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Home My WebLink About273 BOWLING GREEN DR - Building Permits� i PflOJECTA00HE5S: Z7j BOWLING GREEN DR OWNEfl'SNAME: MILADA REED aoonEss: `�3 B06JLING GREEN C.M „ CA. 92626 AflCM/ENGINEEB: ��54) 540-9636 ROOflESS: flEG.NO.: uNiT: UNIT: PEflMITTEE: GEORGE BRAZIL (7i4)541-9753 aooREss: 3022 N. HESPERIAN WY 1U1 SANTA ANA CA 92706 UCENSEO COdTHACTOP OECIABATION: I hereby ailirm t�al I am licensed under pmvisions of Chapter 9(commencing wilh Seciion 7000) oi �iv�smn 3 oi �he Business antl Pmles oyC' e' license is in lull force and eflec�. cirr uc.: 0`"„ t 4 STATE LIC.: CIASS: C�U�-�- �ate'. � ' " SignaWre: GvN��[U!(/�1-� WOHNENS' COMPENSPTION DECLABATION: I hereby aPor hat I have a certi�ica�e o� con5eni �0 5-insur¢ Or a cetli�itaie o� Workers' Compensation Insurance. or r cer�ifieA coDY I�ereoi (Section 3800. Lab. C). aoucrxo.: pC947525 EEP.DRTE: OIIOII99 comraNr: REPUBLIC ❑ Cetlihe0 coOY is hereby �umishetl. Q Cenilied coDY /�y.��1�g/,with �he cily Buildi g �ivisio . Da�e: �/ 2 3 —�� ApplicanL � //'��1� ��1 EXEMPTION FflOM WONNEflS' COMPENSATION OECIABATION: his seclian need not be camplei�d i� Ihe p rmil is for one hunOreO (51(q) or less). I cenify Ihal in Ihe pedormance of Ihe work for which tnis permit is issued. I shall not employ any person in any manner so as to become sublec� Io ��e WorkerY Compensatmn Laws oi Calilornia. oale: Signalure: NOTICE: II. alier making �his tleclara�ion. you shoultl 6ecome sublect �o Ihe Workers' Compensa�ion provisions ot ��e Labor COAe. you must �atlhwil� comply wit� such pmvisions or Ihis permi� shall be tleemetl revokee. CONSTNUCTION LENUING PGENCY: I here�y a�6rm ��al Ihere is a cons(mclion lenaing agency lor �he peAormance of the work �ar wnicn this permn is issuetl (Seciion 3097, Civ. C). LENOEH: AODflESS: OWNEfl BUILUEB OECLANRTION: I �ere6y a�firm Ihat I am e�empt fmm �he Contractors' State License Law for �he following reason (Section 7031.5 Business antl Gmfessional Catle'. Any ci�y ol counly which requlres a permil to constmct, alter, impmve. demolish, or repair any slmcWre, pnor to i�s issuance. also requires Ihe applicani for such permit �o file a 5igne0 5�alemeni Ihat he/she is licensetl pursuam to �he pmvisions a� the ConVamors' Slaie License Law �Chapter 9(commencing with Section 7000) ol Division 3 of �he Business antl Prolessions Cotle) or thal ne/she is eaempt there�mm antl ��e basis for Ihe allege0 eKemplion. Any violaiion of Section 70315 by any applitant for a permit SUbjetl5 ��e applicani �o a civil penalry Oi not mOre ��an five hunOreO d011ars �5500�. I, as owner ol Ihe Dmperty or my employees wi�h wages as �heir 5ole compensa�ion, will Ao Ihe work, an0 ��e ❑ simclure is noi inlendetl or ofleretl for sale (Section 7044. Business antl Pmiessional Code: The Contraqors' State License Law Does nol a001y Io an awner ol a OmperlY who �uiltls or impmves ihereon, and who tlaes such work himseli/herselt or Ihmugh Ais or her own employees. D�ovitled Ihal wch improvem¢n�s are not intentletl or oflered tor sale. IL however �he builAing or impmvement is 5oltl wi�hin one year ai complelion, �he owner will have �he burden of pmvin0 he/she tlitl no� �uila or impmve for Ihe purpose ol sale�. I, as ownerof�he nmperty, am exclusively coniracting with licensetl coniractorsto consimc[Ihe D�olec� (Sec�ion 7044, Business ❑ antl Pmiessians Cotle'. T�e Conlraciors' Slate License Law tloes not apply to an owner o� pmperry who 6uilA5 0� imp�oves �hereon antl who contracis lor such pmlec�s wiN a con�ractoqs� license pursuant lo Ihe Contraclors' S�ale License Law�. I am aware Ihai pmol oi Iheir Worker's Compensation insurance s�auld be provitletl �o me. � I am eKemp� untler Sec�ian: B. 8 P. C. Ior Ihis reasan: Daie: Owner: I do �ereby certity thal I am aware oi ane untlers�anA �he reQuiremen�s al Cali�omia Healih ana Safety Code Sec�ions 25505. 