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Home My WebLink About2136 ORANGE AVE - Building PermitsLOU�S E •B2Y1T1@�'ij'.� ✓ DATE JOBADDRESS 2136 Orange AV@ BUILDINGPERMITNO.rJl GENERALCONTRACTOR o��rner- Builder VALUE$ �-6�OOOeOO �oT 263 BLOCK rencr Newport heights (Duplex dwelling) GROUP I TYPE 4 ZONE R4 FIREDISTRICTApp•�Y � PERMITSISSUED INSPECTIONS DATE/ SUBCONTRACTOR _ ,w � DATE I NUMBER FootingTrenCh GLfii6i, � �/J Foundation Forms and Grade to Garage � Rough Framing /,�J � J � Plumbing, Rough to Slatrs�~• �"1 � ~ / Plumbing, Rough Complete � t � '� / � „ Temporary Pole � Wiring, Rough u �/6 j f Heating, Rough � � Heating, Final ^f.ta,�p.C.jp _ � /8 � Sewer / „Septie 7ank or Cesspo I 2 d Lathing i�N � �� J 5 Plastering Vlumbing, Final, Fixtures Complete�f –21 ' Plumbing, Fin,al GasTest ' Wiring, Final � `2jr , � Occupancy � —� F'orm 210 G-H Ibf 12-68 1 Costa 1l�esa Building DepartmenC` � APEI.ICA'o�'ION FOR P�RMIT p.' �- ; 1 EAST 20th STREET 46 "_"'_ ,B.V_I._L.D �L_�.G _.:,t.__--�5 � COSTA MESA, CALIFORNIA g'OR OFFICE USE ONI.Y ' . FOR.AP�d.ICANT TO FILL IN '' i i Rec 'pt No. Permitallo. , Building ' - - j ' $ � � � Adilress �� //q�y�' � , ` I = ! Received b Date Re 'd. D te Iss ed , Costa bHesa, C fornia ��; �` C!%� �� y�y��/ Nearest ,�'/ eee J �� CrOss St. �c/� � Building � / � � � � � �C�`� 1 ! �� Address Q�[tti � Owne �d ul,U�•� Costa 11�esa, Califo ia � Mail �" J� � ' Address�/,3�'j[y/(!'�.0 iYT/�r Nearest � I � Tel. � Cross St. � acr ��,�'�. 7%Zeav No.,Yfe.S396J Zone. ! No.of Type I Group � qrChitector Lia �� II Plans I � � --�� Engineer No. App�oved j � , — by ' Date Address � 1 i �'OR$ECTIONS � City Lic. � ! ontrector No. ,,,e � Address r l C�a-c t � De crption � No. ac �? I Block I'f'Fa��- E - i � � (qttach Metes and Bou�ds) � ' . ' i I No. of Btdgs. . Size of Lot .��' X/ S U PJow on Lot �! - �- -- - 0 Useof . I No.of I No.of � ,�7C � Existing Bldg. . F,amilies Rooms ,n .., . SetbackLinefrom ,v,� RearYard 33�i "'- - -� �� ' � - Center of Street -S Side Vard Z TTClVTiTI�1fAAT AIIT �iIADiT �' ._ ._. _ i I' �' �� r -';. Building . No. of ' ! ('( " . ... �� Size J'Q i� ,;( ,Q Rnoms / �Stor''i�es � , �terior Wall I Roof- ��y� O d ��i�'. �. vering��— Cevering APPROVALS U�F cf New � , - B��d��9 � � Foundatio�n Location Ins ecto T`� p■ D.ate �2�-- --- Under�Pid/i6�g� f V� 0�� V6�� '` Frame: Fire Stops, — Brecing, Bolts I hereby acknowledge that I have read this Application _ Lath. Int. and state that the above is correct and agree to comply Lath. Ext. with all City Ordinances and 5tate L.aws regulating -- building construction. . Signature o,9�0 "^` ��_-- `� Plaster, Int. _ Per�ittee �b�b•S" / Plaster, Ext. Authorized Agt. ' Masonry Reinforced Valu�ation Permit Fee $ fi0 O Plan Check $ / p-�� Bond Beam $'l��Q �� Total L Fee $ C, �'d FINAL i�orm LU4 1:-H l�l l'1-58 � - `R 's � '� �r . . \ �. _..... . ...... '�'.i " ""'..... . '"'.._....""a.. _...__ ... ..... ......:} •� _ . _ '�. _._ . 1 / _ . . " f � l`-./ 2 �V/ :�% ' i +/y� �\�Q.�K .',i%'V.a+!+�i`A - -- ��;:._ . - - `� . �.��:�:•.�-� �ei � � ..�.. .. ..,, .. o �—�� ` j iJ c �o --. �-�..,., '_ J �,- � A,� �' / � �' csie .� � .i'-._."f:t:? g; '.... :: A (Yta+�c-�4� Wa:�RiC �err+.e ,, ��"�GCpi, � � ' - ' ' a` �� Y�-• � . , . . .-. . �� – � ---'------- ---- '-_" -- - - r.i �.v- - --. . . .. . . -- . ...-�o�� +;' . _ ; `. . _ .,�.. . , 4, `r • . , . . . r,:,p , . ..�__. , . "_ a.i .-z S.'. .i .:.. , � , . _ . . i� �;i.i I . ' )'r. , •i . . . . . . .. --nh..•.. E� .i2, ... � .I ' . ' ,i —a,- __ ._'—_— }:� � io.'_ —_ _' ,,. i., ... . . . ..t . . � , I.o . .! rsit. . ,- �x —�._ _._.'�___. _'__�____' '.o c cct: �� .. _ .. . .. 1C..rii.:'� -. �E� . ___ _ _ � i��..�s...___-_ -_..-_� . __ _ _ . ' .. '�� . .� - . ' ._ , -r.YJ".'fJ , ' ' ='f't .. . — . � . .-. , . ..,. .o�� n�..ro•. { �i '1 i � a Street I q . � PLOT PLAN � � Show location> andz distanees from ' . r .�:r .. proper4y� line and-.between�buildings �; � �' _ . .F`sc, . . -'i,) + .... ..._. _. ..,.... ... - r +. ' £ ' ' . f'.� �i`' �., � �� .i� "'_'—.—_ _ _ - _ _ - �,ri nc,J';.o' rri_r� . v�=. ,.'y}�'::,R'jr.{;it a.��fYZ:j.. io:. . t 1 J��{.� 'f��•tia� S� %_'� 3.'.�.i71 � .<'QJ F '1:-. ,' f:`A� . zi�rF.�.,::s,c - i ��%'� � .3.: f r� `s 4 � I � JY._..�'F ?� I,..'..;', j.. ,. �- a�J,� - �:- � � i . .. . i r'. :: � l. .J: �r.. _ � a. . r. ' . . � . ... G�:�i'If, , . . �Ji%. _ ' . - �� --��_�._.� .. .. —� ..-- - . . .. __ � . . . . �:.t � . . �,_ - . . ,, n '� a �.�'.' � -..,� ,-. -.,�c;,. . "., r;�.. . HDp��canl to 1111 in all soaces witMn neavy EorGor Iine� antl sign all apo�oo/�ate Ceclarallons. C�TY OF COSTA MESA PERMIT NO. , TRACT NO. LOT NO. BLDG. NO. CONSTRUCTION PERMIT .S -� 4«T 14 Address COnfrBCtOf Address ; �N(TZ- i'j�V TV� OF CONSTRUCTION Phone C'fNEW ❑ ADD ❑ ALTHRA710N � � ❑ REPAIR ❑ CONVERSION ODEMOLISH liCeniC NO. ❑ OTHER DESCRI7TION OF WORK I hereby allirm that I am Iicansetl unAer provlSlons o/ Charler 9(com- nlenting with setUon ]000) of Oivltlon 3 0/ tM1a BusinC55 antl Rn/essloni fAUe, antl my Ilcence Ii �n lull /orte antl allect. Llcanse Class License rvo. Data 9gnaluro � WORKERS' COMPENSATION DECLARATION I h¢ie0y aflfrm Lhal 1 hav¢ a ceriNitate Of cOnsent Lo xN-Inswe or 2 cmti/it'ate of Workers' CompenSaUOn InSu�ance, o� a clrUilotl copy [nereo� (Section 3800, �b. C.