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Home My WebLink About987 POST RD - Building Permits� CIT� �OSTA MESA CONSTRUCTION PER Addres Address Contractor Applicant to fill in all T within �eavy bortler lines antl sign all avProprlate tleUarations. TRACT NO. LOT NO. BLDG. NO. > / 7 �2 GY/ _ � / —f�— /L . TVPE OF CON UCTION ' Phon ❑ NEW � � ❑ ALTERATION - ' ❑REPAIR ❑CONVERSION ❑DEMOLISH Licenie NO. � OTHER �ESCRIPTION OF WORK Phone TVPE OF PERMIT,_.,/ ,�/ AddreSS -' ❑ GRAOING I!S FOUNDATION L7 STRUCTURAL LICENSE� CONTRACTOR OECLARATION � ❑ TENANT ❑ ELECTRICAL OPLUMBING ❑MECHANICP I hereby affirm th�t I am Iicensetl untler provisions of Charter 9(com- �_� ,r �.� T¢nting with sectiOn ]000) of DIvf5lon 3 oi the Businezs antl ❑ OTHER Pro(essions Cotle, antl my Iitense is In tull torce antl eife<t. pROJECT DESCRIPTION __ License Class License No. Z Date Signature SQ. FT. . WORKERS'-COMPENSATIONDECLARATION OCCUPANCV CO STRVCTION�TVPE� ��'� � I hereby aftirm that I have a tertificate of consent to self-Insure or a VALUATION I � ' 2pNE certlflfzte ot WOrkers' CompensatiOm Insurance, or a Certltietl mpy — . - thereof (Section 3800, Lab. C.). , GRAOING CU. YDS. ACRES Policy No. - Company ❑ Certifietl <Opy Ii M1er¢�y fu�nl5hetl. . REMARKS: ❑ Cerlifietl topy Is filea with tha city Builtling Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Tnis section neetl nol be comPleteG if the permit is tor ne huntlretl SE300) or less�. C¢rtify that In tne perlormance t A r( I ' pe mit is issuetl, I shall not emPloy any pe ' ny ecomR �PLUMBING sub)ect ^ -r ri Compensat o ws o ia. Dale Signatura ��-- J\% enrHrues NOTI : If atler making this tleclaration, you shoultl become zubje<t TOILETS to the WO/kers' Compen5atio0 provl510ns of the Ldbor Cotle, you mu5t fo�thwith comply wi[h SUCh provi51on5 0� this permit Shall b¢ tle2metl LAVATORIE$ revoked. CONSTRUCTION LENDING FGENCV KIT.SINKS I_her¢by affirm lhat.tnere is�� cons[ruttion lentling agGnCy for the per- SE0.V ICE $INI tormance att�e work�(or,whi<h [his permit is.issuetl.�(Section,�309]� - Civ. C.1_., ' - � � Lentler'S,NSme ��'�� `��'� � FLOOR SINK° L.entleYSAdaresi.. ' �- DRINI$ING�Fr OWNER BUIIDER DECLAR/iTION _ \ � ' :� � , . ; }ryTERCEPTO Hny ctty, oricounty�wn�cn,reqwres a permrt m� cons[ruc[,_arter, Improve, tlemp Ilsh or repa�7any structure, prioi to its issuance,.also re- qW�es [ne apFlicanl for Such pe�mlt to file a Si9netl statement that �e I5 II<en5etl oursuan< <o cne provlslons oI the Contractor's License Law (Chapt¢r 9(commencin94with Section,J000) ot Olvision 3 of,-the Business antl Prolesslons'tCode) or tnat ne is ezempt therefrom!anC'ttie basis for [he alle9ed exemption. Any vlolation of Sectlon 7031.5 by any applicant tor a pttmit subjects tM1e applicant to a civil penalty of not mOre than live huntlretl dollars (§500). ❑ 1, a5�owner of lhe property, or my employees with wages as tFeir 501e Compensatlon, wlll tlo the work, antl the sVucture is not intentletl or otferetl for sale. (Section 7044, Business antl Pro�essions Cotle: The Contractor'S LIC¢nse Law tloes not appty to an owner ot a property wh0 builtl5 Or improves Iher¢on, antl who tloes sucn work himself Or Ihrough his own emploY¢¢5, provitletl lhat Such imprOvements are not Intentled o� otferetl IOr sale. If, however, Ihe bviltling or improvemen[ is sold within one year of completion, Ihe owner will have the burtlen of proving h¢ tlitl nol builtl or Improve for [he pu�pose ot sale). ❑�I, aY owner O/ lM1e �property, am excluslvely mnt�actinq with IicenSetl conl�aclors lo construct the proj¢ct (Sec[ion 7044, Buslne55 antl� Professions Code: The Gontractor'S �icense 12w tlo¢z not apply to an owner ot prOperty wM10 builds or Improves ihereon, antl who con- lratts from sucM1 prqect5 wiN a conlractor(5)�lic¢snetl Dursuant to tne Contracror's Licenze Law). ❑ I am ex p� n�tler cSio= u �p4. P. C. for tM1is reason _ 2� ��C• L L �Q,� D R � Odta `-•O thal I have reatl this a �[ [he antl c GAS SERV ICE• ' , PLAN CHECK URINALS " DOUBLE LAVS ' DISHWASHERS SUMPS � FLOOR DRAIN$ � CLARIFIERS --P�TRAP ' ' � � ALTERATION '" WATER'HEATERS -' BTU OVTPUT .SEWERCONNECTIONS ' " SOLARTANK- COLLECTORS SOLAR PIPING SVS. �� r ISSUE FEE �� MECHANICAL PLAN CHECK HEATING SVSTEM 0-300,000 BTU_ ANO DUCTING 300,000 + BTU _ REFRIGERATION 0-300,000 BTU_ SVSTEM 100,000+gTV= BOILERS BTU SVSTEM REPAIR, ALTERATION EXHAUSTSVSTEM MULTIPLE repr¢sen[ativ�^MT Tbi -to 2ni Rl�]CR tM1e abOve men[lonetl �-- property_tor sp T n o}�. �„� Signature �� Accoun[in9: Goltlenrotl-Assessor A.P. � 20NE REAR VARD (TO PKG.SPACE RE�. STREET,WIOTH 6�00 8/13/82 ... , IING REGULATIONS 2 "'� � LO PLNTGp. gRUEFL. � �� PROPE�RT�VNLr�INE �- �L .! �.e O l� � -A%TG� Iw �� PROVIDGD �.-• /� �f,(/� PARK FEE $ SPECIAL CONDITIONS: ELECTRICAL PLAN CHECK GENERATOR p.l KW_1-30 KW _ TRANSFORMER APPLIANCE 30-SOKW_SO+KW_ MOTORS 0-1 HP_1-30 HP _ (INC.SOLAR) 10-50 HP_50 * HP _ FIXTURES OUTLETS ' SWITCHES GHS TUBE SIGNS POLE LIGHTS - ' PANELS' " SERVICE' ' MAIN SUB AMP ISSUE FEE APPLICATION APPROVED BV 31.85 SUMMARY OF FEES . BUILDING PERMIT S �� SMIP E� PLANCHECK E� PERMIT - - ISSUANCE S PLUMBING b � . . GRADING E PLAN CHECK S _ ELECTRICAL E � �- •S ' MICROFILM E P�HN CHECK b - 'MECHANICAL E — — . TOTAL FEE S �E55 AD- PLAN CHECK E ' VANCE PC $_ _ FINAL FEE § �/ �S CONSTRUCTION AND PLANNING � � � �POOL & SPA , x• � APPROVALS Permit # Date Inspector pppROVALS . '.Permit #� ' Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location � � 2. Soil ipe-Undrgrn 44. Steel Reinforcement ' � �� 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgm •�� -' �� 46. Electrical Bonding . tee ein orce 47. Rough Plumbin & Pressure Test 6. Electrical UFER Grn 48. 'APPROVALTO COVER-GUNITE 7. Footings _ pa 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 57. •. Backwash Lines P-Tra ❑ ndr rn 10. Structural Floor SYstem � y� q-�'� 52. ''.APPROVALTO DECK 11. Property Sewer Line & House Conneccion 53. Backwash & Rece tor-Final 12. Street Sewer Connection ' 54. Heater & Vent-Final 13. Rough Piumbing ' 14. Rough Electric-Conduit � - �56. Electrical-Final 15. Rough Electric-Wiring 57. Solar System-Final i6. Rough Heating & Air Conditioning � encing & Access Approval � 17. Ducts in Structure 9• APPROVED FOR PLASTERING' � 1' ":.,1 16. Ducts, Ventilating � . ; � , ' - { � _ . _ 79. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathin 22. Frame and Flashin NOTES: g �,,,,� 23. Insulation ' 24. Lathing & Siding 25. Drywall Nailing � 26. Plaster Brown Coat S i' 27. Electrical Power Meter-Final 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test � 31. Final Plumbing � 32. Water Service-Final ' �33. Gas Service-Final 34. Solar pomestic-Final 35. � landsca e S rinklin S stem � 36. Sound Attenuation � - - 37. Handicap Regulations � 38. FINALSTRUCTURE&BUILDING ��.:�ig�g� (.fN 39. Special Requirements Completed � � • .1 ", � 40. Electric Release ro Edison � � � � ' 41. Gas Release to Southern California Gus Co. ' � 42. CERTIFICATE OF OCCUPANCY ' � ' � ' No. Date _ , . . . Applicanl to fill in all spaces within heavy borticr lines antl sign all avG�opriate tleclaration CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG. NO. CONSTRUCTION PERMIT t3� 3 973 ' 2a�1►o arn Address License No. Address Contractor • - Phone Address LICENSEO CONTRACTOR DECIARATION � I hereby afflrm th:.t I am II<ensetl untler provisions of Charter 9(com- mentlng with 5¢ctlon 7000) of DIVISion 3 0( [he Bu5ine55- �antl Professions Cotle, antl my Iitensa Is In full force ana eflect. Lltense Class Licensa No. Date Si9nalure � WORKERS' GOMPENSATION OECLARATION I hereby affirm thdt I have a Certlficate of COnsen[ to selt-InSure or a C¢rti/iWte o� Wo�ke�5' Comp¢n5atl0n InsuranGe, or a certified copy thereof (Seclion 3800, Lab. C.). Policy No. - Company ❑ Certifietl copy is hereby furni5hltl. . ❑ Certlfietl copy is tiletl wlth the Uty Builtlin9 Division. E%EMPTION FROM WORKERS' COMPENSATION DECLARATION (This sectlon neetl not be completetl It the p¢rmit IS fOr one huntivetl (g100) or less�. ' � I certify thdt In the pe�formant¢ Of [he wo�k tor whiGh this permit is issuetl, 1 sha11 not emPloy any person in any �manner so�s to become subj¢Ct to the Wo�ke�S CompCnsati w of Ilfomi �y� � Date�%�%-��z'Si9nature ^"`� NOTIGE: II after maklnq thls tlecla�ation, yo houltl become su�ject to the WOrkers' Compensatlon provislons of t Labor Code, you mu5t torthwith comply.with SUch provl5lon5 0� this perrtiit shall be tleemetl revOk¢tl. .. . CONSTRUCTION LENDING AGENCV I �ereby affirm that there Is a construttlon lentling xgency'for tne Oer- . tormantt of [he work for which thls permit is i5sue0 (Section'309� Civ. C.I. . . _ . . Lentler's ,Name Lender's Atldres5 ` OWNER BUILDER DECLABATION �� " � " pher4by dNirm Ihal'I am exeTO� ��om lhe Contrat[or'S License Law fon ' the followlnq reason ($CCi�OO %OJ�.