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Home My WebLink About1098 EL CAMINO DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIN UHIVE, UUS I A MUbA, UA Wb26 PLUMBING PERMIT Job Address: 1098 EL CAMINO DR Suite No Vicinity: Parcel Nunmber: 14162110 Applicant: COAST ROOTER PLUMBING HTG & A/C Address: 2737 S CRODDY" STE D - I Phone: (714)241-1414 SANTA ANA, CA Zip: 92704 Owner: . UMALI, PABLO Address . 1098 EL CAMINO DR COSTA MESA, CA Phone: Zip: 92626 Contractor: COAST ROOTER PLUMBING HTG & A/C Address: 2737 S CRODDY STE D Phone: (714) 241-1414 SANTA ANA, CA Zip: 92704 License: 529127 Arch / Eng Address: Phone: Zip: -`- - - - Licenser SCOPE OF PERMIT C/O OF WATER HEATER. AMT QTY ISSUE FEE $23.50 AMT Backflow irrigation $0.00 " 0 Backflow Preventer $0.00 0 Bathtub $0.00 01 Clarifier System $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Dental Units $0.00 0 Dishwasher $0.00 0 Drain, Floor $0.00 0 Drain, Rainwater $0.00 0 Drain, Roof $0.00 0 Drinking Fountain $0.00 0 Expansion Tank $0.00 0 Gas Earthquake Valve $0.00 0 FEE'SUMMARY. ISSUED AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P -Trap $0.00 - Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Status: ISSUED Applied: 03/08/2004 Issued: 03/08/2004 ISSUED BY: QTY AMT QTY 0 - `. Sump Pump $0.00 0 0 '- Swimming Pool $0.00 0 0 Trap Primer $0.00 0 0 Urinal $0.00 0 0 Vacuum Brkr Bkflow(1-4) $0.00 0 0 Vacuum Brkr Bkflow(5+) $0.00 0 '0 Wash Basin $0.00 0 0 Wash Basin Set' $0.00 0 0 Waste and Vent System $0.00 0 0 Water Closet (Toilet) $0.00 0 0 Water Heater / vent $12.30 1 0 Water Piping (Inst or Rep.) $0.00 0 0 " Water Re -pipe $0.00 0 0 Water Service $0.00 0 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: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754.5626 2"646 (6/00) DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. L' I have and will maintain workers' compensation insurance, as required by section 3700 of the labor Code, for the performance of the work tor/p D S which this permit Is Issued. My workers' compensation Insurance carder and policy number are: arrier CSTi�"TTc_ �y n)tl Po cy Numbs oA I I l Is section need not be completed it the permit is valued atone hundred dollars (5100) or less.) ® I certify that in the performance Of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' T compensation law of alifomis, Aigr e that if I should become subject t0 the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith with these r vision ^� p licanl tura: Dat J WARNING: FAILURE TO SECUR WO ERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN TO CRIMINAL PENALTIES AND CIVIL FlNES UP i0 ONE HUNDRED THOUSAND DOLLARE (5100, , IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I here that I am tic used under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Business and Professions Code, and my license Is in full lar .ette .lic.q �Z�I i lass Calc Fhc abl_ufactoes Si ature: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Cade). Lender's Name: Lender's Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he Or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property. Or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 W III the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 2DO cubic feet of compressed gas at standard temperature and pressure). ...........__......._........___...........__............._.._............................................................................................_.__..._........................................................................................................... ............................................................................ 2 Does or will the applicant or present or future building occupant need to file a registration form far acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely 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 standard temperature and pressure). .............._..........__.........__.........__............_...................._....._........................................................... ...._.__.___..__._................. __.... _....................................... _.......................................... ......... _................................................... 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If en RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No ......................._.............._........_.............._................