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Home My WebLink About278 CAREFREE LN - Building PermitsCITYOF ----------� . aro�e�c�:____ ��.$ Carefree Lane � A�olicant's PQaiR Addre ' Owner's Na e Address - . . AOD�icant ta fill in all spaces except t�ose within heavy borCer Ilnes antl sign all apOropriate tleclarations. �{ O Z� � TFP,f,�.Np. LO_Tlllp. UNIT f�' 4 J J` � Y^ A.P. # J S Main Building: TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAI R E �J ❑ CONVERSION ❑ DEMOLISH ❑ OTHER i T Ffont 1 DESCFIPTION OF WORKNSE OF BLDG. — T--�q � .,�.� B Rear Addre i��Lal�t�%�-'�G�� 'U� .+f� Coniractor's Name� - Phone ��j�^qn nl G r n�, � J.-� v � / �c A L[n/i.' Adtl}ess Imailingl �]p,. ^ �7�i G � �„ City License No. /' c� M- �iGZ LICENSED CONTRACTOR �ECLARATION �"E� I hereby allirm lhat 1 am licens@tl untlGr proviSiOnS of Charter 9(comm¢n<inq with section ]000) of DiviSion 3 oi tne Bu5ine55 antl PrOfessions Cotle, antl my Iicense is in tull force antl eftect. license ClasS LicenSe No. Da[e $�9ndtur@ �N�^9,KER5' COMFENSATION DECLARATION by al(irm chat I have a cerry�icale of mnsent to seli-insure or a certlticate nke�s' Compensation In54rance, o� a certlli¢tl cOpy thereof ($ettion " ... Lab. CJ ' . . Policy No. � Company BCertilietl copy is �ereby fumishe0. . Certitietl copY"is filetl with the city Builtlin9 Divislon. Date� APPIi�ant EXEMPTION FROM WORKER$• COMPENSATION DECLARATION � (Tnissetlion neetl not be comple�etl if lhe pe�mil is for O�¢ huntl/etl ($300) o� iess). I certify lhat in the pertormance of thG wo�k fo� which [hls pCYrtik Is ISsuetl, b shall not employ any person fn any manner so as to become Subject to the Workers'�CJ� mp�ensation Laws ot Califomia. � Da[e _(_Ys(..��q—Si9na�ure �� < ti ryt NOTICE: If, afte� makinq this tlpcldratlOn, ou sho tl bec�e subj¢Ct t0 the Worker5' CompensatiOn provl5ip�5 Of the LabOr Cotle, you must tor(hwith comply wilM1 suCh p�ovisions or tM1is pe�mit shall be deemetl �BvokeC. CONSTRUCTION LENDING pGENCV 1 hereby aftirm that lhere Is a wnsiruction lentlinq agency for the performance ot the work tor wbich Ihis permit i5 i55ueG ($ection 3097 Gv. CJ Lentler's Name Lentler's Atldress OWNER BUILDER DECLARA710N 1 ne�eby affirm ihal 1 am exemp( f�om the Contractor's License Law f0� the following reason (Seccion 7031.5 Business antl Professional Cotle: Any tlty or county which reqW�es a pe�mit t0 con5[ruct, altCr, Improv0, tl¢moll5h p� �epai� any strucWre, prlor to its issuance, also requires the applicant tor such permlt to file a signetl statement that he/she is Iicensetl pursuant to tne provisions ot '' Contractor's Licenre Law (Qhapter 9(commenung witn Section 7000) o( ion 3 ot [he BuSiness dnq Pro/Cssion5 Co�e) or that be/she is exempt from antl tne basis tor the alle9etl exem0��on. Any vlolation of Section ^5 by any applicant for a permit subjects the apP��ant to a civil penalty of not more [nan five hUntlretl tlollars ($500). ❑ I, as owner of the properfy or my employees with wa9es as thelr sole compensation, will tlo th¢ work, antl the struc[u�e is not Intentletl o� offCretl for zale (Section 7044, Bu5inp55 an0 Profe55ional Cotle: Th¢ Contracto�'S Licenze 12w tloes nOl apply l0 0n own¢r oi a prope�ty wno builtl5 Or Imp�oves thereon, antl wbo tloes Suclt work himself/he�SeH or InrOugh hi5 or he� own emploYees, provitletl that such improvemants ara not mtendetl or otferetl for sale. H, howeveq lhe builtlin9 Ov improveTen[ IS SOItl within one yea� of Wm- pletion, the ownm will nave Ihe burtlen Of Provin9 he/sh¢ tlitl n0t builtl o� im- prove tor tlte pur0ose of sale). ❑ I, aa�wner of the property, am exclusivety contractin9 with licensed con- tracrors to construct the project (Section 7044, Business antl Professions Cotle: The ConVactorY License Law does nOl apply to an owner ot property who builtls oY imProves thereon, antl who conVa<ts for sucM1 oroi¢cts wI[h a ron- tractor(.