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Home My WebLink About2734 CARDINAL DR - Building PermitsADOHESSOFBWLqNO: Z%] 4 CARD I NAL D R µxeaswYEiFa�vrm: CHUNG, SAM wox�ss 2739 CARDINAL DR COSTA MESA,CA MR. YAl1IIM Ii00NE54: AqC11RECi OX ENGNEEII: pCH ON FNfi'S /�DDXE55: caan�crars x.� CONIP/�CTORS YYIIIlO 1DUXESS 92626 uc. ra_ UC NO_ uxr: CITY OF COSTA MESA - BUILDING PERt9IT PERMIT NO: B 086820 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: STR UNT: uHr: ucaseo cowrn�croAs oecun�nox: i ne�ey mr.m ww.� �y d�,y u,m i.m i�a wd« n�+d cnsq. s (cammmenY wnh Sctian )000) d Dnisun a d ihe Buamms eM PNnsbns Cada. eM mY liron» u in iWl lau vM eflse. cm uc. No.: uc. cuss: uc. No.: E X P: ome: ca,o-��: OWNEfl BUILOEfl DECIAN�TION: I Mreby dfi�m uiMar penelry d par'puy ihet I em ewemp Imm IM ConVedm Licenae Lew la tM folbvmp reeson (Setlion ]W 1.5 Bue'uwsa eM Pmleeeiona Coda: Arry cily a counly wfiich raquirae e parmn �o oonn�uvM, el�er. improve, demoleh, m repei eny slruciura, qin lo Na evuenm, deo raQuirea the epplirant lor wch parmn to Rle e cgrroE eletemenl IMI he a aM o lironaed W�� a �he pwiaime d iM Conlredwa Licenae Law jCheqm B �ownmanviq xi�h Swion ]OW) d DHeion � d Ihe Busima enE Rdev'vu Code� a IMI he a+he u exemq therelrom erd the beao la Ihe albpeE exemqion. My viobiion d Seaion 1031.5 b/ eny eppliunt la e parmn wbpae iM epd� lo e cvil penelry d nd mae �han 1'va huMred ddlen �5500�). � I, m ovmer ol Ihe pope�y a my empbyaee wIh wepes m �hei eole compenealion, xill do ihe v.ork, vd ihe evunure c m� intenAeE or MereE/m vob (Seeiion ]011, Bueiiwv erd Pmipaiona COEe: TheConlreaon Lieeme law Eme �wl eppty loen owewr ol popeM who buide «inpwee Ihereon. vd who dros �uN work IimaeM «hene/ w Maqh h'v «her own ampoyw�. qwkeE IMI wch 'mpmmneMa ara nd in�aded u dlsed lu veb. tl. howawr. tM buitli�q a inpo.emem b sold wnhin ar Y+� d comqMion. Ne V owmr�EuiNx will heve �he EUNen d povinp he a ehe did np bnk a impwe Iv �ha purpoae d evb�. �� I. u ovmm d ihe poDsM. em utlu+neN cantrmYq wiN IimnaeE coMrectae ro crosUud IM1e pqeG (3«fun )OM. Bueirose erd Proleaeiona cado�. The cantrecton licenx lew Eroe ml apply ro owner a prapeM buiN. « impwae �Mraan anE who convecn fa uM pqsm xith e coNratlor(s) Ikaroed Wnueru t Camrmore lewl. ❑ 1 am q uMer Sectbn: �7�y B. 8 P.C.. tor oms: M�'1D . I Q'7 7Y ownx: z. T— I do henEy eanJy Mm I em ewara d enE uMenwd tM reqwremarva W Caliomie HaaEh eM Salety Cotle Setliaa 25505. 2551'f. eed 2553a, erd Uet 1 a a�ry Mura dukiiq odaWam xiA / wil m� (orcb ma) rwd �o cpnpy xiA aid a mEm eM iM nQuirommb br eDa�lamnvucuonamoESotionhaniheAi�y.enpena�4Distntl.Re�ide�tlielmm�uti WG�umenexemqhomtMa a�. ov.: nnd�: WORNEN'S COMPENS�TION DKL�N�TION: I Aeraby elfum iuidw psutly d pspuy ons d tlr b0ow'vp Aedve�ap: ❑ inav.anewm.wen.c.ne�t.amnvemio.w;�u.ro,.on�m+�canw�mm.on��«Ms.mn,a�aoam.�mc. cod.. i« m. wno�. a��x �« ..+:m w v� m m�a. . ❑ in...d,dw��m��wa.•�v�+�mo��os�re�.o�.a�waMs«��a�oodm.�wo.c�.wm.o«i«��eam. work la xfiidi Mn pamil b iaued. MY warFeis mmpanaelion iriwrerce fsms end pdicy number ere: c�.: adrr N�n« (Thia eMion med � 6e cm�Pbted i �hs pmmt u br ma hundrei ddlera /St W� a b.v.) � I ronA' �� in I�e perloimv�ce d Ihe work lor wfiich this pemin ia cauad, I ahall � amploy eny person in em� menna n n to bewma wbjea to tM woMas' cwnpenvetim lev.+ d CdEpnie, arM prae ihet E I Mwk berome eubjse to IM xvYan' mmpeivation pwuum d Swian 3]00 d Ihe leEw Code. l MeI1laNvrilh mmpy wiN IMea pwiams. Daie: ApplkeM� Waminp: Ftllun ro��cun worbri rompxwtlon eoverp� b vnl�wlN, mtl �Nll n.bj¢t m�mp/oy�r ro ctlMnl pm�Nw nrtl elvll Iln�� p ro om �i.ndM tlauun0 tlo/l�n /SfOQP00), M�Jtlltlon ro M� cuf o/ ro�vxwt/oR amep� �s provlCM br In S�ctlm 9)ll6 0l M� 1.