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Home My WebLink About872 DEEP CREEK - Building Permitst Sl •:1 PflOJECT AUONESS: -� DEEP CR E EK UNIT: awxee•sr+amE:.VILLAGE. CREEH HOMEOWNERS ' nooxess: ASSOCIATION 3929 TIMBER LAKE ' CM V,A 92626 NflCN/ENGINEEH: CHESTER CARVZLLE eec.xo.: C18305 � ADDflESS: '7922 ARMOUR ST u"�T: S.D. CA 92111 PEflMITTEE: pHOENIX ENTERPRISES INC, ( 213 ) 690-9559 RDOflESS: QiS COMERCIAL WAY ' � LA HAHRA CA 90631 - UCENSEO CONTBACTOB OECU1flATI0N: I here�V afhrm ihat I am I¢ensed Oer p visions ot Chapter 9(commencing wiU Seclion 7000) ol Oiv�,sion 3 of �he Business antl Prolessions CoOe. an0 my I¢en,�° �i n ful ree antl e�fe/c� % ciTvuc.:� a,�T�uc.:376639��Gf�njsS:-�///// _ // ,y„ r'(_�__ Si9namre:_ I"a� �. �l��Y KEflS' COMPENSRTION OECLABATION: ' I herehy alfirm t I have a te�ilica�e of consen� to sel4insuie or a certifica�e oi Workers' pensa�ion Insurance.'or a certilied copy Ihereoi (Seciion 3800, Lab. C) icrNo.:W700354 exr.oare: 07/O1'/91 OMPpNY: CA COMP 6. FIRE � Cetli�ied capY is hereby fumishee ❑ Cer�ilietl copy is hletl � ci�V uil ' �ivisia��L� / Oate:� ��._� ApDlicam: ��j'•' E%EMPTION FflOM WONRENS' COMPENSPTION OECIABATION: ( nis section need not G¢ completetl il IAe permi� is forone huntlre0 (3100) or less�. I cenify that in tne peAormance oi ine work tar whicn Ihis permit is issue4 I shall not emvlay any person in any manner so as to �ecome sublect �o (he Workers' Campensaiion Laws oi Calilomia. • , Date: � SignaWre: - N�TICE II, a�ter making �Ais declaratian, you s�oultl become suble�� o ihe Workers' Compensation pmvisions ot Ihe La�ar Coae. you mu5i forlhwiih comply with suc� pmvisions or �his permit shall 6e UeemeO revoke0. CONSTPUCTION LENUING RCENCY: I hereby allirm �ha� �here is a cons�mclion lentling agency �or �he pedarmance ot the work �or ' which Ihis permii is issued (Seclion 3097, Civ. C�. . LENUEH: RODflESS: ' - OWNEH BUIIDEfl DECLl�BpTION:, 1 hereby ailirm ihal I am exempi fmm Ihe Comractors' State License Law lor �he following reasan (Section 7031.5 Business ana Pmtessianal Code: Any ciry oi counry which reQuires a Dermi� Io cons�mct, alier, improve, demolis�, or repair any simclu�e, prior Io ils fssuance. also requires t�e ap0licant �ar such permit �o �ile a signetl s�a�emen� Ihal he/she i5licensed pursuant m ��e pmvisans o� Ihe ConVacmrs' S�a�e License Law �ChaD�er 9(commencing wilh Seclion 7000) ol Division 3 0� ihe Business an0 Pmiessions Cotle) or Ihat he/s�e is exempl Ihere�mm and Ihe basis for Ihe allege0 exemptian. Any violation of Sec�ion 7031.5 6y any apphcant lor a permi� sublec�s ��e ap01¢an� �o a civil penal�y oi no� more �han five hunOretl tlolla�s ($500�. I, as awner o� ��he pmpetly or my employees wilh wages �as Ihei�' sole compensa�ioq will Ao �he work, antl ihe stmctureis notintentled orofieretlforsale (Sec[ion 70aa. Business ana PmlessionaiCoOe: