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Home My WebLink About3034 CLUB HOUSE RD - Building Permits�� y � PNOdECTAOUHESS: jO34 CLUB HOUSE RD OWNEN'$NAME: COLLUM MARY E aooeess: 3034 C{,UB HOUSE RD COSTA MESA,CA AHCHIENGINEEF: 5 4 5— 3 5 4 5 RODHESS: � uNiT: 92626 flEG.NO.: uxir: PEHMITTEE: NOCK PLUMSING ("J19)895-1296 PDOflESS: l'Ij'jEJ��1j'Oj' SEABOARD CIR LICENSEO CONTBACTOA6ECCdFATI�N I nereby affi�m Iha� I am licensed undef vAi5io5�oi��BapPr 9(commencing with Sec�ion 7000� o� �rvision 3 0l Ihe Business antl Pro�essions Code, antl my license is in �u0 torce anU eitect. CITY LIC.: STATE LIC.: LASS: 0503� 511971 C-36 —� �a�e: _/Q Signature: _ _ --n�� WOflKEflS' CO PENSFTION DECLAHATION: I hereby aftirm I ai I have a cenihw�e o� consem m seli-insure or a certifica�e of Workers' Compensation Insurance. ar a rerti�ie0 copy Ihereof (Section 3800. Lab. C�. i roucrNo.: 1167992-93 E%P.OATE: O3IOI I94 COMPANY: STATE ] Certilied mpY /is �ereby fumishetl. [� Cenitie0 caDY �5 tl wil the citV Builtling[ O\ivision. oate. %D/C 1�� qpplicam: ��y� � E%EMPTION FNOM WORKEPS' COMPENSATION OECIANATION: (This section neetl no� �e completeA ii �he Dermil is la� one hun4reE (51Ltl) or less�. I ceriify Ihal in the perlarmance of Ihe work for w�ich t�is permit is issueJ. I shall nol employ any person in any manner so as ro become sublec� �a Ihe Workers' Compensation Laws ot Calilamia. Oate: SignaNre: NOTICE: II, afier making t�is tleclaralion, you shoultl �ecome su�lect �o the Workers' Compensaiion pmvisions ol ��e La�or Code. you must lotlhwrth comply wi�h such pmvisions or Ihis permil shall be UeemeO revoketl. CONSTqUCT10N LENOING RGENCY: I herehy aifirm I�a� I�ere is a constmction lentling agency �or ihe pedormance ol t�e work �or wnich �his permit is issuetl (Section 3W7. Civ. C). LENDEfl: ADONESS: OWNEB BWIUEB DECLABIITION: I hereby affirm ��at I am exempt �rom �he Contractors' S�ale License Law lor ihe following reason (Sectian 7Q71.5 Business an0 Pmfessional Cotle: Any ci�y o� counry which requires a permit to consimtl, alter, impmve. demali5�, or repair any SlmcWre, prior Io iis issuance. also requires �he applican� lor such permii �o tile a 5igne0 slatemenl that helshe is licensetl pursuanl io Ihe pmvisions ol ihe Comracmrs' State License Law (Chapter 9(commencing with Section 7000) ot Division 3 ot Ihe Business antl Pmiessions Cotle) or thai nelihe is exempt iheretrom antl the basis for the allege0 exemption. Any violation o� Sec�ion 7031.5 �y any applicanifor a permii sublecis the apPlican� to a civil penally o� noi mare Ihan tive hundretl aollars ($500). I. as owner ol Ihe propetly or my emplayees wi�h wages as their sole compensa�ion, will do �he work, and Ihe ❑ s�mc�ure is noi inten0etl or o�fereU lor sale �Secfion 7004. Bu5ine55 antl Pwfessional Cotle: ihe Cantracfors' S�aie License Law tloes not apply lo an owner of a D�openy who buiitls or impmves ihereon, and who Ooes such work himself/nerself ar ihmugh his ar her own employees, pmvi4eU ��a� such impmvemen�s are no� in�ende0 or olferetl lor sale. I�, �owever Ihe bmltling or impmvemenl is sold wiihin one year of comple�iaq the owner will have �he burden of Droving he/s�e ditl not builtl or impmue �ar Ihe purpo5e o� sale�. I. as owner ol Ihe pmpetly, am exdusively coniracting wi�� Iicen5e0 contractor5 io constmc� �he pmject (Section 7044, Bu5ine55 ❑ and Professions Catle: The Coniracbrs' S�ate License Law Ooes no� aDPly Io an owner of proDen9 who builds or impmves thereon antl who commas far suc� pmlec�s with a conVacmqs) license pursuam �o Ihe Coniractors' Slate License Law�. I am aware �hai pma� al �M1eir Worker'S Compensation insurance s�oultl be pmvidetl Io me. � I am e�empt untler Seclion: B. 8 P. C. �oi Ihis reason�. Dale'. Ownec I tlo hereby renify I�al I am aware of antl undersiand Ihe repuirements ol Cahfomia Heal�h and Safeiy CoOe Seciions 25505, 25533, antl 2553E ana I�ai I or any IUWre builtling occupant will/will no� �circle one) neeU �o comply with said state cotles antl Ihe requiremen�s �or a permit lor conslmc�ian or motlificalion imm the Au Oualiry Managemeni Dislric�, flesiaential conslmction applications are exemp� Imm IhQSC O�Ov1510115. Dale: Apphcani: I hereby <eriily �hai I �ave reatl IhiS application and sla�e thal Ihe a�ove ordinances ana s�aie laws rela�ing to bmlding conslmciion ana �ere pmpetly �a� inspeciion purpos s. Da�e: Signaiure. �riverS License or Sucial Security k: AppLcanL Pink—qevenue; Goltlenroa—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: P 064514 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU JOB DESCRIPTION : CHANGE OUT OF A WATER HEATER CLAIM VALUE: CALC—VALUE: PERM NO: P 069514 GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC; R-3 / COMMENTS: NO OTHER WORK AUTHORIZED HY THIS PERMIT iE iE af if if if 1f jE �E jF if 3E iE iE if if iF iE if 9E iE 3E iE it �E �E iE if 3f jf if iE jF iE if it iE iE iE 1F iF if �f- iF if if if iE if if iF if iE 1E iF if if 3f it �If �)E iE iG iE 1E 9f jf �F iE iE iE aE i: if aF iF 3f iG ac 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: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV; PARCEL: 13951525 ZNE: REF NO: PLANNING NOTES> � �. —�r��r*******�r*x�*******x��x-**�***x�*+�***�*�e****+r*.*+�***�***x�+�+�***�****r+�****�-*x��*+r�c D E V E L O P M E N T S E R V I C E S1'� R E Q U I R E M E N T S ZONING APPROVED BY �✓ DATE: BUILDING APPROVED BY : ."! DATE: APPLICATION ISSUED BY; �rt� �,� DATE; LO c, � ****��r��t*�*+t***+�*�**** ***+�*x�**��t�3k#1F*� af �E �E iE iE iF if 1E iE if it if iE it it iE it i! if if iE ff iE i! it iE �E if iE ff i! i! iE iF if if if if if M iE iE ik if 1E it �1(� iE iE M iF k i! M iF if if 1f iF M iF iE iE iF if fE it it 1E iE iE iE iE if �F iF it iE ik LEGALIZATION;N F E E S U M M A R Y STROCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7,00 25R '� SMIP/NON—RES PLAN ISSUE FEE 20.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CAECK TOTAL PAID DUE TOTALS----> 7,00 20.00 �'r 0,00 27,00 27.00 .00 REVENUE DZVISION TOTALS--> COLliECTED; 27.00 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN—CHECK 2 7 . 0 0 �(,� it �E iE �f it jE 1E iE 1E 1t it it jE it iE iE iE if it iE 1f iF iE 1t iE if iE ff if iE i! 9f 1F iE it:lt iE iF iF 7E 1E if iE iE ik iE iF 3F fE if if i� % iE iE �E �f iE iE af 1E 9E iF �)E 1F if it iE iF i: if fc M iF iE if if iE if I N D I V I D U A L' F E E B R E A K D O W N h TYPE QTY D E S C R I P T Iz0 N UNIT COST TOTAL COST PLU 1 WATER HEATER AND/OR VENT 7,00 7,00 END OF FEE5 "i ��:4? �.`.�—Qfli;o?" -T: �T 27.�G 4ATE: i0i19l93 7I11E: i1:46 CONSTRUCTION AND PLANNWG � . PO� . SPA ' APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspoctor 7. Temporary Electrical Servieeor Pole � - 52. Pool�& Equipment�location . 2. Soil Pipe-Undrgrnd. . .� � ^ 53. Steel Reinforcement 3. Electrical Conduit Ut��tY�Undrgmd. " 54. �Forms ' � 4. Electrical Conduit�Undrgrnd. � • J 55. Electrical Bonding ' .5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - , 6: Elsctrical UFER Grnd. 57. APPROVFlL TO COVER�GUNITE - 7. Footings - - 58. Electrical Condui.-Undrgmd. � 8. Foundation �- � 59. Gas Pfpe, � UnUrgrnd., Test � 9. Water Pipe�Undrgmd. ' � 60. Backevash Lines, P-Trap, t� U�drgrnd. 