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153 QUIET BAY LN - Building Permits
V --. • . c n'Ilk -- CITY OF COSTA MESA ' 4 BUILDING DIVISION :j ,,,,, ;`� DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER - ” i� I PERMIT B03-01803 4446.01,010`I (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.camsPERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 153 QUIET BAY LN BUILDINGStatus: ISSUED Suite: Applied: 10/15/2003 Vicinity: UNITS 153-155 • Issued: 10/15/2003 Parcel Number: TPN003179 Zoning: Applicant: BATIOFF, JOHN _-- -_- ISSUED BY: Address: 17182 ARMSTRONG AV _O��- E - _>,-__G ` �l/62 Phone:-714-3817974; yj :f 92614ner: -Address 163QUIET BAY LN U\ • —:.-_-_--,-....---_.1---._- `-/ `� -i / \�� ©� rPhone:- 949-253=4548- ,��� �� COSTA MES CA '� �ZI 92627 �� \.' ,- Contractor: DRI COMMERCIAL 'N VN) / \`_ A 'Address:. 17182,ARMSTRONG AV \ / •,..\ / ' ,r/2 4;1/ Phone:,n \\. \,, \ **\\ , / IRVINE,,CA • 141 ��'�\ \�• 1 ,.l \�; - �f Zip:_ 92614 (License:v 818623 ., a=te ._\�-V %" \ : , , nArch/: l/� , �' �" s `�+� \:\Eng. L. ‘ �. C i �:\ // J , / /°°o �-� A`A \ Address: ��� � G /- \ p �.=� J Add7ese: : , , �. / , A _� / , n 1 ) Phone:_.- „'�...-...-�- ✓ - L /,'A Phene: V 1 I 11 1-1 1 i Zip: /,!i V License: , v License: ', 1 lig( SCOPE`OF'PERMIT---= r C i f\'TEAR OFF EXISTING ROOF.INSTALL CLASS A COMPOSITION SHINGLES S-37.34 SQUAREFOR` .CONDO UNITS.UNITS 153-1552 0\ , �, u ii ilia; .1 /tall, 3-1.,ws Nts,-. _ 14 u ilia; _ / i` l ' I� U— i ru- FEE SUMMARY `W/ / , l Plan CheckI111,1,--, $0.00 .o, r -� , ;ti.1,4f� _Calc Valuation �.,St,as000 Permit.\ $153.25 —� -/ Claim Valuation 87,3so.o0, �\ ' fir`_ � '� -- - , ! / SMIP-Res:A\I' $0.74 f� /' - /;, / '\�SMIP Com: $0.00 //� h ��//j 1/'' .1�; �\ , � ' / N/� • ' / ��� Other:- $0.00 � �-'"' \Inspection: \$0.00 - f '-'/7 Th /'e1 1 v i \\ ..........-,:mars.--, l/ / c.:.-:,,�r \,Total: ,L$153.99 rt,„�\ ,ty:c, %/ 1/1 _ i \V v dtr - o 0LANNING &ZONING _ 7/�/ , r� SETBACKS ��0 o O e c c o 6,„ (1'6 �` ✓''� '"����/�, �� /1 .� ,oa$ oaf d 0 O ��i% f) ' MAIN STRUCTURE`Front(i0-0�j Rear0.0` c••WLeft0 0 ->jRight�-,'0=0-,\ ACCESSORY Frontvr ��� Rear 0=0'- _�:LeftZ0:0 Right' %0'0 / PARKING Existing: o\ Requ red'_�0��-,}Proposed"-irCO`,\_.) j//v NOTES: KENNE S 10/15/2003-FEES PAID, REF.: VOIDED PERMIT/',,-- – - o -- 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) EXPIRATION: This permit shall automatically expire and become void if work is noticommenced within 1801 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 244646 16/001 DECLARATIONS I ~- F .. i' , . 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 ork 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'compensation Insurances?rrler and pol' number are: C� Carrier: Of M.t,a.q,C., ( a Policy Number: z. -" —r[e "2 /fo.7x 7 • (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ 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,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 provisions. Url (� `Applicant Signature: Date: w `J �3 WARNINGS FAILURE TO SECURE WORKE COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITI 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 u der provi Ions of Chapter 9(commencing with Section 7000)of Division 3 of the Business ane •fsion ode,and my license is in full force and effect.Lic.ft Ca 7_ Class 4 ,Contractor'sSignaturei: • 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 TME 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 properly 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 drivers license. 0 Yes ❑No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property 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: I 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 ❑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? ❑Yes ❑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 California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application kPaermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ID Yes u No (Section 65850.2 of the California Govemment 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? 0 Yes ❑No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health end Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescnbed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (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. ur1 Legal Owner(s) /0 /S—� .Date F1 d/ r A„116nzed Applicant y CODE I 'INSPECTION TYPE PATE INTRIALS CODE I INSPECTION TYPE • .. . 'pg 1NTITIAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 11'45 63C/ 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 • Applicant to fill in all spaces except those within heavy border lines and__stgn all appropriate declarations. CITY OF COSTA�MESA CONSTRUCTIO PERMIT PE@?y T Ng, - f TRACT NO. I LOT NO. �;UN-IT O' I ,� i ? 1 �- - t I I I f //'! �I�I}��y� �% f�; L? d2� lr �.2 �i�Z1 7 ; tf�/ cif ',I '0928 ilY26Y�7 640.;42 ATL ' Project Address - 2CP �P �../^�'N' r t ' i Applicant's Mal lin Address 1 ' '! ? + f TYPE OF CONSTRUCTION I KNEW' IADD ALTERATION REPAIR �S r ? �N� , _+ ., ''' ❑ CONVERSION• ❑ DEMOLISH �O OTHER _.i Z- ! - I_ _ .Zone. i _ A.P.A.P.-# _i.. q Owner's Name 3.- 3•- _' 543- / ' �.--�_ , i_7.- - Z Phone DF�C�R�I PS19N OF. WQR�C/U$E $LDG!`, r Address F O � `?� � Z • a { W,aPEx �OjL/�&, (� �J4 I ' - S Main Building: Accessory Building_ I e Arch/Eng, , 1i PS'✓- W I��'`LiceLns1e N�o-pl 7 +r 1:TVPE OF ERMIT I ❑GRADING FOVNDATION STRUCTURAL T Front ;-$�f �' ,g 1,C i I j ; '^ O Address 2'�-� %( `T Cry `.V"-' J •Y �- +, ❑iTENANT ❑ ELECTRICAL ❑ PLUMBING ❑MECHANICAL t B Rear , s G/ t I t ' t 1 N s i ! 1'p j 1 i i- 1t .11�^a r❑,OTHER_v ! I i , r A 'Contractor's Name �✓ Iy' Phone- - _ -- - right;, Q--S / ` _ (-- 1 -i - _ j _ _�'�- 'N i , i i -�•* +:3PROJECT DESCRIPTION : So. FT - OCCUPA �Cv Address (mailing) t 1 - ! ' , K / _- i t - +^ + G CION ST RUCTIONiTYPE VALUATION•$ + S Left City'License No. t •'-� 'u'f ,'1 .+ ZpryE - GRADING CU.YpS: ` ACRES 7 Ping. Ref. #LICENSED CONTRACTOR DECLARATION ! ' Parking, Req./ProvidedJR E I hereby affirm that I am licensed Linear provisions of Charter 9 (commencing p Remarks: �p II t1.��/� I t _ Plannin Notes: ! n n i with section ]000)lof Division 3 of Life Business andProfessionsCotle, antl) (.ir vVJV �• s?� YL-Ct7 b g ( O 111 .ngg2r,:, M j my license is in{full Wit effect. ! I pc ! +�! '� �i ' 2 j 2 { - - 1 1 + T I License Class t I 1 License No. 31. ! a a - i 1` Y.. SJ. V.� (� . O D, r i, . 1 i i d• S e Date i t Signature + t I '- .Fir 1 '( ,. j ' ;PLUMBING J ' i L•. ,;FEES' D _i - f .. �• _ ' t , .0 ; i ! i o �. ' y 'vORKERS' COMPENSATION DECLARATION ' t t E f ! Bar Sink + tG t 'Showers _ t _ r { ' i ' ' .ELECTRICAL' 1 y !r+ iereby affirm that•I have a certificate of consent to self-insure orja certificate '''" - + + i __ 'FEES Workers' Compensation Insurance, or a certified COby:thereof (Section - - i . , , _ +- { 3800, Lan. C.j ? { , 1 j y I e ,Backflow Preven'[er - j +Service Smk 1 i Automatic j a t •,Transformer ❑ 15 50 KW , + Policy No. Company t t 'x :J ^. Backflow Irrigation i Sewer Cap _ + - n +� o r �❑ 50 +' KW; ! '_ 1 ❑ Certifietl copy is hereby fu nishetl. i CdnstrucbOn Pole Sub:,+ ❑ Certified copy Is'filed with,the city Building Divisionl. r •I, r a( tG , Bathtubs' !1 -_ r .• Sewer•Connection _ COokiog Umt- , ! ' i Meter I]up t0 100 amps I i + Date• ' - Applicant I , ? i „ r , - i t ,. , - :7 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION I ,..� "� Clarifiers .+'.', �, Solar COII¢CfOrS,' ? i a, 1 'p Dishwasher rMet¢f ❑Ov¢f100.amps •( y I { (TM1is section need not be completed if the is for one hundred ($100) or, r - - - 1 - I ` less).' 1 -. 1 Dishwasher,-, V 1 i 1 ; e Solar Piping j t-' { i 1 f ! Dryers,❑Gas ❑Electric Sub Panel - 1 i I certify .that in the+performance of the work`fOr whi Ch,thls, permit is Issued .I' .' - -- - - - -~ ..-.- 1 - +- - t' -+ +' + shall 'not employ any Person In any mannerf so as to become subject to the e;%. Dririking'Fountains I SOlar Tank I + •L ! Fan + ! + - Workers' Compensation Laws of California. I I 1 1n . f - . i I 1 ,+. 'I a • , Motors ❑0 i�HP ❑P%- 8 , ! Date, t -Signature ( =•6 't"'', Floor'Drains I_ t i �y Swirnming' Pool w/Spa'� t? } i F.A.0 � _ Ino,Solaf ❑915 HP'❑1615+ ' .NOTICE:Jf, after -making. th isttledaration,:you should become subiectao-the_ - --- _ - - _ Workers' Compensation provisions of the Labor Cotle, you must forthwith Floor Sinks ! ' ` ( �- ;Urinal { , - j . 1 Fixtures t comply with such• provisions ors this permit shall 1be deemed -revoked. 1 � { � ( I Microwave+ CONSTRUCTION LENOINGt AGENCY a 1 1 r Gas Service f Outlets l j j Water Closet j- Device BOx¢s- t i 1 hereby affirm that there,is a construction lending agency for, the performance i + i l P,0a Light' of the work .for. lwh' ch his er is iss etl -tion 3097 Civ. C.) - "-{ + 1 - i I •� {EE Lender's NalBe + ! 1 Interceptors r_, u R ',� 1 Wate-,Heater , ) f , , Outlets + !' I ( i ' .Range I . Lender:s Address. ' (/oC) ! ' JIL, �K ' - '. Kitchen Sink T•Water Service, - -•- - - - - - - -- -- - !! i 7 1 I - Switches', OWNER BUILDER-DECLARATION ' • / 1 { , „, i 1 I - Sign , 1 1 i -I hereby affirm.that 1 am exempt from{the Contractors License Law for the i Lavatories..ia - 1 rt AU10-Wash e i ( Garbage Disposal j Standing Sections ! ! following!reason-(Section 7031.5 Business and Professional Code: Any citylor - ! + . county which requires a permit to construct, alter, improve, demolish or repair j P-Trap - j p _ LaundrylTrays ' I Generator ❑0-5 KW;❑5-15 KW a any structure, pript}to its Issuance, also'req vires the applicant for such permit ' - "� ^ ` f Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions',of Roof Drains " .' ,✓'J �',F - I - +he Contractorts-License Law (Chapter 9 (commencing with Section 7000) of + 1 1 _ 1' _ + i i I vision '3-of-the'Business and Professions' Code) or thathe/she is-exempt - - , - — - - -- - - -- - erefrom' ancitthe basis yfor the alleged exemption. Any violation of Section '- ? ,031.5-by- any applicant for a permit subjects the applicant tole dullIY 1 e enalty of,not more than{five hundred dollars ($500). b ! t ! - + c1 i , i + 1. $, j, 1 ! I { i. { ; + j ' I I as' owner of +the% property or my employees with wages as their sole . Reinspection) Fee! $15 .: j Issue Fee + ( + 3 1 ! co m pensation,;wi11-do'the work, and the structure is not intended or'offeretl ' - ., Reinspecti On Fee i $15 issue Fee t- for.,sale (SectionT7044„ Business and Professional Code: 'The Contractor's - MECHANICAL) _ i FEES- 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 i ,DEVELOPMENT SERVICES REQUIREM { employees, provided that such improvements are not intended or offered for Boiler i Hood or Type ❑ I ZOniO A roved B 1' `/`•�: ,sale.' If,=however,-the building or improvement is sold within one year of Com- i Canopy , Type I ❑ 9 pP y Date .:pletion,-' the owner will have the burden of proving he/she did not builtl or im- DUCL - Under GfOU❑d I ,' ! j i +gUildirig Approved By .t s ! 