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Home My WebLink About2302 ELDEN AVE - Building Permits(714) 754-5273 • Fau (71a) 754-4856 • www.ci.costa-mesa.�fLDING PERMIT 77 FAIR �HIVE, GOSIA MtSA, GA y"Lti2ti Job Address: 2302 ELDEN AV Suite: B Viciniry: BLDG B AT ELDEN 23RD Primary Occ: R-1 Hotels/Apts/Res >10 Occ Type of Construction: V-N Parcel Number: TPN006022 Zoning: npp�icant: MOLLISE, DANIELLE Address: 1653 SUPERIOR AVE COSTA MESA, CA Owner: ELDEN 23RD HOA Address 2302 ELDEN AV COSTA MESA, CA Contractor: LEE ROOFING OF COSTA MESA Address: 1653 SUPERIOR AVE � . COSTA MESA, CA - Zip: 92627 " . Arch : Address: Zip: Phone: License: Phone: 949-642-7222 Zip: 92627 Phone: Zip: 92627 Phone: 949-642-7222 License: 349686 En9: Address: ISSUED BY: Stalus: ISSUED Applied: 02/03/2006 Issued: 02/03/2006 Phone: License: SCOPE OF PERMIT REROOF ELDEN 23RD CONDO BLDG B: T/O EXISTING CMP SHINGLES, REPAIR/REPLACE SHTG AS NEEDED, 2 LAYER 30# FELT, APPLY 30-YE� SHINGLES. 11SQUARES FEE SUMMARY Plan Check: $0.00 Permit: $83.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 ` ' PLANNING & ZONING SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existina: o Calc Valuation: Sz,szs.00 Claim Valuation: S2,s2s.00 . �� Rear 0- 0 Left 0- 0 Ri9ht 0- 0 Rear 0- 0 , Lek 0- 0 Right 0- 0 Reauired: 0 Pr000sed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. ��. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetlona and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 aaae.aelaioo) WORKERS' COMPENSATION DECLARATION: � I �ereby attirm under penalty of perjury one oi the Following tleclarations: . - ❑ I have antl will meintain e certificate of consent to self-Insure tor workers' compensation, as provitled for by section 3700 of tha Labor Code, for the pedormance of the work for whicn this permit is issued. �ave and wili maintain workere' compensation insurance, as requirad by section 3700 of tha Labor Cotle, for Ihe petlortnance of the work lor which this pertnit is issued. My worker ' c mpe�I\sa,ti,on Insurance carner and Dolicy number are: ('� ( \!1 Ce rF ier� � s� � i� �1.1`!�c'� eFoltcY.F/umber. I/S I�� iL ln - QV��l1 (1YiIS `section need pot be completed d fhe permif is valued at one hundred do/fars ($100) or less.) ❑ I certify ihat in �he peAormance oi ihe work for which this permit is issued, I shall nol employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree Ihet if I should become subject to the workers' compensation provislons ot Section 3700 of ihe Labor Cotle, I shall torihwith comply with thesa pro isions. / APPlican'��luie: ��-� �-�� _i�ti1 z`!e7' �- � � `{i\ �J � .. WARNING: PAILURE TO SECURE WORKERS' fAMPENSATIQV CpVERAGE IS UNLAWFUL AND SHqLL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND pVIL FINES UP TOIXJE HUNDRED THOUSAND DOLLARE (5100.000), IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PPOVIDED FOR IN SECTION 3/Ofi OF THE LABOq CODE, IMEREST, AND NTTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I heraby aMirm ihat I am licensed undar provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business Force antl eHeci. LIE9=� �Li Cl � ��iD _ Cciacq.a Code, and my license is in full CONSTRUC710N LENDING AGENCV: ❑ I hereby aHirm tha! �here is a constmction lending agency for Ihe pertormance of the work for which this permit is issued. (Sec. 3097, Civil Coda). LentleYs Name: Lender's Address: Signature: _ Date: OWNER-BUILOER DECLARA710N5: I hereby aHirm Ihet Untler penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for !he following reason (SecJ031.5, Business antl Professions Code: Any ciry or counry which requires a permit m constmct, alter, improve, demolish, or repair any stmcture, prior to its issuance, also requires the applicant for such permit b file a siqned statement ihat he or she Is Ilcensed pursuant to the pmvisions of the Coniractors License Law (Chapter 9(commencing with Section 7000) oi Division 3 of the Business and ProfeSsions Code) or that he or she is ezempt iherefrom and the basis for the alleged eaemption. Any violetion of Sedion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more then tive hundred tlollers ($500).): ❑ I, as owner of ihe property, or my employees with waqes as iheir sole compensation, WIIL DO TME WORK, antl the siructure Is not intendetl or oNered for sale (Sec. 7044, Busines5 and Professions Code: The Comractors License Law tloes not apply to an owner of property who builds or improves �hereon, antl who does such work himself or hersell or through his or her own employees, provided Ihat such improvements are not intendad or offerea tor sale. If, however, Ihe builtling or improvement is soltl within one yeer of completion, the owner-builder will have ihe burden of proving ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Prolessions Code: The coNraciors License Law does not apply to an owner of property who builds or impmves ihereon, and who coniracts for such project with e contraaor(s) license pursuanl to the Contracbrs License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signalure: Dale: Owner ID verified by tlnveYs license. ❑ Ves ❑ No Orivers Licensa No. Expires: Verification of Ownetship 6y (type of tlocument, i.e. - propaey tex bill or tleetl): DIVISION OP INDU5TRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenify ihet no excavation five (5) or more feet in depih into which a person is required to descend, will be made in connection with work authonzetl by Ihis pertnit, antl tha� no builtling sWdure, scaHoltling, falsework, or tlemolition or dismantling thereoi, wiil be more than thiny-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, 7tle B, Califomia Administrative Code). ❑ As owner-builder, I will not employ enyone to tlo work which would require a permit fwm the Division of Indus�rial Safery, as notetl above, unless such person has e pertnit to do such work fwm ihe division. Signature: Date: Division of Industnal Satery Permit Number: CERTIFICATE OF COMPLIANCE AND AUh10RIZA710N OF ENTRY: I certify under penalty of perjury Ihat I have read ihis application and state ihat the information given is correct. I aqree to comply with all state laws and city ordinances relating to building construction, and authonze representatives of ihe City of Costa Mesa to enter upon ihe abova-describad property for inspection purposes. I agree not to occupy or allow acupancy of eny building authorized by this permit until final inspection. SignaWre Of Legal O ner s) Q/'��l /%`l� e o 1�J�^ AntlJOF. fh rze � ppicl CpDE 1• INSPECTIONTYP� 761fi � Fiaed Sys�ern Final Fire Prevention 7266 200 201 202 203 204 Pool Spa Final Final Re-ROP� Final Block/Petaining Wall Final Factory Fire Place Final Sign Final Demoli�ion . � IAL �J / �i�/ f ' �^, �� d�� -VI.P Deta-�� CQDE � INSPECTION TVPE P�ff. 1 �U�9L5 206 FinelMechanical �� - 208 Final Plumbing 210 final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Oaupancy FEB-02-06 11:56 PM > February 2, 20p6 t . _ , P . 0 1 l�/Ij_ Qd� —�ZZ_ Elden 23rd HOA 2302 riden Avenue Costa l�lesa, CA 92627 Ciry ofCosta hlesa Eiuilding Division: Wc, Ihe F.Iden "_'3"� Homeowners' Associatiun, authonr.o I.