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HomeMy WebLinkAbout1188 BOISE WAY - Building Permits • - '7"111111(.11111111111111111 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA Co STRUCTIONPERMIT PERMIT ,TRACT NO. LOT NO: ,UNIT NO: f - Project-Address /IRS ♦ . •.�J a 91 0. I . 1257 7/'!fJ/57 •. ' / TYPE OF CONSTRUCTION I❑ NEW LJ ADD H ALTERATION i REPAIR • 1 i Applicant's Marlin• Address - C _ �A,P•# Zone • ��••��•• ❑ CONVERSION' ❑ DEMOLISH-11 OTHER Owner's Name IA . .I A PhonL✓ ' •DESCRIPTION OF WORK/USE OF BLDG. - - , • Address f J • 1 1 S Main Building: d Accessory Building: Arch/Eng! I License NoZ . TYPE OF PERMIT ❑ GRADING CJ OU NDATION ❑ STRUCTURAL E Front O Address ,f1/ q y/ �'y� '^ pr/y�)/•��s ❑ TENANT ❑ ELECTRICAL , /PLUMBING -❑ MECHANICAL g Rear • N Contractor's Nama 7 Yt .C1 p��.t.) rt LJ' Phone Cl'.l`7"I l/I!5/ ❑ OTHER i C Right - , - '- -� N rep /� /� A7r1' I� Vt / . PROJECT DESCRIPTION ,SQ. FT. OCCUPANCY Address(mailing) ` {r'�W'` I , ` I V K - - G 073 CONSTRUCTIONTYPE • VALUATION$ 5 Left City;Lice. N. ,/ ZONE GRADING CU.YDS. ACRES' R LICENSED CONTRACTOR DECLARATION - Ping. Ref.# 'Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing 0 ( 9 Remarks: t Planning Notes: ' M with section 7000) of Division 3 of the Business and Professions Code, and - - - - - - - - - my license is in f f• c- and effect- , -. .. _ _ Z 1981 T Licen,- Ca '/ ic•n �N.. 19 i ' ' - - � :EIVFD JUL I $ Date/. . ..-:at Signature &yan _7 - „ PLUMBING ,FEES • - . - ll= WORKERS' COMPENSATION DECLARATION _ ' s • I�•�JC(J1 I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES • f Workers' Compensation Insurance, or a'certified cc py thereof (Section Backflow Preventer Service Sink . 300, Lab. jig In I, e..‘„....1 , Company .1�� • - AutomaticWasher- - Transformer D 15-50 KW policy No. 7 "I ! p y Backflow Irrigation Sewer Cap . Construction Pole Sub. D 50+ KW. _ �ertif ietl copy is:hereby furnished. _ _- - ' Cerj/i�fieq rqp iletl with the city I i lv n. In Bathtubs; �. Sewer Connection _ Cooking Unit Meter Our)to 100 amps • Date /,`-Clot' Applicant , �/� - _ - -- " • EXEMPTION FROM WORKERS'COMPE NSATIO DE LA ATION Clarifiers ' • - Solar COIIECLOfS _ . • Dishwasher Meter Dover 100 amps - (This section need not be completed if the permit is for one hundred ($100)or - - - less): 1 Dishwasher - �Solar Piping I - QC Dryers DGas ❑Electric a Sub Panel ' - I certify that in the performance of the work for which this permit is Issued, I # shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank • Fan ' - • Workers' Compensation Laws of California. - -- _ - - _ _ - - _ Motors❑0-1 HP ❑1%-8 Date - Signature Floor Drains - Swimming Pool w/Spa F,q U J •_ .NOTICE:.11,after"making this declaration, you should become subject to the _ _ _ __ _ Inc:Solar ❑9'15 HP ❑16-15+ , Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks . d Urinal Fixtures ' comply with such provisions or; this permit shall be deemed revoked. - . Microwave i CONSTRUCTION LENDING AGENCY - et GasService - Outlets Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the pelf ormance - 9 ' of the. work for .which this permit. is issued (Section 3092 Civ. C.) . _ Lender's 'Name _ Interceptors Water Heater Outlets Range - ' _ .Lenders Address_ • _. Kitchen Sink - - Water Service , _ Switches - - - Sign- -. - 1 - , • OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories I Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections , county which requires a permit to construct,alter,improve,demolish or repair P-Trap ' Laundry Trays Generator ❑0-5 KW❑5-15 KW Trash Compactor any structure,'prior to its issuance, also requires the applicant for such permit - - , - • to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section'7000)of -Division 3 of the Business and Professions Code) or that he/she is exempt-- - . - . . - . . therefrom and the basis for the alleged exemption. Any violation of Section - . '031.5' by any applicant for a 'permit subjects the applicant to. a civil - - - enalty of not more than five hundred dollars ($500). - .