'Date ( 'Prove for the,putpose of sale). t - t i - - �'I, as owner.of.`the property, am exclusively contracting with Iicensedcon- Duct -Structural Refrigeration System; + r Application Issued By 'r - i ' � Dat •�'', tractorsto construct the project (Section 7044, Business and,Professions Code; j - 1 i The-Contractor's-License Law does toot apply cto'an owner of property who j Duct- Ventilating { ' ❑U 160,000 BTU ❑100,000 BTU j. { - 1 _ i - - ' t �pS MM V OF FEES -� builds,or improves thereon, and who contracts for Such projects with a. con- -- + lractbr(sl incense pursua nt to ,t he Contractor's Li cense .Law). Ilam:aware that, - ° ' _ I- i BUILDING PERMIT_ $- OO! ''SNIP, ff ,. 'Exhaust System" ❑ 1multiple ❑ System'Repair/Alter' PERMIT-- proof o their;Worker's'Compensation insurance shoultl.be provided to me.; - ? _ --_-- + _ i ! - - PLAN-CHECK $' 'PERMIT ' :.+1 •'! 0s1 am exempt under.Sectlon B..& P ;for this reason-- Firepl/Fact. B1t:-IC8O # ,Fire Dampers ) +' �, i 4_ + + , Ll , ' . t ' - i - a : - 1 _ ;J - - PLUMBING , '- $ ' ISSUANCE ' $ Date. ••L- owner Heating System &Dusting ,. +Registers + -+• L ' • "• { PLAN CHECK -<45% $, :_ENE RGV, P O $,- + I hereby certify (that yl nave}eatl 'tn application antl state that 'the above. ❑0.100, 000 BTU ❑100,000 BT ']: - - - _ -GRADING r mformation'is correct.(I agreerto comply with all city and county ordinances , - - ELECTRICAL' r $- , S and.state laws relating to building. nstruction, and hereby authorize .or. -MICROFILM- - ! .._ f _ 1 I MICROFILM_ t '� `• r _ _ PLAN.CHECK .50%t $ $ inspection 'of this', uty,t "e ter. don'the gab ove-mentioned property ffo - , I - ' 1 C 1 MECHANICAL ' Z inspection Pur es:. .� / , / + ' _ _ $� ,_TOTA_ L FEE ,„ $ „ + .Signature. Date., 1 / + . • . .. + 4'. .l o t+. n - , t - r t x R+einspectlon'Fee f^ ".$15u ? F ✓• . =Issue Fee + I $ 3' t - PLAN CHECK -25%• ! + .Drivers' License or SS } ! i ._.--4.-_._ CMF 06656, rev. 30/64 White -Builtling; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor - ' "CONSTRUCTION AND PLANNING •' _• Irispeetori POOL & SPA - .. Inspector 'APPROVALS '.Permit#- .Date ,bate' APPROVALS Pe emit# I _ t 1 Temporary ElecfricalService or',Pole - ; I 52. Pool & Equipment Location _ 2. Soil Pipe-Undrgrnd , ! 4 "'53. "Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. i 54. Forms,,-_ ( %i 4. Electrical Conduit-Undrgrnd; ' ' •55.. Electrical Bonding 5. Steel 'Reinforcement ;, - . 56. Rough Plumbing & Pressure�Test I .; ; , I , J i •� I 6. Electrical LIFER Grnd.r� • - - �.-57. APPROVAL TO;COVER-GUNITE •I 7. Footings, .� •'� - 58. Electrical Conduit-Undrgrnd.' • 8. Foundation ;,, •;; 1 - - 59. •Gas Pipe, El Undrgrnd., Test - 9. Water Pipe-Undrgrnd. 60. 'Backwash; Lines, P Tra •1 Undr rnd. 10. Structural Floor System., j. 61. 'APPROVAL;TO DECK _ 11. Property Sewer Line'&House Connection 1 t 62. Backwash Receptor -Final; I - ,& 12, Sewer Cap - ! 63. Heater & Vent -Final , 13;'Roof. Drains . 1 t' 64. Plumbing System - Final: 14� Rough.Plumbing 65. Electrical .Final , a 115. Rough`.Electrical-Conduit I: ' 66. Solar System -Final ! 16. Rough Electric Wiring - ' - I' 67, ,Fencing & Access Approval " '^ 17. -Rough WiringrSign: '- "- -, '68. APPROVED FOR PLASTERING ' ' 18. •Rough Electrical -T Bal Ceiling S, "' -�' 69. POOL/SPA SYSTEMS.FINAL - 19; Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit #x" _ - 20. Rough Factory Fireplace ,� 1 21i Ducts, in Structure4•,I - 70. Underground Hydro' +, - - - 22. Ducts, Ventilating: + • 71. Product Piping 0Gas [],Oil . 23! Gas Pipe -Rough & Test -72. Underground Flush) ; l - 24. Roof Framing - 73. Undergrnd. Storage Tanklp Gas O Oil 2r, 25: Roof Sheathing ? 74; Overhead Hydro �•; ' 26. T -Bar Ceiling (Structural) & Monocoai - 75 Dry Chemicals 27. Frame and Flashing i n 76. Dry Standpipe ) 28i Lathing &Siding _ t l 77, ,FIXED SYSTEM FINAL • i t .• :', .;". 29. Insulation ! �m 78. FIRE PREY. FINAL 30. Drywall Nailing - r-., I HEALTH DEP,T_REQUIREMENT �• "- • 31. Plaster Brown Coat' dft 79. FINAUINSPECTION ' 32. Electrical; Power Meter -Final 80. FOOD CERTIFICATE ISSUED _ • "L-; �' - • 33. Final: ElectricNotes:� a; r' 34. Final Heating & Air Conditioning OR SPECIAL 35. Final Gas Pipe -Test 36.'Hood or Canopy g O , `t ; 37. Final Factory Fireplace. Q ti f 30 FinalPlumbing 39. Water Service -Final 40. Gas Service -Final " 41. Solar Domestic -Final ''42: Backflow Preventer F 143. Backflow Irrigation 44. Landscape Irrigation System 1 45"Sound Attenuation 46'Handicap Regulations - ' - •-, ' _ It 47-.FINACSTRUCTURE & BUILDING ' 48.•SpecialrRequirements Completed -49. Electric;Release to Edison ' 50:Gas Release to Southern California Gas Co "51.:CERTIFICATE OFOCCUPANCY - No 'Date INSULATION CERTIFICATION This is to certify Ilial, in conformance with the current energy regulations (California Adminis- Irative Code, Title 25, State of (alifornia') and approved plans, insulation has been installed in the building located at: COSTA MESA city 2666/2627 Sh..t iiC ill A,Rilebl.) -- �— ROOFS Type of CA. ELDEN AVE. Sheet ORANGE C"Rv LM Ilmll. Traet Me. DESCRIPTION OF INSTALLATION Manufacturer Thickness -lit Vllue"� EXTERIOR RWIkLLS of FIBER GLASS_un; Type of ldaler%a!_ -.--..,. i m,ad. CERTAINTEED Thlckness`„�_'R-Value"pII Naar.? (or i..e. n.m.l CEILINGS Type of Material—FIBERGLASS —____ Bype Manufacturer CERTAINTEED Thltkness_ 6y.A Value"R 19 (0• Trade H.1nd Sq. fl. Covered___..___ BLOWN! Type of Malerial Manufacturer Thltkness No. Begs_ (d h.& Ha") WI./BagSq. Ft. Covered_ R Value" FLOORS Type ol'Malerial__. SLAB ON GRADE Type of Maleliel._. Width of Insulation Manufacturer Thickness—It Value" (0f Tract. H...) _ Manufacturer 10, Trade a.al. Inches FOUNDATION WALLS (IF required) Type of Malerlal Manufacturer_ (V• Inde a.md REMARKS (If deslred)___ General Contractor (Builder) .___F LUTER DEV __.__.__.ELOPMENT _-- License Thickness -11 Value'..._ Thlcknen R Value•'._. By ____ __ Title Date Sub Conttactru (insulation Applicator) IIAI'Gil l.T1'31H,k.rIm License Number 3az646 C-2• pp ( Oa'.Noaa, M..enq, Efcl / (Stats "SAME' It wins a. eea.ni Canflaeb<I By E. L ._H2 L 6 c,, . `_� Title aytne r Dele D E C E M B E R 14, 1987 PCdun�nle AAminbdnn/n C.A., fn.lar 1m0.rlen Slaad.•d., 1.0.1.1, IXCCRli ham I.e. 110/7/ of the Health and S.F.h We at the Ibb 'Y "0110n Uaen . 11-11-n el Ilk- Iadellnnea of In.olellen, a<and Conferral., c.111111".a Ihnl A. In.alntlen tan, h..n InJoII,A Ia mnlermenn .l.h1%. rp/lean." at Ibar. reevl.uen. .ball ha < na.bd end ...1,..d b, He <.dln<al. at eewasnw a dmile• <.dinealt.a Ad a need, on Ih. Imdenen nrollwlm .,A b, Ib. bdld.l, athl. !-:0.11.n <emvllenw .L,atad heart, .0.1. ceadm.nt he.... Mn. ea elbe, wdd.nllal ..1d dell be .e.IM d e mal..... I... -IN. 1%. 4.101.1."1 d.Alln' Is habitable Aell be (awed by Rath a 6alldlAo finaiareal ------ - .nl... the 0.d.. .1 I«d u1taMR A. minfinem anegl la.d'tfea ("R V.W. I. ch. n el Ih. .,d.I.nu el a ulnl er b.ndla. .bn4rl. ao.bIlArld e ...... t N Or. the.lw." en. la Ih. a. un a, el h.el. 1%. oJ.leny ..1.. (41 elm q'fYe. In vl.d.n. .ban eel moue. env r".. lar o1b.Il.a lana'.) i he Contractor's License;Law (Chapter 9 (commencing with Section -7000) of vision *3 of the Business and Professions' Code) or"that he/she is :exempt arefrom and the -basis for the alleged exemption. Any violation of:Section t .031.5- by any applicant for a permit subjects the applicant to, a civil penalty of not more than five hundred dollars ($500). . I El 1, as owner of'the property or my employees with vvages:as their sole compensation wilLldo the work, and the structure is not intended or.offered ; for sale (Section' 7044, Business and lProfessional Code: IThe Contractor's License Law does not apply to an owner of a property who builds or improves I thereon, and who does Such work himself/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 com- , elation, the owner will have the burden of proving he/she did not build or im- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ---- - _ - --- J - -^ I t CITY OF,COSTAMESA CONST�CTION,PERMIT �: PERMIT NO. �-1 G x•11 ,TRACT NO. -LOT NO! ( UNIT NO. I' Duct -Stru Ctllral ' t • I 55 QFr ' , �. // ,, Project Address, ��l'ai'7 �� 2 .Lip `' or Type I Firepl/Fact. Bit. ICBG # 1 Date owner _ 1 I hereby cart ify'"t he I,I have read this -application and state that the a '1:10-1100,000 Heating System.& Ductin 1:10-1100,000bove BTU APR 29 'Iv✓IrI informatioWis correct. I agree to comply with all city and county ordinances. Applicant's Mailin dress gLgd TYPE OF CONSTRUCTION NEW 'ADD ALTERATION REPAIR - ' -.<'-'• L, sentat fives of his city to'en r%upon the. above-mentionetl proeer y, for in5p¢Ction p Signature - Drivers'' cense or SS •, _, - • .. - Remspection Fee' ' CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor , Issue Fee t $ 3 Reinspection Fee $15 Issue Fee ' $ 3 f MECHANICAL! • -__ _ _ FEE$' Hood El DEVELOPMENT SERVICES REQUIREMENTS: or Type I , c 'Canopy Type I I El,_ Zoning Approved By - Date l - I Building Approved 'By'Date Application Issued By - Date Refrigeration System i ❑0.100,000 -U'.❑100000 BTU - , - ,- SUMMARY OF FEES - - - PERMPT �SMIP_ $s PLAN CHECK S: 'PERMIT i- le ❑ SyBUILDING Fire Dampers i ' - PLUMBING- $ I .� ISSUANCE- PIAN CHECK - 25% $- �• �� ENERGY P.C. $` Registers - v -- �O BT - - -' GRADI NG ELECTRICAL- ;$- $ PLAN CHECK 50%_I$• '•i MICROFILM. -i$ MECHANICAL n , $ TOTAL FEE i$ 5 _ $15 r Issue Fee $ 3* PLAN 25% 1 CONSTRUCTION AND �pLANNING -_ - - .• i �. - _ POOL & SPA - -Y • ,APPROVALS Permit # Date �I nspector i - 'APPROVALS Permit # Date Ins ector P 1•.Temporary ElectricalService or; Pole ' ; 52. Pool & Equipment Location ? ,_ ' 2. Soil Pipe-Undrgrnd.