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Home My WebLink About958 BEGONIA AVE - Building Permits, Applicant to fill in all soaces exceD< those witnin heavy portler Ilnes ana si9n all approo�iate tleclarations. PERMIT NO. TRACT N0. LOT NO. UNIT N6. . � - Cir.v oF COSTA MESA CONSTRUCTION PERMIT .� O 58a5 .i / I.6/85. 36 �,gc � T� `P.s;�� Address �[ � 53 12aE:C�r� N l A A✓E. • '' . � Applicant's Mailing Address ' TVPE OF CONSTRUCTION NEW ADD ALTERATION' REPAI R Owner's Name hone ' � �ONVERSION ❑ DEMOLISH ❑ OTHER ' q,p,# / -a - / _ -. Z°^e Q� p ' ''/ DESCRIPTIONOFWOQ.{C /SEOFBLDG. �M• �•�.� E-L2F�- b •� Address ��e � ` �� Q�Gn� 9�p� rjp� (j �• �x �/ —�— j', �,Q Ej(]: � E Main Building: (,.�J Accessory Building: _ Z Arch/Eng... � A y� / . /\ . � T lL � ' � � O � �-' /�.!'QM-�, l ---tl,tense NO. TYPE OF PERMIT GRADING �FOUNDATION Id STRUCTURAL id%IS?� Ffont � �I Address' 6��L�'�I'��'1("l�F� E��__�{/'� • ❑ TENANT ❑ ELECTRIF AC .� P M ING ❑ MECHANICAL ��7 ' A Rear � !/ - - �� N Contracror'sName - ��-/� �+F /� i Phone�� ' fi / . �� oTHER � /%S�7 ��EC:GS� � �-+ � Right .I -/1 ' ' � � . N Address�lmailing) ' ��T�� `/ � ?ROJECT DESCRIPTION 'Sq. F ' , � - oCCUanrv v� � R� ' K Left � 3 i� � • " � � - 1 e/�� CONSTRUCTION TVPE I� �U VALUATION $ $ City Cicense No_ '' �� ' � � ZONE � GRADING CU. VDS. � ACRES � R � L'ICENSED CONTRACTOR DECLARATION ' ' /+ •, Plny. R¢f. � P2fking eq:/P�Ovid¢d �� E' ' I M1ereby affirm tha[ I am licensetl untler provislons of Cbartei.9 (commencing Remarkz: �. ,` . �E O • 3'J �• �� ZO �T Planning N t¢5: M with 5ection ]000) of Division 3 ot t e siness antl Professions Cotle, and ' � � S my license is in full torce antl eftect.Q . � /� License Class � License No. C • � ' PLUM�NG S' FEES � O —/v��N Date - - Si9nature . � WORKERS' COMPENSATION DECLARATION � �' ' Bar Sink . ' t Shower5 ' � LECTRICAL , � ' FEES I hereby.affirm that I have a certificate of consent to self-insure or a certilicate � � ' . of Workers' Compensation Insurance,�or a certifietl Wpy,thereof_(Section Backflow.Preventer � ServiceSink� ' � - -3800,-Lab. C.) - - - - � - - - - ' -- ' � � -� -' " � AutomaticWasher. �"" `Transformer ❑'15-50�KW . Policy No. � � Company • � Backflowirrigation . SewerCa � � � O SO+KW �, Certitietl co � . ' � P Canstruction Pole Sub. , � , ; � py is hereby �urni5hetl. , � B•Certifietl wpy is 81etl with the'city Builtlin9 Division. � Bathtubs . � . Sewer Connection ' � Cookin9 Unit , M2ter ❑up to 700;amp5 � . Date ' - Applicant � � ' � � - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION CIa�iFie�s ' , Sola� COII¢cLOfS Di5hwd5h2� • ' � M¢t¢� ❑Ove� 100 amp5 �(This section n¢etl not be mmpletetl if the permit is to� One huntlretl ($300) or "-- —' ' ' Iess). • Dishevasher � Solar Piping ' � ' Dryers ❑Gas. DElectric Sub Panel � . I certity tha[ in the pertormance ot thC wo�k (or,whith "S.p Nt is issuetl. I . � � shall not employ any person in any manner so'as e e subject to the Drinking Fountains Solar Tank ' Fan Motors �0-1 HP 01 �'- 8 � Workers' Co enfyp s�yt�ion Laws of Califo nia.