25533, an0 2553G and Ihat I or any fuiure building occupant will/will no� (circle one) neea Io comply wi�� saitl s�ale codes and �he requiBmen�s �or a permil br con5�mciion ar moai�ication Imm �he Pir Oualiiy Managemen� Disirict. Fesitlential cons�mciion apPlicaiions are exemp� Irom I11¢SC pfOV151005. �ale: Ppplicanl. I hereby cetlily I�a� I �ave read Ihis apPlicalion antl staleiha� �he ahove in�ormalianis ortlinance5anO51alelawsrelalinglobuil�mgconSUuc�ionandhereb a �horizerepBsen� pmper�y lor inspeclion pwposes. �ate: // 2 � — /� SignaN e'. �nve�'s License or Soclal Sewniy n: �� l agree to comply with all ciry ana county Ihis citv m emer uoon Ihe above-memionetl t641-n6 White-Bviltling. Green-Code EnlorcemenL Canary-Applicanl; Pink-Ravenue; GolOenrotl-Assessor l CITY OF COSTA MESA — BUILDING PERMIIT PERMIT N0: M U65030 PLAN CHECK NO: N CONSTRUCTION TYPE; 5—N PERMIT TYPE: MEC JOH DESCRIPTION : REPLACE 80,Q00 FURNACE CLAIM VALUE: CALC—VALUE: PERM NO: M 065Q3C GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP O�C; R-3 / COMMENTS: MECHANICAL WORK ONLY **+�-+�*�*�-*�-x�**��r**�r-�+F�-�r�r+r-x-***��*�,r.*��r**�rx��-*,r*-� x-�-�-*+��-�r*+r+t-�-�c-�*��*+E��-**-�-�-*-�-�--�u�+�+��-+�*�u- Z O N Z 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 BUILDING ------- a FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN � LEFT; FT IN RGIIT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 14139202 ZNE: REF NO: PLANNING NOTES> > j. s****�-***�+�**x�+r***�r****rr***�-*****+�*.�tr***�r****-�*�***+�*****+�***********�-***+�*�+�* D E V E L O P M E N T S E R:%V I C E S R E Q U I R E M E N T S � ZONING APPROVEP BY ��i DATE: BUILDING APPROVE➢ BY : n'', DATE: 1 7 APPLICATION ISSUED BY: �� DATE: { p I23�� 7 iE�-�EiEiEifiEiE�EiEififif+FiFikitiE�MiE*iei'F7FTF3F3E�F'�iFiFiF3f3F �'fF iE�F1F�EiF3Fifi'F�iFiF3F�F�f3F�FlF"�3F'iFiFiE�FiEif�cio-*ifiE'.�"'�i�#�i�F'la�FiE+F if iE if iF 1E iE iE ih iE 1E i: #�1F IF iE iE 1E if iF iE iE iE �lE iE ih iE iE if if iE �}(� if it 1E?E �Y 1t" 3E jE iE ihlf if iE iE if 1E iE if �E iE if iF iF 1E iE 3' iF iE �F iF �)f if ±E �f iE� iE iE if iE iE i(� iF 3f jF jf 3E 9f 1E LEGALIZATION;N F E E S U M M A R Y STRUCTUAAL 5EGMENT:N PLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 9.00 PLAN j 25o SMIP/NON—RES ISSUE FEE � 15.00 BUILDING—DIV—> PERMIT ISSUE �Pd;AN—CHECY. TOTAL PAID DUE TOTALS----> 9.Q0 15,00 � 0.00 24.00 24.00 .00 RE��ENUE DIVISION TOTALS--> COLIyECTED; 24,00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC'M£.CHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK , 24.00 1f 1f !E iE 1E �E iE fE?t iE?E if 1F±f if it if jE it 4 i! fE i! it i! 1E it if it iE �# iE 1E it�if !f !E if +f iE if iE 1t if iE if iE iF iF+! iF i! jE jE if iE if !f K i4 iE iE 1E if if %iF?E R iF iE if iF iE �E jf if iE I N D I V I D U A Lj 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 1 INST FORC—AIR/GRAV,�SFURN <= l0U K HTO 9,00 9,00 END OF FEES � . � r i � / � __ - " �/�, ---"____� — _ _ __ - _-_�_""_"�-i"�'� "'". _'__. CONSTRUCTION AND PLANNING APPROVALS Permit # t. Temporary Electricai Servict or Fole 2. Soil Pipe-Undrgrnd. i' 3. Electrical Conduit UVIiry�Undrgmd. 4. Electrical Conduit�Undrgrnd. _ 5. Steei Reinforcemene � 6. Electrical UFER Grnd. • 7. Footings � . � 8, Foundation '-{ � 9. Water Pipe-Undrgr�d. - 70. Structural Fioor System t i. Property Sewer Line & House,Connection 12. Sewer Cap � " 13. Roof Drains - . 