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Home My WebLink About282 CAREFREE LN - Building PermitsAVGlicant to fill In a11 spaces except those witnln neavy GorOer Iines anE sign all aporopriata Ceclarations. :ITY OF r.ncTn nnFsn l�flNcrQi irtTIf1N PFRMIT _ � 282 Ca'refree Lane r'ioject F�_,�•_ .- _ -- A�i7icant's M Address 7 y �.l �� -�=t'cr".1�� '-' Phone� Owner's Nami Address �C �""`�" "� - / Co�vactor's Name �-- �! ��/, p,,h,,o�ne��[��{„_ Address (mailingl � �Q �/��"s�^��- '�! %��C Ciiy License No. ' L • - � ��/ ItCENSED CONTRACTOR DECLARATION I hereby affivm that 1 am IiCensetl untler provision5 of Charter 9(commenUn9 with Secllon ]000� ot Dlvigjon 3 0/ the Bu5ine55 antl Protes5ions Cotle, antl my license is in full forte antl etfec[. License Class LicenSe No. Date Slgnbture WORKERS' COMPENSATIbN DECLARATION 1 hereby affirm that I have a certificate of consent to self-in5ur¢ or a<ertlflcate ot Workers' Compensation ��surance, or a certifietl copy thereof (Section 3800, Lab. CJ ' , ' Polity No. Company 8 CertitieG cooY �s hereCy Fumishetl. Certifietl copy is filetl with the city BUIltling Oivision. . � Date pplicant ✓+�� ,-�� -• �� EXEMPTION F OM WORKERS' COMVE�ORVECLA ATION (This section neetl not be mMpletetl if Ihe perml[ is far on¢ huntltetl ($300) or Iess). I cartity thal in th¢ Pe�/orrryance oi the wOrk f0/ whlch thi5 p¢rmk i5I55uetl, 1 shall not employ any person in any manner sop s•to become s �ect to the Workers' Compensatio LaWs of CalitOmia. ,/ 4 • Date Si9nature w� •—�` � �"' NOTI[E. I, arer makin [his Eeclaration, u shoultl become subject to the Workers' Compensation prpvisionz of the labor Cotle, you must torthwith comply with such provisions or this permit sha❑ be tleemetl revoketl. CONSTRUGTION LENDING AGENCV I hereby affirm that tnere is a construction lentling a9ency for the periormance of [he work tor whiGh thii permit i5 iSSu¢tl (Section 309] Civ. C.) Lentler's Name LentleYs Htltlress OWNER BUILDER DECLARATION I hereby attirm that I am exempt trom the Contractor's Licenze Law for the (ollowin9 reason (Section ]031.5 Business antl Profezsional Cotle: Any city or counly wbich requires a permit to cOnslruC[, alte�, ITP�ova, tlemolish O/ �epair any slructure, OriOr to ils iszuance, a150 /¢quires the appliCdn[ for Sucn pe�Til to file a signetl 5[atement that he/sbe is licensetl pursuant to Me provisions o1 the Convactor's Llcense Law (Cbapter 9(commencing with SecUon 7000) o! Division 3 oi [he Busine55 antl Professions Cotle) or [hat he/she is exempl [herefrom antl the ba5i5 fqr [he all¢getl exemplion. Any violation of 5¢ctlon ]031.5 by any applicant }o� a Pe�mit Subjects the appliGant f0 a civil enalty ot not more than (ive �untlretl tlollars (E500). � 1, as owner o� the Orppe�ty ot my em0�oye¢s wilh wdges d5 thei� Sole compensacion, will tlo the work, antl the sVucture is not intentled or otteretl fOr Sale (Settion 7044, BuSiness anC PrOfessional Cotle: The Con[ractor'S License Law tloes not appty to an owne� ot a prOperty wno Ouiltls o� improv¢5 lhereon, antl who tloes su�h work himself/herself or through hi5 0� her own employees, provitletl tnat such imOrovementz are no[ in[entletl or offeretl for sale. If, �owever, the buildin9 or improvemen[ Is soltl wit�in one Year of com- pletion, the owner will have the burtlen of proving he/she tlitl not buila or Im- prove for tne pu�0o5e oi Sa�¢), ❑ I, as owner oi ihe proPer(y, am ezclusively contracting with licensetl con- tractors ro consbuct the project (Section �044, Business and Professions Cotle: The Coniractor's License law tloes not apply to an owner of oroperty who builas or imoroves tnereon, ana wno coneracts for such oroiectz with a r.nn- tractor(s) Lcense pursuan[ eo me ConVactor•s License Law). I am aware [hac proaf of their workeYs Compensation Insurance zhoultl be provitletl to me. ❑ I am exempt�under Sec[ion B. & P. C. tor this reazon Date � �—%w- Owner _/Le! _d ! ' — � ��!