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Home My WebLink About2508 CHRISTOPHER LN - Building PermitsPPt�i�TRDDNES3: ZSOB CHRISTOPHER LN _ owxee•sxnrne: FAIRVIEW MGMNT. CO. , , nooxess: Z520 MERZMAC CM CA92626 uxir: NONE � , RPCH/ENGINEEP: BURKE LESTER 6 ASSOC. eec.xo.:C—C�925 ` PDORESS: 23OZS MILL CREEK RD "R� � LAGUNA HILLS CA 92653 PEpM'nEF: FA2RVIEW MGMNT. CO. ( 714 ) 545-7327 aonness: 2520 MERIMAC WY CM.' CA 92626 ❑CENSEU CONTMCTOB OECUMTION: I here6y aifirm that I am Iicense0 unAer pmvisions oi Chapter 9(cammencinA �� Section 7000) ot Division 3 oi the Business and Prnfeuions CoAe, ana my license is in tull force antl ellece. CITY LIC.: STRTE LIC.: Cl11SS: Oate: Signamre: WONKEqS' COMPENBRTION OECIAMTION: I herehy afiirm that I have a certi/icate o1 consent ro self-insure ar a cetlificate of Workers' ComDenutian Insurance, ar a cetlifie0 coOY ��e�eof (Section 3800, Lah. q. POLICY NO.: . � EXP. ORTE: COMPRNY: 7 Certilietl copy,is hereby fumished. ❑ Certifie0 copy is file0 wit� tha ciry Builtlinp �ivision. Date: Applican�r E%EMPTION FflOM WOflKEflS' fAMPENLITIOX OECUMPON: � �Tiiis secUan neeA noi 6e completeA i� the permi� is for ane hunAreO (5100) ar less). I cerlity thaLin ihe pertormance ot ��e work for which this pumit is iSsueA, I s�all not emDloy any peaon in any manner so as ro become su6lect to ihe Workers' Campensation �aws oi Calitomiaf - Date: � SiAnatureJ NOTICE:I�, afler makinp Ihis Aecleration, you 5houlA hecome suble� �o-��e Workers' ComOensa[ion provisions ot ihe la0or Cotle, you must lon�with com0ly with such Drovisions or this Oermit shall De Oeemed revoked. . CONSTpUCTION IENOING RGENCY: I here�y aifirm thet there is a constructian lentling agency for [he pertormance of t�e work far whic� �his Oermit is issue0 (Seciian 3W7, Cie C�. � ' - LENDEH: ' ADORESS: - - � - � CITY OF.COSTA MESA — BUILDING PERMIT PERM NO: H 044819 PERMIT NO: H 044819 PLAN CHECK NO: N GOVT: N SUPP: N CONSTAUCTION TYPE: V—N PERMIT TYPE: STR PUAPOSE: NEW JOH DESCRIPTION : NEW SFD . SQ FT: 2,357 CLAIM VALUE: . 136,146.00 CALC—VALOE: 136,145.50 GROUP OCC: R-3 /M-1 COMMENTS: PC 1296-89 L PAID �*�+r*�r�****�**x*��x�x�r�r�r�r*�r*�rx*��*��r**�r***+��r*�r*+r**x��e*�r+r�*+�*****�*�**�r�*��r*�+�** Z O N I N G R E Q U T A E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FANT: 35 FT IN REAR: 45 FT IN FRNT: FT IN REAR: IN LEFT:, 5 FT IN RGHT: S FT IN LEFT: H�FORSF�I��EQUIREME� IN �-r -o�a -i� PARKING REQUIRED:� 2 PARKING PROVIDED: 2 PARCEL: O�S0000 ZONE: PDRHD PLANNING N6TES> STBKS SHOWN FR LINES ON PLANS — PROJ IS ONE LOT SUBDIVISION > ALL PARKING IS COVERED. RES TO BE USED FOA CLIENTS it iE ik iE if M if iE iE K iE iE iE iF M 1t if fE iF iF �t.1E iE iE 1! �If iE iF if ik iF if k 1F 1E iE iE iF 7f iE i41E If %iE if if �F if iE it iE 3E it iE iE ik ik iE iE If iE iF iE if iF 3E iE iF IE iP i(�iE iF 3f iE ik iF �E D E V E,L O P. M°'E "N T S E R V I C E S R E Q U I R E M E N T; S'- ZONING APPROVED, BY • � DATE: .%`1��1 g% BUILDING APPROVED BY :, iYI (�Ar [] DATE: LD.'Z% � APPLICATION ISSUED BYi;• DATE: I�'O�� iEf(�fFMiFiElEiFklEifiElffElklEiEfFlfifiEif �f3EMItiFiEifMlEif�3F� � iffkififkiEiEikkitifiEififiklEititlFkiElEiEfkiFltffiEikikiflEiElfifiEiE ikiEiEifiEfFikfkiEiFiF%ifiFlElfikikiEififlElffFiFiElFifiEifiE�flkifiEiFaFifiP*if LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y' OWNEHBUIIDEN�FCUMTION: Iherehyaifirmt�atlamexemptiramiheCantracrors'StatelicenseLawtorthefollawingreuon BLDG PMT PLUMBING ELECTR�IC MECHANIC FIRE SMIP/RES GRADING �Section 7o3t5 Business antl Professionai Cotle: nny ciry oi counry which requires a permit m constmct alter, improve, tlemolish, ar [� ERM I T 7 6 9. 00 9. 5 3 repair any sVucture, prior m i�s issuance, also requires the applicant for such parmit to fiie a signed statement Ihat he/s�e Is licansad � • � SM 2 P/ NON—RES pursuant ro the pmvisions af the Contractors' State License Law (Chapter 9(commencing with Section 7000) o/ �ivision 3 of the Business p LAN � anU Profeuions CoOe) or that �e/she is exempt therefrom and the Easis for Ne alleAeO exemptian. Any dolation of Section 7031.5 �y ' any aDDlicant for a De�mit subjects I�e applicant to a civil penalry of not more tAan fvc hundaJ dotlars (5500). � I SSUE FEE � i az awner al the oroDeny ar my empioyees witn waAes as tneir sole compensatian, will no che work, ana ihe BUILDING—DIV—> PERMIT �ISSUE PI.AN—CHECK TOTAL PAID DUE ❑ itmcture is not imende0 or onered tor sale (Section �6aa, eusiness and Pmlessional Coee: The Contracmrs' State License Law TOTALS----> 7% 8. 5 3 .' �. 0 � -u �, 0 0 %% 8. S 3 % 7$. S 3 . � 0 Uoes not a00ty to an owner of a propeM who huilOS or imD�oves Ihereon, antl who tloes such work himseli/Aerself or tAmuph . his or her own emplayees, pmvideA that such impmvements are not intende0 or offereU for sale. If, however the huilding or REVENU E D I V I S ION T�TAL S--> COLL ECTED : 7'� 8. 5 3 OVER /SHORT • . � 0 . for�iheeDuryoseofl�e'hinoneyearoicompletion,theawnerwillhavet�e6uNena�pmNnghe/s�e0itlnotDuilGorimprove BLDG PMT PLUMBZNG ELECTRIC� MECHANZC FIRE SMIP/TOT GRADING PLAN—CHECK I, as owner of the Omperty, am exclusively contractinA w��h licensetl cantractors to constmct the pmle�t (Section 7044, Business ' 7 6 9' . O O � ' 9, S 3 � � ana Pmfessians CoAe: The Contractors' State License Law Oaes not apply to an ovmer of property wha hmltls or impmves thereon ane who cantracts �or Such Orajeci5 with a tonirattof(5) licenie Oursuant Ia Ihe Conlraclat5' SGIB litense Law). I am awar¢ 3F If�f if 1f1FiE If1EiF !f !E 3f 3E 1E lffElfikiE if fE{(�if1f jF{E1f jf{F {(.