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Home My WebLink About279 CAREFREE LN - Building PermitsADGlicant to fill In all spaces except tnose within heavY oortler 11nes ane si9n all appropriate aeclarations. ;ITY `P � --" """ "��cT I If^TIll�l PFRMIT . � 279 Care ree Lane Project Admes� '� - -- - - /)' . •' — .- � Applicant'sfdaijing.Qddres `�"?y ��+�.,..¢� � /% Contracror's Name.�� 1.�- Phone Address (mailing) �� Zr�'. �� - �� - � C. /�i i�.��. City License No. - �(� LICENSED CONTRACTOR DECLA0.ATIpN I hereby aftitm that I am licensetl untler p�ovi5ion5 0/ Chdrter 9(commencing wilh section 7000) ot DiviSion 3 of the gusiness antl P�ofe55ion5 CotlO, antl my license is in full torce antl eflect. License Class L(cense No. TVPE OF CONSTRUCTION r L� ":�.w LJ ADD LJ ALTERATION IJ REPaIR ❑ CONVERSION ❑ OEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. E?r �9 ��,--, � G� TVPE QF PERMIT LI GRA�ING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT n`(�ELECTR CAL ❑ PLVMBING ❑ MECHANICAL ❑ �OTHER f L �. PROJECT DESCRIPTION Sa.FT. � J�' �oCCUaANC CONSTRVCTIONTYPE VAIUATIONS � Remarks: GRADING �U. VDS. Date Si9nafure WORKERS' COMPENSATION DECLARqTION Bar Sink 'eby aHirm tnat I have a certificate ot consent to selt-insure or a cerUficate 'orkers' Compensa[ion InSulance, of a certifietl Copy theleof (Sectlon BdCkiIOW Pf¢v¢Ot¢I J, Lab. C.) . • Policy No. Company Backflowlrriga[ion eCertifietl copy Is hereby (umishetl. � ' . Certifietl copy is filetl witn [he d[y Builtlin9 Division. Q. BOthtubs Date AOPlicant ' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers � (This section neetl not De completetl il the p¢�mit is for one huntlrea (E700) or iess). Dishv�rasher I certify Ihat in the p¢rtormance ot th¢ work fo� whith thi5 permR is lisuetl, I shali not employ any person in any manner so 5 to become subject to the Drinking Fountains Workers' Cp mpensati n Laws ot California. / Date � v —�Signature .�� et�/ ' Floor Orains NOTICE: If, after makm9 tnis tleclaraHon, ou shou�tl become sub�ect to the Workers' Comp¢nsd[iOn plovi5ion5 0� lile �bor COtl¢, y0u must (arthwitll FIOOf $illk5 Comply wilh such O�ovision5 0� this permi[ Shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV GasService Ou[IEtS I hereby af(irm that Ihere is a wnit�uctlon lentling agency fo� [he performance - of Ihe work for whiCh [his permit i5 i55uetl ($Cctlon 309� Civ. C.) Ipt¢fC¢ptOfS Lentler's Name Lentler's Adtlress Kj(chen Sink OWNER BUILDER DECLARATION I hereby affirm lhal I am exempt 1rom the Contrdcto�'s License Law for Ihe LUvdtO�i¢S following reason (Section 7031.5 Busine:s antl Professional Cotle: Any ci[y or county whith �eQuires a permil to con5[r�ct, alt¢r, Imp�ove, tlemoli5h O/ �epair P-Trap any st�ucture, p�lor to It5 i55Uance, dlm �¢quires tne apP��ant for sucn pe�mit to file a signetl Sta[ement that he/SM1e is IicenSetl OurSudnt to ihe provl2ion5 Of Roof Drains ^e Contractor's License Law (Chapter 9��ommentin9 with Section 7000) of 'sion 3 ot Ne Busine55 antl Profe55ibn5 Cotle) or tha[ ne/She is exempt =_trom antl the basis for the alle9etl ax¢mption. Any violation of Set[ion .1.5 by any applicant for a pe�mit 5ubjecl5 the applicant to a civil yendlty of not mo�e than five huntl�etl tlolla�s (E500). ❑ I, as owner of the property or my employees with wa9es as [heir sole ReinSpection fea $15 <ompensation, will tlo the work, antl the s(ructure is not intentletl or otieretl tor sale (Section ]044, Buziness anG Professional Cotle: The Contractor's License