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Home My WebLink About3288 ARIZONA LN - Building PermitsDJECT qDOXESS: j z S B AR I Z ONA LN OW�fP'SNAME: CRISLER GERALDINE A nooxess 3288 ARiZONA LN COSTA MESA CA 92626 � wK 637-277b 966-1958 AHLHIENGINEEB: flEG.NO.: AUOflESS: u"�T CITY OF COSTA MESA — HUILDING PERMIT PERM NO: E 05214 PERMIT NO: E 052141 PLAN CHECK NO: N GOVT; N SUPP: N UNIT: renmincc: GERALDINE CRISLER ( 714 ) 966-1458 IIODPFSS; 3ZEH ARIZONA LANE COSTA MESA CA 92626 LICENSEU CONTqpCTON DECIABATION: I �eieby alhrm ��a� 1 am licensetl under pmvisions ol CAapler 9(commencing wilh Senion ]000� ol Division 9 0l Ine Busmess ane Pmlessions Catle, antl my license is in lull lorce and effect. ' CITY UC., STIITE LIC.: CLA55: Oa�e' Signamre'. WOXNEP$' COMPENSATION OELlAN11TI0A: I �ere�y allum �ha� I have a cenihca�e of consenl lo sell-insure or a ceriilica�e of Workers' Comp¢nsation Insurance, or a cerliliea copY lhereol �Seclmn 3800. La�' q. POLICY NO-: E%P. OATE: COMPIIN�: � Cemlie0 copy is �ere0y lumis�ed. ❑ CeNhed copy is liled wil� Ihe ciry Builtling Division. �ate Npplitam: EREMPIION FNOM WOBREBS' COMPENSATION OECIAPPTION�. (TAis sectian neetl nal be comple;etl il t�e permil is lor one hunOreO �5100� or less�. I certily Nal in I�e pedormance ol I�e work lor wAich I�is permu is issued I s�all not employ any per5on in any manner 5o as lo become su�len �o I�e VJohers' ComDensauon Laws ol Cablomia. Oa�e: Signamre'. NOTICF', II. aller making I�is Oeclaration, you shoultl �emme su�le�� o I�e WorkeK COIIIpCI15d1100 pfOVI5i0115 OI 111¢ LdUO� Code. you musl lorihwn� comply wrth such provisions or Ihis permi� shall �e Geemetl revoked. CONSTNUC710N LENOING AGENCY: 1 here0y allirm �hal Ihere is a conslmclion lending agency lor Ihe perlormance ol Ihe work lor whiCh Ihis permp i5 i55uP0 �5¢LtiOn J097. C��. C�. � LENOEX: noonEss: OWNEP BIIILDEP OELLNflPiION' I hereby allirm Inai I am e�empl Imm Ihe Coniraclors' Stale License Law lor I�e lollowing reason (Seciion 7091 5 9usmes5 anA Pmfessional Cotle: Any cily al counly w�ich re0uires a permil io con5lmci. alter. improve, tlemolish, or repair any slmclure, prior lo ils issuance, also reQuires Ne apDlicanl lor suc� permil to Ide a signed slatemenl thal helshe is licensetl pursuam lo I�e Omvisions ol Ibe Convaclors' 9ale License Law (Chapler 9(commencing wilh Seclion 7000) ol Drvision 3 0l lhe Business and Professions Coee) or I�al he/s�e is exempl Iherelmm antl Ihe basis lor Ihe allegetl exemption, Nny violation ol Seclion 7031.5 by any a0�bcanl Im a pe�mil suGlecis I�e applicanl lo a civil penaliy ol nol more I�an five �untlred tlollars (5500�. I, as owner of ��e propeny or my employees wil� wages as Iheir sole compensalion, will Co Ihe work, antl the ❑ slmcWre is nal mienaetl or oller¢tl Por sale (Seclion 70a4. Business antl Pmlessional COGe: The Contrac�ors' Slale License Law , tloes no� apply �o an owner ol a pmpe�y who budas or improves Iherean, ana who does such work himsell/hersell or thmugh �is or hei own em0loyee5. Dmvi4eU ��al suc� impmvemenls are nol inlended or ollere0 lor sale. II, however �he Ouilding or improvemenl Is sol� wilnin one year ol completion. Ihe owner will have Ihe burtlen ol Dmving �elshe Oitl nol 6uiltl or improve , lor Ine ourpose ol salel. ,V, I,as owneroline o�openy, am