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Home My WebLink About2809 EUROPA DR - Building Permits(714) 754-5273 • Fax (714) 7$4-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ��-- - � ` PLUMBING PERMIT � � _ _ .�l Job Address: 2809 EUROPA DR Suite No Vicinity: Parcel Nunmber: 13940406 Applicant: TERRANOVE, DON Address: 970 N. TUSTIN AV SU17E 200 ANqHEIM,CA., Owner: ENGSTROM, DOROTHY R Address 4400 CAMPUS DR NEWPORTBEACH,CA Contractor: CALIFORNIA POOLS & SPA Address: 970 N. TUSTIN AV SUITE 200 ANAHEIM,CA., Arch / Eng : Address: ISSUE FEE Backflow irtigation Backflow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Denfal Units Dishwasher Drain, Floor Drain, Rainwater D2in, Roof Dnnking Fountain Status: ISSUED Applied: 07/17/2003 Issued: 07117/2003 ISSUED BY: Phone: 714-575-9286 Zip: 92807 Phone: 2ip: 92660-1813 Phone: 714-575-9286 Zip: 92807 License: 185702 Phone: Zip: License: SCOPE OF PERMIT 547 SQ. FT. GUNITE SWIMMING POOL WITH ROCK WATER FALL. REF.: B03-01211 PLUMBING TO INCLUDE: 1 SWIMMING POOL. AMT 523.50 50.00 50.00 50.00 so.00 $0.00 $0.00 $0.00 $0.00 30.00 50.00 $0.00 FEE SUMMARY �TY AMT Laundry Tub I Washer 50.00 0 Landscape Irtigation $0.00 0 P-Trap $0.00 0 Pressure Regulator 50.00 0 Process Piping (per 70 ft) 50.00 0 Receptors $0.00 0 Septic Tank 50.00 0 Sewer Cap for Demo 50.00 0 Sewer Connect $0.00 0 Sewer Private Line $0.00 0 Shower 50.00 0 Sink, bar $0.00 �TY 0 0 0 0 0 0 0 0 0 0 0 0 SumpPump Swimming Pool Trap Primer Unnal Vacuum Brkr BkOow(1-0) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Sel Waste and Vent System Water Closet (foilet) Water Heater / vent Water Pipinq (Inst or RepJ AMT 50.00 $60.75 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 QTY 0 1 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-g2) EXPIRA710N: This permit shall automatically axpire and become void ii work is not commenced within 1 BO days, or if work is suspended or abantloned for a period of 180 days. INSPECTIONS: In order for the work authorizad under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will resuN in the expiration of this permit. FOR INSPECTIONS CALL: (�1qj 7545626 � zaas�as �s�oo� WORKERS' COMPENSATION DECLARA7ION: � _ I hereby aHirm under penelty of perjury one oi �he follawing daUarations: � I have end will meintain e certifiwta ot consent to seN-Insure for workers' compensation, as D�ovidad lor by section 3700 0l Ihe Lebor COEe, for Ihe pertormance of ihe / work for which this permit is issuetl. �J I have arW will mainWin workers' canpensatlon Insurance, as requiretl by section 3700 of Ihe Lebor Catle, br Ne peAortnance ot the work ta which Nis permit is iswetl. �My work'e.rs' com2Densation Insurance carrier end policy number ere: �� ^�� 2 t 2/^ v� Carrier: ' ff-NY � �G- Z�'✓$ Policy Numbec (This secti need nof be �mplefed i! e permit Is ve/ued et one hundred dWlars ($700) ar less.) ❑ 1 certity that in the pertormence of ihe work for which this pertnit is issued, I shall not employ any person in any manner so es to 6ewme subjed to the workers' compensation laws ol Callfomia, and ree that If I should become subject to the workers' compensation proWsions ol Section 3700 of the Labor Code, I shall forthwith camply wiih these v ' AppliwnlSignaNre: Date: ��% /�3 WARNING: FAILURE TO SECURE ORI(E OMPENSATION COVERAGE IS UNL4WFUL AND SHNLL SUBIEGT M! EMPLOYER TO CRIMINAL PENALTI 5 AND CIVIL FlNES UP TOONE HUNDRED THOUSANDDOLLARE(E100.000�, IIXJTOTHECOSTOFCAMPENSATION,�AMAGESASPROVIDEDFORINSECilON3]OBOFTHEUBORCODE,IMEREST,ANDATTORNEI^SFEES. LICENSE� CON7RACTORS DECLARA710N: I hereby aftirm ihat I em licensed under provisions oi Chapier 9(commencing with Section 7000) of Divislon 3 of the Business entl Professions �ode, antl my license is in tull torce antl eNect. uc. p__ J g S"/O � Class» ��`' 3 �/ /-� �� Contracror's SlgnaNre: "� i Data: 7�/ 7— o T CONSTRUCTION LENDING ACENCY: ❑ I hereby eMirm lhet there is a consimction lending agency for t�e pedormance of ihe work for which this permi� is issued. (Sec. 3097, Civil Code). Lentlefs Name: Signeture: _ OWNER•BUILDER DECLARATIONS: Lentler's Atltlress: Dete: I hereby affirm thet under penelty of perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW br ihe following reason (Sec. 7031.5, Business end Protessions Cotle: Any city or counry which requires a permit to constmct, alter, improve, demolish, or repeir eny stmcWre, O�lor to its issuance, also requires the epplicant for such pertnit to fila e signetl statement that ha or she Is Ilcensed pursuant to the provisions of the Contrectors License Lew (C�epter 9(commencing with Section 7000) of Division 3 ot ��e Business and Professions Code) or that he or s�e is ezempt therefrom and the basis for the elleqed exemption. Any violation ot Saction 7031.5 by any epplicant for a pertnit subjects the epplicent to a civil penelry ol not more then five hundred Aollars ($500).): ❑ I, as owner of the properry, or my employees with wages es their sole compensation, WILL DO 7HE WORK, end the slructure Is not intended or otferetl tor sale (Sec. 7044, Business and Professions Cade: The Contractors License Law dces not apP�' �o an owner ot property who builds or improves thereon, and who does such work himselt or herself or throug� his or her own employees, pmvitled that such imprwements ere not Intended ar oflered lor sale. If, howaver, the buildinq or improvemem is sold within one year of completion, the owner-builtler will �eve Ihe burden ot proNng iha� he or she tlid not build or impmve lor purpose of sale.). ' ❑ I, as owner oi the propeM• em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to wnstruct tha project (Sec. 7044, 8usiness and Professions Code: The contractors License Lew does not appy to an owner oi property who builtls or Improves thereon, entl who contraas br such pmject wilh a comraaor(s) licen5e pur5uan� to ihe ConirBtiors LitenSe LewS.). ❑ I am exempt under sec. Business and Professions Code lor this reeson: Signature: Da�e: Owner ID verified by drivers license. ❑ Ves ❑ No Drivels License No. Expires: Vedfication af Ownership by (type oi tlocumen6 i.e. - properry tax 6ill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no excevation Ilve (5) ar mare feet in depih into which a person is requlretl Io tlescentl, will be matle in wnnection with work euthorized by ihis permil, and that no building structure, scaHolding, falsework, or demolition or dismamling thereof, will be more than thirry-si: (36) teet hiqh. (Chap. 32, Gry 2, Art 2, Sec. 341, Titla 8, Celllomla Administrative Code). ❑ As owneo-huilder, I will nat employ enyone to tlo work which would require e permit from the Division of Indusinel Safety, es noted above, unless such person has e permit to do such work f�om ihe tlivision. Signeture: Date: Division ot Intlustnal Salery Pertnit Number: CERIIFlCATE OF COMPLIANCE AND AIfTMORIZATON OF ENiAY: I certily under penalty of perjury that I �ave read this epplicetion and stata that the infortna�ion given is correct. I agree to comply with all stete laws end cily ordinances relating to building consiruction, entl authorize representatives ot the City ot Costa Mesa to enter upon the above-tlescribed pmperty for inspection puryases. I egree not to occupy or allow occupancy ol any building authonzed by Ihis pertnit uMil finel inspection. �SignaWre Oi Legal Owner(s) Date A %— ��i' d`3 And/Or Authorized Applicani Da�e CODE 1. INSPECf10NTYPE QdIE �L+4 1616 Fizetl System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 207 Final Blak/Reteining Wall 202 203 204 Finel Fectory Fire Place Final Sign Final Demolition CO�E� INSVECTIONTYPE 206 Finat Mechanical 208 Finel Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilAing/Ottupancy PAIE L�L4 1 I -I'i -03 �n (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, GOSTA MESA, CA 92626 Job Address: 2809 EUROPA DR Suite No Vicinity: Parcel Number: 13940406 Applicant: Address: Owner: Address: TERRANOVE,DON 970 N. TUSTIN AV SUITE 200 ANAHEIM,CA., ENGSTROM,DOROTHY R 4400 CAMPUS DR NEWPORTBEACH,CA MECHANICAL PERMIT Contractor: CALIFORNIA POOLS & SPA Address: 970 N. TUSTIN AV SUITE 200 ANAHEIM,CA., Status: ISSUED Applied: 07/17/2003 Issued: 07/17/2003 �_.