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Home My WebLink About2042 CALVERT AVE - Building Permits� 179?_4 OSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 977 COBYA MEBA. CALIPORNIA For Applieani fo Fill In Complefely TYPE OR PRINT ■ BUILDING COSTA MESA. CALIFORNIA ' / }�i! lA.�iTy / � i I ■ MAIL SIZE .�J OF LOT l D� USE OF EXISTING BLOG. 86TBACK LINB FROM ■ EXTERIOR FEE RECEi��D \� OCT 1 �g �� fINANCE D�E�'1'. CIIY OF COSTr� M�SA APPLICATION FOR PERMIT eua�i�� . For Office Use Only PEGEIPT NO. , �j�{M1fyT S10. �� RECEIj�jD BY I p/�T¢ RECEJ,VEO � pAT� (/L�� C o� /%J G tlY TE ` ADD E'SS �� / OC `-��i�� TE�' ' COSTA MESA. CALIFORNIA NO. FIRE ZONE TYPE GROUP ! I� � � APPROVED _ __ OF BLD08. DESCRIPTIOId OF WORK � ZONE �/ LEGAL ZONING NO. OF use oF e+ew PLANe � BUILDIN6 � � yG2. — z YARDS EVES APPROVED tcer+tea urae sr.�y� FRONT R. SIDE � L. SIOE � ec.e 2 e� � � L � � 3ff is[3S"��- �e��L°� � 1 HEREBY ACKNOWLEDOE TMA'T I XAVE READ THi9 APPLIGTION THE AMOUNT BHOWN IINDER VALUA ION IS FOR THE AND 8T�1TE THAT TXE ABOVE �8 CORRECT AND AGREe TO COM- PURP09E OF EeTABL19HING • P¢RMIT FEE ONLY. PLY WITX ALL CIiY OIiDiNANCEB AND 6lAiE I.�W6 IiEGULATIN6 BUILDINO CONOTFIUCTION. VALUATION �/ �D &IGNATURE OF LyA.� � PERMIT FEE $ PERMI7TE $ " / � � �/ PLAN CHECK $ �3 , S � AUTHORIZE� A6E'� '� � t TOTAL FEE s 7 6- d � �i�2i 'OSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BO% 9f7 COSTA MEBA, GLIFORNIA For Applieani fo Fill In Complefely o20/�a>TYPE OR PRINT BUILDING � ADDRES6 �Calvert Avenue COSTA MESA. CALIFORNIA OWNER TOYSIS C�. i"oth MAIL 20li4 Calvert Avenue GOORFSS �c„� Costa Mesa - ARCHITECT �Sant a �;� No. _ 1669lF1t. No: Li 8_9 SIZE 1 n - NO.,OF BIAGB. OF LOT I O V� 1: O now oN LOT � 8ET0ACK UNE PROM DESCRIPTION OF WORK BUILDING NO. OF SIZE ROOMS STOF EXTERIOR WAL4 IROOF GOVERING � COVERING USE OF BUILDING AND WORK TO BE PERFORMED /ll/ .�n� ��2� %%/f0 /1 FEE RECEIVEn , �' aa.n s i �&8a FINANCE DEPT. C(iY OF COSTA MESA APPLICATION FOR PERMIT �72 BUILDING #4349 _ For Office Use Only RECEIPT NO. ,{}CRM�L RECEIYED �Y I OATFiE'CE�ED 1 O%A1E � / ) ��I / 1 � BUILDING ADDRE55 COSTA MESA. CAL ORNIA FIRE ZONE TYPE GROUP APPROVED BY OATE aoNiN� ,�,, 20µ2� NO.OF USE OF NEW � � / / � PLAN9 , / I BUILDING bt � LEGAL � U� �-T-�' DEBCRIPTION A.P.NO. � ^�� ' �C YARDS EVES-� APPROVED ALLOWED (C6NTER LINE BT.) APPROVED 1 HEREBY ACKNOWLEDOE THAT 1 HAVE READ THIB APPLIWTION THE AMOfINT BHOWN UNDER VALUATION IB POR THE AN� BTATE TXAT TXE ABOVE IB CORRECT ARJD AGqEE TO COM- pUIiP09E OF EBTpBL�6HING A PERMIT PEE ONLY. PLY WITH ALL G�1'Y ORDIl+ANCE9 AND BTA'f� L�AW�B PE�G�JLr�TING BUILDING CONe'(R�N. �\ � �� j�„j �� \ VALUATION � 1.�-.Y / 7"1 \ 1 � � 61GNATURE OF� «� �� 10— PERMIT FEE $ PERMITTEF V .Y � � (Y'li - " (�p $ 7/ �OO PLAN CNECK � � AGENT �, . c�a��TJ.� TOTAL FEE $ �r PflOJECTP00flE55: ZU4J CALVEHT %it% � Ol'L'Efl'SNAME: TOTH, JOHN C - aooeEss: pT 4'BOX 1939 HE:NCH ST SPRSNU CITY,TN 37381 615 365-4032 AXCHIENGINEEfl: PEG.NO.: AUUflESS: UNIT: I1NIT: PE"miTTEE: R. P. AlRSCHMAN ( 714 ) 960-8329 aooness: 8855 ATLANTA 285 HUNTINGTON BEACH CA 92646 UCENSEO CONTflFCTON DECU1flATI0N: I here�y affirm ��a� I am Iicense0 un0er pmvisions oi Chap�er 9(commencing with Section 7000) ol �ivision 3 0l Ihe Business antl Pm�essions Code, an0 my license is in full force an0 eflect. cirruc.:038468 STATELIC.:e}�] cuss: -gq Aale: �Z-- �—� � Signa�u� t WOflNENS' COMPENSATION OECIANAT10N: I her¢�y attirm �ha� I have a certifiCaie o� Consen� lo sel4insure or a CehifiCaie o� Workers' Compensation Insurance, or a certilied copy �hereol (Section 3800. Lab. C). POLICV NO.: E%P. OATE: ' COMPANY: ❑ Cerlifie0 copy is hereby turnishetl. ❑ Cerli�ie0 copy is �iletl with �he city BuilOing �ivision. Daie: ApplicanC E%EMPTION FpOM WOBNEBS'LOMPENSFTION OECIANRTION: �Thisseclion neea no�beco te0if�he permi�is