Law tloes not apply (o an owner ot a property who builtls or improves [hereon, antl who CoeS such wo�k himsQlf/he�self or thrOu9h hi5 or he� own BOil2f employees, p.oviaea that soch improvements are not intentletl or otteretl for sale. It, however, the builtlin9 or improvpment i5 SOItl within one yea� of com- pletioq tne owner will have ine burtlen of provin9 �e/she tlitl not buila or Im- Duct - Under Ground p�ove for the purpo5¢ ot Sale). ❑ I, as owner oi the property, am exclUsively con(racting wilh licensetl com Duct -$Vuctur8l tractors to construct tne project (Section �044, 6usiness antl Protesslons Cotle: The Cont�actOr's License Law tloes not appty [O an owner of Property who DuCt - V2�tlldtiny builtls or impwves Ihe�ean. antl who co�fracts fo� such oroiect5 with a ron- tractor(s) Lcense pursuanc co me Contra�torz License Law). I am aware that Exhaust System ❑ Multiple ❑ proot o( thei� Wo�ker's Compensation Insuran<e shoultl be provltletl t0 me. ❑ I am ezempt unEer Section 8. & P. C. for thls reason Firepl/Fact BIL ICBO dk 3 IQ' oate —_�/��a ��+'ner - � \ Heating System & Ducting � 1 hereby certify Ihat I have reatl lhis appucation a tl state tnat the above �a100,000 BTU �100,000BT inlormation is mrrecL I a9ree to comply �yiih all tlty antl countY ortllnances antl s[ate laws relating to bWlEing construction, antl M1ereby authorize repre- sentatives of♦ iis city to enter pon the above- entionetl property tor inspection purroses. � e �� Signature �_��d��. Date�_�___7� Drivers' License or 55 � �, _ I Reinspeetion Fee 0065-46, rev. 5/88 White - Builtlingp �anary - Applitanh Pink - ACGounting; GOltlebrotl - A55es5or $15 Showers Service Sink Sewer (;ap Sewer Connection Solar Collectors� Solar Piping - Solar Tank Swimming Pool w/Spa Urinal WdtCf CI052i Wa[er Heacer - Water Service Auto-Wash � Issue Fee 1 I Hood or Type I � Canopy Typell ❑ Refrigeration System ❑0-t00,0006TU ❑100,000 System Repair/AI[eration Fire Dampers Registers laue Fee A.P. # �`.(' S Main Buildi TFron[ � 8 Rear A C Right K Left S Ping. Ref. # � Planning Notes: FEES /+utoma[ic Washei Construction PoleSub. ti Cooking Unit � Dishwasher . • Fan . F.A.U. Fix[ures . Device Boxes Outl¢ts JWIICOCS /� Gar6age Dispoul Generator �0.5 KW �5-15 Zone Building: Req. ELECTRICAL Transformer ❑ 15�50KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 700amps Sub Panel MotorsO0.7 HPO1X-8 Inc. Soiar �9-75 HP �16-15+ Mivowave Pole Li9ht Range $IJp Standing Sections � � Tresh Compactor Fee �$75 � � luue Fee FEES N I N G R E Q M T S. $ 3 DEVE�OPMENTSERVICESREQUIREMENTS: [y/� 2oning qpproved By-- CT-� Date�' 3' t/-1 FEES � Building Appraved By Date Appliwtion Issued By W l ��- Date �� UMM FEES ' BUILDINGPERMI� - — SMIP �I� � PLAN CHECK $ �%i.�PERMIT PWMBING $ �7-Yi �3SUqNCE $ PLAN CHECK 25%�$ � ENERGY P.C. $ ELECTRICAL j GRADING S PLANCHECK 50% $ �-�j- MICROFILM $ MECHANICAL $ '�� TOTAL FEE $ �� PLAN CHECK 25% $ l � .. r ' . � i' . 'l?F: 1�; ��,. � i _ I� NSTRUCTION AND PLANNING PO� SPA I + ' • Date Inspector ^ � Date Inspector � SIAPPROV�LS Permit # APPROVALS Permit # �' 1. Tempo�ary El�ctrical Service or Pole � 52. Pool & Equipment Location � 2.nSal:Pip`e-Undrgrnd. � • ��"' . � �Q/�y( LEp - 53. Steel Reinforcement 3:1Electrical Con[luitUtility-Undrgrnd. - 54. Forms . 4:'Elecirical Conduit-Undrgrnd. 55. Electrical Bonding n ss �- 55 SteelrRein�o cement 56. Rough Plumbing & Pressure Test i' 6� Electr,ica�UF,ER GrnB. 0�G ��j � 57. APPROVAL TO COVER-GUNITE � �. . 