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HomeMy WebLinkAbout1033 DAMASCUS CIR - Building PermitsCITY OF COSTA MESA BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 - (714) 754-5273 - Fax (714) 754-4856 • www.cLcosta-mesa.ca.us FOR INSPECTIONS CALL: (714) 754.5626 PERMIT NUMBER: BC09-00006 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: RES_ALT DATE ISSUED: 01/08/2009 ISSUED BY: RMD JOB ADDRESS: 1033 DAMASCUS CI CM - Suite/Unit: APN: 41237141 .. Zoning:R1, - Vicinity: INTERIORPrimary�Occ: R'3 Const Type: V -B SQ. FT . -0 - ::. Valuation: $8,000.00 SCOPE OF WORK: INTERIOR ALTERATION TO A SFD. CONVERT AN (E) CLOSET INTO MASTER BATHROOM AND RELOCATE CLOSET. 1 WASH BASIN„ 1 WATER CLOSET, 2 NEW LIGHT FIXTS, 1 OUTLET, 1 SWITCH. NO ADDED SQUARE FOOTAGE, ALL WORK INTERIOR. REQUIREMENT -FOR 'DETAILED PLANS EXEMPT PER CODE SECTION'.106:1. WNER: ERTZ, JULIAN'S • Address' 1033 DAMASCUS CIR _ . ,. Unit: Phone: -City /State/Zip: COSTA MESA, CA .: APPLICANT[ MORAD, OSHRAT Address: - - Unit: Phone: 818-519-7706. •City/Slate/zZip: - '- CONTRACTOR: DIVINE DEVELOPERS INC License No. 884148, Phone: (800) 985-5518 Address: 4872 TOPANGA CANYON BLVD #355Unit: Cell: - -. _ City/State: - WOODLAND HILLS, CA - ZipCode 91364 . ARCHITECT: License No. r - - ' PHONE:. ENGINEER: - License No. PHONE: COMBINATION PERMIT FEE SUMMARY Building Plan Check: $99.61 ' Building Fees: $153.25 Electrical Fees: $27.90 Mechanical Fees: $0.00 Plumbing Fees:.r,;.$43.10 SMIPResidential: `$0:80''. SMIP Commercial: $0.00 Bldg Std Admin Fund $1'.00 TOTAL FEES: $324.66 "Refer to fee receipts for all fees paid for project 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) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with aft 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. ieDE i. INSPECTION TYPE DAF INIMAL CODEI INSPECTION TYPE DATE INTITIAL 1016 Fixed System Final Fire Prevention 206 Final Mechanical 1288 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: I hereby affirm under pegalty of perjury one of the following declarations'. [I I have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [] I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number Camey. (_(This, iecfbn nee0 rrolIb-e— W�m�pletetl tithe pennh is valuee of one huntlied Dollars (Sr00) orlessJ Pt` Number: �J SLS I [] I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I ha comply with these provisIons. _ t O l/ Appgr2m's'Sig relure t ` Dale r� - WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. r� _ gN[ectpfs Signature CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code), Lender's Name'. Lender's Address: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build 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 and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractors) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Owner ID verified by drive. ..,tense. ❑ Yes ❑ No 1Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Applicant's Signature Dale Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be fled with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications far non-residential building permits). 5. Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7. 1f a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No S. (If 'yes", attach certificate of compliance from the appropriate air pollution control officer). "CERTIFICATE OF COMPLIANCE: I certify that under penalty'of'perjury the information given above is correct. I agree to comply with all state laws and .city ordinances regarding Hazardous Materials and Emissions. - , Signature CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final Inspection. C^ Si azure of Legal Omer(s) at Signature Date If 0057-46(3107) _ � 'Autmohzetl'Applicanl kirctEA/ _ �IrJING �OOk H�i1L� C,COA - - LiVwG 9-oO4,�, _ DIVISION OF BUILDING SAFETY CITY OF COSTA MESA APPROVED -BYDO i D` This set of plans and specifications MUST be kept on 1this job at ahl times and d w tadaw4ld b make any changes of alterations on same without writtengeerrmi.ssion from the Divjs'g and Safety. city nl fasd Mesa. rTt /9(/� - !. /, ion of BmT6rJ The slam;„f a, ;; „ r„„„a;;d speat,aroc s 5 L NUO_T a held b permit ort an apprprd of the woi,, ,n„,rny Wf”-Ons of any City of Costa Mesa Ordinance and/or State haw. -- - — - - -These plans and permit shalt expire by limitacon and become nus and void it the building or work is rpt otrmlenped and makdained active per CBC Sec. 105.5 within 180 days of issuanoa, - - - - - ' ZXZC�� ! SLrO n1G LJCOR E i i '• i I - I r (� l R� AIN., _ I Reoh • I N*w 6RLL OPENIAG Z'.01 DIVISION OF BUILDING SAFETY CITY OF COSTA MESA AP ROVED 7w set of puns an specit canonsMbST be kepLis b al ah ti m aild it iS mdse am, rnanoes o weua ns on VAI/W �iIteenf�permiss on horn the ��1YuI��^�.