�. Poli<y No. ComPany � C¢rtilied copY �s hereby lurni5betl. Certifled copy Is (iletl wllh tha city Building Dlvlsion. � �XEMPTION FROM WORKERS' COMPENSATION DECLARATION (ThiS Sectlon neetl tlot be completed Ii (ha pGrmit Is lo� one nuntlretl �$300) O! IQSS). ' cerUfy that In the performance ot t�e work for whic� lhis Dermit Is issuetl, 1 shall not employ any person i any man zo as to become subje to t e�N rke GompensaUon ws ol �a o la. � � Date L ZSignaturG NOTIG : I/ atter making tNs tleUaratlon, you sho� bacome suD�ect to the Workert' Compensa[ion prov190�5 0l ihe La or COEe, you must torthwltll cOmply wjtll Such OroNSiOnS 01 lhi5 p¢fT�t shdll be aeem¢d revoked. CONSTRUCTION LENO�NG AGENC�' I nereby affirm that there Is a con5tructlon lending agency lor lhe per- lormante o/ lhe work /pr y�hlch this perm�l is 155Uetl (Section 3097 Civ. C.I. I / /Q. . _ L¢n0¢r'S NaTe - �Y � �� L.entler's�Atltlress OWNER BUILDER DECLARATION I hereby altirm that I am exemPt lrom No Co�bactor's Licensa Law lor the iollowing reason (Sectlo� 7031.5 Busineu ana Pro�et:lons Cotle: Any CIIY or �oUnty w�ith rlqWros a permil to conilrutq aller, Improve, tlemoliSh or repd�� any iV uC1Ure, pNOr la Il5 IssUanta. d150 rC- qW�Gs ihC apP��t 10� such pCrmft lo illa a Signetl Siatement ihal he iz'licensetl pursuanl to lhe prOvislons ol Ihe ContractoCs Ucenfo law (Cbaplcr 9(commencing wit❑ Sactlon ]000) ol �Ivitlon 3 0l lhe BOslnes5 antl Prd¢sSiOnS Cotle) or that he Is exampl thorl�rom antl Un ba51s ior the allCgetl exempilo�. AnY vlolalion ol 5eclion ]031.5 by ' appllfanl b� a pGrtnil subjecli thB applieinl lo a<Ivil penal�y pl more Ihan Iiw �untlretl t1011ars (5500�. ,,.dt OwnC1 Ot IM1O prOPQItY. 01 my ompl0yCG5 Wl�h Wd9Ci di IhClr sole compeniation, wlll Oo the work, antl the siructu�e ls not intontleE Or oller¢tl for sale. (Secllon ]044, Business antl Polessions Cotlo: Tho COnbactor's LlcCnse Law tloe5 nol apply lo an ow0e� o� a proparly wpo builtls or Improves lhei¢On, antl wM10 tlaM zUcb work hlTitll Or throug� �is Own employee5, p�ovltletl I�al suc� imp�ovamenis a�a nol Inlentlatl or plferetl IOr sale. 1/, howeve�, the builtling orlmprovCmenl Is sal wllnin one year oi compleUan, the owner wlll hava ibn Durtlen o! ov�n9 be tlltl mt bulltl or Improve lor tnt Durpose ol sale). 1, di OWn¢! OI tM1c Properly� alll BXC1US1vCly. WnVdCllpq Willl Ilce�sea conVactars to construct lhe pro�ect ($e<tion �044, BuslnMs antl Rolessions Cotle: The Contractor's Uconse lyw tloes nol aPply lo an owner of proPerty who builtls or improves Ihereon, antl who con- traClS Irom Such pro�Ccls wi�b a contratt0�(q) IIC¢Snetl pUrivant to lhe ooVattor•s Ucense law�. � f I am exe�%�[ �u�nq £�r Sec(io Y 0. 6 P. C. lor this reason ""'"M/Z ��!/L/��%�Z oate� 2'�p e � Ly I herebyc2rlily thdl I have �eatl Ihis aPPliwlio� a d itale thal the dbOv¢ inlormat�on Is cprrecL I agree lo comply wilh all city antl county ortlinances antl st e laws rela ng to con5lructlnn, antl hereby aWhorize repr¢Senlallv¢5 thi5 cil o enter u0on Ih¢ above menuonetl OrOpertY lar e lion �s [�1 yu Slgnatvrt � � DrWers' License or 55 ,4 � TVPE OF PERMIT ❑ GRADING ❑ FOUNDA7�',1y0{J_J ❑ STRVCTURAL ❑TENANT ❑ELECTRICALJ�JVLUMBING�OMECHqNIC ❑ OTHER � 1 PRO�ECT DESCR�PTION . SQ. FT, . OCCVPANCV_/C�O/�NS/�TRpUC�TION TVPE VALUATION �T��•:I�TQFIE GRADING CV. VDS. ACRES PLUMBING TOILETS LAVATORIES KIT. SINHS SEHVtCE 51N1 FLOOR SINK! DRINKING FC INTERCEPTp' WNTERS[RVICE � GAS SERV ICE WATER HEATERS SEWER CONNECTfONS SO�ARTANK ISSUE FEE CHANICAL PLANCHECK SIiOWERS V R I NALS DOVBL� LAVS DISFI ERS S FLOOR DqAINS LAR�FIERS PTRAP ALTE�ATION OUTLETS BTV OVTPVT GOLLECTORS PLt�N CH[CK HEAT�NG SYSI'EM 0-100,000 BTV qND DUCT�NG 700,000 + BTU REFRIGERATION 0-100,000 0TV 5`�STEM lOU.U�O + BTU BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MUL1'IPLE �SSUE FEE CMF 0865-46 Whlt¢-gu��tling: GOary-Appliwn[: Pink�ACcoU0tin9: Goltlenrotl-ASsessor ;' . i�t)t;�.1 y/��'lK�' NG REGULATIONS A.P. � ZONE SET AC C 5T ID VARD E A 5Ip Vq RIG T REAR vARO (TO P(l) PKG. SPACE REQ. STREET WIDTH ZONING HPPROVEO 8Y SPECIAL GOND�TIONS: PING.REF.�' PROVIDED PARK FEE ELECTRICAL PLAN CHECK GENERATOR p.l KW_1-10 KW TRANSFORMER AGPLIANCE 30�50 KW_50 � KW MV�VNS p-�HP__1-lOHP_ (INC. SOLAR) 30-50 HP 50 t HP _ �t!I.�� tL FI%TURES OUT�ETS SW�TCHES GAS TUBE SIGNS ' POLE LIGHTS POLES METEHED SVB PANELS MAIN SUB�� SERVICE AMP � ISSUE FEE ' NPPLICATION APPROVED BV � DATE � � SUMMAPV OF FEES ,., � BV�LDING g� �D � S"� PERMIT S�=^ SMIP � � S PLAN CHECK ; a�. �..[ PERMIT � ISSVP.NCE S PLUMBING 5 VIqNCHECK 9 •GRADING E ELECTRICAL 5 ' ' � E PLAN CHECK E MICROF1LIv1 E MECHANIGAL S ' TOTAL FEE E PLAN CHECK E �-E55 AD� - VF�NCE�C E___—. FINAL FEE $ � � A _. ,.usrn Mesn J^ ' CONSTRUCTION PERMiT lill in all sp2ee5 witMin heavy GorEcr Il�es antl si9n all a tlecla�atio r„'�C°• """'�' i 1/J L^ U.Q C.f� TJU TVPE OF CONSTRUCT16N �' � Qw�� L P Ph�� ^O �NEW ❑ ADD ❑ qLTERHTION " '' Addreaa (f �� ❑,� /REPAIR ❑ CO�N^VERSION. �OEMOLISH AfEh/En . L7 OTHER /��-%f �N��SUZ 9 (y' (//L/��i�' License No. j AddfCss � OESC0.IPTION OF WORK � Contracwr �y � Phon TVPE OF PERMIT � �_� ` Addres5 4 3 ❑GRAD�NG ❑ FOVNDATION �f$7(ZUCTURnL i9 " �i� LICENSED CONTRACTOP OECLARATION` ❑ THNANT ❑ ELECTRICAL OPLUMBING ❑MECHAI I hemby altirm t�at 1 am Ilcensetl onticr Orovlslons of C�arler 9(<am- � - �menting with Secllon ]000) ol Dlvislon 3 0l fhe Buzinass antl D�oTHER '' ,Rofessions Caae, anq mY Ilconso Is In �W� mrcc anE al(ect. pROJECTOESCRIPTION ' LI<enso Class Ucensa No. ' , � Dale Slgnaturc 5�' �' WORKERS' COMPENSATION DECLARATION OCCVPANCV STRUCTION TVPE 1 ncre�y alnrm that I have a cerllfica�e ot consent to sell-insure or a� YALUATION�ZONE 'certl/IWte of �WO/ker5' Compe�satlon Insuranca,�or a certlfleE cOpy . Iherool ($acllon 3800, Lab. C.). � GRADING CU. VDS. � ACRES ��Ilcy No. Company Cerllliea coPY is hereby furnishetl. pEMARKSi •• '.', • . Certl�letl copy IS /Iietl with tna clty Builtlin9 Dlvislon. , E%EMPTION FROM WORKERS' COMPENSATION DECIANATION ' �� (Th15 sectlon neeG not �e compleletl if the permit I5 for one huntlreU ,(E1001 or less1 ' 11 Certtly �nat ln lhe perbrTaoCe ot the wo k tor whi Is p¢rm�t IS Issuetl, I shall not employ any person ii y manne as to become �, PLUMBING � VLAN CHECK sUb�e {O t e Orker ' CompenSation o( Glil �Date Z� �Signature Ll- BATHTUBS SHOWERS 'NOTIC� : 11 alter making tnis tleUaraUon, you should ecoma sub�ecl �TOILETS • URWAlS' � � ta the Warkers' Compensatlon provlsions o/ Ihe Lab ode, you musl /orihwlth Compy with suU� prnvi5ions or lhis permi shall be tleemetl LAVATORIE$ DOUBIE LAVS � revokltl. CONSTRVCTION LENDING AGENLV KIT. S�NKS DISHWASHERS' ,1 hereby aill.m Ihat there Is a construction lentlin9 agency Im the per- SERVICE SINKS � SUMPS ' lo�mance o� t0e work for whlch this pe�mit is Issuetl (Se<tio� 3097 'Clv. C.