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Home My WebLink About3352 ALABAMA CIR - Building Permits(714) 754-5273 • Fax (714) 7543856 • www.ci.costa-mesa. ELECTRICAL PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: 3352 ALABAMA CI 13958113 BAHOU,GUS 23121LA CADENA UNIT H LAGUNA HILLS, CA Phone: 949-837-�199 Zip 92653 ISSUED BY: Owner: MC COOL, ANNETTE S TR Address 3352 ALABAMA CIR � Phone: , COSTA MESA, CA Zip: 92626 � Contractor: PRUDENTIAL ELECTRIC INC Address: 23121 LA CADENA UNIT H ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting FiMs Recept Ouflets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Molors to 1hp Motors to tOhp Motors to 50hp Motors to 100hp Motors over 100hp Communicalion dmps Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole LAGUNA HILLS, CA Phone: 949-837-1199 Zip: 92653 License: 680295 SCOPE OF PERMIT UPGRADE SERVICE PANEL TO 200A FOR A SFD. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $30.50 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 Quantity 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 ,� � � . � E�1� FEE SUMMARY Temp Dist System / Lighting Busway I100 N Standing Section Misc Elecirical Equipment Transformers up to t kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Olher Eledrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ' ISSUED Applied: 10/10/2006 Issued: 10/10/2006 �uantity $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 D $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $54.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all epplicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 2646C8 (NW) WORKERS' COMPENSATION DECLARATION: � I hereby eftirm under penalty of Derjury one of Ihe following declarations: ❑ I have end will malntain e certificete of consent to selt-Insure tor workers' compensetion, es providatl tor by sedion 3700 of ihe Lebor Code, lor the pertormance of the work for whiCh thi5 pertnit is issuetl. ❑, � bhave,erid will mainlain workers' compensation insurance, as requiretl by section 3700 of ihe Labor Code, tor the pedortnance of ihe work for which this pertnit is issuetl. M�t�vorkers' compensation Insura e carder and policy number are: /'� .. __ ^ Certier: SrCf7'� �(/iL � 1 ri S. Pi ,olicy.Number. - 9�J (This section need not be mp/eted i� the permlf is velued ef one hundred dollars (5100) or less.) `rb �-7 c�^ ��? /� l Q ❑ I certify �hat in t�e peAortnance of Ihe work For which ihis Dertnit is issued, I shall not employ any person in eny manner so as to become subject to ihe workers' compensatiomlaws oi Celifomia, antl egree ihat If I s oultl 6ecome su0�ect to ihe workers' compansatlon provisions of Section 3700 of Ihe Labor Code, I shall lonhwlih �ply-�,these ro �on _ � / Appli�N.Signatur . � Det� � i n_ I n � d 6 WARNINO: FAI�URE TO SECURE WOFKEFS' COIAPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDRED TFIOUSAND DOLLARE ($100,OW�, IN FDDITION TO THE COST OF CAMPENSATION, DAMAGES AS PRWIDEO FOF IN SECfION 3]O60F THE LABOR CODE, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I here6v aHirm.ihal I am licensetl undernrovisic CONS7RUC710N LENDING AGENCV: of Chapter 9(commencing with Section 7000) of Division 3 Cotle, and my licanse is in full ❑ I hereby aHirm that there is a conslruction lending agency for ihe performance of Ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lendefs Adtlress: Signeture: OWNER-BUILDER DECLARA710NS: Date: I hereby aHirm that undar penelty ot perjury Ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor �he following reason (Sec. 7031.5, Business end Protessions Cotle: Any city or counry which requiras e permit to construct, elter, improve, tlemolish, or repair any structure, prior to its issuance, also requires �he epplicant tor such pertnit to file e signetl stetement ihat he or she Is licensed pursuent to ihe pmvisions of t�e Contradors License Law (Chapter 9(commencing with Sectlon 7000) ot Divislon 3 of Ihe Business end Professions Code) or ihat he or she Is exempt iherefrom end ihe besis tor ihe ellegetl exemption. Any violetlon of Section 7031.5 by any applicant for a pertnit subjects the epplicent to a civil penelry M not more ihan five hundred dollars ($500).): ❑ I, es owner of Ihe property, or my employeas with wages as thelr sole compensation, WILL DO THE WORK, antl the structure is not intendetl or oflared for sale (Sec. 7044, Business and Professions Coda: The Contractors License Law dces not apply Io an owner of property who builtls or improves Ihereon, antl who does such work himself or herseA or ihrough his or her own employeas, providetl ihat such Improvements are not imentled or ottered for sele. If, however, Ihe building or improvement is sold within one year of completion, ihe owner-builtler will heve Ihe burtlen of proving ihat he or she ditl not build or improve for purpose of sale.). ' ❑ I, as owner ot ihe property. am E%CLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business antl Professions Code: The connactors Llcense Law does not apply lo an owner oi property who 6ullds or Improves thereon, antl who contracts for such pmject with a contractor(s) license pursuant