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Home My WebLink About302 CABRILLO ST - Building PermitsAOP�icant to fill in all svaees exeeD� lhose withln neavY Dortler lines ana sign all approoriate eeelarations. CITY OF COSTA M�� CONSTR UC� N PERMIT P MIT NQ . TRACT NO. LOT NO. UNIT NO �re'�R Acldress � �-� �� /'/ � /' �,e... �j ,pplicant'sMailin!a.,A-Arlrrcc �%�� .�� /f/TJ��. �1.� Owner'sName �*Vi�q.�,�,�� <_�'� � PhoneSfiL�—L�S'�/ -Address .S • F.ri�� Arch/Eng. License Na.' Address Contractor'sNam �' Phone 3U' Address (mailing) s��%%� Ciry.License No. 3�� — LICENSED CONTRACTOR DECLARATION I nereby affirm that I am licensetl untler provisions of Charter 9(commencing with section ]000) of Division 3 ot the B siness antl Protessians Cotle, antl my Iicense is in fWl f ce ana tfecL � t� License ass ' � � � �% yL� % Date � Si9nahre W00.KER5'�COMPENSATION DECLARATION hereby attirm that I have a certificate of consent to selt-i sure or a certificate Workers' Compensation Insu�ance a certi£ tl copY Ihere t($ection .d00, Lab. �� y-� � with the city (This section n�e6-�a[ be completetl if t e Oermit i5 tor one huntlretl (5100) o� less). I cerlity that in the performance ot Ne wo�l t whiclrlM pe�m� is issuetl, 1 shall not employ any person in any man o a5 �o b�e 5 jett to the Worker `�W�qe �aen Laws ot Calitorn' Date �� ..]�Si9nature ' NOTI E: If, a/ter making this tlecla�ation, you shoultl blce� su ect [o the Workers' Compensation provi5ion5 of the Labor Cotle, you mu torthwith mmpty with Such provisions or this permit sha11 be tleem tl revoketl. CONSTRUCTION'LENDING AGENCV ' I hereby altirm that there is a construction lentling a9ency Tor the performance of tne work for wnicn this permit is issuetl (Section 3097 Civ. CJ Lentler's Name Lentle�'s Atl�ress OWNER BUILOEN OECLARATION I hereby affirm tha[ I am exemp[ from the Cont�acio�'S License law for the tollowing reasOn (Section ]031.5 Business antl ProfesSional Cotle: Any city o� county which requires a permit co construct, alter, improve, aemolish or repair any st�uctu�e, prior to Its issuanc¢, alm requires the applicant tor Such petmit to tile a signetl statertient that he/She is licensetl pur5uant to the provisions o( the Contractor's Ucense �aw (ChaO�er 9(commencin9 N'�th Section �000) of �ivision 3 of the Bu5ine55 antl P�ofes5ions Cotl2) or [hat he/she is exempt erefrom antl th¢ ba5i5 for the allegetl exemption. Any violation of SectiOn �3L5 by any applicant' for a permii subjects the applicant to a. civil �endlty of not more than five'huntlretl tlollars (E500). ' I, as'owner of tM1e property o� my employees with wages as their sole wmpensation, will tlo [he wo�k, antl the structure is not intentletl o� ofteretl for sale (Section 7044, Business ane Professional Cotle: The Contractor'S License Law tloes not apply to an owner of a property who builtls or improves thereon, antl who tloe5 such wotk himself/herselt or throu9h his ot her own employees, provitletl that sucb improvements are not intentletl or offeretl fo�. sale. If, however, the builtling or improvement is Soltl within one year ot com- pletion, the owner wiil have the burtlen ot provin9 he/she tlitl mt builtl or im- �Ove for the purpose of sale). I, as owner ot tne properiy, am exclusively.<oneracting with licensetl con- t�actors [O const�uct [he project (Section ]044, Business antl Protessions COtle: Tne ContractoYs License Law tloes not apply to an owner of properry who builds or improves thereon, and who contracts for sucn projects with a con- tractor(s1 license'pursuant to the Contractor's License Law). I am aware tltat proof o1 their Worker'S Compen5ation insurance Shoultl be provitletl to Te. ❑ I am exempt untler Section B. & P. C. for [bis reason, Date ' Owner I hereby certity�thaY I have reatl this application antl state that the above intormation is correc�/. � a9ree to complY with all tlty antl county ortllnancez antl state laws rela fig to b tltltlWWW n ructlon, antl hereby authorize repre- sentatives of thi�it to � Ihe abov�netl Property for inspectian purp s. � � Signature � Date' Drivers' Licens r 55 � l� -�6�0� � TYPE OF CONSTRUCTION NEW ADD ALTERATIO REPAIR ❑.CONVERSION ❑ DEMOLISH ❑ OTHER C ✓�O � n DESCRIPTION OF WORK/USE OF BLDG: — ✓OG' - TYPE OF PERMIT LJ GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELEGT L� PIVMBING ❑ MECHANICAL ❑ OTHER � / PROJECT DESCRIPTION St�. F7. oCCUPANCv_ CONSTRVCTIONTYPE ✓ VALUATION$� ZONE GRADINGGU.VDS. � ACRES_ Remarkz: Bar Sink Backflow Preventer Backflow Irrigation Bachtubs Clarifiers Dishwasher � Drinking Fountains � F,loor Drains . ' Floor Sinks GasService Outlets Interceptors Kitchen Sink Roof Drains Reinspection Fee, � $15 Duct-UnderGround � Duct - Strucmral Duct - Ventilating ' Exhaust System ❑ Multiple Firepl/Faci. Blt. ICBO # Heating System & Ducting' ❑P100,000 BTU 0700,000 Reinspection Fee $15 CMF 0865-46, rev. 30/B4 White - Builtling: Canary - Applicant; Pink - Accountin9; Goltlenrotl - Assessor LUMBING - $hOW¢f5 Service Sink � Sewer Cap Sewer Connection Solar Collecrors Solar Piping Solar Tank � Swimming Pool w/Spa Urinal Wat¢r CIOS¢t Water Heater Water Service � � Auto-Wash laue Fee 'Hood or Typel � Canopy Typell ❑ Refrigeration System . ❑6100,OOOBTU ❑100,000 System Repair/Alteration Registers 0 Issue Fee FEES $ 3 FEES $ 3 A.P. # S Main Building: E T Front A Rear C Right g Left • Ping. Rei. # Planning Notes: 9140 8/27/85 � Zone Accessory Building: Parking Req./Provided ELECTRICAL Automatic Washer Transformer ❑ 15�50 KW Construction PoleSub. � 50+KW Cooking Unit Meter ❑up to 100 amps ' Dishwasher Meter ❑over100amps Dryers ❑Gas �Electric Sub Panel � Fan Morors �al HP Q 7'h - 8 F.A.U. Inc.Solar �9�15 HP �16-15+ Fixtures Microwave Device Boxes Po1e Light Outlets � Ran9e ' Switches Sign Garbage Disposal ; Standing Sections Generator �P5 KW �5-15 KW Trash Compactor Fee � S15 � � Issua Fee 26a50 }'L FEES E3 Z O N 1 N G R E Q M T S DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By ' �ate Buildinp APProvad By ' Date Appliration luued By ,cl� / Date� . SUMM RV OF EES BUILDING PERMIT, $�� SMIP $ i S� PLAN CHECK $ PERMIT � PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ' ENERGY P.C. $ ELECTRICAL , $ �GRADING $ PLANCHECK 50% $, � MICROFILM $ q / �--� , MECHANICAL � $ TOTALFEE $ �= PLAN CHECK 25% $ ' . STRUCTION AND PLANNWG POO SPA ROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 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. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5�.'Steel Reinforcement . - 56. Rough Plumbing & Pressure Test � �� 6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE - - 7. Footin s � � 9 . 58. Electrical Conduit-Undrgrnd. 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgr�d. � , � , 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' . 1 � . 63. Heater & Vent-Final 13. Roof Drairrs ' � 64. Plumbing System - Final a• 14. Rough Plumbing � � 65. Electrical-Final � 15. Rough Elec[rical-Conduit 66. Solar System-Final A 6. 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, Ventilatirig , 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing . 73. Undergmd. 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. LatFiing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Dcywall 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 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. FINA� STRUCTURE & BUILDING C�� v`� � . . f 48. Special Requirements Completed � 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co �� 51. CERTIFICATE OF OCCUPANCY � No. Date PFOJELTRODPnFSS: `��0� CABRILLO ST OWNEP'SNFME�ALOMAR, ANTONIA nooeess: a02 CAHRTLLO Si COSTA MESA,CA 9267.7 ABCNIENGINEEfl: ROOHESS: XEG.NO.: UNIT: UNIT: a PEflMITTEE: J�NTONZA ALOMAR ( 714 ) 722-8158 PDOflESS: )O2 CAHRILLO COSTA N,ESA CA 92627 LICENSED CONTHACTOB �ECIAflATION: I hereGy alhrm I�a� I am licensed unUer pmvisions ol C�ap�er 9 �commencing with Seclion ]000) ol Oivisiun 3 ul �he Business an0 Rolessions Cotle. ana my license is in lull lorce and elleci. CITY LIC.: STRTE LIC.: CU1SS: Oa�e: Signature: WOflNEBS' COMPENSATION OECLABRTION: I �¢re�y altirm I�a� I tuve a t¢ni�iWie 01 tonsem m Selbinsure Or a teniliwl¢ ot Workers' Compensdlion Insurance. or a cerlilietl copy iher¢of (Seclion 3A00. Lao. C1. POLICY NO.: E%P. ORTE: COMPANY: ❑ Cenilie0 woY is hereby lumisnea. ❑ CenilieA coDY � �ilea vnih ��e ciry Building Division. •— I �� . ADVlicant: E%EMPTION FpUM WOflNEBS' COMPENSATION OECUflPTION: �This seclion nee0 nol be comple�¢G il ��e permil is for one huiMr¢E (510D) or leu�. I cerlify Ihat in Ihe Dedormante o� �he work lor which t�is Oe�mit is issuetl, I shall nol emDloy any person in any manner so as lo Uecame 5u01ecl lo i�e WorkerS' Cumpensalion law5 al Calilomia. �ate: Signaiure: NOTItE: Ii. atlu making ihis declaratpn. you sMNU become su0ject to ihe WOAers' Compensation pwdswns ol t�e LaEor CaAe. you musl fonhwith camply wil� suc� D�avision5 or iks permit s�all De OeemeU revoke0. CONSTHUC710N IENDING aGENCY: I �ereby allirm iMt t�ere is a wnslmciion IenGinq agency for lhe petlarmance ol t�e vrork for w�it� Ihis permn is i55ue0 (Setlion 3W7. Civ. C�. �exoen: �REEZEWAY CONVERTED TO aooness: p�D1TIONAL KITCHEN AREA. OWNEP BUILOEH OECLAHRTION: I hereby allirm Iha� I am exempi Imm Ihe CanVactors' Slaie License Law br Ihe lollowing reason (Seciion 7031.5 Business antl Pro�essional Coae: Any cily o� counry w�ich reQuires a Dermil �o wnsimct, aller, impmve, tlemolish, or ie0air any S�mCWre, prior lo iis issuance. alsa requires �he aOPlicanl for such p¢rmi� lo tile a signe0 s�a�emenl �hai he/s�e is li[enSeA pursuani Io I�e Orovisions ol t�e Camracmrs' Siate License Law (C�apier 9(commencing with Section 7D00) oi Division 3 ai ihe Business anG Pro�essions Coae) or ihal heh�e is eeempt t�erefmm and lhe basis lor t�e allegeE ezemDtion. Any vioWtion ol S¢ction 703t5 6y any applicant lor a permit su0lecis t�e applicanl