�r , ti 1 h¢reGy certify tnat hdve reatl tha app i a wn ntl sta e that h¢ abOve information is M•ect. 1 agree to compty with all city antl <ounty ortlinances antl state laws r��ng to builtling constructlon, antl �ereby autnorize repre- sentatives ot this city to enter upon the above-mentioned property for InSp¢Ction pufpo5e5. Signature � �LG Date�B�2_� Orivers' License or 55 � �_ 0065-46, rev. 5/88 W�ite � Builtling: Canary - Applicant; Pink � Accounti C� 4 0 3 Co� �I �S�.Z�Io� �, I TYPE OF CONSTRUCTION LJ NEw 'LJ noo , ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCIi1PTION OF WORK/USE OF BLDG. —L J ALTERATION LJ REPAIR TVPE OF PE� GRADING ❑ FOUNDATION ❑ STRVCTURAL ❑ TENANT ❑ ELECTRICAL ❑ 7LUMBING ❑ MECHANICAL ❑ OTHER P PROJECT DESCRIPTION 54. FT. � Z ' OCCUaA Cv_ _ CONSTRUCTION TVPE VALUATION 5� ZONE GRAOINGCU.VOS. ACf3E5_ Remarks: / �e. �.�� (� Sink Preventer Irrigation Drinking Fountains � Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories Roof Drains Reinspection Fee � $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating ; Ezhaust System ❑ Multiple ❑ 1 Firepl/Fact. Blc iCBO # c Heating System & Ducting �� 1 C�0.700,000 BTU �100,0008T' Reinspection Fae ng; olaenrotl - Assessor 515 Showers Service Sink Sewer Cap Sewer Connection � Solar Collecrors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wesh I�sue Fee Hood or Typel Canopy Typell RefrigereGon System 00.700,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers FEES A.P. # r � S Main Buildi E T Front B Rear A C Ri9ht K Left S Ping. Rei. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher ' Dryers �Gas ❑Elecvic Fan - F A.U. nx�ures �.. �n Device Boxes � �} Outlets rah< Garbage Dispoul Generator 065 KW Fee Zane Accessory Bu Parking Req. 7r✓ /. ELECTRICAL Transformer ❑ 15-50 KW o eo + Kw 5KW §15 Meter Q4up ro 100 amps Meter ❑over100amps - Sub Panel Motors O0.1 HP O1 X- 8 Inc.Solar �9-15 HP �16-15+ Microwave Pole Light Range Sign Standing Sections Trash Compactor Issue Fee FEES 0 �� O N N G R E Q M T S. $ 3 DEVELOPMENTSERVICESREQU EMENTS: 2oning Approved By � Date �O '�'�� FEES � Buildine Approvad By � Data ./� Application lssued By r(/�.�(� Date � O� ��L7 � G SUMMARY O� FEES BUILDINGPERMIT $ �hZ% SMIP PLAN CHECK $ _��p�ERM1T PLUM8ING $ _f1�_� �SSUANCE PLAN CHECK 25% $� ENERGY P.C. ELECTRICAL $ GRADING PLAN CHECK 50% $ MICROFILM MECHANICAL S � TOTALFEE h. PLAN CHECK 25% $ \ i laue Fee S/,i � $ . ' ' ' ' " . . i' � . .t;7�VSTRUCTION AND PL•ANNING POOL & SPA � APP�ROVALS Permit�# Date Inspector AppROVALS Permit# � Date Inspector n • 1.,�Tempoia�� I�trical Service or Pole " 52. Pool & Equipment Location � ' � '2.�Soil Gipe-Undcgmd. �QiiJ-� (-��'� � 53. Steel Reinforcement . - r � , ,�3:9Elect�ical Conduit:Utility-Undrgrnd.- �� 54. Forms � � 4';�,Electrical C1on�ait,Undrgrnd. � 55. Electrical Bonding � �' 5. Steel,Reinfor ement- 56. Rough Plumbing & Pressure Test '- i' � • c �-�„-r '6:ElectricalUFER�Grnd: 57. APPROVALTOCOVER�GUNITE ,� �r .- �. . , 7�T'FootiPg� ,R� ��.L . - ��-- 58. Electrical Conduit-Undrgrnd. � ; � J 8!Foundation � !„ � -�, ;� 59. Gas Pipe, O Undrgrnd., Test C i �„ ;Xi A �• ' .� 9iWater Pipe-Undrgmd./ (�'�7�'j�( (,,EQ 60 ckwash Lines, P-Trap, O Undrgrnd. Y O . � lOG Structural Flo r System lp y� �� 61. APPROVAL TO DECK "l 11�P,r^opert�ST�Ar Line�&�HouseConnection ..G�Q 62. Backwash& Receptor-Final � 12. �Sewe� Cap' "' ' : � � � �' ' -' �.f, , ,� V , . � y 63. Heater & Vent-Final ,� 13. Roof�'�rains • � � •� � � 64. Plumbing System - Final � ' � �. - ' 14. Rou�h Plumbing �� 'Z ej ��/� 65. Electrical-Final •�' 15. Rough'Elec[rical-Conduit 66. Solar System-Final „ ,i 16�, Rough Electric Wiring �_ �� 67. Fencing & Access Approval v .1.7. Rough Wiring Sign 68. APPROVED FOR PLASTERING j8. Rough Electrical-T Bar Cei(�g � 69. POO VSPA SYSTEMS FINAL � 19. Rough Heating & Air Cond� �i'ng '� 90 [,� FIRE DEPT. REQUIREMENT , �0� Rough Factory� ireplace � +� `� I � �Q �� APPROVALS Permit # 21. Ducts, in Structure 2� 70. Underground Hydro 22. Ducts, Ventilatiq9 a� 71. Product Piping � Gas ❑ Oil ? t23� Gas Pipe-Rough & Test y . .