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2947 CEYLON DR - Building Permits
ApPlicant to fill in all spaces except those witM1in heavy GorOer lines antl si9n all a0D/opriate tleelara[ions. qTY O�S�TA MESA CO�TRUC ION�PERMIT PERNII�TjNO._ _ TRACT NO. . LOT NO. UNIT NU. Pra}ect Address Pu ' ��( 909� �. u�at,,.. �G� A licant's Mailina Address t S. � Owner's Name �a�"7'I n�i [�. �C.!'1 A `�phone-� 'b'I2�� Address �0.v+'�� �S G--b�Y�f - � Arch/Eng. License No375�/.z�- Address �'/ Contractor's Name. � ' � Phon1E.L'.��3�i Address (mailing) ✓C �'�'F' nS 4 B(J �' C'r�.�_I� � Ci[y License No. � -.� � LICENSED CONTRACTOR DECLARATION � 1 he�eby aHirm that I am licensetl untle� provisions of Charter 9(commencing wi[h section 7000) ot Division 3 of [he BuSiness antl Profe55ion5 Cotle, and my license is in II fy c ntl eftect. �// ILICEf15E CId55 � � SC 1`fp �/J ���Z ^\ oate�� : s"g t - � � � i�R/�— '�00.KER5' COMPENSATION �ECLARATION ' �� � hereby atfirm that I have a certificatE of mnsent to self-insure o� a certi/Icate of Workers' Compensation Insurance, or a ceriifi¢tl copy thereof (Section 3800, Lab. ) !'/ / � � ��n� Pnnnolicy No.����/ T�$ ' Company �Cevtifietl copy is heteby tumishetl. Certifietl cop iletl�with the cit il Da[e � ��'� Applicant �I��-+T EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl not be'completetl if the permit is for one huntlretl ($300) or less). I certify that in the perfotmance of the wo�k fo� which [hiz�perm�t is i55uetl, I Shall not employ any perion in any manner So as to become subject to the Workers' Gompensation L.aws of Califomia. Date Signature NOTICE: H, after makinq this declaration, you shoultl become subject to the . Workers' Compensation provisions of the Labor Cotle, you must �orthwitn comply with such �provisions or this pe�mit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 hereby atfirm that Ihere is a mnstructiOn lentling agency fo� the perPormdnce ot the work for which this permit is i55uetl (Section 3097 Civ. C.) lRntler'S Name '� ' Lender'S Atltlresz ,. OWNER BUILOER �ECLARATION I hereby affirm that`I�am exempc from the Contractor's License Law for the . following reason (Section'7031.5 Business antl Professional Cotle: Any city�or county which requires a permit to construct'alter improve, tlemolish or repair i any SVucture, �p�io��to its issuance, also requires the applicant fo� such pe�mit to file a siSnetl sWtement that he/She is licensetl pu�suant to the provisions of 'he Contractor's License Law (Chaoter 9(commencing with Section ]000) of )ivision-3 of the-Business antl Professions Cotle) or that he/she is exempt .here�rom antl the.basis fo� the allegetl exemption. Any violation of,5ection ]031.5 by any applicant tor a perrtiit subjects the applicant to a civil penalty of not more lhan tive huntlretl tlollars ($500�. ❑ I, as owner of the property or my employees witn wages az their sole compensation, will tlo the work, antl the structure is not intentled or offeretl for sale (Section 7044, Business antl Protessional Cotle: The Contractor's License Law Coes not apply to an owne� of a prope�ty who builtls or imp�oves [hereon, antl who tloes SucM1 work himself/herself or lhrough M1is o� he� own employee5, Provitletl that suth improvemen[5 are not Intentletl o� offeretl for sale. If, howeve�, the builtling or improvement is soltl witM1in one yea� of com- Oletion, the owner wilY have the burtlen ot proving he/she tlitl mt builtl or im- prove �or the purpose of sale). , � ❑ I, az owner of the property, am ezclusively contracting with Ilcensetl con- VatfOrstO construct the project ($ection 7044, Bu5ine55 antl Profe55ions Cotle: ' The ConVa<tor's License Law tloes mt apply to an owner ot property who builtls or improves [hereon, antl who cont�acl5 for such projects with a mn- tractor(s) ucense pursuant to the conbacmr's License.Law). I am aware that, proof of their Worker's Compensation insurance should be provitletl to me. ❑ 1 am exempt untler Section B. & P. C. far this reason Date Owner .. I M1ereby'certifythat I have reatl tnis information is mrrecL I agree to comp antl state laws relating to builtlinq wn sentatives ot this ci �t�enter up� inspecUon pysyos y ��tate that the above d county ortlinances eby authonre repre= ionetl propeprt�yA for Dat���z TYPE OF CONSTRUCTION LJ NEW IJ AOD LJ ALTERATION I�9 REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OT�ER �� ' �-y-��-/�-�� � DESCRIPTIONOFi.WOR�G/U�E qFBLDG���'u' ��• �nr�`��'�=��-u. r+ls�l (-�io�`F" f�.�'�e`FcIP me`� . Fl ' ?i —�%/ /-C�a��� TVPEOFPERMIT GRADING FOUNDATION STRVCTVqAL''�P/ta ❑ TENANTf Jn'ELECTRIC1p� ❑ PLUMBING ❑ MECHANICAL � OTHER /�.��C'liC� \ .T�� PROJECT DESCRIPTION SQ. FT.�=� � O OCCUPqyp�p v �f CONSTRUCTIONTYPE VALUATIONS ! //D.ITI� ZONE GRA�ING CU. VOS.' ACRES Rema�ks: .. � ' . Sink - - rcflow Preventer � - kflow Irri9ation nubs . Drinking Fountains � Floor Orains Ploor Sinks Gas Service Outlets Interceptors � Kitchen Sink _ r. . lavatories � . P—Trap Roof Dreins ReinspeMion Fee $15 Boiler Duct - Under Ground � Duct - Structural Duct-Ventilating � Exhaust System ❑ Mul[iple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ o-i oo;000 sru O i oa,000 � D ' L'�55 � - �- ' I I Reinspection Fee CMF 0865-46, rev. 10/B4 White - Building; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor $15 PLUMBING ' Showers Service Sink � � $ewer�Cap.. Sewer Connection - • Solar Collectors � Solar Piping Solar Tank ' Swimmin9 Pool w/Spa � Urinal Water Closet. Water Service � A uto-W ash; Lauridry Trays � �' � Issue Fee \NICAL , Hood or Type I ❑ Canopy Type II ❑ Refrigeration Sys[em ❑0-100,000 BTU ❑ 100,000 E System Repair/Alteration � Fire Dampers Registers ' ' � . luue Fee A.P. � S Main Buildin9: E T Front A Rear C Right SLeft Ping.