14. Rough Plumbing � 15. Rough Electrical-Conduit i6. RoughElectricWiring 17. Rou�h 4Viring Sign 18. Rough Electricai-T Bar Ceiling , 19. Rough Hzating & Air Conditioning 20. Rough Factory Fireplace 21. Dutts, in Structura 22. Ducts, Ventilatina ' 23. Gas Pipe•Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T�Bar Ceiting (Strucmrali & Monocoat 27. Frame and Flashing 28. lathing & Siding 29. Insulatio� 30. Drywall Nailing 37. Plaster Bro�vn Coat - 32. Electrical Power MeterFinal 33. Final Electrfc 34. FinaV Heatin9 & Air Conditioning 35. Final Gas Pipe-TesT 36. Hood or Canopy 37. Finai Factory firepi;ce 38. Final Plumbing 39. LVater Service-Final 40. Gas Service-Final 41. Solar pomesticPinal 42. Backflow Preventer 43. Backfbw lrrigation 44. Landscape Irrigation System 45. Sound Attenuation � 46. Handicap Regulatiors 47. FWAL STRUCTURE & BUILDING � 48. FINALPLANNING 49. Electric Release ip Edison 50. Gas Retease to Southern Califomia Gas G 51: CER7IFICATE OF OCCUPANCY No. Date Data I POOL & SPA � Inspector Date lnspector APPRQVALS Perm�t # 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding - 56. Rough Plumbing & Pressure Test 57.. APPROVAL TO COVER-GUNITE 58. Electrical Conduit�Undrgrnd. 59. Gas Pipe, O Undrgrnd„ Test 60. $ackavash Lines, P-Trap, O Undrgrnd. 67. APPROVAL TO DECK 62. Backwash & Recepior-Final 63: Heater & VenbFinal 64. Plumbing SYscem - Final 65. Electrical�Final 66. Solar SYstem-Final 67. Fencing & Acczss Approval 68. APPROVED FOR PUaSTERIRIG 69. POOL/SPASYSTEMSFINA� FIRE DEPT. REnUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Pipinc� Cl Gas ❑ Oil 72. Underground Fiush 73. Undergrnd. Storage Tank � Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry StandpiPe 77. FIXED SYSTEn� FINA� 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. F1NAL INSPECTION 80. FOOD CERTIFIGATE ISSUED Notes: ii� .t �oT M_ _ . ) �' A N 0 PflOJECTAODPESS: �'73 BOWLING GREEN DR . OWNEfl'S NAME: �LtU . � nooRess: �AME 7dS AE UVE 714/540-9035 APCHIENGINEEfl: aoowess: flEG.NO.: UNIT: Q uwir: PEflMITTEE: NOCK PLUMBING (�714 ) 895=1246 aoosess: 11610 SEABOARD CIR STANTON CA 9G680 LICENSEO CONiPACTOP OECLAflFTION: I hereby aHirm Ihat I am Iicense0 under pmvisions ot Chap�er 9 mmencing wilh Section 7000� of �iv�son 9 af �he Business anA Pmlessions Code. anA my license is in tull force an0 etfec�. ciTvuc.:050386 STFTEIIC.:SS1�%1 �SS C-36 �a�e�. L� ' �' �� Signawre�. WONNEBS' COMPENSATION UECIABRTION: I hereby a�hrm �ha� I hare a cetlilicaie oi conseni to selbinsure or a cehificate of Workers' Campensation Insurance �or'a certilied coOY ��ereof (Section 3800. La�. C�. ' POLICY NO.: 1 1 G%�� 2�J O EXP. DFTE: O 3� O 1 I 9 1 ' comvaxr: STA'I'E � ❑ CeNfiea capy is hereby Nrnishetl. � Cetlifietl coOY is �iletl wi�h the ciry 8uilaing �ivision. ///� Date: �O ' 3C7. �- Y%� Applicam: \��d�� (,�/'7_l/ v� E%EMPTIONFNOMWOPREBS'COMPENSATIONUECL1IPATION: (Thissectionneetlnot6ecamp@te4i�thepermiiisioronehuntlretl(5100)arless�. I ceNly Ihal in �he petlmmance ol Ihe work lor which this permit is i55ueQ I shall not employ any person in any manner so a5 to �ecome sublecl to I�e Workers' Campensation Laws o� Calilomia. �aie: � � Signalure: NOTICE: I�. alter making this tleclaration. you should become sublec� to ��e Workers' Compensa�ion pmvisions o� Ihe Labor Cotle, you musl �orl�with compry wiih such provisions or Ihis permit s�all be tleemed revoketl. CONSTNUCTION LENUING AGENCY: I nereby affirm tha� tnere is a constmction lending agency for Ne perlormance oi Ihe work tor wnich Ihis permit is i=sued (Sec�ion 3097. Civ. C). LENOEH: FUDflE55: � . , � OWNEB BUILOEF OECIAflRTION: I here�y aifirm ihai I am exemp� trom ��e Contractoa' S�ate License Law br Ihe following reason (Section 7031.5 Business and Pmlessional Code: Any city of counry which requires a permit to