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Home My WebLink About2528 BOWDOIN PL - Building Permits(714) 754-5273 • Fax (714) 754-4056 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: Applicant 2528 BOWDOIN PL 14141224 GEORGE,JOSEPH Address: 2528 BOWDOIN PL , - , .��5 COSTA MESA, CA" � � / i/� Owner�GEORGE;�JOSEPH":: � i Address;�,�2528 BOWDOIN PL��; � : i `. � � i i !- � � COSTA MESA; CA / � '� . i � � , i; �; � �.Contractor. ; OWNER BUILDER � � Adtlress 'Y'•.o! � -" � � � � , , ,,. , Status: ISSUED Applied: 01/29/2002 Issued: 01/29/2002 ISSUED BY: Phone: 949-212-3930 _ - Zip: 92626 ' '- �� -� J- �. ` �-,'`. ' - ��\A��.A� �� . .,;, i ' r /�\ ��: . - �,��\�. - �� , � �. '- � . . �, - � � , ` ' �\�, � '.'\`�;\: `. �// j \� �;� \ Phone: 949-212-3930 - ' ,� � �-�-� � Zip: 92626 .r :-Phone: v.. Zip: License: 000000 �•�\.�` / V�_ v \�., / �� :�V �, ` � „� ��/ �,,�_A � . � . .. . �,A�`_ j � � �1C��, �-�`, i� �_ �1�.. �V� ' . � >, ,\,, ;'\ , 2 , '� i� , ' �j � � � � \ _ • , � � �' _ - •�i` �'. - _ �� , � � ''� � . , � ' � �� . � � � ', ;; -. , .. _r SCOPE OF.PERMIT� �. - .- ' ` � . � � ..�ELECTRICAL SERVICE UPGRADE FROM�.100 TO 200 AMPS„NO�RELOCATE�OF SERVICE. 12 CAN �' ��. � , ' LIGHTS. . `�-' � - - - - . . . . . .. ,. .. >-' � . L i � ��' 'l l � - , , ��FEE SUMMA'RY � '��' � ,/,' � r� � � � �,;' ) � �" , , Quantity - - � - �f - - Quantity riL�; = � �- � � -' ' ��1 r • /% � i • ISSUE FEE� �� ' $23.50 Temp Dist'System / Lighting �', $0.00 0 �.%�; : - �, � �' � '.Temp�service test �� $0.00 Busway /100 ft �- $0.00 0.!,%�% � - � Res. a/c package �� $0.00 Standing Section ' $0.00 0_, � . �! New Res (1-2 units) � $0.00 0 Misc Electrical Equipment $0.00 00 '„ ' � � New Res,(3+unils) ' �, $0.00 0 ' -,T�ansformers up to 1 kva/kw :$0.00 �i0 � �_ ' � � � � :. .�_.... � Pool / SPa � •, _ � ` �. -$0.00 0 - . � : . �� . �� ' :r...upto10kva/kw $OAO��%,0 � �; � Lighting Fizts, - ��$1320 ' 12 - - -- � � ......r.::up to 50 kva/kw $0.00� i 0 . � i� - �" Recept Outlets � , � $0 00 0 .,_ ... ..up to ]00 kva/kw - $0.00" 0-. -, :,� Switches - �_� ' $O.00�c � - `0"- - ' " � �-. ....overt00kva/kw-'�' ��$000� 0�. i � Non Res Appl, �-� � �i $0.00'�� 0- " , low,Volfage Equipmenf .-" $0 00/ � 0 ! Res Appl V� -; � , = $0,00 �' �0 "- " „ Low Volt Wiring System / Ckt;.`�� $0 00�' ,0 � Service to 200a A� - � � � ��A �v $30.50� �� '1,`. � �� Misc.Conduit _- j $000 � �,0 �� Service to 1000a �;� � �,�$0.00`� 0- _� -� � Misc. Conductor, � - $0.00� � O�i� � �� Service over 1000a �. �, � $0.00 / �,� .0 � - - � �Circus,( 9en or.ride) � � �,��_ �$OAO� /0; �� Motors to 1hp `��$0.00� "- i� 0 '�, . � Circus (mech ride or Ilghts) ��.� ��$0.00�� j 0� Motors to 10hp �� $0:00 '� - ' ,-0 -. ; _ , � � � , . . Christmas Tree Stand �', �-' $0.00�/ �0 Motors to SOhp � $0.00; ��, �- � 0. , - . � . Fireworks Stantl -� • -' ,--$O.00i 0 Motors to 100hp $0:00,' � - 0 � � � � - , Other Electrical Fee � � -,� ;� $0:00 Motors over t00hp $0.00 �� ,, �' �0 �:, . � ' � �� /' � Communication drops 50.00 �"� �0 , Investigation�,Fee: - . � $0.00 Sub panel to 200a $0.00 0 " Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $67.20 Intermed Pale $0.00 0 COMMENTS I SPECIAL CONDITIONS � NOTICE: The work authorized by this permit shall comply with all applicable handicap access raquiremenis under California statutes and related I regulations. (Ord. No. 92-28, § 1, 72-21-92) IEXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. IINSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and ali' requlred Inapections and final epproval musl be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446d8I8�00) • WORKERS' COMPENSA710N DECLARATION: — . ' I hereby aHirtn untler penalry of perjury one ot the tollowing tleclaretions: �- � ❑ I have and will