HomeMy WebLinkAbout2507 CHRISTOPHER LN - Building Permits�-
.Pfl0.1ECTP0UNESS: ZSO% CHRISTOPHER LN
owxeA�sNnMe: FAIRVIEW MGMNT. CO.
RDONESS: ZSZO MERIMAC
_ CM CA92626
uxir: NONE
�flLNIENCINEEfl: HURKE LESTER S ASSOC. pE�'N�"C—E���S
�oosess: Z3025 MILL CREEK RD
� LAGUNA HILLS CA 92653
PENMITTEE: FAIRVIEW MGMNT. CO. (714 ) 545-7327
FOOXESS: ZS2O MERIMAC, WY
CM. CA 92626
LICENSED CONTMCTOB UFCUMTION: I Aeatr/ alfirm that I am ficenseU unOer O�ovisiois ol C�apter 9(commencin0'��� Section
7000) of Oi�ision 9 0l Ue Business aM Prolessions CWe. and rtry ticense is � full torce anE etlttl. �
CITY LIC.: ST�TE llt.: CUSS:
Date: Sipnawre:
WOPI(EI13' fAMPEN&It10N OECIAMTION: I here� aHirm tAat I have a certifica[e ol wncmt to utt-insure or a certiliate of WOAers'
CamDensation Insurance, or a certifieE copy tlrereof Sectbn 3800, Lab. C�. '
voucr xo.: o�. o�n:
COMP�NY:
�� Ceriiliatl coDY is �erehy fumishe0. ❑ CenifieE copy is file0 wiN Ne ciry BuilEinp DHision.
oate: Pppficani:.
IXEMFf10N FIIOM WOPKEIIS' COMPENSA7ttIN OEClAlL1TI0N:, (fNs secuon meE noI Ee canqeied'A tice pamit b Iw one �undred (5100) a less�.
1 certity that in the pertormanu of the wark lar wNch ttus permit a LssuM, I sWll not empby any person in any manner so az to hecome
su0ject lo Ilre Workers' Compensation Laws oYCaAfortua.
Data: Sipnature:
NO71LE: If, alter maldnB � d��atlon. you 5AON0 Cemrtce suEjM to tne Wohsrs Campemation provisio�a ot t�e La6or
CaOe. yau must IOMwith compty vnih wU Dransions or IN5 permrt stutl Ee EeemeO rtvokeE.
CONSTBOCTION LENDINU �CENLY: I AereEy atfirm tAai there is a wnsiruction lendinp apency lor Iha pertormance a11Ae woM for
wAich IAis permit is iuueO (�� �7, CN. C�.
LFNOEN:
ROONESS: ' .
OWNEB BUI W EB OECUNITION: I hereby allirm t�at I am exempt Irom t�e Contractars State Licensa Law lor ihe lollowinp roason
�Seclion 7071.5 Business aM Protessbnal CoOe: My dry ol counry wlricA repuires a permit to wnsimct, al[er, improve. Eemolis�, ar
reDalr any SlmcWro, O�o< <o its issuanca, also reauues t�e aDW�� �or such perM1 to IJe a sI0�e0 statement tAat �e/she Is Iicen5e0
pursuam Io I�a D���ons ot I�e Coniactors' State Licensa Law (CAapter 9(mmmenci�p wlt� Section 700Q� ol OiNsion 3 of tAe Business
an0 Prolasfons Code) or tlat MISM ¢ exempt Iherefrom anU Ne Oasa tor Ne allepeE exemptian. My vblauon al Section 7031.5 Ey
any applium for a parmit wEl�s �he applicant lo a dvJ Denalry al frot mom tlun Me hunEmO EWlars (5500).
I, u owner ol t�e D�opeM or my emplqees wIN wapes az tAe4 sole mmpematlon. wN Ua Ne xrork, ana the
❑ structure ls �rot intendM or offereU lor ule (Sactron 7061. Business uM Protessional COCa: T�e Contactors State Licensa �aw
Gces nol appty to an o-+mer al a OrapeM ��� or imprm<5 t�ereon. anE wla Eces suc� wark Nmsetl/�erseli ar l�roup�
�is or �er wm emD�W�es. D�d� tAat suc� imD�'ements are not immGaE ar otlereE lor sale. II, �owever �Ae �uil0inp or
ImprOvemeni 5 5d0 x11Nn one year oi mmp4tion. ��e owner will luve llk OurEen ol Orovin0 ApJstu Ei0 no� DuiW ar im0��'e
br Ina purpo50 0l Sale�.
I, as owner ot tAe pmDerry, am eMclusively camractlnp witn Ikensed wntratmrs to consvum the pmiec� (Section 70a4, Business
� anE Pmlessrons Code: The Contanors SWte Licrose Law dces imt appy lo an owner at pmperrywlm bwlAs or im0��s t�areon
antl who cantracts for such praja6 wilh a contracroqs) Ilcensa Dursuanl ta Iha Conlnclors' State License Law). I am awam
I�at Drool ol their WOAer's CompenSaUon insuranca sIroWO Ue proviAeO to me.
� I am exemD� mMer Sectian: B. 8 P. C.
lor lnis reason:
�ate: Owner.
I Co nereEy cenity �hat I am aware of aM undersWnE tAe repuiamenis ol Califortua H WN an0 Salery CaOe Sections 25505, 25533, an0
2553n an0 tlut I m any luture MdMing ocapant wAVwlll mt (drde one) neeO ta canply wit� uW sUte wGes an0 Ue reQu4emrnt5 far a
permit lor tonsWctiOn or mOGilitaliM tmm I�B N'r�u��ry MdnaOement USInCi. HFtiOenlul rAnS�Nclbn applitations are exempi Irom
tnese o�ov'aions.
Oale: ApDlicani:
I here�y tBrtity Ihai I �ave reaC t�is applitailon an0 51ate l�al 1�0 aCove infarma�ion is tOrred. I apr¢e �o COm01y with all ciry anA Counry
ortlinanc¢ an0 stah Wws relatiip to Ouil0in0 ���� aM hereby autho�ize represemativu ol itris cny to emer upon the ahoue�mentionetl
pmperty �orinspeciion DufpoSes.
Date: Sipnama:
oriver's licensa or Sodal Sewrity
1&11d8 W�ile—BuilEi�g; Green—GOEe Enforcement; Canary—ApP��C Pink—Ra�anug; GobanroE—Asseswr
CITY OF COSTA MESA — HUILDING PERMIT PERM NO: B 044818
PERMIT NO: B 044818 PLAN CELECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW
JOB DESCRIPTION : NEW SFD SQ FT: 2,357
CLAIM VALUE: 136,146.00 CALC—VALUE: 136,145.50 GROUP OCC: R-3 /M-1
COMMENTS: PC1296-89 L PAID
**�r�r�*��*�****+r�r+r**+r�+r�*�r+r*�r****�*�e*r �r*�r�r*�*�r**r�r*�rr*r+�****+r*+�**+r *+��+��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 B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: 25 FT IN REAR: 30 FT IN FRNT: FT IN REAR: FT IN �
LEFT: 5 FT ZN RGHT: 5 FT ZN LEFT; FT I��NaROGHOT�� _I 3 ET IN
PARKING REpUIRED: 2 PARKING PROVIDED: 2 PARCEL: 00000000 ZONE: PDRH�A
PLANNING NiSTES> STBKS SHOWN FROM LINES ON PLAN — PROJ IS ONE LOT SUBDIVISZON
> ALL PKING COVERED. THIS UNIT TO BE USED FOR CLIENTS
+r�r�t+r�t�rx�**�**�t**r�t�+�*�e�e***�rf���rxx��t�t**+rr�r��r�r*x��r*+r*+r+r*�r+rx*�r�r*�r***+r+r itdt,itf�i�
D E V E L O- P N E N T S E R V I C E S R E Q U I�I� K��i� .