brane hundretl�3100�arless�. i cerlity �hat in Ihe peAo�mance o� ihe work tor which this permii is issue no� em any pe�son in any manner so as Io 6ecome su�ie�� o @e workers' Compensation Laws ol CalileTR"�A+ �" il��'cGl ` � 1 Da Signaiu�l � NOTILF.II, ailer making Ihis Oeclaratian, you ShoWa �ecome suble�� o lhe Workers' Compensa�ion provisions oi Ihe Labor Code. you musl lorl�wilh comply wilh such Omvisions or ihis perm�� shali �e deeme0 revoketl. CONSTBUCTION LENUING RGENCY: I �ereby aifirm Iha� Ihere is a conslmc�ian lentling agency for tAe perfarmance ol Ihe work lor which Inis permii is issuetl (Section 3097. Civ. C1. . LENOEP: aooeess: . � CITY OF COSTA MESA — HIJILDING PEkMIT PERM NO; E 05536 ' PERMIT NO: H 055368 PLAN CHECK NO: N GOVT; N SUPF: N CONSTRUCTION TYPE: V—N PERMIT TYpE: STR PURFOSE: ALT JOB DESCRIPTION .: T/OFF RESHT, REROOF W/COMP.. ' SQ FT: 9,150 CLAIM VALUE: 4,250,00 CALC—VALUE; A q,250,00 'GROUP OCC; R-3 / COMMENTS: SMOKE DETECTOR RE�UIRED IN THE HON�iE *�**�**�**��r*�r��***�r��r*�*�* +�**x*�*+�*�*�*��**��**��***��****x*��*�*�� Z O N I N GS ERTEBQAi7CIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCES50RY, BUSLDING --------- FRNT': FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: F'T IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PARKING REQ� PROV: PARCEL; 139.40229 ZNE; REF NO: PLANNING NtSTES> 1i ' ' iE iF iF if iE iE ie iE iE 1E iE iE it 1E.fF if if 1F iF k iE If it 1E iE iE 3f if if if iF iE iE iF iF IE 7E !E iE If jf jf iE 3F iE 1F 3F iF iE iF 1F iE iE iF iE iE iE iE if if 1E iE iF �1f�iE iF if iF i4 it iE iE iE iEiF 3F iE iF ie D E V E,ryL 0 P M E N T S E R V I C E S R E Q U I R E M E N T 5 ZOhING APPROVED' BY DATE; ��. BUILDING APPROUED BY : DATE: : !. � . APPLICATION I•38UED HY; DATE; iE�EiEiFiE7FiE�%1F1EiEiFiF.�flEiflflfiE�Efflf - . . �IFif�14�FiEiFiE�7f-ifif i6if iElfaFiFilifiEjElElE3F1E*iE1ElEifiEfElEiflEIElf�f3EiF1fiflFifiE�EfFlFiEiEiE iF�F�E1F4iFiF3ciE�E�1faElE3f�kiF3E1fiE3E3E1fjFiEf�i6iFaFi6iElEiEfEfFiEif�f3fK•iF LEGALIZATION:N ' F E E S U M M A R Y STRUCTURAL SEGMENT:Y OWNEflBUIL0Efl0ECU1FATI0N: I�erebya�hrm�ha�lamexempllmmtheCOntractors'StateLicenseLawlorlhe�ollowingreason . BLDG PMT PLUMBING ELECTRIC MECHANIC ' iIRE SMZP,/RES GRADING �Seaion 7031.5 Business antl Pmtessional Code: Any ciry o� counry which repuires a Dermi� to cons�mc�, alter, improve, demolish. or pERM I T % 2, � � , rj Q repair.any simcwre, orior m i�s issuance. a�so requires me app�icant �or sucn permit to ti�e a signed statemem �hat he/sne is �icensee ` SM'IP /NO�Q—R$$ Oursuam lo Ihe O�ovisions o� t�e Comracmrs' Slare License Law (Chapler 9 �commencing wi�h Section 7000) ot �ivision 3 0� t�e Business pLAN and Pmlessions Code) or Ihal he/s�e is exempt ��eretmm antl �he basis for Ihe alleged exemptian. Any violation ol Section 703L5 �y . •' any apPlicant lor a permil sublecls Ne applicant to a civil penalry oi not more ihan tive huntlred dollars ($500�. ISSUE FEE �� L as owner ot iAe property or my emo�oyees wi�h wages as their so�e comoensation, will do �he work, antl �he � BUILDING—DIV—> PERMIT ISSUE FLAN—CA[.CK Z'OTAL PAZ�D %' DU$ ❑ simmure is noi imen4eA or oifere0 br sale (Sec�ion 70a4, Business and Pmiessional CoOe: The Contracmrs' State License Law TOTAL S---- > 7 2, rJ � �. � � �. 0 � % 2, 5 � '%2 .��.0� ;� . � � does noi apPty �o an owner ol a pmperty who Oui105 or improves thereon, and who does such work himself/herself or thmugh . ,.^�' his or ner own emp�oyees. pmviaed tnat such impmvements are not intended or oHered for sale. It, however �he building or REVENUE D I VIS I�A1 TO'I�AI,.S--> C�LLECTED • %.�. , 5� OVER /Si-I�RT �f � 0 improvement is sold wilhin one year oi compleiioq the owner will have �he burtlen oi Omving �e/s�e die no� builtl or impmve m�meP�rPoseo�sa�e�. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TUT 'GRAD'i'NG PLAN—CHECK I, as owner ol the pmpeny, am exclusivety contmciing wilh licensetl contracmrs to cons�mcl the pwject (Sec�ion 7044, Business 7 z� Q O � - , S O v'� � ❑ antl Pmlessions Cotle: The Coniractors' S�ale License Law tloes not appry �o an ovmer of Ompehy who builtls or impmves thereon �' ' ' V �� an4w�ocomracts�or5uchprolect5withaconiractor(S�IicenSepurSuam�otheComractor5'SlateLicenseLaw�.lamaware ftiElfitif7EiFiEiEifiElEiEffitiFlF�ffliflEfFififkiEiElf�(�3kjE3fiFiFjfjFlEiFiEiE�lfifiEiFlEiEiPif�FiEfEifiEiFk,*fE1fjF�lf�lf3tiE'3FiE1EiE,iF3E1EiE1E1EjFiF3fi6iE�iE ina� pmo� o� iheir Worker's Compensauon insurance shou�a be Owvitled to me. I N D I 11 1 D il A L F E E � R E A K D O W N��' •`� � I am exempt under Section: 8. 8 P. C. � � ' � «, ? mr tnis reaso�: TYPE QTY D E S C R I P T I O N UNIT COST '^ !q � T'OTAL COST' Da�e'. � Ownec I tlo hereby ceni�y I�a� I am aware o� antl undersland �he requiremenis of Caltlarnia Health and Satety Cotle Sections 25505, 25533. and 25539 and ��a� I or any Wmre ouiltlmg�occupam will/will noi (circle one) nee� �o compty wiih 5ai0 9a�e cotles antl �he ieQuiremenls lor a permii for cons�mc�ion or mo0ihtation trom Ihe Air Ouali�y Managemenl �iSVict Fesidential conslmc�ion applications are exempl irom ihese n�a�isions. Oa�e: Applicani: I hereby cor�ify Ihal I haw matl thls application and 5�aie �hai Ne above in�ormalionls correcL I agree ta comply with all ci�y and coun�y ordlnnnces antl siale laws relaiing ta �uilding constmc�ion a b aNhori pa5Enl��ives o� �his city �a en�er upon the abovEmen�ioned proper�y br mspec�ion purpo5e5. � .DMe�, 1�� Signa ��—� oriver's �icense or socia� seariiy a: . 1fi41�46 While—Building'. Green—Code Enlorcemen�; Canary-ApplicanC Pmk—Revenue; Goldenrod—Assessor , ,•, � SFR 4250 REROOF BY VALUE RESIDBNT3AL NOZONE . 1.00 -%;� 4,250,OU <. ,� ENP , OF FfiES , �� %p , , EY?IRLD " Incomplete InspE�ction� % � � �_�_.__�-�y / �� v . . , �. Date�.,_ —�—Sig tJl i�tif; ,,' __�:1i,S70t �' - ,.. _ _ fiAYE� 1?,��;;� *,M- ��a_ .:t' i � . '�,• li • b I � � ( CONSTRUCTION AND PLANNING . POOL & SPA ' '� APPROVALS Permit # . Date Inspector qppROVALS Permit # Date I�spector 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location . � 2. Soi� Pipe-Undrgrnd. - � . � 53. Steel Reinforcement . . 3.� �lectrical Conduit Utility-Undrgrnd. . 54. Forms � 4.. E ectrical Conduit-Undrgrnd. 3 55. Electrical Bonding • ,. � 5.�Steel Reinforcement ., � 56. Rough Plumbing & Pressure Test �- 6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE . �7. Footinqs ' , � . ' - 58. Electrical Conduit�Undrgrnd. • = B.iFoundation �' �`, ' � � ,"�� 59.,GasPipe,O Undrgmd.,Test - � 9.:Water Pipe-Undrgrnd. ; . ` 60. Backwash Lines, P�Trap, O Undrgrnd. '� 10. �Structural Floor System � 61. APPROVAL TO DECK � 71.' Property Sewer Line & House Connection -- 62. Backwash & ReceptorFina� 12. 5ewer Cap �' , . 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing SYstem � Final 14. Rough Plumbing 65. �Electrical-Fina� 15. Rough Electrical�Conduit 66. Solar System-Final 16. Rough Electric4Niring 67. -Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiting 69. POOLlSPA SYSTEMS FINAL - 19. Rough Heating & Air Conditioning ' ' FfRE DEPT. REQUIREMENT ' 20.�Rough F.actory Fireplace • �i. • ' � • �APPROVALSA Permit# i 21.'Ducts, in Structur'e . _ ., .. - . " �70. UndeFground Hydro . � '✓ u, t 22. Ducts, Ventilating • . , . �77, product'PiP4ng OGas ❑Oil °� 23.-Gas Pipe-Rough & Test � � ,. �• �- ', 72, Underground Flush � ' . ,� � _� 24..Roof Framinq � • • -• "� � • -73.-Undergmd.SrorageTank OGas ❑Ofl - � 25. Roof Sheathing �:�. `� , ��s� �EE%�-74.= Oyerhead HYdro . . . y`� 26. T•Bar Cei�ing (Structural) & Monocoat � � 75."Dry Chemical � , . . 