�e Roof ng Company f'or tho re-roofing ofourcomples. The wprk is scheduled to begio today, Pebruary 2, 2006. Please call us to inform us that you have ;eceived this authonzation. Kespectl'ully, �-v1.'Y�� C� � `^j Uavidand.fcnniferLong J I IOA Vice Presidcnt und 5ecreta ,ry, respecRively Owners of Unit C (949) 722-8677 � � AODPFSSOFBNLdHO: Z3OZ ELDEN AV ONNER5IUYEIfpqWk HENDERSON, H �oo�ss: 2302 ELDEN AV B COSTA MESA, CA 92627 �vr�.iw�a+c �ooncst I�xcxrtecroa�wn+�x: WCII Ofl FNC.'S �WNE55: coxm�cTarsru�: NOCK PLUMHTNG �Wfp��ipRgyN�g�p 11610 SEABOARD CIR �� STANTON UNT: 1(�-R uc. ra.: uxr: (714)895-1246 CIi IICND_ %O%%%S 90680 �M, IJCENSED COHfRACTOF3 DECLARATION: I Mreby y�im uMm penelly d pee'ryry thet I em IicenaeE uMs prwisb�n d Ghaqw 9 �mmmaneiq wuh Seciion )000 d Oi�'vion � d Ns Butiroa eM Pmfeaaiona . end m Gm�ue e m h0 bru end efial. cmuc.No.:0503 � p.cuss: C-36 uc.N : 77 EXP: 02/97 Dma: Z�/ Connean: OWNEN BUILDEN � CLAPA710N: I haeby eifi�m uiMy pe�W y W perjury IMI I mn examp han �he CmtreGm Ismae lew ior tM IdbwwY reeean (Seebn ]Wt.S &niwe� vd Rdeubm CoCs: AnY M' a aoumy whiA rcVwree e V�a �o wutrurf, etler. "enprow. bmdoh, a ropei eny evuciuro, prior lo es ueuerwe, eqo reQuirae the epplirant la euch permil to fib e egred eietement ihel M or ehe � lioeved punuenl to ihe povifbne d Ihe ConireGwe Liceme Law [Cheqer 9(mmmeneip wilh Seeun )000) d Drnppn � d iM Buaewas eM Pedav'an CaAel a �het te a ehe u ax�q Owelmm eM IM bme fa Na dbped uemqian. My violatipi d Seaion )W t.5 b/ enY aOW�� la e parmn wbjw� iAa epplcvit to a wJ perWy d m� m«e �hen fva hunErad dMas �SSWII� � I. ea ownar d �he propenY «mY a^WW� �^'�n wepes u �hai eob mmpemetan. will Eo Ihe wak. end tM svuciure c �wt iMeMeE or oflered la eeb (`�lion )OM. Bueirov eM Pmieeviona Code: Tha Comredan Licenae lewEoes ro� npply io en awner d popMy wIp bulde a inpwae ihereon. vd Mw Eom vu h� ry��ry a�e{ a Nrouph he «her own empb�em. pwWetl Ihm wch ;mrw,m.m. a. �a Mienaea s a�.rea �a.w. u. now««. me wiuino « inw�m.m e.dd wnnin o�» re.• a m„paon. �ne owrerbuildx wiA hew tM EUNen d proviip M or ehe did � WiM w impove lor iM WN�e d vla�. � I. m ox+rr d �ha propeM. em aatlueiwly canireqyp �h licaneed conlrmlore b conavua tM D'q� (�b^ ��. �+einaea eM Profmaiaiu Cade: The Contre�ton Licen» Lew tloee nd µpry lo en owmr d propeny who Euika a'unpwn theroon enE who canvecn lor wcM1 popaa r.nh a wnirma(e) IkOmad Wnueni io �he Convetlas lioenee Lew). � I em eaemq uMer Seciion: 8. 8 P.C., br �hn reeeon: Dmo�. Ovmu: i m n..eM oenM uw i� e.mn a end �niene in. nw��n a ce�iomi. rieenn e�a sma�v coda s.a�an �sos. zssx+..�e 25S1a, vM ihm I a e�ry Mun Wikvq ompem will / MII M(dre4 ma) ewed �o eanply wYh mk tlete eodee uM tM ieyuiremenle lur epermillamnebuctionormatlilcetionhaniMRi u i�ty anepemenlDimntl.RevdemWwnat�uaioneppiralioneveexemqlromNme Deis: Mp'ran: WONKEP'S COMGENS�TON DECL1fl�TI0N: I Mrapy effi�m urdu pereXy d pazjury an d Ne b0owi�q dedarmioru: � I haw vd wil meinlew a csNfrms d mneem io aetl�ruue br xaken' miprmmbn. m pwideE la by Safv� 3)0p d tM labn Gode. ta iM pMmnv�ce d tha xaM la wlirJi Nu pem0 o inued. �] � nm..nd xi� meimei,.oM1«.� oomro�� mau�enm. n na��d by s.aian alao d m.leEv code. h. ine w�� a �n. .on�«.�mwnm�.w�naa.�.e.My.�n��,��,�,��,�y�aw�r��mna�: EXPIRES `°m" 09/O1/97 Pdcy Number: /fiic eeaion rreeE m� De romP'e�� /�M P^^^t e br aro h�rMred ddW �5�00/ m/w.) ❑ i�n�y wm �� ub o«i�e a iro .,o� ro� wnwn mm v�a �. �d. i.nee m�Ww vrv v� ��v m�. m a�o bxmn +u4�p iM worMre• camV��ion lew a CaNama.y�B ree Nn ' elnuk became nd'pa to tM xaYen' canwumion o/ ++iom W SatEn �100 d iM lebor COM. I MplflanM1wyA camW � pwevu. � oae: v �pp�„c � W�mlip: F�Ilun ro s�ew+roA'wi rompm�tlon �Np� Is un �M �Irll iuGHe! �n w�plqw roWMirl p�rultlu aM dvll nna ,q ro am nvWrW rin�uM JWbn (t10.}pppA M Ntlltlon ro fM rosl ol rnnpru�floR tlmrrpn es povMW ror In Sxtlon 3]P6 0l Ms l�or COEs. Irrt�rs�f, ud �ttoirysy'� I�u. CONSTNUCTION LENDINO AGENCY: I hereW elfum uMm penalry d perjury thm iMn e e mutiudion bMirq epency lu ths '� GBf�IXT811Ca G� l�l! Ntl�l �0! M�11JI I�Y M�� O OAIld ($BdOfl 809�/. CiN. Ci�. LENDEWS NMIE: �Q+oen•s �ooxess: I canM thm I heve rteE Nu Wdiutian eM qme ihet Ne ebove iMametion u canee. I p�ee �o �anW wilh ell �LY vd muniy ordirercee ene.�me lew. Mmna w wildiro conevuaon ena n«eby eulnw¢. mpeaemmivee a iNs dtr a m�a �v� �ne anwa-memb'wd wwarn 'a'"'°°d'°"°"'°°'°'. ON NOCK Pnm�Dete: SipnelureMOwmr/ApanVAppliranVCo reda ' / (5�51d9.WP) While-B�ikiqBSelery:4rq�.Fle:Cenery-Appirani:Fnk-Ravenue:OddmraC-Mroam CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 081756 PERMIT NO: p 081756 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH JOH DESCRIPTION : WATER HEATER CHANGE OUT SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORIZED HY THIS PERMIT ik �k ik 1f 1E iE 1! 1E 1E 1E 1E iE 1f 1E fE 141E 1E 1E ik'1ElF fE 1E 1E �E �E fE fE 1f 1E 1[-1F 1E 1E 1E 1E 1f iE 1F If 1E 1E ik iE 1F 1E 1f 7(' ff 1E iF 1E 1E 1E 1E 1E 1k 1F 1E iE 1E 1f 1E IE 1E 1E fE iE'lE �E 1E 1E if iE iE 1E 1k 1F Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ: FROV: PARCEL: 00000000 ZNE: REF NO: PLANNING NOTES> % iF It 1f 1E 1E 1E iF 1F 1E 1! 1k 1t 1k if iF if 1E 1E 1E 1E �E 1E 1E 1E if 1E 1E If ib iE if 1E 1E fE fE fE 1E 1E 1E fE 1E 1E 1E fF 1E 1E 1F 1E 1E iE ik if M 1E iE 1E 7E ik 1ElE iF 1! 1E 1k 1E iE iE 1E fE 1E iE fE IE if 1f 1E fElE �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 BY . BUILDING APPROVED BY DATE; DATE; APPLICATION ISSUED HY: ��F� DATE: �� Z�� fEiFlFiflfif16iE1EiE1EiE1E1EiEiE1F1F1E1EififiF�f3f7F��3F�f7F�iF��TF�ifi��F�{f�iF 'k1E1E1EiE1E1PiE1Eif 1kiE LEGALIZATION:N F E E S U M M A�R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PEAMIT 11.00 25k SMIP/NON—RES PLAN ISSUE FEE 22,00 Y BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 11.00 22.00 0.00 33,00 33,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 33,00 OVER/SHORT: ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CAECK 33.00 1E 1E 1f 1E 1E iE 1E 1E 1E 1E 1E 1f 1E 1E 1F 1f ff 1E IE iE 1E iE 1E 1E IE 1f 1E 1f if IE 1E 1E 1E 1E 1f 1E 1E 7f 1E 1E iF if 1FlF 1f IE 1f 1f 1E IE 1E 1f 1E 1E fE fE 1E 1E 1E IE fE 1E 1E fE 1E 1E 1E 1E if 1ElE iE 1E 1E IE 1k fE 1E ik I N D I V I D U A L F E E B R E A K D O W N : �T� QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 WATER HEATER AND/OR VENT 11.00 11.00 'END OF FEES r� �� Ffe 261997 D ClTY pf �OSTq MfSq CONSTRUC7�ON ANDPLANNING P�C SPA .APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector 't. Temporary Electrical Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe-Und�grnd. � 53. Steel Feinforcement • � 3. Electrical Conduit Utifity•Undrgrqd. 54. Forms 4. E[ectrical Conduit�Undrgrnd. � 55. Electrical Bonding , � 5. Steei Reinforcement 56. Fough Piumbing & Pressure 7est - �- 6. Electrical UFER Grnd. • 57. APPROVAL TO COVEfl�GIXVITE 7. Footings 58. Electrical CondnifUndrgrnd. 8. Foundation ' � 59. Gas Pipe, O Undrgrnd., Test ' 9: Water Pipe-U�drgfnd. 80. Backwash Line3, P�Trep, �7 Undrgmd. i0. Structural Floor System 61. APPROVAL TO DECK 71. Property Sewer Line & House Connectfon . 62. Backwash & Receptor-Final"� 12. Sewer Cap � 63. Heater & Vent-Finai ' 13. Roof Drains � 64. Plumbing System - Final � 14. Rough Plumping 65. Electrical-Fina1 i 15. Rough Electrical�Conduit _ 66. Solar SYstem�Final 76. Rough Electf�c Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Elecvica,I�T Bar Ceiling , 69. POQL(SPA SYSTEMS F WAL � i9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' 20. Rough FactdrY Fireplace ' _ '- � APPROVALS P�rmit # , 21.: Ducts, in Structure . . . ; _ - �� 70. -•U�decground NYdro _ . 22. Ducts,Venti�ating _ - y• �� 71, produCtePiping'OGas ❑Oil 23. Gas'Pipe-Rough & T,est , ' �, � 7z, Underground Flush � 24.-Roof Framing� -- -.-. � '= 73. Undergmd. Storyge Tank O Gas L70i1 25. Roof Sheathing � . � - �� 74, Overhead Hydro , 26.:T-Bar Cei�inq IStru.aurall & Monocoat - '� 7S. Dry Chemical - -- - 27. Frame and Flashing` . 76. Dry Standpipe. � �� _� 28. �athing & Siding ��. • 77. FIXED-SYSTEM FINAL 29. Inwlation " . 78�FIRE PREV. FIN�AL - - 30. Drywall Nailing �- � HEALTH DEPT: REQUIREI41ENT 31. Ptaster 8rown Coata 79.' FINAL�INSPECTION .