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HomeMy WebLinkAbout3145 BOSTON WAY - Building Permits.00a�so�au��: 3195 BOSTON WY ONNERSNRMEIFRqMN: WILSON, MICHAEL �ooness:3145 BOSTON WAY COSTA MESA,CA �vv�. wuuxc wonEss: �11CNRECT OR FNtlNFEp: IPLX.ON ENO.'S ADDXE55: °M CITY UF COSTA MESA - BOILDING PERMIT FLOOD: X 46 92626 Z�'� F'ERMIT NO: P 087537 PLAN CHECK NO; N CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU IIGND: UNT: B0N"'�CTO"'s""� NOCK PLUMBING ( 714 ) 895-1246 CWfPACTORSNAIIING 11612 I(NOTT ST 'DOPE� GARDEN GROVE CA °FN0 707775 92841 �"T 17 LICENSEO CONfPACTOFS DECLAHRTION: I Mreby aRrm umlx paiuly d peejury tlut I em IicenveE uMx pwidare d Cheqm 9 (oomme�np wuh Seclian i000) d Division 9 d Na Busineu eM Vrdeavona Code, uM my lioense e in lull Mce aM eXed. cmuar+o.:05 •� uacuss: C-36 uc.N°'�0 EXP: 02 /9 Dete: Cm�eaa: d�� OWNEN BUILD EC NATION: I hereby etNm under px�ely d perjury the� 1 am azemq Iran the COM�etlaa Licenee lew la IM folbwmg raewn (Sedion )031.5 Busiwss eM Profeasions CoJe: Any cily a munty xfiich requires e pa�mA lo mmVuct, eller. impova. Eemd'oh, w repei any nruelure, pior b ns uae�x», e6o raquirm �he epplieenl la eueh paemil b file e eqred ete�amam thet M«eM o licemed purauent io ihe provisiom d �he Coniredara Liaensa law [Cheqar 9(mmmanarp vrilh Sadion ]000) of piioion 3 of tln �Buainea ervJ Prde»iau Code� a thei he n ahe u exemq Ihereimm end Ihe bem t« tlr elbped uempion. My vbinion d SarJon ]031.5 by eny epplicent Iw e permn eubptla IM epplir,an� Io a avil panelly d ial mare iMn Me huMreE Edlen j$500�). � I.mow�rordlMpopeM«myempbyaeewYhwepesmlheieobcompeneetion.willEOHwxwk.eMlhaeWdura'o�wlinlendaE w oilared la seb (Seclion ]M4, Buvrea erM PMeaeiam Coda: Tha Con�raqpe Ucensa Lewdoea mi epplyta en oxmier d popery wla Wida a inpmveo �hamon. end Wa Eoes such wak Nmsell a henN or Mraqh �b a Mr own empb�mo. qarideE Ilu� wch impmvemeMs era rM imeMad or dlared for eale. X, however, iM buiqinp a improvemeM ie eoN wilhin orro yeerW comDbiion, IM owror-0uikbr will heve �M WNen d povirq M a she Ek na bnk or impewa la the WT�a d aeb). � I. av ovmer N iM W WeM. em extlusivdY mnirea'vq xilh ticenaed wntreciwn m cvnmue tln W9� (Safion )OiJ. Bw'vims end PMemme Cade: TM CaNradas licenae lew Eoee ml epply lo en owmr d propeny �Mo EuiMa or imqwm ihereon eM wlw conlrecb for suM pral�a xilh e mMredor(e) licenaed pursueM lo iM ConlreUas Lireiva Lewl. � I em aaemq uMm Saction: B. 8 P.G., br �hie reeaon: Dme: a.*a: ' I Ao heieby ceniiy Nm I em ewere M eM uMen�eM iM reQuimneme d Cddanu Meetlh vM Sdety Catla Sediom 25505. 25533, end 25536, enE Ihe� I w any INura buiMirp amupenl will / wYl rwl (dreb aro) need lo canply wIh eeiE sleb oodea end IM repuirameNa M epermn /«camuudian ormoEifimlbnhan�he A'r�6ty�. enepemem Dimrid. Revdeniiel ow�Arud'un appiratiomera uemqimm theea pronaw�a. Dete� Applicanl: WONKEN'S COMPENSATION DECL�N4TION: I Mraby effirm uMar penelry d perjury oro N �ha bllowiip dede�moru: � I hera eM v.il meinten eceni(cme d canaen� lo eeMinwn br Norken' compeneelion. m povked fw by Sedion 3]00 d �M Lebor coee. �« me oBnormeMe a m. wix �« wM1icn mia pemin u p,u.d. � I have end �til meinten worFare mmpemelbn ineurance, m repuired by SeGim �]00 d ihe Lebor Catle, br tM1e perbrmence d tM '{ wwk fw whieA ihia pmnn u wsued. MY waFen' oompenalion imurarKe farner erd pdi�y number ere: c��.: r_n. nr�i car�T r EXPIRES °d"""'""°` 09/O1/98 �m;:secrian�e.e�aeecw�waraeim,r�e;sm,o�e ��e,.dew�rs�ao�a .1 na � I centy Ihel in ihe peAa eMe d tha vrork la which thia pe�mn is ivued, I ahdl rrot employ eny pawn in e�ry menMr eo m lo becwna w" �o the ' mmpenWian levn d C+lilanie, eM ep 1 il I ehouk becoim s �o ihe wMeis' compense rovis' ion 3]00 d the labar Cada. I ahell I ' h vN '��� 0�a o�e: nodKem: Wam/np: F ro• ro woAsn'rompevatlon ewenps I� wrl�wN( antl Mell aubJM en wnp/oyx ro MMnsl pinaltles ene clvll flriss up ro wa hundrsd MouunC eolkn (Sf00,OPDA In Mtlltlon b tlro eost of rnmpewfbn, Mnups� u povMW br In Sxtlon 3105 0/ IM LeDor Cotls, /nrorsa�, antl �tfomsy� lsu. CONSTi1UCT10N LENDINO AGENCY: I heeaby elfiim uMx penelry d pa�ryry �het than ie e wnstiudion beMinp eper�ey la tM paAarmeMe d the work for whiJi �he qrml is eaueE (Sad'an 308>. C'v. C�. LENDEN'S NAME: �ENOEN'S AD�FE55: 1 cMity ihm I have reaE I�u epplicelion vM atma the� the ebwe intame�ion o canad. I eprea lo mmply xilh dl tlly aM muMy adinencm � eiMatmekwvraldmpiobuikingconmrutlbnaMMreEyaNhorrzarepresentmiread�hisarytoenleruponihaebova-mentionadproperry faimpedion Durposas. N NOCK Pnm�Dme C /� �—S�igwYvd W OvrtnHRgenUFpp4ranUCoivreaa � `(S151eg.WP) W�na-BuiMiq d Selery: GrearFb: Genery-ApPFrent: Pink-Revenue:Oddenrotl-Asseemr � P�iB -ot� 23 v� PERM NO: P 087537 GOVT: N SUPP: N PURPOSE: OTH JOB DESCRIPTION ; INSTALL UISHWASHER SQ FT: CLAIM VALUE: CALC—��ALUE: GROUP OCC;. R-3 / COMMENTS: NO OTHER WORK ASSOCIATED WITH THIS PERMIT **�r*�***�t*�**�*�t***�t*+t*�r�t****�t�t*�t*�t*�t+���t�t�t***�t*�*��t******�t**�t�x***�t******�t*�*** Z O N I N G R E Q U I R E M E N T S S E T B A C K S �----------- MAIN BUILDING --------- --------- ACCESSORY BUILDING -------- FRNT: FT IN REAR: FT IN FRNT: FT. IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ: PROV: PARCEL: 14169121 ZNE: REF NO; PLANNING NOTES> i ,.'