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Home My WebLink About3032 CLUB HOUSE RD - Building Permits� � ' '� "PflOJELT AOOflESS: 3 O S Z C LUB HOUJC E RD OWNEN'S NAME: x�RE, DELMAA T nooness: 3032 CLUBHOUSE RD COSTA MESA,CA 92626 AflCHIENGINEEfl: AOOXESS: NEG.NO.: UNIT: UNIT: PE"minEE. PETER.,ON ROOFING ( 719 ) 979-7111 r anoaess. 30G`0�'5p, ENTEj�RPRISE p LICENSEO CONTBACTOH �EIAAbYION��eCJreby aifirm Ihal I am licensetl unaer pr�ovisio9ns af�h2p�ler 9(commencing wi�h Sec�ion 7000� ol Orvismn 3 0l ��e Business antl Pmlessions Code, ane my bcense is in tulliorce antl elfec�. CITY LIC.: STATE LIC.: CIASS: 045445 607872�Q t'—"�q Oate: -S�� ' S � Signature: —�,C�+ y� ��T'�+ r WOBRERS' COMPENSATION OECLAPpTION: I �ereby a�firm �hat ave a cehiticate o� consent to selt�insure or a certificate of Workers' Compensalion Insurance. or a ceriilied copy Ihereof (Sec�ion 3800. Lab. C�. , roucrr+o.: NC3501565 E%P.OATE: O3/2O/9S comrnxv: REP UB L I C 7 CetlifieA copY is hereby Wmished. � Certified copy is IileO wi�h the ci�y 9uiltling Division. oa�e: S— g' `I y ApplicanL � =��+�� E%EMPTION FBOM WOPNEBS' COMPENSATION OECLANATION: (Thi55e�Cion neetl not �e camplete0 i� �ne permit is�orone hunOreO �5100) or less�. I cetlify thal m Ne petlormance ol �he work for whic� I�is permil is issuetl, I shall no� employ any Oerson in any manner so as to become subleci to I�e Workers Compensalion Laws ol Califomia. �a�e: SignaWre: NOTICE: II. a�ter making Ihis tleclara�ion, you shoultl become sublect lo Ihe Workers' Compensalion pmvision5 ol I�e Labor Code. yau musl �orthwi�h comply wi�h suc� pmvisions or Ihis permil shall be deemed revokea. CONSTPUC7ION LENOING AGENCY: I hereby aflirm 1na1 Ihere is a constmction IendinA agency for Ihe pedormance al ihe work for wnich �his permit is issued (Sec�ion 3097. Civ. C�. LENDEfl: AOUPE55: OWNEfl BUILOEN DECLPPATION: I �ereby allirm Ihal I am exemp� �mm �he Con�rac�ors' State �icense Law �or the following reason (Seclion 7031.5 Business antl Pmlessional Cotle'. Any ciiy ol coun�y which repuires a permii to constmc�, al�e�, impwve, tlemolish, or repair any stmc�ure, prior �o iis issuance, also requires ��e applicant �or 5uch permi� �o file a signetl 5taiement �hat �e/she is licensed pursuanl to Ihe Oromsions oi the ConVaclors' S�ate License Law (Chapter 9(cammencing wi�� Sec�ian 7000) oi Division 3 of Ihe Business antl Pmlessions Cotle� or �hal he/she is exem0� �hereham antl Ihe basis far the allege0 e[empiion. Any viola�ion ol Seclian 7031.5 by any applican� �or a Oermi� suhlecis ��e applicant �o a civil penalry ol no� more ��an live huntlre0 dollars (5500). I. as owner o� the pmDerty or my employees wilh wages as their sole compensa�ion, will tlo Ihe work, antl the ❑ slmc�ure is no� inlentled or oliered for sale (Section 704a, Business and Pmfessional