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HomeMy WebLinkAbout160 QUIET BAY LN - Building Permits ytp M - CITY OF COSTA MESA 4 atBUILDING DIVISION >• DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER 1. 1 714......v. I PERMIT Ira B03-01806 %Palermo‘e# (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca-LSILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 160 QUIET BAY LN CU Status: ISSUED Suite: Applied: 10/15/2003 Vicinity: UNITS 160 AND 162 Issued: 10/15/2003 Parcel Number: TPN003179 Zoning: Applicant: BATIOFF, JOHNISSUED BY: -1.91,(-------'_,------- - _ Address: 17182 ARMSTRONG AVr�� .0„ �?= T.T. _ -, >L. .002 ---"r Phone:-714-381-7974"`'-"� IRVINE,CA �,Ore„,.. Zip 92614 1--.-- / -L.,...--.�� Owner: QUIET'BAY-HOA Li )- 1 ,J\ 4 I �� ''- Address 1633 QUIET`BBAY\LN /,,/��` ^- -_-- : - /� / )�.� P-hone:-.949-253=4546 �� vi _ . L NJ �,,� Q COSTA MESA�CA G Zip: 92627 \�`c. '' ,/ �Q,\, Contractdr: DRI COMMERCIAL N' \/ l ;Address: 17182 ARMSTRONG AV A \ � /) j�// L- t. \ \ �/) ! IRVINE, A I N\ \ ' J -\ )� Zip:, 92614/ I License 1 818623 1 Arch: ) / Uc-- i - I '-�' Eng: ) i /Address:) �f2i/ Ll p°o • "q>� Address 1i `-1 1 fly/- �'' . 1, j o Phorie:.�` t/V . C�v Phone. - ' t / �JI r' oor _ Irl-� L1,. . it _ 1 i``� //(lr \L- =v.t/ v{ /.1, , �' r\Zip: ��:0 °,..c�£ License: - -� • License: t (\1,1 \ \--r 1:10 ,1/4-Th,(:.tt - ,-w -'SCOPE:OF=PERMIT---- • U't i \ j�', 1 CTEAR OFF EXISTING'ROOF. INSTALL CLASS A COMPOSITION(' �� SHINGLES.37.34 SQUARES,FOR-CONDO UNITS.UNITS 160-162 . , I�. " '. .'1J LL IL 1L.!/ .LI. L :Lu t-4 d h'[u. Jl ra-.': 1'• � �i I (/ I — __ — — _ _ _ _ ,v ' L - : ` " J( I FEE SUMMARY / i :1' f , 1 Plan Check�' �} $0.00 r^ = v J .•y, /i?51 _Calc Valuation ; ?i ,..$x,390 00 • �'� \Permit':11'ft $153.25 I I C----==_--a/ - =//s-'- Glaim Valuation 'I%�'� ' $7,390 00/ .,,„ P Res. ,-_ -A �3 c - Ir _ ( /'/r� 'TT_ ,l • / Q° $0.74 �\ SMI_P-Corhi:\\� $0.00 _ 4,,,_., L....L �/,� 1.--__--. ? �i / ` Other:- P$0.00 - ��. \Inspectiori:\ $0.00 I ; / /:i 7 v± \ i �V• I , < l \VvTotal $153.99 i d A A V1„ I1 .itiv�n- t" 70tiY1 \ ->:\ Itv (©o -/.c &ZONING ;� ' t , _, , ACCESSORY Front; 0>0 f 0 Rear 0=0--- _Left .- 0 0 Right ' 0;0 „,"„-)2,/ PARKING Existing: `0 LR,equired O Th -,•, , Proposed' ,'o\ C C ' J// NOTES: �O� 2//% - ' 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 for a period of 180 days. ' INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 244646(6'00) • DECLARATIONS i :lr WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 o1 the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'corn ensation Insurance/cpmer and olicy number are: [ Carrier: • ` V�1z"�`^ l ,Policy Number: WCgg 2/6327 k -(This section need not be completed if the permit is valued at ne 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 provisio 'Applicant Signature: (Date: 4 /0--) c'-e5 WARNING:FAILURETO( SECURE WO RS'COMPENSATION O COMPENSATION, IS UN,DWFULAMAG AND SHALL SUBJECT I AN EMPLOY3R7 6O F THE AL PENALTIES AND AND A rUPO N ONE'SHUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF CAMPENSATIIXJ,DAMAGES AS PROVIDED FOR IN SECTION 3]W OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES, LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed nder provisionsprof Chapter 9(commencing with Section 7000)of Division 3 of the Business Nag P 'ofes Code,and my license is in full force and effebt.'Lic.# I D c z > Class#'d }7 Contractor's Signature: •Date:- /6„.."5._ CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). 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).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑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: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? -❑Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application ap-ermit for such construction or modification from the South Coast Air Ouality Management District or from any other air pollution control district or agency? LJ Yes LJ No (Section 65850.2 of the Califomia Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California 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 California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. re f Legal Owner(s) Date lG " r- Or'A thorized Applicant '`v 'j r`/ .7 3 Date CODE# INSPECTION TYPE - QAIE' . INTRIALS CODE N INSPECTION TYPE "pAu )NTmALS 1616 Fixed System Final Fire Prevention • • 206 Final Mechanical ' • 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 11-1/45--11 210 Final Electrical • 201 Final Block/Retaining Well 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 to 2666 Elden Ave. , Unit E 159 Quiet Bay Lane 2666 Elden Ave. , Unit F 161 Quiet Bay Lane 2666 Elden Ave. , Unit G 163 Quiet Bay Lane 2666 Elden Ave. , Unit H 162 Quiet Bay Lane 439-221-62 2666 Elden Ave. , Unit J 160 Quiet Bay Lane " 2666 Elden Ave. , Unit K 158 Quiet Bay Lane 2666 Elden Ave. , Unit L 156 Quiet Bay Lane 2666 Elden Ave. , Unit M 154 Quiet Bay Lane If 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, '� 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 • 6 3 r • 16 z / • .. ., ,.. 160 155 ij 15- IS8 Z • Q . : J 156 Q IC5"" r 15-3 Is4- pc ' Isz T.5 • . • ELDEN . ' AVENUE • J Applicant to fill in all spaces except those within heavy border lines and.sign all appropriate declarations. `"I • �ia�� ...--_-"__-__ _ -._.r.-. ,..,-.-_ __... .. _..- --- 1 I - 7/11:14114.7 - TRACT NO. ' . LOT NO! - IT NO'. --t _,. -. .. ; ',..,_ ;_ _ -1. i , i ..• !om` t Project Address 1 L,0OY cO 43 ? ' /-' • ' ' T7 �J I . - I ' + 0925 I/26%87 ? 640.42 'TL i , I I . 1 . ).- Applicant s Mailing°Address t 1 •) ' r {. • TYPE OF CONSTRUCTION 1�NEW; U,ADD ❑ ALTERATION H REPAIR 1 I ❑'CONVERSION, ❑EDEMOLISH El OTHER I. + 1 1 A.P.#_.i z ' zone I G,rtit.4 C g-rtw teat "-1 I 77-- i-__3_1 -1---7; I , — + — 3•S - �� L—_l'lo. ' i . ' . :. R.Z"t . Owner s Name. .�1� PhRon�� /� . DESC O • W R SE ❑G� _ • - + Address •5�C 'I' 3��r �s�s.1/°jam . v T o J pie I �' t /`J�� _ •L�� S Main Building r 'Accessory Building: (• Arch/Eng: Jam- i�s'1 "-'/'`•� Li�ceennse,NNoo,.y`5 57 V +TYPE OF PERMIT , III GRADING I♦ FOUNDATION d STRUCTURAL I T Frond -.o,� t, 6. 6) el hi ' I s „ O Address ?20 O-� PO ...c -(1 �I�•�. y( ^ ' ❑ TENANT 1 Rear r9(� 1 t I 1 1 i N . / ❑ ELECTRICAL 1❑ PLUMBING ❑ MECHANICAL B r! 1 .Contractor's Name QIi✓-�� + i Phone = g' ❑ OTHER... I • r ' ;Q A • to/i V/ .b, . . . •- ' -- . . i r �.. .N. i 1 i- 3 1 r > PROJECT DESCRIPTION SQ. FT OCCUPANIC K C�+ _ - G Address(mailing) •) 1 _ r a _ 1 _ 1 ; . , = i 1 y It I r - y - , .` r CONST RUCTION.TYPE VALUATION$ S Left /O 15' I i I City(License No. - ' ' - - - t ZONE GRADING CU,YDS. • ACRES i V LICENSED CONTRACTOR DECLARATION r I I 1 I b - i , c. ' I , '1 - - Ping. Ref.# 2 ea Parking'Req./Provided E i I herebyaffirm that I am licensed under provisions of Charter 9 commencin ' ' Thi I _ '�3/3.), /3�_ (Commencing"- Remarks: j {-� I • plannin Notes: 1 s with section ]000)1of Division 3 of the Business'antl�Professiona code,antl+^ —i 1'+" T �� ' ""' ""� ' ^ �00�I' : g HOL]T,FOR SPEC REQUIREMENTS . my license is inlfull force and effect. ' I i ' ! i- 's O;'— e 1 C, E L-', ,1/24•766_ I7� . 1 .4 , I --' f 1 i tt 4.}. 8L� ^KX> YO 1J, I L I { } r = t 1 • License Class - ' • - License No. f' r - - ; - 1 S Date' ! Signature _ i 'k� ,,, _. - r i 'PLUMBING .7 ) i 1 ,- -FEES , I i 1 .3 _ i I 'I 5 WORKERS'COMPENSATION DECLARATION ` ? r � Bar Sink ,. ; Showery - 1 1- _u ' f • I hereby affirm;thatjl have a certificate of consent to self-Insure oda certificate' 1 1_c` 1 4' 1. �� 'I v + ;ELECTRICAL ', i -I 'FEES rt ( of Workers' Compensation Insurance, or a certified. copyithereof (SIectio'_nyD i ! I , y y. 1 Backflow;Preventers Service Sink r , ( 38oq, Lao. DJ, I r ? (• -- 1 . - + 1 .Y s' AutomaLc,Washer i. Transformer's❑ 15 50 KW " I 1Policy - ' Company ' - 9 -' i _ lSe'wer`Cap Cv • > j ? -_ I .a I �' f i COnstructiomPole Sub ,•14_ ''I I ❑ 50+KW = �r, No: Com an Backflow Irri ati do e ._ Certified copy is•hereby furnished. I t i - y ' ' ' ' - - _ Certified copy is filed with:the city Building Division. ' .; f , Bathtubs_ , 1 , ' ; • ' Sewer Connection i c. .„ ..i I' • y ` Cooking'Unit• • ' , ' .. ; I • Meter; Opp' to 100 amps m .;I ''a Date' - Applicant - ' ' - - -- EXEMPTION FROM WORKERS'COMPENSATION'DECLARATION , L.'• v Clarifiers t, i . Solar Collectors; 1 ' ' 31 i-• 1 - Dishwasher '- - i . , Meter ❑over 100 amps ° # i•• • (This section need not be completed if the permit is for one hundred ($100)ar- •s - - - -' { less)s r s"CI _ Dishwasher` I. . , + f ^ _ . Solar Piping , "i ' 1 - . ; ; C-. i Dryers ❑Gas :❑Electric y Suh Panel . - I " i- i certify thatm in t ye person;in theanne,fso as to permit e t toTS 1anyanybecome ; Drinking iFouritains _ 'i LSOIer Tank j 1 _ '' - 1 MOtois ❑0 1 HP ❑114 8 4 - � Workers' Com Pensation Laws of California. 1 - t s $..:1• -'� '� _ - , - � •� .- -� I '' Date ' Signature i '"- 7t: ', Floor Drains - i - SwimmingPool w/S a' 1 •' I ]+ I '- I • • - nNOTICE:.If,.after.making-thisltleclaration, you shoultl.become.subject to-the p ' i u FtA,U 1 .. _;_ _ Inc.Solar ❑9.15 HP 01615+ I 'i Workers' Compensation provisions of the Labor Code, you must forthwith . , Floor Sinks ' 1 y Urinal • 3 • I; - 1. ' comply with such'provisions on this' permit 'shall •be deemed revoked. _ Fi%tures j I 1 -i Microwave. i ' 1 t] i I CONSTRUCTION' LENDING..AGENCY ' Y I . ' ' Gas Service 'Outlets 4 r Water Closet 1 1 ' 1 1 ' Device Bo+ies ' - I 1 I hereby affirm that there,is a construction lending agency for,the performance ' t ' . i _ ,{ Pole Light I /' ! of the work 'for which .lh's permit)_Is (sl9ued (Section 3097 Civ. C.) Li. };, I . . r, , I S Lend'er's Name --{•* GI I y IN/7 l L. t r Inte'rceptor5 • s,'f. 1 _ Waters Heater I _[ 6 - f 1 Outlets I !2. i Range i '. R I _ . I {. .Lender's Address- yno �. 4„•X_OX J1 i I 1 . . ' Kitchen Sink i + Water.Servicel - • -•I t-- - - n - - I_ .. _ OWNER BUILDER}DECLARATION 4 1 - Switches '-. -i--•' i Sign ,i.