-� 72. Underground Flush . � f�� 24 �Roof Framing � � 73. Undergrnd. Storage Tank O Gas ❑ Oil � 25_ Roof Sheathing !''y ✓ ��- 74. Overhead Hydro 26. T-BartCeiling (Structural) &�Aonocoat 75. Dry Chemical .r a.. 2j. Framea;d Flashing �l,T 76. Dry Standpipe 28? Lathing & Siding t- 3��O .� 77. FIXED SYSTEM FINAL .t 29. Insulation �� 78. FIRE PREV. FINAL � 30. Drywall,Nailing . .J HEALTH DEPT. REQUIREMENT '!31 � Plaster Brown Coat . �Q 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED� -- -/ , � a 33. Final Eleciric � . . ; �Notes:/Z{.,-j�/ (�ps7� ��/EjyrO�'-(kQ � .z 34. Final Heating & Air Conditioning � 7 � . � `Z �y � � �� -- 35. Final Gas Pipe-Test � 7� [� .36. Hood_pr Canopy � ., %�37. Final"Fac�tory�FV`place �Z � (�� ' �38. Final PlumbXg� a 7 � � 3�Wst r Lervic�e�-�Fina� � � _ (�,� � . _ - %,40. GasfService-��l � � 0 ��' �4L So�a�"Domestic-Final - , - "� " 42. Backflow Prevente� , -� - ' • � 43. Backflow Irrigation'.-, - , � � ' 44. Landscape'Irrigation'SYstem � 45. Sound Attenuation� � 46. Ijandicap Regulations � . 47. FINA STRUCTURE & BUILDING ( ' . 48. , mpleted � ,� .� _•" 49. Eleciric Release to Edison . r' � ;,50. Gas Release to Southem Califomia Gas Co �� • 51. CERTIFICATE OF OCCUPANCY � ' �� ! � - ' . ' �i No. Date " " � - � �- - March 20, 1990 w To: CITY OF COSTA MESA CALIFORNIA 9262&7200 P.O. BOX 1200 DEVELOPMENT SERVICES DEPARTMENT Building Safety Division Code Enforcement Communications Copley-Colony of Costa Mesa County Administration Office County Clerk/Bd. of Supervisors County Registrar of Voters County Tax Assessor Engineering Division (2) Fire Administration Fire Prevention Manager, MIS Mesa Consolidated Water Dist. Newport-Mesa Un. School Dist. (2) Pacific Bell (2) Police Dept. - Ping. & Research Santa Ana Heights Water Company Sanitary District Engineer Southern California Edison Co. Southern California Gas Co. State Board of Equalization Street Division U.S. Post Office - AZS U.S. Post Office, Adams Avenue U.S. Post Office, Santa Ana Zip 4 - Santa Ana File (2) The City of Costa Mesa wishes to advise you that the following addresses have been changed or added: 2627 2627 2627 2627 2627 2627 2627 2627 2627 2627 2627 2627 OLD ADDRESS nAn nBn nCn apn uEu npn nGn uHn nJu uKu uLn uMu Santa Ana Avenue Santa Ana Avenue Santa Ana Avenue Santa Ana Avenue Santa Ana Avenue Santa Ana Avenue Santa Ana Avenue Santa Ana Avenue Santa Ana Avenue Santa Ana Avenue Santa Ana Avenue Santa Ana Avenue 298 294 290 286 282 278 279 283 287 291 295 299 NEW ADDRESS Carefree Lane Carefree Lane Carefree Lane Carefree Lane Carefree Lane Carefree Lane Carefree Lane Carefree Lane Carefree Lane Carefree Lane Carefree Lane Carefree Lane A.P. N0. 439-201-29 439-201-28 For your convenience we are listing the agencies above that we have notified of the change. In addition to those listed, you are advised to notify your correspondents of the change in order to avoid any possible interruption of mail service. 77 FAIR DRIVE Building Division (714) 754�5626 • Code EntorcemenVBusiness License (714) 754-5234 • Ptanning Division (774) 754-5245 March 20, 1990 Page 2 Your cooperation in this matter is appreciated. Sincerely, �5�.. r' - C� ..� �.,� STEVEN C. CLARKE Planning Intern SCC:jl(ADDCHNGE.81) cc: Richard R. Fiock 2479 Orange Avenue Costa Mesa, CA 92627 � CAREFREE LANE CAREFREE LANE 0 i PXOIECT ROONESS:.