$ BIISIO255 dlld Professions�CoOe:' Any city or counry which �eqWreS a permit to conSVucS. alter, IrtlprOv¢, tlemoll5h Or r¢pai� any st�uctu�e, prbr f0 ILS'issuance, also [e- quires the ap4�� lor such permit to file a signetl d[atemenb,that he I5 Ilcensetl pursuant to the provislons of the Contracror'S License Law 1Chdpter 9(commencing wi[h SeGtlOn 7000) ot DiviSion 3 of the 911510¢55 d�tl ROIESSI005-COtlE) o� that ne i5 ex¢mpt [h¢refrom antl the basis for tne allegetl exemption. l\ny violation ot Section ]031.5 by any app�IWnC for a pGrTit SUb�eGts tM1e'applicdnt to a tivil penalty ot not more than five �untlretl tlollars (5500). ❑ I, a5 owner of tbe properfY, or my employees wi[h wa9e5 as their Sol¢ <OTPenSdtlon, will tlo lh¢ work, antl the SlruCtur¢ is not IntentleG or offered ior sale. (Seclion 7044, Buslness antl Professions Cotle: The Contractor's,License Law tloes nol apply to an owner of.a proper[y_ who builtls or improves lM1ereon, antl who tloe5 Such work bimself o� [hrOu9h.his own employeBS, provitletl that Suth iTprovemen[s a�e no[ In[enGetl or offer¢tl /or sale. I1, howGv¢q the builtling or improvement I5 soltl wi�hin onE yCar_o� cOmpletlon, the owner will M1ave the burtlen of proving he tlitl nol bulltl o� Improve for th¢ purpose of sale).� -� I,- as �owner -ot tho property, am exclusively contractinq with licensed contractors to construct lhe project (Sectlon �044, Business antl-Protessions Cotle: The Contractor's �icense Law tloes not apD�Y �o an owner o� property wno builtls o� ImDrov¢5 Ihereon, antl who con- tracls trom such projects with a conbaCtor(s) Iicesned pursuan[ to� the Contractor's License Law�. 0' I arrm eaempt�nuntler Section �v � B. & P. C. for ihis I¢d50n v �J N �� Dale �Z� 1 h¢reby Certity tnat I have reatl Ihis dpplica i n ana state Ihat IhE above intorma[ion is correct. 1 agree t0 Comply with all dity antl munty or0inances antl s[ate laws relatin9 to construction, antl hereby auihorize representativ¢5 of thii cily lo enter dpon lhe above menlionetl property f9� n5Qs¢Ctl ypur�p�o%�,�� Signature %l��t! C �" ""�' " Date�� TVPE OF C�O,,�NSTRUCTION Il ❑ NEW IfSAD� ❑ ALTERATION ` ❑ REPAIR ❑ GONVERSION ❑DEMOLISH ❑ OTHER DESCRIPTION OF WORK A'P� � ZONE TVPE OF PERMIT,��/ � � ❑ GRADING O FOVNDATION �STRVCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MEGHAN ❑ OTHER - PROJECT DES�R1PTION r 5�. FT. lf�n_.�__ OCCVPANCVJ.L��CONS�TRUCTION TVPE � VALUATION�.].,�mQ ZONE GRADING CV. YDS. ACRES PLUMBING BATHTVB$ TOILETS , � ' LAVATORIES KIT. SINKS'" SERVICE SINKS FLOOR SINKS DRINKING FOUI INTERCEPTORS PLANCHECK- SHOWERS URINALS DOUBLE LAVS DISHWASHERS SUMPS SWIMMINGPOOL PTRA7 . WATER SERV.ICE., ALTERATION GASSERVICE OUTLETS WATER HEATERS - BTU OUTPUT SEWERCONNECTION$ -SOLAR TANK COLLECTOR' SOLAR PIPING SVS. ISSUE FEE � � MECHANICAL PLAN CHECK HEATING SVSTEM 0-300,000 BTU_ ANDDUCTING ' �OO,OOO+gTU_ REFRIGERATION 0-100,0008TU_ SYSTEM ' 100,000 + BTU _ BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MVLTIPLE Drivers' License ar /-» ' �SSUEFEE CMF OBfiS-46 While-Bulltling; Canary-Appliwnt; Pink-Accountin9: Goltlenrotl-ASsessor 91Q3 6/23/92 REAR VARD,�TO P/L) PKG. SPAC E R EQ. STREET WIDTH ZONING APPROV ED BV SPECIAL CONDITIONS: "ELECTRICAL PLNG. REF. � GROVIDED PARK FEE S PLAN CHECK GENERATOR Q_� KW_ 1-30 KW _ TRANSFORMER APPLIANCE 10-50KW_50+KW_ MOTORS 0-1 HP_3-10 HP _ (INC. SOLAR) 10-SO HP_ SO + HP _ FIXTURES � OVTLET53 SWITCHES GAS TUBE $IGN$ POLE LIGHT$ ' PANELS MAIN SUB 'SERVICE ' - AMP ISSUE FEE - " ' ' — APPLICATIONAPPROVEDBV / , ,�� DH 67.62 SUMMARV OF FEES BUILDING PERMIT $ �'J� SMIP $ O •SO� PLANCHECK E ZS��Z � PERMIT' , ' - ISSUANCE E PLUMBING E ' C.RADING b PLANCHECK S . '� ELECTRICAL S� $ - PLAKCHECK S MICROFILM 5 MECHANICAL S TOTAL FEE § '� , LE55 AD- PLANGHECK S VANCEPC S_ " FINALFEE S�/�6� CONSTRUCTION AND PLANNING POOL & SPA '� �_ APPROVALS Permit # Date Inspector qppROVALS Permit # � � Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -�• • ' - ' - 2. Soil ipe-Undrgrn - 44. Steel Reinforcement • � 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . tee ein orce 47. Rough Plumbin & Pressure Test � 6. Electrical UFER Grn � 48. APPROVAL TO COVER-GUNITE 7. Footings � 49. Electrical Conduit-Undr rn 8. Foundation ' � 50. Gas Pipe, ❑ Undr rn, Test 9. • Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr rn 10. StructuralFloorSystem 52. .APPROVALTODECK . 11 . Property Sewer Line & House Connection ' 53' Backwash & Rece tor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing 14. Rough ElectricConduit - 56. , Electrical-Final 15. Rough Electric-Wiring � ,Z„�� L-' s-- �' 57" Solar System-Final 16. Rough Heating & Air Conditioning � encing & Access Approval 17. Ducts in Structure 9• APPROVED FOR PLASTERING 18. Ducts, Ventilating . - - - � -, � 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL . 20. Roof Framing . 21 . Roof Sheathin �? j • . 22. Frameand Flashin NOTES: ��Lp G�YiGa- » S% � � ��. i "23. Insulation ' -� C � c. - � ' 24. Lathing & Siding � � - 25. Orywall Nailing � � 3 --�p 26. Plaster Brown Coat ;2 L 27. Electrical Power Meter-Final 28. Final Electric Iy! Ig �� '' ' 29. Final Heating & Air Conditioning 1 30. Final Gas Pipe-Test 31. Final Plumbing 32. � Water Service-Final 33: Gas Service-Final ' - 34. Solar pomestic-Final 35. ��Landsca e S rinklin S stem � 36. Sound Attenuation ' 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 'y(?�(� ('.�-�' ' . 39. Special Requirements Completed � � 40. Electric Release to Edison -� ' " � 41. Gas Release to Southern California Gas Co. ' 42. CERTIFICATEOFOCCUPANCY � No ' � Date - ` . . v�c Applieant to till in all spaees exeept tbose wil�in heavr �oraer Iines anO sign al1 aoorooriata aeciaraHons. CITY OF COSTA M COI�STRU �(�TIO PERMIT PERMI � O�� TRACT O. LOi NO. UNIT NU. 7773 10/20/87 44023 T �� S 0 --. Project Address � � AppliCant'S Mailin Address � f)( TYPE OF CONSTRUCTION NEW ADD ALTERP.TION REPAIR '❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p.q� 1 ��21�I. -1.� 2one � � , Owner'sName `L` on � DESCRIP OFWORK/US O BL G. Address ��T'/Q �V� S Main Building: Accessory Buildin9: E Z Arch/Eng. LicenSeNo. TYPEOF� GRADING FOUNDATION �STRUCTURAL T Front . p . Addreu p� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear 2p� N O L^r � �'Phon .:. ❑ OTHER _ A � ntractor's Name Q• , PROJECT DESCRIPTION SQ. F7. � � OCCuvANCv C Ri9ht 2� G Addresslmailing) a`-� Gh� �%%� �� R GONSTRVCTIONTVPE VALUATION$�. �I.�D� b g Left s City Licenm No. 20NE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DEGLARATION Ping. Ref. # Parking Req./Provided E Q I hereby afli�m that I am licensetl untle� provision5 of Cltarte� 9(comm¢ncing qemarks: Planning Notes: M� with sectiOn 7000) of DlviSion 3 Of [he Business antl Protessions COCe, antl my license iz in full force antl et(ecL � T License Class License No. S oate Signature PLUMBING FEES WORKERS' COMPENSATION OECLARATION Bar Sink Showers ELECTRICAL FEES 1 hereby a/firm thal I have a certifica[e of consent lo selt-insure or a Certlfica[e of wo�kers' Compensation Insurance, or a certitiea copy thereof (Section gackflowPreventer ServiceSink 3800, �ab. C.) Automatic Washei Trans(o�mer ❑ 15-50 KW voilcy rvo. Company Backflow Irrigation Sewer Cap Construction PoleSu6. � 50+ KW 8 Certitietl caOY is hereby /umisM1etl. . . Certifietl copy is flled with the city Builtlin9 Divlsion. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps , Date Applicant ' E%EMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers $Ola� COIICCLO/5 Dishwasher Mete� ❑Ov¢� 1002mps (Thissectlon neetl not be compleleOlt the permit I5 for One huntlretl ($300) o� Iess). Dishwasher Solar Piping . Oryers ❑Gas ❑Electric Sub Panel I cerlity lnat in lh¢ perfo�mance of lhe work tor which this perm�t is issuetl, 1 shall not employ any person in any manner sfi s to becom sub'ect 9b tne Drinking Fountains ' SolarTank Fan Motors �0-1 HP 01'h-8 ' worker 4 Jnsa �ws ot Calitom' .♦ / N � oate Signaluro �� 1� i Floor Drains Swimming Pool wlSpa F.A.U. Inc.Solar �9-15 HP �i6-15+ NOTICE: If, fter ak 9�hi5 tleclara ion, you shoultl beco subject to the "' Workers' Compensatlon proWsions ot Ihe Labo� Cotle, ycu ust /orthwith FIOO�SinkS � U�indl FiXtu�¢5 � com0ly with such provisions ot this pe�mit shall be emetl vevoketl. � MiCrowdv2 CONSTRVCTION LENDING AGENCV GasService Outl¢t5 Wet¢�CIOSCI Deviceeoxes 1 bereby alfi�m that there I5 a conSlruction lentlin9 d9ency tor the pertotmance POI¢ Liyht of the work tor whicn this permit Is issuetl (Section 309] Civ. C.) Intercep[ors Water Heater OullCtS Range Lentler's Name Lentler's Atlmess Kitchen Sink Water Service Swi[ches Sign OWNER BUILOEH UECLARATION � , I hereby alflrm that I am exempt Irom the Con[ratlor's Llcense Law for the LdvdtO�i25 AutO-WdSh (ollowing reason (Seciion 7031.5 Business antl Protessional Cotle: Any city or Garbage Disposal Standing Seccions county which requires a permit to construct, alter, Imorove, tlemolish or repatr P—Trap Laundry Trays Generamr 065 KW 0545 KW Trash Compacmr any S[ructure, D/ior to i[s issuance, a150 reqW/es [he applicant to� such perTit to fi�e a signetl s[atemen[ that ne/she is Ilcensetl pursuant to [ne provisions of qoOf Orains� the Contractor'S License Law (Chapter 9(Commencing with Section ]000) ot Oivision 3 0( the Business ana Pl07¢SSiOnS COO¢) or that he/she is ezemo� therefrom antl the basi5 f0/ �ne allegetl exemption. Any violation ot Section 7031.5 by any aOPli<ant for d Petmit subjects [he applicant to a civll �enalty of not more than five huntlretl tlollars (E500). I, as owner of ihe oroperty or my employees with wages as their sole Reinspeetion Fea §75 Isue Fee $ 3 � compensation, will ao the work, antl the ztructure is no[ intentletl or otferetl Reinspection Fee $15 Issue Fee $ 3 for sale (Section �044, Business ana Protessional Cotle: The Contractor's MECHANICAL FEES License Law tloes not appiy to an owner of a Droperty wno builtls or improves DEVELOPMENT SERVICES REQUIREMENTS: [hereon, antl who tloe5 Such wo�k himself/herselt or Lhrougn his or hEr own emo�aYees, proviaetl tnat zuch imo�ovements are not intendetl or offered for BOiler Hood or Type I ❑ ZoninB APProved 8y Date�—� sal¢. It, howaver, the builtlin9 or ImprovBment is soltl within one year of com- CdnOpy Type II ❑ .� pletlon, the owner will have the burtlen oi proving he/she tlitl not builtl or im- Dutt - Under Ground ' guilding ApproVed By Dat9-�,� p�ove for the putpose Of sale). ❑ 1, as owner of lhe property, am ezclusively mntracting with licensetl con- Duct � Structural Refrigeretion System Appliwtion luued By • Dat Vattors to wnsVuct Ihe pro�ect (Section ]044, Business antl Professions Cotle: The Convactor's License Law aoes not aoPly to an owner ot property who Duct � Ven[ilating ❑0-100,000 BTU ❑100,000 BTU $UMMARY OF EES builtls or Improves thereon, antl who contracts fo� such projects w�th a con- _ 1V� tractor(s1 ncense pursuant ro tne ConVactor's �icense Law). 1 am aware that Exhaust System ❑ Multiple ❑ System RepaidAlteration BUILDING PERMIT $ 2 E+•sr% SMIP $ � proof of their Worker's Compensation insurance shouln be provitletl ro me. _ PLAN CHECK $ ��•�; PERMIT ❑ 1 am exempt untler Section B. & P. C. or this eason Firepl/Fact. BIL ICBO # Fire Dempers PLUMBING $ � �SSUANCE $ Datc Owner Heating System & Ducti Registers �PLAN CHECK 25% $ ENERGV P.C. $ i here y c tity th t I have reatl t is app�ication state that me above ❑0.100,OOOBTU 00,0006T ELECTRICAL $ GRADING $ information is correcL I a9ree to comply witn all ci antl county ordinances antl state laws relating to builtling constructlon, an nereby authorize reore- PLAN CHECK 50% S MICFlOFILM $ sentatives o( lhis clty Sp en[¢r On the� above-Te�lionetl p�operty for ' insoectionpur s.` _� j � MECHANICAL $ . TOTALFEE $ •� Signature /�/ Da[e Drive¢' License or 55 � Reinspection Fee $15 Isue Fee $ 3 PLAN CHECK 25Yo $ CMF 0865-46, rev. 10/84 Whi[e - Builtling: Canary - APPlicanq Pink - Acmunting; GoltlenrOtl - Assessor CONSTRUCTION AND PLANNING - _ POOL & SPA, � APPROVALS Permit�k � Date Inspector � AppROVAL'S Permit# Date Inspector 1.. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. " 53. Sieel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Fo�ms 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. Strucwral Floor Syst`em 61. APPROVAL.TO DECK - ' 11 . Property Sewer Line�& House Connection 62. Backwash & Receptor-Final '- i 72. 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 76. 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 • 19. Rough Heating & Air Conditioning FIRE OEPT. REQUIREMENT �- - 20. Rough Factory Fireplace APPROVALS Permit # 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 Hydio 26. T-Bar Ceiling (Struciural) & Monocoat 75. Dry Chemical ' 27. Freme 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 .t , 32. Electrical Power Meter-Final S0. FOOD CERTIFICATE ISSUED � 33. Final ElecVic Notes: 34. Final Heating & Air Conditioning '• 35. Final Gas Pipe-Test 36.� Hood or Canopy , � �. � 37 � Final Factory Fireplace • � � 38: Final Blumbing �'' �' � 39. Water Service-Final < . � � ' � e" . , 40. Gas Ser�vice-Final , , � .. : 41 . Solar pomestic-Final � � ' - w ' 42. Backflbw Preventer �; �� - � , �: 43� Backflow Irrigation �� - � � ; 44. Lands�ape Irrigation System ,: � • 45. Sound Attenuation ' � � . � -� 46. Handicap Regulations � i. g7. FINAL STRUCTURE & BUILDING � � �,� �l� ��J' .,� , ' " •' ' 48: Specia�l`Requirements Completed � � d9. Electrie Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _ � � ( � � .�� r ri�.a�� ai i�� u�i aMe�ea e �:cV� � S�Y�� aVV��V��a�c uc�.�a�n��v��a. PERMIT NO. TRACT NO. LOT NO. UNIT NU. � �., �... CITYOFCOSTA SA CO TRUCTI, ON P�MIT � �� 4305 0/27/�J . ' Project Address Ap�licant's Mailing Address B! O TYPE OF CONSTRUCTION NEw ADD ALTERATION REPHI R Owne�'S Nam G '� o� ri'//�_Z/_ � CONVERSION ❑ DEMOLISH ❑ OTHER q,p, #,/�./ � /� � 2one 'F��« DESCRIPTIQjV OF O�yJ OF 8 Address dS r �Jd�T((� �) � S Main Building: Accessory Building: /J �(� Pach/Eng. LicenSC No. TVPE OF PERMIT GRADING IJ FOUNDATION TRUCTURAL T Front Q ddf255 / ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear � N tfacto 'S N2m�� php ,�-y��(p � oTHER PROJECT DESCRIPTION Sq. F7. oCCUanrvCv C Right / N dresslm�'i'��I �� GC/ �%i�� C•%�9 ` K G CONSTRUCTIONTVPE VALUATION$ �3G�I•� $ t CityLicenseNo. ZONE GRAOINGCU.YDS. ACRES R �ICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided E I hereby affirm that I am licensetl untle� Orovi5ion5 of Charter 9(commencin9 Remarks: Planning Notes: M with section ]000) of Division 3 of the Bu5lness antl Profe55ion5 Cotle, antl my Ilcense is in full force antl effect. T License Class License No. S Date Signature ' PLUMBING FEES WORKEHS' COMPENSATION pECLARqTION Bd� Sink $hOWB�S 1 nereby atfirm that I have a ceriificate of consent to sel�-insure or a certiilcate ELECTRICAL fEE$ of Workers' Compensation Insutance, o� a ce�ilfie0 copy thereof (Section ' gackflow P�¢v¢Ot2f $¢�vic¢ Si�k 3800, �ab. C.) Automatic Washer Transformer ❑ 75-SO KW PolicyNo. Company Backflowlrrigation SewerCa ❑50+KW eCertitietl copy is ne�eby turni5hetl. P Const�uction Pole $ub. Certifietl copy is tiletl with the city Builtling Dlvision. , Bathtuhs $ewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant E%EMPTION FROM WORKERS' COMGENSATION DECLARATION Cla�iii¢�5 SOId/ COIICCto�s Di5hWa5h2� M2t ❑Ov2� 100dR1p5 (Tbis sec0on nee0 not be completetl if the permit I5 for On< huntlr¢tl (§300) or less). Dishwasher Solar Pipin9 Dryers ❑Gas ❑Electric ub Panel 1 certlfy that In the pe�fo�mance ot the work tor which this p¢rm�t is i55uGtl, 1 shail not emoloy any person in any manner so srto beco e subje ro the Orinking Fountains Solar T Fan � Motors �0�1 HP �1'h-8 Workers' o sat'p ws of Califorpy.