Cotle: The Contractors' Sta�e License Law Does no� apply Io an owner at a pmpetly w�o builds or impmves Ihereon, anU who does such wark himselt/�ersel� or �hmug� his or �er awn emplayees, pmvitled Ihal such improvemen�s are no� inlendetl or oifere0 (or 5ale If, �owever the builtling or improvement is sold wit�in one Year of complelion. t�e owner will have I�e burtlen o� pmving he/she did not builtl or improve br Ihe purpose af sale). I, as owner of �Ae propeRy, am exclusively canVaciing wiih licensetl conlracto�s lo conslmc� �he prolect (Seclion 7044, Business ❑ antl Pmfessions COAe: T�e Contraclors' Siale License law tloes no� apply lo an owner oi OroDe�y w�o builtls or impmves �hereon ana who conVacls lor such pmlecis wi�� a contradoqs�license pursuanita �he Contraciors' Slale License Law�.l am aware Ihat pmo� o� their WOBer's Compensa�ion insurance should be pmvitletl �o me. � I am eeempl untler Section: B. 8 P. C. lor this reason_ �aie'. Ownec I do nere�y cenily thal I am aware ot antl untlersiane Ihe requiremen�s ol California Heallh ana Sa�e�y Cotle Sections 25505, 25533, and 25534 and Ihal I or any fuwre builtling occupanl willlwill not (circle one) nee0lo camply wM saitl stale codes and ihe reQuiremems for a permit for canslmetion or modifica�ion imm Ihe Air Oualiry Managemen� DisVicL Residential conslmction applicaiion5 are exempl imm ihese provisions. Da�e: Applicam: I �erebY ceruly Ihal I have read Ihis application antl slale I�al lhe above m�orma�ion is correcL I agree lo comply wiih all ci�y antl caunry ortlinances antl 5�atelawsrelatingio builtling consimction antl hereby aulhorizerepresentatives ofl�is ciryto enlerupon�he above-men�ionetl pmperlY �or 7n5pecllo�n `purposes. ��/\ Daie: �r V r I�� Signalurej�W�� / Orivefs License or Social Security #: �� 164L46 W�iie—BuilOing; Green—Cotle EnlorcemenL Canary—Applicanl: Pink—Fevenoel GOIEenroO—Asseswr CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 067094 PERMIT NO; B 067094 PLAN CHECK NO: N GOVT: N SUPP; N �i�+Pd�+'I`FlU€;`�TE��1 `I'Yp�t �-5 PERMIT TYPE: STA PURPOSE: OTH JOH DESCRIPTION ; kEMOVE BIIR 6 REFLACE W/BUA SQ FT; 1,786 CLAIM VALOE: 1,786.00 CALC—VALUE; 1,786.00 GROUP OCC; R-3 / COMMENTS: SMOKE DETECTORS REC�UIRED PER 91 UBC lfiEfElElFiEiEfflEikltiEiEiEiElEkiElEififiElfiElEilifik iEiEifiEiklEiElEifiEiEikiEifififif#EiEiEiElEjflElEiflElFfEiFiElffElEiflfiffEfEiEiEiEiFiEiE!lifiEiE#f Z O N I N G R E Q U 2 R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FANT: FT IN REAR: FT IN LEFT: FT IN RGI-IT: FT IN LEFT; FT IN RGHT: FT IP.1 PARKING REQ • PROV; PARCEL: 13951526 2NE; REF NO: PLANNING N(3TES> -� ' ;. iE it 1E it 1E �! iE iE iE iE iElE 1E 1F if iF iF iE iE iElE 1E 1E if jFlE i! 1E iE iE if if jE if # at fE 9E iElE if �E iF 1E iflf iE iE iE iE 1E fE K 1E �f if 1E ik if !E iE #' iE iE if iE if !f jE,3E fE �ElE 1E iE if ih 1E if 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 il. ZONING APPROVED BY DATE: 'r BUILDING APPROVED BY ; DATE: � APPLICATION ISSUED BY: DATE:�."