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HomeMy WebLinkAbout161 QUIET BAY LN - Building Permits t, t , _ \ O�M CITY OF COSTA MESA - 9 BUILDING DIVISION . q i PERMIT NUMBER DEVELOPMENT SERVICES DEPARTMENT I '/" I PERMIT 4. B03-01781 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us,ILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 163 QUIET BAY LN U Status: ISSUED Suite: Applied: 10/14/2003 Vicinity: Issued: 10/14/2003 Parcel Number: 93794072 Zoning: (� n Applicant: JOHN BATIOFF _ ISSUED BY: c� ' �-1- �LJC--,-...-r„,,,,, Address: �G�----- - �1� 0.&,2�4 Phone::949-266-1900 m___ , _ ZP i t �� Owner: JOHNSON;ANDREW` G}} ,, lJ 11---1 I_l `� ///// C�.) �.;�, \ Address 163 QUIET BAY LANE o-^`-=.-��-\\ /�`;� ���� \, ° _-=Phone:----�=�o?J"�� A �� �\.` /C(OSTA MESA,'CAJ '�� Zi 92627 '-- \ \�' \�� (�/ \ ‘...74,2-,.... --_,i ���.- p' � \I- //' (./ \.� Contracor: "DRI COMMERCIAL �� Address: 17182�A/RRMSTRONG AV � ` ' ,�� /� //77'/� Phone; \- \\,\\,,,, \\/ �, ',�,\ t,° IRVINE CA l l o J�,r�/ Zip:„,/ 926 447 (License:�818623 V�-c . J /`,. i/ ... i/1 - i ' / ')Arch : ) / �`� (� - I '''--k,,,,.,Eng: I I Q 17m5s ' ' , /w �1 ,poo `79 , 11 A.:- \ „, 7 ;s_ �__ AddiesI_, /� 4/4.--C\ -------- i ,/ l . e._--" - v l a ,� . e (/VZip: ��/(/ /License: 2. 1' ( (IV( CJ/ a , ;SCO• r0 ER IT- `'" 3 r T/OFF EXISITNG�AND REROOF 24400SF COMMERCIAL BUILDING /COM HI LE // W. (, - ' , , IIfi I l tivu � It uu lt ... - t� :;- \ - 1 �' ' _ iS •FEES � �' ' I i s' I1 1� rr: `-•Plan Check O. $0.00 ., .rr, Yr ® ;,..4: n ITCaICWaluation IBJ) $52,16&00 • �l ,j Permit':``l� $664.75 P -- . _ < ,. -Naim Valuation i l' ' C ss2 iso,00 '. `SMIP Res: ��)° $5.22 N, ---�I 4/ l �,i r SMIP Go n:\\ $0 00 R _ K'-.\\_ P Other: / $. � � n 1.71. \; / ,/,',(' i Is eetlori \\',$0.'in r 1 T al raM 66 p/, at"t , to 7 \�� :%,. i... VV .t 4s e� ©< f O -u- '�L'tv-4 :�:K- / �/l //,'/ \\.. ..\\::0_,!.„°-7.5t \tZ ' ';: > PLANNING &ZONING -e--?,-/ 7/ %j� SETBAC •, 1 " tt" o\° U o v, O10 ' ---..;-:7 ../' ��, i �+ ea o n ' -f"j- V01/0-- 0 / - / / MAIN STRUCTURE root /0.'40-, ;, �Rea� 0-� G�°eft 0 0-'� Right��0'-,// J ��- ; '(„ - - ��-"-'��°---�.ZY��—'�-- -�' <,\-, ,\c r�, ACCESSORY \Fro r- r`'0• ( /J,Rear 0=0- Left t`0-0`� - Right'j-0-0 �/;-'> `) // �.- , PARKING Exlsting.,� 0';... fs cared:` .,r):-i ( �7/Pro osed: `-'0 A /-7t . NOTES: --..m,_l_ U fLU l,. NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL; (714)754-5626 2446-46(6/00) DECLARATItNS` I f 4 (, ;• . . WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: , O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers compensation Insurance carrier and policy number are: / � � Carrier: rcYLMt n 1 C 4 n l a% cnOj. Policy Number: •U—C oa� c Z I (y 3 g (This section need not be completed it the permit is valued at o e hundred dollars($100)or less.) O I certify that in the performance of the work for which this permit is issued,(shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. —z J-1f�jjj Applicant Signature: �t � Date: /0—/'1 l WARNING:FAILURE TO SECURE WORKERS' PENSA ON COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE� THOUSAND DOLLARS($100,000),IN ADDITION 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 Sectiory7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# )S Lv a 3 l Class x 13 , C 3 5 rer Contractor's Signature: �- . Date: /O—/4 — T? • CONSTRUCTION LENDING AGENCY: O 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. 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: ❑ 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,Gm 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 tiled with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 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,appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? L I Yes • CJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes- 0 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 California Health and Safety Code Section 42303 been made? 0 Yes ❑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 slate 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. Ig re f_egal Owner(s) Date /o yc3 Or Aut rized Applicant Date CODE I INSPECTION TYPE • RAIL INTRIALJ -' CODE INSPECTION TYPE " PATE INTITIAL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical • _. 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 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 _ • •,. . - . • • yill like. CITY OF COSTA MESA 7 - 44 9 BUILDING DIVISION IF • � _ DEVELOPMENT SERVICES DEPARTMENT PERM NUMBER o PERMIT a 03-01801 4PenteRaTED e" (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 163 QUIET BAY LN N Status: ISSUED Suite: Applied: 10/15/2003 Vicinity: UNITS 161-163 Issued: 10/15/2003 Parcel Number: TPN003179 Zoning: Applicant: BATIOFF, JOHN .. ---- — - ISSUED BY: Address: 17182 ARMSTRONG AVC:- "":_ Q Phone: 714-381-7974 e.._ IRVINE,CA a \ Zip: 92614 I ; 7---7--Z---:---:: -� Owner: QUIET'BA HOA `�" ) 1-L t- '.`), /l l/l c4\•�` Addre4,01/7") s 183 QUIET<BAY LN V '�»--- __ �- l ( �_v\ © �� Phone:-949253-4548 ��A� /20 0JACO AMESA,CAy �c Zip: 92627 -- .C����{�� \��\. Contractor: DRI COMMERCIAL ,- A/ / -� ,,Address/ 17182 ARMSTRONG AV � .A�� ! t�A /;';, // //,<;;,(// / Phone:,/$/ ,A 7 c IRVINE,CA 1 .;.. � V -� uq • I / Zip:,9261 I License:3, 18623 R. - " * v", ' 1 i Archi:- t /pi'''. ' •. 'Address:— ( 7 / } /7\----,.. 1'''") 0 0 0 o -y5ti + Address 1 I �: r ,. �""'-_"'. -.. \ Phone: lir I vua P,hone:..---^-` -�.-,n� ' � i) '\Zip: ' '// :( `� \ ,-License: '— 'License: itry I I Lrl,- \\7-License: . "s. i k f .0 i r - -' '7I i ----SCOPEOF'PERMIT - < / f;n `�� - nnisnM SI RES F , \ - - , 'TEAR OFF EXIli%.1 1ROOF.INSTALL CLASS A COMPOSITION SHING ..js .34 Ink u. .“ SFOR CONDO UNITS.UNITS,161-163' ;� ' ,:'I •1 III(:_� ! �--- m _�_ _..._..__—_— _—____.__ .., , \__ _" ), 1 '_- _ I , I n. ( FEE SUMMARY �/ ) ��Plan Check :' ! $0.00 g ,� >—/'r^, Calc Valuation: , : _ -57;390.00 )C, 6 Permit \d $153.25 r -- L 7 4-^ Claim Valuation /, / TI,t- $7 390 00i SMIP-Res \P $0.74 // � `' ...f �tSM�IP�Com: •,�� $0.00 _ � �% %�� .� ,ff, P Other \\60.00 r 3,_ 6%% /.=:,:---1,--i- . '' 1 T ;' VIns ac\tion' $0.00 • �� �� A / ���, � ..,_,,,--try..-... �� t C l �/ ,ThT,otal: $15399 , �,�„ c • \\ /, `1�� "'' /,U &PLANNING &ZONING /%/ \ ;7 SETBACKS C'/t. �,,.0 .. M' t, c "" ' ,,,,,,,,:,721 j) .�, �L ' J ACS o o , / �� '/ � i / MAIN STRUCTURE )FroU1 010)1�Rear�cOiO V y ��'Left 0 0_ �-� Right N0;0� ' l ,,� .`_ -_ -_ V�i a^ / / ACCESSORY FrontVO-Or 97(Rear _0-0-----Left---�0=0 , Right 9!0=0 7,"/ �i PARKING Existin : .- 0- -Required: - 01- 1 /PropIosed: -0 - ' i. NOTES: KENNE_S 10/15/2003-FEES-PAID; REF.: VOIDED-PERMIT • • • 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 within180 days,or if work is suspended or abandoned for a period of 180 days. V" 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) WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and wilfmaintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for tie perforrgance 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'compensation Insurance carrier^,^and—po�licy number are: �l Carrier: 1Afl'n J. /t&%, Vb-te-QPolicy Number: u JG2y 92-4 43 E 7 (This section need not be completed if the permit is valued at one hund d 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 coSignply ature: a provi n �i� — ���� !Applicant Signature: Date: WARNING:FAILURE TO SECURE W KERS'COMPENSATION COVERAGE IS UNLAWFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN A DITION 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 Business and Professions Code,and my license is in full force and effect.Lic.N 1 Q 1, 'L '7 Class a C Contractors Signature:' • N - Date: .A -- \lO -/ -�I 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: Lenders Address: Signature: Date: • OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or Improvement is sold within one year of completion,the owner-builder will have•the burden of proving that he or she did not build or improve for purpose of sale.). - ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: ' Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No 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? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the Califomia 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 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes IJ No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). . ........irQu............ ... . ti.t..r.other ir. ol..o.. onto..i district o.... 7 If a permit athe South Coast res Quality edManagement CaliforniaDistrict or other air pollution cion 4l 3i 3 agency is required for the work which is the subject of this application,have all of the disclosures prescnbed by CelifoHealth and Safety Code Section 42303 been made? ❑Ves 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. I urn f Legal Owner(s) /0 "( �� �! d r A Applicant-" 1 / Da�� SODS t. 'JNSPECTION TYPE - • PAIL INBIIALS RODE! INSPECTIONTYPE INTIIIALS 1616 Fixed System Final Fire Prevention '. 206 Final Mechanical , 1266 Pool Spa Final 208 Final Plumbing ' •200 Final Re-Roof I i 3 -ea 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 • ADDRESS OFBMLMNG: 161 QUIET BAY LN Mt 12 , • CITY OF COSTA MESA - BUILDING PERMIT mass NAME IF KNOWN: ALD IS, LYNN E • _ • PERM NO: P 072740 ADDRESS: 340 A-1 E 20TH ST • • COSTA MESA,CA 92627 PERMIT. NO: P 072740 PLAN CHECK NO: , . ' N GOVT: 'N SUPP:' -N • APPL.MAJUNG ADDRESS: CONSTRUCTION TYPE: • PERMIT TYPE: PLU . PURPOSE: OTH • ARcxrtECT OR ENGNEER: 'iota NO.: JOB DESCRIPTION ' : C/O DISHWASHER SQ FT: ARMOR ENG.'S ADDRESS: UNT: - CLAIM VALUE: CALC-VALUE: GROUP. OCC: R-3 / COIURACTORSNAMENOCK PLUMBING ( 714 ) 895-1246 - COtBACTOWSMNIAO11612 KNOTT ST COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT • - ADDRESS: GARDEN GROVE CA uc '+A '+lo.: 511971 *** * * '+P*+l***+A** '***** ' ***' '*** ***x*******SE********�E** *+riE**** • it+r*** +E**** 92641• WIT: 17 Z ON ING R E Q U I R E M E N T S LICENSED CONTRACTORS DECLARATION:I hereby affkm under penalty of perjury that I am licensed under provisions of Chapter 9 S. E T B A C K S ' - (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. . C LIC. O.:050386 uc.cuSS: C-36 UC.No.: 51( —971 EXP: 02 /96 MAIN BUILDING • ACCESSORY BUILDING (� (qlC) comader: �� AF' ��(JMK�/!�� FRNT: FT IN REAR: IN RGHT: FT IN FRNT: FT IN REAR: FT IN ! [ LEFT: FTFT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury That I am exempt from the Contractors License Law for the Ifowog reason(Semon 7031.5 Business and Professions Code:Any city o pointy which requires a permit to construct.alter.improve, PARKING REQ: • P AO V: PARCEL: 93794071 Z N E: • REF NO: ' emolsh,or repair any structure:prior to its issuance,also requires the applicant for such permit to file a signed alinement that he or she is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Dalian 3 of the PLANNING NOTES> • Business and Professions Code)or that he orbasis y she is exempt therefrom and the for the alleged exemption.Mviolation of Sedion > - - ./C • - 7031,5 by any applicant for a permitsubjeds the applicantto advilpenahy o not more Than foe hundred dollars[SSDO)). ******************************************************************************* ❑ I,as owner of the progeny or my employees with wages as their sole compensation,will do the work.and the structure is not intended or offered for sale(Section 7044,Business and Profession Code:The Contractors License Law does not apply loan owner of property E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ' who builds or improves thereon.end who does such work Nmseff or herself or through hie or her own employees,provided that such , 11..