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HomeMy WebLinkAbout386 15TH ST - Building Permitsr PROJECT ADDRESS: 386 E 15TH ST UNIT' G OWNER'S NAME: TfLOYD•MYLES DEVELOPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 RiRCNIENGINEEfl7235300: flEG.NO.: ADDRESS: UNIT: I PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in lull force and elect. CITY LIC.: STATE LIC.: CLASS: te: Signature: dORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a ceniliwte of consent to self -insure or a certificate at Workers' Compensation Insurance, or a berated copy thereof (Section 3800, Lab. C). POLICY NO.: EXP. DATE: COMPANY: a Candied copy is hereby furnished. ❑ Certified Copy is filed with the city Building Division, Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: Mm section need rot be compkted it the permit is for one hundred (5100) M less)., I cenily that in the performance of the work tot which this permit is issued. I shall not employ any person in any manner so as to becona' Subject to the Workers' Compensation Laws of California. Date: Signature: NOTICE: II. after making INS declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there R a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby allure that I am exempt tram the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a pemlil to construct, alter, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed ,,,suant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 30l the Business CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 05130. PERMIT NO: B 051302 PLAN CHECK NO: 06855-90 A GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: STR PURPOSE: NEW JOB DESCRIPTION : NEW SFD SQ FT: 2,237 CLAIM VALUE: 90,000,00 CALL -VALUE: 130,197,00 GROUP OCC: R-3 COMMENTS: NEW SFD HOLD FOR SPECIAL REQUIREMENTS iE iE lf 9E 9E it iE BE iE 9f .)E ie iE * iE gF Y. iE IEiE iF 3F.)E.)E 9E IE K9E df 9E 9P if 9E k dE •lf * Rf iF iE K •tt N N if M 9E 9f Y. * nEiE 4f # iF.� N 9E *9e # IE 9E 9F 9FaE # 9F ie 9E 9f ie 4E k.y 4f 1E #)F Z O N I N GS E R T E B Q A U C I K R S E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRN'T: 20 FT IN .REAR: 10 FT IN FRNT: FT IN REAR: FT IN LEFT: 5 FT IN RGHT: 25 FT IN LEFT: FT IN RGHT: FT IN PARKING REO• 2 PROV: 2 PARCEL: 42531108 ZNE: R2 REF NO: DR -90-38' PLANNING N TES> 2 STORY APARTMENT UNIT - REAR G RIGHT SETBACK ARE SEPAP.TIONS > ,5 GUEST PARKING SPACE PROVIDED FOR UNIT �E-9EiE 9eiF 9E * 9E iE jE if 9f k if aE 3i -#if iF if iE 3E if dE 9EiE iE iF * ih iE 9f iE if 9(•9e if iE iE if •Jf ie 9E 8E * 9f iE if if 9f 9F # 1E 9f iE.)E ie iF 9E ie -1E aE 96 * 9E 9E * 9E aEif �E iF?F iE iEiE 9E iEiF D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N�T_S ZONING APPROVED BY : DATE: _a,L2 BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: if iE 9E 9Fif*dE 9E 9F if IE*9f if iE If iE B(3E 8ENiE..iiR7fTfifiiF�"£�aFR7F"iiiFJF7F'IFX7fN lfdf i(-iE if 7f df -0(7f3F. �r 9E9E9Eif*M*4e.�*.�IIIFifiElEiE 9H 9E 3EiF*RfRE3f-0E3f ir3eRE309E*9fiE9t9f)ERfKiH9Eif3f9E'lt9flE•NildE9fif�LIF4A+E4f'IfkElf*dEif9EIE3E�EJfiFiE.�9LiFicif:>E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC. FIRE SMIP/RES GRADING PERMIT 748,00 9.11 SMIP/NON-RES it Professions Code) or that he/she is exempt therefrom and the basis lot the alleged exemption. Any violation of Section 7031.5 by PLAN 121.55 y applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars IS500). ISSUE FEE I. as owner of the property or my amVVloyeers with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law BUILDING -DIV-> PERMIT TOTALS ----> 757.11 ISSUE PLAN -CHECK 0,00 121.55 TOTAL PAID 878.66 878.66 DUE does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through I ,00 his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 757,11 OVER/SHORT-.00 for the purpose pl sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIR 1P/TOT GRADING PLAN -HECK I. as owner of the propen . am exclusivel contracting with licensed contractors to construct pr of (Section 7044, Business 748.00 9,11 and Professions Code: The Contractors' State License Law does act apply to an ow, and who contracts for Such projects with a conlractal(s) license pursuant to the that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P, C. for this reason: Date: ,]_ I')_ II . do hereby cenily that I am awafe of and understand the requirem 1 C.10m. Health 25534 and that I or any future building occupant wilUwilf not (circle one) need to comply V permit for construction or modification from the Air Ouality Management District. Residen these provisions. Date: Applicant: I hereby certify that I have read this application and Staff ordinances and state laws relating to building construction property for inspection purposes. Date: _3=I1�--I' Signature: Driver's License or Spool Security >: llw"4 ety Code Sections505,45 25533, and I SFR said state codes and the requirements lot a SFR construction applications are exempt from SFR 46 White—Building: Green—Code Enforcement; Canary—Applicant; Pink—Revenue; Goldenrod—Assessor !f IA iE 9E IE ?E iF iA * x iE 3f fF iF K9F 3f i(• it• 4F 4e 4e 9E 9F 9E aE tE ti iF k 1F ik?E k # 3F KY.9F 9f 3f iF if 1F iF If 1E * 4F IE � IE 9f IF aE+A M 1h, TF ie 8F IF eE � 3f 3f 4(- eE 9A 9E 4k iF I N D I V I D U A L F E E B R E A K D O W N QTY D E S C R I P T I O N UNIT COST TOTAL COST 1772 D Y V -WOOD FRAME -GOOD 69,00 122,268,00 3' MM-WOOD EXTERIOR STAIRWAY 13,80 455.40 END OF FEES 43 ® PE V 17.T30 7,473,60 MAR 18 191 CITY OF COSTA MESA �� CONSTPOCTION AND PLAi...,NG - APPROVALS Permit # Date Inspector POOI :PA 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-Uhdrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 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-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. 'Rough Factory Fiieplace - - 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O'Gas 0Oil 23. ;Gas-Pipe-Rough & Test - 72. Underground Flush 24. Roof Framing _ 73.•Undergrnd:Storage,Tank ❑Gas ❑Oil y.. 25. Roof Sheathing 74. -.Overhead Hydro _ r C 26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe�- ' 28. Lathing & Siding - - 77. FIXED SYSTEM.FINAL` 29. Insulation_2 78., FIRE PREV. FINAL '30. Drywall Nailing HEALTH DEPT. REQUIREMENT _ 31. Plaster Brown Coat - .79."FINAL INSPECTION 32. Electrical Power Meter-Final "T 80. FOOD CERTIFICATE ISSUED 33. Final Electric. - -- 'Notes: , 34.-Final'Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy - 37. Final Factory Fireplace - 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final- 41. Solar Domestic-Final - - 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System _ - - 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 11 48. FINAL PLATY MG- ? 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ,P r'A PRaECT ADOMM OWNER'S NAME: ADDRESS: CA 92625 UNIT: G 723-5300 ARCNIENGINEER: flEG.NO.: ADDRESS: UNIT: s � PERMITTEE: JOHN JANIS PLUMBING (714)642-7764 ADDRESS: 8 1539 MONROVIA CA 92663 NB + LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under ovisions of Chapter 9 (commencing with Section 7IXp) of Division 3 of the Nosiness and ProleSsio Cotle and my license is in f once antl afret CITYLIc.:052820y9 /STATE LIC.:�463I LA —36 Date: L/ Signature:_. - f WORKERS' COMPENSATION DECLARATION: I hereby affir i I have a certificate of , l to sell -insure or a footballs of Workers' I Compensation JV i r39c3Nfied copy thereof (Ser 3800, Lab.�2 / 192 POLICY NO.: STATE FUND EXP. DATE: F IT F 'I Certified copy is hereby furnished ❑ 11 led copy is filed with the city B Divi f Date: -7 !:Ip Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (Thissection not be completed if the perm or one hundred($100) or less). I Certify that in the performance of the work for which this permit is ias . I shall not employ any per m any manner so as to become subject to the Workers' Compensation Laws of California. 5 Dale: Signature: I NOTICE: If. after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must 10nhwah comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for i which this permit is issued (Section 3097, Civ. C). LENDER: # ADDRESS: - I OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason I (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to Construct, after, improve. demolish, or repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business I and Professions Code) of that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant for a permit subjects the applicant to a Civil penalty of not more than live hundred dollars ($500). I 'l. as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law 'J does not apply to an owner of a property who builds or improves thereon, and who does such work himselflherself or through his or her own employees, provided that such improvements are not intended or offered lot sale. If. however the building or 1 improvement is Sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). . as owner of the properly, am exclusively Contracting with licensed contractors to construct the project(Section 7044, Business '❑ Professions Code: The Contractors' State License Law does not apply to an owner of who builds or improves thereon and propert B and who contracts for such projects with a contradicts) license pursuant to the Contractors' Slate License Law). I am aware that proof of their Workers Compensation insurance should be provided to me. ❑ 1 am exempt under Section: B. 8 P, C. for Isis reason: 1 Dale'. Owner: I do hereby cenily that I am aware of and understand the requirements of California Health and Safety Cade Sections 25505, 25533, and 25534 and that I or any future building occupant wlll/wi11 not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from theAir Ouabty Management District. Residential construction applications are exempt from these provisions, Dale: Applicant: I hereby certify that I have read this applitalio hd slate Thal the above information is cora t. 1 agree to comply with all ty and county ordinances and 5 -ate laws relating tu 6 thing nslNCti0n and hereby authorize represenlal of this city to a nthe above mentioned 1 properly for inspection purposes. 1001 164646 While—Buildina: Green—CoEe Enlorcemen(Canarv—Aoolicarn Pmk—/revanuo: GOldonrod—Assessor IL CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P ERMIT NO: P 051984 PLAN CHECK NO: N ONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: NEW OB DESCRIPTION NEW SFD ,REFER TO #B51302 SQ FT: LAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 OMMENTS: NEW SFD ****iF iE 9F***iE**1Fif+F*iF 9F 9F**9F1EiFiF*RFiFRFiFiF BF**iF *iE 9F NF dFRE 9F iF 9f *iFREiF iF** *9FiFiF*REiF iF 9E RF**ieiFiF iF 1E RF iEiF RE*iE*iE dE 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 ---------- --------- ACCESSORY BUILDING--------- RNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN EFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN ARKING REQ• PROV: PARCEL: 42531108 ZNE: REF NO: NING N TES> > RF iE RF iF iF Mir 9F iE*BF iF 9F 9E*9F IE 9t kBF iF*iF*k*BFie 1F*iF iE RE**iE 9F iF iF,9F BF BF iF 9F BE it9E iE*iF BE iE*iE iE iE iEiF*ie *iF BF 9E *iE RF *iF IF 9F iE lF 9F*BF*9e D E V E L O P M E N T S E R V'I' C E S,rz,R E Q U I R E M E N T S ONING APPROVED BY 11 s; DATE: r UILDING APPROVED BY:� DATE: �� .PPLICATION ISSUED BY: DATE: I � **iF MiE*k1F iFM IF 9f.E klEkkiE*1E 9F9F iE 9F 9E IF RE BF iE BF IF7�iFlFiiI BF iF k * BF BF iF * iF iF Et * iF IE k 9E iE *.F iE Et * k BF BF * iF k iF BF * 9F iE IF k 3F * Bt iF iF iF iF iF OE k 1F * iF iF * iF iF 9k 9E iF 9F iF 9F iF RF iF iF RE 9F iF 9F fE 9F iE k RF 9F 9F iE 9F iF �F 4F* EGALIZATION:N F E E S:U M M A R Y STRUCTURAL SEGMENT:N ERMIT BLDG PMT PLUMBIN0GG ELECTRIC MECHANIC FIRE SMIP/RES , GRADING '5% SMIP/NON—RES LAN SSUE FEE 3,00 UILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE OTALS ---- > 42,00 3.00 0,00 45,00 45,00 ,00 EVENUE DIVISION TOTALS--> COLLECTED: 45,00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOTS GRADING PLAN—CHECK 45,00 M k k * if k 3F ie * k BF 9F iE 3f 9F BF iF iF 9F iF BF * * 9E lF 1F B! 9F ie k IF K 9F BF 9F iF RE fE BE iE BE 1F iF iF iF k k iE RE k k iE k!F 9t itRF RF iF 3e iP iF iE 9F NE iF 9F Lt BF iF iF if * 9E BE 9E iF 9F I N D I, V I D U A L F E E B R E A K D O W N 'YPE QTY D E S C R I P T I O N UNIT COST TOTAL COST LU 2 BATHTUB 200 400 LU 1 DISHWASHER 2,,00 2,,00 LU 1 LAUNDRY TUB OR WASHER 2,00 2,00 LU 1 SHOWER 2,00 2,00 LU 1 SINK, KITCHEN 2.00 2.00 LU 4 WASH BASIN 2,00 8.00 LU 3 WATER CLOSET (TOILET) 2,00 6.00 LU 1 WATER HEATER AND/OR VENT 2,00 2,00 LU 1 WATER SERVICE 2,00 2,00 LU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS *QU1 •_00C:ATE RiFF`.❑2.',,00 . LU 2 GAS PIPING SYS 5+ OUTL—PER OUTLET 01 G0GPF350.GG0e5�s45 i DATE: 05118:'"?! 110E: 0G:3G CONSTRUCTION AND PLANNING PO. .4 SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Poley, ;' 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •�3,;-,Electrical Conc ii Utility9tUridrgrnV."' 54. Forms :4-Electrical Conduit-Undrgrnd 55. Electrical Bonding r- r `c - T YO' C' v Steel 9einforce-'n{ent 56. Rough Plumbing &Pressure Test rV y¢;� 4 Electrical UFERiGrnd. 57. APPROVAL TO COVER-GUNITE p =,J='Footings ? 58. Electrical Conduit-Undrgrnd. r ::8. F_oundation3j 59. Gas Pipe, 0 Undrgrnd., Test r ' 9. Water Pi e-Un�di rnd. 60. Backwash Lines, P -Trap, O Undrgrnd. •' .� 10. Structural Floor System • , v 61. APPROVAL TO DECK 1'1. Property Sewer Line &FHousebonnection' 62. Backwash & Receptor -Final 12. Sewer Cap w� -�•nL, 63. Heater & Vent -Final / _ r 13. Roof Drains ,I r° j / 64. Plumbing System - Final 14. Rough Plumbing-- �, 65. Electrical -Final 15. Rough Electrical -Conduit ,� f� 66. Solar System -Final ' 16. Rough Electriti `Wiring 67. Fencing & Access Approval^ "17. Rough Wiring;Sig`n 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT Pe?mit 20:; Rough Eactory Fireplace Q'.'�� >:-APPROVALS;:�O iC S rc T'v ,g (r r., a: m_ s w �.NI- C• �L: 31rJ-^l :a0 21, rDucts, in StRucttrre; ... a •: 70.:Undergronnd Hydro +* 22. Ducts, Ventilating,., t :` :e !' pix " :: 71. Productping O`Gas 0 Oil _ f 23. Gas Pipe-Ro�gh &,Test -' i 72. Underground FlusF I_ z 24 -Roof Framing 'r . 1 ;--. zz• .t' 73F, Undergrnd. Sto ragejank'0 Gas 0 Oil-- 25. Rolf Sheathing,,;w In N... �.' � v �- 74.- Overhead HYdrv_• ,' ,. 26:,T -Bar Ceiling (Structural) &�Monocoat + IL i,P' > 75.; Dry Chemical v. '4 1-. W _' SJ' :11 ->�r 27 -'Frame and Flashing '' �, ` ' N 76. Dry StandP�Pa -15 •, s ' • '-' 1� -'" ''"- --n: 0j .r•r �' 128. LaFhinj& Siding - . - - � .: F. 77' FIXED SY5TENI• I7VAL :��= I ;� U;- •'29. Insulation r 7Q -,FIRE PREY. FINAL +-30. Drywall Nailing a: `- I I �.:r o: •rHEALTHIDEPT. REQUIREMENT .t' i)i1: ✓ 31. Plaster'Brown Coat I is 79' FINA19NSP ECTION _ --32.-Electrical Power Meter -Final -33=Final +-,,: F *' ;80nFOOD CERTIFICATE ISSUED x ZI Electric i °` I h' ' `, ��� '• �3 t Notes: _ .� _ }34:-tFi1714l FCeating &Air Conditiomng . >; S : s u- „35't Final Gas Pioe-Test - ' ` �v q 1- . t'- z367HdodoiCanopy [,. �, i; y jc •' R-- -.: �37JFin`al Factory Fireplace :•.38. Final Plumbing j- -, 6! (�iDi x • 4, `• + I, - ^ '39. Water Service -Final LG/� 4 • =. " • u; i'1'"' _40. Gas Service -Final 541. Solar Domestic -Final n I I ` - �:� -• 42.'Backflow Preventer 43. Backflow Irrigation � .5: `' ! r ' =+ -'� `�•= -"�:�:-:- �t l �_44. Landscape Irrigation System;,,;;, ,,; - A J ..,-. co ;v _ ,.,coot,;: o .1.45 -Sound Attenuation - Lr • • e` - - = s. -:7 - s•-` .r ?4&_'Handicap Regulations - `'• ' -'�. r 47s.FINAL STRUCTURE & BUILDING` I• > .� -• 48.,FINALPLANNING c:49 Electric Release to -Edison 50,,,:Gas Release_to Southern California Gas Co � � G. rt `::,, p -51. CERTIFICATEOF.00CUPANCY i ;; r ona�oocr,oc: •� No. Date \A _1 PROJECT AGIONP UNIT: OWNER'S NAME: ' ADDRESS: ARCHIENGINEER: REG.NO.: 11, ADDRESS: UNIT: PERMITTEE: ADDRESS: LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7001 of Division 3 of the Business and Professions Code. and my license is in full farce and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a eerlificate of consent to thohinsure or a certificate of Workers' Compensation Insurance. Or a certified copy thereof (Section 3800. Lab. Q. POLICY NO.: EXP. DATE: 'COMPANY: I Certified copy is hereby lurnished. ❑ Cenilied copy is filed with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less), I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency lot the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' Stale License Law far the following reason (Section 7031.5 Business and Professional Caere: Any city of county which requires a permit to construct, alter, improve. demolish, or repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 0l the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty Of not more than five hundred dollars (5500). I, as owner of the property or my empIogees with wages as their sole Compensation, will do the work, and the El structure is not intended or offered for sale (Section 7044, Business and Professional Corte: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building Or improvement is sold within one year of completion. the owner will have the burden of proving he/she dirt not build or improve lot the purpose of sale). I, as owner of the propene. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business Eland Professions Code: The Contractors' Slate License Law does not appy to an owner of property who builds or improves thereon and who contracts lot such projects with a cantfactor(s) license pursuant to the Contractors' Slate License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section: B. & P. C. Ior this reason: Date: Owner: I do hereby cerdly that l am aware of and understand the requirements of California Health and Safely Corte Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need Ie comply with said state codes and the requirements for a permit for construction Or modification from the Air Gil Management District. Residential construction applications are exempt from these provisions. Dale: Applicant: I hereby cerdly that I have read this application and stale that the above information is correct. I agree to comply with all City and county ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: Signature: Driver's License or Social Security N: 164146 While—Building: Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor PERMIT NO: P 051984 PLAN CHECK NO: 01596-91 N PAGE: le iEiE**RriPKlEkBtiEBE*iFBF*iERE*****BEiEBlBtiEkkkkkiFitMKBEiEkBPkkiFiEkitif#iF*9MBfkkBFBrBEBE*9FiF3tBFBEBEBEkBFBEiE*iF9FkiEIE** TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 GAS SERVICE 2,00 2.00 PLU 1 FLOOR DRAINS 2,00 2.00 PLU 1 SEWER, CONNECTION TO BUILDING EACH 5,00 5.00 END OF FEES i L� v r/ 01 00086345-0003634; T'Ck T 7J DATE: 05/08/91 TTREt 03: 0 J CONSTRUCTION AND PLANNING •" Date APPROVALS Permit # Inspector POS .. SPA 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-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 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-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. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20! -.Rough Factory.Ftie place 21._ Uc s, in'Structure 70. Underground Hydro 22. Duets, Ventilating 71. Product Piping 0Gas 0Oil 23CG4NQRough & Test 72. Underground Flush 24.,-Roef Framing- " 73. Undergrnd. Storage Tank DGas OOil 25. Roof Sheathing 74. Overhead Hydro 26: rT-Bar Ceiling;pStructural) & Monocoat 75. Dry Chemical 27'LFrame a'hd F)ash'6g 76. Dry Standpipe 28. Lathing & S ding • S% 77. FIXED SYSTEM FINAL 29. In1 s 3, `ulati n ti v 78. FIRE PREV. FINAL 1 30. Drywall-Nailirig;.t HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33�zFid)i Electric '-nth Notes: 34:�FinaI Heating & 'Ai�onditioning 35:rFirial Gas Pipe-TesP 36�Hood or Canopy.!" 37;�inel Factory Fipp'iace 38. -Final Plumbing 39;4ater Service-Fihal iI p cf 40° Ga;Service-Fina 41".1Solar Domestic -Final 42 Backflow Preventer 43. Backflow Irrigation 44. Landscape 6'r"riqDantion System 45. Sound Attenuation 46. Handicap Regulations 47: -FINAL STRUCTURE & BUILDING 48:,,'FI0AL PLANNING 49. Ele;tric�Belease to Edison 50, Gal Release to Southern California Gas Cc 51. CE TIFICA_TE_:O_ F OCCUPANCY No. Date PROJECT ADDRESS: 3 8 6 E 15TH ST OWNER'S NAME: 'L.386 OYD 14YLES DEVELOPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 723-5300 ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT:G CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 052993 PERMIT NO: M 052993 PLAN,CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 923 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: 1 hereby affirm that 1 am licensed untler provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prate ssions Code. and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Section 3800, Lab. C). POLICY NO.: EXP. DATE: COMPANY: r❑ Candied copy is hereby furnished. ❑ Certified copy is filed with the city Building Division Date: Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred ($100) or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Dale: Signature: NOTICE: 11. after making this declaration, you should became subject to the Workers' Compensation provisions of the Labor Code. you must lonhwell comply with such provisions Or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance 01 the work for which this permit is issued (Section 3097. Civ. C). LENDER: ADDRESS: OWNER BUILDER DECUBATION: 1 hereby affirm that 1 am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit t0 construct, after, improve, demolish, or repair any structure. prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) Of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption, Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the El structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law ' does not apply to an Owner of a property who builds or improves thereon, and who does such work himself/herself or through his Or her own employees, provided that such improvements are not intended Or of ered tar sale. If, however the building or improvement is sold within one year of completion. the owner will have the burden of proving he/she did not build or improve tar the purpose of sale). L as owner of the property. am exclusively contracting with licensed contractors to construct the project eclion 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who Iltls or improves thereon and who contracts for Such or Iecls with a conlractogs)license pursuant to the Contract Stale icense Lawl.l am aware that pmol of their Worker's ompensallon%�surance should be provided to me. ❑ I r t exempt untler Sec - n: / B. 8 P. C. / for this rii _ TYPE MEC 1505.25533,and MEC �quiremems for a MEC are exempt Iron JOB DESCRIPTION NEW SFD, RE:#B51302 SQ FT: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: NEW SFD 0E iE itiF iE iE BEiE OEiE BF iF iE if 9E * 9C iE iP * iE 9E 9F 9E Of iE 9FiE.)E * iE ii iE 9L iE 9E 9P lF iE jEjE iF iE 9FjE Bf iFef iE iF 9E iE df iE iE 4f 9E if .)E iF Bh.)E .)E .x, iE-%if i!• x�)f jE# 9F aEiE 9F if aE jE Z 0 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 ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 42531108 ZNE: REF NO: PLANNING N TES> +t*r+P�*�6+FSE***�F****�tir��rTE�**�E�r�E�E�E*�E��P�r****�E���E+t*��E� N•x•*�E***�t�1a6*�•�**� it*�E�6��E***>f*x�p*� D E VE L O P M E N T S E R' -,,V I C E S R E Q U I R E M E N T S ZONING APPROVED BY ' DATE; BUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY: ( DATE: 11 rI it 9E*iP9EfE**kiFiF*�EiE*9EiE*a(IfiE9P iEle3EiEiti6i6lEiEiE. ifiF BFiEif•*iP Bf*tF tEit J6*iE iE iE i6k riE*iE iF BE iE 9f 9E iF iEie it lE*iE iF BE**BL iE iF 9f it It**IE 9E#iErtrt*ih iE iF*IE**4F IE iFr iF if 9f ik iE 9F iF iE 9F iE iF iE if BF al JE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 22,00 PLAN 25% SMIP/NON—RES ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 22.00 15.00 0.00 37,00 37,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED- 37,00 OVER/SHORT- 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 37.00 Dale: I do h7andlhat ty th 1 am aware 25534m ny Inure buitdipermit lion or modiicalmese provsons. Date: I hereby certify that I hay ead this oroinances and slate la relating to r prOperry Ior. insy¢cli " 5 a/ occupant from the Applicant: I and state that the above mformaD is Lofrec;_/J ee to Date: / r ' Signature: U L / v Driver's Lice./or Social S urily e: 164646 White—Bu'udinT Green—Code Enforcement: Canary—Applicant, Pink—Revenue: Goldenrod—Assessor k IE iE * If iE OE iE * 1F 9F a6 Jf 1E iE * � iF * iF iE 1f JF ik iE 1E k 3e 9t k BE iF 9E iF BF 9F * * 9F iF 9E if iE 9F aE * iF M 1E BF if iE ff iF 3E iE 1E 9(• of iEif fE BE % x -9f if * Jf JE * aF iF I N D I V I D U A L F E E B R E A K D O W N QTY D E S C R I P T I O N UNIT COST TOTAL COST 1 INST FORC—AIR/GRAV FURN > 100 K BTU 11,00 11,00 1 FACTORY FIREPLACE 6,50 6,50 / 1 VENTILATION FAN CONN TO SINGLE DUCT 4,50 4,50 v/ END OF FEES 01 dei 7i747 DATE: 0li23;91 T?il ,* 1591..tA CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POS*, SPA 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-Undrgrnd. 55. Electrical Bonding , 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE ' 7. Footings - 58. Electrical Conduit-Undrgrnd. ^ 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10: Structural Floor System 61. APPROVAL TO DECK 1.11 Property Sewer-Line & House Connection 62. Backwash & Receptor-Final " 12. Sewer Cap - 63. Heater & Vent-Final 13. Roof Drains _ 64. Plumbing System - Final 14. Rough Plumbing '- 65. Electrical-Final 15. Rough Electrical-Conduit 66. "Solar System-Final i 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS' . Permit # 20. Rough Factory Fireplace - 21. Ducts, in StrgctuWe .` '70. Undergrounc( Hydro 22. Duets, Ventilating ` ;71. Product Piping 0 Gas 00il 23. 'Gas Pipe-Rough & Test 72. Underground Flush-, - 24:-Roof Framing -� -73.• Undergrnd'.Storage Tank QGas 00il 25. Roof Sheathing 74.-,Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat - 75Z� Dry Chemical 27:, Frame and Flashing 76. Dry Standpipe .28: Lathing & Siding - - 77. FIXED SYSTEM FINAL - '29. Insulation H 78, FIRE PREV. FINAL y 30. Drywall flailing HEAlDEPT. REQUIREMENT '•31. Plaster Brown Coat' _ 79. FINAL INSPECTION • 32. Electrical Power Metec-Final. .80•. FOOD CERTIFICATE ISSUED 33. Final Electric - ` Nates: -- 34, Final Heating & F,iuConditionigg - 7- 35:'Final Gas Pipe-Test' *' ,36.�Hood or Canopy s 37. -Final Factory Fireplace " • ' - 38. Final Plumbing-- .39. Water Service-Final• I - 40. Gas Service-Final -41. Solar Domestic-Final •' ' 42: Backflow Preventer, ,• , 43. Backflow Irrigation - - 44. Landscape Irrigation System ' 45. Sound Attenuation -46..Handicap Regulations 47. FINAL STRUCTURE & BUILDING i 'Y r .- 48,'FINAL PLANNING .� 49. Electric Release to Edison 50.. Gas. Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 36l5'_S 15TH ST UNIT: G. OWNi NAME: LLOYD MYLES DEVELOPEMENT ��. ArUDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 AflCHIENGIN EER: 723-5300 REG.NO.: ADDRESS: UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Codeand my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers Compensation Insurance. or a certified copy thereof (Section 3800, Lab. Q. POLICY NO.: EXP. DATE: Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. Date'. Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). I Certify'hat in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: If after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code', Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500). I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044. Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the prole (Section 7044, Business W and Professions Code: The Contractors' Stale License Law does not apply to an owner is property w uiltls or im7,,�r g and who contracts for such rolects wiIn a contractors) license pursuant to the Contra§§§tors' St a License LaThal proof of their Worker' 15.00 164146 While—Building. Green—Code Enforcement. Canary—Applicant Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 052992 PERMIT NO: E 052992 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: NEW JOB DESCRIPTION NEW SFD, RE:#B51302 SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: NEW SFD 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 ---------- --------- ACCESSORY BUILDING--------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 42531108 ZNE: REF NO: PLANNING N TES> 15.00 > ###if##########################B6###BF#####ff##ib##x•iflF#######################1F###### PERMIT D E V E L O P M E N T S 2.,:R V I C E S R E Q U I R E M E N T S 15.00 0.00 77.02 77.02 •00 REVENUE DIVISION TOTALS--> COLLECTED: 77.02 OVER/SHORT: ZONING APPROVED BY BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE DATE: BUILDING APPROVED BY : L'"' 77.02 DATE: APPLICATION ISSUED BY: DATE• 22 ######################iF3FfFiFifiFif7f�fiF'iF3F�F,3F'iFiF"iF iETf�FiF iFiF 3F'#TFTFiFiFiFTFiFF###iF###3E IF# r 1F# LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 62.02 50% SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 62.02 15.00 0.00 77.02 77.02 •00 REVENUE DIVISION TOTALS--> COLLECTED: 77.02 OVER/SHORT: •00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TUT GRADING PLAN—CHECK 77.02 ;/PE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1772 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT ,03 62.02 END OF FEES 01 00092815-000?2315 Z'a r'T DATE: 07/i3/91 TINE: 0?:4 ^` L ONSTRUCTION AND PLANNING POt SPA: A PROVALS 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;''Efectrical Conduit Utility-Undrgrnd. 54. Forms - '-4-.-Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' 5, ;Steel Reinforcement- 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE • 7. Footings t j 58. Eiectrical Conduit-Undrgrnd. - S. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11; Property Sewer Line& House Connection 62. Backwash & Receptor -Final 1.2. Sewer Cap - o. 63. Heater & Vent -Final , 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbi6g 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electrie firing 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING - 18. Rough Electricdl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPRQVALS� =._Permit # - " 20. Rough Factory Firel5lace _ it t - v 21. Ducts, ir1 Structure •• - _ i ,-..70. Underground:Hydro - 22. Ducts, Venni if ing. _ _ - ,?I. Product T --ping nas E;il 23. Gas Pipe Rough & Test. ty L C,e 'r 72. Underground Flush; " 24. -Roof Framing _ - `73.'Undergrnc,;. Storage,Tank Q Gas 0 Oil 25. Roof Sheathinc - _ _ -, 74; -,Overhead Hydro._ 27. T -Bar Ceiling (Structural) & Monocoat \ '�, r 75.. Dry Chemical 27. 'Frame and Flashing, r. -'- L , 76. Dry Standpipe . r '• ' 28. Lathing & Siding 77,' FIXED S,YtSTEN1FINAL` 29. Insulation 7$; ;FIRE PREY. FINAL -30. Drywall Nailing ' M1 ,' HEALTH -DEPT: REQUIREMENT -31. Plaster $iown Coat; < - I.: .,79. *FINAL INSPECTIQN 32. Electrical Power Meterr Final*7Z- 180. FOOD CERTIFICATE ISSUED,33..Final Electric --y .. r?�. Notes; 34. Final Heating.& Air -Conditioning.' c� 35.'Final Gas Pipe -Test' I ' ,36. Hood or Canopy , _ - > 37. -Final Factory Fireplace 38. Final Plumbing , r 39. Wate} Service -Final.: 1 .40. Gas Service-Final�- 1 41. Solar Domestic -Final ' - ' ' '`-•- _ 42. Backflow Preventer.> i �• - 43. Backflow Irrigation'=- , J -44. Landscape Irrigation System. r - 45. Sound Attenuation r 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 46. FINAL PLANNING = 49. Electric Release to Edison =' 4 � 50.,Gas•Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 386 E 15TH ST 0N17: "r OWNER'S NAME: LLOYD MYLES DEVELOPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 723-5300 ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions 01 Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby alfud4 that I have a certificate of Consent to sell4nsure or a couture of Workers' Compensation Insurance. or a certified copy thereof (Section 3900. Lab. Q. POLICY NO.: EXP. DATE: i COMPANY: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division, Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need slot be completed it the permit is for one hundred (SIOO)or less). I cerbly that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: It, after making lNs declaration• you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or liks permit Shan be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby alfum that there is a construction lending agency lot the performance of the work for which this permit is issued (Section 3097. Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I and exempt from the Contractors' State License Law Cor the following reason (Section 70315 Business and Professional Code: Any city of County which requires a permit to construct, alter, improve, demolish, or repair any structure, puor to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she i5 exempt therefrom and the basis for the alleged exemption, Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars (5500). I,stras owner of the property or my em oyees with wages as their sole compensation, will do the work, and the ❑ ucture i5 not intended or offered lar sale (Section 7044, Business and Professional Code: The Conlraclors' State License Law does not apply to an owner of a properly who builds or improves thereon• and who does such work hlmsell/herself at through his or her own employees. provided that won improvements are not intended or offered lot sale. ll, however the building or improvement is old within one year of completion. the owner will have the burden of proving helshe did not build Or improve for the purpose of sale). I. as Owner of the property, am exclusively contracting with licensed contractors to Construct the project (Section 70" B s and Professions Code: The Contractors' State License Law does not apply to an owner Of grope who builds or i"Pro hereon and who contracts for such projects with a contragOrls) license pursuant to the Contractors' le Li se Law) am aware that proof of their Worker's Compensation insurance should be provided to me. / ❑ I am exempt under Section: B, S P. C. for this reason: Date:_ 7;45-9� Owner. 1 do hereby certify that I am aware of and understand the requirements of alifornia Health d lets Code Sections 2 505, 25533, antl 25534 and that I or any future building occupant wiNwill not (circle one) need to Comply said stale codes and the requirements for a permit for construction or modification from the A715toi Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and slate that thea fat lion ¢ wrrec l agree to comply nth aU city bunt ordinances and stale laws relating to building Construction and he not, represantativ la enter nlhea� olio property lot inspection purposes. Date: —� 77-/$ _ 9 / Signam _ Driver's License or Social Security x: i 164606 While—Building. Green—Code Enforcement: Canarv—AoolicanC Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 051301 PERMIT NO: B 051301 PLAN CHECK NO: 06854-90 A GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: STR PURPOSE: NEW JOB DESCRIPTION ; NEW SFD SQ FT: 2,252 CLAIM VALUE: 90,000,00 CALL -VALUE: 131,232.00 GROUP OCC: R-3 COMMENTS: NEW SFD Njljj Q ##########bf####### 1E ####bEd(#be N###N.#�(•N-##i(•-7f###j(kKi(## Z O N I N G R E Q U I " E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: 10 FT IN REAR: 11 FT IN FRNT: FT IN REAR: FT IN LEFT: 5 FT IN RGHT: 25 FT IN LEFT: FT IN RIGHT: FT* IN PARKING REQ: 2 PROV: 2 PARCEL: 42531108 ZNE: R2 REF NO: DR -90-38 PLANNING NOTES> TWO STORY APARTMENT BUILDING - FRONT REAR AND RIGHT SETBACK > ARE SEPARATIONS - .5 GUEST PARKING ALSO PROVIDED FOR.UNIT D E V E L O P M E NT S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY t DATE: �3=jZ=JJ BUILDING APPROVED BY DATE: _3 -bjil APPLICATION ISSUED BY: DATE: LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 751.50 9.19 PLAN 122.12 SMIP/NON-RES ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 760,69 0,00 122.12 882,81 882.81 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 760,69 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 751.50 9.19 I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 1787 DWE-TYPE V -WOOD FRAME -GOOD 69.00 123,303,00 SFR 33 RES-BAERIOR STAIRWAY 13.80 455.40 SF 432 RE , An Y D OF FEES 17,30 7,473,60 �C r 9 MAR 18 1991 CITY OF COSTA MESA i CONW RUCTION AND PLANNING APPROVALS Permit # Date [Inspector PO SPA 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-Undrgrnd. 55. Electrical Bonding - 5; Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE ' 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation 59, Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Flooi System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Ficial 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS. '-_Permit'- 20. -Rough Factory Fireplace : >.n - - 21.•Ducts,inSt4ctui.e. 70. Underground Hydro 22. Ducts, Ventilating - - _ 71. Product'Piping 0Gas 0Oil 23. Gas Pipe:Rough & Test 72. Underground Flusli ' 24. Roof Framing :73.'Undergrnd. Storage Tank ❑Gas ❑Oil - 25. Roof Sheathing 74.Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - • i 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding- 77.: FIXED SYSTEMIFINAL 29. Insulation ; 78. FIRE PREV. FINAL ". 30. Drywall Nailing - -r="' HEALTH DEPT. REQUIREMENT -• _ 31. Plaster Brown Coat r 79. FINAL INSPECTION - - �- 32. Electrical Power Meter-Final -80..FOOD CERTIFICATE ISSUED - 33: Final Electric r 'Notes: 34. Final Heating &Air ConditioningOno 35. Final Gas Pipe -Test - 36. Hood or Canopy - . - 37. Final Factory Fireplace '38. Final Plumbing - r - - 39. Water Service -Final + _ 40. Gas Service -Final 41.- Solar DomestiC.Final » 42. Backflow Preventer _ - 43. Backflow Irrigation - -- - 44. Landscape Irrigation System - .45. Sound Attenuation 46. Handicap Regulations 47.• FINAL STRUCTURE & BUILDING 48.'FINAL RL,*N +NG 49. Electric Release to Edison - 50. Gas Release to Southern California Gas (`) ' 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 3*66":E_ASTH ST UNIT: F - CITY OF COSTA MESA — BUILDING PERMIT P — OWNER'SNAME: LLOYD MYLES DEVELOPEMENT ADDRESS: 423POPCORONADPY AATE�005/08,'91 TIhE: G�°'.) 1641-46 White—Building; Green—Code Enforcement anary—Appl¢anC Plnve k—Renue: Goldenrod—Assessor AN e3h IJ Adk CORlSTRUCTION AND PLANNING P SPA _.. APPROVALS Permit# ate Dnspector I APPROVALS Permit # Date Inspector 1. Temporary Electrical Sery'ce'or Pole_, : r 52. Pool & Equipment Location rl 2. Soil Pipe-Undrgrnd. �' o,c 53. Steel Reinforcement ' 2.,: ter. 3 Elec{rical Conduit lUtilityl:bndrgrnd..t 54. Forms _ _ . Electrical Conduk-Undrgrnd. 55. Electrical Bonding A:Steel�geinforament 56. Rough Plumbing & Pressure Test - •` •:,:6lElectricalUFER�Grnd. •v .'.f 57. APPROVAL TO COVER-GUNITE p r`7? yootings : 58. Electrical Conduit-Undrgrnd. B. Foundation 59. Gas Pipe, 0 Undrgrnd., Test r.7/ 9. Water Pipe-Urid'rgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 1'0. Structural Floor Systemr.++. 61. APPROVAL TO DECK j R1. P.roperty Sewer Lirie & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap ;� %, ' - 63. Heater & Vent -Final / 13. Roof Drains rt: •� -"' 64. Plumbing System -Final y% � �^ 14. Rough Plumbing 65. Electrical -Final '. 15. Rough Electrical -Conduit'' _ 66. Solar System -Final , 16. Rough Electrit;Wiring - ,; 67. Fencing & Access Approval ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electricfl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVAL -S" %-%PelYmit # - 20) RouUghiEactory Fireplace !r1 �. _ C , tr '� ,U •U' 2:a. r1; - - e' "'1 � 21>.' Ducts, !n St.Jctyre, r , • .. 170. Undergropnd Hydro 22. Ducts, Ventilatinga 5.s + •t+ :' .s 71. Produci ;ping El;Gas E) Oil 23.'Gai PigE Rough 8i 'Test j.S ' X ` »' j. _ O IFlush ; 72. Underground Flus .. , _, ,* I k Co. a; ; :r 24rRoof Framing re, i -r-• y(J a :> C r u� ..:73n ❑Oil""""•a••"'�"�� Undergrn`d.Storage,TanlOOGasal; 25. Roof Sheathing 07 • • 74> Overhead Hydro;' 2CjT-Bar Ceiling (Structural) &�Monocoat x J) tT7 • x 75.;• Dry Chemical • 7 �- 'oh' =t•!^)^•.3 13r 27''Frame 4nd Flas@nl L ') ? � ne•. :D .a :i 1.1-N; 76. Dry Standpipe )C, VF1:- 1113 0; w �t r r j• >. r 28. Lathing•.'