The URL can be used to link to this page

Home My WebLink About3083 BALI CIR - Building Permitst Couv1'yUS "vW'0_ L O�. Si�tM�K.q- .. . ' PHOJEC7 N�ONESS: �� 3 J B AL i C I OWNEH'S NNME: TY ND�i AODPESS: SAME AS AHOVE UNIT: O 714l546-5684 AHCHIENGINEEH: flEG.NO.: AUDflESS: UNIT: PEPMITTEE: NOCK PI,UMBING ( 714 ) 895-1246 aooxess: 11610 SEAHOARD CIR STAN'TON CA 90680 ❑�{NSEO CONTBACTOB OECIABpTION: I �ere�y al�irm �ha� I am Iicense0 under provisions o� C�apter 9(comme ing wilh Seciion 1pl0� oi �ivison 3 oi the Business antl Pmtessions Cotle. antl my Iicense is in full force an0 eflect. ��Y�'�' 050386 ST�FT/EL�IC.:�11(�'�1 cuss: C-36 Jate: .�(Z—"� � ' `+'� Signa�ure: _ _ _ . _ - �WOBKEflS`COMPENSpTION OECLANIITION: I �ereby a��irm �hai I have a cetlilicate ol consent �o sel4insure or a cetlifica�e of Wofkefs' Compensalion Insurance. or a retlitied copY �hereoi (Section 3800, Lab. C), roucvxo.:116799290 E%P.ORTE: O3�OLI91 comeaxr: STATE ❑ Certitiea coDY �5 hereby lum� .� Ceriified copy is filetl yi t�e ciry Builtling OiviSi�� ate: �V � J/7 ` ApplicanC � / E%EMPTION FROM WOflNEBS' COMPENSNTION UECLpPpTION: Qhis sec�ion neetl no� 6e comDle�eO if t�e p¢rmil is lar On un d($100) or less). I cetlify tha� in I�e pedormance o� the work �or which ��is permii is issue0. I shall noi employ any person in any manner so a5 io become su�lect Io Ihe Workers' Compensatian LawS oi Califomia. �aie: SignaWre: NOTICE: II, a�ier making ��is declara�ion, you shoultl become sublect Io Ihe Workers' Compensa�ion provisfons o� Ihe La6or Code. you mus� �ortAwith comply wit� such provisions or this De�mil shall �e tleemetl revokeG. CONSTflUCTION LENUING AGENCY: I herehy allirm ��a� Ihere is a constmc�ian lending agency lor I�e pedormance ot �he work lor which Ihis permit is issued (Sec�ion 3�97. Crv. C). LENDEN: ADOPESS: OWNEN BWL�EB UECLAflRTION: I hereDy afhrm Iha� I am exempi imm ��e Conlrac�ors' "State License Law for Ihe lollowing reason (Section 7031.5 Business antl Pro�essional COUe: Any ciiy of coun�y whic� requires a permit �o constmc�. aller, impmve, demolish, or reDair any stmcture. prior to iis issuance. also requires ��e apDlican� lor such permit to tile a signed 5tafemeni Iha� he/she is licensed pursuant io �he provisions al the Coniractors' State License Law (ChaD�er 9(commencin9 with Section 70W) oi Division 3 oi the Business ana Pmfessions CoAe) or �hal he/she is exempl ihereimm and �he basis for Ihe alleged erempiion. Fny viola�ion ol $ection 703L5 by any appllcam for a Dermil sublects the aDPlicent �o a civil penalry o� not more �han five �undretl Oollars ($500). I. as owner oi Ihe pmperty or my employees wi�h wages as Iheir sole comDensation. will Oo Ihe work, antl �he ❑ simcwre is nol imen0etl or oflered lor sale (Sedion 7M4, Business and Professional Cotle: TAe Cgniractors' State License Law tloes noi apply Io an owner ot a pmperly who �uilds or impmves lhereon, antl who doe5 such work himsel�/herseli o� �hrough hIs ar her own employees. pmvidetl �hat such impmvemenls are nol inlentletl or ofl¢reG lor sale. tl, however ihe �uildinA or im0�ovement i5 Soltl within one year ol tomple�ion, the owner will have ��e burtlen o� proving he/she tlid no� bui10 or imOmve for I�e pur0ose o� sale). I. as owner ol ihe pmpeny, am exclusively contracting wnh licensetl contracmrs ro consimct Ihe Omlect (Section 7044, Business ❑ antl Pmlessions CoOe. The Cantrac�ors' S�ate License Law does no� apPly m an awner o� Omperty who builtls or improves thereon antl who conUac�s for such praiec�s with a conVac[or�s�license Dursuan�to ihe Contraclors' S�aie License Law),I am aware Ihat pmo� o� Iheir Worker'S Compensation insurance 5hou10 be pmvitled lo me. � I am exem0� untler Section: B. 8 P. C. tor Ihis reason�, Da�e'. Owner. I tlo hereby cenily ihal I am aware of an0 unders�ana Ihe requiremems ol Calilomia Healih an0 Saleiy Code Sections 25505, 25533, antl 25534 anU Ihal I or anY �uiure butl�mg accupani willlwill not (circle one) neetl �o comply wi�h saitl 5�9Ie codes an0 the requirements lor a permit far consimction ar moddicalion tmm Ihe Nir Oualiry Managemenl OistricL Residen�ial cons�mction apPlica�ions are exemp� irom Ihese pmvisians. Oa�e: Applicanl: I here�y ce�lily �hal I have reatl t�is application antl s�a�e thai �he above inbrmation is carrec�. I agree b compty wiN all ciry antl or0inancesantlsialelawsrelatinglobuildingconslmclionandherebyampp�zerepresentativesofihiscityioenterupont Dove�me propeny /lar inspeclion purposes. //// Daie: L� � ��'� � Signaiur0. y ��'e ��,C— Driver's Gcense or Social Secunty w: �� 164L46 Wlme—Builtling�. Green—Coae EnlorcemenC Canary—Appl¢anl: Pmk—Revenue: Goltlenmtl—Assessor CITY OF CC�STA MESA — bUI1,DING PEAMIT PERM NO: P OS9606 PERMIT NO: P 099b06 PLAN CHECK NO: N GOVT: N SUPP: N CUN5TRUCTION TYPE: PF.kMIT TYPE: PLU PURPnSE: OTH JOB DESCRIPTION : WATER HEATER AEPLACEMENT SQ FT: CLAIM VALUE: CALC—�JP.LIIE: GROUP OCC: / COMMENTS: NO STAUi:TURAL WORK B�ING llONE if iF �1E jk k 1ElE 1E-IE iE iE IE iE 3k �7(� iF 9F iE 9E iE df �f !f f(� * iE �)f� jE �E iE jF iF iE 3F iE 1F ih if 9F9t * i1 iE iE if i(-# ikiF-1E 3F dE if jE �f �k iE iE-7f iE * if i4 ik�l- iE dE-%if� it if iE dE dE BEjE 3E dF 3F Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCEs"SORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN 'LEPT: FT IN RGHT: FT IN PARitING kE4• PROV: PARCEL: 13919219 ZNE: REF NO: PLANNING NbTES> i *�*�+e�*+�*****+r�*��*�r***�r��**�x*x***�****�r�*��*�***x��**x**�:�:**�x��r�a*��* D E V E L O P M E N T S E R V I C L' S•. R E Q U I R E M E N T S ZUNING APFROVE� BY DATE; BUILDZNG APPROC�ED BY : DAT�: APPLICATION ISSUED BY: DATE: �� iE jE iE iE �lf 1f �f iE 3E iE ik if ik �Ih �f iE iE if iF if if �k 1E iE if if iE if if iE if )E�iFiFif iE iE ii iF �lf �1E * ik ik iE ik if iE if ih �F i4 �lf iE �lE iE iF if if iF iE if �k iE iE iE iE # 1f iE iE �E �3f if i't iF iF if if if if ik iE if if if iF iF �F jF iE 3F if �IE ��lf iti iE 1k if s?k % 7E �?E % N� # lF jE #� iE �IE 3'r