�. N,� , FLOOR SINKS FLOOR DRAINS 'Lonticr's Name �l.anCc�'S P.tltlress DRINKING FOUNTAINS • ' OWNER BUILDER DECLARAT�ON INTERCEPTORS CL'ARIF�ERS ' I �ereb� alll�m Ihal I am exemp[ lrom thfl ContraUor's License lnw Io� . ihe lol owing reason (�cllon 7031.5 Buslness antl Prolesslons Cotla: SWIMMING PpOL P TRAP' �� Any City or tounty whicb requires a peimit [o ConiVuct, aller, Im�ovl, tlemolish O� repair any Arudwe. pr10� to Rs hsuantt, also te- y�rqTER SERVICE AI.T[RATION ' qu res �M1C ap� Ilcani lor Such permil lo lilc a siqnetl itatem¢nl that ho Is'llcensetl pursuanl to Ine provislons ot IM1e Contraclor's Llcense l.aw � GASSERVICE OVTLETS ICl�apter 9(commencing with Sectlon 1000) of Dlvlsion 3 0/ lhe 8uslneSs antl AWes^�ons Cotle) o� �hat he �s exempt lherelrom end I`e yyqTER HEATERS BTU OUTPUT apDlKdfl� 10! d p!lTII SUDjeCIS [M1¢ dpP��dpl IO d UVII pendlty .ot more than live huntlretl dolla�s (E500�. ;L� I, as owner of the property, or mY employces with wd9e5 ds tbelr sole comoensauan, will Oo tn¢ work, anU [he Struclur¢ is not intendetl or ofiNetl for sale. (Secibn 10a4, BnsMess and Rofessbns Code: The Conlra[tar's LICenSE Law dnes nol aPpry lo an owner ol a D�operlY wpo Cpiltli or imp�oves thereon, antl who tloes SUch work himself or Ithrougn his awn employees, provitletl thal sucn imProvements ere nol Intentletl or oliered for sale. I1, bowever, the bWidln9 or ImprovemeN ii S tl withln one year o/ cumO�¢lion� the owner will hava lhe Ourtlen 1 roving �e tlltl not builC o� Imp�om �o� Ne pUrpose ol sale). ' I, as owner o/ the prop¢rtY, am exclusively contracling with IICB�Setl <ONraclorf Ia con5lrutt the Pro�eGt (Secllon ]044, Buslnei5 and RaiMsions Cotle: Tne Contractor's Ucnnse L. �+ tl0es not aOPly to d0 Ow0¢f OI D�OPC�IY wb0 b1111tl5 O� ITpiOv¢5 lh¢f¢00. iOtl wh0 COO- I�aUi Oom suc� projeClf wilh a conlractor(s) II[lSnetl puRuant �o ine Conirattor's Llcensc Law). U(/ ❑ I'am excrpyt untler SeGUon � a 7 1 - B. 6 P. C. for tbis 1 �erttl$'tttUly Ihat I havc rcatl this appli<dllOn dntl StatB thdt �h¢ Inlo�matlon is correcL I agree to comply with all tlly antl � o�tlinances antl sl te laws ret ting to conatructlon, and hereby aut ICp/¢SCfllativCS � IhIS �I to Cntef upon the abOve ffl¢n •operty br ectio� ur�es. �L� •ture '�=� �+� pate� SEWERCONNECTIONS ' SOLARTANK COLLECTORS ISSUE FEE ' MECHANICAL aLAN C�+ECK HEATING SVSTEM 0-100,000 BTV _ RND DUCTING �00,000 + 8TV _ REFRIGERl1TION O�100,0006TU_ SVSTEM �OO,OOO+BTU._ BOILERS BTU SVSTEM REPAIR,i�LTERATION E%HAUSTSVSTEM MVLTIPLE . � �' ltc=nse o� 55 � % , �SSUE FEE �6 While�BWitling; Canary-Applicant; Pink-Accounting; Goldenrotl-Assessor 007F� 7/ _';'/P.2 � ZON1PfG REGU A.P. iF ..–. � ZONE' � PLNTGp. 56Z�o f/1 S PRi ,51 F YqRO l5. p 0.�IG T J � REAR VqRD (TO P � PKG.SVACEREQ. ' ;STREET WIO ZONING APP O � SPECIAL"COND 10 5: o�o. FEE S onrg _� ELECTRICAL PLAN CHECK �crvcnta��n � 04 KW_1d0 KW _ ;TRANSFORMEiE 'APPLIANCE ' 10-50 KW_50 + KW _ �MOTORS 0-1 HP_1-10 MP � �;UNC. SOLAR) �0-50 HP 50 � HP � FI%TVRES - OUTLETS SW�TCHES ;GAS TUBE S�GNS � 'POLE L�GMTS� � - � � VELS � 'MAIN SVB iV ICE AMP �aauc � i APPLICATION APPROVEO BY OHTE �LZ SUMMARV OF FEES � � 'BUI!_DING - ' . (�J� ' �PERMIT f�L�SD � � SMIP S��JV 'VLANCHECK S��Z PERMIT ,, , �VLUMBING. S ISSUANCE 5 � �GRADING, S �CIANCHECK S � - , i .� . ' �ELECTqICAL S ' s . PLAN CHECK y � ' MICROFILM S ' MECHANICNI E TOTAL FEE S -PLAN CHECK E LE55 AD- � , VANCEPC S_ i . FINFL FEE 5��' I Z . . ::� � �.r ., ' a RD . . �----...+o .. . ACD��1 to 1111 in all spaus witNn hmry E..,6 ,. all approorlate tleeldvflons. ' CITY. OF COSTA MESA � a RMIT�NO., ^- -' TR./y� NO� �b. �BIDG. NO. "` "�' ' �CONSTRUCTION PERMIT — r. � � S- . � :ProjectAddress � 2-Z�tr .Q4� (f ' TYP OFCONS UCTION ' � � OWRer. �/�. ��XZ . Phoq4� ) '�EW ❑'A00 ❑ ALTERATION ' . . Address �3 �rt ' � " ' O REGAIR ❑ [ONVERSION �ODEMOLISH ArchlEng. License No. � O o7HEa �Address � ' OESCRIPTION OF WORK " Contractor- (,�J � N Phone TVPE OF PE IT . , Add�lss ❑GRADING ❑ FOVNDATlON ❑STRVCTURAL� LIGENSE� CONTRACTOR DECLARATION ❑T ENANT ❑ ELECTRICAL �P UMBING ❑ ECH ICA 1 hereEy allirm thal 1 am Ilcensetl untler D�ovblons of CMrter 9(com- �,.,/ �� Tencing wlth sectlon 7000) ol Dlvl[!on J ol the Builness AnC Id OTNER � Ro/psslons Coae, and my Ilcense Is In lull Iorce ana allect. .•pRO�ECTDESCRIPTION . l.lcense Ctass Llcense No. , Date Si9natura � - ,:" ' Sp. FT. ' WORKERS'COMPENSATIONDECIARATION �OCCVPANCV ' CONS�RVCTIONTVPE I hereDy alllrm that I M1ave a wrtlOcate ol tonsent to sel�-Insure or a / � ca�Ullwle ol Workc�s' Compensatlon Insu�ancu, or a Car�1118E copy VALUATION ZONE tberaol (Sectlon 3000, Lab. CJ. GRADING CU. VDS. ACFES Potity No. Company - ❑ Corlllletl CODY �5 h¢veby IurNshed. qEMARKS: (�/ � � // / � �„ i / . ❑ CertifleU copY Is tlletl wilh the clty Builtling Divlslon. � ` EXEMPTION FROM WORKERS' COMPENSATION DECLAR0.TION (This sectlon need not be com�letetl 11 the permit Is for one �unEreC �f1001 or leu�. ceri(ty ihat In the per7ormance ol the w rk lor wh ! his permit Is IssueO, 1 shall not emPloy dny perion In y mann a5 lo become subjec o W �s CompenzaUon s ot GII . • Oate ��519nature NOTIC : I alter making this tlecla lon, You sM1oul ecome subJecl to lhe Workers' ComOensatlon Provislons of tne lab r Cotle, you musl • /ortAwH� comO�Y �'�th sucb provlslons or thts Oermit shall be dcem<tl revokeE. CONST0.UCTION LENOING AGENCV � 1 nereby effirm that thera Is a construction Icntling agencY �or tM1e per- iormanca O� lhe work far whlc� �his pormit is Issuetl ($ectlon 3097 Clv. C.1. Lentler's Nama l.entler•s qEtlress � � � � OWNER 9VILDER DECLARATION 1 hereby affirm t�at I dm eaemPt irom.lna Conlractor's Llcenu Law for me following reason (Section ]031.5 Business antl.Protessions CoOe: AnY cilY or muntY which requires a pe�mi[ to construcl, aller, ITDIon, tllTollsb oI I¢pd11 dnY SV u[�U/¢. ONOI �O If5 15Suancl. dl5o r8- e Y pO��tant �or a permR suo�ecti �be appuWn[ to a clvu penaRy �t more ihan Iivo M1untlretl tlollars (ESOp7. 