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Home My WebLink About286 CAREFREE LN - Building PermitsPH0.1ECiR00BESS: `5`-r n�3m_ UXIT:L� owxex�sxnrne: RICHARD FLOCIC��* � 11DONESS: 24'�9 ORANGE A�IE COSTA MESA _ CA 32627 99994999 ANCN/ENGINEEH: NEG.NO.: aoosess: uNiT: Pa ow ss: ATLAS E'IRE PROTECT.T.O . ( E41II ) 767-5775 7764 SAI� FERNANDO , 10 SUN VALLEY CA 91352 LICENSED CONTMCiOB OECIAMTION: I �ereby aflirm t�at I am lic s unCer pmvisions al Chapter 9( mencing unth Section I000) oi Oivision 3 of �he Business antl Pratessions Cotle, anE my lic is in fullforce and eHec�. cm uc.: 0 4. 7. 4 3 srnh uc.:5 6 7 0II 1 uss: r— �. f• �ate: � SiqnaNre: WOBHEHS' OMPENS�TI N OECUMTION: I �erehy affirm that I �ave rlificate of can t t -insure or a cenificate of Warkers' Compensation Insurance, or a certitietl copy thereof (Section 3800, L. C). � roucrxo.:l.l'27842—FS9 exr.nar: 0�/O1/90 coMvanr: STATE FUND p Certifietl coDY i Aereby fumished. ❑ CenifieE coDY is fled wi e giry BuilEinA ' i. � Date: /O, o O �� 1p0licant . . E%EMPf10N FPOM WOBKEBS' COMPENSRTION OECUMTION: (This uction eA not be compl ' e permit is for ane hunAieO (5100) ar leu). I terti/y I�at in Ne peNofmance o� I�e wufk tof which Ihis permit is issueE, I shall nOt employ any p¢f5on in any manner w a5 to b¢come suDiect to ihe Workers' ComDenution Laws of CalAornia. � Oa�e: Signature: NOTICE: II, after maldng this Ueclaration, you shoul0 6ecame suEle�t ta t�e Workers' Campensation provisions ol I�e LaOor Code, you must fonhwitA comDly with such provisions or tAis.De�mit shall he OeemeO revaketl. . WNSTNOCTI�N LENUING RGENCY: I herehy aifirm ihat Ihere is a constmction lendinp agency for Ihe petlormance ai the woB for whicn tnis permit is issue0 (Section 3097, Civ. C�. . lENOEN: . FODRE55: � CITY OF COSTA MESA — BUILlSING PERMIT PERMIT NO: F 0454i30 CONSTRUCTION TYPE: FLAN CHECK.NO: 01678—F39 S PERMIT TYPE: £IR FERM NO: F 045480 CU��'P; N �SUIF: N PURPOSE: ADD JOB DESCRIPTTON : FIRE SPRINKLLRS SQ F'T: CLAIM VALUE: 1,200.00 CALC—VALUE: GROUP OCC: R-3 / COMMENTS: PROVIDE WORKMfiN5 COMP AND AUTHORIZATIO��J �� p 3E1EiE3fit3E1EiF3f+tkifiFiEaEiE�ltil-iEiEiEiEiEifit3tiEiEffkiEitiE3f�1E3EiEiEiEiEiEiFiEit3F#it�E3'fk ,r jc�E� i�,�itxj(-.�it>� iE3E�.�iFY-3hiEjtY-3f Z O N I N G R E Q 0 I R E M� N T S S E T B A C K S -- --------- MAIN BUILDING --- -------- --------- ,ACCESSORY DUILUING �------�--- FRNT: FT IN,REAR: FT IN FRNT: FT IN REAR: 'FT IN T,EF'T: FT IN RGHT; F'T IN LENT: FT IN RGiIT: FT IN PARY.ING REQ: PROV: PARCEL: 4]920120 ZNE: REF NO: PLP.NNING NGTES> � 3f 3E �IF �f iE j(- iE �1E iE �IE ff 1Elf it iE iE it iE fE i! �1F 1E iF iE iE �f if �1f ik if #!f ih if �)k �1E iE 9F # if'lf iE ik iE 1E �!E fE iE �E iE%if if iF i! �lf if ik iE iF �)f )E ik df IE iE iE iE-1E iF iE iE iE iE it iE iE iE it 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 F N T S ZOD)ING APFROVEU BY _ ___ DATE: DUZLDING APPROVED DY : APPLICATION ISSUBD BY:��6 1EiEiEiEiE�ltititiEififiEif#itjEiFiEiEjE1EiF R ie r.