� 32. Electrical Power Meter�Final � - 80. FOOD CERTIFICATE ISSUED � 33.: Final Electric � . � , Notes:C_ � `� ' KO_AC�L�� (�,_ J F- V 34. Finaf Heating & Air Co�ditioni�g � = � . . 35: Final Gas Pipe-Test ' ' - ' • 36. Hood or Canopy- , � 37.- Final Factorv Fireplace ' � = ' `.°� /� '�- - , 38. Fina! Plumbing � (p/$-�fQ _- _ 39. Water Service�Final • ' ' ' �� 40. Gas Service-Final . � � , 41. Solar Oomesiic•Fina� ' 42.-8ackflow Preventer . .- 43. Backflow Irrigation . _ ' �- „ r-�'.." 44. Landscape IFrigation System � � . �r- '. :,. .45. Sound Attet(uation � " � - - - - � �'�'� � = ' r - _ . � .'7 �, 46. Handicap Regulations � _ � �� 47. FINAL STRUCTURE & BUILDING ' - - � - V �G '-". 48. FINAL PLANNING . 4 `,j � 49. Electric Release to Edison � ,_� � 50. Gas Release to Southem California Gas Co � � _, 51. CERTIFICATE OF OCCUPANCY No. Date AOY��t to /111 in all spaees excepl t�ose wlt�in �eavy borGe CITV OF COSTA MESA � - . p RMIT NO. TRACT NO. I CONSTRUCTION FERMIT ' . /D (v {� M1�. Applicent's Mailing Addreu � G TYPE OF CONSTRUCTION NEw ADD PIojBCtAddf853 Z��Z EL�JEN A��NUE ❑ CONVERSION ❑ DEMOUSH OTNE Ownm's rvame �-bEW �Li RD p��Q�uf° Fhan2 �� 'DESGRIPTION OF WORK Address #L GbKPo►eh'cE Rp,z1a �h240 -N.3•. - `iL660 ' G- 35�7 - TVPE OP PEHMIL � GnADING �FOUNDA' AfCh/Eng. �N �� A �� L'ItenSe No. ❑ TENANT ❑ ELECTRICAC PLUMBING Address .GDO �fS�`�IWE /Y�� GOKahJA ��L �U+i� ❑�oTNER ' . Contrector's Neme _�Ar �G �E� N'in ry FiL � Vhone� 67 �� 0� PRQIECT DESCRI�TION 5�. FT. � AddfBsslmeilingl 33oa�m„�oal-- A.+ � ' ;aT �dc' " CONSTRUGTION�TYPE �N 2Q i.�i I� . 20N€ R'Z GRADING Cl License No. - — LICENSED CONTRACTOR DECIARATION Remarkf: � �CQ � I hereDy, aftiim t�at I am IlcenseE untler provlsions of�Charter 9(commencing with Sectlon 7000) of Dlvislon 3 of the Businau anE Pro7eszlons COEe, antl � �� I' ' . , my Ilcense IS In 1u11 force a00 elfeCt. � ' �� Licenu CI ss• R�' �' LJcense NQ �o:�� i7+�- �—� � � � : PLUMBI! Date 1.��5 ��!7��F�� ' Ilnes anE si9n all ap0�ooriate Ceclanllons. OTNO. BLD . ALTERATION_ REPAIR �iQ STRUCTU RAL 'MECHANICAI. ' _ VALUATION E µ.Sf� VOS. ACRF� - Y'(O(e�i'!'V: ../ / � � � . . "'�ORKERS' OMPENSATIOND LARATION � • BeiSink � � ' Sewer tteDy'atflrm tnat 1 nave a Cartlflcata ai <on5ent to Sel �nsura or a certlilWte � 88CkfIaVY Preventer _ Sew Workars' Compen5ation Insurance;�o�,a certlfl8tl'COpY ��ereof�($B<tlon � � � - � ..e00, LaC. ) � , � � � Backflow Irrigation � Sole roncr No..s'fa%2 72 - P3 cemaa�=�rwvE t�+� � , ❑ CertHletl�copy Is hareby furnlsM1 . I � ' ' � ' � � 88thtub5 � $ola E�cerun �oay i: ruoa wnn t aty. � + Date ' � A�P� C18fi}ie�5 ' � � S�ole EXEM 10-�RKERS' C PENSATION DECL TION , Dishvlashe� • � '' Swi� (TnizsecUon neea not be comvbtea if tne oermR is for one untlrea (Sloo) or ' — �I certHy�tnat �in the perform�nce of tM1e work tor which t�is permR Is IssueU I � Drinking Pounteins j � U/i� shall not employ any person In any manner so as to becoma SUGjacl to tha � Tank workars' ComDensation Laws at Californla.: . • � - Floor Drains � • i • Water po52t ' Date � �iqnd[ure ' � ' � " NOTICE: If, aftar making thlS,tleUaraUon, you snouia oecome suo)ect to the Floor Sinks . _�. Water Heater - . Workars' Compensatlon O�a��sions of Me Labar, Cotle; you must farthwith - � � . comply wi[h suc� provisloni oi .thli .permit shall be,tleameU revokea. � GasService f Outlets • Wate�.ServicB . .CONSTRUCTION'LENDING �AGENCV� - ' � � . . I hereEy a/firm that thare I5 a constru<Uon lentlin9 agency for t�e performance, [ ' Interceptors • .. . . of t�e work /or which'Mls permit�is'IssueE�(Sectlon 30B7 Civ. CJ , � LenCer•s; Name Kitchen Sink. ' ' � LenOer's P.tltlress • ' � � ' ' , , OWNER BUILDER OECLARATION- ' � ' - LeveJOfies ' -' ' I hera�y a/firm that 1 am exempt from the.Contractor's Licanse Law lor the � '(ollowing reason (Setllon 7031.5 eusinesz antl PmtesslonaPCotle: Any city or I � P-Trep' � Icounty wnich reQWros a permitlo construcq alter Improve; Gamolish or reDalr . . _ any struchre, prlor to Its isivancd, also requires t�e appllcanEfoi such permit � Roof D�ains �� : � I f0 ti10 a Slgnatl StdtamBnt thd[ he/She Is IlcenSetl pursuant to the provislons oh • �, the Contractor•s License Law.(Ghaoter 9 fcommencina with Seetion 70001 ot �. . � � . � _ as employ eas ShcB. If, Ilf pleflOn, l� �OVB tOf, l I, as o� tractonto lars n A ' ot.tha proparry ormy employees with wages,as tneir sole wlll tlo the work, antl lhe structura is not Intentletl or offeratl • on 7044, Buslnass,anG Professlonal Cotla: T�e�Contractor•s : �es not apply [o an owner ot a property.who bulltls or improves rho tloes such work hlTseli/�ersalf or throu9h his or �er own vitletl tnat sucn Improvements are,not intentlea or ofteretl for � fr, the Duiltling or Improvemen[ B soltl within ona year ol com- �ner wlll have lhe burtlen of proving he/sne GIG not Euiltl or Im- urpoie ot Shce). � � - . of the pm0erry, am exclusivery contracdng.wit��licenietl con- truct lha O�ojeGt ISecllon 7044, Bu5ine55 antl Professlons Cotle: � r'S License Law does� not appry [o an owner of prop¢r[y who' . oves theraon, antl who contracts for suc� pro7act5 with a con- �e pursuant to Me Contractor�s License Lsw). � . LJ 1•am exempt untlar Set[lon— r Date Owner I herebvi certifv that I hare rea� � Drivers' LlcpAse or 55 � _ CMF 0865-46 rav. 12/82 Wh Boiier . Duct�- UndeeGround , Duct-Structural � Duct - Ventilatin9 � . , B. & v. C. for this reason Firepl/FaCt. Blt. ICBO � ' Heating,System & Duc[ing � I this application an0 ztate that the above ' �❑0:100,000 BTU 0100,00( complY 'M�th all city antl county artlinances g construction, antl hareby authorize re0re- Hood o� Type I ❑ n Ihe abova-mentlonetl Vrop ty 1 r ��j�° Cano T e I I ❑ / �,�� --- Date 20 � ��--%�.G' Registers ' Buil0ing; Canary - Applicanp Pink - Accounting; Goltlenrotl - AssessOr - I I� , i : � :�' r '� � Reinspection Fee � ; laue Fee , ❑aioo,000eru ❑�oo,000aru System Repair�Alreration � '$15 $ 3 � � Reinspection Fee� $15 Issue Fee • � .$ 3 A. P. qW T� �PLNG.REF.9W a LEFTSIDEVARD � � PKG.SPACE REQ. i STREET WIDTH -�— SPECIAL CONDITIONS: ' ; HOLD 2J87 I /20/Q4 �'c�.i9.! r T� � O BUILDING � REAR VARD (TO P/U (,�,(/ ' RIGHTSIDE VARD �� PROVIDED , i, PARK FEE § �. Automaiic Washer ' Construction Pole j Cooking Uni[ ' � Dishwasher i , ' Dryers ❑Gas. �Electric --- Fan• � F.A.U. Fixtures � � . Device Boxes� t . • Outlet5 , . � Switches . � �0•5 KW 05-15 KW � ❑ : Meter Uover f 00 emps Sub Panel � .' . 'Sub Pole i � � . '. Motors OO-1 HP ❑ 1 X$ � Inc.Solar?�9-15 HP 016-1! :Micrbwave ' " ,Pole Li9ht . � ��i Sign. �Standing5ections ' � �Trash Compactor � . i ' I �iiier � 15-50 KW . i � ' ' � ❑5U+KW' ' � � �Reinspec[i Meter ��up to 100ampi `' �Issue Fee � 2onin9 APProved BV � � Date ApPliotion Approred BY . . . . ' nate Applintian ivuad By � Date ' . • � ' SUMMARV OF FEES • � , � � �BUILDINGPERMIT $ �S�'� � SMIP � � $ 3 ,PLAN CHECK S; '. PERMIT � � , �PLUMBING � $� � ISSUANCE $ ' .PLAN CHECK . $ � GRADING ; � $ � EIECTRICAL ' $� ' . $ � PLAN�CHECK �,� $. � l MICROFILM $ � MECHANICAL $ TOTAL FEE� � $ ' PLAN CHECK $ � LESS � � � ADVANCED PC � $ ' c� �G � _. ' � . �� FINAL FEE $ -.�1�� . CONSTRUCTION AND PLANNING �� ,. ' � � - = - � � ��' 'PA � � � - ` - �� Date��- Inspector �- �- - Date Inspector' - :�APPROVALS� Pe}mit # . _�! �..SL[n �/ � APPROVALS Permit #� ; 1.� Temporary Electrical Service or Pole � . � � � . . ; - 52. Pool�& Equipment Location - - -2.� Soil Pipe-Undrgrnd�. �' � � _ �� -. � "- 53..Steel Reinforcement _ � 3.� Elec[rical Conduit Utilitv-Undrgrnd. � - - � � � �.54. -Forms- : �4.-Electrical Conduit-Undrgrnd. ` '' '' � ` • - .' '55; -Electrical Bonding � , � . `5. Steel Reinforcement ' � � , ` � `56. Rou h P.lumbin & Pressure Test - � �•2 • �• g-�, � 9 9 �6. Electrical UFER Gmd�. .