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Home My WebLink About1801 CAPETOWN CIR - Building Permits • 'Ty; CITY OF COSTA MESA •BUILDING DIVISION r- °flairms • DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER PERMIT PO5-00338 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1801 CAPETOWN CIR Status: ISSUED Suite No Applied: 05/05/2005 Issued: 05/05/2005 Vicinity: (� Parcel Nunmber: 42452137 ISSUED BY: (1 AA-)13 Applicant: NOCK, CANDY Address: 11612 KNOTT ST SUITE 217 Phone: (714)895-1246 GARDEN GROVE,CA Zip: 92841 Owner: HOVA, BRADLEY Address H COSTA MESA,CA Phone: 949-722-0401 1801 CAPETOWN CIR Zip: 92627 • Contractor: NOCK PLUMBING Address: 11612 KNOTT ST SUITE 217 Phone: (714)895-1246 GARDEN GROVE,CA Zip: 92841 License: 707775 SCOPE OF PERMIT WATER HEATER CHANGE OUT. FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkllow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0. Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0' ,.•-r Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 ' Wash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect $0.00 0 - Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 - -. Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower $0.00 _ 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 •0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 ,. PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $35.80 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void If work Is not commenced within 180 days,or If work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 244646(WOO) DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby ant" under penalty of perjury one of the fallowing declarations:' ❑ 1 have and will maintain a certificate of consent to self-insure for workers' compensation, as provided for by section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. - I Neve and will maintain workers' compe tin insuran , as required by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My wor/Xp �jaq� nsur n r ryd�/pk( number are: 19602 Carrier: / 1 N,,�Y I�I ��I '✓' Policy Number: '1�(J.�/ (This section nobd notte completed If the permit is valued at we hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit Is issued. I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provislons oj,Section�0 of the Labor Code, I shall forthwith comply with these=.''//N// /) //ql Applicant Slgnatur�%�//l� i Date:1 1 WARNING: FAILU TO SECURE WORKER-S' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBUECT AN EMPLOYER TO CRIMMAL PENALTIES AND CML FINES UP TOONE HUNDRED THOUSAND DOUARE (SIOD.000), IN ADDITION TO THE ODST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3710 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed u Chapter 9 (commencing with Section 7000) of Division 3 of the Business $y¢ijro ssi ns Code, and my license is In full force and effect. Lic. s Class p ll S ContractoYs Signature: 4�' Dale: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Profession Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure Is not intended or offered for sale (Sec. 7044, Business and Profession Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet In depth Into which a person Is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-slx (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 6, California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety. as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standar temperature and pressure). ..............................................................................._....._..... _......._.__..............................__.................__.........................._._.................................. ........................................................... _......... ..... __............ __....... _.___. 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptlons, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Dns or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. .........................................................................._._........... ......... ................_................._..._......................_..__......................................................................... ........._.... .___._.._._ 4 II an RMPP Is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No ........................................................................