� I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 • . Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered Reinspection Fee I $15 • Issue Fee , - $ 3 for' sale (Section 7044, Business and Professional Code: .The-Contractor's MECHANICAL - I FEES ' • - - - License Law does not-apply to an owner of a property who builds or improves . - • thereon, and who does such work himself/herself or through his or her own • • DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler i Hood or : Type I D sale. If,•however, the building or improvement is sold within one year of com- - Canopy Type II '❑ . I 'Zoning Approved By ; Date ' pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground - Building Approved By Data - ..prove for the purpose of sale): . - , •_ - _ /�-p '❑-I; as owner of the property, am exclusively contracting with licensed con- • Duct-Structural Refrigeration System • Application Issued By - flare 7--/U_a7 tractors to construct the project (Section 7044,Business and Professions Code: - • , The Contractor's License Law does not apply to an owner of property who Duct-Ventilating • ❑0-100,000 BTU 0100,000 BTU - - : SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- - - - - tractor(s) license pursuant to-the Contractor's License Law). Pam aware that• Exhaust System -D Multiple❑ System Repair/Alteration . • I - . , BUILDING PERMIT $, 'SMIP $ - " • ' proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 am exempt under Section • B.& P.C.for this reason I Firepl/Fact.Blt. ICBO# Fire Dampers - PLUMBING $ 5100 ISSUANCE 1$ Date ' owner ' ' ` - - " Heating System& Ducting 1 ' Registers _ PLAN CHECK ' 25% $ _ ENERGY P.C. $ I hereby certify that .I have read this application and state that the above" ❑0.100,000 BTU D100 000 BTU - ELECTRICAL $ GRADING $ information is correct$I agree to comply with all city and county ordinances - MICROFILM and state laws relating tot building construe,ab, and- herebyiauthorize repre- PLAN CHECK '50% $ $ sentatives of- is, city to enter On the,above-mentioned property for - _ inspection pu ,se- / rt� O.S •- r f/CO V•!l a l MECHANICAL -$ ' Signature ' ! 4 .e • (Lam, Date - TOTAL FEE $ Drivers' License or SS ,_ - • . Reinspection Fee ".$15 t, Issue Fee •- $ 3 PLAN CHECK 25% $ - CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor . 1 CONSTRUCTION AND•PLANNING POOL & SPA- \ APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole • 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement CA ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms . , • 4. Electrical Conduit-Undrgrnd. '55. Electrical Bonding ' 5. Steel Reinforcement • 56. Rough Plumbing & Presslkt:Test 6. Electrical UFER Grnd. • • 57. APPROVAL TO COVER-GUNITE I • (', 7. Footings .. 58. Electrical Conduit-Undrgrnd. 8. Foundation - ' • 59. Gas Pipe, D Undrgrnd., if 9. Water Pipe-Undrgrnd. ' -- • , - - 60. Backwash Lines, P-Trap, 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. Plurnbing System - Final . 14. Rough Plumbing • - 65- Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final ' 16. Rough Electric Wiri g 67. Fencing &Access Approval ' 17: Rough Wiring Sign - • ' . ' ' 68. APPROVED FOR PLASTERING • ' 18. Rough'Electrical-T Bar Ceili g • 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 0 Gas 0 Oil ' - ' . 23. Gas Pipe-Rough &.Test . - ' , • ' 72. Underground Flush , • . 24. Roof Frarning - ' 73. Undergrnd.StorageTank 0 Gas 0Oil � 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 ' , 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 Meter-Final 80. FOOD CERTIFICATE ISSUED • '33. Final Electric -.. - Notes: - ' • 34. Final Heating & Air Conditioning , 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace - ' 38. Final Plumbing - ral{7 LED . . ' 39. Water Service-Final- - ` 40. Gas Service-Final - - - • I . - 41. Solar DomesticFinal - - - ' 42. Backflow Preventer - • - . - -. 