maintain a ceeificete of consent to self-Insure for workers' compensation, as pmvided Por by section 3700 of Ihe Labor Code, tor the peAormence of Ihe work for which this parmit is issuetl. � ❑ I have antl will maintain workers' compensalion insurance, as required by section 3700 of t�e Labor Code, for Ihe pedortnance of Ihe work tor which Ihis pertnit is issued. My workers' compensation Insurance carner antl policy number are: , Carnar: Policy Number: (This section need no[ be completed i! fhe permit is valued a( one hundred dollars ($700) or less.) ❑. I certify Ihat in tha peAortnance of the work for which �his permit is issued, I shall nol employ eny person in any manner so as to become subject to ihe workers' compensation laws ot California, and agree that if I shoultl become subject to t�e workers' compensetion provisions of Section 3700 of iha Labor Code, I shall forthwith Comply wi�h �hese provisions. Applicent Signeture: Dete: WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUfl1ECT AN EMPLOVER TO CRIMINAL PENALTIES NND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF CAMPENSATION, DANAGES AS PROVIOED FOR IN SECTION 3]OB OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Cotle, end my license is in full force and eHect. Lic, x Cless # ComractoYs SignaWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm ihat there is a consiruction lending agency for ihe pertormance of ihe work tor which this pertnit is issuetl. (Sec. 3097, Civil Code). Landefs Name: Lentlers Address: SignaWre: - Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm that under penalry of perjury ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires a permil to construct, alter, improve, demolish, or repair any stmcture, pnor to its issuance, also requires Ihe epplicant tor such parmit to file a signetl statement ihat he or she is Ilcensed pursuent to the provisions of Ihe Contractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business end Professions Code) or that he or she is eaempt therefrom and the basis For the alleged exemption. Any violalion of Section 7031.5 by any applicant for e permit su6jects t�e epplicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wa9es as iheir sole compensation, WILL DO TME WORK, and ihe structure is not intentletl or oNereC for sale (Sec. 7044, Business antl Professions Cotle: The Contractors License Law does not apply to an owner of property who buitds or improves thereon, and w�o tloes such work himself or herself or ihrough his or her own employeas, provided ihat such improvemanis are not iniended or oHered for sale. If, however, ihe building or improvemant is sold within one year of completion, ihe owner-builder will have the burden of proving ihat he or she did not build or improve tor puryose ol sale.). ❑ I, as owner ot tha property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prqect (Sec. 7044, Business and Protessions Cotle: The contractors Licensa Law tloes not apply to en owner ol pmperty who builds or improves thereon, antl who contracts for such prolect wi�h a conirector(s) licensa pursuam to the Comractors Licensa Laws.). Business end Professions Code for Ihis reason: Owner ID veritied by�trivers license. �'Yes ❑ No Venfication ot Ownership by (type of tlocument; i.e. - property taz bill or tlaetl): DIVISION OF INDUSTRIAL SAFETV PERMR CEPTIFICATION: ❑ I hereby certity ihat no eacavetion five (5) or more feet in depih into which e person is required to tlescend, will be made in connec�ion with work authonzetl by this permit, and that no building sWcture, scaflolding, falsework, or demolition or dismanHing ihereot, will be more than �hirty-six (36) feet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, Ttle B, Califomia Atlminisirative