�6orCods, /nfwf. �n0 �rtumsy'� f�a. CONSTHUCTON LENqNO AOENCY: I MreEy �rm uMx penely d per'ryry ihel IMn o e mri9rudion brdi�q eperwy br IM perlormence ol ��e xvM br which Iho peimi is oeued (SeGian �091. Civ. C). LENDEfl'S NIU1E: LQlDER'S �DORESS: I cenily tAm I heva reas Nu epplireiion eM de�a Ihm iM ebv.a inlmv�ion b oonW.l epiee Io canpry wi�A M tlry end counly adiwxm vM eime lewa mlmip to Euikvp canprupian erd Iwreby eWwrae iapesen�airuee d tho ary to enler upon �M ebow.memianeE prtpwy �«��'D�'p� °�' SAM� CHUNG Prv4 Name �AN1 i� om,: 5 (5151�CO.WP) WMe-BWliq`Se1nY�OteerFde:Gerory-Appica'u:Rnk-Reuenue:OtldwvoE-basva i ' PERM NO: H 036820 GOVT: N SUPP: N PURPOSE: OTH JOB DESCRIPTION : FILL-IN PART OF DOOR SQ FT: 2,000 CLAIM VALUE: 2,000.00 CALC-VALUE: 2,000.00 GROUP OCC: R-3 /U-1 COMMENTS: REMOVE PANELING, INSULATE AND DRYWALL NORTHERN WALL iF 3E 1E 9k 3E fE �)E �1E �F iE ff K iE jf iE i4 i' 3f IE iF iE �F jE jE * 14 i' iElf 1E if �k if 1E iE ik aE i6 if iF iE if jE if 3E iE 9f iF 3E i6 �f �1f * iE iE iE if iF 9E �1F iE iE �F iE iE iF iE if if if iE iF if iE iE iE if if iE 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 --------- FRNT: FT IN REAR: FT IN FANT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL; 13952931 2NE: REF NO: PLANNING NOTES> i �lE iklE if iE it ik it * Ik �1E iE iF ik iE iE �lh it iE # if �iE iE 1E iElE iEl6 iE it ik ik iF iE'1F 1f iF iF if iF iF iE if iE d! iE ik �If iE iE �E jE 3E'1E �F i4 jE fE'lE �f if 1t %iF i! if 1F if �1(�')f iE if iE iE �E 1E �1E if 3f 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 ZONZNG APPROVED HY ; BUILDING APPROVED bY APPLICATION ISSUED b if1EiElEiEfEiEiE?EiEil�Ei(�iEi!iEiliF## LEGALIZATION:N BLDG PMT PERMIT 62.25 a F E E S U M M A R Y PLUMBING ELECTRIC MECHANZC PLAN , - ISSUE FEE HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTALS----> 62.75 0.00 � 0.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 62.25 _ DATE: DATE: DATE : � 30 L �FS iFiFiF+EitiEiEiEiEiEiEifiE iF#� STRUCTURAL SEGMENT:Y FIRE SMIP/AES GRADING .50 SMIP/NON-RES TOTAL PAID DUE 62.75 62.75 ,00 62.75 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN-CHECK .50 iE iF if �f 3E aE if iE iF if �1k iF # if !! 1E it iF iF �1E iE iE �)E �f iE iE iE 9E'lE �E IE iE M")f'1f iE'lE �E iE if iF �7f �1F iE if 1E iE iF iE i! iE i! iE iE if iE i4 �f if.iE �E 1E if iE if iE'lE 3E jF if 1E'1E 1E'1ElE iF'1F iE iE I N D I V I D U A L F E E H R E A I( D O W N TYPE QTY D E S C R I P T I O N UNZT COST TOTAL COST SFR 2000 ALTER bY VALUE RESIDENTIAL NOZONE 1,00 2,000.00 END.OF FEES ; BI-38-1998/83:38 DM/f6�.75 RCATY:81-BB19858 PERMIT:B8682B 4 ' CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector pppROVALS Permit # Date inspector i. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcemeni � 3. Electrical Conduit Utility�Undrgrnd. 54. Forms 4. Electrical Conduit•Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. fiough Plumbing & Pressure Test 6. Electrical UFEfi Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Eloctrical Conduit�Undrgmd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe•Undrgrnd. � 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Struttural F�oor Svstem 67. APPROVAL TO DECK 17. Property Sewer Line & House Connection 62. Backwash & Receptor-Final I 72. Sewer CaP 63. Heater & Vent�Final 13. Roof Drains � 64. Plumbing System � Final 14. Rough Piumbing � 65. Electrical•Final 15. Rough Electrical-Conduit 66. Solar SYstem•Final � 16. Rough Electric 6Viring 67. Fenci�g & Access ApProvat - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEA9S FINAL 19. RougP Heating & Air Conditioning FIRE DEPT. REQUIREMENT 2�. Rough Factory Fireplace APPRQVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping C Gas ❑ Oil 23. Gas PiPe�Rough & Test 72. Underground Flush 24. Roof �raming . 