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459 CAMBRIDGE CIR - Building Permits
' " . . .. �. .' ' Applipnt to fill in all soaus e:eapt ihow within neary Eortler Ilnes ana slgn all aoDrooriata aeelantlons. ��CITYOFCOSTAMESA. '- -�- , - -: {, _. .._ �. _ ... - . . -. - -�-- ; -- -- ; - '_"_, �- � " "�--•-- ... .. _,_. _ . � , ; ._ , , � '� ._ .� PERMIT NO. � . � TRACT NO. ' � LG �NO: + BL . � • CONSTRUCTION PERMIT. ` . � . � ' ` • • - : � � �_ � :' ;: : ; '• ' � -. 4764-r. 2/22/�8'� �- ' , 'i _� 5. li ; TL � i " f_ � � � , d • .... , ; � � - ' • : . ApplicanYs Meiling�Addfea/ . � �/ /' � � �. .� ,- . � . ' TYPE OF. CONSTRUCTION', . . .NEW � ADD ALTERATION'= REPAI R �'_ .. � : � � � `• .'. , • s : � y 1 �' ^, �' ' " � "( �.a/ - /' � � ' � • ' ''1 ` + � '❑'CONVERSION -❑ DEMOLISN ❑ OTHEii;'_ � ' ' �f _ � t Project Addreu � , ' . _ . .: . - • � . , � . . ' '' . I _• � ,. ; 1 �' 1,' ; (y� . �. � � DESCRIPTION OF WORK � , . _ _ _ : , . • • � Owner s Name , �� �- - - hon � 'j , c. _ � _ y � ' ING GULATI` S . i M1 `� Addf855 � '"�' - � � � , i :ry?E�OFPERMIT -, GRADING � �FOUNDATION ���STRUCTURAL � A.P.�j'+ � 'ZONE � -'. . 1 � ' i ' � .^' ? � AfCh/EnB ' � : � LiC0n5B No' � ❑�TENANS ❑ ELECTRICAL . PLUMBiNO� O MECHANICAI - .P.LNG. REF.9p � ' i �'„BUILDING; - � „�, � -, � \ Addreu '' - � ' ' , ' ' � OTHER ' " ' + k ' _ f i ' � . TO BUILDING ' ' ' ' � �- � ..� . . ' � -,REAR VARD (70 P/U - { . . Q ComracwrsNam ' ' ,g .� ��%� ��-hone�I�� y�7c�� 2PROJECTDESCRIPTION� SQ�FT:� � f � , .. �-� �OCCUPANCV�' • �c P PE V INE - i � . . ' � �,j� �:� ��J ,�;j��J��)�,J � ' '� � � �CONST,RUCTIONTVPE ' VALUATIONS ' P �6EFTSIDEV/iRD � � RIGHTSIDEVARD 't' 2 � 7 �.�; .� Addreulmailingl,. . � . �'� • : . ' . Cicense No. -��7� �� � � � � A ' ZON$' � r' � GRADING CU. VDS � ' �ACRE� � PKG.SPACEIREQ. _ '� ' � PROVIDED " r , �� ' L�ICENSED CONTRACTOR DECLARATIO�N R .. �ri ' , �.� � Remarks: ' � �� i �' _ � � ** � } f ' STREET WIDTH i � � . jPARK FEE.$ + : I heieby,aftirm t�abl.am Ilcensetl untler.Orovislons of1Charter 9 (commencin9 ' " ' - . . . . ; " ' Rti�SecUon 7000) of DlJislon 3 of the euslneu ana Profezslonz Coae, antl � . ( - . , � ' ' ' . , � 1 ? . � , � � SPECIAL CONDITIONS: . � �i � . I � � t � � `- � 7 - � r -( � t {. f , a ° e � � n ! ' r a :Iicense Is In full for e antlleffect. ' i r ; � i � - � , , - ' ' ' ' - �^n pss ' �"`3h ,. � U<enseNo /��"f-� q .I j t. � � ; PWMBING" - ' ; i ' � "-�� ' �j �� i i � t � ( � f � ' i ', i � f . 'A°te �� - / � ` 519natufe,� /(�ai �/•f.�r�L ' ' : . ' WORKERS' COMPENSATION DECLARATION � • ` } /��' i ' _ Ba'r S1nk � � � �Sewer Cap � � ' � ' 1 - I . r 1 ' ELECTRICAL � j , , I ' - ; C ot Workers' ComDansatlon Insurance,�or a certlfietllcoo4 thareof�5e�t�ion i � ' , � � . ' -t-- ;'�-'-�'-*:'= " -�.AutomaticWasheu� ._�„�_..,{_;, iMeter.:�overl0�emp5�-. ,� I_�? ,� �,� I.hareoy.'aHirm.that.l.have a.cartlfltete otconsent,to se � ( � Beckflow-Preventer` -^� ��-� '�-'� --� ^ - SevJer'ConnECLon'-' . . . , , , - i . - 3800, Lab: C.) o � ' '! • ' �' � � - - ' ' ' ' - ` � Construttiun Pole � � , i :'Sub Panel! r � � f I 1 D�� v� � . �����K T � � i �' Beckflow Irrigation . . � � � $olar Collecmrs . � . � � , . . . i i � � - � Policy No. Company �% h• S .' - -� � _ : ' ' � � i t � � i ' Bathtubs � � ,- �i ' Solar Pipmg - , . , i . . � Cooking Unit ; .v ; � � � 1 !Sub Pole � �� r , ; t � j Certlfietl copy Is hereby furnishe0 } • . . , BiCeftlfi tl to y Is i letl with the tity BUHtling OIy1slon. � l 1 I ' - ��-/�-Y�� ) `� �-y, '. .. Clarifiers _ � .i: � ' SolarTank � Dishwasher , �;.�� � �Motors OO-1 HP �i'h-B ' Date� APOlitanY �/2�.t.iLit.G� � P� il .,.. ,.. : . . '„' _ ' . . f. . - ) � `_"_" ' ' '..