Code). ❑ As owner-buildar, I will not employ anyone to do work which would require a permit irom the Division of Intlus�rial Sefery, as noted above, unless such person has a permii to tlo such work from ihe tlivision. Signature: Date: Division of Intlustrial Setety Pertnit Number. CERTFICATE OF COMPLIANC AND AUTHORVATION OF EN7RY: I cehify under Denalty ot perjury that I have read ihis ap0lication and state the� the intormation given is correct I agree to compl with I sia�e laws and city ordinances relating �o building constmction, and authonze representatives of the Ciry ol Costa Mesa to enter upon the ebove-described prope f r i ection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until finel inspection. S�L,•�-. Sig t r ) at AnNOr Authorized Applicant COOE I. INSYELTION TYPE 1616 Fixetl System Final Fire Prevention 1266 200 201 202 203 Pool Spe Final Final Re-Rooi Final BIocWRetaining Wall Final Factory Fire Place Final Sign 204 Final Demolition QAIE ixTrru�s A COOE I INSPECTION TYPE 206 Final Mechanical 20B Final Plumbing 270 Final Electncel 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupency �: � .iw. ,i ' f � � ., ;. (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.Bc UILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2528 BOWDOIN PL Suite: Vicinity: Parcel Number: 14141224 Applicant: BEQUETTE, WILLIAM N Address: 2528 BOWDOIN PL . , . C/��-' .- COSTA MESA,�CA � � � Owner: BEQUETTE; WILLIAIVI N Address 2528�BOWDOIN PL, _ �, •�� '. . . . - , COSTA MESA, CA. � ..`' � Contractor � , � . � ,� :Atldress:. ' � � Zip:. � . �', Zoning: Phone: 714-323-4337 � � Zip: 92626 Phone: Zip: 92626 Phone: License: , Arch , Address: � � - - � , . � � ' � Phone: � i �. 5 , '2ip: ; / " � � �� License: � .nr � -� ,- � / TEAR OFF WOOD SHAKE INSTALL 2-LB 15�FELT � . .,.. _ .. .,... ' Plan Check: $0.00 Permit: � $11125 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: . $0.00 l � :TotaL• � $711•.75 .. ' � � � Status: ISSUED Applied: 12/O4I2001 Issued: 12/04/2001 ISSUED BY: C i�'� , � , /,'` Phone: ;r - � ` ,�� . � � `/ � �'lLicense: � V ��, )PE OF PERMIT _ . ' iROOF. WITH 25'YEAR COMPOSITION SHINGLES �30,SQUARES.' � , FEE SUMMARY ,: � '- � � � „ Calc Valuation: � ��-.gs,000.00; - ' _ - ° Claim Valuation: � ;` i -� $e;000.00' � SETBACKS��`. �! �� . �=: �� MAINSTRUCTURE�Front 0-0 � ftear � 0-0 �, �_ ACCESSORY Front.� 0- 0 ' Rear 0- 0 PARKING Existin :� 0� Required: = 0 NOTES: , � ` - �, �,�, � ,. � - ' ,, _ i; ' ; , PLANNING 8 ZONWG � , � ; �i', �, ' . �/ �en - o- o a�gni o�o � !%� . � ; . - i ', ' i � . lefl 0- 0 RighC .' 0- 0 Proposed: 0 , - . _ i . NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes antl related regulations. (Ord. No. 92-28. § 1. 7241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a periotl ot 180 days. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlons end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. LOR INSPECTIONS CALL: (714) 754-5626 _ — _ - 244&48 (fV00� WORKERS'COMPENSAnON DECLARAnON: I hereby eflirm under penalry ot perjury one of the tollowing declarations: ❑ I have and will meintain a certificete of consent to self-Insure tor workers' compensation, as provided for by section 3700 of the Labor Code, for Iheperlormance of the wo�k fo� which this permit is issuetl. � _ ' �, ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of Ihe labor Code, for the pedortnance of the work for which this pertnit is issued. My workers' compensation Insurance carner antl policy number are: . Carner. Policy Number: (This section need not be completed il the permit is velued at one hundred dollers ($700) or less.) ❑ I certity that in the pertormance of ihe work for which this permit is issued, I shell not employ any person in any manner so