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Home My WebLink About3457 PLUMERIA PL - Building Permitsi H W W LL W ,•'E�i1�AY � :�: : : : : : :�: :•: ............... ............... F IRE 'MALL ' WAIL SYYITCH HOUSE EXISTING ' EXISTIMG 110 OUTlETS 220 OU7LET 'H' WASHER DRVER NEW CLOS. T EX�STING OVERHEAD L IGHT NEW �i Y.�8LR3 �-�+r S+ItFEETfROAfFL"OVR t�la OPEN/NGS �I// C�YP �P.NEW _t 10 OU�LElS NEW' WALL if2"WALLBOARD Z 2 X 4 STiJ05 ON 16"�NiERS o R s " TYPE ' No�: G.4RAGE 4Vi,5HER AND DRYER ARE H?.RD W IFiED TU C IRCU IT BREAKER PAN� ON SE PARATE C IRCU IT5 AP]PROVED CITY OF COSTA MFSA PLANNING DEPT. sus1KT ro �LDfi. 9ei. !� r i��.�A —TE1� onecroR or nANNiNO -- HOLD. FOR SPECIAL REQUIREMENS'� Special requirements of app�ova! must be compieted, ms4ected and approved by the Planning Division prior to release of util'ities and ?ranting of occup�ncy for ,h�" �� . EET STRUCTURAI APPROVAL ONLY SEPARATE PERMI7S ARE RE�UIREO fOR EIECTqICAI, PLUMBING, NEAiING. VENTIIAiING AND REFR7GEHATION WORK �Z i/ �� .o.:b .� �% / /n F- w w � � YE25 45 FEET � w w LL m ♦ oa�vEwnr ......:....::: ..:. /i / I . �:��:�. . . . . , , :�:� : :;'� � I � i �� HOUSE FIREWALL E%ISTING EYIS I10 WTLE15 yIp J WALL W H. WASMER DMER FEW 5'�'"T�" aos. � ezisrwc OVERHEADLIGHT � VYACE � I10 ( NEW , NEW� DOOR, 112"WAILBOARD 2 ' � �S"�ON OpCEN1ER5 APPRMMM�LCM No opEn!/n�1.5 No� GARA W ASMEP AND DRVER ARE NARD W IRED TO C WN R BREAKER FANEL ON SE PARATE C IRCU ITS W LL N 22 �EET � . ., �? TN)S NUMBER MUST ACrnMaenrv Ll INSPECTION RE�UESTS FOR BUILOINGS WHEfiE PEflSONS ARE' TO BE EMPLOYFD, WE SUGGEST THAi THE STA1E OF CAUFORNIq DIVISION OF INOUSTRtAI SAFE7Y BE CONSULTED FOfl ADOITIONAt NEOUIREMEN75. F` p� �y � y�'�a ,�� `�QQ°'�P°��`'�``�`P`��``y�� 5 1�'_J4'1� O� . O� O� ��SY ruEw wwoc za• z se- � � �A��e p.��v� V♦ 1�.: VVJiil ��YJ�w �ll�.��LV[��/�if. .'1/J6 �� O ��0�� P.�ANN�^/v I�tPT ; TRACP N0. I✓,� ` LOT N0. � i �D�ss 3 0 DATE � / � f�'� The developer of ihe above entitled tract desires to sell the above aet forth loL prior to the time that the tract has been completed and ita streets accepted by the City of Costa Mesa. The un rsigned, by executing this agreement, acknowledges that � (he�ey) (was �) /�"�'L, advised that this tract has �, not been given final inspection nor has it been accepted by the City of Costa Mesa t . ; as having complied with the conditions of approval which were impoaed by the City at the time the final tract map was approved. � The City assumes no liability for the enforcement of the conditions necessary for approval other than thoae conditions protected by suzety bond. The undersigned agrees to'indemnify and hold the City harmless from . any claim resulting in dar.iage or pereonal injury to the undersigned by reason of the aforementioaed uncompleLed condition. 1 i PLANNING DEPARTMENT P.O. Box 1200 � Costa Mesa, Ca. 92626 � /O' SO f� . rr� , BY i � ` Yurchaser . �=.. �---- ' r� sx /`�.--t��. _ � .� �f�,i-�`�� - Developer and/or authorized • representative �,, � BY ,�i s'.� l/i :�,.. L nder ;. m (7/4) 754-52�3 • Fax (774) 754-4056 C�TY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 3457 PLUMERIA PL Sui[e: Vicinity: HOUSE & ATTACHED GARAGE Parcel Number: 41217319 npp�icant: SWEETON, LIZ Address: 23532 EL TORO RD #21 CA LAKEFOREST Owner: GOSTIN, BETTY JANE Address 3457 PLUMERIA PL COSTA MESA,CA Contractor: BIENEK ROOFING Address: 23532 EL TORO RD #27 CA LAKE FOREST Zip: 92630 Arch : Address: Zip: Phone: License: BUILDING PERMIT Zoning: R1 R1 Phone: 800-499-1340 2ip: 92630 Phone: Zip: 92626 Phone: 800-499-1340 License: 651509 Eng: Address: PERM NUMBER B99-01574 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 09/29/1999 Issued: 09/29/1999 Phone: License: SCOPE OF PERMIT REROOF EXISTING 2-STORY SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (23 SQ). TEAR OFF EXISTING SHAKE ROOF & RE-SHEATH WITH 7/16" OSB. INSTALL 1-LAYER OF 15# FELT UNDERLAYMENT 8 REROOF WITH "PIONEER REGAL" LIGHT WEIGHT TILE - ICBO # ER-3748 (5.9 LBS). FEE SUMMARY Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $111.25 $0.50 $0.00 $0.00 $0.00 $111.