�� • �` Phone: 714-575-9286 Zip: 92807 Phone: Zip: 92660-1813 Phone: 714-575-9286 Zip: 92807 License: 185102 SCOPE OF PERMIT 547 SQ. F7. GUNITE SWIMMING POOL WtTH ROCK WATER FALL. REF.: B03-01211 MECHANICAL TO INCLUDE: INST 1 FAU < t00K BTU FOR SWIMMING POOL. ISSUE FEE Ins[ FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000cfm Floor Furnace Floor or Suspend HeatEr $23.50 $14.80 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 S0.00 50.00 $0.00 $0.00 $0.00 $OAO $0.00 Quantity FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercia l I nci ne rator Domestic Incinerator Campressors / AbsorDtion Systems Upto3hp/�OOkBTU 3To15hp/SOOkBTU 15 To 30 hp /.1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To75hp 15 to 30 hp 30 ta 50 hp Over 50 hp Other Mechanical Fee Inves[igation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permi�. FOR INSPECTIONS CAIL: (714) 7545626 � zaacas(doo) WORKERS' COMPENSATION DECLAFIATION: � I hereby aHirtn under penalry of perjury one of the following declarations: � ❑ I heve entl will maintain a cenificate ot consent to selbinsura tor workers' compensation, es provitleA tor by section 3700 of Ihe Labor Cotle, tor Ihe pertortnence ot the work for which this pertnii is issued. ❑ I �ave arW will maincain workers' compensatlon insurence, as requireC by section 3700 of the Lebor Code, tor Ne petlortnanoe of the work for which this permit is issued. .+My worke�rsL' c�om�p.ensation Insurance cartiar and policy numDer are: - Carner. ///77�� u /j 5� �� Poliry Numbar. �� `%fS� � Z � ^ OS (T�is secf/on need not be comp/etetl i/ (he pemrit is ve/ued ef one huntlretl tlollars ($f 00) or /essJ ❑ I cenity thel in the peAormance ot tha work for which t�is permit is Issued, I shall not emplay any Oerson in any menner so es to become subject to the workere' compensetlon laws oi Calilornia, an0 egrea that If I should bacome su6�ect b Ihe workers' compensatlon provisians ol Seciion 3700 0l the Labor Code, I shall forthwith comply with these provisions. �1 � Applicent SlgneWre: V� Dete: �—� 7— m3 WAPNING: FAILUFE TO SECURE ' COMPENSATIqJ COVEMGE IS UNLAWFUL AND SHALI SUBJECT M' EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUN�RED TiqUSAND DOLLARE (5100,000), IN ADDITION TO iHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 3]O60F THE UBOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLAHATION: I hereby aHirtn that I am licensed under provisic iorce end ettect. Lic. N� Contraclofs Signature: with Section 7000) of Division 3 of the Business and Professior s Cotl)� end my license is in full Clau tl G $—'� / /ft G oa�a: 7 — / 7 — 03 CONSTRUC710N LENDING AGENCY: ❑ I �ereby aHirm that there is a const�uclion lending agency for Ihe peAormance of tha work lor which ihis permit is issued. (Sec. 3097, Civil Code). Lendefs Neme: Lender's Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: 1 hereby affirtn thet under penelry of perjury Ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business end Professions Code: Any city or counry which requires a permit to construct, elter, impmve, demWish, or repair any stmcNre, prior to its issuance, also requires the applicant tor such permit ta file a signed statement that he or she is Ilcensed pursuant to the pmvisians of the Coniractors License Lew (Chapter 9(wmmencing with Section 7000) ol DlWsion 3 ot the Busineu end Pmfessions Code) or ihat he or she is ezempt t�eretmm and the basis for t�e alleged exemption. Any violation o1 Section 7037.5 by any applicem for a pertnit subjects the epplicant to e civil penalry ot not more than five hunAretl dollars (3500)J: ❑ I, as owner of the properry, or my employaes with wages es their sole wmpensation, WILL DO T}1E WORK, antl the sWcture Is not intendetl or oHere0lor sale (Sec. 7044, Business and Professions Code: The Contractars License Law tices not apply to an owner of property who Duiltls or improves ihereon, antl who tloes such work himself or herself or ihrough his or her own employees, providetl that such improvemenis are not intended or oNeretl lor sale. If, however, the building or improvement is soltl within one year oi completion, the owner-builder will �ave the �urden of proving that he or she did not �uiltl or impmve tor purpose oi sale.). � ❑ I, as owner of ihe property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business entl Professions Cotle: Tha conVactors Licensa Law tloes not apply to en owner ot propeny who builtls or improves Ihereon, end who comrects lor such project wlth e coniractor(s) license pursuant to ihe Contractors License Laws.). ❑ I em exempt under sec. Business end Protessions Cotle for Ihis reason: Signe�uro: Date: Owner ID veritied by dnvers licensa. ❑ Ves ❑ No Dnver's License No. Venficetion ot Ownership by (type of tlocumen�, i.e. - pmperty tea blll or deed): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify iha� no excava�ion five (5) or more feet in dep�h into which a person is requiretl �o tlescend, will be mede in connection with work euthonzetl by �his permit, and that no builtling s�ructure, scallolding, telsework, or demolition or dismantling thereot, will be more then Ihirry-six (36) teet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, Tltle B, Calitomia Adminisirative Cade). ❑ As owner-builder, I will not employ enyone to do work which would require a pertnit from the Division of Intlustnal Satery, as noted above, unless such person has a pertnit to do such work irom the divisian. Signature: Date: Division oi Indusinal Safery Permit Numbec CER7IFlCATE OF COMPLIANCE AND AUTHORVATION OF ENTAV: I certity under penalry ol Derjury that I �ave read this epplication and state �hat the infortnation given is correct. I agree to comply with all state laws end cily oMinances relating to building construction, antl authorize representatives of Ihe Ciry ol Cosla Mesa m enter upon the above-described property lor inspec�ion purposes. I egree not to occupy or allow occupency ol eny building euthorized by this pertnif until final inspection. Signalure Ot Legal Owner(s) � 7-/7- GOOE �. INSPECTIONTYPE 1618 Fixetl Sys�em Final Fire Preven�ion 1266 Pool Spa Final 200 Finel Re-Root 201 Final Block/Rataining wall 202 Final Factory Fire Placa 203 204 Finel Sign Final Demolition Qd¢, INiRIALS COOE I INSPECTION TYPE 206 Final Mechanical 20B Finel Plumbing 210 Finel Electnwl 212 Finel Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupency 11-I}F-o� .