— ��*+������*��**�+�*****�**��r+��*�,�*��x******�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 APPROVED BY � DATE: BUILDING APFROVEU BY : ' -'%' DATE: APPLICATION ISSUED BY; �\ DATE: ik if iE iF �IE 1E iF 1f if iE iE iE iE if if iE ik 1E iE iF iE iE iF * iE iF fE �E �f 9E �E 1EiFi�3FiF iE LEGALZZATION;N F E E S U M M A R;Y STRUCTURAL SEGMENT:N 1 bLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 8.75 25� PLAN ISSUE FEE 22.00 SMIP/NON-RES BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 8,75 22.00 0.00 30.75 30.75 .00 REVENUE DIVISION TOTALS--> 'COLLECTED: 30.75 OVER/SHORT: .00 HLDG PMT F�LUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECFt 30.75 �E �E iF 3E �E iF iE jE iE �F iE it if if iE ik d! iE iE iE 1E if iF �f if iF it iE if iE 3E it iF iF jF iE i61E if iE if iE i6 if 1E jk iE 3F iF i@ iE iF if iE �E aE iE 3E fF iE aE �1E �1E iE iE iF 3F if iE aE �k �E 3E iE iE iE iE �E iE I N D Z V I D U A L F E E B R E A K D 0 W N TYPE C,�TY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 DISHWASHER 8.75 8.75 END OF FEES �4-82-199b/11:43 Afi/f3C.75 kCGT4:ai-�?218t9 PERhtIT: E3875s7 I' , CONSTRUCTION AND PLRNNING � „__ POUL & SPA APPROVpLS Permit # ' - Date Inspector �� pppROVALS � Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pooi & Equipment Location � 2. Soil Pipe-Undrgmd. ' . . 53. 5teel Reinforcement " � 3. Electrical Conduit Utility-Undrgrnd. . 54. Forms . �- � '4. Electrical Conduit-Undrgrnd. � 55. Electiica6Sonding . � 5. �Steei Reinforcement . -- ' 56. Rougfi Plumbing & Pressure Test � 6.. Electricai UFER Gmd. � 57. APPROVAL TO COVER�GUNiTE � � 7. Footings .. ' . 58. Electrical Conduit�Undrgmd. , � � 8. � Foundation �� �, - 59. Gas Pipa, O Undrgmd., Test _ 9. Water Pipe•Undrgmd. - . 60. Backwash Lines, P•Trap, Li Undrgrnd. . 10. Structural Floor System - 61. APPROVAL TO'DECK� i t. Property Sewer Line & House Connection � 62. Backwash & Recep'tor�F�inal �' I 12. Sewer Cap � � 63. Heater & Vent�Final � � . . . 13. Roof Drains • � , 64. Plumbing System � Final � 14. flough Piumbing . � - . -. •�65. Electrical-Final +' ' � 15. Rou9h Electricai�Conduit �.. 66. Sotar SYstem-Finat ' , � 16. Rough Electric Wiring ' . -g7. Fencing'& Access'ApProval . � . , � � 1J. Rough Wiring Sign ' . � � . � ' 68. APPflOVED fOfi PLASTERING - ' ' � 18. Rough Electrical-T Bar Ceiling � 69. POOUSPA SYSTEMS FINAL 79. Rough Heating & Air.Condiuoning _ , � __ , ��� FIRE DEPT..REQUIREMENT � - i ,,. , 20. �Rough Factory Pirep�ace '� � � � � �APPROVAL$ � Permit # 21. Ducts, in 5tru`cture , . � . �". � 70. rUnderground Hydro � 22. Ducts, Ventilating '� � ' � � � ' - � +�� � � 77 Producz Pipin ❑ Gas � Oil .,. 9. 23. Gas Pipe-.Rough & -Test . , : � ' � . . , 7z, Underground Fiush � 24. Roof Framing �� , j� "' •'r 73; Undergrnd.StorageTank'OGas ❑Oil 25. Roof_Sh�athing .: ' _ _ _ �� �;� -'„ 7q, Overhead Hydro, � 26. T-BanCeiling (Structurall & Monocoat �. 75; Dry Cherrmical � ' , - � 27. FFame and Flashing , , " ` � " '�; . 76. Dry Standpipe � _ � . . 28. Lathing & Siding .• "-. . � - � • 77; FIXED SYSTE(� FWAL ' � � .. 29. Insulation . - �� �, 78:: FIRE�PREV. FINAL � • 30. Drywall Nailing - • . ' �' �' HEALTH DEPT. REQUIREMENT 31. Plaster Brdwn.Coat:; . ' � .� 79. PINAL INSPECTION -32. Electrica��Power MeterFinai i . 80: FOOD CERTIFICATE ISSUED 33. Finai�Electric . '� y . : No'tes: � "' , ' �� � • 34. Final He&ting & Air Conditioning� , , ' - , .. 35. Final Gas Pipe=Tesi ' ` . , - ; - , , 36. Hood or CanoPY • . : . - _ �. ,, 37. Final Factory Fireplace ` ' , . . ` 38. Finat Plumbing '�- . . /� � � 39. Water Service-Final . . � ( . : 40. Gas Service-Final , , , ' ' ;, . _ 41. Solar pomesticFinal . . ��' . � ' � � 42. Backflow P�eventer ' : ,- ' 43. Backflow Irrigation �- -� . ' , . ' , , 44. Landscape Irrigation,System , _ . , ` �. � �; �_ . �- � 45. Sound Attenuation' • • � 1 '� " � - � � r �: 46. Handicap�Reg'ulations , ; � ;r � , ' t 47. FINAL 5TRUCTURE & BUIL.DING ' v � 48. FINALPLANN�NG_ ; ' 49. Electric Release to Edison � -C ' • 50. Gas Reiease to Southern Calitornia Gas Co � �� � 51. CERTIFICATE OF OCCUPANCY No, Date •w�ss'&'ew�ou+o: �145 FiOSTDN WY °�' w,m��swi�F�avr+: MICHAEL WILSON FLOOD: X ',t ' ' �ooeess: 3145 BOSTON WAY C.M, CA 92626CITY PLAZA ' S46-6737 AppL, ydI�WG ApOPESS ARCNIfECT OX FN�MFEF: UICX.OR ENQ'S MDPE55: uc. xo: wNm�crars nu¢: carm�croxs�uuxo AODRE55: 11C NO.: UNT: UNT: UCENSED COMXACTOHS DECLRHATION: I hareby etfim uMer penally of pe�jury thet I em IcemeE uMx pwidona d Cheplv B (cammaia�p wilh Sectnn ]000) d ONoion 3 d Ne Bwi�ro» eM Pmlesabru Cada. erd mY lioenw ia in full twce mM eHed. cm uc. No.: uc. cuss: uc. No.: EXP : Dme: Comreaa: OWNEfl BUILDEH OECLAflATION: I hereby elfiim uMer peneXy d perNn' �� � em uemp /rom IM ConVerlon l'xeme Law la IM Idbwiq reeson (�� »1.5 Buei�esa eM Professiais Code: Mry c1y a mumy xfiidi �oquirea