{E �.{p'�:{(�a(.* ***.{E {E*{E {F{(-{E{(�{f{(�{(�*.{(�{F.7�**{E �.{f {E {E iFN.{E.7F{�..K.{f*.*.{�..7E{E {E {�.{�.* �ha� Dmof o� tAeir Worker's Campensation insurance sAoulO be pmvi0e0 �o me. � I N D I V T D U A`l� F E, E B$ E A K D O W N � I am exempt untler Section: � . B. 8 P. C. , � ' . rorteisreason: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST oate: ' ��e� ' SFR 1f395 DWE—TYPE V—�WOOD FRAME" —GOOD 67.70 128,291.50 I tlo �ereby certiry tAat I am aware of and untlerstanG the requirements oi Calilomia Healt� anU Safety Cotla Saciions 25505, 25533, antl S FR 9 6 2 RES—GARAG ES TYP E V C." . 1%. 0 � %, B 5 9. 0 0 25534 an0 ihat I or any tuwre builtling occupant will/will nof (circle one) need to compty with saiJ state co0es and ihe requiremenis for a - permit for construction or moCification imm the Air Oualiry ManaOement Oisirict. Fesitleniial conslmction apDlications are eaempt imm � �END �F' FEES . [hese pravi5ion5. - ' Date: FpDlicant I here�y certity that I have read tAis application anA state tAat Ne above informatian is correct. I aAree ro comply witA all ciry an0 counry or0inances and sWte laws relatinA �a builOinA �nslruclion antl hereby authonze reD�esentatives oi t�is ciry to enter upon ihe above-mentlonetl proDeM �or inspeciion puryoses. � ' Date: ' - SiAnaNre: Omer's License or Social Secunry 1641-4fi White—Builtlin¢ Graen—COEe EnforcemenC Canary—ApP��cant: Pink—Revenue: GOICenroE—Asseswr . , .CONSTRUCTION AND PLANNING � POC . SPA � • APPFj/jVAL� Permit# � Date Inspector APpROVALS Permit# Date inspector 1. Temporary Electrical Service or�Pole 52. Pool & Equipment Location -2_�So�l Pipe,aUndrgmd-, � � 53. Steel Reinforcement . . '��-Electrica"I,Co"ndUit'Utility-Undrgrnd. 54. Forms " � .r"'h!t _ •-•• r •� r. �, .-. . . '�4`�1'2ctrical'CondL��'Undrgrnd. 55. Electrical Bonding = S%StEel ReSnfni��e`m2ht 56. Rough Plumbing & Pressure Test � T ' ,_j,.'6��EI ctric�,UFfA�imd. 57. APPROVALTOCOVER�GUNITE `�' p�� Footings c��J_tCi /� 58. Electrical Conduit-UndrgmB. a ^ 8. Pounda,t4io� '� - , .. 59. Gas Pipe, O Undrgmd., Test t� � r9. Water Pige�Undr,gmd. 60.�Backwash Lines, P�Trap, � Undrgmd. =10. Structu'ral�Floor System j� i 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection �' 62. Backwash & Receptor�Final � ' � 12. Sewer Cap =� ._ 63. Heater & Vent�Final �.: 13. Roof Drains,"... . f "� 64. Plumbing System � Final ' 14. Rough P^umbi�g 65. Electrical-Final 15. Rough E�ectrir.d6Conduit 66. Solar SYstem-Final 16. Rough �IectricWiring 67. Fencing & Access ApProval �'17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ��18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19._Rough Jeat� g&_Air Conditionin9 � F n � r R : �, FIRE QEPT. REQUIREMEN7 _ � u , � �� +:�.; c,^ M �� v o - .. �p -1 _ ,.+ -- 20�Rouyh Facto�Y Fd_ieplace c:� QQ ;; H n��: r;}APPR9V/{,LS:.�:..,Pe�mit# �� -- y.` W � C7 -� , w t"yy^ " . 21i"Ducts, in'Structu�e' " " '70. Ondergroand H�tlro '� ;r, _'K ' S r. -,r : a ;-! (l ... u r, 'l 1 ' . • {. � l�i� .6 X. i. .� _.. 22:-Ducjs, Ventilatirig,�; ._� �� * � � n E.;�; r� �77. producC�iping d6as OOiI 23.vGasPipe+Rouqh & Test � ^1= �k i�. < O� M �7y, Undergroeind FIlisR? "` " ==- n -� , I: � r.•r. .'Y(l z "z Y: �� r. 24.'��RoOf F'r�ming '-�� . F�� ,.'�,�;; y ` ,� c � " ` - - ^ � �•- � . c, H r. �e ••73-±Undergmd. Storag�'Lank��O Gas ❑ Oil 25. RoOf Sh3athing ��: �' �� _ ��"�" w' Q� �� * 7q�?6verhead Hydr� � x rn r.v: _ /�4 �(� � .i'Y, .�C' X. '_. r • -� � _• ...� • - -• 26.'�T-B�r Ceilin�(Stiur'rtural) &`Monocoat{','. , ,-, ;1 �i,�,� � 75;;4ry CherRiyal r� i: ~ - yCi � 27-�Frarne and Ftashmg: �^�^,, r. � Clp .�� 76: Dry Stan�'p7pe r'�� '" � ..i1,:� n��. ; r a��--i x ^ _ �`"'28.� Lathin�& Siiiing'� "� ,]�; ; �.ye + ^IK �s 77� FIXED SYSTEI�1'�,`'FjINAL. � -, �� . � �. � -. . _. . � 29. Insulatibl� � r:�� = O �* -� �,-'� � 7g;;�FIRE PREV. FINe'L ' = ' ,,�.,, T1 'l !'l 'J #' C '� t C' � 30. Drywall Nailing C} r. �, v,,� �c`�* r, 4 "� �!(� � � ��LTH�,DEPT REQUIREMENT � - - ^31. Plaster Brown Coat� = [":^ �-�Cr �+ .�C j� s-� x• 7g.�FINAL INS„PECTIDN i, _-:�m _ c.. �- :. n - r -� ;� ": . i ,. i3 i � I •`K {: ^ ^ : � �;32_Electrical Power Me�ter=Final ;�,, * ,p: * ''SO�FOOD CERTIFICD,7E ISSUED_ ^33' Final Electrir �' h; rnr �� V 1 >- * Notes: e�it� �.�j',]�Q(J� r �- _"1 r : y- ��34i.Fingl Heating�&Aiy�on`ditionttig• ��L,��.�;; � � '� �.��;.�7,��-,� '�' ' � � �-' � ' 35,yFirial Gas Pi�pe-Testr ,�� . I� j�{: w �� co �o-, � �'36 Hop.p or CanoPY 7=� T•�y .'~�. * n � i' ''x �: T t� r T p , � �r� �i� a:r :: ;* * 0. . Q � V rl � t•l � ' Y -;37 �Final Factory Fireplace:� � !ub�>.• f i h' � � - ,� � s� e "38. Final Plumbiri Y' �^'� ..t: , ��: " � `" �` �' � .- � 9 �: "i i � r, : z j l* * C �-, .� � x `�39. Wa[er Service;Final� � ' . J�G� s cc -M � � � n" �,: " :s+ � r. � � � c --� � "40. Gas Service�Final ' � �� '+�� "' 7 � �* ` ,<�� '�r� +: 'K T i"1 i- ci• ,x '; x ! � .A.. �: • c.