� Lcense pursuan[ m[rye ConttactoYs Ucense Law). 1 am aware tha[ ' proof o7tneir WorkeYs Comp¢nsation insuranca shoultl be proviaetl to me. I❑ I am exempi untler Secclon B. 3 P. C. for Ihis reason �IDate ��- Owner I hereby certity lhat I M1ave rpatl Ihi application ntl 5[a at �ove into�mation is correct. 1 agree to comply witb all dty antl couo[y ortlinances antl state laws relating to builtling cons[rucNon, antl hereby au[noriEe repre- �, sentatives of this city/ to enier upon lhe above-mentionetl proparty for fnspection purpos� � '� , Signature Date� Drivers' License or 5 � _ TVPE OF PERMIT LJ GRAOING LJ FOVNDATION LI STRUCTVRAL ❑ TENANT ❑ ELECTRIGAL ❑ PLVMBING ❑ MECHANICAL ❑ OTHER PRQIECTDESCRIPTION SQ.FT. ��oCCUaArv,CV'_I- � CONSTRUCTION TVPE VAIUATION $_S�L�Gj' 20NE GRADING CU. YDS. ACRES_„C_ Remarkz: Bar Sink Backflow Preventer Backflow Irrigation Bathtu6s Clarifiers Orinking Fountains Floor Dreins Floor Sinks Gas Service Outlets Kitchen Sink Lavatories P-Trap Roof Drains Reinspection Fee $15 Duct - Under Grountl Duct - Structural Duct - Ventilating 3 Exhaust System ❑ Multiple Firepl/Fact.Blt.ICBOdk +j (Heating System & Ducting E �i oo,000 sru o, oo,000 Rainspection Fee � $15 0865-46, rev. 5/80 Wni[e - guiltling; Canar - Applican[; Pink - Acmunting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash luue Fee � IHood or TYUe I � Canopy Type 11 ❑ Re(rigeration System ❑0.100,OOOBTU ❑100,000 Sys[em Repair/Alteration Fire Dampers Registers Issue Fee A C Right l SLeft ? � Ping. Ref. # Planning Notes: ( FEES Automatic Washer �„� Construction Pole Sub. Cookin9 Unit I' �Dishwasher.� , , � i,,,� Dr,yers �Gas ❑Electric Fan � • , . ti t F.A.U. - � Fixtures • - GM , Device Boxes � N Z Outlets ��,� , �y ) /,�. $witches �� Garbage Disposal Generator �0�5 KW Fee �000 Zane Accessory Building: Parking ELECTRICAL Trans(ormer ❑ 15-50 KW ❑ SO+KW Meter� up to 100 amps Meter ❑over100amps ' Sub Panel Motors �0.1 HP 01'h - 8 Inc.Soiar �9-15 HP �76-15+ Microwave Pole Light Range Standing Sections 5-75 KW Trash Compactor �l0 O• $15 IssUe F@B FEES U O N I N G R E � M T S. $ 3 DEVELOPMENTSERVICESRE��11pEMENTS: �,I� Zoning qpproved By ��0 Date�� '.� FEES Building Approved By Date pp � Appliqtion laued By W��'�" Date Q-� SUMMARV OF FEES 7 BUILDING PERMIT $ �o°l`�°- SMIP $ �t PLAN CHECK $ PERMIT PLUMBING $ � ISSUANCE $ ' PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL S � GRADING $ G � , PLqNCHECK 50°,6 $ MICROFILM $ ' MECHANICAL $ ��s TOTAL FEE $ � 1�' ' PLAN CHECK 25% $ L2'7 C_ $-2 1 � ' �.- '� l' '�_' '_ '_ r- - ' " . " .._ . _COPJSTRUCTION AND PLANNWG PO� SPA ;APPROVAL� Permit# Date Inspector AppROVALS ��rhit# Date Inspector i. � - 1: , empora�r�y_E� trical Service or Pole 52. Pool & Equipment Location �� 2.�,Soil.Pipe-Undrgrnd. ��( L�(%', 53. Steel Reinforcement • 3i Electr,ical Co"nduii,Utility-Undrgrnd. , 54. Forms � 4,. Electrical ConduitVUndrgrnd. 55. Electrical Bo�di�g . .� x 5. Steel+Reinf6r'c'ement 56. Rough Plumbing & Pressure Test � �; � 1 /� 6•^Electrical�UFjERGrnd! �b�y � 57. APPROVALTOCOVER-GUNITE � 7, Footings � ; � �� ' �O �b � � 58. Electrical Conduit-Undrgrnd. '� � � 8.' Fouridation �� - � 59. Gas Pipe, O Undrgrnd., Test '� 9r Water Pipe-U� drgrnd. f dr( 60. Backwash Lines, P-Trap, � Undrgrnd. J .