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Home My WebLink About2895 CLUB HOUSE RD - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 2895 CLUB HOUSE RD Suite No Vicinity: Parcel Nunmber: 13939302 - � - - ISSUED BY: Applicant: HALAJIAN, VAL�.�� ,,��" - �, � - � , , � � �� Address: 7338ETHEL/ �� -^ � � ' � ' �. '-- r ;=!, ,� �' , , Rho�e`: 800-444-8865�� \ � NORTH HOCLYVJOOD CA � . Zip: 91605 � - �� ' - i ! . '- . i � i . � �•,�� V� �/ � . � � _ . _ �` � �, AA -`� J � �%��/ � > � � - �- \/ \�� Owner !`�ROLLINS, DEAN `� � ��-`:�� .,�' . i � . '� ,� - i / � \�;�\ Address ! 2885 CLUBHOUSE RD�� _ ; � � ,� ,/ � ��` � �; ,. / , � - � . ; � �� Phone: �` �, t" �� . / /.' � . � ��A �A � � ; � COSTA MESA, CA Zip: , 92626 �V � �� f �� , �� 'i . � �� , , . � `gn Contractor ALAP ASSOCIATES GP ; , � I >` `; 4. � � Address: : 7338 ETHEL � ' � p�� , pp.�' � �,�\�,. , � _ , �� ,. , . . . , ' _ � =Phone:- 800-444-8865 � .. . � �� . r:{��r -_ �.,/, ,:� , : ' - �,...� � ��it,;. � � �� ;NORTH HOLLYWOOD, CA Zip: 91605 -� " - � � - i `� ' `, � .'- � License: 771905 � - , . ; l ' ,, � .j . , �� , / � � ' P� � Arch / Eng : ,= . ! Address: � � '� , � �, . _ , �\ � � � ' _ . . Status: ISSUED Applied: 09/OS/2003 Issued: 09/05/2003 ., 'rr•� .i� �-�� rr. *r'- nr-',Tti , . , �, , � i _ ' , _ . . . _ . .� � _ _ ' . - �� . Phone: �� Zip: . f � : " ,.,.p�'� ...,+, . _ _ '_ �License:�` \ '� � _� ' l;�� ,. _� ' � �Jt ��: . ' ;1 ., ` SCOPE OF PERMIT � ' % � ` � ' �� '�WATER HEATER CHANGE OUL i _ -- " / C � � r� �� ;�� '` �-' � li,r� , �� Jr;'� �,��. ..�,. �" '.;�:, � FEE�SUMMARY � 'j�� ..b� �•`� � � AMT.� QTY 14'� �� °�' � AMi .,QTY G'.�i " �AMT \ _ i- ISSUE FEEu � � �$23:50�'�, Laundry�Tub / Washer ' $0 00 `.�0 Sump Pump ��. �l, $0; 00 Backflow ir`rigahon �' $0 00 � 0 .. Candscape Imga�on , �� . $0 00 �- ' 0 � ;i Swimming Pool - . � , ,'$0.00 BackflowPreventer $O�W�'��0 � � ��P-Trap > � � $0.00 0 � Trap�Primer� lii;$0.00 Bathtub � � �$000 �0 Pressure Regulator �- ;^$0.00 0 � Unnal„C� � � �-,� $0.00 Clarifier System � .� �$0.00 ' ' 0 �': Process Piping (per 10 R) � $0.00 0 ,. � Vacuum.Brk%Bkflow(1�4) $0.00 onnect ( ce, a,etc)\ � 0.00 ,� �0' ��- Receptors, - ' � 0.00 _ 0� Vacuum Brkr BkFlow(5+) 0.00 Dental Units `� � ` $0.00; � 0�- 'Septic Tank-= � - _ � , _ _ $0.00 = 0- - � - �� Wash Basin �,• �' $0.00 Dishwasher �� $0.00 �� ->0 , � / � � Sewer Cap for Demo � $0.00 - 0 ' � Wash Basin�Set, $0.00 Drain, Floor :$0.00:� � 0�.,� �, `�Sewer Connect $0.00 - -,0 . �, ' Waste.and Vent System $0.00 Drain, Rainwater $0:00, � � 0 . . Sewer Private Line � � � -$0.00 � � 0 Water,Closet (Toileq $0.00 Drain, Root $0.00 �-�; 0 _:'- �� Shower ' � � � � � $0.00, - 0 - � , 'Water Heater / vent $12.30 � Drinking Founfain $0.00 �0�, � -_ ' ��Sink, bar�-�--� �,�-- �; � � $0.00 -0 _-/�: ;^Water Piping (Inst or Rep.) $0.00 Ezpansion Tank $0.00 0 � ` � Sink,-commercial $O.W- � 0� � �' � Water Re-pipe $0.00 GasEarthquakeValve $0.00 0 -'Sink,F,loor'�"= __,�i:� $Oi00'��,0--""� WaterService $0.00 an 0 0 0 0 0 0 0 0 0 0 1 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a periotl of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaaers (woo) WORKERS'COMPENSAnON DECLARAnON: � 7 I hereby aHirtn untler penalry of perjury one of the following tleclarations: ❑ I have end will meintain e cenifiwte of consent Po seli-Insure tor workers' compensation, es Orovided for by saqion 3700 of the Lebor Code, tor the peAortnance of ihe rk for which Ihis pertnit iS issuetl. I heve ar�tl will maintain worKere' compensatlon Insurence, es requireA Dy section 3700 of the Lebor Cotle, tor t�e perfonnance of Ihe work for which ihis permit Is Issued. My w�ork�e.