43. Backflow Irrigation -. 44. Landscape Irrigation System . ' - • 45. Sound Attenuation - ' 46: Handicap Regulations . - - . 47. FINAL STRUCTURE & BUILDING - - - 48. Special Requirements Completed . - - •, • • 49. Electric Release to Edison • - • • 50. Gas Release to Southern California Gas Co - ' - 51. CERTIFICATE OF.00CUPANCY . - - . - No. Date 'f' • 6 t 7 r�g�t ^p 3 Z Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ddrOess A M�l X7 CQN$TR UCTION PERMIT PERMIT NO. — TRACT NO. LOT NO. UNIT NO.. A.P. � G / ]L/ Zone 2 /- pot 5C w r SO05- aqC v��!� ^T TYPE OF CONSTRUCTION • NEW ADD M ALTERATION • REPAIR ' S Main Building: / /ta.t/Q�J • Accessory Building:-W27 / ��-f-� Ap leant'S Mailing Address ' • - NN ❑ CONVERSION-❑ DEMOLISH OTHER T Front / ZO •: (Avner's Name' v .2-0 S CL M�hone DESCRIPTIO • W•RK/U E OF BLDG. 0 D TT /OA/ B Rear a JO c97 5 N • Addryss •-�r/J? BA Sae LA/ Ay � `L V$ • ]C � O 0 . ' '' to COVE'"l2/ A TCJ-� I Arch/Eng. _ License No. TYPE OF PERMIT U GRADING . FOUNDATIONO/ • G STRUCTURAL C Right / / G Address - L ❑ TENANT © ELECTRICAL o PLUMBING LJ MECHANICAL $ . Left �6 i . 5 1 ' - �ACk ,� ❑ OTHER1 Ref.# - Parkin R Contractor's Name ',tit L1 iAA QNS%Phone /-62 "2 W Ping. y,,'( •g Req./Pr�owi/ded • E y ./WAST X77 C R PROJECT DESCRIPTION Sq. FTy���' �fl�s TION$ C s// y 'Cyf+l� Y(f 60 M Addressimailing) �� �- FS �1LE ] yj� ,7,'Q Planning Notes: / P-11.0 _ \pLAO) l CONSTRUCTION TYPE y VALUATION$ cW / ,�.. ������rryy���� ���� ,,// COUP-11.01-1 7--/"" City.License No. ZONE - GRADING CU.YDS. ACRES/ C.o_LLMie.4l- t Ti • LICENSED CONTRACTOR DECLARATION - 1 I herebyaffirm that I am licensed underprovisions of Charter 9 (commencing 'h i_ Remarks: - with section 7000) of a 3 of the Business and Professions Code,and - D) - my license is in full f• ce and effect. �,/C 93 P. C• '46 4?33- V O` / ELECTRICAL FEES License Cie s Licen / Automatic Washer Transformer Date Signature �A�� --� _ PLUMBING ,FES 0 15-50 KW 'vORKERS'COMPENSATION D'/eARATIONV Constr ion Pole Sub. • 0 50+KW lr ,reby'affirm that I have a certificate of consent to self-insure or a certificate Bar Sink `z ShOwefs Workers' Compensation.Insurance, or a .certified copy thereof (SectionBackfl0 Preventer Service Sinks X. - Cooking Um - Meter ❑up.to 100 amps 00, Lab. C.) - Policy No. Company Backflow Ir " ation Sewer Cap r'/ Dishwasher Meter Dover 100 amps 8 Certified copy is hereby furnished. ' Certified copy is filed with the city Building Division. 2 Bathtubs CO / Sewer ConnectloY-' Dryers ❑Gas ❑Elect Sub Panel f, Date Applicant - / • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION NClarifiers Solar Collectors ' ' 1 Fan I Motors❑0-1 HP i'h-8 (This section need not be completed if the permit is for one hundred($100) or — • Dishwasher ' - Solar,P p`mg 4 F.A.U. , Inc.Solar l 5 HP 016-15+ less). f <' /_ i I certify that in the performance of the annex or which this permit is issued, , shall not employ any person In any manner so as o become subject to te Drinking Fountains • S•f�Tank .e Fixtures t icrovv�e • - I Workers' Co sensation Laws of Califoryq ,�•-- - a-et-Date Date / FS/Y✓ Signature- Yom" ' Floor Drains r • 7 irnming Pool"w/Spa Device Boxes 861- ight NOTICE:If,after making this declaratl the you should become subject to the ./1 - - •Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks gtOutlets gee) 7- Range , • comply with such provisions or .this permit shall be deemed revoked. Urine CONSTRUCTION LENDING AGENCY Gas Servide -_Outlets/ '� rq Switches .7 Sign I' . I hereby affirm that there is a construction lending agency for the performance Water Close I� of the -work for which this permit is issued (Section 3097 Civ. C.) / -- Garbage Disposal ,� Standing Section Lender's Name - Interceptors Water Heater - 7JU•J�• - - Generator ❑0-5 KW'❑5-15 KW Trash Compactor Lender's Address Kitchen Sink / Water Service P OWNER BUILDER DECLARATION .