& Siding•r i �7d�T a• : Y •• rw 77:!1 FIXED S_YSTEJuVI;€iNAL'•`- ' "29. Insulatitr pn ? O r' "; l "r 7g -,FIRE PREY. F161- u ;q E u.SS A ?30. Drywall Nailing u: r. :x t � yw. �:HEALTHiDEPT. REQUIREMENT::: [40)� ✓ _ .,31. Plaster -Brown C9ait79�'FINALINSP,ECTION ' � � �: S t'1�' - 32r Electrical Po ver:Nteter-Final : ,v I I r +. J 80r FOOD CERTIFICATE ISSUED 33yFiCalElctr,ic " 'rNotes: "J cc :O V'+ i, 34;•Fir;al Hgating & Ak Conditioning t;:: � n1v W ' ~� '35:Fi6al _r •T1.S Gas Pipe-TesC 1 - ' •`� C) ' tr• s :• = 36' Hood or Canopy .;, „• ; , ... o 37PFi6al Factory Fireelacer 11tr n,' ti,! ' • ? Cl x 1 rF+ > `38. Final Plumbing .V I •_ �I (,:L -y+ :39. Water Service -Final a) 'j'40. Gas Service-Finalv a.v r ` J •• x,41. Solar Domestic-Final:to T I b z ¢o n I • 42.`Backf low Preventek ' ' 43. Backflowlr(gation j•'•"S---t'-1-•-' r v+ 'J: 'r : • • . • . J i r . Landsca a lr�i ation S sten1;iT S; t' 'r44. r- 1!) :`:: tJ .1 _ 4"45.. Sound Attenuation psi• . S= - - trr•' �••. t =46., Handicap Regulations - ''; y _ C 47�.FINAL STRUCTURE & BUTLDING �t � 1 " r •? ti i �+ 48iFINAL PLANNING - I ^49 -Electric Release toiEdison !• . i^ . '50._Gas Release,to Southern California Gas Co I - _ 0' c _ • : - - S+c.-o_:�- 51. CERTIFICATE OF, OCCUPANCY , No. Date PKDJECT ADDRESS: UNIT: OWNER'S NAME: ADDRESS: 7�. ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: ADDRESS: LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Oivision 3 of the Business and Professions Code. and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Dale: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Section 38DO. Lab, C). POLICY NO.: EXP. DATE: COMPANY: I Certified copy is hereby famished. ❑ Certified copy is tiled with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be Completed if the pound is for one hundred Ill or less). I oertily that in the performance of the work for which this permit is issued, I shalt not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Dale: Signature: NOTICE: If, after making this declaration, you should become Subject to the Workers' Compensation provisions of the Labor Code. you must forthwith Comply with such provisions or Ihls permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish. or repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that helshe is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500). I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or predict for sale (Section 7044, Business and Professional Cade: The Contractors' State License Law does not apply to an owner of a properly who builds or improves thereon, and who does such work himself/herself or through his or her own employees. provided that Such improvements are not intended or offered lot sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve lot the purpose of sate)_ I, as owner of the property, am exclusively contracting wall licensed contractors to construct the project (Section 7044, Business 1-1and Prolessions Code: The Contractors' State License Law does not apply to an owner of property collo builds or improves thereon and who contracts lot such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section: B. 8 P. C. for this reason: Dale: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sections 25505, 25533, and 25534 and that I or any future building occupant wtlUwill not (circle one) need to comply with said state codes and the requirements for a permit lot construction or modification from the Air Grainy Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify [hal I have read this application and stale that the above information is correct. I agree to comply with all city and county ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: Signature: Driver's License or Social Security a: 164146 When—Building; Green—Code Enforcement: Canary—Applicant: Pink—Revenue; Goldenrod—Assessor PERMIT NO: P 051983 PLAN CHECK NO: 01595-91 N PAG TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 GAS SERVICE 2.00 2.00 PLU 1 FLOOR DRAINS 2.00 2.00 PLU 1 SEWER „ CONNECTION TO BUILDING EACH 5.00 5.00 END OF FEES 01 00086344-0:'036344 T07 DATE: 05/08/91 TICE: D3:29 J A11111k Adk CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector P( SPA 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-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 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-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. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20�Rough F ctocy?Fi eplace 21,=Ducts, in' Structure 70. Underground Hydro 22Ducts, Ventilating 71, Product Piping O Gas ❑ Oil 23,GaPiprRough & Test 72. Underground Flush 24w Roef Framing"- 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Ropf Sheathing 74. Overhead Hydro 26vT-Bar Cellin(Sttoctural) & Monocoat 75. Dry Chemical 27;SFrame and Aas`h �g 76. Dry Standpipe 28.. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation r�-,q0 78. FIRE PREV. FINAL 30. DrywallNailf HEALTH DEPT. REQUIREMENT 31. Pla;ter Trown Coat 79. FINAL INSPECTION 32. Electrical Power;Veter-Final 80. FOOD CERTIFICATE ISSUED 33!Fin')l Electric Ftn Notes: 34 ~Final Heating & `AirConditioning 35 4�Firii I Gas Pipe -Testi 3fi,�Hood or Canopy, -.-%v 37SFinel Factory Fireplace , 38` final Plumbing 39�Water Service-Firfal : v 40O1Ga;Service-Finat� 41-,iSolar Domestic -Final 42.Backflow Preventer . 43. Backflow Irrigation 44. Landscape I q tion System 45. Sound Attenuation 46. Hagdicap Regulations 47.: -FINAL STRUCTURE & BUILDING c_ 48[::TINACPLANNING 49. Electric kelease to Edison 50: Gas', Refease`tp Southern California Gas Co 51. CERTIFICATE. OF OCCUPANCY No Date OJECT ADDRESS: 386 E 15TH ST UNIT: F OWNER'S NAME: LLOYD MYLES DEVELOPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 AflCHIENGIN EE R: 723-5300 REG.NO.: ADDRESS: UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION:hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800. Lab. CT POLICY NO.: EXP. DATE: COMPANY: 3 Certified copy is hereby furnished ❑ Cerlified copy is filed with the city Building Division. Date. Applicant: ElEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred (Silo) or less). I teOily Ihat in the performance of the work for which this permit is issued, I shalt not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature'. NOTICE: If. after making this declaration. you should become subject to the Workers' Compensation provisions of the Labor Cotle. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097. Civ. C). LENDER: ADDRESS: P C a C C NL IN P. M N I OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the COntractors' State License Law for the fallowing reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter. improve, demolish, or F repair any structure. prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by F any applicant lot a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500). I I, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the T ❑ structure is not intended or offered for sale (Section 7044. Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. It, however the building or P improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business and Professions Cotle'. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(sf license pursuant to the Contractors' le LicensZ41 LN that proof of their Work s Compens/atlon insurance should be provided to me. ❑ I r t exempt under 5 Zion: / 8. 8 P. C, for this reason: i Dale: . - I do hereby certify al 1 am awar of and 25534 and (bat any future building do( permit for cons) Ilion or modification or (hese provisions. Dale. I hereby certify that I have read this ordinances and stale laws relating to property for inspet /an purposes Pecunty Applicant: n and state that the Date: / Signature'. Driver's Li rise ur Socia 1641-46 White—Bulldln¢ Green—Code Enforcement. ftb And Safety Code Sections 25505, 25533, and with said state codes and the requirements fora maial construction applications are exempt from to complVloh all city Pink—Revenue', Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 052991 ERMIT NO: M 052991 PLAN CHECK NO: N GOVT: N SUPP: N DNSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW DB DESCRIPTION NEW SFD, RE:#B51301 SQ FT: LAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /M-1 DMMENTS: NEW SFD IE iE %iF 9FiE df iF 4f iFiF iE tE'iE iFiE if iE dEiE iF iF 4F if iE if Nt iF DE iF if .)F ik * BE 9E if if df IEif )F N -DF 9FiE jE.)E if 8f iF iF)E 8F IE .)E * DF # 9E 9f �f iF iF)E .yp 9E iEl4 aE icN-if jE x -if iEdf 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---------- RNT: FT IN REAR: FT IN EFT: FT IN RGHT: FT IN --------- ACCESSORY BUILDING-------- FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN ARKING REQ: PROV: PARCEL: 42531108 ZNE: REF NO: LANNING NOTES> > iE aE iE iE iF * 8E BF BE iE * lE if iE iE BF Bf iE iE 1E BE iF iF iE iF 8E BE JE 1E iE 3F iE iE iE JE iE IE 1F * 3F iF iF iF iE BE ie if J(-Bf * 8E BL• iE * iE iE 8E if 9e iF * 3f * iF BF 1F * if iF 3E if is 9E 9( 3E ie iF if D E V E L O P M E N T S E RSV I C E S R E Q U I R E M E N T S ONING APPROVED BY 1. r DATE: UILDING APPROVED BY ; DATE: PPLICATION ISSUED BY: DATE:_ 2 I L I 3�3FTTf�q#'#Je iE )E * * BF * BF fE * BE DF if 4E if 9F If 3F Bf JF B6 BF * ie iF 8F Bf iP BE * # iE iF JF iE Bf Jf 3E ie 8F iF 9E BE 3f BE iF lf * 1F iFiE it aE �k ae If 3E iE iE )E ifiE iF iF if 3E aE 9f iE sf 1E BE 9e 3F 8E Jf BE * BE EGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING ERMIT 22 00 �5% SMIP/NON—RES LAN SSUE FEE 15.00 UILDING—DSV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE OTALS ---- > 22.00 15,00 0,00 37.00 37.00 ,00 EVENUE DIVISION TOTALS--> COLLECTED: 37,00 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 37.00 * if * iE if iE iE * iF 3E JF IE BEie BE iE 1EiE 3F if 3F iF BF if x- BF iE BE 9E BF * iE If BE 9F * �E iE aE iE JE if iE Jf JE iE * 1E JF 8E fFBE if * iE 3F * * Nit iF 1f if # �E JE Bf BE iF iE iE iE iE aE 1E BE iF iE 01 00097.314-00092314 Tf] T DATE: 07/23'91 1IrE: 09'45 I N D I V I D U A L F E E B R E A K D O W N 'YPE QTY D E S C R I P T I O N UNIT COST TOTAL COST .EC 1 INST FORC—AIR/GRAY FURN > 100 K BTU 11.00 11.00 .EC 1 FACTORY FIREPLACE 6.50 6.50 IEC 1 VENTILATION FAN CONN TO SINGLE DUCT 4.50 4,50 END OF FEES 01 00097.314-00092314 Tf] T DATE: 07/23'91 1IrE: 09'45 CONSTRUCTION AND PLANNING POS '' SPA• APPROVALS Permit # Date Inspector APPROVALS hermit # Date Inspector 1. Temporary' Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - 3.' Electribal Conduit Utility-Undrgrnd. 54. Forms ' 4. Electrical Condon.Undrgrnd. - 55. Electrical Bonding - 5. Steel (�einforceLnent 56. Rough Plumbing & Pressure Test 6! Electrical LIFER Gind. 57. APPROVAL TO COVER-GUNITE 17.=Fb. tings .� i > 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. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing " 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval R 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT .'APPROVALS .%:Permit # " 20..•Rough Factory F-ireplace - • `' + 21.>DUCts, in Structure_X70. Underground Hydro 22. Ducts, Ventilating r -" -`•' '' -,71. Product:Pmg Gas t]`Oil 23.' Gas Pipe -Rough & fest "" - ;,. ,- _- 72. Underground FluslT .. 24. Roof Framing- G x -73."Undergrnd'.StorageTank'OGas ❑Oil 25. Roof Shgathing74,=Overhead Hydro_ 26,T -Bir Ceiling (Structural) &Wonocoat 75'Dry Chemical ; • - 27: Frame and Flashing ;"x ' ` 76. Dry Standpipe _ 28. Lathing& Siding - _ -tr 77. FIXED SYSTEM, FINAL 29. Insulation 76. -`FIRE PREV. FINAL 130. Drywall Nailing ' HEALTH DEPT. REQUIREMENT _31. Plaster I rown.Coat, I �x .79: FINAL INSkECTION v 32. Electrical Power Meter -Final - , I '� _ t8 ,,FOOD CERTIFICATE ISSUED Fi )al Electric, Notes: - %33. 34. final Heating & Air Conditioning,- - ' �-- Ay �� a 35.'Firial Gas Pipe -Test- , ,36. Hogd or Canopy m , �'•^ Y ' 37. Final Factory Fireplace. 38. Final Plumbing -39. Water Service -Final.- > 40. Gas Service -Final- ' 41. Solar Domestic -Final. + - �•' " 42 'Backflow Preventer- 4- 43. Backflow Irrigation- i 44. Landscape Irrigation Systenr .. - - n - 45.:Sound Attenuation ;'46..Handicap Regulations 47. FINAL STRUCTURE & BUILDING - 48.'FINAL .PLANNING 49.' Electric Release to Edison - > 50. Gas. Release to Southern California Gas Co t _ 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADORE": '' 386 OWNER'S NAME: LLOYD ADDRESS: 4 2 3 P ill CORON 723-5300 ARCNIENGINEER: ADDRESS: 1 AV MAR CA 92625 REG.NO.: UNIT: F UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 423 POPPYAV CORONA DEI. MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date • Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Section 3800. Lab. C) POLICY NO.: EXP. DATE: COMPANY: FCertified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. Date'. Applicant'. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less(. I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner se as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: It, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction leading agency for the performance of the work for which this permit is issued (Section 3097. Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance, also requires the applicant lar such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000( of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant lot a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). I. as owner of the properly or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044. Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds Or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden Of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors 10 construct the project (Section 7044, Business and Professions Code: The Con actors' elate License Law does not apply to an owner of property who builds or improves thereon and who contracts Ier such p leets with a contractor(s) license pursuant to the Contractors' State 'Sense Law),I am aware That proof of their Worker's domensal/lpn insurance should be provided to me ❑ I r t exempt der Sed' n� / B. 8 P. C. for This r Date: Owner: do hereby certify the am aware and understand the requirements o alifornia I all n afety Code Sections 2605, 25533, and 25534 and that I or yfuture building occupant will/will not (circle one) need to comply Ith said state codes and the requirements fora permit for cousin, on or modification from the Air Quality Management District. Rest enbal construction applications are exempt from these provisions. /• Deo Ali I hereby certify that I have read this application and state that the above i ormati is torn . I agree to comply ith all On ordinances antl slatela relatinglo Ilding construction a h ize rep sentdt� t is city to enter on the properly for insp¢oli purposes. Date: Signature: Driver's ice a Or Socia Scurry e: —Applicant Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 05.2990 PERMIT NO: E 052990 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: ELE PURPOSE; NEW JOB DESCRIPTION : NEW SFD, RE;#B51301 SQ FT: CLAIM VALUE: CALL -VALUE: GROUP OCC: R-3 /M-1 COMMENTS: NEW SFD ###-1E#####3E##iE#########-1E######iE#1E#IE#IE############}E iE IE#•1F##lE##iE##i'r##)E####iE#####iE #iF# Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE Q• PROV: PARCEL: 42531108 ZNE: REF NO: PLANNING NOTES> > D E V E L O P M E N T- S E V I C E S R E Q U I R E M E N T S. FR ZONING APPROVED BY DATE: BUILDING APPROVED BY ; DATE; APPLICATION ISSUED BY: " DATE: -7 `( ZL # # # ## ### #### # ## ## # ####ai'iFiF?E'3FiFif7F7FiFifiFiFiFiFifiFiFifiF3F iF TfiFiEiFiFit7FifiF# ##1(# ## # r }# LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 62 55 so% SMIP/NON-RES PLAN ISSUE FEE 15.00 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 62.55 1.5.00 0.00 77.55 77.55 •00 REVENUE DIVISION TOTALS--> COLLECTED; 77.55 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 77.55 /P I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1787 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT 03 62.55 / END OF FEES 01 80709231,7-06092513 T CT'y 77 .' GATE" 07/23/91 TInF: G9::4 r CONSTRUCTION AND PLANNING APfrl7OVALS Permit#- Date Inspector POI SPA APPROVALS Permit # Date Inspector - 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd._ 53. Steel Reinforcement �- 3.'Electrical Conduit UFility-Undrgrnd. 54. Forms " 4: Electrical Conduit>Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6: Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE " • 7. Footings 58. Electrical Conduit-Undrgrnd. -8. Foundation A 59. Gas Pipe, O Undrgrnd., Test 9: Water Pipe-Undfgrnd. 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 r. 63. Heater & Vent -Final 13. Roof Drains '- 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final ' 16. Rough Electric'Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electriq-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REOUIREMENt" APPROVALS Perth it # 20. Rough Factory Fiieplace "'' v : 21. Ducts, in Structure- ••. - t+. 70. UndergroLihd.Hydro 22. Ducts, Ventilatingr71. Product Piping CI Gas ❑Oil 23..Gas, PipCtRough & Test 72. Underground Flush`, 24. -Roof Framing '73.' Undergrnd'. Storage Tank i] Gas ❑ Oil 25. Roof Sheathing- - X74. ,Overhead Hydro . 26. T -Bar Ceiling (Structural) & Monocoat ! - 75. -.Dry Chemical 27. Frame and Flashing`76. Dry Standpipe > 28. Lathing & Siding 77;, FIXED SY$-[EM_E1NAL` ,. 29. Insulation d j I , 78.1FIRE PREV. FINAL � 30. Drywall Nailing HEALTH'DEPT: REQUIREMENT 31. Plaster Brown Coat_ - 79. FINAL INSPECTION 32. Electrical Power Meter -Final I I, - BO_ FOOD CERTIFICATE ISSUED r y33. Final Electric ZQ 4 Notes: 34.. Final Heating & Air Conditioning= 35.. Final Gas Pipe -Test, t ` X36. Hood or Canopy 37. ,Final Factory Fireplace 38. Final Plumbing - 39. Water Service -Final; z 40. Gas Service -Final • i '41. Solar Domestic -Final 42. `Backflow Preventer. 43. Backflow Irrigation - A4. Landscape Irrigation System. - '45. Sound Attenuation ' i -46..Handicap Regulations - - 47. -FINAL STRUCTURE & BUILDING •- 48.' FINAL PLANNING - 49. Electric Release to Edison ' 50.,Gas Release to Southern California Gas 0o f 51. CERTIFICATE OF..000UPANCY No. Date PROJECT ADDRESS: 386 E 15TH ST UNITE CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B Ub JOU OWNER'S NAME: ANN NAULT ADORESS:386 E. 15TH ST PERMIT NO; B 061350 PLAN CHECK NO: 00839-93 S GOVT: N SUPP; COSTA MESA CA 92627 CONSTRUCTION TYPE: 5—N PERMIT TYPE: SIR PURPOSE: OTH ARCH/ENGINEER: (714)645-7055 flEC.NO.: JOB DESCRIPTION INSTALL A 1328PATI0 ENCLOSURE SQ FT: 132 ADDRESS: UNIT: PERMITTEE: PATIO MASTERS (714) 970-0555 CLAIM VALUE: 2,900.00 CALL—VALUE: 4,884.00 GROUP OCC; R-3 / ADDRESS: 4591 VIA BELLA VISTA COMMENTS: SMOKE DETECTORS RE?UIRED IN HOME PER THE 1991 ED OF THE UBC YORBA LINDA CA 92686 16%*%%%�t****�ElF%lE%lr%%BE%%*%9e*9e 9e%*Jrr3r9L%%BFlr%Sk�EiEiESE%>E�ESEsr%�Eit�xxer�Exirx%�6x%%*x} LICENSED CONTRACTOR DECLARATION: I here" affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7. O N I N G R E Q U I R E M E N T S 7000) of "sion 3 of the Business and Professions Code. a e is .m full f fnd effect. S E T B A C K S CITY LIc.:05390' STATE LIC.:4559 cuss -i( j ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- Date. 3 Signa m:_ — FRNT: FT IN REAR; 10 FT IN FRNT; FT IN REAR; FT IN WORKER OMPEI ATIONDECLARATION: lhereby affirm that Ihave aCedificateofconsent tosell-insure or a certificate of Workers' LEFT; 16 FT IN RGHT; 5 FT IN LEFT: FT IN RGHT; FT IN Compensation Insurance. or a certified copy thereof (Section 3800. Lab. C). POLICY EXP. DATE: COMPANY: PLANNING N TES> CONSTRUCT AN ENCLOSED PATIO TO THE REAR OF AN EXISTING PARKING REQ• PROV• PARCEL: 42531108 ZNE; R2 REF NO; COMP ElCertilietl copy is hereby furnished. ❑ Certified copy is filed with the City Building Division > CONDOMINIUM. Jan: Applicant: BF iF 9E %iE iE ie %iF %%iF * BE it 4F iE 9e iE %%3F iE * * iF %iPiE 9e 4f 9E 4E %iEiE ie 9E Be * %ik iE NE %Bf• ie %iFiE %ik iF K -x x %%iFiE x 9k BE i(- %iE If -lE BF 9b 9f i( %iF %1e %%iE EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: secunn not be ted if me peanut is for me hmdred (Step) or less). D E V E L O P M E J T'� S E R V I C E S R E Q U I R E M E N T S I cedily that in the pedo nce of the work for which this p 1t is ¢ . Is n em "any person 1n any manner so as to become // / subject th orker Compensation Laws ofGahfpmia ZONING APPROVED BY :— DATE; 3 Date. / 3 .igapf rre— BUILDING APPROVED BY DATE; NO E: It. a r making this ply with on. you should become subject S 11 Workers' revoke Compensation Provisions of the Labor Code. you must forthwith comply with Seth prodsions or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby allirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y ; ' DATE • which this permit is issued (Section 3097. Civ. Q. %iF 9E ik 9E BE of %ik if iE iE iE lE *?F iE 1E iE aE iE Be x ?E 9E # %9F 3F iE %%9E >: x 1t x 4r iF Bf LENDER: %%%i1. iE iE%ie It%%%iF iE iE iE%%%x9e iE aE iF 9t iF itiE*%aE ie iE iF iE%*%k %iE it aE N, 31. iE it%%%Bt%iE%%iE iE iE iE%%BE 9E 9E%M%%IF ie iE %BE 9E 9F%%% ADDRESS: LEGALIZATION:N F E E S U M M A R Y. STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors' Slate License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: A" city of County which requires a permit to construct, alter, improve, demolish. or PERMIT 72.00 .50 repair any structure. prior to its issuance, also requires the applicant for such Permit to file a signed statement that he/she is licensed _ SM I P / NON—RES pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 o1 the Business PLAN 46.80 and Professions Code) or that he/sole is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a cid] penalty of not more than five hundred dollars (5500). ISSUE FEE ❑ I am exempt under Section: B. 8 P. C. for this reason: Date: Omer I do here" certify that I am aware of and understand the requirements of Calllornu Neatth and Safety Code Sections 25505. 25533, and 25534 and that I or any future building occupant wlI0wB1 not (circle me) need to comply with said stale codes and the requirements for a permit for construction or modification from the Art Duality Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state Imo a ve infor atian 6 correct. I agree to comply with an city and county ordinances am state laws relating to building construction a re" autm' representatives of tt16 dry to enter upon the above-mentioned property for in-pecho pQposes. Date: �1 / Signature: Driver's icenseo Social Security 1641.46 While—Building: Green—Code Enforcement. Canary—Applicam: Pink—Revenue: Goldenrod—Assessor TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 132 RES—PATIO COVER—ENCLOSED PATIO 37.00 4,884.00 END OF FEES CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL ,- _dA APPROVALS Permit# Date Inspector 1. r emporary Electrical Service dr Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. �'" 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 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-Undrgrnd. i - 60. Backwash Lines, P -Trap, O Undrgrnd. i 10. Structural Floor System { 61. APPROVAL TO DECK - 11. Property Sewer Line & 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. Rough Electric Wiring 67. Fencing &Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit 4#- 20. Rough Factory Fireplace 21. 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas O Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil CO - 25. Roof Sheathing 74. Overhead Hydro - 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chernical - 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL t 1 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 - I Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test I - !- i 36. Hood or Canopy s 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final i 41, Solar Domestic -Final ' 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 386 E 15TH ST UNIT: E OWNER'S NAME: ANN NAULT A06RESS:386 E. 15TH ST COSTA MESA CA 92627 (714)645-7055 ARCNIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: PATIO MASTERS (714)970-0555 agDeEss:4591 VIA BELLA VISTA YORBA LINDA CA 92686 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am li der provisions of Chapter 9 (commencing with Section 7000) 0l Division 3 of the Business and Professions Code. and ense is lull force a d effect. clTYuc.0�390�A55968 ss,B Date: I Signals _ WORNF 'COMP SATION DECLARATION: I hereby affirm that l have a certificate of consent to self -insure or a comficale of Workers' Compensation Ins rance. or a certified copy thereof (Section 3800. Lab. C). POLICY NO.: EXP. DATE: COMPANY: 7 Certified copy is hereby furnished. ❑ Certified Copy is filed with the city Building Division. Date. Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: finis rat be completed it a pa a is fa me hundred IStOD) or lessl. I cenify that m the edor ce of the work for which this person ssued. hall not employ, y p n in any manner so as to become subject ton W rk2 C pensation Laws of California. Date: Signalu NOT If. afle making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply wan such provisions or Ihls permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that There is a construction lending agency for the performance of the work for which This permit is issued fSeclion 3097. Civ. Q. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason fSetlion 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9lcommencing with Section 7000l of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars (S500). I, as owner of the property or my empployees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale 1Soction 7044. Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property -no builds or improves thereon, and who does such work himselVhersell or through his or her own employees, provided that such improvements are not intended or altered for sale. II, however the building or .improvement is sold within one year of completion. the Owner will have the burden of proving he/she did not build or improve for the purpose of sale). 1. as owner Of the property. am exclusive lIyy contracting with licensed contractors to construct the project(Section 7044, Business ❑ and Processions Code: The Cmuactors Slale License Law does cot apply Wan owner of property who builds or improves thereon and who contracts lar such projects with a cuntractor(s) license pursuant to the Contractors' State License Law),I am aware that proal of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: 8. 8 P. C. for this reason: Date: I do hereby cerldy that I am 25534 and that I or any tut permit for construction or these provisions. Owner: aware of and understand the requirements of Califomla Nea da and Safety Code Sections 25505, 25533, and ore Wilding occupant MIVwiU not (circle one) need to comply with said state codes and the requirements lot a modification from the An Ouahty Management District. Residential construction applications are exempt from Dale. Applicant: I hereby certify that I have read this application and state that 1 e rmapon is cipro. I agree to comply with all city and county ordinances and state laws relating to bWaing constructmn ora eby aorta' erepresent (uric cityto enter upon the afawcmentioned ordinances turf peclaws reptingt Date: 3I d.3 1641 46 Whue—Buildm9: Green—Code Enforcement: Canary—Applicant; Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT n ra avu: a ol»a PERMIT NO: E 061351 PLAN CHECK NO: N IN air : IN CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION INSTALL A 132#PATIO ENCLOSURE SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 / COMMENTS: RE: B61350 PRIMARY BUILDING PERMIT. Z O N I N GS ERT EHQAUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQQ• PROV: PARCEL: 42531108 ZNE: REF NO: PLANNING N(STES> D E V E L O P M E N T S E R,V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BYr t DATE: APPLICATION ISSUED BY: `` DATE: LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 2.25 SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 2.25 15.00 0.00 17.25 17,25 .00 REVENUE DIVISION TOTALS--> COLLECTED: 17.25 OVER/SHORT: •00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 17.25 I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 FIXTURES LIGHTING 1 ST 20 EA. 75 75 ELE 2 RECEPT/OOTLET 1ST 20 EA. •75 1.50 EXPI ED END0 DATE %�12�. 'CONSTRUCTION AND PLANNING APPROVALS Permit Date Date i - Ictor POO, SPA APPROVALS Permit # Date Inspector 1' Temporary Electrical Service of Pole � �. 52. Pool &Equipment Location 2, Soil Pipe-Undrgrnd. / 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56, Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. - 8, Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. „ 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System / t 61. APPROVAL TO DECK 11. Property Sewer Line & House'Connection 62. Backwash & Receptor -Final 12, Sewer Cap - 63. Heater & Vent -Final 13, Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15, Rough Electrical -Conduit 66. Solar System -Final ' 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68, APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70, Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 00il 23, Gas Pipe -Rough & Test 72. Underground Flush �' • ` 'Z 24. Roof Framing 73. Undergrnd. Storage Tank 0Gas 0Oil 4' i 25. Roof Sheathing 74, Overhead Hydro i -r 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical '" •• ! 27. Frame and Flashing 76. Dry Standpipe , 28. Lathing & Siding I 77, FIXED SYSTEM FINAL 29. Insulation I I ' 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 1 79. FINAL INSPECTION 32. Electrical Power Meter -Final C ' ,; 80. FOOD CERTIFICATE ISSUED 33. Final Electric .I Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test i 36. Hood or Canopy 37, Final Factory Fireplace 38, Final Plumbing 39. Water Service -Final i ! I 40. Gas Service -Final i I 41. Solar Domestic -Final 42. Backflow Preventer 1 , 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING i 48. FINAL PLANNING 1 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51, CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 386 E 15TH ST UNIT: E OWNj NAME: LLOYD MYLES DEVELOPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 ARCH/ENGINEER: 723-5300 flEG.NO.: ADDRESS: UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAP, CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby allirm that) am licensed under provisions of Chapter 9 (commencing with Section 70001 01 Division 3 of the Business and Professions Code. and my license is in lull force and effect. CITY LIC.: STATE LIC.: CLASS: ate: Signature: I WORKERS' COMPENSATION DECLARATION: I hereby alfirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance. or a cenilied copy thereof (Section 3800, Lab. Q. POLICY NO.: EXP. DATE: COMPANY: ❑ Cemfied copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. Date. Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred ($100) or tesst I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to became subject to the WorkersCompensation Laws of California. Date'. Signature: NOTICE: It. after making this declaration, you should become subject to the Workers Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C), LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed ursuant to the provisions of the Contractors State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business Id Professions Code) orthat he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ,ny applicant for a permit subjects the applicant to a fill penalty of not more than five hundred dollars (3500). I, as owner of the propeny or my empployees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code. The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that soon improvements are not intended or filtered for Sale. It, however the builtling or improvement is sold within one year 01 completion. the owner will have the burden of proving he/she did not build or improve for the purpose of sale). 1, as owner of the property. am exclusivel contracting with licensed Contractors to construct the project (Section 7044. Busio and Professions Code: The Contractors' State License Law does not appy to an owner of trope who b or improves t on and who contracts for such projects with a contracmgs) license pursuant to the Contract State ense Law),I aware that proof of their Worker's Compensation insurance should be provided to me. / ❑ Iexempt under Section: B. 8 P. C. forr this reason:�j — l q Date: 3—/ a Owner I e0 hereby cenity that I am aware of and understand the requirement of CalilOrnia Health d Safety Cede Sections 25505, 25533, and 25534 and that I or any future building occupant wiluwin not Icircfe one) need to cornpN wy said state codes and the requirements for a permit for construction or modification Iron the Air Quality Management Disuict. Resin tial construction applications are exempt from these provisions. Date: Applicant: i hereby certify that I have read this application and stale *epr a ee to co ply with all ordinances and state laws relating to building construction !anderebye fI' tityto terupont b mer on property for inspection purposes. Date.LJ� Signature: Driver's License or Social Security a: 1641 46 While—Building: Green—Code Enlorcemem; Canary—Applicant: Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 05130 PERMIT NO: B 051300 PLAN CHECK NO: 06853-9.0 A GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: STR PURPOSE: NEW JOB DESCRIPTION : NEW SF'D SQ FT: 2,249 CLAIM VALUE: 90,000,00 CALC-VALUE: 132,846.60 GROUP OCC: R-3 /Ili —1 COMMENTS: NEW SFD HOLD FOR SPECIAL REQUIREMENTS 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 ---------- --------- ACCESSORY BUILDING--------- FRNT: 11 FT IN REAP.: 12 FT 6 IN FRNT: FT IN REAR: FT IN LEFT: 5 FT IN RGHT: 11 FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: 2 PROV: 2 PARCEL: 42531108 ZNE: R2 REF NO: DR -90-38 PLANNING NOTES> TWO STORY RESIDENCE - FRONT & RIGHT SETBACKS ARE SEPARATIONS > .5 GUEST PARKING SPACE PROVIDED PER UNIT D E V E L O P M E N T S E R V I C E S R E Q 11 I- R E M E N •T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: 3 I� LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC 'MECHANIC FIRE SMTP/RESG ADING PERMIT 755.00 9,ON R 30 - PLAN 122,69 SMIP/N ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 764,30 0,00 122,69 886.99 886,99 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 764.30 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 755.00 9.30 �F if###sF####IF######iE#######lh#fE####k#i(•############k########################BF### I N D I V I D U A L F E E B R E A K D O W N T PE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 1817 DWE-TYPE V -WOOD FRAME -GOOD 69,00 12537300 SFR 932 S GeS.,TYPE V 17,30 7, 473,.60 �Jd )a` A END OF FEES Ia' MA218199, CITY. OF COSTA MESA .CASTRUCTION AND PLAiv.41NG APPROVALS Permit # Data Inspector POOL SPA 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-Undrgrnd. 55. Electrical Bonding - '5: Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd, 57. APPROVAL TO COVER-GUNITE 7.•F69tings 58. Electrical Conduit-Undrgrnd. 8: Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-UndFgrnd. 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. Heater & Vent -Final - 13. Roof Drains - 64. Plumbing System - Final - 14. Rough Plumbing, ' ' 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric'Wiring 67. Fencing & Access Approval •17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical'T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 'APPROVALS; -Permit # - ' 20. Rough Factory Fireplace _ 21.'Ducfs, in -Structure .. - - •�70. Underground'Hydro 22. Ducts, Ventilating .71. Product.Piping ffGas ❑Oil 23. Gas Pipe=Rough &'fest 72. Underground Flush', 24. Roof' Framing• _ - - -T 73. `Under rnd: Stora e -Tank O Gas ❑Oil' 9 9>- 25. Roof Sheathing 74. -Overhead Hydro- ydro^26. 26.T -Bar Ceiling (Structural) & Monocoat •• !`• 75,Dry Chemical - 27. Frame and Flashing" 76: D"ry Standpipe •. • _ - 28. lathing '& Siding .. ±•-' _ - •! 77. FIXED SYSTEM:FINAL- 7 - 29. Insulation ` -- ',�' �� -'i; 78.:FIRE PREY. FINAL _ - _- 1: 30. Drywall Nailing _ _-i=_ - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat: . - ! / -7. X79.- FINAL INSPECTION 32.,Electrical Power Meier -Final I • ,. -o.~•^` �•'='- ,80. •FOOD CERTIFICATE ISSUED t ,33. Final Electric r r ;-.� 'Notes: \ - r 34, final Heating & Air,Conditioning _ `�; ='' f tial ✓ ��� J� /� 1 . 35. Final Gas Pipe -Test _ =•-� _ :y.;:: - 36. Hood or Canopy =� --- �• 37.` Final Factory Fireplace f =•,` r - 38. Final Plumbing •o- -39.'Water Service -Final,- r 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventers 43. Backflow Irrigation• 44. Landscape Irrigation System,. - - .- - =45. Sound Attenuation I •T 46. Handicap Regulations , 47., FINAL STRUCTURE & BUILDING 48.'FINAL PtA1QIQ NG . 49. -Electric Release to Edison 50. Gas Release to Southern California Gas Co ;= ,;; 51. CERTIFICATE OF OCCUPANCY No. Date - PROJECT ADDRESS: OWNE45 NAME: ADDRESS: i4 CA 92625 UNIT: E 723-5300 ' ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: JOHN JANIS PLUMBING (714)642-7764 ADDRESS: 1539 MONROVIA 8 NB CA 92663 LICENSED CONTRACTOR DECLARATION: I her y allirm that l am licensed under prov'sides of Chapter 9 (commencing with Section 7000) of Division Of the Business and Pill ions Code. and my dinn . is in lull a and effe C. A20 STATE LIC/554631 LASS 36 Date: �' Signature: _ WORKERS•COMPENSATION DECLARATION: Ihereayaflum I l haveacenilmateof cant to sell -insure or a candidate of Workers' Compensation Ils"I3 9c31thed copy thereof (Sec' 3800. Lab.6'2 / / 9 2 POLICY NO.: EXP. DATE: fOMPANY: STATE FUND 5 Cenified copy is hereby furnished. ❑ artificial copy is filed with city B Idin inion. / Date: �� / ^ " Appficant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (Thisse need not be completed if th� is for one hundred ($100) Or less). I certify that in the performance of In( work for which this permit' slued. I shall not employ any on m any manner so as to become subject to the Workers Compensation Laws of Qdlllomid. Date: Signature: NOTICE: If. after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work lot which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' Slate License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county "fell requires a permit to construct. alter, improve, demolish, or repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law )Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) Or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars (5508). I, as owner of the property or my empVloyees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sate(Sectmn 7044, Business and Professional Code: The Contractors' Stale License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her awn employees, provided that such improvements are not intended at offered for sale. I. however the building or improvement is sold within one year Of completion, the owner will have the burden of proving he/she did not build or improve tar the purpose of sale). 1. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Prolessions Code: The Contractors Slate License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a eontractor(s) license pursuant to the Contractors' Blare License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: - nmo Owner: I do hereby cemfy that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533 , antl 25534 and that I or any allure building occupant will/will not (circle one) need to comply with said slate codes and the requirements for a permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from these provisions. Date: ��/Applicanf: I hereby certify that have read this applica n and state that the above information ordinances and stale laws relating to Duiltlin cpnstruclion and hereby authonzer rea properly for inspection purposesq. Date: L� Signature: Driver's License o Social Security.: to comply with all city and county to enter upon the above-mentioned 7 x Goldenrod—Assessor CITY OF COSTi% MESA — BUILDING PERMIT PE eN PERMIT NO: P 051982 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: NEW JOB DESCRIPTION NEW SFD ,REFER TO #B51300 SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: NEW SFD iE9E9E4Eif9fiE9faMMRE**1EMMMM+HiE*MMMMMM1E1HiEMMMiE*Mif 9L 9t 9E 9FiE9HMRf9EiEMM9E**MiEMMREREifiE9EiH9EikM9FiFRHM9EiEiHifMMRfMM 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 ---------- --------- ACCESSORY BUILDING ------ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42531108 ZNE: REF NO: PLANNING N TES> > M MMMMMMMMiFM MiFiEMM M9EMMMMMMiFMMMMMMMMMMMMMM9E M9EM*MM9t iEMMMiFMMMMMMMMM MiF MiH MiHMMMMMMMMMMMM D E V E L O P M E N T S E R V'I C E S';.