-- improvements are not intended or offered for sale.B,however,the building or improvement is sold within one year of completion,the ZONING APPROVED 'BY. ' , n' • owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). •�" DAT E ❑ 1 as owner of the property,am exclusively contradip with licensed contractors to consnud the project(Section 7044,Business and !/� Professions Code:The Contractors License Law does nd appy to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : . , X.i DATE: contracts for such propels with a contractions)licensed pursuant to the Contractors license Law). i. ",7! _ �• ❑' lemexemptunderSection: B.AP.C..forthisreason: APPLICATION ISSUED- BY: ' �F i �l DATE: r7 Dat': Owner: LEGALIZATION: N - FEE S KIM M A R Y - - • STRUCTURAL SEG ENT:-N • I do hereby codify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,end - 25534.and Mat I or any future building occupant will I wait not(circle one)need to comply wait said state codes and the requirements for , a permit for construction modifcation IranMeAi3ratTiyManegemenl District.Residential construction appi catiosanexempt from these PERMIT BLDG PMT PLUMBINGNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING • provisions. Date: . Applicant: 25% - ' TI • SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one d the folfowing declarations: - PLAN ` ` _ o l have andw maintain a certificate 013neent to self-insure for workers' asproided for by Section 3700 of the Labor ISSUE FEE 20 .SS00 , ode,for the performance otework for wtichthipennais Issued. BUILDING DIV > PERMIT ISSUE PLAN CHECK, TOTAL PAID DUE Ihave andwil maintain workers'compensation insurance,as required by Section 37Dod the Labor Code,for the performance at the TOTALS----> 7 . 00 20 ,00 - (� - 0 ,00 27 . 00 27 . 00 , 00 for which this permit is issued.My workers'compensmon insurance earner end PICKY number are: ) • Carrier: STAT F. • EXPIRES - REVENUE DIVISION TOTALS >20 .00 COLLECTED : 27,00 OVER/SHORT: 00 Policy Number: 7167997-95 03/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (Thlssectionneed not M completed I the some is for one hundred dollars(ttoml or less) 27 . 00 . I V • ❑ I certify that in the performance of the work for with this permit is iaued,I shell not employ- -• in any manner so as to Decade subpd to the compensation leers d Celilania end that B I shoo .:J. subject to tM *************************************************************************fE***** compensation ions of )100 d the Labor Cath.I shall •• ply with those• • '::• .. 67 I N D is V I D U A Lf FEE BREAKDOWN ge: [ Applicant:. , • • Warning:Failure to'secure workers'compensation coverage la unlawful,and shell subiact an employer to criminal penalties and TYPE QTY D E S C R I P T I Of N - UNIT COST TOTAL COST civil fines up to one hundred thousand dollars(S100,000),In addidon to the cost of comperaaflot damages as provided for in Sectionw 3706 of the co ,Interest,and attorney's fees. • PLU 1 DISHWASHER - ✓ 7 . 00 7 . 00 . is s CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that therea construction lending agency for the END OF FEES - ' performance of the work for which this permit is issued(Section 3097,Civ.C). ) I LENDER'S NAME: • . ' ' LENDER'S ADDRESS: - • I certify that I have read this application and state that the above information is correct.I agree to comply with all city end county ordinances • 'lam • ' and state laws rehab°to buildup construction and hereby authorize representatives of this city to enter upon the above-mentioned property • t' • Io inspection purposes. - Cx3 f h RON 'SCK / 410• - r 01 4q.Z3°82 0018s&82 'Tot 27.00' Date. Signature d e :7(j]�A..:.. • CLIF h . (5151i6,WP) White-Building S Safety:GreerrFle:Canary-Applicant:Pink-Revenue;Goldenrod-Assessor - .. _ . CONSTRUCTION AND PLANNING ` - ix 4 SPA APPROVALS Permit# - .1 : Date Inspector APPROVALS \ Permit# - - Date Inspector ' ,. 1. Temporary.Electrical.Service or Pole , 'I a;. 52. Pool & Equipment Location r i • 2. Soil Pipe-Undrgrnd. /.., 53. Steel Reinforcement • I r .131.'Electrical Conduh--Ufi mr.• r1lity-Undrgrnd.- - 54. Forms • ;�' '' C ' ' - . ,.,014y+EElectricaI ConduitcUndrgrnd. •", ', . , -55: Electrical Bonding y., - I ' t s Sri Steel Reinforcement a, ' .56. Rough Plumbing & Pressure Test 1 - t t t:.>eIleCtrical UFERg_LTd. I 57. APPROVAL TO COVER.GUNITE ' 7-i footings ti - . 58. Electrical,Conduit-Undrgrnd. • - r ' `^SL Foundation o; - ro 59: Gas Pipe,-❑ Undrgrnd.,Test /r s' OIL. 9.,Water Pipe-Undrgrnd.a - • • • 60. BackwasMlines,'P.d.Trap, O Undrgrnd.:" 10. Structural Floor System ". xi 61. APPROVAL+TO PICK/ .1", 11.property Sewer Line•& House`Connection 62. Backwash & Receptor-Final - .. - . 12. Sewer Cap - .a • _ . _ ' 63. Heater & Vent-Final _ ` I ` - 13. Roof Drains _, 'i- i . , ,64, Plumbing System -i Final'_ - 14. Rough Plumbing-i Y - 'r 65• . Electrical-Final I Iy: e • 15. Rough Electricacc-Coriiduit - .�Ir. - 166. Solar System-Fin0. al "F < , 16. Rough Electric.Wiring . o < •- '67. Fencing'& Access-Approval '• "11 17. Rough Wiring Sign - �.Ti 68. APPROVED FO#tPLASTERING ' ii 18. Rough ElectricarT Bar Ceiling • • - -69. POOL/SPA SYSTEMS FINAL- • r. 19. Rough'Heating & Air Conditioning -- - - -` - - - Eyql_E DEPT_,HEQUIREMENT ., �- t. s 1 t , (mi. CC y S kr'4- _C 'F:l+r+ ..-. '- C' 1-3 20. fa-04h Factory Fiiii replace 1 Snm.. G ?: S Cx f APPRb4Lh=,G PPr-'mit # ?• _ 21. Ducts', in:Stru`ctureix • •• S�' n Y k - 70.FUndergfo-id Hydro r- im :x is n: c-.* .us r: �- b;.r: , T,. t pro '. 22. Ducts, VentilazingltT i C I: C ,a' ca t-( d 71. Produert_eiping CI-Gas '2 Oil 23. Gaspe:-Rough &Test , n-it-. r t*l c $ O.r " 72, Underground F,ko h t^ 24. RooPFrSming•• (3'.1,'„ ; E..../- •-h v O c" x r' ti HC 'r. ,, ,* t>; .-,,i. .. 731 Undergrnd.Stop,age Tank:❑Gas �r0il 25. Roof-Sheathing Y+* •.. V 41:; 0 E eitt 7q; Overhead Hydrer,� 26.4T-Ba7),Ceiling (StrucOral) & Monocoat . Ci w I'D . C. •Zs:. Dry ChemicalEL; `' 174r'' C 27. ,Frame and Flashing _ �: ,;c>; Crt, Y 4___ 76. Dry Stan'd'pipe. L- V28. Lathing et Sidingx '' ti -1 r t "1' 77_ FIXED SYh-STE NNAlt- `t' 29. Insulation Cr V t , 1 t1: 7$:, FIRE�PREV. FINAL '' % S tri i. t' 30. Drywall Nailing N r.H 1 ta F ) "� ~t'<EALTH DEFT.:REOUIREMENT p: .O nJ . ,., . : . o 31. Plaster Brown-Coat* S t :'C 1. ) 5.: r 79 FINAL INSPECTION' .r t . _ .. E' 32. tElectricatPovder (Neer-Final ' '11 ro ' j ": p 8Q7 FOOD CERTIF LATE I SUED. ra ... : , , .0 t t. I I a v ;,, 33. linal;Electric� ,+,: n C i Notes: C::Y -r " -/ t•r 34. tFinaTheating-& Air ConditionirrgS `i ' i y, a I -r1- '1. Fal II 5 t7 35. tF,:nal Gas Pi pe:Tess•* 0- .. * ,..t ! /[ C '34O CH !ip 36. Hood or Canopy N.1 O : "'1 Ce a: C+tri I I ?' , ti I";s m S -r, fi i C. W 1: I 11. 4•.•g-* :Co :i: ro to f-. •-.+! 1-4 , .3.t•' li x t': i Jr:r 2 1 1- .. Ij 37. Final.Factory Fireplace X t F•F e• * ) '� p; s ni I= 38. FinalTPlumbing :" ,N • o ,-Ci-;% v: i-+ * �X • ,� �, ,* I -. .r �_-:-" y. , 1 Lel L•, 39. Water Service-Finl T. 1 * ttc i ) i* : ,� I4 40. Gas Service-Final <rat-< Cr• 5 r Rl i i 4OE.- oru 1: r ns..:- an .. 1 lf E- • Or. -: < 41. Solar Domestic-Fina S ,. •' ,tc c`' I Ia: E,. tzo t- i ;c 0 42. Backflow Preventer t- • iv I ;+ r >f^-, s J r± .t'-1 r n• fLJu 1: 1-1 t' rr1 tn..l Y. -43. Backflow Irriygation': a.. < ..-- t �� ' • i. - _. x fl 144. Landscape Irrigatior:System'1-'n1f) I.--: t tr,- Cl CT O%• t is CU alto Lf .. to o -' r: P * C ca ire, r. ,' S, CA Om .: S u. r` .! Hi,,.E_ tr I. 1" F t E- i- i H F-: G'L- ti::e:: -45. Sound Attenuation.,. H ... . r. i: ' M OI F Cr c < •• 1-,CJ 46. Handicap Regulatioris 7 a ' ' 4, E -cc S bo- s r - .. •,- C N' e ... n 1j a' 4.7i. FIN&LSTRUCTURE & BUILDING F• i 174'y,.` (1.1 S t^ r^ 48. FINeLPLANNINGY Fc 1: 7i I . , .011 >. n N H r49. Elect7ic Release to Edison i x ) cirri tr. .n •!: 50. Gas Release to Southern California-Gas Co - 11`-;i i•' t-, G - ota is C, • -i - 'c n era C, ru o - 51j. CERTIFICATE OF OCCUPANCY 1: V. : C tr/O a 'c t- a No Date ( (r December 21, 1988 To: Building Safety Division Pacific Bell (2) Code Enforcement Police Dept. - Ping. & Research Communications Santa Ana Heights Water Company County Administration Office Sanitary District Engineer County Clerk/Bd. of Supervisors Southern California Edison Co. County Registrar of Voters Southern California Gas Co. County Tax Assessor State Board of Equalization Engineering Division (2) Street Division Fire Prevention . U.S. Post Office, Adams Avenue Manager, MIS U.S. Post Office, Santa Ana Mesa Consolidated Water Dist. Zip 4 - Santa Ana Newport-Mesa Un. School Dist. (2) File (2) The City of Costa Mesa wishes to advise you that the following addresses have been changed or added: OLD ADDRESS NEW ADDRESS A. P. NO. 2666 Elden Ave. , Unit A 151 Quiet Bay Lane 439-221-61 2666 Elden Ave. , Unit B 153 Quiet Bay Lane 2666 Elden Ave. , Unit C 155 Quiet Bay Lane 2666 Elden Ave. , Unit D 157 Quiet Bay Lane 2666 Elden Ave. , Unit E 159 Quiet Bay Lane 2666 Elden Ave. , Unit F 161 Quiet Bay 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 tr 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. 4 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 (1,7' 1 163 rj • .• • • . • i; 16 • p160 1 • • 151 157 Li 1573 Z• .• • .4: L 156 1 . < 155' r - • - . ) 5.3 5-4- • - . _ 151 •-) • - • .:.. , 5 , ..000000001t5. • • . .: • - - • . . . 1 • • . • • FLDL tcl . • AVE NI UL • • uUUiji 1111 - Applicant to fillin all spaces except those within heavy border lines and sign all appropriate declarations. _ _ CITY OFICOSTA MESA 'CONSTR UCTION'PERMIT I _ P MIT NO (TRACT NO' I LOT NO: • IT N0. j ' ^ ' s--;-•� I �A p tIp " Q PE J!r✓ I � ' v ©2 1 1 TRACT bo , I • �o? gt'O926. ,,1126/87 640:42 ' TL Project Address /J _ i t ' f ) • t Applicant's Me ding'Address ' ; - 1, 1 d• i f I �•--��r TYPE OF CONSTRUCTION ,' NEW Li ADD U• ,ALTERATION Li REPAIR` • I • ' • ! - ' • i • X1-7. • �(^/ _ d1 . 1 -' ❑ CONVERSION1 ❑�D_EMOLISH_❑ OTHER " - • 'I-7p �!Z- • .. I 1 ."'r e-s'�L21 - N.. __. A.P..#_ - _`"�J / - ' 2I -.: 1.46 / :/-� - !.- ..:..-...4.. .Zone,. Owner's Name, f '" • CSI-sTr�E3 -��Phon I DES (PTU F WQR�K/ OF BLDG. ' Address '7t/{0 ' 3d >�/-rr�•`^�`" I ,-r/� r.f-La•- Oi.je0 , ` ' - I S. Main Builldinngg•: , 'Accessory Building: I e , Arch/Eng: �/J) i(L:J4 + PO w-I�icen�se No.m6s "��1�.tt 8 TYPE OF PE'MIT �III GRADING ❑ FOUNDATION U STRUCTURAL T Front' „ys .l H-64.!5-1' rib/ • j L p O t Address - "2;2-0 Nl ea'V f Ot" V I O -isu` 'y2 ' 5 .❑ TENANT •❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear VG',51 i i I t i • ( j - N • ❑ OTHER _ I. :- • _ i j p - I I Contractor's Name OIAJy-E+C ' Phone I t i " I ?J al -t ,---2 Ti. - '-- - , i , I • t I dPROJECT DESCRIPTION, 1SQ. FT. OCCUPANCY 11 K• Rights �Q / I I " G I Address(mailing) • s s + - I CONST RUCTION,TV PE T7, VALUATION$ N>� S Left be - I , - r+. + I I , + City LICENSED NO. 1 ! ( 1 i ( - r ZONE I '"i i iGRADING CU.YDS. I ACRES' i - R 1. CONTRACTOR DECLARATION / - -- 71-1-12-e �- ��� ,,., • PIn • Ref.# p ps 1Parkin� R¢ /Provided E 4 1 hereby affirm that I am iicensed under'provisions Of Charter 9 (commencing •.Remarks: 9U QC•�C er. i71J r- •, � � I .. Planning Notes: i— -- -i J' ' ' f • 1 i , ' with.section'7000 of Division 3 of the Businessland.Professions Coder and • • t i D 1 S r;f:'7s;:;-1yi ! M , my license is indult force and effect. • It-----21 •- I :CO/ o A /f / / p, .- I - • ' •NULD.FCR S? C •-- „ I I T I License Class i ' . , I 1 ! License No. -1 1 x •_� r, i 4^I 7 CO V O I %l0 ' r.0 �d O.re�pOleyef�F ' 4 . f , ! 1 '. S i Date • 4 I Signature • ' I L ! . . 