27: Frame and Flashing , , 76. Dry Standpipe � ' . ' '. . � �� 28. Lathing & Siding ;. � � . • 77. FIXED SYSTEM FINAL� `i 29. Insulation - - " ' �. ' ' - 78.. FIRE PREV. FINAL ' , . . � . %30. Drywali,Nailing �• � -- HEALTH DEPT�. REQUIREMENT s=-'� .• 31. Plaster Brown CoaY � �, 79. FINAL INSPECTION -- - . �� - ��32.�Electrical Power Meter-Final " . - - -� .80. FOOD CERTIFICATE ISSUED � !„ '33. �Final Eleciric ` - ' '� ` ' Nofes: ' >� ' � .34. Fina� Heating & F:ir'Conditioning, . �, � �� _ . _ _ 35: Final Gas Pipe-Test - � • ` ` - �• .36. Hood or Canopy , �t . , -� , � -, . � 37.�Final Factory Fireplace � '� _ � ' t. / � 38. Final Plumbing ' � , . ' , , - -""' . . a � E7 '39. Water Service�Final ' �' � '� - + ;.. , � .� 40. Gas Service-F.inal ' - . , ' ' . ' �41. Solar pomesiicFinal , - � �� : ' 42.`Backflow Preventer � ._,._ � �, . 43. Backflow Irrigation , . . . . - - - . 44. Landscape Irrigation System; ', - , .�. . E.X P � . ' '� F. . .. 45._Sound Atterruation - . � � - � _ � + mp�PCCt10h5 :46 Handiwp Regulations � ' d�g `2_� � 47, FINAL STRUCTUFiE & BUILDING , `�"�-- QS,�FINAL PLANNING ' '��' - � ' � , • � �' -49. Electric Release (o��Edison "" ,, " �� , 50. Gat Release to Southem Califomia Gas Co ' �� - _ �`' � . .- � . � . . . . -51. CERTIFICATE OF OCCUPANCY - No. Date f �rv�r�cr5Z7C'�EFiI^ AC�'— '— — - - -' oxiT� OWNEWSNRMET`�lII� JOYIN C aooxess:�T 9 BOX 1939 HtNCri ST SPRING CITY,TN 37381 6!5 365-4032 RflCMIENGINEEB: NEG.NO.: pD�pE55: UNIT: PEflMITTEE:R P rilRSCttMAIV t71S)960-8329 aooAess: gg55 ATLA1vTA 285 riiFNTINGTON B?A�H CA 9269E L�CENSEO CONTHNCTON OECLAflRTION: I hereby aliirm that I am licensed under D�ovisions ol Chapter 9(commencing wiih Section ibo0) ol �ivision 3 0l Ihe Business antl Pmlessions Cotle, antl is in full lorce antl e��ec�. �c�Tvuc.:038453 STATEUC.:�+7 �R ClASSiTZQ o�ie: c— /�'—%3 s�q�z�n WONNEBS' COMPENSATION �ECLABRTION: I here�y al�irm thal l have a ce�ificate of <ansen� �o seli-insure or a ceriificate o� Workers' Compensation Insurance. or a cerefietl capy ihereol (Section 3800. Lab, C�. POLICY NO.: E%P. OATE: COMPPNY: ❑ CetlifieA copY is her¢by lumishetl. ❑ CeN�ietl copy is hlea wifi the ciry Building Oivisian. i�e: AO�licant: MPTION FROM WOBKEflS'COMPENSpTION OECIAflATION: (ihisseqion nee0 no�Uecompletetlilthe permitisforone huntlretl�3100�arles5�. ' cetlify IM1ai in I�e pedormance ol Ihe work for wli '' � ue0, I shall not employ any person in any manner so as �0 6ecome sub�ecl to ihe Workers' Co �pi nsation �aws of lifomia Date: �� 6 —�� Si � NOTICE: If. alier making ihis tleclara�ion. you should hecome e oBers' Compensation pmvisions o� Ihe La6or Coee. you mus� Iorihwith camply with such pmvisions or �his Oermil shall �e tleemed revoked. CONSTNUCTION LEN�ING AGENCY: I hereby alfirm that �here is a constmc�ion IenOing aqency �or �he pedormance o� �he work �or which ihis permit is issuetl (Sectian 3097, Civ. C�. LENDEH: aooRess: OWNEfl BUILOEB UECLAflATION: I �ereby a�hrm ��at I am exemp� �mm ��e CanVaciors' State License Law for �he �ollowing reason (Section 7o31.5 Business antl Pmlessional Code: Any ci�y of coun�y which requires a permit to constmcl, alter, impmve, Oemolish, or repair any slmclure, Orior to iis issuance, also repuires ihe applican� lor such permii to file a 5igne0 s�a�ement t�at he/s�e is licensed pursuani m ihe provisions ol the Comracmrs' Sla�e License Law (Chap�er 9(commencing wi�� Sec�ian 7000� o� Division 3 oi �he Business antl Prolessions Code) or Ihal helshe is exempt there�mm and the �asis �or ��e allegetl exemption. Any violation o� Section 7031.5 by any apPl¢ant for a permit sublects �he applicantlo a civil penaliy oi nol more Ihan five �untlretl dollars (5500). I, as owner 0� I�e O�opetly or my employees with wages as �heir sole compensa�ion, will tlo the woB, and [he ❑ simclure is not mlentletl ar of�eree lor sale (Section 70aa. Business and Pmfessional Cotle. The Contractors' State License Law does no� appty to