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HomeMy WebLinkAbout151 QUIET BAY LN - Building Permits CITY OF COSTA MESA • 4, ►966 BUILDING DIVISION :l „„' ,mi .� DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER t PERMIT '” 603-01807 Sbifso.R:no se (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cbuUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 /51 Job Address:•'9.09-QUIET BAY LN Status: ISSUED Suite: Applied: 10/15/2003 Vicinity: - r Issued: 10/15/2003 Parcel Number: TPN003179 Zoning: cr' / Applicant: BATIOFF, JOHN __.. -__ ISSUED BY: Address: 17182 ARMSTRONG AV w!!C_-'r-="=e- `�— �OO- Phone[-714-381 7974"---C, IRVINE,CA r•,-Q f Zip: 92614 j Owner QUIET BAY'HO.,._„..--N, \ n."‘) / Address 163 QUIET.BAY LN _ -'_'- :-----c.,-,.. (��/ �_�\ 6,0177>t ✓ l Public:-949-253=4548-j- � ^`� �� `\ COSTA MESA,CA, Zip: 92627 " "�- \� ` Contractor: DRI COMMERCIAL `�':N /.` /' ` ,\ /Address: / 17182-ARMSTRONG AV �-' , �‘ [0/ // . /707Phone: �, / AA.'. /!f ( C. IRVINE CA 1G ' / / Zip:J 92614 I License, 818623 i - ` \2, . /Wily - Lr`' . A `--. / t lC. o0o y9 /rAddress: J/ �-oo c`j .-.J Addi:ess.1 ,� -. l it rf// 1 phone. -_- -� `✓ tom _ /(72f Phone:: ` \ 1A! ' r\ C\Zip: I ?...7 ab-1U \License: .-_��� License: , , �0 j lli ���1/l _ ' , I �� / l-j i j!/1 p1=- ,. SCOPE°OF•PERMIT"__ -__=, I . i �'TEAR OFF EXISTING ROOF.INSTALL CLASS A COMPOSITION SHINGLES`a19.8:SQUARES:. ,� 'i 1 ! I ' V.r11. 11 1L 4-ez iL .. .:L1L-d l..-:111_1 .'i I ��1 l 1',IU` f� FEE SUMMARY `J , f 1 PIan.Check��r�l $0.00 t ,_" / , Calc Valuation ' ,', , 0,84aAo ' ) k UPermit. \) $97.25 — �'� --� - > -Claim Valuation ;i/; (..--$3,844co \%SMIP Res: n° $0.50 —�-� 3 4/ -- j // r J 'i` t SMIPCom:���1 $000 1,i/ r �`. r C Other: .x$0.00 S_a-,i �- V Ins ection:\ \A$0.00 I �i ti, tq P , / r. / \s•••••:‘, _- \�\\‘„,,,- l � � ---r'-r1,. - \ ..!//,",/ / :Total: $97 5 •' ' , 1'' '°«: i/ / �- J a-�:. -.e - a o '-Y . 7%/ 1 /5` / fir':"°r 2 tc .z. : » i, >✓ , �`� % cryn ViPLANNIG &ZONING "-;J -� /•i / SETBACKS4 V` r,� 06� o,,,ti do 0 � //,r �, / MAIN STRUCTURE`Fron�O-'6Th Rear .0- ` „ C°Left c0-0_ j %Right,.-- 0=0 � /V ACCESSORY Front 0-0'( 7 1'Rear 0-0�-'- _Left_ 0-0 Right'j0=07/7-1/2,,/ PARKING Existin =0� Re iredi.- 0!"? - Pro osed:. 1-'0 \„2'. NOTES: ` �`� --"},2L11--tJ J 1-" j - i ' l • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§1, 12-21-92) 0 .1...,,,c,!., EXPIRATION: This permit shall automatically expire and become void if work is not commenced`within{180 days,or if work is suspended or abandoned' for a period of 180 days. • `• INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) ., DECLARATIONS' 1- • ri I n WORKERS'COMPENSATION DECLARATION: I hereby affirm•under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have and will maintain workers compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'coompepen"s�ation"Insurance carrier sand policy number are: -Carrie-,rr-- -+'- .rcl vv�vx.x Com. / OJ' sA.��{/-{ 7.-„'Policy Number: - wG�14 c:9 3E 7 -(Thus section need not be completed it the penin is valued at one h_Lhdred dollars($100)or less.) ❑ 1 certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provision nt r. lo-/6'-D 3 ('Applicant Sighature: / ,'�Date�_ WARNING:FAILURE TO SECURE WO S' ENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADD ION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: • - • • - - - I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is In full force and effect.Lia DeN (' `39 Contractors Signature: ? Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as'owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-properly tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ... .District. other pollution llu n ..tr.l. 7 Ifa a permit athe South Coast res prescribed edManagementCalifoDistrict or Sr airpo eion ooncontrol district3 agencyis required for the work which is the subject of this application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑Yes 0 No B (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. nal re Of Legal Owner(s) /�',^rr/��at�/e�"�J Cif An r A Applicant y' j_- Date ;ODE I INSPECTIONTYPE DATE INTRIAL$ • CODE* INSPECTION TYPE • • MX IIEMAL$ 1616 Fixed System Final Fire Prevention ' - 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof Q1 657C 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place • 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy v �- /F t_..... ., c _ 1 fN------LC fill m all spaces except those- within-~ heavy o Eer hn�and sign all appropriate decla raUo ns. _ _ W 1 CITY Or CCISTA MESA I CO/NSTR[U�CT�IIoNN�I,PE.RRMI� MIT Q� ,TRACT NO. ; LOT NO: ;UNIT,N01 i ! _, i ' I j - I f ' .'t. r ProiectAddress 1 ��'� CO - VAN t /-'-!%/ . i _ '/ •g8� Ili /-'C f i t ?0929 `• �/26/B7 ; -406121. +TL• ' 1 i 1 ' ' I { TYPE OF CONSTRUCTION NEW ❑ ADD IJ ALTERATION HI REPAIR ' I I - t I i '- 1 Applicants Mailing•Address f - - , .. • >-G.-•1_])�'S�.-j <tl❑,CONVERSIO NL ❑IDEMOLISH ❑ OTHER 1 ' /f•� Owner's'Name �'��i � / 1 +"vr + , Phone -.�-._., T..,.a1_..�.._ -r-- A.P.# . 1+391=-2.74 �- ±.-Lf.(0,7�-.�1 _�.,...:_ ,Zone { ,RZ2�".a ,�, �.Y I DES = PTION eF,WO R, • rLD I • Address ''"�0 • 3� 1 i J` •� eF, k/V.U. • :L '• ! . __?— 1• ^T- 1 S Main Building: ;Accessory 8uiltliny 2sG (-Si'. L • 1 D I Arch%Eng /� St�' eense No. Q �� ;r`TVPE OF PERMIT GRADING FOUNDATION ❑ STRUCTURAL. ' T Fronts ��' l • i Z I Address 2.0 1,�%_e[�1tsr 1Cre-e cfi ,I ❑ TENANT I❑.ELECTRICAL I❑ PLUMBING ❑I MECH• ANICAL I B Rear s' GI LI ' • I I I' N • Contiractor's Neme 1 Qw�OC 1• 1 1 i Phone • ., • ❑ OTHER i I 1,441=c-. I I 1 A - I 1 Address(Mailing) ' - ' r I 1 y ' I ,PROJECT DESCRIPTION 5G F . �: T OCCUPA ' r - Right �O.S/` - I f i 1' r G' • I I - 1 CONSTRUCTION TYPE I VALUATION $ • theLeft I i. ' I 1 City;License No. 1 - i t ' ) ✓ ,(ZONE } '- I , GRADING CU.YDS. ' I ' ACRES• 1 I^ R • LICENSED CONTRACTOR DECLARATION e • 1 I! t�� _ ' - 1 1• Ping. Ref.# LL�;� �• ftD� 'Parkin^p�Reg Provided 33 I 33 E 1 hereby affirm that 1 am licensed under provisions of Charter 9 (commencing:. Remarks: /J 'i ,� , MI ; R Pule,Sta. lts'J •t- "•Wt I / i M , IV G l 1 I _ -+V t ria Planning Notes: _ -�, ' with•section 7000Hof Division 3 of the Business andProfessionsCotle and - - - ' my license is inlfull force and effect 1 I I ,./ - �q / F T License Class - • License No. { z p - �' ^`' , V" fit_.fire. Co�O. .ea.:Wain' ) , 1 - - I f 1 i t S Date' Signature 1 V. i ti, ' PLUMBING I _FEES 1 _I i -. _ ro WORKERS'COMPENSATION DECLARATION t I hereby affirm•thatil have a certificate of consent to self-insure or a certificates .. Bar Sink• s L ; Showersi "r - c t ELECTRICAL _-FEES of Workers' Compensation insurance, or a'certified copy]thereof (Sections '' Backflow Preventer I - ' ' Service Sink. , ' ' 3800, Lab C.) I i 1 1 1 • t• 1 _ r ' T. ! L-I I. Policy No, - . I Company • P ^✓• Backflow Irri ation � I Automatic Washer Transform r_❑ 10 50 KW . -, ` 9 ' Sewer;Capnr I y a ' Construction:Pole Sub . -- I _ 50+ KW �, Certified copy is-hereey furnished. ' I + ••-- - Certified copy is.filed,withithe city Building Division, t ( d; -. i Bathtubs _ , ' ' I Sewer,Connection • 1 7. 1 C •.0 . 's Cooking Unit, I ' • ' Meter ❑up'to 0 amps f r,; ! Date' ' Applicant ' ` ^ • ~ - I EXEMPTION FROM WORKERS'COMPENSATION DECLARATION{ :.., , Clarifiers L - ,", ! Solar COIIectors .. ti = I Dish Washer i r .Meters ❑over'100 errs Psl ° ( r ! (This section need not be completed if the permit is for one hundred ($100) or ! _ T ' i less).1 „_ u. - Dishwasher • .. _ . - - • Solar Piping.'" r; 1 I ' . .., ` `❑Gas ;❑Electric ' ' < = ^ i ' h _ { Dryers Su-_Panel 1 ;b certifynthatm int anyyepersonrin aofn the wor for as lch'thi m it a It tot 1-- - - - ris shall!not employ person fin any• Iso as t m subject to the- ?''