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Home My WebLink About2939 ELLESMERE AVE - Building Permits(714) 754-5273 • Fax (774) 754-4856 • www.ci.casta-mesa.gl4qLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Adqress: 2939 ELLESMERE AV �' � Sta�us: ISSUED Suite: Applied: 10A0/2005 Vicinity: ROOF Issued: 10/10I2005 Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Co c . V- Parcel Number: 13926103 Zoning: R1 /+pp�icam: SCOTT JOHNSON Adqress: 13672 ONKAYHA IRVINE, CA Owner: FRAZIER, DENNIS E Address 2939 ELLESMERE AVE COSTA MESA, CA Contracror: POPA ROOFING INC. Adtlress: 13672 ONKAYHA - IRVINE, CA Zip: 92720 Arch : Address: Phone: Zip: License: Phone: (714) 778-6294 Zip: 92720 Phone: Zip: 92626 Phone: (714) 778-6294 License: 675902 Eng: Address: ISSUED BY: Phone: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 1 LAYER OF 30# FELT, METRO METAL SHINGLES, ICBO #5626, 1.5 LBS/S.F., AND REPAIR/REPLACE SHEATHING AS NEEDED. 28 S�UARES INCLUDES ATTACHED GARAGE. FEE SUMMARY Plan Check: $0.00 Calc Valuation: Ss,000.00 Permit $12525 SMIP Res: $0.60 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: 5125.85 SETBACKS MAIN STRUCTURE Front 0• 0 ACCESSORY Fronl 0-0 PARKING Existina: 0 Rear 0- 0 Rear 0-0 Reauired: 0 PLANNING & ZONING Left 0- 0 left 0- 0 Pr000sed: 0 Claim Valuation: Ss,000.00 Right 0- 0 Right 0- 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (OYd. No. 9248, § t, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectlona end finel approval musl be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 2a+s-ne �aroo� WORKERS' COMPENSATION DECLARATION: I hereby ettirtn under penAlty of perjury one of the following declarations: ❑ I have and will maintein a certificate of consent ro self-Insure for workers' wmpensation, es provided for by section 3700 of the Labor Code, for the pertormance of the r� wotic for which this pertnit is Issuetl. � ensation Insurance, as required by section 3700 of the Lebor Cotle, for ihe peAortnance ot Ihe work for which this pertnit is issued. carner antl policy number ere: /�� p/�rj �2d�q�., , ---Num6er� / �t 23 �ermit is velued at one hundred dollars ($700) ar less.) ❑ I certily Ihet in the pPrtortnance of tha work for which this pertnit Is iuued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws Of Calitomia e aqrae Ihet H I should become suD�ect to Ihe workers' compensation provislons oi Sectlon 3700 oi the Labor Code, I shall torthwith complywith.thesa.pfovisions pU — /D h� APPI�i antjSigneture: �s .•: � � :��'� �'�.: �';`, Dete: "'t�- � (/ WARNI�NG.F�AILURETOSECUREWORKERS'�� NSATIONCOVERA�E�IS�UNLAWFULANDSHALLSUflIECTANEMPLp�lER'7pCFj�WryqLpENALTIESANDCIVILFINESUPTOONEHUNDRED TFIOUSAND DOLLAPE ($100,000), IN ADDRI�tO THE CQST�OF COMPENSATION, DAhNGES AS PROVIDED FOR IN SECTION 3]O60P �HE LABOR CODE, IMEFEST, AND NTiORNEVS FEES. LICENSED CONTRAC70R5 DECLARATION: (commencing with Section 7000) of CONSTRUCTION LENDING AGENCV: Da�e: Coda, and my license is in full ❑ I hereby aflirtn that tPere is a consiruction lending agency for ihe pedormance of the work tor w�ich this pertnit is issued. (Sec. 3097, Civil Code). Lenders Name: Lentler's Atldress: Signature: OWNER-BUILDER DECLARATIONS: Date: I here6y eNirtn �het under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county whwh requires a pertnn ro construct, alter, improve, demolish, or repair any structure, pnor to its issuance, elso requires the applicam for such pertnit to file a signed stetement �het he or she Is licensed pursuant to Ihe provisions af the Contractors Llcense Lew (Chepter 9(commencing with Sectlon 7000) of Dlvlsian 3 of ihe Business entl Professions Code) or that �e or she is exempt t�eretrom and the basis tor the allaged exemption. Any violation of Section 7031.5 by any applicant for a permit subleds Ihe epplicaN to a civil penalty of noi more than five hundred dollars ($500).): . ❑ 1, as owner of Ihe pmperty, or my employees wl�h wages as thelr sole compensation, WI�L DO THE WORK, and the strucWre is not intended or oHeretl for sale (Sec. 7044, Business and Professions Coda: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himsalf or harsalf or through his or her own employees, provided ihat such improvemenis are not Intended or oHeretl for sale. If, however, ihe 6uiltling or improvement is soltl within one year ot completion, tha owner-builtler will have ihe burden oi proving that he or she did not build or improve tor purpose of sale.). ' ❑ I, as owner of the prOPerty, am E%CLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Professions � Code: The contrecto�s Llcense Lew does not apply to an owner ol proparty who builas or Improves Ihereon, and who wntrects for such projed with a contractor(s) license pursuant to tne Contractors Licensa Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: . Owner ID venFied by tlnvers license. ❑ Yes ❑ No Driver's License No. Expires: Vanfication oi Ownership by (�ype of document, i.e. - property tax hill or tleed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CER7IFICATION: ❑ I hareby certify that no ezcavation five (5) or more feet in depth into which a person is required to descend, wltl be made in conneciion with work authonzetl by this pertnit, and that no builtling siructure, scaHolding, lalsework, or demolition or dismantling thereof, will be more than thirty-sia (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Ttle e, Califomla Administrative Code). ❑ As owner-builder, I Wiil not employ anyone to tlo work which would require a permit irom the Division oi Industrial Satety, as noted above, unless such person hes a permit to do such work tram ihe division. Siqnature: Date: Division of Industnal Safety Pertnit Number. CERTIFlCATE OF COMPU�ICE AND AI1T}fORIZATION OF ENTHV: I certity under penalry ot perjury ihat I have read this application and state that the informa�ion given is wrrect I agree b comply with alt stete lews and clry ordinences relating Io building constmction, antl authorize representatives of Ihe Giry oi Costa Mesa to amer upon ihe ebove-describetl property for inspection purposes. I agree not to occupy or allow occupency of any building authorized by this permit until final inspection. COOE I. INSPECTION TYGE 1616 Fixed System Final Fire Prevention 1266 Paal Spa Finel 200 Finel Re-Root 201 FIneI Blak/Reteining Well 202 Final Factory Fire Place 203 Flnel Sign 204 Finel Demolition Qdg INTIfIALS Qe � � COOEt INSiECTIONTYVE 206 Final Mechanical 20B Final Plumbing 210 Final EledriCel 212 Final Fire Prevenilon 220 Final Planning Approval 222 Final Site 250 FinelBuilding/Occupancy .' 