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Home My WebLink About2302 ELDEN AVE - Building Permits (2)(714� 754-5273 • F2X (714� 754-4856 • www.ci.costa-mesa.�y�DING PERMIT �� FAIR �RIVE, GO51 A MtSA, GA 9"L6"L6 Job nddress: 2302 ELDEN AV � Suite: C Viciniry: BLDG C AT ELDEN 23RD Primary Occ: R-1 Hotels/Apts/Res >10 Occ Type of Construction: V-N Parcel Number: 93969012 Zoning: npplicant: MOLLISE, DANIELLE Address: 1653 SUPERIOR AVE COSTA MESA, CA Owner: LUCHESI, JENNIFER Address 2302 ELDEN AV C COSTA MESA, CA Contractor. LEE ROOFWG OF COSTA MESA Address: 1653 SUPERIOR AVE COSTA MESA, CA Zip: 92627:, , � Arch : Address: Zip: Phone: License: Phone: 949-642-7222 Zip: 92627 Phone: 949-285-1718 Zip: 92626 Phone: 949-642-7222 License: 349686 Eng: Address: ISSUED BY: Status: ISSUED Applied: 02/03l2006 Issued: 02/03/2006 Phone: License: SCOPE OF PERMIT REROOF ELDEN 23RD CONDO BLDG C: 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 Calc Valuation: $z,szs.00 Permit: $8325 Claim Valuation: $z,szs.00 SMIP Res: $0.50 SMIP Com: ' $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Ezis�inq: . o PLANNING & ZONING Rear 0-0 � LeN 0-0 -Rear 0- 0 Left 0- 0 Reouired: 0 Pr000sed: 0 Right 0-0 Right 0- 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: 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 ihis permit to be consitlered legal, such work must comply with all�applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2C4b9tl (tilW) WORKERS' COMPENSATION DECLARATION: ' I hareby eftirm untler penalry of perjury w�e ot the tdbwi� tleclarations: . �� , ❑ I �ave antl will maintain a cartiticate oi consent to setl-Insure br workers' compensation, as pmvitled for by section 3700 of ihe Labor Code, for the pertormance of ihe ��work for which ihis pertnit is issued. I have and will maintain workers' compensation insurance, es requiretl by section 3700 of the Le6or Cotle, tor ihe pedortnance of the work for which �his pertnit is iSsued. — M� y worke�compgnsationi n^urance carr� �tl policy number are: ^_ �� r 1�,� '� r` ('� Carriar:�--" `� 1C� { P'olicyNumb&: V U (7his secnon need not e camplefed Athe permit is valued at ane hundred dollars ($700) or IessJ ❑ I certify that in the pertormence ol Iha work for which this permi� is issued, I shall not amploy any person in any manne� so es to become subject to the workers' compensation laws oi Celifomia, and agree that if I should become subject m the workers' compensation provisions ot Section 3700 oi ihe Labor Cotle, I shall fonhwith �ply with these pro�'° �'s. � App�ant.Signatue :�--�-�'✓lA/�/Y�/� JL�^ - DaCe-" a- 3-(�ln WARNING: FAILURE TO SEWHE WORKEFS' CAMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMP�O�TO CRIMINAL PENALilES AND pVIL FINES lIP TOONE HUNDPED TNOUSAND DpWRE ($100,000), IN ADOITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE IABOR CAOE, IMEREST, AND ATTOHNEY'S FEES. LICENSED CON7RACTORS DECLARATION: I nereby aHirm Ihat I am licensed nderR rovisions of CM1apter 9(commencing with Section 7000) of Division 3 obthe Business and�ro�t'es�ions Code, antl my license is in full force end eHecL �c�a �U `'1�-P SS l0 p~�q (� �-( Cpahactor'�,a�S�atara:_= = '9�`� /�-�'VZP � �9� t43et� .i-'3-C7lii l CONSTRUCTION LENDING AGENCV: ❑ I hereby affirm that ihere is a constmction lending agency lor Ihe pedormance of the work for which this permit is issued. (Sec. 3097, Civil Code). LBnOer's Name: Lender's Address: Signature: De�e: ON�NER-BUILDER DECLARATIONS: I M1ereby eHirm Iha� under penalry of perjury Ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Pfofessions Code: Any ciry or county which reQuires a permit ro construct, alter, improve, tlemolish, or repair any stmcWre, prior ro its issuance, also requires the apPlicant for such pertnit to file a signed statement ihat he or she Is licensetl pursuant to Ihe pmvisions of ihe Contrectoro License Law (Chapter 9(commencing with Section 7000) of Division 3 of the BUsiness antl Professions Cotle) or ihat he or she is exempl theretrom and the hasis for the alleged exemption. Any violation ot Section 7031.5 by eny epplicant for e permit subjects the applicant to a civil penalty of not more ihan five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as theii sole compensation, WILL DO THE WORK, and ihe slmcture Is not imentled or oHered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply m an owner of property who builtls or improves ihereon, and who does such work himself or herseN or through his or her own employees, providetl that such improvemenis ere not intended or oHered for sele. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the bmden of proving ihat he or she did not builtl or improve for purpose of sale.). � ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions Cotle: The contractors Llcense Law tloes not apply to an owner of properiy who builds or Improves ihereon, antl who coniracts br such projact with e coniractor(s) license pwsuant to ihe Contractors License Laws.). ❑ I am exempt untler sec. SiOneiure: Owner 10 verified 6y driver's license. ❑ Yes ❑ No Business and Professions Code br this reason: Ve�ification of Ownership by (type of document, i.e. - property tax bill or deed): Drivars Licanse No. Date: Expires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby ceniiy that no excavation tive (5) or more ieei In depih inio whlch a person Is required to tlescend, will be made in connection with work authorized by ihis permit, antl ihat no building simcture, scaifolding, talsework, or demolition or tlismantling thereoi, will be more than ihirty-sia (36) feet high. (Chap. 32, Grp 2, Art 2, Sac. 341, Title e, California Atlminisirative Cotle). ❑ As owner-builder, I will not employ anyone to tlo work which would require a permit irom the Division of Indusinal Sefety, es notetl above, unless such person has a peanit to do such wark trom thfl divisian. SiqnaWre: Oate: Division of Industriai Satery Permit Numbec ICEflTFICATE OF COMPLIANCE AND AIfTHORIZATION OF ENTRV: I certity under penalty of periury that I have reatl this appllcailon and sia�e I�at ihe informa[ion given is I corlect I agree to comply witB all state laws and city ordinances relating to building construction, and authonze representatives of Ihe Ciry of Costa Mesa to enter upon ihe ebo�e-described property for inspection puryoses. I agree not to occupy or allow occupancy ot eny building authorized by ihis permit until final inspection. � SignatureDCLegalOwner(s) C�QQf /, INSPECTI4NTYVE 1616 Fixetl System Final Fire Prevention 7p66 Pool Spa Final paa FinBl Re-Roof � 201 Finel BIocWFie�aining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition QA�, �MRIALS COOEI -INSVECPONTYVE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fira Prevention 220 Final Planning Approval ppp Final Site 250 Final Build�inyOccupenc a�3^o� �'Date j Pyf, INTITULS FEH-02-06 11:56 PM � �. I� i � � i February 2, 20i)6 Y ' i i ; � , , � ; ; � ;� , ; i I Eldeei 23'd F 2302 Elden Av Costa M�ie,ga, CA i � � j 1 i � , � i I, � � � City ofCosta hlesa Building Division: ; j i i I '� ! i i I � Wc, the F.Iden '?3"' Homeowners' Association, suthonre Lce Rooting Compar ; re-roofing of our complex. Tha work is scheduled ta begin'today, February 2, � � Please call us tn inform us that you have received this authorizstion. I � � ! � � i � I I I ; Respectl'ully, ; � �I ; I � � j I I I � j , � ' i j I �vY7l.� � � I I i I �i ! Duvid and Jannifer Lpng I I ' ' ' ; i' FIOA Vice PresidCnt and Secretary, respectively ; i � Ownars of Unit C � ' � { I (949)722-8677 i i i ! � I I I i ' I � j � i � I I � i � I � ' r� i P.01 _ QOG -g� z2_ I ; f'or tho i 106. ; i I' i � � e 9 (71a) 754-5273 • Fax (71a) 754-a856 • www.ci.costa-mesa.ca.us ii r,vn unive, i.�air mcaH, i.�+a�oeo BUILDING PERMIT Job nddress:�2 ELDEN AV Suite; C Vicinity: Parcel Number; 43926129 Applirane HALL, DAVE Address: 181 W ORANGETHORPE AV SUITE D PLACENTIA, CA owner: LUCHESI, JENNIFER Address 2306 ELDEN AVE COSTA MESA, CA Zoning: Phone: 714-996-6661 Zip: 92870 Phone: 949-285-1718 Zip: 92627 Contractor. ONE CALL TAKES CARE OF IT ALL Address: 181 W ORANGETHORPE AV SUITE D Phone: 714-996-6661 PLACENTIA, CA Zip: g2g70 License: 614088 Arch : Address: Phone: Eng: Address: ISSUED BY: Status: ISSUED Applied: 02/10/2004 Issued: 02/t012004 Phone: Zip: License: License: SCOPE OF PERMIT FIRE DAMAG� REPAIR. SCOPE OF WORK TO INCLUDE: REPLACE FIREPLACE, GAS PIPING, 1 LIGHT, 1 SWITCH. Pfan Check: $15.28 Permit: $23.50 SMIP Res: $0.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $38.78 SETBACKS MAINSTRUC7URE Front 0-0 ACCESSORY Front 0-0 PARKING Ex�stinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $soo.00 ssoo.00 NOTICE: The work auihorized by this permit shall comply with all applirable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced wflhln 180 days, or if woAc is suspendad or abandoned for a period of 780 tlays. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, end all required Inspeetlohs antl final approval must be obtained. Failure to obtain inspections and final approval will result in the expiretion oi this permit. � FOR INSPECTIONS CALL: (714) 754-5628 244&a8 (8/00) WORKERS'COMPENSATONDECLARAnON: I hereby attirtn untler penalry ot perjury one of ihe tollowing tleclarations: ❑ I have and will maintain a certificate of consent to seN-Insure br workers' compensation, es pmvided br by section 3700 of the Labor Cotle, for the partormence oi Ihe rk for whlch this parmit is issuetl. I have and wlll maintain workers' compensation insurance, as required by section 3700 of the Lebor Code, tor tha peRortnance of ihe work tor which this pertnit Is IssueO. My workers' compansetlan Insurence carnar and poliry number are: Cartier. Polity Number. (This section need nol be wmp/efed i! Ihe permit is valuetl a( one hundretl dollaro ($100) or less.) ❑ I certily Ihat in the pedormance of ihe work for which ihis pertnit is issueQ I shall not employ any person in eny manner so as to become subject to the workers' compensatlon lews of Celllornla, end egree that' I should 6ecome subject to ihe workers' compensation provislons of Seyyy ion 370QQQ of Ihe L or Code, I shall forthwlth PP compl9withth�saginyislovins. ^///� / 0� A licant Si net� � .��c., Dete: �� WARNING: FAILUPE TO SECURE WOiiKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHr1LL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES AND VIL FlNES UP TOONE HUNDRED i/10USAND DOLLARE (5100,000). IN ADOITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOR CADE, IMEREST, ANO ATTORNEV'S FEES. LICENSED CONTRACTOFS DECLARA710N: I hereby aHirm thet I em licensed untler provisions ot Chapter 9(commencing with Sectlon 7000) of Division 3 of the Business and Professions Cotle, and my license is in full force antl ettect. Lic. a Class a Contractors signature: rs..�, 2 oate: �% i/1 n t / CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm that there is a cons�ruction lending aqency br ihe peAormence of the work for which ihis pertnit is issued. (Sec. 3097, Civil Code). Lenders Name: LentleYs AAtlress: SignaNre: oate: OWNER-BUILDER OECLARATIONS: I hereby aNirm that under penalry of perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for t�e following reason (Sec. 7031.5, Business entl Protessions Cotle: Any ciry or county which requires e permit to construct, alter, improve, tlemolish, or repair any stmcture, prior to its issuance, also reQuires the epplicant tor such permit to tile e signed stetement that he or she is licensed pursuant to Ihe provisions af the Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) of DlWslon 3 0l t�e Business and Prolessions Code) or that he or she is exempt therefrom and ihe besis for the allegetl exemption. Any violetion of Section 7031.5 �y any epplicant for a pertnit sublecis ihe aDD�icant to e civil penalty of not more ihan five hundred dollars ($500).): ❑ I, as owner of the propeny, or my employees with waqes as iheir sole compensation, WILL DO 7HE WORK, antl Ihe structure is not intentletl or otleretl for sale (Sec. 7044, Buslness end Professions Code: The Contractors License Law does noI apply to en owner of properry who builds or improves iheraon, and who tloes such work himself or herself or through his or her own employees, ptovided that such improvemenis ere not Intentled or oflered for sale. If, however, ihe building or Improvement is sold within one year of completion, the owner-builder will heve ihe burden oi proving that �e or she did not build or improve tor purpose of sale.). ' ❑ I, es owner ot lhe property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct lhe project (SecJ044, Business end Prolessions Code: The coniraclors License Law does not apply to en ownar ot propeny who builds or improves thereon, entl who contracts for such prolect wilh e comractor(s) license pursueM to the Contracbrs License Laws.). ❑ I am exempt under sec. Business and Professions Code for Ihis reason: Signature: Date: Owner ID verifled by driver5licensa. ❑ Ves ❑ No Drlver5 LiCenSe No. Expires: Vedficetion oi Ownership by (type of dacument, i.e. - property tac bill or daedJ: DIVISION OF INOUSTRIAL SAFETV PERMIT CERTIFICA710N: ❑ I hereby certlfy ihat no exwva�lon five (5) or more feet in depth into which a person is requlreA to descend, will be made in conneciion with work authorized by this pertnit, and Ihet no building slrucNre, scattolding, falsework, or demolition or tlismantling thereot, will be more than thirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Calilarnia Atlministrative Cotle). ❑ As owner-builder, I will not employ enyone to tlo work which would require e Dermit from ihe Division af Indusirial Safery, as noted a6ova, unless such person has e pertnii to tlo such work irom the tlivision. Signature: Date: Division of Industrial Satery Pertnit Number. CERIIFICATE OF COMPIJANCE AND AUTHORIZATION OF ENTRV: I cehify under penalty of peryury Ihat I have read this applica�ion and state that ihe informa�lon given is correct. I agrea to comply with ell stere laws end ciry ordlnences relating m building consiruction, entl authorize representa�ives ot ihe CIry of Costa Mesa �o enter upon ihe ebove-descnbed property for inspection purposes. I agree not fo occupy or ellow occupency of any 6uilding authonzed by this permit un�il tinel inspaction. CODE �. 1676 200 201 202 203 204 Sign e Of e ner(s) 1_ ' A d/ Aut�orized AppliCant �ixetl System Final Fire Preventlon Pool Spe Finel Finel Re-Roof Finel BIaWReteining Well Final Factory Fire Placa Final Sign Final Oemolition �g � CODE I INSPECf10N TYPE 206 20B 210 212 220 Final Mechanical Final Plumbing Final Electncal Final Fire Preveniion Final Planning Approval 222 Final Site 250 Final Building/Occupency PA7E .� � U�LS (714) 754-5273 • Fax (714) 754-4866 • www.Ci.CoSta-m030.Ca.US 77 FAIH UHIVt, GOSIA MtSA, GA y"L6Lti Job Address: Suite No Vicinity: 2�`ELDEN AV C Parcel Number: 43926129 Applicant: Address: HALL,DAVE 181 W ORANGETHORPE AV SUITE D PLACENTIA, CA Owner: LUCHESI, JENNIFER Address: 2306 ELDEN AVE COSTA MESA, CA MECHANICAL PERMIT Phone: 714-996-6661 Zip: 92870 Phone: 949-2851718 Zip: 92627 Contractor: ONE CALL TAKES CARE OF IT ALL Address: 181 W ORANGETHORPE AV SUITE D PLACENTIq, CA Phone: 714-996-6661 Zip: 92870 license: 614088 ISSUED BY: StaWs: Applied: Issued: SCOPE OF PERMIT FIRE DAMAGE REPAIR. SCOPE OF WORK TO INCLUDE: REPLACE FIREPLACE, GAS PIPING, 7 LIGHT, 7 5WITCH. REF: 804-00332. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair / All Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sy5 >100 k BTU Gas Pipinq Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan I Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < t0000cfm AirHandlers> t0000cfm Floor Furnace Floor or Suspend Heater 523.50 $0.00 50.00 50.00 50.00 50.00 S0.00 56.15 $10.65 $0.00 50.00 50.00 $0.00 $0.00 50.00 $0.00 50.00 50.00 50.00 so.00 Quantity FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercial I nci nerator Domesfic Incineretor Compres5or5 / Absomlion SYstems Upto3hp/100kBTU 3To15hp/SOOkBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Uplo3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspectlon Fee ISSUED 02/10/2004 OZ/10/2004 Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 $0.00 $0.00 TOTAL CALCULATED FEES $40.30 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Cali(ornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced wlthin 180 days, or ii work is suspended or abandoned for a perlod of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all epplicable codes, and all requlred inapectiona end final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiratlon of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 244&IB (8/00) WORKERS' COMPENSATION DECLARATON: I hereby aflirtn untler penaliy of perjury one of Ihe lollowing tlaclaralions: ❑ I h re antl will maintain a certilicate ot consent to seli-Insure for workers' compensation, es provitletl for hy section 3700 of Ihe Lebor Co�e, tor the peAormence of t�e rk tor whith IhiS p8rmii is issuetl. I have end will maimain workers' compensa�ion insurance, as required by section 3700 ot the Labor Cotle, for ihe peAortnance ot ihe work tor which Ihis permit is Issuetl. My woMers' wmpensation Insurance cerner antl poliry number ere: Carrier: Policy Numbec (This secfion neetl nof be comp/eted il the permi( is velued at one huntlretl tlallars ($100) ar less.) ❑ I certity that in the peAortnance of ihe work tor which Ihis pertnit is issued, I shall not employ any person in any manner so as to become suh�ect to Iha workere' compensetlon laws ol Celilomla, entl a rea I�eI If I should becwne subleci �o the workers' compensation provi5ion5 ot Secll000�� 3700 0� � e Labor Cotle, I 5hall �orihwi�h comply with the�g}uavisions. �f � � I( 0� O� Applicant Signature:� i_ ��_ �«�� Date: � WAFNING�. FAIWRE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL P NALTIES CIVIL Fl ES UP TOONE HUNDRED THOUSAND OOLLARE (E100.000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVI�ED FOR M SECTIIXJ 3/O6 OF THE L480R CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I em Iicensed under provisions of Chapter 9(commencinq with Sectlon 7000) ot Division 3 ot the Business and Professions Code, antl my license Is in tull force antl eNect. Lia k Class # ContractoYs Signetur � __ . Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that there is e conswction lending egency br �he pedormance of ihe work lor which this permit is issuetl. (Sec. 3097, Civil Code). Lender's Neme: Lender's Address: ' Signature: Date: OWNER-BUIL�ER OECLARATIONS: I hereby eHirtn thet under penalty ot perjury thet I em EXEMPT FROM 7ME CON7RAC70RS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business an0 Professlons Code: Any city or county which requires e permit to constmct, elter, improve, demolish, or repair any strucNre, prior to its issuance, also requires the epplicant tor such permit to lile a signed sletement Ihet he or she Is Ilcensed pursuem to the O�a��sions ot the Comractore License Law (Chepter 9(commencing with Section 7000) ot Dlvlsion 3 ot ihe Business and Prolessions Code) or that he or she is e:empt �hereirom and the basls for the alleged exemption. Any violation of Section 7031.5 by any applicant lor e pertnit subjects tha epplicant to e civil penalry of not more then five huntlreC tlollars ($500).): ❑ I, es owner oi the property, or my employees with wages as their sole compensetlon, WILL DO THE WORK, and the swqure is not intenGetl or ofleretl tor sele (Sec. 7044, Business and Professions Coae: The Con�ractors License Law does not apply to an owner of property who builds or improves thereon, and who tloes such work himseit or hersetl or thwuqh his or �er own employees, Drovided Ihet such improvemenis ere not Imended or oHered for sale. If, however, the builtling or improvement Is soltl within one year of completion, the owneabuiltler will have the burden of pmving thet he or she did not build or improve for purpose oi saleJ. ' ❑ I, as owner oi the property. am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, 8usine55 and Professlons Cotle: The coniractors License Lew tloes not apply ro en owner of property who bullds or Impmves thereon, and who coniracts for such pmjeci with a conirecior(s) license pursuant to the Conlractors Licensa Laws.). ❑ I em exempt under sec. Signa�ure: Owner ID verilied by drivers liCense. ❑ Yes ❑ No Business antl Professions Coae for this reason: Verification of Ownership by (type ol document, i.a. - propeny tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Drivers License No. Data: E:pires: ❑ I hareby certify thel no excavetion five (5) or more leet in depth into which a person is required to tlescend, will be made in connection with work authorizetl by Ihis permit, antl that no DuilCing siructure, scaHoltling, falsework, or tlemolition or tlismantling ihereof, will be more ihan ihirry-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 347, Title B, Celifomie Administrative CaAe). ❑ As owner-builder, I will not employ enyone �o do work which would reQuire e permi� irom the Division ot Industnel Safety, 05 noted ebove, unleu SUCh per5on hes e pertnit to do such work tmm Ihe divisi0n. Signature: Date: Division of Industnal Safery Permit Number: ICERTIFlCATE OF COMPLIANCE AND AUfHORIZA710N OF ENTFiY: I certity under penalry of perjury that I have read this application and state Ihat the infortnation given is I correct I agree to comply with ell stele laws entl ci�y ordinences relating Io building consiruction, antl au�horize representaiives ot Ihe Ciry ol Coste Mese to enter upon the above-descnbed pmperty lar inspection purposei. I agree not to occupy or allow occupency of eny building authonzed by Ihis permit until finel inspection. � Sign tu Ot �Y(�vner(s) v A NOr Authonze Applicant COUE �, INSPECTIONTYPE 1616 Fized System Finel Fira Prevention 7266 Pool Spe Final 200 Finel Re-Roof 201 Final BIacWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition Q�¢, �$ 4Q� INSPECTONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Preveniion 220 Final Planning Approval 222 Final Site 250 Final BuiltlinryOccupency 3•au�oH � (714) 754-5273 • Fax (714) 75a-4856 • wv+w.ci.costa-mesa.ca.us 77 FAIH UHNt, GOSIA MtSA, GA 926Lti ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: ApplicanC Address: 2� •1,366 ELDEN AV C 43926129 HALL,DAVE 181 W ORANGETHORPE AV SUITE D PLACENTIA, CA Owner: LUCHESI, JENNIFER Address 2306 ELDEN AVE COSTA MESA, CA Phone: 714-996-6661 Zip: 92870 Phone: 949-285-1718 Zip: 92627 Contractor: ONE CALL TAKES CARE OF IT ALL Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 unifs) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors to 10hp MOlors to SOhp Motors to 100hp Motors over 100hp Communicatlon drops Sub panel to 200a 181 W ORANGETHORPE AV SUITE D PLACENTIq, CA Phone: 714-996-6661 Zip: 92870 License: 614088 ISSUED BV: Status: ISSUED Applied: 02/10/2004 Issued: 02/10/2004 SCOPE OF PERMIT FIRE DAMAGE REPAIR. SCOPE OF WORK TO INCLUDE: REPLACE FIREPLACE, GAS PIPING, 1 LIGHT, 1 SWITCH. REF: B04-00332. 523.50 So.00 $0.00 $0.00 $0.00 $0.00 $1.10 $0.00 $1.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 0 1 0 t 0 0 0 0 0 0 0 0 0 0 0 0 FEESUMMARY Temp Dist System / Lighting Busway/100ft Sfanding Section Misc Electrical Equipment Trans(ormers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Voll Wiring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or nde) � Circus (mech ride or lights) Christmas Tree Sfand Fireworks Sland Other Electrical Fee Investigation Fee Plan Check Fee Quantity 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 D 50.00 D 50.00 0 50.00 50.00 50.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12•21-92) EXPIRATION: This permit shall automatically expire and become void ii work is not commenced within 180 days, or if work is suspendetl or abandoned for a period of 180 days. INSPECTIONS: In order for lhe work authorized under this permit to be considered legal, such work must comply with all applicable codes, end all required Inapeetlons end final epproval must be obtained. Failure to obtain inspections and tinal approval will result in the expiratlon of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 zaaae �aroo� WORKERS'COMPENSAnON DECLARAnON: ' I hereby attirm under penalty ot perjury one oi the following declarations: I have and will maintein a certificate ot consent to self-Insure for woBers' compensatlon, as providetl for by saction 3700 of Ihe Labor Cotle, tor the performence of the wo or whic� t�is permit is issuetl. have antl will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for Ihe pertortnance ot ihe work tor which this permit is issued. y warkars' compensation Insurance carner antl policy number ere: Carrier: Policy Number: (This section neetl not be comp/eted il fhe pertnit is velued at one huntlretl tlollers (S 100) or /essJ ❑ I certity Ihat in the peAormance of lhe work for which this permit I5 issued, I shell not employ any person in any manner so as to become sublect to ihe workers' compensatlon laws of— Califor�, and agre th If I shoutd become subJed to the workers' compensation pmvislons oi Sef,tlon 3700 I ihe Labor Code, I shell forthwlth comply with e p �sions.�/ / y/ /`� � Applicant Signat r�a�.,..' / Y Date: �� ([ v�r�' 1/ WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAOE IS UNLAWFUL ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIV FWES UP TO ONE HUNOFED THOUSAN� OOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAM4GES AS PROVI�ED FOR W SECTION 3]Ofi OF THE LABOR CpDE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby ePorm that I am Ilcensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Busineu and Pmfessions Cotle, antl my license is in tull �OfCB 9ntl BflBC�. LIC. M Clau M ConlractorsSlgnaWre n_ n..�. �� Date: . �' /!1 /{1 / CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm that Ihere is a consiruction lending agenty for the pedormance ol ihe work for which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Landefs Atltlress: SignaWre: Date: OWNER-BUILDER DEClARA710N5: I here6y aHirm thel under penelty of perjury that I am EXEMPT FROM THE CONTRAC70RS LICENSE lAW for Ihe tollowing reason (Sec. 7031.5, Business antl Professions Cotle: Any city or counly which requires e permit to constmct, alter, improve, demolish, or repair any stmcture, prior to its issuance, elso reQuires the epplicant for such permit to tile e signetl statement that �e or sha is licensetl pursuant to the provislons of Ihe Contractors License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 of Ihe Business and Professions Code) or that he or she is e:empt therefrom entl the basis fo� the allegetl exemption. Any violatlon of Sectlon 7037.5 by any applicam for a permit suh�ects �ha epplicant to e civil penalry of not more then tive huntlrea tlollars ($500).): ❑ I, as owner oi Ihe property, or my employees with wages es Iheir sole compensetion, WILL DO THE WORK, end ihe swcWre Is not intendetl or oHered for sale (Sec. 7044, Buslness and Profeuions Cotle: The Conirectors License Lew tloes not epply to an owner of properry who builds or improves thereon, antl who does such work himselt or herself or ihrough his or her own employees, provided �het such improvemenis ere not intended or offered for sale. II, however, the building or improvement is sold within one yeer ot completion, the owner-builder will heva the burden ol proving that he or she did not build or improve tor purpose ol saleJ. ' � I, a5 owner of �he property em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS �o wnsiruct t�e O�oject (Sec. 7044, Business and Pmfessions Cotle: The contracbrs License Law tloes not appy to an owner ol property who 6uiltls or impmves