_................. __............................................................................................................................. ........-.................................................................. .............. _..........._................................. 5 Does or wlil the applicant or present or future building occupant require for the work which is the subject of this replication apennil for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for nonresidential building permits). ._......._........_........._......._..........__................__........_.....__.._........................................................................................................................................................................... ............................................................... 8 Will any pert of the facility to be constructed under this permit be within 1000 feel from the outer boundaries of a school? ❑Yes ❑ No (11 *yes', the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). .................... ..................... ........_..........._.................._._....._............................................................................................................................. _.............................................. _... _................ ................................ _.................................................. 7 II a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No ............................................................ .......................................... _............................................................................................................................_................................................_................ ......................................... ........... ........................ .. 8 (Ii'yes', attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. 1 agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. `Sig to Legal Owner(s) ate r Authorized plicant Cars CODE 1. INSPECTION TYPE j7AjE IITMALS CODE INSPECTIONTYPE 2AT$ IttIIIiALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing .3 -3 1-0 200 Final Re -Root 210 Final Electrical 201 Final Block/Retaining Well 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT PERMIT NUMBER B98-02225 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 1098 EL CAMINO DR Status: ISSUED PA/P6 Suite: Applied: 12/15/1998 Vicinity: Issued: 12/15/1998 Parcel Nunmber: 14162110 Zoning: Applicant: HOLTZ, ERIC Address: Phone: Zip: Owner: UMALI, PABLO Address 1098 EL CAMINO DR " Phone: - - - COSTA MESA,CA - Zip: 92626 Contractor: ERIC HOLTZ CONSTRUCTION Address: 17653 SANTIAGO BLVD. SUITE 107-124 Phone: 714 538-7497 -- VILLA PARK, CA " Zip: 92861 License: 736940 Arch - Eng: Address: Address: Phone: "" - Phone: Zip: License: License: ' SCOPE OF PERMIT T/0 EXISTING, RESHEALTH AND REROOF WITH EAGLE LITE TILE (MALIBU STYLE), ICBO #4660 - UNDER 6LBS. PER SQUARE. ROOF CERT ATTACHED TO PERMIT. FEE SUMMARY " Plan Check: $0.00 Calc Valuation: $10,000.00 Permit: $162.25 Claim Valuation: $10,000.00 SMIP Res: $1.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $163.25 �- PLANNING& ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754.5626 DECLARATIONS r) WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued, ❑ 1 have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars ($100) or less.) ❑ I certify that in the performance Of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomla, end ayes tshould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these pr dons. Applicant Signature: / _ _ LDare:c r/ y 5 ci87 WARNING: NF LURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUEUECr AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOU ARE (St OO,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Uc. P I Z Class N Contractor's Suture: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this pernil, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, California Administrative Code). ❑ As owner -builder. I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building Occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of comprMed gas at standard temperature and pressure). .................................................................................................................................................................................................................................................................................... 