___'_ � _._ . �__ _ _ . . � _ . � . . i_ . . -.... _. . .. a � E%EMPTION�FROMWORKEHS'<OMVENSATIONDECLAqAT10N ( ; � - . � ..- �" �ryer3�OGas'�OElecfric^ j ��InaSolar�O9�15HP 01645+ `� ( ��(This sectlon neetl not be completetl If the permit Is for,one huntlretl (5300) or '� Di5hwa5her � _� � Swimmmg PooPw/Spe f � r � ieszl- � : i c � f �. � i 't. � � , : - , > Pan� � ' ,tj i ;Microwave� � �j � j t � I wrtHy.that In the performdnce oT the work tor�which this permR is issuetl I' ' Drinking Fountains Urinal + � � � � : • T i , , ,{ . � sball� not employ any parzon in any manner so �as to Oecome subject. to;tRe f -. �. _� - , � n � - - . ' 'Workers'�Comvensation!LawsofCalifornla.t ; - ,. „ �. .; j FloorDiams� i �' �Waterqout( f � �� i FA�� � � � , �� �Pole�Light ; � �, ; � ,� ', Date ' � �lynature • ' - - ` ' �- - � � - . . ���NOTICE: If�after�inaking�this tlatlaratlon, you�ShouldbecUmB'SUDjet,t•tO�the�^� �� -t. FIOOISinks �- �-- � - ;� �--- 'WBteI.HEet2f, - - - _ . 4� FixtUres : _? �� _� '_ _ � yRange ._.i._,��_. ; _ __ �,.._._;,. , I Workers' Compen5ation, Orovisions.oi�tha �Labor Cotle,'you must,forthwith. ' ' ' ' ' ` ' - - � � ` ���comply (with+ such provislons`..or .this De�mit �sh511' be aeemed; �revoked.; � ` - �� � -- - � _ - � ♦^ Device eoxes �i ; �,Si n; ' � ' � Ga'sSe�vice� � Outletsl � , �WateqServ¢e �� � � � 9 t � t ' CONSTRUCT,ION `LENDING -AGENCV � ' . .'. �� � �. • ' y � ' - ' ' . Y � � .� OUtlets � � � �. � l � � : I hereby aftirm that there 15 alconstructiomlentling agency for the'.performance �� Int2rc2pto�i � :�'� �� ' I r�, � �;,y E t -? � � ( 'Standing Sections . • ' o! the work for, which: this� permit .rs �luuetl (Section 3097.� Civ C�� - " ' � - � " �, ." � '• ' j Krtc6en;S�nW �. ; l.enAer•si Name��� � � � � � � • . . ' - . +. ` � , - � ', Switches �Trash ComPacfor ' � � � } � ; l.enEer's- Atltlress � =' ' " ' '"� ` ' - � +� � ' � . ' -:.�� _'�. . , . OWNER�BUILOER OECI:ARATIOR Q ,F . '. `" `' ,.: � ., . ,� , > : �-�'etOfies � t .? .� � � - ' �''� - ' i r6a9e DisPoul ' ' , . . ��� ..� � � - i - y : • Ga � i " � . �reby�zftirm.that I am"exempP•Trorti the'ConCractor's�License Law for the` � � - �� � L i' ' r' ��wing reason:(SectlonV031:5 BuSiness antl'Professional.COAe: Any cify or' �� � P-T�ep� � � fi�� j ' �� "�`' '� j n ' �.i ` � Generator.00;5 KW �545 KW � � � - � 7 �. � � i y�,ty wnicti requims a permitto cons[ruLt, alter Improve,.tlamolish�or repair ;, � � � , . ' . . . : � � ... T�anSformer ❑ ' i . � I � �'.structure, rior to Its issuanca,;also re uiras t�a a IlcanT-for such ermlt N.- � ' 15 50 KW = P 9 �. PP P =• �'.Roof Df8105 T P i' r 1. .� � . , • . � . � '' ��lile a si9natl 5tatemenYthat-he/she I5 IlcenseA pursuanYto the provisions o7 ; ' - ' � '� �' ' �' ' � � O5U+ KW), � '� ' the Contractor's:Licenso LSw.(Chapter.9 (commencinglwith SactlonJ000) of - � i.. _, y_ � 1 � ! .•-' l � �� � r 'Reinspection Fee �� $75'' �, � � Division :3 rof.tne Bu5ine55' anC� Professions Cotle)"or.dhaY he/she •is exempt � Show2�9 r � �� Rejnspection Fee , $15 - ' ' ' � � ' � � ' - J[�eretrom antl the�basis tor the allegetl exemptlonrAny violatiomo£Sactlon i � ' _ " ' " t- '_ � � � � � ' - Mete� ❑u to�1008m i ! � �i <,' �J031.5 by^any applicant for;-a permit'sub�ecti,the•appliwnt-to a'avil S �' � � � � ' 1 ' � � P P � � � +IssueFee: I' $ 3 � - enalty of.not more than frve huntlreA Aollars (§500): � ' • ; t- ( • , ;- ' � � Service Smk+ ; � ' �. , � . ;' ,� ' laue Fee ' ��t _ � $ 3 �-Zoning Approred Bp � � � �� � � � �� ' pate �'� I; as.'owner ot;.[heiproDerty or�my employees.�with wages�as theirsole . � � � � � � � � 4 �- � ' i ! r � , � � . � ' tompensation "will�tlo the work, an0�tha,structure.is not intentletl or offeretl ' ;� : � S-., �t' ;, � �` MECHANICAL �� ! 