an owner o� a pmperty who builtls or impmves I�ereon, an� who aoes such work himsel�/hersel� or �hmugh his or her own employees. provitletl ihat such impmuemenis are nol intended nr oHered lor sale. Ii, however ine builtling or impmvemen� is sola wn�in one year o� com0letion. �he owner will have the burtlen o� pmving he/she did nol builA or improve for ihe purpose of sale�. I. as owner ol Ihe pmpetly, am exclusivety conlrac�ing with Iicen5e0 con�racto�s to consimc� ��e pwlect (Sec�ion 70a4, Business � antl Pmtessions Cotle: The ConVactors' Slate License Law Ooes not apDly lo an owner oi property who builds or impmves Ihereon and who contrac�s �or such pmlects with a conlrac�or(s) license pur5uant to Ihe ConVactoK S[ate License Law). I am aware Iha� piool ot IAelr Warker's Compensation insurance should be pmvidee �a me. � I am exemp� untler Sec�ion: B. 8 P. C. lor Ihis reason: Oate: Ownec I Qo �ereby cerlily Ihat I am aware oi antl untlersland ��e reQuiremen�s of Califomia Heal�h and Safe�y Cotle Seclions 25505, 25533, antl 25534 antl ihat I or any �uWre budAmg ocapanl wJllwill nol (circle one) neetl to comply wiih said s�ate code5 and lhe requiremen�s for a permi� lo� cons�mc�ion or motlifica�ion Irom Ihe Air Oualiry Managemenl �rstricl. Re5i0en�ial conslmction applications are exemp� imm �hese provisions. Daie'. Applicanl: I ertby ceilAy thai I have read lnis ap0licalion and 51aie �hat ihe above informalion I5 coneeL I agree Io comply with all ei�y anU county rtlinances and s�atelaws�ela0ngto �uiltlmg c ucion an er auihorizerepresentatives o��his cityto enterupon�he abave�men�ionetl pmpetly �or in5pec�ion purpOseS. � � �� 3 ��.�.� � �� Date' Sg d� Pe�.•� Driver s Cmense or Social Secunry p: 164L46 White—Builtling: Gieen—CODe Enbrcemem; Canary—ApPlicanC Pink—Revenue; Goltlenmd—Assessor \� � CITY UF COSTA �ESA - 3u_�uING FERMII �t�r; nu: � 062_C�5 PERMIT Nv: � 062106 PLAtv C3ECK NO: N GOVT: N SUPP: N CUNSTRiiCiIGN _YP=: C7-� ?E�:,M=T TYPE: 5TR PuRP��Sc: ALT JvB DES'CR1P11ON : 1/OFt RESiiT, fiEkUOP W/CUMP, ' s�� Pi: 78d CLAIM VALL'�: 78�.00 CALC-VAL'JE: 1,70G.00 GRnUP OCC: R-3 i COM�✓�DITS: 12 S�UA.R�'S ONLY! SMORE DETECTORS Pc,R liBC t?1210 **�?e**;��*:��*�� .*�*�±�**?�u�**a*�*�*�**��r�}****�;�?��**�***?��xx±�**�**�t��***� Z U D? I N G R E Q U I R E M E N T S S E T 3 A G K S _____ ^- _ 'r T ' _________ ------------ . ;!� ' Zi,D_NG ----- -------- P.C�_SSORY 5U_i,UINV FRN-: '- IN R=AR: IS�1 FRNt • FT IN REAR: FT I?v LEFi : FT EIv RGiiT; FT I13 iEFi ; FT IN RGHi : FT IN PARRING REG: PROV: PARCE�: 13940224 ZNE: REF NO; Pir1NNING NOTE�> .> Y iE?E Y Y} Y jf iE if 3E �?E.iE iF i� 3c iE iI' :E?%3E iF'1f'JE iF i� }{E 3'r?f i['JF iE 3? if ?E 3E iE'M 3E i! if dF i4 X'1F;f -?E i4 iF ## 3E )f iE iE 3F'lE iF iE 3%iE r iF iE 3f if if iE iE iE-)C"Y,' 3E iE'1E i4 iF i L a'l.j�:E L O P M E N T 5 E R V Z r' E� R E Q U? R E N, E N T S ZGI�iING APPRCVEU 3Y L�ATE: �i7SLUING APP3UVEU 9Y : UAT£; /�� APPi,ZCAiIG?dr%�rS5i7Eu BY� L�ATE: b #3E�iE�3EiE?E?fiEr.ib.?Eif�FiFif3EiE?EiEiEi'F-�.-�.'x". � -. .:,.F�c<a� ..- e� �rx�. x�.- �fk3ElE�?E±!�ifiEjf irz e �rzft e iFiE iEiE3e?E+:3E3i?eiE�ii�±EE�?Eiic?fiElFlEiEicie3e+'iE'rE?EiE3E�lci��k}jEi£34�1EiciE? iF±Ek�iE�]f�4�lEifiEiE�Ei:ib3E3!�1EiEiSiE�EiE34iE#?E�IE##3EiE�EfE3F?E±E�3E iEGAi2ZAT=0N:13 F E � S iJ ✓ A7 A R Y STRiiCiURAL SEGME�T:Y _Y. B�DG PMi" P�IIMBING �L�CTP.Ii McC3P.I�tIC FIRc S�IP/RES GR�IL�ING PERMIT 39.00 ,� SNIP/i�ON-RES PiAN ISSUE FEE '� Yfi.l1LD1IVG-LiLT-> PEP,MI: ZSSi.iE YLAN-CHECF{ TOTAi� PAID UU� TOTA:,S----> 39.�0 0.00 .. i:. 0.00 39.50 39.50 ,UO P.EVEVuE UIVISiON TOTAiS--> CO�LECTEJ: 39.50 OVERIS3URT; .00 3:,DG PMT PiUMHItiG rLtCT�II' MECAANIC FiRt SMIP/TOT G?tAUSNG YLAN-C:iECH 39.00 );" .50 �, � ��Y*�r±�<t��?r**��*��t*****�tt**�rt�*��€�?