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Home My WebLink About1813 CAPETOWN CIR - Building Permits ;m5011F CITY OF COSTA MESA t BUILDING DIVISION o F fer . DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER t 4 rgrr� • PERMIT 't-4*•Gams*<A P02-00207 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1813 CAPETOWN CIR Status: ISSUED Suite No Applied: 04/09/2002 Issued: 04/09/2002 Vicinity: c- Parcel Nunmber: 42452134 ISSUED BY: Applicant: SZABO, KEVIN . ' • Address: 2737 S CRODDY STE D Phone: (714)241-1414 SANTA ANA,CA Zip: 92704 Owner: SCHINDLER, JOHN P Y I6 10Address 1813 CAPETOWN CIR EXP ;1e, Phone: COSTA MESA,CA Zip: 92627-6303 DATE E4. Contractor: COAST ROOTER PLUMBING HEATING &AIR CONDITIONING Address: . 2737 S CRODDY STE D - Phone: (714)241-1414 • SANTA ANA,CA Zip: 92704 License: 529127 • Arch / Eng: - • Address: Phone: Zip: License: SCOPE OF PERMIT REPLACE WATER HEATER FEE SUMMARY ' AMT QTY ' ' AMT QTY AMT QTY ISSUE FEE $23.50 i . : 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 Bkflow(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 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 50:00 . 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 COMMENTS/SPECIAL CONDITIONS - 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(6/00) WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: / \� 4e a 57PET� VV a olicy Numtiec 6 Z•0 --2M17Z (This section need not be completed i/the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the ped•rmance of 1- ,r.for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation law of elifornl: that it I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these.r•visions�- at ` A( rsignaWurei- 0... 1 L Cr �{•---CA `� Z- WARNING:FAILURE TO SECURE•••: ERS'..,-ENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(SIOOCOO), ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby.affirm_thaLl.am licen ed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full ractpfs'Sighature:- r.> ate:— 44 _q_ 02 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.(Sec.3097,Civil Code). Lender's Name: Lender's 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 Professions 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 tile 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 toe civil penalty of not more than five hundred dollars($500).): ❑ 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 Professions 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.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's 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-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,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: I 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? 0 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 standard 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? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,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 Does 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 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this_application ap_ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes Ul 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 part of the facility to be constructed under this permit be within WOO feet from the outer boundaries of a school? 0 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 or 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 Code Section 42303 been made? ❑Yes 0 No 8 (If"yes",attach certificate 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 or inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Slgn..ure Of I:,al Owner(s) Date ., ..gAirthorizeCApplicant or.Date,—_. J CODE t INSPECTION TYPE Dan INTmALS CODE. INSPECTION TYPE DAIS INnML6 1616 Fixed System Final Fire Prevention 206 Final Mechanical @ 1266 Pool Spa Final 208 Final Plumbing "+•U'0 1o 200 Final Re-Roof 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, DRESS: 1813 CAPETOWN CIR UNIT: 76 CITY OF COSTA MESA - .BUILDING PERMIT PERM NO: G . 