LEGALIZATION:N F E E. S U M NI A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 2.00 258 - SMIP/NON—RES PLAN . I53UE FEE 3.Q0 BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 2.00 3.00 0.00 5.00 5.00 .UO REVENUE DIVISION TOTALS--> COLLECTED: 5.00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/'tOT GRADiJ3 PLAN—CHECK 5.00 jf iF if df iF iE iE i! if iF if �f �E iF jf if if if iE j! it 1E iR if if 3f if if iE af �E �f iE if iE if �.iE �f iE iF if 1f ik iElE it ?f 1! 3E k 3E iE iE k:f if if !f �f !f 3F iE 9t 3E 3E �f �)F k 7f af df i't 3E �E iF ik iE if I N D I V I D U A L F E E b R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 WATfiR HEATER AND/OR VENT 2.00 2.00 END OF FEES �� l_�ji:��'i-'J',T:^,'. "�:_" t��?iFC I�.�:1: Sl T(�.^ � .-I-y CONSTRUCTION AND P�ArvNING P�JL & SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service o'r Pole . � 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. " ' 53. Steel Reinforcement � 3. Elec[rical 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, O Undrgrnd. 10. Structurol Floor System � 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final 12. Sewer Cap . 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final ' 14. Rough Plumbing . � 65. Electrical-Final � 15. Rough Electrical-Conduit , 66. Solar SYstem-Final 16. Rough Electric Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. flough 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 � • 77. Product Fiping O Gas ❑ Oil 23. Gas Pipe-Rough & Test � , �� 72, Underground Flush � . 24. Roof Framing - ' '' 73. Undergrnd. Storage Tank O Gas ❑ Oil 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 � � � � �. � Notes: /�-7-`(p no.pM6�{om�-'L.Eor�wizo -L� - 34. Final.Heating & Ai� Conditioning '�.�sG� �t/�Qn��g� 1,�/�- G�Fif% .� 35. Final Gas'Pipe,-Test � , --�. ; • , , ' , 36. Hood or Canopy r�' • �? ' ' • � � � ' 37. Final:Factory Fireplace ", , ' , � 38. Final Plumbing �� q gd • ' � 39. Water Service�Final • , ,40. Gas Service-Final � 1 � � � � � 41. Solar pomestio-Final , � : i ' � � 42. Backflow Preventer { � 43. Backflow Irrigation �� ' .. � '� ' � � 44. Landscape Irrigation SYstem , � . � � � . � -� . 45. Sound Attenuation ' � • - - ' ' ,, 46. Handicap.Regulatio�s � 47. FINALSTRUCTURE&BUILDING .� 48. FINAL PLANNING i ' 49. Electric Release to Edison � ' 50. Gas Release to Southern California Gas Co ; �' 51. CERTIFICATE OF OCCUPANCY -� � No. Date r �CiTY OF COSiA Prolect � O�nm1 MOrtu: IrcnlEni MOnn: Permltlei Ma�en: MESA CONSTRUCTION PERMIT LICEXSEO CONTHNCIOH OE wi@ $etlian 7000) ol pivisi( cm uc: C)C2�y �_._. `1'- �.Si� 'ION: I here0y allirm ihat I am licensed under provisions of CI ihe Business a mfes' s o0e anA riy license is in tull srme uc: Fi' u�� 77 cuss:_ G WOBHENS' COMPEN511TION DECLAMTIO ere6y aifirm ihat 1 haue a cenilicate of consent to self-insure or a ceeil¢ate oi YJorkers' CAmpensaiio rance, or a cerlifiee copy the_reof _($ectiqn 3800, lab. C�. raucr wo.;�`&sf— �ZS�? ( E%P. ORTE: �� ' I COMPFNY: �'j'�¢q�ryY jL`�'�G, ❑ CetlilieG copyc is AereUY fumished. �Certi,/i�ed copy is filed with the c'� �ii i Oi 1�in. Oate' —,? z o 3_ N771icani: �-(�__?"