b �'v, Owner's Name N� V O Ly� I Z�W1S�I�..v�+hone .Address Arch/Eng. License No. _ onvacmr's Name �-'E W€ LGG 4 Phoneg �'7S � Addresslmailing) r�j, A VGl City License No. � `l� LICENSED CONTRACTOR DECLARATON I hereby aftirm Ihat I am licensetl untler provisions of Gharte� 9(commencing with sec[ion 7000) of Division 3 of the Busines5 antl Protesslons Cotle, antl -'v license is in full force an�eitect. ense Class pG� Licen No S ..ate�Z�L..Q9 Signature I uIORKERS' COMPENSATION DE RATION �reby attirm thal 1 have a tertifi a o1 consent ro If-insure or a certiFlcate Norkers' Compensation Insura ce, or a certifietl copy thereof (Section ..a00, Lab. C.) Policy No. Company 8 Certi(ietl copy is �e�eby fumishetl. Certitietl copy is filed with the city Builtling Division. Date APPlicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl nat be compleletl it the permit is for one huntlretl ($300) or less). I certify ihat in the performance of tne work tor which this permi� is i55uetl, I shall mt employ any person in any ma ner so as [o beco subje,t to the Workers' ' a^i� ws ot Calitor , � Da[e Si9nature • NOTICE: Ii, after makin this tleclara ' n, you shoultl b ome subject to the . Workers' Compensation provisions he Labor Cotl you must forthwith comply with such p�ovi5ion5 or i5 permit Shall be tleemetl �evoketl. CONSTRUCTION LENDING AGENCV I hereby aHirm that there Is a construction lentling agenty tor the pertormance of the work for wnich tni; permit is issuetl (Section 3097 qv. C.) Lentler's Name � � n Lentler's Atltlress OWNER BUILDER DEELARATION '�ereby af(irm ihat I am exempt from the Contracror's License Law fo� the z:�owing reason (Section 7031.5 Business antl Protessional Cotle: Any city or �„-"�'�mty wnich �equires a pe�mit to conSVuct, alte�, improve, tlemolish or repai� `-;:y structure, pnor [o its issuance, also requires Ihe applicant for sucb permit to file a signetl italement that he/she is IicenSetl pU�suant to Ihe provisions of •^e Contractor's �icense Law (chav�er 9(commencing with Section �000) of �ision 3 of the Business antl Professions Cotle) or that he/she is exempt �efrom antl th2 basis for the allegetl exemption. Any viOlation ot Section ..31.5 by any ap0��cant for a permit subjects the applicant to a civil �enalty of not more than five huntlretl tlollars (§500). LJ I, as owner ot the property or my employees with wages as their sole compen5ation, will tlo the work, antl the structure is not intentletl or o(tevetl for sale (Section 7044, Business antl PrOfessional Cotle: TM1e Contractor's License Law tloes not apply to an owner of a property who builtls or improves lhereon, antl wM10 does such work himself/herself or th�ough his ar he� own employees, provitletl that such improvements are not intentletl O/ otferetl for sdl¢. If, however, the builtling or improvement Is soltl wilhin one year of com- pletion, the owne� will have the burtlen of provm9 he/she tlitl not bwltl o� im- prove tor the purpose of sale). ❑ I, as owne� of the property, am excWsivery contracting with licensed con- tractors to construct the oroject (Section 7044, Business antl Professions Cotle: Tne Contractor's License Law tloes nol apply to an owner of property who builtls or improves thereon. antl wno contraccs (or such oroiects witn a con- tra<tor(s1 Ircense pursuan[ to [ne Contractors License Law). I am aware that proof of fhei� WorkeYs Compensation insurance shoultl be provitletl to me. ❑ I am exempt unaer Sectlon B. & P. 0./or this reason Date I hereby c¢rtify [hat information is correct antl state laws relatin sentatives ot tni cit in5pection pu�p 5. $ignature Drivers' Licen or 55 0865-46,rev /88 — Owner I have reai I agree to to builtlm to enler a above nances TVPE OF CONSTFiUCT1ON LI NEW I�KADD LI ALTERATION LI REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPE OF PERMIT LJ GRADING LJ FOUNOATION LJ STRUCTURAL ❑ TENANT �ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5¢,FT. OCGUcaNCv_ CONSTRUCTIONTVPE�� c�YCWL VALUATION$ ��e ZONE GRADINGCU.YDS. ACRES_ 0.emarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Kitchen Sink Lavatories Roof Drains ShOwers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Cbse[ Water Heater Water Service Auro-Wash S Main Building: E T Front B Rear A C Right K . Left S Ping. Ref. # Planning Notes: FEES Automatic Washer Construction PoleSuh. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F,A,U. Fixtures Device Boxes OUtI2[5 SwiiChes Garbage Disposal Generator �0-5 KW C Reinspection Fea � $15 I I Issue Fee I $ 3 I MECHANICAL FEES Boiler Duct - Under Ground Duct - Structurel Duct - Ventilating Exhaust Syscem ❑ MWtiple ❑ Firepl/Fact Blt. iC80 # Heating System & Ducting ❑0.100,000 BTU � 100,000 BT Reinspactian Fee � $15 White - Builtling; canary - Applicanq Pink - Accountlng; Goltlenrotl - Assessor Hood ar Typel ❑ Canony Typell ❑ Refrigeretion Sys[em ❑4700,OOOBTU ❑100,OOOBT System Repair/Alteration Fire Dampers Registers Issue Fae $ 3 � � Zone Accessory Building: Z O N I N G R Parking Req./Provided E Q M S. ELECTRICAL FEES Transformer ❑ 15-50 KW ❑ 50+KW 5-15 KW Meter LJup to 100 amps Meter ❑over 100 amps Sub Panel Motors �0-t HP �i %- 8 Inc.Soiar �9-15 HP �16-15+ Microwave Pole Light Range Sign Standing Sections Trash Corripactor. � Reinspection Fee '$15 �. I Issue Fee� - DEVELOPMENTSERVICESREQUIREMENTS: ' Zonin9 APProved BY . Building Approved By SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25�/ g� ENERGV P.C. $ ELECTRICAI�,3•%J$ j�- GRADING $ PLAN CHECK 50°� $ MICROFILM $ MECHANICAL $ TOTALFEE $ PLAN CHECK 25% $ oi n�oMF��p-cev�zi�a �r�-� a�,�= 6�;iE. Oa/25:39 TI71t� i=:51 F _�.._ - •CONSTRUCTION AND PLANI, d APPROVALS Permit# r}- �. Temporary Electrical Service or Pole 2� Soil Pipe-Undrgrnd. ' 3� Electrical Conduit��lhility�Undrgrnd. 