--c�ompensat�lon Insure�F �cerrler end pollcy number are: Cerder: �e�Wiw+.`�C –�F'E—n ' Policy NumDer: U C 2<Pi �"S 4�ec ( (Thls section need not be comp/e�ed U the permiNs valued et one hundretl dollars ($f 00) or less.) ❑ I certity that in the performa�ce of Ihe work tor which ihis permit is issueq I shall not employ any person in eny manner so as to become subject to ihe workers' compensation lews of Califomla, end egree ihet tl I shoultl become sub�ed to t�e workers' campensation pmvisions of Section 3700 of Ihe Lebor Code, I shall fotlhwith complywiththes pr' /io� s.^e� / / ApplicaM Signatur ��t" _' f�`"""� Date: � � � WARNINO: FAILURE TO SECURE WO�RS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED h1WSAN0 OOLLARE (S10D.000), IN ADDITION TO THE CQST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOq IN SECfION 3]O60F THE LABOR CODE, IMEREST, AND /TTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby ettirtn thet 1 em licensed untler prohslons of Chapter 9(commencing with Section 7000) of Division 3 of tha Businass and Protesslons Code, and my Ilcense is in full torce end eHect. Lic. q Class p Contrectols Signeture: Date: �� r CONS7RUCT10N LENDING AGENCY: ❑ I hereby alfimi that ihere is e consiruction IenUing agency for the performance of ihe work for which this pertnit is issuad. (Sec. 3097, Civil Coda). Lenders Name: Lentlers Atltlress: Slgnature: Da�e: OWNER-BUILDER DECLARATIONS: � I hereby el(irtn Ihet under penelry of perjury Ihet I am E%EMPT FROM 7HE CONTHACTOHS LICENSE LAW tor �he tollowing reason (Sec. 7031.5, Business and Pro�esslons Cotle: Any ciry or counry which requires a permit to construct, elter, improve, demolish, or repair any structure, prior to Its �ssuance, elso requires the applicant tor such permit to file e signed slatement ihat he or she is Ilcensed pursuant to Ihe provisions of ihe Conirectars License Lew (Chepter 9(commencing wit� Section 7000) of Division 3 of the Business antl Professions Code) ar ihet he w she is exempt therafrom end the basis for the ellegetl ezemption. Any violation of Section 7031.5 by eny epplicen� for e permit su6�ecis tha epplicent to e clvil penelry of not mare then five huntlred dollers ($5oo)J: ❑ I, as owner of iha property, or my employees with wages as their sola wmpensation, WILL DO 7XE WORK, and the struqure Is not intandeE or oHerad for sale (Sec. 7044, Business antl Professions Code: The Contractors License Law does not epply to en owner of properry who builds or improves thareon, and who does such work himself or herselt or ihrough his or her own employees, pravided thet such Improvements are not intentled or oHerad for sale. If, hawever, ihe building or improvement is soltl within one year,of completion, the owner-bullder will hava the burden of D�a��ng that he or she tlitl not build or improve tor purpose of sale.). ' i �r_y ❑ I, es owner at the property, am.E1CCLUSIVELY CONTRACTNG WITH LICENSED CONTRAC70BS to construd the project (Sec. 7044, Business antl Pmfessions Code: The conirectors Llcense Lew daes not epply to en owner of properry who DuIICs or Impmves