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Home My WebLink About3232 COLORADO PL - Building Permits_ Applicant to'till In ail spaces exceDt those within neavy bortler Ifnes antl.sign all appropri'� • ciTY oF COSTA MESA CONSTRUCTION PERMIT . PER T NO. � TRACT NO. LOT NO. UNiT N Prop;ct Address � 3 Z 3 Z COLORADO � � ':a � � `� • . ' Rpplicant'sMailingAddress �3O'ZZ N. HESPERIAN S:A. TYPEOF,CONSTRUCTION NEW ADD ALTERATION F �W�Cf�s Ndm¢ MR. EDSON � � phOne � � CONVERSION� ❑;DEMOLISH ❑ OTHER _ Address 3232 COLORADO�� ' DESCRIPTION OF WORK/USE OF BLDG. � � i Arcti/Eng. � �icense No. ` TYPE OF PERMIT � GRaDwc FOIINDATION � STRUCTURAL Addr¢ss � ❑ TENANT � 0 E�ECTRICAL ❑ PIUMBING O MECHANICAL co�tra�tor'sNar.�eALL• �ERICAN PLUMBIP+��e541-9753 � oTHea - , _ ' _ Addresslmailing) 3�22 N. HESPERIAN [1T�15.' A. � � PROJECT,DESCRIPTION'SQ.�FT. , OCCUPANCv_ � . � � CONSTRUCTIONT.Y.PE ' ' VALUATION$ ; CityLicenseNo. 299�.9 ' � � ZONE� GRADINGCU.VDS. ACRES— LICENSED CONTRACTOR DECLARATION ` � I lie�eby af/i�m tM1a[ 1 am Iltens¢tl untle� p�ovisions ot Chdrte� 9(commencing Remarks; . .� ' ' � '' with section ]000) o( Division 3 of the Busin¢55 antl P tessions Cotle, antl my license is in full lorce antl eff cL ' -'. � . , .. �� . License Class — ire o �;' � Date n /�w Si9natu � �(��u..� � FEES �WORKERS'COMPENSATION CLA0.ATION , - , . _ � I hereby aftirm tha[ I have a ce � icate of consent to 5¢If-insur¢ o� a certlfiGate ot Workers' Compensation Insurance, or a certitietl copy thereoi (Section . \ . '00. Lab. CJ ' ' � . . . `�b icy No. PF.Fi(11 �5�9 comoanv ', J Certifietl coOY Is he�eby furnish . , LJ Ce�ti ' tl p i i tl with Ih city v'si \Date' Applic EXEMPTION OM WORKERS' PENSATIO DECLARATION , 1 (Thi55ection neetl not be comple[ if the pe�mit I5 tor One huntlretl ($300) or less): \I certify that in tne, perfOrmance of the wo�k fo� which this perm�t is i55ued, I shall not employ any person lin any manneC so as to become subject to the Workers' Compensation l.aws of Califomia. Da[e � Si9nature - -� NOTICE: If, after making this tlecla�ation, you shoultl become subject to the — Workers' Compen5ation provisions of tM1e Labor Cotle, you must torthwith comply wiln such provisions or this permit sha11 be aeemetl revoketl. CONSTRUCTION LENDING AGENCV � ' I hereby affirm that there is a construction lentling agency for the periormance of the work for which this permit is issuetl (Section 309] Civ. CJ ' Lentler's Name ientler's Aatlress - - - - � OWNER BVILOEH pECLARATION- - I hereby aftirm that I am exempt trom the Contractor'S License Law for the . following reason (Section �031.5 Business and Professlonal Cotle: Any city or county which requires a pe�mit to const�uct, alteq improve, tlemolish or repair any struclure,'p�ioi to its issuance, also requires Ihe applicant (or such petmi� to file a signetl statement that he/she is licensetl pursuant to the provisions oi the Contractor's �icenre Law (Chapter 9(commencing with Section �Ooo) oi �Division' 3 ot the"Business antl Professions,Cotle) or that.he/s�e is exempt -' theretrom antl tM1e.basis fo� the allegetl exemption. Any violation of Section �031.5 by any applicant for a'permit SubjeGtS the appliGant to a civil nalty of not more than tive huntlretl tlollars ($500). - � 1, as owner of the property or my employees witn wages as their sole ompensation, will tlo tM1e work, antl the structure is not intentletl or offeretl tor sale ($ection 7044,. Bu5ine55 antl Profe55ional COtle: The Cont�acto�'s License Law aoes not apply to an owner ot a'property wno