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HomeMy WebLinkAbout157 QUIET BAY LN - Building Permits yin its - CITY OF COSTA MESA 4, BUILDING DIVISION j t ____ t DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER :t �'i' i PERMIT 4qeia. B03-01805 a.mm (714)754-5273 •-Fax(714)754-4856 • www.ci.costa-mesa.c3,4OILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 157 QUIET BAY LN BUStatus: ISSUED Suite: - Applied: 10/15/2003 • Vicinity: UNITS 157-159 Issued: 10/15/2003 Parcel Number: TPN003179 Zoning: c � Applicant BATIOFF, JOHN __ __ ISSUED BY: Address: 17182 ARMSTRONG AV � c%_�--'_ -� �� ���{Phone: 714-3817974 --.,���` IRVINE,C � '^1 t Zip 92614 ', 7"\^G_-�\ 1 Owner QUIETBAY'HOA� �_ . I 11' , • ,'� �''' ��� Address 163iQUIET BAY LN '-=== ~-.{ (�',,.) c.�� I)/ rP--Hon : 949-253 4548'���\ :\ \ ���COSTA MESA,CA �-� Zip: 92827 \�\��\\� \\ . Contractor: 'DRI COMMERCIAL \ 'n / Q"/ N. / /err1 v�,„ / ' A /Address:, 17182/ARMSTRONG AV `A , \';'••., / �J���� ///�� Phone: I G/ IRVINE;CA '{ ��•. ui� �/ Zip: 92/6/1/4Y (•Licensei 818623 f 1r r r-_ ///7/ -- 7 'i J +Arch/: � �//civ 1t .�-4 sG" . Eng: i�l f (Address: pOo+, -,t,7,1-3;'9 Li _ Address�� ,) ') r \ V, , ) ,A ` , r aaa Pin¢.-��^`_ '�'�`--^"..^ 1 �')\ Phone, '' 1 17/4 C ' r� '\Zip: /tit ° �y7-License: , License: rt`V'i \--+ III /7 .� \\ +��' li (\;!. r i !`Ul or---------.�� SCOPEOF'PERMIT —= H) U . EAR OFF EXISTING ROOF. INSTALL CLASS A COMPOSITION SHINGLES37.34 SQUARES-FOI CONDO UNITS. UNITS 157-159 IIV). 1 ) ‘...\../1.1. t1 i LLYJ_ _ 1L .1[S1..Ld 1 . +.1E ' gypp,� '1 __._ _ . -_. 1 1 , l_ ,r A\i�nt, I n� _ FEE SUMMARY ct / ( i i I - +, Plan Check wi $0.00 � ,;Ji) _- - —�,_ ,�, ,{/� Calc Valuation ,i,I l $7,,390.00. �l \Permit a $153.25 : -� --� �--4-- - � c _ClaimValuation: ',!// ' $7,390.001 • 1 �,SMIP-Res: $0.74 4I /1,/ v ^vSMIP Corn: +`;,�( $0.00 /� /` Y/'� / / + ' Other '\ I,$0.00 ` ' J.) \Inspe'ction: $0.00 t //2 ` •/ �� \\ Y t V �/ C c-- rt , l "\\Total: ,� $153.99 `, c ? r/ I \*, `l.-� \\\C\.. 1 - x.f-`v5e!.,:'`n .0' n�JO coo ..D •"FTc:.1.t;''.''.i:+-nwJ!/.r/// 5 z. /t/// \`‘,.\, /� N. �� ; `o i o GPLANNING &ZONING j j '� SETBACKS �/-/ �� a,/ c0 j O `� 6 ; ��� 7() `\ 0 v�>; > MAIN STRUCTURE`F,. ,../ --'0�, Rear�c0�0` - -�/Left c0-0_,,),;_........-:', _.�,: - -= Right-0 0 // '^`.- .),`'r. .":"--%---- ' ,vim/ l ACCESSORY Front , Rear 0:0— _:,:-Left "=0-`0` ,_, Right -`%0-0 .Y r PARKING Existing::,---i0:-.,-,„ '--Required:-.2 0"1 ".�Ir Proposed: �-0, +, r;%� � - U-)jiIrvLi \ 11 \[.3ti" v NOTES: KENNE_S 10/15/2003-$54.01-FEES'PAID;REF.: VOIDEDPERMIT • 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 not commenced within-180 days,or if work is suspended or abandoned fora period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) 1=311.115111.1111111111.1.11.11111111 IIIMMIIIM WORKERS'COMPENSATION DECLARATION: I hereby affirm under penally of perjury one o1 the following declarations: . _ ' ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. IOr 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. - 1`,. My workers'compensation Insurance carrier and polio number are: fy Carrier. L (ii w %Y/Ic pt�X yy-- Policy Number: :V t"ZJ- 9 Z-1 6o 31 7 (This section need not be completed if the d rs valued et 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 provlsio --is--c-5 // 7 Applicant Signature:1 ' bate:a ) `v -WARNING:FAILURE TO SECURE WO ERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT Ni EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN AD TION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Businessa ndProfessions Code,and my license is in full force and effect.Lio.M ( to Z`5 Class# t - TI 13 ,,Contractor's Signature: 1, _ Date: /0--l 5>r? • CONSTRUCTION LENDING AGENCY: El 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). Lender's 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).): El I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion.the owner-builder will have-the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to en owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: El I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: _ Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greeter 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 aPPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LT No (Section 65850.2 of the Calif omia Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and 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 prescribed by Califomia Health and Safety Code Section 42303 been made? ❑Yes 0 No B (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. • Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Sig to :Of egal Owner(s) Date rr.A'•7/. •ul FInd Applicant _- • Date CODE!, INSPECTION TYPE PAU ' - INToALS CODE! INSPECTIONTYPE PLTf. Kama 1616 Fixed System Finaf Fire Prevention • ' • 206 Final Mechanical ' 1266 Pool Spa Final / 208 Final Plumbing 200 Final Re-Roof f f"" 43E-- 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 December 21, 1988 To: Building Safety Division Pacific Bell (2) Code Enforcement Police Dept. - Ping. & Research Communications Santa Ana Heights Water Company County Administration Office Sanitary District Engineer County Clerk/Bd. of Supervisors Southern California Edison Co. County Registrar of Voters Southern California Gas Co. County Tax Assessor State Board of Equalization Engineering Division (2) Street Division Fire Prevention U.S. Post Office, Adams Avenue Manager, MIS U.S. Post Office, Santa Ana Mesa Consolidated Water Dist. Zip 4 - Santa Ana Newport-Mesa Un. School Dist. (2) File (2) The City of Costa Mesa wishes to advise you that the following addresses have been changed or added: OLD ADDRESS NEW ADDRESS A. P. NO. 2666 Elden Ave. , Unit A 151 Quiet Bay Lane 439-221-61 2666 Elden Ave. , Unit B 153 Quiet Bay Lane " 2666 Elden Ave. , Unit C 155 Quiet Bay Lane " 2666 Elden Ave. , Unit D 157 Quiet Bay Lane 2666 Elden Ave. , Unit E 159 Quiet Bay Lane fl 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 156 Quiet Bay Lane 2666 Elden Ave. , Unit M 154 Quiet Bay Lane 2666 Elden Ave. , Unit N 152 Quiet Bay Lane For your convenience we are listing the agencies above that we have notified of the change. In addition to those listed, you are advised to notify your correspondents of the change in order to avoid any possible interruption of mail service. Your cooperation in this matter is appreciated. Sincerely, c /J GLEN S. ETHERINGTON Planning Intern GSE:jl (ADDCHNGE. 23) cc: Neville Pearson 2666 Elden Avenue, Unit G Costa Mesa, CA 92626 Occupants 2666 Elden Avenue Units A-N Costa Mesa, CA 92626 I. 163 rj 16 Z ,.` 161 I60 i- 151 57g H Q. 1 • . 156 • • 15 r 53 I) 5-4- • - i 15 a . 15i N.T.5. i ELDEN . ' AVENUE. -- T ADDRESS OF BUILDING: 159 QUIET BAY LN UST' - • - - - 7 CITY OF COSTA MESA — BUILDING`PERMIT- aytlERSNAME IFxNtMRi: NATHAN REO JAMES - _. _ - _ PERM NO:: P 08301E ADDRES& 159 QUIET BAY LN #'11 - - ' — s - - 'COSTA-MESA-,CA- . .- -92627' . - PERMIT--ANO:- 'P - 08301;6 , -.. PLAN CHECK. NO: - . -- Al GOVT: =N SUPP: -N., 650-4922 , AppL.MuuNC ADDRESS: CONSTRUCTION TYPE: •V-N PERMIT TYPE:- PLU - ( PURPOSE: 'OTH • ARCHITECT OR ENGINEER: , UC.NQ.: JOB DESCRIPTION. . : INSTALL DISHWASHER SQ FT: ARCH.OR ENG.'S ADDRESS: MT: CLAIM, VALrUE: . CALC-VALUE: GROUP OCC; R-3 / ' • caRRACTCSNAME:,NOCK 'PLUMBING ' ' . ( 714 ) 895-1246 ' ` - CONTRACTORSMNUNG 11612 KNOTT ST, COMMENTS: NO.,OTHER WORK ASSOCIATED WITH THIS PERMIT . : CONSTRUCTION AND PLANNING . r ' 1 - n • r. ?... ii ' ° ° - Inspector,nspector, ' 1-' Date Inspector APPROVALS `Permit#- _-� _ APPROVALS . Permit # I - 1. Temporary.Electrical.Service or Pole ' c n , ; i '52: Pool & Equipment Location r - _ 4 M -,2, Soil Pipe:Undrgrnd'.; ▪ 1- r .C. - 153.. StealReinforcement ' ;71...r r. s, r - A: If .--3c'Electrical Conduit'Utility-Urtdrgrnd 4Y ai. '54: Forms ' i-1 9 7 - !' i _ t• ti. ,, •-' :21:-',' - lir ' l a .Jr, '',1-- =; - _ +t :, . 4'Electrical Conduit l,ndrgrnd - I I 55' Electrical Bonding _ ?- V ¢c ; : - , .5.5c.-'Steel Reinforcement= , _ • i't- `•t , •', I .56. Rough Plumbing & Pressure Test` , p _ - - ,t, )1 1, ; i - �6.. Electrical LIFER Girid. �', `i :;-1.:.;,_ 57: APPROVALTO COVER GUNITE' - jl--1y ? '"� I _ ill •-7. Footings - ; - ;58- Electrical CondwtjUndrgrnd; i; �� .8. Foundation ` i" F r' I {r '59f Gas Pipe' Undrgi-nd Test _ i. ! is i j, ',9. Water Pipe-Undrgrnd. : j I 60., Backwash LinescP•Trap;0 UndCOI nd.+.- it :. . - 1 ; 1. Ih ` l0. Structural Floor System ' .,;, -,1 " 0 - I '61. APPROVAL TO DECK.'-', . 11. Property Sewer Line & House;Connection 1 - 62': Backwash &•Receptor-Final •1 - ' 12. Sewer Cap • .1'--- '}:_ , _ j ''63: Heater&Vent-Final - -• - ., g 13. Roof Drains '-.1 .} - -r ` .,: ' i 64_ Plumbing System -,Final' _ . - 14. Rough Plumbing; - - - ,l -, ` +' -.65: Electrical-Final l I ,, + - - 7.' pi15. Rough Electrical...Conduit. - I •66: Solar System-Final ',_. ,° ; 1�1 16. Rough Electric Wiring - i = ' '.. • -• ' 1 ,_ , _ _ _ 67: Fencingr& Access '' ;- ,,. i 17. Rough Wiring Sign - : , ` i :'.. - i ;68: APPROVED.FOR-PLASTERING' r.�� " 18. Rough Electrical T Bar Ceiling 1 _ -'69: POOL/SPA SYSTEMS-FINAL U - , y - -19.-Rough-Heating-&=Air-Conditioning= - - - ---- -- - .- ' FIRE DEPT: REQUIREMENT' - --- -- • .- - _ 20. Rough Factory Fireplace - - .- kr -: - - 'APPROVALS' Permit# _ - 21. 'Ducts; in.Structurei , �. _ ~- - 70. •Underground Hydro - - - _ 22. Ducts,Ventilating- - - _ �t • i 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test _ - - 72. Underground Flush 24. Roof:Framing • - •n - - ,! .:; 73_ Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing 2 . - , x r' �• _ ' 74'. Overhead Hydro 26. T-Bar-Ceiling (Structural) & Monocoat _ r _ 75: Dry Chemical ' ' - i - 27. Frame and Flashing j - - �. a , 76. Dry Standpipe ' - . 28. Lathing&Sidingtc,, w•Yr. r J. ,r. ' •• ••1 777 FIXED,SYSTEMFINAL 29. Insulation. ,t 2. '^ _� 78. FIRELP. FINAL r - --I .- 30. Drywall Nailing i .!• . - .-HEALTH DEPT.,REQUIREMENT -.. 31. Plaster Brown Coat:' '. '' . . 79r'FINAL INSPECTION ' • 80.. FOOD CERTIFICATE ISSUED ti�' d 32. Electrical Power Meter-Fina; A t 4 � 33.'Final'Electric -'1!. r '` - E i' Notes: _ _ ''i.f4 5 ' ., 34. Final•Heating& Aif Conditionings_ - ! w ' •' / _ - r 35. Finaltas Pipe-Test ti r^= ,. I '# _ / i • _ : {l.'s I s. - C • 37. Final Factory Fireplace- _ _ �, 2 38. Final-Plumbing .a _ �• . • r •• ,r , , _ . 39. Water Service-Final . - I, 4: ° 40. Gas Service-Final '. ' _. _ - , ;- t -- 41. Solar Domestic-Final : - • - r j - - - s _ t- _ -';, .. - 42. Backflow Preventer : _ - 1 '- . - _ 43. Backflow Irrigation - ' =- - •r• ' - I i • I 44. Landscape Irrigatio System- -- i ^ ' 45. Sound Aitenuationt� - - - - " ' -' I 46. 'Handicap Regulations - a 42. FINAL STRUCTURE & BUILDING _ _- 48. FINAL PLANNING. , , _ r, - 49. .Electric Release to Edison ' - 50. Gas Release to Southern California,GasCo _ 51. CERTIFICATE OF OCCUPANCY- s - . - No Date - Applicant to fill in all spaces_except those within heavy border lines and sign all appropriate declarations. .. _ _ __ _. .. ; a I P IT TRACT NO. J LOT O! I UNIT NUI. _., I ' 4 .. - . . .. F .1 CITY OF'COSTA MESA CONSTRU, IONPERMIS10.9,27.; . L/26/07 . ;. I /�� Go" -D�: /Ili t � X70 23 / 2-Fgo i 7 ; ; 9 -G---•• t - I 1 ; , , . . _ 1 6+10 ray T� Project Address Ca Ce y d ii 11 - 1 , ! , {. • $, ' Applicants Mailing Address 1 ` I * • TYPE OF CONSTRUCTION I Oa NEW I�IADO LI ALTERATION IJ REPAIR ❑ CONVERSION ❑ DEM LISH ❑ OTHER t �[ fit- -IM0^ L 2�Z- r; { f A.P.# -g T Z 2.4 ._ 4:7 I J__ Zone .t._/� Z Owner's Name, / Phan �'- tO J I' IS r _ DE 'PTI Q.�,.Wf�R E F BLD • {((( Addiess y�j� ���.r` �"� irn 1 Qy zD ' ,�� •I • l ,1�, S Main Building: 4 Accessory Building: 1 Arch/Eng1"'1"Z'IL r� 11v• zLicense No. L/ V+ TYPE OFPRMIT ❑ GRADING ❑ FOUNDA ION LI STRUCTURAL 1 T Frontj� /� ••••1 �� 1 l ` 1 j s C O f '',1.