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Home My WebLink About478 ABBIE WAY - Building Permits_. _... . :__. ... Job Address: 478 ABBIE WY Slatus: ISSUED Suite: Applied: 12/02l2005 Vicinity: Issued: 12/02/2005 Primary Occ: U-1 Private Gar/Carport/Shed Type of ConsUuction: V-N Parcel Number: 11737206 Zoning: Applicant: GUY BURNELL Address: s"�� , Owner: BURNELL`GUl Address 478 ABBIE WAY-�+, 5 .: dsrl�j r��qi' \ �..',% ''\vo � COSTA M�SA CA � re�:� �� e�''�".y � 3j� -�'�' '� �-�,�`�, ;ontractor y � ! �' �f� �- AddreSS ,°;. ,.'�y°,r�yx.'" ? ' �,`s",y a ,�d .�.6£' r �.:�:1,F� �Tfl! , `..i a�K,�.:, " 3 a,, r � +�; � z � �'`1 r Y , .i � s l�,,v Ct , i � .a h .xh ; '�,� } A;u u.N��i...Pt Phone: ',License: ISSUED BY: � � ,� �� l :� � ; � ' � � f { � -�', , . .� �, � / '%'�. .�?�' i ' '� % � �� `�� t.�a ti t : � / �` ��` ��.. e + \\� .e� '^. � t �, a 92627.,��.��,„� h�, �`,,��r; *,.� < �� •1 �.. �afi% ti `C , ,' �`r f',�"` t� �y4� � � � � �`�,{m�i \\�, � � i' �_ _ ^ _ �'.. % � r (J � A�ch : � w :t�'� i ; Eng U r�,: ... . � � %Addresa:' ti r >?7 -.+-�-y-.y . � Aiidress. � i ( �,�A 1 F t�11. }�i "� a , �,� �� .d � r �• t � ��=t, ` . � Phone . z,.:� -` � . �i 1 � Fhon� , P' 4.'; i � � � ` � y' l `� . ` {° ' � i , . �• 4't ..� � 4 ,�}S�t` 1 i 2ip:. �:'+� .� �i �l`icense � _- i �� ,: �;l Licen ,� � 1 r '.t t '-�-"' ^,t _ � � AI:. � " � . .'�j ��'.` /L -"< �" 3COPE OF PERMIT _ ��' �(; � REPIAR�TERMITE�DAMAGED,RAFTERS'AND REROOF 286SF GARAGE. • _�`� . , ll -� � r�"= �'v;' ' �_7�;.-- , a_ - ) .. .'1 , ;- � � �:___i� ��. `i`� �r "F ; �j �;FEE SUMMARX �'` �r''�L,v ,,.� r k '• Plan Check �i:., ','$0 00 , � '' `�' � =' ' � �� ' .4-Calc Valuation: _� n _.:. _ �:: _, .� -.� ;- _ + ( Permit , �� `$83:25 - �, ��y� Claim Vaivation: � � SMIP'Res �� a �$0.50 ,_w r ``� i SMIP Corri' �� , j'$0;00 -. -^=.._. , . ?, .- � � �.�1}�� ,�� . ,� 3 Olher ��,,,�� $0 00��:� ; . . ��- — ; � , `,, _ _ ,�_ - ! '�alnspection ,s�j, $0 00 � � ; { Y � i �a�'� 4, -" r�` �..�k x � `� . �ip �'J i7 -- ' _ , �.J t'-= v ^5 � �i ��' d 3�-�- /1 Total �, �,s$83 75 : � � . �> - `'� � -'; � S ; Alkt� ° � � � _ _ i . . ,�f%/ PARKING 0 1� t i�' 4, � ,� � . rv�rvrvuvt�,a.cvrvuvt� ,�.,��vi � :._�: � � i �' � .,. � r-' � „�'"'iS ti jJ"'i� � � t'� �� v�lY..x . ^�• �� S1: i 9 0" . Rear d� 0. 0 - Left 0 0'�" � Ri ht � 0 0,%� �,, �• Z.A��:� �'S`Y3'��y,£�--0"', i - 5 �, t K�+} -, �,` G 'n c� �r ; 9H J �. . L ��% � �� .fe�a )1 F �U/ ( �` � C ,../!� ,- �� D,0 \�'ti Rear 0 0,�y� �� LeN� ,�0 0;1 - Right� 0 O�j 1�} � f� �' '�`r� ��?�, J Ir" '.v�r a q��,'�t, } "-1 1� �i�"` � �/ /��;'�� ' Reauired 0�',�'�'� p-ronosed �� p��,,, . � <� C� `, ✓ ,�/�• f ,�, ..�'� Z� �ti. �7-�== :`�.... _ � �.,.-�..�,.w..' �r }��`e� flJf1�� r �� _ . � , �`�;.��''��,�,;,'`�'7r � ;.,r-� � �`': �i:'l .... ' � t �i 1 � ;.� +� � . -r-.`�.,� ��`t � l� _ , b t � , }� �;,,i_z.�,�.4 '-, x � _ r t � -;�.�e '`� �r\� '�1 �� t.... �� " �},�ti^"�"�`.. . .. .. . .,.-1 L,`- ti""'^.. �. . . . �r`. �'7rr �/ . e NOTICE: The work authorized by this parmit shall comply with all applicable�h,andiCap.acgess.requlrements untler Califomia statutes and related regulations. (Ord. No. 9248, § 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 tor a period ot 180 days. � INSPECTIONS: In order for Ihe work authorized under this permit to be consideiad legal, such work must comply with all applicable codes, and all requlred Inapections and final approvel must be obtained. Failure to obtain inspections and finel approval will result in the expiretion of this permit. FOR INSPECTIONS CALL: (714) 7545826 2d48-48(8/00) -- WORKERS' COMPENSATION DECLARATION: _ ' � � ' • .� '�� I�hereby aHirm under penalry of perjury one of the tollowing declarations: �, ,'�'- "' - , ��' - ` , ' - s. ❑ I heve end Will maintain a certifcate of consent to self-Insure for workers'�wmpensetion, es,provided focby seclion 3700 of the Lebor Code, focthe performence W the' 'work for which �his pertnit is issuetl. � - � • - • � - � -� �� , � '; i', ' ❑ I have antl Will maintain workers' compen5ation insurance, as requiretl Oy seclion 3700 ot the Lebor Code, fOr the perlortnance of the work for which Giis'pertnit Is issuetl.`, My workers' compensation Insurance carriar arM poiicy number ere: � Cerrier. PolicyNumber: f�, � (This section need nat be completed il the permit is valued et one hundietl dollers ($f 00) or less.) � ._ . . '. . , . ._.. .1. �._.. . . . �..,. ,. - ., .. �. .. . . .. . .. . . ❑ I cenify thet in Ihe peAortnence of the woik for which this pertnR is issued, I shall not employ eny person in eny mannei so as to becoine subject to tfie workers' "' � compensatlon laws of Callfomia, end agree ihat Ii I should become'subject to the workers' compensation provisions otSection 3700 of the Labor Code, I shell foqhwflh comply with ihese provisions. Applicant Signeture: Dete: WARNING: FAILURE TO SECURE WORKERS' COAIPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE NUNDRED THOUSAND DOLLARE ($100,000�, IN ADDITION TO THE COST OF CAMPENSATIIXJ, DAMAGES AS PROVIDEO FOR IN SECTION 37060F THE LABOR CODE, IMEFEST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby aHirm that I em licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of the Business end Professlons Code, and my license Is in full force and ettect Lic. n Class N Contrectors Signeture: Date: ' CONSTRUCTION LENDING AGENCW.. . � ❑ 1 hereby affirm tl�e[ there is a conslruction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Cotle). Lander's Nama: Lendefs Adtlress: SignaNre: � Dete: OWNER-BUILDER DECLARATIONS: 1 hereby aHirm that under penelty of perjury that I em EXEMPT FROM THE CONTHACTOqS LICENSE LAW for the tollowing reason (Sec. 7031.5, 8usiness end Protesslons Code: Any city or counry which requires e permi[ to consiruct alter, improve, demolish, or repeir any structure, prior to its issuance, also requires the applicanl for such pertnit to flle a signetl stetament that he or she Is Ilcensed pursuent to ihe provisions of Ihe Contractors License Lew (Chapter 9(communcing with Sectlon 7000) of Divlslon 3 of ihe Business and Professions Code) or �het he or� she is exempt theretrom and ihe besis for the allaged exemption. Any violetlon of Section 7031.5 by eny applicent for e permit su6jecis ihe epplicant to e civil penelty of no� more ihan fve hundred tlollars ($500).): ❑ I, es owner of Ihe property, ar my employees wi[h wages as thelr sole compensatlon, WILL DO THE WORK, and ihe structure is not intended or oflered for sale (Sec. 7044, Business end Professions Cotle: The Contractors License Lew does not apply to en owner o� property who builds or improves thereon, and who tloes such work himself or hersetl or through his or her own em loyees, provided lhat such improvements are not Intended or oHered tor sfllo. If, hawever, t�e building or improvement Is sold within one year of completion, the own ilder will have the Durden of proving that he or she ditl not build or improve for purpose of sale.). � ❑ I, as owner/of ihe pro{�rty, am EXCLuSI L CONTRACTING WITH LICENSED CONTRACTOHS to conslruct the project (Sec. 7044, Business and Professions Code: �he�con�rector� Qlcense Law �b�e not ppty to en owner of property who builds or Improves thereon, antl who contracts for such projeq with e contractor(s) 0 Business and Protessions Code tor this ID�erified d've e. � Yts ❑ No Driver's License Rion of Ow e y(type of documeN, i.e. � property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PEflMIT CERTIFICATION: ❑ I hereby certity that no excavetion tive (5) or more feet in depth into which e pe�son Is required to descend, wlll be mada in connection with work authorized by lhis permit, and ihat no 6uilding simcWre, scaKolding, faisework, or demoliNon or dismantling thereof, will 6e mo�e ihan ihitly-six (36) �eet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industnel Satety, as noted ebove, unless such person hes e permit to tlo such work trom the division. SignaNre: Date: Division of Industnal Safety Permit Number: 1 Will Ihe applicant or present or future building occupant need to tile end certity a 8usiness Plan for emergancy response lo release or threataned release of a hazerdous materlel7 ❑ Ves ❑ No (Section 25505 of ihe California Healih antl Satety Code requires, wi�h some e%ceptions, that e Business Plen be tiled with Ihe Costa Mesa Fiie Department by every business which has at eny one time tlunng a reporled year a quantiry of hazardous malenals equal to or grearer than a weight of 500 pourtds, or a volume W 55 galkns, or 200 cubic feet of compressed gas at standartl temperature and pressure). _.......'...... .. ......................................... ...................................................................................................................................................................................... ... .......................... ........................... ...... ..... ...... 2 Does or will the applicant or present or future building occupant need lo file e registration form for ecutely hazardous malerials. ❑ Yes ❑ No (Sectlon 25533 of the Calitomia Health aod Safety Code, with some exceptions, requires registration with ihe Coste Mesa Fire Depertment by eech busineu which et any one time has on hend e quentlry of acutely hazerdous materials�equal to or greeter Ihen e weight of 500 pounds, or fl volume of 55 gellons, or 200 cu6ic feet of compressed gas at stenCard temperature entl pressura). ...................................................................................................:................................................................................................................................................................................................................................:................................................... 3 Does o� wi71 the applicant a present or future building occupant need to prepare en RMPP (Risk Management and Prevention Program br acutety hezerdous ma[edals)? ❑ Yes ❑ No (Seclion 25534 of the Califomia Health and Satety Code provides that ihe Costa Mesa Fire Department may require the preparation, certificatlon entl filing with the Fire Depertment ot en RMPP by husinesses which are required to register ecutely hazerdous materials with the Fire Department. ..................................................................................................................................................................................................................................................................................... ....................... .................................................................... 