�� ` E%EMPfION FflOM VIOBREflS' COMPENSRION OECUBRTION: (T�is sec�ion need n e completetl if I�e Oermil is for one hundretl (f100) or 16ss). I certiry that in lhe De�ormance of Ihe wnrk for which this permit is issueQ 15hall no� emplq aiy p¢rson in arry mazlner 5o az to 6eCome subl� �o �he V�brl¢rs Cqmpensafion Wxs of C3li/omia. Dale: - Signature: ' NOfICE: I�, atler makinp Ihis declaration, ynu shout0 �ecome suhjecl to ihe Workers Campensation prwi� sbm of Ihe laha CaOe. YW mmt faQrxiUi comPN vn�h wch P�a.iwis ar tldt OCmu! slWl ha deemeG 2wletl. fANSfHUCfION LENDING M.ENCY: I �ereby atlirm ihat [here is a consimction lenaing agency tor ihe DeAor- mance of ihe xork lor w�ic� Ihis permii is issue0 (Seclion 3047, Ci¢ C). � LENDEH: "RODBESS: ' OWNEB BUILOEB DFCIAMTION: I Aereby a8irm Ihat 1 am uemDt irom I�e Cant2ctars' SWte License law lor the followinq reason (Sectiai 70315 Business anE Protessional COde: My ciry a( counry wAic� requires a permit m constmc6 atler, imprmc. demolish, or repair arry stmciure, D�or to its issuance, also 2quires the applF cant for suc� De�mit Io fite a sipnetl statement tha� he/sAe is Iicense0 Dursuant to t�e O�isians of ihe Cont2c- tors' State License law �C�aD�e� 9 Icommencing witA Section T1001 of Divismn 3 01 ihe Business an0 Pmfessions CoOe� or ihat hrh�e is exempt therelram antl ihe Oasis for ihe alleqetl ezemption. Arty Nolation ai Section 7031.5 Oy arry apPlicant for a De�mil s�Gecis Ine aDo�icant ro a civil penatry ol not moa tlian five hunErea tlolWrs (5500). � I, as mvner of Ne pmpeM or my em0loyees vntA wages as tAeir sole compensation, vAil do Ihe v.vrk, and the simcNre is not inten4eA or ottereA tor sate (Section 7044, Business antl Prokssional Coda: The Com Iractors' State License law Aoes not apply to an axner ot a property wha 6uilAs or imDrares thereon,.and wha Uoes suc� nnrk himseWhersefl or ihmu0� his or her ovm emplqees, prwi0etl thai such impim�emenis art not intenaed or ofler64 for sale. If, �oi.e�r t�e Omlaing or imprwement a sol� vnthin one year ot com plelion, t�e wmer wili �E�e ��e Gurtlen of Orwing �rJshe diC not builtl ar imD�� or ihe purpose a/ sale�. � I, as owner oi Ihe pro0erty, am exclusively coniracling with Iicense0 conVactors to consVuct the pmlecl (Section 7fM4, Business antl Pmfeuions Cotle: The Contractors' State License lsv tloes not aDDly ta an mvner ol pmperty wAo builtls or improves tAereon an0 who coniracis �or such pmjects with a wntraclor�s) license pursuant to IAe Gontrzctors' Stare License law). I am awa2 ihat prool ot t�eir Nbrker's Campensa- tion insurance snoWU Oe OrwiUeO ro me. . � I am exempt un0er Seclion: B. 6 P. C. tor Inis reason: Oate: Ownec � I Eo �eretry cetliry Ihat I am aware ot and unEerstana Ihe requiremenis o� Califomia Healih antl Salety CoOe Seo tions 25505, 25533, anU 2553A ana t�at I