thereon, and who contracis for such proleci with a coniractor(s) licen5e pursuani lo the Con(rec�or5 License WwS.). ' ❑ I em exempt under sec. Bu5ine55 end Professions Code for ihis reason: Signature: Date: Owner ID verilietl �y tlriver's license. ❑ Ves ❑ No DnveYs License No. VeAtication ol Owners�ip by (type of tlocument, i.e. - property tax 6ill or tleetl�: Expires: DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: ❑ I heraby certify thet no excavecion tive (5) or more feet in depih into which e person is required to descend, will ba mede in connection with work autharized by this permit, and that no building structure, scaflolding, talsework, or demolition or dismanlling thereol, will be more than ihirty-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Calitomie Adminisirative Cotle). ❑ As owner-builder, I will not employ enyone to do work which would require e permit irom ihe Division of Industriel Safery, es noted ebove, unless such person has e pertnit m tlo such work trom ihe division. Signature: Date: Division of Industnal Satety Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler Denalry of perjury that I have read this epplicetion end state that the information given Is correct. I agree to comply with all stale laws antl ciry ordinences rela�ing to builtling consiruction, antl authonza representa�ives ot ��e Ciry of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not Io occupy or ellow occupancy of any building authorized by this Dermi� until finel inspection. /1 Signe)Gre O wnar(s) (��'�4 m �Authonze Applicant LOOE I. INSYECTIONTYPE 1616 Fixetl System Final Fire Prevention 7266 Paol Spa Final 200 Finel Re-Rooi 201 FInaI BIacWRateining Well 202 203 Final Factory Fire Place Final Sign 204 Final Demolition Q�fi �� CO�Et INSPELTONTYGE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupenq D�re I[�dL9 �� CITY OF COSTA MESA ' - 'CONSTRUCTION PERMIT - AVD��cant to fill In all iDaees axeept t�osa wlt�in �eavY �orAer Iinas an0 sign all approoriate Eaelantlons. � PE MIT NO. ACT NO. LOT NO. BLD . �� —/D �o �� 3 s€. 1 ' � Appllcent's Melling AddIe55 '� r/PE OF CONSTRUCTION � NEW ADD AL ERATION . REVAIR Project Address 2�Z GLD61V f�"VENUE ❑ CONVEHSION ❑ DEMOLjSM ❑ �T�� R " OWnef a NemO ��/��p p�� °hone �J61'T� DESCRIPTION OF WORK ��-� �l� Address �1V ? t tJ�CP�I=A'!fL R,��1- �Y 2�I<% n%.� �ZE.(�O � � . � . . C C� 35C�1 TVPE OF PERMIT GRA�ING FOUNDATION TRUCTURAL �A. P.'qp ArchlEng. �N Y.ED , FLFib. AK[11filTLLS ICCnie No. ❑ TENANT ❑ ELECTRICAL PLUMBING. ❑ MECHANICAL ' PLNG. RE .# AddfeSf� O .G E O,�OTHER � TO BUILDING ✓�i � • G,l� P Vh iK '/ 9/J� PRQIECT DESCRIPTION 5� FT � BSO OCCUPAN Z-� - PE V LII Contracror s Nem 's-� � � �^"�'L , � � CL�S �✓� �/,�--+"'[S/OO''��✓( CONSTRVCTIONTVPE �N ' ' VALUATION$�� EFTSIDEVARD Add�eislmelfn8) �� , ZON$ R'Z-' � GRADINGCU.VDS. � 'ACRc�. — PKG.SPACEREQ. a LicenseNo. �=1�Z_�,��/ r� O�� n �� g/ �2 STREETWIDTH LICENSED CONTRACTOR DECLARATION Ramarka: . ,�p .n �, 1 heraby a1ll�m that I am Ilcensatl untlei provislons of Charte� 9(commancing ' wltn sectlon 7000) of Dlvislon 3 af the Busineis anG Professlons COGe, anC my Ilcensa Is in full fofte ntl e}1ect. ' ..��""pp�� p� �/ Llwnse Class � �- � n�s�g Nq,�bc_C.L= ' Date ��/- 1�. Slynat a -�,c_t��-+� e�� WORKERS' COMVENSATION D LARATION ' . � hereDy aHi�m that I have a cart flwte ot consent to 5eH-Insura or a tertlfiwte �"' Workers' Cortipensation Insurance, ov x certHietl coDY�thereof (Sattlbn � ;Y00. Lab. C.) . . .�. � PoIICY No. '?'�%172 ,�� ComPanY ��TCf'V.�� B Certlfletl�copY �s �ereby turnlsneA. ' ' Cer[HI coPY 6 fl�ptl wit� tryg'�y� i Divi P� �/j� Date .i0 4 ' APP�1�•+t � ��//�� EXE PTIO ROM WORKERS'COMD NSATION-DECLAg TION� � I ssjs sectlon neatl not ba tom0� tetl ibf�e parmit is foi ona hGntlreO (5300) or ' / I certify,tnat In the per/orm5n<e of t�e work for which thi� perriiR I5 issuetl I snall not amploy any person in any mannar •zo as to Decome sub�ect to t�e Workers', ComDensatlom l.aws of California. ' � � , Date - � � �I9natura � ' � NOTICE: If, after makin9 this Geclara[lon, you ihaultl become,suE7ect to the Workers' Compen5ation provisloni of .the Labor COCe, you must forthwith � comply �wit�' such provlsionz or this permit . s�all ba �tleematl revoketl. I CONSTRVCTION�I.ENGING AGENCV. : -. '. � ' • �' . 1 ' � : I �ereby a}tirm that there is a constructlon lentling agency for Ihe' performance ol the +work for w�ich this; De�mij I5 � isiuetl „(Sectlon .3097 Civ. C:�_ , L.enAer's' Name , - � ' LenOer's Atltlress �, ' - OWNER.BVILDER DECLARATION - � ' ' � I hereby� aHirm th5t I am oxempt frorti the Contractor's�Licansa Law for tne . followino reason ISectlon 7031.5'Bu5lness antl ProfesslonaliCotle: Any clty or � as owner oi ine propercy on' m5ation wm ao cne work, and ile (Sec�lon 7044, Business a� e Law Coes mt apply topn �ow m, antl who tloes such work h Y805, provltletl that such.imprc f, �owever, the bulltling or Im� n„tne ownar�wlll have'tne bur< forthe purpose of sale). ! 5s owner of the property,.am e rs to construcl the pro�ect ISett :ontractor's Llcense Law-does o� Improves tne�eon, antl whi r(s) Ilcense pursuant to the Con m'exempt unUer Sectiou � i ' '� Owner'_ :by certity that I hava,reaC tl natlon is mrrect. I agrea to co� �ate laws relating to�uiltlln9 c �ive enter up '.tl OurposeL � ture rs' LlcenS r55 $ /� � CMFO865-06 Bar Si�k; Backtlow Preventer , � Beckflow Irrigation Bathtubs ' : � ; Clarifiers � � �, Dishuvasher , - - - 1 - Drinkinc Fountains ' ' >r Sinks ' ' � Service� I 'Outlets' ' rceptors . � � �.hemSink .�' - etories ' �^ � . raP� i - �f,Drains ' n ]000) ot - : . i ; - .-is enempt ' Showers _ - -- Lof Sectlon . : . " . . 'to a civit � Service Sink i r: ' - �,s their sole ' i or otfere0 '• � - r � '_ - ,ontractor's �, , � � ,_ or improves � goiler - . or har own ' 3s are not Inlentletl or oHarad for - � ent Is soltl witnin one yearof com- Duct - Under Ground - proving he/s�e AIA not bulltl or Im- , Duct - S[ructural . i ✓ery contractln9�with Iicensetl con- � � 44, Businazs antl �rofa551oM Cotle: Duct - Ventilating : �! ipry to an owner of propar[y wno ' . �acts tor sucn pro)acts with a cbn- �� Exhaus[SVstem ❑ MWtiple ❑ 's License taw)[ '� , 1 � -- B. S P. C. tor this reason � Fi�epl/Pact. Blt. IC80 � � + 1 Heating System & Ducting , efcat�on antl sAate ttiae„tbe above..; �61W,OOO,BT,U.0100,0006T a BuilCing; Canary'= 1 ...._ __ I 7 ' /✓ � .. I � I Fegisters Pink'-Actountln9;Goltlenrotl-Assessor' -' nouw Sewer Cap � ', - Sewer Connection' Solar�Collectors ' Soler Piping , . Sofar Tank . -' ' ' �Urinal' . �" _ Weter Closet� � � ' Weter Heater. . � �WaterService � 3 . . � ` 1 . � � ` �� Reinspec[.ion'Fea' .. � ' laua Fee "� � , iANICAL � / ` . Refrigeretion System ! ❑0.100,OOOBTU ,�100,OOOBTU Sys[em Repair'/Alteration � Reinspection Fee� laue Fee � I Automatic Washer f�L' � HOLD FOR S S .�/� V-✓-`'� � z�ea iizaie4 � .�S^�,7. REAR VARD (TO P/U . RIGHTSIDE VAPD � ___ �._ PARK FEE'$ � • Construction Pole � � Sub Panel � . Cooking Unit ' � Sub Poie � • � Dishwdsher � , ' Motors O04 HP ❑1'h$ - . , • -- Dryers-�Gas•�Electric�'• -Inc:Solar`�9-15MP �16-15+ ^� r _� ' �. Fan � �.Microwave � � . . � F.A.U. ' ' ' � ' �Pole�Light � ` � ._.{ Fixtures ' . � Range �. � . Device Boxes�. � ' � �Sign' � � � � Outlets . , ' , StandinaSections � , ' . � + .. 3 � $15 _ S 3 0 � ' � Trash Compact DispOsal . I ' . � , . - Generator OOcS KW �5-15 KW ' '� � - � Transformer 015-50 KW � � i � . � �5U � KW� Reinspec[ion Fee . 575� Meier ❑up to 100 amps ' .Isue Fea ' �$ 3 Zonine APProved By ' '� pate Appliption Approved By � , ' �ate APPlirrtion Issued 8Y . � Date 1 . � � • • q � GS�U/MM�ARV OF FEES � 2 /y "BUILDING PERMIT $ � SMIP � $ -��Z PLAN CHECK $ PERMIT � I � .�PLUMBING � $ ! � ' ISSUANCE� � $ � PLAN CHECK , $ ' GRADING ' $ � ELECTRICAL $ ' � . j � � $�) 'PLAN CHECK , $ � � � � MICROPILM ' $ �� MECHANICAI $ � TOTAUFEE � $ , PLAN CH�ECK � $ ' LESS I ' � � . � ADVANCEDPC $-' ' ' � � � ' FINALFEE $�� d ' _� CONSTRUCTION AND P,L9NNING „ ..: � ` _ ' -, � � � ' � - - --. _ _ POOL-. .'A . - . , - . r �' � ^: 0�4� �� Date� � InsP�?or._ ' � ' `. - ' � � Date- In ector' : - _:APPROVALS� Peimit#; - _ . , . -��APPROVALS' � Permit•#E _� I � � �, . . . � _ , " �7.,Temporary Electrical SerJice.or Pole y - '-' ,. ` ' = ;52. Pool�&�Equipmerit Location � - . � - - " �2.; Soil Pipe-Undrgrnd'. _ �' ; ; =' � ' � � � °.>'i ' 53.�Steel'Reinforcement� � - ' � � ' � . � f - <3.,Electrical Conduit Utilitv-Undrgrnd. � �-�z'�: - � 54.�.Forms' � _ - - : ��_ - � �. � ' ' c4.�Electrical Conduit-Undrgrnd.,: _ - �, _ _ � : � '55. �Electrical.Bonding- � .. � -, ' '�5. Steel Reinforcement " � " � ' i �.� � . ;56. Rough Plumbing &`Pressure Test- . - ' � � .3� � 6. Electrical UFER Grnd. ' � � 557'. APPROVAL TO COVER-GUNITE 7.� Footings , � , . tl . ; F � - 58. �Electrical Conduit-Undrumd. . - - ' S.j Foundation � � ' � 'o -� =� " a � I � , Y ' -'B � 59. Gas Pipe; � Undrgrnd., Test � - � 9.��WatGr Pipe-Undrgrnd. � , ' . � �. � �-� _' � �60. Backwash Lines, _P.-Trap, O Undrgrnd. � 10.i Siructural ,Floor System I �_ : a • 3• �'y �; �% , 61. 'APPROVAL TO DECK- �' - i 71.' Pioperty Sewer Line & House Connection _ ;; ' ` ` .62. �Backwash & Receptor-Pinal. � - � � � e� � � - . � 72.,SewerCap, ; , , � '"63.�Heater&�Vent-Final ' `:; 13.