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Home My WebLink About2069 FEDERAL AVE - Building Permits^i � PNOJECT AODflESS: UNIT: OWNEN'SNAME: �Q69 FED£RA:, AV aooeess �069 rEUERAi� AV rOSTA MESA CA 92627 1719)645-2098 AflCH/ENGINEEH:�EI�Il CURRIE flEG.NO.:NOP�F aooness: z069 FEDERAL AV urv�r: PERmiTTEE:COSTA MESA CA 92627 ADONESS:KEN1 CURRIn (714)645-2098 2069 FEDERAL AV COSTA MESA CA 92627 LICENSEO CONTHFCTOB UECIAFpTION: I �ereby a�hrm ihal I am Iicen5e0 un0er pmvisions oi Chapter 9(commencing with Seciion 70f10) ol Division 3 0l t�e Business antl Fmiessions Catle, anG my license is in full lorce and efiec�. CITY LIC.: STATE LIC.: CIASS: Oaie: 9gnalure'. WOflNENS' COMPENSRTION OECLl�NA710N: I hereoy aflirm Inat I nave a cenilicate of consent to self-insure or a ceniticate ot Workers' Compensation Insurance. or a rertilie0 copy thereoi (Section 3B00, Lab. C�. POLICY NO.: E%P. OATE: COMPANY: ❑ Cehihetl copy is �ereby Wmishetl. ❑ Cerlifie0 copy is filetl wi�h t�e ciry Building Division. date: Applicant: E1(EMPTIONFFUMWOPREflS'LOMPENSATIONUEIXABRTION: �ihis5ec�ionneeAna�becomple�eOil�hepermili5foronehunOretl�5100�ar@ss�. I certity Nai in I�e pedormance of Ihe work lor which this permit is i55ue0, I s�all not employ any Oerson in any manner so as to become suoieci to ihe Vlorkers' Compensation Laws of Califomia. � Oaie: ^ " SignaWre: NOTI E: II. atler making �his declaraiion, you shoul ome SublQit �o ihe Workers' ComDensa�ion provisions of ��e La�or CoOe. you must fonhwith comply with suc� pmvisi s or this Oermii shall be tleeme0 rewke0. CONSTflUCTION LENOING AGENCY: I here�y afiirm ��at ��ere is a consimc�ion lending agency �or Ihe pedormance of Ihe work fo� which Ihis permJ is i5suetl (Seciion 3097. Civ. C�. IENDEN: aooness: OWNEN BWLOEB OECIABNTION: I Aere6y aHirm �ha� I am exemp� �ram ��e Contracmrs' Slate License Law tor �he �ollawing reason ' (Sec�ion 703L5 Business an0 Professional Code: Any cily ol mun�y which reQuires a permi� to consimc�, alier, impmve, tlemolis�, o� repair any 5lmciure. pnor ta iis issuance, also r¢quires Ihe applican� �or such permi� to file a signe0 statement [hal he/she is licensed pur5uantlolhe pmvisions olihe Conlraclors' Sta�e License Law�Chapter9�commencing wi�� Sec�ion 7000)olDivision 3 ol��e Business ana Pmiessions Cotle� or Ihat nelshe is exemp� �herefmm an� the basis for 1he alleged exemption. Any violation o� Section 7031.5 by any applicanl br a permit sublec�s �he applican� to a civil penaliy of no� more �han five huntlretl aollars (5500�. I, as owner oi Ihe properly ar my employees wi�h wages as Iheir sole campensaiion, will ao �he work, antl �he ❑ simc�ureis no�inlentle� oroBeretl�orsale�Semion 70a4, Business antl ProfessionalCode: The Con�rac�ors' State License Law tloes no� apply Io an owner o� a propeny who builas or impmves �hereon. antl who does such work himseli/hersell or IhmuBh his or �er own employees. pmviDed Iha� such impmvemenis are nol intentle0 or otf 0 tor sale. If, however �he 6uilding ar impmvement is soltl wii�in one year oi comple�ioq Ihe owner wi0 have Ihe burden ol mving he/s�e Oitl noi 6uild or impmve lor Ihe purpose of Sale�. �'� , wi h i n n r �ar �o con t u � � e ro'eci Sec�ion 7044 Business I, as owner o� �he property, am exclusvely contracting I I ce sed co � ac s s c P I ( ❑ antl Pro�essions Code: The Conlraciors' S�ate License Law does nol apply �o an owner o{�rop�Y �+ho builds or improves Nereon and who conlracis �or such pmlecis wi�� a contractar�s) license pursuan��o �he ConVdctors $late Litense Law�. I am aware Iha� pmol oi Iheir Worker's Compensalion insurance shoultl be pmvitled to me. .,� I am exempl under Seclion�BP-704 4 B. 8 P. C, io� mis reaso�: pLT• WORK HY OTrINER ��— Daie' �' L� ` �� Owner I do hereby cenity thal I am aware o� antl untlersiana ihe repuirements of ' mia He antl Sa�ery Cotle Sec�ions 25505, 25533, antl 25534 antl �nai I or any lulure 6uilding occupant will/will not (circle one) neetl �o compty with s�id StatB cotles antl �he requiremen�s br a permil lor conslmciion ar modifica�ion Imm Ihe Air Oualiiy Management �i5Vic1. ftesitlential constmc�ian applications are exempt imm �hese piovlsions. Dale: ApPlicanl: I he�eby Certifyihal I havereatl Ihis apP�italion and S�a�e Iha��he a�ove inlormaii0n is wrreti. lagre¢ to cdi�ply.wilh all Cily antl toUn�y ortlinances and s�ate laws relating ta Ouiltling conslmciion an� hereby authorize represenlatives af lhis ciry to enler upon lheabove�men�ianetl pmpetly �or inspetli0n purposes �� - Oaie: ✓ SignaWre� Driver's License oi Social Sewnly d.� ,� �� 16�ba6 Wbiie—emloing'. Green—Cotle EnlorcemenC Canary—Applicam: Pink—Revenue; Goldenrotl—Assessor CZTY OF COSTA M:ESA — B'JILDING PER�iT P�R,� NO; B Ou195� P�RM?T VO: B 061952 PiAN CHECK NO: 01959-93 S ' GOVT: N SCPP: "' CUNSTRUCTIOV TYPE; 5—N PERMIT TYPE: STR PJRPOS£: A�� JOB DESCR�PiION : CONVERT EXIST. �AUNDRY ROOM TO 1/2 BATH SQ FT: 30 \' CLAIN VAL"JE; CALC—VALOE: 494,00 GROJP OCC: R-3 / Cd,"4MENTS: 30SF LAliNDRY ROON. .�P.r.A CONC'ERTcD TO A 1/2 BATH, ififieiEiFiEiEifiE?f3Eiii(-iEiE###iEiE####Itif##3FiEdFie�lFifiEifi4�kifiEiFiE?eiE�1EiE#iE##iF#1EiE##ifif##!E###if#iF�%iF#if#####Fifif Z O N I N G R E Q U I R E Ni E N T S sETaAcxs ------------ ,"�AIN BUILDING ---------- --------- ACCESSORY BUbLUIT'� --------- FRNT: FT IN REAR; cT IN rRNT: FT ZN REAR; FT �N LEFT: FT IN RGH?: FT IN LEFT: FT T"� RGHT• FT IN ___ P:SRRING Rc0• PROV: PARCEL: 42250304 ZNE• R1 RE5 NO• PiANNING Nt3TE5> INT. A�T. TO EX, SFR Tc� CONVERT LAUNDFtY ROOM TO BATiiRUON.. i • —' • � ******�*+��r*�**x�#+��+��c�*�r��t#t*��r��sr*+�**;��***u��#��*��*u�#�rxu�� i+E�ex��x�*��* D E V E L O'' P- M E�1. ;T 5 E R V i C E S R E Q J I R E M E D] T S � .� . �- ZONING APPRGVcD BY ,:� DATE:. '.2 j/ BliILDING APPROVED BY : � DATE; � �— APPLICATION ISSUED-'pY: ` • DATE: �_�F��"'E"' fL"1E?Fif"R'iEiE'k?f3f1''T!'iE'lF'1fif�k#i%94if'kl—t�lr-xfF iF '. �c it]f t ltifft,lFit'h1C%�A'R 1!A'ff'ltxif3EiFif'7E`7FiFiEih# !F x .