� � x, 4 z � a: - t i t i-� �� x i ,-�. ,. �., r. . �41. Solar pomesljoFin21"' -- b;fJ � i : Y: ^u C a, � � .-. , - 42 Backflow Preventer� : N .� JO:.* ^ 1 ; 'z a: pFf • ,: 7 ri (l il �-."�. .. K r ,�: a: IT; .7 "J R `._-� rJ a� r" 'z.".:.=: :�-. r � > +. .h'-w � � :�'" 43. Backflow Irngation� � �,v; � � *.. - i :x ;� • � - y - ., _.� �"44. Landscape IRigatidn Systerr�r� `��`�'� ^ O^ Ox. �K ; c� N ; ^(� x. N � o [� .+ _�. ^• O=' ` I M• a: C C 3,� Y. i L• �. S - :-i Q wti �: ::: C" ^ t'q E';: i r� "� M� n �'45�Sound iAttenuation y . q^;�, r " n� ;� ;-':: r - , • , n ;46.••Handicap Regulations �-+ ' '�? ' x'" l ^ "�•% Y -r � .: c; ._4. r. .:O r. �47'FINF\LSTRUCTURE&BUtlDINGc� �� y`y ^� �� 48.=FINALPLANNIN6 � =� -' �' "� ' 7; - '��''� . '', .`�_', -`. �' c':' -.i �-, I , � � '� + eL . . :49rElecSric�Relesaseto;Edison � �,�' � :'� �� t �; - - ' �,v �-50:'=Gas=Release�to Southem Califorrtia Gas Co M ��- I :. 'f � - `� , "�y ` � �J l ,• x ,� .-,o n �: '.,c �57. CERTIFICATEOF`OCCUPANCY " - "' " :.' "`' ^ .-' '�� No. Date CONSULTANTS • INC. May 25, 1990 CITY OF COSTA MESA ']'] Fair Drive Costa Mesa, CA 92626 Attn: Building Department Subject: CZVIL ENGINEER'S FINAL GRADE CERTIFICATION FOR TRACT N0. 13348, IN THE CITY OF COSTA MESA (FILE 2046) BLDG. PERMIT N0. B044819 This is to certify that the final grade For building No. 12 also known as 2508 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 Dewan, 1�.C.E. 34559 Engineering Manager :jls 7 1 ffi North Tustin St. Orange. CA 92667 (714) 744-0802 Fax (714) 538-2152 Other �ce Loca2ioru: Rancho Cucamonga Palm Springs THIS IS TO CERT: THAT INSULATION HAS BEED. NSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: SITE ADDRESS: 2508 CHRISTOPHER WAY COSTA MESA, CA Number Street City/State AIR INFILTRATION: MANUFACTURER: MANVILLE EXTERIOR WALLS Manufacturer MANVILLE Thickness/Type 3}�� R/Value'R-11 CEILTNGB Batts: Ma�ufacturer MANVILLE Thickness/Type 6 3/4" R/Value R-19 GENERAL CONTRACTOR: MESA DEVELOPMENT LiC. # By Title Date INSULATION CO TRACTOR: WESTERN INSULATION, INC. Lic. # 481278 By Titl� Authorized AQentDate 5-16-90 Form 106 3/89 PX0.IECT�ODflES3: ZSOB CHRISTCPHER L� OWNEN'SNRMF. FAIRYIEN MAhAGEM:ENT CC. nooeess: 2400 MAIK ST ,IRVl�'�, LA. UNIT: � �z RflCH/ENGINFEfl: �U�i(E�LESTER �Fi A�S��. pE0.N0.: Un�KNQ�^ � ►ooxess: �3025 MILL CREEK DR ' 1ii1i1` LAGUNA HI�iS CA 92653 PEflMITTEE: K.C. PLUMBING (714)598-'4622 RODPESS: Z37Z 6LASSELL AVE A QRANGE CA 92EE5 LICENSED CONTWICTOB UECUMTION: I �ereby aKrm tlut I am Iicense0 unUer pmtis'mns ol Ctupter 9(mmmencinq wit� Section 7000) of Oivision 3 of tAe Business anE Professions Cade, anE rtry license a in tull rorce antl eflect. cirruc.: Yi6 5c�S sTnnuc.:28347 cuss: C-3l �'t� Oate: �,�Z-� � 1 Siqnature: �-� tm m WOBKEBS' COMPENSRTION OECIAMTION: I here6y aflirm ihat 1 Aave a cenifiwte oi conseni m setNnsure ar a certilicate of Workers' ComDenation Insurance or a certifie0 wDY t�ereoi (Section 3800. Lab. C. roucrxo.: 80013953 EXP.ORTE: �S�L�fIS{C COMPRNY: CAVGC INS . � Certilietl copY �s herehy fumished. � Cenife0 co is filed wit� [he cHy Buildinq ONision. n ' �ate: +l I�9 ' npPliwnt: � l -Z � •� " � � � IXEMPf10N FPOM WOHKEXS' COMPENSIITION OECWUiION: (iNs sxtim ceeE naI be campleteA ii Ne pertM is fa me hunOreO �5100) or less). 1 cetlity that in tAe Dehormance oi t�e wnrk lor wNch tNs permn u issued, I shall not employ any De�on in any manner so as to become suble�� ro lhe Workers'� Compenution Laws of Califomia. � 1. Date: Siqnatua: NOTItE:If, atter makinA �his Oeclaraqon, you SAoul4 Eecome subject to �he Workers' Compensation'D�ovisions of [he Labor Code, yau must Porthwilh campry wiih suc� Drovisions ar th¢ permii s�all Ea EeemeE revokeE. CONSTBUCTION 1FN01NG �CENCY: I Aere�y amrtn itut [here is a consiructbn IenUinO apen�y tar the DeAormance of t�e wark for wnic� tAis De�mit is isSueG (Section 3097, CN. CI. LENDEN: AOUflEBS: OWNEP 9UIL➢EB DECUMTIOM: I Aereby atlirm Uat I am eKemD� ��om the Coniractors' Siate License Law for the lollowin9 reason (Section 7031.5 Business anE Prolesslonal Coae: My ciry of counry wtnc� reQuircs a permfl to consirucl, al[er, improve, Oemolis�, or repair any stmcmra, D�< <o its issuance, atso reQuires the aD0licani lar suc� perrtnt to lile a SipnM statement tAat he/sha is Iicense0 pursuani to tAe pmvislons ol the Contractars' State Licensa Law (Clupter 9(commmcinq wiiA Section 7000) ol Uivision 3 of tAe Business anU Pmfessions Code) ar t�at �e/s�a is axem0� ��eatrom anU iM basis br Na allegeG eMemOtion. Fny Nolation al Section 7031.5 by any aODlicant tor a permil su�jecis ihe applium ro a civil Denalry ol fwt more Itwn INe �unGreA Eollars (5500�. I, as owner of t�e OmOeM ar my employees wit0 wapes as Ineir sole comDe�tion, wi0 tlo ine work, ana tAa ❑ sWCNre is not intenAeA or offereE Iw ule (Secuon 70Cd. Buvness anE Pmfesslonal COEe: The Contrzctors' State Licenu Law does nat apDly to an owner ol a D�operry wtw OuilEs or impmves iherean, an0 w�o Coas suc� work Mmsell/herself ar tArouph Ais ar Aer own emDloyees, D��tled Ihat suc� improvements are nat intenaetl ar ottere0 for ule. 11. Aowever ihe huiltlinp ar imD�ovemenl is wIG wiMn one ywr al mmpletlon, the owner vnll fuve tAe burden ol prodnp �e/she diE not hulld or imDmve for t�e Durpose ol salel. I, as owner