�-s _ -�- -t: I hereby affirm that I am exempt from the Contractor's License Law for the 4 Lavatories / Auto-Wash .. following reason (Section 7031.5 Business and Professional Code: Any city or - _ - county which requires a permit to,alsoconstruct,alter,improve, t for or repair - P-Trap / - . Laundry Trays - 1 \ any structure, prior to its issuance,also requires the applicant for such permit � - "' — .to file a rector statement that he/she Is licensed pursuant to the provisions of /Roof 21n5 - / he Contractor's License Law(Chapter 9(commencing g with Section is7000)exe of - •- ' • { ,vision 3 of the Business and Profed exe Cotle) or that he/she iz exempt - - Reinspection Fee ! $15 Issue Fee $ 3 refrom antl the basis for the allegetl exer•Ption. Any violation of Section - 7"31 5 by any applicant for a -permit subjects- the applicant to a civil - t$enalty of not more than five hundred'douar5($500). - • 3 • DEVELOPMENT SERVICES R QUIR MENTS: I LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee ` $15 - Issue Fee $ Zoning Approved By t"7 0 i' Date Gz-� compensation, will do the work,and the structure is not Intended or-offered - , for sale (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL FEES . • Building Approved By Date License Law does not apply to an owner of a Property who builds or improves __ __._ _.___. _ / 5 79t� thereon, and who does such work himself/herself or through his or her own - ' Application Issued By Date LA Q employees, provided that such improvements are not Intended or offered for _,- Boiler Hood or Type I 0 • sale. If, ehowever,wthe improvement enfro issold within one year of com- - Canopy Type II 0 SLI(JIMA FEES salt:on,-the owner will have the burden of proving he/she did not build or im- Duct- der Ground y1LlZ� • n move for the purpose of sale). ' PLAN C G PERMIT $ 3. PER _I $ L' . r I, as owner of the property, am exclusively contracting with licensed con- Duct-Struc Cal Refrigeration Syste PLAN CHECK.,'- $ 2 tractors to construct the project (Section 7044, Business and Professions Code: �I _ PERMIT ' The Contractor's License Law does not apply to an owner of property who / Duct-Ventilatin 00-100,000 ❑100,000 BTU — builds or imoroves thereon:and who contracts for such oroiects with a con- J ' PLUMBING,_ $ ISSUANCE r, $ • tractor(s) license pursuant to me Contractor's License Law). I am aware that Exhaust System 0 Mu " le ❑ S st PLAN CHECK 25% $ _ ENERGY P.C. $ - proof of theirV epair/Alteration J Worker's Compensation insurance should be provided to me. ELECTRICAL- $ GRADING'I'•/ $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bet. ICBO# e Dampers MICROFILM $ lir -.PLAN CHECK 50% $ Date Owner Heating System& Ducting '1/4.'"Fteksters MECHANICAL Ste•66 I hereby certify'that I have read this app"cation and state that the above 0o-100,000'BTU 0100, BTI. $ TOTAL FEE $ �+ �" •66 information is correct. I agr-: to comply th all city and county ordinances - ` PLAN CHECK 25% $ and state sentatives lawsohis •y to•• enten9up n• uc'1 above menand tioned prop rty authorize repre- sentatives for - - - ' — inspection • rposes /�// - Signature ' .tea - _ /�.,,.-�`— Dat Drivers' Lice•''or 55 Reins..• on Fee $15 Issue Fee $ 3 ' !: 0865-46,rev. 5/88 White - Building: Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DME: 17/10/Be 1 TC:E: 1./;47 e 'ONSTRUFTION AND PLANNING POG'^"-'"'iPA • .. - .. ROVALS Permit# Date Inspector APPROVALS Permit Date Inspector , . Temporary Electrical Service or Pole- 52. Pool & Equipment Location - . . 2. Soil Pipe=Undrgrnd. " 53. Steel Reinforcement - 1 3. Electrical Conduit Utility-Undrgrnd` - 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding . 5. Steel Reinforcement; • 56. Rough Plumbing & Pressure Test - , 6. 'Electrical UFER Grnd. 1- 57. APPROVAL TO COVE R-GUNITE a 7. Footings i • �k� �.' 58. Electrical Conduit-Undrgrnd. 