✓ 10.'Structural Floor System �b "' 01� . 61. APPROVAL TO DECK � �15s'P„opertY7S�'v/r Llna & HouseConnection � �D ' 62. Backwash & ReceptorFinal 12�Sewei Cap�. �i • ', 63. Heater & Vent-Final "n 13., RQof Drains�l. _ • 64. Plumbing System - Final � 14. Rougfi Plumbing ., ;' �(�(� L� 65. Electrical-Final '�� 15. Rough Electrical-Conduit 66. Solar System-Final 16� Rough Electric Wiring _-(IO 67. Fencing & Access Approval µ �1.7. Rough Wiring Sign 68. APPROVED FOR PLASTERING 1'8. Rough Electriral-T 6ar Ceili� � 69. POOL/SPA SYSTEMS FINAL '19. Rough Fl2ating & Air Conditioning FIRE DEPT. REQUIREMENT , _ ,--z �20. Rough Factory Fi'replace� �� APPROVALS Permit# 21. DuCts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating �2� 71�. Product Piping O Gas ❑ Oil �� ?3�. Gas Pi e-Rou h&;7est � , �, P 9 � �� y 72. Underground Flush v �2�. Roof Framing + 73. Undergrnd. Storage Tank O Gas ❑ Oil � i',r .^.5. Roof Sheathin � ' 9'; � � d D�% 74. Overhead Hydro 26. T-Bar Ceiling (Structural��&,�Monocoat ' 75. DryCh�mical V 1 �27, Frame;a; d Flashing � y'� 76. Dry Standpipe •28" Lathing & Siding �ry�~� '%j � jd ,�f� 77. FIXED SYSTEM FINAL T 29. Insulatfon ��M1'1 � Q� 78. FIRE PREV. FINAL � 30. Drywall�Nailing ' 9 HEALTH DEPT. REQUIREMENT � 3�1. PlasterBrown Coat � ''� g QJ 79. FINAL INSPECTION � � 32. Elecvical Power Meter-Final .l 7 80. FOOD CERTIFICATE ISSUED --' �� 33. Final Electric � � i � Notes:�2.�.�% f�j�/L �Vkv� d(� (i�0 �� 34. Final Heating & Air Conditioning 7� ,`�i�� _� � p K �-�' 35. FinalGasPipe-Test lfd (,� o^( �p rQJ � /�%a O �le '36. Hood or Canopy �//yJ �Q,S U/!: O ,. ��37. FInal,Factory F,ireplace '7 L_ ' I � _ _ 38. Fital��Plumbing��,fi, 7� QQ ' 'i39.`. lya�er Service:Final�- Z l� (�Q 40� Gas Service�Fi�al -i' � D / �41. So�lar pomesiic-Final' -, _ 42. Backflow Preventer` - , � " � � � , . 43�. Backflow Irrigation^� ' � . 44. Landscape Irrigation System • , 45. Sound Attenuation� 46. Handicap Regulations ' 47. FINALSTRUCTURE&BUILDING ' 48. Special Requirements Completed �' 49. Elec�ric Release to Edison � t�50. Gas Release to Southem California Gas Co , , � - 51. CERTIFICATE OF OCCUPANCY � ' .' � � . � No. / . Date � ! • ' . .. . - � ROBIN B. HAMERS 6 ASSOCIATES, INC. z3a e. ��TH sr., suire 2os COSTA MESA. CA 92627 CIVIL ENGINEERS • PLANNERS • SURVEYORS �7t4� 54B-t'I92 August 1, 1990 City of Costa Mesa Engineering Division 77 Fair Drive Costa Mesa, CA 92626 RE: FINISHED LINE & GRADE CONFORMANCE 2627-2629 SANTA ANA AVENUE TRACT N0. 13945 Gentlemen: This is to advise you that all building, grading, and paving operations for the subject project are complete, and that all work has been accomplished in conformance with the intent of the approved plans, as determined on Ju7y 23, 1990. The final survey monuments as shown on the recorded Tract Map were set on August 1, 1990. The City was previously sent a duplicate mylar and nine copies of the recorded map. Sincerely, �"'"" obin 8. Hamers R.C.E. #31720 RBH/jp cc. Karamat Saadai PN0.IECI RDONESS: � �y=-7 sr=�rn g,��A OWXEN':NAME: KVST .a.s$�C. � ROONESS: LZS HAKER1i261-E CM CA92626 714)668-9016 RflCH1ENGINEEP: nooeess: flE0.N0.: uxiT: p UNIT: VEHMITTEE: CHARLES SANDERS INK. ( 714 ) 630-191 3 nooxess: 1441 RF..0 GOM ST J ANAHEIM CA 92806 l/CENSED CONTMCTOB OECLAMTION: I here�y atlirm Iha[ I am IicenuA unAer prwisions of ChaD�e� 9(comrtrencinp vntA Sectlon 7000) o� Oivisian 3 0� Ne Business ana Pmlessions CoUe, ana my license is in lull torce and e ct. cm uc.: 01 8 9 4 sTare uc.:3 3 2 7 9 8 n� cuys,g �C�C��`�'S oate: Z- � Signamre: ��6LLi/ WOBREPS' C MPEN�RTION DECUIMTION: I her¢Ey attirm that I Aave a cenificate of cansent ro selbinsure or a certilicate al Warkers' Comoensation��u �r�,�`�a �r�ie� f°&r t�rr�o� �Sectian seoo, �an.