. Drinking Fountains r SolanTank, , 1 • Fang r 1 - - , I Workers' Ca a anon Laws of Calder /w� �y�Q+by�(y{/p/fin p Motors❑01 HP ❑1%_8 nc • 1 Date' '�77_4- •7 Signature 9J" o-e E. I i , Floor Drains •Swimming Pool w/S a - • , - - - , i r I ; ! ( 9 P F A.0 Inc Solar ❑9 15 HP ❑16-15+_ 4. .WoTIC :C,mtensation tov ions, ith,you sho de, you subject h rte = _ • Workers' Compensation fpr provisions Of the Labor Code, you must forthwith_ Floor Sinks • i • . `Urinal I I Fixtures , 1 comply with such; provisions ori thin permit shall *be deemed revoked. t ' • I J , Microwave[- I .-. CONSTRUCTION LENDING; AGENCY I , ' I GasiService 11, i Outlets ' ! I f Water Closet ' •i , , I Device Boxes 1 I ' ' I [f . I hereby affirm that there,is a construction lending agency for,the performance ,_ • I - - V Pole Light! I I of the work for;which this ermi r is Issued (recti . 3097 Clv. CJ Interceptors tors "r , *' I-' f I i Lender's Name,- Cl Y}/ 7.evz✓AV ii+9c 1 ) P n : ,A• 'Waters Heater ` , j Outlets 1 ! .Range 4. 1 i. - I ; 'a 1 • Lender's Address, • 4'� A ' io?CJ4 X"EY )3 ,e isl I _ Kitchen Sink t - i Water Service I ?,-.- - -- -- - - - -•-� - ¢- N , - -- _ I Switches -; ' Sin • _ �_ 4._,-_�_ • ; OWNER 9t1ILDERt'E m exam IO • I 1 - ' 1 I - 7 a " - hereby•ireaso It ` exempt froiness Contractor's License,Law for the Lavatories •N. _w;, ' I'AutO-Wash . R 1 - I [ r. _„ .,y. I Garbage Disposal J Brandin Sections I followingireason (Section 7031.5 Business and Professional Code: Any city:or _ 1 i g , I .g county which requires a permit to construct,alter;improve,demolish or repair • P-Trap �.-, yd I LaundrytTrays + I Generator ❑B-5 KW ❑5-15 KW ' ' I any structure, prior,to its issuance; a is equlres the applicant for such permit T. - TiaSh Compactor 1 to file a signed statement that he/she is licensed pursuant to the provisions,of '•'? _- ( 1../• i i • the ContractoHsCicense Law (Chapter 9 (commencing with Section 7000) of Roof Drains .r+y-;.- �„ , -^\', , , i �• • reoand,[he-Basis essr and' Professions ption. y t viola/she of Section I --: - • - , - - - - - - -- - - - -- -�-- - - - - - --- ' 7031.5therefrom'antl) for the al perm t subjects- Any'vi station of Section i i I I I I , I • 1 7031.5'by any applicant for a 'permit subjects' the applicant to,a civil I ' i .I 1 _ i t I I I 4 go:any:for not more thamfive hundred dollars($500). I. 1 ; ' I - I ! 1 I f i 1 ; 1 • t ,I I-1 I1 as'owner of tthet property or my employees with wages as their sole Reinspection Fee $15 : '+ I : Issue Fee ! - < l compensation,l will do.the work, and the structure is not intended or offered ' ! '$,3 1 _ t. 1 1 t for isale (Section" T 1 ' ?049,;Business?and ;Professional Code: he !Contractor's --� - 1 MECHANICAL: - I' 1 _FEES Reinspection Fee !' $15, Issue Fee $ 3 y t1 License:Law does'novapply to an owner of alproperty who builds or improves I _ I thereon,-and who does such work himself/herself or through his or her own • ` I DEVELOPMENT SERVIC -a UIREME -T ' • I I r • employees, provided that such improvements are not intended or offered for ' Boiler I , I t Hood or 1 Type I .❑ i - I . i a - ® nil - ( b rsalellf,?^however-the building or improvement is sold within one year of com- Canopy I Type II 0 Zoning Approved By //t - Data/•��-B 7 pletion,theiewner will have the burden,of proving he/she did not build or im- ; Duct-Under Ground t , I , ./ ' I ' < ' -/ '_ =prove for the purpose of sale)' i ' ! ' I, f ` . ' .. ' 'Building Approved By y _ Date �� `� • t rss ow scthe project am tion ulively-contracting with licensed ode: i Duct-Structural. .; , ,•r Refrigeration System 1 t= I ' application Issued By i —' - Dat: `.>� 1. • TheconstructBusinessds o r:improves there Law does'riot tra tstfor sowner,jects he wBTUwassn- - - ' • $ •' ``Z/ 4 • tractor(s)licen'se to,pursuant' the Contractor's License.Law).,I lam aware-that `"' I ' - . { , BUILDING PERMIT $= O.O % =SMIP ,• r • !D proof a(( their,Worker2S Compen5atmn insurance should be provided to met' I Exhaust System•O •'Multiple❑ - System Repau/Alteration - `i 1' I ❑;I am.exempt under Section m - --- I I Le,& P.CJ•fOc this reason' C' I 01r-dial/Fact.Bit,IC80# 1 a. ' ' IFire Dampers 1 • 1 PLAN•CHECK i . $ " 4PERMIT } „1 ., i ' - 1 „ s. 1 i - 1 - , PLUMBING I ' $ ' - ISSUANCE $` ' • Date •G a/_ •�' ' Owner -1 {k.A • t I - x ' Heating System'&Ducting• ,•,• Registers. I r r , - _ '•ENERGY P C $. '4 PLAN CHECK .:25%• $= I hereby certify -that,l have read this applicatio' and state that the above' ' W0-100,000 BTU ❑100,000BT - - i ' .. information,is colating-.I agree to comply with all city erebycounty ordinances. -i 1 '� ELECTRICAL - 1 $ I -'GRADING, • $ - sentstate slatmg to building,construction,and•hereby authorize refre-y _ , •- 1 i =, ! PLA N'.CHECK 50%, $-' ' 3 • "MICROFILM $•. 1 I sentatives of(this a to-en�e up on' the•above mentioned-propert f r ; _ .' 1, _ _ ' _ - 1 / inspection,purpo r��`{'s'�� • - • t ReinspectioniFee. • $15ft. Issue Fee ' , • r$�3- •: PLAN CHECK -•25% $- • • ' 65-46,, Building; coon ld .._._`__ MF 0865-46,rev. 10/84 White - BCanary - Applicant; Pink -Accounting; Goldenrod - Assessor - t •i 1 . - ' ! POOL&$PA• .. .. _ ti _ c CONSTRUCTION AND PLANNING ' APPROVALS ,IPerrnit#' Date Inspector APPROVALS perm, it •- • ; Date ;IInspector + 1 Temporary Electrical Service or Pole ' 1 • 52. Pool & Equipment Location •._ � ' 2.1 Soil Pipe-Undrgrnd ' 53. Steel Reinforcement (. i ; , 1 • 3. Electrical Conduit Utility-Undrgrnd. ; , ! -' ' --54. Forms; ' • -•_ - i 1 ; •` `•' 4.•Electrical Conduit-Undrgrnd. I Bonding' 55, •Electrical : 7 ' 1- I ; a ' -5, Steel Reinforcement, 1" ; • ; : - , I -56, !Rough'Plumbing,& Pressure Test ' , `; ' - • : • 6. Electrical UFER Grrid.. Sit 701,.. . ! 57. APPROVAL TO COVER-GUNITE - - , .' - 7. Footings i 4 M-4,err-. 7 ; . 7 44-, ' .'58: Electrical Conduit-Undrgrnd.'•_„, 1 !; 8. Foundation ' - . - : -- - -' 59: Gas Pipe, O Undrgrnd., Test ! J 'll ' 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-Filial, , 12. Sewer Cap i ' 63. Heater & Vent-Final t . 1 ' 1• i 135 Roof Drains >• ' ' . : 1 • 64. Plumbing System - Final i • . - •14.. Rough,Plumbing - - - , 65. Electrical-Final ' 15. Rough.Electrical-Conduit - - : .66. Solar System-Final l'. - i_ t : 16. Rough Electric Wiring ; - -`. . : i • , ' 67'.Fencing& Access Approval` -• - t "' �-' - - 17. Rough:Wiring Sign . .- 68. APPROVED FOR PLASTERING ' , • - " ''' an.' - 18. Rou h Electrical;T Bar-Ceiling, ` ��- : 9 - 69. POOL/SPA 19: Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' , 20. Rough Factory Fireplace • ' APPROVALS Permit# '` ' ' '-"_ ; ;r 21: Ducts;in Structure,' ' . I - : 70, Underground Hydro , 22, Ducts, Ventilating ' I � 71. Product Piping 0 Gas �Oil , I , , f; i • 23. Gas Pipe-Rough&Test - - i '72. Underground Flush , _ I % ,. . 24. Roof Framing , R //_ . , 73. •Undergrnd.StorageTank'ID Gas ❑Oil J ' 25; Roof Sheathing ' ' . . 1 • 74,4/ri - 6.42_ 74. Overhead Hydro I , . �,a 1- ; , ' 26: T-Bar Ceiling (Structural)-& Monocoat ' j 75. Dry Chemical • I '< 27, Frame and Flashing• 76. Dry Standpipe ,''' I• ,• 8 /rr 6+! . 