^.� of a10Safelwy.Lay of uW Mesa y�i N �-�alm - 111e not his Ian ands cd cat ALL N0 be beam y provlsions at any City of Costa Mesa Ordinance anya.Stab' fiese Dans and MW s!>ap expire by Imitation and become null and vdid d the ��ET - �pkemtcomm�toedaMmae�eda'MperC8CSec.105.5wftIg0daysdi Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PE ---T NO. TRACT NO. LOT NO. UNIT Nn Project Address 1033 DAMASCUS Applicant's Mailing Address 5142- AAT.M 11104 Owner's Name ASZTTERBAUM Phone 546-5516 Address 1033 DAMASCUS Arch/Eng. License No. Address p Contractor's NameAMERICAN HOME SERVICES Phan 91-1280 Address (mailing) 5142 BrOLSA 11104 I City License No. _--- / - LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force slid effect.n `{7 I Date 4/IU/OJ Signature (� WORKERS' COMPENSATION DECLARATI hereby affirm that I have a certificate of co t to Self -insure or a certificate Workers' Compensa on Insurance, or a certified copy thereof (Section J800, Lab. /�/1 Busfi. I,eNOn[I Polity No. v pany Certified copy is hereby furniss lfOIs filed ty B "9 •D "" sycsDte4Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such. provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Cade: Anycity or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of 7nysion 3 of the Business and Professions Code) or that he/she is exempt ierefrom and the basis for the alleged exemption. Any violation of Section .031.5 by any applicant for a permit subjects the applicant to a civil malty of not more than five hundred dollars ($500). LJ 1, as owner of the property or my employees with wages as their Sole compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im - rova afor the purpose of sale). L as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a Con- tractor( pursuant to the Contractor's License Law). 1 am aware that proof o1 their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section B. & P. C. for this reason Date Owner that I have read this application and state that the above rect. I agree.to comply with all city and county ordinances ating to buildi9p construction, and hereby authorize repre- Cily to enter/ upon the above-mentioned property for TYPE OF CONSTRUCTION LI NEW LJ ADD A4ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. $ 3 A.P. # Zone S Main Building: Accessory Building: TYPE OF PERMIT LJ GRADING FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL 19 PLUMBING ❑ MECHANICAL ❑ OTHER T Front B A Rear PROJECT DESCRIPTION SQ. FT. OCCUPANCY CONSTRUCTION TYPE VALUATION$ ZONE GRADING CU.YDS. ACRES C Right g Left Ping. Ref. # P r ' eq./Provided Remarks: Planning Notes: �^r111�n IN chan gout —fit PLUMBING FEES SUMMARY BUILDING PERMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25%. $ ELECTRICAL $ PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% $ DFlTL! Bar Sink Showers System Repair/Alteration ELECTRICAL FEES Backflow Preventer Service Sink Fire Dampers Automatic Washer Transformer ❑ 15-50 KW - Construction Pole Sub. ❑ 50+ KW Backflow Irrigation Sewer Cap Registers Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Clarifiers Solar Collectors Dishwasher Meter ❑over 100 amps 1 DishwasherSolar Piping Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank I Fan Motors 00.1 HP 01 h- 8 Floor Drains Swimming Pool w/Spa F.A.U. Inc. Solar 1:19.15 HP 1:116.1 S+ Floor Sinks Urinal Fixtures Microwave Gas Service Outlets Water Closet Device Boxes Pole Light Interceptors Water Heater Outlets Range Kitchen Sink Water Service Switches Sign Lavatories Auto -Wash Garbage Disposal Standing Sections P—Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW Trash Compactor Roof Drains Reinspection Fee I $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Bit. IC80 # Heating System & Ducting ❑0-100,000 BTU 0100,000 inspectlo p p Signature—- te 4�10�89 Drivers' License or 5 Reinspection Fee $15 CMF 0865-46, rev. 10/84 White - Building: Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Z O N I N G R E Q M T S Issue Fee $ 3 