• 'R E Q U I R E M E N T S ZONING APPROVED BY DATE; BUILDING APPROVED BY: ^ e DATE: APPLICATION ISSUED BY- V DATE: J MMMMMfl lF k9t AF if if if if if iF it iF if iF KiF 9EM iE iF iF iF iFM iE iE 3f iF M 9FM M9F iF M1EMMMMMMMMMMMMMMMMMMMMiE M �lMMMMMMMMMMMMMMMMMiFMMMMMMMMMMMMM9FM MifMMMMMMMMMIfMMif LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N PERMIT BLDG PMT PLU4MBBINNGG ELECTRIC MECHANIC FIRE SMIP/RES GRADING 00 PLAN '15% SMIP/NON—RES ISSUE FEE. 3,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 44,00 3,00 0,00 47,00 47,00 ,00 REVENUE DIVISION TOTALS—> COLLECTED: 47,00 OVER/SHORT;00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 47.00 MM MieMMMMM9FMMM9tMM MfF M!l BFM MMMMM9E iEMMMMMiEMMMMMMiEM MM1EMMMMBf MMMMMMMMMRE M9eMMMMMMMiHMMMMiF MikM I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 2 BATHTUB 200 4,00 PLU 1 DISHWASHER 2,,00 2,00 PLU 1 LAUNDRY TUB OR WASHER 2,00 2.00 PLU 1 SHOWER 2,00 2,00 PLU 1 SINK, BAR' 2,00 2,00 PLU 1 SINK, KITCHEN 2.00 2.00 LU 5 WASH BASIN 2.00 10.00 LU 3 WATER CLOSET (TOILET) 2,00 6.00 LU 1 WATER HEATER AND/OR VENT 2,00 2,00 LU 1 'WATER SERVICE 2,00 2.00 LU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 01 00082.00 6848-00G8e848 Z r 2, 00 .CL DATE: 0/08/91 TIIIE: 08:33 CONSTRUCTION AND PLANNING PO, SPA APPROVALS Permit# ? ate Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole_ 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement .; 3. Eleckical Conduit �Utility^Undrgrnd'.''t '% 54. Forms =C4:7Erectrical Conduit-Undrgrnd. .� r 55. Electrical Bonding y 75Steel'Reinforc-Wrtent - 0 56. Rough Plumbing & Pressure Test ,.=6 Electrical UFERGrnd.' _j 57. APPROVAL TO COVER-GUNITE p E:^7?Footings ;yN + 58. Electrical Conduit-Undrgrnd. ,;-8. Foundation 5,`' / ,/ 59. Gas Pipe, O Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. j 60. Backwash Lines, P-Trap, O Undrgrnd. / �' 10. Structural Floor System 1n i 61. APPROVAL TO DECK 111. Property Sewer Line & House•Consection 62. Backwash & Receptor-Final _ 4 ;�' 12. Sewer Cap ji ,' 63. Heater & Vent-Final 13. Roof Drains 'o �/� 64. Plumbing System -Final 14. Rough Plumb{ng " 65. Electrical-Final +, 1% 15. Rough Electrical-Conduit : 66. Solar System-Final , 16. Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough Wiring;Sign 68. APPROVED FOR PLASTERING 18. Rough ElectritiI-T Bar Ceiling `& 69. POOL/SPA SYSTEMS FINAL 19. Rough HeatingAir Conditioning FIRE DEPT. REQUIREMENT 'APPROVALS'�tOPermit # _ ---.' - - 20-Rd_ugh,Eactoty Fireplace X: ': S -1 * _ U ! - 1 Q >_1 Y. I 'CW S' t' �... x - :. �:,' _ _1. 21j'DI�'cts, in St Ct41,e I a- . S SU :�S .r �-, .S _ •-+� r.. • ,� t� .. .n : derground Hydro 70..Un 22. D ucts, .Ven171ating S i K* - . •_ 71. product Pip O_Gas OOiI r of.•1.. .ing - 23�; Gai_Pipe Roiigh & 7estM*. j, ' 72• Underground Flus C *, C, 4• , 247 Roof�73PUndergrnd.Storade-,Tank!❑Gas OOiI 25. Roof Shaathin s, ,v 9 '- trr pl - •u'" x - v -- •� • 74= Overhead Hydro- ,� .;:. r, v p;*. < F 26JT-Bar Ceiling (Structural) &Wonocoat it J t=1S a 75r Dry Chemical -, r I . tv` 1.uD.N:x^a :T� St 27aFrame end Flashing � s n 0 76. Dry Staridp%oe : re ,; Y to '-CJ�:3S.Sfu ;�(- 0 � , ,�,; 28': Lathing:& Siding ;. _. r'',y� 2: •I ••I ••� _ 77-_ FIXED S YSTE_M�ALr- ` :.,?;,art,-,•=�'-+,� .. �•� ~ „ "29. Insulation ^ J a V: i W a 78,=•FIRE PREV. FINAL u; ¢ t' rj,,-• �•+'" S .. ,- I x R -•I-'C 30. Drywall Nailing + ? i `T -+ HEALTHDEPT.-REQUIREMENT^'I "M, 1 + 131. Plaster Town Coal' b �: ' 79`• F'INAC�iVSPECTI„ON r� .v '' y r,•tr • < . 32-Electrical Power Meter-Final to : ' 780n FOOD CERTIFICATE ISSUED_ C " 1 . Electric *'T "Notes: -�� t •ti' A ` r33[SFAI n: I 34 Fi al Heating &Air Conditionin + nI '35? _ •r .n - Final Gas Pipe-Tesla -` `S ,� tr �_•" w36. Hood o Canopy �_ : IT' 37:)Final Factory Fireplace I G 38. Final Plumbing ' n' i _ 9� Ga , S - ill i " 39. Water Service-Fina! * T ,,: -40. Gas Service-Final ~y .At. Solar Domestic-Finals .- •• z et•- .; i r -• , 427Backflow Preventec. • ='� - 43. Backflow leFlgation %SS '• . u = % r c ucw:v :." .�+. •., ' 44. Landscape Iii ation S ste c, t r, P 9 Y ?71 iq.^ r J - _ f l: V'veI �0C3 w:> > .- GOC: c:G_.>UOt+.� `:45-Sound Attenuation '46,: Handicap Regulations 47-,FINAL STRUCTURE & BUILDING 48"FINAL PLANNING r. 49. Electric Release to,Edison ir. t is '_. 50. Gas-Release_io Southern California Gas Coy 51. CERTIFICATE OF. OCCUPANCY a� = t ;�•__; �oc,�o No Date PROJECT ADDRESS: UNIT: OWNERS NAME: ADDRESS: I, ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: ADDRESS: LICENSED CONTRACTOR DECLARATION: 1 hereby allirm that I am licensed under provisions of Chapter 9 (commencing with Section 70011 of Division 3 of the Business and Professions Code. and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I haves certificate of consent to self -insure or a certificate of Workers' Compensation Insurance. or a certified Copy thereof (Section 3800, Lab. C). POLICY NO.: EXP. DATE: COMPANY: 7 Certified copy is hereby burnished. ❑ Certified copy is filed win the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less). I ceraly that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws 01 California. Date: — Signature: NOTICE: It. after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Codeyou must forthwith comply wilh such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law lot the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 700010: Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis tar the alleged exemplar. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500). I, as owner of the property or my em loyees with wages as their sole compensation, will do the work: and the ❑ spuct re is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State license Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/hermit or through his or her awn employees, provided that Such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of Completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(sl license pursuant to the Contractors' State License Law),I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Dale: Owner I do hereby cattily that I am aware of and understand the requirements of California Health and Safety Code Sections 25505. 25533, and 25534 and that I or any future building occupant wilUwill not (circle one) need to comply with mid state codes and the requirements for a permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that l have read this application and state that the above information is correct. I agree 10 comply with all city and county ordinances and stale laws relating to building construction and hereby authorial representatives of this city to enter upon the above mentioned Property tot inspection purposes. Date: Driver's License or Social Security q: Signature: 164640 While—Building: Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor PERMIT NO: P 051982 PLAN CHECK NO: 01594-91 N PAG BE iFiE kBf iE Bt kif****9EkBE �N BK IE*iE Bt IEiEkk MRE AP kBE slit*BE*fit REBF iF*iE EF**iE BE*EE BP B6 iE kBEiE*iE*iE JE iE BE*iE IE iF BFiE tF iF*iF***4lF BF* TYPE OTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 2 GAS PIPING SYS 5+ OUTL—PER OUTLET .50 PLU 1 GAS SERVICE 2,00 PLU 1 SEWER, BUILDING / TRAILER 5.00 END OF FEES ;l. 1,00 2.00 5.00 i*DUPLICATE RECEIF "E 01 00D86S+3—C00II6848 TCiT 47.03 Dart: 0s/08/91 TIiSE: 68:34 CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POi SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pale 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms i 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding •, 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap _ 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final - 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT, REQUIREMENT APPROVALS Permit # 20 -,Rough F ctor (replace 21 Ducts, n Structure 70. Underground Hydro 22. Ducts, Ventilating c 71. Product Piping 0 Gas 0 Oil 23:�Gas'Pipp4Rough & Test 72. Underground Flush 24 -Roof Framing- 73. Undergrnd. Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 267jT-Bar Ceiling) IStructurall & Monocoat 75. Dry Chemical 27o'FriINe and Flanshiing 76. Dry Standpipe + 28 Lathingw &Sidinwg. - 77. FIXED SYSTEM FINAL 29. Insylat�qn Lo 78. FIRE PREV. FINAL 30. Drywall-Nailingt'-y HEALTH DEPT. REQUIREMENT 31. Platter 8ro4 Coit 79. FINAL INSPECTION 32. Electrical Power'Meter-Final 80. FOOD CERTIFICATE ISSUED 33iFiral Electric .. -,irConditioning Notes: 34.'Fi.rial Hefting & 35xFi r I Gas Pipe -TesE, 3 ., 36z;Hood or Canopy 37 �nFin'al Factory Fireplace 38. F al Plumbing 39: -Water Services Final ni n q 40'',tas Service - Final 41aSolar Domestic -Final 42...Ba6kfl w Preventer 43. Backflow Irrigation 1 44. Landscape I rripa(tion System 45. Sound Attenuation 46. Handicap Regulations 47.YFINAL STRUCTURE & BUILDING 48:;,FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE.OF OCCUPANCY No. Date PROJECT ADDRESS: 386 E 15TH ST UNIT' E OWfi NAME: LLOYD MYLES DEVELOPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 ARCNIENGINEER: 723-5300 REG.NO.: ADDRESS: UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby atfirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 at the Business and Professions Code. and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Oale: Signature', WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a Carl of consent to sell -insure ora certificate of Workers' Compensation Insurance. or a candied Copy thereof (Section 3800, Lab. Q. POLICY NO.: EXP. DATE: COMPANY: Certified copy is hereby furnished. ❑ Cenilied copy is filed with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need rat be completed if the permit is for One hundred ($110) or less). I century that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: If. after making this declaration. you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or This permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. Q. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that) am exempt from the Contractors' Stale License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of County which requires a permit to Construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Cantracmrs' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for Ilse alleged exemption. Any violation of Section 7031.5 by any applipanl'fpr a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended at offered for Sale. 11, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of prope who builds or improves thereon and who contracts for such projects with a contractor(s) license pursuant to the Contractors' tate Lice Law). I am aware that proof of (heir Worker's mpeasati0n insurance should be provided to me. ❑ I , t exempt under Sec / B. 8 P. C. for This reason CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M 052989 PERMIT NO: M 052989 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: MEC PURPOSE: NEW JOB DESCRIPTION : NEW SFD, RE:#B51300 SQ FT: CLAIM VALUE: CALL -VALUE: GROUP OCC: R-3 /M-1 COMMENTS: NEW SFD #EMMMMMMM.�MMMMMMMMMMMMMMM M.MMMMMMMM#MMMREMMMMMMMMMifMMMMM M9FM MMMMMMMdFMMMMMMMMMMiF.)EMMM Z O N I N GS E R T E B Q A U C I K R S E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REO• PROV: PARCEL: 42531108 ZNE: REF NO: PLANNING N TES> > M MMMMMMFEMMMMMMMMMMMMMMMMMMMMMMMMMMMM#M MMMMMMMMMMMMMMMMMMMMMMMi(-3E 1E iF iE iF iE i(•iE if BE IE iF 3E K•iE iF 1f D E V E L O P M E N T S E R:; • CONSTRUCTION AND PLANNING ` APPROVALS Permit # Date Inspector POOI .PA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool &Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3:' EIpctrical Conclui(,13tility-Undrgrnd. 54. Forms 4. .Electrical Cond'oit-Undrgrnd. 55. Electrical Bonding 5, Steel Reinforceknent_ 56. Rough Plumbing & Pressure Test - 6. Efectrical UFER Grad. 57. APPROVAL TO COVER-GUNITE 7.'Fcotings •`: _% 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 i 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 1'2. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbigg 65. Electrical -Final , 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electridel•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT' _APPROVALS' •CPe.mit #- 20.,Rough Factory Fireplace > 21. Ducts, in StructuFe ,90. Underground Hydro 22. Ducts, Ventilating - -71. Product Piping 13 Gas ❑ Oil 23. -Gas Pipe1Rough &'test 72. Underground Flush - 24, Roof Framing _ ^ V73. Undergrnd: Storage Tank 0Gas 0Oil ' 25. Roof Sheathing - - '74'- Overhead Hydro- 26. T -Bar Ceiling (Structural) & Monocoat 75: Dry Chemical - 27.'Frame and Flashing 76. Dry Standpipe 28. Lathing `& Siding - M 77. FIXED SYSTEM, FINAL '+ '29. Insulation 78; FIRE PREV. FINAL• '30. Drywall Nailing '. HEALTH.bEPT%REQUIREMENT .31. Plaster Brown Coat. ! ,.79. FINAL INSPECTION _ 32. Electrical Power Meter -Final i .80. FOOD CERTIFICATE ISSUED. 33.`Final Electric - I ' ` Notes: 34, Final Heating & Air Conditioning- 35.:Final Gas Pipe -Test- _. _ I t1 ' •c , 36. Hood or Canopy i 37: Final Factory Fireplace 38. Final Plumbing• 39. Water Service -Final' - • ' .40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer - 43. Backflow Irrigation' 44. Landscape Irrigation System - - 45. Sound Attenuation - r 46. Handicap Regulations - 47. -FINAL STRUCTURE & BUILDING 48. FINAL PLANNING - 49. Electric Release to Edison 50.. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ; I I,- D14JADORESS: 386 E 15TH ST UNIT: E Bill NAME: LLOYD MYLES DEVELOPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 ARCH/ENGINEER: 723-5300 flEG.NO.: ADDRESS: UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I bereby affirm that I nave a cenificale of consent to sel4insure or a centra le of Workers' Compensation Insurance. or a certified copy thereof (Section 3800, Lab. C). POLICY NO.: EXP. DATE: COMPANY: ❑ Certified Copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred (5100) or less). I certdy that in the performance of the work for which this permit is issued, l shall not employ any person in any manner SO as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: It. after making this declaration. you should became subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any City of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance. also requires !be appi td such permit to l9v a signed statement that ill is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis lot the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I. as owner Of the property or my em Ii with wages as their sole compensation, will do the work, and the ❑ Structure Is not intended or Offered for sale ($etatlon 7044. Business and Professional Code: The Contractors State Llil Law does not apply to an owner of a properly who builds or improves thereon, and who does such work himsell/herself or through his or her own employees. provided that Such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a conhaeor(s) license pursuant to the Contractors' T se Law),I am aware that Drool of their Worker' Compensation insurance should be provided to me. ❑ I r t exempt under Se on / B. 8 P. C. for this reason_ / / DaOwner. � do hereby Cerbly I I am awar I antl understand the requirements of CaMdrn 25534 and that I or my future bu ding Occupant wilUwill not (circle one) need to ci permit for construction or modification from the AirAir Oualny Management District. these provisions. Date'. Applicant: — I hereby certify that I have read s appliCa ion and statetf ordinances and state laws rel at Ie bU ltlr ConeVOCllph dni property for iDcner ^^ our ses. G Dale: (/ Siignalurp: Driver s LicenseSocial Secud x: 1641-46 While—Building: Greon—Code Enforcement L Safety Code Sections 25505, 25533, and aid state codes and the requirements for a construction applications are exempt from City and Pink—Revenue; Goldenrod—Assessor Y CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 052988 PERMIT NO: E 052988 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE; ELE PURPOSE: NEW JOB DESCRIPTION : NEW SFD, RE:#B51300 SQ FT: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: NEW SFD 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 ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RIGHT; FT IN PARKING RE8(�: PROV: PARCEL: 42531108 ZNE: REF NO: PLANNING NC7TES> > iE iE lE M Be 9F ik iF if 3E ie ie Be BE iE iF BE iE BF BE IE iE BE iE IF 9F iF Rf k iE * iE BE 9F 3FiF ie IE BE iE 1E iF%iF 9F if * * * iE * iF k 94 * RE * * * iF iE at iE * iR IE k Rh iE BE iE iE aE 4t IE * 3F 34 D E V E L O P M E N T S E„R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY v DATE: BUILDING APPROVED BY : Y DATE: APPLICATION ISSUED BY: ;. DATE: Lr1_ 3E iFM Rf iE**fE RF RE Bf 9e 3k BF BF RF iF 4t ieiC*BE iF iE iE iF*iE 9E iF iE IE iE iE 4E iF * iE !E iE iE * iE iE iE iE if iE iE BF RE Bt iE iF lF BE 9F BE iE iE iF 4E 3F iE * iE * 3E BE if -BF k sE BE iE * 1t BE iE BF iE Bk iE iE9E ie iF * 3F * * iE BE IF iE 1F 3E is iF RE iF iF 3f BF TETE * 9F#iE iF BF tE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 63560 02 SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 63,60 15,00 0,00 78,60 78,60 .00 REVENUE DIVISION TOTALS--> COLLECTED: 78,60 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 78.60 E iF k BE 9E iE 9F iE at 9E*9E ik*it 3e tE 9E*iE le it it#IE**9t 4E iF iE*iF 9E 1E iE BE 3EiE iE 9C iE iE 3F 9f*iE iF 3f kBE IE 3F iF iE 9F 9E 9f iE 9E iE *IE iE If RF iE if IF*iE if lE if I N D I V I D U A L F E E B R E A K D O W N Z QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1817 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT .03 63.60 END OF FEES 01 CD091II±1—GODf2$11 7 co z i3-15: 0?'ic 0?12 i:i TI1l G9t43 CONSTRUCTION AND PLANNING APPROVALS Permit # n Date Inspector POOL�PA� APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 1 Etectrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding " 5. Steel Reinforcement- 56. Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - :,, 58. Eiectrical Conduit-Undrgrnd. B. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10; Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer ;Line_& House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final - 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric`Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough ElectricBt-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT" - EQUIREMENT"- .APPROVALS, -Pert�iit # ' 20.'Rough Factory Fireplace> 20. 'Rough 21. Ducts, irLStructure - 70. Undergrou Hydro 22. Ducis, Ventilating - ^ _- r r '71. Product Piping C1Gas 00iI 23. Gas Pipe -Rough & Test n. .- �,- 72. Underground Flush 24. Roof Framing = 73.'Undergrncl`:StorageTank OGas 00il 25. Roof Sheathing~74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Mcnocoat i - 75. Dry Chemical - ' - 27.'Frame and Flashing, - r 76. Dry 28. Lathing & Siding ?: ?. ; ? 77.- FIXED SYTTEM'FINAL: ; 29. Insulation _ - r 78- FIRE PREV. FINAL - 30. Drywall Nailing HE-ALTH!DEPTt REQUIREMENT 31. Plaster Brown Coat. I 79. FINAL IN�PECTION 32. Electrical Power Meter -Final 80.,FOOD CERTIFICATE ISSUED 33. Final Electric Notesi 34. Final Heating & Air -Conditioning--' I� • - - 35.,'Final Gas Pipe -Test.' - 36. Hood or Canopy 37. Final Factory Fireplace ` • ' 38. Final Plumbing - • 1 .1 39. Water Service -Final 40, Gas Service -Final - _ r s •• 41. Solar Domestic -Final 42. Backflow Preventer. _ 43. Backflow Irrigation' a44. Landscape Irrigation System. '45. Sound Attenuation -46. Handicap Regulations. 47. FINAL STRUCTURE & BUILDING '- 48. FINAL PLANNING • 49. _Electric Release to Edison 50. Gas Release to Southern California Gas Co i - • 51. CERTIFICATE OF OCCUPANCY No. Date - •. ? PROJECT ADDRESS: 386 E 15TH ST UNIT' D DWNER'SNAME: ROBIN KELLEY ADDRESS: CHARLES 6 LUEY RAU 386 "D" E. 15TH ST COSTA MESA ARCNIENGINEEfl: 645-1339 flEG.NO.: ADDRESS: UNIT: PERMITTEE: MS KELLEY 6 MR,MRS. RAU (714)645-1339 ADDRESS: �g6 D E. 15TH ST COSTA MESA CA 92626 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70001 0l Division 3 of the Business and Prolessions Code. and my license is in full force and effect. CITY LIC.: STATE LIC.: CUSS: Date: Signature: WORXERS' COMPENSATION DECLARATION: 1 hereby affirm that I have a certificate of consent to sell -insure or a certificate of Workers' Compensation Insurance. or a cendied copy thereof (Section 3800. Lab. Q. POLICY NO.: EXP. DATE: COMPANY: Candied copy is hereby furnished. ❑ Candied copy is Iced with the City Building Division. Date: ` r Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: This sector paid not be completed if He permit isfar one hundred (5700) w less). I cenity that in the performance of the work for which Itis mint i5 issued. I shall hall employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date: Signature: NOTICE: If, after making this declaration, you should became subject to the Workers' Compensation provisions of the Labor Code. you most forthwith comply with such provi ions ot this permit shag be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a comtructim lending agepey for the performance of the work for which This permit is issued (Section", 3097. Civ. Q. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of County which requires a permil to CUmtruct. alter, improve, demolish, or repair any structure, prim to its issuance. also requires the applicant for such Permit to [He a signed statement that he/she is licensed pursuant to the provisions of the Contractors' Slate License Law(Chapter 9(cornmencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the bas's for the alleged exemption. Any violation of Section 7011.5 by any applicant for a permit subjects the applicant to a civi penalty Of not more than five hundred dollars (15001. I. as owner of the property or my empployees with wages as their sole Compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himsell/hersell or through his or her own employees. provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within ane year of completion, the owner will have the burden of proving he/she did nor build or improve for the purpose of sale). I, as owner of the propertp. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business and Prolessims Cade: The Contractors State License Law dues hot apply to an owner of properlyy who builds or improves thereon and who contracts for such projects with a contractors) license pursuant to the Contractors Etc License Law(. I am aware that proof of their Worker's Compensation insurance should J-HeaJ to me. ❑ I am exempt under Section: B. A P. C. for this reason: L/ �L -Gale: 4 2 ( y OI do hereby Ceraly Inal I am aware of and understand the requirementlResintial and ety Code Sections 25505. 25533, and 25534 and that I or any future building occupant williwill not (circle one) need to coid state codes and the requirements for a permit for construction or mollification from the Air Quality Management District. construction applications are exempt from these provisions. Dale: Applicant: I hereby certify that I have read this application and state that the ordinances and state laws relating to building construction and In Property lot inspection purposes. �L , Dare: 2 Y— P A� Signature: Driver's License or Social Security M: to comply with all city and county 0 enter upon the above mentioned C 1641.46 White—Building: Green—Code Enforcement; Canary—Applicant; Pmk—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 060204 PERMIT NO: E 060204 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION : ELEC. OUTLET FOR B.B.Q. SQ FT: CLAIM VALUE: 225.00 CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTOR REQUIRED PRIOR TO FINAL kkMkkkkkitkkkkkkkMM**�MkkMMM x��F+EBF:FBF**rrr:r�r*:r**r+Fier�rr*�r�r*��r*:E:Eir�:r��E Er��r+r:F*:E*�F:r�E� Z O N I N GS E R I E B Q A U C I K R S E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN ((FS�T PARKINGGRNO'�ES> PROV: PARCEL: 42531108 ZNE; REF NO: > MMMMMMMkkkMMkMMkMkMkMkkMkMMMMMMMMkMkkMkkMMMMkkkkkkkkkMkkkkMkkMkMMkMkkkkkkkkkMkk D E V E L -O P M E N T S.E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : IA %n A . DATE: APPLICATION ISSUED BY:V MMMMMkMMMMMkMMkkMkMkMM kMMkMMkkMMMMkkkkkMkMkMMkkMkkk LEGALIZATION:N BLDG PMT PLUMBING PERMIT 4 kMkMkkMkkiF7F�it iF`E iF iE iF iF iF iF if if if lE if iF iFiFMMMMiF iF iFM kif�AiFkM MMMMMkMMMkk kkkMkkkMMkkMkMMkkkkkkMMkMMMMMMMkkkkk F E E S U M M A R Y STRUCTURAL SEGMENT:N ELECTR7C MECHANIC FIRE SMIP/RES GRADING SO% SMIP/NON—RES 15.00 PLAN—CHECK TOTAL PAID DUE 0,00 15.75 15,75 ,00 PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE TOTALS ---- > 0.75 15.00 REVENUE DIVISION TOTALS--> COLLECTED: 15.75 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 15.75 M MMMMkkkkkMMMMkMMkkMMMMkkkkkkkkkkkMkkkkMkkitkMMilkMkMkkkkkkkMMkkMMkMMMMkitMkkMkMMk I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST ELE 1 RECEPT/OUTLET 1 ST 20 EA, ,75 END OF FEES TOTAL COST ,75 ' CONSTRUCTION AND PLANNING POO. APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location . 24 Soil Pipe- Undr rnd. C. 53. Steel Reinforcement tEIeOwcal Condui[ Ljjlity-Undrgrnd. 54. Forms ' 24: Ele,ctEical Condifiru tSdrgrnd. T 55. Electrical Bonding - '4.4pinforcem ht', 56. Rough Plumbing & Pressure Test S 6 Electrical UFER Ga=el. 57. APPROVAL TO COVER-GUNITE KEtrptings rt 58. Electrical Conduit-Undrgrnd. F� 8.' FpLndation 59. Gas Pipe, O Undrgrnd., Test n. ' . 9.:�ater Pipe-Und6�d. 60. Backwash Lines, P Trap, 0 Undrgrnd.. r 1 10. Structural Floor System 61. APPROVAL TO DECK -• 11. Property Sewe6:Line-& House Connection _ 62. Backwash & Receptor-Finat ' 2 12. Sewer Cap •- a. 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbi< -O 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric.Wiring 67. Fencing & Access Approval `17. Rough Wiring S,gn 68. APPROVED FOR PLASTERING 18. Rough Electricfl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT _ C7' O'HQ r, •'- :pPPRR/A�%? Pler! # 20.E Rough R-actdrV FSieplace t S':17 S " * C a • x tiff r. 21.f_ uC1ts,la in,Structular ; '. .� �� � _ - < x X70. C)nderg[adAd:Hy3ro • 22.,Du,tE, Ventifatin' ; I r, t4 * ; 1. Prod uctrel,5 g Er as �il •• - 23 cGa - ip - ou h &•• ,st ) S., .� !€ I TIS :*: V ' ks 2 C K I, _ F I ' `72. -72. Undergrotod Fluchf} F=' 24.-RogF,;mingi I: F r> T -:�1 :�73�_lndergrn�Stor'AfiGas 001 ­Sank' 25. Roo`TSrlthin t- 9 = _ r i' _ -74; Overhead HydroC •r �. 7 x 26.!71-er Ceiling (Str=turall & i4mocoat V - r. � x 75 ry Che al � 4 I­ - tc ^ Flasho r S r27ra;e ry SLan4pe 76: D a _ :-�iB.Aatl'Dng:6 Siding^ 77XFIXEDSY E NALyF, '29. Insulation " r , x 7&t FIRE PREY. FiNAiL T 4 S x *30. Drywall "IailRtg HQALTRIDEPTf REQUIREMENT `-x Q31. Plaster BFpw�Coai` t INS CTI€T�': S r•r ?79''FINAL ',-32.t,Electrical Power M_eteP.Final t 0.?FOOD CERTIFI Al•E ISSUED _ E19tric� s: s33.in .�$4.;f inA Heating& r•'Co'ndition'- - .1 !- A x z �S t'i:.c 35.nFinbt Gas Pipe-Testy 'r -3 „i 0. 'tet-`- r ,-36.' Horor`CanopyC< 7,y t [+' d x C` •' > 7.FinWF'Factory Fir �et�_- ^n� ILIK ,� y W ,-t!8. Finale Plumbin c 9 r Ca9. Wate1 Service-Final, - -- x n "'7! ' x ,0. Gas Service-Final y.r - z r �,� _ n; X ' T41. Solar Domestic-Final 142 =Backflow Preventer,; N ; Is . >i-• r: C -- - 43. Backflow Irngation4 R;SS } !c a:[- <O r, UA4. ^. _•. Landscape 144gatioq System=-. ! z K r L7 r ? no _ v '45,Sound Atterivatio t - • T _ * t^ -r� •t¢ ? ` \ X6. J l - ✓ ...- , ,%1 , s t.: 47. FINAL STRUCTURE & BUILDING 4 K 48.:FIkh PLANNIN _49.Eleo7ic Release to Edison i 0 tb Souilern Califozrya Gas Co _Gas,Release 1. CERTIFICATE OF.QCCUPANC No. Date PROJECT ADDRESS: 386 E 15TH ST OWNER'S NAME: ROBIN KELLEY ADDRESS: CHARLES 6 LUCY RAU 386 "D" E. 15TH ST COSTA MESA 645-1339 ARCHIENGINEER: ADDRESS: REG.NO.: UNIT: D UNIT: PERMITTEE: MS KELLEY 6 MR.MRS. RAU (714)645-1339 ADDRESS: '386 D E. 15TH ST COSTA MESA CA 92626 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORXERS' COMPENSATION DECLARATION: I hereby affirm that I have a chitificate of consent to sell -insure or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Section 3800. Lab. C). POLICY NO.: EXP. DATE: COMPANY: Certified copy is hereby furnished. ❑ Certified copy Is filed with the city Building Chipping. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (Th¢ seCwn need not be CMOeiW it the penrdt is IM one h ridmd (5700) m less). I certify that in the performance of the work for which this hermit is issued. I slag not employ any person in any manner so as to become subject to the WorkersCompensation Lays of California. Date: Signature: NOTICE: II, after making this declaration. you should become subject to the Workers Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a Construction lending agency for the performance of the work lot which this permit is issued (Section 3097. Civ. C). LENDER: ADDRESS: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 060205 PERMIT NO: P 060205 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION GAS PIPE FOR B.B.Q. 6 1 SPRINKLER VALVE SQ FT: CLAIM VALUE: 225.00 CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTOR REQUIRED PRIOR TO FINAL iEiEitiritr9ritr9er*aF9FBekaE4tieRe4eJt4tit*■* kkififBfMBfMMMifBkitihif9fBEiEMMiFJekiEBElEitM**M8E9eMBkititiFikRtiFiFitkiFikMBkkkBf Z 0 N I N GS E R T E B Q A U C I K R S E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42531108 ZNE: REF NO: PLANNING N(3TES> > BfitMMBf 9f Bf BF BlMMBF BE BEMSf kBe BEkkk MBFstkRf**iEkJf9f RF 9f MBf Bf iF'M++rE,,�+�**KiF DEVELOPMENT S E R V =I.IC1 E S ZONING APPROVED BY BUILDING APPROVED BY APPLICATION ISSUED BY: MMBE Bf kBE BtMMMREMikMItMMk MMSFM Bf BfkMBfkk MkBEMkMMkk MMikkkM LEGALIZATION:N 1 F E E S•U M OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the ContraClors' State License Law fpr the following reason BLDG PMT PLUMBING ELECTRIC MECHAN (Section 7031.5 Business and Professional We: Any City of county which requires a permit to construct, atter, improve. demolish, or PERMIT 12 00 repair any structure. prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed 25% 1 h Co 'S1 L' L C 9 with Sect' 7000( of Division 3 of the Business U I R E M E N T S DATE: DATE: DATE; �*kikk MNf if RF ick kM *kiFkif*kiF it*M*9f MBE BE MRF BF BkkkkklEMM STRUCTURAL SEGMENT:N FIRE SNIP/RES GRADING SHIP/NON—RES pursuant to the prow sons o t e nuactors tate tense aw( hapier (commenting cart on and Professions Cede) or that he7she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars (SM. PLAN ISSUE FEE U A L 20.00 A K D O W N TYPE QTY D E S C R I P T I O N I, as me, of the progeny or my employees with wages as their sole compensmion. WM do the work. ane the BUILDING PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structureisnotintendedorofferedforsale(5ection7044.Business and Professional Code: The Contractors' State License Law TOTALS ---- > 12.00 20.00 0.00 32.00 32.00 .00 does not apply to an owner of a property who builds or improves thereon, and who does such work himself7herself or through his or her own employees, provided flat such improvements are hot intended in offered for safe. 11, however the building or one year of Completion. the owner will have the burden of proving he/she did not build or improve REVENUE _ TOTALS— forptheeprppn E Ofsale). BLDGVPMTOPLUMB NG ELECTRICOMECHANIC FIRE SMIPO/TOT/SGORADING PLAN—000 HECK I m n I ntractm With licensee contractors to Construct the reject Section 7044 Business 32.00 as owner o e props y. am exc us"eIy co ® are Professions Code: The Contractors' State LiCense Law pages hot appy to an owner of proper! Who bullets ot improves thereon and who contracts lar such projects with a comragtor(s) license pursuant to the Contractors Slate License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: //. a �1 Date: Is — 1 — / Li Uvne• I do hereby cemfy that I am aware of and understand the requirements o I mia Health n Safe Cede Sections 25505, 25533, and 25534 and that I or any future building occupant wimwill not (circle one) need to compy win io star codes and the requirements for a permit for construction or modification from the Zr Dually Management District. Resident consmuction applications are exempt from these provisions. Date: Applicant: I hereby certify that Ihave read this application and staff ordinances and state laws relating to bmlding Construction property lot inspection purposes. .Date: 2' 7 — 7 Z� Signature: v Driver's License or Social Security e: information is Correct. l agree to comply With all city and County wire representatives of this city to enteuroon the abovementioned 164146 While—Bi ndmq; Green—Code Enforcement: Canarv—Aooticam: Pink—Revenue: Gokenrod—Arnmixor BE 4E BE if BEkMiF BE BE et aerfese BF se Jr BF eF 4E are st itrRt BE BE BE Be******SF1klFlf iFMkifkMMif kif kiFkkRf*****fEEt**********iE**iE BFMM I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 500 5.00 PLU 1 LAWN SPRNKLER SYSTEM ON 1 METER 7.,00 7.00 END OF FEES • CONSTRUCTION AND PLANNING - POO .;PA APPROVALS Permit r Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pi e-Undrgrnd. 53. Steel Reinforcement , '•-{-l*+.I Condwk6ility-Undrgrnd. 54. Forms 4_ftectrical CondOiWUbdrgrnd. 55. Electrical Bonding , 4'Steef[einforcemLri> 56. Rough Plumbing & Pressure Test -, r '[ft ElectricalUFE'R•Grfld. 57, APPROVAL TO COVER-GUNITE �4,,- dotings 58. Electrical Conduit-Undrgrnd. E� 8.%undation ,;;C 59. Gas Pipe, 0 Undrgrnd., Test • r� 9. Pipe-Unr g?nd. 60. Backwash Lines, P -Trap, O Undrgrnd. j 10. Structural Flo oi System 61, APPROVAL TO DECK 11. Property Sewe0:LinM& House Connection 62. Backwash & Receptor -Final 12. $ewer Cap y 63. Heater & Vent -Final i 13. Roof Drains 64. Plumbing System - Final -. 14. Rough Plumbitl6 - 65. Electrical -Final 15. Rough Electrical -Conduit T 66. Solar System -Final 16. Rough Electric'Wiring 67. Fencing & Access Approval -17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electric -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - Q 1 r* - trt�x9 ppRQVA # 20,TRou`gh F-3a5N Fireplace -� T G - * O �'S',=1CPernait 21._ uc's, irrDStrSct4 x* I r S r S a o 770. Unde grotmd; HyCro x 22. Dugs, Vpnt[ ti ^ Y i C'�S x S ui = x71. Produc ing 5Qasil 23.CCas•Pip o h &•Fest ` +±9 \ tr x- bt 11 r 4 UndergrotTd F{u.c�ru r -S x A: Cx *X72. 4Y 1- 24!aRo6YFr•aming Sx �F-1 C 71 ; 734UndergrneT..Store g'fiankPGas 0OTI`-' ,. r..c Cr .-. .(K 25. Rood SIG ...:� Zi .�.( i Ti . � K' r V .1 r., R 74tcOverhead �IydroD K , i. ,, > c x 26.- -6r Ceiling (Stcttot ural) &SMenecoat + O T..< 75Dry Che r •'' - 0:J >: n4cal _ 27 ragte aed Flashf� ` a t: ' ` 76' Dr O<'J S �r• Stan ipe CU r . OSCz 1,C T' Y•x x Y •.,yce k S x-28. Lathing Siding^r •i z' s E * x 77E FIXED LYEVtALx H\'1 � X29. Insulation cc�a S , , x 78gFJRE P,REV. FINAL u > a SS V J tr30. Drywall'NaitlAgT« = 's< r-•✓ •HEALTH•DEPT>R£QltIRENtENT •t t• �l 1 D' T L31. Plaster �rovixgCe;° `s 79: I IKAL` 1`iSPJ CT1(�N S _�. (�32.trElectrical Prnver;MoteUFinah v e:'x r80:r,F00D CERTIFhO.l�fE ISSUED - 3'1� EI ctr I:�S c- x •r- « N�Es: '+E T :•-3:SFin�.. trx \•:i_r, a: 234; Finl Heating & 1�rxLopditi irtpg [� _ s t s 5 _ J 35.nFir&i GaAPirie-Tesx .�� - ` �.� = r✓�-� Tx 036. H09d ou CanoPYo« 0 x r`'� - 2> J E c o s r •C � r '-Final Factory Fir'4a•Ce_ S•' L 'q • ^ _ `'�•-' �«.' t `-38. Final Plumbing E c I •• tti S_ x. =ac t'39. Wat& Se vice-Finat' - �• 'jtT x ^' .-S} :,40. Gas Ser4te-Final r ,e-, r S_ * .Y \ c tt ' % ,::; r • •y '3111. Solar Darnestic-FlnaLs it •• +�rl K Sc r, + -' _ = 42.'•BackfloW. Preventek yc «�: z >•_ .: �, 43. Backflow IrrTqatiorfi SSS k x x ,D S x V �^ :T44. LandscapelirigationSystent -qtz,, x =5. -Sound Attenuatiort Cu x4 Handica`p.FlQulatigps = rt' Ak 046: 47.:fINALSTftCTURE&BUILDING x `<� j iu S A rr I x is c. - t a• ' 48: -FINAL Pl_, INNIN([i, i QCT., .� / +1 1 x u •1, - -A9..Alectric Release totdison ,'r50._Gas;Release to Southern CalifQcgia Gas Co v s r =tr w 0 _ '•51. CER-TIFICATE 0 ,.00CUPANCY No. Date Pli f,'MADDRESS: 386 E 15TH ST OWNER'S NAME: LLOYD MYLES DEVELOPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 723-5300 ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT:D CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 051299 PERMIT NO: B 051299 PLAN CHECK NO: 06852-90 Ai GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE: NEW UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 42.3 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: )ate: Signature: WORXERS' COMPENSATION DECLARATION: I hereby affirm that I have a cenificate of consent to self -insure or a cenificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800. Lab. Q. POLICY NO.: EXP. DATE: COMPANY: ❑ Cerufied copy is hereby furnished, ❑ Certified copy is filed with the city Building Division. Date: Applicant: EXEMPTION FROM WORXERS' COMPENSATION DECLARATION: (This section need not be completed if the permit Is for one hundred ($100) or less). I certily that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Dale: Signature: NOTICE: It, after making this declaration. you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work lot which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' Stale License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 or the Business Ind Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ,any applicant for a permit sublects the applicant to a civil penally of not more than live hundred dollars (5500). I, as owner of the properly or my employees win wages as their sole compensation, will do the work, and the El structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' Stale License Law does not apply to an owner of a properly who builds or improves thereon, and who does such work himself/herself or through his or her own employees. provided that such improvements are not intended or offered for sale. It, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of me property. am exclusively contracting with licensed contractors to construct the project coon 7044, Busi s and Professions Code: The Contractors' State License Law does not apply to an owner of prppert who tls Or improves reon and who contracts for such projects with a contractors) license pursuant to the Contracto I tat i Law). I aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. S P. C. Jar this reason: Date: �_� a _ / Owner: I do hereby certify that I am aware of and understand the requirement Cali ia, ealth d slaty Code Sections 25505, 25533, and 25534 and that I or any future building occupant willbyll not (circle one) need to comply wir said stale codes and the requirements for a permit for construction or modification from the Air Duality Management District. Beside lal construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and stale that the aboveinfor on is carr¢ ordinances and state laws rotating to budding constructio d here Ize premmeriv ns city r upon t a properly 10, inspection purposes./ Date: =` U=CI Signalu Driver's License orSocial Security a; 164146 While—Building: Green—Code Enforcement: Cafiary—Aoplearre Pink—Revenue: Goldenrod—Assessor JOB DESCRIPTION : NEW SFD SQ FT: 2,481 CLAIM VALUE: 90,000,00 CALL—VALUE 146,838,30 GROUP OCC: R-3 COMMENTS: NEW SFD HOLD FOR SPECIAL REQ if iFiF9f iE' 7k�L1RME iF 1E%iE 4e iFRE9iRf 9E dE io iFk iE iE i(-klE iE 1E �IE if iE iEIE iE 1E lfiE lE N-iQ if iE iF if 3f iE N iE it•iE 1F jE iE if iE if iE iE•lEif iF TETE iE if iE iE le X. -it -0f iF k 4F 3F 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 ---------- --------- ACCESSORY BUILDING--------- FRNT: 121 FT IN REAR: 10 FT 8 IN FRNT: FT IN REAR: FT IN LEFT: 11 FT 5 IN RIGHT: '11 FT 5 IN LEFT: FT IN RIGHT: FT IN PARKING REQ: 2 PROV: 2 PARCEL: 42531108 ZNE: R2 REF NO: DR -90-38 PLANNING NOTES> TWO STORY APARTMENT — LEFT & RIGHT SETBACKS ARE SEPARATIONS D, *5 OPEN PARKING SPACE PROVIDED FOR—THE UNIT, D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY : (Mpll _ DATE: BUILDING APPROVED BY : _ DATE:j�q(_ APPLICATION ISSUED BY:n�d� DATE:2 X if dE if if 9P 4f if dE dE iE D6 lf fF iE 9f RO 9E k RF IE RP 4E, 9E 4E RE if *dF RF#if iE-9E *iE 9E if 9E of iE TETE iF fE*RLk•If#iF df if .)(. Rf RE 4f iP.)E iE iE RE iE 9f 3E RE dE iE•kR(•9f 1E RE if df iFie aE Rf if iL 9E 9tif iE*9f �E iE i(-df•M*9E �6 �E iE 4E RE 4f-iE 1F RF iF iF.){.9F-lE #.)E iE iE LEGALIZATION:N F E S U M M A R Y STRUCTURAI. SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 804,00 SMI10.28 ON—RES PLAN- 130-.65 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 814,28 0,00 130,65 944,93 944,93 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 814,28 OVER/SHORT:00. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK r 804,00 10,28 i% jrXr ii' it 1f r iL iL x if'r �f iL if'r it if if ie i{ if if if iL• if iL iL' iL• if iL-if iL if iL if if iL iE if To- ie if if iL if ie if �6 it aE ie iL w N ie if ie if ii if it >f i6 iL it if if if if it iL if as if aF?t ie 1f I N D I V I D U A L F E E B R E A K D O W N YPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 2010 DWE—TYPE V—WOOD FRAME —GOOD 69,00 138,690,00 SFR 471 RES—GARAGES TYPE V ND 17,30 8,148,30 TIMARF17 :y 1 8 1991 CITY OF COSTA MESA I CSNSTRUCTION AND PLANNING a APPROVALS Permit # Date Inspector POOL __ 6PA 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-Undrgrnd. 55. Electrical Bonding ' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6: Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings -' 58. Electrical Conduit-Undrgrnd. - 8. Foundation 59, Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. , 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer TLine & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final ' 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 'APPROVALS -Permit # •',' 20. Rough Factory Fireplace - _ 21. Ducts, in Structure - '' 70. Underground Hydro 22. Ducts, Ventilating' 71- < - 71, Product'Piping 0 Gas O'OiI J72. 23. Gas Pipe'Rough & Test ' Underground Flush- _ - - 24. Roof Framing _ - 73.' Undergrnd. Storage Tank O Gas 0 oil - 25. Roof Sheathing 4' `74..-Overhead Hydro: 26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical _ 27. Frame and Flashing _ . Y - 76. Dry Standpipe - 28. Lathing & Siding _ a 77.. FIXED SYSTEM FINAL 29. Insulation r _ ' •• �_ :. ;t 7$, FIRE PREV. FINAL -30. Drywall Nailing 1 - .� v • HEALTH DEPT•. REQUIREMENT 31. Plaster Brown Coat _ J _ X79 FINAL INSPECTION - 32.-Electrical Polder Meter-Final .80:-.FOOD CERTIFICATE ISSUED 33.' Final Electric: -' - •-'tiy `Notes: 34. Final Heating & Air Conditioning /40 41W 35. Final Gas Pipe-Test 36. Hood or Canopy r - • 37. Final Factory FireplaceF _ '"'`' ` ' - -•� - '38. Final Plumbing 39.-Water Service-Final - - 40. Gas Service-Final V; 741..Solar Domestic-Final - - r _ 42. Backflow Preventer- = 'r -. 43. Backflow Irrigation _ T - •' 44. Landscape Irrigation System. - r - - • - .. -45. Sound Attenuation > - 46. Handicap Regulations _ 47. FINAL STRUCTURE & BUILDING 48. FINAL ING 0_ - u 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No Date - PROJECT ADDRESS: 386 EA15TH ST OWNr^ NAME: LLOYD MYLES DEVELOPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 723-5300 ARCHIENGINEER: ADDRESS: PERMITTEE: JOHN JANIS PLUMBING ADDRESS: 1539 MONROVIA NB LICENSED CONTRACTOR DECLARATION: I Ser, y aging Ihal I am licensed 7000) of Division 3 at the Business and Prot, ions Cotle . and my license i; CITY LIC.�:052282G�}0 sTATELIc. 54631 Date: -CJ'',/ Signature: _ _ WORKERS' COMPENSATION OECIARATION: I hereby altirm have a qSol Compensation IIsO'l13 9c9tilied copy thereof Sep` B0, Lab. V POLICY NO.:if EXP. DATE: UNIT: D CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: P 051981 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU REG.NO.: UNIT: (714)64287764 CA 92663 tr provisions of Chapter 9 (commencing with Section oil Ior d effect. ^ 2/01 or a certificate of Wagers' OMPANY: STATE FUND Certified copy is hereby burnished.Certified copy is Nfad with to 'y Boit ' 61 1. , ,e: Applil EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (Thseiteton need not be completed if period is for one hundred ($700( or less). I eighty that in the performance of the work for which thisper is issued. I shall not fordo y person in any manner 5o as to become subject to the Workers' Compensation Laws of Californi Dale: Signature: NOTICE: ll. after making this declaration. you should become Subject to the Workers' Compensation provisions of the Labor Code you must for lh comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLINATION: I hereby affirm that I am exempt from the ContractorsState License Law for the following reason (Section 7071.5 Business am Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance, also requires the applicant for such permit to lila a signed statement that he/she is licensed pursuant to the provisions of the Contractors State License Law (Chaplet 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500). I, as owner of the property or my employees with wages as their sole compensation. will do the work, and the El structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himsell/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. It, however the building or improvement is sold within one year at completion, the owner will have the burden of proving he/she did not build or improve lot the purpose of sale). I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business EJ and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon and who contacts for such projects with a contractor(s) license pursuant to the Contractors' State License Law). Iam aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C, for this reason: Date: Owner: 1 do hereby Cindy that I am aware of and understand the requirements at California Health and Safety Code Sections 25505, 25533, and 25534 and that l or any future building occupant will not (circle One)need to comply with Said state codes and the requirements for a permit dor construction or modification from the it Dually Management District. Residential construction applications are exempt from r` these provisions. L Date'AppllLant: I hereby certify that I have read this applic ion and stale that the above information is Cor Cl. I agree to comply with all city and coil ly • ordinances and state laws relating to bWliir construction and hereby authorize represent sot this city to ente nthe above -menti ed property for inspection purposes. T' Date:7—y1` Signature: — t '✓ Driver's License or Social Security n: 1641-46 White—Building: Green—Cade Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor PURPOSE: OTH JOB DESCRIPTION NEW SFD W/ATT GARAGE SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: RE: B51299 PRIMARY BLDG. PERMIT. 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 ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN PACKING REQ: PROV; PARCEL: 42531108 ZNE; REF NO; P NING NOTES> > D E V E L O P M E N T S E R V I C E S•.'R E Q U I R E M E N T S ZONING APPROVED BY A DATE; BUILDING APPROVED E",,>�: DATE; APPLICATION ISSUED BY; DATE: ##PLIC######ISSUED#### ########## ## ####IIIILLIPPLIIPLLLLLILLILIL#LPLLPLIIIIILILLLIL############################### LEGALIZATION:N F E E S U M M A R Y -STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 90 00 5= SMIP/NON—RES PLAN ISSUE FEE 3.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 40,00 --3.00 0.00 43.00 43.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 43,00 OVER/SHORT: ,00:% BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 43.00 I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 2 BATHTUB 2.00 PLU 1 DISHWASHER 2.00 PLU 1 LAUNDRY TUB OR WASHER 2.00 PLU 1 SHOWER 2.00 PLU 1 SINK, KITCHEN 2.00 PLU 4 WASH BASIN 2.00 PLU .3 WATER CLOSET (TOILET) 2.00 PLU 1 WATER HEATER AND/OR VENT 2.00 PLU 1 WATER SERVICE 2.00 PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2,00 PLU 2 GAS PIPING SYS 5+ OUTL—PER OUTLET .50 4,00 2.00 2.00 2.00 200 8..00 6.00 2. 00 2.00 200 1..00 T C1 1. 0 A11111116_ AiNk W CONSTRUCTION AND PLANNING PO A -APPROVALS Permit* -APPROVALS Date Inspector Permit # Date Inspector 1. Temporary Electrical Ser Gibe or Pole L ! 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. y 53. Steel Reinforcement � r � ^3;Electrical ContluitUtility'-'Undrgrnd." �/, 54. Forms r, ,.-4,'Erectrical Conduk-Undrgrnd. � 7) 55. Electrical Bonding T}Sn.Steel5Reinforcert�ent 56. Rough Plumbing &Pressure Test .1 _ u6. lFJectrical UFEZGrnd. 'v 57. APPROVAL TO COVER-GUNITE 1'. _7'.'Footings cr✓` 58. Electrical Conduit-Undrgrnd. _ Foundation :.• � � 59. Gas Pipe, O Undrgrnd., Test Water Pipe-Undrgrnd. r7�' 60. Backwash Lines, P -Trap, ❑ Undrgrnd. ? l0. Structural Floor System ' ' �•,' 61. APPROVAL TO DECK 41. Property Sewer Lirte & H6u'se Connection 62. Backwash & Receptor -Final \ Cr 12. Sewer Cap ��, 63. Heater & Vent -Final _ 13. Roof Drains T 64. Plumbing System - Final 14. Rough Plumbing t` �' j 65. Electrical -Final 15. Rough Electrical -Conduit j �• •� 66. Solar System -Final t 16. Rough Electric Wiring 67. Fencing & Access Approval ' -17. Rough Wiring[Sign 68. APPROVED FOR PLASTERING 18. Rough Electrial-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL " 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - - -- J' 7 -OF - t- -t x-� - _2_% - 7'7 71^ 20?; Rough.Eactory Fireplace �: [*""•'r.:7APPROVALSCCPeemit# x In rr S - �'r '< c C., - F ,.v-': :;>_ 1: 7G^ ^G 21,,.' Ducts, in Structure. - t - 70.Underground HY_dro 22. Ducts, Ventilating: S X44' " :_71, Produ6f Piping Osas 0Oil 23r Gas Pi i Rou h &'rest [?e; 9 �j'a- v jx a . 72. Undergrtour♦d Flusfi Y. r ; v,2 y 24." Roof Framing 7313 Undergrnd. Storage;Tank'O Gas ❑Oil"" 'tea ^•` `-"�' ..'` 25. Roof Sheathing .x to 01 D N' < , C- v '-• -• 1` 74., Overhead Hydro - 26.rT-Bar Ceiling (Structural) &:Monocoat W 7 tact = 75:; Dry Chemical ~'� -^ G xG .r:CO3 o: n :9.-, 0 rc• .-r �. r-t� . L.,-• [ .�,f, rat.^A 271: Frame and Flashing r � :f < 76 Dry Stan'�pipe .28.- Lathing& Siding -• A :�¢ i A � •• ••�..V 777 FIXED SYSTEMXjjIA� •� �"� •[`' „'sem �+-'-� _�' •on t I t. 5 er' n .,•- Y o. Y. .... 7 29. Insulatif .E.r p •[} .' t. 7Q -,FIRE PREV. FINAL » > tic tni- -• -,�.a �S� ^30. Drywall Nailingtn? V� w HEALTHfDEPT.;REQUIREMENTI'" nr _ -z31.Plaster•BrownCoat: I . ;; S I,ra t"t,79.."F'INALINSPECTIDN �,s`°s�j'• 3 u32; Electrical PiverjOeter-Final - • ::.: -,r _ iB0^FOOD CERTIFICATE ISSUED n per. �- Electr,�c•' ' M Notes: =�, W+ .33-Final ,,, R.: C 34� Fi al Heating &.Ai[ Conditioning n'• ' r ,rt %-•- S ^x 'E S .. C 35,,Final Ga's Pipe-Te'st 36.'Hood or Canopy - f - ? 1t�0 ,r i :>• n• z :: x.. 1 X -3T='FirTal Factory Fireplace, SE, I LO _38. Final Plumbing co i S L S . m 39. Water Service -Final �`+ a to t tS [1 s -40. Gas Service -Final a. I T c f x.41. Solar Domestic -Finals r x ^' I E ¢o '+ + tr T" T j 42.�Backflow Prevented Cu 43. Backflow Irrigation •y x = �:' - -- - -_ tit rsc•:ec+. :..•�+ _ 44. Landscape Irrigation System W:j k a, ,: a -1 : � � _ v r e. ��co.c•ooc000c 45" Sound AtteBuation x t 1 46, -Handicap Regulatigns"tt: ` ••� u'� ~Y' • �;• - _ _ _ 47s;FI4AL STRUCTURE & BUI.LDINGr Z7 48':'FI"L PLANNING t,.•'. (". .r a49 -Electric Release to•Edison , ;50.;Gas Release to Sou hern California Gas Co '51. ' I + I ' r :• _ 5-. - .`" : ' ' :" o:': _ _ CERTIFICATE OF, OCCUPANCY No. Date I 'Dale: Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred ($100) or less). I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject In the WorkersCompensation Laws of California. Date: Signature: NOTICE: It after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY: f hereby allirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby allirm that( am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant lot such permit to file a signed statement that he/5he is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Gods) or that he/she is exempt therefrom antl the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars (5500). 1, as owner of the property or my empployees with wages as their sole compensation, will do the work, and the El structure is not intended or offered for sale(Section 7044. Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or ' improvement is Sold within one year of completion. the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property. am exclusively Contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' State License Law does not apply In an owner of property who builds or improves thereon and who contracts for such projects with a Contractors) license pursuant to the Contractors' State License Law),I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date: Owner I do hereby certify that I am aware at and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from these provisions. Dale: Applicant: I hereby certify that I have read this application and stale that the above information is correct. l agree to comply with all city and county • ordinances and stale laws relating to building construction and hereby aulhordet representatives of this City to enter upon the above-mentioned properly lot inspection purposes. Dale: Driver's License or Social Security P: Signature: 164146 While—Building: Green—Code Enforcement: Canary—Applicant; Pink—Revenue; Goldenrod—Assessor DATE: 05/08/91 TIriEij n4:; PROJECT ADDRESS: UNIT: OWNE(T'S NAME: ADDRESS: PERMIT NO: P 051981 PLAN CHECK NO: 01593-91 N PAG ARCH/ENGINEER: REG.NO.: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST 1. ADDRESS: UNIT: PLU 1 GAS SERVICE 2,00 2.00 PERMITTEE: PLU 1 SEWER, CONNECTION TO BUILDING EACH 5,00 5.00 ADDRESS: END OF FEES LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature'. WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Section 3800. Lab. C). POLICY NO.: EXP. DATE: COMPANY: Certified copy is hereby furnished. ❑ Certified Copy is filed with the city Building Division. 'Dale: Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred ($100) or less). I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject In the WorkersCompensation Laws of California. Date: Signature: NOTICE: It after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY: f hereby allirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby allirm that( am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant lot such permit to file a signed statement that he/5he is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Gods) or that he/she is exempt therefrom antl the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars (5500). 1, as owner of the property or my empployees with wages as their sole compensation, will do the work, and the El structure is not intended or offered for sale(Section 7044. Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or ' improvement is Sold within one year of completion. the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property. am exclusively Contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' State License Law does not apply In an owner of property who builds or improves thereon and who contracts for such projects with a Contractors) license pursuant to the Contractors' State License Law),I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date: Owner I do hereby certify that I am aware at and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from these provisions. Dale: Applicant: I hereby certify that I have read this application and stale that the above information is correct. l agree to comply with all city and county • ordinances and stale laws relating to building construction and hereby aulhordet representatives of this City to enter upon the above-mentioned properly lot inspection purposes. Dale: Driver's License or Social Security P: Signature: 164146 While—Building: Green—Code Enforcement: Canary—Applicant; Pink—Revenue; Goldenrod—Assessor DATE: 05/08/91 TIriEij n4:; -_ f_7 4 ,CONSTRUCTION AND PLANNING `APPROVALS Permit # .1. Date Inspector POOL'A APPROVALS Permit # Date Inspector Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56, Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17, Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT APPROVALS Permit # 20ts^-,Rough acttr 0r Fireplace 21._Ducts, in Structure 70. Underground Hydro , 22�Ducts, Ventilating 71. Product Piping 0 Gas 0Oil 23RGa _PipfrRough & Test 72. Underground Flush 247:'Roof Framing-+ 73. Undergrnd. Storage Tank 0 Gas ❑ Oil 25. RoPf Sheathing 74. Overhead Hydro 26vT-Bar Ceiling(structural) & Monocoat 75. Dry Chemical 27°�'Frape acid FlObing 76. Dry Standpipe 28. Lathing`& Siding 77. FIXED SYSTEM FINAL 29. In SIP Np 78. FIRE PREV. FINAL 30. Drywall -Nailing' HEALTH DEPT. REQUIREMENT 31. Plaster5ownzoat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33sFiol E*tric f -^[*7 Notes: 34�Final Heating &'Air Conditioning 35't iFinSl Gas Pipet_Tast 36r,Hood or Canopy,., 37sF in3I Factory iNplace 38. Final Plumbing 39° -Water Service -,Final r� .e < 40 yGas', Service -F iha l 41?Solar Domestic -Final 42.JBackflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations 47:rFINAL STRUCTURE & BUILDING c. 48:FINAL'PLANNING 49. Electric Release to Edison 50. Gas Release`to`Southern California Gas Co 51. CE,RTIFICA�TE OF OCCUPANCY No. Date PROJECT ADDRESS: 386 E 15TH ST OWNER'S NAME: LLOYD MYLES DEVELOPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 ARCN/ENGINEER: 723-5300 ADDRESS: REG.lf UNIT:D CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: M 052987 PLAN CHECK NO: N CONSTRUCTIONTYPE: V—N PERMIT TYPE: MEC UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby allied that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that 1 have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance. or a certified copy thereat (Section 3800. Lab. C). POLICY NO.: EXP. DATE: COMPANY: ❑ Carl copy is hereby furnished ❑ Certified copy is filed with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred (SlDO)or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date: Signature: NOTICE: If. after making this declaration. you should become subject to the Workers' Compensation provisions of the Labor Cade. you must for to comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance at the work far which this permit is issued (Section 3097. Civ. Q. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' Slate License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, Improve, demolish. or repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that helshe is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapler 9 (commencing wild Section 70001 of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars (8500). 1, as owner of the properly or my em loyees with wages as their sole compensation, will do the work, and the El structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State license Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that Such improvements are not intended or offered for sale. If, however the building or improvement is mid Within one year of completion. the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusivelyy contracting with licensed contractors to construct the project ( ction 7044, Business ® and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who b ds or improves ther on and who contracts for ch projects with a contractor(s) license pursuant to the Contract S' Slate )cense Law). I am are that proof of Indir W er's Compens ion insurance should be prov`de>�. ❑ I am exempt Of Section: B. 8 P. C. A for this Baso i /// Dale: - Gwne� _ I I do hereby ce IIy that I am awe of and understand the requirements of Calilornia Neal an Safety Code Sections 25505, 25533, and 25534 and Ihdt 1 ar any future building occupant wilUwill not (circle one) need to camp with said state codes and the requirements for a permit for construction or modification from the Air Cloudy Management District. fl Wenual construction applications are exempt from these provisions. Date: Applicant:/51 I hereby certify trial I have r dthis apPli tion and state that a ab anon is orlec comp ilh all ci co y ordinances and state laws acing to buil tg constmctlon and h y authori rep alive is ci o enc upon the a tined prop uraOS7 Date. 2J Signature: Driver's Licen � or Social Se dty a: 164146 White—Building: Green—Cade Enforcement: Canary—ApPlleare Pink—Revenue; Gddenrod—Ac esaor PERM NO; M 052987 GOVT: N SUPP: N PURPOSE; NEW JOB DESCRIPTION NEW SFD, RE:#B51299 SQ FT: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: NEW SFD Z O N I N GS E R T E B Q A U C I K R S E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 42531108 ZNE: REF NO: PLANNING N TES> > iEiE9t**iEifBF9EIEiE3EiFiF3f*iEB6*3EiE9tiE3E+t*aE963PiE96*3F�itielaf3@**i69E*9f*BE****�F**ifi64t•**aFiE*9fiE*3taEiERFIE***�F*9P*9E** D E V E L O P M E N T S E•R ;V I C E S R E Q U I R E M E N T S ZONING APPROVED BY z DATE: BUILDING APPROVED BY : DATE: 22 k*BFk iE 9E 9E 9f if BEie it Bt BE**9E if iEif k9t Lt aE*9E ifk*kiE k 3E at*iF iE Be kKF iE BPit 9F 8E 9F***if*MBE Kf �E 36 aF iE 9E*9E iE if lF iE iF lf1F IE *ie 3F Y3E 9E k9E*BE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 22 00 25t SMIP/NON—RES PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 22.00 15,00 0.00 37,00 37.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 37,00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 37,00 ie ieaEiEiE9FiFBEiEfEBE9EiE9EiEiEiE9E*****ieiFIEiE3eiEiEiE**iEia3EiEiEi6iE9e*3EiE*IPiElEiEaf9FiEkIeiEIE9E3f*iFfETFiE+t9tiFiF3EiF**at*iEiElEkie I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST MEC 1 INST FORC—AIR/GRAY FURN > 100 K BTU 1100 1100 MEC 1 FACTORY FIREPLACE 6.,50 6.,50 MEC 1 VENTILATION FAN CONN TO SINGLE DUCT 4.50 4.50 / END OF FEES 01 00092%,10 OGOY 10 -1 07 o i Ar OP,TG 07,'23/91 TLiEo 60,42 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL& SPA APPROVALS Permit # Date Inspector 1 f Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.'Electrical Conduit Utility-Undrgrnd. 54. Forms 4..Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6.'ElectricalLIFER;Grnd. 57. APPROVAL TO COVER-GUNITE -7.^F60tings 58. Electrical Conduit-Undrgrnd. ' • $, Foundation `'' 59. Gas Pipe, 0 Undrgrnd., Test 9.. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Svuctural Floor System 61. APPROVAL TO DECK 11. Property Sewer -Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap i 63. Heater & Vent -Final _ 13. Roof Drains - 64. Plumbing System • Final 14. Rough Plumbing 65. Electrical -Final _ 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electric') -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning FIRE DEPT, REQUIREMENT- APPROVALS• •' -Permit ' 20::RoSgh Factory Fireplace -v � .- 1 _ 21."Dudt's, in Structure .. ". 70. UndergroA Hydro 22. Ducts, Ventilating _ * r i- -:77. Product'P}ping C3 Gas ❑Oil 23.7Gas': Pipe''Rough &'Test ' f ` 72. Underground Flu --SK 24. Ro4Framing r,i -73.-Undergrnd.StorageTank-p Gas OOil 25. Roof Shgathing .• ;, ', " "74. Overhead Hydro - 26. T -Bar Ceiling (Structural) &'Monocoat _• t S 75. -Dry Chemical - 27."Frameand Flashing _ 76. Dry Standpipe 28. Lathing &Siding s : _ >' 77. FIXED SYSTEM FINAL` '29. Insulation C T '- 78[" FIRE PREY. FINAL - r T30. Drywall Nailing HEALTH.DEPT.. REQUIREMENT 31. Plaster Brown Coat:�$ ,79' FINAL INSPECTION X32. Electrical PoZr Meter --Final j •80. -.FOOD CERTIFICATE ISSUED , 33.rFinal Electric 34, Fin51 Heating & P.ir'Conditioning. + 7IC��(j• v No{es:- L• 35., Final Gas Pipe.Test' • 36. Hood or Canopy 37. -Final Factory Fireplace; 38. Final Plumbing - t - 39. Water Service -Final, t - ,40. Gas Service -Final 41. Solar Domestic-Final-- omestic-Final_42. 42.Backflow Preventer. 43. Backflow Irrigation- - ` ' - - •� -44. Landscape Irrigation System, ' 45. Sound Attenuation 46. Handicap Regulations • - 47. -,FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49: Electric Release to Edison ' 50. Gas.Release to Southern California Gas Co ! j 51. CERTIFICATE OF OCCUPANCY No. Date - - PNE 'T ADDRESS: 356 E 15TH ST UNIT: D 0SER'S NAME: LLOYD MYLES DEVELOPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 ARCH/ENGINEER: 723-5300 REG.NO.: ADDRESS: UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull farce and effect. CITY LIC.: STATE LIC.: CLASS: Dale: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure or a certificate of Workers' Compensation Insurance, or a carried copy thereof (Section 38DO. Lab. Q. POLICY NO.: EXP. DATE: COMPANY: ❑ Candied Copy is hereby furnished, ❑ Certified copy is tiled with the city Building Division Dale: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less). I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: II, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CITY OF COSTA MESA — BUILDING PERMIT PERM NO. E 052986 PERMIT NO: E 052986 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: NEW JOB DESCRIPTION ; NEW SFD, RE:#B51299 SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: NEW SFD ie iE* iE OE DE iE RE 1E pF RF iF ie 9E RERE RFiE RF 3E 3K iE 3F .yE * iE RE lE 8E * RE )E iF aE 9FRE BE.y deiE OE OE RE iE iF * OFiEBE iE iE * Hf * IkRE OE TE Rf # iE iE iF if if lE K ±E X dE.)E iE �H iE IE iE iE it iE 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 ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE • PROV: PARCEL: 42531108 ZNE: REF NO: PLANNING NOTES> 15 .00 I, as owner of the property or my empployees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044. Business and Professional Code: The Contractors' State License Law BUILDING—DIV—> TOTALS — — — — > > PLAN—CHECK 0.00 TOTAL PAID 85.35 85,35 DUE ,00 does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through if Re ie 8E iP iE iE iE iE iE k 8E * RE at BL IE it RE aF IE k iH iH 8E ae * * aH iE iE iE iE iE.ie �H iE iF it iE RE * * Be iE iE iE iE iE iF iE Ie iE 3E * iE fe * Bf ie if iE ie iE iE iF * * 1E iE * it # if 1E iE iH BE it D E V E L O P M E N T S'E-R.V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE: CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work lot APPLICATION ISSUED BY: which this permit is issued (Section 3097, Civ. Q. LENDER: RE IF IF iH iE RF iE RE if iE * RF iP BE if RE iP iE iE it iE IE iE * RF iF * iE iE Rt 1E iE iE iF ADDRESS: LEGALIZATION:N F E E 3 D*** if if IH �E RE BE OE 8E iE BE iE IH 1E aF iE 8E iE iF iE IE R * 3E iE iE if IE iF iE iF iE iE iF iF iF iE iE 8f 3F 9f 8f ic- S U M M A R Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' Slate License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP /RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, dental h, or PERMIT 70.35 repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she i5 licensed 50% SMIP / NON —R E S pursuant to the provisions of the Contractors State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business for Any Section 7031.5 by PLAN and Professions Code) or that he/she 6 exempt therefrom and the basis the alleged exemption. violation of any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars (Si ISSUE FEE 15 .00 I, as owner of the property or my empployees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044. Business and Professional Code: The Contractors' State License Law BUILDING—DIV—> TOTALS — — — — > PERMIT ISSUE 70.35 15,00 PLAN—CHECK 0.00 TOTAL PAID 85.35 85,35 DUE ,00 does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 85.35 OVER/SHORT; ,00 for the purpose of sale). I, as owner of the property. am exclusive and Protesvuns Code: The Contractors' andwho contracts for wi that proof of their W erch 's 1641.46 While—Building: Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assassor BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 85.35 if BE )E * iF iH IE iE iE RE IE iE 8F iF 1E iE M k KH if * ie * * if ie iE aE if iE IE 1E of k iH iE iE aE iE * * * IC!( -8P 3E 3F 3e iE rt iF lE iE 8E iE * aF EE aF iF K� ie ei• if iE ie 8E iH * iE iE eF Bf If to * Of I N D I V I D U A L F E E B R E A D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 2010 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT ,03 70,35 END OF FEES 01 00092809-00092809 T 0 T DATE: 07/23/91 KNE: G9ri•_ _ CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SPA 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 i 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5,-Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE ' 7.-Fdotings f 'r' 58. Electrical Conduit-Undrgrnd. • 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, 0 Undrgrnd. ' 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash &Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains - _ 64. Plumbing System - Final 14. Rough Plumbi:ig 65. Electrical-Final ' 15. Rough Electrical-Conduit 66. Solar System-Final ' i. 16. Rough Electric Wiring 67. Fencing & Access Approval ' •17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS- --Permit # 20.-Rough Factory FiiA)Iace s T� - _ : z 21. •Ducts, in Structure > r -70. Underground.Hydro 22. Ducts, Ventilating 71. Product: ipii:g OGas 0,bil 23. Gas Pipe'-Rough & Test 72. Underground Flusb^ - 24.'Roof Framing - •73. Undergrnd..Stora_gejank 0Gas ❑Oil 2n. Roof Sheathing _ ,. '.i •74. ;Overhead Hydro - - 26. T-Bar Ceiling (Structural) & Monocoat 75.'Dry Chemical 27. :Frame and Flashing _ t 76!Dry Standpipe - 28. Lathing & Siding 77.-.FIXEDSYS-TEM-,F:INA1_' -29. Insulation 78.- FIRE PREV. FINAL u; 130. Drywall Nailing I HEALTH.OEPT: REQUIREMENT 31. Plaster B:ow,n Coat. - - 79. -FINAL INSPECTION 32.-Electrical Power Metar.Final80: ,33 Final Electric,V641 FOOD CERTIFICATE ISSUED 34. 34. -Final Heating`& Air-Conditioning. : YI • 35. -Final Gas Pipe-Test;- 36. Hood or Canopy 37. Final Factory Fireplace ' 38. Final Plumbing - - 39. Water Service-Final - - 40. Gas Service-Final.. , '41. Solar Domestic-Final - - -- r 42. Backflow Preventer. - 43. Backflow Irrigation - - .44. Landscape Irrigation System:.• 45. Sound Attenuation r ' 46. Handicap Regulations 47.-FINAL STRUCTURE & BUILDING 48. FINAL PLANNING :49. Electric Release to Edison i �0. Gas Release to Southern California Gas Co �. 51. CERTIFICATE OF OCCUPANCY No Date PROJECT AhRESS: 386 E 15TH ST UNIT: C CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05129 OWNER'S NAME: LLOYD MYLES DEVELOPEMENT ADDRESS: 423 POPPY AV PERMIT NO: B 051.298 PLAN CHECK NO: 06851-90 A GOVT: N SUPP: N CORONA DEL MAR CA 92625 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW 723-5300 -ARCM/ENGINEER: REG.NO.: JOB DESCRIPTION ; NEW SFD SQ FT: 2, 249 r ADDRESS: UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714) 723-5300 CLAIM VALUE: 90,000.00 CALC—VALUE: 132,846.60 GROUP OCC: R-3 /M—'1 ADDRESS: 423 POPPYAV COMMENTS: NEW SFD HOLD FOR SPECIAL REQUIREMENTS CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section Z O N I N G R E Q U I R E M E N T S 7000) of Division 3 of the Business and Professions Code. and my license is in lull force and effect. S E T B A C K S CITY LIC.: STATE UC.: CLASS: late: Signature_ ------------ MAIN BUILDING ---------- ------ ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm That l have a certificate 01 consent to sell -insure or a cerolicater of Workers' FRNT: 11 FT IN REAR: 12 FT 6 IN FRNT: FT IN REAR: FT IN Compensation Insurance. or a certified copy thereof (Section 3800. Lab. C). LEFT: 11 FT 5 IN RIGHT: 5 FT IN LEFT: FT IN RIGHT: FT IN \ POLICY NO.: EXP. DATE: COMPANY: PARKING REQ: 2 PROV• 2 PARCEL: 42531108 ZNE: R2 REF NO: DR -90-38 L7 Certified Copy is hereby famished. D Certified capyisFiled wall the city Building Division. PLANNING NVTES> TWO STORY APARTMENT UNIT — FRONT 6 LEFT STBKS ARE SEPARATION > .5 GUEST PARKING SPACE PROVIDED FOR UNIT Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (itis section need mt be cwnpLned it the perm is for one hundred (5100) w less). I) 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 jS I certify that in the performance of the work lar which this permit is issued. I shall not employ any person in any manner W as to become subject to the Workers' Compensation Laws of California.ZONING APPROVED BY DATE • :� Date: Signature: NOTICE: If. alter making this declaration, you should become subject to the Workers Compensation provisions Of the Labor BUILDING APPROVED BY DATE: r{,_ Code. you must forthwith comply with such provisions Or this permit shall be deemed revoked. _ CONSTRUCTION LENDING AGENCY: I hereby affirm that mere is a construction lending agency for the performance 01 the work for APPLICATION ISSUED B Y • DATE: 3 12-q I which this permitis issued (Section 3097. Civ. Q. ##*######iE##########.lF 9E iE,la,1E,1E.lE#,%#9f# ## LENDER: ADDRESS: LEGALIZATION:N F E E S U M M A R Y STRUCTURAI. SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors' State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or PERMIT 755.00 9.30 repair any subduce, prior to its issuance. also requires the applicant for such permit to file a signed statement that he/She Is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business ' SMIP /NON—RES end Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption, Any violation of Section 7031.5 by PLAN 122.69 my applicant for a permit subjects the applicant t0 a civil penalty of not more than five hundred dollars (5500). ISSUE FEE I. as owner of the nunnery or my em types with wages as their auto compensation, will do the work. and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE structure is not intended or Offered for salef9elion 7044. Business and Professional Code: The Contractors' State License Law TOTALS ---- > 764,30 0,00 122,69 886.99 886,99 .00 does not apply to an owner of a property who builds or improves thereon, and who does such work himselllherself or through his Or her own employees, provided that such improvements are hat intended or olfered for sale. If, however the building Or improvement is sold within one year of completion, the Owner VAN have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 764.30 OVER/SHORT: 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I, as owner of the properly, am exclusive contracting with licensed contractors t0 construct the project (Sec'on 7044, Business 755.00 9,30 ® and Professions Code: The Contractors' State License Law does not apply to an owner 01 propeM who buil or improves thereon and who contracts for such projects with a contractor(s) license Corrupt to the Contractor' late use Law). l ams v aE If Xe AF####3f#f##aF.%. {E {F {F )(•T(. {e {(. {(.1(. 1F.{p{(.{e{cj(.{r.SFN.{(.{p{E4�{t.%jF#3ey.{(.{e{pRp#j(.jp{¢{E#.%{(•{(. {(•T(, {(,y kF>(, {E y. {e ,4(, {r.,%, a(,#IrYy,klf if that plant of their Worker's Compensation insurance should be provided to me. I N D I V I D U A L F E E B R E A K D O W N D 1 am exempt under Section: B. 8 P. C. mrthis reason: HYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST Dater owner' SFR 1817 DWE—TYPE � FRAME —GOOD 69,00 125, 373.00 Ido hereby certify mat I am aware of and understand the repuirements Of Carl Health d afety Coae Sections 25 25533, and SFR 4 3 2 RES — G E E� 17 , 3 0 1, 4 7 3 . 6 0 25534 and that I or any future building occupant MAIMS not (circle one) need to mmnM q said state codes and the requirements for a permit for construction Or modification from me Air Duality Management Dear flnti fiat construction applications a exempt from �A' �u�. N F FEES these provisions. Y �I Date: Applicant: MAR j g QjjJI I hereby certify that I have read this application and state That the a into, tion is , of. ee to with all cit u y 1991 ordinances and state laws relating to building construction and y t ' re of es city I r n thea ii on CITY property for inspection purposes, OF COSTA MESA Date: —3.—A? — / I Signature: Driver's License Or Social Security 1641-46 Whee—Bmlding: Green—Cade Enforcement: Canary—Ap ¢am: Pink—Revenue: GWdenrad—Assessor ' CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PG _ _ & SPA 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-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 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. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final ' 14. Rough Plumbing, 65. Electrical -Final ' 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS' • -Permit # . • 20. Rough Factory Fireplace r _ .4 21. -Duct's, in.Structure: .... - _ 70. Underground Hydro 22. Ducts, Ventilating _ ` 7,71. Prod uct Pipi ng OGas ❑-Oil 23. Gas Pipe.Rough & Test- - 72. Underground Flush' ' - 24. Roof Framing ' . - 73r Undergrnd. Storige;Tank O Gas n Oil 25. Roof Sheathing ., ' 74. -Overhead Hydro- 26. T -Bar Ceiling (Structural) & Monocoat 75. -Dry Chemical - 27.. Frame and Flashing' _ 76. Dry Standpipe 28. Lathing & Siding • • 77," FIXED SYSTEM -FINAL' _ 29. Insulation r "+� t , -�;« 78.,FIRE PREY. FINAL - .130. Drywall Nailing HEALTH DEPT: REQUIREMENT 't .lf•. .31. Plaster Brown Coat' _ "79. FINAL INSPECTION • 32. Electrical Power Meter -Final r .. r,' r 80. FOOD CERTIFICATE ISSUED 33. Final Electric' - 'r /' -Notes:_ .>. ,• '' ' 34.: Final Heating & Air Conditioning /Q -a9- - 35. Final Gas Pipe -Test 36. Hood or Canopy - - 37. Final Factory Fireplace 38. Final Plumbing _ .39. Water Service -Final - `u .40. Gas Service -Final.. "• �,, - -, '41. Solar Domestic -Final •r _ 42. Backflow Preventer ' �- 43. Backflow Irrigation - .44. Landscape Irrigation System. 45. -Sound Attenuation, 1 .46. Handicap Regulations - - 47. -FINAL STRUCTURE & BUILDING 48.'FINAL PLANNING 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OROCCUPANCY No Date OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason PERMIT 4 CITY OF COSTA MESA — BUILDING PERMIT , P 05199 E 15TH ST UNIT: C PR03ECT ROOKRPOPPY GRAD I NG OWNERS NAME:MYLES DEVELOPEMENT 1 DISHWASHER ADDRESS: 4 AV PERMIT NO: P 051980 PLAN CHECK NO: N PLU CORONA DEL MAR CA 92625 LAUNDRY TUB OR WASHER 2,00 2,00 CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE; NEW —RES T 723-5300 PLAN 2,00 ARCHIENOINEER: REG.ND.: JOB DESCRIPTION ; NEW SFD ,REFER TO #B51298 SQ FT: SINK, BAR ADDRESS: UNIT: ISSUE FEE PLU 3 C LAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /M-1 2,00 PERMITTEE: JOHN JANIS PLUMBING (714) 642-7764 BUILDING—DIV—> PERMIT ADDRESS: 1539 MONROVIA 8 COMMENTS: NEW SFD DUE NB CA 92663 aP�EaFFr�F*�EaE**�EaFx�F�F�r�F*aE*�t�E�t+E�ERF�F***�FaF�F E�EaE+FaE�r�F*�EaE�P�FaE+E�r�F*aF�E+ESE*aFr*�EStaF+Eat�E�E*aE�E**aE*aE�EaE 44.00 LICENSED CONTRACTOR DECLARATION: I hereby um that I am licensed under mows, ns of Chapter 9 (commencing with Section Z O N I N G R E Q U I R E M E N T S E .00 7000) of Division 3 of the Business and Pmfessi .s Code. and my license is in toll to, . nd effect, CITY LIC.; 052820 STATE LIC.: 4631 C Ss: 6 S T B A C K S 47,00 OVER/SHORT: / Signature:— ______—__ --------- ------------ MAIN BUILDING ---------- ACCESSORY BUILDING BLDG PMT Date Date: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN FIRE SMIP/TOT GRADING WORKERS' COMPENSATION DECLARATION: Iherebyaffirmtve acenificateol consent t ure or a triplicate of Workers' LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN GAS PIPING SYS OF 1 TO 4 OUTLETS Compensation'IsO1,1 e39c3lnied copy thereof (Secti 00. Lab.62/01/ 2.00 POLICY NO.: zP. DATE: DMPAN: STATE FUND / PARKING REQ: PROV: PARCEL: 42531108 ZNE: REF NO: )2,00 y[ is hereby furnished. ❑/g�mfied is tiled too Build ision. PLANNING NOTES> Certified COPY copy with > kkkkkkkkkkkkkkkk kkkkkkkkkk kkkkkkkkickkkkkkkkkkkkkkkkk p 5,��7 // iFkiF itkk Mil Mile iF of iF iFkif lFlkifKkiE lF3E k1Fk1E1Fil iF iF iF if iE iE if if itlFik MiElE lETflf iPkiEif iE lFlFkjl•if irk iF if iF iF if iE lF iE 9F iEkik if kTf M�l•Tb iEk ld that proof of their Worker's Compensation insurance stwulo be provided to me. Should provided o Date: /� Applicant: 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 V I D U A L F E E EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (Tr' -cdm need rot be completed it the . a far ane hundred(S700) or less). ❑ I am exempt under Section: B. d P. C. I certdy that in the performance of the work for which IAS p ' ,1s issued. I shall not employ any n in any manner so as to become subject to the workers' Compensation Laws of CaliforA ZONING APPROVED B Y " DATE: Date: Signature: BUILDING APPROVED BY DATE: for this reason: NOTICE: IL after making this declaration, you should become subject to the Workers Compensation provisions of the Labor D E S C R I P T I O N Code, You must fonrlwith Comply in such provisions or trots permit shag be deemed revoked. for APPLICATION ISSUED BY : � � ISSUEDDATE: CONSTRUCTION LENDING AGENCY: Ihereby affirm that there is a construction lending agency for the performance of the work which this permit is issued (Section 3097. Civ. Q. kkkkkkkkkkkk kkk kkkkkkkkkk ick iF iE if iF iF iP if sEiFBF SF iF iF iF if iE iF iE iE BF iF BF iE iF iF 1E iF 3C if 3F kiE iF lett iF iH kif iF iF iE lF i0 i0kkkltkkkkk kkkkkkkkkkkkkkkkkkk kkkk ick ADDRESS: LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason PERMIT BATHTUB 4 4 O D GRAD I NG (Section 7031.5 Business and Professional Code: Any lily of county which requires a permit to construct. alter, improve, demolish, Or is licensed 1 DISHWASHER 25% PLU repair any structure. prior to its issuance. also requires the applicant for such permit to lila a signed statement that helshe LAUNDRY TUB OR WASHER 2,00 2,00 SMIP / NON —RES pursuant to the provisions of the Contractors State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business PLAN 2,00 PLU 1 SINK, BAR and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ISSUE FEE PLU 3 SINK, KITCHEN 2,00 anyaInpliranlforapermitsubjectstheapplicanttoacivilpenallyofnotmorethanfivehundreddollars(M) BUILDING—DIV—> PERMIT .00 ISSUE PLAN—CHECK TOTAL PAID DUE I. as owner of the property at my emWWogees with wages as their sole compensation, will do the work, and the ❑ Code: The Contractors' State License Law TOTALS ---- > 44.00 3.00 0.00 47.00. 