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Home My WebLink About976 EL CAMINO DR - Building PermitsCITY OF COSTA MESA ��pMF BU►LDING DIVISION Ft ., � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us °. ` FOR INSPECTIONS CALL: (714) 754•5626 �"°"""°�a PERMIT NUMBER: P10-00118 PERMIT TYPE PLUM APN: 14166523 JOB ADDRESS: �976,ELayCAMINOg,DR.,, 'GM�� Vicinity: APARTMENT"fi STATUS: DATEISSUED: ISSUED BY: Suite/Unit: ISSUED 08123/2010 KJB SCOPE OF WORK: APARTMENT # 6. INSTALL SHOWER AND SHOWER PAN, 1.TOILET AND 1 WASH BASIN. OWNER: PAUL, BEN E TR , � PHONE: • APPLICANT: SEELSBINDER-, GARY � PHONE: 949-770-2913 - ' . ... .. CONTRACTOR: SEELSBINDER PLUMBING Address: 6 VIA FELICIA � � � - Cily/State: RANCHO SANTA MARGARITA, CA -.- . �. CELL: ARCHITECT: ENGINEER: Address: 1126 EL CAMINO DR City/State/Zip: COSTA MESA, CA 'Address: . 6 VIA FELICIA' : - City/State/zZip: � RANCHO SANTA MARGARITA, CA License No. 606458 PHONE: 714-826-4963 �., ` -- , 2ipCode: 92686 � ` � License No. License No. PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: � $0.00 PERMIT FEE: " $52.90 TOTAL FEES: $52.90 PHONE: PHONE: 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, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. CODEp. INSPECTIONTYPE OATE IN1111AL5, W�ER INSPECTIONTYPE ORTE IN701RL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical ��/� 7268 Pool Spa Final 208 Final Plumbing �"�6��V ��m/ '�__,_!�✓� 200 Final Re-Roof 2�0 Final Electncal 201 Final Block/Retaining Wall 212 Final Fire Prevenlion 202 Final Factory Fire PlaCe . 220 Final Planning Appmval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: I hereby aHirm untler penalry of perjury one of Ihe following declaretions: ❑ I haVe and will maintain a Certificale Of LOnsent to Sel4lnsufe (Of workefs' compensation, as provided for by section 3700 0( Ihe Labor Code, (or ihe peAormance of the vrork for which this permit is issued. ❑ I have and vnll maintain workers' compensation insurance, as required by sectbn 3700 0l the Labor Code, for the peAormance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Cartier. (Thissepionneetlrrol6ewmpl tl�lh p disvalvee� hundretldollais(3100)wless.) Policy ber. _ I certify Ihal in the pertormance of the ork for which Ihis permit is iss tl, I shall not employ any person in any manner so as to become subject to the vrorkers' wmpensation aws of Califomia, and agree that if I should be me subject to the worker wmpensation provision of Section 3700 ot the r Code, I s all fodh ' comply wilh these prov ns. T V — re � WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF iHE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code, and my license is in full f�o/rce an0 effect. /n' ? � �l' F35 -Rr `� v rxbr's fiue-�'- CONSTRUCTION LENDING AGENCV: ❑ I hereby aKrtn that there is a conswctbn lending agency for the peAormance of the eork fa v.fiich this pertnit is issued. (Sea 3097, Civil Code). Lender's Name: Lenders Address: 'OWNER-BUILDER DECLARATIONS: I hereby affirm ihal untler penalty ot perjury tha� I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cotle: Any city or county which requires a permit to constmct, alter, improve, demolish, or repair any s[ructure, prior to its issuance, also requires the appliwnt for such pertnit to file a signed statement that he or she is licensed pursuant ro lhe provisions of lhe Conlrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pmlessions Code) or that he or she is exempt therefrom and the basis lor the alleged exemption. Any violation of Section 7031.5 by any applicant tor a permit subjects the applicant to a civil penalry of not more than five huntlred dollars ($500�.): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and the structure is not inientled or offered for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner of pmperty who builds or improves thereon, and who tloes such vrork himself or herself or through his or her own employees, provided that such improvements are not intended or oRered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burtlen ot proving that he or she did not build or improve for purpose of sale.). ❑ I, as ovmer of Ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construc[ lhe projec[ (Sec. 7644. Business and Pm(essions Code: The contractors License Law dces not apply ro an owner of property who builds or improves thereon, and who contracts for such prqect with a conlracla�s) license pursuant to the Contractors License Laws.). ❑ I am exempt untler sec. Business and Professions Code for this reason: Slgnawre oate 305]-a6�3/O]) Owner ID venfied by drivers license. ❑ Ves � No Driver's License No. Expires: Verification of Ovmership by (type of tlocument, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation frve (5) or more feel in depth into which a person is required to descend, will be matle in connectbn vrith wnrk authodzed by this permit, antl that no building stmcture, scaf(dding, false�wrk, a demolilion or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Califomia Atlminis[2tive Code). ❑ As ownerbuilder, I will not employ anyone to do work whic� would require a permit (rom the Division of Indus[rial Safety, as no[ed above, unless such person has a permit to do such work fmm the division. ApPlicanfs Signa W re Dale Division of Industrial Satety�Pertnit Numbec HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or (uture builtling occupant neetl to file and certify a Business Plan for emergency response to release or threatened release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires. vnth some exceptions, that a Business Plan be filetl vrith the Costa Mesa Fire Department by every business which has at any one [ime tluring a reported year a quantiry of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at slantlard temperature and pressure). 2. Does or will the applicant or present or future building occupant need to file a registration form tor aw[ely hazardous materials7 ❑ Yes ❑ No (Section 25533 0( the Calitornia Heallh and Safety Cotle, with some exceptions, requires registralion with the Cwta Mesa Fire Departmen[ by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or grealer than a weigh[ of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at stantlard temperature and pressure). 3. Does or vrill the applicam or present or future building occupant neetl ro prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous matenals)? ❑ Yes ❑ No (Section 25534 of the California Health and Safery Code provides that the Costa Mesa Fire Department may require the preparation, certification and fling with the Fire Department o( an RMPP by businesses which are required to register acutely hazartlous materials wilh the Fire Department. 4. If an RMPP is presently require4 has Section 25534 of the Calitomia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or tuture building occupaN requiB tor Ihe vrork which is ihe subject of [his application a permit for such consWction or modification from the South Coast Air Quality Management DisMct or trom any other air polWtion control district or agency? ❑ Yes ❑ No �Section 658502 of the Califomia Govemment Code requires tliat the requestetl infortnation be fumished on applications (or non-residential building permits). 6. Will any part of the facility to be consWcted under this permit be within 1000 (ee[ from the outer bountlanes of a school? ❑ Yes � No Qf'yes", the faciliry must meet the requirement of Sec[ions 25534 and 42303 of Ihe Califomia Health and Sa(ety Cotle). 7. If a pertnit from the South Coast Air Quality Management Districl or other air pollution control tlisirict or agency is required for the vrork which is the subject of Ihis application, have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If'yes", attach ceni(cate of compliance from the appmpriate air polWtion control offcer). CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the information given above is covect. I agree lo comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. SignaWre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read ihis appliwtion and state that the information given is correcl I agree to comply with all state laws and ciry ordinances relating to building conswc[ion, and authorize representatives of Ihe Ciry of Costa MeSa [o enter upon the above-descdbed property for inspection purposes. I agree not to occupy or allow occupancy oi any building authorized by this permit until final inspection. SignaWre LegalOwner ) � D e \ _J �lw� mo�edAcpvl^antY f � Job Address: Suite: Vicinity: Primary Occ: Parcel Number: Applicant: Address: 976 EL CAMINO DR UNIT 3 R3 14166523 �� SULLIVAN, PAT 1129 N KRAEMER BL Type o( Construction: V-N Zoning: Status: ISSUED Applied: 03/09/2007 Issued: 03I09/2007 ... Phone: 714-754-4400 ANAHEIM, CA ' -' - = -�"'Zip: -' 92806: -_ ISSUE BY: _ ,-�� -'. -- _. � �j!'� � �-,��-- ' � - ..:,..:'�-. Owner: PAUL BEN ETR � .; � � " ' i � � � �� Address 1126 EL CAMINO DR l- � • ' .� � � - � .� , i � . .�' �_ P,hone , 714�44 1199 � ) ��.\ �COSTA' MESA, CA\ j �' � 1 - ,'�_ . -y Zip 92626`5529'. \, � � \ \�` ° �l� , � '�/.iil' - ��,a`'� .- -'�.i , A �/�� Contrector.. � CALIFORNIA REPLACEMENT�WINDOWS � �. {�,• � �� Address:�� 129 N KRAEMER BL j � � ��'; � �\ �.�� , ,�� \ f)� \ �,\ � �, �/ �� /_%i i Phone: 714-632-7767 ��' V� ✓ �� i /'� ANAHEIM CA�/� ��A� % � ��A� � " �_' � Zip. 92806 �/ � Licenae: 690136 �� .�� \ ! i J„�i, �� V� � .�� _l� i Ar`ch :� ' 1 ��'��/ � , ,. Address: . . ,�;, �� ,' J_; - ' ,' !�i Zip:- � ; / � � . _ i ,, . t ; Phone �� . ! l!�.. � �Cicense . � } Eng: Addre55: ,_ ` � � : � �i� . -� � . / �»v.;� ' SCOPEOFPERMIT �_„i,""' ' S WINDOWS CHANGE OUT LIKE FOR LIKE THROUGH OUT FOR APARTMENT BUILDING (UNIT-3 ONLY), NO ' LOCATION. WINDOWS SHALL MEET�1997 UBC EGRESS REQUIREMENTS. \��. Plan Check: $0.00 Permit: $83.25 SMIP Res ` $0.50 SMIP Com. $0.00 � otne�: , : $o.00 '`�Inspection:�`. $0.00 Total:, $83.75 \';�.' .=� `,C�,� `� �'` ' + � i )� � i Z , V �� \ __ � �Phone:� ' ,�,`. .�t�� %' \� �� License: � � `,.,: � , � _ , , , II�N HEADER OR � ;F� `— ;1, � i - � . - . % �` . • .� � r, r,y; CaIC ValUatlOn ` � (' `. . �— , j ' �� T' 7`, ]rFEE SUMMARY- ; � �\ � . „' ". — �' �- s2,a'a2.00 ' ,;;� Claim Valuation: ; � j; ; ��z;sazoo � � , �; ' -.+, � ' r' �../,k . ' � � � I J `' I �_ .-. ��' .tC�� /, �U _`� f t `� �i� � - - � � � �� ,,�_��; �I l � ��, .. . � � r_ _ �;�� f�;� , � _�, i�-1 �, ,�� /i � �, � i� ` . 1,r ;'�.. � � ,n,r � , ..�__. i.c�i ,''', . ,' . � ; � - ' ' �- ;PLANNING & ZONING ; ��%�/ �, � % SETBACKS � �.. ' ��'. . '' , , ';,sf`. r.r .. /�� . i ��, MAINSTRUCTURE_Front �0 0�, ., Rear-> 0 0�,� �_Left �0 0��"'� i�a�Right 0;� )� �� l� ACCESSORY; Front� 0 0��'� � Rear 0 0��. ,�Lefty 0 0 � Righ j 0- 0�� , i/� �� ,�� A� � \. ::.A o -� , � c . . . �% �� lj� �% PARKING � �, Existin .-/�0� �Reauved �0> �' � �� Pr000sed_ .0 � �' �� /,�� -c � �,•' i V�^ ' < _ " t�. �<� . . _ � - � � � _ - i; � `i - � t� ' .. _ ~ � _:4._ , jn i � �'_A ��'/� "//r-��'�-- .- '�� `� �U�� %'%� _ _ i�. . , ,_�T_. ;s -, � �� r'i _ , ti��` . "�{�', . ,�,�, �' l' �� 1I : . - � . �J� i � ` / _ _ _J. - - i��/.� i� � / NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) 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 tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred fnapections and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446.4fi1fi/00) WORKERS' COMPENSATION DECLARATION: � I hereby ettirm untler penalry ot perjury one oi ihe tollowing declerations: ❑ I heve antl wlll maintain e cetlificate ol consent to self-Insure tor workers' compensation, es provided�br by section 3700 ot the Labor Code, tor the peAortnance of the j�'ork tar which this pertnit is issuetl. ,� I hev d will m intain workers' compensauon insurance, as requireC by section 3700 of the Lebor Code, for ihe pedormance of Ihe work for which this pertnit Is issued. �My,w e' o e tion Insuranc rrier and olicy n mber are: �]k/ �/� y �1 �Cerrie}: ��'�`�i,1�i PolicyNumber: � `VI�J�Ili(1 � Iv� •(This secN neeC not be comp/eted Athe perm�t is velued at one hundred dollars ($700) or leu.) —`�"�+.5. ' ❑ I certiy that in the p or ence of the ork for which this pertnit is issued, I shall not employ eny person in any manner so es to become subject to the workers' compensation laws t Cel fom' , and ree t t if I should become subject ro the workers' compensation provisions of Sectlon 3700 ot t�e Labor Code, I shall fonhwith comply with these pmvis' � �� AppliwntSl� ture: �� D�te:,—� rWAMIINOxFAI�URE TO SECU WORK RS' COMPENSATION COVERAGE IS UNLAWFI/L AND SHALL SUBJECT AN EMPLOYFR.TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDRED T�10USAN� DdJAHE (5100.000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDEO FOR IN SECTION 3106 OF THE 1A80R CODE, IMEREST, AND ATiORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aMirtn Ihat I em li ed under provisions i apter (c mencin wrt Section 7000) of Division 3 0` siness an rofessions Code, end my license is in tull Jorce,QntletlecLLic�N �� j�i � � Clais�xi""�1(�(/ �� C�nt�flcto6s�Slgneture: - iL Date:�� '7 � �, � J CONSTRUCTION LENDING AGENCV: ❑ I hereby aflirm Ihet ihere is a conslroction lentling agency for ihe