consimct, alter, impmve, demolish, or repair any slmcWre. prior to its issuance, also requires lhe aODlican� for suc� pefmit �o tile�a signetl s�a�ement tha she is licensetl pursuanl ta ihe pmvisions af Ihe Contractars' State License law (Chapter 9(commencing with Sec�ion 7000) o� ' ion 3 0� the Business anA Pmlessions Coee) or that helshe is exempt iheretmm antl ihe basis lor iAe allege0 e�emption. An � ation of Seclion 7031,5 by any applitant for a permi� SUUjetiS �he apDlitant fo a Civil penalry oi noi more than five hUndreO d011af5 (5500). I, �as owner oi �he pmperty ar my ¢mployees with wages as �heir 5ole compensation, will ao �he wo�k, and Ihe ❑ slmmure is noI imended or ofleretl for sale (Sec�ion 7044, Busmess antl Pm�essional Code: The Comractors' Sia�e License Law . � tlaes no� apply Io an owner of a pmpe�y who hui105 or impmves ihereon, antl who tloes suc� work himsetl/hersel� or ihmugh his or �er own employees. provitled �hai such impmvemen�s are noi inientled or offere0 for sale. It, �awever Ine huil0ing or impmvemen� is sold wilhin one year of completian. Ihe owner will have Ihe burden af pmving he/she Aitl na� 6uiltl or impmve for Ihe Durpose of sale). , I. as owner oi the pmpehy, am erclusively contrading wiih licensetl contraclors to consimct the prole�� (Secfion 7044. Business ❑ antl Professions Cotle: The Conirac�ors' Slaie License Law tloes not apply to an owner af pwperty who bmltls o� im0�oves lhereon antl who COnVacts for Such prole��s wi�h a conUaqor(5) litense pursuan� �o �he ConVat�ors' Sta�e LitenSe Law�. I am aware �hal pmof al ��eir Worker's Compensation insu�ance s�oultl be pwviAetl �o me. � I am erempt unaer Section: B. 8 P. C. , for ihis reason: , ' �aie: Ownec I tlo �ereby cenily �nat I 5m aware of antl untlerstantl tne requiremems ol Calilornia Nealih an0 Satery CoAe Sec�ions 25505, 25533, and , 25534 antl Ihal I or any lulure building occupanl will/will noi (circle one) need to campty wi�� saitl stale cotl¢5 an0 the requi�emenis for a permil lor cons�mction or motli�icalion imm t�e Nir Oualily Managemeni Di5lricL Re5i0ential cons�mction apPlications are exempl irom these pmvisions. CITY OF CGSTA MESA — BUILDING PEHMIT PERN1 NO:.P 059605 . FERMIT NO: P 049605 PLAN CHECK NO: N GOVT: N ST)PP; N CUNSTP.UCTION TYPE: 'PERMIT TYPE: PLU PURPOSE: OTH � JOB DESCRIPTIUI4 : WATER HEATER REPLACEMENT SQ FT: `` CLAIM VALUE: � CALC—L'ALUE': , GROUP OCC: / COMMENTS: NO STRDCI'URAL WORK BEING DONE " ' **x*x�****�**�-��x�r****�****�**��**��r***x**�x*��*******�**�*�x�x�**�r�x��*��*�� 2 O N I N G R E Q U�I R G M E N T S � S E T B A C K 5 ----------- MAIN BUILDZNG --------- --------- ACCE:SSORY BUILD:ING --------- FRNT: FT IN RHAR- FT iN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT,: FT IN RGHT: FT IN PARXING REQ: PROV: PARCEL: 13919219 ZNE: REF NO: PLANNING NOTES> � ' � �. iE 3f 1f -1i if �if if if iF �f if iE iE �lE iE iF iE iF if iE ik iE it ik 3E 3E �1F af iE fE?F iE iF jE �E �E �lE �lE �E if if iE �lE jf � it iE # iE iF iE iE iF if-1h'h !E �If �lE iE iE iE iE if af if 1E ��% 14 iE �lf iE �)E 3E iE �3E �lE if D E V E L O P M E N T S E R V I C E 5;., R E Q U I R E M E N T S ZONING APPROVED BY . f�' DATE: HUILDING APPkOVED FiY : � DATE; 1 APPLICATION ISSUED BY; DATE: �!�?�R�F�'�a �**�x+t*�r***+��t**it�t��-�t�tat�t � c � * .a�.a � *�tit**�r**x�at �* �1Fif�lEiEifjF�lEjffEiEjEiEit3E�EifiFiFiflEif3F�lFikiEiE�EjfikiElElFjEiEiEififif�3fiEiflE3l:E�)t fif�lfiF�IFiEiEiE�lEif�lfjEjEikikififif�lE��3E1f�74.��3fiFiffkjE�EiEif LEGALIZATION,:N F E E S U M M A R Y � STRUCTURAL SEGMENT:N � �HLDG PMT L�LUMBING ELECTRIC MECHANIC FIRE SMIP�/RF..S GRADING PERMIT 2.00 ' � 25� %^ SMIP/NON—RES PLAN . _ ISSUE E 3 00 ' r — — —> PEkMIT ISSUE PLAN CAECR TOTAL PAIP DUE 5UI NG DIV 'T� ALS----> 2.00 3.00 . 