1 ' ' ' � _ { � f �� � '- ' � � � i,for sale!(Se<4ion Z044; Buslness antl;ProtessionaL Cotle:'The.Contractor's' I � "' � k -� '� %�PP�!mtion Approved By ' ' ate. � Licenze Law tloei not apply� to�an'owner of a property who builtls or improves �, BO11e�'�': -� � �� �� Refrigeration System� ' �� � J ; � �� ��� � � � ( � , the�eOn,.antl wh0 tloe5.5uch wo�k hlm5elf/hersEl( o� through his o� hBr own I' ' � %�� F� � � ' � J '. � �' Applintion laued By � 'Date -�- �' ' - employ ees, provlAea that su<h•improvements are noc Intentletl or oHeretl for ❑0.100;OOOBTU ❑100,OOOBTU' S , � 1' ' ule.-I/, howaver, the builtlin or Im rovement'is soltl wlthin orie' earmf com- � ' Du,ct �Under Ground .� � �� . i � , � ' � 9 P Y � . i , i F 1 ! . � , � > . , "r i ' � . SUMMARV OF FEES : • � i , ; pletion, the owner;will hava the burtlen of proving he/she tlitl not builG or Im- � . . � ,. . ; . l. �. � � � ; � ; � � � . ; ' rove for the purpose o� saie): !. �. • xs { �� Duct S[ructural '! S'stem Re air/Alteration: f' � �� � . i� .. - � I - i } . ;' t I Y P � , !BUILDING PERMIT $.. . SMIP � � i �� $ �- � { . I. � �-���I, xs�ownei�of the property, am exclusivaly, contractlng wlth Iicansetl con•� � tractorsto construct tne'project,(Section Z044, Businezz antl.Professions.Code: � _ = Duct _VentJeting _ ��i ' �. _ . �,,.,_i.� _ � _ � ' �PLAN CHECK� $' � � ' � PERMIT �� I ' �� � � ( The Contiactor's License'Law does not apply to an ownerbT property who t ' �' '� �� L 1 I$$UANCE ; '$ � { bulltls or Improves thereon, antl who conVactz for such p tojects.with a com f . ExhOust SyStEm ❑ Multiple O I �� �� �! + ' �' PLUMBING �' ,$� -�d �-�• j . � � tractor(s)�license oursuant to the Contractor's License law) � �� � ' t - ' ' � � � GRADING ! � $ � � � - . ' � ' . ; { 1 . � ' ❑��I+am exempt untler Section i B, 6 P C for this reason �; � . Firepl/Fatt. BIG.ICBO # , ! � ' i . � ( ; � ; , �P�N CHECKI $' ' . ' , � � , ; _ � Date. ' '' � t Owner': � '. ' � .� ! .- i. , �(� HeatingSYstem&Ducting ! : , i...�, � i ,� �. � . �. �ELECTRICAL ( $ E" �� ; j j. � ; $ � � � . I � MICROFILM i'$ � ..I•nereby�certily.that�-Ithaae reatl^tnirapplication an`tl-state-ihat•Itie-above -+- { �0.100,OOO�BTU��100,000B, � i- ' --�^• , PLAN CHECK� � $' � � {. � �j� � intormation is correct. 1 agrea io comO�Y N'�th all dty.antl munty ortlinances ; ! : , � ' . i � j . , � ' � �' f -" ; � TOTAL�FEEi t $ ' - ��' °"" : antl state laws relating.to bulltling con� uctlon,�antl hereby authorize repre- � � � � . .� - iMECHANICAL� $ ' �.. . � � , . � : . � sentativas of ,thls laty; to enter. upo � tTe above-mantionetl property for �HOOd or Type I �❑ � , � � . r - . , � � . � � inspectlon ougp Ses.�� ; �+ i � - t � ' Cano � :T e II ���I- , , - � Reinspection Fee� $15� � , � i � � � ' LESS i ; � i , � �Signature 9/. ' �i'/�l � ' L " �� � . . _ : _ '.;PLANCHECK�, ' $ ,, qDVANCED;PC I $ � �' / �.O I ,. Date �� ' � + . ' . � DrlJers' License or�55 � i - - . t , � Reg�sters-- !.. ., � , � ` . { . � Issue Fee. f - $:3 j � 1 � � 1 �' ' � � FINAL PEE'. '( $• .� ,: �• . . . . . . . . � . � "' _'-' "___'_"_ '__'_" ' " ._"_' ___'. __._.._ . ._ .. ._ � • .. •. . . , ; CMF 0865-06 rev. 12/82� � White - Bwltling; Canary -,Appl¢ant; Pink - Accounting; Goltlenrod - Assessor • "'� "" - P�_� v � � ��5� o� � �'� p�/ . ". . � - � � • - � ^ � � � � - - --' ' � .�. �. �'..J - . \- ' � , � J Appllwnt lo till in all spaees e er linas antl sign all aocroortate Geelanlions. ' GTY OF COSTA MESA � � I � �� PERMIT NO. , LOT NO. - ' BLD . r � 1 ' � - � � • ~ , � CONSTRUCTION PERMIT � = � .., ��. - i�„ � � � � r,. r � ^ .,: ::_ ',�`r' ' . 5 " � � � ' i :. _ ' �= ' =' � •x � 't � i ' I � .:- ! �- �� : � � , � � ' ? � 3�51 � 8/03/83 . 