2 Does or will the applicant or present or future builtling occupant need to file a registration forth for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely 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 standard temperature and pressure). .................................................................................................................................................................................................................................................................................... 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ NO (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ............................................................................................................................................................................................................................................................................ 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No .................................................................................................................................................................................................................................................................................... 5 Does or will the applicant or present or future building Occupant require for the work which is the subject of this a plication aennit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes a No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ..............................................lr'y .t ............................... a'r. 1..............i'l lb ................................................. .....a_s'_chO'0'_.............................. 6 Will an fy p �................................................... y part of the fecili to be constructetl untler this ermit be within 1000 feet from the outer boundaries of a school? 0 -Yes"', ❑ No (If yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). .................................................................................................................................................................................................................................................................................... 7 Ii a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No .................................................................................................................................................................................................................................................................................... 8 (If yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certity that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: _ Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. C� Sign re al Owner(s) V / S ^^Date And/Or Authorized Applicant Date MULL INSPECTION TYPE gA¢ IHTrnA CODE INSPECTION TYPE DATE IRTIT9L$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site _ 204 Final Demolition 250 Final Building/Occupancy 2"6-x6 4 iM 11 ' January 10, 1985 Inspector Skyler Costa Mesa Building Department 77 Fair Drive Costa Mesa, Ca 92626 Re: Building Permit BP12983 Dear Inspector Skyler, This letter is to certify that the finished grading on our project at 1098 E1 Camino B1vd.,Costa Mesa has a 2% fall for the first 5' from the dwelling, and a 1% fall for the next 101, and all water drains to the street. Sincerely, William WQ William F. Bogle General Contractor MR. BUILD Bogle Construction, Inc. 16741 Heritage Lane . Huntington Beach, CA 92647 . (714) 842-5040 . 232836 Each MR. BUILD Contractor is Independently Owned and Operated Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MEESSA CONSTRUCTION PERMIT PERMIT NO. � s �./ --7, TRACT NO. LOT NO. UNIT NO. Protect Address /1099• Applicant's Mailing Address Owner's Name -� ��-2 Phone Address In ci� l.J0 Arch/Eng. License No. Address Contractor's Nam City License No. _ LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lice n Class _License No Dat "' -� Signature - WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to s If -insure or a certificate .rf.Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C�,/•/� L A A�J• Policy No 1 LGu/7//T/ Company �-+ T/ U_Certified copy is hereby with the cit Ce fie copy is fled with the city B iIOI Division. Oat '� ApplicantIA EXEMPTION FRO WORKERS' COMPENSATION DE AR ION (Thissection need not be completed if the permit is for ne hu red ($100) or less). 