--i, `- �' OWNEH'S NRME: [(�r$'j' A$$QC . aooeess:125 HAKER#261—E CM CA92626 ' 714)66F3-9016 RNCN/ENGINEEP: �DORE58: qE0.N0.: uxn: g UNIT: PEPMRTEE: CHARLES SANDERS INK. ( 719 ) 6J0-1917 noaness: 1441 RED GUM ST J P,NAHEIM CA 92806 UCENSEO CONTIIACTOB OECLAMTION: I hereby aBirm tAat I am IicenseA unUer pmvisions of CAaptar 9(commencinA witA Section 7000) ol Division 3 of ihe Busine55 anE Pmfessions CaEe. anA my license is in �ull lorce�^ tl efleci. ' cin uc.: 017 8 9 4 sTnTe uc.:3 3 2 7 9 8�A �uss� 26�J Q Oate: Z Signaiure: ��IJj/� ,AC� ��L�� WONI(ERS'C MP NSPilONOECUMTION: IhereGyaflirmihatlhaveacertificateolcansenttosel6insuraoracertlllcateolWOMers' PoLICY NO.nX�rpncp�, pr�y�rufii �opy (he�eof (Section 3800, La�. C W`Jl1 Uj tl.� EXP.�ATE: O�/iB/iO COMPRNY:OHIO CASULTY ❑ CertilieE copy is her h tumk�e0. � CertilieA caDY is fileE with t ciry Builtlin Oi ' ion. y 0 Oate: L � 1 APDlicant: �� EIIEMFf10N FlIO WO FAS' fAMPENS11TI0N OECIANITION: (Tliis section need not �e complete0 il tAe Dermit is for one hunOreO (E700) a less�. I t¢rtily tha� in Ihe pertarmante oi I�e work tof whit� this permit is iuue0, I Shall n0i employ any pefson in any manner 5o a5 Io hetOme suoject ro Ine Workers' Compensation Laws oi Calilomia. Date: SiAnature: NOTICE: tl, atter maWnO ��is EecWra[ion, you 5houlA Decame subject to IAe Workers' ComOensation pmvisions of the Lahor Cotle, you must fonnwith comply wi[h such provisions or t�is permit sAall he tleeme0 rewkea. CONSTNUCTION LFNDING 1GENCY: I herehy ai/irm Itwt there is a constructbn IenCinp apency lar the Detlormance of IAe work lor wAich this pertnitis issued (Sectlon 3097. CN. C�. IENDEP: aooness: OWNFB BUIIDEB OECIAMTION: I �ereEy aifirm that I am exempt irom ttce Coninctors S�ate Lkenu Law for tAe fdlowinp reason (Section 7031.5 Business anG Pmlessional Cotle: My ciry oi wunry whic� repuires a Dermit to consimct, alter, improve, tlemolis�, ar repair any structure, pnor to Rs aswnu, also reavues I�o apWiwnt lar wch permfl to file a sipne0 statement ihat fie/s�e is IicenseE pursuam to tAe prwisbns of the Camractors' State Lic¢nu Law (C�apter 9(commencin0 ��h Section 7000) of Oiv6ion 3 al tM Business and Professions Cade) ar that hels�e is eaempt therefmm anG the Eazis for the allepeU eeemD�ion. My violation ol Soction 7637.5 hy afry applicant tor a permu wbjec6 Ne appliwnt to a civil penalry of not more than live hunOreA Oollars (5500). 1, u awner oi t�e pmDeM or my employees wit� wapes as tAeir sole compensation, �wlll Eo the work, anE I�e ❑ stmcwa k not inten0ed or atlere0 for sale (Section 70Cd, Busmess anE Pmlesvonal CoOe: T�e Comractors' SWta License Law Uces nat aDDN �o an wmer oi a Droperty wlro GullEs or improves I�ereon, anU wtw Uoes suc� work Aimself/hersell or INouOh his or Aer own emDloyees. D�oN0e0 Ihat suc� improvements are noI inlenGeE ar offereA for ule. II, �owever t�e Euilainp ar im0�%'ementissold wiUun one year oi completlon,tAe awnervnll have Ihe OurEen of O�odnp he/she Ei0 not build orim0�ove for the Ouryose al ule�. I, az owner ot Ne pmperry, am exclusNely contractinp wit� licenutl contactors ro consimct the D�alecl {Sectlon 7044, Busineu ❑ anE Prafessrons CaEe: TAe Comactors' sGte Licerse Law dce5 nat appty to an owner of OropeM1y who �uAOs or improveSl�ere0n an0 wtro cantracis tor suc� D�ojecis wrth a contracinr(s)license Dursuant to the Coniactors' State License Law),I am aware that proof oi their Worker's CamDensaOon insurance s�au10 De pmviEeE lo me. � I am exempt untl¢r $ection: B. a P. C. lor this reazon: Dare: �e� I Eo hereGy certiry that l am awaa of anG understantl t�e repuiamen6 oI Calilornia Hwlt� and Satery CaOe Sections 25505. 