The Coniractors' State License law does nol apply �o an owner of a O�opetly who builds or impmves �her¢on, and w�o does such work himseli/he�selt o� �hmugh , his or her own employees, pmvitled Iha� such improvemenls are no� in�entletl or o��ered �or sale. II, however the huiltling or ', ,impmvemen� is soltl wiihin one year ol complelion. �he owner will have Ihe �urtlen of pmving he/she tlitl noi huiltl or impmve � �Of (h¢ p11�PO5E 0� SdIC�, y. I. as owner o� the pmperty. am exclusively comracting with licensetl comracmrs �o constmci Ihe pmjeci �Seclion 704d, Business ❑ an0 Pmlessions Coae: The ContracbK S�a�e License Law tloes na� apply to an mxner ol pmpeM who builas or impmveSlAereon and who coniracls br suc� pmjecis wiih a coniraclor(s�license pursuan� Io �he ConVactors' Sta�e License Law�. I am aware [ha� pmol ol Iheir Worker'S Compen5aii0n in5uranCe Should be pmvi0etl Io me. � I am exempt under Semion: B. 8 P. C. ' Ior Inis reason . Da�e: Owner I tlo hereby cenilY �hat I am aware oi an0 untlerslantl the requirements of Califomia Healih an0 Safery Code Sectians 25505, 25533, antl 25534 antl Ihat I or any INure building occupant will/will no� (cirde one) neetl �o comply wi�h saitl state codes and �he requiremenls lor a permi� br cons�mqion or motlilicalion imm �he Air Oualiry Management �isVicl. flesitlential constmc�ion applicalions are exemp� irom ihese pmvisions. . �a�e: Applicani: I hereby cerlirylhai I have read Ihis application and sla�e Iha� Ihe aDove in�a or0inances and s�alelawsrelalinglo builtling consimclion antl hereby aulhorize pwpeny lai in5peciion �`urposes. Dalr �.. �/�� Signature: � ` � . �nver's License or Sotial SeCunly k' I a e to comply wiih all ciry antl titV �a enter uppn9f7bove-me 1641-a6 W�i�e—Butldmq: Green—Cotle EnlorcemenC Canary—Applicanl: Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B OSOS97 PLAN CHECK NO: 00114-91 A, CONSTRUCTION TYFE: V—N PEAMIT TYPE; STFi PERM'NO: B 05059 GOVT; N SliPP: N PURPOSE: REP JOB DESCRIPTION : REPAIR SETTLEMENT DAMAGE . SQ FT: . 143�; CLA'IM VAL'JE: 14,300.00 CALC-VALGE: . 14,300.00 GROtiP OCC: R-3 / COMMENTS: HIIILDING SETTLEMENT REPAIR%FOUNDATION ' � ^ iE 3f �lE 3E 3E 1E iE 3E if iE lE �1f If if !E 1f iE 3E if iF iE iF iF iF 1f !F 1E �IF iE �f IF�IE-lE iE iF if iE iF iF 3E i(� If iE iElE If �lf lE iF if �F # lf if 3!� �1f !E 3F 1f IF If� #% IF 361F IElE K� �lE iF 3F ih )F 3f �1E k 3E 3F Z O N I N G R'E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; � FT IN REAR; FT i IN FRNT; FT IN REAR: � FT IN LEFT: F't :IN RGHT; FT IN LEFT.: FT IN RGHT: ' FT IN ,PARKING REp• PROV; FARCEL: 93506124 ZNE; A2 REF NO:" �� PLANNING Ni3'I'ES> FOUNDATION REPAIR, ' , % � . . ._, . . . : r� -� -. If if 1F iF 3t ik If i(� 1E 3E 3E iE iE iF # 1E iE iE k IE !t iE if iE iF 1E iE iE iE 1E if fE 9f iE 1f )f if if iE iE iF 3E iE iEiF iF ihlE iF iEiF if !E ik 1f 1F 3f k iE iE 3k 