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with' such provisions or thispermitshall be, deemed revoked. CONSTRUCTION LENDING',AGENCY- I hereby affirm that there is a construction lending agency for the performance of the work for which this permit .is issued (Section 3097 Civ. C.) Lander's Name Lender's Address _ OWNER BUILDER DECLARATION - - I hereby affirm that I am exempt from the Contractor's LicenseLaw for the following reason (Section 7031.5 Business and Professional Cotle: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for Such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000).of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit Subjects the applicant to a civil Bnalty of_not more than five hundred dollars ($500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure isnot intended or offered for sale (Section 7044, Business ,and Professional Coda: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or,improvement is sold within one year of com- pletion, the owner will have the burden of proving he/She did not build or im-' rove for the purpose of sale). I,as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and _who contracts for such projects with a con- tractor(s) license pursuanttothe Contractor's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. D 1 am exempt under Section B. & P. C. for this reason Date Signature LA /Ak1t Drivers' License or SS # . Owner have read -this application and state -that the above agree to, comply with all yy�1ty and county ordinances o building const r taction„ pfid hereby authorize repre- `� TYPE OF CONSTRUCTION LJ NEW L&1570D U ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER E)EgglCR11PTION9�2 F WORK/USE OF BLDG. 4.L11 d^T•tf --T TYPE OF PERMIT LJ GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ F�ECTRICAL '❑gPLUMIBING6❑ MECHANICAL ❑ OTHER �JF]i'tRiC //�/ll//TLLy//� -'!/T /�.J/ PROJECT DESCR PI TION SO. FT. M OCCUPANCY, CONSTRUCTION TYPE Wr-y-JI)' %AFL VALUATION$ ZONE /G��RAOIINGG C..U..>YDS. ACRES_ Remarks: -1� I !� Y l2 A.P. # S Main Building: E T Front A Rear C Right K S Left Ping. Ref. # Planning Notes: 2.195 6/13/84 Accessory Building: S. IQ . TL. Zone Parking Req./Provided • Z O N I N G R E Q M T S. Bar Sink Showers ELECTRICAL FEES Backflow Preventer Service Sink BUILDING PERMIT Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. 1 D 50+KW - Backflow Irrigation Sewer Cap_ $ .Bathtubs - Sewer Connection Cooking Unit Meter ❑up to 100 amps Clarifiers Solar Collectors PLUMBING Dishwasher Meter Dover 100 amps Dishwasher Solar Piping $ Dryers ❑Gas ❑Electric - Sub Panel - D'rinking Fountains Solar Tank $ ENERGY P.C. FanMotors 1-10-1 HP 01 'A - 8 I - Floor Drains Swimming Pool w/Spa F.A.U. Inc. Solar ❑9-15 HP 1:116-15+ Floor Sinks Urinal - PLAN CHECK Fixtures :. _ Microwave. Gas Service Outlets Water Closet $ Device Boxes Pole Light Interceptors' Water Heater $ TOTAL FEE Outlets - Range Z Kitchen Sink - Water Service 25% Switches Sign Lavatories - Garbage Disposal 'Standing Sections P—Trap Generator 1:10-5 KW 1:15-15 KW Trash Compactor Roof Drains Reinspection Fee $15 Issue Fee $ 3 CMF 0865-46, rev. 4/84 White - Building; Canary - Applicant; Pink - Accounting; Boiler Hood or Type 1 ❑ Duct - Under Ground • Canopy Type 11 ❑ Duct - Structural Refrigeration System Duct -Ventilating D0.100,0008TU 0100,000BTU Exhaust System D MultipleLl System Repair/Alteration Firepl/Fact. Bit. ICBO # Heating System & Ducting 00.100,000 BTU ❑100,000BT - - - Reinspection Fee I $15 mod - Assessor - Issue Fee $ 3 Reinspection Fee DEVELOPMENTSER Zoning Approved By— Building Approved By Application Issued By_ I $15 I I Issue Fee CES REQUIREMENTS: $ 3 SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ 1,.4D GRADING $ PLAN CHECK .50% $ '{SII, _0MICROFILM $ MECHANICAL $ TOTAL FEE $ Jrg PLAN CHECK 25% $ 4 . I n / CONSTRUCTION AND PLANNING Permit# Datector F11P1 POOL&SPAAPPROVALS APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole- ,- 52. Pool & Equipment Location - 2. Soil Pipe;Undrgrnd. •+ - 53. Steel Reinforcement ' 3. Electrical'Conduit Utility-Undrgrnd ", 54. Forms - • - 4. Electrical'Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement '56. Rough Plumbing & Pressure Test 6.- Electrical UFER Grnd. - i 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. -Electrical Conduit-Undrgrnd. -� 8. Foundation ! 