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Home My WebLink About2292 ELDEN AVE - Building Permitse , (714) 754-5273 • Faz (714) �54-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 �ob/+ddress: 2292 ELDENAV Suite No Vicinity: Parcel Number: 42606425 Applicant COOTER, LYLE Address: MECHANICAL PERMIT Phone: 2ip: owner: GREMENGER, DAVID Address: 2292 ELDEN AVE Phone: 378-4246 COSTA MESA, CA Zip: 92627 Contrector: ALLIANCE MECHANICAL HEATING 8 PJC Address: 638 SOUTHERN AV ORANGE,CA Phone: 7149210596 Zip: 92865 License: 726653 SCOPE OF PERMIT REPLACE FURNACE IN EXISITING DWELLING. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU RepairlAlt Cooling/Heat Inst / Rep. Recess Wall Htr Retrig Sys <100 k BTU Refrig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Ven[ Fan / Single Duct Appliance Fire Dampers � Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $14.80 $0.00 $0.00 $o.00 $0.00 so.00 50.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 Quantity 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Status: ISSUED Applied: 07/18/2001 Issued: 07/18/2001 ISSUED BY: � .. j Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercial I ncinerator Domeslic Incinerator Compressors I Absorption Systems Upto3hp/100kBTU 3To15hp/500kBTU 15 TO 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750.BTU Boilers Up l0 3 hp 3To15hp 15 to 30 hp 30 to 50 hp Over 50 hp Other Mechaniwl Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 $0.00 $0.00 538.30 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapections and final approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 xae6e616m) WORKERS'COMPENSAnON DECLARAnON: I hereby aRirm under penelry of perjury one of the followinq declarations: ❑ I have end will meinlain e certilicate oi Consent to self-Insure tor workers' compensatlon, es provided (or by seclian 3700 Of ihe Lebor Cotle, tor lhe pertortnance of ihe wo�lc for which Ihis permlt is IsSuetl. ❑ I have an0 will mainWin workers' crompensation insurance, as requiretl �y section 3700 of the Le�or Cotle, for ihe perfortnance of ihe work for which I�Is pertnit is issuetl. My warkers' compensetlon I urencepgr{i � entl poli number ere: �-�J � /y� Carrier: � f( � Policy Number. , �J I)C �� Fj � �p ��' (Thls sectlon need nof be complefed 1/ fhe permit /s velued ef one hundred dollers ($100) or IessJ ❑ I cenity thet in the peAormance of the work for which this permit is issued, I shell not employ eny person in any menner so es to become subjact to the workers' compensatlon laws ol Celifornle, entl agree thet if 1 should become subject to the workers' compansatlon provislons ol Sectlon 3700 of the Lebor Code, I shell farthwith comply with t�ese pmNsions. � � �' �/ AppllcantSignature: ��,� Date: �� WARNINQ: FAI WRE TO SECURE WORNERS' COMPENSAiION COVEfiAGE IS UNLAWFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINPL PENALTIES AND dVIL FINES UP TO IXJE HUNDRED T1qU5AND OdlARE (5100.000�, IN ADDfTION TO THE CQST OF COMPENSATIIXJ, OAMAGES AS P/iOVIDE� FOR IN SECTIIXJ 31O60F THE UBOR WDE, INiEREST, AND AITORNEI"S FEES. �, LICENSED CONTRACTORS DECLAFATION: 1 hereby ettirm Ihat I em Iicensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of the BuSiness antl�essions Code, and my license is in full larce end aHact. Lic. N Class N �`� GontrectoYs Signature: � _/� _ Dete: '� ) � -"L-�d7 CONSTRUCTON LENDING AGENCV: �� ❑ I hereby aHirm that there is e construction lending agency br the pedormance of the work tor which this pertnit is issuetl. (Sec. 3097, Civil Coda). ILendefs Neme: Lentler's AAtlress: � SigneWre: Date: OWNER-BUILDER DECLARATIONS: I �ereby eNirtn thet untl�p elry ot per�ury Ihai I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business entl Professions Cotle: Any ciy or coun�h requires e pertnit to wnsiruct, elter, improve, demolish, or repeir eny struc�ure, prior to its issuance, also requires the epplicant tor such permit to file e signed statemeriR�lBt he or she Is licensed pursuam to the provisions ot Ne CoNrectors License Lew (C�epter 9(commencing with Section 7000) of DlNslon 3 ot the Business and Protessions Code) or that he or she is e:empt therelrom end the basis for t�e elleged exemption. Any vlolation af Seqion 7037.5 by any epplicflnt tor e pertr+' sublecis I�e applicant to e civil penelry oi not more than fiva huntlretl tlollars ($500).): ❑ I, as owner of the pro0erty, or my employees with weges as iheir sole compensetion, WILL DO THE WORK, and ihe sWCWre Is not intended or oHered for sale (Sec. 7044, 8usiness antl Professions Cotle: The Con�ractors License Law does not epply to an owner of propeny who builtls or improves �hereon, end who tloes such work himselt o� hersel( or ihrough his or her own �employees, provided thet such improvemenis ere not Imendetl or oNered for sele. If, however, Ihe building or Impmvement is sold within one year of comple�ioq Ihe owner-builtler will heve ihe burden of proving thet he or she did not tuild or impmve tor purpose oi sala.). ❑ I, e5 owner oi the property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS Io construct the project (Sec. 7044, Business antl Professions Cotle: Tha comrectars Llcensa Lew does not apply to en owner of propeny who 6ulltls or Impmves Ihereon, ena who comracts tor such project with e contractor(s) license pursuent to the Comrectors License Laws.). ❑ I am exempt untler sec. Business and Professions Coda br this reason: Signeture: Date: Owner ID verifietl by tlriveYs license. ❑ Ves ❑ No Onver'S LitenSa No. Vedfication of Ownership by (rype ot tlaumeni, i.e. � properry ta�c bill or deed): E:pires: DIVISION OF INOUSTRIAL SAFETY PERMR CER7IFICATION: ❑ I hereby certify ihat no azcavation five (5) or more feet in tlepth into which a person Is required to tlescentl, will be made in connection with work authorized by this permit, antl ihat no builtling siructure, scallolding, talsework, or demoli�ion or dismentling ihereof, will be more than thirty-si: (36) feet hig�. (Chep. 32, Grp 2, Ar12, Sec. 341, Title 8, California Atlministrative Code). ❑ As owneabuilder, I will not employ anyone to do work which would require e parmit trom the Division ot Industrial Sefery, es noted above, unleu such pereon hes e permit to tlo such work Irom the tlivision. Signature: Data: Division of Induslnal Sefety Pertnit Number. CERTIFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTAY: I certify under penelty of perjury thet I have read this epplication and state ihat the infortnation given is correct. I egree �o comply with ell stete lews end ciry ordinances releting to building constructlon, end aNhodze representatives of the Ciry of Coste Mesa to anter upon ihe ebove-described property for inspection purposes. I egree not to occupy or allow occupency of eny building authorized by Ihis permit uMil final inspection. COOE I. INSPELTIONTYVE 1616 Fixed System Final Fire Prevention 1268 Pool Spa Finel 200 Finel Re-Roo� 201 Final Block/Retelnlnp Well 202 203 204 Final Factory Fire Place Final Sign Finel Demolition �% / t%--�v Date A1� �MRIRLS CODEI INSPECTIONTYPE 206 Final Mechanicel 208 Final Plumbing 270 Final Electncal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupanty ]�9-09�Y d1��z . � Costa Mesa �3'.SZ.9'C�w..a� . ,�c,�,�,,,� �'-R^,�" 7_ g- a � CITY OF COSTA MESA INSPECTION REQUEST SUMMARY Address Permlt Tyae Sub Twe Descri�don ... . � R . � ^ . . . _ . . r� �. I -00 SO $ i-oo380 I-oo�tsa � � � �� — cx� � `t B . ` . - _ - `� - � . ..\. �ir�� s� ��- �� 1� . • , NN �ll . - � t � 0 11►N 6 , 1 � i e Or 1 � � r �� ' � � � � � �� Y � r / ' � _" \ _ PPOJECT p00flE55: ',�, � �'l E.T,,1 ��}�}r 5/�� OWNEWSNAME: {j`]d pr',� �JEV�LV�EMENT ae„eess: q�50 VON KARMEN #100 �' NH CA 92660 � 30 uxiT: 25078 .