1ElE iF iE �E iE lE iE i(�,iE �e 3f iP IE if lE IE if D 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 ZONING APPROVED BY ��--� � DATE; o I�.5� J HUILDING APPROVED BY ;' L// L�A-�� DATE; '. ' APPLICATION I5SUED BY: DATE;,� �� aF�fif3FiElflEiFiEiE3flfiEiEiEiEiE�iEiEiEif iFiEif3E3EiEiFlEi4iE ifiE 3EiEafiF3tiEiEiF1E3E3ElEiE�lE1E�FiEiEifiP�lE3Eit3EiEiFlElfiFiFi EiPl FiElflfiEiElFiEkiEifiEiEik3FiflFiEffiFaEiFlfiFaFiElE3F�k36ikiF1(�3f3f3EiRif3Flf LEGALIZATION:N F E E U M M A R Y STRUCTURAL��SEGMENT;Y � BLDG PMT PLUMBING 'ELECT'IC �MECHANIC FSRE SMIP/RTS GRADING PERMIT 162.00 . 1,00 PLAN 7_6:33 � SMIP'/NON—RES ' ISSUE FEE HUILDING—DIV—> PERMZT• ISSUE PLAN—CHECK TOTAL PAID �DUE TOTALS----> � 163,00 0.00 26.33 189.33 189.33 .00 REVENUE DIVISION TOTALS--•> • COLLECTED: 1f39.33 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRAD.LNG PLAN—CHECK 162.00 ' 1.00 . 26,33 jF iF iE �f 3F if IFiEiE iE iF iE iE if iF iE iE iF )E IE iE 3F )f )f iF if IE �E if �f 1F iF jF iE 1f IE IE if iE if 3E dE 3E 3f if IE i! if 1F iE IE if aE 1E 3E )E IF iE iF iE iF 3F iE iE if if 3E ii� 1E iF if iF 3E iF iE �(� 3F iE iE I N D I V I D U�A L F E E B R E A K D O W N TYPE ' QTY D E S C� R I P T I O N UNIT COST � TOTAL COST SFR 143 STRUCTURAL BY VALUE FER $100,00 100,00 14,300,00 END .OF fiEES 0 0 A oi aaa7sb�y-wo�Eusi -r��T �sg ,; , DATE: 4]J23/91 'iIl'E: Sa=`8 � V ---, CONSTRUCTION AND�PLANN - $ SPA APPROVALS Permit # - Date Inspector p�PPqOVALS Permit # Date Inspector /` 1. Temporary Electrical Servic'e'or Pole. � - 52. Pool &-Equipment Location �_ , : � 2. Soil Pipe�Undrgrnd. " , �� . 53. Steel Reinforcement . , 3.' Electrical Conduit Utility-Undrgrnd:- : , %" 54. �Forms � � ' 4. Electrical Cqnduit�Undrgr�d:,,� �:.' S5. Electrical Bonding '� .! 5.. Stee�.Reinforcemenf 56. Rough Plumbing & Pressure Test '- 6. Electrical.UFER.Grnd. - � 57. APPROVALTOCOVER�GUNITE 7. Footings '�' � 58. Electrical Conduit-Undrgrnd. 8. Foundation. �.� y' 59. Gas Pipe, O Undrgrnd., Test � .: 9. Water Pipe�Undigrnd. �!` q �^�i�� 60. Backwash lines, P-Trap, O Undrgrnd. ' 4' "�'1 10. Structural Floor System. �'� .�. s t 61. APPROVAL TO DECK >". J� 11. Property Sewer .Line & House��Connec[ioh" �� 62. Backwash & Receptor-Final. ''��' /, 72: Sewer Cap " � ,� � � 63. Heater & Vent-Final �i",' 13. Foof Drains ,�� /� 64. Plumbing System - Final :;'�j 14. Rough Plumbing � i �' / 65. Electrical-Finai � '�/� 75. Rough Electrical-Conduit � j:� r/� 66. Solar SYstem-Final � '%�j l � 16. Rough Electric Wirin9 j 67. Fencing & Access ApP�oval �' 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING �� 18. Rough Elettrical,-T B3r Ceiling 69. POOL/SPA SYSTEMS FINAL � i 79. Rough Heating & Aiv Conditioning � FIRE DEPT. REQUIREMENT '' - - � • � , , , 20. -Rough Factory Firep�ace � � _ ' � � AppROVALS ' �-Permit # _ - , 27. Dutts, in Structure, � t ..70. Underground_Hydro � 22. Ducts, Ventilating �� ' � �:71. Product'Piping OGas ❑Oil 23. ,Gas Pipe=Rough & T¢st "' t � _ . : 72. Undergrovnd Flush�-_ �. � 24. �Roof� Framing - - ' ' � _ = ^ � �93. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof. Sheathing ' , ` ,; � , r . . . „ �` �74, Overhead HYdro : - 26. T-8ar Ceil'ing �Structural} & Monocoat ' ' - 75. Dry Chemical , , : ' � � 27. Frameand Ftashing� �;,� t,, , ,� 76. Dry SfandPipe �" 3 � �_ 28. Lathing & Siding'-� • - � - -•• � � 77. "FIXED SYSTEM�FINAL' y , `29. Insulation � , - . ' ,� � �, I I� , 7g,-;FIRE PREV. FINAL �. - � .. , 30. Drywall Nailing �- � h� HEALTH DEPT: REQUIREMENT 31. Plaster Brown Coat'. � �� - j �. . 79. FINAL INSPECTION � "� 32. Electrical Power Meter-Final i � � . I�.i ��, ', �80. �FOOD CERTIFICATE ISSUED � ,33. �Final Electric, � ' � iI t . `Notes: ` . ' , - �, . 34. �Final Heating & Air.Conditioning . . � �� !. . , , � i. � , „ �. 35. Final Gas Pipe-Test � ' � I Ii -• �� ' // � �i ii= r �� 36. �Hood or CanoPY � . L - . { ' � � . � �t' - [�/ �% - � OC//(� 37. �Final Factory Fireplace , ' : ' . i - ; ; �. � � 38. Final.Plumbing , -- � . - � � �� ' 39. Water Service�Finalt ' ' i ' - ' ' - . i � . 40. Gas Service�Fi'nal . .,; -•_� � �. . - ; , . , _. �41. Solar pomestic-Final • ' • � � • - . I I• 42. Backflow Preventer. ' . . � I t� - ". . . .. 43. Backflow Irrigation' � , � " - '- 44. Landscape Irrigation System ,. • �x . . • - .. . . - _ � 45:.Sound Attenuation � ' ' '� � - ' " ' ;' . , -46. Handicap Regulations - '- � • � �,_ . 47. FINAL STRUCTURE & BUILDING �� • 46. FINAL PLANNING � I . � . 49..Electric Release to Edison ' ! • . '1 � � ; 50. Gas Release to Southern California Gas Co i � �� : - � . :57. CERTIFICATE OF pCCUPANCY . , ,, , .c , � � _ No. Date • ' `�� APD�icant to (ill in ali soaces except those wit�in heavy Eortler lines ana sign all aporooriate tleclarations. � - , ' . , r . _ . . . ." ' .""_�- ' � CITY OP COSTA ME�SQ�,� 'CON$,TRUCTI,ON PE MIT ' PERM NO. TRACT NO. ' LOT NO: ; UNIT NU. . . ' � � � ' Project Address � � � � JJ . . , � S . � y� . . . : ' , . . �. ' . � ' � 5'143 '10/�14/86 ` n ' Applicant's Mailing�Q ddr 5 � � ' • � TVPE OF CONSTRUCTION NEW �ADD ALTERATION REPAIR � TL � /'��, � . � C��j � f�� ; ❑ CONVERSION, ❑'DEMOLISH O OTHER ' � q,p, # , • • ' � Zone_ ' - Owner's Name �� ,^,� n ' Phone.��d-i�t� , DESCRIPTION OF WORK/USE OF BLDG. �y' � ' , Addreu —��.YV�-�/ � � • I� .I � ' � � S Main Buiiding: � Accessory Building: � Arch/En91 ' � � License No. ; , TYPE OF PERMIT ' GRADIrvG�OUNDATIOrv ❑ STRUGTURAL � T Front � ' i : p .I Add1¢55 � ' � ❑ TENANT � 0 ELECTRICAL • PLUM6ING O MECHANICAL � B Rear � . . � � N Con[ractol'S Name Phone � � OTHEFt _ � � � ' �%� , , _ � __ _ __. . � � PROJECT DESCRIPTION 'Sa. FT. � � OCCUaarvCv -C�� Right � N' Address (mailing) + � K Left " � ' G � • . � , CONSTRUCTIONTVPE � VALUATION$ $ � , CiryLiceriSeNo. � , �ZOIVE � - .GRADINGCV.YD51.' ACRES ' . ' , R i UGENSED CONTRACTOR DECLARqTION � Ping. R¢l. �I-` - PdlRinj�R2q./Provid¢d � E I hereby affirT that 1 am licensetl untle5 provisions of Charter 9(commencing Rema�ks: �' � Planning Notesi � . . '. ' . M with section ]000) of Division 3 ot the Business antl �Protessions Cotle, antl , T , my license is in full r n0 eftect: � c ' � , ^ � - ' � ' � � , License Iass ic ns � L'✓ � ! � � ' f �� "'— - _ S (�� Date '1 � Signature , ' � ' - PLUMBING -FEES ' � '�'�;'� ��r"'!) i��"„ ' ''�. �',��, ' • —�l '"'ORKERS' COMPENSATION DE LARATION ; . gy� $ink � , $hOWerS � � • ' ' ' '. ' �reby aifirm,that'1 have a certiticate of mnsent to selt-insure or a certificate - '' - . ELECTRICAL ' ' FEES `Workers' Compensation Insurance, or a certlfietl copy�thereof (Section � gackflowPreventer $erviceSink . ' � � ' �� ' + � ' � �..aoo, �ab. c C � � � )� /� . : Auromatic Washer " Transformer ❑ 15-50 KW � 1 Policy No.�=�� ComPanY .�EL� Backflowlrrigation SewerCa . . � .. �- � .050+KW. ' P Construction Pole Sub. q �Ce�tifietl copy i5 he�eby furnishetl. Id'Ce f o i filetl with the city B�-��/T'Ni9 a ry �� j,�— Bathtubs ` - Sewer Connection '' -� Cooking�Unit . - �. . Meter �up to 100 amps I Date�"��O—APPlicant 1..��/' a- - - . . . ,- . - , . , . . . . �� CI "� . Solar Collecto�s � Dishwasher � Meter pover 100 amps _ ' E%EMPTION FROM WORKERS' GOMPENSATION DECLARATION ' (This seciiOn neetl not be comple[etl if the permit I5 to� on¢ huntlretl ($300) or � '� Iess). ' . � • � Dishwasher�' � - _ ' Solar Piping - • • Dryers ❑Gas ❑Elec[ric Sub Panel , - ' I certi(y that in thelperfo�mance of the work for which this p¢rm�t is issuetl I _ . ' � ' ' shall not employ any person in any manner. so as to become subject to t�e rinking Fountains . Soiar Tank ' ' ' - Fan ' Motors �0-1 HP �1'h - 8 � Workets' Compensation LawS ot California. . ' Date Si9nature • Floor Drains � � i. � Swimming Pool w/Spa . � ' F,A.U. - � � Inc.Solar �9�75 HP 016-15+ • _ NOTICE: If, after making.this;tleclaration, you shoultl become subject to the . , ' Workers' Compensation provisions of the Labor Cotle, you must (orthwith FloorSinks �� • ' Urinal � � � Fixtures � � ' � • - comply wilh such provisiOns or [M1is' permit shall be tleemetl revoketl. � � Mic�owavC CONSTRUCTION LENDING� AGENCV ' - Ga55ervice Outlets � WaterCloset DeviceBoxeS ' 1 hereCy aftirm that thete.is a const�uction Ien0in9 agency tor the performance - POIC Light �. of the work for which thi5 permit � is issuetl (Section 3097 � Civ. C.) � Interceptors ' � ' Water Heater ' Outlets Lentler's Name � - Range � Lentler'slldtlress _ � �" Ki[chen Sink __ . Wa[er Service � - Swi[ches - - - � � Sign . � ' "� ' - - OWNER BUILDER bECLARATION ' , � , � ' I M1ereby affirm that I am exempt irom'the CwVactor's License Law for the L3vdtO�ies . AUtO-WdSh � � • following reason (Section 7031.5 Business antl Grotessional