-r •--. —#-- ' ! I hereby affirm'that+Gam exempt from the Contractor's License;Law,for the ; Lavatories •-^'_ 7t t -I•-:- I Auto-Wash f I Garbage Disposal "^r Standing Sections ' �) r following reason (Section 7031.5 Business and Professional Code: Any city.'or "'_.i - county which requires a permit to construct;alter'improve,;demolish or repair P-Trap ' -,' y-' M X,• s Laundi Tra 5 I • I. Y• V Generator 00-5 KWl❑5.15 KW i ' t any structure, pria em Its issuance; a is equirethe applicant for such permit - - i Tfdsh Compactor I to file a signed statement that he/she Is licensed pursuant to the provisions:of '^ Roof Drains ^''�� the Contra'of-t License Law(Chapters(commencing with.Section 7000) of. r• ..• ` -••: 1 i• I ) , .�f..+3 1 - y ' k f{ ! r 1 '^therefr m'a nd)he•Busis for antl•Pregessiexemptio .o Any violation a •exempt•- r - - - - - - -,' r -- - - - _ . -- ' - --" -' - ' -- -' - - - --17031.5-b army a basis'for al permitof Section subjects the applicant to•a civil 1 enalty of not more than five hundred dollar$($500). i _ , • ' - • I, as owner of the, property or myemployees with wages as their sole Reinspection;Fee' $15 ` • Issue Fee i $•3 ' i i • ; . compensation,'will do the work,and the structure is not intended or offered _ 111 MECHA e + for tsale (Section,-7044,;Business and Professional Code: The Contractor's _ NICAL; + 'FEES ' Reinspection Fee _y $15 _ Issue Fe a $ 3 License;Law does'not'apply to an owner of a:property who builds or improves ' • - •` _ r thereon, and who does such work himself/herself or through his or her own , , ; 1 +•y ./ DEVELOPMENT SERVICES REO M I t employees, provided that such improvements are not intended or offered for 1 Boiler ; . • , , Hood or I Type I' ❑ ; i / wm: ' sale..n'thwever;the building or improvement is sold within one year of com- - Canopy Type I I ❑ -•'1 . I Zoning Approved Byi. �i-"-:r� Date �:✓� !�• • 'prove f;the owner will'ha le the burden)of proving he/she did not build or im- ; Duct-Under Ground ; L 1 , ! Building Approved By • •./i / e I' '' / - Date rprove for the purpose of$ale).• !_ • , - _ _ , _+ - -/��I' 1; rs o cons of it he.property, Se exclusively contracting with licensed con- •' Duct•-Structural �i Refrigeration System t I -i+i M 'Application Issued By •"'r 'S�'• Date /Th&Cont construct the project,(Ses on]044,Business antl•Profes pert code C • Theds ontractor'ves thnse Law does'not apply to an owner:of property:who. Duct-Ventilating • 1 ❑0-100,000 BTU;❑100,000 BTU ` I I _ '. _ '71 SU MA V.OF.FEES ., builds or',improves•thereon,antl.who'contracts•fdr such,projects with e•con- • tractor(s)eicense;pursuant to the Contractor's Cicense'Law)'. lam aware that ,. I „ BUIL-DING PERMIT $ �i.Z '�� :`$MIP i �Z•S�Z proof :of their.Worker.'s'Co open salon tins urn nce)shoultl:be provitled to me:, i Exhaust System-❑ Multiple D Syst¢m�Repair/Alterandn t c. i D +� • 1 .. $ i 1 "P" - t - t 'PLAN•CHECK ' - $_.S"T L�.%'•�- PERMIT'. 1.' I ❑;lam exempt under Section - - `B. & P.C.for this reason Firepl/Fact,BI UICBG# i - .Fire Dampers ' - I • i y. _ `- ISSUANCE $ �} _ _ J PLUMBING _' .-> $- 1 ; Dater I"�-{+�`�lwner -- - i Heating System.& Ducting. - Registers I - _, 1 4 i ENERGY P C •$_ i• PLAN CHECK sQ5% $ I hereby certify thet'I-have!read ithi pplica ion and state that the above ❑o-100000 BTU 0400,0006T _ I r a ' i t• ; .'GRADING, $•` I ' information is correct.-I agree to'comply with all city and county ordinances • V - - I. ELECTRICAL $;- - ' and'state'laws-relating"to building;construction and hereby authorize repre • I - . ' + c ..�� ' MICROFILM' '$,• sentatives;of this city to'+enter u.on1 the'above-mentioned-property..for• _ •'a '' N:,•i, . , -y i 1 . PLAN CHECK 50% $a ( (j• ; inspection purposes y . - 1 -z7 1`7 - 1 MECHANICAL, $ - •,TOTAL FEE :�•$, f t.0:4, Drivers' r S ' ' :- r• i Dr'i vers' License or 55 . • • • °-' ' Reinspection Fee • :. ''.$15 ' I v Issue Fee ^j $�3 '+ - PLAN CHECK 25%, $-- - i • j 1 CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor - I CONSTRUCTION AND-PLANNING ' . , `._> + POOL&SPA• ;: ^ / r 4 Date ' ' Inspector ! ---' • • ' I` T., I- ,' : .Date`• ! Inspector APPROVALS "Permit# I i APPROVALS Permit# t I r # • 11. ;Temporary Electrical Service or Pole • ' i 1 1; I 52. Pool & Equipment Location- •1 1 ; ' ' : . 'x 2. Soil Pipe-Undrgrnd 1..4 4 ' , ; i :.53. Steel Reinforcement' . 1 I, ; • I. r ' 'j 3. Electrical Conduit Utility-Undrgrnd, , • , ;, I . X54'. Forms : ' 1 1 ; , 4. Electrical Conduit . .'Undrgrnd , 1 . :55. Electrical Bonding ' , I ! I ` ., a. S Steel Reinforcement - 1 ' '56. Rough.Plumbing& Pressure-Test 1 • 1 ` ' • I -- 6. 6. ElectricalUFERGrnd.,F" 57 APPROVAL TO COVER-GUNITE! , I . .h 7. Footings ;/.4 iiiiiiic .0//-'x`87 58 Electrical Conduit-Undrgrnd:',i : _ ''+ ' 8. Foundation �.',:..`- . . - . . I ' •-- --59.- Gas Pipe,•0 UndrgrTest ; nd., i ., - - 9: Water Pipe-Undr'rntl: _ . ; -- _ - ' 60.. Backwash Lines, ,i0 P-TrapUndrgrnd. . ! 10. Structural Floor SYstem l of 9-) ode- ; i 61. APPROVAL TO DECK '...if...ifI I. i ' 11. Property Sewer Line & House Connection 62. Backwash'& Receptor-Final.;•''I1. n -12. Sewer Cap n • . j:, i ii i 63. Heater,& Vent:Final , 13. Roof Drains #I • - ' 64. Plumbing System - Final f '",' ' , 14.'Rough Plumbing - 65. Electrical-Final ! r r . - • 15. Rough Electrical-Conduit - 7 i 66. Solar System-Final - - I _ ' 16. Rough Electric Wiring - "" , ' ' •' 67.- Fencing &'Access Approval ! ! ' a.-a. •`, '•' - 17.'Rough Wiring Sign ' ' - - ''. 68. APPROVED FOR PLASTERING - "" ' - 18. Rough'Electrical-T•Ber Ceiling , -Jr- - - - 69. POOL/SPA SYSTEMS-FINAL ' . ' 19. Rough Heating & Air Conditioning ' , 1 ' I FIRE DEPT. REQUIREMENT ' • ' ' • - 20. Rough Factory Fifeplace , - APPROVALS Permit# 1 ' • ' _ 1 ' ' c i _ _ 21. Ducts:in Structure i i ' ' 70. Underground Hydro "V '..1 _ - - . ; t'-- - i 22. Ducts;Ventilating ' ' ' , : 71. Product Piping O.Gas OOiI"- ' • 1 - 1` - ' ' 1 23. Gas Pipe-Rough &Test Is . 72. Underground Flush •. • •,I - 24. Roof Framing • '. . . - 73. Undergrnd:Storage Tankr0 Gas 0 Oil - •, I . i 25. Roof Sheathing ' , ,, ' -Ili*. GjJ -74i,Overhead Hydro �: IV ' ii i. - 't', ' ' 26. T•Bar Ceiling (Structural) & Monocoat , . . 75:.Dry,Chemical , r i '. i! r - _ 27. Frame'and.Flashing '; - /�5�'y�-"� ‘,....__A-.1j6 Dry;Standprpe ". . ' 28. Lathing & Siding 1 2/e. (y1+ . 77. FIXED SYSTEM FINAL- : H i "- ' ..• 4 ' 29. Insulation , • ' ' 'y/i// i &,d 78. FIRE PREV..FINAL • _ .. ' • 30.. Drywall_Nailing ' , , ' ,et/! 7 4,;-i! , HEALTH DEPT. REQUIREMENT !°- ' .2 ' 31. Plaster Brown Coat, : , .Q L3/ti 6441/ 79. FINALiINSPECTION - • i 1. 4 32. ElectricalPowerMeter-Final • / 80. FOOD CERTIFICATE ISSUED - - -.. t.,-.. . • : 33. Final Electric' - -• Notes: ; . I t 34. Final'Heating & Air Conditioning , BOLD FOR SPECIAL 1ZEQUlI(J;W1x414a ' • it, ' ' 35. Final Gas Pipe-Testi Er/111 ti. 0k• TG WQAP EXI 1 4-44>' 36.;Hood or Canopy ! 37'Final Factory Fireplace ' • I 38? 'Final Plumbing -.i. - - - j • ' ' 39. Water Service-Final _ - . . rt - - '40. Ges.Service-Final .. r '' i f • -4i. Solar Domestic-Final. - 42. Backflow Preventer, - • - - / • , . . .'__ 143. Backflow Irrigation'-, '/ • . - . - - I,, - - %. •444t ,Landscape Irrigation System ' . - - ted' 45(-Sound Attenuation t ' - • ' . 46.4/Haridicap Regulations-" R. - ;' t - - _ . - - ' - . . '� • 47.)FINAL'STRUCTURE & BUILDING . 12113`„ -16:„..../ •' - , r) ' 48. Special Requirements Completed , I/ . 'b,75` , AA + ii , _ - :49:--Electric:Release to Edison / ,nn "" • 50. Gas-Release to Southern California Gas Co _ ' - ' . . - ,,. 51. CERTIFICATE OF OCCUPANCY ' • , No . - _ _ ?'Date - - - .. . • e INSULATION CERTIFICATION This is to certify that, in conformance with the current energy regulations (California Adminis- trative Code, Title 25, Stale of California') and approved plans, insulation has been installed in the building located at: • COSTA MESA , CA . ORANGE City Genet, . 2666/2627 ELDEN AVE . St Me. (I1 Ave l.ble) Sheet ..__ hee LM Rieke met Bg. • DESCRIPTION OF INSTALLATION • ROOFS Type of Material • Value"__— Manufacturer Thickness_- _R Value EXTERIOR WALLS Type of Malarial_ FIBER GLASS Mandfeetcrer CERTAINTE EDThickness 3-} R`Velue•• P 7 1 (o, Trade teems) CEILINGS Bins: BERS Type of Material_ FI—__...___GLA__._S——__ Manufacturer CERTAINTEEDThickness 64 R Yalue•• R 1 9 (Or Trade Memel Sq. ft. Covered______ BLOWN, Type of Material —_ Manufacturer . Thickness No.Begs_ • (d Trete Memo) Wt./Bag Sq. Ft. Covered R Vahan_ novas Type of+Material__ .______ Manufacturer Thickness R Value•"_ for Tilde Mem.) . _ SLAB ON GRADE Type of Material._ Manufacturer Thickness R Value•e` (0r Perla Meme) Width of Insulation _ Inches . FOUNDATION WALLS (If required) Type of Materiel Manufacturer • ThIeknes: R Value". (or Trade Memel REMARKS (If desired)_.._._... .._--____._-- • General Contractor (Builder) FLUTER DEVELOPMENT License Number By - title Date Sub-Contractor (Insulation Applicator) IIATCii 1.IUil1LATION license Number.36261t6 C7.2• (Inautall(m, Maeenrl. Ue) (Styli. ''SAME" II arms at Omani CmtnMr) By E . L HAS �;ite {� ` � Title owner DeteDECEMBER 14 , 1987 1•Cnnlmoe Adminbnob. Cods, trinity lm.iosi.n Slendord,, dedetot 1ACUrr hen ht. 11175 el Oho Mea1M end Safety Cede e1 the Stale • 'Cameliance. upon tesmpinilen el lb. Instellallen el Inrelellea, ar a,d o Celllornlei .rafting lima lit. Inrulellen Am boon Insiolled In conformance wilt Ike rpubemenit el they t.auleile,, elicit he m saol.hd and . .<ut.A hi "He arllanono le e .penre similar ewllemlbn Mcon.th at a amely e Inmletl.n nrNnl lae. end by Ite builds.. Mh a !,:,tenon camphene Omitted betel, mond, eserlmanl home, Aon. es .Mer mislassatal seri shell be paned site cononrsuens leeanen within the deellln.."1 dmilling Is Aebilebb shall be hued by Doh a bandied depeenenl -- - — sinless Ike oir.da s al least eell,nu M. mInlnrm eaf1 InulaliM 1••1 Volt. I. II.t m.nsur• el lb. ,.deters. of aet l nted e• building slender& labllihed prune, le Ihle chapter." componen/ to the p......el hen. Is. rmlebn. .ein lel of n .-type Insulations shell net Include any rely. ler .14clise taring.) CITY OF COSTA MESA • PARK FEES 0923 !/26/87' Fee Payment Receipt 001063 15981i94 TL Project Address .?.