0.00 � 5.00 5,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 5.00 OVER/SHORT: 00 'HLDG I'MT F'LUMBING ELECTRIC,MECHFINIC FIRE SMIP'/TQT GRADING PLAN—CHECK S.�Q � iF if df ii if 3E iE if �E ik if iE if fE if if iE iE iE �f iE �f iE jElf iE iE iE �f 1f 1E ik it ifif iE if iE if if iE if ff iE if jf iE �E iF ff iE �)E iE if iE iF %�1f 3E jf if if if iE jf iF lE k�;E �)E �� if iE �F iF if df # ' I N D I V I D U A'li F E E B R E k K D O W N TIiPE QTY D E S C R I P T I`O N UNIT COST TOTAL COST PLU i WATER HEATER AND/OR VENT • 2.00 2.00 END OF FEES � 1 Oate: ApplicanC � �� I hereby cetlily Ihal I �ave reaa Ihis application antl slate I�a� Ihe above informa�ion is correc�. I agree to comply with all ciry and coun�y ordinances antl 5�alelawsrelaiinglo �uiltling constmction antl �ere�y authariierepresenlatives o�lhis ci�y�o enlerupanlhe above-menlionetl O�a�etly forinspeclion purpasQes. /�/� ,/� � /� ; Oare'. �I � � �� ' (� Signalure \��.V" � ' " --_�-- " �.�—,__ oriver's �icense or Socia� Seanty a: ' �,_�-- —� � �_ 164L4fi W�ite—Bwltling-, Green—Cotle EnforcemenC Canary—ApolmanP. Pink—Revenue: Goltlenratl�Assesmr-----"�� QA i0�)��lu"fil5lf�•.�"_ � .___nn.r.–_--- CONSTRUCTION ANDPLANNING ' P��SPA �'APPROVALS Permit# ' - Date Inspector qppROVALS Permit# Date Inspector ,l- 1. Temporary Electrical Service o'r Pole � . 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. � - '� 53. -Steel Reinforcement 3.•Electrical Conduit Utility-Undrgrnd. ' 54. Forms 4. Electrical Conduit-Undrgrnd. - r- 55. Electrical Bonding 5. Steel ReinforcemenY" . ' 56. Rough Plumbing & Pressure Test 6.�'Electrical UFER Grnd. • 57. APPROVAL TO COVER�GUNITE 7.•footings � ' 58. Electrical Conduit-Undrgmd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test ,�9. Water Pipe-Undrgrnd. � � 60. Backwash Lines, P�Trap, � Undrgmd. 10. Structural Floor System � ' 61. APPROVAL TO DECK 1 t. 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 -., __y 65. Electrical-Final � 15. Rough Electrical-Conduit f. 66. Solar SYstem-Final 16. Rough Electric Wiring . � 67. Fencing & Access ApProval t7. Rough Wiring Sign 68. APPROVED 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 ' � � "' • ' � ! APPROVALS �-': Pevmit # � ,�. 21.� Ducts, in Structure, .. .. . � �� 70. Underground Hydro • 22. Ducts, Ventilating,' . ' i� �'�' �'17�, product Piping ��Gas ❑�Oil 23.�.Gas Pipe�Rough & Test � ,. � , � , �. ; � , �, ; ��7p, Underg ound Flush 24! Roof Framing� ' � • � •�,: � '� _ ; . ; ' =73.: Undergmd. Storage Tank O Gas ❑ Oil � 25. Roof,Sheathin '. ` �'� - , �� ` , � 9 � r � , � � 74: =0verhead Hydro , . 26. T�Bar Ceiling (Structural) & Monocoat F �� -- !� 75. Dry Chemical ' � �� 27: �Frame and Flashing' '� � � � 76:'�Dry Standpipe , ' , i ' � �:, 28. Lathing&Sidin9 � ' - • " "� �_ 77: FIXEDSYSTEM�FINAL; h� 29. Insulation � � - � �� . , �� 78`.FIRE PREV. FINAL _ , 30. Drywall Nailin9 � �+ � •- • + �HEALTH�DEPT. REQUIREMENT i � ' 31. Plaster Brown Coat` . . � � i. ;79. �FINAL I'NSPECTION � ' : � '. 32: Electrical Power Meter:Final�� 1��_ ' �r �. SO:�FOOD CERTIFIC�ATE ISSUED -' . 33. �Final Electric . . �_ � � ' F; , '�No{es:((-(3�Q0 r(O ON� (�OM�-� [��T' 34.: Final Heating_& Air��Conditioning � . �; . . t'�°�; � � ' � � ...r 35.'Final Gai� Pipe�Tes't. �� • ' � '! :'� - ' ' , � � �,36. Hood or CanoPY . •� � . � -� � ;i .. . .. � � . I � 37: Final, FaMory Fireplace . ' ' " , � , � ' ' � � ' , la: �. � . 38. Final Plumbing � -• . _, � Z q�� ' �' �e.� � 39. Water Service�Final� � ' j� _.� � i�. �,40. Gas Service-Final . � 1� ' . , � ;. . 41. Solar pomesticFinal' ' � � •_ � i` � 42. Backflow Preventec. � ,�, � " ( � �� ' 43. Back4low Irrigation� � � � ' '� v. .. i + „44. Landscape Irrigation System •;.