�,/ ' Date °" '" Si9nature �lf�,��(S Floor Drains S' min9 Pool w/Spa F.A.U. InaSolar �9-15 HP �16-15+ NOTICE: If, after ma el q tnis tleclaration, you shoultl bec e subject to the — Workefs' CompenSdtlon plovl5ion5 0( the Ldbo! Cotle, yQ must forthwith FIOOf $ink5 Ulipol Fi%Luf¢5 MiCfOwdv2 comply with such provi5ion5 or [his permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV G25 S¢/viC¢ Outl¢t5 Water CIOS¢t Device Boxes I hereby affi�m tha[ Ibere is a mnSVuctlon lentlinq agency for the perto�mance POI¢ Light _ of the work for which this permit i5 issuetl (Section 309] Civ. C.) Int¢rc¢pt0/5 Water Heater �uLlCts Lentler's Name Range Lentler's AEtlress Kitchen Sink Water Service - OWNER BUILDEH �ECLARATION SwitCh¢5 $iyn I M1ereby affirm lhal �I am eaempt from lhe Conlract0/'S License Law tor the lavarories AutO-W25h ('id�ba E Di5 OSdI � tollowin.y.reason (Sectlon 7031.5 Business antl Professional Cotle: Any city or 9 P Standing SectiOns county wnith requires a oermlt to consiruct, alter, improve, tlemolish or repair P—Trap Laundry Trays Generaror �03 KW �5-15 KW any struc[ure, prior to its issuance, also requires the applican[ for such permit TraSh Compattor [O tile a siqnetl itatement thd[ he/She is IicenS¢tl puRuant to the provi5ion5 Of qOOf DIBinS the Contraclor's LiCenS¢ Law (Chapier 9(Commencing witb Se<tiOn 7000) of Dlvlsion 3 ot tbe-BusinG55 antl Profe55ions Cotle) o� tha[ he/she is exemp[ there/rom an0 the basis tor t�e allegetl exemption. Any violation of $ection 7031.5 by any applicant for a permit subjects the applicant to a civil ena ty ot no[ more than (ive huntlretl tlollars (5500�. I, as owner of tM1e property or my employees with wages as tM1elr sole Reinspeetion Fae $15 Istue Fea $ 3 compensation, will tlo the work, antl the ztructure is not intenaed or otteretl Reinspection Fea $75 Issue Fee $ 3 for sale (Section �044, Business antl Protessional Cotle: The Contractor's MECHANICAL FEES LicenS¢ Law tloes not appty to an owner O( a property who builtls or imprOves thereon, antl wno tloes such work himsclf/hersalf or through hls or her own DEVELOPMENT SERVICES REQUI M NTy.^y y�.�. O O� employeei, prOvltletl that such imprOvements are nOt intentlotl or oHefetl fof Boil2f HOOd Of Ty I ❑ �� sdle. If, howover, the builtlin9 or imorovement is soltl within ono year ot com- Cenopy pe I I ❑ Zoning Approved By µ�`� Date � �� uletWn, tM1e owner will have [he burtlen ot Proving he/shc tlitl not builtl or im- Duct � Under Ground a prove for the purposo o/ sale). 8uilding APProve Date ❑ I, as owner o/ the proper[y, am exclusively contractin9 with licensetl con- Duct-Strucmrel Refr' ration System Application Issuad By Dat tractors to [onstruct [he project (SeGtion 7044, Business antl Prot¢ssions Cotle: The Gonlraclor's License Law does not apply to an owner of o�oPerty who Duct - Ventilating 0-100,000 BTU ❑700,000 BTU SUMMAR F ES builtls or improves thermn, antl who contraCts to� such projects wlth a con- ' tractor(s1 iicense pursuant ro the Contractor's License Law). I am aware thai Exhaust System ❑ Multiple System Repair/Alteration BUILDING PERMIT $ ' SMIP $ • S� proot o( thelr Worker's Compensation Insurance shoultl be provitlea m me. PLAN CHECK $ 3a'�3 PERMIT � I am exempt unam Section � B. P. G. for thiz reason Firepl/Fact Blt. ICBO # Fire Dempers PLUMBING $ ISSUANCE $ Date � ' Owne Heatin9 System & Ducting Registers PLAN CHECK 25% $ ENERGY P.C. 5 - I hereby certify that i ha�e reatl this aoo��cation a tate tnat me above ❑0.100,000 BTU �100,OOOBT ELECTRICAL $ GRADING 5 information is correcL I agree to como�Y witn all cit ntl couniy ordinances antl state laws relatin9 ro builtlin9 consiructlon, antl ereby authorize reDre- ' PLAN CHECK 50°h $ MICROFI LM $ ' sentatives of this city to ent upon th above-mentionetl property for - inspection p rpd �A)�n �n MECHANICAL $ � TOTAL FEE $ �3 �� Signature �atz9�.] • Drivers' License or 55 � � ( Reinspection Fee $�S laue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46, rev. 30/84 White - Builtling; Canary - Applicant; Pink - Accounting: Goltlenrotl - Assessor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector qppROVALS 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, O 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 16. 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 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 DGas ❑Oil 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑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. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED � 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test _ . 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing � . 39. Water Service-Final . 40. Gas Service-Final ' 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation � 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING �� ` P�,N ' 48. Special Requirements Completed F 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co . � 51. CERTIFICATE OF OCCUPANCY • 1 No. Date '. � ApP��ant to fill In all spaees wit�ln �eavy GorEer linas anC sl9n all appropr(ale 0eclarations. CITY OF COSTA' MESA ' PERMIT NO. ' TRACT NO. LOT NO. �BLDG. NO. CONSTRUCTION PER IT ' i i y�i i,_i, i r �a .� Project Address 0S ' TVPE OF CONSTRUCTION ' . OWnC! Phone NEW � ADD ❑ ALTERATION � - - � ' Addr¢ss ' /js' � ' .. O REPAIR ❑ CONVERSION ❑DEMOLISH. Arch/Eng. License No. ❑ oTNER ZONING REGULATIONS DESCRIPTION OF WORK A'P' � AddrEss . ' � ZONE PLNG. REF. � Contracto _ � Phone TVPE OF PERMIT � SErBA[ 7. ��oeP��RTVNLirvE 'Addf2i5 ' ' � ❑ GNADIN ❑ FOUNDATION ❑ STRVCTURAL - IDE VARO - - LICENSED CONTRACTOR DECLARATION ❑ TENANT�ELECTRICAL OPIUMBING ❑MECHANICA 5Eoe�v _ I nereby afflrm thal I am Ilconsetl untler provlslons of Charter 9(com- • RIGHT mentln9 wIM sectlon 7000p of Divlzion 3 ot the� Buslness antl ❑ OTHER REAR VARD (TO P/L) -' ' -" Protasslons Cotle, an0 my Ilcense is in tull force and aftect. pROJECT DESCRIPTION ' � Ucense Class LlcenSe No. � PKG. SFACE REQ. PROV IDED ' Date Si9nature � 5�. FT.' . , . _ . . _ . WORKERS' COMVENSATION DECLARATION � OCCUPANCV_CONSTRUCTION TVPE STREET WIDTH " PARK FEE E"'- 1 nereby atflrm tnat I have a certificate of tonsnnt to selLlnsure or a 20NING APPROVED BY -''OATE certifi�zte of Workers' Compensation�lnsurance, or a certifietl copy VALUATION' ZONE tbereof (Sectlon 3800, lab. CJ. GRADING CV. VDS. ACRES '�SPECIAL CONDITIONS: Policy No. Company - - - " - - � ❑ Certi(ietl topy is hereby turnlSheC. . . .REMARKS: . . . , 0 Cerlifietl <opy is flletl with the ci[y Builtling Division. ' � • .