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Home My WebLink About959 DOGWOOD ST - Building Permits; v a PflOJECT FDONESS: 9 S 9 DOGWOOD ST OWNEfl'SNAME:HARTON, DENNIS A , nooaess:BARTON ELIZABETH I • 959 DO�WOOD ST � COSTA MESA,CA 92627 PRCNIENGINEEW.S4B—j�J%O qEG.NO.: � aouness: � reemiTree:DENNIS BARTON / ( 714 ) 549-3770 aooaEss: 959 DOGWOOD (` � LICENSED CONTXACTiiif DECIABATION: I here�y a��irm �hai I am licensed under�provis�io� ot �pter 9lcommencinp wim Senion 7000) ol �ivision 3 0l ��e Busines's nnd Piolessions Cotle. and my license is in lull lorce an0 eifect. CITY LIC.: STRTE UC.: CLASS: �ate' Signaiure: WOflREflS' COMPENSATION OECIAFATION: 1 �er¢by ailirm Itut I Aave a tetlifiCate o� con5en� l0 5ell-in5ure or a Cerlifitaie 01 WOrkers' ComOensation Insurance, or a cetlitietl copy Ihereol (Section 9800. La�. C�. POLICY NO.: E%P. ORTE: COMPANV: ❑ Gertified coOY is hereby tumished. ❑ Certi�ietl copy is file0 vnlh t�e ciry Building OMsion. �ate: AOPlicanC E%EMPTION FPOM WOPREBS' fAMPEN5RTI0N UEtUMTION: (iNs se " neeG iw� �e wmDleteO i� Ihe perrttit ¢ iw ane hun�re0 (510 or less�. I ce�ify ihat in I�e peAormance o� the wark for w�ich Nis permi� i su 4. I shall not ¢mploy any Oe�son in any nner so as become Su�le�� 0 Ihe Work¢rs' Compensation �aws o� Calilornia. � Oate: ��' �-4 Signature: � �� NO710E: II. al�er making ihis Oeclaration, you s�oula wme suDject to [he Workers Compens ion pmvisions ol ihe Labar Cotle. you must �orihwith camply with suc� pmvision or Ihis permit s�ali Ge OeemeO revoke0. ' CONSTHOLTION LENUINC RGENLY: I here�y aftirm tAa� t�ere is a constmction lentling aAency for t�e pedarmance ol the work for which Ihis Dermil is issued �Seciion 3W7. Gv. C). � LENOEP: /.' FOUHE55: i� OWNEfl BUILOEP OECLANRTION: I �er¢by atlirm I�a� I am eKemp� Imm I�e ConVac�ors' $tate License Law lor I�e �ollovnng rea5on �Section 7031.5 Business antl Professional Code: Any cily ol counly which reQuires a permil lo consimct, alter, improve, demolish, or repair any simclure, prior to its issuance. also repuires Ine applicant lor such permillo lile a sipnetl s�a�ement inat ne/she is licensed pursuanl Io I�e provisions ol the Coniractors' State License Law �Clwpter 9(commencinq with Section 70W) ol Division 3 0l t�e Business antl Pmlessians CoOe) or ��a� �e/she is ecemD� ��erelrom anE 1�¢ EaSis �or Ihe alleged exemption. Any violation ol Seciion 7031.5 Uy any apDlicanl lor a permit suGle��s I�e apP��nl to a civil p¢naliy o� not more �han five �untlre0 EOIlarS (550�). I, as owner ol Ihe pmpeny a� my employees wit� wages as Iheir mle wmpensa�ion, wi0 Ga Ihe work, an0 Ihe ❑ stmcture is nol imen0etl or ollereU lor sale (Seclion 7044, Business and Pm�essional CaOe: T�e ConVac�ors' Slaie License Law tloes not apply lo an owner oi a proveny wlq Ouilds or impmves ihereon, ane who aces such woM himselllherseli or Urough his Or �er own emD�0yee5. D�Oviaed Iha� suCh impmvemenl5 are nol inlentletl or o��erea �or 5ale. II, howevei I�e Uuilding or imD�ovemen� is sola vnlAin one year ol comple�ion. I�e owner will hdve ��e OurOen ol provinp �Us�e aia nol builA or improve lor Ihe DurpoSe ol sale�. I, as owner of Ihe prop¢tlY. am erclusive�y conVacting with licensetl coniraclors lo consimct t�e Orolecl (Section 7044, Business ❑ ana PmtesSions Cotle: T�e Coniratlors' Stare Licenu �aw Ooes nol appy to an ovmer ol pmDerry who OuilAs ar imprmes t�ereon antl who coniracts lor such D�ole«5 wilh a coniraclor�s�license pursuan�lo ihe ConVaciors' Slaie License Law�.l am aware Ihal O�ool ol Iheir Worker's Compensa�ion insurante s�ou10 be provitleG Io e. �I am exemp� under Sec�ion B. 8 P. C. ,� ronmsreasoo: ALL�WORR4BY OWNER i � ie: _��0 'j owner I Oo hereEy oetlily Ihai I am aware oi ana under5lanU Ihe requirements oi amomia Healm ana Safety Coae eciions 2550.5, 25533, antl 25594 ane Ihal I or any IUWre �wl0ing occupant will/will not (cirele one� nee0lo comply wil� saitl Slale codes antl ��e repuiremen�s for a permil lor con5lmtiion or mo0ilicaiion Irom ��e Air Ouahty Management Usiric�. fleA4eniial conitmclion aOPlicaiion5 are ¢xem0� ��om � Ihese pmvisians. � Oale: Ap0licani: I �ere�y cetlilythal I have reatl Ihis applicalion and Slate Ihatl�e aE �einlormaiion ordinances antl slalelawSrelaiingla �uilding con5imciion an4 here u orizerepresi pmperty lar inspec�ian purposes. Ly�e: ��-_��__ $ignature: �river's License or Sociai Securily e: to comply wiih all �641-66 Wnne—Builaing; Green—COGe Enlorcemenl; Canary—ApplicanC Pink—Revenue; Goltlenm0—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 062646 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE JOH DESCRIPTION : ADD 'f0 SFD � � fPERM NO: E 062646 GOVT: N SUPP; N PURPOSE: ADD SQ FT; CLAIM VALUE; CALC—VALUE; GROUP OCC; R-3 / COMMENTS: REF:B53637 *x et*it�t*ieit**�rit�e*itit***�rxit� �r*�iFiEiriE�rieatie*at�t***ataratiFiEie�� **�rx ****x�**** � x **� �.** �*� *�r*** 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 HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT 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: 42252212 7,NE: REF NO: PLANNING Nf3TES> > ��r�r�r�r�r�r�*�rx �r�r�*�r�r�r�t*+r�r�r �r�t�r��r**�*��rx **�r�r�r*****�t��t�t�r�r�r*�r�r**�*��r�t*�tx *x��t******�r 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; BUILDING APPROVED BY : DATE: APPLICATION ISSUED HY: � DATE; C ik Ik it if if ik if iE k iF 1E iE i! k iE iF if iE 1f iE iE iE -If iki! iE itlE i! if iF iEiF��lE if iEifiEifkiflElElElEitiElElkiElFltilikiEltiEiEiFi!!l1FilifilillFlfikikiEiEi! iElEikiElkiEiE�EiFdl1EltiE1liEiEil�iEiElffFiFlEiElfikifiFiElE1EiE3FlEIEiF1E1Eif LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC . MECHANIC FIRE SMIP/RES GRADING PERMIT 26,70 .SOt SMIP/NON—RES PLAN ISSUE FEE 15.00 IHUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ITOTALS----> 26.70 15.00 0,00 41.70 41.70 .00 , � REVENUE DIVISION TOTALS--> COLL'ECTED: 91,70 OVER/SHORT: ,00 BLDG PMT PLUMBING ELEC1'RIC MECHANIC FIRE SMIP/TOT' GRADING PLAN—CHECK 41.70 if iE iE iF �F i! 1f IE iE if k i! �f i! f! il1F if it i! i! if IE 1E if if fE IE ff k if iF if ik if if 1E if it k iE 1E k 1E 1f �f ft if 1E iflF iE if iE k 1f iF iE fF iF iF iF i! iE iE IF 1E 1E k 1F iE 1E 1E 1E iE 1f ik 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 ELE 9 FIXTURES LIGHTING 1 ST 20 EA, ELE 20 RECEPT/OGTLET 1 ST 20 EA, ELE 1 RECEPT/OUTLET ADDITIONAL EA. ELE 6 RECEPT/SWITCH i ST 20 EA, END OF FEES .75 15,00 .45 ,45 .75 4,50 a1 D0141161-001;i1b1 T�7T 43.70 J C�ATE: 05/17/43 TItIE: 13:50 � -' � ,� �ONSTRUCTION AND PLANNING POOL _ SPA , �-�^ APPROVALS Permit # Date Inspector APPflOVAIS Permit # Date Inspector t. Temporary Elecvicai Service or Pole 52. Pool & Equipment Location '- " 2. Soil Pipe•Undrqrnd. 53. Steel Reinforceme�t s ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � • , � 4. Electricgl Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steet Reinforcement 56. Rough Plumbing & Pressure Test . 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. F,00tings 58. Electrical Cqnduit�Undrgrnd. B. Foundation �• 59. Gas Pipo, � U�drgrnd., Test �� 9. Water Pipe-Undrgmd. � 60. Backwash Lines, P-Trap, O Undrgmd. � 10. Structural Floor System 61. APPROVAL TO DECK � . 1 i. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal � /2. Sewer Cap 63. Heater & Vent-Fi�al . • 13. Roof Drains � , 64. Plumbing System - Final � �� " 14. Rough Plumbing 65. Electrical-Final -�� ` / - 15. Rough Hlectrica�-Conduit ': 66. Solar SYstem-Final � � 76. Rough Electric 4Viring 8�3 �/(� ��67. Fencing & Accest ApP��val � �' / '. 77. Rougr,WiringSign .'. � 68. APPROVEDFORPLASTERING-�� - . 18. Rough Electrica(�T Sar Cziling 69. POOL/SPA SYSTEMS FINAL " 79. Ro�gh Heating & A;r Conditionfn4 _ � FIRE DEPT. REQUIRF1MENT 20. Rough Factory FireD�ace , "_ ' . ' ' - _ APPROVAL•S Permit # - 21. Ducts,in Struc[ure '-' 70. ljnderground.Hydro ' 22. Ducts, Ventilatin�;, :77. Product Pipiny O Gas OOiI 23. Gas Pipe-Rough & Tes[ ` • Z2. Underground FIusH _ ` 24, Roof Framing ,°� � ` , 73. Undergmd.StorayeTank OGas ❑Oil i F 25. Roof�Sheathing 74,�dverhead Hydro ' f 26. T�Bar Ceiling (Siructurall & Monocoat � 75. Dry Chemical - � . �' .( 27. Frame and Flashing � ' - . 76. Dry Standpipe - � . 28. lathing & Siding ' - �- � � 77. FIXED SYSTEM FfNAL � � 29. Insulation - - � 78. FIRE PREV. FINAL - - - 30. Drywail Nailing . - � j � HEALTH DEPT: REQUIREMEfVT 31. Plaster Brown�Coat i � 79, FINAL INSPECTION � 32. Electrical Power Meter-Pinal '� � .�^'-j d�. FOOD CERTIF'CATE ISSUED � /'��/� 33. Final Electric /��r,8 r �No•�.: � ��11�3 ��aV/ �EJ � i�� 34. Final Heating & Air Conditioning ` � `; �` • �' - - 35. �Final Gas Pipe�Test � . � � �� _ � . . 36. Hood or Canopy � � � � � ' � � � 37. Final Factory Fireplace � � , 38. Final Plumbing � � � ' i � 39. Water Service-Final . . � � _ � _ . 40. Gas Service�Final � - � ' - • j - 41. Solar pomescirFinal � � i � . � 42. Backflow Preventer � - 43. Backflow Irrigation . 44. Landscape Irripation SYstem � � � • . 45. Sound Attenuation , - - . � 46. Nandicap Regulations • � - • I 47. FINAL STRUCTURE & BUILDING j 4$. FINAL PLANNING � I;, , 49. Electric Release to Edison � • i 50. Gas Release to Southern California Gas Co � ': 51. CERTIFICATE OF OCCUPANCY No. Date PNOJECTPOOflE55: �jS9 DOGlJOOD $T owxcdsxnme: HARTON, DEDINIS A nooeess: BARTON, ELIZABETH I ' � 959 DOGWOOD ST • COSTA MESA,CA 548-377Q ABCNIENGINEFfl: ADONESS: (o L uNiT: 92627 NEO.NO.: UNIT: PEflMITTEE: DENNIS BARTON f 714 ) 548-3770 aoosEss: 959 DOGWOOD CM CA 92626 LICENSEo CONTflRtTOB OECUINATION: 1 nereoy affirm tlWi I am IicerSCd unaer o«ion5 0l thapter 9(commencinp wilh Section 7000� ol Drvision 3 oI t�e Business antl Piofessiom Cotle, an7 my license is in lull lorce anG e��ect. arr uc.: sTare uc.: cuss: EXP : �ate: Signaiure: WOHNEBS' COMPENSpT10N OECLANATION: I hereCyallirm i�at I Aave a cenificate ol mnunt to sell-insure or a cenilicaie al Warkers' Camoensation InSurance. oi a cenifieE copy tnereol (Setlion 3800. LaE. q. POLICY NO.: E%P. ORTE: COMPRNY: ❑ Cenilie0 copy is �e2Dy fumis�eU. ❑ Cenifiea fAOY 6 IileE with t�e city BuilGinq Oivis�on. �a�c: Applicant: E%EMP110N FAOM WOXKEP$' fAMPFN5ATI0N DECUMPON: R' an ne¢G no� Ee campkleG it Ne pemni is la one , Er[d (5100) o �. I c¢tlily ��ai in Ihe p¢tlarman[e 0� t�e work Por whith INS p¢r 5 i uCG. I slull not emD�%an r n in an n¢r 50 a e suolect lo ihe workers' Compensatio Laws ol Calibrnia. � �pate: _�� /�� Signalur 1 NOTICE: II. alter making � �eclaration, you s� 10 G come ub�ect o �e Wo�ers' Compensation provisans of ihe La or Cotle. you musl IOM1hwith mmply wit� Sut� D�a si0n5 or WS p¢rmil stwll E2 Gttmetl avoketl. CONSTBUCTION LENOING AGENCY: I �ere0y atlir t�at iAere is a constmction IenOing apency for the performance ol t�e work for weich Ihis p¢rmil i5 issuetl �Se[�ion 3097. Gv. C). I aooness: ICBO APPROVED VERIFIED BY SHORTY D. OWNEfl BUILOEfl DELLFflRTION: I �¢reEy a�lirm I�ai I am eeem0� �mm I�e CAnlraCtorS' State License Law lor ihe IotlovnnA �eason (Section 7037.5 Business antl Pmlesvonal CoAe: Nny city ol wunty wAiU repuires a permil ta consimct, alter, impwve, Oemolish, or repair any sVuclme. prior ta its issuance. atso Rquir¢s t�e aODlicanl lor suc� peimit Io lila a 5ipneG statement tllat Aelshe is litensed pursuam to tne Omvisions oi �he Camracmrs' State License Law (Clupter 9(commencin0 w+�h Sec�ion 7000) ol 0ivision 7 of ��a Busineu ana Prolessions Caae) ar Inal ne/sne is erempl ineRfmm an0 ine oasis lor Ina alle0ea exemption. Any viotalion al Section 7031.5 �y any ap0�icanl lor a Oermit suClecis Ihe apDlicant ta a civil penalty ol not more t�an iNe IlunEaE Uollars (5500�. I, as owner of Ne D�apetly or my emoloyees wit� waqes as t�tir sole compensation. will Oo t�e wnrk, and Ihe ❑ s�mcmre is nol intenaea oi oueretl lor sale 15ecuon 70aa. Business an0 Pmlessional COEe: TAe Comractors' Slate Licensa Law Uoes noi aDDly �o an owner of a D�operly wlro bui105 or imprmes t�ereon, an0 who tloes such xroM1 Aimseli/henell ar tAmug� Ilis or ncr �wn employees. OrovitleA I�al such impmvemenis are not intenaeA ar ofleietl for sale. II, howaver the huil0inp or impmvement is so10 wil�in one year ol completion, I�e owner will tuva t�e OurAen ol pmdnA he/s�e Oi0 not DuiIG or im0�ove lor Ihe Durpose ol sale�. I, as awne� ol I�e property, am erclusively wnlraclinp wil� IicenseE contracbrs �o ton5lmp Ihe D�alect (Seclion 704d, Business ❑ ana Pwtessions Coae: ihe Comraciors Staie License Law Ooes nol aDDN �o an owner ot prop¢rry wAo GmIEs or impmves I�ereon and wh0 coniracis lor SUCh projetls m�h a COnlratior(5) liteniE purSuani �0 Ne CAnlratlOrs' 3iate license Law). I am aware Ihal Omol ol I�eir Workefs Compen5ation insurance 5�oulA Ue provi0e0 me. � i am exempt unaer SecGon: B P 70 4 4 B. 8 P. C. ionn�s�eason: ALL WORK HY OWNE Oaie:—�/ i'�(Y-7_� , � 1 Uo nere0y <enily that I am aware ol an0 un0erstanA ihe reauirements o Ca0lomia Mealtn anE Salery CoOe Sections T5505, 25593, ana 25534 ana Ihdl I or any lutwe builtlmp occupanl will/will n 1 �circle one� n e0 to camply with saitl s�a�e coae5 and �he repuiremen�s lor a peimu lor tonsimclion or moCilication Iwm ��e Fn ualny ManaAemem Uisvict. BesiOemial consimction apDlications are exempi Imm Inese provisions. �ate: ADplican�: _ I hereDy cetlifylhal I Aavereatl Ihis applkation and slaletAat ortlmances antl stuie laws relating la �uil4inA �on9mclion antl o�openY �a�inspe�clio/n Durposes. �flale: �/�/ ((% 9� Signalure _ o��a, � i ��P �, s�� ai sP��,�� . 