70. Structural Floor Svstem � � 61. APPROVAL TO DECK 7 7. Property Sewer Line & House Coanection 62. Backwash & Receptor�Final 12. Setiver Cap ' 63. Heater & Vent-Firral . 13. Roof Drains . " 64. Plumbing SYsrem - Fina� ' 14. Rough Plumbing - . 65. Electrical�Final ,; 15. Rough Eiectrical-Condurt • �+ - 66. Solar System-Final ' 76. Rough Electric Wiring 67. Pencing & Access Approval 17. RoughlViring Sign 68. APPROVED FOR PLASTERiNG 18. Rough Etectrical-T Bar Ceiling 69. POOVSPA SYSTEMS FINAL 19. Rough Heating & Air ConditPoning ' '- FIRE DEPT. REQUIREMENT � �� 20. �Rough Factory Fireplace ' _ � APPROVALS ' Permit # 27. DuMs, in Structure. � . � � 70. Uriderground Hydro 22. Ducts, Ventitating � ' 71. Product Pi�in� L=;'Gas ❑ Oil 23. Gas Pipe: F�ough & 7est , . . '�' �; 7z, Underground Flush � , 24. Roof Framing � -� � •.73.' Undergmd. Storage Tank � Gas ❑ OiP 25. Roof Sheathing ' - - � 74, Overhead Hydro 26. ?�Har Ceiting (StructuTall & Monocoat � � 75.-Dry Chemicai � . 27. 'Frame and Fiashing 76. Ory Standpipe -_ ' i 28. lathing & Siding. � . . � � � � 77, FIXED SY5TENi PINAL• � 29. Insulation . ' � " "' � " 7$.,FIRE PREV. FINAL � '� 30. Drywall Nailing - � � - � HEALTH DEPT. REQUIREMENT 37. Piaster Brown Coat � '. � _� 79.•�tNAL INSPECTIO,N - 32.;Electrical.?ower Meter-Final - . ' � � 80. .PO00 CERTIPICATE ISSUED '. 33. Final Electric_ " � � �; , No4es:��_�_p3_'� ,___ _ 7 , _ , /�/�r � . ' � vx[_iw...�� , ic �._ � � 34. Final Heating & Air ,Condizioning _ . : . 35. Final Gas Pipe�Test ' , " ' ,. 36. Hood or Canopy , � j ��-` . 37. Final Factory Pireplace , . • • • , 38. Final Plumbing � � � � �� • .-._..-- �/-y-� <%y' 39. Water Service-Pinal • �� . 40. Gas Service-Flnal � . , � . . " . 41. Solar pomesticFinai ' ' � � � 42. Backfiow Preventer. ' �� - . 43. Backflow Irrigation � - � �- 44. Landscape irrigation System , � � , - - � 45. Sound Attenuation� ' `� " � ' 46. Handicap Regulations - . ` "' ' ' � , '. � 47. FINAL STRUCTURE & BUILDING . 48. F,INAL PLANtJING , . . 49. Electric Release to Edison - � • � � 50. Gas Release to Southem Calif'ornia Gas Co , 51. CERTtFICATE OP OCCUPANCY No. Date � � � OJECTAOOHE55: 3O.j4 CLUB HOUSE RD OWNEfl'S NPME: COLLUM, MARY E AODflESS: 3Oj4 CLUB HOUSE RD COSTA MESA,CA 92626 AflCNIENGINEEN: AOOPESS: NEG.NO.: UNIT: UNIT: PERmi'TEE: pETERSON ROOFING ( 714 ) 979-7111 nooness: 3005 ENTERPRISE CO5TA MESA CA 92628 LICENSEO CONTBRCTOB OECIABATION: I hereby alfi�m that I am Iicen5e0 untler pmvisions ol Chap�er 9(commencing wi�h Seciion 7000) ol Div��sion 3 0l Ihe Business and Pmlessions Cotle, and mV license is in lull Porce an0 etfecl, ciTvuCc.: 045945 STpTELIC.:6O787z cu�ss: .. Dale 1 —R' 7 �/ Signalure: WOFNEBS' COMPENSATION OECIAHRTION: I hereby altirm Iha� ave a certilica�e o� conseni to sell-insure or a ce�ilicale o� Workers' Compensalion Insurance. or a ceriihetl copy Ihereal (Semion 3804 LaD. C). roucvxo.: NC350156� E%P.ORTE: O3IZOI9� comraNv: REPUBLIC � Cenilied capy rs �eceby IumisAed. C}�[ Certilietl coDY is/fJA�etl with t�e ciry Buil n Oaie: .� O '/ y Applicani:� �_ v� 'E� E%EMPTION FROM WOflNEPS' COMPENSATION OECIABATION: (Th s sf ection need noi 6e comple�e0 ii �he permit i51ar one hundretl (3100) or less�. I certity Ihat in the pedormance ol lhe work lor whic� Ihis permit is issuetl. I shall not employ any person in any manner so a5 io become sublect Io Ihe Workers' Campensatmn Laws of Califomia. Date: Signa�ure: NOTICE: IL a�ter making this tleclaraiion, you shauld became sublect �o the Worker5' Compensation pwvisions of ihe Labor Code. you mus� torNwiih compty wiih such provisions or this permil shall Ue Aeemed revoked. CONSTBOCTION