_._..............................................._._...__.........._.........__..........................._............................................................................................_.....................___..........__............_.__ 5 Does or wlll the applicant or present or future building occupant require for the work which is the subject of this ,application eggermit for such construction or modification from the South Coast Air Quality Management District or from any other air Pollution control district or agency? J Yes U No (Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits). .................................... .._.................................... ............................ __............._......_....._—_....................._............................_...................................... ................ ..................................._......................... ._................ _._.._............. _. 6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (if 'yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ...............................__..._.............................._..—__.._...__—_.__...__—__.._.___._...........__..........................._.....................................................__.__.........._...___.........................__._............._......_......._..._. 7 If a permit from the South Coast Air Quality Management District er other air pollution control district or agency is required for the work which Is the subject of this application, have all of the disclosures prescribed by California Health and Safety Cade Section 42303 been made? ❑ Yes ❑ No ............. .................._... _.__..........................___.........._..._.._....................................._...................—............................ _........................................................................................ ...... ............. _...........................__................... _.. 6 (II yes", attach cortifcate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the Information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. 11A_tlure Of Legal Owners)ate 1CPo-e S T And/Or Authorized Applicant Date CODE l INSPECTION TYPE ' "' I%eIE UAL$' 'CODE d INSPECTIONTYPE RAM INTmAL6 1616 Fixed System Final Fire Prevention 206 Final Mechanical - 1266 Pool Spa Final 206 Final Plumbing JIJ v 200 Final Re-Root 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy PROJECT :DDRESS: KAUFMANN 6 BROAD UNIT: OWNER'SNC4ME: 180 N. RIVERVIEW DR ADDRESS: SUITE 300 ANAHEIM,' CA 92808 MIKE WOODLEY C15730 ARCHIENGINEER: 180 N. RIVERVIEW DR REG.NO.: 300 ADDRESS: ANAHEIM CA 92808 UNIT: KAUFMANN 6 BROAD (714)921-0500 PERMITTEE. 180 N. RIVERVIEW DRCA• 92808 300 ADDRESS. ANAHEIM LICENSED fpI♦1MGTW1 OECIARATION: I hercW� y under,proysions of Chapter 9 (commencing with Section 7000) of Oi t uslness and Prol tl m license n IW tOr and affect. CITY LICA- STATE LIC.: CLA Date: 9.- L Lim Signature: WORSERS' COMPENSATION DECLARATION: I hereby affirm that I cove cervi/irate of consent to selhnsum or a cenifirate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, La . Q. lituo., cEAP.DATE: 03/07/91 Certified w b filed h the dry Building Orvision. : - / I7 - / y Applitanc � 67LJ�/" EI(EMPrnON FROM WORKERS' COMPENSATION DEMARATNIN: (tub deed not be completed if the Demur slur one hundred ($100) W less). I certify that In the performance of the work for which this pemdt is issued. I shall not employ any person in any manner so az to subject to the Workers' Compensation Laws of California. Date: Signature: NOTICE: If, after making this declaration, YOU should become subject to the Workers' Gompensabon provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. Q. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby atfum that I am exempt from the Clintactors' Sure License Law for the fallowing reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, atter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contactors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the oasis for the allegO exemption. Any violation of Section 7031,5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). I, as owner of the property or my employees wim wages az their sole compensation, will do the work, and the ❑ structure b out Intended or offered Ica sale (Section 7061, Business and Professional Code: The Contactors' State License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himsell/hersell or through his or her own employees. provided that such Improvements are not Intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusive l•/ wntracting with licensed contractors to construct the project (Section 70", Business ❑ and Professions Code: The Contactors' Slate License Law does nal apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date: Purer: I do hereby ceniry that I am aware of and understand the requirements of California Health and Safety Code Sections 25505. 