-±-6. ....0 ILGS" T'k_. p� - " ❑ TENANT• ❑ ELECTRICAL 1❑ PLUMBING ❑ MECHANICAL 'g r/� rlj j/ I N Address V ✓t Phone ' r r> ;+ 3 ) I ' f • 1 1 + .A Rear •-•• AJ I ' i __ 1 , ❑ OTHER. -/,07-6 _ _ _ _ Contractor's Name •" O W� - �- •i - - II/ Right lO 5 ( 'f- 1 N 1 l• - ;;PROJECT DESCRIPTION Se. F _ OCCUP NCY jt - - Addfe551mailirig) ' I , i , • i •, "y ; CONSTRUCTION:TYPE ! _ ' Left I 23 / t - i 1' ` G I 1 I • � ) I •, , , , .z__, a �` � VALUATION`$ S O/LJ GI bl - � ' • ( � R City License No • . - - 4 - 1 /� - - i • ! ZONE - I GRADING CuCU.YDS: ACRES + ' pin Ref.# /p� ��7]rr�� ParkinRe /Provided J o 7 E LICENSED CONTRACTOR DECLARATION ' I 1 }.- 4 - 1 - - - ' g'• �!G`T`✓ 1�� g Req./Provided J�/•� 7 Q l I hereby affirm that I am licensed •under provisions of.Charter 9 (commencing �'"Remarks: .1^�s �•{'/��� 1 • - Notes' - 1 ' + with section 7900).o/ Division 3 of the Business and/Professions Cotle .ands - •/'v ' — 2 I"'7' „. ' Planning AQT]�FDR,CPFCiAL. RFQUIRFIVIPNTc • M my license is in full force and effect r S I f I Q� /� ! 1, �^ 9' Jt / Di ' _ , i • T License Class ' ,• I • • ' License lNo. ,tom s} - r at90 T, 8,0fcm- ! Ves.z0 pa kiallQ6 ,-' S ' r Clete' + " I Signature ' I r ' +_ , •. hl , , i ' ,PLUMBING I, I FE..11E//S , -_ i - u I : - • a :f _. - I • WORKERS'COMPENSATION DECLARATION a-JI - d Bay9nk i' , .� Showers , -- i _ i '• •• I ELECTRICAL • - 1 I' t • • FEES f' • ' I herebyers C.thetll have a insurance, certificate of consent to Self-insure Ora certificate - f - 1 ^ ' I t + •. I _ , - -' J-I - I • , i f Workers" Compensation or a certified copydthereof (Section. ..e _ it - _ - s .800, Lab. C.j 1 • j : ' . 1 t • Backflow'Preventer 1, _. -_ 1 Service Strife 4 _ h " ' - I •• -- ' _ t •• 4 I -C - ' r Automatic Washer' Transformer`❑ 15-50 KW ) Policy No. ' I '' Company ' - ' T �- Backflow Irrigation' L I Sewer.Cap . , f-. I - t P 4 Construction;Po le Sub.e r ❑'50;KWI r` I . + BCertified cony is,hereby furnished. : - - • Certified copy is,filed with'the city Building Division, I Vivi' GI ! Bathtubs: 2-.• ' ; j •Sewer_Connection ) 0 1 C. , f. ' S, _ •"' COoking•Upit • Meter,❑up to 100 amps .T I I Date- • - • ' Applicant I ' •+ I 4-�/1 , _ - - , - EXEMPTION FROM WORKERS"COMPENSATION DECLARATION4.4" p I Clarifiers l Solar Collectors;. i 1 -y "' _ , 1' . Dishwasher :i I. • I Meter ❑over'100 amps , I (This section need not be completed if the permit is for one hundred ($100) or • ~ Iless). I I r 1 , i t"',�.,- 4;y ; Dishwasher ='1 - Solar•Piping 1 .. - r' I ? I1, 1 ; w Dryers.OGas '❑Electric �`•: ' ,Sub Panel - I • r• I certify that in the"performance of the'wort<for which this permit is issued;i r - - ~ ` shall•not employ any person/in any manner so as to'become subject to the,,,,..1 ,,... Drinking'Fountains _ Solar.Tank_ " - I i •Fan - l .� ' Workers" Compensation Laws;of California. I/r , '"', �R ) '� I I f - I b. -•n -1 Motors ❑0-1 HP.❑1 h $ O r, ' Dates I Si nature ' : r f• J , cf". Floor Drams 1." ; , I 1 Swirnmiri Pool w/$ a` i I , + - '• i _ NOTICE: If,after.Making.th declaration, you'should.become subject.to-the-.-- - 9 p 1 F ALLU Inc Solar ❑915 NP ❑1615+ 1 { Workers' Compensation provisions!of the Labor Code, you must forthwith ) Floor Sinks ! f ! 1 Urinal - I I 1 it: I Fixtures - Microwave 4 ,�_ comply with such' provisions ort this permit shall 'be deemed revoked. i , , ' ,t CONSTRUCTION' LENDING; AGENCY I I -I I I I. ) Gas%Service • '1 Outletsr4 s/ , I Water Closet •' � ' , t - I t Device Bozes ' i '� Pole Light; I hereby worm that tw ichs a is permit le issue Sfor,the Civ.performance ' - - 2 • ' { I of the work for -which this. permit' I issued (Section 3097 C.) a ' - , . ,' C� tl . ,...//n s/5 �� r ; Interceptors '•I',I ,f1` ,t WateyHeater , 1. Outlets i I Ran e " 4 } Lender's Name' TY p 1 •r I ' 9 tini , , ,,11 I.. Lender's Address'_ ' !/.7,i i✓I- f n4Y1_✓d-� -_ L _ t ' ••_-,. _ J Kitchen Sink-1.7.- -, I—.,` Water Service: 1 --.' .-' i - . L. �- - - :- - - - OWNER BUILDER DECLARATION • 1 ; 1 r ) �, $witches -'gigue _ I + I hereby affirm that I:am exempt tram the Contractor's License�Law for the 4 Lavatories .' �_{� a ;'A Uto Wash' , Garbage Disposal Standing:ySections • , foilowinglreason,(Section 7031.5 Business and Professional Code: Any city•or ' - ' i county which requires a permit to construct:alter,improve,idemolish or repair ' 1 P-Trap i '1,-±',41,-",I, r;,','. 17, : Laundry Trays i f • I • , r • Generator❑O.5 KW ❑5-15 KW ` any structure, prior:to its issuance; also requires the applicant for such permit - .'ash Compactor - C I to file a signed statement that he/she is licensed pursuant to the provisionsjof - r" 1 I • Roof Drams -`> >-(,• ' 'j^ 1 j • ' • i,, r the Contractor•s-Licensi Law (Chapter 9(commencing with Section 7000)of >• F' . • , r 5 4w 7 1 Division•3-of':the-Business'a alleged Coie)'or violation Is exempt-" r s . j ' j I - ., - l , i 1 erefrom andi the•basis+for the alleged exemption. Any violation of Section I ' 1 s i -1 I I I t • J . • C' i _ f i 1 131.5,by any applicant for a :permit subjects the applicant to'a civil • '' . ` ii { - _ enalty,of,not more than five hundred dollars($500). : I r ; c• I 1 I. I , 1 ! I , t I t I -- ' Reins ¢cion Feel t $ 3 - _ 1. co I; as owner of ince;property Or my-employees with wages as their sole . . P i $15 l , z. . Issue Fee i 1 4 _ 1 -i ; compensation iwill do:the work,and the structure is not.intended otractoed - - , - I 1 for 'sale (Section$,7044,{Business`and `professional Code: The 'Contractor's ,• d ' MECHANICAL' I FEES . j Reinspection Fee - $15, , _Issue Fee $ 3 j License,Law does'not'apply to an owner of a'Property who builds or improves _ I - - - - t• ' thereon;and who does such,work himself/herself or through his or her own - , - • I DEVELOPMENT SERVICES REOUIR E /, /p[..�, I employees, provided that such.improvements are not intended or offered for - ; Boiler i i _ Hood or I Type I '❑ I • - ' - i 'Zoning Approved B' 1 /.yes,,�� I '']] •� .saie.'I f, However;"the building or improvement is sold within one year of com- t Canopy I Type II 0 1 1 f- 1 - ' g pF y i '" irate / O'c"^• ✓ • I m`pletjon;the owner will'have the burden•of proving he/she did not build or tin- , Duct-Under Ground 1 1 • , - ' ! 1 , I. ,guild Building Approved By • f . • %� Date ' . prove for the purpose of sale): 1 f _ t ytr I;as construct .bec • toprojectLaw,(Sectlon 7044,Business and.Professions Code: - _ ; , rf i The sontractor's:Licere doessnot apply,to'an owner.jects perty'who - 1 Duct-Ventilating I , r' ❑0-100,000 BTU, ❑100;000 BTU . , - ''_t I 4 MMA V OF FEES ' • C ` _ . ' builds-orlimpraves thereon; and who con Vac[s.for Such projects with aeon- -, �j q tractor(s)Ilicense'pursuant'to the Contractor's License:Law). I am aware,that; ' I Exhaust System-❑ Multiple ❑ , Systerri.Repair/Alteration "' I' a - ' t I t-•, BUILDING PERMIT, '$- �-C_.�I.CC7<C�'"SMIP I _- 1 $" ; t '�Z ' proof of}their'Worker's4Compensatlonf insurance't should•be provides to me: - - _ - ,�-�E-x� ` - - _ 1 t r ' PLAN CHECK $- _� -'PERMIT. , , t ❑I 1 am exempt under Section + B.'& P Cf-for this reason'' - , Fi G:it/Fact.BIC ICBG# r• - ■- - i • CI- /�! `•' - ® ' , RLUMBING , .- $,- ' ISSUANCE $ t Date { . , - ''' J•ow%ner _ • � 1 -. . , : ■ ! • - .ENERGY-P C '$i G I PLAN CHECL.•t 25% $ I hereby certifyl_that 1 have;read;t 5 appiiCation 'and state that'the above 00-100,000 0100,000 L - ' information is correct'' agree to comply with all city ancicounty ordinances; • • ELECTRICAL $' - ' and-state laws relating to building•construction, and hereby authorize $dire 1 PLAN CHECK 50% �$; 1 - MICROFILM $' • •• 4 sentabves•of,.this city, to,ente won' t above-mentioned�property,.forr - ,e /�[ I i inspectiOn`p urp. • t r 1 I ` ) ' MECHANICAL• ' $� 107 •.Z Signature .• 'e5 • _.._ _ _ _ . ._ __. - , . . . . , . • ... .. • CMF 0865-46,rev. 10/84 White Building; Canary - Applicant; Pink -Accounting; Goldenrod 1 Assessor _ CONSTRUCTION AND PLANNING ' 1 t I. POOL&SPA; .• • , _ 'Date + inspector, • ;e , ' • Date ; Inspector APPROVALS Permit# APPROVALS Permit# : i 1:LTemporary Electrical,Service or Pole ' ' . • • I ' 52. Pool & Equipment Location • ' 2. Soil Pipe-Undrgrnd. - - ,• 53. Steel Reinforcement` 3. Electrical Conduit Utility-Undrgrnd. ! , . 54. 'Forms, • , ` I 4 i , • , 4.. Electrical Conduit-Undrgrnd. ' ' 55. ,Electrical Bonding ' • ' II .• 5. Steel Reinforcement - , 56. _Rough Plumbing,& Pressure Test ; • : . 6. Electrical UFER Grnd. ; ; ; sr- 7 ail - ' 57. APPROVAL TO COVER-GUNITE ' . 7'. Footings; I ,¢ Stt e'• SIJ fr7 ed- - 58: Electrical'Conduit Undrgrnd. i I j=, 8. Foundation ` •- �-t?' I. ` i• - -- """((( 59.-,Gas Pipe, O-Undrgrnd.,Test ; 9. Water Pipe-Undrgrnd. -' -. . 60.- BackwashlLines, P-Trap,ID Undrgrnd. • ' 10. Structural Floor System- . . I . , , i 61. APPROVAL TO'DECK 1 ; + '` - _ 11. Property Sewer Line & Nouse Connection 62. Backwash1& Receptor-Final t r.( I' ' 12 Sewer Cap , I _63. Heater & Vent-Final'• ' r i I ' ' • ' ' 13.:Roof Drains , - ; i i : 64. Plumbing System - Final' 1.4 I. I ' • • ' 14. Rough Plumbing - , ' 65. Electrical-Final , I ' t I:'• r - 15.-Rough,Electrical-Conduit "' ' , 4 , . - ' - 1 '• 66. Solar System=Final . i n• i '= ' _ ' •- ; • i .r 16. Rough Electric Wiring ". - - ; - 67. Fencing& Access Approval; - , ; •- • 17. Rough'Wiring Sign ' " • `68. APPROVED FOR PLASTERING 184 Rough Electrical-T Bar.Ceiling' •_ • 1 69. POOL/SPA SYSTEMS',FINAL , - 19: Rough Heating & Air Conditioning '' FIRE DEPT. REQUIREMENT - • • . , 20. Rough Factory Fireplace APPROVALS Permit# ^ _ , r 21. Ducts, in Structure 70. Underground Hydro!• 1 J. t4 ' ( i ""' 22: Ducts, Ventilating . ; . , 71. Product Piping D(Gas !bpi,. �, 23, Gas Pipe-Rough&Test -. , ,; . , ' 72. Underground Flush . 7�`�'• ' ' I - 1 24. Roof Framing ' . I I '73. Undergrnd.Storage TanklD.Gas 1:10i1 • - - - - - 25. Roof Sheathing 7/iq/9 6.M" - 74 Overhead Hydro r` : • - _ .. 26; T-Bar Ceiling (Structural) & Monocoat ! - - ;75:4Dry Chemical, • , ,-' ; - : ' i..•. • , 27:•Frameand Flashing - ' chalk ge;//• 76. Dry'tandpipe ', : r�•' i' ' 28! Lathing & Siding ' • 7/s/pq. G- e , 77. FIXED SYSTEM FINAL: ., f r . 29. Insulation - !!9�3 / •�•] 6,1. 78. FIRE FREV. FINAL ;-, 30: Drywall Nailing ' ' . 4tA 0/t7 6J. 1HEALTH DEPT. REQUIREMENT- 31. Plaster Brown Coat • {! VIIti 7 �f 79. FINAL INSPECTION 4 , . • I 32. Electiical•Power Meter-Final , • _ 80. FOOD CERTIFICATE ISSUED, - , Y 33. Final Electric , ' . ' - i - Notes: I ' ' IIIREtNEIVTS - - r..?' - 6'1' ' ' . _ . Final Heating & Air Conditioning . i 80LU FOR S.F.: tE i 35. Final Gas Pipe-Test I - - F7ale, t0• A'. SL143 _ae Ori _ , ii .: 36rHood or Canopy , ' SI thi7 Ok to w� �IZAPp Sr* �N• • 37�.:Final Fadtory Fireplace , .- , t' IZ:ia.S :=' '\A4)•�'Ys • i 38.`Final Plumbing f -_ .'39.WaterService-Final . . ' ` - - rr 40. Gas Service-Final - _ t - ,41. Solar.Domesti&Final - - k. . ' •. , ' r42: Backflow Preventer' ' ' ' ' - - _ ' ,,;43;•Backflow/Irrigation : .,t . ;, - - '44. ,Landscape Irrigation System i ,;{- • - - . , ' . �45:,Sound Attenuation' - ;1 , 46. Handicap Regulations _ , '. Jt ' . - <, , ' 47.•FINALSTRUCTURE& BUILDING • iils/g-i a/ • (> ' ' ,48.(Special1RequirementsCompleted - • /kW/et ('4/4 •, • G49. Electric Release to Edison . • . - ' = 1..50. Ges;Release to Southern California Gas Co - - •- - . ' ' 51."CERTIFICATE OF OCCUPANCY 1. _ •t. - No hDate . . • INSULATION CERTIFICATION • This is to certify that, in conformance with the current energy regulations (California Adminis- !relive (ode, Title 25, State of California') and approved plans, insulation has been installed in the building located at: • COSTA MESA , CA . ORANGE • Clq C.5* 2666/2627 ELDEN AVE . . --- o---_ _._ - ------ Shpts No. (II Anllbl•) Mtn( Lpl NSW incl NI. DESCRIPTION OF INSTALLATION ROOFS . • Type of Material.