(aloin GL-be-N1 Mg A /f2,C7 b re i F,Gr NJ -IJ "C) Lx/1+1, JN A.P. Number 41 39 — z)-1 — l to 7 K? Building Permit Number • Owner's Name RUSS FI-,tiYE12 Mailing Address S f 0 -3O—° ST-' / MC- PDRT 6EAef4 f CA 9 Zta to 3 FEE: Single Family " 'Number of Units - 2-Bedrooms or Less _ @ $ 861.76 = 3-Bedrooms @ 1,205.67 = _ 4-Bedrooms _ @ 1,545.62 = 5-Bedrooms+ @ • 1,810.50 = . Multiple Family " Bachelor or Studio @ 474.37 = • 1-Bedroom - @ 573.18 = 2-Bedroom @ ' 881.51 = • 3-Bedrooms+ 13 @ 1,229.38 = I$./913/ •7 V • Total Fee "" /5) 98/• ?Li Planning Department\\Approval lDDate '226—$ By e /M✓>L /14.1811--. • .'� Applicant's SignatureV Slay, '-�'D�["IjT_ . • City Ordinance 72-44���111111•• City Ordinance 72-45 •City Resolution 78-116 qOTI'ylyr EN ICMF 0174-30,rev.7/85 White—Planning;Canary—Planning;Pink—Finance;Goldenrod—Applicant I I ,1 . • y •. . , s- •_ _F ' _Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. -, •!. sr-. r- _` f - - PERMIT NO. - TRACT NO. ' ,. LOT NO. I UNIT NO. , — -_I VVV , F I ' _ . { clrJoFcosraMe A /CONSTJJRU�CTION.PERMI'T • Project Address b ' ' .2 �� - - I . Applicant's Mailing Ad cess 3 . TYPE OF CONSTRUCTION ' ❑ NEW ❑ ADD ❑ ALTERATION ❑.REPAIR I- ! t i 1 --APR 29 1987 ` +/}'• .- ' • • •��j•�/6� ❑ CONVERSION ❑ DEMOLIS•H ❑ OTHER : ' _- _ f A•p•# -- ^- -, .1. - ' T;� I-- Owner's Name Phone DESCRIPTION OF WORK/USE OF BLDG. r -I�"" Address 1 S Main Building: , . i 1 Acpes g I• fSA 1 E - Ufft lir �.°QS 1{A • 1 Arch/Eng! License No. - • TYPE OF PERMIT ❑ GRADING FOUNDATION ❑ STRUCTURAL I ', i'T Front I ' i 1- _ 2 O Address 1 / ! %%// •• ❑ TENANT: ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear • N Contractor's Name dr / ' Phone e )� • ❑ .OTHER. .., C •- f- Y 1 - I Address Imailingl �SNI 3 ,yam PROJECT DESCRIPTION SQ :FT OCCUPANCY ,K - G U . ~ / : CONSTRUCTION TYPE VALUATION$ ' • City.License No. 3/27e9 I 1 1 Left _ 1 { - ' : ZONE ' - G RADING CU.YDS. ACRES' R 1 LICENSED CONTRA[ OR DECLARATION • Ping."Ref.�# n' Parking Req./Provided j E 1 Hereby affirm that am licensed under-provisions of Charter 9 (commencing Remarks: , '' B .y'• j U`� ✓o'��— I C 1 - s„ , Planning Notes: ` I . ! , I . M ^ with section 7000) of Division 3 of the Business and Professions Code, and' • , - •L • 1 my license is in fun fgXce an• of ecL lis-��i• •- ' .- — { 1 1 - - - S License Class C L' nse ' 0. • ']`7 !� nate "it�i j. gnature • � L, ty ' ' PLUMBING - . 1 I ,-FEES' ' 1 • 'NOR ERS'CO PEN avec cert D}/ARATION hereby affirm that have a cert ff'cate'of consent to self-insure ora certificate -• ' Bar Sink; .i / Showers1 - • _ V e , ;ELECTRICAL -• , r FEES ' "•• of Workers' Compensation Insurance, or alcertified copy thereof (Secy'o n Backflow Prevenier : Service Sink • - _ , ' . - - 1 - r ,. 3800, Lab. C.4 p 5 , . Automatic Washer Transfor Her ❑ 15 50 KW ' Policy No. `ot L2'cP ��b Company y "L"'C" Backflow Irrigation Sewer Cap ❑ SO+KW ' 1 • I �Certified Copy is hereby furnishetl. i i • • • DOn$trnctlOn Pole Sub.. _ Cer "ed c p A tiled with the city (ding DiyiSl ` Bathtubs Sewer Connection . 2 Od i- I ' Cooking Unit 1 : ' • ' Meter ❑up.to 100 amps: - ' Date Applicant T • • - - - - -- - ' EXEMP ION F WORKERS'C PENSATION DECLARATION ' Clarifiers, • _. I Solar Collectors'- L a •. - Dishwasher -- 1 ' 3 _ Meter Dover 100 amps '- I •(This section need not be complet f the permit is for one hundred ($100)or _ •,^ less). , Dishwasher_ • ' Solar Piping ,• r Cad'- . Dr ers-❑Gas :DElectric certify that in the - - - `�/ Y• - Sub Panel ' ', ' 1 - 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 te Drinking Fountains - - . ' Solar Tank • „ - • Fan - Moto - -0-1.HP ❑1/ 8- Workers' Compensation Laws of California. - - _ Date Signature Floor'Draine : I - - Swimming'Pool w/Spa', ' r , • F.A.0 ' -NOTICE: If;after making this-declaration,•you-should become-subject-to the • _— -- - . _ • c $Ola( ❑9.15 HP ❑1615+ , i Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - - Urinal 1 a - Fixtures - ! - i ! ' .l, comply with :such, provisions or this permit shall;be deemed.revoketl. ' • � . • ' Q Microwave :, - CONSTRUCTION LENDING AGENCY •,,. ' / 1 - ,�, Gas Service Outlets 5 1 Water Closet 1 ' , cov Device'eoxes ,n e• Al : 1 . I hereby affirm that there is a construction lending agency for.the performance ' - - V , ,f ' ! e Pole Light - • • I of the works for' which this permit is issued (Section '3097„Civ. C.) • .-I Interce tori 1 I Water Heater ^ iV'• P ' F }+ Lender's Name - ' - I p ( , .Y OD Outlets Pr / Range 'Y� I -LendersAddress • ' - -+ - - - I -` �- -q /, Kitchen-Sink-I- -- - - 1 --Water-Service, - . - ” • en) - Switches- - - -1 -''r - Si n.'- - '- - OWNER BUILDER DECLARATION b ! - v 9 I hereby affirm that I am exempt from the Contractor's License Law for the •• Lavatories Auto-Wash ( i Garbe e,Dis o 'r ' - ' following reason (Section 7031.5 Business and Professional Codei'Any city or [ • / ' - ! b ,9 P 4 .•j Standing Sections ' raj , 1 • county which requires a:permit to construct,alter,improve,demolish or repair P-Trap , Laundry Trays ! • Generator 5 KW 05-15 KW' _ :e' ' ' any structure, prior to its issuance, also requires the suant to the:'Such permit - .- yr Trash Compactor i -Y -._I to file a signed statement that he/she is licensed pursuant to.the,provisions of Roof Drains 4 - :� - the Contractor's Li ceosetaw (Chapter 9(commencing with Sec -is exempt of - , - .� 9 f • "_l 1 - Division-3 'of the Basiness'ane'Profed exe`Code) ar:that he/she is exempt- - - - - - -- - - - �P' . - rom 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 .- ' I - r I ' •' penalty of not more than five:hundred dollars ($500). ' ; s : : - - ' ' ❑ I, as owner of the property or my employees with wages as their sole • Reinspection Fee - I $15 Issue Fee $ 3 _ compensation, will do the work,and the structure is not intended or-offered . ' -- ' • Reinspection Fee • ! $15 Issue Fee I $ 3 for sale (Section 7044, Business-and*Professional Code: -The Contractor's • MECHANICAL FEES ' . License Law does not apply to an owner of a property who builds or improves _ - - _ - - - ,• • thereon, and who does such work himself/herself or through his or her own -i- ' ' I - Hood or 'DEVELOPMENT SERVICES/-REQUIREMENTS:-EQUIREMENTS" j • employees, provided that such improvements are not intended or offered for Boiler - Type I .❑ 1 t . - I - sale.,If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ , c. Zoning Approved By - ' Date " prove for, the owner will nave the burden of proving he/she did not build or Im- ; Duct-Under Ground ' ' Building Approved By - •Date ' prove rpose of sale): ;`•. ... ' ❑`I', as owner of the.property, am exclusively contracting'with licensed con- Duct-Structural . Refrigeration System ! 'Application Issued By . • I- Date 's 1 • tractors to construct the project (Section 7044, Business and Professions Code: - - ' The Contractor's License L, (does not apply to an owner of proper y',wh0 I Duct-Ventilating ❑0;1'00,000 BTU '0100,000 BTU - - ; SUMMARY OF FEES • builds or improves'thereon, and who contracts-for such-projects with a con - I - -q tractor(s)h¢ense•pursuant.to the Contractor's.License;Law). ram aware that Exhaust System'❑•. Multiple ❑ System Repair/Alteration - .. BUILDING PERMIT_ $ '.SMTP' $5 proof of.their Worker's Compensation',insurance should be provided to me. _ ' i - ' l.- r ..' " 1 - _ PLANCHECK ; $- - r - PERMIT' ^ 1 ' ❑.1 am exempt- under Section 'B:&,P.C.for this reason' Firepl/Fact.Bit. ICBG# Fire Dampers 1 - I -• PLUMBING . $ 33.00 - ISSUANCE • $ • Date Owner -' - : ` Heating System'& Du g. • _ Registers - ' ! PLAN CHECK 25% $' 1 1, � . ENERGY P C $ 1' I hereby certify: that I have.read'this application sand state that the above i ❑0.100;000 BTU 100,000 BT - r 1 - {,1 a 1 GRADING $ ry - , -information is correct. I agree to comply with all city and county ordinances- - _ ' ELECTRICAL ` S.and state state laws relating.to building construction, and hereby authorize repre- - _ , - PLAN CHECK 50% $• l'r • ' MICROFILM: .$•• ' •• sentatives• of is city. to enter upon the above-mentioned proeer y for. - ',, , -- . ; - L - - , in gnatuon.pyr�jppbs lyt�- �y ' MECHANICAL 1 1$ • 410, s•' -Signature f _ - Reinspection Fee; $15 ' Issue Fee . - '- $ 3 PLAN CHECK 25%. $ CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor . 'CONSTR UCTION AND PLANNING - ._._..' I - iY_' _'` POOL&SPA -='', �; •,e. ' ' ' ''' . -"I Date Inspector , •I ' I Date Inspector i APPROVALS Permit#. . APPROVALS Permit.# .. _ +- ' 1. Temporary Electrical Service or Pole ' I 1 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd., _ • .Skill �g :53. Steel Reinforcement i , •; I 3. Electrical Conduit Utility-Undrgrnd. „. . ; 54. Forms' ' ; •; . i , 4.- Electrical Conduit-Undrgrnd. • • , ' 55. Electrical Bonding , • 'r'` 5. Steel Reinforcement • -56. Rough Plumbing & Pressure Test: i • ( s I r57. APPROVALTO'COVER-GUNITE. ' ;. . „ 6. Electrical UFER Grntl. _ , 7. Footings , . ,; ' • ' • ! , ' ., . 58: Electrical Conduit-Undrgrnd. ' 8. Foundation '- . •- '.-' • - . "+` ' 59. Gas Pipe,"0-Undrgrnd.,Test ' 1 - :- : • ; • , 9. Water Pipe-Undrgrnd. -• 60. Backwash Lines,.P-Trap,,0 Undrgrnd. 1 ' 10. Structural Floor System ' •• • - 61. APPROVAL TO DECK : t i l '. 1,1. Property Sewer.Line & House Connection 1O,IC47 Leo 62. Backwash'& Receptor-Final) r I - , •i - 12. Sewer Cap - - 63. Heater & Vent-Final t I , 13. Roof Drains. - +/ , ' i - . 64. Plumbing System - Final. i , . 14. Rough Plumbing ' • -• , 7/29x71' ' 65. Electrical-Final l . ' 15. Rough Electrical-Conduit '.' -{ . 1 66: Solar System-Final + - I ; ,t • 16. Rough Electric Wirin : gf ; ', ! i ' - -67. Fencing &'AccessApproval - - --`: 17. Rough Wiring Sign ._ " -^ • ' - ' , ', 68."APPROVED FOR'PLASTERING , .. 18: Rough Electrical-T Bar c,., r,...,'. 69. POOL/SPA SYSTEMS FINAL : • 19. Rough Heating& Air Conditioning ` + . ' ' FIRE DEPT. REQUIREMENT ' 20. Rough Factory Fireplace + APPROVALS Permit e ' : •_ _+: 21. Ducts; in Structure - ;' 70. Underground Hydro . • ' 22. Ducts,' Ventilating':- : , • i� • 71. Product Piping 0 Gas 0 Oil . - 23. Gas Pipe-Rough&Jest. 72. Underground Flush , • 24. Roof Framing. . - -73. Undergmd.Storage Tank 0 Gas 00il :, . 