ZONING APPROVED HY �YiC.iC��. DATE: /�
BUILDING APPROVED BY : YY1 � L.� DATE: IO 'ZF�' �
APPLICATION ISSUED HY: DATE: �I' '�
1fiEfflElfillEMiFMifMMklFkMiFiEiEiflf 3F7FiFiFiF'3F�FiF'�7F1EitiFiFiFiflfiFiflF !F
kMiEMMiFifMlFfFiEifMkifMMMiFifiEMlFMMiFMIfMkfEiEfFlfiElEk itk3fikk%ifMkiFkMiEikkMiFMiEiFik%MiFififiElFiFMfE1likifiFikitiFifiEM
LEGALIZATION:N " F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMHING ELEC RIC MECHANIC FIRE SMIP/RES GRADING
PERMZT 769.00 9.53
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE
TOTALS----> 778.53 0.00 ., 0.00 778.53 778.53 .00
REVENUE DIVISION TOTALS--> COL'LECTED: 778.53 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
769.00 , , 9.53
ik1FMiEif 3EikklflfiflFiEif 1EiE1ElElfiEiFlf 1EiEifiFfEffkitiFlkiF4`1fiFM1F1kM1EMfEkifMMikifikififMiFkftiEkMklFiE1lMiklfiliEikikff141k1EkitlfiFif
I N D I V I D U A L F E E D R E A K D O W N
TYPE
SFR
SFR
QTY D E S C R I P T I"-O N
1895 DWE-TYPE V-WOOD FRAME -GOOD
462 RES-GARAGES TYPE V
END OF EEES
1�1�41t�L�bY�Y
67.70
1 % , � �
TOTAL COST
128,291.50
7,854.00
r3
CONSTRU�TION AND PLANNING POOL 'PA
APP�iOVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Elec[rical Service or Pole 52. Poo� & Equipment Location
�2�: ,So,il Pipe;Undjgrnd.� 53. Steel Reinforcement
''�'3.='Electrica"�CondUrt�Utility-Undrgmd. 54. Forms
Cii `J. 1 ✓�J'rlQ
'�;4,.;Ft`ectrical Condui�Undrgmd. 55. Electrical Bonding
��S�Steel ReinfoToement 56. Rough Plumbing & Pressure Test
:i �n 1� r..-�
j8.�('ectricalUFER�rnd. � D�j O� 57. APPROVALTOCOVER�GUNITE `"
T
��'7L Footings C:�+S� ��Q'TLrL� � � e' S8. Electrical Conduit�Undrgrnd. �-
�M
'� S'. FoundaUoa '� 59. Gas Pipe, O Undrgrnd., Test �
��9. Water Pipe-Und�grnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
r
'10. Structural'Floor System q p �� 67. APPROVAL TO DECK
71. Properry Sewer Line�& House COnnection 62. Backwash & Receptor�Final
12. Sewer Cap =� � 63. Heater & Vent•Final
�� ��
13. Roof Drains � '
v-- _� 64. Plumbing $Ystem • Final
14. qough P�umbi�g 65. Electrical�Final
15. Rough Electricrl-Conduit 66. Solar System-Final
16. Rough ElectriuWiring 67. Fencing & Access ApProval
`;.77. Rough Wirin9 Sign 68. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19.�iough Heating &.Air Conditioniny ,_,r, �, � � ,:; fi, y FIRE ¢E�T. REQUIR€MEN= R;�;
20.:Rou h `•••` � � ✓ r.., r " -
g F�cm�y f_ireplace - : � �� � �* k -QPPROVALSi,:-�FPeiri�it # � � ^
c� �.. c..- -c �-..�.t' r
2L_DuC[s, i�Structu[e,`. " " "-' '' � 7 "�' �" r70. (�'nder ro�d H �ro y
�l � 4. � 5 H �• �-�i : t t s 9 � 1� r
22.-Duc[s, yentileting; � � ��;� r-- �, � �:x * 77, producrPiping O Gas O�OiI
23.'Gas:Pipe:,'Rough &,Tesc _ �� '� `� -' < O< � -�72, Undergroun8 Fl�h'� � � ="^
i' G : 1: "1 r� � .+ r 1=
24.� �Roof Fcamin � . . - 'i.-, - � - � •� x ' �' �'� � ' �'.
9 -�- .x +c •J3.,Undergmd.Storage_T.ank•OGas OOiI
25�Roo�Sheathing ;'� G '�`•'Z J �' ��.+, ~7q:JOverheadHydro�� '
< 1 � r ^ � .-.r�. � - � _� rt a: c�J �� -
26_T�BarCeiling.IStr�uctural) &'Morrocoatr•;, ] ;7g �. 75�DryChemical F � �-7
27.-Frame and Fiashing� � r� _, 3� �' 8�x *� 76. Dry Stanc;"pipe Q,L �
a _; r.: . �
`28YLaThin & S'in _* �� ^'�= J�'' � :� x -' �'� "��� • `a
- 9 1S1 9.r. 7C.- N..« � ;:x 77=;FIXEDS`FSTEM�FINAL• � C1 :•c,
29. Insulatip`n ''"'� J � J' � ;d' d Q(,� ; 78�FIRE PREV. FI�VAL ;� ' " '�
�. T . C' T' . ` ' 7: %
~30. Drywall Nailing :� ,. pr_ -- � __'j �{; :� S HEALTH-DEPTp REQl71RE1VIENT
�31. Plaster Brown Coat- - _ ;,'=•1 � ��.'�' y -'79 JFINAL INSPoECT10'N � ` -
c O i.: :R � ` ��: �lr r+ l-�r, r^
��32^Electrical Power Me`terFinal ~ -� �, ;; r'80.jFO0D CERTIFfGATE ISSUED_ r-��
�33.�Fina1 Eleciric• • 't ='`+ � ; � f �F Noie�D� - .. ^ !�7
; - -� C .'Y ^ � I ti -1 ' t i
4344Fina1 Heating�& AikConditioning' _�j,;; t ''' � o -' `�� ` `
�* ' �b: 06t-Evtl (.J
35:'Final Gas Pipe�Test� _� � �71� �t �� � � �r x _ �� ��- r � '^
-�c ♦ � m ..n s T.
LL36._Hooil or CanoPV * � ^ ` � •• : `'� � � �' �' � •�� '� �
� � Cl w... ^��v: ^ � : 'e: >: i; :�O f `7 `7
-37yFinal Factory FireplaceX -� C: ' �'!� ^ D
� Y. �1 J:
�38. Fin21 Plumb[rig � �" ��'# + �"''x y � �' �
� �#: . i .. .7
'°39. Wacer Service-Final,: � c^t �a ! � � * � � � .� o� �: �� "
-m {v s� ��� �: �n
'4'40. GasService-Final '�'''• �-':- r,p•;r?t ! ! x pa r.�^ x
3: �� .l_ .^�.J(:x � F • .k d
�. c. i � . � �+ v � � .._ ,. -., �
�-�,41. Solar pomesticFinai ;� .;Hi ..� � � �r: x !-+ -:� ` c �. - � �
- i r, � '<
42 Backflow Preventer• �� '` ^ ' '� ^ ^ �r • ^ =' " _ �
�� .V r i i: � 1 Y, u-. r n n t; � i1 * '
4.�u V�•.+, y. n ...C-..� - ^ ,i
43. Backtlow Irrigation�. > o� !._; t r. � � x �� •
_ „ _
-44., Landscape IRigation Syste ' �� "" �' `� �"` "` ^ 'l' �' �' ^�' "' ' ^' ' "'
Y
' � 1 �'C.?: -. O. 1' K 4 17 'K � 2'. L O n r_`.