� Roof Drains � '� � � � _ - � ' " ; _64. Plumbing,System - Final � � � _ 14.i Rough Plumbing -- �' - y-65. Electrical-Final - =15.Rough�Electrical-ConduiY�"�--,�-� ' r'" --, �-- �66�SolarSystem-Final --"�-�'" '- '�' -� � 16. Rough Electric Wiiing � �' � �Y---'-' • , ' _ - � 67.-Fencin �& Access A � � - - - � �,• .i i .. I � � 9 PProval.� _1�. Rough Wiring Sigri'. ' .� � ^ � ' • . _ '- � _ . r - � . ' gg. APPROVED FOR PLASTERING . � � ' . ` 16. Rough Electrical-T Bar Ceiling �� '� ' c I�� '' ��., ; 69. POOUSPA SYSTEMS FINAL - 19.� Rough Heating & Air Conditionirig �_ � : I : � ! �. I . � � FI�RE;DEPT. REQUIREMENT , - . 20: Rough Factory Fireplace � ' �; ;i ' � ; � . APPROVALS � Permit # �� 21:�Ducts, in Structure -' � • ;� � � � � � � � 70. Underground Hydro - . • � `� � �:.22:�Ducts; Ventilating" �; . � - I ;� �� . � � �71. Pioduc[iPiping�OGas ❑Oil ' ' `�23:'Gas-Pipe-Rough & Test^ I � '� � �j � I � � � � � �� 72� Underground Flush � � ' 24. Roof Fraining � ' � � � �.; I�<, ' : � :z� .� -�� B ' � - 93. Undergmd. Storage Tank�O Gas ❑ Oil � 25 , Roof Sheathing , i .: ' ' �;i �� ' ` � ��, � � � �'✓l, � ' 74. Overhead Hydro - ' 26. T-Bir Ceiling-IStructural�,&�Monocoat ; ` � , �" , r , � 75. Dry Chemical � . � ` � • 27: Frame and Flashing ' � � I ' I � � � - � 76. Dry Standpipe� � � - 28. Lathin & Sidin ' � � �� ' 9 g ; �, , , � ' � 77. FIXED SYSTEM FINAL , 29. Insulation�� `�°- �� , � ti3•L•�-Gy�, i 78. FIRE PREV. EINAL . � - - � •- ..+�� - j� , : � i - . � 30.�Drywall Nailing -;� • � ' ,3•�•�4 �'.�_ , Notes: � ' J I p _._ _ � 31'. Plaster Brown Coat�' � � � �i ;I � � t � � I � ; � � i � � -_ . . _ ' � i 32.' Electrical Power MeterFinal �� ' � � � � � � I � i , ? �/ /� Sa-( � �' � � � 33. Final Electric i ' �, - ' � ' ' � � �_ , i 34. Final Heating &�Air�Conditioning�'~! � �� ' ' "Y � 35. Final'Gas Pipe-Teit= 1,: � �' r. � ' �� - � : ' I � 36. Hood orCanoPY� `� •., , � ' 7 " - . ` 37. Final•Factory�Fireplace� �; o� ' ;-` � �� 38. Final Plumbing � ^ � ; � !� � = � ! � � l � 39. Water Service-Final I � ,' � � � ' i - 40. Gas Service�Final � i I ,� � � � � i � ' r. � 41. Solar'DomesticFinal � � � _ _ _�,_+ �+_ �� -- _ � � � � 42. Backflow Pieventer- � i+,' f'.�� i � � u� - - - -- - ' - � � i'.�.+, i � �,`I.: , �.. i �: .: � � � � 43. Backflow Irrigation; � � i . � ' � �.., `- � 44. LandscaPe Irrigation SYstem � I yy' = � `: � � I . ' � � yl �` � : � . ,� . � , � _ . � 45. Sound� Attenuation; � � a � i � � � . � � ' : _ • � 46. Hand�cap Regulations� � ^ � � . w - � ;' � � � ' 47. FINALSTRUCTURE&BUILDING; �.- � , � � , , � ' 48. Special Requirements;Completed , � , - , � . 49. Electiic.Releaseto Edison � �. �_ _ _� � _ . _ '_ _ _ . _. . � � 50. Gas Release to Southern California Gas�.Cv � � ! '� � � � � " � 51. CERTIF,,ICATE OF OCCUPAN`�. - - - - - . - , No /?/9� �'.D �a � � �Date � di _S� ` ' ' � . Ci1y of Costa Mesa Development Services Oepartment Building Safety Division P. O. Box 1200 Costa Meu, California CERTIFICATE OF OCCUPANCY No.�1��.�v�0 The Building located at �Zn� ri..,,. F�fb�T�M u i♦ r� has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group �t—t Occupancy. Use of Building ODTIdQRlY17.lIIn Legal Description �•P• fi�439-261—01 (See reverse side tor Metes and Bounds) Building Permit No �s-10644 Electrical Permit No.E-10844 Plumbing Permit No. P-10739 Mechanical Permit Nof�� 14'2H.M1 2-i2'� Number of apartments and/or guest rooms ISSUED T0: BuildingOfficial ✓. C- /U /�c 231iD Partnarani p �' /,� ; '� by .//_�i �� —:':tii �"l Cozvorate Pla�a ir290 i`3ecaoart B�ch, Ca. � //' � Date G� � � r S- This Certificate of Occupancy SHALL BE posted in a eonspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Meu under Sec. 307 (e) U.B.C. � CMF 1015-46 rev. 1/83 Whire - Owner; C2nary � Numerical Pile; Pink - Bldg. Permit File AOPlicant to fill In all spaces ezcept those within heavy Oortler lines ana si9n all appropriate tleclarations. CITY OF COSTA MESA CONSTRUCTION PERMIT Project Address %� x� � r—��!�% 5/ '�� ApplicanY�s �Mailin Addres - � � Owner's �m�e� � '�s ��l Phone�l�' �/r� d Address a'- � s�'�OcXQRi�' ��T� 7/ r'""� Arch/Eng. �icense No. Address Z Contrecror's Nam /5 ��j � �� n�� Address (mailing) / p^ City �icen5e No, �� LICENSED CONTRACTOR OECLARATION � I nereby affirm that I am Iicensetl untler provi5ion5 ot Charter 9(commentlng wfth zectlon 7000) ot Divlsion 3 ot the Business antl Professlons Cotle, antl my Iicense is in full force ay¢�2ffecj, � �� Llcense lass �-� GP� � Date �—Z SIg t WORKERS'COMPENSATION DECLARATION ' hereby.afflrm that I have a certi(Icata ot consent to self-Insure or a cerciticate Workers' Compansa[ion Insuranca, or a certlfietl copAy theAre'of (Setti�o/n .00� LaC. C.)7_ .1,1! � ComPanY �/��1//• /f�/i!%Gf�/� PalicY No. � L2Y� �CertlfleC capY I5 hereby furnisnetl. CertlfletlS9p y}5 (i tl with the city Bulltlingj 2f/� ' Date 2'LZ'rY�� APPlitant �6Y4C��< . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This sectlon neetl nat ba completetl If the permit is for one huntlred (5100) or lass). I certify tnat in the performance of the work for whith this perm�t is issuetl I shall not employ any per5on in any manner so'as to become subject to the Workers' Compensatlon Laws ot Calltomia. . , - Oata Si9na[Ute NOTICE: If, after making tnis tleclaration, you 5houltl become subject to the Workers' Compensacion provision5 ot che Labor Cotle, you must forthwith comply wlth such.pYOVI5iOn5 or�this permit'shall be tleBmetl� revoketl: CON5T0.UCTION LENDING AGENCV - I nereby afflrm Ihat tnera Is a constructlon IenGing agency for the performance af the work tor which. [his permit Is issuetl _(Sectlon 3097 Civ: CJ Lentler'S Name. � tantler'S Aatlress. � � � • OWNER BUILDER DECLARATION � ' ' ' I hereby afflrm�that I am exempt from [he Contrac[or'i �License Law for the 11:5 by any applicant Tor.a permlt subjects,the�.appllcant to a, civil alty of not more than five huntlretl tlollars (y500): • . �, �-� I, as owner of tha!property or�my employees�with wages as their sole ipensatlon, will�tlo the work, antl the structure is not intentletl oi ofteretl 0 tnereon, ana wno aoes surn worK'mmsert/nersan or [nrou9n nis or nar own employ ees, proviGetl that such Improvements are not Intentletl or oHeretl for sale. If, however, the bUiltling or imptavement I5 SOItl within one y¢dr Of com- pletion, the owner wlll have ,[he burtlen of proving he/sha tlitl not builtl or im- �rove for the purpose of sale). . ' '- ' � I, as owner ot t�e Droperty, am excluslvely contractlng�with�llcensatl con- tfdCtOlst6 coOSVUCt tFle ploject ($Bction 7044,.Buslness.antl PrOfe55Ion5 CotlB: The Contra<tor's LI<ensa Law d085 not apply to an Owner of property who bulltls or Improves thereon, antl who contracts for such projects with a con- tractor(5) Ilcense pursuant to the Contractor's Llcense Law): . � ❑ I am exempt unEer Sectlon � B. 6 P. C. fo� thi5 r<d50n . � Date ' � Owner � ' � - • I hereby cartify tM1at 1 hava-reatl thls aOPlicatlon�antl state�that�the abova Information Is <orrect. 1 agree to comply wlth all <ity antl county ortlinances antl•state laws relatin9 to builtling constructlon, and hereby authorize re0re- 5entativas of,thls�cit er upo e above-mentlonetl property for Inipectionpurposes � dSeZL2 ' Slqnature Orivers' License or 55 � CMF 0865-46 rav. 12/83 White - Builtlln9; Canary - Appliwnt; Plnk - Accountl /tq -//� 3 � TYPE OF CONSTRUCTION ,O CONVERSION ❑ DI DESCRIPTION OF WORK �r , �. I�J NEW IJ AOD IJ ALTERATION LJ REPAIR — �LISH ❑ OTHER q�p. # S Maid'Building: E TVPEOFPERMIT LJGRADING FOVNDATO � STRUGTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING �v1ECHANICAL 6 Rea� ' ❑ �OTHER ^ � A PROJECT DESCRIPTION 5(�. FT. OCCVaaNCV C Right K Left CONSTRUCTION TYPE VALUATION $ $ ZONE GRADING CU. VOS. ACRES Ping. Ref. # Remarks: . � �Q Parking Req./Pr< � � Use of Building: , PIUMBING FEES Planning Notes: 8ar Sink Backflow Preventer Bathtubs �snwn>uei . . rinking Fountains loor Drains loor Sinks as Service Outlets Showers Service Sink " SewerCap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa -Urinal - Water Closet • Water Heater Kitchen Sink � � �Wa� Lavatories • •. ' ' - � P—Tiap' - � - Roof Drains " � - Reinspec[ion .Fea . �$25' Boiler , ' Duct-Under.Ground Ouct-Structural , � Dutt-Ventilating _ �_ _ Ezheust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # � Heating�System & Ducting ; / - 6100,000 BTU �100,OOOBT � I Reinspectio� Fee I $25 Goltlenrotl - Asussar _� Issue Fee ' Hood or' Type l � Canopy Type 11 ❑ Refrigeration System , ❑0.100,OOOBTU ❑100,000 System Repair/Alteration Issue Fee Automatic Washer Construction Pale Sub. Cooking Unit � Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fiztures Device Boxes Outlets 4695 2/22/84' ' � Zone - Accessory Building: Park.Fees $ ELECTRICAL Trensformer ❑ 15-50 KW ❑ 50+ KW Garbage Disposal Generator �0.5 KW 05=15 KW � g 3 : Reinspection Fee ' �• $ FEES � ,� . PUBLIC SERVICES REQUIREMENTS: Zoning Approved By ' Building�Approred By �T� $ 3 Meter LJup to 700 amps Mete� �overt00amps Sub Panel' � Motois'O0.1 HP Oi % � 8 " �Inc.Solar �9-15 HP 016-15+ Microwave . Pole Lighf ' � Range � Sign. . Standing Section� �Trasti Compactor luue Fee n t6e75 TL O N I N G R E � U I R E E N T FEES �.