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Home My WebLink About2813 DRAKE AVE - Building PermitsI ApDlicant to fill in all spaees except thosa within �eavy Dortler lines an0 si9n all apProprialc Eeclaralioni. CITY OF COSTA IV1E��O��ILJC'TIQ(V��MI� Prole�t Address � �.�� Ap�Sif�n�'s Mail,inMg Addres =ricner's N.-�� l.fl��iy1� h% �p Phone��/ �� 1. ^ C�if 6' q ♦� lifi.ti 7� N`� /Vil�GR.� Aildress -` Zv� a � �f/i .�p�/— Arch/Eng. � Na.'++�dS �I Address �� Contractor's Name Phone.� KV `%%7 Address (mailin9l � City License No� LICENSED CONTRACTOR DECLARATION I hereby atfi�m that 1 am licensetl untle� O�ovisions af Charter 9(Commencing wilb Section ]000) ot Division 3 0l Ihe Bu5ine55 antl Pro(ession5 Cotle, antl my license is in iul forc antl efiect. �� License Class � Licepje N Date Signature WORKERS' OMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self-insure or a certificate � Worker5' Compensation Inzurant¢, Or a certlflea copy thereof ($ection 300, Lab. CJ Policy No. Company eGertifietl copy i5 hereby fumished. Certifietl copy is tiletl with Ihe cily Builtlinq Dlvlsion. Date APplicant E%EMPTION FROM WORKERS' COMGENSATION DECLARATION (Thissection neetl not be comDletetl if Ihe permit I5 for One huntlretl (§100) or less). 1 cert�fy lha[ in [M1e perfo�mance Of the work tor whlch this permi[ is ssuetl, 1 shall noi em0loy any perzon in any ner o as to become s j t to lhe Workers' o`pe sati ws of Calit a. ' Date Si9naturc 'NOTICE: Ii, at er ma in9 this tletlara - n, you shou become su ject to the Workers' Compensation provisions of lhe Labor Cotic, you must forthwith comply with such provision5 or tM1is permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I h¢reCy afti�m tM1at there iz a conslructlon lentling agency to� tne performance af lhe work fOr which t�is permil is issuetl (Section 309] Civ. C.) Lentler's Name Lenaer's Aadress OWNERBUIIOEH AECLARATION 1 hereby affirm tM1al I am exempt from tM1e ConVaclor's License Law tor the following reason (Section ]031.5 Buslness antl Professional Code: Any city or counly whicn r¢quires a permit to const�uCt, altaq improve, Gemolish o� �epair any st�ucture, prlo� to Its issuance, also requites the appliCant fOr such permit to file a signetl SWlement that he/she Is licensetl pursuant to tbe 0/ovi5ion5 0( tne ContracloYs License Law (CM1apter 9(commencing witn Section 7000) of Division 3 of the Business antl Professions Cotle) or that he/she is exempt 'he�efrom antl tne basi5 for [he allegetl ezemption. Any violatiOn of Section 731.5 by any applicant tor a permit SUDjectS [h¢ applicant to a civil enalty of not more than five huntlree tlollars (E500). ❑ I, as owner ot tM1e praperty o� my employees with wages as thei� sole compensation, will Eo the work, antl the structure is not intentled or otteretl br sale (Seclion 7044, Business antl PrOtessional Cotle: The COnlractor's License Law tloes not apply ro an owner of a property wno builtls or improves chereon, and wno tloes such work nimseli/herselt or through his or her own employees, provi0etl that such improvements are not In[entle0 or otteretl for zale. If, howeveq [he builtling or improvemeni Is soltl within one year ot com- pleUoq lhe owner will nave the burtlen Oi Proving tie/she tliG nol builtl or im- p�Ove tor tM1e purpose ot zale). ❑ I, as owne� oi lhe property, am exclu5ively conttacting with licensetl con- l�aclOrs to <onstruct the pro�ect (Sectlon ]044, Busine55 antl Prote55lons Cotle: Tbe Conlractor's License Law tloes not apply [o an owner of p�operty who builtls or imoroves thereon, antl who contracts for such projects wiln a con- Vactor�sl license Dursuant to tne ConVactor's License Law). 