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Home My WebLink About3026 CLUB HOUSE CIR - Building Permitso�ooRess: 3G26 C�u3 HOuSE Ci ow sxaMe:CUJVTRY C:SB LrSi•�AS ASSCIC ooeess: C/v i,t0 I V�rtSON t?Rt5 ) � 3U?2 C�UH HOUSE CI, CO:,TA hiESA CA 92626 9791592 AFCH/ENGINEEN: NEG.NO.: aoonEss: UNIT: uxir: PEXMITTEE: P� L ERSON ROOFING ( 714 ) 979-7? 11 FDOflESS: 3OOG ENTERPRISE COSTA MESA CA 92628 444CENSEO CONTflACTON OECLABATION: I hereby aHirm Ihat I am licensed under pmvisions oi C�ap�er 9(cammencing wil� Section J000� af �iv��sion 3 0l Ihe Business antl Pmle55ions Code, antl my license is in �uli torce antl eHect. �cirruc.:045445 sTaTeuc.:5p7g77 ��_ss:C—�9 �ale: S ��— � 3 Signalure: � � WOHNENS' COMPENSRTION OECLANATION: I �ereby alhrm Ihat I have a certilica�e ol con5eni b selt-insure or a certitica�e o� Workers' Compensaiion Insurance, ar a cerlilie� copy Ihereol (Section 3800. LaG C) roucrNo.:1021355-93 Exr.oare:b4/O1/94 COMPANY:S':(�i� FL.TNU � Cenifie0 copy is nereby fumisne0. � Certified coDv is hled with e ' Oing oiv' ' n. �� p 5.. � Oaie'. J /7� �/ ApplicanP. / �� E%EMPTION FBOM WOPREN$'COMPENSATION OECLABATION��section need not�e camDletedii�he permilisforone huntlre0�S100�arless�. I cehity Na� in Ihe petlormance o� Ihe work br whic� Ihis permit is issuetl. I shall not employ any person in any manner so as to become subject lo Ihe Workers' Compen5aiion Laws al Calitomia. Oare: Signa�ure: NOTILE: IL ai�er making �his tleclaration. yau s�aultl become SuUlect lo the Workers' Campensation pmvisions oi lhe Labor Code. you must forihwilh comply with such pmvisions or Ihis permit SM1all be tleeme� revoked. COhSTBUCTION LENOING FGENCV: I hereby al�irm tha� there is a constmc�ion lending agency for�he pertormance o�ihe workfor w�ich �his permit is i=5ued (Seclion 3097. Civ. C�. LENDER: nooness: OWNEP BUILOEH OECLANPTION: I hereby ailirm Ihai I am exemp� Irom ��e Coniratlors' Staie License Law �or �he followmg reason �Section 7031.5 Business an0 Pwtessional Code: Any ciry ot couniy which repuires a permit to cons�mc�, alter, impmve, tlemolis�. ar repair any s�mclure. priar ta ils issuance. also repuires the applicant far such permit Io file a 5ignetl Sla�emenl Ihat he/s�e i5licen5e0 pursuant to ihe pmvisions ol the Comracmrs' State License Law (ChaD�er 9 �commencing wit� Section 7000) o� Oivision 3 oi the Business antl Professions Cotle) or �ha� he/she is ecempi Iherelrom antl I�e �asis for Ihe alleged exem0�ion. Any violaiion oi Section 7031.5 by any aOVlicanl for a permi� su61ec15 �h¢ applicant ta a civil penalry ol no� more �han five �untlree tlollars (5500�. I, as owner ol I�e pmperiy or mY employees with wages as I�ei� sale compensa�ion, will tlo �he work, antl ihe ❑ simclur¢ is noi inlen0e4 orol�ered for sale (Sec�ion 70aa. Business an0 Professional Cotle: The Comracmrs' S�a�e LicenSe Law OaeS n01 apply lo an owner of a property who builas or impmves Ihefeon, and who d0e5 5uth work himself/hersel� or Ihmugh hIs or ner own employees. provitletl Ihat such impmvemenis are noi in�entle0 or ofieretl br sale. II, however Ihe building or improvement is SoIA wiihin one year o� c�mpletian. Ihe owner will have Ihe bur0en of pmving he/she Oid nol bwltl or impmve lar ihe purvose of sale) I, as owner Of the pmDerry. am exCluSively tontrading wiih liten5etl coniractors Io ConSimc� �he pmlec� (Setiion 7044, Business ❑ an0 Prolessions COAe: The Coniraclors Stale License Law does no� apply �o an owner o� pmpetly who butltls or im0�oves thereon antl who conlracts for such pmlects wi�h a contracior�s) license pursuant lo Ihe Contraciors' Slate License Law�. I am aware Ihai omol of Iheir Worker's Compensa�ion insurance should be pmvitle0 �o me. � I am eKempl under Section: 8. 