�ls / 2 8/ 9 0 roucrxo.:OHIO CASULTY �P�onre: COMP�NY: ,y, ❑ CerlitieE copy is hereby lumished. [J Cerlitie0 copy is IileA ith Ihe ciry 9uiltling ivisio Uate: d` MD�� IXEMRION F OM OBNENS' COMPEN&TIOX UECIAPATION: Rhis secuon nee0 nol Ce comDle�ed if �he Oe�� is �or one unOreO (5100) ar less�. I certiry that in the Dedormance ot the work far wAicA lhis De�mit is issued, I sAali nat employ any person in any manner so as ro Gecome 5u0jttt to t�e Workers' Comptnsation Laws oi Califomia. Date: SignaWre: NOTICE: It, atler makin0 �his aeclaration, you shoultl becoma subject to the Warkers' ComDensation pravisions ai t�a LaUor Code, you musttorthvnt� comply wit� such provisions or tNs permit shall he Oeemetl revoke0. ' CONSTpUGT10N 1FM01NG �GENCY: I AereEy aKrm that IAere ¢ a canstruction IenOinp apency for the peRarmance al tAe work for w�ic� t�is permit is i55ueA (Section 3097, Civ. C�. lFNOEH: ROORESS: OWNEP BUILDEP �ECIAIWTION: I he2�y aifirm I�at I am exemp� irom the Contradors' State licensa Law for the lollowinp reason (Section 7031.5 Busineu antl Pmlessional CoGe: My ciry ai counry whkh reQuires a p¢rmit ro canstruct, alter, imD�ove, Oemalish, or repair any s[ruqure. D�or to its is5uance, also requirw t�e appliunt lor such Dermit to tile a vgnetl statement tAaf �e/sAe Lt IicenSeE pursuant to the provisions of t�e Contracrors' State License Law (Ctwp[er 9(commenqnp wit� Section 7000) at Divisian 3 0l tAe Business anU Pralewions Cotle) or t�at Ae/she is exempt Iherelmm and the Easis far the alteAe� exem0�ion. Any Nolatian of Section 7031.5 hy any aODlicant lor a permfl su0lects the aDPlicant to a civil penalry oi not mora tAan tive �unAred tlollars (5500�. I, az awner ot [ha pmpeM or my empIoyees vrit� waAes as meir �sole crom0ensation, wi0 Uo Ihe woM, anU ttre ❑ sirucWre is not intenCeE or attea0lor sale (Section 704d, Business an0 Pmfessional Code: The Cont2ctars' State License Law does not appty ro an owner of a pmperty wAo Euilds ar impmves t�ereon, anU w�o Uoes such work �imself/herseli or throug� �is ar �er ovm employees, D«deC t�a[ sucA impmvements are not intentle0 or offeretl for ule. It, Iwwever IM EuilAinp or impmvemeni is w10 wi�Nn one year af wmpl¢tion, Ne owner vriil have Ilie �urOen of Orovinp �e/she GiC n0i DuiIG ar imprwe for tne puryose of sale�. _ 1, u awner ol �Ae properry. am exclusiveN contracting with IicenseA coniracmrs �a consVuc� �he pmjeci {Sec�ion 7044, Business ❑ an0 Pmiasians CaOe: The Contanors' �tate License Law Eces noi appty to an owner of properrywho �uAEs or imprwu thereon anG who conVacis tar such Drol�i5 wi[A a conVaRor(s) license pursuani to t�e Contac�ors' State L¢enu law�. I am aware tAat Oroof of Neir Worker's Compenutlan insurance sMu10 Oe proviEeO to me. � I am exempt un0er Section: B. 8 P. C. tar ih5 rea5on: CITY OF COSTA MfiSA — F3UILD:LNG PERt4IT PERMIT NO: M 045222 PLAN CHECK NO: D1 CONSTRLICTZON TYPE: V—N PEFtMIT TYPE: MEC JOB DESCRIPTION : AIR COND. ADD TO G40375 PERM NO: M 045222 GOVT: N SUPP: Y PURPOSE: NEW SQ FT: CLAIM VALUE: 800.00 CAI�C—VAI;UE: GROUP OCC: R-3 /M-1 COMMENTS: ADD AIR COND TO #G40375 � ��*x��r**f�*x�*�+�ir�t�**�t�e�ti��t�***x�x�x******�-�t�t**�t�x�*x�*i�-*�t****�t****+�x�****+r�r*i�**rt*****+��t Z O N I N G A E Q U 2 R E M E N T S s c T H A c x s ------------ MAIN EUILDIDIG ---------- --------- ACC6SSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN RE:AR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 43920128 ZNE: REF NO: PLANNING NOTE.