046964 OWN RAW; KAUFMANN & BROAD AUDRESs: 80 NN, RIVERVIEW DR PERMIT NO: G ' 046964 PLAN CHECK NO: N GOVT: N SUPP: N SUITE 300 • , ANAHEIM, CA 92808 CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE MEC PLU STR , PURPOSE: NEW • :4 ARCH/ENGINEER: MIKE WOODLEYREc.xo.: C15730 JOB DESCRIPTION : NEW SFD SQ FT: 2;.119 ADDRESS: 180 N. RIVEAVIEW DR UNIT: 300 ; • ANAHEIM CA 92808 CLAIM VALUE: 169, 417 . 00 CALL-VALUE: 119, 681 , 40 GROUP OCC: R-3 . /M-1 . PERMmEE: KAUFMANN & BROAD (714 ) 921-0500 • • ADDRESS: 80IN. RIVERVIEW DRCA92808 300 COMMENTS : PC#234-89A PD ANAHLICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code, ' nse is in full force and effect. SETBACKS , Cry IA.:[ I 046894 STATE sTATEuc.:33449 uss: B-1. p /�� Date: / 7-C}!1) Signature: ( aid4MAIN BUILDING ACCESSORY BUILDING FRNT; 18 FT IN REAR: 18 FT 6 IN FRNT: FT IN REAR: F . IN WORKERS'COMPENSATION DECLARATION: Iheleby affirmthat l a certificate of consent to self-insure o acertificateaf Waiters' LEFT; 6 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: •' FT' IN Compensation}fleecy or copy thereof(Section 3800, ab.$) . • POLICY NO.: kl�`9-14Y43'� V3IO7/91 oMPANY: TRANS, INS. PARKING REQ: 2 PROV: 2 PARCEL: 42433101 ZNE: PDRM REF NO: PA&840 Certified copy is hereby furnished. L1 Certified c,• 's filed with the ci Building Division. . PLANNING NOTES> SINGLE FAMILY RESIDENCE WITH ATTACHED TWO CAR GARAGE _ANDu. ` , > HALF. OPEN PARKING SPACE ON STREET . FOR GUESli FOR SP CIAL liEQU1�T` / / 7_9� ***ikikiklkiFiFiFikik,EdkikiliF*****9Fik****ikif�f»,E9F****if,E****itlFik♦Ei ****iFik,E,EVW#%fFiFI * i *********ik Date: Applicant: i 2, r/ ' ' 7 • e EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This sectio of be completed it the permit is for one hundred(.100)or less). D E V E L O P M E N T S E R V I. C E S R Q U I R E M E N T 'S:. • t certify that in the performance of the work for which this permit is iss , shall not employ any person in any manner sd as to become .,,ZONING APPROVED BY / /r` �-/v/ ' `'C/1 / -7 /' subject to the Workers'Compensation Laws of California. - DATE: �! I lig`� ' f w � Date: Signature: BUILDING APPROVED BY- : VA IL- (� c DATE. (7 ' • NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor , . ' �4 9r7 Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICATION ISSUED BY: __ _ �y(� Q O CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for theperformance of the work for _ --� "T DATE:[ `.IT) . **************it****** *. which this permit is issued(Section 3097,Civ.C). �t w2:Li:ir.4.. • • ' ' ' • - • **{p{E{p{!•*{p.)p *, *****.N.{F*.)ELENDER:ADDRESS: LEGALIZATION:N F E E S U M A R Y STRUCTURAL SEGMENT:Y ..........................********* BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason PERMIT BLDG9 PMT T PLUMMBINGG ELECTTR3' ..MECHANIC FIRE SMIP//RESS ,GRADING 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or ny structure.prior to its issuance,also requires the applicant for such permit to the a signed statement that heishe is licensed 25% 5 Q2 25% SMIP/NON-RES nt to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN ofessions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 3 . 00 15 ,OO 15 ,OOplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).I, as owner at the property or my employees with wages as their sole compensation, win .wtlp the ork, antl the BUILDING-DIV-> PERMIT ISSUE PLANWCHECK TOTAL PAID ' DUE structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 8 4 8 . 5 2 3 3. 