� iE jf iE if iF iE ik jF if iF if iE 3k iE 1E 1E ib iE iE �E iE 1F iE iE iE iE i! jf j! * iE ik jE 3E LEGALIZATION:A7 F E E OWNEP BOILOEB OECIAMTION: I herehy aflirm ihat I am exempt /wm t�a Cantractors' State License Law for [he lollawinp reason Bj,liii PMT (Section 7031.5 Business an0 Pmfewional Code: . My ciry oi counry which reQuires a De�mfl to construcL alter, impmve, demolish, or P E��„� I T repair any simcNre, Drior Io its issuance, alm requires ihe applicant for such permit to file a siAneA statement I�at �e/s�e is licensetl - pursuam m tAe pmvisions o� ��e Canlraciors' State License Law (Chap�er 9(cammencinp wtt� Section 70W) o� Division 3 of Ihe Busineu and Pmtessions Cotle) or Ihai Ae/sAe is exemp� therelrom and Ihe 6asis tor Ihe allege0 exem0�ion. Any violation ai Sec�ion 7031.5 by PLAN any aDDlican[ lor a Oarmit suble��s t�e aOD��cant to a ciWl penalry of nat more than five AunUreO tlollars (5500�. j� S�JE F E E � J PLUMDING FLECTRI ' '_ ... , .., DATE: � DATE: �'� "S� iFiF��F�iFlE ?F iE 1e iF �E dE # iF it �IE 3F 3Ei(- �TE� iF iE if iE iE �lf � iE iE if if iE i!� iE �1F iE it if iE iE #�Y.-iE iP 9E iFik iF iE iE # jE if if 3f �� iE 3E iE * M M A R Y STRUCTORAL SEGMENT:DI MECHANIC FIRE SMIP/RES' GR.ALING 29.00 65� SMIP/NON—RES 1F3.85 i, as owner of ihe pmperry or my em loyees vnin waAes as ineir soie compensallon.'wiu uo ine work, and the BUZLDING—DIV—> PERMIT LSSUE PLAN—CHECK TOTAL PA7D DCTfi ❑ simcmre is not intentlea or anere0 for sale Igection 7oaa, eusiness ana Pmfessionai Coae: The Contracrors' State License Law TOTAL S---=> 2 9. U U 0. Q U 1 23 ., 8 S 4 7. 8 S 4/.(3 5 , 0 0 tloes not aDPly to an ovmer at a O�operry who OuitAs' or improves ihereon, antl who tloes such xrork himseli/herself ar tAmup� , his or Aer own employees, pravitle0 that suc� improvements are not inten0ea ar ofiered for sale. It, howevar t�e buil0inq or impwvementisSolAwithinaneyearofcomplelioqtheownerwillhavetheUwaenofprovinghe/shetlidnotbuiltlarimprove REVENUB DT��ISION TOTALS--> QOLLECTED: 29,00 OVER/5HORT: 00 mrtnepurposeo�u�e). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CFIECK I, as owner oi the D�oDenY, am exclusively contractinp with IicenseA coniractors ta consimct ihe pmjeci (Section 7044, Business - 2� y. � � ' ❑ an0 Professions CoAe: The Cantractors State License Law dces not appy to an owner of properry who UUAtls or imDraves Ihereon - ' an0 wtlo wntracts tor sucA O�oiects witll a contractar�s) license Oursuant to the Contractor5' State License Law�. I am aware �(-* jE�� 7(.*�� *�%dt 3E�f 3f iE�if�1E 3E iE iE�If iE�1f-3f�7E iE 3E itiE ih 3E aFiElE�tt iF iE iE if jEjh# lF�k if iE iE�7Pjf iE-k�fElf.x..�jl.3E {E.N.{(.*.7E{E *{E # it 3E iE if aE iE iF ?E iE it {E�lE jf�le that pmof oi iheir Worker's Compensatmn insurance sAoultl be proviee0 to me. T Dl D I V I D U A L F E� D R L: A K D O W N � I am exempt under Section: . B. 8 P. C. . � ' rorinisreuon: 1'YPF. Q'I'Y U L-: S C R i P T' L O T1 Date: Ownec I do hereDy certity Nat I am aware ot and unEerstand ihe reQuirements ol Cali/ornia Healt� anG Safery CoOe Sections 25505, 25533, anA 1� 1« 25534 an0 that I or any tuNre �uilAing occupant wilU=11 not (cirde one) neeA ta com0ly with sai0 state codes antl t�e reQuiremen[s for a permit for constmction or moEification tram t�e Air �uality Manapement Distnct. Residential consimction ap0�ications are exemD� ��om Ihese pmvisions. Oate: ' AppliCan�: I hereby ceniTy t�at I have reatl t�is apD�ication and state that tAe above intur is correct. I apree to c ply with ail ciry an0 caunry orainances and state laws relatin0 �o builtling constmction antl �ere�y aut�onze se�n�atives oi lhis i r upon ��e above-mentioneE . pmperty for inspecti l puryoses. ' Daie: �a �� SignaNre:' ' Onver's License or Social Secunry M: � , 1641d8 White—Buibiig; Green—Cotle Eniorcemenp Canary—Appliwng Pink—Revenue; Goltlenro0—Assessor 29 FZRE EQUIP T?F.