to the Contractore License Laws.). ❑ I am exempt under sec. Business antl Professions Code for this reason: Signature: Date: Owner ID ventied by dnver's license. ❑ Ves ❑ No Dnver's License No. Verificetion af Ownership by (type of daument, I.e. - properly tas hill or tleetl): DIVISION OF INDUS7RIAL SAFETY PERMIT CERTFICATION: Expires: ❑ I hereby certify thet no excavation five (5) or more teet in depih Into whlch a person is required to descend, will be made in connection with work euthorized by this permit, entl that no building sirudure, scaHolding, felsework, or demolition or dismantling thereot, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Califomia Atlminisirativa Code). ❑ As owner-builder, I will not employ anyone to do work which woutd require e parmit trom the Division of Indusirial Safety, as noted ebove, unless such person has e permlt ro do such work from the division. Signature: Date: Division of Industrial Safery Permit Number: CERTIFlCATE OF COMPLI/WCE AND AUTHORRATON OF ENTRV: I certity under penalty of perjury that I have read this epplication'entl Etate that the Intormation given is correct. I aqree to comply with ell stata laws and ciry ordlnances relaling to building construdion, end authorize representalives of ihe Ciry of Cos[a Mesa to enter upon ihe ebove-described property tor inspection purposes. I agree not to acupy or allow occupancy of any building authorized by this pertnit until final iospection. COOE �. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 200 201 202 203 204 Pool Spa Finel Flnal Re-Roof Final BIocWRetaining Well Final Factory Fire Place Final Sign Final Demolitlon Qdj� INTRIALS $�QQf�( INSPECTIONTYPE 206 Final Mechanical 208 Final Plumhing 210 Final Elecincal 212 Flnal Flre Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy Dete / /n—�t0� C7h P� LNfIIlekfl ' / " T'- 23121 La Cadena Dme Suite H-1 Laguna Hills, CA 92653-1421 (949)837-1199 Fax(949) 837-1191 Prudential Elecbric, Inc. October 8, 2008 City of Costa Mesa P.O. Box 1200 1700 Fair Drive Ccsta 3�esa, Ca. 9?626 To Whom It May Concern: RE: 3352 Alabama Ct.. Costa Mesa. Ca. Our database/records do NOT reflect this address/property as one of our clients. Therefore, we cannot comply with the written request. If you have other supporting documentation, please forward to our office. Should you have any questions, or require additional information, please do not hesitate to contact our office. Sincerely, �^�� Geny Bahou Manager We Appreciate Your . . , . , , . . . . . . . . . . . . , . . . usiness (774) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DFIVE, COSTA MESA, CA 92626 EIECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: 3352 ALABAMA CI 13958113 ARLINGTON,DAVE 109 N MAPLE SUITE D CORONA,CA Owner: MC COOL, ANNETTE S TR Address 3352 ALABAMA CIR COSTA MESA, CA Contractor: MOHR POWER SOLAR Address: 109 N MAPLE ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixls Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors to thp Motors to tOhp Motors to 50hp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits SUITE D CORONA,CA Phone: 909-736-2000 Zip: 92880 Phone: Zip: 92626 Phone: Zip: 92880 License: 661434 Status: ISSUED Applied: 09/17/2003 Issued: 09/17/2003 ISSUED BY: �,�� _ SCOPE OF PERMIT INSTALL 22X56 PHOTOVOLTAIC SYSTEM ON THE SOUTH SIDE OF THE HOUSE. $23.50 $0.00 30.00 $0.00 $0.00 50.00 $0.00 $o.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw .:..............up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Chrislmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $1820 1 $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 D $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 30.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 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•92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlons end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 zaasra�vao� WORKERS' COMPENSA710N DECLARATION: — I hereby eHirtn under penalry of perjury one oi ihe following declarations: ❑. I heve and will malntain e certificete ot consent to self-Insure tor workers' compenselion, as provitletl tor by seclion 3700 of the La6or Code, tor the pedormence of the work for which this pertnit is issued. a and will maintain workers' campensation insurance, as required by section 3700 oi the LaDor Code f rtormance of the work tor which this pertnit is issued. W kere' compensation Insurance wrder �a+nd I� number ere: artier: � C°id N.r �Ai Ni� J/�%L- G Policy Nu ber 6 O 1 � O�/ z-S � ion need not be c plefed i/ fhe permit is valued ef one hundred dollars ($100) ar less.) ❑ I certify Ihat in ihe pedormance of the work for which ihis pertnit is issued, I shall not employ eny person in any menner so as to 6ecome subject to the workers' � n laws of Calitornie, and agree that if I sh k become subject to the workers' compansa��t��'�oonp.