1646a6 Wnne—BwiOing�, Groen—Cotle Enlo¢emml; Canary—ApplicanL Pink—Rovenue; Goltlenrotl—Assessor CITY OF COSTA MESA — bUILDIP]G PERMIT PERN NO: M 06999: FEP.MIT NO: M 069947 PLAN CI?ECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE; V—N PERMIT TYPE: MEC PURPOSE; OTH JOB DESCRIPTION ; ZNSTALL FACTOAY FZRE PLACE SQ FT: CLAIM VALUE; CALC—VALUE; CROUP OCC; R-3 / COMMENTS: REF; H53637 i�MititifiF4ifiti�i`M'Mif MifllfltiFiiFaaifiLi!�Itati'i`MifrlFifMi4if#ititiEitM�MYY1�iFil4ifi!iFicVxififiF�Vitifirli��ni��M-1FYy�V#!�i"fikif-i� 2 O D7 I N G A 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 IN FRNT; FT IN REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT 2N PARKING RE • PROV; PARCEL; 42252212 2NE; REF NO: PLANNING N TES> > if iF'�'If if if if �f Y� iF if if if 1F jf iM � f if M �f df {M M' ir if iT M' �l"IF aF V'If iF �f M"� aF if if'lf if M iF Y' if 1f 4'�')f il' iL iL M�f Y af'If if if aF l'� �f 9E if �f iF Y-1f'M- if')F �L 4 i�' iR iR �f Y D E V E L O P M E!7 T S E R L' I C, _ R E U I P. E M E N T S zor�zNc BY . DATE: BUILDING ��r • DATE: APPLICATION ZSSUED BY; DATE; � M 1k V�1F'If Y'M'if +f i�'M�'If i! 11�if 1f1f lfit ifii af 7f Y �1f il'iF if 1! k if if M'4 ir iF iM 11�if 1F iF 'N' "'1FM if tF iF iRif if 1f if 1E iR if 1 M af �f ilif it�l(-�f iF i� i% itY M 11 1F if *1f'li if af �k M ik1' if 41f if �f if if if i1�if�f lfif M s� if if ifiE if iE'Vif i! M Y'M M 1f if +fififM 'if il�if if if if if iF Jf1f M ia M'1f iR Y M-+f 1f if M'R ifaf k�lk'If LEGALIZATIOD];N F E E S U M M A 5TRUCTUP.AL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/RES GRADING PEP.MIT 6.50 25R SMIF/NON—RES PLAN ISSUE FEE 4,50 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DOE TOTALS----> 6,50 4.50 0,00 11,00 11,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 11,00 OVER!SY.ORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CAECK ii.oa ifif M'if if 1f ?ki! ifif i� iFif /E 1! M 1flfif-if 1f if 1E if i4 1! if iV 1Fil�if i/�F if'1f�IfiFat M'k'If M M�f i! if�f Y�iF1f ifif�M +F'IfM')f1f if'Ik'Y�if if�i�iL ih �E M if Y-if ih i� af V iF a1 Y Y 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 2 P T I O N UNIT COST TOTAL COST MEC 1 FACTORY FIREPLACE 6.50 6.50 END OF FEES 0 01 OD1'7E44-00171;40 T r� T 11,J0 D6�TE: :i/16lS;• IIIfE� 1�:21 CQNS7RUCTION AND PLANNING . POOL SPA ' AF�pROVALS Permit ,# Date inspector APppOVALS Permit # Date laspector � t. TempOrary Electncal Service or Pote �: 52. Pool & Equipment Location . �� 2. Soil Pipe-Undrgrnd. i, 53. S[eel Reinforcement � � �, 3. Hectricai Conduit Utiliry-Undrgrnd. 54. Forms ' �� 4. Electrical ConduiFUndrgmd. 55. Electrical Bonding � i}� 5. Sceel Reinforcemene 56. Rough Piumbing & Pressure Test �� .--� 6. Electrical UFER Grnd. 57. APPflOVAL TO COVER�GUNITE � 7. Pootings 58. Electrical Condurt�Undrgmd. ' 8. Foundetion ." 59. Gas Pipe, f) Undrgmd., Test � i 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, 7 Undrgrrd. 10. Structu�al Floor System 61. APPROVAL TO DECK ' .' 11. Property Sewer line & House Connection _ 62. Backwash & Receptor�Final ' � 12. Sewer Cap 63. Heater & Vent�Final �%, 73. Roof Drains �,�- 64. Plumbiny System � Final � � 14. Rough Plumbing 65. Electrical�Final � . 15. fiough Electriwl-Condurt ,' 66. Solar System-Final �' ", 76. Rough Electric Wiring � r 67. Fencing & Accese Anproval �' '�. i7. Rough Wiring Sign � 68. APPROVED FOR PLASTERI�'G ," � � Y- 78. Rough Electrical�T Bar Ceilinq " �� 69. POOUSPA SYSTEh1S FINAL � '' 19. Rough Heating & Air Cond�t�on�ng FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ��` ¢/�j'� APPROVALS Permit?F �� 21. Duas, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil 23. Gas Pipe-Rough & Tesc • 72. Underground Flush 24. Roof Framing ! 73. Underymd. Storaye Tank O Gas ❑ 0�� 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Ceilin9 (Structural) & Monocoat 75. Dry Chr.mical 27. Frame and Flashing , J6. Dry Standpipe 28. �athing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Dry�vall Nailing HEALTH DEPT. REQUIREMENT 37. Piaster Brown Coat ' 79. FINAL INSPECTION 32. EVeccrical Power MeterFina! � 80. FOOD CERT4FICA7E ISSUE6 33. Fina� Electric - Notes: �l/� �C-� ��_ O.1-��/ ��' J�{ G !/ +-4T-�� 34. Final Heating & Air Conditioning .. 35. Finai Gas Pipe�Test � 36. Hood o� Canopy � 37. Final Factory Firepiace � 38. Final Plumbing R i� 39. Water Service�Final `� 40. Gas Service�Final � 41. Solar pomesticFinal 42. Backflow Preventer 43. Backflow Irrigation 44. Landsuape IrriGation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING , 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY No, Date PflOJELT� OOFESS: 9 S 9 DOGWOOD S T OWNEfl'SNAME: BARTON, DENNIS A aooxEss: BARTON, ELIZABETH I ' . 95° DOGWOOD ST • COSTA MESA,CA 92627 548-3770 AflCHIENGINEEN: AODPESS: UNIT: HEG.NO.: UNIT: PEHMITiEE: DENNIS SARTOPI ( 719 ) 598-3770 AODflESS: 959 DOGWOOD CM CA 42626 LICENSED CONTNACTOX OFLLFflFTION: I here6y afiirm Ihai I am Iicense0 unEer prmdsions ol ChaO�e� 9 kommencing wilA $ection 7000) ol �ivision 3 0l I�e Business ana Pmlessions Cotle. antl my license is in full force antl e��ecl. , CITV LIC : STRTE LIC.: C1A55: E'�P ; I Dale: Signamre: wONREHS' LOMPENSpTION �ECIANATION: I here6y affirm �nat I naue a certiticate ai cansem to sell-insure or a cenilicate af Workers' Compensa�ion Insurance, or a certiiied copy Ihereot (Seciion 3800, laC. C). POLICY NO.: E%P. DRTE: COMPANY: .� Cetli�ied coDY is �ereby Wmished. ❑ C¢tlilieG wpY is file0 wii� the tiiy 9Viltling Oivision. Daie'. ApDlicant: EXEMPTION FFOM WOflNEFS' COMPENSATION OECUflATION: Q�is ion eetl nai Ge complete0 i� Ihe permi� is �or one �u�LeO (E140) or I I ceriity ��a� in the pedormance of Ne work for whic� Ihis Dermit -' su I shall not employ any p° m any �f 50 d5 sublec� Io �he Workers' Co pensalion L ws oi Calilomia. Signature: � Nre 0} II. al�er mahing I�is 0 ciaralion, you ShoNE etome SuUjett IO [he Woticer5' Compen5ai n D��vi5i0n5 0 �e la�or Cotle. yau must Iorthwiih comply with suc� pmvisio ar �his permi� stull be aeemea revoked. CONSTPUCTION LENOING AGENLY: I �ereDy a�lirm ��at ��ere is a constmction lentling agenry Por I�¢�peAo�mance oi t�e woB for which I�is Oermil is issued (Section 3W7. Civ. C�. • LENOEfl: aooaess: OWNER BUILOEfl UECIAflATION: 1 her¢�y a�hrm I�ai I am eaem0� �rom lhe CAntratlOrs' Stale License Law Por the lollovnng reason �Section 7031.5 Business antl Professional COAe: Any city ol counry w�ich repuires a Dermit to constmct, alter, impmve, aemolish, or repair any stmcture. o�ior lo its issuance. atsa requires ine apo�icanl for such permii ta file a signea statement ihat ne/she is Iicense0 Oursuant m the pmvisions ol ihe Caniracmrs' Sia�e License Law (Chapter 9(commencing vnt� Section 7000) ol Division 3 of ihe Business antl Prolessions Catle) or inal he/she is exempi there�mm antl t�e basis lor t�e allepea eKemD�ion. Any violation ol Section 1031.5 �y any applicanl far a permil subjecis t�e applicant ta a civil p¢nally of not more than live hundre0 Ooilars (5500�. I, as owner ol �Ae OmOeny or my employees wilh waqes as tneir sole com0ensatian. will Oo ihe work, and the ❑ s�mclure is not intenaed or alleretl lar sale (Section 70a4. Business antl Pmfessionai COJe: TAe Coniractors State License Law tloe5 nol apply IO an owner Oi a Omperly wh0 OuilEs Or imDroves lhereon, an0 w�0 does Suth work himsel�/her5eii af Ihmuph nis or her own ¢mployees. pmvi�eU I�al SUth imprOv¢menis are noi inlen0etl or o�ler¢tl �or Sale. II, �owever the builAinp or imDmvemem is solG within one year ol comptetion. ��e owner vnll nave i�e UurOen ol O�oNng �e/s�e did nat builA ar imD�ove lor ihe ourpose af Sale�. I, as owner oi I�e D�oDerty, am exclusively comraciinp wil� IicenseG conVactors to conslmc� Ihe pmleci (Sec�ion 7044, Business ❑ antl Pmtessions COUe: i�e Conlratlors' State License Law Ooes nol appry to an owner ol O�operry wlio 6mitls or imOroves t�ereon and who conlrac�s �or Suc� projecis wit� a wntraclar�s) license Dursuan� lo Ihe Coniractors' State License Law). I am aware ��al pmol al IAeir Warker'S ComDensalion insurance 5�au10 Ue O�ovidetl t e. d i am e�emo� u�ae� sen�on: B P 7 0 9 4 B. 8 P. C. � + �y �� rormisreason: ALL WORA BY OWNER // I Ao heteGy cendy inal I am aware oi antl untlerstana ine 2553a and �hat I or any IWure builtling occu0an� wilVwill r permit for con5lNciion or moDilicalion Imm I�e Air Ouali ��ese pmvisions. Daie: I hereby cerUfy �hai I have reaa I�is ortliwnces antl sia�e laws relaling to pmperty for in5peciion pmpases. Oriver's license or Social Applitanl: � Signature:. ,: ants al alitornia Health anG Satety COGe Secfions 2550.5, 25533, anU one�n etl�o comply wiih saiU s�a�e cotles antl I�e requiremenisfora ement sinct. Revdential consimclion aDPlications are eKempt imm corr¢tl. I agre¢ Io [ompty with al�iiy antl 164na6 W�ne—Builamg; Green—COEe Enlomemen� Canary—ApplicanC Pink—Revenue: Goltlenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT P70: P 069996 PLAN CHECK NO; D] CONSTRUCTION TYPE; V—N PERMIT TYPE: PLU JOB DESCRIPTIODJ ; WATER REPIPE— EXTENDED THEM PERM NO: P 06994 GOC'T: N SUPP: N PURPOSE; OTH SQ FT; CLAIM C'ALUE: CALC—VALUE: GROUP OCC: R-3 J COMMENTS: REF: B5363� �c*****�r****x*�*ar-*.�c�-�r-x-�cs+r�c-**s��r*�rr�r«�t�w-*+r�r*��r+r�c�,c+��**-rr-**x*�ux-r-�w�t*�.�+�*�*�.a �+a�+� Z O P7 I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAI�1 HUILD_TA]G ---------- --------- ACCESSORY BUILL�ING --------- FRNT; FT IN REAR; FT IAl FP.NT; FT IN REAR; FT IN LEFT: FT IP7 RGHT; FT IN LEFT; FT IN P.GHT; FT IN PARRING RE�: PROC�; PAP.CEL: 42252212 ZNE: REF NO: PLAP]NING NUTES> > 'If'JF if aE'% if if Ifif ifiE if 1E aE �"N'Y-'y iE if iF'1f if if Y'ifi4 iE K 1f if K �f'IE lfif iR M ifif'N'1i ii iE if +f'N-iE'� 1f'IF'N'1F 1f } i('3E'iL if iF YiI'iF i4'N-iE aE iEif iF'K'Y�if iF')F il; -1Fif iF D E L' E L O P 20NING APPROVED BY bUILDIP]G APFRc�C�ED HY APFLICP.TIOP] ISSUED BY if�flFifMififrtltlfifMiFiFifYMififMlF iflf iF'1FY'1!'IF M'f if'1f if fi 1f iEif ik if M if�le iF if if if af iF af if it +f if'Ih if � ifif'If 1L iF'M�il�+/ iF i4 1f'M1FiE iF1f if if i4T� if 1F ifif V�k iEY iF �f �fi! iF ih if if i(��f if 1f af if ifM LEGALIZATION;AJ F E E S U M M A R Y STRUCTUAAL SEGr1ENT;A] BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMZP/P.ES GRADING PERMIT 7,00 25: '" SMIP/NON—RES PLAr� ISSUE FEE 20.00 fiUILDING—DIV—> PERMIT ISSUE FLAN—CHECY. TOTAL PAID DUE TOTALS----> 7,00 20.00 0,00 27,00 27.00 ,00 P.EVENUE DIVISION TOTALS--> COLLECTED; 27,00 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 2 % , 0 � if +f 1f af M M it if itY' if M iR if i�' at if Y.')f il' if ff if if if �E if M iF af if if'M if af if 7F'X' it 11' if'k� is if af A(� M'lf 141f'If +F if 4 µ?f- aF 1f � 1F Af 1� 1F i%� *�L {F if if'If iE 1F M iF M if'4 if' I P7 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 PLU 1 WATER RE—PIPE 7.00 7 00 END OF FEES O1 Q01718a4-00i71839 TC�T DATE: St/16/Y4 TINEs 34:?9 27.�0 ' CONSTRUCTION AND PLANNING Pp�� 'PA ' Afi�ROVALS Permit� Date .Inspector APPROVAIS Permit# DaYe Inspector � 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location i 2. Soii Pipe�Undrgrnd. 53. Steel Rei�forceme�t 3. Electrical Conduit Uti�ity-Undrgmd. '"� 54. Forms �� • 4. Electrical ConduirUndrgrnd. � 55. Electrical Bonding / �, " 5. Steel ReintOrcement 56. Rough Plum6ing & Pressure Test �� 6. Electrical UFER Gmd. 57. APPROVAL TO COVER�GUNIT[ 7. Footings 58. Eteciricai Conduit�Undrgrnd. 8. Foundation 59. Gas Pipe, � UnUrgmd., Test % 9. Water Pipe-Undrqrnd. 60. Backwash Lmes, P�Trap, O Undrgrrd. �. 10. Structural F�oor System 61. APPROVAL TO DECK �- '-. i 17. Property Sewer Line & House Connection 62. Backwash & Receptor�Final �. ' • ': 72. Sewer Cap 63. Heater & VenFFinal 73. iloof Dreins ' 64. Plumbiny System - ffnal % �;' 14. Rough Plumbing //r/j_G� A.- 65. Electrical�Finai ; ' [[ l ['-�`6- / . 15. Rough Electrical-Conduic r� 66. Solar SVstem-final / .: , 16. Rough Etectric Wiring !' 67. Fencing & Access Approvai � i�, ,' 17. Rough Wiring Sign ,�',�+ 68. APPROVED FOR PLASTEf71NG� � - � 78. Rough Electrical-T Bar Cziling % 69. POOL/SPA SYSTEP,iS F�NAL �� 19. Rough Heat�ng & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 27. DuC.s, in Structure 70. Underground Hydro 22. Ducts, Vemilating 71. Product Piping C7 Gas ❑ Oi1 23. Gas Pipe�ROugh & Test 72. Underground Flush 24. Roof Praming 73. Underyrncl. Storaye Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Ceiling lStructural) & Monocoat 75. Dry Chemical 27. Prame and Flashing 76. Dry Standpipe 28. Lathing & 5�ding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PFEV. FINAL 30. Orysvall Nailin9 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electncal Power MeterF�nal -" 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning _�/�� ,v�_ 9-19/ �_ _! LG[� 35. Final Gas PiPe-Test . 