�/ ABCHIENGINEEfl: flEG.NO.: 1S� �WO aooness: uxir: 754- ��GS veaminee: V. N, E. DEVELOPEMEN3 ( 714 ) 250-7830 aooxess: 4350 VON KARMEN 100 NH CA 92660 LICENSEU CONTPPCTOP DECIABATION: I �ereEy aifirm IAat I am licensetl unCer pmNsions o� C�aD�er 9 �commencinp wit� Section 7000� ol Div��sinn 3 of �he Business antl Pmiessions Cotle, antl my license is in lull lorce antl ellecl. CITY LIC.: $TRYE LIC.: CN55: �a�e: Signaiure: � WONNEPS' COMPENSRTION oECIABpTION: I hereby affirm Inat I haue a cenilitate al cansent to selbinsure or a cenificate af Workers' CamDensation Insurance. or a cenihetl coDY �hereol �Section 3800, Lab. C�. �POUCY NO.: EXP. OATE: � COMPRNY: ❑ CeOilietl Copy is �ereby �umi5�ed. ❑ Ceni�ietl copy is IileG with �he ciry Building �ivision. Oare: � pOP��anc - E%EMPTION fBOM WONREBS' COMPENSpnON OEClAf1AT10N: (iNs Seciion nee0 nol be tanpleleU il ihe pttmi i5 �ar me hunGr¢G �5100) or kss�. I ceNty I�al in ��e perlormance ol �he work lor whic� �his permil is i55ueQ I SAall no� emDloy any Oerson in any manner so as to �ecome sublecl lo �he Warkers' Campensation Laws�of Calilornia.� _ Oaie: SignaNre: NOTICE: II, aller making Ihis tlCGlaralion, y0V ShoUIC-9ecame Subjet� Io Ihe Workers' Compensa�ion pmvisions ol �he LaGor COtle. y0u mus� lorthwil� complY'M�h'Such pmvisions ar this permit S�all be tleemetl revokeU. CONSiBUCTION LEN�ING AGENCY: I hereby aflirm inal Ihere is a consVuction lending agency lor ihe pedormance ol the wOB tor which t�is permil is issuetl (Sec�ion 9097. Crv. C�. ^ � LENOEfl: aoosess: OWNEB BUILOEfl OEQAflATION: I �ereCy allirm thal I am exempt imm I�e Contraclars' State License Law for the I011ovnnA �eason (Sec�ion 7031.5 Business an0 Prolessional CoCe: Fny cily ol counry which reQuires a D¢rmii lo con5iruct, alier, impmv2. Eemalis�, ar repair any stmclure, prior Io iis issuance, alsa requves ihe aDPlicani for such Dermit to �ile a signeG stat¢menf t�at �¢/she is licensetl pursuanl �o Ihe pmvisions a� Ihe Comracmrs' Sta�e License Law (C�apier 9(commencing with Sec�ion 7000) oi �ivision 3 ot Ihe Business and Piofes5ions Cotle) or Ihal helshe is exempt iherelmm and ihe basis Ior Ine alleged ecemD�ion. Any violation af Section 703L5 �y any apDlicam lor a permit subjecis Ipe applicant �o a civil penal�y ol not more �han five hunAretl tlollars (5500�. I, ai owner o� ��e pwOe�Y or my employees wilh wages as Iheir sale compensa�ion. will Uo Ihe work, and �he �� svucmre is not intentletl or opered for ule ISec�wn 7044.8usiness anU Pmiesvonal CaUe: TAe Contracmrs' Staie license Law does nm appty io an owner o� a D�oDeny who huilas or impmves t�ereon, and w�o Oces suc� work himsell/herself or tArouAh his or ner own employees. Diovitled Nat such impmvemenis are not imendea or otterea lor sale. II, however Ihe building or improvemeni is sold wi�hin one year o� comple�ion. Ihe owner will have Ihe burtlen o� pmving �elshe tlitl not 6uiltl or imD�ove lor t�e purpose af sale�. I. as owner ol t�e propeny, am exclusively coniracting with IicenseE contractors to consiNcl ihe Dmject (Section 7044, Business � anE Prolessions Cotle: T�e fAnlractors' State license Law Ooes not aOVly lo an owner af pmperty who �mlds m imprmes t�erean antl who tanUattS tor 5uth projett5 with a tanVatlOr�s�litense OUrSUan� Io Ih¢ ConlrattOrs' Stat¢ LiCense Law�.l am aware Ihal pr0oi oliheir WorkeYs Gompensaiion insurante S�oWA �e D�OdO¢0 Io me. � I am ezempi under Semion: B. 8 P. C. lor Ihis reason(: � �aie._j— _1 — � � Ownec I ao hereey cenify Ihat I am aware ol ana unOeRtana ine requirements af Caldam ' � antl $aleiy Cotle Settions 25505, 25533, anA 25534 an0 thal I or any �uWre builQing occupanl wlll/will nol (ciRle one) neeE t0 ComON �'^t� 5ai0 51aie coJes antl IhE reQuiremen�s for a permil lor conslmclian or maadicatian Irom Ihe Fir DualAy Managemenl Oisirict. flesidenlial conslmclion aDPlications are exempt Imm lhe5e Omvisions, Daie: Npplicani: I here0y cenily Ilui I have reaC IN5 apVlica�ion antl Slale I�at Ihe a0ove inlormaiion i, correci. I agree to camplY vnih all ciry ana wunry or�inancesantlstalelavrsrelalingmbUilaingwns�mcliwanGhere�yamlwnzerepr e aliveso(�'�T+ oenleruponi�eabove-men�iwea pmperly lor nspeo n pwposes � \. Oa�e' � r � � Signature: y orivers�icensea�sociaisecwitya: i6a��a6 WM1ile—Builmng: Green—�e Enlorcemmt: Canary—ApDlicanl; Pink—flevenue; GOldenro0—Pssessor �. . ._�-��- � CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 050513 PERMIT NO; H 050513 PLAN CAECK NO; 00181-91 A GOVT; N SUPP: N CONSTRUCTION TYPE; V-N PfiRMIT TYPE: STR PURPOSE: NEW JOH DESCRZPTION ; NEW ScD SQ FT; 2,75� CLAIM VALUE: 100,000.00 CALC-�VALUE: ` 167,347,00 GROUP OCC: R-3 / COMMENTS: NHW SFD *x �**�*��*�c***+�*�x***�**�***�t*�t-��*�t*�*****�t*x�x�*x* x*****a��r*+�+�*****�c**M xx+t*�*** Z O N I N G R E Q U I R E M E N T S s� T a a c x s HOLD FOR SPECIAL REQUIRE,MENTS ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING -------=- FRNT; 14 FT IN REAR; 10 FT IN FRNT: FT IN REAR; FT IN LEFT: 5 FT ZN RGHT: 12 FT 6 IN I.EFT: FT IN RGHT: FT IN PARKING REQ• 2 PROV; 2 PARCEI.; A7.606402 2NE: R2 REF NO: DR-90-24A PLANNING Ni5TE5> i CONDO. OF A 2 UNTT PROJECT. 2ND UNIT AT 151 23RD ST, i > GUEST PKING SPACE ALSO PROV. 23RD ST CONSIDERED FRT. UF SISE if iF if iF If �F iE iE iE if dE iE i!� if �E �1(-1f iE iFiE iE �If 1E 1E iF iE iE if iE IE jEiE iE iE dE if iFiE iE 1F iE -IF iE iE ��!(� df iE iE�M k-1E 3f if iE iE iE dE iE jf if 1f iE 9E �F if 9f 3F If 3E if if if iE �f iE iE jE dF D E V E L O P M E N T S E R,V Z• C E.;$ '�R E Q U I R E M E N,�_f S' ZONING APPROVED BY �L/��j � ' DATE; BUILDING APPROVED BY ; � _ DATE: � APPLICATION ISSUED � DATE: �c�1��1�1�� F1E�E�ififiE�)EiEiEif3EiEiEiEiEiFiE# �f�iEif�lFif�IfiEifdf�(� iFdf �FifiEiFiEif��l(�if�Iflf�)fifif�ifdElFiE�1E�7Eifi(�iF�IE iEifiF�if�EiF•1E;�iFd ifiE�lE*3F��dE�1F3fifdEifdFiEiF#iE#iEiE4f�if�7fiE�lf�Jf-0FiEdFdE�1f#dEd6dfdfdEdFiE LEGALIZATION:N F E;'E U M M_ R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELE('�'AIC MECHAN C FIRE SMIP/RHS GRADING PERMIT 877.50 11.71 SMIP/NON-RES PLRN 142.60 ISSUE FEE BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 889,21 0.00 142.60 1031,81 1031.81 ,00 REVENUE DIVISIUN TOTALS--> COiLECT.ED; 1031,81 OVER/SAORT: 00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN-CHECK 877.50 11,71 142,60 if 9'r 1f if 3F if �k iE iE iE iE iF 1F iF iFlf !E 3f 3F �E b K 3f iF IE 3f if if iE iE jE iE iE if �f iF if %� if iE aE IP IF iF if �E if 3E if )f IE If iE # if iF iE 3f iE iF fE if �lE if i(� �E if iE jf 3E iF iE iE iE iE iE iE iE �k I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 2315 DWE-TYPE V-WOOD FRAME -GOOD 69.00 159,735.00 SFR 440 RES-GARAGES TYPE V 17.30 7,612,00 END OF FEES Ql GOD77F_.�'-�CGi%6?` lrc:�? _.�t.i: �JATc: O1/D9191 TIrie": i5:h4 � . CONSTRUCTION AND PLANNIN� P�& SPA . APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. �i\�nporary Electrical Service or Pole 52. Pool & Equipment Location l+ 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility�Undrgrnd. 54. Forms � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' 5..Stee1 Reinforcement .. 0-Gi �pW� 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. !p� �/�p: 57. APPROVAL TO COVER�GUNITE 7. Footings ► t� 6�./� 58. Electrical ConduirUndrgmd. ' 8. �Founda[ion f `-<S 6�. 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10..5tructural 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 74. Rough Plumbing 65. Electrical�Final 75. Rough Elecviwl-Conduit 66. Solar System-Final 16. Rough Elecfric Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REnUIREMENT 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. UndergrounA Flush ;� 24: RoofFraming �73. Undergrnd:StorageTankOGas OOiI- 25. Roof Sheathing , . ' _ 74, Overhead Hydro . �� 26.�T-Bar Ceiling IStructural) & Monocoat • 75. Dry Chemical 27. Frame and Flashing� , • J6. Dry Standpipe ' � ` 28. Lathing & Siding _ ' 77. FIXED SYSTEM FINAL ' � 29. Insulation �� ,:�� 7$, FIRE PREV. FINAL •- ._ . ,i� , 30. Drywall Nailing • :�. -��j � HEALTH DEPTt REQUIREMENT : �i ' �31. Plaster Brown Coat � G;� ,-? ��l. 79. FINAL INSPECTION 32. Electrical Power Meter-Final � 0.-FOOD CEFTIFICATE ISSUED 33. Final Electric . - i ��; i�:, rvoies:�HOLD FOR $PECIAL REQUIREMENTS �34. Final Heating & Air Conditioning ua � '-'� �� 35.'Final Gas Pipe�Test � /•� e� - fs'ry. r 36. Hood or Canopy , ' ; "� t �� 37.