e parmillo construcY. al�er. impro.e. tlemoleh, a repe'r eny elew.Mure, pior to ns ueuenee, dso reQuima tha epplimnl for weh parmit to fib e egnW mlenrnt tlal he or ehe u lironsed W�� �o IM povieians d Ihe Conlreqwa licensa Lew jCheptar 9(oomme�np vrith Sx1on NW) al 0'vuion 3 d Ihe Buunea e�d Vrdessbm Coda� ar Ihet M a sha ia examq therelmn and �ha bmo la Ihe dbpad uemqion. My videtion d Saiion ]031.5 by airy epplkeM lor e permn suEpdv �he applicaM b e civil penelry of nd mae then fHe hurMred ddlva �5500�1. � I. at ownet W IM qapany «my empbyroa v�h weges ef iMi mle oompenaa�bn. will do IM xwk. eM IM elruauro i nd inbMed «oMered for We (Seclan 1044. ewi�we+eM Pmteaeiona Code: thaCm�rmon lioenas lewdoee'wl ePW �o en brrord popnry who Wids a inqovae �harean, vM who Eoee auch Mak MmceM ar haneM w �hrouph he a har own empbyeec. pwided ihel wch 'mpovemaMe ara nd inteMed «oHwad lor aeb. M. lawaver. tM buiMiip a inqo.emeM u eold wilhin aro Y� d compbtian. iM owrwr-builder vnll heve �he buken ot pro+inp ha ar ehe tlM not buik a improve for the WN�a d aeb). � I. ea owner d ihe pioparly. em �dumveN �nlreUin9 �h lioenaed eanirecion b ranaUue ihe prqed (�� ]�. ��e eed mtaasbru Code: The Comrmwe L'ceree law Eom nd apply io en oxm d popeny x1w Witla « impovs tl�e�aon eM rAn co trecm Iw euM prol�a wnh e conlredor(n) liceneed W�uenl lo tM Conlredas Licanse Lew�. E{] i,��,.,ma��a!as«re�:HP7044 e.aP.c..i«� ,�: �I�,�R/��U,I�D/�[��R�, Dele: J Owner: \ / �^�_/�� do hereby cerliry Ihet I em ewere d vM uMenWM tha �aquiremenU d Cd'iomie HmEh end Setery CaEa SeUan 25505, ?55�3, end 255�a, aM that I a ury Mure buiki�p oaupenl will / wdl rwl (rircb one) nead �o cwnply weh uid ama codp aM tM mQulremmd b aq�mitlam'uWctianamodifiWbnhantMA'r uaTyl.�ere�ementpiariq.RsnkwXieloomt�utloneppimtipnenexemqtmmthew pfW19NNl9.i Dete: ApplceN: W ORKEN'S COMPENSATION DECL�flATON: I heraby elf uMr psneMy d perjury ane d Ns Idbw'vq Eederalom: � 1 heva end wil meinlan e cerldiceb d mnaenl to eell-imure /a �kas canpenution, n prwidaE la by Srrian J]00 d tM leEv coa.. �« in. penormd,oe a �ne won i« cn:cn min p„mn I. imuea. ❑ ing,.�ew���m�woMa.�o�o�o���,�.m�w��aws«��mooam.�m,cm..ro�mewn«m�o.orm. w«k la whid� ihie pe�mn ie i ued. My waken' canpermtbn inwrerca rsrrw ud yoliry numbar ca: c�a�: Pdiry Number Rne �a� �..d,v ee �d�ed r m. w�e;, ro, o,re n�,�d,ad ddi.,a �sioo/ a r�.� ❑ I ceniy Ihm in Na parlormenca d �M work br rfiic� th'n pcma e ouad. I ahaA ml emplq em� penon in enY manmr eo m to become eubl� lo �M wvrkere' compeneation lewe W Celilomie. anE epree tlal M I Nwuld bacana wEjetl to ihe warken' cwnpenwion pwiaiom d Satlian 3]00 0l �M labor COEe. I Mell lonhwnh cpnply xnh Rm pwirions. Dete: AvW�� Waminp: Fellun (o aee�n woikx�'ronperueHon eowrap� ls unlawNl, md �NII aub/�cf an �mploysr ro ulMml peneltla �M elWl flnu �q b om h�nd� tMuuM tlolNn (SlOq000A M add/fbn b tli� ewt ol rompruetlon, Gnnup� n provMeC br In Sxtlon 9�G6 0l M� LaDarCorls, lnfere1t end etromsye I�u. CONSTiIUCTION LENDIN� A4ENCY: I hereby e/firm undar pe�Wy d perjury ihel �Mm u a memnwion Wdirp epaney b the parlamence a �ne nak �« wnid� �n'o va�mi n'saued Iseaon 9os1. cH. cl. LENOER'S NMAE: LFNDEfl'S AD�RE55: ��enM �nU � neve ,em �nis aGdwia, end aete inm u,e mova Inlom�mion o earea. � eam. �o candr.mn ell rev.�w ewmrv o�amenoe. vM etete laxe mW inp b Wikiq coneVuqion eM hereby euthwrta npreeemativee ol lhu dty b enler upon iM aboue�ircMioneE popeity ����°�°�`P� MICHAEL WILSON Dme: � ✓ , CITY OF COSTA MESA — BUILDING PERMIT pERM NO: B 079790 PERMIT NO: B 079790 PLAN CHECK NO: N v GOVT; N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR ` PURPOSE: OTH SOH DESCRIPTION : T/OFF RETHEATA 5 REROOF W/COMP. SHINGLES SQ FT: 5,500 / i CLAIM VALUE: 5,500.00 CALC—VALUE: 5,500.00 GROUP OCC: R-3 /U-2 COMMENTS; SMOKE DETECTORS IN EVERY BEDROOM & HALLWAY ie*it�itie*�****��+�*�*�*�*+t���*etit****atititx *ic�it�t***itititie�itit*it*itit*itif**at�atieiEitititatat�*ifieatit+� Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN . FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGAT: FT ZN PARKING REQ• PROV: PARCEL: 14169121 ZNE: REF NO: PLANNING N�5'CES> i%� . if IE 1E if 1E 1F �lk ik iF iE 1E iE 1E 1F iE 1k k IE if �f iE iF 1f 1E i! 1tlElE iE 1E iE fE 1E 1E iE iE iE if if iElf 1E 1k if iE 1f iE 1E if 1f 1f 1E iF iflf 3E iE iE IE 1E 1E 1E 1f iE if if IE iE 1E iE 1E iE �E 1E')E iE iE 1Flt 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 .i ZONING APPROVED HY DATE: BUILDING APPROVED BY : _ DATE: p APPLICATION ISSUED BY: ��� DATE: �� L� �r+�*+rx��i�*�+��+�+�+�'*i�*i�*�-f��r3FiFfFiF�F7FTFTF7F'iF3FiF3FTF3F3F �F �F'iF�FTFiFT��FTF3F***�r****** ** LEGALIZATION:N�. F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 112,25 PLAN ISSUE FEE BUILDING—DIV—> TOTALS----> PERMIT ISSUE PLAN—CHECK 113,41 0.00 0.