36. Hood or Canopy 37. Final Faaory Fireplace 38. Final Piumb��g 1 �� , 39. Water Service-Finai A0. Gas Service�Final ' 47. Solar �omestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape �rri9ation Sys[em 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 46. FINAL PLANNING 49�. Electric Release to Edison "� 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Dace / / � �_ PflOJECT AOOHE55: 9 S 9 DOGWOOD $T OWNEfl�$NAME: BARTON, DENNIS A ' nooeess: BARTON, ELIZABETH I '. 959 DOGWOOD ST • � COSTA MESA,CA 548-3770 AflCHIENGINEEN: AOONESS: �� 92627 uxiT: REG.NO.: uxiT: PEPMITTEE: SUNWEST AIR CONDITIONING ( 714 ) 650-5061 nooeEss: 629 TERMINAL WAY 17 COSTA MESA CA 92627 tItENSEO CONTPNLTOB OECLANATION: I �ere�y allirm I�at I a li nsetl waer pmvisions oi Chap�er 9(commen[ing wiih Section 7000) ol Division 3 oi t�e Business antl Pmlessions Cotle, anG m se is in lull lorce and elleci. cirr uc.„0 3 5 3 TpTE uc.: 9 31 3 cuss: C— oz�e: _y Signature: WOflRENS' COMPENSRTION OELLPBATION: I �ereby a L ve a cerli�iCaie 01 COn5en110 Sell�insure or a[etlilica�e ol Work¢r5' Campensalion ilie DY of (Sec�ion 38 . LaG. ). ra0cvxo.: ��b�—g�—�� cxr.oaTE: 2/14/93 cornenxr: GOLDEN EAG,LyE ❑ Cenihetl copy is nereUy Wmishe0. L'T Cenifiea copy " I city BuilAing ONision. Oale: ' ' ApplicanC E%EMPTION FBOM WOflNEflS' COMPENSATION OECLAPpTION: (iAis se[Ii eed not Ce mmpleteG if �he permit is lorone hu�red (4100) or less�, I cerlily Ihai in Ihe petlormanre of Ihe work br which ��is permit is issued. I shall no� employ any person in any manner so as �o �ecome su�lecl to Ihe Workers' Compensa�ion Laws ol Calitomia. Daie'. Signature: NOTILE: II, ailer making I�is 4eclaraiion. yau shoultl become subjecl lo t�e Workers' ComDenSalion pmvi5ions ol ��e La�or CoOC. y0u musl lorihwilh Comply wiN Sut� pwvisions or tMs permil 5twll Ge Aeemed revoketl. COhSTflULTION LENOING RGENCV: I �ereUy aHirm Ihai I�ere is a consiruclion IenEing agenry for Ihe p¢dorman[e oi Ihe work for � whith I�iS D¢�mii is iisuPtl (5¢CIiOn 3P37, Civ. C). , LENDEN: AOONESS: OWNEB BUILDEH UECLAflATION: I here�y allirm �hat I am eKemp� Imm �he Conirac�ors' Slaie License Law lor Ihe following reason (Seclion 70.31.5 Business and Pmfessional Cotle: Any city ot county which requires a permit �o cons�mci, aller, impmve, aemolish. or repair any stmcture, prior �o iIs issuance. also requires I�e applicanl lor suc� permil to �ile a 5igneG s�alemen� ��al he/s�e is licensetl pursuantlolhe pmvisions oft�e Contractors' Slate License Law�C�ap�er 9�commencing wiih Seciion 7000)of0ivision 3 oflhe Business ana Pmfessions Gode) or Ihat �e/s�e is exemD� Iherefrom and ihe Dasis lor Ihe allegeG exemption. Any violaiion a� Section 703L5 �y any aD0lican� lo� a permil SuDlectS Ue apD��nl to a civil penal�y o� nol more I�an �ive hunOreA tlollars �5500). I, as owner oi me omoeay o� my employees wit� wag¢s as Iheir mIe compensa�ion, will tlo Ihe work. antl I�e ❑ simaure is not imennea or offerea for ule ISection 70aa, Busineu ana Pmiessional CaUe: 7he Cantractors' 9ate License Law aoes no� aoPty to an owner of a D�openy who builtls or imowves �hereon, ane who does sucn work himselflAerself onhmugh Ais or Aer own ¢mployees. pmvi0e0 IAat such impmvemenis are nol inlendetl or ofler¢d �or sal¢. I�, Mw¢v¢r t�2 GuilOing Or impmvemenl is soltl wilhin one year oi completion, I�e owner will �ave lhe burtlen o� pmving he/s�e aid not �uiltl or impmve lor ��e purpose ol sale�. I, as owner ol �Ae pmperty, am exclusively COIIV3[011g WIIII IIC¢IIS¢4 COIIIIdLI0f5 �0 COOS�Nt� IIIC O�OIQCI (SCC1100 7044, BOSi0E55 ❑ and Prolessions Code'. The Conlractors State License Law aoes nal appty to an owner oi pmDeny w�o Ouil�s or imDmves Ihereon and who tontracis lor 5ut� pmletls wiih a tontrat�or(S) lic¢n5e pursuani �o Ihe Conlraci0r5' S�ate LiCenSe Law�. I am aware Inal prooi oi their Worker'S Compensalion insurance s�ould pe proviaetl to me. � I am exempi unaer Sec�ion: B. 8 P. C. lor inis �eason: Date: 6«ner. I Uo �ereby cenity t�at I am aware al anU un0erstand ihe repuirements ol Calitornia Healttl and Salety Cotle Sections 25505, 25533, antl 25534 ano ihal I or any Wmre �uil0ing occupan� wili/will not (circle one) nee0 �o compty with saitl slaie caAes ana Ihe requiremenis �or a permil lor constmclion or modilicalion �mm Ihe Air Ouality Managemenl DiSVici. Fe5i0ential cons�mction applications are exempl iwm I�ese provisians. �aie'. Applicani: I �ereby cer�ilyiha� I Aave reaa I�is application and 5�aie Ih I�e a g lormationis correcL I agree�o compty vnlh all cily and county o�0inaxesaMstalelavSreWtingloUuibingconslmciiona ereb I kerepreSenla�ivesolih' cilyloenleruDonlheabove-mentioned pmpe� foi msoeciian urposes. I�' Oaie: Signa omer's �icense or sacia� Securiiy a: �6aba6 Whne—Butltling�, Grem—Co�e Enlorcemenl; Canary—Applicanl; Pink—Revenue: Goldanrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; M 064121 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC JOB DESCRIPTION : ADD TO SFD PERM NO: M 0 1 GOVT: N SUPP: N SQ FT: PURPOSE: ADD CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: REF:H53637 +t+t****�******+r****+e*+c+e�r*ir+c****+t*+t*************+t+a*+r+r***�tar*irx�x�******�r+tjt�r**�t**�t*** 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 IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING AE�• PROV; PARCEL: 42252212 ZNE: REF NO: PLANNING N 'I'ES> 7 iE 1k 1f 4 fF 1! k 1tlf iE ik k it M fk 4 fE ff 4 �f 1f �Elf if �klk 1F 1f M M 1! M k 1E 1f 1t if if 1f if M fhlk ft7! it if ff 1f 1E 1P it 1t 1f M 4 M!f 1f ik ff iE 1E ff 1t iE 1t 1! iF �f iF iE iF fF if 1E �t M iE 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 20NING APPAOVED BY ^HUILDING APPROVED HY 3 DATE; DATE: ',APPLICATION ISSOED BY; � DATE; 2-3I "if1lkitftlFk7f1f1flfiflFiFiFffltlfltfkfllE M1ffElfMfflf4fF1F 1Fif �f iF iF iF if M 1E if If if �f 1E 1f iE if M 1F IE M iE ft jE 1f %if M it it if 1f 1E 1E fE 1E 1f iF if if IE iE M%1F M!F If if 1E if M iF if 1f 1f %7F 1t iE ff 1f iF iE if If If iF K iF M iE K if IF if iE M iF iF 1t LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 9.00 PLAN ," 25; SMIP/NON—RES ISSUE FEE 15.00 BUILDING—DIV—> PERMZT ISSQE PLAN—CHECK TOTAL PAID DUE TOTALS----> 9,00 15.00 0.00 24,00 24,00 .00 REVENUE DIVISION TOTALS--> COLI,ECTED: 24,00 OVER/SHORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANIC EIRE SMIP/TOT GRADING PLAN—CHECK 24,00 iE 1E if 1f !!!f if if !f iF 1f iE if if 1f ft k 1f if 1!!F 1E if ff if ff 1f M fklk 41! 1! iF if.it 1f ff f! ff k!f 1f ff if f!!E k 1f ft M 1f M 1f 1f iE 1f iE 1f 1E 1ElE fF 1t 1f 1f 1E 1E fF 1tlf !E 1E fklE If k it iF I N D I V I D U A"'li 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 MEC 1 INST FORC—AIR/GRAV'FURN <= 100 K BTU 9.00 9.00 END OF FEES 01 �0147441—Q0147491 T G T 24.U0 DATE: 09/23/93 TI►IE: 11:35 � • � � -_ POC� ,VA � COP�S7RUC710N AND PLA\1!I�iG �J AP: ROVALS Permit �;� D' a_te-I I�sPector I- --- --- I Uate i Inspect.�� . I � APPROVALS P;rmit =� 1. Temp�rary Electncal Scrv+ce or Pole - � 52. 'ool & EqJ��m�nt �ocat e" I � -- - -'� 2 So�l Pipa-Undrernd. " � " 53. Steul ncinforcerrc�rt � � � --� ------�------�-- �---� - 3: EIcC`.rica: Contruit k�tlitY�Undrgmri.: I 54. f-o�m> -}i- ' �'"�. Eteetr:cal Conpv;i�L9ndrg��'df �� 55 Eiectric,�l Ecrd�� y I L---� _ 5. �Si�z Re�nforce!cje�� _ �� " ; I 56. Rough Plumhirg & �r„scuru Tast j '� � �-- -- _*6�ikleGVicaIUF€FiGmd. ...� -.. - � 57. APPROV^' TCCU`.�ER„V•'�TE-�-----r-�-�. � _ _ _. �y _- -_ __-�-_�}__.�l-� -.��7:`Fpotings . - `- - -- I 513. E'ectrc�: Curuv t L�C j � - , �,rr.a. � k�..;PoundaUon �.- � _ - -- 59. GaSPipe.'_7Unwqi��J T.�.i-�_-�-��` --� �---�J .. .., . -�ti --- ' �--- --- - -- --- ' - �5� 4Vater Pi e-Undr�md. � � � ' _; . - L'��d -�r i. � � ^� P . 4 fi0. Rar.4��: ��•,h I.. �:, N.-� ��c. �' � - � --.-------- --- -�- =�-----" 10. St,ueturai Flcg System '� __ 61. A�PROVP.L �OUECK __ � _� __j 11. Pr¢perty SeevY Li(fe &�''D�Se Cor.aeCtion 62. BaCk�v,. ch S RuCep�i-' f�. ��I � ' _ , � �_", �`-- - - ---- ,, 72. Sewer Cap � y J 63. Huater & Ven��Gnai i - ---� 73. Rooi Drv�ns " 6�. 'I�mbing Sy�,tcm �(��al ' 14. Rough Plumbmg " 65. Eler.tric+! � n,�I � i5 Rouyh Electrical-Contluit I �6. $Olur $yi!am�l in„i Y .. q" __ -_ �-_'__.- -__ -_'__ ___"'", , 16. fto..gh Electrie l/inng �� 67. fenanq & Acurse Anwaval I 4 _ .__ _�-__-_- , 77. Rough 1'H�nng�5ign 68 APPRONED f07 Pi FSTERi'vG 18. Rouyh Etect�ica6T Bar C��I nq G9. POOL%SP: S�S�� .S FINAL I � -�--- - � 19_ R�unh Hc�t�mg @ A�r Cord�'.o^ ^q , FIRE DE�7. RE�UIREI�tENT -- I' ' �,ri�:�,�ll-��-�,q;-} - - - � ZO..Rau9hractarYF_irePlace •:r, _•-' - �; • 'APPR2lVA;R�>.I`�:.:�.�,! ------- - _+ _ T_:, __, � y � - ' • _i;_�_ ._.-"__- -_-_________ _�_____-__ 2ir.DJ(JSr 1!� SKIIGiLL(('� . .~ y� ' ��' � fi� 70. ilnd��rcicu:n, 4;j,. .. . � I I 22. D�2:5.::-.ntl4�turS ''S } " ��71. Prud�..Ct'Lz�r°•• � i 'Fi��, J�.i ..-- � i�. - _ : , .. .. _ . ,1_ �.^ �_, i I 23�G s Piu�-Rnu h L�;,ies: - - ' � --' ` _ - �----I . <l , 3 �� --�-: a •i, 72. L'rde.,�.�Za t_ wri - --- - J _ �_�_ I 1 . ' . T ' -}.- '�-'I�.��'�-v-r _-�+ e� - _�- _ . -_ - 74 �iyFf F�amro �� • a . G� � - ;� � i i � i � i3?'Untlurr,rnd Srt�r�. �.��.: r- � -'_-- , ��----� -------- -'---------."---�'- --- I 25. PoofSreath.n�_; __ ., ! �'= i, �'� s 74�O�e��,e.:.1�� .._ � � . - -_- �-.,i��.� __ ___ _ _ ' T _ _ -___ _�.___-- _:, - __ _ ' 26. T-�Er Ce�Cno IS:r�.iet�-�" F_'��e+or:t '1: � � • � lii. , G��.. ,.. ' : � . ^ I . - �= --�'^--_��`_.�-'.'.. '*=�� ..'--- --„ ------��------ I -- - � 27. Fr�^meard F!ashi�.g .i. � I�.� O�i t � Y��1F-- `` • . . I �-' I 76 Dr St_�%1 � i ' _. - _ �r-- � 7•- +-rr T - T- - -T - -�"-�"- - `--- - - - - �25. (.�j�ing$t S-.d��ng = ' ' .. . � .. �. �� 7Ti F.k.:'� c ..� . �_.Y'_-_. "at__. __ _ __' _ .. � _-�-� 29. inaula'tar. � y''� I '�. � I Jf�.'- FiHC FI�tV ;-i �;4_ ?-. n� � � �. , 1_�T_ _____ ___r___ __ __-�_-_ _ �+�30. Jryr..:l"4ailing . ' 4 � �-I �-- .K'=•ALTttOEP-i.RECiJIRE'.�E'�.T .II_ _4 f Y_ �J�. �.Y �L.J ^� i ___ _ __ _ _ _ l_31 ^e,te•3�or,SCoat _ � �� t T,7?. F".�. �. '�� -l.'-'�• Y�, - - _ . , _ "-. �__ � _,-_ F_ _- - t, .- - .. j _ _ __i.-_ k 32t E e_V .,al °o• �e� x,r �� 1 � � � : T 3�: FOOL' � � i i-1 1 i �SS�f `_ _ i _ Y. -.. -.sr i _ �i_-_ i -+� � ' i .- I�-33:.:Fi��ltlet!rf ,�� I� � � i n�,� � f'i\.i�c5. (/ �- - .� Y . � -�/{yJ,� /,--6l-f_�1-�$,: /_Lov� (�o- :3?� �Fi-rll �leat�zcj & �i: �o..h �.p � re, . , i `,/�('.� ` - ' ' - =-=�-��l�lg� Q�e - - - - - - -- -- . � 35. Fi^al Cas P[p:�Tc:t , -� "' `} j' � -- -- -�� --�.-� --- - r- -- - . -'-��--- �-- - ------- - ' 36.�Hopd or CanoPY � ' ^ • r + �'--�- ' � � .. � - " --=--`x"'-"- ---* T--�--�'. - -------------=-`- -.- ---- --'�-�- - , ti3i. F.rAI Factory F�.�eOlrCz . ; _ -. � ..�h, " �'- .�,.� - - -- � -- - ---- -- - --- � . .. , 3-___ -.-'! -.0 __� .•. _. � `_,4. ____ _ .p. ._ � I '.,38. Fi�}�I ?lumbing .. i � �• x -, � • _ ' . -'"i�- -�-_�x1:;-�_�tL--:-•--- -"`- ---'^--------- � '.�39. Water SeP�ice�Pinal � r i I i f �; a. .- �.: .. i ; : y� i . . ;�40. Gas Service�F�r.al ` ,. ,- �- � � � . _ -� _ , � '' - -- -- -�--�--- -- - � �_41. Solar pomestic-FinaL. ��_ � i ,T,_ , ' -_ : --�- .-•--,- . - -- - -- - -- A2� Backflow Preventei �� , 43. Backflow Irr�gation • �- r r?,4q. tandscz.pe Knqatiqn Svstvm- � - �,_ ._45.�Sound Ancnuaticn . _1 • 4� Handicz,p AQgulations �47� PI�L'AL STR�ICTURE F. Blt;� ',]ING 4$�:�FIi�AL PLRtVNIN� , _, _ . 49. �Electric Release to EdiSon i � 50_ Gas Release to Souihern Ca ifR�na Gas Q 51. CEflTIFICATE OF. OCCUPt�� INo. p�te �f __ \\ � 1 1 ,. r ' �.-'� � ' r. _i'. :-.i .. 4 t � ' r, -. �.L.�_.L�._ _.: J , �...�.:.c -_YT_ _ �r ,:'� 1 `5-_.T __ -�_ �7 0 .. �- - '`� PgOJE'"' ESS: 9S9 DOGWOOD ST `oW . s enme: BARTON, DENNIS A aoosess: BARTON ELIZABETH I ' . 