25533, antl 25534 an0 itut 1 or any imure buildinq occupant wiil/will not (drde one) neeE ro camply witn sai0 state coGes anE t�e requirements for a permit for cansimction or moAitication imm t�e Nr Uualiry ManaOement Oistrict. HesiAential constmction aDDliwtions ara eeempt Imm NeSe provision5. Oate: AD7licant: I Aere�y certiry tha� I have reaA IAis appfiwtion an0 sWte ttut t�e ahave informa[ion Is corrtct. I apree ta com0ly wiih all ciry antl counry ortlinances anA sUte lavrs relatinp m Euildinq cOnslruclion antl �ere0y a nze repasematNes ol t�is ctty enter upon t�e aGovamentloneG propeM �or inspectian pu qoses. D Date: � L ( ✓ � SiAnature: ��1.�� ^�.4� onver's ticense or soc i Securiry x: 18n48 W�i�e—BuiWing; G�een—CoEe EOIO�CBTBn�: Cen9ry—AppliCen�; PIOk—RevBOUB; GOIaBmaU—Fsse990� ' L _—__—�___" ._�t _' . �- CITY OF CGSTA MESA — AOILUING PERMIT PERM NO: M 045223 PERMIT�NO: M 045223 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTROCTION T'YPE: V—N PERMIT TYPE: MEC PURYOSE: NEW JOB DESCRIPTION : AIR COND. ADD TO G40369 SQ FT: CLAIM,VALUE: 800.00 CALC—VALUE: , GROUP OCC:, R-7 /M-1 COMMENTS: ADD AIR COND TO ttG40369 **x��x*rt****ir*�**��*x��*��r�*�*��r****��#***+�***�u*�*�*�*******u*�*+t��*********�� Z O N I N GS ERTEHQAUCIKRSE M ti N T S -------------- MAIN BUILDING ------- -- --------- ACCESSORY DUILD7NG --------- FRNT: P1' IN REAR: FT IN FRNT: FT IN REAR: FT IN L�FT.: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARECING RE � PROV: PARCEL: 4J92012(3 ZNE: REF NO: � PLANNING N�TES> > dt if if if �)E 1f iE i41k if iE iE iE 3E iE 1E iE iE jE iF iE �lk iE iF iE aE jEiE it if 9E 1E 1E iE iE iE �)E iE"3F iE 1E iE iE af 3f iE ik iF k iF iEiE if iF if iE iF iF iE iF if iE iE if if ik jE jE ik iE if iE �E iE if ikik ik iE D E V E L O P M E N T S E R� :t? I C E S ' R E Q I] I R E M E N T S ZONING APPROVED BY BUILDING APPROVED BY :_ APPI:ICATION ISSUED BY � iE jE iE ik iE it iE iE if iE iF if iE iE * iE it iE if iE if iF3F it iE * it if if iE if iE 3f if iE iF iE iE lE it if iE iE iE jE if if 3E LEGALIZATION:N DATE: DATE: DATE: ��'� ��F�i��+��+�*�*�r�� * itlF�EiEiEiFiE �kifiEififiFlfifiFlEiEiEiEiEiEiEiFififiEifiFillE3EiEiEiElfibifitiFiEif�EifiEiFiF%�iE F E E S U M M A R Y STRUCTURAL SEGMENT:N � BLDG PMT PLUMBING .ELECTRIC MECHANiC FIRE SMIP/RES GRADING PECtMIT 9.00 258 SMIP/NON—RES PLAN ISSUE FEE 4.50 • BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PP.ID � DUE TOT.ALS----> 9.00 4.50 0.00 13.50 13.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 13.50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 13.50 if IF iF iE if if !E fE 1E iE iE iE 3E k if !E �)E # iE i! iE 3E iE iE iE iE iE ik �F iE iE iF iF 3E 3E iE iE 3E jE iE iE �E 3E iF �lE iE �lf IE jf iE iF iF it iE iE iE iE iE �IE iE iE 9E IE iE iE �lE iElE iE �1f 1E iE 3E 1E iE iE if IE If I D! D I V I D U A L P E E B R E A K D O W N TYPE �iTY. D E S C R I P T I O N UNIT COST TOTAL COST htEC 1 REFRIGERATIOM SYSTEM <= 100 I( DTU/H 9.00 9.00 END OF FGES 01 U604E792—OU048792 T �'77 13.`0 DATE: 12/O1/89 TIME: 1G:18 � 1� CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2.- Soil Pipe�Undrgmd: . 53. Steel Reinforcement � `3. Electrical ConduiT Utility-Undrgmd. 54. Forms , 4. Electrical Conduit�Undrgrnd. : 55. Electrical Bonding � 5�. Steel Reinforcement ' S6. Rough Plumbing & Pressure Test � '- 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings '• 58. Electrical Conduit-Undrgrnd. - �' 8. Foundation . � 59. Gas Pipe, 0 Undrgrnd., Test . 9. Water Pipe�Undrgrnd. . 60. Backwash Lines, P-Trap, O 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. fiough Electrical�Conduit , 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access ApProval � 17. Rough Wiring Sign , 68. APPROVED FOR P�ASTERING 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. �.Rough Factory Fireplace -_ • APPROVALS � Permit # 21. Ducts, in Structure ' - '�, 70. Underground Hydro 22. Ducts, Ventilating - � ,71, product Piping OGas OOiI 23. Gas Pipe-Rough & Test ., � 72. Underground Flush 24: Roof Framing �• . .