-��/�'I .3. F:53 steel Reinforcement* Electrical Conduit Utility-Undrgrn 54.Forms)d I 4. Electrical Conduit-Undrgrnd. •55. Electrical Bonding i 5":Steel'Rein'forcement+ ;;� • - r56. RoughlPlumbing�& Pressure Test i 6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE: - �! r 7. Footings; i. ' '58' Electrical Conduit-Undrgrnd. _ 8: Foundation :. ' • - r I --7 "- 59.,Gas'Pipe;'0-Undrgrnd., Test 9. Water Pipe-Undrgrnd. . -/;�• - 60: Backwash Lines, P -Trap, ❑ Undrgrnd.. t- 10..Structural Floor System 61. APPROVAL TO DECK I 77- 11. Property Sewer Line'& House Connectiom 62. Backwash & Receptor -Final, ` 12. Sewer Cap - 63. Heater & Vena -Final t 93: Roof Drains- 64. Plumbing System - Final, ! - -n 14. -Rough Plumbing_ & 65. Electrical -Final ' - '' 15. Rough •Electcica l -Conduit •+� -• ,' .66: Solar System Final - .E; 16. Rough Electric Wiring 67. Fencing &Access Approval - 17. Rough Wiring Sign 68. APPROVED FOR -PLASTERING- - .18. Rough Electrical -T Bar Ceiling'' r-, 69. POOL/SPA SYSTEMS FINAL I 19. Rough Heating & Air Conditioning I FIRE DEPT. REQUIREMENT APPROVALS Permit # -.1 20: Rough Factory Fireplace '' ' 21. Ducts, in Structure t 70. Underground Hydro. - - - �' 22t Ducts, Ventilating' , ? 71. Product Piping 0,Gas ❑ Oil 23. Gas Pipe -Rough & Test - 72. Underground Flush 24. Roof Framing.. 73. Undergrnd'. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75., Dry Chemical •'0. Frame-a'nd Flashing 9 + ? - - ' • 76.. Dry StandpipG� •. ' , ,,tr)-.'�!, 28. Lathing & Siding ' I ' 77. FIXED SYSTEM FINAL '� • - - r• 29. Insulation 78. FIRE PREY. FINAL'. •' S' ' 30. Drywall.Nailing' .. HEALTH DEPT. REQUIREMENT 31: Plaster Brown Coat 79.E FINAL INSPECTION 32. Electrical!PowerMeter+inal 80:' FOOD CERTIFICATE [ISSUED 33. Final :Electric .. Notes: r 34i Final Heating & Air;Conditioning - 35. Finial Gas Pipe -Test ' " �' • '• ""'- x .' ' 36. Hood or Canopy• - 37,. Final _.Factory -Fireplace 38. Final Plumbing 1 • " 39. Water Service -Final'.' -. _ r- �� L� , e ' :' ' 40. Gas "Service -Final' 41. Solar Domestic -Final. ,42. Backflow Preventer t 43: Backflow Irrigation -' 44. Landscape Irrigation System= 45. Souna.Attenuation - - - - - 46. Handicap Regulations 47.'FINALSTRUCTU,RE&BUILDING _ -'.y'"' ,r••..�:i,r "1'`,� �•.�. 48.`Special:Requirements Completed t.. i '49. *Electric Release to, Edison 50. Gas Release to Southern California Gas.Co :51. -CERTIFICATE OF OCCUPANCY_ No. Date_. _ •_ l,_ -• Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. —� CITY of COSTA -MESA ONSTRUCTION PERMIT PERMIT NO. ' TRACT NO. LOT NO. , UNIT NO. I r # f ' j • Project Address "'�• - - I •"' -' "' • v , ? 1 I�/ Applicant's Mailingdress YPE OF CONSTRUCTION , NEW ;ADD ALTERATION REPAIR 777 ❑ CONVERSION ❑DEMOLISH ❑ OTHER I' Owner's Name Phone4e w - -- - - -• A.P.AP.# ._ ,.- ' _y _ D. ` _ C)Q", _ ,; one DESCRIPTION OF WORK/USE OF BLDG. i l Address I- - S Main Building: Accessory Buildings ,rf ' Arch/Eng. License, No. ' TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL T Front ' Address - I I ' ❑ TENANT- ❑ ELECTRICAL' PLUMBING ❑ MECHANICAL e - Rear, j It 1 U In•Llr.l j ; N . , r/h'e'"0 ❑ BOTH ER, :>• t A } I I Contractor's Name Pho a �ra •FT. C Right, "^`"" - - - _ _ ,- -_ - -?--" I l I Address (mailing)— PROJECT DESCRIPTION SQ. OCCUPANCY K - G - ' CONSTRUCTION TYPE I VALUATION $ S Left I ( City License No. 3z.Z'7 - , ZONE GRADING + - CU. Y6S. ACRES - Pin Ref. # ! , g' Parkin Re 9 q./Provided R E LICENSED CONTRACTOR DECLARATION � I hereby affirm that I am licensed under provisions of Charter 9 (commencing J � Remarks: — r `%� is t , I M Planning Notes: ' with; section 7000) of Division 3 of the,Business and Professions Code, and I C - _ a I my license is in full forcepnd qge t. - (Xy� T. I od .S ? '' - , } , l' i + I 1 , r -, 1 S 'License CI �s 3 _ - Date gnature ' ! t 'PLUMBING i -FEES' , - v0 WOR RS' CO PENSATION DEC ATl IN s t Bar Sink Showers - I - ` - - I hereby affirm that I have a certifies ofmnzent to self -insure or,a certificate _ - _ - - •ELECTRICAL - FEES of Workers' Compensation Insurance, or a certified copy thereof (Sec on Backflow Preventer + . Service Sink - ` t Automatic •' ' ❑ , ' 3800, Lab. C T,T'' 1_� - Washer ;-1 i Transformer 15-50 KW Policy No. ompany - Backflow Irrigation rc� - Sewer _Cap .' sa ' , - Construction, Pole Sub - i G ? ' �❑ 50 T KW'" r '. Certified copy Is hereby furnished. Certifie copy' f" ed with the city it ng Dly�yoo I j Sewer Connection •+.- i ,. i I I ,Bathtubs - - �.1. 12 Cooking'Unit > Meter ❑up�to 100 amps Date Applicant)J v r EXE O FROM WORKERS' �gM PENSATION DECLARATION Clarifiers Solar Col ? - - - Dishwasher _• - Meter Dover 100amps ' o NN (This section need not be complete rf the permit is for one hundred ($100) or less). .- Dishwasher- - 1 Solar Piping a l - Dryers ❑Gas" ❑Electric -,i Sub Panel ` - I -certify that in the performance of the work for which this permit is Issued, I r - shall,not employ any person in any manner so as to become subject to the - '' Drinking Fountains { Solar I Fan Workers' Compensation Laws of California. Tank _ ) 1 Motors 00-1 H j(�1'/: - 8 .I Date, Signature, I ,, Floor Drains ' ! i Swimmirig'P061 w/Spa F.A.U.- ? - ^nc. Solar 915 HP ❑iB-15+� - j- - NOTICE: If, after making this declaration, you should become-subjectdo the'.-. ^I _pr,, i Workers' Compensationprovisions of the Labor Code, you must forthwith f Floor Sinks i Fixtures - ' comply with such .provisions or this permit shall be deemed revoked. •Urinal p + i Micro ve - CONSTRUCTION LENDING AGENCY I/ is for performance ,•, To Service Outlets Water Closet Device Boxes IA- Y /�' Ie Li ht' I 1 hereby affirm that there a construction lending agency t6 of the work for which this permits is issued (Sections 30974]Civ. Lender's Name -•• / Interceptors,' - Water Heater' t V g Outlets 7•' .t i _Range _ +� f 1 Lender'sAddress^ - - -- - - - = - - Kitchen Sink', -- .. - _ .Water -Service Switches .-- 'Sign OWNER BUILDER DECLARATION f t • I hereby affirm that I am exempt from the Contractor's License Law' for the LdVatofie5 ! •� j Auto -Wash G Garbo e'Dis -Disposal P ".r Standing Sections •"J reason (Section 7031.5 Business and Professional Code:'Any city or ' @. 1_ �r ifollowing county which requires a permit to constructjalter, improve, demolish or repair for p -Trap 1, �LdU ndr Tra s i 'I y. y i Generat•or1❑0-5 K • 5-15 KW, ; Trash Compactor any structure, prior to its issuance, also requires the applicant such permit r to file a signed statement that he/she is licensed pursuant to the provisions of Section -7000) of the Contractor's (commencing with se - i Roof Drains a Business (Chapters 'Division 3 of the BusinessantiProfessiexemption or /she i f exempt - - - - - - Any violation and the plica for the allegedpermexemption. Any violation Of Section therefrom7031.5. b any applicant for permit subjects the applicant to a civil panalt; f penalty•of not more than five huntlreddollars ($500). k n ❑ I, as owner of property, or my employees with wages -as their sole j Reinspection Fee, $15 ; � ! Issue Fee $ 3 I ' I - - ' .ttTe compensation, will do the work, and the structure is not intended or offeretl• ' ' - - I Reinspection, Fee $15 Issue Fee r - -for-sale (Section: 7044, Business and tProfessional Code:'The Contractor's - ,. 'F MECHANICAL! ; A' 1 .,FEES, 1 License Law does notapply to an owner of a-property'who builds or improves ^s ' - .. _._ _ thereon, and who does such:work himself/herself or through his or her own I r Boile, 1 'Hood or Type ❑ . DEVELOPMENT SERVICES REQUIREMENTS: t s ! employees, provided that such improvements are not intended or offered for however,. the building improvement Is sold within one.year of corn- _- 'Canopy ❑ , Zoning Approved By _ Date ^_ 7 sale. If, or the have the burtlen of proving he/she ditl not build or im- I Duct -Under Ground Type I - - I pletion; owner will -prove - 1 - , Building Approved By _ Date�J� - 4 . for the purpose of sale). i ❑°I', as owner of the property, am exclusively contracting with licensetl con- Duct -Structural , Refrigeration System -�� Issued By Da to ' tractors to construct the project (Section 7044, Business and Profess! ons'Code: :Law does to of - -' - ❑0100,000 BT.0 ❑100,000 (Application The'ContraCtor's License not apply an owner property:who 'or improves for such wllh a. con- Duct - Ventilating . BTU r ? j ,.� :� ':� SUMMARY OF. FEES •'+ , builds thereon, and who contracts -projects l { tractor(sl license pursuant to the Contractors . Licensel Lawj. liam awareithat Exhaust System-❑ Multiple ❑ Sys ;Repair/Alteration - r i BUILDIrNG PERMIT I$- I _ `TSMIP 1$ -7— -- 1 ^ proof o their Worker's Compensation insurance Ce should be provided to me. proof ❑'I'am exempt under. Section B. &-,P. C. for this reasons "' - ? Firepl/Fact Blt` ICBG # - s Fife0a'mpers >., PLAN CHECK - $ 'PERMIT - s• -; ' - r PLUMBING l , $ L) :- ISSUANCE Date - owner - Heating System L & Ducng, ,Registers PLAN CHECK. 25% $ I. l hereby 'certify that have read this application and state that the above- 1:10-100;000 BTU ❑100 information is correct' -I agree to comply with all city and county ordinances- - i - - -' _ 'ELECTRICAL $ .` GRADING -, .$ • and state laws relating, to building construction, and hereby authorize repre' 1 -_ -_ - PLAN CHECK,; 50% $ MICROFILM" $ - sentatives', of f is city to ant upon the, above-mentioned property: forst, inspection Pur se p, - ! -, a ' -_ _ ( a �/� at ep: - t 1 s MECHANICAL .$ I TOTAL FEE$.;. 'Drivers' Li se or SS - - 1 tReins ection Fee' s' $15 i^ . Y" . Issue Fee >- '.' i .$ 3f PLAN CHECK -25% $ ' - - l a CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor _ , I CONSTRUCTIONAND-PLANNING , ' POOL & SPA � ' I' APPROVALS Permit_# Date Inspe.ctor•-; APPROVALS Permit #, Date' C Inspector is*Temporary Electrical Service or Pole - - 52. Pool & Equipment Location, I ; I ! . It - 2.• Soil Pipe-Undrgrnd./ 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgind. 54. Forms, 4: Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5.Steel;Reinforcement -' 56. RoughiPlumbing & Pressure Test, i. • 6. Electrical LIFER Grnd :!.` ` ' � , - • 57. APPROVAL TO COVER-GUNITE* .. 7. Footings i - 58. Electrical Conduit;Uridrg'rnd. { _ 8: Foundation 59."Gas 'Pipe, 0 Undrgrna., Test 9. Water Pipe-Undrgrnd. :.... �' /j/.'' -60. Backwash P -Trap, O Undrgrnd.1 110. ,Lines, Structural Floor System -. 61. APPROVAL TO DECK i ; .• ,_;;. 11. Property Sewer Line & House Connecti01162. 0•I�87 LEA' Backwash & Receptor -Final 12. Sewer Cap -- �� _ ., 63. Heater & Vent -Final I ' 1,3. Roof Drains: 64. Plumbing System.- Final' 14.- Rough Plumbing _ 65. Electrical -Final • 15. Rough Electrical -Conduit_ '66. Solar -'System Final .16. Rough Electric Wiring Fericing &iAc'cess Approval ,'17. Rough Wiring'Sign - -' ' ' .r ;, 68. APPROVED -FOR PLASTERING" - r d8! Rough Electrical -t Bar Ceiling^ �! -'t".., ��, .� " 69..POO L/SPA SYSTEMS FINAL . 19. Rough Heating &-Air Conditioning - FIRE DEPT. REQUIREMENT. APPROVALS i Permit 20. Rough Factory Fireplace 21Ducts, in Struct Ure.' 70. Underground Hydro:��, f 22. Ducts, Ventilating', ! ! '71. Product Piping ❑ Ga's ❑ Oil 23. Gas Pipe -Rough & Test, - ) 72. Underground Flush I- 124: Roof Framing - 73. Undergrndi. Storage Tank O Gas ❑ Oil Z_ E 25. Roof Sheathing ". 