HomeMy WebLinkAbout2501 CHRISTOPHER LN - Building Permitsl veaeitaooeess: z501 CHRISTOPHER LN
- owxen�sxaMe: FAIRVIEW MGMNT. CO.
aoonc:s:2520 MERIMAC
I "° CM CA92626
uxir: NONE
� RNCN/ENGINEEH: BURKE LESTER � ASSOC, , NEG.XO.:C—���5
,� aooxess: z3025 MILL CREEK RD
I PEqMinEE: LAGUNA HILLS CA 92653
�ooness: FAIRVIEW MGMNT. CO. ( 714 ) 545-7327
2520 MERIMAC WY
CM. CA 92626 '
I 110ENSED CONTMCTOfl OECLAMTION: I here0y attifm that I am licensetl un0er pmvisians al Chapier 9(commencing wit� Section
', 7000) o� Division 3 of Ihe Business antl Pmfessions Coae, antl my license is in full �orce an0 e11ec�.
' CRY LIC.: STRTE IIC.: ClASB:
', Date: SignaWre: '
�� WOP%ERS' COMPENSpTION 6ECUMTION: I hereDp a� lhat 1 have a certificate oi cansem ro self-insu�e w a certiticate af Wwkers'
Compensation Insumnce, or a cenified copy thereot 15R���on 3800, Lab. C).
POLICY NO.: �EXP. UATE:
^.OMP�NY:
Certified copy is hereby fumisheA. ❑ Certified copy is tited wit� tAe ciry Bu110inA Division.
�ate: Applieane '
E%FMPfION FPOM WOqKE88' COMPENS�710N UFCLAMTION: (ihis section nee0 not be completeU if ihe permit is lor one hunUrea (5100) or less�.
I cetlity �hat in t e pe ormance of Ihe work br which t�is Permit is issued, I shall not employ any Oerson in any manner so as �o become
su6lect to ihe ork s' ompensation Caws oi Califomia. �
/
Date: Signawre�
NDTIC . I, af r making this declaration, you�s�ould co e sublect to t ers' Compensa�(I n provisians of ibe LaUor
CoOe, you must fonhwith comply with such pmvis�on ihis permit sh I h eemetl ravoke0.
CONSTPUCTION IENUING �GENCY: I Aereby affirm t�zt there is a consim i len4inA aAency for the petlormance ot t�e work for
which �his Dermit is i5sue0 ($ec�ion 3097, Civ. C). , .
LENOEH:
RUOflEBS: ' � -
OWNEB BUILDEB �ECLAMTION: 1 Aere�y aiti�m t�at � am erempt imm Ne Coniacmrs' State License Law far the foltowinp �eawn
(Section 7031.5 9usiness an0 Pmfessional Cotle: My tiry oi county which requires a permit to consimcl, alter, improve, tlemolis�, ar
iepair any nmctme, D�ior to 0s issuance, also reqoiies the applkaM fo� suc� permit to tile a siBneO statement ihat he(she is Fcensea
pursuant to ��e provisions of the Coniractors' State License Law (ChaO�er 9(commencinp with Section 7000) ol Oivision 3 af the Business
an0 Profeulans CoOe) ar ihat he/s�e is exempt Nerefmm anA the hasis for ihe allepe� exem0��on. Any violation oi Section 7031.5 Dy
any apDlicant lor a permit suDl��s lhe applicant m a cml penalry ot not more than fve hunEred dollars (f500).
I, as owner al ihe pmpeM or my emplay?es wi[h waAes as their sole compensatian, will do ihe work, and t�e
�� slmcWre is not intende0 or oflered for sale (Section 7044, Business antl Pmfessional CoOe: dhe Contracrors' State License Law
Aces not apDly to an owner oi a pmpeM who 6mI0s or Impmves therean, anA who Aaes such work himseltlherseli or t�mupA
Ais or her own em0�oyees, proviEed that such ImD�ovements are nat intenAed or oifereE for saie. If, however the huilaing or
improvement is sold within one year oi comDletion, tAe owner will have ihe Uurden of Omving he/she aid not 6ui14 or imOmve
: br Ihe puryose of sale). .
I, as owner oi the pmDerry, am exclusively conVdcting with licensetl coniractors to consimc[ the prolect (Section 7044, Business
� an0 Professians Code: Tha Coniracrors' State Li�nse Law does not apply to an owner of DroOenY who �wltls or improves Nereon
anU who conVacts lor such pmlects witA a cantracror�s) license puauant to t�e Contractors' State License Law). I am aware
I�ai pmo� ol t�eir WOBer's Compenwtion insurznce s�oWC Ee pmvi0e0 to me. _
� I am exempt under Section: B. 8 P. C.
� tor ihis rea n. �
Date: � O�w�er.
I Uo hereby ce iry ihat am aware oi and un0erstand t�0 requirements oi omia Health a S ery Code Sections 25505, 25533, antl
25534 antl t�at I or any future �uilding occupant will/will not �circle one) neeU to comply with ' state co0es ana tAe requi�ements for a
permit for consimd'wn or motlification irom the Air Qualiry ManaOe�fnt Oisinct. Fesiaential consimction appliwtions are exempt imm
these pmvisions. / , � � / ,y _ �
Oa�e: AOPlicanP
I �ereby cetli iha have read this application antl st e�
orJinances antl state laws relating to builJinA constmction an
proOeM �or insD Ction urposes.
Oa�e: SignaNre: _
oriver's �icense or Sociai secunry
1841A8 W�i1e—Builtlir�g; Green—COEe EniorcemenC
to comply with all ciry ana counry
Ioenieruoanthe ahove-mentionetl
Pink—Revenue; GolOenrod—Asseswr
I �'_�'\ • - _
,
C1TY OF COSTA MESA — BUILDING PERMIT PERM NO: B 044812
PERMIT NO: B 044812; ' PLAN CHECK NO: N OOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW
JOB DESCRIPTION : NEW SFD S(� FT: 2,357
CLAIM VALUE: 136,146.00' CALC—VALUE: 136,145.50 GROUP OCC: R-3 /M-1
COMMENTS: pC 1296-89�L PAID . � •
**x *�r�r*�****�r****+��e****+t**x* x***�rx **x�*x�*�tx�+��r�r*x��ie*�r***�r*x�r�r+�xx �r*+r�r�,�**��*�r***�r
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 BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: 25 FT IN REAR; 35 FT IN FRNT; FT• IN REAR; ' FT . IN
LEFT: 25 FT IN RGHT: S FT IN LEFT: FT I GHT: FT IN
�fc�o-�/a-��
PARKING REQUIRED: 2 PARKING PROVIDED: 2 PARCEL: 00000000 ZONE]:���P7DRH(�
PLANNING N6TES> STBKS FROM LINES SHOWN ON PLANS — TH�SO_I�A QNE__LQTQS[IHM.�IVT$
> THIS. UNIT TO HE USED FOR CLIENTS H LU OIiSPt,CIALIiE Ull{�
*���r�e�e*�x�******�r**�+r�r**��r�**+r**+r+r�r*�e x�� *�r***�x *�r***�r*�r+rx��r�r�r��r��r�*�r**��**�r*+r��r�rx
D E V E li O P M' E�N T S E R V I C E S c_.R, -E,�Q,� 'U I R E M E N-T .S,
ZONING APPROVED,BY " , � �v DATE: ��`/�3'-S9
DUILDING APPROtIED BY, ;:�-'� L\'_�,. (7 DATE: IO:'Z�j'J�-1
APPLICATION ISSUED BY:' - DATE: IrI"�,.3'g�
1t IF iF ik I! iE 3F iF iFlf i(� k iE iE k 1E k IE iF iE if iE �7! if M if iF iE 1@ iF fF M�'£�7FiE
3t3tiFiFiEiE±EiF1EMkikikiflflfiEiFifiFitiF3FiklfiFiF1F3EMiEif�lEikikiklkiE3FiF aEiEiElEifikififififfFif*N1EilifiElEiklfiEfF�lf�iEikiFiElPkikiF3EibiEkiF3E
LEGALIZATION:N F E E S M M A R Y STAUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/RES GRADING
PERMIT 769.00 , _ 9,53
� SMIP/NON—RES
PLAN ' - -
ISSUE FEE '
BUILDZNG—DIV—> FERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> '778.53 0,00 0.00 778,53 77II.SJ ,00
REVENUE DIVISION TOTALS--> COLLECTED: 778.53 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
769.00 9.53
fE iF if k iElE iF iF iE k 1E iE if 1E iE iE iE if 1E if iE % iE iE k!E if if if k iE iE iE iF k fk fE iE iF iE 1E IE iE if if 1E 1F if 3E if k iElF iE ff if if 1k iP if IE iE iE iF if ik iE iF iF �f 1E iF iF * Ik k if iF iF
I N D I V I D U A L F E E H 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
SFR 1895 DWE—TYPE V—WOOD FRAME —GOOD 67.70 128,291.50
SFR 462. RES•-GARAGES TYPE V• 17.00 7,654,00
END OF'FEES
�, ..