�.:hSF# 3f 3E iE iF }?E iF-)f iE 3e iE iE �lE 9E iF jE X� if �fE 1F 3(� iF-)f �lF if #�lE iE iE # iE ?t iE?E 1c iE if :�E iF 3E %iE 3F " x# Ya #iE �F f6 # 1f # 3f ##-1k�)f 3E #�Jf # iE ## 3E"��t i( 3E ### dE if -0E iE iEGALIZATION:N F E E S Ci M M A R Y STRJCTURAL SEGMENT:Y ' , BLt7G PMT PLUMHING ELECTRIC MECHANIC rIRP SMIP/RES GRADING PHRMIT .�15,00 ,a0 SMIP/NON—RES PLAN 9.75 ISSUE FEE BiIILDZNG—USV—> PERMIi ISSDE Pi,AN—CHECFt TOTA�., PAIU D'JE TOTA�S---.—> 15.50 0.00 9.75 25.25 7.5,25 .00 'REVENJE DIV�SION T03ALS--> COLiECTED: 25.25 OVER/SHORT: .00 BLDG P,7T PLUMBING EiECTRZC M.ECHANIC FIRE SN,IP/TOT GRADING PLAN—CH�CK 15 00 . .50 9 75 3f # iE 3f 3F iE?E �E ?f if iE �lE iF iE if iE iF iE-1E d4 K� 3f �lE ie id 3e k k 3(� if �lE �1F � iF 3E if -1F iF iE iF It if 3(� 3E 1't �7E �)f x iE iF iE 3F iF �lE-k #%�lE f(• K• # 7F fF iE �!E i; �� K 38 jE Jt �H #!E lE 3E �i(. r. }E I N D I V I D G A L F E E B R E A I{ D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 30 DWE—INT, ALT�R TYPE V—WOOJ �R —GOOD 14.80 949,Q0 END OF PEES � R1 00138213-0013E215 T O T 25.25 J DATE: 04/29l93 TItiE: 13:46 � COi �STRUCTION AND PLANNING APPROLALS Permit,:-. � 1. Tempora�� Eleetrical Service �r Fote� 7. So�i Pipv Undryrnd. - ' i �3. EiccVica� i;o��duit Ut�hty�Undrgrnd. �4. E:�r.r�ca'� Condu't�Und•y.nd ----J �- -`s. S:.a' R -`c•c=.r,e^t � 6 '�..;,c Lc�e�^:�d. �OOi 'CS F__-_ _ $. Foundotion �_-._- � 9. N'�Ce� ?�po-Undrgrnd. � 70. Structu�a� Fiucr Syst:m i 1. P�epr�� Sevi•r Line & Housc Conneccinn � '. �2. S.�r:er Car �.�_... _-� �. '3 Rno� 7ra�ns '---- - �I "'. Suuan P�umbing F--- - - � 1�. Ro,:gh E:cctrical•Condud . lu. Rnugh Eiectric4Virinq 17 Ro�gti tiJ.r�ng S�Gn �F Rn,.gh Elcttnca!-T� Bar Ce�! ra r "4 F.cvjh ! �[ating & Air Cord':.Gn!",9 �,. � � - ��.tory F re,.ace � --_ -_ � 2S. C��.;s. �n Str�cturc I !2. O�cts. Vert��atiny - � _3, � ^ '�pa-Ro��yh � Tes[ --- j7�--'1,0� Frarii�3 . . I ,J-n^--- �th��q �� ; . ��.' .._...r.g IStr�„ct��a�l 8_�_4a�,cco!t__ �Z.' - � �< ,�„ Plash�n9 � �8. La?n�ng �, S;d�ng-- -----.. � 27. InSula�� i � -- - --- ! ?� n,y�:.e'I h:e�Lr9 � 31. ? �ster B:o'.n Co.:t i------ - - - � 32 Esrtnea� PJc e. .��eter.cina; � - -_ _- ! 33. Fica� tleci��c � 34 Fi�ia� i-leat�r5 & Air Cond�tiOnmy (_ _'-.- _ _- 3S. Final G2e P�ps�Tost 30. Ho:d or Car,aPV --- - 3i. :_ �a�. Facto��' FrFpiacr 3u Fm,,, ?�uoioiny - --. 0'9. �f:a,er Se•,�ice�Rnal - - � dC. Gds Sen�ce�F,nal � A1- Solar pomestiGFinal I42, B�ckfloti:• Preventer A3. BacGfloti; Irriyation 44. Lsndsca:e trngation System � d5 S�und Httenuation 4�. Handicap Regu'auons � d1 fI�AL STRUCTURE & BUILDING 48 f-INI:L PLANHING 4g, E:ecrric Flelease to Etlison 5C. Gas Relezse to Southern Californ�a Gas 5i. CERTIFICAT� OF OCCUPANCY R?c�,. Date Oate � Inspecior ---'r POO L 'A , APPROVALS Permit � � 52. Pool & Equ�pment Location �, 53. Stec1 fteinforc.ement _ _ 5A. f-nrms 55. Eleetr:cal HoncDng � 50. Racg`� Plumbinq & Pre;sure T^st 57. PPpROVnI Tp COVER GU':iTF 58. El�ctrical Cordwt�UndrgrnG. 59. Gas P�pe, � Undrqrntl , Tr.st ` 60. E3ac!:wasii L�nes, P-Trap, � Ucd�g��d 61. APPROVAI `. D OEC!C J 62. E�c'ce:ash & Fecap!o��F�rsi G�. Ncatar & �'znt-Final G4. Plum�:ng Syst:s � p•nal 65. E!ocuical-f'inal ' 6G. Solar System-Pinal 67. Fenc:ny Ra Access Appro��l 6$. APPROVED FOq PLASTtRIR,'C G9. POOL;SPASYSTEL:SFIMAL Date � Inspector FIRE DFPT. REQUIftE�l9EiV1" ' I � i NPP�9flV.^,LS Permrt-,r -i � l ---�_ _-_i _-' 70. Underq�ound Hyd��a '�. i i - -- -' ---= ---� � 77. Produr.t P �irq C, G�`� L� Oil I � i 72. Urdz�mou-�d fi�,�.n'---_ � _�-� 73. Undernrnd. Stc�&;: T,r,K '�' G��s ' 0 � � ' 74. O�.c�i�,:aa H�-dro ' --�- --�� --1 -------------�- - --- 15. D:•; C �i>rn'-I-- ---- -- - -� --- --- 7E. Drv 5:,:^rii,.oe � 77. FIXE� Sv5TFA9 FiC�AL I � -- ---------' � + i � 78. FIREPFEN r��,'i�� ----------1-----' _`^ HEF_L?H JEP7 REQL'IRE',i"L'JT--------- -- . 79. FIAaL:KSFcCT'��A � .e0. FO�� CEft'fIFICAI L IS-UEO - ---�--' -� --' lloles: I _-�__"'_ - ___-.-' _- I � --------- J _ - ---- - � ---- ---� _ � y -- ----- -+i ----- � I �+ PflOJECTAU0flE55: '10�(j FEDPRAL �iV UNIT: OWNEH'SNAME:x��i' CURRIE nooaess:2059 FEDERAL A�� .COSTA MESA CA 92627 {714)545-2098 , ABCNIENGINEEN: KENT CURR I E AEG.NO.:NOVF aooaess' 2069 FEDERAL AV uxiT. PEPMITTEE:COSTA N.ESA CA 92627 RENT CURRIE (7141645-2098 ADOHESS: ZOG9 FEDERAL AV CO5TA MESA CA 92627 UCENSED CONTFACTOB OECIAHPTION: I hereDy affirm that I am licensetl untler pmvisions of Chapter 9(commencing wi�h Seciion 7000) a� Oiv�sion 3 0l ihe Business antl Pmlessions Catle, and my license is in lull tarce antl eflec�. CITY LIC.: $TpTE UC.: CLASS: Dale: SignaWre. WOPNEBS' COMPENSA7ION OECLAHFTION: I here�y atlum that I have a cenilicate of consent to self-insure or a tenilicate of workerS' Compensation Insurance, or a cer�ified copy Inereol (Section 3800. La�. C�. POLICY NO.: ESP. OPTE: COMPANY: ❑ Certilietl coOY is hereby lumished. ❑ Certi�ietl copy is �iled with �he ciry BuilAing �ivision. Oate: Applicam'. E%EMPTION FNOM WOflREBS' COMPENSFTION �ECIAHNTION: (This seciion need not �e completetl i� the permil is for one hundretl (3100) or less�. I cetlity Ihal in the performan[e o� Ihe work �or which Ihis Dermi� is issued. I shall no� y�ploy any person in any manner so as �o become sublecl Io Ihe Nlorkeprs' Comqpensation Laws of Califorma. y; ` ' Oale: �' Z— 1`/ 3 SignaWre: �— NOTICE: If. atler making Ihis declaralion, you shoNe beco e'�u�lec� to the Workers' Campensa�ion Dmvisions oi the La�or Cotle. you musi fotlhwnh comply wi�� such pmvisions or �his permii s�all �e tleemed revaked. '� � CONSTNUCTIDN LENOMG PGENCY: I here0y affirm that ihere is a consimetion lentling agency tor the Dedarmance o� the work tor ' whicn Ihis permit is i=sue0 (Seclion 3W7. Civ. C�. LENOEP: AODPESS: OWNEP BWLDEN DECLAXRTION: I hereby aifirm �ha� I am exempt imm the CanVac�ors' State License Law lor Ihe following reason (Section 7031.5 Business and Pm�essional Cotle: Any ci�y of counry whicM1 repuires a permi� ta cons�mc�, al�er, impmve, demalish, or repair any SlmcNre. prior Io iis issuance, also requires the ap0lican� lor such permil to lile a signetl statemenl lhat he/she is licensed pursuan� to Ihe provisians ol �he Conlraciors' S�a�e License Law (Chapter 