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Home My WebLink About838 PLUM PL - Building Permits�� . ��Oct 21 03 11:Q6a ' � P•� PFOJEC: NA\1E: PROJECTACGRE55: PENAlli Nb1d8ER: LASi DATE_ -- CON1RaCTOR SU�CONfPACTOR ENCIVEEF COVC.SUPPU[R [� qNr _ � ,`_F _ :i; '.9>DESu�:R0.— ^ I� ,�:� ; tiocF'�ovu:si.nc: .�;•� � �• "'JOiFS• _— `\ '�fi�(�" � %� Ji`+ i TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET Cannon iNsvecToR•s narnE: L�', -' J�u : _^ _ WSPLCTOP'S LICENSE nG.: CO$l� Iv1658. CP. �NSPECTJR'S S�CNATURE: —^-.�e--__ ._,_--__"`— �_'�1: [�- v _ `__ _SEiIDERT�FI6ATIONl1U'dOER: CAST OPTA (ATTACH DATA SNEET p�7!1ER5 WHEN AVAI�qBLE� �� 9/1$/0� DESCPIPTIDN Coccrxt• � 3;af, t:aa' ,Ca;i;mn�aPools SGEGFIEDFY�P51 „� �Gold Coast Gu�i;e casr ar ;Craig T.f°nGCA ` YO.DFSAtdrL£5 �P �i1ii�. 10TALYOS.PV.CED lL, /�_. —`—_—._ I �P1iF TICNETNUMdER �N!i1 `.—T__`—_____ — 4 �121 CaSTTtME 'NLA � Bo!tom of � ne Swimming Pool iNR = Not ReponecT ^ �Test specimens �.vere 3-in. x 3�in. x 3-in. co0e samrles casl usir.g :rirz mesn joc mo�C �sed}. 0<,TE SPECILIEI:S HF.CVO. R[PONiOaTE TECHNICIAN NC.ME` 10f7.'03 C f��enriyuer-Superviso� COMPHESSIVE $TRENGTH 04TA [OUfPMENi USEO SN OF E W IPIE£uT —_"— CALI�.tRECRI.DPtE Ric7aitl lu�z > �:crvyPa� Ipine� GUniTE GE.NENT T�GE IV n01AIxTOHE fdi'/� �..�— :i0.1ERA0pEO IN/-.— — SlUf.1P PIIY. AtRM!IiEVT ��J/A, � 4�WCOtIC. TCL1P. Iru�, omzy GR2000 �~ 310A . ..-�. 03 7 2-0n SPECI.`nEn I aCF.nT TFST � TESi SPECiM[NOIMENSi0N5��N.' AREF I �.onn F�C 6REAF IOENI1FILqTIOR I TEST D4i[ �i 'pN[ 1 : 1 J j$Q.IN, LBS. PSI 1"iPE NUMBER I pA'B �i 5 6 T B I �NI� I � � � i 3.067 3.1:D 3.710 3.itt 9.61 p�, Co0v705A � 1a � tOl2l03 I 4:51pm � � � � � 53,983 '�,t,�e,9 � c 3Jtt 3.G04 � 3.C35 3.017 !.se� � I llt.'�� 3.072 3A29 �� 3.Gi5 , 3A3e 9.3? COC67099 � �4 t012107 4:5M1pm � �� a4,26a � 6ti7 _ _� _ 3954 � 3A°5 3.05a I 3.095 � n o�; � I I I , � � I I I � , I ` ,�.� I �_�_�L ' � � — �� i _. Avg. F'ciB = 5,165 ....._......._...._..._..... _ ............._._......._,_.._.......__.,.,_,._.,....-.......y..., ____..._...._.,..._.........._... `Break tyoe Ozs 5.^.a:ac ce: AS-1L CJ9 Pi�ure T a=Cene, b=Co�e and 3.i�, c=Cone and Shear, p=5near, �=�oi_mr.ar COMPLIONCE WITH SPECIFIE� STHENGT / COMMEN75: Complies �'__"'—._'> � .�, L/_ � AUTMORIZ�I AT E 3^ i zu: vi 1G600 Pioneer Boulevard, Suite G• San[a Fe Springs, California 90670 •(562)903-0032 Fax (562j903•3534 (714) 754-5273 • Feu (714) 754-4856 • www.ci.wsta-mesa.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 838 PLUM PL Suite: Vicinity: Parcel Number: 42245415 Applicant: DON TERRANOVE Address: Owner: YOUNG, JENIFER J Address ,838 PLUM PL , �� COSTA MESA, CA Contractoc BERGE POOLS . Address: 376 HAMILTON ST COSTA MESA, CA Zip:. 92627 Arch : Address: Zoning: Phane: Zip: Phone: " - Zip: 92627-3327 - - : Phone:� 714.548.4848 � License: 717017 . Eng: Address: StaWs: ISSUED Applied: 08/15/2003 Issued: OB/15/2003 .: ��. - �' ' ,� - . ' . ' � Phone: � � Phone: - . Zip: � , License: , License: _ • SCOPE OF PERMIT INSTALL 435 S.F. GUNITE SWIMMING POOL AND 38 S.F. GUNITE SPA � . � FEE SUMMARY , Ptan Check: $254.31 Calc Valuation: . .. S2a,soo.00 Permit: $391.25 ' Claim Valuation: 52a,soo.00 SMIP Res: SMIP Com: Other: Inspection: � Total: $2.45 $0.00 $0.00 $0.00 $648.01 SETBACKS MAW STRUCTURE Front 0-0 ACCESSORY ' Front 0- 0 PARKING existing: o NOTES: Rear 0- 0 Rear 0-0 Re uired: 0 PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Right 0- 0 . Right 0-0 ; NOTICE: The work authorized by this permit shall compty with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 7, 1241-92) EXPIRATION: This permit shall automatically expire and become void It work is not commenced wlthin 1 BO days, or if work is suspended or abandoned for a pariod of 180 days. INSPECTIONS: In order for the work euthorized under this permlt to be considered legal, such work must comply with all applicable codes,.antl all required Inapeetlons end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 !448d8 i8/00) WORKEqS' COMPENSAT70N DECLARA710N: �� w I hereby effirtn untler penelty of perjury one oi Me following tleclarations: ❑ I �ave ena will melnte�� a certificate of wnsent ta self-Insure for workers' crompensation, as provided for by seclion 3700 of Ihe Lebai Code, for the pertortnence af Ihe wo�k for which this pe�it Is issuetl. ❑ I have entl wlll'malntan woMeB' compensatlon insurenca, es requireU �y sectim 3700 of Ne Lebor CaAe, for ihe pertormence oi Ne xroAc iw w��h Miv pgrtrtit is issued. My workers' compensetlon Insurance caMer and pdicy number ere: Certier. Policy Number. (7�Is sect/on need not be c�pleted!/ Me perm/f /s va/ued af one huntlretl tlallers (S 100) or /ess.J �I cenity Ihet in the peAortnance of iha work for which this pertnit is issued, I shell not employ eny person in eny menner so as to became aubject to ihe workers' compensetion laws o1 Celifomle, and gree thet II 1 shoultl Cecome sub�ect to lhe warkers' compensatlon proWsions o1 Sedlon 3700 of ihe LaDor Cotle, I shall forthwith comply with these prohsio / Applicent SlgnaNre: �� Dete: � /� S� / � 3 f WARNINO: FNLURE TO SEWPE W COMPENS�TIpN CpVEqq�E IS UNLAW FlJl M!D SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEWILTIES M!D pVl� FlNES UP TO ONE HUNDRED T/IWSAND DOl1ARE (5100,0001� �N ADDfTION TO THE CQS70F COMPENSATION, DAMAGES AS PROVIDED FOR IN SEGTION 3)OB OF THE IABOR CO�E, IMEREST, AND ATTOqfJEY'S FEES. LICENSED COHTRACTORS OECIARATION: I hereby eXirm thet I em Iice�setl under provislons af Chepter 9(commencing wit� Sectlon 7000) ol DlWslon 3 at the Business end ProfessionsCpd e, end my Iicense is in full rorce end enect. uc. x d Ciess x CS3 / /i�'/� Conlractor's Signeture: - � Date: g � T � -Z CONSTRUC710N �ENDINQ AGENCY: ' ❑ I hereby eMirtn thet IhP�e is e conslruMian lentling apenty tor the peAortnance of ihe work for which �his pertnit Is Issued (Sec. 3097, Civil Catle). Lenders Neme: Lendels Adtlress: Signeture: Date: OWNER-BUILDER DECLARATONS: I hereby aMlrtn Ihel untler po�elry of perjury Ihat I em EXEMP7 FROM TNE CONTFiACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business entl Professlons Cade: Any ury or wunry wb�ch requires e pertnit to construd, alter. improve, demolish, or repeir eny abudure, pnar to its issuance, also reCuires the applicant for suc� permit to file e signed stetement thet he or she Is Ilcense0 purouent to the pmvislons af the Contrectors License law (Chapter 9(commencing wiN Section 7000) of D'Msion 3 of Ihe Business end Prafesslons Gade) or ihet �e or she Is exempt theretram antl the basis for t�e alleged axemptlon. Any violatian of Secllon 7031.5 by eny appllcant tor e pertnit subJects t�e epplicant to e c��l penalty oi no� more Ihan tive huntlred dWlars ($500).): ❑ I, es owner oi the praperty, or my employees wlth weges es thelr sole compensatlon, WILL DO TNE WORK, end the structure is not Intended or oHeretl for sele (Sec. 7044, Business antl Professions Code: The ConlraMore License Law does not appy to fln owner ot properry who builds or improves Ihereon, and who does such work himself or hersalf or ihrough his or her own employees, provitlatl that such improvemenis are not Inlenaetl or oHered for sale. If, however, �he building or improvement is sold within one year of comD�etion, ihe owneo-builtler will ha�e ihe 6urden of proving that he or she did not build or improve for purpose oi sale.). � ❑ I, as owner of the property, am E%CLUSIVELV GONTRAC7ING WRH LICENSED CONTRACTORS to consiruct the project (Sac. 7044, Business flnd Profession5 Code: The comractors ��cense Lew does not eppty to en owner oi property who bulltls or Impmves theraon, and who conirects 1or such projed with e comredor(s) license pursuant to thB ��tractors License Lews.). ❑ I em exempt untler seG. SlgneNre: Business entl Professions Code for this reason: Owner ID verifieE by drivers license. ❑ Ves ❑ No Drivers License No. Veniicetlon ot Ownership by (rypa at tlocument, I.e. - properry te�c bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTFICATON: Date: Expires: ❑ I hereby certlty Ihet no excavation fiva (5) or more teet in depth into w�ich e person is requiretl to descend, wlll be mede In connection with work euthonzed by Ihls pertnit, and ihat no builtling structure, scattWding, telsework, or demolition or tllsmantling thereof, will be more Ihen ihirty-six (36) ieet hig�. (Chep. 32, Gry 2, Art 2, Sec. 341, Tltle 8, Califamla Atlministretive Code). ❑ As owner-builder, 1 wi�l nat employ enyone to do work which wauld requlre e pertnit irom Ihe Dlvision of IntlusMel Sefety, es noted above, unless such person hes e permit to do such woric hom the division. Sipnawre: oate: Division of Indusinel Satery Pertnit Number. CERTIFlCATE OF COMPLIANCE AND AllfHORQATION OF ENTRY: I certify under penelty ot perjury that I have read ihis epplicetion and state Ihal the infortnatlon gNen is correct. I agree ro comply wit� ell state laws end ciry ordinances releting to bullding constructlon, end autnodze representatives of the Ciry of Coste Mese to enter upon the ebove-descnbed DropeM for Inspection puryoses. I egree not to occupy or ellow occupancy ot eny building euthorized by ihis pertni� until Tinel inspectbn. 501�OI Legal Owner(s) afe , 9 s s— % 0 3 And/Or Authorizetl Appllwnt Date COOE 1. INSPECTON TYPE 7818 Fl:etl System Final Flra Preventlon 1288 Pool Spe Final 200 Finel Re-Roof 20t FIneI elocWRetelning Well 202 Finel Fedory Fire P�ace 203 204 Finel Sign Flnal Damolltian pAg II�dL9 I Z'(� -d � �Z / cooe� ixsvecnoxnve 206 Final Mechanicel 208 Final PlumDing 210 Final Eleciricel 272 Flnel Fire Preventlon 220 Finel Planning Approvel 222 Finel Site 250 Finel Bullding�Occupency QAg It�AL$ � � �„-� �.�;.�'�~t�'.'� `C �;'r�,m„i � N.�..i�, b ' `r'; ' �% i. .,�. �.,y, ,��(.i.< _ � • , ,�.r;'V'.'ti. >:.. �. �.. , y � � � � r .,�' ?:o'e:i �'amc'&/Address RICHARD LUIZ 5071LOYOLA AVENUE WESTMINSTER, CA 92683 Report of Special Inspection �_-._... �her�j—Q�'O��C6 L.s�r:�.!on Type(s) Gunite ' !�s;.�c�.ion Daic(s) �'��'-� ( ] Ptriodic � XXXX� Coniinuous Dcs_nbe Inspection Madc, including Locations: Inspection of. the swimm �,p,Q_„ _@ the above address on G�=-IiS—O�j ':s: �:s.s '�+.aec: 11�5� �tlntl lZG GiJu'v��.. ��OY)iQ V� �.�JR U Tozl !r.spection'Iime Each Day. :... ..:-s Requlr�ng Corrcc�ion, include uncorrecied iiems previously lisicd _ ,.. .. ....s: ,.,� o:s�. of my knowledge, the µork inspccted �i•as in accordance with �he Building Dcpari^�;r:�. i;.rro.cc dcsfgn drawfngs, s�cci�ica�ions and applicable workmanship provisions of ihc U.9.0 c�.:r. s.o.cd z a c. � c',-o�� I.—��,'O� _.,..._ Date P.ichard T. Luiz I•C.B.O. ;>�i��, �:I:'�'zmc. 107569_-49 Concrete _ Rcgistratfon No. �'oa�i s: c; ;: (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT JobAddress: 838 PLUMPL Status: ISSUED Suite No �- Applied:� � �08/15/2003 Vicinity: Issued: OSl15/2003 Parcel Nunmber: «�z�.�s�N7 Applicant: DON TERRANOVE Address: 376 HAMILTON ST - ., . COSTA MESArCA - . " owner.�' YOUNG, JENIFER J � Address . '838 PLUM PL : � � � � . COSTA MESA, CA Contractor: BERGE POOLS � Address: 376 HAMILTON ST COSTA MESA. CA Phone: 714.548.4848 Zip: 92627 Phone: Zip: 926273327 -Phone: 714.548.4848 Zip: 92627 License: 717017 ISSUED BY: SCOPE OF PERMIT _ INSTALL 435 S.F�. GUNITE SWIMMING POOL AND 38 S.F: GUNITE SPA' .� � - , ELECTRICAL TO INCLUDE: 1 SWIMMING POOL AND SPA, AND 1 MOTOR TO 10 HP. REF.: 803-01388 ISSUE FEE Temp service test - � Res. a/c package� New Res ('I-2 units) . New Res (3+units) .