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�' ` i� .: , 'i��" - ' -
�
CONSiRUCTION AND PLANNING , POl . SPAt �
� APPROVALS Permit # � Date Inspector APpROVALS Permit # Date Inspector
i
1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location - .
2.•,Soil Pipe-LJndrgr�nd-� 53. Steel Reinforcement I
�'%B.=Electrica7�G�nd�[ii-Utility-Undrgrnd. 54. Forms - ' � -
.:�¢�r��. x_Q..:_�i
���'4.;Electrical`Conduit�-Undrgrnd. 55. Electrical Bonding
���.�Steel Reinfor�eement 56. Rough Plumbing & Pressure Test +--
-:Lr, .::-i. C
�.�.:,�. C..:r.cF'
,�6.�Iectrical�4;F�RGmd. � �S D�. 57. APPROVALTOCOVER�GUNITE _
'_771�Footings�:��V5Ci S�(� �� � � jj�- 58. ElectricalConduit-Undrgrnd.
-: r- cJ
'� 8: Foundation ';y � 59. Gas Pipe, O Undrgrnd., Test `
:, �
V�,9-. Water Pipe�UndL9�nd. � 60. Backwash Lines, P-Trap, O Undrgmd. �
-,--
`�10. Structura��Floor System � 9J � �- 67. APPROVAL TO DECK �-' . '
11. Property Sew`,er Line�& House Connection 62. Backwash & Receptor�Final � �
12. Sewer Cap v c� 63. Heater & Vent�Final .
13. Roof Drains-�.. �'• 64. Plumbing System - Final � �
14. Rough Plumbing - 65. Electrical�Final � -
15. Rough Eiectric`al-Conduit 66. Solar System-Final
16. Rough ElectricWiring 67. Fencing & Access Approval
c
`_17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING
18. Rou9h Electrical-T Bar Ceiling 69 °iPOOUSPA SYSTEMS FINAL
19,�tough Heating &,Air Conditionin9 FIS DEQ,T. REQUIREMENT
�.•. T- � :: �� ¢-,M � �. :, �r
` V " M ' �h l � �l . !• V J n r T !q �-I 1 � �l .�[� C� t�
20^Rouyh Factory Fiieplace �;.- .: g ir:< k-APPRO,VAL'S;>-;r,-Permit#
_. L. .--� Y' S <'� .: N� H
, tiHr�
21 �Dui�s, iR Structuie� " " : = ' T d "'' �' _70. lG�der ro�Tnd-Hytlro "
..� m `:. � C� :-+ C: x: �: 9 �
v -. �.. ��_ .. ..,.n.� -. - ,�,.:, •
22�Ducis, Venti7eting� : �; x�- y p.* x.77. Product'P•iping �G'Ss OIOiI
23'Gas'Pipe_Rou7gh&Test � �'�^ f�^ � w GY:r^7Z,UndergroundFlu`sh��' � ` G'`
c. r, �i,. s: r � r,. i: � �:.i a. Cr
.; . ( .K :-� _ , -� s .^ t , = z a. _' ' „ .
24"RoofFraming � '.� � = �r r;i�cJ73^Undergrnd.Storag�TankOGas ❑Oil�
25. Ro�Sh'eathing i� � r;�' r "`" ^~7qnpverhead Hydro�,,�^ '' • .
T� C� �Y: �: S� r
26.,�,,.T-Bal' Ceiling.ISt uctural) &`Nlori icoat..� �= e p y `' �'��'. A 75=Dry Chemical �� �;.i
27-Frame and F�ashing•� ��� �' Y�'y � y K� 76. Dry Standpipe �"-'7 *' y.
.-i . m % � x Y, ti �
-,"2a_Lathin �& S. in �r ,� -:e,= ..x r. rn - , -':- ::'-' _,�:
9 l.�� 9�; ��t;,; Y. �,: 77t: FIXED SYS:iEMiF.INAL::, ^
_29. Insulation �,� `y;,�, � i,,,::'' p� ' F,; � 78�FIRE PREV. FINA�. .�' ^ `1
- � ^,,,,, t„ i. c � .. x Y F ." .K y
' 30. Drywall Nailing �'�s F ��, r-.� �;. r, �_ •;�� x HEALTH-0EPT�REQUIREMENT
•�31. Piaster BrowniCoat�� S � t-'i� ��5 .* " [�`� * �79 rFINAL IPFSRECTI�N �' �%�
•Y ••� .�1 r- 1a: E 1-1 ^ Fr fi�' l� :"i �
•. � � ^t '1 h ^t
�32;;Electrical Power MQt�`-Final ^ ' ". �� f _ ,� ,,�� �SO�FOOD CERTIFI;�ATE ISSU.EDr, �� '
E33.�FinalElectn'e � ��. � =';����' ' - t�Y Noies: j � ��^ ��-'uJ.�� -
,r . � -
et34`�Final Heating�& Air:.Conditionmg= � y ,�,^� , ' � � '' `^ /��� }�"�'
1 I. � Y L' F+ _�� �,: �.�t1L llG
�35.•�FinalGasPipe-Test� �J :7J�;x� � �' ��.x � ^� h� -
< 4 4
�^36~Hood or CanoPY y �u� " _ .. ."•� ' � '-�'�' ' � �
p �S v: :`� C• 7'c I r
'J t' ' � � � . ' �. . . � � . �. .
^_37.•Final Factory Fireplacez .-F r',:;�� � i i� � i� � > r�
r r rY x 7' e^ -
;� ac SJ N F - �t� _' � � � x S -t �: (7 '
�38. Final Plumbing .� i.,� ,; � j , � � ry ._� X -
��39. Water Service:Final: �, � �� � .: � ! � �c � �- c�� � x. � �1
w < :-. r�. .: r.. r
��40. Gas Service-Rnal "� G•<<" 4= r. �.t i � tl: ;�:.= r+�v� x
� ?: �~ ;'t ;- r. S r� K � .i: i-. • u � :: q
�,�41. Solar pomesncFinal" `= "` i i r' :'t �r ^w _ :r. ;'
�1 _ " ., ... _ ~ �. � ;: r� n� ,`, .� ,% � -.: c� ,7 . _
42. Backtlow Preventer':� _ `� *� � � � = �" " �''
i;: a:.. ^ra!-; ' cqOn.; t: 'p_
:$ , '+� .> �. V aY .,F a. v. t- w t.
