The URL can be used to link to this page

Home My WebLink About295 DEL MAR AVE - Building Permits�, tist'a�°Mesa Building Department APPLYCATION FOR PERMIT ' P.O.Box3�� .'�R�.� BUiLDING ' COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY + FOY� APPLICANT TO FILL IN Receipt No. Permit No. Building q� � � nddre5s 295 r,�,� .�r � Costa Mesa, California Rec v by Date R d. Date Issue i Nearest � � �`" �� ' CrossSt. g qng Builtling Address Owner ll. �. 'L'hompson Mail Costa Mesa, California Address 423 Snu� ttarbor Hd,Nwpt nc Nearost @8C11 Te�• CrossSt. CityClBW OCt D No. Zone No.of I Type Group� Architect or Lic. Plans Enpineer �ontractor No. Aooroved contractor I�dBX V'l. P Addreu 19f)8 H9L't] Legal I Lot Description No. %2 (Attaeh Meies and Bounda s�ze or Lot 60 x 117 lJse of Existing Bldg. NOC38 Set6ack Line from Center of StreeS 50 f DESCRIPTI New I : I Alter c�cy d}Ga(IQC 1 I Tract 3 i9-. v��. � INo. of Bldgs Nowon Lot NOTl INo.of No.of Famillesl Room� Rear Yard Demolish CORRECI`IONS SUBJECf lG BLDG. DEFT. REG. PLHN T ��`�-6 X 41—n Hooms F stones 1 erior Wall I Roof — �overing $t,uCC�J CoveringVOlIpOSIt.10 a�PPR�VE�s Use of New Foundation Location Inspecto e��ia�ny 5in le famil residenca. Forms,Materials� �[/� ��F UndervPinning i �-�-r�� Frame:FireStops, Bracing, Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int. with all City Ordinances and State Laws regulating bullding construCtion. Lath. Ext. Signatureof / �C� �� Permittee �� Plaster,InL / Authorized Agt. piaster. ExL Valuatlon / Permit Fee $ o( d" ^ (� Plan Check $ � "' $ l i, �� Tota� � Fee $ � rnarn zoe �o.ss o. r. e s. � A1 � � � rw'1' ri.ril� . Show locdtlon and distancea f�om it property Iine and between buildinpa � �' G7 4 N O) �Ii •. -. ;:n .� ;. Parcel j�l: The North�yesterly 60 feat of the Nortwesterly 120 feet of Lot 92. Tract 376. as per &Iap thereof recorde6 in i3ook -15. page 29, hiiscellaneous r�apa,. records'of aran�e i;ounty� �alifornia. ,-., � , ._ � .. ` ,. . � , . . . � . .. .l • `� , . . _ ., � ' � `„ \ .�,, f ' 1\ � � . . . 1, � : � .l �1 � ' \ � - t, . �;+ OWNER THOMPSON, D. C, ,i JOB ADDRESS 29S Del Mar � DATE lO—Z—S6 BUILDING PERMIT NO. 3%�2 VALUE $ 1]_,536.� 119-15�-�e6 �oT 72 BLOCK TRACT 376 S�ng, Res. w/att �ar. GROUP I& J TVPE V ZONE � FIREDISTRICT 3812 PERMITS ISSUED INSPECTIONS DATE SUBCONTHACTOR DATE I NUMBER Foundation'Forms and Grade to G Rough Framing Plumbine, Rough to Slab /,L Plumbing, Rough Complete i Temporary Pole Wiring, Rough Heating, Rough Heating, Final 1/�ewer. House Sewer, St. Lathing, In� Out Plastering Plumbing, Final, Fixtures Co Plumbing, Fin,al GasTest Wiring, Final Occupancy FORM 210 3M IO�vi _i 7_ �—� 3 ' _Z -4-s� %o �t�-.CL 7n � � � Q � 3772 p a �� qp O � > _ : J :' n �qPM1� M (714) 754-5273 • Fax (774) 754-4856 Job Address: Suite No Vicinity: Parcel Nunmber: 295 DEL MAR AV BATHROOM REMODEL 43919226 � CITY OF COSTA MESA � BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT ELECTRICAL PERMIT npp�icant: JOHNSON, PALMER E. & DIANE J. Address: 295 DEL MAR AV COSTA MESA, CA Phone: (714)962-8466 Zip: 92626 Owner: JOHNSON, PALMER E. 8 DIANE J. Address 295 DEL MAR AV COSTA MESA, CA Phone: 2ip: 92626 PERMIT NUMBER E00-00648 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 07/03I2000 Issued: 07I03/2000 ISSUED BY: / �/ EXp'�ED Contractor: OWNER-BUILDER �p � U � nddre55: DATE � Phone: � _ _i. / ��/1S�/ Zip: License: 0 SCOPE OF PERMIT 19 LIGHTS, 25 OUTLETS, 18 SWITCHES AND 1 200 AMP SERVICE FOR RESIDENTIAL REMODEL. ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) 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 1hp Molors to 10hp Motors to SOhp Molors to 100hp Motors over 700hp Communication drops Sub panel to 200a Pole Liqht Pkg Sign Circuits Temp Pwr Pole Intermed Pole REF:B00-00324 $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $20.90 $23.65 $19.80 $0.00 $0.00 $30.50 sa.00 $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 19 25 18 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway I100 ft Standing Sedion Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kvalkw .................up l0 100 kva/kw ..................over 100 kvalkw Low Voltage Equipment Low VOIt Wiring System / Ckt Misa Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Sland Other Electrical Fee Investiqation Fee Plan Check Fee Reinspection Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 30.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 $0.00 50.00 TOTAL CALCULATED FEES E118.35 COMMENTS / SPECIAL CONDITIONS Quantity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 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 requlred inapeetlona end tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAI. ' I hereby atlirm untler panalty of perjury one ot the /ollowing declaretions: ❑ I heve antl will maintain a cenificate of consant to self-Insure lor workers' compensation, as provitletl br by section 3700 of the Labor Cotle, Por the pertortnance of ihe work for which ihis permit is Issued. ❑ I have entl will maintain workers' compensation insurance, es requiretl by section 3700 of ihe Labor Cotle, for the pertormance of Ihe wol� for which this permit is issuetl. My workers' compensatlon Insurance carrier flnd policy number ere: . CO�nec Policy Numbar: (This section need not be wmplefed i! ihe permit is ve/ued af ona hundreOCollers (3100J or less.) � I certify that in Ihe pedortnance at tha work tor which this permit is �ssued, I shell not employ eny person in any manner so as to become subject to the workers' compensation laws of Califomia, and egrea that if I shoultl bacome subject m the workere' compensation proNslons of Section 3700 of tha Labor Code, 1 shall forthwith comply with these provisians. Applicam Signature: Dale: WARNING FAILURE TO SECURE WORKER5 COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THDUSAND DOLLARE ($100,000), IN ADOITIQV TO THE COST OF CAMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 31060F THE IABOR CODE, IMEREST, AND AiTORNEV'S FEES. LICENSED CONTRACTORS DECLARATON: I hereby aNirm ihat I am licensed under provisions oi Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Prolessions Cotle, antl my license is in full force entl eHect. Lic. k Class k Coniractofs Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ 1 hereby aflirm that ihere is a consimction lending agency for the pedotmance of the work for which Ihis Dermit is isSued. (Sec. 309�, Civil Cotle). Lentler's Name: Lendels Address: SignaWre: Date: OWNER-BUILDER DECLARA710NS: I hereby eHirm that under penalry of perjury that I am E%EMPT FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any city or counry which requires a permit to construct, alter, Improve, aemolish, or repair any structure, prior ro I�s issuanca, also requires the epplicant for such permit to fila e signetl sta�ement that he or she is licensed pursuam to Ihe pmvisions of ihe Comraqors License Law (Cheptar 9(commencing wlth Section 7000) of Division 3 of the Bu4iness entl Professions Code) or that ha or she is exempt ihereimm and the Dasis for the alleged exemptlon. Any Wola�lon ot Seqion 7031.5 by eny epplicam for a permit sub�e the applicant to a civil penalry oi not more ihan fve hundretl tlollarg ($500).): �s owner of the properry, or my employees with wages as their sole compensation, WILL DO TME WORK, antl the structure is not intentletl or otteretl for sele (Sec. 7044, Business antl Prolessions Code: The Contractors License Law does not apply to en owner ol property who builds or impro�es thereon, and who tloes such work himselt or herself or through�.his ar her own employees, provided that such impmvements are not inte�ded or oHeretl for sale. If, however, the building or impmvement is sold within o�e yaar of completion, the owderbuiltler,will have the burdan ot provi�g that t�e or she ditl oot build or improve for purpose oi sale.). � I, as owner of the property�em"E%CLUSIVELV CONTAACTING WI7M LICENSED CONTRACTORS to construct the prqect (Sec. 7044, Business and Protessions Code: The contr ctors License Lew does not appl `to-an owner of proparty who builds or improves ihereon, and who contracis for such project with a conUactor�s) license pursuan t"the Coniractors Lic�ns�Lews.�'� ❑ I am exempt n e se .�� Signature: Owner ID v8nliBd y e s liten VeNication oi Ownership 6y (type ' Business entl Profeuions Code for ihis reason: � Expires: i.e: - propeny tax Dill or deed): DIV�SION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity that no eacevetion tive (5) or more teet in depih into which a person is requlred to tlescend, will be matle in conneciion with work aut�onzed by this permit, entl that no buiitling slmcNre, scaHoltling, falsework, or tlemolition or tlismantling ihe�eof, wlll be more ihan Ihirty-six (36) feet high. (Chap. 3.2, Grp 2, Ad 2, Sec. 341, Ttle B, Califomia Administrative Code). ❑ As ownerbuilder, I will not employ enyone to tlo work which woultl require a permi� from Ihe Division of Induslnal Safery, as notetl ebove, unless such person has a permit to do Such work irom the tlivision. Sig��a�ure: Daie: Division oi Intlustrial Safery Pertnit Number. CEFFF��111FICATE OF COMPUANCE M!D AUTHORVATION OF ENTHY: I certiy under penalty of perjury ihat � have read this application antl state that the infortnation given is � cor�a�t. I egree to co ly iN al tate lews end ciry ordinances releting m building consiruction, end euthoriza representatives of Ihe City of Costa Mesa to enter upon ihe ehdjV�-tlescnbeb fop t Ins ction puryoses. I agree not to occupy or allow occupancy ot any builtling authonzed by this pertnit untinnel Inspection. /1 I // /V/G� //tJ %" J 'C5 � � SinnaWreOfLaaalOwnertsl Date COOES, INSPECTIONTYPE 1Ajg II�kS 161 B Fixed System Finel Fire Prevention 1266 200 207 202 Pool Spa Finel - Finel Re-Root Final Blak/Retaining Wa�l Final Feciory Fire Place . 