eRclusively conlracling wilnlicensea conlraclorsto constNclthe projecl�Section 7044, Business CJ an0 Pmlessions COUe: IDe ConVaclors' Slale Liwnse Law does nol aOVly �o an owner ol property who bwltls ar impmves I�ereon antl who [oniracls lor such Dmleqs wilh a contraclor�s) license pursuanllo Ihe Canlraclors' Stale License Law�.l am aware lhal pmol ol �heir Worker's ComOensalmn msurance shoultl be pmvitletl lo me. � I am exempl under Sec�ian: B. B P. C. br mis reason: / /� - oaie: h�' o2'G —-lJ`/ Owner.��6 tLe�-( `9. �� I Jo nereGy cenily �hal I am aware al antl underslantl I�e reQuirements ol Calilomia Heall� antl Saf¢ly Cotle Seclions 25505. 25533, ana 2553a an� �hai I or any lumre bwl�mg occupant willlwill nal (circle one� need to comply wilh said sla�e codes and Ihe iepuiremenls lor a permn lor conslmdion ar motltli[auon Irom I�e Air Oualily Managemenl Disiriq. ResiEenlial conslmclion aDPlicaiions are exempi Irom Ihese o�a�isions �� al¢. ��%� �� Ap0licanl �i��(�CiO�`-^ � C ie� I �ereby certily.l�at I have reaa ��is ap01¢auon an0 slale I�auhe above inlormaiion is carrecl. I agree lo comply wilh all ciiy antl county oitlinances and sla�e laws relaiing lo buil0ing canslmclion anG �ere�y aulhorire representatrves of this cily lo enler upon �he a�ove�menlionetl pmoeny lai insoenion pwnoses. II /� Dale: _d'� � y � Signaiure' �`2� �/ ` ,�— Dri�er�s �icense or soaa� Secuniy .: �6at-a6 Whne—Bmltlmg; Green—Cotle EnlorcemenP Canary—AOoI¢anl: Pink—Rwenue: GolEenr04—Assessor CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE:_UTFi JOB DESCRIPTION : MOVE & INSTALL ELECTRICAL BOX SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: SMOKE DETECTOR RE�UIRED IN THE HOME iEiFiEififiElElEiEiEifififiEiFMif�fiEiE1E#3EiilEiFK- iElfiFiFiFiEIfIFiEiEiEiEifiEiklFifiEitiflEiEiE�fN��ElE1FKif�)L1F�fiElkaFlFlEiEilif-aElElfiElfiEjFiEif�f Z O N I N GS ERTEB�AUCIKRSE M E N T S ------------- MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: F'f IN REAR: � FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 13905204 ZNE: REF NO: PLANNING N(7TES> � _ iE �F if if iF iE iE iF if iE if iF if if �E iE 1E if iE iE If if if 1F Ik iE 1E iE lE aE iE iE M 9E iE iF if iE If ik �E 1E iE IE iE 1E if iE !E iF iE iF 1E if if 1F 1E iF if M IE iE �1F IE IF if �E if iE iE if 3E �E iE iE iE IE 1E iE D E V E L O P M E N T S E:R V I C E S R E Q U I R E M'E N T S ZONING APPROVED BY DATE: HUILDING APPROVED BY : DATE: APALICATION ISSUED BY: _ ' DATE: S' Z v��/ iFiF 1E �E iE if if 1F iE 3E it if �f-1f iE iE Yr if iE if iF If � e� if iE If * Y-iF 1F IE iE iFi��iFiE iE if 1F k iF K 1f 1E lf If 1F IF if IM�E if iFif iF if 1E iF �f iE fE If �E 1f if 3E 1E jF If �f iF�1E 14 IF iF 1F 1E if jf aE if if % if IE 1E if if if 1f if iE IF iF If 1f iE �f aF If aE iF �F �f If K 1f iE If 1E Y- W�f )f if LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADiUG PERMIT 29.50 , SOt YLAN ISSUE FEE 15.OU BUILDING—DIV—> 'PERMIT ISSUE PLAN—CHECK TOTALS----> 29,50 15.00 0,00 REVENUE DIVISION TOTALS--> COLLEC'I'ED: HLDG PMT FLUMBING ELECTRIC MECHANIC 49.50 SMIP/NON—RES TOTAL PAID DUE 44.50 44.50 .00 44.50 OVER/SHORT: .UO FIAE SMIP/TOT GRADING PLAN—CHECTC k aE iE 141E if 3F iE iE 1E iF IE k�f 1E k If if ik aE ±f� k IE iF If fE It !E iE iE iE iE if iE M 1h IE M if iE if 3f iE iF if IE 3f iE iE k M iF fP if if iF IE 3F M IF 1E 1E iE if iE # ff if 1F fP iE iE # ik �E if N- ik M I N D S V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE ]. SERVICES BELOW 600 V S BELOW 201 AMP 18.50 18,50 ELE 1 SUB—PANEL 11.00 11.00 END OF FEES ��: l"J�']7ilr I;��''�.:17-1� �il'I :ie�i� Cal'E: 05/21i91 T'�t?