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Home My WebLink About286 DEL MAR AVE - Building Permits: 12445 COSTA MESA BUILDING•SAFETY DEPARTMENT P. O. BO% 9f7 C06iA M68A. CALIFORNIA For Applicanf to Fill In Complefely � MAIL � ARCHITECT CALIFORNIA • STATE 'i TEL. ` / aC LIG NO. ) NO. J fD J SIZE A �� NO. OP BLD08. OP LOT (,• C ow ON LOT USE OF EXISTING BLDG. 66TBACK LINE PROM ceNTER oF BiRelT . REAR YARD � SIDE YARD I LEP7' I RIGH7 DESCRIPTION OF WORK ■ a� WALL NO. OF ROOMS IROOF COVEF WORK TO E 1 HBHEBY ACNNOWLEO46 TMAT I HAVE ReA� TMIB AND BTATE TXAT TME ABOV¢ 19 CORRER AND AG PLY WITH NLL CIl INANC86 AND T¢ LdW6 BUILDINO CONBTR �. 61GNATURE OF PERMITfE T AUTNORIZED AGE T FEE RECEI!/E� .�,�'- �ura 2 e �sso FINANCE DEPT. cirr oF cosra MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RHCHIPT NO. P§RMIT f10� � � APPROVED Z E— I NO. OR PLAN9 L¢��L I/ � ( (CCHTCH LINe BTJ U8E OP NEW�y BIIILDIN6 .�I� f/ �� TH8 AMOUM BHOWN IINDER VALUATION 16 FOR TH! ,�� PUPP088 OP E9iABLI8H�N0 A PEPMIT FEE ONLY._ VALUATION P6RM1T FEE $ J�O /�/y (�Q s e , $�a �� PLAN CHECK $ � F �/ TOTAL FEE �� c CRAGGS, L. � AUG l 9 7961 nnTE b-28-60 AP. No. OCCUPANCY Form 210—SM-11�59 S�B P VALUE �T FIRE ZONE DESCRIPTION OF NORK DA7E � GROUP TYPE SUBCONTRACTOR I _ __ PERMITSISSUED__ GE COUNTY BUILDING DEPARTMENT ' APPLICATION FOR PERMIT .� 636 North Broadway - � � � � �' _ e � SANTA ANA, CALIFORNIA • ro m STREET� I �'� •� . PLOT PLAN Show location and distances' from property line and between buildings. _ ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT � , 636 North Broadway . w q O I�� , " "' SANTA ANA, CALIFORNIA � � `a ��D STREET _ _ PLOT PLAN ' Show locotion and distances from�� property line and between buildings.. � 0 J " --- � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 286 DEL MAR AV Suite: Vicinity: PERIMETER Parcel Number: 43920122 ,4pplicant: KORANDO, MARK Address: 2165 SOUT GRAND AV SANTA ANA, CA � Owner: CITY OF COSTA MESA Address , P O BOX 1200 COSTA MESA, CA � Contractor. Address: Zip: ArCh : Address: Zonin9: Phone: 714-434-6200 ' Zip: 92705 Phone: Zip: 92628 Phone: License: � Eng: Address: Stalus: ISSUED Applied: 02/13/2002 Issued: 02/13/2002 ISSUED BY: � � Phone: ' - Phone: - Zip: , � License: , License: � _ _ SCOPE OF PERMIT_ . � INSTALL 368 LF. PERIMETER TRACT WALL TO INCLUDE BLOCK AND WOOD FENCING. , FEE SUMMARY Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 SETBACKS � � MAIN STRUCTURE Front 0- 0 ACCESSORY Front p-p PARKING Existin : 0 NOTES: PLANNING & ZONING Rear 0- 0 Left 0- 0 Rear 0- 0 Left 0- 0 Required: 0 ProPosed: 0 Calc Valuation: S�,000.00 - ' Claim Valuation: S�,000.00 Right 0- 0 Righi 0- 0 NOTICE: The work authorizad by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Orcf. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inepectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in tha expiratlon of this permit. FOR INSPECTIONS CALL: (714) 7545626 ...,�u .t�� WORKERS'COMPENSAnONDECLARAnON: . � I hereby ettirtn under penelry ot perjury one ol Ihe lollowinq declarations: ❑'. I have and will mainlain e certilicate ot conSenl to self-Insure for workers' compensation, as proddetl lor Dy section 3700 of the Lebor Cotle, for the peAormance ot Ihe work lor which I�Is permi� is issued. � 1 hava antl wlll maintain workers' compensalion insurance, as requiretl by section 3700 ot Ne Lebor Co�e, for the pertortnance ol the work for which this pertnit is issued. -My workers' compensatlon Insurance carrier end policy number ere: � O o� /� Carrier. Si�E %dN% Policy Num6er: o (This sectlon need nof 6e campleted il the permit is valued ef one huntlretl dollars ($100) or less.) �. ❑ I certily �hat in �he compensatlon law comply