� iEiFiRiFiEifiFlEifiFifikiElE�F9EYrdElEiEiE1E , �EiEifjfiEifjFiEifjE3Fi aEif If iE k iF if jE �l4 iF iF iE iE if iF iF iE if iE dF iF 3f iF iF iF if if iE iF iE iE iE iF iE 3E 1E it iE if if iE 3E iE iE �lE iE iE if iE iE 1f iE iE iE jE 3E if iE iE �E iE jE iE if iF if iE iE if iE iE iE iE iE it iE iE %jk iE iE LEGALIZATZON:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 41.00 .50 SMIP/NON—RES PLAN ISSUE FEE HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 41.50 0.00 0.00 41.50 41,50 ,00 REVENUE DIC'ISION TOTALS--> COLLECTED: 41.50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 41,�� ,5� iE if if if iE fE jE 1E 1E ff !f fE ff jE iE iE 1E iF iE if fE 1E iE i! 1F 1! 1f ff if if if iE iE if iF 1f M iE it ir ir fE iE i! iE iE 1E iF 1E M iF iE ik iE if if iE 1E iE if if iF iE it i4 iF iE if 1ElE if if iE iE iE iE 1E if iF 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 END OF FEES 1.00 1,786.00 ^: 0016Q:33-00?60234 T O T 41.5Q DATEt O5/10/94 TIttE� 15%29 �f: CONSTRUCTION ANDP4ANNING - APPROVALS Permit # ' Date 4 - � 1� Temporary Electrical Service qr Poie 2. Soil Pipe-Undrgmd. �3. ��ectrical Conduit�Utifty�Undrgmd. - � 4. Elecirical Conduit-Undrgrnd. � ' � 5. Sieet Reinfo*cement_ 6.� Electrical UFER Grnd.� - 7. Footings �8. Foundation , � � _r 9. Wate: Pipe-Undrgrnd. � . i 10. Structural Ftoor Systam � . � ti,?ropertySewerwtyns&_NouSeConnectian ,, ,. , j 12. Sewer Cap 13. Roof Drains 14. Rough Plumbing ' 15. Rough Electricai-Conduit ` 16. Rough Eiectric Wiring � 77. Rough Wiring Sign 18. Rough Electricai•T Bar Ceiling " i 9. Rough Heating & Air Conditioning 20.�Rou9h Fattory Fireplace . 21. Ducts, in Structure � 22. O�cts, Ventilating � 23. Gas Pipe�Rough & TEst , 24. Roof framing � . � Z5. Roof Sheathing . - . . 'Z6.� T-Bar Ceiling �Struciuraij & Monocoat 27. Frame and Flashing � 28. Lathing ffi Sitling ' � 29. Insulation � �30. Orywall Nailing 31. Plaster Brown Coat 32. Electricat Power Met>r�Fina� � 33. Fina( EleCtric 34. Finai HeaSing & P�if Cond�tioning 35. Final Gas Pipe-Test 36. Hood or Canopy � � 37. Flnal Factory Firepiace . -, � 38. Fi�atPiumhing �39. Water Service-Finai � ' � $0. Gas Service�Final _ - �41. Solar pomestio-Finai , 42. Backflow Preventer . 43. Backflow Irrigation - 44. Landscape Irripation Sys[em 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUI�OING 48. FINAIP�ANNING _ 49. Electric Release to Edison 50. Gas Release to Southern California Gas 51. CERTIFICATE QF OCCUPANCY No. Daie inspector ,y, POG SPA APPROVALS Permit # Date Inspector 52. Pool & Equipment Location 53. Steet Reinforceme�t 54. Forms 55. Electrical Bonfir,g � 56. Rough Ptumbiag & Pressure Test 57. APPROVAI TO COVER�GUNITE 58. Electrical Co�nduit�Undrgrnd. � 58. Gas Pipe. D Undrgrnd., Test � 60. Backwash Lines, P-Trap, C! Undrgrnd. 