73. Undergrnd. StorayeTank O Gas ❑ Ofl 25. Roaf Sheathing 74, Overhead Hydro 26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical 27. Frame and F�ashi�g Q�1 9jf 76. OrY Standpipe 28. Lathing & Siding 77. FIXEO SYSTEM19 FINAL 29. Insulation 76, FIRE PREV. FINAI 30. DrywAil Nailing HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FpOD CERTIFICATE ISSUED 33. Final Eleciric Notes: /�✓('�� 0 � ��` �/ �/ �r/• �� • 34. Final Heating & Air Conditioning �" 35. Final Gas Pipe•Test 36. Hood or Canopy . 37. Final Factory Fireplace 3$. Final Plumbing 39. Water Service-Final � 40. Gas Service•Finaf 41. $oiar Pomes[ic-Pinal 42. Backflow Preventer � 43. Backflow Irrigation 44. Landscape IrriGation System 45. Sound Attenuation �, 46. HandicaP Regulations - 47. FINAL STRUCTURE & BUILDING �� w;, 48. FINALPLANNING • 49. Elearic Release to Edison � '�� 50. Gas Release to Southern California Gas Co • 51. CERTIFYCATF OF OCCUPANCY No. Date �� i � I i � I � � j, j i t � i � � ; ; � � ,� i � ' i � i i � . : � '� V, ' � � � I � � i , i . � .. I . � a ��, ' I I � i � // i� - — – ; I � � � iJO, ' . ' ! ', � i ' �� ' , i �I � �: ' '�. i i �I �'� I j . ''� �I �I' � li;i;,, ��i��',�,�'� ��, i i i;; ''� �!„Zh ' � � � � � , i i j � �� i � � i � i �I �! �, ! i �. I � � i�, i��. � i I i� �'�. � � i I i ' , I II I I. '' !� I' i I i I �I I'i i i i i i; � aG i:';! i i � , ,I � �� i ; + i � i ( ! ; �' j � � i i'� '; �IV�SIi ,y� � ;',�; i i �, I f � � , i , I , ; j � �; � � � � ��is sd of plans aqd spea('� _, 6 ; . ; i '' �� :� an]jd�aesix al�,�ratio ! . ' o�d �6afe{y, Cily of�st� Me4 i ; • ; ' . ; � � Irm�r�pirgbflh ular�a, ! , Ict Nja viblatioh ot �ny �rcvi i ' i ' ; i iri_�e ohr�s 2rd p`er,r�tl>F�al� ; , i . . i i � ".�'::v�[ -.;�:r :�,�Ced�er! i I I I � I I' I I � i � ! ' � I i I I i „511 ', � i i; I I � , j �� ''I � I� I i I ;; I ' i I I � I , . , ; ; , ' I i � i; � � I � I I '. i• i i i i � � i , . � ; � � , j�' I'� �'� II � � � � . 1 i �i II i ' � ; i � � I I � � I � ' ! � -:—„ �y;, , ' I I ; j ' i �I j I i ; i il ; i I!i ; , i � i � � I � I ' ' i ; � i ,; 0/ - W J� � I i ; � I � I �� i i i I� � I i i � I I u: PR(pV�E is uhlaw�ul to of �ah; er i � ! I i I'.' �;� � I I I I I i , ! ; ; , , i , � ; ' i i i : , i . ' � i ! ! i : i � i i � i i . I �i ', � I I � .' i ' ; ,� ', , i i , ! . � � ! i I � � i I � � � i � � � � i � II I I I I I I ��) i � I I i i–�- I I I I I� 11 il � I � I � . I � ` y� l�,�l� a(� i i I �,�I I � �/ {} �`I � I � � 14' �� IvlS�l .i-, ,. Aoo�icant to fill in all spatts exceot those within heavv bortler Iines ana si9n all aoVroD/�ate aeclarations. ICITY„9F COSTA ME C ST UCTI{�N PERMIT PER IT NOOO�� TRACT NO. LOT NO. UNIT NO. A P# Zona Project Address a L S Main Building: Accessory Building: Applicant'S Mailing Address � L Q TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E Front ' Z (�� .y�y ❑ CONVERSION ❑ DEMOLISH ❑ OTf�ER T 0 Owner'sName -��m �ti,(✓�A Phone��r._I�_;1�..;�� DESC.RIPTIONOF OR USF�Q FBLDG.,L ��,n�- �� % I B Rear N Address ,QG/YYIP> � ya� n`�a i%Yi �� 1'�I i� �(�y;�=P27��{'� C Right N Arch/Eng. LicenseNo. TYPE P RMIT GFADING ❑ FOUNDATIOrv ��STRVCTVRAL I K G Addre55 ' J ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g Left ,M g ❑-OTHER ' P�ng. Ref. # Parking Req./Provided E COOt�atto��<Nama �.