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Home My WebLink About932 CORONADO DR - Building Permits. �ounessaewiaxc: 7�t �.vn�rvru�� u w�r�as",,,,Ei�a�wn�:MARSTON, KEITH P mw+Ess 932 CORONADO DR COSTA MESA,CA uri. �uiwo,�noxEss: AHCNIfECT OP FNtlNFEP: NCN.OP ENS'S AOOflE55: �� RANCHO ROOTER �� 9360 HASELINE 92626 UNT: uc wo: uwr: (909)989-1980 ,�o��ALTA LOMA CA �� 689936 91701 �M C tJCEN5E0 COMRRCTORS DECIANATION: I Mrt�Ey ellim gu�Meer pe�y d�pyedeR'ryryy Nqm� 1 a�m rliunenstl uMm pwiviane af Cheqer e 1 e�aror.vh5«�im�000ldD�+sc.cu55: C•—,jb P ��Nup btl`!`!�b eNEXP eneexw. ,,, �/-G -s� o�,a: /li,�.v�o /�roa�c NEN BUILDEX DECIANATION: I Mrtby eM�m uMs pendy d perjury �het I am eRemq fmm �M Coeueadae limrue lew la ihe 1 ieeaon (Setlon )W15 &niieas eM Rvlweioiu Code: �MW a oou�xY r,tiiT reVuru e O�u lo amsbuci. eds.'vnpwa. dand'oh, v�epei airy sNclurs, p'v to ea eeuerce, ebo rtpum ihe epplimp Itt euc� pam! lo fib e�nd qtlenwrX Met he a eM u limneed W�*uenl to ihe pwiwone d Ms Canirmns lioenae lew IChepm 8(mmmenuip xilh SeUbn 1000) d Diveian 3 d �ha 9uiman md PrWw'va Gods� a �hn M a tlw b uamq Ihadmn W �M betis la Ihe eAped axemqian. My vuletion al Swion Ol1.5 by mry epplirant la e permil auCpds ihe eppliuni io e cvd pe�alry d ria m«s ihen liva huMieA Edlen �5500��. ❑ I.mownmdlMpropenyamyampoyeesx'thwepaantMWsoompemetion.wTAothewk.eMNe�lv.turse�w'vneMed a alleied /a eele (�� )�. Buaimea erd Pminvma Cada: TTa Contreewe limiva lew Ame nd epplyioan owner d popa�ly wM dddf a inP� tMnm. md wfio dom �uN waklvmaetl a hdvel a ihruqA he a hm own emP�Ws+. pa'�41he1 vch impeweme�m ere m� imeideE a d1emE la eeb. 0, howewr.IM buJCinp a inpwemeM a wid wuhin wpY� d mmpMion. ihe ownerbuildar will heve iM buNen d pwiip M n Na dN na WiN a imqws la iM qupms d mbl. � I. n owroi W iM pW�Y. em eatluei„WY canlratl^Y xilh licenesd conVecYon lo canfbuct tla pM� (Sacun ]MI. &ninse end Pro/emone Code: The Coniredae liceius lew dou nal eVWY b en ow*wr d G�WeM who buitls a'unPa'ea �he�aon eM wM wnvena ror arl� PM�a wdh e mureaMallcemeE wnuem to ihe Conieraon lioen�e taM. � I em uemp uedr Sectun: B. 8 P.G.. b ihu iewn: ora: ow��: I Ao Mreby cMily thel I em ewere d eM uMeniend tM repuirsmenM d Celianu HeeA� eM Sebty Gotle Seqiom 25505, ?5it3, enE 25530, eM ihm I a ury Mun buiMirp omipeM will / w1l ml (arcY ane) nsed b cpnply wYh eeiA aete mEm eM IM rpu'vemmb far a0a�m�laaomWdionamoAifralionhan�heA'r e�y enWe^b^IDis�rid.RmidenlWwmiuqunePG�iaueneMemqtmmNene provisiwre. oem: �cvir�n: WORKER'S COMVENSATION �ECIARATION: I Mrob/ dfi�m uMer pariMy d pajury wr d Ne bllowi�p Eetleretiom: � I heva ard W meinlen e cMilicma d ooneenl to eWinau�e lor xwkeri compenutun. u pwided lu by Setlbn �ltp d �M laba Code, la Ilw ps�lormancs d Ne wwk la wivcM1 Ihia pwmil ie muad. }[] I hava aM xil meimeii xwksa' mmpenaetian imurarca, m mQuinE tr/ Sedion 9]00 d �M lebor Code. br �he partamence d �M ..� �«..n�u, inre v«mn �. n.�a. r�v �,�A�°i�i°� �`�i'�f�iPY�°` �a wiwv ��mne� as: E X P I R ES `'"'"' 07/OS/98 PWky Number. (TM1k uaion neee rwr ee carrc�.d r �ne o�� u ro. ora nundi.d ddlel. Isiool w,4v.) �] I cerlM �het in Ihe peNoimence d Ihe work Iw whkh ihu pe�mii ia NeueA. I ehell ral mmpby erry psnon in any menner eo av to beaen wbjW b iM xaks�' eanpanembn lewe M Celilomu. uM epme tlut E 1 Nauk beeane aCjetl �o iM whrs' o peneelbn pmvieiona d Seaion 3100 d �ha lebor Code, I elull lonhxil� compN xilh ih^^^ Omv%an+. m�f- G �-4 �,' .