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Home My WebLink About876 DEEP CREEK - Building Permits(714) 754•5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: H7s DEEP CREEK Suite No Vicinity: CONDENSER IN GARAGE Parcel Number: 93506065 Applicant: HUGHES, LEANNE Address: . . Owner: Address: Contractor. Address: PHILLIPS, ELIZABETH:1 %BRITTEN, GEORGE J � � ' ' COSTA MESA, CA `�- - 876 DEEP CREEK, � COASTLINE AIR 19691"�GLOUCESTER LN HUNTINGTON BEACH, CA MECHANICAL PERMIT Phone: 714-465-6152 Zip: 92646 , Phone: Zip: 92626 . Phone:'714-904-5819 ;`Zip: 92646 , � License:647479 SCOPE OF PERMIT �, � CHANGE-OUT OF AN EXITING FAU AND CONDENSER (3-TON , - � LOCATED IN THE GAR4GE. �� 1 INST FAU < 100K BTU, 1 CONPRESSOR UP TO 3 HP/100K BTl NO OTHER WORK AUTHORIZED WITH THIS PERMIT. -� ,', ., . � _. .. ._ : FEE SUMMARY � . - � . Quantity, . , ISSUE FEE $23.50 � _ -_ '" _. �. �Inst FAU�<100 k BTU ��' $14.80 . 1 - � ., Insl FAU >100 k BTU � $0.00 0 Repair7Alt Cooling/Heat. $0.00 0 Inst / Rep. Recess Wall Htr� $0.00 0 Refrig Sys <100 k BTU '' $0.00 0 Refrig,Sys >100 k BTU ` $0.00 0 Gas Piping', � `�'�� $0.00 0 Factory Fireplace ` ` ` � $0.00 0 .� �; Y�- , Hood w/Mech Exhaust � $0.00 0 � ' VAV Box • � . , ,"$0.00 .0 � `., .ir� ,' Vent Fan / Single Dud -, $0 00 0�"' �i Appliance �� . ",%. �� $0.00� _� _0 � � � . ' Fire Dampers � . � : J $0 00 � 0 � � _ Smoke Dampers , '; ,$0.00 � 0 -�.' � � Inst or Relocate Appl VeSt�. - , $0.00 � 0 - �� _ .' � Air Handlers < 10000cfm'.; ,, � - $0.00 ;..0 - ". AirHandlers> t0000cfm'�'� � ��$0.00�,�0� • ` � � Stalus: ISSUED Applied: 08/ZS/2006 Issued: 08/28/2006 ,. + •� ISSUED BY: .� 36,000 UNI�. CONDENSER IS ." " Repair/AltAbsorbtionUnit _� � Repair/AltRefrigerationUnit Ventillation System Evaporative Cooler Commerciallncinerator - Domestic Incinerator � � Como�essors / Absorotion Svstems „ , ' �Upto3hp/100kBTU � � 3 To �15 hp / 500 k BTU - � 15To30�hp/1,OOOkBTU ,. '. '� 30 To 50 hp h,1�,750 k,BTU - , _ , --'Over50hp/Over.1,7506TU /, _ � " '� Boilers . , , - ��. Up to 3 hp - _ ; � . . • ' �3To15hp ' _ ��.C' , _ i5to30hp-: `: � �, , . . � :�30 to 50 hp ,� . - , Over 50 hp - -- • - � Floor Furnace �� .. .$0.00 0 . . • � - � - .. , - -Other MeChanical Fee � . Floor or Suspend Heater ` ;` $0.00 � �0 �- � � , - . , . � � Investigation,Fee , ��- �, .-. _ s,� ,. , PlanCheckFee"�� , : � � , ' � Reinspection Fee . " �� - -' � - ' - " �TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS ' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $14.70 $0.00 $0.00 - $0.00 $0.00 Quantity 0' 0 0 0 0 0 1 0 0 0 0 $0.00 0 $0.00 0 : $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 E53.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced wiihin 1 BO 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 lagal, such work must comply with all applicable codes, and all required Inspectlona and final approvel must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 - � 240648 (flb0) WORKERS'COMPENSAnON DECLARAnON: �' , Af I hereby aNirm untler penalry of perjury one of Ihe tollowing declarations: �� , , ❑ 1 have end wlll maintain a certiticate of consent to self-Insure for workers' compansatlon, as proWded tor by section 3700 01 the Lebor Catla, tor the padormance of the work tor which this partnit is issuad. � � � % I have en0 wlll malntain workers' compensatlon insurance, es required by secUon 3700 ot the Labor Code, tor the peAortnance of t�e work lor which this pertnit is Issued. My wor`ker;' w pensatl Insuren�je carner and policy number are: �j Certie-�>'��l.l. i'l_6— � Poliry Number: I O I �O I Z� r�� (lriis section neetl not be wmp/e(etl i/ Ihe Oermif is velued et one hunOred tlollars ($100) or /ess.J - ❑ I cehify Ihat in the peAormance oi lhe work tor which this permit is issued, I shall not employ any person in eny manner so as ta become subject to ihe workers' compensation law I Celifomia, antl egree that il I should becoma sub�act to the workers' compensetion provisions ot Section 3700 of the Lebor Cotle, I s�all torthwith comply with these ovisions. p� �1/� / Applfcem�Signature: �M MI% �j (�A� D/J Date"�i7 �.-A 7� /,z�i(� � � W�ING FAILU E TO SECURE WOiiKERS' WMPENSA COVERAGE I$ UNLAWFUL AN� SHML SU6IECT AN EMPLOVER Tp CRIMINAL P NALTIES AND CML FlNES UP TOONE HUNDRED T1qUSAND DOl1ARE (5100.000). IN ADORION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOii IN SECTION 3]OB OF TME LABOR CODE, INTEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I here6y ettirm that�am Ilcensed under pJ�ovisions ot Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code, end my license is in tull torce end ettect. LiG..I�� .1��j . � . _ Class k i� 'a��_ _ CONSTRUCTION LENDING AGENCV: � ❑ I hereby eNirtn that Ihere is a construction lending agency tor tha pertortnance of tha work tor which ihis permi� is issued. (Sec. 3097, Civil Cotle). Lendefs Neme: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirm thei under penalry of perjury that I am EXEMP7 FROM 7ME CONTRAC70RS LICENSE LAW for ihe following reason (Sec. 7037.5, Business antl Professlons Cotle: Any ciry or counry w�ic� requires a permit to construct, alter, improve, Oemolish, or repair any structure, pnor to its issuance, also requires Ihe applicant for such pertnit