�'i> ' � it 3F �)E if it iE aE ik k dt if k�1f if iE iE if 3E iF if it if if it it it It 3f 3E it 3E it iF it iE 3E iE iE �E iE �E it iE 1t iE 3F it if 3t It it 3t iE it k iE 9E if # if 3t iF it iE �lE iE 9E iE if it i6 if it 3E it * it it �t D E V E L� O P M E N T S E R•.V I C E S R E Q U I R' E M E N T S ZONING APPROVED BY � ' DATE: BUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY.:�� DATE: J�. O[� iEiF3EihiEiE3EiE3EiEiEifikiEfEaEiE3F�EiEiFiE �iF 1E �i�FiEiEiElEif�FiEi(�ilil�3riFik �iF iEiE%�il1EiE3E3EiEiEiEaEiEik�%3EiFiEiFiE�Eif#iFk1E3EitifiEititifilitiEikiFiFifiE))) -iFiEifikiEffiEikiF�FkitiEiEifiFiEiEikiFaEiE*iFiEiFlEiEif�lElEitit*i! iF LEGALIZATION:N F E E S U/M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC/ MECHANIC FIRE SMIP/RES GRADING PERMIT 9.00 � 253 SMIP/NON—RES PLAN ISSUE FEE 9.50 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----_> 9.00 4.50 0.00 1J.50 1�.50 .00 REVENUE DIVISION TOTALS--> � COI,LECTED: 13.50 OVER/SHORT: .00 HLDG PMT PLUMBING�ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 13.50 if it 1f iE if iE iE �f iF iF �E iE if iE 3f i! iE iF iF iE iE ik iE iF iF 3E iE iE ik iE �E iE IE it it iF IE ik it iE iE it iE iE it it If dF 3f �E 3f 3E if iE 1E iE iE iE 3E fE iE if if iElf iE iE!! iE iE 1E if iE ik iE 1E M ik iE I N D I V I D U A L F E E A R E A K D Q W N TYF'E QTY D E S C R I P T I O N UNIT CUST TOTAL COST oaie: � Ownec I MEC I tlo �ereey certiry that I am aware oi an0 understantl the reQuirements oi Calilomu Health and Safery CaOe Sections 25505, 25533. antl 25534 aM itut I or any fuma Wil�ing occupam wilUvrill not (cirtle one) nee0 m wmpty wit� sai0 stata coEu ana Ne requirtments tar a permit for consiruclion or moEificatian Imm t�e Nr Oualiry Manapement Ustrict. Fes�Eential consWction apDlications are e�emD� ��m inese provisions. Dah: Applitdni: I hereEy cerliry ihal 1 tuve reaA this apD��an and state thai tAe ahove inlarmation ¢ cortect. I agree W wmpry vritn all ciry anE counry ortlinances ana stah laws relatinp to euilEinp constmmian anA �ere0y autnor� re0�euntatives of this ciry m ter upon m eove�mentionea properry �or insDeciion Durposes. /l Oate: Signature: �q� /�// orroer's �iunse or 'a� secudry x: i6CLC6 White—BuiWi(q: Gree�CoOa Enb¢emanC Cenary—FpO��cent: Pink—Ravenue: GWEanrotl—Assessor 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9.00 END OF FEES 01 OD048799-00048799 T OT DA7E+ ]2/O1/89 7IilEC -�6LQ1 • �� 13.50 CONSTRUCTION AND PLANNING POOL & SPA ��APPROVALS Permit#� Date Inspector AppROVALS Permit# Date Inspector 7. Temporary Electrical Service or'Pole 52. Pool & Equipmen[ Location 2. Soil Pipe�Undrgrnd: �. - � 53. Steel Reinforcement 3. Electrical CondLit Utility�Undrgrnd.' � 54. Forms "j-;4,.�Electrical Conduit-Undrgrnd. " 55. Electrical Bonding � ; 5.� Steel Reinforcement �•' 56. Rough Plumbing & Pressure Test - '" 6"�ElectricalUFERGrnd. ` 1 57. APPROVALTOCOVER�GUNITE ' 7:�Footings • 58. Electrical Conduit-Undrgrnd. � ; 8`�Foundation ' 59. Gas Pipe, O Undrgrnd., Test . ! 9. Water Pipe�Undrgrnd. ' � 60. Backwash Lines, P�Trap, O Undrgrnd. ! � 10. Struccural 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 ApP�oval � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79, Rough Heating & Air Conditioning , FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace -�• - -� _ APPROVALS Permit # 21: Ducts, in St�uctur,e_ ' . � . � � , , 70. Underground HYdro _ 22. Ducts, Ventilating " • -, ' 71. ProducbPiping O Gas ❑ Oil 23. •Gas Pipe-Rough & Test � - _ " 72. Underground Flush � 24. Roof Framing _ 73.