with ihese of Ihe work tor which this pertnit is issued, 1 shall not employ eny person In any menner so as to became subject to the workers' ., and a�rea thet it I should bewme subject to the workers' compensation provisions ol Section 3700 of the Labor Code, I shell torthwith Date: y ��3 � Z� WARNING: FAILURE TO SECURE WOFKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMPLOVER TO CPIMINAL PENALTIES AND pVIL FlNES UP TOONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO THE CQST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, INTEREST, AND ATTOPNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirm ihat I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 0l ihe Business and Pmfessions Code, and my license is in tull force antl aHecL Lic. # Cless a Contractofs Signeture: Date: CONSTRUCTON LENDING AGENCY: � I hereby aflirm thet there Is a consimaion lentling agency for the pedormance of the work lor which �his permi� is issued. (Sec. 3097, Civil Coae). Lendefs Name: Lentlers Address: Signature: ' Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalry of perjury ihat 1 am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which requires a permit to consiruct, alter, improve, demolish, or repair any structure, pnor to its issuance, elso requires ihe applicant tor such permit ro file a signetl statement that he or she is licensetl pursuent to the pmvisions ot ihe Contractors License Law (Chepter 9(cammencing wilh Section 7000) of Division 3 of the Business end Professions Cotle) or that he or she is axempt thereirom and the basis for the alleged exemption. Any violation of Sectian 7037.5 by any epplicant for a pertnit subjects the aOPlicant to a civil penalry af not more ihan live hundred dollars ($500).): ❑ I, as ownar ol Ihe properry, or my employaes with wages as iheir sole compensation, WILL DO THE WORK, antl the structure is not intended or oHered tor sale (Sec. 7044, Business antl Professions Code: The Con�ractors Licensa Law does not apply �o an owner of property who builds or improves thereon, and who tloes such work himself or hereelf or �hrough his or har own employaes, pmvided that such improvements ere not Imentletl or oNered for sale. It, however, the building or improvement is sold within one year oi comple�ion, the owner-builder will have �he burden of proving that he or she did not �uiltl or improve tor purpose of sale.). � I, as owner ol the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construci the project (Sec. 7044, Busineu and Professions Cotle: The contractors License Lew tloes not appty to an owner ol proparty w�o builds or improves thereon, and who coniracls for such project wlih a contractor(s) license pursuant to the Conirectors License Lews.). ❑ I am ezempt untler sec. Business and Prolessions Cotla for this reason: SignaWre: Date: Owner ID venfietl by dnvers license. ❑ Yes ❑ No Driver's License No. Expires: Vedtication of Ownership by (type of tlowment, I.e. - property taa bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I �ereby ceriBy ihat no excevation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work euthonzed by Ihis permit, end that no builtling strucNre, swRolding, felsework, or demolition or tlismantling thereof, will he more then �hirty-six (36) feet higR (ChaD� 32, Gry 2, An 2, Sec. 341, Title 8, Celilornia Adminisiretive Cotle). ❑ As ownerbulltler, I will not employ anyone to tlo work w�ich wouid require e permit trom t�e Division of Industriel Setety, es natetl e6ove, unless such person has e permif to da such work Irom the tlivision. . Signatwe: Date: Division oi Industrial Sefery Partnit Number: CERTIFICATE OF COMPLJANCE AND AUTMOHVATON OF EMAV: I certify under penal�y