206.45 AppliCent3Medmq7 �Addf855 � ' .TYPEOFCONSTRUCTION'" ` NEW ADO� ALTER1,A �ON" 'REPAIR A �r � � . � i � , - � G ., � TL - y� `��orF' c 2: 4,s� 'rvt'sa �� � � CONVERSION -0 pEMOLISH OTHER': ���"���h� li _ t . , ; I ~ t � �- _ � � p ProjectAddrea p ���AM . - n � � .� . :� , ' 'p2VC,F �Wj �BJ�I�/�.r-./L Php�e 1�:��-J9-S3 ` ' DESCRIPTIONOFWORK ��y �'u%'$� Rac�h'I Owners�Name . .., .. . ,, , � . . _ . ,� , • • ,: , - � ..: � . IN RE UCATI N •� �. - i Address .. S � ' � ' ! C "' CeSi'b� MF�f A � ' � " . „ . .. _ ,. , � - - , r 2 t . � 7 i - " i � - - � P ��L'� . �,_ �/tS �/Q . � �TVPE OF PERMIT GRADINGr FOUNDATI N. STRUCTURAL A. P.#' ZJ •�ISD � ZONE ; ��� � ' I+^ .� Alch/En0 Lit2n52 No. - - ' ' • ❑ TENANT� �ELECTRICAL' PLVMBING ECHANICAL ' � . � ' '�BUILDING � t �'23.Y ,S tvCE» ' Ad� ' A,4SAJEwd^ GA ' �/UO4 r ' � � . .PLNc. REF.�w � �--' • . . . � Addless �O,�OTHER ' . . .. , � � . � ;-7 ` , TO BUILDING ' � � i . . . . . . . . � - �, � ' �REARVARD170P/LI'IZ.�O� � COntfeC[Of'SNert1P Q/� � � Phone ''PAaECTDESCRIPTION� SQiFT. + - oCCUVANCv � R PER V INE /- I ' I : � � � ' � I . ' ' ' � � ! t �� � LEFTSIDE VqRD Z�y Q � RIGHTSIDE VARD � � _ ' Address�meiling) ' � CONSTRUCTIONTYPE -VALUATION$� j -' ' > 1 �' 1 � • . 20N� ' f GRADINGCU.YDS. � �ACRE 1 PKG.SPACE�REQ. , PROVIDED . � "p f - , Cicenu No. - - � - � LICENSED CONTRACTOR DECCAHATION � , , ; � '" Ramarks: � "� �O . ' ' � , i i � � STflEET WIDTH : � . � PARK FEE $ � �� " �� � litiereby�afflrin that Pam II<ensetl untler provislons'of Charter.9 (commenUng , � . , � . � � i . . ,., � � wlth sectlon 7000) of Dlvlsion 3� of [ne Bu5lness antl Profasslons Cotle, antl , � ; � �- , ' J , ' � . � I SPECIAL CONDITIONS: ' � � ; : � � my Iicensa Is In full torte antl'effect. , � ; � � . ` � k . , � �, � � ; � . ,. G � License Clau • �' � � � License No. ` . . ' ! r ' i - ; PLUMBING � , � ' . � � i � � 1 . � � - � ' � Date � � 9gnature � � ' � � � � i � • � • � � ��. , -� BarSiak ' � SewerCap` � ' � � , • ' � ELECTRICAL � ' � � , • WORKERS' COMPENSATION DECLARATION � , � �, ' � � - � � ' -- � - , I hefeby aHirrtl.that I hdve a.certifiWte of ronsent.to.self-Insure Or a.<eftlfitate_ ; . ! gackflow Preventer --�--- � -�-- - � ' SewerConnection� �-.- ' .,.,' _ _....-'. -.•- � ,.- %�utometic Washer, � _ � , _,�.� , . �Meter ❑over 100 amps : I µ , of Workers' Compensatlon InsurSnca.�o�.a cerUfletl�coDY thareof (Settlon ' � � � � • � � � . 1 ; 3800, Lab. CJ 1 � � • • � ' ' Backflow Irrigation � Soler Collectars � • � • Construction Pole S I �Sub Panel! � I - � ^� ' . Policy No. ' � ' � Company � � ' ' � r � Cooking Unit ' ' I � ' Sub POIC : � i ; { : � � eCertHletl�copy li hereby furnishetl. � ( � ' � � Bathtubs • ; � Solar Piping , ' � , �, � � • � l � � � � ', I + Cer[IileG copy I5111e0 wit6'the tlty Builtling Dlvlsion. � '? + , t � � � � Dishwasher � � � �Motors �0-1 HP �01'h-8 � Date ' ' Applicant � � Clarifiers , SolarTenk � i i i ; I � EXEMPTION[FROM WORKERS' COMPENSATION DECLARATION j - , , 'M DryerS ❑Gas -OEleCtiiC�' '�' "�YnC.So13i�O9 15 HV 016-15+ ' "" �� � �(T�issection neetl not be complatetl if the permit I5 for.one huntlretl (5100) or ! Dishwashe� � • Swirtiming Pool w/Spe ' � � . i 1 less)' I � � . i / 1 . ' � ' , . � � Fan y ; ; � �Microwave - ' I certlfy �that In the periormance 01 the work for which [his perm�t is Issuetl I � � Drinking Fountains U�inal ; • � � � ' - � . � � � shalP�not amploy any person in any manner so as to become subject. to ti�e • ,. � -. � � , � � � ' I � • r i i ., F.A.U. i. � i 'Pole Light R [. Workers'�Compensatlon�Laws of Calliornia.j ' i � y � Floor Drains. } � Water Closet; I, � I r • ' ' � � ' � � � � , Date ' : : 519nature �� " . ` ' . ' ' i . � , , . . NOTICE: If,�atter�making-thi5 tleUafation,-you�SM1OUItl'�betome Subjett to�the-�� ^^•Y FIOOf-Sinks-j�- =-- -{._ _�. -.