203 Final Sign 204 Final Demolition 2aa6<8 CODE 1 INSVECTION TYFE 206 Finel Mechanical 208 Finel Plumbing 210 Finel Electricel 212 Final Fire Prevention 220 Final Plenninq Appro�al 222 Finel Site 250 FInelBuilding/Occupancy PAT� L�+T�LS pia� �sa-sz�a • Fax (714) 754-4856 CITY OF COSTA MESA � BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Job Address: 2JS DEL MAR AV Suite: Vicinity: ALL WINDOWS BEING REPLACED Parcel Number: 439� 9226 BUILDING PERMIT 2oning: Applicant: JOHNSON, PALMER E. & DIANE J. Address: 295 DEL MAR AV Phone: (714)962-8466 COSTA MESA, CA 2ip: 92626 Owner: JOHNSON, PALMER E. & DIANE J. Address 295 DEL MAR AV COSTA MESA, CA Contrector: OWNER-BUILDER Address: � Arch : Address: Phone: Zip: 92626 Phone: License: 0 Eng: Address: PERM T NUMBER 00-01007 77 FAIR DRIVE, COSTA MESA, CA 92626 StaWs: ISSUED Applied: 07/OSI2000 Issued: 07/05/2000 ISSUED BY: � Phone: Phone: Zip: License: License: SCOPE OF PERMIT REPLACE 10 WINDOWS IN EXISTING SFD. SEE ATTACHED LIST FROM QUOTATION FOR SIZES AND LOCATION. Plan Check: $0.00 Permit: $9725 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Frant 0- 0 PARKING Ezlstinq: o NOTES: Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY e PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 EX.PIRED DATE � _ ° r ��,`ivt . �ju � $a,000.00 ya,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapettlons and flnal approvel mus� be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WOqKERS' COMPENSATION �ECLARATION: 'I hereby aHirm untler penalry of perjury one of tha following declarations: ❑ I have antl will meintain a certificate of consent to self-Insure for workers' compensation, as provitled for by section 3700 of the Labor Code, for the pertormance ot the work for which this permit is issued. ❑ I hava antl will maintain workers' compensation insurance, as required by section 3700 ot the Labor Code, for the peAormance of the work for which this pertnit is issued. My workers' compensation Insurence wrrier end policy number are: Cerrier. policy Number. (This section need not be comp�eted i! the permit is velued af one hundred dollers ($100) or Iess.J ❑ I certify that in the peAOrmence of the work for which this permit is issued, I shall not employ any person in eny manner so as to becoma subject to the workers' compensation laws of Cdlifomia, antl egree ihat if I should become subject to the workers' compensation provisions of Section 3700 of the Lebor Cotle, I shall forihwith comply with these provisions. Applicent Signature: Date: WARNMG: FAILURE TO SECURE WORKERS' CAMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES FND CNIL FINES UP TOONE HUNDRED THOUSAND DOLLARE �Si00.000�, IN AODITIqJ TO THE COST OF COMPENSATION, DAM4GE5 AS PROVIDED FOR IN SECTIQV 3'!O6 OF THE LABOR CADE. IMEPEST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm ihat I am licensed under provisions of C�apter 9(commencing with Section 7000) of Division 3 of the Business and Pmfessions Coee, and my license is in tull torce and aflacL Lia k Class p Contractars SignaWre: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm ihat there is a construc�ion lending egency tor the pertormance of tha work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentler's Addrass: Signature: Date: OWNER-BUILDER DECLARAT�ONS: I hereby aNirm Ihat under penalty of perlury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sac. 7031.5, Business and Professions Code: Any city or counry whicd requires a permit to construct, alter, improve, demolish, or repair any simcture, prior to its issuance, also requires ihe applican� for such permit to tile e signed stetement ihat he or she is licensed pursuan� to ihe provisions of the Contractors Llcense Law (Chapter 9(commencing with Section 7000) ot Divislon 3 of the Business and Professions Code) or thei he or she is exempt therefrom and the basis for the alleged eaemptlon. Any violation ot Section 7031.5 by any applicant for a permit sublects tha epplicant to a civil penelry of not more than five huntlretl tlollars ($500).): ❑ I, as owner of ihe propeAy, or my employees with wages as their soie compensation, WILI DO THE WORK, and the siructure is not intended or oNered for saie (Sec. 7044, 8usiness and Protassions Code: The Contrectors License Law does not apply to an owner of property who builtls or improves ihereon, and who does such work himself or hersetl or through his or her own employeas, provided ihat such improvemenis are not imendetl or ottered for sale. If, however, the builtling or improvemem is �� old within one year of completion, Ihe owner-builder will have the burden of proving that he or she did not buiitl or impmve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the pmject (Sec. 7044, eusiness end Pmfessions Cotla: Tha contracbrs Ucense Lew tloes not appty m an owner of property who builds or improves ihereon, antl who contracis for such project with a contractor(s) license pur ant to the Comractors Licens Laws.). ❑ I am e:e under se2. Business antl Professions Code for ihis reason: Signawre: � Date: ' Owner ID verified b driver' iGens . Yes ❑ No Driver's License No. Ezpires: Verification of Ownership b of cument, i.e. - property tau bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION: ❑ I herehy cenity �hat no excevation five (5) or more feet in depth into which a person is required to descentl, will �e matle in connection with work authorized by this permit, and ihat no huilding simcture, scafloltling, taisework, or demolition or dismantling �hereot, will be more than thirty-six (36) feet high. (Chap. 32. Grp 2, Art 2, Sec. 341, T�le B, Calitornia Adminisira�ive Code). ❑ As owner-builtler, I will nJt employ anyone to do work w�ich would require a permit irom the Division of Industrial Safery, as noted above, unless such pereon has a permit to do such work irom the division. Signature: Date: Division of Industrial Safety Permit Number. ARDOUS MATERIALS AND EMISSIONS CERTIFICATION: W ill the applicant or present or fuwre 6uilding occupant need to fiie antl cenify a Business Plan for emergency response to release or ihreatened release of a hazardous material9 ❑ ves [] No (Section 25505 of the California Healih antl Safery Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by avery business which has at any one time tluring e reported year a Quantity of hazartlous materials equal to or greater than a weight of 500 pounds, or a volume oi 55 gallons, Does or will the applicant 0� p�esent or future building occupant naed b file a registration form for acutely hazartlous materials7 ❑ Yes ❑ No (Section 25533 of the Calitomia Healih and Sefety Cotle, with some excep�ions, requires registration with the Costa Mesa Fire Depariment by each business which at any one time has on �and e quantity oi acutety hazardous materials equal to or greeter than e weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressad gas at standard tempereture antl pressure). ......... . .._._.. '.'...._... ._. ... . ..... ............ . ..._ ... . .................. ......._ ..... ......... Does or will Ihe applicant or present or future bwltling occupant naed to prepare an RMPP (Risk Management antl Prevention Program tor acutely hazartlous materials)? (Section 25534 of the Celifornia Hea�th and Safery Code provides that the Costa Mesa Fire Depatlmem may require the Department of an RMPP 6y businesses which are requirad to register acutely hazartlous matenals with Ihe Fire Departme ......... ........... ........ ' . ........ ..._. 4 Ii an RMPP is presently required has Section 25534 of ihe Califomia Healih and Safery Code been fulty comphed with? 5 Doas or will the applicant or present or fuwre huilding occupant require tor the work which is ihe subject of ihis a plica�i� from ihe South Coast Air Quality Management District or from eny other air polWtion control disMct or agency9 � �es (Section 65850.2 of the C2lifomia Govemment Code requires �ha� the reques�ed informa�ion be fumished on applications 6 W ili any part of the facility to be constmctetl untler ihis permit be within 1000 fee� �rom lhe ouler 6ountleri85 of e SCh001? (If "yes", the facility must rt�eet the requirement of Sedions 25534 end 423W of the Califomia Healih antl Safety Cotle). 7 If e permit imm Ihe Soutn Coast Air �ualiry Management Disirict or other air polWtion contml disirict or agency is re� application, have all of the disdosures prescribetl by Callfornia Health antl Safety Cotle Sedion 42303 been made? ❑` certification and filing with the Fire ❑ No for non-residential bi ❑ Yes ❑ No No or B (Ii'j�es", attach certificate o� compiiance rrom Ine appropnate eir ponubon contml otllceq. CERTIFICATE OF COMPLIANCE: �Il,certity that under penalty of peryury the information given above is correct. I agree to comDly with all state laws and ciry ordinances regartling Hazartlous Materials and Emiisions. � �, JG �� vuuLt� ,_ i `-.�./. S SignaWre: � - '��'� Date: OF COMPLIANCE AND 3 to comply with all sta� COpE 1, INSPECTIONTYPE �6�6 Fixotl System Final Fife Prevention 1266 Pool Spa Final 200 Final Ra-Root 201 Final BIocWRetaining Wall 202 Finel Fectory Fire PIaCe 203 Finel Sign 204 Final Demoli�ion zases :ATION OF EMAY: I certify under penalry of perjury ihat I �ave reatl ihis application and state that the information given is ciry ordinances relating to building construction, and authorize representatives of Ihe Ciry of Gosta Mesa to enter upon the I agree not to o upy or ailow occupancy of any building aut�onzetl by this permit until tinal inspection. �-�i-�� iwner(s) Date jl� jNj�$ �1�E[ INSPECTIONTYPE 206 Final Mechanical 2�8 Fi�al Plumbing 270 Finel Electncal 212 Final Fire Pravention 220 Final Plenning Approval 222 Final Site 250 Final Building/Occupancy DpTE INTRIpLS L,it.�y o� C'',oa.ta �Zleda �'u�i��us� Dufidio�s ��, OWNER-BUILDER VERIFICATION A ciry or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the comple[ion and require the retum of, an owner-builder verification. Attention Property Owner. An `owner-builder' building permit has been applied for in your name and bearing your signature. Pleuse complete and retum this information in the envelope provided at your earliest oppoRanity to avoid unnecessary delay in processing and issuing your building permit. No buildine permit will be issued until this verification is received. L I personally plan to prov,,,��id,,,e��}�e major labor and materials for construction of the proposed property improvement. �es ❑ No 2. I(have/have not) CJ..v � signed an application for a building permit for [he proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address oZ��Q� �L-� ��C�SG�� c��y�r�r1.G � Phone (7�Y ) �r�S �� % � Contracror's Lic. No. ?,,T� (a 7 ��_ 4. I plan to provide portions of the work, but 1 have hired the foilowing person to coordinate, supervise and provide the major work: Name Address City _ Phone ( ) Contractor's Lic. No. 5. 1 will provide some of the work but 1 have contracted (hired) the following persons [o provide the work indicated: Name Address Phone Type of Work 1p4266 IREV. 91981 I hereby affirtn that I have received a copy of the informa[ion se[ foRh in Sec[ion 19830 of the S[a[e of Caiifomia Heal[h and Safety Code and have comple[ed the above information to [he bes[ of my personal knowledge, in compliance with this State law. Signed Namc: C.D.�,. # OR S.S. # Date: � c� I� � Eor more information call City of Costa Mesa Building Division at (714) 754-5273. t0a2d8 (qEV.9/98) (714) 754-5273 • Fax (774) 754-4856 Job Address: 295 DEL MAR AV Suite: Vicinity: BATHROOMS Parcel Number: 43919226 CITY OF COSTA MESA BI/ILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT Zoning: App�icant: JOHNSON, PALMER E. & DIANE J. Address: 295 DEL MAR AV COSTA MESA, CA Phone: (714)962-8466 Zip: 92626 Owner: JOHNSON, PALMER E. & DIANE J. Address 295 DEL MAR AV COSTA MESA, CA Contractor: OWN ER-BU I LD ER Address: Zip: Arch : Address: Phone: Phone: Zip: 92626 Phone: License: 0 Eng: Address: �PE MIT NUMBER 0-00324 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 03/15/2000 Issued: 03/15I2000 ISSUED BY: _�YI7 Phone: Zip: License: License: SCOPE OF PERMIT REPAIR/REPLACE EXISTING CONCRETE SLAB IN EXISTING SFD. REMODEL EXISTING BATHROOMS, AND ADD NEW SHOWER. WATER REPIPE OF EXISTING HOUSE. RELOCATE WATER HEATER OUTSIDE. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $99.61 $153.25 $0.80 $0.00 $0.00 $0.00 $253.66 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0. 