oi perjury that I have read this epplication end state that the infortnation given is correcl. I agree to comply with all state laws and city ordinances relating to Duilding consiruction, and euthodze representatives of the Ciry ot Costa Mesa to enter upon the ebove-described pmperty tor inspection puryoses. I agree not to acupy or allow occupancy of eny building aulhorized by this permit until finel inspection. GOOE t. INSFECTIONTYPE 1fi16 Fixed System Final Flre Prevention 1268 Pool Spe Final 200 Finel Re-Rooi 201 Final Block/Reteining Wall 202 Final Factory Fire Place 203 Flnal Sign 204 Finel Demolition �. � ,�w-. �}�/�j �� /////L� /u y _�,aZ_,� Date COOE I INSVECiION 7YPE 206 Final Mec�anical 20B Finel Plumbing 210 Finel ElecinCal 212 Final Flre Prevention 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupancy P�g � I[QIDl49 (7ta) 754-5273 • Fax (71a) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: Applicanh Address: Owner: Address Contractor. Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting FixLs Recept Oullets Switches Non Res Appl Res Appl Service to 200a Service to 7000a Service over 1000a Motors to thp Malors to tOhp Motors lo SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermetl Pole 286 DEL MAR AV 43920122 KORANDO,MARK 2165 SOUT GRAND AV SANTA ANA, CA � CITY OF COSTA MESA P O BOX 1200 COSTA MESA, CA Phone: 714-434-6200 Zip: 92705 Phone: Zip: 92628 _ Phone: Zip: License: SCOPE OF PERMIT INSTALL METER PEDESTAL FOR IRRIGATION AND SITE LIGHTING 50.00 50.00 50.00 50.00 $0.00 50.00 $1.10 50.00 50.00 $0.00 $0.00 530.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 Quantity _ 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Disl System / Lighting Busway /100 R Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ....:...........up to 10 kva/kw .................uP l0 50 kva/kw .................up to-100 kva/kw ..................over 100 kva/kw . Low Voltage Equipment' � Low Volt Wiring System / Ckt Misa Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Sland Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCUTATED FEES COMMENTS / SPECIAL CONDITIONS ISSUED BY: Status: ISS U ED Applied: 02/13/2002 Issued: 02/13/2002 i ' � Ouantity 50.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 S0.00 ' 0 $0.00 0 $0.00 0 $0.00 0 $0.00 , 0 $0.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 $0.00 $0.00 30.00 50.00 $0.00 NOTICE: The work authorizad by this permit shall comply with all applicable handicap access raquiremenis under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-g2) E%PIRATION: This permit shall aulomatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor �he work aulhorized under this parmit to be considered legal, such work must comply with all epplicable cotles, and all requlred inapeetlona end fihal epproval must be obtainetl. Failure to obtain inspections and final approval will result in the ezpiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 �wo+o�aw� WORKERS' COMPENSA710N DECLARA'�ON: - I hareby affirm under penalty of perjury rne o� ihe following declerations: ' � ❑ I heve entl wlll maimain e certificate o� consent to setl-Insure tor workers' compansation, es provided for by section 3700 0l the Lebor Cotle, for the peAormance ot Iha work for whith Ihis pertnit is issuetl. � I �ave end wiil maintain workers' compensatlon insurance, as required by section 3700 of tha Labor Code, for the peAortnence of the work tor which Ihis permit Is Issuetl. My workers' compeAsation Insuranca carrler entl policy number are: [, Carner: S'?