builtls or improves thereon antl who tloe5 Such work himselt her5elt or throu h his or her own / 9 employees, provitletl that such Improvements are not intentletl or otferetl for sale. If, howeve�, the builtling o� imp�ovement is soltl within one year o� com- � pletion, the owner will have the bu�tlen ot proving he/she tlid not builtl o� im- p�Ove tor the purpose of sale). � ' � ❑'I, as owner ot [he property, am exclu5ively contracting wi[h licensed mn- ' tractors to construct tM1e project (Section ]044, Business antl Professions Cotle: The �Contractor's-License Law tloer not applyto an owner ot property who builtls �or improves thereon, antl who contracts for su<h projects with a.wn- tractor�sl bcense pursu5nt to the �ontracmr's License I..aw). I am aware that p/oof of tbei� Wo�ker's�Compensation insutance.shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C.�far this reason Date Owner ' I hereby certify that-1 have reatl this appiication antl state tnat the above information is correct. �I agree to�comply with all city antl county ortlinances antl stat ws relating to buil flg construction, antl hereby au[horize repre- sentativs o nis.city to e r upon the above-mentionetl_property'for inspect on p e siy�atu oa�e.9 / 2 6/ 8 6 aeelarations_ � � . ; =GAI R Bar Sink � . ' ' Backflow Preventer _ � Backflow Irrigation i.. � . Bathtubs , � • � _ Clarifiers � , __ Jrinking Fountains =1oor Drains =1oor Sinks - 3as Service IntercepCors � Kitchen Sink � - Lavatories ' P—Trap ' � Roof Drains � Reinspaction-Fee. Outlet5 � _ PlUM61NG Showers' .,' , - ' � ServiceSinli � . Sewer�Cap" : �- ' Sewer Conriection . � � Solar Collectors Solar Pipin9 � � Solar Tank � ' Swimming Pool w/Spa' , $15 oo�rcr Duct - Under Ground . Duct - StFucturel Duct - Ven[ilating ; Exhaust System ❑ Multiple ❑ Firepl/Fact. BIL ICBO # ' H�,ea�t� System & Ducting LNU100,000 BTU 0100,0008T' � Driveri' cense or 55 � I I Reinspection Fee CMF 0865-46, rev. 30/84 White - Builtlin9: Canary - qppiicanh Pink - Accounting; Goltlenrotl - Assessor m Urinal Water Closet Water Heater , Wa[er Service' Auto-Wash � Laundry Trays � Issue Fee Hood or T e I ❑ YP Canopy Typell .❑ Refrigeration System ❑o-i oo,000 aTu ❑ � oo;aoo System Repair/Alteration � Fire Dampers � � Registers � ✓' �� Issue Fee ' A.P. # . . �5 Main Building: E - T Front , ARear � ' C RightT K Left S Ping. Ref. # Planning Notes: � �_ u � 6846 I i/06/86 V� � i 7�.00 ' TL � j . . , t ' ' ' _ . . __ . , . _ . _ �. Zona . � � _ . ' , . _ . . � _ _ � EI� c. . .: v . � ' � � Parking Req./Provided � . . � � 'i Auromatic Washer ' � ConstructionPoleSub.. � Cookina.Unit ' Dryers LJGas Fan F.A.U.`y � Fixtures Device Boxes Outlets . Z O N ' i , - N- y G R E ' . M , ,`; S , .ELECT.RICAL � � � � Transfo}mer ❑ 75-50 KW � 50+KW ,, ' I ' _ Meter ❑up to 100amps ' �. Meter, �over 100:amps ' Sub Panel ; � � - � ' Motors 00.1.HP 01 % - 8 Inc.Solar �9-15 HP �16 Micro'wave , ' � � Pole Light' � . Range ' '_ ' ' Sign. • "" ' � StandingSections � _ Trash Compactor , � Generator �0.5 KW �5�15 KW �-�� Reinspectian Fee � _I FEES DEVELOPMENTSERVICES Zonin9 APProved BY . � j Building Appraved By � — 'A lication luued B � PP Y I $ 3 $15 � � Issue I 0 IEQUIREMENTS: . 0 " ' - � � -_ SUMNTARY OF FEES . _ BUILDWG PERMIT. $ ;'�SMIP � ; �$ _ P.LAN CHECK � $ �PERMIT . - PLUMBING ''� $ � ' ISSUANCE $ PLAN CHECK 25% $�_ � ENERGY P.C. �$ -� ELECTRICAL - $• : - GRADING $ ' � PLANCHECK �50% $. '� MICROFILM $ � � MECHANICAL � $ �� TOTALFEE $• � PLAN CHECK � -Z5% $ ' � - ; CONSTRUCTION AND�PLANNING • � POOL & SPA ; APPROVALS Permit # Date � �Inspector pppROVALS Permit # � Date� Inspector . t. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. � 53. �Steel Reinforcement ' � �;r ' � , 3. Electrical Conduit Utility-Undrgrnd. 54. Forms� . '� =�-: 4. Electrical Conduit-Undrgrnd. ' � 55. Electrical Bonding �� '. � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � •� � � � 6. ElectricalUFERGrnd. . � 57. APPROVALTOCOVER-GUNITE ��: � �„ 7. Footings 58. Electrical Conduit-Undrgrnd. '�'� � .°�; i.t _ ,.. . 8:� Foundation �� , � 59. Gas Pipe, � Undrgrnd., Test �.r � 9'. Water Pipe-Undrgrnd. _� .. . 60. Backwash Lines; P-Trap, O Undrgrnd. � 10. Structural Floor System • 61. APPROVAL TO DECK .,7;� � 11. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal � - 12. Sewer Cap 63. Heater & Vent-Final -13. Roof Drains . 64. Plumbing System - Final � . � 14. Rough�Plumbing . 65. Electrical-FinaP � �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. Ducts, Ventilating�� ' � . �1. Product Piping �Gas ❑Oil � ' 23. Gas Pipe-Rough & Test � ' . � ' 72. Underground Flush � . � � - ' 24. Roof Framing 73. Undergrrid.StorageTank �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 �. � es•��$Fj C�G�„ � p� �O�O V'1G L.�D 34. Firial �Heating & Air Conditioning . � � � 35. Final Gas Pipe�Test � 36. Hood or Canopy 37.. Finaf Factory Fireplace , 38. Final Plumbing � - . . 39. Water Service-Final ' • 40. Gas Service-Final ' ' ' 47. Solar pomestic-Final � 42. Backflow Preventer � � 43. Backflow�lrrigation, 44. Landscape Irrigation System . � . - 45. Sound Attenuation . ' . 46. Handicap Regulations . . 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed � . � 49. Electric Release to Edison � � - , � 50. Gas Release to Southern California Gas Co � ' 51. CERTIFICATE OF OCCUPANCY . No. � Date _ _ . ' � _ ' ' Aop�kant to till in all spaces exceot those within heavy bortler lines ana.sign all aporovriate Oeclarations. I �- .. _" " ' � " _ _ ' ' . '" _ " _. _r.. . _ . _ _ " _ '� qTY OF �COSTA MESA ��,CON TRUCTION P� IT � PER T C�� TRACT NO. ;LOT NO. UNIT NO. _ , � i ' 3115I , S/ � ' � `�� 19/86 � ' "� Pro�ect Address , - - � �hi�j.00 . 7L . ApplicanYSMailin Addres�s � - TVPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR� ' �' ' ' � � � � . ' � Owner's Name � �F`-� � � CONVERSION, ❑ DEMOLISH �' OTHER � _ q,p, # i � � _ _ . �� _ � Zone _ _ , �t Phone ,DESCRIPTIONOF�WORK/USEOFBLDG. � � Address � ' � � ' S Main Building: � �Accessory Building:' ' Arch/Eng.' � License No. ' TVPE OF PERMIT GRaDirvG ❑' UNDATION � STRUCTURAL T P�ront' � ' ' !- p � Add�E55 � � ;❑ TENANT �O ELECTRICAL LUMBING ❑ MECHANICAL 6 Rea� . - i ' � ; N Contractor'sName Phone •D OTHER_' : ; , A ' � . _ I PROJECT DESCRIPTION 5a. FT. � OCCUaANCv C�Rigfii � '"'i' - j . G Addiess (mailing) � K Left ' j � . � � 'CONSTRUCTIONTVPE ,VAIiUAT10N$ � S ' R • City License No. • � ' , � - � . 'ZONE � GRADINGCV.VDS. ACRES� ,Pln Ref.# ' � Parkin��Re Pr � E LICENSED CONTRACTOR DECLARATION • � �' 9� - g q./ Ovid¢d 1 hereby affirm�tha[ 1 am licenzetl untler provi5ionso( Charte� 9(commenclnq Re,marks: � ,. � � � _ BldOnipy NOt¢5: 5 � � 1 � • M with iection ')000) af Dlvislon 3 of lhe Business antl Professions Cotle, antl ,r � my Iicense!is in f t antl effect � • ' . � - i , , 4 , " � ' - ; i -- � � S Licen � s o , Y � � �ate signature - � ' PLUMBING ' FEES ' � • � � � `' � ' i \ WORK RS' OMPENSATIONDECLARATION � ' BarSink. ��, � Showers' ' ' ` � - • , ,� ELECTRICAL ' � � � � i � FEES I� I hereby affi�m that I have a certificate of consent to self-insure o� a certifica[e . �. � �. �. : ' of' Workers' Compensation InSurance, o� a cer[itied copY tM1ereOf (Section + f , , . � � �00, lab. �,�/� Backflow Preventer i : - Service Sink . � � ,i Automatic Washer : � � . _Transformer' � 15-50 KW . ' icy No. � company Backflowlrrigation� ,. 