__ i_— Manufacturer Thickness - R Value"_ ___ • EXTERIOR WALLS F IBER GLASS M,,; CERTAINTEED Thlckness._3 .—t1 Value' R 1 1 • • Type of Material OW OW Trade Mom./ CEILINGS bons: FIBERGLASS CERTAINTEED r •• Type of Material_____._.__________ Manufacturer_ Thickness 6 df A 4alue R19 (Or Trod. Memo) Sq. Ft. Covered_____—__ MOWN: • Type of Material .__._ _ Manufacturer Thlcknen No.Begs_ (Or Trot. Nun) Wt./Bap Sq. Ft. Covered R Value••_ FLOORS Type of%Material__. _.___ _ Manufacturer Thickness R Value'•_ (Or Trade N.m.) SLAB ON GRADE • Type of Material ._—_.. _—_ Manufacturer - Thickness R Value"_ (Or Tr.d. Nom.) Width of Insulation Inches FOUNDATION WALLS (If required) Type of Material __._ Manufacturer Thlckness._ R Value'•_ . (Or trade Nan..t . REMARKS (If deslred)__.. • General Contractor (Builder)_- FLUTER DEVELOPMENT license Number By Title Date Sub Contractor (Insulation Applic tor) I!A'1'CII I.flfI LATI0f1- license Number-382646 C-2' (In.ul.11en, Mo mnry, E``lc,,)// (Stile "SAME" If a .nm m. e. a .l Ceah.cter) By E . L . F�1-yT ��^ Title O Ilex Date DECEMBER 14 , 1987 • 1'Cnnlernlo Adminlrlraliv. Corn. Snoopy [ovulation Standards, Moslems; awn I,.,. In. 1,175 el the Halts and Seely Cade of lb. Male -Centerline.. Una, t mnl.11en el Ib Imlellollen of Inrulenen a card et C.Illernim .r lI lylns rhel rho looted.n her boon In.lall.d In ranlermanr with the r.eulum.,l, of Mom r.pulellen, shell ha temolotod and ..sated by "N. tMlnnl. .1 .nspanry er similar cerlmntin Mat • newly re'. Ike Inmlatla, ennllml,r end by th. bulldog. 1h1. !muinllon compliance .band h.Nl, motel. aperlm.nl her,., hem. or .Mer residential rend .hell he noted ot a nmmplruevs lerolloa .nhln the d..hlnm.") d-elliam I. babliebl. shall be Ira.d by arh • belldlaa d.pedm.nl ("R Velure b IM m unlet the .I,.d.n al Lad .albno the minim.m antsy Inadeli. of In moriano el a erinl en building standards .dabll,hd moment t'this chapter. meene..to M. ....nes of bar. Ih. .d,Ian vel..r(I) elm man-typo lrulallen, .hell net Include any veto. ler alertly. farina.) e dm DD UC A CONSULTING ISA tzlENG�D Rlt1Q©©U9 IIINI©o 3840 EAST COAST HIGHWAY, CORONA DEL MAR, CA 92625 ■ TELEPHONE 714/675-4487 December 14 , 1987 • City of Costa Mesa 77 Fair Drive Costa Mesa, Ca. Attention: Building Department Subject: Final Grade Certification Tract No. 12880 Gentlemen: This letter is our certification that the final grading has been completed in accordance with the approved grading plan for Tract No. 12880 . Should you need additional information please contact our office . Very truly yours, Duca-McCoy Inc. Pete J. Duca P.E. R.C.E. No. 24668 QgofESS/pN W No. 24668 m CIC PCI Exp Z•3 i 4 rT CIVIL \Q' 4Af OF CAL1i° _ ' - .. . I CITY OF COSTA MESA PARK FEES Fee Payment Receipt 001063 0923 1/26/87 15981e94 TL 1 r Project Address ,2.(n(oln 6c-be..N M C A /4C7 LI;6;F/G7 NJ .I, KJ L )41 „a N A.P. Number 9 39 — 22/ — l(o j 17 Building Permit Number P Russ 1-u1E2 Owner's Name - • Mailing Address 5/0 30Th; ST: / PY—W'POi2 6€ACH 1 ch 9 2..(o co 3 FEE: Single Family " Number of Units 2-Bedrooms or Less @ $ 861.76 = 3-Bedrooms @ 1,205.67 = 4-Bedrooms _ @ 1,545.62 = 5-Bedrooms+ @ 1,810.50 = Multiple Family "" - .Bachelor or Studio @ 474.37 = 1-Bedroom @ 573.18 = 2-Bedroom @ 881.51 = 3-Bedrooms+ 13 @ 1,229.38 = 15 7$I •71 Total Fee "" IS) 981. 9q Planning Department ApprovalDate26 37 By e /Melt- 'woe-. . Applicant's Signature Seel • City Ordinance 72-44//111111•• City"Ordnance 72-45 •"' City Resolution 78-1.16 , �I CMF 0174-30,rev.7/85 White—Planning;Canary—Planning;Pink—Finance;Goldenrod—APpIIcant I t LL0V�b�� • I • ,i _ _ _ __ _-:•,_, _ _ _ __ _Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ CITY OF COTA;MESA ' CON TR CTION,PERMIT T PERMIT NO. j tTRACT NO. } L0� NO. r' ?UNIT N0; i I ; I s, "r h :-^.. - Protect Address - Flit!!��llyyJJ�Y , �•1 : I - , *: YPE OF CONSTRUCTION' • U'NEW EDD U ALTERATION H REPAIR - ' - I I - Appllcants Mailing A rss • �„ - , rdd/ %/� w� i7i/J1JL.• ❑ CONVERSION ❑1 DEMOLISH ❑ OTHER { - • - A P #_ 1 ! I:�•;;' one _ Owner's Name p— ' Phones iis'" DESCRIPTION OF,WORK/USE OF BLDG.+ • ' e ' Address 1 • - • ' I I. i 'S Main Building: I • ; L ' . Accessory Building' f • Arch/Eng: • I —License,No. TYPE OF PERMIT ❑ GRADING!-Cl�FOUNDATION ❑ STRUCTURAL •• ,T Front V t • •CIT? U ' C1STA MESA I • O •Address - • - p ❑TENANT ❑ ELECTRICAL' TI PLUMBING ❑ MECHANICAL • ,A Rear t ) 1 I , • N ir IA. /1�• e//J � ❑ OTHER. - - _ 9 _ _ ' Contractor's Name; / i Phone PROJECT DESCRIPTION SQ.'FT. ' • I OCCUPANCY - ,C Right - - - _ N • Address(mailing) `S3?`' � ' �,/�`�C I ; CONSTRUCTIONTYPE • ' I • VALUATIONS I • I$ Left ' ' 1 • - I r •• I R I City'License No. ,�,'p�7N 1 - - ZONE GRADING CU.YDS. ACRES Ref. # Re E I LICENSED CONTRACTOR DECLARATION - Ping. Parking q./Provided ' . I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ..,-.,z2 .70�7 0' ( :. • �" - Planning Notes: - i - 0 1 with section. 7000)!of Division 3 of the Business and Professions Code, and J ` - - '• - my license is in full force and effect. • - / ' • •' - •- •• T License Cla • ' i /I L1ce.se�No. t 44' b • - t ' r i �, ! $ Date-'t -4.' • .CS Signature ' 2 }�• •?- r,' .s •PLUMBING • - FEES' - 1 1 _ WOR RS' •MPENSATION D/ LARATION Bar.$ink, `) { `- • ShOwefs I hereby affirm that I have a certi icate of consent to self-insure or a certificate _Y [ n of Workers' Compensation Insurance, or alcertified copy, thereof (Sec 'on Backflow Preventer • ,-}, Service Sink + ' ' l. er ■ t "'O 3800;Lab. C.)•^} • _6l - �i •- 1 Policy No. /� 6'� Company •� Backflow Irrigation ,� : .d -1 "Sewer,Cap% . - e Sub. • ■ r �Certified copy is hereby furnished. Cer£ it Lq py is d ith the city B tli Di on I Bathtubs A -. • ', ( • Sevaer,Connection•.'-'. ' _• alp s s �' bate"fit'�' 769 Iry Applicant V � EXE TION ROM WORKERS'C PE N5ATION DECLARATION; Clarifiers - f _ Solar Collectors' _ , y. Drs - ■. e • 00 . f (This section need not be'complete the permit is for one hundred ($100)•or _ • „ '• ' less): Dishwasher? Solar Piping • , f~ •■ ■ I certify that ih the performance of the work for which this permit is t to , I , - - - shall not employ any person in any manner so as to'become subject to the Drinking Fountains I^a , Solar-Tank _ _ ' .. Fan a I ■} ■ ' Workers' Compensation Lawg.of California, 1 •`> ' ' I Date. 1 Signature ' - 4 Floor-Drains I - • - Swimming Pool w/Spa - - r '- • -NOTICE: If,after making this declaration, you shouldebecoine-Subject.to-the - - _ __ Inc_Solar �' ' ■ 116 15+ Workers' Compensation provisions of the shall you must forthwith Floor Sinks I Urinal Fixtures , Mica comply with such..provisions or, this permit shall' be deemed revoked. '�•]' I L •I } . CONSTRUCTION LENDING AGENCY -. • '' r- i I 'u{ Gas Service Outlets . Water Closet •B tJD ' . : fh I I•• Device•Boxes •s I hereby affirm that there Is a construction lending agency for the performance ' a .J of the work for°which this permit is issued (Section:3097 e,Civ. C.) h , , i , Interceptors-, • • Water Heater' I t UI Outlet5. :1 J. Lender's ;Name '' • ✓ J. - ' - ^- /. Kitchen Sink- - -i — Water Service - _- - I -- Ak ( - - - OWNER BUILDER DECLARATION - - '�1 Switc, I hereby affirm that I am exempt from the Contractor's License Law for the 1 : Lavatories g ii- • following reason (Section 7031.5 Business and Professional Code:/Any city or Auto-Wash } Oa Garbage=D lsposalStanding - , • ' county which requites a permit to construct;atter,improve,demolish or repair - P-Trap , I Laundry Trays { Generator❑0-5 K ■5-15 KW I 'I - any structure, prior to its issuance, also requires the applicant for such permit -- _ d+-.4 , e•, Trash Compo Ctor 'I • to file a signed statement that he/she is licensed pursuant to,the-provisions of Roof Drains • - the Contractor's License Law'(Chapter 9(commencing with Section-7000) of o ' • ''fir .r. •<i • , , } rr h I. • *Division-3 of the'Business and ProfesslonsrCode)-or that'he/she is exempt • , i I ( . - ' - _ -" - - - ' - -- - - -• therefrom and'the.basis for the alleged exemption. Any violation of'Section i 1 s - 7031.5 by any applicant for a permit subjects the applicant to a civil - , _ • . - Penalty.of not'more than five hundred dollars($500). •: I . .- I - :• - ' - ❑ I, as owner of the property or my'employees with wages,as their sole Reinspection.Fee I '$15 Issue Fee $ 3' " i, compensation, will do-the work, and the structure is not intended or offered III - f _ for sale (Section 7044, Business.and Professional Code: The Contractor's - MECHANICAL` - Reinspection Fee ( I $15 Issue Fee - _$-.3 License Law does not apply to an owner of a property who builds or improves i 'FEES thereon; and who does such•work himself/herself or through his or her own . I ^ DEVELOPMENT SERVICES:REQUIREMENTS: . ' y -employees, provided that such improvements are not Intended or offered for • Boiler • , • 'Hood or 1_Type I '❑ - - • ' - sale:If„however, the building or improvement is sold within one year of com- - Canopy ' Type I I -0 Zoning Approved By 'Data • ' pletion, the owner-will nave the burden of proving he/she did not build or im- Duct-Under Ground 1 , 'Building Approved By ' . . •l 'Date y� 'Prove for the purpose of sale). ' - 't . a - - , - • �l-„.6_ 13i.).:-9 � 0.1,as'owner of the property, am exclusively contracting:with licensed con- Duct-Structural' Refrigeration System I Application Issued By . /' M ' Date tractors to construct the project (Section 7044,Business and Professions Code: • I • • The Contractor's License Law does not apply to an owner of property,who , Duct-Ventilating - I ❑0-100,000 BTU 0100,000 RTU - - ' . f • builds,or improves thereon, and who contracts for such projects with a con ; - - - / +- SUMMARY OF FEES _ tractor(s) license pursuant to the Contractor's License'Law). I am aware that Exhaust System 0 .Multiple 0 Syste ' epair/Alteration BUILDING PERMIT. $. - - - ' -L SMIP $ proof'o °their Worker's Compensation' insurance should be provided to me. • + I • PLAN CHECK $- - PERMIT ° 1 • ❑•I am exempt under Section ' -B.&_P,C:for this reason” F.irepl/Fact,Blt. ICBG# re Dam as - I H L.- - _ V P ' r PLUMBINGI - $ . - ISSUANCE $« Date owner - - Heating System-& Ducting Registers ' , = • - _ ENERGY P C. $• r •• PLAN CHECK T'25% $' 7• _ ' 1 hereby certify.that-,1 have read'this application-and state thauthe above ❑o-100,000 BTU 0100,00 L— - y - f GRADING: 'information..is correct. I agree to comply-with all.city and county ordinances , at - - - - • ELECTRICAL 5' ($ and state.laws relating to building construction, and hereby authorize repre- - - _ - MICROFILM $ - sentatives of his city to-epi sr upon the above mentioned property for, - . . I PLAN CHECK 50% .$' - • i 1, inspection s.c:. �� o /; ,7t0, A•, - - MECHANICAL $ - L��. Signature. 1"- G7-- - - : _ TOTAL FEE $ ` • Drivers' ense or 55#: - �- - - - 1° 'Reinspection • Fee; /'$15- t.t ,' Issue•Fee I �$ 3- ' - PLAN CHECK -25% $ I . I , • CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor - , I - _ �.•r ,.I. .,. _,'. . _,t _.I " .- - , POOL&SPA• - _. ' -, CONSTRUCTION AND.PLANNING , - -i-,..• - - • - -- - •• , APPROVALS' Permit# -' Date j •Inspector A a Date Inspector APPROVALS Permit# . 1. Temporary Electrical Service or,Pole , ` ; i' r ; ' r 52._'Peal & Equipment Location: ! , t : , .F 2, Soil Pipe-Undrgrnd,; ' . yr'J' r• 53. Steel Reinforcement ; , 1 3. ElectricalConduit Utility-Undrgrnd. 54. Formsr i•' , I 4..Electrical Conduit-Uridrgrnd. r � .55.• Electrical Bonding - t ' . - • 5. Steel'Reiriforcement ' -" t , f.3 I ' : ' I ';56. Rough Plumbing & Pressure:Test � ' . ' 4 6. Electrical UFER Grnd.t.• 57.'APPROVAL TO,COVER-GUNITE. : • ' • ' 7. Footings ' t � 58: Electrical Conduit-Undrgrnd. • I 8. Foundation, -, ; - -"`- - • '59. Gas Pipe;El Undrgrnd'. , Test t , . ? 9. Water Pipe-Undrgrnd. , " ..7: • . '007 socie 60, ,Backwash•Lines,'P;Trap,jD Undrgrnd,i ' 10. Structural Floor System . ! 