ol t�e DroDerty, am exUusively wntractinp with Iicense0 wniractors to wnstmct the Dmjecl (Sectian 70A4, Business ❑ ana Pmiessions CaCe: The Contactors' Stata Licmu Law Gces not apDN �o an ovmer ot pmperty who hutlAs or ImD� theieon and who contnc6 tor sucA prol�� h a caniractm�s) Ilcense Dursuanl to l�e Caninctors Slaie Ucense law�. I am aware �. inat vroof of tneir Worker's CAmptnSation insurance sAoultl Ce provi0etl to me. I� I am exempt wAer Section: B. 8 P. C. lar Inis reuon: Date: PMner. I tlo hereGy certity tAat I am aware at anE unOersWnd tAe aquiremenis of Calitomu Heatih an0 Salety CoOe Sections 25505, 25533, ana 2553C ana tllat I or any tuiure Eu0Uin0 a��upanl wilVwill noi (drde one) nee0 �o Cwnply vnlA SaiE s�ate co0es antl ��e'repuirements �or a permit for constmctian or moUification fmm I�e Nr �ualiry ManaOement Oistnct. ReSiGential canstmction applications are exemD� ��om ihese pravisions. Da�e: Appliuni: 1 �ereEy certify tAat I have reaE ihis aDO��on an0 sWte tMt the aGove informa0on is correct. I a0�¢e ro compry with all ciry an0 counry or0inances antl state Wvrs reiating ta Ouiltlinp mnsimction and hertUy authorixe representatHes of ihi5 ciry to enter uDon the abwe-mentioneG pmPertY fa ins0�ti n Durposes. /� �n �� Date: f I� Signature: ` �`'�, A m m �' `�� Dnver's License or Social Security W�ite-BuilEing; Graen-CoOe Enlorcemenl; Canary-Applicam; Pink-Aavenue; Goltlenro0-Assessor CITY OF COS7A MESA.- BUILDIN� PERMIT PE�M1T NC: P 045112 PIAN GHECK NQ: N 60VT: N SUPP: N CGNSTRUCTION.TYPE: 1iGOC FRAHE AERKIT TYPE: PLU PURPOSE: hEM J08 QESCRIPTION : hEW HOUSE P WkBING SQ F7: CLAIM VALUE: CALC-VpLUE: GROUP OCC: / COMMENTS: REFERENCE STRUC7URAL PERMIT 1! 8044819 00 ##*# 73 �#4i 3#�O#7t33# i#4##39�#3###t##�###i�R#iC###f3##�h#+Rt�S �R+pc## ########II###�t�k3### Z� N I � G R E Q U I R E M E N T S S E 7 8 A C K S - MAIN BUILaING -------- -------- ALCESSORY BllILOING - - FRkT= � FT IN REAl2: FT IN FRNT: FT IN REAR: FT IN IFFi� FT IN RGHT: FT I�' LE�Tt FT if� RGH7_ FT IN PARKI(V6 FEQUIRED: PARKING PR�VIDED: PARGEL: OOQ00000 ZONE: PI��NIKG NGTES> i **sa�a#a�sa�as� #sa�#s#aas�sasaxaaaaaa�sa��sriaa�z# ��*asx��a�t�o-tass�s�aamaassa#a*so�as D E V E L Q P M E N T S E R V I C E S R E 9 U I R E M E h T S ZONI�G AFPROVED BY DATE: BUIlOIRG APP&OVEC BY = DATE: APPLItATION ISSUED BY: /' ' DA7Et /1L�a'�� 3#i##�C####t��#��#0##tLi�ti ##3#�O##�t�L 3## # #t+F#t3###�R�t04#tS�i###"II4II�# 4# ##�00#t#%�A3##�t*#7�#i�#t####LLtO####3i###,R####�% *�##�3�-#�####�tC#ti�t####34�i####�k IEGALIZA7IdN:N F E E 5 U M M A R Y 5'iRUGTURAL SEGMENT:� BLDG PMT PLUMBING. ELfCTRIL MECHANIC F1RE SMIP/RES GRADING PERMI7 27.Oa Z5$ SMIP/NGM-RES PLAN ISSUE FEE 3.00 BUILDIN6-DIV-> PERMI7 ISSUE PLAh-CNECK TOTAL PAID DUE Tc;1nLs---� z7.oe 3.00 0.00 ?o.00 ��.00 .00 REVENUE GIVISI�N 70TA15--> CGLLECTfC= 30.00 QVER/SHGRTn �Q BLBG PMT PLUMBING ELEGTRIC MECHANit FIRE SMI,P/70T GRADING PLAk-CHECK 3o.ao 0# #�3�4#�F##3 #*##IIII?�t3k#ii3##3#�## *#�i�#### ###4#*#+p�R�R�kX<4####Oi�# #O�kII#3##�k��tii# f�Ri I R D I V I D U A l F E E 8 R E A K D 0 k � TYPE 47Y D E S C R I P T I C N � UNIT COST T�TAL GQSi PLU 1 BATHiUB 2.00 2.00 PLU 1 DISH4AfHER 2.Q0 2.00 PLU 1 LAUNDRY TUB OR kASHER 2.aD . 2,pp PL4 1 SHONER 2.�0 2.00 PLU 1 SINK, KI7GHEN . 2.G� 2.A0 PLU 4 WASH BASIN 2.Q0 8�00 PLU 2 HATER CLQSET ITOILET) 2.L�0 4.00 P�l+ 1 KATER HE4TER AND/OR VERT 2.� 2.00 PLU 1 GAS P3PING SYS QF 1 TG 4 Ci17LE75 2.QU 2.00 P W 2 GAS PIPIKG SYS S+ENQUGF f��UTLE7 .SU l.00 0 O1 O�U48421-D0043S21 T 4 T 30.00 DATE: 11/28/89 TIPlE: 14:14 _ CONSTRUCTION ANDPLANNING POl .SPA APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole , . 52. Pool & Equipment Location � 2. SoilPipe�Undrgrnd. ', � 11i(.� L� 53. Steel Reinforcement 3. Electriwl Cqnduit�UtilitY-Undrgmd: � 54. Forms 4. Electrical �Conduit=Undrgrnd. '• 55. Electrical Bonding .� 5. Steel Reintorcement 56. Rough Plumbing & Pressure Test _ ' 6. Electrical UFER Grnd. - 57. APPROVAL TO COVER�GUNITE �. � � 7. footinqs ''� : ,` 56. Electrical Conduit�Undrgmd. ' �' 8. Foundation 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgrnd. ( Zp� L� 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 (�Qd (�� 65. Electrical•Final 15. Rough Electricei-Condu�t . . 66. Solar SYstem-Final 76. Rough Elettric�Wiring . 67. Fencing & Access ApP�oval - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 78. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air CAnditioning FIRE DEPT. REQUIREMENT _� ._ _ _ 20. Rough Fac[ory F iePlace � :,� -.' h � -� -'s n .APPROVA�LS;.�`Permi[ # `' � •�� _,� '.� �� . 21. Ducts, in Structure.� � •• �• � � � ^ �70. Underground� Hydro 1 �f � `t � .. . f . � �1 i � '. 22. _Ducts, Ventitating y � S, � } �n „. 71. Product Pipirg O�Gas �;Oil 23..Gas-Pipe•Rough & Test i � �: � � �72, Undergrountl Flufh� - K 24:''Roof F'ramirl � �"�- �,^' .' � � a � '"_ -' �'"'"�= . ' 4�rn n � a • ,.. n,�3:�Undergrnd�Stora.geTank 4Gas OOi7 25. Roof Sheathing . .. . � v � � � • . � • t: 74.=0verhead Hydro 'r : -, 26.'T-Bar Ceiling (St`r.uctura�) &`Mdn6co3t M1 � ', � � � :y 75� Dry Chemical � � ; # "' ' � -� ' ' `.'"' ' '' " ° : 27.-Frame and Flashirig' ; - � s �- .•�� 76. Dry Standpipe `- � T'^" y • - "' � � %28. LatRing'& Siding-'� ' �`i' �' '' ' � 77;'' FIXED SYSTENI�FINA�j,,,, ,� ,�;�, ° � � . ..r .f- ��I 1 ��14 y '' ��r , ,�.... r. .