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Ezistina: o NOTES: Rear 0- 0 Rear 0- 0 Reauired: 0 PLANNING 8 ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: $a,zoo.00 Claim Valuation: $a,zoo.00 Right 0-0 Right 0- 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California 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 a period of 780 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 required inspectlona end final epproval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: I hereby attirm under penalty oi perjury one of the tollowing declarations: ❑ I have and will maintain a cetlificate of consent to self-Insure for workers' compensatioq as provitled for by section 3700 of the Labor Cotla, for the peAormance of ihe — / ork for which Ihis permit is issued. �/�have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for Ihe peAortnance of the work for which ihis permit is issued. % My workers' compensalion Insurance carrier antl policy number are: �3 � Carner. �� 1 C: v� GJa:� �P,ol{cy Number. l,c 1C` "� t� 3Y. f'�(_ '� �is section need nof be completetl il the permi( is veluetl at one hundred dollers ($100) or less.) ❑ I certity that In ihe pertortnance of the work tor which ihis permit is issued, I shall not employ any person in eny manner so as to become subject to ihe workers' compensation lews of Ca'fornia, antl g� ree that if I should hecome sublect to ihe workers' compensation provisions of Section 3700 of ihe Labor Cotle, I shall forthwith complywiththese row ns. � -t�— AFPlica�t Signatura ��' � % 1��-¢o �c-cr.�� Uete:. 51 —� S—'�[ c' WARNING FAILURE W SECUFE WtlRKEFS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EM�OYER TO CAIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDITION TO THE WST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3]060F THE IABOR CODE, IMEREST, ANO ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aftirm t al.I.am licensetl under provisions oi Chapter 9(commencing wlih Section 7000) ot Division Lthe�Business and Professlons Cotle, and my iicense is in full force antl etta L Lic: # — Class a- P—� 4 . . . � .. c�actor.As.sgnat5re:�'�' — _ � ... .L.� �'a'te:�-. u� 2e —9 9 CONS7RUCTION LENDING AGENCY: ❑ I hereby aHirm ihat Ihere is a consimction lending agency for the pedormance ot the work tor which ihis permit is issued. (Sec. 3097, Civil Cotle). Lentlers Name: Lenders Adtlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby attirm ihat under penalry of perfury ihat I am E%EMPT FROM TME CONTRACTORS UCENSE LAW tor the following reason (SecJ031.5, Business and Professions Code: Any ciry or county which requires a permit to constmct, alter, improve, demolish, or repair eny simcture, prior ro its issuance, also requires the applicant for such permit to file a signed statement ihat ha or sha is Iicanse0 pursuant to ihe provisions of Ihe Contractors Llcense Law (Chaptar 9(commencing with Section 7000) of Division 3 oi t�e Business and Protessions Code) or that he or she is exempt therefrom and ihe basis for ihe alieged exemption. Any violation of Section �031.5 by any applicant for a permit subjects the applicant to e civil penalry of not more ihan five huntlretl tlollars ($500).): ❑ I, as owner of ihe propetly, or my employees with wages as iheir sole compensation, WILL DO THE WORK, end the structure is not intentletl or offered for sale (Sec. 7044, Business antl Professions Cotle: Tha Contractors license Law does not apply to en owner of proparty who builds or improves thereon, and who does such work himself or herself or through his or her own employees, providetl that such improvements are not intended or oflered for sale. If, however, the building or imprcvemant is soltl within one year of