�, . i �.. � •+ +� • . 45. Sound Attenuation � � �� • �' • �' ' K. � � 46.,Handicap Regulations . . �� r � 47. FINALSTRUCTURE&BUILDING 9 i 48.FINALPLANNING �',��, � . �" �� 49. Electric Release to-Edison � '! '.s',: � ' i: i 50. Gas Release to Southern California Gas Co � �/� ; -• 51. CERTIFICATE OF OCCUPANCY `�' ; :_ � No. Date , n � � Aop�ieant to tili in all soaces exeept those within heavy Oortler lines ana si9n all aoP�eoriate tleclarations. �CITY OF COSTA MES � CO/[p�� STR TION. ERMIT y� _ Project Address � 9 � /� �M �� /J.�l� �ApplicanYs Mailin9 A r/��i _ i _ /� � Owner'sName,2� � Phone � ✓7 Address i ' `. Arch/Eng. License No. " � Address �� .. o Contracror's Name Pho e �� 72 Address (ma I'nnl ' S��% �1�(� I� � �� ' City=LicenseNo. � �2��y � ' � � � . ._.__.... . . _ . -. :..._ . „ 1 . IICENSED CONTRACTOR DECLARATION ' LM1ereby aHirm tha[ I am+licensetl untler provisions oi Charter 9(commencing with section 7000) oi'Division 3 of the Business an0 7rofessions Cotle,�antl rtiy license�is in f! for angRfiecL �' Cicense ss � �•� ' ice � Date'� '� � Signaturel � WORKERS' COMPENSATION DECL� ATIONi I�>I M1e�eby af�irm [hat 1 have a�certificat of consent to self-insu[e o� a certificate "bf Workers' �Compensation Insurance, or a certi(fi�etl c/opy„thereof',(Sectlon ' POOc�Y No.ti['..dL�✓(�� r ComPanY—�l:.�L-� . �� B�.Certi�ietl copy is heveby fumishetl, i � Ce�Y �ed py' � etl with [he city Bui D vision. Date�� Applitant '. EXEMPTION FROM WORKERS' COMPENSATI DECLAR ION � (Thissection neetl no[ be completetl if the permit.is.tar one huntlretl ($100) or less). ' . � ' � : . , I certify that in the performance of the work tor whith this perm�t is i55uetl, I shall not employ any person in any manne� so as to become subject to the WorkerY Gompensation Laws ot Calitornia: - � . Dafe � ' Si9nature � ' � �NOTICE: If, after making this tleclaration, you shoultl become subject tohhe Wo�ke�s' Compensation provi5ion5 OLthe LabOr Cotle, you must (orthwith comply�; with suth provi5ion5 �or � tM1is permit shall be tleemetl revoketl. ,- CONSTRUCTION LENDING�AGENCV ' - 1 nereby.atiirm;that there is a consiruction lentling agency for the performance of the wo�k fo� whicM1 this permit is issuetl (Secfion 309] Civ. C.) , l.enCer's Name. l.en0er's Atltlreis � - OWNERBUILUER �ECLARATIOIV- - � I hereby aHirm that 1 am exempt from the Contractor's License Law �for the tnunwino rnacnn rGctinn �nit 5 Ri�siness antl Professional Cotle: Anv�citv or that r � � � � 1 � ' I ' .. , .. I � ' I . �. TVPE OFCONSTRUCTION ' NEW� ADD ALTERATION ' REPAIR' ❑ CONVERSION. ❑:DEMOCISH ❑ OTHER � �ESCRIPTION OF N10RK/USE OF BLDG.� TYPEOFPERMIT . GRADING ❑ FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRIGAL ❑ PLUMBING .O MECHANICAL � • � O �OTHER . - .: - � ' PROJECT DESCRIPTION 54. FT. � ' oCCucaNCY 'CONSTRUCTION'TVPE � VALUATION$ ZONE GRADING CU. VDS. ACRES Remarks: 0 --tnerefrom antl the basis for Ihe alleged exemption: Any violatlon of Sectlon ]031.5 by Sny applicant for a�permit subjects tM1e -applicant to a civil �enalty of not more Ihan five huntlretl�tlollars.($500). "� �" lJ I, as owner of Ihe property or my. employees with �wages az [hei� sole compensation, will do the woik, antl the structure is not intentletl o� otfe�etl for'sale (Section17094, Business an0 Protessional Cotle: The Contractor's- License.l�w tloes not appry to an owner of a property who builtls or�improves theteon', antl who tloes such work hlms¢If/herselfA� throu9h his or her own'� employees, provitletl tnat such�improv¢ments a�e not intentletl'o� otteretl for sale. If,',however, thE builtlingAr imp�ovement i5 Soltl within one year o( com-. pletion, the owne� will have the bu�tlen of p�oving he/she tlitl not builtl or im- p�ove for the purpose of sale). � .