28, Lathing& Siding - �O/ 77, FIXED SYSTEM FINAL , 291 Insulation .. [ (/- 78. FIRE PREV. FINAL •I; 30: Drywall,Nailing ' 7 /V 87 G/✓ ,. HEALTH DEPT. REQUIREMENT • - "',•a.... ; ' 31- Plaster Brown Coat , ' ` , 3 it ;G# 79. FINAL INSPECTION ' : I ' 'di1`d , • ' I • ' 32., Electrical Power Meter-Final , - -. '80. FOOD CERTIFICATE ISSUED 33! Final-Electric ' - - 34. FiriaL,Heating &Air Conditioning '' i _ ' -X ,/. . LB FAR SPVIL RFQUiR . ' • 35. Final Gas.Pipe-Test /S/B7 ' A moi. I Sara tr.. ori` . ` 36. Hood.or Canopy:. 4ititSr• ©? gOIC T�O� �W�fL�_AP�Ek�TrG.'I/�A•/ 3 ,Final Factory Fireplace ; - . _ {z.,-(8 '8"1 �Z7UWL.W4 ci,44 C ' 38:,F.inal Plumbing . , s . . - , , 39.-Water Service-Final , - •' �y - • 40. Gas Service-Final - r• cy,� - 1.41, Solar Domestic=Final ; 42: Backflow Preventer : - - , . - i I-1 .r - v - ._ t 1,4 - - - .. - - • 43. Backflow Irrigation ' _ ' .. - " - ' • " /.. /7- ; ' '• . ` . ., X44. Landsc pe Irrigation System- , tn`-' t , ' • 411-Sound Attenuation ' ' " - 'a' - - - • - - Jf. '46_'Handicap Regulations - „ ' - - _ - - %' - 14y. i INAL STRUCTURE &-BUILDING • f1/1,3/f7 'Gr/ - : n. ,,, 480SpecieI Requiremen '1/26118-?ts Completed: . AA i,". _ , • 49.-Electrie'Release to-.Edison . - • - / ' : , . - • q ' '50„Gas Release to Southern California Gas Co ,' -- 51. CERTIFICATEOF OCCUPANCY • - - - - ' d . No T'Date - - - . .. • I ' - • • INSULATION CERTIFICATION This is to certify that, in conformance with the current energy regulations (California Adminis • - trative (ode, Title 25, State of California') and approved plans, insulation has been installed in the building located at: COSTA MESA , CA. ORANGE CIN — Campy 2666/2627 ELDEN AVE . .___-- Shell !, (If Available) -------- Street -- lA Ngmew Ymet N.. DESCRIPTION OF INSTALLATION ROOFS Type of Material._ - - _ Manufacturer - Thickness it Yelue••___. EXTERIOR WALLS FIBER GLASS CERTAINTEED rhlckness _ir Value•• R11 Type of Material_ Inds Nter_ � — (Or rasa. n.mq CEILINGS NAGS: FIBERGLASSCERTAINTEEDValue" Type of Material_ ___.-.___ _._—_ _ rManufacturertied. Thickness 6 R R1 9 (Or trade Nome) Sq. Ft. Covered__.___— ' BLOWN: Type of Material Manufacturer Thickness No.Bags_ (d vele N.ma) Wt./Bap Sq. Ft. Covered_ R Value"__—_ FLOORS Type of%Material__ Manufacturer Thickness R Value" (Or Treat Noma) • SLAB ON GRADE Type of Material.__ Manufacturer Thickness R Value••_ (Or nada Memel Width of Insulation _, Inches t ' FOUNDATION WALLS (If required) Type of Material _ Manufacturer Thlekna• R Value•", (or [red. REMARKS (II desired)__.._.. General Contractor (Builder)_._ FLUTER DEVELOPMENT License Number By _ . Title Date Sub-Contractor (Insulation Applic tor) HATCH INSOLATION' license Number 382646 (1-2 (Imuletlen, Masonry, Clc) /' (Stole •'SAME' If Pm a eanerol Contractor) By E . L . v Title owner Date DECEMBER 14 . 1987 I'Cetilnrnle AdmInlmnlb. Cade, Energy !mutation Standard.. d.cleso [RCiA1 from See. Ir171 N the Health and Safely Cede .1 the Stela "Cemellance. line, temrbuen el th. In.tollallen el Insulation, a card .1 CMllamta, root/Ong that the !mutation ho, bran Inoatled In conformance dib Ilya •soul,tmenh el theta 'Caulatien, .hall be completed and . eculea by- “Ne (*Miliaria(*Miliariad •cc.oenq et similar ee.ltarelbn Mala coaly ren" the Insulation ennlicolor'end by lbs bulld.r, this I-:vintlan remplleno stented helel, mN.l, epeHmanl hernia, hem. or Ohm r ,ldannel mrd shell be rented ale ren,nkueur bootie, within the dwelling.") d.etllne 1, habitable shell be traced by tech • building d.pectmoel ("R Valva h Moo measure bolas the specter* et Neil setline. IM minlmrm .n.qr InMatten' el the r.JHonra el a e.eladal or building esndards eslabllshad prruent to this chapter." caravan.,to Lha pewee.el heat. the resi,tenc• rete. IR) of mase type Ins.tesbees shall rel holed.. any value ler relAHlve fennel • l dm DMZ&CIVIL EN�ID p 1CCOO ala ll IC. 3840 EAST COAST HIGHWAY, CORONA DEL MAR, CA 92625 • TELEPHONE 71416754487 December 14 , 1987 City of Costa Mesa 77 Fair Drive Costa Mesa, Ca. Attention: Building Department Subject: Final Grade Certification Tract No. 12880 Gentlemen: This letter is our certification that the final grading has been completed in accordance with the approved grading plan for Tract No. 12880 . Should you need additional information please contact our office. Very truly yours , Duca-McCoy Inc. Pete J. Duca P.E. R.C.E. No. 24668 QROFESS404 w No. 24668 , z . � :plklia �r� OCIVI�.1FO���Q CAL -- - . ,_ .. r. �_-_• _.._,Applicant•to fill in all spaces except those within heavy border lines and sign all appropriate declaration_s. - - - • ' ' t CITY OF�COSTAt MESA F;.{J TIONjPERMITn i PERM/ NO2 .1 TRACT NO. I LOT NO: I UNIT NO. I 3 i + (rtq t I 1 Project Address • 'L/• �1�� - /LL P QO 1 OV I ( " "1\I _J,� r+ V t • 9 1539 r�r` / ,} TYPE OF CONSTRUCTION !U NEW U'ADD U ALTERATION U REPAIR • t� +" Applicant's M'ailin Address ©//ir��V//!' • 1 - �O I• / �///f ( ❑ CONVERSIONS ❑iDEMOLISH ❑ OTHER _ A P # '• ' - n,v oe I Owner's Name 1 Phone CO 7+' O f' '-' - - - '- - ^ 9_.t,7 -: • - I q - '�"•`�� l ' DESCRIPTION OF WORK/USE OF BLDG. A?R 29- Address ' • Si4trir ��--��/7 S Main Building: ,Accessory Building Arch/Eng: I - ' License No. 1 • TYPE OF PERMIT ❑ GRADING'FOUNDATION ❑ STRUCTURAL • T Front L- L.- ,--' - Z Address ' ) I A - ❑ TENANT ❑ IELECTRICAL PLUMBING ❑ MECHANICAL B Rear ' IIUf I.UJ.l t1 IYI Cil Pi . N Contractor's Name ' a1 ' fl,b'7t't 8 r Phone !. '�/B ❑ OTHER ._ . � I A _. _ _ . .. „ t 1 _ I '- • • PROJECT DESCRIPTION SQ. FT. ' OCCUPANCY • C Right " I Address Imailin9l 0//jet ; K ' . - • - - G ' C2',/r9- - ( I , ; CON ST RUCTION TYPE VALUATION $ - S Left f • R J City,License NO; - ZONE _` GRADING CU.YDS: ACRES/ 1 . .LICENSED CONTRACTOR DECLARATION • ' • t - , = Ping. Ref. •# I Parking Req./Provided E ` I hereby affirm that I am-licensed under provisions of Charter 9 (commencing Remarks: • I I 'Planning Notes: O with,section 7000) of Division 3 of the Business,and Professions �Code, and - - , - • 1 NI • my license is in full force a•tle e C^ �� Q`',],, n• ,/J� (T? �� ''")exn / i 1 f - • 1 1 • T 1.• License C as ��!' ' -�� 3 ic• nse No •��? "' (r 1�!cXX _ '( • • - S `' nate -i �I 4 ignature �N/_�- I • �• _ f PLUMBING ,, - ' _ FEES . - )RK'RS'C• PENSATION D Jr• RATIO Bar Sink' - •• Showers 1• ;t- p-p /ELECTRICAL FEES t \ ereby affirm that I have a certificate of consent to self-insure'or1 a certificate - _ _ /. J 1 of Workers' Compensation Insurance, or a,certified copy:thereof (Sect' nBacService Is - 3800, Lab. C,) a_'O I ��.,�jj 1_ •p2flovv Automatic Washer' Transformer.0 15-50 KW Policy •No. � 7�� �' Company J-r-fl / - ' Construction Pole Sub : - 'El 50+ KW _ - `: ❑ Certified copy isM1ereby furnished. 4 III• • ^• Da Cer[' py.�'s sti letl'wA the city B • m Divv f. /( .�s� : ■ . I I �, V Date -+v ?Applicant (�(F7sry)y6•Ir� "IS'. EXEMPION FRORKERS'CO NSATION DECLARATION ' • Dishwasher'•• • o• • 11 - (This section need not be completed If a permit is for one hundred ($100) or.;t: shall 3 + ® • ■ ■ I certify that in the.performance of the work for which this permit is Issued, I +• shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. I F ■1 ■ DOT: Signature - - •- -NOTICE:If;after making this declaration,you should become subject to th¢ • ■• HPI■ ' • Workers' Compensation provisions of the Labor,Code, you must forthwith .� ® ®� comply with such provisions or this permit shall_be deemed revoked. I CONSTRUCTION LENDING AGENCY aicrovvave /f� ' ✓ r Closet hereby affirmk tfor. here is a construction lendingisue agency tortheperformance • • A . of the work for.which this permit is issued (Sect- -'.' 