�Ref. # ' Planning Notes: ( t , ' � ' e6z� 5/2B/87 ` � Zone ' Accessory Building� Parking Req./Provided ' ' Automatic Washer Construction Pole Sub. Cooking Unit ' , - Dishwasher . ' Dryers ❑Gas '�Electric Fan � ' F.A.U�. ' ' Fixtures Device Boxes � �UtIEtS ELECTRICAC Transformer ❑ 15-50 KW ` ❑ 50+KW Meter ❑up to 700 amps , Meter ❑over100amps ' Sub Panel � . - ' MotorsOO-1HPO1%-8 Inc.Solar �9-75 HP �16-15+ � Microwave � Pole Light Range - ...,,.��..,_._ . ��9�. Garbage Dispoul Standing Sections � i I I Generator�OO-5 KW �5-15 KW Trash Compacror $ 3 Reinspection Fee $75 Issue Fee fEES �� DEVELOPMENT SERVICES R EQUIREMENTS: - �Qoning Approved By Building Approved 6y _ Appliration luued By � $ 3 BUICDING PERMI7 $ .S /�{i' P�AN CHECK $, PLUMBING ��$ PLAN CHECK � 25% $ ELECTRICAL $ ' PLAN CHECK 50% $ MECHANICAL $ - � PLAN CHECK �25% $ � �. z O N 1 N G R E Q M T S FEES $ 3 ES SMIP $ � PERMIT ISSUANCE �-. '$ . ENERG� P.C. $ � - GRADING . �$ MICROFILM $�� TOTALFEE �$ _ _ �� I CONSTRUCTION AND PLANNING � ! �� � . . POOL & SPA • , . . • APPROVALS Permit# � � Date Inspector qppROVALS Permit#� ' Date Inspector , 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location . i 2. Soil Pipe-Undrgrnd. . . � 53. Steel Reinforcement ' 3. Electrical Conduit Utility'-Undrgmd. . 54. Forms �' ' � ; 4. Electrical 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. Elect�ical Conduit-Undrgmd. ' - 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. Roof Drains � - 64. Plumbing System - Final � , 14. Rough Plumbing � . ' � � � 65. Electrical-Final � 15. Rough Electrical-Conduit , 66. Solar System-Final , 16. Rough Electric Wiring. -� ' � � ', �- 67. Fencing & Access Approval � 17. Rough Wiring Sign " '- ' 68. APPROYED FOR PLASTERING � " � 18. Rough Electrical-T Bar Ceiling' � �� ' 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 � Gas ❑ Oil � - . . 23. Gas Pipe-Rough & Test � � � 72. Underground Flush � � � 24. Roof Framing' � b d i Q� . 73. Undergrnd.StorageTank OGas ❑Oil . 25. Roof Sheathing � �� Q . 74, Overhead Hydro , � . 26. T-Bar Ceiling��Structurall & Monocoat 75.,Dry,Chemical ' . 27. Frameand Flashing .' ,.�' , � 76. Dry,Standpipe � . 28,-�Lathing & Siding . � , � 77. FIXED SYSTEM FINAL , � 29. Insulation . , 78. FIRE PREV. FINAL- 30. Drywall Nailing ' � ' � HEALTH DEPT. REQUIREMENT � � . 37. Plaster Brown Coat � • � 79. FINAL INSPECTION . : 32. Electrical Power MeterFinal � 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 - _ � - � � • 39. Water Service-Final �� � ' ` ' ' ' � 40. Gas Service-Final �� � . � , � `• ; . � - 41. Solar pomesticFinal� � � � � �-�! -' ' � � 42. Backflow Preventer � � ' � �43. Backflow Irrigation � . , ' . f 44: Landscape Irrigation System ' . �. � ' � ' . �, � � 45. Sound Attenuation ' � ��� � - . , �. 46.�HandicapRegulations � � � - 47,.'FINALSTRUCTURE&BUILDING � . " � � ' � � 48.�SpecialRequirementsCompleted ',� � - . , '49. Electric Release to Edison � ' . , , ' 50. �Gas Release to Southem California Gas Co , . � � ' , � , 51. CERTIFICATE OF OCCUPANCY - � . _. . , . No. Date . _ ` � , _ _ . j . / � ADP�icant to fill in all spaces except those within heavY eoraer lines ana sign all avorooriate aeclarations. CI7Y oP COSTn MESA CONSTRUCTION PERMIT PERMir No. _� TRACT NO. , LOT NO. UNIT N6.,, �,. �, � � 4�?6 � 5%!�0/B5 i 29'47 Ce lbn llr. = _ , /� c (�'O , , _ , c i �., ; �. ,- , .2 i -- ^.5.:50' TI. . Project Address - Y ' ' `� _ � � I ApplicanYs Mailing Address � 5413' E. Ld PE111Od ; � �._ '- � TYPE OF CONSTRUCTION�' � NEW '' ADD, , AL'TERATION} ,' REPP.I�R - � r' Owner'S Name �•��5:'M3YtlII S�C12Ild' ` Q � • � CONVERSION � DEMOLISH ,❑ OTHER� '' - � � A;p #- . _ . ' _ - � Zo�e , _ Ib ano�e546-72�0 - Install heat and. A C-to., � ' ° r ' i�. � � DESCRIPTION OF WORK/USE OF BLDG. . Address� �"2947�Cevlon •Ur.=Costa��Mesa, CA 92626� ' 2X15t.lri S1R 12�fdII111 'L251C1eRC � � S MainBuilding:� _ ` ' • Acceuory_Building:�r Arch/Eng.�- - '� ��LicenseNo. ' TYPEOFPERMIT �' GrtnoiNc ❑FOUrvoariorv iSTRucTURn� � T F�ont - � "��� � : _ -' �- ' � �� p Addre55 � " � - " ' ' " ' , i ❑ TENANT � ELECTRICAL ❑ PLUMBING O MECHANICAL ' - . A Rear � � '• ' ' � � ' � � ' : - . ! _ - N ❑ �OTHER � " • Contractor's NamapYO HPat.i ng ,G Ai Y � Phone 71 4 779-68 8 � , _ � - c Right �' I ' - ' � I � ,' - ! ; N � , PROJECT DESCRIPTION� Sp. FT. � � �OCCVPANCY Addresslmaiiingl-54•1"� F-_ Ta Palma—AnahPim fA 9�807 , . . K- � ._ . G j : � GONSTRUCTION TVPE � • � � 'VALUATION $ S 'L¢ft � � ' -� � ' + ' � � City L'icense No, i5�51 ' �� 1 ' 20NE � � � ` � ' GRADING CU. vDS: 'ACRES' � P�n . Ref # - � � ' Parkin Re /Provided - � E� � L`ICENSED CONTRACTOR DECLARATION � � � 9 9 Q� . F � i� I.he�eby'affirm that�l. am licensetl untler provision5 ot Charter,9 (commencing � Remarks: - � ' � ' � � Pldnning�NOt¢5: • � ' ' � - - ' � � M with section 7000) of �ivision 3 of the Business antl Professions Cotle, antl ' • — my license is in /ull torte antl��eftect. t "- ' � � • ' ' � � � � � � � , � � i . { � ' . . T � ' n - , � � , � .. . License �i s� C-20 � �;�e,,,e No. :69637 � � . ' _ ;� S � Dare� Signature - � . � ' PLUMBING . FEES i � � . - WORKERS' COMPENSATION DECLARATION ', � gar Sink , ' Showers �- ' � '- hereby'atfirm that I have a certiticate oi consent lo sel(-insure or a certificate . � ! , _ � ELECTRICAL � ; � , FEES I �f Workers' Compensation ynsurance, or a certifietl copy thereoi (Section � i � , _ , ,_ _ � _ , _ _ _ 3800,'Lab, c. '' � - �- —'- Backflow Preventer� - Service Sink� I-: ) ' ": � Automatic Washer ' ;T�ansformer'�'15�50 KW � ' Polmy rvo.S4-0639Z • companyHOIi121dRC1 II1S.