0 PARKING existinq: o Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY Calc Valuation: 5a,000.00 Claim Valuation: 5a,000.00 PLANNING & ZONING LeR 0- 0 Right LeR 0- 0 Right Pr000sed: 0 0- 0 0- 0 EXF'li�.Ei� DA7� _ �� OI �o � �'� . NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia 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 ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapectiona antl final epproval must 6e obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 A WORKERS'COMPENSAnON DECLARATON: I hereby aHirm untler Oenalry of perjury one ol the tollowing tleclaratlans: ❑ I have antl will maintain a certificete of conseni to self-Insure for workere' compensation, es pmvidetl for by section 3700 of the Labor Cotle, for Ihe OeAortnance of the work for which ihis permit is issued. ' ❑ I have antl will maintain workers' compensa�ion insurance, as required by sedion 3700 0l ihe Lebor Cotle, tor the peAormanca of tha work for which Ihis permit is issued. My workers' compensation Insurance carner and policy number are: Carrier. Policy Number. (This section need nof be complefed i! fhe Oermit is valued et one hundretl dollere ($100J or less.) ❑ I certify that In ihe peAormance of ihe work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to ihe workers' compensation laws of Califomia, and agree that if I should become subject lo the workers' compensation provisions of Section 3700 of ihe Labor Code, I shall torthwith comply with Ihese provisions. Applicant SigneWre: Date: WARNING: FAILURE TO SECUPE WIXiKERS' COMPENSATION COVERAGE IS UNIAWFUL ANO SMALL SU&IECi AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMFENSATION, DAhNGE$ AS PROVIDED FOR IN SECiION 3/W OF THE LABOR COOE, IfJrEPEST, ANO ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby aflirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Code, antl my license is in full force and ettect. Lia a Class k Contractofs Signeture: Date: CONSTRUCTION LENDING AGENCY: ❑ I hareby aNirm ihet there is a consiruction landing agency for Ihe peAormance of iha work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentlers Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm that under penalry of perjury Nat I am E%EMP7 FROM 7HE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or county which reQuires e permit to cons�mct, elter, improve, demolish, or repair any stmcWre, prior to its issuance, also requires Ihe epplican� for such permit to lile a signed statemeN thet he or she is licensed pursuant to ihe pmvislons ot the ConUaciors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business end Protessions Code) or that he or she is exempt iherelwm antl Ihe basis br Ihe elleged ezemption. Any violetion of Section 7031.5 by eny epplicent (or e permit s,.u,,b/fects the eppliCent to e civil penelry ot nol more lhan flve hundred tlollars ($500).): �y I, es owner of the property, or my employeas with wages as their sole compensatlon, WILL DO THE WORK, and Ihe stmcture is not intentletl or offered for sale (Sec. 7044, Busines5 end Proles5ions Code: The Contractor5 Licen58 Lew doe5 not appty to an owner of property who builds or improve5lherem. and who dces such work himself or herself or thmugh his or her own employees, provitled t�et such improvements are not intended or oflered for sale. II, however, the builtling or improvement is sold within one yeer of completion, ihe owner-builder will have ihe burden ot proving Ihat he or she ditl not build or improve for purpose of sala.). ❑ I, es owner ol Ihe properry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Professions Code: The contrectors License Law dces no, pD�Y �o an owner of Droperry who builds or improves thereon, and who contracts tor such pwject with a contractor(s) IiCBOSB DUrSIIiMQO �b9 COnU9CtOr5 L19Bn5 WS.). ❑ I em exe � i Signature: Owner ID veritietl by tlrivar's Venfication ot Ownership by Business and Professions Cotle tor this reason: �d ❑ Yes ❑ NO Dnver'S LicenSe N0. of document, i.e. - pmperty tau bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Data: Expires: ❑ I hereby cenity ihat no e:cavation tive (5) or more faet In de0�h into which e person is required to descend, will be mede in connecUon with work authorized by this permit, end ihat no building sirucWre, scallolding, falsework, or demolition or dismamling thereot, will be more than Nirty-siz (36) feat high. (Chep. 32, Grp 2, An 2, Sec. 341, Title B, Califarnia Adminisirative Code). ❑ As ownerbuilder, I will not employ anyone to tlo work which would require a permit Irom tha Division of Intlus�rial Safety, as notetl above, unless such person has a permit to do such work irom Ihe tlivision. Signature: Date: Division of Industnal Safety Permit Number: CERTIFICA OF M17� LIANCE AND,g {iVATION OF ENTRY: I Certify untler penelry of perlury that I have read this application and state that the infortnation given is wrrect I ree,l or�(ly wy�h'��taJ�4 �nd ci�y ordinances relating to building consimction, and amhorize representatives of the City of Costa Mesa to eme� upon ihe above-d scri 4 ro�eny tqbCi� (o rpases. I agree not to occuDY or allow occupancy of any building authonzed b t ermit until linal inspection. C � � %% �—�� O ignature Of Legal Owner(s) ' Dete CODE Y. INSVECTIONTYPE 1616 Fiaed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Final BIaWRe�aining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition 2406 <8 Applicant QA¢, INTRIRLS � D�EI INSVELTIONTYPE 206 Final Mechanical 208 Final Plumbing 270 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy Q(�j�F INiITIALS C'',i�ii o� C.ovta ��ea.a �'u,%��i�uy Dusi�io�s OWNER-BUILDER VERIFICATION A city or county, which is required ro give notice pursuant to Sec[ion 19830, shall at[ach to such notice, and, as a condition precedent to issuing a building pertnit, require the'completion and require•the retum of, an owner-builder verification. Attention Property Owner. An bwner-builder' building permit has been applied for in your name and bearing your signawre. Please complete and re[um this information in the envelopc provided at your earliest opponunity to avoid unnecessary delay in processing.and issuing your building permit. No building permit will be issued until this verification is received. I. 1 personally plan to provide the major labor and materials for conswction of [he proposed property improvement.� Yes ❑ No � ha e/have not) signed an application for a building permit for the proposed work. 3. I have convacted with the following person (firm) to provide the proposed conswction: Name Address Phone ( ) City — Contractor's Lic. No. 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address _ Phone ( ) City _ Contractor's Lic. No. 5. I will provide some of the work but I have contracted (hired) the followin� persons ro provide the work indicated: Namc 1002.<6 (REV.9yB) Address Phonc Type of Work � [ hereby �rm [ha[ I have received a copy of the infortnation set for[h in Section 19830 of the State of Califomia Heal[h and Safety Code and have completed the above infortnation [o [he bes[ of my personal knowledge, in comylia�ce wi[h this Sta[e law. _ _ . .,�� '�� ,. � r..��.r.a.s�-.�,r�i��: • �•• ' . Eor more information call City ot Costa Mesa Building Division at (714) 754-5273. 1002�8 (HEV. &88) (714) 754-5273 • Fax (714) 754-4856 Job Address: Suite No Vicinity: 295 DEL MAR AV BATHROOMS Parcel Nunmber: 43979226 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT PLUMBING PERMIT Appliwnt: JOHNSON, PALMER E. & DIANE J. Address: 295 DEL MAR AV COSTA MESA, CA Phone: (714)962-8466 Zip: 92626 Owner: JOHNSON, PALMER E. & DIANE J. Address 295 DEL MAR AV COSTA MESA,CA Contrector: OWNER-BUI LDER Address: Arch / Eng : Address: Phone: Zip: 92626 Phone: Zip: License: 0 Phone: Zip: License: PE IT NUMBER P00-00133 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 03/15/2000 Issued: 03/15/2000 ISSUED BY: �_ SCOPE OF PERMIT REMODEL EXISTING BATHROOMS, AND ADD NEW SHOWER. WATER REPIPE OF EXISTING HOUSE. RELOCATE WATER HEATER OUTSIDE. � REF:B00-00324 ISSUE FEE BackFlow irrigation BackFlow Preventer Bathtub Clarifier System Connect Qce,Soda,etc) Dental Units Dishwasher Drein, Floor Drain, Rainwater Drein, Roof Drinkinq Fountain Expansion Tank AMT 523.50 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 FEE SUMMARY aTY AMT laundry Tub / Washer $0.00 0 Landscape.lrrigation $0.00 0 P-Trap $0.00 0 Pressure Regulator $0.00 0 Process Piping (per 10 ft) $0.00 0 Receptore $0.00 0 Septic Tank $0.00 0 SewerCapforDemo $0.00 t Sewer Connect $0.00 0 Sewer Pnvate Line $0.00 0 Shower $9.80 0 Sink, bar $0.00 0 Sink, commercial $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 SumpPump Swimming Pool Trap Pnmer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closel (foilet) Water Heater ! vent Water Piping (Inst or Rep.) Water Re-pipe AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 $12.30 $0.00 $9.80 QTY 0 0 0 0 0 0 1 0 0 0 1 0 1 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia 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 within 180 days, or if work is suspended or abandoned for a period ot 180 days. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetlona end final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WOFKERS' COMPENSATION DECLARATION: I hereby aHirtn under penalry oi perjury one of Ihe following declerations: ❑ I have antl will maintain a certificate oi consent to self-Insure for workers' compensation, as provitlea for by sectlon 3700 of the Labor Code, for the peAortnance of the work for which Ihis permit is issuetl. � ❑ I have antl will mainiain workers' compensaiion insurance, as required by section 3700 of the Labor Code, for the peAormance ot the work for which this permit is issuetl. My workers' compensation Insuranca carner and policy number are: Cerrier: Policy Number: (This section need not be comp/efed il the permi( is valued et one hundred dollars ($700) or /ess.) ❑ 1 cenity Ihat in the pertortnance of the work for which ihis pertnit is issueA, I shall not employ any person in any manner so as to become su6ject to �he workers' compensetion laws of Californle, and agree Ihat if I should become subject to ihe workere' compensation provisions of Section 3700 ot tha Labor Cotle, I shall forthwith complY with these provisions. Applicant Signeture: Date: WARNINO: FAILURE TO SECURE WORKEFS' CdNPEN$ATION COVERAGE I$ UNL4WFUL AND SHAIL SUBJECT AN EMP�OVER TO CflIMINAL PENlLLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANO DOLL4RE (E100,000), IN FDDRION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOH IN SECTION 3]OB OF THE L400R CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aRirm ihat I em licensed under provislons of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Protessions Code, antl my license is In full force and eHecL Lic. a Class # Cornradors SignaWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirm that ihere is a construction lentling agency br tha performanca ol ihe work lor which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lentlefs Adtlress: Signature: Dete: OWNER-BUILDER DECLARA710NS:' I hereby aHirm that under penalry of perjury Iha� I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a pertnit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires lhe applicant for such permit to file a signed statemeN ihat he or she is licensed pursuant to Ihe provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) ot Division 3 ot the Business and Pwfessions Cotla) or t�at he or she is eaempt ihere(rom and the basis tor ihe alleged e:emption. Any violation ot Section 7031.5 by any applicant tor a permit su6�gots ihe applicant to a civil penalty ol not more than five huntlred tlollars ($500).): �� I, as owner oi Ihe pmperty, or my employees with wages as iheir sole compensetion, WILL DO THE WORK, and the sirucWre is noi intentletl or otterad for sale (Sec. 7044, Business antl Professions Cotle: The Contractors