1•,._ }._ , . i , , , 1D , ' I _ IPLUMBING „ , • I FEES 1 ' i t ' ! I'• - I ' I 'f . _'I '- , • I I I n I I WORKERS'COMPENSATION DECLARATION 1 ' ' -• J i L. r , ' hereby affirmithat 11 have a certificate of consent to self-insure orla certificate- -. Bar Sink p „ ..r j • i „I. ( !Showers I - i' - I • "'I ELECTRICAL) 1 ,,, FEES --" i Workers' Compensation.insurance, or a 'certified copy thereof (Sectiont •+ gackflOw Prevent¢: z- " ;Service Smk + - (. i [ ttCl Boo: Lad: C.)r I 1 i ( 1 > 1' ° - I Automatic Washer _ , Transformer,❑ 15 50 KW 1 ,4 , i •Policy Not ' - r•Company + 1 yL ,5 i Backflow Irrigation' ;'f r 1 sJ I .Sewer Cap - i - t i ; _ Construction:Pole Sub - I 1 ❑;50+KW, � • 1.`p I Certified copy is hereby furnished. s +�` r• } ' Certified copy is filed with the city Building Division.- { ,- 1 '- 1/ I Bathtubs - ^ { • ' I, Sewer,Connection I _. , Cooking Unit' ' • Meter ❑up to 100 amps , -• - ' ' • Date' I i • Applicant - I s ' " - • _ _ ''t ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION iv' • Clarifiers' .� ' .., ' , Solar Collectors' I - 1 : - Dishwasher = - a 1 - - ,Meter. ❑over1100'amps _ . • (This section need not be completed if th•e permit is for one hundred ($100)' of„ ,,. Dishwasher , i - e Solar Pi m . - .. I r ' _ P 9. _ - Dryers ❑Gas DElectric ; Sub Panel " - s •: 1 ' •' j I certify that in the performance of the work'for which this permit is issuedr1 , ,u. �A shall not employ any person in any manner so as to become subject to thew• ^� Drinking.Fountains I Solar Tank • +• I � - Fang! I { I Workers' Compensation Laws of California. r . , F f /I • • - - - - • - - a - _•� Motors❑0-1 HP ❑1%. 8 's r Dater + t sSignature I - ' 'be' Floor Drams' ( • • ,Swimmmg'Pool w/Spa ' ' ' F.A.Ute' - , i Inc.Solar HP ❑1615+ ` # 7. NOTICE: If,after.,making.this declaration,you should.become subject�to the ' -._ - _ _ _ _ _ _ .. ... . .. . _ Workers' Compensation provisionsi of the Labor Code; you must forthwith Floor Sinks '•• 1 I t Microwave, - , comply with such'provisions on this) ! • .Urinal r , Fixtures i p y permit shall be deemed revoked. CONSTRUCTION, LENDING- AGENCY I 3 Gas Service ,' Outlets :'Water Closet ' ) ' I Device Boxes ' I ' I , I hereby affirm that there is a construction lending agency for-the performance - > • { - ' i Po a Light s I • P of the work -for !WhiJcFh this permit is_Issued': (Section -3097 Civ. C.) ' ' ' ! + - - Lender's Name I- ' L./ ry ^/An-A_ ! : Interceptors •,,e .?,11 t J ., J sWater?Heater , I + , , Outlets Range i ` 3 l. ,.Lender(s.Address + 4./OC) ,d, 1 i/Oy ex it), ) ' .--- - . . Kitchen.Sink-r... - _ ...Water-Service i - - = - I- - 1 t•- -Switches -- - --+-' -- — '- - - - ' OWNER BUILDER'DECLARATION 1 t 1 I }_ - i Sign , i - t I hereby affirm that(('am exempt from.the Contractor's License Law•for the . . Lavatories -i.f_ .h -�- / s Auto-Wash 1. ' 1- 1 I GarbageDisposalt Standing�Sections 'n,+- .w :^ i1r. ^L I following reason (Section 7031.5 Business and Professional Code: Any,city or - 'r .county which requires a permit to caIso rect,'ait¢t improve,demolish or repair ; P—Trap ' C. 1�, :i a r LaUndr Tra s ' 1 ' ' any structure, pstate o its issuance, a isilequires the applicant for.succi permit ' .�%' z- _ V V Generator ❑0.5 KW KW Tras)i Compactor 1 -• • to file a signed statement that he/she is,licensed pursuant to the provisions of ;.. t= I -' ' "- the Contractor's License Law(Chapter 9(commencing with Section 7000) of , Roof Drains.- ... .;.•g^,,.'F . i;...{ j } I I I *?''-C+I • - • -Division- 3.-of-the Business and-Professions-Coden.or^that he/she:is exempt-- - - — - , - - r 1 erefroan the basis for the alleeed:exe ption. Any violation of Section I : y , t i ) ;I i •; - i ' - - 131.5 'by any applicant for a permit subjects 'the applicant to a civil - 1 i - • . •enalty of not r of then five hundred dollars loyees. t 1 i t 1 lI i , . I ' - ) - J i ' I ' ! r❑ 14 as• /owner of .the; •property or' my employees with wages as their sole Reinspection;Fee I $15 ( >, f I Issue Fee $ 3 ' , _ I . a t compensation, will oo'ithe work,and the structure is not intended or offered ' Reinspection Fee •_�' $15' Issue Fee 3 License (Section of apply to ss and professional'Code:de: ;The Contractor's t +- , I 'MECHANICAL '.FEES I thereon; does-not apply to an owner of a property who builds'or improves - ' - • I '� - - - athereon; and es such work;himself/herself;or through his or her own - - - - t DEV ELOPMENT SERVICES REQUIREME�1 TS: - employees, provided that such improvements are not intended or offered for Boiler , I Hood or 'i Type I ❑ I - /�p� / / I^^s�.� � r / q/. sale?If;-howeverethe build ingi or improvement is sold didone o year of com- I I Canopy `Type II 0 • I ) - • Zoning Approved By ' • f /,I�'L1`f(tet ' /Y!'/'DsJSe/ d-UJi(J .;plet i o n;the owner will have the burden of proving he/she didmot build or in-- Duct-Under Ground I' • , f • Building Approved By �� Date ! • • I pr ve for the•purpose of sale).; ) (. { I as ownerlo tbe•property, am exclusively contracting with licensed-con- Duct-Structural I I Refrigeration System : ' _ • - 'Application Issued By 4 "' iA- Wt • l Date • 1 I'ators to.construct the project (Section 7044,Business.and Professions Code: -• _ ' I I- • _ . The:Contractor's-.License Law does:not apply to:an owner oP property.who Duct-Ventilating ; + ❑0-100,000 BTU-0100,000 BTU ' ' _ i - SULavaIMA 'OF FEES ' t ' 1 ' builds or improves•thereon, and.wholcontractstfor such projects with a con- , - - ' i „_ .�� OS - = / - • tractor(s) license pursuant to the Contractor's License Law). I.am aware:that', -t Exhaust S stem'0 'Multiple❑. I , System Repair/Alteration' i.: ; • ' . t • BUILDING PERMIT. $0 SMIP . I ' $'% /Z•S''Z.: Proof of their!Worker:5 Compensation iinsurance!shoultl be provided to'me„ . .. - + V - , PLAN CHECK i , $t. PERMIT : , ❑t(am exempt undeAection' ' ' ' - ^_ •B.:& P C.for this reason -' Firepl/Fact.Blt. ICBG# f Fife Dampers I - - i - I - ISSUANCE •' $ ' b I 1 - - PLUMBING . _• ' $, _ ! ' Date 'J '•z'-G `ie owner. r Heating System& Ducting' ; • _ !Registers) . -, • ` ; • . ' i " L PLAN'CHECK 25%• $ , • ) - •..ENERGY P CS $=• ' ' ' I hereby Certify that II have read this$pplicati n and:s ate that the above- - 004100,000 BTU 0106,000 BTL' . - -- i. t - GRADING $ " I ,information.is correct.'( agree'to•comply with all city and'county ordinances - ELECTRICAL $ "r: , _ + •and+state laws relating-to building construction, and hereby authorize repre-�. - - , � l ;, - O • - , - - - • - ' MICROFILM? $ ` sentatives ,ofrthis cit to ent . u on;the above-mentioned property' fo , �,• ' C , -. , -, r'1,• . , ., ; i 1 PLAN CHECK ;50% $ .. 1 1 I 'inspection PurPo j')`%'�,', i,, j q , r �f - • I `- • o ( - ' • 'Signature I + '�/ ' / ' -' r Reinspection Fee $15,. ' + >i ' Issue Fee j $'3 • PLAN CHECK 25% $ t t I i . — CMF 01165745,-rev.-10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor 'CONSTRUCTION AND PLANNING I POOL&SPA - , r 4. , ' Date • Inspector` P - - - }r. T .'Date-'i Inspector APPROVALS 4Permit.# APPROVALS Peimit# I i I 1.1Temporary Electrical:Service or Pole , , ' bj 52. 1.Pool & Equipment Location ,;f'I , , 2. Soil.Pipe-Undrgrnd. • • I , ' 53. 'Steel Reinforcementt .i ( 1,. + ' 3. Electrical Conduit Utiliiy-Undrgrnd. '54. 'Forms, . • - t I ; _ - ( ' 4] Electrical Conduit-Undrgrnd: : I • 55. Electrical Bonding . j a ' : , 5'. Steel Reinforcement-` : ' , ' 56. Rough Plumbing!& Pressure Test- r. , , , - , 6: Electrical UFIER Grrid.' { 9 'a r I •,,57, 'APPROVAL TO'COVER-GUNITE ,i, " I. I - '• • 7. Footings i. 'Street , •; �C 7 e _ 58: Electrical Conduit-Undrgrnd. I { ; :I, ,`,( .' , 8. Foundation 1 K, - - i 59. Gas•Pipe, ❑ Undrgrnii.,Test. 9. Water Pipe-Undrgrnd. _ , - . ._ , - 60. Backwesh.Liries, P-Trap„O.Undrgrnd. _ r , , • 10. Structural Floor System' ' 61.'APPROVAL•TO •DECK i "f. ;- , f 11. Property Sewer Line& House Connectionl , 62. Backwash & Receptor-Fi'nal'' 12. Sewer Cap , - • , 63. Heater & Vent-Final . 13. Roof Drains ' - - • • - ' 64. Plumbing System - Final' ' I.- ,,- ,j.'; -. r -, 14: Rough Plumbing _ 65. Electrical-Final. `; 15: Rough.Electrical-Conduit ' ' ' 66. Solat'System-Final ' 1 •' ',- , -- l 16. Rough Electric Wiring . . , 67. Fencing & Access Approval - • f •17: Rough Wiring-Sign - - -- - • - , - 68. APPROVED FOR PLASTERING ' "- 18i Rough`Electrical-T Bar Ceiling; - -• - ' r ._ 69. POOL/SPA SYSTEMS FINAL ' ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace -y . : APPROVALS Permit# v.`' ' . i • 21. Ducts;in Structure, 70. Underground Hydro '1^ ' t: A:" • ' 22. Ducts, Ventilating , , I 71. Product Piping El Ga 17:011 231. Gas Pipe-Rough&:Test t 72. Underground Flush r ! ' -: 24. Roof Framing' i • • - , P 73. Undergrnd,Storage Tank�.O Gas 0 Oil 25. Roof Sheathing 7/2917 G4l ' . - - 1 r 74. Overhead Hydro Atli 26. T-Bar Ceiling (Structural)_& MonocoatI. 75. Dry Chemical i •• - 5•- ,'''', 27: Frame and Flashing; 8/2,0 ' •G."ore -. 76. Dry Standpipe - : r '• 28. Lathing& Siding ' ..4 77ol&7 &i.7.1 i' 77. FIXED SYSTEM FINAL , , . I 29. Insulation • - 78. FIRE RREV. FINAL - gfisr�,j GN- , 30: Drywall Nailing • ' 7 HEALTH DEPT., HEALTDEPT. REQUIREMENT . - 1., 31. Plaster Brown Coat, - . , 1h-3/gr (,-r' . 79'FINAL INSPECTION ', ' - ' ' 32. Electrical'Power Meter-Final , - , 1 80.,FOOD CERTIFICATE ISSUED =r.-• ,. 33. Final Electric , - - ' •-z Notes: _ . . .� , 34. Final Heating & Air'•Conditioning • i"OLLD FOR SPECIAL REQUIREMENTS _ ' 35, Final Gas Pipe-Test V/g8; ; ? .11r. 0444- -Ss:4ss OF Ai* - - - 36. Hood or Canopy •i i(it .&/ Ok To �L�i�v��a�rCIO; G.l"• ,:'37.,:-,Final Factory Fireplace - - • .4 17-4E, U� esGkit �. itLa 0 t_ f- /D ,l 38!Final Plumbing • : • - - f �I ' - .f , . , . - � .39:Water Service-Final .- ' i - � , - 40. Gas Service-Final . 41. Solar Domestic-Final ' . ' - , • .42. Backflow Preventer•. - • ' . • - 443'cBackflowrIrrigation - _ - ,44'Landscape Irrigation System ' ' 4 . . LI 45„,Sound •Attenuation • - ' I- 46. Handicap Regulations • .. -t e 47: FINAL.STRUCTURE& BUILDING - 12,/�3/n Ir,,/ zf .48!.Special'Requirements,Completed /rk/ p� _ - _ . • , 49.;ElectricTRelease to Edison - •- /' - • - - 50. Gas Release to-Southern California Gas Oa •• . • • . _ ' 51. CERTIFICATE OF OCCUPANCY • No 1 Date . . . . - - - • • • INSULATION CERTIFICATION This is to certify that, in conformance with the current energy regulations (California Adminis • - trative (ode, Title 25, State of California') and approved plans, insulation has been installed in the building located at: COSTA MESA , CA . ORANGE CIIy DM* 2666/2627 ELDEN AVE . ' Shat Na (Ir A nilubl.) --- ----- Shoat— WINS*. Trod Nr. Mi DESCRIPTION OF INSTALLATION • ROOFS Type of Maltreat._ Manufacturer Thickness - R Value'• • EXTERIOR WALLS • • Tyne of Material_ F I B E R GLASS Manurreclerer C E R T A I N T E E D Thickness_ 3 z it Value" R 1 1 (or Trade n.m.) CEILINGS eons: • FIBERGLASS CERT AINTEED Type of MateriaL _ _._ __ Manufacturer Thickness 6 R Value" R19 ie. Trade Men) Sq. ft. Covered_______ BLOWN: • Type of Material Manufacturer Thickness No.Rags_ (Or Tn#. Noma) WL/Rag Sq. Ft. Covered_ R Velua'•` FLOORS Type of'Material_ _ Manufacturer Thickness R Value" • (Or Trod. Noma) SEAR ON GRADE Type of Material._ � Manufacturer Thickness _R Valuee'� (Or Gads Meme) Width of insulation Inches FOUNDATION WALLS (If required) Type of Material Manufacturer ThlCknau R Ydue"____ roe Indo Nemec REMARKS (If desired) • General Contractor (Builder)..