�a��: i��—� �TIM: F Nun b ucVn wn�ten' cOmVw�tlon cm'�/K� h unbwlul, !nd �IWI �u4NcI N/iWl%> IO cNNMI W�MMM �M c/Hl flnI up ro om hundred fMuunC ddNn (S10q000), M NE/tlon ro M� cwt ol eo�tbM1 Eemq�si u poHdetl br In 9xtlon 3]OB al 1�� {eDor CoOr, lnf1ruf. uM �ttom�Y'� I1es. CONSTqUCTION LENDINO R6ENCY: I Mreby etfi�m uMm penelry d perN�V �� e mnniutlbn bndiip epency lar tha pMame� d tM v.dk la xfiirh tAe pami is ewed (�� ]. CH. CI. LENOER'S NAME LENUEP'S �UONE54: I caniN �lat I here ned thia eGG�iution eM tle�e �hn Uro eEoue Wametion o ou�etl. I W�a to comNV wnA e0 mY erd oounN ad'vwcee erM ateie lawe relmiq b Wik)q conprwion eM Mreby eWwua repamtmnas d ihu aty ro eNm upon �M ebwa-memunW poperry t«in.peaianw�v�•�DANIEL ROE uma: �/�G •-i�'' (5151d6.WP) WhGe-Buildiq 8 Sdery:O�eerFb: Gerery-Appicenl: Fnk-Rewnue: (3dtlenio�M wr CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO; P 087599 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: PLU ' JOB DESCRIPTION : INSTALL WATER SOFTNER CLAIM VALUE: CALC-VALUE: '�' � — cao z55 PERM NO: P 087599 J. GOVT: N SUPP: N PURPOSE: OTH SQ FT; GROUP OCC: R-1 / COMMENTS: X ***�*��t*x*****�r�t�r�t�r**�t�t�tx�t�r�t*�e�t�*�t*�t�t�t�t�t�t�t�t*��t*�*�****�ex*******+�***t�*�t�r*****�t�t Z O N I N GS ERTEH�AUCIKRSE M E N T S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT ZN FRNT: FT IN REAR: FT IN LEFT: FT ZN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 14132320 ZNE: REF NO: PLANNING NOTES> i if iElf !E iF �F if !f 1F iF if 1E ik iE iE IE ik iF if iE iE iF iE iE iE 1k 1E 1E iE iE iE iE iE 1f 1E if k iE k iE 1F ff iE iE dE 1F iF iF iE iE iE iE iE iF �Fjf jE if ik if iE i@ iE 1E iE iE �F iE iF ib if 3E if iF dE jE iE iE ik D E V E L O P M E N T S E R V I C E S,- R E Q U Z R E M E N T S ZONING APPROVED BY . HUILDING APPROVED BY : 'APPLICATION ISSUED BY: I**x*x��**�t�t�e****�t�t+t��t+�* LEGALIZATION:N F E E S U M M A R Y DATE: DATE: STRUCTURAL SEGMENTKN BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/RES GRADING PERMIT 8,75 25� SMIP/NON-AES PLAN ZSSUE FEE 22.00 BUILDING-DIV-> PERMIT ISSUE PLAN-CHEC3( TOTAL PAID DUE TOTALS----> 8.75 22.00 0.00 30,75 30.75 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 30.75 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN-CHECK 30.75 ik iE iE iF iF iE iE iF if iE 3f iE iE iE it iElF if if M if if if if iF ik 1f ik iE jf iF * if iF ik iF iF iF if iF 1f iE iE iF iF iF iF iE iF iF iF 1k iE iF iE if jE fF iE 3f iE it iE iE 1F iF iE �E if iF iE i4 iF 3E �4 * if iF ik I N D I V I D U A L F E E H R E A K D O W N TYPE QTY IPLU 1 f�i��l:i 'i�lii�i7�l WATER SOFTENER END OF FEES UNIT COST TOTAL COST 8,75 8.75 04-66-1998/63:45 GN/f3C.75 RCDT�:J1-Z321?�� PEFrMIT:0875'39 / J CONS7RUCTION AND PLANNING POOL 8 � APPROVALS Permit �h ' ' Date �nspector qppROVALS Permit #- Date Inspector 1. Te:nporary Electrical Service or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement 3. Electrical Conduit UtilityUndrgrnd. - 54. Forms , � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding � 5. Steel Reinforcement 56. Ro�gh Plumbing & Pressure Test 6. ,Electrical UFER Grnd. � 57. APPROVAL TO COVER�GUNITE ' 7. Footings � 58. Electriwl Cond�it-Undrgrnd. � 8. Foundation 59. Gas Pipe, O Undrgrnd., Test ' 9. Wa[er Pipe�Undrgrnd. . 