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Home My WebLink About980 BEGONIA AVE - Building PermitsA UJECT ADDHE55: 9 8 O B EGON IA AV OWNEH'S NpME: BECICMAN SHIRLEY nooeess: 980 HEGbNIA AVE COSTA MESA,CA APCNIENGINEEfl: ADONESS: UNIT: 92626 REG.NO.: UNIT: PEflMITTEE: PERFECT COVER ROOFING . ( 714 ) 434-1566 aooRess: 3303 HARBOR BL D-5 COSTA MESA CA 92626 �ICENSEO CONTflACTOfl DECLAflAiION: I hereby aflirm �hat I am licensea un0er pmvisions of Chapter 9(commencing with Sec�ion � 7000) ol �ivision 3 0� Ihe Business and Piolessions Cotle. antl my license is in lull �orce an0 effect. Icirruc.:.059055 sra.euc.:622516 cwss B rIDak'. SignaWre:��, � � e� �� IWORN S' COMPENSATION UECIAflpTION: I hereby aft�m Ihai I have a cehi�ita�e o� conseni Io selbinsure or a Cerii�iCate 0� Worker5' Compensation Insurance. or a certiliea copy ihereoi (Section 3800. Lab. C). voucvxo.: 1263623-93 E%P.OPTE: O%IO1�9�{ comraxv: STATE FUND ❑ Certilied copV is hereby lumished. }� Certified coDY �5 �iled with �he ciry Building Division. � Appli E%EMPTI FN OHCEB MPENSRTION UECLA ION: (Thisseclion etl nolbecompleteailihe permnis�orone hunOreO(5100�orless�. 1 ceriity �ha� in �he Oerlormance ot the work lor which ��is Dermii is issued, I shall nol employ any person in any manner so as to become subject to lhe Workers' Compen5aiion Laws of Cabfornia. Oate: Signature: NOTICE: If, aM1er making �his tleclara0on, you shoultl become sublect to Me WOAers' Compensation pwvisions of Ihe Labor COAe. you mus� brlAwi�� comply wi�� such pmvisions or Ihis permit shall 6e tleemetl revoketl. CONSTHUCTION LENDING AGENCY: I hereby aflirm t�at there is a constmction lending agency for the Dedormance ol t�e work tor wnich this Dermit is issued �Section 3097. Civ. C). LENOEX: AODPESS: OWNEN BOIL�Efl DECLAflATION: I hereby afiirm ihat I am exempt irom the Comracrors' Stale License Law tor t�e following reason (Seciion 7031.5 Business antl Pm�essional Code: Any ciiy o� counry which reQuires a permi� lo cons�mct, al�er, improve, tlemolish, or reoair any simcNre. priar ta ils issuance. also reduires the applicant for such permit to file a signeA statement ihat helshe is licens¢e pursuam to �he provisions ol the Cantramors' S�ate License Law (Chapter 9(commencing with Sec�ion 7000) o� Oivision 3 ot Ihe Business antl Pmfessiuns Cotle) or �hal �e/she is exempt �her¢Imm antl ihe basis �or the allegeU exemplion. Any viola�ion ot $ection 7031.5 by any aDDlicant lor a permit suble��s ihe applicant Io a civil penalty of not more ihan live huntlretl tlollars (3500). ' I, as owner of Ihe prooeny or my employees with wages as their sole compensation, wilt tlo the work, antl Ihe '❑ simcture is not inlentleA ar of7eretl for sale (Section 7044, Business and Pmfessional CoOe�. TAe Cantractors' State License law Ooes nol aDOty to an owner of a pmperty who builtls or impmves thereon, and who does such work himself/hersell or t�rough his or her own employees, Dmvided