to ille e signed statemem thet he or she is licensetl pursuant to Ihe provisions ot the Coniractors License Lew (Chapter 9(commencing with Sectlon 7000) ot Didsion 3 ot ihe Business entl Profassions Code) or that he or she is exempt theretrom and t�e 6asis for the alleged exemption. Any violation oi Section 7031.5 by eny applicent for e pertnit sub�ects ihe applicant to a civil penalty of not more then five hundred dollers ($500)J: � I, as owner ot Ihe property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and Ihe siructure Is not intendetl or oHeretl for sale (Sec. 7044, Business and Proteuions Code: The Contractors License Law does not apply to an owner of property who builds or Improves ihereon, and who does such work himself or hersaN or Ihrough his or her own employees, provided that such improvements ere not intendetl or otteretl for sale. If, however, the building or improvement is sdd within ona year of completion, Ihe owner-builder will have Ihe burden ot proving that he or she did not build or improve tor purposa of sala.). � ❑ I, es owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law tloes not apply to en owner of property who builtls or Improves thereon, and who comracts for such prolect with a comractor(s) license pursuant to the Coniractors License Laws.). ❑ I am exempt under sec. Signe�ure: Owner ID verified by tlnvefs license. ❑ Yes ❑ No Busineu antl Professions Code for this reason: Ventication oi Ownership by (lype of aocument, I.e. - property �ax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Onvefs License No. Dete: Expires: ❑ I hereby certify ihat no eawvation tive (5) or more feel in depth into which a person is required to descend, will be made in connedion with work euihonzetl by this . pertnit, and that no building sWCNre, swflolding, talsework, or demolition or dismantling ihereol, will be more than Ihirry-six (36) teet high. (Chap. 3.2, Grp 2, A� 2, Sec. 341, Trtle 8, Calitomia Adminisirative Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit from the Division of Industnal Sefery, as noted ebove, unless such person �es e permit to do such work from the division. Signature: Date: Division ot Indusirial Satery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF EMAV: I certity under penalry ot perjury ihat I �ave read this application antl state that the infortnatlon given is wnact. I egree to compty wlth ell state laws end ciry ordinances relating ro building construction, and authorize representetives ot the Ciry of Costa Mesa to anter upon ihe ebove-descnbed property lor inspeciion purposes. I egree not to occupy or allow occupancy oi any building authonzetl by Nis pertnit until final inspection. COOE �, INSPECTIONTYPE � 7618 Fixed System Final Fire Prevention 1288 Pool Spa Final 200 Finel Re-Root 201 Final BIocWRetaining Well 202 203 Final Pactory Fire Placa . - Final Sign 20a Final Domolition PaIF �¢ �� INSPECTIONTYPE ' � 206 Final Mechanical 208 Final Plumbing 210 Final ElecMcal 212 Final Fire Prevenlion - , 220 222 250 Final Planning Approval Final Site Final Bulltling/Occupancy PA� I[�Lfl _ 'c�E, �.�L � PPOJECT�ODflESS: $�]E DEEP CREEK OWNEfl'SNAME: WjLLIAM B DOUGLAS AD�flESS: SAME . AflCHIENGINEEfl: AOUflE55: NEG.NO.: uNiT: UNIT: PEHMITTEE: WILLIAM DOUGLAS ( 714 ) 556-862R aooRess: 876 UEEP CREEK C.M. CA 92626 LICENSEO CONTPACTOB OECLABATION: I hereby a�firm ��at I am licensetl under pmvisions ol Chapler 9(commencing wiih Section 7000) of Orvision 3 0l Ihe Business and Protessions Code. anU my license is in lull lorce an0 elhct. CITY LIC.: STATE LIC.: CLASS: Oa�e: SignaWre: WOPREBS' COMPENSPTION OECIAflRTION: I hereby aifirm Ihai I have a ceriificate o� consent �o seli�insure or a certilica�e ol Workers' Compensaiion Insurance. or a ceni�ietl copy ihereol (Senion 3800. Lab. C). POUCY NO.: E%P. DATE: COMPANY: , Ceriifietl copY is hereby fumished. ❑ Cetlilied copy is filed with ihe city Builtling Oivision. ..ate: ADOlican[ E%EMPTION FflOM WOBKEPS' COMPENSIITION OECUflRPON: Rhis senion neeE not Ee completcd if ihe permit is iorone hundred (5100) or less�. I cehify Ihal in �he peAormance af �he work for w�ich ��is permii is issue4 I shall no� employ any person in any manner sa as lo become Su�lec� lo �h¢ Workers' Compensalion laws of Calibmia. Oale: SignaWre: NOiICE: I�. afler making Ihis Oeclara�ion, you shoultl Decome subjec� m Ihe WoBers' Campensalion pmvisions o� the Lahor Cotle. you musl �ori�with comD�Y w��h such pravisions or �his permit shall be d¢emeJ revake0. CONSTBUCTION LENOING RGENCY: I herehy aifirm �ha��here is a ConS�ruCiion 1¢n0ing agenty brlhe pedormance o�ihe work for which ihis permi� is i=sued �Sec�ion 3097. Civ. C) LENOEfl: RDUHESS: OWNEH BOILOEH OECLAFATION: I hereby afiirm Ihat I am exempl lrom the Contractors' Staie License Law �or �he �ollowing reason (Section 7031.5 Busmess antl Professanal Cotle: Any city oi county which requires a permit to constmcl, alter, improve, tlemoiish, or repair any stmtlure, prior ta iis issuance. also requires �he aDDlicant for such permii �o �ile a signetl s�a�ementihat he/she is licensed pursuanllo I�e provisions of the Comrac�ors' State License Law (Chapler 9(commencing with Seclion 7000) oi Division 3 0l l�e Business antl Prolessions