� (FRUM ELDG VAL 'TADLE) Et•]U OP E'BES S UT1IT' !'OST TUTAL COS'P 1.00 �29.00 O1 OOOSD243—ODOSDZa3 TQ T 29.OJ. DATE: 12/20/89 TIME: 15:Q4 u� ';f 4'/ CONSTRUCTION AND PLANNING - POOL & SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector t. Temporary Electrical Service or Pole 52. Pool & Equipment Location • � 2. Soil Pipe-Undrgrnd. l� 53. Steel Reinforcement � 3. Electrical Conduit Utili[y-Undrgrnd. 54. Forms " �. 4. Electrical Conduit-Undrgrnd.� � - � 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. �70. Structural Floo/System 61. APPROVALTO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final �2• SeWe� CaP � � 63. Heater & Vent-Final � ! 13. Roof Drains � � � � , � � 64. Plumbing System - Final � 14. Rou h Plumbin �, � � • 9 9 •65. Electrical-Final 15. Rough Electrical�Conduit 66. Solar System-Final 76. 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. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, 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 � Gas ❑ Oil 25. Roof Sheathing ' 74. Overhead Hydro �-3 _�j� �p, 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing • ' 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL _2-(j� 29. Insulation ' - '�� 78, FIRE PREV. FINAL - �-'.Z,�p �� 30. Drywall.Nailing . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat . 79. FINAL INSPECTION 32. Electrical Power Meter�Finai � S0. FOOD CERTIFICATE ISSUED 33. Final Electric . ' t i p` Notes: 34. Final Heating & Air�Conditioning �` � ;ii. 35. Final Gas Pipe-Test � � ' � , -' � / ,- '36. Hood or Canopy . ' � � - 37. Final Factory Fireplace i 38. Final Plumbing I 39. Water Service�Final� � 40. Gas Service-Final �; �' , . 41. Solar pomestioFinal � �� 42. Backflow Preventer- � � � 43. Backflow Irrigation� � 44. Landscape Irripation System � 45. Sound Attenuatiori , � . i . 46. Handicap Regulatibns - � . 47. FINALSTRUCTURE.&BUILDING . �� 48. FINAL PLANNING �� 49. Electric Release to Edison ' 4� 50. Gas Release to Southern California Gas Co �• � 51. CERT�FICATE OF OCCUPANCY No. Date CITYOFC�"" ""' ProjecrF.ad - _ ilppl�cant'S Nlaiiinq„4ddr Owner's Na/y/�e �� -^S�.lt-=Y Address 2''LL� . ��n�(�Tlll l/�TIlll�l ppA11/IIT � 286_Care�ree_Ln. No. ADD��ant to fill in all spaces ezce0t tnase witnin heavY OorCer Ilnes ane sign all aoorooriate tleclarations. PFRII�IT Plfl TRACT NO. LOT NO. I INIT.�wn Address R�Gl% �dR�T C��T.�'d- .U/%p � Contracto ' N y)T ACI• __ Lp,h,o.ne �q.f?.c.�� Address lmailingl �� "��- lG/c City License No. �� 2�O 26 LICENSEp CONTRACTOGt DECLARATION I hereby allirm that I am licensetl untler provi5ion5 0l C�arter 9(commencing wlth zeciion ]000) 01 Division 3 0/ the Business antl Protezslons Cotle, antl my li<ense is in /ull lorce antl eliect. Licenze Cldss LlcenS¢ No. Da[e Sigqature WORKERS' COMPENSATION DECLARATION ' `reby al}i�m lhat I have � certitiwlC o( <Ons¢n[ to selLinSure or a certificate Norkers' Compensation Iniurance, or a certifietl copy thereof (Section �0. Lab. C.1 . - � ' Policy No. Company 8 Certifietl copy is nereby turMshetl. Certifietl capy ii filetl w{[h the cily Builtling Divislon. ' � Date Applfcant EXEMGTION FROM WORKERS' COMPENSATION DECLARATION �- (This section neetl not be cqmpletetl if the permit is for one huntlretl ($300) or iess). � . I cartNy thac in the perforr�ance o/ the work for which thls parmit is issuetl,.l� snall not employ any person in any manner so as to become subject to tM1e Workers' Compensation l.aws ot Calltornia. /. � �ate �gnature � � NOTICE: If, a