�YE %Y!t^ID Polity Number. a�7 ��- (Tiiis sec(ion nsed not be complered il fhe permiNs veluetl et one hundred tlallers ($ f00) or IessJ ❑ I certity thet in the performanca ot the work for which this pertnit is issued, I shall not employ any person in any manner so as to Decome subject to the workere' compensation laws of Califomia, and agree thet If I should bewme su6jact lo the workers' compensation pmvisions ot Sedlon 3700 oi iha Labor Code, I shall torthwith comply with these provisi '2 RppllcenYSigoetGre: q Date: � —�✓ `� �� WAFNINO: AII.0 TER O SECURE WORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHAII SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNpRED TlKKISAND DOLLARE (5100,000),IN PDOITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3IO60F THE IABOP COOE, IMEFEST, AND ATfOPNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aMirtn that I am licensed under proNsions of Chapter 9(wmmencing with Section 7000) ol Division 3 of the Business and Professions Code, and my license is In full lorce entl effecL Uc. # Class x Conlrector's SigneWre: Date: CONS7RUC710N LENDING AGENCY: ❑ I here6y eHirtn that Ihere is a consiruc�ion lending egency for iha peAormance ot the work for which ihis pertnit is issued. (Sec. 3097, Civil Code). Lentler's Neme: Lender's Adtlress: Signature: � Date: OWNER-BUILDER DECLARA710N5: I hereby aNirm that under penalry ot perjury thet I em E%EMPT FFOM 7HE CONTRACTORS LICENSE LAW for the tollowing raeson (Sec. 7031.5, Business antl Protessions Code: Any ciy or county which requires a permit to construct, atler, improve, tlemollsh, or repair any siruaure, pnor to its issuance, elso requires ihe applicant for such permit to file a signetl statement that he or she is licansed pursuant to Ihe provisions of the Contrecbrs License Law (Chepter e(commencing with Section 7000) of Division 3 oi Ihe Business end Professions Code) or that he ar she is exempt therefrom and [he besis for the alleged exemption. Any violatlon o� Sactlon 7031.5 by any appllcsnt for a permit sublects the applicent to a civil penalry ot no� more than tive hundred tlollars ($500).): ❑ 1, es ownar ot the properry, or my employees with wages as their soie compensation, WILL D07HE WORK, en0 tha struciure ls not intendatl or oHeretl ior sele (5ec. 7044, Business and Professions Code: The Comrectors License Law does not epply to an owner oi property who builds or improves iheraon, and who Ooes such work himsetl or herseN or through his or her own employees, provided ihat such improvements ere not intentled or oHerad lor sale. It, however, the builtling or Improvemem is sold within ono year ot completion, ihe owner-builder will heve the burden of proving that he or she did not build or improve for purpose of sale.). � ❑ I, as owner of the pmpertg am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consimcl lhe project (Sec. 7044, Business and Pmfessions Code: The coniractors License Law tloes no� epply to an owner of pmpeny who bulltls or Impmves thereon, end who cantracts lor such pmject with e contrector(5) license pursuent ro the Contrectors License Laws.). ❑ I am exempt under sec Business and Professions Code for this reason: Signeture: Date: Owner ID veniietl by dnvers license. ❑ Ves ❑ No Driver'S LiCenSe No. Venfication ot Ownership by (rypa ot tlocumenl, i.e. � propeny tex bill or deetl�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certity Ihai no exwve[ion five (5) or more feet in depih into which a person is requiretl to descend, will be made in wnnec�ion with work eutho�ie0 by this pertnit, and lhat no builtling sWcture, S�eflolding, falsework, or tlemolition or dismantling thereoi. will be more then thiny-siv (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Califomia Adminisirative Cade). ❑ As owner-Euiltler, I wili not employ enyone to do work which would require e