pedormance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lentlers Name: Signalure: _ OWNER-BUILDER DECIARAT10N5: Lenders AdCreu: Date: I hereby aflirtn that under penalry of perjury Ihat I am E%EMPT FROM THE CONTRACTORS UCENSE LAW tor ihe tollowing reason (Sec. 7031.5, Business en0 Pmtessions Code: Any ciry or counry which requires e permit 10 construct, alter, improve, demolish, or repair any stmcture, pnor Io its issuance, also requires the epplicant for such permit to file e slgned statement Ihat he or she Is Ilcensed pursuant to the pmvisions ot ihe Contractors License Lew (Chapter 9(commenUng with Section 7000) of DlNslon 3 of the Business entl Professions Code) or that he or she is exempt thereirom and Ihe basis for the alle9ed e:emption. Any violation af Section 7031.5 by eny applicant for e pertnit subjects the epplicant lo a civil penalry of not more than five hundred dollare (5500).): ❑ I, as owner oi the properry, or my employees with wages as their sale compensation, WILL DO 7HE WORK, and the siructure Is not intended ar oHeretl for sele (Sec. 7044, Business antl Professions Code: The Coniraciors License Law dces not apply to an owner of properry who builds or improves thereon, antl who does such work himself or hersetl or through his or her own employees, pmvitled that such improvements are not intended or ottered tor sale. It, however, the building or impmvemem is sold within one year of comDletion, �he owner-builder will have the burtlen of proving ihat he or she did not build or improve tor purpose of sale.). ' ❑ I, as owner ot ihe property, em EXCLUSIVELV CONTRACTING WITX LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Professions Cotle: The conirectors License Law does not apply to an owner ot property who builds or Improves ihareon, an0 who contrects for such project wlth e contrector(s) licensa pursuant to ihe Contractors License Laws.). ❑ I am exempt under sec. Busine55 and Profe55ion5 Code tor this reason: Signature: Date: Owner ID veritiad by dnvefs license. ❑ Ves ❑ Na Drivefs License Na. Expires: Vedfication of Ownership by (type oi tlocument, i.e. - property tax bill or tleed): DIVISION OF INDUS7RIAL SAFETY PERMR CERTIFICATON: ❑ I �ereby cenify that no excavation five (5) or more feet in depth into which a person is required lo descend, will ba made in connec�ion with work authonzed by this pertnit, and ihat no building siructure, scaffolding, falsework, or demolition or dismantling Ihereof, will be more then ihirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Celitornia Administrative Code). ❑ As owner-builder, I will not employ enyone lo do work which would require a permit from the Division ot Industrial Safery, es noted above, unless such person hes e permit Io do such work from tha division. Signature: Date: Division of Intlusirial Satery Pertnit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF ENTRY: I certity untler penalry ot perjury that 1 have reatl this application antl s�ate Ihet the informa�lon given Is wrre�( I egree to comply with all state laws entl ciry ordinances relating to 6uilding construction, and authonze representatives of Ihe Ciry of Costa Mesa to enter upon ihe ebov�-�fescnbed properry for inspeciion purposes. I egree not to occupy or allow occupancy oi eny 6uilding authonzed hy this permit until final inspection. COpE �. INSYECTIONTYPE Qa¢, INfifIALS 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roo� 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 204 Finel Sign Finel Demolitian CODE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final ElecMcal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finel Bullding/Occupancy aerE u�sii a i � . (774) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 976 EL CAMINO DR Status: ISSUED Suite No Applied: 05/03/2007 Issued: 05/03/2007 Vicinity: Parcel Nunmber: 14166523 App�icant: GARY SEELBINDER Address: Phone: g49-766-7944 Zip: Owner PAUL, BEN E TR Address 1126 EL CAMINO DR � , � Phonei � , � - COSTA MESA, CAZip: 92626-5529 Contractoc SEELSBINDER PLUMBING Address: 6 VIA FELICIA � ' Phone: 949-770-2913 RANCHO SANTA�MARGARITA, CA - license:606458 Zip: � � 92688 . . ISSUED BY: �~ � ' i � � , � � . ��.., , . �t�,..� . . � y �=�,�� ) " SCOPE OF PERMIT ' ` ` , � _ � ' � WSTALL GAS S�RVICE AND GASLINE FOR ' ' '� � COMMON WATER HEATER AND LAUNDRY � � . �, , , ' - . ` ROOM ' FEESUMMARY _. ... � ._ ,. - ' AMT " QTY AMT � QN AMT �N "-" - � � - � � ' ISSUE FEE $23.SOLaundry Tub / Washer $0.00 0 . Sump Pump $0.00 0 ' . . . Backflow irrigation $0.00 � 0 Landscape I«igation $0.00 . 0. Swimming Pool -�- 50.00 0 ,. Backflow Preventer $0.00 0 P-Trap ,� $0.00 0 �_..� Trap Primer ��$0.00 -� i�0 ,� �. �„ .,;,. ,"� -�. . Bathtub 50.00 - OPressureRegulalor '- � Y '��= 50.00 `0 - . �Urioal'_" �, $0.00"'� 0-y„ �' - !. ' - , , Clarifier System 50.00 0 Process Piping (per 10 ft) 50.00 � 0 4 Vacuum Brkr Bkflow(1-0) ;` `50.00 0 . Connec� (ice,Soda,etc) � 50.00 0 Receptors 50.00 0 Vacuum Brkr Bkflow(5+) �' 50.00 ; 0'. �, ', Dental Unils $0.00 OSepticTank $0.00 ' 0 Wash 8asin $0.00: ' 0. � , Dishwasher 50.00 � OSewerCap for Demo $0.00 0 Wash Basin Seh -.�. $0.00 0 ' � � � �� ' Drain, Floor 50.00 - OSewer Connect $0.00 0 Waste and Vent System $0.00 0 , ' Drain, Rainwater � $0.00 �'. � 0 Sewer Private Line $0.00 ,^`0�; � ' � Water Closet (Toilet) $0.00 0, �.,�, � . � � � Drain, Roof $0.00 " 0 � Shower � $0'.00, 0 WaterHeater/�vent 50.00 0 , Drinking Pountain 50.00 �0 Sink, bar i0.00 0--�''�"'` Water Piping (Inst or Rep�) _ SO 00 �� 0.� . ' . Expansion Tank '-, $0.00 0 Sink, commercial i„ $0 00� �� 0. Water Re pip'e'�, .i 50.00 - 5 0' . ,� uake Valve �0 00 0 Sink, FlooriS,$0�00 �' 0'� Water Servicei �� ' �" SO 00 '� 0 '� . Gas (1-4 outlels) 86.75-1' 'nk, kitchen $0.00 0� Water Softener � �$0.00�� 0. - � Sink, servicelrtiop ' S0.00 0 - OTHER ' _ $0.00. ' � �- � � '� Gas Replpe 0 OS e pr, ivate),-; , - $0 OQ � �O,VIOLATION $Q00 - _ � � �� - i � � �e � 59-80 1 pa (pubLc r r� . 5000 �0 PLAN-CHECK -� $0;00_ �: � ' - .%, - , Intercep�ors(Grease, il) � 5000 0 REINSPECTION �' $0.00 � 0� ��! � Interceptors (Sand Auto ) � � - � �. � b0.00 ,-0 - - - � � � � �; ��' �`� �� . -TOTAL CALCUCATED FEES: _ $39.45 . � ' � � � ' ' . , t , - - . %` '' COMMENTS I SPECIAL CONDITIONS � , - • - -'��' �' NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 9248, § 1, 12-27-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 7 BO days, INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectione and finel approval must be obtained. Failure to obtain inspections and final approval will result in tha expiration of this permi�. FOR INSAEC710NS CqLL: (714) 7545626 2446d6IN00) WORKERS' COMPENSATION DECLARATION: I herehy ettirtn untler penalry oi perjury one of the following dedaretions: ❑ I have end will meintein e certifiwte oi cansent to self-Insure tor workers' compensetion, es provitletl for by section 3700 oi the Lebor Cotle, for the pertortnence of ihe work tor whic� t�is pertnit is issued. ❑ I have end will maintain workers' compensatlon insurance, es required by sectlon 3700 ot the labor Cotle, br Ne pertortnance of the work tor which ihis pertnit Is Issued. My workers' compenutlon Insurence carrier and policy number are: Certiec � Policy Number. (Thls sectlon need nof be comp/eted il the permit is valued af one hundred dollars ($f 00) ar Iess.J I certiy that in th pe �ormance oi the work f vhich ihis pertnit is issued, I shall not employ eny Derson in any menner so as to become su�ject to Ihe workers' compensation la o�Califomia, nd egree t II I sho � O become sub�ect to Ihe workers' compensatlon provisions of Sectlon 3700 ot tha Labor Code, I shell forthwith complywiththes i ns. / � S- � � "-7 ` Applicent Signature: Date: l_� WARNIN�:FAIWRET SEWREW RS'COMPENSATIONWVEMOEISUNLAWFULANDSMALLSUBIECiANEMPLOVERTOCRIMINALPEWILTIESANDGVIL ESUPTOONEHUNDRE TYIOUSPNO DOLLARE (5100.000). I FDDRION TO THE 00.ST OF COMPENSAiION, DAMAGES AS PiiOVIDED FOR IN SECTION 3IO60F THE LABOR CODE, INTEREST, AND ATTORNE`fS FEES. UCENSED CONTRACTORS DECLARATION: I hereby afllrm Nat I am Ilcense nd r rovisl torce and etlect. Lic. q — � Gontrectofs Signature� �� with Section 0) oi Division 3 of Ihe B CIa55 M � Date: CONSTRUCTION LENDING AGENCY: . ❑ I hereby eNirm thet there is e conswction lending agency tor Ihe perfortnance at the work far which this pertnit is issued. (Sec. 3097, Civil Code). Lendefs Name: Signature: _ OWNER-BUILDER DECLARATONS: Lendefs Address: Date: Is in full I hereby attirtn Ihet untler penelry of per�ury Ihat I am EXEMPT FROM 7HE CONTRAC70RS LICENSE lAW far the fallowing reeson (Sec. 7031.5, Buslness antl Protessions Code: My ciry or counry which requires e pertnil to consWct, elter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pertnit to flle a signetl stetement that he or she Is Iicensed pursuanl to the provislons of the Contractors License Lew (Chapter 9(commencing with Sectlon 7000) of Dlvision 3 of ihe Business end Professions Code) or that he or she is exempt therefrom and the basis lor the elleged exemption. Any violetion ot Section 7031.5 by any epplicant for a pertnit su6�acts the epplicent to a civil penalry of not more then five hundred dollars ($500).): ❑ I, es owner ot �he property, or my employees with wages as their sole compensatlon, WILL DO THE WORK, antl the structure is not intended or oXered for sale (Sec. 7044, Business and Professlons Cotle: The Contrfldors License Law does not eppy lo an owner of proparry who builds or improves thereon, antl w�o tloes such work himself or herself or �hrough his or her own employees, pmvided that such improvements are not intended or ottered tor sale. It, �owever, iha building or improvement is soltl within one year of completion, the owner-builder will heve the burtlen oi proving that he or she ditl not build or improve tor purposa ot sale.). ' ❑ I, as owner ot Ihe praperry, em EXCLUSIVELV CONTRAC7ING WI7H LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Businew end Professions Code: TTe contractors lJcense Law does not eppry to an owner of propeny who bulltls or ImO�a�es ihereon, antl who contracis tor such projad with e conirector(s) license pursuent lo t�e Conlrectors License Laws.). ❑ I am esempt under sec. Business and Professions Code tor this reason: Signature: Date: Owner ID venfiad by driver's license. ❑ Yes ❑ No Dnvers License No. Expires: Vedtication ol Ownership by (type oi tlocumen6 i.e. - pmperty ta: bill or tleetl): DIVISION OF INDUSTRIAL SAFE7Y PERMR CER7IFICA710N: ❑ I hereby certity Ihat no ezcevetion five (5) or more teet in tlepth into which a person is required to descen0, will be made in connection wlth work euthonzetl by ihis permit, and ihet no builtling siructure, scallolOing, talsework, or demolition or tlismantling thereof, will be more than thiny-six (36) feet high. (Chap. 3.2, Grp 2, Ar12, Sec. 341, Ttle 8, Califomia Administrative Cotle). ❑ As owner-builder, I will not employ enyone to do work which would require e permit irom ihe Division of Industnel Satery, es noted ebove, unless suc� person hes e � permit to do such work trom the division. Signature: Date: Division ol Intlusirial Safety Permit Number. CERIIFlCATE OF COMPLIANCE AND AUfHORVA710N OF ENfAV: I certify untler penelty of perjury tha� I have read this applicetion and stete that the infortnetion given is corract. I egree to compy with ell state laws end city ordinances releting to Duilding construction, end euthodze representatives of ihe Ciry of Costa Mesa to enter upon the ebove-descnbed property for inspection purposes. I agree not to occuDY or ellow occupancy of any builtlinq euthonzetl by this permit until final inspection. COOE �. INSPECTION TYPE 1616 Fixea Sysiem Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 FInaI BIocWRetaining Well 202 Final Factory Fire Place 203 Flnel Sign 204 Finel Demolition P6IF �r+ IALfi / Date � J�' r3 — D % Date / � COOE 1 INSPECTION TYGE 206 Final Mechanical 208 Finel Plumbing 210 Final Electncal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency QdIE :PN0.IECTq00HESS: .9%G EL CAMINO DR owxex•sxnMe: BAYLAND DEVELOPMENT ADORESS: Q19 N. . NEWPORT AVE.'