959 DO�WOOD ST COSTA MESA,CA 92627 RflCNIENGINEEF: 5 9 8— 3 77 O aooness: HEG.NO.: uxiT: CITY OF COSTA MESA — HUILDING PERMIT PERM NO: B 05363 PERMIT NO; B 053637 PLAN CHECK NO; 03157-91 S GOVT; N SUPP: N uxir: PENMITTEE: DENNIS BARTON ( 714 ) 548-3770 aooRess: g59 DOGWOOD CM CA..92626 LICENSEU LONTflACT08 UECLAPRiION: I here�y aflirm Rut I am IicenseA un0e� pmvivOns o� C�aDter 9(commencing wilh Seciion 70Q0� uf Division 9 of ��c Business antl Pmlessions CoOe. and my Iicense is in full lorce antl eflec�. CITY UC.: STATE UC.: CLASS: Da�e: Signa�ure: WOBREPS' COMPENSp710N �ECIAPATION: � nere�y aitirm that I nave a cenilicate of consent to seibinsure or a cenilicate ol Workers' Compensation Insurance. or a certilietl copy inereol ISection 3800. Lao. C�. POLICV NO.: EXP. OATE: COMPANV: � Certitietl copy is Aereby Iurnis0e4 ❑ Certi�ietl copY is Iiletl vn�h Ihe tity Building Oivision. �ale: � ApDiican�: �� E%EMPTION FBOM WOPKEHS' COMPENSATION �ELLRBRTION: Qhis setlion necd noi De com0let[d i� tAe permil is la one huMretl (5100) or less�. I ceNfy I�ai in ihe pedormance o� Ihe woB for which iNs permi� is is5ue0. I shall no� employ any Oerson in any manner so as to become subleU Io I�e VJorkers' Compensation Lavrs of Calitomia. - � Oa�e: Signawre: NOTICE: It. a�ter making Ihis tleclara�ion, you ihoWE Cerome SuUleci tollie Workers' Compensalion D�ovisions ol �he Labor Code. yau musl bMvnth comply wi�b wch O�ovlsi0ns ar IN5 permit shall Ge GeemeO revaked. CONSTNOCTION LENDING AGENCY: I �ereby afiirm�ttiat ��ere ¢ a con5�ruciion IenCing agency fo� the Detlormance of �he work tot w�ich I�is permit is issued (Senian 3097. Civ. C). lENOEN: AOOflE55: CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: ADD JOB DESCRIPTION : ADD TO SFD SQ FT; 120 CLAIM VALUE: 2,000.00 CALC—VALUE; 8,280.00 GROUP OCC: R-3 / COMMENTS: ADD TO SFD *x�*****�r***x�****x�*****�r*x��r*�r**x��r�r�*�r****xx�*��r*�r**+��r*�r*****�r��r�r**x�*�rx+�*�r***x�r�r�r* 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: 20 FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: 5 FT IN RGHT: 44 FT IN LEFT: FT IN RGHT; FT IN PARKING AEQ• PROV• PAACEL: 42252212 ZNE: R1 REF NO: PLANNING NfSTES> EXPANSION OF.A LIVING ROOM AREA OF AN EXISTING RESIDENCE — > ADD'A�—NEW DINING ROOM AS PART OF EXPANSION. ******x�**�r*�r�**x�*�r****s*�r****�r**x��r*�r+�*****�r**�************�r�*�**�r**�r*:******�� * D E V E L O�P'N� E N�T: S E R V I C E S R E Q U I R E M E N,;�T S . S� . � ZONING APPAOVED BY�". �:';r " DATE: t:—' HUILDING APPAOVED BY :'� �' DATE: -'j0 LEGALIZATION:N OWNEfl BUILOEN DECIABRTION: I here0y aliirm Ihai I am exemD� ��om I�e Coniractors' State lkense law for the lollowing reason BLDG PMT PLUMB ING ISection 7031.5 Business an0 Protessional Code: Any cily ol county which reauires a oermit to consimcL alter, Improve, tlemalish, or p EAMIT 1 � 8, 0 0 repair any 5lmtlure. p�ior la ili ii5uante. also r¢quire5 I�e aODlitant br Such permil lo �ile a SipneG S�atemenl IAaI �e/She is liCens¢tl IFk1E1E1E1kiF 3F,1FkklfififiFiElfifiFii�flFiEiEifiEMlEiEfFiElEiFifiEiEiE�f1EiE1E1E1fiflFiFiE1f F E E �rS U M M A R Y STRUCTiIRAL SEGMENT:Y E CTRIC�'� MECHANIC FIRE SMIP/R83 GRADING pursuant lo Ihe Dmvisions ol l�e Comractors' Slaie License Law �C�apier 9(commencing wilA Seclion 7000) ol Uivision 3 0� I�e Business ' �� an0 Pmlessions Coae) or I�at �e/she is e+emp� IAertlmm anOl�e Oasis �or I�e allepe0 ¢Kempli0n. Hny violation ol Section 703L5 by PLAjd ') �. Z � /' SM I P/NON—RES any apPlicant for a Dermil su�le��s ��e applicant �o a civil penalry ol nol more I�an live �undreA Ooliars (E500). j SSUE FEE '� '�' ' i, as owner oi ine oropeny or rtry empioyees wim wages as ineir soie compensation, wi�l oo tne work, and me BUILDING—DIV—> PERMIT SUE PLAN CRECK �- TOTAL PAID DTJ$ ❑ simctureisnoiintenUe4orollereGlarSale�SecUan70aa,8u5inessanOPmiessionalCoCe: TheContractors'State�icenseLaw TOTALS----> 108.83 0.�� 70.,20 �, 179,�3 179.03 ,00 aoe5 n0i apply �o an owner ot a D�oDerty w�o �uil�s or improve5 t�¢re0n, anA wh0 tloes 5uch work himself/hersell or �hmugh his or her own employees. O�o�iOetl Ihat such imD�ovemems are no� intenaea or ofiere0 fo� sale. II, however ihe buildinA or � impmvemem is sal0 vntnin one year ol completion. the awner will have ihe Oumen ol pmNng he/sne tlid no� buila or impmve REVENIIE D I V I S ION TOTALS— > COLLEGTED : :1 179 . 0 3 OVER /SHORT : D O iormeP�rooseoisaie). HLDG PHT PLUMBING LECTRIC MECHANI�C �•FIRE SMIP/TOT GRADING PLAN—CHECK ' I, as owner o� ihe pmperty, am exclusively coniracling wii� licensea coniracmrs lo cons�mct the pmleci (Seciion 7044, Business 1 08 , 0 � � � � , 8 3 %Q , 2 0 ❑ an0 Pmlessions CoCe: The Conlraciors' Sta�e L'¢ense Law Oou noi apply to an ovmer ol D�operty w�o builas or impmves tAereon , anOw�oconlracl5lorsuc�prolec�5wit�acontracior�5)IicenSepurSuan�tolheConlracior5'SlateLicenselaw).lamaware ************************************************,�***********,�*,**,�*�,**,*****,�,�*** Ihat prool of Iheir Worker'S Compensation insurance S�ouIE be proviG¢0 lo me. � � iamr.emo�u�ee�secuon:HP7044 B.BP.C. I N D I V I D U A L �F�.E E':*.' B R E A K D O W N mrimsreasoo: pyL WORK BY OWNER � TYPE QTY D E S C R I P T I O N ;'� .; UNIT COST ' TOTAL COST �Daie: _��1 � � i eo nereovi cendv mai I am aware o� and unGerslana l�e reQuiremen�olr� fomia Heal�h�Y Caae Sec�ions 25505, 25537, and SFR 120 DWE—TYPE V—WOOD FRAME ' •� —GOOD 6 9. 00 8� 2 b �, D O 2553a ana mai � or any �uwie buimmg occuoant wi�vwin nm Ici¢�e onel nee lo comply wil� ui0 sla�e coaes antl I�e requiremenls lor a END 'OF FEES permil lor cOnslmciion or mo4ibcaiion hOm Ihe Ai� OuaL�y Manag¢ment Dis�ri[I. fleSiUeniial tanSlNtlion applitaiions are exemD� ��Om �' � Ihese Drovisians. �� , � � '• �a�e: Applitanl: _ I hetepy cetli�ythai I �ave reatl��is applicalian antl sta�el�atihe ortlinanres and s�ale lav5 relating to 6uiltlmg constmclion ane �ere' pmpetly �or inspec�ion purposes. �:� �ate' _p_�9_"_�� Signamre: _ orivers �icense o� Soaai Security •: 1 agree lo comply with all 1641�46 W1ute—Builtling', Green—Cotle Enforcemenl: Canary—Applicanl: Pink—Revenue: Goltlenrotl—Nssessor . i� ` I�.' rt:� . i� �e',° . ' . " ' ' " : % - l� . _ _ V �i/ �tCDNSTRUCTION AND PLANNING � POO. SPA APPROVALS Permit# Date Inspector qppROVALS Permit# .� Date Inspector 7 7. Ter.�porary Electrical Service or Pole 52. Pool & Equipment Location j�7� ' j t 2. Soil Pipe-Undre,�rnd. 53. Steel Reinforcement '/� �� ,� : n'. ,��3`��f€��I Cond��U�ility-Undrgrnd. 54. Porms �'`^ t � �.: � ,�.��Electrical ConduiiaUndrgrnd. 55. E�ectrical Bonding y1r• „ � , �J5." S"CepFT"R`einforce[nent � D 56. Rough Plumbing & Pressure T{�3{? ^� � �z��-E�1`paeticalUFER;Citnd. 57. APPROVALTOCOVER�GU� �O L JZe �F pti gs '� � � � � 58. Electricat Conduit�Undrgrnd. �� +L �.-a.�tg.. SG �: n;�. ��oundation 59. Gas Pipe, O Undrgrnd., Test v ��;L 9�..Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undr.'F�i�nd. ':' � 10. Structural Floor Svstem 0� ry, n� 61. APPROVAL TO DECK ��"� y `Y 11. Property Sewer LinE'& House Connection 62. Backwash & Receptor�Final i".� „� � 12. Sewei Cap 63. Heater & Vent-Final `�r � 13. Roof Drains ti ��f � 64. Plumbing SYstem � Final /� � � 14. Fough Plumbirr�g, 'L 65. Electrical-Final j 1 � 15. Rough Electricel.Conduit 66. Solar System-Final � :, �Y�' .! 16. Rough Electric�Jiring 67. Fencing & Access ApProval � �� 17. Rough Wiring $jgn 68. APPROVED FOR PLASTERING�� /°j � 18. Rough Electrica�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL/� °�' 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - tr� CTtir,p[... tC, :f F CU 20..+?o�h F'uto F��ilace i xr•i �2"� :k C D e'+� �x :riPPRONACS�DC➢erb:it # � '� n' :r 1 a� i �K � r-� '�� :i C1 c� Nr-+i� � �' x < '� H ;F I n ^ :r. H : :+' M :> [il .x R; 21.r.Duqts, ir�6tr�etur �;� �.. .- ��S fi S ti r-�A'� :'s 0. adergqo,�pd�Hy,gto :a 22. DuCf9. Vehtil�tin Q`'�� t ��5 ;: � �S� < 1. Produc i i�g � ❑bil <' .� T."a' � i: : � 23.`1,`�'ias Pipe,_'�Ro h&' st '�`" �.c. A � "'*'y t*t � I ;�b�-+ � ns ,�- '� � 1+7._ tn, c* .2 r:r :r: �2. Undergrovnq Fluz(Ya0 .s -- -� 24.��ftooKFreming 7; i�-'� �M ,�,1 �� rJ�:� * 5�73.�Indergrnc�Stora ank �Gas ❑O+fi 25. Roo Sh�thin �' g n' � � ��" "' V NFO �: �. Qa 9 r,A � �! � �M * 5/4.,r`,�a�erF+gad Hydro; �; 26.-S�Ber Ceiling IStructurall &,iSOorrocoa[ L'7 �' Cn t7 t�� * 75' ry CFtemical J"7 .a �-+ L7 �7 � T 27."Frame a F shi � '� r� ^� :,. �' � Om � S �T� fa ,. � %� �. 5�� .-zJO-q �GL�/` . .: 76.'`�fY S[an `.28.�LatjaJn9t� S'vi+ng * ✓ '='C:C QN �-,�„Q� � �% 77.a'FIXED SA`FAEMyE`-fNAL* �' r� r-� � .-� � r p �1: 'J � ..... ]( •;�� /� YF :K C�7 �29. Insulatip`Jn , � „�'.�� R � IIILC./, * 7$,�IRE PREV. FI�F� * 5 q t�''30. Drywall�NailiT�g * L4 u. �(-�'j ��C✓ �%� '-+ NEALTH[9EPT;�RfQ1ilREfvIENT �31. Plaster 8rown,Coat.�. S i r•t�, ,.� i� _��79.�INAL IP}��CTI�T"iJ �� C � 32.aElectrical Pov�r MeierPinal ;`-� x cU � €R � o60.t#OOD CE�FTIFICATE ISSUED v � �33 in I Electric ''' � tr7' �: tn f ' t�o'� 7' '7� :x K ':� �� x 1 kLn k I .. # ��' _! `7ni M: O eC[i7 ;�334.;FinaJ'Heatin' Air,�CoRditio�� t-j�� y: i K# ,� r;,� ;� �r�p .. . i • :�: t:: �-�tl; "1; I F,. [ ' _ �. � i. 1� LT 35.��ina� Gas Pi{S€Test� [;'� � .. :i. (i ••�I"V� H � FT� ��^ �' .71 �r -- - _� .A36.� Hoo`d or CanoPY =. Dw i [r'7 ,i� e �• i :;; E � _�r .. * •, �� -� ,n '�7.�inxl.Factory Firep.tece.Y : sF, �Y� '� m � � � � � tn 'S •: * T }� �"� : ... �..� , x . �-�<° `�3 � � ._ �._. ��c�� i-38.�inabP�umbing ;,+ � y u�y� � � � � k S r.i � ID � t�39.WJate7 Service-final; ^ � v� � 's'� ~ :� '�� *'F � cn r� � t�' s� �, �+ y x C �'�AO."Gas Service-F�+na� �;`; t•^. �S:'t* 5�� i� n � Oev oto *•, + �{1.�Solar pomesGc�Fint1 S !"�� •• �K C:s x 7'� �2^ �-+ :* r rn ;r �: � �i �k CT' 7c�� tT ;k ;r � ~42.� Backflow Preventer' � '�' �' '� � � �' � ' i. ;U •-:-� � Y� � . :� +�.,,. J H • :k C ,-+ 43. Backflow Irr'r¢ationa• `xSS F •* �k :x � � '= F�� r O � i� �c t-i :K t� x i� N i V' :1 • �;44. Landscage I�pati � Systerr�irj�;; �;� r nl C O ��* w� cV O! � xn'J � �V o �45.�Sound Atten3atiori* ^i�G=- =*� � E F^ r F-^X :x n �-! i-+ vcr cC�y ,. � •� ti .. .. �:; �: rr, n t*�:K :a F �+ •_n .t • t-i� a L rl ' :R'� . .. ..*�.' / i ..-f . ��16.'.NandicaA.R�'9Vlatioj�s p�-; :t �r x t� tz •s G:.� S x. 47.•FINAL STRt7CTURE & BUtZDING Q � R `"' �.^��+5 � .r :Y. r� ti[ I��' 1 C :M f-� 48:YFINAL PLAtSNING, � _; ;r, 'Y; � �::�. �� * J � I :� tT1 �S � H � .:49. �Eleciric Release to Edison i i W I I ,�' a� F� �� n '7 cn : :K • r. -Cl'✓ :v y� rt,50.`Gas�Rel�ase to Southem Cali(or�ia Gas Co ;� � ! ': x. S�� C• ota •:r j • 'S1. CEF7�TIPICATE OF OCCUPqNC •k K a�. � ;no a:o r ,-. o No. Date � CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid uhnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the m r labor and materials for construction of the pra posed property improv/�/w�ent. es O No 2. I(have/have not),��_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (tirm) to provide the proposed construction: Name — Address Phone ( City Contractor's Lic. No.. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address Phone ( City ContracroPs Lic. No.. 5. I will provide some of the work but I have contracted (hired) the foliowing persons to pro- vide the work indicated: Name Address Phone Type of Work I hereby affirm t t I have received a copy of the information set forth in Section 19830 of the State of Calitornia Health nd Safety Code and have compl ted the above information to the best of my per- sonal knowledge, mpliance,with St law Signed: Date: .�— Z%— �� rvame: D EN N I S A. �f�i RTOAI (Printed or Typed) C.D.L. N or S.S. # ,o�:� 754-5273 ApPlicant to fil� in aIl s0aces except those within heavy Ooraer lines and sign au apvropriate aeclaratians. A ME A CONSTRUCTION PERMIT �5"9 DD�u�ooD sr. Applicant's Ma61 ddres5 ,/ ��)7r7 Owner'sName • Phona-S7��L� Address 5�j a�6WOOD ST. Arch/Eng. License No. Address Contracmr's Nam�� Phone Address (mailing) City License No. LICENSEO CONTRACTOR OECLARATION I her irm that I am li[ensetl untle� provi51on5 ot C mmencing wi[h section f�BiWci of Ih un n ProfeSsions Cotle, antl my 11 t il i tl Lice�ze �iazs Licens. '�e�� Da Si9nature �WORKERS' COMPENSATIDN OECLARATION 1 hereby altirm that I have a certificate ot consenl to self-insure or a certiticate if Workers' Compensation Insurance, or a certifietl copy thereot (Settion 3800, Lab. C.) ," � Policy No. COmpany - , B Certitietl copy is hereby �umishetl. . Certifietl copy is tiletl wi[h the city Bulltling Division. Date Applicant �EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl not be coTPletetl i( Ihe pe�mit is to� one huntlretl ($100) or less). ?' I certify that in tM1e pe�fortPance ot the �k fo� which [his permR � ISSue , I snall not employ any person in any a er so a�, to b ie s ect e Worke�S Co�]}� n5 ti LaWs of Cali � Date l��,y_�� 5ignatu�e NOTICE: It, after making tp�s tlecl ion, you shoultl beco ie subject to the Workers' Compenwtion provisions of the Labor Cotle, you must forthwith compty with such provisions or this permit Shall �e tlEemetl revoketl. CONST0.UCTION LENOING AGENCV 1 hereby afflrm that there is a construction lentlin9 a9ency tor Me periormance of the work for which ��s permit is issuetl (Section 3097 Civ. C.) Lenaer's Name � Lentler's Atltlress OWNERBUILDER OECLARATION I hereby atfi�m Lhat I am 6zempt from the Contracto�'S Lic¢nse Law for the followinq reason (Settion 7031.5 Business antl Professional Cotle: Any city or county whicM1 �equires a permit to con5truct, alteq improve, tlemolish o� repai� any strucWre, pnor [o its issuance, also requires the applicant for such permit to file a signetl statement that he/she is licensetl pursuan[ to the p�ovi5ions Of �he Contractor's License La�' (ChaDter 9(commencing with Section �000) of �''*�„@";vismn 3 of the Business antl Professions Cotle) or that he/she is exempt �='�+refrom antl the basis for tne allegetl exemptlon. Any violation of Section '?'