Ihal such impwvements are not intentletl or oiferea for sale. Ii, however tAe 6uiltling or impmvement is sold within one year of comptetion, the owner wAI nave ine hurtlen ot pmving he/she did not Uuild or imD�ove �or the purpose ol sale). I, as owner ol Ihe pwDe�Y. am exUusiv¢Iy conirac�ing with licensetl conlrac�or5 io cons�mct t�e D�olecl ($ec�ion 7044, Business ❑ an� Pmfessions CoOe: ,The Contrac�ors' Slale �icense �aw does nof apply �o an owne� o� D�opeM �o bm105 or improv¢5 therenn and who contracts �ar such pmlec�s wi�h a conlrac�oqs)license pursuantto �he Contracmrs' Staie License Law),I am aware �hat pmo� o� ��eir Worker's Compensa�ion in5urance 5hou10 be pmvideC to me. � I am exempl untler Senion: B. 8 P. C. for I�is reason- Date: Ownec I da �ereby certiry thal I am aware nl and untlerSlanU Ihe requiremenis of Cali�amia Health and Safely Catle Sec�ions 25505, 25533, antl 25534 an� �hat I or any IWure buil0ing occupant vnll/will noi (circle one� neetl lo compty wi�h saia sia�e coaes antl �he requiremenis br a permil for conslmclion or mo0ifiwlion �mm �he Pu Ouality Managemenl OiSUicL Residen�ial constmction applications are exempt irom I�ese pmvisians. �ate: - Npplicanl: - I hereby cetlity ��at I have reatl Ihis appliw�ian antl sta�e �ha� I�e above informa�ion is correcL I agree b compty with ali ciiy anU coun�y ortlinances antl stale laws relating lo building cons�mc�ion and hereby authorize represen�atives o� �his ciry Io enier upan Ihe above-men�ioned pmperry lor inspeciion purposes. � —Be1e: �� `-% signature: Driver's License or Sociai Security a: �� -� t6aba6 White-0uiltlinq; Green—Cotle Entorcemene. Canary—AoolicanC Pink—Revenue: Goldenrotl—Assessnr CITY OF COSTA MESA - BUILDING PEAMIT PERM NO; M 06376 PERMIT NO: M 063763 PLAN CHECK NO; N GOVT; N SUPP; N CONSTRUCTION TYPE: V-N PERMIT TYPE; MEC PURPOSE: OTH JOB DESCFtIPTION ; INSTALL METAL FIREPLACE ICBO#3195 SQ FT: CLAIM VALUE: 1,700.00 CALC-VALUE; GROUP OCC; R-3 / COMMENTS: SMORE DETECTOR RE�UIRED PRIOR TO FINAL *�r�r+t�r+t�r��t�r****��r�t*�e**x*�r*�t* �r�*�t�t**�tx�*�r*�rx��r**x�x�t+�*x��r***�t�*****�r******�*�**�r**** Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT 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: 91217811 ZNE: REF NO: PLANNING NZ3I'ES> i �r*��r�r*+r�r�r*�t*�x*�t*�r*�r**�t+r�t�t***�r�t�*�r**�r***+t�r�ti��r�r*�r********+t******�rx �r� *�r*��r****+��t 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; BUILDING APPROVED HY ; � ti �' DATE: �-�1�? !' / APPLICATION ISSUED BY: �� DATE� �� iEifklfiflE�E�ElF1EiE1EiEiEiF1EiliEiEihiE�E iE1Ei6aEiE�EiE�EiEiE iFif iEiEif3Eif�iflfiFlFiEiFlEiEiflEikafiElF�fiEifiFiEifiEiEifiEififlEiEiFaFiE iElfiEiElE�kiEaEiEifiEififiElFiE�EikiElEiEiEiEiflFiElFififiEiFiEififlEiEifiEiE�f LEGALIZATION:N F E E S U M M A R Y STRUCTURAI, SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 6 50 � ,;' 'ZSt SMIP/NON-RES PLAN ISSUE FEE -� 15.00 BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 6.50 15.00 0,00 21,50 21.