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water•Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. l 10. Structural Floor System 61.. APPROVAL TO DECK , 11. PropertylSewer 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.j Rough Electric Wiring 6 �+ .67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL - 19,1 Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in'Struciure 70. Underground Hydro 22. Ducts, Ventilating, 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 241 Roof Framing , 73. Undergrnd.Storage 'Tank 'OGas OOil 25. Roof Sheathing . 74. Overhead Hydro _ 26.'T -Bar, Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL '29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric / S C. Notes: , 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test - 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed ' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ( ti Applicant to fill in all spaces except those within P,HMIT TRACTI CITY oF,COSTA MESA CO�ISTR DICTION PERMIT Project Address ��letW Applicant's Mailing Pddress Owner's Name IM/1"34" Phone C/-- . T Address ' Arch/Eng.' License No. Address {ffnn Contracto 's Name Phone Address (mailing)'l/`yf'� City License No. 00 A4s_ LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full fo ce a d effect. LICenS 155Cedbe �. 1 Date - Signature WORKE S' OMPENSATION DECLARATION `rereby affirm that I have a certificate of consent to self -insure or a certificate Workers' Compensation gInsurance, or a certifietl copy thereoryf (/S/e/ction DONo.company rhityTined copy ishereby r oP ate ,yedwith the cy B If App li ROM WORKERS' COMPENSATION DECLARATION ^ nt EXEMP I N (This section need not be completed if the permit is for one hundred ($100) or less). certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY - C I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097/ Civ. C.) Lender's Name -Lender's Address - OWNER BUILDER DECLARATION I hereby affirm that I am exempt from,the Contractor's License La'w for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt erefrom and the basis for the alleged exemption. Any violation of Section 31.5. by any applicant for a permit subjects the applicant to a civil rally of not more than five hundred dollars ($500). LJ I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for '. sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- Prove for the purpose of sale). A - ❑ I, as owner of the property, am exclusively contracting with licensed con. tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves .thereon, and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under. Section B. & P. C. for this reason Date I hereby certify t information is corl and state laws rel: Sentatives of this inspection segg Signature �A Drivers' license or Owner I have read this application and state that the above I agree to comply with all city and county ordinances to building construction, and hereby authorize repre- to-an t,,er(/�y�Pon the above-mentioned. Property for- 7e Data, o $&/ PE OF CONSTRUCTION Ll NEW I 'ADD _JCONVERSION ❑ DEMOLISH ❑OTHER DESCRIPTION OF•WORK/USE DF BLDG. — lines and sign all appropriate declarations. -_ - - _ -8385 I,0/27/.67- - .5s00 TL JT NO. UNIT NO. I - 4 ALTERATION EPAI R' I , TYPE OF PERMIT 'LJ GRADING LJJ16UNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL r PLUMBING ❑ MECHANICAL ,❑ OTHER PROJECT DESCRIPTION ESQ. FT. OCCUPANCY— CON STRUCTION TYPE VALUATION$ ZONE GRADINGCU.YDS. ACRES— Sink Preventer Irrigation Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink lavatories P—Trap Roof Drains Service Sink Sewer Cap . Sewer Connection Solar Collectors Solar Piping Solar Tank - Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto -Wash Laundry Trays A.P. # _ S Main Building: E T Front B Rear A C Right K S Left Ping. Ref. # Planning Notes: • R FEES Reinspection Fee I $151 I Issue Fee 1 $ 3 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Bit. ICBO # Heating System & Ducting 110100,000 BTU 0100,000 Reinspection Fee 1 $15 CMF 0865-46, rev. 30/e4 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Hood or Type ❑ Canopy Type I I ❑ Refrigeration System 00-100,000BTU ❑100,000 System Repair/Alteration - Fire Dampers Registers Issue Fee Automatic Washer Construction Pole Sub. Cooking Unit- Dishwasher nitDishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes outlets Switches Garbage Disposal Generator 00-5 KW 05-15 KW _ Zone 'Accessory Building: I Req./Provided Transformer ❑ 15-50 KW I ❑50+KW Meter ❑up to 100 amps Meter Dover 100 amps Sub'Panel _ Motors 00-1 HP ❑ 1'/: - 8 Inc.Solar 1:19-15 HP 1:116-15+ Microwave Pole Light Range Sign Standing Sections Trash Compactor G R E O M T $ FEES FEES Reinspection Fee 1 $15 Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date I Building Approved By - Date Application Issued By A / Dat /a %] SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT - PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY.P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ - - MECHANICAL $ TOTAL FEE $ PLAN CHECK 25% $ $ 3 CONSTRUCTION AND.'