43. Backflow Irngatior�: � o �= c; x �: :• x ;�
-, r�. � � x "'
� �44. �LandscaPe 17ri9ation SYstem�;�� �r''�, `� r: ,� �* # � � `�" "" G� ,� � �" `� '
� , � r, �, - ,:
`"45;Sound Attenuation: • •• o� .,: t' �-�.7 i- =�. � �- - ^ ��• nv x
.-. l. Y
�:'46.•+iandicap Regulatiii"ns " `^ �T T � r. � �^�5 7� S �
n, v: �. A� � 1 _ � I* *• 2 t�.'J U i; �
�,47-fINAL STRUCTU�2E & BUI'LDING-�'�, i � . ; • .� � ' �J�-,' s � -
I - ^- •-- ;_� , ;.'" -' "� y � ` , :
48E�P�N,.4LPLANNING "� '`��' r x � ;�, j� � � ,�. �'
:49'..Electrie Release to�dison , �"_ � �:'� � -� �r •�: x :�-
-� -
G50:-Gas`-Release ID $outhern Californ�a Gas Co '= •�I -^5ta x -+ ^ C; • :%n � O �•
�-i i '! v. x i: . DO :I t: ti '.+C
51. CERTIFICATE OF"OCCUPANCY ' ��= � -- � � �" " � "'
No. Date
s
�i/ V � �
CONSULTANTS • INC.
MaY z5, 1990
CITY OF COSTA MESA
']% Fair Drive
Costa Mesa, CA 92626
Attn: Building Department
Subject: CIVIL ENGINEER'S FINAL GRADE CERTIFICATION FOR TRACT N0.
13345, IN THE CITY OF COSTA MESA (FILE 2046)
BLDG. PERMIT N0. B044812
This is to certify that the final grade for building No. % also
known as 2501 Christopher Way, was field checked on May 24, i990 and
found to be in conformance with the intent of the grading plan.
Very truly yours,
DGA CONSULTANTS
v �. _ �
Surender Dewan, R.C.E. 34559
Engineering Manager
jls
1182 North Tustin St.
Orange. CA 92667
(714) 744-0802
Fax (714) 538-2152
O[her �ce ln[ations:
Rancho Cucamonga
Palm Springs
�
THIS IS TO CERT: THAT INSULATION HAS $EEP vSTALLED IN
�CONFORMANCE WZTH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ' •
ADMINISTRATIVE CODE, TITLE 24, STATE OF CALIFORNIA, IN TAE
BUILDING LOCATED AT:
SITE ADDRESS: 2501 CHRISTOPHER WAY COSTA MESA, CA
Number Street City/State
AIR INFILTRATION: MANUFACTURER: MANVILLE
EXTERIOR WALLS
Manufacturer MANVILLE Thickness/Type 3}" R/Value R-11
CEILING�
Batts: Manufacturer MANVILLE Thickness/Type 6 3/4" R/Value R-19
GENERAL CONTRACTOR: MESA DEVELOPMENT Lic. #
By Title Date
INSULATION CONTRACTOR: WESTERN INSULATION, INC. Lic. # 481278
By�, '(�0\ � Title Authorized AQentDate 5-16-90
Form 106
3/89
Pfl0.1ECTF�ORESS:� 25i1 CHRISTQPHER LN
OWNEBBNRME: FA.IRVIEW MaN4GENEhT CC.
, noox€ss: 240U MAI N S7
3RVINE, +LA.
uxiT: _ 7
RNCH/ENGINEEP: BURKE`LESTGR Fi Q�S��� pEG.NO.: Unv���n
RODflESS: L�OZS f!ILL CRfEK DR G�:
PEPMITfEE: �pGUNA HILLS LA S2653
nooeess: K.C. i'LUM.BING (714)99E-4b22
2.372 GLASSELL AVE A
DRANGE CA S26E5
LICENSED CONTMCT00 DECIAMTION: I Aereby aflirm that I am Ilcensetl under provisions ol CAapter 9(commencin0 wit� Section
7000) ot Droision 3 of the Business an0 Pmfessions CaOe, antl rtry license is in full lorce antl ettect.
cin uc.: � 5� 9 sTare uc.: [ 81476 , �Rcus's:��-�,,., � n
oate: �����R� Sionature: ��v�.v,v„ �.,��.I.n-��
WOBKEHS' COMPENSATION DECIAMTION: I herehy atlirm t�at I Aave a certificate of consent to sel4insure or a certi/icate af Warkers'
Compensation Insurance, or a cerlilie0 wDY thereoi (Section 3800, La�. C�. '
raucrxo.: 8G013553 �P opTE 09/Z4/9L
"OMPRNY: DAVCC INS
� Certified copy is AereEy fumishetl. [1� Certifietl caDY is file� with t�e ciry Building Division.
Date: "'2-��•��1 NDPlicant: ��� LM N� Ga�l
IXFMVfION FlIOM WONKEIIS' COMPENSRTION OEClAMT10N: (iliis seclian nee0 not Oe completoE il IAa perinu Is lar one �urMreO �5700) a less�.
I certiry that in lhe pedarmance ot ihe work tor which this Oermit is issued, I shall not employ any person in�any manner so as to 6ecome
su�lec� lo the WOAers' Compen5ation Laws a� Califamia. ,�
Date: Signature: -
. NOTICE: II, afler m2kinq t�is declaration, you s�ould become subieit ro t�e Workers' Compensation pmvisions ot tAe La6or
I CaCe, �ou must /aBhwit� comOh ��h such pmvisions or INs permit stull Oe EeemeE revaked.
I CONSTBUCTIUN IENOINO �GENCY: I hereLy aflirm tAat Nere is a consimction lenaing a0ency for ihe Oedormance ol IAe woB 1or
,, w1uch Nis Dermit ¢ issuetl �Senion 3097, qv. C). -
IENDEfl: '
, ROOPE58: . -
OWNEX BUIIDEP DECIAMTION: I here�y affirm tAat I am exemD� ��om IAe Coniractors' State License Law lor t�e follawinA reason
(Section 7037.5 Business an0 Pmhssianal Co�e: My ciry ot wunry whicA repuires a Dermit ro construct, alter, improve, Eemolish, or
�eDair any simcture, prior to A5 issuance, also reQuires the a001icant lor sucA permit ta lile a sipnea statement that �els�e is IicenseA
pursuam ro the pmvisions ai ihe Cantrzcrors' State license Law �Chapter 9(wmmencinq wit� Section 70W) oi ONision 3 0l Ne BusMess
and Pmlessions Ca�e) or that �e/she is exem0� ��erefmm an0 Ihe basis for t�e allegetl exemption. Any violation ol Section 7031.5 �y
any appliwni far a Dermit suClects tAe aOPlicant ro a civJ penalry of not more tAan iNe hunOretl tlallars (5500).
I, as owner of the pmperry or my employees wit� wapes as tAeir sole compensation, will Ao t�e work. an0 t�e
❑ strucmre is not intendetl or olferetl /or ssle (Secnon 7044, Business anE Profeuianal COUe: The Contactors' State License Law
� Uoes not apDty ro an owner ol a DroDertY w�o GuilCs or impmves t�ereon, anA w�o aoes such work himsell/hersell or ihmup�
his or �er own emplayees, proNtled Ihat suc� impravements are not intend¢G or ollereE br sale. tl, Aowever ihe Euilainp or
impmvement is sa10 vnihin ona year oi completion, t�e owner vnll �ave Ihe EurOen oi proving Ae/she di0 not Euild or impmve
' forihe purpo5e ol ule).
I,as axneroithe D�operry,am exclusively coniractinp withlicenseG contractorsto con5vucttAe Oroject(Sectlon 7044, Business
❑ anA Prolessians CoAe: The Contactors' Siate �icense Law dces nat appy to an owner oi property who OuiIQS or improves Ilrereon
an0 who coniracislorsuch prolects vnth a contrectoqs)ticanse purouantto t�e Contractors' Slate license Law),I am aware
Ihat proof of I�eir Warker's Campensatlon insurance 5Aou10 6e DroNEeE �a me.