rinakin hi5 tlecla�a[ion, you OW�pCie bject to the �. Workers' Compenzation O�ovisions of the Labor Cotle, you must forthwith �, comply wilh such provlSiOns o� thi5 p¢rTlt shall be qe¢metl �evoketl. ' CONSTRUCTION LENDING AGENCV I hereby allirm that there is a mnstruction lenain9 agency tor (he performance of the work tor which tM1is permit I5 issuetl (Section 3097 Civ. CJ Lentler's Name LenrJer's Aatlress OWNER BUIIDER DECIARATION 1 hereby dffirm lhat I dm ex¢mp[ irOm the Contracto�'s License Law fo� th¢ following reason (Section ]031.5 Business antl Professional Cotle: Any city or county whlcn requires a po,rmit lo <onstruct, alter, improve, tlemolish or repalr any structure, prior to its issuan<e, also requires the applicant for such permit to file a signetl itatemen[ [hat M1e/stte i5 li<ensetl pursuant t0 the p�ovi5ions of �^? Contra<tor's License Lew (ChaO�er 9(commencing with 5ection 7000) of 'cion 3 ot tne 6usiness antl Prolessions Cotle) or that he/she is exempt �from dntl the ba5i5 fOr lh¢ allegetl ezemption. Any viOlation oi Section i.5 by any applicant tor a permi[ 5ubjects the applicant to a civll nalty of not more [nan tive huntlretl tlollars (5500). ��I, as Owner o( tne prop¢rty or my employee5 wltM1 wag05 as their sole Cotnpensa[ion, will tlo the �yp�k, antl the st�ucWr¢ Is nol intentletl Or offeretl to��sale (Section 7040, gusinezs antl Profezsional Cotle: The Contractor's License Law tloes not apply to an owner of a property who builtls or improves thereOn, antl who 4oe5 S4ch work hlm5fit/hers¢If o� tM1�ough his or hE� own er,y�loyees, proviaeE that such improvements are not intentletl or otteretl for sale. If, howoveq the builtling or improvoment is soltl wittiin one year o1 cort�- plelion, tne owner will ha�¢ phe burtlen o( provin9 he/she tlltl not Duiltl ar im- prove for the OurpOSe ot Shce). ❑ I, as owner ot the property, am exclusively Contracting witn lic¢nsetl con- tractors to constru<t the project (Section 7044, Business antl Profeszlons Cotle: The ConVactor's License t�w does not appty to an owner of pro0erty who builtls or imOroves lhereon, antl who cont�acl5 fpr SIICb �IOICCIS WI[h d con- fractor(sl Lcense pursuam ro me Contrac[or'S License Law). 1 am aware tha[ pto0f o1 their Wotker'S Compen5atlon inzurance shoultl be provi0etl to me. ❑ I am ezempt untler 5¢ction B. & P. G. tor this reason Date r —'L. �'/� Owner ' 1 hereby ce�tify thdt I 08ve rea [hi5 applicaLion dntl state that the dbov¢ information is correct. 1 agree lo comply wi[n all tlry antl tounty ortlinances antl Slate laws r¢lating lo builtlin9 conSiruCtion, antl hereby authorize repre- 5¢ntatives Ot Ihis City 0 entef upOn Ihe abOve-mentiOnetl propefty for InsOection purpOses. Slgnature • � h� �ate_��o� Drivers' License or 55 � a 4�3 �or3 I��7� I� l I 17 TYPE OF CONSTRUCTION �J NEW' P.DD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCFiIPTION OF WORK/USE OF BLDG. Ycr.�y—�_i nz TYPE OF PERMIT LI GRHDING LI FOUNDATION LJ STRUCTURAL ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJEC7 DESCRIPTION 5Q. F7._'� �,�.t'—oCCUaArvcv � CON STRUCTION TVPE VALUATION S� ZONE GRADINGCU.VOS. ACRE Remarkz: Backflow Preventer Backflow Irrigation Bathtubs Dishwasher Drinking Fountains .. Floor Drains Floor Sinks Gas Service Outlets Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee � $15 Boiler Duct- Under Ground Duct - Structural Duct � Ventilating � ExhaustSystem ❑ Multiple i Firepl/FacLBIt.�C80# j� Heating System & Ducting .