4 If en RMPP is presently required, has Section 25534 of ihe California Health and Safety Code been fully complied withl ❑ Yes ❑ No ...................................................................................................:.......................................................:............................................................................................................................................................................................................................ 5 Does or will the epplicant or present or tuWre builtling occupanl require tor ihe work whlch Is ihe subjeCt ot this a plication a, permit for such construction or modificetion irom the South Coast AIr Ousliry Menagement Disirict or from eny other air pollution control disMct or agency+ � Yes Ll No (Section 658502 of the California Govemment Code requires ihet �he requestetl information be tumished on applfcafions br nomresitlenfial buitding permits). ...................................................................................................................................................................................................................................................................................... .............................................................................................. 6 W ill any part ot the facility to be constructed under ihis pertnit be within 1000 Feet irom tha oular boundaries of a school? ❑ Ves ❑ No (If "yes", the taciliry must mee� �he requirement of Sec�ions 25534 antl 42303 of �he Calitomia Health entl Sefety Code). ......................................................................................................................................................................................................................................................................................................................................................................................... 7 If a permit irom ihe South Coast Air Dualiry Menegement District or other air pollution conirol distnct or egency is requiretl for the work which is the subject of this application, have all of Ihe tlisclasures prescribed by Calitomia Heallh antl Safery Cotle Section 42303 been made? ❑ Yes ❑ No QF'yes", attach certificate of compliance from the appropriate atr pollution control otticeq, CERTIFICATE OF COMPLIANCE: I certify that under penelty ot perjury the information given above is correct. I agree to comply wilh all state laws and ciry ordinances regartling Hazartlous Materials and Emissions. Signature: Date: F A7E OF C LIANCE RI ON OF EN7AV: I cenity under penalry of perjury Ihat I have read this application and state thet the infortnation given is c I agree lo om with alt s at I antl c ordinances relating to building construction, and authonze representativas of [he Ciry of CoSta�,Mesa to enter upon the r- escri for inspe io u oses. agree not �o occupy or allow occupa y ot eny building authorized by this permi� until finel ins ection. ' � . � � 2. -`-2-_� `�C�C��71 i . a ure Of eaal Owner(s1 Date CODE t'' INSPECTIONTYPE ' "�'S '' ' '��' 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200" � 'Final�Re-Roof �'' � ' � � - • 201 Final Block/Reteining Well 'q. . 202 � Final Eactory Fire Place '' � " . �e' 203 Finel Sign 204 Final Demolition . •.'Qy/jg. • ^••, IN71fIRL5 • '. >'COOEt INSPECnONTYPE� . • • ' 206� ��FinalMechanicel , 20B Finel Plumbing �`�' � � '"270�� FinalEledrical '•� � 212 Final Flre Prevenfion ' � � " � � �'�!� " �' � 220�� ` Final Planning Approvsl ,,... . . . . . - . ,. ..,: 222� �.FinalSi(e � .. � . 250 Finel Bullding/Occupency Date .. .. �� ' �� r. . . . . _.7 . PflOJECT FODPESS: Q 7$ AH B I E wY UNIT: OWNEH'S NRME: HURNELL GUY A nooness: 478 ABH�iE WAY COSTA MESA,CA 92627 714) 631-385B RHCH/ENGINEEX: FRED F I SCHER JR HEG.NO.: C— 1�I S O S RUDHESS: iZOH E KATELLA uxiT: lg OR CA 92634 PENMITfEE: GUY HURNELL ( 714 ) 631-3858 FDDPESS: �j %$ AB B I E WY C,M. CA 92627 LICENSED CONTHRCTON OECUIflATION: I here6y affirm Iha� I am licensed un0er pmvisions o� Chap�er 9(commencing with Section i000) ot Division 3 0� Ihe BUsiness antl ProfeSSions COAe, antl my license i5 in (ull Pofte and efleCt. CITY LIC.: STRTE LIC.: CLA55: Oare: Signa�ure'. WOHKEBS' COMPENSP710N UECLABRTION: I hereby affirm that I have a certificate oi consent to selbinsure or a certificate of Workers' Compensation Insurance, or a certifietl copy [hereof (Section 380�, Lab. C�. POLICY NO.: E%P. OFTE: COMPANY: ❑ Certi�ietl copy is �ere0y furnished. ❑ Ce�ifie0 copy is filed with �he ciry Builtling Division. � �9ate: AOPlicant: E%EMPTION FNOM WOBHEflS' COMPENSATIUN OECIANPTION: (Th sectlon m I tha� in Ihe Dertor ance t ihe wark for which i is issued, bj �h Wor sation Laws ot Ca' mia. ' te: S' naNre: C: , a aki Ihis Oeclaration, u shoul heco e � Code. ou must ahhwith comply with suc provisions or ��i er i CONSTflUCTION LENOING pGENCY: I hereby 'rm ihat N i a c rt. which this permitls issued (Sec�ion 3097. Civ. C�. LENUEP: P�OflESS: for one hunOretl (5100) or less). any manner Sa as �o become •�rkers' Comp�lisAtion pmvisions of the Labor be tleemetl revoketl. n lending agency for Ihe pertormance of the work for OWNEfl BUIL�EB OECLRFlATION: I hereby alfirm that I am exem0� �rom the Con[racmrs' Stale License Law far the followinA �eason (Section 703i5 Business antl Professional Code: Any ciry of counry which repuires a permit to cansimc[, alter, impmve, tlemolish, or repair any s�mc�ure. prior m i[s issuance, also requires the ap0�ican� for such permii m �ile a signetl sta�ement tha� he/she is licensed pursuantm lhe pmvisions of�he Contracmrs' S�ate License Law�Ctrapter9�commencing with Section 7000) ofDivision 3 of�he Business antl Pmiessions Cotle) or Ihat he/she is exempt �here�mm and the 6asis for�he alleged exemp�ion. Any violation o� Section 7031.5 by any apDlicani for a permit su6lects Ihe applicani b a civil penalty of not moB than five huntlretl tlollars ($500). I. as owner ot the pmpeny or my employees with waAes as �heir sole compensation, will do ihe work, anA the ❑ simcture is not mtenaetl orofferedforsale (Section 7044: Business antl Professional Code: The Coniractors' Slate License Law tlaes not apply to an owner o� a pmpe�y who builtls onmpmves thereon, antl who daes such wark himseltlherself or thmugA �is or her own employees, pmvided ihat such improvements are not intentletl or oflered for sale. I(, however ihe huiiding or impmvement is soltl wi�hin one year o� comple�ioq the owner will have �he 6urtlen ot pmving he/she Oitl no� builtl or impmve for �he purpose ot sale). I, as owner oi Ihe pwperty, am exclusively COn�roCling wi�h litensed contraC[ors lo Construtl �he pmjac� (Seciion 7694, BUsine% .� antl Professions Code: 7he Contractors' State License Law tloes not apDty to a owner of Dmperty who Euil r' aves thereon and who coniracts for such projects with a caniractor(s)license pursua m the Contr s' State Lic s w. I am aware that pmof of their Worker'S Campensation insu�ance shoultl be pmvide ro e. � I am exemp[ under Seciion: B. 8 P. C. �or Ihi reas n: 'Oate: wnec I o �� y c ify �a I am aware of antl untlerstantl the requirements aliforn alth na Safety CoOe Sections 25505, 25533, and 25534 and hai I ar any fuiure �uiltling occu0ani will/will no� (circle one) nee o com y� saiU s[ate cotles and the requiremenis for a permit tor consimction or motlihca�ion �mm the Air Quality Management Oistrict Re � ial cons�mction app�ications are exempl imm these provisions. Daie- ApplicanC nn I hereby certify Ihat I �ave reatl ihis application antl state th ho� intorma[i is orrecL I agre�/th c 01� with all ciry and counry ortlmancesaryl5�atelawsrela�ingtabuildinqcon5imc�ion tlhere a�l orizerepr ai�hisci�tde �eryUon�heabove-memioned a: � t6a1-a6 White—Bui�ding: Green—Gode EnlorcemenC Canary—Appiicant Pink—Revenue; Goltlanrod—Assessor CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO: M 066565 PLAN CHECK NO: N CONSTAUCTION TYPE: V—N PEAMIT TYPE: MEC JOH DESCRIPTZON : ADD, 2ND 335SF STORY,EXTEND PORCH CLAIM VALUE: CALC—VALUE: PERM NO; M 06656 GOVT: N SUPP: N PURPOSE: ALT SQ FT: GROUP OCC; R-3 / COMMENTS: AEF: B-66075 +r�r*x��rx �rx�***�rx��x�xx�x��r�rx �x�+r+r�rx�r�r�r*x*x *x��r�r�r****x�x�+rx��rx *****x*r*x **x *�x�*+r*�x�x�**�r�r*�r�r 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 ---------- --------- ACCESSOAY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN AEAR; FT IN LEFT: ET IN RGHT; FT IN LEFT: FT IN AGHT: FT IN PARKING REQ• PROV; PARCEL: 11737206 ZNE: REF NO; PLANNING Nd'fES> i � ,��,«,�,«,�x *x�,�,�*�,��,�,��*,«*�,�,�*,��,�**x �,�x �',�,�*,«�x��+�+�*,�,�,�*,��***��x,�x,�,�*,��+�+�+�*��x **�« D E V E L O P M E N T S E R V I C E S R E Q U T A E M E N T S ZONING APPROVED BY DATE: HUILDING APPROVED BY ; DATE: � APPLICATION ISSUED HY: DATE: 1E1E1t1ElF1flF1FiElElFlE1E1f1EitififlEif�ifiF lklflFiEiFif1f3k1h1f� iE� 1FiEiflfffMlElEiEiE1k1E1E1EiE1Eif1F1EiE1ElFiffElEiEIEiFiFiE1EiF1E1E1FiFiEiklEiElElEiEiEiEiEiF1F1E1fiEifiElEiEitlEif1E1E1ElElEifiliFifiEiFiFiEM iEiE1k iEiE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SE MENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 9'. 00 252 SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 9.00 15.00 0.00 24,-00� 24.00 .00 � '1 REVENUE DIVISION TOTALS--> COLLECTED: 24,00 O�7ER/SFIORT: 00 HLDG PMT PLUMHING ELECTRIC MECHANIC IRE SM3Fr/TOT GRADING PLAN—CAECK 24.00 � lf�EiEfFlfifiFikMiE%ikiflFiflElFiFlFiFiE1t1F1F�FiffFiEikiEiEililiFiElfiF%iEifiFiF1!!fltlEfEf!lfiFlEiElEfFlfiFlEililiFlFiflFlEIEfF1l1kiElFiFfEiElfiEiFifiE1E 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 2 P T I O N- UNIT COST TOTAL COST MEC 1 RELO FORC—AIR/GRAV FURN <= 100 K BTU 9.00 9.00 END OF FEES. , D: UOZS%S%J—OOIS7H%J TC�T 24.Q0 DRTE= C3l24/94 TII1E: 15:15 CONSTRUCTION ANDPLRNNING APPROVALS Permit # t. Tempo�ary E(ectrical Service or Po�e 2. Soit Pipe�tSndrgmd. � , Date Inspector APP�OVALS Permit?