LENOING ACENCY: I hereby aHirm ihai �here is a constmction lending agency for Ihe performance oi ��e work �or w�ich this permii is issued (Sec�ion 3097. Civ. C�. LENUEX: AOUHESS: OWNEH BUILOEfl UECLABpTION: I �ereby aifirm Ihat I am exemp� �mm ��e ConVaciors' Siate License Law for Ne following reason (Section 7031.5 Business and Protessional Code: Any ci�y ol couniy which requires a permi� to cons�mct, alter, impmve, Oemoli5h, or re0air any s�mclure, prior �o iis issuance. also requues ihe applican� for such permit b �ile a 5igne0 statement �hal he/she is licensetl pursuanl �o ihe pmvisions o� �he ConVaqors' Sta�e �icense Law (Chap�er 9lcammencing wi�h Seclion 7000) ol 0ivision 3 ot Ihe Business and Pmlessions Cotle) or ihat he/she is exemp� �here�mm and the basis br Ihe alleg¢� eKemption. Any violalion ol Section 7031.5 �y any applicant �or a permit su�le��s ��e applican� to a civil penal�y o� not more ihan hve hunEretl aollars (8500). I. as owner ol �he pmpetly or my emDloyees with wages as Iheir sole compensa�ion, will Oo the work. and Ihe ❑ s�maure is not imeneed or aflerea for sale (Section 7044. Business and Pmfessional Cotle: The Conirac�ors' State License Law tloes no� appry lo an owner ol a pmperiy who bui105 or impwves ihereon, antl who does such work himsel�/hersel� or �hmugh his or �er own employees. pmvidetl �hat such impmvemen�s are not in�entled or offeretl for sale. If, however �he huilding or impmvemenl is soltl wit�in one year o� complelian. Ihe owner will have Ihe bur0en af proving he/she tlitl no� build or impmve �or ihe purpas¢ oi Sale�. I, as owner ol the pmpeny, am eecWsively conirac�ing with licensetl conlrac�ors �o conslmc� �he pmleci (Seciion 704d, Business �' ❑ antl Pm�essions Code: The Camracmrs' S�a�e License Law does no� apPly lo an owner o� pmpeny who �uiltls or impmves �hereon antl who contracls �ar such pmlec�s with a conlracioqs)license Dursuanl to �he ConlractoK Sta�e License Law�. I am aware I�at pmol ol Iheir Worker's Compensation insurance should be pmvi0e0 to me. � I am exempt untler Section: B. 8 P. C. lor �nis rcason: �a�e: Owner I tlo hereby certily t�at I am aware ol and unAerstand the repuiremems oi Califomia Heallh ana Satery Cotle Seclions 25505, 25533, antl 25594 antl��ail oi anylulure Guiltling occupaniwill/willna� (circle one� neetl�o comply with saitl 5laie co0e5 an0 iherequiremen�sior a permit Ioi conslmclion or modilica�ion Imm Ihe Air Ouab�y Managemenl �is�rict. Resitlenlial conslmc�ian apDlica�ions are ezemp� irom ihese provisions. �ate: Apphcant: i hereby cenify ��at I have reaal�is apPlicaiion and slate Ihat�he above iniormalion is correcl. I agree to comply wi�h all ciry and coun�y ordinances and staielaeisrelating�o builtling conslmciion antl �ereby authorizerepresenla�ives a��is ci�y�o enter uponihe above-men�ionetl pmper�y lror inGspection pu�poses. �a�e'. �7 _O � �1 � SignaWre- �(� a �rivefs License or Social5ecuriry 1641�G6 Whue—Bullaing; Green—Cotle Entorcemen�; Canary—ApplsanL Pink—Revenue: Gobenma—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 067095 PERMIT NO: B 067095 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V-5 PERMZT TYPE; 5TR PURPOSE: OTH JOH DESCRIPTION : REMOVE HUR & REPLACE W/BUR SQ FT; 1,786 CLAIM VALUE: 1,786,00 CALC—VALUE: 1,786,00 GROUP OCC; R-3 / COMMENTS: SMOKE DETECTORS RE4UIRED PER 91 UBC **�x�**�r*****x�*****x�**+�*****�r**�r*+�*�c�r*�**�*****+r�****+�*i�-x�**�r*�*�t***�x-**x-*�-*+r**�rr* 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: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL; 139515?5 ZNE; REF NO: PLANNING NOTES> ��/ > *+�******x�*�r�r*x*�r*�r+r**x�*�t*�r*�r�r*+�*x�*******�r****+�*+�#+�t�****x��w**+r**�r�t�****x�******�*x 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 APPftOC�ED BY DATE: �. HUILDING APPROVED HY : DATE: ' APPLICATION ZSSUED HY: � DATE; 3'�� 1E1E1EifrjtiFiEiFifiFlFiEifiEit{EjFiElfiflE iEiEifiE9fiEkiEjEiEi�iF iE�1E 1E if 1E fE iE it fE �E 1E 1E if if !E fE iE if 1E if iE iE iE if �F if fE * if iE 1E 1F iE iE fE iE if if if if iE if fE �E j.' if 1E iE iF iF iF if if i! jk iF iE fE if iE jf iE iE iE iE iE iE iE 1k iE i: iE fE 1E iE if iE iF iE iE iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 41.00 .50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMZT ISSUE PLAN—CAECK TOTAL PAID DUE TOTALS----> 41.50 0.00 0.00 41.50 41.50 ,00 REVENUE DIVISION TOTALS--> COLLECTEI?: 41.50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 41.00 .50 3E iE jE iE iE if iE iE iF 1E 3f iE if if iE i4 iE iE aE iE iE iE iE jf if iE #k iF 1k iklE �ElE iE fE iE iE �E if 1E iE it iF iE if iE 1E iE if if iElE tE iF iE iE 1P iE if if iF iF iE iE iE iE if iF j(- iE iklE �E iE if if 1f-1E 1E I N D I V I D U A L 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 SFR 1786 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,786,00 END OF FEES oi oof6o231—OD160232 TO T ¢j,SQ DATE= O5/10/94 TIIIE: 15�2E , CONSTRUCTION AND PI.ANNiNG APPROVALS Permit # i. Temporary Electrical Service dr Pole 2. Soil Pipe-Undrgrnd. . � 3, Electrical Conduit Utdity-Undrgrnd. � �, 4. E�ect�ical Conduit•Undrgrnd. 5: Steel Reinforcemen� 6. Electrical UFER Grnd. - 7. Footings 8. Foundation � 9. Water Pipe-Undrgrnd.- - --� ---- -- --- 10. Structural Floor SYstem , 1 t. Properry Sewer line & House'Connection 12. Sewer Cap � 13. Roof Dreins ' 14. Rough Plumbing ' 15. Rough Electriw6Condui: 16. Rough Electric Wiri�g 17. Rough 4Viring Sign 18. Rough Electricai-T Bar Ceiling 79. Rough Hea2i�g & Air Conditioning 20. Rough Faciory Fireplace ' 21. Ducts,in Structure ' 22. Ducts, Venti�ating' 23. Gas Pipe�Rough & Tasc .. 24. Roof Framing - � 25..Roo� Sheathing � � ' 26. T�Bxr Ceiling (Structural} & �1Aonocoat 27. Frame and Plashing 28. Lathing � Siding� 29. Insulation � 30. Drywall Nail�ng 37. Piaster Brown Coat 32. Elecirical Powar Meter-Finai 33. Fina1 Electric 34. Final HeaLing & Air Conditionina 35. �inal Gas Pipe-Test 36. Hood or Canopy 37. Final'Factory Firep�ace 38. Final Plumbing 39. bVater Service-fina� 40. Gas Service•Final 41. Solar pomestic-Final 42. Backfiow Preventer A3. Backflow Irrigation 44. Landscape Irrigation SYstem 45. Sound Attenuatien 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING L � 48. FINALPLANNING 49. Electric Release to Edison 50. Gas Release to Sovthern falifornia Gas Cc 51. CERTIFICATE OF OCCUPANCY No. Date Date i' � � PG S SPA Inspecto� AppROVALS Permit # s 52.-Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Eiectrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 58. Elecirical C6nduit-Undrgmd. 59. Gas Pipe, O Untlrgrnd., Test - 60. 8ackwash Lines, P-Trap, O Undrgrnd. � 6t. APPROVAL TO DECK 62. Sackwash & Receptor-Final 63. Heater & VenDFinai 64. Plumbing System � Fina! 65. Electrical-Final T 66. Solar System-Final � 67. fencing & Access ApProval 68. APPROVED FOR PLASTERING 69. POOVSPASYSTEMSFINAL FIRE DEPT. REQUfRER�EN7 - • APPROVALS Permit # 3/ -9y G4-[< Date � Inspector .70. Underground Hydro 71. ProductPiping�Gas 170i1 .72. Underground Flush- ' 73:'Undergrnd.SmrageTank CGas ❑�il 7A, Overhead Hydro � 75. Dry Chemical 76. Dry Standpipe 77.-'FIXED SYS'iEM �INAL 78. FIRE PREV. FIPJAL � HEALTH DEPT. REQUIREMENT .79.