or airy futura building occuDant xullatiltnot (circle one) nee0 to comDly xilh sai0 51aIe coGes ana tAe Bquirements tor a petmi� for mnstruclion or rtwEifpiion irom �he Air Oualdy Manape� mem �isirict NesiOential constmction aDV�ications are exempt Imm tAese prwisions. �ate:� ApplicanC ' I �erehy certiry t�at I ha,e rea0 this aDP�ication anU state that t�e above information is correcL I aqr to comply vnth ail city anE county ordina0ces an0 state larrs r'np ta builainA consimction tl e2Gy aul e represero Iaiives ol this ciry to enter upon �Ae aEove-men�i n d DmDetly �or inspec��es. p�¢:�^/"� �O Siqna � APPLICANT: DO NOT FILL IN SHADED AREAS: PERMIT yQ ' / � � � � UNIT MODEL i� Y I VUflPOSE: ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIP I❑ CONVERSION ❑ DEMOLITION ❑ OTHER � � '�� DESCRIPrION OF WORK/USE OF BLOG. �� T/% CS � p�-T"% a- 3 PG Y�Poc. TVPE OF PERMIT. ❑ GRADING ❑ FIRE ❑ STRUCTURAI ❑ SIGN ❑ ELEGTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ REINSPECf10N . JOB DESCHIPf10N: O SQ. Ff. OCCUPANC`f GROUP 4� CONSTRUC710N TYPE VALUATION $ � � GRADING CU. YDS. _ CATEGORY: O MINOR CANSTRUCTION � MAIOR CONSTRUCIION (UMer 200,000 sq.R.) ❑ M/UOR/HIGH RISE (Over 2UU,00� sq. ft.) _ . Remarks: � BaCkflow Prevention Backflow Irrigalion Bar Sink ' Bathtub . Dishwasher ' ' ' - Drinking Fountain Floor Drain Flaor Sink � Gas Service � Gas Svstem '_ Omlet Kitchen Sink LaundryTray - P Trap Reinspectlon Fee Boiler Duct—Underground Ducl—Slmctural Dud—Ventilating Exhaust System ❑ Multipl� Fan Fire Damper Fireo�ace/Facl. BIL ICBO N , ' Orrver s License or Social Secunry a: I' I Reinspectlon Fee pB65-Ofi rev, 10/89 W�ita � BNICing; Green � CoOe Entarcemant; C�ary � Applicant; Pink - Raranue: GOMenmE - Aasessor PLUMBING FEES Repipe Roof Drain - - Service Sink� � � Sewer Cap � � Sewer Connedion � - Shower � - � ' ' Solar Collector � Solar Piping � ' Solar Tank � � Swimming Pool w/Spa ' Toilet - � Urinal ' Wash BaSin . ' ' Washing Machine • � Wa[er Heater Water Service � 530 Issue Fee MECHANICAL Healing System & Ducting ❑ aiao,000 eTu + ❑ ioo,000 eru + Hood or Type 1 ❑ Canopy Type 11 ❑ � Reirigaration System � ❑ 0.100,000 HN � � 100,OD0 BTU + Issue Fee . � 53 FEES 515 A.P. N S Main'Buib E 7 Fmnl B Left A _ � RigM K g Rear 'Ing. Fef. p �lannina Notes: Automatic Washer Christmas Bee Lot Consirudion Pole � Sub Pole Cooking Unit Dishwasher Oryer � Gas ❑ EledriC F.A.U. Fireworks Stand FixWre Generaloc Size _ Metar � up l0 2M Meier � over 200 Microwave Zone Motor LJ. 61 HP LJ 740 HP � 10-50 HP ❑ 50-100 HP ❑ over 100 Outlet Pole Light Sign Outlet � � - Square Footage Fee . Standing Sedion ' _ Sub Panel Switch Temporary Work With .' hansformer . S�za Tresh Compactor IReinspectlon Fee I 530I I lasue Fea DEVELOPMENT SEHVICES RE�UIREMENTS: ' Zoning Approved By Building ApproveA By , ApplicaUon Issuetl By � Z O N I N G R E O M T S. S15 Date Dete Date � SUMMARV OF FEES BUILDING PERMIT $ � MECHANICAL $ PLAN CHECK S PLAN CHECK 2536�$ PLUMBING $ SMIP 5 ^-�`� PLAN CHECK 2595 S C�RADING $ ELECTRICAL $ . PLAN CHECK 5096 E TOTAL FEE s � OZ t]t70`5G29—G00a�03� g�a'rj OAiE: 42/28I40 TItiE: 04:13 27.5u � ;me:>.:.