�_ � Date Inspectqr � � 52. Pool & Equipmenx Location ' � � � � 53. SteeV Reinforcement � � � sn"','a�qecutc��`,,prnin��yun��y-unu�y�nu. 54. Forms � c �. X.�.�ctricaf 6phd,µi4;Undrgrnd. , 55. Electrical 8onding y'5:�Sieel -Rfmi�rc�rr�e�t � , 56. Rough Piumbing & Pressure Test F:;;g�ct��Fery�rnd. � - 57. APPflOVALTOCOVERGUNITE .'�.GFbatingSF� . 58. E4ectrical Conduit�Uo�drgmd. '' �. Founda� r ._ ,�l_., ; 59. Gas Pipe, O Undryrnd., Test 9. Water Pipe-Undrgrnd.' �I '_ .- 60. Backwash �ines, P�Trap, C7 Undiyrnd. 10, Structural Fioor System „% 61. APPROVAL TO DECK 17. PioPerxy SewCr Lir�e�& House Connection _� t 62. Backwash & ReceAtar�F.inal . � 12. Setver Cap �� 63. Heater & Vent•Final • �� iY ti ' i. '" 13. Roof Orains�o �� _'` 64. Piumbing 5ystem � Final ; . �� 74. Rough Pfumb`�rtg '-'" . 65. Efectrical•Final _��'. �� 15. Rough E�I'ectric�.�Condui; 66. Solar SYstem-Final ` i� 76. Rough [4ecnicfWiring ,, 67. Fencing & Acc�ss App�oval �i�. i7. Rough �r`j�tg icn 68. APPROVED FOR P�ASTERING 78. ftough ElectricdR-T Bar Cei�ing 69. PO4L%SPA SYSTEMS FI(VAL �I! 19. Rough Heating & Air Conditioning FtRE DEPT. REQUIREMENT - � � - � - l7' 7' � ILI � � } c. 5' 20.7Rough r�ctoiY ;.��lace i �:q', .:.�y ;: e��. �r PPRQVA'r97DCPermit � ,: =� �" !^� � -��. 2' f. -� * k " N H 'y rn rl 21.;fluc�s, in.S2�+�ctur,i:;- i�� y + 5 o r�,�i � 70. lfndergr�o��H��ro ��, h; 22. Ducts, Vanti}Ptin{},+ i �.= C � � b.�s �•71. Produc ing • s L7}Oil ..r� - -� n. t 23. �as�Pipe�Rou�h &' est ' r ^ °' "^ ` �" � �`� °" `-" .-- " �t i ,n�- �� . Ga r 72. Underg�t�� FiusL� �, r � 24.�Roo� Framing� r; i .-• �y �F r � O c' �* S73 wllndergmFr�. Stora�3.'1"ank �J Gas ❑ C�i1 m z t � � T r. 25. Ro�PSt{'e,hthin9 �'$ � " 't� • m C+t p [ux� * c "'y r-t- ? „ a�. .� .: ,' n � �;, * 74.=Qverhead�Nydra�, i. v r , 26.�T�Bar Ceiling {Struciurei) &�lonqcoat 71 O p1> k 75,epry Chemical +'� �' ti 7 � _ r'i M r� �1 I R"' 27. �ralne aq�J Flashi7rt,�_ �< � : e, � tt,.� y 76.�3ry Stan�ioe Fw i� c � � ;r -t y v�n r-�. �. r �-. • �� r �. - Sp-•b ...� � , �ZB. �ai#�ing� Sidin9'�* :� '7v;,"^.,� r : E .. •.* � 77.�'FIXED S�i��7EttiT?r-,S,7NALy � .� ''29. Insulation '� -' HT •• :� a ;*t � . * D � i� c' �, � . 76.yFIRE PREV. FIf�AL �:;> x_ C� s :� � 30. Dry�val!'(Vailin9 � � � � > T r+ F�4�ALTt{+pEPTe:R�EQU�IREiUIEN ^J- '� �-+ � 31. Piaster 9�'own,Coat? ' ` � � � * ,*,79.`�INAL Ilv�'E.J�.CTIQN ;, � �' "' n �:� , � � : mM n � .. .:.; �+: � • E., . � r �. '�- _-- .-r �-r•-T.- E.32.r„�tzctrica�;Pot�r Ma.{ef.,Final ; � n• � ( � x�,{3p,�pOD CE l'IFICA`fE ISBiUED � . . .� - � .h L.i _�� :. � � � � T ..33.c inal' Elec,r,c!, 8 cl � n � : "'No�s: ,C.', �:T. ;�. , � � ��34.�Fina,r„� Heatingj�i Air;,Cor�ditionlrig�, � ` x _�-�,z "� ' ,��,n 35.:£inat�GSs-Pip&TestF �^ �. . � � � � �o .� `" +�" y.., •. . . , � * - -�3 � �. .��.��.: � -�36.'Floa`C� or.rCanoPY r;� � �:, j; - '� �� I � Y r� E E f,YJw.-, A. i� a� .�n t* i .��w �•4�q� r �A ��I.�in59FaeSory Firep{ace',r ' �-.F, „ •h . f � * ` `�,.> �q� �Q ��/��___ .. .. .: ♦ c � .. ., x , � , � �_�� '( '. .�� a " � ,`38. Fina�Pfumbing f'�; � ,. i I ,�. .. �o�J � C39. Waier Se?vice�Final+ � � i � . � � • "��* -� c n7 a�� b; � C.' x :3,: X �i �=40. Gas Ser�=_-final ` ' `" • i i ' ' - `„ . ' , , [T� f Z! : ,'.� �- � i i�l � �b :t iJ � ^ 0.� A' � �1. Solar pomesiic-Finetl =.- �' - .� � .:1� �. t. ::,;= ��, r' �f n, '+ � � -] c: r v: :. a °�42. �Backfiow Preventer� `" r " � � '� ;� :: •, ' s, ', r � � x '� p, }� � 1-� �.• 43. Backflow Irzi9�tiona � 'FS.s . . �x `. � r'i- ?' ;� c: + T Y„ % R� :R [ 1 44. Landscape lrYigatioy� Systemhu��` . r_.,:-, ;r; f �J �� , 'c:r �;r, v �J 1s 7 ,T,7 C� ... , � .✓ _ �. . :�S.:Sound Atterwation! ��'"� . � �� • ��'*�� + �+ c's " e� v •-1 . # •n •r �l�k r, E� 'J' O' H: F� 'i� ,�f6.'Handicap'Re'g,h4iations `� C , t`7 .• �..� * ;P � S Cio 'r . 47.;FINAL STRUCTURE & BU4CDIN�G � '� c� 'S ��° i e r• y; � +. �. 48. tF,1NAL PLA1�iNlNG;. ! ��'`� � � r . t � � � �. , r�_. Fi �' � I �. 7' i*I iTl � �; r. ,49. �EtecitGic Release to Edison " . ; �'.a ;i - � �i r. y . r s m cC •:'l s 60. Gas Selease to Sout�em Califprqi�iGas Co � j ; •� ,� . �' ' °` ` . � �• o t*i a� � : ��51. CER7IFICA7E OF�, CCUPA_ CY" . r, f; ., irjo ., _� E- .� No. Date ' d �' � I � pq0lECT FOOBESS ,_q �] H ABB I E WY ' . u"�T: owxEe s xame: HOANELL GUY A noaeess: 478 ABB`iE WAY COSTA MESA,CA 92627 714) 631-3858 PPCH/ENGINEEH: FREIJ F I SCHER JR . sec.xo.: C— 1 4 5 0 1 aooxess: ORZOS E KATELLA CA 92634 uNiT. lg PEHMITfEE: GUY BURNELL ( 714 ) 631-3858 ADDflESS: 4% S ABB I E j'iY C.M, CA 92627 LICENSEO CONTXIIC10fl DECIAqpT10N: I here�y affirm tha[ I am licensetl untler pmvisions of C�apler 9(commencing wi�h Section 7�W) of Oivision 3 ot t�e 8usiness antl Pmfessions Cotle. ana my license is in full imce antl e8ect. CITY LIC.: STATE UC.: CWSS: Oale: Signature: WOPRENS' COMPENSIITION OECIABATION: I hereby aitirm that I have a cenificate af consent [o self-insure or a certificate of Workers' Compensation Insurance. ar a certilietl copy thereof (Section 3800, Lab. C). PO�ICY NO.: E%P. OA7E: COMPIINY: ❑ Cenifiea copy is hereby fumisheA. ❑ Certi�ietl capy is �iled wi�h the city BuilAing Division. �Date: AODlicant: _ E%EMPTION FNOM WOHNEHS' COMPENSATIOX OECLANATION: Tt ce[�li(y that I� Ipe pedarmance p( �h¢ work �ar wh'wh lhi t //�[ e Wor rs eqsation Laws o� Calil ia. p'/ y(¢: Sig ture: `�I OTIC II. afle. making Ihis declaration, yo shoul bea Cotle. ou mus� forthwilh Compry wilh such 0 �isions ar C�NSTflUCTION LENOING FGENCY: I hereby af�irm i wh�ch this permit is issuetl (SeGion 3097. Civ. C�. LENDEH: aooxess: fatone hundretl(E100�orless). any manner so�as to become �Jorkers' Compensation Orovisions oithe Labor be tleemed revokea. ' n lentling aAency tor the performance of the work for OWNEB BUILUEB UECLANFTION: I hereby affirm ihat I am exempt imm tAe Coniracrors' Seate License Law (or [he fa�lowing reason (5¢tti0n 7031.5 Bu5ine55 and Pro�¢ssional Cotle: Nny ciry of counry whiCh reqUires a permi� �o ConS�mt[, alter, impmv¢, Oemolish, Or repair aay sVucW�e. p�ior to lls issuance. also requias the applicam tor such peimit to tite a signetl statement Ihat heishe Is Ilcense0 pursuant m �he pmvisions af lhe Comracto�s' State License Law (Chapter 9(commencing wi[h Section 7000) of Division 3 0� �he Business and Professions Cotle) or that �e/she is exempt ihereirom antl ihe 6asis for ihe allege0 exemp[ion. Any violation of Sec�ion 7031.5 Uy any applicant for a permit suhlBcis the applicant to a civil penalry af nat more ihan five hundreG Jollars (5500). I. as owner oi ihe p�o0erty or my employees with wages as iheir sole compensation, will tlo ihe work, anA ihe ❑ s�mc�ure is notintended aroiteretl�orsale (Section 7044, Business and ProfessionalCotle: The COMractors' Sta�e license Law does not appry m an oWner ot a pmperty who huiltls or improves [hereon, an0 who tloes such work himself/herseq or [hwugh his or her own employNes, pmvitletl �hat such improvements are not in�enae� or oHeretl far sale. I(, however [he 6uiltling or impmvemem is sold wi(hin one year of compleiion, �he owner will have [he hur0en of proving �e/she dia no� bUiltl or impmve for �he purpose of sale). I, as owner of Ihe property, am excWsively contracting wit� licensetl contrac ors to consiruct the pmject (Seppptttion 7044, Business � antl Pm�essions Code: The Comrac�ors' State License Law does no� appty t an owner of proOenY w�o 6w�r Improves �herean and who coniracis lor ;uch pmlects with a wniracmr(s) license purs nt o the Co ractors' State Lic� Law6 I am aware �hat proot of their Wory¢� s Compensaiion insurance should 6e pm o me. � I �j�^y am exempt untler Section� B. 8 P. C. / I tlo hereby cetlify that I am aw�re of an0 Untlerstand �he 25534 an0 iha� I or any WWre builtling occupani wlll/will r p¢rmil for con5imction or modification fmrti the Air Qual �hese pmvisians. Oate: NOPlicanC I hereby cerlify �hai I have reatl �pis apPlication and StaV ordinances 2ntl slate laws relaling �o buil0ing constmc�iory ar Socie� Securliy x: ;nts o He an0 Satery Code Sections 25505, 25533, antl one) need �o t mply with saitl state Co0e5 antl Ihe reqUir¢men(S �of a =q�ent District. es' ential constmction apDlications are exempt imm wi�h all ciry and counry onthe a6ove-mentionetl t6at-<6 While—Buil�ing�, Grean—Cotle Enlorcemen�; Canary—Applican�; Pink—Revenue; Goltlenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 066564 PEAMIT NO: E 066564 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE; ELE PURPOSE: ALT JOH DESCRIPTION : ADD. 2ND 335SF STORY,EXTEND PORCH 5Q FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: REF: B-66075 *�r�rrr**��r******x �*�r**x�*��r+t****x�*��rx **�r��r*�t��r***x �r�r*+rr**�******rrx��r*�r�*x�**�r***�r�r�r* Z O N I N G" R E Q Q I R E M E N T S S��E T B A C K S ------------ MAIN BUILDING ------�.--- --------- ACCESSORY BUILDING --------- FRNT; FT IN HEAR: FT ��;IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING RE(� • PROV: PARCEL: 11737206 ZNE: REF NO: PLANNING NbTES> ,.' � 1t iF iE 1F iE 1E 1F ik iE fE iE 1f 1E if iE 1F �E iE 1ElE �E fE 1E 1E 7FlF iE 1k iE fF fE 1E 1E 1E iE iE iE iE 1E 1k if 1E if iF iE iE 7E iE iflf iE if ik ik iE i!!E iF iE iE iE iE 1E iE 1E iF ik if iE iklf �f if k1f if 1f if If D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY . HUILDING APPROVED HY : APPLICATION ISSUED BY: 1E 1f 1k 1E iF 1FlE %1f 1FlElf iF iF 1F if 1F 1E 1f 1ElF �F�iF'iF !E 1Elf iF iPlFlf 1E i4 iE iF 1E 1E if 1f iE it iF M 1FlE 1ElFlElE if iE 1F 1E fklE1E iflE LEGALIZATION:N F E E DATE: DATE: F"b � DATE: �fFTiFiFSF�F�f�3FiF iP iE 1F 7E iF �k iE iF if iF iEiE1E�EiEiFiEiEiEitlFiElflE1lfPlFlEfPlE1flElEiEiElFiElEiEiEiEiF ibiEiEiE iE�EiE7E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 32.00 SOE SMIP/NON—RES PLAN ISSUE EEE 15.00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 32,00 15.00 0,00 � 47,`00 47,00 .00 REVENUE DIVISION TOTALS--> COLLEGTED: � 47,00� OVER/SFIOAT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE--'-SMIP/TOT GRADING PLAN—CH&CK �i%,00 ik 1E ik iE 1f if ik ik it iF iF if iF iEM iE 1i it iF iF iE if if iF iF iElE iE i! iF iE iE iE 1E i! if if ik iE if iF 1FlF if iF ik iF iF if 1FlF if iF iF 1Ei! iE 1! iE iE iE 1E if iF 1f it 1F iF1Elt it 1f iE iF iE ft iF 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 CpST ELE 8 FIXTUAES LIGHTING• 1 ST 20 EA. ,75 6,00 ELE 14 RECEPT/OCTTLET 1 ST 20 EA. ,75 iq,50 ELE 6 RECEPT/SWITCH - 1 ST 20 EA, ,75 9.50 ELE 1 SUB—PANEL • 11,00 11.00 END OF FEES 9 'J O1 0015?