'SewerCa " ' �" " • ' � � ❑50+�KW: P � • '. Construction PoleSub - '- � f � . �_ , � s ,.�.Gertifietl opy is hereby fumishetl. � f LJ C 'f py is filetl with the city i vi on. ' Bathtubs � Sewer Connection !`- � •- Cooking Unit^ � � � � Meter �up to 100-amps � � '' ` � Date' APPlicant �,�.e��, p/� � . . . ^• . . � EXEMP IONFBOMWORKERS'COMPENSATIONDECLARATION Clarifier5 . - � �SolarCollCctors� - � Disbwasher q ' � � Meter �over:100amp5 .- � . (Thissection neetl not be completetl i( [he permit is,tor one huntlretl.($1'00) or � � - ' ' less). • , � Dishwasher� . • � ' . Solai Piping. ..� � �- ' " , Dryers �Gas ❑Electric - Sub Panel � �l � - i ' - � I certify that in the pe�to�mance of th¢ work for which this permR is i55uetl, I , ' � I - - '�� snall not employ any person in any manner so as to become suoject to the Drinkin9 Fountains; �Solar Tank � � � t Fan .,Motors �0.1 HP �1 h':B' . Workers'.Compensation Lawz of California. - � � ' . . . . . Date � ' Signature ' Floor Dreins - : Swimming Pool w/Spa • � j � F.A.U��. � - � � � � " � ' ' NOTICE: If, after making this tleclaration, you sM1oultl become.5u0ject to the �� Inc.Solar �9-15 HP �i6y15+ WOrk¢rs' Compensation provisions O( the Labo� Cotle, you must torthwith FI001$i0k5 - U/indl � - comply wi[h such provisions or'tM1is permit shall be tleemetl revoketl. � Fixtures . � MiCroWav2 . CONSTRUCTION IcENDING AGENCV � '• GasService �Outlet5 WaterCloset DeViCeBoxes � �' � � ' � 1 hereby affirm that there i5 a construction lentling a9en[y for the pe�tormance � ! POIE Li9ht � � of lhe work -for which this permit'is issuetl (SeCtion' 3097 Civ. C.) ' ' • . � � Lenaer•s Name i � Interceptors � �Water Heater . � Outlets ' � � Range. 1 ' Lentlerts.Aatlress � � Kitchen.5ink , _ . ._ Water� ' � � ' � ' ' � � - ; i i ; OWNER BUILDER OECIARATION � � � SerViCe - - � �� • � - Swi[Ches �- -i- - � :-- 'f - - Sign " I hereby affirm that 1 am exempt from the Contractor's License,L'aw for the Lavatories � Auto-Wash � Ga�bage Di5po5al � Standing Sections following reason (Section 7031.5 Businass antl Professional Cotle: Any city or � � couniy which requires a permit to <onstruct, alter; improve, aemolish or repair P—Trap � Laundry Trays � Generator O0.5 KW 05-15 KW � any structure, prmr to its issuance, also requires the applicant foosuch permit Trash Compactor � to flle a signetl statemenf that M1e/sM1e Is,licenietl pu�suant to the provisions ot Ro0? D�ainS ' � ' ' ' the ConGactor's License Law (Chapter 9(commencing with Section ]000) o! ' ' ' ' � , �Division-3-ot the Business antl Professions Cotle) or that ne/she is exempt-- - - --- - - - - -- , IM1erefrom antl the ba5is for the allegetl exemption. Any violation of Sec[iOn � . ' ' i �� `� , ' ; � •�03L5_ by dny applicant tor a permit subjects the� appliGant to a civil � ' � � malty of not more than tive huntlretl tlollars�($500). � � . • � , ' �, , . � , � -�, i 1, as •owner, of the property or my empioyees with wa9es as their sole Heinspection Fee � �$15 , � Issue Fee $? ' � , ' JmpenSation, will tlo tM1e work, antl the structure i5 not intentletl or ofteretl ' R¢inip¢CtiO� FeB � $1$' ISsuO F¢¢ � �$ 3 ' for sale� (Section 7044, Buziness antl Professional Cotle: The Contractor's . , � MECHANICAL ' , FEES ' � Lic¢nse. Law tloe5:n0[ apply to an ownerpf a property who