� � � ' . Date /—((�� >'7�i Signature �s -�' Floor Drains ' Swimmin9 Pool w/Spa ' F.A'U. �NOTICE: It, afte� making this Aecla�ation ou sn6ultl com ubject to the � Ina Solar 09-75 HP 016-15+ Workers' Codlpensation provisions of 4 e Ldbo! Cotle, you ust tofthwitll FIOOf SiOkS ' � Ulinal ' .� -.. Fixtufe5 . � • ' MiCIOW3vC -" " -" '" comply 'with• such provlsions or this ermit Shall be!tleemetl -vevoketl. ' � CONSTRUCTION 6ENDING AGENCV_ ' '- GasSefviCe' OUtlets WateGCloSet � DeviCe'Boxes' 1 hereby atfirm that there is a,construction lendin9 agency for the performanc¢ , ' Pole Light ��' of ihe work for which'this permit is'issuetl (Section�3097 Civ. CJ Inte�cetorsi - � WaterHeater � - - � Lentler's. Name ' P � - Outlets'� � � Range �entler'e Aatlress � � - � � � Kitchen Sink . � Water Service � � OWNER BUILDER DECL'ARATION - - �' Switchesl Sign '�r A% ' I hefeby aftirm that I am-exempt trom the Contrattor'S License Law tof tFle LdvdtO�ieS . � , AutO-W25h � . � � � i `' following reason (Section 1031.5 Business antl Professional Cotle: Any city or . Garbag2�Disposal Standing Sections .-'' county wnich requires a permit m construct, alter, improve, tlemolish or_repair P—Trap ' _ - Laundry Trays � Generator DO-5 KW �5-15 KW " � any structure, prior to Its Issuance,.also �equires the applicank(or such pe�mit T�aSh COrtlpdGtO� , F �'� to file a'si9netl statement that he/she is IicenS¢tl pursuant to ihe provisions oi Roof Orains �. ' - .� � � . .� ! �the Contracror's.License Law (Chapter 9(commencing with Section ]000) of � Division 3-ot the Business antl Professions Cotle) or that he/she is exemp[ . . . � �'' tberefrom'and the basis for [he alleqetl ezemption. Any. violation oi Section - . � , . -. , . ' 7031.5 by any_applicant for a permit subjects the applicant to a civil . ' ' ' - • qe�nalty of not more than five huntlretl Bollars ($500). � � - ; 17C1, as owner ot tne; oroperty or myemployees with wages as their 'sole � 'Reinspection Fee � $15 ` Isue Fae � $'3 1''� ' � � compensation, will tlo the work, antl the�structure is not intentletl or offeretl '. Reinspection Fee $15 ' Issue Fee �i `� y' $ 3 for sale� �Section p044, Business antl Protessional Cotle: The Contractor's' - . MECHANICAL ' FEES LicenSe Law tloes not appty to amowne� oi a property. who builtls o� improves ' thereon, antl who�does Such wo�k himself/herselt or through. his o� he� own ' - �Pe I � � DEVECOP.MENT SERVICES RE'nQU� MENjS:� .. .';� 5�85, emD�oYees, provitletl [hat such improvements a!e not �intentletl or ofteretl for BOiI¢f . - �" � HOOd O!, T . - sale. Ii, however, the builtling or improvement issoltl wlthin one year ot mm- � � Canopy . Type 11 ❑ �� Zo�ing Approvetl By ��L� Date Oletioq the owne� will have the burtlen of proving h¢/She tlitl not builtl o�,im- DuCt'- Und¢� i�i�0und � - ' BUilding App�aved By . � Date � � provG fo� the purpo5e of sale). - � ' • � . � ❑ I, as'owner oi the prooerty, am ezausively contracting with Iicensetl con- Duct - Structural +� Refrigeration Sys[em � . Appliption luued By - Dat �� ' tracrors td mnstruct tbe project (Section ]044, Business antl Professions CoOe: , ' � The ConVacmr's