• � E%EMPTION FROM WORKERS"COMPENSATION DECLARATION , (This section need not be completetl H tbe permit is (or one buntlr¢tl - . ' (E100) or leul. - ' - - " 1_cert(fy that in't�e performdnce of�the work for which this permi[ Is IssueO, I shall mt emPloy any p¢rson in any manner so as lo become PCUMBING PLAN CHECK . - �ELECTRICAL 'PLAN CHECK' ' subject to the Workers ComOensation Laws of Ca1lPornia. Date Si9nature BATHTUBS SHOWERS ' ' " ' NOTICE: It atter m5king this tleclaratlon, you shoultl be<ome subject TOILETS URINALS ' ' ' -' GENERATOR -0-1 KW_ 1-30 KW to the Workers' Corripensalion provisions of the Labor Cotle, you must , TRANSFORMER - forthwi[n comply with suc� provisions or this pormit shall be tleeme0 LAVATORIES DOUBLE LAVS �� APPLIANCE 10-50 KW_50+KW revoketl. _ . . ' ' - - -. � � KIT.SINKS " ' �DISNWASHERS • MOTORS 0-1HP_1-10HP CONSTRVCTION LENDING qGENCV . I.hereGy aHirm that tM1ere Is a mnsVuction lentling agency lor t�e Oer- SERVICESINKS SUMPS - ONC. SOLAR) 30-50 HP_50+.HG ' . formante of the work for which tnis permit is Issuetl (Section 3097 Civ. C.). ' " ' - FLOOR SINKS " FLOOR DRAINS FI%TURES OUTLETS SWITCHES � Q� Lend¢r's Name . Lentler'S Atltlress - DRWKING FOVNTAINS GASTUBES GNS �- � - OWNER BUILDER DECLAHqT10N ' - " ' INTERCEPTORS CLARIFIERS � POLE LIGHTS � � • � •� Ilhereby affirm that I am ezernpt trom.the Con[ractor's License Law for the tollowing�reason (Section 7031.5 Busineis antl Professions CoOo: SWtMMING POOL - PTRAP ' Pp�ES METERED �� SUB ' Any dty o� munty which �equire5 a pe/mil to con5tru<t, alter, improve, tlemolish-or repair dny structure,-prlor to i[s Issuance, also re- yyqTER SERV ICE ' ALTERATION ' PANElS ' MAIM � - 'SUB � qWres the applifvnt for Suth permit to til¢ a 5igneA statem¢n[ that be - is Ilcensetl-pursuant to the pro�i5ion5 0( the Contractor'S License Law - GAS SERV ICE - OUTLETS SERVICE - - � AMP - (Chaptor 9(commencin9 wlth Settion 7000) of Division 3 of the Business antl Rofesvons Cotle) or [haC �e is exempl [herefrom antl the yyqTER HEHTERS ' BTU OUTPUT " ' � ba5is for tne allegetl exempryon. Any violatlon of Section �031.5 by any'applicznt tor a permll subjetts the applicant to a-clvll peudity� $EWER CONNECTIONS � -' - " ' ' �� ot not more than five huntlretl tlollars (5500�. . „�]� I, as owner oi cne property,-or my employees wit� wages as tnelr SOIAR TANK ' ' COLLECTORS - �- �� 5ole tompensation, will tlo the work, antl the ztructure is not Intentletl ' or oHeretl for wle. (Seclion 7044, Business and Rotessions Cotle:�The SOLAR PIPING SVS. � " ' 'ISSUE FEE ' � Contrac[or'S License Law dqes.not appty to an owner ot a property ... � .. qPPLICATION.°.P ROVEDB � � - � Dl�TE who builtls or imDroves thereon, antl wno tloes such work himself' or ISSUE FEE � - through his own employces, provitletl that such Improvements are not intenaetl or otteretl for sale. It, however, the EWICin9 or improvement MECHANICAL PLAN CHECK � � � SUMMARV OF FEES - I5 soltl wltnin one year oi� COTplelion, [he own¢r will have Ihe burtlen � ol Oroving he tlitl not Euqtl or imProve for the purpose of sale). - ' BUILDING - - � as owner of�the prOperty, am exclusively wntracting wit� HEATINGSVSTEM 0-100,0008TV PERMIT E .SMIP S AND DUCTING Iicensetl mnVactors to wnstruct the project (Section �044, Business ]00,000. BTU PLAN CHECK S PERMIT � and AO�eszions Cotle: Tna Contractor'S Licensa Law tloes not apply lo -. . . ISSUANCE. E dn owner ot properly who builtl5 or imp�ov¢s the�eon, and wh0 Con- REFRIGERATION 0-300,000 BTV . PLUMBING E [racts from such �projects �wi(h. a contractor(s) Iicesnatl pursuant to SVSTEM � � - • . E . . , �GRAOING :S tne ConVacror's License Law), 100,000 + 8TU ' PLAN CHECK . � I am exempt under Se<tioh ' B. & P. C. for [M1is BOILERS BTV� � 'ECECTRICAL $�' § reasom � .. . . MICROFILfvt b Date ��—�-� LOwnor -�� SVSTEM REPAIR, ALTERATION P�/aN CHECK E- TOTAL FEE S i hereDycertitythat I have redtl [his appli ion anC state [nat [he above EXHAUST SVSTEM MVLTIPLE MECHANICAL E PI.AfV CHECK E LE55 AD- IniorTalion is mrrect. I agree to com ry with all city antl county VANCEPC E ortlinances antl state laws rela��ng ro consVuction, antl hereby authorize �� repre5entatives of this tlly to ¢nt r upo0 tne above Tentlon@tl' - C��' property for ' spe�ti n t o s. / / /�,y FINAL FEE E�� Signature � % — ISSUE FEE - � -- . . CMF oe6s-ob wnne-BW��Ing; Canary-ApO��nq wnk-Accounting: coiaenroa-�assessor r� _� ,. , . CONSTRUCTION AND PLANNING POOL & SPA '.. . Date ,� Inspector " ` - �' F � � - = � Dat�� , � Inspeetor APPHOVALS Permit # APPROVALS Permit # � 1. Temporary Electrical Service or Pole " � 43. � Pool & Equipment Location � �� - ' -� - - - - - - - . _ i. ipe- n rgrn ' 4 . Steel Reinforcemenf - � � - - - - - - � -- • - � 3. lec[rical Conduit Utility-Undrgrn__ _ 45. �� Forms � ' - - - �- � 4. Electrical ConduibUndrgm . . _ 46. .Electrical.Bondin � - - - - - � _ tee em orce 47, flou ti Plumbin ��& Pressure Test � - - _6. Electrinl UFER Gm .._ 48. APPROVAI TO COVER-GUNITE 7.. ootings - 49. Electrical Conduit•Undr m �� - $. Foundation - - - � � - 50. , Gas Pipe ��Undr rn, Test ' � ' ' -9.--Water��Pipe=Undrgrn � 51. Backwash Lines P-Tra �❑ ndr�i � - ' ' � ' � �� 10. Structural.Floor.System , 52. APPROVALTODECK " ' - ' - 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final ' -12.,- Street Sewer Connection - � ' - - � - - 54: - Heater & Vent-Fioal - � � �.13. . Rough Plumbing ' " � - � -' - - -� ' 14. Rough ElectrioConduit - � ' � - "56.- Electrical-Final� - �� • �� - � " 15. Rough Electric-Wiring ' ' - -57. Solar System•Final - " ' " � ' ' ' �16. Rough Heating & Air Conditioning - - - - -r '-- - - • - encing & Access Approval , , . � 17�. Duas in Structure-. .- � '�� " APPROVED FOR PLASTERING ' - ' � 18. - Duc[s. Ventilatin9 -- � - -� - - - - - - . . . _ -- - - _- --_ - _ , � 19. GasRpe-Rough&Test ,- 60._ POOUSPASYSTEMSFINAL ' . � '-20: Roof�Framin9 � - --- . . _ . -� _ - t . . .. . ,. .� . � . � . . . 21. Roof Sheathin '-}- -- ' -'- . ' _ . . ` . _ _. o.� •. ., . 22. - Freme and Flashin - - - - - - -- - - �� NOTES: � '� ' .. . , . ' ' ' ' 23: 'Insulation - �- ----- ' - -_ ._ . � '� - ' --: .. � , . . � 24.. Lathin & Siding . . - - - - - - ' ' -- - -- . _. _ - . - . . ' ; . , .'.. .'. . . . . . .. . . : . 25. Drywall Nailin9 � - � - --r � . . � . _ - � ---- - -. .. . _ .. . , . , . . , . .. , � . ' 26. Plaster Brown-Coat - • �- � • - - - � -!--- � '+ .�� ' � • � - -_.. _ _ - � - �- --.__ . � 27. Electrical Power-Meter-Final� - � � - � - � i - � " � ' � � ^ � � ' � � � 28.� Final Electric - - � - - - - - --a � . - ,' � -.- . t . :' - 29:' Final-Heating�& AirConditionin9 �- - - - -- . -- - -- .- - -.. . ... . . . - 30�., �Final Gas�P'ipe•Test- ' -- - - - � . . � . , . . . -. - .. 31.! - Final Plumbing- . , - - . . , . .32:' -Water Service-Final - - • - - - - ' - -- -' --- - - ' " , . �� . u , . ' 33.- GasService-Final - - - - � - � ' � " " 34. Solar pomesticFinal' "- - - - - - - -, "'°'r '. " .. . . ' `• , , 35. Landsca S rinklin S stem � � �• ' � - - � ' � � 36. Sound Attenuation � ' - ' � � � � � ' 37. Handipp Regulations " � , � - � - � ' - 38. FINAL STRUCTURE & BUILDWG ' ' - 39. Special Requirements Completed � ' � �' ' �- - -- � � 40. Electric Release to Edison � �- - - - � 41 . Gas Release to Southem California Gas Co. ' � � ' . . ,` � 42. CERTIFICATE OF OCCUPANCY , � . No Date � - - � ADp��ant to /III In 1'Spaees aieeD� t�ose wH�ln neavy DorOer Iines antl sign a11 aDcrooriate Caelantions. ._ _ _ ., _ CITY OF COSTA MESA'- �- , ' -- ' , . T . , ' . . ' � � � � . � PERMIT NO. T.RACT NO. ' LOT NO. . BLD ., .� � . CONS?�ty:TION PERMIT , • ` . : a-- . ' , ' _yB4�� .,6j..31,�., .i _i.": . ApplicenY2 MellinQ d B " � �PE OF CONSTRUCTION NEW ADD 'ALTERATION' RE7AIR � . ' � � PlajKtAddfe53 O O � ❑ CONVERSION �Q OEMfj�.I+S1-I[J4 OrT,N�R. ,7S _ � ' ' ' ' " '- �� OWnef 3 N OnB DESGRIPTION OF WORK �� i�� ' I G RE U ATI S� Addf2i4 � Q` � TYPEOFPERMIT GRADING FOUN�ATION STRUCTVRAL �. A.P.9W ' ZONE : AfdhlEng. LiCEn52 NO. ❑ TENANT ❑ ELECTRIGAL ❑ PLUMBING ❑ MECHANICAL PLNG. REF. 5$ • ' ' ' BUILDING .- - . Add�ezs ' ' O,9THER � ' � TO BUILDING ' REAR VARD (TO P/U ' � Contractor i Nem � 4� hone PR0.IECT DESCRIPTION Sq. FT.' oCCUPAw v PR P �� . , � � CONSTRUCTIONTVPE VAWATION$� 'LEFTSIDEVARD � ' R�GHT�SIDEVARD � Address (mailing) - ZON� - GPADINGCV.VOS. ACRE� ?KG.SPACEREQ. PROVIDED . � . License No. - . . LICENSED CONTRACTOR DECLARATION Remarks: � ,` STREET WIDTH • ' �PARK FEE $ . I hlrBby a//irm t�at-I am Ilcensetl untler provislons of Charter 9(commencing - . with sectlon 7000) of Dlvislon 3 of tne BuSiness antl Professlons COAe, anC . ' , , ' SPECIAL CONDITIONS: • - my Ilcanse Is In full /orce an0 efiect. ' . ' ' , - , Llunse Clasz License No. PLUMBING • � � . . � Date Signature � - . - WORKERS COMPENSATION DECLARATION : ' ' � Bef Slnk SEWBf Cep � ELECTRICAL ! � heroDy'a}flrm that I have a tartlflWte of consent to seli-Insure or a certificate -- • - - - -�-- - - Automatic.Washer ' .