74, pverhead Hydro ' !!;•p 26. T-Bar-Ceiling'(Structural) &Monocoat -75.,. Dry, Chemical ! 27. Frame and Flashing 76. Dry Standpipe - t !' •` - J. 28. Lathing & Siding 77. FIXED SYSTEM FINAL - 29. Insulation' 78. FIRE PREV. FINAL d i 30. Drywall Nailing 1- HEALTH DEPT. REQUIREMENT` . 31. Plaster Brown Coat - 79. - FINAL IINSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric '. Notes: I 34: Final Heating& Air'Conditioning 35: Final Gas Pipe-Test'_I 36. Hood or Canopy _ 4,37.jFinal;Fact6ry Fireplace " - •, •,' - - ' 4 - ' '� 1, ' 38i Final Plumbing' - - -• f - - Ir - t. - •. u' ' 3g. 3g' Water Service -Final 40. Gas Service` -Final - _ - •i _ - - - 41. Solar Domestic -Final -" `r - d .t .� "� •. I' .�".t• �, "42. Backflow Preventer i f 43.7Backflow Irrigation-'.- - i, r _ •' 011,44. Landscape lrrigationSystem - - .� 4 `- �'y . •t,�� �'45. Sound .'Attenuation - .° - _ ''-`' • " I �' II a 46. Handicap Regulations ! ' • 7 47: FINALSTRUCTURE&-BUILDING • - - -. - Vr ! �� r 48. Special, Requirements Completed 49.• Electric Release to Edison' 1 4 ti 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. - Date- - r .. .._ Applicant ` to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF'COSTA MESp/q��'�s 'CONSTR UCTION;PEpRMIT ! Project Address �Z (O rY� Eil.� /� '1 i 4 Applicant's Malling'Address ' , 1 i Owner's Name' J5rE//JEA •� P.UT&2' Phone TQ I 'w',d ; � Add SS �^IO 3a f ST /K6 PER IT NaOC ' ,9 TRACT NO. { I LOT NO. 1 ' I i UNIT TYPE OF CONSTRUCTION NEW LJ ADD L1 ALTERATION REPAIR 1 ❑ CONVERSION, ❑ DEMOLISH ❑ OTHER - ' ' - - r _ "-_ , DESCRIPTION Of, WORK/USE OF BLDG.' �-'"r-� - 1 ['ENDO; i - I ; I ! - A.P. # .f.__ _ 1._ _ _ i ;.-_ zone i .S Main Building: j E f Accessory Building: t Arch/Eng: { License No. i Address I ' 1 ' Contractor's Nam �(G�� �Q ' Phone I f,,��(`/��)�� Address (mailing) —73S I"OAUL V" �/�-. fib. i , lJ�� - 1 • City'L icense No. 'II J 1 LICENSED CONTRACTOR DECLARATION I I ' hereby affirm that I am,licensed under provisions of Charter 9 (commencing with section 7000)_0( Division 3 of the Business and Professlons Code, antl my license is it full forcey.0d effect, License Class C� CL7 icense ry 39S l3 a TYPE OF PERMIT Y GRADING ❑ FOUNDATION STRUCTURAL ' I ❑ TENANT' ❑,ELECTRICAL : ❑ PLUMBING MECHANICAL 1 'OTHER t 1 PROJECT DESCRIPTION , SO. FT, t occuPANCY - '' CONSTRUCTION,TYPE ' VALUATIONi$ t ZONE- :GRADING C6. YDS. = ACRESRef..*- I T Front 1 I O A _ , Rear ' t ' t' ' N C- _ i _ LL_ Right --� - '- r`__ N K :$ Left 4 '( e f -- , , G R t Ping. 1 Parking Req./Provided I E Remarks: ZZ - i - _ ! Planning Notes: 1 l - I ' I M e , t I < I. , T - �,• I• ._ 1 - f ' T S -' :PLUMBING - FEES, t, - 1 I t• Datei "%- %1% Signature .lL l�� '' "} WORKERS' OMPENSATION DECLARATION l 'ereby affi rm'I hat'!I have a certificate o_ 1 consent to self-insure or a certificate Bar Sink` - -' j E _ !Showers' - ' ' + t• 1 _ (--. .-f ( 1 u ELECTRICAL L '' - -FEES .^ j \ Workers' Compensation Insurance, or a,certifietl copy' thereof (Section ..d00, Lao. C.) (��j Q� �y� 'I Policy No'. _I �� / ]c/�� Company 'S;W7F' O!E(� ' Certif4ci copy is,hereby furnished. - Certified copy Isifiletl withithe city Building Divi ion Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DE 0. TION. ' (This section need not be completed if the permit is for one hu Bred ($100) or less). I ' 1 certify that in the performance of the work for wh lch th is'permR "s issued, I shall+not employ any person ;in any manner so as to become u �ect to the _ Workers' Comp sa' Lay f Ca lifomia. ' I Date Signature �' ' NOTICE:. f„after making th is'tleclaration, you sh oultl b o e object to the_ - h Workers' Compensation provisions Of the Lobo L;Cotle, y u ust forthwith comply with such provisions 'or this permit shall be em ed revoked: CONSTRUCTION LENDING AGENCY. -e 1 , T 1 hereby affirm that there is a construction lending agency for the performance of the work 1 for which this permit; is issued (Section 3097 Civ. C.) Lender's Name ' f .Lentler's,Atldress ' OWNER BUILDER' DECLARATION : -• ' I I hereby affirm that 1 am exempt from the Contractor's License Law for the ' following' reason (Section 7031.5 Business and Professional Code: Any city or i Backflow Preventer , Service Sink i I . - - Automatic Washer,' I _ _ Transformer ❑ 15 50 KW _ l� - -❑ 50+ KW ConstructlOmPole Sub a. - + 1 - - ' ( Backflow Irrigation 1 Sewer Cap„�. i _ - - 7 l ,Bathtubs - Sewer Connection _• .! Cooking Unit - 1 Meter ❑up to 100 amps F - u I - Clarifiers' 'Solar Collectors' r, u , Dishwasher '• 1 i Meter Dover 100 amps Dishwasher :' , Solar.Pipmg _- -- I I . Dryers"❑Gw Olilectnc i ' Sub Panel: - _ Drink ingil'ou mains ( i Solar Tank ! j :: - Fan ' ' Motors ❑0-1 HP ❑l%---8 - - 1 .^ Floor Drains , Swimming Pool w/Spa i L + pJ' c F.A.U. ' ' Inc:'Solar El 9-15 HPi❑1615+; ! - _ _ _ _-_ _ _ _ _ _ _ -- . _ I Floor Sinks Urinal t - 1 ' - - - ' l Fixtures Microwave: ' _ ( _ I Gas Service ' Outlets i Water Cli)set ', Device Boxes Pole Light.. 1 interceptors f'. I Water Heater 1 p r ' ' ' -_ Outlets - Range ' _ Kitchen Sink;_ _- __• Water$ervice- ' __ _' _ Switches - _ _ • n Si �1 g : Lavatories 1 Auto-Wash ` - �•. ; !' Garbage Disposal Standing Sections 1 P_ Trap ', r ; Laundry Trays - . ! Generator KW ❑5-15 KW I 'Trash Compactor t + 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 1 to file a signed statement that he/she is l icensed- pursuant to the provisions;of the Contractor's License Law (Chapter 9:(commencing with Section ]000) of 1 'vision^3-of the -Business. and -Professions .Code)-or that he/she is exempt- •refrom and, the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a'permit subjects the applicant -to'a -civil penalty;of not more than five hundred dollars ($500).. ' ! f ❑ I, a5 owner of ,the- property or my employees with v%ages'as their sole compensation, will do:the work, and the structure is not intended or offered for sale (Section 7044; Business and Professional Cade: The Contractor's ” 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 employees, provided that such improvements are not intended or offered for sedi If; however; the building or improvement is sold within one year of con- ' plelion, the owner will have the burden of proving he/She did not build or im- ' -prove for the purpose of sale). _ t i ❑::I; as owner.of the property, am•exclusively contracting with licensed con-. tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply-to an owner of property-who. builds•on improves, thereon, and who contracts.for'such projects with a con- tradtor(sl,I cense'pursuant, to,t he Contractor's license Law). I am aware. that 'proof ,,Roof Drains ' _ ! s • i ks 1 i- r - i .t .y .. ' - _ - 1 ' d '= Reinsction Fee .1 Issue Fee Pe $15 ' , - �i 'j ` Reinspection Fee _ $15 Issue Fee < i ”: $ 3 MECHANICAL 1 FEES . Boiler _ i + I - Hood Or Type 1 ❑ Canopy Type II 1❑ _.. , _ j - .DE VELOPMENT,SERVICES REQUIREMENTS:. 'zoning Approved By f { -Date f : Building Approved By Date ' �7 Application Issued By - - Date - Duct - Under Ground , Duct -Structural Refrigeration System 1 ❑0-100,000 BTU' ❑100,000 BTU - . • - 4 Duct - Ventilating , - - , - t ..,, SUMMARY OF,FEES �� - ' V - BUILDING PERMIT $ ,SMIP $ `* - Exhaust System.❑ -Multiple ❑ a System Repair/Alteration _ o Lien, VJorker's'Compensation insurance should be provided to me. f! 7 r : • - ❑il am exempt untler5ection ` _ B. & P •C..for this reason - - - -a - t _ - P-LANCHECK ''$' • PERMIT` - ' - ' t 'ISSUANCE $ _ PLUMBING I _ ( '". t$" pLn,NCHECK25% $. ' ENERGY P.C. $, ,ELECTRICAL. f GRADING i '$,' I$ ' - ' -. MICROFILM -$ ' - -'- PLAN CHECK 50% $ _. _ - ((JJ�f //������• MECHANICAL' •s $ tTOTAL ' IOTA C-FEE $ .� t -- .. - PLAN CHECK . 25%, $ ' a-"-`��— '� I •' 1 C i -� - . L - - ' ' Firepl/Fac[. Bit. ICBG # - -. r - Fire.Dampers : - _. ; I - - Date ' owner - - - hereby certify-that'1 have read this ,application and state that the above', information is correct. I agree to comply with all city and county Ord mantes-,- and,state laws relating to building construction, and hereby authorize repre- sentalives; oil this, city to renter opo the above-mentioned property. for inspection purposes. Signature .- -f Dat• '7 8• S:7 DriverS' License or SS " Heating System & Ducting_ _ ' 0-100,000 BTU 1:11001000 BT t _ Registers r I - - s', • "' - j - _ - I I - _ _ Reins ection Feel P � t$15. • � Issue Fee y 'V$• 3•' t 1 CMF 0865-46, rev. 10/84 White -Building: Canary -App)icant: Pink -Accounting; Goldenrod-Assessor CONSTRUCTION ANDPLANNINGI ? 1. I 1 ' ;POOL & SPA •I- APPROVALS Permit # _ _ Date - I, nspector ' APPROVALS .Permit # �� Date • Inspector 1:. Temporary, Electrical,Service or,Pole 52. Pool &'Equipment Location' ' (' - _ ,• 2:' Soil Pipe-Undrgrnd.,' s .` r53. -Steel Reinforcement - r� i t 3. Electrical Conduit Utility-Undrgrnda I , � t 54i Forms 4.i Electrical Conduit-Undrgrnd. .d ! { '55. Electrical,Bonding ! }r Ir 5. SteelReinforcement 56.` Rough & Pressure Test! c ,Plumbing ::6. Electrical UFERGrn, i; j •57. APPROVAL TOCOVER-GUNITE I. 7: Footings .� i3: ' „ ; 58., Electrical Conduit-Undrgrnd'.- , ". 8. Foundation 59.-GasPilie; 0 Undrgrnd., Testi '9: Water Pipe-Undrgrnd: - - - --60' -Backwash Lines; P -Trap, O Undrgrnd.I '10. Structural Floor System .•1,1: # I 61.'APPROVAL TO DECK - Property Sewer Line.& HouseConnection62. Backwash &Receptor, Final , '+ i ,•M 1'12. Sewer Cap , . ' - ` 63.' Heater &Vent -Final , + 13. Roof. Drains' .. ;� ! - - 64. Plumbing Systeml- Final ,, I 14. Rough Plumbing 65. Electrical -Final - 15. Rough Electrical -Conduit _ 9 t 66:' Solar'Sy;tem-Final I • , � : , - + .,, + ; 1 ,,,E ' 16. Rough Electric Wiring - •,, - - - ';. '-- ", " 67. Fencing & Access,Approval ' `1- .; 17 ; RoughiWiring Sign 1'68. APPRO,UEDF.OR PLASTERING"' 18. RoughElectrical-T Bar Ceili'n'g -I. ,..l f 69. POOL/SPA SYSTEMSFINAL ! ,- 19.' Rough Hearing & Air Conditioning$`, !� O • i ! DEPT. RED UIREMENT' ,FIRE APPROVALS Permit 20.Rough Factory Fireplace , 21.' DuCts,lin Structure i (. ! 1 70.. Underground Hydro• - 22. Ducts,' Ventilating- _ I 71. Product Piping 0 Gas Ed Oil ' , _ • :1 y 23. Gas Pipe -Rough & Test 172. Underground Flush 1- J • 24. Roof Framing - - ': 73. Undergrnd. Storage Tank?OGas El Oil, 25.' Roof Sheathing 74 'Overhead Hydro I �` a� '+•1 ' - 26.'T4arCeiling'(Structural)&Mor-ocoatl' - ' _ ;,c i75::Dry-IlChemicel• 27. Frame and Flashing- - -' - - - -- - � 1-76. DrytStand Pipe' T 'v: - 28. Lathing & Siding •. - ' i 177. FIXEDSY,STEMIFINAL l• `" _ h _ - `,,t' { 29.' Insulation ;' i '. 78. FIRE PRE,V. FINAIJ: = 30.