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 21,50 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIAE SMIP/TOT GRADING PLAN-CHECK S' 21.50 iE �E 1E 3E iE iE 1E 1E 1k 1f �FiE 1E iE iE iE iE iE iE iE iE k iE iE ff iE if if if if iE iF 1FiF iE iE 1E iE if 1F iF iF if iE if ik ik ik iE ikiE �E 1E iE 1E iE 1E iEif 1E i! 1E iE iE iF if iF iE iF iE i! iE ik if iE iE iFlE iF I N D Z 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 .� MEC 1 FACTORY FIREPLACE - 6,50 6.50 END OF FEES 'J� tli OOi46�79-00146079 T LiT 21.`E� i:ATE: �8131193 TIME: i3:39 `� CONSTRUCTIUN AND PLANNING„ . . % - ' � P�" ` & SPA � �. - APPROVALS PermiC# Date Inspector qppROVALS Permit # . Date Inspector t. Temporary Electrical Service or Pole , ,. �� -- 52. Pool & Equipment Location � ; �. _. 2. Soil Pipe•Undrgrnd. .. _ �• •i � 53. Steel Reinforcement � � � . _ �. , 3. Eiectriral Conduit Utility-Undtgmd. - � ; 54.�Forms � ' . - 04. Elettrical Conduit-Undrgrnd. ' '' 55. Electricai Bonding �5.,Steel Reinforcemeqf'� - . , - � ' S6. Rough Piumbing & Pressure Test �1 �'6_.ElectricalUFER�Griid. .' . 57. APPROVALTOCOVER�GUNITE ,� � 7: Fooungs '• ' , 58. Electricai Conduit-Undrgrnd. . +��Foundation � � - �� . ' 59. Gas Pipe, � Undrgmd., Test , � _ 9. Water Pipe�Undrgrnd. ' 60. Backwash Lines, P•Trap, O Undrgrnd. � 10. Structural Floo� System =' 61. APPROVAL TO DECK , 71. Property Sewer Line-& House Conneaion 62. Backwash & ReceptorPinal . 12. Sewer Cap -, � 63. Heater & Vent-Finai _ 7 3. Roof Drains � ' 64.. Plumbing System,- Final 14. Rough Plumbing '- .' 65. Electrical-Final � 15. Rough Electrical:Condu�t � � � 66. SolaT System-Finai 76. Rough ElectriC�W�ring 6Z Fencing & Access Approvai .Y 17. Rough Wiring Sign`� .. 68. APPROVED�FOR PLASTERING 18. Rough Electrical�-T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL 19. �Rough Heating & Air Conditioning ' FIRE DEPT, ftEQUIREMENT - - . �-, 7 :t,�.T� p, . 2�.�F�ough Factory Fir.eplace i 1 � %r,� • ' �� r.�- �APPROVAIS'�«Permit# ' \' G I<'��' 1_' .l 4. ts'Y;<l) V v'iIC f �. YA. I I��E_ iT�.`. .l =1 �.�y..t.�� i. ...�.1L. 1� I�I 21.�Duc�{s, iq.StruGture, „„ i �.� x , _+ � .� :, �-70. Wndergro.Gnd;Hyiifo .. 22. Ducts, V.eMilating�a i .�r ; S.� r', 77. ProductPi'pirtig O�G�s OOiI 23.'Gas'Pi e�'Rou �h &'Test � = ' " """: r �,r�� -+''- � r..P � i ,9i � k tn �f � �� 72. Undergrounc� Fluslj� . 24. �fioofrFr@ming. >� . i•� � ��? i' O tr' �� u j3. �Undergmd. Storag,e Tank O Gas ❑ Oif �r �• �� . � i i � 25. fiodf'Sheathing '� � '.'� � q �'' - � `��' �74.`Overhead Hydro�-� - 26..T-Bar�Ceiling (Stnuctural) &.Monocoat � r.` 75: •Dry Chemical � - � - ' � , 27.� Frame and Flashing� `` _' ,�, _ „�: ;� 76 t Dry Standpipe .' " r' ( I I , ' � : r r � y:.� �� ... . �28.'�Lathing&Siding�_�.�; �yy„�, � , •. „.� 77^`pIXEDSYSTEM-FiNAL� _ '- �29. Insulatioq " _ � �-' F" " " ' ' � I;' 78-�FIRE PREV.