8 P. C. �or I�is reason: Date: Owner I do nereby certify ihal I am aware ol and underslantl ine requiremenis of CalJomia Health an0 Safety Cotle Seclions 255o5, 25533, antl 2553a ana �hat I or any INure builaing occupant willlwill not (circle one) neetl to comply wit� saitl state codes and t�e requirements lor a permil for consimclian or moDificalian �mm �he Air Ouali�y Managemen� Ois�ricl. flesitlential cons�mction applica�ions are exemp� imm �hese provisians. �ale- ApPlicanL I hereby ceriify ��al I have reatl Ihis applicalion ana 5�aie that the above m�ormation is corr¢cl. I agree �o comply wilh all ci�y antl counry �Or�inancesandstatelawsrelatinqtobuiltlmgconstmctionana�erebyau'ho'erepr nla�ivesol�hiaciryloenleruponiheabove-mentmnetl prOper�y lor in5p¢tiion purpOses.p �� Daie: � � 7 � �J SignaWre'. �— �river's License or Social Seariiy 164t�46 Whne—Bmlping�, Green—Coae EniorcemenL Canary—Appbcanl: Pink—Revenue; GoltlenroE—Assessor CiiY OF CGSTA MESA — BliIi.DItiG P?R:,IT P`RM11 1dG: 3 052224 PiAN CHECK NG: N CONSTRJCTiOti TYPE: V—N PERMIT TYPE: STR At.�Vi �10: L� �6222�'. GOC'T: N SliPP; N PURPOS£: A�T JUB �ESCfiI?TION .:/OFF RERGOF uv/ BiJILT 'vP ROCH SQ FT: 38,675 CiAIM VA�UE: 38,675,00 CAiC—VA�iiE: 38,675.00 GAOUP OCC: R-1 / COMMENTS: UivITS 302fi THRli 3002 *�*��*�c��*�:�-r:��x>:x-*��t**��-K#��ta�rx�t�**��**�**��t�x.�xa�-x***�*�t�#�-��*�*�**a�?��-x�;��x. Z�J � I N C R E Q J I_R E M E N? S 5£ T B A C eC S ----------- MAIN BJZi,D2NG ---------- -------- ACC�5SORY BUILDING --------- FRtiT: FT �N REAR: FT IN FRNT: iT =1v R�Ak: FT IN LEFT: FT IDi RGHT: FT IN �EFT; =T IN AG:iT: «T iy PAkriING P,=Q: PROV; PARCEL; 13951545 ZNE: REF N�: YLANNZNG Nbi�S> � 1f ?(' if if i(' if iC ?f 3i"K. sf if a! jn i�; �ja'!c iE jf �f �f u af SL'Jf'k 3f �'Y.' T' if 3f if'K' af ?f iR ]t 3f ae'if �c 3("Y' if �(' ah if if i{ if ii. } it iE if' j!' i! iF .a(' i� af ��f' #?u i� a%iE 1f i%if ±f � i! �i' ie � D E V t- ;� O P M E N T s' ? R C7 S C E S R E Q U I R E M E N T s ZUNIVG r1Pt�ROVa.��.��•flY DATE; �u�i.n�uc a��ov�;� BY : DATE; APP� _CATION IS5i3EU BY: � '� L�A?E• t�'J_j,�,"j ?EiE*�Eie?E?E3!�i!�?f?E±EiEiE1c?Eifi'tifififiE!F< �. r.r F�txat. . it x.; tx+txxrtlr�txatir t �eii�iEi:iF�uiE#E3txx itn xx�iFiE�1f iE ?E iF iE if }!E if ?f �ie if 3f 9f !f ?E?E if iE !E {{k iE'%ii ?f if if iE 1E if 1F i4 iE it if iE iE iE iElE : iE.iElf iE?4 iE H-1ElE !E 3E iE �IE iF # fi �lilE if ## if 3E ic if ## iE iE iE ic ## x iE �T: iF 3f �EGALIZAiION:v i E E S'� :^�!�-M A A Y SiRiiCTiiRA� SEGMEhii:Y 3�DG PMI PL"JNBING ELECiR'.0 M�':iA�IC FFRE SMzP/RES GRr+�_TNG PERN_ i 3? 3. 00 ', ./:,�i� � 3. 87 ../� .._,.: ,' � � r.-, s,��iNo,;-x�s PT AN '?-,, !f' ISSUE FEE `� BuILD � NG—'LiV—> PERMZ� ISSiiE Paj:iv—�H£C.K� TOTAL ?AFD DU� -OiAi,S----> 346.87 0.00 -.�J rr O.GI 346.87 346.87 .00 REVENCiE D_TVISSON �UTAi,S--> COiL�Gi;��-: 346.87 OVER/SHpRT: .00 B�DG PN3 PLUN�ING E�ECiRZC •f^.'E;�HAtvi��^� FIR� SMIP/iOT GRP.�7ING PLAN—CH=CH 393.00 ^�`- �j 3.87 �.� ; --,. ;. ?f ?f 1E � E?E �fr iE ?F 3E iF iE ik iF 3f ?E?f # iE # i' af iE if #' �Y:�lF 3f ?'r if iE jf � 3f 3E �lE?E i4 }; iE i��3F�� 3E ic 3E 3E?e iE iF i4 3f iF if iE iE iF ie 3f �+ 3E iE if iElE j(- �1E iE i61E 1E # 1E iE ie ie iE # 3 N U 3 V? U G A i,.; _ g B E B R E A R J O W N ♦ TYPE QiY D£ S C R Z P: S Gy N ��' �, UNIi COST TOiA:, �OST S��R 38675 R�ROGF 3Y VALUE i;a- EXPIRED � l ��I omp,lete InspeCtiptic � / �i�. t�et�c $ig � !:, � aEs.an�ri:� �a� �ozoNF ENL1>OF FEE/S . i�� ' ( _�! ,I / 1 � r; i,i _.