permit fmm the Division ot Indusirial Safery, es notatl ebove, unless such pereon has e permit to tlo such work fmm the divisio�. Signature: Da�e: Division of Indusiriel Safery Permit Number. CERTIFlCATE OF COMPLIANCE AND AI7T110RVATON OF ENTRV: I certify under penalry ot perjury ihat I have read this application and state that the infortnation given is correcL I agree Io comply with all stete lews end ciry ortlinances relating to building construdion, end authonze represen�atives oi ihe Gty of Coste Mesa to enter upon the ebove-tlescnbed pmperty for inspection puryoses. I agree nat to occupy or allow occupancy oi any builtling authorizetl by this permit until tinal inspection. COUE 1, INSPECTIONTYPE QAIF IMffIALS 1618 Fixed System Final Fire Prevention 1266 200 207 202 203 Pool Spa Finel Final Re-Roof Final BIocWRetaining Well Final Fadory Fire Place Finel Sign Date 2 -l3-oL Date COOE� INSFECTIONTYPE 206 Final Mechanical 208 Finel Plumbing 210 Final Electncal 272 Final Fire Preventlon 220 Final Planning Approvel 222 Final Site 204 Final Demolition Z50 Final Building/Occupancy PAIE 1t1�L5 G�i� Appiicant to fill in all spaces except those within neavy oorOer Iines antl sign aIl aDDroOriata tleclarotions. CiTY OF COSTn MESA CONSTRUCTION PERMIT ProjectAddress • 286 DEL iii�ft � Applicant's Mailing Address i� n RnX 3! g�] �RA-�NCAI' DAC' H' � Owner'sName rITV nF f(1STA MFCA PhoneJ.7-�s-�7 Address BnX i�nn rosaa MFSA - Arch/Eng. License No. Address Contracror'sNam BOX 3% O SGR NADA H�L�.S��60 Address (mailing) CityLicenseNo. �2754� . LICENSED CONTRACTOR DECLARATION , I h¢reby�afti�m that I am licensetl untl¢r provision5 of Charte� 9(comm¢ncinq with section 7000) oi Division 3 ot Ihe Business antl Professions Cotle, antl my licenze is in full force a tl e3f ct. p LJ<en 1 �'L� seNo. 3��0]5 oate fi -1 7- 5 s 9 t 1 A .�1� WORKERS'COMPENSATION DECLARATION � ereby aftirm that I have a certificate ot consent to seli-insure or a certificate Workers' Compensation InSurante, o� a certifietl copY thereof (Section _°°°, `�° `' 402915 ST, FUND Policy No. Company �Certifietl copY �5 hereby tumisnetl. Ce Hfi op�j 171etl wi[h Ne city BuiiW ng i IsiOq. Date ��`�� APPlicant �� ,0�\�— ��1M.� - , EXEMPTION FROM WORKERS' COMPERSATION DECLARATION (This section neetl not be completetl if the permit Is tor one'huntlretl (5100) or less). . I C¢rtity thal in the performance Of Ihe wo�k for which this perm�t ii Issued, I shall not employ any pe�son in any rtianner so az to become subject to the Workers' Compensatlon Laws of California. Date ' Si9nature � � 'NOTICE: H, atter making this tleclaration, you shoultl become subject to lhe Workets'� Compensation' provisions of the Labor Coae, you must forthwi[h comply with such provisions or [his permit shall be tleemetl rnvoketl. CONSTRUCTION LENDING AGENCV • - � 1 hereby afflrm [hat lnere is a construction lentling agenty for the pe�fo�mance ot thu work for which this Oermit is issuetl (Section 3097 Civ. CJ l.entler's fJame LendeYz Addresz � _ OWNER BUILDEH DECLARHTION � I hereby affirm that 1 am exemPt from the Con[ractor'S License Law fOr the lollowing reason (Section 7031.5 8usiness antl Protessional Cotle: Any city or county whicn �equires a pe�mit to consbuct, alter, improve, tlemolish o� repai� to flle a signetl s[atemen[ ina[ ne�sne is ncensea punuem w uie y�oviao�n..