F�
J'45.�Sound Attenuation � .: •• :i• ��i =7 =x r. c� C c� (-G -
.. �. :
Q46.•Han„dicap Regulatidns " "' � ` _ ' ^ � ,.`'^. '- �'-' � ��
� :�:7 .: a. S .•1�:U t
�47.'FIM1fAL STRUCTURE & BUfLDING �' • � ; 'r,`. ' ��""' - r c. -.
n ^ lF Q� ., :, .• -
48'FINALPLANNING � - -' j � ~'� � ;' n' a. � �' .
S w
;49`Electric�eleaseto�Edison � ' � �� .' � ', i� � =, %. .,: ' _
t=50=Gas`-Release-toSouthemCalifarrl�GasCo � ' 'x�c= ^ • cn r �
-1 ^l Y. /. :. Y,. . r'Q 1 ..)
�51. CERTIFICATE OF^OCCUPANCY "F ` ." .' ••„• .. • - - -
No. Date
;
CONSULTANTS • INC. I
h1aY 25. 1990
CITY OF COSTA MESA
%% Fair Drive
Costa Mesa, CA 92626
Attn: Building Department
Subject: CIVIL ENGINEER'S FINAL GRADE CERTIFICATION FOR TRACT N0.
13�4R, IP: THE CIT`i OP i;OSTA MGSA (FILE 2046)
BLDG. PERMIT N0. B044818
This is to certify that the final grade for building No. 4 also
known as 250% Christopher Way, was field checked on May 24, 1990 and
found to be in conformance with the intent of the grading plan.
Very truly yours,
DGA CONSULTANTS
Surender �an, R.C.E. 34559
Engineering Manager
:jls
1182 North Tustin St.
Orange. CA 92667
(714)744-0802
Fax(714)538-2152
O[herOffice Wcations:
Rancho Curamonga
Palm Springs
�
THIS IS TO CER?- f THAT INSULATION HAS BEE_ INSTALLED IN
CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 24, STATE OF CALIFORNIA, IN THE
BUILDING LOCATED AT:
SITE ADDRESS: 2507 CHRISTOPHER WAY COSTA MESA, CA
Number Street City/State
AIR INFILTRATION: MANUFACTURBR: MANVILLE
EXTERIOR WALLS
�anufacturer MANVILLE Thickness/Type 3}'� R/Value'R-11
CEILINGB
Batts: ManufaCturer MANVILLE Thickness/Type 6 3/4" R/Value R-19
GENERAL CONTRACTOR: MESA DEVELOPMENT Lic
�
Title Date
INSULATION CONTRACTOR: WESTERN INSULATION, INC. Lic. # 481278
By�.�� �� Titl� Authorized AQentDate 5-16-90
Form 106
3/89
PP0.IECT RDDRESY:
OWtlEfl'S N�ME:
aooxess:
;;HRISTQPHER 1�
E6i MANAGEKEN7 CC.
AI �' ST
. CA.
UNIT: ,� �
RflCHIENOMEER: BURKF��ESTER E ASS�L. REa.xo.: UN�CNGKK
�ooness: 23025 N.I il CAf EK QR xR
LAGUNA HIILS CP 52653
FEflMITTEE: K.C. PLU�!BIN6 � (714)49E-4622
nooeess: 2372 GLASSfLL AVE . A
QRANGE CA 926E5
LICENSED CONiMCTOP OEClAM710N: I �ereby affirm that I am licensetl under pmNsions of C�apter 9(commencinp wi[h Sectian
70W) at Division 3 of the Business an0 Pmfessions Code, antl my license is in full force and ettecL �
cm uc.: 1 6 5�g sr�Te uc.: 2 a 14 7 [�! 7cuss: C—' E 1/� .. ff
�ate: ,�L�3 � SiAnature: � �`'� L��� ` L°JL �
WOPKEBS' COMPENSRTION OECLAMTION: I hereby aflirm that I have a certificate oi consent ta sali-Insure or a cenificata af Workers'
Compensation Insurance, or a certified copy tAereof (Section 3800, Lab. q.
POLICYNO.: BOOi''QS.3 � , E%P.DPTF. �f�J�L�IIS�
COMPRNY: GAVCC .INS
❑ Certified copy is Aare6y fumishetl. � CertifieA copyis filetl with the ciry BullUinA Oivisiqn. 1y'
Oa�e: ,I��I ADPlicant: ��'l'`���� �` '�(�{
IXEMPfIOX FBOM WOflKEPS' fAMPEN3RTI0N UECUMTION: (ihis secBon neeA not 6e comDleteU il Ihe permit i5 fa ane AunOreO (5100) a less�.
I certiTy tAat in lhe Oertormanca oi IAe work for w�ich t�is permit is issue0,d shall no[ employ any per5on in any mann¢r so as to become
sublect to t�e Workers' ComDensation Laws oi Califomia. �:�
Data: SipnaWm: - '
NOTICE: It, aiter makinp this Eeclaration, you s�ould Eecome su�lect ta the Workers CompensatiomproNsions of the Lahor
CoOe, you must tart�wtlh wmply with suc� pmvisions ar tNs Dermit s�all be GeemeO revaked. �
CONSTBUCTION LFN�ING �GENCY: I�hereby attirm itwt [here is a canstmction IenOinA a0ency lor the;perfarmance oi Ihe work tar
which this permit is issuetl (Section 3097, Civ. C�. - �
�xoEa:
ADOPESS:
OWNEB BUILDEH OECUMTION: I hereby affirm that I am exemD� ��om [he Camractors' State License Law tor I�e followinp reason
(Seclion 7031.5 Business an0 Pmlessional CoOe: My ciry of counry whicA repuires a De�mit to constmct, alter, impmve, tlemolisR or
repair any simcNre, D�or Io its issuance, also repuiBs tAe applicant for sucA permit to file a siAneO statement that he/s�e is Iicense0
pursuant m the Dmvisions of Iha Contracrors' SWte License Law (Chepter 9(commencin0 wit� Section 7000) of Division 3 a/ I�a Businass
an0 Pmieuians Cotle) or that he/s�e is exempt tAertfrom antl the �asis far Ihe alleqe0 exemD�ion. Any violation ot Section 7031.5 Uy
any aDPlicantiar a Oermii suElects tAe aD0licant Io a civil penalry ai nat more [han tive hunOreA Ooltars (5500).