�•. - }. 1.00 38,675.00 O1 00139322-00139323 T�] T 346.87 DATE: OS/17l93 7IflE: 13:3b C�e:STRUCTION AND PLANNING - � POl SPA � -� ' �PPROVALS Permii# Date Inspector APPROVALS Permit# Date inspector - t. Temporary Electrical Service or Pole � 52. Pool & Equlpment Locatian 2, Soil Pipe-Undrgmd. � � � � 53. Steei Reinforcement 3. ElecVical Cond�it Utility�Undrgrnd. 54. Forms 4. Electrical Conduit�Undrgrnd„� 55. Electrical Bonding - 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. � 57. APPROVAL TO COVER�GUNITE 7. Footings - � 58. Electrical Conduit�Undr9rnd. 8. Foundation - 59. Gas Pipe, O Undrgrnd., Test � ` 9. `Nater Pipe-Undrgrnd. - - ' 60. Backwash Lines, P�Trap, � Undrgrnd. 10. Structural Floor System r� , 61. APPPOVAL TO DECK { 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-finai I t2. Sewer Cap ' 63. Heaxer & Vent-Final 13, Etoof Drains . 64. Plumbing System - Final � 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar SYstem-Final 76. ftough Electric YViring 67. Fencine� & Access ApProvai � 77. Rough Wiiing Sign 68. APPROV[D FOFi PLASTERING 18. Rough Electricai-T Bar Ceiting 69. POOVSPA SYSTEMS FINAL �,�' 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough r'actorY Firepiace . APPROVALS Permit # _ 21 . Ducts, in Structure • � � • 70. Underground Hydro 22. Ducts,Ventilating , 77. Product.PipingOGas ❑Oil . 23. Gas Pipe�Rough & Test � � • . 72. Underground FfuSh� � -' - '- 24. Roof Framing �73. UndergrncJ.StorageTank OGas ❑Oil �( ' 25. Roof Sheathing �- � 74�. Overhead Hydro � c3. _ � 26. T•Bar Ceiling (Strucwrai) & MonoGoat 75.� Dry Chemical 1 27. Frame and Flashing 76. Dry Standpipe ' 'I 28. Lathing & Siding 77'. FIXED SYSTEM rINAL ='� . 29. Insulation �• � � . 78. FIRE PREV. FINAL - 30. Drywall Naiting � HEA�TH DEP7. REQUtREMENT ' 37. Plaster Brown Coai � 79. FINAL INSPECTION + 32. Electrical Po�ver Meter-Final '�� 80. `r00D CERTIFICATE ISSU6� � -� 33. Pinai Electric ; � ' � Notes:J �L- [�3 �� 34. Final Heating & Air Condixioning � . � � _'fLiA � � . . - - - �� - - � 35. Final Gas Pipe-Test - � � . - � -�- - - 36. Hoai or Canopy �-' � � 37. Final Pactory Pireplace , . � . � � 38. Final Plumbing 39. N�ater Service-Final 40. Gas Service-Final . 41. Solar pomestic-Final � � 42. Backflow Preventer � � .a ---yyy 43. Backflow irrigation � � •� 44. Landscape Irripation Sysiem ' � � ' � :.,, ' A5. Sound Atienuation � � 46. Handicap Regulations i. . 47. FINAL STRUCTURE & BUILDWG � .- 48. F1NAL PLANNING , . 49. Electric Release to Edison � ' 50. Gas Reiease to Southern Califcrnia Gas Co 51. CEftTIFICATE OF OCCUPANCY ( No. Date • PflOJECTRDOflESSCOIINTRY�ILITB V1L•uf:s OWNEP'S NAME: L��j L EO 1 V.''�..hSUN � YR nooness:3022 CL'JB ?iOUSE CS, r' COSiA MESA CA 92626 9751592 AHCH/ENGINEEfl: A�DflESS: , PETERSOti ROOFING PEflMITTEE: 3OOS Ln11�tZF�fZ25.