�. n� ��- i- . >29. Inwlation �u ' �S � 1 1� n 78."FIRE PREV. FINAI - '30. Drylvall'Nailing �t.:,� i � sF . i i �.;�?'t ^' • " •HEALTH DEPT�.',R'EQUIREMENT ^ _' ' ��31. Plaster Brown Coa£1 - i-• I '�1 i�� 79.�FINAL I�NSPECTION [, - � -32. Electrical PowerMeter'•Final� � � �'r, I 1 1a •� g0. �POOD CERTIFI.�ATE ISSUED �T - � � .r. v � a 1 I . ItYo , � ..• .� r i n i - - � �•. rr... � r �. .� �^ ., �.:. r -33.-Final Eleciric. -.y i - I t ' I.: � Notes: -� ��,, ;. -+ •�� -- �34 �Final Heating�& AirConditionfing� -> " 1 1 - I�� :, r -� , ;- n . .� _ , v� � �. �> I 1 7a �� i _,; r '=35.-Final Gas Pipg�Te's[; ., ° •� �• aY 4d C,�iso �i� V -� �� . � ,* �� ,.` � . 36. Hood or CanoPY ` � �^.� � .'-� :: � �' i i �la w .. . �1 . � � J • T Y 1 . ':l 5I ' ' ' '37„Fingl Factory Fir`eplace,; � ._._ :, I 1 ' iu �. -• .t • . -:38. FinalPlumbing '�'+ ' � L�01'ka . "' #" `�-' � i+�e 39. Water Servi[e�Fina1� j � � j '.j„`�j, .. " ' r . ^40. Gas Service�Final �.. -� i " , �� z '• . � � +r � I.Y + � �� '41. Solar pomesticFinel ' ' �' • � � ; " _ -' .' ,,. � I I,� . • 7 � c ;r z � �42. �Backflow Preventen � v .. �t I I I:�� . �,�-. n n . � a� • • c ,-, ) ti aF �- o � :n .n . � 43. Backflow Irrigation. L , , q - . p � � _ , . . • : ; . . : �. . 44. Landscape Irripation System:^� n � - � � • � '" � � •- � - - � n w -� +. 1 '� v F- 45.,Sound Atceguatiorj ^ � ' ' ` ' ' a � ' � - V` � .r -�. .a O T, �1 �qa .r _ !-:I d 46�.Handicap Ragulations �-+ <+ -+i w � ' - .. �- i _. e 47.' FINAL STRUCTURE & BUILDING � ; �- � I��I � c! ' i ' L 48.�fINAL PLANNING � . �- •� �� • 1 1 ' • • �- . -, „ 49:� Electric Release to Edison � '�r 1' Ia u i ' � t> � I � � ! , t: O I � . . ? .. �. .� � � 50..Gas,Release to Sou{hem California Gas Co -� I i lu .. _ � �e . - - b '� . . . . . . . . 8 I� �� nt - J 'J � 51. CERTIFICATE OE OCCUPANCY a C• a c . i ... o -•.� ,v � i -. . No. Date reaecTaooeess: 250Y3 CHRISTOPHER LN awNen�sxnrne: FAIRVIEW MGMNT. CO. RODflE33: zSiO MERIMAC .CM CA92626 uxn: NONL �XCHIENCINEEX: BURKF. LESTER S ASSOC. NEG.NO.:C—E��S nooeess: 23025 MILL CREEK RD I.AGUNA HSI�LS CA 92653 PEHMITTEE: �ANTIAGO A/C, INC. ( 714 ) 998-1600 �DOHES&: 2�1 W. BLUERIDGG AVL, ORANCF. CA 92665 110ENSEU CONiMCTOB DECUM710N: I nereCy allirm that I am IicenseG unAer provlsions of CAaD�er 9(commencinq wit� Section 7000) al DiNsion 3 01 IAe Business antl Prolessian5 CaEe, anA my license is in full�orca anE eftecl. . ciTr uc.: q 0 7 8 5/� STRTE LJC.: Z� c� 4 9� cuss: �— 2 � Date: �� -1 � SiOnaWre: WOBNENS'COMPENSRTIONOECIAMTION: Ihea6yaffrmihatlAavea eNficateofconse o ell-insurzaracertifiwteoiWorkers' Compensation Insurance, or a cerlitieC wpy t�ereoi (Section 3800, Lab. C). roucrxo.:W-9732051 E%P.D�TE: O7IO1/i , coMraxr: pAC STA1'ES CAS � Cerli�ieE copy is �ere/by'��umis�ed. Q Centlie0 capy 6 ided with [he riry BNIdinO �sion. Date:� � �— 1 � �lppiicanC � F%EMPfION FlIOM WOPKEPS' COMPENS/�TION OECUFWTION: (il¢t secum neeE roi be complete il pemtit ¢ fa ane hu�re0 (E700) or kss�. I certity that in [he pedormance ot t�e work lar which tNs pemtit is issue0, I s0all not emplo person in any manner so as ro Gecome sublect to Ihe Workers' ComDenution Laws of Califomia. . Uate: Signature: NOTICE: II, aher makn0 ��is tleclaratlon, you sAou10 �ecame suhle�� o ihe WOM1ers' Compensation provisions al the Lahar Co4e, yrou must fort�with campry vnth such provisians or ihis permit shall Ge UeemeE revoked. ' CONS7qUCT10N LFNUING �CEHCY: I hereby affirm t�at Nere is a constructbn lendin9 aAency tor ihe peAormanca of [he work tor w�ic� ��is Dermii is isSueA (Seclian 3097, Civ. C). LENDEP: R�DflES3: - ' OWNEB BUILOEB DECIAMTION: I �ereCy aKrm �hat I am exempt from the Coniractors' Stata License Law lor t�e IOIIowInA reason (Seciion 7031.5 Busineu anA Pmfessional Catle: Fny ciry ol counry xTic� repuires a Dermit to consimct, alter, improve, Aemolish, or repair any simcture, prior m its issuance, also aquias Ne appliwnt lar suc� permit to lile a siAneE stat¢mem t�at Ae/s�e is IiunseJ pursuant to the pmvislons ol Iha Comraclors' Sfata License Law (C�apter 9(wmmencinA ��h Sectlon 7000) of ONision 3 of lhe Business an0 Prolessions Code) or �hat hNshe is emmpt t�erelmm anE Ihe Oasis lor Ihe atlepeE eKemDtian. My dWation al Section 7N1.5 Oy any aDP�icant far a Dermit wEjects �Ae aDO��nt to a civil penalry ol not more than iNe hunAreE dollars (5500). ' I, az awner of t�e D�oDenY or my employees vAtA wapes ss their sole comDensatlon, will Uo the work, antl tha ❑ simcWre is not intendeA or oifere0lor ule (Section 7044, Business and Pmlessional COAe: T�e Con(ractars' Staie Litense Law aoes not aDPly to an ownar al a piaperty who builas ar Improves I�ereon, anE wha dces sucA waM himsell/Aerselt or I�rouOh his or her awn em0loyees, proNGeE �Aat such imDrovements are not intenOeO or otter¢E for sale. If, Aowever ihe builOinB ar impiovement Is sa10 wit�in one year of com0leGon, t�e avmer will twve ihe Durtlen ol provinp he/s�e Eitl not 6ui14 or impmve for t�e Durpou at s�le�. I, as owner of lhe proDerty. am erclusively caniraclinp wii� licen5ea coniraciors �o consimc� ��e prolect (Section 7044, Business ,❑ anA Proleuions CaOe: The Comraaors Slate License Law aces not aDPN �o an ovmer