0� UATE �¢ 1 1 /S � AOP��cant to fill in all spaees except ihose within neavy �oraer lines antl sign all appropriate aeclarations. CITY OF COSTA M��9C0 STRIJSC�T J.�.ERMM�IT CM P,roject Address 2 ��« "" �^'� �' _T• � � Address `� •� +r o �� iv�c. i�+ _� Arch/Eng. 1y�n� No. Atldress Contractor'sName� Q��s Phon�p41- 9►� Addresslma��"�,1 y0 1 �ijORP�Ni]� City License No. d�� y Z- � LICENSED CONTRACTOR �ECLARATIO � I hereUy atfirm that I am licensetl untle� pr SionS ot Charte� 9(commen ng wilh section ]000) of Division 3 of tM1e siness antl Pr I essions Cod antl my license is in tull (orce antl Bftectd ��O � I / 1 Licens s � � � nse ~ Date Signature WORK 5' OMPENSATION DECLAFATION ' hereby aftirm [hat 1 bave a certiticate of ConSent to SelLinsure o� a ce�tifitat¢ Wo�kers' Compensation Insurance, o� a ce�titietl copY thereof ($ection .00, Lab. Q � � �j ' Policy No. �0� �� Compa� M� � ertifie co �s hereby furnishetl. • er[' i o y letl with the city Iny D' Sion ate�� APPlicant - EXEMPT ON ROM WORKERS' COMPENSATION D CLARATIO (This sectiOn neetl not be completetl it the pe�mit is tor one huntlretl ($100) o� less). 1 ceRify tha[ in th¢ performance of thG wo�k to� which this p¢rm�t is issuetl, I shall not employ any person in any manner so as to became subjecl to the Workers' Compensation Laws ot Califomia: Date Si9nature NOTICE: If, after making this tleUaration, you Shoultl become subject to-the Workers' Compensation provisions of the Labor Cotle, you must (orthwith . comply with such provisions or tnis permlt shall be tleemetl revoketl. CONSTRUCTION-LENDING AGENCV 1 nereby atBrm tnat there is a construction lentling agency tor the per(ormance oi th¢ work fo� which`tly(�p8/yit iS�i�t�eC�Section 309� CJ Lentler's Name �'SJ�y�4 � / Lentler's Atltlress OWNER BUILDER DECLARATION I hereby affirm lhat I am ezempt trOm the Contracto�'s LlcenSe Law Tor the following reason (Section ]031.5 Business antl ProTessional Cotle: Any city or wunty whlch �equires a pe�mit to con5truct, alt¢�, improve, tlemoli5h o� repdir any struch�e, prior to its is5uance, alm �equires the appliwnt tor Such permit to file a signetl statement that he/she I5 licensetl pursuant to th¢ p�ovisions o( tne Contractor's Licenze Law (Chapter 9(commencing with Section 7000) ot Division 3 of the Business antl Professions Cotle) or that he/she is ezempt qer¢/rom antl [he basis fo� lh¢ allegetl ¢xemO��On. Any violation o( Section 031.5 by any applicant for a permil subjects the applicanl to a civil ��enalty o( not more tban tive huntlretl tlollars (5500). I, as owner of the property or my employees with wages as their sole compen5ation, will tlo the work, anG tne structure is not intentle0 or�offeretl for sale (Section 7044, Business antl Professional Cotle: The Contractor'S License Law Does not apply to an owne� ot a p�operty who builtls o� improves thereon, and who tloes such work himself/herself or throuqh his or her own employees, provitled that such improvements are not intentletl or offeretl Tor sdle. If, however, the builGing or improvement Is soltl.within one year oT com- pletion, the owner will have the burtlen ot provin9 he/she tlitl not builtl or Im-: prove for [M1e purpose ot zaleJ. ❑ I, as owne� of the property, am ¢zclu5lvely Cont�a<ting with licensetl con- [ractor5t0 construct the project (Section ]044, Business antl Profe55ions CotlG: The ConVactor's License Ww tloes m[ apply to an owner of property who builtls or imOtoves lhereon. antl who cont�acts fo� such o�oiects with a r.on- tractor(sj Lcense pursuan[ to me ConVactoYs LicenSe Law). 1 am aware thac proof o1 their Wo�ker's Compensation insu/ance shoultl be provitletl to me. ❑�1 am exempt untler Section B. & P. C. for this �eason Date � � Owner 1 hereby certity tha have rea information is corre . 1 agree to antl state laws relat g to builEi SCOLdI�VCS Oi IS ILy (yCl1 ( Inspectlon p s • 7 Signature Drivers' License or SS 0865-46, rev. 5/88 �,cate that the above tl county ortlinances eby authorize repre- ionetl p oper y tgr l'1(b Date L d a r33y�� 35 TYPE OF CONSTRUCTION NEw o0 ❑ CONVERSION ❑ OEMOLISH ❑ OTHER DESCFIPTION OF WORK/USE OF BLDG. — TVPE OF PERMIT LJ GRaoING ❑ TENANT ❑ ELECTRICAL ❑ OTHER PROJECT DESCRIPTION Sq. F7. ALTERATION LJ REPAIR I FOUNDATION (�J.STRUCTURAL PLUMBI{VG ❑ MECHANICAL CONSTRUCTION TVPEY —� � VALUATION $ ZONE GRADINGCU.VDS. AC Remarkz: . � � �� piRO � . Bar Sink Backflow Preventer Backflow Irrigati0n Bathtubs �rinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories � P—Trep Roof Drains Reinspection Fee � $15 Duct - Under Ground � ; Duct-Strucmral ' Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/FacL BIt. iCBO �k Heating System & Ducting ❑ P7 00,000 BTU � 100,000 BT Reinspection Fee � $15 White - Buildinq; Canary - Applicanq Pink - Accountin9: Goltlenrotl - Assessor Service Sink ' Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet - Water Heater Water Service .Auto-Wesh � __ Issue Fee Hood or Type I, ❑ Canopy Type I I ❑ Refrigeration System ❑0.100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers luue Fee $ 3 $ 3 A.P. # 5 Main Building: E , T , Front 8 Rear C A C Right g . Left � Ping. Ref. # Planning Notes� r / Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher � Dryers ❑Gas �Electric Fan F.A.U. Fiztures