as to become subject to the workers' compensation laws oi Calitornia, antl agree that if I shoultl become su6�ect to the workers' compensatlon provisions oi Section 3700 of Ihe Labor Code, I shall forthwith comply with these provisions. Applicenl SignaNre: Date: WAflNING FAIWFE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSANO OOLLARE ($100,000), IN AODITION TO THE COST OF COMPENSATION, �AMAGES AS PROVIOED FOfi IN SECTION 3]O60F THE LABOR CODE, IIJrEREST, AND ATTORNEPS FEES. LICENSED CONTRACTORS DECLAiiATION: I hereby affirm ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Code, antl my license is in full force and aHecL Lic. # Class k ConlractoYs Signawre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aNirtn Ihat Ihere is a conswction lending agency for the pedormance of ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lender's Adtlress: Signatura: � Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn thet under penelry oi perlury ihat I am E%EMP7 FROM 7ME CON7RACTORS LICENSE LAW for the tollowin9 reason (Sec. 7031.5, Business antl Protesslons Cotle: Any city or county which requires a permit to construct alter, improve, demolish, or rapair any structure, prior to its issuance, also requires the applicant for such pertnit to file a signed stetement ihat he or she is Ilcensetl pursuant to ihe pmvisions of the Contrectors License Law (Chapter 9(commencing with Section 7000) ot Division 3 of t�e Business and Protessions Code) or that he or she is exempt therefrom and the basis for Ihe alleged e:emption. Any violation of Section 7031.5 by any applicant for e pertnit subjects tha applicant to a civil penelry of not more ihan five hundred dollars ($500).): ❑ I, es owner of the property, or my employaes with wages as iheir sola compensation, WILL DO THE WORK, and the siructure is not intended or oNeretl for sele (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apply to an owner of properry who builds or improves theraon, and who tloes such work himself or herselt or ihrough his or her own employees, provided ihat such impmvements are not intended or ofleretl for sale. It, however, ihe builtling or improvement is sold within one year of completion, ihe owner-builder will have the burtlen of proving that he or she di0 not build or improve for purpose ot sale.). ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the proiect (Sec. 7044, Business and Professions Cotla: The comractors License Ww does not apply to an owner of property who builds or impmves ihereon, and who comracts for such project wlih a contractor(s) � license pursuant to ihe Contractors License laws.). Business antl Professions Cotle for this raason: �er ID verifietl 6y driver's license. �es ❑ No Ventication of Ownership by (type of dceument, i.e. - prapeny tex bill No. DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cerlity that no excavation tive (5) o� more feet in depth into which a person Is required to tlescend, will De mede in connection with work euthonzed by this permit, and that no building siructure, scaHolding, falsework, or tlemolition or tlismantling thereof, will be more than ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title e, California Adminlstrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from ihe Division of IntlusMal Sefery, as noted ebove, unless such person has a permil to do such work from the division. SignaNre: Date: Division ot Industrial Sefey Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTIORIZATION OF ENiAV: I cenity under panalry of perjury that I have read this application and state that ihe infortnation given is corcect. I agree to comply with ell Yate laws and city ordinances relating to building cnnstruction, and authonze rapresantatives of