-Final Factory Fireplace G Z, , G�,�% , 38. �Final Plumbing � ��p R{ 6R� - - � 39. Water Service�Final ' �, �a ' , 40. Gas Service-Final , (r'u I�� . � i '41. Solar pomesticFinal � � �' i' � � 42. �Backflow Preventer � � j. . - 43. Backflow Irrigation ' � , 44. Landscape Irripation System, . � • �45. Sound Attenuation � ' ' � �46. Handicap Regulations ' � � 47.�FINAL STRUCTURE & BUfLDING .��--q' � �� • ' ' _ 48. FINALPLANNING e � 7-6'-�� ' 49.. Electric Release to Edis n� i I��_ v- � � ' 50. Gas Releaseto Southern CaliforniaGasCo' -. 51. CER.TIFICATE OF OCCUPANCY -. No. Date aectaooeEss: z z 9 2 ELDEN AV awxeRsname: V,N,E. DEVELOPEMENT �AODHESS: Q3SO VON KARMEN #100 NB CA 92660 2507830 APLH/ENCINEEfl: ROOflESS: BEG.NO.: UNIT: I1NIT: PERmiTTEE: V. N. E. DEVELOPEMENT ( 71 4) 250-7830 nooness: 4350 VON KARMEN 100 NH CA 92660 uLENSEO CONTBACT08 oECIAXATION: I he�eby a11um tnat I am licensetl under pmvisions ol Cnapter 9(cammencing with Section 7000� oi Dihson 3 of ��e Business and Pmiessions Cotle. ana my license is in �ull torce antl elleci. CITY LIC.: STATE LIC.: CNSS: �aie'. SignaWre'. WONHEFS' CDMPENSRTION UECLABRTION: I hereby aflirm �hat I �ave a cenilica�e o� consen� to selbinsure or a ceni�icate o� Workers' Compensalion Insurance, or a cenifie0 copy Ihereol (Semion 3800, LaD. C�. iLICY NO.: E%P. OAiE: 'OMPPNY: I� Cenilie0 coDY is AereOy lumis�etl. ❑ Cenilie0 copY is litetl with t�e city Building Oivision. Date'. ApplicanL EI(EMPTION FNOM WOPKEHS' COMPENSATION OECIAHATION: Qhis sec�ian need noi he tompl¢Ie0 il l�e permil is lor one �unOreO (5100� or 1¢ss). I cenily ihat in Ine oetlormance of ihe work lor wnich inis permit is issue0, I snall not employ any person in any manner so as lo became Su�lett lo Ihe Work¢rs' Compensation laws 01 Califomia. Oate: Signaiure: NOTICE: II. a�t¢r makinp Ihis tleclarati0n. you ShoNe become subj¢tl to Ihe WaAeK Campen5ali0n pmvision5 oi I�e La6or Cotle. you musl fonnwiln comply vnln sucn o«sions or ihis permit snall be Oeemee revokea. CONSTBUCTION LEN�ING FGENCY: I Aere�y allirm t�al there is a conslruction lending aAency far I�e pertormant¢ ol lhe wark for w�icA Ihis permit i5 i5sue0 (Seclion 3W7. Civ. C�. LENDEN: ROOflESS: OWNEN BUIIUEB OECIAflATION: I here6y allirm �hat I am exempl Iwm �he Contracrors' Slaie Littnse �aw lar t�e tollovring reason (Seciion 7031.5 Business anA Pwfessianal Cotle: Any city oi county whicA repuires a permit b Conslmci, alter, impmve. tlemolis�, ar repair any simcWre. prior lo ils issuance. also revuires Ine aDPlicant for suth permit lo lile a sipned slalement Ihat helshe is Iicense0 pursuant lo Ihe pmvisions of I�e Comramors' Slate License Law (Chapter 9(commencing with Section 7000) of Division 3 0l lhe Business ana Pml¢ssions Cotle) or IM1at helshe is exempi Iherelmm and the basis for Ihe alleged eKemp�ion. Any violation ol Semion 7031.5 by any apPlican�lor a permil 5u01e��5 the applicanl lo a civil penalty ol no� more t�an �ive hun4�e0 dollars ($500�. I. as owner ol Ne pwpetly or my employees with wages as tAeir sole compensalion, will Uo ihe work, anA the � s�mcWre is not intenUeA o� offereA lor saie (Section 70aa, Business an0 Pmfessional COEe: iAe Coniractars' Sla�e License Law aoes noi apply to an awner ol a O�oDeny wfw 6uiltls or impmves thereon, anU wha tloes such work himseli/herself or thmup� �is or her own employees, pmvidee t�ai suc� improvements are nm intended m olferetl lor sale. Ii, however the 6uiltling or impmvement is soltl within one year of completion. Ihe owner will have the burden ol provinA �e/she tlie not bmld or impmve �ar Ihe purpose ol sale�. I. as owner ol Ihe pmpetly, am exclusively contracting with Iicense0 contrac�ors to tons�mcl �he Dmlec� (Sec�ion 7044, Business � antl Prolessions Cotle: The Coniraclors' Slate License Law Ooes not apply �o an owner o� pmDerty who builtls o� impmves ihereon and wha conlracls lor such pmle��s wiih a contractoqs�license Dursuan� to the Conirac�Ors' S�ale LiCense Law�. I am aware Ihat pmol ol Iheir Worker's Compensalion insurance shoWa Oe pwvitletl to me. � I am exemp� under Seclian: 8. 8 P. C. lor I�is reason: Date: Ownec I tlo nereby cenily tnat I am aware of anA unAerstana the requirements ol Calilomia Heallh and Safety fAtle Sections 25505, 25533, antl 2553d antl ihal I or any Wlme �uiltling occupani vnlVvnll nat (ci¢le one� neetl b comply vAth SaiG Slale coEes an0 ��e repuirement5 tor a Oermii lor consimc�ion o� �wdilication imm Ihe Air Ouahry Managemeni USVitl. Resitlential cOnSimttion aOGlicaiion5 are e�emp� imm �nue o�ovisians. Da1C: ApplitanC I Aereby ceritly ihal I �ave reatl i�is aDPlication antl slale ihat t�e a�ove inbrmalion is correct. 1 aAree lo comply wilh all ciry an0 county ortlinan[es antl stale laws relaling lo �uiltlinp consimclion ana hereby aui�or¢e re0�esenlaiives o� �Ais ciry lo ¢n�er upon Ihe above�meniionea o�opetly lor inspeclion ourposes. Dale: Signalure: Oriver's �rtense or Saciai Seturiiy ro: t64i�C6 While—Bmltlmg: Green—Code EnlorcemenL Canary—AOolicanL Rnk—Revenua: Golaenmtl—Assessor CITY OF COSTA MESA — HUILDING FERMIT PERM NO: EMP 05051 PERMIT NO: EMP 050518 PLAN CHECK NO: N GOVT: N SUPP: N C013STRUCTION TYPE: V—N PERMIT TYFE: ELE MEC PLU PURPOSE: NEW JOH DESCRIPTION ; NEW SFD SQ FT: CLAIM VALUE: CALC—VALUfi: GROUP OCC; R-3 / COMMENTS: REF H50513 **��*x��*��**+��****�**�*�***�e�xx*�**x***x�****�*x*�*��*�**+rx**�c�*�****�*x�r Z O N I N GS ERTEB�AUCIKASE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------- FRNT: FT IN R£AR: FT IN FRN7': FT IN REAR; F'T' IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGH't: fi'C I1� PARKING REQ• PAOV: PARCEL; 42606402 ZNE: REF NO: PLANNING Nt5TE5> i �r�+��*�*****�rx************�**x*�r*��***�r************�*x��**��*�x�*�**�*�*x�**�x�� D E V E L O P M E N T S E R V Z C E S R E Q U I R E M E N T S ZONING APPROVED BY . DATE: BUILDING APPROVED BY : APPLI�_ATIDN ISSUED B *��s�x,:sxr.��.�s*xs if aE iF iE 3f iE iL iE iE iE 1E fF 1f !E iE iE fE !E 1f 1E LEGALIZATION:N gJt)C t�M!�t PERMIT PLAN ISSUE FEE BUILDING—DIV—> TOTALS----> REVENUE DIVISI BLDG PMT F E E 5 f'tIr! :43t�� si 3.00 PERMIT ISSUE 170.78 33.00 DATE: DATB: U� ifiElFlFiFiE3ElFif?f Ikif � iEffN�fFifiklElflElEiElflEiEiEiEif3EiFN1E3FiElf�EitlEitifiElF�FfFlEIEiF1E M M A R Y STRUCTURAL SEGMENT:N '��4��Z`S ti:�k Si�ifl'�?i=`S G?��.7:1ING 1�`OY '�St SMIP/NON—RES �� IS.�� PLAN—CHECK TOTAL PAID DUE 0.00 203,78 203.78 ,00 ON TOTALS--> COLLECTE:D: 203.78 OVER/SHORT: 00 PLUMBSNG ELECTRIC MECRANIC FIRE SMIP/TOT GRADING FLAN—CHECK 45.50 96.03 62,25 jf 3E if �F if -l6 if 3F iF iE )E iF iF ik iF iF iF i6 iF iF 1E if iF % IE IF iE iE 3f iE iE jf iF if 3f if if !f 3Fi(� �f if if 3F IF �E if jE iE 3F iF IF If lf ff jf !F iE if iE iF If iF �E �F 3E af iP IF �F 3F 3E If� �F 1E ik if If if 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 2315 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT 03 81,03 MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9,00 9,00 MEC 1 GAS PIPZNG SYS 1— 4 OUTLETS 3.00 3,00 MEC 3 GAS PIPING SYS 5+ OUTLETS PER OUTLET .75 2.25 MEC 3 FACTORY FIREPLACE 6.50 19,50 MEC 3 VENTILATION FAN CONN TO SINGLE DUCT 4,50 13,50 PLU 1 DISHWASHER oi oa��tpp-;LO77d39 �c��" z'��?,)E PLU 1 SHOWER dRTEP 2��0'0`�� E� S6�f: Z;00 PLU 1 SINK, BAR 2.00 2,00 PLU 1 SINK, KITCHEN 2,00 2.00 , - ' CONSTRUCTION AND PLANNING � . & SPA . APPROVALS Permit # Date Inspector qppROVAIS Permit # Date Inspector . 1. Temporary Eiectriwl Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcemen[ 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. 10. Structural Floor System 67. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. 8ackwash & Receptor�Final 72. Sewer Cap 63. Heater & Vent-Final 13. floof Drains � 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electriwl�Conduit 66. Solar SYstem-Final i 6. Rough Electric Wirin� 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Alr Conditioning FIRE DEPT. REQUIREMENT � . - y 20.•Rough Factocy Fireplace •' ' . APPROVALS Permit# � • - 21. Ducts, in Structure .� • - 70. Underground Hydro 22. Ducts, Ventilating � _ 71. Product Pipin9 O Gas ❑ Oil 23. Gas Pipe�Rouqh & Test � , 72. Underground Flush . 24. Roof Framing �73. Undergrnd. Storage Tank O Gas ❑ Oil �� 25. Roof Sheathing " � 74. Overhead Hydro . 26. T-Bar Ceiling (Stcuctu�al) & Monocoat 75. Dry Chemical . �� .. 