9 �commencing wi�h Section 7000) al Division 3 0l ihe Business an0 Prolessions Cotle) or Ihat he/s�e i5 exemD� �heretmm and ��e �asis for I�e allegetl eKemplion. Any viola�ion oi Sec�ion 7031.5 �y any apP�icanifor a permil sublects �he apD��ant to a civil penalry oi not mor¢ Ihan five hunOreO dollars (5500�. I. as owner af I�e pmpeny or my employees wiih wages as iheir sole compensa�ioq wiil do Ihe wone, an0 ine ❑ slmcWre is noi intendetl or ol�ereU lor sale (Section 70aa, Business an0 Pmfessional Coae: T�e Conlractors' Staie License Law does not appty Io an owner o� a pmDerty who builds or impmves Ihereon, antl who tloes such work himsell/herselt or �hmugh his or her own emDloyees, pmvitle0 ihal such improvemenis are nol in�entletl or oflered tar sale. If, however ihe builtling or impmvement is sold within one year oi complelioq t�e owner will have the burden of pmving he/she ditl not builtl or impmve for I�e purpose of sale�. � I, as owner o� �he pmpetly, am eeclusivety con�mcting wi�h licensed mnlracto¢ �o cons�mc� �he pmlec� (Sec�ion 7044, Business ❑ and Prolessions Cotle'. The Coniractars' Slale License Law tloes no� apply lo an owner ot pmpetly who 6uilU5 or improves thereon ane who coniracts for such pmie��s with a conVactorls) license pursuanl to ihe Coniractors' State License Law�. I am aware that proot at Iheir Worker's Compensaiion insurance s�ou10 be pmvitletl Io me. _p � am exemp� uneer Seciion:B P-J � 4� B. 8 P. C. ia� mis reasaoo: ApLL WORK BY OWNER �j� 1 Oate: --/ ' Z _/ � ! 3 Owner: —,�l � I Do hereby cenity Iha� I am aware ol and unders�anU Ihe reQuiremen�s ol Cali�mia Healih and Safery Code Sections 25505, 25533, an0 25534 and Iha� I or any fulure bmltling occupant will/will nal (circle ane) need �o comply with saia s�a�e cotles anA �he requiremen�s �or a permil far canstruction or moAificalion imm Ihe Au Ouali�y Managemen� DiSiricl. Resiaen�ial cons�mc�ion apPlicalions are exempt fwm IheSc pmvisi0ns �ate: Applicant'. I �ereby cenily tha� I have reatl I�is apPlica�ion antl state ihat Ihe above inlormalion is carrecL I agBe �o com0ly wilh all cily and counry ordmances antl slalelavi5relaiingto builtling con5imciion and �ere�y aulhor¢erepresen�atives ofi�is ciryio en�eru0anthe above-men�ioned pmpen/y Jfor inspec�ion purposes. Date: ? � L� � � Signature: � � oriver's License oi Sociai Securi�y a: � 164n46 W�i�e—Butltlmq-, Green—CoOe Eniorcement; Canary—Applicam; Pink—Revenue: GoltlenmE—Assessor / t CITY Or C�STA �ESA - HUILDING �ERVIT PERV NO: P G619�5 PERMIT NO: P 06?955 PLAN CHECX NO: N GOVT: N SUPP: N r_ONSTRUCTION TYPE; 5-N P3RMIT TYPE; P�U PURPOSE: OTH JOB DESCRIPTION : CONVERT EXIST. LAJNURY RUOM TO 112 BAlA 5Q FT: CLA:'r1 C'ALUE: CALC-VALUE; GROUP OCC: R-3 / COYi�:ENTs: RE: B61952 PRIMARY BUILDZNG PERMIT. ikiEifiEiF3F?E�fiE?EfE��lE3f##iE#if#3'r�lE3fif3f-1F1'r##�1!-iFiE?E3EE-0E�E#?fiEiEjf3EiE?E�IE�If####iE#iE#iEii�:rt####ifiFjfif##iC##�%if##iE#?f:k Z t� N I N G R E Q U I R E M E N T S ssTsacxs ------------ MAIN BUI�UING ---------- FRNT; rT IN REAR: FT IN LEFT: ii IN RGHT: FT IN -------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN LEFT: FT IN kGHT: 2'T IN PARHING REO: PROV; ?ARCEi: 92250304 ZNE: REF NO: PLANNZNG NdTE5> i *****��r�*****�u�#�**#****##**#*#�*�*�**�**��r�#��###u#*###�#*�c*�c�tt#x��*##�##* D E V E L O P M E N T S E� V i C E S' R E Q U I R E M E N T S ZONING APPROVED BY " DATE; BUILDING APPROVED HY : • DATE: APPLICATION ISSUED BY: • ' DATE: iEiFiEiEifiElf3fiE�caEifififli-1fiE##lfir7Eia�il�n-�..1ef �i i-a.�XiFIthX itrtrtiC,.RitAie!'t�l-�'lt�-Frt'��-Cx'�f�%iC'7%ififH�#� ��ii'3E 3EifiFiflEif#7EiEiEiciEfEiflf##iE##iE#iEiE##3E#iEiEiEiEiE:�EiE�lFiFiE�}EiE3E�fiE? #iF###iF##if#1F#ici(lEif�lEiE�fif#ih#X##?E'�.####iFiE LEGALIZATI�N:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLi7MBING £iECTRIC MBCFiANIC FIRE SNIP/RE5 GRADING PERMIT 14.00 25`c S,�IP/NON-RES PLAN ISSUE FEE 20.00 BDILDiNG-DZV-> PERMIT ISSUE P�AN-CHECK TOTAL PAID DUE TO3ALS----> 19,00 20.00 0.00 39.00 39.00 ,00 REVENUE D�ViSION TOTAiS--> COLi,ECTED: 34,00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADII�G PLAN-CHECK 34.00 ?E !E IF iE If iE # 3f iE iF iE �1E �It 1E lf 1f # iE # iF iE iF iE #-14�1E i(-# # if iE ie 1E iE ?E iE iE iF iE iE jf 3F iE 3E iE iElE if i(-1F iE 3E 3f ## Ih iE ### iE #!E # lE ## it #�li # i( �1f iE # iE # iE 1E I N D Z CT I D U A:., F E E B R E A R D O W N TYPE QTY D E 5 C R I P T I O N UNIT COST TOTP.i, COST PLU ?; WASH aASIN 7,00 7.U0 IPiU 1 WA.iEk CLOSET (TOILET) 7.00 7,00 END OP FEES O1 0013E211-00138211 T�J T 3�.QD ,/ DATE: 04/29/93 TIl1E: 13:45 (� CONSTRUCTION AN� PLAN0.'ING APPROVALS Permii �,. 1. Tempnra: y Eiectr.ca; Serrice or Po.e 4. Sc,'�I Pipe-Undrgmd. j. FIrC2tiCi�� rO�:l �.1 v'i�i;� . ___ / Unr'Or`d. 4. E��:ctr.ct� Candu!�u.dr.�....1 ��. �-:a'. Pi� r��a'ca-�:� � �•- -- _ -,_ u E.cr.ca' U ER �i,�..t �-'--- 7�Foot+�.�s _ __ _ _ 8. Fou^Uat�o�r __ __ 9. 14�ter Pipe-Undrgmti-'- - 70. Structu�a� Fioor Systrn 17, Praperly Se`.:2r L�ne (+� Hou�e ConneCLOn t2, Sewer Cap 13. Roof DrainS 14. Flo��^ Plurr.b�^� ----- '5 Fo�gn Eectricei�Card, �- -- '? u. Roaqh C�ectrc lY nng � ! /. RU�r,n!':Grny 5.,gn _- _ 18. Rou:ih Elzc:rial-T �.�� Cc�� q 15 Ro..�h Heat�ng & P r C_ �• ..a ZC. Po�cih ,c1ory F r;,p�-- --�---- i 21. D��r:, :... Sr��:: 22 J�c�t;. 1'"+4�`'tin� - ZJ. Ga;!'ip::�HOuant� tEst__ _..� 24 Roof FramP�g � ih iioOf $F'dt'��"3 ,�r2o. � 9v Ce�.'ing iSn �:- . �I� �_ .�� o=Gcoat � 27, Fcr�re und Flashino � _ �� 28. lat!�:ng,�5�d;ny - -- - ?9. I�� la:�.c� --- - � `J -, ---- - - - - --- ' _., . _' ..' Cc�-r 3?. t ��. .� r� � e ,.;c- --__ �__ __�- __ _ . _______ i 33. F��,._i c4ch�c 34 F �,, �{.•_! nc �?.�. �_, --- �.1... �---- ----�-- - - - -� -�-- -- '� 35. �: G. , P� p� T� �' �---- �' - - -- J�. Hcc:. �r C„ ^0'. ��37. F.�-, I Ftcio'\' �r<o .:. .__ __ -_- � _ _. . __'_�'-- 38. Finil ?lumbirg 3°. 4'lnler ServiCe�Final J�. Go� Servica�Finai 4". Sn!✓ DomB�t.oF�ra <7. ;i.�.c.cf�e:•: Prevenicr 43. Backflov: Irr�gation 4�. _snd,ccpc 1: r:4aucn Sv�tc.T . i°_. S�u^c Atten��tia.