� ' �0.700,OOOBTU�100,000 Reinspection Fee � $15 0865-46, rev. 5/BB White - Buileing; Canary - Applicant: Pink - Accounting; Goltlenrotl - Assessor ShOwers Service Sink Sewer (;ap Sewer Connection Solar Collectors Solar.Piping Solar Tank ' Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service AULO�WeSh Laundry Trays laue Fee ( IHood ar Type I I� Canopy Type I I �� Refrigerati0n SyStem �0.700,000 BTU ❑100,000 Sysrem Repair/Alteration Fire Dampers Registers Issue Fee A.P: # S � S Main Buildi E T Front � ARear � C Right' � SLeft 2� Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher . Dryers �GaS ❑Electric Fan _ • F,A.U. Device Boxes Outlets Switches Garbage Disposal Generator �65 KW i Build Parking zone ELECTRICAL Trans(ormer ❑ 15-50 KW ❑ SO+KW Meter Llup ro 100 amps Meter ❑overi00amps Sub Panel Morors []0-7 HP Q7 X- 8 Inc.Soiar �9�15 HP �16-75+ Microwave Pole Light Range Standing Sections 15 KW 1 Trash Compacror FEES N 1 N G R E Q M T S. Reinspection Fee $15 Issue Fee -8�3� $ 3 DEVELOPMENTSERVICESREQUIREMENTS: /�/� Zoning Approved 6y �p Date�o- �• rr� FEES Buildine APP�oved By Date�� Application laued By � � _ Dete � "— > — "7 r � �SU MARV � FEES BUILDING PERMI{D� � SMIP $ �� PLAN CHECK $ PERMIT PLUMBING g � ��UANCE $ t PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ � GRADING $ � �� PLAN CHECK 50% $ � � MICROFILM $ MECHANICAL $ r�¢� TOTALFEE $ � 9 "� PLAN CHECK 25% $ �. � - __f '_y' � ' 'f�. , ' , ' .' , ` ._ ,. . . ' CCSNSTRUCT:ON ANr7 PLANNING POC SPA AVQROVALS Permit# � Date Inspector p�ppROVALS Pe�mit�#� �~ Date Inspector tyTemporery Elzctrical Service or Pole 52. Pool & Equipment Location � l...�...: r 2. Soil.Pipe-Undrgrnd. �p-��ijQ L{� � 53. Steel Reinforcement �3� Electr.ical Gbnduit.Utility-Undrgrnd. " 54. Forms � 4�Electrical Conduit-Undrgrnd. ,- 55. Electriral Bonding . a < 5. Steel Reinfbrcement 56. Rough Plumbing & Pressure Test '• `6,, Electricai;UFER Grnd. 57. APPROVAL TO COVER-GUNITE ' . 7: Footings'�q � j'y�EE� pp p0� 58. Electrical Conduit-Undrgrnd. � � :. 0 S'!Foundation �� . � 59. Gas Pipe, O Undrgrnd., Test _ 9! Water Pipe-Uridrgrnd: � ��-l� "K L�iD � 60. Backwash Lines, P�Trap, � Undrgrnd. : tO.�Stiuctural Floor System p 61. APPROVAL TO DECK 11.-PropertY�SewerLine&�HouseConnection �3 GED 62. Backwash&Receptor-Final ' � 12..SeweF Cap�� i ,' 63. Heaier & Vent-Final ` �� 13:�R3of Drains �. 64. Plumbing System - Final - � 74. Rouyh Plumbing- �� L�,� 65. Electrical-Final " 15. Rough Electrical-Conduit 66. Solar SYstem-Final 16�- Rough Electric Wiring - p 67. Fencing & Access Approval � �17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18�. Rough Electrical-T Bar Ceilirig �-'i 69. POOL/SPA SYSTEMS FINAL i �19,. Rough Heating & Air Conditioning '-$IL�� (�(� FIRE DEPT. REQUIREMENT �20? Rough Factory Fireplace �^ (� R0 G� APPROVALS Permit # 21. Ducts, in Structure c� 70. Underground Hydro 22. ��ucts, Ventilating �.:y- 71. Product Piping O Gas ❑ Oil i . �23.'Gas Pipe-Rougli'& Test i � 72; Underground Flush , �2�. `r^oof Framing� _�,. � 73. Undergrnd. Storage Tank O Gas ❑ Oil � l • 25. Roof Sheathing '� r.,� -� �' �' 74. Overhead Hydro � � r t n 26. T-Bar Ceiling (Structural)'&.Monocoat 7 ry Chemical 27� Frame and Flashing ` �� Zp � 76. Dry St �dpipe 28. Lathing & Siding �j �7!FIXED SYSTEM FINAL 29. Insulation � 3 y � 78. FIRE PREV. FINAL 30. Drywall'Nailing HEALTH DEPT. REQUIREMENT �,31: Plaster�Brown Coat ', 3 y1 � 79. FINAL INSPECTION 32. Electrical Power�Met�rF..inal 1„ %� 80. FOOD.CERTIFICATE ISSUED . -� 33. Final Electric ' � • /Notes:/Z�-}J`j (v�� $�/�y��0(� �p , 34. Final Heating & Air Conditioning 'T �C�. L� . 