� 'th¢ Contraclor'S Litense Law (ChaD�er 9(Commencin9 with Section 7000) of' 'livision 3 of tne Business antl Professions Cotle) or lhat he/she is ezempt i¢�etrom antl the, basis for [he allegetl ¢xemp[ion. Any violation of Section J31.5 by any applicanl ror a permit subject5 tne aOP�icant to a civil �enalty of not more than tive huntlretl tlollars (5500). I, as'owne� o( the p�ope�ty or my ¢mployees with wa9es as thelr sole compensation; will tlo the work, and the structure Is not intentletl or ofteretl tor sale (Sec[ion 7044, Business antl Profe55ional Cotle: The Contractor's License Law tloes not apply to an ownCr of a prooerty who builtls or improves thermn,.antl who,tloes'such work himself/herselt or thwugh his or her own employ ees, proviaatl that such improvements are not Intentletl or ofteretl for sal¢. I/, howeve�, tbe bWltling or Improvement is soltl wilhin ono year of com- pletion, tne owner will have the burtlen oi pravin9 he/she tlitl not bulltl or im- ptova tor [he pu�pose of sale). ' ' ❑ I, as owner of the proOertY. am ezclusively mntracting with licensetl con- tractors to construct the project (Section ]044, Busine55 and PlOi25510f15 COtlC: The Contractor's License Law tloes not appty to an owner oi property who Duiltls or improves lhereon. antl wM10 contracts fo� such projects with a con- tractor(s1 Ilcense pursuant �to tM1e Contractor's License Law). I am aware [hat p�ooi of tneir Worker's Compensation in5uranCe shoultl be provitletl to me. ❑ 1'am exempt under Section B. & P. C. for this reason Date ' Owner � I hereby certify that I have reatl this application antl state that tna above information is corrocL I agree to complY with all tlly antl county ordinances antl state laws rel tin9 t �Itlin9 construction, antl hereby authoriza repre- sentatives of t i ity o, ter upon Ihe above-menHonetl Oroperty for inspection pur s s. 1, �� 2_OC SignaWre . ' Da[e 't pJ orivers'Licenseor55�f LTtsPE OF CONSTRUCTION" U NEW LJ ADD LJ ALTERATION LI REPAIR ❑ CONVE0.510N, C� DEMOLISH ❑ OTHER DESCRIPTION OFWORK/USE OF BLDG. QEMOL I SH HnUSF TVPE OF PERMIT � LJ GRADING LJ FOUNDATION LJ STRVCTURAL ❑ TENANT ❑ ELECTRICAL � PLUMBING ❑ MECHANICAL ❑�OTHER ^ '� (�AP SFWFR � ' PROJEC7 DESCRIPTION SQ. FT. - ocCUaANCv_ CONSTRVCTION TVPE VALUATION $�Q( 20NE GRADINGCU.VDS. ACRES— Remarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher , Drinking Fountains Floor Drains Floor Sinks .- � Gas Service Outlets Ki[chen Sink Lavatories . P-Trap � Roof Drains - � ' � Reinspection Fae $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating ExhaustSystem ❑ MWtiple❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ ai oo,oao sTu O i oo.000 ar� Reinspection Fee � $15 CMF 0065�96, rev. 10/84 Wni[e - Builtlin9: Canary - Applicant; Pink - Accountlng; Goltlenrotl - Assessor Showers Service Sink - Sewer Cap Sewer Connection Solar Collecmrs Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Wa[er Cbset Water Heater Water Service Auto-Wash ' laue Fee Hood or Typel ❑ ; CanopY � Type I I ❑ Refrigeration System ❑o-ioo,aooeTu ❑ioo,000 System Repair/Alteration F ire Dampers � Registers _ Issue Fee FEES $ 3 F $ 3 A.P. #' S Main Buildi E T Front B Rear A C Right K Left S Ping. Ret. ql� Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec� Fan F.A.U. Fixtures Device Boxes OuUe[s $witchei Gar6age Disposal Generator �0-5 KW � fee 1053 b/12/Bo � Accessory Buildin9: Parking Req./Provided ,; i an i 4oaa5 a�]Q ,('i�. Zone ELECTRICAL , � Tiansformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑overi00amps 5KW Sub Panel Motars 061 HP �1'h - 6 Ina Solar �9-15 HP �16-15+ Miciowave � Pole Light Range Sign Standing Sections � Tresh Compactor ' Issue Fee DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By�/ Buiiding APProved 9, �jt BUILDING PERMI PLAN CHECK PLUMBING $ PLAN CHEC 5% $ ELECTRICAL PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% $ OF F $ V UANCE S ERGV P.C. $ RADING `$ ICROFILM $ TOTALFEE $ FEES $ 3 Z O N i N G R E Q M T S _ CONSTRUCTION ANDPLANNING " POL �SPA APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector � 1. Temporary Electrical Service�or Pole 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement 3. Electrica� Conduit Utility�Undrgrnd. 