.PLANNING !='-- APPROVALS Permit # Date !Inspector POOL & SPA - - - ' - APPROVALS Permit# Date Inspector' h:yremporary Electrical Sefvice or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. - .53. Steel Reinforcement m ( ' 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVEROUNITE 7. Footings 58. Electrical Connuit .Undrgfnii. 8. Foundation r.! 59. Gas Pipe, 0 Undrgrnd., T St 9. Water Pipe-Undrgrnd._�' _' 60. Backwash Lines, P -Trap, Undrgrnd. 10. Structural Floor System ` 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final , 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final ; - 16. Rough Electric Wiring - - 67: Fencing & Access Approval' - -- -" 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING' '- 18. Rough Electrical -T Bar Ceiling 69. POOL/SPASYSTEMS FINAL . r 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # - 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 7,1. Product Piping El Gas El Oil 23. Gas Pipe -Rough & Test 72. Underground Flush - 24. Roof Framing 73. Undergrnd. Storage Tank 0Gas -0Oil 25. Roof Sheathing 74. Overhead Hydro, 26. T -Bar Ceiling (Structural) & Monocoat -75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL - 29. Insulation 78. FIRE PREY. FINAL - 30. Drywall Nailing HEALTH DEPT. REQUIREMENT .•�%, •. 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED " ;•;� 33. Final Electric Notes: r l •' 34. Final Heating & Air Conditioning - '_ » 35. Final Gas Pipe -Test - 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final, - 42. Backflow Preventer - 43. Backflow Irrigation '. ' J 44. Landscape Irrigation System - - 45. Sound Attenuation ' 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48.'Special Requirements Completed 49.' Electric Release to Edison - 50. Gas Release to Southern California Gas -Co 51. CERTIFICATE OF OCCUPANCY No. - Date January 10,1985 Inspector Skyler Costa Mesa Building Department 77 Fair Drive Costa Mesa, Ca 92929 Re: Building Permit BP12983 Dear Inspector Skyler, This letter is to certify that Mr. Build Bogle Construction used Class "C" fire rated wood shingles, as per plans, on our project at 1098 E1 Camino Blvd.. Costa Mesa. Sincerely, it William F. Bogle General Contractor /.. e - .A 1 j F i I �f T R S W ALLS Alis MR. BUILD Bogle Construction, Inc. 16741 Heritage Lane . Huntington Beach, CA 92647 . (714) 842-5040 . 232836 Each MR BUILD Contractor is Independently Owned and Operated - -• Applicant to fill In ill spaces except those within heavy border lines and sign all appropriate declarations. �J OF COSTA MESA ........ PERMIT NO.. T ACT NO LOT NO. BLDta, rvU� CONSTPrUCTION PERMIT /D _ Jit 9�f'3 LW Project Address TYPE OF CONSTRUCTION ' rJEW ADD LJ ALTERATION LJ REPAIR Appl pt's Mailing Addr ss �❑ CONVERSION ElOEM❑ OTyI-1 ER OWner'S Name / hone DESCRIPTION OF WORK �%«/L/ �• '4,Ln/ `SA'TH i2A4 • - Address L79TYPE OF PERMIT GRADING FOUNDATION 75TRUCTURAL Arch/Eng. License No. ❑ TENANT ❑ ELECTRICAL ❑PLUM I ❑ MECHANICAL ,Ing reason(Section 7031:5 Business and Professional Code: Any city or . ,t - r6 Address❑ Contractor's Nam MawsPhon/@ .fj �vs u�r Address (mailing) A7 -74z er nG �T� 'Ot IOT ,OTHER 20n&:& - PROJECT DESCRIPTION Sq. FT. OCCUPAI• CONSTRUCTION TYPE L MI) fAr Z.AEK VALUATION$ City License No. _ ZONE GRADING CU.YDS. ACR Remarks: 2 F LICENSED CONTRACTOR DECLARATION BUILDING PERMIT ' $ ✓ I.hereby affirm that I am licensed under provisions of Charter 9 (commencing $ - with section 7000) of Division 3 of the Business and Professions Code, and, $r my license is Ip I force and effect. PLUMBING I PLUMBING License lass Lice se �/..1 �L/� Bar Sink Showers $ ^ate _ Signatu a )RKERS' COMPENSATION DECLARATION 1' Backflow Preventer 'Service Sink - t ereby'affirm that I have a certificate of consent to self -insure or a certificate „f Workers' Compensation Insurance, or a certified copy thereof (Sectlon; 3800, Lab. C�.)