coCe: Any city or Garbage Disposal � Standin9 Sections county wnich requires a permit to construct, alter, improve,�demolish or repair � P-T.rap . ' Laundr Tra { � ' ` any sVucture, prior to its issuance, also requlres the applicant for, such permit Y Y. Generator �0-5 KW'05-15 KW Trash Compacmr to fiie a si9ned statement that he/she is licensetl pursuant to the provisions of Roof Orains ' � i � ' ' �he Contraclor's License Law (Chapter 9 (commencing with SectlonJ000) ot � , . - • � 'vision-3 of the� Business antl �Pro(essions Cotle)� or that -he/stie-is exempD- - � - - - � � - '-- � � - � � - - � - - - - - � - � -- - ' �refrom antl the basis for the allegetl exemption. Any viola[ion of Section ' , . ' � � . .� J31.5 by any applicant for a permit subjects the applicant to,a civil � ' ' ' penalty�of not more than five huntlred tlollars ($500). � : ' . � $' 3 � , , • • � � I, a5� owner ot the' p�o0erty or my employees with wage5 as their sOle R¢in5pectiOn; F¢e � $15 � :, , ISSUe FBe. . ' . compensation, will tlo the work, antl the sVuttur¢ i5 not intentletl or offeretl ReinSpectiOn Fa0 . $15 IssU¢ F¢¢ � . .�� "' $ 3 ', tor'sale (Section-]o4a, Business antl Professional Cotle: The Contractor's �„ t � MECHANICAL, � FEES � liCenSe l.dw tloes�not'apply to an owne� of a'property who builtls o� imp�oves , __ � � � _ tM1ereon, antl who tloes zuch work himself/herselt or tnrou9h his or her own . , . DEVELOPMENT SERVICES REQUIREMENTS: ,: . employees, provitletl that such improvements a�e not intentletl or offeretl for BOile� _' � HOod O� . Typ¢ I ❑' • � . • ' � zale. Ii, nowevcr, the builaing o. improvement is soltl within one year of mm- -- Canopy � Type II ❑ � _ Zoning ApO�a�ed By '' Date � pletiaq tM1e owner will have the burtleqof proving h¢/she tlitl not build or irn- ; DuCJ- Und¢� G�Ound . ;- � + ' , BUilding App�aved By Ddte � - /Ove tor the'purpo5e of sale): � � ' - . -�-I, as owner oi the properry, am exclusively contracting with licenietl cbn- D'uct-Structural Refrigeration System � �� Appl'wYo Ist ed By � � ' � Date �� ; tractors�to construct the Oroject (5ection ]044, BuSinesS antl Protessions Cotle: . - ' Thei Contractor's Litense Ww does not apply to an owner oi property_who Duct - Ventilating - �0-700,000 BTU' �100,000 BTU ' ( ' '. ;, SUMMARV OF,FEES .� }. � ' ' , builtls or'improves thereon, antl who contraGts for such projects witFi a-con- �� . - _ A. . tractor(s) imen'se pursuant to the Contractor's License Law). I am awzre tnat; ' ' - '' BUILDING PERMIT, $- ''-SMIP ,$. ; Ezhaust System ❑ Multiple ❑ ' ' System Repair/Alteration ' - � � ' ' proof of their Worker4 Compensation insurance,shoultl�be proviCetl to me: � 1 � - � �: � _ PLAN�CHECK � $:.� /�f � . PERMIT.� ��J}� ' L7 I am exempt untler Section . _ e.