#G NEWPORT BEACH CA 92663 ' (714)650-1212 uxrt: FRCN/ENGINEEN: � ' qEG.NO.: RODHESS: � UNIT: PEflMITTEE: BAYLAND DEVELOPMENT ( 714 ) 650-1212 , nooxess: 419 N. NEWPORT AVE. ,' G NEWPORT BEACH CA 92663 LICENSEO CONTqpCTOR OECLAMiION: I Aere6y affirm Ihat I am IicenseA untler provisions of Chapter9 (commencing witA Saction 7000) of DivLsion 3 of I�e Business and Pmfessions Coda, and my license is in full torte anE etteM. CITY LIC.: . BTpTE IIC.: . . CUSS: , Oate: Signature: WOHKEBS' COMPFNSRTION UECLAMTION: I here�y aifirm ihat I tiava a certificate oi consent to self-insure or a certificate of Woders' ComDensalion Insurance, or a certifie0 mDY �hereol (Section 3800, La�. C). PoLICY NO.: ' EXP. D1TE: ' COMPRNY: • ' 7 Certilied coDY is AereUy lumis�etl. ❑ Certifie0 caDY is filed wit� the ciry BuilAing Oivision. oate: AD�licant: E%EMVfIOX FlIOM VlOHI(EIIS' COMPENSITION OEClAM710N: (iles secoon neeE noI Ee comDl¢teA if Ne pemd'u for one AurdreU (5100) a less�. I certiTy tAat in t�e DeMormance of [he work for whic� Ihis permit is issued, I sAall not emDlay any Derson in any manner so as to becoma subject to ihe WOM1ers' Compensation Laws of Califomia. �ate: - ' ' SiAnature: ' ' NOTICE: Ii, atter makin0 �his Oeclaratian, you should 6ecome sublect to the Workers' Campensatlon pmvisions of t�e Labor CoAe, you must fort�wiih comply with such Drovisions or Ihis permit shall �e daemed revokeE. CONSTNUCTION LENDING �GENCY: I �ereby aMirm ihat the2 is a consimction IentlinA agency tor [he pertormance of the work tor whicti �his permi�is issue0 (Sec�ion 3097, Civ. q. LENOEfl: �ooness: ' OWNEN BUILOEH DECIAMTION: I AereOy affirm ihat I am exempt irom the Coniractors' State License Law for the tollawing reason '(Sec[ion 7037.5 Business anU Pmiessional CoOe: My ciry oi caunry which requires a Dermi[ to canstmct, alter, improve, demolish, or reDair any stmcture, Orior ro Rs issuance, also requires the apP�icant lor such permit ro fle a siAneO statement that he/sAe is Iiunse0 pursuant ro the pmvisions o( the Contracrors' Siate License Law (Chapter 9(cammencinp wit� Section 7000) of Division 3 al the Business anA Professions Cotle) or t�at �e/she is exemD� ��erefrom and tAe basis for t�e alleAed exemption. My Nolation af Section 7031.5 Uy any appllcant iar a De�mit subjecis tAe aDPlicant ta a civil Denalry of not mom �han five huntlred Oollars (f500). I, as awner oi t�a D�oOeM o� �" employees with wages az t�eir sola compensation, vnll Eo the work, anE the � stmcNre is noi inten0e4 or otteretl for sale (Section 7044, Business and Professional CoOe: T�e Contractors' State License Law , Uces not aODly to an owner of a D�oDeM w�o builUs ar impmves [hereon, and w�a tloes suc� wark himsetl/hersell or thmuph Ais ar her awn emDloyees, proNtleO tAat such impravements are not intenCetl ar offeretl /ar sale. If, however t�e builGinp or imDrovement is solA within one year oi completion, Ihe owner will �ave Ihe bur0en ai provinp ha/s�e ditl not huild or impmve ror ihe ourpose oi.salel. ,y� 1, as owner of Ihe OmpeM. am exclusively wniracting with licensed conlractors to consimct Ihe pmlect (Section 7044, Business C] aiM Pmlessions COAe: Tlie Contactors' State License Law Uces no[ apDN owner oi pra M�o bwlUs or impmves t�ereon anA who coniracts lor such prolects csth a cantractor(s)license pursua ro Ae Con ac ' Stata License Law�.l am aware Ihat proof ot �heir Worker's CompenS:Non insurance sAOWA �e provi0e to e. � Pam aKempt un0er Section: 8. d P. C, for Ihis reawn: Date: 7' z7—�� Owner I Oo hereby cartiry that I am aware of an0 un0erstantl the requiremenis of Calilorni Health an Salery CoOe Sectians 25505, 25533, an0 25534 and that I or any fuNre OuilEinp occuDant wiltlwill not (circle one) neeU to comDly with saitl state cotles anOlhe reQuirements for a� permit br conslmciion or moAification from ihe tir �ualiry Manapement DisMct. HesiEential construction aDPlications are exempt imm these O�ovisions. , . � Date: Fpplicant: � I �ereEy ceniy t�a[ I have reaE tNs applicatian an0 state ih Ih above infar 'eee e ro camDN with all ciry an0 counry i ordinancesandstatelawsrelatin0�o�uilUinqconstmctionan hy aen tivesoithisci enterupontAeabwe�mentianeE �i , propeM �or inspeclion p—ury7ousQ. �.-� oater �—'%. / —[/L sipnaWre: odver's �icense or saia� Sawriry x: 1691d8 White—BuilEing; Greon—COEe Enbrcemant; Canary—Fpplicant: Pink—Ravenue: C�olEanrotl—Asseswr CITY OF COSTA MESA — HUILDING PERMIT PERM NO: H 048317 PERMZT NO; B' 048317, PLAN CHECK NO: 05029-90 S_ , GOVT: N SUPP; N CONSTRUCTION TYPE: 5—N PEAMIT TYPE; STR PURpOSE: OTH JOB DESCRIPTION : NEW TRASH ENCLOSURE SQ FT: 2,200 CLAIM VALUE: 2,200.00 CALC—VALUE: 2,200.00 GROUP OCC:..R-1 / COMMENTS: RE: B45187 PRIMARY HLDG, PERM�IT. � **+r*�t�*x�t*+t�r�**+tx**��r�**r*x�*�r*�x*�r��r*x*��r*�r�+r+r�r�r�r�*��x*��r�rx*�r�r�r****x�r�r�r+r**�*x Z O N I N G R E Q U I R E M E N T S ' S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL; 14166523 2NE: R4 REF NO: DR-89-07 PLANNING NdTES> TRASH ENCLOSURE WITH GATE OPENING ONTO ADJACENT'ALLEY, > WITH CONCEPT O.K.ED HY WILLA 7/25/90/ -- - ***x�r�e�r�r�r*�r�+r+t*****��t�r�**x�*+t*�x�*�x******+tx****�**�r�r�t*�r****��r**+tx��r*�**+t�r*�x��** 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 HY S�' e— ��L% � DATE: 7(=-427 PO BUILDING APPROVED BY : �%` DATE: _]-2.7-�0 APPLICATION ISSUED BY: • DATE: Z�'��-%^— O M k M!k 1f 1f 1E N!k!k!k iF ik ff N ik 1t it ik i! iF i! !k 1f iE ik K iF iF iE ik it iF iE'�'�F'iF£�1k 1F MlFillEiFiflEltikiElFiEitltiFiFiFiliFiFiFiFiFiEitMitiklklEiEiEjFiEifiklEifiFitiflFlEiEiEikiP ikiFifKMitiEififiEiFiFiEifiFlEMiFiEiPiilPiEifiFifififiEiE LEGALIZATION:N F E E S U M M A Y STRUCTUAAL SEGMENT:Y BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE, SMIP/RES GRADING PERMIT ' S4.00 50 ' SMIP/NON—AES PLAN 35.10 ISSUE.FEE HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 54.50 0.00 35.10 89.60 89.60 .00 REVENUE DIVISION TOTALS—=> COLLECTED; 89.60 OVER/SHORT: .00 • HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 54.00 .SO 35.10 iF it M k!k it if it M ik iF iF iF iE 1E M iF M it it M iF M ik iE 1F iF M!k ik iE ik ik iE ik 1klF if if if %if 1F iF iE it �E M1F it %iF %iE 1E iF iE if 1Flf 1t iF iF it if iE if iE M M ik if ik ik 1E ik k if iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 2200 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 2,200,00 END OF FEES 0? ��Ob6282—OQDE6?24 T�� T uare: o�r2�iso 1znt: i�:ua 0 89, btl CONSTFUCTION AND PLANNING � _ POC ;P.A � ' APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole � 52. Pool & Equipmenf Location • ��, �2.- Soil•,P,ipe�Undr,gmd� 53. Steel Reinforcement , � � i= �:3%-Electrical Conduit•Utility-Undrgrnd. 54.-Forms � � - � �� 4 Eiecirical ConQuit'-Undrgrnd. 55. Electrical Bonding �" ;%. _ - _- � -: 5:sSreel�Reinforcement � 56. Rough Plumbing & Pressure Test 4� -I•n�r r' '�'�6."Elect:ical UFE�R=G�'nd. 57. APPROVAL TO COVER-GUNITE '4 �- �72F,00tings �� = 58. Electrical Conduit-Undrgrnd. -- � ,-,.' - r . �;B,tFoundation �� 59. Gas Pipe, � Undrgrnd., Test ' ' �:9�Water Pipe-Undf9r,nd. - 60..Backwash Lines, P,-Trap, O Undrgmd. ��' 10 ;Structural Ploor'S,ystem � � 61. -APPROVAL TO DECK� .,.' , � � a�� 1L Property Sewer Line & HouseConnection 62. �Backwash & Receptor-Final .jI �' --� � . 12. Sewer Ca - � -'� ; � p � 63. Heater & Vent-Final _ - �- 73. floof Drains .- r� . 64. Plumbing SYstem - Final i� 'n�� ' + � 14. Rough Plumbin�g � 65. �Electrical-Final � � .' � � 15. Rough ElectriGal-Conduit � 66. Solar SYstem-�Final _ 16. Rough ElectriC:Wiring 67. Fencing & Access ApProval � 17. Rough Wiring S,ign ' 68. APPROVED FOR PLASTERING 18. Rough ElectriCal-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL � 79.,Rough Heatiog &.Air Condit,ioninp FIF�E;DEP,T. REQUIREMENT � ✓ t� :� r R` 7 f- r i: :.! � 4�' z 7 e' - 'V ..1 J � �-.l,i `i'= '� V � �.�w_..�" TI � 1�� R; %K } z+ 20.-Rouyh Facto�y F�iieA�ace � S�. ;� W v g .�� : �;APPROVALSr-�FPerm�t # � -a+, c <..i-r..� m 21�DuCts, in'StruGtuie^ " " t-+5 x `� `� "''� .r ' ^r,--� � ;. �r :.x Sr. * CJ �-i C�rX�y70. �Slnderg�oynd Hytlro . x -� . . � � �. n � v� * ,. -� v � , ��. 22�Ducts, Ventileting x� � z.� rt :� g•:Y. T� C 71. ProductlPiping O Gas �'Oil � 23 ^Gasfipe=Rough & Test ' rS h�' c' Q O� �!- �y, Under rov d F[us N * F`'� :� m - G M, ts� m ('Y ^ c CC c�: f: ,> 9 � 2� a i: �+ o 24�Roo1 F amin ��'� . `�� '� ^ �: �.> ' -- ��-. . x V 9••� rr1 x 7 r r,x� •73;Undergmd.Stor,age:TankaOGas ❑Oil ��_.. . 25. Roof Sheathing dx 'Q v` � u �% > �� * 7q?Overhead Hydro`>> * -�. G x .�f a� ' � .i: .i: � ,_ �. a -n � r �- --i N F � > -,- :J C x �; ... .. -_ , r, v �, 26_ T�Bar Ceiling �St[ucturaq &-Monocoat- :� p y, �x �e 75r,Dry F:her�rical �-,,^, � ^� 27%-+Frame and Flashing' �'-:G CJ• .� � %� �� * 76. Dry Stan �{prpe "� �� ^,, "` n � m(+ rn ^^. -s ?+ r, x i•• C�-i Y. CI .� S � l'^ i Cil �� C. � i 1� .�.'.. �. ..'K # r^ i-� L` "7 S a: .-28. Lathin�& Siding�W rj�F OmCi� !+: * 77=y FIXED S•Y.STEMtF,INAL� �r C? -' ^29. Insulation y ix�✓ � "`�"''`•. ,,'"I. �'� 7gTFIREPREV.F4NqL �� t' > ^� n �r's c n �: :a ^ �- '�J 1.Y x 1: n +�.# CiC'%� �' K� K ri F= tTl 30. Drywal{,_,Nailing �.¢...� i �;�E,�; E-, �, �,",�:-",�: x S tHEALTH;DEPTj. REQUIR�MENT � 31. Plaster Biown Co3t� = ' T�' ��'� � ! � * x �'79.� FINAL INSgECT10N � � � � � c.. c., rr+ . s. �.4< y: -n ri .i� � i-+ T32'�Electricral Po.�erreter�Fyinal; ' '"" ;l - irl t` �"� � `7 ' �ivl � :;, ,,� �k SOyF00D CERTIFICATE ISSUED._, ,^ :33.SFinal Eectric +' �% ' � r,�-'r,�'� j� ,-� * Notes: "� '�m * % � ��T� „� r,. ,- -- �c e� r.. r, r: :-, s �34:,.Fi�al HBatin�,&'Ai%Conditionin'g y�,,* �^' � N�� .�,'^,� S :�" ''` � �"� i-� d * [�; ` 35:'iFirial Gas Pipe-Testi �M �r;�x r. �� I Y�K ��;� � � �wr� C7r+ :K � �,� K Y' T. ..fl Y; ^ 1-: 36.'.Hood or CanoPv "� " `•�`-' `"T •�� n f t p� _: n-� x Kc� .� �, z f; t�['! n.G`i� o� t.%�a+x� n :Co c� `7:•, ^�37�Final Factory FirePlace� � �F- �or� � _ ��. - � "• :r.: �s � "' ': c� a tT � C�. Y n � I'I /LY X• i(�` 'Y t` � X :U ' nJ.-f.'.� � i ' Fk # S H x� U .>38"FinalPlumhin9 ;�- „-vc:M � i�i.ti:,:��; r� r �: "39.�Water Service;FinalK � , �� c� � � G� .s : � c.Y +: 5 w r. - 1 � >y T r ?�40� Gas Service�Final � •�� C`�� '* �" ' � �� " Q� "'�s � � - x C1Fc., ir,�.'�F j i .'x . -. .-O� 'K 2 ";41.'Solar pomes[icFinpl' �rj "" � "- � � `� � - � � � ,_ � � .k p' "7 o m � ^ �1 i L' f 42.�Backflow Preventer _, "3 -�% ^� ^ i H: * x >E- • r. o .J r �v C�__.r-. ✓ %; .. �K s• M .TlO�:� * . 43. Back4low Irrigation: j�`� fi x. � �*�� i' +': V �+ . - rr r3 0 � .-. .. '7-r ^ �5 'A :: J O t# # ' ^J :� ^!7 Y iti � •��44._ Landscape lirigatio`n System,v^ ��„ x ,� ,e 4* ,�.7 � ' � 0=� �i� S c- `45i:Sound •AttenUation ��:`•. � � a [ ?- xi. e' c' �,� Fv + �- ir � .-� ��'. . ti 'X. �46.^Handicap iiegulations �' ��' �` � "' � �^ '�D �'' ^ * �, ..n; � � . ; . -:� , � rr,o o �. --47'PINAL STRUCTURE & BUfLDINGp : � ,��J � x v�� j c� M • � Y?D�! K. r � c. 48:-FINALPLANNING '-'` ^ �'� �� W��"_' '' C ; °-" ". ,,, o � V'Y� t' � .'J :u -. C - 2 ... _ . . _ . "49�Electric Relesse to;Edison ; . � ,,: � r, � •n:., . c �"� !l �"� 1 Y' A ✓•� V� y'1 . (J�; • �. � . �50SGas•Release to Southern Califor,qia GasCo " � +�: - ' i� a x �r � 5 n•� :r :., o �51. CERTIPICATEOF�OCCUPANCY • - � •"� "" " ' ' No. Date .�� . �� _. , _ . . _ Applicant to fill in all spaces exceot tnose within neavY DorCer lines antl sign all aporooriate aeclarations. C Of COSTA MESA ON RU TION PERMIT � PERMIT NO. TRACT NO. LOT NO. UNIT NO. __�z� �� ,o ,iJ 3 0�0 � ProjectMddress ��Z �CA � LG p/ TVPE OF CONSTRUCTION NEb AM1'i��°�Mailin Addres5 ❑ CONVERSION ❑ DEMOLISH Own�� IUL ' Phone qL DESCRIPTIO OF WORK/USE OF B r�— ADD LI ALTERATION LI REPAIR nddress y7G EL C�RMNUv� C. M� S�-z��J ��prY�.' �u�C A55'� 'A�' S/N!�(,� � Is� �FCT i1AlOE1'GLANy+' Arch/Eng. Litense No. TYPE OF PER T GRADING FOUNDATION ❑ 5— 7RUC�'UR�AL Addrets ❑ TENANT ❑ ELECTRICAL� 0 PWMBING ❑ MECHANICAL F'� .❑ OTHER- . ' 3 3 gQ U.(� �(�� . Contractor's Nam � P on . Address (mailing) ��Z GA � , Z PROJECT DESCRIPTION SQ. FT. oCCUPANCv�' 3 � // CONSTRVCTIONTVGE V� � ___ VALUATION$ :2yR. City License No. ' �ZF � ZONE GRADING CU. VDS. ACRES— LICENSED CONTRACTOR DECLARATION . 1 hereby affirm that 1 am licensetl untler provisions o� Charter 9(commencing Remarks: witti section z0o0) or oivislon 3 of the Business antl Protessions Cotle, antl my license is in full torce antl effect. License Class Li ns o.� . Date.f.�� ^�' .