$76-00157876 TO T 47.OD DATE� 03I29/94 TTPSE� IS:17 . - CONSTRUCTION ANDPLRNNING � APPROVALS Permit# Date' f Inspector qppROVALS Permit?k Date Inspector t. Temporary E�ectrical Service or Pole � 52. Pool & Equipment Loca[ion ._ - _r 2. Soii Pipe•Undrgrnd. � � 53. Steel Reinforcement . - ..r - r- r. ��`�'ectt�ca�C'o�rid�v',i�t Uiility-Undrgmd. 54. Forms ! i :.c,;7} ctrice��vncfvct•Undrgmd. • 55. Etecirical Bonding " -. z, �`SH�gel"��h�`dre�nt � 56. Rough Plumhin9 & Pressure Test "� T' �4 t�, r.Cg c+,ectt��F� rnd. 57. APPROVA�TOCOVER�GUNITE 2; ,�7.�ot�g��"7 � . � 58. ElectricalConduit-Undrgrnd. ' ,'y �' 8. Founda�u� �' ° ___ - 59. Gas Pipe, O Undrgrnd., Test y 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, [� Undrgr.�d. � 10. Strucwral Floor System ,. . r 61. APPROVAL TO DECK � " ti. P,r.operty Seqver l.ine,& House Connection 62. Backwash & Receptor�FtiaT '� - � I 1Z. �e'wer Cap y � 63. Heater & Vent�Final ' 13. Roof Drainsm -o ' __ 64. Plumbinr� System - Fi�al � -� ' 14. Rough PlumBii� � - 65. Electricai-Final . ' 15. Rough F�ectri �J-Conduit 66. Solar SYstem•Final .. 16. Rough B?ectric,�Wiring .l 9 67. Fencing & Access Approval L '-a 17. Rough �jyy�g $�yn 68. APPROVED FOR PLASTERiNG 18, Rough Electric3l-T Bar Ceiling � 69. POOUSPA SYSTEMS FINAI � 19. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT - . � C � H 77 F C 1� c-� i� �:Ti �^1 20.i�{ioC�h �ictacY i{�qplace i xct G'7 � C� a�*'* x PPROVRCC.3��OPedlhit # k '� ^"7 ,� sr rN C :t 'y n a . Ck ^'N�-+F '� ".7' (+7M �7 21 �u�s, ipyStr�ct�; ��;�; x,S * �' O �* x 70. derg�qpt N�Iro +: `�� 22. Ducns, V�oniilatir�q�'+ . cJS �' ,� ' `� : 71. ProducE ing CF s L�`Oii 23.`;,tia3�'ip�io�h &"�en ' �" * tr' r? t ^] i i :.G 7: �_e � �S * R, .`, ¢ �;a- . 72. Undergiroe?ngl Fluf�r� a� p., l.� •- y� �� . � . . 24-�Ror�j Fr�miri� ,-.�a i �.(-: •�F �.:> .� c" � � '73.-^"'�,Undergrn�'Storl�m. ;fank'L7Gas ❑C??Id• -`" 25. Ro�fSh�athin '�'� � ^' ''`� t? 4• :'''r' > �' `"r' n ': 9 p ri v�•* :,J..t 74i�Overhead�lydro--. �: 26,� �fiep Ceiling (StiNqtural) &�n�coat Y .:, O lJT�t.+ > 75.-5^'„Dry Chem�cal v"� �� ' C n'� �� 27.tiFr e a d Flashf"'gt '� ~ ° y"� �$ 76FDry Scan � e�' � a� � m�:i'� ^, x �c � �y � t � 1; T. fi C :-� S. Y�K �A E� tu fi F!T7 ; � n �� rii•�so _� -. r. � w . �8. Lah ing;& Siding,, r-.: -�._�: tr, #� �•: # 77^FIXED S1�STE�'QSJNAL* J �TH `-� ..i c.. ,• � r �- '29. Insulati� ;" ... � ��,"' I I *� 78�FIRE PREV. FiN,4� a� ;, rr r.�� Ly ,-.30, DrywallC['+lailing x �J �� * � � � � � M�,EALTFhOEPTN H-EQ6kIREMEdUT m �31. Piaster Bt'owp Coaty S � �.�,[r ,� • � � � ;, r79"'FINAL If�P�CTI�IV; � � � �`' � c, k' � r r� z , a� .s -,.: 'E�32:-£Iectri��Prn�er MeterFinal i � �; i = � -60.?FOOD CERTIFLC� IS�iUED �-+ ` � ' � N • T � T `C" %�� 3.�ina1 EletiCtriC .,� C7 /� � , �r; J '�Gb'�.� '�D ;i.�%fL1.� �k�9"""� , r Q� ,"'��,34.�Fin21 Hee,ting;& Air#Co'hcjitip�n'J , - '� � � r+ ,� ��,� =�i;,:Qy� ��'��j , r �35.t*Fin`ai Ga3;Pipb•TesYi '� , '� ^ Fr '. , _ • :'" [� � �` �" n � n . , , r i + r� r.o _�H * n�an: �• R,36. Ho� o�jCanOPY �� 1[+'� •-. x,^ �'t c� T C1c �� i nr-�-� m -�r:n %_t..t �r �,�37.:�inaf F tory Firep�acL I `� 4 ,� �'� � �> ` y �� ^"� t�^J r � b; � i .. .. Ii . .� � j �, -_ F`.38. Findl,Plu`m6in9 Y . ;,,� . � +z' S ;39. Water S�'cvice�Finalx: � i � � � I �; � ~ � «m >, � � F S ' rf x j� �: �,r.40. GasSer�%yce-Final ' y ' '� w' "` r� � -� ��, .�.,•;; :'s IT7 �+�. b' CT" S i�� l � I� t O t� c N t< `�il. Solar pomestio-FinaJ 5 (l� '. .. " "�n i .' '. '�'� . �-+ : ^ _.. .� Y '* ;. C� '7" O' # .0 :J F42.=i3acktlow Preventer:� E"' � .�, `� , � Iy * � �� ^ Xr C}.. � � .. ` « ' R * . � � y, �,� 43. Backflow Irrtgationa- � c�=;S " k7 k x{y �� 4. �andsca I {. .'��' � x r .� . v %- -� � � P? ff'ipatio� SYsteti;�7;[1CJ cti ' 0; O Ci� 3 x Slt .L' S(? �i v�,:a 4 IJ 4i' T�5."Sound Attee52iation+ Si-+ rn �.� E-. •-• ,�+�r- Y C't r+ t-+ t^;-- � j > P " -n � . r .n ,r,:r t f-, ,�, n' . • * � ;R6.EFiandicap Reg�latio�s F`--,' S ;. m � � ��; � x; x �; Ga � * 47.zFIi�P,L STRUCTURE & BUChDWG r � � x ti �; " � �* r � =-� � �w t 1 � 48.:FIMAL PLAKIIVING; i�..� �^a f r x C: n7 : x E� ;�49.cEleGtric Reie�se to &dison i ' # . � �' � E - � �i ' � v „� + � • x �- C+ � . . � � � . 50.�C,as,�telease to Sout�ern Cali4�ot�+jyGasCo r � � };; + E. . • ^rn �- ti � • • 51. CEfli'IFICATE OF;�JCCUPQ V'", � + d �- ,-j =!� •• �-. _ •c �,o • No. Dace PflOJECT RDOflESS: Q 7$ p�� B I E WY � V �N�T� OWNEH'S NAME: BURNELL GUY A nooness: 478 ABB�E WAY COSTA MBSA,CA 92627 714) 631-3858 AflCHIENGINEEF: FRED FI5CHER JR AEc.No.: C-14501 aooness: 1208 E KATELLA uxir: 19 OR CA 92634 PEPMITTEE: GUY HURNELL ( 714 ) 631-3858 nooxess: 478 AHBIE WY C.M, CA 92627 UCENSEO CONTBACTOB OECLAHATION: I hereby aMirm t�ai I am licensetl untler provisions of ChaDtef 9(commencing with $ection 7000) of �rv�sion 3 of t�e Business and Prolessions Cotle. an0 my license is in fullforce antl eHect. CITV LIC.: STATE LIC.: CLA55: Oa�e: Signature: WOHNEBS' COMPENSATION DECLFNFTION: I hereby alfirm �hat I �ave a certificare oi consent to sel4insure or a certificate of Workers' Compensation Insurance. or a certitied copy thereal (Section 3800. Lab. C�. POLICY NO.: E%P. OATE: COMPANY: ❑ Ceni�ied copy is herehy tumished. ❑ Certifietl caOY is filetl with the ciry Builtlinp Divisian. �a�e: _ E%EMP�ION FPI I ceM1iW �hal in Applicam: :E:N�. aher m5king this aeclaration. you s Wa OEp yau mustfarthwilh campty wi�h such pmv ns or CTION LENOING IIGENCY: I herePY aHirm ��al ��ei permil is i=suetl (Setlion 3097. Ci�. C�. LENDEH: AOOflESS: is one h�}nOretl (3100) or less). maqherso as ro become 'pmvisions oi Ihe Labor IenAing agency for Ihe peAormance af ihe wark for OWNEP BUILOEH UECLABATION: I hereby atfirm that I am exempt irom ihe Contracrors' State License Law for ihe following reason (Section 7031.5 Business and Pmfessional Code: Any city oi caunty which requires a permit m constmct, alter, impmve, demolish, or repair any stmcWre. prior to its issuance. aiso requires lhe applicant for such permil �o file a signetl staiement �hal he/she is licensetl pursuanuo Ihe pmvisions of the Coniractori State License Law (Chapter 9(commencing with Section 7000) o( Division 3 oi the Business and Pmtessions Code) or ��a� helshe is exemP� lherefmm antl �he 6asi5 fa� lhe allegetl exempiion. Any violalion of $ec�ion 7031.5 by any applicant far a permi� sublec�s �he applitant to a civil penalty of not moa Ihan five huntlr¢E dollar5 (5500�. I. as owner of ihe vmperty or my employees with waAes as Iheir sole campensatian, will do the work, and ihe ❑ slmtture is no�intended arofleretlfofsale (Sec�ion 7044, BUsiness antl Pro/e55ionalCotle: The Contfattafs' $�ate LiCense LaW tloes nol appty ro an owner of a property who 6uiltls or improves t�ereon, an0 who Ooes such woM himself/herseli or thmugh �is or her own employees, provitled ihat such improvements are not intentletl ar ofiere0 tor sale. Ii, however the 6uilEinA or improvement is soltl within ane year o1 campletion, the owner will have the bur0en of Dmving he/she ditl not hui10 or imDmve for the purpose of sale). I, as owner of ihe pm0erty. am exclusively contracting with licensed contractors ro constmct the praject (Section 7044, Business � and Pmfessions Cotle: The Contraclo�s' State License Law Jaes nataDPty an ownerofpmperty who bmlEs orimprovesthereon antl who coMracis for such pmjecis w��h a coniractoqs) license pursua �o the Con�ctors' State LiCens/jLaw�. I am aware �ha� pmo� oi Iheir Worker's Compen3ation insurance should be pmv e a me. %� /I � I am e�:empt un4er S�tion: B. 8 P. C. I hereb�certify t�Et I am aware oi antl untlerstantl Ihe 5534 and Ihatl or any lulure huilaing occupantwill/willr permii for cons�metion or modi�ication Irom �he Air �uali these pmvisions. �a�e: Applicant I �ereby ceriily Ihal I have reatl Ihis applicatmn an0 state ortlinances ard state laws relaiing to builtling cOns�mction � '� J Signalure:: Socrai Securiry a: 16ni-4fi WM1ne—Builtlinq: Green—Cotle Eniorcemem: eal an0 Safery CoOe Sections 25505, 25533, and m Co � pty ith saitl siate tades and Ihe requiremenis tor a nci. 1E tial constmction applications are exempt irom ly with all city antl counry uponihe abave-meniioned Pink—Revenue; GOIdeOmtl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 066566 PERMIT NO: P 066566 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUGTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: ALT JOH DESCAIPTION : ADD, 2ND 335SF STORY,EXTEND PORCH SQ FT; CLAIM VALUE: CALC—VALUE; GROUP OCC; A-3 / COMMENTS: REF: B-66075 x�*rr�r�r*+r+r*x��r**�r*x �+r+r�r�r*�+rrr**��r*x�*�r+rx *x�*�r+r*********�r�*+r*�r******�r******�r�r***��«*** Z O N I N G R E Q U.I A E M E N T S S E T B A C K S ------------ MAIt3 BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN AGHT; FT IN PARKZNG RE(� • PROV; PARCEL; 11737206 ZNE: REF NO: PLANNING N6TES> i x�x�+rx�x�r�rx��r+tx�,r*x�**�*x��rx�*�r+r�r�rx��r*�r�rx�x�x�x x x x x��rx+r*�rx�r��r�r�*,r�e��rx��x�r�r�*�r�r�r+r�r x�rx�x **+�x*+r* D E V E L O P M E N T S E R V I C E S R E Q U T A E M E N T 5 ZONING APPROVED BY DATE: ' BUILDING APPROVED BY : DATE: (� APPLICATION ISSUED BY: / DATE; v/� x�x�r��rx��+r*�rxx�x��rx�+tx��r�r�rx�*x�+ iF��r'iF��r�a� �r��r�'iFir'�F�F��i€�iF'iF�r�*x�**�r*�� . V� iE1ElkiF41fiF1FiE1EiFiEiElFiEfEifiFKikitiFlElkiFiFlEiElEiklFlEiEiEiFiFiE1E/EiElkiEifififffiFiElFiEiElkifitiflEiFiFiE1EiElE1EiF1E1E1EMifikiE±kik iFit4 iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEG EN'C.;N. BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMZP/RES GRADING PERMIT 14,00 252 SMIP/NON—RES PLAN ISSUE FEE 20,00 BUILDZNG—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 14,00 20,00 0,00 34.00 34,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 34,00 OVEA/SHORT; ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 34.00 ' iF if iF ik Ik M iElF 1F ft ik 1i 1klf 1F M iE iF iF if iF iE iflF it 1f fF it fF iE it iklF iFlE iE 1i iE ik iF 7f 1F fF iE iklf !f !f 1E 1ElE k IE iF if if iF iF fE if !f if if 1F 1E 1F 1E 1FlFlF 1E iE if aF 1E IE 1k if 1E I N D I V I D U A L' F.E E B R E A K D O W N TYPE QTY D E S C A I P T I O N .