�p[[rnnn��yIsions oi 5ection 3700 of the Labor Code, I shall forthwith camplyy�ith't 'S8 provi5ions �—\ / 9�P�n gna�u . ( Date: � �'�/7 a3 LURE TO SECURE WORKERS' COMPENSATI � VERAGE IS UNLAWFUL AND SHALL SUBJECT AN E OYER TO C MINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T/qUSAND00LLARE�E100,000),INADDITIONTOTMFf� OFCAMPENSATION,DAMAGESASPROVIDEDFORINSECTI THELABORCODE,IPIrEREST,ANDATTOFNEY'SFEES. LICENSED CONTRACTORS DECLARATION: lAerebq-effin+rtkat`m licensed und provisions of Chapter 9(commencing with Section 7000) of torce and eHect. Lic. M_ ._ Fj �� `f and Professions Code, and my license Is in full Q f� CONS7RUCTION LENDING AGENCY: � �� ❑ I hereby atfirm that there is a constmction lentling agency for ihe pedormance of the work for which ihis permit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Lenders Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby ettirm that under penelty of perjury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Buslness end Professions Code: Any city or county which requires a permit to constmc4 alter, improve, tlemolish, or repair any stmcture, prior to its issuance, elso requires ihe epplicant for such permit ro file a signetl stetement ihat he or she is licensed pursuam to the provisions ot Ihe Contrectore License Law (Chapter 9(commencing with Sedion 7000) of Divlsion 3 ot �he Business and Professions Code) or Ihat he or she is exempt theretrom and t�e basis foi Ihe alleged axemption. Any violetion of Section 7031.5 by any eppliwnt for e pertnit subjacis Ihe applicent to a civil penalty of not more than five hundred dollars ($500).): ❑ I, es owner oi Ihe property, or my employees with weges as iheir sole compensation, WILL DO THE WOFiK, and the structure Is not intended or oHeretl for sale (Sec. 7044, Business and Professions Code: The Contradors Licensa Law does not apply to en owner of properry who builds or improves ihereon, and who tloes such work himself or herselt or through his or her own employees, provided that such improvemenis are not intended or ottered for sale. If, however, Ihe building or improvement Is sold within one year oi completion, the owner-builder will have the 6urden of proving that he or she did not build or improve for purpose ot sale.). • ❑ I, as owner of Ihe property, am ERCLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions Cotle: 71ie coNrecmrs License Lew does not epply to en owner of propeny who builds or impmves thereon, end who contracts for such pmject with e contractor(s) license pursuant m the Contractors License Lews.). ❑ I am exemp� under sec. Siqnature: Owner ID venfied by drivers licanse. ❑ Ves ❑ No Business and Professions Code tor Ihis reason: Verification ot Ownership by (type of document, I.e. - pmperty tax 6ill or tleatl): DIVISION OF INDUSTRIAL SAFE7V PERMIT CER7IFICATION: Drivels License No. Date: Ezpires: ❑ I hereby certify that no excavation tive (5) or more teet in depih Into which e person is required to descend, will be mede in connection with work auihorizetl by ihis permit, antl that no building structure, sceHolding, falsework, or tlemolition or dismantling thereof, will be more than ihirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Administretive Cade). ❑ As ownar-builtlar, I will not employ enyone to do work which would require a permit irom the Oivision of Indusiriel Satery, as noted ebove, unless such person has e pertnit ta do such work from Ihe division. SignaWre: Date: Division of Industrial Safery Permit Num6er: CERTIFlCATE OF COMPLIANCE AND AUiHORVATON OF EMAY: I certity under penalty of perjury that I heve reaC this application and state ihat the information given is correct. I egree to comply wlth all stete laws end city ordlnences releting to bulltling conswction, end authodze representatives of the City ot Costa Mese to enter upon lhe abova-described property for inspection purpases. I agree not to occupy or allow occupancy ot any building authonzed by ihis pertnil until finel inspection. LOOE �. 1616 1286 200 201 202 203 FixeO Sysiem Final Fire Prevention Pool Spe Final Final Re-Root Final BIocWRetaining Wail Final Factory Fire Place Final Sign 204 Final Demolition � � in�,ni� RI f�QQ�( INSPECTONTYPE 20fi Final Mechaniwl 20B Final Plumbing 210 Finel Eledncal � 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupency Date GAiE It�lL9 • • _, 1�,�U1 r • . � � ►� o � y 9 4 � �,1 (11:AY TO PROCEED H�'i_.�N CHECK. THIS DOES NOT TI;Tti FINAL PLANNING APPROVAL. BY:�% � � Ro ,� �-�D �l c .� v � c 33f2 d� p19i�n A ��2 Co �� `` Es A-, c A C��9) �.f9 � 98J' 1 \I I ' r' ' ApPlicant to fill in all spaces except those wit�in heavy Dortler lines and sign all appro0��ate tleclarations. CI.TY OF COSTA MESA � (r.J�SIS:�RIICTION PC-RMiT� P� rn�+� . S' �. cuino .J� . Applicant's Mailing Address �• ! r f" %�I�sr Owner's Name �S�J ��' Phone �,5�� 7p�S Address 33S Z ,q� asri6f 1✓� ' - Arch En E �m`i+- ��'✓,� ��`-n License No. �7 00 9 Address � G/G,A- Contractor'sName � � � Phone�d Addresslmailingl �/ yyo S4/�c�-+ �%' �"�v� �i`r i City Licunse No. '� Z 9 _ _ LICENSED CONTRACTOR DECL RATION � � I hereby affirm that I am licensetl untler provisions ot Charter 9(commencing with sec[ion 7000) ot DlviSion 3 of the Business antl Professions Cotle, antl my license is in (ull force antl effect. License Class '" icens N N G Date �f' � - Y; Signature WORKERS' COMPENSATION DECLARA ION I hereby atfirm that I have a certiticate o� consent