�^.. RDUBESS:L�STA NIEsA J�C UNIT: NEG.NO.: UNIT: (7_4)979-71?? ca 926ze �� LICFNSEO CONTflACTOfl UECLAflATION: I here5y atlirm tha� I am Iicense0 under pmvisions o� Chapter 9(commencing wi�h Semion 00) ol O�sTo,34o�4he�Business and Pm�es�ioirs Cotle`ntl my license is in lJomeantl e�feci. � LITY LI4: �j qSTATE UC.: � Date: 5 �� Q '— / � SignaWre: _ WOBKEqS' COMBENSFTION.OECLAfl/1TION: I �ereby alf m iha� I have acetlificale of consent to selt�insure or a Wrtificale ot Workers' ComOensation!Insurance.:or_a cenitieB:toDY Ihereaf �Section 38�0, LablC�d / V! / 7 4 ,POUCYNO.:Sli:1t :UN1J EXP.ORTE: COMPANY: X � Ceridied copV is �ereby fumishetl. ❑ Cehified capY is file ion. f �ate: � /��_ /% Applicani: E%EMPTI�N FflOM WOflNEflS' LOMPENSATION �ECLAPA R Qhis seciian neea notbe com0�etetl i� tAe permit is �or one hundretl (S7W) or less�. I renily that in �ne petlarmance oi �he work lor w�ich this permi� is issued. I s�all not emplay any person in any manner so a510 become subleq lo Ihe Nlorkers' Compensalion Laws ol Calitamia. Oate: Signalure: NOTICE: If, after making ��is declaration, you s�aultl become su�jec� �o the WoBerS' Compen5aiion pmvisions o� Ihe Lahor Cotle. you must fohhwith comply with such provisions or Ihis permi� shall be tleeme� revokeA. CONSTBOCTION LENOING AGENCY: I h¢reby a�firm Iha� Ihere is a conSlmciion lentling agency lor Ihe pedormance o� �he work for which Ihis permil is Issuee (Seclion 3097. Civ. C). LENDEN: AUDflESS: OWNEP BWLUEfl OECLABATION: I nereby aifirm thai I am eKemD� M1om the Conirac�ars' Stale License Law lor the iollowing reason (Sec�ion 703L5 Business antl Pmlessianal CoOe: Any ciiy al county which reQuires a permil lo constmcl. al�er, impmve, Oemolish, o� repair any stmclure. Orior Io ils issuance, alm requires lh¢ applican� for such permit lo file a signetl sta�ement �hat �elshe is licensetl pursuanl io Ihe pmvisions o� Ihe Contracrors' Slate License Law (Chapter 9(commencing wilh Seclion 7000) of Oivision 3 of ihe Business an0 Prolessions Code) or Ihal he/she is exem0� �herelrom and Ihe basis for the allegetl exemp�ion. Any violation oi Sec�ian 7031.5 by any applican� �or a permil subjecls Ihe applicant la a civil penalty ol not more ��an live hundred dollars ($500). I. as owner oi ��e pmDeny ar my employees wilh wages as ��eir sole compensa�ion, will do �he work, and Ihe ❑ simcture is not in�ended or ollere� lor sale (Section 7044, Business and Pmfessional Cotle: The Coniraciors' Sta�e License Law Ooes noi apDly �o an owner ol a pmpetly who bui105 or impmves �hereon, antl who tloes such work hlmself/hersell or thmugh his or her own employees, pmvided tnal such impmvemen�s are not intended or offeretl lor sale. If, however Ihe building or imDmvement is 5ola within one year ol com0lelion, ��e owner will have the �urden oi pmving �e/she Oid no� build or impmve for the purpose ol sale). I, as owner o� the pmperty, am ¢�clusively conVacting with licensetl contractors b constmc� t�e pmle�� (Sec�ion 7044. Business ❑ antl Pmtessions Cotle: The Con�ractors' Stale License Law tloes not aOPly Io an ownero� pmpetly who builas or impmves Ihereon antl who conVac(5 lor suc� pmlecis wi�� a comrac�oqs�license pursuan� to the CanVacmrs' Siate License Law),I am aware Iltal pmof o� I�eir Worker'S Compen5aiion insurance shoultl be pmvided lo me. � I am exempi uneer Section B. 8 P. C. for Ihis reason: Da�e: Owner I do here�y ceNly that I am aware ol anA un0erslan� Ihe requiremenls o� Cali�omia Health antl Salery Code Seclions 25545, 25533, antl 2553C and Ihat I or any Iuiure builOmg occupanl willlwill not (circle one) nee0lo comply with saitl Sla�e mAes antl �he repuirements for a permit �or consimclion or motldication imm t�e Air Oualily Managemem Ois�ricl. Fe5i0en�ial constmction applica�ions are exempi �mm Ihese provisions. Oaie: Appbcanl: I hereby cetldy ihat I have ieaa this apphcalion antl slate Ihai Ihe above inlormalion' correct I agree to comply wiih all ciiy an� counly tlinances ana stale laws relaling to buAding cons�mctiun and hereby aulhoriz �i yyf Ihisfj�v'��er upan t�e above�men�ionetl pfOp011y �OfInSpOc�ion purposes. Oaie: / V _ / .SipnaN�e: 1641�46 W�ite—Bmltling: Green—Coae Enb¢emem: Canary—Appllcan�; Pink—Revenue; Goltlenmtl—Assessor C1iY Vfi COSiA M�SA - BU�LD3I�G F'=R'.