27. Frame and Flashin9. � . 76. Dry Standpipe _` ' � 28. Lathing�& Siding �•. � 77. FIXED SYSTEM FINAI:� ' 29. Insulation � ' � ` � � . � , 76: FIRE PREV. FINAL 30. Drywall Nailing • I '` . HEALTH�DEPT. REQUIREMENT 37. Plaster Brown Coat ., � �. �. 79. FINAL`INSPECTION � � 32. Electrical Power MetarPinal � I� '� 80. FOOD CEfi71FICATE ISSUED �- 33. Final Electric ' I � , �I�:. � Notes: " ' . � � - ,34. Final Heating & Air Conditioning (o�271q,� �' ' , " 35. Final Gas Pipe-Test� _ - � �� . ' - - ' ' 36. Hood or Canopy � � - � � 37. Final Factory fireplace � - - (� � � (,�,$O, � ' � "38. Final Plumbinq � � G ' 39. Water Service�Final . ' �s� ' 40. Gas'Service-Final � � � - . 41. Solar pomes[ioFinal - ' '� I 1 42. Backflow Preventer ' � � � � . � 43. Backflow Irrigation ' � � � 44. Landscape Irrigation System ' - _ . � . � , , 45. Sound Atcenuation - � 46. Handicap Regulation6 � � � 47. FINAL STRUCTURE & BUILDING - 48. FINAL PLANNING � ' i • 49. Electric Release to Edison � I, 50. Gas Release to Southem Califomia Gas Co ' j i ' 51. CERTIFICATE OF OCCUPANCY , - � . No. Date OWNEfl'S NAME: � PODflE55: AflCHIENGINEEH: A�DRESS: PENMITTEE: aooxess: NEG.NO.: UNIT: uNiT: LICENSEo CONiflAC70B OECNNATION: I nere�y aflirm ihat I am licensea unEer pmvisions ol Chao�er 9 �commencing with Sec�ion 7000� ol �ivision 3 oi the Business ana Pro�essions COGe, antl my license is in lull fa¢e antl ellect. LITV UC.: STATE UC.: CIASS: Dale: Signature: WONNEFS' COMPENSATION OECLABFTION: I �ereGy affirm Ihat I have a cenilicaie ol consent to selbinsure or a cenificale of Workers' Compensalion Insurance. or a cenilieC copy I�ereof (Sec�ion 3800. LaU. q. �oOLICY NO.: E%P. URTE: COMPANY: ❑ Cerli�iea CODY �5 hereby �umi511e4. ❑ C¢hifie0 coOY �5 �iled vnth t�e ci�y BuilOing aWsion. Oate: pOD�icam: EXEMPTIONFROMWOANEflS'COMPENSATIONOECLAflATION: (Thissectionnee4nolUecamplele4ilthepermitis�oronehunareU(3100�or1e55�. I certily Ihat in IAe pedormance ol Ihe work br which I�is permi� is issued. I shall no� employ atry person in any manner so as �o become su0lect lo Ihe Workers' Compensaiion Laws al Cali�ornia. Date: SignaWre: NOTICE: I1. after making ��is Declaralion. you s�oultl become su�je[I lo t�e Workers' Compen5ali0n provi5ion5 0l ��e Labor CoG¢. you musi �art�with cam0ly wii� 5uth pmvisions or thi5 Dermil 5hall �e Ueemed revokeA. CONSTNUCTION LEN�ING RGENCY: I h¢ieby aitirm �ha� there is a conslruction IenEing agency br t�e petlormance o� [he work lar w�it� t�is permil is ��suetl (Stt�ion 3097. Civ. C). LENDEH: AUGHESS: OWNEfl BOILUEB �ECLAHATION: I hereby aifirm �hat I am exempi hom Ihe ConlraC�OrY Slate LiCense Law �or I�e tollOwinA reasOn (Section 7031.5 Business and Protessional Code'. Pny ci�y of caun�y which requires a permit ta cons�mct, al�er, impmve, tlemolish, or repair any slmCiure. O�iot ro ils iisuance, alsa reQuires Ihe applitanl lor 5ut� Oermii to tiie a Signetl 5�a�emenl tha� �e/She is litensetl Dursuanllo I�e O�ovisions of �he ComrattOrs' State License Law �Cltapier 9(commencing with Seclion 7000) o� Division 3 0� the Business anU Pmiession5 COUe) or Ihal �e/s�e i5 exempt Iherelrom and the Dasis far �he aileged exemplian. My violaiion ol Setlion 7031.5 Uy any aOP��ni tot a permi� 5uble��5 lh¢ applitani �o a tihl penalry o� noi mare I�an live hunEretl O011ars (5500�. I, as owner ol the pwDeny ar my emVloyees wilh waqes as t�eir so@ com0ensatian, vnll Ao IAe walk, an0 ihe 7 simcmre is not imenaetl or olteretl lor sale (Seccion 70a4, Business antl Pmfessional Cotle: The Contractars' State License Law Uoes not aOP�Y to an owner oi a pm0eny who huilds ar impmves tAereon, anJ who Joes such work Aimsetl/herselt or tAmugh hi5 or her own empl0yee5, pmviE¢a I�ai SUCA impmvemen�S are n0i in�¢nded or uflereJ �or 5alp. II, IlOwever Ihe huilding or impmvement is soltl wiNin One year ol [omple�ion, �he owner will M1ave Ihe burden o� proving he/s�e diG not build or impmve �ar Ihe purpose o� sale�. I, as owner ol the propehy, am exclusively contracting with licensetl conlrac�ors �o construc� �he pmject (Seclion 7044, Business ❑ and Pmlessions Coae: The Contractors' S�ate license Law tloes no� apply to an owner of propetly who builUs or improves ��ereon ana who coniracts �or SucA Dmjecis wi�h a conVactaqs)licen52 pursuant to t�e Contrac�ors' Sta�e License Law),I am aware I�al pmoi o� �heir Warker'S Compensalion insurance shoultl be pmviGeE to me. � I am exempt untler Section: B- 8 P. C. lor t�i5 reason: Date: Owner. I tlo here�y ceriify Ihat I am aware ol antl understantl ihe requiremenis o� Cablomia Healt� antl Safeiy Code Seclions 25505, 25533, and 25594;mA Ihal I or any fNure buil�inp occupani willlwill noi (circle one) need �o comply wi�h said s�a�e Wtles and Ihe reQuirements tor a Oermii for cansimc�ion or moatlication imm Ihe Air �uali�y Managemenl Dislricl. Fesitleniial cons�mction applicalions are ezempi irom Ihese pmvisions. Oale'. po�licani: I �ere0y tetlily I�ai I have rea0 ihi5 aDChtalion antl S�a�e thal Ihe abOve inbrmalion i5 corret�. I agree lo tomply wit� all ciry antl toUn�y or0inances antl stale laws relating to bmltling con9mclion an0 here�y auilwrve repre5enlaiives o� Ihis ciry �o enter u0on Ihe abave-menlione0 pmpetly lor insoec�ion purposes. Oale: Signaiure: D�ivCi 5 LiCC05¢ Of SOCIdI $CCO�iIy M: 16AL40 W�i�e—Butltlmq; Green—CoOe Enlorcement; Canary—Applicanf. Pink—Revenue; Goltlanro�—Asseswr PERMIT NO: EMP 050518 Y PLAN CHECK NO: 00186-91 N PAGE: 2 if iF if ik 1f # 1F 3E iE �E iE iE M iF iE iE If if ih jf iE iE iE 1E lE if� ff if if )f iE if iE if iEiElE iE iE iF !E!f iE lE i! iElf #F if if iF ik K� if iE ft !P iElE If if if jf If K� Ik iE �E ik if �E iE iF iE M 3E 3E If iE TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 5 WASH BASIN PLU 3 WATER CLOSET (TOILET) PLD 1 WATER HEATER AND/OR VENT PLU 1 WATER SERVICE PLU 1 GAS PIPZNG SYS OF 1 TO 4 OUTLETS PLU 3 GAS PIPING SYS 5+ OUTL-PER OUTLET PLU 1 GAS SERVICE PLU 1 SEWER, BUILDING / TRAILER END OF FEES 2,OU 2.00 2.00 2.00 2.�0 2.00 5.00 10.00 6,00 2.00 2.00 Z,�� 1.50 2,�� 5.00 ie✓�Jf r.�11..T'��,.�1 V♦�G4.C�A1!- Y � 01 Qdi?"ii63)-�G�77G39 a Cr�' ;!03,7� DATE: '�1/�9i9i TiItE: 10:14 CONSTRUCTION AND PLANNING � ' 8' SPA � APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector i. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinfiorcement 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, � 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 �Z. SQ''ve� CaP 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING 78. Rough Electrical�T 9ar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & A�r Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace- . APPROVALS Permit # 21. �Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Pipin9 O Gas ❑ Oil 23: Gas�Pipe�Rough & 7est 72. Underground Flush 24. Roof Framing - 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling•{Structurel) &.Monocoat 75. Dry Chemical 27. Frame and Fleshing ��• S 76. Dry Standpipe 29. 