�. � 73.� Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing ' 74. Overhead Hydro " 26. T�Bar Ceiling (Structural) & Monocoat ., � 75:"Dry Chemical 27. Frame and Flashing � 76. Dry Standpipe . . 28. Lathing & Siding � . � 1 � 77. FIXED SYSTEM FINAL _.. 29. Insulation - �� . 78.� FIRE PREV. FINAL � , 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ' n-� 79. �FINAL INSPECTION - 32. Electrical Power Meter-Final !. . 80. FOOD CERTIFICATE ISSUED 33. Final Electric - • f� { Notes: ' � 34. Final Heating & Air Conditioning �' �(j0 t�� y - . � 35. Final Gas Pipe�Test � � ' " � � �r 36. Hood or Canopy ` . � � ' • �37. Final Factory Fireplace =. , ` 38. Final Plumbing . � . 39. Water Service�Final � - -40. Gas Service-Final . � � . , � . 41. Solar pomes[icFinal 42. Backflow Preventer � - 43. Backflow Irrigation � � 44. Landscape Irriqation System � - ' � 45. Sound Attenuation � � ' 46. Handicap Regulations ' _ � " � �47. FINAL STRUCTURE & BUILDING � � � 48. FINAL PLANNING �•' � 49. Electric Release to Edison ' 50. Gas Release to Southem Califomia Gas Co �.' .. - 51. CERTIFICATE OF OCCUPANCY No. Date PN0.IECTROOflES3� �[z��r�T;£:. ��.,�g a�' ' OWNEfl'SNRME: �ICI'IARD f'�.ai�CK . aooeess: ��q-�g ORANGE AVE COSTA MF.5A CA 9"l6?7 99999999 RRCNIENGINEEH: REa.NO.: ROOHE&S: uxiT: � ('j'('� p�' COt�'CF. MFSA - BUILD'Ch1G PERMI'L F�RM rao: r 045479 PERMIT NO: F 045479 PI.AN CHLCK NO: 01640-D9 S� GOVT: rl SUPP: hl CONSTRUCTION TYPE: PERMIT TYPE: FIR P(�RPCISE: APC� UNIl: PEHMIifEE: �TLA..ri FIRE YRUTIiCTION �((i lE3 ) 767-5775 aaoeess: ��64 SAN FERNANDO RT` 10 SUN VALLEY CA 91J52 UCENSEU CONTILICTOB OECUIMTION: I �ereby attirm Ihai I am litens der provisians of ChaD�er 9(ta mencinp with Sec�ion 70W) oi Oivision 3 ot �Ae Business antl Pmfessions Cotle, anE my licen i in full farce an0 eifect. cmuc.:049243 sTa�uc.:5670F37. �'C-16 �ate: 1 signature: WOBNEBS' C MPENS TION OECIAMTION: I �ere6y aRirm t�at 1 �ave a c ' ate of wn nt ro se sure or a certiliwte oi Workers' Compensation Insurance, ar a certifietl copy thereoi (Section 3800, Lah. roucv xa.: 112 7 Ll � 2- 8 9 exr. o�Te: / O i/ 9 0 coMr�nr: STATE FOND m Cenifie0 co y is here0y fumished. ❑ Cenifie0 copY is filed w e ciry Builtlin 'vi ' r �ate: �a � ADDlican�: IXEMPTION FflOM WOBKEfl3' COMPEX511TION OECUMTION: (Tliis uttion not he comD eteA tt �he permii is lor one �uMreG (5100� or less�. I certity t�at in the De�armance oi t�e work far whic� this permit is issue sAail not employ any persan in any manner sa as to �ecome sublect to the Workers' Compensation Laws of Calilomia. � Oate: SiAnature: NOTICE: If, atter making t�is Oeclaration, you shoul0 �ecome su0le�t to t�e Warkers' Campensatian proNsions ot tAe Labor Cotle, you must fotlAvnih camply with such provisions or Ihis Dermit s�all 6e aeemed revoketl. CONSTBUCTION IFN�ING �GENCY: I Aereby aflirm thai Nere is a cons[mction lending apency tor tAe Detlormance oi Ihe work for which ihis Dermit is issued (Section 3097, Civ. C). � IENDEH: ' ROUPF58: . OWNEB�BUILUEB OECIAMTION: I hereby affirm I�at I am exempt irom ihe Canlraciors' State License Law for the followinp reason (Section 7031.5 Business anA Professional Code: My ciry ot wunry which repuires a permit to wnstmct, alter, impmve, tlemolish, or repair any simcNre, prior to its issuance, also reQuires Ae aDP�icant far such Oe�mit ro lile a sipneU statement Ihat he/she is IicenseA pursuant to the provisions of ihe Contracmrs'-State License Law (Chapter 9(commencing with Section 7000) of OWision 3 0l I�e Businass an0 Professions Code) or tAat he/she is exempt the2from and