�SI3 -,_-•,• •:_,_ -_ ^='=^a PrR�'!Z? NO: 1$ G62249 PLAN CAECK NO: Ai '�,lt)^. A1 CTTTY'�. ll CONSTRGCTIn� _TYPt'_ Cr-DI PERMIT TYPE: �?iA STR PUkPUSE: AiT_ J05 D�SCRiPTION : T/UFF RERUOF W/ BUILT JP :�OCH SQ FT; CLAIM VAiUL; CALC-VALi3E: GROUP oCr_; R-1 / CUW:`4EtiT5: SMOAE DETECTOF. C??ECH 13 UiJITS RFB62224 iE:{ �?F iE � u ac iE ie iE 34 u�lE iE iE ?E +f?E±f iF iF?f ie?E i� ii if ?E ?4 � iF �: iE?f iE iE 3E?E 3f �} 3E iE jE?E # iE i(� if ## 3( # iE3E?E je iE 1F i(�?'?� ?f !F #?E 3E!E 3E iE # iE �} i! iE iE 3E iE 2 O iv I N G R E Q U i R E M E N? S S E T B A C K S ------------ MA�ti �J=i.DING ---------- -------- ACCES�URY BUILUING --------- rRNT: �T ZAi REAR: FT IN FRNT: FT IN REAR: FT ?N LE:T: rT iN RGHT: PT ZN LEFT: FT IN RGHT: FT �N ?A'r.KING kE�j• ?RuV; PAkCE�: 13951�45 ZNE: REF NU: Pi:ANVZNG NdT£_'> i iE 1E #+E 1E ie �f 3f ic if ?E iE?^?E?E �)E if i?+: iE if � if iF �if ie if iE #?E ie a if � iE if !!� 3f # iE # x ic iE iE 3£ �!- % 3E �]E # iE ## if 3E ?E if # iE iE iElE iE?E 3't 3c if ## 3E K iE fi# i' 3(� fE # D E V E L U P M E N T 5 E R V S C E 5 R E Q ii + R H M E�I T 5 I ZU,3ING ArPRUSrPD By . Isu�Li�z:�c a��puv�.n aY : APPLICA=IUIv ISSUED yY: ' �iEiEi!��3EiiY�iEiE'f.iEiE?f+:iEiE1f#�iEiF�1!r.r��irx<x-,�xxr.x�c�t�rr.x r ?E?E3E�%?E±f?FiEiFiE?E?E?E?E%�E};{FiE?E?iifiFic?E?eiF�1%iE?4?fiE3E�iElElE?E' 3e L=GA2.'1 ZAT ll�?V :�l t F. F. .i ��G PMT PLUMBING ELEC"RIC PERMIT 30.00 DAi�: DATE: = na�t: �� r itr.x�xrtltvxY!rtxfr<Y:if.YY-lFiE#�IFiEif�l±�iE�txx�u�ir xr.�rii�?fi' iE iE if iE?f �1E iE iE ## iE iE if iF ?t 3f e YF if i� iE �}f ## iE iE #### ic # jE �lE iE?E iE iF �1E ?E ti M N A R Y SiftiiCTURAL SEGNENT:Y MECHANSC FIRE SMIr/RES GRADING �hAlP/T!�?3—.`Z�uc' PLAN � assoE �� i.iIiUIDiG-DICT-� PE�!✓eIT ISSliE PLAN-CHECFi TOTAL PAii� DuE iOTAi•5----> 30.00 0.00 0.00 30.00 30.00 .00 REVE?vJE UIVISIOti TG?A�S--> CG�LECTED: 30.00 OVER/SHURT: .00 B�UC- PMT P�UM9?yr_- t��CT?ZC NECHAtiZC FIR� S,+1IP/TOT GRr1DZNG PLAN-CiiECh 30.00 iE ?f if if Y{(. Y#�} Y j(' �E 34 .+''.'1E 3i' if iE if 3E #F?F?f ?E jE'k i� iE 1f if if df iC' 1E iF?f ?E?F iE �IF if iE iE iF aE 1E if iF }: IF 7( # 3f iE f if ?f 3E 1E iE ii� iE iE iE?E i!-'1E K i' iF 7E #?c Y x� iF 1F 3F I N D i V S U U A L F=� 3 R E A K D O W N TYPE OTY D E S C P, I P T� O N UNIT CUSF TOTPL COST INS i BiiZLDING RE-INSPECTION PEE 30.00 3G.00 4" ! EXPIRED ��cornRlete Insp�ctions, �i@ I� �. �....ti�.. � .y" yi. � 0 � tr?l O: t tF.:i O1 00139514-0013941i T O T 30.00 �ATE: OS/lE/93 TIHE: 14:22 � . + _ _ , _ . . _ . . _ . Applicant to fill in all�spaces except those within neavy bortler Iinez ana.sign a11 aoP�eoriate Oeclarations. � - - - • � � . - -- - --� - � -- - ' �, ' CITY OF COSTA MESA �CO R CTl N PER�MIT . P RMIT NO. ; TRACT NO. - � LOT�NO. . UNIT NG. , , ` � �� , � �� , , , � � ; ProlecFAddress �D��o � ��/ � �(,(s -� -Q/�_. �% : .. � . � � �� ' - . . , , _� � . . � 771.3 � - � 6.0� 7L ' - ' TYPE OFCONSTRUCTION � NEW- ADD� ,ALTERATION i3EPAIR ' � " � Applicant'S Mailing AddrCsys�� n � - ( : 0 CONVERSION ❑��DEMOl15H � 0 OTHER ' � ' A p # . -' ' " - " - -- 2on8 Owner'sName ��U%/�� - -Phone � S *' ,.DESCRIPTIONOFWORK/USE'OFBLDG.