25. Roof Sheathing . ' . ' 74. Overhead Hydro i ' 26: T-Bar Ceiling (Structural),& Moriocoat 75.- Dry Chemical r , f' . „ • 27: Frame andFlashing - •- • t T,+ ..-_-...1. a. 76. Dry Standpipe -''. •• : ' 28. Lathing & Siding 77. :FIXED SYSTEM FINAL : 1 . 29: Insulation _ 78. FIRE PREV. FINAL - I li 30: Drywall Nailing; P ' ' - HEALTH DEPT. REQUIREMENT 31 i Plaster Brown Coat - - ' 79. FINAL INSPECTION . '_i i - 32. ElectricalPower Meter-Final , ' - - , - . -80:: FOOD CERTIFICATE ISSUED ., • I, 33. Final Electric - Note's: , ' - I ` 34. Final Heating & Air`Conditioning 35. Final Gas'Pipe-Test i ' 36:,Hood or Canopy .._ - - 37 Final Factory Fireplace - • ,/• ,i., _ i-1' 38. Final Plumbing • /7/9/r74791:- l/ 91 _• - f " •. j 39. Water Service-Final • _ + /B•�610 L48 ._ " • _ •L 440. Gas Service-Final .; - - .41. Solar Domestic-Final;- 1�42. Backflow Preventer' -• . I ' " i -- .. . , . . 43:".Backflow Irrigation" - X44. Landscape Irrigation Systeme • �, - ;{ ' ;. ;�" � ': " 45. Sound Attenuation . • - - : 'r- ` ' . . _ ,. , 111 46. Handicap Regulations - - _ -, .A 4,,,.•_ 47. FINAL STRUCTURE &.BUILDING • '- • - - : rtr, a'•. - -- . • . 1 , . • • • 48 'Special Requirement,•Completed ;;,: - r«� - -•4 - - - 49.•Electric Release to Edison - _ - !. 50.!Gas Release to Southern,California Gas Co - ` . ' .51. CERTIFICATE OF OCCUPANCY : - . • • • . . . .. : No. Date - , ' _ _ _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - CITY OF COSTA MESA/' /CONSTRg,T,J/CnN:PER MIT 41 PERMIT . g� .TRACT NO LOT NO: +UNIT NO • . 1 •+ M1E _e 4 ' • Project Address LSC (SJ'P �K�LG/ r !/ ! I Y '. ; _ Applicants Mailing Address �� 7 TYPE OF CONSTRUCTION I ❑ NEW U•ADD U ALTERATION U REPAIR ADD U 1007 - • G/4i� ❑ CONVERSION, ❑ DEMOLISH ❑ OTHER A.P.# : Zone Owner's Name e•1 = '" - Phone '-TT O, �> � • DESCRIPTION;OE WORK/USE OF BLDG.. • Address 1 - j ; " ! S Main Building: s�'hµ$ulldin9: • , I ' - , 'E CIIY (ii Com., 1 %) Z Arch/Eng. - 1 License�No. TYPE OF PERMIT . ❑ GRADING in"'FOUNDATION ❑ STRUCTURAL "T Front • . 0 Address• ! j I/.• �/' I ❑ TENANT ❑ ELECTRICAL, 11d PLUMBING ❑ MECHANICAL - ',A Rear • N t Contractor's Name • . , �� ' Phone 6 '6 �/� " ❑ OTHER. 1 ! - + - C Ri ht.- --- .. 'N - c� 1 PROJECT DESCRIPTION SQ. FT. - OCCUPANCY K 9 - G Address(mailing) /l739'('� + CON STRUCTIONTVPE ' VALUATION $ .• - !$ Left ^ City License No. 3/ p"�2^ ZONE I - I • GRADING CU.YDS. ACRES • Pln Ref. # •i j Parking Req./Provided E LICENSED CONTRACTOR DECLARATION - 1 9 I I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ' - _ 0 B _.. .�7D rl I - I Planning Notes: I ,- • • , M with,section 7000) of Division 3 of the Business and Professions Code, and p•- - - - -. -- mY license is Inc fore; ntl effect. t,y+ ��^ • I I .� -• + I 1 - - • ) I• + r - • r t I • ' S Licen Sese CIa51�fr�d 4,1:t.-1--4 O + • y r Date e g ature .. 1 r • ,PLUMBING - -I FEES• - + s - WORK S'COM NSATION DETION I ! , , gar Sink' J ' Showers �I P i hereby affirm thatll have a certifionsent to selftinsure or,a certificate ( ` U, , I ELECTRICAL i ,F,. ' FEES ' of Workers' Compensation Insurance, or aicertified copy:thereof (Sectio - - _ I ' ' L�e r , Backflow Preventer e • Service Sink , l .. [1j - _ 3800, Lao. C,j,. _�� r-.-sA-� ler/. - Automatic Washer j Transformer"❑ 15-50 KW Policy No. /1-42•2"•4C6.2 ' Company �jG6r� -Y i Backflow Irrigation • p - - ` Consbuction•Pole Sub - ! Certified copy is'hereby furnished. • Ceyyl1 dietl c Is filed with the city By+/di♦9 D' a r-,).L / Bathtubs - Sewer Connection O.1' Cooking Unit ! I<„ - Meter ❑u'p to 100 amps' : ) • - 0. e` ,'M W6 APplicant ! -s.LARATIIO 1 Clarifiers I s 1 1. t , \ EXEM T need no W�KE RS'C the NSATI DECLARATION.( _. 11 Solar'Collectors - t Dishwasher •'= s • - Meter ❑OveC100 amps f les )(Thissection not be complet permit Is for one hundred ($100) or / n��'� less). I + L ' Dishwasher,• Solar Piping - i -_ - a ,l�11._ +i Dryers ❑Gas 1❑Electnc Sub Pane:i • i I certify that in the performance of the-worr for which this permit ise issued, I - - _ s III - 1 shall not employ any person in any manner so as to become subject to the • I Drinkiog,Fountains - . ' • . . Solar Tank 1 • I I I` • I •y Workers' Compensation Lawslof California-,t I - - _ _ Fan I - j. _ ' • ' Motors ❑0-1 HP ❑1'/z 8 .,, • 1 Date Signature • Floor Drains • � Swimming'Pool w/Spa •• • 4. I " - F A.0 ' - -NOTICE: If,after-making-this-declaration, you should.become subject to the-- — - _ -, Inc'.Solar �:-15 HE'D16-15+; Workers' Compensation .provisions of the Labor.Code, you must forthwith Floor Sinks : r - Urinal i ' comply with such, provisions or. this - Fixtures 1 i /; permit shall be . . • 'revoked. • ' ! yl Micr. �.ve' CONSTRUCTION LENDING AGENCY • 'Ir' •-p4 Gas Service j Outlets `3 Water Closet ea 1 Y rw,) I hereby affirm that there is a construction lending agency for the performance '' 9f/ Device;oxes I Le J7 'ole Light) j q - + , I of the-work for'which this .permit is issued (Sectiontp3097.Civ. C.) • g S + ater Heater1 r 1 . — • 'Lender's 'Name _' •i . Interceptor 'I �/ W • 1 '2 09 Outlets",I (% '. Range l"' ) r -Lender:s Address . ' . - - - " " - ' -I -` Kitchen Sink ' - - 4. •-/ ' Water-Service-- - -- - - Y as .. Switches . - - - - - - •- - -- • ' OWNER BUILDER DECLARATION I 1 't s'71- . - ' ¢� _., Sign I hereby affirm that I am exempt from the Contractor's License,Law for the �; G.•l Lavatories ' I . Auto-Wash - • II p �� .1 Garb2 ¢;OIs Osal "�' ' - foliowing.reason (Section 7031.5 Business and Professional Code: Any city or ( •• - /• g p +". y y Standing Sections „*j - r ' - county which requires a permit to construct;alter,improve,'demolish or repair _.' , P-Trap ' ' Laundr 'Tra s - - e any structure,'prior to its issuance, also requires the applicant,for such permit - y y - Generatori❑0-5 K' •■5-15 KW: �, Trash Compactor ...-4. 4 -to file a signed statement that he/she is licensed pursuant to-the provisions of • ,,,. I Roof Drains ' the Contractor's License Law (Chapter 9(commencing with Sections7000) of I - +. !- Division '3 'of,the Business and Professions Code)"or,that:he/she is exempt ' I - I 1 - •' -- - - - -- - ---- - . therefrom and the basis',for the alleged exemption. Any violation of Section I i • ♦ 1 - , - 7031.5 by any applicant for a permit subjects the applicant to a civil t • I 1 t ` - ' penalty of not.more than five hundred dollars($500). • : -I ,• I •- • . + • 1 -s , , , '❑ I; as owner of.the property or my employees with wages as their sole Reinspection Fee ' 1' $15 1 •. I ' Issue Fee - S. 3 • - - , compensation;will do the work,and the structure is not intended or offered 111 '' for.sale (Section'7044. Business and-Professional Code: The l Contractor's , I MECHANICAL 1 I- =FEES. Reinspection Fee n� $15 Issue Fee-, $ 3 ' License Law does not-apply to an owner of a property who builds or improves _ _ ' _ - • thereon, and who does such work himself/herself or through his or her own . - , f. -DEVELOPMENT SERVICES:REQUIREMENTS: - • • • employees, provided that such improvements are not intended or offered for Boiler - ' 1 1' ;Hood or • Type I •j❑" 1 - I 1 + i , _ . I • i ' - I ' sale. If, however;the building or improvement is sold within one year of com- - - - - -- Canopy Type II 0 'Zoning Approved By 'Date ' • ' ,pietion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground t l gUilding Approved By 'Data 'prove for the purpose of sale). - ❑ i, as owner of the property, am exclusively contractingwith licensed con- f Duct-Structural ' . I Refrigeration System - [Application Issued By d e • - - "'.a- ' tractors to construct the project (Section 7044,.Business and Professions•Code: - " Data The:Contractor's License Law,does not apply-to an owner of property who ❑0-100,000'6 U ❑100,000 BTU - • _ ' builds;or,improves thereon, and who contracts for-such-projects with a con- _Duct-Ventilating + v I •_ SUMMARY OF FEES ; tractor(s1'licensepursua nt to the Contractor's,License Law): L ain.aware.that Exhaust System •❑ .Multiple 0 �Syste epair/A lteratlon I • BUILDING PERMIT $; ' SMTP 1 $J 1 • ' proof of their Worker's Compensation insurance should'be provided to me. _ -PLAN CHECK $ t# ' ''PERMIT ' ' " ❑"1 am exempt under Section ' - ' ' B1& P:C for this reason. T. Firepl/Fact.Blt. ICBG# -• ire!Dampers • '1 4 - - - - - - ' PLUMBING : - ' .+ $ :,3�37r OU - ISSUANCE !Sc. l - + - _ Heating9. 9 • - I PLAN"CHECK 25% $ - • /r 1 .. .C. ; ' -CONSTRUCTIONAND,PLANNING _ �,-,,,�. - I'._. POOL& SPA• - 'APPROVALS. Permit# ' - .Date Inspector] APPROVALS Permit 1 Date Inspector 1.;Temporary Electrical Service or Pole • ' • 52. Pool & Equipment Location '- 2. Soil Pipe Undrgrnd ' , i - 5/en ;err ' 53. Steel Reinforcement' ; : ; ' ' 1 _ 54: Forms' ..14 3. Electrical Conduit Utility-Undrgrnd: f r , _ , . . 4. Electrical Conduit-Undrgrnd. '- . . • . • 55. Electrical Bonding ' r - 5: Steel Reinforcement • . 1 , ;56. RoughPlumbing & Pressure Test , - , I 6. Electrical UFER Grnd.• , i ' _ 57. 'APPROVALTO;COVER-GUNITE: ' ' - ' ' • ' 7. Footings I ....I - ' ,./1. 58. Electrical Conduit-Undrgrnd. '. ,, : • 8. Foundation °'. - ' ,' - 59. Gas Pipe;0-Undrgrnd.,Test - • 9. Water Pipe-Undrgrnd. ' .r - oer ' 60-,Backwash(Lines;P-Trap,,0 Undrgrnd. 10. Structural Floor System . „ t- ; .I , , 61. APPROVACTO,DECK ! ' ' - , !II. Property Sewer,Line10,46,„10,46,„& Hous& onnection, ' keep' ' 62. Backwash St Receptor-Final ' 12. Sewer Cap _ ' 63. Heater& Vent-Final • ' 13: Roof Drains . - 64. Plumbing System - Final t , , ,. , • 14. Rough Plumbing - i 65. Electrical-Final • 15: Rough Electrical-Conduit - . ` : ' I • , ::66.- Solar System-Final : - , 1 ' - ., 16. Rough Electric Wiring : - . " ' 67. Fen-Cin-g& Access Approval, ' i-' - ' I :"17: Rough"Wiring Sign -- ' - ' ' ''•- ; 68 APIROVED FOR PLASTERING . •• .. . 18: Rough Electrical-T Bar-Ceiling-A' i ,n . (t1 (tl1� 69. POOL/SP.A SYSTEMS FINAL . 19. Rough Heating & Air Conditioning - •• , ' ' : • ! FIRE DEPT. REQUIREMENT - .=.' z., 20'..