� ' �� " 57. APPROVAL TO COVER-GONITE � 7.�Footings � � � �, , �, �'%. �, - � 58..Eiectrical ConduibUndrarr,d. _ . � 6.� Founda,tion � , ' � � , ; � _ � , � , S.Y �_ � ?� , 59.'Gas Pipe, O Undrgrnd., Test 9.� Water Pipe-Undrgrnd. ;, " � � 60. Backwash Lines, P-Trap, � Undrgrnd. 10.I Structural,Floor System • ��; a, Z. g(� '�%v�� . 61. �APPROVAL TO DECK 11.; Property Sewer Line & House Connectiori I -. 62. � Backwash�& Receptor-Final � � :, ` 12J Sewer Cap � . � . '63.: Heater & Vent-Final ' � ' " ' 13. Roof Dreins � � ' - ' . � 64. 'Plumbing System - Final � 14. Rough Plumbing � . � •� � - � 65. �Electrical•Final - � ' ' � 15: � Rough Electrical-Cohduit, � - - -'- ' ' ' "r- -- � - � 66. Solar Sysfem-Final � ' � '� - " - -16.- Rough Elec[ric Wiring ' ' i �',r� .' -'{ � � *' ' "- : 67. Fencing & Access ADProval . 17. Rough Wiring Sign� : i !_ �,` gg, APPROVED FOR PLASTERING � 18.. Rough Electrical-T Bar Ceiling �,:• ' �� 69. POOUSPA SYSTEMS FINAL . 19. Rough Heating & Air Conditioning � i, . � � FIRE DEPT. REQUIREMENT �O.�Rough Factoi,y Fireplace � �� ' � � � � , APPROVALS . Permit� -, 21. Ducts, in'Structure. � � ;� I; � �' i 70. Underground Hydro 22J.Ducts, Ventilating _ �' � �j' ,I � j � 71. Product Piping.O Gas ❑ Oil � :23. Gas Pipe-Rough & Test•` � �;:_ I� � � � � � ' : 72: Underground Flush '• 24. �. Roof Framing ' ',� � � ��; i�o� � � �^ 2 ' y �: � 73. Undergrnd. Storage Tank O Gas O Oil ' , 25 * Roof Sheathin ' ' ;i ; � '-� ' � . � 9 � aj.�a. '_ fj � 74. Overheatl Hydro - 26.'T-Bar Ceiling� IStructural�i�& Monocoat � ,` � . � ��! ' . � ° ' 75'. Dry Chemical .. ' � -. - , ' - _ 27. Frame and Flashing -' �� ?- �/8 :_ B h 76. Dry Standpipe :, , ' 28. Lathing & Siding .` � ,j j � � 1 - ' 77. fIXEDSYSTEM FINAL. . ' 29.i� Insulation -� ' ' �.; 3,�� g� C,.t� , 78. FIRE PREV. FINAL 30 �Drywall Nailing ,?�`" 3��' �¢:I � Notes: � � a 31. Plaster Brown Coat � �� - � I �- - •- � � � , . B � �' � f I 32. Electrical Power Meter-Final �, �� ( i 8• a i r � � � 33-Final Electric ' , � �� f � ' � J ' '� ~ 34. Final Heating�.& Air Conditioning t, , � � � � 35. Final;Gas Pipe•Test r � ' � � �� ? '�� - . , r 2�� y - �Q - ` i- 36. Hood�or� CanoPY.,.� :' ; � �' � �, v � � I � . ' « � , 37. Final Factory`Fireplace . � , ' � .36,$y-_ � c� I i[.i O•.G� F�'CPD �ce %!� r, �iD 36. Final Plumbing� �I ' � i n� " ' = -� � � � � � �. � �. �.�p..�� ;' 39. Water Service=Final ' '�� I� � , i � . , � � �� 40. Gas Service-Final � � � � ,� , • . ' ��06 �/,� 41. Solar pomesticFinal � i � �, I_ �_ � _� _ ' _ 42. Backflow Preventer,. � I i I � T �- - - .1 -+ - - � . .. � � 43. Backflow Ir�igation � � � _ -''.. �. - ' ! . ' � 44. LandScaPe Irrigatioq SYstem� , "a' � ; :_ � ' I ' . .', j � . . _ . . . � . .: N : � � ' � ' � I � _ � i ' ' . 45. Sound�.Attenuation � �', - I� - � . 46. Handicap Regulations' 1 �'-n �" •� � � � I - � 'i �' 47. FINAL STRUCTURE & BUILDING, ' � ' � � � �48. 6pecial Requirements Completed "� 5 ' �, . 49. Elec[ric Release to Edison � �.� �� _ __ _� _. _ ,- � - - . � - 50. Gas flelease�to Southern California Gas Co 1 � - � 51. CERTIFICATE OF OCCUPA�N� Y�� , , ;� _Y _; . _ ' __. No. OD D/�d�5 ' Date titld.5/3Y ;tS�' _ � , ...,� ; .. Ciry of Cosca Mesa Development Services Department Building Safety Division P.O.Boz 1200 Costa Mesa, California CERTIFICATE OF OCCUPANCY No. G(�G40b The Building located at 2302 T ltic�n Lh1it B has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R-1 Occupancy. Use of Building (`nrr3rni�ni� Legal Description A.P. #439-261—01 ISee reverse side for Metes and eounds) Building Permit No Rlflfi4� Eleciricat Permit No.E-10846 Plumbing Permit No. P1O!3� Mechanical Permit No. �`�� I�Q�'�� G� � Number of apartments ISSUED T0: F:1r1pn/2'iRl) ParhnPrchin �2 Corporate Plaza �290. Newrzut Heach, Ca. Building Official by , Date �" /t � This Certificate of Oecupancy SHALL BE posted in a conspicuous place on the prem 1 Building Official of the City of Corta Mesa under Sec. 307 (e) U.B.C. CrvtF lois-a6 rav. 1/83 White -Owner; Canary - Numerical File; Pink � Bidg. Permit File and/or guest rooms ^. ?Ui. . � � � � a� SHALL NOT BE removed except by the \n` "'\ ' � AVD��cant to /lll in all spaces exeept t�ose wit�in heavy OorEer lines anC sign all appropriate tleclarations. CITV OF COSTA MESA PERMIT NO. � Tq�C �O. - LOT NO. sLD . . CONSTRUCTION PERMIT �jar ProjEtt Addf255 '�• TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR - AppliCant'S Mailing Address . ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � p�,p, yM. '/ DESCRIPTION OF WORK Owner's Na e�4�� 3 � L hone �rP � S Main Building: Addreu u� �� L � E TVPE OF PERMIT GRADING ❑ FOUNDATION STRUCTURAL T Front Arch/Eng. Lic2nse NO. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g Rear Addreu� ' � �❑ �OTHER A Contracto '�F�d��ITii�/.�y �• -b.i'��, �a Z�-�i��'} PROJECT DESCRIPTION Sq. FT. OCCUvnNCv K Right Address �meiling) /` �u ''�/1f.0 • CONSTRVCTION TYPE VALUATION 5 S Left G�� ZONE GRADING CU. VDS. ACRES p�ng. Ref. # City License No. / LICENSED CONTRACTOR DEC�ARATION Rama�kf: �/ Parking Req./Provided I hereby afflrm that I am Ilcensetl untler provislons of Cnartar 9(commencing wlth section ]000) Of DIVISion 3 Ot tha Bu51nes5 antl P�olesslons COtle, antl U5e of Building: my Iicense is in full force ntl eftect. License Class - � a e No. � PLUMBING FEES Plannin9 Notes: �ate - Si9nature :' ORKERS' COMPENSATION DECLARATION Bef Sink ``�:ereby affirm tnat I have a certiticate ot consent to self-Insure or a certificate BackflOw PrEv2ntet d�Yy::` Workers' Compensation Iniurance, or a cerqtietl COpY thBieof (Sectlon 7800, tab. C.1_ --,!'�. � ��'Q �ry„�p Backflowlrrigation Pollcy No. 7� �-e� Company /YfYL ❑ Certlfietl copy Is �ereby tumishetl. Bathtubs �i�.Fertifietl coOY 15 fileA with the city Builtling Dlvlsion. � Date Applicant Clarifie�5 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION DIShWd5h2f (This section neetl not be complat0tl if tha permil IS tOr OnB huntlretl (E300j or iess). Orinkin Fountains I certlfy that in tne Performance of tne work for which this perm�t is Issuetl I 9 shall not employ any person In any manner so as to become sub�e<t to t�le Workers• Com0an5ation Laws of Califomia. � . FIOOr Dtains Date Si9natura NOTICE:�If,iafter making this tleclaratlon, you shoultl become sub�ect to the FIOot Sinks � Workers' Compensatlon provisions of the Labor Cotla, you must forthwltn comply wlttl Suth O�ovlslon5 Or [t1i5 pefmil Shdll be tleemed� levokatl. G85$¢NiC¢ Dutl¢t5 CONSTRUCTION LENDING AGENCV ' I hereby attirm fhat them is a construction Ien0ing agency for tha performanca InterceptO�S . of the wark for' whlch thit p8rmil Is Issuetl (Settlon 3097 Qv. C.) LenCer's Name Kitchen Sink Lentler's AqEress � � ' - OWNER BUILDER DECLARATION � Lavetories , .. . I hereby affirm that 1 am exempt irom the�Contractor's License Law for the p_Tre following reason (Section 7031.5 Bu5lnass antl Professlonal Cotla: Any city or P county which requlres a permit t0 <onstruct, alter, ImprOva, CeT011sh or repalr any structure, prlor to Its,issuanca, also rapWres the appllcan[ for suth permiF Roof Drains . to file a 5ignetl s[atement that he/she is Iicensetl pursuant to the provlslons ot . ;+!