�==331.5 by any applican[ fo� a permit subjects the aOP��ant to a civil ena of not more than fi�e huntlretl tlollars (y500). as owner ot tne prOpe�tY or my employees with wa9es as their sole compensation, will tlo the work, and the s[ructure is not intentletl or offeretl for sale ($ection �044, Business antl Grofessional Cotle: The Contractor's License Law tloes not apply to an owner of a property who builtls or improves Ihereon, antl who tloes SUGh wo�k himsel(/he�self or througn his o� he� own employees, provitletl tM1al such improvements are not Intentled or offeretl tor Sale. If, noweveq the builtl��9 0� �mprovoment Is soltl within one year of com- ple[ion, the owner will have [he burtlen o! proving he/she tlitl not builtl or im- prove tar the purpose of sale). ❑ I, az owner of �the property, am exclusively mntractinq with licensetl con- lrattorsto constrocl the D�Ulett ($ection ]044, Business antl 7rofe55ion5 Cotle: The Con[racto�'s License WN' tloes not apply to an owner of property who builtls or improves thereoh. antl wno contracts for such oroiects with a c�n- tractor(sj hcense pursuane m me Contractor•s �icense Law). I am aware tbat proo of their Worke�'s COmpensation insurance shoub be provitletl to me. ` I am ezempt untle� Section ` B'& P: C. fo. tnis reason ��. � Date Owner dntl Stdte laws elating [< 52l1(d�1V25 Of IS CIfY � inspec[ion p�fes� � Drive�s' cense or 0865-46,rev. 5/80 :by authorize repre- ionetl propertyyfo�r Date/%/� 7775 Q�3 G� 8�i" �"i'�'�'��7 4 V____ TYPEOFCONSTRUCTION 'NEW AOD ALTERATION REPAIR ❑ GONVERSION ❑ DEMOLISH ❑ OTHEFj DESCRIPTION OF WOji _K/U SE OF G. ��v O�� ,� �'�/i/1 G( Wfi'! / � �, o//�a /' ri�_ TVPE OF PERMI�G F UNDATION TR URAL U ❑ TENANT ❑ ELEGTRIGAL ❑ PLUMBING ❑ MEGHANIGAI ❑ OTHER PROJECT DESCRIPTION 5�. FT. oCCUaANCY CONSTRUCTIONTVP�� VALUATION$ �Z.L7C7�� ZONE GRADINGCU.VDS. ACRES Sink Preventer Irrigation Drinking Founiains Floor Drains Floor Sinks Gas Serviee Interceptors Kitchen Sink Lavatories P—Trap Roof Dreins Reinspection Fea Showe�s Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Piping Solar Tank Swimming Pool w/Spa Urinal Outlets Water Closet Water Heater Water Service Auto-Wash $15 Boiler Duct-UnderGrountl Duct - Structural Duct - Ven[ilating ExhaustSystem ❑ MWtiple Firepl/Fact Blt iC80 # Heating System & Ducting ❑ ai oo,000 sTu � i oo,00a Reinspec[ion Fee � $15 WhRe - Builtling: Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor Isue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeretion System ❑0-100,OOOBTU �100,OOOBTU stem Repair/Alteration Fire Dampers Registers laue Fee $ 3 FEES $ 3 a.a. �k G. S MeimBtfildmg: E T Front 1' ARear -1� C Right 0 g Left 'f Ping. Ref. # Planning Notes�. [�'- 2n - zo�e 1 �v Accessory Building: � / t �D'rJ� ZO n N I � N 3" G R Parking Req./Provided E � - Q W M �.� T S. AUiORId[IC WdShEI Construction Pole Sub. Cooking Unit 0 ishwasher Dryers ❑Gas ❑Elec Fan F.A,U. FixtUf¢5 Device Boxes Outlets $WitCh¢5 Garbage Disposal Generator 00.5 KW C � Reinspection Fee I DEVELOPMENT SEflVICES Zoning Approved By Building Approved By �r ELECTRICAI Trensformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100 amps 15KW SubPanel ' '� Motors �0.1 HP Q 1 h- 8 Inc.Solar �9-15 HP �16-15+ Microwave Pole Light � ' � Range � Sign Standing Sections ' Trash Compactor • FEES $75 Issue Fee $ 3 IEQ �REMENTS: " Date I I— � 4— Oate —�L/�' � � . . SUMMARV OF I BUILDING PERMIT $ ,�3 • �O PLAN CHECK $ �� - PS— ' PLUMBING $ PLAN CHECK 25% $ ELECTRICAL $ — PLAN CHECK 50% $ MECHANICAL $ ' PLAN CHECK 25% $ _ _ SMIP $ r � PERMIT - ISSUANCE $ ENERGV P.C:: $ GRADING' .'$ MICIiOFILM $ TOTALFEE $ O � S Qi :`1��1�L�''%-�QfJY04�:t �i_pT i0`..ii Ua�E: ii�i4�2� �i:rE� 15;23 ,, , . � . /CONSTRUCTION AND PLANNING - " . PO( SPA . ,., ,PPROVALS Permit # Date � Inspector qppROVALS Permit # Date � Inspector '4. Temporary Electrical Service or Pole � 52. Pool & Equipment Location � �2. � il Pipe-Undrgrnd. �, 1 "r 53. Steel Reinforcement � 3:iElt��tricat�ConduitUtility-Undrgrnd. ,�� 54. Forms 4�,Elecfrical Conduit-Undrgrnd. � � 55. Electrical Bonding 5."Steel Reinforcement 56. Rough Plumbing & Pressure Test ..Ir � i.� ' � - 6. � Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE , ' 7:,Footiqgs 58. Electrical Conduit-Undrgrnd. 8. �Foundation 1 I �� 59. Gas Pipe, O Undrgmd., Test 9.' Water�Pipe-Undrgrnd. � 60. Backwash Lines,P-Trap, � Undrgrnd. � 10 �Structural Floor System � ' 61. APPROVAL TO DECK • 17. •Property Sewer Line & House Connection '' i' 62. Backwash & Receptor-Final r i i 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 1�7. Rough Wiring Sign , 68. APPROVED FOR PLASTERING 18.'Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL � 19. Rough f9eating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace �F� APPROVALS Permit # 21. Ducts, in.Structure � 70. Underground Hydra 22. Ducts, Ventilating "t , � 71. Product Piping OGas �OOiI 23: Gas Pipe-Rough & Tesi _� 72., Underground Flush � 24:� Roof Framing i- 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing �i 74. Overhead Hydro 26. T-BarrCeiling (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. Dryw`aIl�Nailing ^ /� HEALTH DEPT. REQUIREMENT 31. Plaster Biown Coat- ., •' 79. FINAL INSPECTION 32. Electrical�Power Meter=Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 6' d G'l2-v7""-�� ;� t� 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. �Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final • � . �" 40. Gas Service-Final ' 41. SolarpomesticFinal ' �/�. . 42. Backflow Preventer • ' � 43. Backflow Irrigation , ��+ . � 44. .Landscape Irrigation System , �� 45. Sound Attenuation ' �� ;, � 46. Handirap Regulations' ' � 47. FINAL STRUCTURE & BUILDING � S'�O, �� 48. Special Requirements Completed 49. Electric Release to Edison %' '. 511�! Gas Release to Southern California Gas Co �.. ' � 51. CERTIFICATE OF OCCUPANCY • � No. Date ' � � ( � . � � � - •� � Q00/}'I�JQ�,� laaals DOM3019itl b5 � ��(� ��;s�. -e, n �•�� h�i t! 3�M301S1tl . Ciir u t_'�si� r?!:;su �iuil.�ir�� f�ea�. 6Y _�GC!r�_.._�..DA-�..IL/�,��9?� SHESE ?LANS MUSi ne Qti ;:�B A7 AL! iIPA:S MAKE NO CHANGES WIiFIOU? PfiiCL>R AFPROVAL Or DFFT. THE�ISSUAPlCf. C� GR.4NTiNG G k PcF?F.ii pR AF?Rp�i,"-1 OP PlANS HNO SPECiEiC4TiORS SHALI D'p; 8p GpI45TR'vED t0 6f A PERMIT F�?R, GP. AN AF?ROV4L OF, Ard'/ vlQiAiION OF ANY OF THE PROMISIRNS OF T!i!5 CODE. NC FERidit ?kESUMING TO GI`fE AUTHOR�tt TO VI01..47E G2 CANCEL "fHr'. PROVISIONS OF THiS CODE SHALL pB'dqi!D, .XrEPi Inl 50 fl,R AS iH'c WOHK ON USE WHICH IT AU1FinRi2E5 I$ :fJNfiJi. T�s �ssu.arice o� , ca��ur eas=e U?pN PtaNs cNe �,a SFf:I'ifV_kT1�lN5 SHAI.L N�? PI(:VE;J'i 7R� i'l!!:91P10 OF�ICIA! �nOM TkEif;�'fE� d%OUiRIKO 1'I:E �_U';RE::'i!pt�i i:� =R?G6:5 W SAID PIAN$ a.iJD SPECIlI�A?I'vN5 iJF ��'Ci',•. f?:'✓Stii!:'G FUIIDING �[RATIUNS 5c^iG CAP.f,iFD G^71AEfiEUhiDE? Y!i1EN iN VIOCAiION OF THIS CCDE Oi� vP AN`! CTHER CFDINANCE O` THE CITY. 7DNi0147tl �. �t . . �-. � � _ CALL . 754-5626 or 754-5627 37M701f3tl PerYnii $k �.�-� S f - THIS NUMBER MUST ACCOMPANY ALL INSPECTION REQUESTS 1N3Wlatld3a 9NINNtlId 3H1 J,8 03AO�ddtl 38 �ItlHS SN011�3a80� a0 'SN0113134 'SNOlilaad 310N flNINNY1d �O y01�]�tO 53�—�'�'31Y4"""�„ A9, " c� � O7i '1d�0 "J07� Ol �?7f�M ' 7d3U JNINNMtd � VS3W biSO� d0 .W� Q�O4�� • � ��-� � (� TYPICAL 6�� CONCRETE BLOCK FENCE Cement Copin9 Optiondl —�' Channel Block With 1-3/8� Horizontal Top of all Fences For Fences 5' or Less Vert. Bars 3/8"� at 4' -0" O.C. For Fences Higher Than 5' Vert. Bars 3/8"� at 32" O.C. � Fill Celis Solid With Grout Where Steel Occurs Reinforci�g Steel Shall Conform to Sec.A-15-39 A.S.T.M. All Steel to be Lapped 24" of to Code NATURALGRADE TWO 3/8"� BAAS DA _CONTINUOUSTOP � , & BOTTOM D iiOR1=.STEEL MUST BE TIED IN PLACE AT TIMPOFTHENCH INSPECTION. v ole a = �� r w a= a >Z > — a i� wo U �- � W IDTH SEE CHG � BE LOW �' ING REQUIREMENTS CHART - :� • GENERAL- NOTES MORTAR: p�e pu�} plastic Cement, and TA►ee Parts Sand GROUT: One Port Cement Tlvee ond One Half Ports S�and COPING: pne Part Cement, Three Parfs Sand C�NCRETE: Well Mixed 1;2-I/2:3-I/2 Max. of 7-I/2 Goltons of Watar Per Sack of Cement ii GROUT MAY BE P,OURED FROM THE TOP OF TME FENCE IN'.CELLS WHERE STEEL OCCUHS. CELLS AND AREP.S OF HORIZONTAL REIN- FORCEMENT SHALL BE CLEAR, CLEAN & FREE OF ALL �RTAR DEBRIS, ETC. H OF EARYHTCOTH 1/3 THE HEIGTH OF FENCE �LOW �BOTTOM OF FOGTING. � `. SCALE: I/2��= I' WIDTH...: . . . .".-. . _ . . . �.14'� . 14': . . . . . . . . . . �._12'_.:.__.. _ , . 12" � TNICKNESS . . . . ' . 10". � . . . . . .10" g". . . . 8„ DEP7H OF EARTHTOOTH . 24" 20�� . . _ . . . . 16�� _ . . . 12" SPACING OF EARTHTOOTH . 12� . . . . . . . . . . .14� . . . . . . . . . . . 16�. . . . . . . . . . . 16� City of Costa Mesa,�biifornia Building Department .,, ,. , .. ,._�_ . jZEv�gp Npv.82 OWNERS NAME: _ _ _ _ _ _ _ _ _ _ _ _ _ _ JOB ADDRESS: ._ _ _ _ _ _ ._ _ _ _ __ _ _ _ FERMIT NUMBER:_ ._ _ _ _ _ _ _ _ _ � SIGNATURE: _ _ _ _ _ _ _ _ _ _ _ _ _ _ /� " ' '. ' CITV OF COSTH MESA, CONSTRUGTION PERMIT �� AOp��anl 10 fill In all s0aeez exeept thofe within heavy Dortla� Ilnes LnO sign all aDP�oD�iate Eeela�ations. PERMIT O TRACT NO. LOT NO. BL . . � '. S �'C� O � � . � AppliC2nt'S Malling Addre55 `�t `� E`JOGW o o�/l " ' � TYPE OF CONSTHUCTION NEW AOD ALTERATION REPAIR p , ' Project AddrE55 O + W po . � ❑ CONVERSION ❑ DEMOLISH ❑�OTHER _ . _ OWnM'SNamE'�� XO� ' GhpneL31-G3'� DESCRIPTIONOFWORK� � � ' , Address .�y�9 QoGwOOI� . �TVPEOFPERMIT_ � GRADING FOUNDATION 5T0.UCTURAL A.P.si� - AfCh/Eng. OW �C� LiC¢n5e N0. ❑ TENAIJT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL - PING.REF.q� AddfER -❑��OTHER ' ' TO BUILDING COntrottof'SNamaB�w^�� Phone' PRQIECTDESCRIPTION 5q.F7. � occuPa,NCv P PE YLWE Addf2sslm3iling) ' CONSTRUCTIONTVP�� .1� VALUATION$ ��0�— LEFTSIDEVARD � ' - - ' ' ZON� GRADING GV.VOS. ACRES BKG.SPACE REQ. License No. LICENSED CONTRACTOR DECLARATION Remarks: STREET WI�TH � 1.hereDy affirm thal-1 am Iicensetl untler provisions of Cha�ter 9(commancing , � with sectlon 7000� oi Dlviilon 3 0/ tha Business antl Profeisioni Cotle, antl ' . � . , SPECIAL CONDITIONS: my Ilcensa I5 in tuil forca antl effecL ,' - - LJcensa Class Litense No. ; Date � Slgnatura VpRKERS'COMPENSATION DECLARATION ' • heraby aftirm that I have a cerU/Ica[e.ot consen[,to 5el/-insure or a certlfiwte . of Work¢rs' Campensatlon Insur6n<e,�o� a certifled copy thareot (Sectlon � 3800, l.ab. C.) � � + - � PoII<y No. � � � Company ' 8 Certifletl CODY �s �ereEy lurnlSliaG. i Cert(fletl copy is fileG wit� the city Bulltling Divislon. � oate AOP��ant ' EXEMPTION FROM WORKERS' COMiENSATION DECLARATION (Thls section neetl not be campleto0 if tha permlt I5 tor ane huntlreA (y300) or i Iess) 1 certify�tnat In tha performance of the work for�whith this perm�t Is issuatl, I shall. not employ any parson In any manner so as to become subject. to the , � Worker5'� Compensatlon Lawi Of California. ' - v ' Date � 519natura ' ' NOTICE: If, after making tnis�Ceclaratlon, you �shoultl becoma 3ubject to the- Workers' Compensatlon pro'vlslons of the Labor COGo, you mutt forthwith , comply�wltn�such ptovi5ion5'or.this.:parmlt'snall be Aeometl revoketl.f ' GONSTRUCTION'LENDING AGENCV � � � '� � � ' 1 hereby aHirm thal there Is a,con5truction lentling a9ency�for t�e'performance of ttle ,work toq which � this peimit - is issuetl (Sectlon 3087 Civ. C.) . Lentlar'S' Name _ I �E�11iCf'S AtlClG55 � 'I OWNER BUILDE0. OECIARATION ' ' I he�eGY a(firm thdt I drtl'eXempt frOrtl th0'Contrahtor'S License L.aw toi [he antl oi wlll a Dermit-sun�e<ts tne aOV��ant to a naretl aollars fE5001: . . � or ro� me purpose m saie). � � i- � ' ' � 55 owner of the property, am exclusively COnlratting with�litenbetl <on- 'builtls oi Improves t�ereon, antl who tonVacts for such projects wit� a con- ; tractor(s)Ilcense pur5uantto tha Contractor'S Llcenze Law). � � ❑ I am exempt untlar Section , B. S P. 0.(or this reason i Date ' � Owner� �P�hereby cerU�y that I-hare�reatl-lhis applicatlon antl ztate that the above informatlon is correc . I agree to comply wltn ali city antl countY ortlinances , antl stata laws rela g to builtling constructlon, antl hereby authorize re0ra sentatives of,thi tl�to entar' upO� (he abave-mentione0 prop�rty tor • InSPectlp�w4r „ _ / / ' i- . . /'V, /.J � � PLUMBINI Si�k • Sewe kflow�Preven[er -� - - Sewei kflOw Irrigation � � $olar htubs • . Solar �itiers . � So�ar , Floor Drains� � I -..'.FloorSinks .- - - . Gas Service� � Outlets � � Interceptors j Kitchen'Sink � - � Ld'V820fIC5 • � ' P-Trep � � Roof Drains . � � � F � ShoWEri � r ' • �� Service Sink ~ - : � Boiler � "1 � - � Duct-UndecGround � Duct - Structural . Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. BIt. ICBO # Heating System & Ducting � ❑6100,000 BTU 0100,000 Hood or Type I ❑' D I� s' Llcense or 55 � ` �' �— I � I Ae9isters MF�O865-06 rev. 12/82 Whita - Builtling: Canary - Appliwnt; Pink - A<Counling; Goltlenrotl - AssesSor �Veiff CIOSet� Water Heater Weter Service �50�1 S/Ctl/�73' � �1C�e5i1; �TL � ' . , ZONE ' - BUILDING. � . evroerr �y r REAR YARD (TO P/U ' RIGHTSIDEVARD � PROVIDED ' PARK FEE S � AutometiC WMhef � Construction Pole • � Cooking Unit � r Dishwasher - Dryers ❑Gas, �Electric '�" Fan F.A.U. Fixtures - � � � Deviie Boxes . Outlets . . Rwirrhwc . � � Neinspectiun Fee ' Issue Fee�'• iANICAL ' � � Refrigeration System � � ❑00.700,OOOBTU ❑100,0008TU System Repair/Alteration ' i Reinspection Fee' Issue Fee Meter Llover 100 emps Sub Panel - � Sub Pole ' ' Morors �0-1 HP �i'F.$ � IncSolar,�9-15HP��16-15+ ' �Pole Light ' ! � �Range � �� _ S[andingSectians ' ' � �Trash Compactor , ' I GeneratorLJO-5KWLJ545KW � Transformer �15-SOKW . ❑5U+KW• � $15 � Meter ❑up to 700ampa $ 3 Zoning APProved By ' ApPliotion ApProved BY � , APPlication Isiued BY ' � � � SUMMAI � 'BUILDINGPERMIT $ !d-- PLAN CHECK $� PLU�MBING $ ` PLAN CHECK' ' $ � 'ELECTFiICAL $ ,PLAN CHECK $ ��MECHANICAL $ ' $15 ' PLAN CHECK $ � $ 3 ' . . , �Reinspection Fee x OF FEES � i ' snriir ' � s : :•S� PERMIT � � : ISSUANCE � $ � , GFiADING • , $ • ' $ t. MICROFILM ' $ � TOTALFEE $ . ' �ESS ' � � � � ADVANCED PC $ '�_s$ FINAL FEE $ fQ � � CONSTRUCTIONANDPLA I G. � -- i �O�..SPA� � , �-APPROVALS Permit#� Date �Inspector qppROVALS Permit# Date Inspecmr : i' Temporary Electrical Service or Pole � _ 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. � � . � � . 