7' Footings A'� �,,�L 0�6 ��' 58. Electrical Conduit-Undrgmd. ��•� S Foundation� � . 'r 59. Gas Pipe, � Undrgrnd., Test � � t 9^Wa��r Pipe-Undrgrnd. , �(� � �� 60. Backwash Lines, P-Trap, O Undrgrnd. • 10: Structu�al Floor System p qp 0� � 67. APPROVAL TO DECK i 11:'IP opertyiS`wer Line,& House Connection /,, � L� .; 62. Backwash & Receptor-Final � � r� , 12. Sewer Gap� � .;� 63. Heater & Vent-Final ' n :' ' r 13.�Roof�D'rains ` � �±-- 64. Plumbing System - Final , �� .� 14. Rough Plumbing,� �� Zy L� 65. Electrical-Final � .- 15. Rough Electrical�Conduit � 6 Solar System-Final t i6j Rough Electric Wiring r_ �g 67. Fencing & Access Approval 17. Rough Wiring Sign ,�,_ 68. APPROVED FOR PLASTERING 18. Rougfi Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL 19� Rough Heating & Air Conditioning ' H Ci� L�j FIRE DEPT. REQUIREMENT 20t Rough Factory'�Fireplace �� o^ APPROVALS Permit # 21. Ducts,in Structure �� 70. Underground Hydro 22. Ducts, Ventilating ��r 71�. Product Piping OGas ❑Oil -� � .7�3_,i,�s Pipe-Rougfi�& Test ,�,� _ � 72. .Underground Flush . � ... �. 24._Roof Framing '' �N 73. Undergmd.StorageTank �Gas ❑Oil � � 25. Roof Sh�athing �_ y) � �. � 74,�,Overhead Hydro � � , i 26. T-Bar�Geiling (Structural) & Monocoat 75. Dry Chemical 27. Framea�d Flashing' f'� � � O 76. Dry Standpipe 1l � �28' Lathing & Siding � �yy� 9 Qp Q� 77. Fl D SYSTEM FINAL � � 29. �Insulation e �_ �j Q 8. FIRE PREV. FINAL 30. Drywall'Nailing �- ,,i'�� . QD Q HEALTH DEPT. REQUIREMENT J. � 31. Plaster.B�own Coat (�,� yi} �J� 3 a 79. FINAL INSPECTION . ;, :, ` 132� Electrical Powec Meter,Einal C� ... �, 80. _F,OOD,GERTIFICATE ISSUED � -� -.� � ,-. , 33. Final Electric ? , `.Notes� , . . {Z-G-bti u�� v�a+G l.� 34. Final Heating & Air Conditioning 7� Q-�G� ''� ,/. 8f' QK � ��fj- 35. Final Gas Pipe�Test � }: " �36. Holod or Canopy .37. Final�� Factory-Fireplace '72 (f (,�.� � � ' n � �(38. FinallPlu�bing,�� d % / a(Q . �3� WaterService-F1'�'n�al� 7 � G� ' , � 40fGas'Service-F i nai� , � '41. Solar pom'estic-Final . 'L -42. BackfbGv Preventer! - - . _ ' ' ' ' 43. Backflow Irrigation,_ . t� • 44. Landscape IrrigationSystem ,- 45. Sound Attenuation� • . 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING g� ` •, 48. Special Requirements Completed i �' , 4�. Electric Release to Edison � �,50: Gas Release to Southem California Gas Co � � 51. CERTIFICATE OF OCCUPANCY • ' ' � '" ; � No. Date ' � � �' ._. . . � � ROBIN B. HAMERS 6 ASSOCIATES, INC. 234 E. i�TN sT., suire zos COSTn ME54,CA 92627 CNIL ENGINEERS • PLANNERS � SURVEYORS p�a�sae-tt92 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 July 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, �� Robin B. Hamers R.C.E. #31720 RBH/j p cc. Karamat Saadai v PR0.IECT p00qES3: ` � r � �' ""••'� -- K P.YNEfl'S NRMF: KVST A$J�'�C . aooxess:125 BAKER#261—E CM CA92626 714)6G8-9016 �HCH/ENGINEEN: � RDOBESS: flE0.N0.: , UNIT: G UNIT: PENMITTEE: ('H.�RLES SANDERS INK. ( 714 ) 630-1913 nooness: , 1441 Af:D GUM ST J ANAHEIM CA 92806 LICENSEO CONTMCT�B DECIAMTION: I hereby attirm that I am Iicense0 unAer provisions of Chapter 9(commencinA with Section 70W) o� DiWsion 3 of I�e Business antl Professions Code, an0 my license is in full �o¢�ettec �. cmuc.:017894 sureuc.:332798 //�� cus/s:C-2 Oate: _ � � Signature: �KL1�Ij WOXKEPS' CO EN ION OECUIUTIOX: I �ereby aHirm that I have a certif¢ate af cansent ta sel/-insure or a cehificate of Workers' POIJCY NO.nXWrp_cp,.pr,y 5�r4fie� Fapy ihe�eaf (Section 3800, LaO. Cy WyV]UJ 1t5S F%P.URTE:OSI7iI�O cornrnxv:nHIO CASULTY ❑ Certi/ied copy�is here�y turnisheA. � Ceriifietl coDY �s/fil�eE /w/itj� the ciry Buil4in0 �i ' on. Oa�e: ! L�� NPDlicanL 1� !