- Pool / Spa �, , Lightlng Fixts � Recept Outlets � Switches Non Res Appl � � Res Appl Service to 200a � , Service to 1000a Service over t000a Motors to thp Motors to 10hp Motors to SOhp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Quantiry $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0,00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 ^' , $0.00 $0.00 $0.00 0 0 0 0 , 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Temp Dist System / Lighting Busway /100 ft � � Standing Seclion �- 'Misc Electrical Equipment ,- ', Transfo}mers up to 1 kva/kw .: .�� ..............:.up�to'10 kva/kw .................up to 50�kva/kw_ �� .................up to 100 kva/kw �� ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduif � � Misc. Conduclor- . Circus ( gen or ride) Circus (mech ride or li9hts) Chnstmas Tree Stand Fireworks Stand _ Other Electrical Fee _ . -Investigation Fee � Plan Check Fee Quantity - $0.00 0 _', � $0.00 0 - $0.00 0 ' $0.00 0 $0.00 , 0 $0.00 %i 0 $0.00"� 0 � � $0.00 0 $0.00 0 $0.00 ' 0 $0.00 0 $0.00 0 '. $0.00 0 $0.00 0 � $0.00 0 $0.00, 0 . $0.00 0 $0.00 $0.00 $0.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § i, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapeetions end flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 � 2448d8(8N0) WtlRKERS' COMPENSATION OECLARA710N: � � I he�eby alfirtn under penelty ot perjury aie ot the tWbwlnp declarauons: ❑ I have end will meintain e ceNficate oi consent to sell-Insure far workers' compensetlon, es provided far by sedlon 3700 oi the Lebor Code, for 1he perfortnence of Ihe work br wNch this pertnit is IuueC. ❑ I �ave erM wl�l melntain wo�kers' compensetlon Insurenw, es requiretl �y sectlon 3700 of the labor Catle, tor iha paAortnance of Ne work lor which this pgrtnit �s lssuetl. My warkera' compensatlon Insurance cerrier entl polity numDer ere: Car�er. Pdiry Numbar: (fhls sectlon need not be canp/efetl /I the perm/f Is valued et one huntlred dallers ($100) or IeuJ �I certify thet in Ihe perfortnence of Ihe work for which this permit Is issuetl, I shell nol employ eny pereon in eny manner so as lo become subjact to ihe workers' compensatlon lawa of Celifomia, entl egree thet II I should become sub�ecl to Ihe workers' compensatlon provisions ot Section 3700 of the Lebor Cade, I shell forihwith comply with these provislons. qppllcan� Slpnature: Date: � �/ i�d r W�pNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVEMOE IS VNUW FUL AND SHALL SUBJECf AN EMPLOYER TO CRIMIWIL PENALTIES AND IL FlNES UP TO ONE NUNDREO TIK/�ISAND DOLLARE (5100,000), IN ADIXTION TO THE CQST OF COMPENSATIIXJ, DAM40ES PS PROVIDED FOR IN SECTIIXJ 31080F THE UBOR CODE, INfEREST, AND FTTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby alfirtn thel I em licensed under provisla force end elfecl. IJc. a �/ � Contreaols SlgnaNre: ^ 9(commencing with SeMion 7000) at Dlvision 3 at the eusiness end qass p � Date: CONSTIiUCTION LENDING A�ENCY: ❑ I �ereby affirtn that t�ere is e conslructlon lending egency for �he Dertortnance ot the work for which this permit i5 Issued. (Sec. 3097, Civil Cotle). Lendere Neme: LentleYs Address: . Signatura: OWNER-BUILDER DECLANATIONS: Date: is In full 1 heleby eXirtn Ihet under penelry of perjury tM1at I em E%EMP7 FROM TXE COMRAC70RS LICENSE LAW for the following reason (Sec. 7031.5. Buslness entl Professions Cotle: Any dty or counry which requiras a pertnit to wnstruM, aRer, improve, tlemoiish, ar repatr eny siruclure, prior lo i[s issuance, elso raqulres the appllcant ior such pertnit ro file e slpned stetement thet he or she b Iicensed pursuent to the provisions ol Ihe Contreaars Llcense Lew (Chepter 9(commendnp wlih Section 7000) M DMsion 3 of Ne Buslness end Professlons Code) or Nat he or she Is exemp� therefrom anA t�e besis tor ihe fllleged exemption. Any violation of Section 7031.5 by eny epplicant for a pertnit subjecis ihe epplicant to a ciWl penetly of no� mare than flve hunOretl tlollers (5500).): ❑ I, es owner o11he property, or my employees with weges es Neir sole compensation, WILL DO THE WOFiK, and Ihe structure 4s not Intended or oXeretl tor sale (Sec. �044, 9usNess end Protessions Code: TTa Contrflclors License Law does �ot apply lo an owner oi ptoperty who 6uilds or improves therea�, antl wtw doe5 such wwk himselt or herselt or Ihrough his ar her ov:n em0loyees, provided thet such Improvements ere nat intended or oNered (or sale. It, however, Ihe builGing or improvemant is sold wlthin one year of completion, t�e owner-builder will have tha burden af proving that he or she ditl not build or improve tor purpose oi salB.). ' ❑ I, as owner ol the properry, em EXCLUSIVELV CON7RACTING WI7H UCENSED CONTRACTORS to conslruct the project (Sec.704a, Busness antl Professlons Catle: The contrectars Llcense Lew daes not eDPly to an owner ol pmpeny who bulltls or Improves thereon, antl who contracts �or such project with e contrecbr(s) license pursuent to the Contreaors License Lews.). ❑ I em exempt under sec. Signeture: Business ana Professions CoOe for Ihis reason: Owner ID venfied 6y tlriver9 license. � ❑ Y09 ❑ No Drivers Licen58 No. VedO�etlon of Ownership by (rype of tlocument, i.e. - property tac bill or deed): Dete: Explres: DIVIS�ON OF INDUS7RIAL SAFETY PEHMR CERTFICATION: ❑ I �ereGy certiry thet no exca�ation tive (5) or more feet in dept� into which e person Is requiretl to descentl, will be matle In connection with work euthorizetl by this permlt, end ihet no building siruclure, sceflolding,lalsework, or demolition or dismantling Ihereot, will be more then thirty-six (38) feet high. (Chep. 3.2, Grp 2, Art 2, Sec. 341, TNIe e, Gellfomia Administretive Cale). ❑ As owner-builder, I will not employ enyone to do work which would require e permlt Irom Ihe Division ot Indusinel Safery, es noted ebove, unless suc� person �fls a permit to tlo such work from Iha tliWsion. SignaWre: Date: Divislon of Intlustrial Safery Pertnit Number. CEHY�FlCATE OF CAMPLUWCE AND AllTHOR¢ATON OF ENTRY: I certify unOer penelry of peryury that I have read this eppllcatlon end stete t�et Ne Infortnation given is correCt. I egree to comply with ell stete lews entl ciry ortllnances releting to bulldinp conslructlan, end euthonze representatives ol Ihe Ciry of Coste Mese to entar upon Ihe ebovB�tlescnbed property far inspection puryosas. I egree not to oaupy or allaw occupanq of eny building euthorized by Ihls pertnit UMiI finel inspeCtion. CODE L INSPECTIONTYPE 1616 Flzetl System Flnal Flre Preventlon 72fi6 200 201 202 203 20a Pool Spa Finel Final Re-Roof Flnel Black/Reteining Well Final Faaary Fire Place Finel Sign Final Demolition Date � �/ S`' / m .� Date Qej$ J� COpEt {NSDEGf10NiY4E 206 Final Mechanlcal 208 Flnal Plumbing 210 Finel Eleclrical 212 Flnal Fire Preventlan 220 Flnal Planning Approval 222 Final Site � 250 FinelBuildng/Occupency � �� t LO 03 Iti�6l� (714) 754-52�3 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 838 PLUM PL Suite No Vicinity: Parcel Number: 42245415 Applicant: DON TERRANOVE Address: 376 HAMILTON ST �" COSTA MESA, CA . Owner: YOUNG, JENIFER J ' Address: " 838 PLUM PL � , COSTA MESA, CA Contractor: BERGE POOLS Address: 376 HAMILTON ST COSTA MESA, CA MECHANICAL PERMIT Phone: 714.548.4848 Zip: 92627 Phone: Zip: 92627-3327 Phone: 714.548.4848 Zip: 92627 License: 717017 Status: ISSUED Applied: 08/15/2003 Issued: 08/15/2003 ISSUED BY: SCOPE OF PERMIT INSTALL 435 S.F. GUNITE SWIMMING POOL AND 38 S.F. GUNITE SPA. REF.: 803-01388 MECHANICAI TO INCLUDE: 1 INST FAU > 100K BTU. . ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Re(rig Sys >100 k BTU Gas Piping . . Factory Fireplace - Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance � Fire Dampers , Smoke Dampers . Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 70000cfm Floor Fumace Floor or Suspentl Heater $23.50 $0.00 $18.20 $0.00 $0.00 $0.00 $0.00 30.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 S0.00 $0.00 30.00 $0.00 $0.00 $0.00 Quantity 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 . FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refngeralion Unit Ventillation System Evapo�ative Cooler Commercial I nci ne rator Domestic Incinerator - � � Compressors / Absorption Svslems Upto3hp/100kBTU 3To15hp/500kBTU � � � 15 To 30 hp ! 1,000 k BTU ' � 30 To 50 hp / 1,750 k BTU - ., Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To75hp 1510 30 hp 30 l0 50 hp Over 50 hp � ' Other Mechanicai Fee ' Inves[igation Fee Plan Check Fee - , , Reinspection Fee ' �uantity $0.00 0 ' $0.00 0 $0.00 0 $0.00 0 $0.00 ' 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 � 0 $0.00 0 $0.00 . 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 NOTICE: The work authorized by this permit shall compty with all applicabla handicap access requlrements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatirally expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. � INSPECTIONS: In order for ihe work authorized under this permit to be considered legel, such work must comply with all applicable codes, and all requlred Inspectlona and tlnal approval must be obtained. Failure to obtain inspectlons and final approval will result In the expiratlon of this pertnit. FOR INSPECTIONS CALL: (714) 754-5626 , 266&48 (8/00) WORKERS'COMPENSAnON DECLARAnON: �� I hereby eflirm untler penelry of perjury one of ihe fallawing declaretions: ❑ 1 have end wlll main�aln e ceniflrate ot consent ro selt�insure br workere' compensatlon, as providetl for by section 3700 at the Labor Cade, for the peAortnence of ihe work for which ihis pertnit Is Issuea. 0 I heve entl will mainie�n vrorkers' compensetion Inwrence, as required 6y sectlon 3700 ot Ne lebor CoOe. tor Na perfortnarrce of the work tor whidi Nis pertnit is iswetl. My workero' compe�setlon Insurence cartler end policy number are: Cartier: Policy Number: �Is sectlon nee0 not bB �pleted ll the pertnit is valued et one hundred tlollers (5100) or less.) 1 cerlify Ihat in Ihe pertortnence of the work for which Mis permil is issued, l shell not employ any parson in eny manner so as lo become sub�ed to Ihe workeB' campensation lflws o1 Celitomia, end eprae Ihat if I shoultl bewme sub�ect to Ihe workere' compensatlon provisions oi Section 3700 ot Ihe Lebor Code, I shall tort�with comply wlih Uese rovisions. ApplicentSigneNre: / Deta: B�/�r�/O 3 WFRNINO: FAILURE TO SEGU W RS' OOMPENSATION COVERAQE IS UNUW FU� AND SHALL SU&IECT rW EMP�OYER TO CRIMINAL pENFLTIES AND GVIL FlNES UP TOONE NUNDRED TIqUSAND 0011ARE (f100. � �OfT10N TO THE 00ST OF COMPENSAiION, DAMAOES 0.S PiqVIDED FOR W SEGTON 3]O60F THE LFBOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTAACTOHS DECLARATON: I hereby aHirtn thet I em Ilcensetl untler pro'7vis�lo�ns lorce entl ettect. Lic. M_jc--�� Contrectofs Slgneture: 9(commencing wilh Sectlon 7000) oi Division 3 01 the Business and Professlons Cotle, end my Ilcense Is In full aassx �r3 _ % /,«c Date: _ __ � �� /J r CONSTFiUCiION LENDINO AGENCY: ❑ I hereby affrm that Ihere Is e conslruction lending agency for Ihe pedormanca of the work lor w�ich this pertnit is Issuad. (SeG. 3097. Civil Code). Lantlefa Nflme: LendeYs Address: Signature: Dete: OWNER•BUILDER DEC4NIATIONS: I hereDy elfirtn Net under penelry of perjury t�et I em EXEMPT FHOM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031,5, Business end Protesslons Cade: My ciry or counry which requires e pertnit to