� . _ �_Watef Heatef, � • p-.-t ...._ . :.Z,O. ' _ _ _ _ __ _ _ 'Range _ _ � Fixtures • � � __ ' Z � . ' WofkGr54 COTD¢nSdtlOn provlsions Of th¢ LdbOf COtle„yOU.mUst.folthWltF1 - ' � � � , � ' comply �wlth�such .provlsions'.or'thislpermit;shall be`Ceemetl revoketl:� : � j GasService, � 'OuNetsj . . � � �WaterSerOice �� � i ' DeviceBoxes d � . � gy�� .^^� V ` �4 �_CONSTRUCT�ION�LENDING��ACaENCV' ; � � � ' � � t ' -' � ' !� ' '' � ' ' � ` � i ' ; I heretiy affirm that thare I5 a con5tructiondentlin9 agency for the!per}ormatce � ; i Intercept0�5 � �^ 1 �,.(�j „�; r� j �? ' 1 i� Outlets � F 'Standing SectionS ? � � � ; ot tha .work tor'. whith' [his; pBrmit i5 �ISM1uetl :(SeCUon -3097� Civ; C.Jy { ' - - - ' ' � , ' � � ' i Leneer's Nameo' 1 ' ' �': '•' ' ^ r ^ � Kitchen�Smk� r �� ! 1: •i , :: j • �i " � ���\O , ( Switches � � , �Trasli Compactor j f � �� � ��Lenaer's��AEGresz} � ��Z ' � ' - � - . � . i � i � � � � L u� o d � p - I GartiageDisposal � ': ` , � ( ' � �OWNER�BUILOER DECL`ARATION� � ,� . . } _„ . •- ' C • ;. � i �'atolies' � , � - �I , „ i ' `Q � � • . . � - � , I hereby,afTirm that I am exempq frorti She;Contractor's,Llcanse Law for the � - - i �` \ Generator, �0-5 KW 0545 KW ' i ' � . ' , i. i Tollowin9 reason'(Sactlon'7031:5 Buslness antl Professlonal CotlerAny clty or 2 P Trapj � �' i � ��� i �� ,,(�Go. :�'i �� ��Q�' � � � � � Icounty which requires a permitto construct, alter improve; tlemolish or,repan � . ,� _ i : i _ ,� 7ransformer � �5-50 KW � j �� I P j, i i any struc[uro� p�ior to Iti:issuance,�also requlres tl�e�applican[ for sucn permib RoOf Dreins r � to tile a signetl statement that he/she is Ilcen5e0 pursuant to thelprovisions of� �' � ' ' ' - � ' ' � ' ❑5U+ KW . � � ' ' ' { ' � �tha ContractoPs License Law�(Chapter 9 (commencing with Sectiom7000) of � � ' t. - _, � " � � , � „ � � Reinspaction Fee � $7$� ,Division�3bf'Ihe.Buslnessantl�Professions.Catlej;or�tha£.he/she�.,is;exempt =� Show2�5 ,„� ` t0 a�� �Q�' $15 ' therefrom'anG the ba5i5 fo� the alle9etl exemptlon:-Any_violation'of.Sactlon ' -' ' ' ' MCtef ❑Up to 100ampi ! � ' 'laUe� Feel � 1$ 3 ;'7031:5 Ey.Jany applicant for�a'permib.subject5sthe�applicant.to�a.�civil � �! - ` ' ' � G, � ..__, -- ._ . nalty oi not mora than five huntlretl tlollars ($500):' '� � �j- � �� r� , i Servite Sink � � � � :� '� ��ue Fe , $ 3 Zoning Approved By � Date I°'aS.oWner oflthe propert'y � � �� � �as thal'r sole � ' ' � 1 � � ���Densation wiu�ao tne work anE,tne-structura,is not Intenaetl or oiferetl � . i n �.'� '� - MECHANICAL � : qpp��mtion Approved By , , � � ate � 3 � � , for sale�(Sec�lon 7044, Business•antl.7rofessional.Cotle:�The�Contractor's � � � � Litense Law Ooes not apply to'an uWner of a property:wl�o builtl5 or Improve5 'Reffi efetlon 5 5t2in � a �'thereon,'antl ,who �tloes�such•work �.hlmself/�erself or through his or har own � � Boiler , � � 9 ' �Y � I: qpp���gtion laued By � 'Data � ' � employees, providetl that such•improvements are!not intentletl or oHeretl for i -� ` � ❑0-100,DOOBTU ❑100,OOOBTU�� � . '- ' '; SUMMARV.OF FEES ' , �'sale. It, howeveq the builtlin or im rovement Is soltl within one' ear'of tom- ' Dutt - Under GiUund' � � � " � i � 9 P Y . i �. i i � � k . �, pletlon, the owner�will have the burtlen of proving he/she tlIC not builtl or Im- { Duct - Structural S' � � �� � � � � �� �rovetonthepuroosaofsaie): � '� � .�.d` � . .. t � { , ,- ystemRepair]Alteration ' ,BUILDINGPERMIT $' '7��SG ; SMIP ' � $ � /.7S I, as owner of the property, am exUusively contracting�wlth•licanietl con- � -- � . i � �, � ' i ,tractorsto.construct the project.