8. Foundation ti / • 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. t 60. Backwash Lines, P-Trap, 0 Undrgrnd. - r 10. Structural Flobr'.System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - • 12. Sevier Cap - ' • - 63. Heater & Vent-Final 'h 13. Roof Drains -' .. 64. Plumbing System - Final , , '14. Rough Plumbing',: I 65. Electrical-Final j. 15.. Rough Electrical-Conduit - • 66. Solar System-Final • 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign • - 68. APPROVED FOR PLASTERING • - • 18: Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL ' • 19: Rough Heating & AirConditioriing FIRE DEPT. REQUIREMENTA .1 , , • 20. Rough Factory Fireplace - • APPROVALS Permit# 21. Ducts, in Structure t1 70. Underground Hydro 22. Ducts, Ventilating 1 ': ' 71. Product Piping 0 Gas 0 Oil . 23. Gas Pipe;Rough & Tesi - ' • -72:;: Underground Flush . 24. Roof Framing . i ,. ' 73. Undergrnd.Storage Tank 0 Gas 0 Oil _. 4 25. Roof Sheathing •` `-; 9,,.6. . 74. Overhead Hydro 26. T-Bar Ceiling (Structural).& Monocoat • 75. Dry Chemical 27. Frame and Flashing- G 0/, 76.-.Dry Standpipe ' 28. Lathing &.Siding - • 6 2 SJ '/,. 77. FIXED SYSTEM FINAL I 29. Insulation . 78. FIREPREV. FINAL p 30. Drywall Nailing �, f/e) ® - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ,.- `�7_ 79. FINAL INSPECTION ' . - i 32. Electrical Power Meter'Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric T Notes:Noi a- A-91 FOA - si-,SP • Z..-L+-9' 34. Final Heating & Air Conditioning y 35. Final Gas Pipe-Test LM-(J "ON E ffvn'1Fr G.S'L 3 • ' 36. Hood or Canopy ' • • -37. Final:Factdry Fireplace 1 \o ` 1 r4-evntrbik. rkcA go) 38. Final Plumbing - n ^ (39. Water Service-Finals n' it !i,e5 40. Gas Service-Final' • . 41. Solar Domestic-Final - '• t. r A2. Backflow Preventer - • ' i ' 43. Backflow Irrigation q.• 44. ,Landscapelrrigation System . 45. Sound Attenuation ' 46. Handicap Regulations; , , : . 47. FINAL STRUCTURE & BUILDING oglS �Swr o/L� C7i%'rcGTLK-to/ 48. Special•Requirements Completed • 49. Electric Release to Edison .. • 50. Gas Release;to Southern California Gas Co . 1,3 . , 51. CERTIFICATE OF OCCUPANCY . No. ' Date- - ,b • ` 1 / . 11 APPlica n[[o fill in all spaces except those within heavy borEer Ilnes and sign all appropriate declarations. d. /STA MESA - CONSTRUCTION PERMIT PERMI O. TRACT NO. LOT NO. Y UNIT NO. A P # Zone W CITffOF'C� •/' .S �O 1 S Z uJ a PM X 374-77 S �S 2 9 • Gress IIyy�� $ Main Buildin /� kat,/ AccessoryBuildin Pro)eci/:- TYPE OF CONSTRUCTION El NEW I[]� ADD Li ALTE RATIOLV U REPAI E g: 11 SI c g' 'T�+° d� S Z cant's Marlin ddres5 .V � • I f -ArmLI.- ANN ... ❑ CONVERSION Li DEMOLISH ❑ OTHER Rfl(21 et-to 7 Z `TI[.l T Front �.F-.r /�.r-T O l llwner's Namer y V p / !�) 7 i hone DESCRIPTION OF WORK/USE.OF BLDG. C H USTL IQddr'`f� 1:::'Arno I B Rear t 2 S N Address r C�8 0 les s.•c At' -• c•1d ate- A /{ I Arch/Eng. License No. TYPE OF PERMITfGGII ❑ GRADING11 p0I FOUNDATIONIpgl ❑ STRUCTURAL ' C Right 3..T G Address dN Ste, ' •' ❑ TENANT .0 ELECTRICAL N PLUMBING XI MECHANICAL $ • Left 36 1 ,S R Contractor's Name Y C SL 1 U fl� 5'31-GZYZ • ❑ OTHER R -•-3 Ping. Ref.# - Re /Provided • E J A P U Phone 4 Parking Req ./Provided (mailing) /61 9.2 I Mali L--/L y COLA t• ell.. PROJECT DESCRIPTION SQ. FT.' .-Zg OCCUPANCY -V� Planning Notes: , . - M Ye/ /O • CONSTRUCTION TYPE VALUATION$ ?$ 'V?p i T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION • I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /3•tics_7/5 $r36 %27 i. with section 7000) of Division 3 of the Business and Professions Code, and • my license is in full orce and effect. • !l 1-3ELECTRICAL FEES License Cla 5 45 Llc nse No.? b Date /' 7 Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS' COMPENSATION DECLA IONConstruction Pole Sub. 050+ KW ''ereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers" , Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter Duro to 100 amps 30, Lab. C.) ;, 6 - /I •- - . policy No. Company ' Backflow irrigation Sewer Cap - Dishwasher Meter Dover 100 amps 8 Certified couy'is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Certif-• copy i 0'Ied with the cit Bat.'