construct, alter, improve, demolis�, or repeir eny structure, pnor to its issuflnce, elso requlres t�e applicant for such pertnit to file e signetl s[etement �hat he or she is Iicensed pursuant to ihe proNslons ot the Conirectors Llcense Lew (Chepter 9(commendng with Sectlon 7000) ot Dlvision 3 oi Ne Business entl Professlon9 Cade) or thet �e or she Is exempt t�erefrom entl t�e besls for the elleged exemption. My viWetion of Section 7031.5 by eny epplicflnt tor a pertnit sub�ecta ihe applicant l0 9 Gvll panalry ot not more than five hundred tlollers (5500).): ❑ I, es owner of Ihe plopeny, or my emplayees wlth wages es Iheir sole compensetlon, WILL DO T1E WORK, and Ihe structure Is not Intended or oHered for sele (Sec. 7044, Business and Professions Cotle: The Contractors License Lew does not epply lo an owner ol property who builtls or Improves thereon, end who does such work himseli or heraelt or through �Is or her own emplayees, p�oNtled thet such Improvements ere not intendetl or oHerad for ule. If, hovraver, the builtling or ImO�ovement Is sold wit�in one yeer of completion, ihe owner-builder will heve the burden ot proving thet he or she did not build ar improve for purpose of sale.). � ❑ I, as owner of t�e property, em E%CWSIVELV CONTAACTING WITH LICENSED CON7RACTORS to conSWct the proleM (Sec. 704A, Business and Professions Code: The conireIXO�s License Lew Eoes not epply ro en awnar of property who builds or improves thereon, entl who comrects tor such pm�ect wlih e conirectar(s) license pursuent to �he CoMrectors License Lews.). ❑ I am ezempt untler Sec. Business end Professions Code for this reeson: Signeture: Date: Owner ID vedlied by dnvers license. ❑ Yes ❑ No Ddvefs License No. Verificatlan at Ownership by (type of tlocument, I.e. - propeny lex �III or deed): Ezpires: DIVISION OF INDUSTRIA�. SAFETV PERMR CERTIFICATION: � ❑ I hereby certify Ihat �o excevetlon frve (5) or more feet In depth into which e peraon Is required to tlescend, will be matle in connection with work euthorized by this pertnil, end �hat no Guiltling siructure, scaHolUing, falsework, or demolition or dismantling ihereof, wlll be more than thirty-six (38) feet high. (Chap. 32, Grp 2, A� 2, Sec. 341, Title 8, Celllom�e Atlministretive Code). ❑ As owner-bullder, 1 M'��I not employ anyone to tlo work which woultl require a permit Irom ihe Division of Industriel Safery, es noted ebove, unless such person has e pertnit lo do such wo�k hom the divisian. Signature: Date: Division ot Intlusirial Sefery Permit Number: CERTiflCATE OF COMPUANCE AND AUiHORIZATON OF ENTAV: I certlty under penelty of per�ury Ihat I have read thls epplicallon end s�ete thet ihe IMormeHon given is cortect I egree lo comply wlth ell stete lews end ciry ordinences releting ta bullCing consWctlon, end authorize representalives ot Ihe Ciry of Coste Mesa to enter Upon the ebove•descrlbetl property (or inspection purposes. I epree no� to occupy or allow accupency af eny building euthonzed by Ihis pertnit until finel inspection. COOE �. MSiECTIONTYPE 1676 1268 FLaeE System Finel Fire Preventlon Pool Spe Finel 200 Finel HaRoof 201 FIneI BIacWReteln�ng Well 202 Finel Fectory Fira Place 203 Final Sign 204 Finel Demolition Pdg It�ELfl Date � � / � � /o � Date CQOEt INSPEC1fONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Finel Fire Preventlon 220 Final Planning Approvel 222 Final Site 250 Final Building/Occupancy PAg Il�li /2-ro-�3 ¢j�_ (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR ORIVE, COSTA MESA, CA 92626 Job Address: 838 PLUM PL Suite No Vicinity: Parcel Nunmber: 42245415 Applicant DON TERRANOVE � Address: 376 HAMILTON ST � - COSTA MESA, CA' � �. . . . . `- Ownei: � YOUNG,�JENIFER J Address -838 PLUM PL � - � , , COSTA MESA, CA Contractor: BERGE POOLS � Address: 376 HAMILTON ST , COSTA MESA, CA Arch / Eng : Address: PLUMBING PERMIT Phone: 714.548.4848 Zip: 92627' Phone: Zip: 92627-3327 Status: ISSUED Applied: 08/15/2003 Issued: OB/15/2003 ISSUED BY: � - Phone: 714.548.4846 Zip: 92627 License: 717017 . _ _ . - . -. � �. -, . . Phone: � ._. _ _ 'Zip:. - . , , License: . � � � " SCOPE OF PERMIT � . INSTALL 435 S.F. GUNITE SWIMMING POOL AND 38 S.F. GUNITE SPA. REF.: 803-01388 , � ,- � PLUMBING TO INCLUDE: 1 PRIVATE SPA'AND 1�SWIMMING POOL. .��• . � � . . ' . � FEE SUMMARY _ . AMT 'QTY Y . AMT QTY � AMT ISSUE FEE � � � $23.50 � Laundry Tub / Washer � $0.00 0 Sump Pump , � $0.00 Backflow irtigation � $0.00 0 � Landscape Irrigation $0.00 0 Swimming Pool � �$6075 Backflow Preventer, '_ ,$0.00. 0- P-Trap � $0.00 0 Trap Primer $0.00 Bathtub '. $0.00 0 Pressure Regulator $0.00 0 - � Urinal $0.00 Clanfier System ` $0.00 � 0 Process Piping (per 10 ft) $0.00 0. �� Vacuum Brkr Bkflow(1-0) $0.00 Connect pce,Soda,etc) $0.00 0�- , Receptors $0.00 0 Vacuum�Brkr Bkflow(5+� $0.00 Denlal Units $0.00 0 Seplic Tank ' -$0.00 0 Wash Basin $0.00 Dishwasher $0.00 0.- Sewer Cap for Demo $0.00 � 0. ' Wash Basin Set $0.00 Drain, Floor $0.00 � 0. - - Sewer Connect, , $0.00 0 Waste antl Vent System $0.00 Drain, Rainwater $0.00 0 � Sewer Private Line $0.00 0,- � Water Closet (Toilet) $0.00 Drain, Roof $0.00 0 �� Shower � . ,$0.00 "� �0 " WaterHeater/vent $0.00 Drinking Fountain $0.00 0 Sink, ba� $0.00 � 0 Water Piping Qnst or Rep.) $0.00 aTY 0 1 0 0 0 0 0 0 0 0 0 0 '� NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related � regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for e period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred inspactions and flnel epproval must be obtained. Failure to obtain inspections and tinal approval will result in tha axpiration of this permit. FOH INSPECTIONS CALL: (714) 7545626 � :ww-ca lawl i WORKERS'COMPENSAnON DECLARATON: � � I hereby eKrtn u�de� penely of perJury ane of the tollowinq deGeretions: ❑ I heve end will malntein a certlllcate o1 consent to selt-Insura tor workers' campensetlan, es proNtleA for by section 3700 of the Lebor Code, for Ihe pertortnance ot the work for which Ihis permit is IssueC. ❑ I have end wi�� mai�teln workers' compensatian InSurance, ag r¢Qulretl by section 3700 of Ne Lebor Coda, for Ne peMortnence of the work fw whkh Nis pertnit is Issued. My worker9' compensetlon Insurence canfer end policy number ere: Certier: Poliry Number: (fhls sect/on neBd nof be campletetl !! the permit is velued ef one hundred dollars ($100) or less.) �1 certiy ihet In t�e pertormance of ihe wark for which Ihis permit is issueq I shall not employ eny person in any menne� so es to become subJect lo Ihe workere' compen5a0on laws of Cellfomle, eM egree Nat ii I shoultl become subJect to t�e workeB' compensatlon provisions o1 Section 3700 of Ihe Lebor Catle, I shell forihwlth compy witn Nese proNslons. Applicent SlgneNre: w � oeia: g�/ 5— ��' 3 WARNINO: FNLURE TO SEWRE WOW� OM1IPENSATION ODVEMpE IS UNLFWFUL AND SHML SUBJECT AN EMPLOVER TO CRIMINAL PEW�LTIES� FlNES UP TO ONE HUNDRED TMIXISAND DOUARE (5100,000), IN ADqTION TO THE COST OF OO�MENSATION, DAMAGES AS PROVIDED FOR IN SECiION 3)O60F THE UBIXi CODE, INTERESf, AN� ATTO{ifJEY$ FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirtn Me� I em Ilcensed untler provisions oi Chapter 9(commencing with Sectlon 7000) 01 Divlslon 3 af the Business end Professions Cqtle an my Ilcense Is In tull lorce entl ettect. Lic. A l0 �- Cless N �' Ss ! l�/ G Coniredofs SlgnaNre: _— Date: �� r�.0 7 CONS7RUCTION LENOING AOENCY: ❑ I hereby eXirtn that there Is e construdion lending egenc.y for the peAormance of Ihe work br wMch this permit is issued (Sec. 3�97, Givil Cotle). Lentlefe Name: Lendefs Atltlress: SlpneWre: Date: OWNEH-BUILDBA DECLARATONS: I hereby ettirtn Ihat under penelry ot perJury that I em FJ(EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions CoOe: Any dry o! �unry whlch requires e permit to construq, elter, improve, demolish, or repeir eny siructure, pnor to its iuuance, elso reqWres the ap011cant lor such pertnit to Ole e signetl stetament thet he or she Is Iicensed pursuent to the provisions of the Comrectors Lkense Lew (Chapter 8(cammendng with SecUon 7000) af Division 3 0l Ne Business enA Pro�ess�ons Code) or that he or sha is exempt therefrom end the besis for Ihe elleged exemptlon. My vidation of Secllon 7031.5 by eny epplicant for e pertnit sub�ects Ne epplksnt ro a dvil panafry ot iwt rtrore Nan trve hufMred CWlars ($500) J: ❑ I, es owner a� the property, or my employees with weges es their sde compensetion, WILL DO TME WORK, antl the struaure is not inientled or oflereC for sale (Sec. 7044, Busineu end Professions Code: The Contrectors License Lew does not aDPh to en owner at properry who builds or improves Ihareon, and who tloes such work hlmself or hersell or thraugh his or her axn employees, provldetl t�at such Improvements ere not Intendetl or oNered tor sale. 11, however, ihe bullEing or Improvement Is sold within one year ol completion, Ue owner-builder will heve the burden of proNng ihet he ar s�e did not 6uiltl or imprave tor purpase of sale.). ' ❑ I, as owner oi the property, em EXCLUSIVELY CON7RACTNO WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business end Prafesalons Catle: T�e coMrectors License Law does not apply to en owner of propeny who bullds or Improves Ihereon, and who contwcis tor such pro�ect wit� e contractor(s) licensa pur5uant to ihe Contrectore Ucense Lews.). ❑ I em exemp� under sec. Business ana Professions Catle for this reason: Signetura: Date: Owner ID verifled by drivefs Ilcensa. ❑ Ves ❑ No Dnvera Licensa No. VedBcatlon of Ownership by (rype of document, Le. - properry tas �III or deetl): E:pires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION: ❑ I hereby ceA�iy thet no excevetlon tive (5) or more teet in depth into which a person Is requlretl to descenQ will be mede In connectlon with work authorized by this permit, entl �het no building slrucNre, scettolding, falsework, or demoli�ion or dismentlinp ihereoi, will be more than thlrry-slx (36) teet high. (Chap. 32, Grp 2, An 2, Sec. 341, lltle 8, Celtlomla Administretive Cotle). ❑ As owner-b��ltler, I wlll frot empby anyone to do wwk which wonld require a permH from iha Divsion of Industrial Safery, es noted ebove, unless suU person has e pertnit to tlo such work from Ihe OiWsion. SipnaNre: oate: DlWsion of Indust�al Safery Permit Number. CEHTIFlCATE OP COMPLIANCE AND AUTHORVA710N OF EHiRY: I certity under penalry ot perjury thet I have read ihis epDlication end state thet Ihe Iniormatlon given is correct. I egree ta comply with ell stete laws end ciry ortlinances releting to builtling conswctlon, end emhorize representalives at the Ciry oi Coste Mesa to enter upon the ebove-descn6ed proper�y for inspectlon purpases. I agree not to occupy or allow occupency of eny building authonzed by t�is Dertnit until finel inspecNon. SlgneWre Oi Legal Owner(s) Date � ��s'— �U.Z � nd/Or Authorized Applicant Date 40oE �. 7818 1268 200 Fixed Sy3tem Final Fire Preven0on Pool Spe Finel Finel HaRoof 201 Flnel BIOGk�Retalning Well 202 Final Feclery Fire Place 203 204 Finel Sign Finel Demolition PAg It�lI.S COUE 1 INSPECTION TYFE 206 Finel Mechanical 208 Finel Plumbing 210 Finel Elecirlcal 2/2 Finfll Fire Preventlon 220 Final Planning Apprwel 222 Final Site 250 Final Building�Occupenty Q� �� 1 /O' � � . 2� 2 P`T,O �_ Z�� C� .