7 Civ. CJ •• Lender's Name OWNER BUILDER DECLARATION • ®I ( hereby affirm that am exempt from the Con Vactor's License'Law,for tM1e following reason (Section 7031.to ness and Professional C oy city or .county which requires a permit to construct,alter,improve,demolish or repair . Laundry Trays - , , • •p ' any le a signed 'prior to its issuance, also requires the pursuant ant:for such permit to file a signed statement that he/she is licensed psuant to the•provisions of • , the Contractor's License Law(Chapter 9(commencing with Secshe is 00) of -- _ - _ - ' Division 3 of the Business and Professions Code)"or e/she"is exempt -1 ( - • therefrom and the basis;for the alleged exemption. Any violation of Section •• ' 7031.5:by any applicant for a permit subjects the applicant to a civil 1 + Debdlty of notmore than five tl dollars($500). - I I; as owner of the' propertyrty or or my employees.with wages las their sole coo mpensation, will do the work,and the structure is not intended.or offered for sale (Section'7044,- Business land.Professional Code:,The Contractor's License Law does not apply to an owner of a property who builds or improves- 4 • thereon; and who does 'work himself/herself or through''his or her own • •' . • employees, provided thatt suchsuch improvements are'not intended or offered for 1 Hood or Type I ■ 'sale.'If, however„the•bullding or improvement is sold within one'year of com- .p ■ ' 6 elation, the owner will have the burden of,proving he/she did not build or Im- / ` prove for the purpose of sale). - •' ` ❑ I; a's owner of the propert ,ant exclusively contracting with licensed con- _Iilrs't'_p_ g:FflII1• I •I The•Contractor's,License L,and wh not applyto anowner of'property who • ■1 ,11 111 : ■ 00 III builds,or,improves,thereon,and who contracts for such projects with a,con- tractor(f)•hcense pursua nttto•the Contractor.'s.Li cense.Law). am aware•that )® Ventilatingaust System ■ Multiple ■ proof off'their� Worker's Compensation'insurance shoultl be provided to me. • • ., 1 ?.,1,5%., ...t2:7, ;44, mG.I SRI Sc.A.URDAc;NFN.Ci.GLEm. : ,-:Tr'..._ i -'.: 1-1 :- L_I•I am exempt under Section B.&'P.C.•for this reason' • • Fire •- Date - ' Owner • I hereby certify .that;l have read this'application and state that"the above DO11111 : ■ • II a information is correct. I agree to comply with all•city and county ordinances- + J and state laws relating.to building construction, and hereby authorize repre- ) PLAN CHECK 4 1,, sentalives this ci y��. }}qq11.enter uyon the above-mentioned-property.,for. t inspection r ses • p p� 1 Signature - - - Dats + •.Dri vers' 'cense or SS � ' ' - / $15 ®� ` i Issue Fee -^ • ^ '7 '-$ 3' CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink-Accounting; Goldenrod - Assessor • • CONSTRUCTION AND`PLANNING _ __ . •' POOL& SPA - Date . Inspectors r } + Date Inspector APPROVALS Permit# - 1 - APPROVALS , Permit# - ' • l f ' 1:;Temporary Electrical Service or Pole t 52. Pool &Equipment Location - , , • 2. Soil Pipe-Undrgrnd... ,3'�//4.1f', G./JC . .53. steel Reinforcement ; I . 3. Electrical Conduit Utility-Undrgrnd. • 54. Forms ' - - 4. Electrical Conduit-Undrgrnd. . . . , , 55;•Electrical Bonding . ., S...Steel' Reinforcement; ' -56. Rough Plumbing.& Pressure'Test. ' _ ' 6. Electrical UFER Grnd' 57. APPROVAL TO COVER-GUNITE , • 7, Footing . , . 58; Electrical Conduit_Undrgrnd. I ' . .•, • - '' 8. Foundation? - 59."Gas Pipe, 0 Undrgrnd.,Test r ' 'H.' i ' 9. Water Pipe-Undrgrnd. _-_ .. _ - . - 60. Backwash'Lines, P-Trap, O Undrgrnd. 4 ' 10. Structural Floor System ,. . • . 61. APPROVAL TO DECK r • l 11. Property Sewer Line& House Connection62. Backwash Receptor-Final,w•�srrc LED & - 12. Sewer Cap • , . . . , - 63. Heater & Vent Final r 13. Roof Drains - • ,,. - • 64. Plumbing System - Final' ' 14. Rough Plumbing - `1425i/7, ' 65. Electrical-Final • 15.•Rough Electrical-Conduit .66. Solar System-Final ' ' i - 16. Rough Electric Wiring - i 67. Fencing &',Access Approval, - . • . . 17': Rough Wiring Sign 68. APPROVED FOR,PLASTERING 18: Rough Electrical,T Bar,Ceiling 1 • _ w.. i�.;„4 69. P.GOL/SPA SYSTEMS FINAL ; n . • 19. Rough Heating & Air Conditioning ' i I FIRE DEPT. REQUIREMENT ' y " 20. Rough Factory Fireplace : r• APPROVALS Permit# _ 21. Ducts, in Structure I , 70. Underground Hydro; ^ - - ' - t • 22. Ducts; Ventilating- • .7j. Product Piping ❑Ga's OOiI i 23` Ga; Pipe-Rough & Test _' - 72. Underground Flush ,i 24. Roof Framing , • • 73. Undergrnd:Storage Tank C7 Gas 0 Oil " - - - -. 25. Roof Sheathing ! 74?Overhead Hydro ' ' . _ •' 26. T-Bar Ceiling (Structural) & Monocoat 75.' Dry Chemical' 27n Frame and Flashing • - - •' ..••-' 1,, . 76. Dry Standpipe .,'; 11,4; _ . . 28i Lathing &.Siding . ; r - 'r I 77. FIXED SYST:EM.FINAL:: - -, 29: Insulations - ' I ,�. 78. FIRE PREV. FINAL , • • -- 30. Drywall Nailing • i 1 HEALTH DEPTrREQUIREMENT 31. Plaster Brown Coat I - j ' . 79.- FINAL INSPECTION e' ; _ - 32'. Electrical.Power,Meter;Final ' - I ' : 80 FOOD CERTIFICATE ISSUED - - • . ' - . 33. Final Electric • ., ' . - - - • - ' ' " g - Notes: ' 34: Final Heating •& Air;Conditioning - ' 35..Firial Gas Pipe Test ' 1 J/, " :�/��. ._ _ ~ ._ . •' _. .. _ ._ ,_ _ 7 " 7 36.• Hood or Canopy • • I 37._Final Factory Fireplace - . _ - . { �• ,•7 38;. FinalPlumbing • • • , i. /1/ G# - _ ` 1 ,) : ' 39. Water Service Final • _ le-1187 LED . - . • . 40. Gas Service-Final ' ' . _ ', •. . • - • _ 41. Solar Domestic-Final'. - - - t + . . . •' . :.'ir. • ' • '''r .. - . . . . . - . _ - - - _ • t, 42. Backflow Preventer•• " - '" I - 43. Backflow Irrigation., , - - - "V , 44. ,Landscape.Irrigation System- - _ . . r . , 't /• ',s . ':.,,' I 45� ; Sound Attenuation . ii -- 46..Handicap Regulations ' . . ;� . :• 47,. FINAL STRUCTURE & BUILDING - • - '"' ''• - +' '48.•Special Requirements CoMpleted--. . - - . - - . ' ' ' - 49. Electric Release to Edison ; - • - •,• 50. Gas Release to Southern California Gas_ Co ' - - . - ,',51.. CERTIFICATE OF OCCUPANCY --.' - . , - -, NoDare - .__ _ _. _. . - _ .- - . . --- ' - - _- - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • ��. ' E ^ � PERMIT NO.M2 :TRACT NO. ; ; LOT NO: • ;UNI NO: il ^ .__, _-...1T '^�F COSTA, Int T ION'PERMIS '. 93$9' j r ,_025 -7/2i/57 ��. .I Project Address ' A '' A�� AT` �/ I f ( T i ' r 1 I ' 141/1 CHAMBERS WAIT, 1US'1IN, C TYPE OF CONSTRUCTION NEW. L.ADD. LI ALTERATION REPAIR r • Applicant's M31Ji r rhU).r.!(,ll DEVELOPMENT 63/-3//71 •! ❑'CONVERSION ❑5DEM LISA ❑ OTHER • 1 A.P. • ` t ' I 1IZOne. Owners Nam hors l I ; . r I ' • POOL &SPAry-w._- r I i . ;CONSTRUCTION AND PLANNING - __ - _• • _ ' ._'__.;-.• _.,• .-,,,,.,-. . . -i, 7.•.�a., t mol* - r Date i Inspector ' 'yi.� • f Date Inspector FIIPPROVALS : Permit#. r 1 , 'APPROVALS Pe`mit#i, , I '• 1' 1' Temporary Electrical Service or Pole' i `t ' i . : 52. Pool & Equipment Location; : ' : 1 ;t,; , 2; Soil Pipe-Undr'grnd. ; 't' ! i j i' 53. Steel Reinforcement }l. I ` i . v • 3. Electrical Conduit Utility-Undrgrnd{ i , i ' , 54.; Forms i 1- • t• 4 i i I ! . -• 4.'Electrical Conduit-Und`grnd. ,• - i • F ', . 55: 'Electrical,Bonding , i ! •;' 5.•Steel.Reinforcement" *'• ' :: I 56:..Rough Plumbing & Pressure Test 1 ' _ 'S 6. Electrical UFER Grnd.'•I;i2 .7' • ,57::`APPROVAL TO COVER-GUNITE ! : . •-.7, Footings ;r ;,•r; } I .• ! •,; ( : ; 58:: Electrical•Conduit-Undrgrnd! 4' , .(. , :_i I lik Foundation • • I -'^• r •-' ----2--.i ';, 59:-Gas'Pipe;'0rg nY Undd.,Testi l i '' _ ;; 9. Water Pipe-Undrgrnd•. • - - 60:r Backwash Lines;P,Trap, 0 Undrgrnd. , , ; ! i! 10. Structural Floor System , r , 61. APPROVAILTO DECK • l r n '11. Property Sewer Line& House.Connection .1 , , . 