�i� �»a� �sa-sz�s • Fax (714) 754-4856 • www.d.cosia-mesa.c�ILDING PERMIT Job ndaress: 2809 EUROPA DR Suite: Vicinity: Parcel Number: 13940406 . Applicant: DON TERRANOVE Adtlress: Owner: ENGSTROM, DOROTHY R Address 4400 CAMPUS DR ' NEWPORTBEACH,CA Contractor: CALIFORNIA POOLS & SPA AdHress: 970 N. TUSTIN AV SUITE 200 ANAHEIM, CA., Zip: 92807 Arch : Address: Phone: 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 07/17/2003 Issued: 07/77/2003 Zaning: Rt R1 \ - � �� _) ISSUED BY: Phone: 714-575-9286 Zip: Phone: Zip: 92660-1813 Phone: 714-575-9286 License: 185102 Eng: Address: Phone: Zip: License: License: SCOPE OF PERMIT 547 SQ. F7. GUNITE SWIMMING POOL WITH ROCK WATER FALL. Plan Check: $254.31 Permit: $39125 SMIP Res: $2.48 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: 5648.04 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Exfstinq: o NOTES: � - � Rear 0- 0 Rear 7-0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 33- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right S 0 5za,aoo.00 3za.9oo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ortl. No. 92-28, § 1, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectlons end finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545628 � iu6-ac 15roo1 WORKERS' COMPENSATION DECLARATION: � I hereby eNirm undar peneliy ot perjury ona of the following declarations: ' ❑ 1 heve entl wlll,malnteln a certlficate oi consent to self-Insure Por workers' compensation, as provided tor by section 3700 of Ihe Labor Coda, for ihe pertormence oi ihe work tor which ihis permit is issued. ❑ I have entl will maintain workers' compensation Insurance, es requlretl by section 3700 of the Labor Cotle, tor Ihe padormance of Ihe woM for which this permit is issuatl. My workers' c:o�m.�peyn�satio�n Insurance carner antl po number era: �(� _tl Carrier: /�!jTicic� L�J�Z ��L� �%l�� PolicyNumber. �� O z� Z I � (fhis section need nat be complefed 1! fhe permif is va/uetl et one huntlretl dollers ($ ) or /ess.) ❑ I certity thet in the peAormance of �he work for whic� ihis pertnit is issued, I shall not employ any person in any manner so as to become subject m Ihe workers' compensation laws ol Califomia, and egree that II I should Cecome sub�ect to the workers' compenution proNsions oi Section 3700 of tha Labor CoCe, I shall torthwith complY with these provisio� /^-� � ^� Applicant Signature: Date: 7—' / J WARNINQ: FAILURE TO SECURE WO COMPENSATION COVEMGE IS UMAWFUL AND SHaL1 SUBIEGT AN EMPLOVER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDFEO T110USAND DOILAFE ($100,000�, IN ADDITION TO THE COST OF COMPENSATIIXJ, OAMAGES AS PPOVIDED FOR IN SECTIIXJ 37060F TME LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTAACTORS DECLARATION: I here6y eNirm thet I am licensed ung� �r provisions of Chapter 9(commencing with Section 7000) ot Division 3 0l the Business and ProfessionsFod� � license Is in lull rorce and ettect. uc. a /1S S!O 'L Ciess x L S3 / Contractor'sSigneture: � Date: i —/7 _ ii� CONSTRUC710N LENDING AGENCY: ❑ I hereby aHirtn that there is a construction lending agency for Ihe pedormance ot the work for which ihis pertnit is issuetl. (Sec. 3097, Civil Cotle). Lendefs Neme: LentleYs AOdress: Signature: OWNER-BUILDER DECLAFiATIONS: Date: I hereby eflirtn that under penalry of peryury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for 1he lallawing reason (Sec. 7031.5, Business end Professions Cotle: Any ciry or counry which requires a permit to consWct, elter, improve, tlemolish, or repair any stmciure, prior to its Issuance, also requires Ne apDlicant for such permit to lila e signetl stetement ��et he or she is licensetl pursuant to the proNsions ol the Cantrectors License Lew (Chapter 9(commencing with Section 7000) ot DlWslon 3 of the Business end Prolessions Code) or t�at he or she is exempt theretrom and t�e basis for the alleged axemption. Any violetion ol Section 7037.5 by any apPlicant tor e pertnit su6jects Ihe epplicant to a civil penalty ot not mora t�en five hundred dollars ($500).): ❑ I, as owner af Ihe propeny, or my employees with weges es Ihelr sole compensation, WILL DO TT1E WORK, antl ihe siructure is not intentletl or oflered far sale (Sec. 7044, Business and Professions Code: The CONractors License Lew tloes not apply to an owner ot properry who builds or improves Ihereon, and who does such work himself or herselt or through his or her own employees, pmvitletl thet such impmvemenis are not imanded or oflerad for sele. Ii, however, �he building or impmvement is sold within one year ot completion, �he owner-builder will have t�e burden of proving Ihat he or she ditl not build or Improve for puryose ot sale.). � ❑ I, a5 owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Profession5 Coda: The contractors License Law does not epply to en owner ol property who builds or improves t�ereon, end who conirects lor such project with a conlractor(s) license pursuant to the Contracmre License Lews.). ❑ I em exempt untler sec. Business and Professions Code tor this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Dnvers License No. Venfication of Ownership by (rype of tlocumem, i.e. - pmperry tex bill or tleetl): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby ceriity ihat no excavation five (5) or more feet in depih into which e person is required to tlescend, will be made in connection with work auihorizetl by Ihis permit, antl ihat no building sWctura, scaflolding, talsework, or tlemolition or dismantling Ihereof, will be more than thirty-six (36) laet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Atlminis�rative Cotle). ❑ As owner-builder, I will not employ anyone to tlo work which would require a pertnit from the Division of Indusirial Salety, es notetl above, unless such person hes e permlt to do such work from ihe division. Signawra: - Date: Division oi Industrial Safety Permit Number: CERTIFlGATE OF COMPIJANCE AND AUTHORVA710N OF EMRV: I cenify under penalry of perjury that I �ave reatl this epplication and state that the infortnatian given is correct. I agree to comply with all state laws and dry ordinences relating to Duiltling construction, and authorize representatives of the Ciry ot Coste Mesa to entar upon the above-described property for inspection puryoses. I agree no� lo xcupy or ellow occupancy of eny building euthonzed by ihis permit until tinal inspection. Signature Ot Legal Owner(s) Data � — % % 'tJ � i �And�Or Aut�onzatl Applicem Da�e COpE�. INSGECTONTYPE pelE INIDLALS 1616 Fizetl System Final Fire Prevention 1266 Pool Spe Final 200 Final Ra-Root 201 FInaI8locWRetaining Well 202 203 204 Final Factory Fire Placa Final Sign Final Demolition CO�E I INSVECTION TYPE 206 Final Mechenical 208 Final Plumbing 210 Final Elettdcal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling�Occupency �� -rl�'.�,". �±..-.. �T�;�.� � ' - -'.`.:��." .1.., C.v.y�'w�.:1,�. ^-'��,.