ol proDefry wAa bwttls ar imD��es t�ereon � anE who CanUat�S �or Suth proieClS wlih a Lronifattor(5) license pursuan� l0 It10 Conifat�or5' Sta�e LltEnse LaW�. I am awafe �haf pr001 01 I�elf Warker's Compensaibn in5u2nte SMultl be provi0e4 �a m¢. - I� I am exem0� unAer Section: . B. d P. C. Ior Inis reason: CI'PY UE' COS'tA MESA — BUILDING PERMIT PERM NO: M 046087 PERMIT NO: M 045087 FLAN CHECK NO: N GOVT: N SUL>P: N CONSTRUCTION TYPE: V—N I�ERMIT TYFE: MEC PURPOSE: OTH JOB DESCRIPTIUN : INSTALL NF_W "FORCED AIR UNIT" � ` SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /M-1 C�JMMENTS: RE: B44819 PRIMARY DLDG. PERMIT. x*�u��*�**x��**�e*�e*rt*x �***i�*rt*�*�r�*��r�*�*x+��r+r*itr**�r�***��****+t�r*�***-�e�**+�rt�r** Z O N I N G R E Q U I R r M E N T S S I: T B A C K S . ------------ MAIN BUILDING ------- —��-----�---- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FI2NT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT- FT IN RGI{T; F1' IN YARKING REQ: PROV: PAIiCEL: 00000000 ZNE: RfiF NO: PLANNING NOTES? � . ��1E iE iF �E iE iE iE iE iE if !E �E iE iE �f 3E M-3E iF �ElF iE iE iE iE iF iE 1(- if 1f iE iE 3E iE 3E iF.�k if �1F iF if iE �E fE iE iE iE �lE iE ff if iE iE iE iE ik iE �E iE �)E 3f fF �1F iE 3E iF if 3F �%� i(� # �E 1E iE iE iE iE iE ' D E V E L O P M E N T S E R Cti I C E S R E Q U I R E M E N T S ZONING APPROVED DY . BUILDING APPROVED HY : , � . APPLICATl'ON ISS'OED BY. '1EM�IEih9EiElEfFi(�1EIEiElEiEi(�ifIElklEfElEiE ik f E F. �F IE �)E if �f iE �E k iE ik iE 9! 1E iE IE iE IE 3E if if k if �E iE iE iE iE iF it iE if if ih if it 3F`� LEGALIZATION:N £ E E S U DLDG PMT PLUMBING ELECTRIC DATE: DI�TE : -- - '' DATE : �' l4`�Fj iE �if i. 6 iEiEiE�E�tit3ljEifikif iF�--N�iE�f iEiF rt iE iE i! i4 f! iE 3E �f iE if iE ik i! k iE i! ik iE 9F iF iF jfi it i6 �f iE iE iE iE iE iE aE iE iF iF M A R Y STRUCTURAI. SEGMENT:N CIiANIC FIRE SMIP/RES GRAI�ING PERMIT � 9.00 25� SMIP/NON—RES PLAN ISSOE FEE ' 15.00 BUILDING•-LIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DOE TOTALS----> 9.00 15.00 0.00 29.00 24.00 .00 RL'VENUE DIVISION TOTALS--> COLLECTED: 24.00 O��ER/SIIORT: .UO BLDG i?MT PLUMBING ELECTRIC MECHANIC F.LRG SMIP/TOT GRADING PLAN—CHECK 24.00 �IE�IE 3f iF9E iF�IE�IE if�1f lE 3F N If IE iE M fE ?E iE 3f iE if-# iE fE �f iF iF IE�I(�iF if �E ff iE iE 3F iE fE fF if 1fiE ik ib if M ikit 1E jf j! iE iFiE iE IE iliF iF iFiE iE if�1f�7E�lE�1E 14 �4 %�iE iFif ik �E ifif I N D T V I D U A I� F E E H R E A K D O W N TYPE Da�e: Ownec I Oo here0y cetlity Ihat I am aware ol an0 urMerstan0 I�e requirements ol Calitomia Heatlh an0 Safery Ca�e Sections 25505, 25533, anA M E�" 25534 an0 t�at I ar any tuNre Euildin0 acupant will/will not (6rde one) neeG to campN ��h ui0 sWta caGn and tha�reQuirements for a permit lor consimctian or motliircation Irom ��e Pir 0ualiry Manap¢ment Ustnct. HesiAential wnstructian apDlications are exempi fmm ihese provisions. � Date: AppliwnC I hereGy cerlity t�at I �ave reaa t�is apDficatian anU state ihat tAe above intormalion is correce I aA�ee �a �omON �� all ciiy anE counry orainances antl state lavrs relatinp to buiPomg construnron anC hereq autlpnre representatNps of tlus city ro enter upan tAe a�ove�mentianeA pmDeM �or inspection Durposes. . Date: �—' � � O Signature: onver's License or Sacial Secunry Appliwnl Pink—qavanue; GOI4enro0—Assessor Q'PY D E S C R I P T.0 O N UNTT COST TOT'AI, COS'T 7 INSTALL FORC/AIR FURN <- 1U0 K BTU/Ii , 9.00 9.00 EriD or• FEES O1 00054D99-00054099 T O'T 2�.00 DATE: 02/14/40 TIM�: 14�42 , CONSTRUCTION AND PLANNING PO� _ 6 SPA � APP�iOVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector 1. TemPorary Electrical Service or Pole - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement . •- 3..Elec[rical 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. APPROVA� TO COVER�GUNITE 7'. Footings 58. Electrical Conduit�Undrgrnd. B. Foundation 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System - � 67. APPROVAL TO DECK ' 11. Property Sewer Line & House'Connection . 62. Backwash & Receptor�Final ' 72. 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. APPROVED FOR P�ASTERING 18. Rough Electrical-T Bar Ceiling 69.-POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning 3�`� ��j FIRE_DEPT. REQUIREMENT 20. Rough Factory Fireplace - APPROVALS (.Permit # 21. Ducts, in Structure' -. � � 70. Underground Hydro 22. Ducts, Ventilating ' . �71. Product Pipin9 O Gas ❑ Oil 23. Gas Pipe�Rough & Test � . 72, Underground Flush 24. Roof Framin9 , 73. Undergrnd.Storage Tank O Gas ❑ Oil 25. Roof Sheathing - 74. Overhead Hydro r 26. T�Bar Ceiling (Stcucturaq & Monocoat , 75. �Dry Chemical 27.� Frame and Flashing .. • � 76. Dry Standpipe �- � 26. Lathing & Siding. �• � � 77. FIXED SYSTEM FINAL- . 29. Insulation �` 7$, ,FIRE PREV. FINAL � 30. Drywall Nailing _ ,�� HEALTH DEPT. REQUIREMENT . �, 31. Plaster Brown Coat '' 79. FINAL INSPECTION � 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric ' ' Notes: 34. Final Heating & Air Conditioning � L� �� ._ � 35. Final Gas Pipe�Test � � . � � ' ' 36. Hood or Canopy � � ' � �� ' -%' ' _ - 37. Final Factory Fireplace � � ,^, 38. Final Plumbing � - . 