�s 1;;5.; CONSTRUCTION AND PLANNING � ' jAPPROVALS Permit # 1. Temporaiy Electrical Service or Pole a 2. Soil Pipe�Undrgrnd. 3. �j,�ctrl'cal Conduit UtiGry-Undrgrnd. 4. Electrical Conduit�Undrgmd. . 5. Steel Re�nforc¢ment .6. Electrical UFER Grnd. 7. �Footings � 8, Foundation 9. Water Pipe-Undrgrnd. . 10. $[ructural FIoOr System 11. Propeny Sewer Line & House Connection 72. Sewer Cap 13. Roof Drains 14. Rough Plumbing � 15. Rough Electrital�Conduit 16. Rough Electric Wiring 17. Rough Wiring Sign 18. Rough ElectriWl-T Bar Ceiling 79. Rouc�h Heating & Air Conditioning 20.� Rough Factory Fireplace � � � ' - 21.'Oucts, in Strutture� � . , 22. Ducts, Ventilating � _ 23. Gas Pipe-Rough & Test �_ 24. Roof Framing � � 25. RooT Sheathing , , ' � 26. T�Bar Ceiling (Structuraq & Monocoat 27: Frame and Flashing ,� .28. Lathing:& Siding � � . .. ' . �29. Insulation � �� ' 30. Drywall Nailin9 �: . 31. Plaster Brown Coai' � 32. Electrical Power Meter-Final 33: Ffnal Electnc � �. � � 34,� Final Heating & Air Conditioning 35r_Final Gas Pipe�Test _ ' r 36. Hood or-CanopY. � . 37.-Final Factory Fiieplace ��" 38. Final Plumbing , . 39. Water Service�Final � 40. Gas Service-Final , 41. Solar pomestic�Final., � � 42.�Backflow Preventef 43. Batkflow l�rigation ..., 44. Landscape Irrigation System. �'. _ 45. Sound Attenuation ' �' 46. Handicap Regulations - 47. FINALSTRUCTURE&BUILDING 48. FINAL PLANNING 49.�Electric Release to Edison ' � 50. Gas Release to Southern California Gas G _51. CERTIFICATE OF;OCCUPANCY Da[e POO �PA Date Inspector p�ppROVALS Permit # 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER-GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines,P-Trap, O Undrgrnd. 61. APPROVAL TO DECK - 62. Backwash & Feceptor�Final � 63. Heater & Vent�Final 64. Plumbing System - Final � 65. Electrical-Final , 66. Solar SYstem-Final � 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPA SYSTEMS FINAL � FIRE DEPT. REQUIREMENT Date � Inspector -� 70. Underground Hydro • .� -71. Product'PipingOGas OOiI � - . 72. Underground FlusFi, ' 73.' Undergmd. Storage Tank O Gas ❑ Oil .r - - 74.=0verhead Hydro: � ' -� 75: Dry Chemical � - � 76. �Dry Standpipe ' � � � � � • • � 77." FIXED SYSTEM FINAL' . " � � 78.s FIRE PREV. FINAL - � � HEALTH DEPT�. RE�UIREMENT i � ' .79. FINAL INSPECTION _ ' ; . I � • .80.� FOOD CERTIFICATE ISSUED ' j=//-q/ ''Notes: " . � "f. ._- . , , � . � � �.. . ._. _ . . . . i r - - _ i _ . _ i. - , ;. .. = k• . � ��. • ! i• u; a : I . �; s Aov��ant to 1i11 in all soaces except those within neavY boraer lines ana sign all approo��ate tleclarations. CI7Y oF COSTn MESA CONSTRUCTION PERMIT Project Adtlress 3288 Arizona Lane Applicant's Mailing Address 3288 Arizona Lane owner•sr�ame G.A. Crisler Pnone 966-1458 Addreu 3288 Arizona Lane Arch/Eng. � Licenu No. Address Convaaor's Name— E. S. T-. Phone 898-5113 Address (mailing) 11600 Monarch St. , Garden Grove Ciry License No. 32193� � LICENSED CONTRACTOR �ECLARATION I herebv aflirm mat I am licrosetl untler provislons o! Cnar[er 9(rommencing with sec[ion 7000) ol Divislon 3 of the Business antl Professlons Cotle, antl my license fs in tullJorfbantl efiect. G �✓:a___ .,.. 