� ------- ' -:6 ��, -" r�� eGu'd! r- -- --- ;�. F; . a' STPUC7Ui�E _ �J; _0'�:3 I 48 FI�iAL �'LANiiIti;G ` � 4S. E4�cb�c Release to Etlison 1- - - - i E0. Gas Rciease to Sou:lle� n G:��fornla Gas ,- 51 CcSTIFICATE Or GCCUPAf�CY Da:, n ' -- FOO L �A I ---- Date laspector qppROVALS P�rm:t �:`- I Date Inspettr ' 52. Paol f Equ'�rmcnt .uc:.t un � /��(7� (�Q 53. Stect Reinforcemrnt - � _ � i t 54. Forms J� � I I ____ _ _ _ � - � 55 E'ecbiea; Be� n�� ' � � - --- ---�--- �5u Rc�ch'Lrr.0 •, u� �-..ra T:,. � --_ � :�� _ L � 57. APPPCV:�L'C� C��.i u , - -c , ' 58. EactricalCorru�l .in�i��nr,. � � ; -' --- ---i ---I _. i 59. Gas P,pe, ;� Ur.un,• �J ,,„ � � p----- - - ----+ --- � 6�. 1�-C�C.J..StI L 1•C1, i�:JG ._ � � I -_ _- _ __- - _-- _. __ -i-_� __ i" 61. AFPRO\�AL-iJC`CK � ' � GZ. 3aChc.aslt :u A:�cai,.�,� Find� _-___r-.�__ I --- ------ -- � - - -7 63. Heate� & VenbF��n;:• , 64 °lumb�nq Systrm F.^ I � '_� �s145 ;G� ss_t E^:r�cai F:� � - - --- � -- I - --- � 6G. °al:�r S�, stzr�.�r ,^. i, � ---�- -- - -- --+� ---- --�-- .. ' � 6%. ��^f.�110 iit.'�CC�c�. ,i+f',.:.�. � 6II AVP�,CVEDFO"rtFl_��S'il'-i.'dG �-�- - �- _____---____ _ '_}_-_'".�"._ � 69. PCOL'SPA SVST:'�'S PINAi ' ; � I FIFE DF.^T. -iCC�Ulfi.`,-_ ,�-._ __ __ __.li_ _ � �.4P?R^VP�.� �' __- � � 70. .,rc=".i c _ __ __ _--,--_ __. T--_ }'---a-- -- -� - - ---- - - ' - � � 7l . ^�:Guct °,o �Gf . G - � -0�'. -} __-{ rI--I 77_ Under9r0u�tti_F_.is��.____ I. _'__�_ _ . I . . - V _- � _ ___--�__ -t------ 'I 7:i. U�.d: i q�n4. Ct��• r �,. .-• ,. -_ i _ - _ '__ _'_ -_ _ " __' _ _'-__' � i 7�i O'rr^.i'id hb�i�,� , ' � -j__ _".'._- _'_ _-_ _ ' ' ' �-_ - _ � /S J��-Chem.�et, i I __L__.__ _-__-_-__ _ ___ _._--__t_ _ __ _ � 76. o�•r stu^c.a,.� -----� 77. f!XED Sv;;7�N ; i^dAI � , � YE. f-IHC �'FlEV. f-�::. . � � -. ' - -- --- - - - --'- -- -1-- - i� HcA!T��'JEf'T.Fl�GUIHE.,F��T_- -� -'�- -- ---- ' -- --� - ------ � � i � � _. . .'.Ai I . � . . -' i � i ? 7 F G D C < < - , : , k `, � ` ! � . _ '_ _ _ +_ _ __ -' _ -- _ __ � _i-_- . j � . _ . _-_. _ _ ---�� '� IVLiuS: - "-- -------- -- � - - - ---- � I . � - -----F-:--i-- - -------- - . .'----- -- ------- , -�-•--�- ---------- -- ��-------- �--- ._;__,__ _ _L - _ ___ _ __ . -_ ___-_ _ ._ - ! �^ -_ ��J PFOJECT AO�XESS: 2 O 6 9 FED ERAL AV uNiT: OWNEfl'S NAME: �tLNT 'CURRit. aooRess: `069 FEDERAL AV COSTA MESA CA 92627 AHCMIENGINEEN: � 7 S�i ��J �1 S— Z O i B qEG.NO.: ADOBESS: K ENT CURR i E NOD'ueir: 2069 FEDERAi AV PEFMITTEE: COSTA MESA CA 92627 AOONESS: KENT CURRIE ( 719 ) 645—?098 2059 FEDERAL AV C05TA MESA CA 92627 LICENSEU CONTflACTOB OECIABATION: I hereby affirm thai I am licensea unUer provisians ol Chapter 9(commencing wi�� $ection 7000� ol Oivsion 3 ol �he Business ana Pmicssions Coae, and my license is in full force antl e�fec�. CITV LIC.: STATE LIC.: CIASS: �ate: Signalure: WOPNENS' COMPENSATION OECLAPpTION: I hereby aflirm iha� I have a certi�ica�e at consen� to selbinsure or a certifica�e o� Worker5' Gompen5aiion Insurance. or a cetlifiea copy Ihereol (Seclion 3800, Lab. C�. POLICY NO.: EXP. OPTE: COMPANY: ❑ Certifietl copy is hereby Iur�5he0. ❑ Cerlifie0 copy is filed with Ihe city Builtling Division. Jate'. AoplicanL EXEMPTION FflOM WOPREFS' COMPENSATION OECIAFBTION: Qhi55eciion neee na� be completetl il lhe Oermii is br one huntlred (8100) or less�. I cetlily Ihai in Ihe petlormance of lhe waB far which this permi� is �iSsueQ I /hall no� employ any person in any manner so as �o become sublec� to t�e RbrkerY Compensalion Laws ol Calibrnia. J/ //v�� 'I � .,¢ Date: 7 L/ 3 Signature: NOTICE: IL afler makmg this tleclaration, you ShoWd bec 5 lecl Ihe WOBers' ComDensalion provisions o� the Labor Code. yau musl lotlhwit� comply with such promsions or is permi� shall De tleemed revoketl. CONSTPUC710N LENDING PGENCY: I hereby aflirm Ihat t�ere is a constmction IenOing agency for the pedormance of the work for whic� �his Oarmi�is issue0 (Sectian 3097. Civ. C�. LENOEH: AOUFESS: OWNEB BWIOEB oECIABATION: I nereDy atlirm Ihal I am exempllrom ine Contractors' State License Law lor ihe following reason (Section 7031.5 Business and Pm�essianal Code: Any cily ot coun�y which requires a permit Io canstmci, alter, impwve, demolis�, or repair any Slmcture. pnor Io iis issuance. alsa requires �he applican� for such permit �o file a sipnetl statemen� �hai he/she is licensetl pursuam m I�e pmvisions oi the Comracmrs' S�a�e License Law (Chapter 9(commencing wi�h Sec�ion 7000) ol �ivision 3 at I�e Business antl Pmiessions CoDe) or Na� helshe is exemp� Ihere�mm an0 the basis for Ine allege0 exemption. Any violation o� Seclion 703L5 by any aD0licanl lor a permii subjec�s �he applicani lo a civii penal�y o� no� more Ihan live hunEBtl dal�ars (4500�. I, as owner ot I�e properly or my employees with wages as their sole compensa�io4 will do �he work, antl �he ❑ simcture is not intenaetl or alleretl for sale (Sedion 70a4. Business an0 Pmfessional Catle: The Contrac�ors' Sta�e License Law tlaes no� apply �o an owner of a pmpetly who 6uila5 or improves �hereon, an0 who does such work himseli/hersell or ��mugh his ar her own employees. Orovitled tha� such impmvemenls are no� in�ende0 o� alleretl br sale. I�, howeve� Ihe buil0ing ar impmvemenl is soltl within one year ol completion. the owner vnll have ihe burden oi proving he/she tlia noi hui10 ar improve br �he purpose ol sale). I, as owner oi Ihe pmper�y, am exclusivety caNrac�ing wi�� licensed conirac�ors to constmc� �he pmleci (Section 7044, Business ❑ and Professions Cotle: The Coniractors' Slale License Law tloes nol appty to an owner ol property who builds or impmves thereon an0 who conlracis �or suc� pmjecis wilh a conirac�a�s) license pursuant �o �he ConVac�ors' $ta�e License Law),I am aware ihdl pl00� Ot 111¢if Wofk¢r'S COmp¢nsa�ion in5ulancP Sh0ut0 b¢ plOvitl¢tl to m¢. ..