I, as awner of tha pmDenY or my employees with waAes as Iheir sole compensation, will do the work, antl ihe
❑ simcture is nat imendeA or oiferetl lar sala (Section 70A4, Business an0 Protessional COAe: The Comramars' Sta[e License Law
tloes not aDP�Y�ta an ownar oi a property who builds orimpmves ihereon, antl who does such work himsetl/hersell orthrouph
�is or �er own employees, proviAeA [hat such impmvements are nat inten0e4 or ottered tor sale. If, however t�e Duildinp or
improvement is solA within ona year oi completion, t�e owner wifl have the Ourden al Omvinp he/she OiA not �uittl or impmve
lor the purpose ol sale�. '
I, az owner ot tAe Drape�ty, am exclusively coniractinA with licensetl contractors to constmct ihe Orole�� (Sectlon 7044, Business
❑ an0 Pmfessions CoOe: The Contactors' Stat¢ License Law tloes not appry ro an ovmer of proDerry w�o bwl0s or improves therean
anA who contracts for such projects with a contactor(s) license pursuant to the Coniractors' Stala License Law).�I am aware
ihat D�ao� ol their Worker's ComDensation insurance sAou10 6e DroviOed to me.
� I am exemDt unUer Section: B. 8 P. C.
lor this reamn: .
Wte: Owner.
I Oo �ereby cetlity Ihat I am aware of antl unEerstand the requirements oi Califomia Hea1tA and Safery Cotle Sections 25505, 25533, antl
25534 anE tha� I or any imure OuilOing occupant wilUwill not (circle one) nee0 io wmpty vnih sai0 state coGes anE I�a reduiremenis for a
permit for constmcUon or modilication trom tAe Nr Oualiry Management Oistrict. PesiAential construction apDlications are exempt imm
tAeu Omvisions.
�atei ApDliwni:
�� � I hereby ceniy t�at I luve rea0 t�is aOPlicatian antl staie that the ahove information is correct I aA�ee ta camply with all ciry anU counry
oltlinantes anA Slale laws relalin0 to UuilOinp Construction an0 hef¢Oy authOrize r¢pr¢Seniativ¢5 of [his Ciry Io ¢ntef uDOn ihe abovam¢ntlone0
pmperty for ins ection Duryas¢s. /'1 (��y /�
oate: , } Signature: `• � L � M • ` � M ,
Dnver's License or Social Secunty d:
AOPlicant; Pink—Revenue; GoltlenroG—Fssesso�
GITY aF COSTA MESA — BUILDIN6 PEFMI7. "
PEFMIT NC: P ti45117 PLAN GHECK N@: N �OVT:.N SUPP: N
CCKSTRUCTICN TYPE: NCGfi FRA�tE PERMIT 7YPE: PlU PURPOSE: kEW
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LLA3R VALUE: C,�LC—VALUE: GROUP �GC: /
CORMENTS: REFEREKCE STRUG7URAL PERMIT � Ei344818 �
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AtCESSQRY BUILDING -------
FT IN REAR: . FT IN
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BLDG PNT PLUM8IN6 ELECTRIC PCECHANIC FIRE SPSIP/Rf5 GRADING �
PERN,I7 27.D� .
. 25� ' SM1P/NDA-RES
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ISSUE F�E 3.0!�
BUIL�ING-DIV-> PERNIT ISSUE PLAN-GHELK TOTA� PAID DUE
TOTALS---> 27..00 3.�i8 0.00 30.n0 3Q.{JO ,.00
REVENUE DiYISION TCTALS=-> CC�Li.ECTED: 30.fl0 GUER/SH4R7: .a�
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GAS PiPING SYS CF 1 TC�4 GUTLE75
GAS PIPING SYS 5+ OUTt—PER QUTLfT
ENG GF FEES
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2. �0 2 .l30
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�1 OQD4$42b—OOD48426 T C�T 30.UU
DATE: 1l/2E/89 T1ME: 14:16
CONSTRUC710N AND PLANNING � � POOL & SPA ,
• APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
1. Temporary Electrital Service or Pole 52. Pool & Equipment Location ,"
2. Soil Pipe;Undrgrnd. ,. �� is� (�� 53. Steel Reinforcement '
�'3. Electrical�Conduit�Utility-Undrgrnd.. • � •`' 54. Forms '
' 4. Electrical�'Gonduit-Undrgrnd. �� 55. Electrical Bonding
= 5.. Steel Reinfofcement � 56. Rough Plumbing & Pressure Test
� 6. Electrital UFER Grnd.� 57. APPROVAL TO COVER�GUNITE ���
.
� "',7. Footings '�� ~' ' � � . 58. Electrical Conduit-Undrgrnd.
- 8. Foundation � � 59. Gas Pipe, O Undrgmd., Test -
_ ,
' 9. Wa[er Pipe�Undrgrnd. � �ct (�Q 60. Backwash Lines, P-Trap, O Undrgrnd._ ,
10. Structural Floor System � � : 61. APPROVAL TO DECK ;
11-. Property Sewer Line & House Connection : 62. Backwash & ReceptorFinal �
12. Sewer Ca . � ,
P • 63. Heater & Vent-Final
13. Roof Drains ' 64. P{umbing System - Final �
14. Rough Plumbing �' 2( Ctp �� 65. Electrical-Final � � �
15. Rough Electricel-Conduit . � 66. Solar SYstem-Final '
16. Rough Electric Wiring -; 67. Fencing & Access Approval �
17. Rough Wiring Sign -, 68. APPROVED FOR PLASTERING �
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
_ ' ..� + r� �� x L. ,.-r �. a"v' i r r
20:�RoughFacto;YFiie�place � ,_�; `t'� � � � ,r.�# tAppROVALS�„Permit# ,. '" �}�� ; ��_��_�
21.��Ducis, in Steuctureu I..�.. �+� � = 'J0. Underground Hydro w
22. Ducts, Ventilating;'* � �°� � �'�'+ ^ ' J �
i u. u i •r �.r �.-:rer_��� ProductPipipg��Gas OYbil
23..,Gas.Pipe,Rough &�1�.`est i � � �. � ., z �� a �72. Underground Flush� •
24:'Roof Framing ,�ry � �'�' �" Y � � � _�a � �73`�Undergrn� Stora"ge_Tank4O Gas ❑ Oil" -'� '-' "' ' '"' n
25. Roof Sheathin ��"' ! ' ' � � - � "�' " ' � "
9 . �t ��v��fi > �o�x 74.�Overhead Hydro"^r ;t
26!S-8ar Ceiling (Structural) &'Monocoat s ^ ' �t' 75:'.Dry Chemical . '-' "" � ��''^'"' . _ "�
., .. .,.:. - .�� 1� .-..�rts c.r-. .�:
27 _Frame and Flashing� , � , :- � '- _ . . Q . . ., '= . - V ^'
r . st � t• . a•:= 76. Dry StandPiPe .- r.� - -� i' .