License Law dces not apply to an owner of property who builtls or improves thereon, and who does such work himsetl or herself or Ihrough his or her own employees, provided Ihat such improvements are not intended or offered for sale. If, howevar, ihe building or improvement is sold within one year of completion, ihe owner-builder will have the burden of proving ihat he or she did not build or improve tor purpose of sale.). ❑ I, as owner ot ihe property, am EXCWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the prqect (Sec. 70d4, Business antl Professions Cotle: The contrectors license Law tloey� ot appN �o an owner of property who builtls or improves thereon, and who coniracts for such project with a contractor(s) license o�levanUJlhe Conirectorski�,e(ip� Laws.). ❑ I am e rt�pi tl se� Signature: � Owner ID verified hy tlrivels Ventication ofOwnership bj % Business antl Professions Code for ihis reason: �'/ Date: ❑ Yes ❑ No Dnvar's License No. Ezpires: of document, i.e. � pmperty tax 6ill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cehiy �hat no eacavation five (5) or more feet in tlepth imo which a person is required to descend, will be made in connection with work authonzetl by ihis permit, and Ihat no building sWcture, scaHolding, falsework, or demoli�ion or tlismentling �hereof, will he more ihan thirty-sis (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Ttle B, Califomia Adminisirative Code). ❑ As owner-builder, I will not employ anyona to tlo work which would require a permit irom Ihe Division ot Intlustnal Safety, as notetl above, unless such person �as a permit to do such work from the division. Signature: Date: Division af Industrial Safety Permit Number. CERTIFIC OF C y1PL1ANCE AND RVATION OF ENTAV: I certify under penalry of perjury that I heve read Ihis application and s�ate that the intormation given is correc� egre t cy(nply wi II � s and ciry ordinances relating to building construction, and authorize representetives of Iha Ciry of Costa Mesa to enter upon ihe ebov desc /openy r Y urywes. I agree not to acupy or allow acupancy of any building authonzeJd �th�l rmit until final inspection. � �//tGY /S l Do d SignaWre Of Legal Owner(s) Date COOE 1. INSGELTIONTVPE 1616 Fixed System Finel Fire Prevention 1266 Poal Spa Finel 200 Finel Re-Root 201 Final BIocWReteining Wall 202 Finel Fectory Fire PlaCe 203 204 2A46 a6 Final Sign Final Demolition OATE INTIfULS CO�E♦ INSGECTIONTYPE 206 Final Mechenical 20B Final Plumbing 210 Final Electdcal 212 Final Fira Prevention 220 222 250 Final Planning Approval Final Site Final Builtling/Occupency Date o"re INiR1��5 ►� ` PN0.1ECfIl00PES8: Z 9 S D EL MAR AV OWNFfl'SN11ME: GEORGE SPEARING eooxesa: SAME #A �flLlIIENGINFEfl: �ooxess: rexrnmeE: WHITEOAK CONSTAUCTION �oosess: 833 W 17TH ST COSTA MESA LILENSE� COMMCTON OECUMTION: 1 �ereEy aflirm tlwt I am ficanSeE unE 7000) al Diuision 3 oI Ilre BusNas anG Professbns Co . my licenu k in' ciTr uc.: 0 3 2 2 7 4 sT�Te uc.'4 2 3 2' c s oate: _�Q -.3—f O sc�amre: — — - NEO.NO.: uxiT:B CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO; B 049307 PLAN CHECK NO: 05423-90 A CONSTRUCTION TYPE; V—N PERMIT TYPE: STR uxn: JOB DESCRIPTION : ADD 2ND SFD TO (E) SFD PERM NO: B 049307 GOVT: N SUPP: N PURPOSE: ADD SQ FT: 1,827 CLAIM VALUE: 77,050.00 ;,CALC—VALUE; 99,577,10 GROUP OCC: R-1 / (714)645-6934 1 COMMENTS: ADD 2ND UNIT ON TOP OF (E) UNIT 92627 �***r�r��**�*�r*�r**�r�rx�***��*�*x��*�*�r�r��r�r***�r�r*r*��r�+r*+r*�*�e�**�+r*��x�***�r+r�r�+�***�r�r loiu o� CnaD�er 9 �wmmencinp witn Section Z O N I N G R E Q U I R E M E N T S am enect. S E T B A C K S "OflNEBS' fANPENSl1TI0N DECUNITION: l �ere�a m a�7r� ie i 9n1 ipensalion N5y(a/ycp, GI 7,cNiIiW fppy Ucereol S¢ flon 3800, aE. JCYNO.: 1LVULOL 7V E7(p,D F: -0MP,wr: STATE FUND,Lt , CerUfieO copy is hereEy tumistied. •L1 Csrtitied n Ae ' Winp ' Dare: � �^ 3` �� MD oi WOIXers' IXEMVf10N FlIOM WONNEPE' COMPFMS�TON OE T10N: (f� s sd.tim reeG not Ee artNklW il lartit ¢ �ar aro hadreE (=��) a less�. I Cetiiiy ItN� in ttk peAofmanu ol NB xrofk tot wtuC Na pEm��a fSwM. I 51W0 tptlmpby dny rsOn in a�Y ��r 50 aSlo hemme SuDlect to I�a WOAers' Compensatlon Laxs oi Cali mu. Date: SIO�uW � NOTItE: If, ahu maYinO �ms EecWation, you slaul me su0ject to tM Workers' CampemaUon O�wisians ol the LaEor Cotle. you must foMwiN compy wiN sucli D� a Itrs permd 5tu0 be EeemeO revoke0. CONSTHULTION LENUINO IIGENCY: I �ereEy atfirm Wt Nere is a consVuction ImEinO a0efrcy lor Itre peAormance ol Ne xrork lor whic� tNs 4ermil s LssuM (Secfion 3097. (Sv. CI. �xoex: ROOXESS: OWNEH BUILOEN DEUAMTION: I �ere�y aifirm tAat I am ezemD� <<om t�e Contractors' SWte Ucense Law for iha lollowinp reason (Section 7031.5 Business an0 Professional CoEe: My riry ol counry wlik� repuira a pemrit to cans(ruct, atler, Improve, Aemolls�, or (epdif Nry SInK�ufe, priIN lOiit LSiWfICB, dlSO rEpWrE3 NB dpplkMt �Of SUU plrttGi lo �G8 a Sipn80 St2I8m¢n� IIIdi hPJ5h8 ISIiC8n50E pursuant to t�e pmvisions ot I�e Contactors' Stata Liarae Law (CMpier 9(cammencinp wi�� Section 7000) of DMsion 3 ot tAe Business anE Protessions CaOe) or Itut Ir,/she u exempt Iherelrom aM ttro Oasis Im Na �epeC exemptlon. My WWatlon ol Sectlon 7031.5 Cy any aDPlicant lor a permit wDjeces Ne aOD�� a dvll penalry of �rot more Nan live huMreE OOIWrs (f500�. EI, as ovmer al Ihe propeM or my e�pbyees wlih wapes u Ne4 tda campmsation, vNl eo tna xroM, ana ino structura is not intenUeO or ollereG for sale (Sectron 7044 Buzness a�M Pmlessbnal CoEe T�e Conlractors' S�a�e Lkensa Law eas not appy ro an v«ner ol a procem � eWIGs or imWovas elxreon, and wno Aon sucli waM1 Nmu��nerself or tnrouon his ar her own em0�oyees, O�ovitleE tta� suc� impravements am nolinlenEeO or ottereA tor wle. Ii, �owavert�a EUIICInO or imD�� O withn ane year ol comqetlon, Ue ovmer wi0 luve Ne UurOen ol provinq AUslie OiE not Eui10 or improve lor t�e Durposa ol sale�. I, az owner of tha Dmperty, am exdusNeN coniractlnp with IicenSeG wntoctars ta wnslmct Iha pm�acl ISecllon 7041, Business ❑ an0 Prole55ion5 COAe: The Cantractars' Stata Licansa law Cces mt apply to an a.mer ol Droperrywno Du11Es ar�mpraves thareon anU wlro wniracts lor such yol� �i� a caniractoqs) Aceiae pursuant to the Contractors' Staro Ucense I(aw�. I am aware tAat D�oal at t�eir Worker's ComponSUlon insurarice 51rou10 Ua OrmnOOE lo ma. � I am exempt unEer Settion: 8. 8 P. C. lar IA6 reasan: ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: 20 FT IN REAR: 20 FT IN FRNT: FT IN REAR: FT IN LEFT: 5 FT IN RGHT; 4 FT IN LEFT; FT IN RGHT; FT IN PARKING REQ; 4 PAOV: 4 PARCEL: 43919226 ZNE: R2 REF NO: PA-90-77 PLANNING NOTES> 2ND STORY ADDITION TO A SECOND UNIT WITH A VARIANCE > FROM.RIGHT SIDE SETBACK. �rx�*�r***x*�**�r*******x�r**��***�r�e*��****+rx****�r*��r�*�**��r*��*�r��*+r�r****��*****�* 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 ZONING APPROVED'•HY ,•�CC tL�./ ,%/ DATE: /d�3 O HUILDING APPROVED HY :__�� _ 6�i,— DATE: lO� l[r0_ APPLICATION ISSUED HY:��;��#��,�F�3�/��t� DATE: �/f�� itkif1E1E7FiFiFitifiFitiFlfif7fdkilitilit3! 1F'R�iFiklfit7EikkkdFlE7E 3FiF fFik **��*x�***+�*��r**�*r*��**+r�r*��r*��r�r�r*�r�*i *i ***�r*r+r+r**r*�**��*+r******+��r******** LEGALI2ATION:N F E E S U M A R Y., STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC�'MECHANIC + FIRE SMIP/RES GRADING PERMIT 639.50 • 6,97 . � SMIP/NON—RES PLAN 103.92 ' ISSUE FEE HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 646.47 0.00 103.92 AEVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 639,50 TYPE Date: 0"'^a�� S FR I Oo hereCy cenity t�at I am aware ol anE untlerstanE tAe repuirements of Calilomia HealtA an0 Salety CaUe Sectlons 255D5, 25533, anA $ F R 2553e anJ IAat 1 or any tuNra EuilOinp accupant w1AMill not (cirtle we) neeE to mmply xit� uiE state coaes an0 Ihe reQuiamenis lor a $ FR permft br constmctbn or moUiliwtlan trom the Nr uality ManaOement Oistrici. Residgntial c Mtion aDGli�at(ons are exempt Imm cnese O�oNsions. Oate: Appliwnt: I hereby cenity Nat I have reatl this apPliwtion an0 state t ve In r atio ' wrmct. I apree ta comply wit� all clty anE county artlinances antl state Wxs relatinp ta DuilEinp construclion a y D� � ol ttus dry ta enter upon the aEovcmentiona0 proD�Y �or inspedbn Duryases. Oate:�0 ��`y� 9pnaWr oriver's iicense or socia� Securiry x: 16at�a8 W�ite—Builtling; Green—CaCe Enlomamant: ary—Applkem; Pink—Revenue: olCenroE—Asaeeaor � I N D I V Z D U A E E TOTAL PAID DUE 750.39 750.39 ,00 646,47 OVER/SHORT; 00 FIRE SMIP/TOT GRADING PLAN—CHECK ' 6.97 %if ik M if it iF if it Ik±F iF k it if iE k iF iE ik 1E M±P i! k 1E 3i±k IF iF iF iE iF iE B R E A K D O W N QTY D E S C R I P T I O'N - . UNIT COST �'� ' � 1330 DWE—TYPE V—WOOD FRAME ��- —GOOD 69,00 226 RES—PATIO COVER—POST'6.TRELLIS . 13.80 271 RES—GARAGES TYPE V 17.30 END OF FEES ' � � T 3 90 � CITY OF COSTA ;�tC.�a TOTAL COST 91,770,00 3,118.80 4,688.30 CONSTRUCTION ANDPLANN( SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date tnspector 1. Temporary E�ectrical Service or Pole-� 52. Pool & Equipment Location � c.. ;2.�SoilPipe-Undrg(nd; �� 53. SteelReintorcement � ��3�ElectricalConduit-Utility-Undrgrn[I:. 54. Forms - '',4__Elecvical Conduit'Undrgmd. LL S 55. Elec[rical Bonding � tac5.VSteel Reinforcemen[. � 56. Rough Plumbing & Pressure Test y -�rn ...r! _�:6. ElectricalUFE9tGrnd. � 57. APPROVALTOCOVER�GUNITE � -,•. s`,�. Footings ;�� s'V p� � � 58. Electrical Conduit�Undrgmd. -� % i s�8. Foundation G" �._�• � _, - 59. Gas Pipe, O Undrgrnd., Test - -- 9. Water Pipe�UnAsgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural flooc System ' � � , 61. APPROVAL TO DECK " 11. Properry Sewer Line'& Hou"se.Connectioo - 62. Backwash & Receptor-Final ' �-, 12, Sewer Cap �- =� 63. Heater & Vent-Pinal - 13. Roof Drains .� �� . _ �' 64. Plumbing Sysrem - Final -._ 14. Rough Plumbing �� 65. Electrical�Final 15. Rough Electrical�Conduit 66. So�ar SYstem-Final 16. Rough Electric Wiring 67. Fencing & Access ApP�oval 17. Rough Wiring $ign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning �, �,� `� ,. FIRE.DEp,T. R�EQUIREMENT 20:�-�Ro gh Factoly F�ieplace z�'� ;: `' V " . , �' ""'�� ' �� ^ a; S 7x APPRbViILS -��.pe[mit # , .� -r 21t"Puc�s,iTStructu`ex "" rS ;` S�:�a a. J70. UndergoundHyt7ro ,� r 22-pucls, VentiLetirig; `� ^ � Cj �� 77. Product:P.ipinq OG�s O'Oil 23.�Gas_Pipe'Rough & Test m;i " ` `r S+ � _•72• Underground Flush':'' ' -�E"', �.`� ' 24TRobf F�aming j �: �P� � >' �a F r: �73: :Undergrnd. Slorage:Tank �� Gas ❑ Oil � 25'Roof Sheathing _+� < �' " b � �', ` 7q;'Oyerhead Hydro�,. �, r i ' -y'-� 4:i � M 3: � R:, d' '. • � y , � , �v. -. 26,,,T-Bar Ceiling (Stru43uraq &'Monocoat�.;;: p>, cm x 75'�.Dry Chemical E_ � ^.m " , 27��Frameadd Elashtng� '�+`.� .r"�`„(� -� (/Y �; 76. DryStand'pipe ". a� -� �_�, . �;28. Lathin & Sidin ''': �: ��"" �''.-:;' " .. . ..}� �� - ��{� g g ;j�F. ,;, :'� �x � � �: x 77:� FIXEp SYSTEM FINAL- � :� ;^F � r, 29. InsulatipP ,� Sr � � "%'f ( ?,�"QQ' �0�(J > 78�FIRE PREV. FINAL �'� ' �� ' �-�30. Drywall-Nailing F�r ., ��y j�;y 3 �r r � H�,ALTH DEPT.: REQUIREIVIENT �)31. Plaster Biown Co�t* s c' '•�* � j/ f' x'79 FINAL IN$PECTION "` �� w .-.t� �r•r �.. -rJ 7r cy ' ' n. � � Xo :: . K r -� 'n - r _. � . ,� �32.�'Electrical Po�er�Metei'�Final' r �,;,, � 80:=FOOD CERTIFI'6ATE ISSUED,� r• t' �33:�Finai Electrit� ?'� :a ¢y , Nofes: p/�/�R �... ��--+-�(�,�I� ,(��` / .M ..�ii"" � '! .�Y H V •K � �I r.l W, /H„ �O / .