�C0: eackflowlrrigation : � SewerCa � � � .�s . � SO+KW �. ' \ � � - , , - , . I P Construction Pole Sub. ' � ; , �Cerhfietl mpy is hereby fumishetl. - � 'Certifietl co y is tiled with the aty Builtling Division. ; � Bathtubs � ' �' Sewer Connection� ' � Caokmg Unit : � ,Meter ❑up to�1002mps ' ' ' o,�e S/Fi/R� � qppiicant_Prn Haatina H Air � � i � � . , ' - EXEMPTION.FROM WORKERS' COMPENSATION DECLARATION Cld�ifi¢�5 ' , ; 5012� C0112Ct0�5 � � .DishWashC� � � �M¢t¢� ❑Ove� 1008mp5 � ' �' -(Thissectiomneetl not be completetl if the�permit�is for-one-huntlretl-($100)',or , . ' ' ' ' " ' ' - - ' � - �'" -� less). : ' ' � � Dishwasher � ' Solar Piping i-' �Aryers ❑Gas7 �Electric - I certif .tha[ in Ne : Sub Pdn¢I� � � y per(ormance of the work for which this perm�t is issuetl I � shall �not emp�oy any person in any manner so as to become subject to the Drinking Fountains Solar Tank ' i ' ' Fan • � � O ' Workers'Cortfpensation�LawsofCalifomia. . � �Motors�0-1HPj[]1%-8 li . . Date, ' '' � Signa[ure � � Floor Drains � � Swimming Pool w/Spa ! I i 1 ;F.A.U. � � :O 'InaSolar'09-15 HP �16-75+ � � � -NOTICE: If, afte� making this tleclaration, you ShOUltlibecome subject to fhe ; - - ' � � Workers'. Compensation; provisions of tM1e Labor. Cotle, you must forthwi[h Floor Sinks.... _ i _�. _.. _ Uriilal ,--- -- � � - - . - + - iFixtures ' • - - - - � "-�-- ! - - ��- - comply with� such provisions 'or'thi5' pe�mit"'sh511 be tleeinetl revoketl. � ' i� 'Mic/Ow3v¢"- CONSTRUCTION'LENDING AGENCV � � '�'. �" . ', y "^.'Gas$erviCe � Outlets. � WaterClOset 'DeviceBoXeS ' 1 hereCy affl�m that the�e Is'a construction lentling a9ency to� the'pe�fo�mance - �� ;POIe�Light , � of the work for which this permit is'i55uetl (SeCtion 309] Civ. C.) ' ' ' - Interceptors . . WaterHeater� � - Outlets � ' Lentler's Name�� � - Range � Lentler's Atltlress ' � ° = � ° - - ' � � b Kitchen Sink• �: ' � _ i . .Water SerJice � ' _ r,. � 'Switches Sign' � � � � OWNER BUILOER DECL"ARATION ' ' ! ` - � ' �' � � l _ ' ._ " .. . � ' � I hereby-affirm that I am:exempf t�om the Contractor'S.Licens¢ l_aw fo� tM1e i Lavatories �- � _ 'Auto-WasF �- - '� r � following reason (Section 7o31.5.Business antl Protessional Cotle: Any city or � - ^� - _ Garbage Disposal , Stancling Sections i county which requires a permit to wnstruct; alteq Improve, tlemolish or repair -� P-Trap: � � _ '- ;- �Laundry Trays = 1. • . ' ! Generator �0-5 KW �5-15 KW any SVuctu�e; p�io� to its, issuance, also �equires the applicanLfor such pe�mrt � T�aSh CoTp3ct0� to file a signetl statement that ne/she is licensetl pursuant to the provisions ot. Roof•Orains, �' � tne Conbactor's License taw (Chapter 9 (commencing'.with Section ]000) oP° � - ' . .. ' i � , ; � � Divisiom3 of the Bu5ine55 and Profes5i0_ns Cotl¢) or that tte/she-is ezempt - � - - ' there�rom �antl the. basis for,the allegetl ezemption. Any.violation'of Section � __ ' . _ -� � ' ^, � � ' . . . � i � , i , ]031.5 by any applicanl for'�a� petmit. subjects �Ihe.applicant rto a civil '� N' " - � - �, -penalty of"not more than tive hundretl dollars ($500). , , c . � : � . - . � � � � � . � i � � � . � , 1 I'� 1; az�owner o(. the'property or, my employeez witli wa9es as their sole !Reinspettion �Fee :., $15' I ISsue Fee c$ 3 �� : compen5ition, wilPtlo the wo�k, antl the structure is not intentletl or offe�etl - �'' - ' � - � , � for sale:(Se<tion i044, eusiness and, Protessional Cotle:� The, Contractor's' � - i • j�, ''_ MECHANICAL' ' FEES �Reinspection Fee $15 ilszue Fee � � $ 3� � Licenie Law tlo¢s not apply to an owne� o( a property:who builtls or im0�oves ' � � �' � � thcrcon,�antl�wno;aoestsuch work nlmselt/herselr or through his or her own c- � , - . ��' DEVELOPMENTSERVICESREQUIREMENTS' , . ' ' employees, provitletl that such improvemen[s are mc-intentletl or offeretl for ! ' Boiler ' �� � Hood or Type I�❑ �� i . sale. If, however, the builtling or improvement is soltl within one year ot com- ,- . Canopy Type I I ❑ i ' 1 Zoning Approved By Date - pletion, lhe owne�, will have the burtlen of proving he/she tlitl not builtl or im- DUct - UOdE�,G�0u0d , i ' i � . � � � . . I - . Building Approved By � Date ' p�ove�forthe purpose ot sale). - � ;❑ I, az owner of the property, am,exclusively contracting with licensetl con- ' ' Duct - Svuctural . Refrigeration System ? . , � Appliwtion Issued By � Date ���b'�.l�l� . tracto�sto construct [he project (Sec[ion ]064, BuSiness antl Professions Cotle: ' - ' - - ' r� ' Tne Contra<tor's License �aw tloes not apply to an owner of praperty who Duct - Ventilatin • ' ❑0-100,000 BTU ❑100,000 87U '! � ' ' , � • � builas or improves thereon,�antl who contracts for such projects�wrth a con-- - � 9 �� - - � - -��- �- -� _ - ' i . ' SUMMARV OF, FEES � . 