Reinspection Fee $15 Issue Fee $ 3 1ANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Issued By. Date Data Dat Hood or Type ❑ Canopy Type 11 ❑ Refrigeration System 00-100,000 BTU ❑100,000 BTU SUMMARY BUILDING PERMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25%. $ ELECTRICAL $ PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% $ DFlTL! OF FEES SMIP $ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTALFEE $fI� G6'1WZ? TI9.: 15:G� System Repair/Alteration Fire Dampers Registers ' Issue Fee $ 3 CONSTRUCTION AND PLANNING - APPROVALS Permit # Date Inspector POOL & SPA. APPROVALS Permit# Date Inspector 1. Temporary Electrical Se7"vice 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 I 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNI`.EE 7. Footings 58. Electrical Conduit-Undrgrnd. ••__ 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -F inalti' 12. Sewer Cap 63. Heater & Vent -Final ;^`= 13. Roof Drains 64. Plumbing System - Final <e•( 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 Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# - 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas O Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas O 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 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing -7/by LAW 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43; Backflow Irrigation 44. - Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE&BUILDING 48 -Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to:Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 1 0 3 3, DAMASCUS CI UNIT: OWNERS NAME: ASZTERBAUM MARTIN TR ADDRESS: 1033 DAMASCUS CIR COSTA MESA,CA 92626 ARCHIENGINEER: (714)546-5516 REG.NO.: ADDRESS: UNIT: PERMITTEE' IRVINE WEST HEATING & AIR (714)921-0800 ADDRESS: 638 SOUTHERN ORANGE CA 92665 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 fcommencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my fit r Is in full forte and effect. CITY LIC.: 5 729 STATE LID.: 345284 ftd.ASG C-20 bate: ��� Signature: �' � � WOflKE COMPENSATION DECLARATION:hereby affirm That have certificate of consent to self -insure or a cenilicaie of Workers' Compensation Insurance. or a certified copy thereof (Section 3800. Lab. C). POLICY NO.: WCP1 2760-9 1 EXP. DATE: 07/ 1/92 COMPANY: CITATION El Certified copyishereby burnished. 1� Certified copy is filed with the ci 'n 'ion. 47 t7 Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred ($100) or less). 1 certily that in the performance of the work tot which this permit is issued, I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: It, after making this declaration. you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. Cl. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt tram the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that helshe is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). h as owner of the property or my employees with wages as their sale compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a progeny who builds or improves thereon, and who does such work himselftherself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving helshe did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7D44, Business ❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a cantrattor(s) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Dale: Owner I do hereby certify that 1 am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533 , antl 25534 and that I or any future building occupant wilt will not (circle one) need to comply with said state codes and the requirements for a permit lot construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Date: Applicant I hereby certify that I have read this application and state that the above ordinances and state laws relating to building construction and hereby a IIn property for inspection purposes(.�— \ —Bale:/r"` Signature. Driver's License or Social Security I agree to comply win all city and county this city to enter upon the above mentioned 164646 White—Building, Green—Code Enforcement: Canary—Applicant; Pink—Revenue; Goldenroet—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; M 05658 PERMIT NO: M 056586 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE: OTH JOB DESCRIPTION : INSTALL ONE A/C UNIT & ONE FURNACE SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: SMOKE DETECTOR REgUIRED IN THE HOME �E*�H�r�r�E�r�rarit�r�H��t*�E*�E�r�ear�Eir�tit�t�E�r�t�t�r�r�E�H*Rr�H*Rr**��t�H*�t�t+t*�t+t Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- 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: PROV: PARCEL: 41237141 ZNE: REF NO: PLANNING NOTES> > **kit iF 9f iFiE et iF*iE iF 3t iEiFit Jt**IE It iE9t*9e**it iFie*3tiFit*iE.if*9t 3E****9t*iFif9F*iF it**9e*9F 9tie***ik*9t9t iE**iE 1!