•rnqa-na�nv'�..h%'�k�Uui� ?y�"i3y?.r��%*:;? T ;�••;4:5'iy�a�t.Fe6>�'M'. �7��'J4 yt`�';�r'�Sh�i.� , r ."�z'�`M1;f^�M1."�+"'$��'- §-��'�;,;�pts�t�i�.axv.�..-`a%'dr"tR'^ - , :.. R�.v+ • � CONSTRUCTION AND PLANNING ' - & SPA ' Date Inspector Date Inspector APPROVALS Permit # APPROVALS Permit # 1. Temporary Electrical Service or�Pole� 2: Soil Pipe-Undrgrnd. 3.�Electrical Conduit Utiliry-Uhdrgrnd. . 4. Electrical Coniiuit-Undrgrnd. � ' 5.,Stee1 Reinforcement .� 6. Electrical UFER Grnd. � , 7. Footings , � � - � 8. Found"ation 9. Water Pipe,Undrgrnd. 10. Structural Floor System � 11. Property Sewer Line & House Connection 12. Sewer Cap , 13. Roof Dreins . 74. Rough Plumbing � 15. Rough Electriral-Conduit i6. Rough Electric Wiring 17. Rough Wiring Sign 18i Rough Electrical-T Bar Ceiling 1.9. Rough Heating & Air Conditioning �. 20,. Rough Factory Fireplace 2,1:. Ducts, in Structure 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Roof Framing 25. Roof Sheathing . 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING � 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY o. Date 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, � Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & �ieceptor-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/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping O Gas ❑ Oil 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: C. ' "'\ •. .1 Y : �� r , A 9 � � � 3059G ' COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely 1 ADORESG YIEw�-7�QL_ � er2 e�� OWNEa U, K. I`'GN Lt'(� ADDRESS [; V� �7(Si i� ��% / p �r TEL. CITV��CFP. LIAHI �CF�\ NO.� BRANCH �� (�(�f �l(�JO�.� J.,;J ADDRESS AFCHITECT T A�DRESS CONTRACTOR b , � � �C� D�+ /` ADDRESS � �, /��x S`�OO� CITV�lT�,/NC_ �A�G�J NOL(��/%�Q LIC. NO. �� l�Z� LICVNO. SIZE � ' S � �NO.OFBLDCS. OFLOT�i„b��y�r ��iJ.H�% INOWONLOT O O USE� �f EX15fING BLDG. �(/O �E SIZE OF �i !' � � � NO. OF NEW BLDG. � b ROOMS q STORIESI� EMERIOR WALL ROOF COVERING ��«� COVEFING TIL� USE OF BUILDING AND WORK TO BE PERFORMED C��V �� 6��A �.0 G 1 1969 PPLICATION FOR BUILDING REC � , �� V p. A.P. NO. / '- D S ,� BUILDING � 4 /� /f r C ADDFESS_ O D � (�d...C.tJ TRACT�3(O LOT �S W ADD ER P OWNER � �� /J� VALUE SE ��✓' $ FIRE ZONE TVPE j GRC APPROVED %I�� / BV ! �C DATE � 20N� . NO.OF_, PLANS VARDSAPPROVED MAIN BUILDING IFROM GL STREET) FFONT % O FT R. SIOE S FT � L. SIOE � FT. REAR J��T. DI5TANCE BET. MAIN BLDGS. VAF. s1E OF N DATE APPROVED MIT � T � HOLD FOf� SPE iA r• �. I hereby acknowletlge that I have reatl this appliwtion antl state �� that the above information is correct and a8ree to comply with �� all laws regulatinB builtling construction, antl I shall not employ � any person in violation of the workman's compensation laws of �A�""a^�' � � the State of California. • � /� ^ �f � I hereby certify that 1 am properly