__FLUTER DEVELOPMENT License Number By Title Date Sub-Contractor (Insulation Applic tor) liA'PCII 1115HI.ATI0N license Number 382646 C-2• (leouletlen, Masonry. Uri,._ (Slat. "SAME" If memo as Omani( Centrodw) / By E . L _� tv {� G/^ _ Title owner Date DECEMBER 14 • 1987 . I csIilnmle Admldn•'nn Cad.. En..py N denen Srendard,• d.tfent. (KUM Ilam In. irga .1 IM N.elth and Safely Cede .f the SM. •'Ca•eldlente. unen tempbtlen el she in.lellellen al Insulation, at and a1 Cellloenler toll Irina Ihel the Insele Ilan her boon Installed In realer meny. .IiAth. •.auh.meett el Om ...olanen, shall be remolted end novae,/ by •'N. ta.11eoo• .1 a0oana or stroller twllncatl.n Atli a only con. ii. ',mutation essence's.. and by Pm betide,. rhl, !r.:nlnrlen temoflenae ,h.tled halal, meld, eperlmenl haute, home w other reddeerflel card shall be nested el a can*nimem location .Rhin Ih. d.dllnp l•1 d.alllnp It %abffable shell be kind by tad . balidlna d.pedmtnl ------- velar* Its. ,lr.rlm a1 Iona ull.M. IM minim.m *war In.vlallan (••e Valve is It.ry m•orpm el Iha salaam• el a )ulntaao l et bulldlne andd. labpaM lldr.d parasol this chap?..." mnenent le Ihss flung.el hoes. Il..rnis/env* vale. In elm rnhp. Inselatlent shell net Intlade env rely. for •nlhrtllsa foci';_) • . CITY OF COSTA MESA ! PARK FEES . Fee Payment Receipt 001063 0923 1/26/87 15981:94 TL Project Address .?.(.,Into 6LbQN AVE A'/bC,D 1 F,GN� J , , K, L.)AliN . A.P.Number '939 — 221 — lea , / 7 _ Building Permit Number Owner's Name Russ FA..tl'TEj Mailing Address S/O 3Unt" Sr: / ve- J PoPr6€Act4 / 0* 9 icy 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 = 15J 9$I'99 Total Fee "" IS) nit 7i1 . Planning Department ApprovalDate -Z] By 1:14:34.-, !MrYI,., /W�}(�. • it" Applicant's Signature 64.444 ' i • City Ordinance 72-44 •• City"Ordinance 72-45 •City Resolution 78-116 Mil ' CMF 0174-30,rev.7/85 White—Planning;Canary—Planning;Pink—Finance;Goldenrod—Applicant IJ,IJ`IfIIL,ll,g1 tL • r ,t • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - �- — T - - t Y --- J PERf�IT NO. TRACT NO. • LOT NO._- - - _ _ _ _. r_ _. '. • • —Y- i _ CITY OF COSTA MESA' �CONST.S.LI,CTJONPERMIT T r- g2 3 t ! :UNIT NO. �t„.1.7.1.1„4„ . Project Atdd• ress 1 �ILZ 66 ��rL/.�'.7z.�` b I + 1 • ' ' I ) Applicant's Mailing i ss 1 / ., - • I TYPE OF CONSTRUCTION - ' U NEW D'ADD LJ ALTERATION ❑ REPAIR r• • } • 1 f ' • nen 6n .inc-1-7 _ • t • ( NA / I s �� ❑'CONVERSION [1,DEMOLISH ❑ OTHER - _ qp,# -_ 1 -S __ • - Owner'sName. /' Phone - I'_ , _+ -"'( .J_ r - - DESCRIPTION OF WORK/USE OF BLDG. Address 1 { •- f 1 1 + S Main Building: , :-Accessory Building• 1 • i • jE Ui I U' V IJlfl fss L•Jf1 Z Arch/Eng ' + License•No. { I TYPE OF PERMIT ❑ GRADING,❑V�FOUNDATION• ❑ STRUCTURAL ,T Front_ 1 .+.• Q Address •- ' ° : ❑ TENANT' ❑ ELECTRICAL; •Lr• PLUMBING ❑ MECHANICAL I g y- N. I Rear I - v • �j' _ - ❑ OTHER_ I .. I. IA • 1 , I Contractor's Nam ' ,,..012°L,„..... ..-- Phone ' .C` ! - I ' 'N - _ PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing) A�39. dam' ' - - • + K Left +- { ! ' G j - j CONSTRUCTION TYPE ,VALUATION$ ' ;$ , City'License No. 3 .2' 7: ' ' ' ' - R I - I ' ZONE { GRADING CU.YDS': ACRES PIn -Ref,,# , t • t ' LICENSED CONTRACTOR DECLARATION - - 9' , iParking.Req./Provided , , E 1 hereby affirm that,I am licensed under provisions of Charter 9 (commencing Remarks: 6 '- C " 1 - • _ , I G • with'section 7000).of Division 3'of the Business and Professions Code, and - —'' C g` T I _ Planning Notes: • - • M • my license is in cul force)aQtl "Bed. ' • ti •i/ /L/ 1 I ` I - _ I i _ i 7 • 1 i ' T , License Class - - n No. ' / b c' - - ' I - S- brJ�� yy Date/�%�•`�"/�/yr� 9nature -/ a+ ' PLUMBING ,i FEES, ,• . - - + - - WORVtERS'COMPENSATION p LARATION ; ' . • ' ' Bar Sink Showers I hereby affirm that I have a cet$1 irate of consent t0 self-insure ora certificate • - - • • / - • • -• 2 60 - • .. ••ELECTRICAL FEES f of Workers' Compensation Insurance, or a certified copy thereof (Section • - - _ - - . - - -. 3800, Lab. C.) : Backflow Preventer - Service Sink I I ��,,/� , Automatic Washer' Transformer'❑ 15-50 KW • Policy No.• 7,�.00o'� gb' Company - `"�T g ` ' Sewer Cap' - •' - ' ' 050+ KW' I Backflow Irri anon ertifietl copy is hereby furnished. f ! 1 . . ; Construction Pole Sub I. Certifi Qc.p is filed wit h't he city B jdi s Di j •- ,, . i / Bathtubs 1;2 + '11 _ ! _ I „ - /y,ry , c g �. Duo to 100 amps ' + , Sewer,Connecvon ! n Cookin Unit Meter EXE -TION F-•M WORKERS'C•�PENSATION DECLARATION i Clarifiers ^ - Solar Collectors i --_ •- Dishwasher - I - • 1 - ; Meter Dover 100 amps ' (This section need not be completed if the permit is for one hundred ($100) or _ `v less): Dishwasher"I i -' I Solar_Piping - , „ 1 1 f` D� ers ❑Gas �Electnc - " - .' I certify that in the • •p tis issued, i /I . , '�� Y i _ 'Sub'Pariel+ I ! `t y performance of Ih for which this ermi • _ .,3 . 1 Workers' Compensation employ ation Lawsmanner.of California. : . ' -' - 1 + - t _ Date, • - Signature - ' Floor Drains 1 • SwimniingPool w/S a ' ' b ' - - ' • -NOTICE: If,af ter niaking-this declaration,-you-should-become-subject to the p �. F.A.U. _ _ _-- - _ Inc.Solar ❑9-15 '; 16-15+I . • ' ,Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks . - Urinal Fixtures- ' e comply with such; provisions or. this permit shall,be deemed revoked, ' . • r I �,, + '„` Microwave • , ' CONSTRUCTION LENDING AGENCY !• i •'+ • s i Gas Service • Outlets , Water Closet ' I :7�' ) • Device Boxes • '• ' i'�j'k Pole ".ht FM 1 hereby affirm that there is a construction lending agency for the performance - - w. -.g. ' A' + • of the work for which this permit is issued (Section 3097 Civ. CJ / • Interceptors • ') / Water Heater d0 Outlets. 1 •:"• ?'' Lender's Name ' " - - - y - > las 'ange f> , - Lender's Address - - - - • - ' /I Kitchen Sink { /. Water Service - - - e 00 . 'Switches -' Sign. - ' - ' -' -- - OWNER BUILDER DECLARATION ' . - /� - _ • 1 hereby affirm that I am exempt from the Contractor's License Law for the Lavatories 3 / I' Auto-Wash• . - ,_ ft Garbo a Dis Oso g f3 ' • following'reason (Section 7031.5 Business and Professional Code/Any city or - - 9J P _ Standing Sections , county which requires a permit to construct,alter,improve,demolish or repair r P-Trap Laundry Trays renes eor DO-5 KW :-15 KW, - ' any structure, prior to its issuance, also requires the applicant forduch permit a Trash Compactor e 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 Sectiom7000) of - �1 G,5 ' 'f.'t , t Division 3 oflthe'Business'and-Professions Code) or-that he/she is•exempt-' ! - . - I -- -- - - - - - -- •- -- herefrom and the basis for the alleged exemption. Any violation of Section 1 - 7031• .5: by any applicant for .a permit subjects the applicant to' a civil , I . - 1 , penalty of not more than five:hundred dollars($500). . ', - ; •t ! - - . ' • 1 ' bI Reins coon Fee' $ 3 + • ' ' I, as owner of Ithe property or my employees with wages as their sole I Pa $15 . . , Issue Fee compensation, will,do.the work, and the structure is not intended °nattered - • Reinspection Fee , I $15 i Issue Fee I i ' I ' $ "3 v .{ License (Section-7044,n 044, Business;an 'Professional Code: The Contractor's I l 1 MECHANICAL "- I �gFEES' . . License Law does not apply to an owner of a property who builds or improves - - •. • . - - ,1 • thereon, and who does suchlwork himself/herself or through his or her own I 'DEVELOPMENT SERVICES REQUIREMENTS: ' j 1- • employees, provided that such improvements are not intended or offered for Boiler Hood or Type I '❑ . _ - t • +s '1 ;'sale- If,,the the building or improvement is sold within one'year of cam- • .. Canopy . Type II '• ❑ Zoning Approved By Date - b prove f, the owner win have the burden of proving he/she did not build or im- Duct-Under Ground , •p - 'y I - prove for the purpose of sale): , : I --_ - - • _ 1 Building Approved By •• ✓l�pJ Date (LSI ❑'1, as owner of the.property, am exclusively contracting with'licensed con- f Duct-Structural . ' • Refrigeration Syste- m 1 'Application Issued By I T' -- - ' ,a 314�,/` tractors to construct the project (Section 7044,Business and Professions Code: - • - - - The Contractor's,License Law'does not apply'to an owner of property who • • Duct-Ventilating • ❑0-100,000 BTU_0100 000 BTU 1 ' , ! '' - - _ • 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' BUILDING PERMIT $ I ' -$MIP• - 1 I proof of their Worker's:Compensation insurance should be provided to me. Exhaust System-(]-Multiple❑ System Repair/Alteration $, ! - _ - PLAN CHECK - ,$ . PERMIT f 1 , 0.1 am exempt.under Section -,e.& P.C.for this reason Firepl/Fact.Blt ICBG# •Fire Dampers -' - u • - . , _. . �': - ., PLUMBING $: `7j3•O:o ' ISSUANCE ' •$_: , Date ' • ' Owner • ;i1 Heating System'& Ducting. - Registerr� , .• I -o I - . '>, PLAN CHECK •25% ,$- -'• ENERGY P C ' '$'. I hereby' certify that+ have'read this application antl state that the above- ; ❑o-100,000 BTU ❑100,000 BTL - - - ' r;' - • - I GRADING, $' - ' information,is correct- I agree to comply with ail city and county ordinances - - - I - ELECTRICAL $_ • and state laws relating to building construction, and hereby authorize repre- - - PLAN.CHECK� 50% $',_ I-MICROFILM.' $• ' sentatives of; t is city en upon ih• above-mentioned property, for- - inspection Pu :•s• / - I , ' y • l MECHANICAL 1 $V • .9-) ' _ a' / - TOTAL FEE, ,$ • I Signature se - Dale`����'Q • re ., .Z _ • - Drivers' �:•Bose or SS le _ ' / Reinspection Fee '$15 v Issue Fee j �$• 3` I PLAN CHECK 1 25% $- , CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor , CONSTRUCTION AND-PLANNINd u POOL & SPAS.- ' -. - `. ..4. - 1 .Date _ Inspector, _ ; ' . ' S ; Date -- Inspector APPROVALS Permit#_ -• • i APPROVALS Permit#, I • I It'..-Temporary Electrical Service or,Pole , I 52. Pool & Equipment Location : . : • 2. SoilPipe-Undrgrnd:,.- - 1 ;4. , 3�/jr,, /J t; 53. Steel Reinforcement ' $ ! - : - • 3. Electrical Conduit Utility-Undrgrnd. ; - , v' ' ' '54. Forms ; I I ,• •- ' ' 4. Electrical Conduit-Undrgrnd. -55. Electrical Bonding ' ' $ 5.•Steel'Reinforcement : • •, , ' • 1 56. Rough'Plumbing;& Pressure Test, i 6..Electrical UFER Grnd.'; ' • " • ' 57. APPROVAL TO COVER-GUNITE - .I 7. Footings >. i • 58. Electrical Conduit-Und • rgrnd. i , . 8. Foundatitch /. . '; ... -" Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. tc� + PERMIT NO ,TRACT NO. I LOT NO. ;UNIT NO. ` I f t M I�!ta I� "�3`r� j ) 1 ( CITY OF dress �h SON jC��j�ION PERMIT Zg2� �!-I • ) `t-� { Project Address C`r'�"— ` • T' 1r- I Applicant's Mailing Address/' ! - 9 1 'U'-rL� ' TYPE OF CONSTRUCTION - , u NEW '❑ ADD U ALTERATION U REPAIR 's _r i • 1 �.!' • Phone I� �� `— ❑ CONVERSION ❑IDEM OLISH _- - • -- _ • - - _ p 11 �1•UU I - Owner's Name DESCRIPTION OF WORK/USE OF BLDG. OTHER • A.P.# _ .APR's 9 IyV ly. ( I• Zone_ _ I Address ' - I S Main Building: I , ;Accessary Buil . - • { Arch/Eng: • 5 License''No. I TYPE OF PERMIT ❑ GRADING ❑ OUNDATION ❑ STRUCTURAL E Front• . Z Address - i • : ❑ TENANT ❑ ELECTRICALS UMBING ❑ MECHANICAL B Rear ( I•I Y of:. MESA o Contractor• 's Nam• ' E ' 0 ' Phone I ❑ OTHER ' _ _'A • - ` -` • _ -- I .r f C Right 1 ` i i N Address(mailing) /��. " + PROJECT DESCRIPTION 54.'FT. OCCUPANCY - G •( / / ; CON CONSTRUCTION TYPE • • VALUATION$ 'S Left I I j, City License No. AC 2•� s ZONE ' GRADING CU.VDS. '.l ACRES , ! R LICENSED CONTRACTOR DECLARATION - I - , Ping. Ref.#- I Parking Req./Provided + I hereby affirm that I am licensed under provisions of Charter 9 (commencing , Remarks: „ '-1 �a �I t/ I - I - Planning Notes: 1 • i t • I i ' ' N1 with section 7000) of Division 3 'of the Business and Professions Code,and , O� !T r - mYlicenseisinfulltorce .ntletct • ) /1 ��/'.ry t ( _ I i a , 1 • -Sf f s + ` I - - S License Clan enteeNn ''Y f� / - n Date' tbignzt'ur¢ • _ , ,•' I PLUMBING G - I 1 : FEES• ` i 1 • - 1 ' (' WORK RS' SATION DF.0 ARATION ' ' Bar Sink• • I I hereby affirm thatll have a ter tl ate of consent to self-insure Ora certificate 11_wi4fl FEESh ■ s u■ a - b lytee�fietl�Crertified �PY is fis �e�bwit Phcac furnished. innt �ivtl?'