61. APPROVAL TO DECK 62. �Backwasf� & Receptor�Final 63. Heater & Vent�final 64. Plumbing SYs.em - Fina� 65. Electrical�Final 66. Sotar System�Fina� 67. Fencing & Access Approvai 68. APPftOVGD FGR PLASTERING 69. POOL/SPASYSTEti75FINAL FIRE DEPT. REQUIREMENT APPROVALS - Permit # 70. UrTderground-Hydro 71. Producx Pipiny QGas OOiI 72. Underground Flush 73. �Undergrnd: Storaye Tank Q Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Stand�ipe � ' 'I7. 'FIXED SYSTEM FINAL 78. -FIflE PREV. FINAL � � � HEALTH DEPT. REQUtREMENT 79. FINAL INSP�CTtON ' 80. FOOD CERTIFICATE ISSUED ^- Notes: , � � � '�F. . � V ' �� 1�'S bo» �- , � 3pq1 �9 • PEV, i ^ ,r � o ' i '.NEV. . M ' .� �'.'.� ' pEV.' i �; � .�.��-�'�. ' . � Q � �, ' SA BONIi A 3'� 33 ` � : M a�, o (� '�pp'1 \ 4 P�. ' C!, 3� 31. ,__ �. � W� S �9 � 28 � 29 � :@ � � \` - - 42 � � . S3 �06� J �� ° , � � m � 5S �� PEJ� 6 PE , � S �� K! a ��+! �1 �0 � c . � 0{�F, \2 a— - " - � 0\' p � �OS �� \ i W �' M � P O� �O , LL. CPg 9 � � Poo� 4, ` � � \ 0 � o � 9 �� '� Q i 1n N `� : � '� , } i � _Q._ " — - _ Pr,- r., �-�—y � . V — - — Iw�ciMo' w i ` 1�! '� �.. - u' o � � ; ;r� ,� y(,so. - � � 86 0� �, _ � � �o • . , — — -- � e � � . • : . � m o 1 � I 14 15 16 , IT � 18 � 19 20 21 22 , 23 , 24 � 25 � 26 27 � � — -o ' � � CASA DEL AMIGOS'. I i ' ; W o tp � .. . � I . ¢ O � Y Q : - 'I 7..:-> '. I Pi N �� .. .� . . m . _ . , --- Q � - - — - oo+ ... . . _. _. . . , n Gi .. .-�--� � 'i ' i .l �. i -'— �� > �n m � � a o G � B I B REv'I G REV. I B NEV. I B I �, G, 91. I B PEV.I L,NEV. I b HEV. B .G V ^'� > -- 3Ub2 3060 3058 3056 3054 3052 3050 3042 3040 3038 3036 3034 3032 3030 a g � � " �•, � �1 I I I I I i1 I� I ! 1 I � . �i �t , , �, � , . .. ; , L U g ,� � H 0 U S E ' R 0 A D ; � • 5 � ,. j � � r - - !. (o �1 , . . _._ _ _ ...._ _ .__.-- _. _._ __. ' ..._.._.�_3 ' ' . 1993 8%26/66._.__ e `" , -� -- � - - - - - -� - - - - - /�oplicant m fi11 in au spares except those withim heavy boraer lines ana sign all appropriato�tleclarations. - �- � 1 � -, .. _ .. _ �,,, . . , ?" -' ' :.1� ��-r�j`� CMTY OF COSTA MESA CONSTF� UCTION PERMIT� .. �. PER^^i O. ' TRACT NO. LOT NO.� � UNIT NU.', � � �. . _ ' . . � _ � ' � . - � � , - , , . �UU3Z •C1U�N(�,L� �k'.b � � - S� ' ' , I . . Project Address � � . � �. 'l � ApplicanYs Mailing Address — S � `� ' TYPE OF CONSTRUCTION NEW ADD• ALTERATION �REPAI R - ' � � � � . I' ^.,� � ' � ' _Pho /�G-}. O CONVERSION �O DEMOLISH O OTHER ' . . . . . Owner's Name N' "�� J( - - � - A•P• #, , t ' Zone .