�fINALINSPECTtON � ' � 80. �FOOD CERTIFIGaTE ISSUED Notes: t• �_ < �m _ ' � ; : _- 0 _ m . � L U B ,� � � g � 0 J 3°�'� �5�' , ��1 \ � PfJ. \ 9Q \ ` `� . G � . ;. �u�3 N' �� 3035 ' 3039 ► . ,�^�� . . • REV. , :. Jv� I •-REV.1 '. .: .:�� REV.1;' � 1 ��-') CASp BONItA 32�93 _ \ n'�. 29 ��3�' 3 �. • ^�� ` 4 PE�. \ ` � �� `` \� V �+ . . 'i�5� , c � S ��'�� Z ` e ' � `.Q � \ Q.Q� �� _` voo� CPS e � ; , �� e � � J L �_1 r {i M�` ' ' , \'�/ �. - MIAOINO' � ' q 7` '�fi.; �. �( l . so . _ � g6. � �� . . � � 15 I6 ; 17r18 � 19 0 r 21 22 , 23 , 24 � 25 � 26 � 27 ' �• � CASA DEL AMIG S; I '' I I ' . I �: . _:. - I _. � . , - � .----,__ , , , _.- , , � G � B I B REY_I G REV. I B PEV. I B ( G. G, 6i. I B NEV.I G �NEV. I b NEV. B G 3062 3060 3058 3U56 3054 3052 3050 . 3041 3040 3038 3036 3034 3032 . 3030 �I: . ' . , , -1' 11 . _ . � J � HOUSE ' I ROAD � , 5, � ' � 6 �1 ; _ .1___ ___ ..._ _� ____, __ _,_- -----_ -- _____, �. �' . ' . . � � � i � a � _ "n_,'�_ ^f u > a �_ ' �" N u AVD��cant to till in all soaces within heavy DorOer lines ana'�sign all apD�opriate tleclantians. CITY OF COSTA MESA � ' PegMIT _Nj). ^ / � ' TRAGT NO. -' LOT NO. .� 'BCDG. NO. "'� "� � CONSTRUCTION PERMIT /r�So YT ; rra�eci taooress � � � • TVPE OF CONSTRUCTION �OVJn2f � " ' Phone - ❑ NEW � ❑ ADD ❑�ALTERATION - Address ' ❑ REPAIR ❑ CONVERSION ��DEMOLISH� i Aich/Eng. " � �' ' � i License No. - �� OTHER � - - ' � Address� - - ' • -- - --_- DESCRIPTION.OFWORK } _ n . ... f � Contrector . - Phone �TYP,E OF,PERMIT� � -� - � Address �� - - -"-, ' -. 'OGRADING �-.❑ FOUNDA ION-'Q'STRUCTUI7AL LICENSED CONTRACTOR DECLARA ON� � -� TENANT ❑ ELECTRICAL�PLUMBING �OMECHAI 1 hereby atflrm that I am licensetl untler provisions ot Charter 9(com- - (� mencing" with section 7000) ot Division 3 of'the-Business antl� ��OTHER - - Prohssions Cotl�jia�G my license is in full force a e ' Litens la�•- �� ^ Ic se M PAOJECT DESCRIPTION _. �( � r1� ]6 i Date � 1� � o,,:.��.o - � : nl l/i`�. . SQ. FT. ' . . '" _. . WORKERS' COMPENSATION DECLARATION - --• 'OCCUPANCV �_CONSTRUCTION TVPE �^ �I hereby a/firm that I have a certificate of consent to self-Insure or a - ' �' ;ifiwte o( Worker5"Compen5ation'InSuranCe, r a certitietl copy VA�UATION ZONE .�ot (Sec G.). ' . ' GRADING CU. YDS. ACRES �$E y No. Company rtifieE copy is hereby iurnishetl. ---� -- -- . ' REMARKS: [itietl copy is tiletl with the ci[y Builtling Division.. � EXEMPTION FROM WORKERS' COMPENSATION�DECLARATION ' - (This section neetl not be completetl ifthe.permit.is for.one.huntlretl _ . _. ._. ($100) or less). • ' ' - •� � �J� - 1-CErtity that In the�performanCe of the work to� which.this pe�mit is' i55uetl, I Shall not employ any per5on in any manner so a5 to b¢come 7 PLUMBING PLAN CIiECK� SubjeGt to the Workers'�Compensation �aws ot California. - . ' Date Signa[u�e BATHTVBS SHOWERS � NOTICE: If after making this tleclaration, you sboultl bemme subject 'TOILETS' . URINALS � ro the Workers' Compensation provisions of the Labor Cotle, you must LAVATORIES DOUBLE LAVS ` - ' forthwith Comply with such provi5ions or this perrnit shall be tleemetl revoketl. ' ' -. . -. .. . . , CONSTRVCTION LENDING AGENCV KIT. SINKS DISFiWA5HER5 I hereby attirm [hat there is a construction 1¢ntling agency for the per SERVICE SINKS ' SUMPS �� formance ot [he work_for which this permi[ is issuetl (Section 3097 ' - _ Civ. C.). FLOOR SINKS FLOOR DRAINS Lentler's Name Lentle�'s Atltlre55 DRINKING�FOUNTAIN$ �_ ` OWNER BUILOER DECLA0.ATION - INTERCEPTORS CLARIFIERS _ N I hereby aftirm [hat I am exempt from the Contractor's License �aw for IU Ihe followin9 �eason (Section ]031.5 8usine55 antl Professions Cotle: SWIMMIfVG POOL� PTRAP Y) Any city or_ county which requires a,permit to mnstruct, alter, � �improve, tlemolish or repair any structure, prior to its issuance, also re-' yyqTER SERVICE ALT,ERATION . quires the applicant for such permit,to flle a si9netl statement that he � is licensetl pursuant to the-provisions of the Contractor's Cicense Lzw GASSERVICE OVTLETS � (f.,h�pte� 9(cOmmencing with Section ]000) Of Division 3 of [he _ , � �,�ess antl Professions Cotle) or that he is exempt therefrom'antl tM1e y.