-Rough Factory Fireplace '• APPROVALS I P• ermit# '' ' - •_ 21. Ducts;inStructure - 70. Underground Hydro - 22. Ducts, Ventilating iO. ' i ' ' •71. Product Piping 0 Gas Oil ! -. c . . ` • `23. Gas Pipe-Rough &.Test 72..Underground Flush ' 24! Roof Framing: 4 _ _. - . , 73. Undergind.Storage Tank 0 Gas 0 Oil • 25 Roof Sheathing 74;Overhead Hydro • - 26: T-Bar Ceiling (Structural) &_Monocoat ` • , -,75. Dry,Chemical' . I ' ...: 27: Frame and Flashing , µ, .� -- - . ?'i.' f9S;,, i 76. Dry Standpipe 1.4, I A / 28. Lathing & Siding: , • ; -T • • . , ' 77-- FIXED SYSTEM FINAL 1, • 29. Insulation , 78• . FIRE PREV. FINAL : ' •• 30. Drywall.Nalling HEALTH DEPT. REQUIREMENT - 31!Plaster Brown Coat' . . ' 79. FINAL INSPECTION 32. Electrical Power Meter-.Final ' • • ' -.. 80.:FOOD CERTIFICATE ISSUED '. : ; - _ . /-1 . . • • !33: Final Electric '• ' .. ' Notes: ' - 1 i . • • 34. Final Heating & Air Conditioning , `• : ' , ', _ , 35} Final Gas Pipe-Test "• : t , 36. Hood or Canopy , • _ - - ,- /1 , • '37. Final Factory Fireplace 'f • v C .r!4,y,' 38:: Final'Plumbing / ,//'j4/ %1�G' ' - .:i', e : - , ., - r r ' • 39. 'Water Service-Final .. - •10's 17 LED, . _ • ' ' •• ���{ ' •' ._ .' -40. GasService,Final ).21I • • '141 . Solarpomestic-Final. - ' �t.' ' • , • ,42. Backflow Preventer ' - _• _ . - r;• _ - v43". Backflow Irrigation.. . . - "'' - '�, , 44. .Landscape Irrigation System • - " • ' I '45. Sound Attenuation. - ' i, • - - � i, '.- I' . . 46. Handicap Regulations ' . • - 't' - - 47. 'FINAL STRUCTURE&BUI LDING:. ri 48..;-Special Requirements Completed' • r i. . , 49. Electric Release to Edison:, - .50. Gas Release to Southern California Gas Co - - f; ' ,51.,CERTIFICATEOF OCCUPANCY . . • .. . . - '. . - .. - , NO.- - Date - - \ , '. • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT o(IA:524402-- P NO. 43 U TRACT NO. j LOT NO. UNIT NO. 1 I f i , I i t , 2666 ELDEN AVENUE '‘▪ fieri tl If a I� 8-7� { Ii j . I i 2a23 •( 77C17?7 I ( Project Address f r 1 ( . f 1 i I,37e Qi: IL - • - I • i 14171 CHAMBERS ROAD, 'TUSTIN SPE OFCONSTRUCTION i NEW UiADD H ALTERATION Li REPAIR. 1 Applicant's Mailing Address ❑ CONVERSION ❑,DEMSH E OTHER Ap # • _ a 1 Zone FLUTER DEVELOPMENT ' 637-3-77 ' Owner's Name' Pho▪ne • DESCRIPTION OF WORK/USE'OF BLDG.f"" `�-•'�"f" '7 - - "" "" • Address 510' 30TH ST,• NEWPORT BEACH,• CA' • 1 • 1 f • • I i' 'S Main Building: , ' ' : Accessory Building; , • • Arch/Eng: I License•No. ' I , TYPE OF PERMIT U GRADING ❑ FOUNDATIO ❑ STRUCTURAL f T Front ,• . 1 II 1 I ` ZO 4 ' ' PLUMBING MECHANICAL • 'B Rear ' • ' N Address - ❑ TENANT ❑ ELECTRICAL ❑ Contractor's Name + SIERRA FIREPLACE D;retie . : '832-6862 ❑ OTHER 1 "' - 1 ) , 'A 1 - • - - I • 14171 CHAMBERS RD, TUSTIN, CA 92683P ROJECT DESCRIPTION r50.'FT. _ ' OCCUPANCY K Right•ho G Address(mailingl! --- ICON ST RUCTIONTY PE VALUATION$ '$ , ( 1 Z21,9.5‘..° Left , ca City.License No. /p2`�� 1 • -j , 1 f R ZONE ' GRADING CU.YDS!' ' • ACRES pin Ref.,# ° • I ' Parkin / LICENSED CONTRACTOR DECLARATION • ' i ' - I- g g Req./Provided E ' I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: (J /� 7� S-"-` • Q with,section 7000) of Division 3 of the Business and Professions Code, and '•e•T' ,V Z- Z i L - _ ,_ Planning Noter: I I _ 1 I 1 'M 1 - _: , , I ' 1 , _i . '1 t - _ 1 . I 1 T my license is in full force and effect. ' yj License Class • • / List'se ,o. I I - _ - S V Date' •. .8 ure • %"/L(-/U 1' F 1 /; PLUMBING - . . . : FEES! 1 i _ ' _ i • WORKERS' COMPENSATION D ARATION • Bar Sink l • ,- ' - . Showers; - i _ _ ; I 1,,y ELECTRICAL . . j ( - , • FEES ,hereby eafr firm that:l have a certificate of consent to Self-insure or-a certificate • f I _ i , .. - I _ _ r of Workers' Compensation Insurance, or a certified copy thereof.(Section - - ' -, , , - .I , Backflow Preventer _ Service Sink !- r i „ Automatic Washer, y ;!", " •Transformer ❑ 15 50 KW I ,;. 3800, Lao. CJ r _ I (, 1 •' Policy No • 73W0003R97QQQ$any NATTONWTDF •MIITUA)L ; Backflow Irrigation t - •• Sewer Ca ' YD 50+ KW' 1 �fI Certified'copy islhereby furnished: I • ' ' ,1 - - p-` ��? • '1 ' '` COnSVUCIIOTP0 eSub i , -, F1 5 i �yd Certified copy ii filed'wi,tnh,the city ulldmg DrvI Bathtubs - -- - "Sewer Connection , , 1 ' Cooking Unit "N Meter ❑op to 100 amps: 1 - Date I 7/1 FlPailicant ...W.,--fit / • + - - • - ' -1 • Clarifiers - I EXEMPTION FROM WORKERS' ,1P permitO . ION I C ,,, r,1 Solar Collectors') , L - Dishwasher I 1 , - Meter ❑Over 100 amps ' (This section need not be completed if the is for one hundred ($100)or _ , -' 'el t .1 Dishwasher- -•1 - I . - I - i Solar piping - 1 Dryers ❑Gas "�Electnc - Sub Panel 7 certify that in the performance of the annex or which this petm)bis issued"I .. - - -, _ -- - - - - - .t , 1 shall not employ any personlin manned so as to become subject to the • Dririkingl,Founteins ' - t Solar Tank - I ; I Fan t Workers' Compensation Laws'of California. ' • • J - I i Motors ❑0-1 HP ❑1Y-8 I Date: Signature ' Floor:Drains `t• f I V t 'Swim.muig Pool w/Spa j f •"•' .>. t ' ;s C' r,. 1 t NOTICE: If,after making this.declaration, you should become subject to the — _ - - _ • is F A'U f. "" ' '= 1 Inc.Solar D915 HP,❑16-15+i _ Workers•"Compensation provisions of the Labor Code, you.must'forthwith - Floor Sinki Urinal I , Fixtures - - > - - t comply'with such: provisions or, this permit shall •be deemed revoked. - M• icrowave' , I • CONSTRUCTION LENDING..AGENCY I '',;j ' Gas:Service Outlets , :Water Closet • • ' i 1 I hereby affirm that there is a construction lending agency for the performance ' t { . , +'Y ; Device Boxes • . s Pole Light' - of the work for which this permit is issued (Section 309] Cie':C.) Water Heater ' • • ' Lender's Name - ^' Interceptors 1 , .+f� ' • Outlets Range I • 1 witch { _ _Lender's Address ' I _ _-., I _.I _ r _T _ ,—Kitchen Sink _ _, ._. . ," _. „ ',Water Service; .._ ,Ir _ -, es ' -_ - I. OWNER BUILDER 6Eal_WAATION 1 - ' I _ •' - S - - 1 I hereby.affirm that I am exempt;from:the Contractor's License Law;for the I Lavatories. , : • Auto-Wash ./t Garbage Disposal'I' following reason (Section 7031.5 Business and Professional Code: Any'city'or 1 _ - g P .. Standing Sections ' 1 county.which requires a permit to construct;alter;improve,demolish or,repair p-Trap ' , f Laundr Tra s _ v"' ' • - , - 4 any structure, prior,to its issuance, also requires the applicant for such:permit Laundry.Trays Y. Generator.❑0-5 KW Ds-15 KW 'Trash Compactor 'l •to file a signed statement that he/she is licensed pursuant to the provisions of ROOF Drains ' ' 1 • ' - - -.?$• • • the Contractor's License Law(Chapter 9 (commencing with Section 7000) of I ' , 1 Division 3-of-the Business and.Professions Code).or that,he/she_is exempt_ - _ __.'-_ -_._ � -k. ._ „ +,_ . :, , • therefrom and,the basis for the alleged exemption. Any violation of Section r I _ ' - � , 7031.5 by any applicant for a permit subjects the applicant to'a civil I - • 4 •` enalty of not more than five hundred dollars($500). ' • I • , . . ' ' 1 1 - . I' : penalty as' owner of the.property or myemployeeswith wages as their sole - Reinspection Fee; I. $15 .. Issue Fee ( S.3 1 1 I compensation, will do-sthe work,and the structure is not intended or:offered I. Reinspection Fee' >'! $15 o Issue Fee $ 3 .for sale (Section-7044,,Business'and 'Professional Code: The Contractor's v 1 : MECHANICAL, 1 FEES ''' License;Law does not apply to an owner of a.property who builds or improves _ -' - - ; I , thereon, and who does such work himself/herself or through his or her own -, - f 'DEVELOPMENT SERVICES REQUIREMENTS:., employees, provided that such improvements are not intended or offered for Boiler -( - .Hood Or Type I ❑ I• , • -. . , .. ,.sale. If, however,-the building or improvement is sold within one year of mm- Canopy : Type II ,❑ I' I :1 ,Zoning Approved By • I Date .pleLon,rt he owner will have the burden of proving M1e/she did not build or im- 1 Duct:Under Ground - • • - ' Building Approved By j _ �/µ /C ' Data - `7 prove for the purpose of sale). • _ �•,� v / '❑ I, as owner,of ct the ,am exclusively contracting with'licensedcon- Duct-Structural Refrigeration System - - Application Issued By - - Date-- trhe coto construct the project (Section 7044,Business aner of s Code: , I• _ The,Contractor's' License Law'does'not apply,to an owner of property who • _ Duct-Ventilating , t , ❑0-1100,000 BTU 0100 000 BTU ' . J f SUMMARY OF FEES y I builds:or;improves'thereon;and who contracts for such projects with a•con- _ . - - - • tractors) ucense:pursuant to the Contractor:s License Law). I•am aware that ❑ "- : BUI LDING'PERMIT- $. ",SMIP ' ^. I$` proof'of their Workers)Compensation•insurance should be provided to me. Exhaust System„ Multipled �Sys[em_R epair/Alteration t•+ 1 .' I - - - - - 1 PLAN'CHECK $' 'PERMIT ❑;I am'exempt untlerLSectian ' ' , 1 B:& P.C.for this reason' �'Z' 'Firepl/Fact,BR.,'ICBO# �y'i{iu j Fire,Damper5 : 00• :. .. ... _ .. - JJ'"" � P.LLMBING ' ,$' ISSUANCE $:1.:', Date 4 - *4- Owner ' " , Heating System:& Ducting....,-- . • Registers• _ - r•- I PLAN CHECK, 25% t$, ' ENERGY P.CJ $ 'I hereby Certify_that''-I have read:this application and state that the above I C DO-100,000'BTU 0100,00067E , - -- .. t GRADING ' -• informationis correct:-1 agree to comply with all'city and county ordinances' - - - ' ' t t I - - ' 1 ELECTRICAL $: - - _ '$ _. and state Iawstrelating.to building construction,and hereby authorize repre- - - - . , - - ) _ i_ r MICROFILM' ,$ 'a ' > - I .PLAN CHECK .50% $- •sentatives oP this city' to enter upon the above-mentioned pro rty for I - - ' - -Inspection purposes: - - - - - • MECHANICAL • "`s I$- I�' �� '` ' TOTAL FEE $ 73 g�' emil .Si9nat ure; •.'JLPO-� «� Date._/ /�/- - N • _ , t Drivers' Li con or SS/ 2' Reinspection Fee ,-$15:? Issue Fee - , -"$F 3' , t PLAN 'y 25% •$,. - �i'�Cr'Q' r' • ■ assi al. a CMF 0865=46,'revn0/84- White -"Building; Denary.'Applicant;Pink -"Accounting; Goldenrod - Assessor - 4' -' - —" " - - "- "` __ { . ; ,- ... '... -_ «POO L&SPAT. -w_ CONSTRUCTION AND PLANNING:, .1 _ ' ..' ._ - f_.;. - 44 st V - ! ` Date •1 :Inspector f ' a r' ' '1 1 -Date - Inspector APPROVALS PermitY# ' • *APPROVALS Permit# - 1 1 Temporary Electrical Service or Pole 1 ' ( 52 Pool &'Equipment Location! : i 14, j i ' _ 2. Soil Pipe-Undrgrnd. ••". -• i .1 I ` 53• . Steel Reinforcement e . i * I` � 3. Electrical,Conduit Utility-Undrgrnd. ' i 54. Forms •.:; it { 4..Electrical Conduit-Undrgrnd. . } , • .55.:Electrica l_Bonding { ' , '• ' • 5. Steel Reinforcement; - • t .56.Rough Plumbing & Pressure Test 1. ' 1 . , i= 6. Electrical UFER Grnd:'1.', I ' I ' - _57 • APPROVAL TO COVER`GUNITE + 1' `,7. Footings ; 1 I I _ 58:, Electrical Conduit-Undrgrnd. , , • ' 8. Foundation - - ' a-j - •-- 59. Gas:Pipe: El•Und r•grnd.,Test; • , e- 4:S. Water Pipe-Undrgrrid., .. F- . .. , {• --i - i - -60. -Backwash Lines,•P-Trap, O'Undrgrnd. i I, I .12. Structural Floor System ; -" • 1 7 « - 1 61. APPROVAL TO DECK f i I ' J. z'11. Property Sewer line,& House'Connection • • ' : • 62. Backwash & Receptor"-Final ! • • ' 112. Sewer Cap :,r' r i I • , 63. Heater & Vent-Final ' ( I ' 13.