�28. Lathing�& Sidinjrt � '9oT <' ^- •+�� �:' 77�� FIXED SYSTEM'FINAC" �"� ' "
.w .c �"�' �. ..' a.l i�r. � .�.i e._. i ..1�.�t^h.��'cf'•-.
r " 1 I:t it .J I q i .r �-1
.-29. Insulation �r � .��+� � � � � � W�
�.t�ts 78:� F.IREPREV. FIMAL G� '. ��- h�.r,.;c�;,
30. Drywall`Nailing ?'•�' y '- '! � � •'lw'r " •"' • HEALTH,DEPT�REQUIREMENT �� J -� `' ^
rs_L..,. X ..: t- I I l.I .:t .J vt,I !-":.�1N
�Z..! ( .0 +} ! 1 .lt: r• ' . . , � e' r.>
-.31. PlasterBrown,Coat..-_ � ,-r- .�, # I i ,Iu�' �79.�'FINALINSPECTION ,�..��v
�32:TElectrical Po�er�MeterFinal� �'� �'^� � �„x' •80�FOOD CERTIFIrC-ATE ISSUED t ;' ���
� i � •: �) 1 ,i' �.� I 1/ f� fi n ". J ' �-, ti ~ Y,J -f t
''33�Fina� Electri� � # � T a I i ,ryQ 4 Notes: -� -�.,� ; -, •, „ ,
�-34rFinal Heati�g�& Air.;Conditioniog: � <t � � � . A 4 •% � �T : � c .�=> 'z-�
r t x�-� U> i yi-��� yla t3 v .� 1 �•�T d n�-��
^'35;:Firial Gas Pipe-Test�: r.�r �� � 4�"w� a� n r. -. r.. ;� r �-�--� r
� 36� Hood or CanoPY.� �-� .+�� i � ,•• �u � I I � a# # _ : i. . .. . �, , : ... -
-. u 1 1� �x--. �, i:. d,�. 'q.•nn,
,- • '4.M1 I :-r di',t I {��iliF,i - '1 v v.m
�37.��Final Factorv Fireplac`e� ��,,,�, ,p I � -b. v s tt -t �+
:38. Final Plumbing �,.:.. 1.. v CfjJl I�iii# � - �-. an --': -
-. i .�.... - ��.-
"�39. Water Service-Finaf;` ~ � q��/ %J �I/'� w: �w r: - �rr " ��'�
iJ te:. I b/VI(�I (..TNIF'� M . -.
540. Gas Service�Pinal r, c�r�r •a a r- I � ���:+ � ;�;:. s �. .� ..
i � r
�41. Solar pomesticFinal • '�. . rt: '� • I :ltt c� �-. ; -- ! _�
I• T h I � '�O :e 1� �'I: G' i. � -
` R �-. ['J -� m . � � �rr .r . . . .
�,42`BackflowPreventeri, „ tt. i � �t�.o rf�- � .
x .� n.^ tr
43. Backflow Iriigatiost � ycc , � ~ �# v %�_. _ ' � ". . :'....,.��;.��„ �
� w . . sr w n� - - . _
44. Landscape Ir,rigation System+ �. =� . Sr �- • � � , n �r - � ; .� _� .� . . �' � �-. ... -
,.� �_ r� �.
45�Sound Atte�uatiori' ^ `� - • i" "' `' ""`"•' ,� -� "' " �� , T� ,� �' -
� �-� �r- "1.. .. ^`� ti � � m ^- �t A ,r o . � . .-. -• te
46.�,Handica.pRe9ulations � ;}� �� ��{;.- , , •�� � _
,y
47'FIN:4L STRUCTURE & BUILDING � n � � "� �'jf � ' ^ ` '" �
,;. r .e� r � �/�# tt I • �: �-
48�FINALPLANNING is-�- .. ti v i I=��o:�r • � ,t �-
49r'Electric Release to Bdison � '> � � / �,� u � � �_ w � � '
�� K
50.-Gas;Release to Souihem California Gas Co eF i i (N,., _ � -i . .a � �.�. �.� .� . . �. . �. �
r�
51. CERTIFICATEOF..00CUPANCY t, ea -� . � r x ._ �!� r_ �.:. . � . �
No. Date
PP0.IECTRODNESB: lSO�I CHRISTOPHER LN
owHee•sxeMe: FAIRVIEW MGMNT. CO.
�o0xess: 2520 h1ERIMAC '
CM Cti�)2G25
unir: N'OINE
Y
RfltNIENGINEEH: HURKE LESTER S ASSOC. NEO.MO.:C_Fq�s
nooeess: Z3025 MILL CREEK RD �N�
PEunmEE: �AGUNA HILLS CA 92653
�ANTIAGO A/C, INC. (714)998—iG00
RDOflESB: 231 W. BLUERIDGE AVE.
ORANGE CA 92665
UCENSED LONiMC70P OECIAMTION: I hereby affirm ihat 1 am IicenseE un0er proNsions of ChaD�er 9(commencNB ��� �ian
7000) 01 Division 3 0l I�e Business anE Pmhuions COUe, an0 my license is in tull lorca anE ellecl. .
cmuc.: �����8�- s(�!7�) uc.:��9496 S
Date:.�J��� SiAnature:� - �
WONNENS' COMPENBRTION OECUMTION: I hereby aBirm [hat I have a certificate af consent t selb sure or a certi/icate oi Workers'
Campensatian Insurance, or a cartifie0 copy ihereoi (Section 3800, LaD. C).
eoucrno.:W-9732051 �xP.opTE: 07/01/90
cornraxr: pAC STATES CAS
❑ CetlifieC copY is reby furnisheA. � Certifietl copy is fileA with e ci Buildinp UiNsion.
Oate: � I � O APDliwnl: � .
J•
E%EMPTION FNOM WOHNERS' COMPENS�TION OECIAMTION: (1Ns sec1ion nee0 not be campleted il N il is iq one �un7red (5100) a less�.
I certity IAat in Ihe pedormance of the wark for whic� t�is permit is iuueU. I stwll not employ any er n in any manner m as to �ecome
suDlep m t�e Warkers' Campensalbn Laws of Califomia. ' �
Date: S�qnaNrz:
NOTICE: II, afler makinp Ihis Oeclaration, you s�oulE Eewme su6ject to ihe Workers ComDensatlon prmisions ol the LaEor
COEe, you must torthmin COmpN ��� such provisions or tAiS pemut slull Ce EeemeE revakEE. ,'
fANSTHIICTION 1EN01N0 IIGENCY: I Aerzby attum that Ihere is a anstructim le�inp a0ency tor tAe�peAormance of Ihe xrork for
xTicn t�is permit is iuueE (Section 3097, Civ. C). ,
lENOEfl: •
ADOHESB:
OWNEB BUILOEB DEClAN1TI0N: I here�y aifirm IAat I am exem0� �rom4he Cantracbrs' State License Law for the followln0 reamn
(Section 7031.5 Buslness anA Pmtessianal CoGe: My ciry af counry wLicA requires a De�mit to constmct, alter, improve, tlemolish, ar
rtDair any stmctum, O�ar ta As issuance, also repuires tAe apDlicant for suc� permn to lile a signea staiement tha[ he/sAe is licensetl
pursuant m t�e pmNslans oi tAe Coniractors' State Licenu Law �CAapter 9(commencinp wilh Section 7000) of Division 3 oi the Business
ana Prolessions CoOe� or Ihat he/sAe is evampt t�erefmm anU the basis for tha allepe0 eeemD�ion. Rny violation oi Section 7031.5 by
any aDP�icant lar a Darmit sublacts the aODlicanito a civil penalry of not mora than live AunOreO Aollars (5500�. _
I, az awner of the DmDeM or my employees wit� wapes az I�elr sole comDenuiion, vnll Eo t�e woB, antl t�e
❑ simcture is not intenAeU or otlere0 for sale 15ection 7044, Business anC Professional Catle: T�e Contacrors' State License Law
Aaes not apDly to an owner ol a property w�a builAs or Impmves ihereon, anE w�o tloes such work him5ell/herulf or throug�
Ms ar �er awn emDloyees, provi0etl [hat suc� impmvemenis are nat inten0ed or offeaU lar sale. tl, �owever t�e EullAing or
imprwement is salG withm one ywr of mmplefion, tAe owner will Iwve the Ourden of D��nO ��s�e tliE not huJd or improve
br me oumase o� u�e).