completion, Ihe owner-builder wlll have ihe burden of proving ihat he or she did not build or improve for purpose ot sale.). ❑ I, as owner of Ihe property, am EXCLUSIVELV CONTRACTING WITH UCENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Pmfessions Code: The coniradors License Law tloes noi apply Io an owner of propetly who builds or improves thereon, antl who coniracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business antl Professions Code tor this reason: SignaWre: Date: Owner ID verified by tl�iver's license. ❑ Yes ❑ No Driver's License No. Veritication of Ownership by (type of tlocument, i.e. - propeny tax bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CEfi71FICATION: Expires: ❑ I here6y cenity ihat no ezcavation five (5) or more feat in depih into which a person is required m descenq will be matle in connection with work authorized by this permit, and that no building simcNre, scatfoltling, falsework, or demolition or dismantling thereof, will be more ihan ihlrty-six (36) feet high. (Chap. 32, Grp 2, Ah 2, Sec. 341, Title 8, Califomia Administretive Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit from the Division of Indusirial Safety, as noted above, unless such person has a permit to do such work fmm Ihe division. Signature: Date: Division of Industriel Safety Permit Number: CER7IFICA7E OF COMPLIANCE AND AUTHORIZATION OF EN7RV: I cehify under penalty of perjury that I have read this application and state that Ihe information given is correct. I agree to comply with all state laws and ciry ordinances relating to building construction, antl authorize representatives of the City of Gosta Mesa to emer upon the above-descnbed property for inspection puryoses. I agree not to occupy or allow occupancy oi any building authorized by this pertnit until linal inspection. COOE I, INSPECTIONTVPE 7616 Fizetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Rooi 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 2466-46 pATE INTRA B�� ^ � COOE� INSPECTIONfliE 206 Final Mechanical 208 210 212 220 222 250 Final Plumbing Final Electrical Final Fire Prevention Final Planning Approval Final Site Final Builtling/Occupancy ' ! / �ta:• r �ATE INTITIRLS AOo�icant to fill in all spaces exceo� tnose within neavr bortler Iines antl si9n all avo�ovriate Geclarationz. CITY OF COSTA MESA CONSTRUCTION PERMIT P RMI O TRACT NO. t LOT NO. UNIT NO. ;3�.� 7,OL u m� �2lA j7�i�cE' �"1 �.�2,'Z,l�% PrOject Address � - AppliCant'S Mailing Addfe55 TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR �j �-�+�+�/ Jn ❑ GONVE(3510N ❑ DEMOLISH ❑ OTHER p,p, # Owner's Name '» ��/ Phone DESCRIP710N OF WORK/USE OF BLDG. S I N9 lQ 2 A C Address S�QM� Arch/Eng. License No. Address r� �m Convactor's Nam E ��Phone Address Imailingl -��-3 L� PE4T2/¢/ OqaK A(i� /fu//ei City License No. ba yTr�i � LICENSED CONTRACTOR DECLARATION I hereby aftirm that I am Iicensetl untler provisions of C�ar[er 9(commencinq with seclion 7000) of DivlSion 3 O/ lhu Buslness antl Professions Cotle, antl my license is in II t rce antl aHect. �aOS1.•� License CI ss �� i e ze No. Oate Si9nature � �vORKEf35'GOMPENSATION DECLARATION iereby a/tirm tnat 1 have a certilicate o( consent to seif-Insure or a certi(icate I( � Workers' Compensation Insuranca, or a certlfietl copy thereof (Section t70 3800, lab. CJ [�� ,� r PolicY No.�f� )C-�T� �.