� � SUMMARY OF FEES - ' � � BUILDINGPERMI7 $ SMIP� � $ � . � PLAN CHECK . $ � PERMIT � PLUMBING �$ � ISSUANCE $ PLAN CHECK 25% :$ � ENERGY P.C. �$ ELECTRICAL ' $ GRADING $ � PLANCHECK 50% $ ' � MICROFILM $ _� MECHANICAL $ � �� TOTALFEE $ /G,7.S PLAN CHECK 25% �$ .`�- - 7S � , '�CONSTRUCTION�ANDPLANNING .' . • POOL. A . � -� Date Inspector - - Date ' Inspector � - APPROVALS � Permit # AP.PROVAL& Permir# - _ _ , �- 1. Temporary Electrica� Service or Pole _ 52., Pool & Equipment Location '`• . - �� _ <'- r � f2. Soil Pipe-Undrgrnd.' � � � 53: Steel Reinforcement`�: � : � �� ' '' � � ' • 3. ElecVical Conduit Utility-Undrgmd. . � - 54. Forms � * , �� " 4. Elecvical Conduit-Undrgrnd. � 55r� Electrical Bonding+ _� � - - ' " � ' �� _ 5. Steel Reinforcement �' . 56, Rough Plumbing�& Pr'essure Test � . � .: „� 6: Electrical UFER Grnd. � 57'.� APPROVAL TO�COVER-GUNITE. - � ,_ .�.. 7. Footings � , . � 58. Electrica6Conduit_Undrgrnd: � � � 8. Foundation ' ` • �� . ; 59. Gas Pipe, O U�drgmii:, Test �•+^ �� 9. Water Pipe-Undrgrnd. 'J � , � 60. Backwash Lines,.P,Trap,'0 Undrgmd.�. ,. '�: 10. Structural'Floor System ; . � 61. APPROVqL TO DECK -� �, - ' 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final . I 12� ?e�^'ef �P � , _ 63. Heater & Vent-Final . � . � 13. Roof Drains , . �64. Plumbing.System'; Einal-c, - • � � , ,� 14. Rough Plumbing � . - 65. Electrical-Final' - - •� � - � � - � � � 15. Rough Electrical-Conduit 66. Sola� System-Final "' - -' - "- ' -'� � " "'i"' "' 16. Rough Electric Wiring 67. Fencing &•Access Approyal +--'- -- ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � - - 18. Rough Electrical-T Bar Ceiling ' 69. POOL/SPA SYSTEMS:FINAL '- '�� ,- 19. Rough Heating & Air Conditioning �� y FIRE DEPT.;REQUIREMENT' ; �� ,, 20.� Rough Factory Fireplace � APPROVALS, � Permit #' . i 21. Ducts,in Structure • 70.' Underground Hydro ° . - ' ' I . 22. Ducts, Ventilating 71. Product Piping OGas;;��0i1 � � - . , t 23.'Gas Pipe-Rough & Test . 72. Undeiground Flush ' � , ' ; ' � � 24. Roof Framing ', � . . �� 93.' Undeigrnd. Storage Tank�� Gas ❑ Oil� _ , ' � � 25. Roof Sheathing � 74. Overhead Hydro , - '-� ; , � i 26. T-Bar Ceiling (Struc[ural) & Monocoat 75. Dry Chemical ' � � � ' - 27. Frame and Flashing 76. Dry Standpipe ' � �� '� 28. Lathing & Siding � 77. FIXED SYSTEM FINAL \l ''' � 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing . �HEALTH DEPT. REQUIREMENT' � 31. Plaster Brown Coat , 79. FINAL INSPECTION , . , 32. Electrical Power Meter-Final . 80. FOOD CERTIFICATE ISSUED � � -. `� , - �- . , 33. Final Electric Notes: . 34. Final Heating & Air Conditioning . �� ¢(�/ � � �� . 35. Final Gas Pipe-Test . � �� . r < �� : ,; , , � �. � . .. . . . 36. Hood or Canopy , . ; - . . - � 37. Final Factory Fireplace , � � , � � ' �� 'r� ,. ,- ' 38. Final Plumbing � ' , � - � � , . �� .., � � . Water Service-Final � ' . � �� ' � ` � 40. Gas Service-Final - ' . , i � ' � ' ' ' 41. Solar pomesticFinal � � . � � ' � . � - - 42. Backflow Preventer � ' ' _ , , 43. Backflow Irrigation - , , , � � � - - ' ' � , � � � 44. Landscape Irrigation System � . � . � �. , � � ; 45. Sound Attenuation � �� , � � � � ' - . � ,: 46. Handirap Regulations � , ' ! � � ' 47. FINAL STRUCTURE & BUILDING' � ' , �' _i , �. 48. Special Requirements Completed - � , ' � ' � � 49. Electric Release to Edison � � � ' - ,� � �-'- i"-" i 50. Gas Release to Southern California Gas Co �� ' • � � � � �. 51. CERTIFICATE OF OCCUPANCY ' - - r +- ! - - �-- , No. � Date � I • � : ' � . „ , . _ . _ . . . . _ .. . . .;t.-r . � . . _ AOP��ant to fill in all spaces axeeDt those within heavY Doreer Ilnes ane sl9n aIl aoVropriate tleclarations. CITY OF COSTA MESA . CONSTRUCT,ION PERMIT ` ' Project Address Applicant's Mailing Address . Owner's Name ��-i�� —z3� ��pone D��Z' Address � � ( "4JP1Q7�L'!�/'%� i u�' "^ "'" /� . � Arch/En9. � License No. � Address � � ' Contractor'sNameS��'k-�Me�A��l Phone �73 9/9/ Addresslmailing) 3�� r"'nl"'-'us � Ciry �icense No. LICENSED CONTRNCTOR DECLARATION � \I, bereby a/firT lhat 1 am Ilcensetl untlGr provisions ot Charter 9(commfncing with sectlon ]000) of Olvision 3 of [he Business antl Professions Cotla, antl my Iicense is in lullhorc�ana eftect. �yL i' License Class �� ice s �a[e Siqnat � ' WORKERS'COMPENSATION CLA0.ATION ' hereby affirm that I have a rertlfica[e of consenl to sel�-insure or a certificato Workers' Componsaqtion Insurance, or a certifietl' copy thereoi (Section POI��it�Y No. -�-5 / d-��-"�--ComPanY STliT L Rf 1(� � ❑ Certi�ietl copy Is hereby tumishe0. �{ Certifiey �c�Op�,,i�s �filetl wlth [he ' �B' ing iv' ion "Date_ �.�_�— AOPII EXEMPTIO FROM WORKERS• C PEPISATION DEC RATION (This se<tion neetl not be completatl if tne perml[ is for on huntlretl (5300) or less). I certity that in the oeriorman<e of the work tor which this perm�t it issuetl I Shall not employ dny person In any manner So as to bemme subject to t�e Workers' Compensation Laws ot California. Date Si9nature NOTICE: If,�atte� making Ihis tlecla�a[ion, you shoultl become su�ject to the Wo�ke�s' Comp¢n5alion p�ovi5lon5 Of tM1e Labo� Cotle, you must fOrthwlth comply wlth suc� prOvisions o� thls Dermit shall be tl¢¢metl �ovoked. CONSTRUCTION LENDING AGENCV I �ereby afflrm lhat Ihe�e Is a con5lrucfion lentling agency fo� the pe�formdnt¢ of the wOrk for whlth this permlt is issuetl (Section 309] Clv. C.) Lenaer's Name Lentler'z Atltlress OWNER BUILDER DECLARATION I hereby aHirm that I am exempt irom the Contractor'z License Law for the followin9 rcason (Section 7031.5 Buslness antl Professional Cotle: Any tity or county wh1U r¢qWres a pe�mit [o con5[ruct, alter, improve, tlemOlish Or repal� any structure, prlor to ils issuance, also requi�es the applicant for such permlt to lile a signetl sta[ement that he/she is IlcenSetl pur5uant to the prOvisions of tne Contractor's License Law (Chapter 9(commencin9 with Sectlon 7000) ot Divizion 3 of the Business antl Professlons Coae) or that ne/she is axempl erefrom antl the bd5is iOr tne allegetl exemptiOn. Any violatlon of Se[tion 31.5 by any applicanl for a permlt subjects the applicant to a civll nalty of not more lhan tive huntlretl tlollars ($500J. , ❑ I, as owner of the property or my employees with wa9es�as tnolr sole Comp¢nsation, will Ao [�a work, antl the 5[�uctu�e is no[ intentletl or o(ter¢tl for sale (Sectlon 7044, Business antl Professional Cotle: The Contractor's Licenze Ldw tloes not aOPly t0 an own¢r of a property who bulltl5 or ImprOves thereOn, antl who tloes Such wo�k hlmself/herself or througM1 Ms or M1ar own lmploy¢¢5, p�ovitlatl iha[ sucn improvements a�e nof Intentletl o� offe�etl fo� sale. If, however, t�e builtlin9 or improvament is soltl within ona year ot com- platlon, t�e owner will have the burGen ot proving he/she tlitl not bulltl or Im- ��Ova to�the pu�pose of5ale). I, as owner o( lha proper[y, am exclusively contractin9 wltn Iicensetl con- traciors to constru<t Ihe project ($ection 7044, Business antl Prof¢SSioni COaO: T�e Con[ractor's License Law does no[ appty to an owner ot property who builtls or improves tM1erean, antl wno tontracts for such Orojett5 with a con- tractor(s) IIC¢nz0 pursuant to the Contractor'S License Law1. '�. ❑ I am exempt uneer Sectlon B. 8 P. C. tor this r¢azon Date Owner 1 herebvi certity that I have raa antl Signatur ' " Drivers' LI se or 55 � CMF 0865-46 rev. 12/83 �-/�-5�- i - ,. e . TYPE OF CONSTRUCTION- NEW P.DD ALTERATION - REPAIR ' ❑ CONVERSION ❑ DEMOLsIS'H',, ❑ OTHER � q,p, # DESCRIPTIONOFWORK �a.r��-�'T' $-� �0� . . • S Main Building: TVPE OF PERMIT GRAOING FOUNDATI{O�N STRUCTURA� T Front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING (� MECHANICAL 6 Reaf ❑ �OTHER � %� PR0.IECT DESCRIPTION Sci. Fr. oCCUaANCV - C Right K CONSTRUCTIONTVPE VAWATION$ g Left� . ZONE GRADING CU. VpS. ACRE$ ' p�py. Ref. # Remarks: ' O C�L, Parkin9 Req./Provided ' , �Use of Building: " PLUMBING FEES Planning Notes: , Irrigation iking Fountains x Drains >r Sinks Service Outlets Kitchen Sink LdVdtOfl25 P—Trap Roof Drains Reinspection Fee � $25 Boiler Dutt - Under Ground Duct - Structural Duct � Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact.8lt. ICBO #,3/Sif Heating System & Ducting ❑0�100,000 BTU � 100,000 eT � "%� I I Reinspection Fea Canary - ApP��t: Pink - Accounting: GolUenrotl - Assessor $25 Service Sink SewerCap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet � Water Heater Water Service Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Retrigeration System ❑0.700,000 BTU ❑100,000 BTU System Repair/Alteretion laue Fee R Automatic Washer Construction Pole Sub. Cooking Unit�., Dishwasher�,� ; Dryers ❑Gas ❑Electric Fan F.A.U. Fiztures Device Boxes Outlets Switches Garbage Dispoul Generator �0.5 KW 05-15 R170. 4/�6/A4 2one. ^ Accessary Building:_ i Park.Fees $ • ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+ KW Meter LJup ro 100 amps Meter ❑over100amps Sub Panel Motors �61 HP O1 %-- 8 Inc.Solar 09-75 HP �16-15+ Microwave Pole Light Range Standing Sections Trash Compactor 9.0 � T� ' Z O N I N G R E Q U . � R E E T $ 3 � Reinspaction Fae $25 �uue Fee �$ 3 FEES PUBLIC SERVICES RE�UIREMENTS: Zonine APProved By Date Building Appraved By Date� Applintion Issued By- i �� Date '7/Gv/ 07 SUMMARV OF FEES BUILDING PERMIT .