/c/Lfi�:- ��® EXEM' ION F-•M WORKERS'C NSATION DECLARATION' • Solar • - • • 0• • a• ®® (This section need not'be complete the permit is for one hundred ($100) or ' less : h • Dishwasher Solar_Piping -. '` 9 • ■ ■ 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. - Solar.Tank 1 ' Workers' Compensation Laws'of California: . - - - - - • HP ❑i% $ Date- Signature '' { Floor'Drains • ~I : Swimming'Pool w/Spa .1 t • NOrkers' f,after making provisions eclaration, you should umustbecome-subject-to the - ■fS3 al: ❑9-15 HP;❑16-15+ Workers' Compensation provisions of the Labor'Code, you must forthwith • Floor$inks . Urinal 1 , l - ricrdwave: • comply -with such' provisions or/ this permit shall)be deemed,revoked. - ® -I , J CONSTRUCTION LENDING' AGENCY !r ,' 1' Gas Service 1 Outlets W¢L¢f Closet• • I I ip •) •- I hereby affirm-that therewhiis a permit, lending agency fof3 97,Civ. C.) ' ®e .17 of the work;for 'which this permi( is issued (Section,30, Civ. C.) -. - Interceptors f Water Heater - (a D • ®® Lender's Name '_ - I. Lender's-Address -' - - - - . -°- - _ - /- Kitchen-Sink , - - - y-- - • Water Service'-. - W OWNER BUILDER DECLARATION - - "" y . ' _ , c'�ty///' I hereby affirm that am exempt from the Contractor's License,Law for the. Lavatories : Auto-Wash 4 GO - following reason (Section 7031.5 Business and Professional Code: Any city or s �� • county which requires a permit to.con struct,alter,improve,demolish or repair ' - P-Trap + • ! • Laundry Tra Ys ■a ■ ' any structure„prior to its issuance, also requires the applicant l'f-insure' •the of i i.- the Contractor's License Law (Chapter 9(commencing:with Secshe i 0exe of .Roof Drains , I I ,Ivision' 3-of the Businessr ther 0 15-5-Coder exemption. Any violation of Section . • , /031.5 by any applicant for a -permit subjects the applicant to a civil - + . , • Penalty not more than Property dollars($500). • 0 I, as owner of the property or my employees with ince wages'as their sole Reinspection Fee •;� $15 - _ ' Issue Fee i f $�3 compensation, will do the work, and the structure is not intended or offered - I - ' for nssale'(Sect7044, to an Professional Code: The orimaroves f I I I MECHANICAL, , . - , :FEES' License Law does not apply to an owner of a property who builds improves _ thereon, and who does such ork himself/herself or intend through-his or her own - - • •• a employees, provided that such improvements are-not intended or offered for Boiler - , i Hood or ' Type I 0 i • %•sale:If, however, the-bu hiding or improvement is sold within one year of com- 'Canopy Type II ❑ i a. ` , pletion, the.op/ner will have the burden of proving he/she did not build or Im- Duct. Under Ground , - / _'prove for the purpose of sale). - , - • a' • 01, as owner of the property, aril exclusively contracting with-licensed con- Duct-Structural 5 Refrigeration 'stem a. 1: tz,,...).:it 16...).:„,. tractors to construct the project (Section 7044, Business and Professions Code: - l p- The Contractor's,License L, s-not apply to an owner a who Duct-Ventilating 00-100 a:f BTU ❑100,000 BTU - - builds or improves thereon,and who contracts for such projects with a.con- - • tractor(s) license pursuant to the Contractor's License-Law). I am aware that ,S ■ ■ - proof ortheir Worker's.Co mPensation insurance shoultl''=be provided to me: em Repair/Alteration f a'I am exempt under'Section - —B. 8:4>.C for this reason.. ® '• , Fire Dampers - DateOwner _ : • . Registers, 1 beretid s( pertify_that I have read this'application and state that the above ' 00-100,000 ■ 00 so: I ' intormation.is correct. 1 agree tO comply with all city and county ordinances” - .and state laws.relating to building construction and hereby authorize repro- , •• • sentatives of th'. city to rater upon the above-mentioned: proierty, for' ' '1 { a'' inspection Pur�.FJ, at / . O 'tf' 'STE Signature' �I,/�( / -Drivers''Lie-is or sc yk -• ems "' Issue Fee . , . $, 3. CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor • • 'CONSTRUCTION AND"P.LANNING. _ I" _ _ ._POOL & SPAT - I Date t Inspector - �I Date Inspector APPROVALS , Permit:# s APPROVALS Pei"mit# • 1 rTemporary Electric& Service or Pole , '' 52. Pool & Equipment Location; y t 2. Soil Pipe-Undrgrnd!I, 1.• • Win , /rp,r , ;• 53. Steel Reinforcement • , i i t^ 3. Electrical Conduit Utility-Undrgrnd. •• : 54. Forms: i -, . 4. Electrical Conduit-Undrgrnd: , 55. Electrical Bonding ` I 5. Steel Reinforcement c,, - , . • , •..56_' Rough4Plumbing & Pressure Test • . . i • ' • • , ! 57.•APPROVALTO&COVER-GUNITE 6. Electrical UFER Grnd�' • _ �� 7'. Footings F• • ' . • - , 58. Electrical ConduitiUndrgrnd. 1 i ; > • 8. Foundation: ••-• • _- - . . . .- a • 59. Gas Pipe, ❑ Undrgrnd.,Test 9. Water Pipe-Undrgrnd. -I - ijar 60. Backwash Lilies, P_Trap,'❑ Undr rnd.• 10., Structural Floor,System , 61. APPROVALTO,DECK l t • -?, . • 11. Property Sewer Line'& House,Connection! ` 62. Bckwash=& Receptor-Final+ ' } ' I • . to ��g7 t�D a , . ' 12. Sewer Cap `t - 63. Heater & Vent-Final. , I i ' • 13: Roof Drains. 64. Plumbing System - Final' : I - . 14. Rough Plumbing '749/67//er i 65. Electrical-Final 15: Rough Electrical-Conduit ,! • ; _�:] 1 ? I '66. Solar.System-Final - . +-- • 16. Rough Electric Wiring . -• - 67. -Fencing & Access Approval ' ' - 17. Rough Wirin -Si 9�" -n . '' . - . . .... 9 9 � ' � ��. r s ^ •68.�APPROVEDfFOR,PLASTERING�� -18. Rough Electrical-T Bar Ceilings • - '1 '�., ;... 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning •' . FIRE DEPT. REQUIREMENT _ 20. Rough Factory Fireplace . ' APPROVALS i Permit# _ _ t 21: Ducts in Structure 70. Underground Hydro: 22. Ducts, Ventilating; , . I !; a '71. Product Piping 0 Gas 0 Oil ' - , ' 23. Gas Pipe-Rough &Test , x72. Underground ,Flush " "24. Roof Framing - .. ' 1' 1' 73. Undergrnd.Storage Tank 0 Gas ❑Oil . • 25. Roof Sheathing ; r �74.'Overhead Hydro ' • ' 26: T-Bar Ceiling (Structurall '& Monocoat I _ +75:_Dry Chemical ,, I F•` • 27: Frame and Flashing ` • , ,,• +;; 76 Dry Standpipe i_: r 28: Lathing& Siding' ! 77. :FIXED SYSTEM FINAL .`.1 - - 29. Insulition t ; 78. FIRE PREV. FINAL 'I Q1.' .. • 30. Drywall Nailing . . : , ` HEALTH DEPT.REQUIREMENT 31. Plaster Brown Coat, ;_ , • - 79. FINAL;INSPECTION ' . . : - <., 1 32: Electrical Power Mter Final ; - 80. FOOD CERTIFICATE ISSUED 33. Final Electric ,i _ ..Notesi^ '. • ' 34. Final Heating &'Air,Conditionings r• ., t _ , - -" • 35 Final Gas:Pi pe Test 1. - •• r�4,' C7`�r` : - -- '_ . s _ .. . _ - 1 .36: Hood or Canopy . . 37' Final Factory.Fireplace - •', - - - '.' . • 38_ Final Plumbing - 40/42 £ f' '- . ` _ .r „ •, „ , , ^ ( +39. Water Service-Final r . ' w•scr7 LED t ''" " ' , 1 40. Gas Service-Final - ' I - 2 • • 741. Solar Domestic-Final ' f ;• ^- , , '' - - _ •.1. 1. 42. Backflow Preventer > - ;-.• ', . -. -''S. 43. Backflow Irrigation . fr. , _ - °` .y . ,'44. Landscape/Irri • •gation' System' • _ _ _ .n • _ " 7' - - :45. Sound Attenuation-• - - . • "�% 46. Handicap Regulations . . . . . ' . . • is 47. FINAL STRUCTURE & BUILDING • . • • - '• •' +1. 48.. Special Requirements Completed a , 49. Electric Release to Edison • ` .r1 - , • . 50..Gas Release to Southern California Gas,Co ' , ' - ' I 51. CERTIFICATE OF OCCUPANCY �� ,- _ - • No.. Date - . • ' ' - ._ - - - ` Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 71' I PERMIT NO M ;TRACT NO. : LOT NO. _- • -- - iT --r- -- ' • ; CITY OF COSTAiNtESA •CONSTRUCTIiONIPERMITII , II I. �,� Lg351 ; ,UNIT No. • $ ! ' Project Address .2666 ELDEN AVENUE r F G • 4, ,7 i I 2012E ` 7/21/47 .- ;'3oE0 11: -Applicant's Mailipg Address 14171 CHAMBERS ROAD, TUSTIN, CA TYPE OF CONSTRUCTION rig. NEW; In ❑ ALTERATION ❑ REPAIR - f �LUTER 'DEVELOPMENT . '637-3/f7 I ❑ CONVERSION ❑ DEMOLISH I❑ OTHER A.P. i zone• ; ' Owners Nam - Phone + _ - - - : , DESCRIPTION OF WOR K/USE'O,F BLDGT'- 't"` - .1 ' ' Address ; 5.10 .30TH ST, !NEWPORT BEACH, ?CA ' I p - 1 r 1 1 S Main Building' Accessory• Building; + ; • • Arch/Eng _ ' License No.• ' ' _ TYPE OF PERMIT 13 GRADING ❑ FOUNDATION ❑ STRUCTURAL, �T Front ( • '. - I : ' ti Z0 3 Address + . • ❑ .TENANT ❑ 'ELECTRICAL ❑ PLUMBING y MECHANICAL 6 Rear' • 1. N Contractor's Name SIERRA FIREPLACE DIST phone 1832-6862 ' ' ; ❑ `OTHER { i A 1' 14171 CHAMBERS RD, TUSTIN, CA 92683 PROJECT DESCRIPTION iSQ. FT. OCCUPANCY c R19 t;- p N Address(mailing) 1 K - - !` , G yai9s CONSTRUCTION T,VPE VALUATION$ S Left 1 , F I • I • bo City License No. 1 •n I + i _ R ,•ZONE ' GRADING CU.YDS. ' ' ACRE& o I E LICENSED CONTRACTOR DECLARATION - j - - - Ping.:Ref.# 1 ;'Parking Req,/Provided , ; I hereby affirm that I am licensed under provisions of Charter 9 (commencing I Remarks: Ref• 2 a Z 1 1 j;; Planning Notes: , - ' ,. `' 4 M with'section 7000)1of Division 3 of the Business and'Professions Cooe and /' _ - - v my license is in full force'and effect. i 1440255 + - I f t 1 I '1 r ' I ~' " 4: I. 4 !• -, .f,1 ' - 1 t .1 -4 g . License Class ` • Li• nse1 �• • 1 I - + :TEES I ' Date �'19na[ure / SA—, /.��. •'1 •• - ,PLUMBING I r } • , -.. WORKERS'COMPENSATION • CLARATION 1 / • v • I _ r ' hereby affirm thatil have a certificate of consent to self-insure'or,a certificate • i Bar-Sink ,- 1 ...0. { Showersi1 4.i/, + :] 1 - _ { �, ? •ELECTRICAL - - FEES f Workers' Compensation Insurance, or a;certified copy;thereof,(Section I Backflow Prevente r - S •- Service$Ink - 1 -+ f - " " - ' 3800, Lab. C.) - ? - - - .- _ Automatic Washer Transformer 0 15-50 KW - ( ' Pohuy No, 73WC003897OOn3company NATION-WT.F. MI1T11AT I Backflow Irri ation' 2'. _ • ' 1 I • - - - _ .v 9 • Sewer Ca - -0 50+ KW t . Certified copy isihereby furnished. ' • 1 + . j - "' - p + - iU Construction Pale Sub_ - - „ _ • Certified copy is.filed with,t he city iltling Dwis L. ( Bathtubs' j, _ T• ;L .; I Sewer Connection i s i • ,+ ; ;e �, Cookin Unit _ Meter + - - 7/187 / • _ g (]up to 100 amps X% . ate Applicant -"a'. -L/� ) - 0 - _ _ - �- ' • • EXEMPTION FROM WORKERS'C. PENSATION •�CLARA:ION• ' Clarifiers _l CaL ! Solar Collectors 1 Dishwasher . - 'I . (This section need not be complete• if the permit is for one hundred ($100)or - - -- - I _ Meter Oover 100 amps 5 , less)., t i. • t t -' 1. , Dishwasher + •$olar.Plping _ - - i• • Dr ers ,OGas ❑Electric - ct -^ I certifythat in the performance of the,work for which this permit _ a. Y I �. Sub Panel - 7 . 1 P tis issued, ! - I s _ ' shag-not employ any person•in any'manner so as to become subject to the ' Drinking,Fountains. . • ' Solar Tank i j . - Fan _ Motors DO-1 HP (]1% 8 _ ` Workers' compensation Laws•o( California. 1 ' .- - �_ a , t Date. Signature i - • ' • 4 + -" - _ 1FIOOr-Drains , , _ - )Swimming Pool w/Spa .- - c . F,A U 1 IncSolar 09-15 HP 016-15+ NOTICE:If,after making th visionlaratithe you should become subject to the_ _ 'Workers' Compensation provnslo ns•of the permit -'shall be- -d must forthwith-- FOor Sinks- ,,Urinal I • . , r ' 4 - i ' Fixtures t ' ' I- I comply with such+ provisions ori this permit -shall 'be-deemed revoked: - - r - - Microwave �� i • CONSTRUCTION 'LENDING AGENCY 1 2 . Gas Service Outlets { 'Water Closet • I .. ! I hereby affirm-that there I5 a construction lending agency for the performance 1 + Device Boxes • r Pole Light' a of the work I for ,which this permit is issued' (Section 3097 Civ.% C.) - I rr�- ' ' r• , irf r . Interceptors , 1 i•Water Heater I G ' I Outlets ' { Lender's Name - ' ' '' - - Range ' • . ., I , .Lender's Address - ' I - ry ' •• Kitchen Sink 4 1 Water Service ' .d wl ' ' ' -OWNERBUILDE1i DECLARATION I • -- 4'-. /1 S tche5 .:f.,,. 