47.00 .00 structure is not intended or offered for sale (Section 7044. Business and Professional does' his or tier own employees, provided tial such improvements are not an, Arid or offered IBr sale. h however the building or his netowytpanpwner of ees, to comply with all city and to Pon the above-mr 164146 White—Building: Green—Cone Enlorcen, ., Canary—Applicant: Pmk—Revenue: C.Idemon—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 SHOWER 2,00 2,00 PLU 1 SINK, BAR 2,00 2,00 PLU 1 SINK, KITCHEN 2,00 2,00 / PLU 5 WASH BASIN 2,00 10,00 PLU 3 WATER CLOSET (TOILET) 2,00 6.00 PLU 1 WATER HEATER AND/OR VENT 200 2,00 J PLU 1 WATER SERVICE 2,,00 2,00 PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2.00 )2,00 y[ 01 a -Tc— DATE: �..7�b: o4 —,n-. , ;_ ... 1 CONSTRUCTION AND PLANNING PC1W SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. "emporary Electrical Service'or Pole-, 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd c 53. Steel Reinforcement ct�lcal CondZrt UtilityRJridrgrn`$,m' ' 54. Forms .4: Electrical Conduit Undrgrnd. 55. Electrical Bonding l.Y C 5 Stee&einforcVrttent 56. Rough Plumbing & Pressure Test 1 :$ Electrical UFEii,%rnd. v r 57. APPROVAL TO COVER-GUNITE p =--7>Footings --'> ra ' 58. Electrical Conduit-Undrgrnd. �•' r, ^8. Foundation • 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undlgrnd. / s ; / 60. Backwash Lines, P -Trap, 0 Undrgrnd. 1:10. Structural Floor System r 61. APPROVAL TO DECK 1:1. Property Sewer Li` & Hduse Connection 62. Backwash & Receptor -Final •- 12. Sewer Cap 63. Heater & Vent -Final / 13. Roof Drains '� 64. Plumbing System - Final - _ i 14. Rough PIumb;Lnig -'• 65. Electrical -Final 15. Rough Electrical -Conduit.' .i 66. Solar System -Final 16. Rough ElectricWiring ! 67. Fencing & Access Approval 17. Rough Wiring -Si gn 68. APPROVED FOR PLASTERING 18. Rough Electripl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating &'Air Conditioning FIRE DEPT. REQUIREMENT _ APPROVALS:%: Permit # ^_2. - - -•- - •"� 20!1 Rough -Factory Fireplace C ri ¢ - C _- _' 21.;Du6s, in Stpzucture,I .... r,C .r y -- r r • ] 70. Underground Hydro 22. DUcts, Ventilating* i S x_ S ¢e x T 71. Prod uhf�[+ P-ipi ng 0;�as 0Oil 23r;Gas�Pip> Rough ffi,7est r' <' ':' ht - �Y N ' 72. Underground Flusfi w �• 24 -Roof Framing 1r.:.. i I - - - C 7 f 73n Undergm`d.Stor e,Tank'OGas ❑al 25. Ro f St eathin �• +ti Q 9 : w � to = .c l ' • 745, Overhead Hydro; �_ v p > >. - 26%1T -Bar Ceiling (Stcuctura0 &sfvlonocoat '>. 7 +ice 75F Dry Chemical `'y •r•t- w a -. - ... rt! r., .,-.f,t 27'.,'Frame and Flashij °!s _ 76- Dry Stari¢{1`ipeC`'`s .o;F--n' m� - �'✓ t ,L':r.' .'3. g;& Siding i ^'�;% v: •>; 777 FIXED SYSTEM;f41VA4• ��' n 1 _ ter, w. , e.n: • ,•_ ..rr rnt - „29. Insula tt inn O > S • n. r y h x 7& ,FIRE PREY. FINAL v > .r, iq, rt i • 'r,; -,-C ¢iss r30.DrywallNailin9 , !� ( I '�.r 1 •�+ u.HEALTHtDEPT.;REQUIREMEINT Plaster� ' ( yI ' t'�rovnC4 :"�INALIIIVSPECTION,31. S•ptr - 32rElectrical Power Meter -Final r, ^• ,; � � + t180r•FOOD CERTIFICATE ISSUED -_ Electric ' `J �C " �` i Ir • Notes: _33'.Firial - ;r! I 347, Figal Heating & Aii Conditioning; ~35Final �'m Gas Pipe -Test = r -36 -Hood or Canopy a •r _ n. I C [. �;p •` ' '' ' cl _. o _37:�FiFmI Factory Fire lace„ ' S�" v " rit •• W . S y =: 38. Final Plumbing ., -•ti I QL• �it t �- S _ _ 39. Water Service -Final ( - h/ `- • • a•:'t 'S r: i S t - I p• t� 40. Gas Service -Final )' 01- ; " V 1:41. Solar Domestic -Finals r - •• 'ter- ' 42.'Backflow PreventeS 43. Backflow Irrgation 55 T,` +'- _ ----'r'�"�"-'-•�" + c ti o . i• ;i . . . . . . ,.44. Landscape IcrigationSystem rt,j� _ .tr, =,, ri; p; 1; r+' Co s;45"iSound Attenuation rr '' s- F - -v •n o't_ irt� `� r r nt� 146�'Handica:p Regulations _ •� to �� - • . 47'SFINAL STRUCTURE & BUI'LDING -• I '�C .. - •I � e 48'JFINALPLANNING ;' W X49.• Electric Release to -Edison 50._Gas .Release to Southern California Gas Co =,51. CERTIFICATE OF OCCUPANCY ; n F C. No. Date PROJECT ADDRESS C WNER'S NAME A$PRESS ARCH/ENGINEER ADDRESS PERMITTEE: ADDRESS: REG.NO.: UNIT: UNIT: LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: 1 hereby affirm that I have a cenilicate of consent to self insure or a certificate of Workers' Compensation Insurance. or a candied copy thereof (Section 3800, Lab. Q. POLICY NO.: EXP. DATE: COMPANY: ❑ Combed copy is hereby furnished. ❑ Certified copy is tiled with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less). I comfy that in the performance of the work for which this permit is issued. I shall not employ any person in any manner s0 as to become subject to the WorkersCompensation Laws of California. Date: Signature. NOTICE: H. after making this declaration, you should become subject to the Workers Compensation provisions of the Labor Code. you must fonhvnlh comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency lot the performance of the work for which this permit is issued (Section 3097. Civ. Q. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby alirm that I am exempt from the Contractors' Slate License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 0l the Business and Professions Cotle) or that he/She is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than live hundred dollars (55D01. I. as owner of the propeny or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees. provided that such improvements are nor intended or offered for Sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the Properly. am exclusivel9 contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' Slate License Law does not apply loan owner of propeny who builds or improves thereon and who contracts for such projects with a coni license pursuant to the Conbacto6' Slate License Law),I am aware that proof at their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: D. 8 P. C. for this reason: Date: Owner I do hereby fenny that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant vnfl ill not (circle one) need to Comply with said state codes and the requirements for a permit for construction or modification from the Air Outlay Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that) have read this application and state that the above information is correct. l agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: Driver's License or Social Security p: Signature'. 164146 While—Buntlmo: Green—Cotle Enforcement Canary—Anplicam; Pink—Revenue: Goldenrod—Assessor PERMIT NO: P 051980 PLAN CHECK NO: 01592-91 N if RE 9F M k k k iF 98 BF * iE 9E k I8 9P IE BE iP iP it * 9f ie iP BE if * iE iE;E 9E 9E * 9kiE Rt iE IE iE * 9E jF 9E 4E 9E * 9E 9E iE 9E 9E it 9R iF RE iE 3E iE iF 9E BE 9E 9E 9E * * iP 9E 9E;E 9F XP * * iE 9E iE 9F TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 2 GAS PIPING SYS 5+ OUTL—PER OUTLET PLU 1 GAS SERVICE PLU 1 SEWER, CONNECTION TO BUILDING EACH END OF FEES ,50 1,00 5,00 5. L f O•E 0CD268t18 05436849 Toy 47, n;; DATE: Tlf E: 7n:34 CONVrRUCT[ON AND PLANNING APPROVALS Permit # Date Inspector P0. - & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement It3. Electrical Conduit Utility-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 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-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. Heater & Vent -Final 13. Roof Drains 64, Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20Roogh RactoryFiFeplace 21�:Ducts, in Structure 70. Underground Hydro 22 ^Ducts, Ventilating Y 71. Product Piping ❑Gas ❑Oil 23C;3a Pipe Rough & Test 72. Underground Flush 24,. Roof Framing- 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26r T -Bar Ceiling�l'Stnhctural) & Monocoat 75. Dry Chemical 27n'Fra+,me aAd Flashrng 76. Dry Standpipe 28` Lathing_& Siding = �r 77. FIXED SYSTEM FINAL 29. Ins}rlationSF+Q 78. FIRE PREV. FINAL J 30. Drywall -Nailing!` HEALTH DEPT. REQUIREMENT 31. Plaster 8roAn Coat 79. FINAL INSPECTION 32. Electrical PowerTMeter-Final 80. FOOD CERTIFICATE ISSUED 332Fill E`ectrit rm Notes: 34.'Final Heating &AirConditioning 35'rFinbl Gas Pipe-Test-,� 36rHoad or Car opy:t- 37 �Firisal Factory FirEpnce 38. Final Plumb ng 39'-Warer Service-FihAl 'L I ro C 40 'Gas Service-Fina1�' 41 !Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Laijdscape_. talion System 45. Sound Attenuation 46. Handicap Regulations 47.;FINAL STRUCTURE & BUILDING f + 48:,FINAL PLANNING 49. Electric Release to Edison 50. ,Ga{, Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECTIIDDRESS: UNIT: 386 E 15TH ST C OWNER'S NAME: LLOYD MYLES DEVELOPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 ARCHIENGINEER: 723-5300 REG.IJ ADDRESS: UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full lorce and effect. , CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a cenificale of consent to sell insure or a certificate of Workers' Compensation Insurance. or a certified copy thereat (Section 3800. Lab. C). POLICY NO.: EXP. DATE: COMPANY: ❑ Certified copy is hereby furnished. ❑ Certified copy is tiled with the city Building Division Dale: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need nal be completed it the permit is for one hundred ($100) or less). 1 Candy that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers Comoensalion Laws of California. Date: Signature: NOTICE: II. after making this declaration, you should become subject to the WorkersCompensation provisions of the Labor Code, you must lonhwilh comply Win such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: (Section 7031.5 Business and Prate repair any structure, prior to its iss pursuant to the Provisions of the Co and Professions Code) or that hely any applicant for a permit subjects 1, as owner of the prop El structure is not intended or does not apply to an owner his or her own employees. improvement a sold within for the Purpose of sale). I. as owner of the property, and Professions Code: The and who Contracts for such that proof of their Worker'! ❑ I am exempt under Section for this reason: _ / CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 052985 PERMIT NO: M 052985 PLAN CHECK NO: N GOVT: N SUPP: N. CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW JOB DESCRIPTION ; NEW SFD, RE:*B51298 SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /M-1 COMMENTS: NEW SFD qE• dE9E iE 9f 9f 9F iE 9f NE if iE iE NE iE iE DEje 1E * lF 9f iE 3E M NE dF dE dE NE RE iE.)E IE iE 9E 9F 1E iE 1E of K tiE NF 3E NE iE iE iEdF iE iE iE iE iF iF )E 9E 9f 9E 9E 4F iE aE.� if iE iEIE.)E N-iF if ikiF lE iE if.� 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 ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 42531108 ZNE: REF NO: PLANNING N TES> PLAN > is exempt therefrom and the Oasis for the alleged exemption. Any violation of Section 7031.5 by the applicant to a civil penalty of not more than five hundred dollars (5500). ISSUE FEE iE * 1E 9F aE 9F iE aE if iF ie iE *Reif 9E iF 9e 9E ik of iFiF aF * iE se iP * iE iE 3E iE iE k iE 3E1E iE IE iF jE * RE iF 9E RE Nf ie * sE NF iF 3E 9E NE iE NFTF TF IF iF iF iF iP iE 9f 9f 3f iE IF if N- Xe iE * iF iE D E V E L O P M E N T S E R V I C E S R E Q U I R E M•E N T S ZONING APPROVED'BY TOTAL PAID DATE: offered for Safe (Section 7044, Guinness and Professional Code: The Contractors State License Law TOTALS ---- > 22.00 15.00 0.00 BUILDING APPROVED BY : .00 of a property who builds or improves thereon, and who does such work himselfflerself or through DATE: APPLICATION ISSUED BY: A —7 DAIz2 TE: / iENf if*ih*if 9E*hoof NE if if kIE iE of jE 3E if* REVENUE DIVISION FiF•iF3F'£ iFR"iEiFiFiP if if* ifE.iE�£3F�1F iF iE NE if if iE iE if*af if*iE 3E of**k9f iE 9E 3E 3f*iE*if iE*je*if it*ie ie ie it**if if***iE if it*ie 9f*Ie iE jf*iE ie if fEif of ib*iE 1f *XEie li %tf if sF lE iF iF iF'IFk LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N I hereby affirm that l am exempt from me Contractors' State License Law for me following reason ntractors' he BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING 5sional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or PERMIT 22 00 r"•' pence. also requires the applicant lot such permit to file a signed statement that he/she is licensed '153 SMIP /NON—R$S' State License Law fCloater 9 (Commencing with Section 7000) of Division 3 of the Business PLAN is exempt therefrom and the Oasis for the alleged exemption. Any violation of Section 7031.5 by the applicant to a civil penalty of not more than five hundred dollars (5500). ISSUE FEE 15.00 any or my employees Win wages as their sole tompensalion, will do the work, and the BUILDING—DIV—> PERMIT_ ISSUE' PLAN—CHECK TOTAL PAID DUE offered for Safe (Section 7044, Guinness and Professional Code: The Contractors State License Law TOTALS ---- > 22.00 15.00 0.00 37.00 37.00 .00 of a property who builds or improves thereon, and who does such work himselfflerself or through provided that such improvements are not intended or offered for sale. If, however the building or one year of completion, the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 37.00 OVER/SHORT: .00 a with licensed contractor Law does not apply to ai its)license pursuant to should be provided to BP.0 Date: v Owner: I do hereby cemty mat aware of and uyy erstand the requirements of Ca fornia Health and 25534 and that I or an uture building ocodpant wilt/will not (circle one) need to comply with sr permit for construct n or modification from the Air Duality Management District. Residential S these provisions. Date: I here Applicant: ion and state that the above information construction a9lUzYnYaoftto)¢e represg Date: Signature: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK truct the project(Section 704c, Business 37.00 I properly wh ilds ori roves thereon factors' ST License w).Aa�re 9f ifif if *if*if if if NE* iE if*iE if*if 3E if 3E iE iE 3E if if if IF If ie iE lENiF iE iF if IFlE if if if iEKif lEieieif iE if ie iF if if 3f lr 9e 1F Rf 3f 9E iE SE 3r 1f iF 3F if aF 3E iF of I N D I V I D U A L F E E B R E A K D O W N PE QTY D E S C R I P T I O N UNIT COST TOTAL COST EC 1 INST FORC—AIR/GRAV FURN > 100 K BTU 11.00 11.00 ety eSectionsADS. 25533.and MEC 1 FACTORY FIREPLACE 6.50 6.50 sratecodes applicthe nsarerequirements xempt far arom MEC 1 VENTILATION FAN CONN TO SINGLE DUCT 4.50 4.50 nstruction applications are exempt from END OF FEES Comply wi all Cir CO ty s city enter. thea n' IJ1 000Y:?s0: 0uu�2E07 ! 4.I :i, ,' [reit: Ci/?375'i T11' P1. =r Dnieri/LicenseorV.gISecurity p: / 1641.46 White—Build ng', Green—Code Enforcement; Canary—Applicant: Pink—Revenue: Goldenrod—Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POLL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.' Electrjcat Conduit lhility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding - 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6'. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE Footings - 58. Electrical Conduit-Undrgrnd. - - 8. F&undation .r 59. Gas Pipe, 0 Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. " 10. Structural Floor -System 61. APPROVAL TO DECK 11. Property SewJ Line'& House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains •^ 64. Plumbing System - Final / 14. Rough Plumbing '' 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rough Electrical -T Bar Ceiling •. 69. POOL/SPA SYSTEMS FINAL / 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT- iAPPROVALS ",_Permit ctory Fare ;r 20..•Rough Fa ' A ' _ i + 21.Ducts, in-Stryct ue': .. :70. UndeigroU.nd Hydro 22. Ducts, Ventilating '• r r^ 'L .71. ProductPip ung O Gas O'Oil 23. "Gas Pipe Rough & Test Y , 72. Underground Flush 24, Roof Framing "' -73.'•Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing- > `74.'Overhead'11ydro ' 26. T -Bir Ceiling (Structural) & Monocoat 75. Dry Chemical 27: Frame and Flashing - _ 76. Dry Standpipe -- ` - 28. Lathing & Siding - .1.� 'r - 77. FIXED SYSTEM FINAL` 29. Insulation 78.: FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat- 79. FINAL INSPECTION - $2. Electrical Power Meter -Final; ' ,- . SO.: FOOD CERTIFICATE ISSUED 33. -Final Electric ;, I t` ' `Notes: - - -. ` 34,- Final Heating`& Air- Conditioning: 35. Final Gas Pipe -Test- 36. Hood or Canopy ; = 37: Final Factory Fireplace' 38. Final Plumbing - 39. Water Service -Final ,.40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43, Backflow Irrjgation ' -.44. Landscape Irrigation System r -. -45. Sound Attenuation r '46:.Handican Regulations - 47. FINAL STRUCTURE & BUILDING ' 48. FINAL PLANNING _-49. Electric Release to Edison ,t,50.. Gas Release.to Southern California Gas Co j 51. CERTIFICATEOF.000UPANCY No. Date , WTMOORESS: 386 E 15TH ST OWNER'S NAME: LLOYD MYLES DEVELOPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 AflCHIENGINEE723-5300 fl: REG.NO.: ADDRESS: UNIT: C UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 !commencing with Section 7000) of Dwision 3 of the Business and Professions Code, and my license is in lull force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature'. WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800. Lab. C), POLICY NO.: EXP. DATE: COMPANY: ❑ Corded copy is hereby furnished. ❑ Certified copy is filed with the pity Building Division Date: Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be Completed it the permit isfor one hundred ($100) in 165(. I certify that in the performance of the work lot which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date: Signature: NOTICE: If, alter making this declaration. you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith Comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ, Cf. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby alfirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance, also requires the applicant for such permit to file a signed statement that helshe is licensed pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that helshe is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars (5500). I, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Pmlessional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion. the owner will have the burden of proving he/she did not build or improve lo, the purpose of sale). I,as owner of the properly. am exclusively contracting with licensed contractors to construct the project ction 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of properly w'ha dds or impeav6 lh fern and who contracts for su projects with a contractors) license pursuant to the Contracto(((YYY Stat Scene Law). I a ware (hal proof aol�lheir Work s Compensation insurance should be provided to me. / ❑ I am exempt antler tion: B. 8 P. C. ort' s : Date: / Owner I do hereby tortlty at am aware and untlerstantl me requirements of Calilo nia HeaIN (d Sa ely Code Sections 25505, 25533, antl 25534 and that any future buil g occupant wiNwill not Itircle one) need to comply wi said state codes and the requirements for a permit for can Clod or modification from the Air Duality Management District. Reside iat construction applications are exempt from these prrVl$I s. Dale: Applicant: I hereby certify that l haver ad Itis apptica n and stale (hal the a Fmyiat{{{io9 tomecl. agr comply with of ordinances and stale hnw5 rr ling to Ouiltli construction antl he author lli rep 88 nlativesp h tlly enter upon eap� properly for inspection P rpo5� Dale: G Signature: Drmer's License Social Secu y «: —Applicant; Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 052984 PERMIT NO: E 052984 PLAN CHECK NO; N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: NEW JOB DESCRIPTION ; NEW SFD, RE:#B51298 SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: NEW SFD * iE iE iE 3E 3f 3E IE 3F 3E 3E3E iE df 3E 3E iE iE-3E k iE 3E 363E 3E3EiE 9E 3F 3E 3f 3E 3F * 3E3E 3f 3E 3E 3E 363E 3E 3(' 3E 3E 1E 3E16363F# 363( .)E.)E i6.y 3F 3E 3E 3E 3E 3E dE 3E 3E 3E 3F 3f 3E3f .)E 363E 3f 363E 3E 7. O N I N G S F' R T E R Q A U C I K R S E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 42531108 ZNE: REF NO: PLANNING N TES> * 3F 3F * * * 3E 3F 3E iE 3E iE 3E 3636 36 3E 3E 3E 3F 363E 3f 3E 3E 3k r 36 36 36 3E 3C• 36 361E IE 36 3E 3E 1E 3E 3E 3F 3E 363E iF iE if 3E * * ♦F iE 3F * iE BE 36 3E NiF 3E 3E 3E 3E 3E 3E 3E 3F TE 36 iE 3E iE 3E iE 3F 3F D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY:DATE: -7 L� k3E**3E 3E 3E 9F fE*3E 3E 3E 3F 36*3F 3F 3E 3E 3F iE3F'ifTFiF��FTfiF iFiF iFiFi}iF7FiEiF Tf3FiFiFiF3FTflt'iE 1E �E iEDATEif iF 96 aF 3f iE 3E if * 3E 3E 3F 36 iF iE 3F 3E 3E iE 3E 3E # i63E 3f 3E * 3E 3E 3F iE * * 3E 3E 3F 3F 3E 3i * 3E 3E 163E i6 3F 3E 36 3E 363E N3E iE iF 3616 3E iF 3E 3E 3E 36 36 iF 3E 3F.)E iE 36 3F 3F 3E 3E 3E iE 3f 3E 3E 3E 3F IE 3F LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 63,60 50% SMIP/NON—RES PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 63.60 15.00 0,00 78,60 78,60 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 78.60 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 78.60 �lE�• 36 3E * * K -3E 36 3f 3E 363E 3E 36 3E 36 iF 3E 3E 36 3f 3E IF IF 3F 3E 3E 36 3636 iE 36 3E IE 36 iE3E 36 3E 363E 3E 3E 3E IE 163E 36 3E i63h 3E 3E 3E IE 3E 3E IE 3E 3E 3E 3E 3E 3E k 36 3E 3E 3E 36 iE36363E IE M I N D I V I D U A L F E E B R E A K D O W N PPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1817 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT ,03 63,60 END OF FEES DATE: 01'/23!91 Tli:f: u5'.4t CONSTRUCTION AND PLANNING APPROVALS Permit # 1. Temporary Electrical Service or Pole Date Inspector POs& SPA APPROVALS Permit # 52. Pool & Equipment Location Date Inspector 2. Soil Pipe-Undrgrnd._ 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' 4. -Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test -_ 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Faotings 58. Electrical Conduit-Undrgrnd. • B. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undtgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line•& House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains - 64. Plumbing System • Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMtNT APPRQVALS� :Permit # L- 20. Rough Factory F eplace �''•r - - 21. Ducts, in Structure . -• • _ 70. Underground.HKdro ?2. Ducts, Ventilating •;71, Product Piping 0Gas 00il 23. -Gas Pipe -Rough & Test 72. Underground Flush'. 34. Roof Framing 93.' Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing • . ,. 74. Overhead Hydro 26.'T -Bar Ceiling (Structural) &'Monocoat 75. Dry Chemical r 27.' -Frame and Flashing- 76. Dry Standpipe - 28. Lathing & Siding _ 77. FIXED SYSTEM:FINAL 29. Insulation I I 78.: FIRE PREV. FINAL '30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat. ' ,79. FINAL INSeECTION 32. Electrical Power Meter -Final 33. final Electric '80. FOOD CERTIFICATE ISSUED Notes; ^.34., Final Heating & Air -Conditioning -35.-'Final Gas Pipe -Test ,. - r' - 36. Hood or Canopy > - 37. Final Factory Fireplace - 38. Final Plumbing ,. '• 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation - 44. Landscape Irrigation System t ' 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 1 I I 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 386 E 15TH ST UNIT: B OWNER'S li LLOYD MYLES DEVELOPEME14T ADDRESS: 423 POPPY AV �. CORONA DEL MAR CA 92625 71-3-5300 ARCNIENGINEER: REG.NO.: . ADDRESS: UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)'723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that 1 have a certificate of consem to self -insure ar a certificate of Workers' Compensation Insurance. or a certified copy thereof (Section 3800. Lab. C). POLICY NO.: EXP. DATE: COMPANY: r ❑ Cembed copy is hereby lurnished. ❑ Certified Copy is filed with the city Building Division. Jane: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(S100) of less). I coolly that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date', Signature: - NOTICE: It, after making This declaration. you should become subject to the Workers' Compensation provisions of the Labor Code. you must lonhwiih comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civ. C), LENDER: ADORESSi OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code:. Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance, also requires the applicant for Such permit to file a Signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chaplet 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade) or that helshe is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars (5500). I, as owner of the property of my empployees with wages as their sole compensation, will do the work, and the El structure is not intended or offered for sale(Secuon 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or bar own employees. provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ® and Professions Code: The ContractorsState License Law does not apply to an owner of property w�Igo builds or improves Ihereo and who contracts for such projects with a coniractogs) license pursuant to the Corpactors' a License Law),I am a e that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: D. S P. C. for this reason�J 0 �Date: 3-7/9 — Owne I do hereby calmly that I am aware of and understand the requirements of California Health Eery Cade Sections 25505, 25533, and 25534 and that I or any future building occupant will/will noY(cirCle ane) need to compty vv�� said state codes and the requirements for a permit for construction or modification from the Air Dually Management Oisirici. Resid011ia1 construction applications are exempt from these provisions. Dale: Applicant: I hereby certify that I have read this application and stat ordinances and state laws relating to building construction Property for inspection purposes. Date:!_/ Signalurq Driver's License or Social Security a: the above 164146 While—Building: Green—Cone Enforcement: Canarv—Applicant: Pink—Revenue: Goldenrod—Assessor 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 ---------- --------- ACCESSORY BUILDING------>— FRNT: 10 FT IN REAP.: 11 FT IN FRNT: FT IN REAR: FT IN LEFT: 25 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• 2 PROV: 2 PARCEL: 42531108 ZNE: R2 REF NO: DR -90-38 PLANNING N TES> TWO STORY APARTMENT UNIT — FRONT G REAR STBK ARE SEPARATIONS > .5 GUEST OPEN PARKING SPACE PROVIDED FOR UNIT 4Ekkkkkkkkkkkkk444Ekkkkkkkkkk4ek kkitk k4Ekkk kk kkitkkk4tkkkkk4Ekk k4Ekkkkkkkk k4tk 9tk 4Ekk444Ek kx 1'-k D E V E L O P M E N T S E R V I C E S R E Q U .I R E M E N T•S ZONING APPROVED BY DATE: 12�g1 BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: DATE: —7) L2 144E 4Ekkkkkkkkk4!kkkkkkkkk kkk44k kkki(-IEiF 3F4f7f�F d! -N k kkkkkkklEkkkkkkkk?fk kkkkk9fkk4fkkkkk14•kkkkk4E4Ekkkkkk#kklfkkkkkkkkkkkkkkklE-�4FiE4f iE 4F iEx 4F iF# LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 748.00 9.11 SMIP/NON—RES PLAN 121,55 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 757,11 0.00 121,55 878,66 878,66 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 757.11 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK _ 748,00 9,11 7{E if�if if iE lE 4E iF iE if if iEk kit 4E 4E kit iE if iE f4 iE lE iF iE iE 14 i4 iE iE 141E 1E iE iE iE iE 4E iEki4klE if x -1f iF iE iE iF 4E if iF if iE iE iE 1E i4 R i4 iE it ie _ #Ekkk kikk kkif• I N D I V I D U A L F E E B R E A K D O W N <YPE CITY OF COSTA.MESA — BUILDING PERMIT UNIT COST PERM NO: H 05129•, PERMIT NO: B 051297 1772 PLAN CHECK NO: 06850-90 A GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW JOB DESCRIPTION .: NEW SFD SFR SQ FT: 2,237 CLAIM VALUE: 90,000.00 CALC—VALUE:, 130,197,00 GROUP OCC: R-3 / M —1 COMMENTS: NEW SFD HOLD FOR SPECIAL RkEkCIxL11%l T 4Ekkkkkk144Ek k4Ek kkk k•xkkkkk k'k kkkkkkkk kkkk##kkkkkkkkk4tkk k..k 4Ek kiE 4f kkkkkk kiE % 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 ---------- --------- ACCESSORY BUILDING------>— FRNT: 10 FT IN REAP.: 11 FT IN FRNT: FT IN REAR: FT IN LEFT: 25 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• 2 PROV: 2 PARCEL: 42531108 ZNE: R2 REF NO: DR -90-38 PLANNING N TES> TWO STORY APARTMENT UNIT — FRONT G REAR STBK ARE SEPARATIONS > .5 GUEST OPEN PARKING SPACE PROVIDED FOR UNIT 4Ekkkkkkkkkkkkk444Ekkkkkkkkkk4ek kkitk k4Ekkk kk kkitkkk4tkkkkk4Ekk k4Ekkkkkkkk k4tk 9tk 4Ekk444Ek kx 1'-k D E V E L O P M E N T S E R V I C E S R E Q U .I R E M E N T•S ZONING APPROVED BY DATE: 12�g1 BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: DATE: —7) L2 144E 4Ekkkkkkkkk4!kkkkkkkkk kkk44k kkki(-IEiF 3F4f7f�F d! -N k kkkkkkklEkkkkkkkk?fk kkkkk9fkk4fkkkkk14•kkkkk4E4Ekkkkkk#kklfkkkkkkkkkkkkkkklE-�4FiE4f iE 4F iEx 4F iF# LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 748.00 9.11 SMIP/NON—RES PLAN 121,55 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 757,11 0.00 121,55 878,66 878,66 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 757.11 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK _ 748,00 9,11 7{E if�if if iE lE 4E iF iE if if iEk kit 4E 4E kit iE if iE f4 iE lE iF iE iE 14 i4 iE iE 141E 1E iE iE iE iE 4E iEki4klE if x -1f iF iE iE iF 4E if iF if iE iE iE 1E i4 R i4 iE it ie _ #Ekkk kikk kkif• I N D I V I D U A L F E E B R E A K D O W N <YPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 1772 DWE—TYPEV—WOOD F AME —GOOD 69,00 122,268.00 SFR 33 RES—BALGONY,aE E 14TAIRWAY 13.80 455.90 SFR 432 RES—GARAGES TYPE 17,30 7,473.60 /+ FEES MAR 181991 1) �I OF_ COSjA MESA . + CQrVS`±RLJCTION AND PLANNING APPROVALS Permit # Date Inspector POOL 'A APPROVALS Permit # Date Inspector 1,1. 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-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test G. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings ``?- 58. Electrical Conduit-Undrgrnd. - 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe.Undigrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer-Line & House Connection 62. Backwash & Receptoi-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final , 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval •17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 'APPROVALS' - .Permit # ' 20. Rough Factory Fireplace * r. 21.'Ducis, in Structure. ... 70. Underground Hydro - 22. Ducts, Ventilating - - _ - 71. Product Piping 0 Gas ❑ Oil 23. Gas Pipe=Rough & Test... 72. Underground FlusI - - 24.'Roof Framing r' • • '-73.T,Undergrnd.Storage Tank O Gas ❑Oil - 25. Roof Sheathing '' '- -74,-Overhead Hydro - 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - ` - 27. Frame and Flashing' 76. DPy Standpipe - 28. Lathing & Sidings r - 77. FIXED SYSTEM FINAL 29. Insulation •• -� 78.; FIRE PREY. FINAL 30. Drywall Nailing'' HEALTH,DEPT. REQUIREMENT 31. Plaster Brown Coat - ��' _ - 79. FINAL INSPECTION 32. Electrical Power MeterFinal _ , .�.-- :80.'FOOD CERTIFICATE ISSUED-? �•` 33jinal Electric - _ Notes: .34. Final Heating & Air Conditioning - ' 35. :Final Gas Pipe•Test N 36. Hood or Canopy 37.-Final Factory Fireplace '38.. Final Plumbing -39.-Water Service-Final- .40. ;Gas Service-Final .. 41. Solar Domestio-Final. - r r 42. Backflow Preventer - 43. Backflow Irrigation 44. Landscape Irrigation System. - s� •45. Sound Attenuation .46. _Handicap Regulations T - 47. FINAL STRUCTURE&BUILDING- 48. FINAL PLANNING 49. Electric Release to Edison ' •l 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date PROJECT ADDIESS: 386 E 15TH ST UNIT: B OWNER'S NAME: LLOYD MYLES DEVELOPEMENT 0 ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 723-5300 ! ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: ' PERMITTEE: JOHN JANIS PLUMBING (714)642-7764 ADDRESS: 8 11539 MONROVIA CA 92663 N LICENSED CONTRACTOR DECLARATION: I hereb (firm Inat I am licensed under provisi of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess s Code, and my license is in full lorc tl eltect. CITYUC.:055282200Q�STATEuc.: 54631 D C Dale: ��- �! Signature. WORKERS' COMPENSATION DECLARATION: I hereby affirm that l a certdicale of consent t -insure or a certificate of Workers' Compensation Jis()a9F1 :3 93tilied copy thereof (Section . Lab, 62/01 / POLICY NO.: E . DATE: OMPANY: STATE FUND Certified copy is hereby furnished. ❑ Tied Copy is filed with th 'ty Buili in inion. s q r Date: — / —?/ Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This se meed not be completed if lh it is for one hundred ($100) or less). I certify that in the performance of the work for which this permiitt yd, sued, I shall not employ a rSan in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: If. after making this declaration. you should become subject to the Workers' Compensation provisions of the Labor Cotle, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civ, CL LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the fallowing reason (Section 7031,5 Business and Professional Code. Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Io its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner of the property or my empployees with wages as their sole compensation, will d0 the work, and the ❑ structure is not intended or offered for sale (Semon 7044. Business and Professional Code. The Contractors' State License Law ' does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of complelion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, amexclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon and who Contracts lot such projects with a compactor(s) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason'. I do hereby cedily that I am aware of and unders 25534 and that I or any future building occupant permit for construction or modification from the these provisions. Owner: ents of California Health and Safety Code Sections 25505. 25533, and one) need to comply with said state codes and the requirements for a ement District. Residential construction applications are exempt from Date Applicant: I hereby certify that I have read sap pl!cati nand stale that the above informal ordinances and stale laws r¢Idling to building mslruclion and hereby autho r property for inspection s9 Date: _S_=_7=/_ 'ignatura Driver's License or social Security a: to comply with all city and to ,pte `n the above ms � � r 1641-46 White—Building: Green—Code EnforcernA', Canary—Applicant: Pink LIFevenue: Goldenrod—Assessor w ►, i CITY OF COSTA MESA - BUILDING PERMIT PERM NO: PERMIT NO: P 051979 PLAN CHECK NO: N UUVT:-SIIPF: CONSTRUCTION TYPE: V -N PERMIT TYPE; PLU PURPOSE; OTH JOB DESCRIPTION : NEW SFD W/ATT GARAGE SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /M-1 COMMENTS: RE: B51297 PRIMARY BLDG. PERMIT, * iE IE IF IF iE IE 1F IF RE BE 3f iE BE iE IF iE fE IF IF BE IE it iF * iE IF * IE IE * IE IE BF IE IF IF * iE * iF iE+EiE * fE iE IF1F iE IE IE iF % N• IE iF IF IF IF IE aF IF IF IE IF 1F iE IF IE iF iF iE IE IE iE IE iE JF 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 --------=- --------- ACCESSORY BUILDING -------- FRNT: FT. IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RGHT: FT' IN .PARKING REQ PROV: PARCEL: 42531108 ZNE: REF NO: PLANNING NOTES> '- > 7F iE IE iF iF iF IE IF IE iF * * iE it iF iE iF IF iE iE iE aE iE iE IE iE iF iF iF * IE IF 1E iF JE aE iE IF If IF IF IE IF k BE iE k IF k IEiFlE )E IE k iE IF iE IF iF iF IE * IE IF iE iE IF IF IE iE * * * �E * iE iF k DEVELOPMENT S E R V- C E S,. R E Q U I R E M E N T S 1 ZONING APPROVED BY DATE: BUILDING APPROVED BY APPLICATION ISSUED HY• IE IE BE iE If IE IE iEiF 9EiE IE IF iEiE iF If iE IE if lE iE7Fii�7F'gF3F iF IF iF IF1E 1E IE IE iF 1E IE IE RE IF iE 1E iE iE if IF iE iE * of iE iE iE JE iE iF iE iE iE IF LEGALIZATION:N F E E 1 DATE: �16_vaw iERE IE IE iE * iE 9E iF k iF iF iFIE IE IE BE $FIE IF iE iF iE iE IF iF iE iE iE iF IF IF iF IF iE iE IE IF iE iE IF S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBINNGG ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT- 42 00 '5% 1 SMIP/NON-RES PLAN ISSUE FEE-- 3.00 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 42.00 3.00 0.00 45.00 45.00 •00 REVENUE DIVISION TOTALS--> COLLECTED: 45.00 OVER/SHOAT:00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 45.00 iF IF IF 1E iF iE k it lE iF iEiE It JF kIF IE***kIE iEMk*IEiE BtiE IF*iF iE*IF IE It IF iF IF iElt JE IE iE BEiFiElE IE*iF 4IE IE iE iEk iE IF iF It****iEiF IF iEiF***IE IE IE IE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N. UNIT COST TOTAL COST PLU 2 BATHTUB 2.00 400 PLU 1 DISHWASHER 2.00 2..00 PLU 1 LAUNDRY TUB OR WASHER 2.00 2.00 PLU 1 SHOWER' 2.00 2.00 PLU 1 SINK, KITCHEN 200 200 PLU 4 WASH BASIN 2..00 8..00 PLU 3 WATER CLOSET (TOILET) 2.00 6.00 PLU 1 WATER HEATER.AND/OR VENT 2,00 2.00 PLU I Tk �" PLU 1 GASEPIPINGICE SYS OF 1 TO 4 OUTLETS @10D02&';00 -6'0D,7684.6 -'2"00 PLU 2 GAS PIPING SYS 5+ . OUTL-PER OUTLET TGO X50/It1E: 2�3Z 1.00'•'1`- 11 r---q CONSTRUCTION AND PLANNING PO PA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Ser+ibe or Polen! 52. Pool & Equipment Location _ 2. Soil Pipe-Undrgrnd. yS •� 53. Steel Reinforcement t _1'6eciical Conduit Utility:Undrgrna.'r' 54. Forms _4: Electrical Conduit-Undrgrnd. �'� 55. Electrical Bonding t- `-5 Steel%einforcerment G 56. Rough Plumbing & Pressure Test .6. Electrical UFER'Grnd. 57. APPROVAL TO COVER-GUNITE p '^7%'Footings - 58. Electrical Conduit-Undrgrnd. a' c- 8. foundation y / 59. Gas Pipe, ❑Undrgrnd., Test r 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System ,., I , 61. APPROVAL TO DECK r" y- r,- 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final u; 12. Sewer Capy c 63. Heater & Vent -Final 13. Roof Drains ra / 64. Plumbing System - Final - m � 14. Rough Plumbing '=/' 65. Electrical -Final •� 15. Rough Electrical -Conduit• • 66. Solar System -Final 16. Rough Electri6Wiring - 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 �APPROVAL'SDC Permit # �_ '� '- 'f -,'n ! - 20i:Rough Eactory Fireplace I ..^fir, 3 ! . „ _ .• - • .4 R tG 7 S: a• I �: �^ CC •I F \ -� ^� Y t 'Q:.r!H� _-!'= 21'..D66ts, in Sf5_u ctuie's �'S . ll 1. 70. UnderF6nd Hydro 22._ Ducts, •rVenli atingx S 4; - • 71. •ProduCilQiping O` as 000 23 -,Gas Pipf, Rough &♦Test i I �s i 72. Underground Flush S r., C y. 247 Roof Framing +=?- . E-•� ^F F :735 Undergrnd.Stora. e,Tank'OGas OOil' 25. Roof Sheathing, 5' ''! 1 T- '•ll J •' ' ' ;.!,• ' 7q: ' ` - Overhead Hydre �. .> t Q . v . 26~T -Bar Ceiling (Structural) &cMonocoat r trt� r 7y' Dry Chemical y = J 'v !(01113X3 2 27:.';Fra.meandFlasliiln ,- :* n Dry Stan, ::� .n '-:L'I•:J5•!'-: 76. pipe trl.r -IV •o .a .. �[.: ;- u•.r ,p, Sx::;r :z' n Irl • 28. Lathing& Siding,-*. as !<-r u`: . � ••I '•i rx - - ... .-- 77 FIXED SYSTEM �4NAL' �`:r - �t ,- "V ....• b i _ m: h rnn^ _ yr �, r r.n-•�• `29. Insulation I - 1 A 7$c,,F_IRE PREV. FINAL '•-:V -.1 ,:.-ir .. I ,t x •n - _ ne TS:� ;30. Drywall Nailingtrq .F I r. �•Yn �•.-HEALTHiDEPF. REQUIREMENTIr �:r:.ri�•, 1 c To n �1 r`nlm 231. Plaster Brown Coal r 79? FINAC')NSPECTiON �,n, t, 32sElectrical Po_wer',Meter-Final ` ~ l•: . ? 80;, FOOD CERTI F.ICATE ISSUED G1 _ 33.�Fiq-1 Hgctric fi 't �; ` t' Notes: '� h _ ro ' r+ • . • ,�?� -� 1.l^ ,;34.: Final Hatingg &:/•lir. gond itioning: w l �� I . t-li l'i - a: ^35''Final ^`•� ;,, ,S ;fix „G ..� Gas Pipe-11st' ! ir1S S r 36. Hood or Canopy .� IT' r-:-;;; 37-Fih-51 Factory Fireplace I S- '- : I" I ,�° ',- .t a: `..38. Final Plumbing • .z i 1 .• •• 9L (.IE„0• .� .•, `, •`�, ^39. Water Service -Finale C n1`t K/ rttn 40. Gas Service -Final !:41. Solar Domestic -Final.. C1- •• r r + <0 I - 42.`Backflow Preventer, `- - r `'•� - 43. Backflow Irrigation S r ' ' - - + - •'_:�'•'�''-"'�'L' '. 44. Landscape Irrigation System,�r;� - Ur, -.q p; i, �(� s r,! ;,�;� r�r��;..•c'>coo - 45�SoundAttenuation T - = - _ Ir< �.. 