�� ComPanY 2tL/ P2n2- NJ=%�L � Certifietl coOY is hereby furniSM1etl. Cer['fl co I fileE with Ihe city Bujbtlin9 Oyyi[Iqn,��JO ��^ Date Applicant � �2(�I �Q_�(p EXEMPTION FROM WORKERS' COMPENSATIO�i �€CLARATION (Thissection neetl not be completetl il Ihe permll Is for one huntlretl ($300) o� I¢55). I certify that in th¢ Performance of the work fo� wM1lch this perm�t Is issuetl, I shall not employ any Oe�son in any manne� so as to beCome zubject [o the Workers' Compenwtlon Laws Of Calitornia. Date Signature NOTICE: If, after makinq this tlecla�allon, you SM1OuItl become Subj¢tt [O the Worker5' Compenmtion provl5ion5 ot the Ldbo� Catle, you mu5t torlhwitM1 compty with sucM1 provi5ions or tnls pe�mit s�all be tleemetl revoked. CONSTRUCTION IENDING AGENCV 1 hereby afflrm that lhere is a constructlon tentling a9ency tor the pertormance of tbe wark for which tM1is permit is Issuetl (Section 309] Civ. CJ Lentler's Name Lentler's Atltlress OWNER�BUILDEH UECLARATION I hereby atfirm that I am ¢xempt irom th¢ Con[raclor's �Icense Law IOr the following reason (Seclion 7031.5 BuSiness antl Protessional Cotle: Any Nty or county whicn requires a permit to coretruct, alter, improve, demolish or repair any slructure, prior to It5 issuance, also reqWres the applicant for su<h permi[ to file a signetl slaSement that he/ihe is Ilcensetl pursuant to the provlsions of : he Contractor's License Law (Chapter 9(commencing with 5¢Ction 7000) ot '+`�'iviziOn 3 of the Business antl Prote55ion5 COtlC) o� thal h¢/She is exempt .'�%�'leretrom antl the basi5 for lhe allegetl exemo��on. Any violation of Sec[ion ��Y031.5 by any applitant ior a permit sublects Ihe applicant to a civil penalty of not more than five huntlretl tlollars (E500�. ❑ I, as Owner of Ihe p�operty o� my employees with wages as their Sole mmpensation, will Oo the work, antl th¢ structure is no[ intendetl or otteretl for Sal¢ (Section 7044, Bu5Ine55 an❑ PrOt¢SSiOnal Cotle: The Conl�actor's License Law tloes not apply to an owner of a oroperty who builtls or improves lhereon, antl wlto tloes such wo�k hlmselt/hersell o� t�wugh nis or he� own employees, provitletl that such improvements are not intentletl or ottered for sale. If, bowever, the bullCing or improvamenl Is soltl within one year of com- plelion, tne owner wlll have the burtlen of proving he/she tlitl not builtl o� im- prove tor the puroose of sale). ❑ I, ds Owner ol the property, am exclu5ivery conVaCtin9 wi[h IicenSetl mn- tractors to conSV utl [he O�oject (Section 7044, Bu5ine55 antl Prote55ions COCe: The Coneractor's license Law does not apPIY to an ownot of propmty who Duiltls ot improvei thereon, antl who ronVatts for such projects wltM1 a con- tractor(sl ucense pursuant to the ConVactor's Llcense Law). I am aware that ptoof o( [heir Worker's Compen5a[ion Insu�anca ihoultl �e provitletl to me. ❑ I am exem0� untler Section B. 6 P. C. �or lhls reason Date Owner I hereby certi(y that I have reatl this applicailon ana state tnat the above information is correcL I agree to mmply witn all city antl toun[y ortlinances antl Slate laws relatin9 to buil0ing conSVuctlon, antl he�eby aulhorize repre- sentatives of his ci to enter uoon tne above-mentionetl Drop rty for inspection ose5 � /.� L� Signature /� Date r Drivers' License or 55 $ TYPE OF PERMIT �.J GRADING LJ FOVNDATION LJ STRUCTV RAL ❑ TENANT � ELECTRICAL ❑ PLVMBING I�MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5Q. FT. oCCUPArvCV— CONSTRUCTION TVPE � VALUATION $ ZONE GRADINGCU.VDS. ACRES_ Rema�ks: _ _ . _ �. � / 1. •� � r.. _ _ _ �� Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking FouMains Floor Drains Floor Sinks Gas Service <itchen Sink Lavatories '-Trap Roof�Drains Reinspection Fee $F10WQI5 Servite Sink SewerCap Sewer Connection Solar Collecrors Solar Piping Sol ank imming Pool w/Spa Urinal Outlets Water Closet Water Heater Water Service AutO-Wash Laundry Trays $15 Duci � Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ' �i0.100,000 BTU 0100,OOOBTI Reinspec[ion Fee � S75 CMF 0865-46, rev. 10/84 �White - Builtling; Canary - Appllcant; Pink - Accountlng; Goltlenrotl - Assesmr Issue Fae Hoodor Typel ❑ Canopy Type I I ❑ Refrigeration System 5�o-too,000eTu ❑ioo,aoo System Repair/Alteration Fire Dampers Registers laue Fee FEES S Main Bwldi E T Front B Rear A C Right K Left S Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cookin9 Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator O65 KW C 5277 . 