�FI(�AL K30. Drywall Nailing �i: ` �� ,�� -� HEALTH DEPT. REQUIREMENT ' 31. Piaster Brown,Coat' ' �' � 79 `�FINAL INS,P.ECTION � ' " �, �-n. � i i��t. , i -� � • %�32.� ElectricaliPower 0.Ag,ter;.Final i � � ,� „ I '_ ._.-µ� �� • 80. �FOOD CERTIFICA'TE ISSUED �� + 33.'FinanElectric' ,., � �� r ""' � Notes: � �^! ��v1�, „�_ ,� � ` n ^ i � , . :L r � � � j � '� � �34.iFinai'Heating'� ni"�f*Conditionin9,� n ,-: � ; �•; '. A �' �.:�t:�.i ; _, i�� 35.'�FinaPGasiPiPe�Te'st'� �u' � �` I .-' �� ":`: • - � � ... . . �36. � Hood or�CanoPY � � �� y � . . .� x �-, � , x y ._ �- .:� �• > � 37.'Final�Factory Firepiace ' '��;� `-' 4,Zt/ �I �� ' � � :r, �1 '38. Final Plumbing .T-. � i .. .. 4� . � , � " v . . � - . %39. Water Service-Final F � i + ^ < - � ,"�c. . � _ . . J, : 5 � � I >. . ' 40. Gas Servi�e-Final ^ r ,1 . �' '. �` k - _ � -41. Solar pomestic-Pinal ,. c , ` �.: . - . � .; � i � i� - 7 �42. Backflow Preventer; E' �� , �' � '. '_ � - - 43. Backftow Irrigarion^ �,"'�. w � --- •� ' -' � � .i '-44. Landscape Ir�i9ation System�;:��; ,� x � ;, 7 , �, x '..�, . ..i :45.�Sound AttenUation. � -. , � - ' l � -�.. - -- .. ., � s � �46.-'Handicap Regulations ' ~ ` ' � '� �� '� � ' � , ;l 7. A 47. FINAL STRUCTURE & BUPLDING H A ��' .' i � �_ „ ' 48.�F.INALPLANNWG: �'�r . '� •, ,.� " - . :'� ' � `I ,r r .. . •49.•Electric Release to Edison ; ,;��- � � � . 50�. Gas Release to Southem California Gas Co , � I I.� .� .' - • �, `, . �51. CERTIFICATE OF �OCCUPANCY' .. , ,i -�r , _+ No. Date � P � !i� I � Pfl0.1ELTRDUflESS: yBO BEGOi�IA AV � OWNEP'S NAME: BC.CKNIAN SHIftLEY "� aooness: 9$U BEGhNIA A`T� COSTA MESA,CA 92626 PHCM/ENGINEEN: AOUHESS: REG.NO.: UNIi: UNIT: PEflMITTEE: DRENT � OWL'�NS ROOFING ( 714 ) 835-10U5 nooxess: 14G6 MARIUN WAY SANTA ANA CA 92706 LICENSED CONTflRCTOB DECIANATION: I hereby al�irm Ihat I am IicenSeA unaer provisions oi C�ap�er 9(commencing wiN Section 7000� ol Oivision 3 of Ihe Business antl Pmiessions Cotle. and my license is in Iuil force anJ eHecl. aTruc/.:�03,5153 STRTELIC.:6OU4O2 �a : C39 Date: �- � �. Z- SignaNre: � WOflREBS' COMPENSRTION OECIAPRTION: I hereby a�hrm I have a certitica�e oi consen� �o self-insure or a cerii�icate o� Workers' Compensa�iony� ra er,Or ceflifie o90Y �hereof (Sec�ion 3804 Lab. POLICYN�.: V��'��G—�4 E%P.URTE: ZIOZI93 coMvnxv: STATE FUND ❑ Cetli�ied copy is here�y �u nishe0. � Certdietl copy is �file7d wi�h �Ae ci�y BuilOinp Division. Daie: Applicant �:.-^� '� �/�— O�T� � EXEMPTIO FHOM WOBI( 5' COMPENSATION UECIAMTION: (This seclion neetl not Ge comple�ed i� Ihe 0ermil is for one hunOreO (570�) ar less�. I cetlily I�a in �he Oedormance Oi t�e wOrk lor whith this p¢rmii is issue0. I 5hall noi empl0y any person in any manner so as to become su�lect m the Workers Compensation Laws o� Calilornia. Daie: Signaiure: NOTILE: IL aRer making Ihis declaration. you shoul0 hecome suble�� o �he Workers' Compensa�ion provisions o� Ihe LaUor CoOe. you mu5i IOMwilh compry wi[� such D�ovisions o� Ihis pe�mit s�all be tleemed