to a civil penatty al not more t�an live �unOreO Oollars (5500). I. as owner ot t�e prope�y or my employees enth wages as t�eir sole comDensation. will Eo I�e work, an0 the ❑ stmcmre is not intended ar ofiere0lor sale (Secuon 70aa. Business an0 Prolessional COAe: The Caniraciors' State License Law oaes nol apoly to an owner ol a pmperty who builas or imprWes inereon, anU who aoes sucA work nimseli/hersetf or ihrough his or her own empioyees, pmvi4e0 Inat such impmvements are not intendetl or offere0 for sale. II, however ine Ouiltling or impmvement Is sold wi�hin one year oi campletion. �he owner will have Ihe bur0en ol pmvinA he/she tliU no� buiitl or im0�ove lorihe purpose ol sale�. I, as owner a� �he pmperiy, am exdusively conVaciing wilh licensed coniractors lo cons�md ihe pmleci �Seclion 7044, Business �J antl Pm�essions Coae: The COniratlors' Siale License Law Ooes nol appty t0 an owner ol property wh0 Eui1a5 or impmve5 ihereon and who tonirat�s �or Such projetls wil� a ConVactor�s�liCenSe pWSUani �0 Ihe Conlrat�or5' Sla�e Litense Law),I am aware I�al O�oof oi Iheir Worker'S Compen5aiion insurance ShoWA be DmviUetl lo me. � � am eKempt unaer senion: BP7O4 4 0. 8 P. C. ror mis reason: ALL WORK BY OWNr.R F�M�I��Y �/'�//��/�� Oa�e: _( � /S/G � Owner: �,�X��„4 � �^�--- I tlo �ereby cetli�y ��at I am aware ot anA unUers�antl I�e reQuiremenis ot Calilomia Heal�h anU Safeiy CoOe $ections 25505, 25533, anE 2553< an0 I�a� I or any IUNre bwlding occupant will/will nol (circle one) need to com0ly wilh saitl state cotles and I�e requiremenis lo� a permil Iar consimction or moailication Imm Ihe Air Ouali�y Managemen� �isiric�, flesiden�ial constmc�ion applica�ions are exempl �mm , ihese pmvisions. Dale: Applicanl'. I �ereby cenilyt�at I have reatl IM1is applicaiion an0 slate�hal�he above inlormalion is correcl. I agreelo [omply wilh all cily and counly ordinances an0 Slalelawsrelatingio �uil0ing consimclion and he�e0y aul�or¢eiepresenlalives oflhis cily�o enletuponihe above�mentionetl pmpetly lor ins�ection pu� oses. �aie'. _�.� Q � $ignalure: �dl "'� oriver's License or Social Securiry x: 16aba6 Whiie—Bulltlinq: Green—Cotle Enlorcemenl', Canary—Hpplicant; Pink—Revenue; Goltlonmtl—Assossor . CITY OF COSTA.N,ESA — BiJILDING PERMIT PzRM NO: B 05492t PERMIT NO: H 059929 PLAN CHcCA NO: 09592-91 S GOVT: N SUPP: N CONSTRUCTI.ON TYPH: 5—N PnRMIT TYPE: STR PURPOSc: AL'f JOB DESCRZPTION : LEGALIZE 205#SQ FT BREEZEidAY nNCLOSURE SQ FT; 205 CLAZM VALliE: CALC—VALUE: 2,829,00 GROJP OCC: R-3 /N,-1 COMMENTS: SMOKE DtTECTO�(5) RE�iGIRED IN HOME. ��x��r*�c-�*a*�*��ux*+�*;��*+��**�r*�r ��*�*ax�u��cx#*+��***+t�**��*�**�rt*a�*+��*�r��*�cx* Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: 24 F'P IN REAR: 42 FT IN FRNT: FT IN REAR: F3 IN LEFT: 17 FT IN RGHT; 5 FT IN LEFT; FT IN RGHT: FT IN PARKING REQ• PROV• PARCEL• 92501301 ZNE: R2 REF NO: Pi,ANNING NGTES> ADDING 200 SG FT. TO EXISTIhG ScR THROliGH E1�?CLOSURE OF > BREEZEWAY BE�CWELIQ GARAGE AND DWELLING, iF k ie iF iF?F?E iE if iF iE iF if ie iF iEli� iE 1E le iF iF #e �k 3?� R if if iE if� 1E �E iEiF if if �lf �k iFiE #!E 3! i(� 1E i(� if �)t ff � 3E iE iF IE # jE if K iE iE %iF iE?4 # ib �3'r i'r�4� 3i iF ih i'r if iE?F )f?i� ih D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N`'.'T S ZONING APPROVED HY : J�: C DATE; %/��L BUILDING APPROVED BY :��%" DATE: !/ �S"�9/ APPLICATION ISSU�D BY: DATc.• x*x��r�*�***a��*��* . .�� r� -r , • �. r . � .. 4*�*�*�*�*��p�r# IF iE 1E' 1% 3E iE iE iF Y K� if 3E Y iF iF i'r If if if iF IF iE iE iF if If !F �f iF iF if if iF iE 3E 3e �7E iF .�' K' i( iE F iE iE iE?i iF iF if if iF iE 3f If it If if iE i� iE iE iE iF if iE if i(' 34 iF iF'K iE if� 3I' � iE il ✓.' LEGALIZATION:Y F E E S U M M A R Y STRUCTURAL SEG.'�lENT:Y HLDG PMT FLJMBING ELECTRIC MECAANIC FIRE SMIP/RE�`' GRADING PERMI'f 108.00 SO'? SMIP/NON=RES PLAN 70.20 `' ISSUE FEE ,'%` HOILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ' DJE TUTALS----> 108,50 0.00 35.10 143.60 143,60 ,00 REVe.N[)E DIVSSION TOTALS--> CO'LLcCiED: 143.60 OVER/SHORT: `� 00 BLDGpPMT' PLUMBI�IG ELECTRIC PkECHANIC FIRE SN.IP/TOT GRADTNG �LAN—CHcECK♦� LOc),�� .J� .�j' .�J,iV K� N� 1'r IE iE �1(• i!� if iF?f if K 1F iE 1E !f k�IE IE 3F #C� 3E i� IF }} iE ie iF �1F iF if �I(� iE � iF lf'.E iF 1E if� �lE ie-iE i't ii� ii� iE 3c 3E 3: iF �lf ff if ie iE %if� �Y.Y * ik IE if 3F ih f't i'r 3E if N� lf 3F � i4 iE !P ih 1: #'. Z N D 1 V I D U A L F E E H rZ E A K D O id N � TYPE QTY D E S C R Z P T I O N UNIT COST •'POTAL COST SFR 205 DWE—ZNT, ALTER TYPE V—WOOD FR —GOOD 13,80 2,829,00 END OF FEnS �r 7 �l', '1„'�(�:_' '�l•.l: I." :.+iE; '.;� ic".'. � �'E.: ..+�r. . --:��, . . . -�-. �n�l i`��.�`,._ �_� i.:.�_' N CONSTRUCYI61� AND PLANNING � POOL 4 APPROVALS Permit # �ate Inspector qppROVALS PermiT # Date Inspector r 7. Temporary Electrical Service or Pole 52. Pool & Equipment Location � �• t� •� '2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement ' i . �\ 3. Electrical Conduit UtilitY�Undrgrnd. 