`. , -.. _.. _. r. . . � S �1 C� . � .,�• t 1 �X x. • :a ¢34t_Firrai Heating & AiiKConiiitioning . � . �* > � . � �Qr� � � �� 35.'.Final Gas Pipe-Test•: ;.l : :x �+.,,'•' ' � h r ,f S �`�-' .. j -r _ 6(.ti � " �36�Hood or CanoPY, � _ _ -� y .l' � � � , . � ' n `� � .., , " :'�7 .� n r ' • s : ,. _, -� m V � ' � � .37.•Final Factory Pireplace� i F�E� ^+^ '' . � "'� �' � � - =`' _ "'1 �'. -. , ♦ • :'38.:'Finaj Plumbtng y. _� . :n x , ,. ,,. - _ _ � �1G.�� x.;n :,n� ?' `t *T (/J .//-.:- `B9 �Water Service;Final* _, ., , • ' � t- x •�� • - . ' - ; _ �. '"40, Gas Service•Final * � ��"� � � � �� 2.p Q ' _ _ _ . c-. :r13 .ti ` , ^' �' [ " G �i . ��vk.� � �. . �47 `5olar pomesticFinal� =j n .� v� 'x x - �yv . .. '� � ^ _ � r . ' 'a . 42. �9ackflow Preventer- , ^� - + ` � � ' �' T � J _' �J F C O.-�fr �¢ i: -� a� r. :7 0:.'1' M� :'a`� r" 43. 6ackflow Irngatiom i� .� V: . ' '7 i ' r ' ' ' :. ._ - - - . - .'44.rLandscaPe Giigation SYsrem�,; •� `' ^ � '. :y - � z � ~ .; =� :.'' � ^ l � � • - � .+-.� • .` . -.'„ - . `45;5ound Attenuation . .. - a " "+' ,. . � r. J _ , r. "46. � Handicap Regulatior s : � �l � � ' "' ' 7_ � .�,47.-FIN;4L STRUCTUf3E & BUILDING . „2� � '�p4j� �� _� ry �• ,� 48.^FINQL PLANNING - ' ' ' � - • � �.-=� • r f) 1 '49�Electric'Release to Edison `� ,� ' � ,: �j � •' � �'• �50. Gas Release ro Southem California Gas Co ' ` "' " - ' ' ' �' � " , -� � � -51. CERTIFICATE OF"OCCUPANCY • ` " \ No. Date CERTIPICATE OF COMPLIANCE PAYMENT OF SCHOOL FACILITY FEES NEWPORT—MESA IJNIFIED SCAOOL DISTRICT Developer/Applicant: GC/�CTFl� (�rFC��GI= ��Pf��N�-- A d d r e s s: �-QS ��FC %��f}%� f}!//' . C4STf}- l��$/i G,Q� qfc��% Telephone Number: 7/�-% 6`/6�?i�0� Tra�rt�-F2rr-CEl a n d L o t N u m b e r( s): Location of Project: o�`1S /)�L N, Number of Square Fee�oE Residential Space �33(5 �— Number of Square Feet of Commercial and Industrial Space Commercial/Industrial Project is: Mini-storage Movie Theater Racquet/Health Warehouses Heavy Industrial Regional Shops Light Industrial x $�-r59- x $0.25 (Check One) � .,,._��9 Total' �/3.3 �. SD Total Motel Bank Neighborhood Shops R & D Hotel Medical Office Office Park Preschool Auto Repair Hospital Large Office Office Bldg. Restaurant I'ast Food The provisions of Government Code Section 53080 are not appli.cable. This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995. Checics are eo be made payable to ewport-Mesa Unified School District. , �. J�3�'�t, nusiness r�anager Newporl-Mesa Unified School District The above representation as to square footage is true. Developer/ Applicant agrees 'that if it is later determined that such representa- tions are not true then this certificate shall automatically terminate and the appropriate City/County shall be notified. Date: /O ,3 () �i Developer/Appli nt / OC�i . � �y� � oc1 � �� 3 - �O-3S" 0�� 11.7A? B'aUmineb•r Arr. NG Cordrn f,rorr. f.A 9?6a3 714-530-9530 license il 384692 THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTAILED IN CONFORMANCE WITH CURRENT ENEFGY FEGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: LOTp TRACTp STpEET�� f�FL nilT�_ CITY CLl_�� %%� EX7ERIOF WALLS: /1 ,/ Q � R- MANUFACTUflER �"/%��V I LL� THICKNESS/TVPE ��G��VAWE // CEILINGS: ATT M '/ R- MqNUFACTURER /'�I�J%IVIL�E THICKNESS/TYPE/n��7 VALUE�� BLOWN IN; MINIMUM fi- MqNUFACTURER THICKNESS VALUE SQUARE FOOTAGE COVERED NUMBER OF BAGS USED FL40RS_ R MANUFACTURER_ THICKNESS/TVPE VAWE SLAB ON GRADE: q- MqNUFACTUREA_ THICKNESS/TYPE VALUE WIDTH OF INSULATION INCHES FOUNDATION WALLS: MANUFACTURER _ GENERALCONTRACTOR._ CAIIFORNIA CONTRACTORS UCENSE !1 SIGNATURE R- THICKNESS/TVPE VALUE INSULATION CONTRACTOR CAIIFORNIA CONTRACTORS LICENSE 11 //�' DATE��'� � -�Q _ �� WiX-QI%z� �C..i, SIGNATURE TITLE �� f�Y OF C�STA MES� CALIrORN1A 92628�1200 P. O. BOX 120 Insulation Certificate '2�15 A'g jXa� wiA2 �. �f)5TA- Mt5.4 . C.A- q7�2.."I Numba snd Sueet ' Ciry E.1e4Nc,ti. � -_,� � � 'i2 � Cowty � Subdivision LotNumber Description of Installation ROOF UN�i:£� F`�q�,'U�5 n'"'n " Ma�erial � BrandNarne P/�A�J�IU.� ' 7lticlrness (inches) Co ,1 S 1+J 'I1�ertnal Resistance (R-Value)�- �� . EXTERIOR WALL Ma[erial �M£ 7hickness(inches) �.� �nJ CEILING @ ( ST A.R BrandName ��ILI.E. 'Ihertnal Resisrance (R-Value) �-tl $att or Blanket Type rJ�E Brand Name MM) l�il,i,E 'I'hickness (inches) G+ �l t W 'Ihertnal Resistance (R-Value) Q-1�1 Loose Fill Type Brand Name Contractor's minimum installed weighUh lb Minimum thic}aiess inches Manufacuuer's installed weigh[ per square foot to xheive Thermal Resistance (R-Value) RAISED FLOOR Material Thickness (inches) SLAB FI.00R Material Thiclrness (inches) Width (inches) ` FOUNDATION WALL Brand Narne 'thermal Resistance (R- Brand Name 'Ihermal Resistance (R-Value) Material Brand Name Thickness (inches) Thertnal Resistance (R-Value) i Declaration I hereby cerafy that the above insulaaon was installed in the building at the above locabon in confom�ance with the current Building Enetgy Efficiency Standards for new residendal buildings contained in TiUe 24 of the Califomia AdminisValive Code. D14� Co�>7 ccnerel convacwr Builaer> . Uki`l �AL£S n/�il'I� �fZ323 � 1.;�� N�� 1-Z3 -`� 1 Dam 3�'i b�v . Licrnse Number PqOJECT AO�HESS: Z 9 S D EL MAR AV �"�T� H OWNEN'S NAME: GEORGE SPEARING aoortess: SAME RA pFCH/ENGINEEB: BEG.NO.: � . p00HESS: UNIT: PEflNITTEE: �ZTEUAK CON5TRUCTIUN ( 714 ) 645-6934 �ooRess: 833 W l7TH ST 1 COSTA MESA CA 92627 LICENSEO CONTXPCTOfl DECLRBATION: I �ereby a�hrm �hat I am licensed under pmvisions Ch �er 9(commencing wilh Sec�ion 7000) of �rvison 3 0l Ihe Business and Prolessions Cotle and my lice^se is in full �orce 0 ifec�. ciTruc.:032274 sTaTeuc.42323� s: B � �a�e'. — — � SignaWre _ WOflKEflS' COMPENSATION UECIAflPTION: I �ere�y affirm Ihat I have a certilicate of consent m sel4insure or a cenificate oi Workers' Compensation I su{ay�G,p� c�(ti�ie �,rypY Ihereol (Section 3800. Lab. POLICYNO.: �LUVL�L—�V E%P.DPTE: 7�OSI9S comPaxv: STAT6 FUND � Cetlifie0 topy is hereby lumi5h¢tl. C¢rtdieU tapy /i5' �iICA wilh Ihe rty ilding OiviSj . 5 �1 \ ,� � �a�e'. � � ^ ` � Applitani: � `-' I E%EMPTION FPOM WOBKEBS' COMPENSpTION UECLi1flpTI0N: (iAis seclion neeU nal be completed i� Ihe permil is �or one hunAreO ($100) or less�, I certify Ihat in �he petlormance of the work for which ��is permil is issuetl. I shall no� employ any person in any manner so as to become suble�� o Ihe Workers' Compensa�ion Laws 0� Calilomia. , �ate: SignaWre: NOTICE: II, afler making Ihis tleclaration. you should become su�ject m the Workers' ComDensation pwvisions a1 the LaEor Cotle, you mus� forthwilh comply wiih suc� pmvisions or ��is permit shall be deemed revoke0. WNSTNUCTION 1EN01NG AGENCY: I hereby atfirm iha� ihere is a con5�mciion lentling agency tor Ihe pedormance oi Ihe work �or which I�is permn is issuetl (Seciion 3097, Civ. C�. LENOEH: ROOflE55: CIT'Y OP COSTA MESA — BUILDING PERMIT r . PERMIT NO: P 049870 PLAN CHECR NO: N . , CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: ADD JOB DESCRIPTION : ADD 2ND SFD 'f0 (E) SFD, RE:#B49307 SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC; R-1 / COMMENTS; ADD 2ND UNIT ON TOP OF (E) UNIT ****��***+�*a��rac*�**�r�*�*�tx�x****x��t*�tx��t*��r�t******��r�r**�r�r�r****+�*�x*�t*��r�r*�t***�*+t�*�r Z O N I N G R E Q II I R E M E N T S S E T B A C K S ------------ MA:IN BUTLDING -----=---- --------- ACCESSORY BUILDTNG --------- FRNT: FT IN REAR: FT IN FRNT: FT ZN REAR: FT IN I.EFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE4• PROV; PARCEL: 93919226 ZNE: REF NO: PLANNING N(STES> i if iF ik It iF M 1f iE if iE if if If iE � lf iE iF � iE iE iF iE iF fF if IF iF 4 3E 1F iF if iE if if IE iF iklt iE 1f if iF ik 141f iF 1F iE fF iE iE iE dE 3f 1! If iP �F )f iF It iE 16 ik iF jf 1E iE if iF iE 1F if iF IF if M 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 20NING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSQEll BY• DATE: I *x �*�r**��t**�**x****x�** ��+rx��+�**r��t{��t* iF iF �IE if it 1f if if �E iE it iE iF 3E iE iE if �lf �f iF if ik �E iE iE if 1E K IF-)E *�14 iF ik if �F ak iE jF )f iF iF iF iFlk iE if k iE If iF if 3E �It JF If iE iE If �F iF if-if iE iF )f �F if k 3E 1E iE if if k 3E if iE if LEGALI'LATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N OWNEflBWLDEFOECLABAT10N: Ihere6yallirmlha�lamexemp�iromlAeContmcmrt Statelicense�awfonhefollowmqreason BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GFZADING (Secti�n 7�31.5 6usiness and Professional Cotle: Any ciry ol couniy which requires a permil �o con5lmci, alter, improve, Oemoiish, or P ERM I T 1 8 � � , , revair any s�mcmre. prior m its issuance. a�m requires me avv�icam lor such vermi� m �i�e a signed statemem ma� he�she is �icensetl � 5 Z SMTP /NON—IiES pursuani ro �he pmvisions o� Ihe Coniractars' Sta�e License Law (Chap�er s(commencing with Sec�ion 7000) ot oivision 3 0� me Business QLAN an� Pro�essions Cotle) ar Iha� helshe is exempl t�ere�mm antl Ihe basis for (he alleged eKemp�ian. Nny violation o� $ection 703t5 by I SSUE FEE 3, � 0 any apPlican�far a Dermi� suhle��s the applicani �o a civil penal�y oi no� more ihan live hun4re0 dollars (5500�. BUILDING—DIV—> PERMIT ISSUE PLAN—CfiECK TOTAL PAID DUE . as owner o� �he pmperly or my employees wilh wages as Iheir sole compensation, will do Ihe work, antl �he TOTALS----> 18 . �� 3. �� , 00 2]. , �� 21 . QD , Q� ❑ slrucWre rs not intended or oiferea for sale (Section 70aa. Busmess antl Pwfessional Cotle: The Contractors' Sta[e License Law � does not apply to an owner of a pmpeny who builtls or impmves ihereon, and who does such work himseli/herself or thmugh nis or her own emp�oyees, provieea ma� such improvemenis are no� imended or o��ereA �or sa�e. �l nowever me huilding or REVENUE D I V IS IQN TOTALS--> COLLECTED • 21�. 00 OVF.A /SHORT • 00 impmvemem is so�tl wi�mn one year o� camp�e�ion. ihe owner wi�� have the 6urden o� pmving he/she ditl no� buim or impmve gLDG Ph(T PLUMB ING ELECTAIC MECHANIC FIRE SMI P/TOT GR.$Ii INi'i PL%N—CH$CK ior ine ourPose ot saieL 21 . 00 . I, as owner o� the pmpetly, am exclusively conVacting wiN licensed coniractors to conslmct Ihe pmlecl (Seclion 7044, Business _ ❑ andProlessionSCode: TheContractors'S�ateUcenseLav+dce5no�a0Dlytoanownero�0�operlywho6udAsorimprovesthereon **�,***,�„x,ffif*ff,K,N,K,**,K,K„K,*,IEif*,lE1f,�f*,K,i�,IF,K,1f„K,iE,M,if**iE,1F,X,�if**i(,!(,****�1,3F*M,*k,iEiflf***�(,*iE1k�(„)flfit,3f******* and w110 Con�lacis Iot such projects wi�h a can�lac�or(5) IicBnSe pursuant �o Ihe Conifac�ols S�ate Li[en5¢ Ldw). 1 dm awdf¢ �hai proo� o� �neir Worker's Compensa�ion insurance shou�e be pmviaea m me. I N D I V I D U A L F E E H fi E A I{' D O W N � I am exem0� untler Section: B. 8 P. C. " mrtnisreason: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL�—C6ST Oate'. Owner I do hereby cenily Ihal l am aware af and untlerstanA Ihe reQuiremems ot Califomia Health and Satery Code Seciions 25505, 25533, anA 2553a antl t�at I ar any future Duiltling occu0anl will/will nai (circle one) need to compty vnth sai0 s�ate cotles antl ��e requiremenis �or a permit for conslmciion or modihca�ian �mm Ihe Air Quali�y ManagemeN �i5iricL Res4eniial cons�mc�ion applica�ions are exempl fmm Ihese D�ovisions. �ale: Applicanf. I i �¢re0y cetli�y tha� I have rCa4 ihi5 apPlicaf n antl stale Ina� �he above intormal correcL I� r lo compty th all ciry ana�ounry ordinanws antl siate laws relaling ro builtling consimclian antl hereby authorize re ese a�ives of l 5 � to enter up ihe above�m tionetl pmpetly lor ins0ec�ion Durposes. ( ` � \ � Da�e: — `—�V Signaiure: �/��' 1- Drivei s License or Social Securily q: i641-a6 Wnile—Butl�ing: Green—Coae EnlorcemenL Canary—Applicant: Pink—Revenue: Golaenrotl—Assessor PLU 2 BATHTUB 2,00 4,00 PLU 1 DISHWASHER 2,00 2.00 PLU 1 LAUNDRY TUB OR WASHER 2.00 2,00 PLU 1 SINH KITCHEN 2,00 Z.00 PLU 2 WATE�t CLOSET {1'OILET) 2,00 4.00 PLU 1 WATER HEATER P.ND/OR VENT 2,00 2,00 PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2,00 �,00 END OF FEES Qt t�.00�3�41—D�J�7�ii1 "9"C�3' ;I.00+ e�tiT�: 3iinsiso fzns: �%:�c . � CONSTRUCTION AND PLANNING PO SPA APPROVALS Permit# Date � Inspector pppROVALS Permit# Date Inspector 1.iTemporary F�lectrical Service or Pole� �. 