4;Electrical Conduit-Undrgrnd. �- � : 5� �teel. Reinforcement j 6^�=1�ectrical UFER'Grnd. � - 7� ��Fooiings : R�'Fniinriatinn . � • � 9:,.Water Pipe-Undrgrnd. 70. Structural Floor System � 11. Property Sewer Line & House Connection 1 - 12. Sewer Cap , '� � � 'i. - 13. Roof Drains �, � ^� 14. Rough Plumbing�. . 15.�Rough Electrical-Conduit �78� Rough Electric Wirin9 re-; 17� Rough Wiring Sign �.; �18: Rough Electrical-T Bar Ceiling �19.�Rough Heating & Air Conditioning � 20- Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilating -�' �_ 23. Gas Pipe-Rough & Test �a 24..Roof Framing • .• 25.�Ftoof Sheathing .. 26. T-Bar Ceiling (Structural) & Monocoat � 27. Frame and Flashing �� 28.. Lathing & Siding 29. Insulation 30. Drywall Nailing �;J �31 . Plaster Brown Coat ''� 32. Electrical Power Meter-Final 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 3S. 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. Electrie Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date °O '� SPA Oate Inspector p�ppROVALS Permit# !t� 52. Pool & Equipment Location �' � 53. Steel Reinforcement r �,� 54. Forms ' 55. E�ectrical Bonding 56. .R ugh Plumbing & Pressure Test � 57. APPROVALTOCOVER-GUNITE �;�� 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test � 60. Backwash Lines, P-Trap, O Undrgrnd. �' / 61. APPROVAL TO DECK r'��' 62. Backwash & Receptor-Final � 63. Heater & Vent-Final y �� 64. Plumbing SYstem � Final 65. Electrical-Final 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPA SYSTEMS FINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # f 70. Underground Hydro 71. Product Piping O Gas ❑ Oil 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 7S. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION � 80. FOOD CERTIFICATE ISSUED Notes: f�� Date � Inspector :,, ,! � .; z� �j ,�ic - � ' t �' 6' cC B� .' � � a � PflOJECT AOONESS: a 3 4 PLUM PL OWNEfl'SNRME: NIKOLAI ZEMTSEV ADOflE55: 3854 VALLEYBRINK RD LOS ANGELES CA 90039 (213)663-9705 APLHIENGINEEH: . AOOflESS: flEG.NO.: UNIT: UNIT: � PENMITTEE: NIKOLA.T ZEMTSEV ( 714 ) 646-1316 aooness: 3854 VALLEY HRINK RD ' LOS ANGELES CA 90039 UCENSEO CONTHACTOfl DECLABAiION: I hereUy allirm Iha� I am licensed under D�ovisions of Chapier 9(commencinB wil� Section 7000) of Oivision 3 of �he Business antl P�ofessions Cotle. ana my license is in full force an0 elfec�. CITY UC.: STATE LIC.: CLFSS: Date: Signamre: wOXNEflS' COMPENSAiION OECLABA7IQN: I hereby aflirm inal I have a ceniticate of mn5ent to selt-insure or a certilicale ol worker5' CompenSation Insurance. or a cenilietl cppy ihereoi (Section 38p1. La�. CI. _POLICY NO.: E%P. OATE: Cerlilie0 copY a here6y furniSAetl. ❑ Certilied Copy is liletl wit� IAe cily Builtling Oivisian. �Ie: — pODlitant: E%EMPTION FflOM WONREHS' LOMPENSATION OECIFNATION: (This se[Iion neeA no� be campleteA iI �he De�mit i5 br ane hunUrea (E100) or less). I cetlify Ihal in Ihe pedormance ol Ihe wark for which this permii is issued I shall no� employ any p¢rson in any manner so as �o become su0jecl to I�e Workers' ComOensa�ion ldws of Calilomia. �ale: Signaiure: NOTICE: II, alter making Ihis declaration, you should Cecome 5u01ec1 �o Ihe Worke�s' Compensation pmvisions ol t�e La�or Code. you must IorthwlM complY wlth such pmvisions or fMs Oarmit shall �e tleeme0 revokea. CONSTflUCTION LENOING AGENCY: I hereby alfirm Ua� ��ere is a constmc�ion lending agen�y for �he pedormance ol Ihe work for whictl Ihis Oe�mi� is issuetl (Seclion 3097. Civ. C). iE"oE": RENEW MECHANICAL PORTION aoosEss: OF EXPIRED PERMIT PM40291 OWNEB BUILOEB OECLAflRTION: I hero,by allirm Ihat I am exempl Imm the Coniractors' Slate License Law �ar IOe lollowinp reason �Seclion 70.71.5 Busine55 and Pmlessianal Cotle: My d�y of counly which requires a pe�mit to con5tmci. allef, im0�ove, aemolish, or repair any slmcWre. o�iar lo i1s i55uance, a120 repuires ihe appliWni for suc� permil lo �ile a signetl statemeni Ihai �e/s�e is licensed Dursuant �o ��e provisions of I�e Contraci4rs S1ate License Law (C�apter 9(cammencing wt� Seciion 7000) ai Uvision 3 al the Business anE Pmlessions CAtle) or inat �e/s�e is ezempt thetelwm and t0e Uasis for t�e alleAed ecemp(ion. Any violatian ol Section 7031.5 Dy any aOPlitan� lOr a permii SuUletis Ihe applitani l0 a Civil penal�y ot nui more I�an �ive hUntlretl aollar5 (SSIXI). I, as owner of I�e pmpetly Ur my emVloyees with wages as �heir sole comp¢nsa�ion, will do the work, and the ❑ simcWre is noi imenaetl or oneretl tor sale 15ecUon 7044, Business and Pmiessional Cotle: ihe Caniracmrs' State License Law Ooes not apply to an owner o1 a pmpeny who �uilUs or impmves ihereon, ana wno does such work himself/hersell ot ihrough his or her own employees. Dmvitletl ihat such imD�ovemenis are not intentleC or oflereA for sale. II, however ihe Uuilding or impwvemenl is sottl wiihin one Year o� compleiion, Ihe owner will have I�e Ouraen of pmving he/s�e tlid not Ouild or im0�ove for Ihe Durpose o� sale�. I, as owner ol �he pmDehY. am ekcWsively conVacting wilh licensetl comracmrs lo cons�mc� the pmlecl (Seciion 7044, Business ❑ antl Pwlessions COAe: The Coniracmrs' Sla�e LitenSe Law d0e5 no� apply lo an owner o� property who �wias ar improves thereon anA who coniracts lor such pwlBcts vn�h a canlractm�5) license pursuam ro ��e Contractors' S�ate License Law�. 