Device Boxes Outlets Switches Garbage Disposal Generator �a5 KW �5-15 K Parking Req./Provided ELECTRICAL Transformer �� 15-50 KW 0 50+KW Meter ❑up to 100 amps Meter ❑over 100amps - Sub Panel � " Motors 0P7 HP 01'r5 - 8 . InaSolar-09-15 HP �i6-15+ Microwave Pole Light - Range Sign Standing Sections � W Trash Compactor Reinspection Fea �$15 � � Issue Fee FEES $ 3 DEVELOPMENT SER VICES�E¢yIREMENTS: (�, 4�� Zoning Approved By ��r Date�� Building Approved By � DateT._� SUMM� �—' OF FEES � rD BUILDING PERMIT $ �_Q[�_ SMIP $ �_ �'h C� PLAN CHECK $ _� ('t/_ PERMIT � PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ � MECHANICAL , $ TOTALFEE $ ! j!l — PLAN CHECK 25% $ Di �LGt]�913-a000i43% TL�'T ii's.?3 ( `,1 , I I J f ' CQNSTRUCTION AND PLANNING 'r � ' � POO_ _ SPA - • APPROVALS Permit# Date Inspector AppROVALS Permit# Date, Inspector 1. T m}'iorary Electrical Service or�Pole -'�� "' 52. Pool & Equipment Location 2. il PiPe-Undrgrnd. - �-' 53. Steel Reinforcement `'� - �. .3. ElectricalContlui'Utilrty-Undrgrrid�. �a � 54. Forms -�':) :4. ElActrical Conduij-Uridrgrnd. 1..• 55. �EJecTrical Bonding � � L �5: Stgel��ReinforceinenY� - : � ; . 56. �Rough Plumbing & Pressure Test ,..�' j. �� 6i �.Electriaal UFER Grnd: 1V;'j' 57.'.APPROVAL TO COVER-GUNITE � ��• � 7�.'Footings j '� `�•"� 58. Electrical Conduit-Undrgrnd. ��'� +8. �Foundayion `� � �� 59.t Gas,Pipe, � Undrgrnd., Test � .;i�.� � • � .. i 9� Water jipe� Undrgmd. '� _ £�� 60 i Backwash Lines, P-Trap, � Undrgrnd. . ., 1b� Structural Floor System ��'� ;� �`� 61. APPROVAL TO DECK 11� PropertY Sewer Line & House Connection '"�'+ 62. Backwash & Receptor-Final � � � 1,2.1�Sewer,Cap �a: �,�, "?_.l� �` ' - � _ <„ 63. F�eater & Vent-Final 13r,Roof Drains c-. ; -- � , � `j / 64. Plumbing System - Final 14.,Rou9h Plumbing ''� 65. Electrica6Final ' � 15. Rough Electrira6Conduit 66. Solar System-Final �16. Rough Electric Wiring 67. Fencing & Access Approval �17�. Raugh Wiring Sig❑ 68. APPROVED FOR PLASTERING � 78. Rough Elecirical-T Bar Ceiling ^ 69. POOL/SPA SYSTEMS FINAL ,9.9. Rough Heating & Air Conditio�ing FIRE DEPT. REQUIREMENT �20: Rough Factory Fireplace ".: ��: APPROVALS Permit # 21. Ducts, in Structure � �, • 70. Underground Hydro 22. Ducts, Ventilating C� ,� � 71. Product Piping O Gas ❑ Oil � 23. Gas Pipe-Rough & Test �" `" 72. Underground Flush - 24. Roof Framin :b " � i � 9 �, ��, 73. Undergrnd. Storage Tank O Gas ❑ Oil 25.` Roof Sheathing r, � ti �� 74. Overhead Hydro 26. T-Bar.Celling (Structural) &'Mor�ocoai 75. Dry Chemical �- 27. Frame a�d"Flashing �� 76. Dry Standpipe -, .� 28. Lathing ��Siding �-� r ti 77. FIXED SYSTEM PINAL ;, . 29. Insulation .�' l_ � c 78. FIRE PREV. FINAL 30. Drywall Nailing �".� � � ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown.Coat �i .` �' F.�ty 79. FINAL INSPECTION 32. Electrical Power�Mete'r"�Final , "7 80. FOOD CERTIFICATE ISSUED 33. Final Electric _ -J� Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test - 36. Hood or Canopy ' �. � �37. Pinal FBctoFy Fireplace'� , � ;38. FinaPPlumbing �: p . .,, 39. Water Service-Final��, � 40. Gas Service-Final . - � r �41. Solar pomesticFinal �� . -i42. Backflo�✓ Preventer ' � - �` "' .� , i 43. 8ackflow Irrigation � �,1� -�+� ��^!' 44. Landscape.lrrigation System r 45. Sound Attenuation 46. Handic2p Regulations . 47. FINALSTRUCTURE&BUILDING �� ' dfl. Special Requirements Completed 49:��Electric Release to Edison . •' �� :5p. Gas Release to Southern California Gas Co -' �., �; 51. CERTIFICATE OF OCCUPANCY � '>7 ^ " ,•� No. Date ''� '.�) ;�-�? �_ i_ :.'•SL`l (r3 AOOlicant to fill in all s0aees exceo� tnose witnin heavy bartler lines ana sign aIl appropriate tleciarations. �_=•----` PERMI O TRACT NO. LO7 NO UNIT N0. �^I7YOFCOSTAMESq QONSTRU{CTIONPERMIT �P��j�BSr] ,2, (yS , ' _ . . ; �Project Aiidrese —..�� g �� [C/�/%iC'.E'C� . , 11_ . �.,��--.. _.. - � �� ' TYPE OF CONSTRUCTION NEW ADD ALTERATION RE�AIR �" `�' � �Apo�icSnt�MailingAddress . � . - - �Owne�Name �Le�?J�� Phone � CONVERSION ❑ DEMOLISH ❑ OTHER pp # � ��' Zo�y � �-. .DESCRIPTION OF WORK/USE OF BLDG. . � Address �9�� F/�C.Q.rNdr.�t� _ ` - �.:E_.MainBuildin9: �'n • . c sw �IAin9: J c �c Arch/Eng. -�- AF"�Y..+2 License No. �d/�� . TVPE OF PERMIT GRADirvc FOUNDATION ❑$TRVCTURAL - �'Tf F�Ont _ � �� v��td, '� � USSGJ - T" f J,��i3O, Add/255 /Oii ❑ TENANT ❑ ECTRICA�, ❑ PLU`p'� IN ❑ MECHANICAL ' - B Rear �� .`. • � � N ❑OTHER Iu1.NN.ti�J_✓'(� y��'� .. � '- .' p'' ' � Contractos'sName � � Phone.�,?�-�� ` � PROJECT DESCRIPTION 5�. FT. � oCcuaqrvC � R� � A'ddresslmailing) �'fdS� �7�.�.�M Q�-a'n� W K �e{t � : R � � CONSTRUCTIONTYPE VALVATIONS� S City License No. �� Z � ZO�vE GaaDING CU.voS. ACRES P�ng. Ref, # Parking Rey./Provided E LICENSED CONTRACTOR DECLARATION Q 1 hereby affirm tnat I art� licensetl untle� provi5ion5 of Chdrter 9(commencing Rema�ks: �` � 8- S Planning Noter I � M with section �000) of Diyision 3 of Ihe Business antl Professions Cotle, antl T Rly �1CQOSC IS lfl fuu force a�tl eitect. � LIC¢!IS¢ Gld 5 CE�fi .'�'�� y� S oate�Z��'� Siqnature � PLUMBING FEES WORKERS' COMPENSATION DEsi ION Bd� Sink ShOw¢f5 ELECTRICAL FEES 1 hereby affirm that I hav¢ a certifi e of con5¢nt to self-insure Or a certilicate of Workers' Compensation Inzurance, or a certifietl copy thereoi (Sectlon Backflow Preventer Service Sink 3800, Lab. C.) _�— y/7�,,�� Automatic Washer Trensformer ❑ 15-50 KW PolicyNo. � Company � T—"^ Backflowlrrigation SewerCap ConStructionPoleSuh. ❑SO+,KW ❑ Certifietl copy is hereqy tur isheE. . {�'CLrCf tl wJ}Y�J5 tiletl with the city B � i si Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date��ZG��_ APPlicant ' � �_. EXEMPTION FROM WORKERS' C ATION DEC ARATION Clarifi¢fs Solaf Collectors Dishwasher Meter ❑over 100 amps (Thissection neetl not be �ample[e ' th ¢rmit is fo� one huntlr¢tl ($300) o� less). Dishwasher Solar Pipin9 Dryers ❑Gas ❑Elec[ric Sub Panel '� I certify tM1at in the PetfD�mante Of ihe wo�k tor which tpls