Coae) or ihai he/she is exempt iherefmm anA �he �asis lor ihe allegetl exemption. Any violation of Section 7037.5 by any applicanifar a permil su6lecis ihe aDPlicanito a civil penalty of not more ihan five �untlretl doilars (E500�. �I, as owner oi ihe pmpeny or my emplayees with wages as Iheir sole compensatioq will do ine work, ana the stmclure is no� imended or oflereE for sale (Secbon 7044, Busineu an0 Pmfessional CoOe: TAe Contractors' Sta�e License Law tloes not apply lo an owner ot a pmpeny w�o builtls or improves thereon, and who does such work himseli/hersell or thmugh his or her own employees, pmvidetl �hat such im0�ovements are no� imended or oftered �or sale. I�, however �he huilding or imD�ovemeni is sold wi�hin one year oi comple�ion, ihe owner vnll have Ihe Eurtlen o� proving he/s�e Eid not 6uild or improve lor Ihe purpose o� sale). I, as owner o� the pmpeny. am exclusively con[racting wilh licensed conUac�ors to cons�Nc� �Ae prolect (Section 7044, 9usiness ❑ antl Professions CoAe: The Contracmrs' State License Law aces not aDPly to an owner of proDeM�a bwlds or improves t�ereon and who ConUaCls for Suth prole��5 wi�h a tontrat�or(S�license pursoan�lo Ihe Conlraciars' Slaie LiCense Law�.l am aWare t�at pmol of iheir Worker's Compensation insurance shoultl �e pmvided t me. � I am exemp� untler Sec�ion: B. 8 P. C. � lor �his reaso¢ U J�(J / r oale: / �`� _ � � /vfn . I tlo hereby centlY �hat I am aware ai antl untlers�antl �he requiremenis of Calitomia Heal�h and Safery Coae c ions 25505, 25533, antl 25534 anA I�ai l Or any WNre builAing oCCuDanl will/will no� �CirCl¢ one) neetl �o campty wiih said stale totle5 tl ine reQuiremenis for a permit far consimction or motli6cation Imm Ihe Nir Oualiry Managemem Disiricl. flesidential consimction apDlications are exempt imm ihese Omvisions. Date: ApplicanC _ 1 �ereby cer�ilylhat I haverea0 Ihis appli[ation antl tate�ha� tl ordinances antl Slalelawsrela�ingio builtling can c�ion an ei pmpetly lo ins�pjetlion u�rp7o5e5. Da�e: _u � ` 99na1 M Oriver's �icense or socia� Security a: is carrecL I agre to comply with all city antl un�y n��iiv¢,5 o�i�is y�o enieruponlhe above- �ianetl �/ � Y �% t6ai n6 WM1ne—Buildmp: Green—Cotle Enio¢emenL Canarv—Aool¢anl; Pink—Revenue: Goltlenrod—Assessor . \ , . CITY OF COSTA MESA — BUILDING PER,�IIT PERMIT NO: M' 056885 PLAN CHECR NO; N CONSTRUCTION TYPE; PERMIT TYPE: MEC JOH DESCRIPTION : LEGALI2E AN HAV UNIT CLAIM VAiUE: CALC—VALUE: tH N , �b 1 ; N . U , N PURPOSE: OTH SQ FT; GROUP OCC: R-3 / COMMENTS: X x�**�*x*x*�*�***�****��x*xx�*�***+r+��**��*��+��r�r*+r**�r��*�*��r+�x�***+r�+��**��**� Z O N I N GS ERTEBQAUCIxRSE M E N T S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; F'I' IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL: 93506065 2NE; REF NO; PLANNING Nt7T'ES> 1 3F aE jF iF iF IF iF 3E 3f 1E 3F if if iE iE iE if iE ik 3f iE jE if iE iE iE jf if jE 1E If iE iE iF # iE.1E 1E iF jf aF iF 1F iE if IE if iF 3E ik fE IE iE �k iE �E�lF iE iF iE if �t 3E it iF iE ie iE iE * fE iE iE 1F if iF iF If �F 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 r ZONING APPROVED BY � DATE: e,� HUILDING APPROVED BY ; DATE; APPLICATION ISSUED BY• �'��'� DATE• � i� ififiEifiFifiEiEiFiEiEiEIEiFiflEiFiF�E3FiEiEiF'iF3F'3F'iFiFaFiF'iFiFif'iFifTFiF 3f iFiF�FTe�FiFif�fiFiFitiFiF3FifiF3Fif3F�1FiE*iEifiEifiE r iiiF 1E iE 1F 1E iE iF iE iF if iF # iE i4 ih k iE iF iF 1E iE IE iF if iF 1E iF 1E iE 1E iE if �IE 1E ik �IE 1E iE �lE �lE �f iF �lE iF iE iE iE iF if iE 1F iE �lE if iE iF 3f iF 1f if if ib if iE 1E �1f #E ik iF iE iE If a£ �F iE �lE iE iE if if LEGALIZATION:Y F E E S U M M A R Y 'STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRAllING PERMZT 18.00 25� SMIP/NON—RES PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 18.00 I5.00 O,UO 33,OU 33,00 .00 REVENUE DIVISION TOTALS--> COLLECTED; 33,00 OVER/SHORT; ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADTNG PLAhi—CHECK 33,00 iE �IE iF aF iE iE iF iE IF aE 1E iE �E fE IE iE iE iF 3E �1ElE 1f 1E iE 1F iE 3E 1F iE iE 1E iE �E iE * if iF jE iE �E �F 1F 1E K� iF aF iF iE �E i! iE iE iE af iE 3E iE iE iE iE 1E iE �E 3E iE �E iF iE 1f iE 3E it IF if j'r iF 3F 1F 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 Z O N UNIT COST TOTAL COST MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9,00 9,00 END OF FEES OZ 'u01i2,sn-oota?aeo �� a.ao DpTE: af�e8i92 iltl�: 1G.00 CONSTRUCTION ANDPLANNING •.� P001 PA � , APPROVALS Permit # " Date Inspector AppROVALS Permit # Date Inspecior" 7. Temporary. Electrical Service or Poie . 52. Pool & Equipment Location � 2. Soil Pipe�Undrgrnd. - � 53. Steel Reinforeeme�t �' 3. Electrical Conduit Utility-Undrgrnd. 54. forms � � . 4. Electrical Conduit�Undrgrnd. 55. Electrical Boncfing 5. Steel Reinforcement .- �. 56. Rough Piumbing & Pressure Test , � 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings � - 58. Electrical Conduit-Und�grnd. ' '8. Foundation � . 59. Gas Pipe, � Undrgrnd.. Test , � 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap; O Undrgrnd. ' ' 10. Structural Floor System � � . 61. APPFOVAL TO DECK � � • 11. Property Sewer Line & House Conneciion . ' 62. Backwash & Receptor-final' � • 12. Sewer Cap , 63. Heater & Vent-Final � . 