25533, and 25534 and that I or any future building =1113am wiNwill not (circle one) need to comply with said state codes and the requirementfor a permit for construction or modification from the AUTUa Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby ceniry that I have mad this application and sot information b correct. 1 agree to comply with all city and county ordinancesandstateawereaungtobulldingc mictio andherebyam simulation es of the dry to en Pon the above�men0oned property for inspection purposes, Date: zir_ / _ / v Signature: Driver's License or Social Securityx: IM146 While-Buildim: Green -Code Enf.emmonL Cenarv-AppllWnh Pink -Revenue: Goldenrod-Assesaor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 046968 PERMIT NO: G 046968 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: ELE MEC PLU STR PURPOSE: NEW JOB DESCRIPTION : NEW SFD SQ FT: 2,910 CLAIM VALUE: 169,417.00 CALL -VALUE: 172,657.70 GROUP OCC: R-3 /M-1 COMMENTS: PC*234-89A PD Z O N I N GS E R T E B Q A U C I K R S E M E N T S ------------ MAIN BUILDING---------- FRNT: 18 FT IN REAR: 11 FT 6 IN LEFT: 5 FT IN RGHT: 10 FT IN --------- ACCESSORY BUILDING --= ----- FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• 2 PROV: 2 PARCEL: 42433101 ZNE: PDRM REF NO: PA8840 PLANNING N TES> SINGLE FAMILY RESIDENCE WITH ATTACHED TWO CAR GARAGE AND >•HALF OPEN PARKING SPACE ON STREET FOR GUEST�Q® 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 ZONING APPROVED'BY DATE: 171 `I a BUILDING APPROVED BY ; ( 1,-Cp DATE: DATE: L/U-` MMMMMM***ik ik it***fE** M#if lfit M****** ik* if if**lklf MM**** ******iE******** k******** Mie ik LEGALIZATION:N F E E S U M A R Y STRUCTURAL SEGMENT:Y BLDG PMT .PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING PERMIT 895.00 41.50 82•.99 32.75 12.09 25Y '50t 25% SMIP/NON-RES PLAN ISSUE FEE 3.00 15:;00 15.00 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 1064.33 33.00 0.00 1097.33 1097.33 .00 REVENUE DIVISION TOTALS--> COLLE'C-.TED: 1097.33 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 895.00 44.50 97.99 9;7.75 12.09 MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM'Md..•ltMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM I N D I V I D U A L �'F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N': UNIT COST TOTAL COST SFA 2371 DWE-TYPE V -WOOD FRAME -GOOD 69.00 163,599.00 SFR 76 RES -BALCONY, EXTERIOR STAIRWAY 13.80 1,048.80 SFR' 463 RES -GARAGES TYPE V 17.30 8,009.90 ELE 2371 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT .03 82.99 MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9.00 9.00 MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9.00 9.00 MEC 5 GAS PIPING SYS 5+ OUTLETS PER OUTLET75 3.75 MEC 1 FACTORY FIREPLACE 6.50 6.50 MEC 1 VENTILATION FAN CONN TO SINGLE DUCT 4.50 4.50 PLU 2 BATHTUB 2.00 4.00 PLU 1 DISHWASHER 01 06u2.008 2.00 ._ 8-0 0058 8 02 TOY J DATE: 04/17/90 TIME: 11:43 . • CONSTRUCTION AND PLANNING PO PA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector • �,. Temporary Electrical Service or Pole. r. 52. Pool & Equipment Location IlE,pe-Ugdr d. cc< 53. Steel Reinforcement Blectrlcvl�ZduR Utility-Undrgrncl +. • 54. Forms t Sd`.tMectical�CFd1Tt-undrgrnd. os 55. Electrical Bonding tzf�� 9*ieelje ntoccement \vx 56. Rough Plumbing & Pressure Test °IV, elect C,al UpQi Grnd _ 57. APPROVAL TO COVER-GUNITE im . Epoting; ozM y 58. Electrical Conduit-Undrgrnd. ca 038. o and Ftiong> (� 59. Gas Pipe, ❑ Undrgrnd., Test m CO. Water P"pe-Urgrgrod. 5"( q6 60. Backwash Lines, P -Trap, O Undrgrnd. " 10. Structuj�l Floor System '-' 61. APPROVAL TO DECK 11. Property §$,ewer �b ne &`i -louse Conne tion 62. Backwash & Receptor -Final 12. Sewer Cay a - c� r 63. Heater & Vent -Final 13. Roof Dra6As, 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Elec"*ic Wiring 67. Fencing & Access Approval 17. Rough(Wirin'SSign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning R' ri rtx ''! FI{jE PT. Fi,EQUIREMENT .,UP EL x F laC * i+ Cr'Cr' �APPRj_V�rSJN�Pelmit # .