1 am aware that proof o/ tM1eir Worker'S Compensalion insurance sM1oultl be provitletl to me. ❑ I am exempt untler Seciion B. & P. C. to� lnls reason Dale Owner I hereby certify tnat I have reatl this application antl state tnat tne a InPormation Is correcL I agree to comply with all clty antl county ordin� antl state laws relating lo builtling mnsVuqtion, antl hereby authorize r 5¢OIdIiVES Of lhlf City [o ¢Ot2! UpOn, tjlp dbOv¢-T¢Otl00¢tl pI008�f1 $i9natu�e Drivers' License ar 55 � TYPE OF CONSTRUCTION LI NEW U ADD LJ ALTERATION LJ REPAIR - ❑ CONVERSION ❑ DEMOLISH ❑ OTHER AP ,� DESCRIPTION OF WORK/USE�OF BLDG. • • - S Main Building: TVPEOFPERMIT GRADWG ❑FOUNDATION' STRVCTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL 6 Rear ❑ OTHER A PROJECT DESCRIPTION 5�. FT, oCCUvnrvCv C Right K CONSTRUCTIONTVPE VALUATION$' LL�:f6�J g Lef� ZONE GRADING CU. VDS. ACRES Plnq. Ref. # Remarks: Planning Notes: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floar Sinks Gas Service Outlets Incerceptors Kitchen Sink Lavarories Roof Orains Reinspection Fee � $15 Duct - Under GrounA Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. BIt. ICBO il`- Heating System & Ducting ❑0100,000 BTU 0700,OOOBT T �CJ� Reinspeccion Fee � $15 CMF 0865-46, rev. 30/04 � White � Builtling; Canary - Applicanq Pink�- Ac<ountln9: Goldenrotl - Assessor FEES Showers Service Sink $ewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Wacer Heater Water Service Auto-Wesh Issue Fee $ 3 Auromatic Washer Construc�ion Pole S� Cooking Unit Dishwasher Dryers �Gas ❑EI Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generaror �0-5 KW 31a7y I�/uti/b� 5479 Zone Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100amps Meter ❑over100amps Sub Panel Motors �41 HP 01 X- 8 InaSolar �9�15 HP �16 Microwave Pole Light Range ; Standing Sections 5-75 KW Trash Compactor IANICAL FEES Reinspection Fee I$15 Issue Fee Hoodor Typel ❑ DEVELOPMENTSERVICESREDUIREMENTS: Canopy Type II ❑ Zonin9 Approved By Data __ Building Approved By �n �r Date Refrigeration System � • Oai o0 00o aru ❑ i oo,aoo i Sysrem Repair/Alteraiion Fire Dampers Registers Issue Fae � $ 3 - E�o:. �e � 2 O N I N G R E Q M T S FEES $ 3 . SUMMARV OF�EES i BUILDING PERMIT $ � ' � �� SMIP $ � PLAN CHECK $ PERMIT ' PLUMBING $ ��UANCE $ PLAN CHECK 25% $ ENEPGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ �j �-7 MECHANICAL $ TOTAL FEE $ �` �'J � PLAN CHECK ZS% $ � CONST,�UCTION AND PLANNING POOL ?A ,, APP�RO�/ALS Permit# Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement 3. ElectricaPConduit Utility-Undrgmd. 54. Forms 4: Electrical Conduit-Undrgrnd. ' 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6• Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings . . 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trep, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK � 1,1. 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 �� 75. 