53. Steel Reinforcement : - . � 3: Electrical Conduit Utilitv-Undrgrnd. 54. Forms r. . . 4. Electrical Conduit-Undrgrnd. � . 55. Elec[rical Bonding _- ' 5. Steel Reinforcement .� 56. Rough Plumbing & Pressure Test 6: Electrical UFER Grnd. � '� � - 57. APPROVAL TO COVER-GUNITE , . 7. Footings � ''' � 58. Electrical Cpnduit-Undramd. , 8. Founiiation - _ _ 59. Gas Pipe, O Undrgrnd., Test" .' � 9. �Water Pipe-Undrgrnd. �- • 60. Backwash Lines, P-Trap, O Undrgrnd. - 10. Structural Floor System - � 61. APPROVAL TO�DECK 11. Property Sewer Line & House Connection �� 62. Backwash & Receptor-Final�. - � 12. Sewer Cap , , _ 63. Heater & Vent-Pinal � � 13. Roof Drains - � � - 64. Plumbing System - Final . 14. Rough Plumbing ��65. Electrical-Final- � ' 15: Rough Electrical.Conduit � " � "�- �- � 66 Solar System-Final �' - � �- - �1 fi: Rough Electric Wiring �. � ' - -. � . 67. �Fencing & Access Approval - � . 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING 16. Fiough Electrical-T Bar Ceiling � ' 69. POOL/SPA SYSTEMS FINAL . 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.��RoughFactoryFireplace APPROVALS Permit# 21. D'ucts,�in Struaure � ' 70. Underground Hydro � � 22: Ducts, Ventilating � � 71. Product Piping O Gas � Oil 23 Gas Pipe-Rough & Test� � 72. Underground Flush 24. Roof Framing � � 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing � �� 74. Overhead Hydro - 26. T-6ar Ceiling (Structurail. & Monocoaf . 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 ' � . � ' Notes: 31. Plaster Brown Coat ' . � 32. Electrical Power Meter-Final � � 33. Final Electric ' 34. Final Heating & Air Conditioning � 35. Final Gas Pipe-Test � � - � � 36. Hood or Canopy � � _ 37. Final Factory Fireplace ' � 38. Final Plumbing . � 39. Water Service-Final 40. Gas Service-Final , - � ' 41. Solar pomesticfinal ' _ L' 42. Backflow Preventer � � 43. Backflow Irrigation . � - � ' � 44. Landscape Irrigation System� . - , ' � � � 45. Sound Attenuation • � 46. HandicapRegulations� �� ' � 47. FINAL STRUCTURE & BUILDING ' � 48. Special Requirements Completed ' •' 49. Electric Retease to Edison _ . . . � . . 50. Gas Release to Southem Califomia Gas Co � , � . 51. CERTIFICATE OF OCCUPANCY . . . , - , No Date � CITY OF COSTA MESA . BUILDING DIVISION 01NNER-BUILDER VERiFICATION A city.or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention�Property Owner: � An 'owner�builder' building permit has been �applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay�in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. �l Yes ❑ No 2. I(have/have not) i�"�E signed an application for a building permit for the � proposed work. 3. I have contracted,wnh the following person (firm) to provide the proposed construction: Name ^� � y� Address — Phone ( 1 City Contractor's Lic. No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and proy�e the major work: Name iJ � Address City Phone ( 1 Contractor's Lic. No 5 I will provide some of the-work but I have contracted (hired) the following persons to provide the.work indicated: � � Name ,\r � Address �V�� Phone � Type of Work � I hereby affirm that I have�received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my personal knowledge, in of�pliance with his State law. Signed: czSKd"�-��`�--- '�-�F�P�� ^ Date: �LL! �f.3 / � Name: s� EJ6 �/KoiJ (Printed or Typed) C.D.L #or S.S. # �+� CMF 3042-46 7545273 � Y� Applicant to fill in all sPaces except those within heavY �ortler lines antl sign all appropriate Eeclarations. EITi'OP COSTA MoESA CONSTRUCTION PERMIT P RMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address —` �� D � G w�� ST. Applicant'sMaTilingAddress 5�'�`�`'�E Owner'sName.VEUNIC BI�.Q�'OAi Phone54..�� aad�ess 9 59 DO C�W O�D SC Arch/Eng. License No. Address Convactor's Name Phone Address (mailing) � City License No. LICENSED CONTRACTOR DECLARATION 1 hereby affirm [hat I am licensetl untler provi5ion5 of Gharter 9(commencing with Section �000) of Division 3 of the Busine55 antl Profe55ion5 Code, antl my license is in tull force antl effec[. License Class License No. " Signature \lKERS' COMPENSATION DECLARATION ,eby atfi�m lhat I have a certificate Of COnsent lo self-insure o� a certificate oi Workers' Compensation Insurance, or a certitietl copy thereot (Sectlon 3800, Lab. C.) PoliGy No. Company BCertifietl copy is hereby fumishetl. Certifietl copy is filetl with tne city Builtling Division. Da[e Applicant EXEMPTION Ff10M WORKERS' COMPENSATION DECLARATION (This section neetl not be mmple[etl if the permit is for one huntlretl ($300) or lessj. I certify that in tM1e pe�fo�manGe Of tne rk fo� which thi5 pe�m�t is i55ue , 1 shall not emplOy any person in any ie� so ai<o b ome jeCt e Worker9S�opperyyiiyn Laws of Cali Date � J l3� $i9natur � NOTICE: If, aftcr making thi5 tl¢tl ration, you Shoultl become subject to th2 Workers' Compensation provisions of the Labor Cotle, you must forthwith comply with such provisions o� th15 pe�mit Shall be tleemetl revoketl. CONSTRUCTION LEIJDING AGENCV 1 hereby affirm tnat there is a construction lentling agency for the performance of the work far whicn this permit is issuetl (Sectlon 3097 Civ. CJ Lentler's Name Lentler's Atltlress OWNER BUILDER OECLARATION I hereby affirm Ihat I am exempt from the Contractor's License law tor the �. lollowing reason (Section �031.5 Businass antl Professional Cotle: Any city or '� counly which requires a p¢�mit to conStruct, alter, imp�ove, demOlish o� repair '�ny Structure, ptiot to i[5 issuance, also require5 [he applicant fOv such permit file a signetl statement that he/she I5 licensetl pu�suant to the p�ovi5ions of ; Conlractor's License Law (Cnapter 9(commencing with Section �000) of ;vision 3 Ot tM1e Business antl Profession5 CoOe) o� thdt he/she is exempt merefwm ana the basis for the aiieged exemption. Any vioiation of Section ]031.5 by any applicant for a permit subjects the applicant to a civil pen of nol more than five nuntlretl tlollars (§500). I, as owner of tne property or my employee5 with wa9es as their sole ' mmpensation, will tlo the wo�k, antl the structu�e Is not intentletl o� off¢r¢tl for sale (Section ]044, Business antl PrOfessional Cotle: The Con[�acto�'s �icen5e Law tloes mt apply to an owne� ot a property who builtls o� improves !thereon, antl who tloes sucn work M1imself/herself or through his or her own employees, provitletl that such improvements are not intenaetl or offeretl for sale. Ii, however, the builtling or improvement is soltl withln one year ot com- pletion, the owner will have the burtlen Of p/oving he/she tlitl not bulitl or Im- prOve fo� tlte Ourpose of sale). ❑ I, as owner ot the property, am ezclusively tantracting with Iicensetl ton- tractors to construct tM1e pro�ect (Section 7044, Business antl Professions Cotle: The Contractor's License Law tloes not apply to an owner of property who builtls or improves tbereon. antl who contracts for such o�oiecl5 with a r.on- t�actor(s} lmense pursuant to me Con[ractot's Llcense Law). I am aware Ihat proof of eir Worker's Compensation insurance snoultl be provitlea to me. ❑ I am ex�pt under Section�-- B. & P. C. for this refson Date Owner I hereb ity tnat I have rea this applicaf Inform is correct. I agree to comDly with a antl sT aws elating to builtlinq constructio SentaY� of is ciTy to en up th .....e.._.....L�.... . )'Y �2' Signafure I�' �G/ L Driv¢rs' Liiense or 55 � _ 0965-46, rev. 5/88 �� I V � Z� � A.P. # `F' TYPE OF CONSTRUCTION NEW ADD ALTERATION EPAIR S Main BUilding: E ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - T Front DESCRIPTIONOFWORK/USEOFBLDG. IA Rear TVPEOFPERMIT GRADWG FOVNDATION RUCTURAL � C Right ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL � g Left ❑ �OTHER Ping. Ref. # PROJECT DESCRIPTION SQ. FT. OCCUaaNC1 v� Planning Notes: CONSTRUCTION TVPE VALUATION $ v� ZONE GRADINGCU.VDS. ACRES ' Remarks: Preventer Irrigation Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service OuUets Interceptors Kitchen Sink Lavatories Roof Drains Reinspection Fee � $15 Boiler Duc[ - Under Ground DuCt - StrUCLUraI Duct - Ventila[ing Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. �CBO # Heating System & Ducting ❑ o-i oo,oao sTu O i oo,000 er °by auinorize rep�e- ionetl property for Date�_'�_ Reinspection Fee $15 W�ite - Builtling; Canary - Applicant; Pink - Accountin9: Goltlenrotl - Assessor Showers Service Sink Sewer Wp Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Issue Fee Hoodor Typel ❑ Canopy Type 11 ❑ Refrigeretion System ❑0-100,000 BTU ❑100,000 BTU System Repair/Alteretion Fire Dampers Registers Issue Fee FEES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A, U. Fixtures DCVICC BO%CS Outlets Switches Garbage Disposal Generemr �0-5 KW � $ 3 FEES � Zone Accessory Building: Z O N i N G R Parking Req./Provided E Q M T S. ELECTFiICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel � Motors �Pi HP � 1'X - 6 Inc.Solar �9-15 HP �16-15+ Microwave '- Pole Light + Range ' I Standing Sections � � 5 KW I Trash Compactor , I Reinspectian Fea '$15 I I luue Fee DEVELOPMENT SERVICES R EQUIREMENTS: Zoning Approved By Building Approved By Applicatian Issuad By � FEES $ 3 SUMMARV FFEES BUILDING PERMIT $ �� SMIP $ � ti � PLAN CHECK $ PERMIT i` PLUMBING $ ISSUANCE , $ PLAN CHECK 25% $ ENERGV V;�. $ E�ECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ ry—�}7 MECHANICAL $ TOTAL FEE $ _/i� PLAN CHECK 25Yo $ ' �—� �' J $ 3 01 40057827-Qt7pyI825 "Tf�3 ^` CnTE: Q9/OSi29 iThi' 1:::� � - ---t f-"---t ; � ; CONSTRUCTION AND PLANNINC � ; & SPA ' APPROVALS Permit # Date Inspector AppROVALS Permii # Date Inspector �. � 1�. Temporary Electrical Service or Pole ' � 52. Pool & Equipment Location � I{i-. 2. Soil P.i'pe-Undrgrnd. ,�� 53. Sieel Reinfarcement tr -.'� 3. Elecvical Conduit,Utility-Undrgrnd. !' 54. Forms 4�.%ElectCical Conduit-Uridrgrnd. 55. Electrical Bonding -!, .� 5. Steel�Relnforcemeni 56. Rough Plumbing & Pressure Test �%•' . �' 6� Elect�ical UFER G�nd. ' �j� 57. APPROVAL TO COVER-GUNITE �'itl �� . 7,:: F,00ting's ��: 58. Electrical Conduit-Undrgrnd. � ' y 1� 1 S.iFourida[ion �; 59. Gas Pipe, O Undrgrnd., Test ;,: ,r'�: 'r ^ �• r 9C�Water Pipe-Undrgrnd. �%' 60. Backwash Lines, P-Trap, � Undrgmd. � �" � -. 10. Structural Floor System �' 61. APPROVAL TO DECK �� 7'�^.: Property Sewer Line Ft House Connection ��j1' 62. Backwash & Receptor-Final � 12. Sewe%Cap %� "; � 63. Heater & Vent-Final '% i� 13. Roof;Drains �, 64. Plumbing SYstem - Final ,�!/; �� 14. Rough Plumbing '� 65. Electrical-Final ' �� , 15. Fough Electriral-Conduit _ 66. Solar System�Final 16' Rough Electric Wiring �,�: 67. Fencing & Access Approval �17: Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electriral-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Condiiioning FIRE DEPT. FEQUIREMENT 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. Storege Tank � Gas ❑ Oil 25. Roof Sheathing � ' 74. Overhead Hydro 26. T-Bar Ceiling (Stiuctu�al) &�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. Flaster Brown Coat 79. FINAL INSPECTION 32. �Electrical Power Meter-Final; 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & Air CUnditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer •� 43. Backflow Irrigation 44. Landscape Irrigation 5Ystem � 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILdING j AZ (� �, ,.��Q�� i ( 48. Special Requirements Completed 49. Electric Release to Edison �. . 50. Gas Release to Southern California Gas Co - - � 51. CERTIFICATE OF OCCUPANCY ,., ti. No. Date . � ROOF __OVERING CERTIFICA 'ON Property address ( 57 U/�Gl�(/��i� � l Owner � �i iUkS SAR TON Contractor — State Contractor License Number Permit No. �� Classification I hereby certify that I have insta[led, or caused to be instalfed, a minimum Ciass C roof covering at the above address in conformance with Chapter 32, and Section 1704 of the 1979 Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. f�l further certify that I am the owner of the property. (Owner-Builder permittee only�. ❑ I further certify that I am: ❑ Owner of sole proprietorship company ❑ Full partner of the company ❑ Limited partner of the company ❑ Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on ail successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division by: �-- q��-�� Initial Date Spdce for Notarial State�nent for aYthorizeE officer o� agm[ Company or Corporate Name Printetl or Typed Nama CMF 0990-46 Whita - Builtling Olv.: Canary - Contractor; Pink - Owner CITY OF COSTA MESA CONSTRUCTION PERMIT Applicant to fill In all spaces except t�ose within neavy borOer Ilnes anG sign all aoPropriate tleclarations. o T6�^T-l�Ill• I/1T t�1f1 - RI (1 . Project Address �7 i`� �,�p Ca w0 o U Applicant's Mailing Addreu �'a'✓✓�� Owner'sName C'��C �/xo� Phone �3� L3 Address 9 S�7 �OGL�.