62. Backwash & Receptor-Final I I i 12. Sewer Ca .� ` i ) P ,s, , , I •> , 63. Heater & Vent-Final • I �i 13, Roof.Drains �- iI r i ' r ! 1 64Plumbing,System: Final r {� 14. Rough Plumbing 65 Electrical Final' '' • 1 ; ; i . _ i; ,15.' Rough Electrical-Conduit • I 1; i • • • 66.' Solar.System;Final i :•: ' } : 1 r t : ; 16. Rough Electric Wiring.' c: . '- t .I_.. ..u.-. '- i - ' ' -'` ; -' ? -. ' ..'. . .. t. 9 9 I t 67; Fencing &Acces's•Approval _ .�� 17: Rough Wiring.Sign"" . p•. r- i ! 68. APPROVED'FORIPLASTERING i,-- i 1,8.;Rough-Electrical-TBarCeiling ,;` ;• ,-.1 _.} 969. POOL/SPA'SYSTEMS'•FINA'L ' • C 19. Rough Heating & Air Conditioning . i , ' i i , FIRE,DEPTFREQUIREMENT' ' ' } ' 20. Rough;Factory Fireplace 4 i /f/ b l�j i ,APPROVALS } Permit# ` I ; .- 7 , 21.'Ducts, in Structure,; . r I • i ;70. Underground AYdro +I i - - - ,22.'Ducts,.Ventilating• ! i - ; 7,'P, Producti Piping O Gas, S Oil :. t: i, „ ' 23.:Gas Pipe-Rough & Test , - t _ j l• ' I : 72.Underground Flush ' , . t ' 24, Roof Framing •' ' I : ' 73. Under-gm?. Storage Tank.O Gas 0 Oil , ' 25. Roof Sheathin , . 1 i - y i ' :.il ., .�: : 74.- Overhead•HYdro_ � 4. 9 ' " ' '. - t ,, -- '=' 26. T-Bar Ceiling (Structural) & Monocoat, ' S' • . . C r'. I '14 i 75. 'Dry Chemical S 'b1.'.."f-;."4 - . •27.1•Frame and Flashing - ..t- - • -'� ' i • • - 1' � , 76. Dry rStandpiPe} r .n'• 1,..„.. 28. Lathing & Siding' t ' - i I . - .. ' 77. FIXED SYSTEM:FINAL ' - '-) •29. Insulation, i • i `` ,• •. I . 78. FIRE PREY. FINAL" ; }-- ' 1• _, .- v 30. Drywall.Nailing ; ; 'f , . . I I . ,/• : ' j ' i HEALTH DEPT. REQUIREMENT' ' • 31. Plaster. Bron Coat + V 4. ; I ' r': i 79. -F,INAL INSPECTION, }' ' 4. ln. 32. Electrical Power Meter=Final _ 80• 'FOOD CERTIFICATE ISSUED' S t • • ' 33. Final Electric - r ' i • - Notes: ' r •�� - ' 34. Final'Heating,&`Air-Conditioning • ' ' - ,i-- ; i I • • t • I' ' ' ' -. •35. Final Gas PipeTest • i-. ,.- . • , ; F '• ' : f i I I t ` •- :36. Hood or Canopy .---.-- -- 37. Final Factory Fireplace - /24/7":12.7' 4/, r• - 38. Final Plumbing - :` "' - • ' i` - . ,39:Water Service-Final••1 • -r" - - ' - - - t 40'. Gas Service-Final ` ,1 '41. Solar.Domestic-Final' • t: o - ' • . C'' . r - :i - 42. Backflow Preventer, - ' ' ' • ;• • - 43.' Backflow Irrigation. iD - -• 44.- .Landscape Irrigation System . r _ ' i ^ 45. Sound Attenuation - - 46. H• andicap Regulations. _ , • , 47.,FINALSTRUCTURE&BUILDING ' ' - - ii '48. Special Requirements Completed - _ 1 -• - -'', '• 49: Electric Release to Edison . - - • '-r " - - 50. Gas Release io•Southern California Gas Co = " _• ' 1 ; 51. CERTIFICATE.OF OCCUPANCY - - : - : ; - . ■•'`" No. Date . -..- r .. _. .. : .. _ _ .. ._ . - .r I. 'J F . . t _ . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTAIMESA 'CONSTRUCTIONIP R ITI PERMIT NO•. I . - 3RACT Pen. % LOT NO: • 'UNIT ! 'i .r' r-- -- Project Address - - f r `• - I r - t- ' TYPE OF CONSTRUCTION I NEW UTADD L I ALTERATION LJ REPAIR I I ' " r Applicant's Meiling Address • �j I• ,1 • ! ❑ CONVERSION ❑:DEMOLISH ❑ OTHER 1 I } (• A-P-# ' I , IZone 1 Owner's Name; S�ti> ' ,S -�v/c.r� Phone • DESCRIPTION OF•WORK/USE OF.BLDG.' -- -' • • -- -- - ' ' Address ' I c/0' "so t 1+ 5T• N• � . .c.-- 'djos ) I . . + S Main Building: . Accessory Building: I I Arch/Eng, • - ' License No. ' + • , TYPE OF PERMIT I ❑ GRADING FOUNDATION ❑STRUCTURAL T Front I I• ! .,: O `r ❑ TENANT ❑ ELECTRICAL; ❑ PLUMBING MECHANICAL ' { 'B Address t ; 1 i �. ' ❑ IOTHER c _ 1 I i 1 ./ I - I A Rear . I. - I r I I j N 1 Contractor's Name TL I G-IG a , MI Q ' ak 4 G Phone RIP- is - - g N 'Anti. I! ! /� ' I PROJECT DESCRIPTION r SQ. FT. ' OCCUPANCY 'C ' Ri ht --r- I Address(mailing) 35 ^ �/L - k' ' N'Q ' s Left G Ol sem/ r CONSTRUCTION TYPE VALUATION$ LICENSED cense No. • + "/ YJ {IO ZONE 'D • GRADING CU.YDS: ACRES s • R LICENSED CONTRACTOR DECLARATION • i " r f - Ping. Ref.# f Parking Req./Provided E I hereby affirm that I am licensed under-provisions of Charter 9 (commencing Remarks: �' 'j•+' i /� Z�,O Z , - 1 - Planning Notes. 1 1 M I with section 7000) of Division 3 of the Business and4Professions'Code, and - J ' _ • my I¢ense is in full tore and effect.' " r ,3 ns r 39 , I 1 r ( t f ", " { 1 t _ r 1 _ � I S License Class b License o. O - ' - - • - , dr 4 Dater Signature I -o - ;PLUMBING ,• Ir ! : FEES + r { _ _ .. - "'O •RKERS'COMPENSATION DECLARATION • Bar Sink • , Showers! - L 'ELECTRICAL } - FEES r •.� •Aeby affirm that'I have a certificate of consent to self-insure or a Certificate - + - • _- i - 1 .- Workers' Compensation Insurance, or a'certified copy thereof (Section , - - _ " •- 1 aeon, Lab. C.) • , Backflow Preventer , • ' Service Sink ; I '. ,.. r Automatic Washer• 1 t p��� - Transformer:1:1 15-50 KW Policy No. ���T��3 Company - STAB 'ECLING) Backflow Irrigation + I + 1 Sewer'Cap - ? - ' '� ..' ? '� - ' : • 4 ' _'❑ 50+KW' . .12, :' Certified copy is hereby furnished.. . ' I i s Constructi°OPo le Sub { r, f I J± Certifiecsop is.tiled win-lithe city Builds viii n. I } Bathtubs i r i ' Sewer Connection " +i Cooking Unit Meter Oup to 100 amps; Date' TI N fRO Applicant I i - - - : _ . • EXEMPTION FROM WORKERS'COMPENSATION RATION' Clarifiers c ,.s ,� y SolanCollecto } L- -• Dishwasher : j I Meter Dover-100'amps ' i (This section need not be completed if the permit is f r one hundred($100)or - - 47+ - , • , less): } -1 Dishwasher-, • _ -- • - Solar.Pipi • - , -+ it"; Dryers:OGas ❑Electric Sub Parcel i • " - I certify that in the performance of the work for which this permit is issued, I _ - _ __ _ _ - _ _ _ - ` ' shark not employ any person in any manner so as to become subject to the+ . Drinking Fountains ' :'Solar ank `.• I Fan' r ; Motors OO- -P 01'/a-8 1 Workers' Compensation Laws'of California. , , . ' - - - - - -. _ '- + Date, Signature ' I ' , Floor-Drano ( 1 ' S imming Pool w/Spa '� p,A,U : r- i <.," ^+ - u , I_ NOTICE: If„after,making this declaration,_you should.become subject to the — _ •_ _ _ _ _ )_ y I - _,_ _ ” i " } 100.So ■9-15 HP,�16-15+ Workers' Compensation provisions of the Labor',Code, you must.forthwith ; Floor Sinks' f _ Urinal - . `` i 1.7 s Fixtures 1 -. •• I' rowave t • comply with such! provisions or this permit shall be deemed revoked. i— - ' ^ ' CONSTRUCTION LENDING AGENCY - - 1 •- I . ' i • Gas Service , Outlets • I Water Closet t Device Boxes Pole Light • I hereby affirm,:hat there is a construction lending (Sec for the performance - - c� ' 9 . of the work'for which this permit is issued (Section 3097 Civ. C.) s jnterceptors , I. r Water Heater • '*� f - Outlets i - • Lender's Name • - _ t Range • , . _Lenders Address_ ! '1 1 Kitchen Sink V , F-, - • -_, _ I Water Service . .__ - _ y- Switches.:_ _ - - . Sigm - - • OWNER BUILDER DECLARATION s ' I ' ' - - _; S 1 I hereby affirm that I am exempt from the Contractor's License Law for the ' 1' Lavatories . Auto-Wash ' . I '�'" ! Garbo e Disposal osaI ' ' • following reason (Section 7031.5 Business and Professional Code: Any cityfor - - ^` 9 p ) Standing Sections county which requires a permit to construct:alter,improve,demolish or repair ' P-Trap'j ' • LaundryTrays 1 ' i ' any structure,.prlor to its issuance, also requires the applicant for such permit - '1 y - Generator,00- W 05-15 KW Trash Compactor , 1' to file a signed statement that he/she is licensed pursuant to the provisions of - ' ' • - , , ✓ ,Roof Drains I •he Contractor's License Law(Chapter 9(commencing with Section 7000) of --- t ivision 3 of the-Businessrand-Professions code) or;that,he/she.is exempt..