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 r l 20: Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test � 72. Underground Flush 24. Roof Framing 73. Undergrnd.StoregeTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemiral 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. F�NAL 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. FINALSTRUCTURE&BUILDING �a, � � ' 48. Special Requirements Completed • 49. Electrie Release to Edison / 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No. Date � Applicant to fill in all spaces ezcept tM1ose within heavy Eortler lines antl sign all aDD�opria[e Eeclarations. CITY OF COSTA nM�E/S CONSTRq�UCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NU, Project Address `!1 ��.Q''LC,'� ag'% ` Applicant's Mailing Address n Q� G) / �Ur'e RD Owner'sName �oaA'LD l� ZFinM<rM+ait phone $37 ��SY Address �a`^'�� Arch/Eng. � 0 � � —License No. Address ^ Contractor's Nam l'.� �1 �tl- (� w�4i{ Phone � V� Address (mailing) � S City License No. �-]'!?� S LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensetl untler 0/ovislons of Cna�ter 9(commencing with seclion ]000) af Division 3 of th6 Business antl Professions Cotle, antl my license is in tull fo ce antl efiect. �� /�! LIC2l15¢ CId55 ^ LIC¢IISE � Date 7"3��"i(7 Si9nature WORKERS' COMVENSATION DECLARAT�O i hereby affirm that I have a certificate ot consent to sel(-insure or a certificate ' Workers' Compensation Insurance, tlr a certifietl copy thereof (Section 00, �ab. CJ PolicY No. WN 3(p Yo7 �(,2 ComPanY Fr/,FI+—u� �+� �Certifietl copy is he�eby fu�nishetl. Certifletl copy is filetl with the city BV�Itlinq Division. Date 7'�' 3�" �� Applicant E%EMPTION FROM WORKERS' COMPE�'15ATION DECLARATION (Thissection neetl not be completetl if thC Permit i5 tor one hundretl (E100) or less). I certify that in the pe�fo�mance of the Work tor which this pe�m�t is issuetl, I 5M1a11 no[ employ any person in any manner so as to bemme SubjeCt [o the Workers''Compensation Laws of Califomia. Oate Signature NOTICE: It, after making this tleclaratioP, You shoultl become subject to the Wo�kets' Compensation provisions of tne LabOr Cotle, you must forthwith comply with such prOviSions or tbis permit shall be tl¢emetl revoketl. CONSTRUCTION LENDING AGENCV 1 herety a/firm tha[ there is a con5tructioP lentlln9 agency fo� [he performance of the work fo� whi[h this permit is ISSUCG (Section 309] Civ. C.) Lentler's Name Lentler'S Adtlress OWNER BUILDEN DECLARATION I nereby aftirm that I am exempt trom ehe Contractor•s License Law tor the followin9 reason (Section 7031.5 Business an0 Profe55ional Cotle: Any city or county which requires a permit to constfuct, alter, improve, tlemolish or repair any structure, prior to its issuance, also requires the applicant tor such permit to file a signetl s[atement that he/she is licensetl pursuant to Ihe provisions of the Contractor's License Law (Chapter 9(�ommencing with Section �000) of Division 3 of the Business antl Protessions Cotle) or that ne/she is exempt `�erefrom antl the basi5 for the alleged exemp[ion. Any violation of Section �31.5 by any applicant fo� a permi� subjects the applicant to a civil :nalty ot not more [han tive huntlretl tl011ars (E500). L� I, a5 owner of the property o� my emploYeeS with wages as