�bo/� Arch/Eng. _ License Na. Address Contractor's Nam Phone Address I mailingl City Licnnse No. LICENSED CONTRACTOR DECLARATION I hereDy atfirm thdt 1 am Iitensetl untllr provisions of Cnarter 9(comm¢n<in9 with section 7000) ot Division 3 of the BuSiness antl Professions Cotle, anE my license is in full force antl ettecl. Ucense Class License No. Date Signature WORKERS'COMPENSATION DECLARATION ^(�hereby affirm that-I hav¢ a certi(Icate of consent to salLinsur¢ Or a certHiwte of Workers' Compensation Insurance, or a certltietl copY thereot (Se<tlon 3800, Lab. C.) Policy No. Company eCertifieE copy i5 hereby fumiSheC. Certifiea copy is fiietl with the city Builtling Division. Date APPIIcant EXEMPTION FROM WORKERS' COMPENSATION OECLARATION (Thissettion neetl nobbe completetl if the permlt is tor one huntlretl (S300) or lessj. I certity roat in the periormance of the work fo which this perm�t is issuaQ I Shall mt employ any pe�son in any manner a5 fo becom ject to [ha workers' o oensa lon Laws ot California Date �� j � ; Signature NOTICE: If, after making Ihis tletlarafion, you s�oultl become subjett to tha Workers' Compensation provisions of the Labor COCe, yyL must forthwith comply witn such provlsions or chis Oermlt shall tlE tleemetl revoke0. CONSTRUCTION IEfYOING 'AGENCV � 1 nereby �affl�m that there is a con5t�uction lentling agenCy fOr the perto�mance of the work for which this Oermit is,issuetl (SecHon 3097 Civ. C.) Lentler'S Name Lentler's AtltlreSs OWNER BUILDER DECLA0.ATION I hereby affirm that I am exempt from t�e Contractor's License Law tor tne following reason (Section 7031.5 Business antl Professional Cotle: Any Uty or county which requires a permit to conStruCt, alter, improve, tl¢molish o� �epab any sVuctare, prior to itz issuance, also reqWres the applicant tor such oermit to tile a sianea statement that he/she Is Ilcensea oursuant to lhe orovisions o/ l�erefrom antl tne basis for Ihe allegetl exemptlon. Any vlolation of Sectlon /031.5 by any apP��ant for a permit subjects the aooncant to a civil alty o( not more than five nuntlretl tlollars (E500). I, as owner of the p�o0erty � ' will tlo the work, antl tne structure is not intentled or ofteretl tor Sale (Section ]044, Business antl PrOfe55ional Cotle: Th¢ COnt�aGtor'S License l.aw aoes not apply to an owner of a oroperty who builtls or imoroves [hereon, antl'who tloes sucn work-himSelt/h¢r5elf or through his o� her own amployees, provia6a tnat such ImDrovements are not Intentletl or offerea for sale. If, however, tne buildin9 or ImProvement is soltl wit�in one year oi com- O�etion, tM1e owner wlll have the burtlen Ot proving he/she ditl not builtl or i�n- �rove tor the purpose of sale). I, as owner ot tne proper[y, am exclusively contracting with Iicensed con- tractorsto constructthe project ISection ]044, Business antl Protesslons Cotle: The Contractor's License Law does not apply to an owner of property who builtls or improves thereon, antl who contracts for such projects with a con- tractor(s) license pursuant to tne Contractor's License l.aw). ❑ 1 am ezem0� un0er Section B. & P. C. for this reason Date %/«�t Owner��L`n�J�✓ I hereby certity that I have reatl this aoP�ication antl st e that Ne above information is correcL I a9ree to comply with all city a�county ortlinances antl state laws relating to builaing mnstructlon, antl hereby authorize repre- zentafivez of [his I to enter up the above-mention¢tl property for InSpection Ourpos / 2 � Signature �^'L I I Reinspection Fee -' � 9 �. I � TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ OEMOLISH OTHER DESCRIPTIONOFWORK TO n/J Sil� �Fi✓�� L/✓L TVPE OF PERMIT U GRADING LJ FOUNDATION LJ STRVCTURAL ❑ TENANT ❑ EIECTRICAL � PWMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5c2. F7. oCCUPANCv_ CONSTRUCTION TVPE VALUATION $ ZONE GRADING CV. VOS. AGRES_ Remarks: � Sink Preven2er Irrigation Dishwasher Drinking Fountains Floor Dreins Floor Sinks GasService Outlets Inrerceptors Kitchen Sink �.dVdIOIlES P—Trep Roof Drains Reinspection Fea I $25 Boiler Duct- Under Ground Duc[ - Strucwral Duct - Ventilating � Exhaust System ❑ Multiple ❑ Firepl/Fact.Blt ICBO# Heating System & Ducting ❑aioo,000 sru �ioo,000er� CMF 0865-46 rev. 7/83 Wni[e - Builtling; Canary - Applicant: Pink - Accountin9:�Goltlenrotl - Assessor S25 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Wacer Closet Warer Heater Water Service Iwue Fee Hoodor Typel ❑ Canopy Typell ❑ Refrigeration System 00.100,OOOBTU ❑100,000 System Repair/Alteration laue Fee FEES A.P. # S Main Bu E T Front 8 Rear A C Right K leh S Ping. Ref. # Use of Building: Planning Notes: Auromatic Washer Cooking Unit Dishwasher Dryers �Gas ❑Electric Fan F.A.U. F ixtures Device Boxes OU[I2S5 Switches Garbage Disposal Generator O0.5 KW O5-' 6086 9/2.'/9� Zone u Park.Fees $ ELECTRICAL Tran'sformer ❑ 15-50 KW ❑ SO+KW ' Meter ❑up to 700 amps Meter ❑over100amps 5KW Sub Panel Momrs O0.1 HP O1 h- 8 Inc.Solar �9-15 HP �76-15+ Microwave Pole Light Range Sign Standing Sections Trash Compactor $ 3 Reinspaction Fee 525 Issue Fee FEES PUBLIC SERVICES REQUIREMENTS: Zonin9 APProved By APPliwtion APProved By / APPIitBtiOn ISt118d BY / �i' $ 3 BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK � ELECTRICAL PLAN CHECK MECHANICAL PLAN CHECK . O N 1 N G R E Q U R E FEES $ 3 SUMMARV OF FEES � $ SMIP $ $ PERMIT $ �S.O O ISSUANCE $ $ ENERGY P.C. $ �y GRADING $ $ MICROFII.M $ $ TOTALFEE $ � $ . 'CONSTRUCTION ANDPLANNING � POO. .SPA �APPROVALS Permit# Pf!��q I Date Inspector , Date Inspector APPROVALS Permit # 1. Temporary Electric8l Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. �53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. ' 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 70. Structural Floor System 61. APPROVAL TO DECk 11. 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 d 6. Rough Electric Wiring. � ' 6). Fencing & Access Approval 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 Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating ' 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test , , 72. Underground Flush 24. Roof Framing � 73. Undergrnd.StorageTank OGas ❑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 INSPECTION 32. Electriral Power Meter-Final 80. FOOD CERTIFICATE ISSUED 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 , g, .� 39. Water Service-Final 40. Gas Service-Final � 41. Solar pomesticFinal �, ' 42. Backflow Preventer � 43. Backflow Irrigation � 44. Landscape Irrigation System � . 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATEOFOCCUPANCY • No. Date . `\''.i� Ao�i��ant to fill in all spaces except those wit�in heavy borGer Iines antl sign all appro0riata tleciarations. CirY OF COSTA MESa CONSTRUCTION PERMIT rU,o�t Address Q59 ZbGU/007� 5T, C,A.� ��plicanYsMailingAddress SlA�!�,E� ibwner'sName�!rti(i�l�� /i' /z�%AA1 Phone�S3770 /l�ddress Q� ��'�✓��D � H A�rch/Eng. License No. � Address Contractor's Name Phone Address (mailingl City License No. LICENS D CONTRACTOR DECLARATION . I M1ereby atfv m licensetl untle� provisi �-L{cumn�ewciw�� witn t' 7000) ot D ' e tl P t ssions Cotle, antl. myl i « Li ��Oate Signature � •RKERS'COMPENSATION DECLARATION �eby atfirm that I have a certi(icate ot consent to selt-insure or a certiticate Norkers' Compensation Insurance, or a certifietl cooY thereot (Section �noo, Lab. C.) - � Policy No. Company � 8 Certiiietl copy is �ereby fumisM1etl. Certifietl copy is file0 with the city Builtling Division. Date Applicant � ' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (TttisS¢Ction ne¢tl not be completetl it the permi[ i51o� one �unOretl ($300) or less). • I certity Ihat in�the pe�fo�mance Of tM1e �k fOr which Ihis pe�mH Is Is etl, I' shall not employ any pe�son in any ner So a5 to o subjec to th¢ Workers' o sa ws ot Cal' r , Oate ��Si9natur �C NOTICE: If, after making this tlecla on, you should become su �ect to the Workers' Compensation provisions of the Labor Cotle, you must forthwith comO�Y �+'�N such Orovisions or this permit shall be tleemetl revokee. CONSTRUCTION LENDING AGENCV I nereby aftirm lhaf there is a wnstruction lentling a9ency tor the oerformance of the work tor which this permit is issuetl (Section 309] Civ. C.) �entler's Name Lentler's Atltlress OWNER 9UILOER DECLARATION I hereby affirm lhat I am exempt from the Contractor's License Law for the followin9 reazon (Section 7031.5 Business antl Professional Cotle: Any city or county whiGh require5 a petmi[ [O constru<t, alte�, improve, tlemoli5h o� repdir any structure, prior [o its issuance, also requires the applicant Por sucn oe.m�� +^ /ile a signetl statement that he/she is licensetl pursuant to th¢ Provision5 Of .ontractor's License Law (Chapter 9(commencing with Section 7000) of ion 3 of tne Business antl Professions Cotle) or tnat ne/she is exempt [�(rom anU the ba;is for the allegetl ezemOtion. Any violation of Section ..SLS by any applicant for a permit subjet(s the applicant to a Civil �e�dlty of not more than five huntl�etl tlolla�s (E500). I, as owner ot the Oroperty or my employees wilh wa9es as their sole mmpenzation, wili tlo lhe work, and [he structure is not inientletl or ofteretl for zale (Section 7044, Businezs antl Professional Cotle: The Con[ractor'S LicenSe Law tloes nOt aOP�Y �o an owner of a prope�ty who bui1C5 0� imprOv¢s thereon, antl who 4oe5 SucM1 work himselt/herself o� through his o� her own employees, provitletl that such improvements are not intentletl or otteretl for sa1e. It, nowever, tne builtlin9 or improvoment ii soltl wi[hin one Year of com- pletion, the owner will have the bu�tlen ot Oroving he/sh¢ tlitl not builtl o� Im- prove tor the vurpose of sale). ❑ I, as owner of tM1e property, am exclusively contracting wifh Ilcensetl con- tractorsto construct tne pro�ect (Section ]044, Business antl Professions Cotle: TM1e ConVactor's License Law does nOt apply to dn owner ot prOPerty wno builtls or improves the�eon. antl who conVactS �or such oroieGts with a[on- tractor(sl lianse pursuant to cne ConUactor'S License law). 1 am aware thac proof of tM1eir Worker's Compensation insurance shoultl be provitled to me. ❑ I am exempt untler Section B. P. C. f this re on Date � � Owner ' I herebvi certifv that I have rea tn� application antl state that tne above antl state laws re ung to 0 sentatives Of t s city to inspettion pur s Signdture Drivers' Li se ar 55 � R-PEE 3�l 3� I 17t2 TVPE OF CONSTRUCTION rvEw ❑ CONVERSION ❑ DEMOLISH ❑ O DESCRIPTION OF WORK/USE OF BLDG. AL TVPEOFPERMIT LJGRADING IJFOUNDATION �15TRVCTURAL ❑ TENANT �ELECTRICAL `�PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5�.F7. oCCUPaNCV_ CONSTRUCTION TVPE VALUATION S _(.3�'.�' ZONE GRADING CU. VDS. ACRES— aemark:: Dr -�72r-57�-�1'.. 'Dr' _ _ 99. �1.T Sink Preventer Irrigation tubs Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink lavamries P—Trap Roof Drains Reinspection Fee $15 Duct - Under Ground Duct - Structurel Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/FactBlt.iCBOdk � Heating System & Ducting ❑ o-i oo,000 eru O i oo,000 er� eOy au[nonze rep�e- ionetl property for Date �� Reinspection fee $15 0865-46, rev. 5/88 White � Builtling: Canary - Appli<ant: Pink - Accounting; Goltlenrotl - Assezsor $hOwers Service Sink Sewer Cap Sewer Connection Solar Collecrors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Wa[er Service Auto-Wash Laundry Tra'ys Issue Fee Hood or Typel ❑ Canopy Type I I ❑ d Refrigeration System 00.100,000 BTU ❑ 100,000 BT System Repair/Alteration Fire Dampers Isue Fee R A.P. # l. S Main Buildi E T Front B Rear A C Right K Left S Ping. Ref. # Planning Notes: FEES P,utomatic Washer Construction Pole Sub. Cooking Unit _ Dishwasher Dryers ❑Gas ❑Electric ' Fan F.A.U. Fizture5 ' Device Boxes � � Outlets y_ — Z za�a ACCessory Building: ELECTFICAL Transformer ❑ 15�50 KW ❑ 50+KW Meter ❑up to 100 amps Meter �over100amps Sub Panel � � Motors �0-1 HP O7'r5-8 Inc.Solar �9-15 HP �16�15+ Microwave ' Pole Li9ht ' Range Garbage Disposal- Generator �0�5 KW �5�75 KW � Reinspection Fee � $15 � $ 3 DEVELOPMENTSERVICESRE�UIR 2oning Approved By FEES Building Approved By �� $ 3 Standing Sections Trash Compactor Issue Fee FEES N I N G R E � M T 5. SUMMARV OF FEES "' q BUILDING PEflM1T $ � T�• � SMIP $ • (, � •PLAN CHECK $ � PERMIT PLUMBING $ � - O ISSUANCE $ PLAN CHECK 25% $ �ENERGY P.C. $ �, ELECTRICAL $ J� • � GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ � PLAN CHECK 25% $ Vi v�i�l.'��'��.J.'�b.�.h T!� 1 ��1`E: Gai 14 �i ` T��r: C?,' yo .., y.. 1 I �CO�JSTRUETION AND PLANNING " " P� �` SPA' APPROVALS Permit�# ' Date Inspector p�ppROVALS r�aimit# Date Inspector 7. Temp4rary Electrical Service or Pole � 52. Pool & Equipment Location i: 2. Soil,Pipe-Undrgrnd. •� � � � 53. Steel Reinforcement � � ` � 3. Electrical Conduit UtilitY-Undrgrnd. �� 54. Forms ' . - �� 4'Electr,ical Conduit-Undrgrnd.' , 55. Electrical Bonding i, 5/Steel Reinforce'meni �� 56. Rough Plumbing & Pressure Test !.�� 6.. Elect;ical UFER Grnd. � ' 57. APPROVAL TO COVER-GUNITE � � r' '. > t.. - 7: Footings . '' 58. Electrical ConduirUndrgrnd. ' f. ^�- 8, Foundation � ' D - 59. Gas Pipe, � Undrgrnd., Test �; �' 1 � 9. Water' Pipe�Undrgrnd. � 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System i � r�- 61. APPROVAL TO DECK -�� 11.. Property Sewer Line & Hou'se Connection / u d.Q �,O �� 62. Backwash & Receptor-Final ~r) 12:Sewer,Cap ` ' '- 63. Hearer & Vent-Final " - i i 13. Roof Drains 1 ' �� " 64. Plumbing System -�inal � r� ,/�' 14. Rough Plumbing N�� !i� L� 65. Electrical-Final � �� 15. Rough Electrical-Conduit • 66. Solar System-Final y6. Rough Electric Wiring _ . Fencing & Access Approval 77i Rough Wiring Sign 68. APPROVEO FOR PLASTERING 18. Rough Electrical-T Bar Ceilin`g 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 OGas ❑Oil � 23.