60. Backwash Lines, P�Trap, O Undrgrnd, � 70. Structural Floor Svstem 61. APPROVAL TO DECK i i. Property Sewe� Line & House Connection 62. Backwash & Receptor-Finaf 12. �Sewer Cap � � 63. Heater & Vent•Final 73. Roof Dreins 64. Plumbing System � Final � � 14. Rough Plumbing . 65. Electrical-Finai 15. Rough Electrical-Conduit 66. Solar SYstem-Final 16. Rough Electric Wiring 67. Pencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 78. Rough Electrical�T Bar Ceiling - 69. POOUSPA SYSTEMS FINAL 79. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace . � APPROVALS Permii # 21. Ducts, in STructure �� 70. Underground Hydro 22. Ducts, Vem�lating . 77. Product Pipin9 � Gas ❑ Oil 23. Gas Pipe-Rough & Test - � � � . 72, Underground Flush 24. Roof Praming - . 73. Undergrnd.SmPageTank OGas ❑Oil 25. Roof Sheathing �• � 7q. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat � 75. Ory Chemical 27. Frame and Flashing 76. Dry Standpipe � 28. Lathing & 5iding ' 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Orywall Nailing ' � ,HEALTH DEP7. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL �NSPECTION � 32. Electrical Power Meter•Final ' 80. F000 CERTIFICATE ISSUED 33.'Final Electr�c Notes: � 34. Final Heating & Air Conditioning � . 35. Final Gas Pipe-Test ' . 36. Hood or Canopy � 37. Final Factory Fireplace . , � 38. Final Plumbing �0-13 �$ 39. Water Service�Final - ' 40. Gas Service•Final � ,, � 41. Solar pomestic•Final �� ' 42. Backflow P�eventer 43. Backflow Irrigation � � 44. Landscape Irrigation System . 45. Sound Attenuation ' � 46. Handiwp Regulations `��, 47. FINAL STfiUCTURE & BUILDING , 48. FINAL PLANNING � l� 49. Electric Release to Edison --" '' 50. Gas Release to Southern Caiifornia Gas Co � � 51. CERTIPICATEOFOCCUPANCY - f . No Date - \ � \ CIT.Y OF COSTA vrr�j� Address _ ' AppGcanYs Mailing Owner's Na� n Address Arch/Eng. Address Address (mailing) � U 7 / v Ciry License No. � I—�— LICENSED CONTRACTOR DECLARATION � I M1e�eby aifirm that I am licensetl untler provision5 ot � with section �000) ofA Division 3 of the Business antl my license is in full to�♦e arytlp(tect. No. MIT AOGlicant to fill in all spaces exceot those within heavy eortler lines antl sign all avvrovriaie Geclarations. Date �� Signature W00.KER5' COMPENSATION DECLARATION I hereby afiirm that 1 have a certificate ot consent to self-insure or a certificate of Workers' Comoensation Insurance, or a certitied mpy thereof ectlon �800, Lab. C ) ��jj licy No. T�� ComPany �Certifietl copy is hereb furnishetl. Cert' ie o� ed with the tlty B ' 9 ivisi i.v Date � Applicant E%EMP ION FROM WORKERS' COMPE SATION D CLARATIO (This section neetl not be completetl ii the permit is for one huntlrea ( 100) or Iess). ' I cer[ity that in lhe performance of the wo�k fo� which thi5 permR i5 ssuetl, I shall no[ emplay any person in any manner so as to become subject to the Workers' Compensation LawS of Calitornia. Oate Si9nature NOTICE: If, afte� making [his tlecla�ation, you ShOultl become SUDject to the Workers' Compensation provisions ot Ihe Labor Cotle, you must torthwith comply with