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. Electrical 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. Flnai Plumbing 39. Water Service-Final �• 40..Gas,Service-Final � 41. �Solar pomestic-Finel 42. Backflow Preventer 43. Backflow Irrigation - � 44. �andscape liriqation System'= 45. Sound Attenuation 46. Handicap Regulations a7. Firva� S7RUCTURE & BUILDING 48. FINAL PLANNING 49. Elearic Release to Edison 50. Gas Release to Southem California Gas Co 51. CERTIFICATE OF, OCCUPANCY No. Date 1 PflOJECT ROOPESS: � Z 9 Z ELD EN AV owNeR�senme: V.N.E, DEVELOPEMENT aooeess: Q350 VON KARMEN �t100 • NH CA 92660 � 2507830 FHCHIENGINEEN: ADDflE55: NEG.NO.: IINIT: UNIT: PEHMITTEE: SIERRA FIAEPLACE ( 714 ) 837-7008 ADDFESS: .3 S ARGONAUT ALISO VIEJO CA 92656 LICENSEU CONTflACTOfl DECUINATION: I here�y a�tir t�a� I am liCensed Untler Dmvisio 5 0l Chap�er 9(tOmmenting wi�h Set�iOn ]000� ol Division 3 oi t e Business and Pmfessions Co0 antl my license i' full lorce effect. ciTv uc.: 4 2 5 srATe u.: 4 q 02 s � Oate:� � Signature ` !OflREfl COMP NSATION OECIANATIO : I hereh a� rm Ihai I haue a Certi�icale oi nse t m sel n re or a cenificate oi workers' .ompensalion �s�{�,�t�p� y,c��eL' r,�OX�he�o� Se io 3800. Lab. {'j4 � 11 1 POLICY NO.: � W V J / V V V E. �ATE: V camrnxr: NATIqNWIDE ❑ CertiM1ed opy is hrye0y lumished. � C�i 4 cop i �iled wi�� Ue ci� uiltlin 'vis n. ��'(/� ' I Oa�e:Z /,9�/�_/ Applitant: u J ' E%EMPTI FBOM WOBREPS' COMPENSATION UECLAPATI :( his section neetl not �e camplete0 ii ie rmit is � huntlred ($100) or less), . I cenify ihat in the pertormance of Ihe work for wnich t s per it is issued. I shall not employ an p son in. tanner so as to become �I sublec� to the Workers' Compensation Laws oi Calilo ia. Oaie- Signature-. NOTICE: I1, afler making Ihis Ueclaration. you shoul� become suble�� o tAe Workers' ComDensation provisions of the Labor Code. you musl fo�hwi�h comply with such provisions or this permit shall be Oeemed revoketl. CONSTXUCTION LENUING PGENCY: I hereby af�irm ��at �here is a wns�mciion lentling agency tor ihe peAormance of ��e wark tor which Ihls Dermlt is issued (Section 30W. Civ. C). LENOEfl: ADONE55: IOWNEfl BUILDEB DECUflATION: I hereby al�irm �hat I am exempi irom Ihe Contractors' S�a�e License Law for the lollowing reason (Settion 7031.5 Busine55 antl Pmlessional Cade'. Any Cily 01 toUnly which requires a permit �o COnSImtL al�er, impmve. Oemoli5h, of repair any 51mcWre, prior �o i�s issuance. also reQuires the applicani lor such permi� �o lile a 5igneE statemen� tha� he/s�e is licensed pursuanl to I�e pwvisions ol the Contracmrs' Slate License Law (Chap�er 9(cammencing with Section 7000) of �ivision 3 0� the Business and Pmtessions Code) or ihal he/she is exempt Inerefmm and the basis for the allegetl exemption Any violation of Section 70.?7.5 by ny aOPlican� for a permii sublecis Ihe applicant Io a civil penalty o� no� more �han five hundre0 Oollars (5500�. � I, as awner ot Ihe pmpetly ar my employees with wages as their comDensaiion, will Do ihe work, and �he ❑ slmclure is nat intentletl or ofleretl �or sale (Sec�ion 7044, Business and mi nal Code: T�e Coniractors' Stale License Law Ooes nol apPy to an owner o� a pmperty who builds or impmves ��o tloes such work himsel4�erself or [hmugh his or her o�vn employees, provitletl that such impmvemem i or oifereU br sale. If, however t�e OuilOing or impmvement is sola wilhin one year ol completiaq �he aw r i I h Ih en ot pmving he/s�e did not bui10 or improve farihe purpose of sale). I, as owneraf�he pmpetly, am exclusivety � wi�h conlrac�ors m cons�mctthe O�olec��5ec�ion 7040, Business ❑ antl Pw�e55ion5 Cotle'. The ConVactors' en aw d n pply lo an ownero� pmpetly who bui105 or imOmves �hereon an0 wh0 tOntratl5 lor Sut� O�ole��s wil conlraci e pursuanl to �he Contractors' Slale License Law�.l am aware Ihat pmol ol iheir Worker's Compensalio sura e pmvi0e0 lo me. � I arti exempt un0er Sec�ion: .& P. C. forihis reason'. �ale: Owner I Do hereby cenily that I am aware of and untler5tan0 ihe requiremems ol Califomia Healt� and Saleiy Cotle Sectians 25505, 25533, an0 2553G ane Ihai I or any IUWre building occupanl willlwill na� �circle one) neetl �o comply wi�h said sia�e co�es antl ihe requiremen�s �or a permit lai conslmciion or motlAica�ion irom Ihe Nir �uali�y Managemen� �iSVicL Resitlen�ial cons�mciion applications are exempt �mm ihese provisians. Oa�e: Ap icant: I hereby cer�ity Ihai I have rea0 ihi5 applicali and Slaie Ih 1 Ihe a0ove informaimn is torr¢ . I agr¢e lo comply wi II Ciiy antl Counry arainances antl s�atelavrs relalinglo �uiltlmg n9mc�ion an reby aulhorizerepr tive � his ciryio enier-op n�he above�men�ionetl propetly for /n);peclian urposes � Oate. �_/ L� 6 Signalure'. o�me� s� cense ar sociai securn� x: t6at-a6 wnne—Buiiaing�, Green—Cotle GOIEenrotl—Assessar CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 0 4 PERMIT NO: M 051042 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE; MEC PURPOSE: NEW JOB DESCRIPTION : PREFAB FIREPLACE ICBO#1581, NER249 SQ FT: CLAIM VALUE:, CALC—VALUE: GROUP OCC: R-3 / COMMENTS: REFER TO #850513 ******r�*�+�r��****r****x*�r+��*�r*�**�e�r�e*x�*******�****x�**�r**�*�*****�e*+�*****�e*�*� 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 �KING REQ• PROV: PARCEL; 42606402 ZNE: REF NO; LANNING N<STES> i �r�r�e�e**�t***�t*******�t****�r******�t*�t**�x�r****�t*+t***�r��t*��r**�t*+r�t***��*�t*�*******�** 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 BY: DATE• 2 I� iEk�EiEikMlFlF�F�F�EiilEkiEiE3F�1t3tiEiFit iF1E3FiFafiFifiEifiF ikif aE iE if if if iF iF if if �Fif�jf if iF �F iE jf if M�k 1f IFiE M if iE iF �t 1F if Mif if if if iE iE k k 1! IE iE if IE iF IE if af iF 3f if �f 9E iE IF if if ik if iE 1E iE IE if iF �E k iF 3F 1f if 1E 3F if k if It iE 1E LEGALZZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING PERMIT ' 19�5Y SMIP/NON—RES ISSUE FEE 15.00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 19.50 15.00 0.00 34.50 34,50 ,00 REVENUE DIVISZON TOTALS--> COLLECTED: 34.50 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 39.50 1E 1f 1F ik ik iF iE 1EiF iF ik M M 1F ik iF iE iElf if iE if iE iElE !F �f �E iF 3F if iF 1f iF iE if M 1f 1EiFlF iF iF it if iF iF iF �F if iE 1E iF iF if if ik iE iE iF iF 1k iF IE iF iE iF 1k �f iE if iF if iF 1E iflf 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 MEC 3 FACTORY FIREPLACE 6.50 19,50 END OF FEES OF OOC80752—G�.:CEO?�2 i`'a17 ';:;D D'nTE: U?/i5i9f TIr�_: ?:.�15 CONSTRUCTION AND PLANh��G � �� . & SPA • APPROVALS Permit # Date Inspector pppROVAIS Permit # Date Inspector 1. Temporary Electrical Service or Pole s � 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. ,.�. -� 53. Steel Reinforcement �.i ,T ,�, l�Electrical Conduit Utility-Undrgrnd': `� 54. Porms : . �: y .. :- 4. Electrical Condait-L'Indrgrnd. �i� -+ 55. Electrical Bonding �.r '';_5s-5�eel Reinforcemgnt -�`�. 56. Rough Plumbing & Pressure Test '� ;:6;�6`f¢ctrical UFE.fi,Gind. �. ,.. 57. APPROVAL TO COVER-GUNITE .L i. ;j}Footinqs t,��^ ti, 58. Electrical Conduit-Undrgmd. e � '�r8:;Foundation i;�J " ' 59. GasPipe,O Undrg � Test ", �9�-VJater Pipe-Undrgrnd. � 60. Backwash Lines, -1rap, OfUndrgrnd. c 10=5tructural Floor System :, 61. APPROVAL ��K�J 11. Property Sewer Lin�e & Hause Connection 62. Backwash epI,or�Final 12. Sewer Cap �, � 63. Heater & Vent-Final� . 13. Roof Drains . 64. Plumbing System - Final 14. Rough Plumbihy '` 65. Electrical-Final ' 15. Rough Electrical-Conduit a 66. Solar System-Final 16. Rough ElettriC�Wiring 67. Fencing & Access Appioval 17. Rough Wirin9 Sign 68. APPROVED FOR PLASTERING 18. Rough Electri KI-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - - - - v - - �r ., -- :z. 20!�+Rough Eactoxy Fireplace � g[�i i � � J � : ry�:� ��qppROVALS::�'=:Pertnit# ' " �^ .,r �v ¢r il:., i �C r .Ca `�; �-� a:. ; �•- .�.•.iJ:-� •_ p a c7 .-, 21 ;Ducis, in.StFuct�e;: � .,;`y �'-' � � „ .` , ', '�'� �'� �n �. `:� ,4,... � :.S � i G -+a �� 70. Undergrogn� Hy,{lro :s 22� Dvcts, Ventilating �' i :,.5 � S ¢x -•' '77, product'Pfping [7�'as O'Oil � ' -r n��. i . r• .�.� � �,, r m. � c 1 G �� O' -1t. a:.. .i] � � tJ�- x :�. 23�,Gas Pipe�Rqugh &'7est i i,�s ;:,� � � j:, y.. i7z• Underground FIusM . �._, 24.r_qoofFraming -,� i;-`r,- ••t� fi.'> ' � y�-�.�73aUndergrnd-.Sm�ags,Tank•OGas ❑Oil � . 25. Ros,i Sh'eathing �'`� � � _; :' `:; `i t'� � ' �, Y JF .x _ 74�Overhead'H dro 26UT-Bar Ceiling (Struatural) &yMonocoat a7 O n]'r x. 75TDry Chemical �'� !�-+ � t�' � c' � �"�� f_. A 27�Frameand Flashing� '�' Y � "* 76:,Dr � �� `�•`" ` a "� ' .x �� .:cc; . � r �s;,. •.. Y Stanapipe �tU uRs •. hr.4:., . • �., �� • v '.28��Lathing�& Siding�i,? c.: y�x i:: = �••y < 77�7' FIXED S�YS7EM;FINAL' � �'k �"29. Insulat�n �'`,' � ;s�" "� y`� f � l:. _� 78Y.� FIRE PREV. PINAL � ti rs r,� r30. Drywall*Nailing � k y ,J -? � � �:t r� sMEALTIi;DEPT.�. REQUIREMENT �•�. � 31. Plaster �rown Coata� S. ; ,.��, � � �„x y .,,79�FINAL IN$PECTFON '."�� `7 - 'y � 32.,-Electrica Po�vyer Met�:Finali ^� + n+ ( j � a �780:�FOOD CERTIFICR�TE ISSUED :� � _33:�Fin��l Electric y • � � ' �n � � � * ''•Notes: 7 :;� � C ,.,� . � �: - *=�,, 11.-'-t u. (/7[i�l' l.�u/'�' �� ". , t, • .a• -34:�Fi I Heating,& AiixCondition�g; i-� t � - :�x;.�� .