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd^ .. 53. Steel Reinforcement 3:=,Electrical Cond'uit Utility-Undrgrnd��` 54. Forms �":4��Electrical Conduit-tJndrgrnd. � 55. Electrical Bonding � �' 5:rSteel Reinforcem'e'nt -� � r. 56. Rough Plumbing & Pressure Test y :� "r6. Electrical UFER�Grnd. �. 57. APPROVAL TO COVER�GUNITE : �"-7. Footings `-��= ;- 58. ElectricalCondui[-Undrgrnd. �� i8. Foundation - F' � 59. Gas Pipe, O Undrgrnd., Test " 9. Water Pipe-Undigrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System a� 61. APPROVAL TO DECK 11. Property Sewer Line.& House Connection 62. Backwash & Receptor�Final .1 12. Sewer Cap '. '� 63. Heater & Vent�Final i a 13. Roof Drains �c ' ` 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 y17. 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 - - - - C�� 1.. s. �. � 'r,.' " ' 20.�1Rough Factory F'ireplace � ":;n� �2 - _ � r � 'pppROVALS'" = Permit # '� - - .r i " :r u'�,: .,' L. n_� � - �- - 'i�%' :�E YSS .. - - -re�r > �r.._v .n �r 21': Duc4s,in�Stcucture ,... i,1, . - iy. y- �70. �;Unde`rground Hydro - 22. Ducts, Venti*ating • ��5 .7 � '.� .� :�7�_ product Piping OGas �Oil 23: Gas Pipe-Rou h & Test S - , � �' '! ' " � � l ' - .. _ 9 ; R� ; ; ,, ,. �. 72. Undergropnd Flu�fi, _ _ 24-Roof Fiami�n `� , .- - -��' - ^� '' , � ' � ...- - 9 � �. � �� "73nUndergrntl.StorageTank-�OGas ❑Oil-'��-��" 4+ v } > 25. Roof Sheathin ' " _ '_ ' _ 9, {,- � a 'T - �'' � ' 74r Overhead'Hydro-' ;� 26.`:�T-BarCeilinglSt�ucturall&�'Monocoat � 7 �7 r�i � 75.'DryChemical `'� •i-+ '� .�_'��:�-.^'::�' 27'rFremeand FlasFiing •s `^ 1 = J' 76 Dr Stand' i e"`•�� '� ' �'�' ' �, ti�. -: T �. x. �� Y P P �" : - .t. ��.� , -. . ,i'- ' r _ '' ' "'„�- '_28- La,thin9&Siding,�,��.� - - iz� �.� 5, • �� 77,T FIXEDSVSTEM.tF.iNAQ '=�:'�� ' _ .i � �.t r:.� ,.29. Insulation �.-� C � .... _ , �:t , ; : 78.' F„IRE PREV. FINAL �i � iX ,-i`'F� ; 30. DrywalYNailing�-:i �- ��. �' I �i ;j 1�.�� L;HEALTNiDEPT..iREQUIREMEN.T.:ai=i . 31. PlasteriBrown Coat ,. � ,,, �. � ; �,79 1NAL`-1NS?ECTION '�'� � ;;' " .f!� _ 32, Electrical Power.'Meter-Final { � r ;.: .� , � �.80:;FOOD CERTIF,ICATE ISSUED � ' ' 33?Final Electric R � ' G � ' ' i a � NoYes: _ �� _ 4�� _ � �'�,r, � .r n er � � f .. • .. •.., � a ! ,;�34.�FinalHeatinJ&Ai[Conditioning, _ �.,. `� - , � 3 ',.� ',�- �35,,Final Gas Pipe-Te'sY �- �� I r :� �"� �' ':.�� • = � , � ; �_ � ,.36"-Hood or:CanoPY�. - ,r-� .. "s c" � r _ :x; � . . �J 37�:�Final FB�torv FirePlace � '�'.'' � "' I . !: y: "- Gi ; - 3 ' : -. . � Ct � � •'4 a . . :;38. Final Plumbing � ' ,U i �- � , , - ^39. Water Service-Final - � � � � , . � �t - _. .� 4 ,c I �i : � - r r40. Gas Ser,vice-Final `� _ ,y ,r .; ; .r � " �� - ��,' ; ' '` ��41. Solar OomesticFinal= � � •• r •' I I << � .� - �' . L .r .c �: �42 Backflow Preventet. � '� ` � � � • �' ' ' r � _ 43. Backflow Irr.igation � r.:<< x � -• : � - -- - - �� - , - .I'..^ .. '/ a ': F �� .. �.Jc L:.rl:".. �44.LandscapelrripationSystem��,j/ � �,r �' ' �i. �. (: '1,: • . C•GC'�.'-:�C :� 45.' Sound Atte,�uation -a;; � � • r . � - � - � x: '_ 46: Handica,p Regulations ,� ,'- ``- ' ' ` � = ' ' Y i q . . � 47..,FINAL STRUCTURE & BUILDING � I � I+ • :u � �� i . 48�.-.FINALPLANNING �' �� = ' � ' ". - ' � ' `• �_ 49�Electric Release to;Edison i � I �: .. " �� 50.. Gas Release to $outhem California Gas Co ` � f, • ,'. " " �' - " ' • . . r,.: : 51. CERTIFICATE OF.00CUPANCY 'j. y i ; i=. �;�� . . � j _. a�=,r-,,- - -. No. Date t PHOJECT FODPESS: ,�, 9 rj D EL %'i%iR 1T,V OWNEP'SNAME: GEORGE SPEARING nooRess: SAME 7fA APCM/ENGINEEH: RDOflE55: REG.NO.: uxrt: p UNIT: PEflMITTEE: HEL AIR HTG, & A/C ( 714 ) 380-9155 aooness: z3015 DELLAGO DR D2159 LAGUNA HILLS CA 92653 IICEN5E0 CONTBAC70X �ECIAPATION: I hereby alfirm Iha ' nse0 untler pmvis haD�er 9(commencing wilh Section 7000) of �iv�sion 3 0l I�e Business ane Protessions Cod nd my licen e is in �ull �o antl etfe (. /'� cirr uc.: 05�1Q71-3 STATE IIC.: S% 06 c �__,/�j �ale:�D'��r� Signa �' __— l WOHNEflS' COMPENSATION �ECLAHATION: I hereby alfirm Iha� I �av erlitica�e ot cansent �o sel4insure or a certificaie of Wo�kers' Compensation I i n o ^� , '� c y ��ereo� (Section 3800, . f�j.��,,,�,�� POLICY NO.: E%P. OpTE: �F.S�� COMPANY: �bD � Cetlified capy is hereby fumishetl. L� Cenified copy is filed with �he ci�y Builtling Oivisian. Daie'. Applitanl: E%EMP710N FPOM WOXHEflS' COMPENSAiION DECLAflPT10��r-�1, .�0 no� be compleled' e Permi� �orane tPtl (8100) or 1e55�. I tertily I�at in Ihe petlormance ol Ne work �or which thi ermii is issuetl, I 5 II not employ Son i a � nner So as �o beCome sublect /�o Ihe Workers' ComOensation LawS al Calilon a. � Date' / U��1 — CT� Signature. �� NOTICE: If, after making ihis tledaraiion, you should become sublect orkers' Compensa�ion D�ovisions oi the Labo� COJe. yau must fohhwil� camply wilh such pmvisions or t�is permii I be 4eemeJ revokeU. CONSTPUCTION LENOING RGENCY: I here�y affirm �hat �here is a constmction lentling agency lor ��e pedormance o� Ihe work for which this permit is is5ue0 (Secnon 3097. Civ. C�. LENDEP: nooAEss: OWNEP BUILOEB OECLAflPTION: I AereOy aflirm �hat I am exempl imm the ConlracloK Sta�e License Law �or Ihe following reason (Semion 7031.5 Business ana Pm�essional Cotle: Any city ol coumy which requires a permi� lo cons�mci, aAer, impmve, demolish, or repair any s�mcture, prior lo i1s Issuance. alsa requires the a00�icanl lor such permi� to file a signetl s�a�emeni Iha� he/she is Iicensed pursuan� to the pwvisions o� Ihe Contraclors' State License Law (Chap�er 9(commencing wiN Seclion 7040) of Oivision 3 of the Business antl Pmlessions Code) or that he/she is ehempl �herelmm antl ihe �asis �or the allegeU exempiion. Any viola�ion ol Secii�n 7�3L5 by -any applicanl for a permi� sublects the aOP�ican� lo a civil penalry o� not more �Aan live hun0�ed tlollars (5500). ' I, as owner o1 ihe pmperty or my emoloyees wi�h wages as iheir sole compensation, will tlo the work, ane the ❑ slmclure is not intenaea or olteretl tor sale (Section 7044, Business and Pmfessional Cotle: TAe Conimctors' State License Law tloes not aDPry to an owner of a propeny who builds or impmves ihereon, antl w�o tloes such work himselVherself or ihmugh his or her own employees, pmvitle0 iha� sucA impmvemems are no[ inten0etl or oMeretl tor sale. If, however the building or improvemen� is sold within one year ot completion, Ihe owner will have �he bu�0en of proving he/she tlid not builtl or impmve •� �or the Ourpose o� sale). I, as awner ol ihe propeny, am excWsively con�rac�ing wi�� licensetl conVacmrs m cans�mc� �he pmlect (Section 7044, Business ,❑ antl Pmiessions CoOe: The Coniraciors' State License Law tloes not appry m an awner ol pmDeM who builtls or impmves Ihereon antl wno convac�s �or such projecls wit� a contractoqs) license pursuan� ta the CanVac�ors' Siate License Law). I am aware Ihai pmoi oi Iheir Worker's ComOansalion insurance 5hou10 be provieed Io me. � I am exemp� untler Sec�ian'. B. 8 P. C. lor Ihis reasore Oate: Ownec I Oo hereby cenily ��at I am aware ol antl untlers�antl Ihe requiremems o� Cali�ornia Health and Safety Code Sections 25505, 25533, and 25534 anA Iha� I or any IUNre builaing ocapani wiil/wiil noi (circle one� neetl �o com0ly wi�h saitl state cotles and ihe reQuirements �or a permi� br consimction or matlNlcatlon �wm ihe Au Ouallry Managemen� �is(ricL Resitlemlal tons�mction appllcations ere eHemp� �mm I�ese pmvisians. Date'. Applicam: _ I hereby certi�y Ihai I have read �Itis applicalion anel sialet� ortlinances antl Slale laws relating to �wltling consimc�ion he� propetly IorinSpeciion purposes Date: �� / — / � Signatu oriver's Liwnse or Sociai Security q� is 1641-C6 W��te—Bwltling: Green—Cotle EnlorcemenC Canary—ApPllcan�; Pink—Revenue: Goldenrotl—Assessor antl CITY OF COSTA MESA — BUILDING PERMIT ERM , PERMIT NO: M 099678 PLAN CHECK NO; N GOVT: N SIP : N CONSTRUCTION TYPE; V—N PERMIT TYPE: MEC PURPOSE: OTH JOH DESCRIPTION ; ADD 2ND SFD TO (E) SFD/MECHANICAL 5{� FT: CLAIM VALUE; CALC—VALUE: GROUP OCC; R-1 / COMMENTS: B-49307 **�t�r*�tx �**�r � ***�t x x�*+t*�t***�t***a�****�*�cir**+t+�**�*�r*�*�r***�****�*+�*** �***��t***x **** Z O N I N GS ERTEBQAUCIKRSE M E N T S ------------ MAIN BUILDING ---------- FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN --------- ACCESSORY HUILDING --------- FRNT; FT IN REAR: FT IN LEFT; FT IN RGFIT: FT IN PARKING REQ• PROV: PARCEL: 43919226 ZNE: REF NO: PLANNING NtSTES> i it if if iF iF iF iF iF k if iFiE iF ik 3F if iF if �f 1FiF k iF ik k iE iF �F iF IE IE iF iFif If 1f �f if iF iE iF iF iEif iE iE If if if lF1F if 1f ikiP kiE iE iE�E 1E fF af k if k iE 1F if �E �E �f iE iE if 1f it 1E 1F 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 20NING APPROVED BY DATE: BUILDING APPROVED BY ; ' DATE: APPLICATION ISSUED BY; DATE: �_�� tiFiF�filifiFafifiE�kiliflE�lk�Fit�flEfkillt itkiFif�F4�FiE�tiE ifit �F�f �E if �F �F if fE aE �f !E �F 1f iEiE �k iF iE k �Elt if 1E if if iFif k it 1F iF 1f �F k 1Ejf if �F�k �F it 1f iF if ik if 1Fif k if if �Eik if �E if 1E iE ikif ik iF iF iE if ff 1E iE i! 1Fik±t �E if iE iF �f �Fif LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N PERMIT BLDG PMT PLUMBING ELECTRIC MEC2H?N�IC� FIRE SMIP/RES GRADING �15Y SMIP/NON—RES PLAN ISSUE FEE 15.00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 27.00 15,00 0,00 q2,00 42,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 42.00 OVER/SHORT; 00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 42,00 iF 1t it k iFiF if iF if iF iF if IF k k iF 1F iF iF if if iE �F �F iE iE if If it it IE1F iF�t if iE ik 1F iF iFikiE �k iF �f iE iE if iF iE iF!! iE iF if M iP 3f iE iE i! iF�F iE iF if ik ff iE if iE �F i! �f iF if iF �E if Z N D Z 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 2 INST FORC—AIR/GRAV FURN <= 100 R BTU 9,00 18.00 MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9,00 9,00 END OF FEES (Y? 011D73U2?—OC�D73D2<^ Ta�+�' +.r"..Ou �ATE: i�/29/46 TI14E. �t`7:21 CONSTRUCTION AND PLANNING ` ' ' PG' . SPA' ' � � ' � � APPi20VALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1; Temporary Electriwl Service or Pole,`v 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. ;,. �. i�r' 53. Steel Reinforcemen[ . �3:'flectrical Cond(iifiCttility=Undrgmd � � 54. Forms ��4.�Electrical ConduitrUDdrgrnd. t�� 55. Electrical Bonding �� 5.' Steel Reintorceme��, �`� 56. Rough Plumbing & Pressure Tes[ � ., •7... +}: �.- ";6. Electrical UFEF�Grnd. `L� 57. APPROVAL TO COVER�GUNITE ' ' .'7�. Footinqs •rf� ?� - 58. Electrical Conduit�Undrgrnd. '.� ,��8. Foundation - `�' � 59. Gas Pipe, O Undrgrnd., Test "t 9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P�Trap, O Undrgrnd. ' 70. Structural Floor System ,_ �, � 61. APPROVAL TO DECK � 11. Property Sewer Line.