- • Meter ❑over 10d amps . of Workers' Componsatlon Insuranca, or a certifletl <opy thareof (Se<tlon Backflow P�eventer $BwO� COnn2ctiOn - � Construction Pole Sub Penel 3800, Lab. G.) � . ' � � � Backflow Irrigation � $olar Collectors � ' Poli<y No. ' � ' Company � � � � COOking Unit Sub Pole � .. � ' eCertlfietl copy I,5 hereDy furnlsneC. � � Bathtubs . ' $Olar Piping ' � - Cartilletl copy Is fllatl with the�city BuilAing Division. , � . Dishwasher - Motors �04 HP ❑1X$ . Date � ' ApO��ant ` ' � ' ' Clarifiers SolarTenk - EXEMPTION FROM WORKERS' COMPENSATION OECLARATION DiShwasher Swimming Pool W/Spe Dryers ❑Ges ❑ElectliC InC.SOIa� 09-15 HP 016-15+ (ThiS SBcUOn neStl not EB COTpletetl It Ihe pe�mit 6 fo��One hUntl�GG (5300) o� � — less) . ' I � - • � '. - � Fan. Microwave - � I certi/y t�at in t�e pertormanca of the work for.which t�is m�t is issuetl 1 � �rinking Fount3in5 U�inal s�all not employ any person In any manp er so` to baco n subje to t�le . , - F.A.U. Pole Light ' ' Workers' �mDensytje�j Laws o1 Calllor �5 > �ry� Floor Drains� r Water qoset� Date ��•� [7Z_SIB�a[ure Fixtures flan e NOTICE: 1/, after making thls tletlaratlon; you 5houla Dec sub7ect to the " ' FIooI SinkS � �' " Wetef Heete� �"' - —' - - - 9 ------ -- - Workers', Compansatlon provl5ion5 ot the LaDor Cotle, y .must forthwith , � - DevicC BaxEs . � comply with. iuth .DroWSions or . this .permit 5hall be aemeC revokeE. ' Ges ServiCe .Outlets 1• Wetef ServiCe , � 5�9� CONSTRUCTION LENDING AGENCV ' ' � QUtlets � StandingSeCtioni � I �ereEy allirm that thare is a�conztructlon Ienaing agency./or t�e pertormance Interceptors ' . � . ' o/ Ne work for whicb this. permit Is issuatl (Sectlon 30B] Clv. CJ , , Switches I Lenaer'z Name. - KifchenSink _ � TrashCompactor IrnOer's ACtlress ' � - � - . ' . � OWNER BUILDER DECLARATION ' " ' ' �avatOri¢5 � • - , . Gefbege DiSposal I nere�y aftirm that I am exempt fram tha.Contractor's License Law /or tne . Generator 00�5 KW �545 KW ' lollowing reason (Sactlon �031.5 Business antl Professional Cotle: Any city or ' P-Trap � � ;�'' '. � county whlch requires a permit to construct, alter improve, tlemolish or repalr . � ..' y T�anSfOrmer ❑ 75�50 KW � ' I any ztructure; prlor to It5 Issuance, also requires t�e applicant for suc� permit � Roof D�einS ' ' _ ' � � • � to tile a slgneA stalement that he/s�e Is Ilcensetl pursuant to the Orovisions of ' .� � . . ' ❑5U+ KW � ' the Cont�actor'S Llcense Law (Chapter 9(commencin9 wlth�5ectlon 7000) of ' � • ' -' . ' ReinSpeMion Fee $15' Dlvlsion 3 ot the.Buziness anC Professions Cotle) or that. he/sne'iz axempt Showers � - Rainspection Fee $75 therefrom anA the; Easis for the allegatl ezemptlon. Any violatlod of SacUon , , Met2r ❑up t0 100amp� Issue Fae 1 $ 3 7031.5 by any apP��cant for a'�permit,sub7ects the.apDlicant to a civil ServicOSink -' ' ', IaueFea. S -- --- �enalty of not mora than five huntlretl tlollars (§500). �•�' ; 3 2oning Approvad By ' DatO I, as.owner of� the'property or.my employees with wa9es as Iheir sole , � �� ' MECHANICAL � � ' • ' tompensatlan wlll.tlo the work, antl� the 5[ruchre �is not in[antled or oHeretl � • - Applimtion Approred By ate tor wle (Sec�ion 7044, Buslnass• an0 Grofessional Cotle:' The Con[ra<tor'S , . ' '. License Law tloes not aOPly to an owner ot a proparty who bullAs or Improves Boiler � � � Ref�ige�ation Sys[em � • � � � �� Appli�ation laued By ' q Date . thereon,�antl who Coes�such wcrk himself/herself or through hls or her own ' � � � employ aes, pravitletl that such improvement5 are not intentletl or offeretl lor Dutt- Untler GrOund � ' ❑0.100,OOOBTU ❑700,OOOBTU � - - , - Shce. If, howevar, tna bulltlln9 or Improvement is soltl within one year of com- , - . SUMMARV OF PEES ' pletlou, th0 Ownenwlll have tha burtl0n Of Proving �¢/she tlitl not builtl Or im- � C[J � ' � row tor the purposa o/ ule). . � � '. Dutt -Structural � System Repair/Alteretion . BUILDING PERMIT S� SMIP . $ � 1, as owner of tha OroOerty, am exclu5ively contractlng witn Iicense0 con- - • � • , - t�attors to co05tru<t the pro�ect (Section 7064, eusineu antl Protessions.Coae: Duct - Ventilating __ . . _ _ . PLAN CHECK� $ � PERMIT ' . � ' The Contractor's Licensa Law does not apply to an owner of pro0erty who . . . . . ' • . ISSUANCE $� builtls or Improves tnareon, antl who contracts tor such projects with a con- ExhauSt Syst2m O Mul[iple � � . PLUMBING $ � • tracmr�s) Ikense pursuant to the Contraclar•s License Law). � . , - - PLAN CHECK - $ GRADING � $. ❑ I'am ¢xempt un�e� $ectlon B. & V. C. to� th6 �eason FirepUFazt. Blt. IC80 # . � �$ Data ' Owner� HeatingSysrem&Ducting ' � ' � � •ELECTRICAL $ , : , . 'I'hereby certl/y-that-I'naae reatl tnis applicatlon antl' te'that the above'' �❑6100,000'BTU �100,OOOBT' ' - �PUIN CHECK $ MICROFILM $; _ �... ' -. . .. � I , Intormation it corract. I agree to�comply with all tlty a county ortlinances . . � '- � - � MECHANICAI $ TOTAL FEE� •$� � and state laws relatin9 to bulltling construcbon, antl heratiy authorize reore- Hood or T e I ❑. ' � ' � - � sentatives o!'t�IS,Ut [y enter' pon th above-mentlonatl property for 1 . �P ' ReinSpBetiOn Fee� §15 . LESS ' � inspactlon pu� s s` �� i Cano . T e II ❑� I P�AN CHECK $ qDVANCED PC $ � � Signature Date � , � ; . ' �. / Registers � 155ue Fea . ' § 3 , ' • I , � Drivers• �Llcense or55 g# I FINAL FEE. '$ L� Cmrutl60-nblav.tL/tlL wNte-tlulltling;Cdnary-HppuCani;rinR-nccounong;VownnrVe-qssesso� . �- � ,- .' POOL_&SPA � •� �. - ': ��CONSTRUCTION�AND PLANNING; � � � _� - ;'�; ; �'.' o ; � ' �" = - . - - �_ �. " . -Date�. ' �Inspector -i' " "'- ' � : Date �Inspector "qPPROVALS Permit`#'-.�. _ - - . �-AP.PROVALS'. Permit# .-. N" ! re - � . - . _ - , . �' 1�,,�Temporary,Electrical Service o�'�Pole, , � � � - '�52 �Pool & Equipmen4 Location - � � - � � • -�. �: -- - ' ;�, F `� So_il Pipe-Undrgrnd.: � ' � _ ' ` ' _' `(; ' 53.-'Steel ReinfoFcement ' - ' �'�. •s .` 3) Electrical Conduit�Utilitv-Undrgrnd.! • "4, �54._Forms� •;. "- - � , � . ' � K 4: Electrical Conduit-Undrgmdl =: ' ' .•'' � , ; ., - 55.� Electncal Boniiing - . � _ , 5._ Steel.Reiriforcement�, .; ' _ ; ' � � �, ' : 56.. Rough P.lumbing_& Pressure Tesf. - 6 Electrical-UFERGmd.l _ � � � ' � � - `57.;APPROVAL�TOCOVER-GUNITE_ ! - `'t-• � 7. Footings�� - , � � •. �'� 58: Electricai'ConduiYUndrorr,d_ � � _ � ' ; ��, 8. Foundation ' -'<'� � � " ' � � " `_� � ��59. GasPipe,'��Undigmd.,Tesf' • � . • =- - , --, - 9. Water.Pipe-Undrgmtl. "� � . � -'60. Backwash Line;, P-Trsp, O-Undrgrnd. � � i ' - 10. �Structufal Floor System � -`� � � v - � ; 61. APPROVAL TO DECK '- � � } �- 11. P�operty Sewei Line & House Connection � r� . �. 62. Backwash. &�ReceptorFinal-� . - - 12. Sewer Cap � � � `�� •> � ` � '�63. Heater &,Vent-Final "' - ." '; " .' � 13. Roof Drains ' � ` - � - ' - �.,1 . , � �64. Plumbing:System-�Final � 14. Rough Plumbing �:- �. � � - � ' - .� ' ` 65. Electrical-Final - � � ' � ' i � - �'15. Rough'Electrical=Conduit-7' --- ,'- ' - - � �- � "-66�;Solar Sy4tem-Final' �' � � - �- . '" _ ' 16: Rough Electric Wiring - � - 'i� � � ' � r +i - - - � - - � , �. � : � , �' , ,� 67:`Fencing & ;Access�Approval ' - ' � , '`17. Rough Wiring Sign : ' ., ^ � ' � �, � - . i � , � i :, � 68.�APPROVED FOR PLASTERING ' � ' _- � 18: Rough�;Electrical;T Bai`.Ceiling� � � i _ , � � �' � -,,� � 69.� POOL/SPA SYSTEMS FINAL � ' . ', ;� 19. Rough Heating,& Air Conditioning I� i ,. � ' �-� ' : FIRE DEPT. REQUIREMENT . � Y , I � 70. R'ough Factory`: F,ireplace� � j � . ' � � � APPROUALS ` i Permit,# � ' � - � ' ! 21. ,DLcts, in Structure , � � � ?� , � � 70. � Underground Hydro � - "!22. Ducts�; Ventilating � ; � ' � � � � � � 71.�Product Piping OGas OOiI , � � ��23. Gas �Fipe-Rough & Test ; : � ; � ' I 72.. Underground Flush � � �24. Roof'Framing � � ,� : , ( �� : � . ' a z . 73.' Undergrnd. Storage Tank D,Gas ❑ Oil; � 25. Roof Sheathing � - � , � . � - � � ' ` � 74. OverHead Hydro �� . � ' ,`26 T-Bar Ceiling (Structura�)� & Monocoat � �' I . � -: � � � 75.� Dry Chemical � � ' ' � � � � : ", i 27. Frame and Flashing r , . ' � � _ � � 76. � Dr,y Standpipe � . � � � � ' �, . � '28. Lathing&`Siding' � � i � • �� i ' � , � 77,� FIXEDSYSTEM�FINAL � � �29..