� Undergrnd.StorageTank�OGas ❑Oil 25. Roof Sheathing ' � � 74. Overhead Hydro. 26" T-Bar Ceiling (Structural) & Monocoat .. . 75.; Dry Chemical . -, 27. Frame and Flashing "' 76. Dry Standpipe ' � ' 28. �athing & Siding . _' � � , � 77. FIXED SYSTEM FINAL � 29. Insulation � -- � � T 78-. FIRE PREV. FINAL ' - � 30. DrywallNailing', , `�'�; , HEALTH.DEPT.REQUIREMENT 31. Plaster Brown Coat � � , . 79. FINAL INSPECTION 32. Electrical Power MeterFinal �' �, 80.. FOOD CERTIFICATE ISSUED . 33.-Final Electric ' � � Notes: . � 34.�Finel Heating & Air Conditioning 7�`�60 ' _ ' 7 35. Final Gas Pipe-Test � �� ' � �. � • � � � . � 36. Hood or Canopy ' .. . " '�{ ;• � . . . - 37. Final Factory Fireplace- �� ' � - ; . � 38. Final Plumbing , , , . ' � , . _ .i 39. Water Service-Final. -� . . � "� 40. Gas Service-Final ' - � . ' 41. Solarpomestic-Final + �� • . . 42. Backflow Preventer � � ' "" ' -, 43. Backflow Irrigation � � � 44. Landscape I�rigation System T' � „ „ -� . _, '- 45. Sound Attenuation .�. � . . � , � 46:'Handicap Regulations � , ' .; _ �� - „ . 47. FINAL STRUCTURE & BUILDING � .i?: . � �� 48. FINAL PLANNING �: � � 49. Electric Release to�Edison � ' ` � 50: Gas Release to Southem Calitornia Gas Co �'J' ' . � ��i.. ` 51. CERTIFICATE OF OCCUPANCY No. Date Pfl0.IECf AOOXE53: �� - OWNEWdNRME: RICHARD FLOCK , - `aoosess: �479 ORANGE AVE COSTA MESA CA 9<627 94999999 '�PCIiIENGINEEp: nooeess: flEC.NO.: UNIT: F. uxrt: PEBMITTEE: ATLAS FIRE PROTGCTI N ( 818 ) 767�-5775 �oosess: ��64 SAN FERNANDO D 10 SUN VALLEY CA 91352 LICENSEO CONTMCTaB DECUMTION: I hereby aKrm that 1 am I' e eA un0er provisions of C�aD�e (commencinq vnih Section 7000) of Division 3 of the Business anG Pmiessions Cotle, antl my e e is in full lorce ana eifect. cin uc.: 0 4 9 2 4. sTnTe uc.:5 G 7 0 81 ss: C- 16 - � Oate: jQ�� SipnaWre: • WOHKEHS' OMPENS TION DECIAMTIQN: I hereby aKrm [Iwt 1 �a cetlifiwta of co ni self-insura ora certifiwta ol Woders' Compensation Insurance, ar a certi/ied coDY �hereof (Section 3800, . C roucrxo.:11.27842-09 exr.o e: � /01/90 . COMPANY: $TATE FUND . � � CetlifieC cop is �ereby IumiSheE. ❑ Certifietl copy is file0 [I�g ciry Bull ' ' n. � Oate: �� a D � _ ApDliwnt: • F%EMPfION FlIOM WORNEHS' COMPENSITION DECIAfUTION: (�his sectio not be c plete0 ii ihe permit is for one hu�re0 (51 W) or less). I ceRiTy ihat in Ihe Detlormance ol Ihe work for which lhis permit is issu , I shall not employ any person in any manner w as ro become subjecito ihe Warkers' Compen5ation Laws at Califomia. Uale: Sipnaiure: NOTICE: II, atler maAinp tAis declaatian, you s�au10 Oecome su0ject ro the Workers' ComDe�sation Drovisians al tAe LaDor CoOe, you must tonhwith comDly vnth sucA Drovisions ar tNs permit s�all he aeemed revoked. � CONSTBUCTION 1FN01N011GENCY: I hereby affirm that t�ere is a consimction lendinp agency for the petlormanca ol Ihe work for which this Oermit is issuetl (Stttlon 3097, Civ. C). ` LENOEH: ROOflESS: ' ' ' OWNEP BUILOEP OECUMTION: I hereGy afiirm that I am exem0� «om Ihe Cantractors' State License Law lor the followinp reasan (Sectlon 7031.5 Business an� Professlonal Cotle: My ciry af counry w�ich requires a permit ro wnsiruct, alter, impmve. OemolisR or apair any sWCNre, prior to its issuance, alm 2puires the aODlicant far such permit to lile a siA�eE statement Itut he/s�e k Iicenu0 pursuant m the pmvlsions of the Contracrors' State License Law (CIuO�er 9(commencin0 ��h Section 7W0) of Oivision 3 al i�a Business an0 Pmfessians CoGe) or that �e/she is