54. Forms '• - 4. Electrical Conduit-Undrgrnd. 55. Eiectrica� Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Eiectrical 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 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 ElectricabConduit 66. Solar System-Final . 16. Rough Electric Wiring 67. Fencing & Access Approval ' 17. Reugh Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Cond�tioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. D�cts, Ventilatin9 71. Product Piping O Gas OOIi 23. Gas Pipe•Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storaye Tank � Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. FrameandFlashing 76. DryStandpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation ,=�,�.x.� 78, FIRE PFEV. FINAL , � 30. Drywall Nailing 'j HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat �.`. 79. FINAL INSPECTION 32. Electriwl Power Meter-Final S0. FOOD CERT�FICATE ISSUED �33. Final Electric �. ' Notes: 34. Final Heating & Air Conditioning �/ 35. Final Gas Pipe-Test � '- :� 36. Hood o� Canopy- . �. � 37. Final Factory Fireplacc �; 38. Final Plumbing 39. Water Service�Final 40. Gas Service-Final 41. Solar pomesticFinal 42. Backflow Preventer _43. Backflow Irrigation . 44. Landscape Irripation SVstem 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 5"�,lY; �4'q�( F,I� L� � y i,/i` �,�.J f�i �..y�I� (l"T'� (�/�r 48. FINAL PI.ANNING ^� r'-' '�:'v , - \ .. 49. Electric Release to Edison �'` 50. Gas Release to Southern Califurnia Gas Co - � 51. CERTIFICATE OF OCCUPANCY No. Data PflOJECTAUONESS: � 302 CABRILLO ST awxes�sname: ALOMAR ANTONIA aoonEss: 302 CA�RILLO ST �I COSTA MESA,CA 92627 FBCHIENGMEEfl: , � nooxess: flEG.NO.: UNIT: uxit: PEHMITTEE: �TONIA ALOMAR ( 714 ) 722-8158 aooxEss: 302 CABRILLO COSTA MESA CA 92627 LICENSED CONTHACTOB OECl�1NRTI0N: I hereCy atlirm IAai I am IicenSeG under O�ovisions o� Chapier 9(commencinp wiih Section 7000� ol Drvision 3 0l I�e Busine55 antl Pmhssians Cotle. an0 my license is in full �o¢e antl eHecl. CRY LIC.: STRTE LIC.: LLASS: �aie�. Signamre: WOFNEflS' COMPENSATION OECU1flATI0N: I nere0y aflirm ihai I nave a cenificate of cansent Io self-insure or a certilicale ol worker5' Compensation Insurance. or a cetldietl copy I�ereol (Secifon 3800. LaD. C�. POLICY NO.: E%P. DRTE: comraxr: ❑ CenifieA cooY is nereGy fumished. ❑ Certitietl copy is file0 vnih Ine ciiy Building Oivision. Da�E: NpPiican�: E%EMPTION FROM WOflKEflS' LOMVENSATION OECLAMTIDN: (Tha setlion neetl not be mmDleted ii Ne permil is for one hunOrea (5100) or less�. I[etlity Ihai in �he pedormance oi �he work for w�ich tNs permit is issuea, I shall no� emD�oy any Oerson in any manner so as to 6ecome ., sublec� to Ihe Workers' Compensation Laws o� Calitomia. Oate: Signature: NOTICE: I1. afler making Ihis tleclaraiion, you shoultl become 5ubjeci to Ihe Workers' Compen5diion O�ovisions ot ��e Labor Cotle. you mus� �orihwit� comply wil� such O�ovisions or tMs permi� s�all Oe deemed revoked. CONSTflOCTION LENOING AGENCY: I �ereDy allirm t�at Ihere is a consimction lentling agency for i�e pedormance ol ihe work for whic� ��is permit is i=suea (Section 3097. Gv. C). �ENOE": BREE2EWAY CONVERTED TO aoueess: pJ�DITZONAL KITCHEN AREA. OwNEfl BUILOEP oECIAflRTION: I hereby aflirm Inat I am evempt Irom the Conlractors' Stale ticense Law for Ne lollowing reason- I �Seclion 7031.5 Business antl Pmt¢ssional Cade: Any ciiy oi couniy whic� requires a Oe�mi� Io constmct, alier, impmve. Oemolish, or �. repair any stmc�ure. priar lo ils issuance. also re0uire5 I�e aOP�icanl �or such permii to lile a signed sia�ement Na� �elshe is licensed � pursuanl io I�e pmvisions oi �M1e Comraciors' Sla�e License Law (CIuO�er 9(commencinp vrit� Sec�ion 7000) o� Oivision 3 0l the 9usiness and Pm�esvons Cotle) or i�at �e/she �s e+empt i�erelmm antl ihe Easis lar ihe a11eAe0 e�em0�ion. Any violation ol Seciian 7Q31.5 hy any a�plican�for a Dermit SUGle��S Ihe apD�ican� to a civil p¢nalty of noi more Ihan live �unEretl tlollars (E500). I. as owner oi ine pmpeny or my emol0yees wilh wapes as iheir Soie wmpenSation, will Aa ihe wark, antl �ne ❑ stmcwre is noi imentled ar olleretl for ule �Seclion 70aa, Bus�ness an0 Pmfessional Cotle: T�e Comractori State License Law Does noi appiy IO an Owner ol a pwpeny w�o �uilai of impmves ihere0n, ana who Ooes Suth wOrk �imsell/Aersel� or IAmuAh �is or her own employees, O�ovitle0 that SucA imD�ovemenls are not intenGed or afhre0 lor sale.lf, however the 6uil�inp or improvemeni is sold within one year ol complelion. Ihe owner will �ave ��e Ouraen o� pmuinp he/5Ae tlid no� builtl or impmve lor Ine purpose ol sale). i, as owner ol ine orooeny, am eaclusively conVac�ing with Iicense0 con�raciors to conslmtl �he pmlecl �5eciion 7044, Business ❑ and Pmlessions CaAe: the Contracmrs' Siate License law aces not aDPN �o an owner ol pmDerty w�o Gmlds or improves Ihereon ana wM10 COniratls �or SUt� pwjecls vnlh a tonlratlor�5) Gcens¢ pur5uanilo Ihe ConVat�ors' Sla�e License Law�.l am aware ibat Orool ol their Worker'S Compen5aiion insurance S�ouIC Ee pmviQed Io me. � � am exemo� untler Set�ion�. BP704 4 B. 8 P. C. mr mis reason. ALL WORK BY �NER �'.p.1�7�.Y n(� / oa�e� 1�\ �8 ��'11_�_ rtwner: \..