� I am evempt un0er Seciion: - ' B. 8 P. C.
for this reason: '
Date: Owner.
I da �ereEy tertity IAaI I am aWare Of anG unEerstantl i�¢ repUirertrents ol Califamu Health an0 Safety Cade Settions 25505, 25533. ana
25534 an0 [hat I or a�ry future bvilOinp acupanl vnllNnil nat (circle one) neeU to comply vn(h sai0 state wGes anE the raquirements tor a
permit tor construction or mo0ifiwtion imm ��e tir Oualiry Manaqemmt Olstnct. HesiAential wnstructian apDlications are exemD� �mm
t�ese provisions.
Oate: AppliCani: '
1 �ereCy certity that 1 have reatl t�is aDP�icatian an0 state itwt t�e above inlarmation k cartecl. I a0ree to compty wit� all ciry an0 counry
oNinances anU state lavrs relatinp to builtlinq constnu;tion and Aereby autAorize reD��ntatNes of t�is ciry ro¢nter upan Ihe ahme-mentionetl
pmpeM �o inspecGon purposes. (/� �/'� //�� n
\�" �/M l [/'(����" .�
Wte: SignaWre:
o�roer's License or socia� seanry d:
1661-a6 W�iro-BuiltlinB; Green-COEa Enforcemanl; Canary-Applicam; Pink-Ravenue; GOltlenroG-Asseaaor
GI7Y IIF COS7A MFSA - BUILOING PERMIT
PERM3T NG: P G45116 PLAN CHECK NOs N GOV7: N SUPP:. N
CQNS7RUL7IDN TYPE: WCOQ FRAHE PfRMIT TYPE: PLU PURPOSE: kEN
JD6 OESCRIPTION : NEa HOUSE PLURBING , � Sp FT: •
LLAIM VALUE: CALC-YALUE: GROUP L�LG: /
CQMMENTS: REFERENCE STRUiTURdI PERMIT # 8044E12
a# ��###* ���aas#*�a�as�s#+#�#t*�*�o:aa*�s�aa�sasasss���asta�##***a�###:as�a##sas*s�aax��
Z Q N I K G$ fR7E84AUCIKRSE P4 E N T S ;
- MAIA' BU3LL�ING ------- ------- ACCf550RY BUILDiN6 ------
FRNT:_ �FT IN REAR: FT IK FRNT: FT IN REAR:. FT IN
IEfT: FT IN RGH7: FT IA' LE�T: FT I� RGHT: FT IN
PARKING FEOUIRED: PARKING PROYIDED: ' PARCEL: OOOOOOOD ZDNE:
FLAN(vING NC�TfS>
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0• E V E l 0 P M E N T 5 E R V I C E 5;,, •'!t E Q U I R E M E N T S
ZQIr'I�G APPR�VEO BY ___ DATE- _ _
6UILDI�G APPROVEG 8Y : _ DATE:
APPLICATION ISSUEO BY: '' �&���2c.�_� DATE_ ���
#3A4####�30#NC�###�###fai�i�i�3���TY+-13+�+ ' 0 � ��3��R $#t3##i�##i 33
sat�s�*ss�sr�*ass�ssssa�sasss�a*�s��asassa��s#mas* sss#st#*�ss*ssssa*a�sa#aaass#*
LEG4LIZATIQN:N. F E E 5 U M M A R Y STRUCTURAL SEGl9EN7:A
BLDG PMT PLUMBING ELECTRIG MECHANIC FIRE SM,IP%RES GRAU[NG
PERMIT 27.60
25$ SMIP/NON-RES
PLAN
ISSUE FEE 3.OG
BUILDIN6-DIV-> PERiSI7 ISSUE PLA�'-CHfCK
Tal"4LS---> 27.00 3.00 0.00
REYENUE CIVISIL7N TGTALS--> CCLLECTfD:
BLDG P�T PLUP48ING ELEGTRIC MEGHA�'IL
30.Gff
707AL PAID OUE
30.00 30.�0 .00
3G.00 OYER/SHGR7_ .OG
FIRE SMIP/70T GRADING PLAN-CHEGK
99� �# ## �03�R+k#'#######�R�M9####3#�##33#$�P#$3#�R�#t�###3####t:RkO#¢43# ##�C#S��kt�CL� !#####�
I � D I V I D U 0 L F E f 8 R E A K � 0 k �
aYPf C?Y D E S C R i P T i G N UNI7 COST 7(3TAL CQST'
PLU 1 BATH7U8 2.00 2.OU
PlU 1 iISHh'A�HER 2.Q0 2.00
PLU 1 LAUNGRY TU8 OR ItASHER Z.�O 2.00
PLL 1 SHG6iER 2.00 2.00
PLU 1 SIAK, KITCHEN 2.OA 2.00
FiU 4' MASH BASIN 2.�D 8.p0
PLU 2 WA7ER CLOSET ITLIIET) 2.Q0 4.00
PLU i MATER F:EATER ANO/OR VENT 2.�� 2.00
PLU 1 GAS FIPIf�G SYS aF 1 TO 4 GUTLETS 2.�0 2.�0
PLU 2 GAS PIFING SY5 '+ENCU�F FEES UTLE7 .50 1.D0
O1 ODU48425-00048425 TCDT �0.p0
DATE: il/23/89 TIME: 14:15
�ONSTRUCTION AND PLANNING - POi.� & SPA
APPROVALS Permit# Date � Inspector qppROVALS Permit# Date Inspector
1,. Temporary Electrical Service or Pole • 52. Pool & Equipment Location
2. Soil Pipe•Und�grnd. ,� ' (Z��q (. �� 53. Steel Reinforcement '
�3. Electrical�Conduit Utility-Undrgmd. .. 54. Forms
' 4t 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. Electrical Conduit�Undrgrnd. ,
8. Foundation • 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. Z.L� `� 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Structural Floor System • � - 67. APPROVAL TO DECK
71� Property Sewer Line & House Connection _ 62. Backwash & Receptor�Final '
12. Sewer Cap ' 63. Heater & VenbFinal �
13. Roof Draint ' 64. Plumbing System � Final
74. Rough Plumbi g ' � , � e�a �,� 65. Electrical-Final �
15. Rough Electrical-Conduit � 66. Solar System�Final .
16. Rough Electric Wiring _ �' 67. Fencing & Access ApProval .
�17. Rough Wiring Sign 68. APPROVED FOR P�ASTERING •
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FIIVAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- � r.-.. : n ._ .r; r
20. Ro gh Facmi'y Fireplace � -�- '� h .- , � y a APPROVA'LS� ��Permit # :-� �. ,-; , -� ,�' �
21. Ducts,inStructuret � .... -:.J �r � . ��; '70. UndergrouydHydro `
22. Ducts,Ventilating't' � � � "J �.'w�'�77_ product',�Pipipg��Gas ❑Oil
23.:Gas Pipe-Rough & Test i � •� .. -1 � .r,: �72, Underground Flush� ,
24. 'Roof FrSinin � i :. i ._., - ��- :• �'� �• �.� tF . � . .�..-� i• i� , ., �
1 ,-,s �. ' . �,,, e „73.:;Undergrnc�. Storage Tank � Gas ❑ Oi�`
25. Roof Sheathing - _ �;v i'� � > vo [ 74. -0verhead Hydro � ��
� . an l �.f.. l .���...). _ ��
26.�T�Ba�Ceiling(Struc�tural) &Mondcoat '�i, �,.,,� 75.�DryChemical t � , .,Z:ti.Y �,i 1 a
- a . , o n u a. . � � � � s -. � �- ,~ � • v v
27 .Frame and Flashing; =�,,; R ,; -.W ., 76. Dry Standpipe � -.. o . zY �: . .