thereon, end who comrects for such pmject with e coniredor(s) license purouen� to ihe Contractors Llcense,Lews.). �� }'%'G ❑ I am exempt under sec. � Business antl Professions Code for ihis reason: SlgnaNre: ' �� Date: Owner ID veriflad by tlriver's license. ❑ Y � � No Ddver's License No. Expires: Vedfication of Ownership by (type o1 tlocument, l.e. - properry tex bill ar tleetl): DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify thet no exca�ation fiva (5) or more feet in tlepth into which e person Is requlretl to descend, will be mede in wnnectlon wi[h work authorized by ihis pertnit, and ihat no builtling sinictura, scattolding, falsework, or tlemolition or dismantling ihereo�, will be more than ihirty-six (36) feet high. (Chep. 32, Grp 2, AA 2, Sec. 341, 7tle B, Califomle AtlmNistrative Code). ❑ As awner-hulltler, I wlll not employ anyane to do work w�ich would require e pertnit irom ihe Division oi Intlustrial Setery, as no�ed ebove, unless such pereon hes e permit to do such work irom �he tlivision. � Signature: Date: Dlvlsion ot Industrial Satery Pertni� Number: CODE �. INSGECTIONTYPE 1618 Fixed Systam Final Fire P�evention 1268 Pool Spa Final 200 Finel Re-Roof 201 FIneI BIacWRetelnlnp We�� 202 Finel Fectory Flre Place 203 Finel Sign 204 Final Demoliiion p0¢, �Q �f,j INSVECTIONTYPE 206 Finel Mechenical 20B Finel Plumbing 210 Finel ElecMcal 212 Finel Fire Prevention 220 Finel Planning Approval 222 Flnel Site 250 Final Building/Occupancy 1�AIf. Itll�fl ' � ' . . V. ,�.�Il.�. A �l 2� yf �� 2�,.=`� �oy Twininc� Laboratories �f s�,�t�z.,z c�tc�f�,.,:�,�, rr,��. �� P.O. BO% 47 . 3310 AIRPORi WAY . LONG BEACH, CALIF. 4G6Ct . �213� ^:od355 . �21?� 676�23oe .(11aI Eid�64?7 90.ANGu ppqCES�. TESTING 4H�DNor�M1Ne�veR�me� �,"� Yono.v:��pbe'eu�-.g Sen�aAne,Cehlo��le94]Ol �'0'� 1a55oeeo+do�.�o..�.OBc�) p��l sli.�as C/n ��; 1A e� .�^� a.,�ti, eai!. voem Izol me.aase �~��n'� ' �"` >... a_ May 7, 1971 Ex�minafion: $C]1-2j4J COMPRESSION TESTS ON GUNITE CYLINDERS L. E. Sprague 2133 Niramar 6alboa, California 92b61 PROJECT ADDRESS SAMPLE FROM ARCXIIECT ' ENOINEfl MIX DATE CAST DATE TESTED CYIINDER NO. COMPRESSION rorn< <onn, �es. Swirming Pool for KERM�T CHRISTMAN 2895 Clubhouse Noad, Costa Mesa Deep end - S.E. - Bo�d Beam Gunite 5-3�-71 5-7-71 I- S.E. 7-Day 127,5000 POUNDS PER SG. IN. !� � 3�7 SIZE: 6-1/8" x t2-t/4" CONTtACiON Str Pools suecouiucro� Grove Guntte SPECIFIED STRENGTH 5-7-71 III-D.E. 7-Day toS,000 3,422 6-1/4" x 12-t/2" COMPIIANCE 2$-day test complies wlth spec(ficatfons. �uo[ �r OEIIVERED !Y CYLINDERS L .C.Spragufl L.E.S. DlfitIWT10N: ��1, �%��,� /D �7/ Sir Poots 1015 N. Parker, Oranga 92667 Grove funie 19z� E. Edinger, SA 92705 Permit# 32940 2,OQ0 psi 5-7-71 (1 "HOLD" V-B.B. IV "HOLD" VI "HOLD" 7-Day 111,500 3,944 6" x 12-1/2" RECEIVED ON 5-3-71 Bi.6iLQiivG S(a�ET`r DEF�i. MAY 101971 �L. E. Sprague - 2 ^ Costa Mesa Bidg. Dept. ------ � ' �Ll N[VORTS �RE iVpY1TtFO �! TM[ COMilO[MTI�� qO�CI�TY O� CLICMTS, 1UTNONII�TION fOR IUpLIC�TION Of OYN REPORTS. CONCLVSIONS. OR [�� /: TR�CT3 iROM OR PEG�PDIMG 1NE4 i5 NC6fMV[G P[NDIMG O111� WPITT[N ��VNOV>l �S A MUTU�I VROTECTION �O Cl1ENT5,TNE VVOLIC �NO OVRSElVCS. - 930�1] �i . . e . . ' � . �. ; � { . 3 ��/'�4 _ ,. . _ ' .. ` . � . , ' '!, _ _ '. rI' " - . " , . . - ' ' . � . _ . -,. . .. . . .Y �. . - � e .` • . • ' Y , ' . . , ' k " .lj '( , . . • .