� •Si9nafure '"/ORKERS' COMPENSATION DEC RATIOt Bd� Sink �reby atiirm tnat I nave a certificate of consent to self-insure or a ceriificate Norkers' Compensation Insu�ance, or a certlfietl copy thereo� (Section gackflow Preventer J0, l.ab. C.) ' Pollcy No. Company Backflow Irrigation 8 Certifietl copy is hereby turnished. CertltieC copy is filetl with the city Builtling Division. Bathtub5 � Date � Applicant � EXEMPTION FROM WORKERS' COMPENSATION �ECLARATION CldflfiC�S , (This section neetl no[ be completetl if the permit is to� one huntlretl ($100) or . less). Dishwasher I certify that in the performance ot the work tor which tM1is pe�m�t is issuetl, I - shall. not employ any person in any manne so a5 t be e subject to the D�inkiny FOuntdins Workers' Compe satlon laws of Californi� Dale /(2�� •�� Si9nature Floor Drains ' NOTICE: It, after making this tlecla�atio � you sho itl become subject to the' Workers' ComOensalion provisions of t e Labor Cotle, you must torthwlt❑ FIOOrSinkS comply with such provi5ion5 or [his permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV G25S¢�vic¢ 1 herety affirm that there is a construction lentling agency for the perfo�mance of the wark for which this permit is issuetl (Section 309] Civ. C.) Interceptors Lentler'S Name �entler's Atlaress Kitchen Sink OWNER BUILDER.UECLARATION 1 hereby affirm that I am exempf irom [he Coni�acto�'s License Law for the L3vdtO�i¢5 followin9 reason (Section �031.5 Business antl Professional Cotle: Any city or munty which requires�a permit to construct, alter, improve, tlemolish o� repair any struciure, priof to its issuance, aiso requires the applicant for such permii lo tile a signed stafement that he/she is licensetl pursuant to the 0/ovisions ot the Contractor'S LicenSe.Law (Chapter 9,(commencing witn Section ]000) o! §ion 3 of [he Business antl Profe55ions Cotle) o� that he/she is exempt :from antl the basis for the aile9etl exemption. Any violation of Sectlon ..5 Cy any applican[ for a pe�mit subjects the applicant to a civil ..alty of not more than five huntlretl Collars ($500). ❑ I, as owner oi the property or my employees with wages as their soie compensation, will ao tne work, antl the structure is not intentletl or offeretl tor�sale (Section 7044, Business antl Professional Code: The Contractor's License Law does not apply to an owner of a property who builtls or improves thereon, antl who tloes such work himself/herselt or through his or her own emDloyees, provitletl Ihat such improvements are no[ intentletl o� offe�etl for sale. If, however. tM1e Duiltling or improvement is sold within one year of mm- pletion, the owner will have the bu�tlen ot proving h¢/She tlitl not builtl o� Im- prove for tbe purpoie of sale). . ❑ I as owne� of the properry, am exUusively mnlracting witM1 licensetl con- tractors to construct [he project (Section 7044, BuSiness and Profe55ions Cotle: The Contractor2 License Law tloes not apply to an owner ot property who builtls'or improves thereon, antl who contracts fo� such projects with a con- tracto�(5) hcense pursuanl to the Cont�acto�'S Licenze Law). I am awa�e that proof of thei� Wo�keYs Compensation insurance shoultl be provltletl to me. ❑ I am exempt untle� Section B. & P. C. for this reason Date antl Owner we reatl vee to a above P—Trap Roof Drains Reinspec[ion Fee Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimminq Pool w Urinal Outlets Water Cbset Water Heater - WaterService AutO-WeSh $75 � � Issue Fee Boiler Duct - Under Ground � Duct - Srcucturel Duct-Ventilating � Exhaust System ❑ Multiple FirepVFact.6lt. ICBO # Heating System & Ducting ❑ o- i oo,000 aru O i oo,000 I Signature �( Date[ V�J O/ I. I peinspec[ion Fee �I $15 � Drivers' Licen or 55 qf CMF 08fi5-46, �ev. 10/84 White - Builtling; Canary - Applicant; Pink - Accountin9: Goltlen�otl - Assesso� FEES $ 3 A A.P. # - S Main Buildi E T Ftont 'B Rear A C Right . K Left , • S Ping. Ref. # Planning Notes: Automatic Washer ' ConsVuction PoleSub. • Cooking Unit � - D ishwasher Dryers, �Gas ❑Electric Fan F.A.U. Fixtures Device Boxes �UtICtS 7324 I�/13/87 - . � Zone Accessory Building: Parking Req./Provided ELECTRICAL Transformer �� 15-50 KW 050+KW . Meter ❑up to 100 amps Meter ❑over100amps ' $ub Panel ' . . Motors�0-1 HP�1'/:-8 Inc.Solar �9-15 HP.'016-15+ Microwave � ` Pole Lighc Garbage Dispoul Generator �0-5 KW �5-15 KW 6 Sign Standing Sections Tresh Compactor Reinspection Fee ' $15 Issue Fee IANICAL FEES Hood or T DEVELOPMENT SERVICES REQUIREMENTS: ype I ❑ . Zoning Approved By CanoPY TVPe II ❑ . f11�9 � Building Approved 8y Refrigeration Sys[em ❑0-100,000 BTU ❑ 100,000 BTU System Repair/Alteretion - Fire Dampers � ' ' Registers Isue Fee - -$ 3 $UMMARV OF I BUILDING PERMIT $ - TJ3' b�% PLAN CHECK $ PLUMBING � S PLAN CHECK 25°6 $ ELECTRICAL $ PLAN CHECK 50% $ � ' MECHANICAL $ PLANCHECK 25% $- e 33.50 T� Z O N I N , G R E Q M T S FEES $ 3 Date Date N-a�� rDatx l0 � � i —$% ES �y� SMIP $ � J �/ PERMIT ISSUANCE $ ENERGV P.C. $ - GRADING $ MICROFILM 5 �� +y� TOTAL FEE $ � ' CONSTRUCTION AND PLANNING � POOL & SPA � � APPROVALS = Permit# �Date Inspector qppROVALS Permit# Date Inspector 1,. ��Temporary Electrical Service or Pole 52. �Pool & Equipment Location � ' � 2. Soil Pipe-Undrgmd. 53. Steel Reinforcement � ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. ' 55. Electrical Bonding 5. Steel Reinforcement-. 56. Rough Plum6ing & Pressure Test 6. Electrical UFER Gmda' S7. 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 Syst,em � 61. APPROVAL TO DECK 71. Property Sewer Line!&�House Connection 62. Backwash & Receptor-Final � 12. Sewer Cap 63. Heater & Vent-Final ' 13. Roof Drains . 64. Plumbing System - Final � 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit ' 66. Solar System-Final 16. Rough Electric Wiring , 67. Fencing & Access Approval 17. Rough Wiring Sign - � � 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �'� � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �'- f..� t0 ' 20, Rough Factory Fireplace APPROVALS � Permit #� _ 21. Ducts, in Structure 70. Underground Hydro � ' - 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush • 24. Roof Framin � ' � 9 . 73. Undergrnd. Storage Tank O Gas � Oil 25. Roof Sheathing 74. Overhead Hydro ' ';� ��' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � 27. Frame and Flashing 76. Dry Standpipe � f ' 28. Lathing & Siding " ' 77. FIXED SYSTEM FINA'L �<�1 . 29. Insulation 78. FIRE PREV. FINAL � ' ,� ��• - 30. Drywall Nailing HEALTH DEPT. REQUIREMENT � � 31. Plaster Brown Coat 79. FINAL INSPECTION '1 32. Electrical Power MeterFinal 80: FOOD CERTIFICATE ISSUED '" � t 33. Final Electric � Notes: 34. Final Heating & Air Conditioning � �'_ � t 35. Final Gas Pipe-Test ' 36. Hood or Canopy �� - , � 37. Final Factory Fireplace � � � , �`, � 38. Final Plumbing ' �' '- „ t�i� 39. Water Service-Final � � ' ' � � � . 40. Gas Service-Final . ,`�/ �J . 41. Solar pomestio-Final `'` '"� " ' } �'- � . ,/, , 42. Backflow Preventer ! , �� ti; ; 43;.Backflow Irrigation � �� . � ' � ' i. i ��44C Landscape Irrigation System � � .� �'' � ' . ;.45. Sound Attenuation � '� � � a� � . 46. Handicap Regulations . �, r ' � � � 47.,FINALSTRUCTURE&BUILDING 'p � ' � �� :� 48.` Special Requirements Completed r. �� 49. Electric Releaseto Edison ; `.�I 50. Gas Release to Southern California Gas Co �'� • 51. CERTIFICATE OF OCCUPANCY j - No. Date . . ._ - PERMIT ApplicdY�i�s Mailin Address � . ��U' �1 Phone ��_�' 'b Ownei'sName ��,.�qM�NA `OS'�7n �1�jji��-� 'Ac'iress ' ArchlEn4. .�+� ..r'a5cir.A�!v LicenseNo.�"�GI7��_� Add�ss �C �fractor's ��''e Phone A!�" imailingl. City License No. ' LICEN ED CONTRACTOR DECLARATION I'hereby at I am licensetl untler provision5 otC (commencing witn:seclion ]000) o [he antl Professions Cotl¢, antl my'license is inNull torce antl ef . Ccense Class Llcense No. Date Signature WORKERS' C�OMPENSATION DECLARATION I hereby afiirm that I have a certificate ot consent to seli-insure or a certiticate of Workers' Compensation Insurance, or a certified copy thereo� (Section 3800, Lab. C.) ' ' _ � � '�cy No. Company �ertifietl copy is hereby fumishetl. " ' � , Certitietl copy i5 tiletl with the city Builtling DiviSian.: Date Appliwnt . EXEMPTION FROM WORKER$' COMPENSHTION DECLARATION (TM1is seclion neetl nol be completetl if lhe permit i5 tor one huntlretl ($300) or iess). I certify that in the performance of the work tor which ttiis oermit is issuetl, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation taws o/ Calitomia.' ' � ' . Date Signature �"' NOTICE: If, after makin9 this tleUaration; you shoultl bemme subject to.the Worke�s' Compensdtion provisions O( [he L2bot Cotle, you must fortnwith comply with such provisions or tnis permit shall be tleemetl revoketl. CONSTRVCTION LENDING�AGENCV ' ' I hereby affi�m that lhere is a mnstruEtion I¢ntling a9ency for the performance of the wo�k tor which [hi5 permit is i55uetl (Secfion 3097 Civ. CJ LenCer's Name Lentler's Atltlress OWNER BUIIDER DECLAHATION 1 hereby affirm ihat I am exempt trom roe Gontractor'S License �aw for the following reason (Section �031.5 Bu5ine55 antl Prote55iOna1 Cotle: Any city o� counTy whicM1 �equires a pe�mit to wnstruct, alter, improve, tlemolish or repai� any 5[ructure, prior to its issuance, also �equireSlhe applicant tor Su<h-pa�mit lo tile a si9netl sta[ement that he/slte is licensetl pursuant to the provisions of' Ihe Contractor's License Law (Cnapter 9(commencing with Section 7000) ot Division 3 of the Business antl Professions Cotle) or that he/she is exempt [herefrom antl tne basis for the allegetl exemption. Any violation of Section ]031.5 by any applicant for a permit subjects the applicant to a civil pendlty ot not more t�an five nuntl�etl tlolla�s ($500). as owner' of the property or my employees with wages as their sole pensation, will do the work, antl the struciure is not intentletl or-oiteretl sale (Section ]044, Business antl Protessional Cotle: The Contractor's License Law does not apply to an owner of a property who builtls or improves thereon, antl who tloe5 Such wo�k himselt/herselt or thwugh his or her own employees, provitletl that such improvements are not intenaetl or offeretl tor sale. It,�howeveq the bull0ing or improvement is saltl within one year of com- pletion, the owner will have the bu�tlen of prOving he/she tlitl not builtl o� im- �ovt to� the purpose o/ Sale). I, as owner of [he p�operty, am extlusivery cont�acting wiih licensetl con- tra tors[o consVuci the project (Section ]044, Business antl Prafesslons Cotle: The ConVatlor's LicenSe law tloes not apply to an owner of pvoperty who builtls or imoroves thereon. ana who contracts tor such oroiects with a mn- tractor�5) Imense pursuam to me Contractor�s Litense Law). i-am aware tnat proof of their Worker's Compensation insurance sM1oultl be provitletl to me ❑ I am ezempt untler Section B. & P. C. for Jljg reason Date /�,�— Owher � I hereby cer ify that I have reaC his application antl state hat the above information is wrrect. I agree to comply with all city antl county ortlinances dntl State laws relating to builtling ConStruCtiOrtq and hereby authoriie �ep�e- sentativ¢5 ot ity to en��tiii the Ove-mentionetl prop erty for InsOection pu� 05 C Signature �" G Date� �rivers' License ar 55 � � . lines a�� sign all approvriate aeclarations. flT Nfl _ � .nuT' n�Il � TYPE OF C�(+�STRUCTION LJ NEW LJ aoo U AL ❑ CONV£RSION ❑ DEMOLISH ❑ OTHER ��. TVPE OF PERMIT LJ GRADING LJ FOUNDATION,' STRUCTtl.RAL .. ❑ TENANT ❑ ELECTRICAI ❑ PWMBING O MECFiANICAL'_ �, � ❑�OTHER , � ::' ..'' ",. PROJECT DESCRIPTION 5c3. FT. oCCUPliNCV CONSTRUCTION TYPE - �� VALUATION $ ' ZONE GRADINGCU.VDS. ; ; �_(.D_�r- Remarks: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors - Kitchen Sink Lavatories P-Trap Roof Drains � ReinspeMion Fee Duct- Under Ground Duct - Structural Duct -,Ventilatinq $15 Exhaust System ❑ Multiple ❑ _� FirepVFact Blt, iC60 # Heating Sy§tem & Ducting ❑0.100,000 BTU 0100,000 BT Reinspection Fee � '$15 OB65-46, rev. 5/88 White - Builtling: Canary - Applicant: Pink - Accounting; Goltlenrotl - Assessor =, � Showers Service Sink � Sewer'Cap ' " _ Sewer,Conneciion ' ' - S012f COIICCiOfS ' �- . Solar-Piping SolaYTank I ' Swimming Pool w/Spa • ' � Lrinal Water Closet - Warer Heater Water Service Auto-Wash Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeratlon System J�0-100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers " Registers ' Issue Fee A.P. # I �'C!/i S Main Building: E �� i T Frant A Rear � C Right ; I S . Left ' �°' / TT- Building: . Parking Req./Provided ELECTRICAL Automatic Washer Transformer ❑ 75-50 KW ConstructionPoleSub. � ❑50+KW Cooking Unit Dishwasher ' Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes / Outlets Switches � Gar6age Disposal� . . Generator �0-5'KW �5-15�KW Zone A Meter Llup to 100 amps Meter ❑over100amps Sub Panel � • -� Motors �41 HP �1Yh-8 .Solar �9-15 HP �16=15+ Microwave ' 1� Pole Ligh[ r� � Sign - . � Standing Sections TraSh Compactor: � - � $15 � .� Issue�Fea FEES $ 3 O N 1 N G R E Q M T S. DEVELOPMENTSERVICESREQUIREMEN S: �� r $ 3 Zaning APProved BY, i '' �'�'�"D'ate �� ( FEES ' Building Approved�8y � � � �- - � Date Appliiation Issued By - �Dat . �'7t�C1�=G� SUMMARV OF FEES- " BUILDING P.ERMIT - $ � " SMIP �'. , $ � BQ[;�PLANCHECK� ?.- $ 22•7S pERMIS � _.I.68 ';'r� � PWMBING �� "<:' $ � ISSUANCE, �$ �PLAN CHECK 25% $ a ENERGY P.C. $ , ,ELECTRICAL �� , $ - GRADING(.-, $ �� PLANCHECK 50°.6 $ ` � MICROFJLM' �$� � MECHANICAL • $ . � T.OTAL FEE�,r $ 70423 �PLAN CHECK 25% $ ' � • _ _,$ 3 / I�t�n-, � 1 �,-n.-w.�w � . —•rt c—r_--T¢rc,t�--0UJ43:+�.5 Y'n]F 704,9s' , . t DA?�: _t/2?rZ9 _T.I11E� 1b:12 � e� '-V 1__ . =��. / �' ' � �"dLANN!T1G � JNST'UCT,!C ��I A' , °PR'OVA48 ip��nit # - c;- _� a.." Te,npo�ar�y.�}�� e�rical Serviceor�Pole S . Soil Pipe-Unr�rnd• � • .�,�: lJ`7 i.i 3, Elecirical �onduit Utility-Undrgmd. �4r.ElecT��?I C nd'uit-Undrgrnd.� � .� o.�Steel;Reinforcement � j � _�rr j6' Electrical�UFER Grnd. � - til{ �, y i, ��FootingS�� a , � � _� 9: Water a 10: Struc� 11. ProPe 12. Sewei . . \� . . ' ' - " _ . . � . ' . . ` • ^ � POO L & °" : � � . �.ate Inspector � AppROVALS � Permit�yr 1 � '� Date Inspector „ , 52. Pool��& Equipment Location ' ��. • y 53. Steel Reinforcement ' . � _ � �•i �(� 54. Formi � . � � w � , 55. Electrical Bonding , � . . � � , � � 56, Rough Plumbing &�Pressure Test ;� Ml/� •� 57. APPROVAL TO COVE�R-GUNITE � .'� i�r �55. Electrical Conduit-.Undrgmii.'�: �� u j � f! . '� _ . .. -, � 59:. Gas'Pipe�, O Undrgmd:; Test� ,- � � .� , � -' _ �r _ J� � ;pe-Undrgmd. . � .��' ' 60 �Backwash Lines, P-Trap,.O�-Undrgrnd. 1 . . ��. � � Pal Floor System i • � �� Y �'�Y' 61-. APPROVAL TO DECK<`','�.' � ' � . � r � � � aSewer.Line & HouseConnection- � 62. Backwash &�ReceptorFinal ' � V� � � �P,� . � � �� 63. Heater & Vent-Final . � _ � �f� � _ raihs .� ' : � 1 �64. Plumbing System - Final � � � ._K;i ` ' 14. Ro ghPlumbing� � �. � � � � ; � � 65. Electrical-Final � . �� • %1/ 15. Rough�Electrlcal-Conduit � ♦ i6: Rough Electric Wiring • •r., �17. Rough Wiring Sign � � ' � � -. . ir8. R�ugh Elecirical-T Bar Ceiling �. f;. 