� 28. �Latfiing'& Sidiny�?} �'+ "y'�Z "'' " "q ^' 77;' FIXED S1�STEM�FIN�AL`} �`r ' '' -'
n '.a c. + ..i I u.0 � i., s.. � i..��.. 1: r-�+�-
L -t;r r �.. •. .. �� ... � :• ..i .,� .., � .�
?29. Insulation �� ti a I �I la o 78: �FdRE PREV. FINAL •` � � -� �- ��� -, �
�_
30. Dr�,'vall°Nailing -�'' _ �' � ��'�' '-" "' 'HEALTH'DEPYrREQUIREMENT �� "',�
:,. , � ; � � , a :r
, � , � t. ,.- ., .� . . . _ ..
31. Plaster Brown,Coat�r • ��-,r . .t I i-i,, tt J9. FINAL INSPECTION - .: v��
• 32:�ElectricaPPower Meter�Final� • ' •' � � ��'�' ' 80.'FOOD CERTIFICATE ISSUED ' '�;
.e. i n 1 I ilxa -� ..r s
" 1 . k 1 .• � I aU .� 1 '�' 1+ w .v ~� bra
"33.£Final�Electri � , � -- 7 � '�a+1 Notes: -v -in ;, � -r �i� �,
�34: Final Heating & AiraConditioning; s "• � i .IL <+ �r - �'� " • � -�� ���;
a �., .r > 1 �}'Ia.7 �+ � �-�. fr �-.�
`�35.:Final Gas Pi.e�Test`� "' � �y �+ w r. • � ri� «.�� .-�-
p. SZS�'NJ L.E��Ir �.. J .•.�.-. M ,.-�„
36. Hood or CanoPYy i � � " � �•• a � f I .: �- --� � :r � .. �
� - t 1 i � .�a �:. :� .
^,37:,Fina1 Factory Fireplace`„ �,_',.. u��� i I'' ii.•� ',� e w.,�
.:38. Final Plumbing •�^ � � � �U/ �((+ � �� y � ' # � �r
�r
'39. Watei Service�FinaP� .. i 6 � �D ��� � ~ w�•� __ -.-�
.40. GasService-Final ;, � •"- .. :r �� 1 I la+i �•: %r� i,�
1 Il> M L. � r S !T A
_`_41. Solar pomesticFina'I ? � �`� ' � � '�`��' _ '- `" " .
��� 1t I I I,.o -�: �r �F � �
�.'42 Backflow Preventer� � v .. n � I ia �� •ti 's.- c• �� .,
�, eF i� tr �-
Vl..t�nt.�•.1�11 r/1�.1
43. Backflow Irrigationy ... „� ' '. '�; r ,x � V j� � � n - � • . • . . � . . . .
44. Landscape Irripation Sysrem�i•� :+ � <>.•� .� v .�i. 4 � •J v .Lta rr ,� � ,� -.. . . . � ��
. ,..� -, .. � -� � � .-
45: Sound Attenuation� "" _� �"� `� '- -u o -� ,�- � r , - •� a
y '..t u SF .r. � r�14 a. t! J' .� .�. � 7 -�Y
46:..Handicap Regulations .. a� +a ' �. - :s
.1 f� `1
47. FINAL STRUCTURE & BUfLDING • �° �� ` �
- , I'�x i �
48. FINAL PLANNING, i��-�- •. I � 1 i: � : . i-
�- � . � c
491Elearic ReleSse to'�Edison � i I ��� ��' a � � �
� •. .i
50..Gas;Release to Souihem Califomia Gas Co . I i � 1» +• � - • � . .�r,- o •i . . . . �. . . . . �
.. -.,. r> .. .v �.. Sr, -
51. CERTIFICATE OF«OCCUPANCY tr n e -. � � . -, _ �-- - � -x . � -
No. Date '
PNQIECTROORESS: �SOL CFIRISTUPHER LN
OWNEfl'SNAME: FAZRVIEW MGMNT. CO.
RDONES8: 7S2O MERIMAC
• CM CA92626
uNir: ,,,ONL
/
ppG1/FNGINEEB: 13URKF T.ESTER s ASFiOC. pEc.xo.:�_6925.
nooxess: 230"l5 MILL CREEH Rll uxn: �.
LAGUNA HILLS CA 92653
PENMITTEE: �AN'1'IAGC� A/C, INC. ( 71 4) 99ti-7.60Q
nooeess: 2g� W, BLUERIDGE AVE.
ORANGE CA 92665
110ENSED CONTMC70B OECIAMTION: I AereGy aHirm t�at I am IicenseE untler provisians al CAapter 9(commencrng wit� Section
70W) ol DNision 3 of ihe Business an0 Pf01¢ssions COEe, anU my IitenSB is in full fOrt! anE etletl.
cm uc.: p79� �5� QsTn�r^e' �uc.: z 6 9 4 9 6 � 2 0
�ate: �IJ-_! ti..L Signafure: � I� ��
WONNEPS' COMPENSGTION OECIAMTION: I �ereCy allirm t�ai 1 have a cetlificate oi cansent to seJ -�u2 ar a ceNliwte af Workers'
Compensatlon Insurance, ar a certifieE copy Neaol (Section 3800, LaE. C). U
roucrxo.:W-9732051 exr.o�re: 07/O1/90
COMPRNY: PAC F,TATES CAS ,
� CertilieA coDY is �ere0y fumishe0. � Cartilied copy is fileU wil� Iha ciry i101n0 Divisian.
Date: �_ I��� ` J MpliWnt: 1 �
IXEMPfION FIIOM WOPKEIIS' COMPENSITION OECW WTION: (ilus secoan nee0 not Oe mmpkteE if tl�e ' is for.one huMaO (f10� w less�.
I certiry iha� in me Derfnrmance of ine wone for wnic� tAis permtt is issue0. i shan nm employ any ersan any manner w as to become
subjeci to the WOBers' ComOenulion laws ot Calilarnia.
Date: Sipnature: -
NO710E: If, aller malting th¢ tlxlaration, you s�oulJ Cecome suhlect to the Warkers' ComDensa�ion O�avisions ol tAe Labor
CoOe, yau must IortAwit� compry with mc� pmvisions�or tNs permit s�all be OeemeO revokeE.
CONSTBUCTION IFND�XG �GENLY: I Aereby affirm Ihat Ihere is a wnstmction IenUinO apenq tor t�e pertormance al t�e woM for
whic� Nis Oermiii5 issuetl (Secibn 3097. Civ. C). •
i lENOEB:
' ' �DOflE83: �
CIT'Y UF COSTA MESA -- BU7LDING PERMIT PERM NO: M O4G071
PERMIT NO: M 046072 PLAN CHECK NO: N GOVT: N.SUFP: T1
CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSF.: OTH
JOB DESCRZPTION ; INSTALL NEW "FORCED AIR UNIT" SQ FT:
CLAIM VALUE: CALC-VALUE: ` GROUP OCC: R-3 /M-1
COMMENTS: RE: 844012 PRZMARY BLDG. PEI2MIT.