to selt-insure or a certificate af Workers' Compensation Insurance, or a-certlfietl cqpy tnereof (Section 3800, Lab. CX ,I `/T� wy ��-/+� ' � P�y No. T�� 6 �� Company U/ T/� �"'��'- Certified copy is hereby tumishetl. � �. � � C�rtifi� copy ys filetl with the city� u' i�n�g /py�Isi ; �, Da[e � T J Applitdnt$=� EXEMPTION FROM WORKERS' COMPEN4ATION DE LARATION � (Thissection neetl not be completetl it the permit is for a�ee huntlretl (y300) or'7 1¢55): � T Y' � I c¢rtify tM1at in the pe�formance Ot th2 work fo� which�th�s pe�m�t is'issuetl, 1" sM1all not employ any perzon in any manner so as to 4ecome subject to the��: Workers' Compensation' Laws of California. �i �N , Date Si9nature �.' NOTICE: If, after making this tleclaration, you shoultl become subject to the�" Workers' Compensation provisions of the Labor Gotle, you must forthwith compty with such provisions. or this permit,shall be tleemeG revoketl. � CONSTRUCTION LENDING AGENCV � 1 hereby at(irm that there is a construction lentlin9 agency for Ihe performance ' ot the work far which this permit �iz issuetl (Section 3097 Civ. CJ Lentler•s Name � - , Lentler's Atltlre« �Tn ��+� OWNER BUILDER DE LARATION � � � ' �. I her¢by a(firm that I am Exempt f�om [M1e'Cont�acto�'s License 12w fo��the ' tollowing reason (Section 7031.5 Business and Professionab Code: Any city or county wnich requires a perinitto consVuct, alter, improve, aemolish,or repali Iany structure, prbr to its issuance, also requires the applicant tor such permit to file a signetl 3tatement that hE/she i5 licensetl pu�suant to the proviSiOns of he Contractor's License Law (Chapter 9(commencin9 w�th Sectlon ]000) of Jvision' 3 of the Busine55 antl Profe55iOn5 Cotle) or Ihat he/She.iS ex¢mpt aerefrom antl the basis tor tne allegetl exemptlon. Any vlolation 0f Section � /031.5 by any applicant tor a' permit subjects the applicant to a civil �endlty of not more than tive hundretl tlolldrs ($500j. � I,'as owner of, the property'or my employeei with waqes as their sole compensation, will tlo the work, antl the structure is not intentletl or offeretl for sale (Section .7044, Business antl Protessional Cotle: The Contractor's License Law tloes not appry to an owner of a property who builtls or improves thereon, antl who tloes such work himsalt/herself or tM1rough his ar her own employees, proviaetl tnat such.improvements are not intentletl or afferetl for sale. If, however, the builtlin9 or improvement is soltl within one year ot mm- pletion, the owner will have the burtlen ot proving he/she tlitl not builtl or im- �rove for the purpose oT sale�. I, as owne� of the prOperty, am ezclusively cont�acting with licensetl con- tractors to construct the project (Section 7044, Business antl Protessions Cotle: The.Contractor's License Law does not apply to an owner of property who builtls or improves thereon, antl who contracts for such projects with a con- tractor(s) license pursuant to,the Contractor's License Law): ❑ I am exempt untler 5¢ction � B. & P. C. for this reason Date Owner � I he�eby certity that I have reatl Ihis application antl state that the abOve informatlon is wrrect: 1 agree to comply with all city antl munty ortlinances antl'state laws relating to builtlm9 construction, antl hereby authorize repre- Sentatives of'thi5 city to ent¢r pon the above-mentionetl p�operiy tor Inspection p r es. ' ' Signature Date/� L-�3 CT — — Q v J 1 TYPE OF CONSTHUCTION `NEW ADD ALTERATION . REPAIR ❑ COfJVER510N ❑ DEMOL H � OTHER DESCRIPTION (�' WORK ��"'C�S � ��1 v c �ry� � t.�+� ^ . TVPEOFPERMIT�y LIGRADING FOUNDATION STRUCTURAL ❑ TENANT L� ELECTRICAL �PLUMBING MECHANICAL ❑ OTHER i PROJECT DESCRIPTION 5Q. F7^_ •t ��icCVaArvCV - CONSTRUCTION TVPE V �� VALUATION $ �F! 20NE GRADINGCU.VDS. ACRES Remarks: �%/`U "/ � _ .. 2 -� . . Sink Drinking Fountains FloorDiains';-;� � � Floor Sinks � ' Gas Service • Outlets , Interceptors � � Kitchen Sink - lavatories' .� ' ' � B-Trep • Roof'Drains `• � � � Reinspection-Fee uct - Under, Grc uct- Structural $25� Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ai oo,000 aTu O i oo,000 � �r�vers• License or 55 � � I I fieinspection Fee I �$25 CMF 0863-46 rev. ]/83 White - Builtling; Canary - ApD��anh Pink - Accountlng; Goltlenrotl - Asseszor Service Sink aewer i,ap , , Sewer Connec[5� ^� r Solar Collectori-� �� :- � Solar Piping '+?'- s ..,r Solar Tank ' Swimming Pool w/Spa r � Urinal �.7�; ��-''�. , Water Closet'� ' Water Heater . Water Service _ Issue Fee INIVq.HL � � . Hood or Typel ❑ • Canopy � Type I I ❑ � Refrigeration System - Oo-ioo,000aTu ❑ioo,000ai System Repair/Alteration . luue Fee A.P. �k I � S Main Bu E T Front B fiear A C Right K Left S Ping. Ref. # '7 � UseofBufiding: FEES Planning Notes: =N Z }� S�G ' .e_x�s� �.:� Automatic Washer 2 '� $ 3 �_��: :-.� r Zone Accessory8uilding:�, � . Z —(( -- O � cx ' N 1 N . , G � R E Park:Fees $ � Cooking Unit . Dishwasher - Dryers ❑Gas ❑Electric Fan ) . F.A.U. ��' � , Fixture5 ;g i'� % -" DeviceBaxes �. ' � �''4 � n�, Outlets �� - ,.