� I, az awner ol Ine D�operry, am exclusiv¢Iy wntracGnA ��� Iicense0 COntractors to conslNct Ihe proiect (Sectian 767d, Bu5ine55
❑ an0 Prafessians CaOe: Tha Contractors' State licrose Law Oocs not appty ro an awner oi praperry wtq huilGs ar improves Uereon
an0 wAo contracts tor sucn projecis with a cantractor(s) license Dursuanl ta tAe Contactors' State License Law). I am aware
itut Oraof al their Warker's ComDensatlon insurance s�oulE he prma0etl to me.
� I am e�emD� unAer Section: � B. 8 P. C.
tar tNs reason:
Date: Ownec
I do AereEy ceriiy t�at I am aware al anO unGerstand t�e requirements ai Calilornia Healih anE Salery CoOe Sections 25505, 25533, anE
25534 anU ttwt I or any tutura EuilOinq occupant wilUwill not (cirGe one) neeE to wmpty with ui0 state co0es aM Ne requirtments for a
permit lor con5tmction or rtwGilicatian Irom t�¢ Nr Qualiry Manapement Ustnct. ResiUential constmction aDWications are exemD� ��om
tAese Omvisions.
Oate: FpDlicanc
I here�y t¢rtity Ihai I have fead this aDD�iCatiOn anG Slate t�at Ihe aEOve intormation is Carmci. I a0re8 io tOmply wiih all ti�y an0 COunry
orUinances anU State laws relatinq to huilUlnO cons(mction antl here�y authorize representativeS oi this ciry to ¢nter upon ihe a�ove�mentioneA
proOeM �or inspection Durposes. ('�) �/�
oa�a2— i �—ACZ SiAnature: a. 'f �`�' �—
Onver's License or Social Securiry '
16a1i8 W�ite—BullUirg: Grean—CaEe Eniorcamam; Cenary—Applican�; Pink—Revanue: GolOenrotl—Assassor
CITY, OF COS'1'A MESA — BUILDING PERMIT
PERMIT N6: M 0450$5 PLP.N CHECK NG; N
CONSTRUCTT.ON T`LPG: V—N � PERMI'T TYPE: MEC
JOH DESCRIPTION : IN5TALL NEW "FORCED AIR UNIT" '
PERM NO: M U4608S
GOVT: N SUPP: N
PORPOSE: QTH
SQ FT:
CLAIM VALUE: CALC—VALUE: i GROUP OCC: R—J /M-i �
COMMENTS: RG: B44fS7.8 PRIMARY BLDG. PERMIT. •
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Z O N I N G R E Q U I R E M L N T S
S E T B A C K S
----•------- MAIN BUILDING --•------- ---------- ACCESSO.RY BUILDING
FRNT: FT Ir] REAR: FT IN FRNT: E'1' IN RF'AR: I'T Irl
LEFT; FT IN RGHT: I'7' IN LEFT: f.�T ITI RG[iT': FT IN
PARKI.NG REQ� PROV: PARCEL: 00000000 ZNE: REF �10:
PLANNING NCiI'E�>
iF iE it ik M iE iE IE 1E if iE iF iE 3E 1E # 3t !E if ?f dE ?F 3E 3E iE 3F iE �k iE #E iE if if if #E iF �f ifiE iE iE iE iE if iE if 1F # 3! ik it fE if iE iE iE iE iE # k iE 3E IE ik iE dE iE 3F if iE iE 1k-k� iF iE �! iE iE #
� ll E V E L O P M G N"P S E R:t� I C E S R E Q U I R E M E N T, S
'ZONING APPROVED BY • DATE:
BUILDING APPROVED BY : _ DATE:
APPLICATION ISSUED BY� ' DATE: QZ' I4�GJ�%
ih iF i(� fF iE # 3E iF iF iF k iE iE 1E iF iE iE iE �Y if iE?E���F� . iF �1E jf �k� 9F iF if if iE if��3E � i!� iE if
�(-iffEfflkifiEl4lEIEiElEiEfEiE1E1klEiEiflfK�ifit�fiEiEiFiFiEiEiF1EiE1E9f�lE1E#' ElEIEIEiElEiffFiE�FiE)f-iEikiFi(�iFififif#1FjfihjEiEiFiEif'.E�E9f3f�EiEiEiEfEiE
LEGALIZATION:N F E E S U M M A R Y STRUC_TURAL SEGMENT:N'
BLDG PMT E�LUMBING £•.LECT IC MECHANIC FIRE SMIP/RE:S GRAUING
PERMIT 9.00
25� SMIP/NON—RES
PLAN
ISF,UE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE FI.AN—CHECK TOTAL PAID DUE
TOTALS----> 9.00 15.00 0.00 "14.00 24.00 .00
REVENUE DIVISION TOTALS--> CULLECTGD; 24.00 OVER/SHORTe .00
BLDG PMT FLOMBING EI�ECTRIC MECAANIC f'IRE SM7P/TOT GRADING P�AN—CHrCK
ia.00
3Eifif if�lf if iE if !E iE9F�14 If if iE iE # if % iF i( if if M if if iE�1E 1E 3(�iE if iE K iE jE if iE R ifiE K iE i4 iE k iF iEif if iE iE i@ *iE iE iE iEiE if 1E iE if iE �fiE�l(-k � iE�IE iE IF�lE3E iE 3E jE N
I N D I V I� D U A I.� F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
MF:C 1 1�l`aTALL FORC/AIR F'URIJ <= 100 K BTO/[3 9.00 9.00
. EtdU Oti FEES
01 Oo0S4100-ODOS4100 T r� � 24.00
DATE: 02/14/90 TIfiE� 14:42
0
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
i. Temporary Electrical Service or Pole 52. Pool & Equipment Location ,
2. Soil Pipe•Undrgrnd. . 53. Steel Reinforcement '
3. Electrical Conduit l�tility-Undrgrnd. 54. Forms
4. Electrical Co�duit-Undrgrnd. . 55. Electrical Bonding
5. Steel Reintorcement 56. Rough Plumbing & Pressure Test
8.' Electrical UFER Grnd. � � 57. APPROVAL TO COVER-GUNITE
7. Footings � 58. Electrical Conduit�Undrgrnd. --
8. Foundation 59. �Gas Pipe, O Undrgrnd., Test
9. Water Pi'pe-Undrgrnd. " 60. Backwash Lines, P-Trap, O Undrgrnd.
70. Structural Floor SYstem . 67. APPROVAL TO DECK .
17. 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 SVstem-Final
76: Rough Electtic Wiring 67. Fencing & Access ApP�oval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL(SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning 3 u� (�EQ . FIRE DEPT. REQUIREMENT .
20. Rough Factory Fireplace ' - - „ APPROVALS Permit #
21. Ducts, in Structure � '" - � 70. Underground Hydro
22. Ducts, Ventilating 71. Product PiPing OGas OOiI
23.•Gas Pipe�Rough & Test � 72. Underground Flush -
24: Roof Framing , � 73. �Undergrnd.StorageTank �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
i :.
29. Insulation � I� 78. FIRE PREV. F�NAL
30. Drywall Nailing � jJ�, HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
. 32. Electrical Power Meter-Final � ' 80. FOOD CERTIFICATE ISSUED
. 33. Final Electric "Y� Notes: ' � �
34. Final Heating & Air. Conditioning � �
4d LE�,i i
35. Final Gas Pipe�Test. i�' �� �. -
i. �.