19. Rough'Weating'f& Air Conditioning . � �20. Rough F.actory Fireplace ^ •21..Ducts,-in'Structure ° 22. Ducts,�Ventilating � !� ,, i i �23. Gas Pipe-Rough & Test ^'-�� .i 2'4. Roof.F,,aming !� � 25� Roof Sheathing . �-<, � (� 26. T-Bar Ceiling (Structurall•&-Moriocoat ii_ �� I 27�. Frame and Flashing f SSN.O �� , � 28. La'thin`g'&�Sidirx,7-- � �� 29. Insulation � t � � � .. --�-,_.-�-�q^-,7� r, j � '�� I `(�� C 30. Drywall.Nailing � i 31. PlasterrBrown Coat� � � ^ � , ^ �. 32. Electrical Powe^Meter�� inal d 33. FiYalElectric ;,�� I 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test :]36. Hood or Canopy �37. F.inahFacipry� Fireplace , . ' 38. FinahP.lumbing � � � . '}39.�Water Service-FjnalJ ' � . �40. Gas Service-Final � . 41. Solar pomestic'Final � � � 42. Backflow Preventer' 43. Backflow Irrigation � r 44. Landscape Ir�igation System � �45. Sound Attenuation* � 46. Handicap'Regulations 47. FINALSTRUCTI'JRE&BUILDING c / 48. Special Require'ments Completed . a 49. Electric Release.t YEdison � •. -•�-- 150. Gas Release to Southein California Gas ( 51. CERTIFICATEOF?OCCUPANCY No. Date t � - 66�SolarSysterri-Final . � �� . ' ' � ' � �� 67. Fencing & Access Approval� � . ' � � � � 68.�APPROVED FOR PLASTERING � � �. ' . � � 69.� POOUSPA SYSTEMS FINAL' � � . �� •, FIRE DEPT. REQUIREMENT.� _ ' � � APPROVALS Permit #� < 70. Underground Hydro 71. ProductPipingOGas ❑Oil � f 7,2. Underground Flush � . �73. Undergrnd. Storage Tank O Gas ` � Oil .' ki Gl0 9/�,f 74. Overhead Hydro ; . 75. Dry Chemical _ � 76. Dry�Standpipe >I�Q� 77. FIXED SYSTEM FINAL S 70* 78. FIRE PREV. FINAL '�� 0 HEALTH DEPT'. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED HQLD FOR ; ! �- Gn0 �- � �L'i��iiY��'�7it /�J Lti.�l"'�� _ , , � � / J / � .'� tr Y �I i:) � '!i�4� � V i C}^ � i Y S r i R1� .i ` �S __ t, I ✓1� .T� ' i.. � ERICH ZIEBARTH LAND SUIiVEYON Californie Lkanse +s LS 5031 18186 Santa Sophia Circle � Fountain Valley, California 92708 �(Bus) 714 / 964-2988 �(Res) 714 / 962-0786 DRAINAGE LETTER To Whom It May Concern: July 21, 1990 I have checked the drainage at 976 E1 Camino, Costa Mesa, and found that the landscape azeas and the driveway all drain away from the building tovaid the streets or alley and not onto adjacent property. Y T ou �'�(/U' �,� � W Erich Ziebazth LS 5037 My license expires 12/31/93 v��S�p LAND SG�`��O / � ERICtI ZIEBARTH • 5037 sf 9l F�FCAIif i Pfl0.1ECTR0�flE55:� �j'J(j EL .CAMINO DR � uxrt: � � OWHEP'� NAME: �.j pAUL � - " - �� „ nooAcss:•�p6 E•L CAMINO, C,M.. . � � . 5 ' . . . � ' '�flCHIENGINEEfl: ERIC(`��$$Mj,j�] " qEG.NO.:'C19')1$ � � ' AOOflESS: j.j / j{ ' UNIT: . : C.M.� CA 92627 � . � PENMITTEE: RON KNUDTSON . ( 714 ) 650-1212 "' RODqESS: � Q S 9- N NEWPORT BL � G ' NB � CA 92663 LICENSED CONTMCTOB OECUMTION: I hereby aRirm t�at I am IicenseU untler pmvisions oi Chapter 9(commencinA ��h Section 7000) of DNision 3 of the Business antl Pmlessions Cotle, an0 my license is in tull torce anA ellect. CITY �C.: � %TRiE UC.: CIASB: ' � � Oate: �' Signature: � WOBKE85' COMPENSAiION OECLAMTION: I �eahy affirm tAat I Aave a cetlificate of consent ro sel4insu2 ar a cetlHica[e oi Workers' Compensation Insurance, or a cenifiea coDY thereof (Section 38W, Lab. C). ,� � PoLICY NO.: � E%P. DRTE: , ".OMPpNY: ' 1 Cenifed cooY is nere0y mmisneo. ❑ Certifie0 copy is tileU with Ne ciry Buildinp Division. ' Date: AppliWnt � • � E%EMPfION FNOM WOBNFflB' COMPENSFTIOX UECIAIWTION: (ihis ucUon need not be com I )diylR p¢�mit i5 �0� On0 AuMRO (5100) 0� ICSS). I certiry Ihat in t�e pedormance oi Ne work for wAich this permit is issueC, I shall ploy Ry person in any manner sa as to hecome su�lect to th orkers Cam ensation Laws oi Calitomia. �_ _ j �ate: — Signamre: �� NO710E: , aher aking this Ueclaration, you should become s' ro the Workers' ComDensation Dravisions of t�e Labor Code, you musiforihwith compty with such provisions or Dermit s�all he tleeme0 revoke0. CONSTRUCTION LENOING �GENCY: I hereby amrm that there is a wnswction IenAinO aAency tor the pertarmance ot Ihe work for wAich �his permi� is iuueU (Section 3097, Civ. q. � lFNOER: - AOUBESS: "' � � � ' ' , OWNFB BUILOEH UECIAMTION: I hereby aKrm t�at I am exempt imm the Contractors' State License Law for the follawin0 reason (Section 7031.5 9usiness anU Prolessional Code: My ciry oi caunry which repuires a permit ro wnstrucL a�ter, impmve, demolish, or re0air any simcWre, prior to its issuznce, also reQuires I�e applicant lor such permit to file a sipned statement Nat Ae/she is Iicensetl pursuant to ihe Drovisions of Ihe Conirapors' State License Law (Chapter 9(commencinp wit� Seclion 7000) of Division 3 of t�e Business an0 Pmfessions Code) or ihat �e/she is exempt Iheretrom antl the basis for IAe alleped exemption. Any Nalation ai Section 7031.5 by any aDDlicant for a Oe�m�� suble��s the apDlicant ta a cidl penalry af nat more t�an iNe hundreU dollars (5500�. I, as awner oi the D�operty or my em loyees with waAes as Iheir sala compensation, wiil ao t�e work, and the ❑ swcture is noc imenaea or onerea ror saie ��ection 70CA, Business antl Pralessional Code: The Cantraclors' State License Law , does not ap0y ro an owner of a pmperry who Uullds ar imDroves ihereon, an0 who tloes such work himsell/herseli or thmug� his or her own employees, OrovideE ihat sucA imDrovements are not in[enUeU or oHeretl for sale. Ii, however the builEinp or �imOrovement is sold vntMn one year oi�completion, ihe owner vnll have t�e bur0en of DmNnq he/she did not huild or improve " Porlhe Durpose ol'ulel. � . ' I, as owner oi Ne pmDerty, am ezclusively contraciinp with IicenSeU conirectors ta construct tAe pmle� ISection 7044, Business ❑- and Pmfessions Cotle: ihe Contractorsi Sta�e License Law Aoes not appry ro an awner ol proDerry who �uAQs or improves Nereon anU w�o contracis for such prolects witA a caniractoqs) license pursuant to Ihe Coniractors' S�a�e Lic¢nse Law�. I am aware NabOraot of iheir Worker's Compensation insuronce shoWU be DrovideU to me. " � I am exemD� unaer Section: H P% � 4 4' B. 8 P. C. � rortmsreason: � R NSPECTION H45187 J� � oate: �� 6,, Ovme . I tlo hereby ceNy that I am aware oi an0 un0erstantl IAe requiremems oi Calil � ea1tA ana Safery COAe Sections 25505, 25533, and '25534 anE t�at I or any future buil0inq occuDant will/will not (circle one) nee0 to comDly wit� saitl stata cotles antl the requirements for a permil tor consimctian or modificatian fram ihe Fir �ualiry Manaqement District. Hesitlential wnsiruction ap0��ions are exemD� ��om these pmvi5ions. ' , ' Date:' . � Npplicant: I here6y certity t�at I have reaA Ihis ap0liwtion and state that tAe above inlorma[ion is correct. to campty witA all ciry anU counry ortlinances antl state laws relatinp ro huilAinO constmcfion and here6y authorize reD�esen[aliv th iry ro enter upon the a�ove-mentionad pmpeM for insDec ion Durposes. - Oate: • Signamre: ouver's �icense or socia� secudry x: 1641A6 W�ite--BuilEi�; Green—COEa Enlorcemant; Canary—Applicanq Pink—Fevenue: GoltlenroE—Assessor � CITY OF COSTA MESA — bDILDZNG PERMIT ,PERM NO:.IB 0,48507 PERMIT NO; IB 048507 .. PLAN CHECK NO; N GOVT: N SUPP:'Y CONSTRUCTION TYPE; V—N. � PERMIT TYPE: OTH STR PURPOSE: ADD JOH DESCRIP.TION : ADD 1417SF LIV,617SF GAR,248SF ALT SQ FT: CLAIM VALUE; CALC—VALUE; GROUP OCC: A-1 /M-1 COMMENTS; REF B45187 *��r�r*+e*+r��r*�e**x**x�r+r��r**�r�+r�r�r*�*�x�r��*�**��r**�*x��x�+r+r**��r*�**�r***+r+r*�***+r*�r�r*� Z O N I N G R E Q U I R E M E N T S S E T B A C K 5 ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN` LEFT: , FT �IN RGHT: � FT IN LEFT; FT IN RGHT: FT IN' PARKING REQ: PROV: PARCEL: 14166523 2NE: REF NO: PLANNING NOTES> > ±! ik 3! if i! iF 3k ik jE ik ik 1t iE ik ik if ik 1F if iF if if �k ik jF �t it i! iF iF iF 1f 1k ik if ik iE it it jf iE il±E 3t 9f jk,i! * it it iE if iE iE if iE 3F ik iE iE iE ik iE iE iE 3E iE iE ff,ik ib k 3f 1k iE iE if ik iF D E V E L 0 P M E N T S E R V I C E S R E Q U I R E M E N�R' S. ZONING APPROVED BY , DATE: BIIILDING APPROVED BY : APPLICATION ISSUED B �t�r�t*�r�t�r*�*****�t*�t�tx�t*x ��F ak iE it iE if iF iF ik i! ik iE it iE if it 1E ik iE �E 3E �E iE iE i! jf iF 1F iF iE 1k it if ik �t LEGALIZATION;N F•E E BLDG PMT PLUMHING ELE PERMZT 30.00 " U M M A R Y S��Y��i�.l\��N DATE: �=• , DATE: �Ia GT iFiF�FlE%lkiFiFlFiEiF*3E iEiE iF iE iE it iE iE iE iE iF it iE �E if jF iE 3t iF iE jE iE it iF fE if iF iE STRUCTURAL SEGMENT:Y FIAE SMIP/RES GRADZNG SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL � PAID DUE TOTALS----> � 30.00 0,00 0.00 30.00 30,00 , .00 REVENUE DIVISION TOTALS--> COLLECTED: 39:00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30.00 - ' ik ik it iF if iF i! if ik iF iF it iF iF �E iF iE i! if i! iE �k 1f if iE it iE it if iE if 3E if iE ik 9klk iF if if it iF iE �E iE iE �E ik iE �k ik iE iE 9f if !F iF �E iF 3E �E jE 9E 3E iE jE iE iF if iF iF it iF iE ik it iE iE 3k I N D I V I D U A L F E E B R E A K D 0 W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST INS i BUILDING RE—INSPECTION FEE 30.00 ' 30�.00 _ END OF FEES n 0 0' O�Qb726o—QOD67e6b Ts�T n0.p0 DATE� 08/09/74 •TIi1E: 16:12 . t � 1 CONSTRUC710N AND PLANNING � PO� ._ S SPA �c, ' , APPROVALS - Permit # Date Inspector AppROVALS Permit # Date Inspector .� Temporary Electrical Service or Pole i� � -'' 52.� Pool & Equipment Location ��;j � �� , . Soil Pipe:Un,drgrnd- ' - 1 � 53. �Steel Reinforcemen[ j J �� '�6_Electrical Conduif'UtilitY-Undrgrnd. � � 54.� Forms _ ` � �� 4. �Electrical:Conduit Undrgrnd. . � �' 55. Electrical Bonding ,. �='� � �5. Steel Reinfo�cement � �_ 56. Rough Plumbing & Pressure TesY' � - � '6��ElectricalUfEFi~Grnd. .� � 57.'APPROVALTOCOVER�GUNITE _ '. 7.^footings �� , f. 58. Electrical Conduit:Undrgrnd. ? T ,8` Foundation r` � ' - 59. Gas Pipe, O Undrgrnd.. Test " - 9. Water Pipe-Undrgcnd. �- . � �. 60. Backwash Lines,�P-Trap, O Undrgrnd, i ' 10. Structural Floor System i �� 61. APPROVAL TO DECK �� J' 77. Property Sewer Lirie�& House Connection .� 62.�Backwash & ReceptorFinal. .•r ,j ' , �i�; 12. Sewer Cap t � �/ � - 63. Heater & Vent-Final ��t,r i 13. Roof Drains� �-, ' � � 64.=Plumbing System - Final � ' � � ' ' 14. Rough Plumbing ' - �-. ' 65. �Electiical-Final , '-�' � �. i' '15. Rough Electric`al•Conduit ' - ' 66.�-Solar System-Final , 16. Rough ElectrictWiring; - 67.. �Fencing & Access ApProval 17. Rough Wiring Sign •�, � � 68._APPROVED FOR PLASTERING � � 18. Ao�gh ElectricaV�T Bar Ceilin9 � 69.��POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ,,, - _ _ _FIRE..DEPT. REQUIREMENT, _ 20.:�Rough Facto,ry Fireplace - - - �; - - _ -APPROVALS�-f-Permit # " - _ . . n 21 ^Ducts, in�StrvccuTe� ' " ��y - ' � ; '� .;70. Wnderg�ound� Hydro „ 22..Duc{s, Ventilating; . , .' -- c ;71. Product�Piping O Gas O�OiI 23."Gas Pipe Rough & Test `' - ' _ 'f � } ,..72, Underground Flush� ' " ` - t� 24. Roof Framing •.. -' �� ;� ,:-� =� : 73.7Undergmd� Storage Tank O Gas J� Oil 25. Roof Sheathing � � • __ '.; ^�` ' 74,•Oyerhead Hydro ;: _ � 26. �T-Bar Ceiling (Structural) &'Monocoat -, } -Jt� , 75:=Dry Chemical � : -� � : y7cFrame and Flashing=. � =" � _ } �' >� � �' 76. Dry Standpipe ^ '" _ .� • 28. Lathing & Siding r�' -� �, i-' : � i i 4 77 �, FIXED SYSTEM'F.INAL� �� • - ZS. In5ul3tiOn �' . � �� , y 7$��FIRE PREV. FINAL � ' u30.Drywall`Nailing Y . - ��, f�� H�EALTHDEPT{REQUIREMENT 31. Plaster Brown Coat '• .,� ; � ��'� �79.� FINAL INSP_ECTION ' __ , , J �32.��Electrical Power Meter'-Final � r� $"� �80.-FOOD CERTIFICATE ISSUED -33:'Final Electrir � ' �: .., ; � .,��' �No�s: - - �' - `..t �34__Final Heating & Air,Conditioning' .� I� � ' - _ , '' - 35. Final Gas Pipe-Test " •� � -� ' � , y� -- -- , � " -36. Hood or.CanoPY . "" � , � i:�!� . - ;� �;, �.. .37. Final Factorv Firepiace•' --� ' . ' � : t � , ' 38. Final Plumbing ;� . . _ � ;�� ` r : : . . � � 39. Water Service-Fina1. �' , : �+ -= 40. Gas SerJice-F�nal ' � � '' ' .'�', 41. Solar pomesticFinal � � . .. - . 42. Backf low Preventer . � ' ` � 1r - . ; � - 43. Backflow Irrigation , � � � � � . � 44. Landscape Irriyation SYstem � ' _ ' ' ` h " - - - ' � , � 45.�Sound A[te�uation • � - � � � '• -�46. Handicap R¢gulations _. . � �r; : � .47. FINALSTRUCTURE&BUILDING � . ' , 48. FINAL PLANNING - � ' � 49. .Electric Release to Edison �� -• - , 50.-Gas Release to Southern Califomia Gas Co �� ' - 51. CERTIFICATE OF OCCUPANCY ' -'" " � � No. Date .. ' . '. ' . . . . . . , ': � i : . � . . :� , '.sf•- 1 PN0.IECTRODRES3 ' .�J IF) EL CAMiNO'DR � W . , . i_' oe,r �' . ' .. - , . , t. ' . . . -� . . ' ._� '.°'N"E"'S"aME::gEN P.AUL ` . . + "'+ ' _ . . '�CI'PY OF.COSTA'MESA :BUILDINC, FERMIT,' � 'PERM NO P �045577 nooeess: 1126 EL CAMINO., , ,. PERMI�T; NO: ,P �� 045577 � - ,�PLAN'�CHECK NO: . � N� GOVT: N SUPP N'{. , COSTA M•}55A� CA�. - � � ? • . - . � • "> .. • • .:. • ' • : `' -. `` �CONSTRUCTION`TYPEc „ �, .� .. PERM3'T TYPEi tPIU ; 1',�'' :. 'rc `•PURPOSE �� NEW� { :7�14/549-2405 ; . , .._;. . . . . ... . . ;.� , . 'RBCH/ENGINEFfl:,' . � � � . - ' � pEG.NO.,_,,, � • � JOH DESCRIPTION :'..PLU FOR APT�. HUILD.ING..ADDITION ' . .� SQ�'FT,: � ' nooxess: ' ' . . • ''.'uxi1: - . , - ' +:.K , . '� " ' � '' � CLAIM VALUE:. ' CALC-VALUE ' � . GROUP'OCC: � / PENMITfEEi HERM�ANSEN �iPLUMBING CO � .