ezemD� ��erefmm antl I�e Dasis tor the allepeE e�emption. My riolatlon af Section 7031.5 Uy any ap0licant lor a permit subjects the ap0�icant ro a civil penalry ol nat more than INe �untlred dollars (f500�. CITY OF COSTA MESA - DUILUING PERMII' PERMIT NO: E 04547D PLAN CHECIC NO: 01647,-f39 S CONSTRUCTION TYPE: PERMIT TYPE: FIR PERM NO: GOV'f: N SUPF: N PURPOSE: ADU F 04547�3 JOB DESCRIPT'ION . FIRE SPRINICLERS SQ FT: CLAIM VALpE: 1,200.00 CALC-VALUE: GROUP OCC: ft-3 /� COMMENTS: PROVIDE WORKMENS COMP AND AUTHORIZATION��D�� =jC� '�. tt**itx�atet***��r�*+tit�r*it*itit�atx�rt*it�x��it�r*�t+tit��t*�*�r�r�rit*atit�r .atk• ,r �r �ir,r�.x,t�rir�r,rat!r. .�rxr� x�*.+� 2 O N I N G R E Q U I R E M E N T S S F. T B A C K 5 ------- — -_- MAIN BUILUING ---------- --------- ACCESSORY BOILDINC --------- FRNT: CT IN RL:AR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCBL: 4397.0128 ZN�: REF NO; PLANNING NOTES> > i(' if iE iE if jh �lF if if N' if if i4 iE if if if if ik if iF 1f 3E �IF iF'If il-9f'7E �1E if iE ik if?G if if jf fk iE �1F')E')f if 1f !F'%�'K' 1f 1f ik?E if jE 3E if i�' 1f iF ik K' 8E �f �!E 9f if' iE if iE 1f iE'If * iE 3F iE 3E 1f ff D E V£ L O P M E N T S E R V I C E S R E Q U I.R E M E N.T S ZONING APPROVED BY :_ _ _____ _____ UATE: DOILDING APPROVF•.D BY : DATE; APPLICATION ISuUED BY:�� DAT�: �� jFiEiEiEiEifiEi(�3k�Eik*lEiEiEiEaE1Ek�E3Fi6 fF �. iE F�F�f��i�ifiPklfikitiE'Eitib �F'iF i!'k 1Eif3EitifiPitiFa�(�iEitiE3E�FkiEiEfF�lEih#iE#4iEiEk3(-iEi(�iEitifiE3EiE�EiEiFM PiEiEi(�161kiEititikifiEitiEiEiFffiElfifiFiF#iF�%iEiEiE3E�lEifif�it#iFiEi:iEiE LEGALI7.ATION:N F E E �S J M M A R Y STRUCTURAL SEGMENT:N BLllG PMT' PLUMBING ELECTRZC MECHANIC FIRE SMIP/RFS GRADING PERMIT PLAN rssoE rEe 29.00 658 SMIP/NON-RES 18.85 'I az owner ai me D�opeM or my em ioyees witn' wapes as their sole-compenution, will eo me work, ana ine BUILDING-DIV-> PERMIT rS5UE PLAN-CbIECK TOTAL PAID DUE ❑ stmcwre is nat intenaea or oneretl for saie (gection �Oan, eusmess ana Pmlesslonal Cade: Tne Contracrors' State ucense Law 'LOTAL E'i --•-- > 2 9. 0 0 0, 0 � 1 f3 . 8 5 4 7. E3 S 4 7. 8 5 , 0 0 Eoes not appty m an owner oi a pmpeM � 6uilds or impmves Ihereon, anE wM Uoes suc� work himself/Aerself or tAmupA his or �er ovm emDlqrees, pmvided tAat suc� im0�ovemenis are nat intenOeO ar offered for ule. If, �owever tM GuilUinq or improvement is wle witmn one year oi compleGon, tne owner will nave tne nurden ot provino helsne tlia not buiw or improve R E V L•' N U E D I V I S I ON TOTAL S--> C OL L EC T ED : 2 9. 0 0 O V ER / S FIOR T: 0 0 rortneourposea�satel. BLDG PMT PLUMBING ELECTRIC MECHANIC i•'IRE SMIP/TOT GRADING PLAN-CIIECK I, as owner oi the DmDerty, am exclusively contracting with Iicense0 wniractars to constmct tha prolea� (Seclion 7044, Busineu 2 9. � � ❑ anG Professions CoOe: The Contracrors' State License Law tlaes not apDh �o an owner ot properry wM OUAGs or improves tAereon andwhowniractsforsuc�O�ol��aconVaccor(5)IicenSepursuanttotheCont2ctors'SlateLicenseLaw�.lamaware ��*..�.K..�.7�.y�**K.��.**.x�(.7E%)fi(.*..k�(.K.iE**il.�f.it.,fil.*.kiEl(..rtK.N,*�(..%i(.i(.i(..k#.K,3(.#iE.1E�t,.Mi(,x,k,i(,**if.,K,N,ic•*,�*it,fFiEi(,M„k*{��,* tnat o�t oi their Worker's Compensatwn insurance sMule ee pmvidea to me. Z N D I V I D U A L F G E B R E A K D O W N � I am exemp� unEer $ettion: B. d P. C. formisreason: PYP� QTY D E f"i C R I P T i O M UNIT COST TOTAL COiT oate: a""er: ['IR 29 FIRE EnUIP FGE (FROM ➢T�DG VAL 'TABLE) 1.00 29.00 I Uo herehy certiTy that I am aware of antl unEersunE the reQuiremenis of Califomu Healih anE Safery CoEe Sections 25505. 