2/ I 7/Bf� Zone Accessory Building: Parking Req.IProvided ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+KW Meter �up to 700 amps Meter ❑over100amps Sub Panel Motors OO-1 HP �1 % �� 6 Inc. Solar �9-15 HP �16�15+ Microwave Pole Light I I Standing Sections 5-15 KW Trash Compactor $ 3 ' �- Reinspection Fee $15 luue Fee FEES DEVELOPMEN7 SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Apolication Iuued By �- -�-� SUMMARYOFi BUILDING PEFMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL S ��-5� PLAN CHECK 50% § MECHANICAL $ �3'a a P�AN CHECK 25% $ 5Go50 Tl 2 O N I N G R E � M T S FEES SMIP $ - PERMIT ISSUANCE $ ENERGV P.C. $ GRADING $ MICROFILM $ �� -��7 TOTA� FEE $ ,L_.Z�" CONSTRUCTION AND PLANNING . POOL & SPA APPROVALS Permit# i. Date Inspector •AppROVALS Permit# Date Inspecto� 1. Temporary Electrical•Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. . 54. Forms 4. Electrical Conduit-Undrgrnd. 55: Electrical Bonding 5. Steel Reinforcement� 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd.-' 57. APPROVAL TO COVER-GUNITE 7. Footings ; 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. " 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final i6. Rough Electric Wiring „)67. Fencing & Access Approval '17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18.' Rough Electrical.T•Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '''� T9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -� 20. Rough Factory Fireplace APPROVALS Permit# � r. 21. Ducts, in Structure 70. Underground Hydro �. 22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil � 23. Gas Pipe-Rough & Test 72. Underground Flush '�,.' � 24. Roof Framing 73. Undergrnd. Storage Tank O.Gas ❑ Oil 25. Roof Sheathing � 74:'Overhead Hydro • i • 26. T-Bar Ceiling (Str�uctural) & Monocoat ; 75. Dry Chemical ' � . � 27. Frame and Flashing �% 76. Dry Standpipe �� • � i•, 28. Lathing & Siding ,� 77. FIXED SYSTEM FINAL ,� �•� 29. Insulation 78. FIRE PREV. FINAL . 30. Drywall Nailing HEALTH DEPT. REQUIREMENT ,� r i 31. Plaster Brown Coat . 79. FINAL INSPECTION � � � 32. Electrical Power Meter-Final S0. FOOD CERTIFICATE ISSUED _ v r� 33. Final Electric '/�`�/ � �� Notes: . 34. Final Heating & Air Conditioning y�tr`�jf -- 35. Final Gas Pipe-Test , / 36. Hood or Canopy . 37. Final Factory Fireplace � � ' 38. Final Plumbing _ - � . � 39. Water Service-Final � � ' , 40. GasService-Final � '• • 41. Solar pomestic-Final � • ' . 42. Backflow Preventer , • � . � , , 43. Backflow Irrigation , � � ' ., - 44. Landscape Irrigation System � �� . , , � 45. Sound Attenuation , , . � . 46. liandicap Requlations , � 47. FINALSTRUCTURE&BUILDING ' � - . .. � � 48. Special Requirements Completed � � • 49. Electric Release to Edison � ' ' ' ' 50. Gas Release to Southem Califomia Gas Cn . � 51. CERTIFICATE OF OCCUPANCY No. Date i , ' , � S a 8-, � w.-}�,q-�.il� C� ��L-�"�%� �� Applicant to fill in all spaces excev< <�ose within M1eavy barCe� Iinei anE zign all appropriate Eeclaratloni. CIT?r' OF COSTA MESA �CQNSTRUCTION PERMIT PERMIT NO. � TRACT NO. LOIN�O. UNIT NO.' �j � ✓ 2 7 v� ProjectAddress r7y.S��LU/YI,F,'t?/y �L Applicant's Mailing Address � '� TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR --}— ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q p# Owner'sName`J�H/�N ��LL��A"� phoneg��30� �� % �/� h�Y/1�� L (� H1 G2L DES RIPT ON OF W RK/ (] Address �3y,s! rLU ?�— TC�j ,dD�p �p��7�� D�M E Main Buildi Arch/Eng. �icenseNo. TVPEOFPERMIT GRADING LJ FOVNDATION STRVCTVRAL T Front Address , ❑ OTHERT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear Convactor'sName � Phone C Ri9ht• . PROJECT DESCRIP710N SQ. FT. OCCUPANCV K Addre551mailing) CONSTRUCTIONTYPE � VALVATION$ g L2ft City LicenSe No. ZONE GRADING CU. VDS. ACRES LICENSED CONTRACTOR DECLARATION . Ping. Ref. #�� I hereby aftirm that 1 am licensetl untler provisions of Charter 9(commencing Remarks: , Planning No�es: wi[h section 7000) of Divlsion 3 of tne Business antl Profe55ion5 Cotle, antl my Ilcense is in full force ana effect. . IG License Class License No. "�� PLUMBING FEES �� Da[e Si9nahre WORKERS' COMPENSATION DECLARATION - B2�Sink � ShOw¢f5 �� 'iereby affirm that I have a cer[ificate ol consent to self-insure or a certlBcate � Workers' Compensation Insurance, or a certiilea <opy thereof (Section BackflowPreventer ServiceSink 0800, Lab. CJ . Policy No. Company Backtlow Irrigation Sewer Cap . 