1-., �._. .gign _ - 1. • I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • 1 Auto-Wash - - l , Garbo Garbage Osdl • . •1 following:reason (Section 7031.5 Business and Professional Code: Any city or - - 9 P r Standing Sections 1 , county which requires a permit to construct,alter,improve,demolish or repair • 1 P—Trap . 4 • I • . I ` Laundr :Tra s . ' ' I' anystructure, prior to its issuance, also-requires the applicant for suchpermit 'iY. Y ., Generator 00-5 KW 05-15 KW q , I •Trash Compactor - to file a signed statement that he/she is licensed pursuant to the provisions of . - • ' the Contractor's License Law(Chapter.9(commencing with Section 7000)of 1 Roof Drains I • '-/. - • , I , 'vision-3 of the.Business-and_Professions,Code).or that ih i ,eecti pt,': ._ _ _. • .. - .. _ _ . - - - ; refrom and. applicant for the alleged exemption. Any violation of Section _1 , I , 1- " _ I I .. j - . ' • • 31.5 'by any applicant for a 'permit subjects the applicant toj a••civil' •• � - ;- t I I . - I • • - • enalty,of not more than five hundred dollars($500). ' I I • I i ' - I I r , - -" I I, as owner of the property or my employees with wages as their sole 1 Reinspection Fee• I $15 i.•1 I Issue Fee ; $'3 i _ ' • •,' compensation, will do-the work,and the structure is not intended or'offeretl ttt - ' Reinspection Fee ! $15 Issue Fee • I - • -'$ 3 for,sale (Section. 7044, Business and_Professional Code:.LThe [Contractor's • -. - 1 - . i .MECHANICAL I. I I " . FEES •; . . . ._ . POOL• &SPA. . ' v• -' _�,• ` CONSTRUCTION AND PLANNING' • L. , -_r. ... _ , I 1 .- ., ‘, Date I • Inspector '• I Date Inspector APPROVALS Permit# - , : ) 1 APPROVALS Permii#• - - 1:Temporary Electrical Service or Pole I Pool &'Equipment Location; , I 2.'Soil Pipe-Undrgrnd.,, I , 1 i 53.' Steel Reinforcement , I, e. ' ' � . , 3. Electrical Conduit Utility-Undrgrndi 1 I , t 1 -54., Forms i • • i , ,� . ' , ' , ; , I , 4. .Electrical Conduit-Undrgrnd. , i55.^Electrical'Bonding ' ` i 5.1Steel Reinforcement l; , 1 I 4 i f ,56..Rough Plumbing & Pressure Test ' i .1 ) ;3 ' ' ' • ;57. .APPROVAL TO COV,ER;GUNITE". 6. Electrical UFER Grnd: ; • ' • i " , • 7. '� Footings ' . ' ' 1 : .- , ' . I 58: Electrical.Conduit-Undrgrnd; 1'1_1 1 • - - 8. Foundation • s -' ' -•1- -' - -*- •-- .-- 59Gas'Pipe^D Undrgrnd.,test • 1 • 3--{ ^ , '9.`Water.Pipe-Undrgrnd'.• 4 ' ! _. - , - _ -. i,_ 60.--Backwash Lines,-P-,Trap, ID Undrgrnd.: • c 1 ,:: .10. Structural Floor System - r - 1 61. APPROVAL TO DECK ' I ' ' j• .11. Property Sewer Line & House;Connection ' ! ' ' 62. Backwash & Receptor-Ficial 1 f . I' 12. Sewer Cap -, - • i 63. Heater & Vent-Final ' . , • •13. Root Drains • n1 I ' 64. Plumbing.Systern!- Final j ' f i : ` 14.-Rough Plumbing II^ ', '.1+: 1 : : °• 65. Ele-ctrical-Finaly'. irt . t 1 , s"15. Rough Electrical-Conduit • ;1.111-• I ''; I •_ 66: Solar System-Final r. 't - i.'' " ' 16. Rough Electric Wiring :;, :• ., •; r.. • . ,.; I, �.o, ..,1.+«, ...r .` ' 67. Fencing & Access,Approval , 17`,Rough;Wiring.Sign ' •' • -• : -•'t- ' - . 'i" 68. APPROVED FORPL''ASTERING•"• - ' • e, 18. Rough,Electrical-T Bar Ceiling 7 'p` , • ' t I 1, ' 69 POOL/SP4SY,STEMS:FINAL ., • f -19.',Rough,Heating & Air Conditioning i 1 ' I 1 1 ' ' FIRE DEPT: REQUIREMENT' , . - •� 20.1 Rough'Factory Fireplace ' • • • 6 /P //a, 'APPROVALS • Perrnit# '1" ; ' • _ • ` 4 S • 21.'Ducts;in Structure • i t : ! .; , 70. Underground Hydro I'' ;r . -. I - 22. Ducts,,Ventilating 1 '1 • • i - ' : ' : 1 1 71. Product Piping El Gas• 17 Oil • ` t 23. Gas Pipe-Rough & Test t • • : . 1 ' i' i • ' 72. Underground Flush ' I! ' , 24..Roof Framing • ' I ' , ' 1 • ' I . ri 1 a I, - w •. i_ , ' . : . Und. ,.7.1.,Storage T. •. Gasl�Oil, 25. Roof Sheathing, i• I.a ' .••2• .I. 1 i 74- Overhead Hydro i . ..:51t 26.'T-Bar Ceiling(StructuTal) & Mon-ocoat' i :.'-. , - : . 75.-,Dry Chemical ,'-' 27.'Frame•and Flashing:-- "- - .':. f -i f 76. DryStandpipei, ,-- ••••••.;21! . r_ r t - - 28. Lathing &Siding' i '; i { 77. FIX,ED•SYSTEMIFINAL H ` ' • - •29., Insulation l%1 " 1 ' ir'.' • ' . ' .t • - 78. FIRE PREY. FINAL''I j, .,•••.- I : 'rte 30.!Drywall'Nailing . - i I " 11. ' 1 HEALTH DEPT. REQUIREMENT;' .- : • 1 31..Plaster Brown'Coat ,• ' I _ . � 79.1'FINAL INSPECTION 'I ' • ` _ 1. 32. Electrical Power Meter-Final ' .' • i . • • ' r • ' . 80'. FOOD CERTIFICATE ISSUED � ,• �->' • ' 33. Final l'Electric'i`' •, r `,„ I ', •, r : _• ' - I ,i ,• ' Not•es . i __ I -. -_.� ;r ,: ', ' _ 1 _ 34 Final Heating &Air Conditioning : - , • • - f 35. Final Gas Pipe-Test , ' ' • i i ; 1 0 1 1 r 1 1 . • , t' , - -i • 36. Hood or Canopy 3 i. Final Factory Fireplace n - ,•.' ///j/p7 /�c�?' - %L C 'i. 1 C1; • (38. Final Plumbing' r ;- .r ; _ • 39. Water Service-Final :. . .. --V - • ' - , 40,• Gas Service-Final ' • a • • - >f •• • ' - - 41. Solar.Domestic-Final ' - - ' - • . .. •' - t • . . ' . - 42. Backflow Preventer • 'ie : 1• 'i r 1.43.,Backflow Irrigation _ �' • - • `� L. _ ' '•• , 44. Landscape Irrigatio 'System."' ., . - . .^r : ' , �:, ; `, ' r., ' •45. Sound Attenuation _ : . _ ` ' - d , 46. Handicap Regulation's. - ' - . •• '1'e - ' • :74' 7. - • 1 •' r',' i47?,FINALSTRUCTURE & BUILDING - .. • - - - - - � ." , . • - ... d;.. • 48..Special Requirements Completed - - , • - • - : ' ' - 449. Electric Release to Edison - -- ' - - - " 50. Gas Release to Southern California Gas Co ' r .:'• • - ' .- a -- - . ' 51. CERTIFICATE OF OCCUPANCYI .• r No Date. _ _ , . ..... - ' r .. Applicant to fill in all spaces except those within heavy border lines and.sign all appropriate declarations. . . - PERM NO TRACT NO. : LOT NO. i ;UNIT NO' )- - ; ' -i ' CITY OF COSTA MESA ±CONSTRUCTION.P�EaR,MIT " +1 1 '77 ( i f i f , I ! I Project Alddress • 24,1042 4 Gt/ ' r • / •' lild. /77 1' t '( 1 1 , ; ; J ' I TYPE OF CONSTRUCTION • i� NEW U ADD U ALTERATION U REPAIR r • - ` ' ' • Applicant's Mailing Address ' ❑ CONVERSION • • • j I I '- ❑/DEMOLISH [II OTHER • A.P.# 1 f 1 • { 20n¢ ` ! Owner's Njfine' F�&Tel-- ' Phone - I • DESCRIPTION OF WORK/USE OF BLDG • - •��-00' '"' "9 -- "— • - -- --._..a __. - _. _L _i.- - Address •' - • i ! i i - I S Main Building: , I ' 1 , I Accessory Building: • E , - Z • ' Arch/Eng. • ' I License No. TYPE OF PERMIT 1❑ GRADING ❑ FOUNDATIQry ❑ STRUCTURAL . T Front, 1 • h , 1 y. i ( i- 0 ' ❑ TENANT 1.❑ ELECTRICAL' ❑ PLUMBING J J MECHANICAL B r , t ' I 1 ' -' N Address 1 ; ' " • I Rear , 1 I. , Contractor's Name ' • ,t'ct$' ['/!V WA' G Phone 1 ❑ BOTHER 1 - • t I 1 • i 'A __ _ t _ I i lZ�7�� t C' Righty_ ; . t . �I �/� PROJECT DESCRIPTION 'SQ. FT. OCCUPANCY K I ! . - G Address(mailing) .7"5 �'�'�� '� - ' R/J • - 'Z-4754 i ' CON STRUCTION TYPE • VALUATION$ • I $ Left 1 t. I 1 1 City License No. • - ZONE I GRADING CU.YDS! ' I ACRES Ping. Ref..# ( ? • Parking;Req./Provided 1 I I f E 1 LICENSED CONTRACTOR DECLARATION 1 i i I - - - 9' • I hereby affirm that I am licensed under provisions of Charter 9 (commencing - Remarks: /� (G - i • I {' c. I Planning Notes: I ! • I _ •j '- M with section 7000)'o1 Division 3 of the Business andtrofessions Code,'and ','+ 270 2� my license is igfull force an•�tett. i ,� ^J I'S V t •1 h' j • , i a ( y�. • • -- f i • • 1 ,� t ! ' I i i 4 T • '1 ° license Cl.ss- ` id' s' No .J I. Date A Si • gnature Lim / • . ,. • • _• PLUMBING ' - ' i 2 FEES` y • I - - ,y I n { •E• WORKERS'COMPENSATION DECLARATION • I I r .. 1 -� ' f s I ELECTRICAL i • '� I Bar Sink Showers' `Ierebyaffirmlthatll have a certificate of consent to self-insure or'a certificate • . � f 1 � y 1 FEES • - Workers' Compensation Insurance,.or a`certified copy thereof (Section gackflO 'Pfev¢nt¢r, • • Service Sink ' $ i r 5 -i - I , • •� .800, Lab. CJ QQ •� j '' y� - • 4.1 -I . Automatic.Washer•i •g •I ^ : Transformer__(] 15 50 KW-. I " I '-• �;j • Policy No. n�53Q�3 Company v#r�j FLAW Backflow Irrigation '1 Sewer'Cap 1 - : - -q ' t. I Construction Pole Sub - i 050+KW, ' - C_ ❑ Certified copy is.hereby furnished, ' " A - •- - ' ` ' ' • ' - Certif'e c y' .f fled with the city Buildin in i t Bathtubs h ( c- Sewer Connection ' ' n ; • Cooking Unit - i ' Mete yup to 100 amps . r r- • Date- � � / i Applicant s• s • ' - i 1I Clarifiers' I • •. , Solar Collectors' t ' I I . •' - Dishwasher ' .. • ~ - ' ' Meter Dover • •- E%EM EXEMPTION FROM e WORKERS'COMPE 5N ATION 0• A ATIONred _ I _ _ _ - 100 aTps _ (This section need not be completed if the permit is for one hundred ($100) or - ` ' less). 'f ' I Dishwasher - i .� Solar�Pi in - ' ! `, " F ', - p 9 ( 1 Dryers ❑Gas I�Electr is .,_ Sub Panel ; _ 1 i i • certify that in the performance of the so which this permjt is issued', I 1 T.W. shall orkers' Compensation employ any person/in any manner so as to become subject to the Drinkjng'FOuntains• j I ' ' - I Solar Tank i . • -C . Fan _ f. , Motors ❑0-1 HSP 01X 8 ' Workers' Compensation Laws'of California. - - - T. - Date ' Signature : : - . Floor Drains-1 - - SwimmingPool w/S a ; •' +'• r - 4 4.'.1 Inc.Solar '0915 HP 016-15+' ' I .NOTICE: C,mtensatioing roivdons rof i th, Labor Code, you a subject to ith _ _ -_ - - _ A=U I ,- - %I- ( - P F c Workers'. Compensation 1pr provisions of the Labor you must'forthwith Floor Sinks I ( - ' Urinal i ' I. I ' Fixtures Microwave , I - comply with such provisions or. this permit shall be deemed revoked. - - . - -1 1 • CONSTRUCTION LENDING AGENCY i I Gas,Service Outlets 1 - 1 Water Closet f ' I�� • - - - I hereby afflim that there is a Construction lending agency for the performance I I - - - - j I .4T+� ,Device Boxes I 1 Pole Light' t j I , • I . of the work Ifor 'which this permit is issued (Section 3097 Civ, C.) ' Interce tors ' , Water Heater ' '�; - , P s i i i , Outlets ( J 1 - 'I I 1, f 'Ran e 1 Lender's Name , ! - 1 i 9 ' _ . Len den Adtlress - • _ _•_ Kitchen Sink.t. .. _ L .Water Service; '._ _ _-. ._ 4 : :::�.. ' _ H. Switches-fr... .l_. _ - ., ;Sign r - - • -- - -( OWNER BUILDER DECLARATION - - - - I hereby affirm that I am exempt from the Contractor's License Law for the ; Lavatories I Auto-Wash ' �' i ' - {' 1 • following reason (Section 7031.5 Business and Professional Code: Any city,or , ; ..A: I 'I Garbage Disposal 'Standing Sections 1 P, county which requires a permit to construct;alter,-improve,:demolish or repair i PI-Trap I , a 1 1 any structure,prior to Its issuance, also requires the applicant for such permit p - ' I 1 i Laundry Trays I _ 1 Generator' KW'05 15 KW r ' I. I • s I 1 Trash Compactor • j .i . to file a signed statement that he/she is licensed pursuant to the prOvisionof ',Roof Drains ' • i } _1n I - the Contractor's License Law(Chapter 9(commencing with Section 7000) of , '—/I .1 , ' a 'ivision•3 of the-Business'and-Professions Any .he/she is-exempt- • - • - -- - . ,- - -_ _ _ _.-.__ _ __.- - ' - - 31.5.refrom and the basis for the alleged exemption. Any violation of Section y . I , . i - , , : r I , ; I 1 i • i , J natty by any applicant for a permit subjects the applicant toga civil - - . ' ' i '. , - 0enalty of not more than five hundred dollars($500). 1 I j • j I 3 1 '. _ 1 (J I, as owner- of the property or my employees with wages as their sole Reinspection'Fee, $15 •j ' ' /SSU. F¢e I l' $1 I • for sale tion,iwill do the work,and the structure is not intended,Contractor's red -- I Reinspection Feej. ' $15 issue Fee - 'a $ 3 for sale (Section not apply town and Professional Code: The,Contractor's t •• MECHANICAL. CIFEESI - thereoe'Law does•not apply an owner of_,property who builds or improves - I _ thereon, and who does suchlwork himself/herself or through his or her own S - -' , I. _DEVELOPMENT SERVICES•REQUIREMENTS: ;•- .:. ' - that such improvements are not intended or offered (or Boiler -_ Hood or •, Type I •❑ f ; , ' I - , ,. i• I 1 employees, provided • . _ `pleti If, hnwever,,the building improvement of pro issold within one year of com- Canopy ' Type II '❑ ' ' 'Zoning Approved By ' 'Date `:Oletion,r th owner will have the burden Of proving he/she did not build or im- Duct-Under Ground 7 j (Building Approved By - j_' • - Date I �' Imo_ .prove far the purpose of sale): r - /�(i1y1'� • _- y ' - 0 1, as owner of the property,am exclusively contracting with Professions Duct-Structural j Refrigeration System .'I . 