�b � _ � l ' s • _ .' � i. L . h. `, _ ti " . . � _ � .. ' j � . _ �� '� . ' _ . .., •, . �. • ' . ' ., _ � . . : ! .` . � 1N� . . . ? - . . t . . , - , _" April,l2, 1971� _. . , , ' ,: - . , : � t'�- _�, � _. , .. � 4 " . . " . � . ; _ f .. . . - r. r ,- - , . . . ` - . . -., . . • . ' ... ' eC`. � '. •. • ' '. � t � � .•' . � . . - . �c 4� ~`• ' , - , . '' - � � . .... . � . . . d � . -,� . . . . - - . . •. ' . � ' . . . � � � . . � . . j. - 'i'i' � . . .. - . . . . : ' ',.'. � . ' � . . . '� -. . . .. _��}..ly - ... , . . . : = '+ _-�. ' . ' , , i. - ' ' • Mr Kermit Chriatman� , - _ : . . 2895�Clubhouse Road , ' � , •` . Costa Me,sa, California . � � , � Dear .Sir: _ : .. : ' s ' _ :.5 . . . ' � � A building•permit has been; sued to Sir Pools to construct, . • - a privat"e:swimming pooT_on your property.- � . .- ��`. In order that ;y :� pool wi'll be. a safe -one and for the °pur- _ pose of.advising you.of,y_ responsibility regarding the require-�, �� ments'of the•r>Costa;Mesa�.Mun pa1 Code, we rePer you to Section • � • 8107; a, copy of `wriich 18� attached: , • � . � . � . . _ . t • ,- , _ , . .. . . This;let ' ia directed:=to:.you in orde; that�-you will be ' - • aware oP �our ordir�ces arid carr make e�,complete safety •check of;= ` - ; your pool area. �, . _ � . . . . . '� . '" : . - . ' -i'$incerely,yours, ' . : . . . � . � .i . Y _ � �.f ' . .. . . � . ., .. _ .j. . . _ - . _.. . . t' . . :, tr . - � '. . . . . • . . � . ^• - . "RICHARD HANHART � . . , ,, , " - � � - .- � Building Safety;Diiector ' - -. � ; . _ .RA:dh ,- -, _ . � , .. ` • : _ - . c , . • . . . � ' . , �,• . - -, _ - _ � :,* } -. . . , i . _ ' . . . . .. . .i '� . '1 ' . . � W. �. ' � . . ' . - . j � ' - . , e ... . ' . ' F , � r . . �• • " _ . � • ' . �. � . ' ' e . . _!�i . .. .. � . . . . . � • ' :v � _ . � . �. ..... . � . _ . .. . . \ �F � . �' � � • . ' . ' �' . ]�' ' � .. .. � , � •. . . • � . � � ' ' t.4' I . . . . . � � . � `' . :. ' _ ' �� . ' _ t. ' . . . . . .. . � .. . .. . 'i . . . _ . . _ . . . . � . - . . .� . ... . ' . �"'��.f� . . , ._. _ ADPlicant to fill in all spatts exeept those within heavy Ooraer Iines ana sign all aoo�ovriate aeclarations. _ � CITV OF'COSTA MESA �CONST UCTIO 'PERMIT ' RMIT O : , ' tTRACT NO. � . LOT NO. • UNIT NO: ' , � � � ,,. , , ; _ 86 � . 39.00 . TL ' .2571 9%04/ ��vs- c'/�6 �%'� �: � ��`r g� . ; ; _.. Prdject Address � � � 1 ' • , � , " � TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR � ApplicanYs Mailing'Address • � � - . � � Owner's Name � �ro Phone7'r� �+�� CONVERSION ❑ DEMOLISH ❑ OTHER q.p,# _� _ _ _; _�, _' _ ,_ _Zone I y �_ _ 1.�.r C,�-� DESC�IPTION O,�J�RK/USE OF BLDG. ��'+� �� G� . Address t�e i1'': �� 1� .-, � � '. , E Main Building: i Accessory Bwlding: � i � i i - Z Arch/Eng� ' LiCenSeNo. TVPEOFPERMIT ❑GRADING ❑FOUNDATION ❑_STRUCTVRAL , . T Front ' • ' `. p Add[e55 ' � ' ❑ TENANT ❑ EIECTRICAL ❑ PLUMBING 0 MECHANICAL B Rear � • � - � • N Contractor'S Name v e ' �� Phone C�3-� � ' ❑ OTHER' • � . _ ' A �_ ' _ " ' _ ' . '�'_ _. . . _ I PROJECT DESCRIPTION 5[,. FT. oCGuaANCv C Right� � � - r �. N� Addi255lmdiliny) ' ' g� �v _ � -�l^ P q1G7 CONSTRUCTION,TVPE , VALUATION�$� 'g Ceh � ' ! ' � ' G " City License No. .�U%� ' ' • . . . � � . � R LICENSED CONTRACTOR DECLARATION � ZONE GRADING CV.YDS. ACR 5 p�ng. Ref. # ' Parkin`g�Re�.