*�-�*�rx�*�-*x*�***rt*�-*+r*�n**�t**�t*+��-�r*-r�**�-*�t*�r***���**��x�x��r**xx-**�rx�****it�t**ar***�t****
Z O N I N G R E Q U I R E M E N 1' S
S F� T B A C K S
--------- -- MAIN DUILllING ---------- --------- ACCESSORY BUTLDING ----------•
CRNT; FT IN RL'AR: FT IN FRNT: F'C IN REAR: FT IN
LEFT: FT LN R�HT: FT IN LEFT: FT IN RGHT: FT IN
PARKING I2CQ: PROC': PARCEL: 00000000 '/.NE: REF NO:
PLANNING NOTES> �
i '
�C�x�x*�x�*��t*x�f��*��**�-x��t�-*�***�t****;�x�****i�)t**+tx�x�***�c+t+�+t**�rx��r��*�****��r�-�-���c-***�rt*�t�x�x�x
' D E U E L O P M E N T S E R'�•ll I C E S R E Q U I R E M E N T S
';20NING APPROVED DY ' DATE:
BUILDING APPROC�ED BY : � DATfi:
� *********�*******D�B*+r��3FR'4*�- T^ -,r iilF1F��F3FR'3F**x��rD****�tTt3F� '�`iF�f'g#.V
ik�ikiEiEifN�fF9f3E9E7E1F9Eifif%iEitX�iEff�ifiEfh3EififiEikiEiEik#%iE ., iFiFiE itiFiFiFiFN�iEIEiE#1E3kjE3EiEiEjEiF�JfiFiEifi4itiEi!iFiPf(�iEifj:jf9Eaf#�
'[.EGAI.TZATION:N F E E S U A M A R Y STRUCTUR.4L SEGME�JT:N
OWNEBBOIlDENOECIAHATION: I�ereEyattirmt�atlamexempllromtAeCaniractors'SlateLicenseLawfort�efollowinpreuou BLDG PMT PLUMAING ELECTRIC ECHANIC £IRE SMIP/RES GRADING
(Sec�bn 7031.5 Businew anG Profeuional Cotle: My ciry of counry whic� requires a permit to canstmct, altec imprwe, demolish, or P ERM I T 9. 00 �
repair any siructure, pnor to ils issuance, alm repuires t�e apD�icant br such permit to iile a 5ipneC statement t0at he/she is Iiunse0 2 5% , S M I P/ NON — R E S � '
pursuant to the pmNsians af the Contractors' State License Law (ChaOter 9(commencing vnih Section 7000) of Division 3 of tAe Business P I,AnI -
and Pmfessians Code) or tAal he/she is eremD� t�erefrom ana t�e hasis for t�a allepetl examption. My vialation of Section 7031.5 Ey � '
any appliwnt lor a permit SuE�ecis [he apDlicant to a ciWl penalry oi not mare t�an iNe �unEreE Eallars (5500�. I S S U E 1? E E 7. 5, 0 0
�, az awner ot tee omperry or my em loyees witA wa9es as meir soie compensatian. xill do I�e wor�, and tne �UILDING-DIV-> PERMIT ISSUE FLAN-CHECK TOTAI, PI�ID DUE
❑ stmcuim a not intennea ar otteree ror sale �S�ecuon �oaa, Business ane Pralessiona� Code: Tne Contraams' State License Law TOTAL S-•- --> 9. 0 0 1' S. 0 0 0. U 0 2 4. 0 0 2 4, 0 0 � . 0 �
tices not aDDly Io an owner af a Dmperry w�o �uilds ar improves tAereon, anA wlia Uoes such work �imull/herseli ar ihmupA
his ar �er own employees, Droviae0 Ihat SucA Impmvemenls ara not intendeE or ofiere0 lor sale. If, howaver the buil0inp or R FV ENUE D T. V 1 S I ON TOTALu --> COI.L ECT ED : � i 4. 0 � OVER / SIiORT • 0 0
forDl�eepu�rposeollsa¢j��noneyearofcompletion,t�eownerwill�avalheGurEenofpmvinAhe/she010notbuilAorimprove HI,DG PMT PLUMBING ELCCTRIC M�CHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I, az awner oi me pmpeM• am aclusNety cantractin0 �U IicenSeE mntractars to construct t�e Dmject (Sectian 70Cd, Business 2�. O O
❑ an0 Pratessiorrs CoGe: Tne ConVactors' Sute license Law tloes not appty to an ovmer of properry wAo huA0.s or imD�s tlierean �
. anA wAo wnirac6 lor suc� projttts wltn a controctor�s) liunse pursuant ro the Contracrors' State LRense Law�. I am awara iE if�fFif ik ik iE 3E 7F it iF iE iE i( iE fEit i(�1E 1E iE iE i!i! it ff it iF�7t ih if if iE if iE iFiFf(�jE�7E if�7E�7E 7f�lE % iE iE iF iE iE iF �! i! fEM��1E if ikikiEib dE iE IE 1E iE i(�3k iE iE #iE * itif 3E�IE if
that D��� ot t�eir Wo�ker's Campensation insurance s0oultl ba pmviEeG to me. I N D I V]: D U A' L F 6 E D R E A K D O W N
� I am evem0� unEer Section: B. d P. C. '
mrcnisreason: TYPE gTY D E S C R I P T I O N UNIT COST T01'AL COST
oate: �"'^e0 MEC
I tlo �erehy ceniry that I am aware ol and un4erstanC ihe reQuirements of Calitomia HealtA anE Safery COUe Sections 25505, 25573, anE
25534 an0 that I or any imure UuilOinp occupam wilVwill not (circle ane) neeE to comDN ��� saiU slata codes anA ihe repuiremenis lor a
permit Por cansimctbn or modification from the Air uahty Manapement Oislnct. ResiAential construction ap0�icatians are exem0� �mm
tnese pmWsions.
oate: Mvlium: .
I hereby certiry ttut I luve reatl tlus aD0liwtion an0 state Itwt the aEme information is correct. I aqree to compry with all ciry anU counry
OIEIIIanC25 anE Sld�e IdwS RlafinO lo blliltlinp COnSlruciion anA Ae2by al�thOrii¢ repr¢SenlBlivES al IN5 Cily to ¢nter upOn RI¢ d00vEmen�1MIE0 .
DroOertY �or insptttion purposes. � �
Date: SipnaNre:
Driver's License or Sodal Secudry x: '
1841-46 W�ita—BuiMi�p; Green—COCe Enforcemenl: Canary—Applirant; Pink—Peva ; GOIJTIV6 en�oC—pssauor
1 TNSTALL FORC/AIR FURN <= 100 K BTU/H 9.00
END OF FEF.S
Oi 00054105-00054105 T0.7Y
OATE: D2/14/40 TIFiE: 14:63
• ��
u
2�.0�'
1
CQNSTRUC710N ANDPLANNING
APPROVALS Permit # ,
1. ,Temporary Electrical Service or Pole �
2. Soil Pipe-Undrgrnd.
3. Electrical Condult Utility-Undrgrnd.
4. Electrical Conduit-Undrgrnd. �
5.�Steel Reinforcement
�6. Electrical UFER Grnd. ..
7. Footings
8. Foundation '
9. Water Pipe�Undrgrnd.
10. Structural Floor SYscem � --
11. Property Sewer Line & House Connection
12. Sewer Cap .
13. Roof Drains.
14. Rough Plumbing �
15. Rough Electrical-Conduit �
16:'Rough Electric Wiring '�,
17. Rough Wiring Sign
18. Rough Electrical-T Bar Ceiling ��
19, Rough Heating & Air Conditioning '��.
20. Rough Factory Fireplace - .'
21. Dutts, in Structure - .
22. Ducts, Ventilating
23. Gas Pipe-Rough & Test -
24. �Roof Framing
25. Roof Sheathing �
26. T�Bar Ceiling (Structural) & Monocoat
27. Frame and Flashing ,
28. Lathing & Siding '
29. Insulation
30. Drywall Nailing
31. Plaster Brown Coat -
32. Electrical Power Meter�Final
.33. Final ElecviC
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test.