� I am exemp� untler Sec�ion:R P 7 Q 4 4 B. 8 P. C. mr mis reasan: ALT WORK BY OWNER Q �� ate: �� Owner � I Da hereby cenify ihai I am aware al antl untlers�antl Ihe reQuirements o� C ornia,Health antl Safery Code Seclions 25505, 25533, antl 2553d antl Ihal I or any fuWre builAing occupanl willlwill no� (circle one) neetl to compty wlth Sala s�a�e cotles entl the requlremen�s �or e Oermit for consimction or moadicaiion imm Ihe Air Ouahry Managemen� DiStricL Resiaenlial cons�mction applica�ians are exempl tmm I�ese provisions. �ate: Npplicanl'. I hereby cer�ity Ihal I have read ihls appl¢atlon antl sta�e �hat lhe above mlormaiion is correct. I agree to comply wi�h all clly antl counry ardinances antl sla�elaw5relaiingto building constmclion antl �erehy aWhorizerepresen�atives ollhis cilyto en�erupon��e ahove�mentionetl pmpeiry [fo�r /inspeclion purpOs/es�. Oa�c'. /�� / � Signature: , Driver's License or Sociai Secunry +: t641�a6 WM1ne—Builtlmg: Green—Cotle Enlorcemenl; Canary—NOPlicanl: Pink—Revenue; Goltlenrotl—Assessor CITY OF COSTA N,ESA — BJZLDING PERVIT PERN. NO: M 06:954 PERvZT NO; .Ni 06i954 PLAN CHECK NO; N GOVT: N SUPP: N CONSTRUCTSON TYPE: 5—N PSRMIT TYPE: MEC PURPOSE: OTH JOB DESCRIPT30N ; CONVERT EXIST. LAUNDRY ROOM TO 1/2 BATH SQ FT; Ci.AIM VALUE: CALC—VALJE: GROUP OCC: R-3 / COMMENTS: RE: 851952 PRZN.ARY HUILDING PERMI:. x*�*�r*x�****�r**#�+��c�#�*��*#x�**��r*�***#**�*�##�t*#a��*��*�x*�r��*x x****�a�� t#*�***i�� Z O N I N GS ERT�BQAUCIKRSE M E N T s ------------ �iAIN HUILErING ---------- --------- ACCESSORY RUILDING --------- FRNT: Fi FN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT Ziv RGHT; FT IN LEFT: FT IN RGHT: FT IN I�ARRING REO: PROV; PARCEL; 42250304 ZNE; REF NO: PLANNING NC1TE5> > ��*******��**#�+t**;�**�*�**�#�****�t+��t�?*�**�###st#�n��**x-x�#*��***�#�t�##�t�c�*��•u#rc �� D E C� E L O P M E N T S E R"�.� I C E 5 R E Q U i R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : �, r__,� DATE; iE �f 3f 3f if iF iE if if if if iElf 3E ih jF if lE ## if if if �E iF iF?6 if # 1'r if?E 3f iE iE 3E iF ik 3F iF if if?F 3E iE iF �IE / i� LEGALIZATION;N F E E 5 U M M A L� BLDG PN,T PLUMBING ELECTRIC MECHANIC PERMIT _ _ 9�5� Pu-AN ISSUE FE£ 45.00 DATE: �_—��?�y7�'F � �1ttiEiE3('ifiEiFIEiE##RR'itSk: Rx*]r iF?E jFifK�iFiE##iE#iEic#fF ####�3fiF####3E 5TRUCTURAL SEC-MENT:N FIP.E SMIP/RES GRADING SMiP/NON—RES BUZLDING—D2�'—> PPRN,IT ISSUc PLAN—CHECK TOTAL PAID DUE T03ALS----> 9.50 I5.00 0,00 19,50 19.50 .UO REVENuE UIVZSION T01ALS--> COLLECTED: 19,50 OVER/SHORT: ,00 BLDG PMi PLUMBII3G ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAh—CHECK 19_J� iE 34 iE iF if iE iE iE if iF iE if 3F iF if iF iE# iF ff %iF 3E if iE if 3F �E iF #-1f iE?f iE iE-lf iE i4 iE 1E?E iE iE iE iE 1E# # IE ##)E!E if # iE #-1E �h fE ## if # iE # 3E f(- ## iE # iF ### if �F if I N D I V S D U A L F E E B R E A R D O W N TYPE QTY D E S C R I P T I O N UNIT COST '.'O;AL COST MEC 1 VENTILATION FAN CONN 10 SIyGLE DUCT 4,50 4,50 ENL� OF FEEs' 0: QQ138210—Q013E210 TU T 29.50 ✓ DATE: U4/29/93 TIItE: 13:45 � . CONSTRUCTION AND PIANNING i APPROVALS Pe�mit�_ � � 1. Temporary EleCtncdl Service or Yple I^. $o�� Pioe�Undrgmd. �3� Electrical Conduit Ut1hYy�Undrgmd. '3. E'ectncal Canduii-Undrgmd. � 5. 5[e3l Reinfo'c?menF i u.� L-.cc�'�'��.:FcRGrnd. 7. Fooi�ngs 8. Fou^dat�on 9. Water P��pe�Undrgmd. � 70. St�uctural Fioor System , i i. Frope�{y SP�YP.� Line & House Connechon � 12. Saw.•vr Cap ' ' ' Hu�t D�ams �_ y'- ',4. '.augh Plumbing '�5 R��ugh E�ecir.csi-Co�tl�it �- - - , lc, iiouc�h EIeCIric4Viri��9 i I 17. P,cugh :V:nr,g S,gn ��8. �iouali Electrica!�T 6ar Cei! no 19, �o..ah YeF:��tig & A�' Cc^aihoninq 2C. Ro . �h F.;ctnry FireV��ce - "l?. J�:cts, �^ SV�cture �2. Ducs, VcnCP: ting � <3. Gz� :'�Pe�Ao�gh & Test r?4, aoof Framing � =� Rc�f Shaathir�g �---- -- 26. T�Bar Celling (Structurell & iJon�coat 2i. "�",eand Flashi�g _ ZEi. Lathing � Sding Z9. '^suiat�o� 30. Drywall Na�ling I31. F��aster Bro� n,^,ozt i- - -- - --�. 32 Eiec[ncal Po�ver lJ�eter Fir,al r-_ _ -_- -_ �� --3-3 -r -�a' E1=^tr��t i 3' 4. F�nal I-:eaGng $t Air Condiiiornna � 30. F�nzl G=�. Rpe�Test ' 36. Hood or Canopy 37. F�. a'. Pa[tory F�replaCe 38. Fin;.. Pl�mbing 39. �l'atcr Se:vic��f-inal � 46. Gas Sert-�ce�Final � � 47, Solar CJcmcsUc-Fina� � <'.2. B�ckfiols Pievanter _.- _ __. n3. e�cicflow irr,qation ��4. Landscape Irriqation SYsiem 45. $ourtd Pttenuation d0. Hanpicap R�gu!ation5 47. FIR'AL STRUCTURE & BUIIDING �8 PIIALPLAR�NWG 49. Elcanc Helease to �dison 50 Ge= Release to Southem California Gas 51. CERTIFICATE OF OCCUPANCY Ro. Date Date ' Inspector 8 0 POO� 'A � APPROVALS Permit ;� Date inspector 52. Pooi & Equipment LocaYion 53. Sieel fleinforcement � . � 54. Forms � 55. ElecVica� Bond�ng _ -� 56. Rough Plumbing & Pressure Test . � 57. APPROVF�I TO COVFR�GUNITE � 58. Electrieal Conduit�Undrgrnd. � 59. Gas P,pe. O �ntlrgrnd.. Test � ' � 60. 6aClcvaa5h Lines, P-Trap, Q Undryrrd. - � ' 61. APPROVAL TD DECK � � � 62. 6ackwash & Receptor�Final I 63. Heatcr & Vent�Final � �� 64. Plumbing SYstem - P�nal `�� ' I 1 - 65. Eleetrit2l-Final � 66. Solar System�rinal ' 6�. P�anc�ng & Ac_ess Approval � 68. APP30VED FOR PLASTERING I - -I-. G9. POOL/SQA SYSTEP�nS FINAL ' FIRE DEPT. REQUIHEMENT APPROVAL5 Pemzit;r � �� i i 70. Und::rc�rounu Hydrp � 71. ProductP�ni^�9:JGas LO:I 72. U^Jcrt�rou:id F!iish �- � 73. Undergmd. Storage Tank � Gas =' Q�' � i 74. Ocr.t:�^ed Hyd�❑ -�I---- --� --- -- i ---- --� 75. OrV Ghem�ca' �� __-_ _-__ i _ ._ _-, 76. Drv 5�:.'ar,,.:e -- -- - t -� 77. FIXf_p SYSTF.A! FIDtAL I __;_ ' 78. FIRE PRtV. FINAL � ' -'- -------�------i -^- HEALTH DEPT. REQUIRER�IEiJT _ _ 79. FIi�.