1 r tractor(s) license pursuant to the Contractor's License Law). I am aware that - ' " ��- � � BUILDING PERMIT .$ SMIP: � . proot of their Worker's Compensation insurance shoultl tie provitletl to'�me. ' Exhaust SYstem ❑ Mul[iple ��, System Repair/Alteration � i- �• - � �$ PCAN CHECK . $ PERMIT � I .L7 I�am exempt unaer Section B. & P. C. tor this reason Firepl/Fact. Blt. ICBO # Fire Dampers' , � � � i� �� ", � ! � � ' ' � PLUMBING' ' $ ' � : ISSUANCE , $ ; Date ' Owner � � ' ' Heating System & Ducting , ! Register5 ' � � ' ' � ' � � + ' ' ' � � � ' ' � i PLANCHECK 25%,$ � ENERGYP.C.'�$ I I nereby: certify.thatJ'have reatl.this application antl.state that the above _� .. OO-lOO,0006TU 0100,0008T .� _ . -. -- �3, '� GRADING ;$ � intormation is mrrect. I a9ree to comply with all city�antl county ortlinances I� ` . ELECTRICAL , S , antl state laws relating to builtling construction, antl hereby authorize repre- i 1 � , ' � { ' • ' PCAN CHECK 50%'$ ' 1 MICROFIL'M :$ � � � sentatives o('this�city to ente� up n the above-men[ionetl p�ope�ty tor � � � � � � ' in5pection purpo e�t ��� � � � � � . ' ' ' ' ' Siqnature!�</./�a.�'�"�'«'✓' Date S/Fi/RS � , �. � � � , � MECHANICAL � $ TOTALFEE '$ 5.5� � ' � Drivers' License or 55 � - - i Reinspec[ion Fee $15 , laue Fee $ 3 P�AN CHECK 25% �$ j � CMF 0865-46, rev. 10/84 �White � Builtling; Canary - qpplicant Pink - Accounting; Goltlenrod - Assezsor �� � � � � � - � 'CONSTRUCTION AND PLANNING ' ' . P��" �` SPA - APPROVALS Permit# Date Inspector- AppROVALS Permit-# - Date� Insper,tnr I� ,�1: Temporary Electiic8l Service or Pole . ��: 52. Pool'& Equipment Location _ 2.� Soil Pipe-Undrgmd. � � . . ' � � 53.� Steel�Reinforcement � �� � . .3. Electrical Conduit Utility-Undrgrnd. ' - 54. Forms . � _ < '4. Electrical Conduit-Undrgrnd. . � 55. Electrical Bonding - � - i ,-,5. Steel Reinforcement � � � ` � 56. Raugh Plumbing & Pressure Test ',6. Electrical UFER Grnd. � �� 57. APPROVAL TO COVER-GUNITE ° ' �bi ��-7. Footings � 58. Electrical�Conduit-Undrgrnd.,'- � � 'S. �Foundation � ' --� 59. Gas Pipe, O Undrgrnd., Test ��� .- 9. Water Pi e-Undr md. - ' � � P g _ �. 60. Backwash Lines, P-Trap, � Undrgrnd. � �10. Str�uctural Floor Sysfem � � � 61. APPROVA�L TO DECK ' ' �.11. Property-Sewer Line & House Connection �. - 62. Backwash & ReceptorFinal � � � - 12._SeaverCap . , - � 63. Heater.& �Venf-Final . � " � � 13. Roof Drains � . _ 64. Plumbing Sysiem - Final - - ' � 14. Rougfi Plumbing � ' - 65. Electrical-Final � - � � -75. Rough Electrical-Conduit ' , 66. Solar System-Final � - - � 16.:-Rough.Electric Wiring . - 67. Fencing & Access Approval � � 17. Rough Wiring Sign", � , 68. APPROVED FOR PLASTEflIPJG � . 18. Rough Electrical-T�Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL ' ' ' 19. ,Rough Heating & Air Conditioning FIRE DEPT. REQUIREIVIENT ' 20..,Rough Factory Fireplace APPROVALS; Permit# . 21. Ducts, in Structure 70. Underground Hydro � 22. •Ducts,lVentilating � 71. Product Piping�O Gas ❑ Oil � - 23. Gas-Pipe-Rough & Test 72. Underground Flush 24. Roof Framing � . . 73. Undergrnd. Storage Tank � Gas ❑ Oil � 25. Roof Sheathing 74. Overhead Hydro - - 26. T-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 Mster-Final � � � 80.� FOOD CERTIFICATE ISSUED 33. Final Electric ' 6,2�� (�,(� Nntes: �//y��s ��T �A� �e0 34. Final Heating•& Air Conditioning � , 35. Final Gas Pipe•Test . � � � 36. Hood or Canopy ° . . � ' ' . � 37, Final Factory Fireplace • • � ' . ' . � � . _ � 38. Final Plumbing � � , . . ' � . � 39. Water Service-Final ' � • � � � � 40. Gas Seivice-Final � . .41 . Solar pomesticFinal � - . . . � . . - � �� 1 42. Backflow Preventer� ' � � � 43. Backflow Irrigation,� " � �� ' 44. ,Landscape Irrigation System � . � . � _ - �l 45.,Sound, Attenuation ' � „ � � � � - 46. Handicap.Regulations • ` ' . � � ' . � � 47. FINAL STRUCTURE & BUILDING � � 48. Special Requirements Completed , � � � ' � � 49. Electrie Release to Edison • � � - -- ' � ' ' - � � ' ' �, 50. Gas Release to SouThem California Gas;Co �. ' � � ��� � �� 51. CERTIFICAT.EOF.�OCCUP9NCV• t _ . _ . ; . _ . . . - Nn, � � � � Date � ' ' . ApPlicant to fill in all sDaces ezceol those within heavy bortler lines antl sign all aporopriate tleclarations. _ CITY OF COSTA MESA � CONSTRUCTION PER�MIT i .•- � PERMIT NO. . i.. � TRACT NO. �„ � LOT NO. ,.yUNIT N6: • . � . �� SIOB�BS', y �. � ��G�: Tt 2595 , . , g��a; � - , : , -�- «. . . . - ; � . � ; , . ProjectAddress 24�j7 C'avinn I�Y ; • . , � � . . ' , ,,, , . . ,, � �� � TYPE OP CONSTRUCTION � ' NEW ADD ` ALTERATION- ' ,REPAIR � 1 � � ' " 'T ' � � ApplicanYsMailingAddress -�i41��F TaPFilpld-APl h im�97g07 - Ovwner'snlame -_MT'•&MLS:Sk12Ild �ahone546-7290 � � coNveasioN,-❑ DEMOLISH •❑ OTHER � � � ' A,p.# ' � � � ' " � - '� . Zone �. � • �DESCRIPTION OF WORK/USE OF BLDG. InStal l fiaat �F, A�(' tn � ' ' � Address 2947' Cevlon Dr.�osta �Mesa 92626�'-� � - � � � existin Slri le famil r2S1C10IICe - i ' ` - ' S Main Building:� _ -. ' . Accessory�Building: . - 1 _ A_rcNEng. . � ' _ � ' �License Na.� ' � - TYPE�OF PERMIT � 'O GRADING- � FOUivDa.Tiorv ❑'STRUCTIIRAL � � T Front � �� � ' ^ � - � - � � �� `: i � ` � Address � - � � � � � - ' ' O TENANT ❑ ELECT,RICAL O PLUMBING C� MECHANICAL " 6- Rear ' ' ' � ' - . ' t l N ' coova�cor's Na�.,e Pro -APat �- �, Ai r . . .� ; � � -oTHea . . . , . _ ` ' � Phone779-6HEH� � . ' - - - , . � r . C Right " � ' r N ' PROJECT DESCRIPTION SO. FT.