11 I • :Application Issued By - ' Date /����� • tractors to construct the project (Section 7044,Business and Professions Code: ' - The Contractor's License-Law does-not apply_to an owner of property who • Duct-Ventilating ' ' 00-100,000 BTU 0100;000 BTU ••• i SUMMARY OF.FEES ' c^ ' •' builds or improves thereon,and who contracts,tor suchprojects with a'con- - - • - i 1 - • !3 tractors license pursuant to:the Contractor's License Law). Earn aware that _ BUILDING PERMIT' '$. ':SMTP i.e.": Exhaust System-� ' Multiple ❑ u System.Repair/AlteraUon t y _ proof of their Worker's;compensation,insurance should be pfovihed to me. '" • • s f 1 PLAN CHECK ;•; $- T „PERMIT = { -� • 0 I am exempt under Section - B. & P.C:for this reason Firepl/Fact BIL /CBO# .o ,Fae•Dampe'rs ' - [� ISSUANCE I f Date • ' ' Owner - - I Heating System.&Ducting Registers • - t _• •.T • ? • ENERGY P C ' - rr�� PLAN•CHECK '`25% $ hereby Certify-that I agree to his application and state that the above' 1 W0-100,000 BTU 0100,000BT } - - •- _ $-, . • ' information is correct._ agree to comply with all city and county ordinances i - ' + . S , .. • . . - _ cr; ELECTRICAL r ($7 • GRADING 1 and state laws trelating to building,construction,and-hereby authorize repre-- I - L , - c_ • r f PLAN CHECK -50% $• ; ''+ • c• MICROFILM'. •$ sentdtives of this. city to'aenter upon t abovei-mentionetl,property for' • 1 n 1 • I Q s inspection purposes. _ - 7, 8,�7 - 'i t - U • MECHANICAL - $ TOTAL FEE es, &'--&l : - • i Signature Dale O -f,. - -• 1 I Qy c. . • c" o, Reinspection Fee ' cr. ,;$15•I Isue:F,ee f. 4 3 t ' PLAN CHECK : 25%' $. .{� 'Dribers' License or S # Y.i CMF 0865-46.rev. 10/84 White - Building; Canary -Applicant; Pink--Accounting; Goldenrod - Assessor . •' ' - - - 1 i ' ' t . .- POOL• & SPA V _. 4 ' ...,, CONSTRUCTION AND•PLANNING«;.c - ., .+. __. ' 1. _ , , • t. , '+ i ;Date 1 Inspector 'APPROVALS Permit#r 1 • P Date"` Inspector •APPROVALS Permit# 1.'Temporary Electrical Service orlPole I 1. ' " •' 1 ' 52. Pool &{Equipment Location I - ' 2. Soil Pipe-Undrgrnd.;'r - , i ;"53. Steel Reinforcement _ ' It, It, 1 3. Electrical Conduit Utility-Undrgrnd. , • 54. Forms(_ ; c T A r t - •.: •'�, f i ! , :; 4Electrical Conduit-Undrgrnd. ie , - i ! , I '_55.'.Elect'rical'Bonding ` ( 'I 21't t I!!' I i 'i .% i' 5.-Steel.Reinforcementj, ' .` ' , • 56. RoughPlumbing& Pressure;Test.- { • ; 6. .Electrical UFERGrnd. - - • I . } • 57. APPROVAL TOCOVER-GUNITE'.. i •' ,t • • •7: Footings ' - ;;;' ,.' - • 1-': ' ;;-- ,'.„'S. .58. Electrical Conduit-Undrgrnd. I. • r: , '8. Foundation rf: • -r-- -- -*' - ' -` - `59: Gas:Pipe, 0 Undrgrnd.,Test' ' • f; -9.-•Water Pipe-Undrgrrid: r : , ••r. .,J, •. .r • .-r._ ac 60.-Bkwahines,sLP Trap, • i ❑ Undrgrnd. . 1 _ ' ;'10. Structural Floor System i • 61. APPROVALTODECK I .1 I - f I' 11. Property Sewer Line,& House Connection ; 1•, , ' v 1 62. Backwash '8/Receptor-Final ; I t .` ' - 12. Sewer Cap _ ' ' : I i ` ' 63. Heater & Vent-Final : ' ' 1'3. Roof:Drains ••• -' r - N.' i' ' , .. i - ; ` `- ! I ! • 64: Plumbing Systeml-'Final. , • +14. Rough Plumbing i I : ! ` ' .r. 65. Electrical-Final'' ; 4 • • ' r _• 't .c15.• Rou h'Electrical Conduit ' t 1 1 ' ' • i ! " ' _ f ` ' ' ' ' ^-I ' I , ` I • r 9 t I _ '66•Solar System-Final c l '!16.•Rough Electric Wiring. , 42 - ' - • ' -14-- - 67. Fencing&Access•Approval i -..1.•?.:'..' • •-' ' • :-17. Rough Wiring Sign- - " -, '' 1 • � 768.'.APP,ROVED-FOR PL'_ASTERING% • , -18.I Rough.Electrical-T Bar Ceiling; ' r' - 1- 69. POOL/SPA SYSTEMS-FINAL '•.`f )' • ' 19.' Rough'Heating &Air Conditioning '" I . Ig/(�g7, " OA_ FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace , I , t APPROVALS ' Permit# ' _ • 21.• Duets, in Structure" - ' . j I 1 •• ' ! ' '; 70. Underground Hydro ' I ! '' 'C if-- 22. Ducts, Ventilating' r ' 1 • I. 71. Product Piping ❑;Gas. Oil ( , y o i 23.;Gas Pipe-Rough &Test ', : 4 I cc I .-72. Underground Flush ' : y 24. Roof Framing - I • •• ! •i �k I 73 Undergrnd!Storage Tank 0 Gasi.0 Oil - • 25.. Roof Sheathing • - I i , I ' 74 Overhead'Hydro . _. F. 4 , 26.1 T-Bar Ceiling'(Structural) & Monocoat ' el-' ' 1;�.';:= it r .75...Dry Chemical I_;,I ..,�,-I' x'1,1 ''' - '� ' 27.' Fra m.eandFlashing _ . - ' 'I ! _` j76. Ory,Standpipe . . rl 28` Lathing & Siding . a • . p 1 , % Ti.iFIXEDSYSTEM,FINAC " , -)a•' 29: Insulation ' ' • '• ' ' ' I• ' r ! • • ! 78. FIRE PREV. FINAL' : r.. 1 -30. Drywall Nailing ,, • •I , r ! " ' I • ` HEALTH DEPT..REQUIREMENT- 31.. Plaster Brown Coat - ` ' 79.'FINALiINSPECTION I • s' I ..,�. • . 32. Electrical-Power Meter-Final t ° t ' ! A. 80 ;-FOOD CERTIFICATE ISSUED! • i �3 33. Final Electric r - , . + , Notes t c • -•' 34.; FinahHeating& Air Conditio•ning:' '. ; ,i •; ' I -�•'� • 35. Final'Gas Pipe-Test ' I ' r • • 36. Hood or Canopy .. '`7 r ' 37: FinalFactory'Fireplace 4. _ 1.2:', -„ • P1c. yr. Jr ., �-. • _ _ c. '. - •> rt - ks. , 38. Final Plumbing , - - v, , 39. Water Service-Final - _ . . - „ _ ' n! - ' C". • u "r ' • • 40. Gas Service-Final • '" - /.r r ; • .` -41.'Solar Domestic-Final - ' ; _ - ° v r. �' 'f- `e I ' - j l% 14. f X42. Backflow Preventer• 'a ' ' - J. , It / s`'." C/ ,43., Backflow Irrigation • ' _ - ' _ �. (`7 '.-, , t•.,. t-,;;,t-, • I • '..‘,...t..., 44: Landscape Irrigation System - - - e45: Sound Attenuation ' ' 4 - _ _ • :a, r-' ' ; 1_/ �"'' . a _. - . _ . n 11.1 , .:A3 • t�'_ 0 ' ' i 177t . 46.+Handicap.Regulations • • -' rG ( . '• ry. r- fti- ' , 47.-FINAL STRUCTURE & BUILDING • - - 'c"/ ' .,', ' , .»•.A''. , . .48. Special Requirements Completed . - 4 • -+ , ut �, p; I ; ' ;49. Electric Release.to Edison• -, t . . _ I i•" ;Q `;^ V r•, 'f `: IC; ,; ,' 50. Gas Release to Southern California Gas Co • _ , • . - - - : » - I" - e51. .CERTIFICATEOFOCCUPANCY '1` : - - 'r, '. ,. •� - I, - - , No. - Date �,, .R� Applicant to fill in all spaces except those within heavy border lines and.sign all appropriate declarations: CITY OFCOSTA'MESA CONSTRUCTIOONN PERMIT PEj7pQ,Tj�O, o, TRASCTNO. LOT NO t ;UNIT qA i j ! [f //;_/1` } . .- _ 11, ! Protect Address ' r� PJ y/ P'y I C// I ' , TYPE OF CONSTRUCTION y� NEW• ❑•ADD H ALTERATION U REPAIR • ' •. Applicant's Mailing Address , I x �j �.Z^y) 1 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - ' q P.# , t _ _ Zone .- Owner's Nanie; • [.. CA `"' Phone • ' DESCRIPTION OR WORK/USE OF BLDG. r -ODb - -� - - - - - - • iAddress + - • I ( , I S Main Building: Accessory Building: _ - Ii I Archr/Eng• ' + I License No • TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ID STRUCTURAL• } T Front ^ i 1 Address. n '``f/ - pz{' ❑ TENANT; ❑ ELECTRICAL ❑ PLUMBING 1 MECHANICAL B Rear , • 1 T - N Contractor's Name ' /r�f.I••�7 ' ir- z '/4A Phone p T ; ❑ OTHER .I _ - ! IA y ----' I I ''11 LL 2 y�'• PROJECT DESCRIPTION .SO. FT. OCCUPANCY i ,C .Right:- - �- - - f- -•1 Address(mailing) •', MS) ' trO�. 1 'F-T /`".6 ,, K G ) , - - • CONSTRUCTION TYPE I I VALUATION $ Left , 1 I City'License No. • 2q 75Le :1 ; CONSTRUCTION AND PLANNING _ .. t _ ) + + I, _12390.1.:. .& SPA-, '••%�' c, -' , • Dat e i Inspector r ' - ' Date Inspector APPROVALS ; Permit# + I i APPROVALS Permit#� ; .i i t 1; Temporary Electrical Service or Pole I _ $ • 52.;Pool &!Equipment;Location! , • , _ f 2. Soil Pipe-Undrgrnd. : , 53. Steel Reinforcement p ' : • • 4 ' ! ' .' I' 3. Electrical Conduit Utility-Undrgrnd: : I •54.,Forms + r ^ ! ' ) •• • 1 i 4. Electrical Conduit-Undrgrnd. .. , , I .55.. Electrical:Bonding ; 4 , , - 5. Steel Reinforcement • i 1- ; •56..Rough Plumbing & Pressure Test • - ' °' 6. Electrical UFER Grnd.. + . ' : • • '57,:APPROVAL TO COVER;GUNITEI . ' ' , . ,',7. Footings - ' i - ;; 58.'"ElectricalConduit-Undrgrnd. • ' ! '!' - 1 ''r r . S.�Foundation a 59 "Gas�'Pipe;'❑ Undrgrnd.,Test •� 19. Water Pipe-Undrgrnd .Hi- - -60. •Backwash Lines,-P-21-rap, 0 Undrgrnd.) ' ' , ' 10. Structural Floor System 1 • : • , 61. APPROVAL TO DECK ' 11. Property Sewer Line,,& House'Connection . , . t 62. Backwash & Receptor-Final : • . + ' 12. Sewer Cap . - ' , 63. Heater& Vent-Final - i . 1 1 : 41 13. Roof Drains ; , . 1 i 64. Plumbing Sysstem'- Final i ;i • 14: Rough Plumbing • - - •- ' , t I - • c - 65. Electrical-Finals , . I , 15. Rough Electrical-Conduit I • - 1 66._ Solar°System-Final -. i - ', 16..Rough Electric Wiring !. -' I -' ' ` 'Y' 67. Fencing& •ess Acci Approval • , • ` .1 ,-17. Rough WitingSigh - ' ' " r ; ' i 1 - i 68. APPROVED FOR PLASTERING • • • 18. . Rough+Electrical-TBar Ceiling`.,;, `.i . ' 69. POOL/SPA SYSTEMS:FINAL • ' 19. Rough'Heating & Air Conditioning • ' D ifi li?' 1 fj + i FIRE DEPT. REQUIREMENT • - - ,,r�3 c I t • 20.. Rough Factory Fireplace • '!APPROVALS Permit# ' - + , 21. Ducts,'in Structure 70. Underground Hydro ` ' r =J °-" _ 22, Ducts, Ventilating ', ; 1 , 71, Product Piping O,Gas; O Oil' 23. Gas Pipe-Rough &.Tests • •, } : 72. Underground Flushit . A` 1' ; 24. Roof Framing' • 'r - i { " • 73. Undergrnd.StorageTank1OGae ❑Oil • " - 25: Roof Sheathing ' . , . _ 74.--;Overhead Hydro • . .1 n 26.'T-Bar Ceiling;(Structural) &`Monocoat •, t. - . • .I: 1 : : 75.-.Dry'Chemical r ' % VI 27. Frame and Flashing 1 ' ' I - 76. Dry Standpipe , _. 28.' Lathing &.Sidin • 7" 9 - ; I • � - 77. FIXEDSYSTEM FINAL ., • FINIAL: 1 29. Insulation =- 1 - ' , 78. FIRE PREV. FINAL � .. _ . �: .- • -- • - • • 30. Drywall Nailing : I' ' I 1 : HEALTH DEPT. REQUIREMENT :'+ ' r 7 31. Plaster Brown Coat • , t , . t 79.. FINALIINSPECTION '1 _. • .- 32. Electrical PowerMeter-Final : • _• ' 80. FOOD CERTIFICATE ISSUED, y • 33. Final r i-. '• k ;. I , No„te , .s: _ . 1 :.i. + .1 . • , • . :1 -.• • ,1, }- 34. Final:Heating "& Air Conditioning', . )2/5,0:7;7 t - 1 • '. , - ' - '' • " ' `, er, • 35. Final Gas Pipe-Test ' ' i : 36..,Hood or Canop•y %-r ; n ' 37..Final Factory Fireplace' �� • '''' ' • '6 • 38-Final• 'Plumbing' - • - it ,, 4 - ; • • rt: n39. Water Service-Final • - !'�it:! ' Ytm • - ' , ,I, , '40. Gas Service-Final - • • .. „/(f, - - f 141. Solar Domestic-Final - i '_ I/ j : i +y : • .42. Backflow Preventer - - .'-£t!1 ' /.' -} • a' - • i` ' ' •)43..Backflow Irrigation' - :' . .. ` ' - Ih; {• -{� - ' • 144'. Landscape Irrigation System - _ •`7'!`' • .! - 45fSound Attenuation - - - r' • 1'1 fy_ • ", C ..46/Handicap Regulations. .1.+ V..• 47; FINAL STRUCTURE& BUILDING _ F ,. 'i -I: . '" ' p - �'� - r "M1 - 48. Special Requirements Completed' _ ' • ILL (� - - . ' ! ..49. Electric Release to"Edison. - �•, . " (a), _ + c 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 E ONST CTIA N4131511"- PERMIT NO. !, _ f TRACT. N0• . i j LOT NO I 'UNIT NO! ' • I �" 394 -8/1-4 487 i- '�-- �.6°bE_. 7 • $(q r /[� /q7��� - •t^� fit-•• `� Q r� U'+ / ! r Protect Address •• 1-4z we.. E1/1, , ' Y'`h(o "gym I 1 II�� rI o ' ! ( (l` , i ' r i t I ! •r I Applicant's Mail in• ••..ress • TYPE OF-CONSTRUCTION i/C. NEW' LJ'ADD U ALTERATION REPAIR - ° ' ' s • �p�� / ' ❑ CONVERSION' ❑'DEME LISH ❑ OTHER 1 j • 1 Owner's Name; Ten ' Ld31!°-: Phone 45f-or-, I •• t DESCRIPTION OF WOR K/USE OF BLDG.' - r - - A,P,#- '�" " ` " '1 --'-- - _zone _ • Address •ti.