00 0 ,00 $81 , 5 2 $81 , 52 , O0 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or throughhis or her own employees,provided that such improvements are not intended or offered for sale.If. however the building or REVENUE DIVISION TOTALS--> COLLECTED• 881 . 52 OVER/SHORT: - 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did stat build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC • FIRE SMIP/TOT GRADING PLAN-CHECK • for me purpose of Cath). 709 . 50 44 . 50 71 . 39 47. 75 • 8 . 38I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business .and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Slate License Law),1 am aware *********'******'****'****'**'*'****'*******,****************************************** that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A L i".F E E B R E A K D O W N I am exempt under Section: B.8 P.C.for this reason: TYPE QTY D E S CR I P T I O N UNIT COST TOTAL COST Owner: SFR 1611 DWETYPE V-WOOD FRAME -GOOD 69 .00 111, 159 .00 reby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533;and SFR 76 RES-BALCONY, EXTERIOR STAIRWAY 13 . 80 ' 1, 04 8 . 8 0 and that I or any future building occupant wilUwill not(circle one)need to comply with said state codes and the requirements for a SFR 432 • RES-GARAGES TYPE V 17 . 30 7, 473 . 60 permit for construction or modification from theAir 0 iva ty Management District.Residential construction applications are exempt from ELE 1611 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . .03 56 . 39 these provisions. MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9 .00 9 . 00 Date: Applicant: MEC • 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 00 9 .00 I hereby certify that I have read this application and st e that the above ,rmation is correct.I agree to comply with all city a •county MEC 5 GAS PIPING SYS 5+ OUTLETS PER OUTLET 75 3 .75 ordinances and state laws relating to building constructio and hereby authoriz.representatives of this city to enter upon the abo -•entioned MEC 1 • FACTORY FIREPLACE 6. 50 6 . 50 property for inspection purposes. 1 MEC $1 VENTILATION FAN CONN TO SINGLE DUCT 4 . 50 4 . 50 / y PLU .2 BATHTUB 2 . 00 4 . 00 Date: y l/ `!q Signature: / ICY) PLU 1 DISHWASHER • 2 . 00 2 . 00 Driver's License or Social security a: . 01 00058328-00053832 'F Ca T a81. < 1641-46 White-Building;Green-Code Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor ' ' • DATE= 04/17/90 TIME: 11:4.9 r ^ CONSTRUCTION AND PLANNING POSPA . APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector • ,1. Temporary Electrical Service or PokeF• 52. Pool & Equipment Location x2,",Soi�Pipe-U[Idj rndr co • yS• ifievecit LgO 53. Steel Reinforcement :3?Heetrio rC6rlaui-t•Otility-Undigrnd'.' • 54. Forms ' ..T LT M.1-1'7•17.1.•:"^ - ..4•:•Electrical'Cdn�liYt-,.(indrgrnd. jS 55. Electrical Bonding .5 .,c vntorcA en Li IQ ?35W.Steel Reinforcement •X 56. Rough Plumbing & Pressure Test t.� -' 1..-1"", rl 71“67,../Elitria5JFER-Grnd. a 57. APPROVAL TO COVER-GUNITE x c =7p Footings `7.;4 1 a58. Electrical Conduit-Undrgrnd, u. a'1Foundation . - '• 59. Gas Pipe, 0 Undrgrnd., Test cc --)...s..7. U ti H , L- , 9>Wa`ter PilitILUndrtgrnd. • 6.,r/� to 60. Backwash Lines, P-Trap, 0 Undrgrnd. W 10. Structure Floorr4ystem i _! / 61. APPROVAL TO DECK 11. Property Seer Licycl & Huse Con'ection - , 62. Backwash & Receptor-Final 12. Sewer Cap ar a.' cJ ' 63. Heater & Vent-Final 13. Roof Drainb_ p 64. Plumbing System - Final 14. Rough PlumbingC0441° LED 65. Electrical-Final 15. RoughlectniIal-Conduit . . 66. Solar System-Final 16. Rough•;Electr.'Wiring y'if -90 Fencing & Access Approval 017. Rough Wgging=5An _'v 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bir Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ,(�/�/� FIRE (2 PT.8EOUIR*EMENT rn r1 ,-) n 1 T`7 Ct!r i. * * -i CI' ri X g r' SU:o tV CTI T.. z L z'z o-rJ` * ^•[TI <'7 Y. '> * C1 rc'00 Cn '..'