+ � _-� 2�� , w TESTING ��i�q ��b�a°��a�� 0� Soutittn �nfifovtin, �nc. 3310 Airpon Way (310) 626•3355 Long Bear,�, CA 90006 (714) 828-6432 Mail: P.O. Box 47, 99807 FAX (310) 426-6424 CONCqETE 8 M,4SONRY JOB NUMBER �� - - - - -- PAGL' 1 0 RE(NFORCINO S7EEL fIREPA00fIN0 � POST•TENSION OTHER �j �-poxl/ INSPECTOR CODE 4ROJECT ADDRESS SCHOOL DIS'fWCI' OSA-OtiifPD APPI.ICATION � PERMIT N G£NF.HAL CON7'FtACTOR SUIt-CONTRACTOR y;qM� A! GG.✓Ex'� cnN7,P,qcTqp. DESIGN OATE MIalISFD SLUMP ADMIXTURE DFSICNP51 CURICYDS SPEQME"15 �ATES / • /S� 98 REPORT OF INSPECTION PERFORMED 1?E EP ,o7Jcx,/ A,✓ iNJ7At�+>YaJ aF �`i 'S�� "Qi �r6 dii -T�iPF�..I a...�..U.✓ A...�-� ....rv _ ._.�,n..l �F ...i � �r.s-i rD([II.�[ YMOl11 f[x�I/10/ I(Alu.A1NIi Y( Jf �Y! YIpY[ tI1IlYCIR� 4Y fAU. H'p tM�l I(FpIIW YIO�x KI{iOx.y [M0�1(00! IMIT IN! IO.Y' OYpNO fM( /lM0 CM[II(D T �/MYb1rt NY Itt/ �[N01WlO AV YISINI[O Ix ry[MYII[p4 KY[ti p COYMI4K! �RH Iw( DVI�.VfbY[O ILW�.lHCY¢I!p/tl AMG N{ INIR'yp( [00[l lNSPECTOR'S SlGN.4TURE PR/NT NRhfE ATTACHMENTS �CONTINUfD ON OTHER S1DE ,/ WORK COMPlIeS WITH PLANS, SPECIFICATIONS AND ALl APPIICABLE COOES. ALLREVORTSREM41NTH4PROPERTYOfTWININGLABOFnTORIESOF$UJTHEAN�q�IFORNiA,MG AUTHOFIZAT�ONi0RpU8L�CPTiONO�OUAREPOqIS.CONCWS10N5,OR EXTRACS$ iROM pF REGAFJING TFEM I$ FESERVE� PENOING OUR WRITTEN APPqOVAI A$ n MUTUP: FROTECTION 70 CUE�TS. THE fUBi1C AND OURSEIYE$. � -� ?vr'inizu _Q s.� � � Laboratories �f ��µ�� ea�f��, �� ' 3310 Airport Way C�� Long Beach, CA 90806 � Mail: P.O. Box 47, 90801 TESTING CUSTOMER: DELABAR CONSTRUCTION ATTN JEFF DELABAR 217 E EVERETT PLACE ORANGE, CA 92867 JOB NAME: RESIDENCE - YOUNG (DELABAR CONSTRUCTION) ADDRESS: 83$ PLUM PLACE COSTA MESA, CA ARCHITECT: ENGINEER: Inspection Of Anchors {562) 426-3355 fAX (562) 42E6424 EXAM NO: DATE: JOB NO: PERMIT NO: OSH PD: OSA AP #: FILE #: PAGE #: CONTRACTOA: DELABAR CONSTRUCTION SUBCONTRACTOR: 98-2-168471 O1/27/98 80121005 1 INSPECTOA: ASSISTANTS: ��Q^n�D LITTLE JR, RODGER � ____\rl �� ------------------------------------------------------- - -------------• MIX USED SLUMP INCHES ADMIXTiJRE DESIGN PSI CUBIC YARD5 NO. CYLINDERS ------------------------ The followinq inspection fE6 0 y�1°0R ------------------------------------------------------• was performed in accordance with the approved drawings DATE DESCRIPTION O1/14/98 ST # 196165, PERMIT # B85605 Inspected preparation and installation of (4) all-thread anchor bolts with Simpson Epoxy-tie east family room wall. Wozk complies with plans, specifications, and codes. DISTRIHUTIONS: DELABAft CONSTRUCTION, 1 COSTA MESA AEPT OF BLDG & SAFETY, 1 5/8" diameter adhesive at all applicable , � / � . i /�...,..ir / �.�..,._ i � . . ALL REPORT$ qEMAIN THE PPOPERTV OF TW INING UBORATORIES OF SOUTHERN GLIFOqNIq. INC. AUTHOR12ATION FOP PUBLICPTION OF OUR REPORTS. CONC WSIONS, Ofl EXTFACTS FppM OF FEGAROING TNEM I$ FESERVE� PENOIN6 OUR wRITTEN APPPOVAL a5 A MUTUAI PROTECTION TO CLIENTS. THE PUBLIC PNO OUPSELVES. �550FB0101NG d38 YLUM FL� OVMER'S NRME IF pItlNN: �I� - J1CVC, ti Jr.IVlt15 YVUNIi •.ADDFESS �Jif YLUT'I YL �' t_.M, 7'LbLb MPL. AWIING ADUAESS: /JICNITEtt OH FNtlNFER: JILN�OP ENG.'S 11DORE55: UNT: A, uc. ra.: UNT: ,: � CiIY OF COSII� MESA - BIJILuYNG rERMIi 1 PEkMIi iJu; c USSbVb YLAN CriECri ivG; N LUr1J1RUlI�1VN lYF'G: V-IV Yht(1'�I11 lYYG: C.LC cor+m�crarswue: uEiAbArc C�NSrRuCTION i7i4i74A-33&5 CONiNACTOXSYYIQq �1 �� r,VE.itr.l l YL �ooxesx VttANGE CA uc.xo.: b L 8� b b 7L8b % uNr: LICENSEU CONfRACTOPS DECLAflATION: I Mreby etl'vm unds penetly d perjury ihet I un IicemaE uMer prwieione of Chepls G (mmmendip wM1h Section )OW) W Drvison 3 of IM Businesa eM Pmimsion Code, a�M my licema ia in lull brta eM etletl. CRY LIC. NO.: 11C. CLA55: LIC. NO.: - - ' 'u�'4(L-.7IQ n GuiOu Dete: / /� �/'_ 1 � Canlreda: �-�—�r OW NEfl BUILDEN �ECUIHATION: I hareby e/firm unEar pen y d parN�Y �� I ex q rom tM Caniredore Lironee Lew la tlr -'bwmg raeaon (SeUion ]031.5 Buei�ess eM RWmsiana Code: R�ry rAy a oounry whiM reyuiiee e permA to mroeun, eM1er, impran, �olsh, ar repei eny avuclure, piw lo ita wwence. elso requim iM epplimnl Iw euch pennn la fib e eipr�eE atelement Ihel M a oM .cansad W�� o Ihe D��siona d IM Lamredoro License lew (Cl�eqer 9(cammeMi�p wilh Sed'on'!UW) N Di+eion 3 d tM uusi�w» eM Profasaions Codej a ihal he a ahe is ezamq Iherehom end �M baac la Ne elbpeE uemqian. My vidalion d Sspion ]p3t.5 by e�ry epplifanl iw e Po�il eubjMs Ihe epplicen� �o e trnl penelly af nd mors Ihen Me huMred ddbn �5500��.• � I. ea awner d Ihe qopeM a mY �WW� �h wepea ea Ihei ede mmpemetion. xill Ao �he xoA. vM �he soudure e nd irue�MeE a oXered f« eeb (Section'loaa. Buvmas eM PmlesaimnCode: ThaCom�eaae L'unma lewEom �wt epplyto en owmrd propary who WiEs w inprovee ihe�eon, enE x1w daea suc� work Nmeetl a henN a Nrcwph he a har ovm empbywe, prwkeE ihet euc� improvemanis ere rm inteMed a oHered la sab. X. hawever, lhe buikirp a mpovemeM b edd vmhin one yw d mmpblion, tlw owenr-buitler will have Ihe buNan W proviip M ar aha d'd � Wild w imqwa lar the qvpove d eeb). • � I. as o�wr d iM prapeM. � e�d�rei.eF/ mnireG'vp xilh licemetl conVecron ro canetruq iM popa (Satlion )W4. Bueinss mM Prdassioro Code: The Contredae L�mse law Eoes �wl epply b en ovmer d qopany who builia a impwa tlw�ean end who conVarn la ax� WWecis wnh a mMredMe) licaneed Pureuem to the Convetlas licenae Lew'1, r. JUt! LEJI.RlYZ1VN ; ALL bVJSt L1V11VG, 11111t1tIV rERM Nu: fi uu�ou" IiUV 1; IV SUYN: N SS,1 Y 1; CLAlI'� VALI.IG: I.ALI:-VALUG: t'altUl.lY Ul:l'.: Lt-,i % CuMNiENTS: MA'sTEk HhLt(VVM , fiiiPAiVL bAYriRuGM 6 1.11AfVC',t. ALL W1N1lVTN5 ttEttitf�bV7 ii ie x ii ii� if ii ie i2 iE iE ii ie x ie ii� ie ii� ie ic ii iE ic ic ie �i iE ic iF ic iE ie ii ii� i'r ie iF iE ie ie i'r ie ii ii i� ii� i's ii ie ic ie ic iF if ii� ii ie ii i2 ic iF if ic if ieii� ie ie if ie ic ic i'r ic ie ie ii iE ii i u N I N G k E� u I R E M c N 7 S S E i b A � ri S YUY(YU�7G; ALL ------------ MAIi3 nuILuING ---------- -------- ACC'c55unY ttUlLL�11VG --------- FRNi: Fi IN x�AR• FT IN FRNi; Fi IN Rr.r1Fc; Fi IN LEFT: FT IN RGrii: r7 Itv LcFi; Fi IN n�rii; tT IN PARriIIvG RE�{: Pn0'v: Pe�cCEL; �12��i5�1i5 �Nc.: REF ivu; �LaNr;iNc No��.s� % . ........ ................ ....................� ....... ...... ............ . . . ......................... . ifiii'ci��kiEi�iEiEicsFiexttie�Eirsearxx�tnxaF�e�rxie�eiex�ra�,�eaFiexxsexxar ie�exvcx �c�exx �c xxa�+�xx�cx+c�cxx�cscha�xic�'rxicsc L/ G V h L U F' M b 1V r S h Y(. V 1 l h S !t r. u 1.1 1 K� M � Tl 1 S 'LVNlIVI'a AYYttl./VGU 1l7C UIiTG; Hl71LL1Nl'� APYttVVt,ll HY ; LHlh: I em exemp urder Senbn: B. 8 P C., br Nb ieeaon: --' ' ---"-� - �% AYFL1l.AllUN 1SSU�ll tlY; V Ul�lt; � � Daie: OwMr srzi'tiFifiFieiei'tieiFii�iEiiitiFiPiEiEiEiei't+estsestse+e+'iese w�e +tse�tx+t+e+rx�xxx�ts'x+txx�exxi'tifii�ieiFiiiriiiEiese�ex�exaeaescaeve�ci't ieone�nr�.nMm�i�e.�eaw��a«si�ama�c��.m.ac�e�e�en�asmmycaessea�.zssos.us�a.�e LEtiAL1ZATIVN;N t t. 5 U M Ni A K Y STk1.7C1I1tcAL St.GME.NI:N zssx. ene u�m � ar enr nnure wlkbq om,a�, mn � w1� na (arcb ore) med �o mnNr �n .eie .tela cm« ene �n. rta��.M. b. epemiut«consvuciion«modifre�ionlrammenr�v eneoememoisoia.Feekamielwna�uaunapvktbn+ennvmplramihse HLLIa YM1 YLUM2111`Ili GL2,l.li(ll' McCiiAlvlC I'12(h SMlY%i(GS la2tIUJ1NG °'°"°'°"s YGRN11! 11 V , 3U ome: Aod�: � V i S M 1 Y% 1V V IV - K Y.J WOflKEX'S COMPENSATON OKLA(i�TON: I Mreby etfirm wMer penelly d pajury ons d Me Idbrrinp Estlerelum: F L�'`N ❑ inere.�,e�;��m�aoanaw.a�mm.w,�,,.w.�x��omo��.mm��Ms.mo�aroodm.i.n« 1SSUt tF.G LL.UU code,�«mapanmwKadmewaMiww�nmop«mnuuauee. HI.IlLL1NG-L1V-� FEttMI7 1SSUh PLAiv-CriECK 1V1F1L Y�flll LUh � ii„V,,,,e.a,,,a;me;,w�,�,•�w�,mo��,..�.cw�en�s.a�a�aoainei.eacode.ra.mep.no,m.�o.am. lUTALS----� 11V.3U LL.VU V,UU I�L,�V LJL,�V ,VU work ta which Na P�� e ususd. MY warken' mmPs�+e�ion'vmurence urror end Vdic/ number ma: c�= Rc'vENUn L1V1$1VIV iGiALS--> I.ULLEl1t.L; Z,SL..lU VVt.tt%JliVtil: ,VU Pd'cyNumber. t1LLG PMI PLJMBING EiEC7HIC MECriANIC tInE SMIPiTGT GKF�uIN� PLAN-CriECii �rh ��eed�ornecm�ebredrrnev�eomra�enu�wreeed�asR�aolaws,l 13L. JU I centy Nm in Na parlamence a iM1a wark M wM1ch �M1b pem�il u isaued. I ehell M em� o ury p«van m em� menrw w m b eeconb wMee io �ne ..akers• camomsnion lew. a celilanie�I e� . a u eeconn wuRa �o �n. wvM1a.• .. .. .. .. .. .. .. .. .. wn 'omdSetlqn3100d�helebarCoda.le If h owiw. irxififiEii�iiifi'tiFieifww'r'riewii'v'riFwxstxt'ititxwieiiwwie's4ieiei'rir'sriew'v4wwit'tiwiFitwiiwiti<wiFxiiiPwiFiFieii'viiei"rwiiie'seiEli'ritiriiit o�e �� 1 N ll 1 ti'1 L i.i A L t t, t if R F. A K L u iti N Waminv� Fauun ro a«uro woMreri mmWwtlan covenps b unlawNl, en t m Mriployr ro almwpwultlr me 1 Y YG �,11 Y L � S l I( 1 Y 1 1 V IV U rl 1 1 l. V J 1 1 U 1 i,L l: V J 1 clHl Ilnu'q N aro l��ntlie0 Noua�M EdNn (SIOq000), M Ndltbn b Ms o/ mrrpxwtbr� tlem`ps u provkNC br In Ssctlon 9](I6 0l tlro LNor Cotls. Irrtau4 sIW efromey� Isu. E.LG ' __ _' _ _ _ _ '__ __ ' _ " " ' _ CONSTtiUCl10N LENDING AGENCY: I haeby dfirm uMar peneXy d pe'ryry �hat iMn o e aonYrudion WMi�p aprx.y br Ne �L � peAameMe o11M1e xvrk IIX whiM the pmmi u ewed (Sedion �091. CN. C). LENOEF'S NMIE �1'�' LENUEN'S 1DDXE55: r'L r' �ceMYthe�Jhs�ereediheeop'rationeM9mathm�haeboveiMame�ionoconw.leu��ocomdYwi�nelltllYenEoouMYaEmenw� t'LG eiMswelewsreletiroioWikn9conw�wtioneMhmabYaWaraereV�tetiv»atMMY�oenimupon�Mebv.e�mem'vrdqwxiy t.LG f« insoea�o�, wrooses. Y,L G � M.F.t1F_FhtV I)h.1.AYlAt( Dma: //—�� (515�d6.W P) WM1ue-BuiNiq d Setay: Gree'rFb: Canery-AppSrenl: Pink-Revenue: Gddenmd-bmn LU YlX1U1thJ, LlI�Hl1Nl. 1 D1 LV hi:. 10 FIXTi.ikES, LIGriiING AU1J111VNAL EA. �v t(Gl'�Y1%UUTLGI 1 57 2u EA. IL HGl'.t.Pl%VLTLtl F11JL111UTIAL GA. 16 tlGl.hYI%SW111=l1 1 �i �G fiA, 3 Ra5 AYYLlA1VCG Nui uvnFt 1.0 riP 1 JhFtVll_GS HGLUW bUU V h tlr.LUW LVI f�lY GIVL VL' t'hh7 I,VU LV.UU .b� b.�V 1,UU LU,UV ,bJ %,8U Z,UU Ib,UU 4.�� 1�.75 L/.L] L/.LJ 11-84-1997/�2:43 PM/f132.3A kCRTH:�l-8015012 F'EkMIT:0856�E. CONSTHUC710N,ANDPLANNING APPROVALS Permit # 7, Temporary Electricai Service or P`ole 2, Soil Pipe•Und�grnd. - � •3.� Electrical Conduit Utility-Undrgrnd. 4. Efectrical Condui{�Undrgmd. - -S.;Steel Reinforcement •- ' 6. Electrical UFER Grnd. 7, Footings � ' ; g. Foundation � - � 9. Water Pipe-Undr9rnd. � � � 10. Structural Floor System �� 71. Property Sewer Line & House Connection 72. Sewer Cap ' . � 13. Roof Drains �. . 14. RoughPlumbing�. - � 75. Rough Electricai-Conduit � � 76. Rou9h ElectricY�+iring ' � 17�. Rough Wiring Siqn � - , 18. Rough Electriw6T Bar Ceiling' 19. Rough H¢ating & Air Conditioning 20, Rougtt Factory Fireplace , � 21. Oucts,in Struc{ure:, • � •• •� 22. Ducts; Ventilating ', � 23. ;Gas Pipe-Rougti & Test � 24. Roof Framing^ "' '� " 25. Roof�heathing _ � 26. TBar•Ceiling (Struct�ral) & iVtonocbat 27. Frameand Flashing�; � - 28. �athPrig &�Siding = • • �, � 29, (nsulatioo� - .- "30. Drywall Nailing � J -.37. Plaster Brown Eoat-� �� .- - . �32. Electrical Powei f,�eter�F.ina! 33. Final,Electric . .�34. Final Heating & Air Gonditioning ' 35. Fi,nal Gas Pipe-Test , ' ., 36. �ood or Canopy � ..37. F{nai'Facfory Firepiace� - �, 38. Final �Plumbing t: * � ' � - - 39. Water Service�Finai,� � ' �-40. Gas Service-Final � . . � 47. Solar pomestic�Final� � 42, Backflow Preventer; � � -�43. Backflow Irrigation , ' 44. �andscape Irripation�System - -' 45'. $�und Attenuation � �� ., 46. Flandicap Regulations , � 47. FINAL STRUCTURE & BUILDING 48, FINAL PLANNING � 4g, Electric Release to Edison . ; 50, Gas Release to Southern California Gas G ' 51. CERTIFICATE OF OCCUPAI�CY ' . No. Date Date w W } PO SPA Inspector p.ppROVALS Permit^# Date 52. Pool & Equipment location� � � 53. Steet Reinforcement � 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER•GUNITE � 58. Electrical Cqnduit-Undrgmd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P�Trap, � Undrgrnd. 