�Zn �� :..S'�- � DESCRIPTION OF WORKNSE OF BL G. I��In� " Address W� ��V � W Q� �� ]�' S Main Building: � Accessory'Building> Z Arch/Eng., - License No. � TVPE�OP PERMIT i ❑ GRADING FOUNDATIOfV. STRUCTURA� . T �Front - . � : � � `� � p � Address � � - - ' � � � � ❑ TENANT ❑ ELECTRICA� ❑ PLUMBING ❑ MECHANICAL` . � � B Rear . �� ' . ' � . � - ' , N � :L �OTHER � � - ' ' A � � Cont7actor's Nama��N�N Phone � � � - , , � - C Right y � � - " ^ � _ ; � �' � N r%KF'� pV� # I�' NUN'(.I3LI-� PROJECT DESCRIPTION 5�. FT.' 'OCCVPANCV � K � , . . G Addresslmailmg) � � �� Left � • � ,. �I�� CONSTRUCTIONTVPE VAWATION$ $' , .! i' r R City�License No. 1 ZONE � GRADING CU. VDS. 'ACRES ' - ' ' ' i: - E 110EN5ED CONTRACTOR �ECLARATION � ' Piny. R¢f. # � P3�ki0g R¢q./P�OvidCd � I{liereby�atfirm that I am licensetl untler provisions ot'Charter�9 �(com'mencing - Remarks: ' � � � ' � Planning Notes: • - � M +_ with sectlon �000) of Division 3 of the Business antl Professions Cotle, antl , � . � , "Q my license is in full � tl''effect. � S .Licens s 'c e N � , . � � Date $i9nature P _ � PLUMBING 1 ` , FEES � ' � � '- . ' 'ORK RS' COMPENSHTION DECLARA ON , . : j + . � . � - ' . ; , � • ' 1 ' � iereby affirm that I have a certificate of consent to salt-insure or a certlficate 1 Bar Sink . . Showers . , ELECTRICAL . � � � FEES � � .,f WOTkers' Compensation InsurSnce, or a'certifietl Lopy thereof (Section � Backflow Prevente� ' t Service Sink' � ' � 3800, Lab. )^ • . . Automatic Washei�; � 'Transformer ❑ 15-50 KW � Policy No.�l, �� Compan�� Backflowirrigation ' SewerCap ' � ❑ 50+KW �, , , i ; Construciion PoleSub, j , p • Certifie co y is hereby fumishetl. � � � � � Cert' 'e s filed with the cit� tl�In/ Dlv}��'1 r{�� ' �/ -( Bathmbs ' � Sewer Connection � Cooking Unit � ' '. 'Meter �up to, 100'amps� � � Date APPIIcant �-�`--� � � �+•' fu "�'V � , ' EXEMPTI N ROM WORKERS' [OMPENSATION'DECIARATION - � Clarifiers �-� � •Solar Collectofs - � � Dishwasher - � -- - �.Meter-�over_100amps - - - - (ThiS section neetl not be campletetl if roe permit is for One huntl�etl ($100) m � . . . less). � Dishwasher , SolarPiping� Dryers ❑Gas� DElectric SubPanel 1 certify'[hat in the performance o( the wo�k tor which this perrfiR is issuetl, I . � , shalP not emoloy any person in any manner so'as to become subject to the , Drinking Fountains � Solar Tank Fan �• ' ; Workers' Compensation Laws o( Calitornia. , � ' 'Motors �0-1 FiP 01 %- 8 . Oate � Signature Floor Drains Swimming Pool w/Spa � F.A.U. ' InaSolar �9-15 HP 016-15+ � �NOTICE: If, after making this tleUaration, you should become subject to the ,. _ _.,� _' _ . Workers' Compen5ation provisions of the Labor Cotle, you must forthwith�� FIW�SinkS � , � U�I�dI � � FixtU�¢5 ' � � mmply'wilh such p�ovision5 o��thi5�permit Shall be.tleemetl �evoketl: ' - � . 'Mic�Ow2v2 � CONSTRUCTION IENDING'AGENCV '� • `- ' 1 Gd5S2Nice ' 'OutIEtS: ' � � ' 1 bereby affirm tha[ there is a construction lentling a9enty for the performance - �Water Close[' ��' Device BOxes � Pole', Light � ot the work for which-tnis pe�mit:is issuetl��.