�L IM�?cCT!::,\ --� i ', 30. FOODCERTIFICA7E ISSi1ED I � - -- ----- ----�---- - �---� lo:es: ------- 1 _ ---- - --- ----� �— i �� i i/F' /9�^ e� PBOJECTRUOflE55: 2OE19 FEDERAL AV I ueit: OWNEH'SNAMLKGNI� CURRIE aooness:2069 FEDERAi, AV COSTA M£SA CA 92627 APCH/ENGINEEN: t 7 1 9� 6`� J— 2 O 9 S qEG.NO.: KEN_T CURR�E N0:�1F aooxess: zp69 FEDERAL AV u"iT: COSTA MESA CA 92627 PEPMITTEE: kpNT CURRIE ( 714 ) 69 5-2098 aooxess: 2069 FEUERAi, AV COSTP. MESA CA 92627 UCENSEO CONTHACTOB OECLAFATION: I hereby allirm Iha� I am Iicen5e0 under pwvisons af Chapter 9(commencing wiih Section 7000) oi �rvlsion 3 of Ne Business and Pmiessions Cotle, antl my license is in full farce antl e��ec�. CITY LIG.: STATE LIC.: CLASS: Daie'. Signature: WDflNEBS' COMPENSATION OECLABATION: I hereby afhrm tnat I have a cenificate of consent to self-insure or a cenificate of Worker5' Compensation Insurance, or a cenilied copY �hereof (Sec�ion 3800. Lab. C). POIICV NO.: EXP. OATE: COMPANY: ❑ Certified copy is hereby Iumi5he0. ❑ CeNhed copy is fileA with t�e city Builtling Division. �a�e', AOP�icanC E%EMPTION FBOM WOHKEflS' COMPENSBTION OECLABpTION: (ThiS seclian neetl no� be Complet¢d if Ihe permit is Iar one hunaretl ($100) or less). I cetlily �hat in the pedormante of the work lor which this permit is issuea. I shall not employ any persan in any manner so as to become sublecl Io[ /Ihe WorkerQs' CompLen�saiion Laws of Calilomia. �� Date: 7 — Z / ` /� Sgnature'. NOTICE: II. after making Ihis aeclara�ion, yau shoul ome su6ject Io I�e Worker3' Compensatian provisions of I�e Labor Cade. you mus� forlhwiih comply wiih suc� pmvisions or Ihis Dermi� shall be OeemeE revokeA. CONSTHUCTION LENOING ACENCY: I �ereGy ailirm ihat there is a mnsimqion lending agency for t�e pedormance oi t�e work for wnicn Ihis pe�mil is i=.sued �Section 3a97. Civ. C�. LENDEfl: f ADOHE55: OWNEB BUILOEP DECLl�BpTION: I �ereby a�lirm �ha� I am exempt imm �he Coniraclors' S[ate License Law for the lollowing reason (Section 7031 5 Business antl Pmiessional Code: Any cily o� counry which reQuires a permi� to consbuct, alter, impmve, tlemolish, or repair any simc�ure. prior Io ils issuance, alsa requires Ihe applican� �or such permit �o �ile a 5igne0 sta�emen� �ha� �elshe is licensed pursuanuol�e provisians of�he Contractors' Stale License Law�ChaD�er9�commencing wi�h Sec�ion 7000� ofDivision 3 ollhe Business antl Protessions Coee) or that ne/she is exempt iherelrom antl ihe basis tor Ihe alleged exemption. Any violation of Section 7031.5 by any apD�icanl lor a permi� subjects �he apP��ant to a civil penalry oi not more ��an five huntlretl dollars (E500). I, as owner ol ��e pmperty or my emplayees wi�h wages as tAeir sole compensation, will Oo ��e woB, and �he ❑ 5lmciure is noi intenaetl or olleretl �or sale (Seclion 7044, Business antl Pmfessional Code: The ContracloK State License Law tloes not apply �o an owner o� a propehy who �uilds or impwves Ihereon, and who doe5 suc� work himseli/�ersell or t�mugh his or her own employees, D�ovitled Ihat suc� impmvemems are noi mtentlea or oflered for sale. If, �owever ��e builtling or imOmvemen� is soltl within one year ol completian, the'owner will �ave �he buraen o� pmving he/s�e tli0 noi build or impmve for �he purpose oi sale). I, as owner of Ihe pmpeny, am excWsively con�raciing wi�� licensetl coniractars �a constmct �he pwject (Section 7044, Business ❑ antl Pmiessions Code: The ConVaclors' State License Law tloes not apply m an owner o� Ompehy w�o bui105 or improves thereon antl who conimcls �or such prolects wi�A a contracror�s� license pursuan�to Ihe Contractors' Slate License Law�. I am aware Ihal pmai oi �heir Worker'S Compensalion insurance 5hou10 be provitled �o me. � I am exempt un0er Sec�ion gP 7 o G 4 B. 8 P. C. mr mis reaso�:C� AT T WORR BY �WNER ///�'�j��/f� Date: / � Z/ � �� Owner �/[�!� I Oo �ereby certify Ihat I am aware o� antl untlerslantl the requiremenls o� ifomia Health and Sa�ery CoOe Seclions 25505, 25533, and 2553C anA ihat I or any W�ure building occupani willlwill not (circle one) need to comply with said s�ate cotles antl I�e requiremen�s �or a permit br con9mcuon or moailicalion Imm Ihe Air Oualiiy Managemenl �iSUiq. Resideniial cons�mction applications are exemp� �mm Ihese pmvisions. oam�. noou�am: I hereby cetlify Ihal I �ave reatl Ihis applicaiion ana sta�e�ha� Ihe above inlormalion is correct. lagree to comply wiih allciry antl counry ordinances and s�atelawsrelating m builtling consVuclion antl he�eby aN�oriierepresenla�ives o��is ciryto enieruponihe above�mentioned pmperly lor inspectmn purpases. Date: L/ � J " �� Signamre: Drive�'s License ar Saciai Securiiy a: i641�a6 Wlnte—Builtling: Green—Cotle Enlorcement; Canary—Applicanf, Pink—Revenue: Goltlenrod—Assessor CI3Y OF COSTA MESA — BUILDING PERMIT PERM NO: E 061953 PERMIT NO: E 061953 PLA�i CHECR NO: N GOVT: N 5UPP: N CONSTRUCTiON TYPE; 5—N PERNIT TYPE: ELF. PURPUSE; OT� JOB DESCAZi�TZOD; : CONVERT EXIST. LAUNDRY ROOi4 TO 1/2 BATH St� FT: CLAZM �'ALIIE; CALC—VA�UE: GRc�UP OCC: R-3 / CUMN.zNTS: RE: B61952 PRIMARY BUILDING PERMIT. +:iEjf3@iEiEiEjE+E3E?EiE�IE?FifiF#####3E##�1fiEff####iEiflEie�lElEiEiEiEiEiE#1ElF#il�3F�lE##iFif##if#!F#iEiFit#####if##3f�Y-tF##ifY�,Y�?f Z O N I N GS ERTVBQAUC1KRSE M E N T S ------------ MAIN BUILDI33G ---------- --------- ACCE550RY 3UILDING --------- FRN3: FT IN RrAR: FT IN FRNT: FS IN REAR; Fi IN LEFT; FT ZN RGHT: FT IN LEFT: FT IN RGHi: FT IN PARY.ING REp• PROV; PARCEL: 42250305 ZNE: REF NO; PLANNSNr, NtSTES> 1 iE �F if if if if iF if if i4 u iE iE #!E ## iF # if iE iElE iF iF 3E if # 1f if ?f Y# ia i��if iF �N- # if� if �Je-1E iE iE �E iE �3E 3E ## if IF if ## if ## iF jE ## 9i ii� ## i6 iF ## if !E #�lf # iE # if D E �� E L O P M E N T S E'R V I C E S R E�1 U I H E M E N T S ZONiNG APPRO�'ED BY � DATE; BUIi,DING At�PROVED BY :_ DA1E: APPLiCATIdN ISSJEll BY: �g�� DATE: �;�7�' � 3f3fifihlEjtiEfElFiEiEiEjE7E#iE1F##�lEifiFz�'it�exxu . x�xx. fe ir'.a�zix�ts�tieit itif##�fiEiE'.Ei4#iErtna�irf.i.irx�rr��## �lE !f -lE if iE �li lrlE iElE i(-iF iE ?E iE ## iE # iE 9E iE if ## lElf )f iE iE iF if �lh if ii�?E 3E?E iE # 1E iE iE �1F :� �1F iE iE # if �f 1E iE # f416?f if iE if iE-%# iE 3f ###%�!F 3( # 1f iF # je �t±E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEG,yEiUT:N BLD.G PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GftAUI,UG PERMIT 5.25 . 50� SP�:I P /NON—RES PLAN �ssot F�� i-s.00 BUILDING—DIV—> PERMI3 ?55UE P?,'AN—CHECK TOTAL PAID DUE ITOTALS----> �.2� 15.00 0,00 20.25 L0.25 ,00 REVENUE UIVISION TOTALS--> COL��I'TED: 20.25 OVrR/SHORTr QO BiDr, PMT PLUMBiNG ELECTRIC MECHANIC FIRE SMIP/TOT Gr�,�D:NG PLAN—CHECK 20,25 � ic 1E if !E !E iE iE 7E !f !f 1E 1f ih iE �lE �lE iP # 1E if iF !E # iE iE �lE iE jf #�lE ?f iE fE iE �E4E �k iE iE iElf iE fE iE �lf iF i4 # iE iF f(� �lE *!E!f iE iP ### ##?F Yc # f�i� i'. #### if iE 3E # if'.