� UNIT COST TOTAL COST PLU 1 LAUNDRY TUB OR WASHER_ 7,00 7,00 PLU 1 WATER HEATER AND/OR VENT 7.00 7,00 END'OF FEES O1 DU1`7877-00157877 T�T 34.DD DATE: 03l2?/94 TIME: 15:}.7 CONSTRUGTION AND PLANNING POOL & . � APPROVA�S Permit# Date Inspector APpROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment �ocation - , � 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement _ ,-��ctric�L}iiidv��tiliiy-Undrgrnd. � 54. Forms '"' _ ,. � i ;;;,.�}.�ectrica �n�ahc�Undrgrnd. - 55. Electricai 8onding '�'9.^-�ieel�R�it�Tbrc�fl!bnt � ' 56. Rough Plumhing & Pressure Test '= ai •r. r "i�; m - r,-. . ��6. E4ectr��;�F&��rnd. � 57. APPROVALTOCOVER�GUNITE �; �-_�t�F' , . �?}, Fbotit+g'S'.m " � 58. Electrical Conduit-Undrgrnd. " B. Founda�� " , , 59. Gas Pipe, � Undrgrnd., Ten .. y 9. Nlater Pipe-Undrgrnd. � � ' 60. Backwash Lines, P�Trap, Cl Undrgrnd. " �� ' 10. 5tructural Floor SVstem - 61. APPROVAL TO DECK �� - 11. �nPerty Se�vgr Line, & House Connection r' 62. Backwash & Receptor�F�inal � . 12. SeWer Cap � 63. Heater & Vent�Final x � 13. Roof Drains%� � . � - � 64. Plumbing System • Pinal ; '` ' ' ' 14. Rough Plurtrtirr�g �' 6 z3�"( 65. Electrica6findl �' . I 15. Rough fflectric37�Conduit 66. Solar SYstem-Final �� t6. Rough �ectric..Wiring 6�. Fencing & Access Approval 17. Rough IL7ju�g 4�jg� 68. APPROVED FOR PLAS7'ERING 18. Rough ElecYriG89�T Bar Ceiling 69. POOL/SPA SYSTEPAS F�NAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - , , . .. '. tr� ^ .tuF � * <- c'c 20t�$to�gh �,�ctouY ireplace i ti;n r;'7 fi u - o+r *� PPFEQIVRiS��nPeiThit #^ ''+ "7""• m c w r�.7 � i- p'f. 3. .•,fUhf h 1: C� :�� 2� `T U�. i� $L�CL s I�f^ %'C.S. # r-� '�Y �r � S n a: ir rP >�� t.... -�� : ��r i� 770. derqreq H�ro 7. 22. Ducts,Vent�latiri�r. i � C.5 t � S•S*'� 77, produc i g@7�s Oil �- r, -� c.. x 23.,%aar Pi �'Ro h &'Test � ^ ' a `� ° ` 'r �r , `'�`� `-4 � P,,.., i� .� � �- r Y ,Z �y.„ 72. Undergro�,myl FluiFp - w: . i l � J . s . Z4(SAO�hIj&TIRQ rr,: ;p.F �•S- �� v �^ yi„ �73WUndergmcT.Stor�q�"iank�£7Gas ❑OPI`^ 25. Ro SF�thin ~'�` ` �+ � tT, n 7 ct�� x c� �-+F� t Q; 9 Y � v,� r r; 7,��a: *'�74.;,Overhead,iiYdro� 26ioT�8a� Ceiling (StrueFturel) &�tqo,necoat r m �' !n � x 75T�.Dry Chemical ''7 �� -+ '-' '�:_ � �� . 27!'�raLnean� Flash�c� u: �: � "� � 76r�Dry Stand,�'"�.e ��F.�..i +� 5 -�7 �F v .. � C; � Y_' � Ri y' # i-� b�. ._, tT1 �8�''Lat+iing�& Sidin9-�x u. �7•�= •r, fi?: �•r: � 77^' FIXED SYSTEfC��19�A�* H �,�, >29. Insulatip t % `'?: .. � �' -`� I ' # � � * , ''� ,� , � .. ; � t:� 78�FJFE P(?EV. FI�!<,1j. : � e;; -K; i30.Drywallc�lailing x- s, � I I*e� t-+�c.a Vi�lE,ALTMDEPTeR-EQI�IR@Ti1ENT .-n n� • !�31. Piaster �Y'ov�p CoatE S � n,�,,, * � ' ; „79��'ff�%qLitVjS.�CTIO�N * �' r ;�� E32:;Electricp��Power Mei�rFinal� "� + ol � z� t�Ox�00D CERTIFI�CA'TE ISS fED =�� .,33.�in'I'El�c.ric `^n � �' i:�; I �Fa 7 cm >`� n�aq-�r, ''No�s: � �; i34.-Fina�' Heatingj& Air'',Conditio�n='g, * `' � � s t - ,_� '�'.:, . _ %� _• ,. C� �i_��'C i r.� � .� � �.. . A . Y u �'C� !� . . �35DFin5PGar Pip&•Tesi` ^' '� -` �� ' ; , n �'= = ` �" -- r r+� � �-� I t. � _ ;.: �, .;36.� "" � , . � � 3 :�� o�d o;�CanoPY �. =, � � .T..-i . .l 'x F � . _!�o ; �., �:+ ��5 /GC812 Lc! '�7.�inSUF�ory Fireplatt� � -`��'�T' L * �' 1 � ' r ^ _ _ '�� -� 'r- w i ('. +' ��C... �-( ; 38. FinaJ,Plumbin9 : ",r,l � •. .• '" �y.` I � , �: �' :-� t a t39. Water Se?vice-FinaP< ' � ,� * t �* ` M n LL `1 ' '� W F E.4 �F f JI . • r;40. Gas Seru�ce-Finai .�' � y,...,., �� r E- � i �{ 1' C.n :;i•7 :K �� sgt. Solarpomestio-Final� [�� ^ sG. � ' �" k r;=' "" + ` # i I 'T �k .T' "" _� C r x ' '$2, -8ackflow Preventer; r" � K " � I �� q � ; ; �r x _+ F',� . - L 43. Backflow IrrM1�atioM a'Sa ? * w '' �� .. - 1� � «- R: �' .: - 'r . . Y' ' �`-y h' `. ]f ��. � 1 ! T �. ' r.44. �andsc�pe Ica9atio� Systernnn':� r x,-; p J � f;., ,z� 1; ;;�� .q :� _.,� . � �5.�Sound Atten�ation° �-+�E� T' i - � �- `^' + �� `'' '� �'-' �`-: '` > n t f� rr; ij ;�. . n �. C.' C" �. • '_'G x �16.`;Flandicap,Reg}�latiops ,'ni J �� T, , p+ t: �= '�: • 47.�IfNAL STFiUCTURE & BUPLDWG = � � �+ '� '� '� � J �" 7� F � I'x a � !" � - 48.�--�FIN1jLPLANNING; i c-;-. �N j � �* =-m t*7 = [` . c49._EleqtricRe(easeto�dison i - � •' +'�'r ^ � :� ! � �� 41 �� t � •i' y. .n .. . ' � .;Z 1 � Yli. Y. J � ... . ^. ✓v 'SO.�Gas Selease to Souf}iern Cali�o,r_y�,i�}GasCo .• � i �� s F, .i `• ��,r y •• ,�51. CEQ7IFICATE OF;QCCUPADtCP . Y x<• � ;�" ,� . � oc. No. Date � PflOJELT A00@ESS 4 7 8 AB B I E WY �NIT: `oNroEfl�E: HURNELL, GUY A k�;_ _`A>ONE55: q'�$ AHHIE WAY � COSTA MESA,CA 92627 714) 631-3858 RflCH/ENGINEEH: FRED FISCHER JR PEG.NO.: C—ba501 aooness: 1z08 E KATELLA "rt� 19 PEXMITTEE: OUY HURNELL CA 926��19)631-3858 aooness: 4 7 8 AB B I E WY C.M. CA 92627 LICENSED CONTNACTOB UECLABpTION: I pe�eby a�firm that I am licensetl untler pmvisions of Chapier 9(commencing with Sec�ion 7�00) of OiNsion 3 0l ihe Business an0 ProlBssions Cotle. ana my license is in fullforce antl etfect. CITY LIC.: STRTE LIC.: ClASS: pa�e: Signature: WOXKEHS' COMPENSpTION OECLI1flATI0N: I hereby affirm ��a� I ha�e a CeRifita�e of ConSen� t0 Sel4in5Ufe Or a C¢rtifiCa�e Oi Workers' Compensalion Insurance, or a cerUfietl copy Ihereoi (Section 3804 Lab. C�. POLICY NO.: E%P. OATE: COMPIINY: ❑ Certifiee copy is hereby fumished. ❑ Cenified capy is fileA with Ihe ciry BuiWing Division. 1 �ate: _ � E%EMPTIDN Ffl� . I certi(v Nat in Applicant work fof � i Laws oi � NOTICy I�. atter d�aking ihis declaration; you s owo oea Cotle. Vau must fonM1wi�h camply wilh'such pm ians ar CONSTBIICTION LENOING IIGENCY: I herebY at�irm th which this permit is issued (Semian 3097. Ci+. C). LENUEN: NODflE55: 9or one quntlretl (5100) or less). any m�hner so as m 6ecome taZ�ie Warkers' Co�pensation pmvisions of ihe Labor Shall be deemetl revoketl. mction lending agency tor ihe performance of ihe work tor �WNEP BIIILOEP OECLRPRTION: I hereby e��m Ihat I am exempt irom ihe Contractors' State License Law for the tollowing reason (Sec�ion 703L5 Business and Pro�essional Code: Any ciry of counry which requires a permit to canstmct, alter, impmve, demolish, or repair any s�mcNre, prior to its issuance, also requires the aDDlican� for such permii to file a signetl sta�ement �ha� he/she is licensetl pursuant to Ihe provisions af the Comracrors' $�ate License Law (Chap�er 9(commencing wiih Seclion 7000) o� �ivision 3 of the Business antl Pmiessions Code) or inat he/she is exempt therefmm and the basis for �he alleAetl exem0��on. Any vialation oi Section 7031.5 by any applicam lor a permit su6jecis �he apDlicant to a civil penalty ot not more ihan five hunOretl tloilars (SSW�. I, as owner of [he pmperty or mY employees with wages as their sale compensation, will Ao Me wark, antl the ❑ simcture is no[ intended or afiered for sale (SecM1on 70ad, Busineu and Pmfessional Cotle: The Contrectors State License Law tloes no1 apply m an owner o� a pmperty who builds or impmves thereon, and who does such work himsefl/heBelf or thmugh his or her own employees, pmvitled Ihat such impmvemen�s are nat intentletl or oBered for sale. If, however the huilding or impmvement is soltl wi�hin one year Uf completian. �he owner will have the burden o� pmving he/she tlid not build or impmve tor Ihe purpose oi sale�. I, a5 owner ot t�e property, am exclusi�ely conVacting wit� licensetl contractors to construct Ihe projec� (Section 7044, Business � and Pmfessions Cotle: The Contracfols' Sta�e License Law tloes not appty m an owner of property who bwlds or impmves Ihereon and who contracls for such prolecis with a caniractor(s) license pursuan� the Contractors' Sta[e Licens aw). I am aware I that pmoi of their Worker's Compensation insurance shoul0 be D�ovidetl me. ^ � � I am exempt untler Section: B. 8 P. G �� tor Ihis r¢y5on7 i_ , CP--�� I ao hereby certify Iliat I am aviare ol and undBrstand the 25534 antl tha� I or any foNre 6mltling occupan� will wlll r permit �or cons�mc�ion or motlitica�ion fram tPe Air �uali �hese pmvisions. Oale- Applicani: _ I here6y certity Ihat I have read this apPlicalion and stale tl ortlinances and sla�elawsrelalingto builtling coPslmction an pmperty r in ection pu es 1 jignaiur : _ OnveYs Lic nse or Social Securi�y p: 16at�a6 Whi�e—Bmltling: Green—Cotle EP�orcement; id Safery Cod§5ections 25505, 25533, antl said state co0es antl ihe requiremenis for a consimction applications are ezempt imm city antl Pink—Revenue; Goltlenrod—Assessor CITY OF COSTA MESA - BOILDING PERMIT PERMIT NO: B 066075 PLAN CAECK NO; 00108-94 A CONSTRUCTION TYPE; V-N PERMIT TYPE: STR JOB DESCRIPTION ; ADU. 2ND 335SF STORY,EXTEND PORCH PERM NO: B 06607` GOVT; N SUPP: N PURP05E: ALT SQ FT: 22,610 CLAIM VALUE: 22,000.00 CALC-VALUE: 50,860.00 GROUP OCC; R-3 / COMMENTS: ADD 335SF 2ND STORY, EXTEND EXIST PORCH 6 STAIR CASE FROM INSIIIE at-*�t�-*?�**�r±c��x-x�i��x-x�*##*et*#�#+t��x-��ir*�u-iti�***�***��*+r**�*+�*�-***��*****t�*�**�r*��-i�f�x*+��-*at 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 ---------- --------- ACCE530RY BUILDING --------- FRNT; FT IN REAA; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REp• 2 PROV; 2 PARCEL• 11737206 ZNE; R1 REF NO: PLANNING NOTE5> 2ND 5TOP.Y I�DIJITZON OF 335SQ.FT, STUDY/OFFICE > iE iE it iE iE iE if iE iE iE 1E iE 3h iE iF iE iF iE iE iE # iFiE iE 3E it iE iE iE iE # iE-Ih iE �f[-iF iE if� iF 1E±E iF 1E -1E i(- if iE if iF 1E iE'rt iE iE iE if �IE it iE iF iE �)E+E iE iE iE iE iE if iF ik ii iF iEif if iE �IE 1E L� E V E L Cr P M E N T S E R V I C E 5 R E Q U I R E M E N T S ZONING APPROVED HY ;. � � � DATE: -� '�� HUILDING APPftOVED BY ; '�5l DATE: `L- O� l� APPLICATION I55UED B•Y:: DATE: �� iFfE1E�1EiE�FjE3FiEififlEifiElfiEjFiE�lEiFiE9f �7EiEiF'1f�iF�lfiEiEiFif F ifdi iE iE if 1f �F iE iElf 3E iF iE if #E 1E iE 1E iE fE * iF if it jE if if iE-iF iE iF if iE jE iE �E �E iE iE iE �E 1E 9E i! if iE 1F 9E df iE iE if iE if iE iE iE iE iE if iE iF �E ff 3E iE �E if dE it iElE iE iE jE iE iE fE jf �)f iE 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 419.00 . ' - _. , 5.09 • -� SMIP/NON-RES PLAN 68,09 ISSUE FEE ' ' BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK •TOTAL• . PAID DUE TOTALS----> 924,09 0.00 68,09 492•.18 492,18 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 424,09 bVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SN1IP/TOT GRA➢ING PLAN-CHECK 419.00 ', ' �. 