(SectlonJ044,.Buslnessantl Professions Cotle:_. �' Duct,- VentJating„�,.__-_ ,_�._', � _ _ I , �! � Z (� ' ,pLAN CHECK' . $ � ' ' ' PERMIT . { ' ' �'�The Contrattor'S License Law dOOs nOf apply t0 an ownBr ot p�ope�ty who� � . . . , , . ; ' � 9 � . ISSUANCE ,. • $ � � ' � ' ''builtls or.improves.thereon, antl who con[racts for su<h projacts wkh a con- . �� Exhaust S St2m ❑ Multi I¢ �' , J PLUMBING $� i' . � - tractor(s),Iicense pursuant to tne Contractor's License Law): L �' : � � Y P � � � '� � �� � � � �� � a GRADING �� $ ' � ' ; � �'am exempt un0er Section - B, & P. C. Tor this reason � � Fiiepl/FaCt. Blt. ICBO # : j E` � j �. � � � �PLAN CHECK- $ 1 ! a ! � � ' � �_ . i. . �� a 1 � 1 ! � :. : } 1. . i. � - $ ' ; { � s ' $ I I' � � ; � ELECTRICAL � Date ' • � Owner '- ' �' � � � � �� Heating�System & Ducting � � � , I � � '�� � [ (�� �� �� � � j ' I , . I . � , -�� '_ MICROFILM- � $ �I•h¢roby -ce�tH - dt I�•have.reatl� O�icatlOmaOtl-StatB thdt the above—• y OPIOO,OOO��BTU��900;000BT' — Y r--..y-.- PLAN CHECK, � $ �- ' � �InformatloWl corr t. I'agree mply wlth all city,antl county ortlinances ., _I. . � .. � � ! � �,.1� � � � 1 � �T-� � � I � ' � T�- i TOTAL'FEE� � $ � antl`state'1aws rel ing to b Ing con ructlo �antl hereby authorize re0re- �� ' Hdod or T e I ❑� I F � � > > �MECHANICAL � � $ �7 • K � , 1� � � sentaSlv6s ot;t � Ity'to nteriu the ovementio�natl vr perty Aor .. i YP � � � . ReinspectionFee� $75� IpLANCHECK;� $. � ! LESS (� i !� InsPecHan P i. � � � � ' C2n0 �� T e I I ❑ � i � � � �, � � . �' :.Sl9natura ' � � Date E � , , �� � e ADVANCEDPC�_$�aB�,� � , f' !-. I ! ; � ' 1 � i . �' . � �• i � . i f . � Driv'erY cense or�55 � > > � � Reguters , � '� ' � Issua Fee � i � $ 3 � s' � t � �' � FINAL FEE j ' $ '�� - _ . . ___ __.. _. __ .,..___ ^ _ _' __ _ `_ . _.r. _. __ .. _'_.�. . _ _._ -. . _-..' __ _ .. ... . _ �. __' _ _ _ _ ..-. - _. . _ _ . '_.. _ ..' ._'__' � � � . CMF OB6546 rev. 12/82 White - Builtlin9; Canary - Appliwnt Pink - AEcounting; Goltlenrotl - Assessor � . � �.. .. " . - ' . ' - . t? C) �.__'-_ _ __`___- .'- -: ow `._�- ei^+--' ..0 '>'c� _�_�- "� :oPOOL'&SPAI.��-:ar' _: t:.�'�'_ �. � '�t ::a c � CONSTRUCTION�AND;PLANNING ., '� - z; - a r �,,' ; .�>� , _ � „ � -' r -�;�d , � �- � ' - � -' � � ° • : -Date -I nspector i " s = � '' s ; ` " , Date � r 1 nspector > � APPROVALS ;`„ Permit�#v - � g_= , r � �„ �� ` ,�yAPP,ROVALS Per'mit�if`- • " � ,` ;, ;, �.� i Y u p r.: �u. .c, � � 'c-` '� . . N �'� �iy Temporary+Electncal Service or,Pole � M1•' _ `� en' ' �� ="C � ;�52.��', Pool &�Eguipment' Lowtion 1`.�; - -= � � o !. � � A ;� 2? 'Soil Pipe-Undrgmd�� �� I J�� .? t�,`� � y� T .` � 53�� Steel Reinfo[cement � n � i� y' �� � - �t- i i n ' F' '. c. i._ ��, I , a d r . I.. s 31 �Electrical Conduit Utilitv-Undrgrnd. � , - ��� `^ 3�0 � ��54:'�Forms? z e`- `D, � . ��< - � .- ' � � i "� � �_ , ..3n _c 'c o ,, . �•> � 4. Electrical Conduit-`Undrgrnd� - I" - I'' �� -� ��55� Elec[rical Bonding -' - '`3`'=� �� ' -" ' "',^ ' m� � -,.i o' c�� �z _ix �'�- 3 . � ^ � ._. a ' y � . _ c c._; < -. .. .. t y . . . . . . C r. ' . � I = 5: "$teel'ReinforcemenD � � m � �, � '= � ; � v � ° �0 '�56., Rou`gh Plumbing $ Pressure;Test . � ' �,° � � { 6: ��lectiical UFER�Grnd � , c ''� � : � � „ J °% �'", � ''�57� APPROVALnTO�COVER-GUNITE ' a- � ; ^ ' �c '•'' ��' �_ ! � � 1 1 1 ' / '� � 1 ,i . 7. Footings .� .: I � � ' i � � �,� ' r a � �;. o� � -�58'� �Electrical ConduifUndrdr�d �= - ' d ��-^. � � �i � � 8. Foundation •' �;� � � •j � � � , ? " ' _ , � ,59. GasjPipe; �.,U�drgrnd Tesf-'`.= � '_ ; �' � ^� +�' j' '- �. _I i c �. � ,� _ �� 9. Water Pi�pe-Uridrgrnd. ' � o � - ! ; - v� � ` .60. Backwasli'Cines,�P-Tra'p,�O�Undrgrnd � � - � , I �.i� .I i i ; � 10. St�uctural:FloocSystem , �' � � Q { '('n �± �61. APP.ROVAL'TODECK�=`�`1,;� Qi'� � _:= � ,�.0 ,.. 