�_ hmmTi 1m'7'7 20. f ouch Facto` fireplace J Mm Q^. 0 tT* r r�•* ISP" �¢ * S 'ti * :ge. mnnn Inn:D 3!I. DuctT inStructure ••' •• ^+H S O '+ X X70. Uhdergroun',H• ro ^t uctVa'�ntilar$*g22. II CJSCJ Q 71. 04, dOil x* b 0S x* ** piIng 13. Gas Rpe•$oughx& Test i .V V ns ?:m ^' Oy x X72. Underground Flp,sh"J� r-+ u 2 �f' i'r••F+ ••F 24. Roo�ramingt* *� O C *:k to tiC" � ❑Oi� ••••�. ru �. ca �i m * tr r * * ,•73.yUndergrnti.Stor�gzTank,tGas 25. Roof heathing* K V * * 74P9verhead HydroO r �r x �wI •I�Baf Ceiling JS ructural) & Mo`fi` oat N o7 O m* * Chemica ^] * ~ b Otr 75�, 11- 0 ,> mo ,%6. -.;+ .agc *O :• O* * y 'EDJ FO * 3m -Sn SmC .m<¢ . foams a4 Flhing byc az_ ..•O' n�tY'* 76. Dry Standipe Faa *� `•' t�! I E-F`tc•V; t� n r•• v 28.-¢atgngBCSic,�-n• N `��x '•'`3 'C� ''// ** 77'•FIXEDS $�'-EA�rtjFJ A41••I NOma •��N Otz;F O 1 V �!* * 7 n c^'�7 29. Insulation• * S K * 78XF4RE PREV. FINAL *> OZ O cn C1 rC S. r m ^"�" M 30. Drywall Nailing*.- \'' Flo •-1 I ' + H •N NH IT•S -r' P * F71=QOIREIYff IV * r. I a: Siv•v o\, „ALT \I HOOJm 31. Plaster Brown Coa'L I R•Cr _ 79. FINAL INSRECTIbN• U- ElectricapowerrMeter-Final' ca;*; % I •'` OtrFOOD CERTIFI'A�ItE IS `'" trt �<rj QED r -i t'r'm �N-C n - r . 'Final Electric * m i <O I I - * Nateso �17.10 S 34. Final HeNng &*Air Conditioni ** iopwsuxm t^ !RO F 5. Final Gas.Pipe--kr)i •" *-. I �' I # ` F+ v_ II H 36. Wood or Canopy I t^ -7 aty -xn I * * r --i S '-�^• :•� i n0 It 5 c * n Qta r Z-• * ^f x * m r oa s 37. Ftinal Factor Fe loge Y it%P t i -+F :.� ,u 4 I Gro[% * V +^.:v ••i * e.^ NO 0. ^7 V T 38. Final Plumbing{ i �/ '/ ( * oS b CJ -�N #2M!�I rsNi o 39. Water Secv�ice-FWa� i -ter /Q(I Lo # ` O '� a: ta�7_ n I _� " 40. Gas Service -Final I <Irr• Si� oim -I I * b% wo� ^OxF -.V 41. Solar Do`�estic- irtal n * I x I �" ' 3 m [ * * r �u c *x o 42. Backflow Preventer Cu 00 73* I x >=• * b �� nt r..�.. m MOO * F. ro"" G En 43. �ackflow•drrigatton * * * Y:'•L• * / WW VY.•r V•r �, � * * v * n _• •_•_• _ 44. Landscar%IrrigdtionSystemdm0 3Z 'ytm O O O*'DZ N N o =CJ a: 'J 000woon,0000 *. Q. F M Sound Attenuaj!on F ta: . F F 1..* * 1 . A5. y .... S n m m* * El 46. Handicap•Regulations OCJ * *3z 0', -S Ouu S * 47. zINAL STRUCTURE & BUfEDING �. a G' I j ' \ + 7 NdS tP W F d8t•'EIN'A'J'_EA7VfQiNGSQ 'J 1]''�� - m 'C * r u•.c� n� r'n. to S * 'Q ' 4J. 41ect�1C Release�to Edison 60 �, /'p. * i� N 50. Ms Release to Southern Californ a Gas Co a ( i ! * ^ �+ O. r z O • •' • • • • . . ' ' • o ,c * c oo n A .,J oCoo:a,0Z -r,uoo 51. CERTIFICATE'OF OCCUPANCY = ° " " ^'• No. Date PRWECT ADDRESS: UNIT: OWNER'S NAME: AODITISS: PERMIT NO: G 046968 PLAN CHECK NO: 03413-90 N PAGE: 2 k*Mifie9ele4Eie5E�xx4r�E9rif*k*iE*x��rirye*it*x�ritx�r�rx�Erit�Eiexx��+t�*�rx�ril•�*�E+r*�e*�r�*�it�*�rx**�*+r*�Exx�r ARCN/ENGINEER: REO.NO.: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ADDRESS: UNIT: PLU 1 LAUNDRY TUB OR WASHER 2.00 2.00 PERMITTEE: PLU 2 SHOWER 2.00 4.00 ADDRESS: PLU 1 SINK, KITCHEN 2.00 2.00 PLU 4 WASH BASIN 2.00 8.00 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions at Chapter 9 (commencing with Section PLU 3 WATER CLOSET (TOILET) 2 00 6 7000) of Division 3 of the Business and Professors Code, and my 0cense is in full force and effect. PLU 1 WATER HEATER AND/OR VENT . 2.00 .00 2.00 CITY LIC.: STATE sec.: CUSS: PLU 1 WATER SERVICE 2.00 2.00 Date: Signature: PLU 5 GAS PIPING SYS 5+ OUTL—PEA OUTLET .50 2..50 WORKERS' COMPENSATION DECLARATION: thereby affirm that l have a certificate mconsent to self-insum or a ceraffcate of Workers' PLU 1 GAS SERVICE 2.00 2.00 Compensation Insurance, or a certified copy thereof, Section 3800, Lab. C). PLU 1 SEWER, BUILDING / TRAILER 5.00 5.00 POLICY No.: EXP. DATE: END OF FEES - - �OMPANY: Candied copy is hereby furnished. ❑ Certified copy is Med with the city Building Division. Late: Applicant; EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (Alas section meo rot be competed if de permit's fa am hundred (51010 a less). I certify that in the performance of the work for which this permit is issued. I shall ml employ any person in any manner so az to become subject to the Workers' Compensation Laws of California. Date: Signature: NOTICE: II, atter making this declaration, you Should become subject to the Workers' Compensation provisions of the Labor Code, you must foMwith comply with such provisions or Aha permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a comtmctian lending agency for the performance of the work for which this permit is Issued (Section 3097, CN. Q. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions o1 the Contractors' State License Law (Chapter 9 (commencing with Sectlon 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($51)(3). I, az owner of the property or my employees with wages as their sale compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7004, Business and Professional Cade: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work lanself/herself or through his or her own employees, provided that such improvements are cot Intended or offered for sale. IL however the building or Improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the troperry. am exclusive contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' late License Law does not apply to an owner of troperty who builds or Improves thereon and who contracts for such projects with a corroactor(s) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. S P. C. for this mason: Date: Dwner: I do hereby candy that I am aware of and understand the requirements at California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any faum building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from theAirAlr Duality Management District. Residential construction applications are exempt from these provisions. Date: Applicant; I hereby certify that 1 have read this application and sate that the some infarmaton is correct. I agree to comply with all city and county ordinances and sate laws relating to building 003STI ton and hereby audonar representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: Signature: Driver's License or Social Security 0: 1641-a6 While—Building; Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenroo—Assassor Imo. ° CONSTRUCTION AND PLANNING ' APPROVALS Permit # a Date Inspector PO PA 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 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16, Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19.�Royin EeatiU &c irC ndita4cCnt9 FIRE DEPT. REQUIREMENT APPROVALS Permit# 20. o4gh ct ilae�j5ppj 21."DuAs,in Structure 70. Underground Hydro 22. ,Du,ts, Ventilating 71. Product Piping OGas 0Oil 23. 6asWipeRough & Test 72. Underground Flush 24.rFo4 Framin U..... N`•. g 73. Undergrnd. Storage Tank 0 Gas ❑Oil 25. Roobf Sheathing 74. Overhead Hydro 26.4 -BI, CegC'"Win�1C � N oat 75. Dry Chemical 27.nbrame aid FMSs'itt,=,rrl T M M 76. Dry Standpipe 28. LajingA SgAX0nxtu�Q 77. FIXED SYSTEM FINAL 29. InsolatiR F E-F�0<CZS"=) 78. FIRE PREV. FINAL 30. Drygyallnaili`r g M ,c�.mC1N�0 HEALTH DEPT. REQUIREMENT V .� •1 31. Plaster Browr 79. FINAL INSPECTION 32.cElerric�Po�r Mete alN _ 80. FOOD CERTIFICATE ISSUED 1V T 33.�Einaf EI€iitricz :h C, In Notes: 34.0 4 HeetinF& Air C61r, ogin4 r 35.,4, final Gas Pipe -Test F ^y tq T 36.%PioI or Canopy tm to o 37. .inal Factory Fireplace N 38.CF, in Plumbing 39.',VVater Service -Final Rt 40.'Gas'Service-Final 41.01(Do estic-Final 42. Backf IoMPreventer r •tct�a;n c�c•tu NL 43. Baclftlovv)Irrigation . . . . 44. Larildsca Irrlge tion Sysiem000 45. Sound Attenuation 46. Handicap Regulations i 473IWAL STRUCTURE & BUILDING 48.tF.IN14L P G( ANNING 49. Ele lric Release to Edison 50.cGas'Release to Southern lifornia'Gas Gooo 51. CERTIFYCATEOACUor No. Date ft June 6, 1991 IWA ENGINEERS 17390 Brookhurst Street, Suite 100 Fountain Valley, California 92708 (714) 968-1221 • FAX (714) 968-9286 City of Costa Mesa Building Department 77 Fair Drive Costa Mesa, CA 92628 Attention: Mr. Victor Clift Subject: Fine Grade Certificate Dear Mr. Clift: J.N. 207-03 I hereby certify that the fine grading for Lot 73 of Tract 13224 were graded as shown on the precise grading plans for said project. Ao%1/1ll�h/��7/- LlewellA D. Incledon, R.C.E. 17593 v No.17593 2 Exp. 6/10/93 IWA ENGINEERS 17390 &ookhurst Street, Suite 100 Fountain Valley, California 92708 (714)968-1221 • FAX (714)968-9286 March 13, 1991 City of Costa Mesa Building Department 77 Fair Drive Costa Mesa, Ca. 92628 Attn: Mr. Victor Clift Subject: Fine Grade Certificate J.N. 207-03 I hereby certify that the fine grading for lots 1, 11, 40, 41 and 45 of Tract 13224 were graded as shown on the approved precise grading plans for said project. ----------- Llewellyn D. Incledon R.C.E. 17593