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 112.25 SMIP/NON—RES 1.16 TOTAL � PAID DUE 1 3.41 113.41 .00 �113.41 OVER/SHORT: 00 F /TOT GRADING PLAN—CHECK 1.16 iE 1E it i! IE 1E IE 1E 1h iE iE 1k it 1E 1f �IE iE iE fE �f' iE 1E 1E 1E �F'IE 1E 1E iE 1E iE iE iF 1E 1E if 3k i(� iF iE 1f iE iF * iF i(� 1E iE iE 3E'IE 9E iE iE if if 1k 3E iE 3E 3E �E iE IE IE 1t IE iE iE IE �E fE IE iE 1E iE 3E if 1E I N D I V I D U A L 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 SFC 5500 REROOF HY VALUE COMMERCIAL NOZONE 1,00 5,500.00 END OF FEES � ���� ;�. 1 � � _ I / (5151de.WP) Whne-Build'mp d Sdery; arear�-Fle; Cenery-Appirant: Pink-Revenw; Oddenro�bemaor , - � O1{Q021635E-00216359 T4T 113.41 DATE: 1�/03/9` TI17E: 14:34 � �CONSTRUCTION AND PLANNING _ /s� � - �L�& SPA � Date Inspec4or � - _ Date inspector _ APPROVALS �Permit # _ _ � APPROVALS Permit # , , �� 1. Temporary E�ectrical SerJice or Pole : . � • 52: Pool & Equipment Locaiion ; � -_ � : t 2. Soil Pipe�Undrgrnd. ; ' � 53. Steel Reinforcement� ' . � . � - 3. Electrical Conduit Uxilitv-Undrgmd; ' 54. Forms � � �� 4. Electrical Conduit�Und�grnd. . . 55. E4ectrical Bonding ' � 5. Steel Reinforcement - 56. Rough Plumbing & PresSure Test 1 6..Electrical UFER Grnd. . ��, 57. APPROVALTO COVER�GUNITE ' ,� 7. Pootings , 58. Electrica! Conduit•Undrgmd. �� • 8. Foundation � 59. Gas Pipe, � Undrgmd., Test . _ , 9. Water Pipe�Undrgrnd. � 60i Backwash Lines, P�Trap, O Undrgrnd. 10. Structurel Floor SYstem ' 61'. APPROVAL TO��DECK � 11. Property Sewer Line & Nouse Connection ' $2. Backwash & Receptor-Final 12. Sewer Cap . y. j 63. Heater & Vent-Final �' . . � 13. Roof Drains �' �- � 64. Plumbing System = Final - 14. Rough Plumbing . ; 65. Electrical�Final ' � 15. iiough Electrical•Conduit . . 66. Solar System-Finai • ' � 16. Rough Electric Wiring 67. Fencin9 & Access Approvai 17. Rough Wiring Sign 68: APPROVED FOR�PLASTERING - 78. Rough Electrical-Y 8ar Ceiiing 69. PdOUSPA SYSTEMS FINAI 79. Rough.Heating & Air Conditioning _ FIRE DEPT. REQUIREMENT - i 20. Rgugh Factory F�ireplace - � - - APPROVALS ��� Permit # � r. 2L �Ductf, in.5tructu�¢ �� : ,. - , ' "_ � 70., UndePground Wydro _ 22. Ducts,Ventilating�. � _ c�• �� 71, ProduCt_P.iping��D-Gas DOiI 23. Gas Pipe=Rough & Test �' - . '; � � 72. Undergroynd Flush ' ' � 24.-Roof Praming �- � �-� 73. Undergr:nd.StorageTank C?Gas O.OI 25. Roof Sheathing `., _ �/Q,C�'.�C ��� 7q,:Overhead Hyd'ro � / 26. T�Bar Celling {Strucfurai} &�Monocoat . - -� T� 7�5. Dry Chemicaf 27. Frameand Plashin�" ' _ ..4 76.''Dry Standpipe_,� ,' - - T ' _ 28. lathing&Siding. . - - • � '•�w 79'. FIXED�-SY.STEM:FINAL " � 29. Insulation •= � _ .. . _ ' � : 78. FIRE PflEV. FINAL �t _ - ; 30. Orywall,Nailing .�. - � � - �:HEAITHDEP.T.-REQUIBEMENT � - 37. Plaster Binwn Coat" . � _ 79. FWAL INSPECT_tON r- - �_ ��y 32. Electrical Power Meter-Final � � .. .. r 80-. FOOD CERTIFICATE 6SSUED �� a 33. Final� Electric -"` . � ' Notes: �, � _ � - � t_. �• � 34, Ffnal Heating.& A�r.Conditioning. - . ; �� - _ _ r _ 35. Final Gas Pipe�Test � - ' r � , .. t ' •" - - • � 4 � . �. T � � 36. Hood or,Canopv �. - � .y ... - - �} � ' '� � �y�� _ �. . � 37. Finai FactorY Firep�ace �' - • � , - ' � r 38. Flnal Ptumbing .., .. .. � - _ . =, - .-�--- 39. Water Service-Final � - � � �* " --r; =" - - . �; 40. Gas Service-Final ` _ _ � �� l - ' � , ' �. - � 41. Solar Oomestic•Final � . • . �- - " � � -� - 42. Backflow PreventCr " , �- ` _,� . - : , 43. Backflow Irrigation ' " • �� p�� ���/��J, ,�' I� �'� . Y � �� L�1�I J 44. Landscape Irrigation System . . - , � . - -_ � ; - • _ - - , . 45. Sound Attenuati0�� " � � ' - � ' �' " � � . r � - - 46. Handicap Regulations _ ' " _ � ` -' _ -: : ti: : 47. FINAL STRUCTURE & BUIlDING � - : - � 48.,FINALPLANNING� '�__ . � � � .' ,. -_ +" 49. Electric Release t0 Edison • .�- • � • �� , � � 50. Gas Release to Southern Califomia Gas Co ,' : ' 51. CERTIFICATE Of OCCUPANCY ' ', _ - No. Date • � ApP���ant to fill in all spaces witnin heavy DO�tler lines an� sign all appropriate Aeclarations. ' ' %y� CITY OF COSTA"MESA - -' PeRnnir NO� - - ' � " TRACT'NO. "LOT NO: BLDG. NO: ' � � �-- ' ' � ' - � - - -- - -� - �1 . 3419 , 3/18/82 5.00 T�; CONSTRUCTION PERMIT -- o� - - � __ .__ _ ._ . , , � Pro'ect Address - � ' ` "'' ' � ' � ' � 1 / �- %p� ���jq TVPE OF CONSTRUCTION � � � ' ' � ..,... .. ,�. . � ��.- � - � . . ... f1" . „ .. .'Ownef. . • ` f- ' . � . �. `. .":Phon2 ^ �: ' 'O'NEW .O`ADD ❑ ALTERATION ' ' � " � ' _ -' - _ ' - " ' - . ;'Address �' - � � �j;//�- ---1 - ' �--_ ❑�REPAIR ❑CONVERSION ❑DEMOLISH_ _._ 1F � � __ ' � � � ' , .�•� ,- , � ZONING REGULATIONS' . r � Arch/Eng" --' :-- _ ..� --� --' license�No. - . . ❑ oTHEa-.' .. � ' _ _ _ "_ __'_,_r_' __' ___' _ DESCRIPTIONOF'WORK• I A.P:3° � �-' .'I . � ''• . �`) ' '_ _" '. � ' _ ' _ 'AddfESS � i-' . - . .. . - . .` � , _. .._ ._ . - - - ,ZONE". ._..__.� _ "" .''PLNG.�REF._�`. _' ' '_... . ...' � YCo-ntractor' _'' ' --� ' .•--'-Phone--�^" - _ , . , , • • , � . •'_ . _ .__ . ., . .� O - ._. - ._ -.._ IL•DING .-�y� r .c,.� i �G 7VPEiOF,PERMl7-, � �{QOBP�RTVLINEi'•-�r. +. � - �- •. ' T �SETBACK C L T. ;�Addre35�j'"'_ ^ j'� . y• . '. . . " .'-" : ".. 