License Law tloes mt apply ro amowner oi property who Duct - Ventilatin9 � ' �0-700,000 BTU ❑100,000 BTU , ' , .S l� V OF FEES "l � builtls or -improves lhereon, antl who mntracts for such projects wrtM1 a con- : � - _ -' •� - - q tractor(s) license pursuant to tne,Contractor's License Law). I am aware that ExhaustSystem ❑ MWtiple ❑ System Repair/Altera[ion - •BUILDING PERMIT $ �� SMIP. ' i"�$; proof oi their Worker's Compensation insurance shoultl be provitletl to.me. _ �(. P�qN CHECK � $�v •'OJ PERMIT . � '� '� ❑•1 am exempt untler Section �� P. C. for this reason � Firepl/Fact. Blt. ICBO # � Fire Dampers ' . � � �ISSUANCE 6; $�1 � + � ' PLUMBING . $ � Date - Owner� Heating System & Ducting Registers . ' � : p�,qN CHECK 25% $ ' ' ENERGY P.C. $,. � i hereby certity that I have reatl t s appicati n a state that the above ❑0.100,OOOBTU �100,0006T ELECTRICAL GRADING �� $ information is correct. I agree to c ply with all Ut antl county ortlinan<es ' � $ �r � antl state laws relatin9 to builtlin9 mnstr ' antl heretiy authorize repre- � • � � PLAN�CHECK 50% �$ MICROFILM •$y' sentatives of'this city to ent e above-mentionetl properry for . � . , (� ,.•`3�1 S inspection purpases. MECHANICAL � $ S Signature �_ � Date � �6- �� . - ' . TOTAL FEE $ Drivers' License o 55 �' ' Reinspec[ion Fee $15 Issue Fee , $ 3 PLAN�CHECK 25% $ . � :MF OB65-46, rev. 10/84 White - Builtling;�Canary - Appliwnt; Pink - Accountln9: Goltlenrotl - Assessor �� ". -,-- - - '� �CONSTRUCTION AND PLANNING' �- . � ^.�� ` � ' ., . POOL & SPA . . , � � ,� � ' " - � �Date:, _� Inspector ' � � ' • � Date � ' Insper.rm PPPROVALS �. Fermit # � - -APPROVALS Permit # 1._Temporary Electiical Service or Pole� � ' 52. Pool & Equipment Location • . - .. 2.��Soil Pipe-Undrgmd. � - . � -� 53. Steel Reinforcement . � . �=3.�ElectricalCo�duitUtility-Undrgrnd.� � .. �54. Forms �. .- � - . � • �,4. Electrical Conduit-Undrgind. � 55.� Electrical Bonding . � . . � . 5.,Steel Reinforcement � � � . . 56. •Rough Plumbing,& Pressure Test - � � .�' � ' 6. �Electrical UFER Grnd. � - � � 57. APPROVAL TO�COVER-GUNITE . • 7. -Footings , � `. 58. Electrical Conduif-Undrgind. � . - � � � �8: Foundation . _ � ' 59.. Gas Pipe, O Undrgrnd., Test . .9. Water Pipe-Undrgmd. . •' 60. Backwash Lines, P-Trep, O Undrgrnd. � � 10. Strucfural Floor System � ' � �- ' 67. �APPROVAL T.O DECK� : � . '�11. Property Sewer Line & House Connection - 62. Backwash & Receptor-Final ' ' ' 72. Sewer Cap . 63. Heater & Vent-Final . . � i 3= Roof Drains � �. 64. Plumbing System - Final � 14 � Rough Plumbing - ' ' 65. Electrical-final � � -15. Rough�Electriral-Conduit • ' '� B6. SolarSystem-F,inal . " � � � '- �� 16. Rough Electric Wiring .' ` � 67. Feneing & Access Approval " 17. Rough Wiring Sign �' - � 68. APPROVED FOR PLASTERING � - ' - 18., Rough Elect�ical-T•Bar Ceiling � .69. POOUSPA SYSTEMS FINAL. � �� 19.�Rough Heating & Air CondiYioning �' FIRE DEPT. REQUIREMENT . � . 20. Rough Factory,F.ireplace �� APPROVALS. Permit # � ' 21. Ducts,in,Structure „'� ' 70. Underground Hydro � ' i 22. Ducts,Ventilating '� '71. ProductPiping�Gas ❑Oil 23.