1 �, � 1/' �� f% 35. Final Gas Pipe-Test 7 � `.�36. Hood,oc.Ca J py - i. �...i � ' 37. Final Faao_ry fi�eplace lf(� (,FQ i38. FinalPlumbi�g� + 76 Qfj � 38. Water.Service-Final - ad �� , � - e.' �44`GasService-Final '- � 41. Sola� DomesticFinel -' - ' c� � i 42. Backflow Preventer • • _ _ . � ' 43. Backflow Irrigation'� � . - '� ' "' ' ?� 44. Landscape Irrigation System ' � 45. Sound Attenuation • � 46. Handicap Regulations � 47. FINALSTRUCTURE&BUILDING �Q �� . • , 48. Special Requirements Completed .� 49. Elect�ic Release to Edison - - � � � L50. Gas�Release to Southern California Gas Co ' �i} ' 51. CERTIFICATE OF OCCUPANCY , ' � � . r.� �. � ! No. � Date : : . ' � '. �I- ,t, i veaecr aooeess: ' . OWNEfl'SNRME: KVST F:5$�C. nooeess:9.25 BAKER�f261-1� CM CA92626 714)668-9016 RRCHIENGINFEfl: RDOHESS: REO.NO.: uxir: ll UNR: PEflMITTEE: CHARLES SANDERS INK. ( 714 ) 630-19.13 ►ooeess: 1991 RED GUM ST J ANAHEIM CA 97.806 LICENSEO CONTMLTOfl OECIAMTION: I �erehy affirm that I am licenutl un0er provisions of CIUD 9(�mmeneinA �� «ion 7000) at Division 3 of ihe Business antl Protessigns COEe, and my li nLs'e' i�full torca a etlect �' cin uc.: 0 7 fi 9 q srnre uc.: J 3 2 7 9 8 cus C— 2 Uate: Si namre: � � WORKENS' C MP IBATION OEClAW1TI0N: I �ereby aHirm that I have a cMifiwte ai consent fo sell-insure or a cetliliwte ol Warkers' Compenutian I� ��r�a �ndie� fogy +��o� (Section 3800. �ae.�� / 2 8/ 9 0 aoucrxo.:0IiI0 CASULTY E%P.01TE: COMP�NY: �e, ❑ Ceni/ied co0 5 hereEy fumis�etl. L'J CerlifiM capy' i nih t�e i BuilOin iivi5i Oate: Applicant: � . IXEMPfION F M WO NE 5' COMPENSITION OECUMiION: Rlns seclion MeG no10a compl¢ted il IM pemn� is lor one AmMreO (510� a less�. I ce�iry Itut in ��e p ormance of t�e xroM lor w�ic� t�is permlt I5 iSsueE, I ihall not emDloy any persan in any mannar 50 a5 to Eecomo wGject ro tAe Workers' Compensation Laws at Calitania. Date: SiAnature: ' NOTICE: Ii, atter maknq N¢ CeUaration, yau sMula become suDjat to t�e Workers ComOenutlon D�a� ol t�e LaOor CaOe, you musl forthxith wmply with suc� O��ons or tNs permn SAall Ee OremeA revoke0. CONSTBUCTION LENDING 11GENLY: I hereEy affirm IAat Ihem is a constmction IenEinq apency lor ihe petlormance of Ihe woM lor wNch t�¢ permit ¢ isweC (Section 3W7, Civ. C). LEN�Efl: �DOHESS: CITY OF COSTA MESA — BUILDING PERt4IT PERM DIOi M U4522-0 PERMIT NO; M 0452"l4 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRtICTION TYPE: C�—N PERMIT TYPE: MEC PURPOS�: NEW JOB DESCRIPTION : AIR COND. ADD TO G40368 SQ F'f: CLAIM VALUF: 800.00 CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: ADD AIR COND TO liG40368 *�e��*****��*�x�*�**x��*�*�*�*�*�r**�r+��+�+�***�***��*�**��*x**�**�x �*��*�c***��ex��**rt 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 S ------------ MAIN BUILDING ---------- ---------- ACCESSORY HUILDING --------- F1tNT: FT IN REAR; FT IN FRNT: FT LN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE�• PROV: PARCEL: 43920128 ZNE: REF NO: PLANNING N I'ES> > iF if if dt �k if if iF if if if iF if iF ik it it iF iF if iE 1f iE jE iE iE iE iE iF ff fE iE 3E iE fE 1E iF iE 3E iE �)E iE fF if 1E iE iE if IF iE 3k �k if 3E k 3E iE iE iE iF dF ik iF iE iF 3k �E it i! jE * iE iE 3f iE iE if it 7E D E V E L O P M E N T S E R•.V I C E S R fi Q U I R E M F. N T S ZONING APPROVED HY ' DATE: � BUILDING APPROVED BY : ' DATE: �� APPLICATION ISSUED }]Y:��— DATE: �� iEiFitiEiFlFiEiF3EiEitiEiFitiElEiklFiEiEitit �{FiEiE Fi . iEiEiEifaEiEifiEiFiE'3F� , E�(-i �1kiFikiElFiFilififiElEiklElf�kiElf�lhlfifiElh�lflf�I4lElEiEiEiEiEiF�Eitit�lE EiElE1E1EiE3E EiE1EiEiflEiEi!