•r�.� , , ..i sti'.i.' �,''ti� �ti, �� . , � , FICHARD LUIZ 5071LOYOLA AVENUE WESTMINSTER, CA 92683 Report of Special Inspection ?:eiect N2me & Address _� _:::':,_ber �jE�.OlZll -�.--- o_ T„ P � _ Gunite P (-) c-. Da�o�S� Z1—�� [ ) Periodic ( ?;XXX) Cor.:in��ous D;_:ri'�_ Inspection,Made, including Locations: Inspee �n,(__ @ the above address on tion of the swimming �'a- ^21 'zn } T��.::: ' �.s; ec!ien '�ime Ezeh Day: �_,. ,.e -s �eoul:ing Correciion, include uncorrecied iiems prevlously lisied - �. �.;-.e �es. o� my knowledge, �he �.�ork inspccled ��as In accordance wi�h the Building Depar�.�_ .. -��roved o:sign drawings, snec{�calions and applicable workmanship provislons of �ne U.o C. `! r _... ;' 2S f:Cl^.� 2 0' G. � . __. �BIC ��.1� '::�",�..: I.C.�.�. ;.-,,i;,,��p, P.ichard '?', Luiz Regis�rationiv'o.1075691-49 Concrete �o;�.� s:�:: � 2S Oct 02,03 08:44a vaoazr. �..:ue� TEST SPcC161EN AND CJ4+".PRESSIVE STRENGTH DA�A SHEET oa�s:ia�ne: PRpJCCf 4JOPF55. (N__ ____" __'___ WS>ECTOP'S_ICEnSE �Q: r05:3 hic5d.4'A ___ _ _ NSPECI'Oft'SS:GfiFiGRE: ?f,R011TNU�/3En. .J.—?eN1 _________SE11bttRIFICATIJnnU��tlER: CPST OATA �ATTACH OATA SHEET OF OTdERS WMEN FVAIL4�LE� N p.2 USTO:]E �E!2i!(13 CESCAIP➢0�! � Ccr.ue�e urc�� '.eca� 5'c:�x'tl •.45a'rl'rnsn I�:KrCUKITc �O�iiRnC10H �7��(Cillid -- SPECiFI[DFc�?51 :Z.00`v' '—'_—__ �"�':`-'�iiYPE �`J SaOG�mRaC�o2 '.�GltlCpesl CPSICY 1�'.(2.1. I;.CmIY:URE �V(�A _" �______.__— E•:GwttF'—' —_ ' ��. FCRdII —1 KO.OfSAxtolE" — i� "—_"y— ---I'�:atEXr.ODE� �i\ii� _'..___'_ .. . �_'�_—_ ,_ �__—_.�_ ^_O�:C.SUP?LiEH id:h. ipl?L1DS.PV.CEO ip::A '—�SLJ.�1� i�lP. P�p'!I ,—' �'Ij� iilCdEiuUMO[R p��'. -- y �AIRC^.NiCM1L M1�I/1 A11Y.?ESlv::l.^—"_��GVL�1 _— }CASiTIqE ---PII�—_'_—" I610.':U4f,.;EM1:P.lidlh LOCAiNi:INL'LCG.; � �Ot19tT. p1 ?�hC S'.vtlPIDifl!] PCDI rro:cs� IN6 = 1b;.4e7oeeC —^.—._—__ �____.___ �_r.:Pl9s :2�I �sin(� v:ce :n2sh 7qp rripiC _59d; Te51 sPecir,t?n: v:e.'e i2.vCui in:o'-i0. � �•rti.:. E-i�^�. s.`.ap?s tc: tO.T.pr=Ss:cn �L:Sllp�. LO!dPRe551VE STNENGiH �PTA OC<it�fo�� TCf15.�t15 1- e, e.yitlfi 3ntl .¢p�:p 0,' e.9Gh �pCtl M:Lk;.�:'.ntll < I�u�L�1 E= SDB:U6CH iB'p�I d: �iitiv: •d'h °3�ea! 4pe :9s�ena::cn Ger A$Tbi C3� °i;_re ? a-_c �r b=Ctr.c zr.0 SpL:. C=Ctne .5ptl >„ca-. c:$`,ear. a-CaiU^..a: GO�d?LiANGE iYI1H SPECIFIED 57RENGTH: �OfL�dEh i 5: CO:TpIiCs ��.__^___,, ,�.. % //�� ' / �,'�� AUTM HIZEDSIGK�VR`_� � ...c: vi I (714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: 2809 EUROPA DR Suite No Vicinity: Parcel Nunmber: 13940406 Applicant Address: Owner: Address TERRANOVE,DON 970 N. TUSTIN AV SUITE 200 ' ANAHEIM, CA., ENGSTROM, DOROTHY R 4400 CAMPUS DR - NEWPORT BEACH, CA Contractor. CALIFORNIA POOLS & SPA Address: 970 N. TUSTIN AV SUITE 200 , ANAHEIM, CA., ISSUE FEE Temp service test Res. a/c package New Res (1-2 uhits) New Res (3+uni�) Pool / Spa Lighling Fixts Recept Outlefs Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 10b0a Motors to 1hp Motors l0 10hp Mators to SOhp Motors to 100hp Motors over 700hp Communication drops Sub panel to 200a Phone: 774-575-9286 . Zip: 92807 .�.. P-hone: Zip: 92660-1813 Phone: 714-575-9286 Zip: 92807 License: 185102 SCOPE OF PERMIT 547 SQ. FT. GUNITE SWIMMING POOL WITH ROCK WATER FALL. REF.: 803-01211 ELECTRICAL TO INCLUDE: 1 SWIMMING POOL. 523.50 30.00 50.00 $0.00 $0.00 549.50 50.00 $0.00 50.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 50.00 $0.00 50.00 50.00 $0.00 $0.00 - � � Quantity FEE SUMMARY Temp Dist System / Lighting Busway/t00ft Standing Section Misc Electrical Equipment Transtormers up l0 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up l0 700 kva/kw ..................over 100 kva/kw Low Voliage Equipment Low Voll Wiring Syslem ! Ckt Misa Conduit Misa ConduCtor Circus ( gen or nde) Circus (mech ride or lights) Chnstmas Tree Sfand Fireworks Stand Other Electrical Fee Invesligation Fee Plan Check Fee Status: ISSUED Applied: 07/17/2003 Issued: 07/17/2003 'i � : �`v �/ Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 50.00 $0.00 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements undar California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically ezpire and become void ii work is not commenced within 180 days, or if work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authonzed under ihis permit to be considered tegal, such work musi comply wiih atl applicabie codes, and all required inapeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 � 2aaws (s�ao) WORKERS' COMPENSATION DECLAfiATION: I hereby aHirtn untler penalry of perjury one ol the lallowing deGeretions: ❑ I have antl will meintain e certificate ot conSeN to self-Insure for workers' compensation, es provitletl for by soction 3700 of the Lebor Cotle, for the pertormance of ihe work for which thi5 permil is issued. ❑ I have end will maintain workers' compensation Insurance, as reqWretl �y SecUon 3700 oi ihe Labor Code, for Ne pertormance of the work tor which this pertnit is issued. My workers' mpensation Insurence carder end policy number are: p Carner ��yy2 �E L� �� Policy Number: ��O Z�Z �� d S (Thls section need nol be comp/efed il the permil is vnlued a! are hundred dollars ($100) or less.) ❑ I certity thet in Ihe pertortnence of ihe work for which ihis Dertnit is issuetl, I shall nof employ any person in any manner so as to become subject to tha workers' compensetion laws oi Cell/ornig,gqtl egrae that II I shoultl become sub�ect to Ihe workers' compensation pmvislons of Sectlon 3700 of Ihe Labor Code, I shell fonhwith comply with these preWei�e�� ApplicantSigneWre: iC l oe�e: 7— /% — d3 WFRNING FAIWRE TO SECU E W ERS' COMPENSATION WVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENAITIES AND CIVIL FINES UP TOONE HUNDRED THOUSANDDOLURE($100,000, ADDITIONTOTHECqSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECTION3]OBOFTHEIABORCADE,INTEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARA710N: I hereby affirm ihat I am Ilcensetl untler provislons ol Chepter 9(commencing with Section 7000) of Division 3 0l the Business end Profession�Cqf e end my license is in tull rorce end eHect. �ic. a % 8"S / O 7 Ciess a �-� �//�� C Contractor's SignaNre: Date: CONSTRUCTION LENDING AGENCY: � ❑ I hereby aMirtn that there is e consiruction lending agency tor the pedormanca ol ihe work for which �his permil is issuetl. (Sec. 3097, Civil Code). Lentlers Name: Lendefs Atldress: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby aNirtn ihat untler penalty of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Coda: Any ciry or crounry which requires e permit m conswct, alter, impmva, demolish, or repair any structure, pdor to its Issuenca, also reqNres the applicant tor suc� permit to file a signed stetement that he or she i� Iicensed pursuant ta tha proWsions of ihe Conirectors License Law (Chapter 9(commencing with Section 7000) of Division 3 oi the Business end Professions Code) or t�et he or she is exempl therefrom end the basis tor the alleged exemption. Any violetion oi Sectlon 7031.5 by eny epplicant tor a pertnit sublecis the epDliwnt to e civil penelty of nm more t�en tive hundred dollers ($500).): ❑ I, as owner ot the property, or