��u**�**�*��*�±��t�x��**��*t�**�t��r*�t+r*�*r*** � �n zv�vua�;� •_ =� a �Eaxr�ow� / � TYPE pTY J E S C R I P T I' O N UNI? COST iOTA� CC�ST � �' l l %i S�{:t 1700 R�RUO= BY til��:uE RES=li,.tiS�IAL � NOZO�= 1. 00 " 2, 700. 00 ' t"ND. •OY FL_S EXPIREO � (�y^�amR�ete InspeCtionz �� Y � �. / �`p � i �� 4, p 01 00188837-002�8833 T C�T 'aP,Sp Op7E: O5/20/93 TIME: 13:34 CONSTRUCTION ANp?IANNING APPROVALS Permit # . 1. Temporary Electrical Servicebr Pole 2. Soil Pipe•Undrgrnd. . 3. Electrical Conduit Uti��ty-Undrgmd. 4. Efectrical Conduit�Undrgroct. � 5. Steel Reinforcement 6. Electrical UFER Grnd. 7. Footings ' 8. Foundation . . 9. Water Pipe-Undrg.nd. • ,� 10. Structural Floor System . i i. Praperty Sewer L+ne & House Connection 12. Sewer Cap 13. Roof Drains - 14. Rough Piumbing 15. Rough Electrical-Conduit �t6. iouc�h Electric Wiring 1•'(�Aough Wiring Sign 1$. Rough Electrical-T Bar Ceiling ___ _ 79. Rough Heacing & Air Conditioning 20. Rough Factory Firepiace 21. Ducts, in Structure 22. Oucts, Ventilatin9 23. Gas Pipe-Raugh & Test . 24. Roof framing 25. Roof Sheathing 26. T-8ar Ceifing (StrucwrafV & Monocoat 27. Frame and Flashing 28. (.athing & Siding ' � 29. Insulation � 30. Drywall Nailing 31. Plaster Erown Coat 32�. Electrical Power MeterFinai 33. Final Electric � � 34. Pinal Heating & Air Conditioning 35. Finai Gas Pfpe•Test 36. Hood or Canopy 3J. Final Factory Fireplace 38. Final Plumbing 39. Water Service�final 40. Gas Service-Finat 41. So�ar pomesxioFinai 42. Backflow Preventer 43. Backf�ow Irrigation 44. Landscape irripation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUI�DING 48. FINALPLANNING 49. Elettric Release to Ed�son 50. Gas Release to Southem California Gas Date Date n POOL & Inspector APPROVALS Permit # Date Inspector 0 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms � ---jjjjjj---- 55. Electrical6onding ( 56. Rough Plumbing & Pressure Test ! 57. APPROVA�TOCOVER�GU�!17E 58. Efecirical Conduit�Undrgmd. 59. Gas Pipe, � Undrgrnd., Test 60. 8ackwaeh lines, P�Trap, � Undrgrnd. 67. APPR4VALT0 DECK 62. Backwash & Receutor-Finai 63. Heater & Vent-Finai 64. Ptumbing SY5[em � Final 65. Electrical-Final 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOLISPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS' Permit � �_,_ 70. Underground Hydro 77. Product Piping O Gas ❑ Oii �J 72 Underground Ffurh �+ 73. Undergrnd. Storage Tank t7 Gas ❑ 0�� 74. Overhead Hydro - 75. Dry Chemicar � � 76. Dry Standpipe � 77. FIXED SYSTENI FINAL . 76. FIRE PREV. FINAL ' HEALTH DEPT. R'EQUIREIL7ENT 79. FINAL INSPECTION � �80. FOOD CER7IFICATE ISSUED L• � � � 0 — cn;r-vrWSTA MESA CO//NST(RUCLTION PERMIT . Project Address ��M ('Q AV�l 'J� Applicant's Mailing /A�ddre�ss � �� /� � ( �Owner's Name ' TE,��n^ ,� Phone a"b13L=L1!L�1 J Addreu r„}LM/ ��1 Arch/Eng. License No. � Address �C Contractor's Nam Phone � � Address�lm�'I'nnl � ILQ � �IJ�� „�U^ City License No � ,/�� V"� LICENSED CONTRACTOR DECLARATION � 1 h¢reby, af(irm that I am licensetl untler provisions ot Charter 9(commencing with section 7000) of Division 3 of the Business antl Professions Cotle, antl my license is in f fy �and eftec[. ' /^ �� " 'y-;jcense CI / �.�In L�yice/�spe� —No. ��(� /�/` ' �,•-.�a.';:ate ��k S'9 t '�.L-/6.L.!�( X--IC � "WORKEKS' GOMPENSATION DECLARATION ' I hereby affirm that I have a certiticate o� consent to selt-insure or a certiticate of Wo�kers' Compensation Insurance, or a CertiTietl coOY fheraot (Secfion 3800, Lab. cJI/ `7 1�j Policy No. 11�(J r! 0 Company n}. �'ertifietl copy iz hereby furni5hetl. YJ certifi�e qo� is flletl with tlte city 8'@Itl�9,qWi ' . Date�.L"S`� AOPlicant (>1.II.lG(. . EXEMPTIO�fJ FROM WORKERS' COMPENSATION DECLARATION ' '(Thi55ection neetl not be completetl it the p¢rmit is'for� one huntlretl (E300) o� less). , ` I certity�that in Ihe pertormance of the wo�k for which thi5 pe�m�t is issued, I shall�, mt employ any person in any mann¢r To as to become