311709 ' hereDy allirm tnat I have a certificate of consene to sel/-insure or a certificate �f Workers' Compen5ztion InSurance, or a certllietl ropy lhereof (Seclion aaoo, �e. ��>IV-85-339382 Fremont Indemnit Poiicy No. Company Y Certilietl mpy i5 hcreby lumishetl. � e co the city Builtling rvisi n. te ' � iicant �• �• T• EX FROM WORKERS' COMPENSATION OECLARATION (Thissec�ion n¢atl not be compleletl if [he permlt is (or one huntlr¢d (y100) or less�. ' 1 cerllly [ha� in [he Perlormdnte ol lhe work for wnich tbis pe�m�t is issuetl, I sltall nol employ any person In any manner so as [o berome Subje[t lo lhe Workers' Compensatlon Laws ol Calilornia. Date Signature NOTI[E: II, alter making inis tletlaration, you shoultl become subiect to tne Workers' Compensation orovisionz ol tne Labor Cotle, you must lorthwith comply wilh Su[h provi5iOn5 or Ihis permit shall be 0¢emetl revoketl. CONSTRUCTION LENDING AGENCV I nereby afflrm tnat there is a constructlon lentling agency for tne perlormance of lhe work �to� whicn this Oermit -is issuetl (Section 309] Civ. CJ Lentler's Namc � LenUer's AEtlress OWNER BUILDEH DECLARATION I hereby aHirm thal I dm exem0� (�om the Conl�actor's LicenSe Law lo� the following reason (Sectlon 7031.5 Business ana Protessional Cotle: Any city or coun[y whlch requi�os a pe�mit to Const�uct, alt¢r, imprave, tlemolish or repair any slruclure, p�lor �o I�5 i55uante, also �¢quir¢s [he applicant for such permlt to tile a signetl 5[atemen[ lhat'he/she is IicenSetl pursuant to lhe provisions ol tne Contractor's Llcense Law (Chapter 9(commencing with Secllon 7000) ot Division 3 of Ihe Bu51nes5 antl Pro/e55fons Cotle), o� that he/She is exempl lhe�elrom antl lhc basis for tM1e allegetl ezemption. Any violation of Seclion �031.5 by any ap0licant for a petmit sub]ect5 lhe appllcant'to a civll �e�dlty of nol mo�e than five Ituntl�etl tlollars ($500). ' 1, as owner o( [he Propmty or my employees witn wages as lhelr sole com0en5alio0, will tlo lhe work, antl the sl�uctur¢ is nol intentletl o� oif¢retl for SaIC (Section 7044, BuSiness antl Professional Cotle: The Con[ratlor's License Law tlo¢5 not apply to an ownEr ot a p�operty who builtls o� imp�oves thereon, antl who aocs such work nimscl//herseli or throu9h nis or ner own employces, provitletl lhal such iTProvements are not fn[entletl or olferetl for sale. II, bowever, the builtlinq cr improvemenl is soltl wlthin one yea� of com� o�etion, ihe owncr will have the burtlen of proving ne/she tlitl not buila or im- �love for Ihc purposc of sa�e). I, as owner ol lhe property, am exclusively contracting wi[h licensetl mn- vactors to wnstruct the project (Section 7044, Business antl vrofessions Cotle: Tbe Contractor's Li<en5e Ldw do¢s no� appry lo an owner of property who builtls or improves thereon, antl who conVacts lor suU projects wilh a con- [�dClO�(S1 license pursuant�to-tne Contracioi's LfC2n5e L.dw). I drtl dwd�¢ �hat prool o( Iheir Workcr's Compensafion insurance shoultl be Provitletl [o me. ❑ I am exempt unaer Section B. & P. G Im this reason Date Owner I herebv certiry thal I have reatl fhis apolication ana state [hat thc abova ALTERATION CONVERSION LJ DEMOLISH