-0kiklElEiEfElEiE�IElEiEjEiElfiEiElEiEikfEifiEiFiEjE3EiE LEGALIZATION:N F E E S U M A R Y STRUCTURAL SEGMENT:N OWNERBUILOEODEClAM710N: I�erebyalllrmthatlamaxemptlmmt�eCaniracrors'SuteLicenSeLawtortAelollowlnOreason BLDG PMT PLUMBING ELECTRIC ME HANIC FIRE SMIP/RES GRADING (Sec6on 703t5 Business ana Protessional Coae: nny ciry ot counry wnich repuires a pertnit ta cansiruct, atter, improve, eemolisn. or P ERM I T - 9. 0 0 repair any strucmre, prior ta Rs issuance, also repuires Ihe apD��nt far such permit to lile a 5i0�� statement ihat he/sha Is licensetl , i S Y SM I P/ NON —R E S Dursuant ta the pmvisions of tAe Cantactors' State License Law (ChaO�er 9(commencinp with Section 7000) ol Division 3 oi t�e Businass j� L AN , an0 Pmfessions CoCe) or Ihal he/s�e is eremD� ��emlmm an0 Ihe Oasis lor tAe alle0� evemD�on. My NOWGon of Seclion 7031.5 by I S S U E F E E 4. S � anyapo��m�wavermitwnjensmeaoeiiwntroacivi�cenairyoinatmomtnantnewnereeda�wrs�ssoo). BUILDING—DIV—> PERMIT ISSOE PLAN—CHECK , TOTAL PAZD DUE i, as awner af ine Droperty or my empioyees wim wapes as tneir sole comDensatian, win Ca ma work. ane the TOTALS^---> 9. �0 4.$� 0. 00 13. 50 1 3. S� . 00 ❑ swpure is not intenaeE ar ollereE tor sale (Sectwn 70aa, Business and Prolessional Code: T�e Contrzpors' SWre Licensa Law Oces not aODN �a an wmer ot a pmpeM � huilds or impmves thereon, an0 wM Eoes wc� woM �imself/heruli or t�roup� � �is ar her awn em0loyees, prodtleE that sucA improvemenis are nat inlentle0 or ottered br sale. II, Aowever IAe 6uiltlinp or REVENUG D 2 V I S ION TOTALS--> COLLECTED • 1 3. 50 OVER /SHORT • � 0 improvementismlOwllNnoneyearolwmpl¢tion,t�eavmerwillhavet�eburtlenotprovinp�UsAeAiOnot�uil0orimprwe BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK fOr tAe purpase oi sale�. I, as owner of t�e pmperry. am eeclusNely contractinA �+�� Iicense0 cantractors to constmct tAe pmjecl (Section 7044, Business 1 3. 5 � , ❑ antlProlessronsCoOe: TheCanvapas'SutaLicenuLawtlasmt3PDhtoanownerotDroOefIy vAaEmlOsarimprovesthereon �1kiE1E�lfiEiEitiEiEiEiEiEiEiE3EiEiElEiEif3E3hikiEiEiE�lFitiEiFiEifiEi[-i[�iFiEiE�lfiEit�]FiEifiE�lFiEifkiEiEiEifkiE3fiEiEiEiEiEititiEiEiFil3E�lfiE�EiEit�lfilif3EiEiE 20d Wh0 LM�fdCIS �Of SUC11 pI0�2CI5 WIA 2 fAOltdtl0f�5) IIECI150 pU1S1011i IO I110 �AIIIfiLIOR' $IdtO LILCO50 LdW). I drtl dWdfO tnat orooi ol ineir Worker's Compenuoon insurance shoWa be pmmoeo to ma. . I N D I V I D U A L P E F B R E A H D O W N 0 I am rxemD� under Section: B. 8 P. C. tortnisreason: TYPF. QTY D E S C R I P T I O N UNIT COST TOT'AL COST oate: �e� MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9,00 9.00 I Go �ere0y certiry tAat I am aware af anG understantl Ihe repuirements of Califomia Health and Salety Cotle Sections 25505, 25533, ana Ei�D V i F E E S' � 2553d an0 t�at I or any fuNre EuilCinO �cupant wilUwill not (circle one) need in compry wit� said state codes anE t�e requirements for a . permit far constructbn or rtp0ifiwtion hom t�e Air Oualiry Manapemem Distric�. Hesidemial construction aD7�iwtions are exempt Imm � t�ese pmvisions. � py�¢: Applicant: I Aereby cenity ihat I have rea0 this application anE state tAat the a�ove information is carrect. I a0rea t omply wit� all ciry antl counry orNnar¢es and SUte la relatlnq m Duildinp cansiruNon an0 �ereby authorize reDreSentaWeS af ' dry o nte� upon Ih a�ove�menlione0 properry for ins ection pIIIpO5E5. � Date: � L � �+ . 