39. Water Service-Final� � . " 40. Gas Service-Final ' � � i. 41. Solar pomesticFinal ' � 42. Backflow Preventer ' 43. Backflow Irrigation� � 44. Landscape Irrigation System � � , 45. Sound Attenuation - 46. Handicap Regulations - . 47. FINALSTRUCTURE&BUILDING � 48. FINAL PLANNING . 49. Electric Release to Edison -" 50. Gas Release to Southern California Gas Co - 51. CERT�FICATE OF OCCUPANCY ` No. Date PP0.IECTAOOflE$S: 'lSOi CIiRISTOPHER LN owxex•sr+arnE: FAIRVIEW MGMNT. CO. nooness: 2 5,2 0 M ER IMAC _i�.CM CA92626 - ��T NONE RflCN/ENGINEEN: BURKE LESTER G ASSOC, NEG.NO.:C—��TZS RUONESS: 23OiS MILL CREEK Rll ' � � LAGUNA HILLS CA 92653 PEHMITfEE: DOUG SCOTT ELECTRIC ! 714 ) 775-0061 pODflE33: 1(O2B MOUNT HICKS FOUNTAIN.C�ALLEY CA 92708 UCENSEO CONTMCTOB OECLAHIITION: I �ereGy atlirm ��at I am license der proNsions af CAapier 9(commencing with Section 7000) ol Oivision 3 of the Business antl Pmfessions Code. anG my licens n tull force antl eflect. cin uc.:� STl1TE LIC.: 37 i Z 9 S ss: C 10 , � Oate: �v Siqnawre: WOPI(ER COMP SATION OECIARRTIDN: I here6y affirm that I Aave a rtificate oi consent ta sell-insure or a certifica[e of Workers' CamDensation Insurance, ar a certifietl copy thereoi (Sec�ion 3800, Lab. C�. roucrNo.:53636F-89 E%P.ORiE: O%/O1/�iO cornvnNr: STAT& FUND � Certifie0 coDY is hereby fumished. (� Cetlitie0 copy is �iled vn�h tha ciry Building �ivision.�/ Date:��L��d APPlican�YDv9 UCQ/% -!i/fa2iil(J�• E%EMVfION FPOM WONNFflS' COMPENSRTION OECLINATION: Rhis s on need noi he cam01e�e0 if Ne permit is �or one AunOreU (E100) or lew�. I cetliTy t�at in t�e pedormance ot Ihe work br whicA Ihis permit is issueQ I sAall not employ any person in any manner so as lo Uecome subject m the Workers' Compensation Laws of Califomia. � � >:'� Wte: SiAnature: NOTICE: If, atter makinp Ihis aeclaiation, you s�ould become sublect to the Workers' Compensation pmvisions otthe Labor Code, you must forthwith compty witA SucA provisions or this Dermit shall be tleemed revokeJ. CONSTPUCTION LENUINO IICEHCY: I �erebg aflirm that there is a consiruction IentlinA aAency lor ihe peAarmance of the work tor whic� lhis pefmiiis issuetl ($¢ttlon 3097. Civ. C). IFNOEfl: , A�OHESS: • OWNEP BWIDEP DECIAMTION: I hereDy aRirm that I am exempt fmm the Contractors' State License Law for ihe followinp reason (Section 7031.5 Busineu an0 Pro/essional COAe: My city ot counry w�ich requires a permit ro constmcl, alter, imDmve, tlemolish, or reDair any stmcture, prior to its issuance, also reQuires the apD�icant for sucA permit to lile a signetl sWtement t�at he/sha i5licenseA pur5uam ro �Ae pmvisions oi �he Contractors' Slaie License Law (C�apter 9(commencinA wit� Sec�ion 7000) of 0idsion 3 ot ihe Business an0 Pmfessions Catla�,or tAat he/she is exempt tAerefrom and t�e Oasis for the alleged exemption. Any.violatian of Section 7031.5 by any apPlicantfor a Dermfl sublects the applicanito a civil penalry of nat more than five hundre0 Aollars.(5500). I, as owner af the D�opeM or my employees with waAes ss tAeir sole compensatian, will tlo the woM, an0 the I❑ stmcNre is not intendeE ar ottere0lar sale (Section 7044, Business ana Pmfessional Catle: T�e CaNractors' Sta[e License Law • Aoes not aDPly ta an owner oi a pmpeM w�o 6uiltls or improves thereon, an0 who does sucA work himseli/herselt or tArough his ar her awn employees, provided tAat sucA impmvements are not intentled or oflereA Por sale. Ii, however tAe huildinA or impmvemmt is solU wit�in one year of comDletion, the owner vnll have t�e DurOen oi pmvinp he/she did not buila or imDmve /or ihe purpose of sale�. I, as owner oi Ihe D�oDeM. am e�clusively conlrectinA w��h licensetl contractors to constmct Iha pmlect (Section 7044, Business ❑ an0 Professians CoOe: T�e Contractors State License Law Uaes not apDly �o an owner oi Droperry who hmlds or improves thereon an0 who coniracts for such pmjecis wRA a coniractor�s) license pursuant to Ihe Caniractors' S[ate License Law). I am aware ��ai pmol of t�eir Worker's Compensation insurance s�oultl be pmvidetl m me. '� I am exemD� untler Section: B. 8 P. C. lor this reasan: Oate: Ownec I Oo herehy certity that I am aware of ana untlers�and t�e requiremenis oi Califomia Healih ana Safety CoOe Sections 25505, 25533, an0 25534 antl Ihat 1 or any future Euilding occupant wilVwill not (circle one) neeA m comply with saitl siate codes antl ihe requiremenis for a permit br constmction or mo0ification irom Ihe Air Oualiry Management Uisirict HesiUential constmction appliwtions are exempt imm �hesa Omvisions. Date: Appticant: I herehy certity ihat I have read Nis application and state that t�e above inf ation is correct. I agree ro camply with all city anU counry ortlinancesantl5tatelawsrelatinptoGuilOingconstmc�ionandherebyauth ep2semativeso��hisciry�oen� upontheahave-mentioned pm0erty for inspection purposes. p�¢: L r10 Signamre: Driver's icense or Sociai Secunry 1691-<6 W�ite—BuilEing; Careen—CoEe Enlarcement; Cenary—ApplicanC Pink—Revenue; Goltlenrotl—Assessor � PF.RMIT NO: E � CITY OF C051'A MF.SA - DiJILDINC PERMIT 046420 � PLAN CHECK NO: N PEHM NO:� F. 046420 GOVT; N SOPP: N CONSTRUCTION TYPE: V-N PERMIT TYPE: EI�E PURPOSE: T1EW JOB DF.SCRIPTION ; NEW SFD ` : SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /M-1 COMMENTS; RL'F H44819 it it iE iE iE �! if i! iE iE iE IF iE