�- ! . ; - ❑ I, as owner of Ihe property, am exclusively contratting with IicenSetl con- � tractors to construct the project (Section ]044, Business antl Professions Cotle: The ConVactor's License Law tloes not apply to an.owner ot property who i builas or improves thereon, antl-wM10 contracts for such projects with a con-. trat[or(si license pursuant to the Contractor'S License Law). 1 am aware that proot of their Worker's Compensation insuran<e shoultl be provitlEtl to me: ❑ I amlexempt untler Settion � B. & P. C. for tliis reason i Date � � Owner � � � I hereby certity that I have read this application antl state that the above information'is correc{. I gree' [o"comply wjth all city antl county ortlinances - andstate laws �elat�T9� b��wl��jjjing co �btlon; antl hereCy authorize repre- sentativez of this ity o�rTi$ up fe above-mentionetl�Property foj inspection purpos- �/ � � Sink � <flow Preventer cflow Irrigation Drinking Fountains Floor Dreins Floor Sinks Gas Service Kitchen Sink . ' Lavatories� - P-TraP . � Roof Drains . Reinspection'Fee� Showers ' -ServiceSink . � Sewer Cap� . � Sewer Connection . Solar Collecmrs . Solar Pipin9 � Solar Tank ; Swimming Pool w/Spa- Urinal )utlets Water Closet Water Heater � . Water Service ' . Auto-Wash ' Boiler - i Duct - Under Ground � Duct-Strucmral � $15 Duct - Ventilating � Exhaust System ❑ Multiple � Firepl/FacLBILICBO# � Heating System & Ducting � � ❑0-100,000 BTU 0100,000BT i . $igndture Oate Reinspection Fee Drivers"Licens r SS � CMF 0865-46, r¢v. 10/B4 Wnite - BWltling; �anary - Applicant: Pink - Accountinq; Goltlenroil�- Assessor $15 FEES ' Issue Fee � -. $ 3 Hood oc Type I i ❑ �� Canopy � Type I I ❑ - Refrigeration System . ❑0.100,000 BTU ❑100,000 BTU System Repair/Alteration ' Fire Dampers � . . Registers ' � Issue Fee $ 3 A.P. �k '• . , S Main Building: � E T Front A Rear ' C Right K Left 'S Ping. Ref. # ' Planning Notes: ' � , 2549. • 5/p7d'd5 � „ � . .. , ' '. Zone I � � ' -Accessory Building: _ _ Parking Req./Provided '. t. ' � ELECTRICAL ' Automatic Washer �� - � Transformer ❑ 1550 KW -- ConstructionPoleSub.'�, � � ❑50+KW � Cooking Unit Meter ❑up m 100 amps � Dishwasher � Meter ❑overt00amps Dryers ❑Gas ❑Electric Fan �' ' F.A.U. Fixtures . . . Device Boxes � i Outlets Switches Gar6age Disposal Generator �0.5 KW 05�15 KW Sub Panel � Motors �0.1 HP �1 %= B Inc.,Solar 09-15 HP 016� Microwave � -- • - Pole Light � Range ' � Sign � ! Standing Sections Trash Compacmr - Z O -- N r. 1 i �- N � G; R E _ Q • M T 5 FEES � � �� 0 i Reinspection Fee $15 Issue Fee � ' '$ 3 DEVELOPMEN7 SERVICES REQUIREMENTS: � � � : Zoning Approved By Date � Building Appraved 6y ' � Date Appliption luued By �ii5 Dat�_� . � ; SUMMARV OF FEES i � BUILDING PEFiM1T $ ' � SMIP. $ , � . PLAN�CHECK ' $ ' ' PERMIT • � PLUMBING ' $ � S-GC7 , �SSUANCE � $ ' � � PLANCHECK �25%' $ ENERGV�P.C.; $ ELECTRICAL $ � � � .GRADING � $ � '- P.LANCHECK SOY $ ' � MICROFILM � $ � � MECHANICAL . � $ ' TOTAL FEE i $ � S 'OQ PLANCHECK 25% $ � � � �_ - -�— ,� . . -. .. ., -� � . . . . . .�) - l.i -y . L.� 1 � = CONSTRUCTION AND PLANNING ' � , .POOL & SPA . , _ APPROVALS Permit # Date -�Inspector p�ppROVALS. Permit # - Date Inspr,ctor 1l. Temporary Electrical Service or Pole . . - ;52. Pool & Equipment Location �• � � - _ " ' �:7:. Soil Pipe-Undrgrnd. , ` - . 53. SteeP Reinforcement _ 3., Electrical Conduit Utility-Undrgrnd. � � 54. Forms � . � ' • i � 4 � Electrical Conduit•Undrgrnd. � 55. Electrical Bonding ,. � � , ' � ., 5 � Steel� Reinforcement ,' - ' ' � - � 56. Rough Plumbing'& Pressure Test � � - � � 6:• Electrical UFER G�nd �. ' � 57. APPROVAL TO COVER-GUNITE . � �, �.7: Footings � � , . 