1 am aware I�al O�o01 0� Iheit Workei5 Camp¢n5a�i0n in5urar¢e S�oula G¢ D�o�riO¢tl lo me. � � am ehemp� unaer Sec�ian: B A% O 4 4 B. 8 P. C. mr mis reason: HY OWNER �/ /-- Oate: _IF�1_Z.,%�— O+mec �" I tla nere�y cemly inai I am aware oi an0 untlerstana tne reauiremems of C.,for ia Heatin) Safety COEe Stttions 25505, 25533, antl 25534 anal�a� lor anytulure Ouilding occupanlwilVvnll no��circle one) nee0to com0ly vnfh said stale co0e5 antl Ihe repuii¢menl5�ara permil lor conslNclion or moUdicaiion Irom Ihe Air Oualily Managemen� OiSiricl. ReSiUenlial constmciion aDPlica�ions are exempt Imm IhCSe pmvisions. Oate: _ Applicant: I hereby [etlily I�at I �ave rea0 �his apPli�atian an0 slale Ihat ��e above in�armalion is correci. I agree lo complY wilh all ciry and coun�y orOmances antl slate laws rela�ing �a �uil0ing constmtlion an0 �ereEy auNorixe representalives o� this cily lo enler upon Ihe a6ove�men�ioned p�Op2rty f0�i�5�OCfi00 p[Rpd5C5. �ale:_�/�z�� SignaWre: _ Oriver's L¢ense or Soaa� Searity +: NpO��ant; Pink—Revenue: GolOenroE—Assessor CITY OF COSTA MESA — HUILDING PERMIT PERM NO; IM 05517 PERMIT NO: IM 055177 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC OTH PURPOSE: OTH JOH DESCRIPTION : NEW FORCED AIR UNIT 6 GAS SERVICE SQ FT: CLAIM VALUE; CALC—VALUE; GROUP OCC; R-3 /M-1 COMMENTS: RENEWS 'MECHANICAL' PORTION OF PM40291 **�t�r*�t�t�r�r+t�*�r�e*******�r�r�r*��tx�r�r�r*�r�*�r+t*�t****�r**�r�t*�****x *�x*�r*x*�*�r+��r�**+r**�t**�r Z O N I N GS ERTE$QAUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL; 42295419 ZNE: REF NO: PLANNING NiST'ES> i if 1E fE jf iF iF iF if iE iF if IF iF it IE �E IF iF iF iE if If iE iF if IF iF M iP iF iF if iflE iF iF IF iF iE 1FlE iF if IE 1E k IE iF iE 1F iF iE If iE iFjf 3F IF iF ik 3E IE if iE if iF * iE iF iF IE k iF if �F iF # IF ik D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY P; DATE: d BUILDING APPROVED HY ; DATE: APPLICATION ISSUEll BY: DATE: ifiF�FfFiEifiFiFikiFiE�Fif�E�fiEiFk�EiFlfi6 , ifiFifiEifiFkjFk�f � itk **�r****��r�r��r******* �P�e��r r��**�� *� ***�**�*****�*****�***��*******��* LEGALIZATION: N Ud�� nEp�r�� S U M�M A R Y STRUCTURAL SEGMENT: N BLDG PMT PLBM�-ING S:ELECTRIC MECHANIC FIRE SMIP/RES GAADING PERMIT � ' '8 30.00 �� 25Y SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CH�CK TOTAL PAID DUE TOTALS----> 30,00 0.00 0 00 30,00 30,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OVER/SHORT;; ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30.00 _ - i! iE iE iE �k aF iF if �f if if if iF iF if iE iE if iF 3E iE iE 3E iF jE iE fF �F if iE if iF �f if iF iE iE if If iF 3f 3E jF if k if iFi41F if if �IE if if if if iE iP iE if aE IF 1E iE 1 f***�E 1F iF aF iE iE �EiE if )f if I N D I V I D U A L F E E B R E A R D O W N .• TY-PE QTY D E S C R I P T I O N UNIT COST- TOTAL COST ; � MEC 1 MECHANICAL AE—INSPECTION FEE 30,00� 30,00 7 END OF FEES ' � �) ' `� . EXPI�cED " "� I omplete Inspecti s Svate �� Ee � '! Y � J � ��n�J:��],f—'li'��`�i��i r..'� , _h�] ti�l. _��1�'. ..�� '" POV L A CONSTRUC710N AiJD PLANNING � - APPROVALS Permit # Date Inspector qppROVALS Permit #�_ Date Inspector . � i. Temporary Electrical Service or Pole 52. Pool & Equipment Location /� /u 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement y � _ / ii 3, ElEctrical CondurtUiility-Undrgrnd. ' 54. Forms .% 4. Electrieal Conduit•U�idrgrnd. � �55. Electrical Bonding 5. Stee( Reinforcemeet' ' , �56. Rough Plumbing & Pressure TeSY .'6: �Electr�eal UFER Grnd. :�.57. APPROVAL TO COVER�GUf�IiT� �Z.'Footinjs ��58. Eiectncal Conduit-Undrgrnd. 8;, Foundation �• ,, �>59. Gas Pipe, O Undrgrnd., Test �• 9. Water Pipe-Undrgind. 60. Backwash Lines, P�Trap, O Undrgrnd. J/ 10. Structural Floor System ��61. APPROVAL TO DECK .� � 11. Property Sewer Line & House Connection ��62. Backwash & Receptor�Final ; 12. Sewer Cap ,, 63. Hearer & VenbFinal '� �.% 13. floof Drains - 64. Plumbing System - Final �' %' i 14. Rough Plumbing " 65. Etectrical-Finai , I' � 15. Rough Electrica�-Conduit 66. Solar System-Final �-j � J. 16. Rough Electric Wiring 67. Fencing & Access Approval f,1 '� 17. Reugh Wiring S�gn 68. APPROVED FOR PLASTERING'. ' 18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL �' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' ' i �ia . 20. Rough Facto� Fi?eplace �' � j * ". - - • APPROVAf:S ' Perrttit # } '` � ^ F \ 21.�Ducts, in�StructurA . . .. � � � � "/0. Underground� Hydro . � �" � e L t. 22. DuctS, Ventilating� • � ' Y _ t-= 77, Product��Aing OGas O'Oil „'� ' 23: ;Gas. PipeiRough & 7,est ,�r a, " 72. Undergroun� Flu"sh;, � � �j'' 24. Roof Framing 1x � � •� � • ' i '� � �73aUndergrnd'Storagy7ank OGas OOiI �� .; � 25.~Roof ShQathing �� ` 'r . ; " - , : i4,=0verhead Hydro . �- � ��y 26. T-Bar Ceilin $tructural) & Monocoat � v ��. _ .. � � • - 9 ( 75. Ory Chemical - . 27: Rame and Flashir�g: . . •+"` ,, , ' 76. Dry Standpip`e ` i' � � ' ' � 28� Lathing & Siding�. - _ �t, . > • • •• 77 � FIXED SYSTEM RlNAL• - � ' 1'� '29. Insulation `.p - �- � . � - 78.�FIflE PR.V. FINAL . 30. Drywall�Nailing t � '��' HEALTH�DEPT.REQUIREMENT ' - 31. Plaster Brown Coat� ; ; ., . � �. ,79.�INAL INSPECTIqN ' - '� - 32._Electrical Power Mex�r,,Final � . .��_ �SO...FOOD CERTIFI.C�ATE ISSUED 33.�'FinalElectric _ ,Z ' - �Notes: . - . •• - ',� ,.34.,-Finef Heating & A1r�Coqditioniq9. � ' � � ' _ , , , ' - 35. Finat Gas Pipe-Tesf � - � . �' ' � � • __ ° � - a j 36. Hood or CanoPY - . r � /x .� > . : r-� � + . , 37. Kin�f Factory Fire.ptace.. : � ° ' .� ' j� � � ' ' ' �38. Final Plumbing ` � � � � . r . �y � r� .39. WaYer Service�Final• + . 