(Section-309� Civ. CJ' �nterceptors� , � WaterHeater � - • Outl¢ts . Range � � Lentler's. Name ' ' ' Lentler's Atltliess ' ' ` � • ' Kitchen Smk � " ' Wate� Service ' ' >� � . , , , OWNER BUIIDER dECLARATION ° - � � - ' ' '' � ' . f Switches, Sign � I heleby afTirm that I am exemp[ tlom the Contlactor'S�LiCenSe Law for the , CBvdLOnES' .. . � AutO-WdSh � � . followin9 reason (SecHon-7031.5 Business antl Professianal CODe:�Any,city or ' -- Garbage Disposal ; Stariding Sections � ' county whith vequires a permit to const�utt, alter, imp�ove, tlemolish o� repair P—T�2p .' - �' L2und� T�a 5� � .- �� ' � • ��any structure, prior lo its issuance, also requires�the applican[ fOr such permit ; � - _ Y Y- `' �- Generator DO-S KW �5�1$ KW T�aSh COmpdCtO� � � t0 file a signetl statement thdtrhe/she is licensetl pmsuant to the provi5ions of Roof Drains � i• ' I��P.�/V�L_ 1'� . Z� ' � • ' � '�e Contractor's License Law (Ghapter 9(wmmencing with Section 7000)bi - � ' � � � • i I ivision 3'ot the.Business antl Prote55ions Cotle) or that he/she�is exempt � . , - �� , . �terefrom antl the basis for tM1e allegetl exemption. Any.violation ot Section _ - ' • � � � � J031�.5 �by' any applicant for a permit subjects the applicant to a civil � - � . � ��enalty of not more than five huntlretl tlollars ($500). � � , � � � . � � � � - � � LJ I; as owner of the property�or my employe25 with wages as their sole . R¢inSpeC[iOn�F¢B ;$15 " ISSUe FBB $ 3 t 1 � compensation, will Go the work, antl the,structure is not intentlea or ofteretl ' � ' Reinspection Fee $15 luue Fee � � ' ;$ 3 1 for sate (Section �044, Business antl Professional Cotle: The Contractor's � � � ' �MECHANICAL � . - FEES Litense Law tloes not appty to an'owner of a p�operty who builtls or improves � - � � thereon, antl�who tloes such woik himself/nerseli or through his or her own � � . � �� DEVELOPMENT SEflVICES REQUIREMENTS: , � � employezs, provitletl that such improvements are nOt'intentletl or offeretl for i i BoiIB� (� HOOd 0�� Typ¢ I� ❑ � ' . -i ' , Zoning Approved By � Date � sdle. If, however, the builtlin9 or improvemen[ is soltl wi[hin one year of com- ' Cdnopy ' Type IP ❑� , � � . � pletion,�the owne� wlll have the burtlen of proving he/she tlitl not builtl or im- DuCt - U�dE� i�i�OUnd � ' ', - - � prOve.tor the,pu�pose of sale�. � ; ; � � Bullding App�OVed By � Det� ❑ I, �as:owner of the property, am exclusively contractin9 witn licensetl <on- � Duct - Svuctural Refrigera[ion System i , �� APPliwtion luued'By ' ' ; Dat tractors to consiru[t the project (Section 7044, Business antl Professions Cotle: � - ' ' � � . 