73. Roof Drains 64. Plumbinq System • Final 14. Rough Piumbing 65. Electrica6Finai - ' � 15. Rough Electriral-Conduit 66. Solar SYstem-Final ' ' 16. Rough Electric Wiring � 67. Fencing & Access ApP�oval . . 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPASYSTEMS�FINAL �19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � 20. Rough Fectory Fireplace � _ . �APPROVALS � � Permit # r 21. DuCts, in Structure � � , 70. Underg�ound Hydro 22. Ducts, Ventilating � - 71. Product'Pipin9 O Gas ❑ Oil 23. Gas Pipe�Rough & Test � 72. Underground Fiush 24. Roof Framing � .� 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing � 74: Overhead Hydro 26. T�Bar Ceiling (Structural} & Monocoat � 75. Dry Chemical 27. Freme and Flashing � 76. Dry Standpipe ` �� 28. Lathing & Siding ,' • 77, FIXED SYSTEM FINA� 29. Insulauon � � 78. FIRE PREV. FINAL 30. Drywall Nailing . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat .' 79. FINAL INSPECTION 32. Electrical Power Meter-Final ( 80. FOOD CERTIFiCATE ISSUED 33. Pinal Ele�iric ' � ' Notes: - � 34. Final Heating & Air Conditioni�g � tfl q ttZ G�(� • � '� 35. Final Gas P�Pe-Test - � - 36. Hood or Canopy • , 37. Final Faccory Fireplace • _ 38. Final Plurnbing � � 39. Water Service-Final , � � • 40. Gas Service-Final , , ' 41. Solar pomestic-Final � -� . . � � 42. Backflow P�eventer � . 43. Backflow irrigation � � . 44. Landscape Irrigation System . - - , 45. Sound Attenuation � 46. Handicap Regulations : . - � , 47. FINAL STRUCTURE & BUILDING _ 48. F{NAL PLANNING r ' 49. Electric Release to Edison � 50. Gas Release to Southem California Gas Co � ' ; � 51. CERTIFICATE OF OCCUPANCY No. Date 1 ry i� PFOJECT ADOflESS: 8% 6 D EEP CREEK uNir: OWNEfl'SNAME: VILLAGE CREEK, HOMEOWNERS . aooness: ASSOCIATION 3429 TIMBER LAKE CM VA 92626 ABCHIENGINEEfl: CHESTER CARVILLE � pEc.No.: C18305 • ' aouxess: �gzz ARMOUR ST uxiT: , S.D. CA 92111 PEflMITTEE: PHOENIX ENTERPRISES INC, ( 213 ) 690-9559 aoosess: qll COMERCIAL WAY ' LA HAHRA CA 90631 LICENSEO CONTFPCTOP OECLAflFTIUN: I hereby allirm f�ai 1 am Iiten5e0 er provisions af ChaD�er 9(commencing with Section 7000) ol Oiv�sion 3 0l lhe Business antl Pmfessmn5 Gotle. antl my lice s' f I force and e9P . J cirruc.:Q�07 8 sTn 376639 S� � • ' Date: _ f �� Signature: — _ _ _ — WOPREXS' COMPENSATION DECLANATION: I hereby aifir at I have a cenificate oi consent m sel4insure or a certificate of Workers' "�mpen5aiion Insy[ancg, q,r cer�ilied copy �hereof (Sectian 3800, Lab. ). ICY NO.: h/ 0:1,.] � y ' E%P. OPTE 7� � 1� 9.1 JMPpNY: CA COMP & FIRE � CeN�ietl y�py is nereby WmisA� Ceni6ed copy is lilea it e Building Oivision � ^ Oa�e: � � _ Applitant E%EMVTION FBOM WUHKEflS' COMPENSATION OECLAPpTION: ( M1i55etlion need not Oe tomplet¢0 if the p¢rmii is one hundred (5700) ar le5s�. I cerlily Iha� in Ihe pedormance oi �he work lor which �his permit is issue4 I s�all not employ any person in any manner so a5 to become suble�� o Ihe Workers' Compensatian Laws oi Calilomia. oaie'. Signature: NOTICE: II. aller making Ihis aeclaration, you 5hou10 become suble�� o �he Workers' Compen5aiion pmvisions o� �he La6or CoOe. you mUst torlhwith comply with Suth pmvi5ion5 Or �his Oermit Shall Ae tleemea revoketl. CONSTFUCTION LENOING AGENCY: I �ere�y a�tirm �ha� Ihere is a conSimCtion lending agenty fOr Ihe Oerlormante of Ihe work �ar which Ihls permit 75 issued (Secllon 3097. Civ. C). LENDEfl: ' AUOXESS: . OWNEB BUILOEB DECLANRTION: I hereby afiirm �hal I am exempl imm �he Contractors' $�ate License Law tor ��e bllowing reason �Seclion 7031.5 Business and Pmiessional Code: Any ciry o� coumy w�ich requires a permii Io con5tmc�, alier, impmve, �emolish, or repair any SimcWre. priar to ils issuance, also requires �he applicani for such permit �o file a signetl 5�a�emeni that he/she is licensetl pursuant lo �he pmvisions oi ihe Contraclors' S�a�e �icense Law (Chapter 9(commencing wi�h Seclion 7000) of Division 3 o11Ae Business and Pm�essions Cotle) or Iha� he/she is exempl lherefmm an0 I�e Dasis tor Ihe allege� exemption. Any violalmn o� Sec�ion 703L5 by any applican� tor a D¢rmii su�lecis the apDlican� to a civil Oanal�y ai not more Ihan five hundretl 4ollaB (5500�. I, as owner oi Ihe pmperiy or my employees with wages a5 �heir sole compensation, will do Ihe work, antl the simaure is no1 inten0ed or offere0 for sale (Seciion 7�44. Business and Pratessional Cade'. T�e Contracmrs' State License Law Does nai apply to an awner ol a D�operiy w�o Ouiltls or Improves thereon, antl who tloes such woB himsel�/hersel� or through his or her own employees. pmviaed Iha� such impmvemenis are noi in�entletl or oiferetl for sale. I�, however the builtling or impmvement is soltl within one year a� camplelion. �he owner will �ave Ihe burden ol provinA he/she tlid no� builtl ar impmve , for �ne purposa oi saleJ. I, as awner al �he pmperty, am exclusively con�rading wilh licensetl contracbrs �o consiruc� �he prolecl (Section 7044, Business ❑ antl Pm�essions Cotle: The Comramors' S�a�e License Law tloes not aDPly lo an owner o� D�openy w�o builtls or impmves �hereon and w�o conirads for such pmlects wi�� a conlrac�or(s) license pur5uan� to the ContractoK Slale License Law�, I am aware ihat pmol of Iheir Worker's Compensa�ion insurance should he