their sole mmpensation, will do the work, antl thB SVucture is not intentletl or offeretl for sale (Section �044, Business antl Professional Cotle: The Contractor'S Licensa Law does not appty to an owner of a v�operty who builtls or improves thereon, antl who tloes such work himselt/herselt or througn nis or rier own . employees, provitletl [hat such improvert�ents are not intentletl or offe�ed for i sale. If, however, Ihe builtling o� improVement is soltl wiihin one year of com- pletion, the owner will nave tne burtlen of proving he/she tlitl not builtl o� im- , erove tor the purpose of sale). LJ I, as owner of the property, am exclusively contracting with licensetl con- tractars to mnstruct the project (Section 7044, Business antl Professions Cotle: The ConVactor's License Law tloes not apply to an owner ot property who builtls o� imD�o�es thereon, antl who c0�tract5 for such projects with a con- trac[or(5 ImenSe pursuant to tne ConirB�tor'S License LawJ. I am aware that proot o� Iheir Wo�keYs Compensation insu�ance shoultl be provitletl to me. ❑ I am exempt untler Section 8. & P. C. tor Ihis reason Date certify Ifl IS C( Signature �i�yU Drivers' License or 55 _ owner have reatl tbis 9PP�ication antl state that lne above agree to complY �"/�th all city and countY ortlinance5 o buil g mnsiruction, and hereby authorize rep�e- to e e upon the above-mentionetl prope�ty tor ' Datz7��i0'.�'% � � �-9 �S' 31 TVPE OFCONSTRUCTION. NEW %�DD A�TERATION REPAIR ❑ GONVERSION ❑ DEMOLISH ❑ OTHER A p # DESCRIPTION OF WORK/USE OF BLDG. S Main Buildi TVPE OF PERMIT GRADING �❑,�FOUNDATION O STRUCTURAL T Front ❑ TENANT ELECTRICAL LrIPLVM8ING ❑ MECHANICA�. B Reaf Q OTHER C Right PROJECT DESCRIPTION SQ. Fr. ocCVaarvCv CONSTRUCTIONTYPE VALUATION$ S Left ZONE GRADING CU. VDS. ACRES p�ng. Ref. # Rema�ks: � p� a g � J $ ShW � Planning Notes: O.od1'fu�/r!. �rY+2t 1 GCV. rouThi��-{at`� � Bar Sink Showers Backflow Preventer Service Sink Backflow trrigation Sewer Cap Bathtubs Sewer Connection Clarifiers Solar Collectors Dishwasher Solar Pipin9 DrinkingFountains SolarTank Floor Drains Swimming Pool w/Spa Floor Sinks� Urinal GasService'f�yrOutlets WaterCloset Interceptors Water Heater � Kltchen Sink Water Service Lavatories A„r�-W��n ' Roof.Orains fleinspection Fee � '$15 Boiler Duct- Under Ground Duct - Structural Duct - Ventilating ExhaustSystem ❑ MWtiple Firepl/Fact.6lt. ICBO # Heating System & Ducting ❑0-100,000 BTU �100,000 Reinspection Fee � $15 CMF 0865-66, �ev. 30/84 White - Builtlinq� Canary - Applicant; Pink - Accounting; GOICen/otl - Assessor LaundryTrays . Issue Fee Hoodor TYPeI ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,OOOBTU ❑700,000 System Repair/Alteration Fire Dampers Registers Issue Fee $ 3 FEES $ 3 /aUtOR12IIC WdShEf ConStruction Pole Sub. Cooking Unit �Dishwasher � Drye�s �G`as ❑Eiec Fan F.A.U. Fixtures Devic¢ BOxES O utlets Switches Garbage Disposal Gene�ator DO-5 KW � Fee ?�91 7J' /_? � 2one Accessory Building: Parkin9 Req./Provided ELECTRICAL Transformer ❑ 75�50 KW ❑ 50+ KW Meter ❑up to 100 amps Meter ❑over700amps Sub Panel Motors�0-1 HP 01'f.-8 Inc.Solar 09-15 HP �16-15+ Microwave Pole Light Range Standing Sections 5-15 KW Trash Compacmr $15 Issue Fee DEVELOPMENTSERVICESREQUIREMENTS: 2oning Approved By Building Approved By Aooliwtion Issued Bv � �...