� ,i^: Switches 1 '� �^' GarbageDisposal•� � �^ ' Generator 065 KW��5-15J � = Reinspection Fee� � ' � PUBLIC SERVICES REQUIREMI 2oning Approved By�: _ Application Approved By-; Aooliwtion laued Bv� R E N E N T ICAL ,' TransfOrmer � 15-50 KW , ❑ 50'+ KW Meter �up to 100 amps �- Meter ❑over 100 amps Sub Panel Motors �0-1 HP 01 %- 8 Inc.Solar �9-15 HP �16-15+ Pole Light Range "' � . Sign � • � � �I Standing Sections ' , � Trash Compacmr.- � � ' . . Issue Fee � $ 3 ., , i ' - SU V OF FEES BUILDING PERMIT,. $ � r.��.� SMIP ' � $ �,03 �PLAN CHECK.�� '- $ �� ^ PEfiMIT � PLUMBING �• !'� $ `< <��• �0 ISSUANCE $ ' PLAN CHECK;�' $ ��Z'• O ENERGV P.C. $ ELECTRICAC ,-� $ - "`V GRADING $ ' "PLAN CHECK. �� $ �� O MICROFILM $ MECHANICAL� 1�1 $ " � •"`� TOTALFEE $ 22S � �PLAN CHECK ' �' $ : • OO _ . .___ _ _ . . _.1 ._ .� _ i� . � . _ . �CONSTRUCTION AND PLANNING '� P0� a SPA ° Date Inspector Date Inspector APPROVALS Permit # ; APPROVALS Pe�mit # '��1. '4�emporary 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 ,,�i 58. Electrical Conduit-Undrgrnd. 8. Found'ation . - f 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. ; i': ., 60. Backwash Lines, P-Trap, O Undrgrnd. � 10. Structural Floor System �%� � Q S 61. APPROV,AL�TO DECK 11. Property Sewer Line & House Conriection �� 62. Backwash & Receptor-Final 12. Sewer Cap � �; ��;� 63. Heater & Vent-Final 13. Roof Drains � � 64. Plumbing SYstem - Final 14. Rough Plumbing �� 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final � 16. Rough Electric Wiring �//3 G 67. Fencing & Access Approval � r 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING A8. Rough Electrical-T Bar Ceiling,'^ 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning �_G �� FIRE DEPT. REQUIREMENT � .20. Rough Faciory Fireplace .�_ '.,. APPROVALS Permit # 21. Ducts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating 71; Product Piping O Gas ❑ Oil 23. Gas Fipe-Rough;& Test J. 1��` 72. Underground Flush � 2�. �lF.Framin - ��3 73. Undergrnd.SmrageTank OGas ❑Oil , 25. Roof Sheathing pe"'a� R�. ��G_ � S �� 74. Overhead Hydro 26. T-Bar Ceiling (Stiucturall'& Monocoat 7. Dry Chemical � � 27. Frame and Flashing '� �� 76. Dry Standpipe �. . 28. Lathing & Siding �' �'� 1- (�.$y (�/�� 77. FIXED SYSTEM FINAL 29. Insulation - f-G� �� 78. FIRE PREV. FINAL 30. Dry'wall Nailing ' � jl�� sf-- �, HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat., � � 79. FINAL INSPECTION 32. Electrical Power Meter-Final�'; - ;'f `BO::,FOOD':CERTIFICATE ISSUED 33. Final Electric • , 37J Note's: � 34. Final Heating & Air Conditioning ��8 �/� ' '�:� ' �� S¢� 35. Final Gas Pipe-Test ' � S ��,�� 36. Hood or Canopy , .i� .� i.�%S�ts.�Q . [=r � � 37. Final Facfory':F_i eplace '; �+ ., �3 �i . 38. Final Plumbing' ` . _ /Z �( �S (/jYOe Y . (q�% � O 39. Water Service-Fina4 � • e � � � � ; 40. GasServ'ice-Final -j ,'-�' . i%'� m0 41. Solar pomestic-Final `` ,'� . � � � �� 42. Backflow Preventer �' s - da i? t 43. Backflow Irrigation � � ' � , �Z "� '. � ' ' - � ' 44. .Landscape Irrigation System . . � � r � c 45. Sound Attenuation ' � G�� B 46. Handicap Regulations ., y ay- alµ,E LL:'�T' � k oF ,�+�• �/'c C� 47. FIN�AL STRUCTURE & BUILDING � i C� 0 � 48. Special Requirements Completed � , 49. Electric Release to Edison ' . � 50. Gas Release to Southern California Gas Co ' � • �• � 51, CERTIFICATE OF OCCUPANCY '� No. �� Date . ? � � CityofCostaMesa INSULATION CERTIFICATION� a��d��9s�fet„o;��5;0� �3 5 �. 1-�%��a �° . 1T7, d � . Number and Street City County Subtlivision Lot Number DESCRIPTION OF INSTALLATION ROOF ' �' � Material �M�� 'T� � 1- fl' �' f�v �� rand Name Thickness (inches) Thermal Resistance (R Value) EXTERIOR WALL!�.. /�'� //� � � Material f` (. �� Vr �/ �,� SS Brand Name �%�,u�-( ✓/,5 l� �2 r h � f7 Ci �� i Thick�ess (inches) � Thermal Resistance (R Value) � CEILING � ` i I� Batt or Blanket Type �� n"� � I G S S Brand Name �LcJ—t ✓/ 5 o r v� i N y Thickness (inches) � Thermal Resistance (R Value) � �'J Loose Fill Type Minimum Thickness (inches) � Area Covered (ft2) FLOOR,ELEVATED Material Thickness (inchesl FLOOR.SLAB Material Thickness (inches) Width (inchesl� FOUNDATION WALL Material Thickness (inches) Brand Name _ Number of 6ags Weight per bag Ib. Thermal Resistance (R Value) Brand Name Thermal Resistance (R Va Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance (R Value) DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current regulations setting Energy Conservation Standards for new residential buildings Ilocated in Title 24 of the California Administrative Code). ,�� J� /�/ i � .� �s o � 3 �l �i �G � Generel Contracror (Builderl License Number i � w vi�e � � — 3 � � �i Signature and Title Date Su6 Contractor (Insulation Applicator) Signature and Title CMF 1306-30 License Number Date rxaECT aooeess: � r OWNEN'S NPME: .. � i c� ��a�'��'�t,��'' FOUHESS:' "' - � � H•::•-^ • - ]" - `F�..I��i:'.t CD� ` ,:��5"'ti ..�Sf:, �A � AFCHIENGINEEH: ( 7' 4' 7 � G- 6 9� J aooncss: uxiT: 3::��5 flEG.NU.: uxiT: PEflMITTEE: �C�. _�� : _F.S�' .�OOF CARc � 7.4 ) b� � -�% G :: AODflESS:. ��; ......