61. APPROVALTODECK 62. Backwash & Receptor-Fina� 63. Heater & Vent-Final ' 6Q. Plum6ing System - Final� � � 65. ElectricabFinai ' . : 66. Solar SYstem-Pinal 67. Fencing & Access Approval 6.$. APPROVED FOR PL/aSTERING � 69. POOUSPA SYSTEMS FINAL -" FIRE DEPT. REQUIREMENT - - . • 'z. • . � � ,.. 'APPRDVALS- .Pein�it# ' .. � 70. Undergrouncl Hydro � `;, �71. Producf,Piping�Gas OOiI 72. UndergroJnd Fiusfi � ' y, �.73.�Undergrnd.StorageTank�CGas�00i1 � .� � 74.. Overhead Hydra ' "- � 75.' Dry Chemical . � ; - ' � 76. Dry Standp'tpe - � � � � �. "; 77'� FIXED SYSTE(v� F,INAL � � . � � . � u 7$.' fiRE PREV. FttVAL � � ' � �' '' NE%aLTH;DEP7. FiEQUIREMENT �� . 79.' FINA� INSPECTION � . � �80.'!FOOD CERTIFICATE ISSUED - ,: . - . � � Notes: � -• , . - j�, . ... - _ . . i : � r y ,� � Pnspector bl1Q��l�J SUBJECT: .iniiwtie� / INCIGNT �i00P��B�°�� .78 YLUM YL OWIIIRSN�4EIFqqMN: �rt'vE ti JENIrtk YuuNG t ' ��,a�a YLl1M �L y..�7, yLbLb uv�. �uiwc �oo�ss: �xcxrtEcraa��nn: ARCN.OH FHO.'S d00PE5: carm�c,«raru�: LELAbAk CQNSiRliCTION cwmAcroas�uiac Z17 E EV�kETT PL �p�: VitHNl�t. 9Lab% LICENSED CONfflACTOXS DECLAP�TION: I hereby e11Ym urvJer penelly d per (oommemiip xilh Section ]000) of Diviaion 3 d the Buair�en uM Prdeeuoiu COA �CT' 11C. NO.: V.7 �I L/ S UQ CLASS: B L1C. NO.: � ^•'e: � ��_� � Gaxren OWNEfl BUILOEfl DECLANATION: I MreW elfimi undW p� d perjiry ihe� I demduh. n rWei enY sWquie. D� �o ia u uenoe. ela �eVuva b Iim�ueE pmuent to Iha po+ivms d tM Com�maf l+mn+s Butinan entl Rofmuru Codel a tAet he a ehe'b eRemq IM� 103�.5 by vry eppticeni in e permY abjade_ �he epplcM� �o a tia � I,00wmrdlMpopenyamyempbyemMhwPpeamth n oflered I« aeb (Saciim )OM. B�nm eM PMqvme C� wlp ol�f M iTdGVM IhtlBM. BM wM QOM tWP Mpk h1n uMf: uc.xo: uNr: i7i4)744-.i�85 lA uc.do.: bLti�bb uxr: ihet I ,a my T�Dy�A�pl,imm iTie Comraaas xhltf�`(r�lme e pe�mllo mrc euc� ormu io fib a am�ed nmi penelry d nd maa ihenlxs hundn .w. oompen.ation. w�m me wd. Neime M Cheqx 9 vM exec�. ; UU/UV ta iha iVa+, aeM o.,�«a�b...a nw. m. w.d.� d c�+�a ne w.n. eu m eda a Mwo.+ r« m. ww�• oe..bl. ❑ i. m o..n« a ins o�o«iv. �..a,mwr e�irecFu ..vn cw�»a ooiwd.,a. m oomma m. popa �s.am rou. e�.:�.. w Rae�ebm coee: Tne cauroews t'san.. Lew eoea oa wMr w en own« d pw�r wno dulds v umw� ��w.m end wM wmrens la md� propa� wn� e mMraGor(e) fweMed Wnuem io tM Camrepors Limme Lew�. ❑� � I em exmmq uMer Senion: � i� B. A P.C., M Nu �eeson: Dma: ' P..w: 1 do hereby cenily Uut 1 em awere W eM uMenWM tlM �Wirtmarpa d CeOomu Haellh end $dery CoEe Satlidn?55p5.?Sit3. eM 25551. eM ihet I a eiy Mun buikiiq omipeni will / wM� na (arcb wr) neeE b mmply wIh eek ume cado uM the �pui�emmb br aparmnloroonai�ucnanamaAifiralbnhaniMRi u�Tt'y�e�a9emeM0inria.Npidemielmipiueoneppintioma�eeaemqlmmlMae p10M9M19. Dele: ADd��: WOflNEN'9 COYPfHSATON OKIAPATION: I MreW �� d« penally d pajury ans W IM Idbxiiq dedvm'an: � I hew enE xi9 meinlen e ceMkaia d mnmm �o vaM�inan br xwkere' compruuian, u providad la by Sepion 3lOp d IM lebor Cotle, i« iM1e pe�irnmemw N ihe xvrk la wlich ihia permil le imuetl. ❑ � nem ane wi� meime'.i.wn,,,� canw�wion i�.o,e�e. m ma��ee M seeim amo d me tmo. coea. ror ine ou�«menm a me work lor wAidi Nia pertnn n ueueE. My wnbn' o�p��bn imurvics univ arq pdiry number me: c�«: Pdiy Number. (' ion rmeC mt 6e cancMteJ / ihe pwml ia ror aN huiMrsC Edlen Is�ool a bse.) I cM1y Uet in Na paAwnence d ihe woek la x1��M1 �Ws pemiu u ivued I ehell iwl emd nY ers n' anY menew vo o to wbjea to tM wortaa' mnpenWion IB�++ d CaWanie. W e� m 1 I I e u a pjed io �M walan' wmp�tian pvm�d�un 3�0 d iM leba Cods. I NeY IorNv.vh om N p'e Dete: I �' MW�: Wemlip: FeNun ro ucun woMn'romps�wtlon e0+wep, s vnNwlW, anJ f rAv oyw ro plMml pWltlp uM clvll flroa'q ro aro I�,ndrW IhouuM Eadkn (tIQ0.�A b�Itlon b IM rosl o fbM1 Wmep�i u pvvMW Iw In Sxtlon AP6 al tM LeDor Cods. /mass4 aM �mrmeY'� Isa. CONSTIIUCf10N LENDING AGENLI': I Mnby e1Nm � p�M tl prjvy �htl �Mn u a canA�utlion bndvq 1pdic/ b Ihs peAama� tl ihe xwk la W�iM th"v wmY e eaed �Swbi JW). Civ. CI. LENDEfl'S N1/IE LFNOER'S �DONE54: I cenM �� I Mve reeE Nb eppratbn eM ame tliai Ne ebw'e iMamelion e cortW. I pns to wmply willr eA ary ard mumy adire�� vd aime leMe mW �re w buildM m�muabn eM hersW eWwee rope»iuetivaa d ildw tiiY to emm uP� tM aEwsmeNiwrod V�Dab la irepatlq^ MVoses. � (� (� � (5151de.WP) Dme: II -��j "Tl SelatY: Orae�rFle: Cenery-AppGreM: Pink-Rawnue: poWenmC-Avaeasn CI'IY Gr COsiA MESA - bUILUING FERMIi PEkMII' NG: b 085005 rLAN CHECK NO: "v�io6-57 A CuN51RUCrIuN TYYt: V—N PEkMIi TYFE: Sin Jub LESCRIP7ION : Fwu ou55F LIJI1vG, AIrCifEN / VV U � FEkM NU: ti V07bV� GuVT: N SOPP: N YUttPUSt: ALL JS,,! tl; 4, 1V2� �LAI'rl vALuc; 45,uuu.00 LALL—VALUh; �L,2o3,0u l.�ItUUY uCC: R-3 i CuMMENTS: MASI'Ek BELRGUM , EXYANU bA7HRUuM d CHANGE ALL WINUGWS ie i' ie ie iE ie ii'si ie iE'sf 'sE iF ii i'r ii iE iF ir i'r i'r i'r iF ic i'r ie ii iE ie iE iP iF iF i'r iE iE iF ii ii� ii� ii ii ie ie ie if if iE ie iE ii ie iE iE iE it ii ii ie i' ie ie if ii iE ie i7's2 iF ii ii� iF ii� ie ii� i2 if i' ie � G N I N G R E u II I k t M E N T 5 S c, T b A C K 5 ------------ MAIN buILuING ---------- --------- ACCESSORz HUlLL11V13 — — FRNT: io FT IN kEt�c: 91 rY lIV rnlV7: FT IN REtln: ri IN LEFT: 7 FT 6 IN RGAi: ri IN iaFl": rT IN R�rii; Fi ZIv FAFiKING AE�: - 2.Fkvv: _,,,- 2 Ft1FtCEL: 4229�4i7 ZNE: Ri RE'r' NG: FLANNING N6TE5� SSo sQ. F7.' kE5 AuLII INCi t]LY.4NLt,U MAsiEn t1Ut(M%L1T�1H; �CLOSEi 7,lK1rCF1l:7V;�'-ubNING;LIV1Nl.i ttUVM. PVf(CH /�LSU FILUtlJ. . '.•.. si�iciFiciciciciiicieitieiitiei'ricicii'�iFicieieiiieii�ieiciixicicici'ticiei'eic'ii'iFiii'rii�i'rieitii�ic �eic+c�e�cxx�c�cicxie�cxs5�cxaeiiiiiEic:+Eic�iFi'tieicxieii' u E"v E� L O P M E. iV T�: -- S E k V- C c S A E� u I R E M�, ti i S ^ _ '..9 1:--' /"" �' � � ) �Q •" ZuNIivG AFFAvvEu nY �� (itJC[J LaiE: � ifUlLLINIa APFAuvEL aY! �:� :: �n �Vv�T na��: �% /-d" � 7 � - : r . APFLSCtlTION ISSi.i�u &Y ' %�:- > , uAiE: .� xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxx�,�xx�rixxxxx��x LcGALIZt�.TION:N F c, fi s u M M A R Y STni.iCTukAL SEGME1vi:Y niLG YN1I� YLUMtSINIa ELECihIC MtCriANIC tlf(� SMlY/t(G5 l�t(k11J1NG FEkMIi 553.SG 5.�3 SMlY%IvViv-tit,S FLAN yb.4S ISSiiE FEE bUILliING-Liv-> FckMIi ISSuE FLAN-CHECFi TU7AL YAlU Lut ?u7ALS----> 55d.73 'v,00 50.45 655.18 655.18 ,uu kEvnNUE L1V1SlUN TurALS--> I:ULLtI'1GL: JS23.%S uvERiSriuAl: ."v"v BLLG PM? PLUMBING ELc,CiRIC MECHANI� rIkE SMIriiGi GkALIN� "rLAN-CriECri 5y�,�U 7.L.7 w ii �k iE if iF iF iF ie ie ie ir ir w w�e x ii iF ii iF ii� if iF iF i'r i'r'v'r ii i'r iF i' i'r w ie ii i'r ie� ie�+f iF w'+F ir iF ir iE i'r iF iF ii� i'r w iF w ie ie ie iE iF iF ie it i7 ii ir ri ii�'rf t'r if ii if ie ie ii if ic if 1]V L 1 V 1 L U p, L t G G ti t( t}1 Il U V l+l N � 11fY6 �1Y U C S l_ t( 1 Y 1 1 U 7V UN11 l'UJ1 1V1AL l'VS1 Jtlt bUJ IJWG—lYk'h V—WUUL Y1fAMF. —I.iUVL dU,bU 9d,%b.7.VU SFk 35u0 ALZER bY vALu'c 7tGS1LtIV11AL NuZOivE l,vu 3,Suu,Ou GIVL Vt thGJ 11-84-1997/02:42 PM/f59B.73 RCPTq:01-0�15011 PERMIT:085605 �..GONSTRUGT;ON AND PLANNING PG.. _& SP,A i-'-"' APPROVALS Permit # � - Date Inspector qppROVAIS Permit # Da�e t�:pecior ��'�, Teifiporaiy Electrical Serviceor Pote 52. Pooi & Equipment Location• � 2;,",Soil.Pipe•Undrgrnd. �� ' 53. Steel Reinforcement � � -.3.. Electrical Conduit U(ility-Undrgrnd. � 54. Forms . 4, Electrical Conduit-Undr9rnd. ��.- 55. Elecirical Bonding �__ • • 5.'. Steel Reinforcement � l� �Q -q7 � L�t.�i 56. Rough Plumbing & Pressure Test 6.. Electrical UFER G+nd. �� .�g� �� 57. APPROVAL TO COVER•GUNITE , � 7.' Footings .' ' �� ,j,=� �wt'' 58. Electriwl Conduit�Undr9rnd. g. Foundation �'�Ip . l� n�q7 Cer,V- 59. Gas Pipe, � Undrgmd., Teit _� 9. Water Pipe�Undrgrnd. �� \ 60. Backwash Lines, P�Trap, O Undrgrnd. 70. Structurai Roor Svstem • 61. APPROVAL TO DECK , 11. Property Se�ver Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap � 63. Heater & Vent•Final . 13. Aoof Drains � � 64. Plumbing System � Final � 14. Rough Ptumbing . 65. Electrical�Final - 15. Rough Electrical-Conduit , � 66. Solar SYsxem-Pinal . 76. Rough Electric Wiring ' 67. Fencing & Access Approval t7. Rough Wiring Sign � � ' 68. APPROVED FOR PLASTERING 78, flough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEb15 FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � , 20. Rough Facmry Fireplace � • . APPROVALS , -� Perhiit # � � � � 21. Ducts, in Structure�:: �• �• ' � • 70. Underground Hydro ' 22. Dutts, Ventilating ,; _ - � 71, Product Piping O Gas ❑ Oil I 23. Gas Pipe•Rougfi & Test • 72. UndergrounA Fiush � • 24. Roof� Pramin9'� - � � �- � 7J. Undergrnd. Storage Tank�� Gas ❑ Oil 25. Foo[ Sheathing �� " , � 74�7 Overhead Hydro . � l�-'!B _`CZ 26. 'F�Bar�Ceilin9 (Struct�raq & Monocoat _ �� , 75. Dry Chemical - � ' - 27, Frame and� flashing. , 1,..`!��$ �N�. 76. Dry Standpipe �' � J 28. Lathi�g & S�ding ; - _ `��,�j.��(.`QC � 77;. FIXED SYSTENt �FINAL - � � 29. Insulation . " ; - . .. .`-��g 6Ge/� 78. FIRE PflEV. FINAL . . . ' 30. DrV�vall Nailing ' " L,yi��Q$ ��- _ HEALTF��DEPT. PEQUIREMENT � 31. Plaster Brown Coat� . c . T:,r g� ��W!- 79. FINAL INSPECTtON � 32. Electriwl�Power Met�r-Final � ,: � - � ''' � 80;' FOOD CERTIFICATE I$SIfED_ . � 33. Finai Electric �, � � ./ � ' ( � Notes: f - • . ' - 34. Finai� Heatiog & Air Conditioning " � -� J ' � • �- Y J J • • 35. Final Gas Pipe;Test � ,/ , � , • . - 36. Hood�or Canopy � : � � - ' ,� 37. Final Factory Fireplece �� .� . � 38. PinaLPlumbing � - �--- •- 39. Water�Service-Final� " . � ; „ , � ,_ ' ; ' : 40. Gas Service-Pinal � . . - � • � ' 41. Solar OomestiaFinal ' ' , '. . � , - 42. Backflow Preventer � • -. ' - • ' = �43. Backflow IrrigOtion. � ' ' - '. . I q4, Landscape Irrigation System •' _� �' � " � • � - " - ' ' � � ' 45. Sound Attenuation � • _. ' � . .' . _ . � 46. Handicap.Regulations - � �- ' � _ 47�. FINAL STRUGTURE & BUIL�DING '_%Q f_F, ' , ' � f'� 48. FINAL PLANNING - � ��, . 49. Electric Release to Edison i ' � , 50. Gas flelease to Southern California Gas Ca � r � 51. CERTIFICATE OF OCCUPANCY "' ` No. Date NEWPORT-MESA UNIFIED SCHOOL DISTRICT CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 181 To: (� Cily of Costa Mesa ( ) City of Newport Beach ( ) County of Orange Applicant: � �TP.4'L{-FP�f' UO �l 2301 . � L , �� District Receipt No.UL3 ��O Plan Check No��6— 7� Address: 0�J iS P�.� �(�{�. ��Q,��`.i i� Q ��U� a�- Telephone Number: � �`I —�� l U O`, I TracUParcel and Lot Number(s): Location of Project b 3� �! ��i 'l� IG{.c..-r� (�-�)fiQ MX.\Q. � l�� Number of Square Feet of: Residential Space Residential/ Sr. Cifizen Space Commercial and Industrial Space Commercial/Industrial Project is: (Check One) � Warehouse R8D Movie Theater Mini-storage Heavy Industrial Regional Shops Light Industrial _ This project is exempt because ss� x $1.84 x$.30 x $ .30 Motel Bank _ Neighborhood Shops _ RacqueUHealth _ Hotel _ MedicalOffice Office Park Total Total Totai / D23. O�f / _ Preschool _ Auto Repair _ Hospital _ Large Office _ Office Bldg. _ Restaurant Fast Food This certifies that the above-named Developer/Applicant has paid school facilily fees in compliance with Government Code sections 53080 and 65995. The Building Permits for this square footage in this proposed development may now be issued by your jurisdiction. Checks are to be made payable to Newport-Mesa Unified School District. � The above representation as to square footage is true. Applicant agrees that if it is later determined that such representations are not true, then this certificate shall automatically terminate and the appropriate City/County shall be notlfied. Date: I��2�(a�' I 7wiaiag .