/�(�4� � IXEMPTION F OM BKEXS' COMPENS6TION �ECUNIITION: (iAis sectlon nee0 not be com01ete0 if Ne permit is for one hunAreU ($100) or less�. I tertiTy tAat in tAe pedormance of the work br whicA this permit is issue4 I s�all not employ any person In any manner so as to become su6jec� �o �he WoM1ers' Compensation Laws oi Calitomia. Dare: SignaWre: NOTICE: Ii, aher making ihis declaration, you sAau10 Uecome subject ro the Workers' Compensation Orovisions oi the LaOor ' Code, you must forthwith compry witA such Omvisions or this permit shall be aeeme0 revake0. ICONSTNUCTION LENOINC RCENCY: I hereby aifirm t�at tAere is a consimclion lentling agency far the pedormance ot ihe work for w�ich t�is permit is issued (Sectlon 3097, Civ. C). �ENOEfl: � aooeess: OWNEfl BUILOEB UECIAMTION: 1 �ere0y aNrm �hat I am exemp� Imm the Coniracmrs State License Law lar the followin0 �e�n (Section 7031.5 Business anE Pmfeuional Cotle: My city of counry which requires a De�mit to consimct, alter, impmve, Eemolish, o( re0air any structure, pnor to its issuance, also requires the aDDlicant for such permit ro file a siAneA statement ihat he/she is licensed pursuant ro Ihe Dmvisions af the Cont2ctors' State License Law (CAapter 9(commencing with Section 7000) ol Division 3 oi the Business antl Professions CoOe) ar t�at he/she is exempt therelrom ana Iha basis for tAe alleAed exemD��on. My violation, ol Section 7037.5 Ey any aODlicant for a Dermit subjecls t�e appliwm to a ciNl penalry ol nat more than five hunOreO dollars (5500). I, as owner al ihe D�aperty or my employees wit� wapes as their sole comDensation, will Oo the work, an0 the ❑ stmcwa is not inten0e0 or oflereA /or sale (SecUon 7044, Business an0 Professionat Cotle: The Contractors' State License Law tloes not aDPly ro an owner ot a D�oDertY who �uitOs orimproves [hereon, anA who tloes such work �imselflherself orthrouqh �is ar �er own employees, D�oNAeU itat sucA improvements are not intendeJ or oflered for saie. 11, however the DuitAinp or improvement is solA within one year oi comptetioq the owner vriil �ave t�e OurEen of pmdnB he/she Oitl not 6ui10 ar impmve br Ine Our{wse ol sale�. � I, as owner of Ne DrapeM. am exclusively contractinA with �icensetl coniractors to constmct the prolect (Section 7094, Business ❑ an0 Professions CoOe: The Contractors' State Liunse Law tices no[ appty to an owner o/ Droperty who buAOs or imD�a�es t�ereon anU who contracts for such pmle��s wifh a contracroqs) license Oursuant to [he Contractors' State Licenu Law�. I am awara that praof ol Neir Warker's ComDensation insuanw shoul0 6e praNUetl to me. � 1 am exempi under Section: B. 8 P. C. � br this reason: � Oate: � Ownec I Oo hereby certity that I am aware of antl unAers[an0 the requirements o/ California Healih ana Safeiy Code Sections 25505, 25533, anA 25534 and that I or any tuture building occupant will/will not (circle one) need to comply witA sai0 state co0es an0 tAe requirements for a permit tor constmciwn or moAif¢ation fmm ihe Air Oualiry Management District. Nesitlen�ial constmction applications are exempt tmm Ihese pmvisi0n5. Oa�e: ADPlicanl: � I here6y Cehity tha� I Aave read this appiiCatiOn antl Slaie �hat �he aUove in�orma�ion is CORecL I aAree 0 com0ly wiih all ci�y and counry ordinantes anA state laxs relating ro UuilJinp consWciion anA here�y authonze repreSeniativu ot Nis i enter upon ihe