ihe Ciry of Costa Mesa to enter upon Ihe above-descn perty tor inspecti uryoses. I egre n occupy or allow wcupancy of eny building eutharized by this permit until final inspectian. ��1��'I DPc. `{� �71 C� Sign ure Of Le O ner(s) e AncllOr Authorized Applicent Dete CODE 1, INSPECTONTVPE 1616 Fized System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roaf 201 Final8lock/Rataining Wall 202 Final Factory Fire Placa 203 � Finel Sign Final Demolition QB7f� INTrtIALS i2 /�"�( � CODEt INSPELTIONTYPE 206 Final Mechanical 20B Finel Plumbing 210 Final Electricel 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building�Occupancy �g � ,iw_ . - ' ' ,. ._. _ , _ . _ . . _ _. � AVVlicant to till in all spa<es except thosa within �eavy Oortler Iinas anE si9� all apCropriate tleclantions. ._ � __ _ � _ ... . ,. _ _ _ _ CITY OF COSTA MESA' � PERMff NO. � TRACT NU. LOT NO. � BLD . �-� � ' 2I Q5� ,� I�/ {�3/84' � .' COP�STRUCTION PERMIT� � JOB # 8912 ' � ^'ZQ,� ` , ' ,' . - . �, = . , �:� � � , - ; '.- =� �%0� ' 1'l BfOjEtt AddfE55, � OW Ol❑ 8CE'. OSCfl 053. TYPE OF CONSTRUCTION �. ' NEW � ADD ALTERATION REPAIR � - 4' � ��- : � Applltant'S Melling Addresi � . � � • ' ' � ' � � CONVERSI�ON __� DEMOLISH ❑ OTHER ` � �a ; r` � q,P, # - ' ! � . -� Zane, � ' „ ; 1' .,, . � .TOfI❑ PH1Q2 : �' � ' � SG6—SGS% - ' OESCRIPTION OF WORK � �� ' � qccessory,Building : i ,,; , ,_ <, . ' z .'. Owner's Name -- - � Phone � . � � . � S� Mam Buiiding� , ' . nddress Z528 Bowdoin .Place, Costa Mesa: 92626 ' � ' ` ' . - " ` e• „ ; � - . -. o �; � - T�VPE OF PERMIT' 'GRADING FOUNDATION' STRUCTURAL � „ rT Ffont � < <• t-. , L I � . i ' . N � AfCh/Eng. 1 ' LiC2n6E NO.� O�TENANT O ELECTRICAL ❑ PLUMBING,�MECHANICAL, • B' Rear7 . ? � � " � � � � . . � � + Address - � ._ : . . '- ' ..1� _ 1 - : � ❑'�o7HER ... . � 1 : - ' • i � ' A , . . � N C Ri9ht . - .i ' `' � f „ � , � G ContrectodsNameGraham BiOtileic� TRC. �'vhone �+�5�� PAOJECTDESCRIPTION S�.FT. � ' �� oCCUPnNCV .K _ _ Address,lmaii�nql 2952`• . n iry p�ACP� �ORiA MPRA*, �iiFiZ CONSTRUCTIONTVPE � VALUATION$' �g Left % - 'R k ZONE GRADINGCV.YDS. .�ACRES ' �� E' City Wcense No. �nnS�J�i � 4 � ' �, � % Ping:,Ret. # � . ?• � Park Fees $ � ��4 ' � I LICENSED CONTRACTOR OECLARATION . ' � � � Remarks: ' . � ' ' , • Pafkin9 R9q./Pfovided " ' � � � �� 1=hereby a/firm thzt I am Iicensetl untler provlslons of Chartar-9 (commencing ' , , , R with iectlon ]000) of Dlvislon 3 ot tne 9uslness antl Protesslons Cotle, antl . . .. � � Use of Building: � E my Iicense is In ❑ ce antl eftect. � �—� � ,248604 � . , . ' , , nn Llcense Class cense .- � , � ! PLUMBING,' ' FEES. P�anning Notes. � �1�� ate ��' �` 519natu ' • ' . ' ' � . � . .. � , . . N rp> �'°bRKEHS' COMPENSATION DECIARATION . - ' -� • Bar Sink ; � � ,. �ShoWan � � � __ V V , T V y %iereby'aftirm thaf I have�a certificate of consenf to salT-Insura or a cerHflcate -- �. ggbkflow Preventer ` " Service Sink "' - ' '" ' "S of Workers' Compen5ation �nsurance, or a certltletl copy thereoi (Sectlon �• 3800, Lab. CJ � - . Backflowlrrigation SewerCap , � • • EIECTRICAL � ` F � PEES PoIICY'No: IA�IS"4'aLI ComPa,nY Un//�/�{�D� '� . . . . . . . ". , ' �Certifletl copy Is hereby turnishetl. I � �� , Bathtubs � ' Sewer Connection � ' .