� ' � - . - . Address ' � � � ��III��! • • .S Main Building: Accessory,Building:_ � � Arc6/Eng. ' � � LicenseNo: TYPEOFPERMIT ' � GRADING�oUrvDATION �� STRVCTURAI. T Fiont�; . . � ' _ � - � _ ' - _ � p� � Add�E55 � ' ' 0'TENANT O ELECTRICAL PLUM6ING � MECHANICAL ' B R¢a� � . � � , - ' - _ � N Contiacmr's Name ' �' Phone D • � 'OTHER: J' •` ' � ' . ; � �A , , � � � � � , ' , PROJECT DESCRIPTION 5q. FT. � oCCUPANCv C Right . , . ' � .. ' N ' . AddlEsSlmailingl � CONSTRUCT.IONTVPE ` ..VALUATION$' � S LEft ' ' ' .� � . � � G City,LicenseNo ' � ��7 � � ZONE GRADING CU.YDS. � � ACRES � � ' , R ' LICENSED CONTRACTOR DECLHRATION - � 71ny. R¢(. # � PB/king Req./P�ovid¢d � �.. E I�hereb affirm Ihat I am licensetl untle� ' ' � n y provisians of Charter 9'(commencinq . Remarks: f/r: • Planning Notes: � . � i . 1 �- M with seclion 7000) of Divisian 3 of Ihe Busine55 antl Professlons Cotle, antl �_ T my Iicense is in ful or antl effect. � � � ' ' � . . . ',_ License i �c s o , . . S' ' Date ' n 'SignSiure � • ' PWMBING � FEES � ` ' ' � .PNORKE 5' C MPENSATION DECLA(3ATION� ' . � � Bd� Sink � � ShOw¢f5 � ' ELECTRICAL ' � � FEES ?'�hereby attirm tM1at I hav¢ a Certificate of consent to sel/-insu�e or a certifiCat¢ ` �.. . "�of-Workers' Compensation Insu�ance, o� a-certifietl copy Nereof (SeGtion' ' ' "" ' "-- - -� ' -'"- ' - - � Backflow Preventer , Service Sink . 3800, Lab. � Automatic Washer �, Transformer ❑ 15-50 KW � it3�98y7�� PolicyNo. Company ! � Backflowlrrigation SewerCap � , ConstructionPoleSub.' • �50+KW' ny �,.-ertifietl copy is hereby furnishetl. � p cert' ' 's filetl with the city gQly»y[yvlyiod'� : ,( Bathtubs Sewer Connection� J � � Cooking Unit Meter ❑up to 100 amps � Oate APPlicant�le�.ee� .��_ � � .� EXEM 10 FROM WORKERS' COM NSATION DECLARATION Clarifiers . . Solaf CoileCtors � � - - Di5hwa5her - - - Meter ❑over 100 amps. -" . ' (Thissection neetl not be completetl if fhe permit i5 tor one�huntlretl ($100) or � , . less). • � � . Dishwasher � Solar Piping Dryers ❑Gas ❑Elecvic Sub'Panel . I certify that, in tbe pertormance ot the work tor which this permit is issuetl, I � � shail not employ any person in any manner so as to become subject to�tne , Orinking'fountains ' SolarTank - Fan • ' � • ' workers' Compensation Laws of California. � Motors �0.1 HP �1'f. - 8 Date 5ignature - • � ' Floor Drains ' Swimming Pool w/Spa p.q U " 'NOTICE: If, atter making this tleciaration, you shoultl become subject to the Inc. S013L �9-15 HP �i6-15+ Wo�kers' Compensation pvoviSlons ot�'the Ldbor Cotle, you must forthwith ` '� FIOOfSi�ksl � U/i0dl F.ixtu125 � comply with such, provisions o� this Oe�mlt� shall ,be tle¢metl revoketl. ' � Microw3v¢ CONSTRUCTION: LENDING AGENCV � ' 1 - '- GasService .Outlets ' ' � ' I hereby affirm that there is a con5truction lentling a9ency for the performance � Waier Closet . Device Boxes . ' Pole Ligh[ � of the � work !or which thi5 permih:i5 issuetl :(Section 30W Civ. C.) � Interceptors � � _ Water Heater ' ` OUtI¢t5 � Lentler's Name U i� Range Lentler's Atldress '- '� ' Kitchen Sink = � . .Water Service�` � ' � • Switches � Si n � OWNER BUILDEH DECLARATION - . - " ' . 