subject to the � Workers' Gompensation Laws ot Califomia. � . Date Signature ' 'NOTICE: If, after making this tleclaration, you snoultl Decome subject to the � Workers' Compensation provisions ot the Labor Cotle, you must forthwith.:' comply with such O�ovision5 or�this permit�5hall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV� � � � � I he�eby affirm that there is a consGuction Ieniling aqency for the performance ot the work for which this permlt is issuetl, (Section 3097 Civ. C.) Lentler's Name - � Lentle�'s AtltlreSs � � OWNER BUILDER DECIARATION " - � � I hereby affirm that I am exempf from the ConVactor's LiCense Law to� the followinq reason (Section. ]031.5 Business antl�Professional Cotle: Any city or :ounty wnich requires a pe�mit to construct, alte�, improve, tlemolish or repair ;ny structure, prior to its issuance, also requires the applicant for such permit :o tile a.signetl Statement that he/she is licensetl pursuant to the provisions of (ne Contractor'S License Law (Chapter 9(commencing with Section ]000) of '�Division 3 of the Business antl- Professions Cotle) or that he/she is exempt �[herefrom antl the basis torlhe alle9etl exemption. Any violation ot Section ]031.5 by any'applicant tor a pe�mit subjecli th2 applicant to a civil penalty of not more than five M1untl�etl tlollars ($500). � . �0 1, as owner of the 0/operty or'my employees with wages as Iheir sole com0ensation, will tlo the work, antl the structure is not intentle0 oi otferetl for sale. (Section 7044, Business antl Professional Cotle: The Contracto�'s Licenze �aw tloes not appty to an owner of a property, who bwltls or improves thereon, antl who tloes such work himself/herself or through his or her own employees, p�ovitletl that such improvements are not intentletl o� offe�etl fo� sale. If, however, ihe builtling o� improvemenf is zoltl within one year ot com- oletioo, the owner, will have tne burtlen of provin9 he/she tlitl not builtl or Im- �OVG (o� the purpose ot sale). , LI I, as owner ot the property, am ezclusively mntractin9 with licensetl com tracto�s to construct the project ($ection ]046, Business antl Profes5ion5 Cotle: The Contractor's License Law tloes not apply to an owner oi property who builtls o� improves tM1ereon, antl who-contracts'for such 0/ojects with a con- tractor(51 license pu�suant�[dthe ConVac[or's License Law). I am aware thaf p�oof of [heir Worker'S Compensation insurance shoultl be provltletl to me.' ❑�I am exemDt untler Section B. & G. G. for this reason oate Owner _ 1 her¢by certi(y that 1 have reatl Ihis information is conect. I agree [o comp antl state laws relatinq to building con sentatives Ot t is'cty to enter upoi inspec[ion pui se � Signature Driverz' LicenSe or,55 � , m antl state that the-above city antl munty ortlinances antl hereby authorize repre- �y¢-mentionetl �p.w��pe�rty/� fo� �.' �2�23 ( � � � TYPE OF CONSTRUCTION NEW ADD ALTERATION _� CONVERSION ❑ OEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF'BLDG. TYPEOFPERMI7 UGRADING LJ�FOUrvDA71oN LJ'STRucTURAL ❑ TENANT ❑ ELECTRICAL oF PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5c1. FT. ocCUPnNCv_ �CONSTRUCTIONTVPE � VALUATION$ ' ZONE GRADING CU. VOS. ' ACRES— Remarks: Sink low Dishwasher � Drinking Fountains Floor Drains � Floor Sinks - Gas Service .'Outlets Interceptors Kitchen Sink ' Lavamries ' P—Trap i Roof Drains - Reinspection'Fee Showers ServiceSink' - -' � Sewef Cap�' Sewer Connection Solar Collectors . Solar Pipin9 Solar Tank � Swimmin9 Pool w/Spa � Urinal Water Closet . � ' ' Water Heater � � Water Service ' ' Auto�Wash Laundry Trays_ $15' Issue Fee Boiler , Duct - Under Ground '. ' Duct-Structurel � Duct-Ventilating � Exhaust System ❑ Multiple ❑ PirepVFact.81L ICBO# Heating System & Ducting � ❑ a i oo,000 aru O i oo,000 sr Reinspection Fee � $15 CMF 0865-46, rev. 