• >, T to H r7 CI tgtritr furs' 20:2Ro ghYactory Yir,eplace 1 rp, (CK x110/80 t LA* ,r AAPPRaVr a,..II..Pe mit # . 1 ,,: o �cir onn -.-tai- S ^'o< - 21 Dt"ICts Stwctutt i -" " '-'S S 1-"* * "% 70. IOnderg�''r$c�rid H,fro * S-* i SH 7c 0 -" n* * +- , r I v * cc' n f-t* t5S * 4'* * :- - : , rn to * 22SDuyts, ent atingX i �, C1 * t7 ,Q �r E,* * C 71. Product rIping Occas OOil 11 '23rGas'Piep-Riuhgh &*Test TS * m _ OK * " 72 Undergro7'T F R° * co ,..it.n rn rr * m„ nn rS* * Cr+ 1: >: 41L:t.. 24RAf F[min9 lsc* FF ••F * > O * * „ m C * > * nd.Storr ,Tinkt0 Gas 0'Oi?. . -"v-•-c"" ' 25. Roof Sheathing`* C ;•;:‘'14-3 -4(414-1--' 74iverheadH dr � �C, -, �. C1 - r ci 7 Rt* * r7 * H C Oa:SH :JCT>.^C.O 2 T-Bar Ceilir2�(St%t aural, &'I o�ocoaLic* a >, G* * 7 ILlry Chemiegl f.,� * 3(T1t7 81ST,C'G ET74r; J W p •.0 ..Iv .T S. 4 .G ct1 ¢ u ,• ,t.. tr. 27:.,Frame.a2td'Elashing .7DIW CJ Cr* C' x; 31* * 76. Dry Stan7�rpe i-ttt'* * I t + £-E 'X '=•X yr -- trrn -.r. * -}t * r^H . * O ni ..CJnZ 1.-4414(7,1-4;-,"Z 28. Larhin1-& �4.dinrn* y ;IF; Zr'`• * Z •* * 7F� FIXED _-U,I •� Ak ; ��mrt�~Z"ate 9• '�+ 9J* ;IF;i O r"* ••I ••J 1* * 7 c IY1 1N H n "'7 t�niGC•7 tr':-cW:v .. .� ,� e. v . .. .moo « o: d. ,7 s. �:e:-C 'G. •-• 29. Insulation • * S ••<s* I 'I , i * 7�''FIRE PREV. F144 * > Ono7CICSC'• H m -, rn n * `� n T * ^ i k Y * -.C.-1H . rr1:-n S - 30. Drywall Naiinting �, F., r .� * H •`^ ' H 1 crilu tic . Ic_ • I, '(K e S:vN o,3(EALTI:TDEP*.ITIECTOIRI IVeIV lfrC%nItT1S , ,. t r 1 , ,... ,. C.-....! , " . .. G C 3 F .-.S.-... ,- 31. Plaster Brown Coat S 1 TCT' ztel�,0 6 ir i,79. FINAL INSPECTFON * OR1>lT-' ca-< ., ,..• w c., rr.- 1 k mom_.-,.. t n i-, r**-1-+nnN .1 3f:1Electrical Power N*etercginal L4c1 !1'kk1 4 * -i80.j FOOD CERTIF,fe9li : I SIWEDy p.."r•,`'11 eVN[rr.rl C^ , * t ,t..t •,'n .. IL1 I .1 4 t•, ,E !- J...,- >&' 33S Final Electeic * to 'COn k e, , i Notes: •-"'1 -WS ?• '7 0 c t-+ EnO S .�+ ,- "• . -:.a r-.Tl r.i�-r "r I. I*'* c-d en nue' ion * s'r• n M T'1 C •i 34 Final Heating & AE ppnditiorih.g ns _eil(�4o LS, T• 'Pi •S n • �lc. (X`. i-. 1 3 -'Final Gas Pipe-Test r c' /A t,l// p . *;:i s.o rJ l-IL * F ` 11 €-' ._ '1 z._ {,0�6� ,rr C, r * rn . .-n rt -,A nl Cr, -36 HoOd or Canopy * G Ito-3 cH'ain * /O^Oani2HI `-4 H _ oo, , lc� - e, 37., in 14..........' 4.......... * Ve 1 , t :. . . g 0Jc C:. :•Final Factory Fireplacac es l FF -...3 * +' * -., * C ,-o CC -7 38. Fit! PlumFil g * +v 1 "f-ltr * I ,. f* * S ••CA • H Or rri - * mi 0 S * m 1 Oi:T * ( t* * I: 1--ii, O .J t^. * CJ Di'r-C CI'J a ny x -..d,r * r. t L., a. .. 0 -), car- " 339. Water Servic4-FinaJ_ E I n *. rg I ,".K .t :, .x, •-. * 0 •-..1•-..10,-1 C1 7Dr -40. Ga37ServiceFinal * tT, <^'^" ST * to I I .1; O`-' ran' * F^'al H. X41. Solar Domestic-FinaY ;j ••'^; * `h ( 4E x P' ' CA e.. * T :, 42. Backflow Preventer +J GOC-* I i t* *. cc >'r *• G 1 (a * at 0 r-1!--I 'T. 0.* `-! A: * :rl C-10 w * F r+0 moi'-, ,3 * SSS Z(IC„* * f .-,:-'•w T V 43. Ba'cicflow Irilgatio9 >! C e * G * * t 1 i * n .. .._ .-t- .� * p. rr. * ' 0 r,..., ,nnri,ntnton T144, Lands6 ne Ter ig atitn Syste -;,L-, Z ife: Cn G 7 G* t •"; CJ n7 Ci .�C * [u co0..,00ruoo0o p-i cc x :o.<c et C C C:* t J E E 0 X le* S F' r 45,SoundpAttehuatioP tcc,r. ;T -i m* * E- o a L� "ted c --* w �.•, .tin, .. w 546:•Handicap Regulatibns l-I OC%s'* % ' * x CK •`_t C t' S .. rn * C ..TIen* S I • 1 C ill w0 n * -.47-- -- STRUCTURE & BUni----- el ..,, 1 ' �'>/ - * 1 tr * Et m Pr r. * n 4 _ � r r sr in tC L rn i„ j. rp 4.I . ,� - n0. . 