16CtA6 White--BuilEinp; Green—CaEe EnlorcemanC Cenerv—Aoolitant: Pink—Ravenue; GoltlenroE—Assesaor 0 01 QOD48783-�a0h8788 T O T 13.50 UATE: 12/01/89 TIME: 16:16 CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector t. Temporary Electrical Service or Pole _ 52. Pool & Equipment Location ! 2. Soil Pipe-Undrgrnd. � " 53. Steel Reinforcement I• 3.� Electrical Conduit Utility•Undrgrnd. 54. Forms ' 4: Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5: Steel Reinforcement �-� • 56. Rough Plumbing & Pressure Test 6.` Electiical UPER Grnd. . 57. APPROVAL TO COVEF�GUNITE � 7. Footings �� 58. Electrical Conduit-Undrg�nd. 1 8. Foundation � � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. 8ackwash Lines, P�Trap, O Undrgrnd. ' 10. Structural Floor SYstem � 61. APPROVAL TO DECK 1 i. Property Sewer Line & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap � 63. Heater & Vent-Final 73. 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. AFPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace • -_ APPROVAIS. Permit # - 21 . -Dutts, in $tructure . ,- . ' 70. Underground Hydro 22, Ducts, Ventilating,. - ,., 77, product Piping OGas ❑Oil 23. Gas Pipe�Rough & ?est - � ": � 7p, Underground Flush ' . � 24. Roof Framing - , . 73. Undergmd. Storage Ta�k�O Gas ❑ Qil 25. Roof Sheathing ` 74. Overhead Hydro 26. T-Bar Ceiling (Strucmraq & Monocoat , 75.: Dry Chemical � 27. Frame and Flashing --- - 76. Dry Standpipe '- . ��28. Lathing & Siding "" , ,� 77, FIXED SYSTEM FINAL ' 29. Insulation � � ��-" 78- FIRE PREV. PINAL ; - 30. Drywall Nailing . . �'� �". � HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat - ' � 79. FINAL INSPECTION ' 32. Electrical Power Meter-Final ' � ' 80. FOOD CEiiTIFICATE ISSUED. 33: Final Electric Notes: ' • � 34. Final Heating & Ai� Conditioning 7/� � L�S; � -- , � , � � 35. Final Gas Pipe-TesC • � . � � • �� . 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. Backflow Irriga[ion - . . . � � ; 44. Landscape Irrigati0n SYsrem � . ' �' , � ,. . ' ' ' ., . . . . , 45. Sound Attenuation • . � . ' 46. Handicap Regulations - _ � � . � 47.- FINAL STRUCTURE & BUILDING .. ; . , � ' � � -�� . 48. FINAL PLANNING . ;y� . 49. Electric Release to,Edison "•'' � 50. Gas Release to Southem California Gas Co '-� 51. CERTIFICATE OF OCCUPANCY � - No. Date City of Costa Meu Development Services Department Building Safety bivision P. O. Box 1200 Costa Mesa, Cal{tomia CERTIFICATE OF OCCUPANCY No. ��y�,�� The Building located at �qF �rr�F..�o tanc has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R'i/Ml Occupancy. � Use of Building �nAomintum Legal Description d39-JO1-28-29 ISee reverse side for Metes and Boundsl Building Permit No G 40368 Electricat Permit No. C* �� Plumbing Permit No.G 40368 Mechanical Permit No. $�368� M 45224 Number of apartments and/or guest rooms Fir� Provention Permit Ab. F 45480 ISSUED 70: Building Official 2bnv C'De Baca K.N_R.T. A.99ociates ,� 125 E. Bak�r St., Ste. 261-E by . ,. ,-� � /�.� . C'narsa h'�wi, CA 92626 Date (wveath�r 26. 19SD 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 Costa Mesa under Sec. 307 (e) U.B.C. CrnF 1015-n6 rev. 1/g3 White -Owner, Canary - Numerical File; Pink - Bldg. Permit File _ .