1.1. O GRADING,�:}O FOVNDATION"" 0'STRUCTURAL' -' 'SIDFTVARD -�"-'-'-' . -_:, �"' " - '�LICENSED CONTRACTOR�DECLARATON •--� --'�- `�-- ' �-�-7ENANT;OELECTRICAL��OPI_VMBING ❑MECHANICA L5Ep E-VAR --�- - - _..... ____ . _ _. ._ _ I hereby affirm th:.t I am licen5etl untler provisions ot Charler 9,(com-� i- , r r,., -�1.': 9'i r+' pIGHT - mencing'with"sectlon ]000) -of Division �3 -of-the-Business-'antl -� OTHER=-- �--- — - - - _____ _. . _ . . _ _ __ � Professions Cotle, ;antl my ❑cense is In full force antl effec4-� � �� -- ^-•' ' � REAR VARD (TO P/L) i . - .' - - .. .� .__ _.. ..,..._...._. .'.PROJECT.DESCRIPSION .. .. ' .. . _'^ __ License Class � � ' License No. �. ',; , � ` � � � ' � � " -' � PKG. SPACE RE�. � ` PROV IDED� '; ' ' � �-.'_'_ " "�_' ' " '.. .. .�-.:�:.:_•" ' ' 'SQ.FT: .....�� • : 1. . 1� .. � �Date �� 519nzture - - . r,��; •- 'i �� ���" �- ' ' "'� �STREETWIDTH� �� - ,"PARKFEE$` "' ' -� �WORKERS`COMPENSATION DECLARATION-- �- _ - _._. _'. ..00CUPANCV_CONSTRUCTION TVPE ' !I hereby affirm that 1 have a,certificate of consent to self-Insure or•a� VALVATION• 'ZONE � - � ZONING'APPROVED BY.� - - "- DATE"� -� ' - tertiticate'of'Workers'�Compen5ation-Insurance; or a-certifietl-copy � � � � � � '"�� `�� _ _ _ .._ "' '" _ _' .� _. _.__ ., � � ' ;thereof (Section 3800, Lab. CJ. . �Y I � �SPECIAL CONDITIONSC � � � �� �� � " "'-' `j _ _ GRADING'CV. VDS. ' ACRES � . � ' PoIicY No. _ �_ __ "' _ ComPanY ' _ _ _ " _ _ '_ _ ' "' _ " _ ..' ", . I ❑�Certi�iea.coPY�is'herebY.furnishetl. . .----..-._._:� _ _. Ld� _REMARKS:i: _.6 �.. �: _.''. ._. __ _. _ _+ ' � t. Certifietl ropy is�filetl with the city Builtlin9 Division. - '- ' Y � � � � �' � - . � � !MPTION�FROM WORKERS' COMPENSATION-DECLARATION' " ' "/' - - ' `• - �- � i. )~'�••� �' �j�;�,`� •, _ .__... . �. is section neetl_not.be.completetl if Ihe permit,.is_for one.huntlretl _ . ' . ,�____: . _ ,;. _ ___.!._. .,. - i�' . ' � " , ... � . i_"" �n �, . ._ _ _ .. . �_ ... ." " _ _ ".. �i00) or less). - - - - ' -�- ��� - Il.certify_that in.,the.pertormance of the work.for which this permit is_ . .. I55U¢tl, I Shall not emplOy any pe�5on in any manner so as to•become ,- PLUMBING�'��a;;-'. —';�]GL'AN'CIiEGK"�" - '' - ELECTRICAL '' -"' "^ PLAN'CHECK .' -- • iubject.totheWorkers`CompensationLaws.ot_California.-_ ._ - BATHTUBS�� � � SHOWERS -� � � - � �Date } Si9ndture ` . � _ ' ' ' _ "_ _ _ ' ' _.. _ __ __ ', . ' �NOTICE: If atter making thls tleclaration, you shoultl become subject TOIL'ETS-. � n,�.�, ,,,URINALS "` '' "-- �GENERATOR� --• 0-1�KW=1-30 KW ' '"- -' to the Workers' Compensation provisions of Ihe Labor Cotle; you must' ��� � (TRANSFORMER J . �:'f w' � forthwith comply with such provision5 0� this pe�mit shall be tleemetl LAVATORIES DOUBL'E LAVS ' ' iAPPL'IANCE '-' 10-50 KW_50+ KW �- - �evoketl.�.'""'_�..." "",_ ;, __ ,._ �CONSTRUGTION LENDING AGENCV KIT. SINKS- - "� DISHWASHERS-'-' ' -" ,MOTORS �'--- 0-1 HP -"" 1-30'NP ' -- �-� ;1 hereby aftirm that there is a construction lentling a9ency for the perv SERVICE SINKS - "SUMPS' "--" '-' '" ''-' +��N0. SOLAR)__ .10-SPHP_.- SO�+.Hp.-' _ . to�mance of tM1e wo�k to� which this permit is i55uetl ($ection 3097 - - �Civ.-C:): " ` "' -" ""- ""' ' " �FLOORSINKS -�FL'OORDRAINS'-"-'� "" "'FIXTURES"'- OUTLETS'^ SWITCHES ' ' � - �LenOer's Name �_ «._..._..'" _'__" __"'_.. _"""...Y.' "" ... . � . " ,LentleYs Atltlress ' - DRINKING FOUNTAINS- ,� --"^ -""' -,' - �GASTUBE SIGNS'- - -�-- -- • - - - OWNER'BUILDER'DECLARFTION"'"' - -" "-'-- -"' "- - - "' - ' - ...... .. _.,'_'..' 1 . I hereby affirm [hat 1 am exempt from the ConVactor's License Law.for INTERCEPTORS -C'LARIFIERS" �� i-� '�POLE L'IGHTS ' � --- - ---- the"Pollowing'reason'(Sectlon ]031.5 Business antl ProfeSsions�Cotle:- -SWIMMING'POOL " "'PTRAP" ^ `�� - � � - - - - - 'Any city or county which requires a permit to construct, alter, �POLES �- METERED ��SUB � -' ' improve,-tlemolish'or'repair'anystruciure,'priorto�its issuante,-also re-- ' yyqTER SERV ICE- '� -ACTERATION--' ' ' `PANEL'S'-' ---"-'MAIN-- -- -- �SVB' - - - - - quires the ap�lican[ for such permit to file a signetl statemen[ tha[ he is'licensetl'pwsuant'[o'theprovisionsoPthe'Contractor's•LlcenseLaw- GASSERVICE� � � ��OU�'fLETS� "�' - `SERVICE�--�--�^�`---- -�AMP1�� ---- ---�� , (Chapter 9(commencin9 wi[h Section ]000) of Division 3 of tne � Business antl PrWessions'Codeporthat he'is exempt therefrom and the �yyqTER HEATERS""—'BTU'OUTPVTa'.; "','�' � , ' _.- y• _ ,-'.-^� - � --_ , _ ^ _ ,_ _ _ -_- - - basis for the allegetl exemption. Any violatlon of SeC[ion 7031.5 by ''� � ' � - . �"... any-applicant 'for'a�permi['subjects [he' applicant �to-a civil- penalty ' SEWER CONNECTIONS" 4�' -' "' �"4a�-�" ' ' ' - - -� •- � -� - - • - ^- " � ' -- - t not more than live hundretl tlollars ($500). � �. � ' � """ "..'_"'_" -.__ ,. ' I, as owner of ine Droperty, or my em'ployees witti wages as�their' '�SOLAR'TANK- '' 'COCLECTORS-"" ' - - � -- - -� � --- - - � - -- - -- - - - • .compensation, will tlo,the,work,.and the sVucture is no[ intentletl_ � � ' ^� � .