'The Coniractor'r License� Law�does not appry to�an'.owner ot oroperty who • - Duct - Ventilating;" , - - -- ❑0-100,000 BTU� �100,000 BTU �-- � ' . , , � , builtls or improves thereon, antl who contracts tor such projects witn a con- � � � � ,SUMMARY OF FEES ; � � [ I tractor(s1 license pursuant to tne Contracror's License Law). I am aware that Exhaust System ❑ Muitiple �� System Repair/Alteration ' ' BUILDWG PERMIT ,$ ' SMIP . �$ ' � proof of their Worker's Compenwtian insurance shoultl be provitlea ro me.� � � PLAN CHECK �, �$ ' • PERMIT • ' j ❑�I am exempt untler Section � , B. & P. C. for this rea'son Firepl/FacG BIL ICBO �k Fire Dampers . � • PLUMBING � �$- "r?iC2'� '�SSUANCE �$ ' , i. �ate ' • ' ' ownen ' � � � � _ . Heating System & Ducting Registers j � � P�LAN CHECK 25%� $ � ENERGV P.C. � $ ❑0.100,000 BTU 0100,0006T � 1 hereby certity fhat i have read Yhis application antl state Nat the above � � � . ' ' ELECTRICAL $' � GRADING �$ � � informa[ion is correct. I agree to comply with all city antl county ortlinances - ' , • antl'state s relating to uimin9 constru<tion, antl hereby autho iz reore- . ' PLAN CHECK 50%' $' � MICROFILM ,$ �- ' ' sentatives this' city' tq eR r n t e above-mentionetl � r for - . , � � + • � ' ' , � � �'; �7,� inspectio r es. 1� 1 � � i '�j �b ' � � - � � MECHANICAL � $ � � � TOTALFEE ' $ �i_� i Signature �� ' Reinspec[ion Fee $15 � luue Fee $ 3 } PLAN CHECK 25% $ � ' . ' � j � Orivers' License Or 5 .9A . CMF OB65�46, rev. 30/84 White - Builtling; Canary - Applicanq Pink - Accounting: Goltlenrotl - Assessor , - CONSTRUCTION AND PIANNING . POi . SPA � Date Inspector . Date Inspector • APPROVALS Permit# APPROVALS Permit# 1. Temporary Electrical Service or Pole �� " 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. ' _, ' 53. Steel Reinforcement ' � ' 3. Electrical Conduit Utility-Undrgrnd. ` 54. Forms � _ - ,4. ElectricaFConduit-Undrgrnd. � _ • 55. Electrical8onding , � • 5. Steel Reinforcement� � 56. Rough Plumbing & Pressure Test ,_ 6� Electr;ical'UFER Gmd. ', � 57. APPROVAL TO COVER-GUNITE `- �� 7.•Footings` � . __ ` 58. Electrical Conduit-Undrgrnd. � � ^' � 8. Foundation ; � �� 59. Gas Pipe, O Undrgrnd.; Test 9. Water Pipe-Undrgrnd. ' - � � 60. Backwash Lines, P-Trap, O Undrgrnd. � 70. Structural Floor System .. � __ 61. APPROVAL TO DECK ; 11. Property Sewer Line & House Conne'ctiori -� ' 62. Backwash & Receptor-Final . � � 12.�Sewer.Cap ' . � . ., .. 63. Heater & Vent-Final - . 13. Roof'Drains ! . . � --� , _ 64. Plumbing;System - Final � " 14. RougMPlumbing� - - - '65. Electrical-Final - � � 15. Rough�Electrica6Conduit- � 66. SolarSYstem-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 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT _ - � 20.'Rough Factory Fireplace APPROVALS Permit # _ 21. Ducts, in'Struaure - , 70. Underground Hydro " 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil , '23. Gas Pipe-Rough & Test � � 72. Underground Flush , 24. Roof Framing 73. Undergrnd. Sforage Tank O Gas ❑ Oil - 25. Roof Sheathing . 