• DrYwalhNailing - HEALTH DEPT. REQUIREMENT If i'f r , r--_. -:rte• 31. Plaster Brown Coat 79.�F,INAL INSPECTION i ' 32.• Electrical Power Meter -Final I 1 80.t FOOD, CERTIFICATE ISSUED 33. Final Electric--: Notes: 34. Final'Heatin & Air'Conditionin " i t / ��q •'" 1'` Ir'• j( -+ `' i .•-'' ' 35. FinaI.Gas Pipe -Test' .36.Hood or Canopy --------------------------------------- • - ' 37' Final Factory Fireplace _ ." _ . ` -;-.- �� c _ h ' 38.1 Final Plumbing -- {t-- ;.. - "- I,_:y -" 39. Water Service -Final - �`'• "h - )` - '� 40. Gas Service -Final ,41. Solar Domestic -Final. I r`1 - /6;.:, -:. •�--' '� '' x,42. Backflow Preventer - •,� :.. _ 'L" '% ' _•�,+- f '43. Backflow Irrigation -.. -:,-.,1•' - r IJ ...�,' % �1 r44 Landscape Irrigation System v . t- _ '"•, _ . 45! Sound Attenuation 4i Handicap Regulations` ' ' - ;rty '. 47. FINAL.STRUCTURE& BUILDING 48. Special ,Requirements Completed . tc 49. Electric Release to;Eciison ,_r ,1t s -. - • 1 a:; 50. Gas.Release.to Southern California Gas,Co - • "' _ ., - 51. CERTIFICATE`OF OCCUPANCY No. Date : o. -?% Applicant to fill In all Spaces except those. within heavy border lines and.sign all appropriate declarations.- - CITY OFcoSTAMEsa CONSTRUCT�•I�O.N�PERMIT:/•'q� PER � T^ NO ; TRACT NO'. ' LOT NO. ! UNIT U. ` 1 JY ! , 1 i ,i/ /-' - ?• A t' Project Address i 2 �P �o i�[.� {•.• { - - ? i t I I I t i { ) # • j TYPE OF CONSTRUCTION NEW LJ ADD LJ ALTERATION:' REPAIR , Applicant's Mailing Address ❑ CONVERSION"❑ DEMOLISH ❑ OTHER. f 1 Owner's Name FLtJT�7Z ' ! Phone �. _ -A.P..#' -' '.._-.. _-) - , . ;-,_ �- _ Zane { DESCRIPTIONOF WORK/USE OF ', 1 'BLDG. O _ SI Main Building: i Accessory Build ing:.I r' ' Address ' f ! I - j Arch/Eng { License No. _. STUCTURAL I TYPE OF PERMIT GRADING 11FOUNDATION R E T , Front n a I t .Z O , I I ❑ TENANT ❑ ELECTRICAL Ipp-{'� ❑ PLUMBING MECHANICAL 1 B N .. Address Contractor's Nam1XIe ��/C IPho6 Z tf'i I _ I OTHER- !' '-..: - . -.. _,_. - `.'.�......i.-._.. .-.1 .. w _ _ :. C ear' l ! I r _ , _ -•. _ e -135 I R'^. ght _ T - ' I _ Address /}E7 L I PROJECT DESCRIPTION- Sq. FT. OCCUPANCY K r G i I 29 ��� ; CONSTRUCTION TYPE I VALUATION $ S Left ,; ( - 1. i - / { City License No. _` t ZONE GRADING.CU.YDS. { r ACRES - PI ng. Ref. # I � Parking q.Req./Provided R E LICENSED CONTRACTOR DECLARATION I hereby affirm tM1at �I am licensed under provisions of Charter 9 (commencing , Remarks: '� �1 Z I - I 1 - 4 Planning Notes:: r ` 1. , M' with section 7000) of Division 3 of the Business and Professions Code, and ' C f my license is in full fortp and effect. •License 38S 13P13k ' , - t 1 ? •• ,' I ro '- - - �' ! .• I " License Clasj� �� O N r ! 'S bate�7S2 Signature i " PLUMBING r ! FEES , - r ; " % ' WORKERS' COMPENSATION DECLARATION •1 - Bar Sink -Showers - i.: tit 1, ELECTRICAL -' -FEES " •ereby affirm that have a certificate Otconsent to self -insure or a certificate - _ ^ - ^ - Workers' Compensation InSurante, or a certif i¢tl copy thereof (Section I C.) + I Backflow Preventer ' ,. ? ' * I Service Smk „� ' + _ Washer '❑ 15 50 KW... ' .. '- _tl Lab. IQQ I ,.--• , S 3.y0� S' - ' - ,Automatic _Transformer •; r. Policy No.' Company /—y'�'i� Backflow Irrigation ; Sewer Cap ! ', l Construction POte Sub - 1 1 ❑ 50+ KW j 'i ❑'Certified copy is hereby furnished. •'I - erLfietl cop is f led with the city Building DI io _ / // Bathtubs , ;, i _ Sewer Connection ' 'Cooking:Umt t Meter ❑up to 100 amps Date-7'Applicant EXEMPTION FROM WORKERS' COMPENSATION DECL ION _ Clafif fiefs , Solar C011ectOfs ! ;_ _ : t - - j Dishwasher _ i• 1 �- -Meter ❑over 100 amps, I i (Thissectioo need not be completed if the permit is for one hundred ($100) or less). Dishwasher - _ iPiping' t -' i - ❑Gas ❑Electric- - _ 1 ^ ! less).i that in;lhe performance of the work for which this permit is i5sued,31 , _ • ,Solar - .Dryers _ �' f Sub Panel -- ' { shah not employ any person in any manner ISO as to become subject ,to the California. Drinking Fountains ! -' Solar Tanky, I ',. { ' + S - I Fan i i 'Motors �0-1•HP ❑1 / $ t -Workers' Compensation Laws of I , - •Swimming T a • Date'' ^^ '- Signature - - --- - _ _ Floor Drains. '- .--�. z- Pool w/Spa' 1 •';Urinal J ' ' ' I F'A.Ui i Inc. Solar ❑' 9-15 HP ❑16-15+ .y NOTICE: If, after making this declaration, you should become subject to the _ - 1 Workers' Compensation provisions of the labor Code, youmust forthwith Floor Sinks y I� '- I Fixtures Microwave' comply with such -provisions or ithis I permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY i •• Gas Service Outlets t r Water Closet i I ` I 1' - ' Device Boxes Pole. Light 1 hereby affirm that there is a construction_ lending agency for the performance of the work for which this permit is issued(Section' 3097 Civ. C.)'" i Interceptors t I Water Heater .f - Outlets - Range > Londe,!s-Name-- - - Lender'sAddress Kitchen Sink_ Water Service '" - '- Switches -,- -+ - -Sign -, j OWNER BUILDER DECLARATION -� I hereby affirm that I am exempt from the Contractors License Law for the Lavatories 1 I Auto -Wash 'e.4: •Standing Garbo a Disposal 9 Sections , -- following reason (Section 7031.5 Business and Professional Code:'Any city or `county which requires a permit to construct, alter, improve, demolish or repair' PI -Trap Lauhdr Trays y' y 1 J ` • Generator ❑0-5 KW ❑5-15 KW Trash Compactor any structure, prionto its issuance, also requires the applicant for such permit file a-signed..slatement that he/she isllicensed pursuant to the provisions of �ROOf l� i .to t the Contractor's License Law (Chapter 9 (commencing with Section 70 00'of - - Dfains _ {� - - -_ { ` ! _ 'vision'3 of .the Business and Professions Code) or that he/she is exempt - ' :refrom ari basis for the alleged exemption. Any violation of Section - ,311.5 by any applicant fora permit subjects the applicant to 'a civil - Eenalty of not more than five hundred dollars ($500): astheir Reinspection; Fee 1 $15. � 'lane Fee', $.3 I {- l, as owner' of the'property or my:employees with wages sole . compensation,will do,the work, and the structure -is not intended or offered - Reinspection Fee 1 $15� Issue Fee' -_' $ 3 for sale.(Section 7044, Business and ProfIssional Code; -The Contractor's - MECHANICAL .FEES ' • License Law does not apply to an owner of -.property who builds or improves .thereon, and who does such work himself/herself or .through his or her own - - DEVELOPMENT SERVICES REQUIREMENTS; -' 1 �, - Hood Elsale. .employees, provided that such improvements are not Intended or offered tot improvement is Of tom- Boiler or Type I Zoning Approved By - Date , ! :If, however,:the building or sold within one year '-pietion, have the burden of he/she did not build or ,m- Duct - Under, Ground Canopy Type 11 -❑ - _ the owner will proving , ( Building Approved By Date l for the'purpose of sale). I _ - ' Bove ��1, as owner of tne'property, am exclusively contracting with licensetl:con iDuct-Structural .• Refrigeration System i :Application Issued By - f Date/ I . tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to, an owner of property'who Duct - Ventilating'i 1 - > ❑0-100,000 BTU. El BTU ' - SUMMARY OF- - - I bullds.or i m proves't hereon, and who contracts for suCMprojects with a'con- _ ' !$- ,FEES -. _ i tractor(sl ucense�pursuant .to,the Contractor's License Law). I am''aware'that Exhaust System,❑ Multiple ❑ e System'Repair/Alteration ` I BUILDING PERMIT - SMIP j -- $< -71 .. proof of .their Worker's Compensation insurance should be provided to me. C. for this reason"'- ❑.I'am .exernpt uoderon secti'B. &. P. n' - - Firepl/FaICBG# ce BIt. 'Fire Dampers- PLAN CHECK $7 -PERMIT - PLUMBING' $_ ISSUANCE, 1$ ' Date, Owner - ^' ! ' Heating System & Ducting' Registers " PLAN CHECK . 25% $. ENERGY P.C. , $, `- ; I hereby certify that ZI have read this application and'state that the above• X0-100,000 BTU ❑100,000 BT, - ,. `-t ELECTRICAL GRADING _ ,$ '- .information is correct: I agree to complywithall'city and county ordinances and State -laws relab n9'to building construction; and hereby authorize repre-:- this to t for '' - : t _ }: ,� V f PLAN CHECK 50%• $ - MICROFILM- $ sentat wes of city ente Nupo/n e above-mentioned property inspection purposes f r ) ' , I x D. •-Signatures /'�' ^$15 : -- : 1 ,•• MECHANICAL !$_ TOTAL FEE'$, "Drivars' SS - - • _r, Reinspection Fee I ( Issue Fee ✓ $ 3' 1 'i PLAN CHECK 25Y $. �'r0 ''-+ • I License or .�^ _ _ j i l CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor ' CONSTRUCTION AND PLANNING' - _ I Date-" i IPOOL&SPA _ . "'0'^`I-'` ' - •' -.Date_, Inspector " APPROVALS' (Permit#-` !' .Inspector ,APPROVALS Permit #', 1. Temporary Electrical Service or Pole ' i . 1 j 52. Pool & Equipment;Locatiion I 2. Soil Pipe-Undrgrnd. i ', f '} ! :53. Steel Reinforcement ,�• 1 3. Electrical Conduit Utility-Undrgrnd. ! 54r" Forms,- _ 4. Electrical Conduit-Undrgrnd. 1- ' I ! 55.'E1ectrlcal. Bonding I t 1 +=+ ' 5, Steel,Reinforceenent. 1 i i , ' ? ` ;56: Rough.PIu, mbing & Pressure Tests ; ' ' 6. Electrical UFER Grrid. ^, ' " { - 57', APPROVAL TO COVER-GUNITEj , 1-. g 1 : 7. Footings - r '- - , _ .: k-. ��' '58: Electrical Conduit;Undrgmd•. 8",Floundation ''j - - --y- - -! .- • 59. -Gas Pipe,.O.Und�gmd., Test i ' 9. Water Pipe-Undrgrnd' - _ Backwash .Lines, P:Trap, ElUndrgrnd. 1, __ _"-. .r „60, 10. Structural Floor System 61. APPROVAL TO DECK . 11. Property Sewer Line & House Connection'., ;; . 62. Backwash'& Receptor-Final� 12. Sewer Cap+63.Heater'&Vent-Ffnal,y 13; Roof Drains `, } .} 64. Plumbing System - Final' ,: - ; 14: Rough Plumbing - _ ' �4 .^ 65. Electrical -Final,.' •"' 15. Rou h.Electrical-Conduit ' 9 - 66. Solar;Systeri)-Final '• �� 16. Rough Electric Wiring - -^ -� i ` ' - 67c'Fericing &Access Approval,' 17: Rough Wiring Sign A - � 68r`APPROVED-FOR -PLASTERING -' .r .• ,+1, .. - :18. Rough Electrical -T Bar Ceiling.t -69. POOL/SPA-SYSTEMS FINAL`, t f _ -19. Rough Heating & Air Conditioning `• $,��� FIRE DEPT. REQUIREMENT ,." PePmit# V 20. Rough Factory Fireplace - `-` - `;'-'.r"'.APPROVAL'S 21'. Ducts, in Structure} I G 70. Underground Hydro, ! 22. Ducts, Ventilating i .. 71. Product Piping El Gas ( Oil 23. Gas Pipe -,Rough& Test _ i F ; i ,7}2. iUnderground,Flush} 1 �.} 24. Roof Framing 1,73. Undergmd. Storage O Gas' ❑Oil iTarik 26. Roof Sheathings74.Overhead.; lydro - d;,1 t • h 26. T -Bar, Ceiling (Structural) & Monocoat 75 Dry Chemical -' !',,- 27. Frame and Flashing - i" '-- -r -76:'Dry Standpipe'•I ` 28. Lathing & Siding 77.;FIXED `SYSTEM 'FINQL 29. Insulation 78.1FI�RS�PREV FINAL i, YRI''. • �e- 30. Drywall Nailing 'i - i I { HEALTH DEPT.rREQUIREMENT .. :�. I 11 , 31. Plaster Brown Coat i. ` . �, i j 79. (FINAL INSPECTION -32. EleciricalPower,Meter-Final ! I 80.,FOOD CERTIFICATE,ISSUED 33. Final Electric s - 34. Finale Heating & Ai: r'Cond itioning •: �, ` y 3,,r/. - /LCA ; (' ' �i .