my employees wl�h wages es their sole compensation, WILL DO THE WORK, and Iha slruciure Is not intentled or oflerad for sale (Sec. 7044, Business and Professions Code: The Contractors License Law dces not appty to en owner ot pmperry who builtls or improves t�ereon, and who does such work himsell or hersetl or through �is or her own employees, provided ihat such improvemenis are not Intended or ottereA lor sale. II, however, the building or improvement is sold within one year of completioq Ua owneo-builder will have the burden oi proving that he or she did not build or improve tor purpose ol sale.). � ❑ I, as owner of Ihe property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS lo consiruct the projact (Sec. 7044, Business antl Professions Cotle: The conirectors License Law tloes not epply to en owner of pro0erty who builds or impmves t�ereon, end who comrects lor such project wlth a contractoqs) license pursuant to the Contractors License Lews.). • ❑ I am e:empt under sec. eusiness and Professions Code for this reeson: SignaNre: Date: Owner ID veritied by driver's licanse. ❑ Yes ❑ No Drivefs License No. Ezpires: Vetlficetian of Ownarship by (type of tlaument, i.e. - pmpeny tex bill or deatl): DIVISION OF INDUSTRIAL SAFETV VERMIT CERTIFICATION: ❑ I hereby certity that no excavetlon flve (5) or more feet in tlepth iNo which a person Is requlred to descend, wlll be matle In connection with work euthorized by ihis pertnit, entl that no building structure, scaflolding, lalsework, or demolition or dismantling thereoi, will be more than lhirty-six (36) feet high. (ChaD� 32, Grp 2, Art 2, Sec. 347, 7tle B, Califomla Atlministrative Code). ❑ As owner-builtler, I will not employ enyone to do work which would require e permit from the Division of Industdal Sefery, es noted ebove, unless such person hes e pertnit to do such work fram ihe division. Signature: Date: Division ot Industnal Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORVA710N OF EN7AY: I certify untler penalry ot perjury thel I have read this epplica�ion end state ihat Ihe information given is correct. I agree to comply with ell state laws and ciry ortlinances relating to building construdion, antl euthonze re0resenta�ives ot the Ciry oi Costa Mesa to enter upon the above-tlescnbed property for inspection purpases. 1 egree not to acupy or allow occupancy of any builtling authonzed by Ihis pertnit unlil linel inspection. CODE �. INSPELfIONTYPE 7616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final RB-Roof 201 Finel BIocWRetalning Wall 202 203 204 Final Factory Fire Place Finel Sign Final Demoli�ion Q�¢ INi1fIAL5 7-/7-�3 Date COOE I INSVECTION TYPE 206 Final Mechanical 200 Finel Plumbing 210 Finel Elecltical 212 Final Fire Prevention 220 Finel Planning Approval 222 Pinel Sile 250 Final Building/Occupency PAIE Irrtm��s !-!=� C1.1..� �—I r� OJECT AOOHESS: � B O J _'�.l1ROPA JR aWNEN'S NPME: F�GS: ROV �f�R� i HY R aooeess: �g09 EJ�i7PA LR COS�A NBSA,�A 92626 i714)556-8620 AflCM/ENGINEEP: REG.NO.: AODflESS: uxiT: UNIT: PEPMITTEE:�OROlIYY R. E�IGSTRON. (7'_4)556-8620 aooncss: zg09 E"Rnp� DR COSTA :!ESA CA 92626 LILENSEO CONTBACTOfl OECLANATION: I hereby afiirm �hal I am licensetl untler Omvisions ot Chapter 9(commencing wi�� Sec�ion ]000) oi �ivision 3 0� �Ae Busfness and Pmfessions Code, antl my license is in full lorce ana e��ec�. CITY LIC.: STRTE LIC.: CLASS: Oam�, Si9namre: WOPNEflS' COMPENSATION DECIAPATION: I hereby aflirm Iha� I have a certilicaie of consent �o sell�insure or a ce�ifica�e o� Workers' Compensaiion Insurance, or a cenilie0 copy �hereof (Section 3800, Lab. C�. POLICY NO.: E%P. DPTE: COMPFNY: ❑ Certifietl copy is here�y fumishetl. ❑ Cetlitietl copy is file0 wi�h the city Builaing Division. Oa@: ApDlitanl'�� E%EMPTION FBOM WOflREPS'COMPENSATION OECLRBRTION: '�T�isse ed natbe comDleleOilthye ep(ermi�islorone hundre0�8100�or1e55�. I cetlify ihai in �he Oedormanc�e�he work for which �his permii is - sue I shall nol �I any son � ny manner as �o becom sub ecl Io Ihglorker� C� ens lion taws ol Calibmia j�� Jr �J, �' �— Date: � � `-� SignaWre: NOTICE: II. alter making I�is tleclaration, you shoNBbecome su�le�� 0 1 rker5' ComDensa�i rovisions ol IM1e La6or CoOe. you musl fotlhwilh comply wi�h such pwvisions ar this permii s e deeme� revokea. CONSTflUCTION LENOING FGENCY: I here�y aflirm �ha� there is a conslmciion ientling agency lor Ihe Dedormance ol Ihe work �or which Ihis permil is i=.suetl �Section 3097. Civ. C). LENOEN: PODFE55: OWNEH BUILDEB �ECIAHATION: I nereby alliim �hat I am exemp� �mm Ne Comractors' State License Law for Ihe lollowing reason (Seclion 70.31 5 Business anU Prolessional Co�e: Any city ol county which reQuires a permil ro con5imc�, alter, impmve, demolish, or repau any stmcWre, prior to i�s issuance, alsa requires the apDlican� lor such permii �o lile a signea stalemeni I�al helshe is licensetl pursuani to Ihe pmvisions oi Ihe Cantraciors' Sta�e �icense Law (Chapler 9(commencing with Seclion 7000) ot 0ivisian 3 0� �he Business antl Ro�esSions CoOe� or ihat he/she is exemp� Iherelmm and Ihe basis �or Ihe aileged exemption. Any violaiion of Sec�ion 7031.5 by any applicani for a permii sublec�s the applican� to a civil penalry o� no� more �han live Auntlred tlolla�s ($500). I, as owner of Ihe Omperty or my employees wilh wages as Iheir sole compensation, wi0 Oo Ihe work, antl the ❑ slmciureis nolinlende0 oroffered �orsale�Seclion 7044, Busness an� PfofeSsionalCode: T�e Con�ractor5' S�a�e License Law tloe5 nol apDly to an owner ol a propetly w�o buil�s or impmv¢s �hereon, and who tloes Suth work �imselflher5elf of thmugh his or her own employees, pmviUeO lhal such impmvemen(5 are not intentled or oifere0 lor sale. I�, however I�e huilding or impmvemenl is sola wi�hin one year �I comple�ian, the owner will have ihe burden oi proving helshe tlid not build or impmve for Ihe purpose ai sale�. I, as owner ol Ihe pmperly. am eKclusively canirac�ing with 6censea con[raciars to cons�mc� �he pmlec� (Sec�ion 7044, 6usine55 ;� ana Pmfessions Catle: The Contrac�ors' Sta�e License Law does not apply to an owner of properry w�o builAs or impmves �hereon antl who con�mclslor such pmle��s with a canVactor(5)license pursuan� ta the CONrac�ors' Staie License Law�. I am aware Ihat pmoi of Iheir Worker's Compensation insurance shoultl Ue pmmdetl Io me. � I am exemp� un�er Section' B. 8 P. C. for inis reason: �2 Date:�(�/ ` v Owne' Y I tlo �ereby certify Ihal I am aware ol and untlers�antl Ihe requiremems ol a i ornia Heal�h anA Cotle Sectio 25505, 25533, anU 25534 antl �hat I or any Wture builtlmg occupant willlwill no� (cimle one) neetl to comply with ate cotles and e requiremenls for a permn lor consimclion ar mo4dicaiion imm Ihe Air Ouah�y Managemen� �isiricl. Fesitlential constm[�ian applicalians are exemp� imm the5e provi5ions. . , �ate: ApplicanP. I hereby cetlily �ha� I have reatl ��is applicaiion an0 sta�e Nat ihe above informalion is correc�. I agree to comply wi�� all ciry an0 county or4inancesantls�aielawsrelatingtobuildingconslmclionandherebyaulhorizerepresenla�iv o��iscitytoenleruponlhea�ove-mentionetl properiy lar mspec�ion pwpo5e5. _. ' / Date: �� Signatu � oriver's License or Social Securily <: 16<t�e6 White—Bmltling: Green—Code Enio¢emem; Canary—ApPlicant Pink—Revenue; Gddenma—Assessor C�TY OP COS;A !