10/B4 White - Builtling: Canary - qpplicant; Pink - Acmunting; Goltlenrotl - Assessor Hoad or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,000 BTU ❑ 100,000 BTU System Repair/Alteration Fire Dampers ' Registers Issue Fee IR $ 3 FEES $ 3 A.P. # S Main Buildi E T Front B Rear A C Right K Left S Ping. Ref. # Planning Notes: Automatic Washer, Construction Pole�: Cooking Unit � :^ Dishwasher , Fan F.A.U. , Fiztures Device Boxes ' Outlets Switches Garba9e Disposal Generator �65 KW Fee 8180 8%06/B5 Zone . Accessory; B u i Iding: Parking Req./Provided ELECTRICAL • .Transformer ❑ 15-50KW � 50+KW 5-15 KW $75 � Meter ❑up to 100 amps �� Meter ❑over 100 amps • Sub Panel ' Motors �0-1 HP � 1%- 8 �Inc.Solar 09-75 HP �i6-15+ ��Microwave ' � � �� Pole Light . Fange Sign ! Stariding Sections Trash Compactor � Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By 5.00 TL Z O N I N G R E � � M T S FEES $ 3, � SUMMARY OF FEES ' BUILDING PERMIT $ � SMIP - . $ PLAN CHECK $ —�.-�:}_� PERMIT PLUMBING � $ � �� ISSUANCE • $ PLAN CHECK 25% $ ' ENERGV P.C. $ ELECTRICAL $ ' GRADING $ PLAN CHECK 50% � $ � MICROFILM $ � MECHANICAL $ � TOTALFEE $ PLAN CHECK 25% $ ' � c ' . �O L & SPA - - CONSTRUC710N:AND PLANNII�.. ' � �� - a. . � ; " . _ . - �Date � �� I nspector � - • " � APPROVALS .- Permit # APPROVALSS - Permit�# - � 1. Temporary Electrical Ser'vice or Pole- _. " .52. Pool �& Equipment Location - � 2. Soll Pipe-Undrgrnd. � , ; � 2 . - _ 53. Steel Reinforcement ` � 3. Electrical COnduit UtilitY-Undrgrnd. � .- • . 54: 'Forms � �, � ' " - - . � . � �4.'Electrical Cnnduit-Und�gmd. . � _ 55. Electrical Bonding� _ ,� 5. Steel Reinforcement � ,� � � ' �- _ � • � - 56. Rough Plumbing & Pressure Test, i f6� �Electrical UFER Grnd. �- � .- 57: APPROVALTO COVER-GUNITE f7. Footings � � • '- ' _ .58: Electrical Conduit-Undrgrnd.. � l8. Foundation . '• � ` 59. Gas Pipe. � Undrgrnd., Test� I9. Water Pipe-Undrgrnd. - '� � • � �60. �Backwash Lines, P-Trap, O Undrgrnd. r 10. Strucwral Floor System � �� Y� 61. APPROVAL T0. DECK � . I11. Property Sewer Line & House Con'nection . � - 62. Backwash�& Receptor-Final • ' I12. Sewer�Cap � -` � - . - 63. �Heater & Vent-Final • _ �13. Roof Drains • ��64. Plumbing System�- Final ' - I74. Rough Plumbing ' ' - '65. Electrical-Final � � . I75: Rough Electrical-Conduit - � ; .66. Solar SYstem-Final . � � � I16. Rough Electric Wiring �67. F.encing & Accesf Approval -" -� I17. Rough Wiring Sign � � ' � � - 68. APPROVED FOR PLASTERING �'18. Rough Electrical-T Bar Ceiling! 69. POOUSPA 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 �Gas�� ❑Oil � -23. Gas Pipe-Rough & Test -' � 72. Underground Flush 24. Roof Framing . �. .. .� 73. Undergrnd. Storage Tank O Gas .O Oil - 25. ,Roof Sheathing 74. Overhead Hydro . 26. ;f-Bar Ceiling (Structural� & Monocoat - 75. D.ry Chemical . �27. Frame and Flashing � . , � � 76. D.ry Standpipe 28. Lathing & Siding � � �, 77. -FIXED SYSTEM FINAL 29. Insulation . � , 78. FIRE PREV. FINAL 30. Drywall Nailing � � , ', � HEALTH DEPT. REQUIREMENT 31. Flaster Brown Coat • 79. FINAL INSPECTION 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: - 34. Final Fieating & 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-�inal ' • ; , � 41. Solar pomestic-Final , • _ i _ , ' , �, 42. Backflow Pre'venter ' . � • � - � � � � �43. Backflow Irrigation . . � � � �' �� 44. .Landscape Irrigation System ' ' , � � � � ' � 45. Sound Attenuation � , � � I ' � � 46. Handicap Regulations ' � " , . . � 47. FINALSTRUCTURE&BUILDING . � � � � ' 48. Special Requirements Completed � � i . . ' . � 49. Electric Release to Edison ; - -� - - - , � • - � - - - � -- • I � � 50. Gas Release to Southerri California Gas Co , � ' � .' • � ' 51. CERTIF.ICATE OF OCCUPANCY `P' . � , .,__ . _ � , _ �' In. ' ' �a;e- '. . -'L '' - . . � - - - - Date - \. Inspectnr� :.- " •6 '. .