{e Contractor's Llcense law (C�apter 9(commencing witn Section 7000) of �' . �:' rom antl the 5 by any a� ',y of not mon as owner of 3lISdL�Ol1. W�� the U I am axempt untle� Date antl state �aws reiaung 5antatives of thls city InSpection purposes. Signature Drivers' Llcensa or 55 q/ CMF 0865-46 rev. 12/83 fora permlt subjects the applicant to a tivil � e nuntlretl tlollars (5500). �. ,� � perty or-my employeez with wages�as thelr sole vork, antl tha structure I5 not intentletl or offeretl • �siness antl Pro(esslonal Cotla: The,Con[ractor•s to an owner of a property�who bulltls or Improvos h wo�k nlmself/hersalf or throu9b his or hor own mh improvements ara not IntenGed or offeretl tor ng or Improvement is soltl withln one year of com- i tha burtlen ot proving he/she tliG not bulld or im- ��, � �,rty, am exclusively contracting with Ilcensea con- ' ject (Section 7044, Business anC Pro(asslons Cotle: zw does not apply to an ownar of proparty who ,'antl who contracts for such pro7ecl5 wlth a con- �.ine Contractor's License Law). : � on B. & P. C. fo� thi5 r¢d5on � hava ,�' Reinspection �Fea I �$25 Boiler ' Duct-UnderGround Duct - Structural . Duct - Ventilating � Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heeting System & Ducting : ,�P100,000 BTU 0100,OOOBTi ��--� --�-"`--'— I I ReinsPection Fea I $25 � Builtling: Canary - Appllcant: Plnk - Accounting; Goltlenrotl - A5se55or Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal - Water Closet Wa2er Hea[er � Warer Service � II�sue Fee '• , ECHANICAL � Hood or Type I � Canopy ' Typell ❑ � Refrigeretion System � Automatic Washer Construc[ion Pole Su Cooking Unit Dishvrasher Dryers ❑Gas'�E6 Fan F.A.U. Fixture5 Device Boxes � Outlets Swiiches Garbage Dispoul Generator��0�5 KW 4694 2/22lB4 2one Park.Fees $ ELECTRICAL Transformer ❑ 15�50 KW ❑ SO+KW Meter Dup to 100 amps Meter ❑over100amps Sub Panel� ' Motors O0.1 HP O7 X- 8 Inc.Solar 09�15 HP �16�15+ Microwave Pole Light � Range Sign Standing Sections 5�15 KW Trash Compactor �10.75 TL Z O N I N G R E I R E N E N T Reinspection Fee . $25 Issue Fee � $ 3' FEES � � PUBLIC SERVICES REQUIREMENTS: � � Zonine Approved By Date - Building Approved 6y Date--jj � — • . ' Aooliqtian luued Bv ��. Dat�/ 6_� �0.100,000 BTU ❑100,000 B' System Repair/Alteration ' : laue Fee ' � $ 3 0 R SUMMARV OF FEES BUILDING PEFMIT $ SMIP $ � � PLAN CHECK $ PERMIT . � PLUMBING $ � ISSUANCE .$ PLAN CHECK 25% $; - ENERGV P.C. �$ � ELECTRICAL § � GRADING $ PLAN CHECK 50% $ i MICROFIL'M $' � MECHANICAL $ �r� TOTAL FEE $ %%. %S PLAN CHECK 25% $ �. %S . . ' CONSTRUCTION AND PLANNING � � P�� 'P'4 ` ' . -� �,' �� ' � .Date ' �Inspector � � ' ' ' � ^ . _-'Date ' � Inspecroi APPROVAIS Permit # . APPROVALS .= Permit # , . - 1. Temporary� Electrical Service or pole . 52. Pool &�Equipment Location - ' ' !� ' - 2' Soil Pipe-Undrgrnd. � 53. Steel Reinforcement : _ � - � � ' - 3.� Electrical Conduit Utility-Undrgrnd. _ 54. Forms '�� - � � ^1 � '' u � 4. Electrical Conduit-Undrgmd. � � '55. Electrical Bonding: � - � ' ,� 5. Steel Reinforcement , � ' - - 56. Rough Plu_mbing & Pressure Test " • � � .'� 6. Electrical UFER Gmd. � . 57. APPROVAL TO COVER-GU,NITE: � � ,' - . 7. Footings „ �, ' . 58'. Electrical Condult-Undrgrnd: � _ : ! ._ ; . � 8. Foundation � � ,'., 59. Gas Pipe, IO Undrgmd., Test ��- _ ' ; ��' 9. Water Pipe-Undrgrnd. - '� � _ 60. Backwash Lines, P-Trap, � Undrg'rnd. ' � . 10. Structural Floor System • 61. APPROVA�L.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 Elec[rical-Conduit � � 66. Solar System-Final . -- - � � -- � j ' � � . I 16. RoughElectricWiring � 67. Fencing&�Access-Approval� - . -- '` ." -'�- -' 17. Rough Wiring Sign � - - 68. APPROVED FOR PLASTERING � �� ' r 18. Rough Electrical-T Bar Ceiling 69.' POOL/SPA SYSTEMS�FINAL � �' �, ' r 19. Rough Heating & Air Conditionin9 f, Z3�f/+J � � �FIRE DEPT.'REQUIREMEN,T ; i , � -.� � � � . W � I . r � 20: Rough Factory Fireplace APPROVALS� � Permit�# �� '� , . i -- . - � � �,..^ � ,_. 21. Ducts, in Structure . - 70. Underground Hydro - � 22.Ducts,Ventilating �71.ProductPipingOGas"OOiI � ; ' . 23. Gas Pipe-Rough & Test ' 72. Underground Flush :�+ ' �� ' 24. Roof Framing � 73. Under9rnd.StorageTank OGas ❑Oil_, .�' 25. Roof Sheathing � 74. Overhead Hydro , � , � 26. T-Bar Ceiling �Structuraq & Monocoat - ,75. Dry Chemical I - - � � 27. Frame and Flashing �. � 76. Dry Standpipe . '� ; � 28. Lathing & Siding , �,77. FIXED SYSTEM FINAL ;,� i . � � 29. Insulation 78. FIRE PREV. F�INAL ' �' � . 30. Drywall Nailing .HEALTH DEPT. REQUIREMENT � .� 31. Plaster Brown Coat 79. FINAL INSPECTION r� ' � � 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED � ,' � � 33. Final Electric �Notes: � +. ' � '� ,; ; � 34. Final Heating & Air Conditioning �l ' � i ' ' � ' ��; . 35. Final Gas Pipe-Test � ' , , , `�' ' � . , . . . i . . , 36. Hood or Canopy . � � . - - 37. Final Factory Fireplace � . � � ' � • . � - � - - 38. Final Plumbing � � , . � � � 39. Water Service-Final . � � - - � i 40. Gas Service-Final , i '� � ' ' � � � 41. Solar pomesticFinal ' ' , - � - ; -. � s - - - � - � ? i � 42. Backflow Preventer � . . __._� ' � . ' ,. .. . , , : i 43. Backflow Irrigation • ' � . I , � � � � , ' � 44. Landscape Irrigation System . � . � - � � � � . 45. Sound Attenuation ' � � � • - �'� -� 46. Handicap Regulations � ' - ' ' � ' � ' - 47. FINAL STRUCTURE & BUILDING ' . ' • � � _ � . '� � i � 48. Special Requirements Completed � � � , " ' � 49. Electric Release to Edison � � � � -( �� ' • ' � ' « 50. Gas Release to Southem Califomia Gas Co . ' '' 4� , � I � ' �' , 51. CERTIFICATE OF OCCUPANCY - - - - - � � �'� � , _� ' ,� . I No. Date' . ' ' - - - -� _i i � � , � . . _ . . . . ApPlieant to fiil in all spaees except those.wNhin heavY borEer Ilnes antl sign all approo��e tleclantions. CITY OF CQSTA MESA � ' CONSTRUCTION PERMIT • ' � Project Address 2 � �- Applicant's Mailing Address : a'% �� I ' Owne�'s Name �_/-�c� 2 3 R3T HRTAib/P��e S�lo 6/,7f� Address '�z C� ^ b�R'1'I£ L.�4=XL 7V •�� Arch/Eng. License No. Address Contractor's Name-r%�'�-' G L%jlATEter2 Phone ��3 `� �`</ Address�mailing) z�"�U�- MpKC4g City License No. LICENSEO CONTRACTOH DECLARATION 1 he�eby aftirm that I am licensetl untle� p�ovl51on5 of Cha�te� 9(commencln9 with section 7000) of Division 3 of the Busine55 antl Professions Cotle, antl my II<ense is in fu �orce antl effect. License Clasy �- � �� - License � Date �iC-77-�fT c�o�ar � i _ ""ORKERS' OC MPENSATION DE�LARATION � ereby affirm that I have a certiticate oi consent to self-insure or a certificate ' Workers' CC..�ompensation Insuran<e, or a certifietl copY thereot (Sectlon PoI�'�c�Y No. cS.S � �� -��mPanY -�7N7� �T%ilJr7 , �Certitie0 copy is hereGy furnlshetl. Certifi tl c p, it fi ea with t y uiltl D t5" Date APPIi '� �� EXEM I FROM WORKERS' CO PENSATION DECLA ATION (Thi55¢ction need not be completetl it Ih¢ permit Is for one untlratl (E300) or less). I certity that in the performance ot Ihe work for which this perm�t is issued I snall not employ any person in any manner so as to become sub7ect to t�e Worker5' Compen5ation Laws of Calitornid. Date Si9nature NOTICE: If,ia(ter making lhis tleclaration, you shoultl become subject to the Workers' Compensation provisions ot the Labor Code, you must torihwitn comply wlth su<h provisions or tniz permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV . � I hereby affirm that there is a construction tentlin9 agency for the parformance ot the wOrk for which tnis permit is issuetl (Settion 3097 Civ. CJ . Lentler's Name , l.entler'S Atltlress IOWNER BUILDER DECLARATION I hereby atiirm that I am'exempt from the Contractor's License Law tor tha innnw�nn reasnn �_cction ]031:5 ausinesz antl Protessional Cotle: Anv Utv or allegetl exemptlon. Any violatlon oi St a�permlt subjects the.applicaM to a 'as owner of Ihe property �or my employees with wa9es as th nnc.linn wiu nn Mx wnrk_ ana the structure is not intentletl or employees, proviaea tnat sucn Improvemen[s are nox mronaea or orrerea *or sale. If, however, the bulltlin9 or improvement is soltl wlt�ln ona year.of com- pletion, tne owner will nave tha burtlen of provin9 he/sne tlitl not builtl or Im- : �rove forthe pur0ose of sale). I, a5 owner ot th¢ p/oDerty, am exclu5lvaly contraC[ing with Iicensetl con- tractorstb construct tha project (Section ]044, Business an0 Prota55iont Cotle:. The Coniractor'S license Law does not apply t0 an Owne� of p�ope�ty who builtls or improves fhereon, anC who concracts for 5uch projacts wiih a con- [ractor(s) license pursuanc to the Contractor'S License Lawl. � ❑ I am exempt under SecHon B. & P. C. �or this reason � i Date Owner � I hereby cartity that �I have reatl this application antl stata that the above-- information is correct. 