�Provided � � E I hereby aHirm that I am licensetl untle� provisions of Charter 9(commencing rtemarks: ' • � ' Planning Notesi _. _ � � , � M with section 7000) ot Division 3 of the Business antl Pro(essions Cotle, antl ' _� '� T my license is in full ce effecL �/ '/� � , -' � , � , - � , . � . - : � _ �� Lic¢n5e CIa55 ' � � � ' ,�¢ns o. zGl - - � . $ . � .. 1 , , � � , C1� Date� '- Si9nature ' � � '� PLUMBING : ' - ' ,.FEES � ' i � ' ' - : � .i , . 1V: WORKERS' COMPENSATION DECLARATI ' ' . " ' - . _ . � ' - .� BarSink „ � Showers' �� EIECTRICAL' �- ' ' - FEES '- I hereby atfirm;that I have a certificate ot donsent to selt-insure or a certlficate ' ,- . : T,� � , of Workers' Compensation Insurance, or a rertitietl cooY'�nereof ection .gackflowPreventer � � ServiceSink ❑ 15-50KW 3aoo, L.ab. C.m.� / � � � Automatic�Washer . � Trensformer � 1 Policy No. V"d�v� - Company 'S � � Backflowlrrigation . . SewerCap•- � � - . Constiucbon,PoleSub�. - _ � _' _;�,50+KW� � n Certifietl copy is'hereby fuvnishetl. - � -'�' \[''jy, CertiS,ietl c}1 p�y�,ic filetl wi[h Ihe city Builtling � Bathtubs� Sewer Connection ' -' Cookmg Unit _ Meter ❑up to 100 amps � W[e � `�L' � APPlicant - ' . . .. ' • . EXEMFTION FROM WORKERS' COMPENSA OECLARATION � • � Clarifiers � � Solar Collectois �� " Dishwasher � - _ � Meter ❑OVE� 100dRIp5 . (This section neetl not be mmpletetl i( ttie per Is to� One huntlr¢tl ($100) or � , - , . _� � . less). , � DisRwasher � � Solar Piping �, ' Dryers ❑Gas ❑Electric � Sub Panel - � - I certify that in the performance o/ the wo�k fo� wM1icb this pe�mit is i55uetl, I � � . , _ . • ' ` � �� shall not employ any person,in any manner so as to become subject to the Drinking Fountains � SolarTank ' Fan t Workers' Campensation Laws ot ealifomia. • - � Momrs �0-LHP �1 %- 8 ( .� j Date � 5ignature Floor Drains' ' � �� Swimming Pool w/Spa ' F.A:U. r • � Ina Solar �9-15 HP ��16-15* �� NOTICE: If, atter,making this'tlecla�ation,.you-shoWtl become subject to the - - - - � Workers' Compensation provisions� of the Labor Cotle, you must forthwith � Floo� Sinks ' Urinal � comply witn such•provisions or this pe�mit sM1all b¢ tleemetl revoked. ' ' � � FixLu�Es � MiC�Owdve ^� ' � j CONSTRUCTION LENDING AGENCV .GaSService , Outlets � WaterCloset � � � ' ' � ' � � I hereby affi�m that [here is a construction lentling agency for the pertormance D¢vic¢ BOx¢5 � . � Pol¢ Light . of the work ' for whicn this permit� is issuetl (Section 3097 Civ. CJ ' ' I � i ' . • . - Intereeptors Water Heater � Ou:lets Ran ' Lentler's Name q¢ ' ' -�entler's�Atlare'ss- � � - KitchemSink • - - WaterSeivice' - ' - Switches' '--- • -'1-' -�" - - A- . -^ ' ' -- ' OWNEH BUILpER �ECLARATION � � ' - Siyn I hareby affirm that I am ezempt from,the Contractor's License' Law for the Lavatories � ' • � , Auto-WaSh Ga�bage Disposal � Standing Section5 � following.reason (SecHon �031.5 Business antl Professional Cotle: Any city�or - county which requires a.permit to construcq alter; improve, tlemolish or repalr P-Trap Laundry�Trays � Generator 00.5 KW 05-15 KW Trash Com actor ' any structure, p�ior.lo' its issuance, also'�equi�es the applicant for such pe�mit P • to file a Signetl Statement tha[ he/She is litensetl pursuant t0 the p�ovisions of Roof Drains � 1 ' � ' , . � � the Contractor's License law (CnaDter 9(commencing with Section 7000) of � � � i - DivisiOn 3 ot the Bu5ine55 antl Professions Cotle) o� that he/5M1e is'exempt " • � , � � , - ' ' -' ' ' ' �herefrom