1, as owner ol Ihe O�operty, or my employees with wagcs as thelr sole compensation, wlll do the work, an0 lhe struclure Is nol Intentle0 or OlteraC 1or sale. (Sectlon 7040, Buslness an0 Aofessloni CoOe: The Coniractor's License Law tloes nol apply l0 an Owner of a property w�0 bulltls or im0�oves [hereon, and who tlOeS Such wo/k Nrnself or �h�0uyn �Is own employ¢es, provltletl Inal zuch improvlmenl5 are nol Int<ntlM or ot�er¢tl for sa1C. It, howev¢r, tha Oulltl7n9 or'ImprovertMnt Is zalE wl�Nn one yedr oi com0�elion, lhe owner will have l�e Eurtlen o�f 9W ving �e tli0 not bulld or Improve for �pe purpose of Sale�. �, as owner ol the propeity, am Bx<IUSively conbacting w'�tb Ilcense0 C011lfdC(O!S �O COf15llUCI [11P pfO�CCI ($ECl�Ol1 7044, Buslness and Prot¢Szions Cooe: TM1e Gontractor4 license Law Aoez nol appty to an owner of P�operty wh0 bulltls or Improves the�eon, antl who con- lratls irom such prOjects wllh a conlracto�(5) IlcCinetl pu�5uanl to lne Conlraclor's Liwnse Law�. [/ . ❑ I am ezemDt untler Seclion ��. /.�_ & 0. C. fo� this rea:on � W N ��! � �� - oate�C,n9 . ".�/�/ 1' n�.,,�, �_ L—(_4��/ -�-- _� I h!r¢by ce�llly thal I M1av¢ �eatl lhis applicaHon and a�e [haSt t �h¢ abpve InlormaUon Is correcL 1 agree to comp�Y wltn all clty antl county ortlinanCCs an0 sta{C laws relating o con3truCUOn, antl bereby dutborile tepresenlatives roJ l�iz cil anter upon ihe above menlloneE Orop¢rty lor Y ecUon ou s. Slynaturp � � '� Date � 1' PLUMBING PLANCHECK 7011ET5 URINALS LAVATORIES DOUBLELAVS KIT.SINKS DISHWASHERS � SERVICESINKS SUMPS FLOOR SINKS FLOOR DRAINS DRINKING FOUNTHINS INTERCEP70R5 �CIARIFIERS SWIMMINGPOOL PTRAP ' WATER SERVICE ALTERATION - GASSERVICE OVTlETS� WHTER NEqTERS BTU OVTPVT SEWfRCONNECTIONS SOLAR PIPING SVS. ISSVEFEE � MECHANICAL PLAN CHECK HEATING SYSTEM 0-300,000 BTV _ ANO DUCTING 100,000 + BTU _ REFRIGERATION 0-100,000 BTU_ SVSTEM 100,000 � BTU� BO�LEftS BTU SVSTEM REPHIR,ALTERATION E%HAUSTSYSTEM MVLTIGLE ISSV E FEE Drivers �icense or 5 � CMF 0865-46 White-Builtling; Canary-Appliwnh Pink-AcrounUng; Goltlenrotl-Rssetsor �•', ZONE REAR VqRC PKG.SPqGE � I I71��i1:3' �i!/iJiii�'•�' ' lC;3.l�e , . , . � . , . . . ' ' i f NING REGULATIONS _ � � � � � P�NTGp.Rg�EJF�L..pI�y • ' PROPERTV LINE _ ' �' i I �' I /1 � - � PROVIOED' I --- -P RK FEE 3 V DAT _ i.� / /• I .. . .li-i�/� . _ �'. � ELFCTRICAL /PLAN CHECK 50. FT. Sp_ FT. � " - GENERATOR 0-1 KW_ 1-IO KW _� TRANSFORMER APP�IANCE 10-50KW 50+KW_ MOTORS 0-1 HV_1-30 MP _ (INC: SOIHR� 30-50 HP 50 i HP _ F.IXTVRES OVT�ETS SWITCHES GAS TUBE SIGNS � POLE LIGIITS � PANELS MqIN � SVB ' SERVICH' - { � . �.. . ISSUE FEE � ' APVLICATIOIV APPROVED BV J , � S!lJM'MA�RV OF FEES ' PERMIT G f�(� SMIP "' '� E O'SO PLAN CHECK E "7 a' 6� PERMIT PLVMBIIVG S �SSVANCE E PIHNCHECK S � GRADING E ELECTRICAL E f PI,qNCHECK E MICROFILME MECHANIGAL f TOTAL FEE E 0 '�' 7LAN CHECK E 1E55 ND- VANCEPC S FINAL FEE § pvvlican� Io Iill in all spaces wll�in �eavy borCer linet antl tign all apO�oPriala tleclaraliont. CITY OF COSTA MESA PERfyI�N S^ O ' TqACT NO. LOT NO. BLDG. NO. CONSTRUCTION PERMIT `f `t - - Address ://ivL� /*U � TVPE OF CONSTRUCTION PhOn¢ �(/ -�*.ff�' � ❑ NEW ❑ ADD ❑ ALTEHATION ,J � . ❑.REPAIR O CONVERSION ❑DEMOLISH Licunse No. ❑ �THER DESCRIPTION OF WORK Comractor � Phone � TYPE OF PERMIT ' AddrMs ' ' - ' ❑ GRA�ING ❑ FOUNDATION ❑ STRUCTURAL' LICENSED CONTRACTOR OECLARATION � ❑ TENANT ❑ ELECTRICAL �PLVMBIN6 ❑MECHAN 1 hereby afllrm I�nl 1 am IlcensoE untlor pwvislons of Charler 9(com- nlencing with sectlon 1000) oi Dlvislan 3 0l lhe 0usiness� anE ❑ OTMEH Rolasslons coae, �aoa my license Is In lull force antl a��ac�. pROJECT DESCRIPTION'. � Licensa Clais � Uconse No. . - Date Si9nature $Q. FT. . . , „ WORKERS' COMPENSATION DECLARATION OCCVPANCV_CONSTRUCTI�N TVPE I hereby allirm lhal 1 �aw a certlliwle ol conSenl to selNnSuro or a VACUATION ZONE certlflt'ale ol Workeri' ComOa��on InSunnce, or a certl�ieU coOY �� ihereol (5ecllon 3800, LnD. C.). GRADING CV. VDS. ACRES Milcy No. CAmOany 'ertIIIM Copy Is hera�y lurnlihotl. .. REMARKS: . .er1111e0 copy Is tlletl wilh t�e clly Bu1lElnq D�vislon. E%EMPTION FROM WORKERS' COMPENSFTION DECLAqAT10N ' ' ' ' (T�Is 58ctlon neeC not Oe COTpleIeE 11 tb0 Oermlt IS IOr On! huntl�lE � 1f100� or lesz�. . cert ly O�al In �ha perlarmance o/ ��o work lor w�lc� Mls permll Is Issuee, 1 shall nol emPloy any oarson In any manne. so as to �ecome PLUMBING - PLAN CHECK suDjeGt.to tha Workars Compensatlon Ldws ol Calllornla. �� Date $Ignaiure BATHTUBS �� SHOWERS � NOTICE: It ai[er makin9 Ihls tleclarallon, you shoulE Cetoma suDjxt TOILETS URINALS " to tha Workers' Compensallon provislons ol tba Labar Code, you must fotlhwllh comply wllh sucn Orovisloni or lnis parmll shall be tleemetl LAVATORIES DOVBIE lAVS �evoketl. CONSTRUCTION LENDING AGENCV � KIT. SINKS DISMWASHER$ I �areby alllrm I�at Ihero Is a consirucllon Icntling agency lor t�e per- SERVICE SINKS . SUMPS ' Aorman<e o/ ihe work lor wnicn tnis parmlt is IssueG (SeUlon 309] C��' �'�' � � FLOOR SINKS "` FLOOR DRAINS ' LenOer's Name Lentler's Atltlreis DRINHING FOUNTAINS ' ' OWNER BVILOEq OECIARNTION INTEftCEGTORS CLARIFIERS �� I hereby alliim Ihat I am exempt Irom [he Conbaclor's �icenie