revoked. CONSTflUCTION 1EN01NC RGENCY: I hereby aflirm �Aat ��ere is a cons�mmion IenOing agency lor lhe perlormance ot �he work �or which Ihis permil is issuea (Sec�ion 3097, Crv. C). LENOEP: aooness: TEAR—OFF SHAKE/REROOF OWNEN BUILDEP OECLABFTION: I hereby a�hrm Iha� I am exempt Irom [he ConVac�ors' State License Law for the following reason (Section 703t5 Business ane Pm�essional COAe: Any ciry ol coun�y which requires a permi� [o constmct, alter, impmve, tlemolish, or repair any SlmcWre. Orio� lo iis issuance. also requires ��e applicant �or such permi� ta tile a 5igned sla�emen� lha� he/she is licensed pursuam to the pmvisions o� �he ConVamors' State License Law (Chapler 9(commencing wi�h Section 7000) of Division 3 0� the Business antl Pmtessions CoOe) or Iha� he/she is exemp� ��ere�mm antl ��e basis for the alleged exemption. Any violation of Section 7031.5 by any apDlicant for a permit subiecis ihe applicant to a civil penalty of not more Nan Iive huntlre0 tlollars (35001. I, as owner ol �he OroDerty or my employees with wages as their sole compensation, will Oo ihe woB, ane the ❑ s�mmure is not imenUeO or oflere0 for sale (Sec�ion 7044, Business and Pmfessional CoOe: The Contrac�ors' S�a�e License Law Does not appty �a an owner at a pmDehy who builUs o� impmves �hereon, antl who does such work himself/herseli o� �hmugh his or her own employees, pmvitled that sucA impmvemenls are not intentletl or ofleretl for sale. If, however Ihe builOinA or Impmv¢m¢n� i5 Soltl wiNin one year o� comple�ion, Ihe Owne1 wili �ave Ihe bUrtlen ol pmving he/she did not huild ar imDmve lor ihe Durpose of sale�. ❑ I, as owner ol the pmperty, am exclusively coniracting wi�� licensetl coniraclors to constmc� Ne D�ole�� (�ction 7094, Business antl Professions Code: The Conlraclors' State License Law does not appty ro an owner oi pmperty who UuilOs ar imDroves ihereon an0 who toniratls tor Such pmlecl5 wiih a ConlraCior�s) liCense Dursuant to ihe CanVacbrs' S�a�e License Law). I am aware Iha� pmoi oi �heir Worker'S Compensation insurance shoula he Dmvidetl to me. � I am exempt untler Sec�ion: B. B P. C. far �his reason� CITY OF COSTA MESA — BUILDING PEkM2T PERMIT NO; $ 059281 PLAN CHECK NO; N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR JOH DESCRIPTION : SHEATH & REROOF 3200SF RESID & GAR 1'Eitll IVV; D VJ�LO� u v i: ic J V 1'7 : lV PURPOSE: ALT S� FT; 6,200 CLAIM VALUE: 6,200.00 CALC—VALUE; 6,200,00 GROUF GCC: R-3 /M—]. COMDkENTS; kEROUF W/90 YEAR PRESZDENTZAL CONP SHING �.**��*�.��x*��**�.�*�x�x��.*�.*��*_�.�-��**#��-*��.�� q�fC��- �e� �� Z O N.I N GS ERTE�Q�UCIKRSE M E N T 5 �C 1��O�y' ----------- MAIN -BQILDING --------- --------- ACCESSORY RE��RE�_____ FRNT; FT 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; 41217811 'LNE; IiEF NO: ALANNING Ni3I'ES> !'i �x*�r��x��c �***x.x*��*x-�*�•�c-�*x*�*�*x��-x***x �x*�*u*�-��***�**�*x�**�**��*� x��*� �*** D E V&°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 r� 20NING APPROVED HY _ DATE; / % BIIILDING APPR(�IVED BY : DATE: ��J. APPLICATION ISSUED HY: i��,— Dr'�TE; �II2 �lE # iF if� i(� iF �c 3E 3FiE ��t� #�K�}'it� aE K 3F �E 3t x�,F3riF iF 3r i�iF �� iF iF� ir�ir �r iF3e i2"3b'x3F�Z'3FiF� �F ��F,c irTF3F� iF ic� iF iE it �c i�-iF ii iP�'.