above-menUoneO prapeM �or inspec�ian urpaus. � 1 G Date: SignaWre: �� orNer's Li nse r Social Securiry x: 16M11i6 W�ita—BuilCing; Graen—COCe Eniarcement; Canary—Ppplicant: Pink—Revenue; GolUenroG—Pssessoi CITY OF' CUSTA MESA — F�UILDING PERMIT PERM NU: M' 045221 PERMIT NO: M 045221 PLAN CHECi( NO: N GOVT: N SUPP: Y CON;TRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW 70� DESCRIPTION : AIR COND. ADD TO G40376 SQ F'T: CLAIM VALUE: a00.00 CALC—VALUE: GROUP OCC: R-9 /M-1 COMMENTS; ADD AIR COND TO #G40376 ****�*�*�r**�+�*�****��*�****��**��*�*��*�****��*#*****�*x******��**��**�**�x+�� Z O N i N G R E Q U I R E M E N T'S S E T B A C K 5 ------------ MAIN BUILDING — ------- -------- ACCESSORY DUILDING ----------- FRNT: F7' IN REAR: PT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGIiT; FT IN LEFT: FT IN RGHT: FT ZN PARKING RF.Q: PROV: PARCEL; 4397012F1 ZNEo REF NO: PLANNING NUTES> > if jt #' iE iE �E 3E if aE if if 1E iE if IE if iE iE 3E iE fE iF if �1E 1E iE iF it # iE if if 36 iE if !f if fk iE iE iE iE 3E iE �E 3E iE 3E aE �E iE iF if 3E iF if iE if �E iE iE iE �E iEiE iE if iF iF 1E dt 3E iE 3E dE iE iE ik 3f D E V E L O P M E N T S E R,;V` 1: C E S R E Q Ll I R E M E N T S ZONING APPROVEU BY DATE: BUILDTNC APPROVED HY. : ._ DATE: .f APPLICATIUN ISSUED BY: � - DAT�: Z'a � ifiE3fiEfEiflfiE�lfiE1F�1EiEiEiEit3EiEiElFifikl�i�ff i! i f i ��iFi��F1EiE�IflElfiFlEiEif�E�iFiF ` 1(- 1f1EiF�lFiFlFifiE�flEfflf�EiE9fiEif�ElEiEiE1E1EiE�ElElElElEif1ElElE � iEiE1EiE1fiElEiEi �ElE1EfE�lE�EiElE�lEiEfE-0E1EififiFif1f1E1EiEiFiE1E�1E3E3EifiEiEif�iFdE iE LEGALIZATIUN:N' ' F'E E' S U M A R Y STRUCTURAL SEGMENT:N ELDG PMT PLUMBING ELECTRIC M CHANIC FIRE SMIP/RES GRADING PERMIT 9.00 , 258 SMIP/NUN-RES PLAN ISSUE FEE 4.50 • BIIILDING-DIV-> PERMIT ISSUE PLAN-CIiECK TOTAL PAID • DUE TQTALS----> 9.00. 4.5'0 0.00 7.:].50 , 13.50 .00 � � REVENUE DIVISIOPI TOTALS--> COLLECTED: 13.50 OVER/SFIQRT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP�1'OT GRADING PLAN-CHECK 13.50 iE 9k iE 3E iE 1E fE iE iE iE if 3E 3E iE iE iE 1E af iE it iE iF if iE if iE 1f ff iE iE iE IE iE jE 3E iE iE iE if iE 3E if �f iE iE it iF iE iE it iE iE iE 3E IE 3F �E if �E If ih-)E iE iE �)E �F �E �f iE iE if iE if iE �E iE �E iE iE 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 MEC ]. REERIGERATION SYSTEM <= 100 K 5T0/H 9.00 9.00 , ED1D OF FEES 01 00048798-0004879E TOT 13.50 DATE: 12/D1l39 7ItlE: 16:20 �,, CONSTRUCTION AND PLANNING . POOL & SPA APPROVALS Permit# ' � Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole _ 52. Pool & Equipment Location - 2.-Soil Pipe-Undrgrnd, _ �`� 53. Steel Reinforcement � � 3. Electrical Cond`uiYUtility-Undrgrnd�, _ � 54. Forms .4�Electrical Condui[�Undrgrnd. _ -, 55. Electrical Bonding � .'5C,Steel Reinforcement -�� 56. Rough Plumbing & Pressure Test 6:rElect"ricalUFERGrnd. ' 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, � Undrgrnd. � ' 10. Structural Floor System ' � 61. APPROVALTO 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 79. Rough Heating & Air Conditioning � , FIRE DEPT. REQUIREMENT 20: Rough Factory Fireplace �, � . ._ k� , AppROVALS �` Per.mit # 21 _ Ducts, in Structure' � -� ' Y 7Q. Underground Hydro 22. Ducts, Ventilating �� '77. Product'Piping �Gas ❑Oil 23. Gas Pipe-Rough & Test - . ' 72. Underground Flush , 24. Roof Framing '. �� i� 73.'Undergrnd.Storage'Tank OGas OOiI 25. Roof Sheathing ' " 74. Overhead Hydro. � 26. T-Bar Ceiling (Structural) & Monocoat - - e, 75:'Dry Chemical 27. �Frame and Flashing -� � 76. Dry Standpipe 28. Lathing & Siding �" - - � ,� a 77:- FIXED SYSTEM FINAL ` 29. Insulation . • ' . • � 78, FIRE PREV. FINAL � 30. Drywall Nailing . .. � i �� HEALTH DEPT. REQUIREMENT '31. Plaster Brown Coat� = �: � 79. FINAL INSPECTION ; 32. _Electrical Power Meter-Final ,� . �; � SQ�FOOD CERTIFICATE ISSUED- ' 33. Final Electric " ' � 1'�'' Notes: � -� "34.