46.'Handicap Regulatigns .r '• '' -' ; _ 47;.,FINAL STRUCTURE & BUILDING I "''ee -LL i iv •• t 487: LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Crown 3 of the Business and Professions Code. and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLINATION: I hereby affirm that I have a certificate of consent to sell insure or a cedificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab, C). POLICY NO.: EXP. DATE: COMPANY: ❑ Climbed copy is hereby furnished. ❑ Certified copy is filed with the City Building Division Dale: Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(S7W) or less). I tertily that In the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: If. after making this declaration. you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors Stale License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that Inhere IS licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant far a permit Subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I. as owner of the property or dry employees with wages as their sole compensation, wig do the work, and the ❑ structure is not intended or offered for sale(Section 7044. Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herSelf or through his or her awn employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve l lot the purpose of sale). / 1, as owner of the property. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business Eland Professions Code: The Contractors' Slate License Law does not apply to an owner of property "a builds or Improves thereon and who contracts lot such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. & P. C. for this reason: Dale: Owner I do hereby cemly that I am aware of and understand the requirements of Calilornia Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Ouddy Management District. Residential construction applications are exempt from these provisions. Dale: Applicant: I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above mentioned property for Inspection purposes. Dale', Signature: Driver's License or Social Security a: 164146 White—Building, Green—Code Enforcement; Canary—Applicant: Pink—Revenue', Goldenrod—Assessor 01 OOtL'hFtih-00O85Eib Y07 Dk?E: 05/9siS1 71rE. 50:31 D PROJECT ADDRESS: UNIT: • OWNER'S NAME: ADDRESS:. PERMIT NO: P 051979 PLAN CHECK NO:, 01590-91 N PAG • ARCH/ENGINEER: REG.NO.: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ADDRESS: UNIT: PLU 1 GAS SERVICE 2.00 2.00 .r PERMITTEE: PLU 1 FLOOR DRAINS 2.00 2.00 ADDRESS: PLU 1 SEWER, BUILDING / TRAILER 5.00 5,00 END OF FEES LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Crown 3 of the Business and Professions Code. and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLINATION: I hereby affirm that I have a certificate of consent to sell insure or a cedificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab, C). POLICY NO.: EXP. DATE: COMPANY: ❑ Climbed copy is hereby furnished. ❑ Certified copy is filed with the City Building Division Dale: Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(S7W) or less). I tertily that In the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: If. after making this declaration. you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors Stale License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that Inhere IS licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant far a permit Subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I. as owner of the property or dry employees with wages as their sole compensation, wig do the work, and the ❑ structure is not intended or offered for sale(Section 7044. Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herSelf or through his or her awn employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve l lot the purpose of sale). / 1, as owner of the property. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business Eland Professions Code: The Contractors' Slate License Law does not apply to an owner of property "a builds or Improves thereon and who contracts lot such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. & P. C. for this reason: Dale: Owner I do hereby cemly that I am aware of and understand the requirements of Calilornia Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Ouddy Management District. Residential construction applications are exempt from these provisions. Dale: Applicant: I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above mentioned property for Inspection purposes. Dale', Signature: Driver's License or Social Security a: 164146 White—Building, Green—Code Enforcement; Canary—Applicant: Pink—Revenue', Goldenrod—Assessor 01 OOtL'hFtih-00O85Eib Y07 Dk?E: 05/9siS1 71rE. 50:31 D Almh ' ,CONSTRUCTION AND PLANNING AP?ROVALS Permit # - Date Inspector PO A APPROVALS Permit # Date Inspector 71. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4.. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20 "Roegh Factur�Fireplace W x< Cr oo^ 21.�Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating < Y 71. Product Piping 0Gas 0Oil 21 Ga�PipF--Rough & Test 72. Underground Flush 247Roef Framing- 73. Undergrnd. Storage Tank OGas OOil 25. Roof Sheathing 74. Overhead Hydro 26 :�T-Bar CeilingAStructurall & Monocoat 75. Dry Chemical 27MFra'm'e Nd FYas 1. 76. Dry Standpipe 28. "LathingJ& Siding - 77. FIXED SYSTEM FINAL 29. Insulation ''.9 V 78. FIRE PREV. FINAL 30. Drywall -Nailing; 7 HEALTH DEPT. REQUIREMENT 31. Plaster frown Coat 79. FINAL INSPECTION 32. Electrical PowertMeter-Final 80. FOOD CERTIFICATE ISSUED 33¢Firixl Electric .� Notes: 34Final Heating & Air-conditioning 35 XFiriia I Gas Pipe -Test 36,Hood or Canopy�r 37 SFintl Factory Firep9ace 38. Final Plumbing 39�Water Service -Final 1 4. 40Gas,Service-Final 41a.Solar Domestic -Final 42., Backflow Preventer 43. Backflow Irrigation 44. Landscape ei''rPga'fion System 45. Sound •Attenuation 46. Haddicap Regulations 47.*FINAL STRUCTURE & BUILDING 48 ,FINAL PLANNING 49. Electric Release to Edison 50..Ga(ReQse'to Southern California Gas Co 51. CERTIFICATE;OF OCCUPANCY No. Date PROJECT ADgRESS: 386 E 15TH ST UNIT' B OWNER'S NAME: LLOYD MYLES DEVELOPEMENT aoOR"': 423 POPPY AV CORONA DEL MAR CA 92625 ARCH/ENGINEER: 723-5300 REG.NO.: ADDRESS: UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT ('714) 723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTSACTOB DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. CITY UC.: STATE UC.'. CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C), POLICY NO.: EXP. DATE: COMPANY: ❑ Certified copy is hereby furnished. ❑ Cendied Copy is tiled with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need Prot be completed it the perm) is for one hundred (Sla)w less). I cenlly that in the performance of the work for which this permit is issued, I Shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California, Date: Signature: NOTICE: It. offer making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a Construction lending agency for the performance of the work for which this permit is issued (Section 3097, Cry. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' Stale License Law her the fallowing reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for me alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars (S5Dj I, as owner of the property or my aloyees with wages as their sole compensation, will do the work, and the 1-1Structureis not intended or offered for sale (Section 7044. Business and Professional Code: The Contractors' State License Law does nor apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or allered for sale. It, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I. as owner of the pmpeny, am exclusively Contracting with licensed contractors to construct the project (Section 7044, Business 9) and Professions Code: The Contractors' State License Law does feel apply to an owner of property who builds or improves thereon and who contracts lot such Go with a contractogsl license p he Conti dors' SI license Law),I arrL.a That proof of Ih¢ir Worker's Comp nsalron insurance should be provided to me. ❑ I am exempt un Section: B. S P. C. for this roaso /• / /) Date: C a rhfier. do hereby Ceti Ihat I am a are of and understand the requirements 01 Calilom0. alth and Safely Code Sections 25505, 25533, and 25534 and Iha or any future building occupant willlwill not (circle one) need to to ty with said state codes and the requirements for a permit for co sltrict. nlclion or modification from the Air Oualily Management Disesidenual construction applications are exempt from these prpvisi ns'. Date: Applicant: I hereocerhly;011vereadthi application and state that the abovematio co CI./agree toco ly with all cite or county ordinaws relating building construction a h Ie re senna of this City 1p of uD a� enlioned pmp¢D Pops /`Dale: Signature: Driverci I Security x: 541.46 Wade—Butldmg: Green—Cone Enforcement: Canary—Applicant: Pink—Revenue; Goldenrod—Assassor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M 052982 PERMIT NO: M 052982 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: MEC PURPOSE: NEW JOB DESCRIPTION ; NEW SFD, RE:#B51297 SQ FT: CLAIM VALUE; CALC-VALUE: GROUP OCC; R-3 /M-1 COMMENTS: NEW SFD if 1f * * jE iF iE dFif iF 9E #IE 9E iF iE iE * if * iF IF iE 9F 9E * * 9E NPiE 9FiE * if iEiE # Nf * iEN-ifif aF iE1EiF if iF+E if if 9F iE ii dE if iE iE 9E if if dE of iE iiif iF -%iE NE jE iF 3f if iE iE if 1E Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REO• PROV: PARCEL: 42531108 ZNE: REF NO: PLANNING N TES> > iE iE iE iE * iF 9E if if iE if * KIE 1F iF 9F * iF 9E k iE iF iE iE M * * 9E iE 3E iE if 9E iE iE ik9F * * iE iE aE 9E iF jE iF IC ik iEBEiFRE 1E if 3E N1E * ib 9f 1E * * iF 1E * * iE iF * iE IE 3E aF9F if 1E iE D E V E L O P M E N T S E Ri'._V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY n DATE: APPLICATION ISSUED BY: DATE; 21 iI if IE iE IE iE IE 9FM iE iE 9F*iF Bf*IF *9E iE 9F*iF C�iF•iFiE iE ie*lF 9EiF 3E IF )F if RF FE * * iE iE RA iF iF iF 1E k 1E k * ie iF * iF iE iA AE iF * iE iF iC if iE iF iE 1A # iE k iE RE 1E * aE ik iE B4 iE * if * iE if iF 1EiE jF 8L SE dF iF1E iF 1FiF * fFDE it 8F iF * lk iF IF fF jF YE )E iE TF iF AE # LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 22,00 PLAN 253; SMIP/NON-RES ISSUE FEE 15,00 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 22,00 15,00 0,00 37,00 37,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 37,00 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 37.00 iE*kiPiEiFkieiFiF*iE*iE*iEaEiPiEiEiEiFiE9EIEkitk#*iEkiEiEik*iFk#FiE*kMFEiEiE*kifLFiEit9FieiE*iF#rte***1F**1F*i(iFiEiFieffaF*1eiFiF /f I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST MEC 1 INST FORC-AIR/GRAV FURN > 100 K BTU 11,00 11,00 MEC 1 FACTORY FIREPLACE 6,50 6,50 / MEC 1 VENTILATION FAN CONN TO SINGLE DUCT 4,50 4.50 END OF FEES 0+ 00097317-ef.072ZII7 r DATE: 07123.'91 TIf;E: iit.5 CONSTRUCTION AND PLANNING APPROVALS Permit Date Inspector POOL SPAS APPROVALS Permit# Date Inspector .! 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.••Electrical Conduit.UtilityUndrgrnd. 54. Forms • 4. Elictrical Conduit-&ndrgrnd. 55. Electrical Bonding ' S; Steel ReinforceSnent 56. Rough Plumbing & Pressure Test ` 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - ;Y 58. Electrical Conduit-Undrgrnd. " B. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undigrnd. 60. Backwash Lines, P -Trap, 0 Undrgrn)j. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer•Lino,& House Connection r 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains • 64. Plumbing System - Final , 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66, Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval -17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electricai-T Bar Ceiling _ 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT' APPROVALS •-_Perfiit # _ 20. Rough Factory Fireplace - - J + = 21 Ducts, in Strvctu{'e- c ;70. Underground Hydro 22. DuMb, Ventilating - J X71, Product Piping 0 Gas 00il 23. Gas Pipe -Rough & Yest 'tit - 72. Underground Flush " 24. Roof Framing w '•73? Undergrnd. Storage Tank 0Gas 0Oil 25. Roof Shgathing 74. Overhead Hydro_ 26. T -Bar Ceiling (Structural) & Monocoat t. 75.- Dry Chemical 27: Frame and Flashing` _ 76. Dry Standpipe - ' 28' Lathing.& Siding - 77. FIXED SYSTEM�EINAL - - '29. Insulation - } � - 78: FIRE PREY. FINAL - 30. Drywall Nailing HEALTH DEPT: REQUIREMENT 31. Plaster Brown Coat I i 79. FINAL INSPECTION - 32_ Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33.'Final Electric a 34, Final Heating & Air. (`onditioni-9 - F l 7/ y 4Zde Notes: ' 35. Final Gas Pipe -Test 36. Hood or Canopy -o 37. Final Factory Fireplace .rr _ 38. Final Plumbing '39. Water Service -Final` -�' •- ' , 40. Gas Service -Final -41. Solar Domestic -Final _ - 42. -Backflow Preventer 43. Backflow Irrigation ' 144. Landscape Irrigation System. %45. -Sound Attenuation `46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING - 48.'FINAL PLANNING •a, 49. Electric Release to Edison ' •, 50.. Gas Release to Southern California Gas Co 51. CERTIFICATE OFOCCUPANCY No. Date N POEQ)Wls:- 386 E 15T$ ST UNIT: B OWNER'S NAME: LLOYD MYLES DEVEI.OPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 ARCH/ENGINEER: 723-5300 REG.NO.: ADDRESS: UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT`."' (714)723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Codeand my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab, C). POLICY NO.: EXP. DATE: COMPANY: ❑ Climbed copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred )$100) or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: If, after making this declaration, you Should became subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civ. C), LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance, also require, the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/She is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). as owner of the property or my ennloyees with wages as their sole compensation, will do the work, and the E) structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees. provided that such improvements are not intended or offered for sale. It, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who on s or improves thereon and who contracts for such projects with a contractor's) license pursuant to the Contractors' Slate Buse Law). I am aware that proof of their Worker's Compensation insurance should be Orovided to me. ❑ 1 am exempt uade!/a chom B S P. C. far this reason: % l Dale: Owner: I do hereby cenif hat I am awe of and understand the requirements California Hopland Safety Code Sections 25505, 25533, and 25534 and that or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for con fraction or modification from theAirAir 0ualay Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that ) haver ad this a plication and slate'he, the above ordinances and state laws lacing to Zl!ng construction andherebyau property IOr inspection urposes Date: 7 L� Signature'. Driver's Licenor Social ecus y 0: —Ai I agree to compl in all ibis city to ant pon dde Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 052981 PERMIT NO: E 1 052981 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: NEW JOB DESCRIPTION ; NEW SFD, RE:#B51297 SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1. COMMENTS: NEW SFD iHjF iE iF iE K• iFiEiE RE iE -lE �E OEiEiE 9E if .)E * DFif BH iE iE 9E Rf iE iE if iE 9f rt * iF ie * iiRE .)E RE Rf xif iE iE 4f 9f if .)E iFif N4E iE iE 9E 1F 9E �.)<# 9E * iF iE # iE 9(-1E iE iE Y-iE ik )E # )f iE 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 ------------------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING REQ: PROV: PARCEL: 42531108 ZNE: REF NO: PLANNING NOTES> > iE * RF * iF iF iE * * iE iE iE aE iE jE iF iE IF ie 3E iE BE iE 3E iF 3e )E k iF BE iF iF iE 3e iF BE iF ie iE ie * iF RF iF iF iE iE iF 1E iF 3f aE iE FE lE iE IF * * iE # i( 9f iF iF iE DF 7( ie iF BF * ie ie ie BF ik ie iE D E V E L O P M E N T S'E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: DATE: 1 Z M RF iF Bk iE iE iF if RE iE iE BF iE 9E klE iE iE Bf BF B6 iF3F irTF3FiF3F3FiF iF'iFiFitiFifiF�iFiF iFiF ifif iE3FifiFiF7FTF3F iFif3FirTFiF i6 RE BF i6 RF 3E EF iF Tf� ie ik if 3E * k iN if 1F BE lF BF Bf iF 3F 3F 9F if iF iF iE ie iH 9f iF 3E * iF iF iF iF if iE iE iE iE RE iE iE BF if Ie iE iE * i(-iE BF 9E iE 3FiE RE iF iE gE ie iF iF9f !E iF ie 1e ik iE OF * * ie iE iE 9F 1E 3E B4 BE iF # ie LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 62,02 50t SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 62,02 15.00 0.00 77.02 77,02 .00 REVENUE DIVISION TOTALS--> COLLECTED: 77.02 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 77.02 ;*PE I N D I V I D U A L F E E B R E A K D O W N YQTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1772 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT ,.03 62.02 END OF FEES 01 00092816-00092818 Tfi %7.r' DATE* 07/23/91 TIMES 091=7 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - 3.`Electrcal Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. u 55. Electrical Bonding ' 5:'Steel Reinforcement - 56. Rough Plumbing & Pressure Test • 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7.:Fdotings 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. Heater & Vent -Final 13, Roof Drains 64. Plumbing System - Final - 14. Rough Plumbing 65. 'Electrical -Final 15. Rough Elect, icel-Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval -17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rough Electrica[�-T Bar. Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning _ FIRE DEPT. REQUIREMCNT 'APPROVALS;=; Permit 20. Rough Facto F;i?eplace -' Z �= 21. Ducts, in.Structure rr, 70. Underground. Hydro 22. Ducts, Ventifating -71. Product`P"ing DGas O'Oil 23, Gas Pipe=Rough &Test; y -I �D t 72. Underground Flush, -. 24. •Roof Framing Roof SHeathing - '73. UndergrneT.Storage Tank E) Gas 0Ol 74 ^Overhead Hydro 26.,T -Bar Ceiling (Structural) & Monoccat _ ' 75. Dry Chemical 27 ;;Frame and Flashing �. 76. Dry Standpipe 28. Lathing & Siding ? 77.= FIXED SY$TEM,FINAL„ '29. Insulation - 78: FIRE PREV. FINAL 30. Drywall Nailing "' ( HEALTH DEPT" REQUIREMENT 31. Plaster Brown Coat, 79' FINAL INSPECTION , " 32. Electrical Power Meter -Final •80. FOOD CERTIFICATE ISSUED - ,33. Final Electric]ZQ g , Notes: 7 34. Final Heating & Air Conditioning's ,35. -Final Gas Pipe -Test; I r36. Hood or Canopy Cz c 37. Final Factory Fireplace,. - - 38. Final Plumbing X39. Water Service -Final' ,40. Gas Service -Final i - 41. Solar Domestic -Final - - `•� 42. Backflow Preventers I t 43. Backflow Irrigation: `. Y - � 44. Landscape Irrigation System. - + .- 45. Sound Atterwatiod _ 46. Handicap Regulations - •' - a r� •: 47: -FINAL STRUCTURE & BUILDING + 48: FINAL PLANNING } 49. Electric Release to Edison c50. Gas.Release to Southern California Gas Co I ` 51. CERTIFICATE OF OCCUPANCY No. Date OWNER �ygl, PHILIE A. DATE 4-11-78 .toe ADDRESS 3 - Eaet 15th Strebt BUILDING PERMIT N0. 5792 �RSPECTIONS Si nature Date TYPE V GROUP I ZONE R-2 SOIL SUBCONTRACTOR GAS Data Number Si nat�ra WATER Plumbin ROUGH PLUMBING L - PROP. SWR. LINE ❑ HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER ROUGH WIRING H Out a d Vent. TRENCHES Lj FORMS STEEL REINF. FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN OUT PI "- ER, BROWN COAT STURA NAL HEATING, NT. A PLUMB IN INAL AND GA TEST I ELECTRIC, FINAL L e BUILDING, FINAL C U U . r � rl h 4.4 oa No 117-2b2-bL LOT TRACT FIRE ZONE VALUE ,. : ECTIONS Signature Date GROUP I & J TYPE V ZONE R-2 Soil SUBCONTRACTOR PERMITS ISSUED Gas I Date Number Signature Water Plumbing Rough Plumbing Prop. Swr. Line ❑ House Con. {] Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground ❑ Power O Rough Wiring Heating and Vent. Trenches ❑ Forms ❑ Steel Reinf. ❑ Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing Frame and Flashing Lathing — In ❑ Out p Pl^-ger. Brown Coat £ unil, Final Electric Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test ❑ Electric, Final Building, Final OB ADDRESS 30 BUILDING PERMIT NO. 3951 - GFERAL CONTRACTOR us om ra rs. DESCRIPTION of WORK Block Wall :. ;- D. - 4—b LOT TRACT FIRE ZONE VALUE $ L IECTIONS Si nature Date TYPE 1 GROUP J ZONE R2 SOIL Plumbing SUBCONTRACTOR PERMIT$ ISS ED GAS Dote Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE E] HOUSE CON. I SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND El POWER ROUGH WIRING Heating and Vent. TRENCHES Lj FORMS [:]STEEL REINF. L FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN F7 OUT PL "--ER, BROWN COAT S (URAL, FINAL HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL BUILDING, FINAL 7 DATE 5-15-78 11 -264-6 LOT TRACT FIRE ZONE VALUE$ 2UU. INSPECTIONS SI nature Date TYPE III GROUP J ZONE R-2 SOIL SUBCONTRACTOR PEPMITS ISSUED GAS Date Number Signature WATER Plumbin ROUGH PLUMBING PROP. SWR. LINE HOUSE CON. Lj SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND Ej POWER ROUGH WIRING Heetln and Vent. TRENCHESLjFORMS Lj STEEL REINF. Lj' FLOOR SYSTEM ' BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN M OUT P' -R, BROWN COAT S'. JURAL, FINAL HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL BUILDING, FINAL r DATE JOB ADDRESS GENERAL CONTRACI'UR uienn Y. COIL VALUE $ 2.360,00 Add Bdrm.+Det. AP No.117-261-07 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Gar.W fteS.for I 'ECTIONS Signaturel DATE GROUP I & JTYPE V ZONER2/FUt.2ndSt( S.._. _ SUBCONTRACTOR PERMITS ISSUED Gay Water Rough Com. Refrig. [] Air Cond. ❑ DATE NUMBER Rough Heating _ !tj Rough Plumbing �7•f�J Miscellaneous Prop. Swr. Line ❑ House Con. ❑ St. Swr. ❑ Sprinkling System �,� _ L�-�-`-/'= Construction Pole Underground ❑ Power ❑ GCi Rough Wiring Trenches ❑ Forms ❑ Steel Reinf. ❑ — O — 6 9-� Floor System _ Bond Beam ❑ Steel Reinforce ❑ Sheathing Frame and Fleshing �'- 2 Lathing — In Out -S- / 6 1� P' --ter, brown coat g. ❑ Air Cond. ❑ Fina hating, Final Plumbing Fixtures, Final S —4j - Final Gas Test Electric Fixtures, Final 6 Building, Final OCCUPANCY FORM BU4 .5M — 7.61 16819 (714) 754-5273 • Fax (714) 754.4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 386 E 15TH ST Suite No A Vicinity: Parcel Nunmber: 42531307 Applicant: CANDY NOCK - Address: 11612 KNOTT-STS l'.'- - SUITE 217 - Phone: (714) 895-1246 - GARDEN GROVE, CA`-` Zip: 92841 Owner JACOBS, DANIEL"RAND CYNTHIA Address 386 E 15TH ST UNIT A - Phone: 949-722-7485 COSTA'. MESA, CA Zip: 92626 Contractor: NOCK PLUMBING /$0.00 Clarifier System, Address: 11612 KNOTT ST _ $0.00 SUITE 217 - - Phone: (714) 895-1246 GARDEN GROVE, CA Zip: 92841 " - License: 707775 Arch / Eng:.' _ ' Address: Phone: Zip: License: , -f SCOPE OF PERMIT CHANGE OUT WATER HEATER AMT ISSUE FEE $23.50 Backflow irrigation $0.00 Backflow Preventer $0.00 Bathtub /$0.00 Clarifier System, , $0.00 Connect (Ice,Soda,etc)\ $0.00 Dental Units "" $0.00 Dishwasher ; $0.00 Drain, Floor ',,$0.00 Drain, Rainwater $0.00 Drain, Roof $0.00 Drinking Fountain $0.00 Expansion Tank $0.00 Gas Earthquake Valve $0.00 Gas (1-4 outlets) $0.00 QTY 0 0 0 0 0 0 0, 0- 0 0 0 0 0 0 FEESUMMARY Status: ISSUED Applied: 07/08/2004 Issued: 07/08/2004 ISSUED BY: " AMT QTY r -AMT Laundry Tub / Washer $0.00 ' r',0 Sump "Pump - $0.00 Landscape Irrigation - $0.00'0.." - Swimming Pool; l' $0.00 P -Trap $0.00 0` Trap Primer Pressure Regulator $0.00 •0 "Urinal i - $0.00 .. Process Piping (per ,1Oft) ' $0.00 0 " Vacuum Bikr,Bkflow(1-4)/ $0.00 Receptors $0.00 0, -.- ��; � � Vacuum Brkr Bkflow(5+) $0.00 ' Septic Tank $0.00 -0 ""- ' Wash Basin $0.00 Sewer Cap for Demo $0.00 - 0 -. Wash Basin Set/' $0.00 Sewer Connect $0.00 10- " Waste and Vent System $0.00 Sewer Private Line $0.00 0 Water Closet (Toilet) $0.00 " Shower $0.00 '0 Water Heater / vent $12.30 Sink, bar$0.00 0 - -Wates Piping (Inst or Rep.) $0.00 Sink,. commercial $0.00 0 Water Re -pipe $0.00 -, Sink, Floor, -- $0.00 /0 Water Service $0.00 _ Sink, kitchen �'_ "'_$0.00 -0 Water Softener $0.00 IWA 0 0 0 0 0 0 0 0 0 0 1 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 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 244646 (SM) DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Cade, for the performance of the Work for which this penult Is issued. 1 have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Cade, for the performance of the work for which this permit Is Issued. My w�{ ars' camp sat n Ins(ran�arter andIicy number are: G�1 Cartier. 1; e,� �J1n�� Policy Number: (ThIs sectidthopeon need not be complete the pe it Is valuedet one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with these provisions. Applicant Signature: Date: I WARNING: FFILLIRE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,1100). IN ADDITION TO THE COLT OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed ugdprplDyi�pga Chapter 9 (commencing With Section 7000) of Division 3 o1 the Business and Professions Code, and my license is in full force and effect. Lic. M 11 Class k Contractors Signature: L -Y I I Data: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued, (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER -BUILDER DECLARATIONS: n I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, poor to its issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Dover's License No. Expires: Verification of Ownership by (type of document, i.e.. property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth Into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Divislon of Industrial Safety Permil Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building Occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ........................_................... ............................................ ............................................. .._................................................................................ ........................ ..................................................... ................. ..... ....................... ........................ _............ 2 Does or will the applicant or present or future building Occupant need to file a registration forth for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight Of 500 pounds, or a volume of 55 gallons, or 200 cubic feet o1 compressed gas at standard temperature and pressure). .._ _......___—____..._._. ntor_.__._._.__....._..._......_.___.__.____...._._..._...__._.___._..._.__..________. __... _...__. 3 Does or will the eppplicent or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ..................................................................................................................................................................................................................................................................................................................._.........................._........................._............ 4 If en RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No ......................................................................................... -..................................................................................... .... ................................................................................ ...................................................................................................................... - 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this a plication apEennil for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). .....................__.................__._..............................st-...._._cte...........d und.........................__................_..................__...._............_.........................____....................................._...........................__._.............._.................._... 6 Will any par of the facility to be conruer this pemlil be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ............................................................................................................................................................................................................................................................................................................................................................. 7 Iia permit from the South Coast Air 0uall N Menagsment District or other air pollution control district or agency is required for the work which is the subject Of this application, have all of the disclosures prescibed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No .......................................................................................... ............................................... .......................... ...................... _................. __.................................................................................................. _................... _................... __................... B (If yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow Occupancy of any building authorized by this permit until final inspection. gnature Of Legal Owner(s) And/Or Authorized Applicant Date CODE 11. INSPECTION TYPE ge¢, )NTITIAL$ CODE( INSPECTIONTYPE 2M INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final BlocklRetalning Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupency Applicant to fill In all spaces except those within heavy CITY OF COSTA 5A C TRUCTIONPERMIT Prof -act Address Applicant's Mail' 9 Address' _ q Owner's N rt�la�(I - Accounting; Goldenrod - Assessor $15 FEES Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto -Wash Issue Fee I $ 3 Hood or Type ❑ r Canopy Type I1 ❑ efrigeration System 70.100,000 BTU ❑ 100,000 iystem Repair/Alteration Fire Dampers Registers Issue Fee '.S I $ A.P. 916 S Main Buildi E T Front B Rear A C Right K $ Left Ping. Ref. # Zone Accessory Building: _Parking Req./Provided r O N I. N G R E Q M T S. ELECTRICAL I , FEES Automatic Washer' Transformer ❑15-50 KW Construction Pnlo A„h ❑ 50 + KW j Cooking, Unit Meier ❑up to 100 amps Dishwasher Meter ❑over 100 amps Dryers ❑Gas ❑Electric Sub Panel Fan Motors 00.1 HP OVA -8 _ F.A.Ur - - -Ina Solar 09-15 HP ❑16-15+ Fixtures Microwave Device Boxes Outlets Pole Light Range Switches Sign ' Garbage Disposal Standing Sections Generator 00.5 KW El 5-15 KW Trash Compactor ELECTRICAL , $ GRADING i PLAN CHECK 50% $ Reinspection Fee V t Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date T: fT..2.['` . I_)AT_• `c1/113lEd ' SUMMARY OF FEES BUILDING, PERMIT $ k SMIP $ , PLAN CHECK $ 'PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL , $ GRADING $ I PLAN CHECK 50% $ MICROFILM $ I MECHANICAL $ TOTAL FEE $ PLAN CHECK 25% $ I- T: fT..2.['` . I_)AT_• `c1/113lEd CONSTRUCTION AND PLANNING "` Date APPROVALS Permit # Inspector POO. SPA 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-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6.' Electrical UFERGrnd. ,. - 57. APPROVAL TO COVER-GUNITE 7., Footings 58. Electrical Conduit-Undrgrnd. 8.� Foundation .- - 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pi e-Undr rnd. P 9 � 60. Backwash Lines, P -Trap, � Undryrnd. - 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line &House Connection 62. Backwash & Receptor -Final 12. Sewer,Cap 63. Heater & Vent -Final 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing - 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval A7.. Rough Wiring Sign 68. APPROVED FOR PLASTERING 't78. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# .' 20. Rough Factory Fireplace X21. Ducts, in Structure, 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping []Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 00il 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL " 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT i 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test ' 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final r+. 41. Solar Domestic -Final F,t 42. Backflow Preventer (i} 43. Backflow Irrigation (-;I � 44. Landscape Irrigation System j 45. Sound Attenuation (t't C') 46. Handicap Regulations to 47. FINAL STRUCTURE &-BUILDING 48. Special Requirements Completed W 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date �" Applicant to fill in all spaces except CITYOF_GOSTAS C NSTRUCTIO PERMIT Project Address - 1 �n� Applicant's Mailing ddre It�• Kfo — Owner's Na�r��Ce�y 1- Msl all o Phone. Address 11f '14;74 Arch/Eng. p Li se No. Address J Contractor's Nam Phone / Address (mailin G City License No. LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license i in full for _ nap ct. �L License 3 i e - Drivers' License or SS # CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Account within heavy borderlines and sign all appropriate declarations. TACT NO. I LOT NO. I UNIT NO. TYPE OF CONSTRUCTION IJ NEW LJ ADD ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. — ALTERATION LJ REPAIR TYPE OF PERMIT L GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑,ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCY— CONSTRUCTION TYPE VALUATIONS— ZONE— ALUATION$ZONE GRADINGCU.YDS. 'ACRES_ Remarks: A.P. # S Main Build E T Front B Rear A C Right K S Left Ping. Ref. # 6364 9/30/87 510ri TL Zone Accessory Building: Z O N I N G R Parking Req./Provided E Q M T S Bar Sink Showers Hood or Type I ❑ Canopy Type II ❑ ELECTRICAL FEES Backflow Preventer Service Sink Duct - Under Ground Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. ❑50+KIN Backf low Irrigation Sewer Cap- PLAN CHECK Bathtubs Sewer Connection Duct - Ventilating Cooking Unit Meter Cup to 100 amps. Clarifiers Solar Collectors $ Dishwasher Meter El over 100 amps Dishwasher Solar Piping Fire Dampers Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Heating System & Ducting ❑ 0-100,000 BTU ❑ 100,000 BT Fan Motors 00-1 HP ❑ 1'A - 8 Floor Drains Swimming Pool w/Spa $ F.A.U. Inc.Solar 09-15 HP 016-15+ Floor Sinks Urinal MICROFILM Fixtures Microwave Gas Service Outlets Water Closet $ Device Boxes Pole Light Interceptors Water Heater 25% Outlets Range Kitchen Sink Water Service Switches Sign Lavatories Auto -Wash Garbage Disposal Standing Sections P—Trap Laundry Trays Generator 00.5 KW 05-15 KW Trash Compactor Roof Drains - Reinspection Fee I $15 I I Issue Fee I $ 3 Reinspection Fee $15 Issue Fee $ 3 Reinspection Fee I $15 I I Issue Fee 1 $ 3 Goldenrod - Assessor DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By -f!;a Boiler Hood or Type I ❑ Canopy Type II ❑ SUMMARY OF FEES BUILDING PERMIT Duct - Under Ground $ Duct - Structural Refrigeration System 00-1100,00OBTU ❑100,000 BTU PLAN CHECK $ Duct - Ventilating Exhaust System ❑ Multiple ❑ System Repair/Alteration $ J.CJV - ISSUANCE Firepl/Fact. Bit. ICBG# Fire Dampers $ ENERGY P.C. $ Heating System & Ducting ❑ 0-100,000 BTU ❑ 100,000 BT Registers $ GRADING - $ PLAN CHECK 50% Reinspection Fee I $15 I I Issue Fee 1 $ 3 Goldenrod - Assessor DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By -f!;a SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT• PLUMBING $ J.CJV - ISSUANCE PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING - $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE•`�— PLAN CHECK 25% $ • CONSTRUCTION AND'PLANNING •t , APPROVALS Permit # Date Inspector POOL &SPA 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-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings (:j 58. Electrical Conduit-Undrgrnd. 8. Foundation J. 59. Gas Pipe, 0 Undrgrnd., Test 9. Water PipiAndrgrrid: "� 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final ' 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0 Oil 25. Roof Sheathing ` 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat" • 75. Dry Chemical - 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL - 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT vi r) 31. Plaster Brown Coat 79. FINAL INSPECTION S� 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: t r? 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test x'736. Hood or Canopy „- 371 Final Factory Fireplace �-i`;, • %� I„! J38 Final Plumbing go Water Water Service -Final 0�,�� �'�a- '.-� '�- •{ •. t 40. Gas Service -Final „•••'r• " r h ;_J11. Solar Domestic -Final �� - - e, "'42. Backflow Preventer /1 •�' . ' ,f'-" -t .143. Backflow Irrigation . J I,., �I, � .�' I •lam • 44. Landscape Irrigation System k5.7I�Sound Attenuation r -'i �,' •�,-� �: �',� 46' :Handicap Regulations 47a FINAL STRUCTURE&BUILDING %/ �• •9r�1 V--�' ' 48. Special Requirements Completed J'; ice; �!� '!.. -' �.•,• 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co •• ,1 '� - ' ,1 51. CERTIFICATE OF OCCUPANCY No. Date _ r+ _ i i 2E639 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 9P For Appikont to FM In Completely TYPE OR PRINT FDINazRF, _ lKth. Cnai:a Mata MAIL COSTA MESA, CALIFORNIA acinic Ave CITY Costa Mesa No 646986" ARCHITECT TEL 'NGINEBR NO. ADDRESS 2253 Pd4fic Ave CITY' Costa Mesa STATETSL. LIC. NO. a NO. SIZE I No. of ELDOE. F LOT NOW ON t.0'T USE OF Residence EXISTING BLDG. SETBACK LINE FROM CENTER OF STREET REAR YARD BIDE_YARDI LEFT I RIGHT DESCRIPTION OF WORK N db!2YIN2 ITI N REP�AII,R,�y DBMOL_U3H x S ZIE inrilUg • 3ox3-ROOMS STORIES 1 EXTERIORWAbH ROOF dine .— Shingles & replacing sills ob cripples as needed, then tree Ing or I W H9RSSY ACKNOWLEDGE "AT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON. PLY WITH ALL CITY ORDINANCES AND STATE LAWN REGULATING BUILDING CONSTRUCTION - n I ' AUTHORIZED AGENT PAID 3.00 crisa00 FEB -7-67 406 d***** APPLICATION FOR PERMIT BUILDING For Office Use Only �r RECEIPT NO. PERMIT NO. RECEIVED EY DATE RECEIVED - -6 DATE 1081190 z - -6 /z BUILDING RS �(J �J ! J ADDES RIR[ T ZONE TYPE GROUP- APPROVQD 7 eY / DATE Z / '!O/ ZONING 30 NO. OP PLANS O DYE OP N[ EUILDIN e7 LEo9ccnlmon B//. ��J 2— A. P. NO. 7—.96 L NOTE: NOTE: NO QAVE OVERHANG SMALL BE LEW THAN 80' TO SID[ a REAR P. L. EAVES ALLOWED (U.B.C. REQUIREMENT) YARDS APPROVED MAIN BUILDING YARDS APPROVED ACCESSORY BUILDING ( FROM C/L STREET FRONT I Fr. R. SID[ p;r;, ST FT. L. SIDE PT. - FT. REAR FT. FT. DISTANCE BET. MAIN BLD • BET. MAIN e ACCESS. BLDGS. VAR.* C. U. P.# DATE APPROVED C PROVED /� `J DATE BQ. FT. HE AMOUNT SHOWN UNDER VALUATION 18 FOR TNB URPOSE OF ESTABLISHING A PERMIT FEE ONLY. rVALUATION 4040PERMIT 2.7.) _ �j REE 3100 TOTALFEE OQ' �r Z aV Za ON dm J U) J to 6 a O r m z 0 U D cc I— N Z 39516 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 /J VAiu *fr* 5.50 1,112n 7`Cr;r•00 536•. a Q AP IC TION FOR BUILDING PERMIT For Appl7Filfin Completely R DATE RECEIVED gATE�JS%TEDBUILDINGG—/ADDRESSw' �({/y �/��' A.P. NO.MABUILD 1— 421 PERM TOWNER IL y�7-sj- s ADDRESSO.JCITY NG ADDRESUILDINGS ` OJ I<_ NOI. TRACE LO BLOCKCONSTRUCTION I ADD WLENDER ALTER REPAIR moviNG ng BRANCH OWNER. ADDRESS VALUE Q $ AV 17) ARCHITECT TEL. OR ENGINEER N FIRE ADDRESS ZONE TYPE GROUP APPROVE CONTRACTOR Qin. By DATE _ ADDRESS TEL ZO NO. OF USE OF N W z_� -/ CITY L[J py ([' G(,� NO. �69 PLANS BUILDING STATE ` CITY YARDS APPROVED YARDS APPROVED LIC. NJ 6' LIC, NO. O. �/� MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BL (FROM C/L STREET) OF LOT 1_00 NOW ON LOT FRONT FT. FT. USE OF / EXISTING BLOG. / •-%� - S T. ��yy OFT SIZE OF NO. OF NEW BLDG. ROOMS STORIES L. SIDE FT. EXTERIOR WALL ROOF COVERING COVERING REAR_. FT... T --- USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLOCS. ACCESS, BLDGS. VAR. sW DATE C.U.P. * APPROVED APPROVED 1 hereby acknowledge that I have read this application and state that the above Information is correct and agree to comply with ell laws regulating building construction, and 1 shall not employ any person In violation of the workmen's compensation laws of r T the State of California. 1 hereby cartNy that I am properly licensed as a contractor under SQ. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR the Stateof California Business and Professions Code, Oivlsicn 3, Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business and Professions Co ivislon 3, Chapter VALUATION �7 (� 5 - PERMIT FEE $ PLAN CHECK $ Signature of�/Cv/( Perm@tae 0� $ yJ'� � -- Authorized Agent / TOTAL FEE $ a Q I •' COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 7Applicant Fill in Completely — Use Ink Only BUADO� Imo , MAIL ADDRESS-��•M\p TEL. CITY NO.IcFYp•Y�s�t CONSTRUCTION LENDER BRANCH r [ADDRESS ARCHITECT TEL OR ENGINEER NO. i0kC—1 8983 4/11/78 108.50 7L 1 8983 4/11/78 108o5OCKTO - 8983 ODU04657 92 1A APPLICATION FOR STRUCTURAL PERMIT EIVED BY DA/TE RECEIVED D T SU NO. -ap PERMIT NO. /^6/� BUILDING C •,/y [ADDRESS TRACT O BLOCK A CONTRACTOR O�rlt•.-+��� By DATE ERLC�YLiZL% Ljt[Y�„'L7 VALUE ADDRESS came i re u"Uu APPROVED D” CONTRACTOR O�rlt•.-+��� By DATE ADDRESS TEL. ZONE NO.OF USE OF NEW CITY NO. PLAN BUILDING 0pyy, F STATE CITY YARDS APPROVED YARDS APPROVED 2 LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE I 1 NO. OF 'L (FROM C/L ST���E(rT�r G. OF LOTj 1 (� NOW ON LOT ONT i//P'7./`- y^� z� FT. USE OF �— .