54. Forms 4. Electrical Condui{-Undrgrnd. � 55. Electrical Bonding 5. Steel ReinforcemBnt 56. Rough Plumbing & Pressure Test - 6.' Electricel UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footin§s • 58. Electrical Cqnduit-Undrgrnd. � i 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-Final �12. Sewer CaP _ �f � 63. Hea[er & Vent-Final � 13. Roof�DrBins • 64. Plumbing SysIem - Final � 14. Rough Plumbing � - 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System•Final 16. Rough Electric Wiring 67. Fencinq & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factocy 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 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. �athing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINA� 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster BYown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning � 35. Finai Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing � 39. Water Service-Final . : ' 40. Gas Service-Final . � . - 41. Sol9r pomesticFinal - , � �. ` � � 42. Backflow Preventer - � i �' 43. Backflow Irrigation � . \ 44. Landscape Irrigation System ' " � 45. Sound Attenuation ' � � � 46. Handicap Regulations . .� � 47. FINAL SrRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cn , 51. CERTIFICATE OF OCCUPANCY Nn. Date � i' TesL madc for .fob IdentiCication Localiun in Structure Laboratory Number Diark Date moulded Date tested Age, days W eight per cu. ft., Iba. Dimensiona, (inches) t�1'Q8� dQ. III. V ' f L A B O R AT O R 1 E 5, I Nc.= T.slin9 andJnspeclion C�n9ineero CODfPRESSION TEST kEPORT FOUR STF.R GUNI7E COMPANY 13234 Saticoy, North Hollywood SwIM�"ItJG POOL - 286 DEL MAF., COSTA MESA (Craigs, Gwner) LAi301tATOAY DATA � 17912 17913 7/11/60 7/11 7/18 I 8/8 7 � 28 6.1x12.iC �6,Cxi1,95 I 29,22 �2P..27 Compresaive Strength • 'lbtal Load lbs. ` � 124 , 000 Lbs. per aq, in. I 4, 24 3 1:1;�00 3,926 17914 7/11 8/Ei 28 6,Ox11.95 28,75 110�000 3,826 FIELD l)ATA MIX: GUNI'fE Cement Sp�-cifiid Slreuglh �, �� d,�y, Snnd SI �: ra �, No.4 Admix�urc No. 3 l;eadp Alix 1'lxnc No. 2 Cyls. made b}� Water Dnte c�•Is. deli��ereJ Bui1dBT5 PiGkup 7�13�60 1-1_ F S�rcul 1-Costa h�esa tldr�. Dept. 7.- F our Star Gunite Co. Respectfully submitted, } ItAY3fONU G. OSf�ORI�'T I.ABOk�1'ORI�S, Inc. BY-� -------F� !/ -� -....--- - - -� -- -- --� • -- ro 3 735 WEP,7' TWENTY�SEbEPJTH STREE'.' • LUS �+tJ:oEi �S 7. CALIFURN:A • F71c,,,mc.+., .�1! 1 Test mlde for .J��b ldentitication Lncation in Structure Laboratory Number Niark Date moulded i Date tested � Age, daYs Weight percu. ft., lba. Dimensione, (inches) Area, aq. in. Compresaive Strength T��tal Load lbs. Lba. per eq. in. � � L A B O R A T O R 1 E 5, 1 N c. _ Tofin9 and.�nepection �n9irieera CO�iPRECSION TE:aT kEPORT FGUk ST�R GUJITE COfiPANY 13234 Saticoy, North Hollywood SVdIM"I1dG POOL - 286 DEL MAF., COSTA 1�4ESA (Crai�s, Gwner) LAI30AATORY DATA 17912 1 7/11/60 7/18 7 I 6, 1x12.1 ; � ��e2L � 1?4,000 j C,243 17913 2 7/11 P./B I 28 I !6,Cx11.95 i 2��27 i �1:1,`'i00 � 3,926 1791A 3 7/11 8/8 28 6eQX11.9� 28,75 110�CQ� 3,826 � FIELD llATA �X: GL'NITF Cement Jp�.ri(ied St��er,�;tii .`i :;r; d;:^; Sand Elui��l, I\'o. 4 .-�dinix+ui r� No.8 }:e�id>� 11ix f'lant No. 2 Cy�ls. made hy Water Patec}Is.deli�rrud Bui1_ders PiCkup 7�13�60 1-i_ F S�rcr,l 1-Cos;.a P;esa �ldr.. �ept. '..- F ov.r Star Gu7ite Co. Resper.tfully submitted, t K:11'!�f��Nll G. OSftOY.NE I.ABnk:1TURIES, lnc. By...-- --'`� !/ � ---- -- - �- -�--- ro 3 235 WEST TW=�NTV-SEVEN7N STREE'.� • �(�5 A�a'vEt.CS 7. CALIFURN:A • RIGr.Mc�.:� 4�3117