�Gas Pipe'Rough & 7est � � � 72. Underground Flush_ _ 24. Roof Framing ' � � � ' , 73. Undergrnd. Storage Tank � 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 Bcown Goat ';�.!. ''. 79. FINAL INSPECTION 32. Electrical Power Meter`-Final. � , � 80. FOOD CERTIFICATE ISSUED � 33..Final��Electric � � � � Notes: ' � � � � 34. Final Heating & Air,Conditioning �y/� ��g�� 35. Final Gas,Pipe-Test � . ' �� `;.��' , 36. Hood or Canopy • � � � ' � 37. Final Factory Fireplace . � , . ' - � - � 38. Final Plumbing • , � � � 39. Wate"r�Servic¢-Final � I � � � 40. Gas SerJice-Final � , � , � � ' 41. Solar pomestic-Final ' � , �' .? 42. Backflow�Preventer ! � , � � � � ;��.- 43. Backflow Irrigation • - . ' , 44. �Landscape Irrigation System. . . � ' � ' - ' � � 45. Sound Attenuation • . ^ � �` � ' � � � � , 4ir 46. Handicap,Regulations � ' , � ' . 47. FINAL STRUCTURE & BUILD.ING li� - '� 48. Special Requirements Completed' � � - ' 49.'Electric Release to Edison' ' � � � - �� , - ' �, -, •-- �. �,;� � 50. Gas Release xo Southem California Gas.Co � � ; � , � � �� Y '� � � , 5�7. CERTIFICATE OF OCCUPANCY , � , _ _� , l__, _ , � ., . . � ' • • ' ' ^' � : ;�„ c , . ,� No.� � Date � ' � • ' � � . � , . g � . � , � . _ _ ._ . � , _ . . . _ , _ . Applicant,to fill in all spaces ezcepl iMose within.M1eavy po�tler lines antl_si9n all appropriate Geclarations. , -' CITY OF COSTA, MESA CONSTRUCTION PERMIT ' PERMI I NO. ;` � TRACT NO. LOT NO. UNIT NO. � � 051,� +./ ProjeccAddress 9Sg BEGOWIA hVE• COBTAHE$B— -Applicant"SMailingAddre55 � 4nW.t TVPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR Ownef�SNamC AWI�_'�'RA►.1 PhOn¢S3�'-18r�J �CONVERSION ❑DEMOLISH ❑_OTHER. , Ap.# C � DESCRIPTIONOF WORK/USE OF BLDG. ' Address �a�'MQ , ' ' : S MainBuildi ' Arch/En9. License No. TYPE OF PERMIT �❑�GRaoIrvG ' FOVNoaTiON STRUCTURA� . T front Address . � . �❑ OTHERT O,ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Reaf Contracmr's Name Phone . � . � C Right Address (mailing) � PROJECT DESCRIPTION � 5Q. FT. OCCUPANGv . CONSTRUCTIONTVPE VALUATION$ ��B�O g L t' � CityLiG¢n5eN0. 20NE GRADINGCU.VDS. ACRES pl R f# LICENSED CONTRHCTOR DECLAf2ATION ' ' I hereby attirm that I am licensea untler provisions oi Charter 9(commencing with section 7000) of Division 3 0( the Business antl Pro/essions Cotle, antl my license is in full torce antl eitect. License Class License No. Date Si9nature WORKERS' COMPENSATION DECLARATION 1 hereby atfl�m that I have a certiticat¢ of mnsen[ t0 sel(-insure or a certificate of Workers' Compensation Insurance, or a certitietl:coOY thereof (Section 3800, Lab. C.) Policy No. Company ❑ Ce�tifietl coOY is hereby furnishetl. � ❑ Certifietl copy is filetl with the ci[y Builtling Division. Dat¢ APPlicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (ThisSection neetl not be completetl it the pe�mit I5 fot one huntlretl ($100) o� less). ' I ce�tlfy tM1at in the performance Of the wo�k for which this pe�m�t is issuetl, I shail no[ employ any pe�son in any m e� so as to become subject to the Worker Com ens tion Laws of Cali ma� a Dat��—Signatur ' �A�� NOTICE: , a te� a i g this tleclaration, you Shoultl becom¢ Subj¢ct [o th¢" Wo�ke�s' Compensation provisions of the Ldbor Cotle, you mu5f forthwith comply with such provisions o� this pe�mit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 hereGy affirm that tM1e�e is a const�uction lentling agency fo� the pe�to�mance of the work for �.which this permit is issuetl (Section 309] Civ. C.) Lentler's Name Lentler's AOOress — � - ' OWNER,BUILDER DECLARATION I hereby aftirm that I'am exempt from the Contractor's License Law for-the following reason (Section 7031.5 Business antl Professional Code: Any city or rnunN wnicn reauires"a oermit [o cons[ruct. alter. imorove. tlemolish or repair Division 3 of [be Buslness anQ Vrotessions Coae) or [na[ ne/sne �s exempc theref�om antl tM1e basis for the allegetl exemption. Any violation of $ection ��7031.5 by any appliGant tor a pe�mit Subjects the applicant to a tivil .�)e ty of not more than five huntlretl tlollars ($500). I, �as'owner of the property or m �^ ^" with wa9e5 as thei� Sole �compensation, will tlo tM1e work, antl the sVucture is not intentletl or offeretl for sale (Section ]044, Business antl Profezsional Cotle: The Contractor's licen5e Law tloes not apply to an owner ot a property wno builtls or improves thereon, antl wno tloes such wotk himself/her5elf or tM1rough his o� her own em0loyees, prOvitletl that SucFt improvements are not intentletl or otferetl for ' sdle. If, howeveq [he builtling or improvem¢n[ is soltl within one year oT wm- plelion, [he owner will bave Ihe burtlen of proving he/She tlitl not builtl or im- - prove for the purpose of sale). , ❑ i, as owner ot che.property, am exclusively mntractin9 with licensetl mn- S�actorsto construct the O�ojec[ (Sectfon ]064, Business antl P�otessions Cotle: The Contractor'S License'Law tloes not�appty to an owne� of property who builtls o� improves Ihe�eon, antl who contracts for Such projects with a con- t�actor(s) I¢ense pursuant to the Cont�acto�'sLicense Law). 1 am awar¢ that proof� of their Worke�'s Gompensation insurance shoultl be Provitletl to me. ❑ I am exempt untler Section g. & P.�this reason D t � 0 0 �� I hereby certiiy that I have reatl this application antl state that the above information is co�rect. I agree to compty with all city antl rounty ortlinances ' antl state laws relatinq to builtling wnstruction, antl hereby authorize repre- sentatives ot tbis city to ente� upon the bove-mentionetl property to� inspection pu�0ose5. p � Signature •L�Au,� �Date 9T�8 Drivers' License or 55 � Remarks: Bar Sink Backflow Preventer Backfiow Irrigation Bathtubs Clarifiers � Dishwasher - Drinkin9 Fountains Floor Drains Floor Sinks Gas Service � Intercepmrs Outlets Lavatories '—Trap Roof Drains � � Reinspection Fee $15 Duct-UnderGround � Duct - Structural Duct - Ventilating Ezhaust System ❑ � Multiple ❑ Firepl/Fact.6lt.IC80�{`- � Heating System & Ducting ❑ 0.100,000 BTU O 100,000 BT Reinspection Fee I �' $15 CMF 0865-46, rev. 10/84 White - Builtling; Canary - Applicant: Pink - Accounting; Goldenrotl - Assessor FEES Showers . � . � ServiceSink + � Sewer Cap� � ' Sewer Connection Solar Collectors $olar Pipin9 � ' Solar Tank Swimming Pool w/Spa ' • Urinal Water Closet Water Heater � WaterService -` Auto-Wash Laundry Trays � _ Isue Fee Hood or Typel ❑ Canopy � Type I I ❑ Refrigeration System ❑O�t00,000BTU ❑100,000 System Repair/Alteration . Fire Dampers� Aegisters �- � ' laue Fee $ 3 FEES $ 3 ng. e . Planninp Notes: 6374 9/3�/87 � � � _ Zi ' � Accessory Building: / / "� _ 1 . Parking fleq./Provided - , � du-- ' �.d%1.1�L.r1, 1'Y.LI,[_v.r,fTille � ' � � ELECTRICAL � ' - � Automatic Washer Construction Pole �Cooking Unit Dishwasher - : Dryers -�Gas ❑ Fan ', F.A.U. Fixtures Device Boxes Outlets 0 DISpOSdI �r DO-5 KW �5-15 KW Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100 amps Sub Panel �� Momrs�0.1 HP O1%�-8 � Inc.Solar �9-15 HP 016-15+. �.Reinspaction Fee '$15 I � luue Fee DEVELOPMENTSERVICESREQUIREMENTS: � Zoning Approved By Building Approved By Application Issued Bv � Sections $ 3 SUMMARYOFPEES � .BUILDING PERMIT $ 3$•� SMIP , $' ' � PLANCHECK $ 2S•02i � pERM1T PLUMBWG $ �SSUANCE $� PLAN CHECK 25% $ � ENERGV P.C. $ ELECTRICAL $ GRADING S PLANCHECK 50% $ � MICROFILM $ - MECHANICAL � $ TOTALFEE $ �•UZ PIAN CHECK 25% $ � � POOL & SPA � CONSTRUCTION AND�PLANNING � - � � - � • � � � . �. APPROVALS 'Permit# Date Inspector , APpROVALS Permit# ' Date Inspector 1.'•Temporary Electrical Service or Pole � � 52. Pool & Equipment Location' �, 2. Soil Pipe-Undrgrnd. . � - 53. Steel Reinforcement• � � . 3. Electrical Conduit Utility-Undrgrnd. � ' ' 54. Forms � -� ' � - 4. Electrical Conduit-Undrgrnd. , � 55. Electrical Bonding i � � 5. Steel Reinforcement • 56. Rough Plumbing & Pressure Test � �� 6. Electrical UFER Grnd. '` 57. APPROVAL TO COVER-GUNITE' �. ' 7. Footings , , , � . a � � � 58. Electrical �.Conduit-Undrgrnd. . � 8. Foundation . r . ' 59. Gas Pipe, O Undrgrnd., Test . , � 9. Water Pipe-Undrgrnd. '�- 60. Backwash Lines; P-Trap, � Undrgmd. � 10. SVuctural Floor System - . 61. APPROVALTO DECK � . � . 11..Propecty Sewer Line & House Connaction . 62. Backwash�& Receptor-Final ' � � 12. Sewer Cap , . , � 63. Heater & Vent-Final � -� � 13. Roof Drains' � � 64. Plumbing System - Final �� f ' ' 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 . 78. Rough Electrical-T Bar Ceilrng ,�, - 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 Piping O Gas ❑ Oil �- 23. Gas Pipe-Rough & Tesi , 72. Underground Flush � �- 24. Roof Framing - � -- , 73. Undergmd. Storage Tank 0 Gas ❑ Oil �� ' 25. Roof Sheathing ' �� 74. Overhead Hydro � � ..ti 26. T-Bar Ceiling (Structural) �& Monocoat 75. Dry Chemical , • 27, Frame and Flashing , . 76. Dry Standpipe ' -� 28. Latfiing & Siding , 77. FIXED SYSTEM FINAL � � • � 29. Insulation . 78. FIRE PREV. FINAL . ,� 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT �� 31. Plaster Brown Coat - '� 79: FINAL INSPECTION . 32. Electrical Power Meter-Final ' . 