such p�ovision5 or this Oe�mit snall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby affirm that tM1ere is a wnstruction lentling agency for the performance of tne work for whith this permit is issuetl (Section 309] Civ. CJ Lentler'S Name Lentler's Atltlress ' - � OWNER BUILDER DECLARATION ' I hereby afflrm lhat I am exempt f�om the CanVactor'S Licenie Law tor the followin9 reason (Section 7031.5 Business antl Professional Cotle: Any city or county which requires a p¢rmit to const�uct, alte�, improve, tlemoli5h ot �epaii am structure, prlor to itz issuance, also requires Ihe applicant tor such permit the therefrom antl the basis for the allegetl exemptlon. Any violation ot Section 7031.5 by any applican[ fo� a permit 5ubject5 tM1e applicant to a civil �enalty of not more than tive huntlretl tlollars (5500). � I, as owner ot the property o� my employees with wag¢5 as their sole 'omoensation, will tlo the work, antl the structure is.not intentletl or.otferetl for sale (Section ]044, Bu5ine5z antl Professional Cotle: The Cont�actor'S License Law tloes not apply to an owner of a prope�ty who builtls or improves thereon, antl who tloes Such work himselt/herself or through M1is or h¢r own employees, provitletl that such improvemenis are nof intentletl or offeretl tor ule. It. M1owever, the building or improvement is soltl within one year of com- pietion, the owner will have the burtlen ot proving he/she tliE not bulld or im- prove torthe purpose of sale). ❑ I, as owner ot the property, am exUusively wntractin9 with licensetl con- Iractors to construct the pro�ect (Section 7044, Business antl Professions Cotla: The Contractor'S License law tloes not apply to an owner of property who builtls o� improves thereon: antl who conVacts fo� such oroiects with a mn- tractor(sl license pursuant m me Contractor�s License Law). I am aware tnat proof o( iheir Worker'S Compensation insurance shoultl be provitled t0 me. ❑ I am exempt untler Section 8. & P. C. tor this reason 1 ,! �/ I TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ GONVERSION ❑ DEMOLISFI ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TYPE OF PERMIT ❑ GRADING FOUNDAT O�Q STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING CHANICAL ❑ OTHER PROJECT DESCRIPTION 54.FT. oCCUaANGv CONSTRUCTION TYPE VALUATION $ ZONE GRADINGCV.VDS. ACRES Remarks: Oate Owner / I hereby c¢rtify tnat I have reatl this appliwtion antl state that the above intormation is correct. 1 agree to mO�Y �+'�th all city antl county ortlinances � antl State la relating to buildin const�uctlon, antl hereby authorize �e0re- sentdtives Of s 'ty tp nter on he ve-mentionetl p'rop¢rty f9r� InSpettion p s � / K Signature �S at U Drivers' License or 55 � Bar Sink Backflow Preventer Backflow Irrigation king Fountains m Drains ir Sinks Service Outlets Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee . � $15 Boiier Duct - Under Ground Duct - Structural . Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. �CBO dk H��e� in9 System & Ducting _ Jf70.100,000 BTU � 100,000 Reinspection Fee � $75 OB65-46, rev. 5/88 White - - Accounting; Goltlenrotl - ASSesSo� Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Wa(er Service Auto-Wash Laundrv Trays Issue Fee $ 3 �ANICAL FEE Hood or Typel ❑ Canopy Typell ❑ Refrigeranon System ❑0100,OOOBTU ❑t00,000BTU System Repair/Alteration I Fire Dampers Registers Issue Fee .y� � $A A.P. # S Main Buiidin9: E 7 Front A Rear C Right g . Left Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Zone Accessory Building: Perking Req./Provided ELECTRICAL � Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Dryers LJGas LJElectric Sub Panel Fan Motors �0.1 HP 01 h- 8 F.A.U. InaSoiar �9-15 HP �i6-15+ Fixtures Microwave - � Device Boxes Pole Light . Outlets Range Switches Sign Garbage Dispoul Standing Sections Generator �0-5 KW �5-15 KW Trash Compactor Reinspection Fee 2oning APProved BY_ Building Approved 8y $15 � � luue Fee REQUIREMENTS: FEES $ 3 N I N G R E � M T $. SUMMARV OF FEES . BUILDINGPERMIT $ SMIP $ PLAN CHECK $ PEFMIT PLUMBING $ ISSUANCE , $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% � MICROFILM $ MECHANICAL TOTALFEE $,� PLAN CHECK 25% $ Oi C1CO229$1—QOD224°1 T�T �4,U�' t�ATEa 12/Zi/28 TIM=: G4:?8 � �..,/ \ U' �, � � �, ,'1 �CONSTRUCTION AND PLANNING `. � POOL fi _ A , APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. ' � . 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms " • 4.� Electrical Conduit-Undrgmd. . � � 55. Electrical Bonding -- 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test �_ r . 6.- Electrical UFER Grnd. �-^ � 57. APPROVAL TO COVER-GUNITE �.'_ 7. Footings "- 58. Electrical Conduit-Undrgrnd. ~� � - 8. Foundation , � 59. Gas Pipe, O Undrgrnd., Test � „-' - - .• 9. Water Pipe-Undrg nd. ' 60. Backwash Lines, P-Trep, � Undrgrnd. � 70. Svuctural Floor System . ('. 61. APPROVAL` TO DECK � 11. Property Seweriine & HouseConnection ��; - - - � 62. Backwash�&'Receptor-Final - �'-�- � - - 12. Sewer Cap • - ' �, , . 63, Heater & Vent-Final - 13. Roof Drains -� � � 64. Plumbing System - Final � 14. Rough Plumbing �� . 65. Electrical-Final •� 15. Rough�Electrical-Conduit 66. Solar System-Final � 16. Hough Electric Wiring 67. Fencing & Access Approval �17. I�ough Wiring Sign 68. APPROVED FOR PLASTERING � �AtB. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 1�. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ; 20. Rough Factory Fireplace ` APPROVALS Permit # `21. Ducts, in Structure . , 70. Underground Hydra 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23 ,Gas Pipe-Rough & Test " � 72. Underground Flush 24. Roof Framing � 73. Undergrnd.StorageTank OGas ❑Oil 25. floof Sheathing �, �� 74., Ove�head Hydro � 26. T-Bar Ceiling (Strucwral) & Monocoat 75. Dry Chemical 27. Frame and Flashing � 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINA�L 29. Insulation � 78. FIRE PREV. FINAL f? 30. Drywall Nailing HEALTH DEPT. REQUIREMENT �" �l� 31. Plaster Brown Coat 79. FINAL INSPECTION ' 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED - �; 33. Final Electric Notes: . 34. Final Heating &�Air Conditioning G� L� 35. Final Gas Pipe-Test � 36. Hood or Canopy . 37. Final Factory Fireplace 38. Final Plumbing - ' � - ' -� ' - - � --'• '- - - - -� -.- _ _� �'-. -_ `. 39. Water Service-Final - r- 40. Gas�Service-Final � _ ' ' " ' ' ' � - �� - �- � ,-- l: . . r- - 41. Solar pomestic-Final � ;'��.'� , �� 42. Backflow Preventer "'+�'� � � � ;7i- •�Jr 43. Backflow Irrigation "'J �`• ' c-•i- : � 44. Landscape Irrigation SYstem ��'� � �, 45. Sound Attenuation � - 46. Handicap Regulationr� �-' . ' :.u.