61. APPROVAL TO DECK ' ' - 11: Property Sewer Line & House Connection 10.1617 Lid 62. Backwash& Receptor-Final - 12. Sewer Cap " .I : . ' ' ; 63. Heater & VentrFinal; ' I 13..Roof Drains64. Plumbing System - Final' i q , - 14:( Rough Plumbing :.P- 7/1747 65. Electrical-Final i -I ` 1 15, Rough Electrical-Conduit --;. . ' , ;.I ` ' • I - 66. Solar System-Final I -: ' ! - • 16. Rough Electric Wiring -. "_ ,--{` • .i 67. Fencing & Access.Approval, •- ;• - • .-•T • ' • 17.-Rough Wiring Sign "" • • -- 68. APPROVED FOR PLASTERING - f •" . . .18. Rough Electrical-T Bar Ceiling :r` , ; , • r4"-, '1. ,•.i I 69. POOL/SPA SYSTEMS FINAL - ' 1 19. Rough Heating &-Air Conditioning I - : ARE DEPT. REQUIREMENT . ' F 20. Rough Factory Fireplace , " • ' l APPROVALS : Permit# -' _ 211 Ducts, in Structure ! - r 70. Underground Hydro. 22; Ducts, Ventilating , •I 71'. Product Piping 0 Gas O Oil " ,- 23; Gas Pipe-Rough& Test . , r I '72. Underground Flush • 24'. Roof Framing ' - !y ' 93. Undergrnd,Storage Tank 0 Gas ❑Oil 25'. Roof'Sheathing, I • •74. Overhead Hydro 26: T-Bar Ceiling (Structural) & Monocoai '" 75. Dry Chemical; • I 27: Frame and Flashing t _ • a 76. Dry,Standpipe ;:.- ' I -, ;4 r 28: Lathir & Siding • 2 9 9 77. •FIXED SYSTEM FINAL _ 29: Insulation- , ; , ' 1 78. FIRE PREV. FINAL - 30'. Drywall Nailing ` ! HEALTH DEPT. REQUIREMENT j r _ '31. Plaster Brown Coat, . ' _r - ' 791, FINAL,INSPECTION • : :g 1a1 ,1 : 32: Electrical PowerMeter-Final - 80. FOOD CERTIFICATE ISSUED - ! " 33. FinalElectric -Notes: - n, - - ; a` - 34. Final Heating & Air Conditioning:, _ `: I i' •• . ; ' , ' ' : c• , .. • •'' ..:;_, ` 35' Final Gas Pipe-Test• ll/ � �- ! _ _ - - 1 I 36: Hood or Canopy ,, . - _ 1 • , +� 37. Final Factory Fireplace • - I t - • '•' .i ',. ' - i } 38- Firial Plumbing : :4 - �y�,c/%7 i./iyy 7 - ' •' - 39. Water Service-Final , _��,�' LED- ,," �• ,'', - .t I '40" Gas Service-Final ' - I" ',' 41. Solarpomestic-Final - : .s • I ••f ' : ,'42. Backflow Preventer - ' • - - - - .- .: ' s i 43 Backflow Irrigation. - _ - - I : ,t ..-'s1 • 44. Landscape Irrigation System.: - ' _. , • , ,rl,�. 4 ' 5. Sound Attenuation - - - - I~ • 46r Handicap Regulations - _ •- r - - ' • , • 47,. FINAL STRUCTURE & BUILDING:" _ • , + . ,.;` 48:•Special Requirements Completed _ - - • ; .) • 49.- Electric Release to Edison' - - - .I '`• . "' - 50..Gas Release to Southern.California Gas Co • - - - i. - - 51. CERTIFICATE OF OCCUPANCY - - • _ - a • No. . Date -- - -• -- - - -' - _ _ • •"- -��. _ Applicant tofiill in all spaces except those within heavy border lines and sign all appropriate declarations. r_ CITY OF COSTA MESA ONST�,UQCTIONiPERMIT ! PERMIT NO.Z I TRACT NO. t LOT NO, (UNIT •NO. i •r I ? ; A I '' ; + ? Project Address I�loh E ✓f/ [+O 1 �t ' • 1 ( I 1 /�L e TYPE OF CONSTRUCTION !U NEW UTADD U ALTERATION ❑ REPAIR f r " Applicant's Mailing Addr ss - ( + Vis• / ❑ CONVERSION. ❑(DEMOLISH pp �1 pp ' Owner's Name: /. � r ' Phone Yt +--icK El -.- 1 .. ___. _. _. A.P.#- i. I- ..y_. 1. ._ - -HQR p 9 lLi ( _ 1 ,J. Zona ''' -. j DESCRIPTION OF WORK/USE OF BLDG.' i ! I - S Main Building: i 11 : •Accessory 134i/tiling: 1 Address r I t - f E i , - �.. 1 1 Arch/Eng: 1 1 License No. ` TYPE OF PERMIT ❑ GRADING,,Th./0 FOUNDATION ❑ STRUCTURAL ; I T Front (�I- C F C'j�'Iv+LS ! O Address - • 1 ❑ TENANT ❑ ELECTRICAL I LK PLDM GING ❑ MECHANICAL B Rear • 1 1 CI)Y� ' N 1 ' • ❑ OTHER _ ',. -- :a , A _ _ I • Contractor's Nam. _ sir^. r -�r� ' Ph p;��,� ��y�-e - -- - - - - - '- - - -' - - //7- - / /� / PROJECT DESCRIPTION SQ. FT. • I OCCUPANCY I. C Right 1 i�,r•- .. t , . N. Address(mailing) l7 i' ' - • • • - , • 1/a )�I CON STRUCTIONSTYPE I VALUATION$ • s Left R • City License No. ZONE GRADING CU.YDS. ACRES Ping. Ref.# Park ing.Req,(Provlded E LICENSED CONTRACTOR DECLARATION ) 1 - _ \. I I hereby affirm that I am licensed under provisionsGf Charter 9 (commencing Remarks:^ ' 12 '_ Z. 4 1 I 1 t I - " + - Q with'.section 7000) of Division 3 Of the Business and.Professions Code,and +l a/� � • I ' ' ._ i _ Planriing Notes: . { '�t ` .M • NI, my license is in f fore a effect. I ' i I _ t - , ' .-2 • • �/ T ` • License OI§�s ns No. 1 - I - - - - ' Dat `�//�d Signature - - y� G .a ' - :PLUMBING • v I • I •;-.FEES I ,- - ._ - I . + - S 1 ' WOR ERS' COMPENSATION D ARATION r . - - Bar Sink: ' I / Showers• r ,. ( - 'a - - ELECTRICAL FEES hereby affirm that I have a cert' tate of consent to self-insure er,a certificate ( • • .V 09' - s • + 4f Workers' Compensation Insurance, or a certifie copy.thereat (Sec Ion ' Backflow Preventer - ` ' ' I Service Sink • ' 1 :-t. I _ I. 3800, Lab. c.) I / Automatic Was5e I ' - Transformer`'❑ 15 50 KW • ' I. PPPolicy No. "�'D�a —a Company ' - Backflow Irrigation ti Sewer-Cap -- 'r • •' - [, •t ' }❑ 50+KW. - - i l�Certified copy is,hereby furnished. - I ' COns[rU¢tI n,P0¢$Ub. -DC•'Ce alfa co is f' withi he city a ••i Divis'• L 1 j r Bathtubs �' ,?u = SewerConriection i r '/1,/Jy I '• Cooking Unit • r Meter ❑up to 100 amps t • ate Applicant oY' ' ' f'Gs�� l I- _ EXE TION OM WORKERS'C. SPE NSATION DECLARATION Clarifiers .. • -{ _ Solar Collectors' - , - ;. Dishwasher - Meter Dover 100 amps ' (This ction need not be completed the permit is for one hundred ($100)or , .. - U • # less). - /; Dishwasher, i Solar,Piping _ , ! U.D Dryers'❑Gas )❑Electnc • Suh Panel • certify that in the performance of the work for which this permit is issued,'I - - - - - -- shall'nof employ any person.in any manner so as to become subject to the Drinking'Fou mains :Solar Tank - t . I ., i• Fan f Motors❑0-1 • ■1 G;8 Workers' Compensation Laws of California. : . .. - Date • Signature - ' - Floor Drains ; I " - •Swimming'Pool,w/Spa 1 j • ' I , F`A,U 1. Inc Solar S•- - 1- -NOTICEeIf,after making this declaration, you•should-become.subject-to the _ _ _ — _ 15 HP;❑16-15+ - - _ Workers' Compensation provisions of the Labor Code, you(must forthwith Floor Sinks I I Urinal'• • • I - ! - I Fixtuies, „• Micro•'ye' • comply with such provisions or this permit shall fbe deemed revoked. I , I , CONSTRUCTION LENDING AGENCY ". ';✓y Gas Service 1 • Outlets • '3 Water Closet I } r•" .r r a.. _ ./gm) - Device Boxes P. e Li ht hereby affirm that Iwhichs a construction lending agency loftM1e performance •I- _ • I ,+.a . 'la . i 9 ,f'2 ' of the work for .which this permit is issued (Section 3097••Civ. CJ I , ,.� ' Interceptors , /I Water Heater 1 ' 'jai.) Outleice �'d: Range !•�- - Lender's Name - - ,/.' 9 ,;,I • Lender's Address - .. - '.- '• - -- . •-r' Kitchen•Smk7•• • - - - -i,. Water Seivice - - - -- - r - 'd. - - - -- .- .-- -. _. .. OWNER BUILDER DECLARATION - - • ,/f- - f I V� SwiLCh¢5 i ,� Sign i - I hereby affirm that I am exempt from-the Contractor's License Law for the 7 Lavatories .. / Auto-Wash I' '� • - `p ' following reason (Section 7031.5 Business and Professional Code:'Any city-or //L/ ! �p o 1 Garbag¢�Di5P sal_ . J ' Standing Sections '.a I county which requires a permit to construct,alter,improve,demolish or repair •,•: P-Trap i ' Laundry Trays Generato•r ❑0-5 KW • "-15 KW' : • • - any structure, prior to its issuance', also requires the applicant for such permit - •�s,� • - Trash Compactor to file a signed statement that he/she is licensed pursuant to the•provisions.of % 4 Roof Drains - 1 i + - 1 • the Contractor's License Law(Chapter 9(commencing with Section 7000) of - • . . - , y ';/.f ' 1 ;ts-' 'p 4 ' • ! . ': ' 'Division 3 of the Business and'Professions Code) or that the/she is'exempt - - ' '- - - -' . - . .. - . . -L. 'herefrom and,the basis for the alleged exemption. Any violation of Section I I , ! _ 7031.5 by any applicant for a permit subjects the applicant tot a civil - + I' • penalty of not more than five hundred dollars($500).,j ,,• , - _ ; I I , - LJ I, as owner of the property or my employees with wages as their sole Reinspection'Fee' '$15 •7. . Issue Fee } I $'3 I ' Compensation,-will do.the work,and the structure Is not intended or offered I • . , for sale (Section 7044,dBusiness and Professional Code: The Contractor's - MECHANICAL. I 1 'FEES ; • Reinspection Fee - �' $15 I Issue Fee .,$ 3 License Law does not apply to an Owner of a property who builds or improves - - I - - tM1ereon, and who does such work himself/herself or through his or her own r - i - _ DEVELOPMENT SERVICES REQUIREMENTS: _ " f employees, provided that such improvements are not intended or offered for Boiler,; i Hood or 1 TYPe ❑ + ."sale. Iff however;the building or Improvement is sold within one year of tom- ' Canopy Type II ❑ • 'Zoning Approved By - ± Date - pletion;the owner will have the burden of proving he/she did not build or tnr-. - Duct-Under Ground , • . - - t . '• , rove for the purpose of sale). - •Building Approved By O' Date Q LJ11 as owner of the property, am exclusively contracting with licensed con- I Duct-Structural . t , Refrigeration 5- M C '__ f s' +Application Issued By - - - ' - �/�p - Date l t �- • ' • tractors to construct the project (Section 7044, Business and Professions Code; • - ' - - . - i , The:Contractor's License Law Goes not apply-to an owner of property who Duct-Ventilating ❑0-100 BTU,❑100,000 BTU : - , ' builds or,improves thereon,and/who contracts for such projects with a.con- .•_ ' _ 1 r • - SUMMARY OF'FEES - . tractor(s) license-pursuant,to the Contractor's License,Law). Lam aware that. ' Exhaust System•❑ Multiple ❑ em'Repair/Alteration 1 BUILDING PERMIT $; -.SMIP ' - tt $-. - + ' - :, proof of their Worker's Compensation insurance should be provided ea me. •f _. _ _ - - _ 1 PLAN CHECK s $' 'PERMIT I ❑4 am exempt under Section _ • B. •B. P!C:for this reason- ' L Firepl/Fact.Bit ICBO# - Fire Dampers r" • - • " - - - - - , PLUMBING f,$ . 31 01 ISSUANCE ' $ : ' Date' - owner ' •' - - , Heating System& Ducting. w • Registers - t - - - ' -- • t-g .ENERGY-P.0?P Cf '$ I PLAN CHECK 25% '$' G-D` I hereby certify that,.: have bead this application and state thathe above - - ❑0100,000 BTU 010 00 BTL - • I - ^ F , information is correct.-I agree to comply with all city and county ordinances" . 1 , I - _ ELECTRICAL , $ _ 'GRADING $•_ ' and state laws•relat tng'to building'construction,and hereby authorize repre- • - n - • -enter above-mentioned-property - I PLAN,CHECK 50% - AJ_ • ingnature •o •s. _�.: - 7 ' • • . il . CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor • /\ ' POOL & SPA , _ .--. - CONSTRUCTION AND-PLANNING ., • _ •- r APPROVALS Permit# tor - , .- - - • . ;-'y-' + • 'Date , Inspect • - + Date Inspec : APPROVALS Permit 4 • S • , • : . . 1 it .1 le •T`\\TemporarY Electrical Service or Pole I . 1 • 52. Pool &• Equipment Location 1 ,� • ' ` 2. Soil Pipe-Undrgrnd.' .///S•"' 1 .[ " 53. Steel Reinforcement; • a' + i . I 3. Electrical Conduit Utility-Undrgrnd. 7 • 7 . _ : ; 54. Forms; • , 4. Electrical Conduit-Undrgrnd. . I 55. Electrical Bonding . I` +. ' • 5:.Steel Reinforcement 1-0C-1 , 56. 'Rough•Plumbing & Pressure:Test- • } (,- t " <, 6. Electrical UFER Grnd. i j 1 ' ;;' :.57. 'APPROVAL TO COVER-GUNITE •• 7. Footings: _ - I . 1 , 58. Electrical Conduit-Undrgrnd. i 8. Foundation a - • - -. '- - • •59: Gas Pipe, 0 Undrgrnd.,Test 1• 1 - i ' .1. l •9. Water Pipe-Undrgrnd. - - fin/ti./„ . 60. Backwash Lines,';P-Trap„0 Undrgrrid.F , •• 10. Structural Floor System i ,r(7' 1 - 61. 'APPROVALTO'DECK 1 ,. , ! - , ,t 11. Property Sewer Line & House ConnectionlO+S til. LED 62. Backwash & Receptor-Final ' j 12. Sewer Cap - . 63. Heater & Vent-Final' I • ' ! 1 ' 13.:Roof Drains: ••• I + • '-- , •' 64. Plumbing System - Final i - t •- • 14. Rough Plumbing .;; .007 y�f':. 65. Electrical Final 15. Rough Electrical-Condwt - , 166: Solar•System-Final " , I f • 16. Rough Electric Wiring " ' • • - - 67: Fending&Access Approval. , ' • 17: Rough Wiring Sign• ' ` ' " -' (- - : H • • -68: APPROrVED FOR:PLASTERING ' ' - It, 18. Rough Electrical)-TBar•Ceiling ?