--; - -r •-- _ . ..- r- _ _ _ _t_ -_-_ _ " -erefrom and the:basis for the alleged exemption. Any violation of(Section ' • t t • - , .031.5;by any applicant for a 'permit subjects the applicant to, a civil 1 I .— ; i - ' I t •. • ' - : 1 _ ' $natty of not,more than five:hundred dollars($500). i _{ , , - - 1 % }' " , Reins eetion Feel- ` I •$ 3 ' u ' - ' r I t c I, ai owner of;the property or.my employees with wages ai-trieir sole P $15 I Issue Fee . ' - - compensation, will do:the work,and the structure is'not intended or:offered -- ' Reinspection'Fee • 7 I $15 Issue Fee , 4. ,- $ 3 1 - I for.sale (Section-7044, toano owner Code: The',Contractor's •. ' ' MECHANICAL' ' - FEES - } License Law does not apply to an owner of a-property who builds or improves ' - - - - • thereon, and who does such work himself/herself in or.through his or her own - DEVELOPMENT SERVICES REQUIREMENTS: ,.employees, ever td that such improvements are not intended or offered for Boiler , - Hood or Type I '❑ _• - i • : , .-sale:,if,.the owr;,the building or improvement is sold within one.year of corn- - - Canopy Type II 'Q . ' Zoning Approved By - Date 1 pletion, the owner will have the burden of proving he/she did not build or im- ' Duct-Under Ground , ' , ,Building Approved,BY Date • prove for the rpurpose p sale); '� ; : •- , "� I —tr•.. • "0 ii as owner of the property, Se tin exclusively contracting with licensed con- Duct:Siruetdral „ Refrigeration System , - • - ',Application Issued By { [f // Dates__/ /�'-_(/ . tractors to construct the project (Section 7044, Business and Professions Code: - - The'Contractor's•License Law does-not apply to an owner o -property,who ! ' Duct-Ventilating ; 00-100,000 BTU' ❑100,000 BTU - - •? I ' - '• SUMMARY OF FEES _` - ,I tt '• builds or•improves thereon, and who contracts forsuch projects with a,con- - - - .a . C r' d- w , tractor(s),license pursuant to•lhe Contractor's License Law). I am aware,that 1 - Exhaust System.0 :Multiple 0 - System•Repair/Alteration BUILDING PERMIT •$ - • :•$MIP : - 1$�• ' • proof o their Worker.'s Compensation insurance'should be provided to me: - - - I - - - `� PLAN CHECK $� . PERMIT T ' • ❑ I am exempt under-Section. i - B. & P:C.for this reason , Firepl/Fact BIt.;IC80# . . Fire Dampers I j PLUMBING $ ' ` ISSUANCE $- Date' .. .. Owner i - ' r ' , - i Heating System'&Ducting 1 Registers ' - 1, - " - - PLAN CHECK'•25% ;$ - ENERGY P.C. $% I hereby certify--t hat:l have:read•this'application and state that the ab • ove' X0-100,000 BTU 0100,000BTL '- �/'� - - information,is correct?I agree to comply with all city and'county ordinances: - - i - .---:4: i0 i ELECTRICAL` 1 „ $ - GRADING. :$ and"state•lawn relating to building construction, and hereby authorize repre-. • i > _ - - r - _ - - PLAN CHECK, 50% '$ • MICROFILM- ,$ sentatives. of this city to'enter upon the.above_mentioned property for-. . ' _ ^ - • '-; i ' .. -• inspection purposes. - L , . pl • - ' 1 MECHANICAL ' i $ 7'' 0 0 TOTAL FEET 4$ ga fid' ' Signature Date O ( - •' . 1• � - - Reinspection Fee .$15, I Issue Fee - �.$• 3_ - PLAN CHECK 25% '$= • •�_ 00' ' • Drivers' License or SS#. • �'� _ • _ i f ELCMF-086$46,rev.10/84 White Buildin CanaAppIIMM e - 9: rY - scant: Pink -Accounting:Golden rotl - Assessor - _ --• - --— �- - - --�- - -- - - - - -- - - CONSTRUCTION AND PLANNING':PLANNING - +r _ f , ._ _ I , • POOL &SPA - - ... _ Date Inspector 1 i , _ Date' Inspector APPROVALS ' Permit# - APPROVALS Permit-#' • 1.'Temporary.Electrical-Service or.Pold - 52. Pool &,Equipment Location, . . • ' -• .' . • 2. Soil Pipe,Undrgrnd. ' I , ' •53. Steel Reinforcement y I ., •_v 3. Electrical Conduit Utility-Undrgrnd1 ; I 54: Forms I ! _' ' ' ,r. i t V: 4. Electrical Conduit-Undrgrnd. ( , 55: Electrical'Bonding j ; . : 1 5.i Steel Reinforcement • - 1 .( l ' 56: Rough•Plumbing & Pressure Test.. t , 1 ; , ': g , 6. Electrical UFER Grnd. , ( - 57: APPROVAL TO COVER-GUNITE ! 7.,Footings - , , : ' '58. Electrical Conduit-Undrgrndl '-I4 ' ' ' i ' +; 8.tFoundation : t -- .� ' ' 1 - ; -,' •, `, •.a ' 59.' GasiPipe, 0 Undrgrnd., Test , 0A.'Water Pipe-Undrgrnd: -. • ^;:-- t -E-' - - -60:Backwash Lines; P:Trap,•0 Undrgrnd. " t - , • ' 10. Structural Floor System' - . i61. APPROVAL TO DECK i , ' I ] --11. Property Sewer Line:& House`Connection • ,r t • 62. Backwash & Receptor.Final c•12. Sewer Cap - 1 • • • 63. Heater & Vent-Final r, 1 1 13. Roof Drains .1•-•-•'! ' , : . i . 64. Plumbing Sysiemf- Final ; ! - . , { 14. Rough Plumbing j - 65. Electrical-Final` t = 15. Rough Electrical-Conduit . : r. r I . . !.' 66.]Solar System-Final +• " . ' , i , 16. Rough Electric Wiring r. • - ` ' " ' ( '; . - "67. Fencing &TAccess,Arproval , ' '' a • ' - . 17. Rough'Wiring Sign' - - ' ---- ' -1 ,"!`• ' • 6e. APPROVED-FOR:PLASTERING. , . • ` it ' . 18.; Rough Electrical-T Bar Ceiling ' - ' I . ,- . : - i 69.-POOL/SPA SYSTEMS FINAL ' : , i ' 19. Rough Heating & Air Conditioning ' , '•�' ,/1 Q ,Qk. I • EIRE/DEPT': REQUIREMENT. '-I' 20.' Rough'Factory Fireplace !w { I APPROVALS Permit# _ ,- 21. Ducts, in Structure' - I 1. ! I ' 70. Underground Hydro 4 j - ' 1 , ' i,--• - . 22. Ducts,,Ventilating' P ' 71,.- Product Piping❑Gas' 0 Oil , ' 1! 23. Gas Pipe-Rough & Test - : , j : : : i 72, Underground Flush - r, 24.. Roof Framing ' 2.1 ^;i - r y • " ; ' t : , -p ' 73. Undergrind?StorageTanIVOGas: 0Oil+ C 25, Roof Sheathing • - - ' • , 74,'Overhead Hydro , 1 " , : 26.,T-Bar Ceiling (Structural) & Monocoat. r , r ! ,.7 :5. Dry;Chemical •• ii C:-I I - .. � -, •• I 27. Frame and Flashing1-- - `-76 • 'f - ` 1 - , ,r., ; 76. Dry Standpipe !r. :✓^ i. , 28.1 Lathing & Siding ' - • : ' . ' 77' . FIXEDiSYSTEM'FINAL 1 st + =- rs.r •i -', ;:1, • 29.• Insulation " , I • 78. FIRE PREV. FINAL' . ', - t, • . -- - 30. Drywall Nailing • t j , HEALTH DEPT- REQUIREMENT _ I : 31,.Plaster Brown Coat . _ ' '• i ' � ' . ; 79.?FINAL INSPECTION - _ . ` .,, ,t , 32. Electrical Power Meter-Final - t 41'. i ' 180 .FOOD CERTIFICATE ISSUED; ' , -' -,In; . j ; 33. Final Electric .• - • q 4 1 . _ , - ; Notes:. I "' 134. Final;Heating & Air Conditioning• _ /".///571/49r. ' '" :, I_ ! ,_' it 35.1 Fina'Pt a Pipe Test i . I ' 1' • ' n i . 36. Hood or Canopy %1 , • 37-f'Final Factory Fireplace -- ' S "•' •C - 38"'Final Plumbing - q '.•• _ - y/ , 7A • t tit I t 39. Water Service-Final _ , - - cM 'I r I In. - c .r .�_ ,'40. Gas Service-Final' _ • . 1 - �. r - /I' _;t �. Yn•.."' V -.� + 1e r 4- i 41. Solar Domestic-Final - .. .r ' t i�42: Backflow•Preventer of r to . r._ `. - .. --4., ja/ - _ 1 a it! (• it . �43. Backflow Irrigation• ' - . - - - -- f 44/Lscape Irrigation System'- - '• _s- - -: .•2 iii : -45! Sound Attenuation - • - 7 - - U .rl, t 46�Handicap Regulations -' - : ' •:,f - - G. • - •- r' . . ' „ - : 47' FINAL STRUCTURE & BUILDING ‘ t. V. 17 i, ' :il•- c ! 48. Special RequirementsrCbinpleted ' 7 . - ^ tJ, •1,>.'t/ ' - i.J, ' , 49. Electric Release to,Edison . . • ' Ia; -' ! . 'F 50. Gas;Release to Southern California Gas'Co '- '" • ��I' ' 51:. CERTIFICATE-OF OCCUPANCY- l• -• • ' • - ' ; . ' • .. I - No. - Date_ - , - : .• ,1( . . _ . � ; ..- . .. . I • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. . - - PERMIT NO. TRACT NO. LOT NO: - - - u 1 I I .3397 T8/I I/87'- CITY of COSTa'I�QJ�/$$�QQ//�� /f��O T�Rj�j)C�TIOJI� P /MIT" �1 ' ^ Q 7 uviT jyo• 42,30 TL ' Project Address I,j((//2(L/. V(/Ca 1/YV „/Y',f E It9 /�t • 1 r I ' �]ff, • I ( i s 1 ; I i ! ,j ' : TYPE OF CONSTRUCTION 'T, NEW LJ,ADD L_) ALTERATION REPAIR I I { { - Applicants Mailing Addy- s 1 /'72-Ydb�, ' ❑ CONVERSION, ❑,DEMOLISH ❑ OTHER 1 - f i { I 1 Owner's Name' MPS '• one f7 3 379 - --- -f— - -r - - -- - - A.P.