�,11� n• Sr�aa�l P6nna fG^ r y1,, (�/��PROJECT DESCRIPTION 54. FT. ocCUPA Cv n Address (m� i'�nl 1'J�L YJ�I IIG 'Q �']411YTA-FCI1Q %� „��w Planning Notes: M �9+� CONSTRUCTION TVPE VALUATION $ �S�_ T CityLicenseNo. G T!�� ZONE GRADINGCU.YDS. ACRES $, LICENSED CONTRACTOR �ECLARATION I hereby affirm lhat I am licensetl untl¢r p�ovision5 of Charte� 9(commencing Remarks: with Section 7000) of Division 3 of [he Busine55 antl Profe55ion5 Cotle, antl my license is in (WI force antl ef e ELECTRICAL PEES License a i 52 N. (J Date �' Si9nature '_ PLUMBING FEES Flutomatic Washer Transformer ❑ 505 KW WORKERS COMPENSATION DECLARATI N Bar Sink Showers Construction Pole $ub. 1 I hereby affirm that I have a certificate of m� ent to selt- re or a certiticate of Workers' Compensation Insurance, or a certifietl copy thereof (Sectlon Cooking Unit Meter ❑up ro 100amps 3800, Lao9� /I p j�A , Backflow Preventer Service Sink i�/��%�"l„dR 5�'CIA� Dishwasher Meter ❑over100amps Policy No. e Company Backtlow Irrigation Sewer Cap ertifietl copy is heveby twnishetl. DryC�S ❑Gd5 ❑EI¢CtNC Su6 Panel Certi p 'led with the city Bulltling � B2thtub5 S¢w2� Cann¢CtlO❑ � a e Applicant Fan Momrs DO-i HP �1% -8 EXEMPTIO FROM WORKERS' COMPENSA I N DECL TION Clarifiers SOId� COIICCLOfS (Thizsection need not be wmpletetl if Ihe per i Is for one tlretl (g100) or Dishwasher Solar Pipin9 F.A.U. Ina Solar 09-15 HP 016-75+ Iess). I cer[ify that in the performance of tne wo�k tor whith this pCrm�t is issuetl I Fi%tu�¢5 shall no[ empioy any person in any manner So a5 to become suDject to t�te Drinking Fountains $Oldf TdOk Microwave Workers' Compensation Laws of California. Device Boxes . Date Signature Floor Drains �\ Swimming Pool w/Spa Pole Light NOTICE: If, aite� makinq this tlecla�ation, you 5hould become subject to the �Utl2t5 Range Workers' Compensation p�ovisions of the Labor Cotle, you must torthwith FIoOf$ink U�in21 compry with suth provl5ion5 or this permit shall be tleem¢tl /evoketl. CONSTRVCTION LENDING AGENCV Gd5 viC¢ OUtI¢t5 Wdt¢fCIOSet SWitCh¢5 Sign I hereby affirm that tM1ere is a con5truction lentling agency to� the p¢rfo�mance of tne work ror which tnis permtt is issuea (5ection 3097 civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lentler's Name Lentler's Atltlress Kitchen Sink Water Service Generemr �0-5 KW �5-15 KW Trash Compactor OWNER BUILOER DECLARATION I he�eby affirm Lhat I am exempt trom the Contracto�'S License Law Tor the LdVd[O�i¢5 AutO-W35h followinq reason (Section 7031.5 Business antl Professional Cotle: Any city or . counly which requires a pe�mit to conSbuC[, alte�, improve, tlemolish ot �epair P—T�2p L2uOdry T�2y5 any struc[ure, prior to its issuance, also requires the applicant tor such permit [o file a signetl statement that he/sne is licensetl pursuant to the provisions of ROOf Drains the Con[ractoYs License Law (Ghapter 9(commencing with Section 7000) of Division 3 of tne Business antl Professions Cotle) or that he/she is exempt Reinspection Fee $15 luue Fee $ 3 the�efrom antl the basis tor [he alle9etl exemptiOn. Any violation ot Section ]031.5 by any applicant for a permit subjec[s the applicant to a civil � penalty of not more than five huntlretl tlollars (g500). 