� }- �/ / III7I �Ll Backflow Irrigation Sewer Cap Policy No. rs] LI/ri[/ Company C� %�[){ ❑ certified copy 15 hereby furnished. Bathtubs Sewer,Connect ion. Cert fie! cq py is iiJJ��ed with the city u Itli Dlvi Slon'. Date ` t - `'I— Applicant f'� - •TION Clarifiers _ Solar C_011ectors%'- _ PLAN CHECK EXEMPTION FROM WORKERS': COMPENSATION D A (This section need net be completed if the permit Is for e h tlretl ($100) or' Dish Washer $01st Piping •,- Drinking Fountains Solas Tank - Ilecertify that iri the performance of the work for which this permit is Issued '1, shall, not employ any person In any manner sofas to become subject to tke' Workers' Compensation; Laws of California., _;_ Floor Drains. Swimming Pool w/Spa Date kSignature - NOTICE:Ifoafter making this declaration, you should become subject to the',- Workers' Compensation provisions of dhe Labor Code, you must forthwith comply with such provisions- or this, permit shall be deemed. revoked. - Floor Sinks- -.Urinal '- Gas Service Outlets l•- Water. Closet - CONSTRUCTION, LENDING AGENCY Interceptors' Water -Heater - - •`� I hereby affirm that there Is a construction lending agencyrfor the performance, of the work for which this, permit 'it • issued (Section- 3097, Civ. C.)' "" Kitchen'Sink' - Water Service - Lender'sName - ` Lender's Address OWNER BUILDER DECLARATION q I hereby affirm that I am exempt from the, Contractor's, License Law for the - Lavatories - - - P T- p; - - y which requires a pernnWto construct, alter, Improve, demolish or;repair ructure, prior to Its Issuance, also requires the applicant for such permit R oof'Drai ns - - a signed statement that he/she is licensed pursuant to the provisions of - )ntractor's License Law (Chapter 9 (commencing with Section -7000) of an 3 of the Business and Professions Code)'or that he/she is exempt emption. rom-and the basis for the alleged exAny violation of Section 5 by any applicant for; a; permit subjects the applicant .to a. civil Reins � coon Fee " y of not more than five hundred dollars ($500). . ' - - 1 I'se 125 Issue Fee as owner of the, property' or-mye employees with wages'ds then solA - MECHANICAL License Law does not apply to an owner or a property,wno', Dwms or improves thereon, anWwho;does such work himself/herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have.the burden of proving he/she did not build or im- rova for the purpose of sale). ' I, as owner of the property, art( exclusively contracting with licensed con- tractorstd construct the project,( Section 7044„Business and Professions Cotle:. The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and -who contracts for such projects with a con- - tractor(s) license pursuant to the Contractor's License Law). ❑ I,am exempt under Section— B. & P. C. for this reason Date I I Owner I ' IM1erebyy certify that I have reatl^this app licatlon-and-state that the-above- Informatlon Is correct. I agree to comply with all city and county ordinances and state laws relating to building const ru tion, and hereby authorize repro- 5entative5 of ••[[his city to an u on t e above-mentioned property for ' Inspection pyrp,Ote Date I L� Signature o5�% Drivers' License or SS i CMF 0865-46 rev. 12/83 White - Building; Canary - Applicant; Pink - Accountin 1 Hood or Type I : ❑ ; Canopy ' Type 'II ❑ FEES A.P. # V / c v4 S Main Building: TFront C B Rear A C Right /_ r r K S Left Ping. Ref. # Parking Req./Provided Use of Building: 4 31 Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit t Dishwasher Dryers ❑Gas ,❑Electric _ ,(,Fixtures P 'Device Boxes Q y Outlets Switches; Garbage Disposal' - V UC[-VIIUCI,VIVUIIU r ♦ , Duct - Structural Refrigeration.System Duct Ventilating _ 00.100,000 BTU ❑100,0_00 BTU Exhaust System ❑ Multiple ❑ System Repair/Alteration 1 1 Firepl/Fact. Bit. ICBO # ' Heating -System & Ducting , i• 00.100,000 BTU:❑100,000 BT --� - -�- -� Reinspection Fee .$25' -- Issue Fee $ 3 Goldenrod - Assessor ti it LJO-5 KW LJ5-15'K d• 1 i cion Fee Ij, (VICES REQUIRE ME oed By 7” " vE��.. 9697 '5/02/04 203.54, TL Zone 1 Accessory Building: 2 O N I — N G R E Park. Fees $ O U I R E N E N T ELECTRICAL FEES Transformer ❑ 15-50 KW ❑ 50+'KW Meter ❑upto100amps,' Meter 7) over 100 amps Sub Panel Pole Light Range Sign' Y -, Standing Sectio • Trash Compacts Issue Fee _u. ❑7%-B HP ❑i6-15+ , r Application Issued By - 4"2= - '-v a nate y _/v 7 ,+SU A Y OF FEES .! n - A 622' BUILDING PERMIT ' $ ✓ - SMIR1 $ - .--;: :PLAWCHECK' $r PERMIT" - I PLUMBING ' �` $Y OO ^ -ISSUANCE $ i PLA N C' HECK ENERGY P.C. ,GRADING, ELECTRICAL -$r' PLAN CHECK 50%' $''' :' MICROFILM '$ •U I p9 �6J MECHANICAL '$ r TOTAL FEE $ •`� PLAN CHECK 25% $' - ' CONSTRUCTION AND -PLANNING � _ POt. .SPA•.