#_ _ .. _ _ -Zone'• _ -' • 1 DESCRIPTION OF,WORK/USE OF BLDG. g Address ` i. , �' S Main Build Ingo- ; k'. Accessory Building: : Arch/Eng. • ' Li• cense No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL ! I T Front; I • I i • I r , I r 0 Address ' • in --•;.• ELECTRICAL`❑ PLUMBING El.MECHANICAL I ; �,,�I I: _ B Rear I N Contractor's Name 136/-f�Z�l� Phone 6So3333.] j ❑ OTHER /!1 , i - A_ - • _ - • I Address(mailing) (s2 I'�1D virtu.,"la-#Z' • PROJECT DESCRIPTION SQ. FT. IC7'S OCCUPANCY I C RigHt'-' G { ,g (jtl-�j, I { . CONSTRUCTION TYPE ' VALUATIONS Left I I • 1 t • City License No. TT C.- ZONE I GRADING CU.YDS. ' ACRES` $ R LICENSED CONTRACTOR DECLARATION I I - .i Ping. Ref. - t :Parking Req./Provided E I, I hereby affirm that I am licensetl under provisions of Charter 9 (commencing Remarks: 1 - ' (�� 1 • i Planning Notes: f i � _ {' with section 7000)1of Division 3 of the Business and'Professioris Code,and d I'• rv1' my license 15 in'full for ,,antl of lett. ` I -i 1 ( _ 1— o, • 1 'S 4 1 T License lass Li • ^� • • _ i Date,, • a - tv tv � Signature ' `re d i4�� • PLUMBING , •e. ,=FEES _ i WORKERS'COMPENSATION DECLARATION - ' ' i Bar Sink• - ` - .;e reby affirm thatd have a certificate of consent to•self-insure orra certificate - - t . ' Showers! - . • " 'r ELECTRICAL• ': e - ! FEES -�•Workers' Compensation Insurance, or a'certified copy;thereof (Section - J -t ( -1":1'::b0, Lab. ) Backflow Preventers ` Service Sink ' < t , r.. - s -+ t - A Q GG neer , , ( ( I 1t.^ Automatic Washer Transformer-❑ 15 50 KW;; j Policy No. f�J�$/,3lO/ Company /TL+'V7 ,J Backflow Irrigation. : - • v 66 i 4 ' ...--0: -0 50+ KW, I 9 Sewer Cap J - I I " Construction POIe Sub r - I pQ Certified copy is hereby furnished. , i Certified copy is filed•with the city Building Division. ' Bathtubs f' ` '� ,T Sewer Connection I • - ' - . b , .:1 - Cooking Unit-; GA.'S G' Meter lMllp to 100 amps • - i+ I G' �� • I Date' • Applicant _ — I ,� / Y/�t�I Clarifiers . ) t 1 ' '�- Dishwasher : Meter ❑over.100,amps { L. f Op EXEMPTION FROM WORKERS'COMPENSATION DECLARATION i I 4 s. Sitter COIIeCtorS i t 1 (This section need not be completed if the,permit is for one hundred ($100) or • -- less). I 1 Dishwasher. '' { - - , SolarPiping 1 • - Dryers igol�Gas YDElectric - ' Sub Panel , ) • - ' -I certify that in thel performance of the work-for which,this permit is issued, I - - I - ' - 1 t I •�•- �� •' shall not employ any person lin any manner so as to become subject to the . 1 Drinking;Fountains ^ ) Solar.Tank r. ';2 Fan ( �� Motors C10-1 HP OVA 8 „ i a Workers' Compensation Laws of California. , - - - p'a Date , t ' • Signature ' 1 ' I • 1. . Floor Drains ' i /..71 -' i Swimmin Pool w/S a I ' '- .+• t N - I. -NOTICE: t,after.making-this.declaration',you-should become-subject to the- - ' g p i v I� F.A.U.+ . ` Inc.Solar ❑9-15 HP•016-15+- , ,',/Q t Workers' Compensation provisions of the Labor Code,-you must forthwith ; Floor Sinks+'e} ' t . Urinal . I , t -Fixtures comply with such, provisions or this permit shall •be deemed revoked. • - - �,� Microwave) ,1 I• loot,CONSTRUCTION LENDING AGENCY • , I I ' Gas Sec iic � Outlets Water Closet , i - 'a' ! : -I hereby affirm-that there is a construction lending agency for the performance t' { { �� D¢vice BOxeS Pole Leg ht' i 1 - s 1 of the work for which this permit is issued (Section 3097 Civ. C:) I 'i 1 - Interceptors , Water,Heater , , Outlets1 Lenders Name _ 1 % Range I - O • • r I, •Lender's Address• 'D - - - - - - - - Kitchen Sink , .i. ,Water Service+ ._7_ _ = Switches - --- - -- -- - - 0 - - - ,._[' 0 I, OWNER BUILDER DECLARATION I - - n,' T I hereby affirm that I am exempt from the Contractor's License:Law for the - . , Lavatgories�^' 1 s I Auto-Wash 1 1 j1 Garbage Disposal i Standen Sections following-reason (Section 7031.5 Business and Professional Code: Any citylor - II 1 . g j . / CO county which requires a permit to construct;alter,improve•'demolish or repair. ' ' P-Trap( i Laundr Tra s ' +'" Generator:00-E KW ❑5-15 KW r. any file a signedurestatementr to its issuance; also requires the applicant for such permit t ns y y ___ G¢neratOf� , to a that he/she is licensed pursuant to the provisions of • •%;" 1, _ Trash Compactor 1 1 . Roof'Drains the Contractor's License Law(Chapter 9 (commencing with Section 7000) of- j _ 1 , - +vL4 1 - �evision'3 of"the'Business-and Profed exe'COde) or t /she is exempt' • - - -- --- - - - - --- --- - -, ---- - --- . -.+- -- ' ' -• • - - . , ' •ref r o and eibasislfor the.alleged exemption. Any violation of Section ' i - - ' I• t , - . ) . ,31.5 by any applicant for a permit Subjects the applicant to, civil � ' ' 1 t ` 1 - I - enalty•of not more than five hundred dollars($500): I _ , , ' " ' • 0 I, as owner of'the property or my employees with wages as their sole Reinspection Fee: I .$15 - " Issue Fee- • ' $r3 - - - compensation,'will do•the work,and the structure is not Intended or:offered fsss for sale (Section'7044,'Business and Professional Code: 'The,Contractor's , p , MECHANICAL t -FEES.' Reinspection Fee I $15 • Issue Fee ! - - $ 3 License Law does,not.apply to an owner of a property who builds or improves - - - - thereon, and who does such:work himself/herself or through his or her own. e • • )-DEVELOPMENT SERVICES REQUIREMENTS: - employees, provided that such improvements are not intended or offered for . Boiler ,. , C Hood or Type I ,❑ - 4, • sale. If,.however•.the building or improvement is sold within one year of com- ' Canopy Type II .❑ - - '•Zoning Approved By t - • • Date ` 'pletion• the-owner will'have the burden of proving he/she did not build or im- ! 1 Duct-Under Ground I _ - ' 1 1 - ' -prove for the purpose of sale). j • 1. .. - - . •' •• Building Approved By - Date - 1 • • ' . 0 I; as owner of the property, am-exclusively contracting with licensed con- , Duct-Structural ' • I. Refrigeration System ' i " I ;Application Issued By n1 t Y Date +�r'�� 7 tractors to construct the project (Section 7044,Business and/Professions Code: - .. —T7 7 i r�!� -"t The'Contractor's License Law does not apply.to an owner of propertyiwho ' Duct-Ventilating' i ❑0-100,000 BTU ❑100,000 BTU -. i I SUMMARY OF I ' - builds-or Improves'thereon;and•who contracts for such projects with a.con- _ _ _ i- , - FEE$._. , I ' ' tractor(s) license pursuant-to,the Contrzetor's'License Law). I,am,ewere'that - BUILDING PERMIT $ -� Exhaust System-❑ Multiple System Repair/Alteration• • __ I$ proof of their Worker's Compensation,insurance should'be provided to me, - - - _ PLAN•CHECK �$: : l I PERMIT' ❑ 1 am exempt under Section • " - B!&'P.C• .-for this reason Firepl/Fact.BI L.ICBO# - - e $' • - I • ISSUANCE •$, v ._ , - _ - PLUMBING .<- - f --- Date ; Owner _ • '" _ " e s - , •, ENERGY P C. 1$s• _ I •' + . .PLAN CHECK' 26% $> - C - I hereby ceitify.thab l have,read,thi5 application and state that the above 11.10-100,000 % ss'sas % - - w/� f , .� information is correct I agree to comp 1th all city and county ordinances' :" s 4 ELECTRICAL ' '$ i�-/•�. GRADING 1$.c.. and state(laws r- r to b ';din• • str . tion,and • eby authorize repre-- PLA N;CHECK 50%• 1$ -1.,..Z. IO ' MICROFILM $ . •senta[ives of y. to- nte� •on i above 'tinned_property far - inspection pure, ,, p MECHANICAL •$ - a3 d Signature: r /,•' • -Y • . _ -�r�0�'. •ate-, TOTAL FEE $ �Drivers' Licen e or 55 ;1 I • -' - -• PLAN CHECK - 25%• '$� CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod -Assessor - ' I� • n I •c v . ,_•,, ; ri .,.,'_',G," POOL&SPA ....1.