1 agree to comply with all city antl county ortlinances and state laws relatip9 to builtlin9 construction, antl hereby authorize repre- ee..��f�wa nf ihiS�ETtv tn enter umn the above-mentionetl OroDe�tY for Orivers' L�ense or 55 � CMF 0865-46 rev. 12/83 TYPEOFCONSTRUCTION '�NEW LJADD LJALTEftATION LJREPAIR � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER �f�%' DESCRIPTIONt1F�WORK "�`QE"Q�-�`CE \��Z- . '^ � i�lUj.,j /c� 6 �f �? TVPE OF PERMIT GRADING FOUNDATION� STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING � MECHANICAL ❑ OTHE0. PROJECT DESCRIPTION Sq. FT. oCCUPANCv CON STRUCTION TVPE VALVATION $ . ZONE GRA�ING CU. VDS. ACRES Remarks: Ac � T� Bar Sink Backflow Preventer Backflow Irrigation Dishwasher Drinking Fountains . Floor Drains Floor Sinks Gas Service � Outlets Kitchen Sink' - � Lavatories . P-Trap Roof Drains ' Reinspeetion Fee � .$25 Boiler � � Duct - Under Ground Duct - Structural Duct-Ventilating � Exhaust System ❑ Multiple Firepl/Fact. Blt. IC80 #.�' � Heating�System & Ducting � ❑0.100,000 BTU � 100,000 �. I � ' � Heinspectian Fee � $25 Builtling; Canary - Appliwnt; Plnk - Accountin9: Goltlenrotl - Assessor FEES Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet � Water Heater Water Service Issue Fee �, $ 3 FEE Hood or Typel ❑ -� Canopy Typell ❑ • Refrigeration System ❑0.100,000 BTU ❑700,000 BTU System Repair/Alteration � laue Fee $ 3 A:P. �p S Main Buildi E T Front g Rear A C Right K Left S Ping. Ref. # Parking Feq./Pri Use of Building: Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit ' Dishwasher � Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes OUtI¢t5 6l68 4/06/84 Zane Accessory Building: � Park. Fees $ ELECTRICAL . FE Tronsformer ❑ 75-50 KW ❑ 50+ KW Meter LJup to t00amps Meter �over100amps Sub Panel Motors�0.1 HP�1X-8 Inc. Solar �9-75 HP �16-15+. Microwave Pole Light � Garbage Dispoul � Standing Sections Generaror �a5 KW �5�15 KW Trash Compactor O,OQ TL Z O N I N G R E O U I R E M E T � Reinspeaion Fae $25 laue Fee � $ 3� PUBLIC SERVICES REQUIREMENTS: � . � ZoninB APProved BY ^ata Building Approved By ! • Date Appliption Isiued By � .i �7 % � nat G � � SUMMARV OF FEES . , � BUILDING PERMIT $ SMIP .� $ PLAN CHECK � �$ � PERMIT . � � . , PLUMBWG ! $ ' �SSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ —�-�-_/A[/� MECHANICAL $ ��— TOTAL FEE $ � " - � - P�AN CHECK 25% $ / � � �� - - � - . � CONSTRUCTION AND PLANNING � - POO! .PA . - � � � �APPROVALS ' Permit-# �Date Inspector qppROVALS .- Permit # Date Inspector 7.. 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. Foundation _ i . 59. Gas Pipe, O� Undrgrnd., Test . ' 9. Water Pipe-Undrgrnd. .� 60. Backwash ILines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK - � � . 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-Finel ' � � � � � - � 15. Rough-Electrical-Conduit ' � � 66. Solar System-Final .�� l '- . 16. Rough Electric Wiring � 67. Fencing & Access Approval� . - '"- -', � 17.. Rough Wiring Sign�. �' � ' 68. APPROVED F,OR PLASTERING .' �� 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL -. �" � . � - 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' ' a , 20'. Rough Facto'ry Fireplace APPROVALS � Permit# -' 21.' Ducis, 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.StorageTank OGas'�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 CERTIFICA7E �SSUED � 33. Final Electric Notes: � 34. Final Heating & Air Conditioning � , 35. Final Gas Pipe-Test . • . . " 36. Hood or Canopy � � , . � ' - 37. Final Factory Fireplace �� l' , � � � � 38. Final Plumbing � � ' - ' - ' , � 39. Water Service-Final ' • ' � 40. Gas Service-Final � � � 41. Solar pomesticFinal - � - ' - - - � � 42. Backflow Preventer ._ • . 43. Backflow lrrigatio�� . . - . t. 44. Landscape Irrigation SYstem � . � , I` ; �, . 45. Sound Attenuation � � , � - - 46. Handicap Regulations ' � . �' - • � , 47. FINALSTRUCTURE&BUILDING � � � �, - - 48. Special Requirements Completed � � � ' � i 49. Electric Release to Edison � � , - � ' ' 50. Gas Release to Southem California Gas Cn � : � � � i 51. CERTIFICATEOFOCCUPANCY - - - , � . . No. ' � Date , _ , . � _ ' � _. . . . _ . - . AOP�icant to till In all zoaees except those wltnin heavy oortlar Ilnes antl sign all aoo�oD��ate tleclarotlons. ' , rI7Y'CSF COSTA MESA CONSTRUCTION PERMIT Project Address �' Applicant's Mailin ddress , E �3 ` ��.,�� Owner i Name �L�hone S(LY�LG TVPE OF CONSTRUCTION LJ NEW U ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK Addreu TVPE OF PERMIT LJ GRADING IJ FOUNDATION u SraUCTURAL Arch/Eng. Licen52 No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL Address �+�/�� / ❑ �OTHEF2 Contractor's Nam ti��r �i'25� ElK Ph�one�7c�,Z�% PR��EC7 DESCRIPTION 5q. F7. oCCUaANCv_ Address (mailinglld�' �I.�f.�n�/las' �n`p. �'"" �t��'-"� CONSTRUCTION TVPE VA�UATION $ �j��O�. ZONE GRAOINGCU.VDS. ACRES_ Ciry License No. LICENSE� CONTRACTOR DECLARATION Remarks: �//f/ (L'� I �e�eby atfl�m thdt 1 am licenzetl untle� provi5ion5 0/ Cha�te� 9(commencing wi[h section 7000) of Dlvision 3 of the Business antl Protessions Cotlo, antl my Ilcense Is In full rce ntl ef(ect. Lic ass Licen No. Da��(2�SI9nature 'ORKERS'COMPENSATION DECLARATION iereby affirm tha[ I have a certificate of consent to self-insure or a cortlficate �f Workers' Compensation Insurancc, or a certifietl coOY thereof (Sa<tlon 3800, Lab. C.) Policy No. Company BCertlBetl copy IS hereby fumishetl. Certltietl copy Is flletl with the city Bulltling Division. Oate ApPlicant E%EMPTION FROM WORKERS' COMPENSATION �ECLARATION (This section neetl not be completetl II the permit is (or one huntlretl (E300) or less�. I certlfy that in the performance of the work tor which this perm�t is Issuea I zM1all n�qtp, mplOy any pe�son in any m��...pppne so as lo bQ.cOm subject o t�t¢ WoeJ°,/}'/�q�qp�r p�ifjy l�awz of Cal�a.��t� �!J � Dat ;Y�r" d �L�FSignatm NOTICE: lf,,after making this tleclarat on, you sM1oultl become subject to Ihe Wo�kers' COmpMsation proviSlOns of the Labo� Cotle, you mu5t forthwith comply with suc� provisions or this permit zhall be aeemetl revoketl. CONSTRUCTION IENDING AGENCV I Itereby atfl�m that the�e Is a�wnStrucfion lentling agency fo� the'pGrfOrmance 01 the wOrk ior whlth this perml[ is issuetl (SectiOn 3097 Civ. C.) Lentler's Name ' Lentler's Atltlress - OWNER BUILDER DECLARATION • I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Se<tlon ]031.5 Business antl Protessional Cotle: Any clty or county whlth requirez a permit to construct, alter, imProve, tlemollsh or repalr any structure, prlor lo Its issuance, also requires the apv��cant tor such pormit t0 �ila a Slgnetl Sta[ament [hat ne/she IS licensetl pwSUan[ to the p�ovlsion5 0( 1e Contrac[or's License Law (Chapter 9(commencing with Section 7000) of 'vlslon 3 of tM10 Business antl Professlons Cotle) or that he/she is oxempt ieretrom antl the basis for the allegetl exemption. Any violation of Saction �7031.5 by any applicant for a�permit subjects.tha applicant to a civil : �enalty of not morn than (ive huntlretl dollars ($500). I, a5 owner oi tha•proper[y or my employees with wages as thelr So10 compensation, will tlo tne work, antl the structure is not intentletl