Lzw br the lollowlnq reason (Seclion ]031.5 Buziness antl Rolesslons Cotle: SWIMMING POOL ' ' P TRAP Any clty or munly whlc� repWrci a perm❑ lo conslrucl, al�eq Improve, tlemollsh or repalr any slructure, prlor lo Its Issuance, also re- yJATER SERV�CE�' ' ALTERATION Qulres 1ne ao� iicanl lor sucn Oa�mll to lile a si9ne4 slalamenl lhal �e Is Ilcensetl pursunnl to Ihe provlslons ol tha Contraclor's Licanse Law GAS SERVICE � OUTLETS � "' 1Chapler 9(commencinq wllh SecUon )000) ol Dlvislon 3 0l tne 9usineis antl Profestlons Cotle) o� Ihal he Is exampt ��erel�om anU lhe yyqTE0. HEFTER$ ' BTU OUTPUT � basls lor Ihe allegaa naemDtlon. Any violation ol Se<Ilan ]031.5 by a�v apP��unt lur n 0«m11 sub�ecls tbc appllcanl to a clvil ponelty SEWER CONNECTIONS ' ' ' ot mo�e t�w� live M1undretl dollars (5500). , as owner ol thc pruperly, or my nmployees wllh wa9es as Ihelr SOLAR TANK' '' COLLECTORS � eom�aaors ucanse �aw aoes'no� appry �o an owner ot a proDerly who bWltls or imp�oves Ihcreon, antl w�o tloes such work himsell or iNou9b, nis awn employees, provitletl Iba� sucM1 improvemenls are nol IntenUetl or ollcretl lor sale, li, �owever, �he Duildinq or Improvemen[ Is solE wlthin ono year ol complcllon, IM1e owner wlll have lne Euraen ol �provinq �e tlitl nol buIIC o� Improve lor Iha purposa ol salc�. ❑ I, as owne� o� the properly, am oxclusively conbactinq wilh Ilcenfetl conbaclon to comUucl Ibe p�o�oU (Sectlon ]04A, Buslness anE Aolnslons CONe: T�e Conlractor's Liconso Law tloes no� aOV�Y �o an owner ol O�Ope�ty wha DullUs or Improves l�eroon, antl who can- bacls iwm such prolecis wllh a<onlraclor�q Ilcosno0 Dursmnt to t�e ConbactoPs Llcensc L�w�. O 1 am exemo� untler Secllon_ P. C. 1or Ihis reason _ Da[e . /� � Zp . . ' �� : I hereby c<elily Ihal I have rcatl Ihls applitasi n anC st� l�a� �he aCove Inlormalion Is cor ecl. 1 agree lo comply wllh all dly anE coun[y ottlinan[esandsl lawsrela❑ conslrucllon,antlherebyau�horlie rapresentalives Ihis clty�nler �pan the dbove mentlunetl O�operly lo� ecilon p� � �(�' y bl9natura Dato '�U � SOLHR PIPING SVS. � ISSUE FEE ' ' MECHANICAL PLAN CHECK HEATING SYSTEM 0�100,000 BTU_ ANDOVCTING �OO,OOO�BTU_ REFRIGERATION 0-100,000BTV_ SVSTEM ]00,000 � BTU_ BOILERS BTU � SVSTEM REPAIR,qLTERATION E%HAUSTSVSTEM MUITIPLE Ddven' �ibmse ur 5 � _ I ISSUE FEE CMF 0865��6 Wppe�Builtling; Canary-Fpplicanh Plnk-Accounth�g; Goltlenrotl-Nstesior A m . ZONING R ZONE �KG. SPACE REO. STREET WI�TH ZOIlING APGROVED BY SPECIAL CONDITIONS: ELECTRICAL PLNG.REF.Sf NE ! PqOVIDED P/ARKFEE3�� OATE . .. � .�,. �, . PLAN CHECK, TRPNSFORMER 0-1 Kw_ 1-10 KW � APPLIFNCE IO-50 KW_50 � KW _ MOTORS �' 0-1 HP_1•10 HP _ (INC. SOIARi ]p.50 HP 50 � HP _ FI%'fURES OUTLETS SWITCHE$ GASTUBESIGNS � - POLE'LIGHTS - ' ' . ' PANELS -' "' MAIN $UB SERVICE ' ' �•� � • qMP ISSUE FEE " ' ' APPLICATIONNFVROVEDBV � �� SUMMARV OF FEES I �i.... BUIIDING .. . . .. .. ...... . � VERMIT f �, $MIP . ,, 3' ;PLANCHECK S PERMIT�� • ' f . ISSVANCE �i�� : � ,PLVNBING S � � ' �PIANCHECIC t GRADING� i��" ' � EIECTRICAI f . •f ; . . ' - �PCFNCHECK S "M�CROFILM S �MECHANICAL { �� TOTAL FEE S � , 'PLAN CHECK 3 ' LE55 AD- � � � ' VANCEPC Z__ _ , , � FINALFEE 3�.1� Applicanl l0 1111 in all sWces within �eavy bortler lines anE si9n all aovropriate Oeclantions. � C�TY OF COSTA MESA ' PERMIT NO. ' TRACT NO. LOT NO. ' BLDG. NO. . ' CONSTRUCTION PERMIT � . " Projen Address ," �" z�Z/ G+, Q,(�'.�li✓C�'� �J : TVPE OF CONSTRUCTION . . Owner „/��J � �" � ' Phonc •�/ -[�-�/'' ❑ NEW ❑ ADD ❑ ALTERHTION � . �'Addres ,Q, �A/(� ��{,� ❑ REPAIR ❑ CONVERSION ❑DEMOLISH �'ArchlEng. ' License No. ❑ �THER ZONING REGULATIONS - ,Address � DESCRIPTiONOFWORK ' A'P'� � Contracmr ' Phone ' - - G` �'' �/A� 'L'�S ,� /C ZONE PLNG. REF. * TVPE OF PERMIT . �SET nc ��oBc��LwE � � Addre55 ' ❑ GRADING ❑ FOUNDATION ❑ STRVCTURAL' 1 VARD ' ' . LICENSED CONTRACTOR DECl/�RATION � ❑ TEN/�NT CI ELECTRICAL O�'LUMBING ❑MECHANICH 5 p y I be�eby aflirm Ibol I am Ilcensotl imner provlslons ol Charter 9(com� � : q�p 7 moncing wlth secUon �000� ol Ulvislon 3 0l Il�e Buslness� antl ❑ OTHEH Rolesslons Code, antl my Ilcense Is In lull force antl eflec�. pROJECT DESCRIPTION � REAR vqRD (TO P/L) Licens¢Class LlcenseNo. • � ;PKG.SPACEREO. PROVIDED � Oale � Si9nalure � 5�. FT. .' . .. WONKERS' COMPENSATION DEC�AqAT10N OCCUPANCY_CONSTqUCTION TVPE . STREET WIDTH P/�PK FEE S I hereby a111rm lhat I bave a cmllliwto 01 consenl lo sell-Imare ar a VALUATION 20NE 'Z�NING APPROVED BY DATE :COftlllCdl! O� WOfke(i' CompenSdtlOn InSuldnCB, Or d Clftllletl COPY ' - SPECIA� CONDITIONS: .ihereof �Sectlon 3800, Lab. �.). GRAOING CV. YDS. '� ACfiES ' Policy No. Company ' � ❑ Certi(iea copy b M1ereby Iumishetl. . REMARKS: i� ❑ Certllletl coOY B fl1eC wIM !ha dly BUIltling Oivlslon. � . , �EXEMPTION' FROM WORKERS' COMPENSATION OECLARATION � " - ' (Th15 secllon, neeA nal be complaletl II lho permll IS Im one huntlretl ' '' ' - Sb1001 or less�. . certliy lhal In the perlormance o1 tha work ior whic� UIs permit I5 ISsuetl, I shall no[ employ any Oerson In any manne� so as to becoma PLUMBING , �� PLAN CHECK ELECTRICAL ' PLAN CHECK, kubje<t to Ihe Workers' Compensallon Lzws al Calllornia. `Dale Slgnalure BATHTU85 SHOWERS 'NOT�CE: 11 a/ter maklnq tnis tleclaralion, you snoultl bacome sub�act �TOILETS ' URINALS ' GENERHTOR pq Kw_1d0 KW to lhe Workers' CompensaUon provlslOns of tb¢ Labor Cotle, you must � TRANSFORMER � �� ' forlhwith comply with su<h provl5lons or thls permil ihall be tleemetl LAVA'70RIE5 DOUBLE LAVS qPP�IANCE 10-50 KW_50 � KW revoketl. CONSTRUCTIONIENDINGAGENCV KIT.SINKS DISHWASHERS iMOTORS�� 0-1HP_1-lOHP 1 hereby allirm t�at tnere is a consUucllon Ientling agmcy lor the per- SER VICE SINKS . SUMPS �I�NC. SOLHR) ]0�50 H�_50 � HP tormdn<e o1 lhe work lor whlch lhis pa�mll Is Issuetl (Se[llon 309] Civ. C.