•Roof lDrains.. • ' - ' I 1 ' .: 64. Plumbing System!- Final I y 14.'Rough Plumbing. ._ - : ' I i .65•. Electrical-Finl-, t (i '� , , 4 I I : , Applicant to fill in all spaces except,those within heavy border lines and sign all appropriate declarations. {� I - PERA5 NO. 1 !TRACT NO. : LOT NO: UNIT _! t i - w� • _ ' t ,-v CITYOF 'CONSTRU�C7TI•�O�NiP�ERMIT ' "fj/� as l�', , - t - : j r 1=F� •' 7/!_/.;i { E.a:_ T- Project Address :26)1171._D ' a•+aeJ /1 It I 7 ❑ REPAIR I - ` 1 ' 4 , ' TVPE•OF CONSTRUCTION" ❑ NEW ❑.ADD H ALTERATION 1. Applicant'ts Mailing Address? ' • i , 1 , /} 7�ry� • , ' • , ❑ CONVERSION ❑ DEMOLISH ❑ OTHER I A.P.11`- ; i Zdne + 4 - • - Om:ner'sName I 1 /2-1�F/( Phone - - - - -- 1 I DESCRIPTION OF,WORK/USEO,F BLDG. •I ' - 421`e> , Address - I I • 1 ' ' I t S Main Building: t - i :Accessory Building: • Arch/Eng.- - • I License No. TYPE OF PERMIT 10 GRADING ❑ FOUNDATION ❑ STRUCTURAL �T Front; ( ; ; I . ' _ Z • 4 { • ' ' ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING g MECHANICAL I i 0 Address • - ! ��/�C �0•.y� ' - �/j�/' I.•s•� 1 I 'B Rear j, i ! I I - N • Contractor's'Name ' �5•N • trio IWN'# Phone" g9ZV//I ❑'OTHERTI C• ' ` Y IA i .__ - I i ! , PROJECT DESCRIPTION 50.+FT. f i OCCUPANCY K , G Address!mailing) / 3JI �✓�L' -F �� Left t i 2��5�. I I CONSTRUCTION:TYPE VALUATIONS ' r ',$ _� • : , i City'License No. ZONE . y GRADING CU.YDS' ACRES, Ping. Ref.# .`"f I • R • LICENSED CONTRACTOR DECLARATION , 1 I ' _- i , r : r 9 „ , Parking'Req./Provided . , 1 E 1 hereby affirm that•I em licensed under,provisions of Charter 9 (commencing . ' Remarks: , 't ' Z 7 iY is., 1 1 ! ( _ I i . Planning Notes." j ' • 1 s ' { ; Q. with section 7000)jof Division 3 of the Business and'Professions Code, and V J my license is in full f0 an effect. ,{ _ I • » 4 t ' 1 " i ` y , ' t i , T Licens Clas • License No, S • ' Date Signature 1 - , 1 , D ;PLUMBING -FEES; `., ! , - _ ' I•^ -_'` WORKERS'COMPENSATION DECLARATION I - — _ - I - _ - , • BarSink; -1 . j Showers l - ,1 I ' "� I ELECTRICAL- • :,i ! FEES z.i •hereby affirm that I.have a certificate of consent to self-insure er,a certificate : - +,. 1 . . '_ „ I a of Workers' Compensation 'Insurance, or alcertifietl copy,thereof (Section I 1 - ' Service Smk i • , >i' I - I' 3800, Lao. CA, I • v Backflow Preventer. - IN. : Automatic Washer- , _ Transformer"❑ 15 50 KW,;' l .• -• •.f . '1 pppplllone,/ No. cocosy�3 •Company I '/Ate /la � ' Backflow Irrigation; ' ,`.... _ t Sewer,Cap'-,p - ', I7. t Construction Pole Sub . j 1.._- i -❑ 50+KW, ,t, I ;_ I Certif ietl copy is hereby furnished. r - ., - - _ - - 1 - .� Certified copyeis fi !wit Mthe city Building i4i ion- 1 • Bathtubs _ 4 ' Sewer Connection t f Cooking Unit r • Meter ❑up to 100 amps ' t. Date' 7 - a I 51 Applicant ' I if, - 1 _ - - - W • EXEMPTION FROM WORKERS'COMPENSATION DECL TION Clarifiers ,• , r I •r_ t Solar_Collectors' t ; 1 ,Dishwasher 'ti Meter. Dover 100'arnps { 1 -- ' (This section need not be'completed if the permit is for one ndred ($100) or ..• L -- - _ , less). ! I 1 DisFivaaslter' i Solar Piping .!.:._,%„,''-• _-i I. t 'Jr , Dryers j❑Electric b Suti.Panel . • , 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 Drinking-Fountains i Solar Tanki , ' I Fan i • Motors❑0-1.HP ❑1`/:-8 + - Workers' Compensation Laws of California. , - r- , • - - t . • Date, Signature ! . Floor Draini Swimming Pool w/Spa +' - F;A'.0 ) ' ! ' 1 1, _NOTICE:,If,after,making,this'declaration, you should become subject to the .y -_ f .— _ IncnC ❑ HPj❑16-1 I I .Solar 9-15 5+ ' . Workers' Compensation ,provisions of the Labor 'Code, you must forthwith Floor Sinks - - f • Urinal i { T' ' T I Fixtures , I - '' r ' ,comply with such' provisions, or this permit shall ,be deemed^revoked. - - - a -j• j Microwave, 1 :T., CONSTRUCTION LENDING AGENCY - , ` - - r r , ' G'as' I Outlets . Water Closet . . Device Boxes i- • Pole Light; ' I hereby affirm'that twhichs a construction lending agency for the performance - } g i I • ' • of the work e for !which this permit is issued (Section 3097 Civ. C.) " - i - . ' Lender's Name - I - , Interceptors ' - : Water Heater , uy ' Outlets • Range „Lender(S,Address " Kitchen Sink --- , - _ - • Water Service _ J. _ __ Switches .- L_ _ -Sign; -• --'• - .' OWNER BUILDER DECLARATION t (- - ' , ------ - - �' • — . I hereby affirm that I am exempt from-the Contractor's License Law for the. Lavatories : Auto-Wash '7 foiiowing'reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections { I t 1 county which requires a permit to construct,alter,improve,demolish or repair P,—Trap I j , I Laundry Trays • i, Gen¢ratOrl • any structure, prior to its issuance, also requires the applicant for such permit - ❑0.5 KW O5-15.KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of - + f' . . , , r - - ,Roof Drains • the Contractor's L!censiness (Chapter 9(commencing with Section 7000) of 1 i .,ri I • I I ;Division 3 of•the Business and Professions Coden.orythat-he/she-is.exempt- _ _.. - _.. _ .,-- ._ _ _ _ ..., , _.s,... - therefrom and the plica for'the alleged exemption. Any violation ofiSection 'I .� f _ ' . ' I I 1 s - •, - , • 1 • 7031.5 by any applicant for a ,permit subjects the applicant._t o' a civil , 1 i I i _ I "' . . '; penalty of not more than fivehundred,r dollars ($500). - I ; - • 3 'J ! + : • - ' • rJReinspection Fee' •• ` $ I - I, as owner of the -property or my employees with wages eas •their sole Pe $15 , Issue Fee ' 'compensation,-will Bathe work,and the structure is not mteneeC•ntractoetl - Reinspection Fee " 1 $15 Issue Fee , ('( - for sale (Section-7044,; ly to an Professional code: •Thes or improves _ . thereon, and,who does such.work himself/herself or through his or her own: ' 1 _- - 1 - ;DEVELOPMENT SERVICES REQUIREMENTS l ' ' • 1 ' employees, provided that such improvements are not intended or offered for , BOl ler a, . ' P. Heed or ' -Type I -❑ ; a - , { - i rsale. lf,,howewr'er will'hav ng or improvement is sold within one year of com- . . Canopy • Type:II '❑ ,; • 'Zoning Approved By - - Date • - • -• 1 yprove , the:o ner will'have the burden of proving he/she did not build nr im- "i Duct- Under Ground • _. 1 , 'n Building Approved By - - + Date ' - rove for the purpose of sale), } i - _ �/] :t J I • LJ:it as owner.of'lhe property, am exclusively contracting with licensed con- DuctStructural , Refrigeration System ' ApplieailOo Issued By 1 /•� ' 'OBte '/y� / 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 -. i Duct-Ventilating ; e ❑4-100,000 BTU ❑100,000 BTU �' "'' „ - •SUMMARY OF FEES r i i .y, i' builds,or.improvesthereon; and who contracts forsuch projects with a•con ,1_ - - I ,; - °tractor(s) license pursuant`.to.the Contractor's License'Law). I;am aware that Exhaust System:❑ Multiple 0 System Repair/Alteration •+ . t { BUILDING PERMIT- $ r.SMTP a' 4$y proof of their Worker's Compensation insurance should be provided to me. , - I • ' PLAN:CHECK 1 '$ ' „PERMIT_ - - L., 1 am exempt under Section - -B-8. P C..for this reason Firepl/Fact.Bit. ICBG# - Fire:Dampers - i _ • - - r( ! j• ; PLUMBING•• $:I - ISS UANCE.C, I$, .. Date owner • ' " /r Heating System& Ducting. Registers _ _ ''.4ez.' n(,i • r PLAN'CHECK 25% 1$ 1 p,ENERGY P C $ - - I hereby certify-that I.have reacethis'application and state-that the above ' '� I [$0-100,000 BTU D.100,000 BT i ; , i information is correct: I agree to comply with all.city and'county ordinances- , - - _ - a: .' ELECTRICAL. '$; tr ,r GRADING - '$ and'state.laws relating to building construction, and hereby authorize repre=.v • - - 1 - I - ,. MICROFILM.- '$ ' - ' sentatives of this city to:=enter •on.the' above-mentioned property for • - , ' - _ PLAN CHECK 50% $- ' inspection purposes �/ p - ' ' • ' - Q' • Signature' - . /s// - Date /-gip' 87 - MECHANICAL •$ TOTAL FEES $ u �Lin 1 - • - , ..- . .. ._ _ - CMF 0865-45,rev,10/84 Whit - Building; Canary - Applicant; Pink -Accounting; Goldenrotl - Assessor ' t ' I • 'POOL & SPA-- C i.. '. 'CONSTRUCTION-AND,PLANNING.. .' 1 ! •• ._ » • APPROVALS Permit# Date ` Inspector APPROVALS Permit#• ! '- Date' . Inspector 1. Temporary Electrical Service or Pole ' !, ( 52. Pool &!EquipmentLocation; : ; t I • 2�Soil Pipe-Undrgrnd,;- , . 1 • i 1 I - ;53. Steel Reinforcement rt , i I t , ? f ; - i ., ti 3. Electrical Conduit Utility-Undrgrnd I '54- Forms; ;. _ Ii " :' ` ' -- 4, •Electrical Conduit-Undrgrnd. : , 551 Electrical Bonding ' t l'' • ' 5.• Steel Reinforcement,; • I. I I ., -56..Rough Plumbing & Pressure Test: i rt 6. Electrical UFER Grnd. ". 57. APPROVAL TO COVER-GUNI,TE, ' ! • • 7. Footings i ' « + " i 58. Electrical.Conduit•Uridrgrndi - : ;,, ' t • 1 4 " I' f8.,Foundation . Y, - •; i-• !--' :•)- ' 59: Gas Piped O-Undrgrnd.,Test; • ; , . t `9. Water Pipe;Undrgrnd. - ;1 . -' -.I.• - : --4-. 60.-Backwash•Lines; P-Trap, 0 Undrgrnd *_ 10., Structural Floor System ' - • ,. I 61-. APPROVAL TO DECK ; , • 11. Property Sewer-Line& House Connection 62. Backwash & Receptor;-Final ' i • 12. Sewer Cap _ i - 63. Heater & Vent-Final , , " .t . 13- Roof Drains. - I i ' 64. Plumbing System;- Final 1 i 14.„Rough Plumbing • - , s ' . 65. Electrical;Final , k15,_Rough Electrical-Conduit :- •!! i ! • ' . 