LJ OTHER :raipTlON OF WORK/USE OF BLDG. _ 7VPE OF PERMIT LJ GRAOING LJ FOUNDATION lJ STRUCTURAI ❑ TENANT � ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION S�.FT. oCCUPANCv_ CONSTRUCTIONTVPE VALUATION$ � ZONE GRADINGCU.VDS �ACRES_ Remarks: Preventer � Irriqation Dishwasher Drinking Fou�lains Floor Orains Floor Sinks . GasService Outlets Interceprors Kitthen Sink - Lavatories P—Trap Roof Drains Rainspection Fee Showers - Servire Sink Sewer Cap Sewer Connection $OIdI COIICCLOlS Solar Piping Solar Tank Swimming Pool w/Spa Urinal Wdt2f CIOSEI ' Water Hearer Water Service $15 Issue Fee Duct- Untler Ground Duct � $tructural Duct � Ventilating Exhaust System ❑ Multiple Firepl/Fac�. Blt. iCBO # Heating System & Duc[ing ❑a100,000 BTU �100,000 Siqnature '�/ Uace ia� c��-oe ' Drivers' Licenze or 55 9F Reinspaetion Fee S75 . M��- , rev. 4/84 Wryite - Builtling; Canary -Applican�; Pink � Accounting; Goltlenrotl -AsseSm� Hood or Typel ❑ Canopy Type I I ❑ Refrigeration Spstem ❑0.100,OOOBTU ❑100,000 System Repair/Alteration Isue Fee FEES $ 3 S 3 A.P. # S Main Buildi E T Front . B Rear A C Ri9ht K Left S Ping. Ref. # Plannin9 Notes: Auromatic Washer Construction Pole Sub. Cooking Unit . D ishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixc�res Device Boxes Oullets Switches Garbage Disposal Generator �0-5 KW C 6636 II/04/86 zone ' Accessory Buildin9: Parking Req./Provided ;n n r'wci—z�"—i9°w— IV GLr v�. � �� wo ELECTRICAL Transformer � 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100amps Sub Panel Motors O61 HP O1 X- 8 InaSolar 9-15HP�16-75+ Microwave � Pole Ligh� Range 5-15 KW Standing Sections Trash COmpactor Load Manaee � Reinspection Fee �$15 ' � Issua Fee DEVELOPMENT SERVICES REOUIREMENTS: 2oning Approred By BuildinB APP�oved By APPli�slion Isued By 8.00 TL FEES S 3 Z O N I N G R E � M T S. , SUMMAHV OF FEES BUILDING PERMIT $ SMIP . $ PLAN CHECK $ PERMIT PLUMBING S ISSUANCE $ PLAN CHECK 25% $ ENEfiGV P.C. $ ELECTRICAL 5 8.00 GRADING $ PLAN CHECK 50% $ MICROFILM $ _� MECHANICAL S TOTAL FEE $ � PLAN CHECK 25% g CONSTRUCTION ANDpLANNING . �• POOL&SPA APPROVALS Permit # Date Inspector qppROVALS Permit � Date Ins{iector 1. Temporary Electrical Service or Pole; 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. � " 53. Sceel Reinforcement ' 3. Electrical Conduit Utility-Undrgmd. - - 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, O Undrgrnd. � 10. Structurel Floor System "� 61. APPROVAL TO DECK � ' 1�1. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap � 63. Heater & Vent�Final � 13. Roof Drains 64. Plumbing System • Final _ - 14. Rough Plumbing 65. Electrical�Final - ' 15. Rough Electriral-Conduit � 66. Solar System-Final i6. Rough Electric Wiring . 67.'Fencing & Access Approval � 17. Rough Wiring Sign � � 68. APPROVED FOR PLASTERING 16. Rough Electrical-T Bar �eiling 69. POOL/SPA SYSTEMS FINAL 19. Rough�Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Duc[s, in Structure 70. Underground Hydro . 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑ Oil ' 23. Gas Pipe-Rough & Test � 72. Underground Flush - 24. Rooi Framing- 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing �� 7q. 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 ' 76. 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 � , . 