�,......! . � tferetl for sale. (Section 7046, Business antl Professions Cotle: The SOLAR PIPING SVS i�- � - �� ��� � 'ISSUE FEE" � . _� _ �_' "' �"_ " t�aclo�:s_License. Law_tlOes.not apply_ to an owner of a property_ __ ' .' �.,":.. '� '� l � who builtl5 or improves tM1ereon, antl who OoeS such work filmselt or � ISSUE FEE � �� � �� --'C"- -' `"�'APPLICATION APPROVED BV� --� -"- ---- ���DATE-=�='� -- i throu9h his own.¢mployee5, provitletl.that SUCh improvement5 a�e not � intentletl or offeretl for sale. If, however, the builtlinq or improvement� MECHANICAL PLAN CHECK � ' �� -"-'-- '-� is.soltl,within one year of_completion, the owner will have the burtlen ; � SUMMARV.OF�FEESy,r����, ��i��' �,pF � o/ proving he tlitl not builtl or improve for the purpose of sale):� !- -'- --- "BUILDING--- �- ^--- -� -�� -- -- ���' I;-as' owner-�of-�the-- ro ert 9_ HEATING SVSTEM 0-300,000 BTU v_ PERMIT p p y;-drtl-�¢%CILSiV21y-COnf�dCii� with� -�-AND�UCT�NG- - ' '- "1�-' - +i.��._.- _ . �� $ ____ . l•SMIP . ,� S � � licensetl conVactors to conytrucbthe project (Section ]044, Business 100,000+gTU kPLANCHECK E PERMIT�•e , „� T` _ and' Profes5ionrCotle: Theflon[ractor's-License�Law�tlo¢s�nofapply.to-� " +. . _ _ . _ . ._ISSUANCE b �" ' � __ ' " ' _ " an owner of property who builtls or improves [hereon, antl who com REFRIGERATION 0-100,000 BTU . 'PI.UMBING tractrfrom�such-pro�ects-with a mntractor(s)-licesnetl-pursuant [o- SVSTEM— ------� �-Y ._. . _ _ � . � __. ,._._ _ S _ __ ADING .5�� � the Contractor'S License Law). 100,000 . BTU 1 PLAN CHECK � y' ��•- � -� GR ,q • � f .' '.'1 '� ❑ I am exempt untler Section ' ' ` Bf &'P: C: for'tM1is" - - - � - - - - -- - -- ` � � "� � 'S. ' , j BOILERS BTV Z ��ELECTRICAC $ , reason---" ^'-� ' ^ - ' - ' � � �'` � � MICROFILM § • � _ . Date� Owner SVSTEM REPAIR,ALTERATION ' '�PLAN'CHECK $' - - - -- - - . . � ?MECHANICAC-: S • •OO � - TOTAL_FEE $ � � � I hereby certity that I have reatl this appliGation antl state that the above EXHAUST MULTIPLE- 1 � ' -" '.�', •. �,.CE55'AD= ' �' Information i5 correcL I agree to mmpty with all �city antl wunty . �PLHNCFIECK�-�E'- -- "- ---VANCE PC S'-•' -' b[tlinances antl slate laws relating to consVUGtion, antl he�eby autho�ize � � ,,� ., , . _r �� representatives�of tp�c city to enter'upon the above' enti netl- � � '� •' � ��� it.1. ' I f� � � property f �insp ftiG. _pu oses. - f� � - . � f Siqnature l _Date � _ _.. ,� �+ . . . FINALFEE $ ��� � .. .... '._^_' "'" "'. . ... - -ISSUEFEE- � t � - Orivers' Licen or 55 qF • _ .. _.. . _ ' " ' �' � '- '.. .'. " _ "' '"' ' ' " ' ' �.. - _ .. CMF 0865�46 White-Builtling; Canary-Applicant: Pink-A¢ounting; Goltlenrotl-Assessor . . � .. . ' . . , . ll �'�� CONSTRUCTION AND PLANNING POOL & SPA � � , „� ,� APPROVA�S Permit # Date : Inspector , AppROVALS -- t� � � Permit # � Date �� �� Inspector 1. Temporary Electrical Service or Pole „ � - --43. Pool & Equipment Location-- - - ---- - - •- - -� - --- il_ ipe-Undrgm � - "�' 44. Steel Reinforcement� - --- � -- --- •- - - ----,- - �- -� -� • _ ....-_ - --� ---- -'. .. 3. Electrical,Conduit Utility-Undrgrn . _,.,. ..�_'• � ,._ _ __ �_ _ _ . . 45. Forms. " " - . �" �-' ' - . --' ` - _ - r.. 4._ Electrical Conduit-Undrgrn„_ _ . ' Y 46. Electrical Bonding - - - - -- -- - - -� - ' _ '.' ---- - --- -' -- -- - -- - -- -- tee_ em orce ��� .,i.� 0 � 47. Rough'plumbin & Pressure Test - 4 -- -'-- _ _ �..._._ :_'. .� . �_ _�. ...- - -- - - - - - - - _... .. _. ,6. .Electrical UFER Grn__ . __ _ _,�. '_' ' _ ; '. ," 48. APPROVALTO COVER-GUNITE - - =-• - - ----- - = - ` : .,� 7. Footings. ,_ ".� - � 49. Electrical Conduit-Undr rn� �� -� •.�•� - �� �� �_ 8. Fountlation _ " � + - 50. . � Gas Pipe, O,Undr in'-Test � "' �'� � • ' � - -, - . _. ,..�- -- . .._ .� � , . . [ 9.._.Water, P.ipe-Undrgrn � ' ' ' > 51.� Backwash Lines P-Tra "0� � ndr rn " - �- - '- - -- - ' � � �' . 10.._ Structural,F,loor SYstem � � •' -� . 52.' �APPROVALTO DECK - " ""' ' " " � �' "' �' -' � + �.F . _ ,. .... ,.. . _ ...__._ , . , ., - - , - . _.. .'- _. ,,-,,,,•. p � � � �� . -._.. _ _ .� 53. . Backwash.&�Rece torFinal^ �� ' • -� ,, .., , �,. , -,.., , • . �.,�,� •:_11,._ Property.Sewer Line &.House'Connection__`: _ _. .� � - - - - - . .12....Street_$ewer_Connection__.";c" _-, � ' ._' _'" -- �- - - 54. -Heater & Vent-Final . ' - - � - ':.` . � � .:' ':... - .�.•.. � � . ..13. . Rough.Plumbing------- � - -' - - - - - --- - _ - . .. . _ � ' i , 14. Rough ElectrioConduit ' ---- -- - � --- - - :56.-•Electrical-Final -- • � � � � � . 15. Rough Electric-Wiring � � �' ' � - -' ��`- �-- � - � - �- - - 57�. �Solar System-Final - - " � " � - ' " "'•' - � `''� ' ' " - � . .... . .. : . � . . , . .. ...,., .. ° 16. - �Rough Heating &'Air'Conditioning� - � - -- � ' ' - � - - - - - - encing & Access_Approval � - 17. Ducts; in�Structure..-,..-_. .. ' ' - - ! , _y. . _ _� � _ _ _ _ APPRO_V.ED_FOR PLASTERING ,. _ � `"�� � �' �, ,- 18. �Ducts,-Ventilating._.-_' - - - - - ' ..+ _ , ! - - ._ _ - _.- - `. : _' _ .. . . _ _ �.. ��..-- - - - ' ; 19: Gas Pipe=Rough"&'Test- �' ' - � � � � -�i ; -.-.; -. " 60._. POOL/SPA SYSTEMS FINAC � ' , "� ' -'� �� � _ •A }- 20: - RoofYFramiri9- -- '_.