�. " ' FLOOR SINI(S � FLOOR DRAINS � FI%TVRES ' OUTLETS SWITCHES LenOer's Name �Lentler•s Atltlress DftINKiNG FOUNTAINS GAS TUBE SIGNS OWNER BUILOER DECLARATION INTERCEPTORS CLARIFIERS � iPOLE'LIGHTS 1 hereDy a1fLm lbal I am exempt Irom lhe Contractor'S License Law ior t�e fo�lowing reason (Secllon 1031:5 0usiness antl Prolesslons CoOe: SWIMMING VOOL PTRAP qny tlty or county wM1icM1 reauires a permit to construcl, alteq ��OLES METERED SUB Improve, tlemollsM1 or repair any sVvcl�ve, o�lor to Ils issmnce. also re- yyqTER SERViCE HLTERATION PANEl.S ' MAIN SVB quires iM1c aq Iicant lor sucM1 permlt to lile a signetl statement lM1at M1e Is Ilcensetl omsuant to tl�c p�ovlslons al lM1c Conbactor's LI<ense law GAS SERVICE OUTLETS ' (Cbapler 9(commencing wltl� Sectlon 1000) ol Olvision 3 0l tbe SERVICE I�MP Buslness antl Prolessions Cotle) or lhat be Is e¢empt tberefrom antl the WqTER HENTERS BTU OVTPVT ' - basis for tM1e allegetl exemU��on, qny violation oi Section ]031.5 by any appllcant lor a Ocrmit suUlec[s IM10 appli�ant 10 a civil penalty SEWER CONNECTIONS - ' ' ' ' ol nol morc than livc I�unarc� tlollars (E500�. ❑� I, as owner ol IM1c proUerly, or my amploycez wilh wages as their SOLAR TANK' COLLECTORS � ' Sole compen5alion, wlll tlo tM1c work, antl the struclure Is nol Intentletl ISSUE FEE or oi/eretl for sale. (Se[Ilon 1044, Buslncis antl Prolesslons Cotle: TM1e SOIAR PIPING SVS. ConVactoYs license I.ew do¢5 nol apply to an owner of a property, . � 'qpPLICATION APPROVED BV �� Dlil'F who builds or improves iM1eieon, antl who tlaes such work himself or ISSUE F[E ' IhrougM1, hls own employees, provitletl Uat zuCh Improvements are nol IntenOetl or olleretl lor sale. I1, however, Ibe bWltllnq or improvement MECHANICAL PLAN CHECK ' $UMMARV OF FEE$ I5 soltl wi�hin onc year ol complotlon, lhe ownur wlll have lhe burtlen - - hl broving he tlltl nol M1ulltl or improvo Im lh¢ purPose of sale). HEATING SVSTEM 0-100,000 BTV { 'PERMIT G E ��'SMIP . , S ❑ I, as owner ol Ihe property, am eKclusively contracting w��h �AND DUCTING � � Ilcenietl tonGattoia to mnsbucl Itie prolect (Secilon ]046, Business ]OO,ODO+BTU �PLFNCHECK S � PERMIT� antl Prolessions Cohe: The Contraclor'S �itanze Law tlo¢s nol aDO�Y �e ISSVl�NCE f � an owner o/ p�opee�y who bullUs or improves lhereon, antl who mm f3EFRIGERATION Od00,000 BTU i PLUMBING S baUs Irom sucM1 pro�ects wltb a conlra<Im�s) Iicesnetl Owsuant to SVSTEM � GRADING S lheConGaclor'sUceniel.iw�. 100,000+eTV P�ANCMECK E . , , ❑ I am exempt unEer Seclion P. C. for lhli gO1�ER5 BTU 'ELECTRICA� S , � : reason MICROFILM 1 Ddte�•��y $YSTEMREPAIR,AITERATION 'PCNNCHECK f �H,�� < � ' TOTAL FEE S I hereby ceriily lhal I have rcatl IM1Is appllca ' n antl sl� thal the abovc EXHAUST SVSTEM MULTIPLE � 'MECHNNICHL f , Inlormalion is mrect. I a9ree to comply with all cily anE counly iPLANCNECK E ANCEPC f_ o�0inances antl st laws relali mnstrucllon, antl hereby aulhorile . fe0�¢SlnlallvCS lhli Clly O CnIC! UPOn thC d00v! minllon@G � � � proper[y br ection o ��s 6lgnalure Dale �d!L� . ' FINAL FEE S Drivers' Lio�nsc or 5�7 ISSUE FEE ' CMF 0665- �G Whlte�Bulltling: Canary-Hpplicam: wnk-n<counung: uoiaonroawssesw� N �_ Applicaat to 1111 in all tpaces within �eavy bortler Ilnes ana si9n all approorBte 4eclanUom. CITY OF COSTA MESA P MIT NO. TRACT NO. LOT NO. �BLDO. NO. '� CONSTRUCTION PERMIT ' ' Project Address �� y� � n � TVP OF CONSTRUCTION ; - , �Ownit /J[� %% . PhOne NEW ❑ P.OD ❑ ALTERFTION - " ' Addrm vZ�� j,(,�'r (J � ❑ REPAIR ❑ CONVERSION ODEMOLISH AfthlEnB� ' LicenSe N0. ❑ OTHER' Addreu DESCRIPTION OF WORK •Contractor Phone TVPE OF PERMIT � ' � ' �Addre3 ' ' ' ❑ GRAOING ❑ FOUNDATION ❑ STRVCTUftAI �ICENSED CONTRACTOR DECLANATION ' ❑ T�ENHNT ❑ ELECTRICAL�LUMBING ❑MECHANIC, I �eroby lf/lrm Ihal I am IlcenfeE Untler provlslons o/ C�arter 9(com- ,�,/ manclag wlt0 uctlan �0��1 01 Dlvislon 3 ot the Huslnazz�a�G If�OTHER �2Y ST.s�;ix�/>i3O� Ro/osslans Cotle, antl my utenze B' In lull force anA elfect. ppOJECT DESCRIPTION IJcense Class Llcense No. " Date S�9naturo 5�. FT. WOFKENS'COMVENSATIONOECLARATION �CCUPANCV CO�NSTRUCTIONTVPE— 1 h6�eGy a(Itrm lM1at 1 have a cerUflule af Conient to salbiqsura O� a VALUATIDN� 20NE cert1/1fa�e ot Wo�ker5' Compensatlon Iniwante, or a certUlatl cOpy t�emot (Sectlon 3800, La�. C.�. GRADING CU. VDS. ACRES _ Pollcy No. ComOany ' � ❑ Carlllletl CopY Is �ereby Iurnishetl. REMARKS: , , ❑ GertllleE copy It filetl with t�e Nty BuilCln9 Oivlilon. � � , EXEMPTION FROM WORKERS' COMPENSATION DECLHRATION �� (T�It Sactlon neetl nol Oe ComplGtetl II the parmit Is lor ona hunOretl � 'f1001 or Icn�. - cartNy l�at n i�a perto�Tance oi tTe wo�k tor whlch i�h PermVt is ISSuetl, I s�all not emP�oy any p¢rson In any mannar so as to bewme PLUMBING PLHN GNECK '� suE�9ct to l�e Workms' Compenzallon Lnws o/ Ulifornla. Date � Signature� BATHTVBS SHOWERS NOT�CE: II alter makinq ih�s Declara[ion, you s�0uld Oecamn suD�ect TOILETS URINqLS � ' l0 �ha WO/keR' Compensatlon prOvislons of the Ld�or Cotle, you mus� � ' brthwlth comO�Y �+'itb such ptoviSions ar this permit ihall be tleemeE LAVATOAIES DOVBLE �AVS -' revoke0. KIT.SINKS ' DISHWASNERS ' CONSTRUCTION LENDING AGENCV ' 1 �eroby aHlrm Mat there I5 a mnstruction Ieneing agancy lor ihe per- SERVICE SINKS SUMVS "' ' lormanca o/ ihe work lor which this permil Is iszuod (Sectlon 309] ��' �'�' ' � � -' FLOOR SINKS FLOOR DRAIN$ Lender's Name Ll�da�'s�AtlOrGiS �� ' DRINKING FOUNTqINS ' ' ' OWNER BVILDER OECLANATION INTERCEPTORS CLARIFIERS � I �ereDY al(irm tnat I am exempt lrom.tne ConLactor's Llcrose Law for t�e followinq rcasm �SecUon ]031.5 Bminess anq Rotnslons Code: ��u��„�'„��tin anni o rono � as ol U 1 dT C%lmpl U�ItlC� reawn �� Oate ,�afiLl2t,[=( Z a .. .7G'7i� [1/ I !i/ii� . A.P. ¢ ZONE 5 T A YHRD R�IG T REARYARO( PKG.SPACE R SOECIAL CONDITIONS: ELECTRICAL PLNGp. R�EJF1�.