7i ' • � - r • l: S'. . .S '� ' 9 -40. Gas Service-Final . . � ; , � r _ ,� . " 41. Solar pomestirFinal �: � � �tc - � ,,. . 42. Backflow Preventer - ` " _ �; , j 43. Backflow Irrigation � '� � ' �`� - • � - . r .• . ` 44. Landscape Irrigation Syscem, "' � � , _ _ � ` A ��p� Q{� � �� -45. _Sound Attenuatiort � • , ? � - � `' ,4�J��7"�" - 46.,Handicap,Regulations ' � � - . 4 � ��- e"� � 11 ��$ 47.��FINALSTRUCTURE&BUILDING � %% �� ' � "� � . '46..�PINAL Pt.ANNING . . . � �� ` � ` ' 49. Electric Release to Edison . . (/� % � � > r SO.rGas Release to Soufhem Cali(ornia Gas Co . � f, � _ o''" • _ � ' 51. CERTIFICATE OF.00CUPANCY , . - . '- . . � _, No. Date / ACo��ant to fill in all spaces except those within heavY �ortler lines ana sign al1 avorovriate aeclarations. PE MIT NO. TRACT NO. LOT NO. UNIT NO. ICi7'�OFCOSTa��a�/ CO�'N$�RUCTIONPERMIT O � �1.P.;f`- I pr ct Address -7 /�M �� S Main Buildin9: 4 plicanYs Mailin9 Address G` [ � TVPE OF CONSTRUCTION rveW ADo ALTERATION REPAIR E Front � i Z Phone�6G-3`J7�J� � CONVERSION ❑ DEMOLISH ❑ OTHER B wner's Name � OESCRIPTION OF WOflK/USE OF BIDG. I A Rear ,Address � TVPE OF PERMIT ❑ GRAOING ❑ FOUNDATION STRUGTURAL �� C Right ArchlEng. m Licen;e No. K Adt1�e55 — � ❑ TENANT ❑ EI.ECTRICAL ❑ PLUMBING ❑ MECHANICAL I S LCft ❑ OTHER � Ping Ref # Contractor'sName ��✓��✓ Phone Ad{'ress (mailing) Ciry License No. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensetl untler provisions of Charter 9(comTencing witM1 setlion ]000) of Division 3 of tbe Business antl Profession5 Code, antl - v license is in (uli to2e antl effect. ;nse Class License No. ua[e Signature v��RKERS' COMPENSATION DECLARATION ':by a(firm that 1 have a certifiwte of mn5ent to self-insure o� a Ce�tificate Por:<er:' Compenzation Insurance, or a certitietl copy thereot (Section 3nOq l.ab. C.) Policy No. Company ❑ CertiP.etl copy is hereby fumishetl. C Certi(ietl mpy is Filetl viith the ci[y Builtlinq Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION OECLARATION (in�s seccion neetl not be mmpleted if tlte Fzrmit is far one Ituntlretl ($100) or less). 1 wrbfy tnat in [he Oerformance of the work for whicM1 tM1is perm�t is issuetl, 1 sM1all not employ any person in any manner so as to becom¢ subject to the WOIk¢f5'�r Omp2l15dfiOn wSOt CalifOlni3 Date N "� !? � ��Signah�e — NOTICE:If, after making this tleclaratio , you s} uld bewme subject to the Workers' Compensa[ion provisions of the Labd Cotle, you must for[nwith comply with such provisions or Ibis pe�mit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENGV i hereby attirm that [here is a tonslructian lentling a9ency for the perfo�mance ot me work for which this permit is issuetl (Settion 3097 Civ. CJ Lender's Name , Lentler'S Atltlre55 � OWNER BUILDER OECLARATION i hereby affirm lhat I am ezempt trom tM1e Cantractor's License Law for tM1e 'owing reazan (Sec[ion ]031.5 Business and Professional Cotle: Any city or !nty wM1ich requires a permit to con5t�uct, alte�, improve, tlemolish or repai� ,...y struc[ure, prior to Its issuance. also requires Ne applicant fo� such permit lo file a signetl statement tM1a[ he/she is litensetl pursuant to tM1e provislons of 'ne Contractor's License law (Chapter 9(commennng with Section ]000) ot ivision 3 of [he Business antl P�otessions CoCe) a� tnat he/she i5 exempt iere(rom antl the ba5i5 �o� the alleged eaemption. Any viola[ion of Section 1031.5 by any applicant for a permit subjetts the applicant to a civil enalty of not more than five huntlretl tlollars ($500). � 1, as owner ot the property � -evnr{mrtaFm�, will tlo [he wo�k, antl the structur¢ is not intentled or offe�ea for sale (Section ]044, Business antl Professionai code: The Contractor's License law tloes no[ apply [o an owner of a property who builtli o� improves [hereon, antl who Eoes such wo�k himself/herself or Ihrough hi5 0� her own empioyees, provi0etl tnat zuch improvement5 are not intentletl or offered for sale. It, howeveq the builtling o� improvement i5 Soltl witnin one yea� of com- pletion, tM1e owne� will nave the burtlen Of proving he/she tlitl m[ builtl o� im- nrove �or the purpose of saie). ❑ i, as owner oi the property, am exclusively mntracting witn licensetl con- Vactorsto construct tne project (Section 7034. Business and Professions CotlE: The Contrattor's l.ltense Law does not applY to an owner of property whb builtls or improves thereon. antl who contracts fo� Such oroiect5 with a r.on- trattor(s) Lcense pursuant m me Contractor'S licenie Law). I am aware thai proo( of tneir Worker's Compensation insurance shoul0 be p�ovitletl to me. ❑ I am exempt under $ection 8. & P. C. for this reason ^ o � � I hereby certi(y^that I have reaG thii aoP�i�on anC state tnat the above informatlon is correct. I agree to complY with all city antl county orCinances antl state IawS rela[in9 Io building construction, antl hereby authorize repre- sentatives of [M1is city to enter upon Ihe above�mentionetl P�operty �or inspe<tion pUlpO5C5. � Signature //'� �r� �— PROJECT DESCRIGTION 5�. FT. OCCUPANCV � Planning Notes: CONSTRUCTION TVPE VA�UATION $ ZONE GRADINGCU.VDS, ACRES Remarks: � Bar Sink BackFlow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fauntains Floor Drains Floor Sinks I GasService / OuUets Kitchen Sink Lavatories P—Trap Roof Dreins Reinspection Fee $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ FirepllPact elt. �CBO # Heating System & Ducting � �aioo,000eru�ioo,000sr Reinspection Fee � $15 0865-36, rev. 5/80 whice - Buildinq: Canary - Applicanh Pink - A<counting; Go�tlenrotl - Assessor $hOwers Service Sink Sewer Cap Sewer Cannection Solar Collecmrs Solar Piping Solar Tank Swimming Pool w/Spa Urinal l�/3S2f C�052i Water Heater Water Service Auto-Wash Laundry Tra'ys Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeretion System ❑0-100 000 BTU ❑ 100,000 System Repair/Alteration Fire Dampers Registers luue Fee � IS FEES Automatic Washer Construction Pole Sub. Cooking Unit D ishwasher Dryers ❑Gas ❑Elecvic $ 3 FEES $ Fan F.A.U. Fixtures Device Boxes Ouilets Switche5 Garbage Disposal Generator �0-5 KW C zo�a Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ SO+KW Meter ❑up [0 100 amps Meter �over 100amps Sub Panel Momrs OO-1 HP O 1%- B IncSo�ar L79-15 HP �i6-15+ Microwave Pole Light Range Standing Sections 5-15 KW T�ash Compactor � Reinspection Fea '$15 ' I Issue Fee DEV ELOPMEN7 SERVICES REQUIREMENTS: Zoning Approved By Buildin9 Approved By Aoolication luued Bv �� SUMMARV OF FEES BUILDING PERMIT $ SN11P PLAN CHECK $ PE(iM1T PLUMBING $ �-OO ISSUANCE PLAN CHECK 25% $ ENEFGV P.C. EIECTRICAL $ GRADING PLANCHECK 50°� $ MICROFILM MECHANICAL $ � �D TOTAL FEE PLAN CHECK 25% $ :6 FEES $ 3 O N I N G R E � M T S. �_� �4,� UCTION AND' PLAN� ; ��OOOL & SPA PPROVAI_S Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Sc�(I Pipe-Undrgmd. 53. Steei Reinforcement 3: ElectYical Conduit Utility-Undrgrnd. 54. Forms 4. .Electrical Conduit-Undrgmd. 55. Elecirical Bonding 5. Steel Reihforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COV�R-GUNITE 7. Footings � � 58. Electrical Conduit-Undrgmd. ' 8. FqUndation 59. Gas Pipe, O Undrgrnd:, Test 9� Water Pipe-Undrgmd. �, 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System � 61. APPROVAL TO DECK 7?. Property Sr,wer Line & House Connection 62. Backwash & ReceptorFinal � 12. Sawer Cap � 63. Heater & Vent-Final ; ' ; 73. Root Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final � . 15. Rough Electrical-Conduit 66. Solar SYstem-Final .16- Rou9h Electric Wiring 67. Fencing & Access Approval 17.�Rough Wiring Sign 6S. APPROVED FOR PLASTERING 18. Ftough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20e Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Strucwre . 70. Underground Hydro 22. Ducts, Ventilating 7i. Product Pip'�ng OGas ❑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-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing , 76. Dry Standpipe Z8. 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 33. Final Electric Notes: %�� " 34. Final Heating & Air Conditioning `� u a ✓ x 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. FJackflow Irrigation ��, 44. Landscape Irrigation SYstem ' 45. $ound Attenuation � � � � �03 46. Handicap Regulations G. � v C B� 47. FINAL STRUCTURE & BUILDING , 48. Special Requirements Completed . 49. Electric Release to Edison 50. Gas Release to Southem California Gas Co • „� 51. CERTIFICATE OF OCCUPANCY ' - No. Date . PPOJECT POOPESS: 8 34- PLUM PL awNea•sxnme: NIKOLAI 2EMTSEV nooeess: 3854 VALLEYBRINK RD LOS ANGELES CA 90039 (213)663-9705 pqtMIENCINEfH: ADONfSS: flEG.NO.: uxir; UNIT: PENMITTEE: NIICOLAI ZEMTSEV ( 714 ) 646-1316 nooxess: 3854 VALLEY BRINK RD � LOS ANGELES CA 90039 LILENSFO CONTflPLTOB OECtAM710N: I �¢r¢Ey atlirm Nai I am Ircens¢0 mMer pmvitioia ol Gupt¢r 9(commencinp wilh $2ction 7000) ol Drvivon 9 0l IAe BuS��ess an0 Proleuions COEe. antl rtry license is in lutl force an0 efiec�. LITY LIL.: STFTE UC.: CIASS: �ate� Signawre: WOflKEBS' COMPENSRTION OECtAM710N: I �ereGy aflirm tlut 1 tWve a cenilicate ol [onsent to selbinwre w a ceniliWte ol Warkers' Compe�sation Insurance, or a cendiea fAVY ��e�eol (SC[tion 38p1. LaO. CI. POLILY NO.: ESP. ORTE: cameaxr: � Cenilie0 copy is �ere0y fumis�e0. ❑ CertitieG copy B IileO vnlh t�e 6ry BuilNnp Gv¢ion. Uate: ppDticant: E%EMPTION FflOM WOPNEPS' COMPENSRTION OEClA11ATi0N: QI$ seclpn nE¢G mt Oe canDleleO if Ihe perm� a iw we AunArM (3100) or less�. I certily ttut in ine petlotmance of I�e wOrk lo� wNUi tl¢5 perrttit a iSSueA. I shdll not employ any persOn in any manner 5o as to Eecome SUb�eq �o I�e Work¢r5 Campensalion Lavrs Of Calilomia. Oate: Signaiure: NOTICE: II. alter maWnB this Oeclaration. you shoul0 Cecome subject to I�e Workers' ComDensatlon prwisions ot ihe LaDor Coae. yrou must lonmvit� wmpry witll sucn provrsqns o� iNs ce�� stWA be EeemeG remke0. CONSTflUtTION LENOING RGENCY: I �ereCy a�lirm 1hd1 I�ere i5 a conSlrutUon lendnq aqenty lor I�e pedarmante ol I�e work �or w�i[� t�is Oermit is i55ut4 (Seclion 3097. Civ. C�. LENDFfl: AUOflESS: OWNEN 6WLDEfl OELUMTION: I AereDy allirm Itut I am exempt Irom t�e Contratlor5' State LicenSe law lor [he lollowing reason �Section 70.3L5 Business ana Pmlessional Coae: Niy ci�y ol coumy w�ic0 reQuires a Dermit to consimct. alter, improve, aemolisA, or reomr any stmcwre. o�b� �a ��s issuance, aho repuires �ne aoD�� or wch permi� to iJe a vOneO statement tlut �rJshe is licensetl oursuant to ine o�ovisions ol ine Convacmrs' Slaie License Law �Ctuo�er 9(commencinq wi� Seclion 7000) al �ivision J o� I�e Business an0 PmleSsions CaOe) or t�at nNshe ¢ e.emD� ��ertlmm anG t�e Oasa lor t�e alle0� e.emption. Any vioUtian of 5¢ttian 7031.5 by any aoVlicanl for a Dermil suUietls Ine apoliWnt lo a civil venalry ol not more Ilun live nunarea Jollars (E500). I, as owner o� ihe o�openy or my em loyees wiin waqes as Ineir sole compen5atian, win Aa the work, ana tne ❑ slNclure is not intenaeJ or oflere0 fat ule (�uon 70a4. Busin¢55 ana Pmlessmnal COOe: Tne fAntrattort State License Law Ooes nol appN �a an ownei ol a O�ope�y wtq EuilGs orim0�m'est�er¢On, anG wtq Does suc� wark �imsell/Aerself art�wug� ' N5 Or �¢r own lmplpyee5, OrONGeA Ilui Such imprOVCmen6 are noi int¢nG¢G or aHefeO IOr sale. II, howevBr lhe �uil0inp or imD�ovemen� is sol0 mtllin one year ol campleiion, ��e awner vnll �ave lhe EurEen ol O�oNnO ��s�e EiG nat bu04 or improve br tne ouroase ot saiel. I, as owner ol i�e O�opetly. am e�clusiveIy wmrac�ing wit� IicenseE contranors ta coretmc� t�e pmlect,5ection 7044, Business ❑ antl Prolessions COGC: Tlie fAnlrati0rs $�ate L'K¢rtu Lda' Uces irol apply l0 an awnet al pmperty wtq EuAdS or im0�5 NereOn antl wno comracts br such pmiecls wil� a comracmqs�license Oursuam Io �he Conlraciars' State license Law�.l am aware Ihal pm01 ot I�tir WOrke�'S COmOe�iion insuranC! 