36. Hood or Canopy � _' ' i�: -.
37. Final Factory Fireplace. - �� ' �
. 38. Final Plumbing � , � '
39. Water Service�Final ' '
: 40. Gas Service-Final • -
41. Solar pomesticFinal �
42. Backflow Pre�enter � ' �
43. Backflow Irrigation .
' 44. Landscape Irripation System ' : .
45. Sound Attenuation . �. � � , .
46. Handicap Regulations - '
47. FINAL STRUCTURE & BUILDING ,-)
48. FINAL PLANNING - .�
rt
49. Electric Release to Edison -
1.
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
,
PH0.IECTRODflF�35: 250�% CHRTSTOPFIER LN
OWNEfl'$HRME: FAIRVIEW MGMNT. CO.
T 40D��� 2520 MERIMAC
h CM CA92626
uxir: NONE
RflCHIENCINFEH: BURKE LESTER � ASSOC. pE0.N0.:C 25
nooeess: z3025 MILL CRE�K RD ���'
PENMITTEE: I.AGUNA HILLS CA 92653
DOUG SCOTT ELECTRIC (714)775-0061
eooness: 16028 MOUNT HICKS
FOUNTAIN VALLEY CA 92708
LICENSED LONTMC70N OECLAMTION: I hereby aifirm that I am licens¢ Eer DroNsians of Cnapier 9lcommencinp witn Section
7000) af Oivition 3 0l tAe Business an0 Professi0ns Cotle, anG my licens m lullforce anU eflect.
cm uc.:—� 1 sure uc.: 3 7 4 2 9 5 ss —10
ate: fiO SiAnaNra: �
WOBKEB COMP NS�TION OECUMTION: I hereCy a//irm ihat I have certi/icaia o1 consent Io selt-inswe ar a certilicata oi Workers'
ComDensalion Insurance, or a cetlifietl caDY ��ereot (Section 3800, La�. C�.
roucrxo.:536366-89 exv.o�re: 07/01/90
cornrnxv: STATE FUND
❑ Cetlilietl copy I5 here6y furnishetl. � Cehitiea capy is /ile0 with Ihe ciry BUItOinp Olvislon.
r� � r �
oate: rd APDticanC L!�'"t eJea// � c�rG �
E%EMP1101 FIIOM WOflNEfl3' COMPENSITION OECWWTION: �Tks sect on need not Ee mm01ete0 if IAe pertnit is br one AunEreE'�5100) ar less�.
1 certiry that In the peAormance of iha work lar wh�ch ihis permit is issue0, I sAall not employ any parwn in any manner sp as ro become
su0ject m the Workers' Compensation Lavrs at Califomia. �
Date: Sipiu�ure:
NOTICE: IL atler maMnp t�is Ueclaation, yau 5�oN4 become su0lect ta t�e Warkers' CamDensatlon pmNsions at �he Labor
CaAe, yau must lorthwith camply wii� sucA pmvisions ar tNs Dermit shall he Oeemed revakeG.
CONSTHUCTION 1FN01N0 �GFNCY: I he26y ailirm Itut tAere is a canstrucGon IenGinp apency for the pertarmance aI�IAa work tor
wNch tNs Dermit is isSUM (�ctian 3097. Civ. C). �
LENDEfl: S�'
nooxess:
OWNEB BUIIDEB UEClAl1A710N: I hereEy aBirm tAat I am exempt irom t�e Comracmrs' State Lkense Law lor I�e lollovnnq aason
(Section 7031.5 Busineu an0 Pmfessional Cotle: p�y Gry ol counry whicA reQuires a Dermil m consirun, alter, imDrnve, Eemolish, or
reDair any slmcNre, pnor to its issuance, alw reQuires t�e aDPlicant tor suc� permit to file a siqneC slalamenl Ihat ha/she is Iicense0
pursuant to ihe pmvislons of t�e Comractors' State License Law (ChaD�e� 9(commencinp wit� Sectlon 7000) oi Divisian 3 of lhe Business
and Pmlessions COEe) or tAat he/s�e is exempt tpemfrom an0 the basis tor I�e alleAetl exem0�on. My violation of Section 7031.5 6y
any aDD���nt for a permit suGl�ts tM appliwnt ro a civil penalry of nat more ttun five hmAretl Uollars (5500).
i
I, as owner al iha D�aDerty or my bmployees with wapes as their sale com0ensalion,� vAll tla t�a waM1, anE the
❑ simcture is not ImenUeU or oileratl for sale (Section 704d, Business anA Pmiessional Cotle; TAa Contractors' State Licensa Law
Oaes not apply to an owner al a pmOertY who �uilds or impmves thereon, ana wha Aoes suc� work Mmseli/herself or ihrouph
Ais or �er own employees, O�ovi0e0 t�al suc� imOmvemenis are not intended or ofiere0 tar sale. If, Aoweve� the builtlinq or
improvement is SOIC within one year of complation, tAe owner vnll �ave the Gurden of O�ohnA he/s�e Eia not huiltl or impmve
br ihe puroosa ol sale�.
I, as owner ot �he pmpertY, am exclusively contractinp with IicenseA cantractors to consimct tAe pmlect (Section 704A. Business
❑ anA Vrofeuions Code: TM Cantracrors' State License Law tloes not aD01y to an owner ol properry w�o bmlEs or imDraves thereon
and who wntracis lorsuch pmlects wit� a conVactoqs�license pursuant ro Ne Contractars' Stala Li�¢nse Law). I am aware
� Itut Droof of tAeir Worker's Compensation insurance 5houlU be Dmvi0e0 to me.
�I � I am exemD� unAer Section: B. 8 P. C.
lor ��is reazon: �
Daro: Ownec
I Oo �ereGy certity Ihat I am aware ot an0 un0erst�d the requirements oi Calilomia HeattA an0 Salery CoOe Seciions 25505, 25533, an0
25534 an0 �hai I or any INUre OuilEinq octupant Wiitlwill nai (cirde one) nee0lo Campty wiih SaiO Slate toaes an0 th0 requir¢m¢ni5 �of a
permit tor wnstmctbn or moAiliralion imm t�e tir �ualiry Manaqemem Disirict. Hesitlentul canstruction apqiptions are exempt Irom
these provi4ons. .