5.09 �lE if �lE if iF �IF iE iE iE iE jE iE iE iEiE iE iF it iE # �E # iE if 1E 9f')f iE iE fF ih iE iE iE �E iE 1E jf if if iF if iF 3E if fE iE 9f jE iE1E iE �If if iF 3F iE if 1FlE 1E if if 1E iE iE 1F if-iE iE jE iE jf -)E if 1E iE f: �E I N D I V I D U A L F E E H, 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 335 DWE-TYPE V-WOOD FRAME -GOOD 74.00 24,790,00 SFR 120 PWE-INT, ALTER TYPE i�-WOOD FR -GOOD•- " 14.80 1,776,00 SFR 155 RES-PATIO CQVER-POST 6 SOLID ROOF ' 19,80 2,294,00 SFR 22000 ALTER BY VALUE RESZDENTIAL NOZONE � 1.00 22,000,00 END OF" FEES . OE CIOSJSjOU�QDSSJJDl TCtT 4Z�i,p? DA7E: 02/26/9� TIME: 15=32 ,• � � `�ri�7NSTRUCTiON AN� PLANNING POOL & SP � , � APPROVALS Permit # Date � lnspector APPROVALS Permit #_ Date inspector ��. iemporary Etectrical Service or Pole '' S2. Pool & Equipment Locatibn � � 2. Soil Pipe�Undrgmd. ' 53. Steel Reinforcement �� - � 3. Electrica� Conduit UtiGty�Undrgrnd. 54. Forms ' i 4. Elecirical Conduit-Undrarnd. 55. Electrieal 8onciing �� '-' 5. Steel Reinforcement , ��..�,'f �(t/�[ 56. Rough Plumbing & Pressure Test - 6 Electrlcai UFER Gmd. 57. APPROVFlL TO COVER GUNITE 7. Footings � 3-`� �[,t�. 58. Electrical Conduit•Undrgmd. ' `\ 8. Foundation -- � 59. Gas Pipe, � Undryrnd., Test - 9. Watzr Plpe-Undrgrnd, 60. Backwash Lines, P-Trap, [7 Undryrrid. �� - 10. Structurel Ploflr System I � 67. APPROVAL TO D[CK -- �-� � "- '� 1 11. Proqerty $ewer Line & House Connection 62. Backwash & Receptor�Pinaf � . ' � `i 12. Sewer Cap 63. Heater & Vent-Finai --f �"`' i 13. Roof Drains -' 64. Plumbi�g System - Pinai - �- 14. Rough Plumbing , � 65. Electrical�Finai ;"1"� ; 15. Rough Electrica!-Conduit 66. Solar System•final . � � �.,'� 76. Rough Electric Wiring 67. Fencing & Access Approval � 17. Rough 4Viring Sign 68. APPROVED FOR PLASTERING 18. Rough Elettricai�T BaY Ceiling 69. POOL/SPA SYS7EM5 FI�AL 19. Rovgh Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rouyh Factory Fireplace APPRQVALS Permit # 21. Ducis, in Structure 70. Underground Hyctro 22. Dutts, Ventilating 71. Product Piping C7 Gas CJ Oil 23. Gas Pipe�Rough & Tast 72. Underground Flush � 24. Roof Framing '. 73. Underyrncl. Star�re'iank � Gas ❑ Oil 25. Rooi Sheathing � Z3-qG� �p�4/� 74. Overhead Flydro I 26. T�Bar Ceiling iStruaurai} & Monocoat 75. Dry Chemical � 27. frame and Flashing (�j Z�J��C� ��/ 76. Dry 5tandpipe 28. �a.hing&Siding �Z„Z•q �(�/�- 77. FI?CEDSYSTEAAFINA� 29. Insulation �(�� 78. FIRE PREV. FINAL _� 30. Dryavali Naiting � �.4 ��,(L� HEALTH DEPT. REQUIREMENT _ �, - � 31. Plaster Brom�n Coat , q�� } 79. FINAL INSPECTION 32. Electrical Power MeterFinal 80. FQOD CERT�FICATE ISSUED 33. Final Eiectric � ,�. Notes: . : ,, ,. � :,� 3 !��'Y- . �-�� '�,s=�.�-� 34. Final Heating & Air Conditioning �� / �,�� iX' �� _, �R�v6 �- `-� 35. FinaiGasPipe-7est L,�`--t ��,. _Z� q(/ 8��9 J-s'7 / -� 36. Hood or Canopy � ��,�i„R��- G� B6'�=�� 37. Final Factory Fireptace � 38. Final Piumbing �(�` i�/ p N�, /1 n Q��i I , ,r� n I i�8� sr vw ��.nti��(ILOL • W.LKX - 39. Water Service-Final 0 D�f 0� /� 40. Gas Service-Final o ,/� 47. Solar pomesticFinal � ( , _ _ �' • P/l.,_.�.(iJl::CI ?' 1 42, Backfiow Preventer 43. Backflow Irrigation � - 44. Landscape Irrigation System � 45. Sound Aitenuation ' 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING � ��(� + �� 48. FINAIPLANNING �`• " .;� �:�. 49. Electric Release to Edison ',.�� 50. Gas Release to Southern California Gas Co �'�- '-�•- � � 51. CERTIFICATE QF OCCUPANCY No. Date , APV��'�o /ili in all spacaz except t�osa within heary borGer Iinas antl zign all apVrooriate tleelantlons. _ . ' CIT�?�FrCOSTAMESAi i -�. ' PERMITN TRACTNO., .LOTNO. , BLD . � 96�TJ. 6/UI�Bd , � �� 24.G�: .TI ': G�NSTRUCTION PERMIT , . ..� �„ _. , .. :_ ' r7'( � • ; ��.7 • .- � . , ` i . . . • : � , - .. „ • ' ; . � � , _ i. . ApplicenY's�vlailing Addr&ss � y� A �_ ��' �'`�'� TMPE�OF CONSTRUCTION . �� NEW ' ADD =. ALTERAT.ION� REPAIR - � � ' r _ ' � ' � , ' , ; � � ProjectAddress y�!� � � ��'� � �W'9 "� _ - ❑ CONVERSiOrI ❑ DEMOLISH ' OTHER � - . ' - i � , ' _ � . , ' � an i �' /�'I � L�%r:Jc�� Phone �y� `j%�% � DESCRIPTION OF WORK ' Owner's Name �� - _ ' . .. .�� . � , . . , : �- . ' _ .. �ZONING. EGULATI NS � Addless 4 % ih66iL ' A � � " ' ' TYPE'OF PERMIT i ;GRADING`. FOUNOATION� TRVCTURAL ; � - A. P.y$ � ' �- � ZONE - � " ' ' . � I Afth/Eng. ' � L�iCEfn52 NO. Q - �� .Q TENANT O ELECTRICAL ❑ PLUMBING ❑�MECHANICAL � � PLNG. qEF.,'# � . " , BUILDWG _ � ,� Address � - ' � M �S"' - � ' � , �Q.�OTHER � = . .� . . . ' TO BUILDWG � - . ' ' � . . �-� " � I - • ' r . . . : PR PE V WE 'REAfl VA'HD (TO P/U �� • .. ,f Contractor's Name rs ��=l.V� Vhnnw �nY6 -� YZi : PROJECT UESCRIPTION' Sa' FT.• • ' OCCUPANCV � - . . _ Add�255�(mellingl �y'7� A"�� , " CONSTRUCTI,ON'fVPF � �` ' - •VALUATION$ �•� 'LEFTSIDEVAPD ' • RIGHTSIDEVARD ' " � - ZONE � GRADINGCU.VDS. � �ACRES � PKG.SPACEREQ. . PROV.IOED U, . - ' �� 1 Cicense No. ' - - LICENSED CONTRACTOR DECLARATION � � - � � Remarks: ' � ' � • � . ! , , . STREET WIDTH . .PARK FEE $ % � 1'hereby aTfirm that I am Ilc6nsetl untler provisloos of Chaltar 9(commencing . -. : . with SBCtion 7000) of Dl��sion 3 of the uslnea n0 Prof � sb 5 Cotla, an , -� � � .'� , • ' SPECIAL CONDITIONS: ' � my Ilcenstris In tull fo�r eahtl eifecA � . - Llcense Class X� � ' � � ' - - ' ' PLUMBING - ' , � ' ' � � J t Date ��- -� ° 5'9�at t � - , � WORKERS' COMPENSATION DECLARATION ' ' � 88f SH1k • � $ENRf Cep ELECTRICAL ! _ I hereGy ai(irm that I hav9�a certififate of Consent to self-Insuie ar a certititate � - .. - _ Autometic Washer �. _ •.Met2r ❑OVE�.IOb eTpS' _ _ of Workars• campensatlo� Insurence, or a certlfletl cooY tnereof (Sectlon � Beckflow Preventer , - SeWCr Connection '" 3800, Lab. C.) , ' Backflow Irrigation ' '. Sofar Ctillectors • Construction Pole � � Sub Panel - Po�Icy No. - � Company � ' � . � � CoOking Unit ' ' Sub Pole : ' ' Certitied�Cnpy IS herebY fu�ni5hetl. ' � � � BethtUbs � Solef Piping : - 1 ' i B Cery:R tl copy Is fllatl with the clty,Bulltling DlviSion. • � , Di5hWa5hEf � � Mot0�5 �0-1 HP ❑ iX$ � . Date �'^ -Applicant Clarifiers SolarTank ' 1 . � EXEMPTION FROM WORKERS' COMPENSATION �ECLARATION - � DryCrs OGas ❑Electric InaSolaf� �9-15 HP ❑16-05+ (This sectlon neeE not be Completetl if the permlt Is for one huntlretl (5100) or Di5hN25he� SWimnling POOI w/Spa . i less): � . : � ' - � � , Fan � Microwave ' � ' I certlfy that In the perfo�mance ot tha w r for w� � this p ��b s issuetl 1' ' Drinking Fountains Urina� ' � . . � ' Shal1 not emplay any peVson in any in so - b � u ect� to �t��/J � - � F.A,U. � � .PoIC Li ht � � � Workess"� Co�P�n, taws of Cauf m l Ei�32G. e'//// ; Floor Drains � Water Closet� • 9 • � Date�(o- -51gnaWre L�� . - i , � Fixtures, � •Ran e � NOTICE:�If, after�making thts tlaclaration,�you stioWtl �becoma zub7ect to�the� = Floor Sinks �- - - � Water Heater � - - ' - - - 9 • - - - - - Workers', Compen5atiom provisions of the Labor Cotle,you must.forthwith ~� '' ' Comply with, SUth D�ovlSlons�,or thls Dermit 5ha11, be tleemetl revoketl: � GesServiCe. .OuNBts. y Wet2fService .� . - .. �� DeviCeBOxeS SigO: � ' CONSTRUCT,ION LEND�NG AGENCV ' ' ' ' ' ' ' ' OUtlets I hereby dffllrtl that there is a'<on5tructlon-0entling a9ency tor tha� arformance i Interceptors , � - _ ' � ' . - ' �Standing Sections � � . of the ,work for'� whlcn' Shis rmit '5 IssueA .(Section �30�Z Civ. C ;� � - - - �° � - . . ; LenGer's Name•� �G7NC , _ . - _ - � � . Switches � � '� � /1/A:VL� � � �_ .� � • _ Kitchen;Sink , � �Trash Compacfor Lena6r's. Aadresz � ` � • � � . � � , Garba e Dis osal ' � � ' OWNER.BVIIOER DEG6ARATION �' ' ' • � � 118VeToneS � �- � - . . 9 P ' j I �ereby�affirm that I am_exempt from the Contractor's Ucense Law for the � � Gene�at0� �0-5 KW OS-15 KW � ; followin9 reason. (Se[tlon' �031.5 Buslness antl Protesslonal�Cotle: Any city or ' � P-T�ap -� .. � • �county which' requires a permlt'to canstN<t, alter, improve, Eamblish or repalr - , , ' , ' Transfo�m2� ❑ 75-50 KW � . � � � any structure, D��or to its'�ssuance, alm roquUes tha'appllc@nt for such permit' -- ROOf-DtainS' �- : ' • � � � i ' to Tile a signetl statemeqt that he/sha is IlcenseA pursuant to the,proWsions ot ; - ' � ❑5U+ KW, - - the Cont�actoPs�License L.Sw (Chapier 9 (commenang'with Section ]OOOj of '� :- - ' ' - � , � � $15 � ' � . �Reinapection Fee � $15' Divi5lon!3'of the,Bu5lneSs anA Rofeulons COCe)'or'that he75he=45:exempt , ShOWefs � !:� . .- . - � -: RBinspection,Fee . , _ thereirom and the� Da5i5 }Or the alle9etl exemption. Any,viDlatiomof Section ''. . . - ' Meter ❑up to 100 ampi • ilssue Fe6 ' �� 3 1 7031�.5 by-any applicant tor a permit' subjects tha applicant to a� civil ' . ' �� ' alt of not mora than f��e hunAreC tlollars E500 �_ ;, � � ServicE Sink ', , : Issue Fee ; $ 3 , ' � I Y , �, ( L , _ .. 2onin9 APVroved BY � Date . as �oWner of� the plaP � , • ' , . ' � work, ^tl tAa ct ct � 1 t�� or offeretl '' - ' � MECHANICAL � ��br sale (Sac{ion 7044, us ess antl Professional Cotle:: The Contractor's • ' � Mp��ation Approved By � ' • �ate ' - � . � License Law tloes not apPly toan owner of a property who builtls or Improyes � Boiler. ' .� Refrigeration System � � '. tM1ereon„antl who'tloes,sU<h work filmself/herzelf o� throu9h hls or �er own � : � � � : � Appliration IaUed By '�f�� ' � ' Date �`/"��-� � employeas, provitled that such Improvemants ara not Intenaed or ofieretl for ' , Duct'Under'Ground � ❑0.700,OOOBTU ❑100,OOOBTU� � � � � I sale. If, however, the builtlln9 or Improvement Is soltl within ona�year'of com- ' � . . � ' � � i 1 � SUMMAqY OF FEES ' � ' � pletlon, the owner �will ha�e the Durtlan of proving he/she d�tl not builtl or im- � . � � , � .' ' � �rove tor the ourpdse of sa�e). , . . Duct - Structural �, System Repair%Alteration � �� Sv ' •.� I, as owner of the pioperty, am exclusively contractin9�with�licensetl con- ; � � . , , : ,BUILDING PERMIT $. -�-F-L-`- SM,IP � ; $ ' . . �tractorsto construct the'pfoject (Settion Z044, Business and Profeulons Cotle:- DuiT .Ventileting _ . � , _ _.� ' ' PLAN CHECK� ' $ � � PERMIT � � The Contractor's Licenu law does not apply to an owner oT property who � , ^ � � ISSUANCE . .