builtls or improves � - , tbereon; and who,tloes such work'himself/herself ar through his or her own - DEVELOPMENTSERVICES�REQUIREMENTS: i ' , , , f employees, provitletl tbat such implovements are not intentletl or offeletl (01 BOiI¢f � � HOOd Of Type I ❑ ' ZOOifI A IOV@d B � SaIC. If,• however,-Ihe builtling or imp�ovement I5 soltl within one yea� of com- ,. - . CdnOpy Typ¢ I I ❑ . ,g PP Y . � Ddte pletlon, the owner wlll have the burtlen ot proving he/sh¢ tlitl not buiitl or Im- Duct � Under Ground � Buildin A raved B prove for [he purpose ot sale). _ � � ' � 9 PP Y . � Date ❑ I, as'.owne� of ttte p�operty, am ex[IuSively mnt�acfing with Ilcensetl-con- DUCt - St�uctU�21 R¢fng¢�atiOn SVSL¢R1 ' .- � Appliwtion IRued By �� Dat� tractors to construct the project (Section �044, Business,antl Professions Cotle: '- . - � ' ' Tne ConVactor's License Law tloes not apply to an owner of propertywho Duct - Ventilating � • � �0-100,000 BTU��100,000 BTU �" • �� SUMMARV OF FEES � - T' builtls or improves lhereon, antl_who contracts for such projects wrth a con- -. � � • - tractor(s) iicense pursuant to the Contractor's License Law). 1 am aware that , ' - � - -' BUILDING PERMIT $: ' SMIP ._ $: �� '� ' proo/ of tnei� Worker'S Compensation insurance shoultl be provitletl to me. Exhaust Syscem O, Multiple ❑ System Repair/Alterabon � � � �- - � i, , . , .. � PLAN-CHECK ' � $.' �-_PERMIT� � � - , � I am exempt untler Section = � B. & P. C. for this reason ' - Firepl/FacCBIL ICBO # Pire Dampers ; � , - . ��"7)'(� � � ' ' ; � � ' ' � � � ' '� - PLUMBING � � .. $ `-' --- --ISSUANCE _ $ i _ �, �i � Date � - � � - Owner � - Hea[ing System & Ductirig Registers � � " �- i • pLAN CHECK .25% $' - '�ENERGW P.C. � $ _ _ I hereby certiry �that 1 have reatl thls application antl state tnat the�above � 00.100,OOOBTU 0100,OOOBT � � � 'GRADING S ' � information is correct. I a9ree,to�compty with all city antl county ortlinances ' ' _ ' � � ELECTRICAL '. ' ' $ � _ . antl state laws relatin9�to builtling construction, antl hereby authorize repre- � ' ' . � , _ ` � pLAN CHECK �50%`: $ ' � � ' ' MICROFILM'.- $ sentatives oYthis cit to en r upon the ove-man[ionetl'property for �� . �-' ., . , � , •. �� ' inspection p r se . � a ' ' - ' ' ' ' ' - ' — "' ' Signature ' Date y • - � . - - � . _ ` � i MECHANICAL $ . � TOTAL FEE $ �Drivers' Lic¢nse or 55 � — --�(�' ReinsPection Fee � $15 � . laue Fee� . � $ 3 � ' PLAN�CHECK 25% $ . . . • • � CMF 0865-46, �ev. 30/84 White -�Builtling; Canary - Applicanh Plnk - Accountinq; Goltlen�otl - A5ses50r ^ -i CONSTRUCTION AND PLANNING � ' : POOL & SPA _ , , -, �Date Inspector � Date- Inspecto`r� APPROVALS Permii # , APPROVALS Permit # . �� I 1. Temporary Electrical Service or Pole ! 52. Pool & Equipment Location �. 2. Soil Pipe-Undrgrnd.,� � . � 53. Steel Reinforcement � � - � { 3. Electrical Conduit Utility�Undrgmd. 54. Forms � ' �='. . ✓_v ,- 4. Electrical Conduit�Undrgrnd. � �55. Electrical Bonding -» � j 5. Steel Reinforcement 'S6. Rough Plumbing & Pressure Test ' ' +^ '� 6. Electrical UFER Gmd. � , � 57. APPROVAL TO COVERiGUNITE � . -,- a � ^� f 7. Footings , � , 58. Electrical Conduit-Undrgind. � � � - 8�. Foundation � 59. Gas Pipe, O Undrgrnd., Tes_t � 9. Water Pipe-Undrgmd. , . , , _ 60._Backwash Lines, P-Trap,�'f,7��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 73. Roof Drains�, � � - . 64. Plumbing System - Final 14. Rough Plumbing . 65. Electrical-Final 15: Rough Electrical-Conduit �� .