- v_':: (� _ - • 7 ' Date APPRQ(VALS Permit # Inspector - - =: - - - APPROVALS Permit;#- �- "5 r •= Date Inspector' ai. _ • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd.. = 5/aa1,'Y L*?. 53.' Steel Reinforcement _ = 3: Electrical Conduit Utility-Undrgrnd. - 54.' Forms' 4: Electrical Conduit-Undrgrnd. - - 55: Electrical Bo'n'ding-- onding ( L Steel 5. Steel Reinforcement,"� ' '." -56.. Rough_ Plumbing_& Pressure Test J 6. Electrical UFER Grnd.- 57. APPROVAL TO.COVER-GUNITE `+'- �:•� _ rf7. Footings .58. Electrical,Conduit-Undrgrnd.-,,- 8. Foundation / i 59. Gas Pipe, ❑'Undrgrnd.; Test •- I r a _ 9.• Water Pipe-Undrg?nd. t ,60. Backwash Lines,:P-Trap, O Undrgrnd.r 10. Structural Floor System r kr 61. APPROVALTO DECK 11. Property Sewer Line & House ConnectionZ� LCc7 62. Backwash &Receptor -Final 12. Sewer,Cap - 63. Heater_&'Vent-Fi-nal_ 13. Roof Drains ( .64. Plumbing System - Final 14. Rough! Plumbing, r •-�. �Zj �t7 &94 65. Electrical -Final' •• �� + - - ' '"'.' ' 15..Rough Electrical -Conduit - - 66. Solas Sysiem-Final i- 16: Rough Electric WiringG b 67. Fencing & Access Approval - , 17: Rough Wiring Sign 68. APPROVED FOR PLASTERING �' 1 18: Rough Electrical -T Bar Ceiling s• 69. POOL/SPASYSTEMS FINAL- ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT'- I f•. APPROVALS ; Permit'# ` 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro i , 22. Ducts; Ventilating 71. Product Piping El Gas El Oil 23. (j-as•PiPe-Rough &Test 72:' Underground Flush' 24. Roof Framing 73. Undergrnd.Storage Tank'OGas 'El Oil'- .- 25: Roof Sheathing - l 74. Overhead Hydro i / 26. T -Bar Ceiling (Structural) & Monocoat 75., Dry Chemical •- - 27. Frame and Flashing 76. Dry Standpipe I r I " I j 28. Lathing &Siding - 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL ' 30. Drywall Nailing %a /a !HEALTH DEPT. REQUIREMENT' I 31. Plaster Brown Coat!� 8fv L :79. FINAL INSPECTION 32. Electrical Power Metaf-Final .. 80: FOOD. CERTIFICATE ISSUED 33. Final Electric Notes:,• F t 34. Final Heating & Air Conditioning. ,.� 2 �•{ t� f ,. 35. Final Gas Pipe -Test 36. Hood or Canopy y „ 37. Final Facto[y,'Fireplace- 38. Final Plumbing r 39. Water,Service-Final, - -/ 7 Zo T7LJ, Ajo jLn C O 1 P. 40. Gas Service -.Final 41. Solar Domestic -Final 42. Backflow Preventer - _ _ _ _ /� ��•}.;-,� 43. Backflow Irrigation - �.� / _ �•-`r.;(( �• r t 44. Landscape Irrigation System - - / Av� JL 45. Sound Attenuation. • 4 _ S_ 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed - i I• , "- ry l 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. .Date - - - _± ,_. _..._�_. _• ... 7_ _ ?0213 COSTA -MESA BUILDING -SAFETY DEPARTMENT C E C RECEIVED P.O. BOX 817 COSTA MESA. CALIFORNIA [ 5 3 JU%CPPLICA Oh( For Applicant to Fill In Completely FQR PERMIT r I (d AIV (gU1,Lj�jjING TYPE OR PRINT- CI_ j 1 Fo' Ofi1 eAdASbnly BUILDING 111R9SH ]V RECEIPT NO: pp��YYyyIT Mq ' COSTA MESA. CALIFORNIA RECEI D BY Ail${ EV;7� DATE ISSUED OWNER a 0��'//00�•11 66 BUILDING MAIL p ADDRESS 3800 E. Coast Highway ADDRESS EL0 0' .. TFL-T,4 FIRE Corona.Del Mar, Calif. ZONE TYPE GROUP CITY ry0,• A' TELT TEL. Oriole APPROVED BY DATE C '�INEE a 0 NO. - - ZONING ADDRESS ZONE NO.OF USB OF NEW S_iP4 ram - I`a.cco Coma R-1 PLANS 2 BUILDINOj)1/ att ry 6ax 6 CONTRACTOR Realty LEGAL ADDRESS -Same as above - DESCRIPTION .. A. P. NO. none CITY Sprnp nq phnive NOTE: NO SAVE OVERHANG SHALL BE LESS THAN 'TALIC.TNO. - -S - NO. dole - 1220 • 90" TO SIDE @REAR . L. EAVES SIZE' �Jn1 NG:oi BLDG x ALLOWED (U. B. C. REQUIREMENT) OF LOT 1 G NOW ON IAT°None YARDSAPPROVED YARDS APPROVED USEOF None MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. IFROM C/ HTREET) ' SETBACK LINE FROM ( 1 11 FR NT FT. FT. CENTER OF STREET REAR YARD SIDE YARD LEFT 1 'RIGHT R. SIDE FT. FT. DESCRIPTION OF WORK L. SID FT. FT. 11 XALTERATION ADDITION REAR FT. FT. " DISTANCE BET. BET. MAIN @ REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS. SLOGS. - - DIN C� - 6, •'1 VAR. tF DATE SIZE 001E 011011 ROOMS STORIES C.U.P. APPROVED EXTERIOR WALL Wood_ ROOF Shake APPROVE COVERING COVERINGW30 BY VI. L. D. DAT -22-6 USEOFBUIL RKTOSEPERF Single familydwellin w attached garage. Plan 0- C Garage 460 S.F SO. FT. B I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM.. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. D PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION BUILDING CONSTRUCTION: N SIGNATURE OF ail PERMITFEE $ {LJOIJ( B PERMITTE By: $ 19,065.00 E Q3/ o AUTHORIZED AGENT d r TOTAL FEE