� 47. FINALSTRUCTURE�&BUILDING o�'.> d8. SAecial Requirements Com'pleted 49. Electric Release to Edison " • , i. 50. Gas Release to Southem California Gas Co "�� _� 51. CERTIFICATE OF OCCUPANC`✓ �� t, No. Date ' :'� i . 'L � '6� CI7Y OF COSTA MESA CONSTRUCTION PERMIT ProjectAr'�ess y�Qr�ado�Dr. �+pp��ailing Address 126 Commerc i a l Way, CM 92627 Own�'�s Name Ke I tIl MBf Sdi'on Phone Address �..32_CQC�➢^�d4_Qf_._,—C..ly..�.%S72( Arch/Eng. License No. Address Contractor's Nama C�ar1k Bf O5. ROOf I fl9_phone 548-556 Address Imailing) 126 Commerc i a l, C.M. 92627 Ciry License No. 005993 LICENSEO CONTRACTOR DECLARATION 1 M1ereby affirm that 1 am licensetl untler Orovislons ot Charter 9(commencing wilh section ]000) oi DlviSion 3 of l�e Bu5ine55 antl PrOfession5 CotlO, dntl my license is in full lorce antl eftecL .. -� License Clgss — Lice N _ Date �� Si9nature WORKERS' COMGENSFTION DECLARATION I hereby atiirm thal I have a certifitate oi content to selt-insure or a certlticate of Workers' Compensa[ion Insurance, or a certi(ietl copy thereof ($ectiOn �800, Lae. C.) ��r �o. —285./_229-88— comna�r—Staf_e_Euad— Certifietl copy is �ereby fumisnetl. � L�(Ccrtifiptl�gfiy' /iletl with the Uty Bu' ng Ivi510 /� /' �� Oate �� b 7J � qpplicant--C��Uf'� 4 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection neetl mt be completetl i1 the oermit is tor one huntlre0 (5100) or lesz). I certify that in the performance ot Ihe wo�k 10� wnich this pe�m�t Is I55ueQ I shall not employ any pe�son In any manne� so as to become subj¢ct to the Workers' Compensation Laws ol Calltomia. Date Si9nature NOTICE: II, atter making tnis tleclaration, you shoultl becoma subjett to tha Worke�s' Compensation provlsions Of the labOr Cotle, you mu5t torlhwith comply with such provisionz or this permit sha❑ be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I nereby affirm that tnere is a<onstruction lentling agency for t�e performance of lhe work for which this permit is issuetl (SecUon 3097 Civ. CJ Lentler's Name Lentler's Atldrezs OWNER BUILDER DECLARATION 1 hereby aftirm lhat t am exempt from the Contractor'z License Law for the following rea5on (Section 7031.5 Business antl Professional Cotle: Any cily or counly whi<h �¢quites a permit to const�uCt, alt¢r, ImO�ova, tlemolish o� repolr any stru<ture, prlor to its issuance, also requires the ap0��ant for such permit to file a siqneU slalemen[ [�at he/she is licensetl pursuant to the prOvisions of the Contractor'S License Law (Cnapter 9(commencing with 5ection 7000) of Divizion 3 of the Business antl Professrons Cotle) or that he/she is exempl [he�efwm anA lhe basis far (h¢ allegetl ezemption. Any viOldtlOn o( $eclion 7031.5 by any applicant tor a permit subjects tha applicant to a civil =nalty of not more than tive huntlretl tlollars (E500). � I, as owner of Ihe Orop¢rry o� my ¢mployee5 with wages a5 thai� sole �mpensation, will tlo th¢ wo�k, antl [he st�uc[ure I5 nol intentl¢tl o� offe�etl for sale ($ection ]044, Business antl Protessional Cotla: The Contractor'S License Law tloes not appty to an owner of a property who bWltls or improves Lhereon, antl who tloes Such wo�k himself/h¢rs¢If o� th�ough his o� he� own