25533, anA EP1D � F %� �$ 25534 ana ttut 1 or any hrture Euildin0 �upant vriluwill wt (cirde ane) neea ro wmpy mth sai0 sute coAes anA t�e requiremenis for a permit im construciwn or ma0ilication trom ihe Air �valiry Manapement Gsinct Nesidential consiruction aDW��ons are exempt tmm . � ' ��ese provisi0ns. , Date: Applicam: _ I �¢reGy certify Itut I hav¢ rzaE N¢ application an0 SWte IAat IAe a orUinances and sid�e Wws 2latinq Io GuilGing con5(NcliOn antl her¢Oy property lor inSpec n purpos . Date: /� �� Sipnamre: — Oriver's License or Social Securiry x: 16q<fi W�ite—Builtling; Green—CoOa Enbrcamant; Canary 6 atl dry and counry eaboue�menUoneO Pink—Revenue; GolOanroC—Assessor � 01 UU050247-00050247 TU T 29.00 DATE: 12/20/89 TIME: 15:11 �S:ONSTRUCTION AND PLANNING POOL & SPA .APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service�or Pole , 52. Pooi & Equipment Location ' i 2. Soil Pipe�Undrgrnd. '', � 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Condui[-Undrgrnd' 55. Electrical Bonding _ • ' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER 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, O Undrgrnd. � 70. S[ructural 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. Elec[rical-Final 15. Rough Electrical-CAnduit 66. Solar SYstem-Final 16. Rough Electric Wiring 67. Fencing & Access ApP�oval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & A�r Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory FirePlace APPROVALS Permit # 21. Dutts, in St�ucture � 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping OGas ❑Oil 23. Gas Pipe�Rough &�est 72. Underground Flush 24. Roof Framing 73. Under9rnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro �- 3-�a w A 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding � 77. FIXED SYSTEM FINAL &-�-�p � 29. Insulation ;,;,, 78. FIRE PREV. FINAL -2-4 Lu 30. Drywall Nailing �� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final S0. FOOD CERTIFICATE ISSUED 33. Final Electric �� Notes: 34. Final Heating & Aii Conditioning � � 35. Final Gas Pipe�Test - - � .� 36. Hood or Canopy � �✓'� 37. Final Factory Fireplace 38. Final Plumbing . � 39. Water Service-Final•' . 40. Gas Service-Final�%�� - 41. Solar pomesticFinal , 42. Backflow Preventer . - 43. Batkflow Irrigation 44. Landscape Irrigation System � ' . 45. Sound Attenuation ' 46. Handicap Regulaiibns � • �_ . 47. FINAL STRUCTURE & BUILDING �' - t �`• . 48. FINAL PLANNIf�G' ; , . � " 49. Electric Release to Edison `� ' t 50. Gas Release to �Southern California Gas Co � 51. CERTIFICATEOFOCCUPANCY � No. � Date � - City of Costa Mesa Development Services Department Building Safety Division P.O. Box 7200 Costa Mesa, Califomia CERTIFICATE OF OCCUPANCY No. �j��:•. ' j The Building located at 278 CarO£Kt�� [,an� has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group i23/I�11 Occupancy. Use of Building Cortdaminium Legal Description �139-201-2.8.2.9 (See reverse side for Metes and Boundsl Building Permit No. r�(1�75 Electrical Permit No. G�3�5 Plumbing Permit No.G Q0375 Mechanical permit No. G 40375, n� nS�99 Number of apartments and/or guest rooms Fire Pcevention ParmiC t�b. F 45�78 ISSUED 70: :C.V.S.T. AssociaC�s 125 3. Ba:;ar St., Ste. 261-E CA:;[� :•:..�, C� 9io?5 Building Official '1'anv c�n, A�c:� by .' � �� • Date �ave.T'.rx.+r 20� 13�0 This Certificate of Oecupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building OHicial of the City of Costa Mesa under $ec. 307 (e) U.B.C. CNIF 3015-46 rev. 1/83 White -Owner: Canary - Numerical File; Pink - Bldg. Permit File