� FEES $ 3 Z O N I N G R E � M T S SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ S•OD ISSUANCE $ PVINCHECK 25% $ +� 's�% ENERGYP.C. $ ELECTRICAL $ {• �I'D GRADING S PLANCHECK 50% $ .�L•'IA MICROPILM $ �� ;� MECHANICAL $ TOTALFEE $ s��_� PLAN CHECK 25% $ CONSTRUCTION qND PLANNING POOL & SPA APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector il�Temporary Electric;al 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. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. � 60. 13ackwash Lines,�P-Trap, � Undrgmd. 1Q. 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. Ptumbing System - Final 14. Rough Plumbing 65. Electrical-Final i � 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 Eleccrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # _ 21. Ducts,in StructurC 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test '�' � Z(,�,Q 72. Underground Flush . 24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathin9 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe ' 2S. 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 � . FOOD CERTIFICATE ISSUED 33. Final Electric tes: 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. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southem California Gas Co i 51. CERTIFICATE OF OCCUPANCY � No. Date IJ �� /�}� Applicant lo fill in all spaces ezcept those within �eavy borticr linas antl sign all appropriate Eaclarotions. / PERMIT NO. TRACT NO. LOT NO. f' ' P UNIT NU. � C� Y oF COSTA nnESA CONSTRUCTION ERMIT Project Address •+Z �� '�7,Ct � � Applica�MailingAddress `�CA"� tc!• ��YE�' r�ci, Owner's Name ��a � z�m��'�'Q�iLPhone �– S Address ��mE A> /i.�0✓� ArchlEng. y�E License No. Address �� G�� Convactor's Name e�%L ✓�'� C�%� T Phone W�L' L'E.�� AddresslmailinglS�O(.t� �DYE1� �C� � /�. �1,27'..�% City License No. �' �h �7/ LICENSED CONTRACTOR DECLARATION I hereby af(irm that I am licensetl untler provisions of Charter 9(commencing witn section �000) of Division 3 of [he Business antl Professlons Cotle, antl my license is in ful orce ana ef(ect. License CI �� L� e No:2�� 3 oate.:7—S� 7 s�y t �llixJ (Q�.J WORKERS' COMPENSATION DECLARATION ' hereby affirm tnat I nave a certificate oi consent to SelLinsure or a certiticate Worke�s' Compensation Inm�ance, o� a cfiifietl coplLSlteJeo (Secti n i00, Lab. C. ',w F"�s'�Cr`+o•`f "^^,��/ Poiicy No. ��/—Ts�7 .SIOZCompany!x�53CI Z.�. �Certifietl copy is hereby furni5hetl. � Certifietl copy is filetl witb the ci[y u� mg Division. Oate ��7 APplicant � ��— . EXEMPTION FROM WORKERS' COMPENSATION DECIARATION (This section neetl not be completed if ine permit is for one huntlretl ($300) or iesz). I certify Ihat in the perto�mance of the wo�k for wnich thi5 pe�m�t is Issuetl, I SM1all not employ any person in any manner So a5 to betome Subject to the workers' compensation Laws ot California. Date — Signature NOTICE: If, aiter makin9 this tleclaratlon, you snould become subject to the Workers' Compensation provisions of the Labor Cotle, you must forthwifh comply wi[h such provi51on5 or thi5 permlt Shall b¢ tle¢metl revoketl. CONSTRUCTION LENDING AGENCV I herety afflrm that there is a construction Ientlin9 a9ency for the performance of the work for -which this permit is Issuetl (Sectlon 3097 Civ. C.) Lentler's Name