- - - - - .. . � - ' ' - , � . . ^ ., .. . ' � . , . , . � , . . . . � „ 21. Roof Sfieathin � - ' ' _ V � - - + ' ' ' � � --- • - � . '.' .• . . + ' • _ 22. - Frame�and Flashin � ---- '. � NOTESr " ' � . � . ' ' .� ` ' . - --- -'-- ---- � �-- -- -- - - --- - �-23'. -Insul2tiom =__:'_.. .._:._' "' - '.` -- ---'-� - . • -�.- -.-'-^...._� , . r.� . . - _'�',. . . � -- �--� -� -- --'-- - - - - - - ' 24r -Lathing & $iding-� - - .. .._. � --- i "- . .., , ,...,,�-�,, a _ �._.._��-_-�. _. ._.~ � . - :,r,. . � ' 25: - Drywall Naili�g _ . .- - - �-- T.n--," - - - .,. . � . . �e „ . � . . . .. . . , �; �,� � - - - - -� - - ' -� - --- ----• - - - - - - 26: -Plaster-Brown Coat :,,,`--' ' --- - " -' �:�-- •' - . - - --. --- -- - :-_'. - - � �- • � �`� . - . i , _"" ' 4 -27� Electiical-Power-Meter-Final-:.�--- ---• -�' - '>..--' . - --^-�--"' -. .' •- - __ ,..., ��_.,.::_. . . . � F ,•� � . �: -' ' � � , 28. --Final'Electric� ---• � --� -- - -+ `` � . - '.- .. `. . � � �� . �. _ . ...�.._. _.. . . ,.- . ' -:_ _ -- -- - - - -.._ _ ._ _ - -- "' ' �- 29l Final;Heating & Air Conditioning - - - '-�2'J. ' �" . � ' : �f. i , -. •� � � • � � � �"' •- . � • - - - - - - -- � - - - -- 30: FinahGas Pipe-Test - ' ' � �' -' ' "' � � � � ' �� - -- --- -- - ''� � H--31: Final'Plumbing- _ . � _ - - � '- - - -- . ,.' � . ., . . . . . " . - . , ' ` . � . t32': - Water Service-Final.._._ �-- - • - - - - � - - - - - - -� - `� - ,� .'. ,.� , _ , .:: .. _ . . t_-33.---Gas:Service-Final- - -- . _ .., � -- - �+- - - . , . , ; ������ „ �v' �� • �.r. -�� ., ..zn , • i 34. Solar pomesticFinalvr,--, . . - - _ -- - . _ - , ._ - �; � � � ..� � 4 • , ., � "�. ,'. . � . . � . . . i 35. - Landsca e S rinklin S stem� � � - ' "^'`• � ������� � � �' � � � ' ' � � � � ' ' ' '� . a, 36. Sound Attenuation �� - = �� p � - = � � � � ' � � � � �� � • � ���� - � .. 3J. HandicaPRegulations � " .. ��� � �.. _ .��; .. . ,,,_ , y 3 .. . . �. . . -.� -: ., � � ' , ' . � 38. FINALSTRUCTURE&BUILDING ^� ' �'�' _}__ -_ _ -" r � -� - " � - ' � ' I 39. Special Requirements Completed ' � � ` � � °-"� '^ � � � � - ��� � �� - � � � � � 'i 40. Electric Release.to Edison- -' - "' �� � �- ' � � � � � � i 41 . Gas Release to:Southern-California Gai Co. � � � � �'�1�T= `a � � 6 + n ' .� • '.�. . . .. - . , . . �i . . _ . . . . . _ . __. , . � 42 CER7IFICATE OF OCCUPANCY t . . _ _.. . ._ . .. _ . , : - � No._. .-1 � � ��.. , Date � ' _ _ ' - . , r • -- - . __. . _ . _ ... -- - . �.., - ' .•,s �.. . ��� �. � �.... , � . �, . � �EE RECEIU�� ' COSTA MESA BUILDING-SAFE(Y DEpARTMENT �AN 1 7 1954 P.O.BOXD17 GOBTAMESA��A��FORN�A - FIN�;PJCE DEPT.,,.,,,1 CI(Y UF COSTA ME$P �'� For Applicvnt�fo Fill ln Completely . APPLICATION FOR PERMR TYPE OR pR�rvr � �� BUILDING BUILDIN6. '1 s. FO� Office Use Only_ AOORESS �y� BOS 1iOIl 11HC81IT NO. P RM , COSTA MESA, CALIFORNIA � R[C6��([D!Y OAT[%6C[IV6 JNNT� �c, / � 1 OWNER H ID S � BUILDIIiG MAIL ADDRfiS9 ' ADDRESS 1 Las Flores TEL. ZON6 TYPE � GROUP L CITY Fountaix� Val2e No. 531679 . APPROVED ORENIGEN ER C• Hiller � No BY � DATE- _ IONING �_ � AODRES3 15939 I+aS Flores oescximox 7 UOJ � Fountain Va7-leg� A. P. Ho. CITY NOTE: NO EAVE OV ERHAN6 BHALL BE LH88 TNAN . �ic?rEio. 215��g rT+o' 5316%92 90"TOSIDE@REARP.L. ' �J EAVES OFLOT ZOORZL I NO.opeLDae.o ALLOWED (U.B.C.REpU1REMENTI NOW oN LOT YARD6APPROVE� YARDSAPPROVED USEOF - MAINBUILDIN6, ACCESSORYBUILOIN6 EXISTINGBLDO. OO ' ' . (FROMC/L�REET) . 9ETBACK LIN6 FPON ' FRONT FT. FT. ' CENTEP OF 3TRE6T REAR YARD O� 810E YARO I LEFT I RI6HT ''' � iF�* R. 81Dfi � �• DESCRIPTION OF WORK L. HID6 I rr. F-r. ��j� —1— REAR i V FT. �"l' FT. • NEW g ALTERATION � DEMOL SH DISfANGE BET. BET. MAIN @ REPAIR - MOVIN6 MAIN BLDGS. ACCESS.BLD6S. VAR. �j � ' DATE . . ' BUILDINC NO.OF SIZE . 1.� ROOMS STORIES �� C.U.P.$F APPROVED EXTERIOR WALL ROOF APPR� �I � _ /�. , COVERING St.0 CO COVERIN6 SYIS I.B BY DATE � USE OF BUILDINO AND WORK TO BE PERFORMEO � si le fam, res. w. att. ar. ' n /6/ sq.�. T- zo`" J m I HEREBY ACKNO DpE THA XAV6 READ TH�B �PPLICAT�ON THE AMOUNT BHOWN UNUER V�LUATION 18 FOR THE F ANO 6TATE T TH IB RRECT AND ApREE TO COM. PURPOSE OF � 68TABLI6HINO A PEHMIT FE8 ONLY. � PLY WITH � cfTY Oft AN 88 D eTATH LAWe RBOULATINO ypLUATION m BUILOINO ONBTRUCTI ' . 00 H � ' PERMIT FEE $ �� � 31GNATU EOP PERMITTE � Ij/ ' � / �p m AUTHORIZED AGENT � $22 /�U�O�� PLAN CHECK $/�� oa 4. TOTAL FEE APD��eant to (III in a11 sDaees withln heavy borCer lines anO. sign all aoPropriate aeclaratlon CITY OF COSTA MESA .� �T NO� O� TRACT NO. COT-NO.�• � BL�G. NO. CONSTRUCTION PERMI Z ' Address Address �.V C'aY M�° � TVPE OF C,.O,�NSTRUCTION � G� hone • J ' ❑ NEW IlSADD ❑ ALTERATION Co�T p � REPAIR ❑ CONVERSION ❑DEMOLISH LiC2nSe No. � 0 OTHER ' - - - - DESCRIPTION OF WORK - 4� I hereby.affirm that I am Ilcensetl untler provisions of Charte� 9(com- mencin9 wlth section 7000) of . Dlvision 3 ot•� the Buslness antl Professlons Cotla, antl my Iitense is In full �orce antl _effect. lltense Class Litanse No: Date 1 Si9na[ure WORKERS' COMPENSATION DECLARATION � I hereby atfirm that I have a certiticate of consent fo selt-insure or a certifiwte of Workers' Compensation Insurance, or a certifietl copy thGreof (Section 3800, Lab. C.). _ , . y.._ . Polity No. � Company +�' "eftlfieC topy is here�y furnishetll '-- ' ' "'- - '- ,`;�erUfletl copy is filetl.with.the.city.Builtling Dlvislon. � ��.