employees, p�ovitletl that such imprOvement5 a�e not int¢ntl04 0� o(feretl for sale. It, noweveq the buiitling or improvement is sola witnin one year ot com- pletion, tne owner will have the burtlen of provin9 he/zhe aitl not bulltl or Im- prove for the purpo5e of sale�. ❑ I, as owner of [he proper[y, am exUusively rontractlng wi[h licensetl con- tractors to <onstruct the oroject (Section 7044, Business antl Professions Cotle: The Coniractor's Litense Law tloes not apply (o an owner of property who builtls o� improves thereon. antl who contracls for such oroiects with a r.on- tractor(sl hcenze pursuan[ ro me ContrattorY License L.aw). i am aware tnat proof of [heir Worker's Compensation Insurance shoultl be provltle0 t0 me. ❑ I am exempt untler Section B. & P. C. tor Ihis reason Applicant to fill in all xpaces exceD� inose wit�in heavY borCer Ilnes ana sign all apvropriate aeelarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. Date owner I here0y certity that 1 nave reaa this application antl state that the abova information is correct. I agree to comply with all city antl county ortlinances antl state laws relating to builtling conSlruction, and hereby authorize repre- Sentatives of this tlty to en[er upOn t�e ab ve-mentionetl property f0/ InSpection pur s�ynature � Date � �3 "B �% Drivers' License or SS 9F TVPE OFCONSTRUCTION �J NEN�j��7fCDD LVI ALTERATION LJ REPAIR � ❑ CONVERSION ❑ DEMOLISH L OTHER DESCRIPTION OF WORK/USE OF BLDG.I fl�t� I I CLASS A f i ber- g i ass sn i ng i es. New meta i eog��, t i�_t�9�-- TVPEOFPERMIT GRADING FOVrvDA710N LJSTRVCTURAL , O TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCNIPTION 5�. FT.2.,�5� oCCUaANCv_,5_I CONSTRUCTIONTVPE residential VALUATION$5,555.0 ZONE GRA�INGCU.YOS. ACRES— Remarks: Preventer Irrigation rinking Fountains loor Drains loor Sinks as Servic.e Outlets Kimhen Sink Lavatories P—Trap Roof Drains PLUMBING Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wesh A.P. # S M: E T Fr Bui B Rear A C Right K Left S Ping. Ref. # Planninn Notes: FEES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers �Gas ❑Elec Fan F.A.U. Fixtures Oevice Boxes Outlets Switche5 Garbage Disposal_ Generator �0.5�KW C Rei�spectian Fee � $15 I I laue Fee I $ 3 Boiler Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO dk Heating System & Ducting ❑0-100,000 BTU �100,000 Reinspection Fee � $15 0865-46, rev. 5/88 White - Builtling; Canary - Applitant; Pink - Accounting; Goltlenrotl - Assesior Hood or Typel ❑ Canopy Typell ❑ Refrigeretlon Sys[em ❑0.100,OOOBTU ❑100,000 System Repair/Alteretion Fire Dempers Registers laue Fee Zona Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+ KW Meter �up to 100 amps Meter ❑over 100 amps_ Sub Panel Motors�al HP�i.'h-8 IncSolar 09-75�HP �16�75+ Microwave Pole Light ' Range , ( I StandingSections 5-15 KW' Trash Compactor � Reinspection Fee • �$15 f � laue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning APProved'By Buildine APProved By Appliotion luued By ✓ .% S 3 I � I . 1 N G R E U M T $. FEES $ 3 � S ARV OF FEES BUILDING PERMIT $ �� SMIP $ . •� PLAN CHECK $ PEFMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ Q, � MECHANICAL $ TOTALFEE $ � PIAN CHECK. 25% $ - 01 00023439-00023440 "ftA� g?,�p OATE: Di/03/S4 TIi1�. Uv:ic CONSTRUCTION AND PLANNING POOL & APPRQVAIS , Permit# .