ihe �asis for t�e allepeA eKemD��on. pny violation af Section 7031.5 Gy any aDPlicant for a permil subjeds the ap0licant to a civil penalry of not more t�an five �unOred tlollars (5500�. I, as axrwr oi the Dmperty or my emCloyees vnth wapes as t�eir sole, comDenution, will Uo the work, and ihe ❑ stmcmreis notinten0e4 orafleretl/orsalel5ection 70Cd, Business an0 ProtessionalCaUe: T�e Caniractors'State License Law tloes not apPN �a an owner ol a O�oDertY w�o Ouilds or imD�a�es t�ereon, an0 wAo Ooes suc� work himself/�ersetl or IhmupA his or her own employees, proviAed tha[ suc� improvements are not inten0etl or offereE for sale. If, however IAe �uil0inp or imDrovement is so10 within ane year oi completion, the owner will have Ihe 6urAen oi provinp �e/sAe Ei0 not huilA ar imDrove tor the Duryose af sale�. . I, as owner of tAe pmpeM. am exclusively contracting witA licenutl coniracrors to consVuct t�e Draject (Section 7094, Business ❑ antl Pmfessions Code: The Cantroctors' State License Law dces nat aODN �o an owner oi DmpeM who OuilAs or impmves tAeaan anA who contracis lor suc� D�ajecis vnth a coniractor(s� license pursuant to tne Cantacrors"State License Law). I am awam Mat p�ooi oi their Worker's ComDensation insurance 5�ou10 6e pmviUetl to me. � I am e.empt unaer Sectlon: ' B. 8 P. C. � tor this reason: Date: � � Owner._ 1 tlo AereUy certity t�ae I am aware ot antl un0eistana tne requirements a( Califomia 25534 anC that I ar any fufua Duiltling occupan� wilUwill not (circle ane) nee0 fo car permil for conslmRion or moditicatian irom Ihe tir Oualiry Manaqement OislncL F t�ese pmvisions. , JOII DfiSCRIPTION : FIRE SPRINKLERFi Sc� PT: CLAIM VALUE: 1,200.00 CALC-VALUE: GROUP OCC: R-] / COMMENTS: PROVID}3 WORKM�NS COMP AND AUTHORIZATION /��jv �,p� p iE*3EititiF3EiEiEiE�iF�lEifiEil�itifitiEibifitifiE�lEiFiE�EifiE+tiFitif+tifiEitiEiFx-iEiEiE3EiEiFiEit�4�f .:.,r �F,vitx,rk k,viEik',.xatik .. :. �EiE Z b N I N r, R E Q U S R E M E N T 5 . S E T B A C K S . ----------- MATN DUIliDING ------ --- --------- ACCESSGRY HUILDING --------- FRNT': PT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: F1' IN PARKTNG REQ: PROV: PARCEL: 4392U128 ZNE: RLP NO: PLANNING NOTEa> > �lf �lk 1E iE itlf ihlf iF 1ElE i6 i( iE i' 1E 1f iE iE �E 1E if �t ik iE �If iE ik #-0f 1E iF iE 1E if ik iElE if !E �IklF 1t iE iE if iE iF iF if -1E iE if if 1E i(-if 1f if if !E �E iE it iE fElE iElE jf iE iE it iE iE �%� �%� iE iE D E V E L O P M E N T S E R V I C E S' R E Q LJ I R E M F' N T S ZONING APPROVED BY . BUILDING APPROVEU 6Y : APPLICATION, ISSUED, HY: �---- -- iEifi[�iE�1E�FiEiFkiEiFjEik3E3Eif�kitlfiEikil��iEib'iF3F�i�iFiF - .xiF�. 1E1EjFiEffiElFif�f3EiEihiflEiEiE3fltiEiEiE�E9l�iF�1FiE1ElElEklklEiFiflEiEd! fE LEGALIZATION:N F E E � BLDG PMT PLUMBIrIG ELECT IC P�.xMz7� PLAN cssar r•EE BUILLING-DIV-> TOTALS----> DATE: � 1�ATE : DATE : �,Z'ZD��B� iElEifiEibibiE3fiEiE'�F3F7�rt 3EiE 1F iE if ff �E 1t 1E iE if 3Elf �E fE iE iE �E 1F iElE �f if 3E �f iE iF iE �� 1f i( iE i! iF?F �E it if fE �E 3f iE U M M A R Y STRUCTURAL SrGMET1T:N MECHANIC FIRE SMIP/RES GRADING 29.00 658 SMIP/NON-RES 1 � . � S PERMII' ISSUE PLAN-CHECK 79.00 0.00 18.85 REVENUE DI��ZSION TOTI�LS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC TOTAL PAID DU� 47.f35 4"1.85 .00 29.00 OVER/SHORT� .00 FTRE SMIP/TOT GRADING PLAN-CHECK 7_9.00 k' lE !E �t iF Ik 3E iF 3E �rt iE if iE jE� �%-* 3t 3t �lE iE if �lk iE it iF iE if i(� 9E iE �T' ft it iE iF itlt iE il-ik ik it iE �)F iE iE iE iE iE-k iE dF iE iE iE if iE 4 k k� 1E iE it iF k iE it # iE iE k i(� iE 3E k iE �!E iF iF T N D I V I D 0 A L F C fi B R E A K D 0 W N 'PYL�E QTY D E S C R Z P T I O N UNIT COST TOTAL COST I GIR e Sections 25505, 25533, an0 les an0 the reQuiremenis for a . ap0lications are exempt /rom ��, Oate: FpplicanC I hereby certiTy tAat I have reatl [his ap0liw�ion an0 state IAat Ihe above inf on is correct. I aqr lo mpty with all ciry an0 counry ordinances anE state Wws reWtinA �0 6uildinA cons[mction and herehy aNAo' r resenWtives oi this t nter upon the abovrmentioneE proper[y fo� in50e ion purpo es. - Date: �, � SignaWre: oriver's License or Sociai Sewnry x: 1601<8 W�ita—BuiMi(w; Green—Catle Enb¢ement: Canarv—Appliwn�; Pink—Ravenue; Goldenrotl—Assessor 29 FIRE GQUIP PCF. (PROM HLDG VAL TADLE) 1.00 29.00 �9vLT 4A!F '.c�_,�E� 01 0�0502<2-00050242 T OT 29.00 DATE: 12/20/89 TIf1E� 15:08 lf � � /, CONSTRUCTION AND PLANNING POOL & SPA APPROVALS . Permit # Date Inspector APpROVALS Permit # Date Inspector :�. 1. TemporarY Electrical Service`orPole � 52. Pool &�Equipment Location � i. . � 2. $oil Pipe-Undrgrnd. ..'� 53. Steel Reinforcement �� '. � � 3. Electrical Conduit Utility�Undrgrnd. ..• 54. Forms �' 4. Electrical Conduit-Undrgmd � '�� 55. Electrical Bonding ��r 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, � Undrgrnd., Test � 9. Water PipB�Undrgmd. ' . 60. Backwash Lines, P�Trap, O Undrgmd. .' . 10. Structural Floor Syst m , , � ' 61. APPROVAL TO DECK ��` �11. Property 5ewer �ine & House'Connection 62. Backwash & Receptor-Pinal - 12. Sewer Cap - 63. Heater & Vent-Final . 13. Roof Drains � ' � 64. Plumbing System - Final . 14. Rough Plumbing " �� ' 65. Electrical-Final � 15. Rough ElBctrical-ConduiY� 66. Solar System-Final i6. 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. Rough Heating & Air Conditioning FIRE DEPT. REnUIREMENT 20. Rough Factory Fireplace - - APPROVALS Permit # 21. DuCts, in Structure 70. Undergrounii Hydro 22. Ducts, Ventilating � 71. Product Piping O Gas D Oil 23. Gas Pipe�Rough & Test • - 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof SheSthing 74. Overhead Hydro �- -!j(� jN . 26. T�Bar Ceilin9 (Structural) & Monocoat . 75. Dry Chemical 27. Frame and Flashing � 76. Dry Standpipe 28. Lathing & Siding �. 77. FIXED SYSTEM FINAL $-3-'lu tu:�1 : 29. Insulation �%�i 78. FIRE PREV. FINAL �Z-�V (,�`A � 30. Drywall Nailing . � HEALTH DEPT. REQUIREMENT 31. Plaster 8rown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final � �;.� 80. FOOD CERTIFICATE ISSUED r 33. Final Electric � _ ! ;;,' � Notes: . 34. Fioal Heating & Ai� Conditioning �'" ;� ' - i1 / � 35. Final Gas Pipe-Test ��'� 36. Hood or Canopy " y n' � _ 37. Final FactorY Fireplace ! � �' 38. Final Plumbing � _ ' , � 39. Water Service�Final- • , 40. Gas Service-Final�' 41. Solar pomestic-Final 42. Backflow Prevente? � 43. Backflow Irrigation 44. Landscape Irrigation System ,- 45. Sound Attenuation . - 46. Handicap Regulations .,,` .. 47. FINAL S7RUCTURE & BUILDING '� _ '., 48. FINALP4ANNIIVG %� � . i J 49. Electric Releasejto Edison �. � 50. Gas Release to Southern California Gas Co �- 51. CERTIFICATE OF OCCUPANCY � No. � Date �A _ �" City of Costa Mesa Development Services Dapartment Building Safety Oivision P.O.Box 1200 Costa Meu, California :. CERTIFI,CATE OF OCCUPANCY No. �',Lv.'-S�'� Tne Building located.at 282 Carofree [,ano has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Groiip R3�F71 Occupancy. Use of Building CAndOmin�um ' Legal Description 439-201-28,29 ' � (See reverse side for Metes and eoundsl Building Permit No G40369 Electrical Permit No. f7d(laFq Plumbing Permit No. "nnn��o G.- � . Mechanical Permii fVo. ��9 Number of apartments and/or guest roo'ms ��- ISSUED T0: �� KVST Associates 125 &�k�r St��at, Suite 2010 ' . C'osta r:esa, CA 92626 Building Official m�,n.. rtrn �� , . b ° Y � Date Auqt�at 1(5. 1�gD This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Corta Mesa under Sec. �307 (e) U.B.C. CMF 1015-46 rev. 1/83 White � Owner: Canary - Numerical File; Pink - Bldg. Permit File �