� 66. Solar System-Final ' • 76. Rough Electric Wiring �, _ � ' , � 67. Pencing & Access Approval - - � 17. Rough Wiring Sign � � ' 68. APPROVED FOR PLASTERING 18. Rough-Electrical-T Bar Ceiling �, � t�; . � 69. POOUSPA 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 � Gas ❑ Oil 23. Gas Pipe-Rough & Test . � 72. Underground Flush , 24. Roof Framing � � �� . 73. Underg�nd.Stora9eTank OGas ❑Oil 25. Roof Sh�eathing . , � � . 74. Overhead Hydro ' i � � � � 26. T-Bar Ceiling (Structurel) & Monocoat '. � 75. Dry Chemical � 27. Frame and Flashing - �� ' 76. Dry Standpipe- � .�28. Lathing & Siding �. 77. FIXED SYSTEM FINAL 29. Ins'ulation ' • ' 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 Factory Fireplace � � . � � . . 38. Final Plumbing . -i�-�(7 L�l� � - � _ 39. Water Service-Final . - � � ' - � 40. Gas Service-Final - - ' . •41. Solar pomesticFinal � _ � � , � . • '-42. BackflowPreventer : ;.� ' • • " - � 43. Backflow Irrigation' � ' � • , '44. �L'andscape Irrigation System ' � "' � ' � ' ' • � ' 45.�Sound Attenuation � � " ' - ' � 46. Handicap Regulations � � , . � � . -� , 47. FINAL STRUCTURE & BUILDING - � ' . � ' . ' .48. Special Requirements Completed . ' ' ' ' ' . 49. -Electric Release to Edison � ' � . � . . 50. Gas Release to Southern Califomia Gas Co � �, - �• � 51. CERTIFICATE OF OCCUPANCY � � . � . , No. - Date _ _ � . ' . � �-, . � _ Applicant to fill in all soaces except tnose witnin heavY OF COSTA��/yj�SA CON R CTION PE{�Yf� T PER Nq.� ,/ ��.� TRACT NO. ProjectAddress,' �123Z• �� ` �' �J'�� —1 � TVPE OF CONSTRUCTION rvEW Applicant's Mailin Address � �'0 ❑ CONVERSION ❑ DEMOLISH � O' Owner's Name P� Address ' � ArchlEn9: � License No. Address ` Convacmr's Nam dG Pho �j Address (mailing) City License No. LICENSED CONTRACTOR DECLARATIO I hereby aftirm tM1at i am licensetl untle� provision5 of Charfer 9(mmmencinq with section 7000), ivis n 3 of �usiness antl .Profe55ion5 de, ntl my license is in full or fect. ' License k�a=,�a. � �� No � � Date Signature WOR RS C SATION DEC A I N I hereby affirm that I nave a certificate ot consent of Workers' ompensation Insu�ance, or a ce� '00, lab. l Iicy No. • ompan or a certificate ereqf (Section .� Gertifietl cop i M1ereby fumished. � }i;�e ' i with the city B' " n. Date Applicant EXEMPTI N FR M WORKERS' COMPENSATION DECL TION (This secti n neeA no[ be completetl if the permi[ is for one u retl ($100) or lesz). I certify that in the perfo�mance of the work (or which this perm�t is issuetl, I shall not employ any per5on in any manne� so as to become subject to the Workers' Compensatian Laws of California. Data Signature NOTICE: If, afte� making this declaration, you shoultl bewme subject to th¢ Wo�ke�s' Compensa[ion provisions of the L.abor Cotle, you must fo�thwith comply with such p�ovisions or this pe�mit shall be tleemed revoketl. CONSTRUCTION IENDING AGENCV 1 hereCy affirm that there is a construction lentling agency tor the pertormance ot the work for which this permit is i55uetl (Section 3097 Civ. CJ Lentler's Name Lentler's Atldress OWNER BUILOER bECLARATION 1 hereby affirm that,l`am exempt irom the Contractor's License Law for tne followin9 reason (Section 7031.5 Business antl Professional Cotle: Any city or county whi<h requires a permit to consttuc[, alteq improve, tlemolish or repair any sVucture, prior to its issuance, also requires the applicant (or such permit to fiie a si9netl statement that he/she is licensetl pursuant to the provisions of the ConVactor's License Law (Chapter 9(commencing with Section 7000) of Division 3 oi the Business antl Prolessions Code) or (hat lie/sbe is exempt - the�etrom antl the basis tor the allegetl exemption. Any violation ot SectiOn -7031.5 by any applican[ fo� a permit subjects the applicant [o a civil '.