pe�m�t is issuetl, I �/ shall not employ any person in any manner so as to become subject to the Drinkin9 Fountains Solar Tank Fan ' Motors �0-7 HP CJ1'fe- 8 � Wo�ke�s' Compensation I aws of California. Date Si9nature Floor Drains Swimming Pool w/Spa 3(� F.A.U. Inc Solar �9-15 HP �i6-15+ NOTICE: It, afte� makiny this tleclaration, you Shoultl become subj¢Ct t0 tlte - Workers' Compensa[ion provisions of the Labor Cotle, you must torthwilh FI00/Sinki U�iOdl Fixtu�¢5 Mic�Owav2 1 comply with such p�oVisions or thi5 permit shall be tleemetl �evoketl. CONSTRUCTION LENpING AGENCV GasSENiC¢ �ULI¢LS WytC�C105¢t Devic2BOxes I he�eby affirm that tM1ere is a con5truction lentling agency (or the perto�mance POI¢ Li9ht � of the work for whi�M1 this permit is issuetl (Section 309] Civ. C.) Interceptors Water Heater Outlets Ran9e 2 Lentler's Name � �ender's Atltlreu Kicehen Sink Water Servire Switches Sign' � OWNER BUILOEN DECLFRATION I hereby aftirm that I am exempt irom the ConVactor's License Law for the Lavamries Auto-Wash Garbage Disposal Standin9 Sections followin9 reason (Secfion 7031.5 Business antl Professional Cotle: Any city or munty whith requires a p¢rmi[ to construct, alter, improye, tlemolish o� tepair ` P-Tfdp L3Undry T�ayS Generator �0-5 KW �5-15 KW any strutture, prior to i[5 issuance, also �equires the applicant for sucM1 permit T�35h Compdct0� to tile a signetl statement tnal he/sne is licensetl pursuant to Ihe provisions of Roof Drains the Cont�actor'S Licenze �y�y (Ghapter 9(commencing w{th Section ]000) ot Division 3 of the Busi�ess antl Prote55ion5 Cotl¢) o� that he/she i5 ¢xempt therefrom antl the basis for the alle9etl exemp[ion. Any violation of Section 7031.5 by any applicdnt for a permit Subjects the applicant [o a civil penalty of not more thaq {��e huntlretl tlollars ($500�. � 0 I, as owner ot the p�operty or my employees with waqes as [heir sole • RB!nSpBCtiOn FBe $75 IAue Fe2 $ 3 compensation, will tlo the work, antl the structure is not intentletl or offeretl Reinspection Fee $15 Issue Fee for sale (Section 7044, Business antl Professional Cotle: The Contractor's '��; MECHANICAL FEES LicenSe Law tloes not appty to an owne� of a property who bwltls o� imprOves thereon, antl who tloes such work himself/herselt or through his or her own Bo.1e Hood or Type I ❑ DEVELOPMENT SERVICES REQUIREMENTS:p,JJ/�'+++nnn �//`'//f�/� � . employees, provitletl Ihdt such improvemenfs are no[ intentletl or offeretl for Zoning Approved By "'-' ""`a'�Date 5 ac� -88 � sale. It, however, tne b4iltlin9 ot improvement is sold wi[hin one yea� of com- CdnOpy Typ¢ I I ❑ pletion, tbe owner will have the burtlen Of Provin9 he/she tlitl mt builtl or im- �UCt - Und¢� GrouOd @uildiny App�OV¢d By Ddt¢ p�ove for the purpose of sale). ❑ I, a5 owne� of the ptoperty, am exclusively contracting with licensetl COn- Duct-St��ctuf2l Refrigeration System Applicati0� ISSued By Dat�� tractorsto wnstruct the project (Section �044, Business antl Professions Cotle: ❑0-700,000 BTU ❑100,000 BTU Tne contractor's Licenke �aw does not applY ro an owner ot praperty who Duct - Ventilating SUMMARV OF FEES � builtls or improves ther¢pn, antl who cont�acts for such proj¢cts wi[h a con- ` 1� � Z. tracmr(s ucense pursua�t to tne Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration . BUILDING PERMIT $ � SMIP $ I� proot o� their worker'E Compensation insurance shoulo be provitletl to me. _ PLAN CHECK $ ��(r PERMIT - :� I am exempt untler 5¢ction e. & P. C. for this reason Firepl/Fact. Blt. ICBO # Fire Dampers PLUMBING $ �� ISSUANCE $ Date owner Heating System & Ducting Registers � ENERGV P.C. $ PLAN CHECK 25% $ _ ` bereby certify Iha[ I have redtl this application antl state tnat the above ❑0-100,0006TU �100,000BT 'i�formation is c re . I a9ree to ly with all city antl county ortlinances ELECTRICAL $ L�`�x- GFADING $ antl state laws J g to copstru�tion, antl hereby authorizp repre- PLAN CHECK 50% $ �� MICROFILM $ sentatives ' i up6n tti above-mentionetl pro rty f inspettio . ,G�� - - Accounting: Goltlenrotl - Assessor M e: �; •� �: CONSTRUCTION AND�PLANNINGr '� .t. i� . POOL & SPA - ' t�, �, i Date ,Inspector � Date Inspector APPROVALS i Permit # v/ � APPROVALS Permit # � � i - 1;,tTemporary Electrical Service or Pole 52. Pool & Equipment Location 6�(� .�� r. ' 2. Soil Pipe-Undrgrnd. �i � ' 53. Steel Reinforcement _ 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � 4. Electrical Conduit-Undrgrnd, 55%I Electrical Bonding 5. Steel �Reinforcement 56. Rough Plumbing & Pressure �Test 6. Electrical UFER Grnci'. 57. APPROVALTO COVER-GUNITE 6(� G 7. Footings, !� �l� � 58. ElectricalConduit-Undrgrnd. �+i�' Z' ��- 8. Foundation ", 59. Gas Pipe, C9�tindrgmd., Test (� (� 9. Water�Pipe Und�grnd. 60� Backwash Lines, P-Trap, O Undrgrnd. -. � 10. Structural Floor System 61. APPROVAL TO DECK .' y� ' / 1 r 11. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal � /. � 12. Sewer Ca � / �'' P , 63. Heater & Vent-Final ( � � 13. Roof Drains � `� , ' 64. Plumbing System - Final .:-�-� �, � � • 14. Rough Plumbing � "" ,�, � s' 65. Electrical-Final � �} 15. Rough Electrical-Conduit' ' '� 66. Solar System-Final � � � 16. Rough Electric Wiring � n �_ 67,. Fencing & Access Approval � p� Q 0� 17. Rough Wiring Sign � � � �68. APPROVED FOR PLASTERING (J'�- ii 18. Rough Electriral-T Bar Ceiling �,69. POOUSPA SYSTEMS FINAL Lt 8�-- l 19. Rough Heating & Air Conditioning �� FIRE DEPT. REQUIREMENT `j �3 20. Rough Factory Fireplace , APPROVALS Permit # ! 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ve�tilating 71. P�oduct Piping �Gas ❑Oil '� 23. Gas Pipe-Rough & Test 72. Underground Flush � �" 24. Roof Framing • 73. Undergrnd.StorageTank OGas ❑Oil .,. ; , 25. Roof Sheathing 74. Overhead Hydro �v � 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical L� rr ' . 27. Frameand Flashing �76. Dry Standpipe y � �' 2S. Lathing & Siding 77. FIXED SYSTEM FINAL ,�,��. " I�' �, 29. Insulation 78. FIRE PREV. FINAL � yJ 30. Drywall Nailing HEALTH DEPT. REQUIREMENT � ' r.