�pSF • �ROPERTYNLINE PRO V IOED � • vARK FEE S : DATE OLAN CHEGK . GENERATOR 0-1 KW__ 1-30 KW _ TRANSFORMER AVPLIANCE 10-50 KW�_50 a� KW _ ' MOTORS ' � 0-1 HP_1�10 HP _ (IN0. SOLAR) �0•50 HP 50 � HP ^ "FI%TURES ' OUTLETS SWITCMES - . GPS TUBE SIGNS ' � � POLE LIGHTS WATER SERVICE ALTERATION I GASSERVICE OVTLETS ' � nit suD}ects Ina appncam to a uvu PenauY SEIVER�CONNEGTIONS' - mtlrea ao��ars (S50o).. ope�lY, or my employees wllh wages as �hEir SOLAR TANK COLLEC'tORS o[be waik, antl lho ilructurn Is no� InlenUttl on �Oa4, Business antl Rolefsfons Codc: Tlfe SOLAR PIPING SvS. "" � Ooei nol apply to an owner ol a properlY the�eon, antl who does suc� work himself or ISSUE FEE ' •� �.ei, providetl l�al such ImProvements are no� He. 11, powever, the bullEl�q or Impro�emen[ MECHANICAL PLAN CHECK ' compleUon, ihe owner will have Ihc burtlen builtl or Improm for l�t Ourpose o/ sale). HEATWG SYSTEM p�lOp,pOU HTV properly, am axcluilvaly conbacling wilh qND OVCTING onsVuct Ih¢ pro7oct (Sectlon 700O3 8usinass 100,000.87U e ConlraCto�'s LlcanSo Law tloe5 nol apply lo �o bufltls or Improve5 ihe�eon, entl who con- REFRIGERATION 0300,000 BTU s wllh a tonlractor(s) IIGeSnptl pursuant to SYSTEM y�y�, 100,000 � BTV :tlo� B.6P.C.�orthh BOILERS BTV . W�� (1 �� ; �I��--�— 5�'STEM 0.EPAIR, ALTERATION I herlCy Cerlity Ihal l havC rcad thii appliCa[io ntl f1a18 1 a[ thfi e abpve EXHqUST $VSTEM MVLTIPLE Inbrmatlon Is correcl. I agree to comply with all Uty antl <oanly ortlinances and state taws relalin tv construc0on, ana nereEy autnorize �¢prlsenlativls of . tNs Ut ! f enter upon l�e abova menUonetl prop!rty lo nspeclion p� se ��//�,,.�Z Signature Date »�Y�� Drlvers"LI n � � r�7f�� ISSUE FEE CMF OB65-46 White•Bulltling: Canary-APPlicanh ��k�AccounNng; Goltlenrotl-Assessor MAIN SUB APPLICATION'APPNOVED9V" DATE /�� SUMMARV OF FEES � � BUIIDING �J S . PERMIT 5 � `�'— $MIP S PLAN CNECK f �� 7EliMIT' ' ISSUANCE S PLUMBING S GRAD�NG S � PLAN CHECK f ' ELECTRICA� S = vLANCHECK f MICROFILM S MECHANICAL E T�TAL FEE S PLANCHECK S LESSAD- VANCEOC S � FINqIFEE S�v� • AVPi��ant to fill in all spitGi wlthln hlavy Eo�Oe� IinGs antl slgn all appro0�iale Eeela�ations. ' CITY OF COSTA MESA PER IT NO. TRACT NO. LOT NO. BLOG.�NO. . -- � �-� - •• � - � CONSTRUCTION PERMIT �-- J�� 3951 3/30/82 ' 23.00 TL� � Prolect Addrets ��3 O�-.��G. d TYPE OF CONSTRUCTION �� . � �� -, ' � OWner PN � � - - � p�- - �� Phone (pVj-C�Y% ❑ NEIN - ❑ A00 � ALTERATION ' ' , -• J - �Addrea //� � Q��[rZ /Q✓ ' -- - - ❑ REPAIR ❑'CONVERSION �DEMOLISH _ _ . , . . _ - _ Arth/Eng. •• License No. ❑ OTHER A P# ZONING REGULATIONS �AddI25z ' ' �- � _ _ DESCRI�P,T�1,9NOFWORK _ ' " ' . . � � � ZONE PLNG. REF. qp , 'Contrector � - Q - � - �--Phone 7yPE OF PERMIT " � ' - To g�J��p ING _ . � SET AC PROPERTV.LINE'• ,-Addf255 . � — - ^ " ' ❑ GRADING ,'O �FOUNDATION - O STRUCTURAL - I VARD - -� - - - - - LICENSED CONTRACTOR DECLARATION . ' ' ❑'TE Ni1NT ❑ ELECSRICAL OPLUMBING ❑MECHANIC 5 p , _ _. __. . . . _ I heroby affirm t�;.t I am Iicensatl untler provlsionz o/ Charter 9,�com- ,.,/ - � � Z � R�tGHT mancing�w�th-section-J000) ol Oivlsion-3-o(-the� Businoss-antl ..L�JOTHER' � __._ _ . _ .. _ _ Rote55ion5 Cotle, antl my Iicenie Is In full torce antl effe<l. � . � REAR VARD (TO P/L)' ' , �. _ _ ' PROJECT DESCRIPTION' ' Litanse CIa55 � � Litense No. � — � _ ' ' "' -' -' . . ' ' -- 'PKG. SPACE'REQ.--' " " - "- PROVIDED' - -' - � Date ' ' ' _" ' S1 nalure '. ` '_ ' ' _ ' ' _ 5�. PT. ' . . _ . . . . '_ _ " __ _ '_ . • 9 � � "� STREET WIOTH- 'PARK FEE S WORKERS'COMPENSATIONDECIARATION._ �OCCVPANCY ' CONSTRVCTIONTVPE _ . - � I hereby afflrm that I have a cerlHiwte of consant to utl-inzure,or a VALUFSTION�� ZONE �`� � +\ .•.� 'ZONING APPROVED'BY" '- ,' DATE� --- - �� CerlHlrale of Worken'-CompeniatlOn Insuranta, or d�<Ortlilatl'Copy _ �y _. __ _ —" -- i: � - � '' • "'�' �- SPECIALCONOITIONS: -"' " "� - �... ...,�' � ' 'eof (Sectlon 3800, Lab. GJ. I � GRAOING,CU. YDS. ' ' ACRES � � •. _.,... . . . . . -� :Y No. _ " _: " _ _ ComPanY. _. . " ' . "' _ ' . . . . .. . . _ " ._ _ � .. . . _ �.,Certllietl.topyls�herebyfurnisnetl.._. . . __ . REMARKS:'� �1''__ �� ❑ CarUBetl topy is tiletl with tho city Bulltling Dlvision. . . � „�:}; _. r� E%EMPTION'FROM WORKERS"COMPENSATION DECLARATION '� -' - ' - (7nis secHon neetlpot be <ompletea H the permif is forone huntlretl _ _ _ � _ __ ;_ ' �^F: (5100) or leul. � . . ' . - _.. ' ' ' ' ' " " _ '- ' _ ' ' ' '_ ' I<lrtify that in the,perfoJmance of the work for which this permit li - � Iisuatl, I shall no[ employ any perion in any manner so as to become ' PLUMBING ' PLAN CHECK' - �' - -ELECTRICAL ��'--"'- PCAN CHECK � - - subject to tne Workers' Compensation Laws of GlltorNa. _'_ _. ' ' _ _ - �Date SlgnaWre ��BATHTVBS -- � -" SHOWERS' -" " - -� - - - NOTICE: If after making this Ceclarallon, you ihoultl becomo sub7ect •TOILETS- . URINACS -- �- - - GENERATOR 0-1' KW_ 1d0 KW - � f0 th! WOfkBrs' Compen5dtion pfOVI510n5 OI [h0 LdDOr COOa,you mu5t � 'TRANSFORMER � . ��, forthwlth comply with such provislons or tnis permit snall be tleemeU LAVATORIES DOUBLE LAVS - �-� - �APPUANCE 10-SPKW_50+KW - --� (8vokeC. . _ .. � . _ .__ _ _ _ __. - KIT.SINKS - ' DISHWHSHERS � -' - ' -- � MOTORS�• - . 0-1-HP--- -1d0��HP - CONSTRVCTION LENDING AGENCV — ,:f'� j 4 hereby ailirm lhat [herC I5 a conSVuctlon lentling a9enGy for th0 pe�- SERVICE SINKS.-r � � SUMPS'---- - -�UNQ SOI.AR)_ ,30-50 NP 50 t HG - �formance of lhe work for whicb Ihli permlt is issuetl (Sectlon 309] - '^ " ' Clv.-C.). - � - ��-� -- - - - -- - — - - 'FLOORSINKS' --'- FCOORORAINS'- i'-" tFIXTURES - OVTLETS^- SWITCHES �- i '.entler'S Name' _ "_ - '__'— '� �' ". ' ' _ - _ � DRINKINGFOUNTAINS-'-�}" -- - -'GASTUBESIGNS —«----- - -- - I LCO�lf'S Atltlf¢55 - � OWNER'BUILOER-DECCARATION - --� ----- - ' WTERCEPTORS - CLARIFIERS'"- - -f„ � '�LELIGHT$- -�- - � - - - -- � I nereby affirm that I am exempt irom tho Conlractor'S License Law lor � - ' t�e followin9•�ea5om.