74, Overhead Hydro - 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry ChemicaL 27. Frame and Flashing � 76. Dry Standpipe, 28. Lathing�& Siding ' 77. �FIXED SYSTEM FINAL 29. Insulation � 78. .FIRE PREV. FINAL . 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat 79. FINAL INSPECTION �� 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning ' 35. Final Gas Pipe-Test � � . . , � , � � � 36. Hood or Canopy ' , ' , � ' 37. Final Faaory Fireplace � . � . . � � 38. Final Plumbing � q �y �6 L�� I 39. Water Service-Fin21 �� • ' � � � C'i 40. Gas Service-Final �" ' � 41. Solar pomesticFinal � � . , , , . . � , 42. Backflow Preventer ,.t - 43. Backflow Irrigation � , � , _ � , � � ' � u _ 44. Landscape Irrigation System � :n _ 45. Sound Attenuation' � '� '• � , � , -. �' 46. Handicap Regulations � . = 47. FINALSTRUCTURE&B�UILDING - • � . 48. Special Requirements Completed . � �- - � 49. Electric Release to Edison - ' - - � . ' - 50. Gas Release to Southern' California Gas Co � . . � � • �' ' 57. CERTIFICATE OF OCCUPANCY ... No. � Date ' ' � MN:S[l Vr�tllL L�V.I:V. GENERAL CONTRACTOR Salne � 1NSPECTIONS Service or Pole Final DATE 3-`+-b7 BUILDING PERMIT NO. :PTION OF WORK Res.w att.Gar. :ONE VALUE $ 17,OS1.00 JUP I& J TYPE V ZONE SUBCONTRACTOR I PERMITI Tlntn I Nin . .,� . ,��:�� COSTA MESA BUILDING-SAFEfY DEPARTMENT P. O. BOX 917 COBTA ME6A, CALIFORNIA For Applicanf fo Fill /n Completely TYPE-OR PRINT DDRES"s° 3032 Club House "Vetd COSTA MESA, CALIFORNIA wNER Mesa Verde Dev.Co. A'� 2850 Mesa Verde Dr. !llIBFAR Costa Mesa E. Kaltenbach Same as Owra r 5499395 =�N� 5478046, aYPF 6TATE 181322 THL. LIC. NO. NO. SIZE - � NO.OFlLOOe.Q OF LOT NOW ON LAT USE OF ' EXISTINGBLO6. �--��---- BETBACK LINH FROM - � cerviers op eiwea'r REAR YARD SIOEYARDI� LEFf I R16XT DESCRIPTION OF WORK SIZ�E�!Ng 1232 ROOMS 5 BTORIEB 2 EXTERIOR WALL ( ROOF COVERING COVERIN6 US6 OF BUILDING AfiD WORK TO BE PfiRFORMED Res.w�att.Gar. �1 HEREBY ACKNOWLEOO¢ TXAT 1 HAVB REAU TXIB �PPLICATION AND 6TATE TXAT iH8 ABOV6 �e CORqeCT AND AOqEfi TO COM. PLY WITH ALI(L{7Y OHO�NANC48 AND BTATH LAWi RBOULATINO BOILOINa CONBTRUR/l�ON. ■ AUTHORIZB� AGENT FEE RECEIVED FfB 2 5 1965 FINANCE DEPT. APPL C �TIONOT OR ^PEIFhIR BUILDIN(; For Offiee Use Only RHCEIPT NO. � _ PEI ar V ___.._ I & J ZONING ZON[ NO.OF I UBEOFNEW � . R4 PLANe 2 BUILOIN6 p�.ppe . o •-o p s�R��.�ox Lot 26� Tr. 4660 w. P. No. none NOTE: NO EAVE OVERHAN6 SHALL BE LE95 THAN 90' TO SIDE @ REAR P. L. EAVE8 ALLOWED (U.B.C.REQUIREMENTI YARD3APPROYEO YARDSAPPROVED MAIN BUILDINO ' ACCESSORY BUIL�ING DISTANCE BET. I BET.MAI MAIN BLD68. ACCESS. VAR.�}j' DATE See permit on Lo� 1 for conditio; i25o a o se. �r. TH! �MOUNT BHOWN UNDEP VAIUATION IH POR TH8 � PUHP09E O1� fBTABLI8HIN0 A pEqMIT FEE ONLY. VALUATION PERMITFEE $ �� s �% U.S/ � � E �