antl tne basis for the allegetl ezemption. Any violation ot Section , � � . , ' , . , � �31.5 by any applican[ (or a permit subjecl5 the applicant to-a civil � �alty of not more thamfive huntlretl tlollars ($500). . , ; � ! � . , � � � " ' ' • � � I, as owner of rne property or my employees with wages as their sole Reinspection Fee $15 , Issue Fee ' � $.3 � ' ' compensation,.will tlo the work, antl the structure is not intentletl or offeretl ' -' � Reinspection Fee • ,$15 � Issue Fee � _ � $ 3 tor sale (Seciion'�044„ Business ana Pro(essional Cotle: 'The Contra<tor's ' MECHANICAL 1 - . 1 FEES ' � �� License l.aw tlo¢5 not apply [o an owner Of a property wno bulltlz or improves . thereon, antl who tloes such,work himself/herself or through his or her own � � ,_ DEVELOPMENT SERVI:,ES REQUIREMENTS: .- ,�� ¢mployee5, provitletl that such improvements are not intentletl or offeretl for BOiI¢I HOOd OI Typ21 ❑ � ' � - •sale. Ii.�howeveq-tne Cuiltling or improvement is soltl within one Year of com- ' , Canopy Type II ❑ � � _ Zoning Approved By � Date o�etion- tne owner will have the burtlen of proving he/she tlltl not builtl or im- ' Duct - Under Ground i ' � Buildin9 Approved By � Date ��_�1� � _ / prove tor tne purpose of sale). , , ' . _. � /L.�/(/�{.-� ❑'I, as owner�oi the property, am excluzivety contracting �with licenietl con- Duct -Stiuctural , �� ' Refrigeration System �, � Appliwtion Issued By ' N '� � Date�..�JJ,.i�C t�acto�s to cOnstruct the project ($ection ]064, Business antl Profe55ions Cotle: ' � � ' .-- _. i The ContractporY License Ww tloes not appty to an ownper of property,who -� Duct - Ventilating . ❑0-100,000 BTU ❑100;000 BTU ; �., ' �'��V pF FEES .� i_ �� builtls or �im roves [hereon, antl who cOntracts fo� su[h rojecls w�th a con- - � � tractor(s) i�cense,pursuant-to the Contractor's �icense �aw). I am aware that' Exhaust System ❑ MWtiple ❑ ' System�RepaidAlteration � - � BUILDING PERMIT $. SMIP . . $`� ' proof of their. Worker's Compensation inzurance shbultl be provitletl to me. . ' - PLAN�CHECK � ,$- =-PERMIT.-. - ' � I�am ¢xempt untler Section B>& P. C. fo� this reason Firepl/Fact.,elt7�ICB0 �k � -Fire Dampers ' � - - . - _ " � � r� . " PLUNIBING .: � $ . � - ISSWANCE � $' ; _ oate, � ' � � Owner - - ' � Heating System & Ducting � Registere � . - � � i PLAN CHECK 25% $� � ' ENERGV P.C. �$ ` � � , I hereby ceitify"that 1 have r this application 5ntl state that the above ❑0.100,OOOBTU �100,0006T '- � -GRADING� $ ' iniormation'is mrrecL_I agr o omply with all city and county ortlinances ' '' -- ELECTRICAL $ � PLAN CHECK 50% � MICROFILM $ � �_ antl state laws relatin uild g construction, antl hereby authorize repre-^ , - $ ' sen[atives.of this cit o pon- th¢ above-mentionetl property for'_ . • . • -• _ , _ _ � _ � . , . , inspection ourposes. � MECHANICAL - $_ - TOTAL FEE $ 39 • , �' � Signature' ' P ' , '$ 3" ' PLAN CHECK �25%• $ � - '• CMF OB65-46, r¢v.�30/84 White - Builtling; Canary - AppliCant; Pink - ACCounting; Goltlenrotl - Assessor � CONSTRUCTION AND,PLANNING ' POOL & SPA - - APPROVALS � Permit# Date Inspector . pppROVALS Permit# Date � Inspect� M 1. Temporary Electrical Service or Pole �. 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement . � 3. Electrical Conduit Utility�Undrgrnd. � � 54. Forms � v i 4: Electrical Conduit-Undrgrnd. . , 55. �Electrical Bonding �� . � � � 5. Steel-Reinforcement 56. Rough Plumbing & Pressure�Test . r�n 6. Electrical UFER Grnd. 57. APPROVA� TO'COVER-GUNITE ^ 7. Footings . � ' � 58. Electrical Conduit-Undrgrnd. in 6. 