5tqu10 �e prmdOM t0 me. � � am exempt uneer Sec�ion: H P 7 O 4 4 B. 8 P. C. �ar inis ieason�. HY OWNER �ate: _��/'�-�2^19r Ovmec — I4o Aer¢Oy ceriity Ihat I am aware o� an0 untl¢rstanE I�e repuirem¢nI5 al Cai �Orma H¢alih ar afeiy Cotle Sec�ions 255U5, 25533, and P553d antl t�a� I o� any Wtme Euiltling o[[upanl vnlVvnll n0� (rirUe ane) neeG �0 LromOW �^�h uiE state co0e5 antl �he requirements lor a p¢rmil loi con5butlion ar moaditaiion �mm IM1e Air ualiiy Managemem as�ric�. fle5�dential constmtlion applicaiions are exempi imm ��ese O�ovisions Date'. AOV�ieanl: I hereby certilythal I Aavereatl I�is aopli�a�ion antl siateltutl�e aUove informalion is correct I agreeto compty with all ci�y anA couniy aitlinan[¢5 antl slatelaws Blalinglo �uA�ing canSlmc�qnan0 �ereGyauihariierepr¢Senialiv¢So�iNS ulyloenlerupIXlthe abOv¢-mentiontM propeiiy lorinspetli0n pur0ose5. i� . Dale _�/z2/` Signalure: _ / (� od�er's urense o� sociai Sewmy 1641�a6 Wlnte—Builaing: Green—Cotle Enlo¢emem: Canary—ApP��anl; Pmk—Revenue: Goltlenroa—Assessor j CITY OF COSTA MESA — BUILDING PERMIT PERM NO; IE 05518 PERMIT NO: IE 055180 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: 5—N PERMIT TYPE; ELE OTH PURPOSE: OTH JOB DESCRIPTION ; ELECTRICAL SERVICE UPGRADE SQ FT: CLAIM VALUE; CALC—VALUE; GROUP OCC; R-3 /M-1 COMMENTS: RENEWS 'EXPIRED' PERMIT E40043 +�a*+t*x�+e*******�*�t***�e*�e**�r�*�t***�r*�*�**+�x�t�t+�*�t+t�r*�r*�r**�e�r�e**x+�*+�***x��x x*�t�r+�*�� Z O N I N GS ERTEBQAUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGAT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PAFtCEL: 92245414 2NE: REF NO: PLANNZNG Ni5TE5> i �*�*+�***�****�*+��r�***�****�***��***�*��***�*�**,r�***�*�***��**��*��*��* D E V E L O P M E N T S•E_R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : ' DATE; APPLICATION ISSUED BY: ; DATE: �/ � 1F1F1EiElFIE3E�EiFiEiFlfiEiFiEiflFiFiflfifiE i , �lFifitiEiElElEiFififiE IFk kkaFififiEiEikifkiEiFiFkifkMlFitkiEiffEif3fkiFitifiFiF llfik�fkkk hkM EIE3fiFikifififMiEifiFMkiFiFikiFifiFiEiEfEiFikiE)fiEifiFi�ififiEifiFiE LEGALIZATION:N F"E E� S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 30�OY SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 30.00 0.00 0.00 30,00 30.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/TOT GRADING PLAN—CHECIt 30.00 iF IF iF k 1F iF iF iF iF iE if IF 1E k iE �E 1F 1E iE iF 1E iF M if if If k 1E iE k if 1t iF iF iF iF 1F ii iF M iF iE M M k iE if i41f 1k ik if if 1Fif ik if IE �E iE 1F IF ik k iF iE 1F iE iE ik iF if iF If 1f !f 1f 1E 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 ELECTRICAL RE—ZNSFECTION FEE 30.00 30,00 END OF FEES �aT�.�ei'.._�^ � -_ ^,•- ..�„z�-_ CONSTRUCTION AND PLANNING PO(.. PA APPROVAIS Permit # Date Inspector qppROVALS Permit # Date Inspector i. Temporary Electrical Se��ce or Pole 52. Pool & Equipment Location � �� 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcemen[ �� / �. �fectrical Conduit UtilitV�Undrgrnd. 54. Forms . � % � 4, Elestrical CondujL•UDdrgrnd. 55. Electrical Bonding - 5.' S{g�1 Fieinfoicemet��; 56. Rou9h Piumbing & Pressure Tesi-+ : 6, �lectr.ieal UFER Gred. 57. APPROVAL TO COVER�GUN1TE " 7.• Footiri�s � 58. Electrical Conduit�Undrgrnd. �:.Foundation "�, 59. Gas Pipe, � Undrgmd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System 67. APPROVAL TO DECK .• � 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final ,- 12. Sewer Cap 63. Heater & Vent�Final �, �i 13. Root Droins _ 64. Plumbing System - Final ' , -�• 14. RoughPlumbing �- 65. Electrical-Final . 15. Rough Electrical-Conduit 66. Solar System-Final ^ i 16. ftough Electric Wiring 67. Fencing & Access ApP�oval ' �� ✓ 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING��: 19. Rough Electricai-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL • � 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. �Rough Factory Fueplace . ;, _'. .. APPROVALS �.: Permit # , r � 21. Ducts, in.Structu�e, ..�,. - � � ' , . t70. Onderg,oun� Hy.�ro � � 22. DuCts, Ventilating - - �-=71. ProducYPiping Q'Gas O�OiI 23.`�as Pipe'.Royph &'Test _ J - 72. Undergraun8 FWskt . - 24. Roof Praming � � �� _ � y r >� .73�:Undergrnd.Storage'Tank C1Gas ❑Oil 25. Roof Sheathing .Z � ' ' �� .� �74: Overheadliydro ' 26. T�Bar Ceiling (Svuctural) & Monocoat � u _ ;,.: . 75�-Dry Chemical � � _ . 27. Freme and Flashing ; � - , y � 76` Dry Stanc{pipe • '� �� '� � ' 28.` Lat�ing & Siding' �_ � � n . 77_- FIXED SYSTEM FINAL � .. - �29. Insulati�n . - " " ' � ' �;, , 78� FIRE PFEV. FI(JFj„L � �2 .30. Orywal6Nailing � � � � �.. � � HEALYM,DEPT.REQUIREMENT �31. Plaster BPowo CoaY � � � ' Y ' 7p,FINAL IN$J',ECTIpN � • ' �. . - - _ 9 ��32.-Electrical Power Meter-Final� '' � �, ' � FOOD CERiIFICA'T'� ISSUED - y�,7�, 33."