�ate Inspector AppROVALS Permit# Date Inspector 1. amporery Electrical Service or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. ' �' 53. Steel Reinforcement � 3. Electrical Conduit Utility-Untlrgrnd. 54. Forms �. 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ' 6. Electrical UFER Gmd. . 57. APPROVAL TO COVER-GUNITE 7. Footings . 58. Electrical Conduit-Undrgrnd. 8. Foundation ' ' 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. � 10. Structural Floor System � � 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap ' .: 63. Hcater & Vent-Final • . � . 13. Roof Drains , 64. Plumbing SYstem - Final • 14. Rough Plumbing 65. Electrical-Final ` 15. Rough Electrical-Conduit 66. Solar System-Final i 6. Rough Electric Wiring 67. Fencin� & Access Approval i 17�. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19� Rough Heating & Air Conditipning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas OOiI 23. Gas Pipe-Rough & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oit 25.'Roof Sheathing 74. Overhead HYdro 26. T-Bar Ceiling (Structurel) & Monocoat 75. Dry Chemical 27. �rame and Flashing � 76. Dry Standpipe 28. Lathing&Sirling 77. FIXEDSYSTEMFINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat . 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � {`i1 v St ` C � u 34. Final Heating & Air Conditioning 1 \ 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing l t 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer � 43. Backflow Irrigation � 44. Landscape Irrigation System � 45. Sound Attenuation , 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING �� 48. Soecial Reauirements Completed 49. �lectric Release to Edison , 50. Gas. Release to Southern Calitornia Gas Co • � - 51. CERTIFICATE OF OCCUPANCY No. Date - Lot 89 Tract 5285 P1a��ECEIVED '�u_�;��J _ SEP 6 196i� COSTA MESA BUILDING-SAFETY DEPARTMENT FlNANCE DEPt. P. O. BO7L 9f7 COBTA MEBA. GLIPORNIA CITY OF COSTA MESA Fo� Applicani fo Fill In Compleiely APPLICATION FOR PERMIT TYPE OR PRMT � � ARGHITECI' � STATE BUILDING 32 Corona�o Drive COSTA MESA CALIFORNIA FO� O#7ee Use Onl y AHC8IPT NO. A1 R[RtlR.NO� 3800 E. Coast Macco _� TE^. TEL. NO. TEL. ole 3-42 no. ov e�ca. 1-L' OAT6 IBBU[D COSTA MESA. CALIFORNIA PIRE ^ //n�L ZONE TYPE GROUP "�' / APPROVED t¢aw� ZONING NO. OP ^ BC OP N PLAN/ j BYIlD�N6 �ee �at none YARDS ' EVES EXISTING BLDG. APPROVHD ALLO 86TB�CK LINH FROM � (C3MTiR IJNe OT4 CHN'feR oP STi1ELT 4� REAR YARD �L3 � FRONT y 7 FT. I 5�3n I 5� 61DE YARD LEFT RIGHT R.SIDE •--FT. DESCRIPTION OF WORK L. BIDE -s— FT. NEW IX IIALTERATIONI IIADDITION I ppaw z3 wr APPROVHD OUILOING61 � (��X53 � NO. OF � 1 e1ZE ROOMS STORIES PXTERIORWALL�tUCCO IRooF Shake COVHRING COVERING USE OF BUILDING AND WORK TO BE PERFORMED SinQle Familv residence w/attached 3 r� O /i 4 � 1 HEREBY AIXNOWLEDGE TXAT 1 HAVE RGO TNi9 APPLIGTION TXH �MOUNT BMOWN UND[R VALUATION 10 POR TX6 AND BTAT! THAT TNE ABOVH IS CORR6CT AND AGREB M COM- pURP08H OP, HBTABLI0NIN0 w PepMIT vC6 ONLY. PLY WIiH wLL QTY OflDINANCEB AND HTATE {AW8 IiHOULATINO eu��xa =o�a�esaNDel Mar Development Co, v��uarioN /} 81GNATURE OF PERMIT FEE $ b�' PERMITfE q By � $ 1Q � Z�{] . �� PLAN CHECK $ � ` � AUTHORIZED AG S%.00 70TAL FEE �