�A��r+ ll'X.Qii'Mt.� � I tlo �ereby ceniry ��at I am aware ol an0 untlers�ana Ihe requiremen�s ai Cah�ornia Heall� and Sa�ery CaDe Sec�ions 25505, 25533, anA I 25534 and I�al I or any tNure Ouitding Occupani wilVwill noi (cirUe one) neea lo compty wit� Saitl sla�e WCes an� Ihe requiremenis for a Ipermi� for constmclion or matlilicalion Imm Ihe Air Oualiry Managemenl DiSVict. flesiEential consiruction applicalions are erem0� ��om IM1ese pmvi5ion5. �a�e' Applicanl: I here�y certify IM1aI I have reaA Ihis application an aie �hai �he aEove informaiion is carrecL I agree to comply wilh ali ciry and couniy or�inancesantlslalelawsrelatingtobuiltlingcon uclionan4herebyaui�ar¢er¢pre5entaiivesofl�iscirytoenlerupontheabove-men�ianed O�apetly lorinspection purposes. o e / Date-. �.�1`� L ._l_� Signa�ure: ^/ "�`�"� �— � oriver's �iceree or sociai Securiiy a: �- 16aL<fi W�ile—BmlOing: Green—CoOe Eniorcemenl Canary—Applicam: Pink—Revenue; Goltlenroa—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P 05500 PERMIT NO: P 055009 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE; ALT JOB DESCRIPTION ; LEGALIZE 205#SQ FT BREEZEWAY ENCLOSURE SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: RE: B54924 PRIMARY BLDG. PERMZT. �*�r***�r*****�*�r*r*******�r�r�r�t�r��***��c�***+t*�t�t�**�t�rx��t�t*x**�r***�r*�r�*+tx�*****�***��* Z O N I N GS ERTEB�AUCIKRSE M E N T S ------------ MAIN BUILDING ---------- FRNT: FT ZN REAR; FT IN LEFT: FT IN RGHT: FT IN --------- ACCESSORY HUILDING -------- FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN PARKING REQ• PROV: PARCEL: 42501301 2NE: REF NO; PLANNING Nt51'ES> i ��*�*��*��**�***�*��*�*�**�*��*��*��***��***��e��r****��*��*****�e*�e*�** D E V E L O P M E N T S E R V I C E S,: R E Q U I R E M E N T S ZONING APPROVED HY DATE; BUILDING APPAOVED BY : .f': DATE: i: APPLICATION ISSUED BY• DATE• iFifiFffitikikiEikiEiEiEiEkiEltkiEiEiEfEiE7i#iFiFiF if�'if'if'iF�iFiEft3F�liFifififiEif IF�f iFiEkiElFkjflklflEififiEiFkiFfk%lfifif�ffflEifk�F3fik�fk�f�fififllilif�fiFkiFltifkkififififkifiEkkififkif�FlFk3fiFiEiE�fIfM�EiF�FkifaE iFiFit LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 2 00 �lSt SMIP/NON—RES PLAN ISSUE FEE 3.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 2.00 3.00 0.00 5.00 5.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 5.00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 5,�� F if if if if k kiE iF k iF iE iF ik k 1f k 3F iE af iF iF if if k k k 1f if 1E 1�if iF if if if �f i! If jk jf if jf if if ik 1F M k if if 3f if ik k 1f �F ik �f if if if iF 3f iF 1! if if �E if if k iF iE if k iF iE if I N D I V I D U A L F E E H 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 PLU 1 SINK, HITCHEN 2,00 2,00 END OF FEES �. �J{�s �• __ �r. .'_' " _ ' .' [.'��..- �'. �. .. .`C. '_ . CONSTRUC%ION AND PLANN�NG POOL & SPA APPR:JVALS Permit # Date Inspector qppROVALS Permit # � Date Inspector . 1. Temporary Electriwl Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ,��Electrical Condvn�l�tility-Undrgrnd. �-�T4. Forms � o� �,'ElCttrical Cond,�3+{vl.]Qdrgmd. " �� _55. Electricai Bonding = �'5:��el Reinforcem'e�'t'= �_,56. Rough Plumbing & Pressure TeSC _ �,�� ctrital UFE�,�ind. �57. APPROVAL TO COVER�GUNIT�E _ _ �. :�7.. "Footings � � �:�58. Electrical ConduibUndrgmd. •r �' �: foundation � ' - :,59. Gas Pipe, O Undrgrnd., Test • � � '� r9. Water Pipe-Undrgmd. �'60. Backwash Lines, P-Trap, O Undrsmd. �'� S- 10. Structural F�oor System �' L61. APPROVAL TO DECK �z 1 11. Pioperty Sewer linei& House Connection �_ 82. Backwash & Receptor-Final {�'� : .� � - �2• SeWe� CaP .y H3. Heater & Vent•Final •','�y , ;' ' 13. Roof Drains � � '' v 64. Plumbing System • Final . 14. Rough Plumbii�g �- 65. Electrical-Final � 15. Rough Electric�6Conduit 66. Solar System�Final �;% 16. ftough Electric•Wiring 67. Fencing & Access Approval ' i 17. Rough Wiring �gn 68. APPROVED FOR PLASTERING 18. Rough ElectriCal-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � r r_ i.. Jl' F ' 20nfloilgh f�ctor,y �,feplace � ��pj �L , i: ;� '� �. w" x �APPRQVACSI : :Per,mit # '-� � .f "w � - r -.� ;r 21 �Duct's, ir�Str�ctu�er i`,� :ys w � C ; a. .=70. dhder'��uti� Hy`�ro y '' 22.` DuCts, VOnt{t�tir� n q� :� �� S �Lr a� '77. ProducCPiping Q'QLs O:ail 23:=Gas Pipe`Aoyi�h &'Test � {�.S ,'�� ,.n � � J !' � "7Z, Undergroun�l FI`y�M `' _ 24� fio _ Frami r � . �� " � V • Prt �9 V;x i- ^t-� .r r> c� � u r- �73�Undergrntl.Stora��Tank� Gas ❑Oil 25. Ro6.f Sf�a[hing �q �,- �, �"" � � �?� ,�, 74.-�.Overheadiiydro-�� 26.�� BBr Ceiling (StrUAturall &�vlo�oc0at .x tD C rnp: a 75_^'Dry Chemical �-y +. � i = i�t 27� rame and FIasK+�Ag ,Ls, �, r ;� � 76`."Dry StandPipe ;-5-„� � •' • ;� ;�28:''Lat};ing,�,-$�' Siding;.