8 Certifietl capy is hereby furnishetl. , Certifietl copy i5 filetl with the city Builtling Divislon. Bathtu65 Sewer Connection Dale Applicant - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Cld�i(i¢�5 5012� COIICCLOIS (Tnissection neetl not be compleletl if the permit is tor one huntlretl (5100) or � iezs). Dishwasher . Solar Piping I certify tnat im the periormance oi the work for which this perm�t is issuetl, I snall not employ any person in any manner so as to Decome suoject to the Drinking Fountains Solar Tan ' Workers' Compenzation laws of Calitornia. , Date Signature Floor Drains Swim � g Pool w/Spa NOTICE: If, after makinq this tleclaration, you shoultl become subject to the Worke�s' Compensatlon provisions of the Labor Cotle, you muzt forthwith PIOOf Si0k5 U� el comply with such provi5ion5 or tltis pe�mlt shall De tleemetl �evoketl. CONSTRUCTION LENDING AGENCV G35$¢fviC¢ 'OU[IElS Wdt¢�CIOS¢L 1 hereby aftirm Ihat there is'a construction Ientling agency tor the perlormance ot the work for wnic� tnis Dermit is issuetl (Saction 309] Civ. C.) Intetceptors F� . Water Heacer lentler's Name Lentler'z Aatlress Kitchen Sink ' Water Service . OWNER 9UIL�EH �ECLA0.ATION � I hereby atfilm that I am exempt trom the Contlactol'S License law for the L3VdtOIi25 AUtO-WdSh following reaxon (Sec[ion 7031.5 Businezs and Professional Cotle: Any clty or munty whith requi�es a pe�mit t0 <onstruct, alter, Improve, tlemolish or r¢pair P—T�dp L3u�dryT�ayS any structure, prlor to its issuance, also requires tne applicant tor such permit to tiie a signetl statement that he/she is licenzetl pursuant to the provislons of Roof Dreins the Con[ractor'S License'Law (Chdpt¢r 9(commenCing with Section 7000) o( �vision 3 ot the �Business antl Professions Cotle) or that h¢/she is exempt -- � erefrom ana the basis for the allege0 exemption. Any violation of Section J3L5 by any applicant fo� a permit subjec[s tbe applicant f0 a civll per�yty of not more than five nuntlretl tlollars (5500). • �1'il, as'owner of Ihe pwperty ' p-tppir_cple Rei peMi00 P80 $15 ISSUB F08 $ 3 wmpeu#iow; will Oo the work, antl the structure is not intendetl or offeretl for saie (Section �044, Business antl Professional Cotle: The Con(ractor's MECHANICAL :FEES License Law tloes not apPty to an owner of a property who builtls or Improves d Automatic Washer Construction PoleSub. Cooking Unit Dishwasher Dryers �Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets � Switches Garbage Disposal Generator �0.5 KW C Fea 9696 7/IB/86 Zone Accessory Building: Parking Req./Provided ELECTRICAL Transformer �❑ 15�50 KW --�� 50+�KW Meler ❑up to 700amps ' Meter �over100amps Sub Panel Motors O67 HP O1 X- 8 Inc.Solar 09-15 HP �16-15+ Microwa�e � � � Pole Light ✓ � , Fange i(.(n Cau,ae S�anding $ections 5 KW Trash Compactor $15 luue Fee thereon, antl who tloes such work himself/nerselt or Ihrough hiz or �er own . DEVELOPMENT SERVICES REQUIREMENTS: ' employees, provitletl Ihat such �mprovements are not mtentletl or oftEr¢tl tor BOiI¢I - HOOd Of Typ2 I ❑ SC�e�� /�/ sale. If, however, the builtlinq or improvement is soltl within one year of com- Canopy Type II ❑ Zonine APP�ovad 9y �yL^_ pletion, tne owner wiil have t�e burtlen ot P�oving he/she did no[ build or im- Duc[ - Und2r G�ound Building Approvad By �� f th f I i,� _ 1,10,03 Z O N 1 N G R E Q ' M �� T S FEES $ 3 prOve or e purpose o sa e. /,!