( 714 )"8,41-0.170 ' � '� : . , � •� `� ' ' +� - ` ' ' ' r' � � � , , - � ,', � . .. �'' . _; ' . Y ` , k ' , ROOflE38: ISiS2 LA SALLE LANE.. -� 'COMMENTS:��A-45187 • �.` . '' t .. . ,. , - �� - .. � , -� : , .� •. � � IiUNTINGTON AEACH : ... CA 92G47 � , !'� • *****�*�t��**�#�***+�*�t�r***��t�ar,+��t*x�t***it�t�tx��t*+r�t�t�x�t*�ie**�t**�t**�t�t�t*��ix�t.*�t�'*it 'j ` IJCENSED CONTMCTOB UECLAMTION: I hereby aflirm tha[ I,am Iicense0 under Dmvisians of Chapter 9(commencinp wrth Sectlon '� � • '' -Z U N 1 i� Ci • -IZ , E: Q:� U��-.I � R:� F� %'i, �$ N T$.• �� 7000) oi DiWsion 3�of the Business antlPmlessbns CoOe. antl my license is in full force an0 effecL i ' � ` - ' S E T�� B. A'. C K. S � � �� • ciir u `�,'�q sTa� uc.:517 510,�'/� c s: �p��pA' � -, • ' . � " •. � i , . oete: ��"L� ` 'Siunamre ✓��/��/k��---�'� • `�' � -` ' 'MAPN HUILDING ------- - -- AC(:FSSORY.HU`ILDING r .-- , i WOBKERS'COMPENSRTIONOECUMTION: Iher¢EyaKrmthatlAaveacertificatealconsenitosellinsureorecemhcSteufWorkero `FRNT : FT IN" REAR.. • FT � � �IN�' FRNT ' � F1�� IN REAR:' - - F�P�:. -� IN - Compensationlnsurance,uracenifieacooYmereoi(Sectian�3800.Lab.C�.' � , , ,. , `�LEF�T:- �'.'.F�T,'' �IN RGHT: ' ; FT, . IN�' `LEFT;� FT'. IN.,RGHT: �� FT '3N. "��, PoLICY NO.: ` • � : � : EXP. ORTE: . .. . ' . : . . � � � : . � . � . . " . � - . �ornrnxx: ' • ` ,' ' '. , : . -�' . PARKING REQ . PROV � PARCEL: '1416�E52J ZNB • 'REF NO , ''' • ' Cenitien copy�is hereby furmsnea ��.� CenAieU�cooY �s filen wim me ciry BUIIninA oivismn , , �PLANNING '�NCSTES>� � _ . ',. ' ' � � . ,�.' . , . ._ . . . ' - . . ., .r � .> . , _ . ,. . . ' . Oate: ' APPlicant: .: ' - . 1FiEiEM7f3fikifiE'iEiE1E1EiE.kiFififiEiF�1E1EiEitififiEiFiF�lEiE1E1E1EiE1E'1E�EiFlFfEkiEiEikiFiE,iEiFiEiEiF.iflEif'iEiEififiEif1E1E1EiFiEiFiEiE1E1EiE1E3EiEifiEiF"iE � „"'..,_.._ , ... r t �., . , ,. _ ... •��. E%EMFf10N FflOM WOBKEfl3' COMPENSNDOX UECUFUTION: (This secYon neN no� be comple�e0 if Ne permit is for one hunEieA ($100) or les5). ,, � D' E' V,.E ,'L� O' P'M E N T�;'. ' S � F R V� I': C. F� S' �^?. � R F. ;�Q U. I� R E M��E � N. T j S-•• , '' I cenity that in tAe peAormance o/ ihe woM for which this Dermii)s iss ed, I shall not employ any persOn in any manner m as to 6ecome ' .- �•^ ' � , 't, -;,, . , .,. � , sublec� la � e W fk/er�s=Compensalion Caws ot Caldomia. 11)/�� C r/�I C,�� ,�� Z ON I NG• AP PROVF.D � BY �� " �� v�. r � � � DATE ;� � Uate: "LQ -. .. — Si9nature� IY 1�F��•�Ov �� - �.�... 1 ". ' . . ' , . .. . ' . . . .. 'i � � :' -. , NOT E: u, aner maAinA tms�Cetlaration you shoula hecume subiect m me Worke'rs' Compenuuon pransians'oi ihe Labor � AUILD ING �APPROVED BY . . r .d - DATE :' ' . ' CaOe, you must fOrthwitA comply with such Drovisians or ihis DermiLshall �e Oeemetl ievoke0 ✓;�; � � �' • � -. ' : �� . � . � ° " � � , �+• � � -�� . . . - , � CONSTBUCTION LENOIN011GENCY: I hereby affirm;that t�ere is a constmction IenAinA apency for the pertormance oi ihe work far -� APPL Z GAT I UN �I SSUED � BY :• ' •.•t. �. ' ' ��. �/ C3 �'� whicA�AisParmnisissueUlSec�ion3097Civ.�C). � ..+ �. . ,.:. .•.: . .. .�.iEiEiEiEiti(;iE*iPikititiEitit�tieikleiei[�i[� � � iFiF�lFiEiEitikDiAe'i�c�iF�EiFiFSF�F�fR��1Ei6• ` LENUEfl: . ...': . �''.. , � ..`r . ' � •. �, ik3EiE1E.iFiflFlElfiFIFiF.iEil3EiE'IEififiEiEif�ififiEifif�iE*iklffEiE.lfifiEllkiFiE�iElEiflEifiElEiFiEitlEiEik3EiElEiEkiFitlEiE3f1E1EiE�it.ififiEiEfEiEifiEiElEdtiE' ' - FODflESS: •; :, . _ ! , . . .. .:. : ' ' '. . '. . ,L . . . . .. _ . . • . . � � • LEGALI ATION:N' � ' F'`E -E': ' S.U�M M..A' R Y ;'`•STRUGTURAL''SEGMENT-:N"� • _ . .. :,. . , �� ...... . r :.� ; .. � • • ' . .. - ..�, - +;• r ' '�-;• OWNEBBUIIDEBOECUMT10N: IherebyaflirmthaUamexemptiromiheContrecrors'StateLicenseLawior)hefollowingreason� t' �•$LDG �FMT .PLUMHING�'� •EL.ECTRIC� MECHANIC FIRE� �SMI�P/RES ' ' GRADING � (Sectian 7031.5 Business ano Pmfessional COAe:'�My ciry al counry wnicn requires a permii to constmcl, alter, improve, eemolish or �p ERM I T! .' <, 4 S�. � � .�i'� � � ' � . � �.'�` '' .; ' repair any simcture, pnor m its issuanie, also requires Ihe�aDVlicant lor sucA permit to fle a siAneA statement Ihat �e/she is Iicense0' � �, � -- ' • ,� z 5�� ; . � , ��. � ',` � ' pursuantmtheprovisionsoRneContracrors'StateliceuseLaw,�C�apter,9�commencingwittiSectiun7000)ot.Divi'sion3otiheBusiness�' � . '.`..c`. � , . . . � ' ... .'SMIP/NON-RES`; �.. � , anU Professions Code) 8r that he/sha is exempt therefmm an0 tha 6asis far Ne atleAetl exemption. Nny vialation ai�Sectian 7031.5 �y '� P1+�1N' l� . � . •�s •• ' , . r , any apD�icant �or a vermit suhjects tfie apDlicant io a civu�penalry ot nBt more inan five�nunaaa dollars�(55Uo1. • • � 'I SSOE- BEE �' � • ' ; 3'. OO � ., . ' � , � ' - � . ' - � �'' •� , � �I, as owner ot ihe,properry or'.my em ioyees wim wages�as iheir sole�compensztion, will� ao ine work ane ihe�� ^HUII;DING-DIV �> ; PERMIT • ISSUE � PI,AN-CHECK- , ' TOTAL ,. � PAID :�' 'DUE � ❑ simcmre is not intendea ar ofleren lor sale (gection 7044, Busineu ann Pmtessionai Cotle `; The Contracrors'.State license law ��TOTAL S r'- --> � . 4 5�. 0 0 �� J, O U�� 0,: 0 0, 4 8.:0 0�� . 4 8.: 0 0 ��- . 0 0'. �'- Oces not apO�Y �o an awner of a pmperty who hmlUs ar impmves Nereun, ana w�a tloes such work himulA�erseli or throuph ' . -� . . , �' � y.,: � ' , ,' . ' , � his or her own employees.�provided that such improvements are noPinten0e� or oifere0 for sale: It, Aawever Ihe buildinp or: � ' ^- ' ' - impmvement.is sola wnnin one year oi cumpletion, ine uwner will;nave the burtlen ot proving Ae/she Uia norbuiia or impmve �2%EVENUE. D�I V IS ION -' TOTALS- =>, � 'COLI;ECTED,: "_" �' 4 8:� rv." � V'.�/SHORT •�� 00 � 00 O ER ' for the u se ot sale . " . • - pmo h ' •� } ".'. �; BLDG PMT PLUMBING ELECTRIC MECHANIC� „ FIRE SMIP7TOT' GRADING.'PLAN-CHECK � I; as awnerot inq orooerty, am exclusrieiy coniractinA with licensea �cbntractors ta consiruct tne Droieit (Secnan 7044 Business . . � � � � � 4 8 . 0 0� . " � � � ' � � - � ' ! � ' � � anA Pmfessions CaAe: ihe Con[2crors SWte License Law Ooes not apDly to zn awner oi OraOenY who bwltls ar impmves iharean - . .': .+ � � � � . -' � . � � - �� - ' �- �� '' -' ' � , -� W -' � �'' : ,� " � , � ' . � ' anEwhocontractsfor_suchprojectswithaconiractor(s)IicenSe�DurSuantrotheContractors'StateLicenuLaw�.lamaware• ��{(�IE{p{p*jE1f1E{Ea{KiFiE.iFiE�IE{Fif.it.*i(.'iE�f..7fil.***iE.7Ea{.i(.if.iE.{p*{Eif.{�.{F**{E�.*�.*.�:*.�..7F*{p***�.;.*.{Eit:.7fif.i(.if.%,�Ei(..x.*i(i(.it..lE.�{E**,{F'� � , . iha[ Dmof of tAeir Worker'S ComDeusation insurance shoultl be D�oviGeE�to me. • i^. . . ' ' , .. . . t. ' I�N. D I V I' D U A�:L' " F'E E - B. R'�E A K D=0 W N' ' `. � � ' I am exemOt under Sectian:. � . � , . 8 �8 P' C. -� . ' . ` . -s , . '.. . . . . . . ' . roneisreason . �`. , , •'i . '. 'TYPC QTY''; D E S• C R 'I F� •T •I�O �N '� y,'"', ' �'UNIT COST TOTAL COST Da�e: ' ' � .. ' . .'i .. ' . . Ownec '� " � ' � � .. •,: , . -} . , .. . ' �;, " � .i � . ' � � - . � � ' .. . PLU 4. B'ATHTUD 2.00 8.,00 I Oo �ereGy cetli that I am awaro oi an0 un0erstanA I�e re uiremenis ot Califomia Meatt� an0 Safe COUe Sectians 25505 .25533,�antl � ^ � . " . . ' 25534 ana that I o[any INure building occuDant will/will not jcircle one) neetl ro comply witA said st ta a coaes ana the reqmremenis lor a;; � PLO � 2.. D.I SHWASH ER�� '' " � , � ��'% 2. OO � ' 4, O O .. , permitforbons�mctionormoniticationimmthetirUuaiiryManagemeniDismct..FesitlemiaiconsimctionaDv,iicationsaraexempCimm,: �PLU � ��. ., lf'- ��LAUNDRY`T.UB �OR 'WASHER � 2.00 , - ' �•2.�0 .. ineseomvaians. , . . � ' PI�U•, ' 2. .:' SINR;'r KITGHL•'N . `; < <-` . 2.00 ' i 4'..00 . • PLU • 4 ., � WASH `BAS.IN . � 2:.00 ' - ' : f3 : 00 Oate:�� ' � .ADPlicanC' - . � PI.,U � -.7: . 4'.;' .'�WATER CLOSET`. (TUIL�T)' • -' 2.00 ' a .4. ..:"8.00 � I hereEy certiry t�at I �ave reatl ihis aODlicalion and state that Ihe�above inbrmation is cartect I agree to comply with all ciry an0 caunry �, PLU � _� ' 2_�' r '-WATER; F[ EAT•ER' AND LOR �VENT��. ' �' i� 1. 0 0 ' •� '"� �� : 4�. 00 •� � , orUinances ana state laws relatinp to ouildinp constmction ano nereny amhonze representatives o� ma cM to emei upon me above menuonee - pL U . L� GAS. ' PS P I NG SY S�' OF � i. TO 4 OU TL E1 S 2. 0 0 - i. 0 0 � properry for 2inspe(�J'I�pn Durposes. - � � ` ' (��p �p /�1�` /�� . - � PLU � � i1 - ' CONNE,ET-ION TO':BUILDING .SF.WER � ' EA - - 5 : 00 i` � ` •�� •� � 5 . 00 . ° -Date: i I'JI 7'lO 5�9na�ure.�M'1`'11-�"I ll/� �/Xl-'-- � . . : � ' , • , . � END OR'�,FEES � ' t�:. . •. , a � , . ` '' ' �� O1 OOOS0933-0005093'a Tf1T � 4g,D0� . o�i�e�sucenseo�socia�sec�rirye:. . ` . . : . , - I,.� , .;��„ ,_: .' �+'.'pA7E::011,�$/�Q TIME�.��.20 � ' . Bat-ab Wnite-BuilEing; Green-COEe Enforcemant: Canary=ApP��canC Pink'-Revenue; GOltlenrotl-Assessor ' . - � � � - — . . , • ' . . . .- - . !, . . . _ _ , " . . . . , . , . . _' . , �. . . : r _ . - � .. .. . . . . . � . .. - . . • . � CONSTRUCTION AND PLANNING ' ` � � POl . SPA � - � � i APPROVALS Permit #-- Date. Inspector �. APpROVALS Permit # Date Inspector •� 1. Temporary Electriwl Service or.Pole ' 52. Pool &�Equipment Location . �. � ';,2.-Soil Pipe�Undrgrnd- � _' • � � (4/Ct� L� 53. Sfeel.Reinforcement • . �� . ` "='3.�FJectrical Con iE`�ility�Undrgrnd. � 54. Forms' � ' ' . �� a:- � c`:c.�r� . . - ,4,��ectri6al Condnrt-Undrgrnd. - . 55. Electrical Bonding� � � . �-'5. Steel Reinforcem€n't• ' � 56. Rough Plumbing & Pressure Test � r�' n�.s � i ' `� 6�,Ej�ctr`isal UFER 6frid. � � � , 57. APPROVALTO COVER�GUNITE � `'' -�� 7 =Footings -';r � � � 58. Electrical ConduirUndrgrnd. � o ' 'c., i ',8. Foundation ;`;^'_ . � . 59. Gas Pipe; O Undrgrnd., Test � . - �- 9. Water Pipe�UndTgEnd.' . � '60. ��BackwasFi Lines; P-Tra-p,�O� Undrgrnd. ��' 10. Structural Floo�: System ' �� -- 61. APPROVAL TO DECK '� � . i t. Property Sewer �Line�& House Connection 62. �Backwash & Receptor: Final � -� 1 l4 �1a 'LF� , - . 12. Sewer Cap =% �`•- ' - 63. ,Heater & VenYFinal � - � r_� • 13. Roof Drains �.� , . � 64. Plumbing System � Final � _ . �14. Rough Plumbirtg . . , 3 (�pp � 65. Electrical-Final � ' . � �15. Rough Electricaj-Conduit • . � 66. Solar System; Final � � ' . 't16. Rough Electric-Wiring , , ' 67�.'Fencing & Access Appioval ' 17. Rough Wiring Sign . -' . 68. �APPROVED FOR PLASTERING �� 18. Rough Electrical�T Bar Ceiling ��^ 69. POOL/SPA SYSTEMS�FINAL ' 19. Rough Heatiny &_Air Conditioning � � __FIRE D.EPT. REQUIR�MENT � � � ' , t, � t i • �>. i. G- Ln :' G Y. i- -S -- .., -t T �-: �" - 20�Ro �h Factoi Fiie lace �` . � _ � ~ ��"' " .' - _ - - .� tl9 N P �r. �� ;Y �S �+ ,;� PPRDVALS;r:-PermiY#-��-- -- - . � � ..,' _ _ �' t 1 '+.. 21.,DuCis, in'Str`actu�e' " " ;�.� �r• ' `'�� X �"70. l7ader f`dund� H ^ro ' x � � � r �C _•-i :R :i i ix X. B 1� - v: � �.. . -. r . 4 � s� 3• d. . ..� i �'v . . . 22xDucts, Venti1etingi �: �: :� � -� � ;,; ;: r :y C71. ProducuP.tping d Gas O�OiI . 23JGarPipe:;Ro%�1uh&_Kest � ^T �M1;- �; �� ^ �•'• �� * ,�7P, Underground Flu`sh' _� � 24 Robf Framing �'"` - � ��' �� '~ 7 � ;_.t fi ,.73�Undergrnd.Storag�Tank�OGas ❑Oil�� ^�� 25. Roof Sheathing� - x =: ��" ' �* ` ^ � ��' � 7q;^Overhead Hydro?„ "' - ' . .7 m �e � �-- .7 s � '_ ' 26:" f-Bar Ce.ilin (Structural) BrMoriocoat � ' ��. "� � ^ _ - .T � . _ - _ '�:`"`.- `"` . • i• 9 .� p "y: x- 75g,Dry Chemical . -c;e:r:. •�� ' .27:: Frame and Flashing - _; � �' � _� c- � > c:� �x 76. Dry Stanc(pipe ��:�=�_� x � �--'r' = _ -- .� �� ,,: �, c �-.. >: - � � - - ' s i_ t �C;.: C, f : '~ i: x .... � -� _"O x �~ _ C: � :28: Lathing-&Sidin9 . � . y y� �� »,* 77=FIXEDSXSTEMiFINAL�:.- �. cf; �rc•�^-;�'.-, ��29.�Insulation `J sV '• y� � � `'�� 78EF'IREPREV.FINRL x� � '��"�`� `� � n . �c : � � r •^ . I 1 �: . r. . �. - _' n: F- - � '��30. Drywall�Nailing k, _; . • j; �. � y* r� � ckIEALTH=DEPT>` REQUIREMENI- �r,-,;:y �`31. Plaster Browfi Coat� 'S : �,tT• ,. . � --� j ��i �* �K"�7g, �FINAL.INSPECTION = �� - - .: s_' ea Y T r ��.'32.�Electrical Power Mete��Ftinal; �' x " � j � '�, � `80'-�fOOD CERTIFICArTE IS$UED� r ` - 4. �:' �l .�. j V� .. � • •' .. �� •� r .: � i335Final�Electrir k - i 4 � � � -W :� Notes: - �r *'= _ _ - - - , b� r ! '-:n - ti � ... -, : r-. � � . ["', k' Y• � 5 il x r _ ; ' _ 34�Fina`I Heatin �& AirGo�ditionm r . _ C- - .-, 9 .� i.; . 4' - a � ' i FF K ' *'+ � ` �'C ' * - 35:-Final Gas Pipe-Tes{s �7W .: : L q'a .�µ #: .-. . ro 'i:� • d: -. . � ., -._`t,�=. .n..a x - �,-lro� �36. Hood or=CanoPY x G�~' ; �-�- ' -� � : i. ; ; i />� � t ' f�o . - �r . �-•.,_ O Cl f Sc:, - s X: � {/%r, 'K :'7 . T�. -. n: ^ ' �i:�{'i -37��Final FactorV�Fireplace" � Fr �.� . �•r �� ' ;' ��i(: e � � ' . . . :r --` � . . C �^ : . i . � ' .. �. �38. Final Plumbing '�' _��`� ' �" � • L10� �p z x ;� � "} ' � ;_, : :'39. Wat'erService�Finalt;�g , ' - �;,� I, :° y � .. � �., - - - i 4 r c�r.. ' ri ' �=40. Gas Service�Final � ��" . � `"�' ti �^' i:; � � ' ��'� >' 'v« c:�.; x .. . .. � K i L' _ 1:. Q: :k �. ' J f., i v .. ;41. Solar pomesticFinal` `= - � � ' r- '' � ;= '� � - , . .; : j% � ��• - . � . '1 , r _ .�' 42yBackflow PreventerF � �� . m ' +� � ' � ' : � >`'� . + _ �- - i�. ti.i q:� >:'k . t7 �C•!O . K,.'.,- :I. %' , . .r.._.`_ "" "' ' "' . .. - '43. Backflow Irr�gatiorc: -�� . . } �. ' � - .i: g �.; . ; ' %�.. �,.