80. FOOD CERTIFICATE ISSUED ; ., �33. Final Electric . . Notes: � . `34. Final Heating & Air Conditioning , ' - . � 35. Final Gas Pipe-Test , � � 36: Hood or Canopy � „j .,, 37. Final Factory Fireplece ' � �` � ,� � _38. Final Plumbing . . I � �� '•' 3_. -1 39. WaterSecvice-Final . - i„ : - � ;� 40. Gas Seivice-Final ` - t_ �, � ,�41. Solar pomestic-Final ' �� , . � � � ,� �=42...Backflow Preventer � - � f' _ �. �; 43: Backflow Irrigation ' � , � "" "" Y� ,��;4. Landscape Irrigation System � � � "�� ;; � , "45. Sound Attenuation . - �� . . •r 46. Handicap Regulations . - � t,� 47:� FINAL'STRUCTURE & BUILDING �a � � - �� , 48. Special Requirements Completed " � � . 49. Electric,Release to Edison � i 50.- Gas Release to Southem California Gas Co � . - ' - � a 51. CERTIFICATE OF OCCUPANCY �' ' � �.� . ,. No. � - -Date _ _ . . . _ o �� Opv�l.� �\ \ V �1 � �� I� � ��.�� CT' ITY OF COST�A PIANNING DEPT. SUUECT TO BLDG. DEPT. REO. Of M13NIN0 5----�-_..___--,� � 3a s/S— r � I S/��1"�� City of Cost TMesa Buildinn pe�e � i �!� 9 , � Y .'_"_"'-- /=s�_ Cn� TE � T;ese �:c:;•, .... : .iJ_. 1 �7 . � ,:pr:;,; . , .. _ .. .. . 'r .. �, . . . . . :t.iV: - r•,-,. i fi'1. , , � �LAKe _' '... .. . . . . . i T E P'nfi:�� ' � ..• . _ , •, � � � A ThO(. � ... �" ... ; C bE.,-:.,_ � ��.• . . ..' . � �i!in%_ IF . . W .i�N �� . . �. . . ..:.. _ '. : ... �.<.... � . .. ' i. �.'r -.. . � i SF iHE i�� i�VCi: :;p ;:7 J I IC�.i. -� .iI �If - .. � . t;- , _ FR A HtdE � �t vr - -+ �d •� . r .• � � t !n , , :. �. . SAI PLAN� .� ,t�=.:- � '�.i NHp SocCiri :11:�hJ5, .. �, ..,�,�:;:i: � BW DING OF[kA60N5 dNN G:' .:::.J`. 'a..•,E:.T:�vG �N �OIAiION pF TMIS CCpE g F�� N �Y.�;`':�^;��H �,yHEN 1MEICIIY. 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O /� � O / � \ � 6X� a r / � G �: s „ �' � � I I II I � � I /� f�� 1 j I � i � / , ii _I-. --� � I I � L : � —` G�y�fr.J � � -?�: •, , st�� `' ,�� ( i`�C� '�� '�'••G`.�r�/.7��r _' V'�_�. ;{ �`„�—_. �J �' i � J r:.,f,; .A`�J� n.t�;c '��, pq u`'�p�• � � I �' : tE ( � I� ^;., Y �`..79 a . :,1� f 1-i u� ' � A{L t^ �'� �� /Z � ? ,�� . �� I ? 7/ gF� � y �•` � .. - °.t,�lHf;::;;�i;'.r,' _ . 1 ,. � .. �:�. , "' 1iNC.c;;.L;,t,r� ., " . - CH � �:. ��'i.'..�r�. - ) l�.'_ 'j'- i• Fn'�JM,Fq_475��:.4.E /^ ' ' ' ��.r;.:,.;i,- �,�, �` � •`•4:D ryEkF.iFThp'F;^�'�;JG�.L, „��i,_ '' .�i; � ., .., gV/lC;N� NS AIy�D `�C'�i;lit2l3aY:.':c,V�. C � �' /� �N, b�,rA7 �c'RqppNC�`^`1C,:.I��:F �'v;T��.N''qpr �;,'�`�5 W. �N , ;lif C�n. � OF iH/S O„F O�2 U�i1�iNY pj� N RJc� ^�� y f�� ( H CE OF CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATInN A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, es a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. � Attention Property Owner: ' An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verificetion is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. �Yes ❑ No � 2. I(have/have not) ��µ� signed an application for e building permit for the proposed work. 3. I have contraeted with the following person (firm) to provide the Droposed construction: Name Address City Phone ( 1 Contractor's Lic. No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone ( ► Contractor's Lic. No 5 I will provide some of the work but t have contracted (hired) the followinp persons to Drovide the work indicated: Name Address ' Phone Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19B30 of the State of Caiifornia Health and Safety Code and have completed the above information to the best of my personal knowledpe, in compliance with this State law. Signed: '`n (k n r` � � A�n ,� � Date: —I ��''O { r� % Name: i� N {�_�¢2 %� f� ) (Printed or yped) c.o.