0 t,i S * F c 49 Electric Relelase tokEdison i c f I * ; n PJc.Lv "' .r 7 0 507:Ga`s-Release'to Southern California Gas Co i' I • w \i"' . * I 1-" a ' 073 * O r„ r :,S =, * * * S DO n * 25 crot::ooLnlvoo ' 51. CERTIFICATE OF OCCUPANCY * I --'* " " hi '°n= -''-" -' No. Date• 'v I PROJECT DDRESS: UNIT: OWADD . PERMIT NO: G 046964 PLAN CHECK NO: 03422-90 N PAGE: 2 , *******************iter****grit***************************************+E************ ARCHIENGINEER: REG.NO.: TYPE QTY DESCRIPTIO 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 of Chapter 9(commencing with Section PLU 3 WATER CLOSET (TOILET) • 2 .0 0 6 . 0 0 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. PLU 1 WATER HEATER AND/OR VENT 2 .00 2 . 00 CITY LIC.: STATE UC.: CLASS: PLU 1 WATER SERVICE • 2 .00 2 . 00 PLU 5 GAS PIPING SYS 5+ OUTL—PER OUTLET . 50 2 : 50 Dale: _ Signature: PLU 1 GAS SERVICE 2 .00 2 . 00 WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' PLU 1 SEWER, BUILDING / TRAILER 5 .00 5 .00 Compensation Insurance,ora certified copy thereof(Section 3000,Lab.C). END OF FEES POLICY NO.: EXP.DATE: ` O eANe: Certified copy is hereby furnished. ❑ Certified copy is tiled with the city Building Division. Date: — Applicant: ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION:'.(This section need not be completed i1 the permit is for one hundred($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. ' Date: _ Signature: NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation 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.C). LENDER: • ' ADDRESS: . — - • i OWNER BUILDER DECLARATION: 1 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 of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that hefshe is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars(S503). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the . Cl • structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law does not apply to an owner of a property who builds or improves thereon,and who does such work himself/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 Ls sold within one year of completion.the owner will have the burden 01 proving he/she did not build or improve for the purpose of sale).. • I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business . ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon • and who contracts for such projects with a contractor(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.8 P.C. . for this reason: Date: Owner: ' I do hereby certify 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 occupant witUwill not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: _ Applicant: • I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to balding construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: _ Signature: • Driver's License or Social Security#: •. 1641.46 White—Buildlno;Green—Code Enforcement:Canerv—Applicant:Pink—Revenue;Goldenrod—Assessor . i• CONSTRUCTION AND PLANNING S PO•PA e} APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector a1. 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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings "Atk 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 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 19,4 Rough FeatQi,n &rn tAinCrondnito'nring FIRE DEPT. REQUIREMENT 2‘11 R ughiaotser2FF p ejj , . , I ; IWA ENGINEERS s � 17390 Brookhurst Street,Suite 10) Fountoln Valley,California 02708 L ? ' \ (714)068-1221 e FAX(714)968-9266 November 26, 1990 1,31-4-7L2 J. N. 207-03 City of Costa Mesa Building Department l�l� Y 6� + 77 Fair Drive vl 004 Costa Mesa, Ca. 92628 TeArimik /11 Attn: Mr. . Victor Clift Subject: Fine Grade Certificate I hereby certify that the fine grading for lots 62, 63 and 74 through 77 of Tract 13224 were graded as shown on the approved precise grading plans for said project. "144, S Llewellyn D. Incledon RCE 17593