`• �. . . . . . . . . , > ^ '� - r �- - -44. Landscape 17iipation Sysrerr�� = C: +� r� � C`*,i. ^ "' � ;.", • � ^ �' ' �` �� - � � _` =.c : � , _ s " .G.. i:l 'k.' Qfi X = v . ..'4,, .,7G •,.K = c� � `'45��Sound P.ttenuation� - '•• ' � 2' R, �;; � ; - r'� `'i� �{ -' ti �� 46.•Handicsp Regulations �- " '•X � � � = �'� �" ^ ' c x ti� -r `i� x. � - „47.`-�fIN'AL STRUCTURE & BUI:LDING '� ` . � i '''-` �• ~' `° � �- ° , :S: c- ' �. ,.-a; ,�. . . � � . F-, . .. +48�FINAL PLANNING� • . '��'" . . � * ; � ti7 ti: �, iTt � . •^.� �r,. !- . � , n: X. ' _9.c z' ^. p., x. e: . , �49'Ele'c[ricRel�asetoT'Edison �; � � i _-i�*.A_ � � - �;. � ., � .' �. '.50�Ga�ReleasetoSouthemCaliforrhiaGasCo � � 'r � � "' �"� ' "�r ' �' y ^ �l , ' w .c * . ^" �f. X � : O �1 ' w�. (l: �:.^�.^,C'C�': � -51. CEFTIFICATE OF"OCCUPANCY ' *� �* �"� S - �� • ^ " . - . "-� -"- - - -- , No. Date � � � J . _ i . ' : _ . PnaecTnponess: 976 EL CAMINC- DR ` uxir: 2' -' OWNEH'3 NpME: BF.T� PAOL � � � . ' . . : .: . � RDDRESS: SAME p.� i:H�VE j . , , �y .�I4/673-9307 � ;c 'RBCNIENGINEEfl: • _ ' pEf..NO.: • � " • AOUBESS: ^ , . � � ' . . UNIT: � � • PEpMiTTEE: BAYLADID' COMPAh]Y � - ' ( 719�).673-4307 eooxess: q;5 30Ti1 STREET' � 15 ' PIEWPORT BEACH ; CA"92663 LICENSED COXTMCTOB OECUM710N: I hereDy aHirm ihat I am IicenseE unUer Dm '' ol CAapter 9(commencing vnth Section ., 7000) of Division 3 of the Business an0 Pmfessions CoOe, and my license is in ful� ce C eflect. . cin uc.: 4 6 0 5 9 BTpTE LIC.: j? 4]. % O cus�/ � Date: ' � ��-- Siqnature: _ WONREBS'COMPENSRTIONOECUHRTION: I�erebyaifirmth eacenAicataoicansenitoselbinsureoracertiticatealWarkers' ComDensa�ion Insurance, or a certitieE iopy thereof (Section 3800, Lab. C�. . POLICV NO.: � � E%P. OpTE: � 'OMPANY: ' � ' � ' 1 CerlifeG copy is herehy fumisheA. ❑ Cetlifle0 Capy is (Ietl with �he Cily 6Uiltlinp Oivi5i0n. . .. .x.. : 1 ' . . . � Da�e: � Applicaut � E%EMP110N FROM VIORNEBS' COMPENSIITIOX OECIAIWTION: (�Ns sectlon nee0 not 6e mm kteA if ihe permit is for one huMreO �f100) a less�. I certity ihat in the De�ormance oi the waM for which Ihis permR is issueQ I shall loy any person in any manner so as to become subjecl ro the WOMers' Comcy�y�s/�aiion Laws oi Calitornia. � Oate: � ��i 'Lv � 'Si9nam ' - NOTICE: II, atler makinp this tleclaration, you ShoulE �ect ro Ihe WaM1ers' Compensation pmvisions oi the Labor � Cotle, you must lotlhwit� comply with suc� provisions or this.0,ermit s�all Ga tleemed revakeU. CONSTNUCTION 1EN01NG RGENCY: I �ereby aflirm �hat there is �a consimction lendinq agenq for the pedormance ot t�e work for w�ich ihis permit is issuetl (Section 3097, Civ. C). � LENOEB: � ' . ' - �OOBESS: ' ' � ' � . OWNER BOILOEB OECIAMTION: I here6y alfirm that I am exempt from tAe Contractors' State License Law lor t�e followinA reason (Section 7031.5 Business an0 Pmlessional CoCe: My ciry oi counry which requires a permit to construct, alter, impmve, �emolish, or repair any simcture, pnor�ro tts issuance, also requires Ne aDPlicant for such De�mit to file a sipnetl statement ihat he/she is licensetl pursuant ro ihe pmvisions o/ t�e Contractors' State License Law (Chapter 9(commencing with Section 7000) ul �ivision 3 of Ne Business antl Pmfessions COEe) or that he/she is eeemD� �herelrom anA the basis for the alleped exemptian. My nolation ai Section 7031.5 by any aDPlicant for a Dermit subjects the applicant Io a;civil penalry of not more tAan five hunOreA Oollars (5500). , •, �- I, as owner of Ihe pmDenY or my employees with wapes as their sole'campensation, will Oo�the woB, anU lhe .❑ stmcNie is noi imentled or ofleretl tor sala (Section 7044, Business anA Pmlessional CoOe: TAe ConVacrors' State License Law Ooes not aDDly Io an owner of a pmpeM who GuilEs or improves thereon, and who Oaes such work himself/Aersell or ihmu0h Ais ar her own employees, Omvitled t�at such improvements are not intenEeE or oifeaE tor sale. Ii, �owevar t�e 6uilAinp or improvement is solE wnhin one year ol camDletion, tAe owner will have tha hur0en oi provinp he/she Ui0 not �ui10 or impmve br Ine purpou of ulel. ' . . . . . . ' ' I, as owner ai the DmDerty, am exctusively coniractin0 with Iicense0 coniractors ro cons[mct [he prolact (Sectlon 7044, Business � ❑ and Protessions CaOe: T�e Cantactors' State License Law dces not aDPN �o an awner o/ praperrywho 6mI0s or improves Nerean anE.who contracts br such pmlecls.with a cnnirac�or(s) licanse Dursuant ro Ihe Contractors' State License Law). I am aware Iha� D�� ot their Warker's Compensation insuranca shoul0 be OmviEed to me.' ' . � I am exempt under Sectiore � . � B. d P. C. _ ; ' - , for t�is reazon: . : • . i � Date: ' Owner: ' I Oo here0y certify ihat I am awara of an� untlerstantl the requirements of Califomia HealtA an0 Safery CoOe Sectians 255P5, 25533, an0 25534 anE t�at I or any fuWre builaing occupant wilVwill nat (circle one) neeG to camply with said stata cotles antl the'requirements for.a. permit for construd'wn ocmotlificatian Irom t�e Pir Ouatiry Management DisMct. NesiOential consimction apDlications are exempl from these Dmvisions. � ' � . , . Oa�e: � Applican�: _ I �ereby ceniy that I �ave reaA tAis apDlication and state ihat t�e above informationI'ry rect I aAree to comply with all city anU counry ' or0inances anA state laws 2latin0 �o builtlinp constmction and hereUy auNorize repres€ l3tives of this cRy ro enter uDon the above-mentioneE properry torinspection Durposes. ' ' Daie: ��' � � �� Sipna � . � . � Driver's License or Social Securiry x: � � � 1641-a6 W�i�e—BuilEing; Green—CaEe Enlorcemen�j Cenary—Applican�; Pink-Ravenue; GOICenroE—Assessor , i.:,.. : CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M,�046589 - P�RMIT NO: �M '' 0�465B9 � PLAN �CHECK NO; .' N. �GOV'T:. N. S[IPP�: N � CONSTROCTION TYPE;' � " , YERMIT� TYPEr MEC . . ." , ' P[1RPOSG': OTH ' JOII _DESCRIPTIt�N . ': MECIIANICAL FOR NGW DUPliEX � - � SQ F1';. � - � ' ' i . � • . . . .. ' � '. � CLAIM VALUE:. . . � CAI�C--VALOL': ' • � � GROUP UCC:. " �'. /: � COMMEN'P> : � TSI O / � � � - ' � — ' , �+t**#*��c-��:�*�*�c��****�r�r****x�+r�**�rx�*�r,��r*�e****�*x*��**�*it�r**+e**�*�r*�.*i��a�*x+t�**�+i� , ' ' Z O N I N G: R E Q,U I,R � M'E N 1' S ; : ' S E'L B A C K S . " + . .---_._..__..-----. MAIN BOILDIDIG ------�---- �-----��--�-- ACCESSORY B(J7LDING — PRNT: FT IN RL:AR: FT ' IN' FRNT: F7' IN REAR: ` � I•'T � IN LGF1': F'T IAJ RGHTb FT IN i LEFT: I'T • IAI RGEIT: ; ' FT � IN,� . , . � � PARKING REQ: . PROV: PARCEL: 14166523 ZN�•: . REF �10: PLANNINC,•NOTES> • . ? - ... .. . ' . .. � _�'_ . . _.a. �. . �.. � - i � t _ .. _ ' 1E�fif*itdElEiFiEifififif3EiEiFiEiEMN�if3EiEiEiflEif�lF�EiEfEiEifklE%iE`iE�fF�1EiflEifiF3l-�EiFiklfiElflE�tiFltklFiflflPif3Flfit�(�iE1E1E�iliE�klE3t�1F!(�iEiliE3E � D` E V"E L O P M E N T 5 E R'%V' I' C F. S + R E Q U I, R� E M li DI T S jZONING APFROVED BY, _ ._ ' _i_ • ' • 'DATE: ___ �BUII,UING AFFROVED BY :--- T�--- -- - DATE: ---/� --�- "•APPLICATION ISSUED.BY: , `"° ��^�� :DATE: �F�Ffi -3i3f�#iF�� 'iEifiFiFiE3(-iE1EiE1EiEiFiEiEiFikiEiEiEiE9E�E�3F�£��iFiF-iiiFiFi�iF F7F��iE�kiEiElEiE1E�]EdEif3F �FX��1E' ' iE 1E iE iE iF # iF iE iE iE �1E aE iE �lf iE iE iF 3E 3f �IE 3k af IE 1f IE 1k �1f� �lE if 1f iF 9E if if if if iF if� iE �F if iE �IE iE-lf iF if if df iE 1E iF �It 1E iE iF !E iP ik iE iQ iF iE # 3F �E iF iE�M iE iE iF 3E �k �% if %� iE iE LF.GALIZATION:DI �. F E E S U�M M A R Y -' STRUCTURAL $EGMENT:N DLDG PMT PLOMBING ELECT'RIC MECHANIC � FIRE SM3P/RES GRADING PCRMIT . 18.00 . . ' ' , 25t SM�IPLDION—RCS. PLAN " � , . , � " r.ssvr.rEe ss.00 � � BUILDING—DIV—> FERMIT ISSUE ;'PLAN—CHF..CK TO'PAL �� PAZD DUE TOTALS— --> • 18.�0 15.00 _ 0.00 33.00' 33,00 .00 REVHNUP:�DI��ISIOI�I TOTALS-->. COLLECTED:' 33.,00' OVER/SHORT: .00 HLOG PMT PLUMBIDIG EI.ECTR7C MECHANIC b'IRE. SMIP/TOT GTtAllID1G� PLAN;-CIIF.CK :. ,33.00 � ' . ifiEiEifiE�lEi(�3EMiFlf�1(�iE3EiE�7E�7EiEiEiE�lfiEiE#�%KiE�f3E3EjE3E�f3E3FiEiEiEiEkifiEiEiE3E3E9FiEkiFiEifif1E3f3EiEifiE3EiE�1(-kit�lFit3EN�jtiP�Ei[�iElkiEifi(�%# T N D I��.'I D U A,L ' F E E Il R E A K D O W N � � . TYPE QTY U E S C R I P T I� O M Ur1IT` C051' � TOTAL COST MEC � 2 ID15T PORC—AIR; GRAV PURiJ <= 100 IC 4'.l'0 � 9. 00 , 18 , 00 �tan oF FrFs • � ' ;�. : � � i � � t ' � , � 01 00056490-ppO5d490 TUT � 33,00, �ATE: �3/2�f90 TItfE: 14:ig . _. .. , . _ ._ _ _ , _ ._ CONSTRUCTION AND�PLANNING � � • . PO. .4 SPA . Date Inspector i- � Date - Inspector� APPROVALS Permit # � APPROVAIS Permit # , � - � . : 1. Temporary Electrical Service or Pole �� 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. .• 53.=Steel Reinforcement � � � . � 3: �Electricaf Conduit Utility-Undrgrnd. 54. Forms . � ' 4..Electrical Conduit-Undrgrnd. � . 55. Electrical Bonding ." � � 5. Steel Reinforcement � 56. Rough.Piumbing & Pressure Test - , 6��Electrical UFER Gmd'. ". - 57. APPROVAL TO COVER-GUNITE - 7.-Footings � - ' . i . 58. Electrical�Conduit-Undrgrnd. - , 8. Foundation ' •._ " 59. Gas Pipe, O�Undrgrnd., Test � � 9. Water Pipe-Undrgrnd. � � � � ' 60. 8ackwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System '� � 61. APPROVAL TO DECK t' 11. Property Sewer Line & House Connection 62. Backwssh & Receptor-Final ' � 12. Sewer Cap -.r ' 63. Heater & Vent-Final � ' � ' 13. Roof Drains , ', 64. Plumbing System � Final � � � 14. Rough Plumbing 65. Electrical-Final ' . 75. Rough Electrical-Conduit � 66. Solar SYstem-Final � - 76. Rough E�ectric Wiring - 67. �Fencing & Accesi ApProval 17. Rough Wiring Sign � � 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling -� 69. POOUSPA SYSTEMS FINAL �� 19. _Rough Heating & Air Conditioning , 3 u(�'� �; � _ FIRE DEPT. REQUIREMENT �- 20. Rough Factory Fireplace � �� - _ :.. � .. ,APPROVALS„^�' Permit # 21. DuCts, in Structu[e' ' ' - � ' ` ,70. Onderground Hydro ' 22.�Ducts, Ventilating � - , :�77. Product�Piping OGas ❑Oil 23. Gas Pipe-Rough��Test . '' ' _ 72. Underground Flush� : - 24: Roof Framing .:, ; ,� • _ ' _ :.73. •Undergrnd. Storage:Tank O Gas ❑ Oil 25. Roof Sheathingr3 �' �; '.74! Overhead Hydro_ __ � 26: T-Bar Cei�ing (SYructural) &�Monocoat - ��i? 75.':Dry Chemical - - ' � 27: Frame and Flasfiing - . - - � � 76. Dry Standpipe - _ - :� "�28. Lathing & Siding ; . . - , � �' � � �� _ 77;,�FIXED SYSTEM FINAL -� ' 29. Insulation �_ - r_ i�_ 78:^FIRE PREV. FINAL '. � 30. Drywall Nailing ;�. i� "' - 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� ' ' F � � ' � • `- . ''_' �. - ' � 35.-�Final Gas Pipe�Test � �� - � :� c �7 � t�� ' � � :36. Hood or CanoPY ' _ ... - . ': ' �' ' - � = . � m ; �'v,r *� �. � .. . _' v e y' f • � 37.� Final Factory Fireplace. - -- "._ ��, � - -� • - . 38. Finel Plumbing ' �, � '' ° ' �� .-" • ' -� . � - � � . 39. Water Service�Finalr, - �- . 'r : � �J . � � ' 40. Gas Service-Final F�' ' � = -� � ' �- ' � � � , . ��41. SolarpomestioFinal'' -� �' ; - _ � + , 42. Backflow Preventer � � ' � � � r' , - : t- �. - - . 43. Backflow Irrigation; ,, " � -• � < �. �� : � - - ^ 44. Landscape I�riga[ion System' � ' � � ' � '� ' - ; - : �45._Sound Attenuation � . 'r - _ � - < _ _� _ �r' . , : _ 46. Handicap Regulations _- ' ` _ � ` � � , - - " - �47: FINALSTRUCTURE&BUILDING . ��: �t ' � � � 48: FINAL PLANNING � '" -� ' ' ' - • y � .49:�,.Electric Release to Edison � "� " ' �' . . L' +50.' Gas.Release to Southern California Gas Co ' ��":�" � ' ' -' - ' . ' „ a � i 51. CERTIFICATE OF'OCCUPANCY "' ' - ' ' -' ' � No. Date ' PH0.IECTADOBE53: � c�']( TL .CPfMIS10_ DR . " OWNEN'SNRME: [3EN PAUL • nonness: 1126 EL .C.AIdINO, C.M 97626. . ' unir: ` RflCN/ENGINEEP: k;[ZTCMOSSMAN ' � ; pEG.N0.:C19I1B � �oosess: N /A uxrt: . C:M. CA"92627 _ PEflMITfEE: R. 6� B FLECTRIC � � ,( 714 ) 362-0•350 FDOPESS: i�IiS6. I.�UI$A . ' ' ! ��N ' ' LAGUNA HbLT,S . � : CA 92656 LICENSEU CONTMCTOB DECIAMTION: I hereGy aKrm Ihat I am IicenseE under provisions of ChaD�er 9(commencinA ��h Section . 7000) o� Division 3 0l tAe Business antl Pmfeuions Cotle, and my license is in full lorce and effect. _ • ' CITY LIC.: O S O 1 h�' STATE LIC.: S 3 �. P 3 E] �u$,�$� C/�. 10��L�� ' - Oate:�Y--17 �'�j'6 SiOnalure:�.d�L/[ (�(i�[� : c WOBNENS' COMPENSFTION OECUMTION: I hereUy aifirm that I Aave a certificate of conseN ro selt�insure or a certificate of Workers' Compensation Insurance or a certifieA copy tAereaf (Section 3800, Lab. C�. � , roucr xa.: 1 13 7 4 2 t- 8 9 EXP. 011TE: O�i / O 1/ 9 O � cornraxr: STATG FUND � �Certifietl copy is hereby fumiSheA. � Certifietl copy is fil tl wi[h t�e ciry Buildinp Oivisi . � �. // �ate: Z—�I Z. �— � � APDlicant n /L!(/� {; ..� . IXEMVfION FPOM WOHKEPS' COMPENSIITIOX DEClAH11TI0X: (This sec6on nee0 nat be mmpleteA ii Ihe perrtut ¢ tar one hunOreU�(f100) a less). 