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 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 , 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 Structure 70. Underground Hydro ' � 22. Ducis, Ventilating. 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test . � ' 72. Underground Flush ' � 24. Roof Framing � . 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing � - � 94. Overhead Hydro . � , � 26. T-Bar Ceiling (Strucmral) & 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 37. 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 Factory Fireplace . ' � � ' • . 38. Final Plumbing � . � . ' 39. Water Service-Final� - � � . . 40. Gas Service-Final - ' � 41. Solar pomestic-Final . , ' - 42. Backflow Preventer � 43. Backflow Irrigation . ; � ' 44. Landscape Irrigation System � . , . � 45. Sound Attenuation - ' � � 46. Handicap Regulations � � � • � „ � 47.. FINAL STRUCTURE & BUILDING a � ' � .' . 48. Special Requirements Completed , ' � , 49. Electric Release to Edison � � 50. Gas Release to Southern California Gas Co ' . 51. CERTIFICATE OF OCCUPANCY � No. Date _ _ . �J OWNER JOB AL GENER �AP Nr�l Kerm3t ��E � SYSTEM ANO AIR CONOITIONI UN�ERGROUNO�% POWER � /y C G f ROUGH WIRING TRENCHES � FORMS � STEEL ftEINF. FLOOR SYSTEM BONO BEAM [J� STEEL REINFORCE � SHEATHING FRAME AN� FlASHING LATMING — IN Of1T PLASTER, BROWN COAT STRUCTURAL FINAL HEATING, VENT., REFRIG'.'rAN� A.C., FINAL PLUMBING, FINAL ANDCL,^qqjf-6�}' _ 3�i_ ELECTRIC, FINAL Date —�� 1i13 DATE 4-9=7i BUILDING PERMIT N0. DUP 111 TYPE SUBCONTRACTOR � �29�0 Z . a cwj Z Z � ON am J � J N Q W 0] J m J Q UN Z a w � aW J Q m Z J � W w � ZH w� N � �O COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 APR —9-71PAI�OO 514 43.5G cresn '� r<i:,rk APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely FECEI ED BV D TE RECEIVEP DAl E ISSUED ADDRE55 2895 Clubhouae Ad. � � �{'—�/- �� PEFMIT N ,) OWNE� Kermit Christman /a.P• NO. — � (/ MAIL j�p[ . . BUILDING ADDRESS �"7J C�u��u8e ADDRESS 2895 Clubhouae A8-• CITV CCSLH MBHA � ryp�,��6�J�( TRACT �Jll LOT(� BLOCK CONSiRUCTION u�O�n N W ADD A T R P IENDER a BRA"c" �I{ermit Chrtstman OWNE ADDRESS pr. sjPSIDIDiIIg POO�WE � �, OR ENGINEEF A• Tebault NE�.532��1p US S A.�_ FIRE ADDftESS 1 0 1 Proa BCti SaiiYrH i+lYs ZONE TVPE GROUP �/ SSS .POOZS ByPROVED DATE �` CONTRACTOR ADDRESS �015 N. Parker TEL. (� Z�N NO.OF VSE OF NE CITVQ;j'$�e No. 53s�o�" — P��'' 9UILDING LIC.NO��OZ�1 LICVNO. Z�Z� VAROSAPPROVED VA OSAPPROVED MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLOGS. (FROM GL STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXI5i1NG BLDG. 5 FT. FT. SIZE OF !. � NO.OF NEWBLDG.�'9 B• ROOMS STORIES L.SIDE FT. FT. EXTERIOR WALL ROOF � COVERING COVERING REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLOGS. ACCESS, BLDGS. Pr. 3mimming Pool VAR.� DATE C.U.P.