-'t'/3��!"R'��i Y: 3(� 3E iF 3F 3f i'r iE IEiF iE fE Ik iE iE iE 1E iE iE 7f jf %� iE lk ih 3t j(� if iE iF if� 3E 3F jf if 3E-)E jF iE iE 1f iE !E iE ik 3E iE iF 3E iF if iF �IE iF ih �(-!E 7F 3E 1E if �E iF iE 3F jF iE if ic iE iE 3E 3f ic 3k iF iF 3E If �N.- LEGALIZATIOhI;N F E E S U M M A R Y STRIICTURAL SEGN,ENT;Y L- BLDG PMT PLUMBING ELECTRIC MECHANIC rIRE�� SNIP/RES GRADING PERMIT 90.00 ' �� 62 PL� � SMIP/NON—RES I5SUE F'EE �;� BUILDING—DIV—> PERMIT ISSOE PLAN—CHECK TOTAL ' PAID DUE TOTALS----> 90,62 0,00 0.00 9Q,62 ��, 90.62 .00 REVENUE DIVISION TOTALS--> COLLECTED; 90.62 OVER/SHORT: OU BI;DG PMT PLU�NBING ELECTRIC MECHANIC FIRE SNIP/TOTf GRAI)ING PLAN—CHECK 90.00 ,62� 0 jE iE iE%iE M� 3F iR 36 iF X� N� 3f iF iF 3i� if K iE iE if �iF iE IF if 3E 3k iE if-jf %� IE �4 3f- if if iF 3f 34 df # 3'e 3f iF �!' iE iE 3E 3E 3F 3E 3E iF )E 3F 3F 1f iF �'• iE 3F lE�if- 34 �7F iE 1E i�i 3t� 3E i4 iE 3E 3E if iF if i!� I N D I V I D U'A L F a E H R E A K D O,r,W N TYPE QTY D E 5 C R I P T I O N UNIT COST TOTAL COST oate' Ownec - ' ' I SFFi i tlo hereby cenify Ihat I am aware of antl uneerstand �he requiremems ot Calibmia Healtn ana Safery Cotle Sections 25505, 25533, and 25534 and I�at I Or any lu�ure building occupant will/will not (circle one) nee0lo comply wi�� said sla[e codes and Ihe requiremen�s �ar a permil br cons�mc�ian or moaificalion Imm Ihe Nu Qualily Management DisUicL Pesitlential cans�mc�ion applications are exempt fmm ��ese pmvisions. pa�e: PpPlicanC I hereby cetldy I�ai I have reatl �Ais applica�ion and sla�e ��a� �he above in�orma�ion is correct I agree to comply wi�h all ciry antl counry ortlinancesandstalelawsrela' gtobuAdingconslmc�mnantlhere�yauthonzerepresenta�ivesofthisci�y�oen� pantheabove-men�ioned propetly �or' peciion pur 5� �� Oate'. Signalure: � ��'��-^ Driver's L cense o� Social Securiry k: % 1641-46 White—Builtlinq; Green—Cotle Enforcemenl: Canary—Aoolicant: Plnk—Revenue: Goltlenrotl—Assxsmr 6200 REROOF' BY VALUE RESIDF.N'I'IAL NOZONE END OF rEES ].,00 6,i00,00 r �; !>' � 1•- �, .. +�� ai i�Qi�Jf.:n.i"��IiG�T" - _' ` . CFi�: u'a.�..��: _ .1�,. . .., � � � ' - � - . CONSTRUCTION AND PLANNING -- - PO�� & SPA � - APPROVALS Permit# Date inspector AppROVALS Permit# - Date Inspector � 1. -Temporary Electricat Service or Pole I�� 52. Pool & Equipment LocatJon 2. Soil Pipe•Undrgmii. � ' ' S3. Steef Reinforcement - � � 3. Electrical Conduit Utility-Undrgmd. �� 54. Forms � � � 4. Electrical Cond�it-Und�grnil;,, .� � 55. Electrical Bonding - � 5. Steel Reinforcement - � � - . 56. Rough Plumbing & Pressu�e-Test 6. Electrica� UFER Gmd. � 57. APPROUAL TO COVER�GUNITE ` 7. Footings �� . � 58. Electrical Co�duit-Undrgrnd. � 8. Foundation � � � � 59. Gas Pipe, O Undrgmd., Test �� 9. Water Pipe-Undrgrnd. / � . 