- Final Heating & Aii. Conditioning � ^ � � �� , � ' . 35. �Final Gas Pipe-Test - �� ; j � _' ' � �. 36 Hood or Canopy ' ._� i� ;� ; �'= _ -. � '�37. Final Factory Fireplace ' • _ '� ( y'- _ . 38. Final Plumbing ' -� �� , ;� , � -� - 39. Water Service�Final . • ' ti 40. Gas Service-Final - _ �' -- � � , . , . � ':41. Solar pomes[ic�Final ' � � �' • . 42. Backflow Preventer .' , ; � " . - ; � 43. Backflow Irriqation ��• ' ' ti � � �44. Landscape Irrigation System . . -. " � . 45. Sound Attenuation -. • � � � � " �. � � ' 46. Handicap Regulations ' ,,,,, - _ . . � � ' 47. FINAL STRUCTURE & BUILDING � � � � i � 48.-FINALPLANNING C�" ; � - � , " 49. Electric Release to Edison � �� ' : 50. Gas Release Yo Southem California Gas Co l�y.; .- � ' . ' 51. CERTIfICATE OF OCCUPANCY ° ,. No. Date � rnaecr�ooaess:_ �ri7 S?�:1T�k �t'diz :t'r pWNEfl'SN�ME: �ICHARD FLOCK • �ooaess: zq�9 ORANGE AVE COSTA MESA CA 9262"1 99999999 RflCNIENGINEEH: nooxess: uxrt:G . CITY Of COSTA MESP. — BUILDlNG PERMIT PERMIT NO: F 045477 PLAN CHECK NO: 0164J-89 S CONSTRUCTION TYPE: PERMIT TYPE: FIR NEG.NO.: JOD AESCRIPTION : FIRE SYRINKLERS uxR: PEPMITTEE: ATI,A� FIRE PROTI3CTION ( 818 ) 76'7-5775 RDOXESS: �'�(jQ SAN FERNANDO RD 10 SUN VALLEY CA 9135� 11LENSFD COMTMCTOP DECIAMTION: 1 herehy atlirm t�at I a ¢ u0 un0er Dravivans of C�er 9(commencing xit� Section 7qp) ol Division 3 0� t�e Buslness an0 Prolessions CoEe, antl li nse is in full force an0 e ct. cm uc.: p q g 2 � srate uc.:5 6 7 0 81 cuss: C— �� . _�j o,�e: � SiqnaWre: WONKENS' COMPENSATION OECUMiION: I �ereEy aflirm ttwt 1 e a cenif te of sent io ulFinsua or a certificate af Workers Compenution Insuaue, ar a cenilie0 copy ihereoi (Section . LaO. CI� roucx eo.: 11 2 7 8 4 2— S 9 EXP. ORTE: � I O S/ 9 O cornr�xv: STATE FOND 0 Certitie0 rnpy is �ereGy fumishetl. ❑ CertifieE copy is file ' t�e ciry Buil ' D' '' �� ate: �� O Appliwnt: — IXF7APfI0X FNOM WOPKEIIS' COMPENSITION �ECIAluT10N: (ilis ' neeG not teG if tlie ce� � �or one hunOreJ (EtOD) m lar�. I certity tAat in tAe pedarmance oi the woM for which tAis De�n is i ueA, I shatl not emDlay any Dersan in any manner so as to Cecame su�ject �a lhe Workers' Campensation Laws o� Calilomia. Date: Signaiure: NOTICE: If, atter maWnp Uis deUaratian, you stroultl Gecome suGject to t�e Workers' Compenution proNsians ol the Labor Cotle, you must lortlm�it� comD�Y �� suc� D�avisions or this permit stull Ee AeemeO rewked. LONSTHUCTION IENDING �GENCY: I �eahy alfirm ihat t�ere is a consiruction IenOiny apency lor tAe performance oi the xroA Por � which t�is permii is i55ued (SeIXian 3097, CiV. C�. . LENOEH: ROONESS: OWNEB BUIL�ER DECLAMTION: I Aereby aifirm that I am exemD� ��m t�e Con[actors' Stata License Law Por t�a fa0owinp reason (Section 7031.5 Business antl Pmteuional Catle: My ciry ol coumy whic� repui2s a Dermit tn canstmc[, alter, improve, tlemolis�, ar repair any stmcture, prior to its issuance, also reQuires t�e aDM�cant tor sucA�Oe�mit to lile a siAned statement that he/she is licensetl pursuant to the provisions oi the Cantractars' S[ata Licensa Law (Chapter 9(commencing with Section 7000) oi �ivision 3 oi the Business anA