�. EXISTING BLDG. �-- I 0 FT. F Separate permits are required for L SIDE�fl FT. FT. REAR F T� Fr. a electric, plumbing and heating work. --W USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & l$ LIZJ=T b'� MAIN SLOGS. ACCESS SLOGS. VAR. 1% DATE LT G -u TZs�t J _ FibgTsj C.U.P. sW - APPROVED Q 7 APPROV IX w I hereby acknowledge that I have read this application and state CG that the above Information Is correct and agree to comply with m A. all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of Sthe State of California. m aYOSO. 3 I hereby certify that I em properly licensed as a contractor under FT. N THE AMOUNT SHOWN U A UATION IS FOR the State of California Business and Professions Coda, Division 3, m Chapter 9, and that such licensee are in full force and effect, or 1 THE PURPOSE OF ESTABLIS 1 P RMIT FEE.ONLY. am exempt from the provisions of the State of California Business VALUATION PER and P vialon.3, Cha n PLAN CHECK E nature Of TAX Ef Parmiitea $ LL lY U TOTAL PAID E Authorized Agent issis COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely ' TYPE OR PRINT BUILDING 7p_ COSTA MESA. CALIFORNIA FEE RECEIVED Mia? 02 FINnnA66NC��,E�� DEFT. ��ppzw- CAPLiCATiC7N' Fi3K-PERMIT BUILDING For Office Use Only I E IM RECEIPT NO. IM O OWNER MAIL REC61 B pf VSD yA IeHu ADDRESS G Jif L. CITY 1 1/; NEO. N i% d ADDRESS v 0 ADDRE ARCHITECT � p,y TEL -r'.�� 7 rAD'D. COSTA MESA. CA IFORNIA ._4S FIRE ZONE TY E GRRpO CONTRACTOR APPROVED J 7 BY DAT ADDRESS 'Y71' ZONING ZOO. NPLANEOP USE OP NEW L ^ CITY %i% /� t - �/I BUILDING W STATE / (�NLBGALI O. G C DESCRPION SIZE Q I NO. OF BID08./ // OF LOT (tea NOW ON LOT A P NG - USE OF�rl YARDS EVES EXISTING BLDG GE APPROVED ALLOWED SETBACK LINK PROM/ ICKNTER LINE ST.) CENTER OF STREET REAR YJRJi�}I FRONT FT. IN. SIDE YARD I LEFT I RIGHT S R. SIDE FTIN. DESCRIPTION OF WORK ` L. SIDE FT. IN. X NEW IIALTERATION Ix IIADDITION I /\ REAR IN. REPAH, I II MOVING I ((DEMOLISH I APPROVEDBY I ATE - ,v l� BUILDING NO. OF SIZE ROOMS STORIES E I ' 1JAPI EXTERIOR WALL ROOF (COVERING -_ COVERING USE OF BUILDING AND WORK TO BE PERFO ED S/� (�— 1 ' �wea AIi' %- p1? al 1- —,-Q. I HEREBY ACKNOWLEDGE THA101 HAVE READ THIS APP LIGTION TX6 A NT OWN UND VA UATIO IS FOR T AND STATE THAT THE V8 8 CORRECT AND AGREE TO COM- PURPO OFEeTABL18HI A PERM PEE PLY WITH ALL CITY INA D STATE LAWe REGULATING ONLY. VALUATIO���N n FAQ BUIIDINO CONBTRU ION. SIGNATURE OF v PERMIT FEE $ PERMITTE � PLAN CHECK S AUTHOR AGENT TOTAL FEE IM 21728 /COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX JI] COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT J X v /�— /d' COSTA MESA, CALIFORNIA [ARCHITECT I//�N �O���IUIYNO. J/ '✓7��% OR ENGINEER AL. .SS 2 C✓ A X CONTRACTOR OWIIEr — Br((/cIet' TEL. (O / i /6,9 r I un�uOnu Loo9. ■ SETBACK LINE FROM OF WORK BUILDING 9 /. 1/ h n NO. OF WALL flue IHEREBY ACKNOWLEDGE THAT 1 .HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 10 CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILD]NO CONSTRUCTION. .J. SIGNATURE OF 0 FEE RECEIVED . LEAH 9 1964 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only "SCRIPT NO.["MIT NO 9 fl T["SC`IYSD., DATE SUED DDRESS�66//�Vy ABUILDING FIRE ZONE PE V GROUP APPROVE ` / BY �!/ DATE ZONING ZON O.OFNB N/U/? USE OP NeW P4P a.r�. p ��L P eW LDi N�/O�K1,L LEGAL /J EGCRtPTiON / 2 V l 6 A. P. NO. ` ` NOTE: NO EAV E OVERHANG SHALL BE LESS THAN 90' TO SIDE B REAR P. L. EAVES ALLOWED (U. B. C. REQUIREMENT) YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L STRSET) FRONT FT. FT. R. 6109 FT. FT. L. BIDS FK FT, REAR FT. FT. DISTANCE BET. BET. MAIN Q MAIN BLDGS. ACCESS. BLDGS. VAR. # DATE C. U. P.# APPROVED APPROVED 3 Y DATE v � � — 749 80. FT. THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE PURPOS[ OF ESTABLISHING A PERMIT FEE ONLY. VALUATION 00 V PERMIT FEE $147 O TOTAL FEE COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 r'ggh6 5/15/78 //Fa50 TL PLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink O EIVED BV DATE RECEIVED DATE ISSUED BUILDING 2 i/'b E CT -Q' �•/ : / ADDRESS \J(� �/ 77�� [� OWNER /LJ EG_L /7 L. (� I SO�tJ �? PERMIT NO. NO .LMAIL �c>n t^Ti' T''BUIBUIRING ADDRESS OO VTEL. J_A C ESS CITY NO. L T BLOCK CONSTRUCTION nFMDl ISHLENDER CHER ESS VALUE S '�^ ITECT TEL. ENGINEER FIRE '77 0 ESS ZONE TYPE GROUP Q APPROVED RACTOR BY DATE ESS LNGNEE TEL. ZONE NO. OF USE OF NEW NO. PLANS BUILDING CITY YARDS APPROVED YARDSAPPROVED O. LIC. NO. MAIN BUILDING ACCESSORY BUILDING NO.OF BLOGS(FROM C/L STREET) T NOWON LOi NT FT. FT. FNG BLDG. F f Separate permits are required for L sl FT. f [� electric, plumbing and heating work: REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLOGS. ACCESS. BLDGS. N/VAR. 46 DATE CUA.# APPROVED t7 APPROV ebyacknowledge that 1 have read this application and state 'nthe above information Is correct and agree to comply with ws regulating buliding construction, and I shell not employ erson in violation of the workman's compensation laws oftate rAuthorly..d of California. by certify that I am properly licensed as a contractor under SO.FT. atate THE AMOUNT SHOWN UNDER VALUATION IS FOR of California Business antl Professions Code, Division 3, mter 9, and that such licenses are in full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: empt from the provisions of the State of California Bu nese VALUATION PERMIT FEE EPLAN roteasions Co a, Divialon 3, Chapter 9. of"�'`.ittee CHECK Eture TAX S $ (7'C/ U orizetl Agent TOTAL PAID f Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CON$TRUCTPN PERMIT PERMIT O. TRACT NO. LOT NO. UNIT NO. —3810 gv, /Srf1 3 a 3503 Project Address Applicant's Mailing Address cS Owner's Name ''L Phon 7 Address E- ��T�r�_T• Arch/Eng. License No. Address sett Contractor's Na Z honed/3 Address (mailing) LILY City License No. %%z,7191/ o LICENSEO CONTRACTOR DECLARATION I hereby affirm a untler provisl ons of Charter 9 (commencing In section 0) of Division f the CLIP;-, LIP;intl Processions Code, and my lice C0 is n fu f rce no a fact. OQsQQ // 3 LiceO a Class License No. WORKERS'COMPENSATION DECLARATION I hereby affirm certificate of conse.'t ^'*�•y. rtiflcate 4La, om pensation ceb. C .nfNo-"�� fed copy is her rnishetl.ed with the city- Apo I.e.nt..S7 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or lescs). I ertify that in the performance ofthe work for which this permit i5 , I shall not employ any person in any manner so as to become subject to to the Workers' Compensation LawsCalifornia. Dale _Signature NOTICE: C after making this ions of you , Cod become Subject to ith Workers' Compensation provisions of the Labor Code, you must forthwith comply with Such provisions or this permit Shall be deemed revOk¢tl. CONSTRUCTION LENDING AGENCY 1 hereby work that mere is a is lendingIsue agency for the performance of the work for which this permit .I5 Issued (Section 3097 Civ. C.) Lontler's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the w Contractor's License U for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires the applicant.for such permit to file a signed statement that he/She Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section -7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the allayed exemption. Any violation of Section +031.5 by any applicant for a permit subjects the applicant to a civil comgalty of not more than five hundred dollars ($500). LJ I, as owner of the property or my employees with wages as their Sole p¢hisalion, will do the work, and the structure is not intended or offered for Sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his Or her own employees, Provided that ouch improvements are not Intended or offered for sale. If, however, the building or Improvement Is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or Im. prove for the purpose of Sale). _ 0 1, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for Such projects with a con- tractor(5) license pursuant to the Contractor's License Law). I am aware that proof V their Worker's Compensltlon Insurance should be providetl to me. 0 1 am exempt untler Section B. & P. C. for this reason Date Owner 1 hereby certify that 1 have read this application and state that the above In larmation is correct. I agree to comply with all city and county ordinances and slate laws relating to building construction, and hereby authorize repro- sentatives of thi city to enter pen the above-mentioned property to; insPectlol �� F�1�dp py 51 Date O�-?- or CMF TYPE OF CONSTRUCTION LJ NEW LJ� ADD ALTTTR^ATIIONN LJ REPAIR FEES E:1��1IO CONVERSION ❑ DEMOLISH y1'THER =- `-rte A.P. DESCRIPTION OF WORK/USE OF BLDG, Showers S Main Building: E FEES TYPE OF PERMIT GRADING 71 FOUNDATION 0 STRUCTURAL T Front El ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL 13 Sewer Cap LJ TENANT OTHER I.l>{\Q''C SE'L�/(i-Ei A Rear Meter 0up to 100 amps C _ Right PROJECT DESCRIPTION SQ. FT. OCCUPANCY K Meter ❑over 100 amps CONSTRUCTION TYPE VALUATIONS $ Left ZONE GRADING CU.YDS. ACRES Ping. Ref. # Remarks: Planning Notes: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P -Trap Roof Drains Reinspection Fee 1 $15 Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System 0 Multiple Firepl/Fact. Bit. ICBO # Heating System & Ducting 0D100,000 BTU 0100,000 Reinspection Fee I $15 Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor n I 5648 2/L9/.' Zone Accessory Building: Z O N N G R Parking Req./Pro' E D M IsT MBING FEES rCD L a wuu Showers ELECTRICAL FEES Service Sink Automatic Washer ' Construction Pole Sub. Transformer 0 15.50 KW ❑ 50+KW Sewer Cap Sewer Connection Cooking Unit Meter 0up to 100 amps Solar Collectors Dishwasher Meter ❑over 100 amps .Solar Piping Dryers OGas ❑Electric Sub Panel Solar Tank I Fan Motors 00-1 HP 01'/h - 8 Swimming Pool w/Spa F.A.U. Inc. Solar 09-15 HP 1:116-1 S+ Urinal Fixtures Microwave Water Closet Device Boxes Pole Light Water Heater , O Outlets Range Water Service - Switches Sign Auto -Wash Garbage Disposal Standing Sections Laundry Tra-;s Generator 00-5 KW 05.15 KW Trash Compactor Issue Fee S 3 Reinspection Fee $15 1 1 Issue Fee $ 3 1ANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved ByDate�/gip_ j/j.Q_ Application Issued By Date] / QQ Hood or Type 0 Canopy Type If 0 Refrigeration System 00-100,000 BTU 0100,000 BTU BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ SMIP $ $ P MIT $ T "- J-OO"MS $ $ ENERGY P.C. $ $ GRADING $ $ MICROFILM $ $ TOTAL FEE $ $ (7 V e SA d System Replir/A Iteration Fire Dampers Registers #$3 - Issue Fee CONSTRUCTION AND:�PLANNING _ i,' i 1 f •, POOL & SPA APPROVALS Permit,# `Date-. ,I Inspector - i APPROVALS Permit# Date 1 Inspector 1.+.Temporary Electrical Service or. Pole 52. Pool &'Equipment Location, l , 2 Soil Pipe-Undrgrnd. 1' 53. Steel Reinforcement • .: ;r 1 3. Electrical Conduit Utility-Undrgrnd. r I t 54. Forms! ' 4. Electrical Conduit-Undrgrnd.1 I .55. Electrical Bonding '•.rr'. 1 , - I -k". + 5. Steel Reinforcement :". . - 1 .56. Rough Plumbing & Pressure, sst 6. Electrical UFER Grnd. i . 57. APPROVAL TO COVER-GUNJTEI ' •i i ' 7. Footings -- 58. Electrical Conduit-Undrrnd.� j 1 8. Foundatidri. - -_ _ _ 1 59. Gas Pipe, 0 Undrgrndest-I.� 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Tr`p1 O Undrgrnd.. 1 1 10. Structural (Floor System - 61. APPROVAL TO DECK: 11. Property Sewer Line &House Connection 62. Backwash & Receptor-Finalf' 12. Sewer Cap " 63. Heater & Vent -Final _ 13: Roof Drains , • '• ' - 64. Plumbing System -Final • 14. Rough Plumbing - 65. Electrical -Final: 4 15. Rough Electrical -Conduit• -66. Solar System -Final 16. Rough Electric Wiring, - - - -. -67-Fencing & AccessApproval -- 17. Rough Wiring Sign -- - -- - - ' I- -, .+-'� 68. APPROVED FOR PLASTERING - - 18: Rough Electrical -T Bar Ceiling 69: POOL/SPA SYSTEMS`FINAL 19. Rough Heating & Air Conditioning /• 1 FIRE DEPT, REQUIREMENT APPROVALS Permit # _ r 20. Rough Factory -Fireplace " - 21. Ducts,,in Structure • - I 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas 0 Oil 23. Gas Pipe -Rough & Test 72. Underground Flush . 24. Roof Framing - 73. Undergrnd. Storage Tank O Gas OOil ' 25. Roof Sheathing 1 . 74. Overhead Hydro - - 26. T -Bar Ceiling (Structural) & Monocoat - 75. Dry -Chemical' _ - ' 27: Frame and -Flashing - - - - - - 76. Dry Standpipe - 28. Lathing & Siding - F 1 77. FIXED, SYSTEM FINAL 29: Insulation 78. FIRE PREY. FINAL dr, 30: Drywall Nailing ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat _ I 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80.. FOOD CERTIFICATE ISSUED . 33., FinaPElectric - - - - ' - - Notes: - - - - - - - -- 34. Final -Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy r' - r 37. Final Factory Fireplace Y' I - 34. Final Plumbing - - ai4y L" 39.' Water Service -Final 40. Gas Service -Final • 41. Solar Domestic -Final" 42. Backflow Preventer r- -' i 143. Backflow Irrigation -' '• -44. Landscape Irrigation System " - - - - - ` - '.'' v (` ;�' 45. Sound Attenuation_ h 1' `46. Handicap Regulations '41.FINAL ST RUCTURE&,BWILDING _ 48..Special Requirements CorrSpleted 49." Electric Release to -Edison ,j ' ,+ " 50. Gas Release to Southern California Gas Co 5A. 'CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 386 E 15TH ST OWNER'S NAME: LLOYD MYLES DEVELOPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 723-5300 ARCNIENGINEER: REG.NO.: ADDRESS: UNIT: UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell insure or a certificate of Workers' Compensation Insurance. or a certified Copy thereof (Section 3800. Lab. Q. POLICY NO.: EXP. DATE: COMPANY: r] Candied copy is hereby furnished. ❑ Candied copy is filed with the city Building Division. tr4. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not bei mpleted it the permit is for one hundred ($100) or less). I candy that in the performance of the work for which this permit is is,ued, I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. ;I Date: Signature: NOTICE: II, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this hermit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a constructionflending agency for the performance of the work for which this permit is issued )Section 3097, Civ. C). iY LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason f5ection 7031.5 Business and Professional Cade: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure. prior t0 its issuance. also requires the applicant lot Such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a Civil penally of not more than five hundred dollars (5500). 1, as owner of the property or my empployees with wages as their sale compensation, will do the work, and the Cl structure 's not intended or altered for sate(Sectlon 7044, Business and Professional Code: The Contractors' Stale License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himselfinersell or through his or her awn employees, provided that such improvements are not intended or offered for sale. It, however the building or improvement is sold within one year of completion. the owner will have the burden of proving he/she did not build or improve lot the purpose of Sale). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business l'] and Professions Code: The Contractors' State License Law does not apply to an owner of property who birds or improves thereon and who contracts for such projects with a contractors) license pursuant to the Contractors State License Law). I am aware mat proof of their Worker's Compensation insurance should be provided to me. ���/// E]I exempt under Section: B. 8 P. // forr this reason: i Date: I do hereby ceraly that I am aJ 25534 and that 1 or any IplureL permit for construction at moil these provisions. mm I hemby certify that I have read ordinances and slate laws retain property for ipspection pWpg5( Date: O.vner. and uncle stand the of circle n e of I occupant wilNoualitt circleOne)t n from the Au Ouahty Managem¢n Applicant: pplication�and slate that the abgve inti gilding c)filstruclion and heregy4ttgr¢ License or Social Security a: Sections 25505, 25533, and as and the requirements for a applications are exempt from agree to c w all city ancounty This cit enmr upo a above -in ntioted 164146 While—Building: Green—Cone Enforcement: Canary --Applicant: Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM U:0:D!D99 PERMIT NO: P 055998 PLAN CHECK NO: N GOVT; N P: N CONSTRUCTION TYPE; V—N PERMIT TYPE: PLU PURPOSE: NEW JOB DESCRIPTION. : SEWER LINE FOR 7 SINGLE FAMILY RESIDENCE SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /M-1 COMMENTS: X * � 3e 3F 3F 3f 3F 3F 1E 3E iF iF 3E iF 3F � 3F iE 3E 3F 3e 3E 3F iF 3F iE 3F 3F iF 3E RF JF 3F 3E aE JF 1F 3P 3F � * aF 3e 3F iF iE iE 3F kE r ie 3E 3E 3F 3F 9F 3f iE 3F 3P 9E JF iE iE if 36 9f iF 1F * * 3e 3F JF 3F 3F 3FiF if Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------; ----- MAIN BUILDING---------- FRNT:' FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN PARKINGGRNOIES> PROV: PARCEL; 42521101 ZNE; REF NO: > 3F iE iF lei(• 3E 3F k ie iE 3F 3E if * 3E iE iE iE iE i( -if BE 3F 3F jf ie ie 9e iE iE OF if iE iE 3E 3E 3F iF aE iF 3E if 3F 3F 3F 3E iE if iF iEik iF 3E 363E 3E iE ie * 3F of iF 1E 3E ie * iE iE iE iE iF ih if• BF -IF %9f• iE 3E D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY BUILDING APPROVED BY ; DATE: DATE; APPLICATION ISSUED BY: DATE: zC IF IFie iE 9e3Eif3F 3e ie le3e3e3F3F BE ie3F3E3E3E iF3F3F3f3FiFiFiFiF�FiFiFiF7EiF if�F ifTFiF3FiF3FTF 3FTF 3FiF*3E 3F)3F *ie 3F iE* "'3<#9E 3E ie 3F 3E 9e 3F BF ie ie 3F ie iE iF 3E ie 3E ie * 3F iE if iE ie 3F 3F ie lF 3E 3F * ie 3E ie iF ie if rt ie iF ie ie ie iE iE * 3F * ie iF ie 1F * k if ie * iF iE ie iE iE 9E ie * iE * it ae iE 3F 3F ** if ie iF 3F ae !E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N PERMIT BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING 5,00 25% SMIP/NON—RES PLAN ISSUE FEE 3,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 5.00 3,00 0,00 8.00 8.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 8.00 OVER/SHORT;00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 8,00 iE 9e ae iF lE 3<ie 4( -ie 3F fE ie iE ie if ie 3F 3E 3E aE 3F * aE iE iF 3E ie iE 3E iF ae iE iE ie * it 3E 3E ie ie 3E 9E ie ie if iE ie 3E ie * iE Bf ♦E 3E 3F 3F iE 3E ie 3E 9e iE Be iE iE ie iE ie iF iE ae 9F !F iE ie ie 3E -IE iF I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 SEWER, CONNECTION TO BUILDING END OF FEES EACH 5.00 5.00 DATE' PI.IjP2 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL ,PA 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-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. - 57. APPROVAL TO COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer. Line & House Connectioliz4 12. Sewer Cap y /�Z 62. Backwash & Receptor -Final 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping C3 Gas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26, T -Bar Ceiling (Structural) & Monocoat 75, Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding- 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL - 30. Drywall Nailing ) HEALTH DEPT. REQUIREMENT , 31. Plaster Brown Coat 79. FINAL INSPECTION 32, Electrical Power Meter -Final ! 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning ' 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service•Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46, Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PRWECT AODli 386 E 15TH ST UNIT: OWNER'S NAME: LLOYD MYLES DEVELOPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR,CA 92625 714)723-5300 ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 11 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section VOOR of Division 3 0l the Business and Professions Code, and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: IN Signature: BERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self.insure or a certificate of Workerspensation Insurance. or a det ilied copy thereof (Section 3800, Lab. q. CY NO.: EXP. DATE: ❑ Climbed copy is hereby furnished. ❑ Climbed copy is filed with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred (5100) or less), I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: 11. alter making this declaration. you should become subject to the Workers' Compensation provisions of the Labor Code. you must dolman comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. Q. LENDER: ADDRESS: IOWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve. demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to life a signed statement that he/she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7D00) of Division 3 of the Business and Professions Carte) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section _7031.5 by by applicant for a permit subjects the applicant to a -civil penalty of not more than live hundred dollars ($500). h as owner of the property or my em levees with wages as their sole compensation, will do the work, and the structure is not intended or offered lar sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion. the owner will have the burden of proving he/she dirt not build or improve lar the purpose of sate). �AAA I. as owner of the property. am exclusive] contracting with licensed contractors to construct the project (Section 7044, Business L7 and Professions Code: The Columbines' State License Law does not apply to an owner of property who builds or improves thereon and who contracts IN such projects with a contractors) license pursuant to the Commuters State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. Iexempt under Section: B. 8 P. C. //J� / A� forr this reds n: y / fjCj Date. � 3Z Owner: /, �lnP6i�.n �¢r- I do hereby certify that am aware of and understand the requirements of Californiaealth and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Bubbly Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this applicalion and state that the above information is correct. I agree to comply with all city and county ordinances and said laws relating to buildingInstruction and hereby auton] representalyy,opt lmyticy to ente�ryPgn the ab boned Property for inspection purposes. /d/�� /mss !/Pv/ rim. Date: 12 9 Signature: Driver's License or Social Security e: 1641.46 While—Building: Green—Godo Enforcement: Canary—Applicant; Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: BP 051131 PERMIT NO: BP 051133 PLAN CHECK NO: N' GOVT: N SUPP; CONSTRUCTION TYPE: PERMIT TYPE: PLU STR PURPOSE: DEM JOB DESCRIPTION DEMO RESIDENCE SQ FT: CLAIM VALUE: 1,000.00 CALC-VALUE: 1,000.00 GROUP OCC: R-3 / COMMENTS: X Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING REO• PROV: PARCEL: 42521101 ZNE: REF NO: PLANNING N TES> > 1f* Mk*1E IEk iF iEH1i111*I1i1 iE iE iE *iEi1iE 1E 11 itiE iE**1E i1i1i11111 k IEi1i1 i1*iE IEi1 iE IE iE1Eit**1E 11 S1I1***iE iE 111E iE iE 11 *iEiE,lEitiE lE it iE IEi1 IE It D E.V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S, ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: 2 L L c iE if IE iE 9E iE *NE iE iE lliE it It iE iE NE iEk *11* **11iFR111 *NF iEk ** 11IF IE iE 111E IF N• 8F iF iE iF iF iE iE IF iE * * iE i1 * iF iE iE iE i1 k iE 1E 1F 1111 * iE 11111E i1i1 iE * * IE * * 11 i1 i1IE 11 i1 i1 iE iE i11F 1E 1111 1111 i1 iE iE iE iEH111 IE iF 1E * IE 91 i1IF 11 LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/RES GRADING PERMIT 25,00 2 00 PLAN '15E- - SMIP/NOON-RES ISSUE FEE 3,00 -` BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 27.50 3.00 0.00 30.50 30.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: •30,50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 25.00 5.00 .50 iF IE Sf iE KiF IF i1 IE iE**IF 1111*MEM*11 iE*i11E ki1It i1IE IE IE 1111 i1 111111*I1iE IE M11*#8F***MiE 1F 9E 1111 IE IF al kiE it iE *111111iE 111E 1Fk i1 iE i1**k* I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I T I O N UNIT COST TOTAL COST PLU 1 SEWER CAP / DEMOLITION EACH 2.00 2.00 END OF FEES 01. 09&9122Z -j]0281224 74:37 : {) DATE: 02/2/11 TINE: 15:0_ CONSTRUCTION�IND PLA L & SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd,.. 53. Steel Reinforcement " 3.,Electrical Conduit.Utility-Undrgrnd. 54. Forms ' -':4.^Electrical Conduit-Undrgrnd. 55. Electrical Bonding r'•'S''Steel Reinforcement 56. Rough Plumbing & Pressure Test ` 6. Electrical LIFER Grnd. .. 57. APPROVAL TO COVER-GUNITE • .7.-Footings jj 58. Electrical Conduit-Undrgrnd. 'B. Foundation 59. Gas Pipe, O Undrgrnd., Test = 9. Water Pipe-Undigrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 1'0. Structural Floor System - 61. APPROVAL TO DECK ' 1.1. Property Sewer Line.& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap v E/-if 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing �- 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final ' 16. Rough Electric Wiring 67. Fencing & Access Approval - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrica_I-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - M y •_ rAPPROVALS =; Permit 20.• Rough Factory Fireplace ;Z.- •t . x f , 21. Ducts, in Structure, .... ��S .� a ;70. Underground Hydro r 22._Ducts, Ventilating. :' 171. Produc elping 0Gas OOil 23.-.Gas Pipe-Rough 8i Test . Underground FI`ush �. I •� �A X72. 24. Roof Framingx h Fr a73:yUndergr d. StorageT,ank'OGas O0il 25. Roof Sheathing '` ` 9 .J :" ' ` _ -' •' isr ' ' 74,F Overhead'Hydro T-Bar Ceiling (Structural) &gMonocoat 0 :':x '• 757'Dry Chemical C 27.-Frame and Flashing 76. Dry Stand'04pe'Xo: ., m'� c •tst -.28.` Lathing'.& Siding c ry r > ; •• ••? �• 77.' FIXED SYSTEM FINAL, _ ' 29. Insulation �• "'- '' " 78,= =FIRE PREY. FINAL or `:-30. DrywalhNailing a • •� I (e x y�•�' �HEALTHJDEPT.REOUIR.EMENT -31 Plaster Brown Coati 'I INSPECTION . S � ,, ,,. x ,M"FINA ,L • 32rElectrical Power Meter.-Final > r80.rtF000 CERTIFICATE ISSUED R l Electricr. „�Notes: _ 133.�Wi 17: 34r Final Heating & Air Conditioning • 357,Final Gas Pipe-Testw ^•T ,.36.' Hood or Canopy I a s .�c n' • 37.-'Final Factory Fireplace- r�" •T� I �? `w .. _ -.38. Final Plumbing f. 39. Water Service-Final, - s I v. " 7 c S Y C j 40. Gas Service-Final . , _ , i F f - •t.,; .� `•' _ >-41. Solar Domestic-Final C r , t,• . �o - ro x t "42.'Backflow Prevente; 43. Backflow Irrigation �� S • > - - - - -,,44. Landscape Irrigation System. j F 7`45.-Sound Attenuation .a„ r > :.; r: _.. �•;� ,, ,( , n < C _46.;Handicap Regulations 'J 4 .. ..i Y i ,•• -. _, r, q �,• „ •47.�FINALSTRUCTURE &BUILDING ® yl: '• i n' _ - r - 48:' FINAL PLANNING ; c.49_�•EleMric Release to-Edison i �+ !• u; 50.. Gas-.Release to Southern California Gas Co ', I i' ;. - 51. CER_TIFICATEOFOCCUPANCY No. Date • PROJECT ADDRESS: AVT 15TH ST UNIT: OWIIER'S NAME: LLOYD MYLES DEVELOPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR,CA 92625 714)723-5300 ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 0l the Business and Professions Code. and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: ane: Signature: "rORMERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a candidate of Workers' Impensabon Insurance. or a certified COPY thereof (Section 3800. Lab. C). ?OLICY NO.: EXP. DATE: COMPANY: ❑ Certified copy is hereby lumithed. ❑ Certified copy is filed with the city Building Division. Date. Applicant: EXEMPTION FROM WORMERS' COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100) or less). I certify that in the peflormance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the WalkersCompensation Laws 01 California. Date: Signature: NOTICE: II, alter making this declaration. you should became subject to the Workers Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civ- C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031,5 Business and Professional Code: Any City of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed Pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) at Division 3 of the Business and Professions Code) or that helShe IS exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). . `� I. as owner of the property or my empployees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale(Section 7044. Business and Professional Code: The Contractors' Stale License Law does not apply to an owner of a property who builds or improves (hereon, and who does such work himself/herself Or through his or her Own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of Completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). MM L as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business LM and Professions Code: The Contractors' SlateLicense Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects wile a Conti lor(s) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. -1-- I am exempt under Section: B. 8 P. lot this reason'./ Date: calf ^- 2 Owner. I do hereby ce Ify that I am ware of and understand the requirements of California Health and Safety Code Sections 255 533, and 25534 and that I or any allure building occupant wiNwill not (circle ane) need to comply with said state codes and the requirements for a permit for construction Or modification from the Air Ouahly Management District. Residential construction applications are exempt from these provisions, Date: Applicant: I hereby certify Dal 1 nave read (his application nd state that the above information is correct. I agree to comply with all city and cou ordinances and state laws relating l0 building c Sued ion and hefeby a hor ereprese9tativesof Sea tom fP{ uponlnea ove Property for inspectmn purposes. �� Date: Signature: Drroer's License or social Secumy n: 164146 Whim—Budding: Green—Code Enforcement: Canary—Applicant; Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO; BP 051134 PERMIT NO: BP 051134 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: PLU STR PURPOSE: DEM JOB DESCRIPTION DEMO RESIDENCE SQ FT: CLAIM VALUE: 1,000.00 CALL -VALUE: 1,000.00 GROUP OCC: R-3 / COMMENTS: X Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REPp• PROV; PARCEL: 42521101 ZNE: REF NO: PLANNING NOTES> D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N'T,-S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: 1 DATE; L cL LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 25,00 2 00 PLAN '5% SMIP/NON-RES ISSUE FEE 3.00 ,50 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 27.50 3.00 0.00 30.50 30.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 30,50 OVER/SHORT:00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 25.00 5.00 .50 ############################################################################### I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 SEWER CAP / DEMOLITION EACH 2.00 2,00 END OF FEES 01 00081225-CC0S122% 7'0 7 `t ' DATE: 132"=`1 TA,E: T•:: ,3 CONSTRUCTION AND PLAN1141+... .JL _ & SPA o 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 ' t 4.rElectrlcal Conduit-Undrgrnd. 55. Electrical Bonding 5:7S el Reinforcement- 56. Rough Plumbing & Pressure Test ,'.6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE - �7 3; 7.✓Footings 58. Electrical Conduit-Undrgrnd. `- ,8. Foundation m 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 1_.1�. Property Sewer- Line.& House Connection 62. Backwash & Receptor -Final ' 12. Sewer Cap 63. Heater & Vent -Final ' 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final , 16. Rough Electric Wiring 67. Fencing & Access Approval - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL'-' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT :APPROVALS; =-Permit +--.L > 20.*Rou`gh Factory Fireplace std ? sr - �- r r •- 21 i", ut o •+ . gHydro n 22. Ducts, Ventilating j71, Product`Piping O{has aOil 23-Gas`Pipe-Rough 8; lest ;;: ,¢ �t .72. Underground Flush ­: - 24.+Roof Framing n : F "�> -Y �73aUndergrna:Storage-Tlank'❑Gas OOil _ -,<x -head Roof Sheathing ; > +✓c t4 t'L "'r ,,•a ' �lydro:25. 74: Overi - '7 :- Ono 26..T.Bar Ceiling (Structural) &M, r G ^t'< * 75S -,Dry Chemicaltt- 27. Frame and Flashm �• tL g u;4 +. _ 7: _ >+ U -:r .. f•-•'7 :n 3 76. Dry Standpipe -x. . r:• 28. Lathing`&Siding x q -L. is >: r•b - 77- FIXED SYSTEM;F_fNALt J >29. Insulation " " ( ( ' 78FIRE PREY. FINAL •.r ,S > '30. DrywalLNailing * 'r - - H+ HEALTDEPTS REQUIREMENT x.31. Plaster Brown Coat.:, 4 X79:'+FINAL INSPECT16N -32.._Electrical-Power MeterFinali :.t p = r80.T.FOOD CERTIFICATE ISSUED " 33:SFina'I Electric -t -Notes• - Final Heating &Air Conditioning i �. _LrI"I P,x j ,34., 35.,Final Gas Pipe -Test' r `' r - _ XC, r' 36. Hood or Canopy ; ,r - c p f i k •. ; S. :^o 37. -.Final• Factory Fireplace - `_ "' v s ::t I -tr =38. Final Plumbing q • 0) I I x:39. Water Service,Final' ;40. Gas Service -Final �I;. r , In ( 'i K41. Solar Domestic -Final's 42. Backflow Preventerq ` °: �- -' tK 43. Backflow Irrigation` •> `- ~ • " 'tr �= •? ` .44. Landscape irrigation System,:, x v >45.' -'Sound Atten_uatiom `46_ - ,Handicap ,Regulations 47.: -FINAL STRUCTURE & BUILDING ' 748'FINAL PLANNING E i c49. Electric Release to Edison 50.,Gas-Release to Southern California Gas Ce '51. CERTIFICATE OF,OCCUPANCY No. Date (-A PROJECT ADBRESS: 386 E 15TH ST UNIT: OWNER'S NAME: LLOYD MYLES DEVELOPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR,CA 92625 714)723-5300 ARCM/ENGINEER: DUCA—MCCOY REG.NO.: C 2 4 6 6 8 ADDRESS: 3840 COAST HWY UNIT: CORONA DEL MAR CA 92625 PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full farce and effect. CITY LIC.: STATE LIC.: CUSS: or a NO.: Signature: ION: I hereby affirm that l have a certificate of consent to sell -insure or a certificate of Workers' copy thereat (Section 3800. Lab. CL EXP. DATE: Cerbhed copy is hereby furnished. ❑ Certified Copy is filed with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (Tits section need ml be completed if her Perim 6 tam hundred (SIOO) or less). I Certify that in the performance at the work for which [his permit is issued, I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: II. alter making this declaration. you Sh0uld become subject to the Workers Compensation provisions of the Labor Code. you must torthwuh comply with such provisions or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY: 1 hereby affirm that there is a construction lending agency for the performance of the work for wit ich this permit is issued (Section 3097. Civ. Q. LENDER: ADDRESS: OWNER BUILDER DECLARATION: 1 hereby affirm that I am exempt from the Contractors State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of County which requires a permit to construct, alter, improve, demolish, or repair any SifLCIUre. prior to its issuance. also require¢ the applicant lot Such permit to file a signed Statement that he/she Is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 (commencing win Section 7000) of Division 3 at the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant lot a permit subjects the applicant to a Civil penalty of not more than five hundred dollars ($500). F ,, I, as owner of Inc d property or my employees with wain as their sole Compensation. Code; aThe will ct the work, and the structure is not to an owner ollere0 for sale who builds s of i Business and Professional Code: such Contractors' Stale License Law dies not apply a pl owner of a property who bmpr ve improves thereon, and who does sato work ,how ver the or through or his ro nen own employees. provided that such improvements are note the burden de opened for sale. a however the or building improve for the is Snitl within one year at completion, the owner will nave the Ourden 01 proving he/see tlitl not build Or improve for the purpose 01 sale). I, as owner of the progeny, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Prolessions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who Contracts for such projects with a Contrattor(s) license pursuant to the Contractors' Slate License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ am exempt under Section: B. 8 P. C. for this reason: o / /X Date: � — a-.),/ ( 1/ Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 5533, and 25534 and that I or any future building occupant wiirwill not (circle pie) need to comply with said Slate cedes and the requirements for a permit for construction or modification Iron the Airua ity Management District. Residential construction applications are exempt Irom these provisions. Dale: Applicant: I hereby certify that I have reatl his application nil state Thal the above information is correct. l agree to comply with all city and county ordinances and state laws realing .building c Tmclion andbereby I roe rfi remnlai of 'Ory To upon The a mentio property for inspection purposes. /�� , ,� ^=.7 p / s Date: —��_i r ignotine: Driver's License or Social Security s: 1641 46 While—Bwlding: Green—Cade Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; GRA 05113 PERMIT NO: GRA 051136 PLAN CHECK NO: 00734-91 A GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: GRA PURPOSE: NEW JOB DESCRIPTION : GRADING FOR 8 SFR SQ FT: CLAIM VALUE: 1,000.00 CALL—VALUE; GROUP OCC: R-3 / COMMENTS: FEES PAID ON TERMINATED PC, 163-91A 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 ---------- ---------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING REO• PROV: PARCEL: 42521101 ZNE: REF NO; PLANNING N TES> > M MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM D E V E L O P M E N T S E R V I C E S - R E Q U I R E,M E N.T S ZONING APPROVED BY DATE: BUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY: I.vIV DATE: Z 2L MMMMMMMMMMMMMMMMMMMMMM MIFMMMMMMMM MM M MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 43.50 PLAN' SMIP/NON—RES 5.63 ISSUE FEE 3.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 43.50 3.00 5,63 52.13 52.13 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 46.50 OVER/SHORT:00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 46,50 M MitMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM MMMMMMMMMMMMM I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST NO FEES WERE SELECTED FOR THIS PERMIT 01 Q0C8+317-000°'217 "[—JT _ DATE: 02/22,191 (IME: le -59 CONSTRUCTION AND PLANN P & SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2.,Sgil Pipe:Undrgind. 53. Steel Reinforcement 3:,El'ectric'al'Conduit-Utility-Undrgrnd. 54. Forms •- 4'.-.Electrical•Cohd'uit-Undrgrnd. 55. Electrical Bonding 5; :Steel Reinforcement- 56. Rough Plumbing & Pressure Test ',6. Electrics[ LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7.�Footings y�•'�:;s 58. Electrical Conduit-Undrgrnd. - 8. Fo'undation'- ,• 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Un&grnd. 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor'System 61. APPROVAL TO DECK 1 V. Property Sewer Line & House Connection 62. Backwash & Receptor -Final Sti It 12. Sewer Cap ; 63. Heater & Vent -Final 13. Roof Drains"r- 'L 64. Plumbing System - Final r• 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final ' 16. Rough Electric`Wiring 67. Fencing & Access Approval / 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING• 18, Rough Electricil-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - r APPRQVAI S11 CPermit #-L > 20.'RoSgh Factory Fi7eplace I U;,n 2' ,; ="r 21.�DucIs, imStiucture, ,70. Underground: Hydro 22. Ducts, Ventilatin q: 'r71• Produc[' OGas QOiI _ ,Pping 23.;Gas.PipecRo2gh9•Zest I ,;js , r it _72. Underground Flush- 24..RoofFraming --• - r '^ '' 173i=Undergrnd'.Stora�'TankOGas ❑Oil `'}' „3 25.Roo Sheathing it) ` St'' ply `'74;=,Overhead Hydro;:; 26?T-Bar Ceiling (Structural) &,Monocoat Ir s - i 757Dry Chemical - ^ 27. Frame and Flashing.'Dry •: s r= :. 76. ndpipe -=? Standpipe 28.~Lathing_&Sidings :c S > s z - 77= FIXED SYSTEfd}EINAL'" ' 29. Insulation ,;: 'q •• '. n " I ;, •�� 78s;FIRE PREY. FINAL �r X30. Drywall Nailing HEALTH^DEPT? REQUIREMENT Plaster Brown CoaiR INSPECTIQN C L31. ;.79^FINAL 32., Electrical Power Meter -Final -33'Final •x v ! C T80.TFOOD CERTIFICATE ISSUED Electric ' ' I �` ` •" _ =�• Notes: _ ., .� I , _- ty ,34. -Final Heatinag,& Air Conditionipg; 1 * It. S, � 35:;Final Gas Pipe -Test° -- I ' " " •• r L' _ _ 36. Hood or Canopy 37. -Final Factory Fireplace',•-' K 38. -Final Plumbing +nJy'z X39. Water Service-Finaly •- * i '* ^ �' •r a X I Y ,,40.'Gas Service -Final 541. Solar Domestic -Final" -42. Backflow Preventer' nJ_ :,J I I )• T' '" '•_ _ '.4' is 43. Backflow Irtigation° %: •5 `• -- " `� a u V ;44. Landscape Irrigation Systems 'r ; ,r - t'J of 'r:- - - %45Sound Attenuation 546. Handicap Regulatiops �' •I = ' - - 47 SFINAL STRUCTURE & BUILDING O 4h.� • '+ .' z ' r. , 1 ;48.`;FINAL PLANNING ir' • i � I 1• '• u ' 1 t4 1 49: Eleciric Release to Edison . 