�� .i; �:� � ' 31. Plaster Brown Coat 79. FINAL INSPECTION , •� '(�.1 • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED L�� rr� 33. Final Electric -. Notes: . r� 34. Pinal Heating & Air Conditioning �J � 35. Final Gas Pipe-Test � i rf1 ' � ��36;Hood or Canopy � ^ • j , t ,-� � 5 ' 37�Final Factory Fireplace � ' "� <� 3. �,( I.� � +��38!Final Plumbing N `� .) �✓�. i M `. t 39. Water Service-Final � j! i� �! )y� j �: � �. : r T. V .h �:� �40. Gas Service-Final � � /�� t ` � � � y � p41. Solar_Domestic-Final `�' � �� ! � jf / �1,n42� Backflow Preventer w� � V �'�' /t. p�' � � - Y �43.. Backflow Irrigation � �, 1 y y ^i` � � a^� D i �� lr ��r� �44: Candscape Irrigation SYstem f' � '�(' % i i �� / � � l��hJ✓.l'� � �'�.t� !: ,. � � / J 45. Sound Attenuation � / E� '� � /: • : -r � 9, �i � . �✓ 46�Handicap Regulations ' �� ('� � � � V �� '� ' � nl �n� 1 ?� �. 'i:i , �J 47. FINALSTRUCTURE&BUILDING � � �'�0 �r JM ' �T .� i 48',Special Requirements Completed (t --? j �" ' G' � / " i .. � `,49�Electric Release to Edison � � � � j ��' i r / � 50. Gas Release to Southern C2lifornia Gas Co � . �1i � � >� � � ` 51. CERTIFICATE OF OCCUPANCY -� . s No. =-t �°^�i Date � � �� . _--� � � �1 i . , � � �-f � � . _ AoOlicant to till in a11 spaces exttpt those within heavy boreer lines antl sign a11 apprapriate tleclarations. PE M T O. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESAq aCONSTRUC�T •ON PERMIT . a.r.# � . � zo�e . Project.Address -� / J � �( c��"e�L� . � �� ' . . . � S Main Building: Accessory Building: ApplicacTSM3ilina'AAdrecc TYPEOFCONSTRUCTION NEW ADD ALTERATON REPAIR E Z ❑ CONVERSION� ❑ DEMOLISH ❑ OTHER T Front . _ 0 Owner's Name n -�- � Phone DESCRIPTION OF WORK/USE OF BLDG. I B Rear � N Address c''S/K r�' A I Arch/Eng. �� LicenseNo._�0��3 TVPEOFPERMIT GRAowG FOUNDATioN STRUcrUanL j.K Right � G Address 4 Z- - �p � � ❑ TENANT, ❑ ELECTRIGAL ❑ PLUMBING ❑ MECHANIGAL g� Left ' Contrecmr'sNam �' PhoneL�.2l_=1L�� 'oTHER � PIng.Ref.# �� ParkingReq./Provided E PROJECT DESCRIPTION 5c7. FT. oCcuPnNCV . � � � AAdress (mailin9l w" �'�"`� Planning Notes: � ' M CONSTRUCTION TVPE VAWATION $ City LiCense No. �� ZONE GRAOING CU.YDS. AC0.E5 T LICENSED CONT0.ACTOR DECLARATION � . � � S' 1 hereby affi�m tha� 1 am licensetl untler provi5jgn5 of Chatte� 9(commencin9 Remarks: - witn sec[ion �000� of Division 3 of the 7ne55 and PrOtes5ion5 Cotle, antl my Iicense is in � I for�e antl eftect. �� t,�sy � ELECTRICAL FEES � License Cla s �' li �� Date � Siqnature PIUMBING PEES P.utomatic Washer � Transtormer ❑ 75-50 KW � WORKERS' COMPENSATION DE AT ON � ' Conitruction Pole Sub. ❑ 50+ KW lT I hereby af�irm tha[ I have a cer[(£ at of consent [o self-insure or a certlficate Bar Sink ShOwers . . , � of Workers' Compensation In � nc¢, o� a certlfietl cOpy fhe eof (SeCtion Cooking Unit Meter ❑up to 100amps . 3800, Lao. C.1 Backflow Preventer Service Sink � Policy No. CS9csY Company � �'�"� Backflow Irrigation � Sewer Cap '� . Dishwasher Meter ❑over 100 amps � Certit'etl copy is hereby turnishetl. t � , Dryers ❑Gas ❑Electric � Sub Panel � rtlfietl opy' tl with the city Buil ' ' on 82thtub5 Sewer Connection � �G ,t�Q � � � Date �7/%[f �A.Y Applicant Fan � Motors �0.1 HP 01 R- 8 EXEMPTION FROM WORKERS' COM 5� ION DE 0.ATION Claflfi¢f5 � SOid� COIICct0�5 ' (Thissection neetl not be wmpletetl if Y pE mit isfor op huntlretl ($300) or f.A.l1. ' � ' - InC.$Old� 09-75 HP �16�15+ � less). Dishvsdsher Solar Piping • I certify that in the performance of e work tor which this perm�t is Issuetl, I - Fixtures ' shall not employ any pe�son in any manner So as to bCtome subjec[ to [he Drinking Fountains $Old� TdOk MiROwav¢ Workers' Compen5ation LawS ot California. ' � ' Date Siqnature Floor Drains ' Swimming Pool w/Spa Device Boxes � Pole light '. NOTICE: H, afte� making this tleclaration, you snOu10 become subject [o the OutICtS ' � � Workers' Compenution provisions of the Labor Cotle, you must forthwith Floo� Sinks U�inal . Range comply.wlth SucM1 provlsions ot tM1is permit shall be deem¢tl revok¢tl. � �' CONSTRUCTION LENDING AGENCV - ' ' Ga5$CrviC2 OUtletS Watef Closet . Switche5 Sign ' � 1 nereby a(firm tha[ [here is a consttuction lentling agency fo� the pe�fo�mdnce - . o� tne ,work for whicn tnis oermit is issued (Section 309] .Civ. C.) Interceptors Water Heater . Gar6age Disposal � Standing Sections � Lentler's Name - Lentlor's Atltlreis Kitchen Sink Water Service ' " , Generetor DO-5 KW �5-15 KW Trash Compactor � , OWNER BUILDER DECLARATION � - . I hereby atfirm lhat I am exempt from the ContfactoPs LicenSe Law tol the LdV2tO�ieS . .. AutO-W35h ' _ � following reason (Section �031.5 Business antl Professional Cotle: Any city or . . county whi[h requires'a permit to cons[ruct, alte�, imOrove, tlemolish o� r¢pai� P—T�dp L2Undry T�dys any structure, p�ior to its issuance, al5o requi�es Ihe applican[ (o� such permit , to file a si9netl statement that he/she is licensetl pursuant to the provisions of . Roof Drains - -� the Contractor's License Law (Chapter 9(mmmencing with Section 7000) of ' DiviSion 3 ot the Bu5Ine55 antl Profess�ons Cotle) ot that he/she is exempt _ . [here/rom antl the basis tor the allegetl exemption. Any violation of Section • . Reinipection Fee $15 Issue FeB $ 3 �]031.5 by zny applicant tor a permit subjects the applicant to a civil . enalty of not more than five hunCretl tlollars (g500). ' DEVEIOPMENT SERVICES REQUIREMENTS: � I,- as owner of tne property or my emo�oYees with wa9es as meir sole Reinspection Fee $15 , Issue Pee $ 3 'rompensation, will tlo the work, antl [he structure is not intentletl or.offeretl Zoning ApO�oved'By Date for sale (Section�7044, Business antl Professional Cotle: The Contractor's . . ' MECHANICAL FEES Building Approved By Dat� LicenSe,law tloes not apob to an owner ot a property who bulltls or improves � . - , [hereon, and who tloes such wo�k