/ O� ❑ 1, as owner oi the prooerty, am exclusivety mntracting with licens¢tl con- Duct - Structurel Refrigeration Sy - Appliption laued By Date � g zl tracforsto constructthe project (Settion 7044, Business antl Professlons Cotle: The Contractor's License Law does not aoPly to an owner of property who Duct - Ventilating ❑0.100, TU �100,000 BTU . SUM V O�FEES � builtls or imOroves the�eon, antl who COOLIdCIS (Of�5OC:1 p(OjCCSS WII11 d COfI- n tractor(s) Iicense pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ tem Repair/Alteration K�� BUILDING PERMIT $ $MIP $� proof ot their Worker's Compensation insuranG¢ shoultl be p�ovitl¢tl to me. PLAN CHECK 5 0 PERMIT � ❑ I am exempt untler Section- _ y—i e. {ym. G. for this reason Firepl/Fact. Blt. ICBO # Fire Dampers Owner a Heating System & Duct�i ❑4100,000 BTU�'�00,000 BT' �Signature Date YAit� /�eIL � Drivers' ense or 55 � �� Reinspeetion Fea S75 CMF 0865-46, rev. 10/Ba White - Builtling; Canary - Applicanh Pink - Atcounting; Goltlenrotl - Assessor PLUMBING § �SSUANCE 5 Registers ENERGV P.C. $ PLAN CHECK 25% S ---��-� I D�L ELECTRICAL $ � GRADING $ - PLANCHECK 50% $ O MICROPILM $ , MECHANICAL S TOTAL FEE $ � laue Fee $ 3 PLAN CHECK 25% $ � r / v ,CONSTRUCTION AND PLANNING ,. POOL & SPA ' , -� \ APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � � 53. Steel Reinforcement � 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding - 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ` 7. Footings 58. Electrical Conduit-Undrgrnd. - 8. Foundation , ' 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent�Final 13. Roof Drains 64. Plumbing System � Final 14. Rough Plumbing 65. Electrical-Final 75. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17.� RougFi Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro ,' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL � 29. Insulation 78. FIRE PREV. FINAL � 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION . . 32. Electriral Power Meter-Final 80. FOOD CERTIFICATE ISSUED - 33. Final Electric y ou r(�,� Qw 7.,Q��o ��,�j Notes: 34. Final Heating & Air Conditioning 3 m��-�e s � 35. Final Gas Pipe-Test Q{r- �P, �P � . 36. Hood or Canopy 0 �� 37. Final Factory Fireplace � 38. Final Plumbing ce� � 39. Water Service-Final � � 0 I �7. � � 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer " 43. Backflow Irrigation , 44. Landscape Irrigation System , 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 8 g� 48. Special Requirements Completed �Z 49. Electric flelease to Edison �- . �50. Gas Release to Southern California Gas Co ./ � i 51. CERTIFICATEOFOCCUPANCY � No. Date y OWNER IARWiN So. JOB ADDRESS � 31�57 Pl GENERAL CONTRACTOR AP No. LOT ' `ECTIONS GAS WATER ROUGH PLUMBING PROP. SWR. LINE HOUSE CON SPHINKLING SYSTEM MISCELLANEOUS FOUGH HEATING AND AIR CONDITIONING TEMPORARV SERVICE OR POLE UNDERGROUNO � POWER � ROUGH WIRING TRENCHES FORMS �j" STEEL RE FLOOR SVSTEM BOND BEAM � STEEL FEINFORCE [ SNEATMING FRAME AND FLASHING - LATHING - IN [%�i" OUT PLASTER, BROWN COAT $TRUCTURAL, FINAL HF :, VENT., FEFRIG. AND A.C., FI. PL. .�NG, FINAL ANO GAS TEST ELECTRIC, FINAL BUILDING, FINAL DATE SUBCONTRACTOR r: " 36�'�27 COSTA MESA BUILDING-SAFETY DEPARTMENT SOL AR p,p,gOX72pp COSTAMESA.CALIFORNIA92626 Z . ww aU �- Z zF ON am J7 J N Q W 0] J m J Q U N Za W � d W W Z J Q m Z J � W W 0 z� w� y ¢ 70 �e2 �� .. Fi�� . „ � i -7 ��.,-G� � � APPLICATION FOR BUILDING PERMIT • For qpplicant to Fill in Com letely REc�iv av O TE REC iveo o i E BUILDING r � /�_ `Al�R ��J �973 ADDRESS � -� PERvLY1T� O�� ) OWNER Laiwin Southern California A•P•NO. BUILOING MAIL 16255 Ventura BLVd. ADDRESS ADDRESS aTv Encino, California nTio� 986-8890 TRACT]55]-$ �orgg e�ocK �Noea��oN ��in Southern Cali fornia `N '' A P BRANCH 16255 Ventura Blvd, OWNER G LU/� SO �A� nooaess Encino California ` y ARCHITECT TEL.., , S S/ ES �� pJT 6A/i,ALUg � zJ ORENGINEER �.d1'W1I1 S. Calif. ,v FIRE ADORE55 9100 Wilshire Blvd. Bev. Hills ZONE TVPE GROLIP .