(Section �031.5 BusVnass antl Prof¢5sions Codo: � SWIMMING POOL' �' P TRAP - - - -• -- - ---- - �' Any cily or counry which requbes a permit to comVuct, alter, � POLES METERED � -SUB Improve, tlemolish or repav any structure,�prior lo its issuante, also re- yyqTER SERVICE "AL'TERATIO PANELS� - MAIN --.- - SUB �� qWrts Ibn ap�.licant �or zuch permlt to fllo a Signetl 5[at¢mont lhat ho - Is��licensetl pursuant to•the provisioni of the Contractor's Licanie Law GAS SERVICE OUTLETS-• �SERVICE -- ---� - � AMP �--- �� (� apter 9(commencing with Settion 7000) of Dlvision 3 of lhe ��'yness antl Prolessions Cotle) or [hat he Isrexompt therelrom antl�tho yyq7ER HEATERS • � BTU OVTPUT � � � � � -- -` � - - - - - - - - - - - - � . ry, tor the allegetl exemption. Any violatlon o( SecNon 7031.5 by _ � ` , ,__ _ :��apP�� for a permit subjocls� lhe applicanb[o a clvil ponaltY 'SEWER CGAiP1EG4i0N5�. . . . - � - �- - -- �. o'i'not more ihan tive huntlretl tlollars (y500). ' ' - f �y-yy I, as ownei of the property,-oT-myemployees'wi[h'waqez'as Ihelr' -SOLAR-TANK •- ' ' COLLECTORS - — -%�- - - - -�'- s01e compen5ation, will tlo fhe work, antl the SVuctu�e Is nol ln[¢ntletl � � or offeretl for sale. (Sectlon 7044, Business andP7ofessibns CoAe: Thu SOLAR PIPING SYS: -' -' d - ' '- ' " " '� � ISSUE FEE- - � ----� - � - � -- -,- - �� Contractor'S License Law tloes not applv m_an owner o1 a property . . APPLICATION APPROVED BK '.OATE wha builtls or Improves thercon, antl who does such work Himsal( or ' ISSUE FEE ' �-�' ' '' ' -- '� through hls own GmplOy¢e5, provltl¢tl thdl such ImprOv<ments aru no[ � - �� Intentletl�or oHered tor sate. II', however, the builtliny or improvement MECMANICAL PLAN CHECK � � � � $UMMARV OF FEES � IS soltl within one year oi completion, lhe owner will have NC burtlen - '� '� of.proviny hc tlitl not'builtl or ImPr6v6 for Itie purpose ol-sala).' HEATINGSVSTEM 0-IOO,OOOBTV . -BVIIDING- ��J� �'''�� .- - ' . 'PERMIT y� SMIP . �f � Sb � 1,•-as� owner-o(-.tha proporty,-am exclusively_contracting with _ _ . __ . .__ . .. f'_ _ � T� ( IlcenSetl contratlorz to conSVUGt llte projOtt $ection 7044, Businoss �AND'OUCTING- - - - -- ( 100,000�� BTU PLAN CHECK S i PERMIT � antl Professions Cotle: Tha�Contractor•s-Licenw.lawtloes.mtapply to ' _ _. . __ . .ISSUANCE �E ' on owner ot property wha Duiltls or improves thereon, antl who ton- REFRIGERATION Od00,000BTU PLUMBING y •� - �„H bacts from•sucb Orojects-with a contrac[or(s),Iicesnetl pursuant to -SVSTEM� --• _ _ _ ___ _" GRADING E � the Contractor's License Law�. J 100,000'* BTU 'PLAN CHECK �f �- - , � ❑'1 am exemp[ untler-Sectlon' - ' — ' —B. S P. C: tor this' - - ' - -�- - - -- - - ' EIECTRICAL 'S " -' � ,'• ' � ' 1 - s '' , �' BOILERS BTU, . .. . reaso ' - - - - -_ ' ' ' _ _ ' ' _ - . _ ' � �'+t"- : MICROF.ILM�S - _ � 7� SVSTEMREPAIR,ALTERATION 'PL•ANCHECK �s � � _ Dal � • � �O � TOTAC'FEE S� . EXHAUSTSVSTEM MVLTIPLE -MECHANICAL E I hCr¢by CBrtity thdt I hdv¢ rcaG this ap0��on an Sta[e that th0 abOvO , . LE55 AD- ' ' information Ii correc[.'I-a9ree lo comply"wlih ali'Nty-antl county PLANCHEGK' s VANCEPC E-� ' ' ortlinantti anE sl te laws relatlng to conztructlon, antl hereDy authodzo ' ' . -� -. - - reprCs¢n[dUv05 this'c ' LO ente�'upOn" the abOve menUonoa- -� �- � -�-�-�' ' prOpl'fty �Of 5 ecllon p05! . l � '.�3 �, �,/� 7 � - - . - FINAL FEE S � SlgndWre ' �4R � - ' � DNverS' Licenso or � S � - ' ' " ' - -�SSUE FEE � . - � ..- . _ _ . . _. . . CMF 0865-46 Wni[e-Builtling; Gnary-Applicanq Pink-Accouniing; Goldenrotl-Asussor i ..• _ CONSTHUCTION�AND.PLANNING POOL & SPA , ' APPROVALS Permit # - Jl I�' Date I'nspector qppROVALS Permit # Date Inspector i. Temporary Electrical $ervice or Pole • 43. Pool & Equipment Location- -- � Soil ipe-Undrgrn ' 44. Steel Reinforcement - � - - - • 3. --Electrical Conduit Utility-Undrgm 45. Forms - - 4. Electrical Conduit-Undrgrn. 46. Electdcal Bonding - - � -�- - . tee em orce, _ . - 47, Rou h Plumbiri & Pressure Test -- � � - � -• - 6. Electrical UFER Gm 48. APPROVALTO COVER-GUNITE - _J. .004ngs. 49. Electrical Conduit-Undr rn • � 8. Foundation � � � � � 50. Gas Pipe, .0 Undr rn, Test � � � • 9. --Water Pipe-Undrgrn _ 51. Backwash Li�es P-Tra ��' � ndr rn - � --" - � - 10. StructuralFloor_System_ � 52. APPROVALTODECK � - ��- - - -t1 - Property Sewer ' �" p � .53. Backwash & Rece torFinal ' 12. � Street Sewer Connection - � � - - - �- - - 54. Heater & Vent-Final 13. Rough.Plumbing. _ - - - - " 14.• Rou h Electric-Conduit "- 56. - Electrical-Final - - 15. Rou h Electric-Wiring � 57. Solar System-Final - ' � ' 16. Rough Heating & Air Conditioning - � . • encing & Access Approval 77. Ducts, in Structure-- �' - APPROVED FOR PLASTERING � 16. Ducts, Ventilating � -- . . _ . _ � 19. Gas pipe-Rough & TesY • . 60. POOUSPA SYSTEMS FINAL -, ' � 20. - Roof Framing --- ' - � - � ' � ' ' 21. Roof Sheathin � - - '� - 22. Frame and Flashin ` NOTES: 23. Insulation - - � � 24. lathing & Siding � - - - • - - - � 25. Drywall Nailing - - � � � � - 26. Plaster Brown Coat � ' � � ' ' 27. Electrical Power Meter-Final - � � � � � 28. Final Electric � - - - - � "' � ' 29. Final Heating & Air Conditioning - 30. Final Gas Pipe-Tes[ � -� ' • - �� 31: - Final Plumbing - � ' � 32. Water Service-Final - � � 33r Gas Service-Final ' � � �� ' � . 34. Solar pomesticFinal � - � � � � � � ` 35. � Lancisca e S rinklin S stem - � ' ' ' � ' � 36. Sound Attenuation - • ' ` � � - � � 37. Hantlicap Regulations � • 38. FINAL STRUCTURE & BUILDING � � E ' � � 39. Special Requirements Completed -� � ' 40. Electric Release to Edison • " � �� 47. � Gas Release to Southern California Gas Co. •� � � 42. CERTIFICATE OF OCCUPANCY - - - _ , . " , _ � No.� Date -