`rFinal E{eCtric ' _ � �J7� �� ( lotes: '� -: z � _ � . * �34. Fin�l Heating�& �ir Conditioniny, -. '� � �, ,. y ;,�-. '�' ;; . ; S � �35.TFinal Gas Pipe-TeSi'• 'z' - 'r � '' • �� •' � ' :� - . � �36.`Hood of CanoPV , ^� �r • .- �'.%r'II k, n . . -, . .� i-� . �37(_Final Factory Fireplace �;' � ' �'" .' � ' ' � � 4 • � 38. Final Plumbing , � ' �� . ' � �� - � % � ti• `39. Water Service�Final . +; + _ - � � _ ` 4 -40. Gas�Service-Final ' _ � � � F ; " ' . •S :o - f . _ t • 41. Solar pomestioFinal ; ' �� rc �� - • - ' � �.. T 42.' Backflow Preventer - . , i �' : - �' 43. Backflow Irrigation � ' � , • � '.:� • _ � '44. Landscape Irripation System;. _ � ' _ � . ' • �" c .. �•.45.`Sound Attenuation ` � � � � " a '- � ^ :46. Handicap Regulations . . ' ' ' , ' • �� ' � . ; �47. FINALSTRUCTURE & BUILDING � > � ,� " G�. '48:'FINALPLANNING ' � - ; ,. ' ,- " - -49. Eleciric Refease to Edison . "•" ' /.� 50. Gas Release to Southern California Gas Co +� ,� � _ ' _.51. CERTIFICATEOF..00GUPANCV : � _� _ � No. Date Applicant lo fill in all svaces exceDt those within neavy boraer Iines an0 sign all appropriate tleclarations. ciTY oF CosrA MEpSA CONSTRUCTION PERMIT ProjectAddress O�� L�.I�h ST , Ap�licant's Mailing` A,ddress Owner'sName 'v�K�C�1 Z—��11�?2l%ahone Address Arch/Eng. license No. 'Address �ontractor's Name Lp{ W � L�GTVLIC Phone � C ,� ddress (mailin9) Z60,{��) V �A' C�NTi�" LUL�N. CityLicenseNo. –I �4'�Z LICENSED CONTRqCTOR DECLARATION I hereby atfirm that I am licensetl Vntler provisions ot Charter 9(commencing h section 7000) of Division 3 ot the Busine55 antl Prote55ions Cotle, antl license is in tull force antl e fect ^ ��cen CI C � License No. S� � Date� � � Signature � _ wORKERS' COMPENSATION DEC ATION �reby aifirm that I nave a certificate !<onsent to self-insure or a certificate No�kers' Compensation InSuraryce, o� a certitietl copY thereot (Section �e00, Lab. C.) Poliry No. Company BCertifietl copy is hereby tumisb@tl. Certitietl capy is filetl with the City Builtling DiviSion. Date Applitaryt EXEMPTION FROM WORKERS' COMPENSATION DEGLAFATION (This section need not be complete�l if the permit is for one huntlretl ($100) or Iess). I certify Shat in the pertormance of the work to� which (his Oe�m�t is i55uetl, I snau not employ any person in any manne. so a5 t0 become ubieEt t �the Worker ' C peyb 'on laws of California Date �' �d Si9natur¢ • NOTIC : If, after making this tleclaratlon� ou 5houltl beco e subject to the Workers' Compensation provisionk of th Labor Cotle, y9 must fOrthwith compry with such provisions or tnis ermit shall be deemetl revoketl. CONSTRUCTION LEN�ING AGENCV 1 hereby affirm tnat tnere is a cons(ructlon lentling agency tor the performance of tM1e work for which thi^ p¢rmAt is issuetl (Section 309� Civ. C.) Lentler's Name �1/ Lentler's Atltlress� �,`,a,`,�yNER BUILDER DECLARATIQN ';.;.zereby affirm lhat 1 am exempt from the Con[ractor's License Law for the '":lowing reason (Section �031.5 gusiness antl Professional Cotle: Any city or ��Eounty whicn requires a permit to construct, alter, improve, tlemolish or repalr any slructure, prlor to its issuancg, also requires Ihe applicant for such permit to file a signetl slatement that he/she is Iicensetl pursuant to the provi5ion5 0/ 'he COMraCtor's LiCense Law (Chapter 9,(comm¢nCing with Section ]000) ot vision 3 of the Business antl Professions Cotle) or that he/sne is exempt 3ref�om antl the ba5is fo� Ihe a�legetl exemption. Any viOlatlon of Section . J31.5 by any applicant for a permit subjects the applicant to a civil �enalty of not more than tive hun��etl tlollars ($500). LJ 1, as owner ot the property or my employees with wa9es as their sole compensation, will tlo the work, dntl the s[ructu�e i5 not intentled o� otferetl for sale (Section 7044, Business antl Professional Cotle: The Contractor's License Law tloes not apply to an owner of a property who builtls or improves tnereon, nna who aoes sucn wor4 himself/herself or through his or her own employees, pwvitletl tM1at Such improvements ar¢ not intenCed or mferetl for sale. If, however, the builtlin9 or improvement is soltl within one year of com- pietion, the owner will have the burtlen oi proving he/sne tlitl not buiitl or im- p�ove tor the purpose of sale). ❑ I, as owner ot the pro0erty, ar� exclusively contracting witn licensetl com tracrorsto cons[ruct the project ($ection ]044, Business antl Profe55ion5 Cotle: The ConVactor's License Law tlues not apply to an owner ot property who builtls or improves tM1¢reon. antl Who contracts for such oroi¢cts with a con- tractor(si license pursuan[ ro[ne ConVactor�s License Law). i am aware that proof of lheir Worke�'S Compen5y{ion insurance shoultl be provitletl to me. ❑ I am exempt unaer Section B. & P. C. for this reason Date Owner I nereby certify [hat I have reaq �hiz application antl state that the above intormation is correct. I agree to tomply with ail ciry antl county ortlinances antl state laws relatin9 to builtling construction, and hereby au[horize repre- sentatives Of this city to entyyy r upon th` above-mentionetl propert fOr inspettion purpo „/ O'� Signature L� � �ate � TYPE OF CONSTRUCTION LJ NEW LJ ADD L'9 ALTERATION LJ REPAIR ❑ CONVEF2510N ❑ DEMOLISH ❑ OTHER DESCRIPTION^OF�ORK/US�OFBLDG. S�jJICE U�CrMaE TVPE OF PERMIT��ppp((( LJ GRADING LJ FOUNDATION LJ STRUCTURAI. ❑ TENANT JC�.ELECTRICAL ❑ PLUMBING ❑ MECHANIGAL ❑ OTHER � PROJECT DESCRIPTION Sq. T. oCCUa C�5 _ GONSTRUCTION TVPE � �A% q� VALUATION $ o-� 20NE GRADING CU.YDS. ACRES_ o�...