• i- - ••,7. •,t f :., 69. POOL/SPA SYSTEMS'FINAL ; • 19. Rough Heating & Air Conditioning '• - ' FIRE DEPT. REQUIREMENT • - , 20. Rough Factory Fireplace ' I : APPROVALS Permit# '' J t 21t Ducts, in Structure • I , : ' 70. Underground Hydro': ': - 22. Ducts, Ventilating 1 + ' , • .71. Product Piping 0 Gas 0 Oil • • - , • • . • 23. Gas Pi a-Rou h &Test - •• . P ,g ) 1 72. Underground Flush , 24. Roof Framing - i ' ,73. Underg;rnd.Storage Tank 0 Gas •0 Oil 25. Roof Sheathing '•, Z :• �- • • . .74` OverheadHydro }`ii.;j • •� ''" 26. T-Bar Ceiling (Structural).&Monocoat . ' •75. Dry Chemical' , 27. Frame and Flashing,' _ (`'' 76 Dry Standpipe Y�.•A' : ,,. 7 28. Lathing & Siding 1; , . ' ; 77• FIXED SYSTEM FINAL • • . . . 29. Insulation 78. FIRE FREV. FINAL •• •••4. , - f ' • 30. Drywall Nailing - 1 I i . ! HEALTH DEPT. REQUIREMENT - . 31; Plaster Brown'Coat I 79.' FINAL INSPECTION ; 'i•,,. - • • 32. Electrical•PoweriMete? Final - I 80.- FOOD CERTIFICATE ISSUED • ' .: - r• • .. 33. FinalElectric 34. Final Heating & Air Conditioning . • - + i', 35. Final Gas Pipe-Test, . Iei. �! 36.•Hood or Canopy v. • 37: Final Factory Fireplace '`' , , -- - 1 , r. .y f.,.' j , 38: Final Plumbing • - • y ,j/71 ' r. � ' 39. Water Service-Final - _ _ .' _ 104S't? £60. • . r1 _ •; .✓ j ' ' u r, 40. Gas Service-Final ' . ' - ' - 'f `41. Solar Domestic-Final _ •, • • - . 42. Backflow Preventer ' ✓. r y r . . / „ I; } r43:.Backflow Irrigation' . . ' . . : r •44! Landscape,Irrigation System _ _ . - _ • 45. Sound -Attenuation - • - - L,f.• ' 46. Handicap Regulations • " -, .. i •• rti .. ,. . .. r 47: FINAL STRUCTURE & BUILDING:'' ; • "'' '11: '.. ` : r, r .. . , 48!-Special Requirements Completed • .• p ' 49.'Electric Release to Edison = 7 '' • - ' 50. Gas Release to'Southern California Gas Co '' - ' 51. CERTIFICATE OF.00CUPANCY ,'. No. bate _ - Applicant to fill in all spaces except those within heavy border lines and.sign all appropriate declarations. -•••••••••-.. - PERMIT NO. I . •• 1 TRACT NO. • LOT NO. I :UNI NO. , - T •. -1 : I- - ' -} r -'C ��/� —i 1 Pa"' "i' , CITY OF COSTA MESA CONSTRUCTION.PERMIT i oZ z • '5 i . 1 ', 71 ; •.f I. - . 1 i f f 1. Project Address ZIo ea& t �i J • :(,) 917'7 • ,I J( , , 1 • -• ' 1 I. ' t TYPE OF CONSTRUCTION ; U NEW ❑ ADD LJ ALTERATION • REPAIR 1 . I , 1 i , 3 • 1 1 I - Applicant's Mailing Address i, • t , I f , • +, CONVERSION ❑IDEMOLISH ❑ OTHER •' q,p-# I _ I • Zone Owner's Namel V7ETC. . Phone f - r-- - _. _ _ - -I-. •- .. _ _ _ - _ r 1- • _- •I : DESCRIPTION OF WORK/USE-OF BLDG.' CE.+ti+� - o 1 Address • I / S' Main Building: i Accessory'Building; I i I 1 - E , r z Z Arch/Eng - • License No. I ' • - I TYPE OF PERMIT El 'GRADING ❑ FOUNDATION ill STRUCTURAL T ErontO. ; t - i • 1" ,• { . _ l -, O I Add• ress •' ./1 ✓c ' I • ' 1 11� • ' ❑LTENANT- ❑ ELECTRICALS ❑ PLUMBING MECHANICAL S Rear ' • ' j 4 rd Contractor's Name ' ,C ieics 4 7Z' Wk/el Phone y77�` j ❑ OTHER ._ 'C- Right:-•-- - _ 11,., ff '1 PROJECT DESCRIPTION 5q. FT. OCCUPANCY I Address(mailing) �351 sTt/( /41.It —�� TIB I I K j Y t ; I i : { G 2 1�C I 1 CONSTRUCTION TYPE I - - VALUATIONS 1• _ $ Left) I I I 1 ; l .1.. . l �'+ City t License No. : C� 7 ' ZONE - - ' GRADING CU.VDS ACRES • .. Ping. Ref.# I • ' •' • • Parking R•eq./Provided 1 E i LICENSED CONTRACTOR DECLARATION ' '� I I _ ` _ , _ -' g., I hereby affirm that I am licensed under provisions of Charter 9 (commencing 'Remarks: • '27 7-1 �f I j t a Planning Notes - I -� - f - ? 1 M I with:section 7000)1 of Division 3 of the Business and Professions Code,and ` 'O 70 `� • 1 my license is in full forte= . effect. ,1 i 1-5e61 � I^tel/ ' I 1 'I i - • 1 ( • ` •t U f , .. ` f 1 f 1 : ` { S • License la L' en e J T - 1 Date = 'ta Signature L�' -teat 1 i- - I . ii -j S. . ,PLUMBING t _ , .FEES ' M ' ' - • ^ I t 1 ,°• 1 h WORKERS'COMPENSATION DECLARATION ,C i IBar Sink, " • • ' '•' ' " I Showers% "' • _, _ • 1 �t 't 'ELEICTRICAL •�`„ •I { _ FEES 'hereby affirm that I have a certificate of consent to self-insure or.a certificate - ' _. a' r of Workers' Compensation Insurance, or a'certified copy,thereof (Section - ' ,, 11_ - - - , ti - 3800, Lab •C.}5 .,,,..r• - ; l , Backflow Preventer I Service Sink ' •0 , :u 1 ; " Automatic Washer- I ' Transformer'❑ 15-50 KW ; r Policy No, 1J( 53 D 7 ' Company - �� S `�A'� ' Backflow Irrigation ' ' _1) •! Sewer.Ca ` -- - u - - .❑ 50+ KW `' 1 �, ' iCertified copy is hereby furnished. I 1 I' - 1 P' - 1 Construction Pole Sub -- I , Ceitif 1 copy i5„{9d with the city Buildin DI ion i l Bathtubs i -t r - Sewer.Connection • -• ' r, ! . -. Cooking Unit 1 Meter ❑up to100 amps ' Date / Y> 6 Applicant _ ' - Clarifiers r• i I `' Solar.Collectors- , ,.., - ' I • v EXEMPTION nFROM M We R completed COMPENSATION NSATION Do Aced ($ i , I :1. Oa ( •,,y Dishwasher •z. - - i Meter ❑oven 100 amps• ~ ! (This section need'not be if the permit is for one hundred ($100) or I less). , Dishwasher _ `- ) -, { Solar'Piping t ;� ' ; �- , pryers ❑Gas ❑Electric _ 11 I certify'that in thepermit issued, I - , _ _ _ y - _ Sub Panel I ': 1 T, , performance of the work forso which this arms - - _ 1 ' shall not employ any person in any manner so as to become subject to the 1 Drinking'Founteins { f Solar Tank ;' I Fan Ir • 1 Workers' Compensation Laws'of California. - ,t - " - _ i Motors❑0-1 HP ❑1'/:-8 _ • Date: I Signature ' ' Floor crams . .. -" • -4 r, •i Swimming Pool w/Spa ' 7` - • -' ^b 1 - - _ q NOTICE:If,after,making this Declaration,-you should,becomesubject,to the,_-' ' - _ __ ' - --V F.A.0 I -" IncCSolar,❑915'H P;❑16-15+; _ I Workers' Compensation provisions of-the Labor,Code, you must forthwith ' --- T' ' •, ' Floor Sinks - - Urinal '' comply'with such; provisions or this permit shall,be deemed revoked. 1 • ' fM Fixtures Microwave ' CONSTRUCTION LENDING AGENCY ' 1 y } , Gas Service Outlets Water Closet I t ,tryti l "Device Boxes I hereby affirm'that thereiis a construction lending agency for the performance _ - _ i _ Pole Light I y 1• , • of the work for 'which this permit is issued (Section 3097 Civ. C.) ' Interceptors Water Heater : - ' • Lender's Name I e P. ' I Outlets , 4. .Range 4 I _ .i ,_Lender's,Address, - . I i I l „ __ , Kitchen Sink{,. G..._I__- - Water Service _ .. . ._i:. . . -' • Switches ' _• -•_ _ , OWNER BUILDER DECLARATION ' , ' - - - - - - "" - i Sign.-- I hereby affirm that I am exempt from the Contractor's License Law for the - • ''Lavatories ( t "Auto-Wash i 1 Garbage Disposal 1 " L. ' ' ' following'reason (Section 7031.5 Business and Professional Code: Any city;or . - • • 9 P ; ' , , Standing Sections county which requires a permit to construct,alter,improve,demolish or repair • P Trap , 4 ; Laundr �Tra 5 • "� f 1 • 1 h • 1 y Y _ :.w Generator:❑0-5 KWI❑5-.15 KW - Trash Compactor 'LI . - • ) to file ucture,dpstate o its issuance', also requires the applicant for such permit ' - " , to file a signed statement that he/she is licensed pursuant to the provlsions,of I ;Roof Drains ns •I i /a) the sion-3-of-the-ensi Law (Chapter 9 (commencing with Section 7000)of . •I' ' I 4t) , _ • r j ' 1 1 1 { • Division-3-of-the-Business and Professions Code)-or:that he/she is-exempt - - t '. • therefrom and the plica for the alleged exemption. Any violation of Section 1 + • . s • • :. 4 , ) t 7031.5 by any applicant 'for a permit subjects the applicant to:a civil ' . ' 1 I 1 . - -- ' I I p natty of not:more than five hundred dollars ($500). ; , .- I . 3 ! t ; • ' - 1 •i ' • 1 i I • 1 • , LJ I; as owner of the property or my employees with ince wages as their sole Reinspection Fee I $15 Issue Fee ;1 , $ ' - compensation, will'do the work, and the structure is not intended or offered - III - ' - i Reinspection Fee • I $15 Issue Fee • - - : $ 3 J' -' for.sale (Section-7044, Business'and .Professional Code: The s or actor's • • I MECHANICAL. i -FEES - ' _ • • • - • _.• License Law does not'ap ply to an owner of a property who builds or improves - - - _ • thereon, and who does such work himself/herself or through his or her own - 'DEVELOPMENT SERVICES REQUIREMENTS: - ' • employees, provided that such improvements are not intended or offered for . Boiler Hood or ' Type I '❑ • sal¢. If, however,-,the'builtlin9 or improvement is sold within one.year of com- I - Canopy I Type II 0 I • • 'Zoning Approved By i 'Date ` illation, the owner will'ha ve the burden of proving he/she did not build or in. ` Duct- Under Ground _ r s'+ ' Building Approved By Date�� _ =•prove for the purpose of Sale). - - --- - ' "❑ I, as owner,of'the property, am exclusively Contracting with licensed con- ' Duct-Structural Refrigeration System I c - I .Application Issued By - Dat tractors to construct the project (Section 7044,Business and Professions Code: , 1. Toe:Contract rov License Law oes.not apply to an owner of-pro petro who ' Duct-Ventilating • ❑0100,000 BTU '❑100,000 BTU ' T, ' .• - j builds or'improves thereon, and who contracts for such projects witha,con- - - •I _ - z f L 1 SUMMARY OF FEES - • _ • - u tractors) license pursuant'to,the Contractor's LicenselLaw). I am aware that- Exhaust System 0 -Multiple 0 System Repair/Alteration ' -• - BUILDING PERMIT ,$, - -^SMIP. Proof _0 4heir.Worker's�Compensation,insurance should be provided to_me. - - _ . • , . y s • , i - I I :, I PLAN-CHECK $: PERMIT • ❑'I am'exempt under Section f TB:& P.'0..f or this reason Eirepl/Fact.BI{.,ICBO# Fre.Da milers i - - - PLUMBING "': $ ISSUANCE ;,• $- ' I Date - Owner - - Heating System& Ducting. j ? • Registers _ '. . PLAN CHECK. 25% •$ - - ENERGY P.C. I$ 5 ' I herel y 'cehifythat-I have read this a lication and state that-the above', . / Pc0-100,000 BTU_ ❑100,000BTL t ' information is crrect.''1 agree to comply with ail,city and county ordinances c I -i I • , .• I I . +ELECTRICAL '$. 1 GRADING $ ^ ' I and state-lawsreiating.to building construction,and hereby authorize repro- i , 1 MICROFILM $' I sentatives of this city to• enter upon • above-mentioned property for'- • , - •I PLAN CHECK '50% $, inspection purposes. ' - l '- ' a - l •-' ' r i Signature - 1 ' ' // - P t '-.$15 Issue'Fee - .$ 3;.` ' PLAN CHECK_ 25%. $- ` 1 • CMF 0865146,rev. 10/84 White - Building; Canary - Applicant; P Pink -Accounting; Goldenrod - Assessor '" J • i.r - ' , ; ,• - I •- � I POOL&SPAT • . . . � . i. CONSTRUCTION AND PLANNING: t Date Inspector i Date Inspector APPROVALS - Permit.# , . Date i +APPROVALS Perm,t# ` .i 1. Temporary Electrical:Seivice or;Pole r• -j • •'1 i 52_'Pool &IEquipment Location' E , J : i • t', • •` 2. Soil Pipe-Undrgrnd. : - • ' ! 1 '53. Steel Reinforcement:{; i . , , '' d ,Ir3. Electrical Conduit Utility-Undrgrn ; l• . , I i :54.:Forms( : -' .-.1 .' ' . . 1 . - ' V i 4.:Electrical Conduit-Undrgrnd. ;1 • + ; $ ' 55, Electrical,Bonding • • I .i ; , j- ;i.: ' +i 5: Steel'Reinforcement'' I • r ' i •56 Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. i • ' $• • '•, 7 -57•. APPROVAL TO COVER;GUNIITE i ' i• • 7. Footings - ' ! - _ d 58. Electrical Conuit-Undrgrnd' 1 ' ' 17-1 .,•.r8.•Foundation c i..•;:.:; - -4 - --- --,i ---t- `59`GasiPipe,-0 Undrgrndi., Test' : ' r 4'9.•Water Pipe-Undrgrnd. _ w-. ,-`- -- 7.•_.y-. .1 - t-- «-- -60. Backwash= Applicant to fill in all spaces except those within heavy border tines and sign all appropriate declarations. • I CITY OP COSTA:MESA CONSTR UCTION,PERMIT PERMIT NO. • 11, '0 ' TRACT NO. I• LOT NO. I .UNIT 0: I ( - - I T i _ -' 1•• k ` , , I -, Z[o(,pt, ' ez.,bo 1 I ! i . i i 4 - , I iit._�;i I . 6JJ...L 1_ Project Address M .a I g { j • )'k' . _ r i • TYPE OF CONSTRUCTION • ❑ NEW. U,ADD H ALTERATION ❑ REPAIR ' ' - - ' 1 1 • Applicant's Mailing Address t / r..'U��.; �7 j I ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ), ' A.P.