�qTER HEATERS BTU OUTPUT 2 '"for the allegetl ezemption. Any violation of 'ection 7031.5 by `applican[ for a permit subjects [he appliCdnt�to a civil penalty- SEWERCONNECTIONS \ui-'it'ot, mOre than five huntlretl tlollars ($500). LL . ' _ ^ � ❑ I, as owner of the property, or_my employees with wages as their � SOLA(3 TANK COLLECTORS �� . �� sole•compensation, will tlo the work, antl the structure is not Intentletl � or otferetl for sale. (Section 7044, Business antl Professions Cotle: The SOLAR PIPING SYS. ContraCtor'S License Law tloes not apply to an owner of a property _ _ who builtls or improves tnereon, antl who tloes suth work himsel( o� ISSUE FEE [hrough hi5 Own employees,� p�Ovitletl ihat such improvement5 are not intentletl or Offeretl for sale. If, howeveq the builtling or improvement MECHANICAL PLAN CHECK i5 Soltl-within one year of completion, Ihe Own¢r will_have [M1e burtlen of proving he tlitl not builtl �or improve for the purpose o( sale). HEATING SYSTEM 0-100,000 BTU ❑ I,-as owner of the property,-am exclu5iv2ty'mntractin9 with ":jjNDDVCTING � ' licensetl mntractors to mnstruct the project (Section 7044, Business 100,000 + BTU antl Profession5 Cotle: The COnbactor's Llcense law tloes not appry to - an owner of property who builtls or improves thereon, and who con- REFRIGERATION 0-300,000 BTU Vacts from'such p�ojecis with a contracto�(s) Iicesnetl pursuant to' $VSTEM " ' " '--' the Contractor'S License Law). 300,000 + BTV ❑ I am ezempt untler Section B. & P. C. fOr this BOILERS BTV rezson - - Date " Owner' - - - SVSTEM REPAIR,ALTERATION I h¢reby certify.that I have reatl this.application antl state that the above EXHAUST SVSTEM MULTIPLE information is cor�ecL I ag�ee to mmply with all city antl county ortlinances antl state laws relafinq to construction, antl hereby authorize representatives of this it [o enter upOn th¢ above mentionetl - property-tor s c'on• r e .- . Signature � Date I I-�Q _ ^ Drivers' License or 55 � �SSUE FEE CMF 0865-46 White-Builtling; Canary-APPlicant; Pink-Accounting; Goltlenrotl-%issessor A.P. � REAR VARp (TO P/L) 1312 1.2/06/82 � . • ' 6.Op � 1 rva � t �� ' i _._._ t ' PKG.SPACE�REq. PROVIDED�� - � STREET WIDTH - PARK FEE $ . - NGAVPROVEDBV _I u�+.it IAL CONDITIONS: 181 ELECTRICAL ' PLAN CHECK � �� ISfJ. FT. - ' _ - � �GENERATOR'" "0-1 KW_ 1-10 KW � � TRANSFORMER � 'APPLIANCE 30-SOKW_SO+KW - ' iMOTORS ' -0�1 HP_1-10 HP -, pNC.50LAR) 30-50'HP SO+HP� - FIXTURES - -OUTLETS SWITCHES � GASTUBE SIGNS ' ' ' ' POL'E�LIGHTS '� - ' - . "' . ELS � MAIN � -�� SUB -I ". JICE" ' - AMP - - " .. . . .. ' .. _ "' ..• � - ISSUE FEE " ' - - - APPLICATION APPftOVED BV ' pATE SUMMARV OF FEES 'BUILDWG " ' ' - ' - " - � � PERMIT $ '�SMIP $' - 'PLANCHECK $ PERMIT � ISSUANCE� $ ,PLUMBING $� - - � GRADING � $ PLANCHECK .$ ' �ELECTRICAL $ � - $ , _ INICROFILM�$ :PLANCHECK -$ ""- - _ � ., ' .MECHANICAL'$ TOTAL'FEE;$ PLANCHECK $ � ' LESS�AD- � ' VANCEPC $_ . . . . . . FINAL FEE $ y7 •� , t CONSTRUCTION AND PLANNING POOL & SPA ` � � � �, APPROVALS Permit # P�� Date � Inspector' , qppROVALS �� - Permit # `� , � - . Date' - 'Inspector , 1. Temporary E�ectrical Service or Pole .'