•• ✓ ,• ., cathtubs �6:.�(it Skdwa•tf / Sewer Connection Date '- -• + — •P .nt �Y �-ate+� - ,/ Fan ^/,; 3 EXEMPTION FROM , ORKERS'COMP- SATION •ECLARATION Clarifiers •' Solar Collectors Motors❑0.1 HP ❑1X-8 00 -• (This section need,not be completed if the permit Is for one hundred($100) or -0 F.A.U. ,K. Inc Solar ❑9-75 HP ❑16-15+ • less). I : Dishwasher _ Solar Piping }• ;' - I certify that in(the performance of the work for which this permit is issuetl;I; r+ shall not employ;any person in any her so as to become subject to the, DrinkingFountains . Fixtures Microwave Workers' acymsytlgn Laws of Cal' orni r• ' Solar Tank • Date //,,JJ II77 Signature Device Boxes Pole Light 9 Floor Drains Swimming Pool w/Spa / 9 NOTICE:If,after making this declara I , you should become subject to the - - p Outlets I' Workers' Compensation provisions o he Labor Code, you must forthwith - FIOOr Sinks Urinal l/ Range /LJ comply with such provisions or this permit shall be deemed revoked, Switches J CONSTRUCTION LENDING AGENCY - Gas Service Outlets 'Z, �/Water Closet 0,0Sign Co OP I hereby affirm that there is a construction lending agency for the performance 7 Garbage Disposal of the work; for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater • 9Standing Sections • Lender's Name IQ Lender's Address GeV p"" • - Kitchen Sink - Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION , ' I hereby affirm that I am exempt from the Contractor's License Law for the 'Z Lavatories Auto-Wash G! co following reason (Section 7031.5 Business and Professional Code: Any city or / county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trats any structure, prior to its issuance, also requiresthe applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter-9 (commencing with Section 7000) of fir *-yision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee - $•3-----S0 "•'iirefrom and the basis for the alleged exemption. Any violation of Section • 1 ;31.5 by any applicant for a permit subjects the applicant to a civil >^Rally of not more than five hundred dollars ($500). 3 DEVELOPMENT,SERVICES REQUIREMENTS: ❑ I, as owner of the property or my employees with wages as their sole ReinsPeCtion'Fee $15 Issue Fee $ • -compensation, will do the work, and the structure is not Intended or-offered Zoning Approved By �-�/ Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Al 'ZY • Date License Law does not apply to an owner of a property who builds or improves /� i thereon, and-who does such work himself/herself or through his or her own Application Issued By .__„�i_ _ Dat- /firs' ;r employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 _ — -�-- sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 • MARY OF ofES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). = BUILDING PERMIT $ SMIP $ 0 I, as owner of.the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors.to construct the project (Section 7044,Business and Professions Code: - The Contractor's License Law does not apply to an owner of property who / Duct-Ventilating ' ❑0-100,000 BTU 0100,000 BTU `Y 53 PLUMBING $ 2Q. goo ISSUANCE $ builds or improves thereon-and who contracts for such oroiects with a con tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. �• )--•y” GRADING $ ❑ Iam exempt under Section B.& P.C.for this reason ' Firepl/Fact.Bit. ICBG# Fire Dampers ELECTRICAL $ 3 . PLAN CHECK 50% $ MICROFILM $ Date owner Heating System& Ducting Registers MECHANICAL $ tot • 5-1, .TOTAL FEE $ 7 7. 7-5— I-hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 GT - information is correct. I agree to comply with all city and county ordinances . PLAN CHECK 25% $ and-state laws relating to building co struction, and hereby authorize repre- - - sentatives o is ci to enter, n the above-mentioned property for inspection •'F�..'