�. qutomatic Washer '� � : Transformer ❑ 15-50 KW ' Certifle cop is fileG with the ci�BlRidf�'B(v te� ' . � � ❑ 50+ KW i- �� Date� ApPlican}�� E;(_ Clarifiars � ' ' Solar Collecmrs _ - _ _ _ Construction Pole Sub. � ' _� _., „ _ , � . . .... . . � � '_ '. . . .. . . , . : � , EXEMPTION FRO WORKERS' COMPENSATION DECLA0.ATION DiShNfdsher (Tnissectlon neetl not be completetl If tha permit is tor one huntlratl (5100) or • Solar Piping ' Cooking Unit Meter ❑up to 100amps . less). ' � ' i . . � ' ' � i certlry tnat In the performanca ot IM1e work tor which this perm�t is lssuetl I: Orinking Fountains Solar Tank Dishwasher � � Meter ❑over 100 amps � � shall not employ any person in any manner so as to become sub�ect to t�e � . - � � ' t Workers' Compensation' Laws of Callfornla.. • � Floor Drains� Swimming Pool w/Spa � � � Dryers ❑Gas�' �Electric � Sub Panel� ' • ' - Data � Slgnature ' � - � NOTICE: It;iatter making thls tletlaration, you 5boultl betome Subje<t tD tM1e FIoOfSinki-! -� •� Urinal ��--' y- ' - ' " "Fan � -'� �"` ' . Motois DO-1 HP��i'/x=8 - Workers' Compen5ation DrovlSions�ot tne LaGor Cotle, you.must fortnwith � " ' ' - � <omply wlth, such provislons or this permlt shall be tleemetl� ravokatl. � Gas Service. �Outlets ,' � Water Closet �. ' , F.A.U. . ' Ina Solar 09-15 HP 016-15+, CONSTRUCTION�LENDING AGENCV ' ' I hereby afflrm that there is a construction Ientlin9 agency tor the pertormance , Interceptors ; � • _ Water Heater' � ' Fixtures � Microwave '� of the work fo� wnich thls permlt Is.lssuetl '(Section 3097 Clv. CJ, ' - - R • Lantler's Name, Kitcfien Sink� ' � . �Water Service • . ' � j �Device Boxes � - � Pole Light, . �Lentler's AtlGress�� " '� ' � Lavatories� ' � ' OWNER BUILDER DECLARATION� . � . ' � � - � Outlets .Range � � '. I heraby afflrm that I am exempt from the Contractor's License Law for the p-T�a � ' ' � following reazon (Sectlon 7031.5 Bu51ne55 antl Profasslonal-Cotle: Any city or P � - -' - ' ' Switches � ' 'Sign � ' ' couniy which requires a permR to construct, alter Improve, tlemollsh or repair ' - . . _ _ . ' � any structure, Drlor to its Issuance, also raquiraz t�a applicant tor such Oarmit ' FoofDrains ' . �' " ' Garbage Disposal - •Standing Sections � � i\to file a slanetl Statement"tha[ he/she is Iicensetl oursuant to the orovlslons of ivai:o o any appncanc ror a, permic suo�ec[s cne appucan[ to a crvn qein5 ction'Fee' �enalty o not mora tnan tive huntlretl tlollars (5500). ' •� ' � P� -$�5 I; �a5'ownef ot the D�operty or my emplOyeeS.wlth wa9e5 a5 theV 5ole compen5ation will Eo tne work, antl the structure Is not intentletl or otferetl ' � ' for sale (Set�lon .7044, Buslness antl Protesslonal Cotle:� The Contrac[or's � License Law tloes not apply to'an owndr of a property�who bulltls or improves � Boile� � thereon, antl-who;tloes suth work hlmself/herself or through hls or her own ' • � ' employ eas, proviCetl that such improvements are noi Intentletl or offeretl for Ouct - Unde� G�ound ; sale. It, �owever, the bulltling or Improvement is soltl wlthin ona yaar.oT com- � pletlon, tha owner wlll have the burtlen of proving he/she tlitl not builtl or Im- �rove tor tne purpose oi sale). Duct - Structural � I, as owner ot tha proparty, am axcluslvely tontractlng'with Iicensetl con- � . tractorsto construet tna prolect (5ectlon 7044, Business antl Professionz.Cotle: ' D1ict - Ventilating . ,_� _ The Contracto�'s Licensa Law does not apDly to an owner of property who builtls or Improves thereon, antl who contracts for such pro)accs with a con- Exheust SySt2m ❑ Multipl2 ❑ tractor(s) Ilcense pursuant to the Contracto�'S Llcense Law). '� . ❑ Pam exempt untler Sectlon B. & P. C. fov Ihis reason Firepl/FBCt. Blt. ICBO �k ' Date ' ovuner � , � • Heating System & Ducting � I hereby CeHify�that I have reatl this appllcation antl-state that tha ebova �700,000 BTU �100,000BT InfOIflldflOn IS COlfatt. I agY80 SO cOmply wlth dll Clty alltl <oUnty OrtllnaflC05 antl state laws relaHng to bulltling constructlon, antl hereby authorize repre- . ' , sentatives of this:c pon the above-mantlonetl ,ptoperty for 1 inspectl o�- , � ' ' � Slgnat - � Date�_ ; - Drivers' Licenu or SS � � Peinspec[ion Fea � � �525 CMF 0865•66 �ev. 12/83 Whlte - Builtling; Cana�y • Applicant; Plnk - Accounting; Goltlenrotl - Aszessor laue fee ' �ANICAL Hood or� Type I � ❑ ' Canopy , Type II ❑ � Refrigeration System '� � � ❑aioo,000aTu ❑ioo,000aT System.Repair/A Iteration •�- Issue Fee Generator�065 KW �5-15 KW Trash Compactor � • i $ 3 i , • ReinspectianFee - � $25 •�uue:Fee' � ' $ 3: FEES, . PUBLICSERVICESREQUIREMENTS: � � - � � � , - Zoning Approved By � j Date � � Building'APP�oved�By � � Date �J Appliwtion Issued By � nat�1 I �� ' , SUMMARV OF FEES ' � � � BUILDING PERMIT $ � � SMIP� $ � ' � ; PLAN CHECK � , $ � PERMIT � - � � i PLUMBING '$ ISSUANCE !