58. Electrical,Conduit-UnBrgmd. � � . •i, � 8? Foundation � • � � , � 59. Gas Pipe, O Undrgrnd., Test - . � '=� 9.•Water:P,ipe-Undrgrnd. . -�., ;�-. 60. Backwash Lines, P-Trap, O Undrgrrid. � _ , 10. Stiuctu�al Floor SYstem � .. '; � 61. APPROVAL TO DECK � � , ' 11.' Property Sewer Line & House Conriection �; � 62. Backwash & Receptor-Final � . � ; 12. Sewer_Cap '�,L� ' , 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 Elearical-T Bar Ceiling �. 69. POOUSPA SYSTEMS FINAL . �� 19.� Rough Heating & Air Conditioning FIRE�DEPT. REQUIREMENT _ 20. Rough Factory Fireplace � APPROVALS Permit # ' � � 21. Ducts, in Structurs , 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 � 26.�,T-BafCeiling-�Structural) & Monocoat � • 75. Dry Chemical ' -27. Frame'and Flashing 76. Dry Standpipe �• 28. Lathing & Siding � 77. FIXED SYSTEM FINAL - 29. Insulation '. ' 78. FIRE PREV. FINAL � 30. Drywall Nailing • � HEALTH DEPT. REQUIREMENT' , �31. Plaster Brown Coat � 79. FINAL INSPECTION � 32. Electrical Power MeterFinal -� . . 80. FOOD CERTIFICATE ISSUED - ', 33. Final Electric � , � Notes: - � � i 34. Final Heating & Air Conditioning , J 35. Final Gas Pipe:Test ; ��. � I 36. Hood or Canopy : . � . ' ' , I 37. Final Factory Firealace � ' • ' ' � � I 38. Final Plumbing � ; � � I 39. Water Service-Final � , 5' �� G��iJ - , I 40. Gas Service-Final� , . . I 41. Solar pomestic-Final • , - � I 42. Backflow Prevente� � �• � � - - ' I 43. Backflow Irrigation ' � . � - ' ' � • " I 44. •Landscape lirigation SYstem' � � . . ' � ' ' I 45. Sound Attenuation ' ' ' ' •� � � �� 46. Handicap Regulations � � � . : ' ` I 47. FINALSTRUCTURE&BUILDING � � ' , � � „ � � -• I 48. Special Requirements Completed - . . . � � � I 49. Electric Releaseito Edison . . - ' -� I i 50. Gas Release to Southem California Gas Co � � � ', I �51. CERTIFICATE'OF.00CUPANCY G- _ - _ _ -. •I No. . . ... Date � � . ' ' . . ' � � ' � ,. , � - � � .. n, . -.,�,9.-�.� OWNER � I JOBADDRESS _2 GENERALCONTRACTOR H �oT !�0 GROUP I 8c J 'INSPECTIONS i _ ' Footing Trench ' Foundation Forms and Grade to � Rough Framing _ � Plumbing, Rough to Slab G�q,� Plumbing, Rough Complete Temporary Pole Wiring, Rough ig, Rougl g, Final House Tank or g,ln ring Final, Fixtures Com Fin,al GasTest � Wiring, Final Occupancy ��OHM�210a3M�10-55�s • . � 3� -=="'.�:�;.:.',�,,:,ti,a �E PARK' Sowli.ng Green �r Constructi BLOCK iYPE V IDATE 0 � � E '1,VE�� '�'�fjP� ".. BUILDINGPERMITN �, .., :.: - ' , ,�. .,H "�''�• VALUE_$ .]_Z�IlOO� . . .. ,'� . . . . � "`'': TRACT =3],GG Res, w/att. Qar. , �.-ZONE i FIREDISTRICT' � � PERMITS SUBCONTftACTOR DATE I � ( �I +. �. _ . f'� :._._ - ��o COSTA MESA BUILDING DEPARTMENT P.O. BOX 31� • COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN BUILDING _ _ _ __ COSTA MESA. CALIFORNIA OWNER MAIL ADDRE55 CITY S/� ARCHITECT AODRE55 CONTRACTOR AD�RE55 IEGAL DESCRIPT�ON A.P. NO. SRE / n OF LOT r�� ISETBnCK LINE FROM I SIOE VARD l. TEL. NO. LIC. NO. LIC. NO. TEL. NO.OF BLOGS. riow orv �01 R DESCRIPTION OF WORK NEW X ALTERATION AD�ITION REPAIF MOVING DEMOLISH. 5 ZIE DING I �I, NO.OF 4 ROOMS STORIES E%TERIOR WALL ROOF COVERING COVERING USE OF NEW BUILDING RFS I UENCE �C ATTAdBED FEE RECEIVED n c�M � —�� , , q,�� 9:-{� ,. FINANCE DEPT. CiTY OF COSTA MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY � IJ� .� -v �I " BUILOING ADORE55 COSTA MESA. CALIFORNIA APPROVED BY STTtE THiT THE ABOVE IS CORRECT nNO nGflEE TO COMPLY W!TH ALL CITV OFDINANCES l�NO STATE LA�NS REGVLATING BUILOING CONSTRUC� norv. VALUATION SIGNATUREOF COLLEGE PARK N0. �J PERMITTEE PLtNS S �2��}0�. CORRECTIONS PERMIT FEE $ PLAN CHECK S TOTAL FEE $ c d 3D- � U � cG. < = sM