$ SMIP $ PLAN CHECK 5 PERMIT � PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ --5— MICROFILM $ MECHANICAL $ �- l� v TOTAL FEE $ �� d $ 3 PLAN CHECK 25% $ � in �i _ _ , - CONSTRUCTION AND PLANNING - . - POOL � A , •-- ' Date Inspector Date Inspector • y:�APPROVALS Per"mit-# APPROVALS Permit# . 1:. Temporary �Electrical Service or Pol¢ 52. Pool & Equipment Location > �.' 2: Soil Pipe-Undrgrnd.' ^'�' 53. Steel Reinforcement � �.. � 31 Electrical Conduii�UtilitY-Undrgmd, 54. Forms . ' 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding � 5c Steel. Reinyorcement ' � � � 56. Rough Plumbing & Pressure Test � 6• Electrical UFER Grnd.' 57. APPROVAL TO COVER-GUNITE� 7. F,botings . • ' . 58. Electrical Conduit-Undrgrnd. , 8. F.oundatlon - 59. Gas Pipe, O Undrgrnd., Test �_ ' 9. Wate� Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. . 10. Structurel,Floor System � � 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final . 12. Sewer Cap ' 63. Heater & Vent-Final 13. Roof.Drains . 64. Plumbing System - Final ' 14. Rough Plumbing 65. Electrical-Final � ° 15`. Rough Electrical-Conduit � -' " 66. Solar System-Final , -'" :16. Rough Electric Wiring , � � 67. Fencing & Access Approval - �; _ _�17. Rough Wiring Sign � � 68. APPROVED FOR PLASTERING . 18. Rough Elearical-T Bar�Ceiling ' 69. POOL/SPASYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT . ' 20. Rough Factory Fireplace ' APPROVALS Permit # � , � 21. Ducts, in Structure � 70. Underground Hydro � , � 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil �, 23. Gas Pipe-Rough & Test , 72. Underground Flush • 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil � 25. Roof Sheathing 74. Overhead Hydro � 26. T-Bar Ceiling (StructuraQ & Monocoat 75. Dry Chemical ` 27. Frame and Flashing . � 76. Dry Standpipe � � 28. Lathing & Siding � . 77. FIXED SYSTEM FINAL � ' 29. Insulation � � 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT . � 31. Plaster Brown Coat � � 79. FINAL INSPECTION �32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED . 33. Final Electric Notes: � 34. Final Heating &"AirConditioning� 35. Final Gas�Pipe-Test - - � . , 36. Hood or Canopy ' 37. Final Factory Fireplace �// �� . ' .- 38. Final Plumbing - 39. Water Service-Final� 40. Gas Service-Final � ' � � 47. Solar pomestic-Final ' ' , ' 42. Backflow Preventer� . . ' 43. Backflow Irrigation� : 44. Landscape Ir�igation System 45. Sound Attenuation � . ' ' , 46. Handicap�Regulations � 47. FINAL STRUCTURE & BUILDING , 48. Special Requirements Completed � � ' 49. Electric Release to Edison � � . 50. Gss Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No. ' �- '' '= Date . . _ AOVlicant to flll in all soaees axcept thosa within heavY DorEer Iines ana siqn all approprlate Eeclaratians. CITY 6F COSTA MESA PERMIT NO. TRACT NO. � LOT NO. BLD . . 35SJ 2/OZIB�1 3i•5� CONSTRUCTION PERMIT ^ f O S�% . Project AddreSS � TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p,# ' Zone � Applicant's Mailir ddreu . jjj �� ♦ � . Owner'S Nam2 � �7�On c�i DESCRIPTION OF WORK S Main Building: Acce55ory Building: Addreu E O TVPEOFPERMIT GRADING FOUNDATION STRUCTVRAL T Front N Arch/Eng. _ LiCense No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear � Address ' ❑ �OTHER A - N Contractor's Nam U/' . 7 E�^cc,, phoR e ` ` � PROJECT DESCRIPTION 5o. FT. OCCUanrvCV K Righi G Addre55�meiling� ��16j/ �cGeo�9a.r /Y-V�• Cl��'Q�� CONSTRUCTIONTVVE VALUATIONS S Left ' E �D�a� 20NE GRADINGCU.VDS. ACRES PIng.Ref.� Park.Fees $ � City License Na. U LICENSED CONTRACTOR DECLARATION Remarks: �/D 6� Parking Req./Provided � 1 hereby afflrm that I am Iicensetl untler provislons of Charter 9(commencing Use of Buildin R with sectlon 7000) ot Dlvlsion 3 of the guslness antl Profeszlons Code, antl 9� E my Iicensa is In fu�=rc�artl effect. Lice C 55 nn �J LI ense o. PLUMBING FEES Planning Notes: M Data Td�519nature , E WOHKEHS' COMPENSATION DEC A0.qTION Bar Sink Show2r5 T ;*..�ereby affirm that I nave a certiticate ot consent to SelNnsure or a certitlwte BackflOw Preventer Service Sink S '- Workers' Compinsatlon Insurance, Or a certl(IBtl COpy thereot (Section 5'-��`:ioo, tao. CJ Backflow Irrigation Sewer Cap ELECTRICAL FEES Pollcy No. Cort�pany � 8 Certieetl coDY is hereby furnishetl. Bathtuhs Sewer Connection Automatic Washer Transformer ❑ 15-50 KW CartlBatl copy is filetl with the ciry Buptling DIVISion. � 50 + KW Date Applicant Clari(iers Soler Collectors Construction Pole Sub. EXEMPTION FROM WORKERS' COMP@NSATION DECLA0.ATION DiShuvdsher (Tnis sectlon neetl not be completetl if tha permll is tor one huntlretl (5300) or Solar Pipin9 Cooking Unit Meter ❑up to 100 amps 5` � less). � - Drinkin Fountains I certify that In the performance of tne Work tor whlch this perm�t is issuetl I 9 Sola� Tank Dishvoasher Meter �over 100 amps � -- shall npt.employ�� n in any�ne4 so�to eco� subj c to t�e Wou�J5�� Co e �aws of Cali n p Floor Drains Swimming Pool w/Spa Dryers Gas ❑Electtic ' $ub Panel � Dat�YBl1' $i9nature •H�'^-' � + NOTICE: If,iat er makin9 �his tleclaraU you shoultl become subject to the Floo� Sinks Urinal Fan Wo�ker5' Compensatlon provisions of thG Labo� Cotl¢, y0u must torthwith Motors �47 HP O1'fi - 8 comply wlth such provislons_ or this p¢rmlt shall be tleemetl revoketl. G35 S¢rvice OutICtS ' Water ClOset � F.A.U. Inc.Solar Oy-15 HP 016-15+ CONSTRUCTION LENDING AGENCV I hereby afflrm tnat there iz a constructlon lentling agency for the periormance IntercEptots W3ter Heater � Fixtures Microwave �(6 of the work for whicn thi5 permit Is issuetl (Sectlon 309] Civ. C.) Lanaer's Name Kitchen Sink � Water Service Device Boxes Pole Light Lentler•s Atlaress Levatories � OWNER BUILDER DECLARATION OUtlets Range I hereby affirm thdt I am exempt trOm fhe Contractor's LlcenSa Law tor Ihe p_Trd SWitCh¢5 following reasan (Sectlon 7031.5 Buslne;s antl Professlonal Cotle: Any city or P. Sign county wblch requires a permit to construct, alter, Improve, tlemolish or repalr - any St�uCturO� p�lo� to It5 Issuanc0, a15o ryqUlres the aOP��ant tor such pe�mlt Roof Drains Garbage Disposal Standing Sec[ions ' t0 file a Slgnetl Stat¢ment that hC/Sh¢ 75 I��ensetl puf5udnt to Ibe O�ovision5 Of _ Ine ContractOr'S LlcenSo Law (Chapter 9(�OmmBncing with Sectlon �000) of - ' ., Oivision 3 of the Buslnezs antl Profe55ion5 COEe) or that he/5he is exempt Generator �U5 KW �5-15 KW Trash Compdctor ?�"�+erefrom antl the basis for the allegetl axemptlon. Any violation of Section - ?�`'i31.5 by any applicant for a parmit subjects tha appllcant to a civil qeins ection Fee $ 3 Enalty of not more than tive huntlretl tlollars ($500). P $25 Iuue Fee . ❑ I, as owner of the property or my emoloyees witn wages as their sole MECHANICAL FEES 'Reinspection Fee $25 luue Fee $ 3 comp¢nsatlon, will tlo the work, antl the zirUcture I5 not in[entletl or otferetl tor sale (Section 7044, Business anE Proteszional CoCe: The Contractor's PUBLICSERVICESRE�UIREMENTS: LI<en5e Law tloes not apply to an owner of a property who bulltls or improves BDiI¢f - HoOd Or Type I ❑ IM1e�eon, antl who tloe5 Such work him5plt/hersel/ or ih�ou9h his or he� own Zoning App�ovBd 8y Date amDloyeai, provitletl that such improveerients aro not intentlatl or offeretl tor CAnOpy Type II ❑ , Duct - Under Ground g pproved By '� �� '�1 Data sale. If, hOweve�, [he bulltling o� IrnProvBment I5 Soltl wlthln one yedr of com- B�ildin A pletlon, t�e owner will nave fhe burtlen of proving he/she tlitl no[ builtl or Im- —/—�/' rove tor the purpose ot sale). Duc[ - Structural Refrigeration System APplication Issued By- r A/'� ��Dat � I, a5 owne� o( the p�oper[y, am excl�5ively contracting with Iicensetl con- ❑0.100,000 BTU ❑1��,�� BTU tractorstb conztruct the pro�ect (Sectlon 7p44, gusiness antl Protassions Cotla: Dutt- Ventilating SUMMARV OF FEES The Contractor'S LlcenSe I�w doez not apply to an owner of prooerty who BUILDING PERMIT builtls or Improves thereon, ana who contracts for sutn projects with a con- Exheust System ❑ Mul[iple ❑ System Repair/AI[era[ion $ SMIP $ tractor(s) Iicense pursuant to the Contrac�or's L�cense Law). PLAN CHECK $ PEqMIT - ❑ I am azempt untler Sectlon B. & P. C. tor chis reason Firepl/Fact. BIt. ICBO # P�UMBING $ ISSUANCE $ Date owner ' _ Heating System & Ducting PIAN CHECK 25% $ ENERGV P.C. $ i hereby certliy chat I have reatl this appilcation and state that the above ❑0-t00,0008TU �100,OOOBT ' ELECTRICAL $ �d GRADING $ Information Is mrrect. I agree to comply wltn all city antl county ortlinances - antl state laws relating to builtlin9 constructlon, antl hereby authorize repre- - PIAN CHECK 50% $ �� MICROFI LM $ sentatives ot �at to nter�y pory..�ne ybpve-mentlonetl r perty for Inspectionpyr6ozs� Y/ /a// �LlJ MECHANICAL $ TO7ALFEE $ �O Si9nature ( /�� LiL%NG��th� oa,��`-��/96Y� Drivers' Llcense or 55 qf heinspeetion Fee $25 Issue Fee $ 3 PIAN CHECK 25% $ CMF 0865-46 �ev. 12/83 White - Builtling; Canary - Ap��^t; Pink - Accounting; Goltlenrotl - Azsessor TL _� CONSTRUCTION AND PLANNING . APPROVALS Permit# , � 1. Temporary Electrical Service or Pole' .� , 2. Soil Pipe-Undrgrnd. . � 3. EleCtrical Conduit Uti�lity-Undrgrnd. ' "4. EleGtricabConduit-Undrgmd. 5. Steel Reinforcement � 6. Electrical UFER Grnd.: � � 7. Pootings' . '� 8. Foundaiion 9. Water Pipe-Undrgrnd. ; 10. Str�ctural Floor System � ' 77. Property Sewer Line & House Connectibn 12. Sewer Cap � , � 13. Roof Drains ' 14. Rough Plumbing . , 15. Rough Electrical-Conduit 16. rRough Electric Wiring 17. Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning 20.' Rough Factory Fireplace • 21. Ducts, in Structure � � 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test � 24. Roof Freming 25. Root Sheathing 26. T-6ar Ceiling (Structural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31 . Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric 34. Final Heating & Air Conditioning 35. Firlal Gas Pipe�Test ' 36. Hood or Canopy , 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STftUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co��, 51. C�RTIFICATE OF OCCUPANCY lo. ' . _- Date - _ . . POOL� A Date Inspector qppROVALS Permit# r I ' 52. Pool & Equipment Location . .` 53. Steel Reinforcement : � 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test . , 57. APPROVALTOCOVER-GUNITE ..: _� 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test i 60. 6ackwash Lines, P-Trap, O Undrgrnd. � ' 61. APPROVALTODECK � i 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final i 65. Electrical-Final 66. Solar System-Final �„ g C.� 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit# 70. Underground Hydro 71. Product Piping Q Gas ❑ Oil 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED � Notes: � � i . a Date Inspector � �� i '' � 'CITy OF COSTA MESA �CONSTRUCTION•PEFiMIT • Aoo��ant to till In a11 soaces eacept tnose witnin heavy borOer Iines ane si9� all appropriate tleclarations. ��,�`.CO� 3 � � ,.��, Project Address -✓'-SU Z L- �c'�"� L-- TVPE OF CONSTRUCTION EW LJ ADD AppliCant'S MailingAddfe55. ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ( ^ SS ' DESCRIPTION OF WORK REPAIR Owner's Name '�'n� '� - Phone . Address TVPEOFPERMIT GRAOING OF,(LNDATION STRUCTURAL A�Ch/Eng. Licenie Na. ❑ TENANT ❑ ELECTRICAL C LUMBING ❑'MEGHANICAL Address - ❑ �OTHER Contractor's Name ��/q P'n,A�" Phone��b-� PROJECT DESCRIPTION 5[�. F7. oCCUaANcv— Addresslmailing) t�3'�1] -�y!v�`OrRI�V.R.{'1'7.Z CONSTRUCTIONTVPE VALUATION$ OI."J4V/� ZONE GRAOING CU. VDS. ACRES_ Ciry License No. LICENSEDCONTRACTORDEC�ARATION Remarks: �GL`.-L�- . I hereby aftirm that 1 am Ilcensetl untler provisions of Charter 9(comme cin9 with Section 7000) ot Dlvislon 3 of the BuSinass and Profe A� �, antl my Ilcense is in ful ce antl ffe Li�cens Clas e e N Date�__ $ignature • WORKERS' COMPENSATION DECLARATION BafSink � hereby attlrm that I nave a certificate ot consent to salf-insure or a certiticate BackflOw Preventer Workers' Cd'mpensatlon Insurance, or a certifietl cOpy thereof (Section 00, Lab. C.):• / 1�, �—�1� Backtlowlrrigation Policy No. �� l Company ��1, �v fietl coDY�is hereby fumishetl. . Bathtubs ertifletl copy IS tiletl with tlta city Builtling Dlvi3ion. . ' Date Applitant Clarifiers EXEMPTION FROM WORKERS' COMPENSATION DECLARATION DishWashef . (This section neetl not be completetl if the permit is for one huntlred (5300) or less). . - I certiry that in'the performance of the work for which ihis perm�t is is5uetl I Drinking Fountains shall not employ'any person in any manner so as to become subject to t�e Workers' Compensatlon Laws of California. ' Floo� Drains Date ' Signature NOTICE: If,iafter making this tleUaration, you shoultl become subjec['to the Floor Sinks Workers' Compensation provisions of the Labor Cotle, you must torthwith comply wlth such provislons,o� thi5 'pe�mlt shall be deemetl revoketl. GasService �Outiets CONSTRUCTION LENDING AGENCV I hereby affirm cnat tnere is a wnstruction lentling agency for tne pertormance Interceptors of the work for which this permit IS'i55uetl (Section 309] Clv. C.) Lender's Name Kitchen Sink Lentler•s Aatlress OWNER BVILDER DECLARATION LavatOri¢5 . I hereby affirm that I am ezempt from the Contractor's License Law for the p-Tra i following reason (Section 7031.5 Business antl Professlonal Cotle: Any <ity or P � county which requires a permit to construct, alter, improve, tlemolish or repalr I any structure, prior to Its issuance, also requires the appllcant for such permit Roof D�ains -`erebom dntl Vle basls tof Vte all¢9ea exempilon. Hny v�o�aUon ol Decuon 31.5 by any applicant tor a permit subj¢cts the applicdnt to a civil nalty of not more tM1an five hundretl tlollars ($500): • L� I, as owner of the property �or my employees with wages'as their sole ' comoensation, will tlo the work, antl ihe structure is not intentletl or otferetl for sale (Section �044, Buziness antl Professlonal Code: The Contractor's License Law tloes not apply to an owner of a property who bulitls or improves thereon, antl who tloes SUCh wOrk M1imselt/ne�self or tnrou9h M1ls or ber own employees, provltletl th5t such Improvements are not intentletl or otteretl for sale. I(, however, [he builtling or imProvament Is soltl within one year ot com- plation, ihe owner will have the burtlen ot provin9 he/she tlitl not builtl or im- �rove for the purpose of sale). I, as owner of the property, am exclusively contracting with licensetl con- trattorstb construcLthe projec[ (Section 7044, Business antl Professions Code: The Contracior's License Law does not apply to an owner of property who builtls or Improves thereon, antl who contracts for such projects with a con- tractor(5J Iicense pursuant to the Contractor'S �Icense Lawl: ❑ 1"-dT exempt untler Sec[ion B. & P. C. for this reason Date Owner. 1 hareby certify that I have reatl tM1ls appliwtlon antl state that roe above I informatlon is correct. I a9ree to comply witn all city antl county ortlinances antl state laws relatinq to builtling construction, antl hereby authorize repre- 58ntdtive5 Of thls city t0 �t 93' the ove-melltionetl pfoperty tof Inspec[lon purpos¢ . /% -�,�` � SI t �" Date � 4�' Reinspection Fee Showers Service Sink � Sewer Cap Sewer Connection Solar Collecmrs Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal ' Water Closet � Water Heater � Water Service $25 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0.100,000 BTU 0100,000BT g e Drivers' ucense or 55 � �� ^��___— I I Aeinspec[ion Fee I $25 � CMF 0865-46 rev. 12/83 White - Builtlin9: Canary -ApP��nt; Pink -Actountinq; Goltlenrotl -ASsessor Issue Fee Hood or Typel ❑ Canopy Type I I . ❑ Refrigeration System ❑0.100,OOOBTU ❑100,000 System Repair/Alteration Iwue Fee FE J FEES $ 3 A.P. # S Main Buiidi E T Front B Rear A C Right K Left S Ping. Ref. # Parking Req./Pr Use of Building', Planning Notes: Automatic Washer � Caosiruction Pote Sub. Cookin9 Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixiures Device Boxes Outlets Switches Garbage Disposal Generator �0-5 KW �5-' 3128 �� /� � 2one Accessory Building: Park.Fees $ ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors 00.7 HP O1'/: - 8 Inc.Solar �9-15 HP �76-15+ Microwave Pole Light � Range Standing Sections KW Trash Compactor � Reinspection Fee � I$25 � Issue Fee PUBLIC SERVICES REQUIREMENTS: . 2oning Approved By � Buildin9 Approved By 33.5� 7L FEES $ 3 O N I N G R E � U I H E M E N T SUMMARV OF FEES � BUILDING PEFMIT $ SMIP $ PLAN CHECK � $ Z% ,6O pERMiT PLUMBING $ '� �SSUANCE $ PLAN CHECK 25% $ W• 5O ENERGV P.C. $ : EIECTRICAL y GRADING $ ' PLANCHECK 50% �$ MICROFILM $ MECHANICAL $- TOTAL FEE .$ �=�1" PLAN�HECK 25% $ � '�� ' ' CONSTRUCTION AND PLANNING �' POOL E a � �� APPROVALS Permit#� Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole I 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. -� Z7�{y � 53. Steel Reinforcement �-3. Electrical Conduitl Utility-Undrgrnd. " � 54. Forms . . "'4. lectrical Conduit-Undrgrnd. : i 55. Electrical Bonding 5. S4eel Reinforcement � � r� 56. Rough Plumbing & Pressure Test � 6.� Electrical UFER Grnd. '� , 57. APPROVAL TO COVER-GUNITE o � � 7. ootings � • 58. Electrical Conduit-Undrgmd. � � 8. -Foundation ' 59. Gas Pipe, O Undrgrnd., Test , 9. Water Pipe-Undrgrnd. (/if'J�f{/ � 60. Backwash Lines, P�Trap, O Undrgrnd. � 10. $tructural Floor System � 61. APPROVAL TO DECK . 11. Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final 12. Sewer Cap ' ' . � : � 63. Heater & Vent-Final , � 13. Roof Drains , ••� � 64. Plumbing System - Final � 14. Rough Plumbing �' � Za 65. Electrical-Final - 15.' Rough Electrical-Conduit ' 66. Solar System-Final ' � .t6.� Rough Electric Wiring 67. Fencing & Access Approval - t 17. Rough Wiring Sign 68. APFROVED FOR PLASTERING 18: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1�9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.' Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating . 71. Product Piping �Gas ❑Oil 23. Gas Pipe-Rough & Test � 72! Underground Flush i 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 CERTIFICATE ISSUED -33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test �(rl ��N L�L�i 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing S ='�-y�/ � 39. Water Service-Final � 40. Gas Service-Final 41. Solar pomestic-Final �- 42. Backflow Preventer � �iy . 43. Backflow Irrigation • � • 44. ,Landscape Irrigation System 45. Sound Attenuation C46. Handicap Regulations _ �7. FINALSTRUCTURE&BUILDING Y8. Special-Requirements Completed � r- 49. Electric Release fo Edison _ • f� 50. Gas Release to Southern Califomia Gas Co � � 51. CERTIFICATE OF OCCUPANCY . ' N0. Date