or offeretl tor sale (Section 7044, Buslness antl Protessional Cotle: The Contractor's LI<ense Law tl085 nOt apP�Y t0 an own¢r Ot a p�ope�ty who builtls o� Imp�ov¢5 [hereon, anE w�o tloei Such wo�k hlTself/he�self or Nroug� his or her Own ' eTployees, p�ovitletl that such Improvements are not Intentletl or olterctl fot sal¢. If, however, the bulltlin9 or improvement is soltl within one year of com- O�etlon, the own¢r will have tha buraen of provinq he/sh¢ tlitl not bulltl o� Im- �1rova for the purpose of sale). IJ I, as owner of the prOpe�ty, am exclusively tontracting with licensotl con- tractorsto mnstruct [M1e project (SecUon ]044, Business antl Professlons Cotle: The Contractor's License Law tloes not appry to an owner ot property who bullas or improves lhereon, antl who contracts for suc� projects wilh a ton- tractor(s) IicenSe pursuant to the ConVac[or's License Law1. ❑ ��dm exemp[ untlar 5¢ction B. 6 P. C. to! thi5 r¢aiOn Date Owner I nereby certlfy [ha[ I have reatl [hls application antl state that tne above informa[ion Is correcL I agree to comply w�th all tlty antl wunty ortlinancas antl s[ate laws relatlng to builtling consirucbon, antl hereby authorize repre- sentatives of }Ais�cijY to R�ternupon�jhe above-mentionetl�gr�perty for Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks GasService Outlets Interceptors Kitchen Sink Lavatories , � P—Trap Roof Drains Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Wacer Heater Water Service Reinspection Fee I '$25 I �' Issue Fee Dutt - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. IC80 # Heatin9 Sys[em & Ducting ❑ ai oo,000 aru O i oo,000 Signature ✓ oarn�rzrr� Drivers' License or 55 � Reinspaction Fea $25 CMF 0865-46 rev. 12/83 Wni[e - Builtling; Canary - Appli<ant; Pink - Accounting; Goldenrotl - Assessor Hood or Type I ❑ Canopy Typa I I ❑ Refrigeration System . ❑aioo,000sru ❑�oo,000eT System Repair/Alteration Issue Fea EES $ 3 FEES $ 3 A.P. # S Main Building: E T Front 6 Rear A C Right gLeft Ping. Fef. # Parking Req./Provided Use of Building: Planning Notes: � 3557 2/02/84 Zone Acceuory Park.Fees $ ELECTRICAL Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. � 50 + KW Cooking Unit Meter ❑up to 100 amps Dishwasher Meter ❑over 100amps Dryers PGas ❑Elecvic I Sub Panel Fan Motor500.7 HP01'h-8 F.A.U. Inc.Solar �9-75 HP �16-15+ Fixtures Microwave Device Boxes Pole Light. Outlets Range Switches Sign � Garbage Disposal Standing Sections Generator �0-5 KW 05-75 KW Trash Compactor . � Reinspection Fee I$25 � Issue Fee PUBLIC SEFVICES REQUIREMENTS: Zoning Approved 6y _ Building Approved By Appliwtion Issued BV 37.50' TL FEES / $ 3 , SUMMARY OF FEES BUILDING PERMIT $ SMIP § PLAN CHECK S PERMIT PLUMBING 5 ISSUANCE � $ PIAN CHECK 25% S ENERGY P.C. $ ELECTRICA� $ .� • O'0 GRADING $ PLAN CHECK 50% $ �� •-5 O MICROFILM $ MECHANICAL $ TOTALFEE $ ��%.�O PLAN CHECK 25% $ Z O N I N G R E R E N E i ' CONSTRUCTION ANDPLANNING � POO. cPA � 'APPROVALS 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-Urtdrgrnd. '�� 55. Electrical Bonding � 5.' Steel Reinforcement ' 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd.' ,' 57. APPROVAL TO COVER-GUMTE � � 7. Footings� ;' � � i ��• i 58. Electrical Conduit-Undrgrnd. 8. Foundation t ' 59. Gas Pipe, � Undrgrnd., Test . 9. Water Pipe-Undrgrnd. . '� 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System � . ' 61. APPROVAL TO DECK 11. Pro,perty Sewer Line & Flouse Connecti� n ,� 62. Backwash & Receptor-Final • 12. Sewer�Ca'p � � 63. Heater & Vent-Final � i 13. Roof Drains � � 64. Plumbing System - Final ' 14. Rough Plumbing • . 65. Electrical-Final . � 15. Rough Elecvical-Conduit . 66. Solar System-Final 16: •Rough Electric Wiring - 3 C 67. Fencing & Access Approval 17i 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 # 27. DuCts, in Structure ' 70. Underground Hydro 22. Ducts, Ventilating � 71. Product Piping O Gas ❑ Oil . 23. Gas Pipe-Rough & Test 72. Underground Flush 24. RoofFraming 73. Undergrnd.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 Elec[ric Notes: 34. Final Heating & Air Conditioning � �-� ' 35. Final Gas Pipe-Test ' - " 36. Hood or Canopy 37. Final Fac[ory Fireplace ' 38. Final Plumbinc� 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer � � � 43. Backflow Irrigation � � . 44. Landscape Irripation System , 45. Sound Attenuation � .' � 46. Handirap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed ��. 49. Electric Release to Edison ''. . 50. Gas Release to Southern California Gas Co '� � 51. CERTIFICATEOF�OCCUPANCY • • . , �• ' No. Date AGPlicant to fill in all spaces except those within heavy boraer Ilnes an0 sign all appropriate tleclarationz. CI7Y OF COSTA MESA _ � CONSTRUCTION PERMIT • Project Address U �"� � Applicant's Mailin/g Add�eu : Owner's Name SG��S5 �' � Phone Address Arch/Eng. License No. Address Contracror's Nam �^'� 4' Phone � '�� Address(mailing) �S3'�j �'eo✓�ti ZZ City License No. �� 32� LiCENSED CONTRACTOR DECLARATION `3+'7$I� I hereby atiirm that I am licensetl untler provisions of Charter 9(c mme cing wlth section ]000) of Division 3 of the Business antl Protessio tle, antl � my Ilcense is in 11.lorce a� �ef.f�e t }�_ License Class � '�^'�'�'�� o6Q N Da[e '�� S�9na[ure L� _ "ORKERS' COMPENSATION DECLARATION ereby afiirm that I have a certificate o� mn5ent to self-insure or a certificate . Workers' Compensation Insurance, or a certifietl copYn thereof (Section' 3800, Lab. C.) ;+��Qn� Company '' "�/( 1�—�� Policy No. Y { � �Ertifietl mpy Is bereby fumishetl. '+ L�Certifietl capy'is filetl wiM tM1e city Builtling Division. oate Applicant EXEMPTION FROM WORKERS' COMPENSATION OECLARATION (This section neetl not be completetl if the permit is for One huntl�etl ($300) o� less). - I certify that ln the oerformance oi the work tor which cnis perm�t is Issuetl, I shall not employ any person in any manner so as to become subject to the�- Workers' Compensation Laws of California. - oate Signature NOTICE: If„a(ter making this tleclaratlon, you shoultl become subject to fhe � Workers' Compensation provisions ot tne Labor Cotle, you must (ortnwith comply wiN such provlsions or this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I he�eby affi�m thaf there is a const�uction lentlin9 agency fa� the pe�(o�mance of the work tor wnich this permit is issuetl (Section 3091 Civ. C.) Lxntler's Name L.entler's Atltlrass � OWNER BUILDER DECLARATION � � I hereby atfirm tM1at I am exempt frorti the Contractor•5 License Law for che followina reason ISection ]031.5 9usiness antl Protessional Code: Anv cltv or any structure, prior to its issuance, also requires the applicant for such permit to file a signetl statement that he/she Is Iicensetl oursuant to the provisionz of "�e Contractor's License Law (Chapter 9.(mmmencin9 with Section 7000) of vision 3 of the Business antl Professions CoOe) o� that he/she is exempt :refrom antl the ba5i5 for the allegetl exemption..Any violation ot 5¢ction .J31.