.e 2 / Signature r'- Date O Reinspection Fee $15 Issue Fee $ Drivers' Lie- se or SS Yo01 DOG1d341 0!7t72d3 J c e ,y 77,75 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor "DATE: 02/15/E9 TIM: 11:41 .Co'STRUCTION AND PLANNING - POC ,PA • i45ROVALS Permit# Dat' Inspector APPROVALS Permit# Date Inspector r .. {Temporary Electrical Service or Pole ''S cr 52. Pool & Equipment Location N:� 7 2. 'Soil Pipe-Undrgrnd. - - 2l,JCt0- 53. Steel Reinforcement _ • 3.Electrical Conduit Utility-Undrg ni1: . '‘I 0- 54. Forms - 4'..Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel'Reinforcement! 56. Rough Plumbing & Pressure Test 6:1 Electrical UFER,Grnd. • I 57. APPROVAL TO COVER-GUNITE , ' t, -:/..- , • I7 �_,l. ' 58. Electrical Conduit-Undrgrnd.. '.. r 7: Footings 7 � 1 g 4 .•8..Foundation - : ,r - ",_! • 59. Gas Pipe, 0 Undrgrnd.,Test • I �. ,9i Water Pipe-Undrgrnd.a •',' % 60..Backwash Lines, P-Trap, 0 Undrgrnd. 10:•Structural Floor System ", i 61. APPROVAL TO DECK 11'. Property Sewer Line & House Connection 77La/8�° L� 62. Backwash & Receptor-Final 12. Sewer Cap .1-} -: ! 63. Heater & Vent-Final - • - w :a •. 13. Roof Drains It C. t; I 64. Plumbing System - Final 14. Rough Plurnbing. `L sleet? Lip 65. Electrical-Final- r•- 15. Rough Electrical-Conduitt - - 66. Solar System-Final 16. Rough Electric Wiring .5--r-gr 67.' Fencing & Access Approval pc Rough Wiring Sign 68. APPROVED FOR PLASTERING r18!. Rough Electrical-T Bar Ceiling r 69. POOL/SPA SYSTEMS FINAL . '19. Rough Heating & Air Conditioning s/47 (-t FIRE DEPT. REQUIREMENT .20. Rough Factory Fireplace [„ APPROVALS Permit# ti , / 2.1`. Ducts, in Structure GP 70. Underground Hydro 22. Ducts, Ventilating 6f1 a 71. Product Piping 0 Gas 0 Oil X23. Gas Pipe-Rough Vest Au 72. Underground Flush . ° 24. Roof Framing „t I2. 73 . Undergrnd.Storage Tank 0 Gas 0 Oil ' 25. Roof Sheathing �% 74. Overhead Hydro 26. T-Ba(Ceiling (Structural) &0onocoat 75. Dry Chemical 27. Frame and Flashing /4 76. Dry Standpipe 28. Lathing & Siding - ‘IiN 77. FIXED SYSTEM FINAL 29. Insulation . /U 78. FIRE PREV. FINAL tr HEALTH DEPT. REQUIREMENT 30. Drywall Nailing �r r� , 31. Plaster Brown Coat•t' 1 / - 79. FINAL INSPECTION • 32. Electrical Powe Meter-Final 80.-FOOD'CERTIFICATE ISSUED :^�l 33. Final Electric 9:4; / eZNotes: n t 34. Final Heating & Air Conditioning 1r42-40. j. p ;,a •35. Final Gas Pipe-Test 36. Hood or Canopy . 37. Final Factory Fireplace /',, 38:;Final Plumbing Uzi o 39.;Water•Service-Final • - 40.'Gas Service-Final ' 41.'Solar Domestic-Final „j- • . 42. Backflow Preventer ......i u, r,1j Q.. 43. Backflow Irrigation //../..:".. V, 1L( • 44. .Landscape Ir'rigation System • . , : (V J I _ I. /. / i 45. Sound Attenuation •`.. 46. Handicap Regulations ' ti 471 FINAL STRUCTURE &.BUILDING • 48."Special Requirements Completed • 49. Electric Release to Edison • ;e• 50. Gas Release-to Southern California Gas Co _ �� ' 51. CERTIFICATE OF OCCUPANCY - I t' % -? tv No. - Date P /', r• '3 (J OWNER MUELLER, EDMUND DATE DEC 2 19M JOB ADDRESS 1188 Boise Way BUILDING PERMIT NO. - 23284 - - o GENERAL CONTRACTOR Sun/Boss Co. VALUE $ 1,205.00 AP No.141-691-41 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORKAdd Patio t' s INSPECTIONS Signature DATE GROUP J TYPE ZONE Soil PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER Water Rough Corn. Refrig. ❑ Air Cond. O Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line 0 House Con. St. Swr. 0 _ Sprinkling System Construction Pole Underground 0 Power 0 Rough Wiring Trenches!p Forms ❑ Steel Reinf. 0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing (/7 i y/7/2- Lathing— In 0 Out 0 Plaster, brown coat Refrig. 