- .. +` + - 35. Final -Gas Pipe -Test - 36. Hood or Canopy '- - • --- - _ _ , -. - 37..Final Factory Fireplace �; 'C1 - '38..Final Plumbing - �- - - - : •`` - ;t' _ L" r., 39. Water Service -Final U40. Gas,Service:Final i 41. Solar Domestic -Final, .^42. Backflow Pre venter .. '"e-'��''G i .43.' Backflow Irrigation` +44...Landsca Pe Irrigation System i 45. Sound Attenuation •• is r, ,.. ;"-a. r46,• Handicap Regulations 47. FINAL STRUCTURE&BUILDING'-.� dt_t,Y , t 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - .51. CERTIFICATE OF OCCUPANCY No. - Date Applicant to fill in all spaces except those within heavy border lines andsign all appropriate declarations CMF 0865-46,46, rev. 10/84 -White - Building; Canary -Applicant Pink - Accounting: Goldenrod -Assessor CITY OF COSTA MESA CONSTRUCTION PERMIT I 2666 ELDEN AVENUE 1}3 9� I'L'I P RMIT NO. 9� $ `j TRACT NO. LOT N0. , UNIT NO'. 1 I I ` i _� "cOci 7/"! /97 ; I Ise£: ' TL - '. - i t . I - ` •d•- Project Address ,'Applicant's Mailing Address I : 1417 HSL ASV K,) KUAU, IUSTI FLUTER DEVELOPMENT7 Owner's•Name ' P ne 510 30TH ST, NEWPORT B AC��— Address Arch/Eng; t License No. Address t I k 3 _ SIERRA FIREPLACEI T 2 Contractor's Name one- Address (mailing) 14171 CHAMBERS RD, TUSTIN— CA 9 City,License No. -J9� N LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing With section 7000)'of Division 3 of the Business antl,Professions Code, and my license is in,full force and effect. License Class—*Lic se Np 440255 eq Date �1g' 1 /1—n/•n o ' h'�-+"�� WORKERS' COMPENSATION D` ARATION i i tereby affirm that 1 have a certificate of consent to self -insure ora certificate � ,TYPEOF CONSTRUCTION Ew ADD 'ALTERATIONLJ REPAIR 77� CONVERSION ❑•DEM L15H ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG.' A.P. #. -' _ _t Zone _ -- S Main Building:' (Accessory Building: TYPE OF PERMIT ❑ GRADING FOUNDATIfO�IyyI 11 STRUCTURAL „ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING LEI MECHANICAL 1, 68627 OTHER ' ` 6880JECT DESCRIPTION ' SD.�FT. OCCUPANCY CO N STRUCTION TYPE VALUATION$ ZONE GRADING CU.YDS. ACRES _ T _ , Front - 1 ZO 'B A Rear I r s N I C- Right'_ - -- — - - , - - - N K S Left , , G R - ring. Ref. # Parking Req./Provided E Remarks: R .� ZZ , Planning NOteSY I �; ? 1"' • ' M _ t '] / 1 - - { " '' i ._ i ' T s - - - PLUMBING • •FEES 1 - - _• _ - BarSinkl - - Showers' , a ELECTRICAL � � FEES Workers' Compensation Insurance, or a certified copy thereof (Section a800, Lab. c.) I - Policy Ne. 73WC0038 d1d03 � NATIONWIDE' MU Certifies copy is hereby furnished. A( Certified copy isjfiled with he city ildinq Divi ' D3fe / 1 8,' Backflow Preventer _ 'Service Sink - r Automatic Washer � ' - - .'Construction Pole Suh. � Transformer-❑ 15.50 KW � � D 50+KW; - ` Backflow Irrigation Sewer G p'' - Bathtubs - , ! :^ ! Sewer Connection Cooking'Uhmt ,� Meter ❑up'to 100 amps, Clarifiers .• -! . t 1 , Solar D01I¢C10r$ - i - - Dishwasher :: - .` - _ Meter ❑Over 100 amps - ' 1 - - ' ' -r7 n EXEMPTION FROM WORKERS' C MPENSATION D CLARA ON (This section need not be complete if the permit is for one hundred ($100 or less). .' j 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. Dishwasher Solar Plping - ,. t Dryers ❑Gas ,Electric Sub Panel • - _ Drinking' Fountains $OIar,Ta nk t I Fan - Motors DO -1 HP �1'/x-8 •Floor Drains _ Swimming Pool w/Spa F.A. U.- Inc`. SO lar 09.15 HP 016-15+ Date Signature _NOTICE:. If,. after -making this declaration, you.should become.subject. to the Floor Sinks + I Urinal Fixtures Microwave , - • Workers' Compensation provisions of the Labor Code, you must forthwith comply with such, provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY '-s' hereby affirm that there is a construction lendingsue agency for the pertolmdn0e Of the work for which this permit is 'issued (Section 3097 Civ. ,C.) Lender's 'Name •` 'Gas Service Outlets Water CIOSet ,%'1 Device Boxes POI¢ Light ' 1 - Interceptors Water Heater .f',�,rf 1 Outlets Range _ ) g 1 r I - -Lender's Address ' ' OWNER BUILDER DECLARATION � yit � I hereby affirm that 1 am exempt from the Contractor's License Law fo r,t he following reason (Section 7031.5 Business and Professional Code: Any pity or P county which requires a permit to construct; alter, improve, demolish or,repair any structure, prior to its issuance, also requires the applicant for suchpermil to file a signed statement that he/she is licensed pursuant to the provisions of the Contracto Cs License Law (Chapter 9 (commencing with Section 7000) of 'vision 3 of ,the Business -and 'Professions -Code) or Ghat he/she is exempt erefrom antl,' the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a -permit subjects the applicant to, a civil penalty of not more than five hundred dollars ($500). -I ❑ I, as owner of .the property or my employees with wages as their sole., _ .... Kitchen Sink: _.�'.. ._ .. Water $ewice' - f - Switches - - - ,- - -f , •__ _ r 'Sign - /t Lavatories Auto -Wash .-! Garbo a Disposal Standing Sections 9 t P—Trap Laundry Trays '-y Generaton�0-5 KW ❑5-15 KW Trash Compactor Roof Drains - j •t f - ReinSpBCtiOd Fee $15 Issue Fee $ 3 t I Reinspection Fee 1 $15 Issue Fee ° $ 3 ' - ' f . compensation„will do the work, and the structure is not intended oroffered for sale (Section • 7044,; Business;and Professional Code: The ;Contractor'sM1 License, Law does not apply t0 an owner of a'property who builds or improves thereon, and who does suchlwork himself/herself or through his or her owne employees, provided that such Improvements are riot intended or offered for • ..Sale. If, however,- the building or improvement i5 Sold. within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- -_prove for the purpose of sale). .. -. ! 0:1, as owner, of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business antl' Professions, Code: The Contractor's License Law does not apply to an owner -of property who builds,or' improves thereon, and who'contracts for'such projects with a con- tractor(s): license :'pursuant to the Contractor's License Law). I am aware that proof of their Worker's+ Compensatmn,insurance should be provided to me. ' - r - 0,I am exempt ueder.5ection B. & P. C. for this reason ! MECHANICAL' ' FEES Boiler Hood or T Type ❑ ,Canopy Type II '0 7 - c •� _. j _ DEVELOPMENT SERVICES REOUIREMENTS: - -_ - 'Zoning Approved By Date TTTTT--- ' Building Approved By Date Application Issued By Date Duct -Under Ground i _ - Duct -Structural Refrigeration System 00-100,000 BTU 0100,000 BTU - .. Duct - Ventilating ' - , - , ! BUILDING PERMIT- , PLAN CHECK - PLUMBING PLAN CHECK `250/ - ELE CTRICA'L .: - SUMMARY OF FEES _ $ - I I SMTP $-, .'PERMIT - .,$� ISSUANCE- $, '$' ENERGV P.C. $ - - $. - :GRADING• $ - - • — d t Exhaust System E Multiple ❑ - - _ System Repair/Alteration v Firepl/Fact. Bit. ICBG #1 Fire Dampers' - Date '' 'owner Date I hereby certify that,I have, read this application and state that the above. information, is correct: I agree to comply with all city and county ordinances Heating System,& Ducting, DO -100,000 BTU ❑100,60613T _ ,Registers _ -- - - Y ' antlistale laws relating -to budding construction, and -hereby authorize repre-'-. sentatives of this city to/ep ler co the above-mentioned. property, or inspection Signature' Y� :Date' L ( 1 It Drivers' cense or 55 # - PLAN CHECK' 50%' 'MECHANICAL _ i PLAN CHECK 25% - -• MICROEILM $ ' $ t - $ TOTAL FEE $ 1.3 .. - , _ - - - I -- ReinsPectlon Fee, ` ,-$15i - i ( r - IssIs ,Fee , 1' . , l $ 3; - CMF 0865-46,46, rev. 10/84 -White - Building; Canary -Applicant Pink - Accounting: Goldenrod -Assessor I CONSTRUCTION AND PLANNING. _ _ .-._ 4 __ _„ y POOL & SPA, - �• ;_ .,_ -Date '' - APPROVALS Permit'#` Date 1 Inspector ,. ' ( i APPROVALS Permit #' - Inspector 1. Temporary Electrical Service orPole t 1 52. Pool &i Equipment Location' f ' 2.' Soil Pipe-Undrgrnd. 53. Steel Reinforcement. 3. Electrical Conduit Utility-Undrgrnd. + -54. Forms ' 4. Electrical Conduit-Undrgrnd;i. I ! 55. Electrical Bonding 5. Steel Reinforcement- t ` 56. Rough.Plumbing l& Pressure Test,. { _ 6. Electrical LIFER Gmd. I - f �� '57. APPROVAL TO COVER-GUNITE, t . 7. Footings ,,58. Electrical Conduit-Undrgrnd. , I : $: Foundation i ;,` -• Y ', '59." -Gas Pipe`❑ Undrgrnd., Test Water Pipe-Undrgrnd:,'. ' -'. ' �,-- 60. Backwash Lines; P`:Trap,,P Undrgrnd., .9. '10. Structural Floor System 61. APPROVAL TO DECK , 11. Property Sewer Line'& House Connection - 62. Backwash &Receptor -Final t 12. Sewer Cap•• i t 63. Heater& Vent -Final, 13: RoofDrains -� ". ' 64. Plumbing.Syste m -Final t i •, , 14. Rough Plumbing , - ; 65. Electrical -Final` { ' , . 15. Rough Electrical -Conduit _ �66� Solar;Systern Final 16. Rough Electric Wiring - '` 67. Fencing & Access Approval • (. - h,- ,' 17. Rough Wiring-Sidn 68. APPROVED FOR PLASTERING' 18! Rough Electrical -T Bar Ceiling -.•� I - 69. POOUSPA SYSTEMSIFINAL 19. Rough. Heating &Air Conditioning FIRE DEPT. REQUIREMENT, APPROVALS t .Permit# ._- 20. Rough Factory Fireplace ,y/�' y 21,, Ducts, in Structure: -'. i. 70. Underground Hydro, 22. Ducts,; Ventilating _� l .r 71. Product Piping 11 Gas O611 r^ •� •'. 23. Gas Pipe -Rough & Testis I , i -72. Underground Flush i ' "- j - 24. Roof Framing 73., Undergrnd. Storage Tank ElGas. OOiI 25. Roof Sheathing - 74. Overhead Hydro - -- 26. T -Bar Ceiling (Structural)'&,Monocoat ' .- 75.- Dr'y; Chemical 27.. Frame and Flashing 76. Dry 'Standpipe- . 28. Lathing & Siding 77. FIXED SYSTEM FINAL'f •' ` 29. Insulation•$ 7$, FIRE PREV. FINAL 30. Drywall Nailing ",. - i i j �'t I HEALTH D,EPT. REQUIREMENT- 31. Plaster Brown Coat 1,�• 79. FINALINSPECTION 32- Electrical Power Meter -Final .. 80. FOOD CERTIFICATE ISSUED. 33. Final Electric ; - t `. Notes: 34. Final Heating & Air Conditioning i •7 .� -� , 1 =i • • + •, y : ' ' -'+ 35.'Final Gas Pipe -Test I 1 36.• Hood or Canopy t .. 37. 'Final Factory Fireplace' - •� k - 38,'Final Plumbing, L „39. Water Service -Final `40. Gas Service -Final' _ -. .t �• y . 41. Solar. Domestic -Final 42. Backflow Preventer "- ,43: Backflow Irrigation'- -t44- Landscape Irrigation System ".-` - ` - •' ' t •45. Sound Attenuation - 46. Handicap Regulations'' - - , ,,,47: FINAL STRUCTURE & BUILDING - _ -",- •- - - 48..Special Requiremerts,Completed •, ' - - - �• ; -, : , _ 49. Electric Release to Edison- • . _ - = _ , - - - ; r f 50. Gas Release. to Southern California Gas Co - , �• p , 51. CERTIFICATE OF OCCUPANCY Y No. - - .:� .. ..