Date: MplicanC
I here0y cerliy IAat I �ave mad tAis ap0lication ap0 sWte t�at the abave' ormation is cortect. I apree ro com0ly vnih all city an0 counry
or0irunces ana sute laxs reWtinp ro CuiIEInO construction and �ereUy a representatives a1 ihis city mer upon tne aEovo-mentionea
pro0erty lor inspection purpous. ,
/
Date: 3 SiB�aWre: � �
Dnver's icense or Sociai Securiry x: � �
1641-48 Wnite—BuIlEinp; Groen—CoOe Eniortemen�; Canery—Applicam; Pink—Revanue: GolEenroE—Assessor
_ CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: E 046422 PLAN CHECK NO: �1
CONSTRUCTION TYPE: V—N • PERMZT TYPE: ELE
JOH DESCRIPTION : NEW SFD
CLAIM VALOE:
CALC—VALUE;
PERM NO: � 046422
GOVT: N SUPP: N
PURPOSE: DIEW
SQ FT:
GROUP OCC: R-3 /M-1
COMMENTS: REF B44818
+t+�*�r*+�*��r*+r******�**�r*��**�#���*******���r�r�r�*u��*�r+��x���r***���rrt��*�e**�x*���*�ex�r*�c
Z O N I N G R E Q U I R E M E N T S
ssran.cxs
------------ MAZN BUILDING ---------- ---------- ACCESSORY BUILDING -----------
FRNT: FT IN REAR: PT' IN FRNT: ET IN REAR: I'T Irl
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 00000000 ZNE: REF NO:
PLANNING NOTES>
>
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D E V E I� O P M E �l T S': E.R V I C E S R E Q 0 2 R E M E N T S
ZONING APPROVED BY . ' DATE:
BUILDING APPROVED BY :
i
APPLICATIUN ISSUED BY: —4� � /'_
�E�F�Ei�if***i�i�*iE3Eif�i�*�i(�ki�*SF3�3FiF3F�FiF �iFaFiiy�
M�lE i! iE 1(- i(� lE iE 3t it iE if 3E # 3E M it iE iE it 3f it it it �lk it iE iF ik iE iE IEif IF
LEGALIZATION:N F E E
BLDG PMT PLUMHING EL
PERMIT
PLAN
ISSUE FEE
BUILDING—DIV—>
TOTALS---->
DATE:
/ ('}3 q
� t F�7FR�'{Fx��iEiEitDi�EiTtiEtitx����f'iF'ff�f�-ic.
ff �FififiFiE7f1f1Eif1liFiF�FiEifkjFifatiEikiEiE3fiEitifiEiEif�tifiFifiFN�1E3tMif
U M M A R Y STRUCTURAL SEGMENT:N
IC .MECHANIC FIRE SMIP/RES GRADING
33
OY SMIP/rlOr]—RES '
15.�0
PERMI'f ISSUF. PLAN—CHECK
66.33 15.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLUG PMT PLUMBING ELECTRIC MECHANIC
81.3J
TOTAL PAID DOE
8'1.3� 81.3] .00
01.33 OVER/SHORT: .00
FIRE SMIP/TOT GRADI�IG PLAN—CfiECK.
iE iE if-if �f iE IE if iE M ff iF IE iF iE iE IE dElf if 7E 3E 1f IE iE if if if iE �E if �lf �E jE 1E iE if iF iE iE IE jE �f N� �M iF 1E iE # IE IE iE it 1f if �F iE iE fE iE if 3E iE dE �E �E iE 3E ik iF �%!f iE iE f(� �F iF If 1E
I N D I V I D U A I� F E E B R E A K D O W N
TYPE QTY � D E S C R I P T T O N UNIT COST TOTAL COST
ELE 1y95 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT
END OF FEES
03 66.33
oi 000sss4o-000sss4o �a� ai.aa
DATE� 03/12/90 TIME: 11:40
,
CONSTRUCTION AND PLANNING POG SPA �
: R!'�ROVALS Permit �k Date Inspector qpPROVALS Permit # Date Inspector
. ri i
1.�Temporary Electrical Serviceor Pole� _ �- 52. Pool & Equipment Location �-
2. Soil Pipe-Undrgmd. , _' ' �' 53. Steel Reinforcement �.
i,
- 3. Eleclrical�.Conduif UtilitY-Uridrgrnd. ��� 54. Forms
4'.-Electrical Conduit=Undrgrnd. - 55. Electrical Bonding
-�'5.'Sreel ReinforcemenC. 56. Rough Plumbing & Pressure Test -
;�6. Electrical:UFER Gmd. �i 57. APPROVAL TO COVER�GUNITE -
- 7l Footings � - r.. 58. Electrical Conduit�Undrgmd.
; 8'. Foundatcon• �' �: � 59. Gas Pipe, O Undrgrnd., Test '/'
� 9. Water PiperUndrgrnd. r � �,� 60. Backwash Lines, P-Trap, O Undrgrnd. /��'�/
�' �
-10. Structural Floor Svstem � " 61. APPROVAL TO DECK / i
17. Property Sewer Line & House%Connection ,`• 62. Backwash & Receptor�Final ,
12. Sewer Cap _ _,_� - �� 63. Heater & Vent-Final �
13. Roof Draint- _, _ � i� 64. Plumhing System - Final �-!�
14. Rough Plumbing � � � 65. Electrical-Final
- fi'.
15. Rough Electrical�Condu�t ��� . � 66. Solar SYstem-Final •.'
16. Rough Electric•Wiring ` 3�3Y �
� 67. Fencing & Access ApProval
_77. Rough Wiring Sign � 66. APPROVED FOR PLASTERING �
18. Rough Electrical-T Bar Gei�ing • 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating &_Air Conditioning _ _ ,FIRE DEPT. REQUIREMENT
20.-Rough Factory Flrgplace :: �' - r �-� ' .. -qppROVALS.=,��Permit # � _
21.-DuCts, in Structure�� '- '' - � ' J70. Underg�ound Hydro
e.
22.-Ducts, Ventilating,, �:=, - r.. ��71. Product-P,iping O Gas OrOil
23.•Gas�_Pipe-Ro�gh & Test ' _ - _ • - 72, Underground Flush
P4.`�Roof Framing '_� � �' �- � '.73.- Undergmd. Storagg_Tank O Gas ❑ Oil
25. Roof Sheathing �� � - _ -' �_ 74, Overhead Hydro- _ '.
26'T-Bar Ceiling (Structural) & Monocoat � 75iDry Chemical _- . -
i
27.�Frame and Flashing � - " • � � 76. Dry Standpipe -'" ,
�_28. Lathing=& Siding r� - . ' 77.� FIXED SYSTEM FINAL _ � -
29. Insulation '� � 1` 78= FIRE PREV. FINAL °- '
, -
� 30. Drywall Nailing �' � ,... I� i� - H,EALTH DEPT. FiEQUIREMENT
� 31. Plaster Brown Coat� � '"" i"'�79.�FINAL INSPECTION ' -
��.32._Eiectrical Power Meter-F.inal S".� �' �SO..POOD CERTIFICATE ISSUED_
_33-Fina1 Electric � -' G �S"9Q Nofes: ` - ? •
,� ...
'_'34: ,Final Heating�& Air�Conditioning- r _ °' ''_ � � � _ _ , - ^
.
35. Final Gas Pipe-Test. - � •� � - � , j ��: c 7 � - - � -
�a'36.JHood or Canopy � - . ' _ -
�-.37 Fina! Factory Fireplacer' � - � ,� � _
�38. Final Plumbing '� � . � � � _. - - ,.
� 39. WaterService�Finaf � i . ..' � ' '
-40. Gas Service-Final �� '• ' - - -• ` ' `- � - -
_ � �
`41. Solar pomes[icFinal �.j J �� . ' � . .,, r - ,_
42 Backflow Prevented� ^ , � - - - ` -
_ y _, - .
43. Backtlow Irrigatiooi �� J . � T� � � ,
"44. Landscape I�'rigation Systern�� _ - � ' �V �# ,; _ c �
� ' 1 T � _ . _ � Y _ �'
' 45:=Sound Attenuation' - . .. -, ; �. �. . -� ; _ _ •
•46.-•Handicap Regulations _ ' ' � - � = ,
t, F -
�.47-FINALSTRUCTURE&BUILDING _. r: : - �
48. FIN'AL PLANNING � ` ,
49 ,Electric Release to Edison • ' ., �
• 50 -Gas: Release to Southern Califomia Gas Co �� - - `
51. CERTIPICATEOFOCCUPANCY - -
No. Date