LentleYs Atltlress OWNER BUIIDER UECLARATION I M1e�eby affirm thaLJ•am exempt irom the Contrac[o�'s Llcense Law tor Ihe following reason (SOction 7031.5 Buslnesz antl P�ofessional COtle: Any city or counly wnlch reqWres a Dermit to conitrucq alter, Improve, tlemolish or repalr any structure, prlor to,its inuance, also requires the aoP�icant (or sucn permit to file a signetl statement thac he/she Is Ilcensea pursuanl to the provisions of tne Con[ra<ror's Liconse Law (Chapter 9(commencing with Section �000) of ,,,�pivisioo- 3 of Ihe Business antl Protessions Cotle) or that he/she is exempt �yc9��eref�om antl the basis for lhe allegetl exemption. Any vlolalion of Sectlon .`„�,.�J31.5 by any applicant for a permit subjects tne apqlicanl to a clvil �':�nalty of not more Ihan five nuntlred tlollars (y500). ;+� 1, as owner o( the D/o0erty or my employee5 with wages as their sole compensation, will Co the work, antl the structura is not intentletl or oifereU for sale (Section 7044, Business antl Protessional Cotle: Tbe Gontractor's License 12w tlo¢5 nOl aOP�Y �O an own¢r Of a properry wno builtl5 or improves tbercon. antl wM10 tloes such wo�k himself/hersell or through hiz or het own employee5, prOviUetl thal SUCh Improvemen[s are nol Intentletl or oll¢retl for sal¢. Ii, however, th¢ bulltling or imp�ovement i5 Soltl within one year of com- Oletioq the own¢r wlll �ave the burtlen ol Oroving he/she tlitl not builtl ot Im- prove for the pu�pose ot sale). ❑ I, as owner ot the properfy, am exclu5ively conVactin9 with Ilc¢nseC cOn- tracto�s to consbuct the proje�t (Sec[iOn 7044, Businezz antl PrOfessions Cotle: . The Contrac[or'S License Law tloes not apply [o an owne� of property who �' builtls or improves thereon, antl who cont�acis for sucb prOjects with a con- tractor(s) �icense pursuant to ine Contracror's License Law). I am aware tnat proot o( their Worke�'s Compensation Insurante ShOultl be provitletl [o me. ❑ I am exempt untler Seccion B. & P. C. tor this r¢azon Date Owner 1 hereby certify enat I have reaa ihis application antl state that the above in(ormation is correcL I a9ree to comply with all city antl county ortlinances antl State laws relating to builtlinq mnstructlon, antl hereby aulhoriEe repre- sentatives of tM1is city to enter upon the above-mentionetl property for in5pecti0n pu�p Ses. n ,/ . Signature_��J�I+J nS//'rQ-+J Daia%'`/–g% �� Drivers' License or 55 # �..�,�� . I ! �l � TYPE�OFCONS7RUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOl.ISH ❑ OTHER A p,� DESCRIPTION OF WOFK/USE OF BLDG. J�S, S Main Buildi TVPEOFPERMIT��/ GRA�ING�y FOVNDATIOry� STRUCTURAL T Front .❑ TENANT LJ ELECTRICAL LJ PLUMBING Ey�nn�IECHANICAL B Rear ❑ OTHER %� PROJECT DESCRIPTION 5�. FT. ��t%� oCcuvnrvCY-2� K Right CONSTRUCTIONTVPE VALUATIONS ��COC+. Sf= S Left ZONE GRADING CV. YDS. ACRES p�ng. Ref. # Remarks: �'�� y� BA„�.. �. Planning Notes: Bar Sink Backflow Preventer . Backflow Irrigation �� Bathtubs ' Clarifiers � Dishwasher Drinkin9 Foun[ains Floor Drains � Floor Sinks Gas Service ,' Outlets� Intercepmrs - Kitchen Sink - Lavatories � • P–Trap Roof Drains . � . Reinspection Fea � $15 Boiler Duct � Under Ground Duct - Svuctural Duct - Ventilating Exhaust System ❑ Multiple ❑ � _— Firepl/Fact. Blt. ICBO # Heating System & DucY ❑0.100,000 B 100,000 BT