1 cenity that in the petlormance of tAe woM for w�ich this Oermit is issueQ I sAall not employ any Oerson in any manner so as ro Gecame su6lect to tAe Workers' ComDensation Caws ol Calibmia. , � . Oa�e: ' ' r' " SipnaWre: - NOTICEi Ii, atlu making tAis tleclaration, you s�uultl �ecome su7lecl ro the Warkers' ComDensation D�ovisions oi the LaEor � Cotle, you must forthwdh comDty with such pmNsions or this peimit sAall Ue Ueemetl revoked. CONS7NUCTION LENOING �GENCY: 1 here6y attirm that there is a constmction Ienain0 aAency for the peAormance'oLt�e work for wAich.this DermR is iuue0 �Section 3097, Civ. C�. . � , LENDEN: • ' , . _"�� ' FODflE33: � ' . : . - .. . .. - ., . . r . OWNER BUILDEB OECUPIITION: I hereby,aHirm that 1 am exempt irom the Contraitors' State License Law /or the followin0 �easan (Section 7031.5 Business antl Pmfeuional COAe: Any ciry ot counry which reQuires a Dermi[ to construc6 al[er; improve, damolis�. or repair any structure, D�or ro As issuanca, atso�requires tha applicant lar such permit to file a siAnetl statement that �e/s�e is IicenseU pursuant Io the pmvisions of t�e Coniractors' State License Law (CAap[er 9(commencinp with Section 7000) oi Division 3 of the Business an0 Pmfessions Cotle) or that Ae/she is exempi tnerefmm anE the hasis for the alleAeO exemption, My violation oi Section 7031:5 Uy any apDlicant tor a permit suble�ts the appliwnl to a civil penalry oi no� moie than five �undreE dollars (5500�.; , •- I, as owner ot t�e pmDertY or my employees with waqes as t�eir 5ola compensation, wilL Do tlie work, an0 ihe ❑ stmcWre is not intentletl or oifered for sale (Section 7044, Business and Professional CoJe: The Cantractors' State License Law , Aoes not aDPly �o an owner of a pmDeRY w�o builtls or improvas t�ereon, anA w�o Goes such work himself/herseli or thmuAh 'his or her own em0�oyees, pmvitled I�al such impmvemenls are naI intenOeE or oflereA Por sale. Ii, Aowever ihe UuilUinp or imprwemeni is sold within one year of completion, IAe owner will�have the burAen ot pmving he/s�e Aitl not �ui10 or impmve • br.(he�pur0ou.otsale). ' ' , , . - i . , I, as owner oi the property, am exclusively coniractin0 with licensetl contractors to consimc� the pmject (Section 7044, Business ❑ � antl Pro�euions CoEe: The Contraaors' state License Law Ooes nat apDly to an owner of DropeM who builtls or im0�oves therean an� who coNrac4s for such pmle�s witA a contracmr(5) license pursuant ro Ihe Contractars' State License Law). I am aware ihat D��f of tAeir Worker's Compensation insuranca shoultl be provided m me., ' ' � I am exemp� un0er Section: � B. 8 P. C.' � for �his reason: . ' � ' � � oate: � ' Ownec � I do here6y certiry t�at 1 am aware ot an0 untlerstantl ihe requirements of Califomia Healih antl Safety CoOe Sections 25505, 25533, antl 25534 an0 t�at I or any futux builOing occupant will/will not (circle one) neea tn comply with said state iodes zn0 t�e requirements for a permit for consimction or moEification tmm ihe Air �ualiry Management Disinct. PesiUential constmction appliwtions are exemD� �mm ihese provisions. � ' , Date:' Applicant I �er¢Ey cehiry �hai I have r¢atl [Ai5 apDlica�lOn and 5�a�e lhat the above infafmaiion iS cafretL I aqree Io tomply with all city antl Counry oNinances anA sute laws relafinp ro �uilEing construction antl hereby autAonze repxsentatives ai tAis ciry to enter upon t�e above-mentioneG . pmpeM �o�, ins0e��on puryoses. ' � � Oat«��2� �L� Sipnature: �� . , . Driver's Licenu a� Sociai. Sewdry x: ' • . 1641�d6 W�ite--BuilEinq; Green-CoEe Eniorcement; Cenery—Npplicant; Pink—Revenue; GalEenroE—Asseawr' ' - ,..�r�'��. ; i GITY OF COSTA MESA -�HUILDING� PERMIT PERM NU:, E' 0�46�82 P�RMIT NO: F. 0q6482 �";PLAN CHECK�NO: ; N GOVT:,N SUPP,�: N CONSTRUCTION TYFEa;V-N� ' PERMIT TYFE: ELE � � PURPOSE,:�OTH ; � . , , , JOB'DESCRIPTION :.AOD`1417SF LIV,617SE GAR',248SF ALT . ;SQ FT5 ��CI.AIM VALUE:= c' �� CAI:C-VALUE: ;� ; GROUP OCC;. R-1 �/M� 1'` COMMENTS: RE:H45187? PRIMARY BLDG.: P6:RMIT: � ,. ' ' . � � ` ��. iEiE3EifiF�i63EifiFiEifiEjf�lEkilaE�jE3Eff3EiEjFiFiEiEikik�EiEifiEiFiEiE3EiE1E9FiF�fiE9E�fiFiEit�kfE�f�Eif3klEkiE3EiEit3E3EiEfE3kif�jtiEiFiF1EiF�fiFiE�IFfk�3E 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 ' ' . ' , ; , : � t > . . ----,------- MAIN' BUILDING --=------- -----�---- ACCESSORY HUILDING -------= FRNT: ' � FT SN REAR: • FT TN FRNT:. ' FT IN REAR: • F'T IN . LEFT: .. F,T . .IN RGHT: FT IN LF.FT: � FT' IN RGHT: ' I'T ' IN ' , � . � - . � PARKING REp: PROCr: PARCEL; 14166523 ZNE: . REF NO: PLANNING.NOTES> ; . R- �i � ` ? . ,_. . . . . . . . . . . . . . � .. iE 1E if if iE 1f if jF If if iE iE aE if if iE if if j4 iE iE iF iE iE # i(� iE iE iE if iE iE iE iE iE �)E if- if iF 3f 1E iF ik iE iE 3E iE 1f fE if �f 3E 1f iF iE jE 3E i(� af 1E iE IE 3E 3k iE aE if iE��IE �)E iF iFlk ib iE if it jF'3E D E V E L O P M F N T �S;�E R V I�C E S R E� U I, R'E M E N T S ZONING; AFPROVED I3Y .--- ----------i--,�- DATE: _^------ ' BUILDING.APPROVED ➢Y �;._ _____ � _ � �DATE: ___. � _ APPLICATION ISSUED BY: - �� ' DATE:��.:� . i(�iEjEiEifiEiF�%1E1EiEN-.iEiF�lF3tiEitifiFil�iE�if •r• .� �F7F iEiFiEitiElEiEikiF *iE 1EiFiflElFiElEiEiEiElflFiFiEiFiEif*1EfEaEi(�f1E�EiEiE#E�)ffF�7f3E1EiFiE1FIFlEk3Eif*3Eif� 1EiE1EiEifiElEikjkiklElEiflE�EikiE3FiE�E�Eif�EfF)Eif'dfififlt�E.3f LEGALIZP,TION:N' "'F :E E ' S U M M R Y"' , " STRUCTURAI, SEGMENT:N' 'BLDG PMT PLUMBING` ,F.LGCTRIC .MECHANIC FIRE SMTP/RES GRAUING PERMI7. ' ' 1J9.SO • , ' � � SOt SMIP/NON-RES PI�AN� . � • � � , TSSUE FEE " 15.00 � � ' BUILDING--DIV-> PERMIT 'ISSUE. PLAN-CHECK TOTAL' PAID DU� TOTALS-�--->.: ; ' ' ' 1 39,.•50 1'S . 00 ,: ' Q.;00 15A . 50 '.154 . 50 . , 00 REVENUE DIVISION TOTALS--> COLLF.CTED; � 154.50 OVER/SHORT: .00 ' BLDG PMT PLOMBING'ELECTRIC MECHANIC FIRE SMIP/TOT 'GRADIDIG FLAN--CHECK ' , iS4.50'. • ' iE �E 3E jE 1ElE if iE iE iP iF jE ik �k k IE i( iE IE fE iE iF �E If iF !E �E 1E K if %iE if iE if if iF it iE iE iF iE iE iE iF fE iE iEiE iE 3E if �M iE iE fE iE iE iE iE �E iF rt 3F iE �E if 1E 9E aE iF 3E if � if fE i(� 3E iE � ' I N D I�V I- D U A L F£ E B R E A K D Q W N' . . . .. ' i . . . , . TYPE c�?'CY. U E S C� R I. P T Z O, N UNIT COST. TOTAT, COST ELE 20 FIXTORF.;, ItIGHTING 1:ST 20 EA. I .75 i.5.00 ELE ].0 : FIXTURI:S, ;LIGIiTING P.DDITIONAL F.'A. , .4S , + 4,50 EI.E • 20 RfiCEPT/OUTL�T '' 1 ST 20 EA. � .75 ;15.00 EL� JO RECCPT/OUTLfi7' PDDITIOP1Ali �A. '_45 1J,Sp F..LE 2Q R�CEL�.T/SNIITCIi t ST 20 LA. . .75 ' 1`,i.00 F.LE 12 RES AFPLIANCE hiOT pVi•;R, 1.0 HP � _3.•00 . ;I6.00 ELr 1 S�RVICES BELOW '600 V& BELOW. �'01 P.MP 10.SU 1t3.5U CLE �� 2 SUB-P�2dEL � i i. 00 . '=2 , 00 � , , ' GNU nT' 'FEL'S . � � . ; , t ' � � , D1 QQ�55330-0�05�5880 TQS I5i.50 . . _ . . ' , • . . DATE:; 03/!2/90_ TII1E: 14:33 _;. .:; � ----.�� _ ._ ..._ . .. _. ____ _ � CONSTRUCTION AND PLANN�NG • � ' � ` POC . SPA- --_ � , � . Date Inspector AppROVALS Permit # < Date, �. Inspector � APPROVALS Permit # ,. ,t ' � � , _ .l 1.. TemOorary Electrical Service or Pole . � �. -� -' 52. Pool & Equipment Cocation • t f ' ' f� 2._.Soif Pipe-Undrgrnd.- ; '-; �- �. - 53.� Steel Reinforcement - � � ='�3: �Electrical Conduit Utility-Undrgrnd_ y ''� 54. Forms �„_ T� ' � .1 . "�4._Electrical'Conduit-Undrgrnd:� = F� . � 55. Electrical Bonding -- _ ';'5. Steel Reinforcem`ent� . � � � 56. Rough Plumbing & Pressure Test - � 6.:�Electric`aIUFER,Grrid: _ - 57.`APPROVALTOCOVER-GUNITE � _ � 7.:�Footings . _ '58. Electrical Conduit�-Undrgrnd. ' � ",8. Foundation ' _ + ' _� 59. Gas Pipe, � Undrgrnd;, Test � i :- 9. Water Pipe-Undrgrnd. '{ � �,�j � 60. Backwash Lines, P-Trap, O Undrgrnd. � , 10 Structural Floor System �. '" , � ' 61. �AP.PROVAL,TO DECK � ' 11. Property Sewer Line:& House Connection - 62.�'Backwash & Receptor-Final 12. Sewer Cap : _. � 1 - • ' 63. Fleafer & Vent�Final � • ;� .r - i 13. Roof Drains_ � - ,' � , � � � � ' { � 64. Plumbing Sysiem-� Final � 14. Rough Plumbing ' � � . . . 65. � Electrical-Final . . ' 15. Rough Eiectrical-Conduit ' 66. �Solar System-Final -� � 16. Rough Electric Wiiing � 90 , 67. Fencing & Accets ApProval ' . 77. Rough Wiring Sign . . 68. APPROVED FOR PLASTERING . , 78. Rough Electrical-T Bar Ceiling ,- - 69. POOUSPA SYSTEMSFINAL 19. Rough Heating & Air Conditio��ng _ � �,_ � ^ �' ,_.FIRE_DEPT. REQUIREMENT _ _ _ ,- - �20.-Rough Facto,ry F,ireplace t =' - � " ,.� � -yAPPROVALS�r� =Per,mit # � ± - - - . r ��?y}:'Du'cts, in SV�uc[uie' ' ' _ -- � �� ; i �70. Onderground� Hydro �� `22:-Ducts, Ventilatin~ , • � - - �� 9 = � _ s: . �:71. Product'P,iping OGas ❑Oil . 23. Gas_Pipe�Rough & Test _ = Y `" '� �`�! � :'72. Underground PIusM ' �"" 24. Foof Fcaming .. � � � � �� -� � = _, i . ::73^�Undergrnd. Storage.Tank��O Gas ❑ Oil - 25._ Roof SFieathing ;� 's ^' t� - �, f� i, x 74`.�Overhead Hydro=`.. � 26 ;T-Bar Ceilin (Stiuctural) &'Mo'nocoa[ �: - r ' �-='� `' ~ �'�� " � � - 9 _ # �: 75:-Dry Chemical _ .-� � 27rFrame and Flashing �c:'.' � ^ � � ^? i 76. Dry Standpipe �,� ? r �, - -�=r;,,, ^ -28. Lathing & Sidingy a �' ,,-�j �,_''�t,._M`.. - � ' - "' ' � ,,r x 77.;. FIXED SYSTEM �FINAL. �- � � � 29. Insulation � �� S " i_ !, - � ;?� * 78�;FIRE PREV. FINAL � ' � ;_.r.. � r' 30. Drywall-;Nailing ," ; , r �_. � ��i �; � �� ,HEALTH OEPTc REQUIREMENT ��.:=.= U .� �'c. '•31. Plaster 8rown Coat-� : - 1� :i { 2:._ ` 79.�FINAL INSPECTION: '< �4� ,_ _ ,`,.32.Electrie`al Power'Metei'�Final " � '��' t '�807FOOD CERTIFICATE ISSU.ED�_ -�- G� - . � . � ;. ._ -.,v, . .. . . ,� _ - • - ' .:335.Final Eleciric c�:t• " =� • /� �'" Notes:� - -� "-^ z � � � e, � , r��ii � , �„ ,.r.� . . ._ Final Heatin� & �Aii'Con`ditionin�' �� '�' � �'-� � �` a� � ��' ' � ' � '' � �'34.. _ 9 9 t " � ;s r u ti - - _ �-•--'� - �� .7 35: �Final Gas Pipe-Test� ,;: ' -� �. i ' iW a: - ,- � �- - . :,'.^ . , -: r ,.- '_ r ;36._Hoodor`CanoPY ' =,-, ' �.,: � y � !`'!" - _ nc x„ - - - � :%.. ,.K �' � < �37. Final Factory Fireplace::, r.- ^- ��v � ' ' • +' .i �38. Final Plumbin9 -� � ' • r � � * - �� 'i'e r � - • - - �� •- 39. Water Service�Final;: �, . tt � �7 a: :. ,. -. �. � .- --.. � r_. Lr. - - !T40. GasSer'vice-Final r -. '�':- � � ' i �"' - '-'-, n.�' . . . . . - v - �-. � ^ - ?i .: x� �. u. . . . .`41. Solar pomestio-Final'' r; � ± �' � ,:. :� - =i.-: �� -� - 42. Backflow Preventer � ' '`" r . , •-,.-� i-. -• �'; C - - - .. . - _ -- 43. Backflow Irrigatiori . - -� c r � � . � - _ ' ., . �-44. Landscape Irtigation System � � �� `' �'� ' " ' ' ; ' ' � - ' ' � _ .{. A' e�• ): � �'J'- - `"'45'. Sound Attenuation � :.'.. r i: �- , , =� -�t� � _ -- u . . - t: . •�;46.• Handicap Regulations - - '� •` + � _ _ ��^ - ' � , -� � r- ! �;v�: a. _47=FINALSTRUCTURE&BUILDING _ �` � . �' ` , _ - ., - � •�i� ^ . _ 46-FINAL PLANNING - � ' ' � �`� '_ � �'. �'• ` - . :� � - � i. '.49: Electric Rele_ase to Edison � � � _ - � � ..� _ . ' . � (!^r. ; •-50`Gas.Release to Southem California Gas Co ' � " �' -� '-� '' ' '"� - . ' _ ' ' ' , - 1 � -- •� - 51. CERTIFICATE OF OCCUPANCY � * - � • ' ' � - No. Date k (r� r�� '�STA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 91� CO6TA MEBA, CALIFORIiIA For Applltanf to Fill In Completely TYPE OR PRINT eu��o�No 1� amino ive ADDRESS 1+0't `�4 r„ct 5011 COSTA MESA, CALIFORNIA OWNER HYCROFT TERRACE IPTC. ao RE89 250 R. 17th� St.. � Suite G .'Euclid. Anh. Sai]ie STATE TEL. LIC. NO. A�� 6n ' N. S?7112 SIZE_ �� i �� I no _oF BLoae. 6ETBACK LINB FROM CENTER Op eTqEHT �O � REAR YARD 3� � ' SID6 YARO LHP� S� ' I R16HT �.tJ � DESCRIPTION OF WORK � v 7Z � wnn%�a crno�wa 2 T'OC Ii 1 NeREBY �CKNOWLEDOH THAT.1 XAVB REAO THIB APPLIC�TION •ND BTATB THAT TH6 ABOVE 18 COfiqBCT ANO AORE6 TO COM� PLY WITH ALL CITY ORUINANC88 AND BTAT[ LAWH p[OULATINO BUILOIN�CONSTROQION. ' SIGNATUREOF HYCROFT TERRACE INC - PERMITTE � AUTHORIZED AG6NT ��• �-�-'-'� FEE RECEIUED i)UN t o �gg� FINANCE DEPT. � (�PP��IO�WI FQQ��'E RMIT BUILDING For Office Use Only er reiesueo 1 8 1963 ZONING — ZO 8 � NO.O UB[OPNEW 1 � PLANS lUILUING ` L80AL �.�j T `(: `I � ^D DeYCRIMI'ION A. P. NO �J NOTE: NOEAVEOVERHANG6HALLBELE93THAN 90' TO SIDE 8 REAR P. L. EAVES ALLOWfiO (U.B.C.REOUIREMENT) ,YARDSAPPROVED YARDSAPPROVED � MAIN BUILOING ACCESSORY BUILOING (FROMG RE6TL!-� � FRONT „% �/ FT, � LL1 R.91DE FT. FT. a � L.SIDE •�FT. FT. d REAR ,7\/FT. Ff. K DISTANCE�BET. BET. MAIfJ Q +� MAIN BLDGB. ACCE55: BLOGB. - �� VAR.�C DATE w a C. U. P..SF APPROVED � 1 e � Bl'P E .l�v' OATE �� O 11. A 3 0 i �i�/�%ec.Fr. �//n�p, "q � HE AMDUNT 6HOWN ONDEF VAWATION IB FOR TH8 F PURPO6E Op 68TABLIbHIN6 A pERMIT FEE ONLY. � $A��'0�� PERMITFEE $ ��0��qq j A C ECK �D� � p City of Costa Mesa puilding Safety Department P. O. Boz 317 Cosfa Mesa, California CERTIPICATE OF OCCUPANCY N° 1896 C The Building located at ��! ��1 �� g� �`• � f% has been inspected and found To comply with the provisions of all City of Costa Mesa Qrdinances applicable thereto for a Group � n� � Occupancy. Use of euilding 1�13L'¢}iaa8 E%r�i�,�lCO dith 614�1Etfl f�R�¢Pt _ _ Legal Description � �►y �C+� �11 (See reversa side for Matas and Bounde) Building Permit No.l� Electrical Permit No, �l� Pfumbing Permit No. � Floor Load Signs have been.installed as Room Capacity Signs have been instaled as r�q�ired under Se<. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging ho�se shall be used or occ�pied until the owner or operator has been issued a volid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is o change in:, � 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms � � ., � , 3) Ownership . , ' If Group H Occupancy, ��m6er af npariments and/or guest rooms as required u�der Sec: 17050.1 (d), California Adminisirative Code, Title 8, Chapter 9, ArTicle 8. . Number of apartments �1:" and/or guest rooms � ISSUED TO: Buildin Off"al' !\'1H��11. t:ry�. Mc . : I y�fti:.�r:, �..2J �I��IjI►�I— / r /�� . - ..,,a� � a.0 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed excepT by the Building Official of fhe City of CosTa Mesa under Set. 306 (e) U.B.C. For�a svaa—ira—u-sa—s-s r