3 DEVE�OPMENT SERVICES REQUIREMENTS: ❑ I, as owner af the pro0erty or my employees witn wages as their sole Reinspection Fee $15 IsSue Fee $ compensation, will tlo the work, antl the st�ucture is not intentletl o� off¢retl Zoning Approved By DetB for sale (Section �044, eusiness antl �rofessional Cotle: The Contractor's MECHANICAL FEES Building ApProvad By Date LicenSe Law tloes not apply to an owner Of a property who builtls o� imprOves thereon, and who does such work himself/herselt or through his or her own goiler Hood or Type I ❑ APPIit3tion Issued By Dat employees, provitletl [hat such improvements are not intentletl or offered Po� sale. Ii, however, the builtlin9 or improvement is soltl within one year oi com- Canopy Type I I ❑ SUMMA V OF FEES pletion, the owner will have the burtlen Of p�oving he/she tlitl not bwltl or im- DuCt � UOd¢� C.irouOd � proretorthepurposeoisa�e). BUILDINGPERMIT $ SMIP $ ❑ I, as owner oi the property, am exclusively contracting with licensetl con- Duct -Structural Refrigeration System PLAN CHECK $ PERMIT - tractorsto construct Ihe project (Section 7044, Business and Professions Cotle: � The Convactor's License Law tloes not apply to an owner of property who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builtls or improves Ihereon. antl wM1a conVacts fot such ormect5 wrth a r.on- tractor(s) license pursuani to me ConVactors License Law). i am aware tnat Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ ENERGV P.C. $ orooi of their Worker's Compensation insurance shoula be provitletl ta me. ELECTRICAL $ GRADING $ ❑ I am exempt untler Section e. & P. C. for this reason Firepl/Fact. Blt. ICBO # Fire Dampers MICROFILM $ PLAN CHECK 50% $ oate owner Heating System & Ducting Registers MECHANICAI $ _$'f ,,,�� I hereby certify ihat I have read this application antl state tnat ihe above ❑0-100,000 BTU 0100,OOOBT TOTAL FEE $ information is correct. I agree to como�Y with all city antl county ortlinances PLAN CHECK 25% $ antl state laws relating to uiltling const�uction antl ereby autho�ize re0re- sentatives of this city [ upo the - n[ionetl roperty for ' inspection purposes. ' � �!J'�"�"�Q�JULS ' S Si9nature �:, .�i �.•, r . A' . � -.l peinspection Fee $15 Issue Fee $ 3 � - Drivers'Licenseor55 �r.T�: �`)/[1?(��j Y;i;:r , . 0865-46, rev. 5/88 White - Builtling; nary - ApPlicant; Pink - Accounting; Goltlenrotl - Assessor , a C� �:; - � �. . , . . . � (:ONSTRUCTION AND PLANNING POOL & SPA pAPPROVAIS Permit# Date� Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole �" ' 52. Pool & Equipment Location .� 2. Soil Pipe-Undrgrnd. + 53. Steel Reinforcement 3.� Electrical Condui[ Utility-Undrgrnd. - 54. Forms 4. Electcical Conduit�Undrgrnd. � 55. Electrical Bonding _ 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd: : 57. APPROVAL TO COVER-GUNITE '',, 7. Footings �, � 58. Electrical Conduit-Undrgrnd. -� i 8. Foundation .� � ',� . 59. Gas Pipe, � Undrgmd., Test �� -9.�,Water Pipe-Undrgrnd. � i '; , 60. Backwash Lines, P-Trap, O Undrgrnd. � i 10. Structural Floor System .. - - 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connection ; I 62. Backwash & Receptor�Final 12. Sewer Cap � �• 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 1fxRough Electric Wiring 67. Fencing & Access Approval •a � 17. Rough WiPing Sign 68. APPFOVED FOR PLASTERING "� - 1�8. Rough Electriral-T Bar Ceiling 69. POOUSPA 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 OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof�Sheathing .