`:ES.'� – BU;:.ilING PrP.ti:�: PER;! ;�IO: 3 052=39 ?_RX_T n0; B 062_39 PLAti CHECK '�U: Oi552-93 S GOV�: �7 SJ?P; N CO,:STR�C:_Oti TYPE: 5–N PERXiT iYPE: S:?t Pi7RpOSE; OTA J03 DESCR�'r_ION : 6 LIN F: Oc RCMU WALL @ 6' iiIGH SQ rT: 6 CiA�+". VA:.JE: CA�C–VALJE: ?20.00 GROUP OL'C: R-3 / COMMENTS• � iE ih �-lf 3E?e?f �?E iE?E f! if �)f 1E ##!f if iE i4 iF iF?f if 3f 34 # if i!� # if # iE # if iF 1E if �E?F iE iE i! �K ## 1E E if 3E ## iF # iE 3E #'r' �E iE:F iE �1F 3E �####};t?E iF iF?k iF if iF Z O N I N G R? Q U: R E N. E N T S srTsacxs ------------ MAZN 5U_iD=NG ---------- --------- ACCESSURY BJ�iDING ------ — FRN�: FT IN R?AF.; F� IN FRNT: r. ZN REAft: r: T_N L.`.—.F1 : : T IN RGi?T; Fi IN �E: i: £T IN RG??i: FT ?N PARRING R�Q: PROV: PAkC�L: ?3940406 ZNE• Ri R£F NO; PLANNING N6i�S> 6 LiVEAL FT. 5' 'tIIGH BLOC?{ WALL LETWEEti tiOME AND PROP. LItiE i �� 3f if ?f iE if ?E :�F ?%?h #E iF?E i(-±F �}; # iF ic iF?E iE 3f iE iF �F iE?E!(� iE ##�3E if iE ic ic if �Yf # i� iE iE if iE # 3E #### 3E M� iF if ie iE iF �k iE iE iE �1E # iE 3f ## iC # iE K�k # iE iE if ae 7£ V' E L U P�: £ N T S E R V � C E S R E Q li I?2 E?1 E N —3' S/ ZONING APPRO�'_D BY ��C DATE: �( lI BUILllI�IG APP OVED BY : ��7 �A?E: ..5�/��( !� APPiICATidN SSU�D 3Y: `�vv DATE: S( «�� iE3eifiFif-1EiE3Eit3EiEiE�ih#iEiFu?f?E?Exxx�c�uxir >xir>.-xirfrrt��x-ir��rz>n+rx x�""`ri�'x�rz�±Eif-#EiFiF#i!�3E#'�iE��F��if 3E iE �)E?s x 4 i� iF iE?E if iE iF iE iF iE 1E iE?E E if iE i"s iE ie iF if jE iE iF i: <iE iF?E i%if if iE if ?F } 1F ic iE ic .. 1E iF iC-1E if ### if �lE if 3ElE �1E iE if iE �IE if Yc �?E 3E'r. if dE ## if i!� # iE E LEGAI,IZATION:lv F E E S U til M A R Y STRJCTURA� SEG:�EN�:Y BiUG PM.T PiUMBING ELEC3RiC MECHANZC rIRE SMT_P/RES GRAU3NG PERN.S3 ?�.UO ,50 • • SM�F/NON–RES PLAU 9.75 ' TSSIIL �cE BIIILDING–DSV–> P�RvIT ISSUE Pi,�iv–CHECK TOTALS----> 15.50 0.00 - 9.75 �/ REVEtiUE UIViSION TOTALS--> COLL�CiED: B�DG PNi PiIIMBING ELECTRIC ;�:BCHANIC �].�� TUTAL PA'L1 JUE 25.25 25.25 �.00 25.25 O�rER/SiiORT: .00 FZRE SMSP/TOT GRADING PLAN–Ci��CFC .50 4.75 if if ic i!� i't i't iE iF iElE iF !E ii if iE if ii� je ic iE � if iE �If iF+:�?e if # iF if if ir iE iE x iE i iE if 3E if iE iE iE ie ## ic # ie ie iE #e IE iE 3E iF?E iE ?f # iE iE �k 3r' K## iE i! iE f@ iE iE it iE aE iF I N i1 I V i D�J A Ir' _ E E B R E A K L� O W N TYPE QTY D E 5 C R I P T 2 O N UNIT COST TOTAi CUST S?R 6 RES–CO?3CR�T�; BLOCK WALL / FT. 20.00 220.OG �un o: ==�s �1 �D138962-00�38964 T G T 2`,25 QATE: QS/12/93 iIflE� 16:39 �+ � � CONSTRUCTION AND P�ANNING �APPROVALS Permit# 1. Tempera�Y ElecVical Service or Pole 2. $4i1 Pipe�Undtgrnd. 3. Electiical Condu�t Ut�hty�Undrgmd. ! 4. E�ectrcal Condu.t�Undrqrnd. �5�.2=_I Aemforcement � 6. Eiectncz� UFER GrRA. � 7. Foot�r�s �� &. Focntlsbon I9. V[ate• Rpe�Ur.dramd. i0. Sruct�-a�� Fbor Systam �. ? 7, Prope�.ry S�wer �ine L'a House Gonnectlon � 12. Sa.ver Cap `- I}-13. Root Drams I 14. (iouah ^!um6ing � 15. R�uyh EIecVlcai�Contlu�t ^ � 16. FOugh cleciric 1Niri�g i 77. RouSh',?hring Sign t 18. Rough [lec'.�ic:,l�T 6ar Cz�I�np 19. FiUUqh Fivating $t Ai� Cond�ti0'ting 70. ftov�h Factnry Flr�o[ace 21. Duc�s '�. Structure 22. Ducts=Vanti�ating 23. Cia; ?ipe�Fough & Test - 24. Foof Framing 25. Reot Sh_,th�ng �26. �i �Bar Ce�lirg IStructural) & i:'.onotoat 27. �rd'n: aru Fldsh,ng 28. ia:n•�r; � 6�d��ng r29. ;r.swct�,cn - �-- 3Q Dryc;ad :.a hnc 3i. Pz=tc� C�o•ao Co�t -- 32. Eier.mc� Po:.er'�;ete� ��na; 33. Fi-�.�� El�cu,c 3d. ��ntl Hv:.Lny 73� Ai: Conditiarc �,g 35. Fr,..i G-. Pips�Tes; 36. Nocy c: Canopy 37. F�nai Fctary Fveplace ' 38 Pina: P:�_mbing 39. '.'Jater 5_��•tca�Final d0. Gas S:n.��e��inal 41. S�lar Cor�estio-Fin�l 42. Bacl;t;�:: Pre�enter ?3. Bac`..Flov Irryation �i4. Landscz�e Irnqatian SYstcm 45. Sou��.d ��.tteruation 46. Handicap Regulat�ons 47 fINA� STRUC7Uf�E & BUILDING 48. FI��AL PIANNiNG 49. Electric Release co kdisor � 50. Gas Retense to Sauthem Califomia Gas _ 51. CERTlPIC�TE OF OCCUPANCY \o. Oate Date N 0 --POOL PA. -- - - � �--- - - Inspector APPROVAIS Permit,� Date ��spector I 52. Poo! & Equfpment Locauon � 53. Steei Aeinforcement ' � 1' F4. Forms � -� 55. Electrica7 Bond�ng � 56. Rouy`� Plumbing &�'ressure Test I 57. APPROVAi.. TO COVER-GUN�TE � �D/!�r 58. Electrical Condu;t�Ur.dr�rntl. I _�v 59. Gas P�pe, u Untlrgrr•d., TeSt � '+ � 6�. Backv;ash l.�nes, P�Trap, �7 Undrgmd. ' ��' 61. APPROVAL TO DECI: � �' � ' 67.. Back�'�ash Bt Re�zp':,;-F�n3! . � -" - -- �=-1 63. Heater & VenbFinz'� ' � � 64. Piumo�ng Systrrn � Fina� ' -� - . ir,� 65. E�cct�ca! F'��al Tf I • -�--- --f-� 66. So�ar S�;Stem�F�.na� � 'i i f-- , I � 67. Fenc�•i9 & h�rccs Approval ' , 68. APPROVED FOR NLASTERiNG � 1 �69. POOVS�'ASYSTEi�:SFINAL ; _ � � --{ FIRE UhPT, REQU�HEfV�ENT � ' I APPROVAI_5 Permit � - I I �I � _!-� -� 70. Underg.0und Hydro � � � _ 71. Product �'�P�ng .'7 Gis C Oil _� 72. Underground Flush ; 73. Under9md.5;oraye Tank I� Gai -! Od f I i -�----' _ 74. Overhrad HYdro _ -}- I 75. Dry Chcm;��l ! -�_-� ---� 76 Dry Stanopiue I I -- - r---� 77. FIXED SYSTE^'- FiNAL I i . 78. FIRE rREV. FINAL - � j I �t ;-- � - ----- -L--'----1 �,�i N:ALTHDEPT RFQUiAE7.1L-iJl i -� - ---- -- --- � --- - I 79. FINAL Ih.FFECTiC\-- -----_-- I --� -j- � ao. F000 cE�r��F�ca~E ;ssu�o � __ , �'j�- - �--- llotes: -'- - � 93 0� � �v r�v-�-- ' - - -- -1 �_ ..____'- __- ___--_-_- -1 --------�------ ---- -� -- ----- -1 ! ;` APPROVED City of Costa Mesa Buiiding Dept. BY DATE �19� THESE PLANS MUST BE ON JOB AT ALL TIMES MAKE NO CHANGES WI7HOUT PRIOR APPROVAL OF DEPT. � THE ISSUANCE OR GRANTING OF A PER.UIT OR APPROVAL OF PI,ANS ANO �f'ECIFICATIONS SHAI.L NO? AE CCNSTP.Uf_D TO BE A PEiiM1T FOR, OR AN APPROVAL OF, AP.Y b90LATI0Y OF ANY OF THE PROVISIONS OF THIS CO[7E !:(? P`r_R`.11T PAFSU>dWG 70 GNE AUTHORITY TO VIOLA7E OR CANCEL �HE PROVISiONS OF THIS CODE SHALL BE VALID EXCEPT IN 50 FA(i AS THE 4YOFK OR USE WIiICH IT AUTHORI7.ES IS LAWi� Ul. � NO�E A4p�TlONS, DEl-ET�0�5S, OR CORRECTIONS S�A�L g� APPROVED BY SNE PLAN(�I��G �E� �. i � " L �IANMNCi D�'►. �I�U TO �IDO. 0@L U0. THE ISSUANCG OF A P�Htd1T GASED UPOti PI ANS t.ND �� SPECIFICATIONS SHALL I:C? PFEVr_n�7 7HE L'•.!i'_pING pFp;�^IAL C tv� � �a� fROAATHEREAFTEf7R�0!AR��LT;;:COF�i:CT1('iNOFERROliSIN SURVEY Or t'��V� �,a PLANS ANo �:-��:��:,,,;�,.;" �.:9 �:��,:� :,��vEN,,,�� pY BE REQUIRED "�— BUliDI`:(; OPE RATIONS [3c'li:!: CAFf}I[�' OiV?'ri't.i>,3=:;".i�FP. WHEN M M X�OLATIDN F TI;IS COGE �i; vP %�RY OTHER OFDW�:?10E OF i�� C I� Y, NEtID[MCE NUID[MCf IIEalOENCE L' V�� STREET A Permit .