$' � � DWlds or ImD�ovez thereo�, antl who contra<ts for such pro)ects witn a con- ' Exhaust System ❑ Multipie Q� � ' ; PLUMBING $' ' � � , . . tractor(s) iicansa pursuant to the,Contra�cty r's License Law),; , ' � ' � ' , GRADING '$� � I.am exempt untler Sectlon �� 7'7 � 8. & P: C. t� tnis reasan : Firepl/Fact. BIC ICBO � ' ' . ' �PLAN CHECK' : $� • i , ELECTRICAL $ I Dat '-' � O � � � �- � Heating�System & Ducting ' ' � � ' � $ ' � , . : + � j MICROFILM � $ ' I ,-I��hereEy� certify that� I.�ave-reaG this:-application antl state that the abave � - - ❑at00,0006TU �t00,0008 � � � � � � - � - ..... •PLAN CHECK; . $, . iniormatlon Is correct. a9ree to c pty wlth a❑ Sy antl county ortlinances - . ' - . � ` • ' : TOTALjFEE� �$' antl state laws relat to bu onstru< ,�a tl her tiY authorlie repre- HtiDd or T e I ❑ ( ' ' � � MECHANICAL ; $' � � , � • , � Reinspection Fee • 515 ' ' � ` ' LESS santativaz ot.th . ' tto ar- p b e- e one0 pr pp e.ey y�ty�a ;, ��o ; TYPe 11 ❑1 � � ' ' _ � . �PLAN CHECK, � $I ' ' qDVANCED PC • $ ° � �� ; InSpeCtlon Du� 5 ' Sq" .� . ' Signature ' e Oate Z/ .� . , . Registers ' � � � ' Issue Fae 1 - $ 3 • � ( , t , F , Drivers• Llcense or 55 qp, i � � j ; FINAL FEE � $ CMF 0865-46 rev. 12/82 White - Builtling; Canary - Applicd�t; Pink -Accountin9; Goltlenrotl - Assessor � , : o � , :- � : � -, i : POOLc& SPti , � . - z •. , i • :?'�C(i�USTRUCTIONANDSPLANNING ��? - +..-_ -''+- ' i; y� �AP�ROVALS , Permit:# - = z ��Date �Inspector . �-APPROVALS,_ Pe�mit# � ;- �Date Inspector�� - .i � � � � i � � " =� ��'1; T�mporary �Electncal Ser'vice or�Pole � ^ � ri ; o ° ; � Y �, ,52` Pool &�.Eguipment, Location . : � - � , � - � 2: Soil Pi e-Un ' w ' �-• �; � , : » . ` �, . - - �� p drgrrid . � -4; E ' a'' } , �53 Steel Reinfo'rcement , c 1 n� 1 3. Electrical Condwt Utilitv-Undrgrnd -� ; '' � i� `^ � " �; � _54?�Forms Q � ;, . . _ ' - r� 4: Electr.ical Conduit-Undr;grnd: - � ' ' � ' � ` ; F � : ti � 55 Electrical Bonding � _ � � � � , : .m . -„ , D' 5: $teel Reinforcement � ' �J , - � ; ;l' ; ' � z � �� '?'= � 56., Rough Plumb�ng & P�essure Tesf � . ` t • I 6• Electrical UFER Grndl � °: � � -`1 � , � ° � � � � .-> ° '57= APP.ROVqL T0 COVER-GUNITE . c.., � 7. Footings � � �„ � , � �. .!'�, �' � � - ?'� � � 58�,_ElectricalaCpnduit-Undrorn�l_ � i � - 8. Foundation, � '' � �� ' � � � � . �� .;, „ � _ - , _ „ � - 59 Gas{Pipe. O Undrgrnd Test . , � 9. Water Pipe-Undr'grnd. . � _ ; � � ' _, �. �'tp Backwash �Lmes,�P-Trap,�O Undrgrnd. -� ' � ' > i 10. St�uctural Floor System f � °� � � � _ ' ; �61. APP,ROVAL i0'DECK " . � ; ; , � � � 11. Property, Sewer Line & House'Connection' - � u % � ° � �� - � , ,,, . ,; �,62. Backwash & Receptor FinaP�. '' ':,, . . 12. Sewer CaP : -�� i � ; �': � ' .�; . .,R " •• . ' ;, o - �63. Fleater & Vent-Firial.. 13. Roof Drains� j I 1' - •; ,;64. P.Iumbing SYstem'Final :� - � -. . ,. 14. Rough�Plumbing� �� ' � ��- � � . ' - � � � ��65. Electrical=Final'- `_ �-�� • l : `15.-Rough-Electrica�=ConduiT''-�---'�"`�. �. �'._�_� �'-'� .�"..;66.iSolarSYstem-Final7---.--��-;^ �-�-i�-;�+ � . � ' ':.16:'Rough�Elec[nicWirin9� , ' f , '�' �. ; . .�-r- '-�- _�_ . , , . . .m -,t � . i •� -� i = ; � . .� �'-•'%' ,! '6Z-i Fencing &�Access APProval � - � -, . 17. Rough Wiring'Sign� ' S j '� � ,y , � i _ t _ � ( � � �'` � � �fi8.i APPRO.VED FOR.PLASTERING ; i -' t ' � : .I - .a 18. Rough Elecsrycal-T;Bar`Ceiling� ,� 1' _{ i t 69) POOUSBA SYSTEMS FINAL ' �� , � 19. 'Rough Heating & Air�6onditioining �' �, � : ! �; ' � ' � i ' FIRE DEPT. REQUIREMENT . � - _ .. � - ' � � i � ( : : , i ' -� � 20.'Rough Factory Fireplace' I � '' j I' � �� APPROVALS; � Permit`# � -- � c -`. , r i � � � -. i i t i - � - t .i 21. Ducts;,in,Structu�e� T� � 1 i ii ' � e ' � � , � ` i I ' '. � I I � 70.. Undeiground Hydro '22,'Ducts, Ventilating �, � ,; � � � � 1 . �' � � 71.� Product Piping O Gas OOiI � , ; ; • _ ,23. Gas�Pipe,Rough & Test � � � � � ,� 1 t ' i � � 72 � Underground Flush • � � - _' , n .. + : . � � � � � � � ' , - - . . '-24.�Roof•Framing . i'�� j IQrn `!��I - ��?� 73..'Unde�grnd.�Storage7ank:OGas-OOiI' , , �, Y . � . I' � � 25. Roof Sheathin , � � � � � � , i ' ' ��' i , � � 9 :, , t. - I; J4.: Overhead Hydro :� ^26. T-Bar Ceilin`"g (Structural�� & Monocoat � ^ I ?_ i �� i � `: ` � `' � 75.� Dr�y Chernicyl � � ' - � _ � . _ 27. �Frame and Flashing � -.' � � � ;� p ; . � • j � � ' � � � ,76.j Driy Standpipe � � �; � _ � � , ' , � ' 28• 'L2thing & Siding, ' '' � � ' I ; � ' �'� , � � 77,� FIXED SYSTEM FINAL. { '` . .,. ,_ q i � � `: 29. �Insulafion : � :, ` � ! � ': I, ; I I � I I i � !78 � FI'REPREV. FINAL ' � � `-- �,-30. Drywall Nailing � � .' ! �' � I ' 1 � ' { �Notes:� , � ' i . - ' ' • I . •� 31. �Plaster Brown Co9t � ' i � �I �� i i ' � i i � � '�� -•-� - � , � _ - -� _ -,� � � �` i i i 32. Eleciricai Power Meter=Finai � il � � � + � ' � � ' ; j � � � � , � '; 7 � • ' , � 33. Final Electric ; I � ! �' ' � � i � � � I � � ' I ' • � � ' � i h� ' _. . : .. •1 _ -" � 11- . � 34. FinalHeating&�Air�Conditioning ��, �� ' , ; � � � '.� ', � �� . �: R �. � � l ' ��Irl '. .;n�- r�- �. � �r,` - qn 35. Final Gas Pipe=Tesf' ` t �� .� i . t i ` ' �: t � ' I _ i ' i . - �`_ , :, ` . , 36.HoodorCanop`Y�i��:��, �� i=�_�!�.iJ �.:i�- - � �; - ' . . � . •,� I � ' I ^� •�c 37. Final Facfory FirePtace,;; , i � ' �� I ` � ' � � . r� i . ': s; , U . - � .. � 1 � � o� � i 4 � ' . 38. Finai Plu�nbin9 � ; , � � � ( - � � � � . � i j � , ; . 39. Water Service-Final� � . ; � i ' �, j T � � � �� ' � _ � - , � ° r 40. Gas Service-Final i I •' j 1 � ; � � � � i i �� ', - 41. Solar pomesticFinal ' ' � ' ! � � � 1 � ' � ' • • -,� ' ' _ __?�. _1 _T-L y__'_' ' �'.-�. _ _ _ ' � :� 42. Backflo,w'�Prevenier . ' , . �;, � ♦ I � � ' � �+ � � � � � � � � , � � .� . � :� ��..._ +. . ,,,._ . . �. , -. - � -r- � , 43. Backflow�lrrigation',.'� j i `, ��1~_ �-� `, . , ��! •I 1 --�--,-�� ' - i ,r 44. Landscape Irci9ation;SYstem � � ' �'. i , , - ` , - - � ' � , i ' , ' ' • ' , - i ".r- `�_ I �� 45. Sound� Attenuatiori �` ?' i •C, � � � I_'� �, � � ¢I .�� ; i "3 � . . . , 46. Handicap�Regulations i � � � � i 'f ;'_ � � � � -' � i � � ; - � : � , � • - .. - � r. -. . r' 47.FINALSTRUC7URE&BUILDINGn �•` � ' � , ' 1 I`' . , � � r I r �, r � I' ' i � 1 I� � ��. 48. Special Requirements Completed! "� �� " �'�' � I �' �; � �� c, _ � �� 49: Electric Release to Edison I I j � ; ' j ^_' � ' ' � , i � i ' ! " _ _� � � � � � � • i i i i i--J t'-' � - i�- --- - �.i ' 50. Gas,Relea'se to Soufhern California Gas Co � ; ` { � � I , � ' � ; � ; � , ' ' � � i � � - i 51.CERTIFICATEOF�OC,CUPANCY �_�_ I_ ,_i._�__i. I._i_ I__:_} i _ _: � ; �;� ' ' No. �j I I Date � � � � i � ; � � ' � � . ' � � -i.�_ .,.a_.._. .... ._E. ! .L�J. _ 1 �__i _.__ _ . . .. _ . . Appliwnt to fill in all spaces exeapt CITY OF COS7A MESA CONSTRUC710N PERMIT anG sign all approorlate Ceclarallons. Appli[enYSMeiliflBAdd�B�� K/�� '� ��`-- TYPEOFCONSTRUCTION, LJNew LIADD L`I�ALTERATION LIpEPAIR ProjectAddress ��G�" " � � ❑�CONVERSION ❑ DEMOLISHw❑ OTH¢R �fQi �Z DESCR�PT�ONOFWORK fil�vG�Fi.e�--- OwnePs Name hone / � � Address �� ' � TVPEOFPERMIT GRADING FOUNDATIO 'STRUCTURAL Arch/Eng. LicenSC No. ❑ TENANT ❑�ELECTRICAL ❑ PLUMBING. �MECHANICAL Address . . . . �c!/ .�� '❑,�oTHea � - " Contractor's Nam hone ��'��L� PRWECT DESCRIPTION SQ. FT. OCCUPANCY - AddfBiS �meiling) CON SYRUCTION TVPE VALUATION $� ' ZON� - GRADINGCU.VDS. ACRES Licenm No. LICENSED CONYRACTOR DECLARATION � ' Remarks: I.here0yiatfirm ihat I am Iicensetl untler provisions of �Charter.9 (tommencing , , ' - with section 700tl) af Divislon 3 oT the Buzineis antl Professions Cotle, antl � ' my Iicense'Is in ful� force antl effect. , � , J �� Licenu Clau � License No. • ' ' PLUMBIN - ' Date � ' Sl9natula WORKERS' COMPENSATION DECLARATION � Ber Sink SEwef Cep I hereby aiflrm thd� I have a certliiCate of <onsent to self-Inzure or a cerHflWte Backflow Preventer SaWer COnnection� • of Wo�ka�s' Compensatlon Insurante, or a certifletl copy thereof (Sectlon - '00, Lab. C.) � � � , Backflow Irrigation Soiar Collectors Ity No. Company ' - " ' �Gertifietl�copy �5 �e�eby furnishetl. BethtUbs $ple� Piping � Certifletl copy is tiletl with the city Building Divtslon. � � Date Applicant Clarifiers So1ar Tank � EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Di5hwd5hef SWirt�nlin POoI W/Spe � (Thi55ection neetl not be camplatatl If the permit is for one huntlretl (§300) or � � � __ 9 _ less) I certlfy that In tbe pertormanca ot the work for �which this permk tz I55ueC 1 D�inking FOunteins U�inal shall not ampioy any person in any mannar so as to betoma subject. to t�le . -�� - Workers•' ComDenSatian Laws oi Callfornia. ' � Floor Drains . 1 � Water Closet � �ate SlgnaWre ' - - NOTICE: If,after making thi5 tlaclaration� you 5houltl become subjett to the Floor Sinks - - � Water Heater Wo�kers'" Compen4ation provislons of the Labor Cotla,-you must fOrthwith - comply with• such Orovisions or this Dermit shall be tleemetl �evoketl: GasService• .Outlets - WaterService � CONSTRVCTION LENUING AGENCV � I hereby affirm that the�e is.a construction Ie�0ip9 agency far the pertormance Intercepto�s . - ' of tha 'wark foY which this permit i5'issuetl (Section 3097 Civ. CJ - Lentler's' Name _ Kitchen Sink . " � �Lenaer•s Aetlress; � � - . - - OWNER BUILOER OECLARATION � � � - • ' . LevetO�i25 . . . I herebv aftlrm that I am exemot trom [Ile Contractor'S License Law for tha _— . . �,031.5 by any aPPi� �„N`�alty of not more tM1 �x,a� I, -as own¢r of tn� 2iimpensatlon' will.tlo for sale�(Secfion 704 ucense Law aoes not thereon, anG who �do[ employees, pravitl0tl t sale. If, however, the I pletion, the owner �+�� roVe for the DurpOse i I, as owner of 4he trac[orsto construct tr The Contractor's Vice buil05 or improva4 th� tractor(s)Ilcanse pNrsu ❑ I am exempt untler Date 1-hereby cartify that informatian is carrect. a pe ntlrec r or antl to or :n Improvemenis ara noi Inienaea o! oiierea iof g oI ITO�ov8T8nt IS Soltl wlthilf 0�8 y6af ot COT- the burtlen af Oroving he/she tlitl not builtl or Im- i ty, am excluslvely contractin9 with IlcenSeC con- :M (Se<tion 7044, Business antl Professions COGe: w doas not apply to an owner of propevty who anE wh0 Cont�ects fo� SUch p�aJects witn a con- t�e Contractar's License Law). n B. & P. C. for this reason _ Owner have rea� Root Drains ' . � Showers � !