11 . Property Sewer Line; & House Connection' : ' � Q -' °` ! 62. Backwash & �Receptor Final-" � a, , � ? _ , i 'i � � � �t t. :o� �i� 12. �Sewe�}CaPi 1 � . � : ' . r �� 'u ' "- ' . �. ..', ',_ , �^: c -; ;' _ � '� j� � j � �� �63. Heater;&Vent-F�nal ., : j ',� �� , ' . ... ' ' i. 13. Roof�Drains ��. , � r� � 64. Blumbing System =y Final � - U '14. Rough,Plumbing� � �, � - t - - ?� �'65. Electrical`-Fi"naf� -�::�:• �[ _ � , _ 4 i . -__ . � . ,i r, " = i."15.'1Rougli Elect�icel-Conduit f-"� w'"""�` �T"t ��" "'�" �-"�"�68TSola'r�System-Final"`,-"T""�---i.� �`:-'� i--�" --i"" . �� c " �^-1.6, Rough:Electric Wiring. � ' �' � �� : � o ` ,� � .� ''="�!7 {67tF.en`cing &�Access-APP,�oval:•-� �.'c-ic � c i ;•'�� -�`_' '_-( "'-' ��i i ul ;;n �v .i � C i i e o- - 1 - I' 1' 1< i - � 17. �Rough�Wii iog Sign� �, M i �' i '! � v ! � � ; - - `; � � c: 1 �gg.� APF.ROVED FOR�PLASTERING' 4' i « {' : � ,;' < � o " - 2 � -i `-�iBr�RouhElectrical;T:BaiCeilin :i t � �`,�^ .=;^'.: �'• .'. „., . .. '��^,.- .'�'''• I„� �., 9 ry_ 9, !. i''�i�r i ��„j°j69:P,00USPASY$TEMS�FINAL� :J�_ :i.;�� ;y a' ., -. �. , - , :. , . . , , . : , 19. Rough'Heating & Air�Conditioning ' ' - ' ' ; 7 � j �FIRE DEPT.�REQUIREMENT � ' � � ' " f' n.� y � i �,_. ii �t _ i_lef�� ' � � i I '- , . I . � t: '��f�� '�r-� If � 20.�Rough�Factory Fireplace � '� ; „ J � � � � APPROVALS� j Permit# ', ' � ' � ; �„! ; ' . , _r .. .. . � � � j - r , - : 1 � r . _ � :� - � : 1. �Ducts; in Structure� ' � �� � � � i ;70.� Underground Hydro � � �' • ! �' �� , , �� i. �'. � .� � .� � i . ; r � � • . _ . : i � ' � 'Ducts,�;VentilaUng�. • + �� �� ! i ' ! ;71.� Produc£Piping OGas OOiI :' ' ;L. � i i I � , , , . - � � -� � � - ---�--r � -- - - � --- --. i _- --� -r----- as�Pipe-Rough & Test _ � � '� �� � ��� � r 1 72. Undeiground Flushj �� � � � 4 , �.. i�- , � r'i I 4C�Roof.Framing � . � '�' ' �t > ` � I , � I .� � � ; �y � � � : �, �73 � Undeigrtid. Stoiage Tank � Gas ❑ Oil � � � � � ' 7--,�- � � �. i^•i.,� � t- � 1 � 28.y,r � _ � , . .- �> � - .. � � f., -- - i . . .� Roon Sheathing i � � � � � � -_ � j , ' = i . ; � ,74.� OverF'iead Hydro ' � �' - � ' ; i � ! � -26.,�TyBar Ceiling'1Structural)�& Monocoat� s � t� ti� ° "� I �' j7,5� Dry Chemical` �� � _ � j� � ;. � i : i � ��2�7:�Frameantl�Fla'shing; F, � �� t �"? j ! �i � �76�DryStaridpi�pe" >; �� - -� I� . I " : j ' i i j ' � i. i �77: �IXED SYSTEM`.FINAL. � ; �'; � , �. � ' � .' � 28. ��-L.atFiing &"�Siding� �? - , . 3 . - ' � c � .. . ' . � : _ r '' ' ; . I' , , _ .� . . . .. .. ' . � i I , n � 29.��,Insulation`, � '' '� � � � � +� I � � �78: FIRE PREV.�FINAL �� � S I � ' � � ' `�- � f n � r_ -� f� � { i � '�' .�. a � " I � �' I I � � ' > ' � I I � I' i „^. ' � � ' �. ' ' ' ' � ' � �•'30.�Drywall Nalling � i� � �� . ! ; 'Notes•=+ : �r'-� i o � 1 ' i _' ' � � � � ; �n �'� � ' c � f ' � I , � � . . � ��. i , -I - ' cr.J:� 'i T ' _ '_ }_" _ ! _".' _ _' '�._' `_ " ��31.;yPlasteriBr'own Coat . � 1 'i � � � f � I � I � �`%� �ti . i � I 1 ' l � . . . � . � - � ' t �. ' i. . � � �r � - t . � . ' ' ' , ; - { � .. t:J 1 1. A i � � t � i.e � 32.�Electrical�Power Meter,-Final � '� i S � . 1 , � - � 33.FFinal Electric ' ' ;�' � .�. � i � � ! � �.,� ' � . . , � ' � � ,"��. 34. Final Heating�&��Ai� ConditioniRg `,• I ' � i i .�S.' �y:' ,'��c�` '~ f r _ r�! � v' .� � �7i..,_�. �. � � '� � - . : . r � � -� I . ' i _ � p ' . � ' . ' n _ �r Y c � . 35. Final Gas Pipe=Test '- � � � ;' 1 � ' � - - - � � -� � -+ c i. v,.� a a. ,ja _ a r��;',�- �Sr� I` ::� - .i � � �' � '_ 36. Hoodor�CerioPY:`�� %� ^ • ' � ' �' {• � ' � ' � -. �> � " � � ` i �I { .