� -�1 OCCUPANCV� Fdn. � Addresslmailingl541� F_-T�P.31ma-An.3hPim.CA97R07 � � , ; - . . K� . ' - � � � ., , . G j � . CONSTRUCTIONTVPE VALUATION$ g Left� i �); �/ CityGcenseNo: PeriCllriQ � - �''J�Z.S� ZONE ' �' � GRADINGCU.VDS: � �ACRES R� ,1 .- ._ . . . .. . . � � ' 1 . _ V. . . Ping. Ref: # . ' I Parkin Re Pr � . 610ENSED GONTRACTOR DECLARATION 9 q.I ovided i� ' I! E' � I�hereby.aflvm tha[ 1' am�licensetl untler provisions of Charter 9(commencing Remarks: - ' ' � Planning Notes: � . ' ' : ' � - i' M � with section 7000) of Division 3, of the Business antl ProTessions Cotle, antl � � � my li<ense is in full forcg antl-efiect. ' T � License CISss � C-ZU 4icense 469637 ; ! � � � � , _ s � Date � 4����SS Signature PLUMBING � FEES i WORKERS' COMPENSATION DECLARHTION ' � : - •• � I hereby aftirm mat I have a certiticate ot consent to sel(-insure or a certiticate ' Ba� Sink ; . ' i Showers ! � � � � ELECTRICAL ' , � FEES �, oi Workers' Compensation Insurance, or a certitietl�coOY tnereot (Section ._� gackflowPreventer- - - - �-ServiceSink' " ` -' - �-' ' �' ` ' "" "" " � '3800, Cab. C. � � '�� ' ' � - ' - � � -- `- � �-� . . - � � . - �^ f�ufomatic Washer ' �Trensformer �� 15-50 KW � � Policy No. �4-OC�392 � � CompanyHOR1E1lIlCI IIIS. CO. , Backflowirri ation ' � ' ; � � ' . ' +KW � 9 Sewer Cap ' Construction Pole Sub. ! �.� �' 50; , � ' �Certiiietl copy is hereby furnisheC. � � . � Cer f"�Q cqq1� is filed with the cii Buil D'vision. � ; Bathtubs � Sewer Connection Cooking Unit � Meter ❑up to� 100 amps r Oate ��G4/OJ Applicant�'ro`i-Y�atinq b.�ilr ' � . . � _ � EXEMPTION FROM WORKERS' COMPENSATION DECLARATION CIaYiFi2fs ' � Sola� C0112C[O�5 Di5hWe5h¢� ��Met¢� ❑ovC� 100 amps.. _ ,�„ _ (Thissection neetl not be completetl�if�the permi[ is for'one huntl�etl ($300 0� - , - � � - � ` � less).� � - ' � � �. Dishovasher � � Solar Piping � Dryers ❑Gas ❑Electric ;Sub Pane6� ' ! � 1 certify [hat in the performance Of Ihe work tor which thi5 pe�mit is i55UeQ I � � � ; shall-not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank ' 1 Fan ' ' � Motors DO-i HP 01 h- 8 Workers' Compensation�Laws of Califomia., . ' ' � � � . Date � ' Si9nature � - ' Floor Drains, � Swimming Pool wl$pa � � � l F.A.U. ' � � �NOT;ICE: If, after making this tlecla�ation, you should' become subjec[ to the lnc. $Old� �9-15 HP �76-15+ � Workers' Compensation provisions o( the Labor Cotle, you must (orthwith PIOOcSinkS-- _ � -U�indl � - � - - ' ' ' " - -""'-' -'� '-- - -- - '�- " - - compry with, such provisions o� tbis Oermit shall be tleerttetl revoked.� � � ' - i� FiXtu�25 t . � iMicrowave CONSTRUCTION LENDING"AGENCV' � � ' � : -� � t � GaSS¢NiCE � _Outlets' WatecCloset �� � DeviceBoxes ' � � � � � 1 hereby atfirm that ttiere is a construction IenEin9 a9ency'tor Ihe per�ormance ' � ' Po�e Light � of the work for. which thi5 permit is ,issuetl (Section 3097 Civ. C.) �nterce tO�S � _ �. •. W2te� H¢atE�' ' -• ' ��' -' - Lentl¢r's Name ' ' �• • ' � • P i Outlets � ' pange ' i , �entler's°Atltlress - � ' � ' ' ' ' Kitchen,Sink . - - WaterService " ' - � ' � . � � • OWNER�BUILOER �ECLARATION � �'� -- ' " ' ' � ' ' ' ' ' ' - - = : � � ' SWitches $ign , ♦ � I hereby,affirm�that I am:exempt trom [he�ConVactor's License law Tor the . , LdvdtOries � • - � = � � ' L - • - . followinq reasori (Section-7031.S.Busine5s and Professional Cotle:'Any ci[y or _ ?uto-Wash � �'' Garbage Disposal ! Standing Sections county wnich requires a permit to construct, alter, improve, tlemolish�or repair � p-Trap� . � '�_ 'Caundry Trays'r � , - � i. � Generetor �0.5 KW �5-15 KW � � � �, any structure, prior to its-issuance, al5o require5 the applicant (ol such permit ' � � � TIdSh COfnpactol i � 'to tile a si9netl statement:thaf he/she is Ilcensetl pursuant to the p�ovisions of � ' � Roof'Drains '- � •' � " � , . � � ' � ' the Contractor's License Law (Chapter 9(commencing with Section �000) of _ - � � ' � � Division' 3 ot the Business antl Professions Cotle) br. that �he/she' is' exempt ; - - _ -, • � �.� ' therefrom antl the ba5i5 fOv Ihe allegetl exemption. Any violdtion� of Section �. -_ � .�, ' � _ ' ' y__ ._ / ' � � � -]031.5 by any.applicant tor'a permit.subjects the�bpplicant'to a civil - � ' i " � pendlty.of,not more than tive huntlretl tlollars ($500). � � ' . - - -� � ' ' - , - �� ^ ' � ' � . i ;��_ I �as owner of. the �pFoperty oF-my�employees with wages as their�sole ' �Reinspection Fee ^ � ; �$15 - � Issue Fee ; � �_ $ 3 I� ' � ' J �%compensation,=wi11'.tlo the work�,�antl the strUcture is not intentletl o� offeretl I " RBinspOction F¢B $15 ISSu2 F¢e ' I �'$ 3 ,� fbr sale -(Section, 7044'„Business antl Professional Cotle:: The Contra<tor's' ., r ' ,� MECHANICAL - � � FEES • f b :� License !aw(tloes-not appty to.anbwner of a property:who�builtls or improves { �' � ' - � thereon, and� wno'aoes such work himself/herself or tnrou9h his or her own � - , - '� . DEVELOPMENT SERVICES REQUIREMENTS: . ' "employee5, provitletl that such improvements are not intentletl or otferetl (or � , Boile� "'.' ' HOOd O� . Typ¢ I'❑ . � ' ' I � � sale. It, however, the builtling or improvement is soltl within one year of com- � � Cdnopy � Type I I�❑ ' . Zaning Approved By ` ' Date � pletion, tM1e owner will have,the burtlen of proving he/she ditl not builtl or im- Duct - Under�GlYlund , ' � I � guilding�Approved;By � ' � Data � � � prove � or the purpose of sale). �� , , i , � . ❑ I, as own¢r of the property, am exclusivery contracting with licensetl mm � � DuCt -St�Uctuldl . � � Retrigeration System Appliwtion Issued By � � DdtB� LIdCL06 SO COOSIIIICL tll2 pIOjCCL ($¢CilOfl %044� BUSIIIC55 dO(� PfOfQ5510O5 COdC: � ' '' ` � , The Contractor's License Law tloes not apply to an owner of property who ' Duct - Ventilating _ �0-100,000 BTU 0100,OOO�BTU _ , I ' SUMMARY OF, FEES � � � Cuiltls or imoroves thereon, antl who contracts�for sucb ptojects with�a-con--+� - ' � -` "--�' �' " r _ , : : . . � tractor(s` li<ense pursuan't m the Contractor's License Law). I am aware that � ' ' ' BUI�DING PERMIT $ SMIPi � rnof of their WorkerR Com ensation insurance shouttl be Exhaust;5ystem 0 Multiple ❑ �System Repair/Alteration - ' � $ � ' � p p provitletl to'me. � . � � : : � - . PLANCHECK �$ PERMIT ' � , L7 i am exempt untler Section e. & P. C. for this reason Firepl/Fact Blt. IC80 # , Fire Dampere, ' � ' � � ISSUANCE ,� P�UMBING $ ' oate ' � Owner • � � Heating System & Ducting � Registers • ' ' �' � p�,qN CHECK 25% , $ � ENERGY P.C. �$ � � .I hereby.,certify t�at.l�have:reatl this applicacion antl ztate thaLthe above� 1�- �4100,0OO;�BTU �100;0006T — - ---- --� . , � intormation-is correct I a9ree to compty wrth an city,antl rounty ortlinances ' i �, � ELECTRICAL $ GRADING �$ antl sta[e laws relatinq to builtlin9 constructlon, and hereby authorize repre- , , : � , . � ' ; MICROFICM ?$ � � sentatives oi t is city to enter upon tne above-mentionetl property for � � ' i � • PL'ANCHECK 50% �$ �q inipection pu ses � 1 � � � ' �yp 1�',«' � Signature �ti'�1C�LC/ /.l.Lfia� Date4/24/85 � , , MECHANICAL � �$ , TOTALFEE ,$ Il.�� . Drivers' License or 55 � Reinspaction Fee $75 � laue Fee $ 3 PLAN CHECK 25% $ ' � � CMF 0865-46, rev. 10/84' White - Builtling: Canary - Appllcant; Pink - Accouniing; Goltlenrotl - Aszessor CONSTRUCTION AND PLANNING � � POO� & SPA _ . APPROVALS Permit# Date Inspector AppROVALS Permit# � Date Insp>ctor 1. Temporary Electrical Service or Pole �• 52. Pool &�Equipment Location ' ' �2.�Soil Pipe�Undrgmd. � ' � 53. Steel Reinforcement . "3. Electrical Conduit Utility-Undrgrnd. . � , � , 54. Forms � � � ,. �.4. Electrical Conduit-Undrgrnd. - � � -55. Electrical Bonding , _ ' . - 5. Steel Reinforcement - � � , . .. 56. Rough Plumbing & Pressure �Test ' �t6. ElectricafUFERGrnd.� � .7 �. � 57c APPROVALT�OCOVEF-GUNITE '�� �� � �7. Footings . . 58� Electrical Conduit-Undrgrnd: ' � �8. Foundatipn � � � '� 59. :Gas Pipe, O Undrgrnd., Test � . �. j ."9. Water Pipe-Undrgrnd. � 60. Backwash� Lines, P-Trap, O Undrgmd�. . 10. Structural Floor SYstem � � 61. APPROVAL TO DECK �• ' 11. Property 5ewer Line & House Connection � 62. Backwash,& Receptor-Final � '12. SewerCap %; � 63. Heater & Vent-Final ' . . . 13. Roof Drains � � . - 64. Plumbing System - Final ' � � 14. Rough PlUmbing 65. Electrical-Final - �15, Rough Electrical-Conduit . � 66. Sotar�System-Final � � �,16. Rough Electric Wiring - - � 67. Fencing & Access Approval �, � � � 77.-Rough Wiring Sign � � � 68. APPROVED FOR PLASTERING - �' 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL . � .,� 19: •Rough Heating & Air Conditioning FIRE DEPT. REnUIREMENT - . 20. Rough Factory Fireplace APP,ROVALS Permit# 21. DuCts, in Structure , _ 70. Underground Hydro -22. Ducts,�Ventilating � - 71. ProductPipingOGas ❑Oil , - � 23. Gas Pipe-Fiough & Test 72. Underground Flush _ 24. Roof Framing � • 73. Undergmd, Storage Tank 0 Gas- ❑ Oil � � 25. Roof Sheething - - - ' -� ' 74. Ove}head Hydro � ' � 26. �T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' � 27. Frame and Flashing 76. Dry Standpipe � i 28. Lathing & Siding � 77. FIXED SYSTEM FINAL 29. Insulation �- � �78. FIRE PREV. FINAL 30. Drywall Nailirig � . HEALTH DEPT. REQUIREMENT � ' 31. Plaster Brown Coat 79. FINAL INSPECTION � i 32. Electrical Power Meter-Final � � 80. FOOD CERTIF�ICATE ISSUED ;_ .. �� 33. Final Electric . , Notes: Siw(�S �!"tiF7 C+4fLI1• ii���� 34. Final Heating & Air�Conditioning, Z7 �- (,�i/� � 35. Final�Gas Pipe-Test � ' � . . � _ , 36. Hood or Canopy �` � , . . 37. Final Faaory; Fireplace� - � , � _ 38. Final Plumbing � , , 39. Water Seruice-Final i � - 40. Ga§ Service-Final � � � � � - 41. Solar pomesticFinal . . � � 42. Backflow Preventer � . ' • � � � 43. Backflow Irrigation ' , � � , , ' � � , � "�44. .Landscape Irrigation Sysfem �' ' . � �-'', 45. SoLnd Attenuation. ' ' ' ' ' � ; ` � � - � 46. Handicap�Regulations � _ �_ . � � � • 47. FINAL STRUCTURE & BUILDING ; � ' � � ' � ' • 48. Special Requirements Completed + - , ; .` " • � 49. Electric R¢leaseto Edison � � '- , ' -, ' -" : ' , ' ' " " ' - � � ' 50. Gas Release to Southern California Gas Co , , ' i � ' '' . ' ,51. CERTIFICAT.E OF OCCUPANCY,. , _ _.� - . . . , ' - _ • . � � ' � , � f���. . . .. Date' � .. i . . . . ' ' - . . � - � - ' - W �� Aooliwnt to iill in a11 spaees axcav< <nose wltnin heavy boreer Ilnes antl sign all avVroprlate aaclarations. , � ' ' � PERMIT NO. ' ' ' TRACT NO. � COT NO. . UNIT N0. • .. .ITY OF COSTA MESA CONSTRUCTION PERMIT � - � . ,, �� : , . , , � , , ; , , . ,_ . 2947"Ce -. , . � = i r / :_!.� Pro�ect Address i�lUll UT. ' . ApplicanYs Mailing Address S47 3' L La P=+10Y3 • � ��� TYPE OF CONSTHUCTION - NEW '' AOD ALTERATION , REPAIR OWner'sName Flr./Ffrs. Mar lIl SICIFIIA� PhoneS4F�%%9n . �CONVERSION'❑�EMOLISH OTHER ' q,p;�6 _ Tnatal l. hnat anrl� A/[` tn .. —�'� �` - 'DESCRIPTIONOFWORK/USEOFBLDG. Address � 4% P lOr7 fil'_ '14Y.4 Ma!:A��.C'A Q7%i96 � ; ,. .