9 ' I he�eby affirm'that I am.exempt from the Coniractor's License�Law fo[ the L3vdtO�i25 , � ,AUtO-WdSh ' tollowing reason (Section ]031�.5 Business antl Professional Code� Any city or G3rbage Disposal �! Standing Sections � county ,which requires a permit to construct, alter,-improve, aemolish or repair , P=Trap � ' �Laundry Trays � ' > � Generemr �0-5 KW �5-15 KW � � -any structure, priol to its�isSuance, also requires the applicant for such pelmit . TfdSh COrtlpdCtOf � to tile a signetl�itatement ihat he/She is licensetl pursuant to tM1e provisions ot ROOf D�ains ' ' '' ' the Contractor's License Law (Chapter,9'(commencing with Section ]000),of - . , ' Jivision 3 of the Business antl Professions Cotle).or that he/she is exempt • , _ • [herefrom antl the basis for tbe alleged exemp[ion. Any viola[ion of Section , � , . � . ' • . •. ' ' , � 703LS�by any applicant for a permit subjects'the applitant-to a civil ' - ' �enalty of�not more than five huntlred tlollars.($500).. ' -3 I, as owner ot the property� or my emDloyees wi[h wages as [heir �sole F1Cin5pettion F¢e , $15 ' �s5ue F¢e- $ , � 'compensation, will tlo the work,'antl the structure is�not intentletl or offeretl �� Reinspection Pee $15 . Issue Fee $ 3 for sale (Section 7044, Business and Professional Cotle: The Contractor's . . - � MECHANICAL - ' FEES � License•Law tloes no[ appty [o an owne� oi a property who builtls or improves �' ' ' . . . thereon, and who tloes sucn work himseli/herself or tnrough his orher own , -�� . ., DEVELOPMENTSERVICESREQUIREMENTS: i ' employees, 0/ovitletl lnat such improvements are no[ intentletl o� offeretl for BOileR.��.. HoOd O� Typ¢ I. ❑ � �� . sale. If,�however, the buiitling or Improvement is soltl within one year of com- � ". . - Canopy �� Type II ❑ Zaning,Approved By � � Date � pletion, tne owner will have the burCen of provinq he/she tlitl not builtl or im-' DUCU��UndE� GroU�d � Buildi0g App�oved By � � - D2te-Es%i=f—�-N-4� p�ove for the purpose of sale). � ' - . � '�� ❑ I,'.az owner of the property, zm exausively contr5cting with licensetl con- Duct-Structural , ', Refrigeration System � ' Applintian Issued By Dat tractorsto construct the prolect (Sectlon ]044, Business antl Professions Cotle: � ' The Gontra<tor's. License Law tloes mLapply to an owner oi property who - Duct - Ventilating � ❑0.100,000 BTU ❑100,000 BTU - � !�• , SUMM RY OP FEES , � builtls or improves thereon, antl wM10 wnVacts tor suth projects wrth a con-' � _ �. . � Vactor(s) license pursuant to me Contracror•s License Law). I am aware that Exhaust Syslem ❑ N�ultiple 0� System RepaiF/AI[eration � .-BUI LDING'PERMIT $ SMIP $' proof of their Worker's Compensation insurance shoWtl be provitletl to me. ' ' . p�,qN CHECK $� PERMIT � � � ❑ I am exempt untler Section B. & P. C. for this reason ! Pirepl/Fact.�Blt. ICBO # Fire Dampers pLUMBING ' '$ � 7 '�SSUANCE �$' � �ate � � owner - ' ' Heating System & Ducting � Registers � � p�,qN CHECK �25%' S ENERGY P.C. =$ I hereby certify that I ha`ve re5tl this applica"tion antl ztate triat the above ' ❑0-100,OOOBTU �100,OOOBT � ' ELECTRICAL �$ � GRADING '$ � information is correct. I agree to comply with all Nty antl'county ordinances ' antl"scate iaws relatin9,to builtling construction; antl �hereby authorize repre- � ' - i � pLAN CHECK 50% $� � MICROFILM $ � Sentatives Of Ihi c'ty to enter', upon the above-mentionetl ;Pro erty for ' ' � inspection o . 7 ' ' MECHANICAL $� � TOTALFEE 1$ v� Signature '\�• � Drivers' License or 55 � Reinspec[ian Fee $15 � ' luue Fee � $ 3 P�AN CHECK 25% $� ' � � I CMF 0865-46, rev. 10/B4 Wnite - Bulltling; Canary - qpplicanh Pink - Accountin9; Goltlenrotl - Assessor �. CONSTRUCTION AND PLANNING PG, & SPA Date Inspector Date Inspector APPROVALS Perrnit # APPROVALS Permit # �1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. ' ' � 53. Steel Reinforcement _' �;: 3.,Electrical Conduit Utility-Undrg�nd: 54: Forms � 4.