� SE�9jlE�E TICKET Laboratories CODE� �-�"��'��T JOB NO: JOB: %/fF �a /4 .�E/�1l�iv�E' ADDF±ESS: 8.��' �ldns ,Q�. ��g CaJT.9 /I//�/'A CONTBACTOR: -l�El.�.�4A� �-a✓✓Y DATE: /•/� `�'g' THRU: /•/�• 9B . /� � HRS � TIME IN:�OUT:�TOTAL REGULAR TIME: • R✓' '/�x —" 2 c ' INSPECTOR (SIGN): ,' or' VERIFIED (SIGN): �C IIFIED(PRINn�noii'�� '1�(��G� ( REPRESENTING: INSPECTION PERFORMED � ' ' STRUCTURALSTEEL, CONCHETE/MASONRY , SHOP �O REINFORCEMENT ❑ FIELD ❑ CONCRETE PLACE ❑ ' , WELDING O MASONRY ❑ � � - i BOLTING ❑ PRESTRESS-POST TEN. ❑ _ . •� SAMPLING ❑ BATCH PLANT -'� .. NDT (HRS. ) ` ❑ QUALITY CONTROL • - ❑ =:� OTHER FibYdAN�,Ua,PJ' '"'EAGE EXPENSES k�MARKS Ati Inspection Based on a Minimum of 4 Hours 8 Over 4 Nours - 8 Hour Min(mum. In addition, any inspection extending pasFnoon will be`an B Hour Mininum. 90196165 ` CUSTOMER COPY Insulation Certificatr �'ce��S=i�-�6' ��;� � �� `�� .,� �n �� - C��C�.A M � 5�- . '. �y Number and Sveet C��y Co Subdivision (A� \unptt Description of Installation ROOF Material �� BrandName �9Q,/� l N-j�"—' 'Ihickness (inches) G� 'Ihermal Resistance (R-Value) Q � CEILING Batt or Blanket Type �� Brand Name C� 6'N) Mj'j� --L Thickness (inches) Thermal Resistance (R-Value) � C% �� Fill "fype Brand Narne Contractor's minimum insralled ��eighdit` _ Ib Minimum thickness inches ;�lanufacturer's insralled weight per square fooc io acheive Thermal Resistance (R-Value) EXTERIOR WALL Material Brand Narne Cd Q� I 1�1i1' Thickncss (inches) Thermal Resisunce (R-Value) �Z c RAISED FLOOR Alaterial Thickness (inches) SLAB FLOOR MateriPl Thickness (inches) Wid�h (inches) FOUNDATION WALL Ivtaterial 7'hickness (inches) Declaration Brand Name Thermal Resistance (R-Value) Brand Narne Thcrmal Resis�ance (R-Value) Brand Name "Iliermal Resis�ance (R-Value) I hereby certify that the above insulation w�s installed in the building at the above location in confomance ui[:� the current Buildine Energy Efficiency Standards for new residentia] buildings contained in Tide 24 of the Ca]ifomia Administrative Code. �\ �2,��af �+�s�'TF� ON iD�st9� � Ge.-,er�lConeacror(Buildz:) ce:ueNumbe; � 5f�3�'yp igna[u:z and Titic Dace ([nsulaiion Uu[alle:) a,1d License Nwmbcr Compliance Forms January 1, 1995 �� DUPE55 OF BNIDI awr,�rsx.�Eivpwx,,: SIEVE 6 J _ ,�E�. a�a �L�M + l.,M, yLbL � �. wutaa �no�ss: i �xcxrtea oe e�a+vn: Y V UNI� UELFiYtL�R CON57kCiCYI�N CONi"""`"5NA1� 217 E EVEkE77 PL `°"r""`i°"9�""°'° ORAIVGE �oo�ss: 5 i 8 o i UNf: uc'a.: urr: i714)74�i-33fi5 l,�i bZBSbb uc.ra: urar: LJCENSED COMN�CT9O�R7SppUpEC4PATION: I hereby dtim uMer Po�Y d psijury ihel I em lironeed u�npdqs �povieio�n�+ pd �Cheptm 9 CITY C�N ��~ L/ ld � C. CU 5: �ma ud Pu eesom COE . E� �Geme's in Gh Y� V V/ �1 V o � o Dete: //� � � CaNretlw I OWNEN BUILDEP �ECIAHATION: I Mreby eXi�m uMer pen d pmNry ��d q bm tM ntretlo � Licenee Lew la IM Idbxip ranson (`�� 10.t13 Buaii»e a�d Pdemions Coda: AM �1Y a�bY npuiim s prm'e to mrevun. eCu.'vnprovs. Aemolmh, a rapei erry s4unuro, pna ro ns esuence, e6o requim IM applirent la wc penim io fib e eqroE �tatemml tliet M a�M o licensed WA�t lo �M poviyona d Me Conlreaore liroma Lew jCheqx 9l�men�Lp r.'vh Serlion roW) W ONeian 9 d ihe Biuima enE Prdewbu Codel a �hu he a Me o uemW �hsdran eed the Waie lu tlr eAeO� mmMion. Am'voW'vn d Seaian )031.5 b/ eny eppliunt lor a permn wEjeee �ha epWicenl io e rnil panelly d nal mas ihen fxe huMrad ddlen �55WU. ❑ �.mo�,�..dmenw�+r�mv«�dwwwn�mma:.d.�,v��..;ueou»..ak�am.mww.eoaonna,eae «oflereE la eeb (�� ]Wa.Butiroa eM Prdauiom Cade: ThoCanireqon Lioeroe LewEme nd epplyto en owmrd papmly Mn WN+a inP�� haaon. entl Na dom su� �.ork h'vnaN a henM a Wwph he a!w mm amGM�. W�� thet arli impo+amaxa ua nol inteided a alleesd lor eela. tl. lawewr. �M dnldi�q a inpomneM e�dd vmAm ar Ymr M mmpM�ion. Iha owr�m-bdlder xitl hevs Ihe budon d pwinp M n ahe did ewi driW a imqova ta tM µupwe d eW). CI7Y OF COSrA MESA - bUILUING rEkMIi /'! C��-�J C. V: Vtl7bV PERMIT NU: hi "v85o"v8 rLAN CHECFi NO: N ��vt: N Surr: rv CGNSTnUCTIGN 'IYFE: V-N PEkMIT TYPE: MtC kYl1ltFVSt.: ALL Jub LESCkIrIIvN : IwL o""v55F LIVZNG, riIiCAEIv SQ Fi: �LAI'rl 4AiiiE: CALC-VALuE; GkuuP UCC; ii�-3 i COMMENTS: MASTEk bELkuOM , EXPANL bA7HkOGM d CH7.NGE ALL WINLOStiS REFb8�o0� if ie ii iF w ii ie ir if ii iF if w x ii w iF iF if iF ii i'r'vF ir ii ii�'s4 ir ii if 'sE ie it ii i't if iE if "sr ie i'r w i'r w ie if ir if ii;r'rE ie ii+F if if iE i' iF w if i't if 'sP "vF i'r i'r;r iF i'r ie i'r ir;<ir i'r ir i' ie Z O N I N G k E¢ u I R E M E iV i 5 s` E T b A C ri S ___�_�______ • �__�_ ___ ' ______��_ MAIN bUlLll Nb ----- --------- II.GSSV Y 1LUlNlr FhNT: tT Ztv AEtlk• FT IN FPNr: Fi IN nErlk: FT IN LEFT: FT I2v nGHi; Fi IN LEFi: Fi IN AGri7: F7 IN F.�triIN� tlt,Sf: FRVV; YHRCtL: �ILL97'IlS ZNE: kEF Nu: PLAI3NING NurES� 1 if iF ii i't ie ic iF iE ii w iF iv ie ii ii� ii iF i't ii i'r ie if �k ie i't i'r i't iF i'r ie ii i' if ie i2 ie ie ii� iF iF ie ii i"t iF i� w ii� ie ii ie ir ii ii ie ie ii if iF ic ii ie # i't ii iG ii� ii� i� ii i'r i't ii� iF if i't i't ic icii� L �. 'v E L G P M fi N i S E k V I C �. S R E i� U I k t M E N I S 207VING APPHGliEL CY . / � LAIt: ❑ i,.� ow�x a ine wwsM, em uw�..N mnum�a wnn r�cw�esa wmrenas ro cmmw me wq�+ Is«�un �ou. awinme ene . tt U 1 LL 1 Nl� AF F R i�ti cL ii ii T PMeuiau Gobe: TM Canrodm lr«m law Eom nd WWY b en owner d PWNY Mn ddltl� n'vnVa'ea Iheraan and Wn �' � �inm ro� w�n aorees wen a a�area�(e1 r�e ��u �o �ne com��w� ��e t��. AY P'L I l: AT I V N I 55 UEL b Y; � 1 un memp ivder Sec4m: B. d P.C.. b Nu �aeaon: iEiiifiiiiiciriii'tiEifieiFiFiFieieiEiei'riEiE�eaesrarxsrxxarx�e xx�e�ex+rst�c+�xxxx+rxa� ode: �+�«: LGI.�AL1GA11UN;N i' h h 5 U 1"f M H t( 1' I do �ereCy unity ihel 1 em eware d eM uMenteM tM repuiremenb d Cellomie lbellh vM Sdery Cade Swiau ]5505.?55�3. erd 25591,ukuWlvuryhaunbuJainpmrupenlwill/warwi�aeelear)roadioeanpywMriEpelamCmeMilr�epuiremamtu tiLLv t'M1 P"LLiMtfING ELECi'kIC" M�.C�A1vIC epermnlaoomvuclion«moERKalbnhwn�M�i e�iil.�anepemeMDieviq.Rmkw4Wconnvaioneppiutiomene�emphomNme YEtiMll � .iL.LJ proviaims. . 25a Dele: APW�� WOFKEN'S COMPENS�TION DECL�RATION: I Mraby sifum uMer penelry d psijury ma d t�e lolbxi�p dedue�'wro: ❑ i na.e w.a me�me'n a cenawe d oom�� m.en;�n ro, w�.�.• mmv�w�... aw�e.a �ar M swim s�oo d in. i.es CaEa, Iw �ha perlormeMe d iM xvrk+a wlich Mie perm� u inued. � I Mn vd xil meinian �wM1en' campemalon iruwae�. m equ"ved by Seeim 3]00 d tM lebor CoCs. M Ihe pMarme� d �M wak la which ihie pe�mil ia ieeued. My waMen' compemffiian inwraMe ums enC pdiry number ue: c�«: Palry Number. (Ih reMnddacpnplNed/IMpennlvborrohu�eddnAars�S100�bbn.f oerlh thy in Ily peAurmerce d �he wak br which tM pe�mii e i auaE. I MeY no1 mpky erry prmn In e�ry menner eo n lo Mrnro abjsq �o tM xaM1xs' miWeeeetbn ier.+ d Cefdmva, d ro et 1• �d I becmr nEjetl lo tM wMun' wmro �/ �s—�ion 9�d �M LaEar Code. i ehen 1. xn m N n� 1 ue N o�u. Oma: T�� VP�� W�m4p: F�Nun ro ucun rvorteri rompw�wtlon rovwap� Is � I f�n .mpl ro nlMrel pwultlu uM c/Hl flMa i.p ro on� h1nMM fhouuN LWlvs (S10QOOOA � etldltlon ( o mpeiwfbrt d+�W u proHOstl br In S�ctlon 9106 0l M� LWo� Cods. Infw�a4 ��Y'� �� CONSTIIUCiION LENOINO AGENCY: I Mmby eifi�m vMer parelry d PorVrv �� u e wneUudion bMinp eparcy for tM periwmarca W tM xwk Ip x1tiN Ne permY u cauW (Sedion �09], CN. C�. LENOEN'S NM1E: LENDER'9 ADONESS: 1 canily Ihet I hen roeE i�o epplicaiion erd vme Ihel �ha ebwa iMwmdion b wnsp. l aproa to compy Milh all ary ud muniy ad'uwwee enE eime bw� relelip lo bu'iWinO ��rudion aM Mreby eNharize mqeaemetrvoe d Ihu dry �o emer upon ihe ebwe.mentioneA pmpeny ��swam�w,w�. i,�FFkY". uELAtf[lR (5151A6.WP) Dele: ��_,�� 9etNY: ��een-Fb: Carary-APP��: Pink-Ravenue: (3dEmmA-Nxam t 11(t. LAic,; �/ �Y'"�/� L/iI t.: � xxxx�xxxxxx / xxxx x� S7nUCiuRAL S�i;M�.lv?;iv SM1Y%tttS l�ttALlNli SMlY%NUN—t(t$ PLaN • ZSSUE FEE • 2i.uG biTIi,LING-uIV-> FERMIT ISSiIr, rLAN-CriECK 7GiAL FAIu LiiE TvIALS----> j[.2� 22.OG u,.'v"v �9.25 54.2� ."vu k�.tiENUE uIvISION 7�1AL5--> IULLGC1t.L; �'I.L� UliEkis'riuRT; ,uv t1LLli PMT FiiJMHING ELfiC7kIC MECHANIC rIkE SMIPiTirT GkALING PLA"r7-Ci-iECn J'I.2� iE i'r i'e iF ii ii x ii ii i't ii ii if iF iF i't ie ir ic i'r iF iF ii ii ii ic ii ii ic ii ii ic i't iE ic iF ii if iP ic i't iE ii ic iE i'r ic ie iE ii i'r ic iE ii� iE ic i' iE iE ie ie i'r iE ii iE ic ii� if ie iE ie iF iE ic ii ie iE ie ii 1 P! L 1 V 1 L IJ A L t• .t t. H tC t A h L V W N 17CYC� Q7Y" u� S C R I r T I u N � uNli CG51 TuiAL CUSi Mr�C 1 IivSi FORC-AIniGRAv FukN � 1uu ri BTu Zb.L� 1b,L� MEC 1 iivSi riUUU WiLuCTS FEu bY MEC tXiiAUsT 7.7V 5.�"v MEC 1 VtNT1LAl1VN FAN CUNN i0 S1NliLt uuCT b.5� o,�u GIVL Vi' Yt�F.S �"' 1 r' f 11-84-1997/8�:42 PN/f54.^c5 RCPTH:01-0�1591A PERMZT:085608 CONSTRUCTI•JN AND PLANNING � APPROVALS Permit # � 7, Temporary Eleccrical Service o�Pbie 2, Soil Pipe•Undrgrnd. 3, Electrical Conduit Utility-Undrg d. 4. Elettrical Conduit�Undrgrnd. � � S.�Steel Reinforcemeni � 6. Electrical UFER Grnd. 7, Footings ' � . . 8. Foundation �. Water Pipe-Undrgrnd. , 10. Structural Ftoor Svstem 71.' Property Sewer Line & House Connection }2. Sewer Cap - 73. Roof Orains 14. Rough Plumbin`g , ' 75. Rough Electriwi-Conduit � 16. Rough Elearic Wiring t7. Rough Wirfng Sign � 18. Rough Electrical�T Bar Ceiling 79. Rough Heatinq & Air Conditioning � 20. Rougb Pacto�y Fireplace - � � 21,'Dutts,irrStructure • 22. DuMs, Ventiiatin� . � 23.; Gas Pipe.Rough & Test . . 24. Roof Framing � • 25. Roof Sheathing . � , 26. T•Bar Ceiling (Structural) & Nlonocoac z7.� Freme and Flashing ' � 26. Lathin9:& Siding ' - ' � 29. Insulation " . - . 30. Drywali Nailing � Y 37, Plaster Brown Coat . 32.'Electrical Power Meter�Final 33. final Electric 34. Final Heating & Air Conditioning � 35.�Finaf Gas Pipe-Test � , 36. HoodorCanopy � 37. Final Factory fireplace - 38. Final Plumbing � 39. Water Service-Final 40. Gas Service-Final - - q1, Sotar pomestio-Final � 42. Backtlow Preventer � 43. Backflow Irrigation . 44. Landscape Irrigation System .- - 45. Sound Atte�uatiorl ' ' 46. Handicap Regulatiqns . 47. FINAL STRUCTURE & BUILDING 48. •FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY Date Date PO�.� & S�A inspector APPROVALS P �'t # ermi 52. Pool & Equipment Locacion � 53. $teel Reinforcement 54. Forms 55. Electrical Bonding ' . 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNIiE 58. Electrical Conduit�Undrgrnd. 59. Gas Pipe, � Undrgrnd., Test 60. Backwash Lines, P�Trap, G Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final 63. Heater & Vent-Finaf 64. Plumbing SVstem � Final � 65. Electrical�Fina� 66. Solar System-Final 67. Fencing & Access Approval 68. APPflOVED fOR P�ASTER14V6 �/ � 69. POOUSPASYSTEMSFINAL jj FIRE DEPT. REQUIREMENT t „ APPROV.AtS Permit#` -' � • 70. Undergrovnd Nydro ' � ; 71. Product Pipin9 flGas 'dOit • 72. Underground �'lush � - � 7;3. Undergrnd. Storaye Tank O Gas G Oii 74. Overhead Hydro . � 75. Dry CheJnical �� . ' . 