- ... , ,CONSTRUCTION AND''PLANNING _ .'t� %J„ .Tt ` '.r'-: 1`-' '`:�V.;Js - ' APPROVALS ' Permit# Date....- Inspector•fl�APPROVALS- .Permit# ' ' ' Date '` Inspector ,;' , i Ii i I ' • . it 1?•Temporary Electrical Service or Pole : t ; '52: Pool &'Equipment Location ; . k. ' 2.' Soil Pipe-Undrgrnd. ' ' ' i ':53. Steel Reinforcement ' t , 3.'Electrical Conduit Utility-Undrgrnd. , , l -54. Forms ' . i + I , 4. Electrical Conduit-Undrgrnd. , ' , , • ' :55. Electrical Bonding I I - .. 5 .Steel'ReinforcemenY.' ; • ' , 56.. Rough,Plumbing'&-Pressure.Test I I `,• 6. Electrical UFER Grn'd.`; ' ' 1 : ,, . ' ; ' -.57• .;APPROVAL TO'COVER-GUNITE ; 7. Footings ' . y'' I • , I• - 58. Electrical Conduit=Undrgrnd.. „i 8: Foundation, _ - r - 59 Gas Pipe, 0 Undrgrnd.,Test • • 9. Water'Pipe-Undrgrnd ' .*.„_,-. t _ _60.•Backwash,Lines;P-Trap, 0 Undrgrnd. , ' ' 10..Structural Floor System - • t • ` ; • ' 61. APPROVAL TO DECK ' , i . ; - i . ' 11. Property Sewer Line`& House Connection ' . ' : - 62: Backwash'& Receptor-Final; 1 ; • 12. Sewer Cap - l ` - - g. a + • 63. Heaters& Vent-Final r ' 13: Roof Drains • ,_. V '- ' - + 64. Plumbing System - Final: I . . • ' • . ' ' 14.' Rough Plumbing 1 ' - '. 65. Electrical:Final 1 • I ? ' 1 I - ' 15. Rough:Electrical-Conduit - 66F Soler:System-Final i ' r ' ' , - I • 16. Rough Electric Wiring .. See - ,' - ii,;�sioeel,/(n 844:67,,-Fencing &'Access Approval, - . ' •'• .� - , • 17. Rough Wiring Sign '- " ' "' -i' . I '68. D` �APPROVEFOR'PLASTERING"- I. . - ' ' 18. 'Rough Electrical-T Bar Ceiling,!'„ - .1 - 69. POOL/SPA SY_TEMS'F.INQL ' j, ' i- 19. Rough Heating & Air Conditioning ' ; , • FIRE DEPT. REQUIREMENT . - r •! 20. Rough Factory Fireplace i I • • APPROVALS • Permit 21: Ducts,in Structure 70. Undergiound'Hydro'. �; - - = • 22. Ducts, Ventilating , . ' y .71. Product Piping 0 Gas O Oil • . • - • ' 23. Gas Pipe-Rough •& Test' - , .A I 72. Underground Flush _ .� 24: Roof Framing ' : " - •, '' .I. _ 73. Underg•rnd.Storage Tank 0 Gas. 0 Oil _ , 25: Roof Sheathing ., •, , , 'H . : 'i= ti. .74. Overhead Hydro `•l .. 7 _ ' • 126. T-Bar Ceiling (Structural) &-Monocoat i ' - . 75" Dry Chemical :' 4 _ : 27. Frame'and Flashing ; . . ' :Li" ---• -' - - '- -767 Dry Stndpipe' - 1 - • - , 2•8. Lathing & Siding 77. ;FIXED SYSTEM FINAL -,�_ :- 29. Insulation . . 1 ' 78. FIRE PREV. FI• NAL' a �.- - " • • it 30: DrywallNailing , I .{. ' • HEALTH DEPT. REQUIREMENT , • 31. Plaster Brown Coat , _ • ( • 79. FINALINSPECTIION r . ;,/ ;‘7 32. Electrical,Power Meter-Final • , ' '80 FOOD CERTIFICATE ISSUED r, 33. Finale Electric ' ,• p . 80 21 •Notes:' p7 misc. .eitanK . nark . -` ' 34. Final Heating & Air,Conditioning:, ° • i ; = ' ' ' • "' 35: Final Gas Pipe-Test • - .36!Hood or Canopy - - , -- -- - ..✓. r _ - , 37!: Final Factory Fireplace fj Ie , , 38''Final Plumbing- . . ee` 14 . • ' , " 39.E Water Service:Final- • - - - 4 ' ' - -- - 'c% ' ',40' Gas Service-Final , . 1 (1 r., a. 1,41....olar Domestic-Final ' , , . �% ,; :-' r42. Backflow Preventer '. , - - �;1 - t/ !43( Backflow Irrigation ' ' . . ' - .•�I. a u_' • - 44:_Landscape Irrigation System - ; - . L�++.•. ''1" I 45._Sound .Attenuation - / �... •• ^ ' ec 46•. HandicapRegulations - - - : - ,v r. 1, Ic•t^>. i ••••.„, i:,t.: 4''471,.FINAL STRUCTURE & BUILDING ' _ - • 1' 4 cwt., . - ..'tit -. a", ;48.-'Special Requirem'ents.Completed= : .- " - t,;� - - '.49. Electric Release to Edison - - .��. _ tT ) ' ;,,50.;Gas'Release_to Southern California Gas Co ' I-' , - • - - - • . ,;SL;CERTIFICATE OF'OCCUPANCY: - - - ? ' '' ,<' - ' . No. . Date - . - • ,� ' • - . . CITY OF COSTA MESA - . PARK FEES Fee Payment Receipt 001063 0923 I /26/97•. 15981 :94 TL Project Address .2.lfIlnle Ct-DE,N ME 141h,C,D,E,F,G, N� J1 K, L )M .) N A.P. Number 1/ 39 — 22/ — l to , r7 '� • Building Permit Number Owner's Name BUSS F/ QYE,C . Mailing Address SIC 3O?"' Si-.' / NC-WIPaRr BEAcf47 CA 92.4 to 3 FEE: Single Family * Number of Units 2-Bedrooms or Less • @ $ 861.76 = 3-Bedrooms @ 1,205.67 = , 4-Bedrooms @ 1,545.62 = • 5-Bedrooms+ @ 1,810.50 = • Multiple Family ** . ' •Bachelor or Studio - @ 474.37 = , 1-Bedroom @ 573.18 = • 2-Bedroom • @ 881.51 • = __ 3-Bedrooms+ IS @ 1,229.38 = 15J98/ •9`/ Total Fee *** /5� 9g/• 9iJ Planning Department Approval Date. '-24- 87 By t1404....t1404.... /4/1113- /w8('� • ` Applicant's Signature_ M'nlD4, ., ,* City Ordinance 72-44 ** City Ordinance 72-0= ***City Resolution 78-116 C�O�� CMF•0174.30;rev.7/85.White—Planning;Canar, jnning;Pink—Finance;Goldenrod—Applicant nig • City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 002.045 Building Safety Division • P.O.Box 1200 Costa Mesa,California • The Building located at 2666 Elden Avenue. [lnit- A has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R3/M1 Occupancy. Use of Building Condominium - t Legal Description 439-221-16.17 (See reverse side for Metes and Bounds) Building Permit No B 27021 Electrical Permit No. F. 29721 Plumbing Permit No. n 71477a Mechanical Permit No. M 29388, M 29174 Number of apartments and/or guest rooms ISSUED TO: Building Official William T, Ure.rar,i Steiner/Fluter . 510 30th Street by Newport Beach, CA Date ,Taman). 9A. 1QAA This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of.the City of Costa Mesa under Sec. 307 (e) U.B.C. --r CMF 1015-46 rev.1/83 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File December 21, 1988 To: Building Safety Division Pacific Bell (2) Code Enforcement Police Dept. - Ping. & Research Communications Santa Ana Heights Water Company County Administration 'Office Sanitary District Engineer County Clerk/Bd. of Supervisors Southern California Edison Co. County Registrar of Voters Southern California Gas Co. County Tax Assessor State Board of Equalization Engineering Division (2) Street Division Fire Prevention U.S. Post Office, Adams Avenue Manager, MIS U.S. Post Office, Santa Ana Mesa Consolidated Water Dist. Zip 4 - Santa Ana Newport-Mesa Un. School Dist. (2) File (2) The, City of Costa Mesa wishes to advise you that the following addresses have been changed or added: OLD ADDRESS NEW ADDRESS A. P. NO. 2666 Elden Ave. , Unit A 151 Quiet Bay Lane 439-221-61 2666 Elden Ave. , Unit B 153 Quiet Bay Lane 2666 Elden Ave. , Unit C 155 Quiet Bay Lane 2666 Elden Ave. , Unit D 157 Quiet Bay Lane " 2666 Elden Ave. , Unit E 159 Quiet Bay Lane , 2666 Elden Ave. , Unit F 161 Quiet Bay Lane11 2666 Elden Ave. , Unit G 163 Quiet Bay Lane " 2666 Elden Ave. , Unit H 162 Quiet Bay Lane 439-221-62 2666 Elden Ave. , Unit J 160 Quiet Bay Lane If 2666 Elden Ave. , Unit K 158 Quiet Bay Lane 2666 Elden Ave. , Unit L - 156 Quiet Bay Lane 2666 Elden Ave. , Unit M 154 Quiet Bay Lane 2666 Elden Ave. , Unit N 152 Quiet Bay Lane For your convenience we are listing the agencies above that we have notified of the change. In addition to those listed, you are advised to notify your correspondents of the change in order to avoid any possible interruption of mail service. • Your cooperation in this matter is appreciated. Sincerely, f GLEN S. ETHERINGTON Planning Intern GSE:j1 (ADDCHNGE. 23) cc: Neville Pearson 2666 Elden Avenue, Unit G Costa Mesa, CA 92626 Occupants 2666 Elden Avenue Units A-N Costa Mesa, CA 92626 / l.i 63 /6Z_ .- • • 16 ( 160 • 15.1 I . • 15-1 H 156 • Q 1 « r m _ • 153 -- I D 15Z i51 • I . ELDEN . AVENUE . . T .. • •