� ,� .,��;r a m F. �•� + 77.r FIXED SVSTEM.'@i'kNALy: �� "29. In5ul0tio -'� � -� ••-•• �' { �r . � • . _ . n �„ .5 .� } i �� , 78: �FiRE PREV. FINAL � .� x v30. DrywalFdJailing � '� ' � i � � a �- �� .HEAL�HrUEPT REQUIR�NIENT �31. Plaster Pown � � _ � �� 7 ;:: � r79 �FIN'AL�FNSPECTI'^N � , ' -� �iJ n� t ��r i�f., f Ch'r. n- '_32�Elecvic�y Po�yer�,kjaip�r�Final� �. ,,; y .; ,�80n-FOOD CER7IF�E@��fE IS5(!�D �33�Firsal Ela�tric •+ � ' h� "� � '�No�s: �z '. ' '� .t - � r, 4 ] �^ :1'1 T l f j r1 r-' J. 'Y f. , AC • .l" .!`� �. i,,34..FinaS H.�ating.& �,i4 C�nditicjn�a� x � ;� :. s y r � _ 35�Fina1 Gat Pipz-T€'sE+ � c .� ^ � � . C' :Tts � � - .y36:��Hoc',,Sl' o�,lanoP)x. t _ .. � � �' a _ n� : . ;� ,. ♦;; i: u. i. I .A � � �-37 �Final F2C'tory Firep�ace t.S{r v ��r, � p� �. r. ;� - . ' n � t � b t t' U � �38. Final Ply�6tnbi�g ; :•. � * • .. w (2�l� ��! (7f� S - . ^.39. Water Setvice-Final� � i � a j r. a .. •� ��.� c • s r i �� A,. k ��40. Gas Service-Final '� : �' ' ' 'r y _ ' "-`} •f, r�r S t�� ' ry� •�" x ;:41. Solar pomestic�Finel � " •• c _ u � - r 6 Y �'4258ackflo� Prevente�r�` •- t � � � ` i� y ,x � *� L � 43. Backflow �rc�i�gation :tS 5 `� + �Y- Y O � �' a r. "�44. Landsca e l i ati tn S ste `�� ` '' a �u w 3 �:� i .s7 .�+ � 4 V 4 �17:n.1 C� � .•7 ' � "?� � zi [�J xCJ + !', o JY ' � ' . _ �45.:Sound Attepuation � �tx;� [r ' �: - - ' - �-: �- ' ':CG ♦ ip T � ♦ � T 'Y y46! ;Handican Re�ulatip'�ns , � - t � � � �� a, r, cc S .'o S �x �47„flf�pL STRI�CTU.RE & BU DING � r � � : + . �� •r v T i. ~48;'fIN.4LPLANNING �'��r y � � � � : - .�` �, I !-' .F S'J : �7 ,n, .P -}, w ;?49� Eleetric Re��ase to�;Edison i r � i o a �X � i � _ <- ' ,� . ��50,SGasyRelease to Sou�hem Cal{fprnia Gas Co ,t � � y � '= `, ,'.�.n :� ,'', y51. CERTIFICATE 0 �OCCUPA Y � �t. S :� ��.� + � , No. Date AO�ESS: '. 302 CA3RILL0 S'i' a•sName: AI,OMAR ANTONIA nooeess: 302 CA`dRILi,O ST COSTA Nr`:SA,CA 92627 AHCMIENGINEEfl: RODflE55: XEG.NO.: UNIT: UNIT: PEflMinEE: AN'TONTA ALOMAR ( 714 ) 722--8158 aooeess: 30"l CABRILLO COSTA MESA CA 92627 UCENSEU CONTqPCTOP OELLAflATION: 1 hereUy allirm tlat I am lic¢nSeE wC¢r provisions 0� ChaO�e� 91�ommenting unih Sec�ion 7000� ol Division 3 0l tne Business antl P�o�essions Code. and my license is in tull lo¢e antl efiecl. LITY LIC.: STRTE LIC.: CIASS: Dale: SignaWre: wONKEPS' COMPENSFTION oECIAPATION: I herehy affirm that I nave a cenificate of consent to self-insure or a certificate of Workers' Comoensalion Insurance, or a cenilie0 copy tnereoi (Section 3800. Lab. CI. POLICY NO.: EXP. ORTE: COMPANY: I n Cenifietl coDY is nereby lumishea. ❑ CenifieU copy is IiteO with ihe city Builaing Division. m Applicanl: E%EMViIONFBOMWOPREBS'fAMPENSAiIONOEqAHRTION: (ThisseciianneeOnolbecomplete0i11hece�mitisloronehuntlretl�3100�orless�. I ceriify �hat in ��e petlormance ol �he work �or which t�is permi� is issue4 I shall noi employ any person in any manner so as to Oecome subietl to Ihe Workers' Compensation Laws of California. Oate: Signature: NOTICE: if, al�er making this declaration. you shoul0 became subject to ihe Workers' Compensation pmvisions ot the Labor CoEe. you musi IaMvm� comply wilh such pmvisians or ��is permi� shall 6e Jeemetl r¢vokeU. ' CONSTBUC710N LEN�ING RGENCY: I hereby aifirm t�at there is a conslmction lending aAency lor the peAormance of ihe work for w�ic� ihis permn ¢ issue0 (Seciion 3097. Civ. C�. • �Exoex: BREEZEWAY CONVERTED TO �t noosess: ADD1TI0t3AL KITCHEN ArZEA. � - OWNEB BUILOEH OECIAflRTION: I �ere�y allirm I�at I am evempt Irom Ihe Conlractor5' State License Law lor �he follovnng reason (Seciion 7Q31.5 Business antl Pto�essfonal Cotle: A`ry city of couniy which repuires a permi� to cons�md, alier, impmve, demoGsh. or reDair any SVUCWre. pri0r to i15 i55uanCe, alsa requires ��e applitan� tor suc� permii IO �ile a Signea Slalemeni Ihal h¢/She i5liten5e0 pu4uam Io I�e Dmvisians ol t�e Coniractors' S�ate License Law (ChaD�er 9(mmmencinq wi�� Section 7000) ot Division 3 0� lhe Business an0 Piolessions Cotle) or t�al ite/she is exempl lherelmm antl ��e Easis lor Ille aileAeO exemplion. Any Walation of Sec�ion 703L5 by any aoP��anifor a permit suojects the aoolicantta a civil penalry of not mare ttWn five hunEreO Oollars (5500). I, as ownet ol ine pmpeny or my employees vnih wapes as tlleir Sale campensation, will tlo ihe wark, and tAe ❑ simcmre is noi intenGed or o�lerea for saie (Section 7044, Business anO Vm�essional Cotle: The Coniracbrs' Staie Lirense Law Eoes not apPly to an owner of a pmpeny who builOs or imOmves ��ereon, and who does such work himself/herselt or Ihmugh �is or hei own employees, pwvitled that such impmvemenls are not imen4e0 or oflere0 for sale. II. however ihe builtling or impmvemen� is soltl wi�hin one year al comple�ion, lhe owner will have ihe burtlen of pmving helshe did no� bui10 or improve lor ��e purpose ot sale�. I, as owner ol Ihe pmperty, am exclusively contracting wiih IicenSeU coniraclors lo con5imc� �he prolec� �Seclion 7044, Busines5 ❑ ana Prolessions Code: The Coniractors' Slale License Law does noi appty lo an owner oi proDertp who builtls or improve5 iher¢on and who coniracls lar such pro�ecls wilh a conVactoqs) license pursuanllo �he Con�mclors' S�ale License law�. I am aware Iha� pmot of Iheir Worker'S Compensa�ion insurance s�ou10 be DmviAea Io me. � i am exempt unae� Section: B P-I O 4 4 e. 8 v. C. �orieis�eam�. ALL WORIC BY OWNER ��'��t✓{�lT�.