35. Final Gas Pipe-Test' � � � ' 36. Hood or Canopy� . � , _ 37. Final Factory Fireplace 38. Final Plumbing �n, ' . ' 39. Water Service�Final ^^ ^ �' � 40. GasService-Final ;� :� � � ' - 41. Solar pomesticFinal�� .' � � �1 fl"f 42. Backflow Preventer.�,� c7 �� . ' � 4_' . lT 43. Backflow Jrrigation'-`: _ _ ' _> ' r� - 44. ,Landscape Irrigation'$ystem� ; � � 45. Sound Attenuatio�� y-� : 46. Handicap Regulatifins � t�� 47. FINALSTRUCTl7FtE&BUILDIPIG ' 48. Special Requirements Completeda, � 49. Electric Release to Edison - . 50. Gas Release to Southem Califomia Gas Co . ' 51. CERTIFICATE OF OCCUPANCY No. Date � AOPllcant to tilt in all soaces except inose within neavY boraer lines antl sign all approorlate aeclarations. CITY OF COSTA MESA ON TRUCTION PERMIT � PE:MiTj'io_ _� /.1 / TRACT NO. LOT NO. UNiT NO., Project Address 3�S� �rf ZO%1G— L.I�' Applicant's Mailing Address �y/� � Owner'sNamqe�� e-- rr� P� Pho e�p[p1�s Address -+-�•�P � Arch/Eng. License No. Address —� Convacror's Name � pponA Addresslma'��nl�� (�4%le\M i /�.—_1_72e rn� r rcy� Ciry License No. LQJ LICENSED CONTFACTOW D�AT�ON . i nereoy artirm u�at i am iicensea unaer provis" ns of Cnarter 9(commencinq witn section 7000) of Dlvision 3 0/ [he Busi ej�ntl Professions Cotle, antl ' my Ilcense is in fuli force antl effect. ( ' LI�C ^ License 1 ss ' L' e e No T •�L � ` Date � Si9nature ` WORKE 5' C MVENSATION DECLARATI v lereby afiirm thal I have a cerliticate of mnseni [o s i�i sure or a rertificate Workers' Compenvtion Insurance, or a certifietl�cooY inereoi (Section - 1 .800, Lab. C,�jr 1�� ComPanY�.r�t'� Poli[y No. �r'� � ified cop K her¢by /urnishetl. � Cer' '' o 'IeG with tne ci�y Builtli . , Oate Applicant �E%EMPTI N FROM WORKERS' COMPENSATION E ARATION � (Thissection neetl na[ b¢ comple[etl il the pe�mit is f on huntlre0 ($300) or � Icss): I cerlity lhat In lM1¢ performance of �he work lor which IItls pe�ml{ is lssuetl, I stlall'not employ any person in any manner So as lo become subject ta th¢ Worker5'�Compensallon Laws of Cali/omla. �, Dale' Si9na[ure �NOTICE: 1t, aller making t�is tleclara[ion, you snoul0 become subject to lhe Workers'� compensation provisions o/ the Labor Cotla, you must forthwith _ mmply with � such provisions or this permit 'shall be tle¢metl revoketl. CONSTRUCTION LENDING AGENCV- �' ' I hereby a/firm [hal [he�e is a consfruclion lentlinq agency lor the perPormance o/ [Ite work ior which this permit is issuetl ($ection 3097 Civ. C.) Lentler's Name�� Lentler'S Adtlress � - ' OWNER BUILDER DECLARATION ' 1 nereby a/flrm fhat I am exempt from the ConVactor's License Law lor the fo�lowing reason (Sectlon 7031.5 Business antl Protesslonal COGe: Any city or munty which requires a permlt [o <ons[ruct, alte�, improve, tlemollsh or repal� any slructure; orior to its lssuance, also requires Ihe applicant (or sucn permit to file a si9netl slalemenl tnat he/she is Iltensetl pu�suanl to.the provisions o� the Conlractor's License Law (Chaptet 9(commencin9 with Section ]000) of ;Divisian-3 ol the Bu5ine55 antl Professions Cotle) o� �hat he/sh¢ is eaemp[ •;:;inerelrom antl the basi5 fOr lhe allegetl exemp�ion. Any viOlation of $ection -�]031.5 by any applican[ lo� a permit subjec[s lhe appllcant to a civil �enalty o/ no[ more than five huntlretl tlollars (y500). ,+ . LJ I, as owner of tne praperty or my