***irt 9t NtiF 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 DATE: BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: ` DATE: 3`—— iP 9f if BE JE 3f BE JF iE 9H * iE Jf iE * 9:1t if * * 9E 9F iN iE 9F * 9E iL• ik ie BF iFiF'iE"iF"iF'iFiF'iFiF"{F�if 9e k if 9E * iE iE * iH iE * iE 3t it * * if * 9F * M 9E iF 9E iE iE k iE 9t 9t k ie 9t 9t iP iE 9E 9H 9f 9F iF iE 3E iE * * * * 9EiF iH Jt iE iH iE iE4P ie9E 9E JF iF 9e iE RE 9e 9t Nt if.{E 9E * * iP 9f iE 9t 9F 9E Rt LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 18,00 25k SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 18,00 15.00 0,00 33.00 33,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 33.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33.00 k9l9t iE*k4HiF iF**9F*iE**9aiE**9FiE**iH*iE*JP 3t**Jt BP iF%kJe iF iEk*9ekiF 9t 9E RE ie iE IF Ne JF*9F*3F 9E*NE k9e iE iP iE Bf iP iF iF iF BE 9E 9E 9Ek iE*9F iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9,00 9,00 MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9,00 9.00 END OF FEES CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POO a SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Polr;. 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd.. 53. Steel Reinforcement 3.`Electrical ConduitAility-0ndrgmd.. ' 54. Forms 4. Electrical ConduiPUndrgrnd. k 55. Electrical Bonding •-.5, Steel F(inforcer)4& 56. Rough Plumbing & Pressure Test ,`t:6 Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7.. Footings rj 58. Electrical Conduit-Undrgrnd. B.,Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line '& House Connection 62. Backwash & Receptor -Final 12. Sewer Cap ;t _ - 63. Heater & Vent -Final 13. Roof Drains z 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 Electric4L-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT U. ;APPR5VALS`,•_-Permit# '• `l'• ^!U. 20.Rough Factor Fireplace [ �t r �.r a _ _ r y 21. 'Ducts, in-Strugtuie • - - . ,. .70. Undergrotlad. Hydro 22. Ducts, Ventilating_ _71. Product`.Piping QGas ODil 23. Gas Pipe -Rough & Test - r - 72. Underground Flush 24.. Root Framing r - .73._1Jndergrnct: Storag,ETank Q Gas ❑ Oil' 25. Roof,Sheathing+•�74. Overhead Hydro,. 26. T -Bar Ceiling (Structural) & Monocoat_' 75. Dry Chemiyal ' - r 27. Frame and Flashi ' S q0. " - c 76. Dry Standpipe - �• ' 28.'Lathng.&Siding* - .4' { ' 77.- FIXED SYSTEM"FgNALy _ 29. Insulation 78: `FIRE PREV. FINAL ' •30. Drywall Nailing + , HEALTH DEPT: REQUIREMENT •-31. Plaster B�own-Coaf, ,79: FINAL INSRECTIQN -32..ElectricaLPovsr M_etef:Final, _ '-'- '80..'FOOD CERTIFICATE ISSUEDVI I 33. Fin4 Electric.'N r �- oies: -' 34. Finaf Heating-& A rsConditionirIg-. ^ 3 �7 ti ` i 35. Final Gas Pipe -Test n - r :L, - S • `-- r ,36. Hood or Canopy d, , •-3 r 37. Final Faqtory Firripjace a s 'L -38. Final; Plumbing , _ I - _• r. .39. Water SOvice-Final' I _ - -•' ° '- - o' 'A0. Gas Servile -Final 41. Solar Domestic,Final 4 •n 42. Backflow Preventer 43. Backflow Irrigation ; „ - - °• A4. Landscape Irrigation System, -c.:• ,t .45. Sound Attenuation �16.`Handicaq Regulations :r t 47. FINAL STRUCTURE & BUILDING t 48. FINAL PLANNING .. . _ t •z -49. Electric Release to Edison t �• Y r '50. Gas Release to Southern California Gas Co f , 51. CERTIFICATE OF.000UPANCY No. Date - PROJECT ADDRESS: 1033 DAMASCUS CI OWNER'S NAME: ASZTERBAUM MARTIN TR ADDRESS: 1033 DAMASCUS CIR COSTA MESA,CA 92626 ARCXIENGINEER: (714)546-5516 ADDRESS: REG.ki UNIT: PERMITTEE' IRVINE WEST HEATING 6 AIR (714)921-0800 ADGREss. 638 SOUTHERN ORANGE CA 92665 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am II sed under provisions of Chapter 9 (commencing with Section 7000) of Oivision 3 of the Business and Professions Code. antl m nse is in full force and effect. CITY LIG.: 55729 STATE LIC.:345284 CLASS: C-20 Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Section 3800. Lab. Q. POLICYNO.: WCP12760-91 EXP.DATE: 07/01/92 COMPANY: CITATION ❑ Certified copy is hereby furnished. (j( Certified copy is filed with the t Building Division. Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less). I codify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to became subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: If, after making Mis declaration, you should became subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Chi. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt tram the Contractors' Stale License Law for the following reason (Secured 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure. prior to Its issuance, also requires the applicant for such permit to fee a signed slatemem that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pernut sublecls the applicant to a civil penalty of not more than five hundred dollars (5500). I, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the ❑ structure is 0ot lnlanded or offered for sale (Section 7044, Business and Professional Code: The Contractors' Slate License Law does not apply to an owner of a property, who builds or improves thereon, and who does such work himself/herself or through his or her own employees. provided that such improvements are not intended or offered for sale. IL however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). 1. as owner of the property. am exclusively contracting with licensed contractors to construct the project (Section 7044. Business ❑ and Professions Code: The Contractors' State License Law does not apply to an owner of probe rty who builds or improves thereon and who contracts lot Such projects with a contractors) license pursuant to the Contractors' Slate License Law). I am aware that proof of their Workers Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. lar this reason: Date: _ Owner I do hereby codify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant wiNvdll not (circle one) need to comply with said stale codes and the requirements for a permit for construction or modification Irom the Air Ouality Management District. Residential construction applications are exempt from these provisions. Date. Applicant: I hereby certify that I have read this application and state Ih 1 above information is correct. I agree to comply with all city and county ordinances and state laws relating to building constructbn and r by pane lepmsentailVes of this city to enter upon the above-mentioned proerty lot inspection purposes. / <11-L—_3: /l J— Signaturt: Driver's License or Social Security Y: 1641 46 White—Buildino: Groep—Code Enforcement: Canary—AePllaant: Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05658 PERMIT NO: E 056585 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE; ELE PURPOSE: OTH JOB DESCRIPTION ; INSTALL ONE A/C UNIT 6 ONE FURNACE SQ FT: CLAIM VALUE; CALL—VALUE: GROUP OCC; R-3 / COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- 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• PROV: PARCEL; 41237141 ZNE: REF NO: PLANNING N TES> kMMMkMMMMBFkkkkkMMkkMkkkkkMMMkkkkkkMMkkkkMMMMilk kkkMMkkkMMkMkkMMkkkMMkBE BEkMMkMkkkM 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 ; ' APPLICATION ISSUED BY: kkMMMMMMMMMkkkMkMMMkM k>�iF k kkMkkkkkkMMMMkkkkkkMMMMkkkkMMMkkkkMM ick LEGALIZATION:N F E fi S U M .i BLDG PMT PLUMBING ELECTRIC M PERMIT r7.50 50% PLAN i ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS ---- > 7.50 15.00 0.00 DATE: DATE; — i� DATE: k�KifkkkMkkkkkkkMMkkk k.kkMkkMMkMkMMkMMk M A R Y STRUCTURAL SEGMENT:N ECHANIC FIRE SMIP/RES GRADING SMIP/NON—RES TOTAL PAID DUE 22.50 22.50 .00 REVENUE MkMkkkkkDkkIVMkISMTON TOTALS--> OTALS--> BE k BE BE BF Cil Oil•LML9lEMCkkTEkDkk• kBlk BE BFkkk22.50 MMOVER/SHORT BLDG PMUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADkkfNkGkkPkLkAkNMk—kH 22.50 M Mk kk N D I V I D U A L F E E B R E A K D O W N TYPE QTY ( D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 MOTOR/POWR APPARATUS 1.1 — 10.0 HP 7.50 7.50 END OF FEES CONSTRUCTION AND PLAN ING APPROVALS Permit # ! Date Inspector POC._ 6 SPA APPROVALS Permit # Date ' Inspector 1. Temporary Electrical Service or Poles.. 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd._ - 53. Steel Reinforcement - 3,.`Electrical Condu`it,UFility-Ondrgrnd,:' 54. Forms - 4. E14ctrical Condut:LFndrgrnd. - r rn 55. Electrical Bonding �!K;S'el Reinforcement 56. Rough Plumbing & Pressure Test �rQ'ElectricalUFERGrnd. 57. APPROVAL TOCOVER-GUNITE - 7.