.,�' ' 43. Pool & Equipment Locatiom � � • � � 2. Soil ipe-Undrgrn -• � � 44. Steel Reinfarcement- - ' � - - � � - - - � ,3. Eiectrical Conduit Utiiity-Undrgrn 45: Forms � ' � � ' 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - � � . tee ein orce 47. Rough Plumbin & Pressuie.Test � � - - '� 6. Electrical UFER Grn .� � 46. APPROVALTO CO.VER-GUNITE ' 7. Footings � '" � '49. Electrical �Conduit-Undr rn � � � � 8. .Foundation_ - � 50. Gas Pipe, ❑ Undr rn, Test - � � 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra �� ndr rn � '� 10. Structural.Floor System � � 52. � APPROVAL TO DECK ' ' - � ' ' � - � 1 i. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final� r- � � � ,12.- Street Sewer Connection •' • - � � � 54. Heater& Vent-Final � ' 13. Rough Plumbing _ � � �- ' - � � - ' � ' 14. Rough �IectricConduit • - -56. Electrical-Final-. - ' � • - ' 15. �Rough Elecfric-Wiring' -�- � - � - 57. Solar System-Final . ' ' - - 16. -Rough Heating & AirConditioning . - • encing & Access Approval � 17.. Ducts in Structure - ' � � '59. APPROVED FOR PLASTERING � ' � 18. Ducts, Ventilating � _ � � _ _ _ 19. Gas Pipe-Rough &Test ' � '' 60. POOUSPA SYSTEMS FINAL - - 20. Roof Framing ' ' � � 21. Roof Sheathin ' ' � ' - � ' � � � � '. 22. Frame and Flashin ... _ ' NOTES: � , - , ' -,. '� 23: Insulation - ` ' � ' � � � 24. lathing & Siding- � ' - '' 25. Drywall Nailing � � � " • � ' � � - ' ' 26. Plaster @rown Coat � - � � ' ' • '. 27. Electrical Power Meter-Final - � � � ' � ' ' ' 28. Final�Electric� � � � � � � � � 29. - Final H2ating & Air Conditioning -' • ' 30. Final Gas Pipe-Test . . ' 31. . Final Plumbing // ph LE9 � " • 32. Water Service-Final � ' - ' 33. Gas Service-Final � ' ' � � 34. Solar pomesticFinal • � � - 35. Landsca e S rinklin S stem � � - � � � � ' 36. Sound qttenuation � � ` � - � �� 37. Handic2p Regulations ��- - � - � -� � ' � . 38. FINALSTRUCTURE&BUILDING • - � � � � � � 39. Special Requirements Completed � � � � ' : 40. Electric Release [o Edison ' ' ' - ' " " 41 . Gas Release to Southern California Gas Co. � � �� 42. CERTIFICATEOFOCCUPANCY No Date ' -.. _ . _ . . . ._ . ., � , , . . JOB AP No. 1NSPECTIONS Service or Pole BUILDING PERMIT NO.� PTION OF WORK Res.w att.Gar. :ONE VALUE $ � 1• �UP TYPE ZONE PERMIT; SUBCONTRACTOR I n.,.,. i n...., ` ' � �.��2 i COSTA MESA BUILDING.SAFETY DEPARTMENT P. O. BOX af7 C08Tq M66A. CALIFORNIA For Applicant to Fill In Completely � TYPE OR pRINT ADDRES"s° 3034 Club House Road � � COSTA MESA, CALIFORNIA OWNFR Mesa Verde Dev.Co.� Costa Mesa ;R E. Kaltenbac 1823 E. 17th st 9 8TATE 181322 LIC. NO. SIZE LIN[FROM ' ' DESCRIPTION OF WORK FEE RECEtVED �EB 2� 1965 fINANCE DEPT. ��y ��TA MESA AP I A R PERMR BUILDINCi For ONice Use Only BY 5478046 BY ••�•__ OATE S .A . ZONING ZON NO, OF I USE OP N8W g�. P�,�sp ao��o�ro. ar• e L80�L D88CRIIRION LOt 2 TT. 4660 - A. P. NO. � IIOI76 NOTE: NOEAVEOVERHANGSHALL`BELESSTHAN - 90' TO SI�H Q RfiAR P. L. . EAVES eLDae. ALLOWHD (U. B. C. REQUIREMENT� vtAT YARDSAPPROVED VARDSAPPROVEO MAINBUIL�INO AGCESSORYBUILDIN6 � 90-.RDIN6 �32 e�:.�P 5 .............2 US6 OF BUIIDINY ANO WORK' Res.w�att.Gar. 1 HEPEBY ACKNOWLEOG¢ TXAT 1 H�yg p�O TXi9 �PPLIGTION AN� 6TAT8 TXE ABOVH 18 CbRqfiCT AND AOREC TO COM- PLY WITH LL CI POINANCBH AryD BTATB I.AWi RHOULATINO BUILOINO ON9TR ION. � f � AUTHORI2HD A6HNT . . '� � � CAU.�P.� 31� I APPROVED 11-16-64 ._—._�1� _ � n ..— i'� HOLD FOR SPECIA Kt(�U1f�Y.MCIV 1 J Sge permit on t 1 for conditic �25° Sq. �. J 460 , THE AMOUNT 9HOWN IINDER VALUATION I8 FOR TN8 PURPO6E OP HeTABLIeHINO A PEqMIT FEE ONLY. VALUATION ��— PERMIT FEE $ $ /�, �s/- � E� a�s , 0 4