•� ' ' ,.' . : . , � . �. 1 � � S MdinBuilding: ArchlEng. � � _ � License No.; � � - � TYPE OF PERMIT 1 GRADING=� �FOUNDHTION STRUCTURAL � � ^ T FrOnt ,' . - AddreSs � � ' ' - � � .�. : � ❑ TENANT �� ELECTRICAb � PWMBING ❑,MECHANICAL �, � � r; � � B RCaf �� e - � ❑.OTHER . " � ' i ' � ! I i A Contractor's NamuPrn 11Faf'�,nr� � Ai f� Phone7l d 77Q-F,�j $ . . . .. . C flight . Addresslmailin�15413 R_ l.ip;qlrra-ArwhPim C'A Q�R07 'PROJECTDESCRIPTION�. 5(i.F7. � � ';•-� oCCUaANCv' ' ' � ! � , � �CONSTRUCTION'TYPE ' �� � �VALUATION$ - . g �Leh� Cily License No. ��%57 " " ; ' j ' ' . . ' . . ' i n- � ', . � ZONE GRADING CU. VOS. ACRES p�py, Ref. M� LICENSED CONTNACTOR DECLARATION • I hereby at(inn �hat 1 am licensetl untle� O�ovi5lons of Chd/te� 9(commO�Cin9 qema�ks: '' I• � � . � �- Hlanning�Notes: wilh section 7000) ot Division a ot me eusinass ane Pmfessions Cotle, antl ' ' ' ; ' i mY license is in full t rcP ntlieftQct. ' �i . ' ' �. ' I '� . " � � � ' ' ' � 1 , � � ; _ . ucense Ei s: ��—l� . u�e�s< No.� 469637 ' � . . . ' ' , , � � _ , . . -�te ��b Signature � �' � ' ' PLUMBING. I FEES - ' I � iKERS' COMPENSATION DECLARATION : � ' �� � ' � . � ' , i ' ' ;eDy afiirm tnat I nave a certificate ot mnsent to 581f-iniure ar a cartiticate � Bar Sink �' Showers i �� , . ' E Workers' Compensation Inmrance„Or d cert111etl Copy theieo7 (Sectlon � � -' ' j. � _ __ _ ._ __ _ . - - , --.- _ .._,_ -. _...,_.._ ... ..., gackflow-0reventer -- �,�-- , ��ServiceSink�•� � "AutomaticWasher�� 3800, La�.' G,J ' ` ' : ' � � aoii< r�io.S4-OE39Z '' comaanyfiOf001dIK� II1S. �CD. ' gackflowlrri ation ' i � y , _ , � g , Sewer Cap� � , Construction Pole Sub. � � �eertifiea cooY �s hereby tumiEhetl. � � ; I i � { ; Cer rtietl c RY �s /ileC with the city Builtl�n OlNsion. Bathtubs � � i Sewer CAnnection � CoOking Unit oa�e �/!�!{i`� APPlitznt Pro'}�aatinn t AiT- . ' ' . , E%EMPTION FROM WORKERS•COMPENSATION DECLANATION j ' Clarifi¢f5 � j � $ole� ColleCrots � �� � Dishwa5hef � ' (This sectlon neetl mt be mmplatetl it tne permit is for one'Ountlretl (5300) or � . iess) i � Dishwasher j � • Solar Pioing ' � Dryers ❑Gas-, �Electric I certily �that in the perlormancB of Ihe w0lk fo� wlti<h th(s pe�mR is ISsuatl I - � snall not employ any penon in any manner so as to becoma subject to the Drinking Fountains ' Solar Tank I � � �Fan ' ' Workers' Compensation�Laws o( �alifornla. - . Dace Signature ' � ' � Floor Drains' � Swimming Pool w/Spa �; � . 1 F.A.U. ' . � NOTICE: II, atter makin9 this aeclaration, you sboultl become subjecl to the Workers• Compensation provisiqns ot tne Laboc Cotle, yau m45t forthwith . � Floor Sinki . Urinal i � � . - - - �Fiztu�es ' � � """ ' ' comply with such provisions or � this perTit s�all ba itleaTee revoketl. ' ' , CONSTRUCTION:LENDING AGENGV ' ' ' � " � ,��' ! ' � � � '' Gd5S8NiC8,' ..OUtI8t5i �� W8t2fC1O5¢t , i ' " D¢VIC¢BO%25 ! � I hereby attirm that there Is a mnstructlon lentling agency tdi tne peitormance ' ' of Ihe work for� which this parmit �s lissuetl (Sectlon 30B] Civ. C.) i IntercCptors �'' �� - Water Heater � � � " Outlets ' Lentler's Name ' Lenaers aaaress � � � � � � Kitchen Sink ' � ! - Warer Service � � � Switches � OWNER BUIL�EH OECLARA710N • � ' ' 1 . � � nerebv affirm that I am exemot trom Iha Contractor'z Licensa Law for tne Lavatorles, . �.. _ Au[o-Wesh � � , , � Garbage Disposal refram an� tlle basls tor [na alle9eq exemptlon.-A�Y viorauon o* .le<uon .J3L5 by any applicant fo� a permi[ 5u�jects the �appllw�t_<o d civil �endlty ot not more tnan five h4ntl�¢tl t1011ats (E500).' � ' I, az owner oi the property o� my employeas witn wages as their sole . compensation, will tlo tne work antl the structure is not intentletl or offeretl tor sam' (Secnon ]044, Busingss antl Professional Cotle: The Contra<tor's � License Law tloes not apply to dn owner of a proDarty whoDulltls or Improvas thereon, antl who does such work bimSeH/be�self o� through hi5 0� ne� own emp�oy¢es, provitlatl thdt suclt Improvemen[5 are not IntentlaE or oftaretl tOr , sal¢. If, however, the buildln9 qr Im0/ovemenl i5 SOItl within on0 yea� 01 com- Oletion, the owner wiil have thp bur0en o( proving he/sha tlitl not build or Im- prOva for the purpOSe ol salej. �' . , , ' ❑ I, as owner oi lhe pw0erty, am exUuslvely con[racting.wlth Ilcensetl con- t�actors lo cons�ruct Ihe projecl (SeCtion ]044, BuSiness dntl Profes5ions Cotle: The ConVactnr's License Law tloes not app1Y to an owner ot OroOerty who builtls or improvas !nereon, and who convacls for such projects wlth a con- tractor(s� license pursuaiit to the Contractor's License Law). I am aware that p.00t o their Worker's Compensation !nsuranca shoultl ba orovitletl to me. ❑ 1 am exempt untler Sectlon�_ B. & P: C. to� [hls reason ' i �ate —_ Owner � 1 hereby certify that I nave r@ad this appliwtion antl�slate tnat the above iniormation is correcL I agree fo compfY with all ciry antl county orainances and ztnte laws relating to builtlin9 cons:ruction, antl hereby authorize repre� sentatives ot this;city to entgr upon Ihe a�uve-mentionea o�ooerty for inspecllon Pu�posos: / S t r .c..<nt f. •,.