66.'Solar;System-Final , ' { ci : 1, l' ,16. Rough Electric Wiring - t -•. - - -67. Fencing & Access Approval r • i - - _ 17: Rough1Wiring'Sign- ' ; - , - - 68.APPROVED FOR PLASTERING: ` : 1 - ;,- 18.' Rough Electrical-T Bar Ceiling 1.69. POOL/SPA SYSTEMS FINAL - ' 19., Rough•Heating & Air Conditioning .Q j(_0' (5.ist • . , FIRE DEPT. REQUIREMENT ' •i'. 20., Rough,Factory Fireplace I • - i 1 APPROVALS Permit# _ , a 21.' Ducts, in Structure, i, 1 70. Underground Hydro r, : ^ 22.,Ducts„Ventilating;. + I 1 i ; i ' 71, Product-Pining 0'Gas' 0OiI r , . " _ , ; 23. Gas Pipe-Rough& Test i ! ' ; ' - ! ' : 72-- Underground Flush ; "• j! , - - t : " 1 24. Roof Framing ,: „ • • 73. Undergrnd:Storage Tank 0 Gas 0Oil 25., Roof Sheathing' - I ' ; - ,j4,` Overhead,Hydro 11 4 I I. _ ; ...Lit is .. 26.•T-Bar Ceiling (Structural) & Monocoat 1 _ 75.1,DritChemical i , ;, •, s ' 27.,Frame and Flashing - : � '- " 76. Dry Standpipe p i. ` i 28.; Lathing & Siding • ` • ' " ' ; • ! 1 77, FOXEDSYSTEM'FINAL i'•I " I 29. Insulation ! . 78. FIRE PREY.FINAL'• ; ? , ; - " • 30:DrywallNailing ' , ; , . ii • I I I HEALTH DEPT. REQUIREMENT, - ' ' . x-- 31.'Plaster Brown Coat • .,-;, ;:. i 79. '.FINAL INSPECTION 'r ! - , • - ' c!,,! ;:••••- 32.'Electrical Power Meter-Final : • 80." FOOD CERTIFICATE ISSUED: . ' - -• .. ' 33. Final Electric ; - - '' -- i - Notes:% { . _ i ;. _ ' ,^ - • ' 34. Final,Heatiri :& Air Conditioning ' t•'/ C'. - . ! - -..i? i• • 35.•Final•Gas Pipe-Test • i - - +I - I I - - ' 36. Hood or Canopy •'`' 37'- .Final Factory Fireplace - - -: z - •j ✓ p 38.,,Final'Plumbing ' ' - - ,/^' - , 39. WaterService-Final " ° ' - - . : - - 7 :'l' >^ ' (:. -- • 40. Gas Service-Final '. " - ' _ "1` f ; .! •'41. Solar Domestic-Final - 1 -. _;.�- . „'i`. • i • 42. Backflow Preventer • = - ; - r•' ' - • ,43: Backflow Irrigation - :I 2.r`i :-.1,..• '4'4- Landscape Irrigation System . .• - - - "1'-' X' - • d1 ' C-C • 45:.Sound Attenuation , ' - +nom" !c ,!, , , , . . Inn - - -' r ., , '46/Handicap Regulations -, - _ ,' - ; I0 ^,:c 1_r l . ,1;' i•tr , G ,1 . (V 47�.FINAL STRUCTURE-& BUIL'DING. , - • • - - (0•. '*n ;) . • a' i. .mac • .'- - - . . . _ 48. Special Requirements Completed ' ; - eJ-., •. , 6 `, -V ' 49. Electric Release to Edison , ` -- ,• _ - . - • 1,. lir -' Co. 50'. Gas Release to Southern California Gas Co - r, '1 - - '+ - • •51. CERTIFICATE OF'OCCUPANCY `" . - - - . .• , No. Date - •' C. .. r; .� ., �' c; . - Applicant to fill in all spaces except those within heavy border lines and.sign all appropriate declarations. - j CITY OFCOSTA'MESA CONSTRUCTION,PERMIT PER ND.Q /ry I TRACT NO. i •• LOTNO; 'UNI I . 1 • s ?!E. F a _,. It ' Project Address Zw LD ji E7.DaJ ' .T ' 1 O,i9711,2/ 6 _p . rI ; II i 1 / / 1 •' Applicant's Mailing Address ' ' TYPE OF CONSTRUCTION 1. •NEW D ADD ❑ ALTERATION LI REPAIR I' I - - • s �� ) ' ❑ CONVERSION ❑ DEMOLISHi Owner's Name' • / rs••� Phone - ❑ OTHER 1 A.P.# I I ' I i Zone - DESCRIPTION OF WORK/USE•OF BLDG-' •" � s��" -- - - - - - - - Address I i . I ' - - I I 4 _ f • ' S . ,Main Building: , Accessory Building. , • Arch/Eng I ' i ! License No. I • ' TYPE OF PERMIT , ❑ GRADING ❑ FOUNDATIONi , T r. ' • ..•1, I ' O - ❑ STRUCTV RAL Front ! 1 Address - - i ) 'i ' ❑ TENANT' ❑ ELECTRICAL ❑ PLUMBING MECHANICAL 1 B Rear I i I I I I 1 _ N • .yam U 7/ • ❑ •OTHER • .Contractor's Name ��G� S �v phone T 7 1 } - ._. I_ _r - —i- - - •' - s- - N Add fess(mailing/ 73S) /I'e7 L' • /•► tAc . _/G- me PROJECT DESCRIPTION SQ. FT. _ OCCUPANCY • ' • ,K G g CONSTRUCTION TYPE 1 1 VALUATION$ ;"I / 'Left 1 1 + , + ' I City License No. ( (� _ IS i �*'p�"1rtJPJ �� 1 ZONE I GRADING CU.YDS. ' ' ACRESE + I LICENSED CONTRACTOR DECLARATION - , - < Ping.Ref.�# I Parking Req./Provided , I E • I hereby affirm that I am licensed under provisions of Charter 9 (commencing • Remarks:, Z. , - 4 ! (CONSTRUCTION AND`PLANNING -i-,„� •,,,',,- _ �,• 1 POOL&SPAc _ c i • Date Inspector• ' 1 j I 1, Date Inspector • APP.ROVALS • Permrtl-# , 1 APPROVALS Permit#• I „ i • 1:.Temporary Electrical Service or•Pole i 1 ' . 52. Pool &Equipment Location' ' { ' 1 2. Soil Pipe-Undrgrnd. ' Lt -53 Steel Reinforcement ri ' 1. j. ` 3 Electrical Conduit Utility'-Undrgrnd: 1 I i I 3 :54.' Forms ,` . , ; - , . t '. is 3 , ' 4.1.Electrical Conduit-Undrgrnd. '• 1 • • • • 55. 'Electrical Bonding ..• e : ; ' • 5. Steel•Reinforcement! . ' l ' 56, Rough Plumbing_& Pressurecemen •r 1. ' ; , - 6. Electrical UF ER Grnd.-' r l'. • �57'. •APPROVAL TO COVER:GUNITE'• 1 ' - I I - ' 1 t -' ' ' r 58, Electrical'Conduit-Uridr rnd' i • • 7. Footings • - it t i. 9 • :8.•Foundation1 . ` --'''- 4 'r -'i'-- ' 59:'Gas'Pipe;-D Undrgrnd.,Test` ' , ' .- 9.-Water -. Pipe-Undrgrndt.:. - •- - - . J:----i• - --60:-Backwash Lines,-P-Trap, O Undrgrnd.' d' • r ' 10. Structural Floor System - ' t r • • 61. APPROVAL TO DECK • _ ' ' ' i 11. Property Sewer Line & House Connection ' I ! . I 62. Backwash & Receptor-Final i ' 1 } • ' 12. Sewer Cap - 63., Heater & Vent-Final ! 13.-Roof.Drains - • • . .. ! p ', : , I. 64. Plumbing,SYstem.- Final t 'k I. 14. Rough Plumbing ` ; I It 65. 'Electrical-Final„ i I + '�;y f� .,15. Rough Electrical-Conduit • ' :66: Solar.System-Final ' i . ` ', '- l , i • 16. Rough Electric Wiring, _ • - - "'- -' -67 Fencing &•Access Approval ' 1 ' , _. , 17.'Rough'Wiring Sign - 'S ' 68 APPROVED FOR PLASTERING: • ' ' • t •- 18.` Rough,Electrical-T Bar Ceiling"` • ' 69; POOL/SPA SYSTEMS'FINAL ` 19.• Rough Heating & Air Conditioning ; .. ' FIRE'DEPT'. REQUIREMENT , f;`t 1-'/(23.7: 'g . ,- 1 I l. '.20..Rough:FactoryFireplace I 'APPROVALS 'y Permit# . , ' _ ! ' i 21. Ducts,'in Structure; • i• 1 , ' 1 70. Underground Hydro 1 �� '` is 22. Ducts, Ventilating - i •71' Product Piping D Gas! 0 Oil _ _ . ;. . . . 1'i _.i ' 23.'Gas,Pipe-Rough & Test , -•- i 1 ' , ; 72. Underground Flush •• . i 24. Roof Framing !. ' . i + 1 - - ' 73. Undergrnd.,Storage Tank;0 Gas; 0 Oil: /, 25., Roof Sheathing ; - - ' ' 74. •Overhead Hydro i - --'- ' 26.;T-Bar Ceiling i(Structural) &,Monocoat, j - , 75.•Dry Chemical 1'•re ' , 27. Frame and Flashing; 1 • f• • 76. Dry?Standpipe- `,.!'' r; ;• - , 28.. Lathing & Siding , I 77. FIXED 'SYSTEMJFINAL „I - '...... 29.' Insulet;on I ' i , , - . 78. FIRE PREV..FINAL'. ; CS.,, ' - • 30. Drywall;Nailing r 1 s I 1 - . HEALTH DEPT.' HEALTDEPT . REQUIREMENT .-. :: .j-1 ' 31.,PlasterBrown•Cdat , • • ,p { I • 79.`FINAL INSPECTION , - y • 32. Electrical Power Meter:Final - . ;80.r,FOOD CERTIFICATE ISSUED '.:: _ - (r. -::: i,t. 33. Final Electric ' . t . Notes : i ' a i- i - _ p. :,` 34.,Final;Heating & Air Conditioning;' P ' - -•„.,,_ .A 35.,Final Gas Pipe-Test ' ._ _._ _ . . . '. .. _ . .. _ 36. Hood or Canopy '. - n r%.)-^ • 1 ,n . . .. i 37.t Final Factory Fireplace 4 ' „'+ ' `' - 'r "' 1 : 38: Final Plumbing - -• -,,,,(,t '' . 1. - - j •39. Water Service-Final ' - --'` - _, _1 %jar l;; i. 1;' - ^ 40. Gas Service-Final - - ' " - _ - . f k't , ,,,t../; _2' ',4.1. Solarr-Domestic'Final r v� . .tr ' !I5,c , ` �'` . • 4 , 142'Backf low Preventer r - - ' ' _ • ' '' L • 1� r`l". - - .;43'Backflow Irrigation . • -. "`" C'`' 'f _ „ ` *Th"..I,�-. ' ' °r.4,4t Landscape Irrigation System - - - , 1 •'y 't• • I: 45. Sound Attenuation. ,, ' ' � �1}' � � u! - (ti �' 1V. 46 ,Handicap Regulations: �- �' fvj Till i • - - 47. FINAL STRUCTURE & BUILDING • •t ,. ry^ , ;1 V: .- .1-Itl ;4+ _ 7, ''1 • - - - . r, .. 48. Special Requirements.Completed� - - : . _ (tet°:',{-, •;, t,...,] -5 .... ' . . . 49. Electric Release to-Edison - - _ • �r• ' "" - - - , •- 50. 'Gas Release:to Southern:California Gas Co ' • . > 51. CERTIFICATE OF OCCUPANCY - :-' - - ' ,. •-- - No: Date.- - .. .-` _ . . . 1 - . •n - ,. -' j Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. -_-_. - PERMIT N0. __- 'TRACT NO. 1 ' LOT NO. I - . - t _' '.. 1 _ m CITY OF COSTA�M(E_$/�q, 'C�Q&]I I R�Ua.CTIOpN'PER#IITT �tI�,, O/�7 , , i i i 1 .UNIT NO'. i 1 , '3398 8/I;I/fl7 I 12peO TL • Project Address /r+r+G,�_ ✓`tet`l T� �+ [��d! goy�JG iL / Zap , l ti I i , Applicant's Mailing Ad•'e`s ' r ' . • I TYPE OF CONSTRUCTION J��j�''NEW' U ADD U ALTERATION, LJ, REPAIR • I • f ' ❑ CONVERSION ❑ DEMOLISH ❑ OTHER 1 I q # ' .1 Zone J. Owryer`s Name e.I Ems' F y4 .! •hone . .. • __ _ _ _..- .... -__ -_ I - - DESCRIPTION OF WORK/USE OF BLDG. ' Address • ' • - I S Main Building: I Accessory Building: Arch/Eng: i • ' 1 r License NO. TYPE OF'PERMIT 1 ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL ' s T Front' I j ; ,, O I ❑TENANT' ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B . I N Address i I .A Rear • I Contractor's Name 13i>75 E E C-11C 1 C-- Phon ��33 7 ' • ❑ OTHER, , _ i �y _ �--7� PROJECT DESCRIPTION 1 5G.-FT. . �PD : OCCUPANCY i "C 'Right " ' • 'i` - ' 1` 'j '` f . - 'N 1 Address(mailing) •/77 ✓el MC N V*00 in' # - K I G 3(r(( � CONSTRVCTION TYPE_ VALUATION$ $ Left I CLICE icense No. OR - ; ZONE ' r •• - GRADING CU.YDS: 1 ACRES j I -F • t R. LICENSED CONTRACTOR DECLARATION L 1 t , , P ng.aRef. #. I , Parking_Req./provided..l' t i I E •I hereby affirm that I am licensed under provisions of Charter 9 (commencingRemarks: �. I . l „ _ Plan ning'Note - _ r D with.section 7000) of Division 3 of the Business and'Professions Code, and ' - - - ' • M my license is in'full ford and of ect. I ,1 z I -1 -, 1. - y ( .. - } . T w T�• a �' :.:216 .. ' 4 3 � s License %I ss Lice - N✓ �a • Date' D-- at •• Signature I 0 - its . t air r, ._ ' 'PLUMBING , _ I FEES I I ' I ^ • i • ORKERS'COMPENSATION DECLARATION I. - - i :reby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink; , T' i _ - �- I •ELECTRICAL '' ' t I FEES _ Workers' Compensation Insurance, or a'certified 'copy thereof (Section -� - , Service Sink - , - aeoo, Lab, f.) ,p' • Backflow Preveriter I _ •G/c" ; ' 9 y/. I 'µryv2c-E+: •utomatic Washer TransfoFmer-❑ 15 50 KW r , Policy No.. -Company Backflow Irn abort • .. ❑ 50+KW ` edified copy is;hereby furnished. // g Construction Pole Sub j I Certified co is with'the city a•I • g Di r' I I • Bathtubs r , •'� � O' a I - ➢Y Asla9 I - 11,�, Cooking Unit ��� Meterp to 100 amps _ ', op 51' 0 / • Applicant • ..