- � 74. Overhead Hydro � S, 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 IVailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electriral Power MeterFinal 80. FOOD CERTIFICATE ISSUED 33. Final Elec[ric Notes: 34. Final Hea[ing & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace ' 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer -,� 43. Backflow Irrigation � ',I ', 44. Landscape Irrigation System � 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING �p y i 48. Special Requirements Completed - 49. Electric Release to Edison r 50. Gas Release to Southern California Gas Co ' "' 51�•CERTIFICATE OF OCCUPANCY . ' No. Date �'/• -� -� - -' /�GP��cant to nl.-.n'ail spaees exceD< <hose within heavy bortler Ilnes antl sign all approDriate tleclarationi. �� (�(�� jp CITY OF COSTA CO�v STR UFTIO PER.VIIT P�IT NO. �� TR� CrT� f�0._ LOT fy0._ UNIT NO. _ _ ��3� �x- � '� �� a.r.# zooe Project Address /��I ii T � V/(..1� J 3 S Main Building: Accessory Building: Applicant'S Mailin df255 TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E Z �r ❑ CONVERSION ❑ DEMOLISH ❑ OTHjFR T Front 0 Owner's Name � �JQa `f Phone _3 3� DESCRIPTION OF WORK/USE OF BLDG. �, ��(�'�/�C I A Rear N � Address .�.�3 C_Yt7�-f��.�%1�L l7�/(iC Arch/Eng. License No. TVPE OF PERMIT ❑ GRAoiNG ❑ FOUNoarioN STRUC7uan� C Right N Addre55 ❑ TENANT I� ELECTRICAL � PLUMBING � MECHANICAL I g Left R Convactor's Nam Phone" � 9 � oTHeR _ , Ping. Ref. # Parking ReqJProvided E 9� ��._____�� OJECT DESCRIPTION SQ.FT. OCCUPANCV�OO � �Address (m 'I' I 71DL P�i ��_�� 9z% � Planning Notes: M �� QO CONSTRUCTION TVPE L VALVATION $ T City L�cenSe No. ZONE GRADING CU. VOS. ACRE $, LICENSEO CONTRACTOR DECIARATION 1 hereby a(litm lM1at I am IicenSetl untler provisions of Charter 9(commencinq Rema�ks: witn Section 7000) ot Division 3 of the Busine55 antl PrOfessions Coae, antl my license is in (ull rce antl effect. •C .��- � ELECTRICAL FEES License C zs Licerin�l o �- Date % � 5'9 t �� - PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW WORKERS'COMPENSATIONDE ARATION ConStructionPoleSub. �50+KW I nereby ailirm tnat I have a certificate oi consent to self-insure or a certificate Bar Sink Showers of Workers' Compensation Insurance, or a certifietl copy tnereo( (Section Backflow Preventer Service Sink Cooking Unit Metei ❑up to 700 amps 3000, Lab. C.) Dishwasher . Meter �' �� poiicy rvo. Company Backflow Irrigation Sewer Cap • ❑over 100 amps 8 Certitietl wpy is hereby iurnishetl. � Dryers ❑Gas ❑Elettric Sub Panel Certitietl copy is tiletl wim tne city euiltlinq Division. Bathtubs Sewer Connection Date AOPi�cant ' Fan . Motors DO-1 HP �1'h - 8 EXEMPTION FROM WORKERS'�COMPENSATION DECLARATION Clarifie�s $olaf ColleCtors ' (Thissection neetl not be completetl if the permit is tor one huntlretl ($100) or. Dishwasher Solar Piping 0. F'P'•U' IncSolar �9-75 HP 076-15+ lezs). � 1 certify lhat in the pertormance ot the wo�k tor which this pe�m�t is issuetl, I_ FizLu�25 Microwave snail not employ any perzon in any mann az to b�p m jeci to Ihe Drinking Fountains Solar Tank • Workery' C sa on Laws of Californ' � // � ' Device Boxes Pole Li ht Date - Signature �� y�� tt�� Floor Drains Swimmin9 Pool w/Spa 9 NOTI E: If, atter m�his tleclarauon-yo�fiouftl�ecom�6�ect o the OutlCts Range 3 p Workers' Compensa[ion provisions o/ the Labor Cotle, you must (orthwith FIOOf $i0k5 U�I�dI Wmpry wilh such provision5 or tnis p¢rmit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV GasServiCe Outlets WaterCloSet Swi[ChCS Sign ' � I hereby afflrm that [here is a con5buction lentling aqency for the pertormance - . or tne work tor wnich tnis permie is issuea (Section 309� Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections 3' Lentler's Name Generator 00.5 KW �5-15 KW Trash Compactor Lenaer�s aatlress - Kitchen Sink Water Service OWNER BUILDER DECLARATION I he�eby aHi�m lhat I am exempt trom the Contractot's license Law tor the L3vdtO�i¢5 AutO-WdSh tollowing reason (Section �031.5 Business antl Professional Cotle: Any city or . county which r¢quires a pe�mit to const�uct, alte�, improve, tlemoli5h o� �epair P-T�dp LdtlOdry T�dys any structure, prior to its issuance, also requires the applicant for zuch permit to file a signetl statement thdt he/she i5licensetl pursuant to th¢ plovisions of q001 Df21O5 0� the Contractor's License law (Chapter 9(commencinq with Sectlon 7000) ot � �� ' Division 3 of the Buziness antl Professions Cotle) or that he/she is exempt Reinspection Fee $15 luue Fee $.3� theretwm antl the basis fo/ the alle9etl exemption. Any violdtion ot Section ]031.5 by any applicant tor a permit subjects the applicant to a civil penalty of not more than five huntlrea aollars (ffi500). $ 3 DEVELOPMENT SERVICES REQUIREMENTS: ��/��(,( � �� ❑ I, as owner of the property or my employees with wa9es as tneir sole Reinspection Fee $15 Iuue Fee Zoning Approved By `�'"'" —Date /� compensation, will tlo the work, anC the 5[ructu�e is not Intendetl o� offeretl for sale (Section �044, eusiness antl Professional Cotle: The Convactor's MECHANICAL FEES Building Appraved By Dat� License Law tloes not applY to an owner ot a property wno builtls or improves � [hereon, antl who tloes such work bimself/berself ot thwugh his o� her own AppllWtiO� IStuBd By Ddt employees, provitletl tnat such improvements are not intentletl or offered tor Boiler Hood or Type I ❑ sale. H, noweveq the builtlin9 or improvement is soltl within one year of com- Canopy Type 11 ❑ SUM9QARV OF FEES ? pleti0q the owner wili nave Lhe burtlen of proving M1e/she tlitl not builtl or im- Duct- Under Ground n�ove for the purpose ot sale). �, BUI LDING PERMIT $ �e� � SMIP $ •sv ❑ I, as owner of the oroperty, am exclusively contracting with licensetl con- Duct -Structural Refrigeration System PLAN CHECK $ sQ � pERM17 tractorsto construct the project (Section 7044, Businessantl Professions Cotle: The Contractor's License Law tloes not apply to an owner oi property who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU �, �' pLUMBING $ • OO ' ISSUANCE $ builtls or improves thereon. antl who contrdcts fo� such oroiects w�th a ron- tractor(s1 license pursuan� ro tne Contractors License Law). I am aware tnat Exhaust System ❑ MWtiple ❑ System Repair/Alteration P�N CHECK 25% $ �� ENERGV P.C. $ proof of their Worker's Compensation insurance shoultl be provitletl to me. ' ELECTRICAL $ L6•�� GRADING $ ❑ I am exempt untler Section B. & P. C. �or this reason Firepl/Fact. BIL ICBO # Fire Dampers MICROFI LM $ PLAN CHECK 50% $ Date owner Heating System & Ducting Registers MECHANICAL $ �9•S� 206 •�o I hereby certify that I have reatl this application antl state that the above ❑0.100,OOOBTU �100,OOOBT TOTAL FEE $ Information is correcL I agree to comply with all city antl county ortlinances PLAN�CHECK 25% $ antl state laws relat�9 �o builtling con; ruction, antl hereby authorize re0re- sentatives of ihis to en��gg�rr�J7 u G the above-mentionetl pro erty for , X InsPeCtlonPu�Po� � �� _�__ , �� '., �`y _ . . Signature � T� �C¢�► Date �. '_'dl•� �;� r`r��',�_. �-�c. qeinspection Pee $15 Issue Fee $.3' _ ;,.