pmvidea to me. . � I am exemp� under Section: B. 8 P. C. . lor this reason: Date: Ownec I tlo hereDy ceNly thai I am aware of antl untlerslantl t�e reQuiremems of Calitomia Heallh an0 Safery Catle Sec�ions 25505, 25533, ana 2553G and Iha� I ar any Iuiure building occupant wililwill no� (circle one) nee0 io comply with said stale codes antl �he requiremenis for a permii lor consimction or motli�icaiion �mm Ihe Air Oualiry Managemen� �isVict. Fesidential constmc�ian apDlicaiions are exempt imm ihese provisions. �a�e: ApplicanL _ I hereby cetlily�ha� I have read Ihis applicalion antl s�ate Ihai ihe oramances an� Slate laws relatmg �o bwlamg consimction antl herel prooeny �or Inspec^lion pu/r$oses Oale'. �f � �_ Signature'. � � �� Y Driver s License or Sacial Securit p: to coi�rlQ7yith ail ciry an0 164i�a6 Whpe—Bwltling; Green—Cotle Enbrcement; Canary—Applicam; Pink—Pevenue: Gddenrotl—Assessor CITY OF COSTA MESA,— BliILDING PERMI'P PERhfIT NO; B 050599 PLAN CHECK NO: 00112-91 A CONSTRUCTION TYPE: V—N PERMIT TYPE: STR JOH DESCRIPTION : REPAIR SETTLEMENT,DAMAGE PERM'NU: B 050599 GOVT: N SUPP: N . • Pi7RPOSE: REP ` SQ FT: 143 CLAIM VALUE: 14,300.00 CALC—VALUE`: 14,300:00 GROUP OCC: R-3 / COMMENTS: BUILDiNG SETTLEMENT REPAIR/FOUNDATION -� ***a�x�xx�x� ****�*�x��x�****�r�r�**��t*�r*��**��r*x*�*+��*�***x�r�tx****u�x**��c;�*�c�**�***xx* Z O N Z N G R E Q U I R E M E N T S �� LE 5 E T H A C K S ------------ MAZN BUILDING ----------' ---------- ACCESSORY BUILDING .------ -- FRNT: FT IN REAR: FT IN FRNT; FT IN AEAR: FT IN FT: FT ZN RGHT; FT IN LEFT; .FT IN RGHT: FT IN �ARKING REQ • PROV;� PARCEL:,93506124 ZNE: R2 REF NO: PLANNING Nf}T'ES> Ft��NDATION RfiPAIR, , � , ' � . _ . _ . . �_ _ . . . fE 3E * 1t iE if� �IE iE 1F i( if lE iE 1E lf iE iF iE �F iE iF iF if iE if M� if if 3F ik if jE 1E * �f �F 3E if� !4 �F if � iE �F lE N� if iE if iE iE jE 3E if 3E iE if �f If If If 3f 3(� N� iF 3E �E iE jE iE !E 3f i6 ik 3E iF iE if iE D E V E L O P M E N /T" S E R V I C E S R E Q D I ft E M E,, N T- �S 20NING AFPROVED BY C� L--r 1��_ AATE; •"01 t S`�j I BUILDING APPROVED BX :' DATE:' APPiICATION I5SUED BY• � DATE:' �� iEifiEiF3FiEiklF3FiFiEiEiEiEiEif�klfiE3FiFlE � r - iElf�1f1F1EififiFiE3iiF�ir'7FiEif lE�E9EiE3F�FjtiflEiEiFifk�f3fifiFiEifiEiflElfiElEiflEiEikit�fi fiEiflEiEi EiEififlFiElElfiFiEiE�f�1ElEificlElEiF�EifiEiEiFif3E�lFif�iFi6iF�if�iEjFifikiflFlEifiE I�EGALI2ATION:N F E�E U M M A R Y STRUCTURAL SEGMENT:Y � a �i BLDG PMT PLUMBING EL TRIC MECHANIC FIRE SMIP/RcS GRADING PERMIT ].62,00� 1,00. SMIP/NON—RES PLAN 26.3'3 ' ' ZSSUE FEE � HUILDING—DIV—> PFRMIT I550E PLAN—CHECK TOTAL PAID DL'E TOTALS----> 163.00 0.00' 26.33 189.33 189.33 ,00 .REVENUE DIVI5ION TOTALS-->• COLLECTED: • 189.33 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CIiECK _ 162.00 1,00 , 26,33 iE �k iE If If �f iE 3f k lE 3E iF IF iE if IF �F jf if fF IE iE 3F � if �f iF 3F 3f if af iF lE �f If )f iEjF �E lF 1P 3E iE �E fE 3F jE iE IF IE iF !F 3E if iElE iF IE jF iE !E lE 3f af iF 34 3f iE * 3F aE fE 3E if iE 3F iE iF k I N D I V I D U A L F E E B R E A K D O W N TYPE (aTY D E 5 C R I P T I O N UNIT COST TOTAL COS'T SFR 143 STRiJCTURAL BY VALUE PER S100.00 END OF FEES 100.00 19,300.00 i Qni 4700n7$h�'ve3-OOO/So4F+ `G'��7 18�•.3a' Jf�,![: lli�t.�'1%�1 TTi9C: 2�•:7 . . . _ � ., CONSTRUCTION AND�PLANNWI - - . &SPA APPROVALS Permit# Date Inspector AppqOVALS Permit# Date Inspector 1. Temporary Electrical ServiCe,or Pole. , ' 52. Pool & Equipment.Location 1 2. Soil Pipe-Undrgrnd. , I � 53. Steel Reinforcement � 3. Electrical Conduit Utility-Undigrnd. , s'� 54. Forms � 4.-Electrical Conduit-Undrgmd�,� e� 55. Electrical Bonding !_� 5. Steel Reinforcement �� 56. Rough Plum6ing & Pressure Test � ' 6. Electrical'UFER Grnd. 57. APPROVAL TO COVER-GUNITE � .• ' 7. Footings' � ,� ' 58. ElectricalConduit-Undrgrnd. ' 8. Foundation� �. � ' S9. Gas Pipe, O Undrgrnd., Test '' /•i 9. Water Pipe�Und�gCnd. }, A �� 60. Backwash Lines, P�Trap, O Undrgrnd. �� -�;� 10. Structural Fioor SYstem �/ „ '`1 61. APPROVAL TO DECK /�• 71. Property Sewer Line & House'Connection � i . 62. Backwash & Receptor�Final �^ 'r 1�2: Sewer Cap , �; �� , � `� � 63. Heater & Vent-Final ! 13. Roof Drains .� �+ . �•;�� 64. Plumbing System - Final r � i� 14. RoughPlumbing � i, P � 65. Electrical-Final ,�_f 75. Rough Electrical-Conduit �� I 66. Solar System-Final _, � � r 16. Rough Electric Wiring 67. Fencing & Access Approval ��' 17. Rough Wiring Sign , 68. APPROVED FOR PLASTERING � 18. Rough Electrical�T Bar Ceiling i� 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � 20. Rough Factory F�eplace � u_ � 'i � - '- • APPROVALS� Permit # � 21. �Ducts, in$tructuie . � � � .. - �70. Underground Hydro • 22.� Ducts, Ventiiating ' ' . ' � ' ;71 . Product Piping O Gas ❑_Oil 23. ,Gas Pipe=Rough & Test .. , - �: 72, Underground Flush� r � 24. Roof Framing - '. ' � - ` ' '73.'Undergrnd:StorageTank OGas ❑Oil 25. Roof Sheathing , , ' � - � : 74.-Overhead Hydro_ � . 26. T-Bar Ceiling (Structuraq & Monocoat _ _ • 75.-Dry Chemical � - � >� 27. frame and Flashing - � , � ' _ � ' 76.�D"ry Standpipe ,' � � 28. Lathing & Siding � �C � v` -� ' �� 77.