�.o.. � r�r 1 C? Gl o�1 i Sink Preventer Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kiichen Sink Lavatories Showers Service Sink Sewer Cap Sewer Connection Solar Collect Solar P g Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Laundry Tra'ys A.P. # S Main Buildi E T Front 8 Rear A C Right K �eft S Ping. Ref. # Planning Notes: FEES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Reinspection Fee � $15 � � laue Fee � $ 3 Boiler Duct-UnderGround Duct � Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Bit. �CBO # Heating System & Ducti ❑0.100,000 BTU 0,000 L D i e ' L' s� 55 qF I I Reinspection Fee --� ._ __o865-46..rev. 5/BB White - Uildin9: Canary - Appllcanh Pink - Accountin9: Goltlenrotl - AsSessor $15 Hood or Typel ❑ Canopy Type 11 ❑ 74�.0(%OOOBTU ❑100,000 a iystem Repair/Alteration Fire Dampers Registers luue Fee � $ 3 Fan F.A.U. Fixtures Device Boxes �Utl¢IS $Witch¢S Garbage Disposal Generator �0.5 KW Zone Accessory Building: Parking ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+KW Meter Jd�p roa00 amps Meter ❑over100amps Sub Panel Motors �0-1 HP � 1%- 8 Inc. Solar 09-15 HP 016�15+ Microwave Pole Light Range �� Standing $ections 15 KW � �Trash Compactor ' . . �� Reinspection Fee �$75 � � Issue Fee DEVELOPMENTSERVICESREdU1REMENTS: Zaning APOroved By Building Approved By —�- FEES O N I N G R E Q M T S. ' SUMMARY�GF FEES _ ' BUILDING PERMIT $ � SMIP • $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE' $ PLAN CHECK 25% $_��_ ENERGV P..C. $ ELECTRICAL $ 33 �� GRADING. $ PLANCHECK 50% $ MICROFILM $ __�_ MECHANICAL $ TOTAL FEE $ � PLAN CHECK Z5% $ ?: aQ04:QS6-IIQ�C2H46 ?-;� 5- - - DAiE; �79/07lE9 T?f?E: 11:?. -V., CONSTRUCTIOI� AND PLAI JG � PO� : SPA � D�te Inspector Date Inspector � APPROVALS� Permit # APPROVALS Permit # '1.�Temporary Electrical Service or Pole �N 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. i•� �? 53. Steel Reinforcement ', 3. Eleetrical Conduit�lftility-Undrgrnd� " 54. Forms ' 4� Elect�ical Conduit-Undrgrnd. L 55. Electrical Bonding �, S��Steel,Reinforcement '�� '-� 56. Bough Plumbing & Pressure Test ' ., � . . 6; �Elec[�ical UFEB�Grhd', 57. AyPP.ROVALTOCOVER-GUNITE � �� 7',Fodtings '' ' �`� • .58. Electrical Conduit-Undrgrnd. 'y� I 1 Il .K S�<Fourfdation �� 59. Gas Pipe, O Undrgrnd., Test .:; 9i!Water,Pipe-Undrg�nd. � � 60. Backwash Lines, P-Trap, � Undrgrnd. �+� 10. �Structural Floor System �� "� 61. APPROVAL TO DECK �, � 17. Property Sewer Line;& House Co�nection � 62. Backwash & Receptor-Final r_ . 72. Sewer CaP J: �`� • i�; ' 63. Heater & Vent-Final 13. Roof Draint ..1 ` 64. Plumbing SYstem - Fina1 " 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 �181 Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL d9: Rough Heati;g•& Air Condltioning FIRE DEPT. REQUIREMENT �20�. Rough F.actory Fireplace ' APPROVAIS Permit # ' J \ / 21. DuCts, in Structure !j; 70. Underground Hydro ' 22. Ducts, Ventil0ting �, � 71. Product Piping O Gas ❑ Oil i 23. Gas Pipe-Rough & T,eSt . 72. Underground Flush / 24. Roof Framing � � 73. Undergrnd.StorageTank OGas ❑Oil ,� 25. Roof Sheathing . ' 74. Overhead Hydro 26. T-Ba[ Ceiling lStructOral) & Monocoat � 75. Dry Chemical 27.�Frame and Fleshing 76. Dry Standpipe i 28. Lathing&Siding � 77. FIXEDSYSTEMFINAL � 29. Insulation " 78. FIRE PREV. FINAL 30. Drywall Nailing t,� � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat r 79. FINAL INSPECTION .* 32. Electrical PoWer Mater-Final . FOOD CERTIFICAT ISSUED 33. Final Electric L �) � otes: . � - � `%� : y 34. Flnal Heating & Air Conditioning i� r�(�j �S. 35. Final Gas Pipe-Test 36. Hood or CanoPY 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final � 40. Gas Service-Final �� i 41. Solar pomestic-Final � 42. Backflow Preventer ' •' i' 43. Backflow Irrigation , + } � 44. Landscape Irrigation System .� - 45. Sound Attenuation � � 46. Handicap Regulations �7 /� tir 47. FINALSTRUCTURE&BUILDING � l� , 303� 48. Special Requitements Completed y� � e 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co . ., � 57. CERTIFICATE OF OCCUPANCY �" � ' ' �• �� cG� F � No. Date � , � . ORANGE COUNTY BUILDING DEPARTMENT • 636 North Broadway SANTA ANA, CALIFORNIA , . POR APPLICANT TO FILL IN NEAREST cRo55 5T. 'T�,� ��_Cy. MV' Y OWNEROSpC+E HOMES� INC. MAIL nooRess��(� WILSHiRE BLVD. ��T� BEVERLY HILLS No��R.543 ARCHITECT�pR TEL ENGINEER t,plN B� MCKERRACHER No.SY. 6b$ ]RE55 2�jO E• WAINUT ST.� PASADENA CONTRACTOR TEL. 01+0. R. �{ no�ness E) WIlSHIRE BIVD.� Bev.Hi � LEGAI DESCRIPTION LOT NO. 7� BLOCK �� fATTACH METES @ BOUND51 NO. OF NO. OF G. FnMi�i[s ROOMS DESCRIPTION OF WORK eu�L�1�O�4 SQ•FT. ROOMS J STORIES � SIZE WALL HOOF COMPO COVERING STUCCO COVERINGCHINCIF 115E OF NEW }� �1 �` BUILOING jjFCIbENfE a � `��4' r� I HEREBY ACKNOWLE�JGE THAT 1 HAVE REAO THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL GOUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF NEMPORT VI S CO. PERMITTE /� AUTHORIZED AGY..�.—!� _. _ — . VALUATION � APPLICATION FOR PERMIT B � � � �.' � � FOR OFFICE USE ONLY RECEIVED BV DA�� F APPI._ OA`� 5 6 3,f 5 6 f BUILDING �� / /�� // ADDRE55 / L � SCHOOL DIST. / _S/ ti E,$�R OR TOWN C�� NEAREST creoss sr. i c Yt cL ZM I I NO. OF I TY� I G%O �P PLANS �' SETBACK LINE FROM CENTER OF ST. 9 REAR VARD ?�j{'{; 151DE VARD�1��'�I �9 APPROVED av onre CORRECTIONS C. S �� MASONRY R s � �� BOND BEAM _ � FINAL � � ' N � o �w APPROVALS : LOCATION INSPEC' MATERIALS, ��j� 0 a � i a r DATE �� '.��h � ��'� v7i`> ': ' �� 6t �r i� Z - --�w- J � �� a " PLOT�PLAN J c� . . o a • a't _ , � •- �, , ��• � ��. 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