� Li: :+ . ,r � � Drivers' Licedse or 55 � -'- '- 0865-4Q /ev. 5/BB White - Builtling; Canary - APplicant; Pink - Attounting; Goltlenrotl - ASsesso� CONSTRUCTION AND PLANNING . POOL & SPA - APPROVALS Permit# Date Inspector p�ppROVAIS Permit# Date Inspector 7. -emporary Electrical Service or Pole ^ 52. Pool & Equipment Location 2. il Pipe-Undrgrnd. •� '� 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrg�nd. �� 54. Forms � '4. Electrical Conduit-UndYgrnd. 55. Electrical Bonding n 5. Steel' Reinforcement � 56. Rough Plumbing & Pressure Test i �6. Elechical UFER Gmd: 57. APFROVAL TO COVER-GUNITE 7. Footings "" � • /, . 58. Electrical Conduit-Undrgrnd. � 8.. Foundation � 59. Gas Pipe, O Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-Trap, O Undrgrnd. 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. Rooi Drains � 64. Plumbing System - Final 14. Rough Plumbing � � �d �fr ((�J 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 1�6. Rouyh Electric Wiring 67. Fencing & Access Approval 17. Rou�h Wiring Sign 68. APPROVED FOR PLASTERING �18. Rough Electrica6T Bar Ceiling 69. POOUSPA SYSTEMS FINAL ' ' 19. Rou,yh Heating & Air Conditioning � � 6� L�jj FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # �21. Ducts, in Structure " 70. Underground Hydro '22. Ducts, Ventilating t'� �� L� 71. Product Piping 0 Gas ❑ Oil 23. Gas Pipe-Rough & Te'st 72. Underground Flush 24. Roof Framing '� ,� 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing �' 74. Overhead Hydro 26. T-Ba�Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing p/C G(,� / 76. Dry Standpipe 2S. Lathing 8i 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 Electriral Power Meter-Final ' � 80. FOOD CERTIFICATE ISSUED � 33. Final Electric �,3a�9 � Notes:'; � - � . � 34. Final Heating & Air Conditioning (�� ; s��. 35. Final Gas Pipe-Test 36. Hoocl or Canopy G e �e. � //- 37. Final Factory Fireplace 38. Final Plumbing �( i� d"� L�fI� � 39. Water Service-Final 40. Gas Service-Final .41. Solar pomestic-Final 42. Backflow Preventer ' ' � ' i. 43. Backflow Irrigation � ` � �' �� 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations � 47. FINALSTRUCTURE&BUILDING �t� . 48. Special Requirements Completed 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Co ' � 51. CERTIFICATE OF OCCUPANCY " 'j ' ,. r No. Date `� � _� ' � � li � � �' �� - Lot 53 �4�-74 Tr.. 578 COSTA MESA BUILDING•SAFETY DEPARTMENT P. q. BO% 91] COBTA M66A, CALIFORNIA For Applicant ►o Fill In Completely � TYPE OR PRINT BUILDIN6 ADDRES9 2734 Casdinal Drive GOSTA MESA, CALIFORNIA 5u mesa verae lirive sta Mesa L�`• 549039 CONTRACTORP2M}J'd Subdividers, Inc nooResa 2850 Mesa Verde Drive cn�r Costa Mesa LIC.TNO. ZH'IJZH No � 5490395 OFLOT 7$X103 I "nowor°wr''� USEOF EXISTING BLO6. BETBACK LIN6 FROM nG CENTEP OF 6THECT ZO T REAR YARP `V SIDE YARD I LEFT 7� I R16HT 15 � DESCRIPTION OF WORK NEW � ALT6RATION � ADDITION _ REPAIR MOVINO DEMOLISH B11O1N6 50x49 NO.OF 10 SIZE ROOM9 6TOR168 EXTERIORWNi_CCO I ROOP WoodShin COVERING ll.lA COVERIN6 USE OF BUILDIN6 AND WORK TO BE PERFORM6D Sinele familv residence with li�l I US liu��ii 19tL�li MAY 11 1965 APPLICATION POR PERMIT ��e��Y RlCEIPT NO. ZONING Ho. or use or LeowL YARD6APPROVED MAIN BUILDINO 2 VAR. $C 1 HEREBY ACKNOWLEOfiB THAT � XRVB PEAD TH�e APPLICATION AN� eTwTE THAT TNe �BOVfi 19 CORR6CT AND AOREe TO COM. PLY WITH ALL CITY ORO�NANC88 AND 9TAT6 LAWO peOULATING BU�LOINO CONHTPYGTION. SIGNATURE OP � PERM177EF ' � h AWTHORIZHD A6 . _ � AY�1 3u7�65 6HALL BE LE35 THAN YAROSAPPROVED :CESSORY BUILDING OATE -G TXE AMOUNT 6HOWN UN�ER VFLUATION IB FOP TH8 PUFPOSE OP EBT.�BL�6XIN0 • PERMIT PEE ONLY. s vG, 7 .J�" J ! i