� �::F�RD 5•� + V •�� ,�� ac7 �a 9z��,� LICENSEO CONTFACTON OECLABATION: I herebY a�firm ��at I am licensed under pmvisions af Chapie� 9(commencing wil� Section 7000) oi Div�sion 3 oi �he Business antl Pmtessions Code. an0 my license is in tull force antl efleci. CITY LIC.: ^ Y r� 3 c STATE LIC.:J O L � O V cuss: �_, e Oa�e: S � ,20 % rf`1 SigreWre: ��_O.e—C�O+a WOHREflS' COMPENSATION DECIAPATION: I hereby allirm �hai I have a cerlificate al consen� �o sel4insure or a cehi�icaie of Workers' Compensation Insurance, or a cer�dietl copY �hereof (Section 3800. Lab. C�. POLICY NO.: � Q 4 2 Q Q(� - 9 �7 E%P. UATE: O 9 I O i� 9 � COMPFNY: �' �A^t ` �T\'J ❑ Cenifiea copy is hereby lumished. 0 Cenifiea coDY is filetl with ^ihe city Building Division. oaie: J Ia-UI� qpplicanL� `/� �Q+"' E%EMPTION FBOM WOflKEflS' LOMPENSATION OECIABATIOR (This section neea nol be cample�e0 i� Ihe permit is �ar one huneretl �$100� or less�. I cemly I�at in I�e peAarmance of �he woB for whic� Ihis permil is issued. I shall no� employ any person in any manner so as �0 6ecome sublecl Io Ihe Workers' Comp¢nsation Laws af Calitomia. Oa�e: Signa�ure: NOTItE: II, ai�er making I�is Oeclara�mn, you s�aWd hecome subjec� to �he Workers' Compensaiion pmvisions of ��e Labor COEe, you musl fotlhwilh com0ly with such pmvisions or Ihis permii shall �e tleemetl revoked. CONSTBUCTION LENOING AGENCY: I hereby alfirm Ihat ��ere is a cons�mciion lentling agency brihe pedormance of Ihe work �or whic� ��is permil is i=.sued (Section 3097, Civ. C�. LENOEN: aooness: OWNEfl BUILOEB DECLAAATION: I hereby aHirm Ihat I am exem0< «om lhe Coniracrors' S�ate License law for the following reason (Seciion 7031.5 Business ana Pmlessional Coee: Fny ciry of county which reQuires a Oarmit �o conslmci, alter, impmve. demolish, or repair any slmclure. prior �o i�s issuance, also repuires Ihe appllwnt �ar such permil to Iiie a 5igne0 slalemen� �ha� �e/she is Iicen5e0 pursuanl to ihe pmvisions o� ��e ConlractoK S�a1e Llcense Law (Chap�er 9(commencing with Section 7000) o� Division 3 of lhe Business ana Prolessions Code) or Ihai �e/she is exempl Iherelrom and ihe basis �or �he alleAed exemption. Nny violation at Sec�ion 7031.5 by any applican� for a permit sublec�s Ihe apPlicani �o a civil penal�y of no� more than live hunOreO tlollars ($500�. I, as owner ol Ihe pmperly or my employees with wages as Iheir sole compensa�ion, will tlo the work, and �he ❑ slmclure is no� inlenAe4 or o�feretl �or sale (Section 7044, Business antl Pm�essional CoOe: The Conirac�ors' State License Law tloes nol apPty to an owner o! a property who builds or impmves �hereon, ana who daes such wo�k �imSelV�erself ar �hmugh Ais or �er own employees, pwvieetl �ha� such impmvement5 are nol inlen0etl or oflerea �or sale. II, however Ihe builtling or impmvemenl is sola wilhin one year of completion. Ihe owner vnll have ��e burtlen ot pmving he/she Oi0 not builtl or imDrove for t�e purpose a� sale�. I, as owner of ihe propeny, am exclusively conlrac�ing with licensetl contractors �o constmc� �he Drojec� (Sec�ion 7044, Business ❑ an0 Prolessions CoOe: The ConUactors' Sla�e license Law tlaes na� apply �o an owner at pmperty who huilds or impmves thereon and who contrac�s for such pmlec�s wiih a con�raclor(5)license pursuant�o �he ConVacrors' Staie License Law�. I am aware Ihat pmal oi their Worker'S Compensa�ion insurance ShoWd be providetl �o me. � I am exempt under Semion: B. 8 P. C. I lor Ihis reason.- Oale'. Owner tlo hertby ceriify Iha� I am awaro of antl untler5iantl the reQulrements o� Cellfomia Hoal�h antl Sa�e�y Cotle Sec�ions 25605, 25533, antl 2553A antl I�at I or anV �uWre �uiltling occupant willlwill no� (circle one) neetl to comply wi�h said sta�e coAes and �he requiremen�s lor a permit for cons�mc�ion or matlificalion imm Ihe Air Ouality Managemeni �iSVici. Nesitlential cons�mc�ion applications are exemD� ��om �h2SC p�Ovi5i0n5. Oa�e: ApPlicani: I hereby certify IAai I have reaU Ihis ap0licalion and s�aie Iha� �he a�ave in�arma�ion is correct. I agree to compty wi�h all ciiy antl county oramances antl sta�e laws relaling lo buildmg consimction antl hereby au�horize representalives of Ihis ci�y �o enter upon the abave�meniionetl proporry forinspec�ion purposes. - , / �� / � � SignaWre: � � C' �-a'-v`a� oaie. n.��o, � i ��o��o �, c��i co.��,�w <„-.-. � � � � t64L46 Whpe-Builtllnql Green-Cotle Enforcemenl; Canary-Applicanl; Pink-Revenue: Goltlenrotl-Assessor __^S �J' -�L�H .�EJ.� - � __� .._ L ... ^ �...� .�_' _ "_ � ��:.,.- >:�. r �6:.��: � �a:. _..�_.. �c: :� _. . _ . :� _ �?_ . :: CO?.STR;,_?�0:. :YPi. `-?; Pa^,::;� ':YPE: �.R _ _.,: __-, r.�_ �� E5=3�?'.'�J?i .:!C CCY.?0 Sfi=XG:,�5 E a?2:.Y :CEn Cn;.c,_ cC_ F:': _,?0� C:.A_:'. ''�:.:.... 5, 200.00 CA:.C-VA:.:._. ,"00. C� „R�'-- OC_: '.-3 !':-: ��.�r:.�...��: '.. \L ..i-^C.i_RS "ZrGI.,�L17 Pi.'� '�'t3�L �J, C=� �*��,��#��*�*�E>��*�#�*��}�*}��*��u#��, ��.�,.:E�9,.� �.._ , KE DETECTOR Z � ;i .. .. G R E =� � � E _. _ :: _ ��MO + .� r s F, a-a c'i: s RF�!?lRED _ 4.p. 1' Pr,_��..4�'i '__'_'____ _________ �•_r� "'a�� a•• __..� _"______ =R�,�.-------- =�, TtEAP. • : ` IU F9.1'. :�.' "" _ 'tFS.�'^.y - :,: t : . - . I:�. �lih; . FT I:� .,.�^.Y'= . ' . _T:i �.(".,f =". r.;. '�i ?ARRiti;, REC�: PRCV; PARCE�. :35=�;:3 ZtiE; REc :iG: 2�A:�:�:i1G �G'"ES> i jf3fiF+cififx#�f+iuii?E+ificaFiF#�?a?cif#?f+::ti(�?E+t+f#Eifu}.iF�ft#iEiFlFi°if:7####.`.��E#siFib+l�iF:itF�ki��#f.r 'iii-.'