60. Backwash Lines, P-Trap, � Undrgmd. , 70. Structural Floor System . 61. APPROVAL TO DECK � 11. Property Sewer Line & House Connection .� 62. -Back�va5h & Receptor-Final 12. Sewer CaP �,� . i- � 63. Heater & VenrFinal . � 13. Roof Drains � , ' 64.- Plumbinq Sys2em`� Final � .� t 14. Rough Plumbing � �� ` 65.'Electrical-Finai ' 15. Rouqh Electricai-Conduit ��' '• - 66. Solar System�Final � � '•, 16. Rough E�ectric Wiring y' .� . 67. Fencing & Access Approval �� 17. Rough Wiring Sign `t '' ` 68. APPROVED FOR PLASTERING � 78. Rough Electrical-T Bar Ceiting 69. POOUSPA SYSTEMS FINAL \ 79. Rough Heating & Air Conditioning" ' FIRE DEPT. REQUIREMENT ' � 20. Rough Factory Fireplace ' APPROVALS Permit # 21. Ducts, in Struaure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe�Rough & Test . )2. Underground Flush 24. Roof Framing � � 73. Undergrnd. Storage Tank O Gas ❑ OiI 25. Roof Sheathing • �B� Z G�y�- 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. �nsulation . � i } 78. FIRE PREV. FINAL 30. Drywall Nailing � i � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat j � � 79. FINAL INSPECTION i 32. Elecirical Power MeterFinal � i 80. FOOp CERTIFICATE ISSUED 33. Final Electric � i ; Notes: 34. Final Heeting & 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 i � ; _ 41. $olar pomestic-Final � � �- i i 42. Backfiow Preventer ! � i . 43. Backflow Irrigaton -3�� 2� S 4�o c�sr •� - 44. Landscape Irrigatjqn System � � 45. Sound Attenuatioa.� ("�; 46. Handicap Regulat�as p 4 -� 47: FINAI$TRUCTUR�E&�BUILDING ` ��j� ,` - rr� - 48. PINALPLANNWG.-; ��CI 49. Electric Release toiE�sor�," . . � 50. Gas Release to Souihe�n CaGfornia Gas Co � �_} 51. CERTIF�CATEOF�6CCUPANCY No. Date a CITY OF COSTA NiESA REQUEST FOR OCCUi__.�Y ? 7 �C�.i�'.�.h- - /3-�.;�� TRACT N0. �� l� IAT N0. � r . ADDRESS i � / DATE 2. �" � The developer of the above entitled tract desires to sell the above aet forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The underslgned, by executing this agreemen:, acknowledges that (he-she-they)�(was oz were)1Gv'-�[�_ advised that this tract has noi been given final inspection nor has it been accepted by the City oE Costa Mesa as having crneplied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City ass�es no liability for the enforcement of the conditions necessary for approval other than those conditions.protected by surety bond. The undersigned agrees to indemnify and hold the City hannless £rom any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. . . � . � o �! Pu aser ' ! , `. 1..-- Bx r�� ._�� .� �� rl`��' Developer and/or authorized representa[ive �/ ��7 � BY ,�'��lLL�/�i.� �..i.! i.:. Lender ' z . o- U Z ZQ ON am J7 J � O] J J m Q U� Za W � aw wZ J Q m Z J � W w o,x z� w� �� o , ^ ��'n=�Q� t �,'ci:tr 1 :�';�'11-7.,c�is- 641c: � I�.