employees wiM wages as thelr sole compensation, will tlo the work, antl the structure is nol intentletl or oHeretl br sale (Section 7044', Business antl Professional Cotle: The Concrac[or's LicenSe Law tloes not appry to an owner o( a properly who builtls or improves thereon, ana who tloes sucn work himseH/hersell or throu9h Ns or har own employces, provided tnat such Improvements are not Intentled or afteretl'for � sale. I/, haweve�, [he builtling o� improvement is soltl wi[hin one yea� of com� Dlelion, the owner will have tho burtlon ol proving he/she tlitl ml builtl or Im� prove lor tnc purpose ol sale�. . ❑ I, as owne� of ihe property, am eacluslvely oontrat[ing with Ilcensetl com ' lractors to consvuGt the prolect (Section ]044, Business antl Pro/essions Code: The Con;ractor's License Law does not apply to an owner o( property who builtls or impioves thereon, antl who mntracts lor such projects with a con- traclor(5/` fitense pursuant to lhe ConVactor's License Law). I am aware that p/001 Ol Ih21I WOIk¢!'S CoTPen5dli0O IfISUldnt¢ ShOultl bC p�Ovltl¢tl t0 TB. ❑ I am exempt untler Section B. & P. C. for [his �eason Dale Owner I hereby cerlity [hat I have reai info�mation is correcL I a9ree lo antl state laws relating to bui Sentativei of [his'city to inspection pur0oses. Siqna[ure Orivers' License or 55 � — te TVPE OF CONSTRUCTION LI NEW U ADD L:J ALTERATION LJ REPAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTFj�R ' p.p # DESCRIPTIONOFWORK/USEOFBLDG. �'� �n� E � 5 Main Buildi TVPE OF PERMIT ❑ GRADING FOUNDATION STRVCTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear ' ❑ �OTHER � - . A PROJECT DESCRIPTION Sq. Fr. oCCUPArvCv C Right CONSTRUCTIONTVPE VALUATIONS S� Left ZONE GRADING CU. VDS. •ACRES Ping. ReL # Remarks: . � . Planning Notes: Sink <flow Preventer cflow Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks GasService Outlets Interceptors Kitchen,Sink , Lavatories P—Trap Roof Orains ' - ., � Reinspaction Fee S15 Duc[- Under Ground Duc[ - Structural DuCt - Ventilating . Exhause System ❑ Multiple Firepl/Fact. Blt. ICBO # I�e ting Sysiem & Ducting }100,000 BTU 0100,000 Reinspection Fee � $15 CMF 0865�46, rev. 10/B4 White - Builtling; Canary � Applicanp Pink - Accounting; Goltlenrotl � Asse55or FEES Showers Service Sink � Sewer Cap Sewer Conneaion Solar Collectors Solar Pi�in9 ' Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service � Amo-Wash Isue Fea _ . , P+, 3 IANICAL FEES Hood or Type I ❑ Canapy Typell ❑ iefrigeration Sys[em ' � �0-100,000 BTU ❑ 100,000 BTU SVstem Repair/Alteratlon �I Fire Dampers. � • � Registers � , � Isue Fee � I $ 3 1727 3/25/B6 Zone - ' AccessoryBuilding:_ i Parkin9 Req./Provided . , ELECTRICAL � Au�omatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. � 50'+ KW Cooking Unit �Meler ❑up to 100amps Dishwasher. . _ Meter ❑over 100 amps . Dryers ❑Gas ❑Electric Sub Panel Pan � Mo[ors DO-1 HP 1%- 8 F.A.U. . Inc.Solar �9�15 HP 076-15+ Fiztures Microwave Device Boxes 'Po�e Light Outlets � Range Switches Sign Gar6age Disposal ; Standing Sections ' Generator DO-5 KW �5-15 KW Trash Compacror I��Reinspeaion Fee I$15 I I luue Pee DEVELOPMENT SERVICES REQUIREMENTS: ZoninB APProved By Building Approved By � AppliotiOn IAued BV �a.