� ,� O _35:T'Firial G23 Pipe�Testr: ��"' * : � :x x � ."' ,r15^• _> tr O `• ;L^ .i�-{N «' 36.lHood o� Cano ` `Y M � d� �1 �� - . w � t-i �C PY " i V•�-y � :c C� i I �� _ � 4.=� :k tn -..,-, re, ��37�Final Factory Fireplate^ � <<'' •�' X � � � � E�� * • � ' "� i z 1 F•H :] � -. n �-^ .� N - n : t .. .. � : � ` n a. a+...-� - � ' �38. Final Plumbing , ��; i � i �� :n • .-� � r �' 39. Wafer Service-Final•• � � i -+ • � {x :�. f.�� + � 4::T1 Y '-C �r & >'. i �r •. � � h. •. .. r � 40. Gas Ser'µice-Final i ..� ,,.�,.�„ � ' � � � � t� �` „ >;;: ,�;i; ' `� >',41. Solar pomesticFinal,^ �'` �• �x !�� I � �� t a;v �-� x f rn i I .t :i • r `±� tY 'n : 7 ' 42SBackflow Preventer; �' � j � a � � I; � � j � . - ;-; 43. Backflow Ir igatiom +:>; �i ,u `". # � � _ � k u l �"44. Landscape I�iipati� S stemry`��" 1 p :•� �L `r�,- � ��; - .e r u � s J � u �0 M Y .L' C^. G% !F v-. r. l-'> ♦� .. .., � - ,�vr. - -� ,- "��. - " :- � . -- 2,45.�Sound Attenuation � x:- .*' '� - r E�' � - " � � ' /1 nl �P, :T.-. a G r .L. P . � �46:,,Handicap Regulations C :S , ' �� "f ; .� .� t= � ;j'r'-, � � �� 47.�FINAL STfll1CTURE & BUI.LDING � i �� ' ^j � `' � .!. k " ! `48:`.`FINALPLANNING � ��D .� j ; F� � ':; ,� �, - _.49irElectric (ielease to�Edison � I - x r ��; �� - t n v .�50., Gas Release to Southem Califo�nia Gas Co . I I ;' k' �' '';� � � �. �. a .7 ~51. CERTIFICATE OF.00CUPANCY ; I � ;-:, ,r;:� �, , x. ; . :� No. Date � � CITY OF COSTA MESA PARK FEES Fee Paymynt Receipt aa q� Project Addres"sT� A.P. Number 42C/ _ Building Permit Number _ Owner's Name � ��i1 Mailing Address � �50 N 001231 � GJl� aj�-lob0 FEE: Single Family ' Number of Units � 2-Bedrooms or Less @ $ 861.76 = � 3-Bedrooms @ 1,205.67 = A 4-Bedraoms @ 1,545.62 = r`"' �. q� 5-Bedrooms+ @ 7,810.50 = � . � tiple Family '" �.�DEC 28 1990 Bachebr or Studio @ 474.37 = __ 1-Bedraom @ 573.18 = . . CI1Y OF COSTA MESA 2'Bedrooms @ asi.5i = 3-Bedrooms+ �i @ �,22g,3g = �_%�p � � Total Fee "• �7�i Planning Department Appro 1 Date 2 y ApplicanYs Signature �, • City Ortlinan<e 72-44 '• Clty Ortllnanca 72-45 �•� Clty Resolutlon 78-116 Ij�II(� CMF Ol]4-30, rav. ]/85 Whl[e—Planning; Canary—Planning; Pink—Finance; Goltlenrotl—Applicant I�v[� �� 1 � �ENCE AND LANDSCAPING � � �, � I� 5p� 23 STANDARDS AND SPECIFICATIONS �D ;, -C7' � I;'- 2� 6� �X�HUH oti'��DPc �uN°ss,L STfZ eET �� Op UooOO ��p �i� � � �ns+aL.irY �a.,n L��t� S E C T 1 ON A-�, � t--rs�N,-�u � s�r.�.�w�os �- �/IS�61Ltr(�T Iti1TE_�Cnc�NS \ / •� vwv�w��s , G 2�_�� \2r-vN. HM. SEGTIvN B-8 �JEC"C(Ot�! 6-6 cosGa m � a 3�tl� RESZCf�IdI'IAI, NOISE ATl%NCATIQ9 FlW IB Standards ar�d S�ecifications LCXATION • Side or rear of residential properties abutting the following streets: Adams Avenue fran the Santa Ana River to Harbor Boulevard; Baker Street fran Harbor Boulevazd to Bear Street; Bear Street fran Baker Street to Sunflower Avenue; Fairview Road fran Wilson Street to Sunflower Avenue Harbor Boulevard fran Fair Drive to Pcinceton Iane; Placentia Avenue fran 17th Street to Adams Avenue; San Diego fYeeway fran the Santa Ana River to the Costa Mesa FYE.�eway; Sunflower Avenue fran Fairview Road to Hear Street; and Victoria Street fmn the Santa Ana River to Dk.wport Boulevan9. • Where required as a mitigation measure in an adopted Negative Declaration or �virorment�l Impact Report • Where noise studies identify on-site noise levels in excess of residential starrlards HEI(3-1TT • B ft. maximian (where grade differential exists - 8 ft. fran middle of retain- ing wall) I�: Y�: : 9 • Concrete or masonry • All walls in the same block must be of san�e materials, crolor, and design EXTfNSICNS • May be returned along property line perpendicular to the street as follows: - When the rear property line abuts the major street, the noise attenua- tion wall may be extended along the side prvperty line for a distance equal to the setback of the main structure. - When the side property line abuts the major street, the noise attenua- tion wall may be extended along the rear property line for the full width of the lot. - In the case of a corner lot, the noise attenuation wall may be extended for the normal fence length along the intersecting street. VISIBILSTY • Walls adjacent to driveways or street intersections must crn�ly with visi- bility standards illlustrated on the reverse side of this sheet. I; I�,,,�k;�� 6/81 Pride in Progress & PE. , mance F�nre�u Engineering, Inc. CONSULTING CIVIL ENGINEERS June 6, 1991 City of Costa Mesa P.O. Box 1200 Costa Mesa, Ca 92628-1200 Project Address: Lot Number: Permit Number: 151 23rd Street and 2292 Elden Avenue, Costa Mesa, Ca 92628 By Favreau Engineering: I certify to the satisfactory completion of grading in accordance with the approved plans, specifications, local and state codes. All drainage devices required by the grading permit, gradinq plan and grading ordinance have been installed. Adequate provision have been made for drainage of surface water from each building site. The minimums are: 2g Fall from structures within 5 feet from exterior walls. 1$ Fall for asphalt surfaces and landscaped areas. 0.5%, Fall for concrete surfaces to approved disposal areas. All final gradin Supervising Civi f the elevations. Reg. No. 28489 Date (a� 3434 Via Lido, Suite 250 � Newport Beach, CA 92663 ! TEL: (7i4) 675-8030 ■ FAX: (714) 675-1823 Pride in Progress & PE mance F�nre�u Engineering, Inc. CONSULTING CIVIL ENGINEERS June 6, 1991 City of Costa Mesa P.O. Box 1200 Costa Mesa, Ca 92628-1200 Project Address: Lot Number: Permit Number: 151 23rd Street and 2292 Elden Avenue, Costa Mesa, Ca 92628 By Favreau Engineering: I certify to the satisfactory completion of grading in accordance with the approved plans, specifications, local and state codes. All drainage devices required by the gradinq permit, gradinq plan and grading ordinance have been installed. Adequate provision have been made for drainage of surface water from each building site. The minimums are: 2� Fall from structures within 5 feet from exterior walls. 1% Fall for asphalt surfaces and landscaped areas. 0.5$ Fall for concrete surfaces to approved disposal areas. All final grading elevations Supervising Civil Enq RCE 28469 :X�' I�j�J� within�+ 1/10 of the elevations. Req. No. 28489 Date �/� �/ / 3434 Via Lido, Suite 250 ■ Newport Beach, CA 92663 ■ TEL: (714) 675-8030 ■ FAX: (714) 675-1823 PARTY FIALL AGREEM2NT ��ri�.��T��i(� � ��'�� ' 1ffiS AQtEH�TP. �de and entpred into this 1 2th day of July 1991 . by and betveen VNE Investments I. heteinafter refetted to as 'I.�ID OFII�R'• ard Ronald A. Young hereir�after referred to as 'ADJACPNP PROPPRTY Ofd�[t'. It is hereby agreed that a party vall vill be oonsttucted on the property line betveers 151 23rd Street and (Address of Adjoinirg Properties) 157 East 23rd Street in the City of Costa Mesa, Camty of Orange. State of California. as pPr map recorded in Book / . Page�Of Miscellancous llape, in the office 7�— of the Cotimty Recc+rder of said C,amty. The party rrall shail be permitted to ��py� 151 and 157 East 23rd Street, Costa Mesa IN WI�d'S.S M�REOF, the parties have �ntered into this Agre�ent the day and year firat above vritte�. u . . io-• signature tiame ot Printed � � � «> '.