%� APPROVE L DAT '�I��7• CONTRACTOR 7,anain Southern California e� ADDRESS 16255 Ventura Blvd. TEL. ZONE NO.OF /J USE OF NEWSfjr�s W cirv Encino� California No. 986-8890 '� P�-4�ff-- BUILDING�.n-G. L C No. 191311 LICVNO. $-I, vM/�I�N BU LOING ACCE SORV BUOILOING SIZE NO.OFBIDGS. (FROMC/LSTREET) OF LOT 6O X LOO NOW ON LOT 0 FRONT FT. FT. USE OF EXI5TING BLOG. FT FT SIZE OF NO. OF NEWBLDG. 17�FO ROOMS STORIES 1 L.SIDE FT. FT. E%TERIOR WALI ROOF COVERING SCllCCO COVERING WOOCL shin 12 REAR •SFT. FT. USE OF BUIIDING AND WORK TO BE PERFORMED DISTANCE BET. BEf. MAIN & MAIN BLDGS. ACCESS. BLDGS, Construction Single Family Residence CURP qW APPROVED APPROVED - _ 'J 7 /J HOLD FOR SPECI L QUI E S I hereby acknowletlga chat I �ave reaA this application antl state that the ebove intormation is correct antl aBree to comply with all laws raguloxing building conshuction, antl I shall not employ r/� ony person in vialation of the workman's compensatian laws of the Stete ot Colitbrnie. I hereby certify that I am properly licensetl as a contractor untler O SQ. FT. � [he State of Califbrnie Business antl Professions Cotle, Divisicn 3, THE AMOUNT SH N UNDER VALUATION IS FOR C�aptar 9, end that such licenses are in full forca entl etfect, or I THE PVFPOSE OF ABLISHING A PERMIT FEE ONLV: em exempt trom ihe provisions of the S[ate of Celltornla Business VALUATIpN antl Protessions C Division 3, cnaPter 9. 9�i.0O Z6 � �FOO 7ERMIT FEE S SiD�atura - . Permitte � J�� D. Downs 5•`- .•.� PLAN CHECK $ 47•00 Authorizetl ABent TOTAL FEE $ 141.00 JOB ADDRE GENERAL C AP No. 4� . INSPECTIOI �� , ROOGH PLUMBING PROP. SWR. LINE (� HOUSE CON. MISCELLANEOUS (10UGH HEATING AND AIR CONDITIONING CE UN�ERGROUND U POWER U ROUGH WIflING TftENCHES FORMS STEEL REINP. FLOOR SYSTEM BONO BEAM [l STEEL REINFORCE � $NEATMING FRAME ANO FLASNING � LATNING - IN I-I O�T I� HEOT'NG, VENT., REFRI( Pl NG. FINAL FN� G ELt..lRIC, FINAL BUIL�ING, FINAL SPECIAL FEQUIREMENTS a—lo—io BUILDING PERMIT N0. 4247 SUBCONTRACTOR _ 424.7,7 COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 �'�1h-7f�;�::00i215=} *:�*�:'::5.50 APPLI ' TION FOR S7'RUC7"URAL PERMIT For Applicant ro Fill in Comple[ely — Use Ink Only RE 8V A E RECE VED O IS ED BUILDING •j �l � � � ADDRESS ✓ / � � I S, S�c`Pr� /Y FERMITNO. OWNER v O �+.P. NO. MAIL BUILDING (�L^(] �� ADDRESS ADDRESS ��cnc�ry �/J TEL.C' TRACT ,/ LOT BLOCK CITV �S'7 ///fs%� NO. JJ G'7 y CAN5TRUCTION W AOD A P LENDER BRANCH `� OWNER J ADDRESS V LUE ARCHITEGT TEL. S S �' OR ENGINEER � � FIRE ADDRE55 ZONE TVPE GROUP APPROVED � / .r CONTFACTOR � � � BV OATE � ADDRESS TEL. � NO.OF USE OF NE j� CITV NO. P�-P.NS 2; BUILDING `I��L STATE CITV �'�+PDSAPPROVED YARDSAPPROVED LIC. NO. LIL. NO. MAIN BUILDING ACCESSORV BUILDING SI2E / A A NO.OF BLDGS. (FROM C/L STREET�)}— OF LOT ,(J D �` y NOW ON LOT ONT � FT. ` FT. USE OF EXISTING BLDG. SI FT. Separa[e permits are required for �, sioe r� FT. FT. elec[ric, plumbing and heating work, aeAa FT� FT. - USE OF BUILDING AND WORK TO BE PERFORMED DIS7ANCE BET. BET. MAIN & MAIN BLDGS. ACCFSS. BLDGS. /—A �� Q� ��' (5 u C URP, qW AP ROVED APPROVED / �� / I horeby ecknowladBe that I have reatl this applicetion and stete that tha ebove intormaiion Is correct entl egrea to comply with ell laws reBulatin8 builtlinB conrtru<tion, and I s�ell not employ any person In violation of iha wo�kman's compenfation laws oi the Steta of California. I haroby cartify that I am properly Iicansed as a contrector untler SQ. FT. ihe State of Calitornla Business entl Pro(ossions Code, Division 3, THE AMOUNTSHOWN UNDER VALUATION IS FOR Chaptar 9, antl ihat such licenses are In i�ll torco entl affact, ar I THE PURPOSE OF ES'fABLISHING A PERMIT FEE ONLV: em exempt from the provizlons ot the Steta of Collfornia Business VALUATION PERMIT FEE 5 �J and Grotession de, Di ision 3, Ch pter 9 • QV r PLAN CHECK S �� Signeture O} � Perminee � �% d $ � TAX S , Autho ed Apeni TOTAL PAI D y � O