# I • 1 , • ' I ) . j I Zone I Owner's NamePhone DESCR!Pt ION'OF WORK/USE O _F BLDG. ` U -� I' Address ) 1 1 • • • • 1 I + S Main Building. • . I i. t Accessory Building:. ; 1 - • Arch/Eng: _ I ' ' License No. - •• • TYPE OF PERMIT ; ❑ GRADING• U FOUNDATION ❑ STRUCTURAL T Front i ; 1 I 1 1 O Address - y,p 4 ❑ TENANT ❑ ELECTRICAL,.❑ PLUMBING MECHANICAL I B Aear • s , N I Contractoir's Name /r../GC' *- '/t Phone a72� 7JI • ❑ OTHER t ' •• 'C' Right""'` —H ' t--. - - ----1 -- - •� N PROJECT DESCRIPTION SD. FT. OCCUPANCY - Address(mailing) -7351 . k-f�s It - k- ilB . - I .K .{ f - • _ G City�License No. e 7 —1 / 5 t • • CONSTRUCTION)TYPE_ - - ' VALUATIONS i s •'Left y , 1 ( I , ,�' R LICENSED CONTRACTOR DECLARATION • ,� I ZONE _ GRADING Cll.YDS. ACRES • I- - i • 1 Ping.�Ref.,# I • Parking Req /Provided : E CI I hereby affirm that am licensed under provisions of Charter 9 (commencing Remarks: I - ,J� ,� AZ•Z ' ) • Planning Notes , 1 _ I t M with section 7000) of Division,3 of the Business and Professions Code,•and ,J J ` - - my I¢enie is in,fulll for eland effect. , I I t iI D I p v ( ' t I 1 ` i - v 1 r T. ('I` License Class—C_`_.GC Lice se 38•)(J � - - Y S �1 Date 71`Q'�7• Signature ) //y � /p��j/Jp 1 I °' .:PLUMBING I T ` FEES; . +- r (. , . ' I ,_ :� YORKERS'COMPENSATION DECLARATION'.// i 1 v r ; - ' Bar Sink' , Showers •hereby affirm that I have a certificate•of consent to self-insure or`a certificate - 1 + - - ELECTRICAL ..,� t - FEES ,c I of Workers' Compensation Insurance, or a certified copy thereof (Section - \• 3600, Lati. CJ- - • r Backflow Preventer. ••+ .. F Service Sink - , I ' : 5 53 IAutomatic Washer i• 4 ' Transformer:❑ 15 50 KW- 1' • .•\ Policy No.Q� 8o? company �///(� U Backflow Irrigation ;' f Sewer Ca I I t - +' ••� .❑ 50-4KW' (X-, ' �],Cerbiietl-co . 1 ' J p t T '' Construction PoletSub __. ' ( ' ryv py is hereby furnished. 1 I • Y' Certified co ikff ed,with.the city Buildiy4j�,yrsw ' ��/��/��/ ' Bathtubs -i _ t Sewer Connection ' - - iF +' r Cooking Unit `" 4 : Meter ❑u'p to 100 amps • r Date '�' T> Applicant /�'i4�ey _ +' • ' ` EXEMPTION FROM WORKERS'COMPENSATION RATION Clarifiers , , Solar Collectors; - ,- 1'r Dishwasher . - - ` Meter Dover 100'amps I ' ' ' ' • • (This section need not be completed if the permit-is for one undred ($100) or - _ _ _ •' less) a , I ' Dishwasher . ; Solar Piping ) -: • , 71, Dryers ❑Gas '❑Electric I certifythat in theperformance of the work for which this permit _ _ i - - 1 - y Sub Panel ' L. .: • p t is issued, I 1 �• - i • '; shall'not employ any person,in any manner so as to become subject to the Drinking Fountains , Solar Tank • . 1 1 1 ;t i 1 , 1 Fan , Motors❑0-1�HP ❑1'/x 8 - > f Workers' Compensation Laws:of California. _ • .Date • , Signature ' Floor Drains 'I +` ) Swimming Pool w/Spa ' i •' FA.0 NOTICE: If,after making this declaration„you should_become subject tothe _ _ { _ _ _ 1 1 Inc.Solar ❑9-15HPi❑16-15+; i - j Workers' Compensation provisions of the Labor Code, you must forthwith • Floor Sinks I • Urinal f Fixtures •' I I e F comply with such: provisions_ or; this permit shall-be deemed revoked. - I I ' j Microwave t -( .t , CONSTRUCTION LENDING AGENCY : i. . • - i f Ges'Service Outlets ( I Water Closet 4 Device Boxes � ' , , - I hereby affirm that there is a construction lending agency for the performance - - 'tl,, Pole Light: I ' of the work ;for which this permit+ is issued (Section 3097 Civ. C.) • Jt • I + ,v • ' I Lender's Name _Interceptors 1 , Water Heater f , ,pe<';. - j Outlets 1 ` • Range ' ' �” t„ Lenders Address_.1 ' _ _._ Kitchen Sink,'^ . '_ _ - _ I Water Service'._ f- . __ _ ._ __ _ _ _ _ _ - - OWNER BUILDER DECLARATION I I - ^1 •• Switches -- .->'' Y^ • Sign+r-- { 1 -^-�- •�- ---�- -- � I hereby affirm that I am exempt from the Contractor's License Law for the • Lavatories ' ' • Auto-Wash I ! - '�7{; F Garbage Disposal I Standing Sections j •• - following:reason (Section 7031.5 Business and-Professional Code: Any citylor - - count which requires a- ermit to construct,alter,im rove;demolish or repair • • ' Y P P P P7Trap Laundry Trays _ • .� ',Generator KW, KW Trash Com actor I any the a sig e,'prior to its issuance, also requires the applicant for such permit - I p r - to file a signed statement that he/she is licensed pursuant to the provisions of I - 1 - A.�t I - - r Roof Drains f �] • the Contractor's License Law(Chapter 9 (commencing with Section 7000) of ' I ' , Divieiom•3-of.the Business and-Professions•Code) or-lhat he/she is exempt -- . -_ . ,. _.. _ - - __ _ 1 , therefrom ancLthe basis for the alleged exemption. Any violation of Section r- i. 7 - . • • ; penalt7031.5-by any applicant for a ..permit subjects the applicant to a civil I - 1 '. F I '' ' penalty of not'm ore than five hundred dollars($500). , _ I I • - •• ❑ I; as owner of'do theoperty or my employees with wages as their sole Reinspection Fee. I $15 . ' , Issue Fee • $+ 3 , I 1 • 4 _ : , compensation, will do work,and the structure is not intended or.offered 1 Reinspection Fee i $15 Issue Fee ( i $ 3 ' ' ' forI License (Section-7044;Business-and Professional Code: The s or actor's.' ,.. 1 I ' MECHANICAL 1 -FEES - - - - • License Law does not.apply to an owner of a property who builds or improves.!__ - _ _ - - " • • thereon, and who does such ork himself/herself or through his or her own ' - • - - - DEVELOPMENT SERVICES REQUIREMENTS: +• I employees, provided that such Improvements are not intended or offered for ' Boiler 'Hood or Type ❑ _ i . I , C v •sale:Ii;,however,r will wilding or improvement is sold within one year of cpm- Canopy Type II '❑ • :Zoning Approved By - Date plenary the owner will have the burden of proving he/she did not build or im- Duct- Under Ground •- rove for the purpose of sale){ . - r' . Building Approved'By' _ _Date J 2 •-�•I, as owner of the property, am exclusively contracting with licensed con- • Duct-Structural • Refrigeration System 'Application Issued By • '. •. ' - - Date -! 3 47 i tractors to construct the project (Section 7044, Business and Professions Code: - _ - - - 1 I. The Contractor's License' Law does.not apply to an owner of*property who I Duct-Ventilating , _ ❑0-1,00 000 BTU`❑100,000 BTU l % SUMMARY OF,FEES • •' builds or improves:thereon,and who contracts)or such projects with a'con- I ' t I�- - • tractor(s) license-pursuant toRhe Contractor's License,Law). I-am aware that Exhaust System.0 Multiple 0 ' System Repair/Alteration BUILDING PERMIT S. ' - :SMTP - $ - 't proof .o their Worker's Compensation:insurance should be provided to me. _ PLAN CHECK '$ .I � ,PERMIT. t r' ' 04I am exempt under Section - B. & P.C.for this reason Firepl/Fact.Bit..ICBO# • 'Fire Dampers • . , ISSUANCE $-' PLUMBING , ' . ,$- - j Date' , - • ; -Owner - - - Heating System,& Ducting, • Registers - " • - ENERGY P C ,$„ / I� s PLAN•CHECK 25% $ I hereby certify.tect.I have'read this at:Vic all and state that alaciv; 100000 BTU 0100,0006T - GRADING. '$ ' - informationis stat fonts correct. I agree to comply with all.city and county ordinances - - - " ' ' :- .. +• • I. ELECTRICAL•' _$. I- and state laws relating to building construction, veand-hereby authorize repre _ - - - - 1 _ PLAN CHECK ;;50% - - MICROFILM'- $n sentatwes,of this city t(ij enl@@@r pen the above-mentioned property for -. _ , I $. inspection purposes..." / � /., I ' ' t p• Signature' ' . �/'I// Date 7' Y3`67. ' MECHANICAL $ _ l •Q • , - p `> '$ 3 PLAN CHECK" 25%, $ ' �:��' CMF 0865-46,rev,10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor - - . ' ' -- - - - CONSTRUCTION AND PLANNING' i, . ..7 _.1_, . ., '. - _ 4. 4. . ... ( POOH &SPA +-. > ; n • i• Date 't Inspector 1it 1, � I Date•"• Inspector APPROVALS ' Permit# 1 : I , i APPROVALS' Permit#' 1.'Temporary Electrical Service or Pole. ' _ 1 _ I '...( 52:_Pool &;Equipment Location' I I , , 2. Soil Pipe-Undrgrnd.:' . 1 i I .53. Steel Reinforcement ' ' , 1 ' , ., t I r. r 1 f 3: Electrical Conduit Utility-Undrgrnd. - i ' , X•54. Forms n .•' i• I. « l 1 4:'Electrical Conduit-Undrgrnd. .- s . i I 55 . Electrical Bonding a 1 .7. '. 1 , 5.;Steel-Reinforcement - - , .56.: Rough Plumbing•& Pressure Test I I f. • 6. Electrical UFER Grnd. • ' ^ 1 57. APPROVAL TO COVER'GUNIITEr • I - ; ; P 7: Footings. i .. I ; 'i• 58.� Electrical Conduit;Undrgrnd, 1 a I ;'.9 ; . • '8: Foundation y. ' .i ' - ---'- -f- -1^" " -59'-GasiPipe, ©CUndrg ynd.,Test'-; ''. `- _, • 7 9. Water Pipe-Undrgrnd. ' ••• .. - - j..,..;., i_ -. -- 60: .Backwsh-Lines,-P-Trap, 0 Undrgrnd. I ' 10. Structural Floor System ., 61. APPROVAL TO DECK : ; 11. Property Sewer Line House,.'Connection I ' 1 1 62. Backwash & Receptor-Final ` I - • ; ; ; 12. Sewer Cap I 63. Heater& Vent-Final ', ' ' + II . t , . . . 13• . Roof Drains _ r. • , ' •. r 64-. Plumbing System- Final ' � • , , 14. Rough Plumbing - 1 ., ` i _ . 65. Electrical Final" 1 ` ' •15. Rough Electrical-Conduit '' • " , , 'r. - i • - ,66:e Solar S stem-Final i ' ? ; - - • 16. Rough Electric Wiring, • -. ` _ "I . 1. 7'7-7 i ' -67. Fee cine & Access Approval : • ry • '•, ' • .. 17. 'Rough Wiring Sign 7-.1 I •i• 41'- -68. APPROVED FOR PLASTERING 4 4 -.+ ` • 18. Rough Electrical-T Bar Ceiling .' f 69. POOL/SPA SYSTEMS FINAL . 19.;Rough,Heating &Air Conditioning `•, ;8'%(,f`-'t ' t FIRE;DEPT.. REQUIREMENT ' (I',�- 20. Rough,Factory Fireplace ; APPROVALS Permit# - ; 21. Ducts,;in Structure; '. - , I . ; , : I,. 70. Underground Hydro . - 22. Ducts, Ventilating - • , 1 71,. " rouct ; PdPiping 0 Gas O Oil _ .! . , , 2 23.;Gas Pipe-Rough &Test, . . •I . I i I . -; t 72, Underground Flush : 24. Roof Framing - ' 73. Undergrndi Storage Tank 0 Gas '0Oil' ' �- _ , 25. Roof Sheathing - ,' 74;;Overhead'Hydro ,11 ;It 26. T-Bar Ceiling (Structural) & MonoI`coat . : . • 75:-Dry1Chemical ' ( ',"� • • .1 • - - t _ - - 1 1 76. Dry Standpipee. 1r, , ' 28." Lathing & Siding , . , ' , 77. FIXED SY,,STEM,FINAL ct -• - 29. Insulation I , 78. FIRE P.REV. FINAL' . ? , - . • - • Ly 30. Drywall Nailing ' � 4 , HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • j t ! i 79.'F.INAL:INSP.ECTION i n 32.. Electrical Power Meter-Final ' " 1 . 80. FOOD CERTIFICATE ISSUED., . • ".ti', t : ; 33. Final Electric Notes: -,i • - - _ \ c 34. Final.fHeating & Air Conditioning,`'- -747 ire/ , '4 i ' •, F r ° 35.. Final'Gas Pipe-Test - • , • • 36.-Hood,or Canopy = - - 37. Final Factory Fireplace - _ ��r „�4 •, .1:- s 38_Final Plumbing _ _ f1 7j 1'� 39. Water Service-Final ; • ` ' ; •- - =v - y; ..wt I.40. Gas Service-Final • " ' ' ' i . u'• _ • I r ' - - -"11.' ..4. at' • I • ✓ X41. Solar Domestic'Final , . _ • '• / i' _ �f? `v+�'" '�- 42. Backflow Preventers - ? `�'.. . - r _ t✓ " .,r - - • - . :: ; 121 . . . N '43. Backflow Irrigation - - '' _ • • • '4 64- Landscape"Irrigation System _ • - __ � - - i 45?°Sound Attenuation - - - - 1+? f`•, U; ^� 46ttHandicap Regulations - - • - '" • . - v {' , , 47' FINAL STRUCTURE & BUILDING • ' t . • • • i- i ' " 0 ' i+�, . .J ` t Y. '" ' 48'. Special Requirements Completed -. •') I '• , -; - .. _ . rc• _ tr - f . - ' 49. Electric Release to Edison _ i'+'.' . . - - - - i- . : -- L' .iti . " - 4. 50.;Gas'Release to Southern California Gas Co • 3 - ` ' ' .,+i: • rk " • , ." • . , 51.-CERTIFICATE OF OCCUPANCY • - _ : . • Date - - - '' . %\ ,,, . _ :• • J. . - ' 7i . r 1 .. . Applicant to fill in all spaces except those within heavy border lines and.sign all appropriate declarations. _ • PERMIT NO. M243 t90 TRACT NO. ' LOT NO: UNIT NO: { 1 . - I I 1, •i. r -. , ! • 1 [CITY• OF COSTA+MESA tCONSTRUCTlO 'PERMIT I , • �' I • g /L 7.- ri �_ 1 : , { r , i 1 "eO20 7/21 /E7 +.-, ±' Protect Address 2666 ELDEN AVENUE ' •P1 ' .� �• 1 •' - - { • ' k i S 3, - I I4 '/ I TYPE OF CONSTRUCTION ' EW, U•ADD LJ ALTERATION U REPAIR } c • t I - f' ' 2 I t 1 I 1 ¢ Applicant's MailingvAddress 14171 CHAMBERS ROAD, TUSTIN) CA , • Owner's Nam9LUTER DEVELOPMENT ' Phone . • LI CONVERSION ❑:DEM LISH ❑ OTHER iy • _ A P # _ ! Zane 1 63Z-3777 Address 510 '30TH ST. NEWPORT BEACH, CA , DESCRIPTION OF WORK/USE OF BLDG.