•,�4otirWs ` j' 58. Electrical Conduit-Undrgrnd. _ 8., Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Und?grnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System .- 61. APPROVAL TO DECK 11. Property Sewer Lind ,& Hoiue Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains = 64. Plumbing System - Final 14. Rough Plumbiog 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final - 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sjgn 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - _ FIRE DEPT. REQUIREMENT _ a _ j1PPROVAI,Ss^ 'Permit # T _ 20:-Rouyh Factory Fireplace 7r 21"Duds,in-Structure° 70. Underground.Hydro x 22. Dulls, Ventilating.• - _ r71. Product_Piping 06,'is 00il 23..Gas PiperFooh 8i*Tesc ;; R; ` -� a ,72. Underground Flush,- - 24. Roof Framing 7 7 7•:- _ >73: Undergrnd:StoranTank 0Gas 0Oil 25. Roof Sheathing ;:', -, 'u'74„Overhead Hydro,_ 26. T -Bar Ceiling (Stroctural) & Monocoat ' - 75.7Dry Chemical 27. Frame and Flashing - + . r r _ ,.• r �. , 76. Dr - ' Y Standpipe C,.,' 28. Lathing Siding + 77.-- FIXED SYSTEM, FINAL `29. Insulation ! I 78 --FIRE PREV. FINAL 30. Drywall Nailing ,+ "- - HEALTH DEPT. REQUIREMENT .31. Plaster Brown Coat". . ,. f' r - _ 79. FINAL IIVSP.ECTI(1N, 32.Electrical' Power Meter Final - .. '_ + •' FOOD CERTIFLCA ISSUED . 33._* Final ElectricJ .. - .''Notes: .7 ,,34. Finpi Heating & Air,Conditioning 1 `- 35.`Final Gas Pipe.Teet'- = ` ` '° '- _ _ t•`• 36. Hood orCanopy I - • •4 r - a �. - + -37 -Final Faetory Fireplace ' - •-38. Final Plumbing - - I �. 39. Water Seevice-Final' -.40. Gas Service -Final '� .•, _' ,, ;j _• - , ' '41. Solar Domestic -Final': - •• a �, �+ Fr - 42. -Backflow PreventerA. 43. Backflow Irrigation+ - ,r .. A4. Landscape Irrigation System, - - �, - -. 45: Sound Attenuation 46. Handicap,Regulatio'ps 47. FINAL STRUCTURE & BUILDING -' 48:'FINAL PLANNING' '' r .0 49. Electric Release to Edison �+ � t t 50. Gas -Release to Southern California Gas Co r - 51. CERTIFICATE OF OCCUPANCY No. Date 'T Applicant to fill in all CITYOFCOSTAMESA-CONSTRUCTTIION PERMIT y� Project Address ,,23-s � �'J�-'��S ✓'P Applicant's Mallin'%�ggg Address ���� Owner's Name /ao�/.,y �Sz7ee ai+'1 PhoneLL29 __/16 Address -r+� Arch/Eng. License No. Address Contractor's Nam p� Phona �rq� Address (mailing)�Q City License No.��r� LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in f orce antl effec p License CI �! �+ ¢nse N 0 7 Date ��/ Z " 5'g t l/ - ->e . �� WOR KE R S' COMPENSATI ON DECLARATION I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Dlicy No. Company Certified copy i$ hereby furnished. Certified copy is filed with the city Building Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). 1 certify that in the performance of the work for which'this permit is issued, I shall not employ any person in any manner so as to become subject to the ' o pn t' Workersn Laws of Calif � `ems Date Sig nature��9��6i ho Goma subj/r� NOTIC . C fter making this ions f the you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for .which ermit is issued (Section 3097 Civ. C.) Lender'S Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter, Improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/She is exempt therefrom and the basis, for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 1, as owner of the property or my employees with wages as their Sole 'ompensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that Such improvements are not intended or offered for Sale. If, however, the building or improvement Is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- prove for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Can- tractorsto construct the project (Section 7044, Business and Professions Code; The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that proof o their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner I hereby certify that I have read this application antl state that the above information is correct. I agree to comply with all city and county ordinances and State laws relating to building construction, and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for ins pectlon pu - Signature Date Drivers' License or SS T - except those within heavy border lines and sign all appropriate declarations. 