#,��(�� THIS NUMBER MUS7 ACCOMPqryY ALL INSPECTION REQUESTS NEa�DptL d� M- W W C h N INSPEG dQ�S CAL 754-5626 o� 754-5627 TYP-ICAL 6�� CONCRETE BLOCK Ceme�t Coping Ootional —' Channel Block With 1-3/8� Horizontal Top of all Fences —. For Fences 5' or Less Vert. Bars 3/8"�i at 4' -0" O.C. For Fences Higher Than 5' Vert. Bars 3/8;'¢ at 32" O.C: � Fill Cells Solid With Grout Where Steel Occurs Reinforcing Steel Shall . . Conform to Sec.A-15-39 � A.S.T.M. . _ ' �. All Steel to be Lapped � 24" Or to Cod¢ •' - NATURALGRADE TWO 3/B"4 BARS CON7INUOUS TOP & eOTTOM HORIZSTEEL MUST BE TIEO IN P.LACE AT TIME OF TRENCH INSPECTION. i 0 � x LL H � > w � _ >" z a i� W O U f- . w � .' � j o . d -p N o A — — D ' F�-W'IDTH p SEE CH[ � BELOW D' I 'Q. FENCE FOOTING REQUIREMENTS CHART 0 GENERAL- NOTES MORTAR; pne Parf �Plasfic Cement, and Three Paris Sand GROUT; One Port Cement Three and One Half Parts S�and COPING: One Part Cement, Three Parts Sand CONCRETE: Well Mixed �1:2-t/2:3-I/2 Max. of 7-I/2 Gallcns of 4Vater Per Sack of Cement GROUT MAV BE POURED FROM 7HE TOP OF THE FENCE IN CELLS WHERE S7EEL OCCURS. CELLS AND AREASOF HORIZONTAL REIN- FOHCEMENT SHALL BE CLEAR, CLEAN & FREE OF ALL MORTAR DEBRIS, E7C. H GF [4RTNTCOTH i/3 THE NEiGTH OF FENCE ��OW BOTTOM OF FOGTiNG. SCALE: I/2�� = I' WIDTH . . . 14" . . . 14" . . . 12��_.,. 12., THICKNESS . �. . . .i. 10'�. . . . . . . . . . . .10" . . . . . . . . . . . 9". 8., DEPTH OF EARTHTOOTH . . . 24� . . . . 20�� . . . . . . . . . . . 16"_ . . . 12�� SPACING 'OF EARTHTOOTH . 12' . . . . . . . . . . .14' .. . . . . 16'. . . . . 16' City of �C�osta Mesa,,California . Buildin De artment �- - " ' 9 :.. ; P --!2Ev15ep Nov. e2 c :� noon[ss: 2809 EUROPA DR rsxnMe: ANDY SNWE �oontss: SAME AS ABOVE 714/964-0554 RNCHIENGINEFR: RODqF53: flE0.N0.: uxrt: uxrt: PERMITTEE: NOLTE ROOFING ( 714 ) 964-0554 noox[ss: 10812 LA BATISTA FOUNTAIN VALLEY CA 92708 UCENSEO CONTMCTOB DECUMTION: 1 hereby attirm that I am Iicense0 unUer pmvisions al ChaD�er 9(wmmencing wi[h Section 7000) of Division 3 of t�e Business anU Professions CoUe, and my license is in full lorca anA etlect. cmuc.:�0I38911 s�nTeuc.:418550 1� cu C-39 ' Date: —`-i ' Zi �� O Sipnature: �' �� WOPKEPS' COMPENSIITION OFCUMTION: I hereby affirm at I have a certificate of consent to setl�insure or a cetlificate oi Workers' Compensation Insuranca, or a certified coDY thereof (Section 3800, �ab. C�. POLICY NO.: EXP. ��TE: . �OMPRNY: . � Cenifietl copy is hereby furnishe0. ❑ CeNfieO copy is �ile0 with tha ciry BuilGinp Division. Date: Applicant: F%EMPTION FflOM VlOpNER$' COMPENSIITON DEClAM710X: (ittis sec0on nee0 not be completetl ii Ne pemtit is tor one huntlre0 (E100) w less). I certity t�at in I�e periormance of Ihe work for whic� this permit i��5,,,nnn', eG. I shall no employ any Oerson in any manner sa az to become suhlect to the Workers' ComDensation Laws of Califami�.. / Date: � -%7'�i � Sipnature/ NOTICE: If, atler making this Ueclaratian, you shaNA he me suDle �o IAB WOA¢rs Compensation Orovisions at t�e Lahor CoOe, yau must fanhwith compry wi[h such provisions lhis permit shall he deemeE revakeE. CONSTPUCTION LENOING �GEXCY: I hereUy aifirtn that thea is a construction IenEinp apency lor ��e Detlarmance of the wod for wAich tAis Oermit is iwuea (Seclian 3097, Civ. C). LENUER: RODNE38: OWNEH BUILOEB OEIXAMTION: I hereUy affirm t�at l am exempi irom the Contraclars' State License Law for the following reason (Section 7037.5 Business an0 Pratessianal Code: My ciry oi wunry which reQuires a permil ro constmct. alter, impmva, Eemolish, or repair any stmctura, prior to Its issuance, also requires [ha applicant for such permit to lile a siAnetl statement thal �e/sAe is Iicense0 pursuant ro iha Drovisions oi the Contracmrs' State License Law (Chapter 9(commencinp wiih Section 7000) of Division 3 of ihe Business an0 Pmiessions CoOe) or that he/s�e is exempt therefmm anA ihe 6asis lor the aliepeG exemption. Any vialation oi Section 7IXi1.5 Gy any applicant lor a permii sublecis Ihe applicant �o a civil penalry of not mora Ihan five hunUraG Jollars (y500�. I, as owner of Ihe Oroperty or my employees with wapes as their sole comDensation, will ao tAe work, anU t�e ❑ stmcNa is no� intentletl orotterad for sale �Section 7094, Business and Pmfeuional CoOe: T�e Coniracrors' State License Law does nat apDty ro an owner oi a pmDerty who �uilUs or imDroves Ihereon, ana wlw does such work himself/herseli or [hrouph his or �er awn employees, Drovitle0 [ha[ such imDrovemen[s are not intenAeA ar oifereE for ule. If, however Ihe builtlinq ar improvement is soltl witAin one year of com0�e�ion, ihe owner will have t�e �urden oi provinq he/she 4iU not bui10 or improve . tof lhe puryose Of sal¢�. I, as owner of tAe pmDeM. am exclusively contractinA ��h IicenseG contractors to constmct tAe projed (Section 70C4, Business ❑ anU Pmtessions CaUe: T�e Contactors' State Licenu Law Eoes not apDy lo an owner of D�oDerty who builds or improves [herean an0 who comracts lar such projects with a conirac[ar(s) license Oursuan� ro Ne Contracfors' State License Law). I am aware I�at D�� a� ��Qir Worker's CamDenunon insurance sMuIU Ce providetl to me. ' � I am eKempt unAer SecGon: B. 8 P. C. for this reason: . �ate: Ownec I tlo here�y ceNry lhat I am aware ai anE un0erstantl t�e requiaments of Calitomia Health anE Safery CoAe Sections 25505, 25533, anA 25537 and that I ar any luture OuilOinp accupam vnlVwitl not (circle one) neeE to comply witA saitl state co0es anE tAe requirements for a permit for constmclion or mo0ification from the Nr Oualiry ManaAement Distnct. HevAential consimction aODliwtions are exemD� ��om these pmvisions. Date: ApDlicant: 1 hereby certiry tAat I Aave read Ihis aDPlication and state that the a6av information is correct. I apree to camDly with all ciry an0 counry ordinancesanAstatelawsrelatinA�obuilAingconstmctionan0here��orizer resent�ivesaithiscirytoenteruDoniheabme-menGoneE propeny tor ins0ectian purposes. � ` / ' Date: y'z� '? � SiA�ature: oriver's �icense or Socia� Secunry x: 166L46 Whiie--BuilEing; Green—CoOa Enbrcement; Canary—AVPlicant; Plnk—RB+anue; GolGanroA—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 047116 PLAN CIIECK NO: N CONSTRUCTZON TYPE:. PERMIT TYPE: STR JOB DESCRIPTION ; TEAR OFF, RESHEET ]/2 CDX, FIBERGLASS PERM NO: H 047116 GOVT: N SUPP: N PURPOSE: ALT SQ FT: 4,480 CLAIM VALUE: 4,480.00 CALC—VALUE: 4,480.00 GROUP OCC: R-3 / COMMENTS: *�*�r***�r*+r�r*��x�r*�x*x��*�r�*�r*xx�r�r*�r�*x*�r�+r�**�**�*��r+r�****x�***�r**�r�*****x�r****.* Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR• FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING RE�• PROV; PARCEL: 13940406 ZNE: REF NO: PLANNING N TES> � i! ik iE iE ik it 1E �F jE �f !E 1E iF 1E iE iE iE iF iF if if ik if iE iE iE iE �F IE df iF iE iE 1f iE iE iE iE iE if �E iE iE if iE iE iE 3E iE iE jE 3k dk if iE iE iE iE jE iF iE iE if iE if iE iE iE if'jf aE iE iE iE ik iE iE ik if 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.'P S ' ..i ZONING APPROVED BY �;: DATE: BUILDING APPROVED BY;: DATE; APPLICATION ISSUED BY: DATE: �� iEiE�l(�fEiEiEjEififitiEifitlElflEiEiEiEiEitiE �FiEiEiFikiEiFifiEif �t !f 1f ii iklf iE iE iE k 1E iE iE 3E �E iE ff iFlE 1f jE iE iE 1E iE if !E iE 3f iE iE iE * iE iF 1f 1F iElf it if ik jF jE if if iE iE �E it 3E iE 1f iE iE if iE ak if iE iE ik iE iE iF iF if if iE 3E�iF if 1k if jF iF 3E iE * aF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTR�IC MECHANIC FIRE SMIP/RES GRADING PERMIT 72.00 -� SO ,l� SMIP/NON—RES PLAN ' ISSUE FEE ��•. BUILDING—DIV—> PEAMIT ISSUE PLAN-�CHECK TOTAL PAID DU£ TOTALS----> 72.50 0.00 � 0.00 72.50 72.50 .00 REVENUE DIVISION TOTALS--> COLLECT,ED: 72.50 OVER/SHORT; 00 HLDG PMT PLUMHING ELECTRIC MECHP;NIC FIRE SMIP/TOT GRADING PLAN—CHECK �% 2, �� j . rJ � if jt iE it jk ik if iE iE �E if i!!E 1t it if iE it if iE iE if if �f ik iF ik �! itr if iE it 1Flf if iF if if iE if if k IE it ik iE iE �E ik ik iE iE if if iF if iE iF ik �! iE iE iE �f ik iE if if �f jE iE iE �E dE if iE iE iE it 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 4480 AEROOF BY VALUE RESID�NIAL NOZONE 1,00 4,480.00 END �OF FEES :r !r � f� ^ � , �l .,. ,; � ' � . . 