# APPFOVED APPROVED ' I hereby acknowletlge ffiat I have reatl this application antl siate [hat the abOve info�mation is cOrrect and agree to comply with all laws regulacing building consttuction, antl I shall not employ any person in violation ot the workman's compensation laws of � ffie State ot Calitomia. � e I heraby certify that I am proparly licensetl as a contractor untler SQ. FT. � the State of California Business and P�ofessions Code, Divisicn 3, THE AMOUNTSHOWN UNDER VALUATION IS FOR Chapter 9, antl 2hat such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: � am exempt from the provisions ot the State o 21itornia Business VALUATION a antl Protessions Cotle, ivision 3 Chapter 9. PERMIT FEE $�C � [ Signatura of / ' S� i Permittee � � $ /Js(�D � PLAN CHECK $ �J � Authorized Agent � TOTAL FEE $ � oWN�R [�EL JOB ADDRESS AP N°•139-35 INSPECTIONS coat r LOT TRACT nnT� ii-8-62 BUILDING PERMIT NO. 1H1SF� VALUE $ 2 5.00 RIRE ZONE DESCRIPTION OF WORKCom.Blk.Wa]-1 DATr GROUP J TYPE III . ZONE R-1 _ SURCONTRACTOR PERMITSISSUEi TATP TTTiTRDPD .� ,�j�l�- � �� OSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9f7 COBTA MESA. CALIFORNIA For Applicant fo Fill In Complefely �/y TYPE OR PRINT ADDRESS ��/ �� C �% �OU� - COSTA MESA CALIFORNIA OWNER /'e �lS�i✓ MAIL �l/iGC�/1 I I .I n LIG NO. � 7// I/ // NO. //�!/ - J J� SIZE D V �� I NO. OP BLDGe. OF LOi � NOW ON LOT USE OF ,6 v c i EXIBTING BLOG. 8ElBACK LINE FROM /� , � DESCRIPTIOPf OF WORK BUILDING NO. OF SIZB ROOMS 5705 EXTERIOR WALL ROOF COVERING COVERING USE OF BUILDING AND W�6(2K TO BE PERFORMED ��E R�cE�� NOV g 1962 fINANCE DEPT. CITY OF CUSTA MESA APPLICATION FOR PERMIT BUILDING ' For Office Use Only RECEIPT NO. I PERMIT NO. BY COSTA MESA. APPROVED ZONING �J\'� / I PLANS �.�IOUILDINGeW LE�AL ` �O � I� � � DEBCRIPTION � A. P. No. / 3�— 3�� •3 — � YARDS EVES APPROVED ALLOWED (C8M¢R 4NE BT.) _,_ � '` � ;1' 13 ' 1 H6R6@Y AGKNOWLEOp¢ THAT 1 HAVE REA� TXIB APPLIGTION THE AMOUNT BHOWN UNDER V�LUATION 19 POR THG AND 9TATE THAT THE RBOYE IB COPXECi AND AGREE TO LOM- PURPOBE OP, EBTABLI6HINe A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCE6 ANO eTA E LAWB R6GUTATING BUILDINo CONB RION. YALUATION ' SIGNATURE O � PERMIT FEE $ (�'� PERMITfE �J $q/% PLAN CHECK $ ^'�' AUTHORIZED AG T / �y,s, �� / [X� TOTAL FEE �-�, . I_�• �-� : 16�' 72 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIFORNIA � For Applieani fo Fill In Compleiely TYPE OR PRINT BIIILDING � 'SC ADDRE55 .S� ��4I� J��uSe RG¢G( COSTA ME6A. CALIFORNIA �MA�� 1653 Minorca Drive ADDRE65 '� - . . _ _ . . � TEL... i " NO: 772 Katella Ave.,Anahdim Samar Construction Co.,Inc. 1653 Minorca Ilrive . ' STATE ].99838 LIG NO_ UtlC UY � EXISTING BLD�_ 68TBACN LINE PROM TEL. �i 9-0395 NO. ' INO. OF BLD� NOW ON LOT ILEFf o I RIGHT 7 DESCRIPTION OF WORK FEE RECEIVED JAN 3 196� FINAP�CE DEPT. CITY Of C�STA MESA APPLICATION FOR PERMIT BUILDING For Offiee Use Only RELEIPT NO. � P8j1MIT� j!D_. IBSUED i962 COSTA MESA. CALIFORNIA ZOPIING ZONE NO. OF U6E OP NEW 5��. y �'�� PLANB � BUILDINO �yIQ�. L6GAL � -L � // �'� 1 —/ 3 II OE6CRIPTION / �� 1 YARDS EVES ' APPROVED ALLO 29 ncerma uxe er.� �6 'T .DING 1gOO .� ROOMS 7 STORIES 1' :RIOR WALLtuCCO I ROOF shakes- ERING 5 COVERING OF BUILDING AN W RK T BF� ERFORME Sffi S�ng�e f�ami�y resi�ence and attache garage � � �. si�e 8 c REAR � � APPROVED eY ��'06.oi nTv � Z�2 1 HEHEBY ACKNOWLEDOE THAT I XAVE qCAD TX18 �PPLIGTION THE AMOUNT SHOWN UNDER VALIIATION 19 POR TXE AND BTATE THAT THe ABOVE 19 CORRECT RNO A6REE TO COM- POqP08E OP EBTABLIBHIN6 A PEpMIT FEE ONLY. PLY WITX ALL GITY O INANGEe AND 8T TE LAW6 REGULATING Bu1tDIN6 coN9TRucT N. VALUATION /� SIGNATURE OF TREET PERMIT FEE $ T/ PERMITfE n ' � $ �� PLAN CHECK $ �O'��J n AUTHORIZED AGEN �- � / L—