•& P. C. for this reason - FirepUFact BIL ICBO # .Fire Dainpers ' �- � p�UM61NG ''$� �1 ISSUANCE $. _ """"�'r . Date' ' owner' � ' Heating System & Ducting ' _ ' Registers' . . ' � ' ENERGV P.C. $ - - � ' ' ' � - � - PLAN�CHECK '.25% $ -._ � 1 hereby certify �that-I' have reatl �this application antl state tnat the above � �0-100,000 BTU 0100,0006T �� '- - ' � ' r GRADING � $� : information',is mrrecL I aqree�to mmpty wim all city antl�county ortlinances ' � • ELECTRICAL - $ � � antl state laws relating to builtling construction, antl he�eGy authotize �ep�e-�� _ - _ � • - . � . , . � � -� � - - � � � MICR�FILM� $ � ' sentatives of- his uty, to eoter upon� the above-mentionetl prooerty for' �: � i � �. , .� �. .� r� � .� PLAN CHECK 50% $c ��; �., . inspection p r os . ' '' , j,p'� � � - MECHANICAL ' . $ ' � TOTAL FEE $ `��U_' Si9nature - ate��lY �lo:�� . - - . • � . � , ,� "Drivers' License or'S5 � � � Reinspeetion Fee � �.$15 . ; laue Fee . '-$ 3 PLAN�CHECK - 25% $-, � � ' - CMF OB65-46, rev. 10/84 � White�- Builtling; Canary - Applicani; Pink - Accounting; Goltlenrotl - Assessor � `' ,� - . J 1 HS.',�- POOL & SPA , f � CONSTRUCTION AND PLANNING . _ ._ � a .. � \' � Date Inspector Date � Inspector\ °' APPROVALS Permit # � APPROVALS Permit # � 1. Temporary_Electrical Service or Pole ' , 52. Pool & Equipment Location , , �<G 2. Soil Pipe-Undrgrnd. 53. Steel Reinfbrcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms c� 4. Electrical Conduit-Undrgmd. ' 55. Electrical Bonding , � � 5. Steel Reinforcement 56. Rough,Plumbing & Pressure Test � 6. Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUNITE n �. 7. Footings 58. Electrical Conduit-Undrgrnd. cv 8. Foundation , � . �59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, O"Undrgrnd. . i 10. Structural'Floor System . 61. APPROVAL TO DECK 71. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap , 63. Heater & Vent-Final 13. Roof Drains ' 64. Plumbing System - Final � 14. Rough Plumbing 65. Electrical-Final � 15. Rough Electrical-Conduit . � 66. Solar System-Final 16. Rough Electric Wiring , 67. Fencing & Access Approval 17. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING 78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19: Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT 20.; Rough Factory Fireplace APPROVALS Permit #' _ 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating � , 71. Product Piping � Gas ❑ Oil . 23. Gas Pipe-Rough &�Test � � 72. Underground Flush 24. Roof Framing ' 73. Undergrnd. Storage Tank 0 Gas ❑ Oil 25. Roof Sheathing � 74. Overhead Hydro ,. � . 26. T-Bar Ceiling (Structural) & Monocoat . 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL - � 30. Drywall Nailing HEALTH DEPT. REQUIREMENT _ � 31. Plaster Brown Coat 79. FINAL INSPECTIOIU . '. 32. Electrical Power Meter-Final � ,' 80. FOOD CERTIFICATE ISSUED i 33. Final Electric Notes: � � 34. Final Heating & Air Conditioning . 35. Final Gas Pipe-Test . � 36. Hood or Canopy 37. Final Factory Fireplace , ' 38. Final Plumbing� -13�-a'] L¢'Ij 39.