�MPTION FROM WORKERS' COMPENSATION DECLARATION �: nls 5ection neetl-not be completetl it'the permit is for one nuntlretl (E1001 or leul. icertlty that in the performance ot the�work-for which this,permit�is ssuetl, I shall not employ any person in any manner so as [o become subject'to the Workers' Compensati6r�,Lay�of Cayfornia. ' Date���""' Signaturel..�¢[f�fl2 NOTICE: I/ after making IhlS tleKaration, yc to the Workers' Compensatlon proJisions of t forthwith comply with such prorisions or thl revoketl_. ' _. . . ... _ . ...... ... CONSTRUCTION LENDING AGENCV I her¢by af(Irm that there Is a construCtion h (ormance ot. the.work for whic� this_permil ���. c.�. n C,uN��P �•.�. , Lenaer's Name '��= - Lentler•5 Atltlrez5 � OWNER BUILDER DECLARATION ' I herebv affirm that I am�exembt from.the�Coi TVPE OF PERMIT� ./ ❑GRADING ❑ FOUNDATION �STRUCTURAL ❑ TENANT ❑ ELECTRICAL' OPLUMBING ❑MECHAI ❑ OTHER � PROJECT DESC IPTION - SQ.- FT. �I �py " _ _ . ._ ,. OCCVPANCV � C 75TjUCTIONTYPE � VALUATION 'S ZONE GRADING CLLNDS. ACRES � 03.02 F�D,�r/ � " '� PLANCHECK • ��ap/� BATHTUBS �Wtl�7e� subject ' TOI�ETS`�•� .�llU' �bor Cotle, you must - mit shall b¢ tl¢¢m¢tl LAVATORIE$ KIT. SINKS q agency for the per- SERV ICE SINKS �'--� �suetl.(Settion.3097 �,, . � �F.LOOR SINKS+� �� ' � DRINKING FOUNTA ��•- ;r ' Y}NTERCEPTORS:'�. URINALS DOUBLE LAVS DISHWASHERS � SUMPS FLOOR DRAINS CLARIFIERS'^�� � improve, aemoum or repav any nrucmre, prw� [o ia issuance, aiso re- yyqTER SERV ICE ALTERATION quir¢s tlte applit'vnLfobsuch pe�mit �to file a sign¢tl Statement that he_ is licensetl pursuant to th¢ provisions ot the Cont�actor'S License Law • � � (Chapfer 9(commencing with_Section �000) of oivision 3 of. the GASSERVICE OUTLETS�-�. , Business antl Prolessions Cotle) or that he is exempt therefrom and the yyqTER HEATERS BTU OUTPVTti.� basls for.the allegetl. exemption. Any violation of Section. ]031.S.by • -� any appliwnt for a permit subjects the appliwnt to a civil penalty SEWER CONNECTIONS ' no[.more than tive huntlretl tlollars ($500). _ _ •�- , as owner of the property, " ' SOLAft TANK COLLECTORS`�1 ' , will tlo the woik,'antl� the structuie isnot'intentletl - - -- offeretl for wle. (Section 7044,-Business'antl'Aotessions Cotle: The SOLAR PIPING SVS. Contractor'S Cicense Law'tloes noYapply-to'an owner'of�a property wh0 builtl5 or imp�oves the�eon, antl who tloe5�5ucM1-wo�k-himself o� ISSVE FEE ' ' th�0ugh his Own employees, provltletl thdLsuGh improvements a�¢ not intentletl or oftered tor sale. It, howeveq the bulltling or improvement MECHANICAL PLAN CHECK is soltl within one year of <omple[ion�-the owner will'h5ve the burtlen - - - . o( p�oving he ditl not builtl o� improv¢ (o� Ih¢ purpose of Sale). .-HEAT.ING SVSTEM 0-100,000 BTU _ ❑ 1, as owne� of [h¢ property,`am exclu5ively cont�acting with qryD DUCTING Iicensetl contractors to wnsVu<Lthe project (Section �044, Business , 100,000+8TU_ antl Professions Cotle: The Contra<tor'S License Law tloes not apply to � an owner of property who builtls or_improves thereon, antl wno con- _REFRIGERATION , 0-100,000 BTU_ tracts from such projects witb a contractor(s) licesnetl pursuant to SVSTEM � the Contractor's License Law).__ __ _. 100,000'+ BTl7 =-_ � I am ez¢mpt untle� SeCtiOn_ _ B. & P. C. (o� thi5 g01 LER$ BTV ��--�� 1Cd500 � Date� - Owner �� - - - -SVSTEM REPAIR,ALTERATION _ Phereby certifythat Phave reatl thirappliwtion antl 5[atethat the above EXHAUST SVSTEM � MULTIPLE . informatlon is correct. I agree to comply with all tity antl county ortlipance5 antl State laws relatin9 to mnst�uctlon, antl hereby authorii¢ representa[I of this tlry to enter upon the above mentlonea prop✓rty r ins tion rposes. '- - - �- - Signature � ���z .. , � Orivers' ense or 55 � ISSUE FEE CMF 0865-46 White-Builtling; Canary-Appliwnt; Pink-Accounting; Goltlenrotl-Assessor 0 ^L '2099 2/16/82 A.P.�ZONE SETBAC� L D � VARD SIDE VA RIGHT REAR VARD (TO P/L; PKG. SPACE REQ. STREET WIDTH ZONING APPROVEDE SPECIAL CONDITION: �� ELECTRICAL 187.82. TL PLNTGp. RUEF. �z���� PROPE�RTVNLIN' . // G PARK FEE S G/' ./ ,DATFJ �I / � ' • PLAN CHECK�. ' • GENERATOR 0-1 KW_1-10 KW"''�_ TRANSFORMER -- APPLIANCE 10-SOKW_SO+KW_ MOTORS 0-1 HP_1-10 HP _ (INC.SOLAR)� 10-SOHP SO+HP_ FIXTURES OUTLETS SWITCHES � GAS TUBE SIGNS ' POLELIGHTS � . � POLES MFTFRFff CIIR i . �PANELS MAIN SERVICE ' � �;'Q \J.!�,.'^?\�(\4�1:, • 't' � `� �,.;.�= � ISSUE FEE �—� ��� ��r� I� p APPLICATION P.PPROVED BV - DATE� � 8 ��S��U�M��M�A�HV OF FEES � � /� "' PERMIT G- . SJ-Y=+� 10 ' SMIP S'% b� �PLAN.CHECK $ PERMIT� ��' �O ISSUANCE E PLVMBING E—��L` � � � ,. GRADING E �PLAN CHECK $ -i- '��7 - .. _.-.. E . (ELECTRICAL E�{f_[L - - PLANGHECK E ' �-�� � MICRORLNI E, MECHANICAL E�7i . TOTAL-FEE $ DO . .. _ ' ' � LE55-AD- � • - PI.ANCHECK §v VANCEPC $ � `n�..IJ ._SS/Q� FINALFEE §� f0 /•" _ ' ' ' I��l ew