•' ,- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. p��• CITY OF COSTA�J/y/y/��/+PAq/` CONj$�T�RU/( TION pjj.�R�M T PERMIT NO. 7 s TRACT NO. I . LOT NO: )UNIT N 1 2 ' 3396 8/ 167 96e 60 TL Project Address (/�•f�/11('6� �LPGIG //� I Applicarlt's•Ma'iling d ress I TYPE OF CONST RUCTION NEW 'ADD ALTERATION REPAIR , « �L Erf E/Z LUE ��� ' ❑CONVERSION' ❑OEM LISH ©OTHER f t_ I A.P. # Zone_ - Owner's Name — Phn..e - DESCRIPTION OF WORK/USE OF -- -_ _ _ BLDG. _ _- - Address { L4' I - 1 f 1 I S Main Building: Accessory Building: Arch/Eng. License No. - 1 TYPE OF PERMIT GRADING ❑ FOUNDATION STRUCTURAL : T st Front' a .O i ! Address ' ❑ TENANT. ELECTRICAL, ❑ PLUMBING ❑MECHANICAL I B - I I - _ « N I ❑ OTHER- -: ' 1 { - i A Rear •. 1 Contractor's Nam f Phone �pX!9/1 / _ C _' ., .•1 Right _ - � _Y .._ _ y - ` -_ ,..., ...1 yy� Address (mailing) �3�(' I r ldl'� �C�l p• 7 PROJECT DESCRIPTION SQ.'FT. OCCUPANCY K 1 - G CONSTRUCTION TYPE—' VALUATION $ I" - S Left ? City License NO. I ' f ' ZONE GRADING CU. YDS+ ACRES- < ' f - Ping. Ref. # I Parking Regdltrovided - { R E LICENSED CONTRACTOR DECLARATION -- ± I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: { " « i Planning Notes, I M with section 7000) of Division 3 of the Business and:Professions Code, and - ' - my license is in full for(Oland f ct. - i f - _ i i - T UcenseVss Ice o - •-FEES, { I Date Y Signature 1 : PLUMBING - 1- WORKERS' COMPENSATION DECLARATION •- - Bar Sink: �_� 1 Showers f �, , ' i _ J- ` I hereby affirrrthat;' have a certificate of consent to self -insure or a certificate 1 J •. I l _ « ir ELECTRICAL' C� _' I I FEES j d Workers' Compensation Insurance, or a certified copy' thereof (Section I - 'Backflow Preventer, T' I , i - Service Smk I - ! V ! } 1 I -- Automatic Washer « - Tra_nsformer_❑ 1 5 50 KW _� -O 3800, Lab. c'�}1,� pQ' yq pL(�/ ,�yI , GI/�Q�J��O/ , •Sewer ,. Policy No. + Company _LA.� U/�-/. Backflow Irrigation �. s + Ca l " R. Pl • -- ' 1 '^' - COnstruchon'POIe Sub •- r❑ SO+KW; I - tL 1 • ¢rtifiatl copy is'hereby furnished, / f - , _ 6? Certiti� cq}}eiyjtley with in edB Ing i A. "1V I Bathtubs r v $ewer Connection 1 _ - - - I Co_oking Unit I '.� �.S' �/. - G� Meter. up to 100 amps v Date / Applicant EXEMPTION FROM WORKERS' COMPENSATION D LARATION, y Clarlfier5 + s' �. �, SOlar'ColleCtorsl 1 - •1 !i> w i D"SfiwaSher - 1 y - i : Meter over 100 amps a U'O (This section need not be completed if the permit is for one hundred ($100) or less): D6hwasfier • Solar Piping = ! ;; 1 Dryers Gas. Sub Panel - f - t : ' I certify that m -the performance of the work for which thispermitis issuetl, I ,- _ , _... 1❑Electrlc ,�, L - , pyo .I shall not employ any person ,in any manner so as to become subject to the - Drinking�Founta ins I Solar Tank - S Fan 1 •-- t Motors ❑0-1HP ❑1 % 8 :2f (70 ` { Workers' Compensation baws.of California., Date' Signature `. Floor Drains a Swimming Pool vn/S a ! g p ' i+: _ _ + 1 1 F,A:U • + - r - , in Solar` El 9;1 HPC❑16-15+ ' - _NOTICE:. If,. after making this'. declaration, you -should become. subject to. the_. Workers' Compensation provisions of the Labor Code, you must forthwith comply with such? or; this permit shall -be deemed revoked.. I Floor Sinks* 1 l Urinal • ( « Fixtures i 1 1 Microwave ' I P_ .� provisions CONSTRUCTION LENDING AGENCY _- Gas Serivice Outlets 1 'Water Closet « �' i s ,IL/ Device Boxes ' Pole Li t0 ' f •; 1 hereby aifirm�that therwis a construction lending agency for the performance of the work for !which this permit' is issued (Section 3097 Civ. C.)- -, I Interceptors ' ( Water Heater..r. 9ht i Outlets 7 t Lender's Name _ .. Range v -Lender-'s,Address - _ Kltchen'Sink __ Water Service' __ - Switches • T -'I�- -' -S19nI -IO OWNER BUILDER DECLARATION I hereby affirm that I am exempt from* the Contractor's License Law for the -reason Lavatories I •�•+�"y ' Auto -Wash l _ ' _. Garbage Disposal I i - l Standing Sections - O - i following (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair P-Tra"pt._' i ! ' ' Laundr Tra s y y ) 1 �'• Generators❑0.5 KW+❑5-15 KW any structure, prior, to its issuance; also requires the applicant for such permit - ��� Trash Compactor i , f to file a signed statement that he/she is licensed pursuant to the provisions of '- ' RoofA�ains I - j '! L- the Contractor's License Law (Chapters (commencing with Section Of _ _ or ds exempt �ivision^3 of,the-Businesss,fo and Professions is exe - -» - '^ - �. - •--• �� �' - exemption y violation and the the alleged exemption. Any violation of Section - ,' ( ' J31.5 by any ap Plicanb for a fPer mit subjects the applicant [o: a. civil 31.5 b applicant ; I ' nnalty of not more than five hundred dollars ($500). ) LI I, as owner of 'the property or my employees with wages as their sole ReinspeOtion Feel $15 1 { '•Issue Fee S 3 S •� ' - _ - 't -- + , compensation, will do the work, and the structure is not intended or'offered' {:_ Reinspection Fee $15 Issue Fee for sale (Section;7044,,.Business {and!professional Code: The Contractor's ` 1 MECHANICAL j .FEE$, -' - 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 '- 'Hood i HOOd Type ,DEV ELOIPMENT SERVICES REQUIREMENTS: , employees, provided that such improvements are not intended or Offered for Bdller _„ i Or I .❑ 1 ' ! ' sea l e:' If;showever, the building or improvement is sold within one year of com- - Canopy Type 11 ❑ _ I Zonin A roved 6• -. g pp y Date pletion; lhe;owner Wilt have the burden of proving he/she did not build orim- Duct - Under Ground 'I - I - i Building APProved BY ^ 4 - •- Dat,, ! - r prove'for the purpose of sale). I . ❑ I, as owner. of the property, am exclusively contracting with licensed con- Duct: Structural 1 Refrigeration System{. ' I - - I Application Issued By ' '� • -_ '+Dat tractorstd construct the projectSection7044, BuSiness a ad!Professions Code: Th. Contractor's' License Law oes'not apply to an owner of property. who a .. Duct - Ventilating : "% E10_1 00,000 BTU El 00,000 BTU SUMMARY OgFEES ' builds or'improves thereon, and who contracts for such,projects with con- tractoro,,' cense pursuant to.the Contractor's License Law). 1 am aware that insurance to -1 : i Exhaust System ❑ Multiple ❑ _ System Repair/Alteration '� y' r BUILDING PERMIT =$ -• SMTP; L '$.- •- l r proof o ([heir WorkeCs Compensation should. be provided me:-, i ❑ am exempt untler-Section B. &: P. C. for this reason . .. _ 1 "_• i �' ... _ Firepl/Fact. Bit. ICBO # - ... - - ,Fire Dampers : .� _ - - , PLAN.CHECK $ - - - '; e { 1 �. ,- - PERMIT - ISSUANCE '$ i - (, •. Dite.- 'Owner ' ' - - Heating System &Ducting- Registers, i - PLUMBING.( !$ t f PLAN CHECK 25% $w L i 7 = -`. I ENERGY C. '$; i I hereby certify that I have read Lthls.'apphcatioo and state that the above information�is to comply I 00-100,000BTU El 100,000 BT - - -- - - i - t- •' i ELECTRICAL {$- i ''GRADING• :$ -- « correct!-( agree with al''city and county ordinances'' and state laws r to building oyy tion, and,h reby repre=_ i - - _ l - authorize sentat,vesi to- neer, boned for I - I .s PLAN CHECK 50% $ 3/ sfQ MICROFILM ;$= - - - - of pon above- property, _ - - -. ' s 1 r - - I l� inspection our B-�Z ; MECHANICAL $ ~TOTAL FEE. i$ Signature' -. - ate Drivers' _ Reinspection Fee x$15; ' i Issue Fee �= ,�;' _ -$ 3 - j = PLAN. CHECK 25% - License or 55 -_ •.-. _-_..... _ .___ .-ii _6u _._.. _ Applicant:_ _-.t __ rod -Assessor � � CONSTRUCTION ANDIPLANNING .. r: _ (- - -IK_ Y - V " .� �+F, ` f'': 'POOL & SPA.:- s ' i' OPROVALS , Perriirf'# Date p-'`�II'_P Ins ector - I- t t^ `APPROVALS Permit# 1 t' . Date- inspector r p _ , L' -Temporary Electrical:Service or Pole ! �' ' 52. Pool'&jEquipment Cocation� ' 2. Soil Pipe-Undrgrnd., i, f�, - ' _ j` r 53. Steel Reinforcement t 3. Electrical Conduit Utility-Undrgrnd( a._ 'i 5,4. For'ms'- 4. Electrical Conduit-Undrgrnd'. ''•I 155. Electrical Bonding 5:•Steel Reinforcement;"1, _�. i 1 r -56. Rough & Pressure iTest g 9 ` 6.Electrical UFER Grnd`; ' ' • i °.57. APPROVAL TOCOVER-GUNITE` ( "h a 7. Footings - - 58. Electrical Conduit=Undrgrnd. i,_ r _ , 8. Foundation`59 -Gas Pipe; 0 Undrgrnd., Test ! .. 9. Water Pi pe-Undrgrn 60. Backwash -Lines, P:Trap, O Undrgrnd.I ; I � 10. Structural Floor System 'i - 1 ; 61. APPROVAL TO DECK 11. Property Sewer Line House Connection t -' '. 'f 62. Backwasht& Receptor -Final I- v; r . 12. Sewer Cap 63. Heater+&��%ent.F final ' 13. Roof..Drains�', 64. Plumbing System -Final 14. Rough Plumbing,65. EI ctrical-Final ' 15r Roughs Electrical -Conduit ;66: Sola -Final j ,.;:_ .System 16. Rough Electric Wiring: '.y - ' j 67..,Fencing�&Access Approval -' 'j •M�} O dW't _ 17. Rough Wiring Sigri' . `. ` ' '. ' ;-' ;'gg, APPROVED FOR PCASTERING� n 18. Rough Electrical -T Bar Ceiling, _ ,; i 69. POOL/SPA SYSTEMS FINAL " 19 Rough: Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS - Permit # ` 20." Rough Factory Fireplace - t ` 'w . s ! + 1 21. Ducts,'in Structure' •, , , �. ', 70. Underground Hydrol •� - ` r , . 22. Ducts,'Ventilating' - 71. Product Piping❑ Gas El Oil I. _ 23! Gas Pipe -Rough & Test . - � j } 72. Underground,Flush , 24: Roof Framing. `' � ', . � 73, Undergrnd'. Storage Tank O Gai ❑Oil ' 25 i Roof Sheathing 74. Overhead Hydro 26. T -Bar Cei l irig'(Structural)'&,Monocoat _ .75.-. Dry.Chemical, - - �27. Frame and Flashing 76., Dry'Standpipe ,r 28. Lathing & Siding ` ' 77. FIXED SYSTEM FINAL - 29% Insulation '' , I - 78. FIRE PREV. FINAL 30: Drywall Nailing ; - •, '� - `,' I .' HEALTHDEPT^,REQUIREMENT, t 31.- Plaster Brown Coat ;� 79. FINAL �INSPECTION- 32.' Electriral.Power Meter -Final LI 80.. FOOD CERTIFICATE ISSUED, - 33. Final Electric'' - Nbtes:.4 ��' '. fled , 34: Final Heating & Air Conditioning - Air H35. -Final ' , _ 'c i t Gas Pipe -Test ` 36.,1Hood or Canopy.- 37,:^Final Fact ory.Fireplace - ' `f, ' ,� i ' •38�`Final Plumbing - - - !s', t% 39. Water Service -Final' - .. - •" t:.,, „ +•''� _ ,�--( Ji -,40.' Gas; Service -Final ' `-' - - ''/: •yJ Solar Domestic -Final - .. - ` t'� .�1 •,142! Backflow Preventers'' ^ - •,,%i .:_.t .. 43!Backflow Irrigation ^4 ; _ lr " %y s�' _ 44..Landscape Irrigation System 45. Sound Attenuation- 46.- Handicap Regulations 47.',FINAL STRUCTURE & BUILDING 48:'S:tpecial Requirements Completed - - - - y ` �i I • 4 -1 49.,Electric Release to Edison�' t"f . 