him5elf/hers¢If or tM1�Ouqh N5 or her own AppiitetiOn IRued By Ddt empioyees, provitletl tfiat such improvements are not intentletl or oiteretl for Boiler , Mood or Type I ❑ sale. I(,_however, the builtlin9 or improvement is soltl within one year ot com- Canopy Type II ❑ ' SU ARV OF FEES � ' pletion, the owner will M1ave tha bu�tlen Of O�oving�h¢/she tlitl not builtl o� Im- DuCt � UftdE� Ci�OUnd . prove for the purpose ot sale). - � UILD G PERMIT $� SMIP , $' ❑ I, as owner oi the property, am exclusively contractin9 with Iicensetl con- �uct -Structural , Refrigeratlon System � � pLAN CHECK bactorsto construct tne project (Section 7044, Business and Protessions Cotle: ' $ . PEFMIT • Tne Contractor•s License Law tloes not apply to an owner of property who Duct- Ventilating ❑0-100,000 BTU-❑100,000 BTU PLUMBING $ � ISSUANCE $ - builtls o� imProves-the�eon, antl who conVacts for such oroiect5 with a r.on- - �� tractor(i1 license uursuanc m me Contractors License Law). I am aware that Exhaust System ❑ MWtiple ❑ System Repair/Alteretion - PLAN CHECK 25% $ ENERGV P.C. $. proof of their Worker's Compensaiion insurance shoultl ba provitled to me. ELECTRICAL $ GRADING $ ❑ I'am'exempt untler Section B. & P. C. for this reason ' Firepl/Fact. Blt. ICBO # Fire Dampers ' MICflOFILM $, � � � ' PLAN CHECK 50% $' Date • owner • � Heating System & Ducting � . Registers � � . i,hereby certity that I have read tnis apo!��ation-antl state that the above ❑0.100,000 BTU �100,0006T - MECHANICAL $ TOTAL FEE $� information is mrrec 1 ree to'compty with all city antl county ortlinances PLAN CHECK 25% $ antl'state laws rela ' builtlin construction, antl hereby authorize repre- sentatives of. this i to en e the ,�bove-mentionetl -prop f . ' ' inspettion pur s! w ' ' . Signature - Applicant; Pink - Accounting; Goltlanrotl - Asseszor 1 `, \ _�, CONSTRUCTION AND PLANNING POOL & SPA � APPROVAIS Permit# Date Inspector qPPROVALS Permit# Date Inspector 1' l�mporary Electrical Service or Pole -� 52. Pool & Equipment Location % 2. Soil Pipe�Undrgrnd. '� ;`' �� 53. Steel Reinforcement ' 3. Electrical Conduit,U�tility-Undrgrnd. �r �; 54. Forms ',,i j 4.1Electrical Conduit�Undegrnd. • �' 55. Electrical Bonding 5.',Steel'Reinforcement� � . 56. Rough Plumbing & Pressure Test •�i : 6. Electrical UFER'Grnd'. -� 57. APPROVAL TO COVER-GUNITE � ��; 7.IFootings � . � • ,' 58. ElectricalConduit�Undrgrnd. , 8. Founda iion '�� . , , 59. Gas Pipe, O Undrgmd., Test �' � 9.� Water Pipe-Undrgrnd. � , , 60. Backwash Lines, P-Trap, O Undrgmd. � 10" Structural Floor SYstem ' � f 61. APPROVAL TO DECK 71 ' Property Sewer Line & House Conn�ction ' • 62. Backwash & Receptor�Final , 72. Sewer Cap , J�F ', �� 63. Heater & Vent-Final ' � � 13. Roof Drain's � ; � � 64. Plumbing System - Final • 14. Rough Plumbing �.� - , � 65. Electrical-Final i 15. Rough Electrical-Conduit 66. Solar System-Final • �1� . Rough Electric Wiring 67. Fencing & Access Approval `17. Rough Wiring Sign 6S. APPROVED FOR PLASTERING �1�8. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ;19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ,20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing 74. Overhead HYdro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. FrameandFlashing 76. DryStandpipe 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. 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. Final Plumbing i-� 39. Water Service-Final , 40. Gas Service-Final v 41. Solar pomestic-Final 42. Backflow Preventer ii 43. Backflow Irrigation i 44. Landscape Irripation System ' 45. Sound Attenuation � ;4� 46. Handirap Regulations 47. FINALSTRUCTURE&BUILDING 4A. Soer.ial Requirements Completed 49. Electric Release to Edison , i 50. Gas Release to Southem Califomia Gas Co � 1 ''� � � 51. CERTIFICATE OF OCCUPANCY ' � ` No. Date • :�E?CRT CE IV52EC'_'ICN CN es� ro: Address: �UHER: PROJECT: Address: C.'.�RCC'r' I � :yascnry � ) Gu711 i.? � � �OSL=1��i5iCREG 1::��1CC?C2 � 9icaorooEinc l 32'_�LCCCIRC $�2�� Cn�+A �� •. Reporc No. Permi t No. �� ;��257 � Architect: ryr�,�� ,�{ Contr.ac[or: �lj;,ry»�-� Q�IS Address Address: Engineer. (J.C.AOqrr�� Subcontractor:��„ iQ�--��v (Guni[e) Address: Masonry or Co�crete) Inspettor. �7k �j�� Address: �' x bi S�( Ftll pe-(Zti . . Mfx Used:�•a-� Slump, inches:-�- Admixture: �' Designed Strength, PSl�bp� TAe following inspection was performed in acc�rdance wi[h [he approved drawings: Cu.Yds. No. of DA7ES Placed Cy�s.- Remarks � a4 $ �� 3 �,r�e�.� �c� �d n v i� 40� 4�-e � Gte� w,�c `_ � ., Copies of Reports [o: ��dicate vhich Bldg. Depc. E furnish address of any noc �isted) 2� 2 -. �22`�``� I`��o2 Turiniaq Laboratories �i s�u�E=,= �ac�fo��, �,u. _. � � . �3i0.�vpo�� way ��btaeny nmress P.O. Bo� ai i Long 3eacn, CA 9080t l �2131 a25�3355 / R�3� fi96-2386 I I��a182B-6a32 TESTING eaancNocvicE. :si+�or+onns�z,�svee� i samaa�acasz,oa i �>�mssa,zsas Su1y 11, 1988 Examination: SC88-6393 COnnPaESStoN TESTS Orv GUNITE CYI.INDERS ' Max Sitter P.O. Box 345� Fullerton, California 92637 PROJEC7 SIdIFf�ilING POOL r1PID SPA aDORESs 2939 Ellesmore, Costa �Sesa ARCHITECT CONTRACTOR 2romentorv Pools Promen[ory Pools ENGINEEP SUBCONTRq�TOF B.C. �d'ams Vern Anthony SAMPLE FROM Shallow end SPECIFIED MIX 4.2-1 STRENGTH DATE CAST 6-29-88 SLUMP —— S12E DATE TES7ED 7—$—$$ SPECIMEN NO. 1 2 5 3"HII.D iA! FI[LD" COMPRESSION 9-Day TOTAL LOqD. LBS. 68,000 POUNDS PER SO. IN. 3,470 28-DAY AVEFAGE. PSI COMPL;aNCE 9—D:y test complies with specified serength I.SGPSiA"i SPECIMENS Gary oisraieuriorv: Max Sitter - 3 Cae#+a.Mesa Bldg. Dept. DELIVERED pV r�aX 2,000 psi 4.97" s 12.25" RECEIVED ON i-5-8s �� L oy�1 Suehiro �LL cEPOF�g.a� 5u'ca•;r,�p n5 ;;.e CO.v�ioeprtu.� xnaEF-� O� C�iEruS „ut�OF�Z-riO,-� POF avR�C.:�iOu Or nuF FynprS Cv'�CWSi0N5 pq E� raaCS c�onn 0� �r,_�pr:G" -. .ccSccyEJVE•:0'::G��F..-i--c... =p.a,�a5.:::.UfUa: -C2rtIG::tO. _ .� � - c ...... � ..._ ....oc � .�.�:a- c _ . _ . _ .':[$ r _aU9Ul.:.".. ..