��enalty of not more than five huntlretl tlollars ($500). ��"� I, as owner ot the property or my employees witn wa9es as their sole 'compensation, will tlo tne work, and the structure is not intendetl or offeretl for sale (Section 7044, Business antl Professional Cotle: The Contractor's �icense Law does not apply ro an owner ot a property who builtls or improves the�eon, antl who tloes such wo�k himself/ne�selt or tnrougb nis or her own employees, prOvitletl that such improvements are not intentletl or o(fe�etl fo� sale. H. �howeve�,-the builtling or imp�ovement is soltl wlthin one year ot com- pletion, the owner will have the burtlen of proving he/she diG not builtl or im- ' p�ove for the purpose of sale). ❑,I, as owner of�the property, am exclusively mnt�acting with IicenSetl con- tractorzto const�u[t the Oroject (Sec[ion 7044, Busine55 and Prote55ions Cotle: Tne Contrattor's License Law does not apply to an owner oi property who builtls or improves thereon, antl who contracts for such projects with a con- tractor(s) ucense pursuant to tM1e Contractor'S Litense Law). I am aware that proof oi their Worker's Compensation insurance shoultl be provitled to me. ❑ I am exempt untler Section B. & P. C. for this reason �ate Owner I hereby certify that ave reatl this application antl state that the above information is correc I 9ree [o comply with all city antl county ortlinances antl state Iaws relati g �,b iilding c nstructlon, anC hereby autho ize repre- senlatives ot this c y n[er � n tM1e above-m¢ntionetl pert inspectinn purpa + Signature Date I Drivers' LiCense or 55 � TYPE OH PEAMIT U ❑ TENANT ELE( ❑ OTHER PROJECT DESCRIPTION . I CONSTRUCTION TYP ZONE Remarks: G RADI NG Bar Sink Backflow Preventer � Backflow Irrigation Bathtubs Clarifiers Dishv+2sher Drinking Fountains Floor Drains Floor Sinks GasService Outlets Kitchen Sink Lavatories P—Trap Roof Droins lines anG sign all aOV�oPriate tleelarations. 'ADD U ALTERATION LJ REPAIR '/' � /�'� � =�/� '�� '�� 'V 1D� K Left _ AlUAT10N $ $ GRADI . ACRES p�ng. Ref. # Planning Notes: Reinspec[ion Fee � $15 Boiler Duct - Under Ground Duct - Structurel Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑o-i oo,000 eru 0 i oo,000 sT� pefnspection Fee � $15 Showers Service Sink Sewer Cap Sewer Connec[ion $olar Collectors Solar Pipin9 Solar Tank Swimmin9 Pool w/Spa Urinal Water Closet � Water Heater Water Service �- Auto-Wash Isue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,OOOBTU ❑100,00087 System Repair/Alteretion Fire Dampers ' Registers ' Issue Fee FEES $ 3 F $ 3 Automatic Washer Consiruction Pole Sub. Cooking Unit Dishwasher � Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Zone . Building: Parking Req./Provided ELECTRICAL Transformer ❑' 15-50 KW ❑ SO+KW Meter ❑up to 100 amps Meter ❑over 100 amps � Sub Panel � Motors �0-1 HP DU% -8 � Inc. Solar 09-15 HP 016-15+ Microwave Pole Light Range Switches ' Sign � Garbage Disposal Standing Sections Generamr �0.5 KW �5-75 KW Trash Compacmr - Fea �$15 � � Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning APProved By Building Approved By �� FEES 3 Z O N 1 N G R E Q M T S � - SUMnMARV OF FEES S � BUILDINGPERMIT $ `7 �'OC� SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% y ENERGY P.C. $_ ELECTRICAL $ GRADING $ - PLAN CHECK 50% $ MICROFILM $� MECHANICAL $ TOTAL FEE $ 9o•SD PIAN CHECK 25% $ � � • �-� -- ua VUUVvnW—UUUUYtSW 1 1} 1 y0, CMF 0865-46, rev. 10/84 White - Builtling; Canary - APplitanp Pink - Accounfing; Goltlenrotl - A55¢550� ;CONSTRUCTION AND PLANNING ' P��L & SPA - � �' ` Date Inspector � Date Inspector APPROVALS �Permit # , APPROVALS Permit # � �i • 1: �Temporary Electiical;Se�vice or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. , � ' 53. Steel Reinforcement � 3. Electrical Conduit 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 ;a � 58. ElectricalConduit-Undrgrnd. 