0 Air Con. ❑ Final Heating, Final Plumbing Fixtures, Final 2328a p • RECEIVED A MESA BUILDING-SAFETY DEPARTMENT DEC 3 I9g4 '-`* P.O.BOX 317 COSTA MESA.CALIFORNIA r1. FINANCE DEA. . For Applicant to Fill In Completely . APPLIc VION'�FOR'PER WSA TYPE OR PRINT BUILDING For Office Use Only ADDRESS 1188 Boise Way . RECEIPT NO. 2PERMIT NO. COSTA MESA.- CALIFORNIA RECE,vD er yE DAIE j . Edmund. Mueller f /Z/( /447" /2/2-/ OWNER .. 1188 BUILDING / MAIL Boise Way ADDRESS I (FR gen/ i 1 Irkf ADDRESS r FIRE 7 CITY Costa Mesar Calif. NO• ZONE 7 JJ�'�/C PE Li....---GROUP ///!n APPROVED ly�C/ a� I05/%/Y ARCHITECT '' NO. 'BY DATELSA OR ENGINEER' NO. • - ZONING ADDRESS zoN� l ^NO,or I USE OF NEW / f T'.-� I PLANS 'L-7I BUILDING CONTRACTOR Sun /Boss CO. `i / ,i'�' ADDRESS 1155 Stacy Court DESCRIPTION`Q rf<t V CITY Riverside, California; • • A.P.NO. /' 7 l - 6 rl- Li, NOTE: NO-EAVE OVERHANG SHALL BE LESS THAN LIC.N0.113315 TE. OV 4-1686 90'TO SIDE a REAR P.L EAVES SIZE ALLOWED (U.B.C.REQUIREMENT)INO. ONLZOFB / O YARDS APPROVED . ' YARDS APPROVED USE OF MAIN BUILDING 'ACCESSORY BUILDING EXISTING BLDG. Ties. ' ' (FROM C/LSTR SETBACK LINE FROM I FRONT v SLS/ FT. ` CENTER OF FROM., EX - REAR YAR915 �7 ��Nrr fill SIDE YARD I LEFI91 ' . ' •-I RIGHT' ' '211 R.SIDE d•'I Fr. FT, DESCRIPTION OF WORK L SIDE SFr. NEW _ _ALTERATION ADDITION X REAR r�( V FT. DISTANCE BET. ET.MAIN ft ' ' • REPAIR MOVING DEMOLISH MAIN BLDGS. . ACCESS.BLDOS. VAR.S DATE =DING UIE DING;16 X 28. NO.OF - ROOMS 0 STORIES 1. C.U.P.# J� APPROVED EXTERIOR WALL I ROOF APPROVED I ,r A/� /j 1-- 6 cz COVERING COVERING Alum. BY • LVV V TE USE OF BUILDING AND WORK TO BE PERFORMED Add Attached Patio,Cover to Res. H SQ.FT. o I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE E AND STATE THAT THE,ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS . .REGULATINGVALUATION BUILDING CONSTRUCTION. - N PERMIT FEE- $ j SIGNATURE OFti��SI �l G PERMITTEE \ �l� -1 $ 7P oS - LANG EC I r' o 0 E AUTHORIZED AGENT TOTAL FEE $ /I3it•[5 6 ' 207371 FEE DECEIVED 1/4...,iA MESA BUILDING-SAFETY DEPARTMENT OCT 7 1968 P.O.BOX 917 COSTA MESA,CALIFORNIA IIFINAN COSTA DEPT .��pp For Applicant to Fill In Completely CITY OF TYPE OR PRINT BUILDING �.w9`J'��`�'�j�f�/� For Office Use Only ADDRESS 1188 j, n 1.IAtl • RECEIPT NO. ` COSTA MESA. CALIFORNIA - RECEIZ BY DATVEECE VE DATE ISS ED OWNER 'Norths'ate a nartr rshin /K_- C/5 `43 i2-5y(J BUILDING J o I ADDRESS 15939 LasFlbres St. ADDRESSFIRE / /- G' //`f.-(/ niV +iTEL. ZONE TYPE V GROU CITY Fountain Valley NO. 531- 'lam APPROVED ARCHITECT T .OR ENGINEER C. Hiller N t.F;52007 BY DATE t. ZONING (' ADDRESS Anaheim _--yam per/: ...4.:A., ZONLL NO.OP USE OF N`."l 7I1 �- I PLANS BUILDINO.i /�J(/151�. iii CONTRACTOR Rouser Const. Inc. - ��1f�� III // F^V�'1L ICI /�/1 lam. LEGAL ADDRESS 15939 LasFiores St. DESCRIPTION CITY Fountain Valley A•P•NO..(9 C NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.NO. 21504NO'5 31-6792 SO'TO SIDE a REAR P.L. 'EAVES SIZE - NO.OF BLDGS. ALLOWED (U.B.C.REQUIREMENT) OF LOT 6o I X] no I NOW ON LOT nnne YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. none I (FROM C/LST EET) SETBACK LINE FROM ppy� f(� CENTER OF STREET XX 4 5 I REAR YAtD 32 I FRONT H'�JJ FT. FT. SIDE YARD I LEFT 51 RIGHT 5 ' R.SIDE - CC-FT. FT. DESCRIPTION OF WORK L.SIDE L!(^ FT. FT. NEW X ALTERATION ADDITION REAR .b Z 3 FT. FT. DISTANCE BET. BET.MAIN a MAIN BLDGS. ACCESS.SLOGS. REPAIR MOVING DEMOLISH BUILDING 1' 1' NO.OF VAR. {' DATE SIZE 1 L 34Rgf ROOMS 6 STORIES 1 C.U.P.# APPROVED . EXTERIOROINWALL ROOF BYPROt ,��'"•'"I'1 DATE /V V-o3 COVERING S NG AND COVERING ' shiEviol e USE OF BUILDING AND WORK TORE PERFORMED `' single fam. res . w/attach Lear. iV3y N SQ.FT. B 1 HEREBY EA CT - } . Hwy= -EAD B APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F ANO STATE THAT .r CORA GREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY BUILDINGWITH CONS - ' AND = a REGULATING VALUATION m • PERMIT FEE $ ,� N SIGNATURE 0a • GPERMITTEE .(/ p ! AUTHORIZED AGENT / /� r . --n•. rs- i ' -...- - .` TOTAL FEE $•7F77 O . . r