__/"5 1]J '- / Applleant to till in all soaces within heavy borGer lines ana.sign all approD�iate tleelarations. CITY OF COSTA MESA � PERMIT NO. TRACT NO. LOT NO.' �BL�G. NO. - ' " - CONSTRUCTION PERMIT - / a? •' ProjectAddress 9Q2� �2/03/8� o�. Tl LL 2 �Qi�.. TYPE OF CONSTRUCTION �- _. ,. „ __ 6�00 Owner z � • Phon2,s - ❑ NEW ❑ ADD ❑ ALTERATION - ' � AddrCa ❑ REPAIR ❑ CONVERSION ❑DEMOLISH Arth/Eng. License No. ❑ �THER ' ZONING REGULATIONS Addfess ' ' . . DESCRIPTION OF WORK A'P' � ZONE PLNG. REF. � , Contractor - Phone ' - • � � � To aU I LDI G .3 TVPEOFPERMIT Eq �LINE SETBACK C L ST. PROP T AddfCss % /� ❑ GRADING ❑ FOUNDAT,I�ON� ❑ STRUCTURAL - SIDE VARD ' " LICENSED CONTRACTOR �ECLiCRAT10N ❑ TENANT O ELECTRICAL LiPLUMBING ❑MECHANICA L5EDE VARD I hereby affirm that I am Iicensetl untler provlsions of Charter 9(com- RIGHT mentin9 wit� section ]000) ot Division 3 of the Business antl ❑ OTHER Protessions Cotle, ntl my license is In full forte antl ( ct. REAR VARD (TO P/L) ✓� �^ PROJECT DESCRIPTION Llcense Class - Icense No.� PKG. SPACE RE�. PROVIDED � Date��-a% � � 51g t � � SQ. FT. , _ _ STREET WIDTH PARK FEE $ WORKERS' COMPENSATION DECLARATION -- OCCUPANCV_CONSTRUCTION TVPE ZONING APPROVEO BY DATE I hareby affirm that I have a certiticate of tonsent to selt-Insure or a VALUATION ZONE ' certliiwte ot Worker5' Compensation InSurdnce,� oy a Certifletl copy SPECIALCONDITIONS: thereof (Sec�' ^n 3800, Lab. CJ. O// GRADING CU. VDS. ACRES l��' .<"' Policy No. �"-'��9�� Company Q� K�x� L - � ❑ Certifi¢tl COpy i5 he�eby fumishetl. � REMARKS: �� ry�� Certifietl copy is tiletl with the ciry Builtlin9 Oivislon. ,�Z EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ' (This section neetl not be completetl if the permit is for one hunEretl _ . _ Sy300I or less). tert��y that in the performance of the work for whith this permit is ISsuetl, I shall nOt ¢mplOy any p¢r5on in any manner so as t become . PLUMBING � PLAN CHECK ELECTRICAL -' PLAN CHECK subjett to the Wo �ers' Compensatio I�.�ws o California. Odte�/-� �/ Si9nature �� BATHTVBS SHOWERS NOTICE: If atter making this tleclaration, you shoultl beco e sublect TOILETS URINALS ' - GENERATOR 0-1 KW_ 1-10 KW to th¢ WO/k¢�5' CompenSation p�ovisions of the L2bor COtle, you must TRANSFORMER forthwith comply with such provi5ion5 or this permit shall be tleemetl LAVATOfRIES DOUBLE LAVS � APPLIANCE 30-50 KW_SO+KW ' r¢vOkltl. CONSTRUCTION LENDING AGENCV KIT.SINKS DISHWASHERS �J MOTORS " '0-1 HP_1-10 HP I hereby aftirm tna[ [h¢re is a construction lentlingagency (or Ihe per- SERVICESINKS ' $VMP$ � (INGSOLAR) -30-50 HP SO+HP tormance of the work for whlch tnis permi[ is issuetl (Section 309� Clv. CJ. FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS - SWITCHES ' Lentler'S Name Lentler's Atltlress DRINKING FOUNTAINS N GASTUBE'SIGNS OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS � '" I hereby a(firm that I am ezempt from the Contractor'S License Law for the following reason (Se<tlon ]031.5 Business and Proiesslons Cotle: SWIMMING POOL P TRAP " Any city or county which requires a permit to mnstrucQ alter, POLES METERED SUB Improve, tlemolish or repair any structure, prior to i[s issuance, also re- yyqTER SERV ICE ALTERATION PANELS MAIN SUB qWres the applicant for such permit [o file a signetl sta[ement Iha[ he Is licensetl pursuant to the provisions of the Contractor's License Law GAS SERV ICE OUTLETS � SERV IGE AMP ' (Chapter 9(commencing with Sectlon 7000) of �ivision 3 ot the Business antl Prbfessions Cotle) or that he I5 exempt therefrom antl lhe yyATER HEATERS BTU OVTPVT '0 ba5is for the allegetl exemption. Any violatlon of Section �031.5 by any applicant for a permit subjects the applicant to a civil penalty SEWERCONNECTIONS of not more [han tive huntlretl tlollars (5500). ❑ I, as owner of the property, or my employees with wages as their SOLAti TANK COLLECTORS - � Sole Cortlpen5ation, wlll do the work, antl the 5[ructure i5 not.intentl¢tl or o(feretl for 5ale. (Sectlon 7044, Business antl Protessions Cotle: The SOLAR PIPING SVS. �SSUE FEE - - Contractor's License Law tloes not appry to an owner of a property �-C d APPLICATION APPROVED BV- DATE • who builtls or improves [hereon, and who tloes such work himself or ISSUE FEE � through his own employees, ptovitletl Ihat SUGh imp�ovements a�e not intentletl or offeretl Por sale. I(, however, the builtling or improvement MECHANICAL P�AN CHECK SUMMARV OF FEES � I5 soltl within one yea� of completion, the owner will have the bu�Een gUILDING " of proving he tlitl not builtl or improve for [he purpo5e o( sale). HEATING SVSTEM 0-100,000 BTU PERMIT $ SMIP $ �� I, as owner of the property -am exclusively contracting with qND DUCTING � IlcenSetl ConVacto�s to construct the project (Settion ]044, Bu5ine55 300,000 i BTU , PLAN CHECK $ PERMIT antl Protessions Cotle: The Contractor's License Law tloes not apply ta � - �ISSUANCE $� an owner ot p�ope�ty who builtls or imp�ove5 lhereon, antl wh0 Con- REFRIGERATION 0-300,000 BTU Pl.UM81NG $� tracts trom such pro�ects with a'contra<tor(5) Iicesnetl pursuant to SVSTEM ' - GRADING S� the Con[ractor's License Law). 100,000 + BTV PLAN CHECK S ❑ I am exempt untler Section � B. 8 P. C. tor this ELECTRICAL S b BOILERS BTU reason ' Date Owner - SVSTEM REPAIR, AITERATION PLAN CHECK $ MECHANICAL $ TOTAL FEE $ I hereby certirytnat I have reatl this application antl state [hat the above EXHAUST SVSTEM MU�TIPLE LE55 Ao- ' information is wrrect. I agree to compry with all city antl county 'PLANCHECK $ VANCEPC $_ ordlnances antl state laws relating�to construction, and hereby aulhorize ., � repr¢5¢ntatives of thi5 city t �/ ent¢r upOn the above men[lonetl O propercy ( ' sp tion pur es. I/_a' 7_J/ FINAL FEE $—� Signature �- ISSUE FEE � - �,rvir oow-yo vvnne-owimng; wnary-rpyucam; rmn-qccounung; oo�ae�uw-..a>m.