(-if ?F S N T_� _T 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 Z P T I O N UNZT COS: T07A;.. COST Ei,E 1 FZkTUnES LIGHTING' 2 ST 20 EA, ELP 2 RPCEPTlSWZTCH 1 ST 20 EA. ELE 1 MOTOR/POWR APPARATiiS 0,0 — 1,0 HP ENLI OF FEES ,75 1,50 3.00 3,00 oi 00138212-0013E212 T O T 20.25 J UATE: D4/29/93 TIt1E: IsaS6 CONSTRUCTION AND PLAN1fNG APPROVALS Permit a`- 1. Temporary Electncal Service or Pole 1, Spil Pipe-Undrgmd. 3 Elcctrical Condu:t U?��itY�Undrgrnd. �4 Elecinca� Conduit�Ur.d�9md. 5. £!�..' Reinforcemsm _ � a� Eiectnczl UFER Gmd 7. Footings 8. Foundat�on - 9. N'ater Pipe-Undrgrnd, 70. Structurai Fioor Svstem 1 i. Praperty Sev✓er �ine, R Nouse Connect�on 72. Sewer Cap 13. Roof Drains 14. Rough PIumG�ng 15. Ro�gh E!eariral•Cortlu�t 76. Aough Electric4Viring ll. Rough Wiring S�gn 18. Rough Electricai-T Bar Ceii�nq 79. Rouyh Hzaling & A:r Co�diLcni�ig 20. Rough Faemry F�replace Zl. Dur.ti, in $truCtU1C 22. Duns, Ventilat��g 23. Gas Pipe�Rouyh & Test � 24 Roof F�aminy � 2h. Rc�f Sheathing Zo. T�6ar Ce:l.ng ISv�ct..�a�i & l.:o�ocoat 27. Frame and FldShin. 28. Lathing & S;d�ng 29. Insulation 30. Dryc:all i�a"hng 3'�. Plaster B�o�vn Coi.t 32 Electncal Pov:ar A�eter�Fina_ _ 33. Final Elecv�c �_ __ _� 34. Fin:�i HeaUnc 8i A�r Cor,d�:�,un co `s5. Fi�a! Cas Pipe�Te�,t 3G. Hood or G,c�py - _ _ 37. t�r,�l Fcctory Fireplac: 38. Final Plumtring 39. SVater Service�Final 40. Gas Service-F�,nai 41. Sn'�a� Domest�cr�nai A2 BacHtlo^: Preventer 43. Backflow Irrigation 4Q. Landscape irripauon Svstem, v a5. Sound A[tenuation 46. F:andicap Reyu�a!ions 47. FINAL STRUCTURE U' BUILDI�ilG 48. FINALPI.AiVNING 49. Electric Reiease to Edison 50. Gas Reiease to Southem C;.!ifornia Gas Date Date inspector � � POOL .PA APPROVALS Permit ;? 52. Pool & Equ�pment Locat-�on 53. Stael Reinforcement 54. Forms 55. Electricai Bondin� 56_Rough'Iumbing & p �st��e Tzst 57. ARPROVAL Tp CC\/FR�Gu�;;'E 58. Elactrica( Condmt�Undrgmn. 59. Gas Pipe, � Undrgrnd , TeSt 60. 8adcwash L'r.A�, P�TrdP.'-' L'� Cr3'ntl. 61. APPROVALTOCECK 62. Beacna>h & 'ieco�r.c- Fina' - 63. He2ter & Vent-Fina� 64. Plumb�ng SYstem F��ici 65. Elecvical-F�nal 66. Solar Syster��Fina� 67 Pencing & Acc?;s App. o.:,i 68. APPROVED POR PLASTER�R�G 69. POOUSPASYS'iEMSFINAC I FIRE DGFT, kEQUTAENiEiJ7 i � HPPROVA�_5 P�rn,�,� �.- I - �-1- 70. Untlerg�o�nd H��,.�a _- _ �._ Date �Inspector � i 71. Produc* °iping � Gas�� Od � i -- ' 72. Undcrground Flu;�� ___ � 73. Undcrgrnu. Stor T.nk '� �zi -' 0-- I�--- � - - I - -- - ----- i ---i -- 7�:. Ocen;ead H�;Lro i - -- - - ----�----' - ��- -- j'j �ry (�'hBR1iC3' � � 7G. Dry StancP.pe '-- - --i..- � -- - 77. FIXEp SYSTEAi� r INAL ' � - - -----j - - - 78. FiRE PREV_FI-'��--- ---� -- - - --_�- HEALI"H"DEPT REQUIflEi��°„i 7�. FIi:AI I�IS.'cCT.,;'` _ _ _-._ _ i _. __.�_____ /J. FOUDCcFTIf ^.�.TC_'._y,�r0- -�'-_- -- ��-- , i- �.,tt>: S-«-p ,�a� o.,nc�e� v., fleF �� : -- 3 - �--�..-- - --- ----- -_--___ __ __ ___ _._� _ __ _ 1 -- -- t --- - ' �_ r. _� I � I� � Applicant to fill in all spaces except thosa witnin heavy borAer lines antl sign all avPropriate ae[larations. CITY OF COSTA MESA CONSTRUCTION (pERMi`f�4, PERMIT NO. TRACT NO. LOT NO. UNi7 Nn ProjectAddress ao�9 ��Qe�,�Cos7dli�aCq I�TiI� Applicant's Mailing Address �' � ��9 Owner's N^am�e/ �� hone �p.2�_9 Address JU�09 "Pr%(`� �'a n'��, � ��( �-7 Arch/Eng. Licenu No. Address Conttactor's Nam p � / PAho/ne /s��QL�fqd7 Addresslm�'I'nnl O%� ✓I.U�PWC�qC.dJC G(a7� Ciry License No. 3�� g9 LICENSED CONTRACTOR DECLARATION I nereby attirm thal I am Iicensetl unUer O�ovisions of ChartGr 9(comm¢ncfng -•�•��h sectlon 7000) ot Oivision 3 of th< BuSin¢zs antl Prof¢Ssions Cotle, antl mv ticanse �s in ruu r rc ana ettect � �3 -��. 7 Ucense Cla Lice se o. Date ' Si9�ature WORKERS' COMP'cNSAT10N DECLARATION I hereby af8rm tnat I have a cerllficate of consent to self-insure ar a certificate M Workers' Compensation Insurance, or a cer[ifietl topY thereof (Section 800, Lab. CJ rolicy No. Company BCertifietl <opy is hereby fumizhetl. Certlfietl copy i5 tiletl wl[h tne <ity Builtling Divislon. Date Npplicant EXEMPTION F0.0M WORKERS' GOMPENSATION DECLARATION (This section neetl not be completetl If [ho permit is ior one huntlretl (g100) or less). I certify Ihat in ihe De�fo�mdncu 01 the wo�k fo� wnicn thi5 perm�t is issuetl, I shy 11 n0[ employ any person In any nner so a5 to bepomA su�ject�{o tne y0orker5'.Qo.rtyp�;alion taws of Cali or � A (' (� NOTICE: If, a(ter making tnls tleclaralion, you snoultliDecome suo�ect to tne Workers' Compensation provisions of the Labor Code, you must forthwith comply wit❑ such provisions Or IhiS p¢rmit Shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby aifirm'that there is a construction lentlin9 a9ency for the Oeriormance of tne work for which thi5 permit is issuetl (Section 309� Civ. CJ Lentler's Name � � Lentler's Atltlress OWNER BUILpER UECLARATION I h¢rtby afflrm that.l-am examPt trom th¢ COM�acto�'s LlcenSe Law to� tne tollowing reason (Sdctlon 7031.5 Busine55 an0 Professional Cotle: Any city or county whith requi�85 a pe�mit to ConSt�uc[, alter, improve, tlemoli5h or repai� any sVucture, prior to Its issuance, also requires the applicanl tor such permit to file a slgnetl 5tateTent lhd[ he/ihe Is liG¢n5etl pu�suant to the provisionz o( [he Contractor's License Law (ChaDter 9.