= FIXED SYSSEM�FiNAL� _ 29. Insulation ' � � 1 � � �, � 78: FIRE PREV'FINAL • 30. Drywall Nailing � �� HEALTH DEPT�REQUIREMENT :�- 31. Plaster Brown Coat; . _, '� j �y ;� ;79: FINAL INSPECTION .' � 32..Electrical Power Meter=.Final .. I � -+80. �FOOD CERTIFICATE ISSUED , 33. Final Electric' ' ._ � � �, : ' Notes: . , , � 34., Final Heating & Air Conditioning; � � � �. , .. •- . - •� . _, 35. Final Gas Pipe-Test �• ; ' 4i ' �.� ' t 36. Hood or Canopy . • . • " �� - � 37. Final Factory Fireplace � ' � ' ` ;_ " ' � :�� 38. Final Plumbing � ' -� - � ` - i �"39. Water Service�Final, ' � � !' . _ .40. Gas Service-Final . . � � � �- � _ . �41. Solar pomestioFinal • ' i � i - : � 42. Backflow Preventer'� _ ; . ' � i- � =,' ' 43. Backflow Irrigatipn � - ' �' �'44. LandscapelrrigationSystem - �� . - .. �- .. . " � 45.�Sound A[tenuation• - ' ' ` - � � �46. Handicap Regulations -� �� _ . . 47. FINAL STRUCTURE & BUILDING 3 "�� 48: FINAL PLANNING ' • � r , .49. Electric Release to Edison . �50. Gas �Release to Southem California Gas Co � ! �� - `� - . � . . i51.CERTIFICATEtlFOCCUPANCY , ,..,. �, . No. Date 4 . _ , _, ,� Appllcxnt,to�till In all spaces eacept those wit�in.heavy,bortler Ilnes antlSlgn all appro0riate Ceclara[ions. _ _ .. _ _ . _ _ . _- . CITY OF COSTA MESA � , � �~PE MIT NO. - TRACT NO. .LOT NO. BLD . . ; { >> � ; , � . ' ' � , ~ ^ I � CONSTRUCTION PERMIT �'` ' � _ �Q' � ' ' � 9824 5/03/84, � 5.00 TL ' • ' � . .. 7fojeCt Addfe55 � TYPE OF CONSTRUCTION , NEW ADD ALTERATION REPAIR �' ' Applicant'S Mailing Addre55 � � � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - ' q;p, # � .- ' � � � �� Zone- - - . , - Ownel'S N e'` � PhOl��y�� . �ESCRIPTION OF WORK _ - . . . S Main Buildin9:' Accessory Building: � Z Address � � E • - , • . _ : � TVPE OF PERMIT GRADING FOUNDATION ❑ STRUCTV RAL • T FrOnt ry Afch/Eng. ' LicenseNo: ' ❑ TENANT ❑ ELECTRICAL�LUMBING ❑,MECHANICAL , � 6 . � � ' ' ._ . � A Rear N Addre55 � — Q ❑ �OTHER ' ' � ' - - _ Con{racmi's Nam �•� _ `.�ho��+" PROJECT DESCRIPTION $Q. FT. OCCUPANCV ' C Right �- G Addresslmailing) ' �.4 c�- CONSTRUCTIONTVPE , VAIUATION$ S Left ' '' ' E � 5;� � � ' � ZONE GRADINGCU.VOS. ACRES P�n Ref.# , Park.Fees $' � City License No. 9� ' - V IICENSED CONTRACTOR DECLARATION '� � � Remarks: . � _ '� . � Pafking R¢q./Provided � � I hereby affirm IhaY I am licensetl untler provi510n5 of Chdrte� 9�(commencing ' R with section ]000) of Division 3 of the Business antl Professions Cotle, antl ' � � • � ' Use of Building: ' •� E my Iicense i5 in full to e an (t ct. ' p� ' � , .. LJcense ass � �� /-/ ��$$$��j� fyn..- �� -^� ' - PLUMBING FEES Planning Notes: ' . ' � ` E '�ate Si9nature �J"7'•.�r;.� , , ' N +RKE 5' COMPENSATION DECLARATIO Baf Sin1C ShOWEfi :reby aftirm that I have a certi�icace of wnsenc to selT-insure or a ertificate ' . gackflow Preventer " - Service Sink ` � � �� ' '- "� -� � -� S � Workers' Compen5ation Insurance,� Or a tertitietl wpy the�eof (SeCtion � � � - � 3BOo, Lab. C. • � - Backflow Irrigation ! Sewer Cap ' � � � � „' . ELECTRICAL • . 'FEES Policy No. �� Company ' , ' ' � � 8 certifietl copy is nereby furnisnea. . . � � Bathtubs Sewer Connection' � Automatic Washer, Transformer ❑ 15 ,50 KW Certifietl copy Is tiletl with the city Builtlin9 Division. � � • , � - ❑ 50+ KW Date Applicant Clarifiers Solar Collectors Construction Pole $ub. EXEMPTION FROM WORKERS';COMPENSATION DECLARATION ' Dishwasher ' Solar Pipin9 � ' Cooking Unit � �Meter ❑up [0 100 amps� (Thissection neetl not be completetl it Ihe permit is fOr one huntlretl (5100) Or � ' _ less): , � � � f ' : ' " Drinkin Fountains � � - 1 certify that,in the.performance oi the work for which this permk Islissuetl I 9 Solar Tank '" ' Dishwashen -� � Meter ❑over 100 amps ' . shall not employ dny p �son in any.manne� so asjwbecome jubject to �e � , ' ' ' ' Workers'. e ' ws of Californiai / --��/ _ ' Floor Drains , � ' Swimming Pool w/Spa ' Dryers ❑Gas ❑Electric Sub Panel � ' � I Date ___1��pS1��519nature '.. f�.�._ _ _ li�' � . � � . . , NOTICE:I,iattrma �n9thistleclaration;you5 oulObecome-s �ect�[ e�� PloorSinks•, - - '--- - Urinal --- ��-� - � �� - I ��"� � •� Fari "'" �`"' " � � ' tors�61 HPO�1'/x='8' '" Mo � Workers' Compensat on provisions,of the Labor Cotle,.you,m st,tort ith. - _ . � comply wlth� such provi5ion5= or this permlt � shall b¢'tleemetl' revoketll� � � Gas Service Outlets � -Water Closet - ' (- � - F.A.U. Inc Solar 09-15 HP 016-15+ . CONSTRUCTION' LENDING AGENCV ' ' I hereby affitm tM1at there is a construction lentling a9ency tor,the perfo�mdnce � InterceotOrS " . � '- . Water Heater • . Fixtures . � Mi�rnwavw ' � . . OWNER 6UILOhR DhCLHRHTION ' ' ' j ( j ._ �' • � "'""""' 'i, ' OC I hereby, aifirm�that I am exempt trom the Contractor'S;License Law for tbe' p-Tfa ' ti, " r-' ' ' �h+- following reason (Sectlon 7031t5'Business anC'Professional Cotle: Any ciry or ' P, • � _ ' •<ounty which requires a'permit'to construct, alter, improve, tlemolish o�'�epai� . , � - - :any strucime, prbr to its,issuance, also requires the applicani (or such permit � Roof D�ainsi �- . •- � - ' � to tile a'SigneO statement Shat'he/she is Ilcensetl pursuant to the provisions of ' ' ' ' �_ �: he Contractor'S License Law (Chapter,9 (commencing with'Sectlon-]000) of � ; , . } � �, ' �- ,F;yjSiOn; 3' of the:Bu51ne55 dntl Profe55iOns Cotl2) or. that' h¢/she�i5 ex¢mpt � ' � j - �' �"arefrom antl the basis tor�the allegetl ezemption�AnY'violation:ot.5ection �, i - f �' " ' , � . ~ , R�.rJ31.5 by'any applicant tor a permit subjects'the�applicant to a,civil ' Reins ction F,ee" � � .eenalty of not more than tive huntlred tlollars ($500). . , : ! � , , - P� $25, . �� . Issue Fee "� ' �� $ 3 LJ I, as�owner of, the�property,'or my em0loyees with wages'as their sole� compensation will tlo the work, and the�structure is not intentletl or offeretl • ��f _ ��' � . MECHANICAG + � FEE for sale' (Secfion 4044, Business antl! Professional Cotle: �The Contractor's. , � , , _ � ' � _ License law tloes not apP�Y to an'owner of a property who,builtlz or impmves : goileY � " ' HoOd o! Type I ❑ � �� thereon; antl-wbo�tloes such work bimself/herself or tM1rough his or M1er own ' � - ' � " amploy ees, provitletl that suth�improvements are:not intentletl or otferetl.for ' '� Canopy Typc Ilj ❑. _ Sale. If, however, the bulltling or improvement is ioltl within one year. of com- Duct ' Under Ground � -r pletlon, Ihe owner, will'have'the burtlen of proving he/she tlitl not builtl or im- � � - rova for tbe purpose of sale). . , �. ,. . �, � Duct,- Structu�al . � Refrigeration System ' '� � I, az'owner of lhe prooerty, am exclusively contractin9?wirn�licensetl con- � • ❑0.100,000 BTU ❑100,000 BTU fractorsto constru<t the project (Section 7044, BuSinezs antl Professions Cotle_t Duct;Ventilating _ i { __ �The Contiactor's Cicense"Law, tloas mt Sppty to an.owner of property�who . .� . . - � builtls or improves thereon, antl who <ontracts for such projects with a con- t Exhaust System ❑ Multiple �� System Rep2i�/Alteration � -� � tractor(s) II<ense pursuant to the Contractor's License Lawl. - ' � ❑�,I�am�exempt untler Section � � � B. & F. C. for lhis rea'son � � Firepl/Fact: BIt. ICBO # � � � Date ` � Owner ' � ` � � ' � Heating System & Ducting � I f. � Lh¢raby ce�tity-that-Lhave��eatl thii.appliwtlOn..antl st2te�that the-above � - ❑0�100,0OO��BTU.�IOO,OOOBT� .,_ _ __ »_. _ _. � ., information is correct. 1 agree to "comply wi[h all <Ity antl county ortlinances � - � � ' • � antl'state laws relatin9rto builtlmg conseructlon,�antl hereby authorize repre- . , -j • ` } , + , , � ' senCatives of this7 nt f to enter� upon the abo e-mentionetl 'prP perty 1t r t , � � j � , � Inspection purpases.' � ( . . � S�. , Signature �' �ate�� . . �. - ' ' � ' � - � �. �� , Reinspection Fee I$25� � Issue Fee �� $ 3 OriverYjLltense or�55 � i � � CMF0865-66rev.-32/83� White-BuilEing:Canary-ApplicanqPlnk-Accounting;GOltlenrotl-Assessoi � �'"'"--�--- `— " ' "'.'" "'""-' "- i ' � vune[s ' � i !nange i. ' Switches � ,Sign � � � � ' � �Garbage Disposal , � Standing Sections ' " - ! I 'Generator; DO-5 KW �5�15 KW Tresh Compactor � ' . 1 �� Reinspection fee � $25 'Issue Fee'� �' ' i$' 3• PUBLICSERVICESREQUIREMENTS: ' ' � � _' i � � i 2oning Approved By � � � � • ' � Date �( + � l Building Approved 6y ' ' Date � Appliotion lauad By � ' � Dat � s�-3 I � ' � � � SUMMARV OF FEES �� ° � � � BUILDING PERMIT i$ SMIP� ' $� � � PLANCHECK ' ,�$ �� {''('y� � PERMIT t - ,� + ' PLUMBINGj 1 '$.�— ISSUANCE �$ � ENERGV P.C. �$ � � � ' PLAN CHECK 25% �$ � � ELECTRICAL . ��$ ' , GRADING ,$ ' ' � PLANCHECK 50%I$ ' � N1�CIiOFILM .$ � ! . � �y/��T/� � MECHANICAL � ,$ � � TOTALFEE '$ "�•� ' , � � PLAN CHECK 25% t$ � . � 1 ' � . . , � . , � ..' �.. "' "_. .... .. .+. _... _. � _ � ._....».. _ . . . . �� ' CONSTRUCTION AND,PL'ANNING ' ' . •= � -,�_ - ' �O. �PA .� -. • � � �; ..n: � -. � � ." _ �Date � Inspector � � ' ' �' -'�'�- " "� - "�Date -. Inspector� . APPROVALS Permit# � � � , 'APPROVALS..'-Permif# ' � . , _ _ _c ".. . . . .. - : ,- . . . . . 7. Temporary, Electrinl Service or Pole �� ' , �" � �� -• � 52. .Pool & Equipment Location � _� = � �� ,-`� ; _ : 2. Soil Pipe-Undrgrnd.- . � � �� , ' . •- - 53.. Steel Reinforcement � o . _ " - -,�,o ` � � - .� y � 3. Elec[ricel Conduit Utility,-Undrgrnd. ` �+ - 54. Forms �' - � = ' - � � �= ° `_ • � t � � -. i �, � % 4. Electrical Conduit Undrgrnd. . � • - ' ; _ �� 55l Electrical Bonilin!'< - � _.; �g= - _' � . ' ;'�� ' z. - r, i 5�. Steel Reinforcemeny � � � -. = 56,. Rough Plumbin'g &`Pressure,Test� � "� "- � � �" " � � �. . �_�' 6. Eleciricel UFER Gmd. • �. --�; ' - ,57.,.APPROVAL TO _COVER-GUNITE. : � � -'' ' � � ., - �.,-- - 1 . _ T � � ,• 7. Footings �� '•1 . _ �� .'58. ElectricabConduit-Undrgmd:. ' •� . _ - ! - �� 8. Foundation� ;�; � ��{. __ . f +59. GasPipe,O_Undrgrrid.,Test , ° . � i ' .:i;�� . 9. WaterPipe-Undrgrod: � �'� - �5=��',60. BackwasR Lines, P-Trap, O UndPgrnd.: - . - ;' ; � ;� � 10. Structuiel�Floor System -!"�„ � � -. � �,� � �61. APPROVAL TO DECK" "��. - ; = - ' � . � - - �� er -� 11. Property,Sewer Line & HouseConnection > _ ",,,�',-• 62. Backwash,& Receptor-Final - � ' - _ �^ i � - � � � ; 12. Sewer CaP .. " ' � :,i� "�63. Heater & VentiFinal � . ? � � ' ' � ' "` '� � � ,' � h _ _. ' �` - ' ,fj. �.;64. Plumbing.SYstem-,Final�_ _ .t ": 13. Roof Drains - � - � -, 14. Rough-Plumbing y � ' - - �'�f' 65. Electrical=FinaP �� . ... , , . 15. Rough Electrical-Conduit � , i ' "' "�- ' 66?�Sola� Sysfem=Final'- "- y -' �" - -- -j " -' '" � 16. Rough Electric Wiring . - . - - �' 67 !'Fencing & Acces3 Approval -- `' " -'-"- �'� - -.r i 17. Rough Wiring Sign � . " 68.