�-,!G�1� Date �i%b�tS�J P-TraP :. i �- ' Roof Orains � ; • � , ,, .. .. ��. I _ � Reinspection Fee '. �$15 Boiler '� ' ' i ' Duct�-UnderGround . Duct - Structural Duct - Ventilating ' Ezhaust System O Multiple Firepl/Fact.8lt. ICBO # Heating System & Ducting ❑0.100,000 BTU �100,000 wna ue . -- - - . ''� Lrivers' lice�ise or 55 gf — _'-'- I I ReinspeRion Fee I S75 CMF OB65-46, rev. 10/B4 • White - Builtlin9; Canary - Appliwnt; Plnk - A[countinq; Goltlenrotl - As5e55or � �� �..._ i ' . ' � laue Fee , � � � Hood or Type I ❑ � � Canopy ( Type I I ❑ � - Refrigeration System ' ❑4100,000 BTU ❑ 100,000 BT, System Repair/Alteration " fireDampers . pegis�ers - ' laue Fee 0 " $ 3 FEES � $ 7 � ' Generator �0.5 KW I Reinspection Fee DEVELOPMENT�SERVI Zoning APProved 8y _ Buildin9 APProved By � APPliration Issued BY- 5 � _. .: :.� i �.�� i . _ :,. � � � ` ' Zorre �., ' Accesswy.Building. • � _ ' � `�" . ' � �, t . . •i I Parking Req.IProvi � R � � ,. x.,. t i •Z 1 p ; N , � � � N � G R E Q ' M � � S . , . � FEES = ��� 5'S0 KW -' " � � iiiana�oinm� 1 - ; . ❑ 50�+ KW , ! Met¢r �up to t00amps ' i Meter pover 100 amps � �Sub Panel j . . � Motors�0.1 HP 1X-8 � � � Inc. Solar 09-15 HP 016-15+ � ' Microwave._. , . _�" _ ... . _� � Pole Light ; � ' ' � iRange ' j -� • $ign , � ( . , � ; $tanding Sections j Trash Compactor $15 ' . I luue Fee' � RE�UIREMENTS: , j ' � ' SUMMARV OF FEES I � � BUILDINGPERMIT�'$ � SMIP $ __ PLAN CHECK � ' $ ' PEFMIT ;,3. ��U PLUMBING - $ ISSUANCE ki $ PLAN CHECK 25% $� � ENERGV P.C. '$ � � EIECTRICAL '$ -�-yi3-"�' � �� GRADING �$ PLAN CHECK 50% I$ _ M�CROFILM �$' _ MECHANICAL �$ -_ TOTALPEE .¢ S.SO P�,qN CHECK 25% $ � � CONSTRUCTION AND PLANNING - . � � :POOL ty SPA . . i APPROVALS � Permit # Date Inspector p�ppROVALS �Permit ilE � Date Inspec*or � 1. Temporary Electrical Service or Pole � ' 52. Pool & Equipment Location •" " 2. �Soil Pipe-Undrgrnd. ' . 53. $teel Reinforcement � � 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � .' ; . 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding 5. Steel Reinforcement � _ � � � 56. Rough P�umbing & Pressure Test ' 6. Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUNITE 7. Footingt . �- 56. Electrical Conduit-Undrgmd. . 8. Foundation � - < 59. � Gas Pipe, O Undrgrnd., Test � ' 9. Water Pipe-Undrgrnd. � � = ._ �.. 60. Backwash Lines, P-Trap, [J Undrgmd. . 10. Structural Floor $ystem �� � 61. APPROVAL TO DECK� � • 11. Property Sewer �ine & House Cotinection 62. Backwash & Receptor-Final � 12. Sewer Cap - _ -'� 63. Heater & Vent-Final - 13. Roof prains - . 64. Plumbing SysIem - Final � 14. Rough Plumbing . -� 65. � Electrical-Final � 75. Fouyh Elearicai-�nduit -- ' -" 66. Solar System-Final - �� � 16. Rough Electric Wiring -` 67. Fencing & Access Appioval - _ 17. Rough Wiring Sign � � . . .68. APPROVED FOR PLASTERING 18. RoughElectrical-7�BarCeiling � � 69. POOL/SPASYSTEMSFINAL 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 O Gas ❑ Oil 23. Gas Pipe-Rough & Test ' , 72. Underground Flush � 24..Roof Framing � � 73: Undergrnd.StorageTank OGas ❑Oil . 25. fioof Sheathing 74. Overhead Hydro 26. T-Bar Ceiiing (Structural) & Monocoat . 75. Dry Chemical ' - 27. Frame and Ftashing ' , � 76. Dry Standpipe � 26. 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 & qir�Conditioning � •, � 35. Final Gas'Pipe-Test � ' . � . � . .. � , 36. Hood or Canopy . � � - ' � � 37. Final Factory Fireplace � � � ' . � . 38. Final Plumbing ' . . , � ' " � - � 39. Wa[er Service-Final � � � 40. Gas Service-Final ' ' � . . � 41. Solar pomestirFinal . . _. . . ..� - .-,._ .__ - -.. , . . 42. Backflow.Preventer� � � � - - . - 43. Backflow'Irrigation � ' . ' = . � ' � 44. .Landscape Irrigation SYstem ' ' . � ' 45. Sound Attenuation . � , • �� . � ' 46. Handicap Regulations � , . � . � � ' r - . - 47. FINAL STRUCTURE & BUILDWG : -. 48. Special Requirements Completed . :. � � , � � � " � 49. Electrie Release to Edison � . � ' ' ` ' �- ' ' � �" "" ' 50. Gas Release to Southem California Gas Co � . . � - . . . . 51. CERTIFICA7E OF OCCUPANCY . _ . . . .. � : . � Nn. � � Date . . . . _ . . � .. ' . � ,.. . _ 11.�� � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA fOR APPI/CANT TO f/LL /N COMPLETELY TYPE OR PRINT BUILDING ,,..�... ,. . _ . COSTA MESA. CALIFORNIA owNER Kenprof Development Co„ Inc Newport Beach �.._.:z�:���x.� ■�.,� K,W. Koll FEE R�C�iVEt� �el� o?_ 3_�0 FIN�I�CE DEPT. cirr o; cosTa r��sn APPLICATION FOR �PERMIT BUILDING fOR OFF/CE USE ONLY DATE NECEIV D �_/� a COSTA MESA, CALIFORNIA FIRE ,/ r ZONE TYPE Y GROUP 6�195 q�PROVED IICTF LEWL ILOT (� I � I IJYLI"/ oesCniPrioru NO. "S BLOCK T A.P. NO. S�zE 59x1o0 irreg � W°w°�w ;°�s p !IF 1 f1T SETBACK LINE FROM cEHTen ov srneer ZO t REAR YARD � SIDE YARD I LEFT �J f I RIGHT �O �" DESCRIPTION OF WORK � NEW I�IIALTERATION I IIADDITION I SIZ�EDING 1HOO Sf ROOMS O STORIES �- E%TERIOR WAµ, I RooF Wood Shakes COVERING �LUCCO ' COVERING � ZONING ZONE j%� NO.OF USE� v-, � PLANS BUIL APPftOV D , %/,�(//� BY I.��••% I{" � .Oi ���., YARDS EVES REQUIRED ALLO{ (CENTER LINE ST.1 FRONT SO FT. R.SIOE I/) FT. �.� auu r���acnea vesrage �_=:li. No. �iv ArPROVED ,�_=L �a,�� �- --- I HEFEBY ACKNO GE THAT I HAVE READ THI9 hPPLICATION THE AMOUNT SHOWN fINOER VqLUATION IS FOR THE ANO STnTE TH TNE BOVE IS C PRECT ANO AGREE TO COM� PLY WITH ALL CITY OR INANC AWS REGULATING �'UNPOSE OF ESTABLISNING A PERMIT FEE ONLY. BUILDING CON TRU 1 N.I VALUATION SIGNATURE OF PERMIT FEE $ . � � PERMITTEE U � /�/ �.7 � PLAN CHEGK $ � ��— AUTHORIZED AGENT ' � TOTAL FEE $ .� %