8. Foundation (� f;�' 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undigrnd.'"� 60. Backwash Lines, P-Trap, O Undrgrnd. � 70. Structural Floor System 61. APPROVALTO 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 � i 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 O Gas ❑ Oil . 23. Gas Pipe-Rough & Test 72. Underground Flu'sh ' 1`"� 24. Roof Framing � 73. Undergrnd.StorageTankOGas OOiI'� - 25. Roof Sheathing 74. Overhead Hydro ��`" �� . i � 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � J�' �r �� 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 . �' � (ti� 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ,�' �S" IY�� 33. Final Electric Notes: ;,.s - • 34. Final Heating & Air Conditioning t (� 35. Final Gas Pipe�Test • ' ' � 36. Hood or Canopy -t � � 37. Final Factory Fireplace ' � . � - ` �•_ i 38. Final Plumbing - '_ ' ' � 39. Water Service-Final ( ' - , - � , , r � 'i- . � ♦ .i �1 40. Gas Service-Final " '" ' . � � � � 41. Solar pomesticFinal � ., 'J_;•,--- �y�: ' �; ' i � ��42. Backflow Preventer � i'� . .r �' ' . ; ��43,�Backflow Irrigation /i � � �; -. �-�-�-- � ' ' 44: 1Landscape Irrigation System „� -- ' . - � . 45.�Sound Attenuation � i� J. `. , --,� 461�Randicap Regulations � �' �r " f 47. FINAL STRUCTURE & BU�LDING (�' ' � �- � ,- � � � - 2( �� ' � I � 48�.Special Requirements Completed � -`` , . n. � 49. Electric Release to Edison .. "�t� � 50. Gas Release to Southern.California Gas Co �� . '. { 51. CERTIFICATE OF OCCUPANCY - No. Date _ _ 1 t t\. •-��. - ,. . �or 86 - T 62 . - = �� COSTA MESA BUILDIN6-SAFETY DEPARTMENT P. O. BOX 917 C08TA MEBA. CALIFORNIA For Applicant to Fill In Completely � TYPE OR PRINT BUILDING 3z3Z COLORADO PLACE ADDRESS . � COSTA MESh CALIFORNIA owNER KENKOL CONSTRUCTION CO. � ADDRE55 � 55 PLACENTIA AVENUE � ��.ry NEWPORT BEACH Na�-MI 6-3zz ARCHITECT TEL. K.W. Ko�� CONTRACTOR woDREss �555 PLACENTIA AVENUE CI7Y NEWPORT BEACH �T�No. 6ti95 No:Mi 6-3zz7 S��E 57.83x�oo sF �no.oFa��a.o /lC 1/lT unw nu � �r 86TBpGK L�NB FHOM ' cENTea oF BTReeT O� REAR YARO 2O � SIDE VARD LEFf 51 I RIGHT �0� DESCRIPTION OF WORK BUILDING / NO. �F 91ZE �02� SF ROOM6 STORIES � EXTERIORWALSTUCCO IROOF ROCK � COVERING COVERWG USE OF HUILDING AND WORK TO BE PERFORMED SINGLE-FAMLLY RESIDENCE AND ATTACHEO GARAGE PLAN -C _. �� RECEav�D ,�t_-�; S-i 3_ N� fINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Ofifice Use Only PECEIPT NO. PCHMIT NO. COSTA MESA. CALIFORNIA u��a ZONING ZONE I NO. OF� I USE OF NEW � PLAN6 BUILDING, DE6CRIPTION� O CO / �� A. P. NO. YARDS EVES APPROVED ALLOWED ICENT6R L�NC 6T.) �� L. SIDE /✓ FT. �/� REAR � FT. APPROVED /'�� C//� BY W ' �`�� DATE � �!/��'-/� .�/ %�/ c/ � � i HBREBY I�CKNOWLEDOE THAT 1 HAV6 READ TXIB APPLIWTION THE AMOUNT BHOWN IINOER VALUAT�ON IB FOR TXE AND 8TAT6 TXAT TXE ABOVE Ie GORRECT AND AGREE TO COM- pURPOBE OP ¢BTABLIBHING A PERMIT FEE ONLY. PLY WITX ALL CIiY ORDINANCEB ANO 9TATE LAWB REGULATINO Bu1tnlNa coNeTxurnoN. . VALUATION ' / SIGNANRE OF � PERMIT FEE $ �b ~ PERMI7TE / � ^,�,�,� ^/-� $ /(p ��'�� PLAN CHECK $ �� J AUTHORIZEDAG T �, , ,y{•v/V1 / � // TOTAL FEE S Y' �