�Electrical Conduit-Undrgrnd. , 55.. Electrical Bonding , i 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test � 6, Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE � � 7. Footings � . . - 58. Elecirical Conduit-Undrgmd. , 8. Foundation �� 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd, 60. Backwash Lines, P-Trap, � 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 - 65. Electrical-Final - � 15. Rough Electrical-Conduit 66. Solar System-Final � 1'6. �Rough Electric Wiring � � - - 67. Fencing & Access Approval 17. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Ber Ceiling • 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � . 20. Rough Factory Fireplace APPROVALS Permit # ' 21. Ducts, in Structure •_ 70. Underground Hydro �• 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑ Oil , 23. Gas Pipe-Rough & Test � � 72. Underground' Flush 24. Roof Framing 73. Undergrnd. Storage 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 Notesi 7• IC-$� " LSe°(-C.9rP-p C..� 34. Final Heating & Air Conditioning Q-ij-�L 1�(O ON,E �f��ry�, ,GEO 35. Final Gas Pipe�Test �`13'j(7Ca �S f1L ��3 G�0 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumhing � � • � ' 39. Water Service-Final . . � � A 40. Gas Service-Final � -� 41. Solar pomestic-Final �•�- � n•i - � 'J 42. Backflow Preventer . ��`: � 43. Back�flow Irrigation - �, � � ��.. 44. Landscape Irrigation System � - 45. Sound Attenuation , Va - ,• ' 46. Han`dicap Regulations "'� � - - 47. FINAI STRUCTUR� & 6UILDING 48. Special Requirements Completed�} . " 49. Electric Release to Edison `�'� , - � � . • 50. G�s,uRelease to Southern California Gas Co � ' . 51. CERTIPICATE OF OCCUPANCY � . � �' 1 No. Date �� ' , . ?3�� •COSTA MESA BUILDING-SAFEfY DEPARTMENT - � P. O. BO% ]77 CODTA MlBA, CALIPORNIA For Applican► to Fill In Completely TYPE OR PRINT ADDRESs 026 Club House � L:.�V COSTA MESA, CALIFORNIA Mesa Verde Dev.Co: OWNER MAIL Qg Q MgSB Verde Dr.� a ADORE88 � ��.�. Costa Mesa No 5�9�395 =' ARCHITECT e E• K81�'.ET1bSCY1 Tfi�. 5478046 B Same as Owner 181322 . 26x62 LD6. 8 FflOM "' DESCRIPTION OF WORK x ��..___._._..� ��.__. 1495 �� FEE RECEIVED f �B 2 5 1Q� FINANCE DEPT. CITV OF COSTA MESA APPLICA710N FOR PERMIT BUILDING _ For Office Use Only aece�rr xo. pr, iz�xg. :;_�*�,c� GY DAT8NHC61VHD OATEI88UED �-�-S=��M4R 41966 ZONING zone No.ov useorne ES. W S RI} rur+e`� euitoino gy�.�e '-eOAL Lot 45 Tr. 4660. eeacn�rtron A, P. NO. � IIOIIE NOTE: NO EAVE OVERHANO SHALL BE LEe$ THAN 30'TOSIDfiBREARP.L. , EAVES ALLOWED fU.B.Q REQUIREMENT7 YARDSAPPROVED - YARDSAPPROVED MAIN BUILDINR � ACCESSORY BUILDIN6 DISTANCE BET. � BET. MAIN Q MAIN BLO69. ACCESS. BLDG9. VAR. aC DATE C. U. P. �j'J 17 APPR VED �.�.��. MPROVB�, pATE �'�� 9Y � USE OF BUIIDING AND WORK TO BE PERFORM6D �y��u t-UR Src. - Rc��:,,�:ME Res.w�att.Gar. � See permit on Lo 1 for conditions 1525 sc �. J 44o- Bal 66 0 1 HERHBY ACKNOWLBOOE THAT 1 X�Ve,pEAD TNIe APPLICATION TXE AMOONT eHOWN' UNDER VALUATION I6 POH TH8 F ANU BTATB THAT THG ABOV6 IB COqqECT ANO AONEE TO COM. PURPOSe OP H8TA6LIBHING ♦ P5RMIT FE¢ ONLY. Q PLY WITH L OqOiNAXCBY AND 8TAT6��AWY RCOULASINp ypLUATION //' m BUILDIN� ONeT CTION. PERMIT FEE $ dVi � SIGNATUR . ° S �rJGi�U� C E '� ¢ PERMITTE AUTHORIZ6DA6HNT . � T^T^. ccc a 9�'/ � GENERAL DATE DESCRIPTION OF WO REZONE VALUE: Date GROUY I&J TYPE Z�(ib SUBCONTRACTOR