$ PLAN CHECK 25% $ ENERGV P.C. ,$ � - ELECTRICAL $ GRADING !$ ' . PL'ANCHECK 50°� �$ � � � MICROFILM ,$ ' ' MECHANICAL $ _� �U TOTAL FEE $ �� $ 3 (J ' PLAN CHECK 25% $ . _ • . - _ . . . .. .`-_ _ . - . - � �� CONSTRUCTIONAND�PLANNING -�,� � �. .. . .'�� -- -',�y POOL-;&SPAt�^� .� �,�.�� ; - . � � '- '� ��- ' -' ` • � - - Dete : . InspectoF �=z -' ' - E ' .Date � Inspector '" :APP.ROVALS � Permit'# - - - _ . � . APPROVALS- - .Permrt #'�'• - � - - , " n. - . - '-� . -_ ' " 1 , Temporary Electric2l Service oF.Pole � � . � <; , 52r Pool & �Equipment' Location;-. s • ` - c. - - .o �av. - . '� .2; Soil Pipe,Undrgrnd. -�• G ' � �; ;,� ` � ' � . . :�53.; Steel Reiriforc"ement � �~`-' � °'� oT' � _ c ; r. - .: r,.. �'1 _ .," '.: - _^ .n.. 3} Electrical 6onduit Utility'-Undrgrnd. - _ ' ' 54. Forms " . - � . __ - , ;;_ �. . '� 4. Electrical Conduit-Unilrg nd: � ' ! 55::� Electrical_Boriding.�= ` ' .. - � . . � ` 5. Steel Reinforcement� ;:, � - � E` . . - �' - � ,56. Rough Plumbing ffi Pressure Test ' " . - � `�' " � 6. Electrical=UFER Gmd� , ,� � �� r � ��:. � . 57.� APPROVAL-TO COVER-GUNITE� _ � _ '.,� '� � i- 7. Eootingsr i; - � `• . � . - _ 58. Electrical Conduit-Undrgrnd: .-.� _ ' � � � ` -� 8:; Foundation� ' i � ; { i ' � ' • , � --59. Gas �Pipe, O �Undrgrnd:, Test � - _ - ' I � I � � ' J .. � � . 9. Water Pipe �Undrgrnd. '� � � ` ' �� '. '.60. Backwash Lines�, P-Trap, � Und�grnd. � � _ , - , � 10:� $iructural,F.loor System , - . ' � - . . 61. APPROVA`�L TO.DECK =' ,- - x �° ' ` - 11:� Property�Sewer Line & House Connection � ' �62. Backwash & �ReceptorFinal � - ' ' � � . � � , r � �d - ', 12. Sewer Cap� � ` ` =; , �•1 �� - � '�63. Heater & Vent-Final : '- o._ _ '' 13. Roof D�ains � , �� ' • ' � 64. Plumbing System�- Final' , _ - •, , � r. ' a 14. Rough;Plumbing �i r ' �- � ' •� - '65. Electrical-Final �� - - � t - � � � � � 15° Rough'Electrical-Conduit- �" � ""'� " " � "'- � ' " 66.� Solar System=Final •� '1 � -' '-'"'� `-� "� � '.�. .-". _ +.'16. Rough Elecr�ic.Wiring. � � + ' !,,, ' a - - ,} ' ("�' 6Z�. Fencing & Access Appioval� - ' - - �- ' .�"� ' �-" "' �- � �'17. Rough Wiring Sign� ,- � ' �I,'t I ' ' ,�, 68. APPROVED FOR P.LASTERING �'� � -' ",'. - � i � , �� ; 18. Rough�Electrical�-T'Bar�Ceiling �f - � i i �� '69.. POOL/SPA SYSTEMS FINAL ; ' � , { � 19. Rougti Heating;& Air Conditioning ;� � . - , . FIRE DEPT. REQUIREMENT; I , � � �� • t ' - ` � : � _ . . � � � ' _ . -, :1 ' , 20. Rough Factory' Fireplace � i � . APPROVALS , Permit�# � -_ � . ; � , + - ; 21. Ducts,�in St�uc[ure • � . � ' �70. Underground Hydro � i ' I ' � : • � � � �� - � � ; �22. Duct3, Venfila4ing f . ,. - � , ii � ' � i 71,� Product Pipi�ng OGas:;,OOiI � I . ��j � � ' � � += � � � . : - ' . . - � -- - � ._; -, ' ....- -- � -- � '- � R�23. Gas Pipe-Rough & Tesf - ' � � � � 72.. Underground Flush• "�� , � � • ' �' �' __' , � � +-24. Roof Framing = � � ,�� -; � ' r�; a�; -; � 73. Undergrnd. Storage Tank� O Gas ❑ Oil , ; � I � ' r - � 25. Roof Sheathirig , I ` • ' ��-� ' � ' ' - . ' �74. Ove�head Hydro ' � �' k' - � - � � �� 26. T-Ba� Ceiling (Structu�al) & Monocoat� , . '� j ;. , � , ; i � �75.� Diy.�Ghemical � ; i ., � '., ' ' � j � 4 , �27. Frame and Fla`shing -. � ' � ' � -• � "' ' : j 96.