11 1 TRACT NO. I LOT NO. I UNIT NO, TYPE OF CONSTRUCTION LI NEW LJ ADD YN ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WW�RK/USE OF BLDG- TYPE OF PERMIT LA GRADING LJ FOUNDATION LI STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SO. FT. OCCUPANCY— CONSTRUCTION TYPE VALUATION $ ZONE , GRADING CU.YDS. ACRES Remarks: A.P. # S Main Buildi E T Front B Rear A C Right K S Left Ping. Ref. # Planninq Notes: 6962 60686 V j4.00' TL Zone Accessory Building: Z O N I N G R E Q M T S CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor PLUMBING FEES 3ar Sink - Showers ELECTRICAL - FEES 3ackflow Preventer Service Sink Automatic Washer Construction Pole Sub. Transformer ❑ 15-50 KW ❑ 50+KIN 3ackflow Irrigation Sewer Cap 3athtubs, Sewer Connection Cooking Unit Meter ❑up to 100 amps Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps Dishwasher - - Solar Piping Dryers []Gas [-]Electric Sub Panel Drinking Fountains Solar Tank I Fan Motors 00-1 HP❑1h-8 Floor Drains Swimming Pool w/Spa F.A.U. Inc. Solar 119-15 HP 1-116-15+ Floor Sinks Urinal Fixtures Microwave Gas Service Outlets Water Closet Device Boxes Pole Light Interceptors Water Heater Outlets Range _ Kitchen Sink Water Service Switches Sign Lavatories Auto -Wash Garbage Disposal Standing Sections P_ -Trap Laundry Trays Generator ❑0-5 KW 115-15 KW Trash Compactor Roof Drains 1 I , Reinspection Fee $15 Issue Fee $ 3 I I Reinspection Fee $15 Issue Fee $ 3 MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By - Date Application Issued By Date Boiler Hood or Type %L Canopy Type I I ❑ - Duct - Under Ground Duct - Structural Refrigeration System Do-100,00OBTU 0100,000BTU Duct- Ventilating BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY $ $ $ $ $ fC• $ $ 'DO $ OF FEES SMIP $ PERMIT _ ISSUANCE $ ENERGY P.C. $ !7 L/ GRADING $ MICROFILM $ TOTALFEE $ a Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICBG # Fire Dampers Heating System & Ducting E10-100,000 BTU ❑ 100,000 BT Registers Reinspection Fee $15 Issue Fee $ 3 CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POOL & SPA APPROVALS Permit Date r^ Inspector i. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding i ' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test Vj 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. C/ B. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60-. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 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 Electrical-T Bar'Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# _ 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑ Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑Gas ❑Oil - 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED . 33. Final Electric Notes: ' 34. Final Heating & Air Conditioning 6447_�4 L490 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System . 45. Sound Attenuation 46. Handicap Regulations- 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed . . 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date oJr / 'l5.5lql h Ii sh a - pu.�Lcko r jg ,K z strop w, A�4 redwoo g or pm ss.0 v e- tYeu.f� 1 �PROVED_- CiTy OP COSTA MESA p ANNtNG DEPT. su81ECT To BLDG. DEPT. REo. City of Costo Mesa Buildinggpt. ,_..�...... DATE.I !_ /.19G THESE PLANS MUST Bc ON JOB AT LL TIMES AKE NO CHANGES WITHOUT PRIOR \PPROVAL DEPF. THE ISSU'.'ICE OR (Z"' "TI"S OF J.ER'.' F 0 ^"P.OVgI OF PLANS AND SPECIFICA.'Oi'S b.l''L i''I r.r )N.IRUED TO BE A PER'AIT FOR. OR AR r'. "F, ytF?Y,�IQd OF ANY OF THE PROV1510' S Oi IHIS :UPR!- SUMING TO GIVE AUTHORITY FO VIOU..E M IAYCFI fHf PROVISIONS OF THIS CODE SHALL LE YALIC, EY lc IN SG FAR AS THE WORK OR USE YMICH IT AUTI10f, ZE:, �3 Wi U; ' THE ISSUANCE OF A ^' ";T 6—ED . "O'IMATIOt:S SHALL NO! 'R - 'M THEREAFTER REQUIRING I 5411' ?LAVS "'^ SPECIFICAT.': ' OPERiT' d7."= -'-.� n. - ' `)3' )c S a loan 11 l,eocc-2 a-aF4 3'/'0.C. -- Z,/;) — - "RD (L a-a�Ia ,L I' ��K Soars .- �as�s- 12"17 Qlilacl�Et�, �a 11 T 10 cl�FRV Zao s A NAY i J O z C C t v~i w r- tr 4 ' _ vv✓_' _� u f, 71 tet•• H f- •- - - J C�3 CiTy OP COSTA MESA p ANNtNG DEPT. su81ECT To BLDG. DEPT. REo. City of Costo Mesa Buildinggpt. ,_..�...... DATE.I !_ /.19G THESE PLANS MUST Bc ON JOB AT LL TIMES AKE NO CHANGES WITHOUT PRIOR \PPROVAL DEPF. THE ISSU'.'ICE OR (Z"' "TI"S OF J.ER'.' F 0 ^"P.OVgI OF PLANS AND SPECIFICA.'Oi'S b.l''L i''I r.r )N.IRUED TO BE A PER'AIT FOR. OR AR r'. "F, ytF?Y,�IQd OF ANY OF THE PROV1510' S Oi IHIS :UPR!- SUMING TO GIVE AUTHORITY FO VIOU..E M IAYCFI fHf PROVISIONS OF THIS CODE SHALL LE YALIC, EY lc IN SG FAR AS THE WORK OR USE YMICH IT AUTI10f, ZE:, �3 Wi U; ' THE ISSUANCE OF A ^' ";T 6—ED . "O'IMATIOt:S SHALL NO! 