�Insulation _ � ' . ; '' I � � I � ' 78.j FI'RE PREV. FINAL ' " ' � - � . , . . � � . � � ; � � i . . - - . � 30. Drywal� Nailing �•� � � � . i Notes' � � � . . , ' � ' �� • -� � ' - - -- �- - - � -- - " . - •. - ."-. ��31. Plaster Brown Coat" � , , ; � � � - � I . ' � • • � 32. Electiical Power Meter-Final � � . ' � , ' � � � , n 33. Final Electric ' � � � � ' � � ' . 34. Final Heating & �Air Conditioriing � ' � � , , , � '. i 35. Final Gas Pipe�Test � . • ; � ' � � - � ` � ' .. � , , � � �- , i 36. Hood or CanoPY� �, ', � =' , . . � - � - � ' ' � ' . .-. . � r � �` I•.�. � �. 37. Final Factory Fireplace'- � ,, _� ' - � �. � - � � �, � , � � �'_ � - ' _ � � . . ,� . - - � � - � i. _ . 38. Final Plumbing , � ' . i . . i , � � � ' ' ' - ' 39. Water Service-Final� . � � � ' ' � i ' ' � � ' 40. Gas Service-Final � � I� I � ' i � 41. Solar pomestio-Final � ; ' � , ' � ' � � � , . __ .. _.� _ _ � _ . _ _ . 42. Backflow Preventer' _ � � • ' � � � ' ' ' 43. Backflow� Irrigation �� ; � � . � - , '' � , � � � � . � i � . 44. Landscape 15rigation System ' � - ' � c.' - . , - -� 45. Soundi Attenuation � ' � � ! � „ ' , ' i R � � • � . , � ' 46. Handicap Regulations � ' � :' ` ; � � � I i " � � . ' ' �- - � � . � 47.� FINAL STRUCTURE & BUICDI�NG � � ; � , , . , ,, Z il �� .P�i , 48. Special Requirements Completed i ' � � � , � 49. Electric Release�to Edison�. ,j . , _.. _ _ �_ _ . ! � .. . ' , 50. Gas Release to Southern California Gas Co � � f 1, � � �' . „ 51. CERTIFICATEOF;OCCUPANCY ' '_ _: _ _ _ i_ ' _ .. No � � Date ' I ., . � � � , , . . ', CITY OF COSTA MESA' : CONSTRUCTION PEI T, : �. Appliwnt to fill In all spaees axcep! t . . � P MIT N , � '�'� ��/ . Owner i Narrle -_ L.^� � 7� .. . honx7�77 s2feL-� Addrea -� O � �� ' � Arch/Eng.� LicenteNo. _ Addrea Contractor's Nam � � � hone � Addresslm'�' 1 �,�A�7 � T b%�� _ _ License No. � UCENSED CONTRACTOR DECLARATION • 1 hereby atfirm l�at I am Ilcensatl unOer provislons of Charter 9(cammencing with 5action 7000) ot Dlvlsion 3 ot the Builness antl Profeszlons CoOe, anC my Iicanso ISIn full for<e antl ef}ect. � License Class � License No. Da[e - Sl9ndture � � WORKERS' COMPENSATION DECLARATION i here�y atfirm that I have a certlfi<a[e oi mnsent to SelNnsurd or a certitiw[e � of Worke�s' Compensation Insurance, o� a cerSifietl,copy thereof (Sectlon 3800, Lab. CJ . • � � Policy No. Company Certifietl copy Is hereby furnishetl. Certifietl copy Is iiletl with Ihe city Builtling Dlvision. ate AOP��ant � XEMPTION'�FROM WORKERS' COMGENSATION DECLARATION hissec[ion neetl not Ge completetl If the permit 15 Tor one huntl�etl (E100) or ; less). . ' . , I certify that in the periormanca of the work tor which this rm�t is IssueU I shall not amploy any Oerson In any manner To,�5 to bec ro sub7e t. to t�e Worlier ConWenSatLen�Law9af Cailtoi ./�//ri.�v Date ��-Y'S h 51 nature �f �� CONSTRUCTION LENDING AGENCV � I hereby afflrm that there I5 a constructlon IenCing agency tor the pertormance . of the jwork for whicn this permit -I5 ,Issuetl (Sectlon 30BA qv. CJ Lentl¢i's Nama lxn0er'sl Atltlress' ' . OWNER'BUILDER.DECLARATION � ' � 1 hereGylaffirm that I am exampt from tne�Contractor'S.Ucense I..aw Tor the i fnllnwino rnasnn-l�cNod�031_5 Business antl Professlonal�Cotle: Anv tltv o� � 5 by •any apPli<ant for',a. permit. sub)acts tne appllcant to a- y of not more than five huntlretl tlolla�s (5500). , . as'owner of. the property or•my employaes,vikh wages,as their L.icense Law aoes not appry io an owner oi a properry wno owms o. improws thereon,-antl ,who tloes su[h work hlmselt/he�sel7 0� th�ou9h h15 0� he� own employees, providetl that such �Impravements are,not intentletl or otferetl 7or � sale. If, however, Ihe builtlln9 or improvement I5 soltl wlthin one year'of com- pletion, the ownerwlll have the burtlen of proving he/she tlitl not bulitl or im- ��ova fo/ the pu�posa Of Tdle). � � � I, as owner of {he pioperty, am exclusiJely contracting,withJicansetl con- tractors to construcLtha pro�ect.(Sectian 7044,.Busina55 antl Protezslons Cotle: Z The Contractor'S License Law does not apply co an owner of property who ' builtls or improves thereon, antl who contracts for such pro7ects wlth a<on- tractor(s)licenze pursuant to the Contractor'S Licensa Law). . � ❑ I�am azempt un0er Saction 8. . C. (or this reason � i Date � - Owner _ Sgnature �� Drivers' Licenu or�55 � CMF 0865-46 rev. 12/82 Whita - Builtling; Canary - Appliwnt; Pink wit�in �eavy COrCvr Ilnas antl SACT NO. ,LOT.NO.. TMPE OF CONSTRUCTION'-. •NEW - ADD •' ALTERATI ' ❑ CONVERSION ❑ DE ,Q H QTHE � � �� . � DESCRIPTION OF WORK � � TVPEOFPERMIT' GRADING FOUNDA7ION LJSTRUCTVRAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING' ❑,-MECHANI 'Q UTHER PROJECT DESCRIPTION � Sa. F7. � � occur� CONSTRUCTIONTVPF � � VALUATIONS. ZON� GHADINGCU.VDS. 'AC Remarks: , - ' �� _ �_ 3ar Sink 3ackflow�Preventer - 3ackflow Irrigation Bathtu6s Clarifiers Dishwasher - - Drinking Fountains Floor D'rains, Clnn. CinLe . _ Sewer Cap . � � Sewer Connection' . $O�Bf (�.O��QCi0f5 � ' Solar Piping - Solar Tank ' Swimming Poal wlSpa Urinal ' � Water Closet: . - - Water Heater - �� • � Interceptors " "� , Kitchen�;Sink • � • �:HVBtarie5: � ' � ' P.-TraP, .- ' ; � + � . ' � RoofDrains� �� ' - x Showers . . � '� . I '. Service Sink - , Boiier � - � ; Duct � Under Ground � �' Duct-Structurel � � Duct-Ventilating_ _ y,___ Exhaust System ❑ Multiple ❑ Firepl/Fact. BIt. IC80 # ; Heating System & Ducting . : ❑a�oo,000eTuOioo,000er . � Hood or Type I ❑, , � I � I Registers � - i9; Goltlenrotl - AssesSor � � � � � , ' � ReinSpection Fea � � :' , laue Fee . - ❑o{ioo,000sru ❑ioo,aoosru System Repair/Alteration � I � i � ' • ' Rainsoec[ion Fee� Issue Fee :e Oeclaratlons. EPAIR � � �� _ � � ' � . . . '" I�B�� b��IliJ� � � JOa�JJ �� $15 S 3 $75 S3 � PLNG. REF.4k ' � � TOBVILDING � • R PE Y INE 'LEFT SIDE VARD PKG. SPACE REQ. STREET WIDTH • SPECIAL CONDITIONS: Autometic Washer Construction Pole Cooking Unit � . " Dryers ❑Gas ❑Electric Fan F.A.U. , Fixtures '. Device Boxes ' . ', BUILDING . " ��7onrr rii ST .REAR VARD (TO P/U � RIGHTSIDE VARD � . ' � . � PFOVIDED ' � � � � PARK FEE $ ' • Meter LJover 100 amps , Sub Panel� � Sub Pole Motors �0-i HP ❑1'h-8 �InaSolar,�9;15HP+�16-15+ -" .Microwave • � . �Pole,Light • . � �Range �Sl9n; : _�"'' _ ' 5tanding Sections � , Ga�bageDisposal - � ' � - Generator �0-5 KW �5-15 KW - � � � � � Transformer �15-50KW ' , ❑5U+KW � �qeinspectionFea Meter ❑up to t00,amps Issue Fee � Zoning Approved By � � - Deta — , � A Appliption Approred By Date � , i �Applirrtion luued By � Date . � � . ' SUMMARV OF FEES ; ;BUILDING PERMIT $ � � SMIP � , $ ,�v PIAN CHECK $ " � PERMIT � � ! i PLUMBWG . $ � � � , ISSUANCE! , $ 1 �' ' :PLANCHECK $ , GRADING � � $ � �ELECTRICAL $ � � $ � , PLAN CHECK � $ MICROFILM � $ � � � x � TOTAL FEE - $ • � rMECHANICAI ? • � LESS ' r ` I PLAN CHECK � S '� ' 1 i ', ADVANCED PC �$ �� C,�' ' . ; ' � ' ' � FINAL FEE � $ �� =» ` -. POOL &,SPA " •�COtJSTRUCTION'ANDPLANNWG : � � -. ,� _�- ` -,� -. - �- . _'- ' , . ��Date ' .Irispector -- � `� � ' � ' .,. �'. - - Date ` Irispector- r• ' APPROVALS ,. Permit�# � - - . ;AP,PROVALS ��'Permit # � ' r, � , x � .. -, . . . . - - � " 1: Terqporary Electrical SerJiceor Pole � � - ± � ��52�,Podi & Eq"uipment Location� - ' " ' � - �. `�' . �.. . -. , • �: : , . � � - . � `�. - - � � � �`� 2. Sr�il Pipe-Ondrgrnd." � - �: `e , � _ .-. c. � M1� �_53�Steel Reinfoicement , - _ . � . -� °' '� �'� ' sr 3� Electrical ConduiUUtilifv Undrgrnd.' �, .� � �`- � � � t�54� Forms�_r� , �` : c. " • ' • `" ' a� .n ��4z Electrical Conduit Undrgrnd' � y � � �_ � ' :"5,,� : 556 Electrical Bonding+ °�� 'n ' � �'� �, ; _ � �'p� . 5' Steel,Reinforcement.l ,, ;; � �, - �, � ` ;,u . '- � :.56., Rough Plumbing & Pressure?esb c ` � " � :�•� 6: �Eleci�ical UFER Grnd:' ; � ` ` � � v z': ^ 3'57:'APP�ROVAL�TO'COVER-GUNITE� ' !> ,� 7. �Footings z � ^' ` _ ; � � ' " �'� -.; • "58: Electrical:�nduit=Undrarr,d ��_ - ' '',L� 8. Foundation � � - " - e . " �59. Gas Pipe, O'Undrgmd., Test> � _ - ' ,�,r `��[;i � .. I 9. Wate� Pipe-Undrgind.'