• 1 ' ; i I S Main Building: Accessory Building: 1 ' IArch/Eng. ' License No. TYPE OF PERMIT i ❑ 'GRADING ❑ FOUNDATIOW ❑ STRUCTURAL ' T Front 0 Address - I ❑ TENANT; ❑ ELECTRICAL I❑ PLUMBING /i• pI MECHANICAL j B Rear ' N Contractor's Name SIERRA FIREPLACE DIST Phone 832-6862 0 OTHER• ' ' I 1 ! I A _ — r PROJECT DESCRIPTION :SQ. FT. OCCUPANCY 'C` Right, , - N Address(mailing) 14171 CHAMBFRS RD. TUSTIN, CA 92683 'K - I , G t , CONSTRUCTION TYPE VALUATION • • - '$ ,'Left ! 1 _ I -t f '77 .F -! K-• City License No. ��p'J r - ' I ZONE 21 : GRADING CU.YDS. - _ ACRES' • R "V LICENSED CONTRACTOR DECLARATION ' - , - _ Ping..Ref.#.,, J ( Parking Req./Provided E II IL M1ereby affirm that I am licensed untler provisions of charter 9 (commencing Remarks: . sC z,3. . l I 1 - j Pla Ani❑ Noted.' ' Q v with.section 7000) of Division 3 of the Business and:Professions Code, and Re/'s .3 :2.77 bZ•'7 ` ' i Planning'Notes: _ + M (I '.4: my license is in. force and effect_ ; i I 1 •• -, ( { _ - , � f HZ. Z' •t I . + _• t ' . '- ' 1 , - .T I • License Class_ew, • Llcens: • O. I r 1 _ • ..L. Date• //1f/8iignature !ice' -I ,J eta • •PLUMBING , . r i FEES ' • S - 1 - • +' :_ ' L I 1 • V_ YORKERS' COMPENSATION DEC • RATION 1 Bar ' i _ - - SinkShowers o -- . - I i t .. i i ! ELECTRICAL t _ FEES hereby affirm mp have a Insurance, of consent fi sel insure eori a f (Section t. - _ -- i - i ' .-" of Workers' Compensation Insurance, or a icertiffed i:opy',t hereof (Section .I v • " i r :� 3800, Lab. C.) . I t i ! ; y Backflow Preventer ,, , ' Service Sink i 1 I __ 3 j :4 ' ~ Automatic Washer . - j _ 1 , ' Transformer;❑15 50 KW c ! y ' ! Policy No- �3Cornpany NATIONWIDE MUTUAL . Backflow Irrigation Sewer5Cap -: , — - 1 t I I P Construction Pole Sub ' so+KW' : y r Certified copy is;hereby tufo fished. I - . •_ - - Certified copy is filed with the city ildin9 Diiws - ! t 1 Bathtubs _ 1 '' - , A: i Sewer Connection C r ' Cooking-Unit ' I _ Meter Our)to 100 amps C. e /"I('/ 7 Applicant il'If�/ �� - • j EXEMPTION7F R1DM WZRKERS'C PENSATION D LARA N ; p 1 Clarit fieri U Solar Collectors _l f • I ` Dishwasher 3 ' Meter' Cover 100.amps _ • (This section need not be complete f the permit is for one hundred ($100) or' _• ,- �' less). I. - - Dishwasher' - _ ' " '_ Solar Piping •` ; ' _ 4• I , . Dryers ❑Gas .❑Electric Sub Panel ' - 3i - I certify that in the performance of the work for which this permit is issued, I - - ' •. 1' I shall not employ any person in any manner so as to become subject to the ; Drinking Fountains • Solar Tank ., Fan I !' Z 1 Workers' Compensation Laws of California. _ . - - t - ._ - Motors❑0.1 HP ❑1 h-8 . 1 Signature T • - • - : Floor Drains - ;Swimming Pool w/Spa I l C' :7 + 1 , _ S I "NOTICE: If after making this declaration,you should become subject to the 1 _ - - 1 F A.U.' Inc Sola! ❑9 15 HP ❑16-15+1 - - WorkersCompensation provisions of the Labor Code, you must forthwith 7 Floor Sinks ' Urinal ' comply with such, provisions or this permit shall be deemed revoked. , . • Fixtures ' • F Microwave, - - CONSTRUCTION LENDING' AGENCY 1 • ' ' , "'y Gas Service . Outlets Water Closet , • I hereby affirm that there is a construction lending agency for the performance i!•r3^_t Device BO%e$ Pole Light' " • 1 of the work for which this permit is issued •(Section 3097 Civ S,,C.) Interceptors i j Water Heater ' ` I %� 1 - , 1,/ 1 Outlets I . , 4. Lender's Name ` - '„' ange' , Lender's Address_ _ - y - _- _i Kitchen Sink • : _- --�J^.1 _L_.., .1 _ -- -, _ , - -- ._ !- R ., __..._ WateLService,�._ L _ .Switches-.__, Sign'' - i _. . OWNER BUILDE that I a exempt ON ' h _ _ • 1 I herebygaffirm I am exempt from.the Contractor's License:Law for.the ' Lavatories • Auto-Wash . .../2 j ' Garb2 a Disposal , • ollowinwhich (Section 7031.5 Business and Profess rove,, ode:.An ycity or ,• 91 Standing Sections county which requires a permit to construct;alter;improve„demolish oprepair P-Trap . 1 . . • Lalindr 'Tia s ` I - ' ' '• ' any structure, prior,to Its issuance, also'requires the applicant for such.permitY. Y �,..,• 1 Generator KW,❑5-15KW Trash Compactor 1. f - v . to file a signed statement that he/she is licensed pursuant to the provisions,of Roof Drains ( ' r� • r• the Contractor's License Law(Chapter 9 (commencing with Section 7000) of i _ I �✓ I - j - '! Division-3-of-the Business essions is exempt- .- - - - • f._ _-. _ - - ._ r' - - - - • Therefrom and the basid'tor the alleged exemption. Any violation of Section • l j 1_ -- �f ) 7031.5 by any applicant for a permit subjects the applicant to•a civil _ r - penalty of not more than five or hundred dollars ($590). i . I , , • 1 I i , - j • t 1 f '. 4• .:r . + co pensowner of;the property or my employees with wages as their sole • Reinspection Feel I', $15 I Issue Fee '1 $. 3 I ' 1 + • fompensat ectio i11 do the work, 'and'and-the structure is not intended o tract red 1 - Reinspection Fee 1 - I $15. 1 Issue Fee , - $ 3 •'1 for-;sale (Section-7044, Business'and”Professional Code: 'The ' tor's ' . I ! MECHANICAL' I '.FEES, • - , License Law does noes ply to an owner of atproperty who builds or improves _ - - _ . thereon, and who does suchsuch.work himself/herself or through his or her own - - , - - DEVELOPMENT SERVICES REQUIREMENTS: • I -_ ` employees, provided that such improvements are not intended or offered for Boiler - I •HOOd or j Type ❑ 1-c s' f r si { ( a , j sale. In the ever,the building or improvement is sold within one year of corn- • ,C$nopy Type II 10 • j Zoning Apprgved•ey ' - - - Date ' - • pletion,•the"owner will have the burden of prnving•he/she didinot build or im- Duct- Under Ground '!. 1 I Building Approved By i Date �J prove for the purpose of sale). _• ' i - i /,/ /8-7 ❑.:1; as owner of'th&property, am exclusively contracting with licensed con- • Duct-Structural . Refrigeration System j- "• , 'Application Issued By - • ' ^- Data G- {/ • tractors to construct the project (Section 7044,Business and Professions Code: - 1 i O.. { 11; 'F The'Co r;impor'sLicense Law.does_not apply to an'owner,of property,who . Duct-Ventilating . : ❑0-loosoo BTU'•❑100,000 BTU - - $UMM V • :n 'AR OF FEES• builds'or rimprovesRhereon, and who contracts forduch projects with aeon- t � eiS ! "tractor(s77 licen'se:pursuent!to the Contractor's License Law). -am awarethat' Exhaust System-❑ , Multiple ❑ •System:Repair/Alteraton ,. I -" • : t f3UlL'DIMG PERMIT- 1$ �' a,SMIP i i' `$�' - I `- '' proof of their,Worker:s'Compensation;insurance'should.be provided to me. i :PLAN CHECK ;$: ,'PERMIT ' i❑jl am exemp`under_Section B!&'P.'C:for this reason_ Firepl/Fact,Blt.'ICBO#/ ;Fire Dampers • . DO _. ISSUANCE •l t$ - Hearin S 9 _ 9' _ ^ ENERGY RC, '$•.ae wner - _ 'g ystem'& Ducvn 'Re iters' 1 f . { '' • . I hereby certify'that I have read:this application and state that the above -7 r ❑ofoo000'BTU ❑100;0.00BT �, _ '= IF ,nInformation is correct I agree io comply with all city and county ordinances' - r " I. ELECTRICAL1$_ 1 +- 1 GRADING •$_. - I and!state laws Touring to buildingtconstruction, and herebyauthorize re re. ' PLAN CHECK ' S0% ,$,..:2):7; $- 1$ , �' sentatives of his.-city to,e ter upon the above-mentioned.pr pert pfor' - 1 L^ i - 1 i MICROFILM t" '- . inspection pu oses. •• -1 Y' ' _ 1 �.. ' ' r b T` ) •�0 t _0 t.,.I G , . • MECHANICAL $'!(•' TOTAL FEE s- / �•- Driv rurei 'it . Date /(jam' Fe . I • , y I q• • ) , +� -Sly P ✓, Issue Fee -.t �$•3_ P.LA N,CHECK.'25%. i$:,_ �s • j' •I ^I -Drivers' 'cense or 55 . ' I °" ' ••. { Reins action'Fee' ,-$15 j , �C -�� r CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor ' % N ' POOL& SPA --4.... v CONSTRUCTIONAND'PLANNING '. • . ' _ _ ;.. !_ e; , ._.Y.. , '' c 1 Date : Ins ector Date Inspector 'APPROVALS Permit ' •, 1 p APPROVALS Permit'#'- i+ , 1 Temporary, Electrical Service oriole • .1 I ' 52. Pool &EEquipmerit_Location4 ; 1 1 ; t !. 2: Soil Pipe-Undrgrnd.' ' , ( • i ' • , '- ,53. Steel Reinforcement-. I r. ,1 3; Electrical Conduit Utility-Undrgrnd. r54. Forms I.? } r • 1 i :` 4..Electrical Conduit Undrgrnd. •; • , ' I. 55. 'Electrical,Bonding A ( ' : ' -• s. ; 4 5."Steel'Reinforcement i-- • 1 'I " 1 i :56 Rough Plumbing & Pressure Test'- t , 1 50 6, Electrical UFERGr•nd'. tt r = "57. APPROVAL TOCOVER'GUNITEI • : ,t •- .,7..Footings s +• , •i , c•-; ,58:; Electrical Conduit-Undrgrnd: , i 1 , •. ,, 8' Foundation i• '1' ' •59. Gas Pipe;"0 Undrgrnd., Test > 9: Water Pipe-Undrgrnd. I; , a:, «I .. ...-- - _ _ 60.-Backwash•Lines_P",Trap, 0 Undrgrnd.I 1 -`10. Structural Floor System ;L:' 11 ' ' j 61. APPROVAL TO DECK i • • ' 11. Property Sewer Line'&.House Connection • 62. Backwash & Receptor-Final ; , 12. Sewer Cap , - ' ' i 1 63. Heater.& Vent-Final , 13. Roof Drains .'T - ' " 64. Plumbing System;- Final I ' ,'14.•Rough Plumbing : -"' , ' 1-' `' ' i • .' 65. Electrical.Final ' 't ' i "` • 1 � _ ;.s15. Rough Electrical-Conduit • : ," 66.--,Solar System-Final e I ---_ 7 ' '3;16. Rough Electric Wiring; ( `"- ' -;----1-.-1 - ,':"1 -I • "67 -Fencing &"Acce'ss Approval ti • " '•` 17. Rough-Miring Sign- ` ; 1'-. -- ? .. " °' r68:APPROVED'FOR'PLASTERING'1 •• - 18. Rough;Electrical-T Bar Ceiling ` I ' ' i • • 69. POOL/SPASYSTEMS.FINAL 19. Rough•Heating & Air Conditioning ' , : i 1 ; ' 1 FIRE DEPT. REQUIREMENT - �.i 120. Rough Factory Fireplace f ,. g/ 97l �/ APPROVALS Permit# _ • 21.' Ducts,-in Structure . . ' �. (� 1 70. Underground Hydro ,: _ • 22. Ducts, Ventilating • ( ' ! 71. Product Piping O'Gas' boil ' 1 ; 2 ; 23.1 Gas Pipe-Rough & Test• ' , ' 1 " ' � 1 - 1 ' 72.Underg Lound Flush ): 'i , • I , •• p - 24.• Roof Framing u i •_•1 - ' _e : : , : 73. Undergrnd~StorageTank 0Gas' 0Oil, . i - rz i 25. Roof Sheathing , : . I, : I 74..:(3,\TH:Fieajd j:iyarcr : 1: .,, . '' - ' ' i- 26. T-Ba} Ceiling (Structural) & Mondcoat 75. Dry;Chemical ' 13.1•..t•- _ 27. Frame and:Flashing __ .- .4. 1 • r -- 76. DrylStandpipe' - al 1 • •1 vin : 28. Lathing&.Siding' ' • 77- FIXED SYSTEKFINAL ',•-i''4. ' 29. Insulation. • i ' ' I ' • 78. FIRE PREV. FINAL i's, 30. Drywall Nailing. , i , i , i , ) 1 HEALTH DEPT- REQUIREMENT - "tr • 31. Plaster Brown Coat , • - �; - I ; 79.' FINAL INSPECTION i� � 1 t_� 132.1 Electrical Power Meter'-Final 4 -24' _ i i , ,, ; 80. FOOD CERTIFICATE ISSUED ' • . i, _ ' Hill/1 . 33. Final Electric - Notes:•• , 34. Final Heating'& Air Conditioning' - . i ' i ' 7' ' 1 _- , ; 1 I •1' 35. Final Gas Pipe-Test '' '• - . 36. Hood or Canopy __ . .... a _ z.'• - ' .. •- ',37. Final Factory Fireplace " . - ' ' , a4it2 Ar - ' • . 38. Final Plumbing _ -'�. rt = . 4j}. 39.'WaterService=Final - _ , „• • . - - - 40. GasService-Final- - • - - F- - - V. '0` n •>J 41. Solar Domestic-Final -• ; -•. - : {' ; 1: + 1 2 'I :4 ' i 42. Backflow Preventer - - .. • 43. Backflow'Irrigation., • '.'*' B' • ' - '44. Landscape Irrigation System ' " -• •": - - rr ` " - • . ,451 Sound Attenuation- - ,t ', ,• 462 Handicap Regulations - - •, '" _ - 47. FINAL STRUCTURE & BUILDING ` ''; - • - 48. Special Requirements Completed `: - - - - _ . 49%Electric Release to`-Edison - •";_ '- •- .•. -- .. f 50. Gas Release to•Southern California G 's Co ' • - - ' 51: 'CERTIFICATE:OF OCCUPANCY- . - - - - No.' . t .. - •Date _- _ -. I _ 1 v Applicant to fill in all spaces except those within heavy border lines and.sign all appropriate declarations. PERMIPNO. TRACT NO. LOT NO. I T f CITY OF COSTA ME - O T UCTIO PERMy) - I • UNIT NO: • I ;3395 8/i I /87 ' 96060 .T • Project Address66 E- 9 7t9..7' �q• rI �((q//� '•-' , j I 1 / Applicant's Mallin A dress ' • ' • 1_ TYPE OF CONSTRUCTION ; N NEW HADD H ALTERATION LJ REPAIR' r' ' 1 Owner'sJName 4t(e77/�hE*cc PhOne673 3)77 • , ❑ CONVERSION ❑DEMOLISH ❑ OTHER- - A.P.