�c � FEES $ 3 2 O N 1 N G R E Q M T S //� U V SUMMARV OF FEES , � BUILDING PERMIT $ SMIP $ PLA\N CHECK $ PERMIT ' �P�LUMBING S ��UANCE '$ , '` PLAN CHECK 25% $ ' ENERGV P.C. $ ' ELECTRICAL $ � GRADING �5 PLAN CHECK 50% �$ � MICROFILM $� I � MECHANICAL '$ � TOTALFEE $ ��5—� PLAN CHECK 25% $ i' . ,, , -., , CONSTRUCTION AND PLANNING f POO�..� SPA � APPROVALS Permit # Date . Inspector AppROVALS -� Permit # Date Inspector 1. Temporary Electrical Service or Pole � -�f' 52. Pool & Equipment Location 2. Soil Pipe�-Undrgrnd. " - . 53. Stee1 Reinforcement • 3. Electr'icahConduiCUtiliry-Undrgmd. - � 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, O Undrgrnd., Test 9.�Water Pipe-Undrgrnd: . . ' 60. Backwash Lines, P-Trap, O Undrgrnd. .� 10. Structural Floor System � _ 61. APPROVAL TO DECK 11. Property Sewer Line & House Cohnection � 62. Backwash & Receptor-Final - �, , 12. Sewer:Cap _, - �- 63. Heater & Vent-Final � - 13. Roof Drains �- 64. Plumbing System � Final � � 14. Rough Plumb�ng .-• 65. Electrica6Final 15. Rough Electrical-Conduit � 66. Solar System-Final i6. Rough Electric Wiring ' 67. Fencing & Access Approval 17.�Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Elearical-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 O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush ' � 24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil•J 25. Roof Sheathing 74. Overhead Hydro - 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster-Brown Coat � 79. FINAL INSPECTION 32. Electrical Power Meter�Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric lG-yb E� Notes: � - Y- 8-�7-�d L�E�fanp . t.� 34. Final Heating & Air Conditioning C�_/�_y� �R9 35. Final Gas Pipe-Test � � 36. Hood or CanOPY � 37. Final Factory Fireplace 38. Final Plumbing J 39. Water Service-Final � 40. Gas Service-Final 41. Solar pomesticFinal _ . 42. Backflow Preventer � 43. Backflow Irrigation . ' �' • �' 44. �Landscape Irrigation System � 45. Sound At[enuation � ' 46. Handicap Regulations - . 47. FINAL STRUCTURE & BUILDING - 48. Special Requirements Completed . - 49. Electric Relesse to Edison � ' , ,- . i 50. Gas Release to Southem California Gas Co �, �J � ' � 51. CERTIFICA7E OF OCCUPANCY ' . ' - �Nn. Date� -� -' � . k o 'LTf� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. 60% 817 COBTA MEBA. GLIPORNIA For Applieanf fo Fill In Complefely TYPE OR PRINT ■ ARCHITECT COSTA MESA CALIFORNIA Dike & Cole¢rove, Inc. 1533 Baker St. Costa Mesa 167293 No:KI. 9-1151 LO-_»1 n1_� n� I NO. OR 9LD01 U6E OF EXI6TING BL�G. 9HTBALR LIN6 FFOM � DESCRIPTION OF WORK I g II ALTERATION I II ADDITIC I .. II I II El(TEflIOR WALL .ROOF COVBRING $ti11CC0 COVERING comp. U6E OF BUILDING AND WORK TO BE PERFORME� FE� RECEIVED � JAN 19 i�31 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For O#iee Use Only RCCEIPT NO. GeRMIT NO. BY COSTA MESA. CALIFORNIA FIRE ZONE APPROVED ZONING zoqq _ I I No, ov � I uee on n �d auwe eoi�oino y� LEGAL . - ' , (CENTER LINe 9TJ attached ara e. Plan 11AR I XEREBY ACKNOWLHD48 THAT 1 XAV2 RCAD TX18 APPLIGTION ANO 9TAiE THAT THE A90VE I6 CORPECT RN� AGREE TO COM- PLY WITH �LL G�tt OHOINANCEe AND 9TATE UiW9 REGUL.�TINO BOILOINO CON9TfiUCTIOp�. . I AUTHORIZED AGENT Dike S[ Inc. APPROVED TNE AMOUNT 9HOWN UNDEp VALUATION 19 FOR TX8 PIIHP09E OF ¢9TA9L19HIN� A PERMIT FEE ONLY. VALUATION PERMIT FEE $ 3S�OO $ �.7,139• pLAN CHECK $ 17�� 0 c