50. Gas -Release to Southern' California Gas.Co , _ _ 'L' • ` 51. CERTIFICATE OF' -OCCUPANCY No. Date - ' December 21, 1988 To: Building Safety Division Code Enforcement Communications County Administration Office County Clerk/Bd. of Supervisors County Registrar of Voters County Tax Assessor Engineering Division (2) Fire Prevention Manager, MIS Mesa Consolidated Water Dist. Newport -Mesa Un. School Dist. (2) Pacific Bell (2) Police Dept. - Ping. & Research Santa Ana Heights Water Company Sanitary District Engineer Southern California Edison Co. Southern California Gas Co. State Board of Equalization Street Division U.S. Post Office, Adams Avenue U.S. Post Office, Santa Ana Zip 4 - Santa Ana File (2) The City of Costa Mesa wishes to advise you that the following addresses have been changed or added: 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. 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 It 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 Lane " 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 " 2666 Elden Ave., Unit K 158 Quiet Bay Lane " 2666 Elden Ave., Unit L 15,6 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. er Your cooperation in this matter is appreciated. Sincerely, GLEN S. ETHERINGTON Planning Intern GSE:jl(ADD6HNGE.23) cc: Neville Pearson 2666 Elden Avenue, Unit G Costa Mesa, CA 92626 Occupants 2666 Elden Avenue Units A -N Costa Mesa, CA 92626 95i D nn -,U1I I 091 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. l P MIT NO. TRACT NO. LOT NO. 1 UNIT NO. A.P. # ' CITY OFCOSTA MESA CONST UCTION PERMIT 3 7_ h Project Address - - O 'goiter' S Main Building: 's q�y e._ ApplicadYs MailingKAd/Idres7� _ ��I,,�_/-qy Owners Name" VJD rccIrl Tem Phonem.yG-& - Address ' �� S Q4✓ LA.h6 TYPE OF CONSTRUCTION' NEW - ADD '❑ CONVERSION ❑ D-610, SH ❑ OTHEE}}11 -DESQCIR�I PPT NOFj WORK/US BLDG. `,Q• h r ALTERATIONS REPAIR ' - - ' -u-s_fPf E T A From - Rear ,_ - Arch/Eng. License No. Address TYPE OF PER IT U GRADING FOUNDATION LJ STRUCTURAL ❑TENANT :❑ ELECTRICAL �I PLUMBING MECHANICAL ❑ OTHER` PROJECT DESCjiIPTION rSG. FT. OCCUPANCY. CONSTRUCTION RUCTIONTVPE �� VALUATION $ - C Right i K. S Left ' Contractor's NamAZ3 Phone - Address (mailing) - — _ - Ping. Ref. # Plin Notes: Planning ' . 9 _ Meter Club to 100 amps _ ' Cit License No. ZONE GRADING CU. YDS.' ACRES $ Motofs E] 0-1 ` HP F-11'/, - 8 LIC CONTRACTOR DECLARATION _ 16CSOlar ❑9-15 HP ❑16-15+ - _ Remarks: -- 1. ,F"am licensed under provislons of Char[PI mencing PLAN CHECK 25% $ with section�17000) ofbi n 3 of the B rermf ifess9lons�Cotle, and my license is in fun force and e i License C , = Signature " IRKERS' COMPENSATION DECLARATION' 'coy affirm that 1 have a certificate of consent to self -Insure or a certificate Norkers' Compensation Insurance, or a certified copy thereof .(Section ,JO, Lab. C.) Policy No. ' Company B Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed If the permit is for one hundred ($100) or less). I certify that,in the performance of the work for which this permit is Issued, 1 shallnot employ any person In any manner o to became sub���yyycccttt'''�ttd the Workers' an a i n Laws a Califo ia. Date Sign I C I NOTICE: 1 ,after aking this tleclaratio ou should been 'Ke subject to the Workers', Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit' shall be deemed revoked. CONSTRUCTION LENDING AGENCY; - - I hereby affirm that there is a construction lending agency for the Performance of the work for whichthis permit is issued (Section ,3097 Civ. ;C.) Lender's Name Lender'S'Addres$ OWNER BUILDER DECLARATION - - I hereby affiim,that I am exempt from.the Contractor's License law for the - following reason (Section 7031.5 Business and Professional Code: Any city or , ,m,, .n, ,.mirh romures a nermit to construct. alter. improve. demolish or repair' 'sion; 3(of the Business and Professions Code) or trial ne/sne is exempt efrom�antl the basis for the alleged exemption. Any violation of Section !L"5 byany: applicant for a permit subjects the applicant -to a civil; Venalty of. not more than five hundred dollars ($500). � /1, as owner of the property or my employees with wages as their'sole compensation, will do the work, and the structure is not intended or.offered Bar Sink Backflow Preventer Backflow Irrigation Bathtubs ' Clarifiers Dish Washer Drinking Fountains Floor Drains Floor Sinks <itchen Sink Lavatories n—Trap Roof Drains' - r Fee , Showers ' Service Sink - - - - - - Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank; . Swimming Pool w/Spa , Urinal' - -- wets - Water Closet _Water Heater . Water Service t _-Auto-Wash Laundry Trays . for sale, (Section 7044, Business and Professional Code: The Contractors License :Law does not apply to an owner of a property who build$ or.improves thereon, and who does such work himself/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 pletion,'the owner will have the burden of proving he/she did riot build or im-. prove for the purpose of sale). ❑ I 'as o am exclusively wrier of theproperty,Y contractingmeswith scions con- Professions Code: t the project Sec tion 7044 Business and o tractors to construe p 1 ( The Contractor's .License Law does not apply to an owner oL property who c - builds or improves thereon: and who contracts for such projects with a"on- - tractors) license pursuant to me Contractor's License Law). I am aware -that proof of their Worker's Co mpensatign insurance should; be provided to me O 'goiter' N Generator ❑0-5 KW 1:15-15 KW Trash Compactor Duct'- Under Ground R Duct -Structural r _ Duct -Ventilating, •_ - Q M Exhaust System ❑ Multiple ❑ T S. Firepl/Fact. Bit. ICBO # 1�1'am exempt under Section r7 . & P. C. for c eason Date Owner -I' Hereby certify- hat'1 have reatl'th this applicati n 'and- over information is correct. 11 agree to,COMPIy with all city and county ordinances and state laws relating to buiIjj4ng construction; and -hereby authorize repre- sentatives of. this Ci to eupon the above-riientiOnetl prop rt Inspection p zas. , Signature ' - Date 7 Z DriGers' License ori 55 ), _ ' 1 Heating System &Ducting 1 ❑6100,000 BTU ❑100,000 BT r _ Meter Club to 100 amps _ $" Reinspection Fee $15. 0865-46, rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Issue Fee - Hood or Type P ❑' - Canopy Type It ❑i i System Refrigeration m 5 e 9 Y i ❑0.100 ❑ ,000 BT _ U 100,000TI 8 S- em Repair/Alteration Fire Dampers ' Issue Fee FEES Automatic Washer, Construction Pole Sub. ' Cooking Unit Dishwasher Dryers ❑Gas OElectiic Fan' F.A.U. o Fixtures' Device Boxesl Outlets t - / •''i O It-N N Generator ❑0-5 KW 1:15-15 KW Trash Compactor CIT MgTG MFqA R i - -Parking Req./Provided - '-_ E _ _ Q M - T S. ISSUANCE� , , ELECTRICAL FEES ' 1 _ Transformer ❑ 15750 KW - ❑ 50+KW a ! r _ Meter Club to 100 amps _ $" Meter,+;over 100 amps $ Sub Panel - $ Motofs E] 0-1 ` HP F-11'/, - 8 $,- 16CSOlar ❑9-15 HP ❑16-15+ - $ Switches Sign. Garbage Disposal Standing Section. Generator ❑0-5 KW 1:15-15 KW Trash Compactor Reinspection Fee $15 Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning' Approved By - Building Approved By' Application Issued By t f $ 3 ' SUMMARY OF FEEV' ' BUILDING PERMIT $ .SMTP $� PLAN CHECK ' $ - PERMIT PLUMBING $ ISSUANCE� , , PLAN CHECK - 25%. $ t • ENERGY P.C. .$ " ELECTRICAL $" : GRADING $ PLAN CHECK 50% $ , MICROFILM : $,- MECHANICAL' $ TOTALFEE $' t] PLAN CHECK 25% $ _ i 1 a C04STRUCTIOWAND PLANNING - iT�(. � . -' " POr SPA 'Datepecto_r' APPROVALS Permit# - °" - '- APPROVALS Permit # Date Inspector; l rt. Temporary Electrical Servi;e or Pole tv - '52. &,Equipment Location " " All _Pool 1•2.'•SoilPipe-Undrgrnd. ,53. Steel Reinforcement: Conduit Utility-Undrgrnd.- tr, 54: -Forms - - r•3:-�Electrti6l 4.'Electrical Conduit'Undrgrnd.f 55. Electrical Bonding - - '•5t�jtSteel Reinforcementr - - 56: -Rough Plumbing & Pressure Test 6.R,ElectricalUFERGrnd. 57. APPROVAL TO COVER-GUNITE n' ;f•7 --Footings 5 58. Electrical Conduit-Undrgrnd. • 4.._ •'-8.';Foundation 1 it -, r • 59. Gas Pipe, 0 Undrgrnd., Test - I 9. Water Pipe-Undrgrnd. . I� '� 60. Backwash Lines, P -Trap, 0 Undrgrnd.. _ j 10 'Structural Floor System 'f ' -' 61'. APPROVAL TO DECK. - ,11. Property'Sewer Line & House Connection ,Sewer 62. Backwash &Receptor -Final -12. Cap 63. Heater & Vent -Final - r �'�� , 13. Roof Drains _ ', 64. -Plumbing System - Final - ,`' t• 14. Rough Plumbing - 65. Electrical -Final 15. Rough Electrical -Conduit.- - - 66. Solar System -Final - 1'6" Rough Electric Wiring 67. Fencing & Access Approval - ldl.s Rough'Wiring-Sign• 68: APPROVED FOR PLASTERING Rough Electrical -T, -Bar Ceiling i 69. POOL/SPA SYSTEMS;FINAL ' 19. Rough Heating & Air Conditioning , ' FIRE DEPT. REQUIREMENT - y . APPROVALS Permit # 20RougWFectory Fireplace 21_•Dutts, in Structure, - I; i' • - �, 70. Underground Hydro- v� ' -22.,.Ducts Ventilating ,- i ! 71. Product Piping 0 Gas 0 Oil f I i • .23.'Gas Pipe: Rough &hest Underground Flush• 24.; Roof Framing 73. Undergrrid. Storage Tank O Gas ❑Oil /• -- 25. Roof Sheathing , ; "'74. Overhead Hydro -9 . 26."T -B a`r(Ceiling,(Structural) &'Monocoat 75: Dry Chemical%" ' 27Fram&and ,Flashing ' 76. Dry Standpipe.,�� X2851 Lathing & Siding 77: FIXED SYSTEM'FINAL 29.;_ Insulajioh 781 FIRE PREV,FINAL ;30.! Dryw ll Nailing ,� HEALTH DEPT. REQUIREMENT -31."Plaster. Brown Coat' 79. FINAL INSPECTION .- 32. Electrical Power Meter -Final , :80. FOOD CERTIFICATE ISSUED 33.. Final"Electric v �; , Notes: ! rJ 34..Final Heating & Air, Conditioning 35.-. Final Gas Pipe -Test' I - 36.zHood or Canopy I ' - 37:�Final Factory Fireplace - 38. Final Plumbing 39. Water Service -Final -• , 40. Gas Service -Final - ..t'•�}` 4f. Solar Domestic -Final i 42. Backflow Preventer !t - 43. Backflow Iirigation a . , 1' ', . ` 44.-',Landsc6pe.lrrigation System!' 45. -Sound Attenuation I d 46. Handicap Regulations .1 4).`FINALSTRUCTURE &dBUILDING '46. Special -Requirements Completed 49. Electric Release to Edison _ , U./• - _' 50. Gas Release to Southern'California GasCo U„ n 51. CERTIFICATE OF OCCUPANCY No,... _ - ,Date-,-- City of Costa Mesa Development Services Department Building Safety Division CERTIFICATE OF ,OCCUPANCY No. 90202 5J P. O. Box 1200 Costa Mesa, California The Building located at 2666 Rlrlen Avenue Unita B & C has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group oa/Ml Occupancy. Use of Building rflapiAv rnnr9nmininata Legal Description A15IQ721-16.17 (See reverse side,for Metes and Bounds) Building Permit No, R 27022 Electrical Permit No. E 29722 Plumbing Permit NoP28279r,P28280 Mechanical Permit No. M29175.M29176,M29389 Number of apartments and/or guest rooms ISSUED TO: Stainer/Fluter E10 30th Street NP.wmrt Reach, CA 92660 Building Official William T. T. Howard by Date January 11, 1987 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 lel U.B.C. CMF 1015-46 rev. 1/93 White -Owner; Cary - Numerical File; Pink - Bldg. Permit File