•Water Service-Final 40. Gas Service-Final � 41. Solar pomestic-Final ' 42. Backflow Preventer . . � • 43. Backflow Irrigation � 44. Landscape Irrigation System - . � ' 45. Sound Attenuation ' ' � • 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING � � 48. Special Requirements Compieted 49. Electric Release to Edison � .. - 50. Gas�Release to Southem California GasCo - : 51. CERTIFICATEOFOCCUPANCY No. � Date • � z . W W av �Z zQ ON am J � J N Q W tt] J -m J Q U Q Z� aW W Z J Q m Z J � W y,� O ZH W � N � �O r Z Q U J 1 a Q � H y Z O F- U � � �"' N z -- - - .1..7.,/,. COSTA MESA BUILOING•SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely ADIDfiESS`�72 Deep Creek OWNEP State-Wide Developers, Inc. Ao"oREss9461 Grindla TEL. cirv f.vnrace No. R9f,_a5 BRANCH ADDRESS ARCMITECT . . . . ._ . . . TEL. CONTRACTOFSLf�tC�W�dE DeVe�OpeiS� IBC. AooRess9461 Grindlav TEI. ��TY Cvpress No 826-45 LiC. No. 224710 LIC NO. OF LOT 12.093 aCE25 I No. oF e�ocs. NOW ON LOT SIZE OF NO. OF NEW BLDG. ROOMS EXTEfiIOR WAL aster ROOF COVERING �r�0� COVEflI USE OF BVILDING AND WORK TO BE 1 Residence w/att I hereby acknowledBe that I hava read this application anA rtate that the ebove intormation is corraci antl apree to comply wlth ell laws regulating buildinB construction, and I snall not employ any pe�son in vlolation Ot ihe wa�kman's comp0�sation laws ot Me Stata ot California. I hareby cerNty that I em proparly licenutl es a eontrector under the State ot California Business and Professions Code, Divisicn 3, C�apter 9, antl t�at such lieenses are in tull forca and etfact, ar I am exempt from the prOvlslons Of the State Of Calif rnia Business antl Protessions Code, Division 3, Chapter 9. �.____._�tate-Wide DeveloAer�, nc. Permlttee AuthorizetlAgent Vice President aAV i 3-76��00 698Y :`-* 238.23 c> APPLICATION FOR BUILDING PERMIT ENED BY DATE FiECE1VED neTc �ccncn A.P.NO. - i4U�bS/Y�I-t%f � `T� ADDRE55 �� Z LJGZ �/�CC`G TRACT LOT IR ED VALUE ZONE NO.OF USE OF � � 2 C� P�� Z BUILDING VARDSAPPFOVED VARD MAIN BUILDVNG ACCES; REAR "►'` FT.00I � DISTANCE BET. BET. MAIN & MAIN BLDCS. ACCFSS. BLD VAR. # � _ .�, / n � DATE HOLD FOR m 1480 sn. FT. J-645 '� 0 THE AMOUNTSHOWN UNDER VALUATION IS FOR � THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: Q VALUATION � y $�� PERMITFEE $ I � � ,� D� m PLAN CHECK $ • E n pI �-�/ u OWNER JOB ADDRESS GENERAL CO� AP No. _ � I :CTIONS s�._ GAS WATER ROUGH PLUMBING PROP. SWR. LINE SPRINKLING SVST DATE 4_Zg_ T TRACT AR58 _ FIRE ZONE VAL ROUGH HEATING FryD AIF CONDITIONING TEMPORPRY SERVI�E OR POLE UNOERGROUNO� - FOWEF � ROUGH wlRll TRENCHE /fQ$MS�� L � FLOOR SVSTEM BON� BEAM � STEEL REINFORCE [ SHE/THING FRAME ANO FLASHI G LATHING - IN Ol1T PLASTER,BROWN COAT ""UCTURAL, FINAL 'ING. VENT., REFRIG. AND A.C., FI ELECTRI BUILOIN FINAL FINAL FINAI SUBCONTRACTOR � �