76. Dry Standpipe � . "�' 7�. FIXEO-,SYST�M11 FINAL i 78. FIRE PREV. FIfCAL '' � � HEALiH DEPT. REQU�REMENT 79. FINALINSPECTION -:i �- � 80. FOOD CERTIFtCATE ISSUEG � .. Notes: � n u Date �,tnspecto� I '� N� ':� �p�°�B°�� a�a YLI.IM YL owxEwsxw[icanwra �1tVt 6 JtNlt�t( YUUIVG = �E�'t5.]25 YLI.IM YL • • v ,_ l',M, J'LbLb �. Yu�wo �oo�ss: LRCNffECT01iFNfiNEFA: APCX.OP FH0.7 ADORES: 'ca+m.c,arswu� uELe�bAn CONSTnuC i Sui3 CONf11ACTOR9YY11NG [ 17 E EVEkE7I' PL �ooxess: G!clilVl.�h ��.: Q� 1� UC xo.: UNT: 17i9Y74�1-33b5 l�1 ��' bLtSJbb SLt�b % urT. LICEN9ED COMHACTOHS UECLAN�TION: I MrWy aR'�m imdw pwialy d perjury thn I a Ii:erusC uMs prwmnu d CAeqx B (aommeneM xrA Seclion ]0001 d Oivbion 3 tl ihe Buainem end Pmfinean COEe xM mY 1 s i I lau end eMee. cmuc.No.:��y��i uc.cuss: d uc.No.: - - tp: GGiuu Dms: � I � � � Cmo-edarJ� . i OWNEP BUILDEN DECLARRTION: 1 Mreby elfiim uMer pendy W perj�ry �hm 1 tM CoMradm Limnes Lew la tha Idbxiq resron (Seeion ]UJ1.5 Busireea eM Rdeeamn Code: �M cYY n munN whiN uires a D�e io odvttucl. eder. imMom. iemdeh. or repai erry slrudun. prior lo Gv eauvico, ebo ispwree ihe eppli eM la such ' io fJe e eqnM eletsnanl Nel hs a ahe . �im�uee wrn�mv io ine wmrm«u a me co�vaea. Liw,ee lew Icheq« s Immme�d�ro .an saeun �oaol d Oi.von a a iro Bveinees vd VrNroeona Codel a IhM he « Me u exemq Ihsehwn aM IM bem Ia IM NbpeE ezemplion. My viOWon tl Setlion )dJ1.5 by enY MW�^t lar e parm� aubjwa IM applceni to e cnl pera�y d nd mora IMn fvs huMred doAen �55001). � I, ea owner ol �M properlY w my ampbyeee v.�h wepea ea thei wb mmpensetim, will do �he wa�M, vd iM evuctum e M imenEed ar oMered Im eeb (Seciion ]OCA, Businea eM Prole�dau Cotle: The Conlrapon licenaa LewEoee �wt epply lo en ownmd popery wM buiM a inpovro t�ereon. md wfio Eoes �ud� xvrk IimeeX or Mnel or Nraph he a hm own anpbyeu, provkeE t�N wch IRIp1pq11pN0 Bfe fld INlIY�ld R Y�91B4IIX �8�0, tl. �IOWCVGf.1�1G blllbif�j Of IIIpIWM11NM U OOb WI1�1YI pMY� ��i��. � ow�.a�,ud« Mu n�. ine w� a wa+�u n. «.n. ad �a nwd �. �w� �a ��+ o�w�• a.�). ❑ I. m o..w w �ne aw�r. ani udu'»Mv wvree�e wan 4camee emvanas ro oonmw me wM� (seeioo rou. &me�.s.d Prdaas'vn CaEe: The Canredon liceiw law dase nol npply to em m�nr d pvpany who delde a'vnpwx IMrean W rAn conVena la wd� poptla wiN e wV�etla(e) Iicansad WnueM lo IM Cant�atlm L'penee lex�. � I un ssemq uMer Saetion: 8. 8 P.C.. la No eaeaan: � Dme: � � eo n.ienr �enM u�m � em m.ere a.�a m,een�a,a ub �w�v«mm� w c.uon:e Haeen w sdan coa. s.nwn uws. usx�. ena 255�a. eM Nei I a eiry Muro Wik'vq ocapent will / wil na (dreb me) neetl lo canph/ wM eek alele mEa uN ths reQuinmame br e parmn Iwcomwnion a modificqion hantMA'x�erepemem Dietnd. RaeiEenliel awW iuUion eppimbneere ewemq Imm Iheas a��.. Dele: AOd�: WONKER'S COMVENS�TOH DECLAF�TION: I MrMy etfirm undor penelly d pe�jwy an d Ns Idbvrinp Estlue�iom: � I hm+erd wil meinlen � wnifrate W camm ia �sllinwrt br v.arkae' c'mpemetion. n povided la Ey 6edvi 3)00 d �M lebor Coda, lor �he perlormerce d the Mak Iw wlich ihie pamil u imueG. � I Mw ud wil memten workse' mm0�^dun inueenee. n n0u'utl M Sedion 9]00 d Ihe LeEn Cads. br the W�am+� d IM wak la xfidi thia 0� u bsusd. My woM1en' canW�+mion "vawvice urtier W Wk/ mimbor ers: c� Po6cy Number. _(ihq e«+inn neee iwr bo cona'�ee r rns prmt u nr an nunmee ed�eis �S�aol n w..) i0(� � renry mm in iha �to�ence d me work ror whch �his uem� ro' . � dW� �a o vry men�wr o u lo f� beopne wbjea b ihe wMws' campemetion lewe d CeNomia abjW lo tM wAw+' mmpemelion pm�ss/y�+ d Setlion 3)00 d IM leEa Goda. l dWl lon oete: ��T "q �l �od'c.m: �� Waminp: Fallun ro�ecun woMr�'rompaueHen cevsrep� l� unHwNl, an ��n wrploy�r ro crlM�ul pwMw �ntl c/vll Hns� W ro aro hwdreC flrous�nd Jollan (Sf00,000A In adrllHon ro Ms cwt o xwflort ��W e� poHOM bi In Sxtlon 911M ol Ih� Lebor COCs. Intxwq enG �ttomry i M1u. CONSTPIICTION LENDINO ROENCY: I henW elfrtn uMer peneRy d prjury iMt ihre o e mMiuCion bMvp ppny fa tha perlamuica M IM xak br whiN Ihe V��Y n earod (Setlion 30B). Civ. G). LENDEN'S NAYE: LENDEfl'S ADDPESS: I CeN�Y Itet I h0v0 fBBE Ne eppl�rM BM 9�tle IAB� IM BEOV! fNIXlMibll o ttMletl. I e01M IOWnG�Y Wllh GO aY YM mwtly pd'vlBncee ud swe lexs mW�q w drikM mmtrumm eM MrW aWnze nP��euw dthu M' � aNs uD� iM abwe-mrvb�sd pWMY i« �c«» w�oo�. ,. �' (5151 d6 W P) Dme: /� � b Selely: OreerFb: Cew�y-nppfunt: Fnk-Rewnua: OddenioFluwuor CITY GF CGSiA Mt.SA — tSl11LL1Nl, PERMII FEhMIi IVV: Y Ua7bV% YLAN CriaCA NU; IV CuNSIkUCTIUiv TYFE: V-iv PERMI7 ?YPE: PLG � YG7(M NV• !' Vtl7bV GVVT; IV SUYY: fV YlJltFVSt: ALL JVFJ Lt.Sl.itlY11VN : A1JL bU�Jt L1V1Nlo, KIiCriEN Su l l: CiAIM VALUh; IALI:—VALUG; GtCUUY uCC; it-3 i Ci�MMtNTS: MASTER btLRut�M , Y.XYI;NL BA7riRGGM tr CHANGE ALL itiINuOWS t(ttHt�JbV7 x ii ii ii ii ie ii ic if ic ii iF ii iF ie ie ii ie ii ic ie iE ii iE ic if E iF ie ic ie ii� ie ii ic ic ii ic i2 ic ic ic ic i' ic x x ie ie ic ic ii ii ii i` ii ii� ii x ie iF ii� ii ic iF ic i"r ii� ii ie ie ii ii ii ic ii� ii ie ii� c u iV I N G k �. i,� i.i I R E M E N i 5 S t. 1 tl .t, l. !l J ----------- MAIN bJILuING ---------- --------- ACCEsSGRz HU1LLlIVIi --------- FtIFVl: tl IN kEAn: rr SN Fitivi: tT IN Rc,tlR: ti IN LEFi: ri IN AGrii; FT IN iEFI'; FT IN RGrii: Fi IN PARRING kC�; Ft(UV; PAkIEL: �SLG�I�417 Zi3E: nEF NO: PLAlV1V1NG 1VV1F.S1 7 ie iF ii ii ii ic ii ic it ac if if ie ie ie ie ic ie ii ii� ie ie i'r ic iF ii� x ic ic iF ii i2 iE iE ic ic ie ie ic ii ic i"r ir iE iE ie ie ic ie iE if i' iE ie iE ii ie ie iE ii ii iE ie ir ii� ie iF ii ie i"r ic i'r ic ii� ic ie iF ii� i'r u E v� i � P M c iv i S n k'v I C 6 S' R� Q u I R fi M �, N T 5 Z�NING AF'Yt(UVtL aY . 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(iGlLcii � 8,7�11-84-199�/H2:44PPI/f�?£rQ$� PL'J 1 v7AiER •ri�Aifik ANuiOR vfiNi �; 11.uu RCPTN:81-�+BlYrfii � PI,i.i 1 GAS YIYING SYS Or 1 iG-�4 OJTLniS �. �� Ekl•IIT:0856�t�� F.IVL Vt FE,GJ r ' POG SPA � CO�7N37RUCTIC.1 AND PLANNING , . qPF,AOVALS Permit # Date Inspector APPROVALS Permit �Ik Date Inspector � 1; 7emporary�Electrical Service or�Pole 52. Pool & Equipment Locatiorr-' 2. Soil Pipe•Undrgrnd. '�•j' � 53. Steel Reintorcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms , .4. Electrical Condoit�Undrgrnd. . 55. Electrical Bonding � � 5. S�eel Relnforcement 56. Rough Ptumbiog & Pressure Test 6. �lectrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7.-Footings ; 58. Electrical Conduit�Undrgrnd. � . � S. Foundation - 59. Gas Pipe, O Undrgrnd., Test 9` Water Pipe-Undrgmd. gp, gackwash Lines, P�Trap, O Undrgrnd. 10. 5tructural FloorSystem /� 61. APPROVAL TO DECK ` i t.'Property Sewer Line & House Connection 62. Backwash & Receptor-Final ._ 12. Sewer Cap ' � - - � 63. Heater & Vent•Final 13: f7oof Drains . 64. Plumbing System • Final 14: Rough Plumbing - . �� 4m 65. Electricai-Final LIl 75. Fough ElectricaFConduit - 66. Solar SYstem�Finai � � 16. Rough ElecVic Wiring - 67. Fencing & Access ApProvaV � � 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING �� 18. Fough Electriwl-T Bar Ceilinq 69. POOUSPA SYSTEMS FINAL 19, Rough Heacing & Air Conditioning FIRE DEPT. FjEQUIREMENT � , . ' ' 20. PL'ough FacrorwFireplace ' ; ' APpR,OVALS - Permit# � � - , 21 , Ducts, in Structure � � ' 70. Underg'r'ounel Hydro ' 22.Oucts,Ventilating . � - � , 77, produc[.PipingLlGas QOiI 23. Gas Pipe-Rou9h & Test � 72, Underground F�ush �� 24, Roof Frartiing . ' - 73., Undergrnd. Starege Tank,O Gas ❑ Oil 25. Fioof Sheaching , - �� 7q,� pverhead Hydro 26. 7-Bar'Ceiling (StructUreq & Monocoat . , '!. 75:, Dry Chemical , . - ' � ' 27. Frame and Flashinq . , � : � � 76. Dry Stantlpipe � • _ � � 26. 4athing & Siding � ' ; �� ' ;� 77: FIXED SY5TEM FI{VAI. , � � i � � ,� _ 29. Insulacion � 78. FIRE RREV. FINRL ' � � � 30. Orywall Nailing ' - _' . ' HEALTA DEPT. HEQLiIREMENT _ _ , . � • 31. Ptaster Brown�Coat . . . • •79. FINA� INSPECTION • • 32. Electrical-Power faTeter�Final �• - '80; FOOD CERTIFICATE I$SUED, - 33. Final Electric, . � �"' Nates: � • � _ 34. Final Heating & Air:CondiUoning � , � �_rd'�S,�j�l � � � - _ �"7..tn� �l�_ 35. Final Gas�Pipe,Test . � . 8 , � � 36. Hood or Canopy � � " : • ( "a7•QO_CO1.1�1VC�I�� /!,D_�fCt ��V 37. Final Factory Fireplace . . � � - • � 38. Final Plumbing � . _ - 39. Water Service-Final ; . . . � � 40. Gas Servtce�Final . � � • 41. Solar pomesticFinal ' " ' , . - - 42. 8ackflow Preventer • � � � � - � ' r 43. Backftow Irrigation , , � ' - � . , . . 44. Landscape Irripation System � � . ' - �' ; . - ,�� 45. Sound Attenuation , . r � - _ � . 46. Handicap Regulations . � � 47�. PINAL STRUCTURE & BUI�DWG ' 48. FINAL PLANNING � � 1 ' . '� 49. E�ectric Release to Edison �- ' � , � . . 50: Gas Release to Southem California Gas Co '. • ', 51. CERTIFICATE OF OCCUPANCY . No. Oate \ \. �oowessaeu��aw: g38 PLUM PL avxeaswweivaax�: JENIFER YOUNG 'ooPE54i f338 PLUM PL �� COSTA MESA, CA 92627 ,NCXRECT OR QdNFEA: CONINACTOH'8 NAI�: CWfX/�tTORS YNIIIlG AOOflE54: UNT: ur wo_ UNT: UG No: uxr: 110ENSED CONTN�CTOqS OECL�XATION: I lrreby ellfm uder peWy d pu'ryry Ntl I mn 4nmb wds pw+npv M Cheqm 9 ��,e�o .an s.�ron �oaol a o�� a a m. a� .�d a�a..�. cros. w mr fio-�.. e m nm e�..�a en.d. cm uc. wo.: uc. cuss: uc. no.: E X P: cormm« OWNEN BUILDEN UECl/�p�TION: I Mreby � uMm penely W perjiry Ihal 1 em eaanq Irum IM Contreeon Lironee Lew lor Me �dlor.iq �seaon (Serlian ]W 1.5 &nwma md Rdmama Coda: MY cry a apvuy xfiidi �piens e pe�mn to mninxY. Mr. Improve. mole�, w ropei vry siruelura, priar lo ia eauenee. deo raVuirea iM eppliunt lor weh pmnil to fib e egewd etalamant Ihel �e or eM liceneed punuenl Io Ily prp�ona d Ihe CONrodon Liiaros law ICMqa B(canmmidnp wuh Setlion )000) d Diveun 3 d tM euaineu eM Proleaona Lode� n iNt M a dr e ezemq Iheehom xd tM Ww la iM �bpeE memqion. My videlion d Sedion 1W 1.5 tr/ erry eppliu�i ly a permu eubpd� iM eppfraq �o e dvi penetly d nal mas Nm f e Mvdfed da0xa �SSOD�. � I,00xewdlMpopartyamymipb�auwihwpeas�Urademmpe�raYm.wAdolhswe�M,mdtlr�u�cWewm�'viteMeE o. ai«aa ia.� �„,�o„ �ou. e�...�d a�d..+�ncoae:m. cw�md, u�e �.eo„ �a rodr �o.�ow�w d pooem wM W W� a inppy� tlimaon. rM Ma dou wN xak lim+ai a MnM a Wau� he a Mr rnm emprysea. pwidea tM orl� Mprwemerva me �p yyeMed a atMad la eeb. tl.lows.er. tM datlinp a inpwanw u wtl vmh'v� one Yev q oompletun. Ne ow�arLuYs �wT M�a �M buNan d pwvp M v tln Gd np W3d a unpova trc tM qvpwa d eWl. {] 1. m armsi d �M poprry. em utlieiwh mN'etl^i x4h 6orued mrvncla� b mmi�e Ne qqetl (Setlian NM. &n'vw� W Prde�aion� COCa: The Caureean Liama Ler doee na WdY b en ownar d pW�Y Wn bWtls a inPw'a �Meson eM xM owrtracn kv axA pvj�Mr xv� e mruecx+(sIlcansed pasw �o iM Cax'aada tinme law). � I em saemp wdx F,ec�/ino/n� B. 8 P.C.. lor I' on: Dele: ��"1� �:� i eo n.reev oa+M um i,m e�.,,. a ene �.b..�,�e me �emm,m.m a uu � w.en sm coa. sw ssos. zssa�..oe P55]4. end Up I a ury Muee EuiM'up omment will / wil ewi (artb one) roW b oomply wYh ' mIs eode� vM t npu'vananU br e psmn lamro4ucim a moddwiontram�heM�a^m�^^su Diniir,. RUNwW mMrufon eGP�iomen memq Imm Rws yoriai0n�. ome: /�Ov�e: WORKER'S COYVFNS�TON DK WiATON: I MrW/ �ffinn uNr psu0y M pajuy wr d Ns bpox'vpladereiom: � IMnvdWmeiaenecaMubdewuWtoWwmalaworM»'mmprmbn.opwiMElaby3aCian�lWdtMleEor coe.. �« �ne vMmnenc. a me .cn �> wr:u, uv w�a u mu.e. ❑ � nw. ene .i� m.�m.n w�.+• oomo«nmun bwn.nw. o�.mmw M swion Troo a n» �eco, coe.. �or m. wrt«mv�o. d me waM la xfiidi Nu pemN u m�ed. MY wpYan' cwnVM�Won imwanca urtir W VdKY mlm W ue: c�.�.