�r o-•� • . ir• ,I� ' // . � . Ronald A. Youn Name 7Yped or Printed P.O. Box 10429, Costa Mesa Ca 92627 ess Pfl0.IECT ►OOBESS: '� 2 9 2 �,;;LD EN AV OWNEH'SNRME: <7hjE INVESTMENTS : aooxess: q350 VON KARMAN #100 NEWPORT BEACH CA 32060 (719)250-7ll30 �PCNIENGINEEfl: ROUflES3: UNIT:. " flE0.N0.: UNR: � PEflMIfTEE: VNE INVESTMENTS I ( 714 ) 250-7830 �ooREu: q350 VON I:AkMAN l0U NEWPORT BEACH CA 92660 ❑CENSE� CONTMCTOB OECIAMTION: I hereEy affirm Ilwt I am IicenseE unCer D�ovisions ol ChaDter 9(wmmendn0 �+�� 6on 7000) ol D'Mvon 3 al tM Business anA Prolessions CaUe. antl my Iicenu is in lup lora and elfect. Cm uC.: $TnTF LIC.: CU38: Oate: Sipnature: WOflNEl15' COMPENSATION OECUM710N: I tureby aHirm Itat I Aave a urtifiwie al wnunuo sel4insum or a uNficata ol Workers' �omce�ution Insurance, or a certitieE copy thereoi (SecGon 3800, LaE. CI. 1CY NO.: E%P. OITE: iMPRNY: � CeN1ie0 w0Y is �ereby fumiSheU. ❑ CertifieE coDY a ��e0 wil� Ihe dry BUIIEinp OiNvon. Dare: � . ApPliwnC' IXEMPTION FBOM WONNENS' COMPENSJ1710N DECUIPIITION: (iNs sxtlon mcE no� De mmDletM if Ihe ce� � �a ane AuntlrtA (5700) m less�. I cenity ihat in Ne pedormance ol ihe work /o( which I�Ls permie is i55ueA, I slWl nat employ any person in any manner w as to Oewme sublect to ihe Wnrkers' Comce�uon Laws of Califom¢: Oate: SiOnature: NOTILE: II, atter makinp this Eeclaration, you stwulE �ecome su01e« �o IAa Workers CamDensatlon provi51on5 0l tAe Lahor CaOe, yrou must forlMrith comply vnth•such pmhs�orts or INs permit shall De deeme0 revake0. � fANSTBULTION 1EN01NG �GENCY: I IreUby atlirm Ihat t�ere is a construction IenOinp apency lor Ne petlormance ol the wod for wfuc� Itus Dermit ¢ issued (Section 3097: Civ. C1. �., IENDEP: RDDPFSS: CITY GF COSTA iqESA HUILUING PERMIT PL•RM NO: Li U4_^i0i PERMIT NO: B 049105 PLAN CHECK NO: 05849-90 A GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERMZT TYPE: STR PURPOSE: OTH JOH DE5CRIPTION ; PL WALL/G'HIGH/PARTIALLY RETAINING Sg FT: 127 CLAI,+. VALUE: CALC—VALUE: 2,540,00 GROUP OCC: R-3 /M-1 COMMENTS: $$$$$$$$$$$$`a$$$$$$$$$$5S5S$$55�$$$$SSSS �#*��**#n��r*x#��r<�*��r�r�r�#�#��*�#**�#�#�r*�**#*u*��r�r*�*��*#��***�**xs��u�e�#* 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 HUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT; FT ZN RGHT: FT IN PARKING REQ; PROV: PARCEL: 42606402 ZNE: R'l REF NO: PLANNING NOTES> 127 LINEAR FEET OP CONCkETE BLOCK ToIALL INSIDE OF PROPERTY LI > NE, ##iE##if##iEiF##iE#####3k#sE#?E3fiE##iE##it#jk',E#ik#iEjEiE##iEiF#it�9Eifif#ikiFik3tiEik#iEiE#iE#iF##if#iEiF�', iEifif3EiE#�Y.#iE D E V E L O P M E N T 5 E R V I" F S R E Q U I R E M E N;T.S 20NING APPROVED BY ; �� DATE: _��l�I�/O HUILDING APPROVED Bt : �� __ _ _ _ DATE: ��-1 `La APPLICATION ISSUED 3Y: J��;� DATE: �!"-1 �� iE##jFiE##iFiEif#jEiEiE##iEiE# #iE�fi�....rtiEtlitiif`-.'.i�i.*iF'x,e�..P.`�Tit�fEilj(-i4##iEi4#i@3Ff�Ft�iiit�.� #�)E #!f###3f#if###9EiE1fiE#iE#:EE',4#iEiF#-1E#iE3E###iEir...�c#?F� �Ei'f!�' #fE�IEiF�IhiflfiEiEjEiE#1FSt�1'#�E#iE9EiE###jE�E###iF3F#�i1�fE LEGALIZATION:N F E E S U r��1 A R Y STRUCTURAL SEGMENT:Y OWNEBBUIlDEBOEtUMTION: IAere�yattirmihatlamezemD��mmt�eContractors SuteLicenseLawlort�efollowinpreason HLDG PMT PLUMBING ELECTkIC MECHANIC FIRE SMIP/RES GRADING (Seciion 7031.5 Business anA Pmfessional COGe: My ciry ol counry wltic� repuires a Dermit to construct, atter, imDrove, Uemolis�, or p ERM I T S 4, 0 0 , S 0 repair any structure, D�or to ils issuanca, atso requires tAe aDPlicant lor such parmit to fila a si0nea statement that he/she is licensed � pursuant to Na provisions af the Cantractors' Staro License Law (C�aD�er 9(commencinp wit� Sectlon 7000) of Division 3 oi t�a 6usiness p LAN $,'] $ -� SM Z P/ NON — R E S an0 Pmfessions CaUe) or t�at hels�e is exempt tMrelmm ar�tl ihe Gavs for t�e allepM exemption. My Wolation of Section 7031.5 by any aDPlicant tar a permit subjects ��e aDDGwnt to a ciril penalry ol not mom tlan INe hunCreE tlollars (f500�. I S S U E F E E , l as owner oi tna pmDerry ar my em loyees wim wapas as meir soie compansation, will ao tne work, ana tha BUILDING—DIV—> PERMIT ISSUE ?LAN—CHECR TOTAL PAID DUE stmcture is not intanned ar anered �or sa�e ��ection 7044, Busmess anU Pmteuianal Cotle: The Contractors' State �icensa �aw TOTAL S-- --> 5 4. 5 0 0. 0 0 8, 7 8. 6 3, 2 8 6 3. 2 8 . 0 0 Oaes no[ apply ro an owner of a Oropetly wAo bu110s ar imDroves t�ereon, anE who aoes such work himseli/herull or thmup� � his ar her own emplayees, Dmvi�etl ttw� suc� imDrovements ara not inten0ed a attemd lar sale. If, Mwever t�e �uil�in0 or RE V ENUE D Z V I S I ON TOTAL S-- > COLL EC TED :� 6 3. 2 8 OV ER / SHORT • . � � imOrwement is sold witMn one ywr oi wmplelioq tAe owner will have Ihe UurEen ol DroNnO he/sha Ui0 not Ouild or ImDrova mrtnevumosao�u�e). HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GAADING PLAN-CHECK I, as owner oi the D�oOeity. am axclusively wntractinp wilh licensed contractors to constmct tha pmject (Section 70C1, Businass � 4• �� • ,� � �, 7 B ❑x and Protessions Cotle: ihe Condactors' SWte License Law tloes not aDON �o an owner of Droperty wAo CullAs or impraves [hereon ' anOwMwnlracl5for5uc11Drojeciswithaconiracior(5)IicenuDursuanttotheContractori SlateUcenseLaw�.lamawaa �f�EiEiF#iE#ik#iFa(-iEiEiEiE'kiE3EiE#iE9E?E'�EiE#iEiE?(�#iEiEiEiEiEiFitiF##iEitiFitiE�lE3fihit#itiE#iEik##iElt#it#3EiE#3EiE�lEiFiFffit#?fiki(iF#�7h tAat D�� of Iheir Worker's ComDensation Insurance sAONE Ue Orod0e0 to me. I N D I V I D U A L F E.E H R E A K D O W N � I am exempt under Section: B. 8 P. C. , rortnisre/zsyn: TYPE QTY D E S C R I P T I O N ONIT COST TOTAL COST Date: ' / Z//9L% Ownec . . . �r SFR 127 RE5—CONCRETE BLOCR WALL / FT. 20.00 2,540,00 I do hereby certity Ihat I am aware of antl untlerstan0 ihe requirements ol Califarnia Healt� an Salery Code Sections 2550.5, 25533, an0 25534 anA ihat I or any luture huil0inp occupant wilVwlll not (circle one� need to comply with sai0 state codes and lhe reQuirements for a permit lor constructwn or moEification from t�e Air Oualiry Manapemen[ DisMct. Fesidential consimction aD011catlon5 are exempt fmm t�ese provisions. Date:� /+DDlicant: ' I herehy certiry that I have reatl IAis application and stata t�at the aDova informalion Is correct. I apree to comply witA all city anA counry � arGinances an0 sGte Wvrs relatinA ta GuilOinp wnstmcUon an0 hereby aNlronze repmuntatNes ol Ihit dry to enter upon Ue abovo-mentioneE , proDeM �or ins ectio Durposes. ' J/�1 / oate: �� Sipnature: J 6(�'j1��1'l1�+c��.�-- oriver's Licensa or Saial SecuAry x: � 16a1-a6 White—BuilOinp; Grean—CaEe Eniorcement: Canary—Applkant; Pink—flevenue; GoltlenroE—Aaesmr END OF F„EES ai oeo�ez�s-000�o�az � i s�� DAYE: 07l2�/90 TIIiE: lOc6' 71 QOG7�331—�Q07033? l'� Y �ATE: p9/?5;90 TItIE: 10=.7 CONSTRUCTION AND PIANNIN(: ' - . � & SPA APPROVALS Permit #- Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical 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 -�-� � �QW 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE ' 7. Footings ^a �pLv 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 67. APPROVAL TO DECK - 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 72. Sewer Cap - - 63. Heater & Vent�Final " 13. Roof Drains 64. Plumbing SYstem - Final � 14. Rough Plumbing' 65. Electrical�Final � ' 15. Rough Electrical-Conduit 66. So�ar SYstem-Final '16. Rough Electric Wiring 67: Fencing & Access ApProval � 17. Rough Wiring Sign � � 68. APPROVED FOR PLASTERING 16. Rough Electrica6T Bar Ceiling 69. �POOUSPA 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 77. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oii 25. Roof Sheathin9 74. Overhead Hydro 26. T-Bar Ceiling IStructural) & Monocoat 75. Dry Chemical 27. Frame and Flzshing 76. Dry Standpipe 28. Lathing &$iding 77. FIXED SYSTEM FINAL 29. Insulation �T �.`'", �, ' 78. FIRE PREV. FINAL 30. Drywall Nailin9 ' � - HEALTH DEPT. REQUIREMENT , 31. Plaster Brown Coat . '•�� 79. FINAL INSPECTION 32. Electrical Power Meter-Final � /,�- 80. FOOD CERTIFICATE ISSUED % i 33. Final Electric '� ' � Notes: 34. Final Heating & Air Conditioning �'� "j �/' ' i �:. 35. Final Gas Pipe-Test ,� � j'� 36. Hood or CanopY �' ' �' 37. Final FactorY Fireplace � �" 38. Final Plumbing � . 39. Water Service�Final '� 40. Gas Service-Final i 47. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. landscape Irripation System 45. Sound Attenuation 46. Handicap Regulations . 47. FINAL STRUCTURE & BUILDING ,-�SR� i�¢w�! 