-, .. �'�" x : . #,:+t+r±�- D E V E L O P:! E � T S E R V I C E£ k E Q:7 � 2 E.. _*; ': � ZO:��\G APPRU�,�=P 3Y �A'_'�: / BJIi.D��G A?P�t]VED HY : - -- -'`/A� LA':'E: T/ APP�=CA:Iu1 :SS:;F.D BY: ` %"// D.�T=: �$'/,�a�%% ifdEifif�dE�k?E?fiie�N-ii�?fiE�7Fif9FuiFf?F�i x��'�'irfi� :�#i??:{ , r.: sr: # •�,.{ ,. �/��/ .: :'�� .�"i'.�"#'ia i. :` f r .'Y+: a?.'i'.". :'+�F'ii': x if?cjfEus.�a;iEltif�k�kifa!�#iFiF?FififiF4ffi.-:Eii+�#)f##if��##iF�3E�MiE:f�lEifi��',:i;##3E##iFii�#%iF#if�ss��i . , .. �'" . '.:rfi.i:!'�i-a%•. :.EvA:,iZA':T_0�::�: F E_ S',.' tis" �: A R Y 5_'R:,'C':.':3.:� ,`,'G::E:. :1 H�DG P?' PL:;:?B_tiG EL�C:P,�C `:ECH.vti=C -,3E _..:?!.��5 =zNJ,.::, ?.`^..�:'�.�. i+i.�� . .�� t�:,a1:� • J'�.'_?i:'o�.`!".�%'s ISS::E FcE " , �::Z:,DItG-J�V-> PE�X_T �55"E 2�e�\;CYx�C'f. '"GT�' ?r��^ .:�E :u_ALS----> 8:.:,2 0.00 0.00 3`_.`Z 3�.5_ % .C� REVE\JE J'CJ'SIUti "CTA'S--> CO-�EC:'ED• 8_.:,2 GV3R/5'r.uR:: �� 3:.DG ?X; P;..;Jv9=tG _:,EC:R�C :+:ECHA.ti;C �. c IRP S:!_P/T0= GAi�.� ;�:�= P:.A1-C :�C:: 8? . 00 �/,� . . 52 s, dE iE iF 4 iE ie 3E if iF if ?F iE?E> iE i� #� �f'4 if iF ?E ii Y-i4 f iF }�. if +c ic #{F x+E �E if'f iE ?=.1f iF if iF ##?e! k 3r *� iE :' iF �:' if :: +'� i-. L+c ;:- tr •r �.:. .: ... :' � w i� ik �- ��:�:v:�:.�aL r t� aR�A�� o:�.. 3YP� �i:Y � � s c�_ D-��o � ;;x,. ccs: :;:�a: ��'�- SiR �200 RaKfaOt BY VA:.U� Rc'STDEN:'�A:, \OZOt�it :,00 ' =,�,J.'�.0 ��n ar �=Fs i ' A"` O1 0�139527-00139`?8 T4T 81.52 - DATE: 05/20/93 TItlE: 1?:34 I ' CONSTRUCTION AND PLANNt�G I APPROVALS Permit# i. Tempo�ary Etecuical Servicea Pole �. So�i Pipe�Undrgmd. . 3. Electncal Conduit Uh�ity�Undrgmd. I G. F.ec.tncal Condu�t�U�d�gmd. 1- - ' 5. Sl:_: '.:�n�o�c2rne�[ 6. Elee[neal U�ER Grnd. '��, --� Z Fcot�r'as � 3. � o�-,�ai�on ��, i9. V�,'ater ?�pe-Undrgmd. �. ' 10. 9�urturai Floor SYstem i 1, cr�per:y S?,:rer Line & House Connection 12. Se�ier Cap � 13. Poof ��a�n5 ~4. Ro�nn P,�mbiny 75 Ro�gh Electrlca��Condurz � to. Rough EIeC.ricWiring ' ___ ' 17. Rcugh',1'inng5�gn 18. Rc��h Elec!�ical�T Bar Ceil�rg t9. Rough Hea.lny & Air Condition�ng �C So�.. �: �ac.ory F!reo;ace 21. J..c[s, �� Svucture 22. DuGts, VEntilatinc� 23. Gs ?ip_�Rough & Test �4. Rooi Framing 25. Roof Sheaihing �------ -� 26. �I -Ear CeiLng fSnuc?uraii & isionocoa; Z). F'r lE 2^G FIdSh'..^� 28. �uun� � S�d�n� --- , 2� 9. Insulation � 30. D^iv,a. :Vad:rn it. P�dster 8ro.vn Cpo[ � � 32 E�:ctncai Power fvfe�e��Fnal 33. ?,^c' E�ectnc 34. Fnal Heaung &.; r Cono�tiom.cc� 35. Final Gas Pipe�Test 3G. Nncd or Canopy _ 37. F��a� Factory F�rnpiace 38. Final Piumbing 39. 1"Jater Service�Final 30. Gas Serr�ce�P�nal 41. Solar pomestic•Final 42. Cackflov, Preventer �3. Bz�':flo�v trr.gation 4C Landscape Irrlqatioti-System 45. Sound A!tanuatiori��, . 4u. 1-!andi;ap Regulatitlris � 47. FINALSTRUCTUi &BC�LDING / f� 4$. fINALPIANNIN�i - • ' 49. Electr.c Release to'Edison 50. Gat R2lease to Southem California Gas Cn 51. CERTIFlCATE OF OCCUPANCY PFo. Oate Date POUL & SPA Inspec4or APPROVAL5 Permit-ir 52. Pool d� Equ;pment LocaY.on 53, Steel Remforcement 5A. Forms 55. Electricai Bond��ng 56. Rouyh Plumb�ng & Pressure Test 57. APPROVt>.L TO COVER�GUNiTE 5&. Eiectrical Condu�t�Undrgmtl. 59. Ga. P�pe, [� U�drgrnd., Test ' 60. Baekwash Lines, P�Trap, � Undre�rrd 67. APPRO��AL TO DECK 62. Baek�vash t� Re�spto�-Final 63. Heatcr & Vent-Finai 64. Plumbing Systam � Finai 65. E!cct�icai-Pinal 66. Soiar System-FI.•al B7. Fencing & Access Approvai 68. APPROVED FOR PLAS7ERiNG 69. POQL/SPA SYSTE;.;S F iNAL FIRE DEPT. REQUIREMENT KPPROVALS Permit � A Date (Inspector 70. Undergrpund Hy�iro 'I 71. ProAuct P'ping C7 Gas C Od 72, Underground Flush 73. Undergrnd. Storaa�.- Tz�.k C Ga: _: Q'i � 74. Overhead Nyd�o 75. Dry Chemical _ _ _ 76. Dry Star.dp�p= 77. FIXED SYS?citS f-IP:AL I 78. FIRE PREV. FINA� �� HEALTH DEPT. REQUIRE�:�E��T 79. FINAL INSPECTiCN I $0. FOOD CER7IFICATE iSSUED ��_ Notes:��ot✓/ �C-�sP/ii' / 4.rGe� �/z�� - o � k.�- ��c .� _ 6'�1t�3� 3 � i CI`PY OF COSTA MESA REQUEST FOR OCCUPANCY TR�1CT NO, %93 LOT NO , �I L ADDRESS 3'357- 1i��79►19'l� DATE I Z' IS�� g The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa . mhe undersigned, by executin9 this a�reement, ackne�:�ledges that (.�e-�s-ke-they) Fwa�—e�r wer advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. ' The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by s urety bondo The undersigned aqrees to indemnify and hold the city harmless from any claim resulting in damaae or personal injury to the undersigned by reason of the aforemes�tioned_uncomple d c ndition. Develc repres Lender ve uthorized . c-z 3 I 22 ✓ APR 2�t-69PR'�001316+� *�� 137.25 COSTA MESA BUILDING-SAFETY DEPARTMENT cnsq P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI D DATE C7EIVED DATE ISSUEO ! � � d— � .Gi—i��o7 BUIIDING Y� d ADDRESS O OWNER germes Dev. CiO. A'P' N�' MAIL BUILDING 2 . // ADDRESS ll��i T5. 1 th Street ADDRESS 33 � W W re�. 