it if iF iF iE iE iF iE iE i! # iF if if K 1E it fE iE iE iF # �E if �lE ff if �IE 1f �E 1E iE k iE if df 1E if iE iF-IF 3E iE if if� if �41t k#�E �F �1! iE iE �lE iE it %� iF 3E � iE �lk ik iE Z O N I N G R E Q U I R E M E N T S S E T B A C K S � ' ----------- MAIN BUILDING ---------- -------- ACCESSORY DUTLDING - ------ PRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEF'I': FT IN i2GHT: FT IN LEFT: FT IN RGHT: F1' IW PARKING R�Q: PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING NOTES>' � iE k it iE iE iE iE iE k iE iE 1E if iE iE if If iE �t iE jE iE iE� if 3E 1E �)E iE if if # K� iE �lk IE`iF ih it iE 1E fE # k iE it iE 1E �1E ih iE 1k �1E iE if iE iE k iE iE iE iF iE IE if iE iE �f if iE �lf if N� it iE M iE iE # i(� D E C� E L O P M E N T S; •E R V I C E S R F. Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROt�ED BY : _ ' _ _` DATE: _ APPLICATION ISSUED BY: + DATT': �3'O� '�7} �Ek�iflEihifiEiEiEiEkifiEiFiFiklfif3EitiF% ��iF�'3F�'�'ikMiEiEifiFiEiEki4 �3��i(�� iFiEM- ititiEllif�fifikik�t�kiEiEiFiEiF�1E-If1EiFiEififiliElFi(�!t#iEi � �Fi IE3Ef E1E1E3f-�fiE�1FiE�IfiFiFiE*iE�lElEiEIEiEaEifiEiElEi6iF�k�iFiflFlEiElElElf�3f�3ElE LEGALIZA'TION:N ' F E E S U M M A R Y STROCTURAL SEGMENT:DI BLDG PMT PLUMBING F.LECTRI MECHANIC FTRE 'SMIF/RES GRADI1dG PERMIT 66. S SMIP/NON--RES YLAN ' ISSUE FEE ' 15.00 DUILDING--DIV-> PERMZ.T ISSUE PLAN--CHECK TOTAL PAID DUE TOTALS----> 66.33 15.00 0.00 61,33; 81.33 .00 REVENUE DIVISIOM TOTALS--> COLLECTED: 81.33' OVER/SHORT: .UO BLDG FMT FLUMBING ELECTRIC MECHANIC FIRG SMTP/TOT GRADING PLAN-CHEC'K :81.33 34 iF iF iF iE �i 14 iF i[� x iF iF N- �F i� 3�: iF iF?P. i4 # if #? 3i� iF iF 3F if iF iF x iE ii iF iF iE if +4 if if �F if i4 3C-iE 3! lE iE iE iE 1E �1(-iE iE �E * iE iE if �lE if iE �E iE �IE �E 1E iE 3f �E if j6 if iE jE �F iF A� jf I N U 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 ELE 1895 NEW RES HLUG FOR 1 OR 'l. UNITS/ SQ FT .03 66.33 END OF FEES � 0 OY DDp55E39-0{l05`339 TCeT • 8L33 DATE: 03/12f90 TIftE: 1i:40 n i ` , : : CONSTRUCTION AND PLANNING . POl .� SPA � ; APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector ,i� .ti/ ;. 1. Tefnporary Electrical Service oi Pole� �� ,' 52. Pool & Equipment Location '�' �. 2., Soil Pipe;,Undrgrnd.; . ��_ �' �. 53. Steel Reinforcement -�.� 3.��ectrical"Conduit-Utility�Undrgrnd:' � 54. Forms � � 4'. Electrical Coritluif-Undrgmd. �= 55. Elect�ical Bonding �. 5�.'S[eel Reinforce"ment' 56. Rough Plumbing & Pressure Test . "6.�Electricil UEER Gr,nd. ' 57. APPROVAL TO COVER�GUNITE �- ^ ��.� Footings - - -� / 58. Electrical Conduit�Undrgmd. - ;,f, S'. Foundation� �" 59. Gas Pipe, � Undrgrnd., Test �„ � � 9. Water Pipe-Undrgmd. �1; �' �� 60. Backwash Lines, P-Trap, O Undrgmd. ` - /i, 10. Structural Floor System ��"/ ' 61. APPROVAL TO DECK 11. Property Sewer Line'& HouseyConnection a 62. Backwash & Receptor-Final � � 12. Sewer Cap � _ ^_- `� - 63. Heater & Vent-Final 13. Roof Drains.��. - � 64. Plumbing SYstem - Final T; 14. Rough Plumbing ' � _ 65. Electrical-Final <' i 75. Fough Electrical-Conduit ��' '` 66. Solar System-Final �' 16. Rough Electric�Wiring � � 67. Fencing & Access ApProval �� =17. Rough Wiring Sign i 68. APPROVED FOR PLASTERING ' 18. Rough Electricel-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & A�r Conditioning _ � _ F19E DEPT. REQUIREMENT � 20:-Rough Facmry Fireplace , -- - ' ^ '' �APPROVALS,�`_Permit # �- - 21 `Ducts, iri�Structuie'� � ' " _- � � - ^ �70. Underground HYdro . { 22 -Ducfs, Ventilating * . - _ ,�� - � � --77, product P.,iping O Gas ❑ Oil 3. Gas-Pipe.Rough & Test �_ "� _ _ + -7y, Underground Flush _; '' - � ' , , 4. Roof Framing � ` J � �� - ' ' � _ � ::73:-Undergrnd. Storage Tank O Gas ❑ Oil ��25. Roof Sheathing _'* - ' � � 74;..Overhead Hydro, � 26:.T�Bai Ceiling �Stiuctural) &'Monocoat - � " �}._ ; 75r_Dry Chemical _ - �,� - 27.�Frame apd Flashing� '� ' �� • 76. Dry Standpipe = r. ,'28. Lathing'& Siding ; -�'_, ? `- " ' '� X 77.`- FIXED SYSTEM FINAL� . . � 29. Insulation t ' ' - '- "F � 78�„FIRE PREV. FINAL � � _t '�30. Drywall Nailing r. _. _. � ��^�r; "; 'REALTH-DEPT. REQUIREMENT ` 31. Plaster Brown Coat' � ^"' �ti + '79._FINAL INSBECTION • _ -132._Electrical Power Meter�Final 3 � rty �80 �FOOD CERTIF�CATE ISSUED� � T'33.'Final Electric -� ��3 . �Notes •�- - ,� � ' _ _ --� .�',34:_Final Heating & Air;Cqnditioning- � ' i %�� .� ' . - , ' ' - - -- � , �i �_ ^ : 35:�Final Gas Pipe-Tesf . � �� -� � .^� �� - �� '� - - �� - =�36:Hood or Canopy ` , _ _ ' ' �' � �" '' - � _ ; � - � r:.: , 37: Final Factory Fireplace- y .- � • . • ' � _38. Final Plumbing ' _, . 1 � ,� a ^_ _ ` � 39. Water Service-Final: - - . ' _�' � �40. Gas Service-Final + ". � - ' ' ' �# ' -' - � ! " _ - ; `41. Solar pomesticFinal- - �� " � ; ,- -,_ _ � - - _ 42. Backflow Preventer� � 'i ' � - ' � � - � - 43. Backflow Iriiyation: , - - r � ' � n �' , • :�:44. Landscape IRigation System�-'�� - - - ' _� ,.., ` _' - `45: Sound Attenuation � . .. , �'„ a - �_� . � � � '�46. �Handicep Regulations - - - - = � = - .- - , 47r�FINALSTRUCTURE&BUILDING _ � - - ; _ 46: FINALPLANNING "' ' �� : ` _ _ ,' _ ' - 49. Eleciric Release to Edison . "- --50:'Gas-Release�to Southem Califomia Gas Co ' � ' ' ` " - ' � 51. CERTIFICATE OF OCCUPANCY - � - N0. Date