� o t ° I I � � " + I � f .f � � c � - .� - r -� �F 'r th i �e' '� , . • y� � • _ d • ' - f 37. Final Factoiy Fireplace� � � ��: �' - � -. � � { I � ! � ; ;, . ' - = �I ' - � a n - i n - 38. Final Pluiiibing}w � � ,-,' ;� � �- . , i � � ; 1 � 1 � j ' �'r � ` .. !'_ } ; I = � -- � 39. Water Seivice-Final' _' � ' ' " ' � I i !, � i � j i � �. � ' • , � �, „:i. �i i• r r I i � 1 � � ,.; � '�" 40. Gas Servic,e-Final;; �� : � ' . � ' � � • � , ' � i . ' ' • , . . If i ' t i i i � � i � V 1 iT ,a�1, t . 41. Solar pomestic;Final � I � j ;� ' � I � � _ a ' j � �'� � - - -r •� ! � (� . ; �� V . - t- - � ^-i-�i- -5- � i- � , a � � , I , � � i � • � 1 - ' � [ � r I �i , I IA' � ' ' S . . � , . 42. Backflow Preventer . f � � ; _j_._ � i � , ' � ' � � �� � � - ' - - - -�-----t-'-- � � � . . ,':.. .'. . i . � � �- �iy�s� =i..: - e:��,:i-� _� � � � � wi: 43. Backflow Irri ation ' i � �� ' c i ; , ° < < I �w f ' � � ' ' ! � .�.�i i9n �� �� 1 • i=i'_ ��o „ �I, .�:i �'y , . � . - 44. Landsca� e°Irri ation�S stem' �� � - � � ? � " � ` � �' � � ' y i i : + n � , : � . ' 'T , , ,,. _ „ . a a v i �� =i=i a� I� i�', �; �-.a m: ,.. � �-�� � i sl � R,, - ; - : '- -; ,� i i e. t �� t ' ; � s �t > - 45. Sound'rAttenuation' , _ i. . �' �1''' ( 'c "i i � � i '� �! ! � � - � '�� t, '' � � c�" - 46" Handicap Regulations' , R. i � �, ;'= I I I-_ 1 � � ' i I 1 �' ' � i . i � ,>' r� �i � � '9 � r `-; `"' 47. FINALSTRUCTU�RE:& BUILDING# 1. i t-' ; I � I f � � j `' � i• '�N � E P I' rli' t i'' i-�' � 48. Special Requirements Completed ° � � I � � �� � ' � l ' � i � ^ , y �� , , . ,. .. ;.; )• J i: �. � 1 1' a 1 1 � i i � � � '� �., �� 49. Electric Release to EEdison ' � N � � � � .i. � � � � 4.- � -�.-�. � ' �� � � � � � �" � r� ' r, i� 1 t � , i"i _"��. "r i" '_'!'__�.._..�"Y--'; ; �j i t � ; .. !, , � '.i. 50. Gas Release �to Southe�n California Ges Co � 1 { � 1 � j � � . � '`+ , �� �` u � i i � 1 � I. a 1 4 1 �� � �^'�t" e�[ 1 51.;CERTIFICATEOF OCCUPANCY � ' � 11 � � ; ' : ' `•�� ' � � � , } ' I t "�'- -'�-�' - --�--.`- . -1"1,_,r.r_ 't ?._' I � � i i . , i No k� i 1 i Date � I j ; j I , �� � , , � ., ' . ' 6�rQ2 COSTA MESA BUILDING DEPARTMENT P.O. BOX 31� COSTA MESA. CALIFORNIA ��..,�....,�1, ,, � �: � I\Cl,�l �i !�t� �/i��.s'4 vcr Fli�",i'ECE DEPT. rrrv r� C0;'^, ".�1�SA FOR APPLICANT.TO FILL IN APPLICATION FOR PERMIT BUILDING y, 9 Cambrid St. � BUILDING �� ADDRE55 COSTA MESA. CALIFORNIA FOR.OFFICE USE ONLY ' RECEIPT NO. PERMIT NO. OWNER Crovn H�s, Inc. � RECENED BY DATE RECEIVED pnTE ISSIIEO ADDRE55 2826 Ne ort Blvd. �-i -� 1 0 1958 cirvNe o t BBgCh Celi£, rNo`:OR 6600 nooRess ARCHITECT ' aLs F�S C�0 & T� LIc� ��� /� COSTA MESA. CALIFORNIA OR ENGINEER NO nooRess 2035 Ne Ort Blvd.� COst,a MesB ZONE '' � �y- �CITY LIC/x �p� �ONE p�qNS TVPE GROl1P CONTRACTOR r(11.Fi�.(:,0. NO."�`���:G1V � d TEL APPROVE ADDRE55 S$III� NO. BV DATE �E�a� �or /J r�(� CORRECTIONS oESCRIPTIOu NO. 1( 6LOCK TRACT [.] A.P. NO. � SIZE /�11 No.or e�ocs. OF LOT ���� i� (Y ��ow Orv LOT None � USE OF / EXISTING BLDG. SETB>CK LINE FROM ��n cErvrEa oF 5*r+eer yv� On k AR YARD �LZ� Op ' SIDE VARD RIGHT (, O� LEFT (` Vn � DESCRIPTION OF WORK . NEW X ALTERATION ADDITION REPAIR MOVING DEMOLISH BUIL G NO.OF . SIZE � X O ROOMS STORIES 1 EXTERIORyy ALL a� ROOF " COVERING2'Y' RC Syl1(,` AOVERING S' �[ BUELOFNGEW Sin le Fetrti Dwellin f�2 � � /(o / d2 � '- 1 HEIiEBY RCKNOWLEOGE TMAT I MRVE REAO THIS APPLICATION wNO ,"'j $TFTE THAT TXE ABOVE IS COFRECT FNO PGREE TO COMPLY WITH ALL � D/ fJ � CiTY ORDINANGES TrvO STFTE Ln�rvS PEGUL/�TING BUILOING CONSTRUG O V norv. (lnn ' yq�UATION-'� �J SIGNATURE OF � A �� PERMiT FEE $ O� � PERMITTEE �� �^� / $ i, � � /y PLAN CHECK $ � b � �f U D � � � TOTAL FEE $ ��O '— AUTHORIZED AGENT 9M5