4 4 TRACT//(0�,� a U CITV NO. Z¢ Z NEW ADD A CONSiRUCTIO�nited States National Bank O N LENDER am �� BRANCH 1 0 Broadwa Avenue J N OWNER m � ADDRESS San Die o Californ�a �/��q m CHITECT TEL. USE • W W� � a m��msos��x x Do us N. 6 -1 64 z Q FIRE `(� a w aooAess z 12 E Co st Hw Coron D M Z�NE T APPROVED JO CONTRACTOR p�.rner BV m Z J � ADDRESS w w TEL. ZO NO.OF �F CITV NO. P�� 1 w � STATE CITV �'AROS APPROVED y� LIC. NO. Z z 6O �IC. NO. MAIN BUILDING _� SIZE NO.OFBLDGS. (FROMGLSTREET) OF LOT lOO X O NOW ON LOT Q FROM FT. USE OF EXISTING BLDG. SI E F I— SIZE OF p NO.OF Z NEWBLOG. 1 UZ S. ROOMS STORIES �- L.SIOE FT. a EXTERIOF WALL ROOF ompo OP �% COVERING STiUCCO COVERING WOO(I AEAF FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. a MAIN BLDGS. a Q vaa. # p Residence w attached ara e c.u.P.# -�5—� ~ APPROVEO N /� O U/ UI he�eby acknowletlge tha[ I have �eatl this application antl state FOR SPE � that the above infarmetion is correcx antl agree to comply with � all laws regula[inq builtling construction, antl 1 shall not employ F any person in violation oi [he wo�kman's compensation laws at (n Me State of California. / ^� J ? I hereby certify [hat I em properly licensetl as a conttector undar O� SQ. FT. the State of California Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHO' Chapter 9, antl that such licenses are in tull force antl atfect, or I THE PURP�E OF ES am eaempt trom the provisions ot the State ot California Business VALUATION antl Protessions Code, ivision ptet 9. Signacure ot . t n� , / �� — Permittee z_�� T Authorized Ageni PE J�I L! l.�/4 LOT BLOCK VALU/H�� Q� y�. $ y � GROUP�� DATE USE OF NE `/ BUILDING W�A VARDS APPROVED BET. MAIN & ACCESS. BLDGS. DATE / APPROVED S' —��7yp DATF � �U �T , REQUIREI�=?:T: 3d � 0 IN UNDER VA�UATION IS FOR � ABLISHING A PERMIT PEE ONIV: m ¢ PE MIT FEE $ �j, �O � 7 m PLAN CHECK $ E 0 7 a5 LL TOTAL FEE 5 vnrv�R �j�S DEVEIAPMENT "'"'� 5-1-69 JOB ADDRESS �352 Alabama Circle BUILDING PERMIT N0. 3p7�2 GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK RPGidence w/Att_ �ara�e SOIL GAS PROP. SWR. LINE �(�'HOUSE CON. SPRINKLING SVSTEM ROUGN HEATING ANO AIR CONDITIONING UNDERGROUND Lf POWER U ROUGM WIRING �?� ` r�i� TRENCHES FORMS STEEL REINF. � �jjyj' � �-Zl FLOOR SYSTEM � j �'j'/- BON� BEAM STEEL REINFORCE v� SHEATMING �v %��" FRAME AND FLASHING LATHING - IN OUT PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. AND A.C. PLUMBING, FINAL AND GAS TEST �r ELECTRIC, FINAL BUILOING, FINAL � SPECIAL REpUIREMENTS SUBCONTRACTOR 0 � � 6 � � r COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFOHNIA 92626 For Applicant to Fdl in Completely — Use Ink Only BUILDING , ADDRESS ��/� O OWNER (4W/l O�/La� MAIL ADDRESS �N'1 /\ j �/�q TEL CITY( 'i.,i.^{-r {'I�p�� NO. �/y PAID �D.CO OCT 19-77�MSpOO 991+� **** � FORSTRUCTURALPERMIT DATE RECEIVED D TE ISSUEC D- �✓�j 2 ERMIT NO. A.P.NO./.�`�LiOI`/..J . BUILDING .�� ADDRESS LtNUtM IN/V � BRANCH �� J� j � , O W N E R (i ✓Y�f. /� �o.C`� ADDRESS �^ � ry �` VALUE i ARCHITECT TEL •� S '`� 'd ��' _ S / � OR ENGINEER �� N . `� FIRE ADDRESS ZONE TVPE / GROUP APPROVED ~ CONTRACTOq C%TJ�Y��✓� BV DATE ADORESS ��✓nC_ �' TEL. � ZaNE �/ NO.OF � VSE OF NEW CITV • NO. P�� BUILDING � STATE CITV �'ARDSAPPROVED VARDSAPPqOVED � LIC.NO. �� LIC.NO. MAINBVILDING ACCESSORVBUILDING SI2E NO.OF BLDGS. (FROM C/L STREET) a OF LOT 1 U � NOW ON LOT qONT FT. FT. a USE OF .,�. EXISfING BLDG. �� I � SF . FT y � Separate permits are required for � SIDE Fr. electric, plumbing and heating work. WPEAR FT. FT. [..i USE O BUK�DING AND WOFK �E PERPO ED �. DI5TANCE BET. BET. MAIN & Q� - C MAIN BLDGS. ACCESS. BLDGS. VAR.�W DATE "� ' 0.U.P. #-A APPROVED � APPFOV E�e •'W /�% �O � / /' L �. V t J a w QI hereby ecknowledpe that I have �eed this eppllcatlon entl state � p: that the abova Informacion is correci antl apree to comply with m a ell laws reguletlnp builtling constructlon, and I shall not employ � z any person in violatlon of the wo�kman's compensation laws of d � the Stata of Calitornia. 0 �r I hereby certify ihat I am pro erly Iicensetl as a contrector untler �� SQ. FT. �v ihe Stete of Cellfornlo Bubin ss entl P�ofessions Code, Dlvision 3, THE AMOVNT SHOWN U VALUATION IS FOR m Chapter 9, antl thet su� II nses ere In f�ll r e effect, or I THE PURPpSE OF ESTAB I A PERMIT FEE ONLV: em axempt from th pro sions of che Ste of Iifor a Buslness a VALUATION P IT FEE $ antl Ptofessions Co , D ision , C p� r m Slgnemr /, � PLAN CHECK $ '^ ��) 0 Parmlttae $ {,�✓✓�/ '� TAX S � �� 7 U AuthorizadABent TOTALPAID S �� OWNER NpyES, RONALD LEE JOB ADDRESS 4452 nlahamra i AP No.�_ �� LOT INSPECTIONS SOIL Gn5 WnTER ROUGN PLUMBING �'fiOP. SWR. LINE I� HOUSE CON. � SPRINKLING SYSTEM MISCELLANE0115 ROUGH MEnTING ANO AIR CONOITIONING TEMPORARY SEFVICE OR POLE UNOERGROUNO � POWER � ROUGM WIPING ((p��IPLOOq SVSTEM y`BON� BERM I,J ` SHEATNING FRAME ANO F�� LATHING — IN PLASTER.BRON STRUCTUR4L,i MEATING.VENT PIUMBING_ FIN ELECTRIC, FIN1 BUIL�ING, FINA EEL FEINFORCE our IG. ANO �.C. G�S TEST � FIRE DATE 10-19-77 BUILDING PERMIT N0. SUBCONTRACTOR 2,� �ii o. �. r. -- �, �--- �, �,_._ -_ ` --� � _ . ; _ -- ----_. c�v��W6 � T �x � �/6 SU6JECT t0 �LDG =�-� • �' � C J �• .( � P�'��'� p • ..Q.D....2;i:.'/O � P !� qQ��- Oa Ci :'_:�:: :'? ...-�-,.8--.-�'�' Q� �¢P �`' S. .�4% O g IQF,Q�,�,J e�,� Q�Q��A�V4.'�' \��' J�r P�.,�'oe. �o GQ'`F.Q�� ,o � ��1 G �s lrb p°• p`� 4y' �S SP �p'�. 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