36. Hood or CanoPY -
37. Final FactorV Fireplate
38. Final Plumbing
39. Water Servica-Final -
40. Gas Service-Final
41. Solar Oome:tic-Final
42. Backflow Preventer '
43. Backflow Irrigation
44. Landscape Irrigation System '
45..Sound Attenuation �,
46. Handicap Re9ulations
47. FINALSTRUCTURE&BUILDING
48. FINALPLANNING �
49. Electric Release to;Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
Date
Date � Inspector
a
POC SPA
APPROVALS Permit #
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, fl Undrgrnd., Test
60. Backwash Lines, P-Trap, O Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor-Final
63. Heater & Vent-Fi�al
64. Plumbing System � Final
65. Electrical-Final
66. Solar System-Final
67. Fencing & Access ApProval
68. APPROVED fOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
71. Product Piping O Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storege Tank � Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXEDSYS7EM�FINAL
78. FIRE PREV. FINAL �
HEALTFiDEPT.qEQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED �
Notes: r'
0
Date I Inspector
Pfl0.1ECTR00flESS: ?yOl CHRISTOPHER LN 0N1T� NONE
awxex�sxnMe:,FAIRVZEW MGMNT. CO.
, -aobeess: Z520 MERIMAC _
CM .f�A92626
:'' -
�BCH/ENGINEEP: B�)[ZK G L ES TER & AS 50C .� ' �pEa.xo.: C- 6 9 2 5
nooeess: ?�025 MILL' CREEK RD ' uxR: _
LI�GUNA HILLS CA 92653
PEBMITTEE: nOUC SCOTT ELECTRIC ( 719 ) 775-0061
' aooxess: 16028 MOUNT HICKS '
FOUNTAIN VALLF.Y CA 92708
LICENSEU CON�MCTOP UECIAMTiON: I hereby attirm tha� I am licensetl untler provisions oi Chapter 9(commencinp wi�h Sectian
7000) oi Division 3 af t�e Business anA Pmfessions CaUe, an0 my license is in fuil force antl effect. ,
cin uc.: 0 4 6 611 STATE LIC.: 3'] Q 2 i S cuss: C•-10
�ate: SiAnature:
WOPI(EB COMPENSATIONOECLAMTION: Ihere�yaRirmthaUhaveacenificateotwnsenttose&insurearacerlitiuteofWorkers'
Compensation Insurance o a certiiied copy tAereof (Sectian 3800, Lab. ).
ooucrxo.: 53636�6-89 �cr.o�re: 7/01/90
ornrnxr: STATE FUND
J Cehitie0 coOY is Aereby fumishe0. � Certified copy is �iled wi�h the ciry BuilOinp Division�. /
Date: 3 d PODlicant: �5 �GC'%% G�uZi%�/G/ ..
IXEMPII N FflOM WOBKEBS' fAMPENSRTION OECIAMTION: (This section no� be comDle�eO ii �he Dermit is �or one �undr� (5100) or less�.
I cehity that in the pertormance ol the work for wnicn this permit is issu , nall not employ any p n in any manner so as to becoma
subject lo the Workers' Compensation Laws ai Califomia. � ,
Oate: Sipnature:
NOTICE: II, atler makinA t�is declaration, you shoul0 �ecome su0lec to tAe Workers ComDensatian provislons oi the LaEor
Code, you must torthwith compty with such pmvisions or this Dermil shall 6e 4eeme0 revoketl. •5 �
CONSTBUCiION LENOING �GENCY: I �ereby affirm Nat ihere is a conswpion IendinA apency for t�e Oehormance of.ihe;work br
wAich ihis permit is issuetl (Section 3097, Civ. C). � � -
LFNOEfl: '
' pOUPESS: . ' � .
I OWNEB BWL�EB UECIAMT10N: 1 herahy aflirm [hat I am exempt irom the Coniractors' State License Law tor tha tollowinp reason
i(Section 7031.5 Business and Pmhuional Cotle: My ciry oi caunry w�ich requires a permii lo conswct, alter, impmve, demolis�, ar
repair any stmcNm, D�or ta fts Issuance, also requires Ihe ap0licant for such permit to file a signetl slaiement Ihat heJshe is licansed '
pursuant to t�e provisions oi the Comractars' State Licensa Law (Chapter 9(commencing with Sectlon 7000) of Division 3 of t�e Business
and Professions CoOe) ar Ihat he/sAe is exempt iherefrom anG Ihe Eazis for t�e alleqed exemption. My violation of Section 7031.5 6y
any ap0�icant for a Dermit sublects the apDlicant ro a civil penalry af not more ihan five �unOred tlollars �$500).
1, as owner of tha property ar my employees vnth wapes as Neir sole compensation, will Ao the wark, an0 t�e
❑ stmcmre is not intendetl or oifered for sale (Section 7044, Business an0 Protessional Code: T�e Coniractors' State License Law
dces na[ apPly to an owner of a pmpeM who builtls or improves thereon, and wAo Oaes such work himselBherself or tAmup�
�is or her own employees, provided that such impmvements are not imended or oifereU far sale. If, however t�e 6uilding or
impmvement is sa10 wit�in one year oi camDletion, the owner will have [he burden of Omving he/she tlia not builtl or improva
for the Duryose o/ sale�. - �
I, as owner of the pmperry. am exclusively conirocting wit� licensetl coniractore to consimct ihe project (Section 7094, Business
❑ an0 Prafessians CoEe: The Contracmrs' State Licenu Law dces not appy ro an owner of Droperry who Dwlds or impmves thereon
and w�o contracis for such prole��s vnin a coniracroqs) license pursuant m Ne Contracrors' State License Law). I am awara
that Orooi ol their Worker's Compensatlon insurance s�oultl be pmvi0etl to me.
� I am eeempt unEer Sectian: B. 8 P. C. �
for �his rea5an: � �
Da�e: Owner: '
I do here6y certiry that l am aware of and understanA t�e reQuirements ot Calilornia Heann an0 Satery Cotle Sections 25505, 25533, anJ
25534 anO lhat I or any tuture builaing occuOanl will/will not (cirole one) nee0 to comply with saiA siate co0es anA Ihe requiremenls br a
permd for conslmclion or modification imm Ne tir �ualiry Management Oisinct. flesitlenlial constmction appliwtions a2 exemD� tram ,
tAese pmvisions. ' .
Date: ApplicanC
I hereEy cetlity t�at I have read ihis application antl state Ihat the a6ove inior pn is correct. I apree ro comply with all ciry antl counry
ortlinances antl state Wxs rela6nA �a �uilEinp conswction an0 hereby autAodn ¢/esentatives of this ciry enter upon ihe a0ave-menUoneG
pmperry fo1r insp ction pur oses,
IOa�e: ✓ � Signam2:
onver's License or Social 5ecunry
166126 W�ite—BuilEinp; Green—COCa'Enlorrement: Canerv—ApplicanC Pink—Ravenue: Goltlenrotl—Asseswr
CITY OP COSTA MESA - HUILDIDIG�PERMIT
PERMIT NOv'E � 046438 PLAN CHECK NO: N
'�
CONSTRUCTION TYPE: V-N PERMIT TYPE: ET,E
PERM NO: H U4643B
GOVT: �I SUPP: N .
PURPOSF.: D1EW .
JOB DESCRIPTTON : NEW SFD SQ FT: .
CLAIM VALUE; CALC-��ALUE: � GROUP OCC: R-3 /M-1
COMMENTS:'REP B44812 �
**�tx+t��t**+t+��*x*��t�t*�t*�t+t*********�r*��t**�**�r*x***�c�x*�t**�*�***�t***+�**�**�c+t*+��*x�*
Z O D1 I N G R'E Q U I R E M E N T S •
S E T B A C K S
-------------- MAIDI BUILDING ----------- -------- ACCESSORY HUILDING ----------
FRNT: FT IN R�AR: FT IN ' FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: f'T IN
PARKING REQ: PROV: PARCEL: 00000000 ZNE: REP NO:
PLANNING NOTES>
> _ .