Reinspection Fee � $15 CMF 0865-46, rev. 10/84 White - Builtling: Canary - qppliGanp Plnk - A¢ounting; Goldenrotl - Assessor $f10W2f5 Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Service Auto-Wash Laundry Trays Issue Fee I $ 3 Automatic Washer Construction Pole Si Cooking Unit Dishwasher Dryers ❑Gas DE Fan F.A.U. fixtures Device Boxes DUI�EfS ' $witch¢s Garhage Disposal Generaior �0-5 KV� Fee /C–> ^ � jl � � ` Zone Parking Req./Provided ELECTRICAL Trensformer ❑ 15-50 KW ❑ 50+ KW Meter ❑up ta 100 amps Meter ❑overi00amps lectric Sub Panel Motors �0.1 HP � i�- 8 Inc. Solar �9-15 HP �16-15+ Microwave Pole Li9ht / Range Standing Sections 5�15 KW Trash Compacror $15 luue Fee Hoodor T DEVELOPMENTSERVICESREQUIREMENTS: ypel ❑ Zaning Approved By Canopy Typell ❑ Building Approved By Refrigeration System Appliwtion Issued By '�� ❑0�700,000 100,000 BTU ' SUMMARV 61 Fire Dampers Registers Issue Fee � $ 3 BUILDING PERMIT $ [�' O•9 � N�I�K PLAN CHECK $ PLUMBING $ y. OD PLANCHECK 25% 3 'NOf^C EIECTRICAL $ �'Z•Op PLAN CHECK 50% S N�/�= . MECHANICAL $ PLAN CHECK 25% $ r Z O N I N G R E Q M T $ FEES $ 3 SMIP $ �' y0 PERMIT ISSUANCE $ ENERGV P.C. $ GRADING 5 MICROFILM $ / TOTALFEE $ -"'�� D \ CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector i..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. APPROVAL TO COVER-GUNITE 7. Footings • 58. Electrical Conduit-Undrgrnd. 8. Founiiation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines; P-Trap, � Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK � � 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final , 12. Sewer Cap ' 63. Heater & Vent-Final 13. 'Roof Drains 64. Plumbing System - Final 74. Rough Plumbing 65. Electrical-Final �� 15. Rough Electrical-Conduit 66. Solar System-Final 16:' Rough Electric Wiring � J�, 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling . 69. POOL/SPA SYSTEMS FINAI 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 O Gas ❑ Oil . 23. Gas Pipe-Rough & Test 72. Underground Flush ' 24. Roof Framing 73. Undergrnd.StorageTankOGas ❑Oil � 25. Roof Sheathing 7 yp f�y/�/ 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' 27. Frame and Flashing �� 76. Dry Standpipe � - 28. Lathing & Siding �/11/� � 77. FIXED SYSTEM FINAL . � 29. Insulation fD�t 78. FIRE PREV. FINAL ' 30. Drywall Nailing `�/ HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat t� 79. FINAL INSPECTION � 32. Electricat Power MeterFinal 80. FOOD CERTIF�CATE ISSUED � � 33. Final Electric Noies: 6 � � 34. Final Heating & Air Conditioning �� 35. Final Gas Pipe-Test �- • 36. Hood or Canopy , . 37.�Final Factory Fireplace 38. Final Plumbing �� D � 39. Water Service-Final , ' 40. Gas Service-Final 41. Solar pomestioFinal . ' � 42. Backflow Preventer � �. 43. Backflow Irrigation � ' .44. Landscape Irrigation SYstem � ' 45. Sound Attenuation 46. Handicap Regulations �'' 47. FINALSTRUCTURE&BUILDING 30 ' . . 48. Special Requirements Completed ' � ' 49.' Electric Release to Edison � . 50. Gas Release to Southern California Gas Co ��+ -+* 51. CERTIFICATE OF OCCUPANCY � !� No. Date ' � i: . � � 122'72 COSTA MESA BUILDING-SAFEN DEPARTMENT P. O. BOX 977 COBTA MEBA. GALIFORNIA For Applieanf io Fill In Complefely TYPE OR PRINT C05TA MESA. CALIFORNIA a Del Mar Development Co. Macoo Corporation 70 x 93 � 66TBALK LINB PROM 0 � �� ,��ED FINANCE DEPT. CfiY OF COSTA MESA APPLICATION FOR PERMIT Lot � 36 gUILDING Plan # R 2B For Office Use Only neceirr Ho. .