� �._ - .. Reinspection,Fea Service S�nk � Issue Fee Boiler - Duct-UnderGround Duct - Structural I., Duct-Ventilating Exhaust System ❑ Multiple Firepl/Fact. BIt. ICBO # �� HeaC System & Ducting 100,000 BTU'0100,000 Hoodor Tvoel ❑' �, DAvers' IJcense'or SS � �` I�` I Registers CMF 0865-46 rev. 12/B2 White - BuilEln9� Canary - Appliwnt; Pink - A�counting; GOIEenrotl - Assessor ❑aioopoosru ❑ioo,000eru System Repair/Alteration � Rainspectio� Fee laue Fee A. P: ,� PLNG.REF. 'LEFTSIDE VqRD PKG.SPACE'REQ. STREET WIDTH i SPECIAL CONDITIONS: Automatic Washer � � Cooking Unit '- Dishwasher Dryers ❑Ga: Fan F.A.U. Fixtures � Device Boxes Electric 7442 4/19/83 REAR VARD (TO P/U RIGHTSIDE VARD . PROVIDED PARK FEE $ � � Meter_ LJover l0U amps Sub Panel Sub Pole Motors �0-1 HP ❑ih . Inc.Solar��9-75HP ❑ KW LJ5-75KW Iransformer U75-50KW �5U+KW $15 Meter ❑up to 100 amps $ 3 Zonin9 Approved By � ApPli�ation APProved BY — ' APP�iption Issued BV —. $75 $ 3 Pole Lii Range,. 1600� TL Standing5ections � � � Trash Compactor � � ' I painspection Fee $1! � � BUIIDING PERMIT $ PLAN CHECK $� PLUMBING $ PIAN CHECK . $ ELECTRICAL $ � PLAN CHECK $ � MECHANICAL $ �� PLAN CHECK � $ 9 7 OF FEES , SMIP PERMIT ISSUANCE GRADING ' � MICROFILM TOTAL.FEE LESS , ADVANCED PC '� FINALFEE . , , . �•y�,CONSTRUCJION�ANp�PLANNING c --` �,- - '�. . -POOL'&f l __ - ---- - - � , r � ::APP�ROVAlS '. P.ermit # � � y r - �= �Date � -� .Inspector � �� ,APPROVALS : �•Permit'# ' � Date Inspector �- •e M 4 d, �' : n� n c i r r:, o: �.• . �'' 1 l'em orar Electrical - � � � � �•. "" ' � ' ' ' � � ' - ,. p y Service or Pole �, '�� S �-" t c�� 52'r Pool &�Equipment, Locatiom � ct . e � n �: � � s : - - ' F � v 2: `Soil Pipe-Undrgrnd .' s c o �'"' F � r' ` i� ' � 53; Steel Reinforcem"ent '= � F, - i ,t.,c�- .o - . w . , _ �� ; 3:• Electr'ical Conduit Utili{v-Undrgrndi ' _ = � '�54:,�Forms � Y o� .. .� ' , ; 4: Electrical Conduit-Undrgmd� � � ' �� . �55` Electrical Bondmg .. . � . � ' � i �_ 5-. Steel �Rei.nforcemenY � ' �� ' -` � , � �'� =� � _ - � ; 56.. Raugli Plumbing;& Pressu�e Test � - . - 6: jElectrical UFER Grnd.i w �`� ��' ^- �`: 57 QPPROVAL�TO COVER-GUNITE , g��; 7. Footi�ngs , � � w �� ` ��. , ` F ' �� - • �.'58. Electrical Conduit�Undromd. � � � i : � ,ctm 8. Foundation. � j i :.' ''�' � d_ _� � 59. Gas:Pipe,�O'Undr'gmd.,Test � � � � i '� I o � � - - 9. Water Pipe-Undrgmd. � ; � 's � _ � '�;60. Backwash' Lines,.P-Trep, O Undrgrnd.�� - 10. Structural Floor SysTeni ��' T ��, '� ,.61. APPROVAL TO DECK '',' - 11. PropArty Sewer Line & �.Hous ��Connection - � _ - � � �62. Backwasli �& Receptor-Final. ' � , . . �' 12. Sewei Cap ; � � � � ' ,+ ,i - - ; 63. Weater &'Vent-Final ' � ,= � 13. Roof'Drains �' ; i ;;; 64. Plumbing SysYem 'Final "� r 74. Rough Plumbing � � � s�' � � � i . - � � �'65. Electrical=Fi�al' -`�--- �� ,�15. Rou§fi-Electriral-Contluit �R+ ��'p'--'-�i� " '�'} "� �.,66.�Solar'�System-Finaf �� i'16. 'Fio��h ElecTriaWiring� ,, � � i '! ` : - �. � � ;'- i' -67,.� Fencing-&�AccessrAppr�oval � . � -- . - - � . ' � 7. RoUgh Wiring'Sign� ^ ;: ; ' � � i j ` � ' �' � � � , 68. AP&ROVED FOR PLASTERING ' '` e : '� 18. Rough�Elec�rical-T'��ar`, Ceiling: � � i � - j ' � >'� �� 69., POOUSPA SYSTEMS FINAL ��' � �-19.'�ioughHe�ating&lAir4Conditioning ! ;�, � � � � i ; ! FIREDEPT,�REQUIREMENT; ' �'' 20.'Rough,Factory Fireplace � � �; ' i, i � � � i �' APPROVALS � Peimit #� ' �. . , ' � 27. Ducts, in Sfructure � � I � - � � ' . : - � r,., y , �� -1 �' � � � � �� r i �70.� Undeiground Hydro . , K '_- . , . . ., . . . ; - ' � ,-�22.'Ducfs, Ventila4ing ;. , n � I �r �3 � ! � � � � , 71.! Product Piping OGas ❑Oil , � � 23. Gas Pip � � � �?� �72 j Unde�ground Flush � � e-Rough &'TesY ii � < �� T- _ � - 1 ;1; �� , � �!`24. iof Fiaming., '� � j � ) ��,�� i�"jj,, ��: �:�- ; � , ��, � � _ �.3.� Undergrnd.StorageTank O'Ges ❑Oil � � I � , 25. Roo�f Sheatfiing . � . ' {'', ' ' � : � ( ' , K I - ' 74.. OqerFiead HYdro � � ' ; ' � � � Y. � � , . , i . , � 26. ,T-6ar Ceiling (Structural(� & Monocoat, �� " , � � � E J5. Ddy Chemical , " ' � ' � „ I. I � � t � .27. ,�rame and Fla�hing' a � � } �. � a �� l � ! ` � 1 �', � i f �76. Dry StandP�Pe � ' �. I .. I ` ' ", 28. �L'athing &`Siding _� � �' �� j i ' � ; � i77. FIXED SYSTEM FINA'L ' : , ; , ' � ' _ 29.��Insulatiori � � � " ^� � �G'd �I „�' � ' � � i � � �78.� FI�RE PREV. FINAL � - � . ' : � , � , " ^ � i� �....4 y ' � i , . � ! � ' i � , , � `-30. iDryiyal� Nailing � > . ''� �,yi �, , {� I � � � � . �Notes:� I ' � _ � . . � . q. .. I 1 I � : 1 �. i- ..;. . . _ . ; . _ I _." _ _ �� _- � . . � , ��... . ' __. . ' __ . "� �" 31. ;PlasYer 8rbwn Coat � � -� � � ! ' � � � � i � . � � � � . 9 � 32. ��Electrical�Power Meter:Fin� � �� } j ' � ( � � ' ' I - ' � � . :, �' �' �33._�,Final Eledtric � __� �' � .1. . � � � � ' . � �' ' � � 34. Final Heating�&�Air Condi� ioning " � �� ^ ' ' ' ' � - . 35. Final Gas�Pipe-�Tesi� �- � `; � n � >:, i :� ' ' J �, ' � = i ' 1 . � � . ' � � '' � ' �� _ . - � - ' �� `� . � 36. Hood or CanopY'� In s' ai � . � � � � � ,. { � . `. . - c �'i�I_i,�l (�� 4' I'i� � ' ' 37. Final Factory FirePlaceJ � i = I ' I " , �' I � � F i , � i � ^ � � � � • •. � � f� . . 38. Final Plumbing 'i � _ � . � � ^� i � ' _ I � � � � ' . .. . . 39. Water Service-Final� �� '� ;� � � � ' � � � i i ' '- - ' ,�� 40. Gas Service-Final � � � � � '' I ', ' ' � ' ' � ' .. . � ' ' � � , 41. SolarpomesticFinal i ! ' I ��: '_ _' __ � � __� � ' � _ _ . . . . � . t -'r- .. � . • .� � �_ r � . . -, .' . . � 42. Backflpw Preventer Q � � ; � ��'n� 1 � � ! � ' ! � i ' i , � , � u.•,, '� � .-��-- --i--�- - ' ---- � . ;�:' �c�. ' •�" � � " �o�� • �t�,��,-^'��r• � 43. Backflow, Irngation '- } � . ��: �a� �.im� l i r.-: , c,>�' ��?I � 1 _, u 1-: 1 � ^ 1 . : � � :_ � � � G . ' � :.. I ' � � 44. Landscape Ircigation�Sy"stem i ° �� ' i x _ `[� 1 i� � � � � . . � � • ^ ' � , t 45. Sound ;Attenuation : � ;: , a � i t� I� - ;' i ' � � � I : i ? � ' ! . , ' . ' - • � 46. HandicaP Reguiations ; � m i , , _ _ � � � I . :� � { i; � , :' ' I, . . I. 47. FINALSTRUCTURE&BUILDING' � • � � � ' � -' � . � � i i � � I 4 i �, , 48. Special RequireFnerits Completed_ , � � � , � i ` f i I ; i I � � ' ' �,'�� ' � �' i � 49. Elec[ric Releaseito Edisonl � I " � '�_ -- -� - . - -� l-- ' � � " i ' � ' � . i. � . � i i � �--j---f' �i -: � �� ' ' i , , � ; � � � � � � i , 50. Gas Rplease to Souther�n Califomia Gas Co ,' � � � � I � I i ��;�' ,. � i� �� 51. CERTJFICATE OF,OCCUPANCY � _' _ ! � . � . ,_� ; ,__L , _ . ; . � , • No, � �� Date � I ` , i , � � ! � -�,.��_ L J _�_ _1_ � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only AD�DRESS �/� fj'(J,(} lG' ��7� OWNER OR �j �%/� TENANT L L,= ADDRE 5 �� Ci ��`� a� CITV �t�� ( � N � )3 rnn�crei irrinni . i_ _ . . � . BRANCH ADDRE55 ARCHITECT �/� TEL. OR ENGINEER N ADDRESS CONTRACTOR � �� ADDRESS �LG! (�f/T/ ��T� T/� � �35�2' ►Fi STATE ,y/� • CITV u� i LIC. NO. (�`� LIC. NO. /' a {�] S12E NO.OF BLDCS. W OF LOT NOW ON lOT a USE OF '� EXISTING BLOG. y � Separate permits are required for � Q electric, plumbing and heating work: � USE OF BUILDING AND WORK TO BE PERFORMED Q C a O1 � } � Cl: W � I hereby ecknowledee thet I heva read this epplicat{on antl state y� that the ebove information is correct and agree to comply with Q+ all laws reBulating builtling connruction, antl I shall not employ z any person in violation of the workmen's compensation lews ot � the State of California. 3 I hereby canify that I am properlV Ilcenaed as a contractot untler che Siate of Calitornia eusiness antl Profassions Cotle, Division 3, Chapter 9, antl that such licenses are in full force antl effacS, or 1 am exempt from th provis�ons of t�a S elifornfa u' ess and Pro4essions C Div' on 3, r SiBneture of��/�,�� Pelmlttea � � or Authorizetl Apent Date APPLICATIONFOR�'fRi3�THRlLPERMIT72'60 TL RECEI VED V PERMIT �� '. �]'� � A.P. NO. ` L L r BUILDING �^ ( ADDRE55 � � UNIT OR SPACE NO. �� TR ^ LOT �S NEW /A�D ALTER REPAIR MOVINC OWNER I l� � ` A r,� VALUE USE M • SLj�'� O�Y�4. $ 1� S ft i� � s ZONE TV GROUP APPROVED BV DATE � � APPROVEDSETBACKS (FROM C/ STREET) ONT FT. S 6 .. L. SIDE FT. REA�' PLANNING ACTION DATE APPROVED _-�� BLK. �• n i a I SQ. FT. S �� 7 THE AMOUNTSHOWN UNDER VALUATION IS FOR m THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � a VALUATION PERMIT FEE $ � �. N m PLAN CHECK $ iL ^ ^ . �• o $ ;� DO TAX $ LL v o• a � TOTAL PAI D $ � � _ �] F�+ W a a .�. � � H C � � La a a > � .] �i W a Ri a zjx�� 3 > : 43852 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING p � ADDRESS �/ OWNERAI(��J�,S �% L MAIL P ADOFESS [�FY/hF_ /J TEL CITY( �t^j� ��'y�q NO. BRANCH �� [/� [�j(�, ADDRESS ARCHITECT /� _ _. _ _ TEI. ADDRESS �,�j�" CONTRACTOR �L[/,(J�2 ADDRESS J�/ffE _ TEL. CITV NO. STATE CITV LIC. NO. LIC. NO. SI2E L X IO NO.OF BLDGS. OF LOT O � NOW ON LOT USE OF // EXISTING BLDG. (/L(/ �J(�/ti� Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED v�iG. I hereby acknowledge thet 1 heve raetl this application antl StaSe that the above informatlon Is correct entl agrae to comply wlth ell lews reBuleting bulltling constructlon, and I shall not employ eny Derson in vlolatlon of the workman's compensetion lews of me state of calitornla. I hereby certffy that 1 am properly IlcenseC es a contractor under the Stete af Californle Busfness antl Professlons Cotle, Oivision 3, Chapter 9, end <hat such Iicenses are In tuil forca antl affact, or I em exempt from the provisions of the Stata of Californie Businass antl Professlons Cotla, DlvisioAn 3, Cha$j�t 9. Sipnature of `�Ji�/� Palmlttee _��V , Auiharizetl Aeent •,�E�, z2-��ua`'nQ7a_oe,+ ,•:� * 109 05 FORSTRUCTURALPERMIT DATE RECEIVED ❑pTE ISSl1E❑ A.P. NO. 3�d /'� J�� p I PERMIT NO. BUILDING � ��/� � ADORESS WA TRACT �I/� � LOT O BLOCN N W ADD AL P � OWNER AR'I�RS !(P'y/L1E�Tff �./f/[�' BL�7IROOM ' .R!!/f/ VALUE _ / FIRE ZONE APPROVED ZONE^'/ NO.OF f( PLANS VARDSAPPROVED S�oa f S �` /t � DISTANCE BET MAIN BLOGS. VAR. # ✓ �� DATE USE OF NEW F/INLy BUILDING B,�EqRe� VARDSAPPROVED ACCESSORV BUILDINC o Ma/ndr. Si7?en BET. MAIN &�'� ACCESS. BLDGS DATE APPROVED THEAMOUNTSHOWNUNDERVALU THE PURPOSE OF ESTABLISHING A PERI VALUATION PERMIT FEE § $ /./�/�j� j� GLAN CHECK $ ,J (/ (J L/ TAX $ � TOTA�PAID $ � N\ C m� i : m N IS FOR � ONLV: � a /� N � m m 0 LL f U