48. FINAL PLANNING � ` • 49. Electric Release to Edison �% 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PFOJECT AOONESS: z 2 9 2 ELD EN AV OWNEfl'SNqME: V N E. DEVELOPEMENT aooaess: q� 5 b VON KARMEN It 100� NB CA 92660 2507830 AHCM/ENGINEEN: ROOflES$: S UNIT: XEG.NO.: UNIT: PFpmiTTEE: V.N.E. DEVELOPEMENT (714)250-7830 AODPESS: Q3SO VON KARMEN 100 NB CA 92660 LILENSED CONTNALTON DECLANATION: I �ereby aihrm ��a� I am licensetl un0er D�ovisions ol Chapter 9(commencing wiN SetliOn 7000� o� Oivision 3 0l Ihe Bu5ine55 ane Pro�eS5i0ns Code. antl my li[en5e i5 in �ulllarce antl etieti. CITY LIC.: STPTE LIC.: LUISS: Daie: SignaNre: WOBRENS' COMPENSATIQN OECLAflATION: I hereby alfirm tha� I have a cetlifica�e ol consen� to sell-insure or a cetlilica�e ol Workers' �amvensation Insurance. or a ceritlietl copY �hereof (Semion 3800. Lab. C�. �OLICY NO.: EXP. DATE: COMPANY: I❑ C¢rlilie0 copY is �ere0y �umished. ❑ Cenified copy is IileO wt� ihe ciry Builtling OiWsion. Dale: ApplitanL EXEMPTIONFROMWOXNEB$'COMPENSPTIONOECUNRTION: (i�i55ec1i0nnee0nolbecompleleUiithepermili5faonehunOrtb�$100�arlew). I ceNly tha� in I�e perfoimance oi I�e work lor w�ich Ihis permit is i55ueA. I shall no� employ any person in any manner so a5 io become sublecito ihe 4Vorker5' Compensation laws ol Catilornia. Oate: SiqnaWre: NOTILF. i�. ailer making Ihis Oetlaralian, you ShoUltl OeWm¢ 5u0jeCt lo Ihe WoBeri Compensation provisions al Ne LaEor Code, you musl Iotlhwii� comply with such provisions orl�is permil Shail Ge tleemed revoked. CONSTXOCTION LENOING AGENCY: I here�y aHirm ��a� ��ere is a conitmclion lenaing agency lor ihe pedormance ol t�e work lor which Ihis permilis issuea (Section 3097, Civ. C�. LENOEfl: nooxess: OWNEB BUILOEB DECLABR710N: I hereby allirm tnat I am exem0� ��om ine Contracmrs' State License Law far Ihe I011owinA reasan �Section 7031.5 Business anC Pm�essional Code: Any city ol county whic� reQuires a permit lo consimct, ai�er, impmve, tlemolish, or repair any stmclure. prior lo its issuance, also repuires ihe aDPlicant for sucA permit lo file a signe0 statemenl ihat he/sne is licensed pursuam to Ihe pmvisions o� Ihe Comracmrs' Sla�e license Law (C�apier 9 �commencing with Seclion 7000) of Divisian 3 0� 1�¢ Business anU Pmlessions Coae) or Ihat he/she is evempi Iherelmm anA Ihe basis lor Ihe alleged exemption. Any violaiion o� Section 7031.5 by any applicant �or a permil subjec�s Ihe applican� lo a civil penaliy ol noi more ihan live �wGred dollars (55110�. I. as owner al Ine Wopeny or rtty employees wilh wages as iheir sole fAmoensation, will Co Ine wark, antl ihe .I� sVucWreis notintenaed oroMerealorsale�Section 70a4, Buvneu anA PmfessionalCoae: The Coniractars' State License Law tices noi aDoN �a an owner ot a pmpeny w�o builas or im0�ove5 t�erean, anA wlio aoes suc� vroM himsell/hersetf or ihmuAh �is or ner own employees. pmvidetl t�al such impwvemems are noi intentled or ofierea lor sate. II, however ihe �uil0ing or imOmvemenl is SoIA wit�in one year o� completion, t�e owner will �ave Ihe Curaen ol proving he/sh¢ Oid n0i Euild or imprOve lor Ine purpose o� sale). I, as owner ol the pwpeny, am erclusively contraming with licensed contractors to consimct Ihe pmlec� (Section 7044, Business � an0 Prole55ion5 COOe: The Contratmrs' Stare LiCenSe Law tl0e5 no� apDly Io an owner ol pmperty who �utltls Or impmve5lAefeon and wh0 [OnVaClS for 5uth pmjet�s wiN a conVacmqs) liCense pursuam m Ihe ConVacmrs' Slaie License Law�. I am aware ��al pmol ol Iheir Worker'S Compensaiion insuran[e s�oula be pmvitletl ro me � I am exempi untler $ectian: B. 8 P. C. br I�is re on: � Daie: �� Owner: I Eo �ereby cetlily I�a� I am aware oi ana unaer5lanA �he reQuiremenis ol Calilornia Health and Sa�ety Code Seclions 25505. 25533. anU . 25534 antl Ihal I or any Iuiwe builtling occu0anl will/will nol (circle one) ne¢a Ia comply wiih SaiU state cotles ana Ihe repuiremenis �or a Oerrttii lo� con9ruction or mo0ification Iwmihe Nu Oualily ManaBemenl UiSlrici. Re5i0eniial con5imction applications ar¢ ¢vempt Iwm Inese orodsions. Oa�e: Applicanl: I �ereUy renily IAa� I have reae thl5 applitalion ana slaie Ihal I�e aGave inlormaii0n is tarret�. I agree Io tomply wilh all ti�y an0 t0unry orEinances antl Slalelaw5reialinglo builtling COnslmtli0n antl �¢re�y aulhor@er pre5entative5 O�Ihis Ciryto enleruDOnl�e a�Ove�mentioned prooerty brinspeclion purposes � Date: _� �—� SignaWre: C/ /�` oriver's �icense or Soaai 5ecuri�y 164b46 wnile—Building; Green—Cooe EnlorcemenP. Canary—Applicanll Pink—Revenue: Goldenroa—Assossor CITY OP COSTA MESA — BUILDING PERMIT PERM NO; GRA 050514 PERMIT NO; GRA 050519 PLAN CHECK NO: 00183-91 A GOVT: N S[JPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: GRA PURPOSE: NEW JOB DESCRIPTION ; GRADING FOR TWO NEW SFD SQ FT: CLAIM VALUE: 6,000,00 CALC—VALUE: GROUP OCC: R-3 / COMMENTS: REF H50513 6 B50511 *��e�*x�**��*�x*�*�****��**�+�****�e�*�**�x�*�****x*�******��*x�**x-�**xx+rK��+�x�x*� Z O N I N CS ERTEB�AUCIxRSE M E N T S ------------ MAIN BUILDING ------------ --------- ACCESSpRY BI7ILDING ------•--- FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN I,EFT: FT TN RGHT; FT IN LEFT: FT IN RGHT: PT 7N PARKING RE • PROV: PARCEL; 42606402 ZNE: REF NO; PLANNING N TES> 1 iF iP IF �E iF �E if 1F if aF if iF af if iF if 3f 3F iE iE iE iE 3E iE if iE 1f If iF iE 3f iF if if �f iF if� iE iE �f �E �f if �f �f �E 3E iF 3F IE lf if iE 3f 3f iF Iflf if 3E iE K i6 iF iF �F iM �f )f if 3E 1E �f If iF IF 3E iE if D E V E L O P M E N T S E R V I C E 5 R E Q U I R E M E N�T 5 ZONING APPROVED BY �� -- �--� DATE: O l D�9 � BUILDING APPROVED BY : � S I DATE: APPLICATION ISSUED BY• DATE• IfiEif3E3E�fIfiElF�lFiFifiEif1E1f161FiEiFif3E i�'SF'ii"R"if'iF'3F{FiflfiE3fiEiFlfifiFif iflf if3EiFifififiF�ElFif�iEiE�IfifififlElfiFlkiEifiElEifif#Eiflflflfi4lE�Fib EiEiEiflEiflElfifiFi(�1EiFll�ifi't1flf�k�FifiFlFiEiflEiE�liFiEiEiEiFiEififif LEGALIZATION:N F E E S U M A R Y STRUCTURAL SEGMENT;N BLDG PMT FLUMBING ELECTRI MECHANIC FIRE '—�t�S�iP/RES GRADING PERMIT, 33.00 SMIP/NON—RE5 PI•� 5.63 ISSUE FEE 3,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DC1E TOTALS----> 33.00 3,00 5.63 97,63 41.63 ,00 REVENUE DIVISION TOTALS--> COLI.ECTED: 41,63 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 36.00 5.63 If 1F iE 3F 1E �E �1E 3E IE �E iF 3F 3E 3f if iF iF if if iF iF iE 3E iE If iF 3f iF iF if if iF jE 1F if ib )F aF 3f IPlE �E iE 3F iF 3F if 34 iE 3E i4 if if iE 3E aE fP 3f 7F If 3E iE �E IF 3F lf iE jE if iE 3E iF �f if iF K�f Ik if 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 NO FEES WERE SELECTED FOR THIS PERMIT � a ' , �} �� ' . � _ ��" � € + - -' � i ' , . 4"' ' . � !` � ;; :iA� � � . . �.'� • _ ��G'x' . ��.�q�?vn�., "' .. VC2, r ei? l I;,.: ;o- �. .. �'.. � � � CONSTRUCTION AND PLANNIN(: F�JL & SPA � APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector Mi. TemOorary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3:-Elect�ical Conduit Utility-Undrgrnd. 54. Forms 4: Electrical Conduit�Undrgrnd. 55. Electrical Bonding / 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test I 6. �Elect�ical UFER Grnd. 57. APPROVAL TO COVER-GUNITE � 7�,Footings ` 58. Electrical Conduit�Undrgrnd. � �8. �Eoundation 59. Gas Pipe, � 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-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 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace i _: APPROVALS Permit # 21.'Ducts, in Structure� , . '- . 70. Underground Hydro 22. DuctS. Ventilating �� .. � ,-71. Product Piping OGas ❑Oil 23. Gas PiPe-Rough & Test . , � ." 72. Underground Flush 24. Roof Framing . �• � -73. Undergrnd.StorageTank OGas ❑Oil � 25. Foof Sheathing . ' - . � � '74 -0verhead 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 � � � � �� . 76, FIRE PREV. FINAL 30. Drywall Nailing '�?� ` HEALTH DEPT. REQUIREMENT - 31. Plaster Brown Coat, . l� � �� ' 79. FINAL INSPECTION . � ;. � 32. Electrical Power Meter-Final .-} � � 80. FOOD CERTIFICATE ISSUED - � „ 33. Final Electric : I � �. . Notes: ' 34, Final Heating & Air Conditioning� . � . � � � i� . ` 35.�Final Gas Pipe-Test _ � � I �� ' - � � � , .36. Hood or CanoPY . � r. . �� - � . 37 Final Factory Fireplace - ? � •�� f; �,- . �, 38. Final Plumbing � . � � � ' • , . 39. Water Service�Final� � ' - • 40. Gas Service-Finai ' . ' , � . - � 41. Solar pomestic�Final � � � ' � ' � 42. �BackYlow Preventer� � ' ; � � 43. Backflow Irrigation 44. Landscape Irrigation SYstem. �= - _ - � 45. Sound Attenuation . � � 46. Handicap Regulations ` . . . 47.�FINALSTRUCTURE&BUILDING �ls� �(� 46: FINAL PLANNING � � ' � � .I ,f 49. Elearic Release to Edison '� � � i 50. Gas Release to Southern California Gas Co . ' � f_ ' � � � 51. CER7IFICATEOF.00CUPANCY . - " - , No. Date