# ,_ t _ ' _- _ _ _-_-�' . , - . •' Zane - - • I I ) ' DESCRIPTION OF WORK/USE•OF BLDG. _ • ` ' Address I . i S Main Building: ; ' Accessory Building; 1 •I. Arch/Eng. • - License No. TYPE OF PERMIIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL , , T Front - i ZO Address - •' ❑ TENANT LA ELECTRICAL '❑ PLUMBING ❑ MECHANICAL B R¢dr E ) • ) • (• • N ' Cont-.. :'S Name u m /esiz 7 '6,+33'3'7 ❑ OTHER ' ' ! 1 A - _ - I fG�a."r...1.... . Phone 'C'- •Right _+ y. .. ..�_. N Address(mailing) • 153, if: v\ t'�QeJ l k' PROJECT DESCRIPTION 'SQ. FT. 3 r'70 OCCUPANCY ' 'K t �' . r • I G 3 it CONSTRUCTION TYPE VALUATION$ s Left • - ( { • ' ' I R City License No. 7T ! ZONE - GRADING CU.YDS. ACRES - LICENSED CONTRACTOR DECLARATION - - i - _ Ping. Ref.# I - , .Parking Req:/Provided , ' • E 1 I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 4' ' ' - - ! - i _ .0 t with section 7000)-of Division 3 of the Business and!Professions Code, and r ' I 1 , i c. 1' Planning Notes: • M I my license is in;f ull forr�and ect. j 'S' !� ^�' ! ,�. ( 1 ' • j - 1 T License lass -- X1. Ic • • Y. �' d �, 0 LI .� ' i I t' 'S ' Date' Signature «. ��- e , - PLUMBING - i •_FEES ' ! . I - . ^ 1 __ • • • . t 1 I - • WORKERS'COMPENSATION DECLARATION I ' '_ — - 1 - , • hereby affirmrthat•I have a certificate of consent to self-insure or-a certificate BarSink •: - _, . ,_ Showers' , _ ! c F 'ELECTRICAL _ y -' FEES F Workers' Compensation Insurance• , or a 'certified copy'thereof (Section Backflow P?eventer Service Sink 1 ` - ' 4800:, Lab. 5)' Q� ; - l'.• t. , , '" i. •7//Cutomatic Washer ' 1 Transformer-❑ 1550KW _ ) I Policy No. 1� �9a t 1 Company 71'"Lu'�-!/ ' •' : Backflow Irrigation, �' • ' Sewer Ca • 'x' 1 . I ❑ 50+KW i1 ".S .;• 2_ 06" �� Certif ietl copy ishereby furnished. 'i - -. P•^ - _ CanStrucUon`.Pole Sub _ ' " , c I!!1k,.,ateti c filed with the city B it 1 D I Bathtubs .J Sewer Connection -. r 'p:, NEtl_ 1 _ _ - - • Z Cooking-Unit ��-.j _ { 'zwleteriip'to 100 amps ,y, ,�A t'X.. • EXE DD ' • Applicant' • _ Clarifiers. _ - - 1 --, 1a„ CO • (This section need not be completed if the permit is for one hundred ($100) or - - less).. - ' i - , Dishwasher p g = _ Dryers ;❑Electric Z,-Sub Panel - I tI I ' Solar Pl m - !�fA •' I certify that in the performance of the work'fsr which this permit is issued, I - - - - 1 - - ' IP... shall' rs employ any person iof Cali manner so arto.become subject to the - DrinkinglFountains.. r ) Solar Tank I • - I ' I 1 ' Fan Workers' Compensation Laws(of'California. ' ' • ' 1 - - { , { Motors❑0-1 HP ❑1/ 6,;h .., ' O - Date, • Signature i ,t ' Floor`Dralns ' ( 'SwimmingPool w/Spa + � '- ' • -• i _NOTICE:.If,.after making,this',declaration,.you.should-become.subject to the. 1 ..+ _ P F.A.U. Inc. •Solar 09-15 HP-❑1615+ �' a. a1, , 'Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks • ' 'Urinal - Fixtures - comply with such) provisions or, this permit shall be deemed revoked. - - • - Microwave ' CONSTRUCTION LENDING, AGENCY -'• I O� r I Gas Service _ Outlets " ,Water Closet - - t ` I hereby affirm-that'whichs a construction lending agency for,the performance - - ! Device Boxes Pole Light, ' I ' `! I of the work for this permit is issued (Section 3097 Civ. C.) • I{•- ' I ' Interce tors - : Water Heater ' f� 1 Lender's Name ' r ' : a^I P , 1 I • t ee!Outlets ' 1 Range 00 -Lenders.Address_ • _..1 . .� Kith -4:SlnkI :.. 1.,. �._ .1 Water Seivice' - . _. j _ ' ' OWNER BUILDER•bECLARATION t ' I },. tU : .�L. ..Sign l,. -_ _I - ' I hereby affirm that I am exempt from-the Contractor's License Law for the Lavatories\ ', Auto-Wash ' • I Garbe a Disposal • /77 +'' following:reason (Section 7031.5 Business and Professional Code: Any cityior — - - ` -'1 1 I I �. 9 p Standing Sections - W . - 'county which requires a permit to construct,'alter;improve„tlemolish or repair ' P-Trapt'7,.•'.” I Laundry Trays I • JSS Generator ❑0-5 KW ❑5-15 KW ' any structure, prior,to its issuance; also requires the applicant for such permit • 1 • Trash Compactor • to file a signed statement that he/she is licensed pursuant to the provisions of >t.I . • I' the Contractor.'s License,Law (Chapter:9 (commencing with Section 7000) of Roof Drams : , •` I 1 t • 1 , ,vision^'3'of the Business antl Professions;Code)-or•that he/she•isexem pt - ---- - - - - - -^--- - - - - —'-- --- r- ... ._ 1 ' - I I. .refrom and the basis for the alleged exemption, Any violation of'SectIon '-. { ` I • ! ' - ' v31.5.by any applicant for a permit subjects the applicant to,a civil -1 ' ' Il I - r i - t i _ 1 { I :- eendlty of not more than five hundred dollars($500). I .- ' I 4:$15 - :,. r I _ 1 LJ I,'as owner of:the- property or my employees with wages as their sole ' i Reinspection;Fee $15• �- , ( Issue Fee ' $'-3 ' compensation, will do the work, and the structure is not intended or offered . - r for^sale (Section 7044, Business and ;Professional.Code: The Contractor's ' MECHANICAL jy. Reinspection Fee ;I $15 Issue Fee ' License'Law does nouapply to an owner of a,property who builds or improves - I - -FEES • - . I, ' thereon, and who does such'work himself/herself or through his or her own ., - - I. - c 'DEVELOPMENT SERVICES REQUIREMENTS: . employees, provided that such improvements are not intended or offered for •;. Boiler , , .Hood or Type ❑ { j id,' , I 1 i i I i • I •'sale: If, however, the building or improvement is sold within one year of com- { Canopy Tv 'e II O I 'Zoning Approved By ' ' I Data ^ I _pletion, the owner will'have)the burden of proving he/she did not build or im- Duct Under Ground , - 1 ,Building Approved BY ' { -Date •- I 1 `prove for[Weer ofthe of Sale - • • it k �_ z ❑ i;as'ownerpf,ct property, am exclusively contracting with Iicenss con- • i' Duct Structural Refrigeration System i Application Issued By it , • Dat: - ' tractors to construct the project,(Section 7044,Business anc0Prof 55ion5 Code: _ 1 " ' The s ontractor's'License Law doesnotapply-to•an owner of;property who , Duct-Ventilating ❑0-100,000 BTU"0100,000 BTU - t 1 - - , i. builds or'improves thereon,and who contracts,for'such,projects with a'con- - 3 1 y': , SUMMARY OFFEE - - I • tractor(s) license.pursuant to the contractor's License Law). I am aware that: `' BUILDING PERMIT $� ^SMIP ' I •!$_ -� f Exhaust System ❑ -Multiple ❑ System Repair/Alteration + proof o their'Worker's Compensation'insurance should-be provided to me. I_ _1 • f { PLAN CHECK $.•- I- :611' uPERMIT'❑'I am exempt under Section - - B.& P.C,for this reason .,. FirepiFact.Bit: ICBG# 'Fire,Dampers - - . - 1 . ISSUANCE `-,. PLUMBING : - •'. '$ ' [ $_ ..• Date - ' Owner ' ' ' ' 1 Heating System& Ducting ` = !Registers ' C :1 - f ' - ENERGYP C. $;'I , , - ' -' PLAN CHECK 25%. S, _ _I hereby ceidify-tect1 agrenead-tnis applicaall and state that the above;. ❑0-100,000 BTU ❑100,00067 - ' - informatlon•is correct. I agree to comp) with all city and county ordinances ' -' : 1 ELECTRICAL '• i$f 1- 1�--��' - GRADING 1$and-state laws.rela o building c• coon',and ereby authorize repre= - ' - PLAN CHECK 50% $ /•JnD _ MICROFILM. $- 1 I sentatives•of to'•ente apo - entioned. property or- _ ; j�� inspection p'rP' { QQ ;; _ •:2;$15 ' _ 1, ' - 1 MECHANICAL $ I • 9 -L_�e/ Signature' : - Reinspection Fee ' ;$151 • • �t • Issue Fee • $ 3-I PLAN CHECK 25%7 15.' - - • • _ ,__---, .. _ ,__ _ ._--_-:•__. .- ._. . ._ _ _ - ._ .. -- -- .. _ __ , - - ._ _..._ . . _ _ _ __ __ CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor T -- • "�--"r-' . -jPOOL& SPA. I ,r CONSTRUCTION AND•PLANNING . 4 'IL • Jlr. ' '� &iP i " LLlDates t\ Inspector: r1 APPROVALS-1 Permit#' , , ' Da'te ' Inspector APPROVALS Permit - t { , • t . 1<Temporary Electrical Service or'.Pole I 1 - r 52. Pool &l Equipment Location: - • . 0 � 2, Soil Pipe-Undrgrnd t' ' 53. Steel Reinforcement, . t i I. L. - 3..Electrical Conduit Utility-Undrgrnd. -54:, Forms =_ •1 i , - • 4 4. Electrical Conduit-Undrgrnd.ii 55.•Electrical Bonding • ( 5.•Steel Reinforcement1p 1 .•� a ' -.56.: Rough Plumbing& Pressure Test ; 6. Electrical UFER Grnd!;- ; i. • t 57. APPROVAL TO COVER-GUNITE; ;, 7. Footings . ' t. " t i ` . 5B. Electrical Conduit-Undrgrnd. ' ' • 8. Foundation " i - - - - -- Ga Pipe,i. Undrgrnd., . :i 9. Water`Pipe-Undrgrnd.i•. -. .- ,,.- '- ' . 60.-Backwash-Lines;P=Trap, 0 Undrgrnd. , 10. Structural Floor System 1 ' ' , ; 1 61. APPROVAL TO DECK . , 11. Property Sewer-Line & Connection House r 62. Backwash & Receptor-Final' 1 12. Sewer Cap ;. - , i i -"i , ' 63. Heater,&/Vent-Final ' 13. Roof.Drains: v. ' ` ' ' . I ' ' , 1 64. Plumbing System'. Final •, ', 14. Rough Plumbing •• , ? ' 1 65. Electrical-Final: . : ' 15. Rough Electrical-Conduit li ' • i '66, Solar System-Final- " 16. Rough Electric Wiring : See ` 1 ç7 Fencing&Access Approval . - - 17. Rough Wiring Sign' '^' - IT , - .. '68. APBROVED'FOR PLASTERING • 18. Rogh Electrics l=T Bar Ceilin ` o - - ' , 9 g . t 1 69. POOL/SPASYSTEMS'FINAL , 19: Rough Heating &,Air Conditioning I FIRE DEPT. REQUIREMENT ' 20. Rough,Factory Fireplace ! ' i '• • APPROVALS . Permit# ' - , - • 21. Ducts,:in Structure 70. Underground Hydro' {' ; -' '' e 1 22.' Ducts, Ventilating' . / 1; ' ' 1 ; ' 71.' Product Piping O.Gas 00i1 d , - ' • 23. Gas Pipe-Rough& Test' - r 72. Underground Flush .. { • 24. Roof Framing' , ( _ • 73. Undergrnd_Storage Tank 0 Gas'. 0 Oil • 25. Roof Sheathing . • '' - - - 74. Overhead'Hydro : �- , {' 511 - ' '- : 26. T-Bar Ceiling (Structural) & Monocoat , , . 75. D'ry,Chemical, ,' -` , • 27. Frame and Flashing v -' ' . , 76: Dry Standpipe , i 1� 28. Lathing& Siding I , 77. FIXED SYSTEM FINAL i - ;' 29. Insulation ' , , 78. FIRE PREV. FINAL, - 1 30: Drywall Nailing , i` i , HEALTH DEPT.REQUIREMENT • , ' - - j • 31. Plaster Brown Coat • ., v '( . , r1r ' � , --I. f .- r 32. Electrical Power Meter Final I 80.`FOOD CERTIFICATE ISSUED - / • 33. Final,Electric i / •Notes:: . ' ` . • Cheek^ riiPler `OS 'tined/ 214 'R -ao-6? 34. Final Heating & Air Conditioning =- ' - - - ' 35. Final Gas,Pipe-Test " - - I , . _ ." • _ ' 1 I _ _ - .- . 36.- Hood or Canopy• _ -. , + 4, ,el 37.Final•Factor44 - y Fireplace _i., > - r .I d _ •i e� ---_ . 4.,` it ,+I- , 38`•� _inal-Plumbing - it?t, '. Y•I.- ,t ^; U • r+'• _,is i-. 39. Water Service-Final' - t .j��•e ..�f - `. • 40. Gas Service-Final - - ,' s',"h'% I.r. - - , 41. olar-Domestic-Final • - , Sri `�'. •y; �.J :17 " " t I.I. `t i .. '"J - . . ,' a, .'42: Backflow Pi - _ . ; . • . ; s7. • / tl L_ - •�..' .43_Backflow Irrigation' " - _ - , r l N l`, .� 44 .Landscape Irrigation System .` _ ' it- 17r 't•' . ' r ?-' ' 145.Sound Attenuation ;' - • ry ' 4a' 46.. Handicap Regulations ` .. : - ,'r, I ',, , . 474: EINAL',STRUCTURE & BUILDING ", 1 ..,./it.'l , >LLf _ , ..% - '�! ' ' t .1.-11-‘,;e.- v .r •• :ri,„ ` ; 48:1.Special Requirements•Completed ' ' '4. '. ' ..�7 :tu - - (41- ' 49.'Electric Release to.Edison • ` - -, , .. `a, ' - el ' " .' ' , 50. Gas Release.to Southern CaliforniaGas.Co 0 "51..CERTIFICATE OF-OCCUPANCY • . . - " - - ' No.__ pate • • City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 002046 / Building Safety Division . t P.O.Box 1200 4 1 Costa Mesa,California The Building located at 2666 Elden Avenue. Units D and g ' :1 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R3/111 Occupancy. r Use of Building Condominiums Legal Description 439-221-16.17 (See reverse side for Metes and Bounds) t Building Permit No B 27023 Electrical Permit No. E 29723 Plumbing Permit No. P 28282 Mechanical Permit No. ft129177..M29178,M29390 Number of apartments and/or guest rooms ISSUED TO: Building Official William T. Howard Steiner/Fluter .-. r:-�/ 510 30th Street by.✓_.�-.+:°'t-.- L t,.Cl' y, Newport Beach, CA Date January 26,. 1988 ,' 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.1/83 White-Owner;Can4ry'Numerical File;Pink-Bldg.Permit File