�1f �lE if if �Ih 3F iE 1E iF iE if �E if iF �If 3F N 1f N� k if if iE if iF iF ik i! if� iF iE iE if M at iE ik iE iE iE it iF iF iE iE 3F IE iE�iF �� iE �7F iF. if iE �t iE �� �1( *�E iE iE �)F 1(� 1E �F IE if iE �1f it ib # iE iE if� iE if
D E V E L U P M E N T �S: E'R V I C E S R T' Q U I R G M E Dl T S
20NING APPROVED BY , DATE:
BUILllING APPROVHD BY : �r. >_ DATE:
APPLICATIUN ISSU£U BY:—t-��
*�t*�tit*�t*�it**�t**it�t�x-*i[�ie�t'iF"iF� , .
it 3f iE 1E 3t IE IE �F iE 3E if if if IE 3f 3f iE �F k 3f iE it it it it iF if it it iE it iE 1E it
LEGALIZATION:M' F 6 E
BLUG PMT PI,UMBING ELEC
PERMIT � 6
IC
33
�$
�j DATE:��'09 •�
�iF{F�iFiFiFiFiFkiEK*it*aE** iE 1F'�'iFiF'(fi'Fit �
it �f if if k iF ik iE if 1E dF % iE iE i! iF 1f 3f iE �E iE iE iE fE fE �E �F k fE iE iF �E IE 1E 1F iE IF 3E iE �lE
U M M A R Y STRUCTURAL S'EGMF.NT:TI
MECHANIC FIRE SMIP/RES GRADING
a�LAn� .
ISSUE FEE 15.00
BUILDING-UIU-> PGRMIT ISSUE PLAN-CHECK
TOTALS ---� 66,33 15.00 ' 0.00
REVE�]UE CiI��IS.iON TOTAI.S--> COLLECTED:
BLUC PMT PLUMBING ELECTRIC MECHANIC
81.33.
SMIP /DIODI-RES
TOTAL PAID DUE
81.33 81.33 .00
81.33. OVER/SIiORT: .00
FIRE SMIP/TOT GRADIDIG PLAN-CHECK
3k iF 1E 1E iF �f If �1f iE 3E if 3E k iE ik 3f if af if 3F it iF iF iF k if jF iE it if ik iE if k 1E 1E iE iF iE 1E if iF iE 1E ik itlt if iE iE iF iE if jE fE �E k iE �f iE iF jE iE iE iE jF i! iE jE 1E dE 1E 3E it iE 3E if iF iE
' I id D I V I D 0 A L F E E B R E A R D O W N
TYPE QTY D E S C R I.P T I O N UNIT COST ; TOTAL COST
ELE 1695 NEW RES DLDG FOR 1 OR 2 UNITS/ SQ FT .03 � 66.33
END OF FEES
OI ODUS5E4b-D�055846 i'C�T ST.3a
6ATE: 03/12/90 TIHE: 11:44
i ,
I ;
CONSTRUCTION AND PLANNING � � - P(. .& SPA
APPROVALS Permit # Date Inspector qPPROVALS Permit # Date Inspector
.1.
� 1�. Temporary Electrical Service oi Pole � '.j 52. Pool & Equipment Location j�
/
2. Soid'Pipe;Undrgrnd,_ � � 53. $teel Reinforcement � %
- •.
-, .3.�ElectricaPConduit UtilitY�Undrgrnd:,� � � 54. Forms �''
"�4.,.Electrical�Conduit�Undrgrnd. - 55. Electrical Bonding
5:-Steel Reinforcem`_eni_ � � 56. Rough Plumbing & Pressure Test
-�6=�lectrical UFER�Gmd. 57. APPROVAL TO COVER-GUNITE �-
'•7.'�Footings �� 58. Electrical Conduit-Undrgrnd. `
-' 8. Foundation i'•y' :7 59. Gas Pipe, O Undrgrnd., Test f
r
' 9. Water Pipe-Und(grnd. e,.' �;� `�� 60. Backwash Lines, P-7rap, O Undrgmd. � �� ^
i .
10. Structural Floor System � �� �� �� 61. APPROVAL TO DECK � ii
11. Property Sewer Line'& House Connection � �� � 62. Backwash & Receptor-Final ���'
12. Sewer Cap _ _ - - � �'� 63. Heater & Vent-Final '
�
13. Roof Drains.: „ _ � `: l� 64. Plumbing System - Final ,��
14. RoughPlumbing ` ,,� �'� 65. Electrical-Final � ���
15. Rough Electriral-Condu�t ' 66. Solar System-Final �
16. Rough Electric Wiring 67. Fencing & Access Approval �
-17. Rough Wiring Sign 68.� APPROVED FOR PLASTERING �
�18. Fough Electricel-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning _ , t FIRE DEPT. REQUIREMENT _ v
•_ _ • �. - - - -- - \
20.�Rough Factory Fireplace ' "� ' _ _ ; ' APPROVACS��_Permit# ��
21��Ducts, in Stcuctur'e � �� • , - _ - -' "70. Undergrourid Hydro \,�
22_Ducts, Venti�ating � - T -- , _ _ ; 71, Product-Piping O Gas ❑ Oil
2:��-Gas-Pipe-.Rough & Test - � 72, Underqround Flush - =
24:,Roof Framing � �-` ",-� - _ _ , ;,73.-Undergmd.Storage�Tank �Gas ❑Oit
25. Roof Sheathing :� - - � 74: Overhead Hydro �
26:�T-Bar Ceiling (Structural) &-Monocoat y - 75: Dry Chemical ..
27�Frame and Flashing� - - - 76 Dry Standpipe -� � �
'-28. Laihing-& Siding :: "' _- �� = `� ' ; 77.. FIXED SYSTEM FINAL _
^29. Insulation ! � • :,�'.-<' 78�,=FIREPREV.FINAL " ""�
'^30. Drywall Nailing ,� „ !��' ` � 'HEALTH'DEPT, REQUIREMENT
- 37. Plaster Brown Coau •� - - � + -79. FINAL INSPECTION • �-
`32`,Electrical Power Metei-F�nal ,S � ' S0: FOOD CERTIFICATE ISSUED �
x._ . _., _ . ' - .
; 33��Final Electric • , iv {S 0 �Notes: �- . - , � - . �
�.i V - -
�'34_ Final Heatirig & Ai� Conditioning`� �J • , t �"� "•' _� '' �- ' �
� ;� _
35 �,Final Gas Pipe�Tesc - � ' .� _ '� ;�' � �- � _ - � , =�
.�
�'36. Hood or Canopy � - " � _ • _ _ ' . - �
: -
-37�.:.Final Factory Fireplacec. , - � �I �. . � .�
'-B8. Final Plumbing k _� • • ` ; - , �
� � ,
39. Water Service�Finaf ! ` : � K ; _ � _
; +40. Gas Service-Final � � - • - - - � -
' �41. Solar pomesticFirial- � - ; i _ ', . _ -.
42.�Backflow Preventer � -� - ' � F- � � --
- �, r' -
43. Backflow Irrigation . - -' , i, , � " ' - -
-44. Landscape irripation System - - ^ - _ " - - - • ' •� �
45.� Sound Attenuation . . ' - , ; _ �.�=
�46.��Handicap Regulations -• /,x r ' - - _ • -
. 47 FINAL STRUCTUAE & BUILDING ,_ . /;. ;: �� ' - ' ,
48.:.FINALPLANNING --� • �• > � ' " -
- 49.. Electric Release to Edison `-- -- . .
: 50: Gas'Release to Southern Califomia Gas Co � � ' �- > "
�' -
51. CERTIFICATE OF OCCUPANCY • - -
No. Date