Professians Code) or t�at he/she is exempt Iheretrom antl the basis lor t�e allegeE exemption. My violation of Section 7031,5 by any applicant /or a Oermit suUiecis the apDlicant to a civil penalry oi not more tlun five hunAred Oallars (SSOU). I, as owner oi Ihe DropeM'a� my employees vnt� wages as ihelr mle camDe��ion, will tla tAe woM, an0 tAe ❑ strucWre is not inten0e0 ar otlered for ule (Section 7094. Busmess anE Professional Coae: The Contractors' State Liunse Law tloes not apply to an own¢r af a pmperty who huiltls or imprmes t�ereon, and w�o EoeS 5uch woA himseli/herselt ar IArauOh Ais or �er own employees, pmvide0 that such impmvements are not inten0etl ar ottere0 for sale. Ii, �owever Ne 6uiltlinp or imDmvement is soltl wi��in one year of completion, ihe owner will have ihe burtlen of pmving �e/sha EiA not Luild or imDmve for ihe purpase of sale�. I, as owner oi the pmDerty, am exclusiveN coniroctinq vn[h Iicense0 coniracmrs ro canstmct the D�olect (Section 7064, Business ❑ and Pmlessions CoOe: The CAntac�ors' �tate Licenu Law tices not apON �a � owner ol properry who UmIAs or im0�� ereon CLAIM VALUE: 1,200.00 CALC—VALUE: COMMENTS: PROVIDE WORKMENS COMP AND AUTHORIZATIO *�+��rx*��*�*r*�#**��+�**+�***+��*�r�+�*x�*�r***x��r*�**�r*at Z O N I N G R E Q U I R� S E T B A C K S PERM D1U: F 04547J GOVT; N SUPP: b! PURPOSE: AUU SQ FT: CROUP OCC: R-3 ./ E N T S ------------ MAIN BUILDING ----- ---- -------- ACCESSORY BUILDING --/-------- FRNT: F"t IN REAR: P7' IN PRNT: FT IN REAR: F'T IN LEFT: CT IN RGHT: FT IN LEFT: F'1' IN RGIIT: FT IN PPRKING REo • PROV: PARCEL: 43920128 ZNE: REF NO: PLANNING NC�TES> � . ik iE 3E iF if it iE if if iE iE iE if k iE iE it i! # iE iE 3E # i! 3E 3E iF it ik it �Ik k fE iF iE 3f 1E if iE ik ib ik fE :k iE i! iE ik iE iE �1F i( iE �1(-iE iF iE �)f iE 3E iE 3E i! iE iE iE iE jf ?E ik iF iF 3E 3E iF ik iE �E k ll E �� E L O P M E N T S E R V I C E S R E tj U I R E M E N T S ZONING APPROVED DY . BUILDING APPROVED BY : _ APPLICATION ISSUED BY � iFifiEil�iE�IEififiEiEifiFjEitiEiEit#iFifihit�TFsF3f�i� � . . iF it it if� iF iF iE ib # if it 1E if �t iE if iE jE if ik iE dE iE iE if ih fE iE iE iE iE �f iE iF if dE LCGALIZATION:N F E � S BLDG PMT PLUMDING ELEC DATE: � DATE: —� �DATG v �.� � ft3F'I�'��'�ifiE'kif'1fiFlf'IEiEK'� �-�t1t3E iFi�hiE iF N� R' 1f )E i(� iE if iE ff f! �t if� if iF it 1E 1E iE iE iE fE fElE if �� iE ik iE fE 1F iE af 3E IF iElE if M M A R Y' STRUCTURAL SE:GMENT:N MLCHANIC FIRL' SMTF/RES GRADING PERMIT / k�LPN � .LSSUE CEE BUILDING—DIi�—> FERMTT IS�;UE PLAN—CHECK TOTALS----� 29.'00 0.00 1E1.F35 RF'VCNUG DIVISION TOTALS--> COLLECTED: ' BLDG PMT PLUMBING ELECTRIC MECI[ANIC 7.9.00 65t SMIP/NON—RES la. iiJ TOTAL PAID DUE 47.85 47.£SS ' .00 29.00 OVER/.riHORT: .00 FIRE SMIP/TOT GRADING PLAN—CHECK 29.00 anOwhocontraclsforsuc�Draiectsrrit�acomractor�s)IicenseDursuanitotheContractors'StateLicensaLaw).lamawara 9f3EiffEiE��iEiF3F�E�1f�1t3EiE7t3EiEfEitiEitiEiEiE�)tiE�(�itifit-%�F-lfikiFiEititititiEiEif3EjEifif�tititiEit*.IE.IEi(..k.�.ki�.�.��-�..K-.�.�K.�..7�.�*.�?�..y*..K.�* ihat proot oi meir Woncar's Compensanan insurance shaNn be Dro�itleo ro me. I N D I V I D U A I, F E L: B R E A K A O W N � I am exempt under Section: B. 8 P. G � , ror�msreason: T�PE QTY D E fi C R I P T I, O N UNIT' C05T TOTAL COST oaie: ownec PIR 29 FIRE EQUIP FEE (PROM BLDG VAL TABLE) 1.00 29.00 I tlo �erehy certiTy that I am aware ol an0 untlerstanJ the requirements of Calilornia Healih antl Safery Cotle Sections 25505, 25533, antl , � ND OP F E G.