�.�o�s. �G !? % 754-5273 CM F 104236 2 . d U F Z Z Q ON am J7 J V1 p] J J m Q U N Za w� aw WZ J � m Z J � W w o= zF w� �� 70 35 �� COSTA MESA BUILDING-SAFETV DEPARTMENT P:�:J :9i:e4 Jd,PI 25-73��, 001349� 177.2�1 �OLA P�O. BOX 1200 COSTA MESA, CALIFORNIA 92626 — APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely /� RECE V DAT RECEIVED DAT IS/$ ED'7J� AD'OflESS –ISl1 L.JCGO/JlA S �-73 �/�–/J ' `�� PERMIT NO. OWNER Larwin SO. C8�.lf. /a�P�NO. �Q MAIL BUIIDING Q�(�) 2C�` D N �4 // ADORESS ADDRESS ( Q �� (S cirv Encino, Calif. rrvo�986-8890 TFACT 7557 �or 101 e�ocK CANSTRVCTION , EW ADD A R P IENDER BRANCH 16255 Ventura Blvd. ' _ � OWNER ADDFESS Encino Calif. - va�uEr ' OR ENGIN ER 3 NE�1 3-4464 SE �� $ �� FIRE T ADDRESS 9100 Wilshire Bl.vd. Bev H111S ZONE TVPE GROUP I � APPROVED CONTRACTOR Larwin So. Calif. � e� DATE ADDRESS 16255 Ventura Blvd. TEL. Z�p,� NO.OF USE OF W arv Encino Calif. No986-8890 �<<' P�`^��— BUILDIN� STATE LIGVNO. $-1 vMA NSBUP DOING ACCESDSORV BU�ILOING uc. No. 191311 SIZE NO.OF BLIX3S. (FROM GL STREET) OF LOT (�'z X 9] NOW ON LOT Q FRONT FT. FT. VSE OF ` EXISTING B�OG. SI �l FT. FT. SI2E OF NO. OF ' NEW BLDG. �L3S�F FOOMS STORIES 2 L.SIDE � FT. FT. EXTERIOR WALL � FOOF - COVERING COVERING REAR � FT. FT. ' USE OF BUILDING AND WORK TO BE PERFORMED DI5TANCE BET. BEf. MAIN & MAIN BLDGS. ACCESS.BLDGS. VAR. # . DATE 1 m' idence C.U.P.,$ APPROVED - ' APPROVED � f. HOLD FOR SPE IAL EQ Eh' I hereby acknowledge [hat I have read ffiis appliwtion antl state ffiat the above'information is correct antl agree to comply with all laws regulating builtling consttuction, antl I shall not employ any person in violation of the workman's compensation laws of the State of Calitomfa. �� tl h u I hereby certify that I am properlY licensetl as a conttactor untler SQ. FT. 4 ' the State ot California Business antl Professions Code, Divisicn 3, THE AMOUNTSHOWN UNDER VALUATION IS FOR ' Chapter 9, antl'that such licenses are in full torce antl eftect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONIV: am exempt from the provisions of ffie S[ate of Califomia Business � antl Professions Cotle, Division 3, Chapter 9. . VA WATION ' � = PERMIT FEE $ II.CJ. SO Si9nature o �� ' _ a Pe�,,,�ne8 � ��! D. Dowets $ p�„qN CHECK $ SH.25 ; c Au[horizetl AOent � ° TOTAL FEE $ OWNER T,pRwTN JOB ADDRE55 q58 Be� GENERAL CONTRACTOR � AP No. L0 INSPECTIONS SOIL GAS WA7ER ROUGH PLUM6ING PROP. $WR. LINE HOUSE CON. SPRINKLING SYSTEM MISCEILANE0U5 UNOERGROUNO ROUGH WIRING TRENCHES � FLOOR SYS7EM BONO BEAM � SHEAiHING POWER FORMS U STEEL REINF. STEEL REINFORCE n FftAME ANO FLASHING LATHING - IN OUT PLASTER,BROWN COAT HEATING, VENT., REFRIG. ANO A.C., FINAL PLUMBING, FINAL AND GAS TEST I[�� ELECTRIC. FINAL � iT DATE SUBCONTRACTOR C