• Gas Pipe-Rough & Test r� � 7.2. Underground Flush '� 24: Roof Framing � 1 1 73. Undergrnd. Storage Tank O Gas ❑ Oil 25.,Roof Sheathing . 74. Overhead Hydro 26. T-Bai;Ceiling (StfucturaU &Monowat 75. Dry Chemical 27. Frame,and Flashing ', 76. Dry Standpipe 28. Lathing &�Siding � 11 J 77. FIXED SYSTEM FINAL �_. �� 29. Insulation _� �2 '� 78. FIRE PREV. FINAL 30. Drywall Nailing i! " b �� -^� � Q��' HEALTH DEPT. REQUIREMENT 31. Plaster'.Brown Coat '� i� . 4', f��' 79. FINAL INSPECTION 32. Electrical Power�Nleter-Final'� �,: 80: F OD CERTIFICATE ISSUED 33. Fina'I Electric ��" �� = 3 �� 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test � Z2�Yq i.f/q5� (/Rjrf-' OK [-cP,� �36. Hood or Canopy 37. Final Factory Fireplace g Vv - 0`� `�i (.v 38. Final Plumbing Z3 �, L 39. Water Service-Final� 40. Gas Service-Final � � 41. Solar pomestic-Final J � -' ; 42. Backflow Preventer , ;.: � ' � 43. Backflow Irrigation . � - . 44. LandscapeJrripationSystem , 45. Sound Attenuation . � ;,� -.- - � 46. Handicap Regulations _ •�., 47. FINALSTRUCTURE&BUILDING �l81J/ byi�- � �� G.� w�/ r 48. Special Requirements Completed 49. Electric Release to Ediso� � .' 50. Gas Release to Southern California Gas Co , � - � 51. CERTIFICATE OF OCCUPANCY � � � ' . No. Date �� - " � � i CITY OF COSTA MESA BUILDING OIVISION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section t9830, shall attach to such notice, end, as a contlition precedent to issuing a building permit, require the completion and require the return of, en owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been appfied for in your name and bearing your signature. Please complete a,� aturn this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No buiiding permit will be issued until this verification is received. 1. I F+ersonally plan to provide the m� labor and materials for construction of the pro- posed property improve�/p/'/qnt. �Yes ❑ No 2. I(have/have not) _��G,/a�- signed an application for a building permit for the proposed work. �� ^ 3. I have cc Name _ Address Phone ( with the toliowing person (firm) to provide the proposed construction: City Contractor's Lic. No. 4. I plan to provide portions ot the work, but 1 have hired the following person to coordinate, supervise and provide the major work: Name _ Address Phone ( City Contractor's Lic. No. 5. I will provide some of the work but I have contracted (hired) the following persons to pra vide the work indicated: Name Address Phone Type of Work I hereby attirm that 1 have received a copy of the information set forth in Section 19830 of the State ot Calitornia Health (nd Safety Code and have completed the above iniormation to the best ot my per- sonat knowledge (� ompliance wi 11is e la Signed: Date: lo � Z %— ��'/ Name: DENNIS �. BAR-T'ON (Printed or Type� C.D.L. M or S.S. k � 754-5273 � � AVOlicant to fill in all s0aces exeept t�ose witFin heavy EorGer Iines antl sign all apP�opriate tleelarotions. CITY OF COSTA MESA `CONS UCTII,O'N PERMIT �FRMIT N!1 TRACT NO. � IDT N(1 � inur un ProjectAddress �✓� �G` �/��D ST� � _ Applicant's Mai�lin7g�A�d�dr�ess ? .f ?.�.� Owne� ame L�� A• O�%%1N phone��yL/� Addros Ai-�%Eng. License No. Address Contractor's Nam Phone Address (mailing) City �icense No. LICENSED CONTRACTOR DECLARATION �� 1 he�b ' [hat I am licensetl untle� provi510n5 of �har _-t¢T9 (coTmencing wi[h sec[ion 7000) o rvsion t�e�B�eineSS�=antl_P[ofes�slons Code, antl my license is in full force a ett�� License Cla . License No. ^af� Si9nature �iKERS'COMPENSATION DECLARATION :eby affirm that I M1ave a certiticate of consent to self-insure or a certificate , Workers' Compensation Insurance, or a certifietl copy Nereot (Settion 3800, Lab. C.) ' Policy No. Company BCertilietl copy is �ereby (urnisnetl. - Certifietl mpy is flletl with the city BuilGing Division. Date Applicant EXEMPTION FROM W00.KER5' COMPENSATION DECLARATION (This section neetl not be completetl if [he permit is for one huntlretl ($100) ar less). I certiy that ln the pertormance of the w rk for which this perm�t Is issuetl, I shall not employ any person in any er so as [o b ome bjec o the worker C�mp n�a Laws of Calif ,� Date Si9nature NOTICE: If, after makmg tbis tleclar ion, you shoultl ec me subject to tne Workers' Compen5ation O�ovisions o( the Labor Code, y0u must torthwith comply wilh such p�ovisions or this pe�mit Shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCY I hereby aifirm that there is a construction lentling agency tor the performance of the work for which this permit is i5suetl (Section 309] Civ. C.) Lentler's Name Lentler's Atltlress OWNER BUILOER DECLARATION I hereby afiirm lhat I am exempt from the Contractor's License Law tor the f011owing reasOn (Section ]031.5 BUsines55ntl Prote55ional Cotle: Any ci[y or munly which �equires a p¢rmit lo cotlst�uct, dlter, Improve, tlemoli5h or �epai� any 5[ructure, p�io� to i[5 ISsuance, al5o rGquireSlhe ap0licant (or such pe�mit file a signetl statement that he/she is licensetl pu�suant to Ih¢ PrOvi5ion5 of Contractor's License Law (Chap[er 9_(�ommencinq with Section ]000) of ision 3 Of [he Business antl Prof85son5 Cotle) o� that he/she is exempt ..�erefrom antl the basis for the alleqatl exemption. Any violation of Section 7031.5 by any applicant tor a permit subjects Ne aoolicant to a civll �enalty of not more than five nuntlretl tlollars ($500). LJ I, as owner ot the property or mY employees with wa9es as their sole comp¢nsation, will tl0 Ihe work, antl the st�uctute is not intentletl or ott¢retl (or sale (Section 7044, Business anG Pro�essional Cotle: The Contractor's LicenSe Law tloes not dpO�Y t0 an owhe� of a property who builtls or improves lhereon, antl who tloes such wOrk himself/h¢r521f o� tn�ouqh his or he� own employees, provitletl tM1at Such improVements are not intentletl or offere0 for sale. If, however, [he builtlin9 O/ impYovement Is soltl within one ycar of com- pletion, the owner will have the burtlEn of proving he/she tlitl not bulltl or im- rov rtne purpose of sale). . as owner of the property, am e%�lusively mntracting with licensetl con- tractorsto construct the Oroject (Section 7044, Business antl Protessions Cotle: Tne Contractor's License Law tloes iiot apply to an owner of property who builtls or imoroves thereon. antl who contracts for such oroiects wlth a mn- tractor�s} license pursuanc ro tne Gontractor�s License Law). I am aware tnat �p�r,o/oi of their Worker's Comp�en,�s�a�ti�o/n �in�sjuyraynce shoula be providetl to me. LYI am exempl untler SectionLx-Z'-.F�-�'^�-- B. & P. C. for this re�son C�ryir --i=s•mm� � TYPE OFCONSTRUCTION L� NEW LViADD L�RCLTERATION IJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCfiIPTION OF WORK/USE OF BLDG. ,3 C4r 04 ✓�i Q TYPE OF PERMIT GRADING�� FOVNDATION STRUCTURAL ❑ TENANT ELECTRICAL L�1 PIUMBING ❑ MECHANICAL ❑ OTHER PRQIECT DESCRIPTION 5(2. FT. OCCUPANCV ' p CONSTRUCTIONTVPE � VALUATION$ IO7,sy�p� ZONE GRADINGCU.VOS. ACRES Rema� C � Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Drinking Fountains Floor Dreins . Floor Sinks Gas Service OuUets Interceptors ' Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee $15 Boiler �uct-UnderGround Duct - Structural Duct - Ventilating Ezhaust System ❑ Multiple ❑ FirepVFact. Blt. ICBO # � Heating System & Ducting ❑U700,000 BTU 0100,OOOBT Information is c e<L 1 a9ree to comPiy wnn au cny ana county orainances antl State laws e ting to builtling con5tr Ction, tl hereby authorize re0r¢- sentatives ot hi ciry to� ent p0 e entione0 property tor InSpection p p Signature / Dat � Orivers' L ense or 55 � einSpeRion Fee 0865-46, rev. 5/88 Wnite - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrod - Assessor $15 ! Showers Service Sink Sewer Cap Sewer Connection Solar Collectors $olar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service � Auto-Wash Issue Fae Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑o-ioo,000eTu ❑ioo,000eTu stem Repair/Alteration Fire Dampers Registers Issue Fee ...r. � —rotol - S Main Building: E `+'^� T Front -�•�y ARear � C Right � ) SLeft Ping. Ref. # QA _ Planning Notes: a — i� zo�a � Accessory Building: Z O N 1 N G R i Parking Req./Provided � E SPECIA . � M T S. i FEES Automatic Washer Construction PoleSub. Cooking Unit Dishwasher Dryers ❑Gas �Electric Fan - F,A,U. ' '�1 �Fixtures � DCVICE BO%CS ( Outlets Switch¢5 Garbage Disposal r Generetor �0-5 KW �5-15 ELECTRICAL Transformer ❑ 15-50 KW ❑ SO+KW Meter �up to 100 amps Meter ❑over100amps �'� � Reinspection Fee � $15 I $ 3 l DEVELOPMENTSERVICESREQUIR _ 2oning APProved By FEES Building Approved By�L 53 Sub Panel , . Motors 061 HP �1'h-8 " Inc.Solar 09-75 HP �16;15+ Microwave - • " Pole Light ' Range Sign Standing Sections Trash Compactor luue Fee , SUMMARVOF �BUILDING PERMIT $ rZ( - �U PLAN CHECK $ " PLUMBING $ S. r7O PLAN CHECK 25% $ — ELECTRICAL $ .37• SD PLAN CHECK 50% $� MECHANICAL $ PLAN CHECK 25% $ FEES $ SMIP $ .�s PERMIT ISSUANCE $ ENERGV P.C. $ GRADING $ MICROFILM $ TOTAL FEE $ �69. Zs �+ Gooazsis-cno?+_s?i ia s-s- ,r=.: :, DGT�. Y2/12/58 i?flE� ?;:;° CONSTR�CTION AND PLANNING P� & SPA , ., APPROVAiS Permit# ' � Date Inspector qppROVALS �Permit# - Date Inspector 1. Temporary Electrical Service or Pole � 52. Pool & Equipment L'ocation �- 2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement ' i� 3. Electricai Conduit Utility-Undrgrnd. 54. Forms . ' � 4. Electrical Conduit-,Undrgrnd.. 55. Electrical Bonding � ' 5�,�Steel f{einforcement : 56. Rough Plumbing & Pressure Test � �: � . r•. 6.. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE ' �� ,�� Z.�.Footi �gs 58. Electrical Conduit-Undrgrnd. „ ;' 8. Found'ation ; � 59. Gas Pipe, O Undrgrnd., Test �, �� I' �" ..�i`. • 9.�' Water �bipe-Undrgrnd. • 60. Backwash Lines, P-Trap, O Undrgrnd. � �'�� , 10. Structural Floor System �. , 61. APPROVAL TO DECK 11. �Property Sewer Line & House Connection .'� 62. Backwash & Receptor-Final � 12. Sewer ap ; 63. Heater & Vent-Final �'� � • . 13. Roof�Drains • 64. Plumbing System - Final ' � + ,i 14. Rougli;Plumbing 65. Electrica6Final �' � 15. Rough Electrical-Conduit 66. Solar System-Final , 16.� Rough Electric Wiring a B " 67. Fencing & Access Approval � ' 1.7.. Rough Wiring Sign 68. APPROVED FOR PIASTERING �: 18. Rough Electrical-T Bar Ceilirig" � 69. POOL/SPA SYSTEMS FINAL ' 19. •.Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.. Rough Factory Fireplace t; APPROVALS Permit # 2,1.�,Ducts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating �. 1�� 71. Product Piping O Gas ❑ Oil . 23rGas Pipe-Rough &iT.es`t ��} 72. Underground Flush . ' . . 24., Roof Framing '� ; , 73. Undergrnd. Storage Tank O Gas ❑ Oil , 25. Roof Sheathing �' 74. Overhead Hydro 26^T-BarlC�iling (Strucwral) & Monocoat 75. Dry Chemical � 27<,'F�ame�andFlashing ` �� (p �C� 76. DryStandpipe 28.� Lathini & Siding i� �� 0 77. FIXED SYSTEM FINAL 29. Insulation� �:: 78. FIRE PREV. FINAL 30. Drywall Nailing �' '7 j �0 � �,p p HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat� :� '°� b+� � �� 79. FINAL INSPECTION � 32. Electrical Power Mefer-Final �� 80. OOD CERTIFICATE ISSUED 33. Final Electric . � Z es: � 34. Final Heating & Air Conditioning � �',¢.�LD FOR SPECI F,'R^1A' �� i 35. Final Gas Pipe-Test �23 /,('r (�W � ��Z $ 6�/' 36. Hood or Canopy c.� �� Qo �`�,.,._Q ,L.,,,_t ��_ 37. Final Factory Fireplace � 38. Final Plumbing ' � 39. Water Service-Final � � 40. Gas Service-Final , _ , 41. Solar pomestic-Final I �. , . 42. Backflow Preventer , � �� . , �.i ' t: 43. Backflow Irrigation � , , 44. Landscape Irrigation System � ' � 45. Sound Attenuation� �,� . 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING /„ Q �t u 48. Special Requirements Completed �/ 49. Electrie Release to Edison 50. Gas Release to Southern California Gas Co .. 51. CERTIFICATE OF OCCUPANCY ` • .� No. Date (� • r• ORANGE COUNTY BUILDING DEPARTMENT 636 North Broadway ' ' ' ' ' SANTA ANA, CALIFORNIA FOR APPLIC%NT TO FILL IN SCHOOL DIST, COBLg MBE OR TOWN c"Ro"ss sT. Republio OWNER LHOCTAN HOMES� IN ADORes59�63 WIISHIRE BLV cirr BEVERLY HILlS ARCHITECT�R � .. .. ADDRE559q63 wi�sHiRe LEGAL DESCRIPTION LOT NO. IATTACM METES 8 BOUND51 TRACT TEL. CR NO. TEL. R No. SY. TEL. NO. Bev.Hi��s SIZE`OF LOT �GOO SQ.FT. I NOW ON LOT O USE OF NO. OF NO. OF EXISTING BLDG. I F�v.i�iea ROOMS DESCRIPTION OF WORK NEW I X I ALTERATION I I ADDITION I REPAIR I I MOVING I I OEMOLISH I BUILDING NO. OF SIZE ROOMS � STOCRIES p� COVERING STUCCO I COVERING SHjNGLES useoF New RESIDENCE BUILDING _ Q}} _ (�eTnAr} I HEREBY ACKNOWLE'JGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF PERMITTE AUTHOftIZED AG a 5902. oo P. �. : 3— FEE )h= f f VALUATION � .N 11.,' FEE APPLICATION. FOR PERMIT � �lJ1LDI1dG FOR OFFICE USE ONLY � RECEIPT NO. PERmIT NO. 3.�� Si8 6 z EY DATE OF APPL. DATE ISSI�ED ��). �J NOV 5 1353 NEAREST LVIVL IVV! 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