50., Gas,Release to Souihern California Gas Co `. 751. CERTIFICATE OF, , •,. ,,.� No. Date PROJECT ADDRESS: 386 E 15TH ST UNIT: A OWNA'SNAME: LLOYD MYLES DEVELOPEMENT W ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 ARCH/ENGINEER: 723-5300 RFG.NO.: ADDRESS: UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723--5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: 1 hereby allied that I am licensed under provisions of Chapter 9 (commencing with Section 70DO) of Division 3 of the Business and Professions Code. and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date : Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell insure or a certificate of Workers' Compensation Insurance, or a cefulied copy thereof (Section 3800. Lab. Q. POLICY NO.: EXP. DATE: COMPANY: a ❑ Certified copy is hereby famished. ❑ Certified copy is filed with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed it the permit is for One hundred ($100) or less). I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to became subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that) am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statement that helshe is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500). 1, as owner of the property or my emyVloyees with wages as their sole compensation, will do the work, and the structure is nor intended or offered lot sale (Seclmn 7044, Business and Professional Code: The Contractors' State License Law does not apply to an Owner of a property, who builds or improves thereon, and who does such work himself/herself or through his or.her own employees. provided that such improvements are not intended or offered for sale. If, however the building or improvement is Sold within one year of completion. he owner will have the burden of proving he/she dict nor build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ® and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who bon's or improveseon and who contracts for Such projects with a contractor($) license pursuant to the Contractors' State ease Law). I awar that proof of their Worker's Compensation insurance Should be provided to me. I am exempt under Section: B. 8 P. C. / for this reason: Date: I do hereby cenily that I am aware of and understand the 25534 and that l or any future building occupant witVwillr permit for construction or modification from the Air Oual these provisions. Date: Applicant: I hereby certify that I have react this application and stab ordinances and state laws relating to building con tion property for inspection Ddouses. Date Sign re'. Driver's License or Social Security p: ( CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05129 PERMIT NO: B 051296 PLAN CHECK NO: 06849-90 A GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW JOB DESCRIPTION NEW SFD SQ FT: 2,252 CLAIM VALUE: 90,000,00 CALC—VALUE: 131,232.00 GROUP OCC: R-3 /M —1 COMMENTS: NEW SFD HOLD f S,f 9f iE TFAf 3FAiiFaF Af iET#�€�FkiPT Na #####aE#-TE*#x-it.�#K###### ### AF#######-%+E-la-x#>E#Tt•###iP aE#ff #x#x## Z O N I N GS ERTEBQAUCIKRSE M E N T S ------------ MAIN BUILDING ---------- ---------- ACCESSORY BUILDING—=------- FRNT: 20 FT IN REAR: 10 FT IN FRNT: FT IN REAR: FT IN LEFT: 25 FT IN P.GHT: 5 FT IN LEFT: FT IN RGHT: FT IN PARKING REQQ• 2 PROV: 2 PARCEL: 42531108 ZNE: R2 REF NO: DR -90-38 PLANNING NOTES> TWO STORY APARTMENT UNIT.— REAR G LEFT STBKS ARE SEPARATIONS >.5 GUEST PARKING SPACE PROVIDED PER UNIT D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: j ��— BUILDING APPROVED BY _ DATE::' 12 APPLICATION ISSUED BY; F� DATE: APPLICATION ISSUE 44f##AE "JF'1FiFF'iF'iF####DATE: AE######Af########9E#Af##•IE######x#i###AF##-######.######AE##x####.ja###Af#####Jt x#*##.1e#AE## LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 751.50 9.19 PLAN 122.12 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > —760,69 ,0,00 122,12 882,81 882,81 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 760,69 OVER/SHORT•00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK � 751,50 9.19 AE#AF*iE tE 1E##AE*k#(-##AE#iE#iFRf iF ie##Ak AE Ae RFif#rAE#If##A4 AE##iE##########Yk###iP##FF�}!. ar. Y.#9f AF iE###AE•?!�Af At*Af I N D I V D U A L F E E B R E A Y, D O W N TYPE of Cabfornia Hy th and Safety Code SecliOns O5. 25533, and I S FR need toejcopyrbly with said state codes and the requirements for a SFR m Dista esddemial construction applicatrons are exempt from $ FR 1641 46 White—Building, Green—Cade Enforcement; Canary—Applicant Pink—Revenue; Goldenrod—Assessor QTY D E S C R I P T I O N UNIT COST 1787 DWE—TYPE V—WOOD FRAME —GOOD 69,00 33 RES—BALCONY, EXTERIOR STAIRWAY 13.80 432 RES—GARA TY�V 17,30 t rte. 1' $ ;OF FEES '.•. .:.. .:. '.t . MCI MAR 18 1991 ALU OF CUSfA MESA TOTAL COST 123,303.00 455.40 '1,473,60 a STRUCTION AND PLANNING A ROVALS Permit# Date Inspector PC & SPA. 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-Undrgrnd. 55. Electrical Bonding ' 5.:Steel Reinforcement 56. Rough Plumbing & Pressure Test ' 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-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. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final ' 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING . 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS -Permit # 20.;Rou"gh Factory Fireplace,r -•; .� 21. Ducts, in Structure' ---70. Underground -Hydro 22. Ducts, Ventilating -• '�71. Product'Piping OGas O"Oil 23. Gas Pipe -Rough & fest - ,r - ' 72. Underground Flush; 24. Roof Framing - - - -73. Undergrnd. Storage;Tank OGas ❑Oil 25. Roof Sheathing74. Overhead Hydro - 26. T -Bar Ceiling (Structural) & Monocoat _ 75._ =Dry Chemical 27. Frame and Flashing T 76. Diy Standpipe ' 28. Lathing & Siding, - ...-� - 77• 'FIXED SYSTEMiFINAL' - 29. Insulation - ,. _':_t •� 78. FIRE PREV. FINAL 30. Drywall Nailing J _; � ;'7_ HEALTHOEPT: REQUIREMENT• 2.31. Plaster Brown Coat ., '" - _79. FINAL INSPECTION 32. Electrical Power Meter -Final • �. .� .;! j 80. FOOD CERTIFICATE ISSUED 33. 'Final Electric- r a 'Notes: j • - 1 ,, c,• 34. Final Heating& Air Conditioning_ - I"+ v pit' A 35. !Final Gas Pipe -Test 36. Hood or Canopy. - r --• >:� ' 37. -Final Factory Fireplace., 38.. -Final Plumbing -39. Water Service -Final, - -- _ 40.'Gas Service -Final - -41.-..Solar Domestic -Final •• 42. Backflow Preventer- n � 43. Backflow Irrigation- 44. Landscape Irrigation System,. ,45. -Sound Attenuation- ttenuation46. 46.Handicap Regulations 47. FINAL STRUCTURE & BUILDINGt- 48. FINAL PLANNING O 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANC No. Date PROJECT ADDRESS: 386 E-3'5TH 5T UNIT: A awNrf,eB'S NAME: LLOYD MYLES DEVELOPEMENT 'ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 723-5300 ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: 1 PERMITTEE: JOHN JANIS PLUMBING (714)642-7764 ADDRESS: 8 11539 MONROVIA CA 92663 N LICENSED CONTRACTOR DECLARATION: I hereby allire, that I am licensed under provisions of Chapter 9 (commencing with Section 70DO) of Division 3 of the Business and ProleJJJs[[[•�� ! 54146 White—Bwldmg: Green—Code Enforcemr CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P PERMIT NO: P 051978 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: NEW JOB DESCRIPTION ; NEW SFD ,REFER TO #B51296 SQ FT: CLAIM VALUE; CALC— GROUP OCC: R-3 /M-1 COMMENTS: NEW SFD ***�E+E�E*+r�E�E�Fx x �E�E�E�H�E*�Ex�E�E�E�E•�Hx•�Er Fie+E*�E�E�E��E�F�E�E�E�E�E�E�tat�E�H�E�H�Er�F+FSE*�E�F�H�F�E�H�F*a6*�E+F�E*�E�E�E�E�E*�E* Z O N I N G S E T B A C K SR E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT FT IN REAR: FT IN FRNT.: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 42531108 ZNE: REF NO: PLANNING N TES> > ieiPeH9E*9EiFiFMIH9E9FiF9F**SIF 9EiH9F3FiFIE*iEiE9FiFRE*iE9E9F9F9EaFiESEYE9h.1E*IEiHiEiF,k9E4F9E*9EfE***iHiHaE***iE*iF**9E***9E i( **9F 9F 4FiF D E V E L O P M E N T S E R V I C E Sr;' =R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: q APPLICATION ISSUED BY: DATE: S 1 ` if 9PiEaa3EiFiFiH***9eiEiHiF9E*iFiF9ERkRt 9FiF9E9H9tiH*1EiEiE RFiF 9f 9F 9f 9F 9F df 9F 9F k iE iFkkiF 1E*M9E *9EkkiE*k!f fE*iF*IE 9F 9F 9F**iE iF k iF 9F 9E ik9F****Mk9F**iE 9E IH iF aF iE 9F 9E*9E 9F aF iF iH iF It 9F iF in aE *iH iE iE RH 9E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N PERMIT BLDG PMT PLUM4BINNGG ELECTRIC MECHANIC FIRE SMIP/RES GRADING 00 25t SMIP/NOOi PLAN ISSUE FEE 3.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 42.00 3.00 0.00 45.00 45.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 45.00 OVER/SHORT:00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK' 45.00 4 MMRH k if*iHMM9fk k9f MIE 9F 1F 3f 9F k9f SFkkklf 9e kiF Mif*!F*iF 9F 9E iE ltkMkkk9f 9FMlf 9H If IE*fE 9f iFMk*9F 9F k1E 1f sF lF ie iF iE 9E**iF iEie aF 9E 9N* I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 2 BATHTUB 200 4.00 PLU 1 DISHWASHER 2..00 2,00 PLU 1 LAUNDRY TUB OR WASHER 2.00 2.00 PLU 1 SHOWER 2,00 2,00 PLU 1 SINK, KITCHEN 2.00 2.00 PLU 4 WASH BASIN 2.00 8.00 PLU 3 WATER CLOSET (TOILET) 2.00 6,00 PLU 1 WATER HEATER AND/OR VENT 2.00 2,00 PLU 1 WATER SERVICE 2.00 2,00 PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS *Q(32':O9CATE RE: 2:00= PLU 2 GAS PIPING SYS 5+ OUTL—PER OUTLET 01 Q000t`i50100883+7 T;_:" 1.0.0: DATE: T:rc: CF*T Ah CONSTRUCTtoN'AND PLANNING P & SPA ,,APPROVALS Permit # r Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pow: 't -52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement .. 3. Electrical Conduit USI IITy-Undrgrnd. 54. Forms F-:4.- Eiectrical Conduit'-Undrgrnd. 55. Electrical Bonding Steel,'Reinforce'Ant 56. Rough Plumbing & Pressure Test :L - 6. Electrical UFER:Grnd. •: 57. APPROVAL TO COVER-GUNITE `= _7?Fpotings - n: 58. Electrical Conduit-Undrgrnd. .r .8. Foundation" 59. Gas Pipe, O Undrgrnd., Test / 19. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. !. 10. Structural Floor System ". -' 61. APPROVAL TO DECK M. Property Sewer Line & HBuse Connection%- 62. Backwash &Receptor -Final ' 12. Sewer Cap „j m y •� ,� 63. Heater & Vent -Final 73. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing "• - 65. Electrical -Final % 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electr Wiring i 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 20F Rough Factory Fireplace ^r : + i :' a ; 7APPROV9If"S:-0Perlrtit # lV W •[t S_` ISS• T. a' .S •. T x =R:r ? 21. Ducts, in St - cture 54 7 a cr r 7 70. ,Underground Hydro 22. Ducts, Ventatir' iln� ' dt* • c -Produceping©Gas OOiI c, „9' � ^ X71. 23=Gas PipE'Rough &,Test ' -�; •;• o T - :: i 72. Under" nd Flu h ?` I:. t _ a 9 S. 24:'Roof Framing ;i-. •.-. -i y> 1 �• �� r.: 73't Undergrrid. Stora Tank'O Gas ❑Oil' "'i r•'"""t• 25. Roof Seathing -•g. 74 OverheadrHydro.,' .,; r., . , � 26:.rT-Bar Ceiling (Structural) &-Monocoat r 'x _7' : 75-`, Dry Chemical ' •- 'J ]'� 'rJ, 333 • :- ` > 27?'Fra.me and Flashin. r 3' ' -"'' `•`I 76� Dry Stanr�Plpe - -�.: •"'t t-. s.tx r >. •u?' :C,^ • p7 28`.'' Lathing•& Siding .t :4 n Z •• r 77,' FIXED SYSTEM'); tNAL a "' InsulatoS 7 --.EIRE PREV. FINAL'29. v; .r7, • •" 1pa Ix;Kt X30. Drywall Nailing f I ^ • ' w HEALT HiDEPT. REQUIREME'NT•- VIM- ^ r .,31. Plaster own Coat*..79''fINAL-INS,PECTN71 32. Electrical Power Meter -Final - 1' ( d -80.z1FOOD CERTIFtC1rTE ISSUED_ ✓'7` �. Electric Nit- es:33`Fiial - - '?e- r' j•^7 &Air_ Coniti Ht .34:Figal ^ C iv>L;oeatii �1 36? Firial Gas Pipe -Test es t"' •*t:5 x r -S �X 36''Ho Od ooCanlo PY - r tt• -'37rFinSl Factory Fireplace ' �_ r' 3 t^ _38. Final Plumbing . w i �• SB (� C`Ws^..Y '39. Water Service -Final x �(lQZ Ley * �'•iT `'-� n r 40. Gas Service -Final �-t � .n b �. `.>•,,, o;s � Zz. t^ � i x.41. Solar Domestic -Fin al, : + •• `" J l t h ac a --42�Backflow Preventel nj 43. Backflow Irrigation -7. ^, + - --' - - .. tv:_ • •' -"••• '°• . 'V' .44. Landscape Irrigation System, x - ,x �. - , LV_, ,v r,; j-, •�G : ^-n_ _'t ccL _ :A5 ^.Sound Xttenuationol 46^ Handicap Regulations • > ', -� 4 CC S 47. FINAL STRUCTURE &BUILDING` I_ f 03 T 48: -FINAL PLANNING o49..-Eleotric Release to,Edison Gas -Release to SouThern California Gas Co ,,:50. *51CERTIFICATE Or. OCCUPANCT ,. ; ;-t n1� • • � .-�ooc_'o , - �.� No Date PROJECT.ADDRESS: UNIT: r OWNERS NAME: ADDRESS: PERMIT NO; P 051978 PLAN CHECK NO; 01591-91 N PA Bt�4P9r*aP�*�t*If MBF9t�+t•�E+��E***�E*�r��P�P��E�r�E*�E***+E**�r�E��r�r�E�r**�r+r*�E�rXE�E��E+E+r�E+E�E�E�E�E�E+t�r*+E��E*�+�*�E* f ARCH/ENGINEER: REG.NO.: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ADDRESS: UNIT: PLU 1 GAS SERVICE 2.00 2.00 j PERMITTEE: PLU 1 FLOOR DRAINS 2.00 2.00 ADDRESS: PLU 1 SEWER, CONNECTION TO BUILDING EACH 5,00 5.00 l END OF FEES LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing win Section 7000) of Division 3 of the Business and Professions Code. and my license is in lull lorce and effect. CITY LIC.: STATE LIC.: CLASS: Odle: Signature: WORKERS' COMPENSATION DECLARATION: I hereby ailing that I have a certificate of consent to selt-insure or a certificate of Workers' Compensation Insurance. or a Certified copy thereof (Section 3800, Lab. C). POLICY NO.: EXP. DATE: COMPANY: Certified copy is hereby tarnished, ❑ Cenrffed Copy is filed with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the Dent is for one hundred($100)or less). I certrly that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: If. after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or Ifds permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Cry. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason fSection 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for such permit to file a Signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). I. as owner of the property or my emloyees with wages as their sole compensation, will do the work, and the structure is not intended Or offered for sale (Section 7044; Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees. provided that such improvements are not intended or offered for sale. If, however the building or improvement is said within one year of completion. the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I. as owner of the property, am exclusivel contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' Slade License Law does not apply to an owner of property who builds or Improves thereon and who contracts for such projects with a contraclorfe) license pursuant to the Contractors' Stale License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section'. B. 8 P. C. for this reason: Date, Owner I do hereby penny that I am aware of and understand the requirements of Calilornra Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said stale codes and the requirements for a permit for construction or modification hom the Air Quality Management District. Residential construction applications are exempt from these provisions, Date: Applicant: I hereby certify that I have read this application and slate that the above information is correct. I agree to Comply wild all city and county ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. Date: Signature: Driver's License or Social Security p: 1641-46 White—Building: Green—Code Enforcement: Canary—Applicant: Pink—Revenue; Goldenrod—Assessor 01 ODOehH:.7—GU91i,4S+ "s`P:b'r DATE: CONSTRUC*RJN AND PLANNING „APPROVALS Permit # Date Inspector PL SPA 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-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 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-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 19. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17, Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL(SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20.:Roagh 0actoiy IF-ieplace 21 ..Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23�RlGas,Pipe Rough & Test 72. Underground Flush 24-:'Roof Framing-� 73. Undergrnd. Storage Tank OGas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26,-T-Bar Celling,,(Structural) & Monocoat 75. Dry Chemical 27"'Fre'me and Flash'-g 76. Dry Standpipe 28 Lathing & Sding - 77. FIXED SYSTEM FINAL 29. in' lat' !Q n <,O 78. FIRE PREV. FINAL 30. Drywall•Naili% s HEALTH DEPT. REQUIREMENT 31. Planer Brown Cort 79. FINAL INSPECTION 32. Electrical PowerQ"Veter-Final 80. FOOD CERTIFICATE ISSUED 33.7Fi4l Eiytric E„n Notes: 34:'Firial Heating &'A'irConditioning 35 "FiribI Gas Pipe-Te, O+- 36.-Hood or Canopy,�tr 37-SF ina1 Factory Fi e6lace 38. Final Plumbing 39�­Water Service-Final n.r a a 40-:Gas'.Service-Final 41,1 Solar Domestic-Final 42._Backflow Preventer 43. Backflow Irrigation 4 44. Landscape fi�iijation System 45. Sound Attenuation 46. Handicap Regulations 47.fFINAL STRUCTURE & BUILDING 48:,'.FINAL PLANNING 49. Electric Release to Edison 50..Gas Releaset`o'Southern California Gas Co 51. CERTIFICATE;OF OCCUPANCY No. Date PROJECT IDDRESS: 386 E 15TH. ST DNR'A OWNER'S NAME: LLOYD MYEES'9 VELOPEMENT ADDRESS: 423 POPPY AV CORONA DEL MAR CA 92625 ARCM/ENGINEER: 723-5300 REG.NO.: ADDRESS: UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions Of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a Cori of consent to sell -insure or a certificate of Workers' Compensation Insurance. at a certified copy thereof (Section 3800, Lab, C), EOLICY NO.: EXP. DATE: Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. Dales Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less). I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws at California. Date: Signature: NOTICE: 11, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance Of the work for which this permit is issued (Section 3097. Civ. Q. LENDER: ADDRESS: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; M 052980 PERMIT NO: M 052980 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE; NEW JOB DESCRIPTION : NEW SFD ,RE:#B51296 SQ FT.- CLAIM T:CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: NEW SFD +FiE#if####lfiE##1f1FiE#+E#iE lf ik if lFiFif#+F#if if lE df-#+Elf####+E iE ########iF#lE if N iE I(-#dE iE ##k #if if j(-lE if iE x-#jf#if #dE### Z 0 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 ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE& PROV: PARCEL: 42.531108 ZNE: REF NO: MEC PLANNING N TES> D E V E L O P M E N T S E R.r;V I C E S R E Q U I R E M E N T S ZONING APPROVED BY J'' DATE: BUILDING APPROVED BY i DATE: APPLICATION ISSUED'BY: 6` DATE: 2 2 LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors' State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING ISectmn 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, atter, improve, demolish, or PERMIT repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that helshe is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7131.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars (5500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—D structure is not intended or offered for sale (Section 7044, Business and Protessional Code: The Contractors' State License Law TOTALS ---- does not apply to an owner of a property who builds or improves thereon, and who does such work himsellmersell or through 22 00 ,258 SMIP/NON—RES 15.00 IV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE > 22.00 15.00- 0.00 37,00 37.00 00 his Or her own employees, provided that such improvements are not Intended or offered for sale. It, however the budding or REVENUE DIVISION TOTALS --> COLLECTED improvement is sold within one year of completion, the owner will have the burden of praying he/she did not build or improve he the purpose Of sale). I, as owner of the property. am exclusively contracting with licensed contractors to construct the Droject (Sec1 n 7044. Business ® improves and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who build t there and who contracts lot such projects with a comractorfs) license pursuant to the ContractorsState Lit se Law). I am a re # that proof of their Worker's Compensation insurance should be provided to me. F-1 I am exempt under Sectio ' B. A P. C. for this reason: i YP Dale: Owner. 11MEC I do hereby certify that a aware of understand the requirements of atiforn Healm an a ety Code Sections 25505, 25533, and MEC 25534 and that I or any I ure buildm occupant wiNwill not (circle one) need Io comply with aid state Codes and the requirements a permit far construction r modification from me Air Duality Management District. flesideml I construction applications are exem from MEC these provisions, Date: Applicant: 1 hereby certify that) have redo is application and stale that the above ortlindntes and 51 laws rEali to bustling construction andpropertyIntins IlionpureDate: Signature Drivers y1i or Sol Security x' —A Cant: Pink—Revenue: Goldenrod—Assessor BLDG PMT PLUMBING ELECTRIC MECHANIC 37.00 37,00 OVER/SHORT: 00 FIRE SMIP/TOT GRADING PLAN—CHECK I N D I V I D U A L F E E B R E A K D O W N E QTY D E S C R I P T I O N UNIT COST TOTAL COST 1 INST FORC—AIR/GRAV FURN > 100 K BTU 1 FACTORY FIREPLACE 1 VENTILATION FAN CONN TO SINGLE DUCT END OF FEES 16,50 16.50 4.50 4.50 / 01 OG09:%�14 tu192819 ip,� DATE: 07.'23/91 Till. Aft CONSTRUCTION AND PLANNING APPROVALS Permit # - Date Inspector PIWW'PA 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-Undrgrnd. 55. Electrical Bonding Steel i;einforcement_ 56. Rough Plumbing & Pressure Test b.V Electrical LIFER Grnd. .4 - 57. APPROVAL TO COVER-GUNITE, s. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation " 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undfgrnd. 60.. Backwash Lines, P -Trap, 0 Undrgrnd, 10. SIructural Floor System 61. APPROVAL TO DECK - 11. Property Sewer -Line'& House Connection - 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains - 64. Plumbing System - Final _ 14. Rough Plumbing `' 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT r.' APPROVALS: -:;-Permit # - • �' 20._ Rough Factory Fireplace _ ,. ~ , 21.'Ducts, in Structur,e.- _ 70. Underground Hydro ' 22. Ducts, Ventilating a =71. Product Piping C3 Gas 0Oil 23. Gas Pipe:Rough &Test t ': 72. Undergrounfl Flus(S, 24:^Roof Framing 73r Undergrnd. Storage Tank 0 Gas 0 Oil ' 25. Roof Sheathing- , 74 Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. 'Frame and Flashing' 76. Dry Stand pipe - t - 28. Lathing &Siding 77. FIXED SYSTEM FINAL 29. Insulation '. �_ , " 785 FIRE PREV. FINAL , 30. DrywallNailing• I a HEALTH DEPT. REQUIREMENT X31. Plaster Brown Coat; �:- ; 79. -FINAL INSPECTION 32. Electrical Power Meter, -Final ' I.. .80.• FOOD CERTIFICATE ISSUED 33: `Final Electric i t Nates: 34, -Final Heating-& Air.Conditioning.- r 35:'Fin`el Gas Pipe -Test` (° C' r,• 36. Hood or Canopy t 37. Final Factory Fireplace `38. Final Plumbing = v r _ 39. Water Service -Final` x 40. Gas Service -Final ' T `41. Solar Domestic -Final " 42. Backflow Preventer, 43. Backflow Irrigation ' Y J - - -44. Landscape Irrigation Systems c+.� 45. Sound Attenuation --46. Handicap Regulations z ' 47. FINAL STRUCTURE & BUILDING 48: FINAL PLANNINd 49:. Electric Release to Edison 50. Gas Release to Southern California Gas Co -51. CERTIFICATE OF OCCUPANCY No. Date PRDACT aoDREss: 386 E 15TH ST OWNER'S NAME: LLOYD MYLES DEVELOPEMENT ADDRESS: 423 POPPY AV —i CORONA DEL MAR CA 92625 '723-5300 ARCHIENGINEER: ADDRESS: REG.NO.: UNIT: A UNIT: PERMITTEE: LLOYD, MYLES DEVELOPMENT (714)723-5300 ADDRESS: 423 POPPYAV CORONA DEL MAR CA 92625 LICENSED CONTRACTOR DECLARATION: I hereby atfirm that I am licensed under provisions of Chapter 9 (commencing with Section 701 of Diyision 3 0l the Business and Professions Code, and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Section 3800. Lab. C). POLICY NO.: EXP. DATE: COMPANY: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division Date: Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: )This section need not be completed it the permit is for one hundred ($10D) or less). I cerlify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to became Supecl to the Workers Compensation Laws of California. Dale: Signature: NOTICE: If. alter making this declaration. you should become subject to the WorkersCompensation provisions of the Labor Cotle, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' Stale License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve. demolish. or repair any structure. prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (oommencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500). h as owner of the progeny or my am lotions with wages as their sole compensation• will do the work, and the El structure is not intended or offered lot sale (Section 7044, Business and Professional Code: The Contractors Slate License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himsell/hersell or through his or her own employees. provided that such improvements are not intended or offered for sale. It. however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (,Sect 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of grope1 who burl r improves their and who contracts for such projects will a comraclor(s) license pursuant to the Contractors' $ le Li se Law). I am are That proof of their Worker's Compensati insurance should be provided to me. ❑ I am exempt under Sectio B. B P. C. for this reason: Dale: I do hereby certity Ila am aware and understand the requirements of California Neallh ap Safely Cotle Sections 255115, 25533. and 25534 antl Incl or a y future buil ing occupant wilVwill not (circle one) need 10 to vn�(saitl Slate Wde and the requirements for a perms for construction or modification from the Air Ouafily Management District. Resid flat conslructi applications are exempt from these provisions. Dale: Applicant I hereby c27!K 'ead this app' abon and state that the a or i Is torr . I agree to comply Ith all no nt ordman"lating to dig c nstruclion and autho r esenta'v yto enter on th try -in ti d property trelating Dale: Signature: orivi County a: —Applicant Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 052979 PERMIT NO: E 052979 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: NEW JOB DESCRIPTION : NEW SFD RE:4B51296 SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: NEW SFD IE N IE iF BFBF IE IE NIE IE OE IE iE IE IEIf iEiF iE IF IE * IF If IE IE * IF IE IE IE IF IE IE 9E * iE IFBE If IF IE iE #If IE.)F IE IE iE #IE iE iE IF iFIE IE * IF IF IF IE IE.)E * iF )E * IF* IE dE IE BE IE IE .� Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 42531108 ZNE: REF NO: PLANNING N TES> k BF IE iF iE BE IF iFIE > i<OF * BF iE IE sE iE BF 1. iF IF iF BE if iF * iE * k iE BE k iF TF * * # 9E IE BF IE IE BE IF IE IF IE * k IE iF iE iF * #'� N� iE if iE BFjE IE IE iE iE IE IF IE * IF * iF IF # sF IF BF tF D E V E L O P M E N T S'E'-!R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : APPLICATION ISSUED BY: *IF IE If IF IF*IF*IF**�*�*IF IF IFIFiF�EIF�F IF IE iE IF iF IE IFIf if IF iF IEIF ♦E ♦E BF iF IF # IE * iE If iF 9F LEGALIZATION:N BLDG PMT PLUMBING PERMIT PLAN ISSUE FEE DATE: lI IF�E�F�F�F�E�F�F iF FTFiiIFiFiFTfiF7FIFIFIF)EDATE: LL �FIF It iF IE K•'�F if IF N• BF iF IF IF IF IF BF BF iF iF iFIF iF IE iF iF NIF IF IE )E 1E IE iF IF iF dF IF * iE IF IF iF iF * IF 4F IF if• N iF F E E S U M M A R Y STRUCTURAL SEGMENT:N ELECTRIC MECHANIC FIRE SMIP/RES GRADING 62,55 50% SMIP/NON—RES 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 62,55 15,00 0,00 77,55 77,55 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 77.55 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 77.55 BF IFN-iF if lE if iE 3E iE if if iE iE iflE iE if Ef iF IF iF#iE iE iF MiE lE iE iE i6lf iF iP iE iF iE jF iE iF if 3F iE iElE iE 3E lE iE it iF K jE if iE BE iE iE aFlE iF if iF if Tf lk iE iF 1E Y.iE 3E iE 9f 1E iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1787 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT ,03 62,55 ✓ END OF FEES el roG�za2cl-cnD�<a�o ��:�� DATE: G7/23/91 TPlEa 0';•4 ' `CONSTRUCTION AND PLANNING APPROVALS Permit # 1. Temporary Electrical Service or Pole Date Inspector POOL &SPA APPROVALS Permit # 52. Pool & Equipment Location Date Inspector 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3,`Electrical Conduit-Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. r, 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE • 7.. Fdotings 58. Electrical Conduit-Undrgrnd. B. Foundation 59, Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 17. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65, Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final , 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINA V 19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVAL$ Permit #� 20. -Rough Factory Fireplace , r - • 21 .:Ducts, in Structure _ .. .70. Underground. 22. Ducts, Ventil8ting c _ .71. Product..Piding CI Gas 00il 23, Gas Pipe -'Rough 8i Test 72. Underground Fltisti,.: 24. Roof Framing- i `73. Undergrnd, Storage Tank OGas 00il 25. Roof Sheathing ... ' - �74, Overhead Hydro 26. Z -Bal Ceiling (Struetural) &1Ulonocoat 75. Dry Chemical n 2V Frame and Flashing ; ; 76: Dry Standpipe 28. Lathing & Siding° 77,' FIXED SYSTEN}FINAL', 29. Insulation i' ' 78,'FIRE PREV. FINAL u' '30. Drywall Nailing •t - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coag - ,•79: FINAL INSPECTIQN. - ' 32.ElectricahPower Meter -Final. ,33.�Fin31 Electric - _. ?t �2� r • _t X60. FOOD CERTIFICATE ISSUED - 'Z. Notes, . 34,,. -Final Heating ,& Air Conditioning- 35.'FinalGas Pipe -Test` _ `- '�• "" 36. Hood or Canopy •_. - r'.. r: ,- f 37 Final Factory Fire6jacc 38. Final Plumbing 1 39. Water Service -Final' - 40. Gas Service -Final -•41. Solar Domestic -Final'' I ' 42. Backflow Preventer. 43. Backflow Irrigation' - - - :44. Landscape Irrigation System_ .. - 45. Sound Attenuation - - 46. Handicap Regulations - - - - 47. FINAL STRUCTURE & BUILDING I' K 48.'FINALPLANNING I_ 49. Electric Release to Edison I is 50. Gas,Release to Southern California Gas Co - 51. CERTI F ICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 386 E 15TH ST UNIT: OWNER'S NAME: LLOYD MYLES DEVELOPMENT ADDRESS: 423 POPPY AV CORONA DEL MAS CA 92625 (714)'723-5300 ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: TEMP POWER SYSTEMS (714)632-1999 ADDRESS: 1111 N. TUSTIN AVE ANAHEIM CA 92806 LICENSED CONTRACTOR DECLARATION: I hereby affirm that am licensed under provisions of Chapter 9(CQmmencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and afleet. CITY LIC.: 0 3 912 4 STATE LIC.: 4 8 3 4 3cuss: C-10 Date: �i—,l1jLQ.� Signal . WORKERS' COMPENSATION DECLARATION: I hereby affulhal vea if eof con sent to sell -insured certificate of Workers' Compensation D�syrapce. §r 651duI yppy tpeJ,Co1lSeofien 3800. Lab. �). POLICY NO.: .iVb 7V LV J7LV EXP. DATE: 1/01/91 COMPANY: STATE FUND ❑ Cend ied copy is hereby furnished. IN Certified copy is til nth the city Building Divi an Date: 5= 2 y- 9/ Adoption EXEMPTION FROM WORKERS' COMPENSATION DECLARAION: (This section need not be completed if the panel is fame hundred (SlOO)or less). I county that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California. Date: Signature: NOTICE: Il, after making this declaration. you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3W7. Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the ContractorsState License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption, Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner *of the property or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered lot sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion. the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I. as owner of the property, am exclusive] y contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s) license pursuant to the Contractors' State License Law). I am aware that proal of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date: Owner: Ido hereby certify that I am aware of and understand the requirements of California Health and Safety Code 25534 and that I or any future building occupant willlwill not (circle one) need to comply with said stale codes permit for construction or modification from the Air Duality Management District. Residential construction aidthese provisions. Sections 25505, 25533, and and the requirements for a plications are exempt from Date: Applicant: I hereby certify that I have read this application and state that the above information is correct, I agree amply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives o thF enter upon the above-mentioned property lot inspection purposes. Date: ther's �'y� C� Signature' OLicense or Social Security .: I Sal -46 While—Building: Green—Code Enforcement: Canary—Applicant: Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05218' PERMIT NO: E 052187 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION ; TEMPORARY POWER POLE W/TWO SUB—POLES SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 /M-1 COMMENTS: # Z O N I N GS E R T E B Q A U C I K R S E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE • PROV: PARCEL: 42531107 ZNE: REF NO: PLANNING N TES> > D E V E L O P M E N T S• E.R V I C E S R E Q U I R E M E N T S' ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: S a IF##################### r ##aE####aE## ## 1F###yE#################aF############### ##M �####14#if•lf)f•ie############♦E#3E#aE#iE#aF#### LEGALIZATION:N F E E S U M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC 'MECHANIC FIRE SMIP/RES GRADING PERMIT 15,00 503 SMIP/NON-RES PLAN ISSUE FEE 15,00 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTAL'S---->' 15,00 15.00 0.00 30,00 30,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 30,00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 30.00 #####ie##.*###########*#######if IF le#######*#ye#####16##N•#N###if lF#ab YF#####it TE IF IF #*aE## I N D I V I D U A L F E E B R E A N, D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 TEMP SERV PWR POLE W/OUTLETS EA. 15.00 15.00 END OF FEES 01 0006E�04-0018cC64 Tl5 - _ DATE: 35,'24af9! TIfE: 20:43 A CONSTRUCTION AND'PLANNING APPROVALS Permit # Date Inspector PVvL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole ool & Equipment Location 2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings -' 58. Electrical Conduit-Undrgrnd. J 8. FAidation 59. Gas Pipe, O Undrgrnd., Test ;.: • � 9. Water Pipe-Undrgrnd, i��, 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System i' ! 61. APPROVAL TO DECK , 11. Property Sewer Line'& House•Connection 62. Backwash & Receptor -Final •�• 12. Sewer Cap ^ ` ' ", 63. Heater & Vent -Final �� t 13. Roof Drains / r 64. Plumbing System - Final -. ' 14. Rough Plumbing ,� ' � 65. Electrical -Final r 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace _. 21. Ducts, in Structure - 70. Underground Hydro 22. Ducts, Ventilating 71. Product;Piping 0Gas ❑Oil 23. Gas Pipe -Rough & Test - 72. Underground Flush - 24. -Roof Framing 73.'Undergrnd.StorageTank 0Gas 0Oil 25. Roof Sheathing 74.;Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing , '. 76. Dry Standpipe 28. Lathing & Siding t - ' I r 77. FIXED SYSTEM. FINAL' 29. Insulation I• 78: FIRE PREV. FINAL 30. Drywall Nailing }t i r HEALTH•DEPT-. REQUIREMENT 31. Plaster Brown Coat j ,.'i .. ,79. FINAL INSPECTION 32. Electrical Power Meter-Final80.. FOOD CERTIFICATE ISSUED 33. Final ElectricNotes: 34. Final Heating & Air, Conditioning i 35. 'Final Gas Pipe -Test , •/ _ - - 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 7 39. Water Service -Final 40. Gas Service -Final i _ 41. Solar Domestic -Final I r. ' 42. Backflow Preventer• , _ 43. Backflow Irrigation •- .144. Land;cape Irrigation Systems -45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING amu, 49. Electric Release to Edison 1 Za• rJ,•t + 50. Gas Release to Southern California Gas Co i �- 51. CERTIFICATE OF.00CUPANCY No. Date - y __�71 PROJECT ADDASS:' , UNIT: OWNER'S NAME: 386 E 15TH ST ADDRESS: CUNNING RONALD TR LLOYD MfLES DEVELOPMENT INC 423 POPPY AVE. ARCH/ENGINEER: CORONA DEL MAR,CA 92625 REG.NO.: ADDRESS: UNIT: PERMITTEE: ADDRESS: TOM DJOKOVITCH/ TRUSTEE (714)495-1988 30�100��TOWN ' C7E7'NTER DR (('nn '77 289 LICENSED CONTflACTOA'UECL'AAAiIOR: 1T PreL'y�IDrM'Inal am licensed undei dnSi09nS?kh5pter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance, or a candied copy thereof (Section 3800, Lab. Q. 'OLICY NO.: EXP. DATE: COMPANY: ❑ Carolled copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. Date. Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (Rik stealth need rpt be completed if the pemut is tar ane red (S100) at less). I certify that in the performance of the work for which this permit is issued. I s all not employ any person in any net so as to become subject to the Workers' Compen�dJuon Laws of California , Date: � —3 — ✓ Signature: ` NOTICE: Il, alter making this declaration, you should b me subject to the Workers' Com provisions of the Labor Code. you must forthwiln comply with such provisions or this permit shall be deemed rev,ed. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work lot which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law tar the following reason (Section 7131.5 Business and Professional Code: Any city of county winch requires a permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance. also requires the applicant lot sued permit to file a signed statement that he/she is licensed pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars (5500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ as is not intended or offered for salelSecuon 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon and who Contracts lot Such projects with a con(ractor(s) license pursuant to the Contractors' Slate License Law). I am aware that prool of their Worker's Compensation insurance should he provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason:: % Date: / —3 o!: Owner: I do hereby certify that I am aware of and understand the requirements of Cal rnia Health and Safely Code S as 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said state code no the requirements for a permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions, Date: Applicant: I hereby cemfy that I have read this application and state that the ordinances and state laws relating to building construction and herel property for inspection purposes. Date: 7���? Signature' Driver's License or Social Security M: — 1641,46 White—Building: correct. I agree to comply wall ajand county Ilvas II citytp ier upe atbore'mentionedto iter upo��abore'mentioned Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: E 058396 PLAN CHECK NO: N PERM NO: E 05839E GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION ; METER FOR PANEL LANDSCPING 6 AREA LIGHTG SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-1 / COMMENTS: PANEL FOR LANDSCAPING & LIGHTING ############Tf#######!F#######if####•#3F###########iE#Rif•###3!#ifN.#Y.}F Y•lf•##############i'#4F Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING RE • PROV: PARCEL; 42531108 ZNE: REF NO: PLANNING N TES> > ######N-#################k######jE#"############%if#N###Ti#if####iF iF####if####3E#3e 3f#iE iE#•# D E V E L O P M E N T "S E%R"V I C E S R E Q U I R E M E N T S ZONING APPROVED BY ✓ DATE: BUILDING APPROVED BY :"J.. DATE; r APPLICATION ISSUED BY: ' DATE: -7/30 ###'########## N•#################dF#################iF-liiF####iM1#####iE##il-##iF dE#####!F### LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 18,50 50% SMIP/NON-RES PLAN ISSUE FEE 15,00 BUILDING -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/SHORT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 33.50 I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE I SERVICES BELOW 600 V & BELOW 201 AMP 18,50 18,50 END OF FEES CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector f -.L & SPA 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-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd, 8. Foundation 59. Gas Pipe, D 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. Heater & Vent -Final ' 13. Roof Drains ! 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas E Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank D Gas D Oil .25. Roof Sheathing 74. Overhead Hydro 26. T -Bar -Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 33. Final Electric ��/ 80. FOOD CERTIFICATE ISSUED Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace - 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41, Solar Domestic -Final 42. Backflow Preventer ' 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING - 49. Electric Release to Edison 50: Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date