+..i CONSTRUCTION AND PLANNING POOL & SPA , � APPROVALS 1� \�•��:il Per�mit#-_ Date Inspector pppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location � • 2. Soil Pipe-Un rgrn 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . tee ein orce 47. Rough Plumbin & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test � 9. Water Pipe-Undrgrn � 51. Backwash Lines P-Tra ❑ ndr rn 10. Structural Floor System 52. APPROVALTO DECK 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final ? Street Sewer Connection 54. Heater & Vent-Final 3. Rough Plumbing � �� . . � 14. Rough Eleciiic-Conduit. �56. Electrical-Final 15. Rough Electric-Wiring ` •- 57. Solar System-Final 16. Rough Heating & Air Conditioning � Fencing & Access Approval 17. Ducts, in Structure ' APPROVED FOR PLASTERING 16. Ducis, Ventilating 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL ' � 20. Roof Framing � 21. Roof Sheathin 22. Frameand Flashing NOTES: 23. Insulation 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat ' 27. Electrical Power Meter-Final �9. Final Electric Final Heating & Air Conditioning ' sU. Final Gas Pipe-Test _37. Final Plumbing 32. Water Service-Final 33. Gas Service-Final 34. Solar pomestic-Final 35. Landsca e S rinklin S stem � 36._. Sound Attenuation 37. Handicap Regulations � - � - 38. FINALSTRUCTURE&BUILDING � 39. Special Requirements Completed 40. Electric Release to Edison � 41. Gas Release to Southern California Gas Co. � ' 42. CERTIFICATE OF OCCUPANCY . ' No Date • • • • • • • • • • • • (7141847.6788 ` • � • • • • • • • • • • s�c� procJucts I N C O R P O R A T E D • 18063 REDONDO CIRCLE • HUNTINGTON BEACH. CA 92648 September 25th� 1979 City of Coeta Messa Building and Safety Dept. 77 Fair Drive, Costa Mesa� Ce. Attn: Mr, Connors � RE: 2939 Ellesmere L Dear Mr. Connors� The light niche ie bonded-correctly to applicable code. It is bonded with a#8 bonding wire to e solid brase clamp on to the red brass connected to the J box. Sincerely� � �� Roy A; W. lcox General Menager RAW/tw � �1.?��3 G�OSTA tv1ESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31] COSTA MESA. CALIFORNIA fOR APPL/CANT TO f/LL /N COMPLETELY TYPE OR PRINT BUILDING 2939 Elleamere Avenue AODRE55 COSTA MESA, CALIFORNIA ow�ERKenprof Development Co.,Inc Mp�� acen `CZ ADDRE55 �,r., Newnort Beach T,��6-'i227 w �LeowL I LOT CO OESCflIPT10N NO. �O FIRE �.,.. � ��9 �o�E BLOCK T APPF BY S'ZE 68s98 irreg I�o.ove�oce. O OF LOT NOW ON LOT �SE °F None EXISTING BLDG. SETBACK LINE FHOM cErvrEn ov sine¢i O� REAR YARD �O � I 5f. I 5r SIDE YARD LEFT RIGHT DESCRIPTION OF WORK ' NEW I �II ALTERATION I II �1DOITION I REPAIR I II MOVING I II DEMOLISH I SZIEDING 1800 S1 ROOMS �+ STORIES 1 EXTERIORWA IROOFWood Sh3kes rnvrair�r. S�illCCO rnvrwiN� ana nttacnea garage aa�- 1 HENEBY ACKNOWLEDGE TH�T I HqVE flEFO THIS APPLICATION ANO STATE TMAT ABOVE I6 CORFECT ANO qGREE TO COM- PLY WITH ALL ITY DIN�NCES �ND ST5TE-LA�B'H� LATING BUIL�ING CO STBVC ION. /i 1 _ e AUTHORIZED AGENT — �EE ��cr�vE� �L�� _ .� . �. � FINANCE DEPT. CITY OF COSTA MrSA APPLICATION FOR PERMIT BUILDING foR officE usF oNcy I HECEIPf NO. I_ � _FjIF� ie . q :IVED BY DATE RECEIVED OATE•I$ � I .�—/—Gtl I FFR o COSTA MESA, CALIFORNIA r�e� v �o�„� �r �- ZONING NO. OF I USE OF (CENTER L�NB ST.� FRONT D Ff R.SIDE S F'f �. sioe sFr REAR c�FT TNE RMOfINT BHOWN UNOEH VALUATION IB FOH THE PUNPOSE OP ESTABLI6HING A PEIiMIT FEE ONLY. .UATION 3y_ PERMIT FEE S /�y�,J _ PLAN CHECK $ ' // �� TOTAL FEE $ ..S �%� T F 5 W a Q h y S F O w F Q C ..1 Q 7 } , � W a O � a Z W y" 3 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BVILDING �� /iL /��M��` ADOFESS � �Q OWNEROR �J�_��Y 7 /�-A��i�" TENANT `..Y'!� MAI LI NG ADDRE55 �'I`�%C TEL. CITV NO. CANSTRUCTION BRANCH TEL. ADDRESS CONTRACTOR /�f I�(� ADDFESS(r�/ �pVJ J� Q'-� TEL� CITV / x� NO. LIC.NO3S/ � T` S�L�CVNOJ, SI2E NO.OF BLOGS. OF LOT NOW ON LOT USE OF EXIS�ING BLDG. Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WOFiK TO BE PEHFORMED 0 I haraby acknowletlBe t�et I hava reetl thlf epplleetlan entl stem that tha ebove Intormetion Is eorrect entl aprea to eomply with ell Inws repuleNnB builtlin0 consiruction, entl I ehall not amptoy eny person In violatlan ot the workman's eompensallon lews of the Staro of Celifornla. I hareby certify that I em properly ticenfaG es e connactor untler tha State ot Celifornie Businass end Profeulons CoOe, DIvlslon 3, Chapter 9, entl thet sud� Iicenws are In fuil torce antl effect, or 1 am ezempt frOm the provislons ot tha $teta o} CeIlfOrniB Buainen ond Profasstons Cotla, Dlvision 3, Chaptar 9. �� • Sipnotura ot � Parmittee or � � Authorixetl ABent Date APP�TiON Ff��'6TRf)�S�ifRt�`L PERMIT 36, 50 TL RE 1 D V PERMIT �� '} �� A.P. NO. 1�` BUILDING�C ADDRE55 � UNIT OR SPACE NO. TR.N��1 q �1.. � NEW ADD ROVED .TER IREPAIR IMOVINGIDEMOLI APPqOVEOSETBACKS PLANNING ACTION DATE APPROVED APPROVED � C i 0 m SQ. FT. �+ THE AMOUNTSNOWN UNDER VALUATION IS FOF m TNE PURP06E OF ESTABLISHING A PERMIT fEE ONLV: � VALUATION PERMIT FEE 5 2 ��Q y m PLAN CHECK 5! O o 52Sct��' LL TAX 5 . SO f U TOTALPAID 5, _ i(i COSTA MESA BUILDING—SAFETY DEPARTMENT P.O. BOX 1200 • ' � Costa Mesa, Cali}ornia Tawcr CONTRACTOR City' Zip Code ( Cf/ "°"a" �� Addre: Smts Ucense N`o,,1�� Clau. �—� owner City License No -r.lj Tel. No.��rj'��Q pddre: NUMBER TYPE OF FIXTURE OR ITEM FEE _. /; Sink, �nr Sink, Kitchen Wash Basin (Lavnto�, Water Closet (Toilel Drinking Foun�ains Floor Drains Noof or 'mrw�. �.�.'' CMF 0450-46 8479 7/09/81 rseco. BUILDING USE 6a0� TL / '�! 7"1� DATHIB6U6D 'Y_9�/ 1 hereby acknowledge, tliet ILheve rend this application and state that the abovE is eortect and agree to comply wilh all City Ocdinances aritl�State` Laws regulating plumbing. 1 certify�the� [�pdssess the above valid Stare of CaliPornia classi- fication oi�l am the legal owne� of the residential property dr scd� �e,d�abov'e. 1 tltrtify that t have obtained a permit fmm the State Division of InNustrial Safety�excavations, oNer•than swimming pools, five fee[ deep ocQeeper.end�into which�ape�r�wn is required to descend. APPROVALS