& House Conr�'ction 62. Backwash & Receptor-Final ll' 12. Sewer Cap �. �� ;' . 63. Heater & Vent•Final �� . 73. Roof Drains ra . 64. Plumbing System - Final 14. Rough Plumbing ''� � 65. Electrical-Final 15. Rough Electricy`I�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 i t G. 19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - ' � - :r - r m: 'X , y S..F. 20�. Rough Factocy F,.ireplace i at; �;'-i • C D C"!�; APPROVACSSCPecmit# = - ��'T' Ic In J t�.r Ytf y C:.� Y^:k:i: 7 u'.i�r:h h y. t'� r•�• 21::;Du;cYs, i�.Stwtture� ' �F '� = °: �' y �.t:' ' `-. . '".."•' s=, , rt� - i•• '-�S -� S C -+?: ;. 770. Under'g�ound Hydro ,;; 22. DU^ts, Ventitating� � C`:� � r .r `•: �? b.7�, produc�P-iping CJ'Gas �Oil 23-Gai Pipe-�Ro`ugh &'Test � '�^ w n7 C � �x � �7y• Undergiound FI`u'sf'i� Y �'° • ~ >>a ' - .� ..� .�.e... 1 - . . ~ 24��Roof Framing ; �r , ;�•- " : > �• C � !' '73?Undergmii�.Storag�',Tank��Gas OOiI-� �� ..i. .� � 25. Roof Sheathing �';. ",; �-'•,.,�`�' �-' C � [�, ' °74cOverhead'Hydro�� x, 26�.T-Bai Ceiling (Structural) &<Monocoat •. x � t�c . 757'Dry Chemical � _ �-++'; . •, 27'.�Frame and Flashin � �~ * ry � ~ � ` "'�' :.< � S �� vb' 9 •..'x h'"' `r t:7x. % 76JDry StanilPipe ._ 1� :�. i.•'x �;, � n : ,. � � ': . z +. � . � . : . �., � �28. Lathing & Siding � � �..q,,,. ,r-r, - �. . 77:r FIXED SY�STEM.F.INAL* y tT'C;. ..i .,, � .�, �"29. ,Insulation ,� '- '_ "" � ''� � h � 7&,�FIRE PREV. FINA�L y' � rp ~'�`1 +•30. Drywal�l-Nailing .�� `� � � .4. �' I 4 � - •MEALTh4�DEPT. R�EQUIRfiMENT � �.37. Pla:ter B?own Coat; '. � ' � i �.,'- ,.79rFINAL INS�ECTION �- =" - :, : n•�r i� i ✓� ... X. y �32: •Electrical Power Meter-Final EJ l ; ' � �' . �= �-+ - � �_ �,,�., � p� � I � x. r80;yF00D CERTIFICR�TE ISSUED �Xr L ., � ,.33:%Final Electric ` �~ � r y ['' � r "� 'NoIes: - �� i� �'f� �.� v m i � I i C'�? i �VI •"' Q i�1C' �{'f " ^ t:� ;y 1 HFI !C ' S � -� �. l� 1 � 1� .e„ ��34-Fir'�IHeating,&AicConditiqn�g. ,� '�y/c��l �,� � � � -;�c - � ;� � �35'.lFinal Ga's Pi'�i"e-TesT.� � � "'� * .- � � �'. "' � .� �� =' • ' 'r � ",�- n � r� � .. [, +. ��, ita -Jo p o A • 'C� :z36yHood o�CanoPY �. � i ir�; ., n � ' �..� .�. - ��o :. �-' :�...n- � 4 �.� �„ '37-Firial FaCtory Fireplace^ � ��T' �' ' � � I �` � �' �' T '-y� ^ x i r..r� ti r� I k :�cn •-+ :� t+_ - �� ` � .... a� .: � , � .s �.�- ,� , - .�.-. ;38. Fine;l Plumbing . �n; r ct :!. � I I --!'. ` ,j •'� • �� 7� � =39. Water Service�Final� �� i �u -!� � �< < � .��s, c .=.��' . U, .��(-� � r � , �r. � ; E: �� =�40. Gas Ser,'vice�Pinal �` � ' ` `� � � "' � � y� �(:' � T�.' � •T� I � �'.t -.t Y ..-. > 41. Solar pomesticFinaC: :n. � ' i � Il t� rS0 _M. � ^ - ti r'42�i8ackflow Prevente� r � _ I � �• ' ~ ��• �.• . � . ; .� ; i s �J j t : .x >(- -: L� �-_ 43. Backflow Irrigatiori' �� xS� �' Y .+ � `FE� ` C " °' t tz' + J i ' `44. Landsca e Icri ati�nS stemJ`"�; � x' � ' JJ .n P p q Y �.�G '+', a� .Tl G Ct t7.. .� GJ iJ .::C.� �^ JC ^45��Sound Attenuation - =� t-' = - �� t�: " �- "-"�+ �:�i ` -� - �k ` `n .:1 m : i �46'� Handicap Re,gulations �' '�j ; "� �� "� � �z - ~': ; �� 47r FINAL STRUCTURE & BUI�LDING +� � I � �'• �•� .i. � �,- .. �.. �.-,�+� * ��. r E- c48!..FIN`ALPLANNING` `��_ _� I � .j� �. r �; .^ � '.� ' ' _ 49�.�Elearic Release to �Edison . �+ �`� � � ' '� '� I / [1 T { p�. $ l=/ C:•:; ' 1 yLL ',"50..Gas•Release to Southem Califor,nia Gas Co ,� � �, i . �� C . � ,+ - p • • , �` ' 51. CERTIFICATE OF,OCCUPANCY :�J: :� �� ,-� �n� .-, . - _, _ No. Date r Pfl0.1EtT qDOHESS: .�.9 rJ DEL i"�� AV OWNEP'SNRME: GEORGE SPEARING nooT�[ss: SAME #A ABCHIENGINEEfl: FDUHESS: XEG.NO.: UNIT: H UNIT: PEPMITTEF: DAHL ELECTRIC ( 714 ) 650-3533 aooeess: 2 4 5 3 NAPOL I WAY C,M. CA 92627 UCENSEo CONTRACTOP oECLABA7lON: I here6y affirm that I am Iicensetl unEer pmvisions ol Chao�er 9 �cammencing wi�n Sectian 7000� ol Oivision 3 of tne Business and Pmtessions Cotle antl my license is in full lorce anU effecL c�Truc.:042688 sTnTeuc.:976267 �u, SO Ai i Oa�e: —�(—�� f!� Signature: — _ _ '� �_�� WOBREBS' COMPENSATION OECIAflFTION: 1 A y aifirm thai I qave a cenilica�e of consent to sell�insure or a ce�ilica�e ol Workers' Compensa�ion Inmrance. o� a certified copy ihereol (Section 3800. Lab. C). I POLICY NO.: E%P. OATE: COMPANV: ❑ Certilietl caDY is here0y NrnisOeQ. ❑ Certified copY k fife0 wil� t�e ciry BuilOinA �sion. �aie'. Appli[anL E%EMPiIONFflOMWUflNEPS'COMPENSATIONOECLAPPTION: Qhi55eCiwnneetlnatbetompleledilihepermilislaranehuntlr¢tl�5100)oNess�. I certify I�al in t�e Oeriormance 0� Ihe work for which this Oarmil is issued. I shall n 1 employ any Dersan' any manner 5o as lo become su�ject �o I�e Workers' Cam ensation laws ol Cali�omia. � Daie: /� —�� Siqnature� � NOTICE: II. al�e� making Ihis Oeclaration. you s come :u61e�� orkers' Compensalion pmvisions oi l�e LaGor Code. you must lorlhwil� compty wilA such O�ovisiuns or t�is p¢rmit s�all Le UeemeO revokeG. CONSTBUCTION LENOINC pCENCY: I hereEy affitm lhat there is a conSVuction I¢nding aAenty lor I�e p¢dormance ol ��e work �or wnich ihis oe�mn is issued l�ction 3097. Civ. C1. LENOEN: nooncss: OWNEH BUILOEN DECLABRTION: I �ere0y allirm Inal I am exemUt Imm I�e Contratlors' Staie License law lor Ne lollowing reason �Section 7031.5 Business an0 Pralessional CoOe: Any cily of couniy w�ic� reQuires a Dermit �o consimci, alter, improve, Eemolish, or repair any S�mciure. O��or Ia ils issuance. also repuires �he applitari� for such permil Io lile a signetl 5tal2meni thai Atlshe is litensetl pursuam �a t�e provisions ol i�e Camracmri State License Law (Chapter 9(cammencing with SecGon 7UW) ol Division J of t�e Business ane P�oiessions CAOe) or Ihal he/sne h eAemD� ��erefmm ana ihe hasis Ior ihe alleyea eKemption. Any violation ol Seclion 7031.5 Oy any applicant lor a permit subjecls Ihe appiicanl Io a civil penalty 0� not more Ihan live hundred OOIlarS (E500�. I, as owner of 1he DmDeny or my employees wilh wages as t�eir sole compensation, will tlo ihe work, and Ihe I❑ simcture is noi imen0ed or oflered �or sale (Section 70aa. Bpsiness antl Pwfessional Cotle: The Coniraclors' State License Law EoeS nol a0�ty lo an owner ol a Ompetly w�a 6uiltl5 or imp�ove5lhere0n, antl who Aoes SUCh work OimSell/hersell or IhroUgh his oi ne� own em0toyees. provideU t�at such �mprovements are not intentletl or oflereU for sale. II, however ihe builtling or impmvemeni is SoIU wilhm one year 01 compleiioq the owp¢r will have Ihe burtlen o� pmving Ae/She did nol huilU or improve loi 1he purpose ol sale�. I, as owner ol the propeny, am eeclusivelp coniracting with licensetl coniractars to construct Ihe pmiect (Section 7044, Business ❑ and Prolessions CoOe: TAe Conirac�ars' Sla�e License Law poes no� appty m an owner ol OroOehy who builds m impmve5 ihereon antl who contraas lor suc� O�olecis wit� a contractoqs) lifense pursuant to tM1e Coniractors' Siaie �icense Lawl. 1 am aware Ihat prool ol t�eii Woikei'S Compensaiion insurance s�ould Ee pmvitle0 lo me. � I am exempt un0er Section: B. 8 P. C. lor I�is reason: �ale: Ownec I Qo Oereby cenity �nai I am aware ai anA unG¢rslantl Ihe reQuiremenis a� Cali�omia Healt� and Salely CoG¢ S¢nion5 25505, 25533. an0 2553d antlihal IoranylNme �uiltling acupan�wiNwiilnot (cirtle ppe�need to tomply vnt� saiG Siate cotles antll�erepuiremeni5�or a permil loi conslmciion oi moOAicaiion �mm I�e Air Oualily Manaqemenl Oistricl Hesidential cans�mction aDPlications are exempt Imm I�ese pmvisions. Date: Applicanl: I nereby cetlity Inal I have ieaa Inis aDvtitation an0 slale itNt ine ahpve information is correcl. I agree to comON �� all cily an0 county ordinances anC s1ale lavn �eWiinq lo �uilding fAnsimcli0n ana �ere�y yulhOrae reprei¢nlalives ol 10is ciry io en�er upOn t�e aCWe�mentioneE pmpetly lor inspecu7on pwposes. �ale' �/ /✓ �� SignaWre: omers uce�se o� Sa�ai Secunty x: t6aLe6 Wlnie—Bmlding: Green—Code Enlorcamen�', Canary`.qpplicanL Pink—Revenue: GOICenmtl—Assessm CITY OF COSTA MESA — BUILDING PERMIT , PERMIT NO; E 049892 PLAN CHECK NO: N , , CONSTRUCTION TYPE: V—N , ' PERMIT TYPE: ELE PURPOSE: OTH JOH DESCRIPTION ; ADD 2ND STORY TO CREATE "DUPLEX" SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 / COMMENTS; RE: H49307 PRIMARY BLDG. PERMIT. �f*+t*�**+��*x *�t� r�r*�r�r*�r�E**�+t��aEit**+f �rtt*ie+��t*�E*�rat**�c�r��r�t***it*�r+t�r+t*�t+r**+r*��e�r�it x�*�+�it�tr Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESS"ORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN AGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING RE[� • PROV: PARCEL: 43919226 2NE: REF NO; PLANNING NO'I'ES> i �f 1k 3E If iE �f if iE if iE iE k iE if iF If M iF k iE 1E iE iE 3E k iE * iF aF iflF iF iP 1f IE fE �E IE M IE iF�E If IE IE if aE if ik if ±F iE k 1E i£ iFif k 1E �f iF iE �E * iE �E 3F 3f IE i4 k k if iF iE fF �f iF iF 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 HY - DATE: BUILDING APPROVED HY : DATE; APPLICATION ISSUED HY• � DATE: I/ � r�r+��*+�+��t*�r�t***�r*****+rir *�*�*�r*x�* *�t iEifiE�lE3FiF�EiEiFiFiFiEif�FiFiliElElfifiFlElF3FiFifiFiFififiFiEifiElEiEiFff�f 1f iFiE1FiF3EYrjfkiEiflf±FiFifiFaEiEififlE±F3f�Eififif3EiEiE3EiEiEiFififiF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIF/RES GRADING PERNIT 94,30 SOt SMIP/NON—RES' PLAN ISSUE FEE 15,00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 94.30 15.00 0.00 109.30 109,30 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 109.30 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIAE SMIP/TOT GRADING PLAN—CHECK 109.30 iE k it iE if iF ak iF k iE 1F 1F M if iF lf k iF k iFiE 1f iE aE iF IP if if iF �F ik iF if iE if iF jF it 1F 3F �f 3k if IE ff iE iF af iE iE )f �f if If af 1t af �E 1E fE if iF 1E ak If aE iE af K�E i! ik k IE 4 iF rF �F 1E 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 T P T I O N UNIT COST TOTAL COST ELE 18 FIXTURES LIGHTING 1 ST 20 EA. ,75 13,50 ELE 20 RECEPT/OGTLET 1 ST 20 EA. .75 15.00 ELE 19 RECEPT/OUTLET ADDITZONAL EA. .45 8.55 ELE 17 RECEPT/SWITCH 1 ST 20 EA. ,75 12,75 ELE' S RES APPLIANCE NOT OVER 1.0 HP 3.00 15.00 ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18.50 18,50 ELE 1 SUB—PANEL 11,00 11,00 END OF FEES Dl OJ0�4Q1?—CQII7y0?9 �I_UT .ry a� DfiTF% li/13'9� ITiVc� 09:�i CONSTRUCTION AND PLANNING - POOCi�i SPA APPiiOVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector 1..Temporary Electriwl Service or Pole 52. Pool & Equipment Location 2. Soil Pipe•Undrg�nd. .. 53. Steel qeinforcement �� 3.;�Electrical Conduit.Utility-Undrgrnd. 54. Forms � .4. Electrical Conduit-Undrgrnd.' ' 55. Electrical Bonding � .. T. ' 5. Steel Reinforcertient 56. Rough Plumbing & Pressure Test . 6. ElectricalUFER�Grnd. � 57. APPROVALTOCOVER�GUNITE , ''7. Footings - ' 58. Electrical Conduit-Undrgmd. � :�8. Foundation - �� 59. Gas Pipe, O Undrgrnd., Test 9. Water PiPe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System . 67. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap y `' 63. Heacer & 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 EVectric 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 - ' - - - , �. , 20.' Rough P-Lactory Fireplace ;Si� _:,i ' - � � � AppROVALS� - , Permit # ;} � j � . �• ~ ' J! .t. i . i�• 3•, l ;�2L�Ducts, in•Structurer .• •� � ;� x � _ �_70. Undergwund Hydro • 22. Ducts, Ventiiating,?� • -��5 '� _ ? ``� �� 77, produc[ Piping C`1 Gas O�OiI 23.;Gas PiPe:Rough & Test . ;'., . ,, ,. ,- ,� = 7z. Undergro�nd Flush . � � 24.-Roof Framing - ' • - C � � •73?