✓ _ -. '_:-✓_ •, - • ' I EXEMPTION FROM WORKERS'COMPENSATION DE ARATION I I Clarifiers 1' : 5 • . . - ®NW Dishwasher : : , ' Meter ❑over 100 amps 's' • a aG, • (This section need not be completed if the permit is for one hundred ($100)or _ - j less). + I I ' . 9 Dishwasher, ' ` SolarPipirig - : '3 i ` - Dryers.�('as t❑Electric - 3 Sub Panet - - '• ii by 1 certify that in the performance of the work for which this permit is issued,I I - - - 4 4 shall'not employ ation son tin any manner so as to become subject to the ' Diinkmg Fountains f Solar Tank I I ® ' Fan 1 _q Cla ( I Workers' Compensation Laws kof California. ' , ; - . - 1 , _ Motors'❑0-1 HP ❑1X,-8 `I Date - Signature 4 Floor Drains -11' 7 • 7. ® . F:A',U 1 I " ' Inc:Solar ❑g-15 HP:❑16-15+I t.' NOrkers' If,after rov tleclarf the.you or ould becomesubject to the_.' - - y + 02,..w� Workers' Compensation provisions of the Labor Code, you must forthwith , Floor Sinks.-- ' - t 74, Fixtures ' I Microwave '"'3"` -C pp I comply with such provisions or. this permit 'shall I be deemed revoked: M1 - qL- CONSTRUCTION LENDING AGENCY { ; Gas Service ' 1 Outlets • 'Yi' Device Boxes ) + .I i' • I I hereby affirm'that there'is a construction lending agency for the performance Pole Light; • 1 of the work for which this permit is issued (Section 3097 Civ. C.) •Interceptors • - 1 I • Lender's I P,� ., t ,Outlets Range a,f•• f XI. Lilo • y„ ,.Lender:si Address.^ t I l - J Kitche_Sink; _ I :..�_ t ' r —r _ • - _ ..4'Switches» -, r._ - _ , L_ Sign -t .1 -• er_ ' IOWNER BUILDER DECLARATION ' , ' !) I hereby affirm that I am 7031.5 from the Contractor's License Law for the , L2veLOfieS..,.-I. Auto-Wash ` ' ' Garbd a Dis osal r ' - - . , ' Etta I 9 P Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or '� ' - -'"s I a v/ county which requires a permit to construct; lterH applicant demolish or repair P-Trap I- j , ' Laundry,Trays ' s Generator ❑0-5 KW DS-II5 KW - 1 any structure, prior,to its issuance, also requires the applicant for such permit - •' ✓t• ;,_ Trash Compactor • �t i to file a signed statement that he/she is licensed pursuant to the provisions.of Reol Drains I ! 1 , •• ^Contractor's License Law(Chapter 9 (commencing with Section 7000) of ..+ , ision 3 of the'Business-and-Professors mCode) or y-vi he/she-is-exempt • • - — • ' 7 , -- -- "s .- ' refrom and e,basis'for the alleged exemption, lation of Section I ' 4 ; L I I _ i IT I .,31.5'by any applicant for a 'permit subjects the applicant to,a civil • r4 f , pendltyof not more than five hundred dollars($500). I - 1 .. '' L _ - D i: as`owner of the property or my employees with wages'as their sole I Reinspection-Feet _I $15 y Issue Fee ' _ - - 1 I 4 compensation,'will do the work, and the structure is not intended or.offered' ' t - - • ( I. • MECHANICAL- i • Reinspection Fee ; ! $15 I ,Issue'Fee $ 3 I License Secn 044,"Business land Professional Code:•The Contractor's I m 1 yI i },p I .FEES I • - ( License Law does nol'apply to an owner of a property who builds or improves _ • - - • I t4 thereon, and who does such work•hv see/herself or through his or her own • - I - :DEVELOPMENT SERVICES REO UIREMENTS: ; • . employees, provided that such improvements are not intended yearered for Boiler I• I Hood or Type I ❑ ` . ',sale In the ever,ethe building or improvement is sold within one of com- ' ,Canopy . Type II ',❑ ; :Zoning Approved By 'Date - "pletmn;the owner will'have the burden of proving he/she did not build or im- 1 Duct Under Ground -I • • L •I -,Building Approved By t ' I Data - ,L. rove for the purpose of sale): 7 - • �rl, as owner.Of the property, zm exclusively contracting with licensed con- . Duct-Structural Refrigeration System I _ " :Application Issued By �•Gh.•�1�^l n�/�+�_as - Datn �r���—!/7 tractors to construct the project (Section 7044,Business and Profession. ode: ' - - - k " ; �� /J 1 - The'Contractor's,License Law :not"apply-to an-owner of pro with a who Duct-Ventilating 7 { - ❑0-100,000 BTU.0100,000 BTU - - builds or,improves,thereon, and who contracts for such projects with a.con- " : ... I t SUMMARY OF FEES; i �- tractor(s)�Iicense pursuant to't he Contracior.'s License Law). am aware that Exhaust System ❑ Multiple❑ System Repair/Alteration T _- BUILDING PERMIT, $, I SMTP) : _ I$-" • proof of then WOcker's compensationt insurance should-be provided to me. _ 'PLAN CHECK ... • ❑'I am exempt ander Section ' _ ' B.&•P,C.for this reason,, Fire l/Fact.BIL ICBO# - I Fire'Dampers t . •I ' C. • 1 $ ._PERMIT-^ •p - " s • PLUMBING . - is: . I • r ISSUANCE , $; • - • I . i - - , Heating System&Ducting ' Registers • _ ,•. ':r .-, , ' - - ( ._ 1 - ; PLAN CHECK .25% $^ I 'T ENERGY P.C. $ ' • I hereby certify:that'I have tread.this'application and state that above ❑0-100,000 BTU ❑100,000BTU - • - 1 ' ' _ information is'correct!.I agree to co •• with all;city and county ordinances ' i - ELECTRICAL $• 75""-�O• GRADING. $a • •• and.state lawstrel 'to buildin, ruction, - d hereby authorize repre- r I. • O'• s. _ I c PLAN CHECK 50% I•$ ' gC •'�jLO ,MICROFILM .$, sentabves ofpity to•en the a• •e-mentioned property.for - . - ,,,. inspection p_p s• . _. � d Q'� r t - ' MECHANICAL "- '$ I ' 'TOTA'L FEE• '$ //� "2V Signature Dale /_o I t^ .. Drivers' License or 55 ' , , •` :1 < ;Reinspection Fee •$15" , Issue.Fee ^ •, •I ,�$ 3' PLAN CHECK' 25% '$. `" - I I 1 , • -- _ .- .. _ __ . _.__ _- ._. - . . _ _ _ __ _ . _ _- _ - __ . . _. . _ _ .. _. _ . . __ _ _ ._ . _ _ -_ _ _ - -_ . ___ CMF 0865-466,rev.10/84 White - Building; Canaryy . Applicant; Pink -Accounting; Goldenrod - Assessor - __ - - -- _ . ,....'.. .., `.-y. ... I-! -1, ,. i I` tf `,P.00L&SPA- .. ; 1 CONSTRUCTION AND`PLANNING r - - • `• - ' Date . Inspector, y.-' ' Date Inspector APPROVALS • Permit# ' • ' e-, - iAPPROVALS1 Permit#-` I i -• ' 1:},Temporary Electrical Service or:Pole I 5+2. Pool &'Equipment Location 2. Soil Pipe-Undr rnd. • n^ ( 53. Steel.Reinforcement 1 1 t - . gi 3. Electrical Conduit Utility-Undrgrnd. P. 101,061 .K K..� 54. Forms; . . • , � ! I.; ' i .. ; 4: Electrical Conduit-Undrgrnd. • , 1 • ,'•••`®® '. --- ;55. Electrical Bonding t• - , . 5. Steel Reinforcement , t 56. Rough Plumbing & Pressure:Test- , • ' • 6. Electrical UFER Grnd. ' -, :. - •57.-APPROVAL TO COVER-GUNITE' ' . 7. Footings ' • • • ..7I • i 56 Electrical Conduit Undrgrnd , i • ' • ' 8. Foundation - " 59. Gas Pipe,-0 Undrgrnd.,Test ' i ! .. • - , /•+ , AI i 9. Water(Pipe-Undrgrnd: • I _• . - .- - -- .60: Backwash-Lines,P-Trap, O Undrgrnd., - .10.. Structural Floor System 61. APPROVAL TO DECK . . . 11. Property Sewer Line &House Connection , •• ; ; ; i 62. Backwash'& Receptor-Final ; { ' 1 'I :12. Sewer.Cap .. ':.d 63. Heater &f Vent_Final' 13.-Roof,Drains,; ; "3-••: It,� t 64. Plumbing system - Final - • : .. , , 14. Rough Plumbing • • 1 , 1 . 65. Electrical-Final ' •1 , I , ' ' i 1 15. 'Rough'Electrical-Conduit ', " ., i .; : .•r ' 66' SolarSystem-Finalt 'i'+ " - • ` 16. Rough Electric Wiring ' i 7 � 1 e •` •. ' " F , �.� � �67..Fencing,&Access Approval , h.Wirih sin- • .. •. _ _ - • •17. Rou 9 9 9 � • -f • 68:�APPROVED�FOR PLASTERING O. Rough Electrical-T BarCeiiing t:- • 1•• ' ' -`I 69. POOL/SPA SYSTEMSYFINAL ` • - ! ` • • I9. Rough Heating & Air Conditioning " : , FIRE DEPT. REQUIREMENT' • , 20. Rough Factory Fireplace r : 1 • - , APPROVALS Permit# ' - , r . 21. Ducts, in Structure 70. Underground Hydro. i i , ' - ' • 22: Ducts, Ventilating' 71. Product Piping O,Gas O Oil. , - 23. Gas Pipe-Rough & Test - ` 72. Underground Flush ' •- '' 24. Roof Framing; _ 1 ` . X73.. Undergrnd.Storage Tank 0 Gas ❑Oil - - 25. Roof Sheathing ` 74: Overhead Hydro II t• • 261 T-Bar Ceiling (Structural) & Monocoat ..I, : f _ r`. 75:,Dry Chemical ;. ., ' ,I- - , . - . 27.. Frame and•Flashing, • - •-•` - .. . • •• • 76. Dry Standpipe ' • •"' . ' ' ! - - 28. Lathing & Siding I ' ' 77., FIXED SYSTEM FINAL , • 4,%, � , • 29; Insulation 78. FIRE PREY. FINAL' - _ ' 30. Drywall Nailing / . f HEALTH DEPT. REQUIREMENT . • 31:1 Plaster Brown Coat -.{ - •' i I ? • - 79._'IIINAL INSPECTION ,•-rf ' ! - ./-I 32. Electrical Power Meter-Final_' - 80 FOOD CERTIFICATE ISSUED. a •• it - 33: Final Electric ' ' • '/�-'�� +�- . Notes r• ' � ylG H �� r d6reaKis ca►� dial . - 34. Final Heating & Air Conditioning. • "r • 35. Final Gas Pipe-Test' •. - t -36. Hood or Canopy1 I . . . .. , . ,37. .Final Factory Fireplace _ - - `.j u%i ; ret c a 38. Final Plumbing r �;_, ' 1 d • •39. WaterService-Final , • - . - �N, .-7,6, i '-• `` -• • 40: Gas-Service-Final ' - - , LT': •"" ' - ' - • 41! Solar Domestic-Final •; 44 '! r • • ` - ' , i, • rig.'" 'v t-,•• -•. � ' _ -; ''42. Backflow Preventei, - ' • .. - / � 4 ,l - - - f , - - • . 1' , • 43. Backflow Irrigation`•-. ` •0. _ ', '! - ; y - I I, • ,e44./Landscape Irrigation System:- ;. - . • - _L ! .. - 1 - 45. Sound Attenuation - - , i L, �. u r-+ 46".'Handicap Regulations .. •:,•:t-, i . - • ,,,,' _ • '1. i,: 47. FINAL STRUCTURE & BUILDING • L'`.^, .. I' ' _ .c4 . ' "l' ' c.+ .`- '-48: Special Requirements Completed - - • •' ''-' • ' . . •r t-" • - I . ' - • 49. Electric Release to.Edison ' '" - - 'v. ' '• - _ , • ' 50. Gas Release to Southern California Gas Co '• ; 51.•CERTIFICATE'OF OCCUPANCY . • ;" ,` � - __ - - ; ' , '- , .. - .. No. • Date .. - . - . _ - - - . . •_ . . - . _ . . _ . _ 1 1 City of Costa Mesa S Development services Department CERTIFICATE OF OCCUPANCY No. 002023 . S Building Safety Division I P.O.Box 1200 Costa Mesa,California i The Building located at 2666 Elden Avenue, Units H & J has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group o't/nnl Occupancy. t ' Use of Building ilrtnlor PnnAnmini urns • r ' . - Legal Description A1Q-771-161.1'7 . (See reverse side for Metes and Bounds) Building Permit No B 29025 . Electrical Permit,No: E 29720 Plumbing Permit No.P28286f P28285 Mechanical Permit No. M29392,M29181,M29182 Number of apartments - and/or guest rooms r;\ ISSUED TO: Building Official William T. Howard . \ Steiner/Fluter 510 30th. Street by e. e�lli� ;\ Newport Beach, CA 92660 \\ Date January 11, 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 (e) U.B.C. t CMF 1015-46 rev. 1/83 White-Owner;Canary-Numerical File;Pink -Bldg. Permit File