'R - 'M THEREAFTER REQUIRING I 5411' ?LAVS "'^ SPECIFICAT.': ' OPERiT' d7."= -'-.� n. - ' `)3' )c S a loan 11 l,eocc-2 a-aF4 3'/'0.C. -- Z,/;) — - "RD (L a-a�Ia ,L I' ��K Soars .- �as�s- 12"17 Qlilacl�Et�, �a 11 T 10 cl�FRV Zao s A NAY i \ �1 -CT T .�'�1A�1�� t\�'. .thy{ \�;i, �; '•�''i., ,�. !i -XI (.r.A, A?:.� •- i /-IL H 6 � n C f , w""" 1i10LIntQMAU1Y19 W. m' � 0 -14 -OU JOB ADDRESS 1033 Damascus Circle BUILDING PERMIT N0. 49800 0. SOIL SUBCONTRACTOR GAS WATER Plumbin ROUGH PLUMBING PROP, SWR. LINE HOUSE CON. SPRINKLING SYSTEM ROUGH HEATING AND AIR CONDITIONING I 1 II 1 1 1 UNDERGROUND U POWER Lf ROUGH WIRING Heatina and Vent. TRENCHES D FORMS STEEL REINF. FLOOR SYSTEM BONO BEAM STEEL REINFORCE SHEATHING Incomp ete Fr sec Ions FRAME AND FLASHING LATHING — IN 1 OUT PLASTER, BROWN COAT HEATING, VENT., REFRIG. AND A.C., FINAL I 1 11 1 1 1 BUILDING, FI i. J:III it I4fou uua JV CdSTA MESA BUILDING -SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only RECEIVE V PERMIT v BUILDING O3 A M ,CCUs ADDRESS �'`/-•!Y 7 (� A.P. NO. %//Z �! 7 OWNER OR ,Z E ' ` TENANT V BUILDING a ` J5� ADDRESS ��J J SPACE NO. �— MAILING I O ^1 ADDRESS J TR.NO. Or LOT 3� BLK. rr CCGG CITY 0.T {� NOLJ tI ��S51b NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER � LENDER BRANCH OWNER ZTG u ADDRESS II VALUE USE C SIQ,Q./r1.'f'I• I E0' ARCHITECT TEL. OR ENGINEER NO,Q PD ZONE I' J' T E GROUP ADDRESS CONTRACTOR APPROVED S BY DATE J ADDRESS TEL. CITY NO. STATE CITY LIC. NO. LIC. NO. APPROVED SETBACKS SIZE f I OF LOT GD X too NO. OF BLDGS. NOWON LOT (FROM Car R Ni FT. 4774(f Y 19Xf%'T USE OF EXISTING BLDG. Separate permits are required for electric, plumbing and heating work.fle L.SIDE FT. Q C� FT. U�S� .0,BBUILDING AN ORK TO BE PERFORMEDING ACTION / �� DATE APPROVED VED �Q 3 -/Y -tea DATE I hereby acknowledge that I have read this application and st that the above Information Is correct and agree to comply with all laws regulating building construction, and I shall not empl any person in violation of the workman's compensation lawsthe State of California.I hereby certify that I am properly licensed as a contractor unOfJ State of California Business and Professions Code, Division Chapter 9, and that su licenses are In full/force and effect, o a 9 exempt fr hp ivislo n�fof tho Ste 6 of Ilfornia BusinTION Profassions Dlvialo,Chapte nature oPermittee -OO•% SO. FT.the AMOUNT SHOWN UNDER VALUATION IS FOR PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. �PLAN PERMIT FEE Eantl CHECK $SI TA% EorAuth dAgent Date l�TOTAL PAID OCT 21-77'001083* ***373.02 CASA �c '.. DLx COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 1PVT TION FOR STRUCTURAL PERMIT For Applicant to Fdl in Completely — Use Ink Only RE E 11 ATE RECEIV O' D TE ISSUED V /—� 2 ^� ADIINGDRESS 4933 .[RC1 FYl -i PERMIT NO. OWNER FOLEY FAMILY TWST A.P. No. (� MAIL ADDRESS 2101 E. FOUrth St., #100 BUILDING ADDRESS 1033 Damascus Circle CITY Santa Ana, CA 92705 ITvo.�543-9471 TRACT9901 LOT 39 BLOCK CONSTRUCTION W ADD AL P LENDER U.C.B. X BRANCH 1010 N. Main St. OWNER Q ADDRESS Santa Ana CA 92704 .ry�e� t✓ VALUE USE ISG J ii $ ARCHITECT TEL. OR ENGINEER — FIRE ADDRESS ZONE TV E GROUP APPROVED CONTRACTOR Foley Cmstruction Co.. In BY DAT ADDRESS Sme as above ZONE NO.OF USE OF NEW TEL. CITY NO. PLANS Z BUILDING STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF SLDGS. (FROM C/L STREET) OF LOT NOW ON LOT 0 RONT FT. FT. USE OF EXISTING BLDG. N/A R. SIDE L5 FT FT Separate permits are required for L. SIDE ' FT. FT. electric, plumbing and heating work. REAR FT, FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN SLOGS. ACCESS. SLOGS. New construction, single family VAR.* DATEC.U.P. APPROVED detached, Plan 5, 5 Bedroans. APPROV BY /p o20 - 77 HOLD FOR SPEC -Q4T9 AL RLIQUIREMERT 1 hereby acknowledge that I have read this application and state that the above Information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. 2920 SO. FT. (.Tar. 658 sq. ft. I hereby certify that 1 am properly licensed as a contractor under THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are In full force and effect, or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ and Professions Coda, i Islon 3, Chapter 9. aJ PLAN CHECK E9 Signature of TAX $ Permittee Y �/ /I S 79 -In / /VI V V Authoriz t TOTAL PAID s