� APPROVED FOR PLASTER�NG "! ' � _ � � ; i { ��, ` 18. Rough Electrical-T Bar Ceiling . . � 69: POOUSPA SYSTEMS F�INAL :; j� '! � �`, t� 19. Rough Heating & Air Conditioning . . ' �FIRE DEPT.;REQUIREMENT . � i � � �' � ' . . � ' . i. � � . , � . - ' � . 20. Rough Factory Fireplace �' � � APPROVALS' Permit# � � ' 21. Duc[s, in Structure , ' � 70. Undeiground Hydro �� ' . - � I �� i � 22. Ducts, Ventilating � . �71.' Product Piping OGas ❑Oil � . -�' ! �� -'` ; i , 23. Gas Pipe-Rougti & Test � 72. Undeiground Flush: ' � � l�T ' '_--� ;�24. Roof Framing � � � , • � �� 73. Undergrnd.Stoiage Tank O Gas ❑ Oil, '>I ; �� ! 25. Roof Sheathing i; 74.. Overhead Hydro .' � � ' � I 26. T-Bar Ceiling (Structural) & Monocoat - ' 75. Dry;Chemical � _ � 27. Frame and Flashing ' ' , -- J6. Dry Standpipe � ,. _ ; - � - I ,r • 28. Lathing & Siding _ ' ' 77. F�IXED SYSTEM FINAL �= � �: � � 29. Insulation ' • �78: FIRE.PREV. FINAL � � � � � ��30. Drywall Nailing - � ' � ��HEALTH DEPT. REQUIREMENT. � � � 5 31. Plaster Brown Coat ! � � 79.� FINAL INSPEGTION � � � , ' i . 32. Electrical Power Meter-Final . i 80. FOOD.CERTIFICATE ISSUED ' � �..% 33. Final Electric � � �Notes:6�Q2��fy (,EFT-'CQQ�• ' � ' '. ��. � 34. Pinal Heating & Air Conditioning . � , � � � � ; _ < � - .'� � �_ , 35. Final Gas Pipe-Test : � � � : � `� 1 36. Hood or Canopy ' � ` � i �- �� ' ` ' � � - � . - . . .� . � i� - -� - -- 37. Final Factor.y Fireplace � , , - � . � � � -' � - � � ,. � , - -• - 1 �>t �r : 38. Final Plumbing , (.�ZS(I'�(� LEC� - ' , � � � a � � `;�" ' � • - . . �: , � 39. Water Service-Final ' � � � � ' - ' . �' � � � - - _ �- _ . 40. Gas Service-Final . � ! i ' � i � . ; , ' v •� ` � ' - '1 41. Solar pomesticFinal � � - . . _� ' _ _i �_' � ,r �' , . ' r � � � -r- ,- , , 42. Backflow Preventer ' ' ' ' I � � - }_T^ � ` ' � � ' ' - - - i-- --+.^-'-•�.-� . . „ i , , 43. Backflow Irrigation � . ;;S' �,;-) { _ I ; � � � . ' : � . j� 44. ,Landscape Irrigation System ' � - , �. ;� `, r' �I m , . ,. . , , 45. Sound Attenuation . , � � � { o� � � ± _ i �, i ' � '`. , t, 46. Handicap Regulations �. . ; ' �` � ' ' � ,i. ' _ 'a - - . i 1 - 47. FINAL STRUCTURE & BUILDING + - - ; ` ; � � f � � • j � � �• ' � `,� i 48. Special RequiremeMs Completed � ! . � , ' '.. . � i ! t (+ - �' ' ' i 49. Electrie Releaseto Edison , '.- ' .-" "' -I , '-'" ' �-'i"r_ � � �� .'�. i 50. Gas Release to Southern Ca�ifornia Gas Co � � i ! � , � ( . � r t � �� c+ � � ' 51. CERTIFICATE OF OCCUPANCY -� - - - ; -; - --• - • i i -. , � r, , , , , No. _ � Date'. -_ - - - --- - _ a _ . _. __. S_�.: _ i: �� _ -._,.� . _ :rF�.: OWNER STATE-WIDE Deve A, DATE 4-28-76 BUILDING PERMIT N0. 21PTION of WORK Res, w att. gt ZONE . VALUE $ 33�8< PE V GROUP I:& F-1 Z SUBCONTRACTOR PER ROUGH PWMBING D Z• �L PROP. SWR. LINE � HOlISE CON. � SPRINKLING SYSTEM ' MISCELlANE0U5 ROUGH HEATING AND AIR CONDITIONING � — TEMPOFAFY S�RVICE OR POLE UNOERGROUND � POWER � � ROUGH WIRI Heati TRENCHES �Ab R � O � � FLOOR 5 TEM ' z �{, BOND BEAM STEEL REINFORCE SHEATHING / C �I r FRAME ANO FLqSMIN LATHING — IN i TER, BPOWN COAT PLUMBING. FINAL AND GAS TEST BUILOING, F Z a tWj Z Za O� am J7 J � Q W m J J m Q U� Z a W � aW wz J Q m Z J � W W � _ Z �-. w� � � 70 � z Q U J a a Q � r N z 0 � U � � r y z - ��_�:17.�6�. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING AD�FE55 876 Deeo Creek OWNER Sf.ITP�LIIlIP I�PVP�OBPMG_ TI1f_ CITV BRANCH ADDRESS rTio`'826-4550 TEL. ADDRESS ��g4g �Ir�cParV �lvd Irvine CONTRACTOR State-Wide Develogers, INC ADDRESS 9461 6rindlay TEl �a��.��-�s��«J00 �oo� :��zlc.bl APPLICATION FOR BUILDING PERMIT RECEIVEDBV 9ATERECHVED nnTv�ccn v.<- � n.v.No. i4o - BUI�DING d ADDRESS O 7�^ TRACT iSc�' ; i _ `��:�.�:r� �'�t[k LOT BLOCK. x I I I I OWNER • � / USE 1 Res wJatt gar VALUEa FIRE ZONE TVPE GRC APPROVED gy DATE cirv C ress No.826-4550 �Z �%� STATE r� CITY �'APDS Ai LIC. NO. GZ47�O LIC. NO. MAIN Bl SIZE ♦ NO.OF BLDGS. (FROM GL S' OF LOT 1 2.093 acres NOW ON LOT � FR NT �i USE OF EXISTING BLDG. / 512E OF NO. OF NEW6LDG. ROOMS STORIES L.SIDE �� EXTEFIOR WALL a er ROOF �/ COVERING W0� COVERING Shake REAR 7Z USE OF BUI�DING ANO WOFK TO BE PERFOAMED DISTANCE BET MAIN BLDGS. New construction-Condominiums CURP.#ZE 1 Residence w/att gar .SPPROVEDC _ otn For, OF z I VSE OF NEW NS BUILDING � EE L� DATE APPROVED I heraby acknowledBe that I have reetl ihis application antl state d� that the above information is cormct antl egree to comply wiffi all lews re0ulating building consvucHon, antl I shall not employ any person in vialation of tha workman's compensation laws af iha Stete of California. �f C m I hereby certify that I am properly licansatl as a contractor under � Ltl4 Sn. FT. J-655 p ffie State of California Business antl Profess(ons Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUAT{ON IS FOP Chapter 9, antl that sucn licenses are in full force end etfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: ¢ am exempt trom t�e provisions of tM1e Stete o7 Callf nia Busineu VALUAT ON w- f antl Professlons Cotle, Division 3, ChaPter 9. W State-Wide Develope 5 nC. 3�, OQ�' PERMITFEE $/ m sia�et� �qpy , Pefmittee - $�j.•a.r P�,p,N CHECK $ � ,D E AuthorizetlAgent V�CE PI�eS�deiit J � � n [,, u TOTAL FEE $ Q�D �'dO