='•. ' ' I • S Main Building: •Accessory Building: . i Arch/Eng.' l �- License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL • T Front- • _ _ • _ - I m O a.+ • Address I - ! I i - ❑ TENANT + ELECTRICAL 7❑ PLUMBING ❑' MECHANICAL ' B Rear N Contractor's Name i 6S-0333 ❑ OTHER "; J{ I A _ I - _ _ 4 _ I +��G G Phone 7.1 PROJECT DESCRIPTION SQ. FT. ° r `.9° OCCUPANCY I _ N Address(mailing) / oiI - fA- I 7' - 'K I - G , ZI , I CONSTRUCTION'T�YPE ' VALUATION'S + 1 s Left i , 1 i I A City License Nb.' • ZONE GRADING CU.YDS. - ACRES' - I ' LICENSED CONTRACTOR DECLARATION i - • , , . Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing •Remarks: ' •�'- Planning Notes( ') i r Q ! with,section 7000).of Division 3 of the Business and'Professions Code, and -°- ' • - fir' i - _ M my license is in full force awl effec(:O I ,.. .f. •b -a '�` [ I i 1 I _ • - - _ l ' ' I - A. • 'S ' License Class l:.- l w ' en - #Z Ia_ '�. 7 J� - , 6-� / ,��/� i „ PLUMBING FEES I '� • Date ` Signature / a - • - • u 1 WORKERS' COMPENSATION DECLARATION ! Bar Sink _� ' Showers ' ` i 'ELECTRICAL ' _ - FEES ' I hereby affirm{that I have a certificate of consent to self-insure ora certificate - . •• I �_ 1' - / ) ,_ • , Workers' Compensation Insurance, or,a'certified copy'thereof (Section - t 1 , _ .. 800, Lab. t-Co��/G pr • r�,pp Nn .rte . Backflow Preventer - Service Sink - ., _I "L. Automatic Washer Transformer'Q 15-50 KW - Policy No: W(�b 7/ Company (�G(l K-4' Backflow Irrigation - - , Sewer_Ca > I ' I , - I _, ' f i ❑ 50+ KW I P` Construction,Pole:Sub I �ssertifietl copy Is hereby furnished. • • i - - - - ' - ' CertitiAtl'opy..y;filed with the city g D'•i I Bathtubs _ Sewer Connection : ! ' ' • 7 Qooking-Unit 6,,¢g g- I • Meter up to 100 amps' 1: o� p ate 77 �a (( • Applicant + 1 - - - C EXEMPTION FROM WORKERS'COMPENSATION DECLARATION' I Clarifiers _ _ -.Solar'Collectors_ - , • . • ' ,.Dishwasher - - ' - Meter Dover 100 amps , t-^ - � '(j (This section need not be completed if the permit.is for one hundred ($100)or • - less). ) , ' r Dishwasher i -, SolariPiping _ , i .: Dryers • J[SlG as :DElectnc Y �'2 Sub Panel , i I - , I ' I certify that in the-performance of.the w. k for which this.permit is issued, _ �" '' - - - I e>la VOI shall not employ an erson'in any ��T.. become subject to the - Drinking Fouritains '-Solar Tank I Fan I Workers' ws of Calif � I I - ' ._ - - i - Motors 00-1 HP D1/ 8 , , '✓( ye, Date: Signature s i Floor'Drains•r - r Swimming Poollw/Spa • _ Cr: 1 , - q U 4 - - I - -NOTICE: If,after makin• g this declarf the.you should becou musted to.the. . [,/ ' - - Inc Sbla� Dg-15 HP 016-16+. ( ��� Workers' Compensation provisions Of Labor Code, you forthwith -Floor Sinks- - . Urinal i I comply with such provisions or' this permit shall be deemed revoked. • ' - + - I - Fixtur¢s - Microwave; I - I 6�-' CONSTRUCTION LENDING AGENCY i f - Gas•Service,.�. 4 Outlets •Water Closet , Device Boxes - • !' 4' I hereby affirm:that there&is a construction lending agency for the performance I- t Pole Light, , , of the work'for which this permit is issued (Section 3097 Civ. C.) - i - o- Lender's Name •- , Interceptors', Water Heater I fJj Outlets I Range • i qq Lender's Address - ' - .._ ._ _ -. -�. ^�I- I - - KitcherirSmk '. .Water Service i_ ., • , witches - -Sign _ '_ - •--. �F. OWNER BUILDER DECLARATION + I hereby affirm that I am exempt from the Contractor's License Law for the• Lavatories Auto-Wash , • - Lr + - /- ns I +� �i - Garbag¢Disposal Standing Sectio following reason (Section 7031.5 Business and Professional Code: Any city or - _ county which requires a permit to construct,alter',improve,demolish or repair 1 p-Trapr1 ' Ladndry,Trays ' Gerierator.00-5 KW,❑5-15 KW ' • any structure, prior to its issuance, also requires the applicant for such permit - - Trash Compactor, I ' to file a signed statement that M1e/she is licensed pursuant to the provisions`of • Ro'f,D�ains ' • the Contractor's License Law(Chapter 9 (commencing with Section 7000) of' ' - t. e • Division 3 of-,the Business'-and•Professions Code) or.-that he/she is exempt- --' -- -- --- - -'- "^' '-' - -- - - - •! -"' I j i — ' ' -refrom and;the,basis'for the alleged exemption. Any violation of Section - ; I _ I _ I I- a f I , I • 31.5 by any applicant for a 'permit subjects the applicant to a civil ' : ' - - • enalty of not more than five-hundred dollars ($500), . • ) • 3 n I It- ! , , I; as owner of,the property or my employees with wages as their sole Reinspection Fees I $15 % , Issue Fee $ - ' - compensation, will'do-the work, and the structure is not intended-orloffered . - - - •44 Reinspection Fee- 'I $15 • Issue Fee • for sale (Section. 7044, Business and 'Professional Code: The'Contractor's = MECHANICAL ' 'FEES' - - - - - License Law does not apply to an owner of a property-who builds or improves -- - - i I _ • thereon;and who does such.work himself/herself or through his or her own DEVELOPMENT SERVICES-REQUIREMENTS: • t employees, provided that such improvements are not intended or offered for Boiler ' . • Hood or { Type '❑ ,' - , - - . sale. Ifj howevernthe building or improvement is sold within one year of com- Canopy Type IIID - - Zoning Approved By - i - 'Date ",pletion, the-.owner will have the burden of proving he/she did not build or Im- ' • , Duct-Under Ground ' I - Building Approved By • "P• 1 / Date ILrove for the Purpose of sale). r - 4 - . - ��/ iy.� f� LJ I; as owner,of the • property,.am exclusively contracting with licensed con- Duct-Structural Refrigeration System --Application Issued By '. ^ a Date 8� tractors to construct the project,(Section 7044,Business and Professions Code: - • _ _ The Contractor's License Law does not apply to an owner of property who I . Duct-Ventilating l 00-100,000 BTU-0100,000 BTU - I , Ir SUMMARY OF:FEESV- - ' builds or improves thereon, antl.who contracts for such projects with aeon- _ _ "' '- tractor(s).ncense-pursuant•to the Contractor's-License Law). I am aware that • Exhausts stem - - BUILDING PERMIT ,$. • :I:SMTP , - ' proof-off their Worker's Co mpensatian'insurance'should be provided to me. • Y ❑ Multiple 0 System Repair/Alteration - '$G • - - 1 ` PLAN CHECK '$__ - / PERMIT I ' 0 I am exempt under'Sectibn B:& P.C.for this reason-' , Fir¢pl/Fact,Bit. ICBG# a : Fire Dampers - ti - ISSUANCE ,$` • - i He9tin _ I I PLUMBING ' ; $ S stem& Ductin A. +Re isters _ - Date ' Owner - 9 I Y , 9 9 • ' PLAN'CHECK 25% $ •- - _- ENERGY P.C. '$; - ' I hereby certify:that ll have,read this application and state that-the above". 00-100,000 BTU 0100,000 BT - '- - GRADING - r$ • i information is correct. I agree to comply with all.city and county ordinances - - - _ - I ' - I ELECTRICAL $,: • - am - andistatellaws•relating to buildi• •nstruction, and hereby authorize repre- _ - • PLAN CHECK 50% $' ''3! . MICROFILM' $, ' :` sentatives of, f��1�' ity to-e• n the. -•ove-mentioned property.for; - .. I i inspection • rp• • fj �j•y r - - ] ' ) X11 MECHANICAL $ ) ! { �t p•/' �,n I , _//,; O��Z�D / , , TOTAL FEE $ C L?. loci ySignaturei + i� • — _ Date- einspection Fee' •• •i"$15' - _ I Issue'Fee -si 3 . -. : . PLAN CHECK=.25% '$: ' + •" I " '° I- -- i Drivers''License or SS#: • • ' ( I I . CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor J ;>— .. .. 1 11 .. . le u 6: ' r ' d. ' h'i'' POOL &SPA CONSTRUCTION AND PLANNING. -- t {• 6_v .r- ' Date- •Inspector-1-) ' Permit# • 1 ' Date i Inspector APPROVALS ' Permit# - �� - APPROVALS•, • 1P-Temporary Electrical Service or Pole • ' ' I- 4 4 I52. Pool &IEgwpment Location; ' , • • 2. Soil Pipe-Undrgrnd.. - t t 53. Steel Reinforcement .I 1. ' 1 i 11 • -3, Electrical Conduit Utility-Undrgrnd. ' : ' • : ' • '54: Forms'-e ; ' 1 • r 4. Electrical Conduit-Unilrgrnd. t . ' • ' 55. Electrical.Bonding 1 S.•Steel'Reinforcement ; ' I 56. Rough Plumbing & Pressure Test.. • 6. Electrical UFER Grnd., '• . > `- 57. APPROVAL TO COVER-G •UNITE 1 7- Footings c ,58.. Electrical Conduit;Undrgrnd. I , l , 8: Foundation j t 59. Gas Pipe;in } gr Undrnd.,Test ,-y t . ' 9. Water Pipe-Undrgrnd-2 r - ,- 1 -,•_ : 60. Backwash Lines,-P Trap, 0 Un••drgrnd. • • . • .11. 10. Structural Floor System , . - !' 61. APPROVAL TO DECK t ' . 1 f`- • 11. Property Sewer Lind & House Connection • 62. Backwash•& Receptor-Final, , I ' +� , 12. Sewer Cap - , , .63. Heater &'Vent-Final ' • , : 13. Roof Drains,, - 1 64. Plumbing System- Final' . ' -. • •14.. Rough Plumbing - 65. Electrical-Final. - 15. Rough Electrical-Conduit ' '1!= • • _ 66.' Solar System-Final • ;'.1 t f •' : • - ' : fi . ' 16. Rough Electric Wiring '. SCC: C - - '' / ,t 'v2.•� 67. F,encingr& Access•Approval ; • ` • 'r ` • '17: Rough Witing-Sign ' "" '� ' •1 I 1 • 68. APPROVED FOR PLASTERING - . i 18.' Rough Electrical-T Bar�Ceiling, " • 69. POOL/SPA SYSTENIS'FINAL • 19. Rough Heating & Air Conditioning : ' FIRE DEPT. REQUIREMENT '' . ' - , - I -F i 201 Rough Factory Fireplace _ • ' I , ' APPROVALS Permit# - _ - ,I:t 21. Ducts, in Structure • , ! ✓I 70. Underground Hydro I 1 r' - 22r Ducts, Ventilating _ i 71. product Piping OIGas ❑Oil r , • 23: Gas Pipe-Rough & Test t 72. Underground Flush •! - - 24: Roof Framing _ 73. Undergrnd.Storage Tank 0 Gas 0 Oil - ,-+ 25: Roof Sheathing 74. Overhead Hydro • , 26. T-Bar Ceiling•IStructural) & Monocoat " - ' 75. DrylChemical• ' . `'j� . - 27. Frame and Flashing ' - - --`- 76. Dry Standpipe r • 28: Lathing & Siding - 77. FIXED SYSTEM FINAL„., ' - ,. • '. ' - _ j 1 29rInsulation ' - 78. FIRE PREV. FINAL '.1!'I , . • 30: Drywall Nailing ' ! - t i HEALTH DEPT:REQUIREMENT moi' - 31: Plaster Brown Coat 79.- FINAL'INSPECTION ` ' 32. Electrical Power Meter-Final , ..ij/04.44, . ` 80. FOOD CERTIFICATE ISSUED. - . - -- ' 4,. .;.; i." 33. Final Electric , ,/ - tr s , Notes:IC _ I✓ 'so sod •er; clef- ?incite Ramat g"o1,0,_87 34. Final Heating& Air Conditioni•ng,, ', . dir'� • 35. Final Gas Pipe-Test .1 f I 1 . I A 36.Hood or Canopy - . .. ._ l _- r _ . �' • ' 37.. Final Factory Fireplace - - - -- - _ .� t ,! 7y n tq �r• ,"?� - `.✓ ,� 38'Final Plumbing • ., - tti V r„ Ni Nr . 39.-Water Service-Final - tr" • y • • • 40'- Gas:Service-Final • - . _ , - ' M1 Fr,t •t/ et-Er`` • .-t " 41:. Solar Domestic-Final.- - ' '•fel . i'_ '1 '1 ," •'' r jt, ,c42; Backflow Preventer '" • r,/fi : �f { ' . „43'(Backflow Irrigation - - . - �y`r'/1 'I•r ' ."✓i�,l - •. • t. .. - i • • •r44:c}LandscapeIrrigation System 2 • ' • x' - - �I�, •-,jL-' i•,_. --454'Sdund Attenuation •>,• ' - - - ../..---%.Ur .� .• ' - 46 Handicap Regulations - ' - , - t.•t, 'fr. 1 " 4' ^ 47./FINAL STRUCTURE &•QUILDING - - - ` + �r - :41 ' • L_,`..=aa 'i ,ISL,� 4 485SSPecial Requirements Completed - •- f ' 49. Electric Release to Edison• • • - - - !: "v. • .50. Gas Release to Southern California Gas Co f - - .. ' 51. CERTIFICATE OF OCCUPANCY - - ' : " '' - :i - • • - - No. - Date ` - - - • City of Costa Mesa r� Development Services Department CERTIFICATE OF OCCUPANCY No. 002015 4 Building Safety Division P.O.Box 1200 Costa Mesa,California The Building located at 2666 Elden Avenue, Units F & G has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group Rl/M1 Occupancy. - • Use of Building null Plc Cnndnmfniums Legal Description 439,.221-16, 17 (See reverse side for Metes and Bounds) Building Permit No B 27024 Electrical Permit No. E 29724 Plumbing Permit No. P28283,.P28284 Mechanical Permit No.112€1391•M29179,1129180 Number of apartments - and/or guest rooms 1\ ISSUED TO: Building Official William T. Howard c ' Steiner/Fluter 510 30th Street by A` j • \ Newport Beach, CA 92660 Date danuary 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. CMF 1015-46 rev.1/83 White-Owner;Cay-Numerical File;Pink-Bldg. Permit File