�.�—Y �/��b�//�� Dale: _��_( S /�, Owner. I.GSll�d�"•..• ��'SKLIA•�� I t eo nereby cenily inat I am aware of anE unaejstan0 ihe requirements ol Califomia Healih ane Salety Coae Sections 25505, 25533, antl � 2553a an0 i�a� I or any fumre builAing accup;�l wilUwiil not (circle ane) ne¢J to comply wiih saitl Slaie codes ana ��e reQuiremen�s �or a permil lor consiruclwn or modilicalion imm Ihe Air �ualily Management DisVic�. fle9Aeniial canslmciion applicalions are exempt Irom Nese pwvisions. Dale'. ADP�itanC Illere6y cerlilythal I have�¢ad Ihis applica�ion antl 5laleihall�e above inlormalion is correc�. IaAree�o comply wilh alltity antl counry or�mance5 atb Siale IawS reWiing �0 OuiMing COnsttutlion ana hereEy auitqrrze repreSenlaiiv¢5 0� INS Gry lo enier upOn Ihe ahOve-menti0ne4 pmDeiiY �o� �nspeflion p/uy�oses. /''� Oa�e' _�.�_/ S / � � $ignaWre: �.� Ld�o�l od�ers ucense or Socia� Searii� a: I6abn6 Wlnle—Bmltlmg�, Green—Cotle Eniorcemenl; Canary—Applicanl: Pinh—Revenuo: GOltlenro0—Assessor CI"I'Y OF COSTA MESA — BUII�DING PERMIT PERM NU: E 054925 PERMiT NO: E 054925 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE; Ei.E PURPOSE: ALT JOB IiESCRIPTION : LEGAiIZE 205#S[� rT BREEZETiJAY ENCLOSURE SQ FT; CLAIM VALiJE; CALC—VALUE: GROUP OCC; R-3 /M-1 COMMENTS; RE; 859924 PRIN,A.RY BLDG. PERMIT. ikiF fE if )61E if iF i4 if #F �lf �F #f iE 3k iF iE iE li� # 1f if 3i� }:� iE?E #E?f iE if if 3F 1f N� if �)f 1E 1E # ik X� 3e iF ie iFle ii 1i i4�E a; If 1f IE Jc if if 1t�� S �yat Z O N T N G R E Q IJ I r�2 c M E I3 T S C�� 1��'=y S E T B A ��: S REQUIRED ------------ MAIN BUILDING ---------- ------ ACCHSSORY BUZLDING --------- FRNT; FT IN REAn: FT IN FRNT: FT �N REAR; FT TN LEFT: FT IN RGHT; FT IN LEF;: FT "1N RGHT: FT IN PARRING REQ• PROV; PARCEL: 42501301 ZNE: REF NO; � � PLAAiNING NGTES> i IF �E 3E iF i4 ii iE �F iF 3F # i'r If ii� iE ii if 1'r iE iE N� iF if i? iP #�7F> i+�t if # it �lFiF iF i4 3e k K� i'r af iF iF iP 1E if ic lE i'r iE �k M: ;e i'r iF 3'r ie k iF iF 3e 3f iE jh iE i�� if �74 #� 1E ii i4 �: � aE i!� #f � D E V E 1, O P M E N T S E• R V I C E S R E Q U I R r. M E N T S ZONING APPROVED BY DATE: BUILDING APPROV�D BY : DAiE: APPLICATION ISSUED BY; .'� � DATE: �/�s�9 iEiF3fdfkiFlfdElEi6?flf:tiii�3EiF1E�N�3E9f3F9P .'�d� rx�kiFx F' "� '.«ZF{F�1t � ��i"�R�t�£�k"�3E7sii�if3F1E±F3FiEdi��9E# 3f3fiE1E7FiFiiiF!EiEif#}jF3flkiE3eY�iEiflN�#ih}�:�EiFiEiFifl�ijiEifiFifiEieiiiFifi(��1Fi ' Ihi6iE�ifF3EiF3E1Fi'raEiFif-*ifif#��kii3elEfEi�+E}:�iciFif�M�if1F LEGALI'LATION;Y P Ef£`j S U M M A R Y STRUCTURAL SEGMENi;N BLDG PN,T PLUMBING ET.ECTRIC MECiiANIC FI�E SMIP/RES G�ADING PERN,IT 9 . 00 SOt SNIP/NON—RES PLAN ISSUE rEE 15,00 BUIi,DING—DIV—> PERHIT ISSUE PLAN—CFiECK TO:AL PAIA DUE TOTALS----% 9.00 15.00 0.00 �9,00 24.00 .OU ' REVENUE DIVISION TOTALS--> COLLECTED: 24.00 OVER/SAORT: .00 BLDG b'NT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—C"rIECR • �4,�� if� �)f 1Elf'%� iE ie 1f IF �l: ik iF'1(' R R 3e 3f� iE IEie if ii- iE k iE 3F iE 1f iF iE 3F ii� iF if 1F iE if ie le if 1e R iE 1E ik iF iciF Y.-iF ic if ) if ie iF iF if iE if 1t 3E if if if iF iE iF if if� if �i� 3E iF A'� 1E li• #?E I N ll I V T D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T 2 O N UNIT CUST TOTAL CpST' ELE 1 FIXTURES LIGHTING 1 ST 20 ELE 4 RHCEPT/OJTLET 1 ST 20 ELE i RECEPT/SWITCH 1 ST 20 END OF CGLS EA. ,'75 '15 EA. .'75 3.00 EA. .75 .75 ✓> ..I:�f•. _.. —'� .. ... �.A � . . .i. � J� �CONSTRUCTION AND PLANNING. APPROVALS Permit#- . 1. Temporary Electrical Service or Pole � 2. Soil Pipe�Undrgrnd. ' 3. Electrical Conduit Utility-Undrgrnd. 4. Electrical Conduit�Undrgrnd. 5. Steel Reinforcement 6. Electrical UFER Grnd. 7. Footings 8. Foundation 9. Water Pipe�Undrgrnd. 10. Structural Floor System 11. Property Sewer Line & House Connection 12. Sewer Cap . 13. Roof Drains 14. Rough Plumbing 15. Rough Efectrica6Condult i6. Rough Electric Wi�ing 17. Rough Wiring Sign 18. Rough Electrical-T Bar Ceitin9 19. Rough Heating &'Air Conditioning 20. Rough Factory Firepiace 21. Ducts,in Structure � 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power Meter�Final� 33. Final Electric 34. Final Heating & F.ir Conditi0ning 35. Final Gas Pipe-Test 36. Hood o[ 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 Irriqation System 45. Sound Attenuation 46. Handica� Regulatiofls .� �: 47. FINALSTRUCTURE&BU��DING 48. FINAL PLANNING . 