}��P�fM�(7 .l Fr/�G REC8IVQD OY D TE HECEIV6D DATC IGOU[O �--v� �-,LS`"�O �l`/5=/�a nooRess 2813 Col�bo Avenue COSTA MESA. CALIFORNIA FIRE ZONING ZON[ I NO. OP I UBE OF NEW vLANB BUILDIN6 No:Or 3-4220 LOAL Lot 36 Tract � 3749 D68CRIPTION NO. OP BLDGB. O I LEF[ S I RIGHT S DESCRIPTION OF WORK x SQ ROOMS 6 WORK TO BE PERFORMED with attached garage 1 XEHBBV AGKNOW�DOB TIAT 1 XAV6 RQAD THIe API AND OTATH THAT TX6 ABOV I8 COPRECi AND AGiilB PLY WITH ALL CITY ��INA CH9 BTATH LAWB BUILDINO CON9iRVmON. / � � 81GNATURE OR . / / a / IAUTHORIZED AGENT � Hroject Maneger 1 � � TX8 AMOUNT BHOWN UNDEH VALIIATION IB FOR TXe PUI�09E OP EBTABLIBNING A PEHMIT FH8 ONLY. VALUATION 3'2. OO PERMIT FEE $ 5 13�515.�� pLAN CHECK g 16�0� ----. ___ ,. 48.00 . � 39737 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely �� 5�� /: (/ •:s2i-�s«;;•00 �2:,� --��*1��.50 BUILDING g,� A�� A.VL 1 �%l ADDRESS OWNER USS (.L CLL J t+�P�NO. � MAIL IJ q . BUILDING . ADOPESS ODic.. PR.�J�jF�F O �. ADDRESS p Z . /� �^� G� dU C1SV (_,�njTA M�.S NOLS�J i(Jle TRACT ZQ CONSiRUCTION A �-- LENDER � N am J � BPANCH —� N WNEfl m J ADDRESS m ARCHITECT TEL. S J a OR ENGINEEF U Q FIRE w � ADORESS ZONE d W APPROVED w Z CONTRACTOR .� BV J Q m Z J ¢ ADDRESS TION FOR BUILDING PERMIT DAT CEI ED DATE ISSUE� 3- _�-�_ �-��- -3oz -a w w TEL. �ONE NO.OF ZF CITV NO. P�� I wO STATE CITV VARDSAPPROVE� �� LIC. NO. LIC. NO. MAIN BV �O � (fROMC/LS" S12E NO.OF 6LDGS. OF �OT /�— NOW ON LOT � qpM USE OF �� t A��E� S EXISTING BLDG. H SIZE OF NO. OF Z NEWBLOG. ROOMS STORIES L.SIDE a EXTERIOR WAL ROOF A VU � REAR I �% COVERING COVEFING J USE O BUILDING AND WORK TO BE PERFORMED DISTANCE BET a MAIN BLDGS. a Q VAR. # O C.U.P. *'. F APPROVED y Z O UI hereby ecknowlatlge thnt I hava reatl thia application antl atata = that the above information ia correct entl apree to comply with � all laws regula[ing builtling consbuction, and I shall not employ F any person in violation of the workman's compansation laws ot N the Steta o( Califomia. G� ? I hereby cartify t�at I am properly licensetl as a coniractor untler �� S tha State ot Californie Business entl Professiona Cotle, Dlvislcn 3, THE AMOI Chaptar 9, antl thet such licenses ere in full forca end etfact, or I THE PURPO am exempt from the provisions of the State of Celltprnia Business VALUATION antl Protasslo oda, Divisfon 3, Cheptar 9. /'� Sipnature ot �n �� , �� Permlttee � ��- $ Authorhetl ABan1t rs OF LOT BLOCK USE OF NEW/C� /Z� BVILDING �� T/(` VARDS APPROVED ACCESSORV BVILDING � FT, • 1 eET. MAIN & ACCE55. BLDGS. DATE APPROVED P.D. ...r� 3-a/- �' / w O I IS POR ' - ONLV: Q ' � W N 7 m ✓, E // V LL OWNER I,p pELLE JR.. RUSSELL JOB ADDRESS < GENERAL CONTF �A' . 1 1-3Q7 . �<tN__ :CTIONS SOIL � GAS W ATER ROUGH PLUMOiNG PROP. SWR. LINE � SPRINKLING SVSTEM MISCELLANEOUS LOT TRACT FIRE ROUGH HERTING AND AIR CONOITIONING TEMPORARY SERVICE 0(i POLE UNDERGROUNO � GOWEF � ROUGN WIRING TRENCHES � FORMS � STEEL REINF. FLOOR SYSTEM BONO BEAM � STEEL REINFORCE � SHERTHING FFAME ANO FLASHING PL/•STER, BROWN COAT TURAL, FINAL Hc... iNG, VENT., REFRIG. AND A. PLUMBING. FINAL ANO GAS TEST B111L01NG, FINAL FINAL DATE SUBCONTRACTOR