01 00059678-U0059674 TteT �ATE: 04/Z?!9Q TIME: 15:34 ?2.i0 � i � � CONSTRUCTION AND PLANNING POC �PA ;� * Date Inspector qppROVALS Permit # Date Inspector APPROVA4S Permit # 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�tJndr9rnd. 55. Electrical Bonding •_5. Steel Reinforcement 56. Rough Plumbing & Pressure Test . .'6i'ElectricalUFER�Gmd. �� 57. APPFOVALTOCOVER-GUNVTE a 7. Footings � i - � 58. Electrical Conduit-Undrgrnd. 8. Foundation � � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pips�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 67. APPROVAL TO DECK 71. Property Sewer Line & House Connection 62. Backwash-&�-Receptor�-Final 12. Sewer Cap - - 63. Heater &yent-Final - 73. Roof Drains " � L�.� � 64. Plumbin ��st�'t�"F�inal� � � a �,�� g "' - r�`_ � 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical�Conduit 66. SolarSystem-Final 16. Rough ElectricWiring 67. Fencing & Access Approval 77. Rough Wiring Sign , 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Hesting & Air Conditionin9 _ .,, _ „� ,, � ,.FIRE DEPT. REQUIREMENT 20._Roogh Facto'ry Fireplace �" " . : � ; � . , APPROVALS � '.Peimit# � 21.'Ducts, in, $tiucture' " �' '; � => � - � -_ ' 770. Uhderginund Hydro °t 22. Ducts, Ventilating , ' �' t � - . - ' � . - `�t77. ProducrFlpingOGas ❑Oil 23: �Gas.�Pipe�f?ough & Test . _ ��:,• . _ �+_ + �7z, Underground Flu'sh''.-� �, r " 24: Roof Framirig } � ��`� x Y .73;Undergrnd.Storage.�Tank�OGas`OOiI 25. Roof Sheathing i .. � � ,��, y- 7q;~Overhead Hydroc_.^ � 26. T-Bar Ceiling (Structural) &-Monocoat ;. �. �� -" y: 75;rDry Chemical -� � �� - 27. FrameandFlashing . - 5-"_LIO '�u/y � 76. DryStand'pipe �'-' - .- . a . . . _ 28. Lathing.&Siding �" `;;7�; . ' `� �� . 77yFIXEDSYSTEM�FINAL . � 29. Insulation ' "t � ' x w 78.� FIRE PREV. FINAL �. � -' 30. Drywall Nailing ` ' �' t. �HEALTH�DEPT,. R�EQUIREMENT 31. Plaster Bro�vn Coat '-� �- '79.� FINAL INSPECTION � z, � ��32.JElectrical Power MeterFinal J . � � � � ''SO:�FOOD CERTIFICATE ISSUED .33. Final Electric • . C - Notes: - � � . � - '34. Final Heating & Aii Conditioning � • �2,�:ZZ...L�% _ ��' %, D ��` r�r� 35_ Final Gas PiPe-Test � � '�.' T � � ,.� "" • � - � � .. / ui� - 36. Hood or Canopy " - ' -� � ' = ' � ` � �' q ' T. . ..7 %� 7 • �' r.. - 37.� Final Factory Fireplace- . . �- - , � - i: - � 38. Final Plumbing - � � ' , � � + �. :� - 39. Water Service-Final • . ' a ? . " ' .. - -40. Gas Service-Final � � - - ' • '�' � - � - a - . - _ '� • '41. Solar pomesticFinal' �� " r , ,�, � � � � � , . 42. Backflow Preventer _. _ � - • � .1 , + - � - � . F- ,l 43. Backflow Irrigation , " � . ' . � -, : �` 44. Landscape Irrigation System_• `� � � ' � - ^� - ' � ' �. - � 45�. Sound Atienuation ' -�� . � � � ._ � - '- .. .-, .. - . • .` , 46. Handicap Regulations : - " . /_- n ,- 47. FINALSTRUCTURE&BUILDING 2 LZ-� f�� . '' _, , y 48. FINALPLANNING � s: -� • � . . 49.� Electric Release to�Edison �' '� _ ` ' ..�'�:. � ., . - 50. Gas�Release to Southem California Gas Co � � � - � - • x - �51. CERTIFICATE OF OCCUPANCY � • � � -- No. Date OWNER GENERAL CONTRACTOR / AP No. l'�Q-li()li-f1F LOT I' ''ECTIONS S. OCCUPANCY 0 TRACT 4' � Signature oct z 3 u�a DATE BUILDING PERMIT NO. VALUE $ 20z112.00 I P1RE 7.ON� DE5CRIPTION OF WORK RES.W 8tt•gAt'. DATI's GROUP ro. �r TYPL�' v 7,ONE n� SU6CONTRACTOR O � . : 17922 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. 80X 914 C�BTA MEBA. CAL4FORNIA Fo� Applieani io Fill In Complefely TYPE OR PRINT GOSTA MESA, L � BBTBACK LIN6 FFIOM � FIRE ZONE �� APPROVED FEE RECEI�JCD OCT 1 1962 FIN�NCE DEPT. CITY UF COSTA MESA APPLICATION FOR PERMIT BUILDING For Offiee Use Only PBC¢IPT NO. PHRMIT N< BY COSTA 1 / ZONING ZON —/ I NO. OF � I U8B OF NEW SA �� PLdNB BUILDINO �/p� I� NO. �� I V� •� EBCPIPTION �/� L Xy�� V U � NOW aN LOT A. P. NO. I� �' �0 /'� O� 'Y �iG I�TIGA f I.�� YARDS EVES DESCRIPTIOtd OF WORK 1 BUILDING /L��O NO. OF � BIZE ROOMS EXTERIOR WAUri // i.i I ROOF � 9TJ S, S '7 s'- s� '�— � A� - SO 6 q � I HBRHSY ACKNOWLEDOE TN�T 1 HAVE RCAD TH18 MPLIGTION THE AMOUM 6HOWN UNDEP VALUATION POR TX6 ANO BTATE THh'� TH¢ ABOVE I8 CORR2GT ANO AGREE TO COM- pUfiP08E OP ESTA9L�8XINa A PERNIT FE8 ONLY. PLY WITX ALL CITY ORDINANGE9 AND BTATe LAWB REGULATING SIGNATURE OF�aPN GA"N/J � VALUATION �O PERMIT FEE $ � �. PERMITfE / � 7 PD AUTHOPIZED AGEN7/ /�� I%/� $ �O ��, PLAN CHEGK $ ✓ � � (r - 4 G /�O OWNER SPFAR, C. JOB AODRESS 2809 Europa Dr GENERAL CONTRACTOR Uniaue � / '0.139-404-06 LOT `�Ir._: ECTIONS �SOIL � Gn5 WRiEP ROUGH PLUMBING �PROP. SWR. LINE � NOUSE CON. � SPRINNLING SYSTEM MISCELLANEOUS ROUGH HEATING AN� RIR CON�ITIONING TEMPORRRY SERVICE OF POLE UNDERGROUNO �] POWER � ROUGM WIRING TRENCXES FORMS STEEL REINF. FLOOR SYSTEM BOND BEnM � $TEEL flEINFORCE ❑ SHEATMING FRAME /NO FLASHING LATHING — IN � OUT n PVttER, BtiOWN COAT 5 fURq�, FINAL HE...iNG, VENT., REFRIG. AND R.C., FINAL PLUMBING. FINAL /NO GAS TEST j� ' ELECTRIC. FINAL LDING FIN>I DATE 12_3� BUI SUBCOHTRACTOR . . 4 l03 � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX7200 COSTAMESA,CALIFORNIA92626 For Applicant to Fdl in Completely - Use Ink Only F C W c. Q � � .i. F� C W F a c � Q � i' .� a w a O O�r a z � 3 ADDRESS � �- OWNER C • O�C�� MAIL ^ � nnnwccS c�-� � Q _u `l- O CITV �) , � CONSTRUCTIOfd R L. ADDRESS C�NTRACTOFi��\(�\�_g� �� \OS ADDRESS3�� S �Q��(�Q('7� TEL. CITY � , NO. ��\ STATE �U �,� CITY LIC. NO. LIC. NO. 512E NO.OF BLDGS OF LOT NOW ON LOT USE OF ^� EXISTING BLOG. 2}�L]� Separate permits are required for electric, plumbing and heating work. USE OF$IZ�LGVALG AND WORK �O BE PER��ORMED 0 I horeby acknowletlpe thot 1 have reatl thla eppllcation antl nete thet the ebove informatlon Is correct entl npree to comply with ell lows r9BuletlnB buildlnq conetructlon, entl I chall not employ eny perso� in violation of Me workman's compensailon lews ai the Smm of Cellfarnia. I hereby cartify thet I em properly Ilcensetl aa a contracmr untler the Stota ot Celifomle 8usi�ess end Profaulo�s Catla, Dtvisiun 3, Chapiar 9, ontl Met such Iicencas ere in tull farco end effeet, or I am oxompi from the provlsions of the State of Celifornie Businasa antl Profnsslons Cotla, Division 3, Chepter 9. � $Ipnnturo Pf � /(�� , n Permitteo � ��`�� Authorizod <.9ent �a,�. ��,.3,-,s��s�oo,zz�:z ��io.5o APPLICATION FOR STRUCTURAL PERMIT RECENED BY DATE AECEIVED ne�o �ccunr BUIIDING ADDRESS OWNER FIRE ZONE APPROVED PERMIT NO. �a �Dn �JE NO.OF USE OF ��' PIANS Z BUILDING � 10 VARDSAPPROVED YARDSAPPROVED MAIN BUILDING ACCESSORV BUILDING VAR. 3W VALVATION Q� S j�0 � OATE APPROVED �P1 UNDER VALU 'ABLISHING A PERP PERMIT FEE E PI.AN CHECK E rnx a TOTALPAID E n m i 0 m N TION IS FOA m T FEE ONLV: b ♦ Q Q uyi n �- m 0 .5a �