licansetl as a convactor untler S SQ' �� [�/ �0� o the Stata ot California Business and Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � Chapter 9, antl that such licenses are in full force antl etfect, or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the p� visions of the State ot California Business � VALUATION and Professions Cotl rvisio 3, C er /� Q � EFMIT PEE $ � 7 Signature of � � �� 7L, E Permittee $ J PLAN CHECK $ O/�/ a Q LL Authorizatl Agant TOTAL FEE $ � i� ,�OWNER PENDER, D. R. �jJOBADDRESS 3083 Bali Circle �GENERAL CONTRACTOR same � AP No. 13 -1�i1-05 LOT TRACT ;�` INSPECTIONS Si naf �J soi� �GAS WATER( ;f .' Z ROUGH PLUM9ING PROP. SWR. LINE MOUSE CON. Q' SPRINKLING SYST M MISCELLFNEOUS .F ROUGH HEATING ANB-hiA-G6NHVTiBN+N6 /[Q� TEMPORARY SERVICE OR POLE UNDERGROUN� � POWER � ROUGH WIRING TRENCHES.� FORMS � STEEL R FLOOR SYSTEM BONO BEAM � STEEL REINFORCE SHEATHING FRAME ANO FLASHING LATHING - IN /� Ol1T �]- PLASTER, 6ROWN COAT STRUCTl1RAL, FINAL NEATING, VENT., REFFIG. ANO A.C., F PWMBING. FINAL ANO�GAS TEST I-I DATE $_ BUILDING PEF FIRE ZONE VAWE S 45 �.00 GROUP ISuT TYPE V Z �i SUBCONTRACTOR PER Z . W W a U Z Za � N am J � J N Q W 0] J J m Q U a Z� aW J Q m z J � W w � _ Z � W � 70 � " 31 128 NOY 24-64�� 00 991 �*****7-00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI ED BV DATE RECEIVED DATE ISSUED BUILDING � � C� ,/ ADDRESS I �Y_ P MIT OWNER � A.P. NO. � MA I L BUI LDING � ADDRESS � ADDRESS TEL. TRACT LOT BLOCK CITV � � M,. NO. �S � J�O CONSTRUCTION W ADD A LENDER � S � BRANCH . �/ACi OWNER A D Dfi ESS �/�J� //� VALUE q./j ARCHITECT TEL. (i(/C�.�Ci $ V(/ � OR ENGINEER NO. FIRE 2 `� ADDRESS ZONE #�J TVPE GROUP V APPfl V D /� CONTRACTOR (�(J �{,/ (L— BV �A.TE � � ADDRE55 TEL. ZON NO.OF USE OF NEW CITV NO. VLAfS BUILDING STATE CITV 1'ARDSAPPROVED VAPDS APPqOVED LIC. NO. O � z� LIC. NO. MAIN BUIL�ING ACCESSORV BUILDING SIZE j � NO.OF BLDGS. (FROM C/L STREET) .-f-- OF LOT NOW ON LOT FRONT FT. FT. VSE OF "'I EXISTING BLDG. l/y F� SIZEOF NO.OF �� NEWBLDG. ROOMS $TORIES L.SIDE FT. FT. EXTERIOR WALL ROOF COVERING COVERING REAR FT. �Ffi�� USE OF BU� i ING AND WORK TO ��EjiFCOR E ) // MA�N BLDG>T ACCE55. BLDCaS. � � VAR.# DATE y��s QU.P.# APPROVED APPROVED Z I hereby acknowledBe thet 1 have reetl this epplication entl state that the above information is corract antl aprae to comply with all laws re0ulatlnp building consbuction, and 1 shall not employ any person in violation ot the workman's compensation laws ot the State ot Californie. 1 hereby cartify 2hat I am properly Iicenzed as e conirecior �nder SQ. FT. the State of California Business antl Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, antl thet such Iicenses ara In full force antl effeci, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: em axempt from t Islons a9�te of California Business VALUATION �J ,� ^ and Professions C , D' i i� 3, Ch t r 9. pERMIT FEE $ /• �"fJ SiO�atura of �� / /�� Permlttae $ / / J/ ) � PWN CHECK $ '�� V V � y� Authorizatl Aeent TOTAL FEE $ • /�-V OWNER pENDER, DON JOB ADDRESS �na� na AP No. �_ LOT 7R INSPECTIONS S�� SOIL GAS W ATER ROUGH PLUMBING PROP. $WR. LINE Q HOlISE CON. � SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AN� AIR CON�ITIONING TEMPORARY SERVICE OR POLE UN�ERGROUNO � POWER � ROUGH WIRING TRENCHES FORMS � STEEL REINF. �[ FLOOR SVSTEM BON� BEAM STEEL REINFORCE SHEATHING FRAME ANO FLASHING LqTHING - IN OUT PLASTER, BROWN COAT STRULTURAL, FINAL HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AN� GAS TEST ELECTRIC, FINAL BUILOING, FINAL DATE 11-24-69 BUILDING PERMIT P FIRE ZONE VALUE: SUBCONTRACTOR � '' • 4548�. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applican[ to Fill in Comple[ely — Use Ink Only AD1DRESS D � � �LI I Llr OWNER ON� L C�DE� MAIL �o�� a�� e��oc� AI)fIRFSS F � L Q .�. � S F C W F Q G J Q 7 �' � �. W a °a L z W �Z" 3 � CITY l .�.Z� M ��a N�LJ�1 / `� CONSTRUCTION � p . _ ,_ BRANCH ✓ ADORESS �� ARCHITECT O � N.C�� TEL. OR ENGINEER NO. ADDRESS ' CONTRACTOR O 4% A.� Cril- ADDRESS �� TEL. CITV '� NO. STATE CITV LIC. NO. �� Z� IIC. NO. 512E � NO. OF BLOGS. � OF LOT I NOW ON LOT USE OF (j [ EXISfINGeLDG jJA�%.-� !-'//�MIL� Sepazate permits are required for electcic, plumbing and lieuting work. USE OF BUILDING AND WORK TO BE PERFOFiMED I hereby acknowledBe that I have �eatl this application antl staie that thn above information is corract antl a8ree to comply with all lews reguleting builtling consvuction, end 1 shall not employ any Oerson in violatlon of the workman'S compensation laws of the S<ace of Celifornia. I horeby cerNfy tha[ I am pro0erly licensed as a contractor untlar tha Stete of California Bus(nass and Profeaions Cotle, Dlvision 3, Chnpter 9, antl that such licenses are in full foroe entl effect, or I am ozempt trom th ovisions of the Siate of /Ca�14ert�/ry' Business antl Protessions Co ivision�ter e' '. � Signatura o4 �� Permlttne � Authorized Agant � C9TY 0� CO��A ��A APPLICA ION FOR STRUC'fURAL PERM] RECEI DATE RECEIVEO D �E �J qMIT NO A.P. NO. ADIDFIE 5 308'3 8�� TRACT✓�� LOT� BLOC W ADD A P v A OWNER �(/B��/TLO �yO`�� '�6 .� �'.� f"A��$ �6bz FIRE � 20NE j} TV E GROUP APPROVED // I% /% � ZON� / INO.OF e PLANS VARDS APPqOV ED VAR. # USE OF NEWL'/✓� v r BUILDING� ��(� VARDSAPPROVED ACCESSORV BUILDING FT. & DATE �APPROVED _._. J ► /� THE AMOUNTSHOWN UNDER VALUAT THE PURPOSE OF ESiABLISNING A PERMIT VA�UATION PERMIT FEE E OO PLAN CHECK § $ /�OO TAX $ ' TOTALPAID § n m i : m N IS FOR m ON�V: � c Oa a N m � m 0 ,sa � u OWNER p�DER, DpNpI,D DATE 2-9-78 JOB ADORESS 2nA2 nali C3,-,.ia BUILDIN6 PERMIT N0. 4S4Ri SUBCONTRACTOR W RTER HOUGN PLUMBING PPOP. $WR. LINE Q HOUSE CON. � SPRINKLING SVSTEM MISCELLANEOUS ROUGN NEATING �ND RIR CONOITIONING TEMPORARY SERVICE OR POLE UNOERGFOUND � POWER � ROUGN WIRING TRENCNES FORMS STEEL REINF. FLOOR SYSTEM BON� BEAM � STEEL REINFORCE n SHEATNING FR�ME �ND FL�SNING LATMING - IN n 00T (� PLRSTEA,BROWN C04T STRUCTURAI, FIN>L HERTING. VENT.. REFRIG. RND �.C.. KiwGL