�: Pdwy Number: i Ihu uabn �! rat 4 cmrplerod f rMV�+^t u b w IwMred ddle� Iflaol n 1w.1 .4 I mnM �� + pM�e d IM wak la �MCA �h'v peeme n i�weC. I d�eA rc� rnqvy vry ps�on in ury menner w m io per.ome abjw to �M MvhxJ mrtqenWcn Ie�++ d GaNmde. end epis UW � I�Aadd peconn xbj�tl lo iM xvhen' compaiuelc� pWuas d on �1W d tM laba Code. I oMw'vA mm we� I vi�iona. ow: u-?-�#-�f� �,.: Wambp: F�tlun b u�y� ronFw�i <arp�rwtlon rov�np Is w4rM uM • /�el �n arr ro MMn r��ltlu uM clvn rtn. w ro ar. n�rJr�d aouamd ea/4n (tr�RanA h M1lcbn m vr� rosr mni�+� t� u WHcw /or M 9�etlan J]G6 0l tM Llyor Codr. IN.ruL �d �rtorMY� Iwa CON9TRUCf10N LENqryp AOENCY: I ArWy tlfinn udr ps�elly d pxjwy tAn thn's e mmtew�ion Wd'vp mpKy M Ne qAormanm d iM r.wk In wM1itli iAe pem�i o 6wW (�bn 30B]. Cw. C). LENDEN'3 NRME: LENOEq'S �D�RE59: I<en0y tM I �we rwl Ne eppfirmion W eal� tl+m the eEa�a "vdamdion e ronw. I q�as lo canpy xit� eG rdy md m�mly ud'nurm� arM �we laxe MmM b driMuq ewmueb� utl MeaEy eWwrce �epemmeow� d Ihu tiry m W x uD� tM ebwe.rmNuneE piaDe�b lor impeabn pnpwea. JF,tdMiFER YOUDI�� oma: L��C%� (St51�aB.WP) Whna-BubipdSNery:OmarAe:Ce�wy-qppfreen:Nnk�isvenue:(bWenroFAsaeseor CITY OF COSTA MESA - BUILDII�G PERMI'1' ! PERM NO• E 082542 PERMIT NO: E 082542 CONST'RUCTION TYPE: 5-N PLAN CHECK NO; PERMIT TYPE: FliE SOH DESCRIPTION : REINSTALL METER CLAIM VALUE; CALC-VALUE: N GOVT: N SUPP: N PURPOSE: OTH SQ FT; GROUP OCC: R-3 / COMMENTS: SERVICE ENERGIZE if iI' iE if'K-1F'M, iF i( !E if if if If if if !f' if if if'%ii"!F if'lk if if if if if'1E If i4 if iE if if 1f iE i(- # iE 3k if if if ii-iF 1f iE 1f if if if if iElElE if !E If if' iF if- M' iE ih iE'1f if if fE 341f ft if ff % f. 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 BUILDING ---------- -------- ACCE550RY BUILDING -------- FRNT: FT IN REAR: FT IN F'RNT: FT IN REAR: FT IN LEFT; F'C Ir) RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ: PROV: PARCEL: 42295415 ZNE: REF NO: PLANNING NOTES> _ i !F 1E iE i(' iE fE 1f !E # 1f iE 3! iE iE iE iE iFlE !E iE iE 1f �IE 1E iF IF iF 1E iE 1F iElF if # 1E iE IE �lf- iE'k iE iE !t 1E � 1E if it �'t 1E it'1F k 1E 1ElE k' iE �E?k iE �E 9E iE iE iE 3k 3E 3f 3E iE �IE * iE if ?� 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 BY � DATE: BUILDING APPROVED BY : ,��•.r ,_ DATE; APPLICATION ISSUED BY: -% '-' DATE: '"Z� iElE iE 1E iE k' 1f 1E ik 1E 1E 1E 1E i(' Ik fE 1f Iklk iE 1E iFiFiF7Fif7FiF�f3F �3f��iF��;fiFlFiF�f�' Tt�if3FiF;FiFiF�iFlE iE iE%iF if-!E k 1E !t !' �t ff LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N 1�"' . BLDG PMT PLUMBING ELECTR'IC� MECHANIC FIRE SMIP/RES GRADING PERMZT 27.25, 5'0$; SMIP/NON-RES PLAN �"� ISSUE FEE 22..00' BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 27.25 22,00 !,• �,r'0.00 49.25 49.25 .00 REVENUE DIVISION TOTALS--> COliLECTED,: 99.25 O��ER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHAN�I�C EIRE SMIP/TOT GRADING PLAN-CHECK 49.25 - ,. 3f� �f iE if iF if k iF # iE k if iE iE if iE k iE k if iE iF 1E k jE fE ff iE iE !E dE iE iE k lEAklF jf fE !F'if # If !f if iE iE k iE IE if iE k f! it iFlk i! iE iE iE fF 1f i! i' 1F fE iF it iF iE 1tlF if 1E �E If fk k I N D I V I D 0 A.L F.E E B R E A K D O W N TYPE QTY D E S C R I P 1' Z t5 N!'`.. UNI:T COST TOTAL COST ELE l SERC�ICES BELOW 600� �V '�S. B6LOW 207 AMP 27. 25 27. 25 END� OF FEES � P� I . �4-24-1997/01:47 F'M/549.25 RCPT�:01-��85280 PERMIT:0B2542 - -- i - CONSTRUCTION AND PIANNIf�G � qpPROV�-iS Permrt;? + ��T� � �nspeaor 1. Yemporery Electrical Serv�ce or 2, $oil Pipe•Undrgrntl. 3. E�ectrical Conduit Ut�fity-Undrgrntl. 4. Electrical ConduirUndrgrrtd. 5. Steel Reinfarcement 6. �lectrical UFER Gmd. 7. Footings 8. Foundation 9. Water Pipe-Undrgrnd. 70. Structural floor System 1 t. Property Sewer Line & House Connection 12. Sewer CaP 73. Roof Drains 14. Rough Plumbing 15. Rough Electrical�Conduit 16. Rough Electric Wiring 17. Rough Wiring Sign 18. Rough ElectricabT Bar Ceiling 19. Rough Heatin9 & Air Conditioning 20. Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilati�g 23. Gas Pipe-Fough & Test 24. Roof Framing 25. Roof Sheathing 26. T•Bar Ceilin9 IStructuraq & Monocoat 27. Ffameand Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Etiecvicaf Power MeterFinal 33. Final Electric 34. Final Heating & Air Conditioning 35. Finai Gas �pe-7est 36. Hood or Canopy 37. Final Faaory Firepiace 38. Final Plumbing 39. Water Servlce-Final 40. Ges Service-Final 4'J, Solar pomestic�Final 4�2. Backflow Preventer 43. Bdckflow Irrigation 44. Landscape Irrigation System 45. SOund Attenuation A6. H9ndicap Regulations 47, FINAL STRUCTURC & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. G9s Release to Southern Calitorma Gas 51. CERTIFICATEOFOCCUPANCY No Dare POC SPA l APPROVALS Permit �`- - / F�juol & EGuipment Locauo� 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Te:t 57. APPROVALTOCOVEA-GUNIiE 58. Electrical CqnduirUndrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P�Trap, Li Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor�Final 63. Heater & Vent•Final 64. Piumbing System - Final 65. Electrical-Final 66. Solar SYstem�Finai 67. Fencing & Access Approval 68. APPROVEO FOR PLASTERING 69. POOUSPASYSTEMSFINAL FIRE OEPT. RE(.tUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping CI Gas O Oi� 72. Underground Flush 73. Undergrnd. Storaye Tank � Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Scandpipe 77. FIXED SYSTEM FINAL Date � Inspcctor , 78. FIRE PREV. FINAL I HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFtCATE 1SSUE0 Notes: (��s Q% AfCE�S -- -- --- - - --� ---- ------i -- - - -+ i ( OWNER PANGLE, Wlu13Rt L• � DATE 6�2S�S4 JOBADDRE88 83S P�.UIR PZ• BUILDING PERMIT NO. 3�=7 GENERALCONTRACTOR �er-Builder VALUE $ 72��00 � AP# lls-l�24-7 e�ocK TRACT Conversion carport to garage GROUP J INSPECTIONS Footing Trench w.�n�c Foundation Forms and GF Rough Framing Plumbing, Rough to Slab Plumbing, Rough Comple� Temporary Pole � Wiring, Rough Heating, Rough Heating, Final Sewer Septic Tank or Cesspool �, �g . P�. .ering Plumbing, Fin�al, Fixtures Plumbing, Fin�al Gas Test Wiring, Final Occupancy Fnrm 2I0 G-H 1M 12-68 V DATE R-1 SUBCONTRACTOR E DISTRICT #3>� PERMITSISSUED DATE I NUMBEF losta Mesa Building Department APPIdCATION FOR PERMIT `' COSTA MESA? CALI OERNIA �� B U I L D�,L N G ' FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY . � Rectiot Noi I Permit No. or Contrector Size ot Lot Use of ot � ei. No. �i _ LiC. No. City Llc. No. Blxk � Traetl i �s =. � z �- � INo. or e�aga � Now on Lot No.of No.ot Familiea Room� Rear Vard Side Vard 3 i plteratlon I I Addition I/ Moving I I Demolish I -f �1 No. of V" Rooms Stories d.:.t.O I Roof C�� . Coverino late RAeCd. Date IssGed _z,T " J�'4 C• "ij -� Ji� B�8 .�- Costa Mesa, Plans ' �!- Forms, f��Ulls /'�Cyl�Pili� 70 -�j � Under-Pinning Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this ApplicaUon Lath. Int. and state that the above is correct and ugree to rnmply Lath. Ext. with all City Ordinances and State Laws rngulating building rnn�s(t�ructlon, � �� SignatureoTyy�,.C. � �Plaster,lnt " Permittee � �uV"J AutllOnZCO AJt. Valuation V d � � j $ �COPM 204 ��M 2M 6-56 � � Masonry Ri Bond Beam FINAL Date O � p � 2 D .. YLV"1' Y1tEi�V J ,..,� � . , . .., ,. . . . Show Ixetlon1-and ;distances�from � � � � � property Iine and between buildingx . , . °-'.. � �'' � ., . . . , • � _�; �� . . . ' �f':3�5R .,t ' :- r - . . . . � .. . . .� — � f �-vci )ij �' � fr}' � �- - Do you carry Workma,n�'e�OomDenea8lou : Insmr�ce4 Yee �:�- Ho :j�— - - �u I am aware of Provieion 3700' of the State � Labor Code which requires every employer to be in�ured against bility for �vorkman_e�_o _ ens tion. 5igned e � �-� _ � � ' . ", �� •�. _ _ . ' �, OWNER gUSHI,ING. F JOB ADDRE55 831 Plu GENERAL CONTRACTOR AP No. 115- 2-10 L IM"-�CTIONS s GAS �V�TEN �ROUGM PLUMBING WROP. $WA. LINE NOUSE CC PRINKLING SYSTEM 'MISCELLnNEOUS �,(�d� 'ROUGM ME�TING ANO AIR CON01 TEMPOR�RY SENVICE OR POLE UNOERGROUN� � POWER � ROUGM WIRING TRENCNES FORMS 5 FLOOR SYSTEM BOND BE�M , �STEEL REIh SNE�THINc FRAME AND fL�SHING LATHING — IN ❑ OUT � PLASTER. BAOWN CO�T STRUCTURAL. FIN>L N� VG, VENT., RE�RIG. AND P� ,ING. FIN�L �ND GAS TE ELECTRIC,FIN�L BUILOING. FIN�L TRACT DATE SUBCONTRACTOR �C��ASt ��Cc; ME;�2 /b-1(S--T-. �-/ 9� 8'(� - �'„�� _ ��2 cTi ow � �� E.0 c.i�eT- z) ��a�' �- �: /y S%%IK Sk...u-�,K � Y tu�tLL + 7`n�/"r GJLaJ�L% f- �O.Y?[i i2 LC1�' �w.c� ��l�B� �j )1� .9-Bec�E G�%oi`� P.s-P-t� 8� �,g E��✓ G a.M�'c Ga—,� o Ff�cJl> � /`iALG%' /,,%�,i.tc��G� bfl � F � W S a � h $ E� Pa10 # ¢�,a..�, �.au 2�-�s��;�00 �3i } 6.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only R EIV 0V DATE ECEIV DATE ISSUED BUILDING � �� `� /�.a/� AODRESS OWNER � S C s A.P. NO. S—�Z ' PE � // MAIL — ADORE SQ��J �M j�L. ADDRESS ''7� CITY ^ NOL �yL TRACT, � LOT/ � BLOCK . '7�' 22 9 CAN5TRUCTION ' CN� W ADD A R P LENDER BRANCH OWNER ADDRESS �./ VA�UE � �. ARCHITECT TEL. SE $ OR ENGINEER FIRE ADDRESS ZONE TYPE GROVP .,,[ APPROVED CONTRACTOR '��j�'J / q.. BV DATE '�� AODRESS "'p %� :./' t' ". TEL. Z NO.OF USE OF NEW�� CITY ��. NO. PLANS 2 BUI�DING �(�I w STATE CITV VARDSAPPROVED VARDSAPPROVED LIC. NO. 2' G LIC. NO. `L- G�` MAIN BUILDING ACCESSORV BUILDING SIZE NO.OFBLDGS. (FROMGLSTREET) OF LOT NOW ON LOT , FRONT FT. LZ FT � USE OF r I � EXISTING BLDG. �i �. I FT. FT. Separate permits are required for �. sioe FT. FT. . electric, plumbing and heating work. /� i. REAR FT. 'p FT. I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. G/�� VAR.# DATE � _ .9 G L/ QU.P.-yW APPROVED i ' 'y,%� � APPFOVE —Z � / + b I heraby ecknowledBe thet I he�e �eed thls applicatlon and state that the above information is corract antl agree to comply with all laws reBulatin8 builtling con5truction, antl I shall not employ any permn in violation of cha workman's compensation laws of - the Steie of Californie. 1 hereby certify that I am properly Iicensetl as a contractor untlar SQ. FT. ihe State ot Calitornia Business and PrOfassions Cotle, Division 3, THE AMOUNT SHOWN UNDEF VALUATION IS FOR Chapter 9, and thet such Iicenses are in full foree antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT F E ONLV: em ezempt from the provlsions of the State of California Businass V ALUATION entl Professions Code, Division 3, Chapter 9. PERMIT FEE $ ��' Peem(ttee�f � � $/A� � TAX CHECK $� �. � � �� //LJ�� `-f Authortzetl ABent TOTAL PAI D S l� FRAKES. Isaac i_� L JOBADDRESS tt3a pi„m ai�..e BUILDINGPERI 'AP No. I 15-424-06 LOT INSPEC710N5 sr G♦ WRTER ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON.' SPRINKLING SYSTEM MISCELLANEOUS FOUGH HEATING RND r11R CONDITIC TEMPORRRY SERVICE OR POLE UNOERGROUN� � POWER � ROUGM WIRING TFENCHES FORMS STEI FLOOR SVSTEM BOND BEAM � STEEL FEINFOI SHEATHING FRAME AND FLASHING LHTHING - IN n OUT n PLASTER. BROWN CORT HEATiNG, VENT., REFRIG Pl NG, FIN4L AN� G EL�_.ri1C, FINAL BUILOING. FINAL T SUBCONTRACTOR ^4NGE COUNTY BUILDING DEPARTMENT, , APPLICATION FOR PERMIT � 636 NoAh Broadwoy �� I�� 1�� SANTA ANA, CALIFURNIA w _. _ Z -w - J Z u =- PLOT �PLAN • J o - d aa - -. o a a � � • a ' . �\` ' _ .. C �i ` � .i _' ' \-� ' _. . , _ _` .' ' . r' ` - � . � . � STREET , 1 � � . . . . .�.1� �"��..,.� _.,.,_. ., . �.:1:.':J�,.' _� �, . . � _J: 1�. , _ ,_, _ ��. . ' _' _ ' ..: .;�L , -. _.. " :I I.i�. _. . � ... ... ... ......_. .- �rr f. , ', . . .c; ... -: i'. -. .,:�.,:r: � r �'i,-.�,. , �. ,v ,' _ �tr:� �i.� .._� , � � . _ '- . .. .. � �^� � '_ � ... . .. . - . � .� 1 � �. � � . __ -:; I I":..� _ . ' C=7.'__ . . ...'`S A'� ��' . _'.._::I'3.. ' o: ..T;I�.� ..�..°:b/7i� . . � ' _ .. w.�•' .