� Dry Standpi�pe , : . � •. - t, ; ' � ' I � � , 28. Lathing &�Siding � � � i � ! ; '' � � � �77.; FIXED SYSTEM FINAL � --- - ' � � ' I a - � � 29. In'sulation � ' _ � . t j • � 78 � FIRE PREV,. FINAL ' � � - -30. Drywall N,ailing , � ' � '� �� ' , � � ' �HEALTH DEPT. REQUIREMENT , , ' i . .� � , -i - a 31. Plaster Brown Coat � � ; ! ,� , � ' � 79.� FINAL INSPECTION � � ' i � � � 32. Electrical�Power Meter-Final , '��'� j j (•� 80.; FOOD CERTIFICATE ISSUED ' � ' - ' �33. Final Electric i' � t i' � ! Notesr V �^I � � �' �.EF�"_GfiB:�.. L.�r7 � i 34. Final Heating &`Air�Conditioning, � f•�r �(,�; � i � ' �i �� 35. Final�Ga's.Pipe-Test' � j �� ' i.- � ' . . V - � � � . . � .�- � '' _ - - , ��1 e i � -_� - i' _ o� .. � 36. Hood or CanoPYt ; 1 _ , ' � . . � " _ � ' .. � , . . '* R - _ '� . � i . . _ 37. Final Factory Fi�eplace; i � � . " � � ' � '; � � . i � _ '' � ' . �. �: • . � 38. Final Rlumbing � i , ' '. { ' ' r ' , i � ' � �- ; . . � ' , , - , " � , . - ,- � 39. WaterService;Final �t + i � ' � � ` . I'�I , ' •� . � �' ¢. • . ; • -� ; , ., _� -40. Gas Service-Final, � �� • { i � � ' � � � , � � � - ' - - ' ° � � � � i 41. Solar pomesticF,inal ' � , i � � �- ,- � - � -�--�- ��-- �- � �- , - - � � � ' - j' i -42. BackflowPreventer � ' � � . � � . �. _ _ . _.i_ .. . � � ! �" . ,'1 : ' , . , , � � � - - - - r -r- '43. Backflow Irrigation; � � � � j � .: � -. � ; �" ` � � ' � I �, � ' , ,' . . , �' � . . I �' I. ' 44. ,Landscape Irrigation System • � f r�' - ' ` ., � � I �= I _ - , i _, , . � . _ , . ' - 1 - _ . ' , q '` . - 45. Sound, Attenuation� ' , � � I ' � f - � � � � - � � � . ;� -- i:' n� .- i .� "i '46. Handicap�Regulations : i , i � � ' , '�- � � �� _�� , � � I , � i�, ' . 47. FINA � STRUCTURE & BUILDING� � �� ; �` � ' , j � i � ; � " ti �{ ��' . ` ` .� 48. Special RequlremenisCompleted� , , t}, � � ; � �.. � � � ; � �� ' `�� '� ' ` " � I i t i � 49'. Electric Releaseio Edison i . � ' � , u`� � ��j � -� , ; :"T- ; �. ' �i ' . , � � 50: Gas Release to Southem California Gas Co ! ! � � } � � . ` ' � �� . � � 57. CERTIFICATE•OF��OCCUPANCY--�- =. _--- - - � � '�---- -'--j '�--'; -� � � . , '; ' ' I I No � .�n__=-�� "Date ' .r, :�r::r . ' . i � . ,. ' } � +._ _.._.._. ...._ �_ ._ ; � , �_ . ' � � . . - _ _ . . . - �- - --- -- - "' . ' -- „' _� - _-_ v _ �. '.� . _ �_. _ , ... , _ . g0;�� COSTA MESA BUILDING DEPARTMENT P. O. 80% 31 ] COSTA MESA, CALIFORNIA ' FOF? APPLICANT TO FILL IN nooRess 252fi Rowdoi_n PlaCe � COSTA MESA. CALIFORNIA OWNER j� IIC MAIL 1555 Placentia ADDRE55 TEL. CITV NO. � � z� ARCHITECT g�e LIC. OR ENGINEER NO. " AO�RE55 co�rtn�ioaKoll Const. Co. c�Tv Na 1?17 � TEL. ADDRE55 NO. °$'�{$QnA�y �[cn� LOT GOOi DESCPIPTION nIQ, �� BLQCK TRACT A.P. NO. SIZE 63� x lU'Z. . rvo. oF a�ocs. Q OF LOT riow oN Loi IJSE OF EXISTING BLDG. SETBACK LINE FROM q.� cerviea o� sreser Q REAR VARD G.4. SIDE YARD RIGHT S LEFT �O DESCRIPTION OF WORK NEW g ALTERATION ADDiTION REPAIR MOVING DEMOLISH B""°'"�1574-469 ROOMS � STORiES y SIZE EXTERIOR WALL ROOF 1��1� COVERING HtUCCO COVERING WOOd S11t3nB USE OF NEW BUILDING residence and att. arage Plan 3—C 4�EE RECEIVED ,r. APR 21 t959 �i`iNRNCE DEPT. c�Tr oF castr, F+=_�a APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY FECEIPT NO. ERMIT NO. r0�-� RECENEO 0Y OATE RECErvE� OFTE ISSUED �/ �L /!�_: �—i Ci- , � _ � COSTA MESA. CALIFORNIA FIRE ZONE ZONE � APPROVED BY DATE CORRECTIONS newtar acrcnow�euce �nn-i i nnve veno mis nPPucnnon nno STFTE THAT THE PBOVE IS CORRECT /�ND AGREE TO COMPLY WITM 4LL purpose of establishing a permit fee onty. CITV OROINANCES $TPTE LAWS PEGVLATING B111L�ING NSTRUC� norv. VALUATION SIGNATURE OF . PERMIT FEE � 35�00 . PERMITTEE . � 15,747�W PLAN CHECK $ � AUTHORIZED AGENT TOTAL FEE $ S2� SO VBMi