.. - � � _ � _ _ ' ;`60. Backwash' Lines, P-Trap, O �Undrgrnd. . � ' ',. - � "it 10.'St�uciursl Floor System � - - � � � � "+ � , 61. APPROVQL-TO�DECK � � - � � r :, 11. Property Sewei Line & House,yConnection ' `,' � 62. Backwash�&�ReceptorFinal: , `•. . '. �' � �`�`' ` 12. Sewer CaP : �� ; ; ' ' � ��? "' ':63. Heater &"Vent-Final�. ' _ ' r._ . '^ • . � v- ,i 13. Roof Drains �,'� � �'� i . ' . . ! �i64. P.Iumbing�System ,Final'; t ' - � � � 2 14. Rough Blumbing � � � > �� - � - � � 65. Electrical=Final - � � ' � ' - - � • 1�5.-Rough Electrical=Conduit-. ; '- '�'.- -T 1� -� ' "-i " "66.i Sola'r System-Finaf , � " -� " " '� � - , ' " � �.:16. 'Rough•Eledtric Wiring ; F � , - - i - ; � , �, � - - - - - - - g ,,. _ '� �-, � 67 Fen`cing&�AccessrApproval.'. , , - `ii7, Rough Wiring Sign', - � `� i � � � ° �68.; APP_FOVED FOR PLA'STERING ' � - r � • I' t c i< i; � = ,� 16. ;Rough�Electric`aI,T.Bar Ceiling. , . � � � � `.� i : ' � � �69.� POOUSPA SYSTEMS�FINAL - � � �� i a.: � - . . . . . ' ` ,, 19. Rough�Heating &�Air Conditioning � ! i . � � I � - � J, t � �FIRE pEPT.�REQUIREMENT ' � . . � ` . �.. -, � � � � q � � �� ' ' ' ' � � v 20. jRoughcFaao'ry' Fireplace � ! � �= i ; ' � � APPROVALSj � Pe�mit # _ � , ,' � ��; 21. �Ducts,!in Structure' ' � i; � � � � i �70.� Underground Hydro ' � ' � � - ; � � ._ , � � : " �`22. �Ducts; Ventilating i- � � '� ' � i . � � .71. Product Pi in ❑ Gas O Oil - � .4•, :_.x . d, � t I P�. 9 � �� r . � �• - . � • .. � •� � ' r - . ' - - '� - -- - � ' �- +-- • - - � � . . -. -. . . . r - �`f�23.'Gas�Pipe-Rough & Test c : E! � � � J2. UndeFground Flush. ,. , . i �24. �Roof Fiaming I. y , � ; • � ' �� . � � � , �73.; Undergrnd. Storage Tank � Gas .❑ Oil' ' ! � '�;�25.Roo�fSheathing ' � . �.%';1. - ' i74.OverheadHydro ��, � � ' � -"'y,26.�T-BarCeiling�Structuraq-�&Monocoat� � � � �' �� '� -J�5.�DryChemical � , �, _ - . . � . .. , � • � � - ; : ' : � � �.•t � �- I 7 1 . � - i . � � ;, 27. Frame and �Flashing � V �, ', � �' � , �76.� Dry Standpipe , . , ' . ; � � �- ,,','� 28.''Lathiing & $iding, _, � � t� ' � � j � � � � � i77! F�IXED SYSTEM F,INAL . , � _ � J i� 29.,�Ipsulation :i ;, ' T j i �j � � � � � � � '78� FIRE PREV. FINAL �� . i ' ' ; x . ¢ � �� o �=30. iDryovall Nailing ' j ' � ' � � �Notes� j � � ; • ` ; . � � � . ! = � 3L Plaster �Brown Coat � i f `+ � 1 - � - - � �- - � -� . . -� - ,- -- .. _.- � - -� � - - � - -- � � p, � � . � , � � , � . � � . . . , . . i � + 32. •Electriral Power Meter-Final , . , , . � � . ; � � � � • . � 33.�Final Electric � ' i ' � � � � ; � � � i � - � � ' 34. Final Heating &�Air Conditioning , ' �V , ; I � � . ` d ' �; - 35. Final Gas Pipe=Teit � ��' ' ^.! ' ' , '� , ' - ;�" '� � � . � ' _ - ' .� " ,�� i- n �i � � . 36. Hood or CanoPY=`-i � ` � . i ; � ' � - } � i - � � � , -. . . • � , � i �_ •� t� �� ; �� ,I' - . , 37. Final Factor,y Fireplace=`-- � � � +i {� i I� �i' � � � t " � � �`� � - "�' `' ,+ 38. Final�Plumbing� � � )'; � �- ' I � . . ! 1 i '_ .. , . �. 39. Water;Service-Final . " ' � � ' ' i � � � , �: � � i 40. Gas Service-Final � � � i ' ; � f 4 � ' �, ; 41. Solar poimestic-Final � � I . I F_ _ .1.�. I 'y-�- � ! l � �� . . --'1--*'-� -- 42. Backflow Preventer - I i I ''"t - � '-'r'-� - � I - -� - � ' ' � 43. Backf^ow Irrigation F �,, ! � . i ' ' �': ; = ' �; _ � 4 i � , . . c� ,�' � 44. LandncaPe Iini9ation=SYstem, ' �:;: �'� - : �-. i .�� - i ' -1 ^� . . 45. Sound��Attenuation ; i f' 4 Y � ,c` i ; � i , � i - � � � ' - i �._ , , - x -. ., _ ^,-� ;,.-.�^ i � , i� i � �- i � i .� i , C;' . �46. Handicap Regulations� �, �. I� � i� � �' • , '� ;' � 47. FINALSTRUCTURE�& BUI�LDING�, I . :l �(( �q �'� � � ' ' � � ' % � ' o � � i i 48. Special Requirements Completed � � � I � "� ' i i , ' � 1 i ' � . ' .. . - p i I i � 1 49. ElectricRelease�to�Edison ; , �. t '. �.- - -- --�-.i_�. _-�.1�.�--:.-� � , , � . � ,. i i � 50. Gas Release to Southern California Ges Co . I . � � � '' � �� 51. CERTIFICATE,OF, OCCUPANCY ' � '. ' _ � _ _' _'_ __:_. ., �° `: � ' � � i � i 1 • . , • . , � . No. �� I� . � Date ' � i i ' I � � , � . . , : r_i--.- _:_r • z--.'--r -' ._ . .__ ��._'.�_ _ OWNER �COME HOMES JOBADDRESS Post Road DATE 5'1g-56 BUILDING PERMIT GENERALCONTRACTOR We1COIRE H07rtes VAWE $ $,7(�0.00 LOT 16 BLOCK TRACT 2896 Si rgle Res. W�Btt g3I'. GROUP I& J TVPE V 20NE �! FIREDISTRICT 306l� PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR Footing Trench fl�� Foundation Forms and Grade to Garage � g l` Rough Framing � �� Plumbing, Rough to a� Plumbing, Rough Complete�. ��5 Q �� Temoorarv Pole Heati g, Final House Sewer, St. Tank or C spool a.ln Out Plumbing, Final, Fixtures Plumbing, Final Gas Test Wiring, Final OccupanCy Tyf FOPM 11O 9M 10�'v9 r� a- DATE NUMBER _/S-Sb s( CS- - -(, "SG e28S/ � _/s�s/_ �agi,L— - /. C- .r/_ .4 7 .-, .--� � Mesa Building Department P. O. Box 3!7 COSTA MESA, CALIFORNIA FC+IZ APPLICANT TO FILL IN Building Address Post Rcad Costa Mesa, California Nearest crossst. Croftdon owner W_lcore7Eomes. Zr.c. Ma'i CZS28 }Yesttrinster Ave., Address tiYes�i�stsr Te�. 5, city rvo. S'1em. Arohitect or Lic. contracto�lelcoms Hories Inc, aty � No. Address 6628 Plest*nir.ster Ave. , Legal I Lot I Description No. 16 Block (Attach Metes and Bounds) CL No. of Bli Size of Lot �+x� 05 Now on L l�seof I�IOIIe No.of Existing Bldg. I Families Setback Line from __ Rear V. I '� I Alteration I r I I Moving I ng —'�^ No. of 2cJ+�Y Raoms r7 D�• ona o. of ooma �� 5 r t. 1 �IPPLICATION FOR PERIVIIT 3�� BUiLDING � FOR OFFICE USE ONLY I Receipt No. Permit No. 30 a S� Received 6 Date Rec'd. Date Issued �, /�' S /�-S� S-/��-SG Building Address Costa Mesa, California Nearest Cross St. Zone �.! I No. of I Type ,/ Grou �� f' Plans �� CORRECTIONS _'�, i-� � . •�`�, (�-�1 O ....�,I lU �� s � Z "'v' � n.;->, �....,�� y .��_.r. �._ '•_`:F# Covering S'tuCCo � Covering Wood APPR�VE�T..� Use of New Building S'n�le family residence aIId Foundation Location Inspecto Forms, Materials, two car garaFe atte,ched. Under-Pinning � � Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this ApplicaUon and state that the abme is correct and agree to comply Lath. Int. with all Clty Ordinances and State Iaws regulating building construc 'o� Lath. Ext. 3ignatureof ' Permittee i Plaster.lnt Authorized Agt. r Valuatlo�/�J Permit Fee $ N Plan Check $ $ ��) Total Fee $ � � � �..a�....., ... � Bond Beam 3 7j � FINAL PLOT PLAN Show Ioeation and disFances f�om property Iine and between buildinps � , , �`•. ,,,, COSTP , 9Y 1 g.`,cP�roa_�+af.�� r. ^;`'•`�3.�'!l .,, - �^>21,.,. :�z,oi�:; . ... . - , � . - � . ' �k. r.; .:�? _.c�.. .... � ,.,;. ... _:. _ . . �I:. -,. � , . � . , . . . . , . , -' �I :n-._ .---- .. _ � .� -_ nz_ f -; _ . 90.. .. , , _ ,_� t..t.:_-".. ., ., ':40 ^.: .J \ _ -` : l � r ' r �, � . , ; \ � �, \ �� . . J�l . � \' • �. ' � . ��Ct \ llAT� BUILDI CP7'ION OF WORK :ONE VALUE JUP I TYPE SUBCONTRACTOR Plumbiag ...__„�— �iani or PERMIT NO. % COSTA McSA BUILDING-SAFETY DEPARTMENr P.O. BCX 7200 C08Y�1 MEBA� CALIFOflNIA 920Z0 ior AppUcanf ro FIII In Complet�ly TYPE OR PRINT ;��; 9B7�o,�T /20Ao COSTA MESA. CALIFORNIA ■ DTATH BUI 61ZE/ EXTBRIOR TC4 �� DESCWPTION OF WORK OP / 1 N6RlpY ACKHON1ipY� TNAY�� NAV{ 11fAD TNI� A��LIGTON ANO 8TAT6 TNAT TX� AlOV{,IB CORR6CT AND 6i TO CAtl- PLY WITX ALL CITY 011pItUNCL AMD RAi{ • �OYLAAWO EYILDIHOCONBTRUGTION. . � SIONATUR! OR I ,�1 P8RM1TT6. � J.� AUTX0111ZQDA0[tir ' M-8-66 00 365�3*�iD•S� ArPLICATION FOR PERMR BUILDING For Offk� Us� Only R[C[IF� NO. ►1 � � I ►urii 'i/ •� Lo � / C111RION �. No. �/ ^ I'8: NOEAV80VERHANf ' TO 8ID6 S ^REAR P. L 'E9 N (l � A/ .OWBD IM" YARDD MPROV ED MAIN BUILDIN6 vwrc. x ( t /� �O � 6 �3/-a� �� es �ese Txwri .�"„i-' " U.B.C.X@QUIRHMQNT'. YARDBAPPROV6D �ACCH880RY�, BUILOINO % VPT.� `� - , / / N OAT6 L r� � W a a � �/- � Q� �.� b sa Rr. .2 � n�c �rourrt �„owN uncea vw��noH �e ron txc AlPPoD[ O! �liAOLIGHINO A PCpYIT I6f ONLY. I VALUATION �a � � PERMIT RH6 � � s �,��`j 1 3 � w TOTALPEk O