`i 25534 antl ihat I or any imure builEinA occupant wilU=il not (circle one) nee0 to camDty with saiU state coAes an0 t�e reQuiremenis lor a � permit for constmction or mo0ilication irom the Nir Oualiry Management District. Resitlential constmction aDPlications are exempt imm ., these pmvi5ians. , , � � Date: ApDlicant: I �ere�y certity t�at I have rea0 t�is applica6on an0 state ihat the aGove i�. tion is correct. I aprte t amDly with all city anA county orainances and state laws alatinp to building wns[mction an0 �e2by aNho ep�esenWiNu of t�i i enter upOn c�e aCove�mentloneA proOenY �orinspe ion pu ses. - �ate: � a � � SiA�ature: _ oriver's licenu or Social Securiry x: 18G1i8 W�iie—Builtlinp; Green—COEe Eniorcement: Canarv—Ap0lican�; Pink—Revanue; GoltlenroC—Assessor O1 D0050246-00050246 TO T 29.OD DATE� 12/20/89 TIME: 15:ID r `.I :l � . CONSTRUCTION AND PLANNING . POOI & SPA • APPROVALS Permit # � Date Inspector 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-Undrgmd. .. . 54. Porms " 4. Electrical Conduit-Undrgmd. � ' 55. Electrical Bonding ' 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test � 6.. Electrical UFER Gmd. � 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. . ' 10. Structural Floor SYstem 61. APPROVAL TO DECK .� 71. Property Sewer Line & House�Connection ' � 62. Backwash &•Receptor-Final ' 12. Sewer Cap - ' � � j� 63. Heater & Vent-Final i' 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 16. Fough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � �� APPROVALS Permit # 21. Dut[s, in Structure 70. Underground Hydro 22. Ducts, Ventilating . - 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test ' 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing • 74. Overhead Hydro -3..qD 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding �. 77. FIXED SYST.EM FINAL a•[tD �1/�p 29. Insulation ��'�� 78. FIRE PREV. FINAL .Z.l 30. Drywall Nailing • HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric ' ��4 • Notes: � 34. Final Heating & Air Conditioning �"`t _ ' i, 35. Final Gas Pipe�Test `� �' � �,:i 36. Hood or Canopy _ ; }''�' - 37. Final Factory Fireplace � � - 38. Final Plumbing . - 39. Water Service-Final - ' � i 40. Gas Service-Final-�-� ' � 41. Solar pomesticF.inal 42. Backflow Preventer - - 43. Backflow Irrigatio`n 44. Landscape Irriqation System ' 45. Sound Attenuation ' - � 46. Handicap Regulat�ons _, � � 47. FINAL STRUCTURE & BUILDING " � � 48. FINAL PLANNING l „' � � n.;� 49. Electric Release to�,Edison � 50. Gas Release to Soihern California Gas Co � 51. CERTIFICATE�;OF OCCUPANCY � No. Date ' �� : � City of Costa Mesa Oevelopment Services Department Building Safety Division P. O. Box 1200 Costa Meu, Califomia CERTIFICATE OF OCCUPANCY No. (�L�o,, j The Building located at 279 Carefrea Larle has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R3/Ml Occupancy. Use of Building Condominium Legal Description 839-201-28-29 (See re�erse side for Metes and Bountls) Building Permit No G 40376 Electrical Permit No. G 90376 Plumbing Permit No. G 40378 Mechanical Permit No. G 90376r P7 45221 Fire Pravention Permit RooF 45477 ISSUED TO: K.V.S.T. As�ciates 125 E. Bak�r St., Ste. 261-E Costa Mesa, CA 0262(6 Number of apartments and/or guest rooms Building Official �nY �� ; � by ., • . 7� r'� � Date Rbvem�r Y6, 1940 This Certificate of Occupancy SHALL BE ported in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev. 1/83 White -Owner; Canary - Numerical File; Pink - Bldg. Permit File