-Undergrnd'.Storagg_Tank'OGas ❑OiP' � " � ' 25. Roof Sheathing ,r: , , _� . 74?Overhead Hydro-� . � 26."T-Bar•Ceiling (Sltuctural) &`Mc�ocoa[ � _ y �`J � • 75:: Dry Chemical ' ' � ' 27'. Frame and Flashing'. � ` 76? Dr . "' ' 1 �c: i �a .. > s7 � Y StandPiPe : ` '. . ;` . .. . . 28. Lathing�& Siding; + � . r :'i •• , •��w • 77: FIXED SYSTEM•FINAL' ' ` i ^�r-. +, a r., � T'. "29. In'sulation ' �'' _ •.. � " � ,,,;, � 78.`FIRE PflEV. FINAL �t .�, . ' . � 30. Oiywall Nailing S � �' '� � r V�'� ' -' •HEALTHDEPT'. R�EQU�REMENT '� ,i:.�i - .,� �. �31. Plaster Brown Coai* , � �,. ,. _ _'i, � J9"'FINAL IN$PEC7I�ON. , � _ �'"�' _ _ . - _ 32.-Electrical PowerNletei-Pinal� - f� � 0.�•FOOD CERTIFICATE ISSUED � �j - . 33, Firial Electric � �, i : ��^ -�� Notes: _ '� - ,' - - ' - . �t34. `Final Heating:& AinConditioning; � � � , b� .. , ; �q . � �, •s. _ :� 35:CFinal Gas Pipe-T stR - *' ( � � < ,, o . • .- __ . : . ~� _ i7 � yc ,t'��. , 36. Hood or� Canopy , - . _ - � ��f�� ,� = r -� n � . � - �� ; • ,• n i ' _ 37. Final Factory Fireplace_ ' � `_ " '� "' " ;/. -, ... _ :�-. ., . .. �. .-38. Final Plumbing . V'.v . . .. .. .� . r - � r .n = �39. Water Service-Finaf ' ' ' , �� ` �� " �' ''� � . . >' 1 1 iI. .4 . � � p ' � _. , , 40. Gas Ser"vice-Final � , -,,� - � - �; - r ' . - 47. Solar pomesticFinalS � •• - ' 4 • � ` � .r. � 42� Backflow Preventer. + J � ,: , . . � _ '- 43. Backflow Irrigation '}� `' - , , ", r. ;_44. Landscape Irripation SYstem�.�� • � - ' �v ' • . �� " �45. Sound Attenuation � � � ' S - " " . �' ' , �r . - =46.,Handicap Regulations - - � �� i, � _ : � 47. FINAL STRUCTURE & BUI�LDING . -�' � - �'� • 48.�FINALPLANNING i �� • '�� f. � � . � � : 49. Electric Release to Edison • i �/y . : ' SO,. Gas Release to Southem Califomia Gas Co . � �� " - :�, . . ' � � "51. CER7IFICATEOF:OCCUPANCY i . r� _ .- • No. Date PFOJECT AOUHE55: � 9 5 DEL MAR AV OWNEF'S NPME: G�EORGE SPEARING nodR�,ss: SAME #A RBCHIENGINEEH: flEG.NO.: uNiT: A A�OflESS: UNIT: PEHMITTEE: DAI'IL EI,ECTRIC (7141650-3533 aooness: 2 4 S 3 NAPOL I WAY C.M. CA 92627 ULENSEO CONTflACTOfl OECLPHNTION: I hereby a�hrm ��at I am licensetl under provisions of Chapter 9(commencing wi�h Section 7000) of Orvismn 3 0! Ne Business and A�fessions Code. an0 my Ilcense is In futl torce and eftecL - c�rruc.:�4�685 psTnTeuc.:476'l67 cu�ss: / � Daie: ��G�— Signa�ure: — _ ^ L- -- WOBREHS' COMPENSATION DECNNATION: � I hereby a firm �ha� I have a ce ' e o� conseni �o selhinsure ar a cetliticate of Workers" Compensa�ion Insurance. or a cetlified copy ihereo� (Section 3800. La�. C) POLICY NO.: E%P. DRTE: COMPANY: '�!� Cenifietl copy is here�y �umished- ❑ Cenitietl copy Is tiled with �he ciry Building Oivi�lon. �ale: _ Applican[ E%EMPTION FROM WOBREBS' COMPENSpTION OECLAPFTION: Qhis seciion nee� not �e campletetl ii �he permit is �or one huntlre0 ($W�) or less). I cehity Ihat in Ihe performance oi Ihe work for which ihis permi� is i55ue4 I5 II noi employ any rsan in any manne� so as to become sublec� Io �he Workers' Compensatian Lgws of Callfamia. �� Oa�e'. �� 3� f a SignaWre: NOTICE: II, a�ter making �hi5 declarg�ian. you shoultl �ecome sub ro the Worke�s' Compensation pmvisions o� lhe Labor Code. }rou must torthw'ith comply w{�h such pmvismns ar tha permit shall be Deemetl revokea. CONSTHUCTION 1EN01NG AGENCY: I hereby aRirm �ha� Ihere is a constmc�ion lending agency for �he pedormance of �he work for whlch this permit Is issuetl (Sedion 309�, Civ C) . � �exoee: THIS ELECTRICAL METER . aooeess: PERMIT FOR dNIT "A" . OWNEB BUILDEF OECL4BBTION: I hereby af�irm tha� I am exempi tmm the Conirac�ors' Std�e License Law �or lhe following reason (Section 7031.5 Busmess and Profession�l Catle'. Fny ci�y ot caunry which requires a permi� ta constmc�, al�er, impmve, tlemolish, or repau any stmcNre, prior ta its issuance, also requires �he applicant tor such permit ro �ile a signea s�a�ement that helshe is licensed pursuam m �he provisians af �he Camractors State License Law (Chapter 9(commencing wit� Sec�ion 7000) of Oivision 3 0� [he Business and Pw�essions Code) or �hat he/she is 4xempt �herefmm antl the basis br the alleged exemption. Any viola�ion ot Sec�ion 703L5 6y any applican�for a permit sublecis �he a,OPlican�Io a civil penatly of not more �han �ive hunarea tlallars ($500). ' I. as owner ot the property or my employees with wages as �heir sole comp¢nsatian, will do Ihe work, antl the ❑ stmclure is na� in�enUed or offeretl for sale (Sec�ion 7044, Busmess antl Pmfessional Code: The CanVac�ors' Sla�e License Law tlaes no� appry ta an owner ot a propeny who builas or impmves Nereon, antl who does such work �imsel�/herself or throug� � his or her own employees, pmvided Iha� such impmvemenls are no� in�endetl or oflered for sale. I[ however �he �uiltling or impmvemem is soltl within one yeTr of comple�ion, �he owner will have [he bur0en o� pmving helshe Oitl no� 6uild or impmve �ar the purpose ot sale). I, as owner of Ihe pmperly, am e%clusively conirac�ing with laensed contractors �a cons�mc� �he pmlect (Sec[ion 7044, Business ❑ and Pmfessions Catle'. The Conlractors' State License Law tloes nol appty to an owner at pmpeey w�o builds or impmves thereon antl w�a wntracis for such proj¢�I5 with a contraclor(5) license pursuan� to the Con��actors' S[ate'License Law). I am aware iha� pmoi of their Worker's ComOensation insuance shoultl be pmvide0 �o me. � I am exemp� under Seciion'. 8. 8 P C. forihis reason: �ale: Owner I ao hereby cenity thai I am aware of ane7 untlerstantl �he requirements af Califomia Heal�h and Safery Cotle Sections 25505. 25533, and 25534 antl Ihai I or any lulure building oEcupan� willlwill no� (circle one) need Io comply wi�h said s�a�e codes antl �he requirements for a permil �or consimclion or motlilicaiion irom ��e Air Quali�y Management �istncL FesiOen�ial cons�mction applica�ions are exemp� imm I�ese pmvisions , �ate: _ Applitam. I herehy LerWY �hai I hava reaa Ihis appli�atlon antl sta�e Ihat �he a6ove Informa�ion Is cortecl I agree to comply wl�h all ciry and county oiamances and sta�elaws rela�ingto butlding cons�mcilan and hereby authonzerepresen�atives of��is cIry< nierupanthe e6ove-mentlonatl property far tns�cfion purpases. ��`�.�� Daie: �� 3--�0 _ Signa J l oriver s License or Soaal securiry a� 1641 a6 White—Builtling: Green—Cptle Eniorcement Canary—Applmant Pink—Revenue'. Goltlenrotl—Assessor CITY OF COSTA MESA — HUILDING PERMIT , _ PERMIT NO: E 099893 PLAN CHECK NO: N , , CONSTRUCTION TYPE: V—N PERMIT T]'PE: ELE PURPOSE: OTH JOH DESCRIPTION ; ADD 2ND STOAY TO CREATE "llUPLEX" SQ FT: CLAIM VALUE: CALC—VALUE: GRpUP OCC: R-1 / COMMENTS: RE: B99307 PRIMARY HLDG. PERMIT, ****************�*��r**�r* *��r*�r*�r****�****+r****�r�r**+�*****+��***�*�***�+�**�****�rx+�* 'L O N I N GS ERTEB�AUCIRRSE M E N T S ------ ----- MAIN HUILDING ---------- --------- ACCES$ORY BUILDING --------- FRNT: FT TN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARRING RE{� • PROV: PARCEL: 439192.�.6 2NE: REF NO; PLANNING Nt3TE5> . i - ��e*�e*�**��r*�**+�**��+��*��r*��***��*�*�e�#��*�*�*��*��**��*�� D E V E L O P M E N T S.E�R V S C E S R E Q U S R E M E N T S ZONING APPROVED BY � DATE: HUILDING APPROVED HY : ' � __,_„_„__, DATE: � , —� �� %� O APPLICATION ISSUED BY• DATE: if�Fik�F3fiFiki(•�lE�1EiFiE)f1EiEiE�FkiEifi4iE IF3FiEiFIFiEiE�F�E�E i!3E iEiE1F1liF�fifiEi4iEif1E1fiElFikffifjfifafifiEifiFlElFiFif±fiFiFjEiFikiEkikiFiFiF iEiEk�E�fiFiEiEififklF�E�IFifiElFifiF3EifiEiEiFiEfEifjEiEiFiFifif'IF�fiF LEGALIZATION:IJ F B E S U M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBTNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 18503 SMIP/NON—RES PLAN ISSUE FEE 15.00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 18,50 15,00. 0,00 33.50 33,50 .00 REVENUE DIVISION TOTALS--> COLLECTED; 33,50 OVER/SAORT: OQ BLUG PMT PLUMHING ELECTRIC MECHANTC FIRE 5MIP/TOT GRAD'ING PLAN—CHECK 33.50 if )F k�ik 3F if 1F �lf if iE k�lE )f iF #t !f �1F YF k if 1f if �1f if �F �1f iE if itiE IE if if �1f 1f iF If iF iE 1F #!E iE iF �1F iF iEiF M iE iF 1E 3F if i! 1E iF #�1klF 3E iE iElf i!� iF iE #F!f if� if if �If if�ik �1F # lF it I N D Z 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 5ERVICES BELOW 600 V& BELOW 201 AMP 18,50 18,50 END OF FEES �; �OG+�42i3—C�£iDT4324 Tai'7' _v.-�% QATEc +ai13:`9€i TII;E"= �c�¢37 � C!JNSTRUCTION AND PLANNING POCJC& SPA � APP�iOVALS Permit#_T- Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Ser4ice or Pole . 52. Pool & Equipment Location ' � 2; Soil Pipe�Und�grnd_ ';�) � 53. Steel Reinforcement '' '. �� '3.'Electrical Conduit.Utility-�Ond;grnd. , ; `. �54. Forms % "."4. Electrical Conduit-Undrgrnd.�� % V 55. Electrical Bonding �,.'5.`�Steel Reinforcement ,.� , 56. Rough Plumbing & Pressure Test ��6. Electrical UFER Grnd. : ,-� c57. APPROVALTO COVER-GUNITE o 'i_�'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. Structura� 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 Dra�ns ^' ' 64. Plumbing System - Final 14. Rough Plumbing ' ' 65. Electrical-Final 15. Aough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring �` �� 67. Fencing & Access Approval �'17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electric0l-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - - - - _ - tr�-.:z1,. - .i 20: Rough �Factory Fireplace = �� = -- - � � � APPROVA6S�� Permit # � " �.�. 5 .r :> , y,r :.i"..., . .. ,. 21�:Ducts, in Stiucture, , .. . .�'� - - '. e � 70. UndergrOUnd Hydro .. 22. Ducts, Venfilatin � -'� ":= -� ' 9'� � - :77. ProducjFipingOGas ❑Oil 23r Gas-Pipe�Rough & 7est � �;;., `, .,, ,�r �,. , � 72. Underground Flusfi . ' 24 �.Roof Framing ^'�� . . � *� �� _ r. �,. t -73!- Undergrnd. Storag�.Tank�O Gas ❑ Oil � 25. Roof St�eathing ... � "_ ; "; °' _ ,1 ; : -- -' ` �, . : � . ��74= Overhead�Hydro�� 26: T�Bar Ceiling (Structural) &:Mo`ocoat _ - !'' ' 75[ Dry Chemical ' ' -�� 27' Frameand Flasfiiny "� � ., . :n "� 76. Dry Staniipipe ' " �� - 28� Lathin & Sidin . �7��':i. _ , - •. 4� 9�'` � �,y 77: FIXED SYSTEM'FINAL•" _ _ '�29. Insulatfon . ' �� :. Y �� ' ' �:- T 78'.^, FIRE PREV. FINAL i'30. Drywall Nailing �=.. � � �_ : • :c HEALTH:DEPT. REQUIREMENT - 31. Plaster�Biown Coat, � � Y,, I i� - ` � : FINAL INSPECTION. � ' � - .. ��- 32� Electrical Power�Nleter-Finat � ��'J � �� :'FOOD CERTIFICATE ISSUED � . 33.' Final Eleeiric ' �, � J � 'r � otes: " : - - ,i. .1 ;' � . . _ _ µ ,' � 34: Final Heating &,Air Conditioning; - � . . • _ _ '_ 35.`.�Final Gas P�Pe-Test- _ � ` i ' ' ' ` �' ,, - .T �� - . � . ... , . y�, 1- _ . ._,,. T 36� Hood oc CanoPY - ' -- • '.'� �9 � .. ... . .t� '37: Final Factory Fireplacer � r �'' '�' ' � � ` c� ,. �- ;t . . '[„ , .. .. . -. . �., . .. ,38. Final Plumbing �.� i . ',• r. � .- C � � 39. Water Service�Finai �.. ' '�. ` y � �� : _ _-�'. .� u ,r ; 40. Gas Service-Final ; ., + ;• , : .: `- m ' � „ � ' 41. Solar pomesticFinal� r �• � `* ' � I i � ' ] � "' 42.` Backflow Preventei '�� "' � ; �� ': , ''� , _ 43. Backflow Irr.igation � '!� ` = 7 ' ` ''��- ` - . '� y li S ' '' } � . . 44. Landscape I�ripation SYstem , _ � - ...x -� i• •. + � � .. '45,: Sound Attenuation ' ' ' '- � � - � � ,• - = 46.,.Nandicap Regulations ' - �, �� " ' _ _ ' � . 47s.FINAL STRUCTURE & BUILDING i � , j`, - � �•� : _ � 48. FINAL PLANNING ' ��'' : , � � ; %� . ., • _ _ . 49rElectricFeleaseto�Edison � � � } + ^ ' i/`� - ' 50.. Gas fielease to Southem California Gas Co ; � j '-C -� ," . �S"� . - . : 51. CERTIFICATE OF OCCUPANCV � i, ;°� F;- � : . � , No. Date