�;� OL CCOSOTA�OME ZA�BU�IOLDInNM SAFCALI ORNAIA9 626 T� _ � - - APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely � RECEIV�p BV D TE RECEIVED DATE 7SSUED � sui�o�Nc /�' -/O- ApR L O 1� ADDRE55..9HO B8 onia Avenue PERr.� ZNO,� OWNER Larwin Southern California A.P. NO. �' .Sh[l. �� MA I L BUI LDING AD�RES$ 16255 Ventura BLVCl. ADDRESS �Q �jE.6'ON//i 1.�, cirv Encino, California nTio� 986-8890 TRACT�SSJ-B �or 95 BLOCK CONSTRUC7�ON W ADD A P LENDEfl Larwin Southern California BFANCH 16255-Ventura Blvd. ' �'' ADORESS Encino, California OWNER �i4R1.J//� .�d � , j�Qf3 GJ � VALUE � OflENGINCEP Larwin S. Calif. NE�."flP�+�t; s� ~'/ G�� $ � . FIRE ADDflES$ 9100 Wilshire Blvd., Bev. Hills ZONE E GROUP APPROVED -coNrancroR Larwin Southern California B� DATE � O � 7 ADDRES� 16255 Ventura BLVCl. � ZONE NO.OF USE OF NEW fF " TEL. p�q� BUILDING cirv Encino California No� 986-8890 �—/ 'a� 6'�� STATE �� CITV �'ARDSAPPROVED VARDS APPROVED uc. No. 191311 LIC. NO. B—L MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLDGS. (FftOM GL STREET) , OF lOT %3 }[ $8 NOW ON LOT O FRONT FT. FT. USE OF EXISTING BLDG. � FT. FT SI2E OF " NO. OF ' NEWBLDG, 1 ROOMS STORIES �.� L.SIDE �SFT. FT. COMVERIOING'QLL SYllCCO COVERING WOOd shingle REAR +FT. FT. USE OF BUILDING AND WORK Tp BE PERFORMED DISTANCE BET. BET. MAIN & � MAIN BLDGS. ACCESS. BLDCaS. ' VAR. # . DATE Construction Sin le Famil Residence c.u.P.# APPROVED . APPROVED _/O� �/�J /.� ' }iOLD FOR EC L Ii�EMENTS I hereby ecknowletlge that I have reatl this application and state that ffie above informetion ircorr¢�t and agree to comply with - all laws regulating builtling consttuction, antl I shall not employ ' �'d�. � any perso� i� �{olation of the-workman's compensation laws of y� the State ot Calitornia. ' / �� ' � I hereby certify ihat I am properly licensetl as a contractor under 5�1. FT. the State of Californ"re Business antl Profess'rons Code, Divisicn 3, . THE AMOUNTSH N UNDEF VALUATION IS FOF Chapter 9, antl that such licenses are in full force and effect, or I THE PURPpSE OF ABLISHING A.PERMIT FEE ONLV: am exempt from the provisions of the Stete of California 8uziness VAIUATION antl Protessions Code, Division 3, Chapter 9. ' PERMIT FEE 5 94. �� Si8^ature of / Permittee��/7�� _ D. Downs $ 26, 900 P�N CHECK $ 47.00 � Authorized Agent ' 1[Fl. �� TOTAL FEE $. OWNER iARWTN R�: Cal DATE 4-10-7� JOB ADDRESS 980 i�eaonia Avenue BUILDING PERMIT N0. �6434 GENERAL CONTRACTOR S�e DESCRIPTION of WORK Res: w� att. gar. AP No. LOT oS 7RACT ��ma FIRE ZONE VALUE E �� onn�_nn INSPECTIONS SOIL ROUGH PLUMBING � PROP. SWR. LINE HOUSE CON. SPRINKLING SYSTEM ROUGH HEATING AN� AIR CONDITIONING TEMPORARV SERVICE OF POLE UNDEftGR0UN0 � POWER � ROl1GH WIRING � T0.ENCMES FORMS � STEEL REINF. FLOOR SYSTEM BOND BEAM � STEEL REINFORCE ❑ SHEATHING FRAME AND FLASHING LATHING - IN OUT PlASTER. BPOWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. ANO A.C., FINAL PLUMBING, FINAL AND GAS TEST,�}� ELECTRIC. FINAL SUBCONTRACTOR