49. Electric Release to Eiiison' , 50. Gas Release to $outhern California Gas G 51. CERTIFICATE OF OCCUPANCY No. Date Jate 0 POOL 'A Inspector qppROVAIS Perm�t # 52. Pool & Equipment Location "' 53. Steel Reinforcement �1� 54. Forms � � 55. ElectricBl Bonding - 56. Rough Plumbing & Pressure Test 57. APPAOVALTOCOVER�GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVAL TO DECK ^i � 62. Backwash & Receptor-Final •} 63. Heater & Vent-Final . 64. Plumbing System � Final � 65. Electrical-Final_ ; F^_ Solar System-Final • ` � � 67. Fencing & Access ApProval i � 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL ' FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 77. Product Piping O Gas ❑ Oil 72. Underground Flush 73. Undergrnd.StorageTank OGas ❑Oil 74. Overhead Hydro � 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL � ✓� 78. FIRE PREV. FINAL � HEALTH DEPT. REQUIREMENI =• 79. FINAL INSPECTION I -}- ��' 80. FOOD CERTIFICATE ISSUED I A Date � Intpector i -, � � OWNER ��4. JOB ADDRESS �p; GENERAL CONTRA AP No.�25-013-0; INSPECTIONS SOIL cas W�TER ROUGM PLUMBING PROP. SWp. LINE Q H SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEpTING RND AI )UNDERGRqUND , p ROUGN WIRING J TRENCNE$ �FLOOR SYSTEI BONO BEAM SXEATMIN� �RRME RND FL qTMING _ I! PLASTER. 9RC POWER CO�T FI DATE SUBCONTRACTOR HEATING, VENT., FEFRIG. �ND A.C.. FINAL Y PLUMBIN6. FINAL AND WS TEST _ ELECTRIG, FINRL �-� � BUILDING FIN�L /y[ //.Q�� ♦/� r�i � r � �. ��75� F C � a Q .�r y ;x' F vaio �. ,t��t� oCT -7-7��,.,Sq00 aoi 6.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 AP LI ON FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only (�� REC I e DATE RECEIVED D TE ISSUED ADDFiESS O � �� J�f' � �� OWNER � A.P. NO. �S^ �� PERMIT NO. MAIL ADOFE S3� � /�Lv S^ ADDRESS ClA^�Q� TEL. ^ TRACT LOT BLOCK CITV CQ e.I it/ NO. � CONSTRVCTION W A LENOER BRANCH � � Q ��,� / OWNER % U %�(J ADDRESS ( VALVE /�Jj ARCHITECT TEL. S �0 Q�e�� 8 �/�/ OR ENGINEER FIRE ADDRESS ZONE TVPE GROUP /� APPROVE /� CONTRACTO l,J BY DATE V' ADDFESS TEL. 20 NO.OF USE OF NE CITV NO. � PLANS � BUILDING ��V/ STATE CITY YAROSAPPROVED VARDSAPPROVED IIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS. (FROM C/L STREET) .--+ OF LOT NOW ON LOT NT FT. T. USE OF EXISTING BLDG. F F� Separate permits are required for L. SIDE FT. �� C T. � electric, plumbing and hea[ing work. � '� REAR FT. FT USE Of BUILDING AN� WORK TO BE PERFORMED DISTANCE BET. MQIN� MAIN BLDCS. ACC65. BCOC�, \ y1O I . (. � / VAR. ,$ DATE V IL(M � %�( C.V.P.qW APPROVED ^ �/('� ' U( C � /P� APPROVED /O� .� / . � I hereby ecknowlatlpe ihat I have reetl t�Ia epplleation antl steta '^ n that the above Info�mation Ia correct antl apree to comply with m all lews reBulatlnp builtlln0 conRructlon, en0 I thall not employ any person in vlolatlon of Me workmen's compensetlon lews ot ? t�e Smm of Californie. I hareby cartify that 1 em proparly Iicanwtl ea e eonirector untlar S4. FT. H the StBie of Cellfornlo Buainesa ontl Pfolessiona Coda, Dlvialon 3, THE AMOUNT SHOWN UNDER VALUATI N IS FOR m Chupter 9, antl t�at 6uth Iicensas ere in f�ll torta nntl affect, or I TriE PUHPOSE OF ESTABLISNING A PERMIT E f�V: em exompt irom Ma ptovisions of iha Smie oi Celifornla Bueinacf �O VALUATION PERMIT FEE E a antl Professiona Code, Dlvliion 3, Chaptet 9. � �n SIO�atvro Ola p �•-� ��j ��'//�/�/I`,�,/ // PLAN CHECK S o Palmlttee ��-/� V�^"' �w'•ryLV 5 /A � TAX $ LL �y � U Authori:atlAgant TOTALPAID E .+- � (� ,(� i � � �' UMV�� COSTA MESA BUILDING DEPARTMENT P.O. BOX 31� COSTA MESA, CALIFORNIA ING ss FOR APPLICANT TO FILL IN � o +�. [',a r3,P i/�o �: COSTA MESA. CALIFORNIA MAIL ADDRE55 �E/1 � n/ CITY �q.,�[>t, ARCHITECT OR ENGINEER ADDRE55 L'[GwL ILOT �ESCRIPTION NO. A.P. NO. SIZE `� OF LOT USE OF E%ISTING BLDG. TEL. NO. �IC. NO. �Id�'��''"" �o �.�� fiC'% ��0-/.��e�� BLOCK TRACT �I �( y� ( NO.OF BLDGS. �J � L/B �IOW ON LOT � SET9ACN LINE FROM LJ // CCNieR oF siREEi .J.� REAft YARD � SIOE YARO RIGHT � LEFT � DESCRIPTION OF WORK NEW ALTERATION I ADDITION REPAIR MOVING DEMOLISH SUZIE DING�3 � 3�� 1 NO.OF ROOMS STORIES EXTERIOR WALI ROOF COVERING COVERING USE OF NEW ,/ !� BUILDING 7` �LSF�J.l00�/✓I L./IF%G /�/ �fc�e•s�PptlESAA7ECa �tA�tt}S.Q� APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. P�(E�R\M(�jI�T /FN`lC l 1/yfl I 'ECENED BY [�ATE RECEIVED �ATE ISSU il2-�^✓ .,. ., i � n r r� G � BUILDING ADDRE55 COSTA MESA. CALIFORNIA FIRE ZONE ZONE /� NLwNS TYPE / GR o% v APPROVPD � BY �%3�C pATE / � CORRECTIONS ' 1, ^ � C .��%'/ / / r T, 3' ` HOLD FOR SPEC, L REQ[f�RG._,_uc I/ D�,6L /�o ,c �. ♦ 0 � ,�e.v i s�x a o ~/elJ. C� . , r1� -16 -,i� _�� e'� — I ME BY f�CKNOWIEDGE TH>T I MAVE REAO THIS FPPLICATION FND ^ / STPTE THAT TME R60VE IS CORflECT ND f�GREE TO CO��] �P Y WITH wLL �.�[ O � CITY OFOINPNCES �1ND S�jfi�I�I��NG PiGII�I��I�Q�1�6CON5TRUC� � � TION. tJlvi'�n o�� J SIGNATURE OF Z43� NEWPORT BLVD. vn�unrioN pERMIT FEE S J Q � PERMITTEE COSTA ME�A• CALIF. 5�� PLAN CHECK B � � $ /d� S ^.� AUTHORIZED A e � TOTAL FEE 8 �S �°'"