(commencin9 with Section ]000) ot Division 3 of the Busine55 antl Profe55ions Cotle) or that he/stle i5 exempt theretrom antl the baziz tor the alleqetl exemption. Any vlolation of Section �31.5 �y any applicanl for a Permit subjects [he apPlicant to a nvil nalty of not more [nan five hundretl tlollars (E500). J I, a5 Owncr of •th¢ property Or my employee5 witb wages as thei� sole comp¢nsation, will tlo [he work, antl [ne structwe I5 not intentled o� offeretl for wle (Section 7044, Business antl Professional Cotle: The Contractor's l.icen5e �aw tloes not apply to an owner of a prooerty who Duiltls or improves thereon, antl who tloes such work hlmself/nerselt or throu9h his or her own employeez, provlEetl that such improvements are not intentletl or offerea tor sale. If, M1oweveq the Euiltlin9 or improvnment is soltl wilbin one year oi mm- pletioq tne owner wlll nave the burtlen ot proving he/she altl not builtl or im- ptove for th¢ pu�po5e Of sale). ❑ I; as owne� of the 0/operty, am exclusively cont�aCting with Iicensetl con- tractors to construct lhe prolect (S¢ttlon 7044, Bu5inC55 an0 P�ofesSions Gotle: ' The Contractor's. License Law dOes n0[ apply to an owner of pro0e�ty who j builtls or improves thereon, antl who contracts for such projects with a con- tractor(5) ucense pursuant ro t�e Contra<[or's License Law). I am aware that p�ooi of their Worke�'s Compan5atlon InSuranCE Shoultl be prOvitletl lo me. ❑ I am exempt untler Settlon 8. & P. C. for [nis reason Date Owner I hereby certlfy that I have reatl this application antl state that tha above intormation is correcL I agree to comply with all city antl county ortlinances andstate laws relatinq to builtlip 9 ns[ruc on, antl nereby authorize repre- se tatives of this cit f0 ont F n t above-mentionetl pr p� p erty !or �pection pos . 1 �r:/ � /�� a�� i7�a � �30 � — PE OFCONSTRUCTION T'1� Aoo ALTERATION REPAIR ❑ CONVERSION ❑ OEMOLISH ❑ OT�}�j R � DESCRIPTION OF WORK/USE OF BLDG. 1' blr.k� / TVPE OF PERMIT U GRADING LJ FOVNDATION LYSTRUGTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANIGAL ❑ OTHER PR0.IECT DESCRIPTION 5 � oCCUaAN v CONSTRUCTION TYP � VALUATION 5 ZONE GRADINGCU.YDS. ACRE$— Remarks: r1_ . i. �. n _ __ [/ 3ackflow Preventer 3ackflow Irrigation 3athtubs �larifiers � 7ishwasher �rinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors • Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fea $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating EzhaustSyscem ❑ MWtiple Firepl/Fact.Blt ICBO# Heating System & Ducting ❑ a i oo,000 aTu O i oo,yeJ nahre Date Drivers' License or 55 � ' ' I I Reinspeetion Fee I $15 ' CMF OB65-46, rev. 10/84 White - Builaing; Canary - AOP��anh Pink - Accounfinq; Goltlenrotl - Assessor PLUMBING $IlOW2I5 Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Piping Solar Tank Swimmin ool w/Spa Water Closet Water Heater Water Service Auto-Wash laue Fee iANICAL Hood or Type I ❑ Canopy Type I I ❑ Refrigeration System ❑aioo,000sru ❑ioo,000 Syst epair/Alteration ire Dampers � Registers luue Fee FEES A.P. # 5 Main Buildi E T Front � B Rear � A C Right � SLeft 2 Ping. Ref. # Planning Notes: � — � Auromatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device 8oxes Outlets / Garbage KW �5-15 $ 3 ' �— Reinspection Fae $15 FEES DEVELOPMENTSERVICES REQI LL' Zonin9 APProved By Building Approved By� Appliration Issued Bv $ 3 7034 II/12/96 � Zona Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW. Me[er LJup Meter �om Suh P �ors�0-1 HP �1'/:-8 Inc.Solar 09�15 HP �16-15+ Microwave ' Pole Light� � Range Sign Standing Sections Trash Compactor , luue Fee //' 73e93 TL . "�2 FEES $ 3 Z O N I N G R E Q M T S SUM VO FEES .�D BUILDING PERMIT $ __�$� SMIP $ PLAN CHECK $ L 3 PERMIT PLUMBING $ �SSUANCE $ PLANCHECK 25% $ ENERGVP.C. $- ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ 9 MECHANICAL $ TOTAL FEE � $ � ` PLAN CHECK 25% $ i J � i , CONSTRUCTION AND PLANNING POOL & SPA ' APPROVALS Permit # Date Inspector 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. 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, � 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 Plumbinq 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring � 67. Fencing & Access Approval � � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Foof 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 Notes: 34. Final Heating & Air Conditioning / i 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 pomestic-Final � 42. Backflow Preventer 43. Backflow Irrigation � 44. Landscape Irrigation System . , 45. Sound Attenuation � � "' 46. Handicap Regulations � � 47.,FINALSTRUCTURE&BUILDWG � L � 48. Special Requirements Completed 49. Electric Release to Edison ' 50. Gas Release to Southern Catifornia Gas Co � '; 51. CERTIFICATEOFOCCUPANCY � , No. Date _ / -i ORANGE COUNTY BUILDING DEPAP.TMENT 636 Notth Broadwoy � SANTA ANA, CALIFORNIA FOR APPLICANT TO FILL IN BUILDING /'j ADDRE55 �%(i(i'(A Forjqi±��_ SCHOOL DIST. OR TOWN NEAREST CRO55 ST. T/[ ..i_�t _ ai MAIL 9363 MIISHIRE BLVD. ADDRE55 cirv BEVERLY HILLS NOL CR. 5436 ARGHITECT�OJ� TEL ENGINEER I.AIN S� M�KERRACHER ryp.� SY. 64 9 ADDRESSQ 2��0 E. WALNUT ST.� PASAOENA 'ONTRACTOR NEMPORT VISTA CO.�o'CR. 5436 ADDRE55 9363 w��sH�Re BLV�.� BEV.HI�.�$ DESCRIPTION I LOT NO. I+�� BL __OCK � 7�_ �ATTACH METES & BOUND51 NO. OF BL�GS. 6% x 1�O NOW ON LOT � �G. INO.OF NO.OF Fnv.lues ROOMS DESCRIpT10N OF WORK BUIL�ING 1' NO. OF SIZE �O�Y SQ.F1 ROOMS � STORIES WALL ROOF COMPO COVERING STUCCO I COVERING SHINC USE OF NEW eui�o�Nc RESIDENCE . A?PLICATION FOR PERMIT � - YUIL�ING FOR OFFICE USE ONLY - �RE(C`EIPT NO. //�'ERMIT NO. , � T �� i � � 7� RECEIVE� PY DATE OF APPL. DATE ISSVED 6-z3 � �� s� SCHOOL DIST. /� _ !�_,�—� OR TOWN CiQ�_� NEAREST �/� CRO55 ST. ,(/(� �(I� [ �h/ ZONE -NO.OF TVP� j� ( I PLANS I /'I REARAY RDN�.r'1R1 l.. .i-�TSIDE VPRD APPROVED eV CORRECTIONS FOUNDATION: I HEREBY ACKNOW�E'JGE THAT I MAVE READ THIS FORMS, I APPLICATION AND STA7E THAT THE ABOVE IS CORRECT UNDER-P AND AGREE TO COMPLy WITH ALL COUNTY ORDINANCES FRAME: FIRE AND STATE LAWS REGULATING BUILOING CONSTRUGTION. BRACING LATH. IlJT. SIGNATUREOF NEMPORT VISTA CO. LATH.EXT. PERMITTE /� AUTHORIZED AGT � n�. J� A��_ PLASTER.INT g 4830.00 �P � g `Y�f FFF I V VALUATION � BOND BEAM FINAL APPROVALS nTiou iNsaec 21AL5, G t� 5. L TS �I � m 0 A n 2 D r DATE .7. ti' �' t Iti-:� W . ♦ • 2 „ � ' PLOT PLAN • '� u 0 rc , . a . . i ,, \ . , 1 �`. �'� -' ,Yt` : ('. `; !. ' \ �,'. _ , �.� � J .i \ . ��- . . . _ � . STREET • .J11� �'SII7� :.JJ:P:A .LYJ 7lIF.�lIF1 ' . I'�l .f',^, .,JJI . Y.'l3'/3 � . .Y-� .�:IJaI'.3:.J. . "IA� .11LCA7� ..T � -l'::JA / .. Cj j� :.� f '� . :, .�;' a��i!' � ��v=1 �� i';.v-' �.c-� �,n:-:_ �', ' '. , �- � , ..� �� " f � x � T'1.^� '�?.; � 09ta;J ]3_D:11'..; O7�Ui' . 3JI13 I .3 � . � . '. ' i\ � ".Ps l \. • C. r� AT^.I�� T'I�SIJ"�� :7.'.�'-,