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five huntlretl tlollars ($500). LJ I, as owner ot the oroperty or my employees with wages as their sole cOmpensation, will tlo the work, antl the st�uciure is no[ intentletl o� offe�etl for sale (Se<fion 7044, Business antl Professional Cotle: The Coniraccor's License Law tloes not apply to an owner ot a property who builtls or improves the�eon, antl who tlo¢s sucb work hlm5elt/herzeli or througb hls o� her own em0loyees, p�oviCatl that such Imp�ovements a�e not intentletl o� otfe�etl fo� sale. It, however, the builtling or Improvement is soltl within one year of com- pletlon, the owner will have the burtlen ot proving he/she tlitl not builtl or im- �rova 1or the purpose oi sale). I, ds owner ot the p�operty, am exclu5lveiy contracting�with Ilcensetl con- tractorstb constructthe project (Section 7044, Business antl Protezsions Coae: The Contractor's Llcense Law does not apply to an owner of property who bulltls o� improves the�eon, antl who Contract5 for SUch p�ojects wlth a con- Vac[or(s) license pur5uant to the Contractor'S LicenSe Law1. ❑ I'am exempt untler Section B. & P. C. for [his reason �ate Owner I hereby certify that I have reatl this applicatlOn antl State that the above InfO�mation I5 correct. I ag�ee to comply wlth all clty antl county ortllnances antl state laws relatin9 to builtling construction, antl hereby authorize repre- sentatives of thls tlty n up the above-mentionetl property for Inspection p o es. � / 7 f _� Signature Date �� Drivers' License or 55 � e TYPE OF CONSTRUCTION L�NEW U ADD LJ ALTERATION LI REP,CI R� � ❑ CONVERSION ❑ OEMOLISH ❑ OTHER A p # OESCRIPTION OF WORK . S Main Building: TVPE OF PERMIT GRADING_ �OUNDATION ❑ STRVCTURAL T Flont ❑ TENANT ❑ ELECTRICAL L•a aLUMBING ❑ MECHANICAL B Rear ❑ �OTHER . %� PROJECT DESCRIPTION 54. F7. ocCUPaNCv C Right K Left CONSTRUCTIONTVPE VALUATION$ $ ZONE GRADING CU. VDS. ACRES Plpg. R¢f. �f Remarks: Parking Req./Provii � � Use of Building: PWM6ING PFFS Planning Notes: Sink Preventer Irrigation Drinking Fountains Floor Drains � Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspectian Fee � $25 Boiler Duct - Under Ground Duct-Structural � Duct: Ventilating Exhaust System ❑ Multiple FirepVFact. Blt. ICBO # Heating System & Ducting ❑ o-i oo,000 sru � i oo,00a Reinspection Fee � '$25 CMF 0865-46 �ev. 12/83 White - Builtling; Canary - Appliwnt; Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal WdtCf CIOSQt Water Heater Water Service S Issue Fee Hooii or Type I ❑ Canopy Type I I ❑ Refrigeration System ❑0-700,000 BTU_ 0100,000 BT System flepair/Alteration Issue Fee $ 3 $ 3 Auiomatic Washer Construction Pole Sub. Cooking Unit Dishwasher ' � Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Dispoul Generemr �0.5 KW �5-' 3126 I(2b/64 Zone Accessory Building: Park.Fees $ r ELECTRICAL . Transformer ❑ 15-50 KW ❑ 50+KW Meter �uptot00amps Meter ❑over 100 amps Sub Panel Momrs �0-1 HP �1'/:-8 Inc.Solar �9-15 HP �16-15+ Microwave Pole Light . Range Sign Standin9 Sections � 5 KW Trash Compactor Issue Fee PUBIIC SEHVICES REQUIREMENTS: Zoning Approved By Building ApproVed By Aaolication Issued Bv �� jg.�0 TL FEES $ 3 O N I N G R E � U I R E M E N T " SUMMARV OF FEES y BUILDING PERMIT $ SMIP ' $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ . S ENERGY P.C. $ ELECTRICAL $ ' GRADING $ PLANCHECK 50°h $ MICROFILM �$ MECHANICAL $ TOTALFEE $ �•� PLAN CHECK 25% $ " CONSTRUCTION AND PLANNING _ . POOI ;PA �.APPROVALS Permit# Date � Inspector p�ppROVALS Permit# Date Inspector '� ,1. Temporary Electric8l Service or Pole 52. Pool & Equipment Location �2., Soil Pipe-Undrgrnd. , �R 8� � 53. Steel Reinforcement �• i 3. Electrical Conduit Utility-Undrgrnd. 54. Forms '� 4. Hlectrical Conduit-Undrgmd. i 55. Electrical Bonding � , • 5. 3teel 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'' _ )�'f �¢ � 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Svuctural Floor System � 61. APPROVAL TO DECK 11. PropertY Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap � � 63. Heater & Vent-Final � , i , 73. Roof Drains , : 64. Plumbing System - Final , 14. Rough Plumbing �� 65. Electrical-Final , 15. Rough Electrical-Conduit - .' , 66. Solar $ystem-Final 1.6. Rough Electric Wiring . 67. Fencing & Access Approval ' � 17._Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Electrical-T Bar Ceiling 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. ProductPiping OGas ❑Oil � 23. Gas Pipe-Rough & Test .�s� 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil _ 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemi@al 27. Frame and Flashing 76. Dry Standpipe ' 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 7S. 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 �/��?(��/ L�iO . 36. Hood or Canopy � 37. Final Factory Fireplace 38. Final Plumbing �1-�� 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. FINALSTRUCT.URE&BUILDING " 48. Special Requirements Completed � 49. Electrie Release to Edison � ,� 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. - Date � _ January 18, 1984 CLItTiFI�II d�iAIL Jatres R. C�'i>et 124 Via Mentone � Nes.rFoLt Beach, Ca2ifbi�ia. Re: l�bu�a3oned [iaise - CtIB 571 2302 Slden T�ven�re, Costa' Mzsa , � • Dear idr. Gri�t: �n Nov�er 29, 19C�, S sent a Certified t�tter tp notiify }rou of �n alxindoned hcx�se at the subject �idres�. cm Jaruary 13, 1964, I re-ins�cted the �xo�rty L.� f�teraine if you; hac7 crn�plied with iry request ta �ec�ne the buildirr3. The buildiny i� still acces3ible. . . As tha aaner ynu have a r.nral an9 legal m�»nsibility to secaare t;�e fxiildir�. flithin ten (10} days upon receipt of r�is letter i Will ir�spect the prc7perty fr�r canpliance. If the buildirx� is not secu� I will refer tliis crnNlaint eo the City AttnrnF*�'� Office f�r lcx3al dispo3ition. 4his letter �vill be the final notice prior Yn co�ut acticn. IE,y�ni nec�!1 assistance, call.re at.(714) 754-SE93. Sinceraly, W.E. B.WD Chief Buildirr� Inspector TaEC:tnam (C-R2-31) � 2Jovemher 29, 1983 Jarx:s R. Qiset 124 Via j4entone tlewpor. t Beach, Ca.t i forn ia 92t+f 3 Re: F�bandoneci House 23D2 Elden F+ve.�nue, Co�ta t4�sa T)2aY MY. LY1P,E'L: Cw'c'�'IFIL•;D P1AIL ?tecor�s at the County Rea�rder's Office ir�Eiicatc that you �-e the a.mer • of subject property. . 't��e msidence is npen and accessible to young diildren arr.3 tran3ienta. Please tar�e notice that you are required to sec�rce the structure, malce it ruirracoessible arxi contiwe tfa r.aintain it in a secure mannpr. 1�s tt�e owner, you will cx�ntinue to t�c reaponsible for all liaibilities arisirxj frcm thi� trlverse [soble�n. The City of Cc�ta tlesa shall be held hamless. If you neex3 assistanc�e in resolviny the ;�roblrn, eontact � at (714) 754-5293 bet�,�een the hours of B:00 a.m. ancl II:30 a.m. or 4:00 p.�. aric3 5:00 p.m. Sineerely, tT.!•;. CTr`YJD Chief Building Ins�xctor WEC:h,� (C-B1-33) Variances: C. U. P.'s: Received by: vv � �LinC �1 /T�Li � � Nature of Complaint: Investigation by: REPORT OF INVESTIGATION 4 � G'�(a ��i CM(3 ,S%/ Assigned to: Case No.: z✓�— a b� ❑ Building Division C/o�G ❑ Planning Division Assigned to: � �-,2� ❑ Joint Investigation ' ��— �� Building "rermit Files Reviewed: U Initial and Date Assessor's Parcel No. 7��- 2�f' G� Violation of C.M.M.C. Section (s1: Findings: �� d3 S�'d 1 n Date: ��3� a ��n Complaint Address Name of Tenant (if applicable) �.-.e.r /� �r� ca � Name of Propeny Owner / �h Tel hone l.1/-i V �� %Yle nTanP, �e'^ind�t&�-�� y7G13 Time of Day (if applicabie) Zoning Files Reviewed: �"L Ini:ial and Date Map No. 1��.28'-83 (fT o2302 1�[c�y-x %ci��/c��n.� l�oRcsdn.7`��/ly/t�Y G'�mo� � / _ G!�-P�r � /�L( o %ii� K � �%J �i(/l�od'S %sv Ul4i7ci� /�-a9-�3 ��T��-�P NOTlCES: 1st Given: ' Date i ' iVo NoT� Cv �f�%' ��-fF� %3 0 -- a? 6 y—GY/ � Time Allotted forCorrection 0 2nd Notice: , 5-day maximum time • Date � Certified letter advising that if violations are not corrected, the complaint and all supporting data wili be forwarded to the City Attorney's office with request for prosecution. • Date Mailed Date Received 7day iecheck of sita � Files forwarded to City Attorney's office with request: Initial and Date CMF 0829-30 �—�v �r /� ir - 30- S3 R�c /I�i��'ti.,� 2�ecl,,nr- P-'�3o -.ZGy- GS// /-�8'- 8y �t'!/F/r�..� C°�euT f-��/ �-eZ��°K �J— 730 —.2Gy" %68 �-�9-SY 4eMer�T�o�.. ��KM.��r'*b �-S - �at�o '�i�vHL..� i'ti��s �P�7t/ . C�(�S�l C"loS,r � LJr °t�� t-�7�gY